HomeMy WebLinkAbout2006-P10035 - pool-outdoors-in ground ti ` � �
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� PER�VIIT .
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10035
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
7/24/2006
SITE ADDRESS: 1525 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 26-118-23-33-0033
DESCRIPTION:
Proposed Use: Residential Census Code 329
Pernvt Class: Building
Pernut Type: Accessory Structures Pernut Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate pernuts required: Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.81
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 540.06
APPLICANT: Aquatech Penquin Pools OWNER: S&S Morrison
P.O.Box 581246 1525-Sixth Ave N
Minneapolis,MN 55458 Long Lake,MN 55356
THE UNDE IGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AG TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNES T UILDING CODE REQUIREMENTS.
.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
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Total Fee: $ :�>`�4•D�� Date Received: � � U�3 S
Entered By: Permit#: �j1/Z fv/�(n
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(p[ease p�•int all infa�mation)
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_...._.____....___..
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THE APPLICANT IS: (circ[e one) OWNER OR�CONTRACTOIj��
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JOB SITE ADDRESS: ;" -`' Z� �' �� �v� ` ZIP: '
Will this be a P rade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a specia!event permit is re�uired rvith Police Depar�tment and City Coa�ncil approval
60 days prior•to the eve�t. Shuttle bzrs service will be r�egzrired a�nless applicant denzonsh�ates
si�cient on-site par�king is available. Non-permitted events�vill not be allotived
NAME OF OWNER:�G'��>�'����L ✓���RQ/S�HONE: (home) �- � -`�`t�"�'t L I
�/.„ /G �/ (work) '�--4�"�'�-5y�7�
MAILING ADDRESS: � ���J �- �--�'/�, CITY: _��� L�i�� ZIP: � :5 5—�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: 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/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD rev'ew and permits !
PROPOSED WORK(describe in detain: ' �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT�CHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � �G�i��'�C/
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-n inances and codes of the City and with the State Building
Code;that I understand this is not a permit nd �k is not to start without a permit;and that the work will be
in accordance with the approved plan. ,
t� APPLICANT'SSIGNATURE: ���v DATE: � ��'
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31
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Sec.13.04 RIGHTS OF SUBJECTS 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 dataconceming himselfshall be
informed of: (a)the purpose and intended use of die 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 arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.This requirement shal l
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenue maY,place the notice req�red under this subdivision in the individual income tax or orooertv tax refund
��structions instead of on those forms.
Subd.3. Access to data by individual.Upon requestto a responsible authority,an individual shall be informed whetherhe 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 chazge to him and,if he desires,shal I 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 action pursuant to this section is pending or additional data on the individual has been collected or created. 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 requesting person to pay the actual costs of making,certifying,and compiling the copies.
The 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. [f 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. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness oPpublic or private data
conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement.The
responsible authoriry shall within 30 days either: (a)correct the dam 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.
IVt,� RR �s��
First Middle Last
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Address ,
Lo �. �.,�� � s`�3.�6 ��z �"�q ���/
C�h, � State Zip Phone
I understand my ri s a ove. ���d
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Signaturc
Reset Form �2
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�un 15 �6 06:99a Scott Morriaon 952-449-8883 P• 1
Total�+ce: S DatcRooa�od•
Entered Sy: Permitt�:
Cr'X'Y OF ORON4-BU'YX��1VC PEXtMI'T.A.PpL1GA,�'YON
All in[orraat:oo w�ust be submiKed in faU bcto�p�n�+��11 be�tartod.
(pltdse prT�t ett lnjornrollan)
THE APPY.iCAN'r TS: (drete o�e) OWNER O COhPY'1ltACTO
r"� 6
.ros smr��►nn�ss: f'�2� ��/9v� - up: 5 5 3
W:ll thu be a P of Somes,Reensodelers S�owcasc�oQ►e or otl�er Display Ho�e?
�y� No Ifyr�,a spec,al er.,rr perr�r►;r is r�qwred w;en Pdtca DWpor4.nu owd cl�y�araeN oppravcl
4Q doyv prior lo dre ewwt, Sl�etde b�s service w!l/be reqvi�+ed wrAess�plleon�r afemo�ru+�tes
�����v��a�ava�raaie, Naryarriwel[rd evcro�s wi/!ieot be dlrn►e+rL
xw�o�owt�r�xt S�a�T�S�r��y� ��o4Qisa�rort�: �►o�� `':Z-y�i-�;c/'
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MAII.D�1G A,DARF.SS• �=' a- � ��C�Y: s �L 4 G ZIP: 3 5" �
corr�rw►cron:' - � s�ox�-`1 b�- 5°1 e_� po113
Colv�rwcr r�soN: osn.Ernwc�xx: .. _ 3���.
sr�iic�i�rrs�� t� � �y� _ ��racorr nw s,�ts�._I�`t� �
ACtCH11 EC17�:NGNr1EER PHOIYE•
MAII.ING ADDRESS: C�'Y: ZdP:
NAIV�: �GXSTRA'C�ON: #
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'Y"XPE OF WORK: New Honu Addition q�s�y�� , .
Move Home RemodeUAhe�stion(icc Siding.Windows)
Any eazth movemenC �aay r�quixe MCWD review ds�d permit��
�xoros�e,n wo�zx�a��a«d�r�n:
S'rORIkS: �Q.�ET OF�►CS FIAOR:
NO.OF BEDROOMS: GARAG�STALLS: AT'rACHED DF,TACH.FD_
ESTIMATF.DCOPISTRUC'�'tON'NAX.UA�'1'xON(cxcluding la�d� S � �
11u�by spply fOr a building pettnit and 1 acknowlcd�e th3t thr in[Ormetion above is ta�pletr�nd�curste;
that the wark will be in conforrnance witl�thc ordit►ances ond oodes of t6c Gry snd wi�h the Statc Duilding
Code:[hae 1 uadcis�ad this is�wt a parmit au►d work is noc to styct without a permit;and ttfffi the wo[k will be
in accotdancc with thc approved plan.
��jC MPL[CA,N'I"S SIGNATL7tE: DATE:
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j •d OTOi-92E-�T� stood uFn3uad di� � i0 90 St �nC
Jun 15 06 Ol : �lp Pen�uin Pools 414-326-4010 p. 2
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CHEC)K OFF i�IST FOR ISSUANCE OF �E�11ITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � •a o�� �'�"�" �Je �
PID:
DESCRIPI'TO�i OF WORK: oo �
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ZO�TG RE'VLE`V BY: ,� � DATE APPP.OVED: • ��- �
BUII�DING REV��V BY: . � DATE APPROVED; 7
FEES T4 BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEtiV �� Yes No SE�VER COiVNECITON
STATE SURCHARGE Yes —� No WATERCONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No -� STTEINSPECTION
Number of SAC�Units OTHER (specify)
----------------------------- g .
ZON�i�tG CHE.CK LIST Zonin District• (.�- I !� .
Fire Depart.ment: Post O�ce: School District: � �
Lot Area: Sq.ft. Acres Widch Depth
5urvey Submitted: Yes ✓ IYo Date of Survey: _$//�/R�
. (�„��a�K9 �,,,�,�.,sw�,)
Proposed Setbacks: �i�ndhas�- lgs� . .
Froat(�-:der�: �Side: _
c.� . �� i
Rear(�eetj: l � -�t Side:
d�.lc- �
Adjacent Structures: � Z Wetland:
Buildin; Hei?�at: Def. Hgt. �� _ Peal:Hgt. h/.�-
Lot Covera�e: 11/a'
Grading: Staff Approval Date: N� GN'�^5'e By:p�� Council Approval Date: '
Septic: Staff Approval Date: � �Y� L�v
Zoaing File: /# Resolution: # Resolution Date: _
Shoreland District: � ���^ p�^'�d �^^K���`�� ��'•��
Av;. Setback: hp Bluff Setback: L.ot Covera;e: 0�
E�S��o Proposed
Hardcover: 0-75' O .--Q-----
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes Iv'o Dacz of Council Approval:
RE��L4RKS (in house): A�I Ac�w��c�vs� c s �-^'�� �r� 7 w2�-(2.�b
vr
5 �
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BUII.DING RE'VIEW C�iECK LIST
�C� "— � CONSTRUCTION TYPE: ^
Sq Footaoe $Per Sq Ftg .
� Basement � . . .. x _ .
lst Floor � . x � _ � � � ,
2nd F1oor x = �
Garage X _
x —
TOTAL
Estimated Construction Value: $�O,000 o e
Inspections Required: Work Requiriag Separate Permits:
S ite Plumbing Fire
� Hardcover Removal �_Mechanacal Water Coaaection
_�c Footing � Septic Sewer Connection �
� Framing Fireptace Lawn Irrigation
Insulation (Masonry) Other
Watl Boazd (Mgg.) Well(State Perm.it)
�_F�� Grading/Fillin; _ C�Electrical (State Permit)
Other
REMARKS(IN HOUSE): • � -
------------------------------ --____---____--_-----------------------_._�-------------------------
RE'VIEW BY OTHERS: DATE:
Access: Ezisting New .
Access Approval: Date By; �
- -----------------------------------
REI�IARKS (TO BE NOTED O�I PERi1�II'I�: .
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DATE TI
.;�rlf OF ORONO CALLED IN �7- "'��I
INSPECTION NOTICE SCHEDULED - J'Y/ � �
PERMIT NO. �(00�.S COMPLETED - `I'�CL
ADDRESS �s� s�X�1 jT ��' �
OWNER��'Crj rT`�d�'�"�vt� CONTR. ( .( t/D'w�--
TELEPHONENO. `7.S_� �I��( �C O� nc✓nc.�
� D N �C'� �
01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LWG
Q RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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62684-001 306/73
SURVEY FOR: SCOTT �c SHERYL MORRISON ����88�
40 0 40 80 120 Feet / I
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( ENGINEERS • SURVEYORS • PLANNERS '
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DESCRIPTION:
That part of Lot 2, "ALBEE'S LONG LAKE ADDITION", occording to the
recorded plot thereof, Hennepin Co. Minnesota, fying north of a line
drawn ot right angles to the west line of Lot 1 in soid addition, through
a point in said west line 292.71 feet south of the northwest corner This drawing hos been checked ond
of said Lot 1 . reviewed this /9 �G� doy of
� BENCHMARK: �L� ^vJ` �_ , 19 � ,
� Top of iron monument as shown b � �-
c y ����
� Elevation = 997.71 (NGVD-1929)
� GENERAL NOTES: I hereby certify that this survey was
° 1 . o — Denotes iron monument set. prepared under my supervision and thot
� 2. • — Denotes iron monument found. I om o Licensed Land Surveyor under the
2 3. x890.0 — Denotes existing spot elevotion. laws of the State of Minnesota.
u 4. x(890.0) — Denotes proposed spot elevation. d���� /J � �
�� 5. �.�-- — Denotes direction of surface drainage. �,.�IL�i�id',� � .'�`���
r 6. Proposed garoge floor elevotion = 998.2. Theodore D. Kemno
N 7. Proposed basement floor elevation = 988.5.
v Oote: Aug. 14, 1997 License No. 17006
a