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HomeMy WebLinkAbout2004-P07641 - pool ' - - PERMIT CITY UF ORONO Permit Number: 27�0 Kelley Parkway - PO Box 66 P07641 Crystal Bay, Minnesota 55323 Pe►-mit Type: Accessory Structures (952) 249-4600 Date Issued: �is�2oo4 SITE ADDRESS: 75 Ferndale Green Wayzata,MN 55391 P I D: 36-118-23-44-0025 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code 329 Permit Sub-type(s): Pool-Outdoors-In Ground Pernut Type: Accessory Structures DETAILS: Approved per resolution#: Separate permits required: ���%m�i�s[aiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00 Plan Review Fee: $ 117.78 State Surcharge Fee: $ 5.50 TOTAL FEE: $ 304.53 APPLICANT: Aqua Pool and Spa OWNER: Jonathan D. &Jennifer Havice Site Works Design Inc. 75 FERNDALE GREEN 1225 Hwy. 169N WAYZATA MN 55391 Plymouth,MN 55441 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. �, C�C ',l�-�� �"� G � ,� � �1�=�7 �-� Ar��,ICANT�ERMITEE SIGNATURI ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 Apr-OA-2004 09:13an From-CITY OP OR�10 +9512<Ad616 T-035 P.00Z/003 F-735 r 7�� _�}l� � � Date Received: (y� �� — 'Total Fee: $ Permit#: �(1�7(U�i( � Entered Sy: _ �'� � CITY OF OR4N0 -BUILDING PE�tMIT APPLICA'rION All information m�st be submitted in fall before plan review wiU be started. {please print all infarmation) �w� .___.-----� --- ___._---------- TI-��APPLICANT TS: (crrcle one) OWNER U CUNTRACTO � JOB SITE aDDRESS: �-�f'i'1 1 c�. E' � ZIP: Will this be a Par de oi I�omes,Remodelers SLowcase Home or other Aisplay Home? (� y�s (�No If yes, a special event permit is required wfth Police Department and Ciry ►` Council approval 60 days prior to the event. Non permitted events wil!not be allowed. NAME OF O'�VNEYt: - .'�� � "� r � ��U Y' � PHONE: (home) (work) •-- ��� � -L ��ITY: C��(' -,_�n C'� ZIP: MAYLING ADDRESS: �. ,/1 ��„ �n1-� �j!��; PHOI�: ��'� ��-I�i 3-��]' CONTRACTOR: COIVTAC"Y'PERSON: � ��i� MOBII.E/P GER: q-�Z Z�1� `x�4 SS: Z Z �`� � CITY: ZIP: 5 . �`� MAILING ADDRE • c STATE Y.ICENSE: # - z � --� �. ,m____�!_— _�HONE: �7, � . , '� � L7 �ARCHYTECT/ENGYNEE�t: f „ � CITY: =-ti ZYP: �5UL IIrIAYLII�TG ADDYtESS: �Z'' ��ISTRATION# � NAM�: ���,� ;, ` Accessory Structure _� TYPE OF WOR�C: Ne'R' � �ove Addition � �temodeUAlteratiog Y,and Alteration pROPOSED WO�(�scribe in detai!'): ''�, ' 3TORIES•_,_ SQ• FEET OF EACH FLOO�t: NO.OF BEDROOMS:` — GaR�►GE STALLS: ATT. DET. ES'!'I1VIATED CONSTRUCTION VALUA'rION(exclAding land): S �,�,��,..,�°�C 1 � i hereby apply for a building permit and T aclrnowledge that�e information above is complete and accurate;that the work vui11 be in conforn�anCe with the ordinaitces 2tr►d eodes of the Ciry and with thc State Building Code;that I understand this is not a ptrmic and work is not to staR without a pcctml;and that the work will be in accordsnce with tht approvcd plan. � ��� ,c�z- DATE:�- - ,� pPpY,ICANT'S SIGNATURE: — � � Apr-OA-2004 OA:13au From-CITY OP ORONO +A512484616 T-035 P 003l003 F-T35 � , � Src.1S.0� RICHTS OF SUH.IEC7S OF DATw Subd,l. Trpe ot da[a. 1'h�rigbts ol indi.�ld�a1 on who�a the drta b swred or ro�swrcd�hstl�n�et fortb In tAis uctlos. Subd.L la[orrtutioa required to be gNon Sndlvidaal. Aa lndividaat asked tv wpply private o�wnfideatlal d�ta ooncersin6 Mimuit sbaU be Mier.oed ot: (�)�e parpose snd inceodcd u�e of the requeued dat�within�e oollecting sta�e agenry,poliqcAl su6divl�Mn,or�tato.ride fystcm;(b) ,.Letb�r 6e o�aY reWse o�!f IrraqY reqdred!a suppty t6e nquesccd dat�;(e)anY��"'p�wxqeonce orui�irom bb wpplying or retbsi■C co sapply priveu or conOdentiat data;stM(�tht W�odtY o����PenO°'or ead[ies ae[borls�d by stsu or fsde►a�law to neeive tDe dsta.Thb rcqufrsn�nt ttwll noS•PPb'wben sn iadlNdu■1 b�skcd w capply Invesdgscive dsu,pars�on[co�eaKfon 1�52,subd;rision 5,w a iaw entorcemeu�ofticer. Tbe eo ss�o�o[ cveant�aY whue tfia �tle� nnlntil�.ndcr LM sebdirl�bn In the la�vi usl IncoaiR t�i or Mm�em 11►t re(nnA �mt�uct�000 Maesd on th2�forn�c Subd.3. Acecaf to data Dy IncNvidnst. Upoa reque►t to a raspon�ibtr�utfioriry,no fndividoal sbdl be loformeA wh�thar he b the anbjeec of stpred data on IadlriJualf,and w1�etYer It Is das�ificd as pabllt,priv�is or contldeatioL Upen 1de fanher requesy.n iedivldn�l wYo is t6e aDbjcet of sore0 prirace or publle dius on i�dividusb ahaU be fl+own tbe daa without sar chargc a bim snd,lf fu ds�"ac�,siulf ba lnformed of t6e ooa�eo[and meaaing ot that dsta. Aiter a�indivklwl bsa been�bown�be prfrsto dsa aad irt•re�ed of its�namin�,t9e dati aed not be diubsed to�ia�for siY moa�As theratfrr unlods a dlspu�e or ac�ion pnnuant ta rLlf sectioo b prndte8 er rddhlon•1 dsts o.ehe Indivtdo�)ha�beeo cotkc[ed or eratM•Tha �Mpoa�ie autpuriry ehaU p.ovfde eopia ot tAe prlvde or pubite�cs upoa requat by the Individnal aubJea ottAedsn.The respons�le wtfiority moY tnqaff'e tbe reqatstleg poreou to pty tbe aetual eostt�msWAg,crrtlrylar,vad compit{ag tMe eopfes. Tbc responsibie suthorlty ecbdi cowplY lromedlately.iiposs�le,wfri sny nqucst made purs�aat to t6is�ubdivivno,or witlds flve d�seftbc dsle ot tho request,e�teludfng 5scurday�,Sundays and lega�helldayti tt Immcdtste camp�ance f.nat posyibk.Uhe c�nnot eomply with the roquat witf�in thst lime,he sksil io Intoral thc iodtvlduYl,aad may Aavn ao sdd'ulonsl nve day...itbin wwick co compty wkh�ho requesc,e:cluding S■mrdays,Sundayc aed legsl boilda7s. Spbd.4.Procedure w►ep dt�a ie aot�c�rate or Comp�Me.An indivldual may Nnctst the sccurncy or tempktenas ot puDllc or prHste data conarning htmselt.7o axerclso ehis rtghr,ao lndlvidosl aMeU notlfY�o wrUln�che respon�ibfe�mhoriry doscrlbing cAe naeure ot�ho di►agreemcuc Tao re.pow�Atc o�theriq sha11 wi[Aln 30 daya eitber: (a)correct 1he data found to Dt foiceurstt Dr lutotqplete�ad dstempt to eodfy p�tedpient�of (e�ccurpte or ioeompkte dst�,ioeludiag reclpirnls nsmed by tUc indl�ldual;or(b)notlty t6c indlvldnal t6a�he boticres t�e daa to be mrnee Dsea io dk�►pte shall ba diatlosu!o»ly K the Ind�ridu�l's strtemew�ot dlsa�rcemenc is IneludM..iM thn daebud dsta. 'The detere111nstion of tha refponsibk olltdorhy may be aPpe�kd Pursuant to thc provl�ions o[tLe sdmioistl'�tl�o protedure ui rtlating to coatestcd cases. DATA PRIVACY ADVISORY In accord�nce with MS.13.04,Subd.Z,"Righis of subjects of dats",we would like to inforra you that your request for s permit or license from t6e City of Oronu or aay oC its depArtments may r¢quire yoo w furnish certaia prirate or confidentiAl information. Yau are notified that: 1. The intormation you furnish wi11 be used to determine yoar quslification for the permit or license requested. 2. You may reiuse to supply data,but refusa!msy require that the City deny the permit or llcense. 3. The information may be shared with other tocal,state or tederal agencies to t6e ertent necessary to process che permit or license. 4. It yonr requested permjc or license requires Council 9ction to approve,some in[ormation mAy become public. 5, Yoa b�vc certain rights under M.S.13.04(avsdlable upon request)to review private data on yourself. 6. Your t�ull namc is reqnired to prncess this application or permit. �� �. Fln� Mlddl � r � .� 1 Addreu ' � � r'Y'"1 j'1 �'� 1�7 c' : - Z_'C. .. ��c�l _ � ; � Citr Sute Zlp Phoqe \ I onderst�nd my rights ss stated sbove. � � ��/�-Z�, L:�..- ��,� ;C� slcaac c CHECK O�F LIST FOR ISSUANCE OF PERI�SITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 7 5 F'�R�vO�4u� �/L�.;—'t�v PID: DES CRIPTION OF W ORK: P o a�.- ZO�G REVIE`V BY: „ DATE APPROVED: �. �3 -oy BUII.,DI�i IG REVIE`V BY: DATE APPROVED: -�- 8 .o� FEES TO SE CHARGED: Misc. Fees Calculated By: PER�ti1IT Yes ✓ No PLAN REVIEW Yes i/ No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCO�tNECTION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No �� SITEINSPECTION Number of SAC Units OTHER (specify) ZO�IIt�tG CHE.CK LIST Zoning Districr. Fire Departmen[: Post OfFice: School District: L,ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_� No Date of Survey: o N i=�u? Proposed Se[backs: �� Fron[ (Lake): ��p Right Side: Zi S Rear (Street): ?,C` Left Side: St� Adjacent Struccures: �o' `Vetland: /`��� Building Height: Def. Hgc. — Peak Hgt. -- Lot Coveraoe: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: ^ By: Zoning File: # Resolution: � Resolutioa Date: Shoreland District: /VJ Avg. Se[back: Bluff Setback: L.ot Coverage: Ezistina Proposed 0 Hardcover: 0-75' 75-250' /�L� 250-500' C� 500-1000' ��, Hardcover Variance Required: Yes No Date of Council Approval: � REMARKS (in house): � BUILDING REVIEW CHECK LIST �C� CONSTRUCTTON TYPE: — _ Sq Footage $ Per Sq Ftg Basement x _ lst Floor z = 2nd Ftoor z _ Garage x _ z — TOTAL Estimated Construction value: $ i C1,000 °�' Inspections Required: `Vork Requiring Separate Permits: S ite Plumbing Fire Hazdcover Removal Mechanical Water Connection _ZC Footing ` Septic Sewer Connection Framing Fireplace Lawn Irriga[ion Insulation (�fasonry) Other Wall Boazd (Mfg.) Well (State Perm.it) _�C Final Gradino/Filling � Electrical (State Permit) Ocher REI�IARK.S (I�i ;HOUSE): . ------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: � DATE: Access: Ezisting New Access Approval; Date gy: ------------------------------------------------------------------------------------------------------------- RENLA.RKS (TO BE NOTED ON PER�vIIT�: 8 . � , . BUILDING REVTEW CHECK LIST �C� � CONSTRUCTTON TYPE: — ' � _' Sq Footaje $ Per Sq Ftg B�s�ment' . ` z _ lst Floor x = 2nd F1oor z = Gazage z _ x = TOTAL Fstimated Coristruction Value: $ i C1,000 °- Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fue Hardcover Removai Mechanical Water Connection _ZC Footing " Septic Sewer Connection ' Fratning Fireplace Lawn Irrigation Iasulation (i�fasonry) O[her `Va11 Board (Mfg.) Well (S[ate Permit) _�C Final Grading/Filling � Electrical (Sta[e Permit) O[her • REI�LARKS (Pi i HOUSE): . _ � , - ------------------------------------------------------------------------------------ REVIEW BY OTHERS: + DA�: �. Access: Ezisti.ng New Access Approval: Date gY: ------------------------------------------------------------------------------------------- REMA.RKS (TO BE NOTED ON PERivII'I�: 8 _ `\ ��/�� 0 '�'`` / � �� � � ��- ` / \ \ ,� ` �`�. _ �,,.. ... __ .� �m.� ..._..... — .� __-_. .... .� _. � _ _ � � _.. _^. ..� �. -�. � � � _ _. � ... � O � \` �_,�-�"_ R�_. � �' � ---� � _ _ - _ ..�= , ____ -- -- - --- _ - -- - -- - -- - -- - � , � , ,+ ' �r - - -�- - - - - - _ , ���- - , -_ � L�5 �.�: � ' ' iSS � ( � ���` = - t SPEGI,�L. !l��T'E �- � F° ;` ��E AT'T1���z�� ��k�El' i. ��r 4.'. ` P'CXC{C56 �t��5 � � ° F��t t-I�AN�4 c��� _, E�� n»x. ��;� 2 � •� ..: J -- , � __�. � � n�=:, � , f;_, . � . . , ._ D� F��'��°�;Y��v�E��TS � CG► F.� �Ens�l �����:� � � ���� � �� ` � , � -; �;� �;, t ° G± h „ . � �.+` : . ��_ U ir i�:_�;�' �L �.'t � ;�L)�.` \ �- � � � \ \ �___./ c� ' O '� f�ountain Pao� "� � 18' x3C� 0 � _r , ; , G �__ ---- �' �,- - - y�a � �_�� �.:��� � �_ -{—;---- ��� ra , . ------ � ,.,. ,- -�_ �� �� / � � � � �� .r.n �_ �: � ,�as��.� O — � .__.— ---- ,� nM+t.6�rx L� �'F i ns�-�,s � .: OrM INO �'.r:.+57c z f 2'--� i � , �'. � �'"� l, ��� J �-�" � � � ��' o �A. � �:^ � v �:� Q E � �� �,_ , - •> ,� ti� ` ~ � � O 19ay,..tny Leeta/ ` � er.r fMn RJ... � � � �� ,1 i � o�<.oSJNlO� � ..,e..__._ �'• ~ �� �7� , � � � ti� N `*� ` �� _� �_'� 1 _�.___.. �.� - �� d � ry ..r'� t°.{". �' �� ✓ DATE TIME CITY OF ORONO CALLED IN � 8 �`� INSPECTION NOTICE SCHEDULED -1�%z��y PERMIT NO. �O 7 �'`�� COMPLETED ADDRESS � �e-r�����- �►`'�E�-�l OWNER CONTR. , CX--e�G� ��Q,/ TELEPHONE NO. �� � "" ���/ f���' � � DESCRIPTION / ltl'�L_ — ��T/��� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 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_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ 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 C INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�� OwnerlContra on si e: Inspector. �-� � White Copyllnspector's File Canary CopylSite Notice v v cl/ _ ����4��., . , 1 � . . y so��` �� �r .t��s �` _ �`�Z�� i � �S i � // � � r\ � �, I , � � oc Z,��� i ' � J'O /� d 10�1(10 ��� .,- � � � � (� �N/) �� �0 3 N n J �.,.�'� .�a w�" �� J6l. Z���, S` - J.�2i31S3M �� ^4, `'O1' p�� o�� rn�l \ O � � ��'l l � �v` �I � ��s '/ . J ' j �' l `s'�l �d �� � � ` ��� � � � ol � ��OZ�' � ` /VI�/1 /�IO �„� ' `. _ 80.6� 1 1 ' , � snor��wn119 / �� � , ( �� — , �� c� � �1 i;'� 1 � °�r 1 a�Q/ � l3St/3 1 � ;' — z5�8� � �n��'d s CoV � J►d�a � � � ` � � s�ie �' �.`'���� V00 �nlLn � / � o ya �\ J/ �, 1 0 .� � � N � � � � a� ^\y� / �� �, S�s � O�o � cp ' N � �� �' �. �-y O � . vi l � r; ��r � � �� � t � j �� o �, 4q o/`,. __� _ '�` � �� �� � ' Q Z� �` � _�� �'� j ~ !` � �� � � �� C~ O� I �•. ,'J fr' +' . n7 2 � ^ � � � O � I , \� ' �� � � / � � �. � � y � � � � �` �' :� c`` � y � ZO-ZS � s �, � l N ; ,�°`'� � � � � � ' �' u � I '• �" � � ��- � t�t� � �"� " �r � ' ( '� r9, �• i�"3 - I u � F,�, i, 'S � O.ZF a `s�'�,� ->_ , ,�y � ' ' � �\`\ w,,�' �.. -� �V 1 �� _._.l •=:� ' ._ ... / y.. � , � �� r � � - / ,�r' � � . � , , / � � _ ; . --. __ � � ` .'�--- ' ' :1.'� :. ."` / '_ � I � (rd _�,i �1 ti 4�;; «. 1 � �_ -. \ ;�, :r a 1 1 ^ i - � ' � � ( � � i , � ) � � � y , , � , , , � - � � , . � , , , _ - - - - - Z , , _,___. ____ ___-_ _ - � � , � � � _.. _ ,- � , ��'� �/ / r�.�p � .- ,.dp 1 , � �� .�.�� ,��� �� p 11 Z � ;�; � �-���d�\���� \ Ui � � � � � , 1 -� ',- � � � _ ; �� �,��,,. ��i � �� �\ �s� � � ; � . . . � i � . � , � � ��. ...� r � , � � -� � � ��� ; � �. � . � i � � � Q � , , � _ �t ,. � � � :� � v� � � i� .,�, - ,-��> �`1 / � `= , ' :v i � � ' t _..� � � � � � , . � / � y �oi� p , , � // // / � � � r + �� �' � ,, ' � �' � � � , � � � � � '; 1 . ..: � / / � 2 � � i '� -� �= � � � � � � � � � � � ° ' � �� � � � � �� t� � t� � ' i .�, . ;:� ,„,,,,.�� \ .� � � �- � // � � � `� � � � _e � � ,� �, .�. : y , _ --.r a'' � � � �� ;9 ; j ; ��:.: � c� � � �� / /� -� � � T�..._._ __._--__.__.��. 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