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HomeMy WebLinkAbout2009-00428 - pressusre bed system CITY OF ORONO PERMIT NO.: 2009-00428 t` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/30/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 1165 WYNDMERE RD PIN 26-118-23-41-0010 LEGAL DESC WYNDMERE LOT 004 BLOCK 001 PERMIT TYPE SEPTIC PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE NEW ACTIVITY OTHER-SEPTIC NOTE: PRESSURE BED SYSTEM APPLICANT SEPTIC NEW 200.00 KOTHRADE SEWER&WATER STATE SURCHARGE SEPTIC 0.50 12059 WHITETAIL AVENUE TOTAL 200.50 HANOVER,MN 55341 Minnesota State License#:0192 OWNER HONG,BACK 1165 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. Applicant Permitee Signature Date Issued By Onature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AAOVE. L City of Orono �. (LAJU P.O.Box 66 2750 Kelley Parkway Crystal Bay,MN 55323 �I(952)249-4600Ami=t $,410V CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) Site Address: 1165 WYNDMERE ROAD Owner: BX. HONG & K.K. HONG Mailing Address: 1165 WYNDMERE RD City: WAYZATA Zip: 55391 Home Phone: Alternate Phone: (612)860-7102 Contractor/App.: KOTHRADE SWE, INC. Contact Person: GLEN OR PAM KOTHRADE Address: 12059 WHITETAIL LANE State License #: 57399MR City: HANOVER Zip: 55341-8703 Expiration Date: 12/31/09 hone: (763)498-8702 Alternate Phone: , P ..:"j\ : ,mom yam. ,d✓ . FV Residential ❑ Commercial ❑ Other New or Replacement System $200.00 $200.00 Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge .50 .50 Total $ 200.50 V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 1 / 2 g I will be installing the following: Tanks E✓ Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: 1 Size of Tanks: 1,300 Treatment System Trenches s.f. Mound s.f. Gravel less s.f. Chamber s.f. �c P's --A lato-o S Final Cover/Top Soil © 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 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 corre t. Signature of Applicant MPCA License No.: 0192'. il Staff Review: Accept ❑ Denied Reviewer: wlt� Date: ��- Reason for Denial: Comments (to be printed on inspection card): j-46"0L_UNel . AO-5-r C'^J M. -I-,► GA -f- %o rrAn r Co�V TO C +9 -01- A fies Ali ST De LJ'A -f e1' - V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc 2 /2 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � —o PERMIT NO. 9-06``2-t COMPLETED OID ADDRESS 140 `S LcI Lf IIIJ_tS yk&-c-n. OWNER !?A Lei 140^�1' CONTR. IT o F1- J1A Af TELEPHONE NO. DESCRIPTION ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS H ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO Zt y COMMENTS- cc - ( 00 6-1 S, n A r��"N T An^ KS 4; 134v S. (-,)A/-L j, r--r To^ e 0 W QC " Q o1'_)� ` fyr/►� .�� C ��c z W �,, %+w t?_f -ro pro u ; Ae AS gui,I i- LU Q_ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK J£PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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/Contractor on site: Inspector. White Copyllnspectoes File Canary Copy/Site Notice