HomeMy WebLinkAbout2016-01400 - lawn sprinkler � CITY OF ORONO ,�2 0 1 6 - 0 1 4 PJ�
; ' 2750 KELLEY PARKWAY DATE ISSUED: 1 UO3/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4220 CHIPPEWA LA
PIN : 31-118-23-42-0012
LEGAL DESC : CHIPPEWA 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
NOTE: IRRIGATION PERMIT-WILKINS MODEL 720 A
APPLICANT SPRINKLERS 50.00
STATE SURCHARGE PLBG(<$500) 1.00
AQUA ENG[NEERING TOTAL 51.00
6561 CITY WEST PKWY Payment(s)
EDEN PRAIRIE,MN 55344 CREDIT CARD 3153 51.00
(612)941-113 8
OWNER
DBG, LLC
SCHRODER, SUSAN
4725 WEST LANE
MINNETRISTA,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only Ihe work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit wiil
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for du�cause.
i�
�-'\ f% � i� � 3 � G�
App � ermitee Signature Date Issued By �gnature Date
�pNOCity of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received:
2750 Kelley Parkway
1 � Crystal Bay,MN 55323 Permit#
+ � Phone:(952)249-4600
��'r� .` ' Fax: (952)249-4616 Approved By:
�."kr�i{uv- ..
_. Amount$:
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❑ Addition ❑
Job Site Address: � GL- L�-�l `�
Owner: ��l/�i � �l'�S Telephone Number: /�O; � �(�-��c�r3
Mailing Ad ess: �� P�{GL�ll� {'I u�
City: ' � Zip: �5��Z Z
� ��� � 9y �-l13�
Sprinkler Contractor: �C G ril Gi 1 3'1�+�I"' I �l�-�Ielephone Number
Contact Person: �1�D (�l �i�7 � a S�I�- License (�-� �� 3� � L I�� ✓��I�('Ci�)
Mailing Address �� UJ � � �5��`�`1
WATER SUPPLY: Lake ❑ Well �" City❑
BACKFLOW DEVICE: AVB ❑ PVB �
Make ( � I� l �l S Model �� Year of Manufacture ���5 Quantity '
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
City of Orono Irrigation Permit, Continued
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.
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.
Applicant: I �1� �� Date: ���J � �� ��
Approved: Approved with Corrections: Denied:
Reviewed By: Date:
Page 2
__-------___.�__
� ' � � �
. a ,
`a
;�
. !
S��`�' t �'
s r^ ,�,��_ C�
�, . . . ' � F, � c�
<< ��
�"_ �
,
;
�
� � a
� � oo�
��---� �
�
� a
� �
Q� g
. � ,l L\� �J-
��� ���
��, p � �1 �i
s
j � �.—�
\
� �'
� � �
- �o
� � � �
;
;
�
,
� ;
�' "�
�
�
� �
� .� �
�
/�
�
DATE TIM�,-�
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED / �� //� p v
PERMIT NO.a'�� d� � PLETED
ADDRESS �� �'�
OWNER T LEPHONE N9.
CONTRACTOR
4�1 DESCRIPTION " ' " �
j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERICOMTRACTOR TO MEET YiOU:_YE8_NO
y COMMENTS:
� � ` � � r
4 �/�C-�..�'� ,'�%G2 � ;%�. 1�� �' r
J
o � . I /
� � J G-ri� � (/�i,G�.J.--�
O
� �.�P�,�c� /� ,
W '
�
Q
�
�
W
0C
,
W O WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VMORK R PROCEED ❑ISSUE CEATIFICATE OF OCCUPl1NCY
0 �CORRECT WORK,CALL FOR REINSPECTION TENIPOR1IRY
V � BEFORE COA/ERIN(i PERMANENT
�(�RRECT UNSAFE CONDITION WRHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WFLL RETURN
❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConfractor on site:
Inspector. �`'�'�'
White CopYAnsPector's FIN C�n�ry CoprlSit�Notle�
• C
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONPERMIT NO ' �?/ �COMPLET� 3 - a'-t SC.rV
ADDRESS 'S o� C.l a -401 •
OWNER �ll TELEPHONE NO.
CONTRACTOR Oke .
DESCRIPTION Pt- Z#"r'
o FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
0 POURED WALL 0 PLUMBING RI 0 EXCAV
1 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
0 INsu'.ATION 0 WOOD E 0 COMPLAINT
! 0 FINAL 0 WATER HOOK-UP UP
0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATIONUREAOVAL
O DEMO-BRE 0 SEPTIC INSTALL
TOMIT IIpU:_Y _ND �^ n
COYYEN rik I! vN.C Ac Fd///S�Q 1 .f j -
•• n4G
Permit has expired per MN Building Code Sec. 1300.120 subp. 11
•
Expiration, no record of a Final inspection.
•
O WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
O CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
•
k O CORRNDTWOIIKCALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
O CORRECT UNSAFE OONDmONWITHIN HOURS- O PHOTOTAKEN
INSPECTOR PILL RETURN
O BTOP ORDER POSTED.CALL INSPECTOR O CITATION DIED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Car torths mod 6rpsotlon 24 hours In advance.(952)249-4500
OwnerIContractor on site:
Inspector: 9
MINI.Copyllommoloes FI» Comely O.PIIIMI.Naha