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Home My WebLink About1992 - 004676 - replace system PERMIT CITY OF ORONO P.O. BOX 66 ARK PERMIT TYPE: 'NEWER- { WATER 1335 BROWN ROAD SOUTH Permit Number: °'' /' 1C7%0SI' CRYSTAL BAY, MN 55323 Date Issued: 471-7'157 SITE ADDRESS: 2040 WEBBER HILLS RD LSV P. I . N. : 03-117-23—.744-0016 DESCRIPTION: REPLACE SYSTEM Sewer t; WL ter Permit Type DRNFLD &/OR TANK Sewer it Water Work Type RESIDENCE CITY OF BAWD $£NAj�N4E OFFICE 01 &EI' 50.00 REMARKS: IzaZ"QVQ CEN .0 DECK- a O. rr RECE157;21ANK YIJ1!_ -�tt Tli aJ'►Yt LV •Jtr 1 Y1 FEE SUMMARY: 10/05/92 Base Fee $5th.0t) /✓ Surcharge /_5.0 D Total Fee $50. 50 Rq�T R - Applicant - C 'ETNTER'=�t�{W LMER 3 CO 54718151 TMP' E I LEEN RR 2 BOX 226 '7,040 WEBBER HILLS RD DELANO MN 55328 ORONO MN 55391 (61' ) 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 CODE REQUIREMENTS. L APPLICA •'RMITEE SIGNATURE ISSUED BY:SIGNATURE -d�J 4 SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2 • Permit Type & Fees (check one) New Construction, Full System $ ! � OOOOO . Replace Existing System (1 •r more new tanks & d .infield) $50.01 Partial Replacement (replace just tan • bs •ra n e • 30 . 01 . . . $0. 50 State surcharge added to above permit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITH THIS APPLICATION *************************************************************************** NOTE: 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: x Precast Concrete Other Manufacturer Tank Capacities: 1) C gal. w�l) gal. 3 ) 42.52) gal. B. Pump Station (if reguired) w` Pump make & model / 7L/fz",4/V 14 `® (attach pump curve & literature) ; system design/requires jp gpm at Zy 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. 2( Mound Depth of rock below pipe Rock bed dimensions /c) 'x47' Drop Boxes Sand bed dimensions 'xy ' Distribution Box Pressure Dist. Pipe Diam. , _' Manifold 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 correct. 110 Signature of Applicant: ,PV �- -� Date: <' f MPCA Certification No. : 40,4 APPLICATION FOR SEPTIC SYSTEM PER/1k 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: iY 02 X �'v /gg` Occupancy Type: Residential X Commercial Other Owner' s Name: /2'` Phone: c Mailing Address: o Y� �.�� City: ,-,.,, , Zip: Septic Contractor' s Name: �. � Bus. Phone: 7(.17/ / Mailing Address:�( vzc2 City: Pfr-..:14A/6 Zip: ***********************Kik`************************************************** - over - 44.1ef4/: / V Po i ;'1,i/ DATE TIME CITY OF ORONO CALLED IN /Q/i3/2;z INSPECTION NOT CE SCHEDULED /0/1.7`/9 ., S\�� PERMIT NO. A 76 CSMPLETED h /1 ADDRESSA ) i/e _'-=�..., Ci OWNER ,, ,Y/�� CONTR.pp (}i'�f,/tn/ TELEPHONE NO. ,<717/'D�57 DESCRIPTION C.�i 32.07,..-'— • (1-7;71/45 k. U 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS 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 27 SEPTIC MAI . 21 COMPLAINT cC = 09 PLUMBING RI INSTALL, 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEITjeFINAL Z OWNER%CONTRACT9a1QMEET YOU:V YES NNO�y�, co• COMMENTS: J.tM �-c ; /vvl%—1 ` 1Y2,Ar6. cc cc cc -- kac, ))- 4p, — .... 11/119/47,411- a /64 - apitlyO u. / .i,r/E--k...)' )Luc Q k. W z W cc d �f W4 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ci 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/Contracto o ' : Inspector. "4'—""1 jr,,0714,------- White 0714,-----"White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED 6;11 PERMIT NO. CC z/ ETED 1 l ADDRESS . !J ' 77// OWNER CONTR. FT 1Soy-N fid, TELEPHONE NO. DESCRIPTION Fi// W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP cz 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREANETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 1.14 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING Argagryialb, Z OWNER/CONTRACTOR TO MEET •r: YES_NO o COMMENTS: meq,4-/ Q. orc qk 7 cc AtZatille 'tank-_S CI CDC, cc O cc z cc d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W J CC ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN INSPECTOR WILL RETURN C1STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract• • 'te: Inspector. JA' i . .v// White Copy/Inspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN /J-4440 - �SOw INSPECTION NOT CE SCHEDULED /'''S YaW 14 PERMIT NO. ` -�� /kc OfLETED ADDRESS f�`>O PPS tJ IIS kcf,, OWNER CONTR.rJT fOr_ TELEPHONE NO. GG DESCRIPTION 1P2 k [seti W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREANETLANDS • 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 `I 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI SEPTIC INST 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEP FINAL Q OWNER/CONTRACTOR TO MEET YOU: YfS NO • COMMENTS: cccc 0 /1/ —C9--'//, Kp')(-11v h0), S-14 piletri O W CC CC • VO RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CC ❑CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY • ❑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 E. CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contracto- i :_ Inspector. White Copy/Inspector's File Canary Copy/Site Notice