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Home My WebLink About1994-006482 - new septic system PERMIT .�CITY OF ORONO PERMIT TYPE: - 2750 Kelley Parkway- P.O. Box 66 °=:�,��ii��; ;� i�,=;-i�::; Crystal Bay, Minnesota 55323 Permit Number: �t;;;;�;y�y (612) 473-7357 Datelssued: �Ya�;�i�;��`f:�r�yF SITE ADDRESS: � .;�_.�_; �.—�s_i``.��i'•;i= Illi' �:.? DESCRIPTION: �.. ;'�:±:�:�: w;�:=' t!, .. _''',"_ . =_'i�: _::'�:k=_}^ , �;�:�'�.��x� ��i:.:�ffil�' 'i�yr:�s t�.,j;_i.i =��1�'� �:�".�� '`�"" ._�t=`=,�`E.:'!"' _.. iA,;�;i.�j: !;#:'�j�F.: �•11C-��. --.`�-,'-;�rj='F'.tii:� .._ L•2 1!� L.•� VIIfJ!-�l6' -- �Y�`� 'iL-'i:� J 1 f T!'T17L•L Ill t 1 LL REMARKS: ��:��°,;L:;':;;;?�: ;, ;r�+; %Er� L"1 4:Llt 1L�\�ayV � ' ?e li�e�} 2 ii..s�i L•�l.'V��L• }7 ifT !�iit/ �ii FEE SUMMARY: `�� * T' ''�" � L�7�t�L•!5 1L .l.VVaNV . t r '�'lJ��..�'Leil�ts' ��'lf:f � I�L.I.�L1! ! 1l.nitl\ !L'U _ ...._iL".�.': ^it{te i•tt; —i�:u',j . P7�.l1�Jtlt�.� 4VV1 lSVJ. !IJV�V1 _ �:{1i'�eiiLrf i�iY':':a � ___. <i i_Y;;j 1 3t_i i�:•�c.i i i� _!:;E't,'f'.3`�c„{1-�'i:=. _.___—___. •�}.,.{ _s='�� }V.�� i�i_'tt:,_�tii) ,, VIIN.�R: CONTRQCTOR: : :::.-. _ . _ ;.i::��`, �:., � _. _ _:' �� :. '.�, �...-•. _. . _.,,�__: J�,w::�.�•, ; �.;-�:., .i: - :r-:; _''_} _ .J.=. .._.=�� i 1!!l `�7—Ii..�..Z.�i��F'�� ...15'�j " _ _ _',b.'�� •:; e i ��_ 5 p,._�.�..�..j f. 1 � t_.1��7~f l{ �.�.'!i� ._. i �:l,_ip•S,�. f-,i_�._ _ _ �};`•� •-ti_Y.,':. �L _.�'... .. :�`I _. _. _._ . t i-: ; ."'' ' �-�t ".`�i`-� i�t� _�: :;.#�:�. ._, ;;z��,�� '�.� �t� r ��_.o.�.'_ �'v� �='�.�+f"I I��I��:�` 'I"�� '`'r. z�::m•. �"�'�� `.��t... _.��t:t�;r��t�::��.I:�: =w�'EC�I��.C3 �� C�t;��.`� Tj� ��w! s��_l.. r�1��:, I�'� :�=�``j=��:"� f.�;�r��=�#._I Pi��}:.�. 4�I�'� . ,�_�.._ �:I T�° ��' , ��'i.:a�i�f t:��'�#T i'�l��€�:�'�� T€�`t'� ��F" ��'��mE"i� �:t�I 1..��7.� .: �' :�€'��_'? �.__ _.,, : I__. . � / � G��;��,��' PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE • �� . r a CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 JOB SITE ADDRESS: �� S��o�f�� ,��£_ Occupancy Type: Residential �_ Commercial Other Permit Type: New or Replacement System, $100.00 �/ Repair Eacisting System, $ 50.00 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees Owner's Name: �iC��i�J ��f�cor�_S� PhoneNumber: �'S/ �'�'f � Mailing Address: /�c� s�rort�l�:�� .��' City: �'�'�,-�c 7ip: Contractor's Name: i;t.�,�/,��._ .�-�-� PhoneNumber: �/�6 - ��y.s� � Mailing Address: ,j-�%. ,�;�,,, ��i; City: ,S�,�;��.;� : �:s 3?s' DO NOT MAIL PAYMENT WITH THIS 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 Ciry Offices and work must not begin unless the pernut 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 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 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 fmal 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. � �t ` NOTE: Applicant must initial 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: A. Tanks: � Precast Concrete Other Manufacturer �/ Ca-✓<;�'r�� Tank Capacities: 1)/',��• gal. 2)/OZr1� gal. 3)/�� gal. B. Pump Station (if required) �''�-y�' � r Pump make & model /�y�/,ec�� %� -,��,;�i�-�(J�ch pump curve & literature); system design requires � gpm at /G ` feet of head. High water alarm make & mode � ,�✓�.;-,�Z _ Outside electrical work to be completed by installer electrician �/ other Inside electrical work must be completed by electrician. C. Treatment System: �' Trenches: s.f. G!Mound Depth of rock below pipe " Rock bed dimensions /� 'x SS�' Drop Boxes Sand bed d'unensions 3� ''x �..5�' Distribution Box Pressure Dist. Pipe Diam. �_" Maniford Pipe Diam. �" D. Final Cover/Topsoil to be: borrowed from site (s w 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 regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and conect. � � SignatureofApplicant:,�� i � .�..--.,�� Date: �� S�- S�� MPCA Certification No.: j�/G, � Staff Review: Approv �— Denial -- � �-�.- -`��,�� . Reviewer: '�f� Date• � �` / i ,� Reason for Denial• DATE TiME CITY OF ORONO CALLED IN / INSPECTION NOTICE� �Q� SCHEDULED '�/� ; PERMIT NO. � � COMPLETED �� ADDRESS �7G� �/Y�'�L(.1'�?,,�Y OWNER��A('�US CONTR. G'J1�1'�1P-��')� TELEPHONE NO. � DESCRIPTION � 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADINO/FILLINd �Q 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORENVETtANDS � 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z pq yUq(�,gp, 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 S ALL. 22 FOLLOW-UP = 09 PIUMBING RI SEPTIC FINAL 35 HARD COVER REMOVAL � 10 MBINd FINAL 36 FOUNDATION REMOVAL � WNE /CONTRACTOR TO MEET YOU: ES_NO � MMENTS: � � � ' U � � J � , O � ,.� � O � W � Q � Z W � W � � d C WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT 0 CORRECTUNSAFECONDITIONWITHIN HOURS. -, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '= CITATION ISSUED ❑ INSPECTION REQUIRED.CAL.L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on s' • Inspector. �'—'� White Copy/lospector's File Canary CopylSite Notice i/ DATE TIME CITY OF ORONO � CALLED IN , � INSPECTION NOTICE SCHEDULED =�� PERMIT NO. �� 'L COMP TED ADDRESS � OWNER CONTR. ,� dSr TELEPHONE NO. � DESCRIPTION �� 01 FOOTINCi 11 MECHANICAL RI 18 D(CAV/dRADINC3/FIWNCi y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNEFUFIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � OS FINAL 14 SEWER MOOK-UO O6 PHOGRESS Z F` 07 DEMO—SITE 27 SEP T. 21 COMPLAINT v W 07 DEM�FINAL 5 SEPTIC INS . 22 FOLLOW-UP = 09 PLUMBING HI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL � 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES N � COMMENTS: � � � �� i / f W a � � I� ° �4C�/ r- � � o � � W Q � 9l� � � � � Z � � W � � - d WORK SATISFACTORY:PROCEED W� C PROJECTCOMPLETE W L CORFiECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ` ❑STOP ORDER POSTED.CAIL INSPECTOR ^ CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor o s' : Inspector. White Copyll�spector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN J�� g` INSPECTION NOTICE _ j�p� SCHEDULED � PERMIT NO. `'�� COMPLETED ADDRESS OWNER CONTR. d TELEPHONE NO. � DESCRIPTION i1 � 01 FOOTINO 11 MEC ICAL RI 18 D(CAV/(iRADINO/FILLiNa � 02 FRAMINO 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z p4 WA1,1 Bp. 12 WATER HOOK-UP 17 SITE INSPECTION Q p5 p►�q� 14 SEWER HOOK-UO O6 PROQRESS _ � 07 DEMO—SITE 27 SEPTIC � 21 COMPLAINT J W 07 DEMO—FINAL 22 FOLCOW-UP = 09 PLUMBINCi RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL � 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO � COMMENTS: — � � ,_ / � � 0 �. � 0 � W � Q � 2 W � W � � d�K SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑CORRECT WOFK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORFiECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOUR& L PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALLINSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor - Inspector. White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN - �d-9 INSPECTION NOTICE r,,(�Q SCHEDULED �b- ��- 2 ' u� PERMIT N0. `�' 1 !) � COMPLETED ` r � ADDRESS /7 0 U '��. N�L OWNER Y�G�C'�0�-G«/ CONTR. /��D�i-r+.CsJ TELEPHONE NO. �� - � � gS � DESCRIPTION /�� 01 FOOTINC3 11 MECHANICAL RI 18 D(CAV/CiRADINCi/FIWNQ �Q 02 FRAMIN(i 13 MECHANICAI FINAI 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS 2 �` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlN/AL 35 HARD COVER REMOVAL v 10 PLUMBINQ FINAL a// 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:��YES NO � COMMENTS: " �� a� a � l? d j � � J1 O � �.. � _ O k W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED W� ^ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O CI CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WIIL RETURN O STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance.473-7357 OwnerlContractor Inspector. White Copyllnspector's File Canary Copy/Site Notice