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Home My WebLink About2013-00419 - lawn sprinkler � CITY OF ORONO � '� 2750 KELLEY PARKWAY * DA�TE ISSUED: OS/8/20 3 * ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 345 FERNDALE RD N PIN : 36-118-23-41-0028 LEGAL DESC : HILL O'WAY MANOR : LOT 023 BLOCK 001 PERMIT TYPE : SPRINKLER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAWN SPRINKLER NOTE: BACKFLOW DEVIF,-AVB-WILKINS-MODEL 720-A APPLICANT SPRINKLERS 50.00 OUTDOOR& MORE LLC P O BOX 359 STATE SURCHARGE FLAT-OTHER 5.00 LONG LAKE, MN 55356- TOTAL 55.00 (952)476-8485 PAID WITH CC# 6624 OWNER WILLIAMS, JAMES&JUDITH 345 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 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 ]80 days of the date of issuance,or if cons[ruction is suspended for a period of 180 days a[any[ime after work has commenced. The pplicant is responsi�(e for assuring all required inspections are re est in nforma �e with the St te�uilding Code.This permit may be � r o��t time e cause. "' �� 5� �Z �l3 ,� � < , � �� L3 Applicant Pe itee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , �� j � /J�O • _ City of Orono FOR CITY USE ONLY ��0 P.O.Box 66 � 2750 Kelley Parkway Date Received: Permit# i� Crystal Bay,MN 55323 � Phone:(952)249-4600 Fax: (952)249-461 C Approved By: Amount$: � � y � F � `�kESHv��V CITY OF ORONO-LAWN SPRINKLER PERMIT PERMIT CODES(IN-HOUSE) Sprinkled Residential/Lawn Sprinkler/Blank Sprinkler/Residential/f3�ckFlow Device Only/Blank Please Check One: New Addition❑ Job Site Address: �� 1'I ��Q�� 1� �o ��Q(/�� ;.�� Owner: .� I�►'� ��CJ m.S Telephone Number: �J" .�Z ' .S�j y"f�f�yL Mailing Address: .�y.� Z°rnLl�' R� /G'+ rU�� ' �,.�,37� City: �C'U�� Zip: ,��..3�� Sprinkler Contractor: QV]��/�,�(yr ��Q/e �(�(, Telephone Number: 9�JZ v r,�6�� Contact Person: L�r(�!� License #: Mailing Address: ,d� ,�; .�J �a�'► ' (��i/7� U�i' .� _3.J Gi -�.3 J WATER SUPPLY Lake ❑ Well ❑ City� BACKFLOW DEVICE AVB� PVB ❑ Make � ��'�i vl� Model LU`�� Year of Manufacture ��l�� Quantity � Sprinklers: /"/Cl� a n' J_�! C l � J �1 HYDRAUL[C CALCULATIONS Desig ata: Area of Application: Sq. Ft. Coverage per Sprinkler: Sq. Ft. No. of Sprinklers: Total Water Required: GPM PERMIT FEE CALCULATION 1. Permit Fee: $ 50.00 2. State Surcharge $ 5.00 3. Mail-In Fee $� 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 wark in strict accordance with the ordinances of the City and State regulations, and certifies that all stat ents ade on t is application are complete, true and correct. � Applicant ` Date � �O �,� Approved Approved with Corrections Denied Reviewed By: Date v� D3T TIME " CITY OF ORONO CALLED IN �`l� INSPECTION NOTICE (� SCHEDULED � �� PERMIT N0. ��1�`�L �� COMPLETED ADDRESS �7 s V��Z�LG��-� �C/ /v OWNER ✓/h-r GfJ/11��4 TELEPHONE NO. l�sZ S�� T Z CONTRACTOR ��-'�� `�' /uOr� >; DESCRIPTION V,Q-�'��r1��/�- G'GZ�?� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA� Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � l�'� �v �M 1��P� 0 � W � Q � z W � W � � d W� ❑WORK SATlSFACTORY:PROCEED �JECT COMPLETE W ❑CORRECT WORK&PROCEED ^� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector._� / /�r�/ �J White Copyll�spe tc or's File Canary CopylSite Notice