Fire Protection Permit Application Form - 2014
ADVERTISEMENT
1
2Do Not Staple
City of St. Louis Park
Fire Protection Permit Application
Job Site Address: _____________________________________________________________
Zip Code: ____________
Name of Business or Unit/Suite # ________________________________________________________________________
Exact location of where work to be completed in building/unit__________________________________________________
The Applicant Is:
Owner
Contractor
Total Project Valuation: $____________________________
(must include material and labor costs)
Property Owner
Name_______________________________________________________________________________________________
Address_________________________________________________________________________ Unit # _____________
City ______________________________________________________________ State _________ Zip _______________
Phone: (_____) ___________________ Cell: (_____) _______________
Email: _______________________________
Contractor or Tent Rental Company
Company Name_________________________________________ Contact Name __________________________________
Address_________________________________________________________________________ Unit # _____________
City ______________________________________________________________ State _________ Zip _______________
Phone: (_____) ___________________ Cell: (_____) _______________ Email: _________________________________
Property Use
Type of Permit
Type of Work
Sprinkler System
New Building Installation
Residential
Fire Extinguishing System
Commercial
Existing Building
Fire Alarm System
Industrial
New System
Flammable/Combustible Liquid Storage Tank
Institutional
Existing / Alteration
Flammable/Combustible Liquid Dispensing System
Public
Repair / Replace
Tent/Canopy Erection
Removal
Public Fireworks Display
Abandonment
Medical Gas
Tent Permits
Type of Event: _______________________________________________ Date Up: _____________ Date Down: ______________
Propane heat?
Yes
No
Material Rating: ________________________________________________________________
Required: Site plan drawing of building and location of tent placement, along with distance measurements to structures
Specific Description of Work to be Completed
Fire Permit Fees
Fire Permit Fee:
__________________
Plan Review Fee:
__________________
State Surcharge:
__________________
TOTAL FEES DUE: __________________
Please call 952-924-2595 to get exact fee amounts
See REVISED plan requirements on back side
The Undersigned acknowledges that this application has been read and that the above is correct and agrees to comply with all the ordinances and laws of
the City of St. Louis Park regulating building construction.
Applicant’s Signature
Date
For Office Use Only
Permit #: _____________________
Credit Card
Check #: ________________ Check Amount: $________________
Date Received:__________________ Date Entered:_____________ Approved by:____________________ Date:___________ Issued:____________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business