HomeMy WebLinkAboutLawn Sprinkler Application Please check one: New /7 Addition
JOB SHE O7 / 9 /9."6,461,,e ,e e ,
Owner's Name
lee!/ � ( ( 4.,,, - 4cidiZ.Z' Telephone Number 4/7/-fa?
Mailing Address ,i 99,$'A14 2S CiPZ #--,7 65 33/
Sprinkler Contractor's Name Lfimilitthix4 a4efelephone Number I/77-5;Z
Contact Person leg c9-1 4,,i)t.A.A.
Mailing Address Po. ,& c/6.03 1214,72e2446 141/2 55i`'t
WATER SUPPLY/
Lake f Well City
BACKFLOW DEVICE 6// 11d-
4-6
AVB PVB RPZ
Year of
'
Ma Model Manufacture` Quanti
Sprinklers ayeitiallii.e" .44;4- 19P ) �i i'' t 0
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: iZ‘746Zr Sq. Ft.
Coverage per Sprinkler: VC Sq. Ft.
No. of Sprinklers: 09'
Total Water Required: CO i '• s . , 4t M
PERMIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surcharge. $ .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 ma on this application are complete, true and correct.
Applicant I:ka "I / DateY''7_,1,4****************** ********************************************* ***********
Approved 1 Approved with Corrections Denied
Reviewed 9,,,: _. 9>—A
Z.17
�� �,`�L/ - . Date _
CITY OF ORONO
APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT
GENERAL 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. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST
NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB 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 installed or remodeled. Deviation from approved
plans will require permission of the authority having jurisdiction.
Working 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.
6. All work must be inspected (final). Call 473-7357.
24-Hour Notice Required
INSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call 473-7357. You will be notified by phone when the
permit review is complete.
DATE TIME
CITY OF ORONO CALLED IN 0/
INSPECTION NOTISCHEDULED �`.�C/Yl
PERMIT NO. _1 COMP TED
ADDRESS L 7?6 je t►^+ AW.
OWNER CONTR.
TELEPHONE NO. ``
• DESCRIPTION ZR1
Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE R
Q 05 FINAL 13 METER SET/TURN ON
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FI��
Z OWNER/CONTRACTOR TO MEET YOU:s.XES NO
V) COMMENTS: G-4?4€ 5L ✓
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IQ- CIWORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor itey
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 9� 44(:00PERMIT NO. COMPLETED
ADDRESS ,; ?
OWNER Asse CONTR. Hr ri ri,SSiarL_jLC
TELEPHONE NO.
DESCRIPTION i-y %"0 �� �
Lj01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REM• a L
Q 05 FINAL 13 METER SET/TURN ON • e
07 DEMO—SITE 14 SEWER HOOK-UP 06 •-• RESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
144 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC AL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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W ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE
C ❑ CORRECT WORK&PROCEED U ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor • ' e:• .
/,
Inspector. •
White Copy/Inspector's File Canary Copy/Site Notice
/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �,� n
COMPLETED — o/,Z4
ADDRESS c 77s % � 1C I
OWNER CONTR. '41
TELEPHONE NO.
DESCRIPTION LQINK ) (�}
W 01 FOOTING 11 MECHANICACRI `I6 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE EMOVAL
• 05 FINAL 13 METER SET/TURN ON 17 SITE I
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTICFI AL
Z OWNER/CONTRACTOR TO MEET YOU: EE/S NO
9 COMMENTS: — LE�'/"�
Q. 6.-- 4144
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W CC ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. I PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor o' si e:
Inspector. j /-
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED /-1—V1 c" '
ADDRESS
OWNER CONTR. F - �-'�:
TELEPHONE NO.
DESCRIPTION U-7141r's .
LW 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
C05 FINAL 13 METER SET/TURN ON �7 SITE INSPF�TION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS: " /i S j-
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on si e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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