HomeMy WebLinkAbout2006-P09910 - pool house � L PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9910
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Accessory Structures
Date Issued: 8/2/2006
SITE ADDRESS: 2920 Fox St Unit#
Long Lake,MN 55356
P��� 04-117-23-31-0018
DESCRIPTION:
Proposed Use: Residential
Census Code 328
Permit Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Accessory Structure
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P�C��
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Pool House
FEE SUMMARY: Pernut Fee: $ 542.75 valuation: $ 40,000.00
Plan Review Fee: $ 352.79
State Surcharge Fee: $ 20.00
TOTAL FEE: $ 915.54
APPLICANT: Anthony Thomas Homes OWNER: Mr. &Mrs. Chad Abraham
4100 Berkshire Lane 186 Seminary Dr
Plymouth,MN 55446 Meulo Park,CA 94025
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 SIGNATURE IS UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
Total Fee: $ 9/S S7 " 'r'`� , Date Received: �v��`t IC
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Entered By: , ��-t�r� �, I�.i:,I D�P
CITY OF ORONO - BITII,DPtG PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please prirct all information)
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
— _/
JOB SITE ADDRESS: �Z �o�� �"D� �-S T ZIP: �� �✓�P
NAl�IE OF OWNER: ����►� �-fl� v'G�/i��v�l_ PHO�tE: (home)
(work)1��5D-��'�— 9�7�v
i�LAII.,L�1G ADDRESS: CITY: ZIP:
CON'TR.ACTOR: `� � D PH0�1E:2 - J �D a.Sl
CO�"I'ACT PERSON: L a,� �/� iOBII.E/PAGER: �.- l� -
���vG AnDx�ss: �l Ufl ,�3p v��s��r,� Lh crrY: z�: �p -
STATE LICENSE: # �.p�5���j O : . ��j�.��� � _ �C�2�
ARCHITECT/ENGINEER: �C IC pHONE: (�(�.��?�7�7-!
l�L4II..ING ADDRESS: t D _ CITY:J'���S Z�:---�:�3
N��,�: REGISTRATION#
Accesso Structure ��
TYPE OF `VORK: New Addition rY
Move Remodel/Alteration Land Alteration
PROPOSED tiVORK (describe in detain: �l L�'-��`��
STORIES: l 1�.. SQ. F'EET OF EACH FLOOR: � l �
NO. OF BEDROOI�IS: � GARA G E S T A L L S: A T T. _� D E T. }G
EST .I�i IATED CONSTRUCTION VALUATION (excluding lanc�: $ . , '`T �j Q��
I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and
accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that I understand th.is is not a permit and work is not to start without a
pers�'� ��d that the work will be in accordance with the approved plan.
APPL�.C:�NT'S SIGNATURE: � DATE: ��o� ��1��
1�'OTE! P ra ade 4f Homes events require separate permit approval by Police Department and
City Couneil 60 days prior to the event. �'Von permilted events will not be allowed.
.
Sec.13.0-t RIGI3TS OF SU"BJECTS OF D.aTa •
Subd. 1. Tvpe of daca_ The righa oi izdividv.al on whom the dats is s:o;:d or a� be scnrrd shail be�s set forch in chis secaon.
Subd.Z. Iaformadon reqiri.-rd to be�ven iadividuaI_ �n individual uked co suFpiy private or confidenaal daci coaceraing himseif shall
be informed of: (a)the purpose and in�nded use of[he rzquesrni data within[he collzcang s��: a�ency,poliacal subdivisioo, or sa�ewide rystc�;
�b)whe:her he tnay rfuse or is(egatly requir:d w si:ppty[be cequesLd dan;(c)any�o���-'�cace arisin3 from tiis supplyi:,g or refusing ro suaply
priva`or con;:denaal daci;ar:d(d)�he idenory of o�er persoas or enaries au�horiz�by s�a�o�fed�ral law ro rec�ive che dan. This r�quir_men�s�all
no�apply whan an indicidual is ul:ed �o sspply i��uri�adve dam. Qursuanc ro sec_on 13.82, svbdivision 5, � a Iaw enforce^_ac officer.
The comr.vssioner of r�•enL_ nav e(i�_ �he nocce r`auired und:r�his subdivison in the indi�idua! income tat o; orooem taz rcCvr.d
inscructions ins:aad of on chose forms.
Subd. 3. ?,ccess to datz bv individuaI_ lipon rtqua[�a responsiblt a�r.horiry,�individual shall be inforraed wFc�her he is�he subjecc
of swrd dara on individuals,and wh_rher it is ctissif:ed as public, PCIV3C_OC COIli.�=::C3j- L�OII F11S fll!'�Gf Rql1GSL, dII IIIdIVIG�lS3I who is t�e subjr_�
of stor-d privace or public dara on indi.�iduals shall be s�own�he daa wi�hout any caar3e co h:�and,�if he desires, shall be inrorned of�he concer.�
ar.d meaning of diat daca. ?.fter an individua!his�eea shown che privac:.daa ar.d:cformed oi ics meania3,che dara need no�be d'uctosed w him for
siz mon�s cheraiur unless a dispute or acrion Fu;suanc w �his secdon is pending o�addidoa�.i daca on the individual has btca collececd or crea�ed.
The rtsponsibfa auchoriry shall providz copies oi chz priva�:or public data uQon r:�u_se by�e irdividual subjac of�he daa. T'ne responsible au�horiry
m�y rquir �he requesring person�o pav �he acn:al cosc�of makin¢. cerrifying. ar.d:ompiling tfie copies.
Zhe responsible au�horiry shall comply inn:cdia[ely, if possible, wi[h�y:equest���pursuant to�his subdivision, or wichut five d�ys of
the da[e of[ha requuc,escluding Sanirdays,Su;'c.3y;and legal holidays,if immed�:e compti�ce is not possibte. If hc canno�compiy wi[h che reques�
wio`�in�c¢rae,he shail so inform�he individual,�:d may have an addidoazl fi�e days wicain which to:omply wi�z the request, cxcfuding Saturdays,
Sundays and legsl holidays.
Subd.4. Procedure w6eo data is not accurate or complete. An'u:div;�ual may con[est the accuracy or compleceaess of publie or pri�•a�e '
data cor.cerning hLmsetf. To ezer.ise�is rieh�.an individual shall nodfy in wridng�.e respors:oie auchoriry dzscribing�he nan::e o[�he disagremea�_ .
'Ihe rtsponsiblt au[horiry shall wichin�0 days^.i�.er. (a)cortrcc[he daca fouad m`c iiuctca�or incomplece and aaemp<<o nnri`�j put recipiencs of
inaccura:e or incomplece dac�, including recipiec�nam:d by �he ir.dividual;or(b) �odfy �= i:dividual [ha[he believu�he daca to be correcG Dan
in dispu[e shall be disc!osed only if�he individual's sta�emenc of disagrcement is i^:Iuded wi�� cY:e disclos:d dara. �
'Ihe Ce�erminsrion of�`;e r�spo:icicl: au�horir/ rr�y be appealed purs.:�'.�o the p;ovisions of cht admicis�rive proce�'ur act rei��ne �o
contes:ed cases.
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D:�T�. PRIVACY �D�"ISOR�'
In accordance wi�h�1.5. 13.04, Sebd. 2, "Riohts of subjeccs ot da[a", ��e wouid like to inform you tha[your reau:st
for a permit or Iicense from [he Ciry o[Orono or any of its depz-.men[s nay require you to fumis� certain priva�e or
confiden��al information_
You are notified that:
1. "Ihe information you fur,�isn wilI be used ro dete�=your qezliSication for che pecm.it or license requested.
? You may refuse to supplv da�a, but refusal may reeuire thac the Cicy deny che permi� or license.
3. The informacion may be shared wich o�er 1ocaI, sca�e or federal agencies ro the ex�en� necessary to process
the �ermit or license.
.}. If your requested permic or license requires Council action to approve, some inform�tion may become
public.
�, You have cenain riQhts under �1.5. 13.04 (availabl� upon request) to review private data oa yourseif.
6. Your full name is required to process this applica::on or pe.LL:it.
Finc �tiddle Last
�dd�ss
Ciry Snc_ Zip P,`.o�:
I underst d my rights as stared aoove.
Si3nantr_
�HECK. OFF i�IST FOR ISSUANCE �F PE�'VIITS
FOR OFFTCE USE ONLY
ADDRESS OR LEGAL: ��(�D �X
PID:
DESCRIP'1�TON OF WORK: �I `u%`��
--------------------------p-------------�
--- ---------___--__—__---------------- -
ZO.�i G REVIE`V BY: �� DAT'E APPROVED: (� Z����
SUILDING REVIE�V BY: DATE.APPROVED: C • a Z -c�.6
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r� No
PLAN REVIE`V � Yes � No SE�VER CO�iNECTION
STATE SURCHARGE Yes �' No WATERCONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
---------------------_—_-------------------- I
ZONI�IG CI-�CK LIST Zoning District: `�� —
Fire Department: Post O�ce: School District:
� Acres Widch Depch
L,o[ Area:�. ,._
( 2, 3 �Y�
Survey Submitted: Yes� v' No Date of Survey: � '� �-'��
Proposed Setbacks: �l�5f' :
,
Froa[ (Lake}; � 11�� Ct;�Ri�tSide: �UU���
j► n C' � � � Z
Rear (�: ��' � Left Side: _ � �
S`�liarPnf �rnscnsres: !�� '}' �Ve[land: � ��/9' �
�w,,.,... �
Buil�lin� Hei�t: Def. Hgt. � •J�- Peak Hgt. ��I� � �
Lot Covera�e: _�— /Tp �- (�-�`���-,��J w �T1-� �o a � f- ��. (�1,d�.�5
Grading: Staff Approval Date: /�1(✓� By: Council Approval Date:
�
Septic: Scaff Approval Date: � ' � � � � �Y� 4`��'�
� n, , S �1 C� �vti/ �j��'r()r�c'�
Zoain� File: �`U � �t �] Resolutioa: # Resolution Date;
i /� �
Shoreland District: � /-� -
Av�. Se[back: Bluff Setback: L.ot Covera;e:
ExistinQ Proposed
0
Hardcover: G-75'
7�-250'
2�0-560'
500-1000'
Hardcover Variance Required: Yes No Da�e of Cou.ncil Approva.l:
FE�L4RKS (in house): ��-� ►-� �A ''-�^ .: `�_
. .. ��-
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BUII�DING REVIE`y CHECK LIST
�C� — CONSTRUCTION TYPE: —
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor � x _
2nd F1oor x =
Garage x =
z =
TOTAL
Estimated Construction Value: $ ��,Q��
00
Inspections Required: �York Requiring Separate Permits:
Si[e _�Plumbing Fire
Hardcover Removal _�Mechanical Water Coanection
pC Footing ` Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
_g Insuiation (Masonry) Other
�Wa11 Board (Mfg.) Wetl (State Permit)
_�F�� Grading/Filling �_Electrical (Stace Permit)
O ther
REMARK� (IN HOUSE): �
---------------------------------
REV�`V BX OTHERS: DAT'E:
Access: Existing New
Access Approval: Date By:
-----------------------
REI�IARKS (TO $E NOTED OiV PERiti1I1�:
8
5 DATE TI�E
l+l I T OF ORONO CALLED IN
�
INSPECTION N O SCHEDULED g��1•OlD IU:3
PERMIT NO. COMPLETED
ADDRESS �� U
OWNER CONTR. �
TELEPHONE N � " ' �
� DESCRIPTION G�� � OOI d
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETIJRN
:� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlContra site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
� g r� DAT TIME ✓
CITY OF ORONO ca��E�irv -' �'b�
INSPECTIO NOTpI�CE SCHEDULED �' �� %3���-
PERMIT N0��7�/D COMPLETED
ADDRESS o�9 0�� �C S�Y��'
OWNER CONTR.� �(,�d/I/.1
TELEPHONENO. C.D�a ���'"
� DESCRIPTION �nS U �C��d� ��d ��-��
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 SULATION 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
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN �� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t inspection 24 hours in advance. (J52� 24J-46��
OwnerlContr r i :
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
f' DATE TIME V
� CITY OF ORONO CALLED W � � p�j�
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INSPECTIO NO I E SCHEDULED �020•- (o ' �
PERMIT NO�� O COMPLETED
ADDRESS �� �O �D X �S i�_�:`
OWNER CONTR. •L-�P_�/tcc,i'� �DGZ.1//C�
TELEPHONENO. C�/�-- �9� �CI�I
� DESCRIPTION ������ �sI
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (g52) 249-4600
OwnerlContr o i :
Inspector.
White Copyllnspector's File Canary CopylSite Notico
�Y;� D E TI M E ✓
1 CITY OF ORONO CALLED IN � -O
INSPECTION N ICE SCHEDULED - ��-D /U���fb'VI
PERMIT NO. COMPLETED
ADDRESS �!� ?�
OWNER CONTR. � � �- � .J����tS �� •
TELEPHONE NO. (-/� �� Q�� ����
� DESCRIPTION �� �U � '1'I ��C�'�--
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/VJETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETUFN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
OwnerlCon a r site:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
V I �C/� u ATE ! 7M�1
, CITY OF ORONO �CALLED IN U �' ��
INSPECTION N TICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS a9ad �O�v�Z� -
OWNER CONTR. �Q'/���JY�1 %�I���DG�Y�
TELEPHONE NO. ��� 990 �9/ l
� � � �`
� SCRIPTION �' " �OG� �`7`v��
0 OOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLING
2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 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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O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 24J-46�0
OwnerlContract
Inspector.
White Copyllnspector's File Canary CopylSite Notice