HomeMy WebLinkAbout2008-00186 - pool - in ground � � CITY OF ORONO PERMIT NO.: 2008-00186
- 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/16/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2280 SHADOWOOD DR
PIN : 27-118-23-32-0015
LEGAL DESC : SHADOWOOD FARM
: LOT 003 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL-IN GROUND
VALUATION : $ 23,900.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE PERMIT) .
INSTALL INGROUND VINYL LINED POOL.
APPLICANT pERMIT FEE SCHEDULE 398.25
PETERSON POOLS&SPAS INC. PLAN REVIEW 258.86
13110 EXCELSIOR BLVD
MINNETONKA,MN 55343 STATE SURCHARGE(VALUATION) 11.95
(952)933-3010 TOTAL 669.06
OWNER
REST,BILL
2280 SHADOWOOD DR
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions 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 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 wmmenced.
The applicant is responsible for assuring all required inspections are
requested in formance with the State Building Code.This permit may be
revoked at time for e cause.
vr l/� l �stS' � � � p�'/
Appl ermitee Signature Date Issued y ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE.
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Total Fee: $ ���Q� � �� Date Received: 9-Z-d8
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Entered By; � Permit#: �pp�- OD/��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan.review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: �Z �� c��i4�-c�L l� ��, ZIP: ��,�',$�G,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO If yes, a special event permit is required with Police Department and City Council approva!
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
� / /
NAME OF OWNER: (�( ` / eS � PHONE: (l�e)�lZ �03-5�S'�
(work)
MAILING ADDRESS: ��(�S�,r�6� �i�: CITY: � n, ZIP:�-�
CONTRACTOR: ¢Z��-. f�S�cS.04,-5 �.itC . PHONE: 4.5�� 933- 3�1a
CONTACT PERSON: �'�,s{� ��c�e_. MOBILE/PAGER: ��Z ?�!-3b'r `�
MAILING ADDRESS: l 3�l6 �c�«- �„�{. CITY: �1.�,c�� ZIP: _���;�
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/ Iteration(ie: Siding,Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�:���l/ �c.�,,�„ aL !/,.� ;�/' l.�a�
��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z � 9Q�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: � .S�s� 4 DATE: �Z ��
31
Sec.13.04 RIGHTS OF SUBJECI'S OF DATA �
Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shal I be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence azising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revewe mav nlace the notice reauired under this subdivision in the individual income ta�c or Qroperty tax refund
instructions mstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data. ARer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
1'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Prceedure when data is not accurate or complete.An individual may contest the accuracy or completeness ofpublic or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nahue of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases. •
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve,some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
C��Y State Zip Phooe
I understand my rights as s ted above.
Signsture •
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
�. FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZZ�Q ���q,p ,��,o �2
PID:
DESCRIPTIONOF WORK: �NC4,�,o,,�,/� � I
ZONING REVIEW BY.• �� DATEAPPROVED: g - ��,—�q
BUILDING REi�IEW BY.• DATEAPPROVED: � _�Z_n�
FEES TO BE CHARGED: Misc. Fees Calculated By.•
PERMIT Yes_� No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes l/ No WATER C0IVNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning District: ���-_� ���
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes�� No Date of Survey: ON �'�,�
Proposed Setbacks:
Front(Lake): !bs�� Right Side: _ Zp p� �'
Rear(Stree[): �(�' 4' Left Side: �+ � '''
Adjacent Structures: Z�� Wetland.• ti/ y9
Building Height: Def.Hgt. ^ Peak Hgt. �
Lot Coverage: /�///�}
Grading.• Sta�'Approval Date: ^— By: Counci!Approval Date:
Septic: Staff Approval Date: Lc.� `}-/D -D�'j By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: /�Jt� MCWD Permit:
Avg. Setback.• BluffSetback: LotCoverage:
Fxisting Proposed
Hardcover: 0-7�'
75-250'
250-500'
500-1000'
Hardcover !'ariance Required: Yes No Date of Council Approval:
REMARKS(in house):
33
BUILDING REVIEW CHECg LIST
UBC: 1Jl�F CONSTRUCTION TYPE: -�
Sq Footage ,$Per Sg Ftg
Basement x = �
1 st Floor x =
Znd Floor x =
Garage x =
x =
TOTAL
Estimated Constru ction Value: ,S ?3,�0� `�°
Inspections Required: Work Requi�ing Separate Permits:
Site Plumbing Fire
Hardcover Removal �Mechanical Water Connection
�Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) i�Yell(State Permit)
p� Final Grading/Filling C Electrical(State Permit)
Other
REMARKS(INHOIISE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By.•
REMARKS(TO BE NOTED ON PERMIT):
34
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LIGHT STEP *�� 4�� l�`j � ���
APPLICATION APPLICATION B �A� '
8' 8' 8' 8' ,
16'x32' RECTANGLE p �
4 4 5 12-8' PANELS TYPE II �
8' 8'
8—BRACES
8, 35'-9" g� 6� I —CORNER ASSEMBLY SET
I —16 x32 COPING STRAIGHT SET 6"R
g� 8' I —90' COPIN6 CORNER SET
4' 4'
5 I —STEEL HARDWARE KIT E F--�-�+G� H J K J
SteelStminstallation: I —VINYL LINER
8' 8' 8' 8' S I Z E A B C D E F G H J K L
To install 6'ateel siep,use 4'tiller on eRher side.
To install 8'steel step,use 3'tiller on either side. 16' x 32' 16' 32' 8' 3"4" 8" 14' S'6" 4'6' 4'6" 7' 4'8"
2' 8' 8� 8' 8' Remove both 8'panels lor eRher step. 16' x 4' 6' 34' 8' 3'4" 10' 14 5'6" 4'6" 4'6" 7' 4'8"
16' x 34' RECTANGLE �
18'x 36' IB' 3'fi' 8' 3'4" 12' f4 5'6' 4'6" 4'6" 9' 4'8"
4 4 5� 12-8' PANELS TYPE IL 20'x 40' 20' 4tl; 8'6" 3'4" 13'-6 15=6 7' 4' 6' 8' S'2"
8" 8�
2— 2' PANELS
g• 37'-7" g• 6, 10—BRACES
I —CORNER ASSEMBLY SET ��
g� g' I —18 x 36 COPING STRAIGHT SET 6"R —�8-��-- �
4, q• 5� I -90° COPING CORNER SET —l�
I —STEEL HARDWARE KIT � �
2' 8' 8' 8' 8' I —VINYL LINER �
\ I r--z=o=-{
4' 8' 8' 8' 8' .���E. �
18' x 36' RECTANGIE <��E^S �� � TURNBUClCLE
i
5' 8, g• 5 6 12-8' PANELS TYPE lI
2—4' PANELS �""'� Pa,NEL
40'-3" 8• 6,2—Z� PANELS �.� oa�.c� ,:�E.ai.
8� 12—BRACES ��N �
8' 8 I —CORNER ASSEMBLY SET au�TE
6• I —18 x 36 COPING STRAIGHT SET 6"R
5' 5 I —90° COPING CORNER SET
2 Z I —STEEL HARDWARE KIT '•�
4' 8' 8' 6' 8'
♦ S(ael Steo Instalalion: 2`VERMICULITE ��
I I —VINYL LINER Toinstall6'steelstep,use5'filleroneitherside. OR SArrD e.
8' 8' 8' 8' 8' To install B'steel step,use 4'filler on either side. � SiqKE
Remove both 8'panels and 7 panel for either step. Con�CRETE
I 20' x 40' RECTANGLE b��Pn�Mn.
6' 8. g• 6" 6,
14 -8' PANELS TYPE I3I ��1 �
.Nii ADJl15TA8LE TURNBUCKLE BRAC£
2-4' PANELS
g• 44'-9" g' 6• 12—BRACES
8, 8' I —CORNER ASSEMBLY SET
I —20 x 40 COPING STRAIGHT SET 6"R STERLING Fort wayne �oo�s, �f1C.
6 6, 6� I —90' COPING CORNER SET ��T (1 510 Sumpter Drive
4' 4' �, I —STEEL HARDWARE KIT L� Fort Wayne, IN 46804
I —VINYL LINER ��� �„F ����Es� .,����_�
8' 8' 8' 8' 8'
pr�n9� Date:
STR-001 February 1991
Steel Stm Installation: General Notes: Scale: itle:
Toinsta116'steelstep,use6'filleroneitherside. 1.AMverGcaldimensimsarefranliner Rectan �@S, ��� radius corner
To insta�l e'stee�step,uae 5'ti�ler on eaher side. ezo-usions on a��poc�s. N/A g
Remove both 8'panels and 4'panel for either step. Excavatbn Naes:
1.Shc to have miminum bearing capadry of THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY
2000 P.S.F. The marwkclurer makesonly those representauonswhich are staied in itswritten warranty.
2.Locate top of pool at least 6'above �Y��representaUons,sta�ements,a conVacts made by Ihe dealerlcontracta b�he
surtaxdng land elevatlon. aslaner regarding any malerials produced tr/the marwfacnxer are attribuude to he
9.Excava6on shall be 2'larger than pod ap �����or contractor mty.The dealer a conaacta who sells or instalis your pool is an
� around. Fllvddsunderbaseofpandsand independentconaactaandnotanagentaempoyeeoflhemarwfacwrer.Theconstruc6on
tampwell. meU�odsdlustratedaresuggesUonsandapplymlybnormalgroundcondiAms.Theremay
4. BadcRN with non-ezpansNe material. be addiliunal precautlms and�or methods ol consVuc6on. The responsidGry is�e
conttacla's.
� —� �(� � pl TIME �
CITY OF ORONO �caLLED IN � ° �
INSPECTION NOTIC . SCHEDULED v
PERMIT NO —�� �PLEfED � `�
ADDRESS �U
OWNER CONTR./��C��L.�L�v`- ��07'�'
TELEPHONENO. -5��� �2��'" a�-�Sc'J�I
� DESCRIPTION v `� �
� �OOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q O FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BUHNER/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 ❑ WARD COVER REMOVAL
J ❑ PLUMBING FINAL p FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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��NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PEHMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O IMSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor si •
inspector.
White CopyMspector's File Canary Copy/Slte NoNce