HomeMy WebLinkAbout1998-010242 - septic connect PERMIT
CITY OF ORONO
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JO Kelley Parkway - PO. Box 66 PERMIT TYPE: SEWER WATFR
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Crystal Bay, Minnesota 55323 Permiurnber: 010242
(612)
Date Issued:473-7357
SITE ADDRESS:
4605 WATERTOWN RD
P T N ! :-.:1-11S-23-24-0005
DESCRIPTION:
Sewer & Water Permit Type SEPTIC: CONNECTIN
Sewer & Water Work Type RENOVATE/REMODEL
REMARKS:
CONNECT POOL HOUSE (4507 WATFRTOWN ROAD) TO EXISTING RESIDENCE SYSTEM (4605
WATERTOWN ROAD)
FEE SUMMARY:
E;asg, Fee $50. 00
Surcharge
Total Fee
CONTRACTOR: rt OWNER:
Applica -
PETERSON ELMER J CO 5,.4718151 SFRFNA JOHN
5921 DACiUF AVE SE 4605 WATERTOWN RD
DEL-4N0 MN EE ::E ORONO MN 55359
(.6 1 2) c)72-3420
THE UNDERSIGNED HEREBY REQUESTS PE. MISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITHORDINANALL CITY OF
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ORONO CES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
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APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO
SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, Ibii`t 55323
31 i) 5)-3 o"cl
JOB SLUE E ADDRESS: 505-4.145r767,4,--,
Occupancy Type: Residential Commercial Other
Permit Type: New or Replacement System, $100.00
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: IY 4,N n , PhoneNumber: g t S2.
Mailing Address: L,1606- City:ar....to. Zip:
Contractor's Name: 61., , 3. /i t s ec PhoneNumber: 9 7 2 - 2i(2 0.
Mailing Address: 59 2 9��. 4o, . 5_E City: OcL. ,-c Zip: 5`5 28
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 Systen,
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.
P"
NOTE: Applicant must initial all spaces. Fill in all appropriate b1 nks, check all a propriate
boxes. Dr/ 45"1. I have received a copy of the system design m lu ingy 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 (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.
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.
SionatureofA licant: -•---�� /�
Date: 5 — -1.0
MPCA Certification No.:
Staff Review: Approv. � Deni.
` / . •
Reviewer: //J1�,_ d
Date: ST-7/8---nw
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN ''' (. a /,, "'
INSPECTION NOTICE SCHEDULED -' r' 4 'gam
PERMIT NO. / -' `i COMPLETED "'
ADDRESS L.. t.• r, ( ; b ( �. f
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OWNER _, CONTR. j� , I � , ., ,: 1 l'.
TELEPHONE NO. / < 1
31. DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: ES NO
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W2 WORK SATISFACTORY:PROCEED I PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
OO CICORRECT WORK,CALL FOR REINSPECTION ' TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHQ•
TO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in . •vance.473-7357
Owner/Contractor •..
Inspector. / /� ` '�
White Copy/Inspector's File Canary Copy/Site Notice