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HomeMy WebLinkAbout1998-010119 - snack bar PERMIT 4 COP( OF ORONO PERMIT TYPE: :E;EWER WATER 2750 Kelley Parkway - P.O. Box 66 Permit Number: 010119 Crystal Bay, Minnesota 55323 Date Issued: 04/20/98 (612) 473-7357 SITE ADDRESS: -7:00 WAY ATA BLVD JG P . I . N . : 86-118-23-43-000I DESCRIPTION: SNACK BSA(! °_ Water _ ewe' . Water PermitTypeNEW SEPTIC _:Y`��TE Pwer & Water Work Type COMMERCIAL REMARKS: FEE SUMMARY: Base Fee $100.00 Surcharge Total Fee $100. 50 RpCT( App1ic• .il • C� VL HIL C:i iMPANY i NC: b/2.3; 16,5 c 5 OWl1.l t'EATACOUNTRY (: _t)E : BOX .;..'26 -7,00 WAYZA[A BLVD SHi KLIF°E E MN = .:7, ORONO Mfg 66391 (612) 723-7155 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO 0+t ALL WOR; IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. L_ APPLICANTPERMITEE SIGNATURE ( ISSUED BY:SIGNATURE CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, nv 55323 JOB SITE ADDRESS: Q. W �� 2 cc /a. g l od._ Occupancy Type: Residential Commercial Other • P 3`P Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 (Tanks or Drainfield) 0.50 State surcharge added to above fees SrtuC.k &t .l" *See fee schedule for non-residential permit fees Owner's Name: X0-7 z& £oc' f ty C/vh PhoneNumber: Mailing Address: City: ZiP: Contractor's Name: L`(uru'-14Tc PhoneNumber: zS- `f'Y Mailing Address:..3// SL( << 41., C City: 4 u.- : ,5-x'77 q 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. NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. y-e S 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. yes' - 2. I will be installing the following: A. Tanks: 2 Precast Concrete _ Other Manufacturer f Pecs q' Tank Capacities: 1) /VW gal. 2) /u.. gal. 3) /cup gal. B. Pump Station (if required) Pump make & model 6l') E (/0 (attach pump curve & literature); system design requires 3 c, gpm at J feet of head. High water alarm make & model G' t,,v Outside • electrical work to be completed by installer electrician X(' other . Inside electrical work must be completed by electrician. C. Treatment System: 3 Trenches: 1/63 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: 1( 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: U (�J ° Date: MPCA Certification No.: Staff Review: Approv Denial Reviewer: //261/7/2/z----" Date: 27/ g--1??•' Reason for Denial: �tJ DATE TIME CITY OF ORONO CALLED IN /.. IC'Y INSPECTION NOTICE SCHEDULED / -/-7.1 < PERMIT NO. /C/i 5 COMPLETED /I ADDRESS &OO_ Q 1✓ y� C 7/ OWNER CONTR. ioTz, TELEPHONE NO. `7,75 ' 5/&, `-/P DESCRIPTION k. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS C 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 2EPTIC MAIN---I 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTORct —' TTOO MEET YOU: YES NO 2 CO NTS:5 //32 �' Y'�'4 c-Q,]�' W Q.. I O cc O U- 0...a...___j—._._._______ W cc ,t \ ' i r _� /� W O WORK SATISFACTORY:PROCEED H PROJECT COMPLETE W CC [3 CORRECT WORK&PROCEED H ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O0 BEFORE COVERING PERMANENT H CORRECT UNSAFE CONDITION WITHIN HOURS. H PHOTO TAKEN INSPECTOR WILL RETURN G STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED H INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the : ,/spection 24 hours in advance.473-7357 Owner/Contracto . ' Inspector. "14/,1_..-- 7. 1 White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �© !� PERMIT NO. 3 �V, COMPUTED ADDRESS . <1011. ! • Ct OWNER CONTR. COi tbr l Cg'i, TELEPHONE NO. DESCRIPTION LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ct ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 07 DEMO-FINAL 15 S ' - . ,LL. 22 FOLLOW-UP Llj 09 PLUMBING RI 2 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL 'q OWNER/CONTRACTOR TO ME OU: YES NO o COMMENTS:cc aC 0 cc 0 14.cc w �• ❑WORK SATISFACTORY:PROCEED ; PROJECT COMPLETE W ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. L- PHOTO TAKEN INSPECTOR WILL RETURN Li STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracto// Inspector. al White Copy/Inspector's File Canary Copy/Site Notice