HomeMy WebLinkAbout2012-01122 - pool in ground 11111111111101111111111
M CITY OF ORONO * 2012 - 01122 *
2750 KELLEY PARKWAY DATE ISSUED: 11/09/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 2645 WATERTOWN RD
PIN 04-117-23-12-0008
LEGAL DESC OLD CRYSTAL BAY ROAD ADDN
LOT 001 BLOCK 001
PERMIT TYPE ACCESSORY STRUCTURE
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE POOL-IN GROUND
ACTIVITY 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION $ 53,000.00
JRS POOLS APPLICANT PERMIT FEE SCHEDULE 704.25
1105 CROFOOT AVE.NW PLAN REVIEW 457.76
BUFFALO,MN 55313 STATE SURCHARGE(VALUATION) 26.50
TOTAL 1,188.51
OWNER
VANOVERBEKE,PETER&AMANDA
2645 WATERTOWN RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
rev at any time for due cause.
APernfitee Signature Date 4su4,—gna&ture -'4–
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono 220
Building Permit Application
for a Swimming Pool
Mailing Address: Permit number:
0 PO Box 66 2-0
loft Crystal Bay, MN 55323-0066 Date received:
�. Street Address: Received by: 94
Gtiti 2750 Kelley Parkway Plan review fee:
t9AESH0 Orono, MN 55356
Total Fee: �0. f
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be sub
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �s � cvti
CONTRACTOR/APPLICANT INFORMATION:
Name: )-g S �°oml�S G.�
State License# ^ /,+- Expiration Date:
Phone: 7 6;? _ G 81.-(fZq-7 Fax: 2 i s,- 6 8 a- o g 6 7
Address: t,10 .5: c.^o &.-f .9 v 4/w City: 8 �,,L�,� ZIP: SS-7
Contact Person: TC-T P-V ,�.��y o,J Contact's phone nu_m_b&r y r frs
Email i„0.,-V a- Applicant is: rtonfr-a-ttr Homeowner (Circle One)
PROPERTY OWNER 17ORMATION: p
Name: e fe— c�
Phone (day):
Mailing Address: a. $'i/dE-� //l w R ZIP:
Email and/or Fax
ENGINEER INFORMATION-
Name: Iro r r' ryg pajjC �'f w.¢ ..,� /r-
Phone:
_Phone:
Address: City: ZIP:
Email V Fax:
PROJECT INFORMATION:
1.Pool Dimensions: 4.Accessory to: 5. Pool Type: 6.Sewage Disposal&
` X feet Single Family E]Above ground Water Supply
❑ Public Sewer
2. Heated? El Multiple Family/Condo PkIn-ground
[ ,yes ❑ no El Public [�Private Sewer
❑ Other(specify)
3. Excavated materials will be: ❑ Commercial 4W ❑ Public Water
❑ removed from site
❑ Industrial 6. Retaining Walls? ❑ Private Well
,used on site ❑ Other:(specify)
❑ yes [jj no
❑ Other: (specify)
Height
Total Cubic Yards
Estimated Construction Valuation $ 513/ '0047
Last Updated: 10/28/2010
-7-
REQUIRED SUBMITTALS: /
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Permit Application
❑ ❑ Plan Review Fee
❑ ❑ Pool Plans
❑ ❑ Survey includes grading plan)
❑ ❑ Hardcover Calculation Worksheets
❑ ❑ Erosion Control Plan or copy of MCWD Permit
❑ ❑ Septic System Certification
❑ ❑ Wetland Buffer Improvement Plan
❑ ❑ Escrow& Escrow Agreement
❑ ❑ Other
❑ ❑ Other
❑ ❑ Other
❑ ❑
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Planning&Building Departments;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law.
If you refuse to supply the information,the permit may not be issued.
Applicant's Signature: _ Date: l Z(2
Owner's Signature Date: (L' I ,t
T
ire (11RUND COPY
A C4 Id I told 1:11111 I= BD
BILL OF (� A '1
.7 T C
13.6'Panels 02-110 02-102
2-4'Panels 02-112 02-104 -�-F
2-3'Panels 02-115 02-105
4-6"Radius Corners 02-101 02-101L E F G H J K J
26-Bra(es 02-008 02-002 SIZE A B C D E F G H J K L
40'-0' 1-20x40 Straight Coping Set 10-003 10-003
4 6 6 6 6 6 4 1-6"Radius Coping Corner Set 10-004 10-004 TYPE
- 40' 20' ao' 8'6~ 3'4" 13'6" 1 s'6~ 1' 4' 6' 8' S'2"
** 6"R NSPI TYPED-NON DIVING 20' 40' 13'6" 15'6" 1' 4' 6'
1-Vinyl Liner POOLSTOCHOPTION
4'
6' pp(Ei) DECK P}ZEMIN1
6 OPTIONS ELITB' hV8-�)REA 10/EWW 4"CONCRETE BECK
e%e nM.Ml.
3 6'Step Remove 1 b' anel and 2 braces.Insert 1 b'step POOL o p°O �`2°��` °la' .
C' ` I
42' ' and 1 (11 005)step bolt kit. „4"MN ;F. ALV9AlM L
r , ILO' ~4' 6' Pa-15TH NE e.:.! Z'X Y'X VB"THICK POLYSTYRENE
* 8'Step-Remove 3-6'panels. Insert 1-8'step,2-3'panels, 2"PANE rT1 )� PANEL q SLE WF=HICK
44'-91 P P P P 8,4�6!LENGTHS BRACE b;4;fi,PANEL X Y5f V8 THICK
3,
2402-1113)2'panels and I-0 1-005)step bolt kit. SURE-SET �«RUN GRASL y UNDISTURBED EARTH
ALIGNMENT OR FLL SfVO 5 U USE NO EXPANSK
61
T HOLES p] >))Y 3/8"X 2'J PTIO UL1 144TERWS FOR&O(FLL
4' 6 "X2 OPTI01lLgL) Ea TE FLLIIV W b/8"REBAR�OPT ONA
arir REW N
Ur0671pgD EARTH VINYL LINER `CERTAIN STATES
VINYL LNER 16E NO E MI NE
• MATERLALS FOR f�AD,ARTUENT PN
6"R 4' 6' 6' 61 61 6, 41 6"R 2"PODLBASE ,BAE'ff�M PN 2-POOLBASE CONCRETE FOOTER
8/e"RRE IN 8"� CONCRETE FOOTER 'T�
i�L��E/$EWED for CODE COAPIPUANCE ppNN77�D gNflAgJR
PROGRESS' ION �OpLy ERRED STAKE
PLAN CHECKED BY� � DATE rr- s -�r�- BAR
PE ;E AROUNDPE
N AN LOSE N CONTINUOUS PROGIIE9SION
AROUND PERB¢TER N BOND ff/IM
COPING •
6"R 4 4' 4 6' Q 6' a 6' n 6 n 6' IT 4' IT 6' R
ELITE PREMIUM
SERIES Or
sr%ucr
31 6' 41
WALI Glu-Loc
L PM
PANEL EL fASTENERS
''''`'
6, D
z' 6
31 p o b
42'-11' � D
6 20'-0'4'
*
44'-9' Q
31 0 0 0
6' 6' 4 0
4' 31
REAR
SERIES GF LEVELING
6"R 4 6' 6' 6' 6' 6' 4 6"R 4 SE-EDGES TEG STANK
ADJUSTMENT PIN
FRONT LEVELING STAKE
ADDITIONAL N•
THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY. Attention Dealer: It is your responsibility to see that the safety package provided by FWP is delivered to pool owner and that the NO DIVING
FWP makes only those representations which are stated in its written warrant'.Any other warning labels are properly,installed.
representations,statements,or contends made by the dealer/contractor to the customer
regarding any materials produced by 4 are alhil uNble to the dealer/contractor on
*Diagonals given to 90'point of corners. The deals ar EO ttaEtol who sells or installs your pool is an independent contractor anyls &LN
BUILDING THE R FORT WAYNE POOLS®,INC.not an a ent or employee of FWP The construction methods illustrated here are suggestionsPremium Light Option. NSPI TYPE III a d appPy ony,a nDrmalg ound Condit ons.The a may be additional precautions and/or
® FOLLOWING POOL 0 6930 Gettysburg Pike
-]me hodsof construction.The responsibility is the contractor's. o O L ❑EIITE® FT WAYNE,IN 46804 USA
GENERAL • • NOTES These dig dimensions comply with III.National Spo and Pool Institute suggested mini- _ _
(219)432-8731
mum standards For residential pools. If diving boards or slides are to be used with rlie ❑PREMIUM® - — ' '— -=Irc. w rmsurfthepooLCOIN
1.All vertical dimensions ore from liner t.Soil to have minimum bearing capacity of 2000 P.S.F. 71177.
.Excavation shall be 2'larger than pool all around. these pools pleose consult the manufacturer's instructions and the National Spa 8 Pool PREMI0 a DATE TITLF
extrusions on all pools. 2.Incate fop of pool at least 6"above surroundin
9 Fill voids under base of panels and tamp well. Institutes minimum standards p'or to installing diving boards or slides on these pools. Q9 I I DRAWING NUMBER
land elevation. 4.Backfill with non-expansive material. For information concerning NSPI m um tandards'write: National Spo&Pool JANUARY 20 X 40
4 InJin4n 9 11 F:.e..I,...-.e,e..e...._ele_,..,a.:_sr. nn,.._ opo .,� DEfTAA,E'1[LII DAI�IIIC QP_Md
VVII UV VV I I%& 1V-'sl su+
Information Sheet
ri
ONO Co
Pump Size t HP - Turnover 8 Hrs.
Gallonage -- 7,400
Filter - ISI; Ft.2
Concrete Bond Beam at Base of Walls
Air Gap - Fill Method Garden Hose
(Ibopvt2 Fence to enclose pool area with self latching
closinggates
LO
JRS Pools
1145 Crofoot Ave. N.W.
Buffalo,MN 55313
763-682-4343
Jerry Haugen
Owner
v DATE TIME V
CITY OF ORONO CALLED IN
INSPECTIONPTI� E SCHEDULED
PERMIT NO. � '� �COMPLETED 1
ADDRESS �s �I � �i1;C� l _ -(p7(K) I"
OWNER TELEPHONE NOCK Q(C�S�
CONTRACTOR S FbokS
DESCRIPTION
LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
co ❑ FRAMING ❑ MECHANICAL FINAL
El REMOVAL
Q
Z El INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
iE ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES—NO
COMMENTS:
cc
W
CL
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cc
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W
cc
Q
Z
W
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CC
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Uj / (ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W /❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contractor on sit r
Inspector.- 7.
White Copy/inspector's File Canary Copy/Site Notice