Laserfiche WebLink
: _ _.. _ _ �.�_ , ._.. _ _ .. _ _ _ _ �.. . ._._. .... ...._. _ _ <br /> f ... � . . . . - <br /> �' <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 /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <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 />� c�,% �`CX% x .0125 $ �� <br /> .� <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ � � C' <br /> � ��' or $.50, whichever is greater (contract price) <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <br /> � ' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �.=�'� °�' <br /> * CONTRACT PRICE or JOB COST means the actual or estunated 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 dor.c. i�any niatcrial, equipment, :abor, or u-lstallation are fizrr.;shed by� thc owr.�r, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for pernut fee purposes. In the event that 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 ardinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies ��all statements made on this application are complete, true <br /> and correct. ,,=' <br /> � '/ ��� <br /> ' �` ,�' 9� <br /> Applicant's Signature: �,,, ���� < ;_/l�''� Date: ��� � <br /> � <br /> � <br /> Approved By: Date: <br /> � . � .. . . . f � . . . . . . . . . .. � : � . ' . <br /> ,�' . ... . . . t _ ' ,. _ . . . . . .. . \ . . . ' , , <br /> : ' ; f <br /> � . ' . �. .` . . . . � �-�.. <br /> {' . . '•.. , .... , � . . . <br /> .... . =.� . .�,........ �:..; r.. -.'� -...�...�-�...-. �* .. <br /> .f� � .. ,'. .�• • __ . . . ,.'+...^::a�i'�_-.._... �.._. ,.::, � ::��_, _..;: :. .�._..:�_.cr �_:�=,_...utr,.u.::..�'-a.l�',,..�m._,. .. .. <br />