HomeMy WebLinkAbout2005-P08874 - repair septic system � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08874
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Sepric
Date Issued: 6/21/2005
SITE ADDRESS: 825 Brown Rd S Unit#
Long Lake,MN 55356
P��� 10-117-23-21-0008
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: Pernut Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Hayes&Sons Exc.Inc. OWNER: Martin&Bridgett Paradise
263 82nd Street S.E. 825 Brown Rd S
Montrose,MN 55303 Long Lake,MN 55356
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.
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APPLICANT PERMI EE SI ATURE 1 UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO SEPTIC SYSTEM PER1VI�r APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS � 2"� �Yo w''1 ��—C� � S .
Occupancy Type: Residential � 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
Owner's Name: ��f���5�� Phone Number:
Mailing Address: �Z� 6�-o�vr �� ` 5 _ City:v��> Zip:
Contractor's Name:I-���es �f 5a-r-S ��cc-. Phone Number: �7�3 �7� -/7.6 Z-
Mailing Address: 2�3 ssz`� sr-s � City:�'�2P,��,.�,� Zip: �-;�cG�
*** 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 NIPCA 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
��i�
System Approval Cover Sheet.
��� 2. I will be installing the following: � �
A. Tanks: -� Precast Concrete Other Manufacturer�A�'�✓�j^
Tank Capacities: 1)�gal. 2) i3ot� gal 3)�gal
B. Pump Station (if required)
Pump make& model��v�� ����� (attach pump curve&
literature); system design requires 3 gpm at�feet of head.
High water alarm make&model_� �(ccr.�-� . Outside
electrical work to be completed by installer �/ electrician other.
C. Treatment System:
G�-n,,.e12 Sj Trenches:�33 s.f. Mound
Depth f rock below pipe " Rock bed dimensions ' x '
�Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. "
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,
a�rees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota,and certifies that all statement ade on this application are complete,true and correct.
SignatureofApplicant Date: �P "� 2- � � S�
MPCA License No. � `�0
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Staff Review: Approval_S„��� Denial
Reviewer: v(�t/_�� �%�'�� Date• � "-�/ '�� �
Reason for Denial: