HomeMy WebLinkAbout2000-P02244 accessory structure ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2244
Crystal Bay, Minnesota 55323 Pe�mit Type: Accessory Structures
(612) 249-4600 Date Issued: a�sioo
SITE ADDRESS: 6o Crystal Creek Rd
LONG LAKE, MN 55356
PID: 33-118-23-33-0008
DESCRIPTION:
Proposed Use:
Buildin Census Code 329
Permit Class: g
Permit Type: Accessory Structures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Giecaicai�siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
��C� }�?V.Cw �;�Cb 7�
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 540.03
APPLICANT: DOLPHIN POOL& SPA OWNER: THOMAS W& LYNDA ISAACS
3405 H[GHWAY 169 NORTH 60 CRYSTAL CREEK RD
PLYMOUTH, MN 55441 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
1
7
G.-��? ' ' � _
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APPLICANT PERMITEE ATURE UGD BY S NATURFj�
�/
Copies: City,Applicant,Assessor, Finance Page 1
Total Fee: $ _�'�.C� '�' Date Received: 3' ��-��
Entered By: ��i Permit#: g o �2�1-) �
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 ONTRACTO
JOB SITE ADDRESS: W «S�< <�'���C ZIp: s53 S�
NAME OF OWNER: �� �S��CS PHONE: (home) ��9" �I n s o
(work)
1�iAILING ADDRESS: � ��S I n� �tC k CITY: O/��p ZIP: ss3
CONTRACTOR: �O9�����"� 0�� r 5�� PHONE: ��'-Z 9°�
CONTACT PERSON: �4� �(/^^��4/:/� MOBILE/PAGER: .� 759-900�
MAILING ADDRESS: �y�S �lwy/69 NQ CITY: ��Y�'^°�T7� ZIP: SS���
STATE LICENSE: �f S 31�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WOItK: New �C Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �r'�n°�r O �k 4��� L/��L PpO� !r/�`�
STORIES: SQ. FEET OF EACH FLOOR: cJ �� S9 �
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a�. ��• �
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 accord e with the approved plan.
��i✓/.�/,Qu��F�l3�rz
APPLICANT'S SIGNATURE: DAT'E: -�"Z� ��D
NOTE! Parade of Homes events require separate perntit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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 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 da[a;(c)any known consequence arising from his supplying or
refusing to supply private or wnfidenpal data;and(d)the idendry 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 alace the notice reauired under this subdivision in the individual income tax or provertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request[o a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuais,and whether it is classified as public,private or confidential. Upon his fitr[her request,an individual who
is the subject of srored private or public data on individuals shall be shown the data wirhout 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 utiless 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 privare or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall compiy immediately,if possible,with any tequest 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 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of[he
disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found ro be inaccurate or incomplete and auempt 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 induded 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 fumish 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.
Lo,,� lJ. g�U.�:rdi�e
First q Middle Last
.��9.5 I�(`�'��/ �6 / /�o
Addr�L`�a-,� r.� SS t�S� � sS�-2- 9 q�
Ciry State Zip Phone
I understand my ri s as stated ve.
Sienature
6
_.. ,
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � u ���,,.� 5-,-,� �.��
PID:
DESCRIPTION OF WORK: �o� �
-----------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: y - �-( - o�
BUILDING REVIEW BY: DATE APPROVED: Y- Y-��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r/ No
P1_AN REVIEW Yes f No SEWER CONNECTION
S": _�TE SURCHARGE Yes �/ No WATER CONNECTION
II�VESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: � �' ��
Fire Department: (,o.� �c�; Post Office: • (i4-/c.� School District: �2�.vv
LotArea: Sq.ft. /�� G/�-r4�rtiQAcres — Width — Depth —
Survey Submitted: Yes � No Date of Survey: �,,.� r��.�.
Proposed Setbacks: �
Front (�e): / �� � Right Side: �6 �
Rear (Strett): ��` "y" Left Side: /I G�
�
Adjacent Structures: iS '�" ��-�� Wetland: /V /!�
Building Height: Def. Hgt. N�� Peal:Hgt.
Lot Coverage: �� «
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: i✓�
Avg. Setback: Bluff Setback: L,ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: N�� CONSTRUCTION TYPE: N /�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 7io, (��� �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection
' Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling p`Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�:
8
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ORO
3405 Hi�hway 169 Nortti, Plymoutl�, MN 55441
office (763) 542-9000, �'ax (7G3) 542-9001
Minnc�sota c:onlra<;tors I._icense#5310
CUSTOM�R TO�$�___�YHI���SAA��. _._ ��A��__._ ��i/�,7/00
ADDRESS 60 CR�[STA __���— ___� ---
CIIY � OROHO ______,�„_��AT E M�1 ZIP 5535�,,._
PHONE#HOME 449-905_Q_.__ OFFICE
SAL�BMAN,,,,.__ C�RRIE ___SUf3MITTE:D E3Y_ L.ON
PUUL UAl/�
POOL SiZE 20'X 44' __ POOL Sf InPE GRE IA LAZY L
STEP AND LOCA710N 4'X 8',_END STEP �_.��_
CAF'ACITY 31. 425 ^ �_GnLS. TURNOVER F�1 E 8 HRS
PERIMETER i 18 ___,�_.._�_IN. F r. RA�T�oF FLOW 65 GPM
SURFACE AREA 840 _�__SQ. FT. MANIFOLU& SI7_E_ 4 VAI,,VE 2"
CONS7RUCTION EG2UIPMEN7
PANELS IMPERIAL 700 SERIES �__u„
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LIN�.R _.._...�_._._ ._.
COPINC RIT! LOCK _� __
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Df�CK gRAC[S YF5______ __ _
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FIL.TERATION EQUIPMENT
NUMP 1. 1/ HP HA
FIL7ER,,� S-244S HAYWARD
N�q�,� 250. 000 BT_U1 HAYWA.RD ���~ �N
SKiMMERS,� THREE �
INLETS F'OUR
AUTO CL�ANER FITTING ONE
MAINDRAIN ONE AHTI-VORTEX
OTHER NATURE II _�
DCCK EQUIPMENT
DIVINO BOARU 606F SPRING
SUDE NOHE
LAODER ONE THREE STEP
HANDRAII. �
ANCHOR CUPS&ESCU7 FOUR
LIGHTB DECFC BOX F'IBEROPTIC 2 LEHS W/COLOR
OTNER,_ _�.__..��__�__.
MAINT[NANCE��UIPMENT
AUTO CLEANER � POLARIS 280
50LAR COVER 20'X44' & 10'X24'
SOLAR REE� 22' ROCKY ROLLER _
WIN'tER COVER AHCHOR SAFETY CQ��R - -
CHEMICAI.KIT' HI0-C3 1�ARD
IV�AIN'T�NANCE KIT YES
VACUUM HOSE&POL� YE�
OTHER�,�
ELEC'CRICAI. BY OTHERS _ GnS L.INE BY OTHERS
FENCINC3 BY OTHERS WALL WORK,� BY OTHERS
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20 X 44 LAZY EL 8�-�3/4"
STEP 19'-7 1/2�� y�
uNiT � � LEFT EL SHOWN
150 STAIN FILLEfl �' / $ �-�
04202 $' ��
LIGHT 8 21'-2 3/4"
OPTION 25'-55/8" 'r�
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GRECIAN26X26 +5'-J"--.�---�$'-31/4��---�5�-101/8"►j� 8�-1 ��2�� ►� 8
JEWEL STAIH FILLER SiAIR ��l
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HOMAN PANEL
FILLEH 04212
� I. Pool i�esi�ncd lix uze beluw raJe anJ unl in aru�,.whu�lh� md 7. :1�;d i Iw�.wilh I uu: ia t,�L. n iu au� it�auadi��J I�U"w�he�L:JI��w niJo Puul b�di�nu con❑ um��uu�u�c lur Illustrative w ���
6 6 Y l��n c Y Y � I � ) b P P��acs } ;
� wa�e[Inbla is u minimum of 3'6"bcluw 1he pru��+ed IininhrJ gr.�Ja ul tl�c puim ut lini sl��pr ehangc. uuly- lLc cunliguruliun>h�iwn confurms with eurrcnt �;4
2. Backfill with clean earth,frec ul rouu and Jebn� I>u nui alluw ih�hrigW ul S. 51�irs: 1�or all�iair lu}uut r I �� imp i�I i i.iullnli i io�mal. N S P.I auggestud miuimwu a�anJarJs furpiols approveJ �...
backfill tuezceed Ihc hcighl ul Ihe wu�cr iu Ihe Eriwl by mure thun h"uur an�rr 8. ('uu�truUiuu U�awmg�: !h Jr wu 6. �u I noi s I r illuslrulivc li�r use u iih manufacwmJ diving eyuipment.If diving �
� tu ezceed baiklill by mure�han 6". pwpo,e�uul}- U�If�rent muhuJ,aud pr�cwiiun�mey b�JiUu�uf hy vurious eyuipmcu� is insiullcJ. (ullow �ht eyuipment i�s
3. Pour ZSINI P.S.L cuncrete fiwiing aruunJ entire perimcicr,iuininiun�M"Jcep. g�uw�J c��uJitiuna. 'I�hi.i+lo hc dcicnnincJ hy miJ i�iLc m.,�wnaibiliiy ut We mauu�aclurer's inslullaliun.usc anJ salety insWclions.
4. 3'widecuncmledeckislubr,poureJalivsl3"Ihickne�>uudunlu�:u(I/J"lol'uwny c��uuucw�wh��isuutan�gcutu(Ihenianul�cwicro(Ihecouiponailpuit�. %
from U�e puuL 9. h r 11�W�n i+l l I inc iu�� duncc will ull IcJcral.,�alc,unJ likal bullJing ��.
� S. All iroide puol dimensions aro tu be tini.�heJ dimcnislons. : I u�.JI; N S.P.L�uEb tcd,tau I- .t�. Uiving permitled unly irow designaled dlving area.
6. Finiahedhuuumi..lubcr•wiuimwuu(suiiablcmu�.u�.JuronJ6lwhrJi.uiL �;.
I
D TE TIME
CITY OF ORONO CALLED IN ��O =?�
INSPECTION N TICE SCHEDULED `-��—�a f/. -��
PERMITNO. � � o�� COMPLETED ���C� ��! ��
ADDRESS � � �!�
OWNER CONTR. �
TELEPHONE NO. � -�, � �C O � O
� DESCR N ^ � 'T �
lV 1 FOOTING� 11 MECHANI L 18 EXCAV/GRADING/FILLING
� 02 G 13 MECHANI FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR O MEET YOU:_ ES_NO
� � � 7
� COMMENTS: ?' �i� C✓ r: !�c � �'I �C �
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d C�WORKSATISFACTORY:PROCEED C= PROJECTCOMPLETE
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� C}.tCORRECT WOFIK&PROCEED ', ISSUE CERTIFICATE OF OCCUPANCY
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITION WITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED
fl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. %%� 4'�c ��ti �
White Copyllnspector's File Canary CopylSite Notice