HomeMy WebLinkAbout2003-P06034 - plumbing PERMIT
CITY OF O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06034
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2/20/2003
SITE ADDRESS: 645 Tonkawa Rd
Long Lake,MN 55356
PID: 05-117-23-33-0019
DESCRIPTION:
Proposed Use: other
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Approved by Lyle&Bruce
FEE SUMMARY: Permit Fee: $ 306.25 Valuation: $ 24,500.00
State Surcharge Fee: $ 12.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 320.00
I
APPLICANT: Commercial Plumbing&Heating Inc. OWNER: Temple Isreal Of Minneapolis
24428 Greenway Avenue 645 Tonkawa Rd
Forest Lake,MN 55025 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICA T P ITEE SIGNATU ISSUE Y SIG A
Conies: 1-File(Siznitures Required), 1-Applicant, 1-Monthlv Reports, I-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (95 2) 24 9-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New < Addition Repair Replace
Residential Commercial
JOB SITE: (ACj fo"K AWA &A-(O Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name:QmmEeBlod. pb,t neto� x&/p,�TelephoneNumber: b5- 4(6-24�(�
Mailing Address:yN Zy,Gweagtu44 Aveme City: Fob LgCL Zip: 06625-
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water.Closet Q6 Floor Drains
Lavatory Sewer Ejector `
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
PERMIT FEE CALCULATIONS)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a 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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
— z x .0125 $
(contract price) (minimum$35.00) ,
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ AQ.a S
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50 \\
4. TOTAL PERMIT FEE _ ___(Add lines_1.-3 above) $ �� ..01
* 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 installation 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.
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50-whichever is greater.
For valuations over$1,000,000 call the Department of Inspection Services for.the price:_
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: a
• ORONO CaDEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Camp Teko, Chader Dining Hall Addition, 645 Tonkawa Road, Orono,
Hennepin County,Minnesota, Plan No. 032100
OWNERSHIP:
SUBMITTER(S):' Commercial Plumbing and Heating Inc., 24428 Greenway Avenue, Forest Lake,
Minnesota 55025
Plans Dated:
Date Received: January 10, 2003
Date Reviewed: January 30, 2003
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The
responsibility for the design of structural features and the efficiency of equipment must be taken by the project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this report.
Special care should be taken to insure that the material and installation of the plumbing system are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Commercial Plumbing and Heating Inc.
Enclosed is a copy of the report and transmittal letter to be forwarded to the project owner.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
the Minnesota Plumbing Code. As specified in Minnesota Rules,part 4715.2830,no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be made for applying an air test
at the time of the roughing-in inspection as outlined in Minnesota Rules,part 4715.2820, subpart 2, of the code.
A manometer test, as specified in Minnesota Rules,part 4715.2820,subpart 3, is required at the time of the
finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota
Department of Health when an installation for a state contract job,licensed facility, or project in an area where
there is no local administrative authority is ready for an inspection and test. To schedule inspections,contact the
state plumbing standards representative for your region,or call the metro office inspection hotline at 1-800-926-
6216 (7:30 a.m. to 9 a.m.), or 651/215-0836(8 a.m. to 9 a.m.) on Monday,Wednesday or Friday.
REQUIREMENT(S):
1. A water closet shall not share a common vent with another fixture connecting to a vertical drain at a
different level. Wet venting of water closets is only allowed when stack venting in accordance with
Minnesota Rules,part 4715.2560. The urinal and the water closet shall be individually vented.
2. Faucets equipped with threaded hose connections must be provided with approved backflow preventers.
3. The water piping system shall be disinfected in accordance with Minnesota Rules,part 4715.2250. The
plumbing system shall be tested in accordance with Minnesota Rules,part 4715.2820.
4. Since piping material specifications were submitted, verify that materials used for the plumbing system shall
comply with the standards set in the Minnesota Plumbing Code (see Minnesota Rules, part 4715.0420).
Camp Teko, Chader Dining Hall Addition
Plumbing
Plan No. 032100
Page 2
January 30, 2003
5. All plumbing shall be installed in accordance with the Minnesota Plumbing Code(see Minnesota Rules,
part 4715.0320).
NOTE(S):
1. The scope of this project consists of a remodel of an existing building. Installation includes two bathroom
groups, a mop sink, and a drinking fountain.
2. This facility is served by existing water and sewer service connections.
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved 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.
A
by v . Tran
Public Health Engineer
Environmental Health Services Section
P.O. Box 64975
St. Paul,Minnesota 55164-0975
651/215-0840,
CMT:sas
cc: Project Owner
Commercial Plumbing and Heating Inc.
Mr.Lyle Oman,Plumbing Inspector
Ms. Susan Palchick,Director,Hennepin County
Plumbing Unit
File
LETTER OF TRANSMITTAL
DATE 2/10/2003 JOB NO. P23005
0UMBING AND HEATING
24428 Greenway Avenue,Forest Lake,MN 55025
651-464-2988•Fax 651-464-2425 ATTN Inspections Department
RE: Camp Teko, Chader Dining Hall Addition
TO: City of Orono 645 Tonkawa Road
2750 Kelley Parkway Orono, MN
Crystal Bay, MN 55323
WE ARE SENDING YOU: ~'
x Enclosed: Under separate cover via the following items:
Shop drawings x Prints Approved Plans Specificatiot'fs
x Copy of Report Change order x Permit Application Check
COPIES DATE NO. I DESCRIPTION
2 MDH Approved plans
1 MDH Report on plans Plan#032100
1 1 2/10/20031 Permit Application
TRANSMITTED as checked below:
X For Approval Approved as submitted Resubmit Copies for approval
For your use Approved as noted Submit Copies for distribution
As requested Returned for correction Return Corrected prints
For review and comment Other
FOR BID'S DUE: PRINT RETURNED AFTER LOAN TO US
Remarks
Signed / cc: file
Dee Skeie
s:/Forms/Transmittal
11'/
/ DATE TIME
CITY OF ORONO CALLED IN ✓ —/ &I r >
INSPECTION NPLTICE SCHEDULED :!5
PERMIT NO. ((COMPLETED
ADDRESS
OWNER / CONTR. Z: / tAi
TELEPHONE NO. (�' �� "-bU-79
DESCRIPTION � ,L
01 FOOTING 11 MECHANICAL RI A EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNEWCONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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Wac/WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
Owner/Contra s te:
Inspector.
White Copy/Inspector's Fie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 03
INSPECTION NOTICE SCHEDULED 2,"3
PERMIT NOJT 120 3'1 COMPLETED
ADDRESS _ 1��5 �(l�t,L��-z✓w
OWNER CONTR.
TELEPHONE NO. /as i!p.PJ 0079
DESCRIPTION
4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
iLUMBIN 23 SEPTIC FI 35 HARD COVER REMOVAL
v 10 L 36 FOUNDATION/REMOVAL
Z OWN CONTRALTO TO MEET YOU:_YES_NO
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio advance. (952) 249-4600
Owne n or on site:
Inspector.
hite nspectoes File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLEDIN
INSPECTION NO CE . SCHEDULED
PERMIT NO. oJ? COMPL ED
ADDRESS VS- 7721 1/, af" T Cay
OWNER CONTR. � j by-ac-t-1 1��1r�G it
TELEPHONE NO. (2/a lak- -3& 7(a 77
DESCRIPTION
4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL, 22 FOLLOW-UP
.09 PLUMRINrj RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v PMBIN36 FOUNDATION/REMOVAL
o .EETYOU !_YES_NO
COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for theRite:
t inspection 24 hours in advance. (952) 249-4600
Owner/Contracto
Inspector.
White Copyllnspector's le Canary Copy/Site Notice
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DAT - TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC � // SCHEDULED a 'e _ 3 f-)
PERMIT NO. / `C COMPLETED
ADDRESS
OWNER CONTR.C,0MM71_amb-/- 1-4
TELEPHONE NO. �Dlc� 685 s3& Z&
DESCRIPTION P/Lt rn b 1 n!q Fl rl-�
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
aNlUMBING FINAL 36 FOUNDATIOWREMOVAL
ERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra c o site:
r.
Inspecto
White Copy/inspector' File Canary Copy/Site Notice