HomeMy WebLinkAbout1993 - 005464 - fire heads PERMIT
, CITY OF ORONO PERMIT TYPE: F I RF
2750 Kelley Parkway • P.O. Box 815 Permit Number: 005.4(z,4.
Orono, Minnesota 55356-0815 Date Issued: 0 /
(612) 473-7357
SITE ADDRESS:
998 WILDHURST TR
JB
P I . N . ; 07-117-23-13-0216
DESCRIPTION:
Fire Permit Type LAWN SPRINKLER
Fire Work Typ:,-, RESIDENCE
29 1ST SO HEADS
. .
•
REMARKS:
FEE SUMMARY:
Fee $3S . 00 MAIL IN ti-S0
Surcharge Total FP!'l $37 . 00
S btotal
CONTRACTOR: - Applirant OWNER:
HOLASEK DEAN 89411138 WAADE BOB
A575 CITY WEST PARKWAY 99:3 WILDHURST TR
EDEN PRAIRIE MN ' EI 7 MOUND MN 55364
(612) 941-1138 472-5822
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREE: TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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.
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Please check one: New Addition
JOB SITE
Owner's Name o g (.,QJA-Apo� Telephone Number -I)
.-47
Mailing Address 4,4/,> /
Sprinkler Contractor's Name A9 u £-.ri6 . Z,r Telephone Number ,y/—//3 6
Contact Person LA-SEIC
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Mailing Address 10 #'7'j GT'IGt5 -c 7 cif, i+�W '/le
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WATER SUPPLY
Lake j Well City
BACKFLOW DEVICE
AVB PVB RPZ
Year of
take Model Manufacture Quantity
Sprinklers
4a4,e
rue- 10 ,19 /713 �9
TOTAL 1
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: r-' Sq. Ft.
No. of Sprinklers: ,9
Total Water Required: /7 GPM
PERMIT FEE CALCULATION
1. Permit Fee $$ 35.00. 0
2. State Surcharge. .50
3. Mail-In Fee $$ 1 1. o�
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 Ailt-‘0-4-0---/ Date 4G,23// f 2
*************** ************************************************************
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Approved Approved with Corrections Denied
Reviewed by 0';�
/ F i � Date 6