Laserfiche WebLink
N�'v;22-200D 03:04pm From-CITY OF ORONO +8522d94616 T-01T P 003/005 f-48T <br /> � <br /> FTT�L_ACES ' <br /> Gas fact� fireplace <br /> Wood burning faccory fireplac� with flue � <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model Na <br /> VENTTY;ATIOl�I <br /> No. Kicchem Exhausc ducted �_recirculating cfm <br /> No. .� Bath ��aust (musi be ducted outside) .-��`' cfm , <br /> Na. Other Fans: Locations cfm <br /> " F`LJEL STaRAG� (It�1UST BE APFROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: gallons underground inside outside <br /> LP C'ias: ga�lons <br /> Ocher Gas opening <br /> PERMTT F�, ALCULATION <br /> 1. 1,25% of Co ran�* or 1�Iinimum Fee (S3S.00� ,�_ �, <br /> J,rE e r � X .0125 $ -��• �-�- `-,. .� <br /> ; (contract price) , <br /> 2, Sta Surchar�e. *�` Add the State BuiIding Code Division �, <br /> ' Surcharge to each permis. x .0005 $ —J� ��� <br /> or $.$0, whichever is greater (concract price) �,U <br /> . � <br /> � 3. Postage a d Handling (Only mail-in applications) $ , 1.50 �;`�c� <br /> 4. TOTAL PE�21V1IT FEE (Ad�}iaes 1-3 above} $ ��7 - c� �' '� <br /> • CORtTRAC'I'PRICE ocJflB COST sneaas the acmal or es[ima[td dotiar emount charged for the permitted <br /> work including ma[eriais,lebor,profit, and o�her fuced costs. It is che amown�to be char�ed co the eustomer <br /> far thtwork done: If arry rnaterigl, tqvigmem, labor,or installa�ioQ are fttrnished hy th�owner, tenant or <br /> any o[her party ihe reasona6le morket value oP such icems must be added ro�he escimated cost or caau'act <br /> � pticefetrpermit fe�pucposes: In the e�•enc ctiat theFe is adispuie onthe-autount of the johcost,che Ciry may <br /> request ttte submission of a signed copy af the actual cantract, <br /> '* The.STATE SURCHARG�is :0005 of che conttac[price under$1�,OOO,Q00 or 5.50-w6ichever is grea�er. <br /> � For valuaFions over�1,WU,000 calb che Deparunent of-laspec[ionalServices for the price. <br /> The undersignecf hcreby appf'tes to the Ciry for issuanee of�a Mecha�ical Permit, agrees to do all <br /> work in strict aceordance with the ordinances of the City and the regulations:of the Minnesota , <br /> State Building Code, and cectifies that aU statements made on this application are complete, true <br /> and correcC. <br /> � <br /> APPlicanc`s Signature: � '� _ � � ��L-;� Date: //1 ���.__ �� <br /> • � ; <br /> Apgroved By. Date: <br />