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HomeMy WebLinkAbout2006-P10120 - sprinkler system PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10120 Crystal Bay, Minnesota 55323 Permit Type: Fire Systems Permit (952)249-4600 Date Issued: 7/19/2006 SITE ADDRESS: 765 Old Crystal Bay Rd N Unit# Long Lake,MN 55356 PID: 33-118-23-21-0001 DESCRIPTION: Proposed Use: Institutional-Schools Permit Class: General Permit Type: Fire Systems Permit Permit Sub-type(s): Sprinkler System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Inspection by Bill Meyer 612-490-2307 FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 290.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Viking Automatic Sprinkler Co. OWNER: Orono Public Schools 1301 L'Orient Street 765 Old Crystal Bay Rd N St.Paul,MN 55117 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. %tit- 4'71. 02W-ei—rt- APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 40. 7-�1 of ❑ New ❑ Addition [ ] Remodel ❑ Replace Site Address: 1L (id ri ( bab . Owner: U Ptc) /or I : A. . J,� Mailing Address: 1r'���`� '/'1 cQ City: alln C) Zip: 335t0 Home Phone: (Q 1 0/ia "/") 9 Alternate Phone: /_ `u ) Contractor/App.: I , . �,/, �� // • flk ontact Person: 1 (�Q f/ a tais� Address: 0 � / //, �i/� State License #: *61�.S City: a - PO& Zip: w7 Expiration Date: LO/O / Phone: 1051 551 (Y) Alternate Phone: i ; "_'- K_.. r#7505777 sr °., _ ^ ommercial—Fire Sprinkler ❑ Residential—Fire Sprinkler Fire Systems Permit Fire Systems Permit LL— *Base Price=Contract Price: $ x.0125 =$-Z (Minimum$35.00) *Surcharge=Contract Price:$ x.0005 =$ 5(J (Minimum $ .50) *Mail-In Fee(Only On Mail In Applications) =$ 1.50 *Total Cost of Permit: =$1/ 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 .plication are complete,true and correct. I� /,ca(4/0 1-7 -73 -6& Applicant Date