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Home My WebLink About2010-00809 - voided - installed and removed � � '' CITY OF ORONO PERMIT NO.: 2010-00809 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E IssuEn: 09/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 465 SPRING HILL RD ' PIN : 25-118-23-34-0002 �,��'�^'" LEGAL DESC : UNPLATTED 25 1 18 23 ��r � : LOT 000 BLOCK 000 `/ Cl PERMIT TYPE : SEPTIC 'O lZ� I �O PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM - SEPTIC � � � � � / � ' � , APPLICANT SEPTIC NEW 200.00 OLSON CONSTRUCTION CO. STATE SURCHARGE SEPTIC 5.00 6970 INWOOD ROAD COLOGNE, MN 55322- MISC FEE 0.00 (952)448-6674 TOTAL 205.00 Minnesota State License#: L1111 OWNER ZONA TRUSTEE, RICHARD A 55 ARBOR CT TONKA BAY, MN 55331- AGREEMENT AND SWORN STATEMENT "Che work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires scparate permits. All provisions of laws and ordinances governing this typc 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 t ny time for cause. / .' / / / App icant Permitee ignature Date Issued y ' ature � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A VE. , � �gp�� City of Orono �; F�R�7Y u��:��L� , P.O.Box 66 2750 Kelley Parkway D�fe Rs�Bti� �Per[�li�� Crystal Bay,MN 55323 G= `�,: �� (952)249-4600 �i1Qt�nt `; . $'� ' CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) ` , ! Site Address: � Owner: �� Q,_. Mailing Address: City: �r01(1(j Zip: Home Phone: Alternate Phone: Contractor/App.:��Q c�y�-� ��j,�j�(t . Contact Person: �n��SD� Address: �� 'y��[� � . State License #: I I I � City: Zip: o�o� Expiration Date: /�YIC.Lc./ I s�- ��f� Phone: ��o�- �� Alternate Phone: (p/v�-��%-��b Residential ❑ Commercial ❑ Other New or Replacement System $200.00 Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 Total � W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc 1 /2 I will be installing the following: Ta ks � Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: � Size of Tanks: � � � �� Treatment System Trenches s.f. � Mound `73,X -1 � r �r�s3 Coo�� Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built of the system before the final inspection. . The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that all statements made on this application are complete, true and correc . ` ��/y,, �� - � ��U� Signature of Applicant �� Date: �— ��/� MPCA License No.: l�� Staff Review: �Accept ❑ Denied Reviewer: �� Date: �� " � 7 Reason for Denial: Comments (to be printed on inspection card): W:\(Permits)\Septic Pe�rnit Application-Updated Surcharge 7-1-10.doc 2 � 2 �' �� D/A�TE TIME "" �s CITY OF ORONO CALLED IN `7 � INSPECTION NOTICE SCHEDULED �� '� PERMIT NO. ��i�/��O(7� COMPLETED ADDRESS ��' � S� �� II � OWNER TELEPHONE NO. ��''3�O9–S�� CONTRACTOR /'i l�nf�1 C(7YJ� ' j; DESCRIPTION 6�'l t%L��d ' ��=c�r�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE�C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: YES_NO � COMMENTS: � W � 0 1 D C ) . p '�/��-��l � I� � � 0 � W � Q � z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN 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. �952� 249-4600 OwnerlContractor on site: Inspector. / . /�� i�f� � � — White Copyllnspector's File Canary CopylSite Notice