Loading...
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�- � City: �����ira f�,�� Zip: � z���i �--�. ,� 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 { . ' ( 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 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED PERMIT NO. —�� COMPLETED -`��� , � ADDRESS � ��� ✓��"iN 8 OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROO ❑ UMBING 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �' - ��� � o Q � � OCO (9�� � C� �C � — c� id7 � ° ��� W � Q ` � �U ' ' .� � C:�K �� -�o �c,� �'1/ � � 0 W KSATISFACTORY:PROCEED O PROJECT COMPLETE d RRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfORK�LL FOR REINSPECTION TEMPORARY 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 �� ,� � �� �- 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 �-� � � ty ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC FINAL.��-,�uj(� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO 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 _ v ❑ DEMO-SITE ❑ S TIC INSTALL i OMfNEAlCOIfTRACTOR TO MEE YOU:�YES NO � COMMENT'� �T7�LC 2�i � W' ��n� � ���s�e, �"a� �n ��¢, i 'o � -- 3 �`��`�`���"�' � � .� 1 --�1pQ�"�c e.r���-- ° � `- f c�� � -� — Q m�✓� r 2 ag�� • v w �� � f G�/�`�� l�lh �e4� w n 7'¢"l P.� � � h �v �iR�a 3 W WORK SATISFACTORY`.PFiOCEED ❑PROJECT COMPLETE � RRECT W'ORK�PROCEED ❑ISSUE CERTIFICATE OF OCdJPY1NCY 0 O CORRECT WOR!(,CALL FOR REINSPECTION TEMPORARY 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 f 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 "j ❑ FOUNDATION WATERPROOF u PLUMBING FINAL ❑ TREE REMOVAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i OWNERICOI�fTRACTOR TO MEET YWJ:_YES_NO � COMMENTS: (,�• G- r �I'`� � - SGiC � /� �iG Q - / rr�o.a �5,��C ,r,v . - / l✓,C • — j0 ���2o w�- ✓'C w����[_ � � � ri•✓ �G,� �s ��Gl�� � 0 � d �'� �3` l�ve ✓ — Q � W � W � � J � �f WORKSATISFACTORY:PROCEED O PROJECT COMPLETE W ❑OORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 , / 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: 4 o � U� — ' ay � � � o � � — Q C� 5 O � � W � J W WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � ❑ RRECT WORK R PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 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 /�� PERMR NO. �D I (d�1 S� coM ereo . auoREss 33�'3 �� OWNER ' TELEPHONE NO. ��-3b 3����� CONTRACTOR I�I � - �.�Sovt �Ut vl,� GL.p�- � DESCRIPTION /_ � � ty ❑ FOOTING ❑ DEM - NAL ❑ SEPTIC FI 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 2 dwNOYCONTRACTOR TO MEET r,�Wl:_YES_NO • � C MENT� ,�' `v�OlG �'�f7'��9aK' � � � �"e�, .� ., oe -- ras ��l ��vr�e� !/.s � �a�� r1 a� � G� �°� � � ,,/��/� Q rf1%�l — y P�m� (k�i 2 7�A COl��v' � G��u 1(,5�e � `��^!G /1 J �u,� � j �p dCli'J�IG W ❑YMORKSATISFACTORY:PROCEED ❑PRWECTCOMPLETE � OORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O RECT WORK,CALL FOR REINSPECTION TEMPORARY 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 �, � �G" 2�� �D�'�' �(! f � 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNEiYCONTRACTOR TO MEET Y�ll:_YES_NO � � COMMENTS:�t2 u�c �G'�L:�'�t���?y ������`� '����c�-� =���/? W � o � 0 1� G t�!/' ` `� � Q°3' E' , 1 � 1 �!'2 t`i� ` , I� �v��.• � ,'/'t' � :�J7`" G c3 t,U' �.e'-`� �� W � Q � � W � � J tdii ❑WORK SATISFACTORY:PROCEED ❑ PRWECT COMPLETE � CORRECT WORK 8 PROCEED �ISSUE CERTIFlCATE OF OCCUPANCY W ❑ RECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE Cd1/ERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN 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