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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. -����,L� (' � .���.�cC ��o�-�'.���- � (� , � 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 _ . � 1 ��� �-_ , . . � � ( ;���.::��:5.:��.� � 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 � 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. i / i SignatureofApplicant�, ;_ �f�e/���� c� _ Date: "�� " � �c�.z�x��5�No.-- -�9� ������:�_s�s S Stxff Re�iew: Appravat � Denia! , . Revrewer: ,���.^ �^��-� ' ; � '�.r �; Date• - � i, , �. Reasan for Denial: v DATE TI E � 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: � c� a — 1\0�5�- �/,� c� c .� oc�es c �� � {� � � � " �^v c�\e � Sr�.. � - S��°- �D D'�S �� � — ��, �,� �d�. � ;�� � � � z W � W � � ����'�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 Z 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 � - a ;��L ��-�«l � — ;r�-l�c S �o �n c� ° _ SQ d � � o _ �,l ��^ � � Q — C A �•-; 1 r� 6 ,r� �', S c1 � � n tv._-_ q� �- d W � `-S� �� w � –� S'S rv�L ��l M�—�—' � G(r�—� � 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