HomeMy WebLinkAbout1999-011429 - pool . ERMIT
` CI�Y OF ORONO PERMIT TYPE:
2750 Kel ley Parkway- P.O. Box 66 �-�{.::��..w:';�::�
Crystal Bay, Minnesota 55323 Permit Number: :;; � ,� �::,�
(612) 473-7357 Date Issued: - _ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- �����: � �::��ir. —
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APPLICANT-PERMITEE SIGNATURE ' ED BY:SIGNATURE ��,
Total Fee: $ i�-"�. �J / Date Received: �- � cj I
Entered By: �'1� _ Pernut#: //��,i
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) WNE OR CONTRACTOR
JOB SITE ADDRESS: ��S� C��Ca+'��A S�(�, ZIP: �3�j'�
NAME OF OWNER: �;��`,`�, er,,-.��5 PHONE: (home) y7�— ��SzS
(wark) �/-2223
MAILING ADDRESS: ��j � �,;�;co rl;a ��(t._,CITY: U,}�zx��, ZIP: ;,�
CONTRACTOR: (��1`,�,r;r�„� 1��5, � ��'L�� PHONE: '
CONTACT PERSON: MOBILE/PAGER: I,
MAILING ADDRESS: CITY: ZIP: ;'
STATE LICENSE: #
ARCffiTECT/ENGINEER: (����� PHONE:
MAILING ADDRESS: —� 7 CITY: ZIP:
NAIVIE; REGISTRATION# I
�ITYPE OF WORK: New Addition Accessory Structure�_
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: � � � !
�
��z � ���� � ���
;
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �'
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����,C�E`�
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 w'th the approved plan.
APPLICANT'S SIGNATURE: DATE: S��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non perntitted 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 secdon.
Subd.2. Infom�ation required to be giveo individual. An individual asked to supply private or confidendal 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 confidenual data;and(d)the identity of other persons or endties 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 o�cer.
The commissioner of revenue mav olace the notice required 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 authoriry, 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 pubiic data on individuals shall be shown the data wirhout 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 si�c months thereafter unless a dispute or action pursuant to this secrion 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 cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant ro 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 dara concerning himself. To exercise this right,an individual shall notify in wridng the responsible authoriry 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 nodfy
past recipients of inaccurate or incomplete data,including recipienu 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 determinadon 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 �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.
r
� �.����� � ���
First / Middle Last
���7 ( n.�,-,� ��;� �� �
Address
1 �� -z�-� ���� ��'�� J `�"1 I - �,���
Ci�y State Zip Phone
I understand my ri ts as sta above.
/ ���
Si ture
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: �5 5—p �r�rLo�2���A ST
PID:
DESCRIPTION OF WORK: o 0
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ZONING REVIEW BY: DATE APPROVED: S- I z - S 5
BUILDING REVIEW BY: DATE APPROVED: 5 - i i-4'j'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _�' No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L 2• ►C
Fire Department: �/Vl,��rv,� Post Office: V,3 y�y�7�¢7�4 School District: w CS7 o�11c.y.
LotArea: Sq.ft. Z5,3�5 Acres _ S�, Width (Rrl�.:`�u��-�2 Depth
Survey Submitted: Yes DC No Date of Survey: —7- I y- 7 c��.r �=�t,,,��
Proposed Setbacks:
F�rant(Lake): 12�-(� +� Right Side: l 6 �
Rear (Street): �'t D � �— Left Side: N ��'
Adjacent Structures: �Q-rT�u�� Wetland: /v��
Building Height: Def. Hgt. iJ (J�- Peal:Hgt. —
Lot Coverage: —
Grading: Staff Approval Date: — By: � Council Approval Date:
Septic: Staff Approval Date: -- By: '
Zoning File: # _ Resolution: # — Resolution Date:
Shoreland District: �eS
Avg. Setback: �U(/1 Bluff Setback: — LotCoverage: —
Existing Proposed
Hardcover: 0-75'
75-250' 2 y•Z Z�t. (
250-500'
500-1000'
Hardcover Variance Required: Yes No oL Date of Council Approval:
REMARKS (in house)•
7
BUILDING REVIEW CHECK LIST
UBC: ^/(/�" CONSTRUCTION TYPE: —
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 3,S���r
Inspections Required: Work 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 Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMI�:
8
�. - ' • - HARDCOVER CALCULATI�`l tiVORh'Si3EET
� � SETBAC�i ZONE: (CIRCLE ONE) 0-75' 7�-2�0' 250-500' �00-1000'
EXISTL�IG HARDCOVER IN ZONE �;l
A. House z = ��o��. S.F.�
Leng[h �dch
z = I(�� S.F.C�
z = `� S.F.
z = S.F.
B. Gara�e ZS z Z = �9d� S.F�
C. Driveway � x a O = �oC� S.F�
x = S.F.
D. Sidewalk �� z y = � �}�j S.F.�
x = S.F.
E. Patio/Deck z = Z~{� S.F�)
x = 7-35 S-F• �
F. Landscape z — G`{}�`�t g'S� S'F:���p
Underlain /S`� z `3 = `�(nZ. S• �euSE.
By Plastic z = S.F.
Or Fabric
G. Other z = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE -
S.F.
A �//�/ = B I 7 338 X ioo = Z �Z �o
PROPOSED HARDCOVER P`1 ZOi�tE
A. House z = �(e�� S.F.�
Length Width
x = I l��c S.F��
x = � S.F.
x = S.F.
B. Gara�e ���� z Z'� _ �C� S.F�
�
C. Driveway �0 z 3� _ �o�� S.F.�
x = S.F.
D. Sidewalk � Z z `f� . _ '��' S.F.�
x = . S.F.
E. PatiolDeck z = � y�l S.F.�
x = Z 35 S.F. �
F. Landscape z = Z`[+��! r$.:5� S.F.�
Underlain x = S.F.
By Plastic z = S.F.
Or Fabric �
` � '��(a `'. �`� ��
� �m� 21 D�A_ — �z S.F. ��
G. Other ���,'�,.k x —
TOTAL HARDCOVER IN ZONE - S'F' A
TOTAL PROPERTY AREA IN ZONE - S'F' B
a y 3z1 - B � 3 x ioo = 2�l .� �
14
May 6, 1999
To whom it may concern:
I have reviewed my neighbar's plans, Karan & Bill Peters, for
the above ground pool and deck. I have no objections per the
plan specification.
Name: ....,�� �`t 11 �r i� w� 2 S � Date: -5�� - `� �
Address: �' �p' � � ���� �^,���g���- �
—�
/_DAT'E�f Tj
CITY OF ORONO CALLED IN � '
INSPECTION NOTI SCHEDULED � '/PL a � �PM
PERMIT N0. �'� COMPLETED �� h
ADDRESS � / � � 8��
OWNER �� �� CONTR.
TELEPHONE NO. ���"�' g�5d
� TION ��''�r
l� 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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W
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W/C�/VORK SATISFACTORY:PROCEED �� PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ^' CITATION ISSUED
C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�7357
OwnerlContra o site:
Inspector.
W ite Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� SCHEDULED ������ j- �`-
PERMIT NO. � L __ COMPLETED � �� �'
ADDRESS_���� �?�l (`�<i� � �=�-
OWNER ��5 CONTR.
TELEPHONE N0.
� DESCRIPTION ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 V�LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q , INA 14 SEWER HOOK-UP 06 PROGRESS
� O-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
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COM ENT �`
e / � �
�
J __.
0
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0
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W� L�lORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. rJ pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCoRtra or on site:
Inspector.T l��i �`�/
White Copyllnspector's File Canary CopylSite Notice
�
6' MAINTENANCE FREE �����
DECKING �O�
Y
72 [6.00) g4 C7.00]
60 C5.00] 148 C12.37]
6' x 6' P❑ST ❑N
12' DIA. C❑NC. FTG.
42' DEEP MIN.
P�+�Td
r6.f0
o�ofs �3�•
T,r 13 7'
162 C13.52]
.
90 C7.50]
110 C9.18] 110 C9.18]
228 C19,007 \
96 C8,00]
�
� 30 C2.517
DECK AREA 49 C4.10] ,
35457 SQ. INCHES
246 SQ. FEET
48 C4.01]
18 C1.50]
TYP,
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C�"TY CJ�F OR.ONO
W E B!.:;�i;i\?G '��!=5N?iT LA,N REVIEVI�
252 C21.00] IfV�n'r_'C"t:')�i____-s-�-Ll-----
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P�❑L AREA C� i'��i f1f'��'��i,':`i:!.�---i�r.'^t�c�l u e�:va� iT
,:;
346 SQ. FEET T;e.>�c��r,^,�r�et��_ '.tr, f^�l�,ae i!:I(:�:':�;iOC A:!�:'orlc s.".w!;t',, �'��t8
li�; ;uti CQ21ni1:!(i�:r W.[il �h ��:�'f:.��'i: flil;ii�J^Q .,i� Zviif(lQ c:�i:�.
Rey�u:te;ns;t;s uti�;vdi:;g i,�ms rCt sF:��;�Caiiy net2d i.�tn�s rel•ipw.
((tEP'iHtS PLAN SET ON SlTC AT ALL TIbiES
1.�5 f G�rv �p.J2,C..1� �?Jt.` �-T7�c.fr1-fL�
/ P E T E R S p.:�c.,(� l�F��o�r
� 1950 C❑NCCRDIA ST.
SCAL.E� 1/4"=1 FT,
�IIEET 1 �F 3
2' x 2' 2• x 6• 1/8' STAINLESS
EXISTING STEPS STAINLESS STEEL DECK RAILING STEEL CABLE @
P❑STS 3-3/4' ❑,C.
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36 [3,00]
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