HomeMy WebLinkAboutPL 2015-00135 Public Works Project Documents CITY OF OAK PARK HEIGHTS PERMIT NO.: 2015-00135
14168 OAK PARK BLVD. N. #2007
DATE ISSUED: 07/24/2015
OAK PARK HEIGHTS, MN 55082-2007
(651) 351-1661 FAX: (651) 439-0574
(C._ 0 I
ADDRESS : 6351 ST CROIX TRL N YD SS2 IRR PERMIT APPLICANT:
PIN : F0-020-03 RELIABLE PLUMBING
LEGAL DESC : COND 38 SUNNYSIDE II 3RD SUPP 17822 LINCOLN ST NW
: LOT 0 BLOCK 0 ELK RIVER,MN 55330- / Yl&"
PERMIT TYPE : PLUMBING
PROPERTY TYPE : MULTI-FAMILY/APT/TOWNHOME/CC (763)443-7411 V
CONSTRUCTION TYPE : IRRIGATION SYSTEM
VALUATION : $ 40,000.00
PERMIT ISSUED FOR INSTALLATION OF COMPLETE UNDERGROUND SPRINKLER SYSTEM FOR SS II&CONNECTIN
TO WATER MAIN. PERMIT INCLUDES CHARGE FOR 1.5"OMNI C2 WATER METER. ALL WORK SHALL BE PER
SUBMITTED PLAN AND SHALL COMPLY WITH MN PLUMBING CODE AND LOCAL ORDINANCES. SCHEDULE
INSPECTIONS WITH ANDY KEGLEY 651.775.5759
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:
INSPECTION TYPE DATE INSP CTOR INSPECTION TYPE DATE INSPECTOR
WATER CONNECTION 84.4-.(5 L
WET TAP INSPECTION 81.1S"" l�
BACKFLOW PREVENTOR 8-z -f$ I<
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INSPECTION COMMENTS: 41 Plan 3yL 7l) Pf7 1ci1 - Pci(
IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
E CITY OF OAK PARK HEIGHTS PERMIT NO.: 2015-00135
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 07/24/2015
(651)351-1661 FAX: (651)439-0574
ADDRESS : 6351 ST CROIX TRL N YD SS2 IRR
PIN : F0-020-03
LEGAL DESC : COND 38 SUNNYSIDE II 3RD SUPP
: LOT 0 BLOCK 0
PERMIT TYPE : PLUMBING
PROPERTY TYPE : MULTI-FAMILY/APT/TOWNHOME/CONDO
CONSTRUCTION TYPE : IRRIGATION SYSTEM
VALUATION : $ 40,000.00
NOTE: PERMIT ISSUED FOR INSTALLATION OF COMPLETE UNDERGROUND SPRINKLER SYSTEM FOR SS I1. CONNECTION TO
WATER MAIN BEING DONE BY MILLER EXCAVATING,PLUMBING WORK(METER AND BACKFLOW PREVENTOR) BY RELIABLE
PLUMBING.ALL OTHER IRRIGATION SPRINKLER COMPONENTS AND LOW VOLTAGE WIRING IS BEING DONE BY CHUCK
CLOUTIER OF WATERMANAGEMENT SERVICES CORPORATION. PERMIT INCLUDES CHARGE FOR A 1.5"OMNI C2 WATER METER.
HOA HAS PROVIDED AN EXECUTED DEDUCT METER INSTALLATION AGREEMENT TO THE CITY OF OPH. ALL WORK SHALL BE
PER SUBMITTED PLAN AND SHALL COMPLY WITH MN PLUMBING CODE AND LOCAL ORDINANCES.PYMT BY SS II CONDO ASSN
#006325
VALUE OF PLUMBING 40000 WATER METER FEE 1574
APPLICANT PLUMBING-COMMERCIAL 400.00
PLUMBING STATE SURCHARGE COMMERCIAL 20.00
RELIABLE PLUMBING WATER METER 1,573.56
17822 LINCOLN ST NW
ELK RIVER,MN 55330- WATER FUND 70.00
(763)443-7411 TOTAL 2,063.56
Minnesota State License#: PLUM-PM089417 Payment(s)
CHECK 006325 2,063.56
OWNER
6351 COMMON AREAS
6351ST CROIX TRL
OAK PARK HEIGHTS,MN 55082
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to:(1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable city
approvals,Ordinances,and Codes;and,(4)the State Building
Code.This permit is for only the work described,and does
not grant permission for additional or related work which
requires separate permits. This permit will expire and become
null and void if work is not started within 180 days,or if work
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Oak Park Heights
14168 Oak Park 131hd N.•Box 2007•Oak Park Heights,MN 55082•Phone(651)439-4439«Fax 439-0574
DEDUCT METER INSTALLATION PERMIT
CustomerName:
Customer Address: a rnJ F k (140 s. eeAe`'N Sr. ,o4
STt(t tAfft-T-e42. -rnN
Customer Contact Information: Phone: (0G1— 2_67--q843
E-mail: OFPI.ce-C VYV.WROO PrS C- ki:1-�e I -T
Person responsible for reporting yearly RPZ testing and five year
rebuild: U3AT - Uy\" 1= C 1\I ∎
Contact Information: Phone: c,12.. z Z- zoq S
E-mail: 030TCAKAtYYCANt=4G�MYvex e WI-0\RA CC)Yn
Meter will be used for: Irrigation Boiler System
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7 8 11 Q
Meter#: l0 Z S
Meter size: • d • C Z
Install Date: U / 10 f Inspection date: 8 /Zopr
5" (. ,,>>
Applicant Signature 6d--�" e Date a/ / 5
icsi Qti Q
City Representative %11. / Date
City of Oak Park Heights
14168 Oak Park Blvd N.•Box 2007•Oak Park Heights,MN 55082•Phone(651)439-4439•Fax 439-0574
Deduct Meter Policy
Policy Statement:
Deduct water meters are provided as a service to Oak Park Heights water and sewer customers
to meter non-sewered water usage. Deduct meters shall be used to measure non-sewered water
usage for irrigation applications and boiler system applications only.
The following policies shall apply to current and prospective deduct meters:
A. The customer is responsible for all costs incurred to install a deduct meter, including
the cost of the meter and all appurtenances. All meters installed shall be furnished only
by the City and shall remain the property of the City of Oak Park Heights. It remains
the customers responsibility to ensure appropriate installation, accurate maintenance
and readings of the deduct meter are reported to the City.
B. All deduct meters shall be installed in conjunction with a RPZ back-flow prevention
device. The customer shall cause the back-flow prevention device to be inspected
and/or tested once per year by a qualified licensed individual and in compliance with
the Minnesota State Plumbing code sections 4715.2161 and 4715.2162 or as may be
amended or revised. In addition,the customer is responsible to maintain a required
rebuild interval,not exceeding five(5)years for such RPZ devices. The customer is
responsible to submit a copy of the back-flow prevention device inspection and test
report to the City on a yearly basis, and report of rebuild a minimum of every five(5)
years. Failure to submit inspection and rebuild reports may result in loss of the non-
sewer use deduction and/or termination of water service.
C. It remains the customers responsibility to ensure the deduct meter is working properly.
Under no circumstances shall the customer attempt to make repairs or perform
maintenance to the water meter. If the deduct meter is not working properly,the
customer shall contact the City Public Works Department as stated in City Ordinance
1001.03 subsection B. Any repairs shall be paid for by the customer. If the deduct
meter has failed,the City may at it its sole discretion estimate the water usage and will
bill the customer.
D. The City of Oak Park Heights reserves the right to inspect the property at anytime to
ensure that the installation and use of the deduct meter is in compliance with this policy
and any applicable codes and regulations. The Customer shall provide plumbing as-
builts of the systems using and that are tied into the deduct meter to the City prior to
final installation and activation. Failure to provide these as-built drawings may result
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in a revocation of use of the meter and permission to operate a deduct meter will be
withdrawn.
E. No deduct meters shall be permitted without first securing a permit from the City.
F. The City of Oak Park Heights reserves the right to terminate the use of a customer's
deduct meter for any violation of this Policy.
G. Deduct meters shall be permitted only to measure non-sewered water usage for
irrigation applications and boiler system applications,no other purposes are permitted.
H. All existing deduct meters in place at the time of approval of this Policy are required to
conform to this Policy.
Revised November 6,2012
2
Watermanagement Services Corp.
Cross Connection Control Device
Performance Test
Owner Information
Owner Nate SUNNYSIDE II Street Address CIO MJF&ASSOCIATES
1940 GREELY ST SUITE 101
STILLWATER MN 55082
City State Zip Code Owner's Contact Person Tel ph2 a Number
Stillwater MN 55082 JUDD 43
Project Information No y� j
Project Name SUNNYSIDE II street Address 6395 ST CROIX TRAIL NORTH i'' Si C��k, r°
County WASHINGTON /�
City OAK PARK HEIGHTS Zip Code 55082 tY Tli i i e„-1-,fin ,
Assembly Location BETWEEN 6401 AND 6345
Manufacturer FEBCO Model 825Y Serial Number J024976
Size 11/2" Assembly Type ®RP 0 R Detector ❑DC ❑ DC Detector ❑PVB/SVB
INITIAL TEST RP relief valve
1st check 2nd check
® Closed tight ®Closed tight Opened at 3.5 PSID
❑ Leaked ❑ Did not open
['Leaked ' —
Static 7.9 PSID Static 5.1 PSID
FINAL TEST Opened at PSID
❑Closed tight El Closed tight
Static PSID Static PSID
DETECTOR BYPASS ASSEMBLY INITIAL TEST RP relief valve
1st check 2nd check
❑ Closed tight ❑ Closed tight Opened at PSID
❑ Leaked ❑ Leaked ❑ Did not open
Static PSID Static PSID
DETECTOR BYPASS ASSEMBLY FINAL TEST Opened at PSID
❑ Closed tight ❑ Closed tight
Static PSID Static PSID
PRESSURE VACUUM BREAKER INITIAL TEST PRESSURE VACUUM BREAKER FINAL TEST
Air inlet valve
Check valve Air inlet valve Check valve
Opened at PSID ❑ Closed tight Opened at PSID 0 Closed tight
❑ Did not open ❑ Leaked Static PSID
Static PSID •
ASSEMBLIES IN FIRE PROTECTION SYSTEMS Note: Include hose stream demand where applicable
Forward Flow Test Static Pressure PSI
Designed flow rate GPM Actual flow rate GPM Stati Pressure PSI
No. of nozzles flowed Nozzle size
Inlet flow pressure PSI Outlet flow pressure PSI
Indicating Control Valves
❑ No. one control valve open ❑ No.two control valve open Valve supervision: ❑Tamper switch 0 Locked
Part(s) Replaced/Comments NEW INSTALLATION-FIRST TEST
I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Tester Name Registration 661587 (Wisconsin) 1615
(Print) Chuck Cloutier No. 068527-BT(Minnesota) Time of Day
- ,
Tester Si.nature -- , i1. Phone No. 612-282-2093 Date 08/15/2015
-:
Wet Tap Inspection Form
Date/Time: 8-‘- ls-
Location: Susr"f ,,,LL -�
Contractor: M. Re C x C •
Contact:
k l (c Si )( ( 411 - 01S -1
Water Line Material and Size: 2 Copper
Valve Size, Manufacturer,Model, and Serial Number:
Blocking in place: Behind Wet Tap: YLJ N
Under both flanges of Ga ve: Y/N
Ca jbt
Conductivity straps welded or bolted on: Y/N
Conductivity copper imbedded in gasket: 3/N
Photos:
Public Works Observer Name and Date: '<t hel- G6241.
Notes:
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