HomeMy WebLinkAbout2011-00749 - backflow preventer , r CITY OF ORONO PERMIT NO.: 2011-00749
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 07/27/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2587 KELLY AVE
PIN : 20-117-23-14-0021
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 004 BLOCK 005
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . L�1d�I SPRTNKI ER , �'>,' '� � 1. ���' �� � �CL—
NOTE: BACKFLOW PREVENTER
APPLICANT SPRINKLERS 35.00
DORAN ENTERPRISES INC. STATE SURCHARGE FLAT-OTHER 0.50
1440 KELLY DRIVE
GOLDEN VALLEY, MN 55427 TOTAL 35.50
(763)546-5066
Minnesota State License#: 58224PM
OWNER
WARE, ALEXANDER
2587 KELLY AVE
EXCELSIOR,MN 55331-
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 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
revo a t o cause.
� � ��� �G�I/ � �
pplicant Permitee Signature Date Issued By � ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE.
. 'O,¢p�O City of Orono ° ;g��������p��
P.O.Box 66 �:
2750 Kelle Parkwa � � �� ��� � � ��
� Y Y 1�a�e�cC�usd �'eTm�Y#
��� Crystal Bay,MN 55323 � ���_ y
Phone:(952)249-4600 Fa�c: (952)249�616 �j�pp�y�d$y � tl�ntsurit�:
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CITY OF ORONO—LAWN SPRINKLER PERMIT
Job Site Address: �,� � 1ti �w( �'
Owner: C-C.rW' Ll7 f.��.P Telephone Number: 1,�l� ���' 93�3
Mailing Address:
City: Zip:
Sprinkler Contractor��l h L�1��*S� Telephone Number: ��� q �� ��f�7
Contact Person : �'J •��D''L��-, License#: S�'�y !�- `Vj
Mailing Address: Z� � r' �D �F' � � cS" �77
WATER SUPPLY
ake ❑ Well ❑ City�
LOW DEVICE
vB ❑ PVB � (/'a.�ccc�M bre��
Mak�_,(� Model � Year of Manufacture Quantity /
Sprinklers:
HYDRAUI.IC CALCLTLATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: Sq. Ft.
No. of Sprinklers:
Total Water Required: GPM
PERMIT FEE CALCULATION
1. Permit Fee: $ 35.00
2. State Surcharge $ .50
3. Mail-In Fee $ 2.00
4. TOTAL PERMIT FEE(Add lines 1-3 above)
$
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 statem on this application are complete, true arid correct.
:
Applicant Date � ��' •��J�
. .....................................
Approved Approved with Corrections Denied,
Reviewed By: Date
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 RECEIVE 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 to 48 Hour Notice Required
IN5TRUCTIONS 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.