HomeMy WebLinkAbout2006-P10086 - repair septic system PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10086
Crystal Bay, Minnesota 55323 Permit Type:
Septic
(952) 249-4600 Date Issued: 7/11/2006
SITE ADDRESS: 105 Orono Orchard Rd N Unit#
Long Lake,MN 55356
PID: 35-118-23-33-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Septic
Permit Sub-type(s): Repair Septic System
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Hayes&Sons Exc.Inc. OWNER: James Rowland Lowe III
263 82nd Street S.E. 105 Orono Orchard Rd N
Montrose,MN 55303 Long Lake,MN 55356
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 PERMIt}?InATURE
ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
0
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley P. kway)
Crystal Bay,Mn 55321
JOB SITE ADDRESS / () c 6)--„,... cOv-r,Lc.,v_cf) Rc___Q
Occupancy Ty,e: Residential Commercial Other
Permit Type: New or Replacement System $100.00
Repair Existing System $ 50.00 4 s-o• SD
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's Name: Si -eC v +45s.,---1- 3 ` c°'`''''� Phone Number:
Mailing Address: City: Zip:
Contractor's Name: 111, 25 ..5 Phone Number: 76,3-1/7S /26e
Mailing Address: 2.4. : � S - 5 City:fl7,,►f os2 Zip: 55363
*** DO OT MAIL PAYMENT WITH THIS APPLICATION***
GENERAL INSTRUCTIONS
1. Applications fo septic system permits may be mailed or submitted in person at the City
Offices; howe -r, permits will not be mailed out. The permit must be picked up in person
at the City Offi•es and work must not begin unless the permit card is on the job site.
2. Permits will be ssued only to contractors holding a Minnesota Pollution Control
Agency(MPCA Septic System Installers License.
3. All work must b- done in accordance with the approved septic system design. Design reports
are not consid=red approved unless accompanied by the "City of Orono Septic System
Approval" cove sheet signed by the City Inspector.
4. The following inspections will be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, and general contractor.
B. Tank install tion prior to covering.
C. Drainfield t ench installation prior to covering. For mounds, inspection is required after
rough up b t prior to sand placement (sand will be jar tested for silt content), and again
during pres ure distribution piping installation in the rock bed.
D. Final inspe tion 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 N1PCA 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
boxes.
'1 1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
4 2. I will be installing the following:
A. Tanks: 1.------Precast Concrete Other Manufacturer -4ra.1 s)
r-epJ Tank Capacities: 1) WV gal. 2) /009 gal 3) .gal
l s' vJ Z�
B. Pump Station(if required)
Pump make&model (attach pump curve&
uCt literature); system design requires gpm at feet of head.
jtoks") 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 ' x
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam.
Manifold Pipe Diam.
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
trucked in
The undersigned hereby applies to the City of Orono for issuance of a 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 stat ents mad on this application are complete,true and correct.
Signature of Applicant Date: �� o,6
MPCA License No. ll/ L/
Staff Review: Approval V Denial
pp
Reviewer: Date: —1 1 0 G
Reason for Denial:
DATETIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED \
PERMIT NO. f /1-2° '(o COMPLETED 1—/02-06 S c=M,OM
ADDRESS /Ds ll rc)A1C) or-el-94-rd 1 cl
OWNER LOU a CONTR. t) A `l'€S
TELEPHONE NO.
DESCRIPTION Afei,J S e P-f-,C -TAn es
Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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 COMPLAINT
v 07 DEMO-FINAL SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI I 23 EPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
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� ORKSATISFACTORY:FROCEED ❑ PROJECT COMPLETE S �1-re,^
14.1
❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:Lt.)
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice