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Home My WebLink About2006-P09950 - pool PERMIT CITY OF ORONO 27�0 Kelley Parkway- PO Box 66 Permit Number: P09950 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 6/14/2006 SITE ADDRESS: 2700 Copper View Dr Unit# Long Lake,MN 55356 PID: 33-118-23-43-0017 DESCRIPTION: Proposed Use: Residential Census Code 329 Permit Class: Building Permit T e: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground YP D ETAI LS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: 20 x 44 swimming pool FEE SUMMARY: Permit Fee: $ 251.25 valuation: $ 15,000.00 Plan Review Fee: $ 163.31 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 422.06 APPLICANT: Master Pool&Spa OWNER: Zag Zebski 6415 Wayzata Blvd. 2700 Copperview Lane 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. - - l� , — -:� ----�--- �-��,�( f�}�'lCE l'"1 jLI�'� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 �� r^ ` �,��K/ Total Fee: $ �aa� o� DateReceived: �O-J��-��o Entered By: Permit#: a99SD CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p[ease print all i�ifor�nzation) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci��cle o��e) OWNER OR CONTRACTOR JOB SITE ADDRESS: 0�7�D C��-� l� zIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event pern�it is reqa�ired lvit/v Police Depn�•tnae��t and Cin%Council approval 60 days prior to tl�e event. Shuttle bus service will be regzrired unless applicant den�onstrates sc fficient on-srte parhing is available. 1Von-pe��r�iitted events�vrll i�ot be allowed NAME OF OWNER j�� /�-(-�,Z c�SK� PHONE: (home)R Z.-`f ' "" �4�/� (work)�IZ--�C'i3�--,�"'�7_j MAILING ADDRESS: Z?Cuc� c:c;�PCy? �/.��eCITY: �i{�'G�Q ZIP: SS�.� CONTRACTOR: ��T-� �1. F'!5�- PHONE: C'�2,-3�`�!-3 7/�' CONTACT PERSON: RCS S �.=�'�'.+=�`c5�%(/ MOBILE/PAGER: �'I 2 3�'y�-�7�� MAILINGADDRESS: C�(S' �/hy//,'Zs'�rT,� x3Li-'�• CITY: �j;lC",�{��'tLIP: 5S�f2�-' STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition ,(Accessory Structure PL�� - Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPOSED WORK(descf•ibe in detai�: �G�C }�}' S�=/..;��J'7?'�E PGt=� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACH�D ESTIMATED CONSTRUCTION VALUATION(excluding land): $ i `j y v u��' ,�, (/� s� I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate� that the work will be in confonnance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �--�—�-�� ATE: � ✓� G"C° � r � � Y�� ' � 05� >> � Sec.13.0�1 RIGtITS OF SUBJECTS OF DATA Subd. 1. Type of data. The righ[s of individual on whom the data is stored or[o be stored shall be as set tiorth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or contidential data concerning himselfshall be infonned of: (a)the purpose and intended use ofthe requested data�vithin the collecting state agency,political subdivision,or statewide system;(b) whether he may retLse or is legal ly 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 place the notice required under this subdivision in the individual income tax or properiy tax reflind 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 s[ored data on individuals,and whedier it is classified as public,private or contidential. 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 infonned 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 authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible autlioriry may require the requesting person to pay the actual costs of making,certifying,and compiling d1e copies. 'Che responsible authority shal l comply immediately,if possible,�vith any request made pursuant ro this subdivision,or within tive days of the date of the request,e�duding 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 tive days within which to comply with the request,eacluding Saturdays, Sunda}�s and legal holidays. Subd.4. Procedure when data is not accurlte or complete. r�n individual may contest the accuracy or completeness ofpublic or private data conceming himself. To exercise this right,an individual shall notity in writing the responsible authority describing the nature of[he disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaeeurate or incomplete and attempt to notity past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notity the individual that he believes the data to be correct. Data in dispu!?shal!Ue disclosed only if tlie individual's s(�temen[of disagreement is included�m'ith the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating ro 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 pernlit 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 ree�uested permit or license requires Council action to approve, some infom�ation 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. First Middle Last Address City State 7.ip Phone I understand my rights as stated above. \ ..._�_��_�,�----�'--'--------�� Signaturc Reset Form 3? CHECK OFF LIST FOR ISSUA�VCE OF PE1Z�ti�fITS FOR OFFICE USE ONLY ADDRESSORLEGAL: Z700 Co�aQ-r 1 �2,�-J PID: DESCRIPTIO:V OF lt�O.RK: �oa I -------------------------------------------------------------------------------------------------------/----------------- ZONING RE VIE li�B�': G� DA TE APPR O VED: (� �O B UILD,I�VG.REYIEW BY: � DATEAPPRO ti'ED: � � — �� --------------------- FEES TO BE CHARGED: Nlisc. Fees Calculated By: PERNIIT Yes � IVo PLAN RE VIE GV Yes� No SE yVER CONNECTION STf(TE SURCH4RGE Yes _� �vo ZVATER CO�V.�IECTIO�V _ I�VVESTIGATIOIV FEE Yes No� PARK FEE Sfl C Yes IVo � SITE tNSPECTIO�V Nccnzber of SAC Units OTHER (specify) ZONING CHECIi LIST Za�ing District: Fire Depa�•hriertt: Post Office: Sclxool District: !__. Lot.�Lrea: Sg.ft. � Acres YYidtlt �d Depth I � • � ^ Su�vey Sccbr�citted. Yes No Date of Scuvey: �"� ' 6� � ��C<<�� 1„ry.,��- s w�, Proposed Setbacks: -r_ nw� W{�-h � Frortc(�erk�): ba.i'1�� t Side: �{'� �Q�tSE' � Sov� ��/� Rear•�c�: �OS L-c�t Side: Acfjacerzt Struct�u�es: �� 46'etic��d: ��' Bctilding Height: Def. Hgt. /1� Peak Kgt. Lot Coverage: I�q G��adi�ig: Staff Approvctl Date: By: Coecncil Appr-oval Date: Septic: Staff,4pproval Date: BY� �� Zoriing File: # ��' Resolc�tio�t: �# Resolution Date: Sltorelancf Disn•ict: /V�}' Avg. Setback: Btc�ff Secback: Lot Coverage: Eltsti�tg Proposecl Harrfcover•: 0-7�' 7�-?�0' 250-500' S00-lOGO' Karc{cover Variance Reqcured: Yes No Date of Couracif�{pproval: .R.EIl�lA.�.S�i�t �i01CS2�: „ �1 B UILDING RE VIE y�CHECh'LIST UB C: CONSTI�UCTIO�V T YPE: Sq Faota,�e .S Per•Sg FtQ Baser�ierct � _ !st Flaor x = ?nd Floor x = Gar•�ge � _ � _ TOT.-{L ��' � ' Estimated Ca�tstr•uctioic Vafue: S - � Inspectio�ts Reqc�ired: 6Yark Requiri,�g Separ•ate Per+nits: Site Pl�unbirtg Fire Har•dcai�er Rernoval Nlecha�tical G�ater•Coiir:ec�ion �Footirtg Septic Setiver Co�tnectiaz ,�'rantirig Fir•eplace La�v,� lr��igatior� t�uulatio�� (��laso�tr}) Other GY'al!Board (tilfg.) 6Yell(Stcite Perrnit) _�Final Gradi�tg/Fillirt,; �d Elecn•ical(Sta�e Perncit) Other ---------------------------------------------------------------------------------------------------------------------------------------- RE�bIARl�S (IN HO USE): ------------------------------------------------------------------------------------------------------------------------ RE VIE t�B Y OTHERS: DATE: .4ccess: Existin,� New ,�ccess�1pp�•oval: Date Bl': ------------------------------------------------------------------------------------------------------------------------ RE�tilARIiS (TO BE NOTED ONPER1tifIT): N �� , � L � Cf� Y � T� L NORTF-� 200.U0 _ '- --- ,; - . ,. _ -- . _ - - - - -- - - , - - - - - - _. _ _ _ _ _ _ , , _ _ _ _ _ _ _ , , � � :a , , .,c� I { ', y I � .'i� '`,' ' r_ y '� ,� , � i � �.. i � , . ` ' ' � ,,. ^ " � y�i 1 1 � �� I \ ;A ._. yl � � \ I � � �1� O � 4� � \ T) � I � I � i `\ � � I � I � ' J � ' \ � ` I \ � \ ' �crn „` \\ fTl C' \\ i � ---� � - - � = o C u � � ° �� i � I � � 1 � \ I � ;, , ; � � , �� , � z � , , �-� ` � �, � � � � ,:, i � - � � � i � .J I \ +� ` � �. �vi � - ' '. � V.� � � � '^� f' �� . � � \ , // ' � V � �: � (� � __� \ � / I D 1,? � � � � ��l � � �� /� ' u i .� �-, '� � / � V 1 -_ (� �� '�' � � `� ^ U \ \V� � � z W � � —1 ; � U � , r'-- � ,�--, � . � �� O 1 � ' � � ' � � � - � � � � � --� � " ` ' � O � � � �`� ' ` � � � � �_ --� ; � ., � ,- , C � �w � ' - y � \` 'f// i � Q - � I � Q �p U I � �] � � � � � � r> I .. � � � � �T v�F� Q � � � � � ^ F �, ^ „�,,. � v , p , n C °? � "k.�-�. _ o � ., � � O V / :� C t� o c� r. �„ I � - C� ,� `.' 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