HomeMy WebLinkAbout1998 - 010169 - new septic system 4 41, PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 WE6: t� WATER
Crystal Bay, Minnesota 55323 Permit Number: 010 69
(612) 473-7357 Date Issued: (;, ,,`(; lt;�;
SITE ADDRESS:
9v0 WEAR C I F
CH
F'. I . N . . :3:3-118-23-34-0007
DESCRIPTION:
NEW Y F' T IC SYSTEM
~STEM
Sewer h Water Permit Type NEW SEPTIC SYSTE
Sewer ?a Water Work Type RESIDENCE
REMARKS:
FEE SUMMARY:
_passe Fe= $100 . 00
0
'_surcharge
Total Fee $100 . E,(
CONTRACTOR: - App I i cant - _i . -I(= . OWNER:
)F;:E�F t[ CONTRACTING CO INC: t,c f t 1 7i I 1612 12`` POST
T D I tai,i T
PO BOX IJ 3 ..9Lu WE'-'AR CIF
NEW MARKET MN Si i.�tf ORONO MN SS3S6
(E:i2) 461-7100
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREE' TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND 'STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
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1r APPLICANT'PERMITEE SIGNATURE dr ISSUED BY:SIGNATURE / �'G
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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SLUE ADDRESS: pp ,00, r2 C; 4
Occupancy Type: Residential X Commercial Other
Permit Type: New or Replacement System, $100.01
Repair Existing System, $ 51.00
(Tanks or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
Owner's Name: PhoneNumber: OV- ?c
Mailing Address: /'',9/), JJ/7,0 (1,'i2 r City: n0,
Contractor's Name: Q e Cc,��r�9 PhoneNumber: 6,`z cicj - /W
Mailing Address: �,p, vdx City ,1 1 j 2Xaj ZiP: S-o c'
DO NOT MAIL PAYMENT WITH THIS APPLICATION
GENERAL LNSTRUCTIONS
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.
2. I will be installing the following:
A. Tanks: )< Precast Concrete Other Manufacturer
Tank Capacities: 1) �Gpp gal. 2) f )A�al, 3) /D911�� I% ejh'ghee-
(-) -;0016
B. Pump Station (if required)
Pump make & model (attach pump curve &
literature); system design requires 4-0 gpm at ,;2.41 feet of head.
High water alarm make & model Outside
electrical work to be completed by installer electrician X
other . Inside electrical work must be completed by
electrician.
C. Treatment System:
Trenches: s.f. X Mound
Depth of rock below pipe " Rock bed dimensions /D 'x c5 '
Drop Boxes Sand bed dimensions 9Z. 'x 9� '
Distribution Box Pressure Dist. Pipe Diam. dQjiz "
Maniford Pipe Diam.
D. Final Cover/Topsoil to be: ;C 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.
SignatureofAppIicant: y4q • _
� -` � Date: � 30
MPCA Certification No.: c
Staff Review: Appr.val Denial
Reviewer: Date: —745_?
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN S-20-9C /f'�
INSPECTION NOTICE SCHEDULED
PERMIT NO. (61 (0"1 COMPLETED
ADDRESSr C
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OWNER CONTR. L ce11 O2Yif
TELEPHONE NO.
• DESCRIPTION
1U 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING
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 1544111360,. 22 FOLLOW-UP
LU 09 PLUMBING RI 2 - FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
st OWNER/CONTRACTOR TO MEET YOU: YES_NO
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• Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor oi/s' e: /
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN :Y/-t.0/9
INSPECTION NOTICE C SCHEDULED --n-7-2-1/ d' k
PERMIT NO. (01(11 COMPLETED `�
ADDRESS
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DESCRIPTION
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
C/3 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 EPTIC INST 22 FOLLOW-UP
44 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V/ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO /O/ G�/ CALLED IN g_s?.�' V. 3 c
INSPECTION NOTIC ( - - SCHEDULED `-� c:/..3 a
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• 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO YOU: YES N
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BEFORE COVERING
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n- tin pec ••n 24 hours in advance.473-7357
OwnerlContractor : 1
Inspector. i/ % lliw i, I - -
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White Copy/Inspector's File Canary Copy/Site Notice
DATE TI4k
CITY OF ORONO CALLED IN `4) / 0,27
INSPECTION NOTICE SCHEDULED f—//-y'J' /l.G� d/ii
PERMIT NO. OMPLETED
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OWNER ,4d T,7 /-L�c- CONTR.
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• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP 06 PROGRESS
1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
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Call for the next inspection 24 hours in advance.473-7357
OwnerlContracn sitgr�
Inspector. .�(`
White Copy/Inspector's File Canary Copy/Site Notice