HomeMy WebLinkAbout2006-P09982 - pool PERMIT
CI?(Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09982
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952)249-4600 Date Issued:
6/21/2006
SITE ADDRESS: 2575 Thoroughbred La Unit#
Long Lake,MN 55356
PID: 04-117-23-11-0021
DESCRIPTION:
Proposed Use: Residential Census Code O/S-Building
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required: Mechanical Electrical(state)
NOTICES/REMARKS:
In Ground Pool and foundation for changing room&bathroom(rough in)
FEE SUMMARY: Permit Fee: $ 401.35 Valuation: $ 26,000.00
Plan Review Fee: $ 260.88
State Surcharge Fee: $ 13.00
TOTAL FEE: $ 675.23
APPLICANT: Dan Kasper OWNER: Steven&Stacy Sapletal
2245 Roosevelt Rd. 2575 Thoroughbred La
St.Cloud,MN 55301 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
MINNESOTA BUILDING CODE REQUIRE ENTS.
,K,_Z)�/ -z
LIC PE TEE SIGNA ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
-op
Total Fee: $ 6 76'23 Date Received:
Entered By: Permit#: Y
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 OR CONTRACTOR
JOB SITE ADDRESS: 0-57-S ZIP:
SS3S�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes ❑No If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: 7-.e tec_ /e-7LA/ PHONE: (home9Sz��74
LQAt (work) - �
MAILING ADDRESS: a s 75 �0'°",l+bve of CITY: 0r o o a —zip: —s-,-3T,6
CONTRACTOR: bati eo-ye'— PHONE: 3.:Z.>333- 77A 7
CONTACT PERSON: 5.411 MOBILE/PAGER:
MAILING ADDRESS: as Y S AeoSCvela- /t?,a CITY: Sr: C/ovZIP: S63W)
STATE LICENSE: # ,t/ 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 review and permits!
PROPOSED WORK(describe in detail): Sti G"W4d r20XYy Sw��•^ 'Ny �oo�
v�datoyN -�►-
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 'g000
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 plan.
APPLICANT'S SIGNATURE: QM DATE: 6
31
See.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 orconfidential dataconceming 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 orooerty 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 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 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.
A
First //{J Middle Last
,Z2yS A4S��
Address
S G/���I 3�)as�
City State Zip Phone
nderstand my rights as stated ab ve.
Signature
Reset Form 32
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CHECK OFF LIST FOR ISSUANCE OF PER HTS
FOR_OFFICE USE ONLY
ADDRESS OR LEGAL: S 7 -7-� o/cD u 9L`1S�G N C
PID:
DESCRIPTION OF WORK: ooI
-------------------------------------------------------------------------------------- ---
ZONING RE VIE TV BY: — DATEAPPROVED: f
B UILDING REVIEW BY. DATEAPPROTIED: b zo -0 6
FEES TO BE CHARGED: Alfisc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes v"" No SEWER CONNECTION
STATE SURCHARGE Yes J No WATER COiVNECTION
INVESTIGATION FEE Yes 1Vo (I--,' PARK FEE
SAC Yes tVo _�,� SITE IIVSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: '
Fire Department: Post Office: School District:
Lot Area: Sq ft. Acres 2 -u�, Width Depth
Survey Submitted: Yes No Date of Survey: 8- Z.- 95
Proposed Setbacks: pc;l : e-A4 4%I t- C.�-kv 4%Aat roc.+'
Front(Z4ik--4 bQ JAWt��/lWSo,, R4gl�t Side: b ejr\tvkd Y1 Cu se--
i ujQ Q t P/r5k' C
Rear(�t�eat}. l£j S Lei-&de: �U t� �O `�-
p®cal fo hwse.—l(o """ I
Adjacent Structures.-p-01 I- UkAyg"c4 YVetland: �Q firl I c�� W ACI ���`�t Ms.
roc"-iG�'
Building Height: Def. Hgt. /(/4 Peak Hgt. /y i3- �,4q('Ld row
�1VN� /
Lot Coverage: ll/� 1 Zf Z� 4�'1 q( d10
� �c ks Ole-
Grading.,
jcGrading.• Staff Approval Date: �/ By: /Council Approval Date:
Septic: Staff Approval Date: O4 By: Wv
Zoning File: 9 h Resolution: # Resolution Date:
/�4
Shoreland District: /"
Avg. Setback: Bluff Setback: Lot Coverage:
Etiisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Cotincil Approval:
REMARKS(in house): 1 r-� �"'�6tK vo
31
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BUILDING REVIEW CHECKLIST
UBC: — CONS77RUCTION TYPE:
Sq Footage S Per Sq Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: S 2140000 lop
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal co- Mechanical Water Connection
_ Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (A�Ifg.) Well(State Permit)
Final Grading/Filling p- Electrical(State Permit)
Other
REtYtARKS'(IN HO USE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
32 .
GOODIN COMPANY GOODIN COMPANY
W401saf rs Vkofespfers
PLUMBING•HVAC•PIPE•VALVES PLUMBING•HVAC•PIPE•VALVES
•INDUSTRIAL SUPPLIES
FITTINGS•WATER WELL•INDUSTRIAL SUPPLIES FITTINGS•WATER WELLr
Minneapolis St.Paul Duluth Brainerd
Minneapolis St.Paul Duluth Brainerd
(612) 588-781 1
(651)489-8831 (218) 727-6670 (218)828-4242 (612) 588-7811 (651)489-8831 (218)727-6670 (218)828-4242
St.Cloud Detroit Lakes Medina Fargo .-. Rochester St.Cloud Detroit LakeMedi Fargo Rochester
11_'0)259-60[16 (218) 8<17-9271 (763)478-8994 (701) 298-J.
110 4Z (507)529-1_2 s 1�8
84 (320) 259-6086 (218)847-9R1_ J Q (�62) 9 )298-3210 (507)529-1284
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r—' q a_� DATE TIME
CITY OF ORONO CALLED IN V
INSPECTION SCHEDULED00,
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PERMIT NO. COMPLETED
ADDRESS o r
OWNER CONTR.
TELEPHONE NO. 333--Tl a`_7
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DESCRIPTION I U�
1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL AL 19 LAKESHORE/WETLANDS
H 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
v 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
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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ti WORK SATISFACTORY:PROCEED 11 PROJECT COMPLETE
/❑C RRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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. (J52) 249-4600
Owner/Contractor on site:
Inspector. / 4 J
White Copyllnspector's File Canary Copy/Site Notice
rq -72ATE TIMECITY OF ORONO CALLEDIN to
INSPECTION SCHEDULED7-/a
PERMIT NO. COMPLETED
ADDRESS
OWNER �7 C NTR. 7'/�
TELEPHONE NO.
DESCRIPTION
FOOTING 11 MECHANICAL RI XCAV/GRADING/FILLING
Q 02 FRAMING 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
w 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th next inspection 24 hours in advance. (952) 249-4600
Owner/Cont r t r n site:
Inspector.
White Copyllnspecto's File Canary Copy/Site Notice
DATE TIME
CITY OF•RAN• CALLEDIN
INSPECTIONM19
SCHEDULEDPERMITNO. COMPLETED 'I 13260
ADDRESS a5?5 )'1 d r OU
OWNER CONTRI)CAn
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MESH ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cam., COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: , r
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
Established in 1962
SURVEYS
�/�+ �+ A ���/ 3tL� 1t1;;IN� r{p. 40818
LOT SURVE i S �.,rOMPAN I �� F B. NO. 699-54
� _ -
LAND SUVW-YORS SCALE I„ -
.40
o Denotes Iron Monun-.enll
REGIST`?RED UNDER THE LAWS OF STATE OF MINNESOTA
0 Denotes Wood Hub Set
7001 73rd Ave. No. 560;3093 For Excavation Only
EIDEN CONSTRUCTION Minneapolis, Min-ieso'a 55428 x000.0 Denotes Existing Elevation
------------------ oo,o Denotes Proposed Elevation
UCbt'pQr� �t'rtl lCatC - Denotes Surface Drainage
`— Proposed Top of Block
�'�2•7 Proposed Garage Floor
Proposed Lowest Floor
Type of Building -
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Lot 4-. Block 2. OLD CRYSTAL BAY ROAD SECOND ADDITION
Proposed building information must be checked with approved building plan
before excavation and construction.
The only easements shown are from plats of record or information provided
by client
We hereby certify that this is a true and correct representation of a survey
of the boundaries of the above described land and the Inca,;(--of all buildings
and visible encroachments, if any, from or on said land_
Signed
Surveyed by us this 2nd day of August i9 95 Raymond A. Prasch Minn. Reg. No. 6743