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HomeMy WebLinkAbout1999 - 011370 - new septic system PERMIT CITY OF ORONO 11 PERMIT TYPE: r5s) KelleyParkwayP.O. Box 66 Permit Number: t:� ! E`` ytal Bay, Minnesota 55323 Date Issued: (612) 473-7357 _ SITE ADDRESS: w __ a R CH _ DESCRIPTION: {pC, y 7a = :.dal' W-r0-l:; Type P ;I DPINI`c REMARKS: FEE SUMMARY: CONTRACTOR: _ �,� i= _ _;; OWNER: Ff_CC _i_� {i� _ _i .i _ i'Lf dR �_ E R MAF LE E �}.M�!�t_tr. _ ti_`- f_i S,1_I�`vi i mi%j S.ci L to THE 'UNDER`_:I GNED HEREBY REQUESTS, PERM I SS I{_{N TO MAKE THE. REAS T MF'R VEMENTS SPECIFIED AND AGREES TO DD ALL WORK IN STRICT COM1=LIANCE.WITH` ALL CITY OF �Rf--1NO ORDINANCES AIDC:} STATE OF MINNESOTA BUILDING CODE A PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE GC- CITY OF ORONO SEPTIC SYSTEM PEMNELT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, N N 55323 ADDRESS: :2- �.�=� a,...l JOB SI TE . Occupancy Type: ResidentialCommercial Others Permit Type: New or Replacement System, $100.00 50 00 ' Repair Existing System, (Tanks or Drainfield) 0.50 State surcharge added to above fees :`See fee schedule for non-residential permit fees T ' Owner's Name: _S d Tr ��6 ti _ PhoneNumber: zip IYiailing Address: _ City: Tt P SFl°� Contractors Name• 4� X� PhoneNumber: 5 79-• �� y y� ►✓ 9 rysity: Nsiailing Address: aS ca R D 90 C /lVAplf ,PAZ.✓ DO NOT ItiIAIL PAYiN- ENT WITH THIS APPLICATION GENERAL hNSTRUCTIONS . in person at the City 1. Applications for septic system permits may be mailed or submitted 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. is required C. Drainfield trench installation prior to covering. For mounds, inspection after rough-up but prior to sand placement (sand will be jar tested for silt content), and again during pressure distribution piping installation in t rock be , D. Final inspection to verify proper final cover depths and to verifypdthat all ump 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 rriust initial all spaces. Fill in all appropriate bla boxes. nks, check all appropriate 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. .2. I will be 1nstalling the+following: A. Tanks: Precast Concrete Other Manufacturer Tank Capacities: 1) /0-0 19 gal. 2) ,D Ay gal. 3),/ gal;' B. Pump Station (if required) Pump make & model r.-' 'v (attach�pump curve & literature); system design requires i� gpm cu at / S feet cu head. High water alarm make & model Outside • ' electrical work to be completed by installer electrician other Inside electrical wo electrician. rk must be completed by C. Treatment System: Trenches: s.f. Mound Depth of rock below pipe Rock bed dimensions 14> Drop Boxes Sand bed dimensions y rx -7,7 ' - 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 orrect:SignatureofApplicantDate: MPCA Certification No.: �J - Staff Review: Appr v >C- Denial Reviewer: Q r Date: Reason for Denial: �E�T1C - STS TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED (o /O/WL PERMIT NO. 3 7a COMPLETED ADDRESS 294.5 WOEff CIr OWNER SCOP �V CONTR. TELEPHONE NO. 978 1105 - m/0"-/C. DESCRIPTION �P.l��L Tri✓ y�• 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 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-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWN ERICONTRACTOR TO MEET YOY._YES_NO COMMENTS: W W ac J O a cc O W W CC Q Z W Z W CC LWORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 Owner/Contract sit . Inspector. White Copy/Inspector's File Canary Copy/Site Notice D TIMES CITY OF ORONO /10-70 CALLED IN INSPECTION NOT E/,� o SCHEDULED PERMIT N0. COMPLETED tt ADDRESS Cfefz OWNER CONTR. y TELEPHONE NO. � DESCRIPTION- Y4?0f�L 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W a J O cc O LL W cc Q 2 W Z W cc Z, O 4j 4; WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑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/CoFCohIte ite: Inspector. pylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN --"�/-' ,_dam INSPECTION OTICE SCHEDULED �C-, , c PERMIT NO. 113 70 COMPLETED ADDRESS �� 4;_ �� C 1 cIt OWNER CONTR. P TELEPHONE NO. 7 9 //C/ DESCRIPTION _ 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE QEMOVAL Z 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-FINALEPTIC INST 22 FOLLOW-UP 09 PLUMBING RI 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNEFIXONTRACTOR TO MEET YOU:_YES_NO COMMEN CC S: 0 a cc ° 2 W a W z W cc Z) d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑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/Contractor on site: Inspector. White Copy/Inspector's File Canary CopylSite Notice