Laserfiche WebLink
�. , i ... ... <br /> .:r �.r . i <br /> . , , <br /> WOOD BURNING EQUIPMENT <br /> � Wood stove with flue � � <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> ; Factory Fireplace (s) Freestanding Masonry �,` : <br /> Wood Stove (s) Franklin, other � <br /> Brand Name Model No. <br /> Mfgr's Min., Clearances, side , rear , min. flue dia. <br /> ; <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm �w <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 /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) / � <br /> �,l�"� x .0125 $ jj lv s o� '-� <br />,......_ .. _ _ . _ (contract price) _..; <br /> 2. State Surchar�e. ** Add the State Buildin�Code Division <br /> � Surcharge to each permit. �%��� � x .0005 $ �� �.� <br /> r or $.50, whichever is greater (contract price) <br /> � • � <br /> µ 3. Posta�e and Handling (Only mail-in applications) $ 1.50 <br /> _ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �Jj,i�� <br /> * 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 <br /> customer for the work done. If any material, equipment, labor, or installation aze furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> o:conuact price f�r permst fee p»moses. In the event chat there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the 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 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: � <br /> Approved By: Date: <br /> •�° � , r <br />� � 1c ._. '��'.� %'� .�� c�rti S` " s ° °'s �.;�'`�F b �;�� ts ., ''�i�`i <br /> �. l -�r �' 3� .� _ � ...� ^'^� > G� ��`��` ���'� <br />� � ' � . �.'- <br /> , . <br /> , � <br />, � <br />, . <br /> . <br /> � <br />� � � � - .�� �. � � a <br /> i � ^� � r. .�. .._-. . : ..�_" ..r. ." �" ' ' x . � aL.J , .-P .r . - , ...,....4.�., <br /> �. <br /> . .. ,. . . . -. <br /> , <br />