HomeMy WebLinkAbout1998-010744 - new septic PERMIT
`CIS ( OF ORONO PERMIT TYPE: �.
2750 Kelley Parkway- P.O. Box 66 _-'- :1 j'` a~'
Crystal Bay, Minnesota 55323 Permit Number: i 0744
(612) 473-7357 Date Issued: 09/10/9
SITE ADDRESS:
505 ORCHARD PK RD
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`' . I . N . . 31-11S-73-14-000S
DESCRIPTION: T
-ewer & Water F'rrf:,'}i t Type NEW SEPTIC SYSTF
E
Sewer & Water Work Type RESIDENCE
REMARKS:
•
FEE SUMMARY:
Base Fee $100 . 00
Surc{,-iiir se
Total Fee $100 . 50
CONTRACTOR: }$i._ 7 - Applicant - OWNER: _
PETERSON ELt1ER� _3 iC O 54718151 JFIUL - _ L� �°�_.RAi
ORCHARD
°'u +j S �r-tE=>;_)F AVE '"E a',`_ _ O¢'S_.t-AR Pt, h1,J
riP.1 ANO ('Eli 55328 O{Z.._1i;O MN 5.53 E,
( ,Y) q72-240
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORUr'O OF:D I t,ANC EL: AND STATE OF MINNESOTA BUILDING i:ODE REQUIREMENTS .
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
/07W
CITY OF ORONO SEPTIC SYSTEM PERiI IIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SUE ADDRESS: SD f �AGO AAD PMk
Occupancy Type: Residential /" Commercial Other
Permit Type: New or Replacement System,
Repair Existing System, $ 50.00
(Tanks or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
Owner's Name: eam S-14„L L PhoneNumber: `-/0 q I A. 9
Mailing Address: Allo o (2)Aim-row,, An City: 6)Ro&o Zip: s_<3_0
Contractor's Name: 6t/ ,Q. j. Pe6-4.51W PhoneNumber: t-r'?! — 5
Mailing Address: 5ei 2_1 /J� .� � `� Sl= _ City: c 1 G 20 Zip:6 ';7 z`)-
DO NOT MAIL PAYMENT WITH THIS APPLICATION
GENERAL IiNSTRUCTIONS
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.
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: 3 Precast Concrete Other Manufacturer _'_`c`` f "'Yr---X.
Tank Capacities: 1)(e-o.c gal. 2)("0c;o gal. 3) (mid gal.
B. Pump Station (if required)
Pump make & model v •:–(c3- _ (attach pump curve &
literature); system design requires 31 gpm at /7 feet of head.
High water alarm make & model . AA r ,{ .,r , . Outside
electricaI 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 (c 'x4( '
Drop Boxes Sand bed dimensions cLc 'x 71 '
Distribution Box Pressure Dist. Pipe Diam. Z'
Maniford Pipe Diam. 2. "
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.
Pete r5a,? CO,
SignatureofApplicant:7
,i),Za-4 Date: 7°' ' ce 2.
MPCA Certification No.:
Staff Review: Approv Denial
/Avg,/ 1 • •
Reviewer: !/ . /. //li7 Date: 7—/ ?
Reason for Denial:
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Note: This system is to be constructed to meet
the triontsota Pottu:"an Con'rot Agency
Chapter 7080 & Local Ordinance
\\ Check all underground utilities
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S—P/TESTING INC.
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DAT • IME
CITY OF ORONO CALLED IN /
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INSPECTION NOTICE 1 1'�9I SCHEDULED � 'A. I4 ICU
PERMIT NO. / CO LETED A
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• DESCRIPTION
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC J, k 21 COMPLAINT
v 07 DEMO-FINAL 22 FOLLOW-UP
Li 09 PLUMBING RI 23 SEPTIC gINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance.473-7357
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DESCRIPTION
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V,• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
H 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUN'.ATION/REMOVAL
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INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on`t:
Inspector. -. ,!/ !�r✓1 _ . ✓%� i�_
White Copy/Inspector's File Canary Copy/Site Notice
/DATE TIME
CITY OF ORONO CALLED IN 9/4/,7
INSPECTION NOTICE •
SCHEDULED 5/%7/L ? /O : C O
PERMIT NO. /D '7 'Y`7t COMPLETED 7 11
ADDRESS C S c ii' �1 t
OWNER CONTR.
TELEPHONE NO. Y7/ - s'/57
DESCRIPTION
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 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
07 DEMO-FINAL 15 SEPTIC INSTAL-LT- ) 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TOM S •`
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
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Inspector. it
White Copy/Inspector's File Canary Copy/Site Notice