HomeMy WebLinkAbout2008-P12110 - pool house PERMIT
G�lTI( OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12110
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
6/23/2008
SITE ADDRESS: 2010 Colin Dr Unit#
Long Lake,MN 55356
PID: 03-117-23-21-0014
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential ��C
Census Code A37 /F�°`;i r `
Permit Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Accessory Structure
YP
DETAILS: �p0� �OGt�SQ
Approved per resolution#:
Separate permits required: Plumbing Mechanical
NOTICES/REMARKS:
Pool House
FEE SUMMARY: Pernut Fee: $ 628.00 valuation: $ 45,000.00
Plan Review Fee: $ 408.20
State Surcharge Fee: $ 22.50
TOTAL FEE: $ 1,058.70
APPLICANT: Outdoor Excapes, Inc. OWNER: Douglas Franchot III
6980 Oxford St. #100 2010 Colin Dr
St.Louis Park,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.
.I MITE6 SIGNATURE S ED BY S[GNATURE
Copies: I-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page 1
� �
Total Fee: $ /OS� 7� Date Received: S�g—�0
Entered By: Permit#: A/�/6"
,
CITY OF ORONO - BUILDING PERMIT 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) OWNER O CONTRACTO
JOB SITE ADDRF,SS: ��Q L,e7';�. �f• (�f�,p ZIP: 5��'��p
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event permit is reguired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
,r NAME OF OWNER: '..� a o� PHONE: (home)
(work)
MAILING ADDRESS: �O\Q C.��;��n CITY: (''�C�, ZIP: �3.�
CONTRACTOR: �,. PHONE: �SZ-9?-�o-1o89q
CONTACTPERSON: OBIL AGER: '7b3-2$1o�'t-4Zg
MAILING ADDRESS: �p S LL Y: 1� k ZIP: �1�.�(
STATE LICENSE: # 2C�ln�$ 19 EXPIRATION DATE: � 31 09
ARCHITECT/ENGINEER: Nf�' " SGNt2. PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �
Move Home Remodel/Alteration(ie: Siding, Windows)
Any earth movement ma require MCWD review and permits!
PROPOSED WORK(describe in detai�: I�C.,t�a 34�7�11�� �oo� ��
STORIES: , SQ.FEET OF EACH FLOOR: ��� �'
NO. OF BEDROOMS: C� GARAGE STALLS: ATTACHED O DETACHEDO
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S�>
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: � Z�"� v�
�,.
31
� . ✓
Total Fee: $ Date Received:
Entered By: Permit#:
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: �� o?C�/C% �o/�i? �/' Zjp;
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ P10 If yes, a special event permit is reguii•ed with Police Department and City Council approva/
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
suff cient on-site parking is available. Non permitted events will not be allowed
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: 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 permits!
PROPOSED WORK(describe in detai�:
�
e
�
STORIES: SQ.FEET OF EACH FLOOR: ,',
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �� DETACHED
ESTIMATED COP�ISTRUCTION VALUATION(excluding(and): $
I hereby apply for a building permit and I acknowledge that the information above is c mplete and accurate;
that the work will be in conformance with the ordinances and codes of the City and wi h the State Building
Code;that I understand this is not a permit and work is not to start without a permit;and at the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
31
���(� C.DII r� ��', ,
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 himself shal l be
informed of: (a)the purpose and intended use ofthe 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 perso�s or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked[o supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or pronerty tax refund
instructions instead ofon[hose 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 shal I 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 individual has been collected or created. The
responsible authoriry 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 comp]iance 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
conceming 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 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. Your full name is required to process this application or permit.
e -�it,�
First Middle Last
�W W u/�� �`(lv ���
Address
��-• (�a�;s �r� M r� SSzI'�-� "1�Z-9 Z(o--��`j
City State Zip Phone
I understand m rights as stated above.
Signature
Resett�orm 32
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ,� (-� � � � �; (;!�; �,
PID: --°.
DESCRIPTION OF WORK: �oa/ {��S�
ZONING REVIEW BY.• � DATEAPPROVED:�~��� ��
B UILDING RE i�IEW BY.• � DATEAPPR0I�ED: �_�c, _��
FEES TO BE CHARGED: Misc. Fees Calculated By: � � �'�� y��
PERMIT Yes_� No
PLAN REVIEW Yes ,� No SEWER CONNECTION
STATE SURCHARGE Yes_� No WATER CONNECTION
INVESTIGATION FEE Yes No_� PARK FEE
SAC Yes No � SITEWSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: _ (��Y�_�—�Y�__��_��___�_�_
Fire Department: Post Office: School District:
Lot Area: Sq ft. Acres �� � Width �D Depth �bS�
Survey Submitted: Yes� No Date of Survey: �J �Z 7�(� /
Proposed Setbacks: , � �— � ,. lel/ Z ��j��
��� < �J
Front�b�e): J�' 2 R�rght Side:
r
Rea�•(Street): ��� Le,�Side: ����
� /
Adjacent Structures: �/ Go/ Wetland: /7�'
BuildingHeight: Def Hgt. ;�� /� �� Peak Hgt. /� /� // C�XC. C v�'/�dEi )
Lot Coverage: O��
Grading.• StaffApproval Date: By: Council App�•oval Date:
Septic: StaffApproval Date: __��'p�'�� �Cr- /
��
Zoning File: #�7-333 -�,�' Resolution: # Resolution Date: —�Z��--=
Shor•eland Disb�icL• MCWD Permit:
Avg. Setback: Bluff Setback: Lot Coverage:
F�isting Proposed
Hardcover: D-75'
75-250'
250-.i 00'
�00-1000'
Hardcovei• Y'ariance Reguired: Yes No Date of Council App��oval:
REMARKS(in house): V/�►'1 �vlC� w� 4-a �'L � ac',�i � ,�cx�� I'lu-S.C.
CloS'�.tl � o �v�I- �u4-- 1�hL. � v� � �s�i.,�
.i 3
BUILDING REVIEW CHECK LIST
UBC: �Z� 3 CONSTR UCTION TYPE: V/�
Sq Footage $Per Sq Ftg
Basement x = �
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ `�5,DUo �
Inspections Required: Work Requiring Separate Permits:
Site pC Plumbing Fire
Hardcover Removal o`Mechanicul Water Connection
_�Footing Septic Sewer Connection
_�f Framing Fireplace Lawn Irrigation
oL Insulation (Masonry) Other
Wall Board (Mfg.) i�Y'ell(State Permit)
D�Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Appi-oval: Date By:
REMARIiS(TO BE NOTED ON PERMIT):
34
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�7/D�T������ TIME
CITY OF ORONO CALLED IN �� �
INSPECTION NOTICE SCHEDULED �7/-, � �`���'�( .
PERMIT N0. -�i_.1%l l`� COMpLETED
ADDRESS '��� � ��� _ .C�l//'� ��
OWNER CONTR. � `� - 'S
TELEPHONE NO. /�C.� ,� " ���(.' :�yC��
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� DESCRIPTION ' `-����-' ��Cx-�/ � �"" C� ' � ^� '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GR DING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL 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
� OWNERICONTRACTOH TO MEET YOU,,�YES_NO
� COMMENTS: '
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITAT�ON ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContra r o 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � D TIME
CITY OF ORONO CALLED IN ���
INSPECTION N ICE SCHEDULED � //•�OZ)
PERMIT NO. ��/ D COMPLETED
ADDRESS �4�0 CD//i'J �Dh
OWNER CONTR. �����5 �C'a�p�-O
TELEPHONE NO. ��3 �g�o a ��9
� DESCRIPTION �4 O 7'L!n�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WA�L 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
U INSPECTION RE�UtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on �te:
Inspector. �1. ;'� �
White Copylinspector's File Canary CopylSite Notice
��� � DA TIME�
CITY OF ORONO CALLED IN 7 D�
INSPECTION N�ICE SCHEDULED D '`l�%d� �4�I.t
PERMIT NO.�l/O OMPLET
ADDRESS � �`�
OWNER CONTR. S C
TELEPHONE NO. � 7�� ` �,���� �v/� I
� DESCRIPTION � L GL C�G'• ���7�2-��w�
l� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q �AMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� FORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on sit�:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice