HomeMy WebLinkAbout2005-P09377 - repair septic system PERMIT
C,�Tl' �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09377
Crystal Bay, Minnesota 55323 Permit Type:
Septic
(952) 249-4600 Date Issued: 11/7/2005
SITE ADDRESS: 90 Myrtlewood Rd Unit#
Wayzata,MN 55391
PID: 36-118-23-33-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): Repair Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Running a new line from septic tank to pool house pump chamber.
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Stegora,Duane OWNER: Kevin Thompson
10704 l lth Avenue N 90 Myrtlewood Rd
Plymouth,MN 55441 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.
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APPLICANT PERMITEE SIGNATUR ISSUED BY SIGNATURE
Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1
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CITY OF ORONO SEP'TIC SYSTENI PERl�'IIT'APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB STTE ADDRESS ` b r f l. e w� od '\ ��
Occupancy Type: Residential X Commerci�►1 Other
Permit Type: New or Replacement System �100.00
Repair Esisting System � 50.00 �4,"�'
(Tanlcs or Drainfield)
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�0.50 State surcharge ldded to above fees
* See fee schedule for non-i•esidential perrnit fees
O�vneB's Name: e, V i Il �/70��� S �✓� Phone Numbei•:
IVIailingAddress: � ✓N � ��Q w��� �t C►ty: a�vo_ Zip:
Conti�actoY's Name: va S �� o�^� Phone�u¢nbei•: 7'(,� � 6�3 9 " '�6y/
Nlailing Address: /v 7 0 �( /t-'' �i 1/� j✓ City:�'l. rv���i7� �ip: '.>-�� '� `//
"�** DO 1�T01 1`'IA�'i., PA�ii�IEI�tT�Z'�T� 'i'iIIS AP�Li��TION**"�
G�NE�tA�, INSTRUCTIONS
1. Applicltions for septic system pernnits 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 �vill be issued only to contractors holdin� a Minnesota Pollution Control
A�ency(1VIPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system desi�n. Desian reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the Ciry Inspector.
4. The follo�vinQ inspections will be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, and �eneral contractor.
R. Tank installation prior to covering.
C. Drainfield trench installation prior to coverin�. For mounds, inspection is required after
rou�h up but prior to sand placement (sand will be jar tested for silt content), and again
during pressure distribution pipin� installation in the rock bed.
I�. Final inspection to verify proper final cover depths and to verify that all pump stations
(wnere required j components are iunctionai anu cor�iply�vith codes.
�. Tndi`idual holdin���CAT zstallers r.,icen�e shall be present during a?1 inspections. .�2�-�o=.a2'
�ot��e as a•equi�'ed fa�• a9� ir�spections.
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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 desi�n includin� the City of Orono Septic
System Approval Cover Sheet.
�/ 2. I will be installin� the followin�:
A. Tanks: � Precast Concrete Other Manufacturer
Tank Capacities: 1) �6 O �al. 2) �al 3) jal
B. Pump Station (if required)
Pump make & model (attach pump curve Rc
literature); system desi�n requires jpm at feet of head.
High water alarm make & model . Outside
electrical work to be completed by installer electrician other.
C. Treatment System:
Trenches: s.£ l�Iound
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: borro�ved from site
(show location on site plan)
trucked in
The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation permit,
a�rees to do all �vork in strict accordance with ordinances of the City and the re�ulations of the State
of IVlinnesota,and certifies t all statements made on this application are complete,true and correct.
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SignatureofApplicant ��. � Date: 1 / �/ 6 5
iVfl'CA�,icense No. � � � �
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DATE TIME
CITY OF ORONO CALLED w II�(S'`OS�
INSPECTION NOTICE SCHEDULED �t-lL1-�� U'�v ..r,�
PERMIT NO. pCJ �'-I,�77 COMPLETED i l-,�,�,j ;�� �,�v
ADDRESS__ Y� ��..�rf�GJUOc� P4�
OWNER CONTR. !� � � �1 t-�-�Of�Ses
TELEPHONE NO. �C o �Z L��� C'/�' �Cr7� I
�- DESCRIPTION ��i=� fi rC, �l;L G'�IC
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SAT�SFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTQ TAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALCINSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46Q�
OwnerlContractor on site:
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Inspector. '�,�.J �''� �u�.-�
White Copyllnspector's File Canary CopylSite Notice