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Home My WebLink About2015-00712 - new/replacement septic CITY OF ORONO � 0 1 5 - 0 0 7 1 z * 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 385 STUBBS BAY RD N PIN : 32-118-23-31-0001 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) ACTIVITY : MOLTND SYSTEM-SEPTIC NOTE: A SEPTIC PERMIT WAS PICKED UP AND PAID FOR BY HAYES&SONS 10/07/14-PERMIT#2013-01223,BUT WORK WAS NEVER DONE. NOW THIS CONTRACTOR(ELMER J.PETERSOI�IS GOING TO DO THE WORK. NOTHING HAS CHANGED. HAYES TO ASK FOR A REFUND. APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 STATE SURCHARGE SEPTIC 5.00 ELMER J.PETERSON COMPANY TOTAL 405.00 5921 DAGUE AVE SE Payment(s) DELANO,MN 55328 CHECK 19380 405.00 (763)972-2420 Minnesota State License#:BUIL-219 OWNER CESSOR-CULVER,DEREK&BRIDGET 385 STUBBS BAY RD N LONG LAKE,MN 55356- 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. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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. 7'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.'fhis permit may be revoked at any time for due cause. __ �-�$-�, ,� , r5 rrr►rtee Signature Date Issued y ignature Date * - . �� City of Orono FOR CITY USE ONLY P.O. Box 66 � � 2750 Kelley Parkway Date Received: �l�{'J�s Permit# ��UU !L Crystal Bay,MN 55323 �G � (952)249-4600 Amount: $ ydv� . s� �� 9 ��s ��kPS}�l 17�� CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) Job Site / Owner Information: Site Address: �� 5^' ��-'�b-.S� ��i �e�-c<<�` Owner. � � � �� 1�=,�0 � % Mailing Address: �� `�d'�s��`>'�� 'U City: � f"'�o Zi p� Home Phone: Alternate Phone: Contractor/Applicant Information: Contractor/App.: �l�t� � • ��`r �"`1 � Contact Person: J-� �raL�r�^1G,,'� Address: s 12r �4,��_��- .S'� State License #: Z��/ City: Q��o Zip: `��2a, Expiration Date: Phone: 7�� - 9`�2 �2��.d . Alternate Phone: TYPES OF OCCUPANCY � Residential ❑ Commercial ❑ Other PERMIT TYPE AND FEES ___� �,f. New or Replacement System $400.00 �� Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 v Tota l $ �Q�j� 1 /2 �"� ATTENTIQN AP'PLICANT ** Fill in all a ro riate blanks and check all a ro riate baxes. I will be installing the following: Tanks � Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: Size of Tanks: Treatment System Trenches s.f. � Mound �� - s.f. 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 correct. Signature of Applicant ��'�`�J�'�`-�--�-� Date: � �� S ' MPCA License No.: �.��`I Staff Review: �Accept ❑ Denied � Reviewer: Date: Reason for Denial: Comments (to be printed on inspection card): �� •,,� , . . � ; ,b�� - � � � �- �� ,nn 2 �2 U�`'" rr ' CITY OF ORONO—SEPTIC SYSTEM PERMIT APPLICATION ,�� :�:` �� ` 3 1. Applications for septic system permits may be mailed or submitted in person at the City offices; however, permits will not be mailed out. The permit must be picked up in person at the City offices and work must not begin unless the permit card is on the job site. *** DO NOT MAIL PAYMENT WITH THIS APPLICATION *** 2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency (MPCA) Septic System Installers License. 3. All work must be done in accordance with the approved septic system design. 4. The following inspections will be required for all septic systems: A. Tank installation prior to covering. B. Drainfield trench installation prior to covering. For mounds, inspection is required after rough up, but prior to sand placement (sand must be jar tested for silt content) and again during pressure distribution piping installation in the rock bed. C. Final inspection to verify final cover depths and to verify that all pump station (where required) components are functional and comply with codes. 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present during all inspections. A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. 3 /2 C� �� DATE TIME � CITY OF ORONO cn i� INSPECTION NOTICE SCHEDULED ,�j ' � PERMIT NO. ��S�0 7/Z COMPLETED ADDRESS � �� OWNER TELEPHONE NO.��' 7 �-IaD ONTR CTOR '� ,. f e '� � �✓1 /C--- ,T_ . >, �ES IPTION -�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PIUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR�EETYOU: YES_NO � COMMENTS: a '' �� y /'G �G G(9 K E�/�� y � 0 � Glk�s � r �t� /�t/ �1 � �!�' 1�! 0 � W � Q � 2 W � W � � a W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4f100 OwnerlCon r on site: Inspector. White Copyflnspector's File Canary CopylSite Notice ` TE � TIME • CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — — �e� PERMIT NO.�`�1S- 0�7�1toMP ETED ADDRESS � • OWNER TELEPHONE NO. � '� - a� CONTRACTOR ��J ��"'e�� l' �. ('� . � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL ? OWNERICONTRACTOR TO MEET YOU:_YES_NO y EN W � � L '0 .l (� O �� V�� d�� ['� � � � � O • W , • � Q W C r- W � j O � O WORKSATISFACTORY`.PROCEED ECT COMPLEfE RRECT WORK 8 PROCEED �ISS CERTIFICATE OF OCCUPANCY O � RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOU S. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l forthe next inspection 24 hours in adva�e. (952) 249-4600 OwnerlContra on site: Inspector: � � White Copyllnspector's File Canary CopylSite NWke DATE TIME � CITY OF ORONO CALLED IN INSPECTION I�O�CF �� SCHEDULED , PERMIT NO. Z r � � COMPLETED � � �'� ADDRESS �8 7 v�� ' OWNER TELEPHONE NO. CONTRACTOR � � +�'�e� J� ��✓��1 � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLiNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS y � 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COM ENTS: � � 1 L a �Clev�e�+ Q� li1U�`�'z � � o �C C !�!i( , lX�2 ,�� Q � �� Q GJ r"c� e Se/l�i C �C��LP CiC�l��P c� 1�- 7'�1 r s � .�-r �� z W � W � � d W �WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra site: Inspector. White Copyllnspector's File Canary CopylSite Notice C� DATE TIME V CITY OF ORONO CALIED IN � INSPECTIO aTI.�o'E SCHEDULED �c,�/ � t"� �I� PERMIT NO�' `� �7�� COMPIEfED ADDRESS �� -�� f�' OWNER T LE NE NO.p ��'�� g CONTRACTOR ' �� DESCRIPTION (' �-� ..��'-' lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � / a /� � O G ,�� L �G' �l"C � � � �`'c/c�r ��_� �' � �c� .�i` f' � L�''" ° G!'�ivt c�� c rl, .��a-� W � � 120 • �G�'�►^l G 0?� .5 � ��2 z �1K � '�O CC9�'Pl� W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContract n site: Inspector. White Copyllnspector's File Canary CopylSite Notice