HomeMy WebLinkAbout1995-007246 - repairing mound PERMIT
� ,��TY OF ORONO PERMIT TYPE: _ _ _ _
2750 Kelley Parkway- P.O. Box 66 -.
Crystal Bay, Minnesota 55323 Permit Number: ' ��'�
(612) 473-7357 Date Issued: _ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: � , _ _ _ -
FEE SUMMARY:
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CONTRACTOR: . - =. ._ _ .-..-. _ -� OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO S�PTICSYSTE�IPERNIITAPPLICAT`ION
Box 66 (2750 Kelley Parkway)
Crystal Bay, ��1 55323
JOB SITE ADDRESS: �6�c c� � �d- �'
Occupancy Type: Residential
Commercial Other
Permit Type: i�'ew or Replacement System, $100.00
Repair EYisting System, $ 50.00 �C� �
(Tanl:s or Drainfield)
0.�0 State surcharge added to above fees
*See fee schedule for non-residential permit fees
�– �- ���-�One Number:
Owner's Name: �ti'� �£ -�
Nlailing Address: City: �P�
Contractor's I�Tame: � e ��-� PhoneNumber:
Mailing Address: (.��� ����-- ./�i•� - — City: �P�
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 City Offices 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 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 a�ain during pressure distribution piping installation in t y rock be�d• S�tion
D. F i n a l i n s pection to veri f y proper fmal cover depths and to verif that all ump
(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.
. S
. `
NOT'E: 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 installina the following:
A. Tanks: Precast Concrete Other �aManufa3c)rer
��',I' ) Tank Capacities: 1) gal. 2) �al.
B. Pump Station (if required)
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 System: X�s'1�,"�
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.
��
Maniford Pipe Diam. "
D. Final Cover/Topsoil to be: bonowed 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
regulations of the State of Minnesota, and certifies that all statements made on this application
are complete, true and co
SignatureofApplicant: �� � �' ���``�'— Date: �����'��
MPCA Certification No.: �����
Staff Review: Approv Den'al
-�. � ����
Reviewer:
Date: '`
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � �.`�° SCHEDULED
PERMIT NO. �onn��e� , r �
ADDRESS ! rl�'� N
OWNER CONTR.
TELEPHONE NO.
`
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/ RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SE.G�18'Rb4{ T. 21 COMPLAINT
� 07 DEMO-FINAL SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FINAL 35 ARD COVER REMOVA
J 10 PLUMBING FINAL 36 UNDATION/REMOV
� OWNERICONTRACTOR TO MEEf YOU:_Y S NO �VP�� _ �
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDRIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt i s ion 24 hours in advance.473-7357
OwnerlContractor
inspector.
White Copyllnspector's File Canary Copy/Site Notice