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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES (2)WATER CLOSETS (2)LAVATORIES (1)LAUNDRY TRAY (1)WATER HEATER VALUATION OF PLUMBING 4500 APPLICANT PLUMBING FIXTURE FEE 56.25 STATE SURCHARGE PLBG(VALUATION) 2.25 CAPTAIN PLUMBING TOTAL 58.50 7307 COUNTRY ROAD 5 Payment(s) PRINCETON,MN 55371- CHECK 8168 58.50 (763)355-8462 Minnesota State License#: PLUM-PM060718 OWNER Brook Investment Group LLC 34321 MYRTLE LA UNION CITY,CA 94587- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be - revoked at any time for due ause. �^ ( 9���/S. (J �l li /li /S Applicant Perrr►itee Signature Date Issued By Si n ure Date .. � . R C I�S� ONLY � �� � City of Orono �/�� � �O�O P.O.Box 66 Date Recei ermit#�� / 2750 Kelley Parkway Crystal Bay,MN 55323 APproved By: Amount$: � (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: 1 ., . ��"" T�i �..�;., $�,�f'�" ..,w�. .`�, - ���°� �` ���.: �`,&::�,# p,�f��%� '��F � ,,ia!r��. 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 £ �,. »,K � ^k�� �,Eq,s ,.� � z.��t n�. r"v.::. � n�t.'�,;�, °s ,�,�� ,*,._: �? �. .� {'.,,��r''� sy t s�u, s",�r` °�' �" �„'��« ...tr ��'��'" �..�`'�<�,� � �'" ��' �` ���n -*�_ „�„ ❑ 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 1- . ' , . � .,�:�C�1 �,` `f e, .�a ���� �''� �;u�'��' ai,=u., � ,,, ._ ._ ,. � . . N �. . 4 .. , . ... L ... . � .. � - _ . , . . .' w P _ _ - ., o „,, �'. � . � ,. � ��.. `,.�� ,;�,� a�,€� �� .�. „ . 9 v �� 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. � r: � .��4 � �� "���� ���"' 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 � 00 � M M � � � M , 6~f 't 1 � � .� • `� � Rvmow Lsv.CxP � � Ha�se E�aGng Lw s Pt���pq�and Pa1ch veN J3�.q+ WaN 6 Fkor lo Mahh L___ " " Protecifon on'Pryes �l` 1'E" i'.0" 3'-0" � "'r-- � Repfacx 24'Doar wl / � � � ,,•�` � . � Z'�' 1'�0' �. 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E� 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 �� � V � � DATE TIME i '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 W _ ❑ AS BUILT-SURVEY EWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE PTIC INSTALL 2 01MNQVCOI�TRACTOR TO MEET YW: YES_NO y COMMENTS: �_� � � o ' i'1 ��c l�� �a< � � � l �Gc �c� ��C�riv!,�s � _v�e� �o�u 9�' Gt�.S ty'Pi W � Q 2 �'r�t/'-Py' W � W � j 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 � � 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: � ���c �l �i�a� �s � J O �. � � ° �(� -' la�a ('y� W � Q z �S �o'r�y Cv � �2�� - �SB( — 08 v � ' W � Vf j 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