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Home My WebLink About2001-P03551 - septic repair PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P03551 Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 2/22/2001 SITE ADDRESS: 200 Wayzata Blvd W WAYZATA,MN 55391 PID: 36-118-23-43-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): Sewer Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: OWNER: WAYZATA COUNTRY CLUB 7 38 ADDRESS UNASSIGNED MN 00000 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. ,et APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) � Crystal Bay, Mn 55323 6�, l LC � '�� S� L �ct (� C (v1,9 OtiV11Gli ,ncC (/ JOB SITE ADDRESS 4/30 vcctLuoL` ` / Occupancy Type: Residential Commercial X Other Permit Type: New or Replacement System $ 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: Phone Number: Mailing Address: City: Zip: Contractor's Name: C('ue,-. Phone Number: 672 - 3-2 5-- Y6 4r MailingAddressq/`( SouIcurrc' live ( City: 54,,hrec Zip: _sr? *** 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 MPCA Installers 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. / /ter 2. I will be installing the following:2-/-1-0/a( Tet,?- S - k-S � '\1 A. Tanks: X' Precast Concrete Other Manufacturer Ci 03" Tank Capacities: 1) /S Lt) gal. 2) %S W gal 3) gal 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: 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 ofa 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: 2 %� 2— 0 MPCA License No. • Staff Review: Approval neDenial Reviewer: t Date: 2 - ZZ—ca Reason for Denial: J667- / /) /,.may� � ' 1 t ^" '' DRAT 1 IME CITY OF ORONO CALLED IN wr I/ 3j INSPECTION NOTICE/t 1 SCHEDULED wins PERMIT NO. f/L25S5/ COMPLETED�/ C,' `fir l ADDRESS VE:•-- AOS L�/ - C/uyx-�dy 6/Yd, OWER Li e, CONTR. PY=le-A C5l Wien TELEPHONE NO. DESCRIPTION S Wb/d t:/r' S) LL 01 FOOTING 11 MECHANICAL RI 18 EXC RADING/FILLING vt vt 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I.,• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W cc O -- cc O U. W cc Q W W cc O ORK SATISFACTORY:PROCEED > ROJECT COMPLETE cc ( — ORRECT WORK R PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r,. PHOTO TAKEN INSPECTOR WILL RETURN CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Con actor on site: Inspector. 011 White Copy/Inspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO CALLED IN 5 )-Y-v/ INSPECTION N TIC _ _ SCHEDULED 5 3/- o� (C.'3 o PERMIT NO. O $ 5 1 -COMPLETED Tj-31-->sA 10 '�3Z7 ADDRESS �� 0 //,, / ��f- .� ��/�',�� , OWNER g, CONTR. -42..�c.. t TELEPHONE NO. l C X73 �f-5 DESCRIPTION _/ r, W 01 FOOTING 1" MECHANICAL RI 18 EXCAV/GRADING/FILLING ck ck 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z0r Ate:.. 12 WATER HOOK-UP 17 SITE INSPECTION �F �I'� 14 SEWER HOOK-UP 06 PROGRESS : PE O-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEP 4. •LL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL = 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YESX NO o COMMENTS: Lu — 6(ca.c.c.nc f re,r. f c�6C —C i i—c(cr) cc o q.,.p.7 kith. "N-c\nk.S — -tevACS cNs( ',t\St\c\A-ca 0 N jr-OPC 1 O ,0% ..•'1\N Sa-/ C c%„25t,- W ct — Q{o;<<-t O W Z W CC Zi W CIWORK SATISFACTORY:PROCEED X PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED H_ ISSUE CERTIFICATE OF OCCUPANCY W O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY UO 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. 249-4600 Owner/Contractor on site: ,r1Ar,;(i,2".„..0„_, Inspector. G L. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME" CITY OF ORONO CALLED IN -", a''01 — INSPECTION N�TICE SCHEDULED 2'•DO PERMIT NO._ 03s-/ COMPLETED 7-.400 ADDRESS .2(X) k.14-1-/Zct4G 1/'0• kv. OWNER CONTR. C&er k(/// TELEPHONE NO. 6'l9- -3o3Sr'- ‘760,7P E DESCRIPTION �OLO/4)� /sg.R//CS 44 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 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 v 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 Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO n • COMMENTS: "11cc { //ef Q.cc ---O 1 WIA , y a cc - — O IRE/ IL t '• S 7r'it/�GL ' aCS ', 4 cc O WQ ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W IvCORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. II 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!Contracto n site: Inspector. L� White Copy/Inspector's File Canary Copy/Site Notice