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HomeMy WebLinkAbout1992 - 004514 - replace existing sewer/water 1 PERMIT CITY OF ORONO PERMIT TYPE: SEWER t� WATER P.O.1335 Brown Rd. South • Box 66 Permit Number: t}i} 14 Crystal Bay, Minnesota 55323 Date Issued: 07/31/92 (612) 473-7357 SITE ADDRESS: .7,900 WATERTOWN RD P. I .N. : 33-118-23-34-0004 04 DESCRIPTION: Sewer & Water Permit. Type DRNFLD &/OR TANK Sewer & Water Work Type REPLACE EXISTING REMARKS: CITY I ONO d•OF OR 11+XITL L. OFFICE FEE SUMMARY: I3`bVU4o4� �,, V1 GEN 50.00 1222200000 01 rr,V .50 Base Fee $50.00CHECK ) / Surcharge 1-5i}} RECEIPT-THANK jjjj y,'}j� Total Fee $50.50 ,iL4u, , ,,l fF f Lf/Llai j�] fl..�TVJVV 4VV1 ROI TOS:17 0 7/11/92 CONTRACTOR: - Applicant - OWNER: PERKINS CONTRACTING 54270109}109 Cid f I MAN DAVE 15775 JUNIPER RIDGE DR 2900 WATERTOWN RD ANOKA _ MN 55303 LONG LAKE MN 55:356 (612) 427-010 ?" ` `�'�''r!�'n t .. I CANED HEREBY Y REQUESTS Err M I ;ION TO 1 R �E i ED AND AGREES TO DO ALL WORK IN STRICT $" t T � rtY OF p r ,� Nf'NC.:E ANC :TATE. E Mt r r, ti I L w �. i T�r J APPLICANT/PERMITEE SIGNATURE (/-�✓ ISSUED BY:SIGNATURE JAyC/� �. • � ,i APPLICATION FOR SEPTIC SYSTEM PERMIT CITY OF ORONO Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 *************************************************************************** General Instructions: 1. You may apply for septic system permits by mail or in person at the City offices. However, permits will not be mailed out and must be picked up in person at the City offices. 2. Permits are not valid until you receive a permit card. 3. Work must not begin unless the permit card is available on the job site. 4. Permits will be issued only to contractors holding a City of Orono Septic System Installer' s License. 5 . 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. 6 . 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. 7. Individual holding MPCA Installer Certificate shall be present during installation. 24-hour notice is required for all inspections. *************************************************************************** JOB SITE ADDRESS: pZ To 0 c/.."(/v( v2) /e._) Occupancy Type: Residential ' Commercial Other Owner' s Name: rS)A✓Lc n„ ti J Phone: Mailing Address: c)9 6-0 vux-FL,rj0J.J (tvCity:__Q_LU U Zip: 5 .313 Septic Contractor' s Name: ?�2Bus. Phone:tg)-(3I0°` Mailing Address: IS) )S c JUV�� 01 City: rt Zip: SS 3 o'-') *************************************************************************** - over - ©✓e; 4 , 4 SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2 Permit Type & Fees (check one) New Constructi. . _ stem $100. 00 1,---Repair or 'eplace Existin. System $50.00 $0. 50 State surcharge added to above permit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITH THIS APPLICATION *************************************************************************** NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. Initial nitial 6)72 2 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. 2. I will be installing the following: A. Tanks: D, Precast Concrete Other Manufacturer Tank Capacities: 1) / (M gal. 2 ) 104 gal. 3 ) gal. B. Pump Station (if required) boshCA113 Pump make & model 1'kaDon•,t-c.-J ,k i✓, (attach pump curve & rr� _� literature) ; system design requires L/ 0 gpm at /S feet 4 +P 30 p4 of head. High water alarm make & model -/---GPr--, Outside electrical work to be completed by installer head- 1a{rr _electrician _other . Inside electrical work p �y must be completed by electrician. �wMf�re� ' C. Treatment System: � Trenches: s.f. (- Mound Depth of rock below pipe II Rock bed dimensions /0 'x5-51 Drop Boxes Sand bed dimensionsXx 3t-1 Distribution Box Pressure Dist. Pipe Diam. 171- " /Manifold Pipe Diam. A `/ " D. Final Cover/Topsoil to be: V 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 of Appli cat: Date: /h J./L7 MPCA Certification No. : 76, c f/ DATE TIME p CITY OF ORONO CALLED IN ///D�rr' INSPECTION NOTICE /� SCHEDULED 9/5 :— /;e711 PERMIT NO. 5 , /7/ COMPLETED ADDRESS r OWNER C!;7ywz..t CONTR. TELEPHONE NO. ZG'C -5'7 J DESCRIPTION 4, 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FIN L 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREANETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL • 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT LLI 09 PLUMBING RI 15 SEP ►ST•LL. 22 FOLLOW-UP 10 PLUMBING FINAL ct OWNER/CONTRACTOR TO MEET YOU: 'ES_NO co• COMMENTS: - - �44--/7-1 Yds o,-. CC -‘11;re-4/ 1/-s 0 W Q Z W z W d WJ ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO 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 advance.473-7357 Owner/Contractor : ,.it:. Inspector. 4' White Copy/Inspector's File Canary Copy/Site Notice V DATE -� TIME / CITY OF ORONO CALLED IN 7 yo�3-/p�" 3a? INSPECTION NOTICE SCHEDULED 9:';(1---(201 3r3Q PERMIT NO. k/6/`� COMPLE,T�EDd hADDRESS a��(t1 �%�f�'}l k�l /, OWNER 6ift'rr/0rq� rrkCONTR. Jifis TELEPHONE NO. DESCRIPTION 7i14s ,.... W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 11) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Lu 09 PLUMBING RI ��'�� 22 FOLLOW-UP -.I 10 PLUMBING FINAL 2IN L Q OWNER/CONTRACTOR TO MEET YOU:—YES—NO • COMMENTS: LU CC 7- 19A5 P'S0-10Cie'-r/ Q. CC O CC fe/i°/9 a 0- , -/-,1 0 7--- 0 Q AV / r; ,d � lh .y�'1a f •W Z W CC dWtORK SATISFACTORY:PROCEED C PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP 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• o, sit Inspector. 1 /Y� 1 /% White Copyllnspector's File Canary Copy/Site Notice DAT TIME CITY OF ORONO CALLED IN •`%ir INSPECTION NOTICE SCHEDULED 31 PERMIT NO. t 5/ OMPLETED ADDRESS e kat- OWNER • CONTR.J4465- TELEPHONE NO. DESCRIPTION go".0 IQ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING cn 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL ' 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT IQ 09 PLUMBING RI 1 22 FOLLOW-UP v 10 PLUMBING FINAL AL Z OWNER/CONTRACTOR TO MEET YOU: YES NO • COMMENTS: O� CC �Q.. CC CC U, W CC Q W W CC /WORKSATISFACTORY: PROCEED ❑ PROJECT COMPLETE CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO 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 advance.473-7357 Owner/Contract• o s;/-: Inspector. %/,� � - '' • White Copy/Inspector's File Canary Copy/Site Notice / DATE TIME CITY OF ORONO CALLED IN 5/23/5'z INSPECTION NO,TICE'/ SCHEDULED Ci i., 3/jz �` 3n PERMIT NO. `7 47L COMPLETED /t 3(171 ADDRESS 9(171�1�' 2/v'Zc �' ) OWNER a---)y-v,--}-7_i__/ CONTR. 6/.i>/r/6i-,-,-1 TELEPHONE NO. /7, (") - 5`7-5 DESCRIPTION _7 z /. /?'rr Lu 01 FOOTING 11 MECHANICAL RI r/ 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION • 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT sK 09 PLUMBING RI5 GF_ P?IC INS- ALL 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPT- IC„PINAL Z OWNERICONTRACTOR TO MEET YOU:-YES NO COMMENTS:cc LU �� :// CC77(7)Ci('40> AY- r cc LL /1/170)s i'°`5)``if f /ink— IA,Q l/2) /O1^- W Z W cc d ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract• o s..-. i j Inspector. ' e' White Copy/Inspector's File Canary Copy/Site Notice