Laserfiche WebLink
o-` <br /> • c. <br /> : <br /> FIREPLACES <br /> � as factory fireplace <br /> Wood buming factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name �eo�� ��C A c Model No. 9 t\ -X ti- <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath E�aust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfrn <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> InstaIlation Removal <br /> Fuel oil: gallons underground inside outside <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 /> '�q��,� e� x .0125 $ ��i �� ( <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code Division <br /> Surcharge to each permit. 3 4 �� a� � x .0005 $ t .�r� <br /> or $.50, whichever is greater contracc price) <br /> 3. Postage and Handling (�nly mail-in applications) $ 1.50 <br /> 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ S 3 , 3 O <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 customer <br /> for the work done. Yf 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 $.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 all statements made on this application are complete, true <br /> and correct. <br /> Applicant's Signature: � - Date: �• 15-�1 <br /> Approved By: Date: I <br />