HomeMy WebLinkAbout2003-P06126 -fire systems permit CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P06126
Crystal Bay, Minnesota 55323 Permit Type: Fire Systems Permit
(952) 249-4600 Date Issued: 4/21/2003
SITE ADDRESS: 645 Tonkawa Rd
Long Lake,MN 55356
PID: 05-117-23-33-0019
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type: Fire Systems Permit Permit Sub-type(s): Alarm System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Bill Meyer to Approve&Inspect-Fire Alarm System
FEE SUMMARY: Permit Fee: $ 167.25
Valuation: $ 8,200.00
Plan Review Fee: $ 108.68
State Surcharge Fee: $ 4.10
TOTAL FEE: $ 280.03
APPLICANT: Life Safety System Inc. OWNER: Temple Isreal Of Minneapolis
3700 74th Avenue N 645 Tonkawa Rd
Brooklyn Park,MN 55443 Long Lake MN 55356
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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ 3 Date Received: !'��
Entered By: Permit #:
CITY OF OR4NO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: 2OPo ZIP:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: �3�y �•�e+tbe� A-� S. CITY: c9�t.o�►� ZIP:
CONTRACTOR: 4 PHONE: 76 3-56o-eoy8
CONTACT PERSON: P,,,A ffi. MOBILE/PAGER:
MAILING ADDRESS: Woo7�'—`'��- �:r�h CITY: Ba_k�g, A-A1< ZIP: 55-0e/
STATE LICENSE: #1C -oo Sr?
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration X Land Alteration
PROPOSED WORK (describe in detail:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 8�d OO '
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with the
State Building Code; that I understand this is not a permit and work is not to start without a permit;
and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: -�C -A DATE:
NOTE. Parade of Homes events require separate permit approval by Police Department and City
Council 60 days prior to the event. Non permitted events will not be allowed.
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