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Home My WebLink About2013-01016 - new septic CITY OF ORONO * z 0 1 3 - 0 1 0 1 6 * . � 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 80 LUCE LINE RIDGE PIN : 31-118-23-34-0010 LEGAL DESC : PAINTERS CREEK : LOT 008 BLOCK 00] PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW y !' �'• . ._ , (• , 'i=. NOTE: SOILS NEED TO BE VERIFIED AT THE TIME OF DIG OUT. APPLICANT SEPTIC NEW 200.00 ELMER J. PETERSON COMPANY STATE SURCHARGE SEPTIC 5.00 5921 DAGUE AVE SE DELANO, MN 55328 MISC FEE 0.00 (763)972-2420 TOTAL 205.00 Minnesota State License#: 219 OWNER GRAJCAR,ZDENKO 80 LUCE LINE RIDGE MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The 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 related wark which requires separate permits. All provisions of laws and ordinances governing this 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revo t any time for du�use. � v��-Z� l`Ci l/-�C"�� p licant Per itee Signature Date Issued By Sign e SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED ABOVE. , 1. � �ol�� City Of Orono FOR c USE ONLY � �0�� 1 750 Kelley Parkway Date�eceived:/ �� 3 ?ertti[#�� T , ICrystal Bay,MN 35323 O-J {952)249-460D Amou»t $�� '� ,�`/ i�� G ��Kf S H Oo'� CITY OF ORONO-SEPFIC SYSTEM PERMIT APPLICATfON (A6 oemuts must be aperoved by the On-Site Sep4c Manage►andlor Buitding Officia�j Job Site I Owner�nformation: � Site Add ress: 1S f,� fi..�GC L.� �/�ll�� /��'�� Owner: -Zd��v�d �,��,q,e Mailing Address: �A�i�r City: a�{i p Zip: Home Phone: Altemate Phone: Gontrac#ar 1 Applicant Informatian: Contractor�A L�""11�� _T �T�-�Sp�Contact Person: �i PP• Address: �9aZt ��-l�,E 1¢!/E= StateLicense#: 02/9 City: iL � Zip: /rl/1� Expiration Date:• Phone: 7�v 3 -- Q?� - :,,Z�� Alternate Phon e: TYPES OF aCCUPANCY � Residential � Commercial � Other PERMIT TYPE AND FEES New or Replacement System $2DQ.00 �r�0. �� Repair Existing System 100.00 {Tanks or Drainfield} State Surcharge 5.00 5.00 Total � ,�fi� S. o� 1N:1(Applications,License w P�nit Applicalims)lPem�its�Septic Perrri i Application-Updaled Surohatge 07-28-11.doc 112 Z'd L6ZL-ZL6-£9L �o�uosae;ed•�aewl3 dll�ZO£l9ZdeS � - � 1 '°*ATTE�dTiON�►PPL{CANT** Fif! in alt ro iate blanks and check all a ro rfate boxes. I will be installPng the fiollowing: T ks � Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other � i anu� ) Number of Tanks: �',t'i�� Size of Tanks: �""- Treatment SysEem Tre�nc�i�es s.f. A[ _r• 1_�� !0 s.f. �L�, pdenr� Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built af the system before the final inspection. The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees #o do ail the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that ail statemen#s made on this application are complete, true and corr Signature of Applicant Date: 7 `�� /.3 MPCA License No.: c�/ 9 5taff Review: �,,Accept ❑ Denied Reviewer: ��iL�� Date• / V��^-J _ 1 � Reason for�eniat: Gomrnents �t4 be pri�ted on inspection card): � (� + ��, ��.(�i � -----� e l I 0 �' : �� ,� T- v�-�. �i�.� o� � rG` O� T'b W:1{.lpplications,License or Permlt Appficstans)lPertnitslSepNc Perm�l Application-Updated Surcharg�07-28-19.doc 2�Z £'d L 6ZL-ZL6-£9L 'o�uosae;ed'f aawl3 d 61�Z0£6 9Z d8S � � � � � a p � � M � � � � � ^ 3 Z � � r J � . �� M � y �° � � � �I� � o .Fi y1,;1,��,Nj�,r/:'�� T+ M�' � � 1 , � ��r � � � y m °I ,r 3; �YI�' !� ��f � w p 'O "� � � G� p � m , �� ,� �a. � � $ �� ° N-�� . � � � �,X � �� ,i � v.i�' ;� `�,1,-��.� "T' ��.o�,� �� ' I t� � � '�� ,�� 1 rNek� � � ��`�� :� �1, "�'��' � 3�r �''� e4��'��' � rM g o� ' � � N '� 3 4� ��. Y I�p '" ^p � S U aS� � � ' �,�� ' \ d � � �� 6�� E �ro ,� 4o I � �C � 0� ° QO �'i o \y I r Y�' t � .'� � ��L �2 \ .6�0,d' J'.�Z'�� D �U � , . . ''��. \Jy^��SS�y `� g� � V 1 . ` N a N "I` �� h�^ � � cn � ,o w � � � �� ;� p Q o� G�� , ob 1i� « # ad (� p� l�� u, opppr ' �j�W U ��lR" C N � � C � J+CA O�� C� � ,�o � �o � �'� a ro � � �u j-/ �s�' �`� � � ,� �v� U� z v� � Z \��—�` `�o'H .N ��2' ' '�I�� '.-1 �' ��r � N \ J a 9 � \'� M '0 � '� 1ro � / �,� \ 0 �� .E£ •u�' �/' N v � ro a � J �r � � � � k' � � b" 1 U / � _ � v � � � r 6�� " � U Y y ,. �e�`�� 1 W �� /+fi �y � x� � ,,.. I 't Z� � � � � ,s� � °^ � ^, i ' � ' � ' ��, � � � ,� � � , � �� o- e� 'Tl�q` � � � X �„ h� �� xi�, �, ' ` � � � �,��, �Yi� �� !�� Y � z �d �z��z ��N� wv�� E�oz �z� ��oN �� ______� DAT TIME CITY OF ORONO `CALLED IN -� INSPECTION TICE SCHEDULED l � - //.`-�L� PERMIT NO. � — l C�/�COMPLETED � ADDRESS � i �Ci� L.-�2..E.•� , OWNER ELFP NE NO. 763 � o�a � CONTRACTOR l � �L.� � DESCRIPTION �� ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI �PI SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � ''� W L . I ' a o � '�C�� O i � �G�L{� '' �� /7�-�'2'a � ° C c�S " CS �/'MQ, W � Q � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. 1 � /� , � White Copyllnspector's File Canary CopylSite Notice