HomeMy WebLinkAbout1998-010531 (pool) PERMIT
CITY OF ORONO PERMIT TYPE: -
2750'Kelley Parkway- P.O. Box 66 �'`�'=�-�'�f�"''
Permit Number: :�'s_t:=�:�;�
Crystal Bay, Minnesota 55323 -- - - - -
'(612) 473-7357 Date Issued: �i,•"'���;:�;''=;t�:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �c'�:'� �f�=i�;�. — OWNER•
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APPLICANT'PERMIT E SIGNATU ISSUED BY:SIGNATURE
Total Fee: $ (���. �� Date Received: /'/,� -g�
Entered By: ,�'�. Permit#: �p�- 3;
CITY OF ORONO - BUILDING PERNIIT APPLICATION =
All information must be submitted in full before plan review will be started.
(please print all information)
---------------------------------------------------------------------------- ------------ --------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTO �
JOB SITE ADDRESS: �-Z-�s �A`sj'�� R°A'� ZIP: SS3��
NAME OF OWNER: �0n� s�L�� PHONE: (home) ��3"-Z�r
(work)
MAILING ADDRESS: .��`{' �S P�'�� CITY: ZIP:
CONTRACTOR: /..bLP�1�� !'� ' s�� PHONE: s�-Z-`�O�°
CONTACT PERSON: Co�✓13Gdr�i��y`c, MOBILE/PAGER: 7 `I-9ofl.?
MAILING ADDRESS: ,�S�S �/' /�9 N'O CITY: P(`�ot� ZIP: SS¢ �
STATE LICENSE: # ,5�14
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
,,
�L-
TYPE OF WORK: ''' ,,�� �dition Accessory Structure
Iv�� , �f � lteration Land Alteration
k% ,
PROPOSED R ��� �,c�� "�I���Q � k }c�� l�tK�t. ��j �Gba�
�� � � �
,�,-�v� ;
STORIES: `� L�T OF EACH FLOOR: 9d� S�' F�
NO. OF BEDROOl�. GARAGE STALLS: ATT. DET.
— �
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, ��'� �
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 Ciry 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 accordanc ith the approved plan.
APPLICANT'S SIGNATURE: DATE: 7��0 �9�
NOTE! Parade of Homes events require separate permit approval by Police Deparlment��a�
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
5
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 conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the coliecring state agency,polirica]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 ro supply private or confidential data;and(d)the identity of other persons or entides authorized by sta[e 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 mav nlace the notice reauired under this subdivision in the individual income tax or orooertv 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 hun 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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 rime,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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreemen[. The responsible authority shall within 30 days either: (a)conect the data found to be inaccurate or incomplete and attempt to notify
past recipienu 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 authoriry 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 �ity 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.
LO� .O/01//.� ,Q��/.,•►rr✓Bri�
First Middle Last
.,�4�oS �/'/�9 �✓a -
Address
d��•�,,,,-°e,7� /c.�,./ S.��f�1 .S�S�..�-�00 —
Ciry State Zip Phone
I understand my ' as stated above.
Signature
6
. CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
� ADDRESS OR LEGAL: S Z�S (3�w �i �L, 2�►.✓�
PID: =
DESCRIPTION OF WORK: •:.o�
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: '1-�(� -��
BUILDING REVIEW BY: DATE APPROVED: �� -r�: ���
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c,/ No
PLAN REVIEW Yes �/ No SEWER CONNEC'TION
STATE SURCHARGE Yes �/ No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
--------------------------------------------------------------------�-�--------------------------------------------------- i
ZOI�TIl�1G CHECK LIST Zoning District: ��--f
Fire Department: ��: " (�lGt= Post Office: (it..' � ��'. School District: C�/���
Lot Area: Sq.ft. N� ��t�H'v c" Acres — Width ` Depth �
Survey Submitted: Yes �- No Date of Survey: ��s i=�l�L:,
Proposed Setbacks:
Front (I�3: L z� � � Right Side: I�G�� �
Rear (Street): 7�� Left Side: 5�� �
Adjacent Structures: ���� Wetland: N "�
Building Height: Def. Hgt. ✓V ( 0� Peal:Hgt.
� Lot Coverage:
� Grading: Staff Approval Date: By: Council Approval Date:
f
Septic: Staff Approval Date: By: • -
�, Zoning File: # Resolution: # Resolution Date:
� �
� Shoreland District:
� Avg. Setback: Bluff Setback: L.ot Coverage:
I Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: �" /U l� CONSTRUCTION TYPE: N��
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ �-�,�%'-'��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�LC Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
D�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�:
8
MEMBER
D O L P H I N P O O L & 8 P A ��
jj 3405 Highway 169 North, Plymouth, MN 55441 U — U
office (612 ) 542-9000, fax (612 ) 542-9001 �
• Minnesota Contractors License�f5310 ����o � ' TUE`
O��
CUSTOMER RON & VERONICA SHELDON DATE 07/01/98
ADDRESS 3225 BAYSIDE ROAD
CITY ORONO STATE MN ZIP 55356
PHONE � HOME 473-2654 OFF'ICE '
SALESMAN CORRIE SUBMITTED BY LON
POOL DATA
POOL SIZE 20 'X 48' POOL SHAPE GRECIAN
STEP AND LOCATION 4'X 8 ' END STEP
CAPACITY 36 ,000 GALS. TURNOVER RATE 8 HRS
PERIMETER 136 LIN. FT. RATE OF FLOW 75 GPM
SURFACE AREA 960 SQ. FT. MANIFOLD & SIZE 4 VALVE 1 1/2"
CONSTRUCTION EQUIPMENT
PANELS IMPERIAL 750 SERIES
LINER
COPING
BOTTOM MATERIAL
DECK BRACES
OTHER t — �"�*'
FILTERATION EQUIPMENT ClTY OF ORdNO �
PUMP 1 1/2 HP PUREX ,
F'ILTER — U� , '
HEATER ► ---- '?-1 -
SKIMMERS �s�A��rs;-�u4��,:^:�i!�n,t�;�� �
INLETS ;�� � - ��r.T '
AUTO CLEANER FITTING � - •- � �
MAINDRAIN ONE — T�n<,-.��mrro�f�a,�,,,.,,,,,,.; � - ���, a�_,`�_�
OTHER ir f. ;� com �:ance wlth aN fi od�.
DECK EQUIPME 9'u!rements includ;ng items not specificeUy.noted in this reviewi,
DIVING 80ARD 606F S.R.SMITH SPRYIdG KEEP THIS PLAN SET ON SI7E AT ALL TIMES
SLIDB
LADDER
HANDRAIL
ANCHOR CUPS & ESCUT.
LIGHT & DECK BOX 200
OTHER '
MAINTENANCE EQUIPMENT �
AUTO CLPANER POLARIS 280
SOLAR COVER '
SOLAR REEL '
WINTER COVER
CHEMICAL KIT —
MAINTENANCE KIT ;
VACUUM HOSE 6 POLE �
OTHER
ELECTRICAL BY OTHERS GAS LINE BY OTHERS
FENCING BY OTHERS WALL WORK BY OTHERS
DECK WORK_ 1 ,200 SQ.FT. BROOM FINISH
LIST CHECKED 8Y F'OREMAN
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. 20' x 40' Grecia.n
8 8 8 4
4
8 t 8 4' � 8
�. _ `���� 34'31/2"
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8� 19'71/2" � � 8,
LIGHT 4'10" 11'71/2" 36'7" STEI'
PANEL 8 � � g UNIT
OPTION
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4'10" —34'41/2"�•
8 8 �/ 4/ g
� 8
8 8 8 4
I 39'71/2" I
if 3'4" �
8� WATER DEPTH MUST BE
MINIMUM 7'6"
� � 2"MINIMUM �i
PIZEPAfZED BOTTOM �
j
I�— 4' -►� 7' —►I�— 14' I� 13'71/2" —� �
GRECIAN �
CORNER
FILLER 05183
!
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xo�rFs COPING LAYOUT
1. ..Suvcture is designed(or ux bdow grede and only in eroes where the ground water 2�X 4� �
teble u a minimum of 4'6"below the propaui finiahed grada �2 8 6 ,
2.:Backfill with clean earlh,fra of tvou end debrie,Do not nllow Ihe height of bnckfill 6 6 �
to exatd the height of ihe water in the pcwl by moro then 6"nor water to exceed backfill D E S C R PT I O N PART#
Ay mwe than 6". 8-GRECIAN GOfZNERS 7 6 8'PLAIN PANEL 05102
3.;-Pour 2500 P.S.I.wncrett fooUng arou�id entim perimettt,minimum 8"deep. 6 6-12'SECTIONS 6 �
4. 3'wideconcretedeckistobepowedetleaat3"�hickueeandaclopeofl/4"tot'aweyfmm 2-8'SEGTION�'v 2 '2 B�SKIMMERPANEL �5��4
���� 3 3 S'RETURN PANEI 05108
5,..�,Flniehed bottom is to be 2"minimum of euiteble material or undiaturbed earth. �
6.."A sdery line,with buoys,ia ro be pemtauently ettnched 1'0"tn the ehallow aide of 6 F' �i'PLAIN PANEL 05112
u,e�inrorf�tal��n�ge.- 12 8 5'PLAIN PANEL 05118
1.. Coping: coping kngths are approximete.CWts may he nceded on strnight sectione 2 `Z 4'PLAIN PANEL 05123 ��
torpropvfiL Radivacomenare2':2'. �' � � ADJUSTABLEA-FRAME �
8. Conetractloo Dnwiega: 7riese drewings and notes are for iliustiative purEwr,es 3�PLA�N PANEL 05128
only. Ditferent mmhods and precautlons mey be dicta�ed by verious gmund conditions. 2'PLAIN PAN E L 05129 �
�17tis is to be determi`xd by end ia the�esponsibility of the mnvacta who is not en agent of the �.
mv�utxmrerorttiecompooemparu. 1'PLAIN PANEL 05132 I
9. Instetladon is to be done in ecco�dance with all federal,stete,and Iocal building 6 $ A-FRAME 05188 �
�oaW,�W�u�N.s.P.c S��uc�d g�'a�as. RECTANGULAR FILLER 05180 i
` '�` SAFETYNOTE RADIUS FILLER 05181
Pool bottom configurations are for illustrutive pucposes only. The configu- 8"MIN. $ $ GRECIAN FILLER 05183
radon shown confonns with current N.S.P.I suggested minimum standards 250o P.S.I.
tor pools aQproved for use with manufectured diving equipmenL If diving CONCRETE � 1 1 NUT&BOLT PAK 05202 �'
eqwpmentis mstallad,follow the equipment manufacturer's installation,use FOOTING • 1 1 GRECIAN CORNER COPING PAK i
end safety mstiuctions. 1 1 STRAIGHT COPING PAK
�
Diving permitted � LAZY EL FILLER 05196
2'6"
' only from designated diving area. � � 1 1/2"X 1 1/2"EL FILLER 05336
OVERDIG per. 107' Sq. Ft.715 Gallons 31710
_ 12
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�TE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -?- a // '•� o
PERMIT N0. �� S 3 COMPLETED � �—
ADDRESS �Z
OWNER CONTR. d1 �,
TELEPHONE NO. --�Tz ' �'!00 a e'L `IS9-. FC) 70
� D�jESCB�R�ION
� d9�EQ T�� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �A�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C 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.473-7357
OwnerlContra n 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice