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Home My WebLink About2017-00625 - sprinkler , CITY OF ORONO * z 0 1 7 — 0 0 6 2 S * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3669 NORTH SHORE DR PIN : 08-1 l 7-23-34-0051 LEGAL DESC : CRYSTAL BEACH : LOT 003 BLOCK 000 PERMIT TYPE : SPRINKLER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : BACKFLOW DEVICE/TESTING/REPAIR APPLICANT SPRINKLERS 50.00 STATE SURCHARGE FLAT-OTHER 1.00 OUTDOOR& MORE LLC P O BOX 359 TOTAL 51.00 LONG LAKE, MN 55356- Payment(s) (952)476-8485 CHECK 7102 51.00 OWNER ZAHLER, JIM 3669 NORTH SHORE DR WAYZATA, MN 55391- 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any ti e for due cause. � � — �� f�,�. ��_L�c�,.�. � �� ``._�s�t� (�, �t� 1�� Applica t Permitee Si ature Date � Issued By Signature Date ^ p City of Orono � 1�T FOR CITY US ONLY � Q P.O.Box 66 2750 Kelley Parkway Date Received:_�� }�/ � ' Crystal Bay,MN 55323 Permit# c� (;'/�] - �r;�., ��- y�, G� Phone:(952)249-4600 A roved B �� ' �q'FESHOR� Fax: (952)249-4616 Pp y'-- . 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�l Addition ❑ Job Site Address: �,[��c�?� ��` �� Ll:,''v� ��.� � � A � p k'�;`� �%Z - Z Z/-- Sf�,�l Owner: 1 r t�-� � �!��'f�' Tele hone Number: Mailing Address: ��1 /(/� ��l D�[` !1%" /�'� � [� City: v I�J� '' �-� �� Zip: S�� 7� j J � � > /1 Sprinkler Contractor:_ _UY"c1G�L'i '�;/��c'r•�� Telephone Number_ LIJ C� J �j� �j—�7�� Contact Person: W��'v e �r � License P�'�V�� +��.� Mailing Address - �� '� c��^��S^F� WATER SUPPLY: Lake Well Ci ` � ��(� ` �v� �` �J"�LL � ❑ ❑ ty�,r BACKFLOW DEVICE: AVB ❑ PVB ❑ Make (/l1 �! �i�Z J Model ��U r Year of Manufacture �!� 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. Working olans 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�egulations, and certifies that all statements made on this applicati are co plete, e and correct. � ° �J 7 � Applicant: � � Date: Approved: Approved with Corrections: Denied: Reviewed By: Date: Page 2 �� ,�� 1 QA TIME CITY OF ORONO cnLLED IN �/ � � INSPECTION NOTIC scHenULED �S_,�Z _,LL� PERMR NO. - a� 5 P ETED ADDRESS ' �� v� O'WNER _ T EPHONE NO. .s � � ^� CONTRACTOR � �� '' DESCRIPTION �� 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNEpICO1�ITRACTOR TO MEET YOU:_YES_NO � COMMENTS: � J�GLG�UM nr��SSur� �" �r- ._C � i�,c�a-/1P�G� � 0 � / -/ � L�/1P� ,�G- . �n�6 /'�0 UR'r/ /�C� `i-Y�Gt/�P�7 � W � Q � W � � � � W 0� � �//�K SATiSFACTORY`.PFIOCEED �PROJECT COMPLETE W OORRECT WORK b PROCEED ISSUE CERTiFlCATE OF OCCUPANCY OO ❑CORRECTYYORK�LL FOR REINSPECTION TEMPORARY V BEFORE COMERIN(3 PERMANENT ❑CORRECT UNSAFE(:ONDITION WITHIN H��- ❑pH0T0 TAKEN INSPECTOR WILL RETURN O GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ceq forthe next inspection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on sRe: Inspector: ��'��' Whib CoVYMspector's Flk C�nary Cop�IlSlb Notic�