HomeMy WebLinkAbout2003-P06160 - pool PERMIT
CITY OF ORONO Permit Number:
27�;� Kelley Parkway - PO Box 66 Po6i6o
Crystal Bay, Minnesota 55323 Permit Type: a��essory st�u��ures
(952) 249-4600 Date Issued: 4ilsi2oo3
SITE ADDRESS: 1140 Garden Court
Mound,MN 55364
PID: 07-117-23-23-0033
DESCRIPTION:
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 329
Permit Sub-rype(s): Pool-Outdoors-In Ground
Pernut Type: Accessory Structures
DETAILS:
Approved per resolution#:
Separate pernnts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Valuation: $ 19,000.00
Plan Review Fee: $ 199.68
State Surcharge Fee: $ 10.00
TOTAL FEE: $ 516.93
APPLICANT: Peterson Pools& Spas Inc. OWNER: Gary&Patti Nelson
13110 Excelsior Blvd 1713 Keller Lake Dr
Minnetonka, MN 55343 Burnsville,MN 55306
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.
�/
APPLIC GNATURE I UED BY SIGNATURE � �/�'" �
�
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
�
, c%
Total Fee: $ �I(,K�� Cr.� Date Received: � � � � `�
Entered By: ,� Permit#: �y'�� 11,� (�� (;-
4
, , � ; CITY OF ORONO - BUII..DING PERMIT APPLICATION
:.I/�,"'
` L(������4 All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SIT'E ADDRESS: j �� I � C���� G� ZIP:
NAI�IE OF OWNER: ��� ��4S o,� PHONE: (home) `�'� Z `� }�-�'7��
. (work)
MAILING ADDRESS: � �z�'�- CITY: ZIP:
CO\�'RACTOR: ��i�2S��.i �cx:LS �_ � f•'fiS PH01�TE:. �'/j Z—Y 3 3-3 O� C:�
COr�TACT PERSON: .��.� /��E:� MOBILE/PAGER: � �2-zz c -35-� S
M.4ILI�1G ADDRESS: i��'r G F,�<«s��t ✓�u�� CITY: �L� ,�� '� ZIP: ��-���-3
ST�iTE LICENSE: #
ARCHTTECT/ENGINEER: PHO�TE:
MAII.ING ADDRESS: CITY: ZIP:
NA��IE; REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
,�'a Move Remodel/Alteration Land Alteration
, .'� �
�� PROPOSED WORK(describe in detai�: �,�„✓/z� -�ult�; L�,L� /G v� _
r . �
STORIES: � SQ. FEET OF EACH FLOOR: j � x 3 Z _
NO. OF BEDROOMS: � -�" - GARAGE STALLS: ATT. ---- DET.
ESTL1-IATED CO�tSTRUCTION VALUATION (excluding land): $ %� c� c
I hereby apply for a building pemut 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a
permit; and that the work wifl be in accordance with the approved plan.
APPLICANT'S SIGNATURE: ;/- �� DATE: v 3
�
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.
5
. �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
,
Subd. 1. Type oF data. The rights 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 indiridual. An individuai asked to supply private or confidential data concerning himself
shal]be informed of: (a)the purpose and intended use of the requested data within the collecang state agzncy,polirical subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or
refusing tn supply private or confidenaal dara;and(d)the idendry of other persons or endries authorized by smte or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secrion 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revertue mav lace the notice re uired under this subdivision in the individual income taz or ro em tax refund
instrucdons instead of on those forms.
Subd. 3. Access to data by indiridual. Upon request to a responsible authority,an individual shal]be informed whether he is the
subject of stored data on individuals, and whether it is classified as public,private or confidendal. Upon his further request,an individua]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 meanin�of that data. After an individua!has been shown the private data and informed of iu meaning, che data need not be
disclosed to him for six months thereafrer unless a dispute or action pursuant to this secaon is pending or addirional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data.
The responsible au[hority may require the requesang person to pay the actual cosu of making,ceRifying, and compiling the copies.
The responsible authoriry shall comply irnmediately,if possible,with any request made pursuanc to this subdivision,or within five days
of the dace of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time, he shail so inform the individual,and may have an addiaonal five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the t�ature of the
disagreement. The responsible authoriry shall within 30 days either: (a)corsect rhe dara found to be inaccurate or incomplete and attempt to notify
past recipiencs of inaccurate or incomplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data
[o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
"Ihe determinaaon of the responsible authority may be appealed pursuant to the provisions of the adminisu�arive procedure act relacing
to con[ested 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 City of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that: ,
1. T'he information you furnish 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 pemut or license.
4. If your requested pemut or license requires Council action to approve, some information may become
public.
5. You have certain rights under 1�1.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this appiication or permit.
First Middle Last
Address
C�ry State Zip Phone
I understand my rights as stated above.
Signature
6
CHECK OFF LIST FOR ISSUAI�ICE OF PERIVIITS
� FOR OFFICE USE ONLY
� ADDRESS OR LEGAL: �)y c� �A 2iD�s Co��Nt'
PID:
DESCRIPTION OF WORK: o a (
ZONING REV�W BY: DATEAPPROVED: y-ty-�3
BUILDING REV�W BY: DAT'E APPROVED: y-i v -�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
pLAN REVIEW Yes c/' No SEWER CONNECITON
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------
ZO�TivG CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Widch Depth
Survey Submitted: Yes_� No Date of Survey: (-4
Proposed Setbacks: ,
Front (Lake): l 07` � Right Side: SS +
Rear (Street): ( 3J ' + Left Side: �i$ �=
Adjacent Structures: 2`{' Wetland: —
Building Hei�ht: Def. Hgt. — Peak Hgt. —
Lot Covera�e: —
Gradin�: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — BY�
Zoning File: # —' Resolution: # Resolution Date: .
Shoreland Districr. Nv
Av�. Setback: Bluff Setback: Lot Coverage:
ExistinQ Proposed
a
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
7
BUILDING REVIEW CHECK LIST
�C� � — CONSTRUCTION TYPE: �"
Sq Footage $ Per Sq Ftg
Basement R =
ist Floor R _
2nd Floor x _
Garage x _
R =
TOTAL
Estimated Construction Value: $ I �7,p o o°O
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing Septic Sewer Connection
Framin� Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Perm.it)
_�F�� Grading/Filling Electrical (State Permit)
Other
REVIARKS(IN HOUSE): -------�-
-----------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy:
--------------------------����-------------------------------------------------------------
12ENIARKS (TO BE NOTED ON PERMI�:
8
,✓"""'-------'`'�.,.
LIGHT STEP �� •
_-
APPLICATION APPUCATIONs.-r"��� ,.,, 8 � �q�
8' 8' 8' 8' r
�'� 16'z 32' RECTANGLE p
4'
8' g• 5 12-8' PANE�S TYPE II
8-BRACES �
8• 35'-9" 8- 6� I -CORNER ASSEMBLY SET �j I
I -I6 x 32 COPING STRA�L'S`�T 6"R
8" 8" I -90° COPING R SET �
�-E . F G H rf -y J K�-+ J
4� 4' -STEEC�NARDWARE KIT � i I i i i �
Stee�Steo Insa�lation� � -VINYL �INER
B' 8' 8' 8� To install 5 steel et S I Z E A B C D E F G H J K L
ep,uae 4'filler on epher side.
� To inatall 8'eteel step,use 3'filler on either side. 16' x 32' 16' 32' 8' 3"4" 8' I4' 5'6"'.4'6'!4'6" 7' 14'8"
2' 8" 8 8' 8' Remove both 8'panek�a eNher etep. 16' x 34'I 16' � 34' 8' 3'4" 10" � 14 �5'6"I 4'6" 4'6' 7' 14'8",
16' x 34' RECTANG�E
q• 4, 18'x 36'� 18' 36' 8' 3'4'I 12' ! 14 5'6';4'6"4'6" 9' �4'8'
g' 8• 5 12-8' PANEI.S TYPE IL 20'x 40' 20' 40' 8'6" 3'4' 13'-5i15=6 7' 4' 6' 8' S'2"
2- 2' PANELS
8' 37'-7" 8• 6, 10-BRACES
i -CORNER ASSEMBLY SET �
8� 8' I -IB x 36 COPING STRAIGHT SET 6"R —�-(�---�i�
4� 4' S � -90° COPING CORNER SET �
I -STEEL HARDWARE KIT � ;
2' 8' 8' 8' 6" I -VINYI. LINER
. 4' 8' 8' 8' 8' \ � �--z=o=-{
— — �«:�Rs
I
I8'x 36' RECTANG�E ��� TURrvaxxL£
5 5 I I
8 8� 6 12-8' PANELS TYPE II
2-4' PANE�S "•�LO�� I �
g• 40'-3" 8, 6,2-2' PANELS PANEL �
12-BRACES ��� •3 ��
8 8 I -CORNER ASSEMBLY SET �Aa''u'N �
tt.n�
5' S' 6' I -18 x 36 COPING STRAIGHT SET 6"R \
2. I -90° COPIN6 CORNER SET
Z 1 -STEEL HARDWARE KIT
4, 8' 8, 8, 8� Steel Stao Instal�ation� 2�VEFHICULITE �'�'�'��•-�=�•
I -VINYL UNER ToinataYGateelet oR SaD
8' 8' 8' g� � To instap 9'steel 6�'use 5'fiAer on either side. . \'��1��
8' ep,use 4'filler on eHhe�side. � � //�j� SraKE
Remove both 8'p a neb and 7 p a n e l fa either st e p.
�. � � CCNCi7ETE
6' 8, 6, 20' a 40' RECTANGLE � a�oEa�iN nn
e' g. ' , j
�!r
14 -8' PANELS TY P E IIL \�qp,�Tqg�E 7Utx�8UCJCLE BctnCE
2-4' PANELS
8' 44'-9" g� 5• 12-BRACES
g' 8' I -CORNER ASSEMBLY SET
I -20 x 40 COPING STRAIGHT SET 6'R STERLII��G Fort Wayne Pools, �(1C.
6• 4 6. 6 I -90' COPING CORNER SET P�LS 510 Sumpter Drive
4� �, I -STEEL HARDWARE KIT Fort Wayne, IN 46804
8, 8. 8, 8. 8. I -VINYI UNER o� ��E ��c�E;r , �� •�
Dra.hg r Date:
STR-001 February 1991
Stael Crm Instalatlon• �gy�
7o install 6'ateel step,use 8'fitler on eithei sde. 1.A1 vertlal 6mensma ue tan Ilner �•' � '
To inscau s•stee�step,uae s'tiueron eitner sde. atudonsonau � N/A Rectangies, 6" radius corner
Remove both 8'panek and 4'panel 1or either step. ���; �
1.Sal b Iw�rtanimun peaMg ta�oN of THIS BROCHURE IS FOfi ILIUSTRATIVE PURPOSES ONLY
2000 P.SF. ThemuuhcUrs makesoriy Oiaerepresenratloncrrhidi aesn�0 ini�awritten wxrarxy.
2 Lxare kp of pod at leaei 6'riae MY aha repreeerwe«rs,wumaas.a cmaacrs maee b�e�e dederkonraaa b ne
�p�y y��,y�� aeamer tegudng arry matarials produced by die maufacsrer xe attibuude b M
- . �. Exavalon sAaq be 7larger Nan pod al dealer aidAx anaaaar mly.The deatar a oontaaa who se{Is a Inahils your pool is an
rand. FRwidsunderbasedpandsand �^dePerMentcantrxtaanCrotanagentaempoyeedCiemarutacunr.Theaanstruc0ai
hmp wa�. metliods i�soated xsauqgesoms aW appy my b namal gaund can6ima There may
�.BaticNr9�ranaxpantivemuerlal. be add�knal precau6ms anda meihods ot crosvuccm. Tne�espanadiry is�e
wntraaars
DATE TIME J
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO..��� ���� COMPLETED � -
ADDRESS j/�tCJ G�1 r�Q rz GL` .
OWNER TELEPHONE NO.
CONTRACTOR ��icrl�sf�.c¢ /Yo Nt-�s L�'C •,
�: DESCRIPTION �—��
� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�,�F1NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. '
�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL '
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ',
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
o� _
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C7 '
W ❑WORK SArISFACTORY:PROCEED ���n�cr T COMPLETE
� ❑CORRECT WORK 8 PROCEED J I�UE CERTIFICATE OF OCCUPANCY
� U CORREGT WORK,CACL FOR REINSPECTION TEMPORARY ,
V �BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
_ INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP OFiDER POSTED.CALL INSPECTOR
❑ INSPECTION FEQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
� -
Inspector. �r�-� '
W te Copyllnspector's File Cenary CopylSite Notice
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LEGfiL DESCRIPTION OF PREMISES :
�� .
Lot 5 , Block 1 , WILDHURST WOODS
o : denotes iron marker
i
------ 9�7---- : denotes existing contour line , mean sea le�
9�� : �� ,or a,�df e�L i•
B�a- ings shown are based upon an assumed datum.
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L r ��
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