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Home My WebLink About2009 - 00409 - septic CITY OF ORONO PERMIT NO.: 2009-00409 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/17/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 70 WEAR LA S PIN : 04-117-23-21-0019 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC NOTE: (3)PRECAST CONCRETE TANKS-SIZE OF TANKS- 1300 MOUND SYSTEM-500 SQ.FT. APPLICANT SEPTIC NEW 200.00 HAYES&SONS EXC. INC. STATE SURCHARGE SEPTIC 0.50 263 82ND STREET S.E. MONTROSE,MN 55303- TOTAL 200.50 (763)479-1762 PAID WITH CC# 4286 Minnesota State License#: 640 OWNER PFEIFFER,JASON&JONI P.O.BOX 196 CRYSTAL BAY, MN 55323- 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono FOR CITY USE ONLY jY\\ P.O.Box 66 �y �yit, 2750 Kelley Parkway Date Received:.7/5,5/99 Permit# ?009 OO a ria -�' Crystal Bay, MN 55323 f ( ) Amount: $ G?0G•J�—v t� a 952 249-4600 \�Ss�u$y CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) • Job;,4#e/Owner I o t Site Address: 7 0 Ll)e�,/ LC- vL S Owner: J &k,5 PC-c ( s Lev- (Go---tom, J a 5) Mailing Address: c'c.,),.51-- City: n,STCity: Zip: Home Phone: Alternate Phone: Contractor/Applica:1-ijt I rf orma`tion Contractor/App.: Id �y e 5 `f `-,`"-- -5 Contact Person: `>rzA 0 Address: 2(9 ? �� S+ S State License #: ' 0 City: fivti5x Zip: 53-3L'3 Expiration Date: -?_<.., (0 Phone: 7 6 ? ?& Alternate Phone: 62 ( 2 e g5: S�-zResidential ❑ Commercial ❑ Other New or Replacement System $200.00 Z e'c Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge .50 Z a� .50 Total $ -z c7v s% V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 1 /2 a:� ' � � ,r,;04 arae antwan' APP 0prla k . I will be installing the following: T^an�k Precast Concrete (l Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: 3 Size of Tanks: ( 30 o i cio 3 o0 Treatment System Trenches s.f. Mound cDG s.f. Gravel less s.f. Chamber s.f. Final Cover/ Top Soil / 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 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, true and correct. Signature of Applicant ' ' ° 9 pp Date: 7 MPCA License No.: (c cj Staff Review: ( Accept ❑ Denied Reviewer: „At.) �, ;�, L Date: 1- 17 o Reason for Denial: Comments (to be printed on inspection card): V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 2 / 2 5 v- DATE TIME 1./ CITY OF ORONO CALLED IN ` -/ / INSPECTION NOTICE TIICE /� /, SCHEDULED 7-20 Der /0:30 PERMIT NO. °?wQ —OULtO1/ COMPLETED ADDRESS 7D -L (JLWe / 5 • OWNER CONTR. 6/4d9<kr-1,...— TELEPHONE NO. ['► a DESCRIPTION `V IiC- /Z-� lyi ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADING/FILLING 4. Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS h ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W Q. It 0 /OA SC) �DvAd e. L e AA 0.T.S 0 !.J '7-4'2 t ck cc0 4. tti Q tib 1460se &JO ~-np^tes Zd ,.. ,. 2 NIeeieTd rre Li, per, t' , ,. f FrlS.T. W cc d LU ORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY IZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ 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 ::: ct01 on site: C tor. e‹.s White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2o04 - 06(o 9 COMPLETED ADDRESS (.-,JCA C.- Jul OWNER «r-rr ok.) :3 /t4.QS CONTR. /—I,a irleS. A-,.c! SUNS TELEPHONE NO. DESCRIPTION LU ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS (1) ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL 0 SEWER HOOK-UP ❑ PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT 0 DEMO-FINAL Iv SEPTIC INSTALL. 0 FOLLOW-UP 4.1 ❑ PLUMBING RI O SEPTIC FINAL 0 HARD COVER REMOVAL ❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W o f 30o (7-/5 • OArw ^TK)AKS r�r1 u U.r-r Fs l—krcc 1T --i4) , Itr /c7 .c'I?Pt I As- /u,-17L Z r�A ev F)^ . Sl.e z d WCC WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE LI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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. ( (� / e S White Copy/Inspector's File Canary Copy/Site Notice