HomeMy WebLinkAbout1999-011658 - pool PERMIT
CITY OF ORONO
2750 KelleyParkwayP.O. Box 66 PERMIT TYPE:
Permit Number: rit_;r
Crystal Bay, Mlfnnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
irk T
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: _ - .:}P°P° }==} fi. - _ OWNER:
it,it _ (�C_CN_C_O' i :� 11•7 '3_I W`s_ i 1_IC j
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THE UNDERSIGNED, HEREBY REQUESTS PERMI-:,S IJ N TO MAKE THE SEAL IWROVEM TS
SPECIFIED AND AGREESTO DO ALL WORK IN S RICT Ct._�l�PLIANC�E WITH ALL CI. Y' t�F'
ORONO ORDINANCES AND STATE ATE OF MINNESOTA �1J I LD I NG CODE REQUIREMENTS . I�
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
T
Total Feer $ 3oq- D fo r t
Date Received:
Entered By: Permit#: �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 OR CONTRACTOR
JOB SITE ADDRESS: W/t'R3ntr��ay gd ZIP:
NAiViE OF OWNER: U2/( PHONE: (home) ZY
(work)
MAILING ADDRESS: P-4 GiS6 ZIP:
CONTRACTOR: {-e-ae- 0SPr4—Ggz-4,(C Pt-r PHONE:
CONTACT PERSON: -MOBME/PAGER:
MAILING ADDRESS: 6 4 45-77�D13-Z®CT� CITY: S?`Gc4-M ZIP: SS
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTR.A,TION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): p!'L ZC/2�X /
STORIES: _ SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ fG,lX•c• Go
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 Buildiung 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: DATE: 7 i3
NOTE! P�crade 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.
I '
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 or confidential dam 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 tray refuse or is•legally required to supply_the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or eonrderdtt data;and(d)the identity of other persons c;eaddes authorized by sate or federal law to receive the dam. 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 ecrrmissioner of revenue may place the notice r_auirtd under this subdivision in the individual income tax or orocerty 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 dam 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 dam on individuals shall be shown the dam 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 dam on the individual has been collected or created.
The responsible authority shallprovide copies of the private or public dam upon request by the individual subject of the dam. The responsible authority
may require the requesting person to pay the actual costs of snaking,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request trade 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 orprivate
dam 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 dam, 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.
��.SS �Pls�lcl ��.�z�SG�✓
First Middle Last
Address
City Sate Zip Phone
I understand my rights n,3 stated above.
Signatiirc .
_ --� {
"NO DIVING"LABELS FAUST BE INSTALLED
{{{---AROUND SHALLOW END OF POOL IN
1, ACCORDANCE WITH LINER MFG.DIRECTIONS.
lV
'!F CORNER DETAIL
/ I
I \ '� - -/PANEL
Il i
CORNER
FILLER `t
A
12' ,F 1
' R f 1. 90 DFG CORAFR
3/8 X I'NUT 8 BOLT
LV
RIM COPING
OPTIC"
AL STEPqhs CONCRETE
ty
COPING
POOL SIZES ...•'T:�;�'.•,'�'
�33'tR01NT'A' DIM.16X32 18X36 2OX40
WATER - A 16'-O' IB'-O' 20'-0' TEK SCREW PANEL
I -O' L1rtE
6' --77 ''
!I v MIN - T4 F 4::.. C 8'-O` 8'-O'
D 3'-4' 3'-4' 3'-4'
sX. .
F UNDISTUPBED f 6'-0' B'-O" IO'-0'
_ fART H
�2' SA14D OR I H 8' O, f0' O 12,-D,
V ERMICAKITE
i J 8'-0' 10'-O' 12'-O-
E F - G ------- 4- _. _ x. I35 9 40' 3 a4' s' BRACE DETAIL
NOTES: DIAGONAL BRACE
1
1 THIS 1S A TYFE II POOL IN ACCORDANCE mITTI NS.P.1 STANDARD`.; ti
SAN. 1048 AND BOCA CODE 1993 - SFCTION 421 PaNEL LENGTH NCr.
15
2 I-ACR BRACE WILL DE HOUNDED WITH A 1dINIAiUM OF 1 FOOT OF
CONCRITB. _ 48'-0' 9' O' ERACE ti PANEL
3 MAXIMUM LENGTH OF DIVING BOARD a'• JUINPSTAND - 6'. 1G LENGT4 — 34 'NODIVING IADELS 11UST FIE INSTAILED AROUND SIIALLOW SND z, VlIDTH2 1 f
OF FOOL 1N ACCORDANCE WITH L]NER MANUFACT"ES Jg _ — SEE NOTE 2
INSTRUCTIONS X ENGTHWIDTH — 2 1
ARN1x NGTH - 5 — 4 — {i
!� 40 WIDTH I 2 2 HORIZONTAL.BRACE
SWIUMINGPQDANG(ROU5"tt46
OLSAL SE "PROPERLYI•CONSULTYOUR
F� AKE
DEAR�SA•FEN ON- �IINFORAA'n64 SAFE 09 OF SMMMING POOLS
ITMi:0-SPONS181LRYOFJOWNO(FICtALS.BUILDERS AND HOME OWNERSIO SPECIFICATIONS "" ""} •-
KSLL.0AC, �$Tlf)TY REC iMEIYD%IIIONS OF NS.P.1..ALL LOCAL OR[?AFiCES 16 X 32 IS X 35 20 x 40 -
ANDEGOPMEN MANUFACTURERS
W.
STAPWARD RECTANGLE5—
ONS 30500 .J/4' WITH 6'.:RAOIus-. RNE"
AREA T. St2 648
GALL 19 500 24600
..._ _ .. :�,eft. Ii72.1���.tic-so:.�;Esi'�:�.~'a•.3ile,aa.S` _,.. ... ... - -. :..�wx. .. .. . ... � - <r.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: Z4 8 S WA-J g7z 70'---'A! A'0o
PID:
DESCRIPTION OF WORK: p0c)1
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY:. DATE APPROVED;
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes _1� 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: ni Gtr Post Office: eo (4-r r cr School District: CAA--0
Lot Area: Sq.ft. ILoy Cj f2! r t Acres Width Depth --
Survey Submitted: Yes X No Date of Survey: oN IL+LA-:'—
Proposed
A-Proposed Setbacks:
From('Lake): /, S Right Side: 1 $a
Rear(Street): 116 Left Side: (0S
Adjacent Structures: /2 Wetland: N I^
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # 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):
7
r ,
BUILDING REVIEW CHECK LIST
UBC: AIIA CONSTRUCTION TYPE: AIIA
Sq Footage $Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x =
X
TOTAL
Estimated Construction Value: $ 100od .�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
C Footing Septic Sewer Connection
Framing Fireplace- Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit).
_g Final Grading/Filling o�, Electrical(State Permit)
Other
REMARKS(IN HOUSE):
RE: :;'BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PEP-Mn):
8
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC (� SCHEDULED
PERMIT NO. I v COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Zt
o COMMENTS:
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LU d
ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
WC RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
17
El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in nce.473-7357
Owner/Cont r t r n sit
Inspector.
VhiCpyllnsp tor's Fi Canary Copy/Site Notice
Certificate of Survey
C;)q8"S
for Don T. Towbridge
in Lot 6, Auditor' s Subdivision Number 230
Hennepin County, Minnesota ORONO
(/(/a y`er fot-vh �ocrd r�
INDAMT
CITE' OF ORVR So
K SITE PIAN GRADI" PIAN
- - - -- `; iii APPROVED Pmo 1
60.7 86.3 24' Prop, ❑ APPROVED WITH REVISION I
VV g roo�a'e ❑ DiSAPP IOV 'D
M }�o►sC- N N 21.10 � BY
64g_ DATE -�s•99
I v`8
T1oPp5C4 /Z e
N
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I \ I 1 G U N N o
3 EareMeKf a 2G /" a �
5 � I � •e
� I I
L -- —J
- - 142.49 28.So
IV
A
Aud. 5-6. D%v.ivo. 290
I hereby certify that this is a true and correct representation of a survey of the boundaries of the following
described propert
Lot 6, excepT:the South 492.86 feet thereof, Auditor' s Subdivision Number 230, Hennepin County, Minnesota;
and the location of all' existing buildings thereon and the proposed location of a proposed porch and a proposed
garagge. It does purport to show any other improvements or encroachments. The-east line has been established ac-
cording to Torrens Case No. 9342 and the west and south lines per a pending Torrens Case.
Scale 1 " = 50' COFFIN & GRONBERG, INC.
Date 9-30-87
o Iron marker
riarK ron erg LIC. o.
Engineers, Land Surveyors and Planners
Long Lake, Minnesota