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Home My WebLink About2014-00621 - pool CITY OF ORONO * 2 0 1 4 - 0 0 6 2 1 * > 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 • ORONO, MN 55356- � (952) 249-4600 FAX: (952)249-4616 ADDRESS : 475 OXFORD RD PIN : OS-117-23-41-0010 LEGAL DESC : STIELOWS ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 35,500.00 NOTE: SEPARATE PERMITS REQUIRED: PMECHANICAL, ELECTRICAL(STATE) *THE POOL CANNOT BE CONSTRUCTED CLOSER TO THE LAKE THAN SHOWN ON THE SURVEY DATED 6/30/14 NITIAL *PRIOR TO RELEASE OF ESCROW FUND AS ASBBUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED AND APPROVED. APPLICANT PERMIT FEE SCHEDULE 531.25 STATE SURCHARGE(VALUATION) 17.75 PETERSON POOLS& SPAS INC. TOTAL 549.00 13110 EXCELSIOR BLVD Payment(s) MINNETONKA,MN 55343- CHECK 13754 549.00 (952)933-3010 OWNER CKO VACATION PROPERTIES 575 OXFORD ROAD MEDINA,MN 55340- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable 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 sepazate 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 time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for du cause. r/ � / / Appl�cant Pe tee Sign ure Date Issued By Si n ture � Date �-, � l 37 S� '1 R " � � � , ' Ci of Orono � 5`�� . � � Building Permit Application for a Swimming Pool �O ,� - Mailing Address Permit number: � —� �� PO Box 66 _ � Crystal Bay, MN 55323-0066 Date received: — � Street Address: Received by: 7�Yj7- � a ; Z � 2750 Kelley Parkway Plan review fee: `�tq ��L� Orono, MN 55356 Ol r L_ � � � kest{o � � ___ Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.cf 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: �?S ��--�� CONTRACTOR/APPLICANT IN RMATION: Name: a E c� '—' State License# Expirat on Date: Phone: fol7 Z Z(_ 7,S_� '� Fax: Address: � �j � �k ,�-�� /�/ . City: �c� ZIP: � Contact Person: �5'�,� _,� ContacYs phone n � _ �— Email: A licant is: ontractor �� omeowner (Clrcle One) PROPERTY OWNER INFORMATION: Name: Phone (day): Z Mailing Address: ZIP: ��_ Email and/or Fax: ENGINEER INFORMATION: Name: r Phone: Address: City: ZI P: Email: Fax: PROJECT INFORMATION: 1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 7. Retaining Walls? �� X�feet ❑Above ground ❑yes ❑ no Height ' ❑ Single Family 2. Heated? ❑ Multiple Family/Condo �In-ground "A building permit is required ❑yes ❑ no C � for any wall over 4 feet in ❑ Public ❑ Other(specify) height measured from the 3. Excavated materials will be: ❑Commercial bottom of the footing to the top ❑ Industrial of the wall, even if it replaces ❑ removed from site 6.Sewage Disposal 8� an existing wall. �used on site ❑ Other: (specify) Water Supply Tiered walls are considered one wall unless they are ❑ Other: (specify) ❑ Public Sewer separated by twice the height ❑ Private Sewer of the higher wall. ��Total Cubic Yards ❑ Public Water Private Well Estimated Construction Value $ 3�, S(�ZS � Packet Last Updated: 03/29/13 Page 19 of 21 REQUIRED SUBMITTALS: Atl of the information must be submitted in order for your application to be processed: - Not � Enclosed A licable � ❑ Permit A lication ❑ Plan Review Fee ❑ Pool Plans � ❑ Surve includes radin lan ❑ Hardcover Calculation Worksheets ❑ Erosion Control Plan or co of MCWD Permit ❑ ❑ Se tic S stem Certification ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ Escrow& Escrow A reement ❑ ❑ Other ❑ ❑ Other ❑ ❑ Other ❑ ❑ APPLICANT ACKNOWLEDGEMENT: • 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. ti A IicanYs Si nature: /'�� Date: �/ � 7 � PP 9 � Owner's Signature Date: ��—'�y Packet Last Updated: 03/04/13 Page 20 of 21 PLAN REVIEW CHECKLI T FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: �.0 V � Description of work: �� ' �' 'I J Septic review by: ��f,� Date Approved: � • 1 ' � �" Zoning review by: Date Approved: �• �'� �' Building review by: Date Approved: 1 � q' � `1 Grading review by: '�— 1� Date Approved: SQ,Q � Zoning District: �'(� Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: �Yes ❑ No Date of Survey: t0 '��' �� Revised date(?): Proposed Setbacks: Fr (Lake) �ar(Street) (O S E W ) ( N S E W ) Other Buildings Wetland Side Side {�puw � � Z,�3 ' � i t� ' Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance betwee highest point between the highest point of the roof of the roof t e low point of the to the low int of the corresponding SUBTRACTION corres ing gable or hipped roof SUBTRACTION r ipped roof (BASED ON ROOF . LE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF NPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. mansard,etc):No subtraction, ADDITION Add the distance between the top of slab SU CTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to ( ASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff ❑ Yes � No � N/A / � Yes o Yes � No A Yes � No � N/A Permit Number: / Setback: � Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover �$�34-�1a � Yes No 0 Yes No I �(p ,�3 SL Type(s): Type(s): 1 Updated: January 2013 v:\formslplan review checklist 2013.docx REMARKS (in-house): ' � Fees to be Charged YES NO Perm it Plan Review �/ State Surcharge �/ Investigation Fee SAC-Number of SAC Units Other(specify) S uare Foota e $ per S uare Foota e Basement X - $ 1s1 Floor X = � Znd Floo� X = $ � Garage X - � Estimated Construction Value: $ ��/�� m J Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site 0 P umbing � Grading/ Filling � Well � Hardcover Removal Mechanical � Fire �Electrical Footing 0 Septic � Water Connection � Poured Wall � Fireplace � Sewer Connection � � Foundation Survey � Masonry � Lawn Irrigation t; 0 Radon Rock Bed 0 Mfg. ❑ Framing 0 Other(specify) € � Insulation s-Built Survey Final � Wetland Buffer � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: 0 YES 0 NO OFFICIAL REMARKS -TO B� NOTED ON PERMIT AND INITIALLED � _ ' � rv � T�r�U� �,c. Qf Q.n Oa l�' S(11�v w- N-ard ovt�'' �S,,l�(!a�t,h�hD YY1U�'�' 1P�._. �U�bl'1'IL� �- 4��• Updated: January 2013 v:\forms\plan review checklist 2013.docx 1 � TIME ✓ CITY OF ORONO cnLLED IN 7� INSPECTION J VE � SCHEDULED � — � PERMIT NO.�! Z� COMP ETED ADDRESS 77S �� `�+-% OWNER � TEL HONE N0.6�Z ZZ� .3S-�J 7 CONTAACTow ET�TiYv d�l � �� DESCRIPTION ��v� � i"' �� ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING O MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWHEMOVAL 2 OWNERICOI�RRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� W � � J O �. o� O W � Q � W � W � j W RKSATISFACTORY:PROCEED ❑PROJECT COMPIETE � RRECT WORK 8 PROCEED ❑9SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR Nllll RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. � 249-46�� OwnerlContractor on site: Inspector: White Copyllnapector's Flle Canary CopylSite Notice