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Home My WebLink About2002-P05191 - new septic AL - PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05191 Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 5/30/2002 SITE ADDRESS: 10 Willow Dr S Long Lake,MN 55356 PID: 03-117-23-22-0010 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: Hayes&Sons Exc.Inc. OWNER: Bill&Ann Bowman 263 82nd Street S.E. 10 Willow Dr S Montrose,MN 55303 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. APPLICANT P TTEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(Skenitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, Mn 55323 JOB SITE ADDRESS I I cb w V Occupancy Type: Residential L-`� Commercial Other Permit Type: New or Replacement System $100.00 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: 00Ver / Phone Number: Mailing Address: City: Zip: Contractor's Name: ��.�-=, .� Phone Number: rvlz--C-cg7S—f s5-c 703--Y?9-i74 Mailing Address.,7L_3 __V :5f Cityv-7'I n f">e Zip: 3�j *** DO NOT MAIL PAYMENT`VITH 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. A24-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. 1 will be installin the following: A. Tanks: ✓ Precast Concrete Other ManufacturerE)4yw " Tank Capacities: 1)j?c)y gal. 2)_y 364L:) gal 3)13on _gal B. Pump Station (if required , n L Po Pump make& model (,f , yt t (attach pump curve& literature); system design requires �?'l gpm at /y feet of head. High water alarm make&model L-e Ie— — . Outside electrical work to be completed by installer electrician other. C. Treatment System: Trenches: s.f. ✓'Mound Depth of rock below pipe it Rock bed dimensions /0 ' x 6 ' Drop Boxes Sand bed dimensions e ' x Distribution Box Pressure Dist. Pipe Diam. iz " Manifold Pipe Diam. y " 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 ofa 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 CS Date: MPCA License No. -------------------------------------------------------------------------------------------------------------------------- Staff Review: Approval (� Denial Reviewer: 1 \a?C7C g �� — Date:—5—— —O 3. Reason for Denial: DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED PERMIT NO. COMPLETED ADDRESS -- OWNER CONTR. �S I— Sd^S TELEPHONE NO. VV DESCRIPTION D(-1L._ �e W 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 21 EPTIC MAINT. 21 COMPLAINT _ v 07 DEMO-FINAL C15 APTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J OWNER/CONTRACTOR TO MEET YOU• YES_NO COMMENTS: (x — cc a --S l evc cjSrr 6,. (-kh'ZStl� CC LL � i Q z Lu LQ cc rrw p t d WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE) tt� S Qc [7 CC RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W Q Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. 249-4600 Owner/Contrac ron site: �cC1 Inspector. u�4AK-- White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N ICE SCHEDULED �d `t' PERMIT NO. 0 COMPLETED ADDRESS rU "v IID - J& S_ L OWNER CONTR. TELEPHONE NO. r DESCRIPTION IQ 01 FOOTING 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 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 S PTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU. ES_NO COMMENTS: cc // a of" ' o -- q\Qt warl<. O v\cc Ci L BOJ W CC Q z W W cc LLJ j ❑WORK SATISFACTORY:PROCEED XROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra or on site: 10 A Inspector. VTV �'C� White Copy/Inspector's File Canary Copy/Site Notice . / CITY OF ORONO bbb CALLED IN DATE TIME INSPECTION NQTIC SCHEDULED PERMIT NO. D COMPLETED !-30 `U ADDRESS l� W•�}�'�— r S- OWNER CONTR. )3-A: t S TELEPHONE NO. DESCRIPTION st W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI LLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 EPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 PTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU: YES NO Z COMMENTS: cc o � ° — fv„ sr4 [ Q z W z W ac d <ECORRECT ORK SATISFACTORY:PROCEED ElPROJECTCOMPLETE W W ❑ CRRECT WORK&PROCEED F-1ISSUE CERTIFICATE OF OCCUPANCY WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 Owner/Contra or on site: R S Inspector. White CopylInspector's File Canary Copy/Site Notice