HomeMy WebLinkAboutBP 2000-00300 Fire Protection City y of Oak Park Heights.,., METER NO:
141 Dak Park Blvd. N. #2( .L
Oak Park Heights , MN 55082-2U.. /
•
PERMIT No. : 0000300
651/439-4439 FAX: 651/439-0574DATE ISSUED: 09/12/2000
Address 5650 Memorial Ave N
PIN : 06-029-20-24-0018
Legal Desc : Subdivision WATE ADDITION
: Lot 4 Block 1 Parcel
Permit Type : Building
Property Type : Commercial
Construction Type : Fire Protection
Activity •
Valuation : $10, 000.00
NOTE: INSTALL PER APPROVED PLANS. MUST COMPLY WITH ALL MN STATE BUILDING ND
FIRE CODE AS WELL AS LOCAL ORDINANCE REQUIRMENTS.
OWNER BUILDING PERMIT FEE UBC TABL $181.25
Human Services Inc. PLAN CHECK-BUILDING $117 .81
7066 Stillwater Blvd N STATE SURCHARGE-BUILDING $5.00
Oakdale, MN 55128- Total $304 .06
Paid with check # 22732
APPLICANT (612/331-3111)
OLSEN FIRE PROTECTION
321 Wilson St Ne
Minneapolis, MN 55413
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be
performed according to : (1) the conditions of this
permit; (2)the approval plans and specifications; (3)the
applicable city approvals, Ordinances, and Codes; and,
(4) 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.This permit will expire and become null and
void if work is not started within 180 days, or if work
is suspended or abandoned for a period of 180 days any
time after work has commenced. The applicant is
responsible for assuring all required inspections are
requested in conformance with the Minnesota State Building
Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
:B-22-01 02:3TPM FROM-OLSEN FIRE PROTECTION 6123311161 T-914 P.02/05 F-680 Ut u sen t-ire rroIeCIr 1OrI, 1.u.. d4.r ..rr.7Vs1 vat Vci►, r.i., .. ..r..-•...., ,..,. -* I.. I
Telephone: 612-331-31 Fax: 612-331-1161 JC5
CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROCEDURE
Upon mrn angora d tura ti'a salon:no wale u.aa a=C.by me=tsraccr1 npressruans and imnimsea cry an aawlsfI reprvtaru3a.vrr.All aaecs snag to r rrscaa min
quern ion n wilco Dean mraraasars pofianrsl amity bare 41a fca
A arrnFats was a quo 01+1.1110 synod Or txnn reorersancatwa.Caobs ttt 4 Ds proifoa tar alsrmm+q wuumbs.annars.1110 Carwacar.rt s Qnaaruma Mit 01.01411 is¢
nsarc s sapnawre In ro say prgacaws any aarn scams:=ma=Tor tsuq rr+a.riaa,poor worrcnursntp.a tato*to con y win.{ xorrIg auuru¢yg4 1.i r.ru=
baa ardnanas. �/
nal,Er�N NwE ` Q , C1 `�, l DATE
PFCPEaT7+�CRES9 �'n �JME t j �,� ��� �"'�
Ac T 7 APPROVING Thor Rules( saE.� i � 1
CAN AP a. 4 o.. r � ' A
Aces
PLANS
iNSTM.ATION=NFCFMS TO ACt-c?TED PUNS k ES CNC
ECUIPmaTUcFO tS APPROVED C.TES OMO
F IVC.E CPLUN CE'VIAT HS
• F,
MAS PERSON W 01-tAAM CF FIRE ECUiPUENT SEN INSTRUCTED AS TO LCC.iTTON TES' CNC
CF tZ71TAQ.VALVES ANC CARE AM 1•40fTENAircE CF This NEN EOurPMENT7
IF NC.EXPL UN
INSTRUC71ola
NAVE COPIES of ThE FCU.OwWfQ QEal Ll.ON ThE PREMISES: )11T3 0IW
I. SYSTEM couPCNENT9 O457RUCTIOKS J[YES O1.A
2. CARE AND MAAITENAN=INSTRUCTIONS , (TES ONO
7. NFPA ISA ]1/YES O IC
LOCATION SUPPLIES RU R P= •
Cf SYSTEM
YEAR OF _ORIFICE TEAIPERaTURE
=EL ILYAFACTURE SSZE CUANTIrY RATTND
I - , 117
SPRINKLERS 4/11T7ti,i P � ti
• 6 Li 7 I
P1PEAND Type ar . j•-24ALI-1EDXL- -2'2-4 4. ELY__ - __44... IQ {�
RTTIIIC3 Type 0f Rungs •a =s. a s ... 1 0 1 .Ai . ►.r✓C 14 tiRn 1/,I
-75
MALIMtJM TME TO OPERATE
ALARM ALARM CETNROLJG4 T.ST CONNECTION
YALYE rrPE LAKE I 4CCE. mei. SEC.
op mama MR R V e 1O-�''r5g VASfZ-F '� 4(
OAT VALVE I CLIC.
mAKE mODEL SERIAL NO. MA1cE MODEL SERIAL M0.
TIME TO TRW TIME WATER ALARM
THRU TEST WATER AAA TRIP POINT REACHED OPErRAIFi7
DRY PIPE CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST CUTLET PR:PERL7
OFEAATING km. SEC. PSI PSI PSi mei. r SEC. TES NO
TET
t\/A C.CI-0-
IMIR
C.O.D.
F�,I _ ,
•MEASURED FRCP TIME PISPECTCrira TEST CONNECTER IS OPLL.
;OVER)
w rifts.. PRINTED 14 U9.L
F7.5-22-01 02:37PM FROM-OLSEN FIRE PROTECTION 6123311161 T-914 P.03/05 F-680
OPERATION
0 PNEUMATIC 0 ELEOTRIC ❑ NYDRAui.x
PIPING S1PEr7VlSE0 0 YES ONO DETECTING MECCA SUPERVISED ❑ r Ei ❑ NO
ODES VALVE OPERATE FROM THE MAtNLAL TRW AHLLOA RELNOTE CONTROL STATIONS ❑ YE: ❑ NO
DELUGE i • 0!3-t AN read. 1811 r• • - W CIH CIACLI r0' • .a N t.zPLAuN
PREACTIoN
VALVES 0 YES 0 NO
—
C :Es EACH CiACJIrCPGIATESES EAC.'1 ciAc:1tr idAALI4um-TIMETO
A WAKE MOGEL SL:PSRvLSION LOSS ALARM CPERAT vALVE RELEASE OAEi +TE RELEASE
—mss NO YES r[1 t,t t Sra
I -
erriPf1:TATr rn ltizazr Was arta)Dat rrsaC.11 net 1644 man SO pW(11.9 toil for boo now§of So cc t1 4 earl aoovi,it3t{wows'.n ozcaaa
TEST al 1 a t1 a..3 oat)la rola notes.DLrenW ary-
ruPq MVO=Kari&Mil tai ten 0900 wog tea to p >a aa
sv.rrltaga.Art ata0vaa:0una ptpn0 oma
><1C
OE-Sr-MP-DON
PNQ tMArr•Etaolan 44 Dd f2.7 Carl er prassws uka moaiuo amp writ=mart not eaoro4 1-I/2 p1,1 t .10arsi h 24 n0t.ra.74-4 preaaw4
?arm.o norm•taw 1604 ata at armours and fTL45 Jr.at Oroatl.arm WIC,Inat not a:0000 1-1/2 021 L I o=ral in 24 noun.
ALL AWWLi HYCAcSTATCALLY TESTED AT ?Lb PSI FCA 2- HAS. IF NO.STATE REASON
CRY TESTED XYES 0 NO
ELY.IIPMENT CPErAATES PRCPERLT ' ES a NO
co TCU CERTIFY AS THE SPR41'3-Ei NTRACTOA TAT ADDITIVES AND CCRROS1vE C tEMlCAls,soiDAA4 St.C.A i E OR
DERIVATIVES OF Sot LW S VCATE.BRINE OR 011R CCRRCSNE C1-0isC.LS WERE NOT uSEC FOR TESTING SY:TEms OA
TESTS STOPPING LEA6S7 RYES a NO
LIRALII REACING OF GAGE LOCATED NE.1A WATER RESICLAL PRESSURE wITH VALv N TET
, TEST SL:PPLY TEST _ &4t PSI C:HNEC T C OPEN w1GE , -PSL
LADERORALWEI WAWS AND LEO W MN1ECTIONS TO SfSTE RLSERs FLUSHED BEFORE COHNECTIC 1 MACE TO:.PRW1C. ?PING.
VERF1EA BY XRY CIF THE U FO$W NC.&SS A.YES 0 NO OMER E7ff't.AW
FLiatEil Fr KTALLEt1 CF UWE*
GlaGiaiND SPfl1II4.&A MK )0E3 q NO
NUMBER USED LCCAT11:11.9 I NuitaZi REMO
BLANK TE1114
� SVE
" NE
wacom PFwQ ' Zi'CYE2 a No
FIFA.-.
=TM C UIT1tY AS THE SPR fl04Fii CONTRACTOR RACTOR V £TWELOING pROCZOLOULS ccsiny
WITH THE r MS OG AT LEAST AWS 0142.LEVEL AR-3 %YES C NO
Mil`KWwB�Lt4G U L.trt f 2-Y TAT THE A€LCANG WAS PERFORMED BY WELDERS OLIALctED 14
.CLOW au WfTH THE REC AJIREMEINTS CF ATLEAST AVAY O10.9L LEdELAR-3 X-7 ES a NO
CO YOu CERTIFY THAT'EL0AIG WAS C'RRiED Oi.T W CauPLJANCF WITH A
GOOL ENTEC CIJALtTY CONTROL PRCC cC iFE TO INSURE THAT Au OLSIC3 ARE
RETRIEVED.THAT OPENINGS uN PtPiNG ARE SUOOTN.THAT SLAG AND 01}¢R
WELDING RESILILLE ARE RE1+CvED.ANNA THAT THE•INTERNAL DLAMETE1RS OF
PIPINC1 ARE NOT PENETRATED )i("ES C NO
CIrTOIJT:I CC 1=GF7i 7'1:Y THAT YOU NAVE A CONTROL FEATURE TO B SURE THAT ALL
IOLSCS) D.TCLJTS=SCSI ARE RETRiEVED7 X rES ❑ NO
HTW AU11c NAME PLATE PRCVIXD IF NC.aPUW
OAT/
MAAIEPt.ATE X rEs 0 NC
CATE LT W• AVII:E Wm1 ALL C E TRCL VALVES OPEN:
RE3uAuS
NAME OPRrTgO.ERCDr(TAACTOR OLSEN FIRE PROTECTION, INC.
TESTS WITNESSED$Y •
SIGI4ATURE3 FOR PRC-F171Y OWNER 1SiGJNED) TITLE DA•E
-1 I I
AGGTOIaL oPw ► F7ArcA lSGN ^
� -- 4-,6..
TITLE
I 32�az/o
Df E