The URL can be used to link to this page

Home My WebLink About2002-P05330 - pool TY PERMIT CI OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pos33o C��rstal Bay, Minnesota 55323 Permit Type: a��essor-y srru��ures (952) 249-4600 Date Issued: 6i2si2oo2 SITE ADDRESS: 350 Brown Rd S I.ong Lake,MN 55356 P I D: 03-117-23-13-0001 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code 329 Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground DE7AILS: Approved per resolution#: Separate permits required: �iectricai�siaiej NOTICES/REMARKS: /�___�".__�_"_�_ "_".___"�_ G_11 ___"—____/T".____1_a"__ !/�lA/A�l\ vv��uv�v� �v .•.—•. • . � • • Y':::::::, .:.::::,:.:...,� �.'_:::::.:b::L"'::,....��;::..� FEE SUMMARY: PermitFee: $ 153.25 Valuation: $ 8,000.00 Plan Review Fee: $ 99.58 State Surcharge Fee: $ 4.50 TOTAL FEE: $ 257.33 APPLICANT: Pool& Spa Concepts OWNER: Richard Chalfen 6415 Wayzata Blvd 350 Brown Rd S St. Louis Pk,MN 55426 Long Lake,MN 55356 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. C'� �.� �� -��,� APPLICANT PERMITEE SIGNATURE ISSUED S[GNATURE ��!�� Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 / � Total Fee: $ �� -� i � � ��' Date Received: f/ �� -�'-� �' 'Entered By: ��f�7 Permit#: !� % � � ' � � . j , ��.YI C,. /.� - 11� <?_ � 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: 3.5� SC✓�'=fT�-f �k'G1t/� �l': ZIP: S.S� NAME OF OWNER: ��t,�L� G�Z f-�/ PHONE: (home) C�,S� - �f7�f��Z�- (work) MAILING ADDRESS: S�Z7`�"— CITY: ZIP: CONTR.ACTOR: �,�� .�S,t�j¢-u��l�7�T� PHONE: -r'-f S2 -�S�j�-�2-Z C CONTACT PERSON: �c SS MOBILE/PAGER: 6'j Z-3�`�-3 7� 7 MAILING ADDRESS: ��js• /,�s�-�'Z�.g�i.�CITY:�`GGr.��F'��CZIP: SS��d� STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAIVIE: REGISTRATION# TYPE OF WORK: Ne�(..� Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: Pl'iC�E.. Zc1r3 7 STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: 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 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: �' � `� DATE; 6 %g G NOTE! Parade of Homes events require separate per►nit approval by Police Deparlment and 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. Inforcnation required to be given individual. An individual asked to supply private or confidential data concerning himself \� shall be informed of: (a)ihe 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 suppiying or refusing to supply private or co�dential data;and(d)the identiry 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 enforcemen[officer. The commissioner of revenue mav olace the notice reauired under[his subdivision in the individual income tax or�roaertv 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 thereafrer unless a dispute or action pursuant ro 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 acNal cosu of making,certifying,and compiling the copies. T7te 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,exduding 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 respo�vsible 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 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 pernut 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. �G55 /_j' �Gl.ti!�/ ��?��GS'�!/ First Middle Last 6� ��s w�Y�Z ��- t3 c� ��, Address Si t-� L cr �l-�� '-��tc l�l�l SS"4� Z�" �'l Z 36�r—.3�7l� Ciry State Zip Phone I understand my rights as stated above. . ��y-- Signamre 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS ,. FOR OFFICE USE ONLY . ADDRESS OR LEGAL: 3s a s o�-r-t-� �32A w�v i�2..o r�✓-� PID: DESCRIPTION OF WORK: n�1 ZO.�tI�Ti G REV�W BY: DATE APPROVED: (� •Z'�/-� L BUII�DI�i TG REV�W BY: DATE APPROVED: G •ZY-o Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes _1� No PLAl�1 REVIEW Yes _� No SEWER CONNECTION STATE SURCHARGE Yes _� No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CH�CK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_� No Date of Survey: Proposed Setbacks: � rj Front (Lake): .SZd ± Righ[Side: 8J Rear (Street): �/`/c� Left Side: 2o a� � Adjacent Structures: �c� `Vetland: �-/l Building Height: Def. Hgt. �— Peal:Hgt. ^ Lo[Coverage: '— Gradina: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: ' By: Zoning File: # � Resolution: # Resolution Date: Shoreland District: � Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): �- �wv�� -=��c- �5'c, �� , 7 � �� t �� / •� BUILDING REVIEW CHECK LIST ' �C� CONSTRUCTION TYPE: — Sq Footage $Per Sq Ftg Basement x _ lst Floor x = 2nd Floor x _ Gazage x _ R = TOTAL Estimated Construction Value: $ ��OOo �" Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �Footing ' Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling J�Electrical (State Permit) Other REMAR��S(IN HOUSE): ------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By; ------------------------------------------------------------ REM�iRKS (TO BE NOTED ON PERMIT�: 8 � '� � � \ �t � Z Q \ � � � � N \ � � \ _ �. N • � W \ �tll� '�` O \ �'1` �lL� z � � . � \ N a w SEE DETAIL FOR HOUSE \ �1t� � DIMENSIONS AND HARDCOVER • ,,� o� 1 � � � � I � � y 10 ' � � � � � � o - ,` � � ,`` , se �.,:,: �� Q �-- MAPLE TREES ` � ,� Q f ,�(� ,►1!� �. a 8- Q / MAPLE TREES � d � I �g � ► � 96— I � � � • � WETLAND DELINEATION � =9 � P o n d , 4� 1 ''�- �` ,, , --1325.,5-- w a e r -; N 89'54'29" W � '�` � � el ev. _ 94. 8 on i CITY OF OAONQ � _ 8 /14/01 � _� SITE PLAN GRADING PLAN : t� AP?ROVED — Poo � i ❑ APt'F�OVED WITH REVISIONS � p L�ISAPP OV'D � BY � DATE (�- z-�1�oz � . i �� . �R�� . � N 89'54�29" W TNE SOUT1-IEAST CORNER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER � • — . . — . . .� . _ . . . . . . . — . . — . . . . — . . . . . . �- . . _. . . . . . . — . . _ . . — . . — . . . . �� '� . . y�1 \ L SOUTH LINE OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER ?l_-� ��' �. ��- 'I \ �� ' � ��, � DWG. N0. 011116 DATE TIME CITY OF ORONO CALLED IN INSPECTION N�Q�ICE SCHEDULED ��'� � PERMIT NO. `�O�3 3� COMPLETED ADDRESS S �i � . '�-�t,�� • OWNER CONTR. � TELEPHONE N0. � � �_�� .3 �] / � � • � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA RADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z OL/y�� 12 WATER HOOK-UP 17 SITE INSPECTION FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAI. 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j O � � O ti `u � Q � 2 W � W � � d ' W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPC£TE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARFANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. Whit opyllnspector's File anary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED �� >'�-� PERMIT NO. v COMPLETED Z ��U ADDRESS �'SJC�' �2�dc.�'� OWNER CONTR.�"o4I o�' ��¢ C��Q�3' TELEPHONE NO. gS-� S�l � CJ 22� � DESCRIPTION �d�� " � 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PlUM81NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � �j VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. Whiie Copyllnspector's Ffle Canary Copy/Site Notice