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CITY OF OAK PARK HEIGHTS PERMIT NO.: 2012 -00002
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 01/31/2012
(651) 351 -1661 FAX: (651) 439 -0574
►DDRESS : 13575 58TH ST N
PIN : F0- 990 -26
LEGAL DESC : BOUTWELL'S LANDING
: LOT 1 BLOCK 2
PERMIT TYPE : FIRE PROTECTION
PROPERTY TYPE : COMMERCIAL
CONSTRUCTION TYPE : FIRE PROTECTION
VALUATION : $ 4,700.00
NOTE: PERMIT ISSUED FOR MODIFICATION OF WET TRASH CHUTE RISER TO ANTI - FREEZE SYSTEM (AS SUB ZONE OF WET
SYSTEM). RPZ BACKFLOW PREVENTOR VALVE ADDITION WITH AN NFPA LISTED EXPANSION TANK. NO CHANGE TO EXISTING
SPRINKLERS AND CPVC PIPE OR FITTING. WORK SHALL BE PER MANUFACTURER SPECIFICTIONS & PRODUCT STANDARDS.
WORK SHALL COMPLY WITH ADOPTED CODES AND LOCAL ORDINANCES. SYSTEM SHALL BE TAGGED /SIGNED AS AN
"ANTIFREEZE" SYSTEM ON OR NEAR VALVE ASSEMBLY.
/'• APPLICANT FIRE PROTECTION BASE FEE 111.25
FIRE PROTECTION PLAN REVIEW 72.31
SKYLINE FIRE PROTECTION, INC. STATE SURCHARGE - BUILDING 2.35
10900 73RD AVE. N. LICENSE VERIFICATION 5.00
SUITE 108
MAPLE GROVE, MN 55369- TOTAL 190.91
(763) 425 -4441 PAID WITH CHECK # 17328
Minnesota State License #: C -008
OWNER
VSSA C/O SR HOUSING PARTNERS
2845 HAMLINE AVE N
ROSEVILLE, MN 55113 -
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
" 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.