HomeMy WebLinkAbout2007-P11359 - lawn sprinkler PERMIT
CITY OF ORONO
2�� 50 Kelley Parkway- PO Box 66 Permit Number: p11359
C tal Bay, Minnesota 55323 Permit Type: User Defined
(952 249-��00 Date Issued: 8/27/2007
SITE AD RESS: 2340 Glendale Cove La Unit#
Long Lake,MN 55356
P��� 34-118-23-33-0062
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: General Service OWNER: Bohland Development
6125 Main St 1844 Wayzata Blvd.
Maple Plain,MN 55359 P.O. Box 815
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A ANT PERMIT E S ATURE ISSUED BY SIGNATUKE �/��/
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
5-�7-07
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�5-�'3 � 3��
Please check one: New ��'"` Addition Limited Energy Technology
� Systems License # f�,( G= '-CJ,j��
. �
JOB SITE .,,� � `/C='' �lc-��l;,._ l�- = � c� y-�
Owner's Name �-��,,�;�:,��� , Tel hone Number ���-
-� '-►��-s � ��• y ?_ 3 _�..')���:� f�
Mailing Address
Sprinkler Contractor's Name � - c.., /� ,��,_�,.,�rTelephone Number )�.j- �r-j f �,S"��5--
Contact Person '„�s,� �n�. �,l -� /'/������T��
�s
Mailing Address .�.�'� � ,�fj� '� �' � ��� / � �'S�-�-�
n�.� � ��% .-, �<�i� ��t� �
WATER SUPPLY
Lake Well City�'"
BACKFLOW DEVICE
AVB PVB j-�""��
Year of
Make Model Manufacture uantit
Sprinklers ,�.,,,,tC,� f�;f� C� 7 `7
�,., ��- :���2� �
� �
� ..� f�,- �'"�l'�c�s �Y � ? ��
TOTAL , ` `"
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers: _ � ��
Total Water Required: , ,�-,f� 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) $
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 / ` � Date ,�'-l/'-,�- ����
*********�:** ***** ******** ****************************************************
� . ,
Approved Approved with Corrections Denied
Reviewed By: Date ��� ��-C� �
., �
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 RECENE A PERMIT. WORK MUST NOT
BEGIN LTNTIL 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 wark 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.
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FOR CITY USE ONLY
0,���0 City of Orono — —
P.O.Box 66 Date Received: Permit#
'� 2750 Kelley Parkway
� �; '�'. � Crystal Bay,MN 55323 Approved By:(►fRequircd):
•����a (952)249-4600
�rresog�
CITY OF ORONO—WATER METER FORM
(*Note:Some pemiits may require approval by Ihe 8uilding Offcial and/or Public Works Department")
GENERAL INFORMATION
1. WATER METERS must be picked up and paid for at City I3a11.
2. If possible, fax in this application ahead of time;we will then call you and let you know we have
the water meter in stock. Fax Number: (952)249-4616. Also,you ca�call ahead of time to�nake
sure we received the fax,or to wain us that the fax is coming.
3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4(00,
upon completion of ineter installation.
TYPE`OF:PERMIT
Check All That A 1
[�Residential(May Require Approval) ❑ Commercial(Approval Required)
� New Meter ❑ Additional Meter–For: ❑ Replacement Meter
Job Site/Owner Information:
Site Address: ' ����_ �'�t'�1� ���1�E � L ��.�r�� �-�'�I lr'
Owner: ��j�;_�1_i , ,� t �; ;�' ��_I�ItJ MailingAddress: ,;�:, � �
� ,�.X ?S�,
City: �_� .�� ���; Zip: , � , t ;�
.
Home Phone: �j 1��,,�'�� %�� -(1 �� { A?temate Phone:
Contractor Information:
Contractor: ��-��,,tavt- �1�Yt'lY����-�C.t�C. ContactPerson: �7^n �.��
Address: 1�Z�� �_I� 1��r1� i�� State License #: (��(1�-�2 i r� �lr}1 _
,
City: 7,ip:r�rri�y Expiration Date: I Z�"�t f C'`]
�
Phone: �Io�-��-{Z..`�S-! �5��� Alternate Phone:
i�} ��irl i w7t�'x����w -"�'�'c. N ia f.5t� � ' �J{` �j ,{Cj�{r .. .
4 , 1'Il�rr_�� 4�y''����I��O�r:r ����,�����1Y,����h�1J���`�,X,`,X A YI�'�ik.t�t�J i� }.,1 n) �rl'�.'` .r�i�'�
l
❑ 5/8"METER-$240.00 ❑ 3/4"METER-$291.00 �/1"METER-$356.00
❑ 5/8"HORN -$ 44.62 ❑ 3/4"HORN -$ 49.03 � 1"HOItN -$ 73.12
❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED)
1. METER FEE: $ -� t ,� ���.
2. HORN FEE $ s� ' , ( �
3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �� �_�`� � j
�
CITY-USE ONLY
BRAND: _ /�
SIZE: ❑ 5/8" ❑ 3/4" I_J}�i" ❑ Other "
�l T -
SERIAL#: ___ ��57�'�
III III IIII I II II III I IIIII III I�
ERT HIGH#: 1810051322 (if applicable)
ADDITIONAL INFORMATION--WATER METERS
The undersigned hereby applies to the City of Oi•ono for issuance of a water meter permit, agrees
to do al] work in sh-ict accordance with the ordinances of the City and the reoulations of the State
of Minnesota, and certifies that all statements made on this application are, true and con-ect.
� '�, � a' -- . .
Applicant: � 1��,�'��. ���� ���'��i 1 !„i �� '. Date: ��� �
.._ t.
Originnl: 1-Adtb�ess Frle
Mahe Copies Fo�•: !- Utility L3illirig Depcu•t�rte�rt /- Cash Drc�tiver