HomeMy WebLinkAbout2016-00594 - lawn sprinkler � ' CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: OS/3U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
�
ADDRESS : 945 FOREST ARMS LA
PiN : 07-117-23-12-0019
� LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN
: LOT 000 BLOCK 002
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
ACTIVITY : BACKFLOW DEVICE
NOTE: BACKFLOW DEVICE: PVB
2015 APOLLO-MODEL PVBA4A-F1
36 ROTORHEADS-2.5 GPM PER HEAD-4 HEADSPER ZONE
APPLICANT SPRINKLERS 50.00
STATE SURCHARGE FLAT-OTHER 1.00
AQUA ENGINEERING MAIL-IN FEE 2.00
6561 CITY WEST PKWY
EDEN PRAIRIE,MN 55344 TOTAL 53.00
(612)941-1138 Payment(s)
CREDIT CARD 5363 53.00
OWNER
EATON,ROBERT&JENNIFER
2721 COMSTOCK LA N
PLYMOUTH,MN 55447-
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.
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Applicant Permitee Signature Date Issue B Signature Date
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�p� City of Orono FOR CITY USE ONLY
p P.o.aox ss
2750 Kelley Parkway Date Received: �; ~ 7-�>—��
� Crystal Bay,MN 55323 Permit# -� � �-C'�> �/�
y� Z Phone:(952)249-4600
�qxFSHOR�G Fax: (952)249-4616 Approved By:
Amount$: �'✓ .�• �
CITY OF ORONO — IRRIGATION PERMIT
PERMIT CODES: City of Orono, Minnesota State Plumbing Code
Sprinkler/Residential/Lawn Sprinkler/Blank
Sprinkler/Residential/Backflow Device Only/Blank
Please Check One: New(�f Addition ❑
Job Site Address: `� �l 5 �o �e�7 l f�r�� L-N'
Owner: ��b���-J e�5ni�1-eJ� ��c'71� Telephone Number: �)Z' �'�`� 'y���
Mailing Address: � �S �0���� ��`�-�7 �.1.� , C� ���
City: b�l� � Zip:
Sprinkler Contractor: ��� ���\ JJC,e--��� Telephone Number �T�.` / `I '� � I�g
Contact Person: ��� `�- �� l�-1S�� , �icense P l. o 0 3 3 5 0
Mailing Address �5 6� Cl�-1 ��'� � �A C���`-�
WATER SUPPLY: Lake ❑ Well � City❑
BACKFLOW DEVICE: AVB ❑ PVB� �
Make '� � Model � �" ��Ye3r of Manufacture 20 Quantity �
� �o Zr.' �`o r`��D � - '�.. S l�3'�l''� �C����i'l� - � }����j�'e'�
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
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City of Orono Irrigation Permit, Continued
5. Two (2) sets of working plans sha�l be submitted for approval to the authoriry having jurisdiction before any
equipment is installed or remodeled. Deviation from approved plans will require permission of the
authority having jurisdiction.
Workinq 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 City of issuance of an Irrigation 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. --�-
Yr�- - -z v ______- Z.S - I (Q
Applicant: Date: � �
i
Approved: �' Approv i h Corrections: Denied:
Reviewed By: Date: ��� l
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DATE TIME ✓
CITY OF ORONO CALLED IN
SCHEDULED
pEREINVITINCar ref"00-6-?r COMPLETED3-61-ir'‘.r
Amos Sys � � �rrrrJ A,_
OWNER TELEPHONE NO.
CONTRACTOR 4q,U ' L-n Jc .
DESCRIPTION 4 wrl Zr r.
; D FOOTING D DEMO-FINAL 0 SEPTIC FINAL
D POURED WALL D PLUMBING RI 0 EXCAV
D FOUNDATION WATERPROOF D PLUMBING FINAL 0 TREE REMOVAL
D RADON SLAB 0 MECHANICAL RI D SME INSPECTION
D FRAMING D MECHANICAL FINAL 0 RATED WALLS
D INSULATION 0 WOOD E D COMPLAINT
! D FINAL D WATER HOOK-UPLLOW-UP
D AS BUILT-SURVEY D SEWER HOOK-UP 0 FOUNDATION/REMOVAL
D DEMO-SITE 0 SEPTIC INSTALL
MIMIEVCONTRACTORIO MEET TOM YES—NO
cogniENTik is&rte•e la O - r4./e.o c4 i/4'- q
c„f4G ;'2$,e2ce/0-
K
Permit has expired per MN Building Code Sec. 1300.120 subp. 11
• Expiration, no record of a Final inspection.
•
o wank SATISFACTORY:PROCEED 0 PROJECT COMPLETE
0 CORRECT WORK I PROCEED 0 ISSUE CERTIFICATE OF OCWPNNCY
•
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
D CORRECT UNSAFE CONDITION WITHIN HOURS. O PHCTiOTAKEN
INSPECTOR WILL RETURN
ISSUED
O STOP OMR POSTED.CALL INSPECTOR O CITATION
RO6
O INSPECTION REQUIRED.CALLTO ARRANGE ACCE8&
Call for the next Inspection 24 hours In advance.(952)249-4600
OvniadContraclor on alto:.
I
WINS Copplasposioes Peery PRIM NS&S