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HomeMy WebLinkAbout1999-011421 - pool PERMIT CITY OF ORONO PERMIT TYPE: 2790'Kelley Parkway- PO. Box 66 R}1 I[ f_i I NG, Crystal Bay, 55323 Permit Number: y y Date Issued: (642) 473-7357 SITE ADDR_SS: fiJR.N;'fi,t1 RU DESCRIPTION: (�:�i�, i1 ill°•j P3-1'�}t,i•I ..! !(,'a —. '{"'i=ra}l..ij�.�!�11_�'._}��.` ;,1l i 1':q - ii R—i Vi=i .�i-_)i' {4c .f_}}M!F� �,_.,_«= i:!i_I�a '�!_i•3{Yi _ : t'i.��E. j REMARKS: FEE SUMMARY: CONTRACTOR: — p p OWNER: L,:�{P ;i:ti `E_!W!f_ _. _. n s _-!{i{,li: AFL I N'._Ap:.' THE �.NDER' I G ED HEREBY RE(�UE S r . PERMISSION ,f) MAKE THE ,PEAL I ' RO"",#� " TS SPECIFIED AND AGREES T�+ OALL WORK I L:T I C=T .I�il='I.INsE I ++F L bRON' b DRQ I iA w, ANS t T IE OF M I NESO T S�1 I LO I iia COD REQ I RENDNT}. . APPLICANTWRMITEE SIGNA URE ISSUED BY:SIGNATURE Total Fee: $ Date Received: Entered By: Permit#: // V-2-f I 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 O NTRACTOR JOB SITE ADDRESS: 3 7U/LN�l,�M ZIP: SS3 S� /��rzlJ 2F�/Ns NAME OF OWNER: � PHONE: (home) >6- 5` 9301 (work) MAILING ADDRESS: I-Zo 7M CITY: oR01�10 ZIP: S3 9 CONTRACTOR: 1900�/41N /"f9o�4 PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: 3 u o Nom`'/69 No CITY: / 4/-OC4) ZIP: s STATE LICENSE: # 53/4 �S f ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New 1� Addition Accessory Structure Move Remodel/Alteration Land Alteration D PROPOSED WORK(describe in detail): 6'1°"� A0—,AA0—,Az- ")'''-0 � � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -;�9 1909• 9- 1 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 accord e with the approved plan. APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes events require separ a 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. t Subd.2. Information inquired 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 property 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature 6 Y . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY 1 ADDRESS OR LEGAL: 3Z Z -ry R&J VkAW\- iZoA6 PID: DESCRIPTION OF WORK: o� ZONING REVIEW BY: DATE APPROVED: S • 10 • °t 5 BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated 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 SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------- ZONING CHECK LIST Zoning District: 2R-' I A Fire Department: /Uo C Post Office: — School District: Lot Area: Sq.ft. t 2%,'1(P It Acres -2-S Width Depth Survey Submitted: Yes_per No Date of Survey: Proposed Setbacks: Front(Lake): 9(. Right Side: 2-15 Rear(Street): Z 2 o Left Side: jv-�-6 Adjacent Structures: 15" Wetland: AJ Building Height: Def. Hgt. /V 64 Peak Hgt. — Lot Coverage: N t e°- Grading: Staff Approval Date: "' By: Council Approval Date:' Septic: Staff Approval Date: — By: Zoning File: # 2'x'1 S Resolution: # Resolution Date: Shoreland District: /V.D 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): 7 r r BUILDING REVIEW CHECK LIST I UBC: N r CONSTRUCTION TYPE: — Sq Footage $Per Sq Ftg Basement x = 1st Floor x — 2nd Floor x = Garage x = x = TOTAL ov Estimated Construction Value: $ Z0,upa — Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _ Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) 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 PERMIT: 8 U I H AL YA 18' x 36' Rectangle 8' 6 STEP 2 UNIT 4 8 8 8 8 } ' 5 4' 5 F 1113 L IGl i"T / I 8 FANFI_ 2 10' 40.3" 2 STEP OF]ION � � UNIT i 5 4' 5 t £3 8 8 8 0604.0- 3'4" WATER DEPT Fi MU5T BE 8 MINIMUM 76" — 2"MINIMUM t PREPARED BOTTOM TYPICAL CORNER 12''I 14- I� I• �.-- —•{ RECTANGULAR FILLER 05180 PACER RADIUS FILLER 05181 a . NOTE:On pools with a thermoplastic step,an A-frame is required on each side of step unit. 18 X 36 NOTES COPING LAYOUT I. Structure is designed for use below grade and only in areas where the ground water 18 x 36 w/Center Stairs table is a minimum of 4'6"below the proposed finished grade. 12 12 8 x 36 w/Side Stairs 2. Backfill with clean earth,free of roots and debris.Do not allow the height of backfillto exceed the height of the water in the pool by more than 6"nor water to exceed backfillDESCRIPTION PART# by more than6". 4-P-IADIU5 CRN. g3. Pour 2500 P.S.I.concrete footing around entire perimeter,minimum 8•'deep. �j-12'SF_CTIONS 9 7 [18 8'PLAIN PANEL 05102 4. 3•wide concrete deck is to be poured at least 3"thickness and a slope of 1/4"to I'away from 1 1 1 8'SKIMMER PANEL 11 the pool. 6 4-8'SECTIONS 6 2 2 2 8'RETURN PANEL 5. Finished bottom is to be 2"minimum of suitable material or undisturt+ed earth. 05108 6. A safety line,with buoys,is to be permanently attached I'0'•to the shallow side of 1 6'PLAIN PANEL 05 the point of first slope change. 12 12 8 2 5'PLAIN PANEL 112 7. Coping: coping lengths are approximate. Cuts may be needed on straight sections 2 2 2 4'PLAIN PANEL 05118 for properfit. Radiuscomersare 2'x2'. ADJUSTABLE A-FRAME 05123 8. Construction Drawings: These drawings and notes are for illuxtmtive purposes X PLAIN PANEL 051291 only. Different methods and precautions may be dictated by various ground conditions. 2 1 3 2'PLAIN PANEL t�511 This is to be determined by and is the responsibility of the contractor who is not an agent of the manufacturer of the component pans. 1'PLAIN PANEL 05132 9. Installation is to he done in accordance with all federal,state,and local building 1212 13 A-FRAME codes,as well as N.S.P.I.suggested standards. 4 4 4 RECTANGULAR FILLER 051180 SAFETYNOTE 4 4 4 RADIUS FILLER 051181 - Pool bottom configurations are for illustrative purposes only. The configu- 8"MIN. GRECIAN FILLER a' ration shown conforms with current N.S.P.1 suggested minimum standards 2500 P.S.I. for pools approved for use with manufactured diving equipment.If diving CONCRETE ' __ 1 1 1 NUT&BOLT PAK equipment is installed,follow the equipment manufacturer's installation,use FOOTING 1 1 1 RADIUS CORNER COPING PAK and safety instructions. 1 1 1 STRAIGHT COPING PAK Diving permitted 2'6" only from designated diving area. OVERDIG Per. 108' Sq. Ft.648 Gallons 27537 - 4 MEMBER D O L P H I N P O O L & S P A f1 fj 3405 Highway 169 North, Plymouth, MN 55441 UU �- UU office (612 ) 542-9000, fax (612 ) 542-9001 1 NATIONAL Minnesota Contractors License#5310 SVA 6 POOL INSTITUE CUSTOMER PUT(:ll & JL1111IFER ZGLINSKY DATE 04/23/91--) ADDRESS 30 7'U111411AN ROAL) CITY ORONO STATE MN ZIP 55359 PHONE # HOME , X7 - YM OFFICE 550--2484 SALESMAN CORRIE SUBMITTED BY LON POOL DATA POOL SIZE 18 "'t POOL SHAPE RECTANGLE W/90o STEP AND LOCATION RIG1rr INSIDE CRN CAPACITY 211, --'00 GALS. TURNOVER RATE a HRS PERIMETER 100 LIN. FT. RATE OF FLOW 51 GPM SURFACE AREA SQ. FT. MANIFOLD & SIZE = = CONSTRUCTION EQUIPMENT PANELS I11PLR1AL. 000 SLRIES LINER !:,_!Rurt:nll 'I'-LLE/wlll'('E P.,OTTO COPING 111'r>? , Gttl'I1dG BOTTOM MATERIAL %'LR N I-I_ !_I L I T E DECK BRACES OTHER FILTERATION EQUIPMENT PUMP I. IIP PURea FILTER '11? -50 1'UREX HEATER —'50, 000 BTU PUREX SKIMMERS 1,1110 INLETS THREE AUTO CLEANER FITTING ONE MAIN DRAIN l_111E A1rlrl VORTEX OTHER 1IATUItiL 11 DECK EQUIPMENT DIVING BOARD f,106F S. R. SMIT11 SPRING SLIDE rI(-)N E LADDER LINE THIZEE STEP W/HINGE HANDRAIL ONE ANCHOR CUPS & ESCUT. 1:'UUR LIGHT & DECK BOX T'IL,E:RSTAR TWO LENS(WHITE) OTHER MAINTENANCE EQUIPMENT AUTO CLEANER POLARIS 280 SOLAR COVER SOLAR REEL C:UVER GREEN NG WINTER COVER_ AWUAMATIC UNDErt'rRAC:K GUVR CHEMICAL KIT 12,10 -GUARD MAINTENANCE KIT YES VACUUM HOSE & POLE, Yrf, OTHER ELECTRICAL 1lY r,1 r11jR-q GAS LINE nV nT►tr'Rq FENCING tAv r,,rrrFRG WALL WORK nY n'TI-IFR-q DECK WORK ";nal 'A I r•'r 8uC]UM F TNTC" 4 ' X4 ' XA ' Xr' LIST CHECKED BY FOREMAN DATETIME_., , CITY OF ORONO CALLED IN �—.,:)_?9 l©i INSPECTION NO I E SCHEDULED 0 PERMIT NO. COMPLETED ADDRESS 3A 0 .CGhi�+1 �c, OWNER B ONTR. TELEPHONE NO. /0 0 �o 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a D: J O cc O ti- LU W cc Q Z W Z W cc � ORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED. ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oj 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.473-7357 Owner/Contract - 10" 211 Inspector. White Copynnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN Le a S INSPECTION NOTICE ,I SCHEDULED PERMIT NO. 5 3`t' COMPLETED ADDRESSO TLCLv`1 OWNER ZiIgV_L,srl? CONTR. /�'�c1Fl_ fir# TELEPHONE NO. 3a8— 78�P`f U DESCRIPTION -�^^� "�'Gt�l?N1 — & t V,"_ t4i 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 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 = 05 F 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO CO NTS: aILI O O cc O W cc Q Z W z W cc WORK SATISFACTORY.PROCEED PROJECTCOMPLETE ccW /OWCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contrac n site: Inspector. W ite Copylinspector's File Canary Copy/Site Notice