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3un-18-2001 09:33am From-CITY OF ORONO +9522494616 T-257 P.005/005 F-492 <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 /> • <br /> Duct: tend" Supply Duct 50 ' , Add <br /> ns <br /> exupply diffusers & 1 Return Grille. <br /> VENTILATION • <br /> • • No. • ' Kitchen Exhaust ducted recirculating cfm <br /> •No. • • Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations • <br /> FUEL STORAGE (MIDST:BE APPROVED BY FIRE MARSHAL) . - <br /> Installation • S Removal . . • . • S <br /> Fuel oil: gallons • underground . 'inside • outside <br /> LP Gas: gallons . . <br /> :• Other • Gas opening <br /> y' RMIT FEE CALCULATION S <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35,00)• . <br /> 2,500.00 x .0125 $ 35.00 <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. 2;500.00 x .0005 $ 1 .25 <br /> or $.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-in applications) • . $ • . 1.50 • <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 7.7 5 <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged fc4.the permitted <br /> work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer <br /> • for the work done. If any material,equipment,labor,or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price.for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City.may <br /> • 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 S.50-whichever is greater. <br /> • 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 all <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that a ,: .:Cements made on this application are complete, true <br /> and correct. / <br /> Applicant's Signature:.. C - Date: 6—18—01 <br /> St- 'elson, Vice President <br /> Approved By: r �� Date: <br />