HomeMy WebLinkAbout2001-P04076 - septic - � PERMIT
G I TY O F O RO N O Permit Number:
z750 Kelley Parkway - PO Box 66 P04076
Crystal Bay, Minnesota 55323 Permit Type: septi�
(952) 249-4600 Date Issued: �ii2�2oo1
SITE ADDRESS: 2690 Rainey Rd
Wayzata, MN 55391
PID: 04-117-23-43-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): Repair Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
Septic
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: SWE�LL7ND SEPTIC OWNER: Mr.&Mrs. Ducharme
9520 LAKETOWN RD 2690 Rainey Rd
CHASKA,MN 55318 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROV EMENTS SPECIFIED
AN D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE I NATURE ISSUED BY SIGNATi.7RE
Copies: 1-File(Signitures Reguired),1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
Ju1-06-2001 0�:41pm From—CITY OF ORONO +0622404616 T-378 P.001/002 F-628
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crrY a�a�,o�ro SEPTI�SYSTEM PERM�I'APPLICATION .
�uz 6�(275a Kelley ParkwaY) ,�A,{�, � �I ��u 3
Cryst�l Bay,Mu 55323
CITY" (7ir U�Oi�s`(�
JOB S1TE ADDRESS �Z��� ��"�/U� /P17 r - --
�ccupancy T�*pe: ltesideatial _ ^_— Commercial Other
Pfrmit'Y'ype: New or R�plsc.eRpent System $100.00
Repair Existiug S�'stem $ 50.00 .Od
('Y'Anks ar�rseafleld)
�O.SO State aurdtarge added to above fees
" See fee schedu[e for nou-residentiA�l permit fees
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Orvner'sName: -TuU_E__,L/N/7,a�i..00m phoneNwnbcr: '�7 '' a
Ma�Address: Cii�: Z�p: ,�� �
Cantr�ctor's Nama Phnna Number: i � (p �
bialing Address• _ Ciiy: Zip: � �2
'"w*DIO NOT MAIL PAYMENT WTi'I'i THIS APPLICATION�** �
GENE�tAI.INSTRi�CTIONS
I. Apglicatioas £ar septic system p�ma.its may be mailed or submittod i.n person at th.e City
Offices; �owever,permit�will not be mailad out, The permit must be picked up in person
at the Cxty Qffices and work rAust uot begin uriless th�periait caxd is on tha j ob sit�.
2. Permits wil�ba issucd anly to contractars holding a Miunesota Pollution Corm-ol
Agcncy(MPCA)Septic 3ystem Ia�tallers I.icense.
3. AU work must be done in a�ccprdance witla ihe t�pproved segtic system design. Desiga rspprts
are not co:uide,red approved unless accampaaied by the "City of Orono Septic Spstem
Approvat"ca�ar sheet signed by the City Inspector.
4. The fatlowing insp�ctions vvill be required fbr alE septic s�►stems:
A. Pre-is�stallat�on site i�spectian to inalude in9poctor,installer,aad ge�eral aaatractor.
�. Tank installa�on prior to covering.
C. Drain.fiald tranch instailatian prior W covering. For inounHs,in�pection is roqt�ired after
rough up but prior ta sand pia,�cment(sand�wil!be jar tested for silt con#ent),and agaia
during prdssura distribution piping installatior►in the rock bed.
D: Final inspoation to verify proper final covcr dcpths and t�verify that al! pump statians
(where re�uised) companents are fiiactional aad comply with codes.
5. Individual hoXding MPCAInstallers Liceuse s�all be present duiiug aU.inspections. A Z4-hour
Ootice i�reqU�'ed for all inspecttos�s.
Ju1-49-20p1 03:42pm From-CITY OF ORONO +9522494616 T-379 P.002/002 F-828
� NI�T�: Applicant znust initial all spaces_ Filf in al! apprapriate blanks and check all appropriate
boxes.
1. I have receivad a copy of the system design including the City of Oroz�o Septic
- System Appra�al Cover Sh�et,
2. I wilI be installin�the following:
A. Tanks. �precast Concrete �O#her N1a�aufacturer
Tauk Capacities� 1} r�al. 2)--- �al 3) �al
B. Pump Station(if required j
Pump make&model (attach pump curve&
literatare); system design requires�gpm at feet p�h,ead,
�Ti�h water aiarm mak�&model__.. . Outside
electrical�vork w be co�nplgted by installer eiect�iciar� ather.
C, Treacment System: � / �'i�',t1�� n�P
T�enahes: s.f. X Mound CA-S Z>1z l��/l1 A��.L� ly�Ll/���
Depth of reck below pipe._. " Rock bcd duner�sions ' x '
Drop Boxes Sand bed dim�nsions ' x._. '
� Distributian�ax Pr�ssure Dist. Pipc Diam. "
Manifold Pipe Diam. "
I]. �'inal Cover/Topsail tfl be: _� borrowed trom site
{sbow location on site plan)
_� trucked in
The undersigned hereby appli�s ta the City crf Or�na for essua�ce af a septic system install�tiaz�permit.
a�eas to do alI work in strict accordance with ordinances of the City aaid the regulat�c�ns of the Staxc
of hlinnesota,and eertifies that all sfiate nts made onthis application are complete,true znd correct.
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SignatureofApplicant�, ;_ �f�e/���� c� _ Date: "�� " �
�c�.z�x��5�No.-- -�9�
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Stxff Re�iew: Appravat � Denia!
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Revrewer: ,���.^ �^��-� ' ; � '�.r �; Date• - � i, ,
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Reasan for Denial:
v DATE TI E
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CITY OF ORONO /�`jj 7 f� CALLED IN �� ���
INSPECTION N I�E � SCHEDULED �v-��"-� �^ �"
PERMIT NO. U / COMPLETED '`� 7� D I ��'3 Ci'
ADDRESS � �� a:^
OWNER C.�U L=r�h\c►t,r- CONTR. S`^'c�`�'r,
TELEPHONE NO.
� DESCRIPTION S�R �'- � �� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILIING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 EPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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����'�p WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W0 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra tor on site:
Inspector. �' � ' ��� �—
White Copyllnspector's File Canary Copy/Site NoUce
DATE TIME
CITY OF ORONO ALLED IN
INSPECTION NQTICE SCHEDULED � _
PERMIT NO. `f� � COMPLETED '6 ���
ADDRESS ���� �� :�; � � ��
OWNER � .,�ti �� p,���r�.,^� � CONTR. -� �'' ��, i �''� i."
TELEPHONE NO.
� DESCRIPTION ���� ��, � . i����'%�'+, ��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATtON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL �15 EPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTORTOMEETYOU: YES_NO
� COMMENTS: � �X �`� �p�� �e
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d ❑WORKSATISFACTORY:PROCEED �FROJECTCOMPLETE
W
� ❑ CORRECT WORK 8 PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlCo ractor on sit
Inspector. ��.
White Copyllnspector's File Canary CopylSite Notice