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.
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APPLI PERMITEE SI NATURE � D BY SI NATURE '
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Copies: City,Applicant,Assessor, Finance Page 1
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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.
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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
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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 "
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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.
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Si natureofApplicant: ��`' Date: —r� "��-�
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MPCA Certification No.: � 7- �%
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Staff Review: Ap��q al Denial
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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
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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
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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
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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� �
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑ 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
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
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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 :
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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
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l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
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INSPECTOR WILL RETURN
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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