HomeMy WebLinkAbout2005-P09381 - plumbing { , PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9381
Crystal 13ay, Minnesota 55323 Permit Type:
Fixtures
(952) 249=4600 Date Issued:
12/20/2005
SITE ADDRESS: 2670 Kelley Pkwy(57 Unit Building) Unit#
Long Lake,MN 55356
PID: 33-118-23-12-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 7,537.50 Valuation: $ 603,000.00
State Surcharge Fee: $ 301.50 I
TOTAL FEE: $ 7,839.00
APPLICANT: Plumb Right OWNER: OC Development
1216 82nd.Ave N 10300 l Oth Avenue N
Brooklyn Park, MN 55444 Plymouth,MN 55441
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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APPLICANT PERMITEE SIGNATURE —� �
ISSUED BY SIGNATURE
Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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�%' V j FOR CITY USE ONLY
� � City of Orono ��`''��\ �j ;�
O¢ '�O P.O.B o x 6 6 D a t e R e c e i v e d: -l i�P e rr n i t# •' 1 C� ����
�;,;;� 27�0 Kelley Parkway
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���'�s�o~ (952)249-4600
CITY OF ORONO — PLUMBING PERMIT
(All Commercial pern�its mustbe approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by retui7l 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 pernuts may be issued ONLY to licensed plumbing conh�actors and to property owners
residing in the dwelling.
4. When any new conshuctiov or remodeling is iuvoived, a separate building pennit 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)
❑ 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: a� a — '�
Owner: �- � ��� Mailing Address: /�.�n�� _j�''����
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City: �,��,,,� Zip: J'.� ���
Home Phone: � .� j—S, � ��L��'7 Altei-�iate Phone:
Contractor Inforniation:
Contractor: � � Contact Person: �����
Address: /�.�--� -�6a.�-r.���/1� State Bond #:
City: �S�d,�.� � , Zip:,s,�� Expiration Date: � � �S` /� '�
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P�lone: ��' ,��`����T-� Alteniate Phone:
❑ Insurance— Current:
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.�°PI:,UIVIBING FIXTURES BE`INC'r IN�STAI:,I;ED . :: :
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PE1�.VIIT FEE CAL��I%ATI�J1�(S) � '
R:BASEI?OF�`-2002 S'TA'TE ST�'�'U�
❑ 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 licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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� � FEi�i1'F'����AL��I;ATIf?�+]' S "'�JOBS:OVER$SUD.OQ, .��
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.0 )
6 ��
X.oi2s$
(con act price) (minimum$3 .00)
2. 5TATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ . )
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge for the
perxnitted work including materials, labor,profit, and other fixed costs. It is the amount to be harged
to the customer for the work done. If any material, equipment, labor or installations are ' hed by
the owner, tenant or any other party, the reasonable market value of such items must be adde to the
estimated cost or contract price for pertnit fee purposes. In the event that there is a disput on the
amount of the job cost, the City may request the submission of a signed copy of the actual c ntract.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whic ever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the rice.
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to o all
work in strict accordance with the ordinances of the City and the regulations of the St te of
Minnesota, and certifies that all statements made on this application are complete, tru and
correct.
Applicant's Signature���a� Date: /
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Minnesota Department of Labor and Industry �{V'��� O 62
Construchon Codes and Licensing Division ,��lry � '�a
L ti I Engineering and Plumbing Unit . �
443 Lafayette Road N.,St.Paul,MN 55155-4343 � W
Main: (651)284-5005 �p p
�:� EngineeringlPlumbing Unit: (651)284-5067 � W
, , , , , Minnesota Relay Service: (651)297-4198 �' �
- - - Fax: (651)284-5748 www.doli.state.mn.us ��' �,
PLUMBING PLAN REVIEW APPLICATION �� ��'
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New Construction ❑ Food service/bar/lod �n Choose one of the following: �
❑ Addition/Rcmodel ❑ Swimmin or s a ool
o Building Sewer and/or Water
SEWER WATER Service Onlv
`�- New municipal � New municipal (This fee applies when no interior
❑ Existing municipal ❑ Existing municipal Plumbing is to be installed). �
❑ New on-sitc septic system ❑ New private well $150 flat fee
❑ Existin�on-<:ir��sc tic system ❑ �;xistin rivate well Plumbing System - OR-
� • � (Water distribution and
drain/waste/vent systems within the
Project namc: -� "`.i�,`j7;� building,and water and/or sewer
Project street address: 2(c��Q �E��� PKW�I service connections,if applicable).
City/township/county: � �L � This portion of the fee is based on
total number of drainage fixture units
Name: � ' , (DFU)
Mailing /D3n� �/o's a.,..� �✓ a. 25 or fewer DFU $150
b. 26 to 50 DFU �250
address: � c- -- a 51 to 150 DFU $350
� d. 151 to 249 DFU $500
Phone: �y�; j''�`f"�����'a e. 250 or more DFU: multiply$3
times number of DFU to a
Name: �• � z' maximum of$4,000
Mailing S S� .�_ W��2� � v Total DFU:�7�T $�
address: �, ���- ,� lnterceptors/Separators
,
(grease interceptors,flammable
f honc: �� , _ �� �'� waste interceptors,etc...) $ --�,.�
• � $70 per design �
'Co avoid dclay�s, ;�1.<<<sc �revidc the following information: ❑ Storm Drainage System
❑ Utility Site Ylan(if new services are to be installed) $150
❑ Floor Plan ($150 minimum) m�
❑ Roof Plan(if internally piped roof drains are proposed) - �R -
❑ W ater Riser Diagrams $50 per internal roof drain opening
❑ Soil,Waste and Vent Riser Diagrams ($500 mag) $
❑ Plumbing Specifications and/or plus
Please see Ya e 2 or a ttetailed descri tion o each item $70 per storm water interceptor,
separator,or catch basin design $
I certify that this plumbing system was designed in
accordance with the Minnesota Plumbing Code(as amended) TOTAL FEE $�iQ
to the best of my abilities,and I agree to forward the Report OPTIONAL•
on Plans to the installer of the system. ❑ Accelerated review(Total Fee x 2)
� ���' �, 3������ Review completed within IS business $� I�(�
� '��`��—� da s or%o submitted ee re unded. �—
Signature MN License Number Check or money order must be made payable to
,�--� ,.,n (if applicable) "Department of Labor and lndustry". Mail to:
����' ����� LJ`�` Department of Labor and Industry,Financial
Name Print or T e Services,443 Lafayette Rd N. St.Paul,MN 55155.
Retumed checl�s aze sub'ect to fees M.S.604.113,subd.2 .
- , OCT-12-2005 15�41 MDFi 65121�0977 P.01
MINNESOTA DEYARTMENT O� LABOR AND 1NDUSTR
Construction Codes and Licensing Division
Plumbing and Engineering Unit
DATE: October 12,2005
TO: Plumb Reght,Fax: 763-560-6135
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� FROM: Marise Widmer ����ss����
SUBJECT: Prelimina►y lte�ort on Stonebay,Orono,Henrtepin County,Minnesota, Ian No.
061159.
7'hc reftre�c�ced project has been reviewed and ap�roved by the Minnesata Department f Labor
az►d Industry contingent upon compliance with a113U items noted on the auached sheet( ). Pfease
note that it is the plwnbing installer's responsibility io comply with ihe Minn�sota PI bing
Code and other related codes,rules and/or ordinances.
A fipal report on plsns will follow.
If you have any questions,please call 651/2845887.
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Flammabie waste interceptors are requtred when floor drains or trench drains are provided (n enciosed garages over 1000 square feet, garages
housing more than four motor vehicies, repair garages, gasoUne stations with grease racks, work or wash racks, auto washes, and all bulldings
where oily and/or flammable wastes are produced. Facceptton: Prlvate garages classified as Group U, Division 1 occupandes serving one-and
two-family dwellings. All flammabie waste interceptors shall be installed in accordance with Minn. Rules, p. 4715.1120.
— ditional Requirements:
1. Steel or cast iron flammable waste interceptors shail be provided with a � .
protective corrosion resistant coating on both the inside and the outside.
2. Only wastes that require separation may discharge through the flammable
waste interceptor.
' 3"Vent
3. If the outlet branch drain is further than 25 feet from a vented drain, a Metallic P(pe Materiai
minmum 2-inch vent shall also be provided on the branch drain.
4. Sand interceptors may be provided ahead of a flammable waste
interceptor only in designated wash areas. �
45°Or Greater
3"Dry Pan Drains • 24"Solid Cover � CO
� �" 4" Outlet
�
u
Sized From � 18N
4715.2310 At Least Sanitary
subp.2 �� 36"Minimum 35 Cubic Foot Sewer
� B Monolithic Poured Capacity
Reinforced Concrete or
3/16"Steel or
Cast Iron
.
- Fiammable Waste Interceptors - Construction and.Instaliation � 4/ss
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, Minnesota Department of Health • Division of Environmental Health • Engineering Unit ENG 1
� �/ V �`�� �j DATE TIME �
CITY OF ORONO CALLED IN [ — 7��
INSPECTION N IC SCHEDULED �U ���M
PERMIT N0. J� I COMPLETED
ADDRESS � �
OWNER ONTR.
TELEPHONE NO.
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 1� EXCAV/GRADING/FILLING
� 02 FR,4MWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 3W TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 1i7 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 2�'I COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 2p FOLLOW-UP
= 09 PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P UMBING FINA 36 FOUNDATION/REMOVAL
� W NTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING I pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTOITAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATIQN ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanc�. (952) 249-4600
OwnedContractor on site:
Inspector. ,�� � ,
White Copylinspector's File Canary CopylSite Notice
� � (j�// ! /� C�I D T E/� E
CITY OF ORONO CALLED IN �L / ��
INSPECTION NOT E SCHEDULED :
PERMITNO. g3�� COMPLETED
ADDRESS � ' � C
OWNER CONTR. �P '
TELEPHONE N0. � � � � �
� DESCRIPTION c.-
,� � -�,�.cm l� �
l� 01 FOOTING 11 MECHANICAL RI I 18�/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL i 19 LAKESHORE/WETLANDS
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Q 03 WSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? .Q9�PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:� �� I � � ��� � �f f��
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W ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
O ❑ C�RRECT WORK,CALL FOR REINSPECTION � TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
i�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in�advance. �952� 249-46QQ
Owner/Contracto on it . '
Inspector.
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White Copyllnspector's File � Canary CopylSite Notice
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� DATE TIME
CITY OF ORONO CALLED IN Z'ZU �
INSPECTION NOTICE SCHEDULED "z-2-U� i l'• 3� �`�
PERMIT NO. '�``-��-��� COMPLETED � " -�� �
ADDRESS ��--�:�?C% �� 11� ,,� �� (� c,��--� .
OWNER CONTR.��I v��, E� �� It-1—
TELEPHONE N0. �� � � �� � �3���C'� ��� ��-
� DESCRIPTION CJ�� ��-� � �=� ( C��:.��t_ c�
l� 01 FOOTWG 11 MECHANICAL RI i 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLAC�E 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN NOURS. ❑ PHOTOTAKEN
INSPECTOR W4LL RETURN
' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 9'
OwnerlContractor on site:
Inspector. o r—/� �
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIME �
1
CITY OF ORONO CALLED IN
INSPECTION NO SCHEDULED —Q D �
PERMIT NO. 3 / COMPLETED
ADDRESS �67D
OWNER CONTR. �
TELEPHONE NO. � a-3� ��
� DESCRIPTION (57ss�. �� e���e� ���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor on site:
Inspector.
White CopyMspectoPs File Canary CopylSite Notke