HomeMy WebLinkAbout2003-P06273 - pool C�
. PERMIT
CITY � O RO N O b
Permit Number:2750 Kelley Parkway- PO Box 66 permP06273
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 6/25/2003
SITE ADDRESS: 2520 Thoroughbred La
LONG LAKE,MN 55356
PID: 04-117-23-11-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 329
Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 254.28
State Surcharge Fee: $ 13.00
TOTAL FEE: $ 658.53
APPLICANT: Atlantis Pools OWNER: IRFAN M ALTAFULLAH ET AL
4321 68th Ave N 2520 THOROUGHBRED LA
Brooklyn Center,MN 55429 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT UILDIN CODE REQUIREMENTS.
APPLIC PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-Applicant,l-Monthly Reports, 1-Assessing, 1-Finance Page 1
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZS Zy l-�v 2 c�c3TZ Eve L Atmel-=.
PID: — --- -- -
DESCRIPTION OF WORK: o o
ZONING REVIEW BY: &Cat;= DATE APPROVED:
BUIILDhi IG REVIEW BY: DATE APPROVED;
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/ No
PLAIN REVIEW Yes_� No SEWER CONNECTION
STATE SURCHARGE Yes_� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING 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): 12,0` 4. Right Side: 3W
Rear(Street): )')(6 Left Side: 2-2-0
Adjacent Structures: 10' Wetland:
Building Height: Def. Hgt. -- Peak Hgt.
Lot Coverage: —
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # zq,3-2957 Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house): JZ&--s w-- n o-is sr6.�r ed
7
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BUILDING-REVIEW CHECK LIST
UBC' CONSTRUCTION TYPE:
Basement
Sq Footage $Per Sq Ftg
1st Floor x x . -
2nd Floor x =
Garage x —
x
TOTAL
Estimated Construction Value:
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical
Footing - Water Connection
Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation g
Wall Board
Other
oc Final (Mfg.) Well(State Permit)
Other
Grading/Filling Electrical(State Permit)
REMARKS(IN HOUSE): ---------------------
REVIEW BY OTHERS:
. DATE:
Access: Existing New
Access Approval: Date
By:
REIYIARKS (TO BE NOTED ON PERINIM: -----
8
Notal Fee: $ Date Received: 3-5-03
Entered By: Permit#: 4�a l3
v
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OkZONTRACTO
JOB SITE ADDRESS: aha n Aa ebb Liu, ZIP:_
NA1NIE OF OWNER: X-r4 a.N A N-ac.A.l la l -, PHONE: (home)qEz,�
(work) G¢12 ZOO. 9 4 d
MAILING ADDRESS: Lan f-, CITY: atop tU6 ZIP:
CONTRACTOR: Aflameh S 00 s PHONE:_-f(o3 5(Q O 6103
CONTACT PERSON: SCU4 4LLA66A- ,e,-jMOBILE/PAGER A2 IZ 27 0 30
1VLAMING ADDRESS: 43Z 1 0 gf"-A 2 �J CITY: tZIP: I-
STATE LICENSE: #
ARCHITECT/ENGINEER: N6t,d(S -P0015 PHONE:-1 LP 5 50 0 1910,3
MAILING ADDRESS: 4'57,1 U f A Rj til . CITY: ✓ZIP: 5-542-1
NA1IE: SCOL "joauj REGISTRATI #
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): MMI
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTLIvIATED CONSTRUCTION VALUATION (excluding land): $ .25) 000
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 wi1Y be in accordance with the ap roved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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 data concerning himself
shall 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 arising 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 revenue may place the notice required under this subdivision in the individual income tax or nronertv 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 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 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the dare 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 authority 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 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.
k- W1. 10d v-�
First Middle Inst
,-321 U 8" hf.
Address
--ROOK I MV 55+29
CityState Zip Phone
I underst d my rights as stated above.
Signature
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CITY OF ORON -
SITE PLAN 0
GRADING PLAN '
iAPPROVED - g `
4l "'ClOVED WITH z' 1
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C� DIvAPP 0 V E `
BY
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DATE TIME
CITY OF ORONO CALLED IN 6-23'6
INSPECTION KOTICE SCHEDULED - -�
PERMIT NO. qZ 3 COMPLETED
ADDRESS 1,014
OWNER CONTR. � -�-5 � LS
TELEPHONE NO. 612 — 270 — 0363 So f'
DESCRIPTION
W 01 FOOTING 11 MECHANICAL 1 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Gil
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
Z 04 WALL BD. 12 WATER HOOK-UP ,SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
-d 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC 1L L 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CiBEFOREBEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor o ite:
Inspector.
White Copy/Inspector)Fife Canary Copy/Site Notice
✓V
DA E TIME
CITY OF ORONO CALLED IN �' o"��
INSPECTION NOT 2 SCHEDULED
PERMIT N0. � J COMPL/ET71)
ADDRESS �o�0 /'G-9l4 nec,
OWNER / CONTR. fI��G t�7rS �ao
TELEPHONE NO. 10 42 c:2 70 973 3
UESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
tk Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
W
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O
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W
W
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Q
W
W
QC
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WW WO RK SATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor o ite:
InspectorM
White Copyllnspector's File Canary Copy/Site Notice
WA TER TOWN w
-- S89009'25"E 290.00 ROAD _ Q
DRAINAGE AND UTILITY EASEMENTi l c a
— —
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I I O w
I I I I J(n LTJ
I i I I 0 40 80 120 b o
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I 1 1 I V OJ
SCALE IN FEET
I / 1 -
1
X415 - EXISTING SPOT ELEVATION. � J
X(998.0)= PROPOSED SPOT ELEVATION
DIRECTION SURFACE DRAINAGE
00I
NQac \ \ Ln
s°° / WchAND � / DESCRIPTION: LQ
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,/ *,O� e "In SEMENT [ — o LOT 3, BLOCK 1, OLD CRYSTAL BAY
I _ i o - ze I,°2' I ^i ROAD SECOND ADDITION
40.00 in
, HENNEPIN COUNTY, MN. O J
o p EPS � 'nl I SIL 1' 1N� ,` I (/)
1025.0) -11 _ ADDRESS 2520 THOROUGHBRED LANE lLJ (z)
LAWN – d 39 ! N
Z I , N PROP 5 A AREA = 99440 SF / 2.28 ACRES v J
UG ELEC � 5 PD 5 �:LgWN�. � v(f)
--
°.LA 1,LpA�
\ o° rF EXISTING HARDCOVER Q J f\
025.02y GAS ST ' HOUSE 2837 SF r- .j
S 0.0 0 66.3 DRIVE =1800 SF Q
38.3 X16.1 ti 1 1a.o °'� — \ 1a��� PORCH = 196 SF W J
_ [} ;
LFE=1026.5 N \ I DECK285
5818SSF (5.15 %) � `
a EXISTING HOUSE q
155 cli
I — — — — — — — — — — — — — — — 38.4 X15.50 12s 0
N 26.0 — — — — 69.5 _ — — PROPOSED HARDCOVER Q :
POOL&DECK 1865 SF
I TOTAL 6983 SF (7.0 %) goo
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