HomeMy WebLinkAbout2006-P09804 - new septic i " PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09804
Crystal Bay, Minnesota 55323 Permit Type:
Septic
(952) 249-4600
Date Issued: 4/28/2006
SITE ADDRESS: 3240 Watertown Rd Unit#
Long Lake,MN 55356
PID: 32-118-23-44-0017
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: Hayes&Sons Exc.Inc. OWNER: Roslyn Landsman
263 82nd Street S.E. 3320 Zorcon Lane N
Montrose,MN 55303 Plymouth,MN 55447
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS /
Occupancy Type: Residential L__ Commercial Other
Permit Type: New or Replacement System $100.00
Repair Existing System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's Name: � �6" �%'� �`�`'�� Phone Number:q�Z
Mailing Address: City:/,t�6 4.44, Zip: sS 3 23
Contractor's Name: _�,es �-S Phone Number:�
Mailing Address: zG y City:/k-,ase 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(MPCA) 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.
B. 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%tPCA Installers License shall be present during all inspections. A24-hour
notice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
bo s.
1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
2. I will be installing e following:
A. Tanks: � Precast Concrete Other Manufacturer
Tank Capacities: 1) oU gal. 2) ov gal 3)4- gal
B. Pump Station (if requirg.4i) �� ��l
Pump make&modeller (attach pump curve&
literature); system design requires_ppm at feet of head.
High water alarm make& model ST Q4v,,.,b-5 . Outside
electrical work to be completed by installer t.� electrician other.
C. Treatme t Syste : /
renc es: s.f. y Mound
Depth o ro below pipe " Rock bed dimensions /D ' x 6 3 '
op Boxes Sand bed dimensions-/7 ' x C 7
Distribution Box Pressure Dist. Pipe Diam. //�'z "
Manifold Pipe Diam. Z "
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.
�SDate:
Signature of Applicant
MPCA License No. y
--------------------------------------------------------------------------------------------------------------------------
Staff Review: Approval_ Denial
Reviewer: ���G - Date:
Reason for Denial:
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CITY OF ORONO CALLED IN
INSPECTIONI SCHEDULED 1 i T: 3o—
PERMIT NO. 1 v COMPLETED 'I�'' >!v i?• J.J
ADDRESS 5 :1 L'{ b s.. AAyr17>L 1J R rJ
OWNER kc),m l, CONTR. ��/��e S �SC)NS
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 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-FINAL5 EPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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Uj WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ RRECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY
O [ICORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORECOVERING 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. (952) 249-4600
Owner/Contractor on site-
Inspector
Inspector. C T° i? _S
White Copyllnspector's File Canary Copy/Site Notice