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. l <br /> City of Orono <br /> Building Permit Application 9V <br /> for Swimming Pools and Hot Tubs <br /> �l Y Mailing Address: Permit number: �/ e- to 3 g 7 <br /> -szLPO Box 66 <br /> 1 i Crystal Bay, MN 55323-0066 Date received: 3-3o—) g <br /> Street Address: Received by: pp <br /> S 2750 Kelley Parkway Plan review fee: o? / O <br /> `� L Orono, MN 55356 <br /> �'kfsNOS�CA ate/g 003 Total Fee: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <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: 2280 FOX STREET, ORONO, MN 55356 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: PRESTIGE POOLS <br /> State License# Expiration Date: <br /> Phone: 651.490.1399 Fax: <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: jeffApreStigepooIs.COm Applicant is: CContractoHomeowner (Circle one) <br /> PROPERTY OWNER INFORMATION: <br /> Name: MYHRAN, LYNN & ANDERS <br /> Phone (day): <br /> Mailing Address: 2280 FOX STREET, ORONO, MN ZIP: 55356 <br /> Email and/or Fax: almyhran@aol.com <br /> ENGINEER INFORMATION: <br /> Name: <br /> Phone: <br /> Address: City: ZIP: <br /> Email: Fax: <br /> PROJECT INFORMATION: <br /> 1. Pool/ Hot Tub Dimensions: 4.Accessory to: 5.Type: 7. Retaining Walls? <br /> 20 x 40 feet <br /> 2. Heated? XI yes 0 no ® Single Family <br /> 0 Above ground 0 yes 0 no Height * <br /> 3. Excavated materials will be: 0 Multiple Family/Condo ® In-ground *A building permit is required <br /> ❑ removed from site for any wall 4-feet or greater in <br /> ❑ Public <br /> ❑ used on site 0 Other(specify) height measured from the <br /> ❑ Other: (specify) 0 Commercial +8'x 8'IN GROUND SPA bottom of the footing to the top <br /> Total Cubic Yards 0 Industrial of the wall, even if it replaces <br /> 6.Sewage Disposal& an existing wall. <br /> ***Any earth movement may require ❑ Other: (specify) Water Supply Tiered walls are considered <br /> MCWD review and permits. one wall unless they are <br /> Minnehaha Creek Watershed District(MCWD) 0 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 0 Public Water <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq 0 Private Well RECE(VRD <br /> Estimated Construction Value $ 25,000.00 <br /> Packet Last Updated: April2016 MAR 3 0 2018 <br /> Page 22 <br /> CITY OF ORONO <br />