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Home My WebLink About2008-00111 - new septic � CITY OF ORONO PERMIT NO.: 2008-00111 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/06/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 730 BIG ISLAND PIN : 22-117-23-13-0002 LEGAL DESC : REG. LAND SURVEY NO. 1092 : LOT 000 BLOCK 000 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW NOTE: TANKS ONLY APPLICANT SEPTIC NEW 100.00 ABLE EXCAVATING STATE SURCHARGE SEPTIC 0.50 15630 OLD BRICK YARD RD. TOTAL 100.50 SHAKOPEE,MN 55379 (952)445-7432 Minnesota State License#: 994 OWNER MELIN,JEFFREY 2315 LAFAYETTE 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 additionai 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 tequired inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due,cause. '�C L� l l ��iY�CKi!� U l (� / �0 Applicant Permitee Signature Date Issue By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. � ' ��' ` ' r ,¢�� City of Orono Fo ci u ONLY �, � P.O. Box 66 � �)� /y�^y � �� 2750 Kelley Parkway Date Received. J Permit !��/�� a �'��r� �. Crystal Bay,MN 55323 � ��' '� Amount: $ � Q. �� d��Fo�.$o` (952)249-4600 � CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) Job Site / Owner Informafiion: Site Address: �I � / � �2 � � � > � Owner: �� /i.� Mailing Address: �)� �i� ' �X� c�ty: ��^� �1� z�p: �3 31� Home Phone: �/-�� -�7�" .�'/f`6 7 Alternate Phone: �u� - 2�Q - �, �� Contractor/ Applicant Information: Contractor/App.:�� z ��, �,Z� Contact Person: G��-�n �G��2z°6� Address:j-�Fv:s'D �/�,�rj�` �1��G �� State License #: ,� ��y City: S�i ��=�� Zip: ' ,�.3 7 Expiration Date: ��-f Z�J �� Phone: _ -�j'�:S L� �/��''7 i�3� Alternate Phone:rj� .. �/2 �Z3 L -��'�y TYPES OF OCCUPANCY � �esidential ❑ Commercial ❑ Other , �PE�RMIT TYP� /�NI] F�ES ,�� d;, �..�� '��,.,,,.�. New or Replacement System $100.00 /c�� Repair Existing System 50.00 (Tanks or Drainfield) State Surcharge .50 .50 Total � �d�;�C� V:\(Permits)\Septic System Permit Application.doc 1 / 2 .'� . � . �t , , ; ** ATTENTION APPLICANT ** . Fill in ali appropriate blanks and check ali appropriate boxes. j I will be installing the following: Tan Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: .3 Size of Tanks: �d� C�� G{��64 � � �4� Treatment System �hes ;;';' � �� Mound s.f. ��-Q � � � /� � � Grave s s.f. �l�` ^ Chamber S.f, � l �` -~ � 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 correct. / � , Signature ai Appiicant G � Daie: �� 0 MPCA License No.: __�� Staff Review: '�Accept ❑ Denied Reviewer: ✓ � � �� Date: �'� �:� Reason for Denial: Comments (to be printed on inspection card): V:\(Permits)1Septic System Permit Application.doc 2 �2 C �:� ; Cc �9 1�a Melin 9524710467 p.2 i j � r- � . � ( � � ` � �r, � � n J T I � ..1._�__...•._...._._. � - _ .. —�.,�,� , y �- � � � i ��` ~ / �-,. r. —� ;� x �, � �, c ,�'' i ' �,F p ..'� �J 4 �� ,'�� =�G��' � .� d.- � + .l��„ �� '� s y\ I �;� \�- L, �� i'� � ' Y �N `-� � j �� `, �- �`` , �,,., 3 �` !� � �r u;- - � �` \ 3 '! es, � , , „ �„ `_ D . � � ..+_. . ...__ _ ...- - -> � ,\ � --- ----Q---__.__�____ �' � }� � � � �}, ,z ; � �} I \\ ` � l� t 5 x� �+ . 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' ,, , � . � �, �� D�� TIME � CITY OF ORONO CALLED IN INSPECTION NOTIDCE SCHEDULED -�2"'U /:�O PERMIT NO. °?�o ��( COMPLETED ADDRESS 73v �l I S I�-� OWNER �/�� CONTR. �6�e C/�.G • TELEPHONE NO. �5�' Z 70 �7� 9 � DESCRIPTION s�'P�G F��a'L � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o - � �}ll['�.�I f-�--o��1�S � �� r� �46� 1�P 1 rP �l�3i:rt0-( 0 � W Q � I A�� i� ��-�� ►c � �c.>�s n�,.� rs ��PS.s��f� � � �S� f�t�,.� �. �� sv ` pr�.r � � d / ��/Q W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE� C W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTC TAKEN INSPEGTOR WILL RETUFN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: _ Inspector. � o, /1� White Copyllnspector's File Canary CopylSite Notice DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO:-A'�'�', ' �-�� i COMP�ETED `'� ADDRESS �� :� �� _1�_��n�� OWNER TELEPHONE NO. CONTRACTOR ��5 1 F� f"�� r 1 �-'` • �: DESCRIPTION � �C=_? ( �� 7 �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � t�� 1 i� . .r.�'� 7� /�1 � �C.� _T. �,`� �rA I t Q� � y1 '� j�� '/�� _ 0 � W � Q ti Z W � W � � d W�,,.�T\W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O GORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUtRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 Owner►Contractor on site: ' Inspector. �� '� � White Copyllnspector's File Canary CopylSite Notice