HomeMy WebLinkAbout2002-P05590 - pool ITY F N PERMIT
�' � �R� � Permit Number:
275n �elley Parkway- PO Box 66 Poss90
C;rystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued: io���2002
SITE ADDRESS: 2685 North Shore Dr
Wayzata,MI�TT 55391
P I D: 09-117-23-42-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residenrial
Perxnit Class: Building Census Code 329
Pemut Type: Accessory Structures Pernut Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate pernuts required: �er-�rooi nouse�uudingj
NOTICES/REMARKS:
.
FEE SUMMARY: Pernut Fee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 254.28
State Surcharge Fee: $ 13.00
TOTAL FEE: $ 658.53
APPLICANT• Designer Pools OWNER: 7ames&Sharon Walker
� PO Box 504 2685 North Shore Dr
Prior Lake,MN 55372 Wayzata MN 55391
Tf�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�.-s -----
�i�/ C��.(' (���YiCt l� �✓
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Auulicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1
A.ua-13-2002 '�0:31am Frcm-CITY OF ORONG +9522484616 T-820 P.00'JG02 F-d48
Total Fee: ��` ��• �3 Date Received: �J'���-_-_�
En�ered By: l � Permit#; �D 5' 7�
�,,i� �� CITY OF 4R0. '4 � �L'TL�1NG PERMIT APPLICATTOIi�T
�� Al1 inf�rmation must be submitted i» full befare plan revievv�wiil be started.
(please print all inforntation)
------......---------------------
THE; APPLICAI'�I`I' IS: (crrcle one) OWNER OR CONT].2ACTO�t
.�OB SITE ADDI�SS: ,��i�5�� ��`��-S�G/'c% ,��" �YP: 5�- �
NAME OF OWNER: �/lL.�`e"r- PT�C}NE: (home)
� (�vork)
1VL4II.L�TG ADDRESS. r?��/�5/�/�rf/� .s%I�rG/-�i'CYTY: O!'Oh1 .��,_ ►�_ZII": •—s,3 9"
corr�ac���t: � +e� P"oo��yl�/ss�,� ..Ze«PH�NE: �.5��-_��/�-1d0�'�`
COI�TACT PER50�: — � i'a� M�B1L�+/PAGER: —
M.diYI.�NG AA1�IR�SS:/G�yD u��./�_nt r- �i/a 5�f;I`I`�': /'�dr /.e�- e ZTP:�SS�7Z
STATE LIC�:'�SE: #�--� _ _ n
.�RCT�'!'T�CT/ENGYNEER: P1I�1�'E: —
MAII.�1G ADDkESS; _ CiTY: Z�': �
NA1��E: �_ REGI�STI2ATIQN!/ ,�
T'YPE OF WC1RK: Nerrr � Addition Accessory Stnietu�•e
Move RemodellAlteration Land Alteration�__
!y'�2QPOSED'�'VORK (describe in detczi�: �`�' 3�� :�t�i�? _��t� � ��'
�� �/
STORYES: SQ. FEET OF�ACH�'Y.O�OR:
;1'p. OF BE�R.00MS: GA.RAGE S'CALLS: A'TT --- DET.�
EST��ITED COaYSTRUCTION '�ALU.P�TTOV (exclud�ng land): ���pOC' � ���
I hereby apply for a building permic and I acknowledge th.�t the informatian above is complet� and
accurate; tha[�'work wi11 be in conformanc� with ihe ordina�rtces and codes of Che City an�i�c'ith
the 5tat.� Building Code; that I understand this is not a p�rnlit and work is not to starC 'without a
permit; and chac che work will be in ac�ordance with th� approved plar..
.
:a►FPLYCA,�VT'S SIGNATURE: �-.�-�,--..��-�—�f,-� DA'T�: '�2��Z
L= ,
NDTE! ,�ar�d�, o,�Hom��; events require separate permit approval by Police 1�epartment and
City Counesd b0 c�ays prior to the e�vent. Non permitted evenfx wiil not be allow�d.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
, FOR OFFICE USE ONLY � .
, ADDRESSORLEGAL: _ Ze�S rvoNR-� sN�oNt �02.
PID:
DESCRIPTION OF WORK: Qo.�
ZONING REVIEW BY: DATE APPROVED: 4-t 3-oz
BUILDING REVIEW BY: DATE APPROVED; �-i 3�a Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNEG"TION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHECK LIST Zoning District: .
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes p� No Date of Survey: orr t=��
Proposed Setbacks:
Front(Lake): Right Side:
Reaz(Sueet): Left Side: /4'OQ/�OVe� �� ������'
sirr: (�c.�NN 4Ar� 5-�y-ol
Adjacent Structures: 1�Vetland: ��P��,��p 5 _Z,�{_o�
Building Height: Def. Hgt. Peal:Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resoludon: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: I.ot Coverage:
E���g Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECB LIST
�C� —' CONSTRUCTION TYPE: '�
�, Sq Footage $Per Sq Ftg ,
Basement x = - ---
lst Floor x =
2nd Floor x =
Gazage x = �
x =
TOTAL
Fstimated Construction Value: $ 2 S,o 0 0 °�
Inspections Required: Work Requiring Separate Permits:
Site piumbing Fire
Hazdcover Removal Mechanical Water Connection
.. —2�F���g � Septic Sewer Connecdon �
Framing Fireplace Lawn Irrigation
Insulation (Masonry) aC Other P�! usc ,l��.lcl�
Wall Boazd • (Mfg.) Well(State Permit) �
—�F� Grading/Filling Electrical(State Permit)
Other
REI�ZARI�.S(IN HOUSE): .
_____-- -------------------__�__________________
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
REMAItKS (TO BE NOTED ON PERMI�; ---N�_~~- -----------------~------- ----
8
,Aua-13-2�02 10:31am From-CITY OF ORONO t9522494616 T-820 P.002/D02 F-448
�ec.13,0a RIG�"CS OF SUBJECTS OF D�,Tl�
Subd. t- Type of d�ta• 'Yh�ngh�s or individuai oa wham�a dau is swrcd or[o br scored shAll be as sec for�:u Wis secrio:x.
Subd-2. Iatoraauttoo req�nsed to be pren iadividuol. An i�dividu�l askcd co suppiY privaw oc co�deaaai dsta coacerniag birnsalf shall
be infocu�ed of: (aJ the Purpose ar�d uucnded use of d�e rectucswd dap wirhin ihe collecd�suu�►scoer.poliDcal subdivisioa,or stacewide rysrem:
Cb)whothes he may refuse or is iogally tequir�d�o supply�he eequesced Qara;(c)any 1�wwn con�equence srixing tmm his:upplYing or re!5►s�ng w suppty
pnvrca or confidcnf�l dat�;usd(d)the idenary ot a�er penocu or enudes aucherized by:e��e or fedcrrl[aw io rcceiva the dats. This requiremnoc shall
noc aQpiy whert an individua!is asked to supply invesogaove data.pursuant te secdnn 13.82,subdivision S,co a law anfoccemer,c offfcer.
Ttte commi341one"of tl�enue mav isce the nedce r ir d under[his suDdlvision in ihe inCivi ual ' e or m e tsx rtfUnC
in5� c:ions scraII o ea thcfsa forms.
Subd.3. Aocsas to dota by usdividual. Upoa requcxc eo a rosponsible ruehonry,xn individust xhall be informed whcthcr he'ts d�n subjtcc
o�stoad daw on uxiividsals,u�d w5e�her ic is classi�cd as public,pri��u or confidcndal. Upon dis!ur�ur requssc,Aa iadividuaT wno is[he subjea
oP scoretl private or public d�a on individusis shell bt sCo�tha da�a wichouc any eharSc w hioa and.�if he daira�,tbali ba i,nfocrned of che contern
and tntanins oP th�:dam. AFar an individu�l tsas bnen shown the priva�da�a anA infarmcd of irs aieaainC,[�e data oted noc be aiscloseS co�ijn lor
six mondis�hnrr,cfnr unlCss a d'upu�e or acdon pur�ac eo eltis secoon is pcndirig or aaaidonal dau on�bc indirid�aE hu been co:lec�i or cr�aue.
TTe ccsponsible aufiori.y xhnll provida eopies of the priva�or puDlic data upon rcquesc by che ir.d'svidual subjec�of:he da�a. The r�spansibta aushoriry
may requir e.he raques:ing person w psy rhe ara�!csscs of mskinB.ccrrih'inS.and eompiliag t�a copies.
'The cesponssble au[h�r,ry shatt comply immed;a�ely,if possible,with say requess madt pursuxnt ro�is subdivisioa,or vn�hin five days of
the daz of rhe rcquesc.ezcluding S�tu�ays,Sundays and Zeg�i holidaYs.if imrt�cdiau compliancc is aoc pocsibie. Tf he canno[comply wi�2t tl�a tequest
w•i�in�hac timt,hc shall sa inlornt�hc individual,and may havt an add'uioa�i five days wid�in wlsicA to comply wi�iha reqves�,cxcluQing S�turdays.
Sundays and lcSul holid�ys,
Subd.4. Prvicedure�heo datA is not accur��e or complese. An individual may concese che accuracy cr:omplctcnesi of publit o[p��a«
dau concerning himealt. Ta ezercise chis riSht.4n individual sRall notity in writin8�ho responsible audwriry dcscribing the nawro of rho disugreemcnr
The responsible authority snail wirhin�0 da3•s eichoc; (a')comect the daw found to be inaecusacc or incomplete and aaempt co eu�dfy pa�Y recipicnu of
inaccurace ae incampleK ds�, inaiuding rccipieav rrer-ted by ihe individusl;or(b)naii4y the individual[hsu he balieves dec 3aca co ba coirect. Deta
in disp��o sha1S be diu:losed ot�1y if thc inQividwtt'a sracer�scr.t of disagroemen�is incfuded wich�he duclosad dsa.
The dacermin��ion of d�e r:sp�nsible�a�hoRry may be app<sled pursuaas�:o rhe prov�s�ons of�i+e a4minism►rive procedurc a�e reladnx�
COR�bBICd r.ff4C3.
LaATA p�AC1��DVISORY
In accnrdance with M.S. 13.04,Subd.3, "Righis of subjects of data", we would like�o info�n you chac your request
for a parmic or lieense from ih� Ciry of Orone or any vf ics depar�ments may require you to furn:sh cenain private or
confidcntia3 information.
You are nocifted chat:
�, 7he informa�ion you furr�ish will be used to decenxune your qualification for ihe permit or iicense requested.
2, 'You may sefuse �o supply data. but tefuSal may require th2t the City deny the perAut or license,
3, 'rhe informa�ion may be shfired wi�b ocher loeal, state or federal agencies co i.he ex�ent necessacy co prxess
th� permit or liceAse.
a. If your requesctd peraut Or licease requires Couttcil action to approve. some inforsaacion ivay become
pablic.
5, You have cenain nghcs under M.S. 13.04 (available upoa reqnes;) to review privare data on yourseif.
6. your full name is required co proetss thi� application or peruuc.
J� � �esSc n
Firs[
Middle Last
a��� � �
Address _ �� ��Oyi/ �i����/a�Q
.—�� ,�, 7 /
�� 5ua Zip Fhone
I uude:st rt�y righu as stat�d abova.
-- .
Si ►
f. '
���� .. Designer Pools
r - .•:� �•••� . .
M
BY VOSSEN INC.
POOLS & SPAS
Concrete Construction • Residential • Commercial
����� ����
8-26-02
Swimming Pool Equipment List
Walker Residence - Revised
A - Filtration, Chlorination, Heating
1 - TR100 Filter W. 2" Dial Valve PacFab Hi Rate Sand
1 - 15MP Pump: 1 '-z HP W/Trap Jacuzzi Magnum 90GPM@60 ' 110/220V
1 PH
1 - PVCSch40 Filter Face Pipe
1 - RB300-19 Chlorinator: Rainbow
1 - TELLLG175 Heater: Laars Indoor Gas Electronic Ignition
1 - GIP5670 Water Level Control Levalor Electronic Hook up by
Others
B - Pool 'Fittings
1 - Sch40 PVC Recirculating Pipe
2 - 86504404 Skimmer: StaRite
1 - 86500042 Vacuum Cleaner Plate: StaRite 12"
6 - SP1022 Inlets : Hayward eyeball White/Blue
1 - SP1154AV Main Drain: Anti Vortex White/Blue
1 - 78210700 Light Niche: SAM
1 - AMP600015 Sam Light 300W 30 ' Cord
1 - 783102 Junction Box: 4/5"x3/4"x3/4"
1 - 3/4"x4 ' Conduit
C - Deck Equipment
� - Concrete I�ench Szat In Corner of Pool 30" x 30"
2 - Concrete Steps
2 - Volley Ball Anchors in Deck
1 - 20 ' x35 ' Pool Cover: Aquamatic Polymer Cover In Wall Receptor
System
1 - 22 ' x39 ' 6" Merlin Winter/Safety Cover Green/Black Core Drilled
in Flag Stone
D - Maintenance Equipment
1 - 78HR Test Kit: All In One
1 - RB201388 Vac Head: 14"
1 - RB111046 Wall Brush: 18"
1 - RB1 21126 Leaf Rake CITY OF ORONO
1 - RB191306 Telescopic Pole: 8 ' x 16 '
� - ProPure vacuum xose: � 2" x 40 ' �.: 511'� PLAN GRADING PLaN
1 - AX905C Auto Cleaner: Navigator � Ap��q'��d - Pv��
1 - FP261 Discharge Hose: 2" x 50 ' � �����'�� w�Y� �[�1;$��NS
1 - RB1 41 11 6 Thermometer: Floating � ���Ap �� ��
��
n�� 9�r3•o2
�J� s��,o�r.., Q�,r� s-z�-a�Ot
_ _ ___ _ -_
16740 Welcame Ave. SE , � P.O. Box 504 • Prior Lake, Minnesota 55372 • 952-447-6084
�. .
, :::•.
� ������� esi ner Pools
g
� ,, BY VOSSEN INC.
''.'.. '�•. :.�'.. •:''.'� � POOLS & SPAS
<.
Concrete Construction • Residential • Commercial
16950 Welcome Avenue S.E. • P.O. Box 504 • Prior Lake, Minnesota 55372 • 447-6084
SPECIFICATION for walker Residence
1 . SCOPE OF WORK The work will include all labor, material, and equipment to
complete pool in accordance with the attached proposal dated �26—c1.2 .
2. DIMENSION AND DESIGN Pools and deckwork will be per "Designer Pools by
Vossen Inc." standard design as noted in the attached proposal. Site soil bearing
conditions assumed adequate for pool.
3. EXCAVATION Excavation will be accomplished as required using proper
, equipment and experienced personel.
This proposal is based upon normal excavation conditions. Normal excavation is
defined as any excavation that can be removed from its natural bed by a back hoe or
equal, operated in a normal manner. If during the excavation operation, hardpan,
rock or other material which requies drilling and/or blasting, or special excavation
equipment or earth caving or water seepage is uncovered and/or any unusual
situation is found to exist where additional excavation time is required, Contractor
has the right to charge Owners all cost of excavation.
4. PNUEMATIC CONCRETE SHELL Pool shell will be placed, insofar as possible in
one monolithic casting of concrete. Construction joints, if required will be made with
reinforcing steel passing through joint and joint will be brushed and slushed with
concrete prior to construction on pool shell placement.
Concrete will be placed with the proper equipment designed for this type of work and
will be operated and supervised by personel experienced in the use of such
equipment
Concrete will be 4000 P.S.I. strength at 28 day test, (8) bag buckshot pumping mix.
Walls: g , " Thick Floors: 6 " Thick
5. REINFORCING STEEL Reinforcing steel will be standard sizes and will be new
and free of rust, dirt, oil, or paint. Placement will be as follows:
Walls: # 4 , � 2 " O.C. Vertical �
# 4 _ , � 2 " O.C. Horizontal
Floor: # 4 , � 2 " O.C. Each Way
Page 1 of 2
. , • �
6. FITTINGS Fittings for pool will be placed where required and anchored to assure
position during concrete placement.
7. COPING 112! prnirar� ��crQte C.CLr*�lri�'*
8. TILE A ti " water line tile will be placed the full perimeter of the pool.
Wa c�r 1 i n _ i 1 _ hy T1 1 i t�Gi nna �" x�" ratai 1 � nar a ft
tile accent at steps & swim outs
9. INTERIOR FINISH Surface will be finished with an appropriate plaster for this
type of work approximately '/a to '/z" thick. The finish will be applied by workmen
experienced in this field. Finish will be wh; +-P mar�,jl P �a�t.n,-
10. CONCRETE DECK Deckwork will be as stated in the attached proposal.
Concrete deck finish sq. ft. " Thick nominal
NA
Concrete will be air-entrained, 3,500 P.S.I.
11 . POOL MECHANICAL EQUIPMENT Mechanical equipment, heater, filters,
chlorinators, misc. fittings and valyes, (specific list of major components per
equipment list supplied with proposal) will be furnished in place.
Material for recirculating, drain and return lines will be polyvinyl chloride schedule
40 type II. �
12. POOL EQUIPMENT Pool equipmentwill be as listed under "Pool Equipment List"
attached to the proposal.
Page 2 of 2
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT SCHEDULED -� C'�'�1 �ti1
PERMIT N0. COMPLETED
ADDRESS � CP �T � /'
OWNER �- � CONTR. �,� y�,. �od(_C
TELEPHONE NO. � O� Y�7 C�� ��
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lL 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FEMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI.FOfl REINSPECTION TEMPORARY
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