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HomeMy WebLinkAbout2013-01078-voided permit ' CITY OF ORONO * � 0 I �- - 0 � 0 � -e-� 2750 KELLEY PARKWAY pATE 1ssUE�: 10/2U2013 ORONO, MN 55356- �� �� (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 180 KINTYRE LA PIN : 32-118-23-43-OO18 LEGAL DESC : KINTYRE TWO : LOT 1 BLOCK 2 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM- SEPTIC NOTE: (3)PRECAST CONCRE"I'E TANKS-(1) 1200 GALLON TANK AND(2) 1000 GALLON TANKS MOUND TREATM�NT SYSTEM-630 SQUARE FF.,F,T ** S�PTIC"I'ANKS SHOULD BE INSTALLED AT TOP OF HILL, LIFT"I'ANK A"I'ELEVA"I ION OF MOUND SYSTEM. APPLTCANT SEPTIC NEW 200.00 BOHN WELL DRILLING CO. STATE SURCHARGE SEPTIC 5.00 18190 DAIRY LANE JORDAN, MN 55352- TOTAL 205.00 (952)445-4809 PAID WITH CC# 3405 Minnesota State License#: 1043 � � OWNER / \ Gonyea Homes �1 � 6102 OLSON MEMORIAL HIGHWAY v'V� (�� GOLDEN VALLEY, MN 55427- � �� � AGREEMENT AND SWORN STATEMENT ��� Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible fbr assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for e cause. C�u-�� /o �2l �/3 ���� �o � 2� � i3 Applicant Permitec Signature Date ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �O�O City of Orono FOR CITY USE ONLY P.O.Box 66 Date Received: 1U��3 Permit# 0�3 ''�� �� 2750 Kelley Parkway � Crystal Bay,MN 55323 (952)249-4600 Amount: $�Gi� a a y`�l �'� �l�ry � �� _ qkfSHv�� CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building O�cial) Job Site / Owner Information: SiteAddress: i �iU +���'���� � '�'� Owner: �os� ���it� �v�n�r��.v� I�� MailingAddress i;io�.. �!�SOnI"VI��'�'1. I�h��(. �J City: ��1�IaItiV1 �c�Ll�e� Zip: � 5��� 1 Home Phone: Alternate Phone: Contractor/Applicant Information: � � Contractor/App.: �:�C1�Lv� ��1�'���1 �� �I I��°�t( �-�, Contact Person: ���v�c��t��� ��U��kJti,li�) ����i� �ct,l►' � �' � Address: 1 �, .��• ldi State License #: �i��� City: ���'�r���1 Zip: ����� Expiration Date: � ��"� �`�" Phone: ��JZ '���� - `����%`( Alternate Phone: TYPES OF OCCUPANCY � Residential ❑ Commercial ❑ Other PERMIT TYPE AND FEES New or Replacement System $200.00 ���. �:J Repair Existing System 100.00 s (Tanks or Drainfield) State Surcharge 5.00 5.00 Total $ ��� �%� W:\(Applications,License or Permit Applications)\Permits\Septic Permit Application-Updated Surcharge 07-28-11.doc 1 / 2 ** ATTENTION APPLICANT ** Fill in all a ro riate blanks and check all a ro riate boxes. I will be installing the following: Tanks [� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) � Number of Tanks: -� Size of Tanks: l�`�� ��4� 1�G G Treatment System �Trenches s.f. Mound � s.f. R's�'��' Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built of the system before the final inspection. 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 �.���c�.�✓� /�,� Date: �u. 1 I .I�' MPCA License No.: ����� ' Staff Review: �Accept ❑ Denied Reviewer: �.1�� ( �/����KY �ate: �D" 7 !_�3 Reason for Denial: Comments (to be printed on inspection card): Se�f��G -trl4�.1�5 �l�t,�� t> (�t ��.�-F-� �t e� �- �- � {� O�F �-�'� ( l [ � l'��'f_ '"'f_�4� � �"� � l e lI i��h�2a/ll D � I���� � �S-h°�t-�� W:\(Applications,License or Permit Applications)\Permits\Septic Permit Application-Updated Surcharge 07-28-11.doc 2 � 2 ��� Bohn Well Drilling Co 18190 Dairy Lane,Ste 101,Jordan,MN 55352 952-445-4809 Fax:952-445-1439 www.bohnwelLcom '°�' t, s WRONO COPY `�+�� Di It ���� � g Drill It Drain It Percolation Tests, Soil Borings & Your One Stop Contractor Septic System Design � � -, : .. __ , . . . . , . . . � � � jGa_r MBohn _ _ --.--949 _ ' 1043 , 7/12/2013 , —_ _i..-- Prepared For: Gonyea Companies Attention Mailing Address: 6102 Olson Memorial Hwy Golden Valley,MN 55422 Phone#"s Home His Mobile: ORONO COPy Fax Her Mobile � . � � � Homeowners: Model Site Address 180 Kintrye Lane Orono,MN 55391 Addition Name Kintyre C�R�',,7� C'GPY Lot 1 Block 2 County Hennepin Township Orono Township# 118N Range# 23W Section# 32 CITY OF nRONO SF,PTIC P IVI �� Y hom it was prepared for,prior to releasing it to any contractor to bid or any City, INSPECTOR s ' r permitting. We reserve the right to hold design until payment has been received. - DATE • ERMIT NO. �"�rrkov(D AS Si:t��1t TTI:D APPROVT:D iViT#�C'(1RRF:CTfOKS AS hOTF:D �rc !y�.��� NOT APPROV�,I7=CCiRRECT bt RESI:Fi�iIT ��Si�v�GiYI IS DG.�IGNED FOe� Thcsc cummcnts arc for ypt�r inl'urmuuon. All work shaQ lx dwie BEDROOMS, ANY INCR ia full compliunce with ull upplicuble x.�tic anJ zuning cude. �E�n pUMg� Requircmcnts including itcros not specifically noted in lui�roview. OF BEDROOA4S tNYALIDAtES tHtS DESlG K�EP TH1S PLAN SET Uh S1T6 AT ALL'fIMES N• i � � �� � 4 �f,_� ��,� ohr� �1� C�"������� �t�. -��� ���: `��� l.q 190 Dairy I,ane, Ste 101,Jordan, MN 553�2 x: � 9�2-44�-48U9/Fax: 45?-445-1439/w��w.bohnwell.com . ; Design Info ���'` �� Dig It ��* Drill It Drain It Your One Stop Contractor Items Included in Design Packet l. Septic System Design A. Design cover Sheet B. Design Summary worksheets C. Mound Design Worksheet D. Pressure Distribution Worksheet E. Pump Selection Worksheet F. Pump Tank Sizing and Float Setting Worksheet G. Septic Design Drawing H. Alternate Septic Site Drawing I. Percolation Test Worksheets J. Soil boring worksheets K. L. 2. Septic system management plan t` ''�"{; �O`�T'') V,:���,�a;; r��.� ; �,;���a{� �±T�,� ______�,._hc�T:3:+r2'!d �.u� t�;i�:. °<f ' 3 f <I c1 t� :,:.a !2 z��.r� t�,<:r:�;;A 1.�� ���f }��} �ry+� t! U.I��!{1/�.7/i11."1.�.;i U�)if�i i 1 C .1�/('���I'i� r� �,�i� t;7�ISGsF�1141�ii3�t,i4�►�� i ti 141n a 1�l.i. +iJ•(I:t t i•s•tR 1'li, � }� w ay A! `�t � n�... ;r, , ,. ,.. e�ow:SA cE �n. , � ;� n,��ic�i i. ;:sw�..�..f1' �.'ii�tFU� i41��AJ��l11li�lllf � � � ;i..;�� -� ,. . .. � ,�b�+s.� � .i� �I� ' t N��n �i�nu,i tOri tt� ;:,z��;�st��a��vru•c��,a:�� ...�...�.� ��:,, . ..,, t, � f, ..,., .L, .� �' . a.s,.:it .I�e�il..a�►e:.0 t.���:'iJ9 Liiil a.i-�JI , -�„'� December 18 2013 Memo to: finance Department From: Lyle Oman� U• Re: permit fee refund Bohn well was issued permit#2013-01078 on 10/21/2013.On 11/18/2013 permit#2013-01222 was issued to Hayes and Sons Excavation for the same project. Hayes and Sons did the job and Bohn well is requesting a refund. Please return$200.00 to them.The state surcharge is not refundable.Thank you. . Lyle Oman From: Brandi Weckman [brandi@bohnwell.com] Sent: Monday, November 25, 2013 3:44 PM To: Lyle Oman Subject: 180 Kintyre Lane, Orono (permit refund) Importance: High Good Afternoon Lyle, This email is regards to the phone conversation that we had this aftemoon. We are requesting a refund on the septic permit fee of $205.00. The builder that we were working with hired another contractor to do the work and your o�ce permitted the install again. This system has since been installed by the other contractor and we are asking that our fee be refunded. Thank you so very much for your time and attention to this matter. Sincerely, �zaacdi?�Uec�i,ra� Brandi (Bohn) Weckman VP Office Admin Bohn Well Drilling Co 18190 Dairy Lane, Ste 101 ]ordan, MN 55352 952-445-4809 Check out our website at www.bohnwell.com i