The URL can be used to link to this page

Home My WebLink AboutPL 2004-00474 New Construction "City of Oak Park Heigh METER NO: 14168 Oak Park Blvd. N. #2007 Oak Park Heights, MN 55082-2007 PERMIT N0. : 0400474 651/439-4439 FAX: 651/439-0574DATE ISSUED: 10/26/2004 Address : 13341 60th St N PIN : TO-040-12 Legal Desc : Subdivision THE SHOPPES OF OAK PARK HEIGHTS 2ND : Lot 03- Block 001 Parcel Permit Type : Plumbing Property Type : Commercial Construction Type : New Construction Activity Value Of Plumbing 37500 NOTE: CONSTRUCT PER APPROVED PLANS. MUST COMPLY WITH ALL MN STATE BUILDING AND PLUMBING CODE REQUIREMENTS. 3/4" WATER METER HAS BEEN CHARGED TO GENERAL CONTRACTORS PERMIT. IF AN IRRIGATION SYSTEM IS BEING INSTALLED A PERMIT MUST BE PULLED FOR THE SAME AND A SEPARATE METER INSTALLED. OWNER PLUMBING-COMMERCIAL $375.00 Halle Properties Llc PLUMBING STATE SURCHARGE COM $0.50 20225 N Scottsdale Rd Total $375.50 Scottsdale, AZ 55337- Paid with check # 72767 APPLICANT (651/464-2988) COMMERCIAL PLUMBING & HEATING INC 24428 Greenway Ave Forest Lake, MN 55025 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. CONTRACTORS MATERIAL &TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: Discount Tire DATE: 12-23-04 PROPERTY ADDRESS: 13341 60th Street N ACCEPTED BY APPROVING AUTHORITIES(NAMES) City of Oak Park Heights PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS YES 0 NO EQUIPMENT USED IS APPROVED YES p NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT V] YES ❑ NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: YES ❑ NO t SYSTEM COMPONENTS INSTRUCTIONS YES ❑ NO 2.CARE AND MAINTENANCE INSTRUCTIONS YES ❑ NO 3.NFPA 13 YES ❑ NO LOCATION OF SUPPLIES BUILDINGS SYSTEM ENTIRE BUILDING DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Tyco TY-FRB 2004 12" 155 23 Tyco ESFR K-25 2004 1, 165 40 Reliable FIFR 2004 1/2" 155 56 SPRINKLERS 1 to 2 inch Allied XL with 300#Class Ductile iron fittings PIPE&FITTINGS 2h to 4 inch Allied Dyna Flow with 175#class malleable iron fittings 6"Allied Sch 10 with 175#class malleable iron fittings ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE GUNNEL: ION OR FLOW TYPE MAKE MODEL MINUTES SECONDS INDICATOR Vane Potter VSF-R DRY VALVE 0.0.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP' WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET" PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE WITHOUT OPERATING Q.O.D. TEST WITH Q.O.D. IF N0,EXPLAIN 'MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION 0 PNEUMATIC El ELECTRIC El HYDRAULIC PIPING SUPERVISED 0 YES =I NO DETECTING MEDIA SUPERVISED El YES NO DELUGE &PREATION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS Q YES El NO VALVES IS THERE AN ACCESSIBLE FACILITY IN EACH CURCUIT FOR TESTING IF NO EXPLAIN El YES E NO MAKE MODEL DOES EACH CURCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION LOSS ALARM OPERATE VALVE RELEASE RELEASE YES NO YES NO MINUTES SECONDS HYDROSTATIC: HYDROSTATIC TEST SHALL BE MADE AT NOT LESS THAIL460 PS)3.6 BAR)FOR TWO HOURS OR 50 PSI(3.4 BAR)ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI(10.2 BAR)FOR TWO HOURS. DIFFERENTIAL DRY-PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE. All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI(2.7BAR)AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI(0.1 BAR)IN 24 HOURS. TEST PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI(0.1 BAR) IN 24 HOURS. ALL PIPING HYDROSTATICALLY TESTED AT!�VL../ PSI FOR HRS. IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED04 El YES EI NO EQUIPMENT OPERATES PROPERLY (Z]YES El NO TESTS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? g]YES I]NO DRAIN TEST READING OF GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIDUAL PRESSURE WITH VALVE IN TEST PIPE OPEN WIDE STATIC PRESSURE: PSI PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO.85B ca YES 0 NO OTHER EXPLAIN: FLUSHED BY INSTALLATER OF UNDERGROUND X]YES 0 NO SPRINKLER PIPING BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING Xl YES El NO IF YES........ DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY ]YES Q NO WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED LZI YES 0 NO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A ®YES J NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED. CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS ]YES J NO (DISKS) (DISKS)ARE RETRIEVED 7� HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA m NAMEPLATES / ' YES I]NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: Q^ ^C'� NAME OF SPRINKLER CONTRACTOR: SUMMIT FIRE PROTECTION SIGNATURES TEST WITNESSED BY FOR PROPERTY OWNER(SIGNED) TITLE DATE: r. D i.A. Q Fdi4 Com Z^ SUMMIT FOR SPJIN3LERJfO0ZACTe' .IGNED) TITLE DATE: