Laserfiche WebLink
('�' : <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. �_ Bath Exhaust (must be ducted outside) �o 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 /> PERitiIIT FEE CALCULATION <br /> 1. 1.2�% of Contract Price* or Minimum Fee ($35.00) , ,;- �;i- <br /> �00� x .0125 $ _ 1�> - <br /> (conuact price) <br /> 2. State Surchar�e. ** Add the State Building Code Division �'�� �'�-' <br /> Surcharge to each permit. x .0005 $ ,� ' <br /> or 5.50, whichever is greater (conrrac� price) <br /> 3. Postaae and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `��' G��� <br /> �` CO\TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> �vork including materials, labor, profit, and other fixed costs. It is the amount to be charged[o the customer <br /> for the work done. If any material, equipment, labor, or installa[ion are furnished by the owner, tenant or <br /> an� other party the reasonable market value of such items must be added to the estimated cos[ or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of[he job cost, the Ciry may <br /> requzst the submission of a signed copy of the actual contract. <br /> *x The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. <br /> For ��aluations over �a1,000,000 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 all <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certi 'es that aJ.l�statements made on this application are complete, true <br /> � � <br /> and correct. _ �. � <br /> Applicant's Signature: r � � Date: ���?�O/ <br /> . <br /> Approved B}�: Date: G • z� —�l <br />