Laserfiche WebLink
�. ' � <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 /> x Wood Stove (s) Franklin, other <br /> �� <br /> '� Brand Name Model No. <br /> j Mfgr's Min., Clearances, side , rear , min. flue dia. <br /> ;� <br />`- jy VENTILATION <br />, '� No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> � p No. Other Fans: Locations cfm <br /> k.tl� <br />`: ,9 <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 /> ; <br /> � PERMIT �EE CALCULATION <br /> � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> ' i -�.��'O�` x .0125 $ <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> ' Surchar e to each ermit. x .0005 $ <br /> ;: <br /> g <br /> P <br />' or $.50, whichever is greater (contract price) <br /> 3. Posta�e 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 estimated dollar amount charged for the pernutted <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 are 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 /> 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 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 /> , A licant's Sianature: � Date: � �� C' � <br /> PP � <br /> /. <br /> Approved By: i Date: <br /> R,�- <br /> t . <br /> ` _ � • <br /> t , � , l. � <br /> , <br /> , . , <br /> - t <br />