HomeMy WebLinkAbout1995-007432 - inground pool _
CITY OF ORONO PERMIT
TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: . +, , .}
(612) 473-7357
Date Issued:
SITE ADDRESS:
ER-O"l-iN R1
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
CONTRACTOR: - c:r;? r -f. -- OWNER:
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NC;-• �yi.-i, y7
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771
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THE,• E�N[�EW:;I GNEC HEREE3'� RE S FERN I :;I�itd T
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AGREE' TC1 DL AL }I � ,, IN QTR% T= C0MPL1A*E WITH; AL L. ` `11Y 0F.
0RON0 OkD I NANC88 AND ' TATE
1
� -66bE REQU'T E ET iL APPLICANT-PERMITEE SIGNATURE ISSUED
BY:SIGNATURE
CITY OF ORONO' - BUILDING PERMIT APPLICATION
Total Fee: $ -7 7 Date Received:—&I /Mg-57
s
Date Approved: /4-lei
Entered By: '
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) R OWNER or CONTRACTOR
JOB SITE ADDRESS: g CSna X�C�SC�c�n C�! ZIP:
(work) r�
NE: (h )
NAME OF OWNER• Q V�Q \ PHOomeq / 3 '
MAILING ADDRESS: J CITY: Z Non ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS: �� �?�C2_\�' O r . CITY: ZIP:
STATE LICENSE: # Q��
ARCHITECT/ENGINEER: A)D n PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION n *11y�
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : \N oo`'�
STORIES: SQ. FEET OF EACH FLOOR:
v0. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ fQ, COO
I hereby apply for a building permit and I acknowledge that the information
.ibove is complete and accurate; that the work will be in conformance with the
;rdinances and codes of the City and with the State Building Code; that I
:nderstand this is not a permit and work is not to start without a permit; and
-mat the work will be in accordance with the approved plan.
IPPLICANT'S SIGNATURE. C, -- DATE:
CHECK OFF LIST FOR ISSUAINCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ,�2.So wA
-FR cx,;;.� PID:
DESCRIPTIO\ OF WORK: ���
ZONZtiG RE`�j` BY: ��-- DATE APPROVED: ��-�c:-��;
- - - - y CS�k
BUII.DL\G RE«`V BY: DAA APPROVED:
FEES TO BE CH.-kRGED: No Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes SEVER CONNECTION
WATER CONNECTION
STATE SURCHARGE Yes L/ No
No PARK FEE
INVESTIGATION FEE Yes SITE INSPECTION
SAC Yes No
OTHER (specify)
Number of SAC Units
----------------------------
���'�- I✓F Shoreland District : �J
ZO`D G CHECK LIST Zoning District:
Fire Department: N ( L
Post Office: — School District:
Lot Area: Sq.fr.
Acres Z 7 Width Depth
Survey Submitted: Yes
No Date of Survey:
Proposed Setbacks: }
Front (L-ake): .`row Right Side:
Rear (Street): Z wi 4— Left Side:
Adjacent Structures: i 7 t= Wetland: 6-
Building Height: Det Hgt. V
Peak Hgt.
Avg. Setback: -- Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250' rLt
250-500'
500-1000'
Hardcover Variance Required: Yes No K_ Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: Resolution: 17
Resolution Date: S
RE�l1ARK-S (in house):
26
BL'II.,DL\G RE«NV CHECK LIST
UBC: 0-lt F CONSTRUCTION TYPE:
Sq Footage S Per Sq Ftg
Basement _
1st Floor _
2nd Floor x _
Garage x
x —
TOTAL
Estimated Construction Value: S l O 006
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
ylechanical Water Connection
Hardcover Removal Sewer Connection
Footing Septic
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (Stale Permit)
—7Z Final Grading/Filling Electrical (State Permit)
Other
REMARKS (LN, HOUSE):
-----------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-----------
--- -------- --
REyiARKS (TO BE NOTED ON PERIIIM: &5 r,,.( I
27
A
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
- OOn the North Shore of Lake Minnetonka
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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
U5 �2C
\)
First Middle Last
(D 0 � L . �7?� ke
Address
4r��. 16
City State Zip
9
Phone
I understand my rights as stated above.
Sighwflure
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING -
I
513.04 RIGHTS OF SIIBJECTS OF DATA -
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
to be given individuaL An.individual individual ask
Subd. 2. information required be ed to
supply private or confidential data concerning himself
witlun the collecting state agency,
purpose and intended use of the req t mad (b) whether he may refuse or is legally
political subdivision, or statewide system; known consequence arising from his
required to supply the requested data; (e) any and (d) the identity of
supplying or refusing to supply private or confidential data;
other persons or entities authorized by state orply when an individual saskefederal lto to re einvestigative data,
requirement shall not ap
pursuant to section 13.82, subdivision 8, to a law enforcement officer.
nder
The commissioner of revenue ma lent tax re°undinstructionse ruired unsteadhos
subdivision in the individual income tax or r•
on those orms. --
ible
Subd. 3.
Access to data by individuaL Upon request to a respons
authority, an individual shall be informed whether he �ateesubject of or confident al.stored
Upon his
individuals, and whether it is classified as public, p or al. data on
further request, an individual who is the subject charge stored imriand if he desires, shall
individuals shall be shown the data withoutof any
data. After an individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, pursuant to this section is
him for six months thereafter unless a dispute or action
• pending or additional data on the individual has been public datarupon request by
responsible authority shall provide copies of P responsible
the individual subject of the data. The authority may require the
certifying, and compiling the
requesting person to pay the actual costs of making, Yl g�
copies. immediately, if possible, with any request
The responsible authority shall comply of the date of the request,
made pursuant to this subdivision, or withinids a if immediate compliance is not
excluding Saturdays, Sundays and legal holidays
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
public or private data concerning himself. To
contest the accuracy or completeness of p the responsible authority
exercise this right, an individual shall notify in writing shall within 30
describing the nature of the disagreementbe inaccurate oriblin omplehe respons te and at pt to
days either: (a) correct the data found to
notify past recipients of inaccurate or indcomPll�eatt he tbelievesdthe ng rdata lto be correct.
the individual; or (b) notify the
individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
included with the disclosed data. appealed pursuant to the
" The determination of the responsible authority may be
provisions of the administrative procedure act relating to contested eases.
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Dura-Glas HIL
YAM
Pump Performance -2 Speed
120 1 KEY
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+.-- ..._ _._ I--� t - - -- -
i 8.P2RA5YFLt
r BEST EFFICIENCY SIZING- -- *'-
W i I C.P4RA6YFL
tl 80 - p P2RA5YGL1
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LOW SPEED-- --
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20 - G 1 H -- -� J.P4RASYGL
-I A D E
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0 B Tr3QI,S$
20 4 C 80 100 120 1 a0 160 180 ;May be ordered,.ol,ovt trap
U.S. GALLONS PER MINUTE
Accessories Ordering Information
High SF Nom. Low SF Nom. Port Size(FPT)
Model HP Madel HP Max.8HP Volts Suction Discharge Wt.(lbs)
Dura•Glas -- —.
%1aASl:L 'r1 (;: tt :! 3j t 1!1
PA15CL Q P21iASG: 3--'4FIS 1�5 3C 1 ';1' t 1
314 °2
aA5E_
P2R5F.L t NPA FL t t!2 t 7
Dura•Glas f!
f I r 7 4.1
P4R6EL
�YROFI 11x2 049A5 C
I'k�. I I;
Dura•Glas H/C —
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Accessory Ordering Information
I � Cat No. Description
Suc.Size Wt.(ibs)
`•� py,g 1tc. _•'l1U'e'i.a5 itil.:9'ti3>N'
PI,J 116 1 c 'e U:3i C'J;.'
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Features(cont.) Outline Dimen Ions Media Kits
- O-ring seals and hand tightened fit- System 3 Sand System 3 filters can chuinge from one
tings have replaced gaskets and Cat.No. B C 0 E media type to another within minutes,
thread sealants at all bulkhead,drain - -- - in many cases without disturbing any
and gauge port locations. S7S50 28 5' 42' 7 36' 53.5' plumbing.Kit includes complete inter-
- Top port allows for in-tank chemical S8S70 32.5' 42.25' 8 40' 54.25' nal assemblies,bulkhead fittings,oper-
treahnent of media.Bushing and O- A-wlolh,B=height,,C=number ofCbnm 0-area ating labels and manual.Consult
ring design helps prevent tank dam- (width)needed to take off cla►nps,•E=area ftht)needed customer service for information
alae.
to remove top hap of tank
- Tank base is integrally molded.
1 ncorporates leveling pads and Filter Ordering information
mounting holes to facilitate all instal-
lations. ZQ
Catalog Fitter Ship M. Carton
- Dramatically oversized drains are ori- AMM No. Area (lbs.) Size
ented for both side and bottom access. ..
O-ring sealing plugs may be used as is a S7S50 1.4 sq.it.
orad, for all piping and valving S8S70 3.4 sq.fl
applications.Combination sand-or- -� ••As a go to press,this information is not yet availablo.
water drain empties tank in moments. jr
Materials and Designo Tank r.Glass reinforced thermoplastic Dura- -aGlas.Proprietary blend contains car-bon black for maximum outdoor .art
aging resistance. UNIONCONMKMtls.
Clamps
Plated and polished stainless steel.
Designed with hand secured knob
and stud assemblies. Filter Sizing
Piping Connections
Through-tank bulkhead fittings fea- Catalog Maximum Pool Size Pool Size Port
ture full 2"diameter clear flow.Hand Number Flow 8 hr.rate* 6 hr,rate' Siza
secured against O-ring seals,the bulk- ;7550 48 GPM 17,280-23.000 13.000-17,300 2'
head fittings allow for union style 48S70 6B GPM 24,480 32,640 19,000 24,489 1'
connection to any of the Sta-Rite slide
or multi-position valves. 'Based on 15 to 20 GPM recommended ow rate range.
Tank Base
Integrally molded with tank.Design
incorporates leveling pads and
mounting holes. Accessory Ordering Information
- Air Bleed
Contains internal automatic air bleed, Catalog Valve Valve Body Valve Port Ship Wt.
as well as top mounted air bleed at Number Type Material Size (lbs.)
gauge port assembly. WC212-134P slide ABS 2' 4
• Operating Limits WC212-136D slide bronze 2' 11
Designed for maximum continual WC212-144P muh+port ABS 2' 6
Nvorking pressure of 50 psi.Water
temperature maximum 105'F.
Fexm.No SC1PS (Rev.2/92) C 1991 Sla•Rde indusvies,Inc Sla-Rite/a WICOR axnpany
DATE} TIME
CITY OF ORONO CALLED IN 0
INSPECTION NOTICE SCHEDULED /-it
PERMIT NO. 7 Y3D- COMPLETED
ADDRESS _2 4�S"6
OWNER 4A-v� CONTR. &447m 1190_64
TELEPHONE NO. 3_ Ags-_s—
DESUIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
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GW > WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ElCORRECT WORK&PROCEED E. ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Co ntr r o ite:
Inspector. WtO
White Copy/Inspector's F'a Canary Copy/Site Notice
D C TIM
CITY OF ORONO CALLED IN / _ _ J l,R
INSPECTION NJOTJ SCHEDULED I L 13 4 C_ �Z' 3Q
PERMIT NO. v COMPLETED
ADDRESS /V
OWNE J1L CONTR.022 S ZlnM OOc S
TELEPHONE NO. 3
DESCRIPTION�o o L—
t4 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
I 05 FINA 14 SEWER HOOK-UP 06 PROGRESS
O-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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
a
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cc
O
W
cc
Q
2
W
W
cc
d
Luh � WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra or
Inspector.
White Copylinspector's File Canary Copy/Site Notice
:cam'
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED -- l
PERMIT NO. d COMPLETED f
ADDRESS r1 Q---i FC
OWNER CONTR.
T E L E P H C NE N0. I /
DESCRIPTION o'1-Ovl.�✓ol (_
Uj 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z�Y�l9L�D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
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Uj Z) ORKSATISFACTORY:PROCEED PROJECT COMPLETE
W
�OwaoRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C; CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contpg5Nr on site:
Inspector.
hite Copy/inspector�.. Canary Copy/Site Notice
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I hereby certify that this is a true and correct representation of a
survey of the boundaries of Lot 1 , Block 1 , Hillaway Farm , and of an
existing building and the proposed location of a proposed house thereon .
It does not purport to show any other improvements or encroachments .
COFFIN & GRONBERG , INC . Scale : 1 " = 200 '
Date 10-26-88
o : Iron Marker
MarK S . Gronberg Mn . Lic . No . 12755
Engineers , Land Surveyors , Planners
Long Lake , Minnesota