HomeMy WebLinkAbout2012-00238 - pool CITY OF ORONO * Z 0 1 2 — 0 0 2 3 8 *
�Y 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2012
` ORONO, MN 55356-
'� 952 249-4600 FAX: 952 249-4616
ADDRESS : 3315 GRAHAM HILL RD
PIN : OS-117-23-11-0007
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 6 BLOCK 1 Cit� af urono
PERMIT TYPE : ADVANCED PLAN REVIEW C75U Kelley Parkway
Or„rni h9V 553.°ifi 95c-24'3-460G
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Receipt I�o: 3.00fib05 h4ar 3�, 201�
VALUATION : $ 40,000.00
NOTE: PLEASG FILL [N THG FOLLOWING: Dolphin Pac,i
Rreviaus Balance: .(�l
VALUATION OF PERMIT:$ 40,000.00 Per�its
�01�-OU238 3315 Graha� 373.26
TYPE O}'PERMIT"I'HIS PAYMEN7'IS FOR: INGROUND POOL Hill Rd
1U1-c^48U�
�ue to gc,vts-5tate
PF,RMIT#"I HIS PRE-NAYMEN"1'IS TIED"I'O:2012-00239 -----------
Total: 373.2b
Check
Check No: 8623 373.�f,
F�ayor:
Ih,lphin Poi,l
Tota1 Applied: 's73.�
---------
Change Tendered: .{'{'
---------------
�?3130l2t?l� 1U:15RM
APPLICANT ADVANCED PLAN REVIEW 373.26
DOLPHIN POOL& SPA, INC.
3405 N HWY 169 TOTAL 373.26
PLYMOUTH, MN 55441-
(612)542-9000
Minnesota State License#: 20266452
OWNER
HEU , MARK& SUE
25 6TH ST S#2900
MINNEAPOLIS, MN 55402-
�� ��
AGREEMENT A D SWORIY STATEMENT
l�hc work for which this pennit is issued shall be performed according to
thc approvcd plans and specifications,applicable City approvals,and [hc
State Building Code. This permit is for only the work described and does
not grant permission Yor 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 specitied herein.This permit will
expire and become null and void if construction authorized is not
commcnced within 180 days of the datc of issuancc,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is respon ible for assuring all required inspections are
requestcd in confo nc State Building Code.This permit may bc
revoke at i r due cause. �,� �
/ / j� ��--� � C�7�l ��� `,r 2 �� .. 3 - ,3�
/ /
pplicant Permit � nature Date Issued E3y Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCR[BED ABOVE.
a.
City of Orono
Building Permit Application
for a Swimming Pool
�.--- Mailing Address: c�( :� '��'D�--��
��g,�,�:\ PO Box 66 Permit number:
�� � ��� Crystal Bay, MN 55323-0066 Date received: ���?���iZ
J
�`��� �� StreetAddress: Received by: ��
� � ���:> ,�,
'$',�, ��+� ��ti' 2750 Kelley Parkway ��� _��a•�,�� Plan review fee: >�� - Z�'' 7� ; C�
t , Esxo� Orono, MN 55356 �
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: ����- ��f,��,,,, �< <
CONTRACTOR I APPLICANT INFORMATION:
Name: � �,y,�� i�ac�c -� 5r•��
State License# �O�ea�S �S�a Expiration Date: jJ-/�/
Phone: ��v3-•��7- �� Fax: '713� S�/� 4��
Address: City: ��r�i ZIP: /
Contact Person: � � ,�„�,r Contact's phone number 6,3- �� - 4m�
Email ��q,evvFir ( l,�,c�nti�na� — S,oq �.N Applicant is: ontractor Homeowner (CircleOne)
PROPERTY OWNER FORMATI /� /
Name: �/d,rt�N�'3' i.aD C � / l'�Gl�(C �{ �,c�' ,
Phone (day): `/'3sa. �a,�. /�-�'9- �53U
Mailing Address: ��n s'3 ,� „� ,� ZIP: �7
Email and/or Fax
ENGINEER INFORMATION:
Name:
Phone:
Address: City: ZIP:
Email Fax:
PROJECT INFORMATION:
1. Pool Dimensions: 4. Accessory to: 5. Pool Type: 6. Sewage Disposal &
Water Supply
� X �fy feet ingle Family ❑Above ground
❑ Public Sewer
2. Heated? Multiple Family/Condo �In-ground
�yes ❑ no � Public ❑ Private Sewer
❑ Other(specify)
3. Excavated materials will be: ❑ Commercial ❑ Public Water
❑ Industrial 6. Retaining Walls? '�Private Well
❑ removed from site
(�sed on site ❑ Other: (specify)
❑ yes �no
❑ Other:(specify)
Height
,S� Total Cubic Yards
Estimated Construction Valuation $ �6 ��
Last Updated: 10/28l2010
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