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Home My WebLink About2016-01252 - lawn sprinkler . � CITY OF ORONO * 2 0 1 6 - 0 1 2 5 2 * 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2264 SHADYWOOD RD PIN : 17-117-23-43-0124 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 005 BLOCK 001 PERMIT TYPE : SPRINKLER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAWN SPRINKLER NOTE: NEW LAWN SPRINKLER APPLICANT SPRINKLERS 50.00 STATE SURCHARGE FLAT-OTHER 1.00 TEMACA LAWN SPRINKLERS TOTAL 51.00 3790 EIIGHLAND ROAD Payment(s) ST. BONIFACIUS,MN 55375 CASH 51.00 (952)446-1778 OWNER WIPSON,DAVID& LISA 4870 MINNESOTA LANE N PLYMOUTH,MN 55446- 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 revoked at any time for due cause. ��/ �—. /(.i � � - �� ; �,�� x �� /`�'� => ��- A plica Permitee 'gnature Date Issued By Sig ature Date • �p� City of Orono FOR CITY US ONLY Q P.O.Box 66 Date Received:_ (� —��,-- � 2750 Kelley Parkway _a � Crystal Bay,MN 55323 Permit# ��( (,, ` f�/ :��.:�, �- �` Phone:(952)249-4600 ��qkESHO��G` Fax: (952)249-4616 Approved By: _. �Z�� Amount$: ��.% CITY OF ORONO — IRRIGATION PERMIT PERMIT CODES: City of Orono, Minnesota State Plumbing Code Sprinkler/Residential/Lawn Sprinkler/Blank Sprinkier/Residential/Backflow Device Only/Blank Please Check One; New ' Addition ❑ Job Site Address: �� 'l� C� Y ��, e��TT �[ . Owner: T/��/��, (wJ [TLS'c� /�/ Telephone Number: Mailing Address: � � ��_�� ,`_"'.�LL1 r1 i�_� �� . -� City: �"i � (,.r��C��:� Zip: T�/. Sprinkler Contractor.�j= �--L��- Telephone NumberT�_��. L�T/. �� Contact Person: �� License Mailing Address� �7�L% �f /��m/,_� � �'f' /�(^�/'��-�,-�� WATER SUPPLY: Lake ❑ Well ❑ City� - BACKFLOW DEVICE: AVB [� PVB ❑ Make = Model Year of Manufacture Quantity J�t:�.1h -5��'�,r,.,�'�I'`� ��;'Z.� 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. GENERAL INFORMATION 1. You may apply for Irrigation 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. Page 1 City of Orono Irrigation Permit,Continued • 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. Workina 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 PERMIT FEE CALCULATION 1. Permit Fee: $ 50.00 2. State Surcharge $ 1.00 3. Mail-In Fee $ 2.00 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ The undersigned hereby applies to the Ciry of issuance of an Ir�igation 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. 1, Applicant: Date:� l�o Approved: Approved with Corrections: Denied: Reviewed By: Date: Page 2 �MN�NI��J �� v i � �� 009�-61►Z�Z�i1�•y•�10'�rz�,�«A�a� ��n��a �„��o a�Nouvia o Nu�u3u,�w►uou�eaw« f9fl�►1QlAFW O �� NNIIIMNOIlIQ1003�lVSNf11J�100 O 1�BNVMN9d p�p� � AdVU0dN91 NOU�3dSNl�!110d l'1119�RIOM J,t�10�O � A�'JNMdfq0pa1p�111J�I11�J3f�l O �Otldl7RIOMIJ�li10�O � 3131dr100 JJ01'011d O �J'JONd�AUQL.')Y�ilir8�lOiM O ` 1 1 � 1 . . 1 � 1 1 •uo�adsui �eui� e�o pao�aa ou `uo�eaidx3 � � Zt 'dqns OZ�'00£Z '�as apo��uip�in8 NW aad paaidxa sey �iw�ad ! 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