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Home My WebLink About2013-00353 - septic repair � � , CITY OF ORONO * 2 0 1 3 - 0 P1 3 5 3 * , 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0020 LEGAL DESC : FOX BEND : LOT 3 BLOCK 4 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : REPAIR NOTE: 1 LIFT STATION 1000 TANK APPLICANT SEPTIC REPAIR 100.00 SWEDLUND SEPTIC(SEE WILLIE'S COMME STATE SURCHARGE SEPTIC 5.00 930 DEER CREEK PARKWAY BELLE PLAINE, MN 56011 TOTAL 105.00 952-657-1034 Minnesota State License#: 398 OWNER KELLY,NSTIN& SUSAN 2990 SUSSEX RD 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. 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 aze requested in conformance with the State Bu' ng Code.This permit may be re oked at ime ue c / / / / App ' ant Pe itee Signature Date Issued By Sig re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. � • Clty Of O�OIlO FOR CITY USE ONLY � �� P.O.Box 66 0 2750 Kelley Parkway DBte Received: Permit# Crystal Bay,MN 55323 (952)249-4600 Amount: $ � � y�. : G `qkFSH�� CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) ��. '+ � Site Address: �� t�� Owner: ��T� ��.` 1 'f Mailing Address: City: � '��1�� Zip: Home Phone: Alternate Phone: x n;�.: z � _ � v'h ��- Contact Person: � ''` Contractor/App.. c�11�2� l T� Address: o�� '' �� • State License #: �� City: �l� �� Zip: 6 � � Expiration Date: Phone: g�O��' �� J� ! � Alternate Phone: ��o,�� kA �] Residential ❑ Commercial ❑ Other G \ New or Replacement System $200.00 av Repair Existing System 100.00 �� (Tanks or Drainfield) State Surcharge 5.00 5.00 Total $ l �5� � W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc 1 /2 � ,.... n � r � � � . , _ , , � . . . > , 4 . _ , � . � � . . , : , �',nS. , �,�. �- :.� ;� _ � r�� .. . < , �� " . , : �- -.��. .�,� ,. ;, ;� . E . . . �.,. _ � ��- .. .. �� .,u� �. I will be installing the following: Ta s Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: � C^`1�1 S�`�`�� Size of Tanks: Treatment System ��ST� � 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, tru d re t Signature of Applicant Date: �� MPCA License No.: �� Staff Review: ❑ Accept ❑ Denied Reviewer: Date: Reason for Denial: Comments (to be printed on inspection card): W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc 2 � 2 . ! - , CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION v . . -�, - � - ,. � �,� . . � r� . � . , _ , , f . � ��.-F.t. . .�,r, � . : �... , . �°� ;�._ �..._ _.- . � <,, ��, � �� t�.. M ��' 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 a�l 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. W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc 3 /2 !. d�1 _ DATE TIME CITY OF ORONO CALLED IN �-/ INSPECTION�033 E dD 3 53 SCHEDULED .�/7-/3 �� PERMIT NO. � COMPLETED ADDRESS C2�4� S��`r'`'"�`� OWNER TELEPHONE NO. CONTRACTOR ��-�� : DESCRIPTION �� ' �C� f—L-��/l� �` I �'�-(�(, � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: q l; (-'`r- .� A� �� ---r�r 1�� t�w S� O �V�Q I �l r `j Y� � �V'�'/v 1�. '' 1�� M.��r n S t�l ( S� �C. � �� W ( _ r�� (��Y _ /� /� � � �,� / � �� 1v 1 V �1�d " �`�^ fr'1r,�"�7� Q � � S � (� S t3, ,,�, � �- � � d W� �I(QRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: Inspector. / � � �2 C White Copylinspector's,File Canary CopylSite Notice