Laserfiche WebLink
._ • � <br /> FIREPLACES �1 <br /> Gas factory fireplace �,(��j � (� <br /> Wood burning factory fireplace with flue I 7�- //////���fff'"��'-� <br /> M� n II/ <br /> Wood Stove � r=�i,r <br /> Wood stove with flue ,/ <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen E�chaust ducted recirculating cfm <br /> No. � Bath Exhaust (must be du ted outside) cfin <br /> No. �_ OtherFans: Locations ��,--�j_c__�- ,�.����— cfin <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Remoyal'" <br /> Fuel oil: �=' gallons undergroun =� inside outside <br /> LP Gas�%� gallons <br /> p� ' � Gas opening <br /> � <br /> PERI�IIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> �C"�"C �' x .0125 $ <br /> , <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code,Division <br /> , <br /> Surcharge to each permit. ` x .0005 $ <br /> or $.50, whichever is greater (contract price) <br /> s.....a.ti..r w�'r.�a[r.w.t��.� <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <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 customer <br /> for the work done. If any material, equipment, labor, or uistallation 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 /> ,., <br /> A plicant's Signature� ��-,. �� Date: ! � J � � <br /> � <br /> Approved By: Date: <br />