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Home My WebLink About1995 - 007117 - plumbing PERMIT CITY OF ORONO PERMIT TYPE: z750 Kelley Parkway- P.O. Box 66 . , Permit Number Crystal Bay, Minnesota 55323 'is:C:711 .7 Date Issued: (612) 473-7357 SITE ADDRESS: JP DESCRIPTION: PerTfiit TYP,? 7IXTURES I i4k7"!TER , TT _ , 7 JO REMARKS: FEE SUMMARY: q(-1 CONTRACTOR: - - OWNER: HIiLUOY RO ETEER HILLE.; RD MN 5S:343 uHuNu 476-.A2E,L'. THE UNOERSIGNED HEREY REQUESTS PERMISSION TO MAKE Ti-E REL. Irs.PROVEMENTS SPEC:IFIED AND AGREE TO DO ALL WOFK IN STRICT COMPLIANCE WITH ALL CITY OF nRONO ORDINANCES ANO STAIE OF MINNESOTA bOIOINf7, u0oE -ArAeJii<nc.NT . LA,RALP „„6,3 Carn..4.41 APPLICANT/PERMITEE SIGNATURE ISSUED BY.SIGNATURE CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. ' 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair Replace XResidential Commercial JOB SITE: Q 9Q t/ A' . Zip: Owner's Name: p, ¢' e"— Telephone Number: -9 7! -.S/ Z 64/ Mailing Address: City: Zip: Contractor'sName: c e 2tt v p TelephoneNumber: 9/-O 2-03 MailingAddress: /a7l/ . h'cQ City: ? Zip: _3"-.3-30.9- r3C , PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) x .0125 $ _36 . C.) (contract price) • 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j 7, Oa * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing 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. Applicant's Signature: i Date: 7 CITY 0 ' ORONO 0 Municipal Offices1: O Post Office Box 66 r- gip_ Crystal Bay, MN 55323-0066 • ON–SITE SEWAGE TREATMENT 101. h INSPECTION REPORT \IkV:4110:11 /// esxo4* Owner: f-E'?L�� k. A' Address: 099 £L&j- MI/c Rat n/ Permit #'s: Z7/0 Dates:2 )7 o�6– Contractors: /Me 6,,r),�/Pelfy ro- City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is ( an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): Oc 1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 9 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the current City Codes, but was installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limiting soil characteristichas or [ ] has not been identified at this time. If the limiting soil characteristic has not been identi ied, this classification may be subject to revision.) TANK CONDITION (5-10): Io Tank inspection indicates: 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped out now. a Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): // D field inspection indicates: 11 Drainfield is dry, no surfacing evident. Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed within 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): AV/— POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): COMMENTS: la13 Y Ji - ..%i/hi Date of nspection Sept'c System nspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with the system location and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner