Laserfiche WebLink
� �r � ���.a`�.'�"Zq �r.u�.".,�c^-c .� �,..�� ,� � ";w• �m r r'F � � �?��' <br /> 4 <br /> P y;^ � <br />� �. � <br /> � <br /> �� <br /> � <br /> FIREPLACES ` <br /> � Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue s; <br /> �� <br />�°, Brand Name ����;�S�T�G Model No. ����'!/� l�f�� � <br />�. <br />� � <br />�j <br /> ��� VENTILATION � <br />�:' No. Kitchen Exhaust ducted recirculating cfm �� <br /> � � <br />�: No. Bath Exhaust (must be ducted outside) cfm <br />�;�. No. Other Fans: Locations cfm �� <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) � <br /> Installation Removal '' <br /> Fuel oil: gallons underground inside outside � <br /> LP Gas: gallons "� <br />�_��. Other Gas opening � <br /> � <br />�:` :;:� <br /> k� PERMIT FEE CALCULATION �` <br />;i.' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ry� <br />�' ��G�z1�? x .0125 $ A� <br /> � (contract price) +� <br />� 2. State Surcharge. ** Add the State Building Code Division �^� <br />��' Surcharge to each permit. x .0005 $ ;� <br />�� <br />��; or $.50, whichever is greater (contract price) r. <br />�� � ' <br />�t,; 3. Postage and Handling (Only mail-in applications) $ 1.50 ,� <br />�;: 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� <br />>�: ,�s <br />�.', `;, <br /> S�t.= * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> �; work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or - <br /> :'; <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may ` <br /> request the submission of a signed copy of the actual contract. <br /> ;�:;, <br />,� ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. ;:;�, <br />��'° For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br />��`' <br />��� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all �; <br /> ' work in strict accordance with the ordinances of the City and the regulations of the Minnesota �' <br />�`� State Building Code, and certifies that all statements made on this application are complete, true <br /> �� and correct. <br />� <br />� — l) <br /> ,��: Applicant's Signature: --�' Date: ���� � � <br /> f: . <br /> :�: <br /> �. <br /> � Approved By: Date: <br /> a<'� <br /> t<;� <br /> � y �. ,_��-. , �> .. . . . % 9. <br /> !.Y v �:��+r&.. ,. .... .� a. .v.. �r. � _.a. . ._ _ , ... . . .. \ . ... . .. ._.. . . .�. . .... <br />