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HomeMy WebLinkAbout2004-P07670 - lawn sprinkler IT F PERMIT C Y O ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po�6�o Cry��al E3ay, Minnesota 55323 Permit Type: User Detined (952) 249-4E00 Date Issued: �iii2oo4 SITE ADDRESS: 2450 Countryside Dr Long Lake,MN 55356 P I D: 04-117-23-11-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Matt to Inspect FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: B &7 Sprinklers(See Comments) OWNER: L Kretchman&S Grande M� 2450 Countryside Dr Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ������ APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE Copies: 1-File(Sienitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 , Please check one: New �1' Addition JOB STTE Owner's Name_�Te.,���.,,+(�r Q, �r>'y�G� h���- TelephoneNumbe ���� ��'��� Mailing Address �'��� (,Q� �� ; , ��r. �`�'' ��i� Sprinkler Contractor's Name ��S�'� y��'$1e.-5 Telephone Number � �.\e� -1.� �L�� Contact Person '�►' e�a Mailing Address " ��" � `VATER SUPPLY � Lake Well � City BACKFLOW DEVICE .� AVB PVB�``� Year of Make Model Manufacture uanti Sprinklers _ 1-�v���x v , TOTAL HYDRAULIC CALCULATIONS Design Data: Area of Application: Sq. Ft. Coverage per Sprinkler; Sq. Ft. No. of Sprinklers: 'Z(� Total Water Required: 1� GPM PERMIT FEE CALCULATION 1. Permit Fee $ 35.00 2. State Surchar�e $ .50 3. Mail-In Fee $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $� '�,c�:7 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. �,�.-.�.—�:.� l � . Applicant Date �9���'C�L�� ******************�************************************************************** Approved /`"� Approved with Corrections Denied Reviewed by: � Date �'�� Q� C ��� t"P( �(���t L��G'� ��4-� t�^�I'��� CITY OF ORONO APPLICATION FOR LAWN SPRINHI.ER SYSTEM PERMIT GENER�L INFORMATION 1. You may apply for sprinkler system pernuts 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 T'HE 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 pernussion of the authority having jurisdiction. Workin�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). Ca11249-4600. 24-Hour Notice Required INSTRUCTIONS Complete all items on this application. Incomplete applications will not be processed. If you have questions, ca11249-4600. You will be notified by phone�vhen the permit review is complete. d-----_ . d : � I � � � � �� J � h Q. 1�` V Q M 1 � _ � _. � � � � � z � � � � �� � � � � � r � 4! � h � Q 0 0 8 � � j s�'. � V� � � �--' 4 � .� ti ., � � � 3 E � e ` � � N v � � � � � � � � �