Laserfiche WebLink
PFIZMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture ar appliance that meets al]three of the following reyuirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ��„� ��, PERIv1IT��"'�������, ;��`�,�� ����=`',�,�Q!��'��v�R��$Op:��d� �` �t'�,�. � ��� <br /> �� �: <br /> If above.does not apply; follow guidelines below: <br /> L CONTIZACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) <br /> � � �,��_... <br /> �_..�` <br /> .r �� � � `� x .0125$ ��'�" � � .� <br /> '(contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) <br /> ! , ��.. <br /> f � . ' r" ` x.0005 $ <br /> � '(contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ -�:8fl�-_ <br /> r� <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 <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** T'he STAT'E SURCHARGE is .0005 of the Building Departrnent at(952)249-4600 for the price. <br /> ,' .�e ����k � ,;. <br /> � '�`��'����,�� u�-AGREEIV1�N�x: ��� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies�at all statements made on this application are complete, true and <br /> correct. � ` � ' <br /> �� I � <br /> r`� 1 '� � <br /> � � � �. �� <br /> .� .� , �, �-� <br /> Applicant's Signature: _,�f� j � t ` ..�, � Date: � V �` ; <br /> Reset Form <br /> 3 <br />