HomeMy WebLinkAbout1995 - 006979 - new septic system • PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323 -
Date Issued:
(612)473-7357
SITE ADDRESS:
2os'' ..f- -.P:.7f/ HILLS RO
CH
. . . I . . 03-117-23-34-0015
DESCRIPTION:
NEW Ir W - T I` SYSTEM
Sewer &
er Permit Type NEW SEPTIC SYSTE
Sewer ?a Water rWorkType RESIDENCE
NCE
REMARKS:
FEE SUMMARY:
Ba'se Fee $100 . 00
Surcharge SO
Total FeP $100. 50
CONTRACTOR: - Applicant -- OWNER:
PETERSON ELMER J CO S4718151 cocCo_uTO ROBERT
5921 -• =- SE 2060 WFRO ;: -
DELANO MN 55328 ORONO MN 55391
(612) 471-81S1
i I j r--t�_s t vv .�i RFQUESTS
PFR
_ _s - L• CIMPROVEMENTS
i UN lr R•_! GNED HER€=E, , ;;E Qf W ST'S PERMISSION TO MAKE THE REA
CFTC I F I ED AND AGRFE:=: TO DO ALI WORK IN STRICT COMPLIANCE WITH Ai i CITY Off_
ORONO ORn I NANCFS AND STATE OF MINNESOTA BUILDING CODF R tuft t I REMFNT•S .
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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SITE ADDRESS: ‘
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: i, Phone Number:
Mailing Address: ‘41j-i�AW%, M�1 City: Zip:
Contractor's Name: 3/`_ _ Or_
PhoneNum r: d-1)
Mailing Address: 5-9; / . City: Tip:
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.
lo
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: )cPrecast Concrete _ Other Manufacturer
Tank Capacities: 1) 5--,F)gal. 2)/egy4 gal. 3)/1051. gal.
B. Pump Station (if required Q .
Pump make & model C — (attach pump curve &
literature); system design requires gpm at /3 feet of head.
High water alarm make & model . Outside
electrical work to be completed by installer r electrician
other . Inside electrical work mus be completed by
electrician.
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe --0,Rock bed dimensions /Z.) 'x•-•-
Drop Boxes Sand bed dimensions 4/3 'x,/
Distribution Box Pressure Dist. Pipe Diam. ,/,°d_"
Maniford Pipe Diam. ,I-- "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
Atrucked 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: 1C3
� �
Date: /2'171.6"MPCA Certification No. 0-7...._,.?
Staff Review: Approv. _ Denial
Reviewer: /�,I_ �,, /14 i
Date: .�� 7-SJ
Reason for Denial:
_DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED r //I D
PERMIT NO. Cg7ff COMPLETED 7 sl
ADDRESSOln&2_/ .M7- _. _ .../ _
OWNER CONTR. 417 EA7
TELEPHONE NO. V71- /S/
DESCRIPTION -, SOC
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c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBI • 36 FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor o• s' �'
Inspector. J./1/ii� %/.L'�
White Copy/inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN 7--_2/
INSPECTION N TICS SCHEDULED � 7 7_Y-- c,./ 3 C) CI
PERMIT NO. . -7 COMPLETED �I f l
ADDRESS -5067 0 /Q,M CA-',-'�/.c1s�,
OWNER -,«11.7, CONTR. r>-e-Z-2 A.
TELEPHONE NO. 4/ 7/ - R/ ' - 7
DESCRIPTION , X77-7'2,____e,
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Cc) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
C 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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07 DEMO-FINAL 15 S TAS 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
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• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ET CITATION ISSUED
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor,:n .de: 1— _
Inspector. .�1 !r ,/ %1
White Copy/Inspector's File Canary Copy/Site Notice
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ATE TIME
CITY OF ORONO CALLED IN �S
INSPECTION NOTICE/ SCHEDULED ^J -51C . /1� e
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PERMIT NO. 97 C! COMPLETED
ADDRESS OG�O 5 J76,44.16
OWNER �Zz�-L.---„ CONTR. z�Sl. �__a.d.e
TELEPHONE NO. 317/ -i/S7
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 ''i► . 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBIC "'^ 36 FOUNDATION/REMOVAL
• OWNER/r•NTRACTOR • MEET YOUR•090:A
:_YES_NO
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OW 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• ✓'L/
Inspector. ��
White Copy/Inspector's File Canary Copy/Site Notice