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CITY OF ORONO * 2 0 1 7 — 0 1 4 3 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: i l/02/2017
ORONO,MN 55356-
(952 249-4600 FAX: (952)249-4616
ADDRESS : 4460 NORTH SHORE DR
PIN : 07-117-23-31-0039
LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI
: LOT 000 BLOCK 000
PERMIT TYPE : PLLTMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MUL'I'IPLE
NOTE: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER
VALUATION OF PLUMBING 4600
APPLICANT PLUMBING FIXTURE FEE 57.50
J.SCOTT PLUMBING STATE SURCHARGE PLBG(VALUATION) 2.30
24421 QUINLAN AVE N TOTAL 59.80
SCANDIA,MN 55073- Payment(s)
CHECK 15782 59.80
OWNER
LOMA,JOSEPH&LISA
4460 NORTH SHORE DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
1'he work for which this pe�mit is issued shall be performed according to
the approved plans and specifications,applicable City appmvals,and the
State Building Code. This permit is for only the work described and dces
not grant pertnission for addidonal or related work wluch requires separate
permits. All pmvisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null az►d void if construction authorized is not
commenced within 180 days of the date of issuance,or if construcNon is
suspended for a period of 180 days at any time after work has commenced.
'fhe 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 du cause. �
� , � s� �r , �Z, �,z
Applican rmitee Signature Date Issued B ignature Date
. � gQ� City of Orono FOR CITY USE ONLY
0 P.O.Box 66
'r Date ReCeiVed: /-'��_��
2750 Kelley Parkway D`
� � Crystal Bay, MN 55323 Permit# �- ��
� o� (952)249-4600—Main
'�kESH044' (952)249-4616-Fax Approved By:
Amount$: 5�1�
CITY OF ORONO — PLUMBING PERMIT
(All Commerciai Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.aov/CCLD/PDF/pe plumbalanrevapu udf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications wili be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licsnsed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600.
(24-48 hour notice required)
TYPE OF PfRMIT(ClieCk all That APp�Y)
Residential ❑ Commercial (Approval Required) [Backtlow Device: 0 AVB PVB
❑ ]
❑ New ❑ Additional ❑ Repairs
�eplace
❑ In Accessory Structure?
*You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article I�
Job Site/Owner lnformation:
Site Address: ��(,C, ������� ���v�
Owner:�, ��, Mailing Address: �7�� � o���
City: Zip:
Home Phone: Altemate Phone:
Contrector lnformation: .
Contractor: � � Contact Person: �� � /����t
,�
Address: ���� �l�v�r� J.�,. /�, State Bond #: �������
C�tY� ���.�°?G--l��� Zip: Expiration Date: f.�631-/�
Phone: �� �� ��� Alternate Phone:
❑ Insurance— Current:
Page 1
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� � �-_a :P�:LJ,#�B��C-�,ffX'3'UR�$ 8�1 � Cr��fST�+►1����r Y _ .v w :,,: � .
�4fi'<.�. 'a - .
I
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT �sr 2ND OTHER "
NpE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
3 :,k y IT� I . ,�.-.���, ���,f +��-'T';:,���� - ��� � � _ L "i E �f.
�d r_
1. CONTRACT PRICE * is 1.25% o�lf contract price with a(Minimum Fee of$50.00)
� x .0125 $
� G� minimum $50.00)
(contract price) �
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE 8� 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 estirraated 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 fumished 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 '_ � � �, -,..'�,f3 _; �r,� .��:PL�;�1�11��P�R11�!'�J4;�!�'�:���4�'ffli����t��NI�NT. `.,.},�:, . , . �^ � �- ",,,Y�'
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: /�/'"��l��
Building Official/ Inspector: Date:
Page 2
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D TE TIME �
CITY OF OROMO c�►L�IN �-2�' —�--
INSPECTION CE _ ��sc�Eouu�.en � �l�
PERMR NO. �17-0� s c,o,Mf�o
ADDRESS /�• � GY�- �✓'1 t�
OWNER PHONE NO�P�����g 9 �
CONrRACTOR � �
� DESCRIPTIOPI ` �
ty ❑ FOOTINO � DEMO- ❑ SEPTIC FINAL
� � POURED WALL �.PLUMBI I � EXCAVlORADIN(i/FILLINO
Q ❑ FOUNDATION WATERPR�F � PLUMBINO FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑SITE INSPECTION
Q � FRAMINO ❑ MECHANICAL FINAL � RATED WALLS
� 0 INSULATION �WOOD BURNER/FIREPLACE 0 COMPLAINT
� 0 FINAL �WATER HOOK-UP � FOLLOW-UP
W ❑AS BUILT-SURVEY � SEWER HOOK-UP ❑ FOUNDATIDNIREMOVAL
_
J ❑ DEMO-SffE ❑SEPTIC INSTALL
a O�NERICONTRACTOR'1�MEET YOU:_YE�_MO
� COMMENT� �/�YA�1 V'�er.rlGaQe� "
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� �MOAK 3J1T18FACTORM:PROCEED ❑PROJBCT(�MPLETE
W /"GORRECT WORK a PROCEED ❑ISSUE CERTIFICATE�OOCdiPJ1NCY
D ❑c�ECT w'a�c,cnu.r-oA fmNsaEC�N � 7�PORnAr
V BEFOREc�NERiNa pEpMAN�
❑(�pRRECTUN3AFECONDIT�NWITHIN HOUR3. ❑pHpTOTAKEN
IN8PECTOR YVFLL RETURN
O STOP ORDER POS'TED.CALL INSPECTOR O qTAT10N ISBUED
O INSPECTION REGUIRED.CALL TO ARRANOE ACCESS.
Cau ror tl�e rrext 6�spectlon 2a t�ours in a�rerioe. (952) 249-4600
O�n�lCorrlractor on sit�
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Whits Cap�M�s Flle Grary GopYiBib N�es
INSPECTION NOTICE
DATE TIME
CITY OF dr�h D CALLED-IN
o i 5�3 a SCHEDULED
PERMIT N0.��7� COMPLETED a��/-�
ADDRESS �yG'a /f���L� a.�.a �l'
OWNER/CONTR.
�SITE INSPECTION 0 MECHANICAL RI ❑REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL ❑FOLLOW-UP
❑F�TING 0 INSULATION ❑COMPLAINT
❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE
0 FOUND.DRAINAGE ❑BUILDING FINAL 0 SPRINKLER SYSTEM
1 ❑FRAMING ❑SEPTIC INSTALL ❑
❑SHEATHING O SEPTIC FINAL ❑
❑PLUMBING RI ❑S&W HOOKUP �
l� 19.PLUMBING FINAL ❑GAS LINE MANOMETER 0
o COMMENTS•
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� FURTHER CORRECTIONS MAY BE REQUIRED 0 PERMIT FINALED
p ❑WORK SATISFACTORY: PROCEED � PHOTO TAKEN
p '�CORRECT WORK&PROCEED
V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr.on site:
.Inspector• �•r.Svrv P
� V
/ 1
DATE TIME
�CITY OF ORONO CALLED IN �
INSPECT{ON NOTICE SCHEDULED l � —/7
PERMIT NO.� � OMPLETED
ADDRESS �
OWNER TELEPHONE NO. �y� "a `!�
CONTRACTOR 'S
,
� DESCRIPTION
ty ❑ FOOTIPIG DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL 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
J ❑ DEMO-SITE ❑ SEPTIC IIVSTALL
a OINNERKANTRACTOR TO MEET YOU:_YES_NO
� COMMENT`.�'-�.
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W ❑WR�RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT N�RK 8�PROCEED 0 ISSUE CERTIFlCATE OF OCCUPANCY
W
0 CORRECTNIOFliC,CALL FOR REINSPECTlON TEM�RARY
ORE CdNERiNO PERMANENT
❑CARRECT WNSAFE(�NDCfION dVITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WFLL RERJRN
❑STOP ORDEN POSTED.GALL INSPECTOR 0�TATION ISSUED
❑INSPECTfON REQUIRED.CALL TO ARRAN(iE ACCESS.
Cetl tor the next inspection 24 hours in advanc�. (952) 249-4600
on site:
1
White CcP11M�tor's Flle Canary CoPY�ite Notke