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Home My WebLink About2004 - P08170 - repair septic system PERMIT CITt OF ORONO Permit Number: Kaley ley Parkway - PO Box 66 P08170 Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 11/12/2004 SITE ADDRESS: 2550 Woodhaven Dr Long Lake,MN 55356 PID: 33-118-23-41-0007 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: Patnode Bros OWNER: John&Suzanne Dyck 23200 109th Ave 5353 Wayzata Blvd Rogers,MN 55374 St. Louis Park,MN 55416 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 ESD it C I 1C) CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS Z.550 (J" c / i1G'e-` -'� � ?. Occupancy Type: Residential v 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 t# Owner's Name: � ti 04,v Phone Number: Co(Z- — 'Z. ?Z. — 1t/ 7Z. Mailing Address: S q`y/ City: Zip: Contractor's Name: j},4-r"... oc • Phone Number: 74 3 — 4/.Z7— -7313 Mailing Address: 2"S loo 10 c rale.. Ac' City: /C. - . Zip: % 7 y *** 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: 'S A. Tanks: V-Precast Concrete Other Manufacturer 7' Tank Capacities: 1) (ZS 0 gal. 2) 1 ZS o gal 3) gal B. Pump Station(if required) w, Pump make&model e k t'5 (attach pump curve & literature); system design requires G 2- gpm at 3/ feet of head. High water alarm make&model . Outside electrical work to be completed by installer electrician other. C. Treatment System: Trenches: s.f. �� Mound - nJ Depth of rock below pipe " Rock bed dimensions /d ' x3Z ' Drop Boxes Sand bed dimensions 1-E0 ' xL+7 ' Distribution Box Pressure Dist. Pipe Diam. 11/Z- 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 a 1 statements ade on this application are complete,true and correct. Signature of Applicant ' Date: 47 MPCA License No. Staff Review: Approval X Denial Reviewer: u l 1 Date: I I- b - o Reason for Denial: DATE TIME I CITY OF ORONO CALLED IN INSPECTION N TI E SCHEDULED PERMIT NO. VO?170 COMPLETED t\—“,' V`S (0...0() ADDRESS '.. ,._c C o \^-voc) k°Wt-__ OWNER CONTR. P`NI- cit TELEPHONE NO. DESCRIPTION SW" :c LL, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Cl) 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 `1 07 DEMO-FINAL 'SEPTIC INSTALL. 22 FOLLOW-UP LLI 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL , OWNERICONTRACTOR TO MEET YOU:,XES_NO 2 COMMENTS: ()-) 1. -1. -‘)� 0 4E,/ ' Q. i) v 0,t 0.d .3- c:‘\t (,) cc o cc O E11`Vi.t SC, W CC Q W W CC I-u 2WORK SATISFACTORY:PROCEEDCC iCI PROJECT COMPLETE CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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/Contrtor on site: Inspector. ��. frio6t '\ _ White Copy/Inspector's File Canary Copy/Site Notice DATE TIME / CITY OF ORONO CALLED IN INSPECTION NOTICEpQ �7 SCHEDULED PERMIT NO. POR/ /O COMPLETED _I I- 16-01I r-c 0 ADDRESS Sc0 woioc kcve,. Or RR OWNER CONTR. Pe rrod t &"ite(s TELEPHONE NO. DESCRIPTION S{ )-:-1- - itG•(r afd � 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 Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 2 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL15 EPTIC INSTALL. 22 FOLLOW-UP LLI 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:XES_NO c6• COMMENTS: LU Q. LU - 0.Av.() d F., fox 3D, fa (K J3J CC0 cc o ik.Sk VC f -...dy aNd IL ` Q _c- . z. 0 1004- bt() W Z LU CC d LU ❑WORK SATISFACTORY:PROCEED XROJECT COMPLETE W E]CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED CISTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Con ctor on site: Iway_ Inspector. ' ' White Copy/Inspector's File Canary Copy/Site Notice