HomeMy WebLinkAbout2007-P11053 - pool � PERMIT
CITY OF ORONO
2750 Keiley Parkway- PO Box 66 Permit Number: P11053
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
6/11/2007
SITE ADDRESS: 3090 Farview La Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0011
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: Mechanical Electrical(state)
NOTICES/REMARKS:
22'x 45'In Ground Vinyl Lined Pool
FEE SUMMARY: Pernut Fee: $ 542J5 valuation: $ 40,000.00
Plan Review Fee: $ 352.79
State Surcharge Fee: $ 20.00
TOTAL FEE: $ 915.54
APPLICANT: Dolphin Pool&Spa OWNER: Robert&Sarah Schmidt
3405 Highway169 North 3090 Farview La
Plymouth,MN 55441 Long Lake NIN 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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��APPLICANT PERMITEE S[ RE ISSUED BY SIGNATU
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, �
� ����b
Total Fee: $ �/J�,� Date Received: -` l Z`� l�' �
Entered By: �� Permit#: t�- % � C���
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan revie�v will be started.
(please prij�d a[I informcrtion)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ,�� F��U�!� L/✓ ZIP: SS3S�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ No !f yes, a special event permit is regiured with Palice Department a�zd City Coirncil approvc�(
60 days prior•to the event. Slnittle bus service wi!/be reqz�ired zrnless applicant dernonsh�ates
suff cient on-site parking is available. Non-per•mitted events wr!!not be allolved.
NAME OF OWNER: 5��� � ��� S��`"''�T PHONE: (home)�� `�� ���� �
D � .�/>/I vi G�hl ��i�0 �work)
MAILING ADDRESS: .3 9 CITY: ZIP: SS
CONTRACTOR: ������'� ��� PHONE: �� �S�-Z•9Qo�
CONTACT PERSON: MOBILE/PAGER: 1�- �.3��� `�'Gt9.?
MAILING ADDRESS: �" ��°/��/>/' � 9 CITY: �L�'-"`'�� ZIP: S'S 3�f��
STATE LICENSE: # .?p�G6 5�S-Z EXPIRATION DATE: �j"��'
ARCHITECT/ENGINEER: PHONE:
NIAILING ADDRESS: CITY: ZIP:
NAME: REGI5TRATION: #
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(descs•ibe in detain: .Z�✓ C'p��'�'� —Z-��X S�S � lii�yC ����
.f�.�-.� �P�[
STORIES: SQ.FEET OF EACH FLOOR: ��
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
�f-
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �"� �`�'' � �
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�vith the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pennit and�i�ork is not to start�vithout a pennit;and that the���ork�vill be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: j�' DATE: -s-��^Q7
3t
r
5cc.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. 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 himselfshall be
infonned 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 Ijis supplying or refusing to supply
private or contidential data;and(d)the identiry 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 13.82,subdivision 5,to a la�v enforcement officer.
The commissioner of revenue may_place the notice required under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is the subject of
stored data on individuals,and�vhether 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 sho�vn the data�mithout any charge to him and,if he desires,shall be informed of the content and
meanine of that data. After an individual has been shown dle 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 authoriry shafl provide copies of die private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actuai costs oY making,certifying,and compiling the copies.
The responsible authority shal I comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,escluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so infonn 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�vhen 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 noti'ty in writing the responsible authoriry describing the nature ofthe disagreement. The
responsible authority shall�vid�in 30 days either. (a)correct the da[a 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)nocify the individual that he believes the data to be corzect. 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 die provisions of the administra[ive procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",�ve would like to inform you that your request
for a pennit 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 �vifl be used to detennine 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 �ocal, 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 infonnation may become
public.
5. You have certain rights under M.S. 13.04 (available upon request)to review private data on yourself.
6. Your fu(l name is required to process this application or permit.
�n,✓ � ��liM�'.-�/9l�'�'L'
First �'(iddlc L�st
�'��S /✓IC/Jl.�/�r�/ �Gj /v�
;�ddress
/���i^��/ .�-r N ,sS 5��) 7G3 � 5�.�. ��
City State Zip Phone
1 understand mv ri hts as stated above.
Si�nature
Reset Form 3�
�CHECg pFF LIST FOR ISSUANCE O�' �E��TS
�'OR OFFICE USE ONLY
-'�/1� v. z�.�;
ADDRESS ORLEGAL: 1 �'l '
PID: aa� `��(O�►ti
77ESCRIF`z70N OF WORK: Iv� G�►z�d S.�i►�rL�oa� -� � —
-------------
-----------
---____�------ -----------___------------ pATE APPROVED: �Z`f Q
ZO�'1�G REYIE�4V BY: 1���-- DA.T'E APPROVED; 6 - Y— o�
�UILDING REYLEtiV SY:
�`EES TO L'E C�-�G-Ep� Misc, Fezs Calculated By:
P���T Yes ✓ No
PLAN REVIEtiV � Yes � No SE�VFR COi�I�NECTION
No tiVATER CONNECTION
STATE SURCHAR.GE YeS � No � p�K FEE
INVESTIGATION FEE YeS No —� STTEINSPECTTON
SAC �'es
OTHER (specify)
Number of SAC�Units ------------------------------
---------------
--------------
---------------------------
---1 i'�
ZO! � G CT.-II�CK LIST zoaing Diatricc: �.� '
Post Office: Schaol District: �
Fire Departs.ent: .
Loc Area: Sq.ft.
Acres A��= Widch � S 3 Depth 3`{ 6
Survey Submitted: Yes �
�o Date of Survey: .� �`
. y4,��K ,
Proposed Setbacks: �''� � e; � ,3 hAs��
Froat(Lake): �'�
l3 ` ��
Rear��)� 2 5 ' Ir�M3�ti Lefc Side:
�
F r>nt Ctn rit f , `�fPK�anrj;
n��3.,.,�- 1- 1-2= �� �.
JG h.�
Suildin� Hei�t: DeF. Hgt, n� Pea_[c Ho .
Lot Cevera�e: ►`1/k
Grading: Scaff Approval Date:
� 2 gy; ��_ Council Approval Dace: '
Szptic: S�af` Aporoval Date: `> ` �'U� �v: =�—
Zo 'a�.ns Flle: ��_
Resolutioa. R R?solu:ior Da:e:
Sho�zla�:d Disrric�: (�l�" r Lo:Coverage:
�,v= Se�b2c:•_: Bluf�. 5etback:
� P:oposed
r,C!.StLe� .
H�eco��P��, G-i�' —
7�-2�0' __. --"
Z 5v-����,' ----"
�_,..:
_���-1G{��J
�,„ - �,e.=__ .-._�- =.
-�,-�,��;2C ����?r,___,,:� �'_tiU'.i2��'. :�2i . �_._ �. • -
L;=1 t ���� (; i J�t�_�'
BUII�IIING REVLE�V CHECK LIST
�C� — � CONSTRUCTION TYPE: —
Sq Footaoe $ Per Sq Ftg
Basemeat , ,. x _
lst F1oar ' z _ ,
2nd Floor � _ .
Garage x =
z =
TOTAL
�
Estimated Cobstruction '�aIue: $`y0,00o ¢
Inspections Required: �York Requiring Separate Permits:
S ice Plumbing Fire
Hardcover Removal _�_Mechaaical Water Coanec[ion
_�_Faoting � Septic Sewer Coanectia❑
� Framing Fireplace Lawn Inigacion
I.�uta�ioa (Nlasonryj Ocher
tiVall Soard (Mfg.) " Wetl (Scate Permit)
_�F�� Gradi�g/Filling _�C Eleccricai (State Perruic)
O�her
RE�IA RKS (I�.Y HOUSE): ° - - --
-----------------------------------------------------------------------------------------------
REVIEtiV SX OTHERS: �A�;
Access: Existing New
Access Approval: Late �y;
------------------------
REI�IARKS (TO EE NOT'ED QN PERtiII'1�:
�
�
� M E M B E R
U LJ
�►oLPHl1V POOL � SPA � o
� 3405 Highway 169 North, Plymouth, MN 55441 NATIONAL
SPA&POOL
office (763) 542-9000, fax (763) 542-9001 �NSTITUTE
Minnesota Contractors License#BC-20266452 ����� ����
CUSTOMER S��'�� S�/��17J I DATE � y a� � � 7
ADDRESS � -��'%�� N
CITY � �' STATE 1`n ZIP - ���
PHONE#HOME 9S�?- `���?�/ FFICE �ELJ �,.�- �0 5� -...��/�-
SALESMAN � SUBMITTED BY ��
POOL DATA
POOL SIZE �a " �`' POOL SHAPE �'��{ 9��
STEP TYPE �w� - ���"`ti`�n s71�/�S LOCATION F�^'�
CAPACITY �3 7.n���J GALS. TURNOVER RATE HRS
PERIMETER �.3 LIN. FT. RATE OF FLOW 77 GPM
SURFACE AREA, 9�J SQ. FT. MANfFOLD&SIZE__i�G���`" �•'
������� s��rC CONSTRUCTION EQUIPMENT
PANELS -1'�`
LINER k.�wci�[.1���/� ��1�f. 6�/.u►T�' Sliv��.S Pr�Ci�%'ri�,
COPING /'�"^,^"""� "'��ir'L'
BOTTOM MATERIAL �� 3�5�� �
DECK BRACES -�^���-
ADDITIONAL EXCAVATION
FILTE�ATION EQUIPMENT
PUMP / % ///J /✓/��i��� .SL�i.f/� /�v�^P
FILTER S-,���J S S/��✓� �O'' �D//�0� S<�r'�
HEATER .33�. ���J a�rJ �%,� N�
SKIMMERS Tl-� "1�
INLETS Fa�2
MAIN DRAIN �--'� � �/�Ti v�'/�-T"��
SANITATION � �U/� ✓�-�T� li�Lo�in! �����1��To : G.. /� !
DECK EQUIPMENT
DIVING BOARD g S�, sr''�/� S�'��"�v
SLIDE _--
LADDER G��l� W /t/J.6rL>>41
HANDRAIL Cv�s o�+/i-
ANCHOR CUPS& ESCUT �
UNDERWATER LIGHT S�JO w�`
OTHER
/� MAINTENANCE EQUIPMENT
AUTOCLEANER /'���'�'-S G?�'D`T"
SOLAR COVER -
SOLAR REEL -----
WINTER COVER -
AUTOMATIC COVER .,zi✓ w/�L�C� C'��%�✓'�� G LID TYPE �� � ���'v^�'�
CHEMICAL KIT ,.Z��✓�G �✓ S/��
MAINTENANCE KIT incl�dec�water test kit-therrnometpr-va���m h ad-va > >m hos -t IPS nosp�Q
OTHER
ELECTRICAL �y °�r'�� GAS LINE �� ��r���'��
FENCING --- RET INING WALL WORK �.1 y �TX�i-'/?'
DECK WORK /�S'o� S� /-7-- �/�n,<-� ,��n�,��.l @ � G•So Sy ;Gr-'
ACCEPTED BY �-�-._._.:v.��_�- �T_ DATE �I:�- �CE� --t���
�/� D TIME "
CITY OF ORONO �CALLED IN ����
INSPECTION NQT��OS-3 SCHEDULED —� �07 �
PERMIT NO. � COMPLETED
ADDRESS ���� ��V��'`"� ��
OWNER CONTR..�I��.!\� / �° L
TELEPHONE NO.
� DESCRIPTION ` -D���n G' '" ��� �
Ly� 01 FOOTING 11 MECHAN L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED �^_ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOtJ RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContra�C� ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
C c��� � DATE TIME ✓
�CITY OF ORONO "cJ�LLED IN � �
INSPECTION NOT E ..-� SCHEDULED � ��
PERMIT NO. I� COMPLETED
ADDRESS ��L d ��r v/I�-`'} /�-/�/ '
OWNER CONTR.��/_�`��i'1
TELEPHONENO. �� J � �DO "" �G�O�,
� DESCRIPTION � ' � � POO �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE 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
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES O
� CO MENT :
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� ❑CORRECT WORK&PROCEED ;-; ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlCon site:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice
�c�. RD. N�.� 84 (FOX STREET _
)
S 88°45'30" E 340.01 MEAS. � _ �j� ��Iiq-o ��1 c� c�,.� S �
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339.72 FARVI�W �- �- �
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� �....,_. ,..I / � / � �` /�-•-...�............�....... �' i Lot 1, Block2, FARVIEW
/ �
1 � �
� ..�.....r............�:::::::,. ���GE MEI�T � / � � I ��4 � / ,� �
1 � I � � � / � / � � \ �� � : denotes iron marker found
f 10I l l � � � l / � � � \ � / � o .
qr j / I f � I / / / � I �� R NING W �.s=-•=::::::::� � denotes iron marker set
�
� � � � � � I � Ir � \ � �` � -�- : denotes existing contour line, mean s
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I� j � � � � ' I � 1 � � � Bearings shown are based on assumed d
� � o.os I � 1 ' ► �
/. � � � � �o�.00 ' 1 i ' � � This survey shows the boundaries of the �
� I � N 88'4�1�29�� W 351.05 M �oo.00 property, and the location of of an exis�nc,
S. � -topo9raphy, boulder walls, and septic tanl
N 88°45'30" W 350.76 FARVIEW � does not purport to show any other impro�
j � encroachments.
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