1998-010891 - gas fireplace - Laserfiche WebLink

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. ._� � WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue � .�'�Factory Fireplace (s) Freestanding Masonry v' A 5 w; Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfrn No. Bath Exhaust (must be ducted outside) cfm No. . � Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) i� Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION l. 1.25% of Contract Price* or Minimum Fee ($35.00) ' � ; LC. '� x .0125 $ = (con[ract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. � 's �� `"`" x .0005 $ `" or $.50, whichever is greater (contract price) 7� 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 "` N.. 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the �k customer for the work done. If any material, equipment, labor, or installation aze fumished by the owner, tenant or any other party the reasonable market value of such items must be added to the�estimated cost - or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, � the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the� City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. f n Applicant's Signature: Date: 1 p � �� $ Approved By: Date: r. � - w - . �.= ,. , .. ' � � �� Y .. . .� ' � . � _ _. . _ . _. . . _.. . . � ., . i'.� � . .. . . . . . . . .. . .. .. .�..�. .. -� . .. . .. _ .. . . .. .