Laserfiche WebLink
e <br /> tiVOOD BL�F2.�+`L�'G EQLTIPMEN'I' <br /> �Vood stove with flue <br /> �lood combination or add-on <br /> Factory fireplace with flue Masonry <br /> Factory Fireplace (s) Freestanding <br /> �Vood Stove (s) Franklin, other <br /> Model No. <br /> Brand Name �n. flue dia. <br /> vSfar's �iin., Clearances, side , rear , <br /> VENTIL?�TION ducted recirculating cfm <br /> No. Kitchen Exhaust �� <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> �o. Other Fans: Locations <br /> FU�L STOR�GE (iviUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: �allons <br /> Other Gas opening <br /> pERIV1IT' FEE CALCULATION L L <br /> 1. 1.2�`,'0 of Contract Price�` or Minimum�Fee-($3�•Q� x .0 125 � -���' <br /> (contract price) <br /> <;c <br /> 2. State SurcharQe. ** Add the State Building Code DiXisi0005 $ � <br /> Surcharae to each permit. <br /> or 5.�0, whichever is greater (contract pnce) <br /> Q mail-in a lications) $ 1.50 <br /> 3, Postaae and Handlin� (Only PP � ..��� r�_ <br /> 4, TOTAI. PERMIT FEE (Add lines 1-3 above) <br /> * COtiT:ZACT PRICE or JOB COST means the actual or estimated doliar amount charged for the permitted <br /> work including macerials, labor, profit, and other fixed coscs. It is the 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 /> te:.�nt or any other parry the reasonable market value of such items must be added to the estimated cost <br /> or con:ract 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 the acmal contract. <br /> ** Z::e ST:�TE SURCHARGE is .000� oi the contract price under 51,000,000 or 5.50 - whichever is <br />� or��:�:. For valua[ions over S1,000,000 call the Department of Inspectional Services for the price. <br /> The unde�;aned hereby applies to the City for of the Ci � and ee regulations of the Meinnesota <br /> all work � strict accordance with the ordinances tY <br /> State Buildin� Code, and certifies �hat all statements made on this application are complete, tnie <br /> and corre�t- ''�. ,' <br /> , ,/�— %; Date: �� � <br />. APPlicant'sSignature: v - � ;' . <br /> ' Date: <br /> Approved By: <br />