HomeMy WebLinkAbout2007-P11224 - sprinkler system PERMIT
E,��i' OF ORONO Permit h�umber:
2750 Kelley Parkway- PO Box 66 P11224
Crystal Bay, Minnesota 55323 Permit ype: Fire Systems Permit
(952) 249-4600 Date Is ed:
7/27/2007
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SITE ADDRESS: 2500 Shadywood Rd , Unit#
Excelsior,MN 55331
P��� 20-117-23-11-0034
DESCRIPTION:
Proposed Use: Institurional-Schools
Permit Class: General
Pernut Type: Fire Systems Permit Pernut Sub-type(s): Sprinkler System
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 53.50 �
APPLICANT: Summit Fire Protecrion OWN R: Freshwater Foundation
2500 Minnehaha Ave.W. i c/o Donald Brauer
St.Paul,MN 55103 2500 Shadywood Road
Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE AL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE � UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessin ,(If Septic, 1-Septic) Page 1
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❑ New ❑ Addition �] Remodel ❑ Replace
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Site Address: o�`��C/ 5�1C�C��.1 la.):C�C'Y� ��
Owner: �i'���c.,.���� ��� Mailing Address:
City: ��iUv�U Zip:
Home Phone: Alternate Phone:
Contract��
Summit Fire Protecrion �„ �.} �/ �.��
Contractor/App.: Contact Person: <i.c.� u
575 Minnehaha Ave.W. C-075
Address: State License#:
St.Paul 55103 6-30-0
City: Zip: Expiration Date:
(651)251-1880
Phone: Alternate Phone:
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:�L�i- �w _ .. : TYPES t)F,FIRE:SPR�l1'I�LER-PERIYII
(�] Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkler
Fire Systems Permit Fue Systems Permit
*Base Price=Contract Price: $�_ x.0125 =$ �(�� � (Minimum$35.00)
*Surcharge=Contract Price:$ 4(�(;) x.0005 =$ � �'�� (Minimum $ .50)
* Mail-In Fee(Only On Mail In Applications) _$ 1.50
*Total Cost of Permit: _$ �
The undersigned herby applies to the City for issuance of a Sprinkler Systems Pernut. Applicant agrees
that all systems shall be designed,installed and maintained to N.F.P.A.-13,N.F.P.A.-25,Minnesota State
Buildin de, Minnesota State Fire Code and Standards, and certifies that all statements made on this
applic io are com lete, true and correct.
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Applicant Date
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