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Home My WebLink About1992 - 004757 - replace system PERMIT CITY OF ORONO f le PERMIT TYPE: ':EWER & WATER 1335 Brown Rd. South • P.O. Box 66 Permit Number: 004757 }475 7 Crystal Bay, Minnesota 55323 Date Issued: 1 0/3i /9'2 (612) 473-7357 SITE ADDRESS: 7095 WEBBER HILLS RD LSV '. I . N . : 03-117-23-34-0023 DESCRIPTION: REPLACE SYSTEM Sewer 3t Water Permit- Type DRNFLO & OR TANK Sewer & Water Work Type REPLACE EXISTINz r REMARKS: FEE SUMMARY: Base Fee $50 . 00 Surcharger tl Total Fee $S0y50 CITY O ORONO FINANCE TjCL OFFICE 1 CL 131 J.JVVVkVV Y7 Ai !lIV Ji! m V1 .. I.Wa VV 1222200000 t4 YY CASH Ai ;1 LS.tt Ti •Jr ! r..,-,•.V RECEIPT-THANK _ _ YOU ffiail,V 4VV1 7\V1 !11•i+l 7ttl7ifi 1 V!•JV!!i CONTRACTOR: - Applicant. - OWNER: RITTER EXCAVATING 5477564' HAWE': _TAcf. 7120 VERNON ST 2095 WEEBEBER HILLS RD ROCKFORD MN 55373 OROI`•.O MN c E 31 (612: 477-5649 . THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPC I F I ED AND AGREES TO DO ALL. WORK' IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF, MI NNE :OTA BUILDING CODE REQUIREMENTS. ,,,,, ,2.,„_,c am`—" A .& (-)` ��1- APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE Ij Qom. .. (/ 7 3 7 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: h ' ''-r- - ---Q---7---- /;„3/--6-- ---4. -2--(7--- Occupancy , -,--(7-- Occupancy Type: Residential / Commercial Other Owner' s Name: /7,Ar,-`--�� 77 ." Phone: Mailing Address : 2G �7 �,��'�j / C2(04' ity: /- `v'lci-- Zip: Septic Contractor' s Name: '- ,.<.%----r=-z /� Bus. Phone: / 77 41z/j* Mailing Address�� =4%� G "'2"-17--7`�" City::/ tea ' Zip: l7`.5- 773 *************************************************************************** - over - 4rfrr-6/1)1 4 fie'•-'' /9-omaM - -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************************************************************************** 4OTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes . Initial y) 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. /� 2. I willp installing the following: A. Tanks: Precast Concrete Other ManufactureX ,rre ______ Tank Capacities : 1)/ CC gal. 2 ) /6 c G' gal. 3 ) /C)06'gal. B. Pump Station (if re red) i 72 47/, Pump make & model, -e- t' (attach pum curve & literature) ; system design requires 4( 0 gpm at � feet of head. High water alarm make & model r-c'/-z- . plutside electrical work to be completed by installer electrician other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. A/ Mound Depth of rock below pipe uRock bed dimensions /) 'x Ste' Drop Boxes Sand bed dimensions9'x 75 ' Distribution Box Pressure Dist. Pipe Diam. /z " Manif old Pipe Diam. r!' ,D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) trucked in ******************************************Al****************************** 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: ,�� Date:/ 2 < APCA Certification No. : / / // • ti PATE TIME CITY OF ORONO CALLED IN i INSPECT ION NOTICE SCHEDULED /' 9Z 3 .30 PERMIT NO. VZO�1 COMPLETED /(010/ �( ADDRESS O 9�� h ) OWNECONTR. TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS 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 J 07 DEMO—FINAL 27 SF AdAJ�T. 21 COMPLAINT IQ 09 PLUMBING RI C 15 SEPTIC INSTALL. 22 FOLLOW-UP J• 10 PLUMBING FINAL 23 SEPTIC Fl kL Q OWNER/CONTRACTOR TO MEET YOU: ES NO • COMMENTS: cccc Ok 0 --cc 0 cc z cc W /WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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/Contractor'• ..' - Inspector. 01 • 1'—' 2 Q � White Copylinspector's File Canary Copy/Site Notice ./ DATETIME CITY OF ORONO CALLED IN /g;�>�' ,11 INSPECTION N9;I.cE SCHEDULED - ti� ?;OQ PERMIT NO. `t ! COMPI4TED ADDRESSa ei I /,�_ - OWNER CONTR. 1 WY TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING ti 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS CZ• 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 MAINT. 21 COMPLAINT W 09 PLUMBING RI 15 SEPTIC-INSTALL. 22 FOLLOW-UP E10 PLUMBING FINAL SEPTIC FIALJ Z OWNER/CONTRACTOR TO MEET YOU: S_NO o COMMENTS: cc Q. cc 11:74'<f4S 1).1-. — 47-1.77 0A_ , - A{7 le:_..-Y geZ'' i cc0 W c W cc d ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W / W EI CORRECT WORK&PROCEED ''4,r, ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on si i Inspector. ✓i ' £ -- ./ White Copy/Inspector's File Canary Copy/Site Notice lDATE TIME CITY OF ORONO CALLED IN l 0- jt `/Z INSPECTION NOTICE SCHEDULED /0 --30 /-3 PERMIT NO. 4 7 5-'7 COMPLETED •\ ADDRESS S Ce��,`Pl /4)- -L6 , L OWNER /1-4- -("-e,!"-- CONTR. ie-e-. TELEPHONE NO. a a DESCRIPTION /Qi1-1I�mph W 01 FOOTING 11 MECHANICAL RI 16 WE LTEST PUMP cc cc 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 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 2 ' IC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEP,TICAL Z OWNER/CONTRACTOR TO MEET� YOU: YES_NO 2 COMMENTS: OD-ger)-1000 riA-/i� Pal C risers —/hazvriverrtsscc + 0 7 r G� II __II t o rip, dant - 'i eyc�av r id - k Le Q G✓i 1/ s avf � ey of r�tx.31. )44-76'0101,04) W CC GW/WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW O CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor •n-.ite: Inspector. ,► White Copy/Inspector's File Canary Copy/Site Notice