HomeMy WebLinkAbout1994-006177 - lawn sprinkler PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 815li-f-LiP
Orono. Minnesota 55356-0815 Permit Number:
Date Issued:
(612) 473-7357 1 A.
SITE ADDRESS:
.5 T-4 RD
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
Please check one: New Addition
JOB SITE W I /1ORTy6TWj51II7? 9,6
Owner's Name 6 . L, A1=)E-'M1 AJ Telephone Number 990
Mailing Address s grrl
Sprinkler Contractor's Name Telephone Number
Contact Person M p PJ
Mailing Address /a 3 R5 /TLE7VyE`7DndKr3 &VA
WATER SUPPLY ' SS��
Lake Well City
BACKFLOW DEVICE
AVB PVB _ RPZ
Year of
Make Model Manufacture Quant1jy
Sprinklers
TOTAL
HYDRAULIC CALCULATIONS 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 $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 31-- JD
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
Approved Approved with Corrections Denied
Reviewed by: �
rj�v� Date
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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.
Working 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 473-7357.
24-Hour Notice Required
INSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call 473-7357. You will be notified by phone when the
permit review is complete.
%,, 5 Form 16278
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