HomeMy WebLinkAbout2008-P12186 - septic repair f 'l PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p12186
Crystal Bay, Minnesota 55323 Permit Type: Septic
(952) 249-4600 Date Issued:
6/24/2008
SITE ADDRESS: 725 Ferndale Rd N Unit#
Wayzata,MN 55391
PID: 36-118-23-12-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Se t�c Permit Sub-type(s): Repair Septic System
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Repair Existing Septic
FEE SUMMARY: Pemut Fee: $ 50.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Elmer J. Peterson Company OWNER: Micheal&Margaret Sowada
5921 Dague Ave SE 725 Ferndale Rd N
Delano,MN 55328 Wayzata MN 55391
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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APPLICAN�EE SIGNATURE
ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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40� City of Orono FOR CITY USE ONLY
Q � P.O. Box 66
I �,;,,, 2750 Kelley Parkway Date Received: Permit#
� ��'�`r. � Crystal Bay,MN 55323
�a��,,�'��o��E (952)249-4600 Amount: $
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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 Information:
Site Address: �v� J ('�!i`-1 '�� 1 e j�� ,iv ,
Owner: /I/�.��w,� e J 5 o c� � �'/� Mailing Address: 7�.5 j=er���1�
c�ty: t.� � �i Z� � �- z�p: �� 3`'( i
Home Phone: Alternate Phone:
Contractor/ Applicant Information:
Contractor/App.: I�1 �.2�2C i��'_�'�.(��c,�J l� . Contact Person: �� � �3 �
Address: State License #:
City: l��' i A�v� Zip: Expiration Date:
Phone: Alternate Phone:
TYPES OF OCCUPANCY ' �
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Residential ❑ Commercial ❑ Other
- . , � . , � � ���PERMIT����TYP��A�VD� FEE�S
New or Replacement System $100.00
Repair Existing System 50.00 S(� Bv
(Tanks or Drainfield)
State Surcharge .50 .50
Total $ S� • J �
V:\(Permits)\Septic System Permit Application.doc
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** ATTENTION APPLICANT **
F'ill in all ap ro riate blanks and check ail appropriate boxes.
I will be installing the following:
Tanks
❑ Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks:
Size of Tanks:
Treatment System
Trenches s.f.
Mound s.f.
Gravel less s.f.
Chamber s.f.
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 of Applicant Date:
MPCA License No.:
Staff Review: Accept ❑ Denied
Reviewer: /� -��� 11.� �.� Date: � -�� - ��
Reason for Denial:
Comments (to be printed on inspection card):
_ ti5 tAilA t�v,�? �� �i��J .Qu . lc� ; �� 5 ��� .�' 1 l�N�.
V:\(Permits)\Septic System Permit Application.doc
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED
PERMIT NO. �a�f3�o COMPLETED ` � �L�• C�
ADDRESS �o�� �sZ/'�� A � e
OWNER S�O L�+ A � I� CONTR. �!1��� ��Rl S 6 N
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 PTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 2�PTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��NORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � S�JE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN i7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �952� 249-46�0
Owner/Contractor on site:
Inspector. i � ���
� White Copyllospector's File Canary CopylSite Notice