The URL can be used to link to this page

Home My WebLink About2008-P12039 - pool r , � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12039 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 5/16/2008 SITE ADDRESS: 2010 Colin Dr Unit# Long Lake,MN 55356 PID: 03-117-23-21-0014 DESCRIPTION: Proposed Use: Residential Census Code 329 Permit Class: Building Accesso Structures Permit Sub-typc(s): Pool-Outdoors-In Ground Permit Type: rY DETAILS: Approved per resolution#: Separate permits required: Mechanical Electrical(state) NOTICES/REMARKS: SEPTIC SYSTEM TO BE INSTALLED BEFORE FINAL ON POOL! FEE SUMMARY: Permit Fee: $ 265.50 valuation: $ 15,000.00 Plan Review Fee: $ 172.58 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 445.58 APPLICANT: Custom Pools OWNER: Douglas Franchot III 8960 Excelsior Blvd 2010 Colin Dr Hopkins,MN 55343 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. \ � � LICANT PIRMITI:E SIGNATURE ISSUED BY SIGNATURE Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 ��O D Total Fee: $ �J � Date Received: �" !�—�� Entered By: �� Permit#: ,` ,�.T —, 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 O CONTRACTOR JOB SITE ADDRESS: �� l � C C� l 1�i �� v � ZIP: S S .3��D Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �,NO lfyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: P }"rC�►rl C� PHONE: (home) a�a- �� 3 �� .� 1 (work) MAILING ADDRESS: ��C� �O l�vJ �� CITY: L L k ZIP: SC 3�(v CONTRACTOR: Cl.c ST�-'Y''� �OU I� �hC PHONE: �,��- �i-�3 a—�SS- CONTACT PERSON: SG�n �� (v�✓�- MO�ILE/PAGER: MAILING ADDRESS: �� `��Z� �,lcF��orc�� CITY: t-E dp k�nS IP: �S 3`1 3 STATE LICENSE: # S G c�-�j EXPIRATION DATE: �� D ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: C1TY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permi�.,s! PROPOSED WORK(describe in detai�: Sr�� y C�l,�✓1 Ip .�j t�.% � vv� V✓t�. L�1�' �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� G� 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: 'Y\ � G� DATE: � a �� 31 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 concerning himselfshall 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 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 olace the notice required under this subdivision in the individual income tax or prooertv 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 dassified 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individua]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 actual costs of making,certifying,and compiling the copies. The 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,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 lega]holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authoriTy describing the nature ofthe 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 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 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 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. �ir ame i ' d t tocess this application or permit. � ° / � / j�G/�/�-��. G L � First M � Last � `- C � LS/�=�- l�c�'� Ad ress . G�� /� -�-% �-v��%3 �� '.3�=�-��_ City State Zip Phone I understa m ts as state above. i�/'� /� G / � Signature Reset Form 32 £E :(asnox�ur)S�l�� :jnno.rddyrlr�uno,�l'o alnQ o� sa,� .paarnba�a�ubr.rni1 ,tano�p,rnJ� ,0001-OOS �OOS-OSZ ,OSZ-SL pasodo.rd ,SL-p :.rano�p,�nH �ur�szrj :a�n.rano,�lo7 :a��n4�aS.�n18 :x�nqpas •�ny :;tut.rad Qr�1.7W t/`i :;�r.r�srQ punpaaoyS :a�nQ uotTnlosa� uor n osa # � z 1 21 �# :a1r,�BuruoZ '�/'Yti :�'g � :a�bQlnno.rdd��'('n7s :�r�das , ( r :a1nQ Innoadd�r lr�uno.� :�Cg :aznQ�bnoadd��'npS :�urpn.�� – l? :a8naano��07 — ��H�Ynad �►'�//T—�1$H �'aQ :1ySta�y ou:p�tng � �� PunljaM t- � :sa.�np�ruJs Jua�nl'PY . _C 3,2 -ap?S�a7 � :(�aa.r;S�.�na y L :aprs 1y�t� � �, :��In7)1uoa� :�1��4zaS Pasodoad Lp'£2-8 :�tan.�nS jo a�bQ o� ��sa,( a rw n rCan.rn �P �1. 4S S y1daQ �f1P?M sa.r� S 9 h 6' �.'J ��bs :baey-zo7 :��r��srQ 10o y�s :a�r�'fp�sod :�uazu�.mdaQ a.rr� 1 -� :��:.��srQ�uruoZ ,LSl7?I��H� �JAIIAIOZ ��ads) ?I�KZO s1?ul1 Ji�S.�o�aqurn� t�IOI.L��dS1�II�.LIS �o� sa� �b,S ��X 2IY'd o� sa� ��.��IOI,L b'JI�LS�i1�I1 �IOIS,��N�IO�?I�.L b'� ot� � sa� ��?I b'H.�?II�S�,.L b',LS t1tOLL��[�IO�?I�d�1�S ot� /' s�d M�I11��Iy7d °�[ � sa� ,LILY?I�d :�f�pa�n1n�1n� saa� •�sryl� :Q�JNT�H��S O.L 5��.� $o •�) -S �Q�10?Idd�'�.LY'Q o�9!-S 'dS�1�I�1��AIIQ7I118 �Q�10?IddY'�.ZY'Q �- �d8�1�L1�21�11II11IOZ Q- �?U ?I�10�1 dOA�OLLdI?I�S�Q � � , �QId C�� J� � . � )Q �7i��7?IO SS�QQI�' d 7�0�S11 ��I�.�O ?IO S.LIlY?L3d d0�T�NI�QSSI �IO.�.LSI7.�.�0 JI�.�TH� . . , . - . , B UILDING REVIEW CHECg LIST UBC: — CONSTRUCTIONTYPE: — Sg Foofage $Per Sg Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL - �u Estimated Construction Value: $ I y�OUo – Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal � Mechanical Water Connection X Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) x Final Grading/Filling �c Electrical(State Permit) Other REIKARKS(INHOUSE): RETjIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By.• REMARIiS(TO BE NOTED ON PERMIT): ``J�'�t�� 5 -1 S t-C►v� �v (� C' �'^ S t� �( r"c� �e r � 1=.- �A-� � �;.,, ,� �r� 34 i� �� DAT TIME CITY OF ORONO . CALLED IN �/.�o� INSPECTION NOTICE SCHEDULED 7��3� PERMIT NO. � MPLETE . ADDRESS �� OWNER CONTR. ��'� TELEPHONENO. /f� — ��0� "�.�3 o�j� �� DESCRIPTION ,�� `��7�1/� .� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z�� ❑ ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � j d W C�WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �1 SSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN �_i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice `� � �- DAT TIME �`" CITY OF ORONO CALLED IN INSPECTION N �ao3 SCHEDULED - - �%3D PERMIT NO. COMPLETED ADDRESS °ZOf� �O�/h �r OWNER CONTR. C�s�"''! �� ° �S TELEPHONENO. (P �2- 3�j � J��S� �«� � DESCRIPTION �UD7�7�'1C�' — ��U � � ❑ FOOTING ❑ Iv1ECHANICAL RI ❑ EXCAV/GRADING/FILLiNG Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAI ❑ SEPTIC INSTALL. Q ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � �c�� - 13�� l � a � 0 � w � Q � z W � W � j d W� ORK SATiSFACTORY:PROCEED C� PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on ite: Inspector. J White Copyllnspector's File Canary CopylSite Notice