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Home My WebLink About1999-011347 - new septic PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 t-WIFRI d�ystaf bay, Minnesota 55323 Permit Number:Date Issued: ci-.:5 (612) 4 f_7357 k-1,4 f Z 1 SITE ADDRESS: c P' T N 2 -11118-21.3 "C -j. , DESCRIPTION: Perrrdt- Tvpce W7__�) '::f--PT1 Wrii:- F'In I T M M C R r T y REMARKS: FEE SUMMARY: il i i`pig S CONTRACTOR: OWNER: A ;C -- -1 i:iu N HILL. LF 14 L 5 R- 1ARAC. ME F4_ I tv; W () - TJ . 1 -AL I _VEME THE UNDERSIGNED HEREBY REQUEST PERMISSION T MAK TSE RE t1f-RIJ NTS SPECIFIED AND AGREES ff-I DO ALLVORK IN SfRICr COMPLIANCE WTH-: ��ALL :C I OF ORONO :RU INANCES AND STATE OF MINNESOTA BUILDING CLIDS, RE1(Aj11R, +J*, L APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE TTY OF .ORONO SEPTIC SYSTEM PE1UN1ITAPPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, NLN 55323 JOB SITE ADDRESS: - Occupancy Type: ResidentialCommercial . Other Permit Type: Nese or Replacement System, $100.00 ` Repair Existing System, (Tanks or Drainfield) 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees _S__ 1 �-� Owner's Name: Phone\cumber: J (` IYlailing Address: —o �- City: rc n zip. --- Contractor's I�came: L• �� PhoneNumber: LO%- 9r5, Mailing Address: t43C w i lei: �. M -u City: �''1��. P: DO NOT 1vL4 L PAYI`•IENT Iv I'TH THIS APPLICATION GENERAL htSTRUCTIONS 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 st not begin unless the permit card is on the job person at the City Offices and work mu 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. inspection is required C. Drainfield trench installation prior to covering. For mounds, after rough-up but prior to sand placement (sand will be jar tested for silt content), and again during pressure distribution piping installation in t rock b P• station D. Final inspection to verify proper final cover depths and to verifythat all pump (where required) components are functional and comply with codes. 5. Individual holding 1vIPCA Installer Certificate shall be present during inspections: A 24' hour notice is required for all inspections. 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 Septic System Approval Cover Sheet. the City of Orono .2. I will be installing the followin?: A. Tanks: Precast Concrete Other Manufacturer Tank Capacities: 1) gal. 2) �) gal. 3) gal.* B. Pump Station (if required) Pump make & model - (attach pump curve & literature); system design requires Q High water alarm make & model aPm at feet of head. • J ,s ��. Outside • electrical work to 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. " Maniford 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 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 correct: SignatureofApplicant: Date:_ MPCA Certification No.: Staff Review: *Appry e *alReviewer: Date:Reason for Deni v DATE CITY OF ORONO CALLED IN _'Z�� INSPECTION NOTICE SCHEDULED77 PERMIT NO. ZZ5z 7 COMPLETED ADDRESS )��+ J OWNER CONTR. U' � TELEPHONE NO. DESCRIPTIONW/V lPk 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CO03 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 SEPTIC 21 COMPLAINT J 07 DEMO-FINALC I 22 FOLLOW-UP Lul 09 PLUMBING RI PTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES COMMENTS: An— CZ W a J O � _ O W W cc Q Z W z W O WO� W WORK SATISFACTORY.PROCEED C; PROJECTCOMPLETE LU ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY C� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 00 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED f, INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance.473-7357 Owner/Contract Inspector. White CopylInspector's File Canary CopylSite Notice DA E� 3TPA CITY OF ORONO CALLED IN '+ �/ INSPECTION NOTICE SCHEDULEDr-7 15-�1� 7 PERMIT NO. 13'47 COMPLETED --� ADDRESSi 054D T L �Y OWNER 6d-f- COuA,4p, CONTR. GL TELEPHONE NO. q7e — 7504 car 939-a1�� DESCRIPTION Rm ax CPr'lz-_ W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BID. 12 WATER HOOK-UP 17 SITE INSPECTION S� 14 SEWER HOOK-UP 06 PROGRESS h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 C INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 3 SEPTIC FIN 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: U, CL cc e O cc 0 ILLW Cr Q 2 W z W cc d W� 11 WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE C ❑ ORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY C) CORRECT WORK,CALL FOR REINSPECTION TEMPORARY d BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/C:) t on si Inspector. White Copy/inspector's File Canary Copy/Site Notice i DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED J7►��"/ PERMIT NO. .�COMPLETED ADDRESS /05 (n 097 ' OWNER CONTR. TELEPHONE NO. DESCRIPTION O� D 41 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD CQVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATI N/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO fl COMMENTS: a 271 17 3 �.�" cc � (73 o 7 -7 3 16 Uj CCQ z W z W Q_ Z) d ❑WORK SATISFACTORY:PROCEED �EIISSUE ROJECT COMPLETE W / CC ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ion 24 hours in advance.47 7357 Owner/Cont cto on e: Inspector. White Copy/inspector's File Canary Copy/Site Notice a Q � q