HomeMy WebLinkAbout2003-P06163 - pool outdoors in ground i
, PER�IIIT
�IT�( OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06163
Crystal Bay, Minnesota 55323 Permit Type: accessory sm���es
(952) 249-4600 �ate Issued: a�is�2oo3
SITE ADDRESS: 217o Shevlin Dr
Wayzata,MN 55391
P I D: 03-117-2 3-3 4-0018
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Building Census Code 329
Permit Type: Accessory Structures Pernut Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolurion#:
Separate perxnits required: r.iectricai�statej
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 321.25 Valuation• $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 540.53
APPLICANT: Peterson Pools&Spas Inc. OWNER: Georgayn Kramer
13110 Excelsior Blvd 2170 Shevlin Dr.
Minnetonka,MN 55343 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
NIINNESOTA BUILDING CODE REQUIREMENTS.
5,��'�--� �ry��'� i��
APPLICA IT SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
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Total Fee: $ ��� � , � � _ Date Received: (��' �^/� "
Entered By: Permit#: �?j
CITY OF ORONO - BITII.,DING PERMIT APPLICATION
C'�
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` �S I�� 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 OR CONTRACTOR
JOB SITE ADDRESS: � � �� Shfz v�«J �� ZIP:
NA.�IE OF OWNER: (�02��� ��2�S�'� PHONE: (home) ps �- �`U y-Z c�,p
. (work)
MAII.ING ADDRESS: S il"v"t �- CITY: ZIP:
CO\�'RACTOR: �<�s�;�; �d�.r- PHONE:_ �S-Z - r-3 3 - 3 0/ O
COI�TACT PERSON: �(�.,�- /ca PP MOBILE/PAGER: �� z -z 2 r -3 �'9'S
M.4ILING ADDRESS: i 3«� �K�f:��-� �� vv CITY: .�,R� � ZIP: ����
ST�,T'E LICENSE: #
ARC�ECT/ENGINEER: PHOi�TE:
MAII.ING ADDRESS: CITY� Z��
�,r���; REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: -���5��� --��-i���✓^f� �o Q�-
STORIES: (� SQ.FEET OF EACH FLOOR: l� � X s'� �
NO. OF BEDR00�1S: � � GARAGE STALLS: ATT. DET.
EST�IATED CONSTRUCTION VALUATION (excluding land): $ 2 � �� �
I hereby apply for a building pernut 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 Buildin� Code; that I understand this is not a permit and work is not to start without a
permit; and that the work wifl be in accordance with the approved plan.
APPLICANT'S SIGNATURE: % . .> DATE: �( ��3
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
5
�� ,
Sec.13.04 RIGFTTS OF SCTB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is swred or to be stored shall be as set forth in this secdon.
Subd.2. Information reqiured to be given individual, pn individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose aad intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide
rysoem;(b)whether he may refiue or is legally required to supply the requested dara;(c)any Imown consequeace arising from his supplying or
refiuing to supply private or confidential data;artti(�the idendty of other persoas or enaoes authorized by srate or federal law to receive the daa.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secaon 13.82, subdivision 5, to a law
enfotcemenc o�cer.
The commissioner of reve ��mav�lace the noece re ired under his bdivision in the individual income taz or nrooertv pz re � d
instructions instead of on those fortns.
Subd.3. Access to data by individual. Upon request ro a responsible authoriry,an individual shall be informed whether he is the
subject of sWred data on individuals,and whether it is classified as public,private or confidendal. 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. After 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 acdon pursuant to this secaon is pending or addiaonal data on the individual has been
collected ot creared. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesring person W pay the actual cosu of making,certifying,and compiling the copies.
Tha responsible authoriry shall comply immediate�y,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 addidonal five days withia which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may coatest the accuracy or completeness of public or
private data coxeming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the�namre of the
disagreement. The rosponsible authoriry shall within 30 days either. (a)correct the data fo�to be inaccurate or i�omplete and auempt to nodfy
past recipiencs of inaccurate or i�omplete 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 statemrnt of disagreement is included with the disclosed data.
The determinaaon of the responsible authoriry may be appeaied pursuant to the provisions of the adminis�arive procedure act relating
to contested cases.
DATA PIZ1vACY 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 �ity 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 shazed 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
L.ast
Address
C�ry Sta� Z►P Phone
I understand my rights as stated above.
SignaNre
6
� _ �
, � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY .
ADDRESS OR LEGAL: Z�1,O sH�z.►n� �(2
PID:
DESCRIPTION OF WORK: (�o c�l �
---_ -- ------------_------_--------------------------------------__--
ZO�TING REVIEW BY: DATE APPROVED: y-/y-o 3
BUII.DING REV�W BY: DATE APPROVED: y—r�{-c�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
pLAN REVIEW Yes � Aio SEWER CONNECTION
STATE SURCHARGE Yes � No WA1'ERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZOti'ING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres _ Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): I 9`i � f Right Side: I I Z-� �
Reaz(Street): y2.'Z-� � Left Side: 300` '}'
Adjacent Structures: /,�' Wetland: _ /�{c�� �
Building Height: Def. Hgt. — Peal:Hgt. —
Lot Coverage: N�/�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — BY:
Zoning File: # --- Resolution: # Resolution Date: � . .
Shoreland Disuict: N d
Av�. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
i 7
. - �
BUII.DING REVIEW CHECK LIST � �
. UBC: N I� CONSTRUCTION TYPE: --
�5q Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
a —
TOTAL
Estimated Construction Value: $ ?�,oou�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�C Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
/� F� Grading/Filling �Electrical (State Permit)
Other
RENIARKS(IN HOUSE): .
-------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
________�__�_�----------------------
REMARKS (TO BE NOTED ON PERMIT�:
8 �
L16HT STEP .
' APPCfCATION APPLICATION 8 �A�
p.`� 8. 8. 8. 8. . .
16'x 32' RECTANGLE p
4' 4'
8' g• s� 12-8' PANELS TYPE a T,}
8—BRACES `
g• 35�-9" g� 6• 1 —CORNER ASSEMBLY SET
I -16 a32 COPING STRAIGHT SET 6'R � I � �
8' 8' 1 —90• COPING CORNER SET �
4' 4' S I —STEEL HARDWARE KIT E f G�•� H J K J
h��y���*�L�, I —VINYL UNER
8' 8' 8" 8� To InaaN 8'ueN st S I Z E A B C 0 E F G H J K L
To irnW B'ttwl s�'w.4•no«o�an«.w..
2' 8' 8' 8' 8' q�qN p�g �'�������°�°' 16' x 32' 16' 32' 8' 3'4" B' I4' S'6" 4'6' 4'6" 7' 4'8"
parwklotsitherstep. 16' z 34' 16' 34' 8' 3'4" 10' 14 S'6" 4'6" 4'6" 7' 4'8"
16'x 34' RECTANGLE 18'x 36' 18' 36' 8' 3'4" 12' 14 5'6• 4'6' 4'6" 9' 4'8'
4 g• 8. 4 5� 12—8' PANELS TYPE a � x 40' 20' 40' 8'6" 3'4' �3'-6 15=6 7' 4' 6' 8' S'2"
2—2' PANELS
g• 3T-7" g• 6. 10—BRACES
i —CORNER ASSEMBLY SET
8� 8' I —18 x� COPIN6 STRAIGHT SET 6"R
4 —�- -- '�
q• 5� I -90° COPING CORNER SET
I —STEEL HARDWARE KIT � �
2" 8' 8' 8' 8' 1 —VINYL LINER
. \ � �-2�0'�
4� 8� 8� 8� 8� ra�[r '
18'x 36' RECTANGLE `°"'�"' �� � T�qNBuuc�E
S� 5' g• i
8� 8" 12-8' PANELS TYPE a
2—4' PANELS ""�"�
PANEL
40'-3" 8. 6.2—2' PANELS r�nca� co+K� .�x�ei�
8� 12—BRAGES ._-_.-
_ _ _
8� 8, I —CORNER ASSEMBLY SET �A�
PLATE
S, g, g• I -18 x 36 COPINCa STRAIGHT SET 6"R
2, Z, I —90° COPING CORNER SET
4' B' 8' 8' g� � —STEEL HARDWARE KIT
I —VINTL LINER � OR�E�Cu�RE
taM 8'steN step,use 5'fiNer on either side.
6' 8' 8' 8� 8' --__�To Inata stop,uss 4'fiper on eHfrer sfde. � gTq�
; _ -""" 1?ln�w both and 2 panel for either alep. CONCRETE
g� 8, �Q' x 40' RECTANGLE 6�DEv�Tti nn.
8' g�:"
14—8' PANELS TYP E � �
AD.�15TA81E TURN8UC1(LE BRACE
2—4' PANEIS
6 44'-9" 8' 6' �2—BRACES
8• 8' — ASSEMBLY SET
I —20 x 40 COPING STRAIGHT SET 6"R STERLING Fort wayne Poo�s, II1C.
s� I -90" COPING CORNER SET paLS
6 4� 4' 6, �, I —STEEL HARDWARE KIT FOYt ayneerlNr'46804
8' 8' 8' g� g• � —VINYL LINER o� rwe w�GhE$i o�o��•, _
.
��9� STR-001 February 1991
Caenenllblac
To kataY�ws 6 fll�ron eithx side. 1.lu wrld�mwdara ue tan Mir „
ro�g.w,,,.�,,��...sn�«,.rn.,.;e�, «,,,�,,,��„�� wq �Rectangies, 6 radius comer
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1.Sai lo hawdmYmrm pWMg w�rdy d THS BROCINRE�WR ILLUSTRATIVE PURP�ES ONLY
. 1000P.S.F.. TMm+r�6etrrmMnalrtlioserepMeMaionswNdi��aLlaAinisrrimenNarrsiry.
_ 2 tar�btipaf pod Y but G�Dow �M a1r reprMrM�a�,mMnv�.a aantxb mad�Op 1is ddaloa�tador b M
a�rwdig 4M NewYm °���9�9�^Y mawiy�pno8�aed by fr maUqarw r��p M
. 7.E�awlon�A+Abe2largertunpod� dul�ad�eait�lormly.TMdwlraoantacmrrAaaeMsaiuulkrarpoolkm
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CO� � ��DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED .S—� �•'�
PERMIT NO.�lc�lL'..3 COI�APLEfED
ADDRESS ��7� S ��
OWNER CONTR.QC'��� (�G�CJI
TELEPHONE NO. ��� ' z Z�-3S 9•S
� DESCRIPTION _ C7�7 n G� - ,dpC L
� 01 FOOTING 11 MECH AL RI
18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FINAL 14 SEWER HOOK-UP Ofi aanr,aGcc
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WETLAND T NNI (su.3) `� � -y6' (94s3 22.i �.$) �oa ��`�L _
•` � EXISTING ' �/ �6�`� fi���
COURT 1 � � .� Y � c�`�,�^ N�, �
� 1 ry �2170 ,(9as.5) NGARAGE �� , �� � �.
�'�� ` •d n.4 4 � S���
� D*CK ti• (9++.e ' � �I
EXISTING�. DECK
�6� ,6'�? HOUSE � ��..., ' � (9�, _�_
(931.4) �c, ` �* y, ��� :
� * ��� ��� 0 `��6� : t C1TY 4F OR��O
\ �h k°� (944.6) ; + _,�c $1TE PLAN GRADiNG PLA{al
�. � �s � sw°°.�c° �'�'rPP1�,C�V�L� �ooL
� (941.2) (937.3) � P� / :
(940.5) ; (941A o, ; ❑ Ar��t�V�D I��iTH REvi 3IQ�!S
WETLAN�S .... tI �� k /(s�.�� ❑ Dl5AP�'R0�
STAKE (TYP) � �� BY ���
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;� c�,,.o� c9 �.flATE `��'Y-°3
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