HomeMy WebLinkAbout2004-P07789 - lawn sprinkler � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po��s9
Crystal Bay, Minnesota 55323 Permit Type: User Det'ined
(952) 249-4600 Date Issued: siai2ooa
SITE ADDRESS: Outlot-Common Area
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PID: 33-118-23-11-0049
DESCRIPTION:
Proposed Use: Other
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
670 Stone Bay Drive-common area
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Maple Crest Lands OWNER: Dahlstrom Development LLC
PO Box 387 7745 Polaris Lane
Maple Plain,MN 55359 Maple Grove,MN 55311
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP I A PERMITEE IGNATURE S UED BY SIGNATURE
Copies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Please check one: New j _ Addition Limited Energy Technolo;y
� Systems License #
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JOBSITE __�/�iG� � �����/ (✓ 2-� �-C
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Owner's Name Telephone Number
Mailing Address
Sprinkler Contractor's Name ,c 1:r,;-+��;>l � �-�,�<� •� �- L�,��,�a,Telephone Number )C 3 - y j; -�j ;'�
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ContactPerson /--r'�- ,T� �(r:=-}�,Z.�-.�.tU L
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Mailing Address l � ` � `
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WATER SUPPLY
Lake Well City ,'�
BACKFLOW DEVICE
AVB PVB
Year of
Make Model Manufacture uantit
Sprinlclers /,� �t., �'�c" i� �/
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: `j C! Sq. Ft.
No. of Sprinklers:
Total Water Required: �C GPM
PERMIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to do
all work in strict accordance with the ordinances of the City and State regulations, and certifies that
all statements made on this application are complete, true and correct.
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Applicant�'' �'!y�� � �'� � Date � G>
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Approved_�_ Approved with Corrections� Denied
Reviewed By: Date_ v� �f��Y
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