Laserfiche WebLink
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
. � <br />`VOOD BUR.YL�TG EQLIIP`�fE�� <br /> �ood stove with flue <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> Factory Fireplace (s) Freestanding Masonry <br /> �ood Stove (s) Franklin, other <br /> Brand Name Model No. <br /> Nlfar's �fin., Clearances, side , rear , min. flue dia. <br /> VENTIL�TION <br /> No. Kitchen Exhaust ducted recirculatin� cfm <br /> No. Bath Exhaust (must be ducted outside) �� <br /> No. Other Fans: Locations cfm <br /> FU�L STOR�GE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fue1 oil: gallons underground inside outside <br /> LP Gas: gallons <br /> � Other �;.�� L�'�t �'h� �r���� �'6"��.5 Gas opening <br /> PERMIT FEE CALCULATION <br /> 1. 1.25�a of Contract Price�` or Minimum Fee (�35.00) <br /> ��(�, ��� _ x .0125 $ <br /> (contract price) <br /> 2. State Surcharae. ** Add the State Buildin� Code Division <br /> Surcharge to each permit. x .0005 $ <br /> or 5.50, whichever is greater (contract pnce) <br /> 3. PostaQe and Handlina (Only mail-i.n 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 includin� macerials, labor, profit, and other fixed costs. It is che amount to be charged to the <br /> cuscomer for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any ocher 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 joo cost, <br /> the Ciry may request the submission of a signed copy of the acmal con[ract. <br /> ** �:e STATE SURCHARGE is .000� oi the concract price under 51,000,000 or 5.50 - whichever is <br /> �reacer. For valuations over SI,�00,000 call the Departmenc of Inspectional Services for the price. <br /> The undersianed hereby applies to the City for issuance of a Mechanical Permit, agrees to do <br /> all work in su�ict accordance 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 /> � � s `� <br /> Applicant's Signature: Date: �'-l� <br /> Approved By: Date: <br />