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Home My WebLink About2007-P00091 - pool PERMIT �ITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P11191 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 7/19/2007 SITE ADDRESS: 128 Chevy Chase Dr Unit# Wayzata,MN 55391 P�� 36-118-23-41-0041 DESCRIPTION: Proposed Use: Residential Census Code 329 Permit Class: Building Accesso Structures Permit Sub-type(s): Pool-Outdoors-In Ground Permit Type: rY DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: 20 x 40 In-ground Pool FEE SUMMARY: PermitFee: $ 251.25 valuation: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.06 APPLICANT: Performance Pool&Spa OWNER: Todd&Jana Nelson 1890 Wooddale Drive 128 Chevy Chase Dr Woodbury,MN 55125 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i c � ��-- APPLI RMIT . ATURE � UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �V�'�G'u�i r� Si�,� rn�:�r - n�� ' ��e- �� C�ccc,�e�nc� . � `� c�(�� r��ti1�� Total Fee: $ ��-2 Date Received:�- '�''C^] Entered By: ;?a ' �iv��,c� --�� Permit#: J�-1 t lQ � 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�ONTRACTOR� JOB SITE ADDRESS: �2 ; C:1�CJy ��_��v� ZIP: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes ❑ lv0 Ifyes,a special event permit is required with Police Department and City Council appi•oval 60 days prior to the event. Shuttle brrs service will be required unless applicant demonstrates sufficient a1-szte pm�king is available. Non permitted events will not be allowed. NAME OF OWNER: �p��-�A.�Il- �vC�-^' PHONE: (home) (work) MAILING ADDRESS: �Zg C�c�(_.� CITY: ZIP: CONTRACTOR:� - � �- PHONE:C(os►��,3�-�3yyG ., CONTACT PERSON: � OBI /PAGER:(��)-7'�S 3�O MAILINGADDRESS: Ig � o� ? Y: I�J � ��.h -, ZIP: 5�`►2-r" STATE LICENSE: # � S�cj�-t� I � EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New _� Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detai�: ZU �-y C) �q�n�,,,,��►_ �;,;_. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED � ESTIMATED CONSTRUCTION VALUATION(excluding land): $15,.O(� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conforrnance 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: ��l��' ��i`��?!� 5 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is sfored or to be stored shall be as set forth in this sec[ion. Subd.2. Information required to be given individuaL An individual asked to supply private orconfidential 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 shail 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 required under this subdivision in the individual income tax or proverty tax refimd instructions instead of on those forms. Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infortned 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 subjec[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 becn shown the priva[e data and informed of its meaning,tlte 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 requcst by the individual subjec[of the data. The responsible authority may require the requesting person to pay the actual cos[s of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made ptirsuant to this subdivision,or within five days of the date of the reques[,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 da[a is not accurate or complete. An individual may contest the accuracy or completeness of public orprivate duta concerning himsel£ To exeroise this right,an individual sha11 notify in writing the responsible authority describing the nature of the disagreemenL 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 individuaPs statement of disagreement is included with the disdosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act rela[ing to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish 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. � Gi a x i�(r— First Middle Last �S�IC� �1�c�� 'v�v' Address ls�cx��t,�L1 /l�►�; �zS— City State Zip Phone I u ers rights as stated above. � �� `• � Signature 32 . / �CHEC�K pFF LIST FOR TSSUANCE O�' �E��'S FOR OFFICE USE ONLY � �nD�ss aRx�E��: .,. � - � t��- PID: 77ESCRII''I'XO�' O�'WORK: �,wr od ------ --------------------------- ___ ______._.._-- ------------____----- pATE APPROVED: D 0 ZOYI�tG �2EVIE�V BY: DA.TE A.PPROVED: �]-�� - 01 � . �UII�DLI�G REVIEtiV 33Y: � . FEES TO BE C�7AXtGEA� � Misc. Fees Calculated By: Yes ,/ No PERNLIT SE�VER CONNECTION PLAN REVIEtiV � Yes r/ No � No tiVATER CONNECTION _ STATE SURCHAR.GE `�eS No �. p��{ FEE INVESTIGATION FEE �eS N.o —�- STTEINSPECTION SAC �'es OTHER (specify) Number of SAC�Units _________________________ ZOti`�'�� C�CK LIS�' Zoaing Distric�: � • Post Office; School District: � Fire Department: . I,ot Area; Sq.ft. acres Width Depth �o Date of Survey: �G��' �� 5urvey Submitted: Yes � �c��.�,a,( in Cc� . PropoSed Setbacks': n��"' � ' Froat E�}'- h�' 1�+'�.�t Side: �� Rear (�T' 7� Left Side: c8 / �P.,r ��,��,re_; 4�' �8 ' `ve�t�d: Gv��"��c� sh�l ��;wb ��d;a_.,�. q d�'��v�( (.a. y inS(�¢�erti-°t Euil�l�r+� Hei�t: DeE, Hgt. `//-E Peak Hot. 7��U� Lot Cevera�e: h�' g Counc� Approval Date: ' GradLng: Staff Approval Date; y� Se tic: Staf` Approva.l Date: � ��' � P Zoc�n� F�ae: ��_ Resolut:oa. rt R?solutior Da:e: Sho.rzl��d Dlstricc: (��' Z.ot Coverz�e: Av, Settizc'�:: B',��f`Se:back: �� P;oposed E�sti�� H�ec�ver; G-7�' . ---- — 7�-2�0' ---" — 25v-��:r� — ---- _�v-'.��;��, � \�` �1�,_ l.'. \.l1'��` . .• . r,-�•`�'.;Z.- ��Z'.�.-° '?'hl!1:2,_. `I�2� '• - - �;J�T .,��_;� r; _ h��,,;�1� ,. SUII�DING REVLE�V CHECK LIST �� — � CONSTRUCTION TYPE: — Sq Footaoe $ Per Sq Ftg Basemen[ , , x = . lst F1oor ' . z = . , 2nd Floor � _ � Garage x = z = TOTAL Estimated Constructioa Value; $ 1 �, d�0�'� Inspections Required: `York Requiring Separate Permits: 5 ue Plumbing Fire Hardcover Removal Mechanical Water Coanectioa `�Faoting ' Septic 5ewer Coanection � ' Framiao Fireplace Lawn Iniga[ion I�utatioa (Masonry) O[ner Wall Board (Mfg.) Wel1 (State Permit) � F�� Grading/Filling _�Eiec[rical (Scate PeRnit) O[her R.ENIARK� (IN HOUSE)� ------------------------------�-------------------------------------------------------------------------------- REVIE�V SX OTHERS: �A�; � Access; Existi.ag New Access Approval: Datz �y; ----------------- REI�IAP.KS (TO EE NOTED 4N PERMI'1�: 4 l; / � J DATE TIM � IT OF ORONO CALLED IN �_ � INSPECTION NO ICEQ SCHEDULED �_ �IePbO�l�11 PERMIT NO. � ( "� COMPLETED ADDRESS OWNER CONTR, �G TELEPHONE NO. lf.1J I ! LJ `�� , �� DESCRIPTION � 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHA AL 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 OEMO-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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED f-i PROJECTCOMPLEfE � � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ` OC; C RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� Owner►Contractor o i e: � Inspector. White Copyllnspector's File Canary CopylSite Notice