HomeMy WebLinkAbout1999-011915 - pool f � PERMIT
, C!TY OF ORONO PERMIT TYPE:
, 2750 Kelley,Parkway - P.O. Box 66 Permit Number: `Y �'4Y=;
Crystal Bay, Minnesota 55323 ���"�;`�: ,
(612) 2,49-4600 Date Issued: _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- ������� ? �. :�. ���: -- OWNER:
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APPLICANT%PE ITE NATURE ISSUED BY:SIGNATURE �� �
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Total Fee: $ ���,� � ��'�� �� Date Received: ��� �
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Entered By: !��t Permit#: � <<� {,`a
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CITY OF ORONO - BUILDING PERNIIT APPLI�'ATION
All information must be submitted in full before plan review �11 be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OI�.�TRACTOR
�_----
JOB SITE ADDRESS: -39 S F��'J��� ��A'� �� ZIP: 5539 �
NAME OF OWNER: ���"��� %D�OC��S PHONE: (home) ��`'8-Z69
(work) 4��G- 77.39
MAILING ADDRESS: .�g S �`"�'�nc� !1°��J �-'o CITY: p•'1o�4 ZIP: 39/
CONTRACTOR /�D�P'4�^� �oP� • SPA PHOi�TE: S�-Z-90 0 0
CONTACT PERSON: ��� g�MrNg/;� MOBII.E/PAGER: 7S9 Qoo.Z
MAILING ADDRESS: �5 �Y� ��9 /''� CI'�'� ��'`"L'� ZIP: .sS��
STATE LICENSE: # Sj In
ARCHITECT/ENGINEER: PHOi�TE:
MAILING ADDRESS: CITY: ZIP:
I�JAME; REGISTRATION#
TYPE OF WORK: New �C Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: .L����� /$�x jG' ��'���.ci ��� /��L
STORIES: SQ.FEET OF EACH FLOOR: ���
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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 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.
�yi✓D• �'Lur:r.-cv� /�•�
APPLICANT'S SIGNATURE: DATE: 4" T
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning 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 arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons or entiries authorized by state or federal law to receive the dara.
This requirement shall not apply when an individual is asked to supply investiga[ive data, pursuant ro section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or orocerri 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 informed 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 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 ittis secuon 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 responsible 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 and legal holidays, if immediare compliance is not possible. If he cannot comply with
the request within[hat 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 compiete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writiog the responsible authoriry describing the nature of[he
disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy
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 orily 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 reladng
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 �ity 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 fumish 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 pernut 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.
��r� �/�vi/J .�4/i`'�,,,�,"rC
First Middle Last
.3s�os �vwy �69 ND
Address
- pl�r-�A ,��✓ s.ts`�`i .Sx.l-9��0
City State Zip Phone
I understand my ' as stated above.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 39 S F E R�V��A�� 2oA� N�
PID:
DESCRIP'rION OF WORK: Pooc�
---------------------------------------------- ---------------------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: �i -Z�-4 �
BUILDING REVIEW BY: DATE APPROVED: 5�Z 3 - 9 9
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes ✓' No SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: (L(Z.•1�
Fire Department: �.��q�,-L,�� Post Office: wAti'L4iy4 School District: w Ay--L4T-►q
Lot Area: Sq.ft. nrv Gl�SQ Acres Width Depth
�
Survey Submitted: Yes K No Date of Survey: uN t'-rll�C
Proposed Setbacks:
Front (Lake): 3u3 � Right Side: SS �
Rear (Street): 1 ZS � f' ��t Side: ( 02�
Adjacent Structures: Z�` Wetland: /J 1/F
Building Height: Def. Hgt. /J�/�r Peak Hgt. —
Lot Coverage: N � �
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
N���
Shoreland District:
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: —
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ Z����v �
Inspections Required: Work Reyuiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
C Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other ,
Wall Board (Mfg.) Well (State Permit) �i
_�C Final Grading/Filling K.. Electrical (State Permit)
Other
. ____________M____------ . ---------------------- ,
REMARKS(IN HOUSE)•
-----------------------------------------------------------------.------------------------------------------------- �
REVIEW BY OTHERS: DATE•
Access: Existing New �
Access Approval: Date By: �
------------------------------------------------- -------------------------------------------------------------- '
REMARKS (TO BE NOTED ON PERMI'1�:
8
� ' � MEMBER
D O L P H I N P O O L & S P A (��
fj 3405 Highway 169 North, Plymouth, MN 55441 �
office (612 ) 542-9000 , fax (612 ) 542-9001 �
Minnesota Contractors License#5310 ORflNQSPNT I
P'�
CUSTOMER �:�Ar�inri�Eroscrinrii�: �roE�uu:,l��, DATE ���im5����
ADDRESS ��� t��:E�rt[_iA[�t� rr_�nr_� r�otzT�t�
CiTY orzor�u STATE r�ra zIP 55391
PHONE * HOME 4v74-�i�v OFF'ICE 475 -'77�a9
SALESMAN }IAI�VE:Y SUBMITTED BY LON
POOL DATA
POOL SIZE 1+� ' x :_�E� ' POOL SHAPE RE�'I'ANGLE W/90o
STEP AND LOCATION Ir��_�1[:�E ��(�fiNEf3 ��r����
CAPACITY �4� ����� GALS. TURNOVER RATE � HRS
PERIMETER l��f{ LIN. FT. RATE OF FLOW 51 GPM
SURF'ACE AREA ��,3 SQ. FT. MANIFOLD & SIZE 3 VALVE 1 1��"
CONSTRUCTION EQUIPMENT
PANELS iMFERIAL 800 SERIE:S
LINER MOSAIC TILE/E3LUE SEAS'1'UNE.
COPING SEt�7�RY c.:Ut'ING
BOTTOM MATERIAL 'Jf�r�Mil;ULl"I'E
DECK BRACES YE��;
OTHER
FILTERATION EQUIP
PUMP 1 Ilf' HAYWARG
FILTER S-24�5 11AYWAItI.�
HEATER �:.��� �0� t3'1'u EtnYwAfzt�
SKIMMERS 'I'WU - I N
INLETS �rEirz�:c � - c�o
AUTO CLEANER FITTING or1E '
MAIN DRAIN ur��: AN'1'i -VOR7'�X �' �A
OTHER tlA"I'URE II
DECK EQUIPMENT [,�,�T� 9 _23 �9`t
DIVING BOARD �����t� s. tz. �Mi"I'FI �����ftitlU --______
SLIDE td i-i tt E C9c�/
LADDER UNE '1'HREE s��et� W/FfIPdG �'
HANDRAIL �_��IE
ANCHOR CUPS & ESCUT. �'UUR
LIGH1' & DECK BOX FIAYWAF2U 4 LEtd� W/CULURWHE
OTHER
MAINTENANCE EQUIPMENT
AUTO CLEANER PULARIS 2t3��
SOLAR COVER A(�UAMA'1'TC: IINIiF'R"1'kAi:fi (.f1VR
SOLAR REEL r:rivF�r� rN t.ir,N-r �� ii►.• s a
WINTER COVER AN(:NC1R �;AFF"TY r:nvE.u
CHEMICAL KIT arn-r;iiar�n
MAINTENANCE KIT v��
VACUUM HOSE & POLE y,�:-�
OTHER
ELECTRICAL ,�v w�u�s GAS LINE �T�,
B�f—�.-�-�TEf2:�
FENCING uy u���ykk� WALL WORK �� ,�,��
DECK WORK A,s�r �(� �:G' t:�'Ai�R��-, rra�r���T�
LIST CHECKED BY FOREMAN
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TYPICAL CORNER
I�- 4'--•{•-- 6' —►I• �,-4� --_��� 12� � _— _ _ _ . RECTANGULAR
FILLER 05180
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PACER
RADIUS J'
FILLER 05181
NOTE:On pools with a thermopiastic step,an
A-frame is required on each side of step unit. 18 X 36
N°TFs COPING LAYOUT
1. SwcWrc is designtd for use below grade and only in areas wherc lhe ground wacer 18 x 36 w/Center Stairs
table is a minimum of 4'6"below lhe proposed finished grade.
2. Backfill with clean eanh,(tee of rooU end debris,Do not nllow the height o(backfill _ 12 � 12 8 18 x 36 w/Side Stai rs
to exceed lhe height ot the water in Ihe pcwl by moro Ihan 6"nor water to eaceed backfill D ESC R I PTI O N PART#
by more than 6". g � P g 4-P�ADIUS CRN. 8 9 7 7 g�pLAIN PANEL 05102
3. Pour 2500 P.S.I.concmro f�m�in around enurc rimeter,nunimum S"dee . 5-1_?_'SECTIONS
4. 3'widemncrctedeckistobepourcdeUwst3"thickne�car�daslopeo(I/4"b!'awayfrom �}_g�SECTIONS 1 1 � 8'SKIMMER PANEL 05104
����� � 6 2 2 2 8'RETURN PANEL �
S. Finixhed bottom ie to Ix 2"minimum of Fuitnbic meterial or unJisturbed tarth.
6. A sefety line,with buoyx,Ix to be permanently annchcd I'0"tu Ihe shallow eiJe of 1 6'PLAIN PANEL 05112
�hepointo(firstsiopechange. �� 12 8 2 5'PLAIN PANEL 05118
7. Coping: coping Irngths ue approzimata Cuts may be nceded on strxigh�sections 'Z 'Z 'Z 4'PLAIN PANEL 12
forpmperfit Radiuxcomenare2'x2'. ADJUSTABLEA-FRAME
8. Constructlon Dnwings: These drewingc end notos are for illuxtrative purposes 3�PLAIN PANEL
only. Di(krent melhod.a and preceutions may be dictated by vnrious ground condilions. 2 1 3 2'PLAIN PANEL 05129
'� This is�o be detertnined by ond is lhe rtsEronsibilily of the contreclor who is no�en egent of the 1'PLAI N PAN EL
manu[ecturcr o(tho com�anrnt perts. 1
A [astella�ion is to be dono in accordance with all federai,state,and Iocai building 12 12 13 A-FRAME
codes,eswallasN.S.P.i.suggestedstandards. 4 4 4 RECTANGULAR FILLER
SAFETYNOTE 4 4 4 RADIUS FILLER 05181
Pcwl bottom configurations are for illustrative parposes only. The configu- e"M�N� GRECIAN FILLER 0 183
ra[ion shown confortns with cutrent N.S.P.I suggested minimum standards 2500 P.S.I. 1 1 1 NUT&BOLT PAK
for pools approved for use with manufacmred diving equipment.If diving CONCRETE ' 05201
equipmentisinstalled,followtheequipmentmanufacturer'sinstallation,use FOOTING • 1 1 1 RADIUSCORNERCOPINGPAK
and safety instructions. — � 1 1 1 STRAIGHT COPING PAK
% J;
Diving permitted � 2�g�� �
only from designated diving area. OVERDIG
Per. 108' Sq. Ft.648 Gallons 27537
- 4
DATE TIME
CITY OF ORONO CALLED IN �tS
INSPECTION NOTICE SCHEDULED % a
PERMIT NO. ����5 COMPLETED � 1" � �� �/�. ���
ADDRESS
OWNER CONTR. �
TELEPHONE NO. �ZS7-gG�2/
� DES IPTION ,��-e
� 1 FOOTWG � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 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:
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�d ORK SATISFACTORY:PROCEED
�; PROJECTCOMPLETE
W C CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
G� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WtLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.__��<<� �Cc. �� s
White Copyllnspector's File "