HomeMy WebLinkAbout1999-011973 - pool PERMIT
• �I�Y OF ORONO PERMIT TYPE:
750 Kelley Parkway - P.O. Box 66 - -
rystal Bay, Minnesota 55323 Permit Number:
512) 249-4600
Date Issued:
._ ADDRESS:
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APF LICAN i PF.R ITEE SIGN TURE ISSUED BY:SIGNATURE
� ' �
Total Fee: $ � `��' ���� Date Received: i"� -S
Entered By: ��-- Permit#: �'�
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
--------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER TRACTO
JOB SITE ADDRESS: �-�3 S �✓y��u� Zn'; ss 39 1
NA1�IE OF OWNER: ���� L����'�'��� PHONE: (home) �f��" 000`�
(work)
MAILING ADDRESS: 353 S `t�y ���"� CITY: �f�o� ZIP: S3 �
CONTRACTOR: ���/fN�r� Po�(J T SP� PHONE: Gl.? S�-Z-qO�9
CONTACT PERSON: !��✓ /��!/M�f�lg!�/`Z MOBILE/PAGER: 759-900�
MAILING ADDRESS: ,3`��5 r�l�y /69 N�' CITY: /f�l'�^o�� ZIP: SSS�S��
STATE LICENSE: # 5�/O
ARCHTTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: -��^���'Di^� �� x36� v�"'�'� Gi^"�'� /�°'°C.
STORIES: SQ. FEET OF EACH FLOOR: �S�S�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a�. � m• �
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 accorda ith the approved plan.
APPLICANT'S SIGNAT DA'TE: ��- ��9
NOTE! Parade of Homes events require separ permit approval by Police Department and
City Council 60 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 ot to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to suppty 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,polirical 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 suppty private or confidenaal data;and(d)the identity of other persons or entides 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 mav nlace the notice reauired under this subdivision in the individual income tax or oronertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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 meaning 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 thereafrer uriless 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 authoriry may require the requesting person to pay the actual costs of making,ceRifying,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 time, 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 narure of the
disagreement. The responsible authoriry shall within 30 days either. (a)correct 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 tl�at he believes the data
ro 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 authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested 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 �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. 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 permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
Lo..� �Av�O ���/M c��c/�
First Middle Last
3�oS /�wy /Gg �o
Address �� ��!/! I �/� ��_ p0�
, ��y,�„��rN � �- ,
C��y State Zip Phone
I understand my right stated above.
��✓lJ..�Gv/µrw��r`C
Signature
6
f '
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 35 35 s�c V P cA C�
PID:
DESCRIPTION OF WORK; , d o t
------_--_ ------- - -_---------_____---__�--�_----------------------------------
ZONI�i iG REVIEW BY: � � DATE APPROVED: t 0 - 44 -�i g
BUII.DING REVIEW BY: DATE APPROVED: ��-$-S q
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c� No
PLAN REVIEW Yes �- No SEWER COrfNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECS LIST zoning District: G�• JG
Fire Department: W(,b�NQ Post O�ce: W q.��� School District: p2cnrn
Lot Area: Sq.ft. v �/rNv Acres Width Depth
Survey Submitted: Yes o�. No Date of Survey: pK �1'� � I 2•��-��{
� Proposed Setbacks:
Front (Lake): 7 5�' '�' Right Side: '7 3� +
Rear(Street): Z.2b� � Left Side: I(` r
Adjacent Structures: �5 � �- Wedand: N//�
Building Height: Def. Hgt. N /�'�- Peak Hgt. —
Lot Coverage: 0. ��
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: N �/}. By:
Zoning File: # — Resolution: # -- Resolution Date:
Shoreland District: y P7
Avg. Setback. (9•K- Bluff Setback: ^J(/.l- LotCoverage: D.jC
Eusting Proposed
Hazdcover: 0-75'
75-250' �.��
. 250-500'
500-1000'
Hazdcover Vaziance Required: Yes No r� Date of Council Approval:
REMARKS(in house):
7
. �
BiJILDING REVIEW CHECK LIST �
UBC: � I•C�,�- CONSTRUCTION TYPE: � N��
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor z =
Garage x =
x =
TOTAL
Estimated Construction Value: S ?�,o 0 0`�
Inspections Required: Work Requir�g Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
p� Footing Sepuc Sewer Connection
Framing , Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg_) Well (State Pemut)
o�Final GradinglF'illing �o_Elecuical (State Permit)
Other
REMARI�S(IN HOUSE): �
REVIEW BY OTHERS: DATE:
Access: Eusting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMII�:
8
; ''► MEMBER
D O L P H I N P O O L & S P A ��
p 3405 Highway 169 North, Plymouth, MN 55441 U - U
office (612)542-9000, fax (612)542-9002 �
NATIONAL
Minnesota Contractors License#5310 sv�a voo�
iNsriTue
CUSTOMER BRENT & EMILY LINDGREN DATE 09/13/99
ADDRESS_ 3535 IVY PLACE
CITY_ ORONO STATE I!N ZIP 55391
PHONE � HOME 471-0009 OFFICE
SALESMAN_ CORRIE SUBMITTGD BY LOH
POOL DATA
POOL SIZE 18'X 36' POOL SHAPE RECTANGLE 900
STEP AND LOCATION LEFT INSIDE CORHER
CAPACITY 25. 000 GALS. TURNOVBR RATL g HRS
PERIMETER 108 LIN. FT. RATE OF FLOW 53 GPM
SURFACE AREA 648 SQ. FT. MANIF'OLD & SIZE 3 VALVE � 1/2"
CONSTRUCTION EQUIPMENT
PANELS IMPERIAL 800 SERIES
LINER VICTORIAN TILE/BLUE MIRAG
COPING SENTRY
BOTTOM MATLRIAL VERMICULITE
DECK BRACES YES
OTHER
FILTERATION CQUIPMLNT
PUMP 1 HP HAYWARD
FILTER S-210S HAYWARD
HEATER 250. 000 BTU HAYWARD
SKIMMERS TWO
INLETS THREE
AUTO CLEANER FITTING ONE
MAIN DRAIN OHE ANTI-VORTEX
OTHER NATURE II
DECK LQUIPMENT
DIVING BOARD 606F S R. SMITH SPRIHG
SLIDB NOHE
LADDER OHE THREE STEP W/HIN E
HANDRAIL OHE
ANCHOR CUPS & ESCUT. FO R
LIGHT & DECK BOX 2004 W/OHE EHS
OTHER
MAINTENANCE EQUIPMENT
AUTO CLBANER PO ARTS 280
SOLAR COVER HoxF
SOLAR REEL _TCHT g iiF e►iiTnr.nv�R
WINTER COVER AA IAMATT . IND .RTRAf:K
CHCMICAL KIT ATa-r,�iARn
MAINTGNANCE KIT YFG
VACUUM HOSE & POLE vFa
OTHER
ELECTRICAL uv n•ry��gg GAS LINB n��T�;g}�
FENCING av�u�Ac WALL WORK � �vrs�
DECK WORK go�,rr cn r�r Qon�T�,p��,g,ur
LIST CHECKED BY F'OREMAN
.` '�'
18' x 36' Recta.ngle
8�
6 srEp 2
UNIT
4 8 8 8 8
— f
5 4 5
8 � a
8� t �
LIGHT 18 8�
PANEL 2 10' �,3„ 2 UNIT
OPTION � /
i
8 �� 8
5 q.� 5
�
4 8 8 8 8
I� 36�
� 3'4'o-aoo�o-
8, WATER DEPTH MUST BE �
MINIMUM T 6"
� I ��� 2"MINIMUM
� PREPARED BOTTOM
TYPICAL CORNER
�— 4'—��-- 6' �• 14' —��--- 12' —� RECTANGULAR
FILLER 05�80
PACER
RADIUS�
FILLER 05181
NOTE:On pools with a thermoplas#ic step,an
A-frame is required on each side of step unit, 18 X 36
,. s��a�af«���o�ry,m,�w�,��� COPING LAYOUT 18 x 3 w/Cen er Stair
"b`""m'°'�'mda•6"°`b""""�op��i"d�, . ` ' �2 �2 a 18 x 36 w/Side Stairs
2 Bacicfllwithclaoeanh.froedrooumdddxis.DouasUawthehag4tofb�cld'�D :
'°�°eedt��"°�'���°������"�w���� DESCRIPTION PART#
br��b". g 4-RADIUS CRN. 8 9 7 7 8'PLAIN PANEL 05102
3. Pom]S00 PS.I.co�de footing amood e�one pai�;'mioim�g�hep, 5-12'SECTIONS
a. 3'"''ee°°°°ereext�mbepomee•t�t3^��=�,��µ"�p+a+y� 1 1 8'SKIMMER PANEL 051
,n�yod: ; , , . 6 4-8'SECTIONS 6 2 2 2 8'RETURN PANEL
s. r�nianea bouuom is ro be 2^mm�ot wiuble materla�or undiW.tied wa�.. .
6: A sefay lme,wi�h bwyc,is to be pamaoeatly atmcLed 1'o-w m��n.no.,�iae ot 1 6'PLAIN PANEL 1
d�e point ots�st alope changa. 12 1 8 Q 5'PLAIN PANEL 05118
7. Copiog:copmBlmSf�+R appmximate.�ts msy 6e needed oa maight ee�
fo��e,.ru,R,a;�,��Z�x2•. 2 2 2 4'PLAIN PANEL
s. c�o.n�a,�m�: �m.�.oa��r«�.� ADJUSTABLE A-FRAME
w�r�+ 3'PLAIN PANEL
°dy�1�a��a�d p��y���Y�o°�Y�°°°d°°�h°°e' Z 1 3 2'PLAIN PANEL 05129
lhia ic m 6e detumincdby md is the�'bilitr of�he�rw6o it oot�o aaeatdthe
ro.aor.��m��m�. 1'PLAIN PANEL
9. t"�ta°,ao"ia w ix a�e m axo,a+°a"�u'"u reaaal�"u�e.,m ioai bo�ng 12 2 13 A-FRAME
ood"'"`VOIleSN��i'°��' 4 4 4 RECTANGULAR FILLER
SAFETYNOTE 4 4 4 RADIUS FILLER 05181
Poot boanm o�figurati�s are for iuuscative�Pu�poses on1Y.'!be c�figu-��� a^M�M. GRECIAN FILLER
ra6on shown conforms with current Ns.Pd sug�esced minimum standards ; �P.s.�. � 1 1 1 NUT&BOLT PAK 0 201
for�oois aQpqoved fa osc with manufacwrcd dtving equipmeaL If diving ' CONCRETE
eqmpat�ent�smstalled,followtheequipmwtmaaufachua•sinstsllation,use FooT�NG . • 1 1 1 RADIUS CORNER COPtNG PAK
��`Ty.1DS0"1hO18' � 1 1 1 STRAIGHTCOPING PAK
Diving Permitted � 2'6" �
only from desi�nated diving area. OVERDIG
Per.108' Sq. Ft.648 Gallons 27537
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� MEMBER
i� � D O L P H I N P O O L & S P A (n1
�,j 3405 Highway 169 North, Plymouth, MN 55441 � v �
office (612 ) 542-9000, fax (612 ) 542-9001 �
Minnesota Contractors License#5310 SPA 6 Poo�
INSTIiUE
CUSTOMER BRENT & EMILY LINDGREN DATE�����g�
ADDRESS 3�,Z3�VY PLACE __
CITY _ ORONO S'�ATE j�j3_ ZiP 55391
PHONE #�HOME 471-0009 OFFICE
SAL�SMAN CORRIE SUBMITTED BY L.pH
POOL DATA
POOL SIZE 18'X 36' �v POOL SHAPE RECTAAIGLE 900
STEP AND LOCATION � INSIDE CORNER
CAPACITY 25. Q►00 GALS. TURNOVER RATE 8 HRS
PERIMETER 10fi LIN. FT. RATE OF' FLOW 53 GPM
SURFACE AREA 648 SQ. FT. MANIFOLD & SIZE ;�VALVE 1 1/2"
CONSTRUCTION EQUIPMENT
PANELS � IMPERIAL 800 SERIES
LINER VICTORIAH TILE/BLUE MIRAG
COPING SENTRY
BOTTOM MATERIAL VERMICULITE
DECK BRACES YES
OTHER
FILTERATION EQUIPMENT
PUMP 1 HP HAYWARD
E'ILTER 5-210S HAXWARD
HEATER 250. 000 BTU HAYWARD
SKIMMERS Tk'0
INLETS THREE
AUTO CLEANER FITTING OHE
MAIN DRAIN ONE ANTI-VORTEX
OTHER NATURE II
DECK EQUIPMENT
DIVING BOARD 606F S. �i. SMITH SPRIHG
SLIDF NONE
LADDER ONE THRE�T�'x�' /y�,�HINGE
HANDRAIL ONE
ANCHOR CUPS & ESCUT. FOUR
i,ivriT & L'�i's� S^vX �+?t�i� i4`i�srE L:i1S
OTHER
MAIN�'ENANCE EQUIPMENT
AUTO CLEANER AOLARIS 280
SOLAR COVER NOHE
SOLAR REEL LICNT BL.IIR AlITC1rf1VF.R
WINTER COVER ABUAMATIC IINnF.RTRAC'K
CHEMICAL KIT gTp- , IARn
MAINTENANCE KIT YF,g
VACUUM HOSE & POLE v��
OTtiER
ELECTRICAL gy �THEl3S GAS LINE n��y�����
FENCING gy OTHEl2S WALL WORK �� &.���n�
DECK WC�RK gr�r�-S�.-��. 8 ^*" -F��i��—
LTST CHECKELi BY FOREMAN
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