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HomeMy WebLinkAbout2006-P09917 - new septic system r PERMIT CITY OF ORONO 2750 Kellet Parkway- PO Box 66 Permit Number: P09917 Qrystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 5/30/2006 SITE ADDRESS: 2845 Watertown Rd Unit# Long Lake,MN 55356 PID: 04-117-23-21-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): New Septic System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 100.50 APPLICANT: Hennen Excavating Inc. OWNER: Devean George 21576 Malibu Ave. 13 Bridgeport Prior Lake,MN 55372 Manhattan Beach,FL 90266 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE S ATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Bos 66 (2750 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS ,M4) Occupancy Type: Residential_ C Commercial Other Permit Type: New or Replacement System $100.00 �Gcl Repair Existing System S 50.00 (Tanks or Drainfield) $0.50 State surcharge added to above fees * See fee schedule for non-residential permit fees Owner's Name: biMXza Phone Number: Mailing Address: City:61.6"v Zip: Contiactor's Name: p�/, Pho Numlber: `��a ycla+ �� C� Mailing Addresses/576v �'��, r• City: ,ZA Zip' ** DO NOT MAIL PAYMENT WITH THIS APPLICATION* GENERAL INSTRUCTIONS 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. 2. Permits will be issued only to contractors holding a Minnesota Pollution Control Agency(1VIPCA) Septic System Installers License. 3. All work must be done in accordance with the approved septic system design. Design reports are not considered approved unless accompanied by the "City of Orono Septic System Approval" cover sheet signed by the City Inspector. 4. The following inspections will be required for all septic systems: A. Pre-installation site inspection to include inspector, installer, and general contractor. L. Tank installation prior to covering. C. Drainfield trench installation prior to covering. For mounds, inspection is required after rough up but prior to sand placement (sand will be jar tested for silt content), and again during pressure distribution piping installation in the rock bed. D. Final inspection to verify proper final cover depths and to verify that all pump stations (where required) components are functional and comply with codes. 5. Individual holding%H'CAlnstallers License shall be present during all inspections. A 24-hour notice is required for all inspections. NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate boxes. 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. 2. I will be install' he following: A. Tanks: Precast Concrete Other Manufacturer Tank Capacities: 1) �PS� al. 2) - S!� -gal 3) gal fQ B. Pump Station (if required) Pump make&model (attach pump curve& literature); system design requires gpm at feet of head. High water alarm make &model . Outside electrical work to be completed by installer electrician other. C. Treatment System: PJL`..) f 2e- Se-gP �� Trenches: s.f / Mound Depth of rock below pipe Rock bed dimensions ' x ' Drop Boxes Sand bed dimensions ' x ' Distribution Box Pressure Dist. Pipe Diam. " Manifold Pipe Diam. " D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) trucked in The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all work in strict accordance with ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application are complete,true and correct. Signature of Applicant Date: MPCA License No. -------------------------------------------------------------------------------------------------------------------------- W 5-'G- Staff Review: Approval Denial Reviewer: Q q A4 ATT Lav I+CS at X AJ Date: ?o 0 R Apel-cA4io,4j A,112PEW,61 - 3b-0 } Onnesots Pollution Control Agency Individual Sewage Treatment Systems Business License Hannan Excavating,Inc. Lic#L2868 Installer-Expires May 18,2007 Mark E. Hennen,D.R.P. Authorized for work only N accompanied by valid professional registration. se-� D51E TIM CITY OF ORONO CALLED IN `*"Y 1'� INSPECTION1 SCHEDULED PERMIT NO. � I ' 1 COMPLETED w ADDRESS Q OWNER CONTR. �}Y1�'Yl TELEPHONE NO. DESCRIPTION S42�i ��1k 01 FOOTING a 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL N/SEPTIC INSTALr_T7�3,A G,/s 22 FOLLOW-UP 09 PLUMBING rR 23SEPTIC FINAL 35 HARD COVER REMOVAL10 PLUMBIN 36 FOUNDATION/REMOVA OWNER IC MEET YOU: YES NO COMM c7T .2 ' e U r 2 ,r R� 6-1 b �S c A� �I��•► o � ►e pts e 204 KS o �2n^ 4-,4//o tJ I tFT_ `T�A L 1 t-C)O la--A t(0 rel 75-5 W C T D 12A0 t � ro w ac Q LU cc I ` y o�1, a ;Rv0zq? W 11 WORK SATISFACTORY:PROCEED 11 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice 9TH � TIME f CITY OF ORONO CALLED IN L• INSPECTION NO / SCHEDULED PERMIT NO. ` COMPLETED ADDRESS 2'0 q3_ GUQ?Gte tZ)�L)N ;�j2�iW OWNER CONTR. fT'eAn<A.1 TELEPHONE NO. r DESCRIPTION 01 FOOTING 11 MECHA ICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 4cc �3a� 0 Ty ►�v U_ W C Q Z W Z W W d WL ORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W 101C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. C _f_j 13s White Copylinspector's File Canary Copy/Site Notice