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