HomeMy WebLinkAbout2008-P12125 - in-ground pool PERMIT
CI'TY QF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P12125
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Accessory Structures
Date Issued: 6/18/2008
SITE ADDRESS: 725 Ferndale Rd N Unit#
Wayzata,MN 55391
PID: 36-118-23-12-0002
DESCRIPTION:
Proposed Use: Residential
Census Code 329
Permit Class: Building
Permit Type: Accessory Shuctures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required: Mechanical Electrical(state)Other-(Pool basin must be at least]0 feet from deck.) f/��
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NOTICES/REMARKS:
Inground Pool
FEE SUMMARY: PernutFee: $ 574.25 valuation: $ 40,000.00
Plan Review Fee: $ 373.26
State Surcharge Fee: $ 20.00
TOTAL FEE: ` $ 967.51
APPLICANT: Dolphin Pool&Spa OWNER: Micheal&Margaret Sowada
3405 Highway169 North 725 Ferndale Rd N
Plymouth,MN 55441 Wayzata MN 55391
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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APPLICAN PERMITEE SIGNATURE UED BY SIGNATURE �/!�
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page l
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Total Fee. �� 7 �� Date Rece�ved: °�
Entered By: Permit#: /
CITY OF O ONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all infornzation)
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THE APPLICANT IS: (circle one) OWNER O CONTRA�
�—_........_.�.
JOB SITE ADDRESS: �O S ��✓j'����� tLl,�i IV � ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
� YeS dN0 /fyes, a special eveizt perniit is r•eyuired with Police Deparnnenl a��d Ciry Cour�cil approval
60 days prior to�he event. Shut�le hus sen�ice irill be required unless app/icant demons�rates
,ruffcient on-si�e parking is available. Non-permitled events wil/not be allowed.
NAME OF OWNER: � I l� ���'I�� �C7 ttiC���« PHONE: (home) �) �l�C �- �y�.�
� (work)
MAILING ADDRESS: ��j ���/�1/,'�G(�� �� �� CITY: (/�'�y 7u-��- ZIP: �SS 3� I
CONTRACTOR: �OOr�l��r'l �C�C�J f"S�Cz- PHONE:��7G�)S�l�"'-�C�4
CONTACT PERSON: �ev�✓� �✓C�/?��- MOBILE/PAGER: fj(n�)�bc'�- �1c��� 3
1�1AILING ADURESS: �3� bs v�% � CITY: �/L �vc � ZIP: �}5�.�
STATE LICENSE: # �� " ?� �EXPIRATION ATE: 3���i /�Uc�`1
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �/
Move Home Remodel/Alteration (ie: Siding, Windows)
uIA xIIEEb IIIExIxIE ILTA ExE�OEx ivar� Ex1E0xA LTI� IxEIOEB!
PROPOSED WORK describe in detain: ' L �
G
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -1��1���V
1 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 accordance with the approved plan.
A PLICANT'S SIGNATURE: ' �- DATE:
3�
,
BUILDING REVIEW CHEC%LIST
UBC: i CONSTRUCTIONTYPE: ^—
Sq Footage $Per Sg Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
oc9
Estimaled Construction Value: $ �d�00� —
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal �Mechanical Water Connection
_�Foofing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
_�CFinal Grading/Filling _�Electrical(StatePermit)
Other
REMARKS(INHOLISE):
REVIEW BY OTHERS: DATE:
Access: Existing New
'`7 Cz5 � ���I�1
Access Approval.• Date By: �
REMARXS(TO BE NOTED ONPERMIT): C� � � f�� /P � �-
_ , .
/ �� �;"�_.1 1� , ,. , i�_�r�j �'fr> >l�� Cf�C �'
34
.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � j� � J����1�,+ �� /j ��
PID:
DESCRIPTIDNOFWORK: _ /h-Urcc�nc�/ noo/
�
ZONING RET�IEW BY.• DATEAPPROTjED: � CI
SUILDING IZET�IEW BY.• 4— DATEAPPROVED: 6 .�� _��
FEES TO BE CHARGED: Misc. Fees Calculated By: �
PERMIT Yes �''' No
P���E� Y�S � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � SITEINSPECTION
NumbeT�of SAC Units OTHER (spec�)
ZONING CHECg LIST Zoning District: %Z — � �
Fire Department: Post Office: School District.•
Lot Area: Sg.ft. • Acres Gt�idth Depth
Survey Submitted: Yes ,/ No Date of Survey: �C�O O
h-cw, ,�(� � - b.,� ��
L'��/�r �
Proposed Setbacks: `v`S� i�
Front(bake�- /7/a Right Side: �0
Rear(Street): �'� `��S � ��� .
_L I�eft-Side:
Adjacent Structures: Wetland:
Building Height: Def.Hgt._ /7 h'} Peak Hgt.
Lot Coverage: /�/�
Grading: StaffApproval Date: By: Council Approval Date:
Septic: StafJApproval Date: �—s"�� gy; �—
Zoning File.• # f'/� Resolution: # Resolution Date:
Shoreland District: ✓ MCWD Permit:
Avg. Setback: Bluff Setback.• Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-?50'
250-500' �T�'���'a'�'" /2S S
500-1000' �2� C��Y'y''� �7/�'� �S%
Hardcover Variance Reguired.� Yes No Date of Council.Approval:
REMARKS(in house):
33
06/03/2008 TUE 09:�2 FAX 76� 542 9001 DOLPHIN-MINNESOTA POOLS C�002/002
Scc13.�� RIG�ITtiI)FSU8.1�:C1'SOFDtT.�
Subd. I. Type uf dula. 'fhe i'�ghls pf individual on whom tha dillil 13$LOYCd Of t0 tlC 5[OICd SfIF1II bC il$5!1�OIlII IIl iHIR ACCTIQiI.
Subd 2. Inf�rmuliun rzquifed�u be givcn indi�idunl.An indivi�ual 7�k��1 u�supply pnvnte or contidentill dST�conccming himvclf shull b,;
iu fi�rme�ol": (o)che purpose antl inre.ndeA use afche requcs�od d�un+viQtin�ha eolleeting ssa�e r,gcncy,pulitical sulxlivisi�n,or sta�ewide system;(b)
wl�cdun c�mny reFusc ur is legaily re.qu�rr.d ro su��ply�he requetiiod dais;(c)any known cpnscquence nrisin�,lium l��s Qurp�vin�or rcfusing tu supply
privak or confidcntinl dmn;�mJ(d)111e i������iry of othcr perso»s or enliliw�iulbori�,ed b}�sratc or fcderol Iaw W recei�z iha dar.�t.This rcquiremont a•h.tll
nol apply�vhcn an indrviduul is askrd ln supVly invcs�iga�ivc duru,pursuanl lo saclion 13 A2,suhdivisinn 5_�u a law anforccnunt otTiccr.
Thc commissioner of rtl�enlle m�y nlacc thc noticc rcumrod iuldef lhls_�uhdivision in the individual in�oiP�txx or nroncrtv tnx refund
i�13I1'Uc i,qnc iiiotcnd oFon thwc li��rns.
$ubd,3. Aeccss to dulu by individuel. Upol�requcst to n responsible aullloi ItY.�+n individunl shull be infurmzd�vhaThznc�i.¢thc subjeci af
�lordd dAIA on indiv�duuls,un�wholhzr i[is cl:�sslficd s,q puhlic,pnv�ic or eonl'idaiuial, Z l�n his furthar reyuesl_a�I iuAividual who is che subject uf
stotdd pfl��+fc or puhlic duw on inJiviJunl�ah��ll b�sl�own thc dutn without any Ch�1�gc to him und,il'hc dcsir�s,Sllnll Ue Illfqrmed ofthc con[enL and
mtw�i�ig of Ihar dat9. At�er an individual has Hech shmv���hc privnte duW and inCohl�c�i nf its me¢nm�,the c1atS nadd f1ol be discloscd to him tor six
monihs lhdf2a(tcl'unlcss a dispute or uctiun purSu,j��t m thi�scction is pcnding or ad�litionsl dsia on�hc individuul hus baen aU��acmd or crca�cd. Thc
rospunsibla aulhai iry shall provide copies uf lhe privala oi'puUl ic da�upon reyuest by Il�e individuel suhjcet oF the dula. "Pha fasponsih��Authmity
m�y royuirc lhd taquas�ing person ui pliy lhc aclual Cosls of making,ccrtirymg.und compilinR dic copics.
'l�t1d tdspousihle autho�iry shull cumply Imnlediatcly,ifpossihle,wuh any ie��ursl macic pursunn�t�this subdi�;sion.or wi�hin fi�c days of
[he dnte of the reqUes�.eacludins Saturduya,Sun�nVs oitd lapol holidays,ifimmeJiala compliA��ec is not possihle.ifhe wnnut cOmply wilh rlx.rr.�ucs�
wrthin lh�tl time,bC shall cn infnrm the mdrvi�u�l,3�1d tTlgy 118Vc an additionnl Livo il,yys wi�hin which ta comply with the raquesl�CXCI l�[I1i16 SBNfdflyS,
Sundoys nncl 1eg91 liol idays.
SubJ.4. 1'focedurc whcn d�m is nui�ccu(aca or cpmplcrc. An inJividu.d may cunlesl Ihc�curscy or complcteness of public o�nrivacc datu
eonceming himsdlf. To cticrcisc this right,un m�i�idual sh�ll nntity in writin6 ihc respo��sibl�flu�horiry dcccribing the nulurc of ihe dic�prccmcnr Tlu
responsible ilutkloflry SliAll tivi�hin 30 days eilhcr: (a)corrc r.r thc.dnrn fnund to he inaCCuiate of IncomU���a�id attcmpt to nolify p�s�i'�cipicn�5 af
inuccumte ur incumplet�data,ineluding recipients n��mcd by the individual;or(b)nolily lhe ind iv iAual ihst he bclicvesthe dutu w bc coffac�, Data iii
disputc shull bo disClusad only if thc individuul's s�utemz�il of dls;+gmcmcnt is include�wilh Ihe discloscd da�a,
'I'hc deldfminatlon ofthc respnnsible;tulhordy rt18y ba appealcd punuunt lu lhe pto�islons of[hc adminisutt[ive prucaduie ncl ielating lo
� contcsted caecs.
DATA PRIVACY AAVtSORY
In accurd�nce wi[h M_S. 13.04,SubQ.2."R.i�hi.s nf suhjeccs of datu',we would lika co inform you Iht�l yuur request
for r�permi[or license from thc Cily of Qron��r any of its dcpr�rtmems may require you to furnish cer�ain private or
contidential inforn�atiun.
You Are notitied thai�
I. �I"hc informtttion you fiirnish will hc uscd lo detarmine your qualiiiculiun li�r tha permit or Iiccnsc
rcquested,
2_ You may refusc to supply dula,but rzfusal may rcquirc lhnt the Ciry deny the pern�il or licer�sa.
3, 'I'he information muy bt sharzd wi�h pthcr lucul, stata or federal agcncics to lhc ex�ent nacessary to
proccss thc perniit nr I icense.
4. If�our request�:d rerm ii or liccnsc reyuirzs Council action lu�pprove, soma information may hecome
public.
9. Ynu have certain rights undcr M.S. 13.U4(av�ilrablc uP�m request)to review privr�lc d�.ta on yoursclf.
fi. Your full namc is requited to process this r�pplicalion or pertnit.
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6 DA� TIME �
CITY OF ORONO CALLED IN �
INSPECTION N 1a�a SCHEDULED �-a7-D� _�2�
PERMIT NO. connP�ErE�
ADDRESS 7a 5 ���'tG�G<.QQ � N •
OWNER CONTR. �����n ��%S
TELEPHONE NO. �63 .3�0 g0D Z
� DESCRIPTION 7`�d��� / �d !
� ❑ FOOTING � MECHANICAL ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
� WALL BD.
Z ❑ ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor sit :
Inspector. ��
White Copyllnspector's File Canary Copy/Site Notice