Laserfiche WebLink
� " <br /> WOOD BURNING �QUIPM�NT <br /> Wood stove with flue _ <br /> Wood combination or add-on <br /> Factory fireplace with flue � <br /> Factory Fireplace (s) Freestanding Masonry <br /> Woocl Stove (s) Franklin, other �� <br /> , <br /> Brand Name Model No. <br /> Mfgr's Min., Clearances, side , rear , min. flue dia. : <br /> � <br /> V�NTILATION �� <br /> No. Kitchen Exhaust ducted recirculating cfin <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUCL STORAGE (MUST BE EIPPROVED BY FIRE MARSHAL) ti� <br /> Installation Removal � <br /> Fuel oil: gallons underground inside outside � <br /> :� <br /> LP Gas: gallons `�' <br /> Other Gas opening '`�! <br /> =� <br /> � <br /> P�RMIT FEE CALCULATION X' <br /> 1. 1.25% of Contract Price* or Minimtmi Fee ($35.00) € <br /> �. , <br /> i'; /��� x .0125 $ �� � ���� ���� <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division _ <br /> Surcharge to each permit. x .0005 $ . J� <br /> or $.5 0, whichever is greater (contract price) � <br /> f�7 <br /> �a.".' <br /> l� <br /> 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 _ <br /> �� <br /> 4. 'I'OTAL P�RMIT FEE (Add lines 1-3 above) $ "�� . L�:'`� <br /> * CONTRACT PRICF or.10I3 COST mcans thc actual or estimated dollar amount chargcd for thc Pcnnittcd <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to thc <br /> customcr for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tcnant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> t}ie City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCtIARGE is .0005 of the contract Price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $I,000,000 call tl�e Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do <br /> all work in striet accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that all statements m�de on this application are complete, true � <br /> and correct. �� <br /> �. �� <br /> r-. �. <br /> � Applicant's Signature: Date: � - � � - ��: <br /> Approved By: Date: <br />