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`�_/
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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:
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LU CA
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W
CC
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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