HomeMy WebLinkAbout2008-00060 - sprinkler system * f,
CITY OF O�RONO PERMIT NO.: 2008-00060
2750 KELLEY P�ARKWAY
ORONO, MN 55356- DATE ISSUEn: 07/24/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2500 SHADYWOOD RD
PIN : 20-117-23-11-0034
LEGAL DESC : REG.LAND SURVEY NO. 1630
: LOT 000 BLOCK 000
PERMIT TYPE : FIRE SYSTEMS
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : SPRINKLER SYSTEM
NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,BILL MEYER.
PLEASE CALL BILL MEYER DIRECTLY AT:(612)490-2307 '
ENTER THE VALUTATION 5000
APPLICANT FIRE SPRINKLER-COMMERCIAL 62.50
SUMMIT FIRE PROTECTION STATIE SURCHARGE VAL OTHER 2.50
575 MINNEHAHA AVE.W.
ST.PAUL,MN 55103 MAIL-IN FEE 1.50
(651)251-1880 TOTAL 66.50
Minnesota State License#:C-075
OWNER
FOUNDATION,FRESHWATER
2500 SHADYWOOD ROAD
C/O DONALD BRAUER
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� 7� ���b�' l � D �
Applicant Permitee Signatu Date X d By Signature Date
SEPARATE PERMITS REQUIRED FOR WO OTHER THAN DESCRIBED ABOVE.
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AUTOMATIC FIRE SPRINKLER PERMITS
Please Check One:
❑ New ❑ Addition �] Remodel ❑ Replace
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Job Site/Owner Information:
Site Address: ��G� 5�p,d v wooc�.. ��o�c�.
Owner: ���,Si��t--,r'�,��� Mailing Address: �_
City: ���C] Zip:
Home Phone: Alternate Phone:
Contractor/Applicant Information:
Contractor/App.: � ` Contact Person: �.a�- V 1`(�
Address: ��_����,P�nc.��./�v re _�State License#: (���-�
City: Zip: SS/Q3 Expiration Date: (p 3D--U�
Phone: �S l�a--S I— 1��.> Alternate Phone:
TYPES OF FIRE SPRINKLER PERMITS
�, Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkler
Fire Systems Permit Fire Systems Permit
*Base Price=Contract Price: $� x.0125 =$ - Sd (Minimum$35.00)
* Surcharge=Contract Price:$ ��� x.0005 =$ � • S d (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 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
appli ti n are co pl te rue and correct.
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Applicant Date
Reset Form
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DATE TI
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �o�3'Oo�6�D COMPLEfED '�
ADDRESS OU �S
OWNER CQ��r�/f T�TELEPH N NO.
CONTRACTOR � � �
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� DESCRIPTION - Ic�/.J si�.c� ,
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE FiEMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE , ❑ COMPLAINT
Q �F.INAL ❑ WATER HOOK-UP �OLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ',❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YiDU:_YES�NO
y COMMENTS: �'��� ��c��r �4./�D 1�' GQ/�
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� ❑WORKSATISFACTORY:PROCEED �tOJECTCOMPLETE
W ❑CARRECT WORK 8 PROCEED ❑ ISSUE CERTIF�ICATE OF OCCUPANCY
0 ❑CORRECT Y1bRK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
O CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g5 ) 249-4600
OwnerlContractor on site•
Inspector: ^--�
White Copyflnspector's Fib Canary CopylSke N ke
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