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HomeMy WebLinkAbout2010-00501 - new septic CITY OF ORONO PERMIT NO.: 2010-00501 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUED: 06/21/2010952 249-4600 FAX: 952 249-4616 ADDRESS 1150 WYNDMERE RD PIN 26-118-23-41-0007 LEGAL DESC WYNDMERE LOT 001 BLOCK 001 PERMIT TYPE SEPTIC PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC APPLICANT SEPTIC NEW 200.00 ADVANCED EXCAVATING STATE SURCHARGE SEPTIC 0.50 7650 COUNTY RD 32 TOTAL 200.50 NEW GERMANY,MN 55367- 0 Minnesota State License#:2859 OWNER KRUESSEL,JEFF 1150 WYNDMERE RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applica ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 40� City of Orono FOR CITY USE ONLY o P.O.Box 66 ` 2750 Kelley Parkway Date Received: Permit# 7 Crystal Bay, MN 55323 (952)249-4600 Amount: $ t'ersxoe CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) Site Address: Owner: O-ZZ &✓ue-L5- Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor/Applicant Information: r Contractor/App.:Ad✓OtWc L Xlc<ve Contact Person: hP Oi°l G Address: ���r`� ("o Ad 3State License #: 17 City: / Zip: (7'y'X7 Expiration Date: Phone: 612-3OS Alternate Phone: Residential ❑ Commercial ❑ Other New or Replacement System $200.00 ? / Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge .50 .50 Total $ �G°Ci.. �j`�_/ V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 1 / 2 I will be installing the following: Tanks Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: 3 Size of Tanks: Treatment System Trenches s.f. Mound UZZ s.f. Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built of the system before the final inspection. The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that all statements made on this application are complete, true and correct. Signature of Applicant yl �i Date: 6o MPCA License No.: Staff Review: Accept ❑ Denied Reviewer: Date: r Reason for Denial: Comments (to be printed on inspection card): V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 2 / 2 DATE TIME V CITY OF ORONO v CA tyZ3 I INSPECTION NOTICE SO � SCHEDULED PERMIT NO. 901D'� COMPLETED ADDRESS 'a b d ` l ' two tt Q ICCI OWNER TELEPHONE NO. LO a CONTRACTOR Pic[ Vo-NCA.d F— 7 DESCRIPTION e�� C. n 21 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL El HARD COVER REMOVAL v 1:1 PLUMBING RI ❑ SEP C FINAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES—NO COMMENTS: cc W 0. L _DAcc ! 3 ( MeA LU CA cc W CC Z) d LU ElWORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED /'❑ ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION TEMPORARY EFORE 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. I( t / J'l I Q-S White CopylInspector's File Canary Copy/Site Notice .1,1-T- 1 DATE TIME ` CITY OF ORONO CALLED IN INSPECTIONTICE SCHEDULED C7 PERMIT NO.�1y 2D050/ COMPLETED ADDRESS OWNER TELEP ONE NO. O7- ---39q7 CONTRACTOR > DESCRIPTION W ❑ FOOTING ❑ PLUM ING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q El FRAMING El MECHANICAL FINAL [_1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: CL l0/U L AIi� UL If f LW Q Z GW ❑WORK SATISFACTORY:PROCEED XPROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN [ISTOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White Copy/Inspector's File Canary Copy/Site Notice