Laserfiche WebLink
� <br /> . <br /> WOOD BURNING EOUIPMENT <br /> Wood stove with flue <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> Factory Fireplace (s) Freestanding Masonry <br /> Wood Stove (s) Franklin, other <br /> Brand Name Model No. <br /> Mfgr's Min., Clearances, side , rear , min. flue dia. , <br /> VENTILATION <br /> No. � Kitchen Exhaust ducted recirculating cfm <br /> No. _L Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other �as opening <br /> PERMIT FEE CALCULATION <br /> l. 1,25% of �Contract Price* or Minimum Fee ($35.04) <br /> �3. �.�'�. �}c� X .olzs $ 5�� 3� <br /> —� <br /> (contract price) <br /> 2. State Sur�harge. ** Add the State Building Code Division - <br /> Surcharge to each permit. x .0005 $ �/• ��� <br /> or $.50, whichever is greater (contract price) <br /> 3. Posta�e and Handlin� (Only mail-in appiications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ h�� (o�� <br /> * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the pernutted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for tlte work done. If any material;equipment, labor, or installaiion are iurnished by tfie owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for pernut fee purgases. 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 $1,000,000 or $.50 - whichever is <br /> greater. 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 <br /> all work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Cade, and certifies that all statements made on this application are complete, true <br /> and correct. <br /> Applicant's Signature: �'� <br /> �.P.� � t vate: �C1�3_�/ <br /> Approved By: Date: <br /> . � = . ,. , '�� --•: <br />