HomeMy WebLinkAbout2012-00622 - lawn sprinkler CITY OF ORONO * z 0 1 2 - 0 PJ 6 2 2 *
, 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2012
t ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 10 MYRTLEWOOD RD
PIN : 36-118-23-33-0009
LEGAL DESC : MYRTLEWOOD
: LOT OOl BLOCK 001
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
NOTE: WATER SUPPLLY-LAKE
APPLICANT SPRINKLERS 50.00
AQUA ENGINEERING STATE SURCHARGE FLAT-OTHER 5.00
6561 CITY WEST PKWY TOTAL 55.00
EDEN PRAIR[E, MN 55344
(6l2)941-1 l38 PAID WITH CC# 7652
OWIYER
FREELAND, BRYAN
10 MYRTLEWOOD RD
WAYZATA, MN 55391-
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 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 180 days of the da[e 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 an for d �
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Appli itee Signature Date Issued By S�gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Please check one: New� Addition Limited Energy Technology
Systems License # � L V n�3,5�
JOB SITE �O I" l ��"-����
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Owner'sName �� �� �� TelephoneNumber Z - � �7�
Mailin Address ` n,
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Sprinkler Contractor's Name � � Telephone N er W�Z` °(�-� � �� I�
Contact Person � L - �_
Mailing Address - 6 6 C ��S � ��'U.�� I--� � ��-�
WATER SUPPLY
Lake Well�_ City
BACKFLOW DEVICE
AVB PVB�_
Year of
Make Model Manufacture uanti
Sprinklers �{-�L7.��'� P�P Zv�'� ,
TOTAL ���
HYDRAULIC CALCULATIONS Design Data:
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Area of Application: � ��`-' S Ft.
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Coverage per Sprinkler: 3c�Ffi�'pi��)� Sq. Ft.
No. of Sprinklers: Z$
Total Water Required: 3 ' S Z�� _ . GPM
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PERMIT FEE CALCULATION �
1. Permit Fee $ 5.00 J�� ' �
2. State Surchar�e $ 5 5 .
3. Mail-In Fee $
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � -�r'. � �
The undersigned 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 ���� D�e S�N� � Z� � �
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A roved �
pp Approved wrth Corrections D��
Reviewed By: �/ �� � � Date "v� � , �
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CITY OF ORONO
APPLICATION FOR LAWN 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 RECENE 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-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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CITY OF ORONO CALLED IN �'1� ��
INSPECTION NOT�CE �-7 SCHEDULED �Z � Z �
PERMIT NO. ��la-OD�r�co�-COMPLETED
ADDRESS � �d �
OWNER TELEPHOI�E NO. 9sz 95�� /�3
CONTRACTOR �L[.a
� DESCRIPTION ���� — lrrl Q�7���
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTtON
Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS: ���� �c !/Q�w�''� ���
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice