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Home My WebLink About2016-00232 - plumbing ' ' CITY OF ORONO * 2 0 1 6 — 0 0 2 3 2 * 2750 KELLEY PARKWAY DA'rE ISSUED: 03/1U2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3596 SHORELINE DR PIN : 17-117-23-43-0107 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 007 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(3)BATHTUBS,(1)KITCHEN SINK,(4)FLOOR DRAINS,(1)LAUNDRY TRAY,(2)WASHERS,(1)WATER HEATER,(1)MISCELLANEOUS VALUATION OF PLUMBING 25795 APPLICANT PLUMBING FIXTURE FEE 322.44 STATE SURCHARGE PLBG(VALUATION) 12.90 EXCEL MECHANICAL,INC. TOTAL 335.34 11582 COiJNTY RD 13 Payment(s) WATERTOWN,MN 55388 CREDIT CARD 0810 335.34 (952)393-2403 OWNER A Plus Properties 3596 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the Sta[e 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 sha11 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. t ll G� ` `� 3 / / / /� Applicant Permitee Signature Date Issued Signature Date .F } , v--------, ,f p ` City of Orono FOR CITY USE ONLY � /V-,,'�, ;" (� � P.O. Box 66 Date Received: �� -/ / -/ � � � 2750 Kelley Parkway � Crystal Bay, MN 55323 Permit# ��l�. DD�.3�--� ''��^�� c> (952)249-4600-Main Approved By• �� E�s�� (952)249-4616–Fax �—.�-- Amount$: �J�.� CITY OF ORONO - PLUMBING PERMIT (Ail 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 OF 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:�S �1( S h��P I��c� �ilri v� . C �v�1C7 , 1��1I� SS�J yl Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: FXc.Pr %�l�ca.�„K..� .��_ Contact Person: 'S e rp;� S��.�,�,b/ '-� Address: (�'�� C�c�..tT� 13 S� State Bond #: a� (��l��S City: Ch..J�,{��v�.,.�� Zip: �S�� Expiration Date: I ,3/ '1 � Phone:�'!�� - yS'S �C;c►� 1 Alternate Phone: �S� - �� YG� [�Insurance - Current: 1 r��-�v�21 � �S �� Cy � �.�'v�~c j 73,F �� Page 1 Y j � ' PLUMBING FIXTURES BEING INSTAL.LED �; FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � � Floor Drains Lavatory Sewer Ejector Bathtub 3 Laundry Tray 1 Shower Washer ,'� ,Z Kitchen Sink + Water Heater �• � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � PERMIT FEE CA�CULATION �: 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �s. � y S � x .0125 $�,3 � (contract price) (minimum $50.00) 2. STATE SURCHARGE ti r I � 'T � �,S 7�� X .0005 � 1 (contract price) 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ . 0, 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. ��'�� PLUMBING PERMIT APPLICATION A�REEMENT 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: �� Buildin Official/ Ins ector� �t�%''`�� Date: � l T � 9 p Page 2 ii't 1 ' 443 Lafayette Road N. i M�N N ESt�TA �EPA�'2TM�NT {JF (651)284-5005 St. Paul, Minnesota 55155 7 ��5�� = i�� 1-800-342-5354 www.dli.mn.gov f N � Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Woofington Remodel, 3596 Shoreline Dr, Orono, Hennepin County, Minnesota, Plan No. PLB 1601-00134 OWNERSHIP: Woof Diversified, 2829 Spy Glass Dr, Chaska, MN 55318 SUBMITTER: Terwisscha Construction, 1550 Willmar Avenue SE, Will�s�,,�,41 �� :r Ce�t�� Compti��ce C�_ Plans Dated: January 8, 2016 � �f E�rono �� a�'� Da�e Date Received: January 20, 2016 �� ` Revi��r � Date Approved: February 4,2016 SCOPE: This review is limited to the provisions of the Minnesota Plumbing Code, as amended. The review is based upon the supposition that the data on which the design is based are correct. Approval is contingent upon requirements included in this report. A copy of the approved plans,specifications, and this Report on Plans must be retained at the project location for future reference. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. No plumbing work may be covered prior to completing the required tests and inspections. The contractor/installer must obtain an inspection permit from the Minnesota Department of Labor and Industry when an installation is for a state owned facility, Minnesota Department of Health licensed healthcare facility, or a project in an area where there is no local administrative authority. To schedule inspections, contact the state plumbing standards representative for your region. For your regional inspector's contact information, visit our website at http://www.dli.mn.gov/CCLD/CCLDContactus.asp REQUIREMENT(S): 1. The specified hand-held sprayer for a domestic kitchen sink faucet(S-1) is not approved for installation in a commercial type setting. The two sinks would require the installation of pressure vacuum breakers or reduced pressure zone backflow preventers on each water supply branch to each fixture(see Minnesota Rules, part 4715.2000). 2. Pet wash tubs with water inlets below the spill line or with hand-held sprayers must have approved high- hazard backflow preventers on each fixture branch(see Minnesota Rules,part 4715.2100). This would require the installation of pressure vacuum breakers or reduced pressure zone backflow preventers on each water supply branch. 3. The water supply line to the automatic clothes washer must be protected against backflow by the use of an air gap or approved vacuum breaker. The discharge must be through an air break(see Minnesota Rules, part 4715.1230). 4. Water supply connections to fixtures or equipment which have inlets below the spill line must be provided with an air gap ar approved backflow preventer(see Minnesota Rules,part 4715.2000). This shall include the potable water connection to the autoclave. / rU � 0 �l e� �"d�' t� �i ��1 Cm� � �` �' t S � � �� s s �° � b This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer .ir. � ' Woofington Remodel Plumbing Plan No. PLB 1601-00134 Page 2 February 4,2016 5. Verify that the existing waste and vent pipes are sized to accommodate the added fixtures(see Minnesota Rules,part 4715.2310 and part 4715.2520). 6. It is recommended that a cleanout be provided where new waste and vent piping connects with existing plumbing to facilitate required testing of the new installation. 7. Valves shall be installed permitting the water supply to each room or individual fixture to be shut off without disrupting any other portion of the building(see Minnesota Rules,part 4715.1800, subpart 6). 8. Pipe hangers and supports shall comply with Minnesota Rules,part 4715.1430. 9. Materials used for the plumbing system shall comply with the standards set forth in the Minnesota Plumbing Code(see Minnesota Rules,part 4715.0420). 10. T'he water distribution system shall be disinfected per Minnesota Rules,part 4715.2250. 11. The plumbing system shall be tested in accordance with Minnesota Rules,part 4715.2820. NOTE(S): 1. The scope of this project consists of remodeling an existing building. Installation includes a water heater, three wall hydrants,floor drains,a mop sink,two clothes washers,three pet wash tubs,two counter top sinks,and three restrooms. 2. The building is served by existing municipal sewer and water services. Authorization for construction in accordance with the approved plans may be withdrawn if the plumbing installation is not undertalcen within a period of one year. Plan approval 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: � � Corey Frain,P.E. Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5882 cc: Terwisscha Conshuction City of Orono Building Official Woof Diversified Applied Engineering File �.. ACORD� DATE(MAAIDD/VYYI� CERTIFICATE OF LIABILITY INSURANCE 03/08/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDfTIONAL INSURED,the policy(fes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,ce►taln policles may require an endorsement. A statement on this certiflcate dces not confer rights to the certiflcate holder In Ileu of such endorsement s. PROOUCER NAME: NI el DahNan Oakwood Insurance Agency PHONE , 763�24-7464 q�C N,;763-424-8414 129 Central Ave. A�e : ndahlvan akwoodinsurance.com 088@O�MN 55369 INSURER S AFFORDIN6 COVERA6E NAIC i WSURERA: T1'8V er Z.r1666 WSURED INSURERB: �n r' Mu u ��1 . Excel Mechanical,Inc. INSURERC: T v r 11582 County Road 13 SE INSURER D: Watertown, MN 55388 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITNSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF WSURANCE POLICY EFF POLICY EXP LIMR8 LTR POLICY NUMBER MMIDO MMID A X COMNERCIALGENERALWBILITY 6805G773802 01/0112016 O1/O'I/2077 EACHOCCURRENCE $ � OOOOOO CLAIMS�AADE �OCCUR pREMISES Ea rre S 3OO OOO MED EXP(An one reon $ rJ��0 PERSONAL 8 ADV INJURY $ � OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2 OOO OOO X POLICY�jEa �LOC PRODUCTS-COMP/OPAC,G $ Z OOO OOO OTHER: S B AUTOMOBILELUIBILRY XA 2667184 01/01/2016 01/01/2017 EeeccideniSINGL L� $ ,� 000 000 . �y q�p BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS NON-0WNED PROPERiY DAMAGE $ X HIRED AUTOS X AUTOS Per accident S `` �( UMBRELLALIAB OCCUR CUP5G774257 � ovov2ots ��O��ZO�� EACHOCCURRENCE S � ��Q� IXCESS LIAB �( CLAIMS-MADE AGGREGATE S � OOO OOO DED X RETENTION S rJ OOO 3 C WORKERSCOMPENSATION UB4545T784 O'I/O'I/ZO'IB O'I/O'I/ZO'I� X STATUTE ER AND EMPLOYERS'LY181LRY ANY PROPRIETORIPARTNERIEXECUTIVE Y�N�A E.L.EACH ACCIDENT $ SOO�OOO OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ SOO�OOO DESCRIPTION O OrPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ .r1OO OOO DE8CRIPTION OP OPERATpNS/LOCATIONS I VEHICLES(ACORD 101,AddMlonal Remarks SoheduN,maY be atleched H mon spau Is roqulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELNERED IN TerlNisscha Construction, (IIC. ACCORDANCE WRH TME POLICY PROVISIONS. 1550 Willmar Ave SE Willma�, MN 56201 AUTHORIZE+�� SENTATIVE � - r m 1988-2014 ACORD CORPORATION. All rlghts erved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Printed by NRD on March 08,2016 at 10:21AM . � L�`�� . DATE TIME � CI�UF ORONO CALLED IN -�,�• INSPECTION NOTICE ��CHEDULED __y�� ___;� PERMIT NO. �,C� � COMPLETED ADDRESS �_ �� . C�rP/if�l� i2- OWNER TELEPHONE NO. g`5c�z�4�ca�l��3 CONTRACTOR �; DESCRIPTION ` �-�- m� � ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 _ � ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:.�YES_NO y COMMENTS: � a �t � tvU ff%'�U � �f � � ��- 0 �. � ° ' d�d u,�e �Q�i o� -en �<� .��s ��c W � Q � 2 W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4lL RETURN ❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCon�tr�pt�r on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice ��--� - v ._----------. / DAT TIME CITY OF ORONO CALLED IN �O 6 INSPECTION NOTICE SCHEDULED —" — � PERMIT NO. �� —��EOMP ETED ADDRESS ��J�Co ��1�L.4Z(�..(;�--�L�—NJ L� OWNER TELEPHONE NO. CONTRACTOR � �L------' � DESCRIPTION �� 2'�.- , ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC INA Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV RAD G/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE RE AL 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 2 OWNER/CONTRACT TO ET YOU:_YES_NO c�., COMMENTS: � �G� t�fi! T 01� � � a � � � � �s� 0 � � ° � �� G e � W � Oa/ —' (,��G ;�%� Q � a � � �6u� �C �' d' �C� �v � �� cvl � -�r► .�tc f�z.� �1 s x��L� un�f a W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE ��k �oRRECT WORK� ❑ S E CERTIFICATE OF OCCUPANCY �O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlCon or on site: Inspector. � White Copyflnspector's File Canary CopylSite Notice