HomeMy WebLinkAbout1998-010118 - maintenance bldg PERMIT
CITY OF ORONO
2750 Kelley - P.O. Box 66 PERMIT TYPE: :v�,; F; :•:s WATER
Parkway Permit Number: 0101 '6
Crystal Bay, Minnesota 55323 04/.?0/98
(612) 473-7357 Date Issued:
SITE ADDRESS:
-7,00 WAYZAT A BLVD
JG
P. I . N . . 36-118-23-43-0001
DESCRIPTION:
,_ MAINTENANCE BLDG
_EeVe ' Wa ' ' Permit Type NEW
SEPTIC
_E—T T C E
rE
4:eipPr to Water Work Type t:uMME : :I -L
REMARKS:
FEE SUMMARY:
Base Fee $100 .00
Surcharge
Total Fee $100 . S0
CONTRACTOR: _ AppI ._�.:#-#t. -
t; t_3�V `:ILLCOMPANY INC t_ :;�:�: 1 E. :r: !' C f U N 7 i;`. (JOH
H
BOX ::E 200 1A Z #TA BLVD
:SQA :: PEE MN c c_'9 ORONO =yrs =.__;91
(G1 ) 7 :3-71SE
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES Ti O GO ALL WORD: IN sTR I C f COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND -STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SUE ADDRESS: 2 UV L )c 2 0 C,t. /2/CCt
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
cwi a bce . 11 *See fee schedule for non-residential permit fees
Owner's Name: Wal 2li CC tG[ PhoneNumber:.
Mailing Address: City: Z13:
Contractor's Name:a,ver LJ,`G( Ce)IE�.. PhoneNumber: 3 .S 2509
Mailing Address:` N q„kyee thc C City: Sq,ky c- DP:
DO NOT HAIL 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.
��- 1. I have received a copy of the system design including the City of Orono
Septic System Approval Cover Sheet.
Ye" S 2. I will be installing the following:
/ A. Tanks: 3 Precast Concrete Other Manufacturer oae«c%‘
Tank Capacities: 1) (cw gal. 2) ("61-() gal. 3) I uy gal.
B. Pump Station (if required)
Pump make & model PK lz/L' (attach pump curve &
literature); system design requires °7 o gpm at ZO..> feet of head.
High water alarm make & model 6--c-vac,,-t_ Outside
electrical work to be completed by installer electrician"(
other . Inside electrical work must be completed by
electrician.
C. Treatment System:
3 Trenches: 3 ( s.f. Mound
Depth of rock below pipe i " Rock bed dimensions 'x '
3 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.
Signature ofApplicant: CJ Date:: < 2-°
MPCA Certification No.:
Staff Review: Appro al Denial
Reviewer: . /A# / Z --' Date:
Reason for Denial:
ATE TIME
CITY OF ORONO CALLED IN 1/.2..2-I,W
INSPECTION NOTICE SCHEDULED y/2.z/9; / =Ci d
PERMIT NO. /D/ / g COM PL TED
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OWNER CONTR.
TELEPHONE NO. ,,:5, s-- 6/6
DESCRIPTION c_.,4? trl -�'.� �Z _ � , �� '
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cC cC 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 SEPTIC MAIN1Y� 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract►r . . ite:
Inspector. -1110
White Copy/Inspector's File Canary Copy/Site Notice
DA E / TIME
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CITY OF ORONO CALLED IN id
INSPECTION NOTICE 1 "� SCHEDULED B 0
PERMIT NO. Z�I v COMPLETED -f_7 '`-�
ADDRESS US0®.-der .�t l t Ltd
OWNER. JGyeir t CONTR.
TELEPHONE NO. i2.5' >'(o VP
• DESCRIPTION
1U 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 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
sT 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 04'' 21 COMPLAINT
07 DEMO-FINAL 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
c OWNER/CONTRACTOR TO MEET YOU: ES NO
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0 BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor 10. .ite
Inspector. / X07 ! a i
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED //Orb
PERMIT NO. Q[1.
CrIPLELE3
ADDRESS Jam/t �? j9
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OWNER CONTR. ChLP� / 4/
TELEPHONE NO.
DESCRIPTION
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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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REM /AL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
ct OWNER/CONTRACTO�R–T�YOU:_YE 4i7/
�/` /• COMMENTS: 17/ J�',,.r'l4
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INSPECTOR WILL RETURN
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Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor •00t- e:
Inspector. 4 14,
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DATE�~ -.. 3
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE i O'(� SCHEDULED ""� � �/A. y -�Z
PERMIT NO. LCOMP ETED ,
ADDRESS 2 74 67 ,r,
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TELEPHONE NO.
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cC 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
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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
I-- 07 DEMO–SITE 27 SEP_f�MAINT. 21 COMPLAINT
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tQ 07 DEMO—FINAL QSSEPTIC IN_STAL1 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
▪ 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
' OWNER/CONTRACTOR TO MEET YOU:AXES NO
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LI CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
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Call for the next inspection 24 hours in advance.473-7357
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