Laserfiche WebLink
I <br /> WOOD BU"R_N1L�;G EO�MENT <br /> Wood stove with flue <br /> Wood combination or add-on <br /> Factory fireplace with flue Masonry <br /> Factory Fireplace (s) Freestanding �Y <br /> Wood Stove (s) Franklin, other <br /> Brand Name Model No. <br /> Mfar's Min., Clearances, side , rear <br /> min. flue dig. <br /> VENTILATION <br /> No. Kitchen Exhaust �_ ducted recirculating cfm <br /> Bath Exhaust (must be ducted outside) cfm <br /> No• cfm <br /> No. Other Fans: Locations <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> erground inside outside <br /> Fuel oil: gallons und <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 /> x .0125 $ <br /> (contract price) <br /> on <br /> 2. State Surcharge. ** Add the State Building Code Dixis.0005 $ <br /> Surcharge to each permit. <br /> or S.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-in applications) $ <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 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 done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any other parry the reasonable market value of such items must be added to the estimated cost <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 actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under S1,000,000 or S.50 - whichever is <br /> greater. For valuations over 51,000,000 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 or ibances of the City and the regulations of the Minnesota <br /> State Building Code, and certe that 11 stat me is n this application are complete, true <br /> and correct. <br /> Applicant's Signature: <br /> Date: <br /> Date: <br /> Approved By: <br />