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HomeMy WebLinkAbout2016-01124 - adv plan review CITY OF ORONO III 1 ill 111 11.111 11 Ill 1111 2750 KELLEY PARKWAY * 2016 - 01 .124 * DATE ISSUED: 09/15/2016 i ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1380 ORONO LA PIN : 02-117-23-34-0012 LEGAL DESC : REG.LAND SURVEY NO. 1350 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 25,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 25,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: IN-GROUND POOL PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01123 APPLICANT ADVANCED PLAN REVIEW 281.89 TOTAL 281.89 PRESTIGE POOLS 87 COUNTY ROAD C WEST Payment(s) CHECK 17862 281.89 ST.PAUL,MN 55117- OWNER Luke Beltnick Revocable Trust BELTNICK,LUKE&ELENA 3018 EMERSON AVE S MINNEAPOLIS,MN 55408- 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 /(17) revoked at any time for due cause. .,.( �" /) r 11214// 5—/.5--/.4, 0 ( ,....12 A .._,PLS-i" (, i /Si & Applicant Permitee Sire Date Issued By Signatur! Date City of Orono Building Permit Application for Swimming Pools and Hot Tubs Mailing Address: "V..0./\/„.‘ PO Box 66 Permit number: 2G/`(� /(2 ?� Crystal Bay, MN 55323-0066 Date received: C1 / 5-7/ Street Address: _ Received by: 2 .5 . y`se L 4. 2750 Kelley Parkw. ��.�( 071(..--1 (o PI n review fee: g-- �kESHO�� Orono, MN 55356 fI`� •� - '�/` otal 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: 1 /3 gO , /?,e7-)r Z/V CONTRACTOR/APPL ANT INFORMAT N: Name: i2 7766: z, i S State License# Expiration Date: Phone: ' - 3"-' Fax: Address: 8 7 cv,--1 j�ir City: ,©,l z ZIP: ss--/f `7 Contact Person: AiT�;E2ar�' Contact's phone number �/Z- 1T- -/Z3j— Email: p A -.-, �S ciy�im�7i,,4ic a e a pplicant is: ontract Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: 4,,, c- &e._Aiiee (gzi-Ah4) Phone(day): /1,,2_ !la,—Ao —4:13-y Mailing Address: ZIP: Email and/or Fax: leA (")e440ret, (, 61 6:711,4_,L : ems` ENGINEER INFORMATION: Name: Phone: Address: City: ZIP: Email: Fax: PROJECT INFORMATION: 1. Pool/ t Tub Dimensions: 4.Accessory to: 5.Type: 7. Retaining Walls? /� r�X .1(o feet 2. Heated? tgf yes 0 no ''Single Family 0 Above ground 0 yes g(no Height * 3. Excavated materials will be: 0 Multiple Family/Condo `_In-ground *A building permit is required ❑ removed from site ❑ Public for any wall 4-feet or greater in Igi used on site 0 Other(specify) height measured from the ❑ Other: (specify) 0 Commercial bottom of the footing to the top Total Cubic Yards 0 Industrial of the wall, even if it replaces 6. Sewage Disposal& an existing wall. ***Any earth movement may require 0 Other: (specify) Water Supply MCWD review and permits. Tiered walls are considered Minnehaha Creek Watershed District(MCWD) 0 Public Sewer one wall unless they are 15320 Minnetonka Blvd separated by twice the height Minnetonka,MN 55345 0 Private Sewer of the higher wall. Phone: 952-471-0590 0 Public Water Fax: 952-471-0682 www.minnehahacreek.orq 0 Private Well Estimated Construction Value $ Z57cCe Packet Last Updated: April 2016 Page 22