HomeMy WebLinkAbout2004-P07633 - pool outdoors in ground PERMIT
C1°���( OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P07633
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 7/7/2004
SITE ADDRESS: 3310 Watertown Rd
Long Lake,MN 55356
PID: 32-118-23-44-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 329
Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 540.53
APPLICANT: Dolphin Pool&Spa OWNER: Boyer Building Corporation
3405 Highway169 North 18279 Minnetonka Blvd
Plymouth,MN 55441 Wayzata,MN 55391
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 REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ Date Received: -ac3-D
Entered By: Permit#: AfZ 763.3
CITY OF ORONO - BUILDING PERMIT APPLICATION
O� All information must be submitted in full before plan review will be started.
(please print all information)
n ------------------------------------------ ---------------------------- ------ w=a- ---
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOS SITE ADDRESS: -3310 Wk T 6z-r0WM 2P ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes [Ut No If yes, a special event permit is required with Police Department and
City Council approval 60 days prior to the event. Non permitted
events will not be allowed
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NAME OF OWNER: `t M� SK41 Tt1 PHONE: (home) !�l 2- 41L/- 5-924
�d (work)
MAILING ADDRESS: �� Old (R9 STAI CITY: W Z*rAZIP:5-S 39J
CONTRACTOR: I PHONE: `7(p3- S�'Z-gaup
CONTACT PERSON: CRKtS MOBILE/PAGER: -X,3' co-otooK
MAILING ADDRESS: 3440 S- 4-41 w 4`( 10 Aa CITY: Pe-yyNoy?K ZIP: S-s- Fy./
STATE LICENSE: # BC- 202&64sZ EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New X Addition Accessory Stricture
Move Home Remodel/Alteration
PROPOSED WORK(describe in detail): ZIP (:�,YyJ N l) 20 X y q V 1 N� l
Poe
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2 )
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.
:f-�
APPLICANT'S SIGNATURE: '� �� DATE: �a�
9
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. L Type of data. The rights of individual on whom the data is stored or to be stored shall be as sett 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 13.32,subdivision 5,to a lays enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual illncome tar 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. Atter 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 dicta. 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,orwithin five days of the
date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifie 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 under nd my rights as staied-2bove.
Signature
10
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3110 w rc--2 ro w ry
PID:
DESCRIPTION OF WORK o v 1
-- -------------------ry-
�- � D - -7-ZONINGREVIEWB PROVED
BUILDING REVIEW BY: DATEAPPROVED: -7-v- o ti
------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes t/' No SEWER CONNECTION
STATE SURCHARGE Yes ` No WATER CONNECTION
INVESTIGATION FEE Yes No f PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: SchoolDistrict:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes y, _ No Date of Survey: o vA:-:
Proposed Setbacks:
Front(Lake): 2-5a' Right Side: (.!5,2, 1 6
Rear(Street): -15' Left Side: Z:str t (&
Adjacent Structures: PO Wetland: N to
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: /Ns)
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):
31
` a
BUILDING REVIEW CHECKLIST
UBC: CONSTRUCTION TYPE: --
Sq Footage S Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Z,0,U o V
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 (Nlfg.) Well(State Permit)
-Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOUSE):
-----------------------------------------------------------------------------_-_,___-----------------------
REVIE W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
--------------------------------------------------------------- ---------------------------��
REMARKS(TO BE NOTED ON PERMIT):
32
ORONO copy 0
MEMBER
DOLPHJN POOL & SPA
3405 Highway 169 North, Plymouth, MN 55441 NATIONAL
SPA&POOL
office (763) 542-9000, fax (763) 542-9001 INSTITUTE
a 11 Minnesota Contractors License#BC-20266452
CUSTOMER H96 f&)Td DATE 5-leiyy
ADDRESS r ow'
CITY OPc>00 STATE n1 ZIP 4
PHONE#HOME OFFICE CELL�2/Z-i l,�'
SALESMAN Cbe-219 SUBMITTED BY
POOL DATA
POOL SIZE 2 VA POOL SHAPE �T'�vG0�-
STEP TYPE 2- I,L.S 176a LOCATION 2
CAPACITY Z1Q,cxy6 GALS. TURNOVER RATE HRS
PERIMETER IZ-v LIN. FT. RATE OF FLOW !oK GPM
SURFACE AREA tff-�> SQ. FT. MANIFOLD&SIZE (.._3 U4J ice/
CONSTRUCTION EQUIPMENT
PANELS '7VM R5T244L. S?E2r�---
LINER ' -V,a Q
COPING C6AJL(1eT4 CA-eu-T,
BOTTOM MATERIAL es
DECK BRACES �(,L
ADDITIONAL EXCAVATION
FILTERATION EQUIPMENT
PUMP Z'{t`-5A&)1) So F7 I 'l
FILTER `0a ft vPti Pwn p 941 J
HEATER eAAptuL 2-6& 0j) NkT
SKIMMERS �-'f`WO
INLETS
MAIN DRAIN D
SANITATION in(WAA1 sfn'Nff
DECK EQUIPMENT
DIVING BOARD 151
SLIDE tJ14
LADDER .W
HANDRAIL
ANCHOR CUPS&ESCUT,;�i
UNDERWATER LIGHT
OTHER
7 MAINTENANCE EQUIPMENT
AUTO CLEANER
SOLAR COVER KM
SOLAR REEL AM
WINTER COVER
AUTOMATIC COVER A&W)- NSU H LID TYPE
CHEMICAL KIT
MAINTENANCE KIT ncl,d .s:water test kit-thermometer-vacuum head-vacuum hose-t .I .scopin pole
OTHER
ELECTRICAL CQjAS GAS LINE 0* 0
FENCING yTYLIA S RETAINING WALL WORK
DECK WORK 11200 ;al? S-fanw
ACCEPTED BY DATE
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DATE / TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Q
PERMIT N0. COMPLETED
ADDRESS 33/O �.�� tZ) a A2d
OWNER CONTR. 201 ,0171f'-)
TELEPHONE NO. �' -� "' `�elZ /-4)y
DESCRIPTION '�l�l/11, /OCA
41 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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
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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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W WORK SATISFACTORY.PROCEED F1 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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 ins ction 24 hours in advance. (952) 249-4600
Owner/Contracto ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice