HomeMy WebLinkAbout1999-012004 (fire) . PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 ��::-
Crystal Bay, Minnesota 55323 Permit Number: ;�;j�`-:R.,,;,^
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: •
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APPLICANT%PEFMITEE SIGNATURE ISSUED BY SIGNATURE
04��o City of Orono
�'�z �`` William C.Meyer
G
�'`�BHO�� Fire Marshal
Mailing Address: Office Address:
Post Office Box 66 2750 Kelley Parkway
Crystal Bay,MN 55323 Orono,MN 55356 `
Office(612)249-4600•Fau(612)249-4616•Pager(612)640-5312
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CITY QF ORONO
APl'L1C'•11'TION FaR FIRE �PRiNKi�Ti.R SYSTEM PERII�IIT
�� �
GENERAL llVFORMA��t
l. Yc�u may apply for sprinkler system permits by m�il (P.O, Box 66, C�ystal Bay, MN
.SS323) or in person at the �ity ufCices (27_50 Kelley �'arkw�y). Submit plaixs for revicw
wit.tt [t�is application. F�an rc;vicw will reauire a minimum of sever�. days for staff
review,
2, YERMI'1'� ARE NUT VALID UNTIL YOU RECEIVE A PERMIT. W(�RIt Mi�.�
NOT BEGIN UN L THL PLRMIT CARD IS POSTEIa ON THE JOB SIT�.
3, Wt�e�i any new constructian or rettiodeling is involvect, a sepat•ate Uuilding permit must
be obtained.
4, All work must be done in accvr�ia��ce with State �3uilding Cc�de requirements and NPPA
13.
5. Three (3) sets of wotking plany shall bc subiiiitted fo�� approval to the authority having
jurisdictiv� hefore any equipment is installcd ur rciiYodeled. Deviation from Approved
plans will reyuire prrmissiaci of tlie autlaoxity having jurisd�ction.
6. You shall have the plans appraved and stamped ar�d tlie letter of a�ecommcnciation frorn
eittier the I.S.O,, Factory Mutual, o� Industrial Risk Insu�'ed heforc a permit is issued.
7. AI1 work rnust be i�pecteci (rvugh-in and �nal). Call 473-7357,
Z4-Iiot�r Notice Required
INSTRUCTIOI� Complete al1 iterns on this apPlicdti�n. Sign and date the cr�ential
certification. INCOMYL�'1'k: AF�I�LICATIONS WYLL NOT IIE PROCFSSED. If you have
questions, call 473-7357. Xou wi11 be notified by Phcmc wl�eii tlie pe���i�it review is complete,
Perm�I will be issued to c�ntraclurs at the City officcs (2750 Kelley �'arkway).
Please check �11e; New Aaa��io�� �� Remodel Replace
J4B SITE �..�,.���� �,��� c� � � �
Uwner'S Nat�1� , ' � � � �r"\ Telephone Number `� �Qi -o24F�
Mailing Address �;Z—� ������� �r- ►'„�— 1`''I�-= ���'i�
Sprinkler Contractor's Namc �; �; �� -� � , :,�Telephane Number �31� j
Contact Person �C1�,v i�t ��-���;
Mailit�g Address_ 3� '� - ��,: � �� ) IU ^S� l
CL TI N OF Q CUPAN t� Fi'J� i'3 �-�
Light ��azard � Ordir�axy Nn�ard (Group 1)
Ordinary Hazard (Group II) �rdiiiary I�azard (Grnup III)
High-Piled Storage High Rise Building _ B�tra 1lazard
�VA7'ER Si��
Static PSI Residual PSI
Hydrant Flow Test
Tank: ,_� Size i C��-� G-.�-��,�►�_ (�U �,� N '�,�PI..��
Well: Size
Other: _I I O �-,„�...���� J � P�
�-- j � o C.��..L�..�5 � 1 I CD \a�o� �T ,
SY T�M TY E
Wet �_ Dry Ueluge PreAction
Year of Orifice Temperature
M ke Mcr�lcl Manufactu�-e Size O ancitv R t�in�,
S�ri clers G�. �' C��i�r� i�'7`�4� l�. �,�. �1� I Co0
TOTAL
A xnn Device M�ximum Time to Operate '�hru Te�e_
Ty� ake Mo el Mi Sec.
Ala Valv
Flow ndicat r �( a�v t� ��!��- " � -
HYDI�AULIC CALC LATi�N5 nesign L�Ata:
Density Z ,��� �=�.� ,.-�'> UYM/Sq. Ft.
Area of Applicat�on: � 54• F�.
Covez'age per Sprinkler: Z o s.� . . Sq. Ft.
No. of Srrinklers Calculated;
'1'otal Water�equired: ��4 , c� GPM lncluding Hose Streams
�+T i S �c7'>5�P�L.� ��U �1-�,r-*� 1Z.— W O S �0 2. �CI iw+ �N _ �4 F-�,`1
PERMI �EE CAI.CU ATION
1, 1,25% ot Con ract Price* or 1V�inimu�a� Fee l 3S. ��
�� co x .0125 $ I Z. -r,,�
(contract price)
2. State urcbar�e. �`* Add �1�e State Building Cvde Division �
Sun.harge tn each permit, i c�a c c�� x .OU05 $ _ , �J _ I
or $.5�, wfiictiever is greater (concra�t price)
3. kosta�e att Handlin� (Oi�ly mail-in appli.catiotisj $ 1:50
4. TU'1'AL PERMIT FEB (Add lines 1-3 ahove) $ _ I '�� 6 5°
* CONTRAC'T PR10E or JQB COST rneans the actuat or esiimated d�llar auiaunt charged for the permitted
work including materials, labor, profit, and other fixed costs, It is thc amount tu be charged to the
customer for thc work done. If xny inaterial, equipme��t, labor, or installatinn are fumished Uy the owncr,
tenant nr any other party the re:ascmahle market value of such itcci�g must be addeci t� the estimated rnst
or contracc price for permit fee purposcs. In the event that there is a disputc un the amount c�f ttie_job cost,
the Gity may request thc subu�ission of a signed copy of chc actual coruract.
+* The STATF S[1RCHARG� is .0005 of thc contract price under 51,000,0�4 or �_SQ - whichever is
greatei. FoY Ydlualiolts ovcr $1,00O,OOU cali tSic nepartment of Iuapee�tonaf Scrviccs for che pricc.
The undersigned hereby applies to the Cily for issuance of a Sprinkler System Pcrmit, agrees
to do �11 work iz� stri t aCCordance witlt the ordind�ices �f the Gity and regulations of NFFA 13,
and Certifi a statements made o this application are complete, true and orrec .
�
Applican
Date � �'
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Approved `r�..�-�I�,,.-� Date _� a/ �t / 9 4"
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