Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
� � ��,�� 5 s�e.�. �.e��-�c- a.p �a�o <br /> �� � � .� r <br /> �aS l � �z �-�-c� : � �-;r l�c� <br /> FIREPLACES � <br /> Gas factory fireplace � � � � r <br /> Wood burning factory fireplace with flue 1 � <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION ����-� u�e��� <br /> No. � Kitchen E�aust ducted recirculating cfm <br /> No. � Bath E�aust (must be ducted outside) cfm <br /> No. � Other�: Locations � � cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee 3 .00 <br /> ��o�J : � x .0125 $ ��Ln t � � <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. �_ x .0005 $ �( . �Cj <br /> or $.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-in applications) $ ' .�-- <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ r�''7. c��_ <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 customer <br /> for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be addeti to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may <br /> request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. <br /> 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 all <br /> work in strict 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 /> Applicant's Signature�� Date: <br /> ApprovedBy: � Date: ^7-(0 -� <br />