HomeMy WebLinkAbout2005-P08702 - pool PERMIT
CIT`r OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08702
Crystal Bay, Minnesota 55323 Permit Type:
Accessory Structures
(952) 249-4600 Date Issued:
5/19/2005
SITE ADDRESS: 325 Crestview Ave Unit#
Long Lake,MN 55356
P��� OS-117-23-14-0031
DESCRIPTION:
Proposed Use: Residential
Census Code 329
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
18 x 36 inground vinyl pool
FEE SUMMARY: Permit Fee: $ 542.75 Valuation: $ 39,800.00
Plan Review Fee: $ 352.79
State Surcharge Fee: $ 19.90
TOTAL FEE: $ 915.44
APPLICANT: All About Pools, Inc. OWNER: Wendy Sullivan
8066 Sunnyside Rd. 3409 26th.Ave. S
Moundsview,MN 55112 Minneapolis,MN 55406
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.
� _;� � � (,���� �° �� � /�
APPL[CA ERMITEE SIGNATURI3 ISSUED BY SIGNATURE �
Copies: 1-File(Signatures Required), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�iV'
, 5
Total Fee: $ 9�S`�� Date Received: S'/D"d�
Entered By: � Permit#: �p87D 2�
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 OItLCONTRACTOR
� JOB SITE ADDRESS: � �S� ��G�- �J�c1 �U�• z�: S��s�l�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes � NO If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service wi11 be required unless applicant demonstrates
su�cient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: �.t�E�+1�t/ �St,t,�..1-► �✓Lc 6� PHONE: (home)
(work)(GI'2� ZSv-y0�
MAILING ADDRESS: �� �Y�5`�"J tC'c.c) �� CITY: �rt� ZII': ,fi5 3S ,,
corrrxACTou: /��(_ /��t��l�" i�CaOl� /�C rxorrE: 7G3-7� ��1�2�
CONTACT PERSON: �s�} 1 MOBILE/PAGER: 7�" 7 =-7S� 3
MAILINGADDRESS: 5���; �',;,�cw1,KK�.� CITY: 1�' ZIP: �-s`ir,z
STATE LICENSE: # EXPIRATION DAT :
ARCHITECT/ENGINEER: .�A r'�I� (�v�ti-�-ni4�.�v�� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure �
Move Home Remodel/Alteration
PROPOSED WORK(describe in detain: �;�S�'c.�(�a t�o n �� Gin �� x�� I r1(�M�
�� �tn� � S'43►�M t'n��� ��-�� `
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
� �.,�+
ESTIMATED CONSTRUCTION VALUATION(egcluding land): $��CX'
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 Sta.te 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: d� C3� �-��T
31
Sec.13.04 RIGHTS OF SUBJECI'S 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 conceming 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 azising from his supplying or refusing to supply
private or confidential data;and(d)the identiry 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 o�cer.
The commissioner of revenue mayplace the notice reguired under this subdivision in the individual income tax or propertv ta�c refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infomied 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 shall be shown the data without any charge to him ar�d,if he desires,shal l be informed of the content and
meaning of that data. ARer an individual has been shown the private data and infortned 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 authority
may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsble 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 ar�d 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 accwate or complete.M individual may contest the accuracy or completeness of public or private data
conceming himself.To exercise this right,an individual shall notify in wriung the responsible authority describing the nature ofthe disagreement.7'he
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 authoriry 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. T6e 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 ar 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. ]3.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
�u.s��c-' 1 � �Jc�v t c� �T'1 C�,rl.S�iat�
First Middle Last
�0�� Su�r,�1 S ►�-1� '��
Address
��t�n � �� f C�'i,1 �N S�S //� 7�J ��� /dc�,C7
City State Zip Phone
I un tand my rights as stated above.
Signature
32
'. � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: s Z 5 C 2c 57v�c.=�,.� A-��'
PID:
DESCRIPTION OF WORK: ��,�ts�,,,�� P�:��
ZOrTvi G REVIE`V BY: DATE APPROVED: 5- / 7- � ��
BUII�DING REVIE`V BY: DATE APPROVED: s�,� -�5
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes t/ No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes _�/ No WATERCONNECTION
INVESTIGATION FEE Yes No ;i PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
---------------------------------------------------------------------------------------------------------------------
ZOr�i G CH�CK LIST Zoning District:
Fire Departmenr. Post O�ce: School District:
Lot Area: Sq.ft. Acres Widch Depth
Survey Submitted: Yes X No Date of Survey: Jiv �=�� j G -�b•�3
Proposed Setbacks:
Front (Lake): ��� = Right Side: Z�� 5
Rear (Street): ZZ' t Left Side: `�y� ^'
Ad;acent Structures: i o � Wetland: nr/r4
Building Heioht: Def. Hgt. �'V�f} Peal:Hgt. —
Lot Covera�e: �/ �,q - rv�� ci�lv�,�Jr�,t
Grading: Staff Approval Date: ,S-/� �� By: �U Council Approval Date:
Septic: Staff Approval Date: ,a//� By:
Zoning File: # — Resolution: # — Resolution Date:
Shoreland District: 5
Avg. Setbac : �v/� Bluff Setback: ��oQ L.ot Coverage: —
Ezisting Proposed
Hardcover: 0-75'
7�-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: � �v;s� CONSTRUCTION TYPE: �
Sq Foota�e $ Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x =
Garage x =
z —
TOTAL
Estimated Construction Value: $ 3�1,a�oo�'�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing � Septic Sewer Connection
Framing Fireplace Lawn Irriga[ion
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
°�F�� Grading/FIlling o� Electrical (State Permit)
O[her
RENIARKS (IN HOUSE): �~
--------------------------------------------------------
RE'VIEW BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date By:
---- --------------------------------------------------
REI�IARKS (TO BE NOTED ON PERMII�:
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CONTRACTOR / OWNER AGREEMENT
THIS AGREEMENT made the 7th day of May ,2005 by and between All About
Pools Inc., hereinafter called the Contractor and Wendv Sullivan ,hereinafter called the Owner for the construction of
an in-ground swimming pool.
Witnesseth,that the Contractor and the Owner for the considerations named agree as follows:
Article l. Scope of the Work
The Contractor shall furnish all of the materials and perform all of the work shown on the Drawings and/or described in
the Specifications as it pertains to work to be performed on property at 325 Crestview Ave , Orono, MN
Pool Size: 18x36 Rectan�le-
Pool Steps : 9'corner
Pool Heater Hayward 200,000 BTU �as fired nat. mv
Pool Pump Hayward 1.0 HP super pump
Pool Liner Premier/with step-color and pattern to be determined..
Pool Filter HaYward s210s sand filter with Zeo-Brite media
Piping 1.5" Flex pipe below ground/ri�id 1.5" above�round. ,
Pool Cleaner Polaris 280 T with pump
Pool Cover Cantar electric automatic cover
Winter pool cover Auto-cover ,
Valves 3 valve suction side ball valve svstem ,
Inlets& Skimmer 2 hayward wide mouth skimmers/4 inlets/ 1 pool cleaner inlet
Coping aluminum encapsulated copin�
Bottom Material Professionally trawled Pool-Krete�concrete based application)
Bracing 36 deck braces- 12 A-frame braces with�oured 30001b concrete footing around entire perimeter.
Lighting Samlite colored underwater li�hting
Diving board 6' sprin bg oard
Ladders / Handrails 1 inwall ladder - 1 Handrail
Maintenance kit Chemical startup kid vac hose/pole/net/brush/test kit/etc.
Concrete deck By Owner
Electric Bv Owner
Gas line Bv Owner
Fencing_Bv Owner
ADDITIONS/SUBTRACTIONS(Initial next to item)
�` SL�i C�l� Owner initial Contractor initial
Owner initial Contractor initial
Owner initial Contractor initial
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cr�a�Inr�vooLctrr�atnb+v r�•
OF S"TEFL V�b4LL CONS1TzIJCTIO�J a•n�w coNc� uHo�sruRem�rm
ALLIMMIUM OOPI �6 5lAPE I/4'PER
FT.AYGY FROM FODL
- � � '� SHORT OECK BRICE M10LE
14 GA DiLk{IVQm 2"s 2'x 31 1
SfE0.YNU1 PANEL t4 aA [MLv�wi�YH1AtE )
C5700O5
LONG OEIJC BRIICE AH6LE .
3�g����� 1 1!2'y 1 1/2'x 66 1/8'
b�INSIDE ROWLNEE7[r W �{��nti�aNiffo,maE
CS7000L
POOLJ A5 A NI�NIIN
G/RONAL�/piIMP 7HR/EAOm ROD
3-8 > / 31 GA GILVAH�IIIO�L4WNEL
U5E 2nd SET OF FqLES
TO AIIAOi PLASfIC COApON
{97EP9.9MM OIJT.ETC.) OWYE STpKE
1 1!Z'x 1 1 'x 16'
14�1 Ig0 AM61E
C3E0008
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NATENIPL
B'COMINIlOUS
/ OONCRETE OOUM ,
9ENiING MiE
SHORT ANGE 7 1/y M 4 1/Y I 12 �
2'z 8"�1B'PA710 BLOCK 1 1/Y x 1 1/2'x 24' 14 hA 81LY.ANGLE
AT FACH P/�IFL JDINT 14 T7.GALYAf�D ANCLE C46D76P
AHD CORNER FVR CSBOB.SA
I FUF11uG,AT
CONiR�f:iORS OPtION NOTE: BACNFlLL TC BE SiWD,ORAYEl
OR QiT1ER MOM E7{PlNSiVE W7ERUVL
_ _\
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED � L���5� �
PERMIT NO. � G� COMPLETED
ADDRESS��`�� �/''�.S�"' �/�1�� ,�7/L �-
OWNER CONTR. ,�/� Cc�:,;'�-' �ill f S
TELEPHONE NO.��.3 �S�S �.S-7�
� DESCRIPTION l ,� C1 rDL'i'Lt.� ,t���
li�,LFO�OTjJ�1G 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. �
_
White Copyllnspector's File Canary CopylSite Notice
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�=� PROPOSED ELEVATIONS :
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LEGAL DESCRIPTION OF PREM{SES : � ) Garage = 58,5
L,ots 3, 4 and 5, B { ock 5, BAYSIDE � 2) Top of foundation = 958.8
ADD 1 T I ON TO LAK� M f NNETONKA 3) Baserr�n t - 950.7
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