HomeMy WebLinkAbout2002-P05232 - new septic system CITY �F ORONO PERMIT
2750;�Celley Parkway - PO Box 66 Permit Number: Pos232
Crystal Bay, Minnesota 55323 Permit Type: sepci�
(952) 249-4600 Date Issued: si29i2ooz
SITE ADDRESS: 1390 French Creek Dr(Outlot A)
Wayzata,MN 55391
PID: 10-117-23-32-0017
DESCRI PTION:
Proposed Use: Other
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 100.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Atco Utility Services OWNER: Sharon�;�Clark Winslow
3660 County Rd/ 101 S 1390 French Creek Dr(Outlot A)
Minnetonka,MN 55391 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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APPLICANT PE ITEE SIG TURE ISSUEIYBY SIGNATURE �
Copies: 1-File(SiQr:itures Required). 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO SEP'TIC SYS7['ENI PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, Mn 55323
JOBSITEADDRESS \�G�� �{e����-. C tee�� '���.J � — Du��ua �
Occupancy Type: Residential� Commercia�l Other �
Permit Type: New or Replacement System $100.00 � G'�' -<'��
Repair Existing System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residentiial permit fees
Owner's Name: Phone l�umber: 7�;� -;la-��'�7�
NlailingAddress: i,;��s{.� -�r.�,��,�/ '�,���E �r_, City: n�'y�.�z� Zip: �s35'�
Contractor'sName: ,��-r�-� (.�Z,�.�-�� �r-�«:Gs PhoneNumber: �;��-N�3-�µy�
Mailing Address: ,���� <t,. ,��9? i0/ ,5, City: ��1TK,G Z�p: 5,5�3;/
*** DO NOT MAIL PAYMENT"TTH THIS APPLICATION***
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
Offices; however, permits will not be mailed out. The per�mit 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 Minnesota Pollution Control
Agency(NIPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system desijn. 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 t�ested 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 stations
(where required) components are functional and comply with codes.
5. Individual holdin��IPCAInstallers License shall be present durin�all inspections. A 24-houi•
notice is required for all inspections.
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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
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 �,�L c s
Tank Capacities: 1) � 5� gal. 2) gal 3) 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 ;�.:.,�� ,'�,s�.n-��� . Outside
electrical work to be completed by �� installer electrician other.
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. "
Manifold 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,
a�rees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota,and certifies that all statements mad�on this application are complete,true and correct.
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Signature of Applicant �� � Date: "��;�. �7`,,.'_---
MPCA License No. p�i �/� �
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Staff Review: Approval Denial � ��� _d�
Reviewer: - lY\CL� � � ���—.,, Date• -�---_�
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONNOTICE SCHEDULED 2`�'��- �-a��
PERMIT NO. P d fa ��� COMPLETED '�'��Q Z- � ��
ADDRESS 1�"�d �f t�c,l << ez f C a� � �:!�')0-�- � )
OWNER CONTR. ��'tc '�a'���fi�
TELEPHONE NO.
� DESCRIPTION S�� �'� L ���°�` — �''Q���'^'� �C�I<S
lL 01 FOOTING 11 MECHANICAL RI 18 EXCA /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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 EPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 1 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU;/�YES_NO
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� Ci ORRECT WORK 8�PROCEED I ; ISSUE CERTIFICATE OF OCCUPANCY
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
I; STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. 249-46��
OwnerlContr t�site: �
Inspector.
White Copylinspector's File Canary CopylSite Notice