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FP Fire Protection - Addition
CITY OF OAK PARK HEIGHT o PERMIT NO.: 2005 -00230 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 10/17/2005 (651) 351 -1661 FAX: (651) 439 -0574 ADDRESS : 5900 STILLWATER BLVD N PIN : 06- 029 -20 -12 -0004 LEGAL DESC : KERN CENTER : LOT 1 BLOCK 1 PERMIT TYPE : FIRE PROTECTION PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : FIRE PROTECTION ACTIVITY : FIRE PROTECTION - SPRINKLERS VALUATION : $ 91,746.00 NOTE: WORK SHALL COMPLY WITH ALL CONSTRUCTION CODE AND DEVICE SPECIFICATIONS IN ADDITION TO ANY APPROVED PLAN. PERMIT ISSUED FOR SPRINKLER SYSTEM TO STILLWATER MOTORS ADDITION. APPLICANT STATE SURCHARGE - BUILDING 45.87 FIRE PROTECTION BASE FEE 937.75 GENERAL SPRINKLER CORPORATION FIRE PROTECTION PLAN REVIEW 609.54 1420 E. CO. RD D TOTAL 1,593.16 MAPLEWOOD, MN 55109 (651)484 -5903 PAID WITH CHECK # 507863 OWNER RADUENZ MOTOR MANAGEMENT INC 5900 STILLWATER BLVD N STILLWATER, MN 55082 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. SFPAR ATP. PF.RMTTS RF.OTTTRF.T) FOR WORK OTHP.R THAN DRSCRTRF.T) AROVF. Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractors representative and witnessed by an owner's representative. All defects shall be corrected and system 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 against contractor for faulty material, poor workmanship, or failure to comply with 1 approving authority's requirements or local ordinances. Property name �- e I 1 W 1 -'t-VNC '' ` 0 +C) Y S ' z i _ 6- 0 Property address c e O O s 1 j l t i ! k S� J ! , w,� q I ;+ n a . -- A,` ; t : C A , m V1 S BZ Accepted by approving authorities (names) (' '� 1 C I T y 4 k r��f \Aj,.c�; Address Plans -- — - _- Installation conforms to accepted plans X Yes No Equipment used is approved Yes 7 7 No If no, explain deviations ' Has person in charge of fire equipment been instructed as .a< Yes No to location of control valves and care and maintenance of this new equipment? If no, explain? Instructions - - - --- - Have copies of the following been left on the premises? .. Yes ^ No 1. System components instructions N Yes ,I No 2. Care and maintenance instructions 5c Yes No 3. NFPA 25 X Yes No Location of Supplies buildings ' system Year of Orifice Temperature Make Model manufacture size Quantity rating e. 7 q 1e F ‘ Z„bo s — - ----"J �� 35 !SS Sprinklers lkt)., R I 2005 ) /Z I63 I S S R.g_j;obl r 'r 1FR ! Z.a t/z z3 ► 55 A1_1ibb) -e tF') FR- ' .. Zoo S Thi 2 ' 2 ) r i S A1 p IN Pipe and Type of pipe f— ' `_ —_ fittings Type of fittings NF ?A Maximum time to operate Alarm Alarm device through test connection valve or Type Make Model Minutes Seconds indicator i VAh4.. J 'Fo}�t_� yS L , J Dry valve _- Q. O. D. Make 1 Model i Serial no. � Make 1 Model 1 Serial no. i Dry pipe Time to trip 1 . Time water ' Alarm operating through test Water Air Trip point ! reached operated test i 1 connections pressure pressure air pressure t est outlets properly Minutes Seconds psi psi psi i i Minutes 1 1 Seconds Yes No N 'Without I j ! Q.O.D. // With Q.O.D.. ! If no, explain 1 Measured from time inspector's test connection is opened Reprinted with permission from NFPA 13, Installation of Sprinkler Systems, Copyright ©1999, National Fire Protection Association, Quincy, MA 02269. This reprinted material is not the complete and official position of the National Fire Protection Association, on the referenced subject which is represented only by the standard in its entirety. American Fire Sprinkler Association 12959 Jupiter Road, Suite 142, Dallas, Texas 75238 AFSA Form # AF063 Operatk ^ e".4 Pneumatic i Electric ❑ Hydra, Piping supervised Yes El No I Detecting media supervised ❑ Yes ❑ No Does valve operate from the manual trip, remote, or both ❑ Yes ❑ No control stations? Deluge and Is there an accessible facility in each circuit If no, explain preaction for testing? valves Yes ❑ No N j i I Does each circuit operate T. Does each circuit operate Maximum time to Make i Model supervision loss alarm? valve release? operate release Il Yes ! No Yes No Minutes j Seconds 1 � Location I Make and Setting I Static pressure Residual pressure Flow rate Pressure and floor i model (flowing) reducing I Inlet (psi) j Outlet (psi) Inlet (psi) I Outlet (psi) Flow (gpm) valve test . Hydrostatic; Hydrostatic tests shall be made at not less than 200 psi (13.6 bar) for 2 hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry-pipe valve clappers shall be left open during the test to prevent damage. All aboveground piping leakage shall be stopped. Test description Pneumatic; Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 11/2 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 11 psi (0.1 bar) in 24 hours. All piping hydrostatically tested at ZG?2. psi ( .___ bar) for . hours ' If no, state jeason Dry piping pneumatically tested Yes rk No 1 4 ` Equipment operates properly 1 Yes No ( d/ r rl Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks? Yes 7 No Drain Reading of gauge located near water Residual pressure with valve in test Tests test I supply test connection: ( psi ( bar) connection open wide: n'- psi ( bar) Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping Verified by copy of the U Form No. 85B X Yes _ No ; Other Explain flushed by installer of underground sprinkler piping Yes No If powder -driven fasteners are used in concrete, has r Yes No No : If no, explain representative sample testing be satisfactorily AA/l completed? .'✓A. Blank testing Number used Locations 1 Number removed gaskets Welding piping ` Yes J No t i . 2 If yes... Do you certify as the sprinkler contractor that welding procedures comply '5il Yes ❑ No t� with the requirements of at least AWS B2.1? -t-4,(. - -- Do you certify that the welding was performed by welders qualified in Yes ❑ No ��` Welding compliance with the requirements of at least AWS 82.1? f e �i fS Do you certify that the welding was carried out in compliance with a documented Y Yes ❑ No quality control procedure to ensure that all discs are retrieved, that openings J` in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? Cutouts F Do you certify that you have a control feature to ensure that 1. Yes ❑ No (discs) all cutouts (discs) are retrieved? Hydraulic F Nameplate provided , If no, explain data nameplate , Yes = No I Date left in service with all control valves open Remarks Name of sprinkler contractor . Tests witnessed by Signatures For property owner ) (signed Title Date i -t ( .� �,, ('v 1 cr /G ti i 1 L b Fors Ae (sign . Title ate di �re .� �� 0, 3 I 44 0 . Additional explanations and IA. t-10 w 14 ct.t� cootp phociA.0 - 219.4b 7 F i.oLL.... c .A.\ I) Ce4.4.4- .-- i4t. talk ty,./..kA 1,9-