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HomeMy WebLinkAbout2007-P10823 - new septic PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10823 Crystal Bay,�Minnesota 55323 Permit Type: Septic (952) �49-4600 Date Issued: 5/15/2007 SITE ADDRESS: 300 Sixth Ave N Unit# Wayzata,MN 55391 PID: 25-118-23-41-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Se tic Permit Sub-type(s): New Septic System Permit Type: P DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 100.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 100.50 APPLICANT: Pride Construction&Excavating OWNER: Douglas Dayton 9450 West Hill Road 300 Sixth Ave N Watertown,MN 55388 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. / / ,..�� / �'�� !��`�—/'`-� `-�-. C�. �-�� ��� AP LI ANT RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1 � /� � ���� rX i - CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay,Mn 55323 ����r��.'� JOB SITE ADDRESS 300 County Road 6 �i AR 1 4 2007 �1TY Q� R��G 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 Owner's Name: Douglas Dayton Phone Number: (952)475-2928 Mailing Address: 300 County Road 6 City: Orono Zip: 55391 Contractor's Name: Pride Construction & Excavatii Phone Number: (952) 446-9804 Maiting Address: 9450 West Hill Road City: Watertowr Zip: 55388 *** DO NOT MAIL PAYMENT WITH TffiS 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. T'he 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 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 holding MPCA Installers License shall be present during all inspections. A 24-hour notice is required for all inspections. NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate L' J �� � � � boxes. 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. ✓ i�'� '� 2. I will be i talli the following: A. Tank • � Precast Concrete Other Manufacturer Tank apacities: 1) E��� gal. 2) /,0(�G`�gal 3) / 9" gal B ump Station (if required) mp make& model �'Q (attach pump curve& literature); system design requires .J('1 gpm at �J feet of head. High water alarm 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 !d ' x S"�" Drop Boxes Sand bed dimensions�' x�' Distribution Box Pressure Dist. Pipe Diam. / '�Z " Manifold Pipe Diam. � " D. Final Cover/Topsoil to be: borrowed from site J,�I � / (show location on site plan) f�y trucked in "`1 The undersigned hereby applies to the City ofOrono for issuance ofa 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 this application are complete,true and correct. Signature ofApplicant ��� �'�7''�__ - ' T�ar�:� _�` � �- C�' � MPCA License No. 2350 Reset Form -------------------------------------------------------------------------------------------------------------------------- .� Staff Review: Approval '�, Denial Reviewer: �� � - �� -- Date• 3 �- � 1 C� Reason for Denial: �� � � ��� � � �i%'�� DATE � TIME � CITY F ORONO CALLED IN /�� INSPECTION NO CE SCHEDULED --`�'7��7� PERMIT NO. �'� COMPLETED . ADDRESS ,���� �� �X /L-�-- OWNER CONTR. �`/ (�2 ����Y�f TELEPHONE NO. �5� -����Irl U� � ���a- c--��� � DESCRIPTION � , � � 01 FOOTING 11 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 � 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 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC F NAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d � /�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W I O�ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � �-/��S White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTaCE�t 2 SCHEDULED � � PERMIT NO. �`�lOr/Z.J COMPLETED 7 ADDRESS OZ7 '.S C�C,�-L. AcJP � OWNER ��`��� CONTR. ���� ����• TELEPHONE NO. � DESCRIPTION ty Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHAN�CAL FINAL 19 LAKESHORE/WETLANDS � Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COIv�PLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � �CC�Sv�C t i.� � ��.�t �'h[� a �/��� �IDM l.J/q�Pl 1�{ — �00�S Go� o �„'� CA 57' S!a✓I, � � �� >�UC �'o '�L',Lr�C �' /E'O`/l�[`� �0.�it PC e�� � ° °3 - I oaa G,�- �c�><< 1�/,s-�'�� �� �s' W °C �-I���t� ��C�! �el' �v'�'P Q � / D X �S' Ra c�f3P-� W W �,e, S.��,,g � /,���-- 7�•� �C � �� S�� ���",�� Td �a'r'fc �� � ��INORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W V C❑ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT OCORRECTUNSAFECONDITIONWITNIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site- Inspector. White Copyllnspector's File Canary CopylSite Notice