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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 . TS . / / L y eat -- 1r APPLICANT'PERMITEE SIGNATURE dr ISSUED BY:SIGNATURE / �'G ` `� 1G1 / �C7 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 jam, /� 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 COMMENTS: i ON'�'�' k- c[ CC yeo e 64)O cc O W cc CC *S- 2 /WORK SATISFACTORY:PROCEED CCE PROJECT COMPLETE LL CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • 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 aes OWNER �.L CONTR. TELEPHONE NO. Ca72 — 'f,/—af� DESCRIPTION Lu LL. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 o COMMENTS: cc w Q.. cc J O CC O LL W CC Q 12 W W CC j 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 -74#21.-?" DATE TIME CITY OF ORONO /O/ G�/ CALLED IN g_s?.�' V. 3 c INSPECTION NOTIC ( - - SCHEDULED `-� c:/..3 a (4 PERMIT NO. , / COMPLETED `' ADDRESS /c D 0 `'4 0c7��./► OWNER CONTR. ""l, TELEPHONE NO. 'I 7 (gS /S DESCRIPTION - F_A .... W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI G/FILLING cz cz 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 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 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 k, occ i • COMMENTS: f Iib " �i�7K r ,c.CCC 0 rj c' cc — ....cop,,e___ (yr„),,,144/ 4-74-j-a i 0 4 _ LU CC Q W Z W 2) 0 LU ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 17) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑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 - - / 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 If fl" ADDRESS I(-17c") OWNER ,4d T,7 /-L�c- CONTR. TELEPHONE NO. �` 7 5 "d9S7� DESCRIPTION / Lk to 01 FOOTING 11 MECH ICAL RI 18 EXCAV/GRADING/FILLING cz 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W a CC 0 a CC O U. W CC W W CC UJ C• rIORK SATISFACTORY:PROCEED ,ArOJECT COMPLETE CC W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN 17 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracn sitgr� Inspector. .�(` White Copy/Inspector's File Canary Copy/Site Notice