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Home My WebLink About2002-P05652 - repair septic system ' PERMIT CITI�' OF ��RONO 2750 K�Iley Parkway- PO Box 66 Permit Number: Pos6s2 Crystal Bay, Minnesota 55323 Permit Type: Sepric (952) 249-4600 Date Issued: 9�2si2oo2 SITE ADDRESS: 259 Hollander Rd Wayzata,MN 55391 PID: 25-118-23-43-0017 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sepric Permit Sub-type(s): Repair Septic System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Make sure that tanks are code or use new tanks FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT' Bursch Brothers Inc. OWNER: Tony&Mary Becker � P.O.Box 55 259 Hollander Rd Hanover,MN 55341 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 ORDINANCFS AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� APPLICANT PERMITEE SIGNATURE ISSUE Y SIGNATURE �� Conies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 . , � ,,... . .. , , �5� ,5j° , � , . , �o � � �d � �� , � , CITY OF ORONO SEP'I'IC SYSTEM PERNIIT APPLICATION (1�:�� Box 66 (2750 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS 2`�`� N-��ctcrt_. '�.c� Occupancy Type: Residential�_ Commercial Other Permit Type: New or Replacement System $100.00 Repair Existing System $ 50.00 )( `��>- �� (Tanks or Drainfield) $0.50 State surcharge added to above fees * See fee schedule for non-residential permit fees O�mer's Name: "7�v� t3�.��cF.-,� Phone Number: �7l�� °�44� Z`�y�f Mailing Address: �� Nr.)I��.cic._ Q�, City: Zip: Contractor's Name: "[3a��,�, �,.�.�,,.�,_. �." Phone Number: 7�a� �f4�;--�szz Mailing Address: P o. g;,x s5 City: 1-ba.--�;� vr►�I Zip: �s�� *** DO NOT MAII.,PAYNIENT`VITH 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 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 Minnesota Pollution Control Agency(MPCA) 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 pipina 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 holding�LPCAInstallers License shall be present during all inspections. A 24-hour notice is required for all inspections. • ,, , . .►�,..,r,,,. , • , r . , , • 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 insta.11ing the following: A Tanks: �_Precast Concrete Other Manufacturer Tank Capacities: 1) 150� gal. 2) ►SO� �al 3) ga1 B. Pump Staxion(if required) Pump make&model (attach pump curve& literature); system,design requires gpm at feet of head. High water alazm make&model . 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: bonowed 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 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. Signature ofApplicant�,� ��...,. � Date: q �t �y �p7 MPCA License No. � Z`�Z-¢ -------------------------------------------------------------------------------------------------------------------------- Staff Review: Approval i� Denial Reviewer: �� Date• �'��— a � Reason for Denial: � .�,< Mql� S J t c k`at �<,��.5 �< < L c�e o r v S�. ��.,,,,. ��.�\LS� �/�� DATE TIME CITY OF ORONO CALLED IN f a'I-v Z �.�� INSPECTION N�TIC�/_ SCHEDULED L � PERMIT N0. ��C�J �G�� COMPLETED —�� ADDRESS :�s � �� OWNER CONTR. �-�Q-�'-�i ' �� TELEPHONENO. �Cc'� 3 �j� S�..S � ,�, � DESCRIPTION �� cs.� — � 01 FOOTING t t 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 OS fINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTORTOMEETYOU�ES_NO � COMMENTS: � � '— z3� �--�"�k-� ►p v!`-�� -- r c a-c�.�e o — I S Uc� - 1 ��c� �-- 1'3U�� '�- �.�, '� -- o�v��\ S ��-L �,� p�,,,^Q � ° �-- �.��,�KS �K W � r �e�, �rt� C C)f1�-e� r-� w��1 _ Q � ' C�t� �\af� � �vM� 0� �:M� 2 W .e � ' W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnedConUactor on site: Inspector. ��1�� 'Lw-a-� White Copyllnspector's File Canary Copy/Site Notice '� DATE TIME CITY OF ORONO vj CALLED IN INSPECTION NOTICE��C,�'� SCHEDULED l!- -cl - " PERMIT NO. � COMPLETED �� 1D','SC� ADDRESS �S `� Hallar,de� �� OWNER CONTR. TELEPHONE NO. � DESCRIPTION T�n�V �:^�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIILING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 EPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�CYES_NO � COMMENTS: W � �u'`^p (� (L a � — � o A� ��t r— �J��c�S � � ��Scn,c r�-� '� � ,��1\ O < � - �- � — '��.+c� � G�kce,.��T d�\�� W � Q � z W � W � j d , / W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR AEINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlCon actor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice