|
—"'e�i•,i-:�"'�si�'.Y1a'v.9R;^^+Fn�¢,v�'..x_: .,....� R'��"T�4`-.?�,�.•erAom.� ... ... � . . t Ti'�Tt�'• _iq .. V•�
<br /> . . . . . . . . -� � � � . . . . .. �
<br /> 1
<br /> "t�.
<br />�FWN , �
<br />�,
<br />+�H-:;;
<br />�� l
<br />�", *WOOD BDRNING EQIIIPI�IT $15 . 00 each unit '
<br /> Wood stove with flue
<br /> �� Wood combination or add-on unit zv;
<br />}� Factory fireFlace with flue k�;
<br /> Factor Fireplace (s) freestanding Masonry �;
<br /> ` � Wood Stove (s ) franklin, other `�
<br /> �� Brand Name Mode 1 No. ��
<br />,;r;:-.° Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br />�,��;�, Total
<br /> *******************************************************************************�
<br /> VENTII�ATION $15.00 each project
<br /> K .,.
<br /> No. Ritchen Exhaust ducted recirculating cfm
<br />�. No. Bath Exhaust (must be ducted outside) cfm
<br /> No. Other Fans: Locations cfm
<br /> Total
<br /> *******************************************************************************:
<br /> FUEL STORAGE (must be approved by fire marshal)
<br /> ' $30. 00 Permanent/Temporary
<br /> Fuel oil, gallons underground inside outside
<br /> LP Gas, gallons
<br /> Other Gas opening
<br /> *******************************************************************************-
<br /> GAS LINE INSPECTION
<br /> High/Low Pressure $15. 00
<br /> *******************************************************************************:
<br /> P$RMIT FEE CALCIILATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00 ) $
<br /> 2. State Surcharge. Add the State Building Code Division
<br /> Surcharge to each permit $ .50
<br />�,- 3 . Postaqe and Handling on all mailed-in applications, S 1. 50
<br /> eX"
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above
<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit,
<br /> agrees to do all work in strict accordance with the ordinances of the City anc
<br />'` the regulations of the Minnesota State Building Code, and certifies that all
<br />��:':
<br />�,� statements made on this application are complete, true and correct.
<br />�r:
<br />�-
<br />�f
<br />�_ Applicant' s Signature: �:�.G���� Date: � / % L
<br /> ��'
<br /> F't:'
<br /> .n .�., . - . , y . . . . . . . . ..� .. . .
<br /> , . , . . . .�� .� . �..
<br /> � ' r �: , �. .. � - ' � - � �i�i . - .1 . ..
<br /> `� . . . . � ' ' ' . . . .. . . . .. .. . . . . � .
<br /> � - . . , ,.,, ._ ' _
<br /> �
<br /> a� :��: _, � .. . . .. . . .r ". . - - , � . . . . �.. � .
<br /> t . ri:'.. �.�. � . � . . . ' . . , : . :.,
<br /> � . , .. . � ... . . . ' , � . .. .. �
<br /> � . . , .. . . . � . . . .. . .. . .
<br /> �.-� , '. . ' _ ^ �.: � . ' � . .
<br /> i .i ' .. �... . . ' ' .. � . . � � ' . . . _ ...
<br /> '� � � . Y � - " �.. .,� . ' . � . ' . � � . . � .. . '. ...
<br /> Y . .. . . .. . � .. . .. ..
<br /> � . . . .. . .. � . . . . . ,. , � `h �. .
<br /> 3 � .. � . � � ., . � . .
<br /> .. "�� .. ... . - - :. . . .. . ... . .
<br /> f ♦
<br /> k- ' ', � , � - � A.. .
<br /> � � , ,. _ � ._ I. . . . . ... , . �
<br /> � � � - . ., - . - W��� .
<br /> ' i. . - . � . . . - ' � .. {✓,�YX��
<br /> �F . . ' . . . . . � ' �'�.h 1
<br /> - . . � . . ., � � � �:
<br /> � � >� �.ri 4.f
<br /> 3 .�...�.. . . .. _ . .. ., .. . . ... rs�.o._. .. .�... . . - , . . . . .. .. . . ..»7 ... . � ..
<br />
|