HomeMy WebLinkAbout2012-00985 - lawn sprinkler . CITY OF ORONO * � 0 1 2 - 0 PJ 9 8 5 *
� " 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1205 DICKENSON ST
P[N : 02-117-23-31-0040
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 016
PERMIT TYPE : SPR[NKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
APPLICANT
SPRINKLERS 50.00
AQUA ENGINEERING STATE SURCHARGE FLAT-OTHER 5.00
6561 CITY WEST PKWY
EDEN PRAIRIE, MN 55344 TOTAL 55.00
(612)941-1138 PAID WITH CC# 7652
OWNER
WOTIPKA, LINDA A& LEE A
9908 N W 20TH ST
PEMBROKE PINES, FL 33024-
AGREEMENT AND SWORN STATEMENT
l'he work for which this pcnnit is issucd shall be perforrned according to
the approved plans and specifications,applicable City approvals,and Uic
State Buildine Code. This pennit is for only the work described and docs
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this rype 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
suspcnded for a period of 180 days at any time after work has commenced.
I�he applicant is responsible for assuring all required inspections are
requested in conf nnance with the State Building Code.This permit may bc
revoked at• time fo
� � �`` ���� � , �z, i �z , ,
nppli in ermitee Signature Date Issucd By Si� a ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE.
- �� �oia _ o0 9�S
. - � � � io -3- /Z
s�ss oZ�
Please check one: New� Addition Limited Energy Technology
Systems License# ��_4i0����
JOB SITE �o�4 5 �<<-�c��-�'� ��
Owner's Name ��� �v�1 , �� � �� Telephone Number `���,--`i'���''7�3�
Mailing Address ( '2 t� fj �j������ti S�
SprinklerContractor's fe 'v:� `_.�+�;�'�� Telephone Number 15� - `I "� �� �
Contact P '� � � �
erson ���
Mailing Address - p � L ^ (�,��� � 1`"��
WATER SUPPLY
Lake Well� City
BACKFLOW DEVICE
AVB PVB�
Year of
Make Model Manufacture uanti
Sprinklers �'L,� �j;� �; � �
-�v � •Z�
TOTAL
HYDRAULIC CALCULATIONS Design Data:
Area of Application: '��G Sq. Ft.
Coverage per Sprinkler: � � �� ' �t.
No. of Sprinklers: �Z.
Total Water Required: � �.. � �- � GPM
PERMIT FEE CALCULATION � ��� �— ����
� D'�
1. Permit Fee $ � J`��
2. State Surchar�e $ .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 made on this application are complete, true and correct.
A licant " � � ..� _
pp Date f� `� �t�
************** **** *************************************************�******�***
A roved � A
pp pproved with Corrections D��
Reviewed By: � ~ _ Date � �
�V � ' �
CITY OF ORONO
APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT
GENERAL INFORMATION
L 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 RECENE 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.
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). Call (952) 249-4600.
24-Hour Notice Required
INSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call (952) 249-4600. You will be notified by phone when the
permit review is complete.
0
o :
o :
,; o
• • .
o •
. .
;::::...
.
. : ::::::::: .
. ,
``:: o o.::
.
— — • � • — • •
% ■ °����.
� •I.awnSDrinklcrs•
.Fertil'v.ing.Aeration•
�. •Drain Tile•
WOTIPKA RESIDENCE �-0- •
1205 DICKENSON STREET 6561 CITY WEST PARKWAY
ORONO, MN 55391 EDEN PRAIRIE, MN 55344
(952) 941-1138