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, <br /> City of Qrono � <br /> Building Permit Application -���� �� <br /> for Swimming Pools and Hot Tubs <br /> /�a�O Mailing Address: ' Permit number. d/�—U�/ � <br /> � � PO Box 66 ; <br /> , Grystai Bay, MN 55323-0066 Q � Date received: 07—'/� — / <br /> � �i ol � ; <br /> ' Street Address: a�'�� ` Received by: <br /> �` ��.� � � ,�� 2750 Kelley Parkway Q�� � Plan review fee: ��� � <br /> �q �,`' Orono, MN 55356 � 1� y r�� � <br /> '�fSHC�� pC��lO—�U�� <br /> ; Total Fee: � <br /> _ __ __ Main: 952-249-4600 Fax: 952-249-4616 �vw�v.ci.aronc�,r7in^us � <br /> This application form must be completed in full and all required information must be submitted, <br /> Incomplete applications wili be returned. (Pfease print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 1Q25 SPRING HILL ROAD, 4RON0, MN 55391 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: PRESTIGE PUC7LS <br /> State License# _ Expiration Date: <br /> Phone: 651.490.1399 Fax� 651.490.3119 <br /> Address: 87 W. COUNTY ROAD C � Cit <br /> Y� ST PRUL ZIP: 55117 <br /> Contact Person: PAT HENRY � ContacYs phane number 651.490.1399 <br /> Email: ph-poolsC�hotmaiLcom Applicant is: Gontractar Homeowner {Circle One) <br /> __—�12' �5�0--12',X',,- � <br /> PROPERTY OWNER INFORMATI�N: <br /> Name: _ JOHN AND CYNDY BC}WLSBY <br /> Phone (day): 952,807.7442 <br /> Mailing Address: 1025 SPRING HILL ROAD, ORONO ZIP• 55391 <br /> Email and/or Fax: jbowisby(c�msn.com � �--� <br /> ENGINEER INFORMATION: <br /> Name: <br /> Phone: _ __ —__ <br /> Address: City: ZIP: <br /> Email: Fax: <br /> PRQJECT INFORMATION: <br /> 1. Poot/ Hot Tub Dimensions: � 4.Accessory to: � 5.Type: 7. Retaining Walls? <br /> 18 X 42 feet <br /> � 2. Heated? yes ❑ no � ( ❑Above ground ❑ yes ❑ no Height ' <br /> Single Farnily <br /> � 3. Excavated materiafs will be: ! ❑ Multiple Family/Condo �n-ground *A building permit is required I <br /> � ❑ remaved from site j for any wall 4-feet or greater in <br /> � ❑ used on site ; Q Public <br /> ❑ Other(specify) height measured from the � <br /> ❑ Other. (specify} � ❑ Commercial bottom of the footing to the top <br /> i Total Gubic Yards � ❑ Industrial of the wall, even if it replaces � <br /> ' 6.Sewage Disposal 8� an existing wall. <br /> { *`*Any earth movement may require ; 0 ��her: (specify} � Water Supply <br /> I Tiered walls are considered <br /> MCWD review and permits. � one wall unless they are <br /> � Minnehaha Creek Watersheci District(MCWD} � Public Sewer <br /> separated by twice the height <br /> 1532p Minnetonka Blvd ' ❑ Private Sewer of the hi her wall. <br /> Minnetonka, MN 55345 ' g <br /> Phone: 952-471-0590 ' � <br /> � ❑ Public Water <br /> � Fax: 952�71-0682 <br /> i �,uww.minr�ehahacre�k.t�r� ! ❑ Private Well <br /> Estimated Construction Value $ ��7,G,;,�� " <br /> Packet Last Updated: August 2Q15 � <br /> Page 22 <br />