Laserfiche WebLink
4-03-1998 10.34ar� FROr� FIRESiDE CORNER 612 633 8884 P. 5 <br /> � <br /> woon �vxNIIvG Eov�P3v� <br /> �%ood stove with f�ue ' <br /> Wood coznbiaation or add-on � l�-) �� �a4��?2__ <br /> Factor�� fzzeplace with flue <br /> Factory Firep2ac� (s) �reescanding Masonr}� <br /> _ � — Wood SLOve (5) �ranklitl, Othei <br /> Brand I�Tame,���,t�rn Model No. 7��'c� <br /> Mfgr's Min., Clearances, side , rear , min.. flue dia. <br /> Total <br /> '4'E?�'TILAT�ON <br /> No. Kitchen E�haust ducced recirculatin� cfzn <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> ; No. Other Fans: Locaiions cfm <br /> � Totai <br /> FCT�L STORAGE (I�UST BE APPROVED BY FIRE MARSHAL) <br /> ; Insialla�ion RemovaI <br /> : Fuel oii: gallons underaround inside ouuide <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FE� CALCUT.A'Z'Z�N <br /> 1. 1.25% of Contract Price* or Min��nam Fee lS3a.(t0� <br /> c��[)� � x .0125 � ��, oca <br /> (contract price) <br /> 2. Scate SurcharQe. ** Add the State Building Code Division <br /> Surcharge to each permit. ��X�� x .0005 � _ �- 1 � _ <br /> i (coniracz pricc) <br /> or $.SQ, whichever is greater <br /> , 3. Postade and Handlina (Oz1ly maii-in applicacions} � <br /> �_ ?'OTAL PERM�T FEE (Add lines 1-3 above) S .�1�.c2� <br /> * CONTRACT PRiCE or JOB COS7 means tbe acruaI or estimaud doilar amoun�chazged for the permitted <br /> work including macerials, labor, profit, and other fixed cosu. It is tbe amou� co be charged to che <br /> custom�r for the work done. If any macezial, eguipment, 3abor, or i,nstallation are furnis�ed by the owucr, <br /> cenanc or an.}�oth�r pazry the reasoaable mazke� value of snch itezns must be added to thc �scimaced cost <br /> or conzract price for permit fee purposes. In the evenc that there is a dispute on the amounc of the job cost, <br /> the C�ry may request the submission of a sigaed copy of the actual contract. <br /> ** The STAT'E SURCHARGE is .0005 of tbe contract price under SI,OOQ,004 or 5.50 - whichever is <br /> greacer. For valuacions over SI,OOO,OQO calI the Departm�nt of Inspectiona] Seivices for thc prir�. <br /> The undersioned hereby applies to tine Ciry foz issuance of a Mechaz�ical Permit, a�rees co do <br /> all woz�: zn scrict accosdance with the ordinances of rhe Ciry and the re�ulation.� 4�the Minnesota <br /> Stace Building Code, and certifies chaz all statements inade on this a�giicatiQn are complete, true <br /> and correct. <br /> Applicant'sSi�nature: �P��, �1�,,,� _ Date: �',� a � <br /> Approved By: Date: <br />