HomeMy WebLinkAbout1996-008515 - repair septic system PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: 81 WATER
Crystal Bay, Minnesota 55323 Date Issued: 08515
(612) 473-7357 10/2'44 6
SITE ADDRESS:
:1511 WATERTOWN RD
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CH
P . I . N . , 32-11',-'-'-23-4 :`--0002
DESCRIPTION:
REPAIR SEPTIC SYSTEM
Sewer b Water Permit Type DRNFLD b/OR TANK
Sewer h Water Wc-ri..' Type REPLACE EXISTING
REMARKS:
FEE SUMMARY:
Base Fee $50 .00
Surcharge ----------I-Ec)
Total Fee $50. 60
CONTRACTOR: Applicant - OWNER:
PETERSON ELMER i CC." 64718151 Ynt wc-i GREGORY
5921 DAGUE AVE SE WATERTOWN RD
DELANO MN 55328 ORONO MIN 55356
(612) 471-8151
THE UNDERSIGNED HEREBY REQUESTS PERM I-SSION TO MAKE THE L NW
SPECIFIED AND AGREES T0 ,00 ALL -W0RK IN STRICT COMPLIA ITY 13F
ORONO ORDINANCES AND STATE V,F,' MINNESOTA SUILDING ,00D 1 -
J-
APPLZANT/41`11VII AgS'IGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SITE ADDRESS: ✓Lzg;0 a,
Occupancy Type: Residential Commercial Other
Permit Type: New or Replacement System, $100.00 +
Repair 'ng System, $ 50.00 y
(T or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
Owner's Name: PhoneNumber:
Mailing Address: City: Zip:
Contractor's Name: Phone Number: /
Mailing Address: City: zip..-
DO
ip: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 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.
5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24-
hour notice is required for all inspections.
K
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 installirVhe following:
A. Tanks: recast Concrete _ Other Manufacturer
Tank Capacities: 1) 116 gal. 2) YOM_ gal. 3) gal.
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.
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. it
Maniford Pipe Diam. to
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.
Signature ofApplicant: a Date: t�
MPCA Certification N
Staff Review: Approv Denial
Reviewer: Date:
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN D -,3(-, ?1,
INSPECTION
INSPECTION NOTICE A SCHEDULED (a -3� l(_ 1141sw
PERMIT N0. Si COMPLETED h
ADDRESS
OWNER6l�cro CONTR. `
TELEPHONE\ 0.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 E)(CAV/GRADING/FILLING
H 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL PPTIC INSTALL1 22 FOLLOW-UP
_ 09 PLUMBING RI < 23S 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO"
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�OORK SATISFACTORY:PROCEED
PROJECT COMPLETE
ElW CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN 1-1
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the a tin ction 24 hou in advance.473-7357
Owner/Contracto Si
Inspector.
White CopylInspector's File Canary Copy/Site Notice