2011-00624 - gas fireplace - Laserfiche WebLink

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+ PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ] �"es, this section applies The replacement of a Residential fixture or appliance that meets all three of the following requuements: l. Does not require modification to electrical or gas service. 2 Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner ar licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge � 50 � Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) -JOBS OVER�500.00 I:'above does not apply; follow guidelines below: 1. CO�TR4CT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��1� x.0125 $ ��• 1 � �� (contract price) (minimum$�0.00) 2. STATE StiRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 �, '� S�� (contract pnce) (minimum$ .50) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PER�YIIT FEE (Add Lines 1-3 Above) � 3,�I ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includinc materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the �vork done. If any material, equipment, labor or installations are furnished bv the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submissioil of a si�ned copy of the actual contract. • ** The STATE SLRCHARGE is .000� of the BuildinQ Department ar(9�') 249-4600 for the price. � MECHANICAL PERMIT APPLICATION AGREEMENT �� The undersi�ned hereb}' applies to the Ciry for issuance of a Nlechanical Permit, agrees to do all �vork in strict accordance �vith the ordinances of the Ciry and the re�ulations of the State of I��Iinnesota, and certifies that all statements made on this applieation are complete, true and con'ect. ' n �pplicant's Signaturc: �� ti� DatE: ( _ ;