The URL can be used to link to this page

Home My WebLink About2014-01137 (Septic) � � CITY OF ORONO * Z 0 1 4 - P1 1 1 3 7 * ` 2750 KELLEY PARKWAY DATE ISSUED: 10/21/2014 ORONO, MN 55356- (952 249-4600 FAX: (952 249-4616 ADDRESS : 2290 ABINGDON WAY PIN : 03-117-23-23-0010 LEGAL DESC : ABINGDON GLEN : LOT 008 BLOCK 001 PERMIT TYPE : SEPTIC � PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC NOTE: (1) 1200 GALLON PUMP TANK (2) 1000 GALLON TANKS MOLJND ]0 X 63 APPLICANT SEPTIC NEW 200.00 STATE SURCHARGE SEPTIC 5.00 FLYGARE EXCAVATING TOTAL 205.00 9850 91ST STREET NW Payment(s) ANNANDALE,MN 55302- CHECK 2091 205.00 (320)274-5437 Minnesota State License#: sept-PB651887 OWNER LINDA SHAW,JEFFREY BAKKEN/ 2290 ABINGDON WAY LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicabie 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. � �o =Z!-(� /D/ Z/ / /'S� pplicant ermitee Signature Date Issue y Signature Date � ` ', , ' ��I�� OCT -3 2014 � p� �.O�a � crnr oF oRONo C ITY �F RC}N� ,,p y a�re�t�1dcFrqss: t�R'af6in�Ae��c�s: Tcslr��h�n�(9�a2)2�9-��6497 ��, G� 275tA Kc311try Paekva�ey F?U.�ax bb � F�x IQ.rz2D 3e10-�b�b `�k�SH�� 9r�rso,M� 553§� Crystal Bay,M!ti 55323 �vvuua.a.orono,rrre�,� Septic System Permit Application Please complete this applicaton completely. Failure to fill in all of the required information may result in a delay of processing your application. Submit this application, a complete copy of the site evaluation and the design at least 3 working days prior to the projected installation date. Pro e Owner: ~ , k�r-`, Email: Mailin Address: �,2 � e �Q� Iov� �d/�p•1 /'V►� h< Phone: Cell: 6�2' ''Y�' y ork: Home: � �'W l' Desi ner: �-� �es�d�ti License# Email: Phone: ��J 7 y (oL� InstallerlContractor. ��y5$''�'��'�"License# .��3Email: �" Phone:,�2� �77�-/- 3`� Date to be Installed: � 1�ti''�n\�� 4�- ��i� - 3 5��ea►1 Pro e Address: �� Existin Se tic S stem E es: Yes No Com liance Inspection Date: -2�'—� PB�CeI:('�fno address) General Lot Dimensions: Width: De th: Total Area: acres or � Home T e: �,�. el #of Bedrooms: � Clothes Washer. Water Cond: Garba e Dis osal: Hot TubMlhi ool: Dishwasher. Well: Existin New to be insta��e Size of Casin : De th of Casin : PROPOSED SEPTIC INFORMATION Soil Types: C I Sizing Factor: Septic: fVew eplacement Addition Other Tanks: Qty:_ e�n a� Ov�p xisting t o�v Total �.9a� C�c1 Tank Type � Capa Manufacturer Pump Station: Tank Typel.�.�e�.Capacity t�� 0�.[. Manufacturer e, Rl� � (if applicable) Pump Size�1 Type ?,�e1�e.-- Failure Alarm Type .�'/Q�r,o,e,� � Drainfield Total Length Total Width Maximum Depth �; Trenches wlrock Trench w//chambers v Rock below pipe in K Pressure Bed Mound Other(explain) � Mound Dimensions: Rock Bed � x �3 ft Absorption Area Z'� x _�� Clean Fill below rock bed l�. inches Filter: Type �1i4 Manufacturer Alarm Type: New designs shall adhere to 2008 MPCA standards. OFFlGE USE O Y �('� Permit# D/ -�l��` Pa�rment Ree'd Zoning District 1�' �� Field Checked Date Inspeeted IVewlReptar� SKETCH: Submit licensed site evaluation, design, sketch and management plan with application. If substanfial changes are made to the design during installation, a new design must be submitted with the date and designer's signature prior to installation and inspection. Completed Site Evaluation �Yes ❑No Date ��'— �� Completed Design Worksheets �es ❑No Date c�'`� �� `7 Compliance Inspection �es ❑No Date �� Z�'�� Management/Monitor Plan Yes ❑No Date Approved ��"� � • AGREEMENT: UWe the undersigned, hereby make application for work described and located as shown herein. 1/1Ne certify that the information contained herein is correct and agree to do the work in accordance with the provisions of the Orono City Code and the State of Minnesota MPCA Rules 7080-7084. I/We further agree that any plans, specifications, or drawings submitte erew' re accurate and shall become part of the application. �� lv � 36/ y Signature of Homeowner or Agent Date PERMtT: Permission is hereby granted to the above named applicant(s)to pertorm the work described in the above application. Any and all changes to the approved design shall be reported to the designer and to the permitting agency prior to the completion of the work. This permit is granted upon the express condition that the person to whom it is granted, and his/her agent, employees and workers shall conform in all respects to the Orono City Code and the State of Minnesota 7080—7084 Rules. This permit may be revoked at any time upon violation of said ordinances and cades. This permit expires on December 31 of the year in which it is issued. This permit, with all supporting documents, will become a permanent part of the property records on file at the Orono City Hall. /0 Communi Development Director or Designee ate Return this Application to: Phvsical Address: Mailin�r Address: City of Orono City of Orono 2750 Kelley Parkway P O Box 66 Orono, MN 55356 Crystal Bay, MN 55323 Phone :952-249-4600 wwuv.ci.orono.mn.us Fax: 952-249-4616 amack(c�ci.orono.mn.us Septic Permit—Revised 7/8/2014 Page 2 of 3 _ : INSPECTION NOTICE •� � DATE TIME � CITY OF ��D CALLED-IN SCHEDULED PERMIT NO. �` l�� COMPLETED /� � � ADDRESS 4 �/ OWNER/CONTR. 0 SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑FOLLOW-UP ❑FOOTING 0 INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE O FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL ❑ ❑SHEATHING PTIC FINAL ❑ 0 PLUMBING RI ❑S W HOOKUP ❑ lL 0 PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS• z Q � U�2 � ad�t � � 2 J � 2 � (1 (,�' � " O � � � �Ir� CQ�G' �Z `� � � S� C� ,l�� cr �v¢ ° 0 0 � � cs � ��C S� ��c �'md� d-� � �� - J.vtcr Q . � W W OC � d � FURTHER CORRECTIONS MAY BE RE(]UIRED PERMIT FINALED � ❑WORK SATISFACTORY: PROCEED ❑ TO TAKEN O �CORRECT WORK&PROCEED V ❑CORRECT WORK.CALL FOR REINSPECTIO BEFORE COVERING ❑CORRECT UNSAFE CONDITION IMMEDIATELY. 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr.on ' Inspector• � INSPECTION NOTICE �� ' DATE TIME � CITY OF �� CALLED-IN SCHEDULED PERMIT NO. d�� I COMPLETED �0 ! t ADDRESS h �a OWNER/CONTR. ❑SITE INSPECTION �MECHANICAL RI ❑REINSPECTION ❑CONC SLABS 0 MECHANICAL FINAL ❑FOLLOW-UP ❑FOOTING ❑INSULATION O COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY �FIREPLACE ❑FOUND.DRAINAGE BUILDING FINAL ❑SPRINKLER SYSTEM ,, 0 FRAMING PTIC INSTALL ❑ ❑SHEATHING ❑SEPTIC FINAL ❑ �PLUMBING RI ❑S&W HOOKUP ❑ t� ❑PLUMBING FINAL ❑GAS LINE MANOMETER O o COMMENTS: Z � C 4e " l � ✓'GG' L v' JQ W � r' ` i c — v� z 0 w -� � a � � 0 r � � ° D � ve� e � W �-1''!'1� � Q � W W � O � F RTHER CORRECTIONS MAY BE REGIUIRED ❑ PERMIT FINALED 0 WORK SATISFACTORY: PROCEED � PHOTO TAKEN p ECT WORK&PROCEED ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING �CORRECT UNSAFE CONDITION IMMEDIATELY. ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. ite: Inspector: • INSPECTION NOTICE "� ' DATE TIME ' CITY OF ��fJ CALLED-IN SCHEDULED PERMIT NO. ��/�-' l�� COMPLETED � � _�� ADDRESS ��(9 ., r�(1_�m�t J�/�� OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑FOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE ❑FOUND.DRAINAGE ❑ UILDING FINAL ❑SPRINKLER SYSTEM � ❑FRAMING EPTIC INSTALL ❑ ❑SHEATHING ❑ PTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL 0 GAS INE MANOMETER ❑ o COMMENTS• O'� � �/ Z ¢ � ' ` (�` '� ' � � _ J Z 0 � W a � O � O W � Q � W W � � O � FU THER CORRECTIONS MAY BE RE(�UIRED 0 PERMIT FINALED � WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ORRECT WORK&PROCEED ❑C RRECT WORK.CALL FOR REINSPECTION BEFORE COVERING �CORRECT UNSAFE CONDITION IMMEDIATELY. �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REGIUIRED.CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr.o ite: Inspector: � , , , � � y METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 BOX 248 � LORETTO, MN 55357 CITY OF y�m�'1 WORKSHEET FOR SEWAGE DISPOSAL WORK Date "1 d Z� L Inspector Building Permit No. � _ Owner � �G'e� Property Address ��Gl(�,�tti2�°��d�U(/�nG Kind of Building S� .,g�g ��+-►�/�M�.- SSTS Installer ��,��o� ��c,Cs��d°�� , �,1 Ge License# C 3@ 3 Septic Tanks Material ��ev��- Number of Tanks 3 Size � JC /Z� ��/. Drain Field: Total length of lines_�t�� ! Number of lines � Type of soil �� Percolation Test l i'�„p.� �dth of trench �� Type of filter material /z " /�ac-k. Size of Rock Bed f O X (�� Size of Absorption Area Z 7 ��C l0.3 � Draw detailed diagram with measurements indicating distances to septic tank risers from a permanent structure. , , iz3y s �+ ,��`'s� `�—.� '' ` � �� = l� � -Z � 2(�� . � � � �1 � � ,.�1 � ��` . /� `� = ��° � I"� �� w ` ` �Z � � � � � -2- ` ��z ��' r � � �- � - � � _� � l�D - 1 d� � l � \ � � � �-� �