HomeMy WebLinkAbout2005 - P09220 - pool outdoors in ground PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09220
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: 10/10/2005
SITE ADDRESS: 1005 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0006
DESCRIPTION:
Proposed Use: Residential
Census Code 329
Permit Class: Building
AccessoryStructures Permit Sub-type(s): Pool-Outdoors-In Ground
Permit Type:
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
•
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00
Plan Review Fee: $ 287.14
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 743.89
APPLICANT: Gerold Pool&Concrete OWNER: LeGran Homes
14600 Blakeley Trail 1521 94th Lane NE
Belle Plaine,MN 56011 Blaine,MN 55449
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.
.) ---r-:;7 (__' j/A:1/'Zit---- (7 '0/1' )
APPLICANT E
/ ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Gay - - —
Total Fee: $ 7y 3.8 9 Date Received: 9- OS
Entered By: 634j
Permit#: Ap9220
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 0• CONTRACTOR
JOB SITE ADDRESS: /DU.J (icy/ LCCti %6-1 ' ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
LiYes ❑ No If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: (iSi4 Jec57171 / ice Sc -' PHONE: (home) 95c)-3 - )9
(work)
MAILING ADDRESS: /COS <-" O/e' CITY: ox.Jc..) ZIP: -536/
CONTRACTOR: ` =2oc/� mac- 4 (-1:5-<-- e-,43 PHONE: q.S.3 a-73 yyd/
CONTACT PERSON: /vjv (4ev���? MOBILE/PAGER: - - /17
MAILING ADDRESS: jc/ A'/r9/<e/ey 72 CITY:&//c ,i't ZIP: , (,Do//
STATE LICENSE: # ��j! EXPIRATION DATE:
ARCHITECT/ENGINEER: /-0-/ PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New )C Addition Accessory Structure
Move Home Remodel/Alteration
PROPOSED WORK(describe in detail): 7 , C 2a U 1,� Y�� / >cj
L.cmc'/vO5 �c�tc S.��c�t y (70 c-e%?
STORIES: SQ.FEET O
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): S
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.
APPLICANT'S SIGNATURE: -cam - DATE: 9-'03
31
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 reauired 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
Evrc i
(----51,412 04,e7a
Address
/ -7 ) R//// fC( 7Y / / 4/ fvv-(7 .-O//
City State Zip Phone
I understans y rights as stated above.
Signa . e
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: (p p S (,",110 s
PID:
DESCRIPTION OF WORK: P,
ZONING REVIEW BY: 7:4 ' DATE APPROVED: 9- 3 0 -�S
BUILDING REVIEW BY: � f/ DATE APPROVED: 9 3 0
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ' No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No v, PARK FEE
SAC Yes No L SIIEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depth
Survey Submitted: Yes /- No Date of Survey: o"/"
Proposed Setbacks:
Front(Lake): 3 3b- Right Side: I y a
Rear(Street): Ls' tLeft Side:
Adjacent Structures: 24.9 ' Wetland:
Building Height: Def. Hgt. //1 1 h- Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: AP
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):
BUILDING REVIEW CHECK LIST
UBC: N A- CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x
Garage x
x =
TOTAL
Estimated Construction Value: $ 3 0,0 0') "
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
pc Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
/`Final Grading/Filling p` Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
Estimate#10549-3-P
rLisa and Scott Hudson
5511 East 115th Street
Tulsa, OK 74137
Job site: 1005 Willow View, Orono, MN,
0? �Zfr '��i_
ero55364
? C� P-918-296-0680
o l F-918-296-0681
Monday,August 22, 2005 —
Item _ Specifications Price
Inground Vinyl Rectangle: 18'x 36'X 8' Deep End
Pool Construction Your Pool Includes:
Rectangle : 6'Corner Leisure Step
18X36X8 i Elite Polymer Walls and Bracing
105 Linear Feet j Clip-on Coping (Gray)
645 sq. ft. surface i Liner Pad and 20 mil Liner
Gal. est. 27,392 Pool Krete Bottom
2-Bottom Drains, 2-Skimmers, 3-Return
Inlets and 1-Vacuum Fitting
Poured Equipment Slab
Pentair 3/4 hp Whisperflo Pump
Pentair 420 Cartridge Filter
Ruud Heater 199,500 BTU #206 (NG)
Goldline Salt Generator and Control Panel
• for generating chlorine.
Cid a "Q1 j Schedule 40 PVC for Plumbing lines with
Glued Fittings
IN4PE'PDP
Pool Maintenance Kit (Brush if Pole, Net It
— t Pole, Hand Vacuum, Vacuum Hose,
Vacuum Plate and Thermometer)
' -0 i Safety Rope Float
- i Winterizing Skimmer Face Plate Cover
e In Pool Spectrum Light.
-V Water Test Kit if Start-Up Chemicals
$600 Chemical Allowance
Automatic Safety Pool Cover- Undertrack
Pentair Legend Automatic Pool Cleaner
(Boost pump on pad)
6' SR Smith Diving Board
Deck: 6 each end 4'each side, (600 Sq Ft)
broom finish.
Total for Pool Pool, equipment, auto safety cover, deck. S.
Gas/Electric ; Electrical and Gas Allowance (Not Included) $
Accessories ' 6'SR Smith Diving Board Included
Additional ; Broom Finish$5.45 sq. Ft.
Concrete j Stamped and colored $9.50-$14.50 per sq Ft
Additional charge to hall fill on/off site.
Permit cost estimated ($300)not included.
(952)873-4401 6 Fax: (952)873-3215 6 14600 Blakeley Trail,Belle Plaine,MN 56011
,
18' X 36' RECTANGLE 6" RADIUS AREA: 648 SQ. FT. PERIMETER: 107' GALLONS: 27,526
BILL OF MATERIALS ELITE PREMIUM I f9 I t l'-•••-• A —eel
D T I
14-6'Panels 02.110 02-102i t
4-4'Panels 02-112 02-104 '''''."--...'''."-., /
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4-6"Radius Corners 02101 02-101
22-Braces 02-008 02.002
1-18x36 Straight Coping Set 10-002 10-002 - E F --- G - H —t— --.- J K J
36'-0' •
1-6"Radius Coping Corner Set 10-004 10-004
1-Vinyl liner S I Z E A B C D E F G H 1 K L
6"R 6' t 6' t 6' t 6' t 6' 1 4' 1_6"R18' 36' 18' 36' 8' 3'4" 12' 14' 5'6" 4'6" 4'6" 9' 4'8"
rplippVIII 1- NSPI TYPE O-NON DIVING 18' 36' S'6" 3'4" 12' 14' S'b" 4'6" 4'b" 9' 2'1"
STEP OPTIONS Pool Hoot OPTION 6' A6� NE
6'Step-Remove 2-6'panels and 1-4'panel.Insert 1-b'step, - 4'LaHCRETE
2-3'panels,2-(02-113)2'panels and 1-(11-005)stepbolt kit. =t t� ;E7p F. PR I =:a.
10, TE
38'-5 1/2'
4110,1T.:*
It() ALu+wL«I gip
14.7.,,,E.,..,:,.. ....-
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18'-0' 4' I ( 4' 8'Step-Remove 2-6'panels and 2-braces. ,A,HH e l,l'� A !
* POLYSTYRENE .� u,•P: •. �• ,� _-
Insert 1-8'step, panel and 1-(11.005)step bolt kit. �""� F rz vR ParsTYA ��
40'-3 1 �" °111''')) — \ q�Ir. a,v4a
2-PANE 9.--71107,,,,-;___,.'\7 - rx,/e TNCJ(
3;4;6, LENGTH- `\a, 3;4;ti.PANEL
6 ALIGNMENT 'p / we NO FXN✓6NE
' SURE-SET' LIN
� IliO671A0ED EARTH
HOLES ��+\ lp,...-ortir„„,....-
6' pE rueE 3/e'x E 11-442, k. - \I t'seENljE FOR fi'avii
— 3A'x 2 611-44913
'h'449755 :.(C P a'TE FERE
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' '3JE rte,.. LarloNMJ
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LOPTONAU ( `Ili `QQQ�Q ONLY REW1FE N
6"R t L 1 1 L 1 '
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6' '
L r I 4 r ' \ aptSTWFED EARTN vNYL LINER . `:ID...,.CER1A2,STATES
V U Cl V 6nn Y,NTL LRIER UI�TW FPt�NE
R y li � 0 -.PX- NT P"
Y'POOL eASE ,4#;::-Z,'7'
: I It,-I ,S tsILNFLL 2'POOL BAS -A j SR . TE fODTEA
aye"2.11 (n' CONCAVE FOOTER _ �A STAIQ
��pIN CL•R 9W
rAPTIONAU
� Pi C REQUIRED D STARE NtI REeAR
BO/tD l S aN AARRL'cxiO PPEERMETTEER N eGPa ff
COPING LAYOUT
36'-0'
6"R 11 6' q 6' ri 6' q 6' 4 6' q 4' 6"R EUTE PREMIUM
semis or I w
'j wt RUCTURAL ONCR-IDC •
Cr 1:141
2' LLL PANEL PRAIA FASTFKRS �I'I.0 '" —
41
38'-5 1/2' ,� ° 'IRI' �,� ;r•,rt'�
18'-0' 4' 8' 6E 1 ` ' l 1 1.
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POJWTUIN
FNi . / •t
FRONT LEVELING STARE % lE 1 I n.
ADDITIONAL NOTES
THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY.
FWP makes only those representations which are stated in its written warranty.Any other
representations,statements,or contrails made by the dealer/contractor to the customer Attention Denier: It is your responsibility to see that the safety package provided by FWP is delivered to pool owner and that the NO DIVING
regarding any materials produced by FWP oreable to the dealer/contractor only. warning labels ore properly installed.
The dealer or contractor who sells or installs yourr pool is independent contractor and is
not onagent or employee of FWP The construction methods illustrated here ore suggestions
NSPI TYPE II and°ppslyof000nS�oc o��lr�a,a poi b;,y i re gin,°ro soddKonal pre ourons and/or T E BUILDING THE T� ® FORT WAYNE POOLS®,INC.
*Diagonals given to 90°point of corners. m EUT • FOrt��'a ne 6930 Gettysburg Pike
These dig dimensions comply with the National Spa and Pool Institute suggested mini- FOLLOWING POOL: FT WAYNE,IN 46804 USA
GENERAL NOTES EXCAVATION NOTES mum stands ds for residenYal pools If diving hoards or slides are ro be used wi h JP0011, ❑ELITE'"
1.All vertical dissensions are from liner I.Soil to have minimum bearing capacity of 2000 P.S.F. 3.Excavation shall be 2'larger than pool all around. these pools please consult the manufacture,,instructions and the National Spa&Pool (219)432-8731
extrusions a all pools. 2.Locate top of pool at least 6'above surrounding Fill voids under base of panels and tamp well. Institute's minimum standards prior to installing diving boards or slides on these pools. TIRE Li PREMIUM' wwwsurfthepool.com
4.Backfill with non-expansive material. For information concerning NSPI minimum standards,write: National Spa&Pool PREMI
3 land elevation. p° `Institute,2111 Eisenhower Avenue,Alexandria,VA 22314•703/838-0083 p 2.0 DATE
TITLE
18' X 36' DRAWING NUMBER
I/ 1999 RECTANGLE 6"RADIUS SP-003
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DATE „— TIME 1.1
CITY OF ORONO CALLED IN /0-0 OCLS
INSPECTION NOTI ESCHEDULED /0-i0-L3; 4/.00 74/f
PERMIT NO. 0' 20 COMPLETED
ADDRESS /00 S &) i/ ray
OWNER CONTR. ( gr /I "eire/
TELEPHONE NO. qre; 7 P2
- ON %/7 1116( pc4
Lu 01 FOOOTINN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q . ��e�•`''1G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
ti 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Contr site:
Inspector.
White Copylinspector's i e Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN (0- o r0J,
INSPECTION NOTE SCHEDULED /013 ai �-3neit1
PERMIT NO. O Sao COMPLETED
ADDRESS /(-)c)5 L'L //I0- i ( '
OWNER CONTR. 6-ere f ras�
TELEPHONE NO. ci (15Q / 7 d
-RIP_ ION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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 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
o COMMENTS:
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W ORK SATISFACTORY:PROCEED 11 PROJECT COMPLETE
W_❑CORRECT WORK&PROCEED ri ISSUE CERTIFICATE OF OCCUPANCY
C:=IO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. (952) 249-4600
Owner/Contra si :
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice