HomeMy WebLinkAbout2001-P04194 - lawn sprinkler PERMIT
C� ��.1� O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po4194
Crystal Bay, Minnesota 55323 Pe�mit Type: User Defined
(952) 249-4600 Date Issued: aits�2ooi
SITE ADDRESS: 455 Sussex Lane
L,ong Lake,MN 55356
P I D: 04-117-23-32-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Lawn Sprinkler
Permit Type: User Defined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Aqua Engineering OWNER: Bruce&Carol Crawford
6561 City West Pkwy 455 Sussex Lane
Eden Prairie,MN Long Lake MN 55356
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
MINNESOTABUILDINGCODE UIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISS DBY SIGNATURE
Copies: 1-File(Sienitures Repuired), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
` � '
.
Please check one: New Addition
JOB SITE C�
/
Owner's ame ,,�,5 , TelephoneNurriber �
Ma�ing Address -
Sprinkler Contractor's e , TelephoneNumber �L�.��//'�G
Contact Person �
/ • /�,�r.t..,.., ��
Mailing Address � �
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�VATER SUPPLY
Lake Well City
BACKFLO`V EVI •
� AVB PVB
� Year of
ake odel �Vlanufacture uanti
Sprinklers
. � TOTAL
HYDRAULIC CALCULATIONS Design Data: �
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers:
Total Water Required: Gp�
PERil�1IT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PER.D�IIT FEE (Add lines 1-3 above) $
The undersi;ned hereby applies to the City for issuance of a Sprinkler System Pernut, agrees to do
all work in strict accordance�vith the ordinances of the City and State regulations, and certifies that
all statements made on this application are complete, true and correct.
- Applicant , Date ����
***************************************************#********�** *****************
Approved M Approved with Corrections Denied
Reviewed by:
Date � '�� � 1� �
� � �
v
GTTY OF,QRO\O
APPLICATION FOR LA`YN SPRINKLER SY�T�M PERMIT
- . ,s. . �
GENER�►L INFORMATION � . . . -
1. You ma.y apply for sprinkler system pernuts by ma1(P.O. Box�66, Crystal Bay,MN 55323)
or in person at the City offices (2750�Celley Parkway). Submit plaas for review with this
. aPPlicatior�. � �
2, pERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIiv UNTIL THE PERI�IIT CARD IS POSTED ON T'I-�E 70B SITE.
3, `Vhen any new construction or remodeling is in`olved, a sepazate building permit must be
obta.ined. ° "
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
jurisdirtion before any equipment is iristalled or r�nodeled. Deviation from approved plans
will require permission of the authority having jurisdiction.
Workin�.plans 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, drainpiges.
i. Name and address of contractor. � �
6. All work must be inspected.(final). Call 249-4600.
24-Hour Notice Required �
. INSTRUCTIQi�TS_ Complete all items on this applicztion. Incomplete applications will not be
processed. If.you liave questions, call 249-4600. You will be ndtified by phone when the permit
review is complete.
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