HomeMy WebLinkAbout2004-P07550 - lawn sprinkler PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�sso
Grystal Bay, Minnesota 55323 Permit Type: UserDefined
(952) 249-4600 Date Issued: 6iv2oo4
SITE ADDRESS: 4465 Forest Lake Landing
Mound,MN 55364
PID: 07-117-23-24-0038
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Sub-type(s): Lawn Sprinkler
Permit Type: User Defined
DETAILS:
Approved per resolution#:
Separate permits required: �
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Owner/Self OWNER: 7on Blackstone
� 4465 Forest Lake Landing
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS 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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% -'' APPLI PERMITEE SIGNATURE [SSUED BY SIGNATURE
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Conies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthiv Reports. 1-Assessin�, 1-Finance Page 1
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` Please check one: New `� Addition Limited Energy Technology
Systems License #
JOB SITE -� -��- �/�S - ,,
Owner's Name �.� — ���,C!��� Telep one Number ���- ���-�,j,��
Mailing Address��'/�����<�-i r',S 7`��c� ,��.����i�/
Sprinkler Contractor's Name �,�/� Telephone Nutnber :;3�'��� t
Contact Person �?,/�(�
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Mailing Address - ��;���':
`VATER SUPPLY
Lake r/ Well City
BACKFLOW DEVICE ' /
AVB PVB ��l/�
Year of
Make Model Manufacture uanti
Sprinklers_ tn�e 2 G �-��-141��•.D0� .�'J7/
TOTAL
HYDRAULIC CALCULATIONS Design ata:
Area of Application: ° 7 �S Sq. Ft.
Coverage per Sprinkler: � �+p Sq. Ft.
No. of Sprinklers: �t�_
Total Water Required: � (' �� GPM
PERMIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50
4. TOTALPERMIT FEE (Add lines 1-3 above) $ 3�.5 Ly
The undersi�ed 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 ' ����� �"� �� I, 0
Date �
***�*********�**��x**�x******�*�*********�************�***********************�****
Approved x App oved with Corrections Denied
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Revie�ved By: ���1� �� Date u 'i -� �
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CITY OF ORONO
APPLICATION FOR LA`VN SPRINKLER SYSTEM PERMIT
GENERAL INFORMATION
1. You may apply for sprinkler 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.
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.
Working 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 �vork must be inspected (final). Call (952) 249-4600.
24-Hour Notice Required
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.
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Description : Tracts A and D ,
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We hereby certify thai this is a true and correct representotion of a survey oF
the bounderles of the land above described and of the location ofa11 building�
if any, thereon, end alt visible encroachments, if any, from or on seid land.�
Deted thls� � h day of_ �'�ay , � 975 . EG�N, ELD b NOw.�K� INC. �
Survey�r ` �
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�� DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION N T/�CE SCHEDULED 6- i�'�' �d .��
PERMIT NO. C/ 755� COMPLETED ���� `1 � rO��U
ADDRESS �T�S ���4'� �
OWNER �D`�-r( �IG<-l�lSf7J��CONTR.
TELEPHONE N0. g52 �7 2-- ZS 3 �°� ��Z"5�-gZ83
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� DESCRIPTION S ,
� 01 FOOTING -�11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU: '�YES_NO
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� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �j(�ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED /' ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlCon ctor on site:
Inspector. ��� .
White Copylinspector's File Canary CopylSite Notice