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Home My WebLink About2011-00574 (Sprinkler) CITY OF ORONO PERMIT NO.: 2011-00574 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/08/2011 . 952 249-4600 FAX: 952 249-4616 RGPRINTED ON 7/14/201 I ADDRESS : 1355 ARBOR ST PI lY : ]0-]17-23-31-0052 LEGAL DESC : MARKVILLE : LOT 002 BLOCK 002 PERMIT TYPE : SPRINKLER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAWN SPRINKLER NOTE: AREA OF APPLICATION- 11,667 SQ.FT. COVERAGE PER SPRINKLER-333.34 SQ.FT NUMBER OF SPRINKLERS-35 TOTAL WATER REQUIRED-8 GPM BACKFLOW PREVENTER-WILKINS-MODEL 720A APPLICANT STATE SURCHARGE MECH (<$500) 5.00 BRIKK MECHANICAL MAIL-IN FEE 2.00 800 TERRACE STREET PRESCOTT, WI 54021- SPRINKLERS 35.00 (651)735-2100 TOTAL 42.00 OWNER PETERSON, GREGORY&JULIANE 1355 ARBOR ST WAYZATA, MN 55391- AGREEMENT AND SWORIY STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does � not grant permission for additional or related work which requires separate �, permits. All provisions of laws and ordinances governing this type of work f,. shall be compied with whether or not specified herein.This permit will -� ��` expire and become null and void if construction authorized is not r �� commenced within 180 days of the date of issuance,or if construction is � � suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � CITY OF ORONO PERMIT NO.: 2011-00574 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 07/08/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1355 ARBOR ST PIN : 10-117-23-31-0052 LEGAL DESC : MARKV[LLE : LOT 002 BLOCK 002 PERMIT TYPE . �>�Ri N►c �--+_� PROPERTY TYPE . 1Tl A CONSTRUCTION TYPE : LAWN SPRINKLER NOTE: AREA OF APPLICATION- 1 l,667 SQ. FT. COVERAGE PER SPRINKLER-333.34 SQ. FT NUMBER OF SPRINK[.ERS-35 TOTAL WATER REQUIRED-8 GPM BACKFLOW PREVENTGR-WILKINS-MODEL 720A APPLICANT STATE SURCHARGE MECH (<$500) 5.00 BRIKK MECHANICAL MAIL-IN FEE 2.00 800 TERRACE STREET PRESCOTT, WI 54021- SPRINKLERS 35.00 (651)735-2100 TOTAL 42.00 OWNER PETERSON,GREGORY&JULIANE 1355 ARBOR ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciticd herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any timc after wark has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for d e cause. � 7i � i // `7 i � i // Applicant Permitee " nature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . � , y � ¢�A` City of Orono FOR ITY USE ONLY O `�O P.O.Box 66 � �J 2750 Kelley Parkway Date Received: �� Permit# ��1�� / ':�,� 11��' - ,{�� Crystal Bay,MN 55323 • ? � �'�'r4i�`,i Phone:(952)249-4600 Fax: (952)249-4616 Approved By: Amount$: � �kaaxo CITY OF ORONO—LAWN SPRINKLER PERMIT Please Check One: New Addition ❑ Job Site Address: � �� r� � (� � �j\T , Owner: �r'��c��/ Telephone Number: � `� 2' ��5� �a�� n s-�_ Mailing Address: � C 'rJ �J V�O Q12 City: ��1 l/I � U1'�0./ C Zip: �� Sprinkler Contractor: �JY 1 �16-� (l�le'��/lU� 1'1l �elephone Number: (g S I" �3� `��-j L� Contact Person : �'�G�(�l,�r-C�. �`'� �� License#: (��' �� -' {� � Mailing Address: �j �� r r(�,C� S•'�', �Y 2 S c c?t fi j,,� '�i. � �'��-� WATER SUPPLY / Lake❑ Well❑ City �t�� BACKFLOW DEVICE AVB ❑ PVB t Make �`K p�5 Model �� Year of Manufacture 2v�U Quantity Sprinklers: HYDRAULIC CALCULATIONS Design Data: �,� c��j Area of Application: t4z �_`�- Sq. Ft. ��„ Coverage per Sprinkler: 3 %� =,p �q sa. Ft. �� R�Np No. of Sprinklers: 3�i CI� Total Water Required: g (,�Q yY1 GPM PERMIT FEE CALCULATION 1. Permit Fee: $ 35.00 2. State Surcharge $ 5.00 3. Mail-In Fee $ 2.00 4. TOTAL PERMIT FEE(Add lines 1-3 above) $ Z� �� The undersigned hereby applies to the City of 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 p� this application are complete,true and correct. . � Applicant � rt ~n Date��_ ...................................................................................................•-•--................................................................................................................. Approved , Approved with Corrections Denied Reviewed By: ;'i',.✓".'.:�!�i,- - Date �'-�'" �� Reset Form `'�a.c.�c._� �—�j �. �.� �� — � � l �,