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Home My WebLink About2004 - P07434 - new septic system CITt OF ORONO PERMIT 2750 kAley Parkway - PO Box 66 Permit Number: P07434 •Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 4/28/2004 SITE ADDRESS: 4640 West Branch Rd MOUND,MN 55364 PID: 06-117-23-33-0008 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: Peterson Co. OWNER: M L&J F SCHULTE 5921 Dague Ave. SE 4640 WEST BRANCH RD Delano,MN 55328 MOUND MN 55364 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. Mate- /97) -- -APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing, 1-Finance Page 1 • CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, Mn 55323 JOB SITE ADDRESS Ce 4 6 • �' S �' u� G K Occupancy Type: Residential Al Commercial Other Permit Type: New or Replacement System $100.00 100 .0 V 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: J ? k-c__ 5,A J /7(--r _ Phone Number: `) 2,2_2: • Mailing Address: If 4 o w es f e �� City:o c• o Zip: Contractor's Name: Pe f t S a n Cd . Phone Number: xx,i') j'12 - 25{2.0 Mailing Address: 9 2( 9 4 U c Sic City: ac.4 , ' Zip:_S-5132, *** 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. 2. I will be installing the following: A. Tanks: D( Precast Concrete Other Manufacturer Tank Capacities: 1)lcts0 o gal. 2)/gym gal 3)/ao d gal B. Pump Station(if required) Pump make& model (attach pump curve& literature); system design requires Y g gpm at . 7 feet of head. High water alarm make& model /24.c./.c._)-1 . Outside electrical work to be completed by installer k electrician other. C. Treatment System: \4___ 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 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. Signature of Applicant '- Date: `7 "- 2 LK' MPCA License No. 2 i 5 Staff Review: Approval Denial Reviewer: C\‘'NOctz ,11 ' Date: Lt.1-(6 Reason for Denial: DATE TIME I) CITY OF ORONO CALLED IN INSPECTION NQTICS4 3 4/ SCHEDULED --13'-(7A 22-C V_ PERMIT NO. T OMPLETED /-1tc-tiL\ X.1 ADDRESS 14� wits ?? ciL kii OWNER CONTR. ttrSi TELEPHONE NO. �l j DESCRIPTION .5.. i.).-'(--- L c (1 c. tyj ti.. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS V) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ct 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE EPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL (I EPTIC INSTALL. 22 FOLLOW-UP tU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�(ES_NO o COMMENTS: 0-14O � S � a D,.... \Qitrat1 ti'‘'d4? RA. V...tly- ttj 0 rt — ScA �\L OIC • —5i,-,b 1.vt\ °I W Q .5 i=.( .47.. f its 01( coCD,.t vlc W z W cz IQORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ C RRECT WORK&PROCEED _7 ISSUE CERTIFICATE OF OCCUPANCY OO LICORRECT 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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. N' White Copy/Inspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICE �c3 �SCHEDULED PERMIT NO. t ±±COMPLETED Qq'- I y -a"� 10:3 v ADDRESS 46 40 wei�" 13(c "Cl, Ik OWNER CONTR. rl S TELEPHONE NO. 3Z▪ DESCRIPTION V L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 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-FINAL15 EPTIC INSTALL. 22 FOLLOW-UP 14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:RYES_NO f� 9 COMMENTS: — f�✓��- t�� j 0� f O CC O U- W CC W W CC LU ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �/❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY (21 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • 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. (952) 249-4600 Owner/Co ractor on sit: Inspector. �� f White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO ICF SCHEDULED PERMIT NO. �6/ 3� COMPLET D edr17-o 11-'-a ADDRESS LA(`kO \IVQ5� 15iAe..r✓L \`0 OWNER CONTR. t ni 1 v— TELEPHONE NO. DESCRIPTION S.4, A__ Ir°`^\ IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 07 DEMO-SITE SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 EPTIC INSTALL. 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:�YES_NO o COMMENTS: cc Lu '� - �uaV 9Z1 '`dgr }-cn � � O ` S UT °',L • , S 01\ 1 V' 4-e--rtf c bCvt_-r-- cc --oia vLS ptirtd a-- cf..);�l ) cc Q — 1....c..\ U v c r S-0/ -cr.— A1(� — C (iv a S g N t4.1 ----- .c':rP\ I''Nee41 , pul a- .tt�f� FE j WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 Owner/Contractor on site: AILI....)-- Inspector. �+INA White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. OMPLETED 121-1 S-0 ADDRESS (/ 0 Vieit k.(A ck. OWNER CONTR. k-.}ktS 0 TELEPHONE NO. DESCRIPTION e� 7"&k 4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTICINSTALL. 22 FOLLOW-UP IQ 09 PLUMBING RI 23 EPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:)(YES_NO o COMMENTS: W CCc ll W cc Q z W W LU ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oti 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 Owner/Contra for on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice