The URL can be used to link to this page

Home My WebLink About2015-00837 - sprinkler system CITY OF ORONO * 2 0 1 5 - 0 0 8 3 7 * � t 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2015 f ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3880 SHORELINE DR PIN : 17-117-23-33-0151 LEGAL DESC : UNPLATTED 17 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : FIIZE SYSTEMS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : SPRINKLER SYSTEM- IN BUILDING NOTE: INSPECTIONS ARE DONE BY F[RE MARSHALL,JAMES VAN EYLL. PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN WSPECTION. ENTER THE VALUTATION 14000 APPL[CANT FIRE SPRINKLER-COMMERCIAL 175.00 STATE SURCHARGE VAL OTHER 7.00 SERVICE FIRE PROTECTION MAIL-IN FEE 2.00 340 PONDRIGE CIRCLE WAYZATA, MN 55391- TOTAL 184.00 (952)591-9200 Payment(s) Minnesota State License#: F[RE-0081 CHECK 24963 184.00 OWNER Hennepin County A1730 GOVERNMENT CTR 300 S 6TH STREET MINNEAPOLIS, MN 55487- 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 i�.for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli 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 are requested in wnformance with the State Building Code.This permit may be revoked at any time for due cause. r) , l �C.t_/ � �-- � ��.�--�� `�] � ( 3� ( � �, Applicant Permit Signature ^ � Date [ssued By Signature Date � �� o � C��m o . ��s� l-�-e.!l.e P�� C�'-��-,�- ��-y s s 3�3 � � 7 �� F . _ _ . ao�s-� � � ;-� e� �s :�: . : .. .. ._.� �c��: : � v� c�ra�"d ❑ New Addition ❑ Remodel ❑ Replace : ,. Jt�b��t�Gi.�. - Iw � 0��-►� �YI�� Site Address: �� r�6�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Co��r�:�p��e�oB'f. sP�-vr �F� �r �A'K� C�ntract�r/Arr.. C P�Q C�ntact rers�n: Address: J�v T�Yl�I�� rU�' State License#: �� City: Wa Zip: ��I Expiration Date: � � �.----� Phone: � J`�a — �'J' a(--�� Alternate Phone: _ , _. _ . . , , .. � -_ '�!�,�`��-.�?l�#`��fi'�1�� ; " Commercial—Fire Sprinkler �_Residential—Fire Sprinkler Fire Systems Permit Fire Systems Permit *Base Price=Contract Price:$ �T��O a.0125 =S / •b� (Minimnm SSA,00) *Surcharge�Contract Price:$ �Y� 0�� :.0005 =$ - � *Mail-In Fee(Only On Mail In Applications) _$ 2.00 *Totsl Cost of Permit: =S � � ' The undersigned herby applies to the City far 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,M' esota S te Fire Code and Standards,and certifies that all statements made on this application are lete,tru and correct. � I�/ ��3 6 - I 5 Applicant D� RECEIVED JUL 01 2015 cmr aF o�allo � M� GQNTRACTQR'S MATERIAL � TEST GERTIFtCATE FOR a BOVEGROUND PIPING ___._._ `. PROCEDURE Upon completion of work, inspection artd tests shail be made by the eontractor's representative and wifiessed by an owners representative. AI1 defects shalt be corrected and system left in service before contraetor's persont�el finally�eave the job A certificate shall be fii!ed oui and signed by both reQreseniatives Gopies shall be prepared for approving authonties,owners,and contractor. lt is understood the owner's representative's signature in no wey prejud�ces any c{aim against contractor for fau{ty meteria(, poor woricmanship, or failure to compiy with approving authority's requirements or locai ordinances. PROPERTY IVAME Da:e Orono Mainte:n2nee$uiiciin� � g--8-2�� _ PRt}PERTYADDRESS 388Q SH()RELIitiE DR. (JRONO, MN. __ ._. ACCEPTED SY APPROVING AUTHORITY('S}NAMES ADORESS PE.ANS INSTALIATION CONFORMS TO AGCEPTED PLANS ` � YES ❑ NU FQ111PMENT USEO IS APPROVFD �YES ❑ NO iF tJO,EXPLAIN�EVlATIONS HAS PERSON lN CHARGE L7F FIRE EQUfPMENT BEEN�NSTRfICTED AS TO L.QCATIUN �YES ❑ Nq OF CONTRQL VALVES AND CARE AND MAINTENANGE OF TN15 NEW EQUSPMENT? 1�NQ,EXPIRIN INSTRUCTIONS HAVE COPIES OP THE Fp�LOWING 9EEN I.EFT dN THE PREMISES! 1 SYST�M COMFONENTS INSTRUGTI�NS �YES � MO 2 CARE ANC7 MAINTENANCE INSTRUCTIONS �YES ❑ NO 3 NFPA 25 �`/ES ❑ NO LOCATION SUPPUES StJILDING: OF SYSTEM OR4N0 MAlNTENANCE SLOG YEAft OF t7RIFICE TEMPERATURE MAKE Mt}C7El MANUFACTURE SlZE QUANTITY �T�� TYCO TY-FR8 REC 2�15 1/2 13 155 TYCO EC-11 RECESS 2075 314 3 165 SPRINKIERS TYCa EC-13 t�PRiGHT 2015 3t4 42 1�5 � TYCO TY-FRBUPF2iGHT 2Q15 1/2 t7 f55 TYCO SW-ZO HORIZ SW 2015 i 3l4 3 � � �t55 PIPE AN� Type of Pipe: SCtiEOULE XL L4GH71JUALL SCHEDU�E f0 BLACK FITTINGS Type of Fititngs' 7HREAD AND�RbOVE MAXIMUM TIME TO dPERATE ALARM DEVICE THRU TEST CONNECTICJN ALARM VALVE TYPE KE M4QEi� MIN SEC. OR FLOW 'a"v ` k-'" � INDICATdR DRY VALVE Q.O.D. MAKE MQDEL SEftiRL NO MAKE MODEI SER!A.t.NC) TIME Tp 7RIP TRIP PQINT T#MF WATER ALAftM 7HRU TEST tNq7ER PRESSURE AIR PRE5SURE AIR REACHED OPEftATED CONNECTION" FRESSURE TEST OUTLET' PRQPERIY p�y p�p� MIN. SEC PSI PSI P51 MIN. SEC. YES NO OPERATING Nlitho+�t ❑ TEST o.O.D. 4v�th � p Q O.D IF NO,EXPLRIN: 1{ __L� ___. �._— _. "MEASURE�FROM TkME WSPECTOR'S TEST CONNECTtON OPENED iQVER} � -� . �PE RAT1Q N � PNEUMATIC O ELECTRIC ❑ HYDRAULIC PiPING SUFERViSED ❑ YES [� Nfl DETECTiNG MEDIA SUPERVISED ❑ YES ❑ NQ DOES VALVE dPERATE FROM THE MANUAL 7RiP ANDlOR REMOTE CONTROL STATIONS ❑ YE$ ❑ N£J IS THERE AN ACCE5SIBLE FACILITY tN EACH CIRCU�T FOR TESTING iF NO,EXPlAIN DELUGE 8 ' PREACTION �YES C� NO VAIVES �Jq OOES rACN GRCUIT OPERdTE DdES EACH CIRCUIT pPERATE MAXIMUM T4ME 70 MAKE MODFL SUPFRVlSION LOSS ALARM7 VALV�RECERSE"7 pPERATE RELEAS6 _ YES Nd YES NO Mt�t. SEG. o a ❑ o HYDRO$_T,ATI,� Hydrostafic tests shaii be madB at not less than 2D4 psi(13.6 bars)fpr two hours or SO psi{3A bars)atrove static pressure in e3ccess of 150 ��T psi(t0.2 barsj ior Ewo hours Differeriia�dry-pip�vaive cla�pers shaA be IeR open dueing t�st to prevent damege.Ail aboveground pip;ng leahage shail tle DESCRIPTION stopped. PNEUMATIC- Estabiish 40 psi(2.7 barsi air pressure anci m�as�re tlr�p whieh shall nof exceed 1-1!2 psl(Q.1 kars}in 24 hours Test pressure ianks at normal water level and air rEssure and measure air rEssure dro wtuch shall not exceetl 1•112 si 0 1 bars in 24 hours. ALL PIPtNG HYDROSTRTICALLY TESTED AT 200 PSI FOR 2 HRS. IF Np,STATE REASON: DRY PIPING PNEUMA�TICALLY TESTED Q YES � NO � EQUIf�MENT C)PERATES PROPERLY �YES ❑ NO I DO YOU CERTIFY AS THE SPftINKLER CflNTt7HCTOR THAT ADDiTNES AND CORROSIVE CHEMICALS,SOC?tUM SMI.ICATE OR DERIVATIV�S OF SC)DIUM StLICATE,BRtNE,OR OTHER Cr�RRpStVE GHEMICALS WERE NOT USED FOR TESTING SYSTEMS QR STfJPPING LEAKS? TESTS X YES O NO DRAIN ftEADING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIC7UAL PRESSURE Wl7H VAL1(E IN TEST TEST CbNNECTiflN: � '� PS! CCJi3t+lECTICJN OPEN W1DE 7i ' PSi UNDERGROUNO MAIN AND l tN CONNECTiONS TO SYSTEM RISERS FLUSHEO BEFORE CONNECTION MADE TO 5PRiNKLER PIPING OTHER EXPLAIN VERif 1ED BY C�PY OF TNE t3 FORM NO.856 (�YES ❑ NO FLUSHED BY INSTALLEft C}F UNDER- GROUND SPRINKLER PIPlNG �YE& ❑ NC) BLANK NUMBfR USED LQGATtONS: �1UM88R REM6VED TESTiNG NIA GASKETS WELDED PlPING �YES Np IF YES .. DO YOU CERTIFY AS THE 5PRINKLER CONTRACTOR FHAT WELDING PF2OCE�Uf2ES COMPtY WITN THE REQUIREMENTS OF AT LEAST AWS D10 8,IEVEL AR-3? �YES C] tJ0 DO YpU CERTiFY THAT 7HE WELDING WAS PERFORP�ED BY WElDER5 DUALIFlED IN W��p�� COMPLIANCE WITH THE REQUIREMENTS QF AT LEAST AWS D1fl.9,IEVEL AR-3? �YES � NO DO YOU CERTIFY THAT WELQING WAS CARRlEp OUT IN COMPLIANCE WITH A DpCUMEIVTED QUALITY CONTftOL PROCEDt}RE 70 IMSURE THAT ALL DISCS ARE RETRIEVEO,THAT OPEtVINGS tN PI#�ING ARE SMOOTH,THAT 5fAG AND OTHER WELDING RESIDItE AfdE REMQVED,ANp THAT THE iNTERNAI_D(AMETERS OF F�IPING ARE NOT PENETRATFD� �YES ❑ NO CUTOUTS DO YOU GERTIFY THAT YOU HAVE A CONTR�I.�EATURE TO EFfSURE THAT AlL DfSCS CUTOUiS(DISCS)ARE RETRIEVED? �YES ❑ NO HYORAULlC NAME PVSTE PRt}ViDED iF NO,EXPLAIN: DATA NAMEP�ATE �YES ❑ NO �ATE LEFT 1N SERViCE WITH ALL CONTROL VAIVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR: SE.RVdCE F1RE PROTECT70N TEST&WITNESSED 8Y FOR PRQPERTY CYWNER{SfGNE�} Y(TLE DATE SIGNATURES F4RSP..&liJKLERG,QNTRAC�7U/R(StGNE } �� TjTLE ` 6 `TE jCy �� ( — � c OCAU SHA 0 TITL DATE ,,�'` OR RESP SIBLE MAN IN EMPLOYEE{SIGN£0) � ��tT� � � /��1A�� AflDITIONAL EXPIANATtON AND NOTES (��K1 DATE � TIM� CITY OF ORONO CALLED IN /'S =-�� INSPECTION NOTICE SCHEDULED ' S PERMIT NO.Z�'�" -ba�:�v COMPLETED ADDRESS � � g� ��9�r� ��r,,-.�-- D f OWNER TELEPH,/�ONE NO. CONTRACTOR s��`�c �+� Y� � DESCRIPTION r�� - } Gd-.�.-D ��a�, W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO c�.� COMMENTS: a W a � l�ie� �1 � L �J� �� v �� Z,c�S l "31?'� � Q 2-c�S /� 3C� � z W � W � j d � ,�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. :��.�_��-�-� White Copyllnspector's File Canary CopylSite Notice � � �' DATE � TIME CITY OF ORONO CALLED IN ►� t/ o.' INSPECTION NOTICE �; SCHEDULED �I !ov PERMITNO.��yS�OO � COMPLEfED ADDRESS ��° r OWNER S'�"�-� ��'� TELEPHONE NO. CONTRACTOR [Y� � DESCRIPTION f��r,u.� �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADiNG/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNEWCOI�ITRACTOR TO MEET Y'OU:_YES_NO ti COMMENTS: '�u ' � � o �4' � c� � � LaO�/T� � c v�.� O � Q .L�'!�-Frr / !v rv � L--.�'v� � W � W aC � � �yMORKSAT�SFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK�LL FOR REtNSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaD ror the next inspection 2a hours in advance. (g52 j 249-4600 OwneNContractor on site:!�� InspeCtOr:_, /.n�,. I��c.n �.. L � White Copydnspecto�'s File Canary CopylSHe Notics