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HomeMy WebLinkAbout1997 - 009414 - septic system A PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 0091 4 (612) 473-7357 Date Issued: SITE ADDRESS: sr; WEAR LA N DESCRIPTION: SEPTIC SYSTEM Sewer & Water Permit Type NEW SEPTIC :\/: TC Mer Work lypk7: RE!7;IDENcE REMARKS: FEE SUMMARY: .Jase Fee $100 . 00 Surcnarg -4-jac2 iota' Fet: $100 . E,0 CONTRACTOR: '-- Applicant - WESTONKA SEWER & WATER INC S472,1966 COUNTY RO 1S WEAR LA N MN K-, 64 ORONO b!nbt7.= ( 1.2) THE UNDERSIGNED HEREEN . :EQU :STS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED ANO AGRFES Tj Do Ail_ WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO oRDTWNCESAN- ' ATE OF MINNESOTA PUTLOTNG CODP RFOUTREMENTS . APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, Iv N 55323 JOB SUE ADDRESS: r 2c2, e Occupancy Type: Residential Commercial Other Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 (Tanks or Drainfield) 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees Owner's Name: 7:_e) O Phone Number: Mailing Address: City: Zip: Contractor's Name: �`: M . '� �*/ Phone Number. ?-7-L/�66 Address: n� City: 04o 4 he Zip: -5'S-'3,/7 Mailing �j�j( Gv 1 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. TS- 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. j -, 2. I will be inst • g the following: A. Tanks: Precast Concrete _ Other Manufacturer .'',.-.)1.1 ss Tank Capacities: 1) J c OZ) al. 2) ke,0 gal. 3) 16_ ,,c) gal. B. Pump Station (if required) r � Pump make & model (2 f� (attach. .u1np curve & literature); system design-tequues t gpm at `_;;r!. ' eet,of head. High water alarm make & model .i4v<< ,r .-, f�'ti,kicoutside electrical work to be completed by installer electrician other . Inside electrical work must be completed by electrician. C. Treatment System: r Trenches: s.f. Mound 'j� Depth of rock below pipe " Rock bed dimensions J0'x 7 6� Drop Boxes Sand bed dimensions�$a5, 'x_ 4- c Distribution Box Pressure Dist. Pipe Diam. I i/V, " ;Maniford Pipe Diam. oZ " 4:,„; D. Final Cover/Topsoil to be: '''borrowed from site by (show location on site plan) /b 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 •.t all statements made on this application are complete, true and correct. ,, -) 9i SignatureofApplicant: 1. ),__ d` Date: y I�� -7 MPGA Certification No.: -c-i• V -p--...__ g—`?0— '= 7 if2-e0‘%Sec6 Staff Review: Approv. �\ Denial / Reviewer: /0,i i it , Date: 7: /1-"/ �� / #�-9 7 Reason for Denial: DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICESCHEDULED /0 ' tine- PERMIT NO. �ct/ COMPLETED ADDRESS L 4 OWNER ( < CONTR. I • TELEPHONE NO. DESCRIPTION i • - • i t 4. 01 FOOTING 11 MECHANICAL RI / 18 EXCAV/GRADING/FILLING h 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-UP 06 PROGRESS i` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL • 15 SEPTIC INSTALL.' • 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TOEYOy:_YES NO C3 COMMENTS: /4a/c CC �) 1ty — O CC 0; O U- W CC W W CC OORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑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 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/Contractor o Inspector. /ira/�G 6 White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / —`T7 42W PERMIT NO. /.//4/ COMPLETED ADDRESS . 5 /.6 �CUY1 Al)/ ,✓ ' OWNER CONTR. u 1.510') a TELEPHONE NO. DESCRIPTION 4. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Le) 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS 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 I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J tQ 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OOWNER/CONTRACTOR yl Yct �U: YES, / IQt_ / v, COMMENTS: C LU 49h (... S A>iX:p // iz j) 0 - - e cc i 0 W cc Q W - z W CC d/ORK � f-SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED U ISSUE CERTIFICATE OF OCCUPANCY 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 U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor i1 '. • / Inspector. ' . White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN l'- /f'- `l 7 INSPECTION NOTICEoy 1 SCHEDULED 9 -i S-' v2 ;at' PERMIT NO. / 7 T COMPLETED "` ADDRESS - S kIt_4/t_ At Al OWNER e0-61--z—r) 6-11-4-t- CONTR. 11,42,4, ,o-stA 64-- TELEPHONE NO. V7 -1.41 9 C'O DESCRIPTION / C2;Y 4-- L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 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-UP 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W C 07 DEMO—FINAL 15...SEPTIC INST II j 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Q OWNER/CONTRACTOR TO E YOU: Y S NO 1 • COMMENTS: — #J2 &f)' - 0 P��Ld I i L. a 11 ri,le 7bgt. ' !IP ilh p . J rirSedc-c-fri24ditr4) o - fin* ill le a P 5' a i_s M W Z W CC d WORK SATISFACTORY:PROCEED CCROJECT COMPLETE W L CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN IT ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerContractorn ' e: . ��Ioffer � nspector. div, I / / White Copyllnspector's File Canary CopylSite Notice DATE TIME CITF IN Y NO CALLEDEDL INSPECTION NO CE SCHEDULED1272 *-172-E PERMIT NO. L'`F / COMPLET D ADDRESS 5 /i%'YI OWNER CONTR. fikl kCt TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG h 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 i` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP delb= 09 PLUMBING RI 35 HARD COVER REMOVAL �+ 10 PLUMBING FINAL • • • - ' NGLES 36 FOUND•TION REMOVAL Q OWNER/CONTRACTOR TO . YOU: YES • AP o COMMENTS: ` Al cc a. r.)( 0 � , s4gCye ienk0 U. W CC W •W C LLJ• ❑WORK SATISFACTORY:PROCEED AOJECT COMPLETE CC W ❑CORRECT WORK&PROCEED 71 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 a•vance.473-7357 Owner/Contractor, Inspector. e7� L i /116PIF//ff White Copy/Inspector's File Canary Copy/Site Notice