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Home My WebLink About2005-P09410 - repair septic system . " PERMIT CITY OF ORONO permit Number: 275�J Kelley Parkway- PO Box 66 Po9410 Crystal Bay, Minnesota 55323 Permit Type: Septic (a52) 249-4600 Date Issued: 11/9/2005 SITE ADDRESS: 4355 Chippewa Ln Unit# Maple Plain,MN 55359 P�� 31-118-23-42-0020 DESCRIPTION: Proposed Use: Residential Permit Class: General Se tic Permit Sub-type(s): Repair Septic System Permit Type: p DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: Bursch Brothers Inc. OWNER: William&Ann McCrackin P.O.Box 55 4355 Chippewa Ln Hanover,MN 55341 Maple Plain,MN 55359 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. '� � , .' � �'')��_r � '//, 2�C��..�,�C.� PPLICANT PERMITEE SIGN ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . CITY OF ORONO SEP�'IC SYS'I'E1V1 PE�2IVITI'APPLICATION Bos 66 (2754 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS �� J � �' l�� , i�y�'c-�JA- � ✓�,�C� �� Occupancy Type: Residenti�l�_ Commercill Other Permit Type: New or Replacement System �100.00 Repaii•Esisting System � 50.00 -=�� `-== (T�nks o►�D�'ainfield) �;/� � � SG S G $0.50 State sui•charge added to above fees * See fee schedule foi- non-a�esidenti�l permit fees Ownee�'s Name: �;�'. ► t ; ;�,,,, � � '<< !i=� [� ��',�� Phone Number: 1�Iailing Addc•ess:_(_3.�� /'h� ��j� 1 ;fl�� t�3'� ��`�� ip: Cont►•actor's Name• i�;.: ��c.�� j.�c�•+`�_Phor�e I�TuYnbea: C,;� - �� 1 '-� �'13 1�'Iailing Address: i�v �c�x �� City:�-{ ,,-� , c�._��ZiP: � S 3�� I Y'�* DO N�1 �'IAI"L PA�i��N3'��'I�'�'i'HIS aPa�L��TI�N*** GENEhtAI, INS"I"RUCTIOI�'S 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 be�in unless the permit card is on the job site. 2. Permits will be issued only to contractors holdinj a Minnesota Pollution Control A�ency(N�CA) Septic System Instailers License. 3. All work must be done in accordance with the approved septic system desi�n. Desian reports are not considered approved unless accompanied by the "City of Orono Septic System Approval" cover sheet si�ned by the City Inspector. 4. The followina 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 coverinQ. C. Drainfield trench installation prior to coverinQ. For mounds, inspection is required after rou�h up but prior to sand placement (sand will be jar tested for silt content), and a�ain durinQ pressure distribution pipin� installation in the rock bed. D. Final inspection to verify proper final cover depths and to verify that all pump stations (wnere required j components are iunctional anu coziipiy wi�h codes. �. Individual holdin��CATnstallers�,icense shall be presen�durina all inspections. :°��=�-�o=.��' �otice es s�equi�'ed fo�� a1l ir�spections. .� NOTE: Applican ust 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 System Approval Cover Sheet. 2. I will be installing the followin�: A. Tanks: �_Precast Concrete Other Manufacturer t�A�c..�.� �.c�c.�S t Tank Capacities: 1) i�v�j jal. 2) gal 3) gal 5�t:�-}-- B. Pump Station (if required) Pump mak & model (attach p p curve& literature); sy em design requires gpm at feet of head. High water alarm ake & model . Outside electrical work to be c leted by installer electrician other. C. Treatment System: Trenches: s.f. l�lound Depth of rock below pipe " ock bed dimensions ' x ' Drop Boxes Sa bed dimensions ' x ' Distribution BoY Press Dist. Pipe Diam. " Manifol ipe Diam. " D. Final Cover/Top il to be: borrowed fro ite (show location on ite plan) trucked in The undersi�ned hereby applies to the Gity of Orono for issuance of a septic system installation permit, agrees to do all �vork in strict accordance with ordinances of the City and the re�ulations of the State of l�Iinnesota,and cenifies that all statements made on this application are complete,true and correct. Si�nature ofApplicant �, _ �,� Date: l t-- �-O S tiIPCA License No. Z�Z� ---�-------------------------------------------------------------------------------------------------------------------�-- 5��f'��er�e��: �p��'ova9 � �enfl�� , �' C� �� 4 � �pvi�s��g�; �� /-r' �� D�±e: � � �e�son �c�q� �e�aal: I�D�'�tepc��.e1- /�-� s� A l�� ! �o(' lc�.� �,`f;�x �l� tJ:S� �C��,'�' �S A 1�:, ,�.!- �� •�-I�,-i �'j�(� f, c�c� :-�;� �.,� cl (STA� ��c� �ca� $ �9�L��.� �'ti1 SI��G� ; 7�� rv�vs�� '13 C� T�YI� o v�c� ��v yr (T�o v.�� t3 `f �u�Q T , o?�,�� - _ P.O. BOX 55 HANOVER, MN 55341 � 612•221•1493 � � � � � � D A T E J 0 B N 0 . 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O9S�/D COMPLETED I `r/ "G?S v' ��t) ADDRESS �� C��•r I�/�C�[�v� ��r�I!l��t� OWNER �� ` �� CONTR. �j�i r�t G� I��s; . TELEPHONE NO. � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE �PTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 5 PTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �C�� 1��P SLcP�� W � o i �Z5� G-A ►� a N s � �-� ��-�. A��- . �. -- � ,�I� i� A �w� 0 � W � r Q �� C.� % �•� �U ,�lil� ti � ' � S� � �P1T e ("�.J�f -�z� �� )n/� � j S I E'�c.1 E� �� l1 e l,t S:c�P L� �� C� ( ��:� U C�'s ::� 7�1., K W� �G(VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: �y � .r � Inspector. v`-i, �'' White Copyllnspector's File Canary CopylSite Notice