Laserfiche WebLink
, 6-11-1997 7:06AM FROM FIRESIDE CORNER 612 633 8884 p. d <br /> WOOD BLI' NG HOUH'� <br /> Wood stove with flue <br /> Wood combination or add-on <br /> Factory AMP12ce with flue <br /> Factory Fireplace (s) Freestanding Masonry <br /> Wood Stove (s) Frain, other <br /> Brand Name Model No. <br /> Mfgr's Min., Clearances, side rear min.flue dia. <br /> V <br /> EnILATIO�i <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exbaust (must be ducted outside) _ cfm <br /> No. Other Fans: Locations cin <br /> EIS STORAf .(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 /> E=IT FEF CALCULATION. <br /> i. <br /> 1.25% of Contract Price* or -00 j <br /> X .0125 $ <br /> (contract price) <br /> 2. Stang„ urcha =, ** Add the State Building Code Division <br /> Surcharge to each permit. x •0445 $ <br /> or $.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-in applications) $ 1.5 <br /> 4_ TOTAL PERMIT FEE (Add lines 1-3 above) <br /> • CONTRACT PRICE or JOB COST means the actual or animated dollar amount charged for the pertained <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 furnisbed by the owner, <br /> teatnt or 3my other party the reasonable market value of such items must be added to the esdw=4 cast <br /> or contract price for permit 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 atonal concoct. <br /> The STATE SURCHARGE is .4005 of the contract price under $1,000,000 or $.SO - whichever is <br /> greater. For valuations ovtr $1,400,000 call the Department of taspecdonal 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 siaternents made on this application are complete, true <br /> and correct. <br /> Applicant'sSignaiu Date: <br /> Approved By_ Date: <br />