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HomeMy WebLinkAbout2000-P02332 - septic � . PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P02332 Crystal Bay, Minnesota 55323 Permit Type: septic (612) 249-4600 Date Issued: ait3ioo SITE ADDRESS: 2700 Copper View Dr LONG LAKE, MN 55356 PID: 33-118-23-43-0017 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): New Septic System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 100.50 APPLICANT: HAYES& SONS OWNER: Zag Zebski PO BOX 191 2700 Copperview Lane MAPLE PLAIN, MN 55359 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. /� . __ � � —�� `f'. .,/ , �, ) � � APPLI PERMITEE SI NATURE � D BY SI NATURE ' �%r� ,e-`. Copies: City,Applicant,Assessor, Finance Page 1 � . � ��-.��.�L CITY OF ORONO S�PTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkwav) Crystal Bay, MN 55323 JOB SITE ADDRESS: ,_;1 � ���� CA,�r�r !/;e�.� ��' . Occupancy Type: Residential � Commercial Other Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 (Tanks or Drain�eld) 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees Owner's Name: �� ���4 r �r� � 5 Phone Number: Mailing Address: City: 7dp: Contractor's Name: �.�e S �} �,.�S PhoneNumber: 7�- • (,S�S-5�Z= Mailing Address: -y�3 sf� = g�f. g, r- City: ;�t�,�,�.�,.� 7ap: `��� � DO NOT MAIL PAYMENT WITH THIS APPLICATION GENERAL INSTRUCTIONS l. 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 City of Orono 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 station (where required) components are functional and comply with codes. 5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- hour notice is required for all inspections. � � NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. c,, - � l. 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 following: A. Tanks: t/ Precast Concrete Other Manufacturer �4�--�n Tank Capacities: 1)�'3vU gal. 2) � gal. 3) `,�; gal. B. Pump Station (if required) Pump make & model ��o� � ► ��z � -� � (attach pump curve & literature); system design requires �_ gpm at �_ feet of head. High water alarm make & model �z:.,-L (�,� Outside electrical work to be completed by , installer �Celectrician other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. ✓Mound Depth of rock below pipe " Rock bed dimensions �_'x�' Drop Boxes Sand bed dimensions�'x c>�Z ' Distribution Box Pressure Dist. Pipe Diam. (_�" , Maniford Pipe Diam. Z " � s�lc c� D. Final Cover/Topsoil to be: borrowed from site (' (show location on site plan) trucked in The undersi�ned 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 the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. _ � —� Si natureofApplicant: ��`' Date: —r� "��-� g MPCA Certification No.: � 7- �% ; Staff Review: Ap��q al Denial ' � ' �- ��--c�� Reviewer: / ��t'� Date: Reason for Denial: CERTIFICATE OF INSPECTION ACCORDING TO MPCA 7080 Orono Building &Zoning Department 2750 Kelley Parkway P.O. Box 66 Crystal Bay, Mn 55323 This certificate has been issued this 16`" day of Au�ust 2000 , to certify compliance with provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080 regulating installation of individual sewage treatment systems. Owner Za� Zebski Site Address 2700 Co�per View Drive, Lon� Lake, MN 55356 P.LD. 33-118-23-43-0017 Installer Haves Excavating Designer S-P Testing, Inc ;"�a ��� Permit No. P02332 Compliance Officer DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED J�~a`I'0� ��►-' PERMIT NO. �� 2- COMPLETED � � '� ADDRESS � � v �N� 2` OWNER ��� l CONTR. �-��PS � S�YIS TELEPHONE N0. ��S"' y S�� � DESCRIPTION ��Cy /J� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �l(�,� ��� �� O. � � � �� L�I 'X �Z` �n �� O � � — ' ��r � �� 1s%�����s, 3 `o� � � _ �i ��� ' �� � � _ `� . � . a � � W i}V�WORK SATISFACTORY:PROCEED �' PROJECT COMPLETE � �=i CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � C1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT [7 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN f;STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Li INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f #he next ns ction 24 hours in advance. 249-46�� OwnerlCon rad� �on s e: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN '— �� INSPECTION I�J.pTICE y SCHEDULED S e'��OU �`(�_ PERMIT NO. �'���*��` COMPLETED ADDRESS �?av ��"^� �2 OWNER�� LI+�M2 ��rn� CONTR. `�S TELEPHONE NO. � DESCRIPTION ��1� � ly� 01 FOOTING 1 MECH NICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 S T. 21 COMPLAINT J 07 DtMO-FINAL 15 SEPTIC INST 22 FOLLOW-UP W 09 PLUMBING RI FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � a � � � O � � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED i PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED f l ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL ANGE ACCESS. Call f t e ex inspec ion 24 hours in advance. 249-46�� OwnerlCo rac an s te: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED �a��-��� '3c� PERMIT NO. 32 COMPLETED ADDRESS �7e� �Pi������ D�i� OWNER P�I�u�1. jT�►� CONTR.t�b`i-�,�5 TELEPHONE NO. � DESCRIPTION �K7 LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 EPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL� 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � a � J O � - 3�� ' w` n� ° EC� � 4 �v� �tC3 w � � E� U� r � �k�2. w � � � T, ;b � I'b 'r � c' d �WORK qCEED PROJECTCOMPLETE W � f] CORRE � PR��ED f ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT ORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC VERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pH0T0 TAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call f he ne 'nspection 24 hours in advance. 249-460� OwnerlCon ra r on i : f Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN ^! -O O 'p(7 INSPECTION ICE SCHEDULED �'�� $�� PERMIT NO. �� 2-.�.32- COMPLETED ADDRESS 2700 �OQQEIZ V�ICW �2- OWNER .7�lll4+ti� CONTR. ��NQS TELEPHONE NO. �gs l7� � DESCRIPTION l�� �a / l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTI LL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � vtn� wl 0�c � � O � � ° o R � � w � Q � Z . � � �h� � w � j d W�JORK SATISFACTORY:PROCEED ROJECT COMPLETE � W CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � L� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call f he ne ' spection 24 hours in advance. 249-4600 Owner/Con rac r on it . Inspector. White Copyllnspector's File Canary CopylSite Notice