HomeMy WebLinkAbout2002-P05067 - pool PERMIT
C`��Tl� OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Poso6�
Crystal Bay, Minnesota 55323 Permit Type: a��essory sr�u�cures
(952) 249-4600 Date Issued: si29i2oo2
SITE ADDRESS: 765 Ferndale Rd 1v
Wayzata,MN 55391
PID: 36-118-23-11-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 329
Permit Type: Accessory Shuctures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 32125
Valuation: $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 540.53
APPLICANT: Atlantis Pools OWNER: Nick&Ursula Galanos
4321 68th Ave N 765 Ferndale Rd N
Brooklyn Center,MN 55429 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
. _ _ _ ,�'
'�` � � ��, , �.+`"- y`�Y
APPL►CANT PGRMITEE SIGNATURE ISSUED BY [GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
`) ����� . �.��.)
�Total Fee: $ -� Date Received: - �� `� ��� �
EnteredBy: i�/� , Permit #: �'� /�Z
�._ , Y �Y ,'� � ;� , � . �.. .
CITY OF ORONO - BUII.DING PERMIT APPLICATION -
, All information must be submitted in full before plan review will be started.
(please print all information)
--------------------------------------------------------____-----
THE APPLICANT IS: (circle one) COWNER R CONTRACTOR
JOB SITE ADDRESS: ��S' FE/�Vi�ffGr ,/Z� N ZIP: SS 3 cI�
NAME OF OWNER: U2��,q s,/U�c% �i4LfJNv S PHONE• me
;��,�\���� c� ) s� -�'1��,r
� � (work) ��/,�; 7�/Cl m��
MAILINGADDRESS: '7��,�2�,�/,,- /1D �CITY: 02vNo ZIP:�/
��
�, ,
�' „C'� —
,���, CONTRACTOR: /i5 PHONE: � � O/D�
�( CONTACT PERSON: ` L � p MOBILE/PAGER: 6/ 7L =c�
�� MAILING ADDRESS:�d I 6F�%�AcJE /U CITY: /�p�Y,�l cf,�uz ZIP:_�
STATE LICENSE: # '
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
/ ,
TYPE OF WORK: New � Addition Accessory Structure��'�J• �'`'i`?�� ���
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �'d�5%/'�%cj/�N �'��= �!�
�A! �/z-D�}N✓J `S�-�,���,:-vr� ,Pd c� L.
STORIES:_� SQ.FEET OF EACH FLOOR: �S� '`'' � �'�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET._�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �C�, c� o c�
,
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 accordance with the a roved plan.
APPLICANT'S SIGNATIJRE�–:�/ ^' �A�: G� I�-- ��
:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type ojdaJa The rights ojindivrdual on whom!he data is stored or to be stored sha!!be as set forlh in rn;s s��cr:'c�: `
Subd 2. Injormatian required fo bt given lndivlduaL An indrvidua!asked to supply privale ar confidenlial dala concerning hims�,
shall be injormed o,J (aJ 1he purpose and intended use ojthe reques�ed data wi�hin the collecrrng smre agency,political subdivrsran,or statz}via��
system;(bJ whelher he may refuse or i.r legolly required to supply the requesled da�a;(c)any known consequence arisrng from hrs supp(yrng or
refusing to supplyprrvate or confrdential data;and(d)the idenlity ojother persons or entrlres authorized by slafe orfederal!aw 10 receive!he datc.
This requirement sha/l not apply when an individual is asked!o supply irrveslrgative da1a,pursuant!o sectron 13.81, subdrvisron 5, to a(a�v
erforcement o�cer.
77re commrssioner o�reverrue mav place�he no(rce required under lhis subdivrsion in 1he indrvidua(income tax or propertv rar reh�� �
instructrons instead af on those�orms.
Subd 3. Accas to data by IndivlduaG Upon requesl lo a responsible aulhority,an indivrdual sha!(be injormed whelher he is�he subj�:r
ojstored dala on indivrdaa[s,and wl�e�her if is classified a.s public,p�ivale or confidenlial. Upon his further request,an individuol who is r�;,
subject ojstored private or public data on indivrduals shall be shown the da�a withoul arry charge to him and,ijhe desires,shall be injormed oj
!he eontent and meaning oJlhal data. Afler an individua!has been shown the prrvale data and rnjormed ojils meanrng, 1he data need not be
disclated to him jor six monlhs lhereafter un/es.r a dispute o�action pursuant to this sectron is pendrng or additiona!data on!he indrvidual has
been collected or crealed. 77re responsib/e authority shall provide copres ojthe prrvate or public dara upon requesl by�he indrvidual subjecr oj
the data The responsible aulhority may require lhe requesting person to pay!he acrua!costs ojmaking, cerr�rng,and compiling the copies.
The responsible authorrty shall comply immediately,rfpossib(e,with any request made pursuan!10 this subdrvision,or wilhin frve day s
oJthe date ojthe request,excludingSaturdays,Sundays and legal holydays,iJimmediate complrance is not possible. IJhe cannot comply ivith�he
requesl within lhat lime,he shal/so inform fl�e individual,and may have an addilional five days wilhin which!o comply wilh the requesl,excludirtg
Sanvdays,Sundays and lega!holidays.
Subd 4. Procedurewhendalalsnotaecurateorcomplete Anindrvidualmaycontes<<heaccuracyoroomplerenessoJpub/icorprivate
data concerning himself. To exercise lhis righl, an individual shal/notrfy in writrng the responsible aulhority describing the nature oJ(he
disagreement. Tlre responsible authority sha!!within 30 days either: (a)co�rect the datajound to be inaccurale o�incomplete and attemp(lo not�
past recipienu oJirraccurate or incomp/e!e data,including recrpients named by the incfividual;or(bJ not�the rndividual thal he believes the data
to be conect. Data in dispute sha/!be disclosed only rf 1he individual's stalement ojdisagreemen�is inc/uded with the disclosed data.
The delerminaJion oJ1he resporuib/e aulhoriry may be appealed pursuanl to the provrsions ojthe adminrslrative procedure act re/ating
to contested cases
DATA PRIVACYADV/SORY
!n accordance wilh M.S.13.04,Subd.2,"Righls ojsubjecls ojdala",we would like 10 injorm you lhat yourrequest jora pe�mi!or(rcer�s�
from(he Cily ojOrono or arry ojits depa�tmenls may require you to jurnish cerlarn prrvale or confrdentia!rnformation.
You are no�rfied that:
l. The injormation you furnish will be used!o determine your qualificalron jor rhe permit or/icense requesled.
2. You may refuse fo supply dafa, but refusa!may require that the Crty deny rhe permr�or license.
3. The injornwtion may be shared with other local,sm(e or jedera!agencies to!he exlen!necessary to process 1he pzrmit�-
license.
4. I,jyour requested permit or license requires Council action!o approve,some injormation may become pu6/ic.
S. You have cerlain righls under MS. 13.04�see jo1/owrng page)�o revretiv prrvare data on you�se(j.
6. Your fu!!name is required to process lhis applicarron or permit.
PLEASE PR1NT
rGkL�S E Gf�Gf(Nv S'
First Middle Last
�7�5 �/.:2N�r4G�:= �D JU
Address
G�10 N o r'I�J S� 3 �' /
City Sla1e Zip Phone
1 understand my righu as stated ve. � /�/�
Signature
!0
� �Il��ehaha Creek - � `Vatershed Distrlct
Improving Quality of�ater, Quality of Life '
Gray Freshwater Center
Hwys.15 819,Navarre M EM O RAN D U M
DATE: March 2, 2000
Mail:
2500 Shadywood Road T0� Area Builders, Contra;;tors, and Potential Permit Applicants
Excelsior,MN 55331-9578 FROM: Barbara Moeller
Phone: (952)471-0590
Fax: (952)471-0682 RE: MCWD Rule Requirements and Permit Applicability
Ema�i: Projects requiring a permit from municipalities and townships may also
- require a permit from the Minnehaha Creek Watershed District (MCWD).
?dmin�minnehahacreek.org Some projects that do not require a city permit may require a MCWD permit.
'r;eb site: Please consult the following list to see if your project requires a MCWD
permit. Call the MCWD office if you have any questions.
w^�vw.minnehahacreek.org
Erosion Control: �
• Grading of 5,000 square feet or more
• Stockpiling or excavation of more than 50 cubic yards of material
• As of January 1, 2000 M�WD requires that all silt fence installed
8oard of Managers be oranqe in color.
ramelaG.Blixt Floodplain Alteration:
James Calkins • Any activity that proposes to place fill of any type in a floodplain
Lance Fisher associated with a lake, river, stream, wetland, or any other water
basin.
Monica Gross
Thomas W.LaBounty Wetland Protection:
scottrnomas • All projects associated with the draining, filling, or excavation of a
wetland
Malcolm Reid
Dredqinq:
• AI� dredging in the beds, banks, or shores of any protected water
or wetland
Shoreline and Streambank Improvement•
� All shoreline and stream` 3nk improvements, including but not
limited to rip rap, retaining walls, sheet piling, and boat ramps
• All sandblanket projects
29
Printed on�ecyc!ed paper Containing
at teast 30':pest conwrr er was;e.
i
" �
Stream and Lake Crossin s:
• Placement of roads, highways, or utilities in the bed of a protected
water or wetiand
� Construction of a bridge or related crossing of a water, waterway
or wetland.
• Placement of a culvert or similar structure in the bed or channel of
a protected water or wetland
Stormwater Mananement:
• Ali residential, commercial, institutional, industrial, or public land
. development projects that wiil increase the area of impervious
• surface or change land contours to alter the drainage ways,
increase peak runoff rates, or affect the quality of stormwater
flows.
• Single family homes, additions of garages, decks, etc. are exempt
from this rule bu_Y require a permit under one of the other
rules.
Grading and excavating must not begin until a permit has been issued and
required erosion control measures are in place. Working without a permit
where required is in violation of MCWD Rules and is a misdemeanor subject
to penalty by law.
If there is any question whether your project requires a MCWD Permit please
contact District Staff.
For further information regarding rules and permitting, please call the
MCWD office, (9�2) 471-0�90 or go to the MCWD Internet web page
(wwtiv.minnehahacreek or
30
, `� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1(��' ��,�N (J(a v�
PID:
DESCRIPTION OF WORK: o o l
ZO.�i 1G REVIEW BY: DATE APPROVED: �(- 3 � - �2
BUII.,D�1G REVIEW BY: � DATE APPROVED; y - 3 � -U'L
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�l�1IT Yes � No
PLAi�1 REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes c� No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
L,ot Area: Sq.fr. Acres Width Depth
Survey Submitted: Yes oc No Date of Survey: e�r.r ��c�
Proposed Setbacks:
Front (L-e�ce): (9 U Right Side: �f j +
Rear (St�eet): (,S Left Side: Z 5� � ±'
Adjacent Structures: ti 6 � Wetland: N ��
Building Height: Def. Hgt. — Peal:Hgt. '—
Lot Coverage: —
Grading: Staff Approval Date: ^ By: Council Approval Date:
Septic: Staff Approval Date: �l ' �v • D Z- By:�� .
Zoning File: # — Resolution: # � Resolution Date:
Shoreland District: �v
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hazdcover: 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
�C� ' — CONSTRUCTION TYPE: —
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ Z o���n "s'
Inspections Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
�Footing ' Septic Sewer Connection
Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
v�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE): .
- ---------------------
REVIEW BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date gy;
---------------
REMARKS (TO BE NOTED ON PERitiIIT�:
8
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Pool. Thi��l�assuic you of the highest qualiry - -�
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pool for years of care(ree(un. ,
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Wall ��anels are constructed using s�urdy � � � '� � � �""'�� � � 'L�`
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1�I-gau�;c galvanized sleel prolected by a zinc ��>, '�� �
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shifting uneler changing soil conditions. 1. Gah�anized Stcel W;rll Panels 14 G�uge,Rated G235
Skimmers have lheir own special mounting 2.Sleel A-(rame 6iac�e with Optional AnchorVlale
bracket.Jigs both align and support the ladder
3.Automa(ic Skimmer
and handiail for strength and safery.
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grade 20 rnil virgin virryl. Filtration and �.Deck
circulation systems as well as aluminum
7. Vinyl l.iner wilh Tile Border and Prinl(3ottom
coping are fabricaled (rom a variety of
advancecJ technology rnaterials which are 8.Steel Deck 6��ce(vp�ionaQ
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extremely resistani to corrosion. 9.Rewrn Line �;�
V /y�` DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION;�OTI /'�� SCHEDULED �e=L.�— f`-' •�Uv
PERMIT NO:��� v � COMPLETED
ADDRESS �(� .`� I` "s�'�C/�.�.ct ��%
OWNER CONTR._L���•�
TELEPHONE NO. �(� ��_�– �-� � � ��3
� DESCRIPTION C C'`�
� 4 OTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q � F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REtv10VAL
� OW NER/CONTRACTOR TO MEET YOU:_YES_NO
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