HomeMy WebLinkAbout2003-P06837 - lawn sprinkler ' ` PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6s3�
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 9i3oi2oo3
SITE ADDRESS: 1101 Ferndale Rd W
WAYZATA,MN 55391
PI D: 02-117-23-43-0020
DESCRIPTION:
Proposed Use: Residential
Perniit Class: General
Permit Type: User Defined Pernut Sub-type(s): Lawn Sprinkler
DETAILS:
Approved per resolution#:
Separate perniits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Bergerson Caswell, Inc. OWNER: 7 G& S M LEBEDOFF
5115 Industrial St. 1101 FERNDALE RD W
Maple Plain,MN 55359 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A PLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
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Please check one: New �. Addition
JOB SITE � �Q ( ��.�`1��c_,i t., G-c�- � �� ,
Owner's Name��r,a.,-�,�v� �,�-��C�� Telephone Number_ ��� y 7� (�-{/��
Mailing Address_ � I 0 i �E r;�l c��-I c: rc� �� � U�d�• �
SprinkterContractor'sName I �c�( �� -�; ;,J�.,11. TelephoneNumber � �G�j 4�� � 'iZ.�
Contact Person �c� e.. t e,�a�,�,�
Mailing Address_ S 1 1 � �d�.��5�� �i U-- l `:-} . �,�U,;� � ��, ��1�� ,1� �'<'�� .
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�VATER SUPPLY
La.ke 1L R'ell City
BACKFLO`V DEVICE
AVB PVB
Year of
Make Model Manufacture uanti
Sprinklers � �'��'S � u,n��-E:.� l- <� � 3 �
`- S U��-t, ! ��C1 - S (< C� �'' 'L
- TOTAL ��'�
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HYDRAULTC CALCULATIONS Design Data:
Area of Application: Sd� Sq. Ft.
Coverage per Sprinkler: {�+�< ,��o � -.�� (;,� Sq. Ft.
No. of Sprinklers: "
Total Water Required: �J Gp�
PERMIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State SurcharQe $ .50
3. Mail-In Fee $ 1.50
4. TOTAL PERIVIIT FEE (Add lines 1-3 above) $ 3� : r��
The undersi�ned 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.
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Applicant ,�:,�.�- �—� Date �� ?�`�oJ
***********************************************************�**********�**********
Approved_'�� Approved with Corrections Denied
Reviewed by:
;'�,,^ c.�-�, �t,�-r-a--� Date � �� __0�
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CTTY OF OROti'O
APPLICATION FOR LAWN SPRIlV�.ER SYSTEM PER�I�IIT
GEiVER-�L INFORMATION �
1. You may apply for sprinkler system pernuts by ma�(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. PER�VIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MLJST NOT
BEGN U�1TIL TI�PERI�IIT CARD IS POSTED ON THE JOB SITE.
3. When any new construction or remodeling is involved, a separate building pemut 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
ju::�diction before any equipment is uistalled or remodeled. Deviation from approved plans
will require permission of the authority having Jurisdiction.
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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 controi 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'STRUCTIO�'S Complete all items on this application. Incomplete applications will not be
processed. If you have questions, ca11249-4600. You�vill be notified by phone �vhen the permit
review is complete.
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0. PU��d 3 � COMPLETED �0-io �U3 �o'•c�t,�
ADDRESS �IC�� �'zi�`�r�C �.,� '�-
OWNER CONTR. d--�-
TELEPHONE NO.
� DESCRIPTION S A� :�K`�.�'' '
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.GALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr ct�te:
Inspector.
White Copyllnspector's File Canary CopylSite Notfce