HomeMy WebLinkAbout2000-P03379 - sprinkler system , _ ., PERMIT
Clfi"Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po33�9
Crystal Bay, Minnesota 55323 Permit Type: Fire Systems Permit
(612) 249-4600 Date Issued: i2i��2oo
SITE ADDRESS: 2500 Shadywood Rd
EXCELSIOR,MN 55331
PID: 20-117-23-11-0034
DESCRIPTION:
Proposed Use: Institutional
Permit Class: General
Permit Type: Fire Systems Permit Permit Sub-type(s): Sprinkler System
DETAILS:
Approved per resolution#:
Separate permits required:
Fire Other-(Sprinkler Systems)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 12g•89 Valuation: $ 10,311.00
State Surcharge Fee: $ 5.16
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TOTAL FEE: $ 135.55
APPLICANT: SUMMIT FIRE PROTECTION CO. OWNER: FRESHWATER FOUNDATION
2788 CLEVELAND Ave 2500 SHADYWOOD RD
ROSEVILLE, MN 55113 EXCELSIOR MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSLIED BY SIGNATiJRE �
Copies: City,Applicant,Assessor,Finance Page 1
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�2000 12:46pm From-CITY OF ORONO +9522494616 T-094 P 002/003 F-243
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CITY OF O�tONO APPLICATION FOR
Box 66 (2750 Kelley Parkway) FIR� SPRINKY�ER SYSTEM PERMIT
Crystal Bay, MN 55323
_GENET2AL INFORMATIQN .
l. Permics are required for all fire sprinkler inscallation and repair. All work shall be done by a licensed fire
sprinlcler concracior. 2 secs of plans, specification and bydraulic calculazion sheers shall be submined[o che
Orono Fire Marshal a minimum of 7 davs before s[art of work.
2. You may apply for permits by mail or in persan at the Ciry offices.
3. All systems shall be designed, installed and maincained[o N.F.P.A,-13, N.F.P.A.-25, and Minnesoca S�ate
Building Code, Minnesota Uniform �ire Code and Standards. All ac[ic systems are to be spaced ac a
maximum of 130 square foo[coverage. Plastic pipe will not be allowed ac any time in aRic spaces.
4. All �quipment insttilled shall be U.L. or F.M. approved for fire protecaon service.
5, Yard or wall post indicator valves are required. All indic[ir�and control valves inscalled shall be provided
witt-i iamper grocection. On d.ry syscems, Lhe cencro. valve co service the pressue s��:tch �:ir) :.�a�� `
supervised.
6. Inspectors test valves sha11 he installed on each floor level or zone of syste� ' � \`
valves shall be piped to the outside. ��� � c� '`�''�
7. No water is to be introduced inco �he sprinkler syscem uncil n _ (� 11 � ��
flushing shall be witnessed by Ciry of Orono Water Deparcir, �J �
8. An approved audible/visual device wired to main flow swirch �,P/��r-1
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connecuon and in areas normally occupied by cenants. � , � c�j
9. E:�TSTING SYSTbMS: If any changes in the hydraulically � � (�� �
classification or addition of 20 or more heads, hydraulic calcul: U �`� `'
10. All final flow or Trip tests shall be wiznessed by the Orono Fire
calling Orono Ciry offices, (612)249-4600. 24-hour notice requi; � ,„ �J
11. ALL WORK (rough-in and final) MUST BE TNSPECTED. PEI ��
RECETVE A PERMIT AND JO�-SITE CARD. Call (612)2�9-46�
inspectioru.
Tnstructions Complete all items on this application. Compute tl
cenification. YNCOMPLETE AI'PLICATIONS WILL NOT B ,,,u nave
questions, call 249�600. 'i'ou will be notified by phone when tt. �, �cview is completed.
Permit will be issued to contraccors ac the City offices (2750 Kelley Parkway).
Please check one: New Addicion �/ Remodel Replace
JOB SITE: C�4�G.�L,L �,ec.s�-�c�.� r�.2 Zip:
Owner's Name: Telephone Number: �Sz-74� •30�`
Mailing Address: ZS�o �H�4��woon ,E�c�l' , Cit�: ohon� o zip: 5�33 t
Sprinl:ler Contractor:�v,e�M f 7� F.a2i r �4i?r�7"�'i p�/ Telephane Number: fi�/G3 9-f3��
Contractor's Address: 2�8 A ec euF c,4„i4�-tr L. City: �o:,�wu,�. Zip• �s» 3
Contact Person: �'�.r,j 2�s I�.., Phone Number: f's`/-� �,_3�� ���6
(Cirde one: Cell, Pager,, e�
, . 2000 03:OTpm from-CITY Of ORONO I +9522494616 T-096 P.001/001 F-247
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or inimum Fee 35.00 �,p
/D � pO x .012S $ �Z�J� Y—L
(contract price)
2. �tate Surcharge. ** Add rhe Skate Building Code Division
Surcharge to each pernut. /a,?,l/, °.� x .00oS $ 5 , � �
or $.50, whichever is greater (contract price)
3. Postage and Hand�in� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) � �3�,5 5
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged
for the permitted work including materials, labor, profit, and oLher fixed costs. It is the
amount to be charged to the cuscomer for the work done. If any material, equipment,
labor, or insrallacion are furnished by the owner, tenant or any other parry the reasonable
market value of such items musC,be added to the estimated cost or contracc price for permit
fee purposes. In the event that Ithere is a dispute on the amount of the job cost, the Ciry
may request rhe submission of� signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contracc price under $1,000,000 or $.50 -
whichever is greater. Por valua 'ons over$1,000,000 call the Department of Inspectional
Services for the price.
The undersigned hereby applies to the �iry for issuance of a Sprinkles System Permit. agrees to
do all work in strirt accordance wich the ordinances of the City and the regulations of N.F.P.A.
13, and certifies that all statements mads on chis application are complete, true and correct.
Applicant's Signacure: f7v��rr� �I� Date: /�'Z �'Ov
Approved By: iC Date: t� • '2yQ -t7a
4t11 M�y��.
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