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
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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:
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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
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DESCRIPTION K
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
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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:
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❑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
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OWNER CONTR. S� e�i
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• 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:
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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
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• 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
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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°
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OWNER j Ev"c - CONTR. 14 LLi..y
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DESCRIPTION e" Fin 1 t viet
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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
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