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
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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:
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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
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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
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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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