HomeMy WebLinkAbout1997-009616 - lawn sprinkler PERMIT
CITU OF ORONO PERMIT TYPE:
T
2750 Kelley Parkway- PO. Box 66
Permit Number-
Crystal Bay, Minnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
DESCRIPTION:
REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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THE UNDER!3,I GNEO HERE8Y RE011ESTS PERMI j4Af4E_,`:'TkE11,' REA F
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SPECIFIED r�N[) AGREES TO D10 ALL. WORK IN STkI,CT -�c:OMP1_IANt:EW,;I,--'�
-j ORD ANI),-,STATE -J)P, K-INt,4ESOTA SU ED Qt
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY-OF ORONO 6124730510 10/22/97 16:39 [5 :02/02 NO:412
Please check one: New Addition
joB SITE
Owner's Name Telephone Numbs Ito-
9
Mafling Address_2S2S
SpriWder Contrac is Nam\ Q�
Telephone Number S1�- IZ
Contest Persaa .rte c
MailW Addrmss
Lake Well City
BACT�OW ,VYw C�+'
AVB PVB
Make Year of
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Sariaklers U TnSr
TOTAL
MEAULIC A►TIONS Design Data:
Area of Application-, L 1,Sc�0 SW
Sq. Ft.
Coverage per Sprinkler: 3 —3 , g Sq. Ft.
No. of Sprinklers; _ GO -In \
Total Water Required: - GPM
PERMrr IEEE-_C-ATMIATION
I. Permit Fee \ $ 3 .00
x• Ssata.�irctxara � $
3. MaJI-In-_Fee -50
$ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (S0
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 Date D
Approved v� Approved with Corrections Denied
Reviewed by: -
Date ./0a?z?7-
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CITY OF ORONO PERMITPERMITTYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
�i _ .
DESCRIPTION:
r„
REMARKS:
FEE SUMMARY:
17
CONTRACTOR: - } .W - OWNER:
_ ,• _
it knt;
THE UNOERS T Ci lrb 'HEREERY ;REQUESTS, I?ERI,nI S` I ON 4 Zt,14bkfF �... `�' ovETT s
TO
O
ofWit ; 3i€ It 1 l= � t+ID" STATE til I INNESCTA 'S)" LD Irl DE—
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Nov p 6 1991
CI OF OROi`i O APPLICATION FORWU'T-VIlWPER.MIT
Box 66 (2750 Kelley Park-way)
Crystal Bay, cl-LN 5-4323
GENERAL INFORMATIC N'
i. You may a .e'. - for plumbing permits by mail or in person at the City offices.
2. ?caait cards -..:': to sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU ,-CEIVE A PERMIT. WORD MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwell.in(7.
4. When any ne, struction or remodeling is involved, a separate building permit must be obtained.
5. All work trust ve done in accordance with the State Code requirements.
6. Al".wor': must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
I-nst.ru;. ons Complete all items on this application. Compute the permit fee. Sign and date
the certi :cation. IN COiYLPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
auestiors, calx 473-7')57.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: Zip:
Owner'sNarne: Telephone Number:_moi -6o7Y�
Mailing address: City: 0AeywD Zip:
Contractor's_
tiam TelephoneNumber: y?; �' '
Mailin Address: A-,V. City: co Zip:
PLi.�lBP1G FUTURE SCHEDULE
"ND OTHER FIXTURE � BS�1T 1ST 'ND OTHER
FIX—RE BSMT 1ST
TYPE FL FL TYPE FL FL
Wate .t Sewer Ejector ,
.�... � � Laundry Tray
1 Bathtub i Washer
Shower 1 Water Heater
Kitchen Sink �— Water Softe er
w i �
Disposal Wet Bar
Dishwasher , + Floor Drains
S:j:cocics I Misc (list
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
' x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ Ise
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37,'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amour_of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: 'la � 1/ _ Date: /0 ?