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Home My WebLink About2000-P02831 - repair septic system PERMIT C�TY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2g3i �;rystal Ba;�, Minnesota 55323 Permit Type: septi� (612) 249-4�00 Date Issued: s�i��2oo SITE ADDRESS: 2555 Fox St WAYZATA,MN 55391 PID: 04-117-23-44-0002 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): Repair Septic System 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: CLOVER HILL COMPANY OWNER: P E ECKERLINE/M A ECKERLINE 314 SHAKOPEE AVE E 2555 FOX ST SHAKOPEE, MN 55379 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � , �(.��7(' � -"-�titi-- �� APPLICANT PERMITEE SIGNAI'URE ISSUEDBY GNATURE Copies: City,Applicant,Assessor, Finance Page 1 ' CITY OF ORONO S�PTIC SYSTEM PERNIIT APPLICATION Box 66 (2750 Kelley Parkway) Cry�tal Bay, MN 55323 �� JOB STTE ADDRESS: �� S � �' � .� , �,fi �-�, _- Occupancy Type: Residential � Commercial Other Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 x (Tanks or Drainfield) � �- ,z t�<<_� ��z:;�/c s� _ ��, �r 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees Owner's Name: ��'^ � �-.�<:�r%�_ Phone Number: Mailing Address: City: 7ip: Contractor's Name: C�%��4�- 1 �� PhoneNumber: ti l�?- :5��"=�� y�� Mailing Address: �j <( S �,� ��« � E City: �_ �,�u ��y��e Zip: �s�7> DO NOT MAIL PAYMENT WITH THIS APPLICATION GE�IERAL INSTRUCTIONS 1. Applications for septic system permits may be mailec: 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 coverin�. 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. I� � 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 following: /� A. Tanks: � Precast Concrete Other Manufacturer �J�U�viL1 Tank Capacities: 1) � gal. 2) �,c�% gal. 3) %G� gal. B. Pump Station (if required) Pump make & model (attach pump curve & literature); system design requires gpm at feet of head. High water alarm make & model . Outside electrical work to be completed by installer electrician � 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 ' Distribution Box Pressure Dist. Pipe Diam. " Maniford Pipe Diam. " D. Final Cover/Topsoil 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 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. SignatureofApplicant: ��-�� C/�ti�� Date: � �t �� MPCA Certification No.: � �� Staff Review: A val Denial � � Reviewer: �� , ��C� Date: Reason for Denial: DATE /TIME CITY OF ORONO CALLED IN �—2/-�r �,, � INSPECTION NOTICE SCHEDULED �S�-Z�-C�� /� �O PERMIT NO. �� Z�3� COMPLETED ADDRESS � S�5 ��-u �fi OWNER I�� l' L� Pr'(iG�� CONTR. �� {C: v � �Z_ �1� /� C��: TELEPHONE NO. �� -�=�� y�f� �� DESCRIPTION ;�E�/�-t � c �-, � � � / 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 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBWG RI 23 SEPTteFtlVAL—�, 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: I C�X�� ` ��571� � W C o-=- Exis��n9 -�� a d, Cru�h�� -- �1/� � � — 3 -- �ooD Q v �f Cerr�r�-{� w , � R�.•�i 1�..� Q � �� kqrb�.5 In� � n� � �D` " -1� � � ��a` j d W� C7 WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � C] CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail r e ne t i pection 24 hours in advance. 249-460� OwnerlCo ract r pn sit : Inspector. White Copyllnspector's File Canary CopylSite Notice