HomeMy WebLinkAbout2008-00138 - sprinkler system CITY OF ORONO PERMIT NO.: 2008-00138
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/18/2008
952 249-4600 FAX: 952 249-4616
ADDRESS 685 OLD CRYSTAL BAY RD N
PIN 33-118-23-21-0002
LEGAL DESC UNPLATTED 33 118 23
LOT 000 BLOCK 000
PERMIT TYPE FIRE SYSTEMS
PROPERTY TYPE : INSTITUTIONAL-SCHOOL
CONSTRUCTION TYPE : SPRINKLER SYSTEM
NOTE: CALL FIRE MARSHALL BILL MEYER FOR INSPECTIONS-612-490-2307
ENTER THE VALUTATION 3490
APPLICANT FIRE SPRINKLER-RESIDENTIAL 43.63
VIKING AUTOMATIC SPRINKLER CO. STATE SURCHARGE VAL OTHER 1.75
1301 L'ORIENT STREET
MN 55117- MISC FEE 1.52
(651)558-3300 TOTAL 46.90
Minnesota State License#:C-005
OWNER
SCHOOLS,ORONO PUBLIC
765 OLD CRYSTAL BAY RD N
LONG LAKE,MN 55356
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 is for only the work described and does
not grant 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 null 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 conformance with the State Building Code.This permit may be
revoked at any tjme for due cause.
LC&Ai"i - 1/' 4'i
Applicant Pe tee Signature Date IsgVd By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�-0013
AUTOMATIC FIRE SPRINKLER PERMITS
Please Check One:
❑ New ❑ Addition [� Remodel ❑ Replace
Job Site/Owner Information:
Site Address: O/
Owner: tS��-0 S Mailing Address: ��
City: Zip:
Home Phone: (D!Z-2,17--SL�,l7 Alternate Phone:
Contractor)Applicant lnfortxatton #,
Contractor/App.: V i �r� Contact Person: -Ella Lf(1/i
Address: 12,SN L1 b6g I t Slytt4- State License #: CUD
City: "�"Pel Zip: Expiration Date:
Phone: �5�^�j��vv Alternate Phone:
TYPES OF FIRE SPRINKLER PERMITS
Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkle
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Fire Systems Permit Fire Systems Permit
*Base Price=Contract Price: $r 91❑• x.0125 =$ (Minimum$35.00)
*Surcharge=Contract Price:$24q 0-C k)x.0005 =$ A —7-5 (Minimum $ .50)
*Mail-In Fee(Only On Mail In Applications) =$ 1.50
*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.
IL&ut- 011
Applicant Date
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Resorm Ci 8
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