HomeMy WebLinkAbout2009-00522 - lawn sprinkler CITY OF ORONO PERMIT NO.: 2009-00522
� 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 08/26/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 4040 DAHL RD
PIN : 07-117-23-11-0021
LEGAL DESC : PIRATES COVE
: LOT 017 BLOCK 001
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
APPLICANT SPR[NKLERS 35.00
BERGERSON-CASWELL [NC. STATE SURCHARGE FLAT-OTHER 0.50
5115 INDUSTRIAL ST.
MAPLE PLA[N, MN 55359 MISC FEE 0.00
(763)479-3121 MAIL-IN FEE 1.50
TOTAL 37.00
OWNER
LEPPLA, MR&MRS JOHN
4040 DAHL RD
MOUND, MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
Ihe approved plans and specifications,applicable City approvals,and the
State[3uilding 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 bc compied with whether or no[specified herein.This permit will
expire and become null and void if construc[ion 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 after work has commenced.
The applican[is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked a time for due cause.
i i ���-
pplicant Per ee Signature Date �t � �
Issued By naturc ,�-f3ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED A
oZdo9- d�d�
.. �7. �°
- Please check one: New�_ Addition
JOB SITE - � �,(j ' l�� ��� .
Owner's Name �.J ��. ' TelephoneNumber�cJa- (��3-��-'7�
Mailing Address �C' ��l� �
Sprinkler Contractor's Name��{,,�I�t;� ��I,u�`� TelephoneNumber �(G??���'�9 -3�,a I
Contact Person ��iY'' � � � ' v1 ���- ' �,C —7�
Mailing Address ���5 �Y�c�-l1�'�-��t q� �� , � �l �� 1�4'1 �l� �cj�`7�j .
t
`VATER SUPPLY
La.ke Well � City
BACKFLOW DEVICE
AVB x P VB
Year of
Make Model Manufacture uanti
Sprinklers �,�,� l�� ���� 3s-
- TOTAL �S
r
HYDRAULIC CALCULATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: � ' Sq. Ft.
No. of Sprinklers: 3 S
Total Water Required: _ ` � Gp�
PERMIT FEE CALCULATION
I. Permit Fee $ 35.00
2. State Surcharse $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PERitiIIT FEE (Add lines 1-3 above) $ �37 ,��,�
The undersi�ned hereby applies to the City for issuance of a Sprinkler System Pernut, agrees to do
all work in strict accordance with the ordinances of the City and State regulations, and cectifies that
all statements made on this application are complete, true and correct.
Applicant �G�' k /.Gj1, Date - ' -c
_ � �-�-�1 � �
***********************************************************�*********************
Approved ✓ Approved with Corrections Denied
Reviewed by: ^ � �1�� f�� °�,--� (�- L��'
�'� Date
CTTY OF ORONO
APPLICATION FOR LAWN SPRINT�ER SYSTEM PERIVIIT
GENER-�L INFORMATION � � �
1. You may apply for sprinkler system permits by ma�(P.O. Box 66, Crystal Bay, MN 55323)
or in person at the City offices (2750 Kelley Pari�way). Submit plans for review with this .
application.
2. PER�vIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK M[JST NOT
BEGN U�tTIL THE PERI�IIT CARD IS FOSTED 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 workin� plans shall be submitted for approval to the authority having
ju:=.�diction before any equipment is installed or remodeled. Deviation from approved plans
will require permission of the authority having Jurisdiction.
_r
Worldn� 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�vater 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 249-4600.
24-Hour Notice Required
Iti'STRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, ca11249-4600. You will be notified by phone�vhen the permit
review is complete.
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�� DAT TIME �
CITY OF ORONO CALLED IN � �
INSPECTION NOTI E D�So� SCHEDULED �u� ����D
PERMIT NO. � COMPLETED
ADDRESS �Q� �
OWNER CONTR �� G�-e.
TELEPHONENO. �� ZSS— ���
� DESCRIPTION �� / ��� �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EX V/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-S�TE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ L ❑ HARD COVER REMOVAL
M G FINAL ❑ FOUNDATION/REMOVAL
OWNERICO TRACTORT MEETYOU: YES NO
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W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL REfURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site: � '
Inspector. � � / ''� 7 "
White Copyllnspector's File Canary CopylSite Notice