HomeMy WebLinkAbout1999-012111 - lawn sprinkler PERMIT i� ��
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 - - - ����:;y s i����•:��
Permit Number: �
Crystal Bay, Minnesota 55323 � - � �
(612) 249-4600 Date Issued:
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SITE�ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Please check one: New_� Addition
, JOB STTE
:' y7�2 ,�',�,��.���<,r� ���
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Owner's Name ��''�7 �nG�,G G N1� TelephoneNumber �/�.- ��,���GGS'
Mailing Address_� 4 � rC� a i✓� S� �i��S; �'.x.% �;����/
Sprinkler Contractor's Name �u l s� Li/�t,�� TelephoneNumber jv/�- k�7 �GC�'
Contact Person �Uly,v �7(��`���
Mailing Address ��U� N ��t/•� �J �-y��� ,�,�, �; S ."l/- �� .
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`VATER SUPPLY
Lake Well City x
BACKFLOW DEVICE
AVB PVB
Year of
Make Model Manufacture uanti
Sprinklers
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers:
Total Water Required: Gp�
PERMIT FEE CALCULATION
1. Pernut Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ 3 5. 5v
The undersi?ned 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 �i� Date y
*******************************************************�************�************
Approved Approved with Corrections Denied
Reviewed by: /
��i�C�/ Date ��` ��
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CTTY OF ORONO �
APPLICATION FOR LAWN SPRINI�,ER SYSTEM PERNIIT •
�ENERAL INFORMATION - . -
1. You may apply for sprinkler system permits by mail (P.O. Box 66, Crystal Bay,MN 55323)
or in person at the City offices (2750 Kelley Parkway). Submit plans for review with this
application.
2. PERNIITS ARE NOT VALID UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL TI�PERNIIT CARD IS POSTED ON THE 70B SITE.
3. When any new construction or remodeling is involved, a separate building permit must be
obtained.
4. All work must be done in accordance with City and State Building Code requirements.
5.• Two (2) sets of working plans shall be submitted for approval to the authority having
jurisdiction before any equipment is iristalled or remodeled. Deviation from approved plans
will require pernussion of the authority having jurisdiction.
Working lo ans shall be drawn to an indicated scale on sheets of uniform size with a plan of
the site so that they can easily be duplicated and shall show the following data:
a. Name of owner and occupant. •
b. Location, including street address.
c. Point of compass. �
d. Location of septic system if applicable.
e. Source of water supply.
f. Pipe size.
g. Pipe location.
h. All control valves, check valves, drainpipes.
i. Name and address of contractor.
6. All work must be inspected (final). Ca11249-4600.
24-Hour Notice Required
�1�TSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call 249-4600. You will be notified by phone when the permit
review is complete.
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