HomeMy WebLinkAbout2002-P05689 - fire systems CIT� OF ORONO PERMIT
2f50 Keliey Parkway - PO Box 66 Permit Number: Pos6g9
Crystal gay, Minnesota 55323 Permit Type: Fire syste�Pe�it
(952) 249-4600 Date Issued: ioiii2oo2
SITE ADDRESS: 177 Glendale Dr
Long Lake,MN 55356
PID: 34-118-23-33-0001
DESCRI PTION:
Proposed Use: Institutional
Permit Class: General
Permit Type: Fire Systems Pernut Permit Sub-type(s): Sprinkler System
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Inspections to be done by our Fire Marshall-Bill Meyer 612-640•
FEE SUMMARY: Permit Fee: $ 431.88 Valuation: $ 34,550.00
�
State Surcharge Fee: $ 17.28
Misc.Fee: $ 1.50
TOTAL FEE: $ 450.66
APPLICANT: Brother Fire Protection OWNER: Calvin Presbyterian Church
600 25th Avenue S#105 177 Glendale Dr
St. Cloud,MN 56301 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[ E SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
, � AuP-06-2002 09:llan From-CITY OF ORONO +A612104618 T-T5� P.002/003 F-103
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� CYT'Y OF 4RON0 APPLICATION FOR
Box 66 (2750 Kelley Parkway) FIRE SPRINKLER SYSTEM PERNII7'
Crystal Bay, MN 55323
�ENERAI'{.�QR��A.7'YON
��C. Perw.its ace requir�d for all flre spriukJer inscallacion aod repair. All work shall ba doar by d licensed t"in
sprinkler concraccor, 2 sets of ptaa�,speelfiea[ion and hydnulic calculation sheers chx11 be eubmitted to the
Orono Fise Marsbai a minfmum,a�7 davs before start of work.
�.z. You may apply for parmics by mail oc in parson at the City oftices.
.�3: All systews shall be designed,installed and inaiutalned to N.F.P.A.-13,N.F.P.A.-ZS�aaII Miunesoca Stat�
Building Code, Minne�otn UNform �ire Code aad Su�ndards. Alt saic syatems nre to bo spaced ac a
maximum of 130 square foot covorage. Pl�stic pipe wlll not be allowed at any time in sttic spacaa.
�-4: All equipmenr i,nstalled shall be U.I..or F.M. approved for fire protection servlee.
�/3: Yard or wall posc indlcacor vaives are rcquirnd, All indic�ing and concrol valvcs inscnlled shnll be provided
with tamper protcction. On dry syscema, the conuol valve to serviee the pressure switch (nir) sha11 be
supervised.
�.�6: Insptctars test valves shali be iastalled on edeh floorlcvcl or zone of sysrem. Main drain and Inspectorr test
valves shall be piped to the outsidt.
. � No wAc�r is to be introduced iuto che sprinkler sy�cem uncil main hnd been ehocoughly flushed. Air test aad
flushing shall be witnesaed by Ciry of Oroao Wnter Deparrmenc.
•",$: An approved aud;Dle/visual device wired to mafn flow swjtch shall bc iustallod above the Flre Deparunent
connectioa and in areas normally pccupied by teaauts.
.-9: EX[STlNG SYST�MS: If aay changos iti the hydraulicalty most demeulding area, change in oecupancy
classiCieation or nddition of 20 or more heads, hydraalie calculation!and flow tesc will be requind.
�!�, All final flow or trip ces�s shall be wltnesseA by the Orono 1=ire Marstual. ADpointments can bo made by
calling Qrono Ciry offiees, (612)�49-4600. 24-hour no�ice required. ,
,.ri: ALL Wq[tK(cough-in and itnai)MUST BE INSPEC't�p. PERMTTS ARB NOT VAI,ID UNTIL YOU
RECEIVE A PERML"Y'AND 108•SIT&CARD.Calt(612)249-46pp 24-hawrs in advanccd co xhedule your
inspeccions. '
Ynstructjons Complece all items on this application. Compute thc permit fcc. Sigu and date the
ceRificatio�. INCOMPLBT� APPLICATIONS WILL NOT BE PROCESSED. Tf you have
qucstions, calt 249-4b00. You will bc notified by phone when the permit review is Completed.
Permit will be issued to concractors at the Ciry off3ces (2�50 Kelley Parkway).
Please check one: � New Addition Remodet Rcplace
.�Q$ SITE: �'-�LVI�-I�2ESi3�(T'E�r�nl C�i(URC�N O�" U%v.�li� Zip: 55 5W
O�mer's Name� Telephone Number•
Mailing Address; 17 7 - �E�t�r�c� �,���,�- City 1.�;,u��wkr Zip• 55 35 C,� _
Sprinkler Contractox:�3Rc-��FrRc �R�TFc- c�N Telephone Number:(32c��2 Z�-2J�c
Contractor's Address: �c�� l��'-� �1 ve.5.,S�,,� ic�; Cxty: ���;�-c�;� � Zip; �- ,��
Contact Person: k��e�� .17,�vGn,�,,� Phone Number:��z��) 2z9- 2��,�,
(Circlt one: Csll, p�ger Irtiee�
�
Aua-06-2002 08:I1�n From-CITY OP ORONO +p522494616 T-154 P_003/003 F-1Y3
P�'rR�� ��T.(`YT[.A�Z4N
1. 1.25% of Contract Price* or Minimum �ee (S3S�,001 ��
�����JC� x A125 $ _L�� ( `'
�
(concract price)
2. State Surcharge. ** Add the State Building Code Dlvision
Surcharge [o each permlt. � � ��`�jC�' `�`� x .4005 g i�j�1�
or$.50, wluchever is greater (contract price)
3. Pos e a Handlin¢ (Only mail-in applications) $ _�_�,Q___�
�. TOTAL PERMIT FEE (Add lines 1-3 abovc) $ � �
_�`� -
"` CON7'�tACT PRYCE or JOB COST means thc actual or estimated dollar amount chargtd
for the pernuned work includi.ag macerlals, labor, proflt, and othcr fixed coscs. I� is the
amount td be charged to the castom�x for the work done. If any matetial, equipmenc,
labor, or installation are ii�rnished by the owner, tenant or any ochcr parry the reasonable
market value of such items must be added to the estimated cost or contraci price for permit
Pee purposes. In the event that cherc is a dispute on che amount of the job cosc, thc City
may xequest the submiasion of a signed copy of the actttal coAtract.
�°* The STATE SUItCHAYtGE is .0005 of the contrac� price under$1,004�OQ0 or $.SO- •
whiehever is gceater. For valuations over$1,000,000 cat]the Departnment of Inspectional
Services for the price,
The undersigned hereby applies to thc City for issuance of a Spri�kler System Permit, agrees to
do aIl work in strict accordance wlth the ordinances of the City and the regulations of N.F.p.A.
13, and certifies chat all statements made on this application are complece� true and correct.
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Applicant's Signaturc: < i 7�' G� Date: � � �Q - C Z
, . ,
Approved By; l.�J.�..�=� �ti Dace: �l�� b Z
I 7 ? G�N��-t-�=
St. Cloud Office
B roth e rs 600 25`�Ave. S.
�� Suite 105
���� St. Cloud, MN 56301
320-229-2990 Ph.
320-229-2970 Fx.
Brothers �=�� Pr�o�ction
LETTER OF TRANSMITTAL
City of Orono
P.O. Box 66 Date: March 28, 2003
Crystal Bay, MN 55323
Re: Our Job No: C-10049
Calvin Presbyterian Church of Orono
Attn: Fire Marshal
� Enclosed We are � Sending Via Mail
Messenger
Fax
Pick Up
Sheet No. No. Prints Description Last Dated
1 Test Certificate
� For Approval � For Your Files � Approved As Noted
� For Bids � For Correction � Revise and Resubmit �
Remarks:
� Please Acknowledge � Please Return � Please Review and Comment
By: �
Karen Di an
Elk River Office: 9950 East Hi�hwav 10 Elk River,MN 55330(763)441-2290(7631441-5010 Fax
.� �ar �u u3 1�: 43p B�OTH�RS FiRE 7634415010 p, l
, -- - _ _
- -._ __. _.
� __ __
Contractor's Material and Test Certificate for Aboveground Piping � ' f
PROCEpURE `��G�
Upon complellon of work,inspecUan end tests shafl bo mada by tha conUactor's representethro and w;tnessed by an owner's represemalHe.
qu delects sha11 be corracted and system leh In seMce belore contractor's personnet finally leave the jub,
A cerlificate sha�l be lilled out ead signed Uy both reprosenhtiv6s.Coples shefl be prepar�{a�apy�a,���auUrorllies,owners,and
contractoc If is understood Ine owner's represenlative's elgneture In no way prejcrdk:eg eny claim epeinst contraclar lo�laulty materJal,poor
workmanshlp,or lalturo to comply ovt�h epproving Qulhorlry's reqWre,��or�,y adnences.
Proporty neme -
_ C',9L1//+LJ /2F_Sr3YTEk'i�l�lJ C2tIU�i Fi Ci� U.eU/�f0 oaae-S�f-�,..,t_`��.3
ProErerty addrass `—
I'77�Cc_r� r�t- D,�'liJC GC�nitiG�7�eE /�'�N _5535"E
�Accepietl by apprwing evthorities(names)
___ �'i 7"V ��r �� �.�lr)
aad�ass 1� / /1 7 _
Plans ' .7SL) T���l��t t,}p-�� ' l..r J�r�3t����4/�t �J�L�
�Inatalletlan conforms to accepted plans � Yea [� No
Equlpmenl used Is approvad �' Ves �] Ho
II no,explaln Aevietlons
Has person In charpe of(Ire equlpment baen inslrocted as
lo locet7on ol conlrol valves antl caro and maintenance � Yes [] No
�ol this naw oqulpmenll
11 no,explain7
Instruciions
Have copies o!the foilowinq besn leR on the premises? � Yes
7. System componente Inslructbns � l.� No
?C� Yes 0 No
2. Care and mainlena�ce instruciione � Yes � No
3. NFPA25
Locatbn of � Yes (� �
syslem � Suppkes buliWngs
T- Yeer ol OAHce 7empereture
Make Model manulaclure size
I�F� �f�j:��f Ovanti� _rating
/_/!_� .-HrC ilfl� { 2 ' -t• ,c-�
Sptinklers �� i `y. _
�--- `!-!2 �35 '
2�U
— _ a 'I��r—__'��S/>GC/ I ��.. , !,_`.
E C' ' l'N/e i� 3 � . , �r..
Pfpe and TYPe o!plpe �',,: s`� _�i� 9�•,.1�- l'N��U . l`j - /"- '}�� (c xisl_-�--_
ru�n `-�---4—
� Type ot fit�ings �( {___. ('•n`r,� ----
Alarm Maxrmum tirhe lo operale
Atarm dev{ce
valve or ---- _ through iest connectlon
Ilow TYPe Maka Model Minutes Seconds
lndicaror �c E i�u'T7FIE ' '�� --
— o��a,�a o.o o.
Make �Vlodel Seriai no. Make 7v�p�1 Serial no.
�/f� , - - _-��__ T----_ _
Dry plPe � T1me lo trtp � --
�me welor Alarm
oporaling 1hro�rph iesi Waler Ak Tr�po(M reach� operated
t�sl �o�neclion� prossure ressure airargy�e festou�le(�
---kiinui—e q onds. — properiy
�S� PS� psi .fAlnutes Saconds Yea � No
Wilhoul
O.O.D.
With ----- -- — ---
1(no,explain �
Dperetlon
L_; Pneumatic +,=7 Eieciric Q Hydrpull�
f'ipinp suRervlsed �] yos � No Detsqlnp medie supeMsed
� /� D�Ive operele hom ihe manuai trip,remoce,or bolh � YeB � Nfl
coNrol stauons'T �] Yes � No
Oeluge end - �
preaclion Is there an accesslhfe(aCUity in each circuil � It no,ettplain
v�ives �or tBstk�g?
� Yes [] �lo
; Does each c;rcuit operate � Does coch dreuR operate Maximum tkne to
Ntako � Maiel supervi�i�bsa eterm4. 1 velve reioase?
I operate release
� _ i Ye5 No Yes No Minules Saconds
i
i
� Mar 2D �3 12: 43� BR�THERS FIRE 7634415010 p. 2
�
Location f.laka end Setflng Static pressu�e � Residual pre�9ure i Fbw rate �
Pressuro and�foor model ���a��Qr
reducing —'--'- �*— -
vaive iesf �--- _ Inlel(ps!J � OuUel(psi) �nlet iP�) Ouifei(Psi) Flow(4P�^)
HY17t¢sSRtic: Hydrosfa�lc tests shait be ma0e at no�less Ihan 2�0 psi(13.6 bar)ta 2 hours a 50 psi(3.4 bar}
above slellc prossure in exCess of 15p pai tt0.2 bar�la 2 houra. aNtereniial dry-pipe velve clappers shall be lefl
� open during t�e leSt to preve�t damege.AN aboveyround prping Ioakege shpll bo stopped.
Tast
tlesaipNcm ' p����, pelabiisti 40 psl{2.7 bar)alr pressuro end measura drvp,wh)ch shelt not exceed 1'h psi(0.1 ba�)
in 2d hours. Test prassure tanks at normal wate�level and ei�pressure and me�asure elr pressure drop,wtilch ShaN
no1 exceed i+�psi j0.t bar)in 24 hours.
Afl piping hyQrostaticaly lesied el���p�t�bar)tor�hours If no,slate reason
�rypiping pnoumaUCallytested ❑ Yes C No
Equiprnenl aperates properly [� Yes [] No I
"_ — -- L
Do you ceAily as the sp;inkler con�reclor that atldtives and wnosivo chemkals,sodiwn sfliceie or derivelives
ol sodium slliwte,brl�e,cr olher corrasive chpnicals were not used bt tosting systems or stnpping laaks9
� L� Yes (-] No
Drain Headfng of gauge focaled neer wnler �pasiduei pressure wlth vaiva In test
Tosts � tesl suppty lest connection: � s�
1_ �_ ----. - P (—barj j ca�neclion open wide: pel(_bar)
� Underground melns orM bod in connecticns Ia system risero llushed belore cannectbn maee
Io sprinkler pfp]nq I
Veniiad�y copy ot Ihe U Fcrm No.85B �j Yes r- No I Olher Expiain
i
Ilushetl by 1�s1a8or oP untfergrountl
� sptinklor pip{rtg � YBS � No
M powder-drlven faslenars are used in concrele,has ❑ yes Q No tl no,explain
ropreseniative sampts testing be salis}actorily
compieted?
Blank luzting ' Num�er�sed LocaHona Number removed
gaskols
Welcfing piping � Yes Q tVo
----
_---
._--- ff yes...
-- --
Do you ceAi7y as Ibe sprinkier cpitrac:or Ihat weldrng procedurescompiy C Yes 0 No
wilh the requiremen7a o(ef least AWS 82.1?
Welding �You certily ll�at ttie weldlnp was parlormed by weldets qualilied in ❑ Yos [j No
� complxnce with tha requlrements ot at lees;AWS 82.17
Do you certity Ihat lha xreltling was carried ovl In�ompiiance vrjlh a documpnled Q Yes 0 No
qunlity conlrol procedure ia onsure 1+iat sU dfscs are ietriaved,lhet openinps
In piping ere srtrooth,that slag end other relCinp realdue aro�smoved,and that
the internei dlamelers cl ptpq�g yre nol penelratod7
Cvtouls Oo y0u cerlily Ihat you have a control faettxe to ensure ihal
(d+scs) ei�cutouts(dlscs)aro retrieveJ7 �� Yes � No
Hydraulic � Nameptale prUv�ded if no,ea�laln
data
namoplote �] Yes LJ No
Dsio laft In servir.e wlth all conird ralves open
Femarks ---- -.
Name ot sprinklor contractor
Tests wltqeeeed Gy
Signatures --'--'-- --
Fo�prqpeny ow er(^Igned) ��� 'Dato ----
4}c.! •�a,�.., !� "`�7-+�. ���'UJ� 2
- �-��-
for spt:nklor ontractor(sigr'rod� �it1e
,- � '_ Daie
. .' � —— - �,�.�r�— ..��S%_
Atldillonai explana . s end nolos f� .
/�
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ��'"J ��9 COMPLETED %2'Z j 'r'� 1 a�QC7/�i'Lf
ADDRESS ! 7�7 �l��t c��t �� �;,r�i't,� �
OWNER C� ��� � /�.�� s. CONTR. /��,�� '�-� �'-s
TELEPHONE NO.
� DESCRIPTION �i�"� ��s� - �. �"C 5�cr������/ �e,�r �
� 01 FOOTING �11 MECHANICALRI __-� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �13"FJfE�CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HAfiD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
Inspector. '�c.�•-t-�r��.�.-� �i " ��s.���
White Copylinspector's File Canary Copy/Site Notice