HomeMy WebLinkAbout2016-00701 - pool CITY OF ORONO I [111 I# I I 11
* 20 1 6 - 0070 1
2750 KELLEY PARKWAY DATE ISSUED: 07/21/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 25 ORONO ORCHARD RD N
PIN : 35-118-23-33-0004
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION�� TYPE : POOL-IN GROUND
S UAT3
VALUATION : $ 52,000.00
NOTE: SEPARATE PERMIT REQUIRED: MECHANICAL,ELECTRICAL(STATE)
POOL,1ZPA COL! a Tri C EAT PO CHT
(9f(Qi(J Suwitif rcpla.u.d
19,1 v-1,-(4/ SurV C
APPLICANT PERMIT FEE SCHEDULE 731.68
ATLANTIS POOLS STATE SURCHARGE(VALUATION) 26.00
4321 68TH AVE N TOTAL 757.68
BROOKLYN CENTER,MN'55429 Payment(s)
(763)560-0103 CHECK 2338 757.68
OWNER
BENEDICT,MICHAEL&DEBORAH
25 ORONO ORCHARD RD]•1
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specification;,applicable City approvals,and the
State Building Code. This permit is;or only the work described and does
not grant permission for additional related work which requires separate
permits. All provisions of laws and drdinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if c nstruction authorized is not
commenced within 180 days of the dte of issuance,or if construction is
suspended or a period of 180 days at any time after work has commenced.
The applic t is ponsible for assu 'ng all required inspections are
requested con , ance with the Sl to Building Code.This permit may be
revoked a . tit,; or due cause.
Applicant Pe �itee Signature Date Issued B : , ature Date
PP � �► Y�•
Builder Acknowledgement Form
Permit #2016-00701 / r 2 _ 9rc and Road N
Builder Representative Name:
I
Permit Conditi Ins: Initials
Erosion control mec anisms must be installed and inspected by the City prior to any land
disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to 7t6
inspection. v
Erosion control shalllbe installed and maintained throughout the entire project and must
remain until vegetation has been established. /k
A haul route shall be submitted to the City Engineer for approval and inspection prior to
commencement of I auling from the site.The property owner shall be responsible for cleaning
and repair of roadwys for any adverse impacts.
El
Prior to refunding of the escrow money an as-built survey(of the entire property) must be submitted and approved. At
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining
walls,etc. not currently shown on the approved survey and landscaping plan will require a
separate Zoning Permit application to be submitted and approved prior to the work
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
height of the lower miall require engineered plans and a building permit to be submitted and (k.-
approved prior to construction.
w:\street files\oronc orchard rd n\25\builder acknowledgement form 2016-00701.docx
City of Orono
Building Permit Application '
for Swimming Pools and Hot Tubs 757 48
��*1:<<,e
Mailing Address: Permit number: 2-0i (, —c07 0/
PO Box 66
M* Crystal Bay, MN 55323-0066 Date received: C'/17// 1
tipA61Street Address: I ,....,00eyed by: �1' 2750 Kelley Parkwa /O I Plan review fee: 5� ----W, 7
Orono, MN 55356 I -
EsHo
Total Fee:
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. (Please print)
GENERAL INFORMATION:
Job Site Address: 2C. r'vn c.) O r cANa rck 'a &J \-*----1 Ll
CONTRACTOR/APPLICANT INFORMAII�N:.
Name: 'fieirrh> _ )› C--
State License# /V-)09. Expiration Date:
Phone: "'&', 3 - ---6E) - / O Fax:
Address: 10 OCS - ' 3F? tav-e1 3O City: P\ ( I6U-& ZIP: 6--- ---3 6,9
Contact Person: 1114r, ' i , G • IS Contact's phone number 76,3- Syp --c I 0-z,Email: Meir 11 Cc ael A 5 - Si'rtc .60 M Applicant is: QContracto ) Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: -beLJ 1'`(-1 c -A ? r1 '--
Phone (day): ep S I- 5`'2. - 3 Z801 �tbn
Mailing Address: -.-_`-_-3-- erc O .)(�c--hitt- r i !V r 6 ZIP: S5
Email and/or Fax: AN (GC C re)
-Cone%
ENGINEER INFORMATION: dbeneGticl- - @, g t
ryn
Name:
Phone:
Address: City: ZIP:
Email: Fax:
PROJECT INFORMATION: STN -- C)/0:ia lc- Co /
1. Pool/ Hot Tub Di ensjons: 4.Accessory to: 5.Type: 7. Retaining Walls?
1-c' ' X feet
2. Heated? 01 yes El noSingle Family ❑Above ground 0 yes o Height *
3. Excavated materials will be: Multiple Family/Condo (IIn-ground *A building permit is required
❑ removed from site for any wall 4-feet or greater in
0 Public
used on site 0 Other(specify) height measured from the
Other: (specify) C:1 Commercial bottom of the footing to the top
Total Cubic Yards ❑ Industrial of the wall, even if it replaces
6.Sewage Disposal& an existing wall.
***Any earth movement may require ❑ Other: (specify) Water Supply Tiered walls are considered
MCWD review and permits. one wall unless they are
Minnehaha Creek Watershed District(MCWD) 0 Public Sewer
15320 Minnetonka Blvd separated by twice the height
Minnetonka, MN 55345 Private Sewer of the higher wall.
Phone: 952-471-0590 0 Public Water
Fax: 952-471-0682
www.minnehahacreek.orq Ki'Private Well
Estimated Construction Value $ 7/ o_ `=`'
Packet Last Updated: April 2016
Page 22
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
1Not
Enclosed ApOlicable
❑ 0 Building Permit Escrow Agreement and Fees
❑ 0 Plan Review Fee
0 Completed Application Form
0 Proposed Pool or Hot Tub Plans—2 sets, full-size, to scale
0 Survey—2 full size, to scale (meeting ALL survey requirements)
0 Hardcover Information
❑ ❑ Septic System Certification
• ❑ 0 Minnehaha Creek Watershed District(MCWD) Permit or
documentation from MCWD stating no permit is required
❑ Landscape Walls and/or Retaining Wall Plans
❑ 0 Stormwater Pollution Prevention Plan
❑ 0 Data Privacy Advisory Form
❑ 0
APPLICANT ACKNgWLEDGEMENT:
• Agrees to provide all information required or requested by the Planning&Building Departments;
• Understands, if applicable, an as-built survey and as-built hardcover cover calculations, are required to be submitted after the
project is complete(including final grading and landscaping)prior to refunding the escrow;
• 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.
6/Applicant's Signature: Date: //6, r /�
Owner's Signature Date:
Packet Last Updated: April 2016
Page 23
'PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 2-5 Orono Ordure.. IZrd N \Permit No.: 20110 - c070
Description of work: ]: , -33VVt&h42f polnQ,kf �, (l1( Date Rec'd:
_ /
Septic review by: Date Approved:
Zoning review by: CfiDate Approved: Tc (0 .1 N
Building review by: r "J Date Approved:
Grading review by: Date Approved: �f iG iC
Zoning District: Ke.-6 Zoning File#: Reso #: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: AYes ❑ No Date of Survey: U -L'(Lo Revised date(?):
Landscape plan submitted? 0 Yes 0 No Landscaper:
Proposed Setbacks:
Front (L71. Rear(S et) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
20
Defined Height: Peak Height: FFE: FFE minus 6 feet = (Existing Contour',
Perimeter(linear feet) = 50% = L.F. below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade
START WITH floor(of the basement or crawl space)and measure from highe xistinq
the highest point of the roof. grade to the highe t point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE HIPPED ROOF(no Slab below grade—measure
(BASED ON windo ): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof highest point of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof • OR HIPPED ROOF
SUBTRACTI (no windows): Subtract half
• GABLE OR HIPPED ROOF(with (BASED O
windows): Subtract half the distance ROOF E) the distance between the
highest point of the roof to
between the top of the highest the low point of the
window and the highest point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SU8TRACTION Subtract the distance between the half the distance between
(BASED ON basement/crawl space floor and the the top of the highest
XISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Average Lakeshore Setback
Shoreland District MCWD Permit BluffMet?
Permit Number: . 0 Yes 0 No 0 N/A 0 Yes 0
❑ Yes ❑ No No
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
❑ Yes ❑ No ❑ Yes ❑ No
1 2 3 4 5 Type(s): Type(s):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site 0 Plumbing 0 Grading/Filling
❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
❑ Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
❑ Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
❑ Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping
O Framing
O Insulation
O As-Built Survey
❑ Final
❑ Lathe Required State Permits
❑ Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
• • PLANREVIEW' CHECKLIST FOR HEW L CTURES I ADDCTIONS
Address: C)tote f '_e_ NL Permit No.: 2Ot() • C070!
Description of work: eta t5 ' _,; 4i, J_ii 4' Date Rec'd: (.o 1'7. 1(
mum
Septic review by:_ s is '..,1, Z Date Approved: LACI g //
Zoning review by: CJ 1; rd. A Date Approved: -1•t Z'' I '
Building review by: 6 :t^ ..G7.7Y� Date Approved: t%�'r 7t
Grading review by: Date Approved: /c.(11, 1,
Zoning District: � 11�"l.i,� Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF
Survey Submitted: XYes a No Date of Survey: 10. 1 Revised date(?):
Landscape plan submitted? O Yes 0 No Landscaper:
Proposed Setbacks:
a
Front(L e) Rear(St t)� ( S E 1 ( N E W1 Other Buildings Wetland
_ Side ide
RR
11 i t 72J
Defined Height: Peak Height: FFE: FFE minus 6 feet= • (Existing Contc
Perimeter(linear feet)= 50%= L.F.below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH ABASEMENT OR CRAWL SPACE: FOR A BUILDING ON A'SLAB FOUNDATION:
The distance between the lowest proposed ' S'ab at of above grade-
floor(of the basement or crawl space)and a n.g
START WITH � n'►eastire�brn hioh f
the highest" point of the roof. START WffH grade to the highest point of the
t oOf evert If fill was brought in to
if you have a... elevate home.
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade measure"
(BASED ON windowls): Subtract half the distance from htghestexisting grade to the
ROOF'CYPE) betweee the highest point of the roof highest point Witte roof,
to the low point of the corresponding If you have,a...
gable or hipped roof SUBTRACTION `• GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows):Subtract half the..distance ROOF TYPE) the distance.between the
between the top of the highest figKowt
w point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
• ALL OTHER ROOF TYPES(fiat, • GGABLE ABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basement/crawl space floor and the the top of the highest
DUSTIN G highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less).' point of the roof
• ALL OTHER ROOF TYPES
(fiat,mansard,etc):No
EQUALS Defined building height
subtraction.
Defined building height
EQUALS
Updated: May 2016
z:\forrns\plan review checklist -2016.docx
I
Average Lakeshore Setback
Shoreland District MCWD Permit Eget? Bluff
Permit Number: R CF Yes No N/A 0 Yes
0 Yes7No No
O N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (%and sf) (%and sf)
Cl Yes ✓,•(No Cl Yes 9(No
1 2 3 4 5 .rte" -ft Type(s): Type(s):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge V
investigation Fee
SAC-Number of SAC Units
Other(specify)
•
Square Footage $per Square Footage
Basement X = $
1$'Floor X = $
2^d Floor X = $
Garage X = $ -
� 5-*".4.-+
t —
Estimated Construction Value: $ 1 (uV
Orono Inspections Required Work Requiring Separate Permits
M=ooting CI Site Cl Plumbing CI Grading/Filling
Poured Wall CI Silt Fence/Erosion Control 2f<Mechanical 0 .Fire.
O Foundation Survey D Hardcover Removal CI Fireplace 0 Water Connection
O Framing Cl Other(specify) a Masonry 0 Sewer Connection
D Waterproofing/Drain tile CI Mfg. CI Lawn Irrigation
CI Foundation Waterproofing CI Other(specify) Cl`Landscaping
D Framing
0 _insulation
4 As-Built Survey
Final
a Lathe Required State Permits
O Other(specify) )(Electrical
D Well
REMARKS(in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
See Builder Acknowledgement Form
CI Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated. May 2016
z:\forms\plan review checklist 5-2016.docx
Christine Mattson
From: rmsterns@comcast.net
Sent: Friday,July 01, 2016 5:16 PM
To: Mark Richgels
Cc: Christine Mattson
Subject: Re: [Fwd:25 Orono Orchard Road N/#2016-00701]
Mark and Christine
heres building permit surVey for above revised to include
135 total cu yrds of excalation req. for pool construction
Randy Stern
From: "Mark Richgels" <Mark@atlantispoolsinc.com>
To: "Randy Sterns" <rmsterns@comcast.net>
Sent: Tuesday, June 28, 2016 12:26:27 PM
Subject: [Fwd: 25 Orond Orchard Road N /#2016-00701]
Here you go Thanks andy
Ori inal Message
Subject: 25 Orono Orcha d Road N /#2016-00701
From: "Christine Matts n" <CMattson@ci.orono.mn.us>
Date: Tue, June 28, 20, 6 7:34 am
To: "'Mark Richgels"' mark@atlantispoolsinc.com>
Cc: "'mike@frana.con "' <mike@frana.com>
"Melanie Curtis" <MCurtis@ci.orono.mn.us>
Mark,
We have received a land alteration permit application for 25 Orono Orchard
Road N which proposes the import of 314 CYs of fill. A total of 500 CYs
can be disturbed (exported, imported or moved around) on a site with an
administrative (staff issued) land alteration permit. Disturbances
exceeding 500 CYs require a Conditional Use Permit and council approval.
Please have your surveyOr calculate and provide the amount of earth
movement proposed with the construction of the pool project.
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356 (physical address)
PO Box 66 I Crystal Bay I MN I 55323-0066 (mailing address)
1
•
Christine Mattson
From: Adam Edwards
Sent: Friday,July 01, 2016 1:23 PM
To: Christine Mattson
Subject: RE:25 Orono Orchard Road N/#2016-00744 (land alteration) ߠ-00701 (in-
ground pool)
Approved both.
Note for Pool permit-Must protect Septic sites from disturbance.
From:Christine Mattson
Sent:Thursday,June 30, 2010 1:46 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Cc: Roger Peitso<rpeitso@ci.srono.mn.us>
Subject:25 Orono Orchard Road N/#2016-00744(land alteration) ߠ-00701 (in-ground pool)
Adam,
We received a grading permit application for 314 CYs of fill to be brought to the site from 190 Orono Orchard Road
S. We also received an in-gro nd pool permit application. The surveyor for the pool project estimates 135 CYs of
disturbance with the pool project. Please review the applications and provide comments.
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356(physical address)
PO Box 66 I Crystal Bay I MN'I 55323-0066(mailing address)
lir 952.249.46/0 18 952.249.4616
cmattson@ci.orono.mn.us I www.ci.orono.mn.us
Summer Office Hours: (Monday, May 23 through Friday,September 2,2016)
Monday-Thursday: :30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,July 4,2016
1
Christine Mattson
From: Christine Mattson
Sent: Tuesday,June 28, 2016 7:35 AM
To: 'Mark Richgels'
Cc: 'mike@frana.com'; Melanie Curtis
Subject: 25 Orono Orchard Road N/#2016-00701
Mark,
We have received a land alteration permit application for 25 Orono Orchard Road N which proposes the import of 314
CYs of fill. A total of 500 CYs sian be disturbed (exported, imported or moved around)on a site with an administrative
(staff issued) land alteration permit. Disturbances exceeding 500 CYs require a Conditional Use Permit and council
approval. Please have your s rveyor calculate and provide the amount of earth movement proposed with the
construction of the pool proj ct.
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356(physical address)
PO Box 66 I Crystal Bay I MN 155323-0066 (mailing address)
lit 952.249.46'0 18 952.249.4616
®cmattson , ci.orono.mn.0 I " www.ci.orono.mn.us
Summer Office Hours: (Mon.ay, May 23 through Friday,September 2,2016)
Monday-Thursday: ':30 am to 5 pm
Friday: 7:30 am to 1 :30 am
OUR OFFICE WILL BE CLOSED: Monday,July 4,2016
1
SWIMMING POOLS AND HOT TUBS
tiF
Planning & Zoning Department 952-249-4620
www.ci.orono.mn.us
9kQSHO
LOCATION rr IIrrb�VtJ�( �u �.1 U
lJ� � �
The hot tub or pool basin must be at least 10 feet from the house (inc ding a deck) and 10 feet from anyother
(
structure. It may not be placed in a drainage, utility or similar easement.
Non-lakeshore lots
A pool or hot tub may not be placed closer to the street than the house. On a corner lot this requirement applies
to the narrower street frontage regardless of which frontage the front of the house faces or the address of the
house.
Setbacks for a hot tub or pool with a basin of less than 750 square feet
Zoning District Interior Side Street Side* Rear
R-1 A 10' 35' 10'
R-1B 10' 15' 10'
LR-1A 10' 50' 10'
LR-1B 10' 35' 10'
LR-1C or LR-1C-1 10' 15' 10'
RR-1A 10' 100' 10'
RR-1B 10' 50' 10'
Setbacks for a pool with a basin of 750 to 1,000 square feet
Zoning District Interior Side Street Side* Rear
R-1A 15' 35' 15'
R-1B 15' 15' 15'
LR-1A 15' 50' 15'
LR-1B 15' 35' 15'
LR-1C or LR-1C-1 15' 15' 15'
RR-1A 15' 100' 15'
RR-1B 15' 50' 15'
Setbacks for pool with a basin of more than 1,000 square feet
Zoning District Interior Side Street Side* Rear
R-1A 30' 35' 15'
R-1B 30' 30' 15'
LR-1A 30' 50' 50'
LR-1 B 30' 35' 30
LR-1C or LR-1C-1 30' 30' 30'
RR-1A 50' 100' 100'
RR-1B 30' 50' 50'
*This setback applies to unimproved street right of ways as well as to improved streets.
Special setbacks and approval apply to a "through lot" (a lot with a street to both the front and back.) Contact
the Planning and Zoning Department for more information.
Last Updated: January 2014
This is an information sheet. Every effort has been made to insure the accuracy of the information contained herein;
however, if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 1 of 4
DATA PRIVACY ADVIS•RY
In accordance with Minn-sota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we
would like to inform you hat your request for a permit or license from the City of Orono or any of its departments
may require you to furni h certain private or confidential information.
You are notified hat:
1. The info mation you furnish will be used to determine your qualification for the permit or license
request gid.
2. You ma refuse to supply data, but refusal may require that the City deny the permit or license.
3. The info mation 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 Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
Xkomoka__ I
First Middle Last
/E--) 2,o0 -73' 4
Address
/Ltd e fi(A) 60 -0163
City State Zip Phone
I unders nd my Jig s as tated above.
e.•••-L (Lie lanT7>
Signature
Packet Last Updated: April 2016
Page 9
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements.
/ c)V-'
Completed Application
Plan Review Fee Paid 'I`3' C k-
SignedEscrow Agreement & Escrow Payment
_
Building Plans (to scale) x2
Cf(L 7e i (t iYN
111 4 Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2 ` 1
C21Hardcover Calculations (if applicable)
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
1 0
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
rerding tV proje t.
Signed by: a^ 1
Address: 2 Oror\ Oic - _, , ' c(
Permit #: 1( --- C)C) -7 C) /
Packet Last Updated: April 2016
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AREA = 800 SQ. f T.
-NOTE- PERIMETER = 120'--0"
CARDINAL
H SDIDRAWING. THEY SHTEMS IS OULRESPONSIBLE
BEV ERII IEDFSY THE LNNEERRIDMANUFACTURER TO BE ILLUSTRATED
URE THEYTHMEET
N.S.P.1 AND A.N.S.I STANDARDS. WARNING - DO NOT DIVE IN THE SHALLOW ENO, IF DIVING BOARDS
OR SLIDES ARE TO BE USED WITH THESE POOLS PLEASE CONSULT THE MANUFACTURE'S INSTRUCTIONS
AND THE NATIONAL SPA AND POOL INSTITUTE'S MINIMUM STANDARDS PRIOR TO INSTALLING DIVING 61ATC. 7/7/10 'TAE 20' X 40'
BOARDS OR SLIDES ON THESE POOLS. FOR INFORMATION CONCERNING NSPI MINIMUM STANDARDS, WRITE; MH
sc^ 3/76"=1' RECTANGLE
NATIONAL SPA ANO POOL INSTITUTE, 2777 EISENHOWER AVENUE. ALEXANDRIA, VA 22314 (703) 838-0083 oRmirra: FILE rontaG
_ SCPMN1116
. u .2.-----.---------
•
�_ PICAL INSTAL(�TI -TAIL
I ^NIGLE 81iACMtT ••ALL YEnnaki. DIL(ENSIONS
` .3'-- VtE TO FINISH CRUDE MO
2'.0YER010 NEN FROM UHER BE19 TRAP;
•
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.1' THK, CONCRETE
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I 0 REVERSE ANCLE A1YAY fROL! POOL foi: :4
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. • •–•NOTCHED SNORT•mar
I 2'x ex I d' PATIO BLOCK
• AT EACH PANEL JOINT
MO CORNER EOR ROTE: eACKfILL TO BE SlNO, GRAVEL •
" OR OTHER NON EXPAHSIYE JAI-01A
CONTRACTORS OPTION •
•
•
ANS! •hlSi=';-'S 'I 995 STANDARD 1JTEELEDIJ1ON ]
BCCA CODE •1 99 1 Table 421., 11 (2)
* •
THIS BROCHURE IS •'FOR ILLUSTRATIVE PURPOSES .ON[.'i`
• ____,..._________________........ :I
The monurbcturer makes only those reprecenlotlons which aro stated In its written
I • worronty, My other represonlollons, stolrmenls, or contracts made by tho dealer and/or ;
the contractor to the customer regarding dny moterlolb produced by tho manufacturer ora I
r__–_____—__— _. ottributable to the daoler and/or the'contractor only. Ma choler or contractor%rho soils
Instoilations to be in accordance or In+lolls your pool !e on•Independ+nl eonlraclor and not on agent or employee or (ha
l • monufaclure'r, The oonstructlgn method; Illurtrated ora ougflo;llons and opply only to l
with Mlanuroctures rocoin►nendol'ions lot
Qround'condlUone, There•may by additional precoutlons and/or mothoda of i
con+IrJcllons, The re+pon+lblllty Is the contractors, y I I
. .e m J
"' --• ALL ITEMS FOUND ON THIS PACE APPLY TO ALL .POOLS CONTAINED. IN • Tms 6y_-
---- — THE CUP‘ I rccn.r i.J.,
V
i-‘• CORNER BRACKET ONLY TO NORMAL GROUND CONDITIONS IF JNUSUA:•
SOIL CONDITIONS ARE ENCOUNTERED (LE. H;CH
.a..\.‘• 3/8" x I" BOLT WITH ORGANIC MATERIAL, HIGH WATER LEVEL) ADDITIONAL
`, / NUT & 2 WASHERS MEASURES MUST BE TAKEN TO PROVIDE SUBSURFACE
(TYR 14 EA. CORNER) CONDITIONS WITHIN THE STRUCTURAL CAPABILITIES
1 OF THE PANEL. ANY ADDITIONAL PRECAUTIONS OR
9
14 METHODS OF CONSTRUCTION ARE THE RESPONSIBILITY
OF THE CONTRACTOR. (NOTE: DECK SUPPORTS ARE
,��� OPTIONAL.)
3/8" x 1" BOLT WITH / BIG VEE K
��� NUT & 2 WASHERS k 6" RAD. INSERT POOL DEC
(7 PER JOINT REO'D.) _
\ RADIUS CORNER
COPING . \S71\?\' I
WALL -.STEEL 14 GA. TYPICAL CORNER DETAILS• iiwi•,i� i
/ W/2oz. (G235)GALVANIZINC (RECTANGULAR POOLS) > ���\�\%�2 I
1 \c, � \;/\,/\ 'A I
MIN. 6" THICK CONCRETE COLLAR ;/\,//�//'�4 1
REQ'D. AT BASE OF WALL PANELS ��j\\\\\\`� 1
0� DRIVE RODS THROUGH A
�V�
• / II
HOLES IN PANELS Icy���ees/�%:'\//\//17,�
INTO UNDISTURBED EARTH. : •
a1ao ��//l j j
ROD'
3/8" x 2 1/2" BOLT W/NUT 2" SAND OR VERM. CON 0, „�%��%�\'%�4• t%,,,,'\,
��6j�/ / % // % i % ,
R£INF. L:' \,,,/,,,,,/,\54‘%/2.\ 4\\\/)\•%\�/\\,
SUPPORT SUPPORT MAY BE \ CURVED CORNER
�r'.;���l�O���� //�//�\j //U �� • 1
BRACE TIE COPING >,4, /, 4/`.//.
BOLTED TO THE ANGLE
POST IN MY OF THE PRE- UNDISTRUBEOj !
PUNCHED HOLES. EARTH •
\ 411,1111116
TYPICAL WALL BRACE ASSEMBLY BACKFILL SHALL BE FREE-DRAINING
CLEAR GRANOULAR MATERIAL SUCH
AS SAND, TRACE CLAY OR TRACE SILT
CORNER BRACKET TYP. LINER INSTALLATION DET
3/8" x 2" BENT BOLT
CONCRETE DECK REVD. 7 W/NUT & 2 WASHERS
1/ (7 PER JOINT)
1 TYPICAL CORNER DETAIL
i-. • RIM-LOK COPING (GRECIAN POOLS)
EXTRUDED ALUMINUM
112-14
ASTENERx(18"SO�.�RIu INC� / SET WIDTH OF POOL AT RIGHT ANGLES TO SLOPE
• FINISHED ELEVATION OF DECK TO BE 1'00" ABOVE
- SURROUNDING GRADE
r ► VYNYL LINER . PROVIDE•SWALE AROUND UP-HILL SIDE OF DRAIN.
(HUNG) SURFACE WATER AWAY FROM POOL.
. CONCRETE DECK SHOULD SLOPE MIN. 1/4" PER FOOT — --I
AWAY FROM POOL.
I�_ . PLOT PLAN FURNISHED BY OWNER TO SHOW POOL
POOL WALL PANEL LOCATION AND ENCLOSURE. r
ELECTRICAL, PLUMBING AND FENCING TO CONFORM TO CARDINAL SYSTEM S
RIM-LOK COPING DETAIL ALL CODES. 250. RI. 61 S. (570)385-4733
NOTES: OPTIONS EXTRA IF REQ'0. BY SITE CONDITIONS OR SCIWVLK0.L IUYCN. A. (570)385-1318 FAX
WHEN SPECIFIED BY OWNER. °ATC' 4P/1 1 TITLLONSTR. DET. SRI
AT LEAST ONE MEANS OF EGRESS SHALL BE PROVIDED. scw<c: NONE -LUNG LINER STL. POO
MEETS MINIMUM STANDARDS OF THE INTERNATIONAL RESIDENTIAL OPTIONAL STAIRS OR LADDER oRAwll:
-Intl/114101e
eagr; E I
CODE 2006 AG 103.1(ANSI/NSPI-5 2003) AND BOA 1996. _ SED CONSTDE. _
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Universal H -Series
„s- ., r..,....,.,
POOL AND SPA HE=ATERS ,,„,,.,,„,„
'
Io,,d System Pumps I Filte-s I Heating I CIoHocts I Sanitization 1 Automation I L1t111ir,, 1 S',..1,,, I '.'Jhli , (,00ds
SELECTING THE CORRECT SIZE H-SERIES HEATER:
FOR YOUR SWIMMING POOL FOR YOUR SPA OR HOT TUB
Determine your pool's surface area in.quare feet: Determine your spa capacity in gallons(surface area x average depth x 7.5).
The reference table lists the time required in minutes to raise the temperature
Ad of the spa/hot tub by 30°F.In the table below,locate the column with the
1111111111 .1( L
> spa/tub size in gallons that is closest to yours.Select the desired time to raise
l�r W the spa/hot tub temperature 30°F,read to the left and select the appropriate
Universal H-Series model.This guide can be adjusted for other temperature
rises.For example,if you desire a 15°F increase in temperature,simply divide
Area=(A+B)x L x.45 Area= x R x 3.14 Area=L x W the time for 30°F rise by the ratio of 30/15,or 2.(Note:Heat lost and/or heat
absorbed by spa walls or other objects will add to the time it takes the spa to
heat up.)Spa sizing is based on an insulated and covered spa.Always cover
In:his table,locate the surface area that is your spa or hot tub when not in use to minimize heat loss and evaporation.
MODEL SURFACE
AREA equal to,or just greater than,the pool's
H500 1,350 surface area.To the left of this number SPA/TUB SIZE IN GALLONS
---------------- is e appropriate Universal H-Series 200 300 400 500 600 700 800 900 1,000
H400 1,200 m del that will fit the selected area. MODELTime,in Minutes to Raise Spa/Tub Temperature 30°F
H350 1,050 Fo indoor pool installations,divide the H500 I 7 j 11 14 I 1822 25 29 32 35
po I's surface area by 3. --- i-- -i------�--------.r...-----................_..----�.-.._—._,_
H300 ! 900 H400 9 14 j 18 1 23 27 32 36 41 45
— —" "" Tab a is based on a 30°F temperature rise, ---—_.__.._-._ --__._.—_— _.— —_
H350 10 16 21
H250 750 3-1 mph average wind velocity and elevation 26 31 36 41 46 52
H200 I 600 of r.,o to 2,000 feet above sea level. H300 12 � 18 24 I 30 36 42 ! 48 j 54 60
H250 15 22 29 I 36 ( 43 51 58 65 I 72
H150 450 —
H2O0 18 27 I 36 I 45 54 I 63 , 72 I 81 ( 90
H150 24 j 36 48 I 60 72 I 84 I 96 108 1 120
SPECIFICATIONS AND DIMENSIONS:
UNIVERSAL H-SERIES H:ATER H500FD H400FD H350FD H300FD H250FD H200FD H150FD
BTU/HR 500,000 400,000 350,000 1 300,000 250,000 200,000 150,000
THERMAL EFFICIENCY 83% 83% 83% 8Z7% 83% 83% 82J%
WIDTH(INCHES) 41" 36 33 30" 28" 25 21"
DEPTH(INCHES) 29-1/2" 291/2' 29-1/2 291/2" 29-1/2" 29-1/2 29-1/2"
HEIGHT(INCHES) 24" 24" 24" 24" 24" 24" 24"
WATER CONNECTIONS 2 x 2-1/2 2"x 2-1/2" ( 2"x 2-1/2" 2'x 2-1/2" 2"x 2-1/2" I 2"x 2-1/2" 2 x 2-1/2"
Cupro I Cupro Cupro I Cupro Cupro Cupro Cupro
HEAT EXCHANGER Nickel Nickel Nickel Nickel Nickel Nickel Nickel
INDOOR VENT PIPE DIAMETER(INCHES) 6 6 8' 8"
4" 6 6"
NATURAL
INDOOR VENT PIPE DIAMETER (INCHES)
PROPANE 8„ I 8" 8" 8" 6" 6" i 6"
HEATER WEIGHT(LBS) 223 160 158 145 . 134 123 I 110
GAS CONNECTION AT HEATER 1" I 3/4" 3/4" 3/4" I 3/4" 3/4" 3/4"
H-Series heaters are available in a comp#ehensive range of BTU sizes for natural or propane gas.All units are certified by the Canadian Standards Association and carry
the exclusive Hayward®warranty.
MILLIVOLT HEATERS H210 MILLIVOLT HEATERS CONT. H210
BTU/Hr. 210,000 HWS Stack Height(Inches) 17-1/4"
Width x Depth x Height(inches) 27"x 27-1/2"x 28-1/2" Water Connections 1-1/2"x 2"
Heat Exchanger Cupro Nickel Heater Weight(lbs) 144
Gas Connection at Heater 3/4
HAYIIIIJAR D® To take a closer look at other Hayward products,go to
hayward.com or call 1-888-HAYWARD.
Hayward and Hayward Energy Solutions are registered trade rks / 1
of Hayward industries,Inc.C 2015 Hayward Industries,Inc. C� �1J
. 0.All other trademarks not owned by Hayward are the property their respective lI
owners.Hayward is not in any way affiliated with or endorsed those third parties. ® ` In
UTHS15
Manual Air Relief
. is a high capacity,rapid release valve �� Combination Pressure and
that bleeds air with a quick quarter turn
Cleaning-Cycle-Indicator Gauge
of the lever. gives visual indication when cartridge
til
I �e
filter elements need cleaning.
Top Manifold
provides the industry's best energ -saving hydraulic !'
performance and utilizes the entir cartrid a Cartridge Elements
g .1 provide 225,325,425,525 or(the industry's
surface area to maximize time be een cleaning. largest)700 ft2 of filter area and extra
Heavy-Duty,Tamper-Proof,One- ece Clamp dirt holding capacity for long filter cycles.
securely fastens tank top and bolt m together Precision engineered core provides extra
and allows quick access to all inte al strength and superior flow.
components without disturbing piping or
connections. r` Self-Aligned Tank Top and Bottom
High-Strength Filter Tank f kq..
make servicing cartridge elements
is made from durable,glass-reinfo ed ,I'i quick and easy.
co-polymer to meet the demands o the
toughest applications and environ •ntal iµ, CPVC Union Coupling Connection
conditions,including in-floor cleani g systems. ° provides options of 2"or 2W'
plumbing with 2"full flow
Uniform Low-Profile Tank Base Delsign internal plumbing for maximum
makes removal of cartridge hydraulic performance.
elements fast and simple.
Full-Size 11"Integral Drain Noryla Bulkhead Fittings
provides fast clean-out and flushing provide extra strength and heat resistance.
SPECIFICATIONS–SWIMCLEAR MULTI-ELEMENT CARTRIDGE FILTERS
Cartridge •lements: -, sisi
FILTER TYPE 225,325 425,and 525 ftA2(4 cartridge elements)
700 ftA2 8 cartridge elements) CPVC Union
Connections
—
FILTER ELEMENT Reinforced polyester
C2O30– .4"W x 32 34"H(58 cm x 81 cm) Pressure and
C3030–.4"W x 34 Y2"H(58 cm x 87 cm) Cleaning Gauge
DIMENSIONS C4030–.4"W x 40 34"H(58 cm x 102 cm)
C5030–.4"Wx463'z"H(58cmx117cm)
C7030–.4"Wx52Y2"H(58cmx134cm)
'700 ft'contains eight(8)cartridge elements
PERFORMANCE DATA
ft2 m2 GPM LPM 8 hrs. 10 hrs. 8 hrs. 10 hrs.
C2030 225 20.9 84* 318 40,320 50,400 153 191
C3030 325 30.2 122* 462 58,560 73,200 222 277
C4030 425 39.5 150** 568 72,000 90,000 273 341
C5030 525 48.8 150** 568 72,000 90,000 273 341
C7030 700 65.0 150** 568 72,000 90,000 273 341
Based on NSF recommended rate for commercial use at. 75 GPM/!!2
Determined by pump size and piping system hydraulics; "piping is recommended for flow rates equal to or greater than 90 GPM(341 LPM).Hayward doesn't recommend flow rates above 150 GPM.
To take a closer look at other Hayward products,go to
SwimClear Filters are listed by:O hayward.com or call 1-888-HAYWARD.
Hayward and Hayward Energy Solutions are registered trade rks
and SwimClear is a trademark of Hayward Industries,Inc. HAYWA R D®
®2015 Hayward Industries,Inc.All other trademarks not
owned by Hayward are the property of their respective owne
Hayward is not affiliated with or endorsed by those third partie. Ka LiISWC16
• TRISTAR° VS PUMP TRISTAR VS FEATURES
• Designed to replace high performance pumps up to 1.5 HP
full-rate or 2.0 HP up-rate.
With variable-speed control a41d a hydraulically efficient design, • Can save you up to go%on pool related energy costs when
TriStar VS provides the perfect energy-saving circulation for compared with ordinary single-speed pumps.
high-performance application .This dynamic combination can • Advanced,permanent magnet,totally enclosed fan-cooled(TEFL)
save you up to go%on pool-re ated energy costs compared to motor offers unparalleled efficiency and reliability.
single-speed pumps and help TriStar VS pay for itself faster • 2"x 2.5"union connections make installation easy.
than larger,more expensive viriable-speed models. • Integrated,programmable digital interface with 24-hour programmable
clock and up to 8 custom timer functions(SP3200VSP only).
CHOOSE FROM TWO MODELS • Second base included to align with Pentair®WhisperFlo®for simple
retrofit upgrades(SP3200VSP only).
Select the multi-position digital interface for stand-alone operation and
•
interfacing with automation systems Using relay control.Or,select the model A separate base is also available(SPX3200SR)to align with
that connects directly with Hayward®automation for complete convenience. Sta-Rite®Max E Pro®Max E Glas®or Dura-Glas!
• Optional wall-mount kit available(SPX3400DRKIT)to remotely
APPLICATIONS locate the pump user interface.
• In-ground pools of all types and siXes,including in-floor
cleaning and solar heating systemg.
• In-ground pool/spa combinations.
• Ideal for water features such as waterfalls and fountains.
MODEL O EL DESCRIPTION SPEED VOLTAGE UNION
NUMBER RANGE CONNECTIONS
SP3200VSP STAND-A ONE OR RELAY CONTROL 600-3450 RPM 230V SINGLE PHASE 2"x 2.5"
INCLUDES PUMP USER INTERFACE
CONTROLLED BY HAYWARD AUTOMATION
SP3200VSPND DOES NO REQUIRE PUMP USER INTERFACE 600-3450 RPM 230V SINGLE PHASE 2"x 2.5"
OVERALL DIMENSIONS a
TriStar VS Performance Comparison
90
70---- —---..._--
24.20
,1.54 mom lam
—' ,i,--- -r' ®
iii=MW
Filial.. 1063_ '
I
r . s�
IrO.
�� VATAWFITO
il
11\� �����I1' $ 3450 RPM
�, i�i-, a -----. -..__.-.
��• --.� �'— 3000 RPM
7.e.bia4—� 9.801000 RPM 1725 RPM 2400 RPM
off....__..__------._----
0 10 20 SO 40 50 60 70 80 90 100 no 120 130
Flow(GPM)
Ask about our Extended Warranty
with professional installation Learn more about how much energy and money you can save with TriStar VS byb<,o,,,
downloading the Hayward Energy Solutions®App for iPad®from the Apple®App Store. 1 II App Store
IIAY' IlI*R D® To take a closer look at other Hayward products,go to
hayward.com or call 1-888-HAYWARD.
Hayward,Hayward Energy Solutions and TriStar are registered ademarks 0 y5 in 0 0 0
of Hayward Industries,Inc.C 2014 Hayward Industries,Inc.
M other trademarks not owned by Hayward are the property o their respective
owners.Hayward is not in any way affiliated with or endorsed those third parties.
IJfTSVSB14
5-7.. ✓
DATE TIME
CITY OF ORONO CALL DIN
INSPECTION N TIC 7.7 SCHEDULED `53 /Z2�/Ip / _
PERMIT NO. 7-4)1 "Ob /d I COMPLETED
ADDRESS 2-c-3 O r--(D 1/1 D OlfriViAc/fr
OWNER TELEPHONE NO. 7 0 3 tea'"&/ 3
CONTRACTOR a '' / a rif/.S Pros
i DESCRIPTION ri)D T / /\. POO L
LU XFOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
- ❑ AS BUILT-SURVEY 0 S ER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 PTIC INSTALL
It 2 OWNERICONTRACTOR TO U: ES_NO
y COMMENTS: -
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
OVCCIPFCT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CZ LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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. (952) 249-4600
Owner/Contractor on site:
Inspector._c-t3t_.i ... ._iii----
White Copy/Inspector's File Canary Copy/Site Notice
��Fa I
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE`,` SCHEDULED q -LO 11
PERMIT NO. 20114 7U I COMPLETED
ADDRESS 25 Or C )ir,1 .rC' N
OWNER I TELEPHONE NO.
CONTRACTOR I -
DESCRIPTION •l �-' v .S (0r —_
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
▪ ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Q
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:—YES NO
y COMMENTS:
cc
— tTOM Ii" j3 C C40 " L( VJ/ ;)
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• 0 WORK SATISFACTORY PROCEED LI PROJECT COMPLETE
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O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COHERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSIte Notice
.-)
/DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED l0 2 ..Too
PERMIT NOe2Qilp—0070 I COMPLETED Q �( �
ADDRESS 5 c2i o Orc. .rA
OWNER0L�jPHONE NO.4W_____51;2`32 0
Lt
CONTRACTOR .#'6 / 0 i _ /it -e--
DESCRIPTION Pao I �// 1
...W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ❑ TREE REMOVAL
O
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
.14C 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
v INAL 0 WATER HOOK-UP 0 FOLLOW-UP
_ 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:i..YES_NO
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ki0 WORK SATISFACTORY:PROCEED ROJECT COMPLETE
❑CORRECT WORK&PROCEED Li ISS E CERTIFICATE OF OCCUPANCY
IQ
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITH N HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPE OR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO AR NGE ACCESS.
Call for the next ins ion 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: JP-
White Copyllnspector's File Canary CopylSite Notice
Planning & Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: October 20, 2017
G/L: 101-22205
Re: Escrow Refund
Building Permit#2016-00701 pertaining to 25 Orono Orchard Road N is complete. Please
refund $2,500 to the applicant, Mike& Deb Benedict.
Mail to: Mike& Deb Benedict
25 Orono Orchard Road N
Long Lake, MN 55356
w:\street files\orono orchard rd n\25\escrow refund 2016-00701.docx
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2016-00701 (in-ground pool)
Land Use Application#2016-00744(minor land alteration)
'
AGREEMENT made this l day of , r , 20t , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City")and Mi'hael :t; b Benedict("Owners").
Recitals
1. A building permit application has been filed for an in-ground swimming pool located at
25 Orono Orchard Road N the ("Subject Property"), legally described as that part of SW 4 of SW % of SW
Sec. 35, T118, R23 lying SWLY of Orono Orchard Road, except that part of the west 250 feet lying north of south
400 feet, and except that part of west 50 feet lying north of south 374 feet thereof Hennepin County Minnesota.
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or vfrill incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.
The financial security may also be used by the City to eliminate any hazardous conditions associated with the
work and to repair any damage to public property or infrastructure that is caused by the work (including planning,
engineering, or legal consultant review) associated with building permit #2016-00701 and zoning permit
#2016-00744 if compliance with the approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO/N116 yO��WNNER: �j �j /, .. •
By: CiAltibliV—,
e In
e,/0--
Its: 121,ann
Internal Use Only: 0 Original to Planning 0 Copy to Property Owner t1 :opy to Street:.File
. , CITY OF ORONO ( �' lil I'
* 2016 - 00802 *
2750 KELLEY PARKWAY DATE ISSUED: 07/12/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 25 ORONO ORCHARD RD N
PIN : 35-118-23-33-0004
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500.00 ESCROW IS TIED TO 2016-0000701 AND 2016-00744
APPLICANT ESCROW FEE-BUILDING 2,500.00
BENEDICT,MICHAEL&DEBORAH TOTAL 2,500.00
25 ORONO ORCHARD RD N Cayments)
CHECK 5761 2,500.00
LONG LAKE,MN 55356-
OWNER
BENEDICT,MICHAEL&DEBORAH
25 ORONO ORCHARD RD N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,app.icable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether 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 f ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Birilding Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
MICHAEL D BENEDICT 5761
DEBORAH A BENEDICT 17-7000/2910 168
25 N ORONO ORCHARDS RD j a -/ 1440720963
LONG LAKE,MN 55356-9435
i, Date
Poij to the ► .. 6)4114,0
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ollars
tcf TCF National Bank
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Memo r.�J Lw
I: 2910700011: 1440720963H' 0576 L
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.015937 Jul 12, 2016
Michael Benedict
Planning and Zoning
2016-00701 2016-007 4 2,500.00
101-22205
Deferred Rev-Developer Deposit
Total: 2,500.00
Check
Check No: 5761 2,500.00
Payor:
Michael Benedict
Total Applied: 2,500.00
Change Tendered: .00
07/12/201, 02:15PM