HomeMy WebLinkAbout1996-008597 - drainfield &/or tank .-� PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 °w;��:��<<��r� t�! �Efi��'�'
Crystal Bay, Minnesota 55323 Permit Number: :,;;,w;;�=_:�; '
(612)473-7357 Date Issued: _ �� -
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SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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GNOTE: Applicant must irutial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
1. I have received a copy of the system design including the City of Orono
' � Septic System Approval Cover Sheet.
2. I will be installing the following:
'i A. Tanks: Precast Concrete Other Manufacturer
Tank Capacities: 1) gal. 2) gal. 3) gal.
B. Pum Station (if re uired)
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�� (� Pump make & model (attach pump curve &
� literature); system design requires gpm at feet of head.
��� High water alarm make & model . Outside
/ electrical work to be completed by installer electrician
� other . Inside electrical work must be completed by
electrician.
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� `� C. Treatment S stem:
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� Trenches: s.f. �� Mound � �
� � Depth of rock below pipe Rock bed d'unensions x
� Drop Boxes Sand bed dimensions 'x '
Distribution Box Pressure Dist. Pipe Diam. �"
Maniford Pipe Diam. v� "
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 the ordinances of the City and the
regµlations of the State of Minnesota, and certifies that all statements made on this application
are complete, true and correct.
SignatureofApplicant: J l/� (./���� Date: ���' ����
MPCA Certification No.:
Sta�f Review: Approv 1 ,,� Denial
Reviewer: Date: ��� `' /�
Reason for Denial•
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CITY OF ORONO S�PTIC SYSTEM PERMIT APPLICATTON
Box 66 (2750 Kelley Parkway)
Crystal Bay, Ni�t 55323
JOB STI'E ADDRESS: �7 2 S �G`��� �-
Occupancy Type: Residential � Commercial Other
Permit Type: New or Replacement System, $100.00
Repair Earisting System, $ 50.00 �D, S��
(Tanks or Drainfield)
0.50 State surcharge added to above fees
. *See fee schedule for non-residential permit fees
Owner's Name: ;�� r� ��G � �t r PhoneNumber:
Mailing Address: � �2 s' 2�„�,., city: �p�
Contractor's Name: C l�v�.�- G��`l( r�� ��^c— PhoneNumber: � � � �-7��
Mailing Address: nD �3�c 3-S'`( City: L�� 7ap:�'S3s"7
DO NOT MAII. PAYMENT WTTH THIS APPLICATION
GEi1TER.AL I�i 1STRUCTIONS
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 O�ces and work must not begin unless the permit card is on the job
site.
2. Permits will be issued only to contractors holding a City of Orono 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 Ciry Inspector.
4. The followin� 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 rou?h-up but prior to sand placement (sand will be jar tested for silt content),
and a�ain during pressure distr.ibution piping installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump station
(where required) components are functional and comply with codes.
5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24-
hour notice is required for all inspections.
DATE TIME
CITY OF ORONO CALLED IN T_
INSPECTION NOTICE - SCHEDULED �' .:^!��
PERMIT NO. ,���' �" COMPLETED
ADDRESS l L��--�� /`���
OWNER ONTR. �L�Gf� � ��
TELEPHONE NO.
� DESCRIPTION ��/�- I '
� 01 FOOTINO it MECHANICALRI 18IXCAV/�RADINC3/FIWNCi
y 02 FRAMINQ 13 MECHANICAL FlNAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 THEE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC NT. 21 COMPLAINT
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W 07 DEMO—FINAL EPTIC IN$TAk�. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNOATION REMOVAL
Q OWNER/CONTRACTOR TO MEET 1�,O/rU: YES NO
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� L CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =%CITATION ISSUED
� ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor i :
Inspector. /' �
� White Copyllnspeclor's File Canary CopylSite Notice
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� DATE TIME
C OF ORONO CALLED IN
INS ECTION NOTICE scHEou�eo �� �
PE MIT NO. �.'��7 COMPLETED
AD RESS J
OWNER CONTR. �.
TELfPHONE NO.
� DES RIPTION ,
� Oi F TIN� 11 MECHANICAL RI 18 D(CAV/dRADINCi/FIWNQ
�Q 02 INO 13 MECHANICAL FlNAL 79 LAI�SHORE/WETIJW0.S
Q 03 INS UTION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 W Bp, 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FlN�1L 1 M1 SEINER HOOK-UO 06 PROORESS
~ 07 DEI�IO�ITE 2f SEPTIC M 21 COMPLAINT
�Q 07 DEA�IO--FINAL 1 SEPTIC INST 22 FpLLOW-UP
= 09 PLUMBINGI RI 21 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUM&NQ FlNAL 36 FOUNDATION REMOVAL
Z OMMER/CONTRACTOR TO EET YOU: YES NO
y COMINENTS: — �,
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O ❑CORR�CT 1NORK,CALI FOR REIN6PECTION TEMPORARY
V BEFOPIECOVERING PERMANENT
� ❑CORR�CT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETUHN
i ❑STOPQRDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
� �INSPE�TION REQUIRED.CALL TO ARRANGE ACCESS.
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� ';Call for the next insqection 24 hours in advance.473-7357
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OwnedContract s' :
Inspector:
, White Copyflnspxtor's�ile Gnary CopyfSiM Notios
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DA E IME
CI7tY OF ORONO CALLED IN �
IN PECTION NOTICE SCHEDULED �':.�
PE MIT NO. ,�5y � COMPLETED �"'� Y�
ADORESS
OWNER CONTR. .
TEI�EPHONE NO.
� D CRIPTION
� 01 F TINO 11 MECHANICAL RI 18 D(CAV/QRADIN(�1IFIWNO
�Q 02 INQ 13 MECHANIGIL FlNAL 19 LAI�SHOREIVVETLANDS
Q 03 IN UUTION 24/25 NfOOD BURNEFi/FlREPLACE 34 TREE REMOVAL
� 04 W/�LL BD. 12 WATER HOOK-UP 17 SRE INSPECTION
� p5 FlI�AL 14 SEWER HOOK-UO 06 PROQRESS
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v 07 DEMO—SfTE Z7 SEPTIC MA1 / 21 COMPWNT
W 07 DEMO--FINAL 15 NST 22 FpLLpW{IP
= 09 PLWMBIN(i RI SEP'TIC FlNAL � 35 HARD COVER REMOVAL
v 10 PLllMBINQ flNAL 36 FOUNDATION REMOVAL
Z OWN6R/CONTAACTOR TO MEETY U:_ _NO � /
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� ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN
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❑STOPbRDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPE�TION REQUIRED.CALL TOARRANGE ACCESS.
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` �Call for the next inspection 24 hours in advance.473-7357
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Inspec�or:
WMb Coprflespsetor's flk Canary CoPlISNe Notios