HomeMy WebLinkAbout2011-01126 - pool CITY OF ORONO PERMIT NO.: 2011-01126
2750 KELLEY PARKWAY
' ORONO, MN 5535G- DATE ISSUED: 10/10/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3380 GRAHAM HILL RD
P[N : OS-117-23-11-0013
LEGAL DESC : GRAHAM H[LL PRESERVE 2
: LOT 5 BLOCK 2
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL- IN GROUND
ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION : $ 40,000.00
NOTE: SL'PARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE)
YERMIT MAY E3E REQUIRED FOR PATIO/DECKWG ��,
AS-BUILT SURVEY RI:QUIRED PRIOR TO ESCROW RELEASE ��
APPLICANT PERMIT FEE SCHEDULE 574.25
DOLPHIN POOL& SPA, INC.
3405 N HWY 169 STATE SURCHARGE(VALUATION) 20.00
PLYMOUTH, MN 55441- TOTAL 594.25
(612)542-9000
Minnesota State License#: 20266452
OWIYER
RUDOW, DAVID& LESLfE
3380 GRAHAM HILL RD
ORONO, MN 55356-
AGREEMENT AND SWORN STATEMENT
Che work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Quilding Code. 1 his permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions ol�laws and ordinances governing this type ofwork
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible Cor assuring all required inspections are
requested in conformance with the State E3uilding Code.This permit may be
re�oked at any time for d e cause. ,, ,.��-'' �
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Applican �P ite Sig ure Date �� � �
�.�� Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
���/ ��
City of Orono �
Building Permit Application 5q�, �.S d-�
for a Swimming Pool
Mailing Address: •' C��� --(h//��_
��,��. PO Box 66 Permit number:
/ \\� Crystal Bay, MN 55323-0066 Date received: / /
� ` �� - -
�4
� � I� Received by: ���
��� ��`�r�R� �:� �,,i StreetAddress: ��. � �
�, . �ti 2750 Kelley Parkway -��1 C�1 f-�c"'l�J ) Plan review fee: _� 7�- ��
Z.9kEsxOg� Orono, MN 55356
—— Total Fee:
ao //-bllz'1
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: "1�_��� ��i�� ���c /
f�Ge'1/�
CONTRACTOR I APPLICANT INFORMATION:
Name: .(��.�if�� %�C�'� -� ,�5.�i7
State License# ��,���lS,� Expiration Date: �;/-i� -j�
Phone: '7l-� .��"a-�i0�� Fax: '��� S�f._> � �iG��
Address: c./ ,Lo / �' Cit : ��� a�>c���% ZIP: G��Yv�i
Contact Person: / .c��,� ContacYs phone number
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER�sORMATION:
Name: �✓/�U�r1c� � .D��'ii4 �c��o�v
Phone (day): 9 --�jy - 4�
Mailing Address: �3�G �.���ifr�c � �� ZIP:
Email and/or Fax
ENGINEER INFORMATION:
Name:
Phone:
Address: City: ZIP:
Email Fax:
PROJECT INFORMATION:
1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 6. Sewage Disposal 8�
Water Supply
r-�U X ��J feet "�ingle Family ❑ Above ground
� ❑ Public Sewer
2. Heated? ❑ Multiple Family/Condo �'In-ground
�yes ❑ no � Public �.�rivate Sewer
❑ Other(specify)
3. Excavated materials will be: ❑ Commercial ❑ Public Water
[�removed from site ❑ Industrial 6. Retaining Walls? �Private Well
�❑ used on site ❑ Other: (specify)
❑ yes �ho
❑ Other: (specify)
Height
Total Cubic Yards
Estimated Construction Valuation $ 7�f �� ^
Last Updated: 10/28/2010
-7-
REQUIRED SUBMITTALS: �
All of the information must be submitted in order for your application to be processed: •
Not
Enclo d Applicable
❑ Permit Application
❑ Plan Review Fee
❑ Pool Plans
❑ Surve includes radin plan
❑ Hardcover Calculation Worksheets
❑ Erosion Control Plan or cop of MCWD Permit
❑ Septic S stem Certification
❑ Wetland Buffer Improvement Plan
❑ Escrow& Escrow A reement
❑ � ❑ Other
❑ ❑ Other
❑ ❑ Other
❑ �
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Planning&Building Departments;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law.
If you refuse to supply the information,the permit may not be issued.
ApplicanYs Signature: ' l�.� Date: �;�(�`/
Owner's Signature Date:
�� ■
, Pian `Rev�e�v �-h�ckl�i�� f�.r �le� �tru�t�res / �4dditi�n�
�� � r
Address/PID/LegaL ,�,� � � ��� �� � �'c 9 �
Description of work: ���-�
S�e #ic review� : '
P Y � Date Approved: � � ��- �/
Zoning review�bY� - Date Ap{�roved: `��� � �
„
BuiOding�e�ievrr:bY? ,� � �� Date�4p�rove�f:� R � "� —: i �
E Grading revie�ni.by: `_ � �'� �' Date A��rovecf:' �� � � �
Zoning file#: R�solu�inn#; `Resolu#ion Date:
Zorrin Distcict ���re Departmen� Post Office Schonl District
� � ��`'_
Zor�ing: Lof Acea: � <''. c,\� SF/AC '.. Witith: ��pth:,, .
Survey��ubmitted: � C3�`�es � �0=�10 �� ��� Date�of�Suruey: � �_ �`�- i��i � �
Pro osed S�tbacks:
Front,(Lake) Rear�l� '( N ' S 1�� �� ) `(y�'g, :E �11f ) Oth ildin s �IUetia�d
`4_�ide ;S�de ��� :`
T:;� � ,���
� � � �� � �� � �.� �`,� � � � � � 0��,1� � � � �
.Building,Defined Height: ��� � Building Pea�C Heigtit; #of S#ories Ok?: ❑ YES
FORA..BUtLDING�WITH'ABASE1111£NT-OR:CRAVYL'SPACE: �"QRA`BUIL'DIAI�:ON A°SLA�F011NDATIOAt.
START WITH the distance befween the basementfloor/crawl START ' the distance;between the slab and the highest
_ ` space.floor and the highest roof peak;the�top of WITH roof peak,the top of the.cornice of aflat roof,
�' fhe cornice of a flat ro�fi,the deck;line of a the deck line of a mansard roof,nr�
mansartl roof, orthe uppermost poiat�ri`:a round uppermost point on a roun��t other arch-type
nr o4her arch-t .e roof - roof
SUBTRACT half the distance betuv�en the highest.window and SUBTRACT half ths dis�ance between the highest window
hi hest roof af a. itched roof and l�r hest.roof eak of a' itched roof
'SllBTRACT the dist bEtween the basement floor/crawl ADD e dista�ce be#ween the`slab and the highest
s�e:floor and:the highest existing grede�within ��-'"�� exisfin rade within the foundafion
the fDundation,or 1D fset,wFiicheveris less. EQUALS Defined buildin hei ht
EQUALS Definedbuildin hei ht
%<,-
Lot Co�erage: , `�, i, , SF %
Shoreland'Distr6ct MC.WD Permit`Receive.d �vera e'Laksshore Setback Bluff
� Yes �o � �I/�4 / � Yes - No
� Yes 1�iVo � �'es ❑ No :�N/A _
� Permit Number: Setback:
H�rdcov�rZon�s fxistin Pro osed A/�riance Require� CUP Re uired
D-75 � 'Yes � �No D Yes , No
75-250' � � r-�, �. � Ty�pe(s):� Type(s�:
250-50D� ��i �
500-1000'
REMARKS {in-house):
�:
� Updated: 09/11/20D9
z:lfDrmslplan review checkiisY.docx
Fees to.be Char ed YES 9r�10
�.
Plan Rev.iew y��`: -
�e ��"a""�j ` . . .
�� .
in�esfigation.Fee A {
- ��E��.���,.��� .
Sewer C.onnection - �
€ �
�ark Fee ,
�� ,� �':..� :
,. ,_
�tiher(���������k � - �.
' - �t `�°3 k� t � y�+��1r ��3�q�.�.' r,.F'��•y,� t�� -M ai i{�f`,� � $.'`�,,���
. :.�. _'w*.vue»..-r�sr r.z£' -ra.*_.Y�.xs .�'_"'a��n�„����y.��'S�����f��o���� 'S '���r4 HR"��i"'c;�
�R. �:��C[�Ec.��., �-1�� =a :_ �
,', w__ �
� S uare foota e .� er S uare Foota e
Basement X - $
1st Floor X = $
2"d Floor X = $
�- Garage X = $
Estimated Construction Value: � ° ' ' -
Orono Inspections Required 1Nork Requiring Separate Permits Requireci State Permits
� - � -S'ite ❑ P.,lumbing :� Grading /Filling Q Well
,. �0 Hardcover Removal �=''Mechanical � Fire ;�I Electrical
,,,��Foo.ting D Sepfic � Water Connection
� Poured WaD D Firep{a�e fl Sewer Conne�tion
❑ Faundation Survey � Masonry -:� Lawn lrrigation
�� 0 f2ad�on Rock Sed � fUlfg.
�``
❑ Framing � Other(specify) -
� I ulation
Hs-6uiit Sucvey
s�i" 'nal
❑ Other{specify)
REMARKS (in-house)�
OtherReview: Rev+ewed.by: Date.Approved:
Access:Existing: � YES � NO New: ❑ YES � NO
REI111ARKS TO BE NOTED ON PERMIT AND INITIAtLED BY PERSON PULLING PERMIT)
� "� � �,�.:� T �
� � ��-�- � � r� r��,��� ��c v� � � � ��
Updated: 09/11/20Q9
z:\formslptan reView check(ist.docx
;� °� -
//O O CITY of ORONO
11 Municipal Offices
r� , '� �"�� �., Street Address: Mailing Address:
"�+�� + �" s ,�,�' 2 7 5 0 K e l l e y P a r k w a y P.O. B o x 6 6
�. a�� ',� G ��
,� Orono, MN 55356 Crystal Bay, MN 55323-0066
��kESH��
September28, 2011 � � 'G�l ��
��
Kevin (via facsimile 763- 542-9001)
Dolphin Pool & Spa, Inc.
3405 North Highway 169
Plymouth, MN 55441
Re: 3380 Graham Hill Road
Building Permit Application #2011-01126
The City is in receipt of your pool permit application which was received by this office on
September 27, 2011. Your application is incomplete.
The following items must be submitted or revised in order for your application to be considered
complete and for the plan review to continue:
1. Certificate of Survey. Please provide an updated, full size certificate of survey
meeting the City's survey standards (enclosed) indicating the location of the existing
house and proposed pool (and any proposed grading) as well as all existing structures,
landscaping, retaining walls and hardcover on the property. What appears to be
missing is a proposed patio surrounding the pool or possibly new retaining walls to be
constructed as a result of the pool addition.
2. Escrow & Escrow Agreement. The City still holds an escrow for building permit
#2011-00041. The homeowner must sign the updated escrow agreement, attached, to
include both permit numbers and avoids requesting additional funds for this permit.
The above information is required in order for the plan review to continue. Please feel free to
contact me at 952.249.4620 or by email at cmattson(a�ci.orono.mn.us if you have any
questions.
Sincerely,
CITY OF ORONO
�
W'� 1 r�
nstine attson
Planning Assistant
c David & Janine Rudow (via email)
Lyle Oman, Building Official
enc►osures
Telephone(952) 249-4600 • Fax (952) 249-4616
www.ci.orono.mn.us
�
Christirie Mattson
From: Christine Mattson
Sent: Wednesday, September 28, 2011 3:38 PM
To: 'Janine Rudow'
Subject: Pool Permit
Attachments: admin@ci.orono.mn.us_20110928_153441.pdf
Janie,
The attached letter and supporting documentation was faxed to Kevin at Dolphin Pool & Spa. Let me
know if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physica/addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing address)
`�' 952.249.4620 � 952.249.4616
,� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Friday, November 11, 2011 (Observance of Veterans DayJ
1
. �►_
Confiirmation Report — Memory Send
Time : Sep-28-2011 O1:lOpm
Tel line : +9522494616
Name : CITY OF ORONO
Job number . 553
Date . Sep-28 01 :09pm
To . 7635429001
Document paaes . 004
Start time . Sep-28 01 :09pm
End time . Sep-ZB O1:lOpm
Pages sent . 004
Status . OK
Job number : 553 *** SEND SUCCESSFUL ***
�� ��� CITY of OI�ONO
� Muzaicij.fa7 Ofi-ac�-s
. .�, s� ��
�j ��_ ..�v 3tr¢et Addrosss MoLing Addrnsyc
Y,� � �. � G.�,`<' 2750 Kclley Par3cway P.[')_ Box 66
L g� Orono, MN 55356 Crysial T3ay, MN 55323-0066
gkrs So
Saptemt�er 28, 20'I'1
Kevin (via facsimlls 783- 842-900'I)
�olphln Pool 8 Spa. Inc.
3405 North Highway '169
Plymouth, MN 5544'f
Re: 3380 Oraham Hill Road
BufldinH Parmit Appitcatio� #20'1'1-OH126
The City is in raceipt of your pool permit application whioh was recalvacJ by this offlca on
Saptamber 27, 20�1_ Your applicatlon 7s fn�omplate.
Tha following itams must ba submitted or ravi�ad in order for your applfcatfon to be cons7darad
complgtg and Tor tha plan reviaw to continue�
�. CertiTicate oT Survey- Please provide an updated, full aize certificata of survey
maeting the City's survey standards (Bnclosed) 1ndloating tFie loc:ation of the axisting
Fiousa ancf propos�d pool (and any proposad grading) as welf as all axisiing �tructuras,
lantlscaping, retaining wallg anU hardcover on tF�e property. What appaars to be
missing Is a proposad patio surroundine tl�e pool or posaibly new retaining wall5 to be
constructad as a resuli of tF�a poql addition.
2. Ezorow S Escrow Agraemant_ TFi� City still holds an escrow for builcJing permit
7t20�'1-0004'1. TF�e homeown�r musi sign tha updatgd escrow agraement, attacFied, to
includo both perrnit numbars and avolds raqueating addition�l funtls for this parmit.
Tt�a above informatlon is required in arder for tYie plan raviaw to �ontinue. Please pe�1 f�68 to
contact ma at 962.249.4620 or by amail a2 ��attson[��f_orono rTin"��� Ff you have any
quastlons.
Sincerafy,
CITY OF ORONO
n�a�I Y�M
Planning Assistant
c Oavid 8� Janina Rudow (via amail)
Lyle Oman. Building OfFlcial
anclosures
Talrphonr(952)249-<F400 - Fexx(952) 249-4616
www.ci.oroao.mn.��s
�,,, Stantec Consulting Services Inc.
L,.�', ' 2335 Highway 36 West
v� St. Paul MN 55113
� Tel: (651)636-4600
� Fax (651)636-1311
$�C111�C �Bonestroo
October 6, 2011
Melanie Curtis
Planning &Zoning Coordinator
City of Orono
Post Office Box 66
Crystal Bay, MN 55323
Re: 3380 Graham Hill Road
File No. 139-11000-2
Building Permit No. 2011-01126
Dear Melanie:
We have reviewed the grading plan for a proposed pool at 3380 Graham Hill Road. The plans were received
9-30-11. We have the following comments with regards to engineering matters:
. The grading plan is acceptable from an engineering standpoint.
If you have any questions, please call me at(651) 604-4894 or send an email to
darren.amundsen@stantec.com.
Sincerely,
Stantec
�_�----; ���-��_—
Darren Amundsen
Cc: Christine Mattson
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CITY OF ORONO CALLED IN --��
INSPECTION ICE SCHEDULED /
PERMIT NO. /( (��/Z�co LETED
ADDRESS � � �
OWNER - EP ONE NO.��-3 ��`�` ��
CONTRACTOR V �
>; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE RE�M VAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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DATE TIME J
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Call forthe next inspection- hours in advance. (952� 249-4600
OwnerlContractor on '
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White Copyllnspector's File Canary CopylSite Notice