HomeMy WebLinkAbout2007-P11421 - sprinkler system PERMIT
CITY O,�F ORONO Permit Ny�mber:
2750 Kelle��r Parkway- PO Box 66 P11421
Crystaf�3ay, Minnesota 55323 Permit Tyjpe:
(952) 249-4600 Fire Systems Pemut
Date Issued: 9/24/2007
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SITE ADDRESS: 2500 Shadywood Rd Unit#
Excelsior,MN 55331
P��� 20-117-23-11-0034
DESCRIPTION:
Proposed Use: Institutional-Schools
Pernvt Class: General
Permit Type: Fire Systems Permit Permit Sub-type(s): Sprinkler System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 53.50 �I
APPLICANT: Summit Fire Protection OWNE : Freshwater Foundarion
2500 Minnehaha Ave.W. c/o Donald Brauer
St.Paul,MN 55103 �I 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 CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNANRE
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,l(If Septic, 1-Septic) Page 1
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❑ New ❑ Addition �] Remodel ❑ Replace
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Site Address: o��Y')C'� �'�.4t�.vc�oC� c'b.c�
Owner: �����.��o�re� • Mailing Address: SAm�
Ciry: �CO�.p Zip:
Home Phone: Alternate Phone:
Cantractorl A�.
Summit Fire Protection I� �1�./
Contractor/App.: Contact Person: �., � ,� �
575 Minnehaha Ave.W. C-075
Address: State License#:
St.Paul 55103 6-30-0�
City: Zip: Expiration Date:
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Phone: Alternate Phone:
��''���`�` '�_`' ' �'�`- �YPES OF=FIR�_SPR���KLER PE�2MITS � ���
�a=w:��,�m — — —
�Commercial—Fire S�rinkler ❑ Residential—Fire Sprinkler
Fire Systems Permit Fue Systems Pemut
* Base Price=Contract Price: $� g.0125 =$ ��• � (Minimum$35.00)
*Surcharge=Contract Price: $ L � x.0005 =$ � (Minimum $ .50)
*Mail-In Fee(Only On Mail In AppGcations) _$ 1.50
*Total Cost of Permit: _$ •S�
The undersigned herby applies to the City for issuance of a Sprinkler Systems Permit. Applicant agrees
that all systems shall be designed, installed and maintained to N.F.P.A.-13,N.F.P.A.-25,Minnesota State
Building Code, Minnesota State Fire Code and Standards, and certifies that all statements made on this
appl�ic"��ion are complete, true and correct.
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Applicant Date
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