HomeMy WebLinkAbout1998 - 010946 - drnfld &/or tank PERMIT
C 'TY OF ORONO PERMIT TYPE: �. WATER
2750 Kelley Parkway- P.O. Box 66 Permit Number: i i i-. :(__
'1 •• 9,
Crystal Bay, Minnesota 55323
y y Date Issued: 11 /18/98
(612) 473-7357
SITE ADDRESS:
1770 ...._r, i i`�g.'.R,"1 ,`•)
jG
P . I, iJ .77-11 -23-44-0017
DESCRIPTION:
Sewer :? W.=s,t.er Perr;;it. Type ' `,N Lii ,/OR IAN
ewer & Water Work Type RESIDENCE
REMARKS:
FEE SUMMARY:
r:. .•w ; _Pi-- $S0 . 00
Surcharge __________*- 0
Total Fee $;0 . 50
CONTRACTOR: - Applicant - OWNER: PREN f=`_'� E ��::.,=:TAW�::°�" _ _ �•
0 .- _ -Ti! AVE .Y. _ • 7t_i WEST FARM RD
'i t;-� 'R!; N SS374.4. i_i;`i_i.N i j 1tEi c`_«_:
(617) 4.38-7 47S-0918
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE RFAi IMPROVEMENTS
PEc I F T IEi s AND : #EE.moi TO €1 Ali WORK TN STRICT COMPLIANCE WITH t.;{ i_ CITY O
ORONO ORDINANCFS AND _;T, F OF M I t'ii y?:Si_i TA BUILDING C ODE R`talc S I `.F=iE N .
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. *4"4-.
1
CITY OF ORONO (Dal SEPTIC SYSTEM PERMIT APPLICATION
(2750 Kelley 66Parkway)
Crystal Bay, NEN* 55323
JOB Si rE ADDRESS: / /7 70 /'
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: r34, PhoneNumber: '/7S or; t`‘
Mailing Address: /Q6 City: (A,yz„4.77, Zip: SS= '1 J
Contractor's Name: P ,, ^�c Phone Number: ¢028"73,3
Mailing Address: Z3zoo /ay fr./ , , - City: SSJ'7cf.
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.
4
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
1,,,5 m,a,),c- Air ox 2O0 1/_ 9 It Ate.-1-/, - %i t(s
iv 1. I have received a copy of the system design including the City of Orono
/ Septic System Approval Cover Sheet.
i .2. I will be installing the following:
A. Tanks: _ Precast Concrete _ Other Manufacturer
Tank Capacities: 1) /604) gal. 2) /60,-a gal. 3) gal.
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r.
B. Pump Station (if required)
I;,-:)((
i5/:Ai Pump make & model (attach pump curve &
literature); system design requires gpm at feet of head.
kHigh 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:
Li Trenches: /Zoo s.f. Mound
Depth of rock below pipe 6," " Rock bed dimensions 'x '
L.4 Drop Boxes Sand bed dimensions 'x '
Distribution Box Pressure Dist. Pipe Diam. II
I' Maniford Pipe Diam. II
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.
SignatureofApplicant: Date: /6/22/5
MPCA Certification No.: - 9s
Staff Review: Apprsv. , Denial
.000.,
Reviewer: if
iI��e: `�: rW/i Date: .7°
.-- sYg. .
Reason for Denial:
D.TE ? TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTICELL/ SCHEDULED
PERMIT NO. COMPLETED 1
ADDRESS ��� j,` 'C1� �I1.
OWNER CONTR. P6 Eiti S
TELEPHONE NO.
• DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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 1•4.1 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET OU: S_NO
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W ❑WORK SATISFACTORY:PROCEED /ROJECT COMPLETE
CICORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY
W
O ❑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 C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor • ;�•�'% i
Inspector. %/ . -4'
White Copyllnspector's File Canary Copy/Site Notice