HomeMy WebLinkAbout2009-00459 - lawn sprinkler CITY OF ORONO PERMIT NO.: 2009-00459
2750 KELLEY PARKWAY
•. ORONO, MN 55356- DATE IssvEn: 08/05/2009
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1500 BRACKETTS POINT RD
PIN : 11-117-23-34-0001
LEGAL DESC : BRACKETTS POINT 2ND ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPWNKLER
APPLICANT SPRINKLERS 35.00
SUMMITT IRRIGATION STATE SURCHARGE FLAT-OTHER 0.50
1050 SIBLEY STREET
SHAKOPEE,MN 55379- TOTAL 35.50
PAID WITH CC# 0498
OWNER
PADDOCK, BRUCE
920 SHADY LA
WAYZATA,
AGREEME1vT 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 additiona]or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified 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 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_ �
! /' � \
%�%'' i� l`� l i
Ap icp an�Perm�ze Signature Date Issued By S'g ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB �.
f �.
Please check one: New� Addition Limited Energy Technology
Systems License#
JOB SITE l �� ��.�IC�v i `� `S Tv W l`�" 1�OCJ�,O�
Owner's Name r��l� Telephone Number
Mailing Address �� l�v�C���S O�(Iil,'� - Y�,O�i.G�
Sprinkler Contractor's Name J�/n`l'� �W�ql�pL�Telephone Number 4�����.�"c���
Contact Person `l�7/�
Mailing Address C OJ� S i� S
WATER SUPP Y �� '�'3�
Lake Well�_ City
BACKFLOW D VICE
AVB PVB
Year of
Make Model Manufacture uanti
Sprinklers��/— ���� �.0� � ��p _
TOTA.L 0
HYDRAULIC CALCULATIONS Desi Data:
Area of Application: N ��� �7 Sy. Ft.
Coverage per Sprinkler: � �-SZ� Sq. Ft.
No. of Sprinklers: � l (o O
Total Water Required: $ GPM
PERMIT FEE CALCULATION
I. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ L50
4. TOTAL PERMIT FEE (Add lines l-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 ofthe City and State regulations,and certifies that
all statements made on this application are complete,true and correct.
Applicant �� L S Date���'"� `
************ ****** **********************************�***********************
Approved Approved with Corrections Denied
Reviewed By: ����✓�..C�- Date � � " �
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