Laserfiche WebLink
� ,, � <br /> � '�' . � � : . <br /> . . . � i�_ , . .. . . . . ... '. . h....,., - . <br /> ' � WOOD BURNING EOUIPMENT <br /> Wood stove with flue <br /> '�`,` Y 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 �� <br /> ,: <br /> ° "-".� " No. Bath Exhaust (must be ducted outside) cfm �> <br /> ,< <br /> No. Other Fans: Locations cfm °� <br /> ,r ���, <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �= <br /> f Installation Removal � <br /> �� ��: Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br />;,� <br /> Other Gas opening <br /> r: <br /> P, PERMIT FEE CALCULATION <br /> k�; 1. 1.25%o of Contract Price* or Minimum Fee ($35.00) � <br />� " ,-� �?�x .0125 $ ,�� <br />� <br />` (contract price) "' <br /> ;�: <br />�_ �' 2. State Surchar�e. ** Add the State Building C . Division <br /> , � Surcharge to each permit. ? ^��� x .0005 $ <br />�Y ,,-:: �' or $.50, whichever is greater (contract price) <br /> : <br /> r �•' ' 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> i` 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> i; <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted ' r� <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 /> Applicant's Signature: L � Date: .�-r'3�% <br /> Approved By: Date: <br /> s 4 A _ . 7 . . . 7 .. . . �. . . <br /> � �� � � ' �• i _ , � <br /> r <br /> . .. . ._ . �. 4 _.. , ._. . �__. _.. _� ,._ _ <br />