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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 . C ADDI I(`Ar.ITIDC• Cl/'_nlnr IDC / ICCIIC/1 DV.CI(_FIATI IDC A.1.'0.,e�I . 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 k- Sed W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CI) 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 ' OWNER/ •NTRACTO'TOMEET YOU: YES /O�✓�� COMMENTS: "— � Jf ' 'oti - ' Lu Lu _ `cam / g...(9 cc 4 S"-0 44�Vi 0 ::// o,- lArCC Im.... 9,77(7/ Ok..._Q coW Z W CC d di WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CC El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El Li 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 Owner/Contractor o• s' �' Inspector. J./1/ii� %/.L'� White Copy/inspector's File Canary Copy/Site Notice i7 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, Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 `"I 07 DEMO-FINAL 15 S TAS 22 FOLLOW-UP Z 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ▪ OWNER/CONTRACTOR TO MEET YOU:_YES NO G�.��� oy COMMENTS: —�G 9vj4yn'_... e___ Lcc A., `Gy �E cc , — , 4. ,i,e ok 0 o f Y/' kyir. d r' 1'1tI1.LS2 ta.. 6A.ii :reMA cc D Z W z W cc �d El WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑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 v ATE TIME CITY OF ORONO CALLED IN �S INSPECTION NOTICE/ SCHEDULED ^J -51C . /1� e (0 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 H 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 COMMEN 5: �� CC CCmy / OK,0 cc c,,W z d Wu WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑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