HomeMy WebLinkAbout2007-P10822 - pool PERMIT
C�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10822
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
4/24/2007
SITE ADDRESS: 2715 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0019
DESCRIPTION:
Proposed Use: Residential
Census Code 329
Permit Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
YP
DETAILS:
Approved per resolution#:
Separate permits required: Other-(WORK BEGUN WITHOUT PERMIT-DOUBLE FEED)
NOTICES/REMARKS:
Wetland buffer easement must be signed by owner before pool put into use-
FEE SUMMARY: PernutFee: $ 421.55 valuation: $ 27,500.00 �
Plan Review Fee: $ 274.01
State Surcharge Fee: $ 13.75
Misc.Fee: $ 42L55
TOTAL FEE: $ 1,130.86
APPLICANT: Peterson Pools&Spas Inc. OWNER: Mark&Kirstin Wilson
13110 Excelsior Blvd 2715 Countryside Dr W
Minnetonka,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.
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T MITEE SIGNATliRE I SUED BY SIGNATURE
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, `f-�-��
Total Fee: $ �.3 � Date Received: �ti �� ! � �
Entered By: Permit#: /� !U '��-
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: (cif�cle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ���l� �. �r' , ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �,NO /f yes, a specia!event pern�it is required ivith Police Departnzent and Ciry Coimcil approval
60 days prior to the event. Slzuttle bus service will be required unfess applicant demonsti•ates
sL�f crent on-.cite parking is available. Non-permitted events wil!not be allowed.
NAME OF OWNER: �(u,.� �c��� PHONE: (home) 7�`����S�
� `_ � (work)
� / _
MAILING ADDRESS: Z 7�S ���r�-/-i:fi' % CITY: r��t (� ZIP: �-S �
ONTRACTOR: ��/�%0✓C��l� ��5��--��L � PHONE: Cts��- �3�"S �`�
��ONTACT PERSON:� �' MOBILE/PAGER• � ��/- .sS��,
3/rn r�xc�����1��
MAILING ADDRESS: � CITY: ZIP: ��z;�l-�
STATE LICENSE: # EXPIRATION ATE:
ARCHITECT/ENGINEER: PHONE:
MAILING A�DRESS: CITY: ZIP:
NAME: REGISTRATION: #
" TYPE OF WORK: New Home Addition�� Accessory Structure
Move Home Remode Alteration (ie: Siding, Windows)
Any earth movement may. require MCWD review and_ perm'ts ! �
PROPOSED WORK(descs•ibe in deta�n: � � � � d�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF B�DROOMS: GARAG� STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �7 ,���
�
I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes oi 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�i�ork will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: — �DATE: �z �
31
Scc.13.0�1 RIGFITS OF SUBJECTS OF Dr�TA
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. Infonnation required to be given individual. An individual asked to supply private or confideiitial 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 refusine 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 shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.32,subdivision 5,to a law enforcement officer,
The commissioner of revenue ma�olace the notice reauired under this subdivision in the individual income tax or property tax refund
instructions instead of on those fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authonry,an individual sliall be infortned whether he is the subject of
stored data on individuals,and whether it is classitied as public,private or contidential. Upon his fuRher 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 infonned of the content and
meaning of that data. After an individual has been shown the private data and infonned of i[s meaning,the data need not be disclosed to him for sia
months Niereafter 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 shafl provide copies ofthe private or pubiic data upon request by the individual subject ofthe da[a. The responsible authoriry
may require the requesting person ro pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal I comply immediately,if possible,widi any request made pursuant to this subdivision,or within tive days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [flle cannot comply with the request
within that time,he shall so infonn the individual,and may have an additional tive days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays,
Subd.4. Procedure�vhen 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 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 disa�reement 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
ln 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 deternline your qualification for the permit or license
rec�uested.
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 pennit 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.
- �_ .
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First �liddle L�st
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( ���s� �� �sr�;,- �/<�� �
tlddress �� �����` ��
��7 /� � %��r �SJ�J ( O
City State Zip Phone
I understand my rights �tated above.
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Signaturc
Reset Form �2
, .
` ��iECK OFF i�IST FOR ISSUANCE OF �'ER.��TS
FOR OFFTCE USE ONLY�
ADDRESS OR LEt�AL: „��I 1 � C o�/�"�`I S •cle �(�• l�
PID: d �
�ESCRIP'I�TON 4F WORK: t
----------------- -
---------- -
--------- ------------ ---- `. %`�
ZO`�i G REV�E�V BY: C� I7ATE APP�OVED: -:�
BUII�DING REVJTtiV BY:
. DATE APPROVED: �-2 3 -�7�
FEES TO BE CHA�tGED: r� Misc. Fees Calculated By:
P��y�T Yes � No
PLAN REVIEtiV � Yes No SE�VER CONNECTION
�,VATER CONI�IECTION
STATE SURCHARGE Z'eS �' �0 p� FEE
INVESTIGATION FEE Z'eS �0 � S�EINSPECTION
SAC Yes No
Number of SAC Units _
OTHER (specify)
-----------------------------
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-------------------------- �
ZONING CH�CK LIST' Zoning Districc: � .
Fite Depares.ent:
Post�ffice: School District: �
L,ot Area; Sq.ft. Acres Width Depth
Survey Submitted: Yes
✓ �o Date of Survey: l �Z�-O �
Proposed Se[backs: ��t Side:
Front(Lake): •
Rear(S[reet): Left Side:
� �Q�,,K„ �� � ��11r1
?.d;acP�t crn,cbsre�; � �o/ Wet!�d: �
V�.l� Vv�a,��� Z
"� 2S' b��fl-✓
Euil�lin� Hei�t: Def. H�t, __ Peal`Ho '
�tKel d.e.l�►�,rkcvti -4. Zp' SQ,E-lonte l�
Lo[ Covera�e: �/'k 7�2'-��C��D
i� ��
B Councii Approval Date: '
Grading, S,aff Approval Date: Y-
Sepcic: Staf� Approva! Dace: �' ��'� [ �y: ��
Zo�ng File' r__ Resolutioa: n___ Resolution Da:e:
Shoreland Dist:icc: n[� L,o[Coverz�?'
Av�. Setbac't::
Ei,,,F�Sar�ack: ��.
� P;oposed
�t!stina
Ha�cc.over, G-7�"
'15-250'
2�v-�t��'
�;�0-iC�C�J'
�, r �- �;� u�.., o.` Cv�:c� .`,��::.. ='.
a-c�e�:e: 'v'z:z�.�e <�e�;�.:-e�: �e� -
�%T_' � n �..�1: �s b�d . � t�,M�wAI �t�'�� C.,V1! l���h�l "�`�'"`�'�
�.r ZL�T�_ (.L.ho'��, v��s �
� LZ
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SUII�DING� REY�tiV CHECK LIST
�C� � CONSTRUCTION TYPE: �
Sq Footaoe $ Per Sq Ftg
Baseraent x =
lst F1oar x ' _
2nd Flaor x = .
Garage x _
z —
TOTAL
Estimated Construction VaIue: $_Z7,j'DO�
Inspections Required: �York Requiring Separate Permits:
S ite Plumbing Fire
� Hardcover Removal Mechanical Water Coanection
}� Footing � Septic 5ewer Coanection
Framing Fireplace Lawn Irriga[ion
Lnsulation (Masonry) O[her
tiVal1 Board (Mfg.) We11 (State Permit)
�F�� Grading/Fillino Eleccrical (State Perrait)
Other
RENIARKS (IN HOUSE): ^
-----------------------------------------------------------------------------------------------
REVIE'4V BX OTHERS: �A�;
Access: Ex.isting New
Access ,Approval: �ate �y;
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RE1�IA_RKS (TO EE NOTED ON PERiVII7.�: ��,: ;_�
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� �11�' Cit f r
y o O ono
� ;ti�� � 2750 Kelley Parkway
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' ��3�� - P.O. Box 66
a M����;��- y �,,� Crystal8ay, MN 55323
� ' � �'j � R► (952) 249-4600
4�M
'�j'`; �, ;; ;, .. `��� G�' Fax: (952) 249-4616
'�►a�s,;`'+�c Og'�
"zESiI FAX TRANSMISSION
Date: March 26, 2007 Page 1 of 1
To: Peterson Pools —Attn. Scott 952-922-2815
From: Evelyn Turner, City Planner
eturner(a�ci.orono.mn.us 952-249-4623
Subject: Permit Application —Wilson Pool, 2715 Countryside Dr (A10822)
The location proposed for this pool is too close to the septic system mound. Please
have the company that installed it (Clover Hill Company) stake it for the surveyor. The
surveyor should prepare the site/grading plan for the pool. There should be no grading
within 25 feet of the wetland. If you have questions regarding septic system setbacks
contact Willie Gibbs, On-site Septic Manager at 952-249-4626.
The owners will be required to sign a wetland easement and covenant. I will send it to
them later this week.
Confiirmation Report — Memory Send
Time : Mar-26-2007 12:18pm
Tel line : +9522494616
Name : CITY OF ORONO
Job number . 600
Date . Mar-26 12:15pm
To . 9529222815
Document pages . 001
Start time . Mar-26 12:15pm
End time . Mar-26 12:18pm
PaBes sent . 000
Status . NG BO
Job number : 600 *** SEND FA I LED ***
�� �-�0 City of Orono
2750 K8//ay Pa�kway
P.O. Box 66
� Crysta/Bay MN 55323
y�"� (952) 249-4600
�G� Fax: (952) 249-4676
��5��� FAX TRANSMISSION
[�ats= March 26, 2007 Page '1 of 'I
To: Poterson Pools—Attn. Scott 952-922-281 5
From: Evalyn Turn�r. City Planner
s�umer�ci_orono.mn.us 952-249-4623
SubJact: Permit Appifcailon —Wilson Pool, 271 5 Countryside �r (A'I0822)
The locatio� proposed for this pool is too ciose to tFie septic system mound. Plaase
F�ava the company that installed it (Clover Hill Gompany) staKe Ft ior tFie surveyor. Tha
surveyor stiould prepare the site/grading plan for the pool. TF�ere should ba no grading
witF�in 26 feat of tFie wetland. If you have questions regarding sept(c system setbacics
contact Willie Gibbs, On-sita S�ptic Manager at 952-249-4626_
TFie ownars will be requirad to sign a watland aasement and covenant. f wfll s�nd it to
tham latar this weelc_
. .
��' Cit of Orono
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O :;;. O 2750 Kelley Parkway
�,�a� � _ P.O. Box 66
s< �>.
� C;���j� .� � Crystal Bay, MN 55323
,'� �1y ���r� ti (952) 249-4600
"� �..' �'"'Y� ;;���;' h�
�� ., � ���G Fax: (952) 249-4616
'�'Es�ia�'
Date: March 26, 2007 Page 1 of 1
To: Peterson Pools —Attn. Scott 952-922-2815
From: Evelyn Turner, City Planner
eturner(c�ci.orono.mn.us 952-249-4623
Subject: Permit Appiication —Wilson Pool, 2715 Countryside Dr (A10822)
The location proposed for this pool is too close to the septic system mound. Please
have the company that installed it (Clover Hill Company) stake it for the surveyor. The
surveyor should prepare the site/grading plan for the pool. There should be no grading
within 25 feet of the wetland. If you have questions regarding septic system setbacks
contact Willie Gibbs, On-site Septic Manager at 952-249-4626.
The owners will be required to sign a wetland easement and covenant. I will send it to
them later this week.
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LIGHT STEP
APPLICATION APPLICATION B �A�
8' 8' 8' 8'
16'x 32' RECTANGLE p
4' 4� 5' �
8' 8' 12-8' PANELS TYPE II
8—BRACES �
8, 35'-9" B• 6� I —CORNER ASSEMBLY SET
1 —16 z32 COPING STRAIGHT SET 6"R
g• 8' I —90' COPING CORNER SET
4'
q• 5 I —STEEL HARDWARE KIT , E F--�G y- H J K--►- J
Steal�teo Inetail�ion I —VINYL LINER
8 8 8 8 To install 6'steel et S I Z E A B C D E F G H J K L
ep,use 4'filler on ehher side.
To Install 8'steel atep,use 3'liller on either side. 16' x 32' 16' 32' 8' 3'4" 8� 14' S'6"' 4'6' 4'6" 7' 4'8"
2' 8' 8' 8' 8' Remove both 8'panek for ekher steQ. 16' x 4' 16' 34' 8' 3'4" 10' I4 5'6" 4'6" 4'6" 7' 4'8"
16' x 34' RECTANGLE 18'x 36' IB' 36' 8' 3'4" IZ' (4 5'6' 4'6' 4'6" 9' 4'8"
4" 4 5� 12—8' PANELS TYPE IL 20'x 40' 20' 40' 8'6- 3'4' 13'-6 15=6 7' 4' 6' 8' S'2"
8' 8'
2— 2' PANELS
8. 37�_7^ 8. 6. 10—BRACES
I —CORNER ASSEMBLY SET ��
8 8 5� I -90°3COP NGNCORNERGSETSET 6"R —��-l�--� �-�
4' a• —l�
I —STEEL HARDWARE KIT
2' 8' 8' 8' 8' I —VINYL LINER � '
� I �-----2=0=—{
4' 8' 8' 8' 8' �
18' x 36' RECTANGLE `°"`"'
�� -� TURNBtXJCLE \
5� g• 6, i
8' B' 12— 8' PANELS TYPE II
2—4' PANELS ^'""'� ���
PANEL �
40'-3" 8• 6•2—2' PANELS r,.��.< «E. .s.��s�. /
8 12—BRACES
8' A I —CORNER ASSEMB�Y SET �� TADE°N
S� 5 6 I —0° COPING CORNER1G ET S�6"R \
2 Z I —STEEL HARDWARE KIT '"
4� 8� 8� 8� 8' ♦ _ .,. Steel Steo installation[ 2`VERMICUUTE �•�� ��� �. .
I 1 —"ViRY1� �C�NER���� To-install 6'eteel step,use 5'filler on edher side. OR SArrD \' I \
8� 8' 8� 8' 8� � To install 8'steeL slep,use 4'}iller on eRher side. (�I�� I ��
.��-' � Remove both 8'paneb�apd\panel for either step. 'CONCRETE
� �/ f9pTEA
6' 8. 8. 6
20' x� RECTANGLE � � � ,� 6 Dea7r�nn.
6 14 —B' PANELS TYPE III ��qp,lUSTqe�E TUcweUCKLE BRaCE
, 2—4' PANELS �
g• 44'-9" g• g• i2'=BRACES .
8' I —CORNER ASSEMBI,Y SET
8 I —20 x 40 COPING STRAIGHT SET 6"R STERLING Fort w�yne Poo�s, �(1C.
6, 6� I —90° COPING CORNER SET paLS p
s� 510 Sum ter Drive
4' 4' �, I —STEEL HARDWARE KIT Fort Wayne, IN 46804
8� e, 8, 8, 8, I —VINYL LINER t. ��F - . _, ,_
p��y X Date:
STR-001 February 1991
Steel Steo In t �lation• ��y���:
To install 6'stael step,use 6'filler on either side. 1.All vertical Amerwms are tom liner �e� ��-
Toinst3118'steelstep,use5'filleroneithersi0e. extusionSmallpods. N�A Rectangles, 6" radius corner
Remove both 8'paneW and 4'panel lor either step.
Excavatlon Nacs:
1.Shc to have mimmum beanng capady of THIS BROCHURE IS FOR IILUSTRATIVE PURPOSES ONLV
� ,. 20W P.S.F. ThemanukcNrermakesorJypaserapresantaUortswhrchxesm�iniawrinenwarra�ty.
2.Locate top of pod atleast6'above �Y��represenaoms,statements,a cmuacts made by dre deal�r/contracta b ne
sunaxdng land elevaom. astaner regartlng any materials produceG b/�e marwfac�er xe amiWude to he
9. E:cavati�on shall be 2'larger Ihan pool al ���'���aM�«mty.The dea�er a conaacta wno sdls a ns�aih your pool ie an
� xound. Fllvddsunderbaseolpandsand ���a�IcontrxYaandnoianagenlnemplqeedU?emerwfact�rei.TheconstrucUrm
ymP W�� methods Blustrate0 xe wggesoms and apply mly 8�mrmal qound con0iems.Theremay
4. Bad6B witl�non-ezpansive material. be adtlidc,nal precau0ons and'or meNods of consuucom. The responsbi4,y is he
� conrtacta's.
�� DQ,TE TIME y
CITY OF ORONO�,Og� CALLED IN �
INSPECTION N E SCHEDULED � �� a •.�(�
PERMIT NO. COMPLETED
ADDRESS � ��- � �� � � � �
OWNER CONTR. ���%�Z`YI �Oc�/S
TELEPHONE NO. I�- �t1�' — ���3
� DESCRIPTION 7�V��1 !V�,���� �I
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
�u
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-Q6��
OwnerlContractor i e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice