HomeMy WebLinkAbout2004-P08097 - plumbing PERMIT
s C11`�Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pogo9�
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: io�2o�2004
SITE ADDRESS: 3333 Shoreline Dr
Wayzata,MN 55391
PID: 20-117-23-11-0024
DESCRIPTION:
Proposed Use: C:ommercial-tiusiness
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
sinks,coffee brewer&espresso machines
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Buchman Plumbing Company Inc. OWNER: Lunds,Inc.
9215 West 34th Street 3948 W. SOth Street-Suite
P.O.Box 11070 Edina,MN 55424
Minneapolis,MN 55412
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU DING CODE REQUIREMENTS.
I
ICANT PERMITEE SIGNATURE 1 SUED BY SIGNATURE
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Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU
RECENE A PERM[T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB
SITE.
3. Plumbing permits 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 separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Please check one: New v Addition Repair Replace
Residential Commercial
/�i�r< S fL��-i2/��� �r3au ���F��
JOB SITE: j 3 C A-K,�S����u�E Zip: .�S�SCr
Owner's Name:����3 0� L����� Telephone Number: � 3 S-�a,z Z J6
Mailing Address: � E City: r3eoa,e�y„ie Zip: ss�a-y
Contractor's Name: �i,��„�,� �rhB�r�c:� Telephone Number: f� z s���f7 00
Mailing Address: �J`i"`�" ii o7 6 City:/lili�LS Zip: S�f/a—
PLUMB[NG FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER F[XTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc list oZ
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a 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; excludin� the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00�
�. �n�v, r� X .o i 25 $ 7s, �-a
(contract price) (minimum$35.00),'
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
�,. �' , � x .0005 $ 3, �
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?8'�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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 installation are furnished by the owner, tenant or any other party the
reasonable market value of such items must be added to the estimated 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 STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50-whichever is greater.
For valuations over$1,000,000 call the Department of Inspection Services for the price.
The undersigned hereby to the City for issuance of a Plumbing Permit, agrees to do all work
in strict accordance i h the ordi nces of the City and the regulations of the State of Minnesota, and
certifies that all st ements made on ' appli��1 / omplete, true and correct.
App(icant's Signat ' � Date: /G - a o -r
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MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Caribou Coffee Store No. O1-0153, 3333 Shoreline Drive, Orono,
Hennepin County, Minnesota,Plan No. 050837
OWNERSHIP:
SUBMITTER(S): Buchman Plumbing Company, Inc.,P.O. Box 11070,Minneapolis,Minnesota 55412
Plans Dated:
Date Received: August 26, 2004
Date Reviewed: October 7, 2004
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The
responsibility for the design of structural features and the efficiency of equipment must be taken by the project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this report.
Special care should be taken to insure that the material and installation of the plumbing system are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Buchman Plumbing Company,Inc. Enclosed
is a copy of the report and transmittal letter to be forwarded to the project owner.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
the Minnesota Plumbing Code. As specified in Minnesota Rules,part 4715.2830,no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be made for applying an air test
at the time of the roughing-in inspection as outlined in Minnesota Rules,part 4715.2820, subpart 2, of the code.
A manometer test, as specified in Minnesota Rules,part 4715.2820, subpart 3, is required at the time of the
finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota
Department of Health when an installation for a state contract job, licensed facility, or project in an area where
there is no local administrative authority is ready for an inspection and test. To schedule inspections,contact the
state plumbing standards representative for your region, or call the metro off'ice inspection hotline at 1-800-926-
6216 (7:30 a.m. to 9 a.m.), or 651/215-0836(8 a.m. to 9 a.m.) on Monday,Wednesday or Friday.
REQUIREMENT(S):
1. All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules,
part 4715.0320).
2. The plans indicate that this submittal consists of the above ground portion of the plumbing installation only. �
The below ground portion of this project was reviewed by our ofFice under Plan No. 050479, which was
submitted by a different plumbing contractor. Prior to installation of the above ground portion of the
plumbing system, it must be verified that the underground was installed in accordance with the previously
reviewed plans and the requirements of the Report on Plans for Plan No. 050479 (see enclosure)..
3. Verify that a floor drain without a backwater valve is installed on the individual drain branch serving the
three-compartment sink.
Cazibou Coffee Store No. O1-0153
Plumbing
Plan No. 050837
Page 2
October 7, 2004
4. A single 2-inch trap and waste may serve the three-compartment sink if the trap is located not more than
30 inches from each compartment outlet(see Minnesota Rules,part 4715.0900). Locating the trap beneath
the center compartment will meet this requirement in most instances.
5. The vents for each fixture must be taken off above the centerline of the pipe and must rise within 45 degrees
from the vertical,to a point at least 6 inches above the flood level rim of the fixture being served,before
offsetting horizontally. If structural conditions preclude the installation of a conventional vent system, the
fixtures must be island vented in accordance with Minnesota Rules,part 4715.2655.
6. The drain receiving the dipperwell wastewater must be individually vented in accordance with Minnesota
Rules,part 4715.2620, subpart 4.
7. Water supply connections to fixtures or equipment which have submerged inlets,or inlets below the spill
line of the fixture or equipment,must be provided with an air gap arrangement,approved backflow
preventer or bacl�low preventer assembly as specified in Minnesota Rules,part 4715.2000 and
part 4715.2010. This shall include the water supply lines to the coffee machines.
8. The submitted plans indicate that the new fixtures will be served by existing water distribution piping.
Verify that the e�cisting pipes are sized to accommodate the added fuctures (see Minnesota Rules,
part 4715.3800).
9. Information on the pipe materials to be used for the plumbing system was not included with the submitted
plans. Verify that the pipe materials to be used for the plumbing system will comply with the following:
a. Materials used for water distribution piping must comply with Minnesota Rules,part 4715.0520.
b. Materials used for drain,waste,and vent systems must comply with Minnesota Rules,part 4715.0570
through part 4715.0600.
10. The water piping system shall be disinfected in accordance with Minnesota Rules,part 4715.2250.
11. The plumbing system shall be tested in accordance with Minnesota Rules,part 4715.2820.
12. The plans and specifications were prepared by a licensed master plumber. The plumber who has prepared
the plans is the only one that can use the plans for construction. If another plumber is contracted to install
the plumbing,they must submit their own plans and specifications for the project.
13. This plan review is for the plutnbing systems only and does not pertain to the licensing requirements for the
facility. The licensing authority will report separately on any licensing requirements which must be met.
Additional plans, information and fee may be required by the licensing authority for their review. Please
note that changes to the plumbing system may be required as a result of their review. Revised plumbing
plans must be submitted showing any significant changes to the plumbing system.
NOTE(S):
1. The scope of this project consists of the installation of the above ground portion of the plumbing system.for
a new coffee shop to be located in an existing convenience store. The plumbing installation includes a
three-compartment sink,a dump sink,coffee brewers,an espresso machine,a dipperwell, and required floor
drains.
Caribou Coffee Store No. O1-0153
Plumbing
Plan No. 050837
Page 3
October 7, 2004
2. This facility will be served by existing municipal water and sewer service connections.
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean
that recommendations or requirements for change will not be made at some later time when changed conditions,
additional information, or advanced knowledge make improvements necessary.
Approved:
���r���, � �
�
Colleen A.Erickson
Public Health Engineer
Environmental Health Services Section
P.O.Box 64975
St.Paul,Minnesota 55164-0975
651/215-0839
CAE:sas �.
cc: Project Owner
Buchman Plumbing Company,Inc.
Mr.Lyle Oman,Plumbing Inspector
Ms. Susan Palchick,Director,Epidemiology and Environmental Health
File
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Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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