HomeMy WebLinkAbout2004-P07574 - lawn sprinkler , �+- PERMIT
C���� I� RONO Permit Number:
27`�b Kelley par ay- PO Box 66 P07574
Cryst�l Bay IY�llin esota 55323 Pe�mit Type: User Det'med
(952) 249-4 p0 Date Issued: 6i�i2ooa
SITE ADDR SS 3120 Sussex Rd
L.ong Lake,MN 55356
PID: 04-11 2�i-3 0009
DESCRIPTI �N:
Proposed Use: Residential
Pernut Class: General
Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler
DETAILS: '
Approved per esol on#:
Separate pe 't�re ired:
NOTICES RKS:
�
� �
FEE SUM Pernut Fee: $ 35.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLIC �T Aqua Engineering OWNER: Brett&Stephanie Anderson
6561 City West Pkwy 11244 Cedaz Pointe Dr S
Eden Prairie,MN Minnetonka,MN 55305
THE E GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED
AND G TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
T UILDING CODE REQUIREMENTS.
�J
A.PP ANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Coui : �-Fil (SiQnitures Required),1-A�licant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
►,
.
CITY OF ORONO
APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT
G E L INFORMATION
1. ou may apply for sprinkler system permits by mail(P.O.Box 66,Crystal Bay,MN 55323)
in person at the City offices (2750 Kelley Parkway). Submit plans for review with this
plication.
2. ERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT
EGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3. en any new construction or remodeling is involved, a separate building pernut must be
btained.
4. 1 work must be done in accordance with City and State Building Code requirements.
5 I wo (2) sets of working plans shall be submitted for approval to the authority having
urisdiction before any equipment is installed or remodeled. Deviation from approved plans
ill 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, drainpipes.
i. Name and address of contractor.
. All work must be inspected(final). Call (952) 249-4600.
24-Hour Notice Required
I S RUCTIONS Complete all items on this application. Incomplete applications will not be
plroc sed. If you have questions, call (952) 249-4600. You will be notified by phone when the
pe t review is complete.
�
�'../l G,J, �
.�
Please check one: New� Addition Limited Energy Technology �
ystems License#
JOB SITE 2U
Owner's Name Te hone Number
Mailing Address G
Sprinkler Contractor's me . Telephone Numbery,3 ,Z—f'�,//—//��
Contact Person
g � ' ss'��
Mailin Address �Q
. �
WATER SUPPLY
Lake Well�_ City�
BACKFLOW D VICE
AVB PVB
Year of
a�� — Model Manufacture uantit
Sprinklers �,�� ��3 �
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers:
Total Water Required: GPM
PERMIT FEE CALCULATION
l. 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.
Applicant _ D�e /y� � �D y
-o
************�****************�****�*�**********************�****************�****
Approved / � App v d with Coirections Denied
/�� � � ` ,
Reviewed By: `1.�� '�'�''�'� Date � � ��\
_
-: _ i���, �, .,�sp��-�.. ��n� _���p��.,� _. _ : - _ _ _