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Home My WebLink About2001 - P04068 - new septic system PERMIT CITY DF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04068 Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 7/13/2001 SITE ADDRESS: 4760 West Branch Rd MOUND,MN 55364 PID: 06-117-23-33-0002 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: Gleason Septic OWNER: M K&C H RODEWALD 19300 66th Avenue North 4760 WEST BRANCH RD Hamel, MN 55340 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. 6/a - , APPL CA PERM T I NA URE IEDBY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 q-0 A :1 0016., • CITY OF ORONO SEPTIC SYSTEM PERr%LLT APPLICATION • _. Box 66 (2750 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS r 7 O (/ )CST 13e/iv/cif'fioA J 55351 Occupancy Type: Residential Commercial Other Permit Type: New or Replacement System $100.00 1� 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: rnI e EDL7e W4L1UCll` Phone Number: `5 r 7 3 7 ` — Mailin Address: ( WAS 3 /l 6/�� City:0 0We, Zip: 5 Contractor's Name: GL'.A-5-(7A/Se, i'c Phone Number: Mailing Address:/7- 00 A V,IVL-2 i City:// 7fti eL Zip: 563 yC *** 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(lvIPCA) 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: L A. Tanks: D Precast Concrete Other Manufacturer Tank Capacities: 1)/000 gal. 2) /000 gal 3) gal B. Pump Station (if required) Pump make& model (attach pump curve& literature); system design requires -3 gpm at / feet of head. High water alarm make & model . Outside electrical work to be completed by installer Velectrician other. C. Treatment System: Trenches: s.f. Mound Depth of rock below pipe " Rock bed dimensions /0 ' x 60' Drop Boxes Sand bed dimensions V' ' x 747 ,' Distribution Box Pressure Dist. Pipe Diam. " Manifold Pipe Diam. !/ D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) V 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 de on this application are complete,true and correct. Signature of Applicant d,e/ Date: 6 S-0/ MPCA License No. g V Staff Review: Approval X Denial Reviewer: 'V\0 Date: 7-a- 0 Reason for Denial: CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICELa SCHEDULED , -3-6i el ; 0 PERMIT NO. r /T COMPLETED c{ 1 3 d ADDRESS L.. 7 o 0 v✓ r;C^,n C\, !� � OWNER CONTR. r=`t%J 12°1Lr'''\ TELEPHONE NO. —7 L-).:‘ t— t. c'' -\ 0 I-- DESCRIPTION ) \ . Y, C LLJ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL..ct 02 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 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO FINAL15 EPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J ' OWNERICONTRACTOR TO MEET YOU:)(YES NO o COMMEcc NTS: lQ X SO roca. _bet) Lu _Q. �_c 3 3 0 k r .i-g-S--)- bK._ j - n''` I e v e.\ it- ll O 1 (Art-1,-Orr 1 •Cc I( O 0 0 — -Cab1 .t_ ori. +0i) d.c_ bed Li.i cc -- 4L,A( V..._ () (.4-- 64._ s--s-i. cc z — Cbc- cd tv.:1 . d r etc) C)f Ci Lu cc —6)r--(\S Ct-tv e) W XWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN INSPECTOR WILL RETURN Li 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: Inspector. White Copy/Inspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED tZ S�-1-0t 10•3(;) PERMIT NO. 1 C`4 Clc<-) COMPL TED T1 A-0 'D=3 0 ADDRESS 1764 'jes - VC .. R ) • OWNER CONTR. 6\e'\S0 n SZr--. C. TELEPHONE NO. DESCRIPTION Sey'f.t.. ' - -\ ,_ W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct 09 PLUMBING RI 4010 PTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO • COMMENTS:cc IQac ...-- h\., — a C'") IC d O QvK {� tx ` Q v`� -�-1(\Q._ y l l o \- Sc o S L . I-40 . Lu ••••' 6QNN0 S Q ...... c)‘4••••aJ r...9,r \,...-.\\ Se_Q_3 W -- O\( '�"Jc.S V.a (lc v C,r, -c-,Q \^ - CC Z 4.1 0 WORK SATISFACTORY:PROCEED ,> PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0. ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection`1 22\4 hours in advance. (952) 249-4600 Owner/Contractor C) or on site: `' V+eA5 O n Inspector. `�C White Copyllnspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOhICEj` SCHEDULED 0-01 9I=d 0 PERMIT NO. 'f 0` ,/�Obo COMPLETE "-10-0\ C1.•00 CI) \,..,0-r. ADDRESS 4 7 � t r`"0-, 1).3 OWNER CONTR. Say CWgSd- TELEPHONE NO. DESCRIPTION Sepr�L F-,c�Cl fir tq^k W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS c13 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 2 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 0%.EPTIC INSTALL. 22 FOLLOW-UP 144 09 PLUMBING RI r t.EPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL + 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:XYES_NO o COMMENTS: cc - 3 - ‘000 5Q\ e.UkcS tar\cc - 4- WG yrs ISO � .a- t u�c r� t G o cc t ec-r;or, k r.....0 0 r... i-4"40 Lu cc sz — G1 f N. r\ - LQ i-csitJ 'f ti lip. — c\ce,,.d,,ss Net() ,., W W cc :lick RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W/ CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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. 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT `J / SCHEDULED 7-31-o1 ?=3D PERMIT NO. /6 TCI i COMPLETED c7-114� x,3 0 ADDRESS y760 WQST Qrgr\cl 1U OWNER CONTR. QUC) (,I ectSo n TELEPHONE NO. 76 3 — 9 7 c_ 69 a 6 DESCRIPTION _ 5� };L 1 U Li 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREANETLANDS h 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 MAINT. 21 COMPLAINT -A 07 DEMO-FINAL 06EPTIC INSTALL. 22 FOLLOW-UP 144 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES N 9, COMMENTS: 0411\55411 5q cc tu Q. - 1L'(-t._ c() I 0'i. CO cc o __ Qvu0L N.)is) O� — I c cS5 6 s-,-1 . Ie\it\ �, cc �Dvr.� cc — bat t c\cOo r So cz 4 k. W z W rt - VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CC ❑CORRECT WORK&PROCEED H ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY UO BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURNH CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. 249-4600 OwnerlCont ctoronsite: 17V� 61eS5N Inspector. CMC White Copy/Inspector's File Canary Copy/Site Notice