HomeMy WebLinkAbout2009-00538 - lawn sprinkler • � CITY OF ORONO PERMIT NO.: 20o�-oos3s
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 08/3U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 560 NORTH ARM DR
PIN : 06-117-23-31-0007
LEGAL DESC : VICTORIA ESTATES
: LOT 005 BLOCK 001
PERMIT TYPE : SPRINKLER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAWN SPRINKLER
APPLICANT SPRINKLERS 35.00
BERGERSON-CASWELL INC. STATE SURCHARGE FLAT-OTHER 0.50
5115 INDUSTRIAL ST.
MAPLE PLAIN,MN 55359 MAIL-IN FEE 1.50
(763)479-3121 MISC FEE 0.00
TOTAL 37.00
OWNER
MAZER,THOMAS&SUSAN
560 NORTH ARM DR
MOUND,MN 55364
AGREEMENT AND SWORPi 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 sepazate
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 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 aze
requested in conformance}yith the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
.
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' Please check one: New Addition
JOB SITE D{�v o �
Owner's Name '�,,,-� ��,,�_e,/ Telephone Number a,.sa�'�7a �'���
Mailing Address_ J�(o C� lvo►�-�h �_���Y Orvnc�,rn n�
Sprinkler Contractor's Name �rc,2�Son —c,a,si,/c/j .�,c TelephoneNumber �7�,3`y7�1-3/a/
Contact Person�,�,� // oa�, � (p��-j�,�-7Sf��� Cz/c.�
Mailing Address � ( I �� it.�,�:.�1�f �P ���.iy� „rr'!�'U .�S �-r1 •
�VATER SUPPLY
La.ke Well � City
BACKFLO`V D VICE
A� �VB
Year of
Make Model Manufacture uanti
Sprinklers v��e✓ 9� ✓ :�oc,�� 3U
- TOTAL 3b
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HYDRAULIC CALCITLATIONS Design Data:
Area of Application: Sq. Ft.
Coverage per Sprinkler: ,30` S Ft.
No. of Sprinklers: 3�
q•
Total Water Required: IS� GPv1
PERiI�IIT FEE CALCULATION
1. Permit Fee $ 35.00
2. State Surchar�e $ .50
3. Mail-In Fee $ 1.50.
4. TOTAL PERIVIIT FEE (Add lines 1-3 above) $ � ,��
The undersi�ned 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.
Applicant Date �
*************** *********************************�*******************************
Approved Approved with Corrections V Denied
Reviewed by: ��� i�1�
t,,d, Date_ �- � � � �
,.
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CITY OF OROYO
APPLICATION FOR LAWN SPRIlVT�,ER SYSTEM PERNIIT
�ENER�L�INFORMATION . .
1. You may apply for sprinkler system permits by ma�(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. PER�VIITS ARE NOT VALID UNfIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGN UNTIL THE PERMIT CARD IS POSTED ON T'HE 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
ju:sdicrion before any equipment is iristalled or remodeled. Deviation from approved plans
will require pemussion of the authority having jurisdiction. �
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Worldng, lp ans 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 wark must be inspected(final). Call 249-4600.
24-Hour Notice Required
PTSTRUCTIONS Complete all items on this application. Incomplete applications will not be
processed. If you have questions, call 249-4600. You will be notified by phone�vhen the permit
review is complete.
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CITY OF ORONO CALLED IN Q
INSPECTION NOTIC q�CHEDULED � �
PERMIT NOC����d��o COMPLETED •.
ADDRESS
OWNER CONTR.
TELEPHONENO. -� 3-�79�3
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� DESCRIPTION �✓`L-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCA DING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED /'BI PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED � I❑SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on si :
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Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
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I hereby cerli(y that this plan, survey or report was JOB q TQ�
SCNOB ORQ prepared by me or under my direct supervislon and that 1 am �/30
N D S U RV EYI N G a duly Reqistered Lend Surveyor under the laws ot the State Book- Pape M RZ�/1
of Ml�nesota. Z6 — 70
INC.
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