HomeMy WebLinkAbout1992-004328 - septic repair , :
PERMIT
� ��Y OF ORONO PERMIT TYPE:
?335 Brown Rd. South • P.O. Box 66 Permit Number: '��EWEFi �r WATER
Crystal Bay, Minnesota 55323 Date Issued: t��j�'���j
(612) 473-7357 C)r,j t�:�:/��;�
SITE ADDRESS:
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REMARKS: ����`�'�f'�'=='
FEE SUMMARY:
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CONTRACTOR: OWNER:
- AF�plicant. -
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APPLICANT/P EE SIGNATURE ISSUED BY:SIGNATURE
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APPLIGATION FOR SEPTIC SYSTEM PSRMIT
� 7 �
EIT� OF ORONO t,{rl � " �
Box 66 (1335 So Brown Rd)
Crystal Bay, l�i 55323
��**�:**#*�****:***::*****�:�*:****:****::****�*�*:*::**::************�:***
General Instructions:
1. You may apply for septic system permits by mail or in person at the
City offices. However, permits will not be mailed out and must be
picked np in person at the City offices.
2. Permits are not valid until you receive a permit card.
3. Work must not begin unless the permit card is available on the job
site.
4. Permits will be issued only to contractors holding a City of Orono
Septic System Installer' s License.
5. 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.
6. The following inspections will be required for all septic systems:
a) Pre-instal lation site inspection to include inspector, installer,
and general contractor.
b) Tank installation prior to coveriag.
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 station (where required) components are
functional and comply with codes.
7. Individual holding MPCA Instal ler Certificate shall be present during
installation. 24-hour notice is required for all inspections.
**�**::��*:::�***:�:**:***:�**�:��*:�*****�*:*�*:���***�**�::****:s*::�*#:*
JOB SITS ADDRESS: �� / (� �
Occupancy Type: Residential� Commercial Other
Owner' s Name: /��� ��� � Phone:
Mailing Address: City: �i�� Zip:
Septic Contractor' s Name: Bus. Phone:
Mailing Address: �[ � � �.��� a�l City: Zip:
*****��**#*#*�r**�*�**�**3�t�***�� ****'**#t******** *** ***#**����*�*****���r
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SEPTIC SYSTEM PERIKIT APPLICATON - PAGE 2
•' Y
Permit Type � Fees (check one)
_New Construction, Full System $75.00. . . . . . . . . . . . . . . .
Replace Existing System (1 or more new tanks & drainfield) $50.00. . .
�P�tij�1 �Replacement (replace just tanks or just drainfield) $30.00. . .
f��,�./ -Cfit/L -
$0.50 State surcharge added to above permit fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAY1r1ENT WITH THIS APPLICATION
**********�************�***�*****:*****�*�***********�***�*************����
NOT$: App licant must initial all spaces. Fill in al 1 appropriate blanks,
check all appropriate boxes.
Initial
� 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
Tank Capacities: 1) gal. 2) gal. 3) gal.
� B. Pump Station (if required)
� � �� Pump make & model �[5 (attach pump curve &
literature) ; system design requires gp at feet
of head. High water alarm make & model �jS
Outside electrical work t be completed by _installer
\ electrician other . Inside electrical work
must be completed by electrician.
�
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
:**�*:******:��:*�*****�**�:���**s***#***:�**#********�*��****���***�*****:
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 app lication
are complete, true and correct.
Signature of Applicant: Date:
MPCA Certification No. : ����
DATE TIME
CITY OF ORONO cn��E�iN `�"�� "��' `����'�
�� f:^ _.-�—� �
INSPECTION NOTICE SCHEDULED <- :- -
PERMIT NO. y'�o c�_ COMPLETED '� �J'.'�J
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ADDRESS J`�����-�'J�t ��t, iF- ' ' �
OWNER ���',',%' CONTR. :�( S� �-�-i;� ��',�,
TELEPHONE NO. _
� DESCRIPTION
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
Q 07 DEMO—FINAL 27 SEPTI_G IN� 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL ~23S€P�i2'F(NAL
� OWNER/CONTRACTOR TO MEET YOU:� ES NO
� COMMENTS: � ,�. -, �_�'�-,��� �-�--��
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d ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOflECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
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.473-7357
OwnerlContract�r o�s,�te:
T
Inspector. ��,,�'r , �``%" �,��"_
White Copyllnspector's File Canary CopylSite Notice