HomeMy WebLinkAboutBP 2001-00332 Fire Protection @ 60 Inmate Cell Addition am ity of Oak Park Heighr METER NO:
1 . _08 Oak Park Blvd. N. #_J7
Oak Park Heights, MN 55082 -2007 PERMIT NO. : 0100332
651/439 -4439 FAX: 651/439- 0574 ISSUED: 11 /26/2001
Address 5329 Osgood Ave N
PIN :04- 029 -20 -41 -0001
Legal Desc :Subdivision N/A
:Lot 0 Block 0 Parcel
Permit Type :Building
Property Type :Commercial (Ada
i q /
Construction Type : Fire Protection (CC L.C. - u L Cf (Av �Y
Activity •
Valuation :$214,800.00
NOTE: INSTALL PER APPROVED PLANS. MUST COMPLY WITH ALL MN STATE BUILDING AND
FIRE CODE REQUIREMENTS.
OWNER BUILDING PERMIT FEE UBC TABL $1,637.75
Maximum Security Facility PLAN CHECK - BUILDING $1,064.54
STATE SURCHARGE - BUILDING $107.40
Stillwater, MN 55082 - A Total $2,809.69
Paid with check # 14347
APPLICANT (763/441 -2290)
BROTHERS FIRE PROTECTION
9950 East Hwy 10
Elk River, MN 55330
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.
n
53 csloeol
Contractor's Material and Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work, Inspection and tests shall be made by the contractor's representative and witnessed by an owner's
representative. All delecls 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 !allure to comply with approving authority's requirements or local ordinances.
PROPERTY NAME r DACE
M __ oA� i t 1�1�1
PROPERTY ADDRESS
ACCEPTED BY AP �VItdG gU��TIES (NAjy1ES � -i v l
ADDRESS "� OI-r%C , 'QK-6- �7 { �i L y-( �S
PLANS
INSTALLATION CONFORMS TO ACCEPTED PLANS ES ❑ NO
EQUIPMENT USED IS APPROVED YES
IF NO, EXPLAIN DEVIATIONS ❑ NO
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS
TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE • YES ❑ NO
OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES?
1. SYSTEM COMPONENTS INSTRUCTIONS YES ❑ NO
2. CARE AND MAINTENANCE INSTRUCTIONS YES 0 NO
ES ❑ NO
3. NFPA 25 2 YES ❑ NC
•
LOCATION SUPPLIES BUILDINGS
OF SYSTEM r i , J r i g j fr i ii o _ 1
YEAR OF ORIFICE TEMPERATURE
MAKE I MODEL MANUFACTURE SIZE QUANTITY _ RATING
C 6433 ., ' N- z. bp i -07- - b z iota 155
SPRINKLERS 541 -Q - t ' -15 * — ' cc-
„Jr"s. 42_ 13o I cc”
_-
LX -az. I & l 5-C-- - r
1 3%4 - gip o Lb, I- 3 1 S-C
.�
PIPE AND Type of Pipe _ 'i +'4 -
FITTINGS . Type of Fillings LI f Aigen val>
ALARM MAXIMUM TIME TO OPERATE
VALVE ALARM DEVICE THROUGH TEST CONNECTION
OR FLOW TYPE MAKE MODEL MIN SEC
INDICATOR V /6-,Jr _ __,1r
-
DRY VALVE 0. 0. D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
r
DRY PIPE TIME TO TRIP TIME WATER ALARM
OPERATING THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED
TEST CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY
MIN SEC PSI PSI PSI MIN SEC YES NO
i1/4)'t Without — —
O.O.D.
With
0,0 D,
IF NO, EXPLAIN
"
— - - --
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED.
•
i ...) OPERATION
,T J PNEUMATIC ELECTRIC ❑ HYDRAULIC
PIPING SUPERVISED ❑ YES (] NO 1 DETECTING IAED■A SU PERVISED 0 YES ❑ NQ
DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE. OR BOTH
DELUGE AND CONTROL STATIONS ❑ YES ❑ NO
DREACTION IS THERE All ACCESSIBLE FACILITY IN EACH CIRCUIT i IF NO, EXPLAIN
VALVES FOR TESTING
—
❑ YES ❑ NO i
DOES EACH CIRCUIT OPERATE i DOES EACH CIRCUIT MAxI1.1UM TIME TO
( . MAKE ( MODEL SUPERV!SICN LCSS ALARI.I> I OPErRATE`.A .' R
N l E EIEASE% OPERATE RELEASE
—• - -- — Y ES l NO vE$ 1 NO i AIIN ( SE C
LOCATION MAKE A SETTINO STATIC PRESSURE RESIDUAL PRES SURE 1 FLOW RATE
PRESSURE A FLOOR MODEL
REDUCING - • (FLOWING)
VALVE TEST INLET (PSI) ` OUTLET (PSI) INLET (PSI) J OUTLET (P51) PICW (GPM)
{j f{
11YD .) STAT)C: Hjdrelhpe hall shill DE midi Ono( I. to Ihln 200 (II (13 6 Dlrt) NXl 2 hev11 01 SO DII (3 4 WI)
,00v, t116e pr•Ilvll In •IC•lI Of 100 pal (101 DIN) lot 2 710011, DilllrtnlU dl /'.pip, v /Iv4 dup. shill DI 1111
TEST o0ln dvnno tha 111110 ow... M d./nig. All IDDvpprcVnd P1T1'Q II apt thin DI cupid.
DESCANPTION P.NEVs sic: EaUDllah NO Dll (2.7 Dui) al, pr•IIo,
In 24 howl. Tau plait's. links II hormu wally 4,0 Ind alt pr II1u prop, Ind mama sit 1 P b o s I O o p . (0. t tall)
7101 I.C1•1 1st pi! (D.1 DIn IIOU
l In 21 lL D. which ah /ll
ALL PIPING HYDROSTATICALLY TESTED AT PSI (— BARS) FOR HAS IF 1N0, STATE REASON
DRY PIPING PNEUMATICALLY TESTED ❑ YES ❑ NO
EQUIPMENT OPERATES PROPERLY ❑ YES ❑ NO
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?
C) YES ❑ NO
DRAIN READING OF GAUGE LOCATED NNEAR RESIDUAL PRESSURE WITH VALVE IN TEST
TESTS TUT SUPPLY TEST CONNECTION: PSI S (_ BARS) CONNECTION OPEN WIDE PSI (_ BARSL
UNOEROROUND MAIN$ AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLVSMED BEFORE
CONNECTION MAO( TO SPRINKLER PIPING
VERIFIED BY COPY OF THE U FORM NO. 609 ❑ YES ❑ NO OTHER
FLUSHED BY INSTALLER of UNDER, ExPLAnN
GROUND SPRINKLER PIPING ❑ YES
❑ NO
IF POWDER•DRIVEN FASTENERS ARE USED IN ❑ YES ❑ NO IF NO, EXPLAIN
CONCRETE. HAS REPRESENTATIVE SAMPLE
TESTING BEEN SATISFACTORILY COMPLETED)
BLANK TESTING /NUMBER USED I LOCATIONS
GASKETS �—- NUMBER REMOVED
WELDED PIPING 'YES ❑ NO
If YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING j
PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST LEI 'YES ❑ NO
Aw5 010.9. LEVELAR•3>
WELDING' DO YOU CERTIFY THAT THE WELDINO WAS PERFORI.IEO BY WELDERS
OUALIFIED IN COMPLIANCE WITH THE REOVIREAIENTS OF AT LEAST YES ❑ NO
AV+S D10.9. LEVEL AR•3>
DO TOL) CERTIF+ THAT WELDING VIA$ CARRIED OUT IN COMPLIANCE
WITH A DOCUMENTED DUALITY CONTROL PROCEDURE TO ENSURE ,/
THAT ALL DISCS APE RETRIEVED, THAT OPENINGS IN PIPING ARE t YES ❑ r+0
$1,100TH THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS Of PIPING ARE NOT PENETRATED?
CUTOUTS 00 YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO 2r, E s ❑ NO
.10 ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED,
HYDRAULIC NAMEPLATE PROVIDED IF N0. EXPLAIN
DATA
NAMEPLATE YES ❑ NO J
■
DATE LEFT II, SERVICE WITH ALL CONTROL VALVES OPEN
REMARKS
NAME OF SPRINKLER CONTRACTOR
SIG /NATV °ES TESTS WITNIESID BY
FOR PPOPE RTY OY� ISIO . 01 ( T I , OAT( to �
/FA
F0. • - ACTOR(SIONED) T I 1 14 DAT
AOOITIONAL fxPLA ANON 940 (NOTES
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