HomeMy WebLinkAbout2000-P02542 (pool) PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2sa2
Crystal E`iay, Minnesota 55323 Permit Type: A��essory sr�u�cures
(612) 249-4600 Date Issued: ����2000
SITE ADDRESS: 2135 Carriage La
LONG LAKE, MN 55356
PID: ]0-117-23-21-0009
DESCRIPTION:
Proposed Use:
Census Code 329
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Building- Pool
DETAILS:
Approved per resolution#:
Separate permits required: �iec�icai�siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 3��•25 Valuation: $ 24,000.00
State Surcharge Fee: $ 12.00
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TOTAL FEE: $ 634.43
APPLICANT: ALAD�IN POOL& SPA OWNER: Scott Reid
7570 HWY 65 4241 Inwood Rd
FRIDLEY, MN 55432 Minnetonka,MN 55345
THE UNDERSIGNED HEREBY REQUESTS PERNtISSION TO MAKE THE REAL IMPROVEMENTS SPECTFIED
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 SI NATURE IS D BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
Total Fee: $�����3 Date Received:�o/ �/ n�
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Entered By: ��'1, Permit#: G �,��I�
CITY OF ORONO - BITII.,DIVG 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 OR CONTRACTOR
JOB SI'TE ADDRESS: � / �Q"'� Z�:
�
NA:tiIE OF OWNER: ��ZY-� i f��� PHO��iE: (home)
(work)
I�IA.ILI�i'G ADDRESS: ���-P CITY: ��-/� - ZIP:
_� ' �
COti"TR.�CTOF,: �b� �v'� PH0�1E: 7��=/G 7 l
CO�'T'ACT PERSON: �_ NiOBILE/PA�r�E�:
1�IAILI�i tG ADDRESS: 7�7C� � � CTTYt% �e �ZIP:,��y�3 2 ..
STATE LICENSE: #
Ai: ;.:HITECT/ENG�EER: PA���
1L�1ZING ADDRESS: CITY: ZIP:
N��,�: REGISTRATIOr'#
TYPE OF `VORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
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PROPOSED WORK(describe in detai�: ���-
STORIES: SQ.FEET OF EACH FL44R:
NO. OF BEDROOVSS: GARAGE STALLS: ATT. DET.
ESTI�i IATED CONSTRUCTION VALUATION (exclud.ing lanc�: $ a`�C���- � � _
I hereby aoply for a buildin� permit and I acknowled�e that the information above is complete and
accurate; chat 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
pemut; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: __�.��" DATE: ��.��v c�
NOTE! �P ra ade Qf Homes events require separate permit approval by Poliee Department and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
Sec.l3.at RIGF3TS OF SL'BJECTS OF D:�Ta '
Subd. 1. Tvpe of data. 'I�e righc�or icdividual on whom[he dat�is s:o;:d or m be scnred shail be as set for�h ia chis secrioa
Subd.'_. Information reqirired to he�vea individual. �.n individual uk:d co supply private or confideadal dara conceraing himself shaIl
be inforaed of: (a)the purpose and inrended use of ctre tzquested dam wichin the collecdng 3ti`a,eary,polidcal subdivision,or scimwide rystm;
�b)whe:her he tnay refitse or is le3afIy cequird co st:pply the cequested data;(c)aay I�own coas��ueace arising from his supp(yi.^.g or refusing ro supply
privam or conr.dendal dara;ar.d(d)che id�adcy of ocherpersoas orenades auchociz�bY sia�or fed�ral law[o re�eive che dac. "Ihis requir.men�s5a11
not app[y wF.zn an individual is asked to supp(v ia��esdgadve dan, Qursuant to sec_on 13.83, subdivision 5, m a law eniorteW:ac officer.
The comr.ussioner of r:•enLe nav vi�:: the nocce reauired under this subdivision in the irdividual income ttx or orooem taz tefur.d
ins:rucaans ins;z=d of on chose forms.
Subd.3. access to data by iadividual. lipon requesc to a responsibia au�horiry.3n individual shall be informed whecher he is the subjecc
of s�r_d data on individuals,and whe:�er it is classifed as public, private or con:.�_::dal. i:pon his further reques�an individual who is the subject
of stor:d privace or public dan on indir•iduals s;�all be shown�he daa wi�hout any caar3e co hia and,-if he desires,shall be intormed of[he conc:r.c
ar:d meaniag oi chat dacs. Aher an individual has Eeen shown che privace data and iniormed o�ics meaning, �he dara need noc be disclosed co hira for
siz mon�s d:erafte�unless a dupute or acrion pu:suanc w chis secrion is pending or addido�l data on che individual 6as brea collecud or crear�d.
The cesponsibla au[horiry shall provida copies of�ha privam or public data upon c:quase by the icdividusl subjecc of�f:e daca. Tae r:sponsible auchoriry
may rquir_che requesring person to pay the acwa!cosc�of making.certifying.ar•d compiling rhe copies.
The rsponsible au�tsoriry shall comply ir.u::edia[ely,if possible, wi�h a:.y r.quest s3d�pursuant co this subdivision,or within five dsys oi
the dam of�e requesc,ezcluding Sanirdays,Sundays and legal tiolidays,if immeC�=:e compliacce is no�possible. If he canao�comply wich[he requesc
wichin�ac cme,he shall so inform che individual,u:d may have an addidoaai five days within which co comply wi�z[he requst,excluding Saturdays,
Sundays and legsi holidays.
Subd.4. Procedure when data is not accurate or complete. An ir.dividual may concest che accuracy or compleceness of public or pri�•ate '
dara cor.cerning himseif. To exer:ise c�is righc,an individual shall nod"ry in wridag u:rspoesiole auchoriry describing rhe nacu:e oi che disagteemeac. .
'Ihe responsibla au�horiry sh�ll wichin 30 days ei�`.er. (a)correcc[he data found ro t=inaccu��or incomplece and aaempc to nod.`y past r•cipiencs oF
ir.accura:e or incomple:e dan, including recipien¢named by [ha individual; or(b)codfy tF: individual[ha�he believes rhe daci to be cor�ec Da�
in dispure shail be disc!osed only if[he individu�l's saccmenc of disagreemen�is i^:luded wiL`�[h�disciosed daca.
'Ihe de�e:minadon of[ha rosponsiole au�horiry may be appealed purn.:�-c ro che provisions of cht admuuscr3rive pro.edure act reladng to
con[es:ed cases.
DAT� PRIVACY �D`'ISOR�'
In accordance wich M.S. 13.04, Subd.2, "RiQhcs of subjecu oi data", w•e wouid like to inform you that your reauest
for a permic or license from che Ciry oi Orono or any of its depz�.mencs nay require you to fumis� certain private or
confidencial information.
You are notified that:
1, The information you fi:rnish will be used to determi^-your quzlitication for the permit or license requested.
?. You may refuse to supply daca, buc refusal may reouire that the Ciry deay the permic or license.
3, The information may be shared with ocher local, sca��or federal a�encies co the exteac necessary to process
the permit or license.
.�. If your requested permit or licease requires Council action to approve, some informacion may become
public.
�, You have cena.in riQhcs under �1.S. 13.04 (availabl� unon request) to review private data oa yourself.
6. Your full name is required to process chis applica�:oa or pe:mic.
Firsc �tiddle Lasc
Add::ss
Ciry Sa� Zip Phaae
I underscand my ri;hcs as sta�ed aoove.
,�_�,l�
Signacur_ �
CHECK OFF LIST FOR ISSUAl�TCE OF PER�1�fITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: z. ► 35 C a r�(L i ��� Ct�t�v c=
PID: � - —
DESCRIPTION OF WORK: ��1
ZO�i'G REVIE`V BY: DATE APPROVED: b -� 3 -��
BUII.D�TG REVIEW BY: DATE APPROVED: ,, -� � —�a
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ No
PLAN REVIEW Yes �i No SEWER CO�INECTION
STATE SURCHARGE Yes �/ No WAT�RCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
Ui Z01tL�C7 CH�CK LIST zoni.ng Districc:
� Fire Department: Post Office: School District:
G t Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes /( No Date of Survey: c��! F i l�
Proposed Setbacks: �
Froat(Lake): (10� Right Side: l bo ` 'r
Rear(Street): (uo � '�'" Left Side: (�� � '�'�
Adjacent Structures: 3� ` �Vetland: N��'`
Building Height: Def. Hgt. � Peak Hgt. --
Lot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
�,� Shoreland District:
Avg. Setback: Bluff Setback: L,otCovera�e:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RE�ZARKS (in house):
7
BUII.,DING REVIEW CHECK LIST '
UBC: � 1v �� CONSTRUCTTON TYPE: ^'
Sq Footage $Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x _
Garaee z =
z -
TOTAL
on
Estimated Construction Value: $_ 2'y, c��J
Inspections Required: 1�Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Niechanical Water Connection
_�Footing � Septic Sewer Connection -
Fram.ing Fireplace Lawn Irrigation
InsuIa[ion (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
"— F�� Grading/Filling _�Electrical (State Permit)
Other
xEti�►xxs�xousE>:
REV�`V BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
RE�IARKS (TO BE NOTED ON PERitiIIT�:
8
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �I�ESr�y SCHEDULED 7-��'b� a•�3 �
PERMIT NO. o'� T" COMPLETED ��G�v � ' � �
ADDRESS -�
. ,
OWNER CONTR. +2_
TELEPHONE NO.
� TION `'P�
l� 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 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
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMIN�NTS:
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d ❑WORK SATISFACTORY:PROCEED fl PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. i- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
i; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra t r on site:
Inspector. .C����- / �
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N C�� � SCHEDULED � �
PERMIT NO. d COMPLETED _� ��O
ADDRESS �-� �S Ca.i��i G Z� •
OWNER CONTR. �I � �
TELEPHONE NO.
� �S�ESCSIPTION �OC��
�
� 1 F OTI 11 MECHANICAL RI 18 EXCAV/GRADWG/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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d �ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContrac r on site:
Inspector.����'�.�%,�
White Copyllnspector's File Canary CopylSite Notice
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