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Home My WebLink About1993 - 005684 - septic system PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number SFWER & WATER Orono, Minnesota 55356-0815 00 5 84. Date Issued: (612) 473-7357 1 0/2 /93 SITE ADDRESS: 160 WEAR LA N CH P . I . N . : 33-118-2:::-34-0000 DESCRIPTION: SEPTI(: SYS1FM Sewer & Water Permit Type 5.3e7,e7t-eININErrrin0724. 4i, Sewer & Water WorkType (444'4AG.E---E71-- -r=} REMARKS: CITY OF ORONO IrINANCE OFFICE 1313300000 01 GEN 100.00 FEE SUMMARY: 122200000 0.i GEN •Ulf CHECK 77. 100.50 IECE1PT-TH41( 1101./ Rasp FPP $100 . 00 4288540 C001 R01 T09:59 Surcharge 0/29/9,3 Total bee $100 . 50 • CONTRACTOR: APPlicant OWNER: PETERSON EL MER J CO 54718151 SUPAALA MARK 5921 OAGUE AVE SE 160 WEAR LA N DELANO MN 55328 ORONO MN 55256 (612) 471-8151 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 ORDINANCES AND STATE OF MINNESOTA BUILDING cODF REQUIREMENTS . kciiv APPLICANT/PERMITTURE ISSUED BY:SIGNATURE 410* ;EPTIC SYSTEM PERMIT APPLICATON - PAGE 2 Permit Type & Fees (check one) ><( New Construction, Full System $100. 00 Repair or Replace Existing 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 t************************************************************************** 'TOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. Initial 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: ,C Precast Concrete Other Manufacturer Tank Capacities : 1 V�''� ( gal. 2 )/2,)J -6 gal. 3 ),,� JTOgal. B. Pump Station (if required) Pump make & model ��,,;� ��-�.--�� (attach pump curve & literature) ; system design regdires gpm at 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 /zS 'x c' Drop Boxes - Sand bed dimensionsj, 'x ' Distribution Box Pressure Dist. Pipe Diam. / " Manifold Pipe Diam. -- " D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) X 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 Applicant � 1��'21r.<< Date: (211 — APCA Certification No. : L�/� 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: �l � � `- l.)/ Occupancy Type: Residential \ Commercial Other Owner' s Name: /.7(1-11 (z c - Phone: Mailing Address : City: Zip: Septic Contractor' s Name: (�-,-2--v ,e- �r 2 v Bus. Phone: / / /S Mailing Address : J ,Y ( - City: /j Zip: _ST) 3 2S' ************************************************* ************************* - over - DA E TIME CITY OF ORONO CALLED IN // /DATE �! INSPECTION NOTICE SCHEDULED /7/ 9 :6zi PERMIT NO. '/�/ COMPLETED /1 .1 ADDRESS /66'G./� -4z'/- OWN ER CONTR. fit* TELEPHONE NO. /4 7/ - S DESCRIPTION LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS • 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 07 DEMO—FINAL 27 . - • • 21 COMPLAINT LiJ 09 PLUMBING RI • IN • . 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC F AL • OWNER/CONTRACTOR TO MEET YOU:ItgES_NO COMMENTS: "teicO A '3 --Z9.1"" cc0 cc 0 W CC Q W W CC WL (7WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ///❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ti BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473'7357 Owner/Contractor o sit • Inspector. White Copyllnspector's File Canary CopylSite Notice DATE (/ TIME , CITY OF ORONO CALLED IN )1 - I - `I/� 3 /a /Y, E INSPECTION NOTICE, SCHEDULED l I- -q3 tf. oz) PERMIT NO. 6.,1'.� COMPLETED ADDRESS / 6- 0 0...4.-*),_.)l a.- / -) OWNER CONTR. i „..ew TELEPHONE NO. V71 --$7/51 DESCRIPTION 2?/Crr..--e- ,L-9----t--e Lj 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS 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 v 07 DEMO—FINAL 21 COMPLAINT T09 PLUMBING RI 22 FOLLOW-UP27 --J 10 PLUMBING FINAL 23 SEPTIC FIN L Q OWNER/CONTRACTOR TO MEET YOU:J`/fESXek. O ,�/ 9, COMMENTS:‘../g- XI5 ae ,�.(�[ LU a CC 0 N. CC 0 4. W CC Q tnW Z W CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W W Li CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor c s' -: Inspector. :' �/� �/�_ White Copy/Inspector's File Canary Copy/Site Notice