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Home My WebLink About2011-01043 - sprinkler CITY OF ORONO PERMIT NO.: 2011-01043 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3095 NORTH SHORE DR PIN : 09-117-23-32-0014 LEGAL DESC : REG.LAND SURVEY NO. 0670 : LOT 000 BLOCK 000 PERMIT TYPE : SPRINKLER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAWN SPRINKLER NOTE: SPRINKLERS: HLTNTER 120 RAINBIRD 1800 APPLICANT SPRINKLERS 3 5.00 GREENKEEPER INC. STATE SURCHARGE FLAT-OTHER 5.00 12325 MINNETONKA BLVD MINNETONKA,MN 55305 TOTAL 40.00 (952)546-0436 PAID WITH CC# 8196 OWNER SIME,MICHAEL&PAMELA 1592 MEDINA RD LONG LAKE,MN 55356- 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 grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.l'his 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ��-, 9� i�/ � �� ! / Applicant Permitee Signature Date Issue Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. (;,.;�p�;� City of Orono FOR CITY I,SE OVL1' ,/O � } P.Q Box 66 ��y �/ p: �+, , y� 2750 Kelley Parkway Date Reeeived:' `� �� Permit# <�'�� '�i,� '��`�� Crystal Bay,MN 55323 � ''��,��e��"� Phone:(952)249-4600 Fax: (952)249-4616 Approved By: Ainount$: �' �� ,.....�.:°r � � I CITY OF ORONO—LAWN SPRINKLER PERMIT PERMIT CODF.S QN-I IOUSF?) Sprinkled Residential!Lawn Sprinkler/Blank Sprinkler'ResidentisUHackllow I�evice Onh�iBlan6 Please Cheek One: N�w ❑ � Addition �� Job Site Address: 3095 NORTH SHORE DRIVE Owner: SIME RES Telephone Number: (612)816-1455 Mailing Address: 3095NORTH SHORE DRIVE City: ORONR MN Zip: 55364 Sprinkler Contractor:GREENKEEPER INC. Telephone Number: (952)546-0436 Contact Person : BLAKE HAWKENSON License#: Mailing Address: 12325 MTKA BLVD. MINNETONKA MN. WATER SUPPLY Lake❑■ Well ❑ City ❑ BACKFLOW DEVICE AVB ❑ PVB ❑ Make 0 Model � Year of Manufacture � Quantity � Sprinklers: HUNTER 120 RAINBIRD 1800 HYDRAULIC CALCULATIONS Design Data: Area ofi Application: LAWN Sq. Ft. Coverage per Sprinkler: AS REQUIRED Sq. Ft. No. of Sprinklers: AS REQUIRED Total Water Required: 25 GPM GPM PERMIT FEE CALCULATION l. Permit Fee: $ 35.00 2. State Surcharge $ 5.00 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 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. t�> - Applicant :ij�_ a��,�.,,,�, Date � �� /� - // ........................................... ........ .................................................................................................................................................................. Approved �� Approved with Corrections Denied � � Revic��ed 13v: �' �� Date C �� Resefi Form 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 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. CITY OF ORONO PERMIT NO.: 2011-01491 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: i U30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3095 NORTH SHORE DR PIN : 09-117-23-32-0014 LEGAL DESC : REG.LAND SURVEY NO.0670 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: IRON FILTER VALUATION OF PLUMBING 0 APPLICANT PLUMBING FIXTURE FEE 50.00 CLEARWATER SYSTEMS,INC. STATE SURCHARGE PLBG(VALUATION) 5.00 1519 148TH AVE NW TOTAL 55.00 ANDOVER,MN 55304 (763)434-0445 Minnesota State License#: 61240 OWNER SIME,MICHAEL&PAMELA 1592 MEDINA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional ot related work which requires sepazate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if conswction is suspended for a period of 180 days at any time after work has commenced. The applicant i sponsible for ing all required inspections aze reque ed ita�onformance ' the tate Building Code.This permit may be rev�at any time for e ca . , , l.�i�(�� .,F �� , o �� l �cant Pe ' e�i n ure Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r I Fo�c�r�usE o�vr,�� ' �,��,� City of Orono ; - P.O.Box 66 DateReceiuet��• ,Permit#, 2750 Kelley Parkway � ,�,4� Crystal Bay,MN 55323 Approved.By: Amount'$: ` (952)249-4600—Main �aeao$ (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df �£��AL':T�TF"t�R1#�AT�Ol'� 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applicarions will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a sepazate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OdF PERIVIIT : 'C1�eck�It"That,A 1 -) " �,Residential ❑Commercial(Approval Required) :.�°New ❑Addirional ❑Repairs ❑Replace r' ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Jt�b Site/,O�vner.�Itifor�na�ion: Site Address: �� ,/(�� 3 i'��'�G---- , Owne . v�� l�iling Address: City: Zip: Home Phone: Alternate Phone: Cantractflr�nfornzatiun: Contracto : �� Contact Person: �1 V�� Address:)j�' `�U'� s�-L• /V� State Bond#: City: ��dv�"� Zip:�'JExpiration Date: Phone: ��o7J' "�"J�` `�0'7�� Alternate Phone: ❑ Insurance—Current: 1 1 � , FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks ' cellane�o�u� ❑ Yes,this secrion applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 f . If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. The und'ersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � /.J`� Applicant's Signatur . Date` � D 3 ,:_ �.- -- --..__. _. _. _ -- a } - --... COG Ems' S c� Al I % k COG Ems' S c� Al I