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HomeMy WebLinkAbout2000 - P02368 - repair septic PERMIT 'CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P02368 Crystal Bay, Minnesota 55323 Permit Type: Septic (612) 249-4600 Date Issued: 4/24/00 SITE ADDRESS: 85 Wear La N LONG LAKE, MN 55356 PID: 33-118-23-34-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): Repair Septic System 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: SWEDLUND SEPTIC OWNER: M P&G M SIEVERT 9520 LAKETOWN RD 85 WEAR LA N CHASKA,MN 55318 LONG LAKE MN 55356 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. 410 / 7.0 ?( / AP • ITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 QITY OF ORONO 6122494616 01/07/00 16:53 5 :02/03 N0:604 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Valley Parkway) Crystal Bay, MN 55323 JOB SITE ADDRESS:_ LtJC, /q!V . A)O • Occupancy Type: Residential X Commercial _ Other Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 .5D.d0 (Tanks or Drainfleld) 0.50 State surcharge added to above fees "'See fee schedule for non-residential permit fees Owner's Name:r'11 jk Si EVER 7— . ..___ Phone Number:, Mailing Address: City: Z p; __ Contractor's Name: SW EDL.u111 p ScP:�c . Phone Number:_ -S8 Mailing Address: g5---4o_-_-Lf}gE-7-1, n1 P.D. City: L/A-SKI- Zip: g• -•:-4L8 DO NOT MAIL PAYMENT WITH THISS APPLICATION GENERAL INSTRiL .TION'S 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 City of Orono 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, Preinstallation 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 station (where required) components are functional and comply with codes. 5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- hour notice is required for all inspections. CITY OF ORONO IS 6122494616 01/07/00 16:33 5 :03/03 No:604 NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes, YE$ — I, I have received a copy of the system design including the City of Orono ' Septic System Approval Cover Sheet. 2. I will be installi4 the following: )3q7 A. Tanks: V Precast Concrete _ Other / Manufacturer..de 4_ �1Q'"'� Tank Capacities: 1) (4.47 gal. 2)�. bgal. 3)112,::7,,c4 gal. B. Pump Station (if required) %,-----s-40 e9/ Pump make & model 6. „Lt„.."_________ (attach pump curve & literature); system design requires .-.c/ gpm at 2i. feet of head. High water alarm make & model 4-y,,s ,, . Outsi el:ctrical work to becompleted by installed electrician other Inside electrical work must be completed by electrician. C. Treatment System: _ Trenches: s.f. V' Mound Depth of rock below pipe _ ” Rock-bed dimensions 'x &I' Drop Boxes Sand bed dimensions y 'x //o' Distribution Box Pressure Dist. Pipe Diam. 2 " Maniford Pipe Diam. Z " D. Final Cover/Topsoil to be: _ borrowed from site (show location on site plan) X 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 the 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, SignatureofApplican u ,-44, Date: /— 7--2c o MPCA Certification No.: .39 9- Staff Review: p t val ai _ Denial � _ � ; r Reviewer: I .' _ _ Date: i— i - &C,C) Reason for Denial: DATE TIME CITY OF ORONO CALLED IN INSPECTION NDTICE SCHEDULED , '.77-0D .DD PERMIT NO. ro 2-3(o 6 COMPLETED ADDRESS E35 WE412 L44-tt o, `- OWNER 141'kc SF.e t6)24 CONTR. 5-w6-DGuA TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 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 h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 1U09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: 50-- 1000 -- 125a (AroA) &e1k ?/1 4_1(.\ ?Yrkis CerneAth(-4---)(611 71aji7/(5. Alai/ - ez w CYri : ded /1 ) ?D W W GWORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Lj 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 e nex ins ection 24 hours in advance. 249-4600 Owner/Contr cto on si e- Inspector. 144 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ,/ INSPECTION NOAICE SCHEDULED 4 Z4—OD 9•e 0 PERMIT NO. t-'00136 8 COMPLETED ADDRESS Q 5 GtLQ dh 42. 17...4.-e—• 4/0 OWNER C ONTR. .,,. ', TELEPHONE NO. LK> 5 3 5- DESCRIPTION K W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q ti02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 Z 07 DEMO-SITE 27 IC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEP 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL sZ OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q.CCO h t cc O �� k up O .L.,11 Li_W cn ')/2y Z 5o" 6T-1 W z W cc j d \` 2 WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 'D RRECT WORK&PROCEED '7 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CAL e •RRANGE ACCESS. Call f• t e nex inspe tion 24 hours in advance. 249-4600 Owner/Con act. •n te- Inspector. . White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION 40TICE SCHEDULED ?4–O° fie -.2 PERMIT NO. /'0 3GB COMPLET ADDRESS O 5— alK f� OWNER CONTR. S� e�i TELEPHONE NO. % -- • �i/,` )'S • DESCRIPTION ��' • �%��'� - ( lK W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 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 • 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP 1-14 09 PLUMBING RI 23 SE 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ct OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc a ccj C —i 000 ef-(‘ 'r/ O cc CC 1250 �re� Kell, P/,t, rr CC 1U WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY uO BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN [1STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CAL • RRANGE ACCESS. Call or h nex •-ction 24 hours in advance. 249-4600 Owner/Co tract o s Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICSSCHEDULED 4—.16--o a q•vc� PERMIT NO. I'O 3(0 8 COMPLETED ADDRESS 85 (-f' n. La p..(__ l)U►7-4 . OWNER Se i vE1 COONTTR. .Swet&u n a 5'&79 - TELEPHONE NO. `CZ 5-8575- C /`0/(Qktvt,i1) DESCRIPTION k� 4- I 6. W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL.cr 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 • 07 DEMO-SITE 27 SEPTIC : T. 21 COMPLAINT J 07 DEMO-FINAL • 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTI II, 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL <--• OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc Lu (9 3 'X 1O' R I rl/37" Pa 3 ' oc, cc 2'' 5c,G, Pvc C c9- l_.S W c Q --fK. 1fdt W cc F4P4p144 f�px,b Z'I LU• WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CCW ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I- PHOTO TAKEN INSPECTOR WILL RETURN Li STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f• the next in ction 24 hours in advance. 249-4600 Owner/Con' ac 71 bn site Inspector. 4 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTIONOTICE SCHEDULED 7- 2o-ec 141' PERMIT NO. a&b8 COMPLETED 1-ab' 1013° r�Po ADDRESS �,SW(:49 k. Leah& OWNER j Ev"c - CONTR. 14 LLi..y TELEPHONE NO. t/N2r Se ss (ROA 4frn ') DESCRIPTION e" Fin 1 t viet W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 • 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 1 L. 22 FOLLOW-UP LLI 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: W ccAmp /09-it iv\a 0 cc Gp Vt-'R- 0 Irlmpeoiict cc (,) Goa "k4 J A fie V y rink f�-f20 Gc v�r� TGacs W z W cc CI W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I- PHOTO TAKEN INSPECTOR WILL RETURN r CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. 249-4600 Owner/Contra o*r n site Inspector. White Copy/Inspector's File Canary Copy/Site Notice (_.) cry a .6 ()A1-6) fir`4 (2 al'cw, /��c� 0L.571._ I U( t2,D r( or)/2,0,7z 41 sz A 4cTc C Ox S 72 IK A P r,J1J 7-,2, 7 c0zy / s- Zv )u (-J 2 L ,j N, v-<! /7A) SST