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f - � � <br /> � <br /> � City of Orono g��'� <br /> . � � <br /> Building Permit Application ���� � <br /> for Swimming Pools and Hot Tubs <br /> �O A�Q Mailing Address: Permit number: ' /(O— � <br /> 1 y PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: — — <br /> Street Address: Received by: <br /> � ` 2750 Kelley Parkway Plan review fee: � �,� D <br /> `� G Orono, MN 55356 <br /> tq�FSHo�� o�`lp-ot�a7/ <br /> Total Fee: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ' t - <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 500 HUNTER PASS, ORONO, MN 55391 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: PRESTIGE POOLS <br /> State License# Expiration Date: <br /> Phone: 651.490.1399 Fax: 651.490.3119 <br /> Address: 87 W. COUNTY ROAD C City: ST. PAUL ZIP: 55117 <br /> Contact Person: PAT HENRY Contact's phone number 651.490.1399 <br /> Email: ph-pools@hotmail.com Applicant is: Contractor Homeowner (Clrcle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: SCOTT WETZEL <br /> Phone(day): 612.760.4444 <br /> Mailing Address: 500 HUNTER PASS ORONO MN Z�P� 55391 <br /> Email and/or Fax: wetzel.scott(a�princiqal.com <br /> ENGINEER INFORMATION: <br /> Name: <br /> Phone: <br /> Address: City: ZIP: <br /> Email: Fax: <br /> PROJECT INFORMATIONt`�� �x/y� ��Du�G,��Q -� � <br /> 1. Pool/ Hot Tub Dimensions: �, 4.Accessory to: 5.Type: 7. Retaining Walls? <br /> 14 X 34 eet <br /> 2. Heated? yes ❑ no ❑Above ground ❑yes ❑ no Height " <br /> �Single Family <br /> 3. Excavated materials will be: ❑ Multiple Family/Condo [�In-ground "A building permit is required <br /> ❑ removed from site ❑ Public for any wall 4-feet or greater in <br /> ❑ used on site ❑ Other(specify) height measured from the <br /> ❑ Other: (specity) ❑ Commercial bottom of the footing to the top <br /> Total Cubic Yards ❑ Industrial of the wall, even if it replaces <br /> 6.Sewage Disposal 8 an existing wall. <br /> **"Any earth movement may require ❑ �ther: (specify) Water Supply Tiered walls are considered <br /> MCWD review and permits. one wall unless they are <br /> Minnehaha Creek Watershed District(MCWD) ❑ Public Sewer separated by twice the height <br /> 15320 Minnetonka Blvd <br /> Minnetonka,MN 55345 ❑ Private Sewer of the higher wall. <br /> Phone: 952-471-0590 ❑ Public Water <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.or ❑ Private Well <br /> Estimated Construction Value $ �Ct�c�'i <br /> Packet Last Updated: August 2015 <br /> Page 22 <br />