Laserfiche WebLink
r� � <br /> WOOD BURNING EQUIPM + <br /> Wood stove ith flue <br /> Wood c mation or add-on <br /> Fact, fireplace with flue <br /> F tory Fireplace (s) Freestanding Masonry <br /> ood Stove (s) Franklin, other <br /> B nd Name Model No. <br /> fgr's Min., Clearances, side , rear , min. flue dia. <br /> VENTILATION � <br /> No. _� Kitchen Exhaust I/ ciucted recirculating cfm <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 /> F oil: gallons underground inside outside <br /> P Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �,�; <br /> x .0125 $ � <br /> (contract price) s <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. � �- � ��"� x .0005 $ % Cv � <br /> or $.50, whichever is greater (contract price) <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 <br /> customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of ihe actual �catracf. <br /> ** The S"CATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. 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 <br /> all work in strict accurdance 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 /> Applicant's Signatur • � \� Date: <br /> Approved By: Date: <br />