HomeMy WebLinkAbout1991-003794 - pool PERMIT
, LITY OF ORONO ,� PERMIT TYPE: tt
1335 Brown Rd. South • P.O. Box 66 ���}�:���r��
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: �-�`f�������
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY: _
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APPLICANT�P MITEE SIGNATURE ISSUED BY:SIGNATURE C��au.,
CITY OF O ONO - BOILDING PERMIT APPLICATION
.Total Fee: $ - �� Date Received: ��� /� / /
Date Approved: 7��- �l �
Entered By: a
Permit#: �� l �
ALL INFORMATION MDST BE SIIBMITTED IN FOLL BEFORE PLAN REVI�W ieIILL B$ STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER o CONTRACTOR
.�-
JOB SITS ADDRESS: 02� G�- (i� �t`r' ZIP: �S � � �_
C (work)�.�.�'/S/�
NAM$ OF OWNER: L-}� �" � �'G... �\ �v�C��C�\� Z PHONE: (home) '
MAIZING ADDRESS: � 7 ` uti`8.-�J �v��ITY: �(ZO�C� ZIP: �
- �
CONTRACTOR:� � "{" l S I/� PHONE: g�� ^.��C�
� / � ,,f �i t�
'MAILING ADDRESS: I��I v �xC��(S�D'� ��C%CITY: �' K r'��ZIP: �7� /
TYPE OF WORR: New DO� Addition Accessory Structure Move
Demo teration Renovate Land Alteration
� � o�C7x �f� �
PROPOSED WORR (describe in detail) : � ✓`. � �J'O J -
�c.c> � v�. �. .
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. .
$STIMATSD CONSTROCTION VALIIATION (escluding land) : $ �v W `�.
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 t City and with the State Building Code; that I
understand this is not a erm' t and work is not to start without a permit; and
that the work will be in cco dance ith the approved plan.
APPLICANT'S SIG1�A1'ORS: �d`�` ( I DATE: � � � / ���
� �
' CHECR OFF LIST FOR ISSIIANCE OF P$RMITS
FOR OFFICE USE ONLY
ADDRBSS OR LEGAL: ��� LJ�'1�,/1 C'�c,c.1 ���(���PID: �� � ` /��"�� c�-� OG U�
V
DESCRIPTION OF WORR: �CJ � I -
-----------------------------------------------------..
-------------------,-p-n- �
ZONING REVIEW BY: c�"�,KD DATE APPROVED: � - ( - � i
BDILDING REVIEW BY: � ,Q� (�-.,.____ DATE APPROVED: ")- (—r't 1
FEES TO BE CHARGSD: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes�'No SEWER CONNECTION
STATE SURCHARGE Yes�� No �WATER CONNECTION
INVESTIGATION FEE Yes No .✓'� � PARK FEE
SAC Yes No [/� SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: ��"� �
Fire Department: L.(.,_.- Post Office: School District: DlLp,�
Lot Area: Width:. Depth:
Survey Submitted: Yes� No Date of Survey: �, - ?�- �
Proposed Setbacks : �
Front (Lake) : I% ;� Right Side: ( 0 5 �
Rear (Street) : $O�-� Left Side: (D� #
Adjacent Structures : 1� � Wetland: /1��/4
Building Height: Def. Hgt. N�l�" Peak Hgt. Il�`�Q
Avg. Setback: N�' _ Lot Coverage: /V l R-
Existing Proposed
Hardcover: 0-75 ' -
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File:# Resolution # : Resolution Date:
R$MARKS (in house) : _
_ _ _ . + . �
BDILDING REVIEW CHECR LIST '
IIBC: �� f�-� CONSTRIICTION TYPE: ���-
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage X -
x =
TOTAL
c
Bstimated Construction Value: $ � �i ��d �
Inspections Required: Work Requiring Separate Permi.ts:
Site Plumbing Grading/Filling
J� Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
p�sFinal (Mfg. ) Well State Permit
Other Electrical (State Permit)
----------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
--------------------------------------------------------------------------
R$MARRS (TO B$ NOTSD ON PERMIT) :
.
�
C ITY of ORON�
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
s - � � On the North Shore of Lake Minnetonka
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
Iicense 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. 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 3icense.
3. The information may be shared with other Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 to review pri�ate
data on yourself.
6. Your full name is required to process this application or
permit.
E�7�� �(�� � l�-S �" `�j �..._ l/�.L° _
First Middle Last .
/ 3� �v �kc��(�., �as— � c�
Address
�1 �,�� �''�1 nJ �S �`�{ �
Cit State Zip
3 -� .�o
Phone
I u ers nd my igh as stated above.
- ��� �
Sig ature .
BUILDING 8c ZONINC—473•7357 • ADMIIVISTRATION�c FINAIYCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� l
�.p,� RIGHTS OF SIIBJECTS OF DATA �
gubdivision L Tppe of data- The rights of indivfduals on whom the data is
stored or to be stored shall be as set forth in this section.
gubd. Z. Information required
to be gi�en in�i��• An.individual asked to
' su ly private or confidentiel data concerning himself shall be informes ate aae�,
PP
purpose and intended use of the requested �b�whether hee ma�refuse or is legally
political subdivision, or statewide system;
the requested date; (c) anY kr►own consequence arising from his
required to supply rivate or confidential data, and (d) the identity of
supplying or refusing to supply P StBte or federal law to rice�Ve�g�ve dats,
other persons or entities authorized by
requirement shall not apply when an individual is asked to supp y
pursuant to section 13.82, subdivision b, to a law enforcement officer.
The commissioner of revenue ma lert taX re°una u structio�nsteadhos
subdivision in the individuel income tax or r•
on those orms. . - -- - � .
� A�� tp �� � ����, IIpon request to a responsible
Subd. 3.
authority, an individuel shall be informed�whe b�C'hpr vateeor confidential.e UPon his
individuels, and whether it is elassified p ublic data on
further request, an inaividuel who is �e s�b�ect of st to�mri����e desires, shall
individuels shau be sh°wn the date withou�f anh t�� �ter an individual h�s been
�e informed of the content and meaning t� �ta need not be disclosed io
shown the private data snd informed of its u�e�a��on pursuant to this sectioT�e
him for six months thereafter unless a disp
� ending or additionat data on the indi f�h h�ateeor p blic datarupongrequest by
' p require the
responsible authority shall provide copi�The respcnsible authority may
the individual subject of the �� certif n and compiling the
requesting person to pay the aetual costs of malcing, Yi g�
copies. immediately, if possible, with any request
The responsible authority shell comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complisnce is not
excluding Saturdays, Sundays and legel holidays, ,
ossible. If he cannot comply with the request within that time, he shall so inf�orth the
and may have sn additional five daYs within which to comply
individual, �� �d le al holidays.
request, excluding Saturda S��YS g
Subd. 4. Proced�ae when dsta fs not accurate or complete. � ��,ns�. To
contest the accuracy or comQleteness�of public or private data concerning
in writing the resp��i�e authority
exercise this right, an individusl shall notify �ible authority shall within 30
describing the nature of the disagreement. 'i'he TesP° lete and attempt to
days either: (a) correct the data found to be inaecurate or incomp
notify past recipients of inaccurate or incomp�t�beI e esdthe datalto be correct
the individuel3 or (b) notify the in�vidual eement is
Date in dispute shall be disclosed only if the individual's statement of disagr
• included with the disclosed data. � BPPe�e� pursuant to the
' The determination of the responsible authority m o contested cases.
provisions of the administrative procedure act relating
' IDEI�TIFICATION Of PREMISES REQUIRfD
� Approved Addresses Shali Be Displayed, �R
ON .
0
CO
t. Plainly Visible And Legib1e From The
PY
L1GHT • . STEP
APPLICATION APPLICATION B � A--�
8' 8' 8' 8'
I6'x 32' RECTANGLE p
4 4 g —7-
j 8• 8• 12-e' PANELS TYPE II L
' S-BRACES
t 8. 35'-9" g• g� I -CORNER ASSEMBLY SET
� I -16 x32 COPING STRAIGHT SET 6"R
j g• 8' 5 I -90° COPING CORNER SET _
i I -STEEL HARDWARE KIT E F--�-G H J K-+-� J
4. 4•
` I -VINYI. LINER
g' g' 8' 8' stee�steo�nstallauQa S I Z E A B C D E F G H J K L
� o instalf 6'stT use 4'filler on either side.
Toinslall8'steelstep.use3;idieronetlherside. I6� % 32� 16� 32' e' 3'4" 8� 14� �J'6�� 4'6" 4�6" 7� 4�8"
i 2• 8• 8� 8� 8� Remove both B'panels for either step.
16' x 34' RECTANGLE 16' x 34' 16' 34' 8' 3'4" 10' 14' S'6" 4'6" 4'6" 7' 4'8"
' - 18'x 36' 18' 36' 8' 3'4" 12' 14 5'6• 4'6" 4'6" 9' 4'8"
' 4' 4 5� 12-8' PANELS 7ypE ]j, + 20'x 40' 20' 40' 8'6" 3'4" 13'-6 15=6 �' 4' 6' 8' S'2"
8' 8'
2- 2' PANELS
, g� 37'-7" g� 6� 10-BRACES F---- o -{
1 -CORNER ASSEMBLY SET � � uwu cu. I
8' 8' i -18 x 36 COPING STRAIGHT SET 6"R -8-`�--- -�
�,. I
4' 4' S� � -90° COPING CORNER SET �
I -STEEL HARDWARE KIT � �M�
2' 8' 9' 8' 8' � -VINYL LINER •
'� • ��.,
4' 8' 8' 8' 8' nua I
18'x 36' RECTANGLE `°""`"' ��
� �
5, 8' � 8' S, 6� 12-8' PANELS TYPE 7I I T EFMICULrt[
a�su10 '
2-4' PANELS °""c`s �i1 /c.
ar�K[
conce[r[
40�-.,3" 8. f>,'L—2' PANELS rr>ic�� cwxce ux+eir s°oior�nw.
8� 12-BRACES
8' 8 I -CORNER ASSEMBLY SET ��^'� �°n': -
i.u�vcniK.�oi�c�snra uc .�or urt� �
s
g• I -18 x 36 COPING STRAIGHT SET 6"R E�*"�"�""k����• �D�WTUIE en�cc
5' S I -90° COPING CORNER SET
2� 2� I -STEEL HARDWARE KIT
S�eIS(p,p�p5��ypp�,4 8 8 8 8� I -ViNYL LINER EMUV�TIOM�,E.:
oTlnstal S�fbr eeTstep,use 5'fill on either side.To install B' � �----����_` i,soa�o�•v[ i�iwuw ec.u�we c�r�<rtr
8' 8� 8� 8� 8� :.ioc�*�ran�or voo��t LE�iT v ueovc
wwanwnc�u�o c�cvnon. 510 SUMPTER ORIVE FORT WRYNf. IMDIANA.
�' p.crc�vriow sw�i�c z'�ua[�T,uH roa
20' x 40' RECTANGLE :��.°:MD T�YY«�."M0`"'"�`°` 0680�,U.S.11. 219�32�731
6' 8, 8, 6' 6� �.euenu Wi�e Ndl-[XNMfIV[ r�r�eu�. on�wiNenuMecw su�e ortww�T�'
14 -8' PANELS TYPE � � � TY � � ��-)
2-4' PANELS �Ro�co.v
e, 44,_9. 8- 6• 12-BRACES BUILDING P�RMiT PLAN "`
8, 8' I -CORNER ASSEMBLY SET RE'"ANGLE
I —ZOX4O COPING Sj���j��� �ISFORIllUSTNATIVEVURPOSESONLY
6� I —90° COPING CORN�EyRp r$ET T�e manu�acNro�makes onM t�ose ..:.�esamaeone wnKn a�a swsa m
6 4' 4' 6, I —STEEL HARDWARt—KIT� �_'_�(� �r AERMIT w��en r�mr yomerrew'�•-'ano�s.stuements.orconvacu
'� maAe y e ea an0 ar t�e cont-acwr�o�M cue�ome�reya�0�nq eny
I —VINYL LINER �"'qppfi�VEfJ A5 SUBMIFTED matenalsproOuceEDyt�emanulacnr�-_n^aa`W�aDbtolMEealaranM
g� 8, 8� 8� 8� g��p5��y�q�y j o�me comraaar onN.7ne aeaiar o�:.. a o wno sens or msuus your
T�� ( a Apf`f{�Y�V V°ri7H CORRECTtONS A �y��epen0em conlncta a�,;��cu n agem or e 99 yes ol m�
o mstal 6's[ee ste,use 6'fillef on either Side. I r.Ths cone�mceon me�r:;as.�,usva�ea are su estans ana
To insull B'steel step,use 5'filler on either side. ��pQ4(Q"�7�y�normai gra,na conaroo�s rne�e may o�.aaroo�,i p��,u�
Removeboth8'panBisand4'penelforeilhBrstep. �� NO7 APPROVFD -- CORRECT & RE L�161fPIWbmemoEaolconaima�on*�..aspom�metyumeconvanon.
NQfF.These tlig tlimensions comply with the National Spa and Pool Institute suggested minimur�Stl�k��i�s7�Jt�lidA(�s.Ql'�i�Q(oa)bDUfslil�tSiV�dNtiE4�1� 1��� WO� shall be don{
with ihese Dools please consult the manufacNrer's instmctions and ihe Nat�onal SDa 8 Pqpt,lnKjt�'�1�s u ��ir1it911in4Q1Y�AYY14fo�}�jQ9y�y��� � n'� �� n�
on these pools.Por information conceminq NSPI minimum standards,write:National Spa d P6af Iq411Nt4 d�i n aAOfh,�p3Q31d'�71�8QOG1'�'^
pu�rements Intluding term nnt �aII�GM�y np4d thi�"f�/Iflfi�
K�� �rs �,n s� � s�6�'c �.
� DAT ^ nTIM�
CITY OF ORONO CALLED IN � �( � ��
INSPECTION NOTI � SCHEDULED �- Ic�- �'i 1 LL'�?�^-�
PERMIT N0. OMPLETED G,( �_
ADDRESS �� � �
OWNER �K �N'' CONTR. �
TELEPHONE NO. ��3" 3 O I�
�
� ION
01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAI 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 18 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PHOCRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FiNAL 23 SEPTIC FINAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PHOCEED ❑ PROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner! site:
Inspector:
White Copyflns Flls Canary CopylSiM NoUce
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