HomeMy WebLinkAbout2008-P11948 - sprinkler system PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11948
Crystal Bay, Minnesota 55323 Permit Type:
Fire Systems Permit
(952) 249-4600 Date Issued: 4/25/2008
SITE ADDRESS: 2060 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 34-118-23-21-0035 /'17AIft
DESCRIPTION:
Proposed Use: Commercial-Business
Permit Class: General
Permit Type: Fire Systems Permit Permit Sub-type(s): Sprinkler System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 1,125.00 Valuation: $ 90,000.00
State Surcharge Fee: $ 45.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 1,171.50
APPLICANT: Sentry Fire Protection OWNER: Interspace West
4439 SW Highway 12 SW 2060 Wayzata Blvd W
PO Box 69 Long Lake,MN 55356
Waverly,MN 55390
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
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
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AUTOMATIC FIRE SPRINKLERPERMITS
® New ❑ Addition ❑ Remodel ❑ Replace
Job Site/Owner'-Tnformatiori.
Site Address: Z o G.0 W R ST Asa A X Al—(k Ay D
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Gontracfor/Applicant Information;
Contractor/App.: FI w Contact Person: 4" wo
,4'f30, Nw`Y 2 $;cv
Address: o G e k G`i State License#:
City: W pV omit-Lr' Zip: S 3g C7 Expiration Date: _.3 a
Phone: 7�3 C•SI 3 Alternate Phone:
TYPES.OF FIRE`SPRINKLER PERMITS
Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkler
Fire Systems Permit Fire Systems Permit
*Base Price=Contract Price: $ 990 0 v, G x.0125 =$ /1 7-5 (Minimum$35.00)
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*Surcharge=Contract Price:$ U 0 U 4�) x.0005 =$ til (Minimum $ .50)
*Mail-In Fee(Only On Mail In Applications) =$ 1.50
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*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
application are complete, true and correct.
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Appli t Date
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