Laserfiche WebLink
. f .�... � .n�= Ic(S'+ . ;? f r ' f ` . ' . t, y <br /> ,w <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace R�ith flue <br /> Wood Stove <br /> Wood stove with flue . .. . � . .�4 : � <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfin <br /> FLTEL 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 /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Nlinimum Fee ($3�.00) <br /> �.�Da �° x .0125 $ ��� �"-� <br /> _ - ` (conL_ct price) � <br />�;, 2. State�Surchar�e. ** Add the State Buildin� Code Division <br /> Surcharge to each permit. �SUo °`—' x .0005 $ 3•�'S <br />��`' or $.50, whichever is greater (concr��c price) <br />.-- <br />,,z. <br />� . 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-� above) $ .� <br /> * CONTRACT PRICE or JOB COST means the�:.nial or estunated dollar amount charged for the permitted <br /> work including materiais, labor, profit, and othe-r�x_ed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipmenc. :abor, or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of=�ch items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that rYere is a dispute on the amount of the job cost, the City may <br />, request the submission of a signed copy of the �:ual contract. ' <br /> ** The STATE SURCHARGE is .0005 of the cont�ct price under$1,000,000 or $.50 -whichever is greater. <br /> For valuations over $1,000,000 call the Depart-ent of Inspectional Services for the price. <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 /> Applicant's Signature: ���� ��/ Date: � a-4 D � <br /> Approved By: Date: <br /> , <br /> �: � _ . , . <br />