HomeMy WebLinkAbout2015-01166 - plumbing 4.
�� . . CITY OF ORONO * 2 0 1 5 - PJ 1 1 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: 09/11/2015
' ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3423 SHORELINE DR
PIN : 20-117-23-12-0034
LEGAL DESC : REG.LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES
(2)WATER CLOSETS
(2)LAVATORIES
(1)LAUNDRY TRAY
(1)WATER HEATER
VALUATION OF PLUMBING 4500
APPLICANT PLUMBING FIXTURE FEE 56.25
STATE SURCHARGE PLBG(VALUATION) 2.25
CAPTAIN PLUMBING TOTAL 58.50
7307 COUNTRY ROAD 5 Payment(s)
PRINCETON,MN 55371- CHECK 8168 58.50
(763)355-8462
Minnesota State License#: PLUM-PM060718
OWNER
Brook Investment Group LLC
34321 MYRTLE LA
UNION CITY,CA 94587-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be -
revoked at any time for due ause.
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( 9���/S. (J �l li /li /S
Applicant Perrr►itee Signature Date Issued By Si n ure Date
..
� . R C I�S� ONLY �
�� � City of Orono �/��
� �O�O P.O.Box 66 Date Recei ermit#�� /
2750 Kelley Parkway
Crystal Bay,MN 55323 APproved By: Amount$: �
(952)249-4600—Main
(952)249-4616—Fax
y�'�� �c.� CITY OF ORONO—PLUMBING PERMIT
kfSHO� (All Commercial Perniits Must be Approved by the State Prior to City Approval)
htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df
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)
' TYi'E OF PERMIT '
Check All That A 1
❑ Residential /�Commercial(Approval Required)
❑ New ,�]Additional �Repairs �Replace
❑ In Accessory Structure?
*You will need arior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
SiteAddress: 34'3•S SKG�2�LlN� 1)Q ORD�✓d M�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: G�rk�u PI,uM�3iu� �,(,�i� Contact Person: �D►'������v�
Address: 73 07 �o�N�y�s State Bond#:
Ss37I
City: �Ql�/`CC�ON,M� Zip:� Expiration Date:
Phone: 7�� ?i SS g�'I'6� Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet ,2 Floor Drains
Lavatory 2 Sewer Ejector
Bathtub Laundry Tray �
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
£ �,.
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❑ Yes,this section 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 Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
���� .�� x .0125$ .56.'Z.S�
(contract price) (minimum$50.011)
2. STATE SURCHARGE �,5�� �p ,z �Z.�
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
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.
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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.
Applicant's Signature: Date: 7 ��/ /-s
3
1• .
1 �
CAPTAIN PLUMBING
PROFESSIONAL PLUMBING SERVICES
ROBERT MEIER 060'118-PM 7307 COUNTY ROAD 5 PRINCETON,MN 55371
763 355 8462
ATT: To Whom it may concem
City of�rono Inspection Dept.
Project: Plumbing 2 restrooms replumbing 3435 Shoreline Dr Orono NIN
We will be providing all repairs and modifications to waste,vent,waterPiPing as oode requires in an
existing building for installing new 2 ADA toilets and 2 ADA lavatories and the capping in wall of water
lines and vvaste of old sinks and toilets to make the new configuration on the included plan. A
service/washtub type sink and a SO gallon electric water heater will also be added in in an adjacent
location to the existing restrooms. There is no new utility service connections,no roof drain additions,or
no other plumbing alteradons in any other part of the building. All cement demo and replacement to be
done by others,all other work such as wall building and finishing,installation of doors,etc.to be done by
others.
All drains,waste,and vent modificarions to be schedvle 40 PVC,ASTM F-891-00 with solvent weld glue
joints. Existing waste and vent piping will be capped,modified,and added to plumb the project in the
new oonfiguration
New water pipe materials to be type M oopper,NSF-61 with solcler type connections,Uponor Wirsbo
Aquapex ASTM F877,ASTM F1960.The exisring water connections will be cap�ed,modified,anci added
to plumb the project in the new canfiguration.
Toilets to be Kohler K-4368 top spud ADA,toilet flushometer Sloan 111 or equiv.,lavatories Ge�er 12-
834 or equiv.,lav faucet Delta DSOIHDF or equiv. Water heater Bradford Wlute 50 gal electric Model#
RE350S6-1NCWW,or equiv. Service sink Mustee utilatub#18 or equiv.with faucet Moen 74998 or
equiv.
Thank you for you ent�
�
-Robert A. eier, ce11763 3 8462
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License lookup https://secure.doli.state.mn.us/lookup/licensing.aspx
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Class Type: P�UMBING CONTRACTOR Number: PC661252
Application No: 309117 Status: ISSUED
Expire Date: 12/31/2015 Effect 1/4/2014
Date:
Orig Date: 1/14/2013 Print Date: i/6/2014
Enforcement NO
Action:
Name: MEIER ROBERT A DBA CAPTAIN PLUMBIl�IG
SERVICES
Address: 7307 CNTY RD 5
PRINCETON , MN 55371
Phone: 763-355-8462 Fax: Other:
Business Relationship Requirements
Name: MEIER, ROBERT A Lic/Reg No: PM060718
Status: ISSUED Application No: 77064
Expire Date: 12/31/2016 Effect Date: i/i/2015
Orig Date: 9/12/1991
Another Lookup?
1 of 1 4/25/2015 3:51 PM
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� � DATE TIME
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'CITY OF ORONO CALLEO IN �._�i =�
INSPECTION�1 OTICE � SCHEDULED
PERMIT NO. �'��"-L�� � ��'' COMPLETED
ADDRESS ��{.a3 ��I�lL1�� �\� Y1�� �I� -
OWNER TELEPHONE NO.��� �-,� � -Z
CONTRACTOR � ���2 �
� DESCRIPTION �`� �I ���"�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROO�� ❑ P6UMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB � ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING � ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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_ ❑ AS BUILT-SURVEY EWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE PTIC INSTALL
2 01MNQVCOI�TRACTOR TO MEET YW: YES_NO
y COMMENTS: �_�
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W�WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
ti ❑QORRECT WORK 3 PROCEED ❑�SSUE CERTIFlCATE OF OCCUPANCY
.� 0 ❑OORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HWRS_ p pf{OTOTAKEN
INSPECTOR WILL RERIRN
❑STOP ORDER POSTED.CALL INSPECTOR O qTATION ISSUED
❑INSPECTION RE(]UIRED.CAIL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
on site:
Inspector.%
WhIM CopyAnspectw's Ffle Canary CopyfSlte Notkx
� �� ��� �
DATE TIME
� ITY OF ORONO � CALLED IN
INSPECTION NOTICE . �����SCHEDULED �� �
PERMIT NO. �f';I,�_ COMPLEfED
ADDRESS � ��. � ��`�� I'C �@I Y�- � ,
OWNER TELEPHONE NO. ��3 �-� Z-
CONTRACTOR � �
� DESCRIPTION - � L �
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4� ❑ FOOTING -FINAL a ❑ SEPTIC FINAL
�
Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE PTIC INSTALL
2 OWNERICONTRACTOR TO�YOU: YES_NO
c�., COMMENTS:
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W ❑WORKSATI FACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑IS E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContra on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice