HomeMy WebLinkAbout2016-01360 - plumbing � � .
CITY OF ORONO * 2 0 1 6 - PJ 1 3 6 0 *
2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 3333 SHORELINE DR
PIN : 20-117-23-11-0024
LEGAL DESC : REG.LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: REPLACING:3 WATER CLOSETS,3 LAVATORY,4 KITCHEN SINKS, 10 FLOOR DRAINS, I GREASE TRAP, 1 WATER HEATER,4
ROOF DRAINS
VALUATION OF PLUMBING 44000
APPLICANT PLUMBING FIXTURE FEE 550.00
STATE SURCHARGE PLBG(VALUATION) 22.00
NORTHERN MECHANICAL MAIL-IN FEE 2.00
1975 SENECA RD TOTAL 574.00
EAGAN,MN 55122-
(651)789-2275 Payment(s)
CHECK 4872 574.00
OWNER
Lunds Food Holding Inc.
4100 W SOTH STREET#2100
EDINA,MN 55424-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,app►icable 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 time for due cause.
� _
/DIZ�I /�
Applicant Permitee Signature Date Issued By ature Date
r . �
4 �
/�p�� City of Orono FOR CITY U E ONLY
,� O P.O. Box 66 Date Received: ' 0 ��I Ib
�� 'i 2750 Kelley Parkway
�,�Y >; Crystal Bay, MN 55323 Permit# �G l�, �— � ���L,
�^ �� (952)249-4600—Main Approved By: '
��Krsr+o� (952)249-4616—Fax
Amount$: ��
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit 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 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 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 PERMIT(Check All That Apply)
❑ Residential Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: _�_C��?��L 1 �'U� l�f . r�Tl�Ihp-�-�
Owner: L�,,�� -,--c.�;� �1�,�,�,,� � Mailing Address: `���'�� (J--�; ,�CTj� 5�-
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City: �����ira f�,�� Zip: � z���i �--�.
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Home Phone: ���i��.�"�-���� Alternate Phone:
Contractor Information:
Contractor: � .R;tt�Z,� �1��,K:� C;.:.r�• Contact Person: `.�►l(�D ���f�L
Address: i`17.j S __,., --c.A 1� State Bond #: �C�^1C�a�}'��
City: ��f�,� . �! Zip: SSI�-� Expiration Date:
Phone: ��/--�7 ...�"_/1�-�75 Alternate Phone: �.����5�,`� �'��':�-
❑ Insurance — Current:
Page 1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains l0
Lavatory � �
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellan�ous � y
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
�ti�, - .-� ��
��'�')��, x .0125 $ �-�4-�°
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�
����� x .0005 $ �� - �
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
�j� u�
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �� �1 —
'` 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 installations 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.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned 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.
ApplicanYs Signature: \ �--�_ �----�C_ �ate: lvJ����L-
Building Official/ Inspector: ✓ Date: ��
Page 2
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED
PERMIT NO. —�� COMPLETED -`��� , �
ADDRESS � ��� ✓��"iN 8
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECONERING PERMANENT
❑(bRRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContra r on site:
Inspector:
Whits CopyAnspector's File Cenary CopylSke Notice
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�- DATE �� �IM�
CITY OF ORONO CALLED IN
INSPECTION''N�O�TICE/� SCHEDULED _
PERM�T NO.ta.{������-//�D COMPLETED
ADDRESS ���� �I��r� 1 1 j'1� �fe__
OWNER TELEPHO11E-NO. �5I �O�-�S�I I
CONTRACTOR � ��
� DESCRIPTION I �-� � �
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O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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V BEFORECdI/ERINd PER�AANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRAN(3E ACCESS.
Caq forthe next it�spection 24 hours in advanoe. (952) 249-4600
on site:
Inspector:
yyhlb CppyMspector's FII� Can�ry CopyfSib Noda
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TIME
CITY OF ORONO CALLED IN / '
INSPECTION N C SCHEDULED
PERMIT NO. �� < OMP o �
ADDRESS � . ✓t-� i
OWNER TELEPHONE N � �������
CONTRACTOR
�� DESCRIPTION C��`�
❑ FOOTING ❑ DEM -FI AL ❑ SEPTIC FINAL
Q ❑ POURED WALL `��FPLU BI RI ❑ EXCAV/GRADING/FILLING
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2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FHAMING ❑ 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
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V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
Owne�IContractor on site:
Inspecto�: ,
WhiN CopYAnspector's Flk C�nary CopYlSit�Notk:e
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CITY OF ORONO CALLED IN �� ��T�f 7 TIME
INSPECTION O I E ` L/.� I �SCHEDULED �,�— ��(�
PERMIT NO. U �� COMPL D
ADDRESS ��� � d�� —l�l l��
OWNER TELEPHONE N 51-31�3 8�11
CONTRACTOR ✓��-'
'' DESCRIPTION �/ ►✓
� ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBI G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL F�NAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNERlCOKTRACTOR TO MEEi YW:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdNERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advanoe. (952) 249-4600
OMmedContra on site:
Inspector:
VYhIM CopyAnapactor's Fil� Canery CopylSMe Notfa
✓
o`�D!lp-o� 3�a DATE TIME
CITY OF ORONO cnLLED IN �- -/ 7
INSPECTION NOTICE SCHEDULED / -3 -/ 7 /��
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OWNER ' TELEPHONE NO. ��-3b 3�����
CONTRACTOR I�I � - �.�Sovt �Ut vl,� GL.p�-
� DESCRIPTION /_ � �
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Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSUUITION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
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W
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V BEFORECdVERINf3 pERMANENT
❑OORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER P�TED.CALL INSPECTOR �pTATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN ror the next h�spection 2a twurs k�sdvanoe. (952) 249-4600
OMmerlCor�tra on site:
�nspector
White CoPYMapector's FlN Gnary CoPY1Sib NoNee
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� DATE TIME , /
CITY OF ORONO CALLED IN V
INSPECTION NOTICE SCHEDULED �'7 ----��
PERMR NO. �n���� COMPLETED
ADDRESS ���� 5��..a y+v /�vi� df?
OWNER TELEPHONE NO. �����3�f
CONTRACTOR ����'�
� DESCRIPTION � "� �"`1��� ���
l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ 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
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INSPECTOR WFLL RETURN
❑STOP OHOER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REUUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (g52) 249-4600
OwnerrContra sne:
Inspector: ,'' � �-�� �.
Whits CopYAnapecM�'s Flle Canary CopYISMs Notks