HomeMy WebLinkAbout1998-010120 - pool � � PERMIT
� �C�'TY OF ORONO
PERMIT TYPE:
... �'�750 Kelley Parkway- P.O. Box 66 Ftt�!��?';T�R=�
'G�stal Bay, Minnesota 55323 Permit Number: f;��r��:t a Y
(612) ��3-7357 Date Issued: -
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.iITE ADDRESS:
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DESCRIPTION:
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{:�»;E s� c��_E��� '���'=� i��E=�Cut�l_�i�� :_�TI�'E_'��T .
REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — �����' ?c��;�� — '��T . L I�: OWNER:
'��i_�.E`r' �°a��i►i_�=; =i�t= 1:�:'W��.1�._��� t�it�!�_l�.�.�.�1 {_�;°_;;I�iv I ��ivl�C
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APPUC TiPERMITEE SIGNAT E ISSUED BY:SIGNATURE . -G�•
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, Total Fee: $ j ? /����' Date Received: ��7/�',�
Entered By: Permit#: /J��-�
CI'I'Y OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: -a C> /� ��/SS�X /r o,a d� ZIP•
Cf�'� ' �' %%�1�. ,
NAME OF OWNER: �,:��� '� ����`�,_ PHONE: (home) G�� O� �i�'
- (work) � �� ���=a —
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: ��i���f� ��� %i'L" PHONE: ,��y /��'�� �S�
CONTACTPERSON: j�%��,�'y �F,F'���zy�IVIOBILE/PAGER: �j�:- �!���
MAILING ADDRESS: ��1 l%L/�`F ?�CITY: ��s�%/��' ZIP:./,'=S�5,7
,
STATE LICENSE: # ,_----
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: ISTRATION#
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ,- � , � i�',! � -
�r�, ,k" y�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
a��.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 3 , � Sr3U
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 pian.
APPLICANT'S SIGNATURE: ,� � .�! '!�,d � _ DATE: ="���' � �'�
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
5
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. .
Sea 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 data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,politica]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 idendry of orher persons or entiaes 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 revenue mav olace the notice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed 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. 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 uriless a dispute or action pursuant to this secdon is pending or additional data on the individual has been
col(ected 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply unntediately,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. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature 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 recipienu 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 on]y if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry 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 �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 shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested pernut 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.
�Ij�;�l /�,Lc, � /�`/`-�/�'�ii�` .��,k:'�' � /�
First Middle Last �
Address
C��y State Zip Phone
I understand my rights as stated above.
Signature
6
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 0 l t 5 u s 5 E X �Zo�A+�
PID:
DESCRIPTION OF WORK: o o l
ZONING REVIEW BY: w� DATE APPROVED: Y- 2 D- 9�3
BUILDING REV�W BY: DATE APPROVED: �- ?.c�_�i�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes ✓ No SEWER COrfNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No ✓- PARK FEE
SAC Yes No ✓ SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: l?R•lQ
Fire Department: (�o�► �,t+ Post Office: (�n� Gcs School District: p(2.tr�
Lot Area: Sq.ft. Np G Hi4�rGe Acres — Width — Depth —
Survey Submitted: Yes�C_ No Date of Survey: o�+ G'r�' [-7-9$
Proposed Setbacks:
Front (�e): �"j� � Right Side: �/��
Rear(S�eeE): �00� Left Side: 4 S d�
Adjacent Structures: 1°I� Wetland: �5�
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: �# Resolution: # Resolution Date:
�t��
I�� Shoreland Disuict:
Avg. Setback: Bluff Setback: LotCoverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
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BUILDING REVIEW CHECK LIST
UBC: U r ( CONSTRUCTION TYPE: 1((`�
Sq Footage $Per Sq Ftg
Basement z =
lst Floor x =
2nd Floor z =
Gazage x =
R =
TOTAL
Fstimated Construction Value: $ /3.9�v
-�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal _�c Mechanical . Water Connection
o� Footing Septic Sewer Connection
Framing Fireplace. Lawn Inigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
oc,. Final Grading/Filling �,_Electrical (State Permit)
Other _
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERNII�:
8
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tNSPECTOR __ ______� „
DATE��_=��___.�� ;.11 T�:0. —_ 't;. ` - ��;
�d'APPRG`,i E(7�,�;Ui:.';�`l"i'"_.. '
pAPPRG`,r E�_%4"J,i�1 �,�,;:..�-.;'r_,�..�!Lf��AS NOTr�
❑ nOTAP�nC'J`���i---��C�=��',�..C;��-?�SUBMIT
These comrr�nts•are;:^� ..r i��,or�;.a:ion. Aii vJerk shal!ba�jc-�e
in full corr�liance v�ii7 a�l app�icab':; ���;�il�in; an� zr;nl���7 c��;�. - ''`�--
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bate. �'`' ���
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phone/ll me � � � � � Uf f iae <�.�t ;� ?s—� � �
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poOL bAmA! � � � �
pool gi�e �`�`%�X `��� /�".�.�2 ����' murnover �tat� Ilvure
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cap�city ,�s c>zn; a�ie. �tdt� of �low ��� apM .
Peri�neter_ .�'�C� Lin. �t.
plplNt3 bAmA j �
guctlonj PVC �chedule 40 & 100� poly NB�' �
iteturn f Pvc schedule 40 6� 100�' po�.y NSF
Mein#oidf pVic ect�edule 40 & loo� poly N�P�
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pUMp & Mvmori '� � �� eE�-ltlt�
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iNL�m� _ � it�yaerd with bir. Fiow F�tiq�.
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l�1,�NmLN1�NCF KIm-Ye�
wAm��t m�sm Kim-�iv auard 8A�'�TY KI'I' `�''
b�CK Wo�tK �T/�`�'�C
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: ,� ,� chdngeabil�ty of m�tl�ti-in a
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8¢i'b[CC. ,
•Dirt-lo(td��►�apctCitiea ttt
excess of 60 titnes more than
8and fcltera in equivalent
aized tanks!(Ask a Sta-Rite
SM SERIES �presentatiue for delaila.)
Sfa-Rite is proud to expand on its proven Posi-Flo°cnrtridge design, and bring 'T�o concentrically placed
you the product that makes Ultra Capacity f�trntionT'"a reality. �ialanc�d•�'o#u module�.Dirt•
No longer simply"cartridges,"Sta-Riie's advanced technology has brought an tO�'���O�`dlty ur�tfoi�h�,
entirely new class of filtration to the indusiry.Sta-Rite's modular media concept uaing all the►nedca for .
incorporates fhe latest in media science, perfect(y balanced flow, and an integral �1�'ectiue filtra�io�'lh�fore '
manifold design:fidmely, Ultra Capacity Filtration.This filtration concept cleanireg�is r¢quir�d. '
�� puts totally care-free operation withih reach of today's pool owners.
,�Modula�1�ledia's�titt��rally
MODULAR MEDIA FILTER �ca�t��e po�t��8e o-��
. Max. Filter Pool Size Tank Approx. �8�ft/�rPO�iNU��C(f�OUCI'
Cotalog Flow Area Port Shtp.Wt. lo�uer iltanifo��Sa¢mLly.
No. (GPM) (sq.ft.) 8 hr.rote' 6 hr.rote` Size (Ibs.) This des�gn as�urea poaitive
s�Mi zo �oo soo 36,000-as,000 2i,000-36,000 2" ��o sealing Ehroughout the life
SSM150 125' 450 45,000-60,000 33,750-45,000 2" 147
•Based on recommended flow rate ronge.of 75%or 100%of maximum. Of�It¢�ilt¢r.
REFER TO FORM 301 FOR DETAIL SPECIFICATIONS AND DIMENSIONS. �Combination of tank and
ACCESSORIES Modular Media deaign
allowa for rinse-#n place
Approx_ OpCI'QtLOri.Tank top ia
Catalog No. Description Ship.Wt.(Ibs.)
PKG 188 Union x 2"Slip Adapter—Pkg.of 2 � removed in 8ecdr�ds�[l1tl�
PKG 189 Union x 2"FPT Adopter—Pkg.of 2 t me�ia can be cteaned w�t�i
77703-0100 Unioo x 1-1/2"FPT Adapter—Pkg.of 2 1 ¢R88. , ,
77703-0101 Union x 1-1/2"Sli Ada ter—Pk .of 2 1 '
25021-02005 100 s .N.Inner Re lacement Module for S7M120 g •2"Uti�Oil Coltlt¢Ct01`ik ��,'
25022-02015 200 s .N.Outer Re locement Module for S7M120 21 included '� �
25021-02025 191 s .ft.Inner Re lacement Module for 58M150 18
25022-02035 259 s .ft.Outer Re lacement Module for S8M150 27 ' 31
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STA-RITE"
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The Max-E-Therm"'healer w�s designed to
outperform all ot.her pool �nd Gpa heaters on sPA vivoc o�
ON ON
today's market. F�r exlmple, it's the only he�ter
to feature a rust,pr'oof exterior. Which melns it
not only lasts longer in t.he elemeilts,but it's ����
alSo far more attr�c�ive than l.he l�r�e mci.al units.
And th�Cs just,the�ts�rl-:
• IncY jrYi�l�NI���'(P�,I'`11�'� . �(.,����' ��� �'Iirlli,l :��UI1�'_ ��f�r�. '�{.,��I���1
The weatherproof digital display Worlcs�vith n�tui•al gas or VVith its hot surf�ce electronic
rotaLes to six difTcrent pocitirn�s, pr�ipanc. �xht�u�t veni.ing�d.�pLs ignit.ion,S���u nc�•�r h��•e t��wrn•i,y
making it acce5sible wit,h �ny easily (i�r ind��or or oul.door u�e. s�boul a pil��l,li�hl,bluwing ouf,and
plumbing contigurat,ion. 'I'o help IE'1k111�;�T�R.
you read the display on hright
days,a pivoting plastic visor -_ I�int�����•,lir ��r�!�';
filters the light. Should � prohlem arise,lhe control
����n�qnl�tnm111nI►I�� p�nel indicat�►r li�;hl,s tcll }�ou
whether to ser��ice the heai,er or
��Itt��r�nhqrt, �y{;s t,he system.
'Ib accommodate pools , i �� .
�vith a built-in spa, the �ri��nr,l�� li► ���„ ,.,,��i��,������,al.
Max-E-Therm has hvo rxceeds�11 st,�indards for�ir
temperature settings polh�lion exhaust.
displayed in F°or C°.
The internal snfety feature �'�"'�''�� �"; ��''� �''•�I.
lets you set maximum ror mrn�e informat.i�m nn
temperature levels. the M�x-�'I'he►•m, ple�se
I��ry I���k ���►
See,y�iur S(1-Rite dealer.
Or c�ll ciur cus�omer
Compaci,�nd lighL�v�i�ht,, i,he ��r��icc mpr��sct�(.�t.iv�s:
Max-�-Therrn conn�cts clsily 1-800-151-0183.
�vii.h Sta-Ii,ile �ump5�ncl
filters or retrofits easily�vit,h
other systems.
Sla-Rilc I'ooUSpa(.roup
600 Snulh.lcllcr�un Sl. •11';�I��rlinil.�CI 571R5
Nmlh Atncric�:P00-752-1114:3 •P�s:400-fi$2-2217
Intern�tionnl:414•728-�5!S! • I�nx: 111-72R-4tf,l •Ti•li�s:l'I"1' 19702�I�i — • �
Oxn�rd.(:A•Lh�ion('ify.'fN• Ik•la���n.\VI • A1iv�i�saiuRri.Onl.
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' MoKin�n Lengtr+ of
H.S•.p.I. Divi 800rtl 6'
' ��--� } -�}6;����� MODEL: TAH][ TI ( Left ) �
� `� � � B•►,���,,,,, S � ZE : 24' X 40' A�
�`'��) D ep -rolv DepM D e p t h� 8' p O O L S
� Per imet er: 105�6�
TYPE I j �4, Date: January 1991 FI�"""f T,�,uo
siope
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"WARNING" For (SAFETY REACDNS) 6'D i v i ng 800rd,
MIJST Be Aligned With The Di�ection of The N�PPER, As ILLUSTRATED.
P�O� STAKE -D� T
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NflTE: AIl Meosurenents Are Horizontol ond Finished D�nensions .
ATE TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOTICE SCHEDULED
PERMIT NO. ��/�� COMPLETED S/-Z7/5`Y 9=��
ADDRESS
OWNER CONTR. o��
TELEPHONE NO. 85 fl` - �'�d��
� PTION
� 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 0 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑ CORRECT WORK&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 G CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContra r it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
I, � I �� ' .
( Establl�hed in 19E32 .
� INVOICE NO. 4a67o
LOT SURVEYS �6'�MPANY, INC. F.e.NO. 779-35
. LAND SURVEYORS SCALE: 1 " = 60'
REGISTERED UNDER THE LAW� OF STATE OF MINNESOTA o Denotes kon Monument
f�SCC 7801 73rd Avenue North 912-680-9Q83 Ci
��Z S� `�2�4' Fax No. 680-9622 �enolee Wood Nub Set
tor excavatlon only
/ � llinneapolie, Ylnnosota 66429 x000.0 Denotes Exlatiny Ebvation
� /��� ' . �u r u p��r s tQ r r t i f i r tt t r 000.0 Denotee Propoaed Elevution
\ EIDEN CONSTRUCTION Denotes Suriace Droinaqe
/ � NOTE: Proposed qrades are sub ject
•\
Property 1 ocated 7(1 $E'.CL 1 O� to reeulte ot aoil ta�t�.
\ � 4, TONflshlp 117, Range 23, Proposed building informatio�
muat be checked with approved
� � Hennepi n County, Mi nnesota buAdiny plon and development or
� �,�p� grading plan betore excavatlon
/ \ C� and construct(on.
� `�'1
\\\\ ,�,��� . �R'opoaed Top o( Block
/ �� 4a�`���� ,�', E, g 0.105 'i_l�+�- p,ropoaed Garaye Floor
�' �� �
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Proposed Loweat Floor
/
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` j �` Type of Building
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g�3 ��y ��,j,�c �.,, Q` � � SITE PLAN GRADiNG PL�4N
�. � � �, � `� � APP�OVE� ��v
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- - 133.�1- - - -
--- - _____ -� Lot 7, Block 2, FOX BEND ' �
The only easements shown are from plals of record or information
provided by client. / %
, We hereby certify lhal this is a true and correct represeniation of / )
a survey of the boundories of the above described land and the �
locotion of all buildinys �nd visible encroachmenis, iF ony,irorn or on �( ' A
said land. Siqned - �-..�/ - 1-_. �'� ���._-
Survoyecf by us ttiis �th doy o� January �g 9�, �vt,, JA� lb� `�� Chorles F. Anderaon, Minn. Reg. No.21753