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