HomeMy WebLinkAbout2016-01340 - adv plan review CITY OF ORONO 1/ 1111111 11 III 10 111111
2750 KELLEY PARKWAY * 20 1 6 - 0 1 3
DATE ISSUED: 10/20/22 011
6
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1125 PINE VIEW DR
PIN : 28-118-23-42-0007
LEGAL DESC : PINE VIEW
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 32,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 32,500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: IN GROUND POOL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01339
APPLICANT ADVANCED PLAN REVIEW 340.59
TOTAL 340.59
JRS COMPANIES, INC
Payment(s)
2800 CAMPUS DRIVE-SUITE 40 CHECK 13849 340.59
PLYMOUTH,MN 55441
(763)551-0555
OWNER
NYQUIST,MATTHEW&JENNIFER
6126 MAIN STREET W
MAPLE PLAIN,MN 55359-
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 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 time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Apljei '-rmi ee Si ature ate Issued By Signatur Date
• City of Orono
Building Permit Application
for Swimming Pools and Hot Tubs
-$..0A/- Mailing Address: Permit number: 0/4,2 —(.9/-3,
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: / / 2_O/i, j
Street Address: rD
-° I 8 \ L
�� 2750 Kelley Park .Of L' -L 1401 Plan review fee: 3 110. 5?�' Orono, MN 5535
`li 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: / /e 5 Pl/ieP/ ex-c) / 4
CONTRACTOR/APPLICANT INFORMATION:
Name: _TR c Foots L .C_.
State License# Expiration Date:
Phone: ,7&j T bg — SF ? Fax: �7b 3 -- (3:4.— c7 5
Address: /10 , a fuer 4 /t1 Lc., City: g' . ZIP: - , `
Contact Person: :3j/ Contact's phone I••-
Email: Aft 4)pt - Applicant is: ontractor omeowner (circle one)
PROPERTY OWNER INFORMATION_L -- ,
Name: Al acytt .1- ,3e,N jo,4, aiu,r,,5 (-
Phone (day): Gf6a 00 — -73 ej'7
Mailing Address: it i6t) Uit 4.4, b i' . ZIP: 6-535^
Email and/or Fax:
ENGINEER INFORMATION:
Name: c (tv ,g,,„1 'A:WS 0 I r�v��.. .a
Phone: t
Address: 9 30 --.17, ,-7./. ,� . f rC f- City: rt 1�r y4�, ZIP: 4 1 e cr ci
Email: L(i �c ill S cs r CB C.0, Fax:
PROJECT INFORMATION:
1. Pool/ Hot Tub Dimensions:/� 4.Accessory to: 5.Type: 7.Retaining Walls?
E,0 X 4,r? feet
2. Heated? lyes ❑ no ❑Above ground 0 yes ❑ no Height *
54 Single Family g
3. Excavated materials will be:
❑ Multiple Family!Condo ry_In-ground *A building permit is required
❑ removed from site for any wall 4-feet or greater in
[14-used on site 0 Public
❑ Other(specify) height measured from the
❑ Other: (specify) ❑ Commercial bottom of the footing to the top
E240 Total Cubic Yards ❑ Industrial of the wall, even if it replaces
6. Sewage Disposal & an existing wall.
**''Any earth movement may require 0 Other: (specify) Water Supply Tiered walls are considered
MCWD review and permits. one wall unless the are
Minnehaha Creek Watershed District(MCWD) El Public Sewer Y
separated by twice the height
15320 Minnetonka Blvd
g{ Private Sewer of the higher wall.
Minnetonka, MN 55345 9
Phone: 952-471-0590
0 Public Water
Fax: 952-471-0682
www.minnehahacreek.org _ ( Private Well
Estimated Construction Value $ 3 r79,(S 647
Packet Last Updated: April 2016
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