HomeMy WebLinkAbout1997-009531 - pool PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 E,� i T iii
CrystarBay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued:
SITE ADDRESS:
"Eirl D R1
E L C
C.
N . 11
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR:
OWNER:
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THE VNDF-f:`51GNEO HEREBY REQV98-TS, PERM i INTO 2ilMM-0VEME
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SPECIFI8D AND AGREES T0 DO ALL WO Vitt tt
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APPLICANT/PE41TEE SIGNA16XE ISSUED BY:SIGNATURE
c Total Fee: $ .XV Date Received:
Entered By: Permit#:
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 CONTRACTOR
JOB SITE ADDRESS: 7 %E. ZIP:
NAME OF OWNER: 1�21e i&21 ���3�'ri' �' PHONE: (home) 73
_ (work)
MAILING ADDRESS:��`] �` )P-ef CITY: ZIP:
r
CONTRACTOR: e6. 4D S PHONE:} 7 60 93�4
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: A CITY: ZIP: X72
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): ' LdIO
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ yif 4
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 ac ordance wit the approved plan.
APPLICANT'S SIGNATURE: DATE:
10,
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 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
/tv9�U
A ssdity
rL�v �Z
State Zip Phone
I understand my rights as stated abov .
Si cure
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3-)S w A I �C---LQ �'Zc A 3
PID: 1ti -23
DESCRIPTION OF WORK: �;j
ZONING REVIEW BY: DATE APPROVED: le-1-77-'i7
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes c/ No SEWER CONNECTION
STATE SUR`HARG E Yes _sem No WATER CONNECTION
INVESTIGATION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: e— -0
Fire Department: (1z>•v Post Office: 64-16� School District: 0/DC7
Lot Area: Sq-ft- No C 6(22:v Acres Width Depth —
Survey Submitted: Yes No Date of Survey: I
Proposed Setbacks:
Front (Lake): `� S� + Right Side: Ste'
Rear (Street): bO6` Left Side:
Adjacent Structures: >'a Wetland: N
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage: N//I-
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:-ict:
(�. 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):
26
BUILDING REVIEW CHECK LIST
UBC: l - (�r�- CONSTRUCTION TYPE: N Irl
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x _
Garage x =
x =
TOTAL
Estimated Construction Value:
$_ q0)Ooo
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_P-Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
/--Final Grading/Filling pc Electrical (State Permit)
Other
REMARKS (IN HOUSE): -M-~__�----------- _�__ J
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-----------------------------
REMARKS(TO BE NOTED ON PERMIT):
27 _ {
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Desi ner Pools
BY VOSSEN INC. ,
POOLS & SPAS
Concrete Construction • Residential • Commercial
+ ,d ; 16950 Welcome Avenue S.E. • P.O. Box 504 • Prior Lake, Minnesota 55372 ,o 447-6084
y
SPECIFICATION for Warner REsid n a
'
SCOPE OF WORK The work will include all labor, material, and equipment to
comolete pool in accordance with the attached proposal dated 9-12 .97
a
i
DIMENSION AND DESIGN Pools and deckwork will be per "Designer Pools by
Vossen Inc." standard design as noted in the attachedproposal.; Site toil bearing
conditions assumed adequate for pool.
N +a? ,
II
,+ J" EXCAVATION Excavation will be accomplished as required using proper
� - : equipment and experienced personel. l
This proposal is based upon normal excavation conditions. Normal excavation is
defined as any excavation that can be removed from its natural bed by a back hoe or
equal, operated in a normal manner. If during the excavation operation, hardpan,
rock or other material which requies drilling and/or blasting, or special excavation
equipment or earth caving or water seepage is uncovered and/or any unusual
situation is found to exist where additional excavation time is required, Co tractor
has'the.rightto charge Owners all cost of excavation.
4. PNUEMATIC CONCRETE SHELL Pool shell will �e placed, insofar as possible in
x+ one monolithic casting of concrete. Construction joints, if required will be,mede with
` . ! +' reinforcing steel passing through joint and joint will be brushed and slushed with
�F � concrete prior to construction on pool shell placem nt.
,r , i�
Concrete will be placed with the proper equipment designed for this type of ork and
' wi(l; be o p y personel experienced in the use . f such
io � , r, rI,. operated and supervised b
w 3� equiornent
Concrete will be 4000 P.S.I. strength at 28 day test, (8) bag buckshot pump. ng mix.,
Walls: 8 " Thick Floors: + " Thick .
fir,"°n�°
5, .t REINFORCING STEEL Reinforcing steel will be standard sizes and will ibe new
and free of rust, dirt, oil, or paint. Placement will be as follows:
Walls: # ��, 1� " O.C. Vertical p
f
I#�._, _ " O.C. Horizontal
12
Fioir• # ,. O.C. Each Way
�+t
6. FITTINGS Fittings for pool will be placed where required and anchored to assure
position during concrete placement. ,; .,
7. COPING 120 wide stamped cmd►&wd concrete
Ik it41d'n� 4.,r
8. TILE A —6 " water line tile will be placed the full perimeter of the obl.
water line tile by Imperial Atlantis Blue 3" "x 3 p
the accent at transition steps & swimouts
'{ s 9. INTERIOR FINISH Surface will be finished with an appropriate plaster for this
N� + type of work approximately 1/a to '/s thick. The finish will be applied by workmen
k �A
t experienced in this field. Finish will be Grey {garble plaster a
,1M X11
fa
t
10. C�REdTE DECK Deckwork will be as stated in the attached proposal.
)1Concrete®deck Interc�r_efinish �u�sq. ft. — " Thick nominal
1. color
03 rode 016"OC Raintorbillid 4"sand cushion; ethoioam dividers.
�Y Concrete will be air-entrained, 3,500 P.S.I.
11. POOL MECHANICAL EQUIPMENT Mechanical equipment, heater, filters,
g=$': chlorinators, misc. fittings and valves, (specific list of major components per
equipment list supplied with proposal) will be furnished in place.
f
Material for recirculating, drain and return lines will be polyvinyl chloride scf edule
, r
i�,140 type 11.
.'12. POOL EQUIPMENT Pool equipment will be as listed under"Pool Equipment List"
attached to the proposal.
,1
1 1 �f�
T.M.
Designer Pools
................... ..:::�• ::., .. BY VOSSEN INC.
U. POOLS & SPAS
Concrete Construction • Residential • Commercial
9-12-97
Swimming Pool Equipment List
Warner Residence
A - Filtration, Chlorination, Heating
1 - TR100 Filter W/2" Dial Valve PacFab 30" Dia. Hi Rate Sand
1 - 15MP Pump: 112 HP W/Trap Jacuzzi Magnum 95GPM@55 '
115/230V 1PH
1 - PVCSch40 Filter Face Pipe: 2"
1 - P045 Chlorinator: Stenner
1 - TL250 Heater: Laars Outdoor Gas
1 - AGLR6232SS Heat Sinks: Stainless Steel
1 - 808 Water Level Control
B - Pool Fittings
1 - Sch40#4 PVC Recirculating Pipe
2 - SP10702S Skimmer: Hayward 2" Equalizer SP1078
1 - SP1106-3 Vacuum Cleaner Plate: Hayward '
12"
4 - SP1022 Inlets: Hayward Eyeball
1 - SP1052AV Main Drain: Hayward 2" White Anti Vortex
2 - AP782442 Light Niche: 3/4" American Products
2 - AP771641 Light: 250W American Products 30 ' cord
2 - 7831 -02 Junction Box: 3/4"x3/4"x3/4"
2 - 3/4"x4 ' Conduit
C - Deck Equipment
2 - Concrete Swimouts
2 - IF040049 Grab Rail : Deck Mount
1 - Handrail: W/Concrete Steps
4 - HB4190B Deck Anchors: 4"
4 - HB11 Escutcheons: white
1 - 608W Diving Stand W/ Frontier III Board
2 - SP1040 Wall Anchor for Safety Rope
1 - BYBPR3012 Safety Rope: 3/4" x 19 '
3 - RB181086 5" x 9" Floats
1 - 19 ' x 42 ' 6" Automatic Cover: Aquamatic, Hydraulic Drive, 13
brackets, 12-1 ' x 20 Pans
1 - 21 ' x 46 ' Winter Cover: Merlin mesh type cover W/deck anchors
Black /Grey
D - Maintenance Equipment
1 - 78HR Test Kit: All In One
1 - RB201070 Vac Head: 14"
1 - RB111046 Wall Brush: 18"
1 - RB121126 Leaf Rake
1 - RB191306 Telescopic Pole: 8 ' x 16 '
1 - ProPure Vacuum Hosle: 1 '-2" x 50 '
1 - PVCSch40 Automatic Cleaner Pipe
1 - ARN705C Auto Cleaner: Arneson Pool Vac
1 - FP261 Discharge Hose: 2" x 50 '
1 - RB141116 Thermometer: floating
E - Safety Equipment
1 - CALGW20 Life Ring Buoy: 20"
16950 Welcome Avenue S.E. • P.O. Box 504 • Prior Lake, Minnesota 55372 9 447-6084
DATE TIME
CITY OF ORONO CALLED IN 101.2-21Y.7
INSPECTION NOTICE SCHEDULED 10o?3 7
PERMIT NO. X31 COMPLETED
ADDRESS 7-S
OWNEFie_J4211?� CONTR.
TELEPHONE NO. XIAI7- 670 9 54
DESCRIPTION —
FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
tQ 02 FRAMING r 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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Wd rVORK SATISFACTORY:PROCEED PROJECT COMPLETE
QC C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN `
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
Owner/Con o site:
Inspector.
White Copylinspectorl File Canary Copy/Site Notice