HomeMy WebLinkAbout1996 - 008231 - new septic system PERMIT
CITY OF ORONO PERMIT TYPE:
2750 KeIley Parkway- P.O. Box 66 SPWER & WATER
Permit Number:
Crystal Bay, Minnesota 55323 008'7231
Date Issued:
(612) 473-7357 08/08/96
SITE ADDRESS:
40 WEAR LA N
CH
P . 1 . N . : 33-118-23-34-0010
DESCRIPTION:
NEW SEPTIC SYSTEM
Sewer & Water Permit Type NEW SEPTIC SYSTE
Sewer & Water Work Type R I DENCE
REMARKS:
FEE SUMMARY:
Basg, Fee $100 . 00
Surcharge s_SO
Total Fee $100. 50
CONTRACTOR: - Applicant - OWNER:
IF DIGGERS 57536468 MASTERPIECE HOMES INC
6957 WEST HWY 10 40 WEAR LA N
ANOKA MN 55303 ORONO MN SS3S6
(61 ) 753-6468
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO
L_ ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
67
APPLICANT,' ITEE SIGNATURE ( ISSUED BY:SIGNAT;E
44
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
JOB S[[E ADDRESS:C o
Occupancy Type: Residential Commercial Other
Permit Type: New or Replacement System, $100.00 /Z
Repair Existing System, $ 50.00
(Tanks or Drainfield)
0.50 State surcharge added to above fees
c J.r rJ e*See fee schedule for non-residential permit fees
Owner's Name:
Phone Number:
Mailing Address: City: ZiP:
. -� - -Phone Number:
Contractor's Name'r--r_.,-- _ �- nI-. _
Mailing Address: City: ZiP:
( - 75 7, - b ( S>
DO NOT MAIL PAYMENT WITH THIS APPLICATION
GENERAL INSTRUCTIONS
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 instal ing the following:
A. Tanks: - Precast Concrete _ Other Manufacturer gal.
Tank Capacities: 1) v gal. 2) /� -; gal. 3)
B. Pump Station (if required)
Pump make & model (attach pump curve &
literature); system design requires (IO gpm at /'j feet of head.
High water alarm make & model . Outside
electrical work to be completed by installer electrician
other . Inside electrical work must be completed by
electrician.
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe " Rock bed dimensions /i% ')C- '
Drop Boxes Sand bed dimensions
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 co )
/ '�%/� _ — Date: `� /
Signature ofApplicant:, 47,
MPCA Certification No..
Staff Review: Approv. ✓; \ Denial
AllireAV
Reviewer: ✓ �r��
Reason for Denial:
DATE TIME ' rC✓/.
CITY OF ORONO CALLED IN '
INSPECTION NOTICE SCHEDULED ilr li E.
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PERMIT NO. /` Z. 3/ JCOMPLETED 1 �6 0o
ADDRESS 4#9 j1, L ,
OWNER CONTR. , d`� _(j
TELEPHONE NO. i
DESCRIPTION PCk
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
ti 07 DEMO—SITE 27 SEP NT. 21 COMPLAINT
W 07 DEMO—FINAL S 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN 36 FOUNDATION REMOVAL
Q OWNER/C NTRACT O MET YfJU: YES NO
• COMMENTS: 796e6-S-1
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
U STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor n de: „'L/
Inspector. � " �
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED `- - <
PERMIT NO.
�/ ,)'„2 3i COO PLLETED
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ADDRESS Xle. J'V `P
OWNER CONTR. �J/154 ,1X17
TELEPHONE NO.
DESCRIPTION
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIUJNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
ti 07 DEMO—SITE 27 SEPTIC NJAI 21 COMPLAINT
W 07 DEMO—FINAL PTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL - 36 FOUNDATION REMOVAL
OWNER/CONTRAC_TOR TO YOU: •YES/ NO
COMMENTS: L°�' !' � 1
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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
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext ins'ction 24 hours in advance.473-7357
OwnerfContracto/A
'
Inspector. c
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED . I 1� /,?Q
PERMIT NO. S. 3/ 1 C,OMPLET �1 '1
ADDRESS —90- —
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OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
4. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 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
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27S EP 21 COMPLAINT
W 07 DEMO-FINAL h 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI ''1 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL ;FOUNDATION'EMOVAL
Z OWNER/CONTRACTOR TO -/ 0 : YES NO
oe COMMENTS: "- � � I411,id 4'
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
G CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractor'• • '
Inspector: 011.1177,—
.,- /.VP:
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �'p':--,/i-''"
INSPECTION NOTICE SCHEDULED `_ -'%'<• `;,1`. (-)
PERMIT NO. S231 COMPLETED
ADDRESS �(---=----...-1/". --/-
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OWNER J/�� I r-,-F i CONTR. /. ,-�4-,
TELEPHONE NO. '� ( / " -<77 -)/ '
DESCRIPTION .—e- r .-e_i4r.„�_ .
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01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
H 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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-UO 06 PROGRESS
i` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
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07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FO NDATION REMOVAL
• OWNER/CONTRACTOR TO ._? • • YES , NO
Oy COMMENTS: — %'_-.;'moi %t2 / 40
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W E PROJECT COMPLETE
WC CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
D CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑INSQECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t i pe tion 24 hours in a vance.473-7357
Owner/Contractor . -_f
Inspector. / • ' _,20, ----
White
!2 , ----White Copyllnspector's File Canary Copy/Site Notice
DATE .• TIM //,‘
CITY OF ORONO CALLED IN , ���► / v
INSPECTION NOT CE SCHEDULED
PERMIT NO. n : / co PLETED
ADDRESS '1%' V �i
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
u_ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL. 14 SEWER HOOK-UO 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTI 21 COMPLAINT
IQ 07 DEMO—FINAL --*- . 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO EET O r 4 S_ • i
COMMENTS: ... —
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CCE PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContracto • -It-•
Inspector. �� / �� 'fA
White Copyllnspector's File Canary Copy/Site Notice