HomeMy WebLinkAbout1993-005268 inground pool and spa � �EI�MIT �/
CI�Y OF ORONO PE�iMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 E'����'�i��'�i''
Permit Number: t;i��'�t�,:�
Orono, Minnesota 55356-0815 Date Issued: i�r:.i�=1 i��:�;
(612) 473-7357
SITE ADDRESS:
'-'�i 1 i; �_.f�Gr=�F.i�JI i���l� G�;
€.:N
F' . � . h�. . :=:�-1 �_,—��:_:—t 1—��>i#[_�: _
DESCRIPTION:
���_af_�L '��F'�t
E.�.�il��it-�3 �'�:'t;�it. TyF��=- :=:F—F�ti=ti: =:T�E��:Tti�;E
����i 1�=�-��� �:�t_�r��: �y���. ��f��i FL
t��;�_: iicc�.����-�cv =,_� �'_:?
C�:���1 ES�•)'LxC�.•1���?! �y�'t' �f�l
!'i!Y !3� ifi'!l�Iff
4t t 1 L'! VIS6�l�L'
r�;+r:;•�r�c ��crr•r
' t l,l�f}!"!1 L 1J! ! 11,L �j
1 J 1.J 1 V V�.��1� 1'i
;-- r.-
i%i vi�'�i +�.•_�,�.✓i%
i��.ivi i%vi%vv �
; r, [�
�71 VLIt' i1VaGV
�:"::':'��4�VVV 7f
la:tt�
i��t
REMARKS: v� "� j`��"'v
;°L�i f n` Ts rr,a ��
L7/LL,l1 IL i't'1�!
f1L4L1l�i�i1N�71�1� IUL!
°=�E'f��,'H'i E �`EI�'?�1 I T'== �°�{�:.'I:�:�D F+"��° i 1i�i:Hr�h!I�=(-�L f�t��f� �LE�:TR I+:t�L �:'�TA����=:=�v u;tt,� lfv� T'�L-:v:
=t::r=� f�=
FEE SUMMARY:
�ALl1RT I 3=�P� �:;t�., t it rt t
E�t��� �ei �=,�;_:�. �i1
�'l�i� �i�vst�W �'�'i;?. _
�
�= -�
'=�ui'+� ��t,��*� --------� �sast�
TS�+t���1 F�� ���1 . 7;;
CONTRACTOR: — �i�'�'3 �r����� — OWNER•
�_�d �t�,'�I�;: ��;4tiL'=:, INC: . i41�.�?7;'� h1L`==i-��=��'=H�� �i tiv
f_:� hT��ur3L} =�T = ��f�1 Y�LE F'L, °�:t 1I i E �;;c_��.
'•_������.�_�i'E� r1�� •ci�:=�`� �'�1�till��(=i�'i_1}_T�=; t��l r,�it.(.i3_;
t. _. _._.? " _ .--��- _, =;'!—t}j_,i
i i�i e i_ t:�!'y ;SL:s'yi {?-`-'�"� -;`i ='-; i � I `�1 i
A �i-I� ?1tvi���;°w=I-��1��: �-I:_�:_� � .__ . ; '=. �":'�.::°;I'.:._ i���h�� T�;j t';���:.�, ;�-i� �;�i�:_ I�:1='F-���#��'�f°1E,�T°_;
'�-f:���i i�1} �� :i[: i's- i-t=:= : > �'�E�' ;':�+! Ec,�iu;�;.'�:' Z!`v � 3'}i t�:I� E;�1='! :;i ;i t,:� �;:� '!i�-i ;'t,� ; i,:?i�`.` I E
�-
��� _ . ;-�t� ��__..__: � .. _ _. . . ___ .. .. . . . _ . i . �::�_. _I -t: I ..__ . _ . :�
I_I+'.(��f��� :�};�'}_:[�'a,� ;i_'�-'= si: ) —� i;„�'I- j t ` it�—°-� i c� : I C�j f i�; }'ts �i'3%! t-�•�—�`
. _3�_ _ !=!�`'. •�_•m 'r�:�f _ . . . . _�" i'i�i'e�;l__=_ ��� _ :�L '!��•� _ _�:= . .__ _ it1._.i_r�%�`•�� .
� �
�/yn lC��-
. A PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�jf�},
� "� CITY OF C1'�20IvOw - BUILDING PERM.IT A.PPLICATION
Total Fee: $ ��/, �/t� Date Received:
Date Approved:
Entered By: ' �'� , permi t�: ,� ,.���
A7•T• INFORMATION MIIST BS SIIBMITT� IN FIIr1I, BEFORE PLAN REVIEW WII.L B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR
Jos ss� �Dxsss: Z�1 t�� �,�� ���c�;� AP�v� zzP: �"�'� S�
(work) 7�`/ -73�' �
N� OF OWNER: pG/ly f�1l�A �i�� IUc���/]�E� PHONE: (hoine) ��' -UIU�
MAILING ADDRESS: IZC?� Y+4-�.�. �C►4C�i �.il}�#1 .�}CITY: i�tNtiC=:Mt�1'd�� ZIP: ���?�
CONTRACTOR: Ci'�btil�1 C I'��U�S /NC�-: PHONB: '�i�y��77 ��
MAII�ING ADDRESS: /a�� ��� �tV��L D �'�� CITY: �-'►�kkC�t'"c-t ZIP: /L1ti
STATS LICENSE: � �1G(i /�L+�v_`�
ARCHITECT/ENGINEER: �G'N C - Dc��ln� ��,�-� i/�D PHorr�:
�
MAILING ADDRSSS: CITY: ZIP:
rIAME: RBGISTRATIOA A
TYPE OF WORR: New� Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPoSED woxx (aescribe in aetail) :�'��C�C 1'� �i������4 I�o�l- w �rH
�TTn►-c ItEi� S�� 9
STORISS: SQ. FEBT OF EACH FLOOR:
�70. OF B$DROOMS: GARAG$ STALI�S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaclndi.ng land) : $ ��,� • � �
Z hereby appl.y for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
�rdinances and codes of the City and with the State Building Code; that I
�inderstand this is not a permit and work is not to start without a permit; and
;�at the work wiI 1 be in accordance with the approved plan. ,
�,PPLICANT'S SIGNATURE: DATE: (L `��� ���
� . . , #
,� z ����
yd� �
��'� �iI�Y O� oRo��
',r-r Y F�
f �� � �� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
3 : �
Y ...+�h'�y'$sA r�. .� •
�� �`�" ` On the North Shore of Lake Minnetonka
� � � � ��. �
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense f rom 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 wil.I be used to determine your
qualification for the permit or Iicense 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 iocal , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
6RcC�c�� � f�z z.�nl ��K� _
First Middle Last
/3S �'� �tr�.��� ��t2��-
Address
��LC��r�`Zr �in1 .�'��� 7�
City State Zip
r�;� z ) ��s= ����7�'
�e
I understan my rights as sta`ted above.
Signatu
BUILD[NG&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING '
I `� _ , i
573.0.4 RIGSTS OF SIIBJECTS OF DATA � .
Subdivision L Type of data- The rights e t on.viduels on whom the data is
stored or to be store d s h a l l b e a s s e t f o r t h u► t h i s s
-- t o b e g i v e n i n�i���' An.individuel asked to
Subd. 2. Informatioa re9uired
� ' s u 1 rivate or confidential data concerning �m W ithin the collect g state agency,
PP y P uested data
purpose and intended use cf the req tem; (b) whether he ma� refuse or is legalty
political subdivision, or statewide sys }�own consequence arising from his
required to supply the requested date; (c) �Y �d (d) the identity of
supplying or refusing to suQply private or confidentiel date;
other ersons or entities authorized by state or federal leH► to receive the data. This.
p 1 when en individuel is asked to supply investigative data,
requirement shall not app y to a law enforcement officer.
pursuant to section 13.B2, subdivision 5,
The commissioner of revenue ma lflrt tax re�und uLstructionsuinsteadhos
subdivision in the individual income tax or r� e
on those orms. - -
� ����L Upon request to a responsible "
Subd. 3. � Access to data by
authority, an individuel shall be informed wh b�� priyateeor confidential.e UPen his
individuels; and whether it is clessified as p � ublic date on
e to him and, if he desires, shell
further request, an individual who �s the subject of stored private orn�u� � been
individuels shau be Sh°wn the data witho of�hat da a• After an indi
fie informed of the content and meaning the data need not be disclosed Lo
shown the private data ar►d informed of its u�e�BBC�on pursuant to this section is
him for six months thereafter unless B �P n request by
� endin or additional data on the individusl has a eeor public datarupoeated. The
� resporisible authority shall provide cepies of the P �ible authority may require the
the individuel subject oft�e actual�costs of ma�k'ing, certifying, and compiling the
requesting person to pay -
copies. if ssible, with any request
The responsible authority shall comply immediatelY, P°
made pursuant to this subdivision, or within aa e �ysimmediatea compliance eisu n t
excluding Saturdays, SundsYS end legal h YS�
ossible. If he cannot comply with the request within that time, he sha11 so inform the
have en additional �ve daY5 Within which to comply with the
individual, and maY 5��� �d legal holidays•
request, excluding Saturdays,
te or complete. An individuel mgY
Subd. 4. Proced�a'e when data is not 8c�8 himself. To
contest the accuracy or completeness�of public or private � the�resporisible authority
exercise this right, an inaividuel shall notify in writing
describing the nature of the disagreemenL T����Pa e oc incomplet and att pt to
days either: (a) correct the data found to be
notify past recipients of inaceurate or ineomp�t he tbelie esathe dataito be correct
the individusl; or (b) notify the in�vlaual eement is
Data in dispute shall be disclosed only if the individusl's statement of �a�' to the
• included with the disclosed date. ealed ursuant
' The determination of the responsible authority may be aPP P
provisions ef the administrative procedure act relating to contested cases.
CHECR OF1� LIST FOR ISSIIANCE OF PERMITS
� � FOR OFFICE USE ONLY
ABDRESS OR LEGAL: oCd/O ,���t�`�-c`c`'�" �/�- PID� .��-/��- �� 'Z"I ��� �
DESCRIPTION OF WORR: �c�-C. /��'�
------------------------ --------------- --------------------------
ZONING REVIEW BY: DATE APPROVED: � - /7 ' �7 3
BIIILDING REVIEW BY: DATE APPROVED: (, ' I7 '��
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes .� No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No �" PARK FEE
SAC Yes No �/� SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Pos f i e S ]� District:
Lot Area: id Pt �
Survey Submitted: YesJ( No Date of Survey:
� o� F�c.t
Proposed Setbacks: � �
Front (�i�) : N �I'� Right Side:��_
� Left Side: l �� � �
Rear (S�eet) : � ^�"
Adjacent Structures: �3� �' Wetland: /V�/q
Building Height: Def . Hgt. /� �/�` Peak Hgt.
Avg. Setbac - Lot Co age:
Existin Prop s
Hardcover: -7 '
75 250
250 500 '
500- 000 '
Hardcover V riance equired: Yes No Date o Council ApprovaZ:
Grading: St ff Appro al Dat : By Co ncil Approva� Date:
Septic: Sta f Approval. Date: ` BY=
Zoning File:# Re olutio � : Re olution Date:
REMARKS (in house) :
BIIILDING REVIEW CHECR LIST � , ,, ,
IIgC- g� � '3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sg Ftg
Basement X -
lst F�oor X -
2nd Floor X -
Garage X -
x =
TOTAL
$sti_mated Construction Value: $ .3(►j p pp��o
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fil�ing
�( Footing �Mechanical. Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
WaII. Board (Masonry) Lawn Irrigation
O�Fina 1. � R (Mf g.) Other
Other Well (State Permit
. �Electrical (State Permit)
-----------------------------------------------�----------�----------------------
RFMARRS (IN HOIISE) :
----------------------------------------------------
REVIEW BY OTHEFtS: DATE:
Access: Existing New .
Access Approval: Date BY=
------------------------------------------------
RENlARRS (TO BE NOTED ON PERMIT) :
.
,
� . , :�-._.... . .. � . . <�
. . . ' . �, t�� �
/ , , i. ' ., � F � � ' . �� � + .
` � � ' � � *� • � ��' ' �,� � , 'r ' I .. ' .. . . .
V�� � . � . ' �� a �I�r :Y,' . ` ..� • � ' . .
J � � � _. � . � �.� . 4c.� \ ' , • � .T ' ,' .
� `� Y1 �•� � �' �t s r` a• z , .
� � `1 � .�I � � . , ` ,� -
Z � � G�/��! �� •'•'�'� . � � ' � �' .
0 7 � P'" .. . �,4 rw:3.f ,�� . :'�►� . ' .
(- �'� �� , ,. . .
� � ""r..., �.�
z '�w` ,��
; � � � ; �`'r��.C�`�� �1 \ . � , 7 � � �;t � tI '
---. $ � � � , �i�6s..�a.. � � ' .
., ;i
w x S - ,�� � . . �����„Q ' .' �
Q � � � � - ;�.,������°�� Z o�,�'� . ', . .� .
Z. �'' � °� , , •�'� ' :� �
� Q 4' g .:� . � . / ' `.' " �+ ° ��!� ..
J - 3 _ , ` .
s �'�
�' �.� �c � �'�-: ��- ` �`r� �� '� S � � "` � : - .
�
LL � z ` �. � � y j, t ip, � . .
(
O Z,J�' ,, . • a� -:� �+`.'�'� ; ,� i t�{ � ' . � �
2� '. i , � � r . , ; �
i � � 1. �.}� � � _ � �6 ' • � � .
� " b .� = t`•. .,�. •. � �
� / / ;� r�� .� :.s. �. � t i ` � �
� �J' . � , � , i • '� �
� . ;' . o „ Q ':. z , ��Q��� 4� � , ¢ R
i . , -� ' � � r � � • � �
�
, ' ���� ' " f ' , p . , , � � 3 � �
���. `' - r � ` �,�
, \ , .� �
� .. , o- ; �,, t �
� �. . � .�".. \`, . p . . . . . .
` ` £�
� $ � �'\� , 4 , � �,�� : +'� •• ,
� - . "`� ..•. ' � �
�� � .� ' ����, ,: ' .,� , ,' �; i 8
: . . . . • �'j �� �T p . , l �. I � O
,1 1Cf. ry' ���� � 1� �
.�� �♦ �1.t. . - � : � � . . .. . . .
.' , • � � '�� .• p ••, � • � , . . . ( �
. � � • . ��a ! �S . ., . • • • , . .. . , .
� � - �
� � . ��1 � � , . . � � � � . ,. . ,r-�. . . .
�
' . � + . , . � � . . ' Q 2^. . � . . . .. .
�� � �,� . � � � � 3 . ' �
=- — — � - - , - � — ` � � _ ,_„ � i
• ' . �. . a � ' . M � . ' _ . •. . .
' � �� . , . � ,� �, � � . .. . ' • . 'f � . .. ' � '. .
� . . . . : � , . _`. . . . . .. . . . . . '
. . . �' •R . . � �+ .��i t L t .. ..
� • . t . . � ''. ��+",y+ . .
. . � .� � . � . . . .. , , .. . ' }�� � � i� � . .
� � - . � � . � . .. � � .. . � �.'�? ��• . . . .
. , .. � . . . . ..,, . ` . �. � . .
.. '.� - . . . .. . . � _.
. . .. . �`� , A�� t � � ,� f t vr � 74�'�"r���. ��.!�� c� (���' Y �._ . _ , �,
. . . ., . _. . .. . ._ .. . A.._. . ... . n�. .� . , _ , . . . .
CITY OF ORONO CALLED IN
� TIME
INSPECTION N��� � seHeou�eo _1L2g/S3 :30
PERMIT NO. COMPLETED � �_
ADDRESS
OWNER CONTR. � ,
TELEPHONE NO. �`ES- 7 `7 ?5'
� TION
� 01 FOOTIN 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGlFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENHETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETfTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PIUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
y COMMENTS:
�
W
a
�
�
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� ❑CORRECT VYORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
iNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for next inspection 24 hours in advance.473-7357
OwnerlContra o ite:
Inspector.
White Copyflnspecta's Fii Canary Copy/Site Notice