HomeMy WebLinkAbout2013-00692 - lawn sprinkler r�-� �
CITY OF ORONO * Z 0 1 3 - 0 0 6 9 2 *
2750 KELLEY PARKWAY DATE ISSUED: 07/23/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 7/23/2013
ADDRESS : 2285 FRENCH LAKE RD
PIN : ]0-117-23-22-0011
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 004 BLOCK 001
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
NOTE: LAWN SPRINKLER--PVQ BACKFLOW DF.VICE-40 SPRINKLF,R HGADS
DO NO"I CUT[ti"I�O DRAINFIELD.
APPLICANT SPRINKLERS 50.00
SHULL, RICHARD&ANNE STATE SURCHARGE FLAT-OTHER 5.00
2285 FRENCH LAKE RD
WAYZATA, MN 55391- TOTAL 55.00
PAID WITH CC# 9088
OWNER
SHULL, RICHARD&ANNE
2285 FRENCH LAKE RD
WAYZATA, MN 55397-
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 brant 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 I 80 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 due cause
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Applicant Permitce,ign ure Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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��.Ib�S �, C\ . U Cc�1a � �1,1 V S
O City of Orono FOR CITY USE ONLY n
�- �O P.O.Box 66 ? O� ���7 z/
2750 Kelley Parkway Date Received: /u ermit�! � �r
Crystal Bay,MN 55323
,�hone:(952)249-4600 Fax: (952)249-4616 Approved By: Amount$:
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�" CITY OF ORONO- LAWN SPRINKLER PERMIT
PERMIT CODES([N-HOUSE)
Spnnklerr'Residential/Lawn Sprinkler/Blank
Sprinkler/Residential/Backflow Device Only/Blank
Please Check One: New ❑ Addition ❑
Job Site Address: -��`�5 �T�2t>r�� 1--��
Owner: �'�t�t� �V�,��,� Telephone Number: �l� �`�` ��'1�g
Mailing Address: ����.
City: U.�(y�-1�2�.c� Zip: '� S3�i1
Sprinkler Contractor: Telephone Number:
Contact Person : �lM License #:
Mailing Address:
WATER SUPPLY
Lake ❑ Well � City ❑
BACKFLOW DEVICE
AVB ❑ PVB�
�� / Make y �'�''� Model� Year of Manufacture aO� Quantity�_
Sprinklers:
HYDRAULIC CALCULATIONS Design Data:
Area of Application: � L' ��' G � Sq. Ft.
Coverage per Sprinkler: -�j �� Sq. Ft.
No. of Sprinklers: � v
Total Water Required: / z--� GPM
PERMIT FEE CALCULATION
l. Permit Fee: $ 50.00
2. State Surcharge $ �.00
3. Mail-In Fee ! $ 2.00
4. TOTAL PERMIT FEE (Add lines 1-3 abo�e)
$ � _ U \� ��
The undersigned hereby app ies to the City of issuance of a Sprinkler System Permit, agrees to do
all work in strict accardance with the ordinances of the City and State regulations, and certifies
that all statements made on this application are complete, true and correct.
Applicant Date �— �
.............................................. .............................................................................................................................................................................
Approved Approved with Corrections Denied
S � '� Date —��"�� �
Reviewed By: '�Cf'7 ���S
1�C, �.; � �- C �� �'�---tt� i> ��1 , /`���' � (� .
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CITY OF ORONO
APPLICATION FOR LAWN SPRINKLER SYSTEM PERMIT
GENERAL 1NFORMATION
L 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 work must be inspected (final). Call (952)249-4600. 24 to 48 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.
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE ��Z SCHEDULED -, —��
PERMIT N0. a�1•3—�0� COMPLETED
ADDRESS aa�� ��`��' ��� /`f'
OWNER 5��� TELEPHONE NO.��Z Z�l S�j�
CONTRACTOR
� DESCRIPTION r
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICA�FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �., pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 2Q9-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice