HomeMy WebLinkAbout2011-00980 - rough-in vacuum breaker � , .
CITY OF ORONO PERMIT NO.: 20��-oo9so
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 09/02/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 155 KINTYRE LA
PIN : 32-118-23-43-0016
LEGAL DESC : KINTYRE TWO
: LOT 2 BLOCK 1
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
NOTE: ROUGH-IN ONLY OF THE LINE IN THE HOUSE WITH VACUUM BREAKER
RPZ-WILKINS,MODEL 35XL-1
APPLICANT SPRINKLERS 35.00
SPRING PLUMBING LLC STATE SURCHARGE FLAT-OTHER 5.00
11473 KENYON COURT TOTAL 40.00
BLAINE,MN 55449-
(763)614-7963 PAID WITH CC# 3580
Minnesota State License#: 066807 PM
OWNER
ROLL&JACQUELINE WILLIAMS-ROLL,MICHAEL
75 FERNDALE RD N
WAYZATA,MN 55391-
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 dces
not grant permission for additional or related work which requires sepazate
permits. AI►provisions of laws and ordinances goveming 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 assuting all required inspections are
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
l l O�"Y_` I l �l /f
Applicant Permitee Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
9/0�/11 08 : 43AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg ;
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9� .�r.�^•d� Phoon:(952)2A9-4600 P�c; (952)2A9�4616 Appmv�ed Dy, Amuunk S;
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CiT�I OF ORONO�LAWN SPRINKLER PERMiT
f�f'.RMIT CODES(fN-Hf)U9E)
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Bptinklw'/Rooldptt1ol/1�adcDorv Dovioo OnlylBl�nk
Plesse Chc'ek One: �1ew Addi[ivn
Job 5ite Address: 155 Klntyre �ane
���; Kyle Nunt 8 Pa�tnera 'Telephone NUInbCr;
MailingAddress: 18324 Minnetonka Blvd
City: Daepheven Zjp; 55381
_ Sprinkldr Coz�t�aator:Sp�lnp Plumbing Telcphonc Number: ��g3)814-7983
Contact Persoa ; Tneresa Blalon Li�ense#: 66807-PM
Mailing Addcess: 11473 Kenyon Caurt Bleina MN 66448
WATESFUPPLY
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�Ac�F�,ow DEVICE
A�e ❑ � (L PZ
M.�lce ��S Model 3'SX L`1 Year ofManufacture�'�,� Quantiry,�____
' era�
� We dld the rouQh-in only oi tne Ilne In the houee wit��aCuum preaker.
HYDRAULI��'�LCULATIONS Design Data:
Area of Application; Sq. Ft.
Coverage per 5prinkler: Sq.Ft.
No. of Sprinkl�rs;
Total Watcr Acquired: GPM
PERMIT FEE GALGULATION
I. Petmit Fee: S 35,90
2. State Surcharge S_�1Q
3, Mai1-In Fee $ 2.00
�4. TOTAL PERMIT FEE(Add linea 1-3 above) $40,Oa
The undersigned hercby applies to the City of issuancc of a Sprinkler System Permit, agrees to
do a11 work in strict aCcordance with the ordin�nces of the Ciry and State regulations, and
certifies that all s ents made on this ap lioation are complete,true aud correct.
Applicant �.- Date Ill
.......................��.��. � ,...�::...................................................�„�.���.�.....,�� .................................,.......................����.......���.�,...��
ApprovCd �_ Apprvved with CorrectiQns___ Denied
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Reviewed By: �%',�-�� .,--t�_ � ��-, ,/�� Date __( � � — ( �
Reae�t Farm