Laserfiche WebLink
4-14-1997 4:56Ph1 FRO�1 F I RES I DE CORNER 612 633 888d P. 3 <br /> �J6'aQD B�NFiV'G EOU�PMENT <br /> Wood st�ve with flne <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> Factory Fireplace (s) Fteestandin„ Masonry <br /> Wood Stove (s) �rar�c�in, other <br /> Brand Name Model No. <br /> Mf�r's Min., Clearances, side , rear , min_ flt�e dia. <br /> VEN'�'I�,A,T�ON <br /> No. Kitcheu E�ausc ducted recirculatind cfm <br /> No_ Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fax�s: �..ocations ��m <br /> FITEL STORAGE {MUST BE A,PPROVED BY FIRE MA,RSHAL) <br /> I�stallation �temoval <br /> Fuel ail: gallans underground inside ou;side <br /> L.P Gas: galIons <br /> Other Gas opening <br /> PERM�'i' �E CALCULATION <br /> 1. 1.25% of Contracc Price* or Minimurp Fee ($35.00) <br /> � S�C('l. x .Oi25 $ <br /> (conuact price) <br /> 2. Scate Surcharge. ** Add the State Buildin� Code Division <br /> Surcharge to each permit. X .pQp� g <br /> or �.50, whiche��er is greater {conuact price) <br /> 3. Postaee and Handlirz� (OnIy rzzail-in applications) $ 1_50 <br /> 4. TOTAL PERMIT FEE {Add �in�es 1-3 above) $ 3?'� - .�� <br /> " COI�I'i'RA,CT PR10E or JOB COST mea�ns the actval or escimated dotlaz amount chargcd for the permitiod <br /> work including �nacerials, labor, profic, and other ftxed coscs_ Zt is zhe amount to be charged co the <br /> custoa�er for che work done. If any maceziai, equipu�nt,Iabor, or inscaliacion are fusnished by che owner, <br /> teziant or any other party the reasoaabIc market value of such icems m,ust be added to the estimaced cost <br /> oz concract price for permit fee puzposas. In ihe event that tttere is a dispute on the amounc of the,job cost, <br /> the City may reqnest the submission of a ssgned copy of ihe actvat coatract_ <br /> *"` The STATE SURCHARGE is .00p5 of the contract pric,� under �2,OOp,ppO or $_50 - whichever is <br /> greacer. Far valuations over S 1,00p,000 call rhe Deparcmen� of Inspeccional Services for the p:zce. <br /> The undersigned hereby appIies to the City for issuance of a Mechanical Permit, agrees to do <br /> all work in strict accordance with the orai.naz�ces of the Ciry� and the regulacioz�s af the Minnesota <br /> State Buizding Code, and cez-tzfies ihat aII stateruents made on ti�is application are complete, true <br /> and correct. <br /> ApplicanF's Sia ature Date: �- � ` <br /> Approved By: Date: <br />