Laserfiche WebLink
FIREPL�CES <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 /> VENTILATION <br /> No. Kitchen Exl-►aust ducted recirculatin�cfin <br /> No. _ 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 Gas opening <br /> PERMIT FEE CALCULATION �� <br /> ,��� <br /> 1. 1.25%of Contract Price* or Minimum Fee($35.00) , <br /> 1500. x.0125 $ , �1 - S <br /> (contract price) � <br /> 2. State Surchar�e. **Add the State Building Code Division � �.� <br /> Surcharge to each permit. 1500. x .0005 $ � � � <br /> or$.50,whichever is greater (contract price) �r <br /> / <br /> 3. Postage and Handling (Only mail-in applications) $ 1.50 ___�� �� <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � `��� <br /> * ,��;� <br /> CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permi ed <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$1,000,000 or$.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 the Mechanical Permit,agrees to do all <br /> work in strict accordance with the ordinances of the Ciry 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: 05/21/2001 <br /> Approved By: Date: <br />