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HomeMy WebLinkAbout1995-007268 - above ground pool PERMIT fi CITY OF ORONO � PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - - � .� Crystal Bay, Minnesota 55323 Permit Number: � (612) 473-7357 Date Issued: SITE ADDRESS: _.._-. - -"t: . -- . _ __ _ _.: .-:: �..: ; _:.. .: : : . _ ,�_:� DESCRIPTION: _ _ . ._. _� ,_.. : - .:_.-:_�>:�- �-,.;; :�;;,,:�: �.::�..i.. . _. --- --. _. . .... � , .. �;.: _ . , _ _. _ .. .. .. .. _. ,_ . _. .. . . i Y�'�C. _. '—j"1_"�_• _ ~i t•t' _ f l;�''_' _.. . .. . . . . _ __���ti _+_i_,i'i`-� „ _:i'i:; _ u�t,= - —,�i,,'— ::�=��1'•_1'i;� ._� ."�`_ ',i' " »,^:s; L'J. ! i.J!`.Vi[L' ---r-;-C .L 1 !�:•_ l.i•-!�S L:L t�:�•i f�'. 1�'1 L'1 i'`.::li`.•' . • rr i�� •`fj !�T z•' p=L.'i+' iA'• 1�.�..%!.i .v. - . '_ii Ci� i�''. '�l� ':'i..'sr:.' '" " i:'l:i .. i,:r..�.i i:'i.��i.�. .. �`.;t j ;r REMARKS: _ ' _ . �_ _ _ _ . , __ . � . FEE SUMMARY: . . ,._:`i"i--_:_3;`.' �•::� �t;��!_i �W.�?_ .__ `t I' , .'`? -�F.•..i�t ..`iri�i ��: . _= , =- —l ' :r�:V��:��.:� =.F '`�—, —'�'�— � _ .__�_�_-- —_ •— — -y�'.:� — =:`� CONTRACTOR: OWNER: - ''r��-°�. = =: - �-� — - - . . . _� � i�;:=-,�•:;����_ _ - -t; ;��, _ _ _„�}_ _ . . . ._ .�:,a _ ... _ : .. , . ----- � - - �,.� � � :;_:.,:.• .; t � r � r . . -:��- , __. : . :,._ ..'. .�:.�k�..... ._i�. .»._.� . .....:tL�t.i i i __ �_ .. ._? ' ...: . ._. .. ._ ._ ,. _ _ . i��'� . .. .i ...... . . ..... � .... �rs, .c... . ... .... . . _ ..:.,- . .: _ .. r� .:"•. r : .. � �.. . 2 .�. ' {_ . . ..�� _. _ _.: _.:.._��.. ". .. ;...:__. ._.._...�. . . _: ... �..�.� . .�.__ .:'_ .'.'•. ._ . _. . . ._ .. . . _.� . .......... ... .. _. . . ....__.. . _. . . ... � . ,. _ . , .x� .e_ . .' .i �, " :; .. ' '...4:�.,4 .�;.i e._. .., ._: .. .. .i_:�.._... �"I.{,... _-. :. .... �'_ ,{.�,i. .. .._._ ._ �. ....{.. .ry..'�.., � ,.. ... , _. ..-. ..._. . . .. . L � (d.�Gc�n APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE - CHECK OFF LIST FOR ISSU'��iCE'OF PERI��IITS FOR OFFICE USE ONLY � ADDRESS OR LEGAL: S 2 �v P��� PID: DESCRIP"TION OF `�'ORK: oo t --------------------------------------- -------------------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: S3�Z 3- �i s� BUII.,DING REVIE`V BY: DATE APPROVED: 8•z3 - yS -------------- -- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes �' No SEWER CONNECTION STAT� SURCHARGE Yes !/ No WATER CONNEC'TION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONI�i 1G CHECK LIST Zoning District: L2-�/L Shoreland District : Fire Department: Po Of ice• i c �District: � � � Lot Area: Sq.ft. Ac �Wi Depth Survey Submitted: Yes � No Date of Survey: �5 '�b'�l S Proposed Setbacks: , Front (Lake): Iv�f�- Right Side: 1 S 5 L. Rear (Street): (5� � Left Side: SS ` N w Adjacent Structures: t y� Wetland: nJ �A Building Height: Def. Hgt. eak Hgt. Avg. Setback: Bluff etbac : Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' /s`'ja Z3`l� Snri.�..�n.c� -�-�.��:" Uo�1 �¢..c.�G 500-1000' Hardcover Variance Required: Yes � No �_ Date of Council Approval: Grading: Staff Approval ate: By: Council Approval Date: i Septic: Staff Approval at : BY� Zoning File: # Resolution: # _ esolution Date: REMARKS (in use). 26 BtiILDI\G REVIE�V CHECK LIST � UBC: �/ (� CONSTRUCTION TYPE: N��- Sq Footage � Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $_��g C�c�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection � Footing Septic Sewer Connection Framing Fireplace Lawn Imgation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) a- Final Grading/Filling pc Electrical (State Permit) Other REMARKS (IN HOUSE): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 27 ' � � Total Fee: � 1 .�L� , �� � DateReceived: DateApproved: Entered Bv: ��,�ti� Permit#: � .�ts �` CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED -------------------------------------------------------------------------------------------------------------------- THE APPLIC�'vT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: � �' � ' ' Z�'� NAlVIE OF OWNER: ' r' t:, ,- ; ' PHONE: (home) (work) ' MAILING ADDRESS: CITY: ' ZIP: CONTRACTOR: PHONE: MOBILE PHONE/PAGER: NIAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHIT'ECT/ENGTi�1EER: PH0�1E: MAILING ADDRESS: CITY: ZIP: ��,�: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSEDWORK(describeindetail): ' � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VAI.UATION(excludingland): $ I hereby apply for a building permit and I acknowledae 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. APPLICANT'S SIGNATURE: DATE: NOTE! Parade of Homes events require separate pernzit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � �—�� O�_, � ' r O 0 -- ciTYo� oRONo ,,, � � �. _ � �„o;�;�o� � �, �-` �' Posc o�Ce sox 66 � ,,'�� _ .,� �j'y Crystal Bay,Minnesota 55323-0066 � j r 't`9kESIIOg'� , : , DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data , we would like to inform vou that your request for a permit or license from the Ciry of Orono or any of iu departments may require you to furnish certain private or confidential uiformation. You are notified that: l. The 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 �ermit or ticense. 3. The information may be shared with other local, state or federal agencies to the extent necessary tu p:ocess the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become puolic. 5. You have certain ri�hts under M.S. 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRIl\"T � �,... `'j;��,z, �. 'c� �. v v�n m �N�� First Middle Last , � �� ..��� �' Address ' �_� �`i I � � 1 nU� 0 �,,j �r���,,�-�-�p ..�''� w City State Zip Phone I understand my rights as stated above. Signature 1'ELEPHONE-473-7357�FaX-473-0510 1� Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subdivision 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 section. Subd. 2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting state agency, political subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may nlace the notice required under this subdivision in the individual income tax or�roverty tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of stored data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an individual 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 meani.ng of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that tune, he shall so inform the individual, and may have an additional 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 notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a) conect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual; or (b) notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. 11 • HARDCOVER CALCULATION WORKS ' SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' - 250-500' S00-1000' � �O�O EXISTING HARDCOVER IN ZONE A. House �"`�� x Z �7 = 1`S �2 3 S.F. Lengch Width x = S.F. R = S.F. x = S.F. B. Garage x = S.F. C. Driveway � � x 3 � _ �/q�_S.F. R = S.F. D. Sidewalk x — S•F' R = S.F. E. Patio/Deck x - = S.F. , R = S.F. r-} 8'i S.F. F. Landscape '3 R � — Underlain .3 x �� _ � S.F. By Plastic � x ) `-I = YZ S.F. Or Fabric � a- � � � 7�� !a- G. Other x = S.F. TOTAL HARDCOVER IN ZONE - 33�7,3 S.F. A TOTAL PROPERTY AREA IN ZONE - a��88 S.F. B A 3��3 - s aa.t %8 R ioo = ,s % PROPOSED HARDCOVER IN ZONE A. House S— � x � � _ �S%3 S.F. Length Width R = S.F. R = S.F. R = S.F. B. Garage x = S.F. C. Driveway l� x 3 � = y9�, S.F. R = S.F. D. Sidewalk x = S.F. R = S.F. E. Patio/Deck x = S.F. R = S.F. F. Landscape � x � 7 = � I S.F. Underlain ,� x � 7 = �/ S.F. By Plastic ? x ! `i = ya S.F. " ,� r- 3e o . Or Fabric A� ,� t.- ��o G. Other ���,�. ,5� z � � _ / 7 `�0 S.F. TOTAL HARDCOVER IN ZONE - 5//3 ' S.F. A TOTAL PROPERTY AREA IN ZONE �'a 9d S.F. B p s� i 3 — s r3�a- ►B� x 100 = ,� % 14 � DATE TIME CITY OF ORONO CALLED IN �' �'/I`S�S INSPECTION NOTICE SCHEDULED 'v- �U �- n•' PERMIT NO.�.-�j� `�,' connP�ETEo �O � � ADDRESS ��� 5 ; -�:� f��_ OWNER � �' ti CONTR. �' TELEPHONE NO. `7� 7� � `�CJ''��� � DESCRIPTION���'`Z� lL� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 T VAL Z 04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGR � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: St�,!' � � � � J O '� a � 0 � w � Q � Z W � W � j d W ��RK SATISFACTORY:PROCEED , PROJECT COMPLETE � CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,,, PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra sit : Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO ��� CALLED IN INSPECTION NOTICE �''� SCHEDULED PERMIT NO. coMP�ETE ADDRESS � S � ` � L � OWNER ONTR. TELEPHONE NO. � DESCRIPTION � �� � �f�- � 01 FOOTING 11 MECHAN AL RI 18 EXCA /GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE AL Z04 WALL BD. 12 WATER HOOK-UP 7 SITE INSPECTIO Q O5 FINAL 14 SEWER HOOK-UP PROGRESS � 07 DEMO-SITE 27 SEPTIC MA�NT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o Q. 5 C.t.� a � � � P� C��, O C�t�� � W � Q � Z W � W � � d � �KSATISFACTORY:PROCEED C PROJECTCOMPLETE W CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE COVERING PERMANENT [] CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILLRETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContrac or sit Inspector. � White Copyllnspector's File Ca�ary CopylSite Notice 583571 • 4 . . .. .. , .. . . .. ��� M � ��A.� ��������� �+�''�S� CERTIFICATE OF SURVEY FOR 13AN � NfARTHA �UNIIVIIIV�� OF LOT 2, BLOCK 1, IVY ESTATES HENNEPIN COUNTY, MINNESOTA 6� �L .L , . s ��o a ���= � _ . .. � � Q'y �y � � �xa � 2 3�� O � R y ,Ly. � gB � \.l .�'• rl �,�e? �s �� a � � � b0 ^�. rc� `� � ,�3 . �`a ,o� '�'o � , � �°'6y ���o G�� �? ^�\Q a�3 ~�� �1, ��' ' 0 � � }' .� ��'L ��x�,'' �G/ ._'� `� , `�O � �/� �n,r„ y � ..\ 00� '����' _ .�� ���o- ►'lJ iTr' SU c,�C_2_ �^�a � . � �`<� ��� .::.__ � ;� "��� tio ry o• - � � �� J��a i b�• �o-5 �hb �j �'Y �� ���;���. . -�,� �.�: � ('""� �� �"���jp�`� t�:,y �'��,,�-.�.�, � V1 �I !� ��_�iY _ _ l:.[�6/�SJ� . � � � v r�-%,��,�-��u��..i.i �n�l �n� , ^g• . �� i�F'F'��flV'�.D 0�`Ji 1��, �':r:'�1i:.���-? `' .� � � ��5��' �"�'�.D - q BY � % �� DA�E---�'�'--'�=�-'_—.�.�-_-_�=-_------_-_-_ , ., ,� _. ., � '•. ' � ... . " ..` . � •' "y" CEGAL""�DESCRIPTION OF PREMTSES SURVEYED : tis8 s3� �� Lot 2 , Block 1 , IVY ESTATES � �� i � �8 'o � � " o : denotes iron marker set • : denotes iron marker found � Bearinys shown are based upon an assumed datum . \ This survey intends to show the boundaries of the above described property , and the location of an existing house thereon . It does not purport to show any other improvements or encroachments . � I hereby certify that this survey ����s prepared b�- me or under my direct super- ��arE 8-16-95 � � ` � � � � vision, and that I am a duly registered Civil Engineer and Land Surveyor under „� the laws of the State of�Minnesota. scA�E J".30, � ' � � , 'F � �. -�> � ��;�_ , �- - - Ivlark S. Gronberg Minnesota Licerise Number 12755 1�B��� 95-290 �-290