The URL can be used to link to this page

Home My WebLink About1993 - 005587 - repair system PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: SEWER & WATER 005.587 Orono, Minnesota 55356-0815 Date Issued: (612) 473-7357 10/07/93 SITE ADDRESS: 2700 WHITE OAK CIR LSV P . I . N . ; 04-117-2 -42-0021 DESCRIPTION: REPAIR SYSTEM SPwer & Water PPrmit Tv ORNFLD &/OR TANK Sewer & Water Work Type RESIDENCE - - REMARKS: FEE SUMMARY: Base Fee $50 . 00 Surcharge Td) Total Fec, $50 . 50 CONTRACTOR: - Applicant - OWNER: JOHNSON JERRY FXC 54.7:::4361 JACK E Y JAY MORNINGSIDE RD 2700 WHITE OAK CIR LONG LAKE MN 65356 ORONO MN (612) 473-4361 THE UNDE ,;IGNED HEREBY REQUESTS PERMISSION Ti' MAKE THE REAL TMPRAVEMENTS SPECIF ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OROu . "ANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . WANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 4 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: c.,2 7Li c-> .A7/ /t /C= (— s— Occupancy Type: //Residential X Commercial Other Owner' s Name: `lie/ "‘,/.1/Liel Phone: Mailing Address : City: Zip: Septic Contractor' s Name: --/ ;-/../ Bus. Phone:y73-1X3 ( Mailing Address : r, City: Zip: 575-3.-%- ****************************,q *********************f********************** 1l - over - "b, G'Vej rrfd Gam/ //), 7 qs :EPTIC SYSTEM PERMIT APPLICATON - PAGE 2 Permit Type & Fees (check one) • New Construction, Full System $100. 00 /-epair 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 TiLiS APPLICATION t************************************************************************** 4OTE. Applicant must initial all spaces. Fill in all appropriate blanks, c eck all appropriate boxes . Inr/�� 1. I have received a copy of the system design including the wrdlii a. lo. r.,,,/ City of Orono Septic System Approval Cover Sheet. 2. I will be installing the following: A. Tanks: / Precast Concrete x Other Manufacturer 7f Tank Capacities : 1) /Wgal. 2 ) /l<%9 gal. 3 ) MM' gal. B. Pump Station (if re uir d) (" Pump make & models,/ 3c)=v--7 (attach pump curve & literature) ; system design requires 4,() gpm at c9-5,- feet of head. High water alarm make & model/,,,,,-, .52-,, ,--)e--- . Outside electrical work to be completed by installer _electrician other . Inside electrical work must be completed by electrician. C. eatment System: - - ches: Mound Depth of , k bel• • pipe Rock bed dimensions /e 'x�i' Drop Bo = - Sand bed dimensions 'x ' Dis •utio Box Pressure Dist. Pipe -Dram. ik " Manifold Pipe Diam. 0,2, " : . 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 - Signature of Applicant: , ,� BaNdb.ddallf_, Date: //' - 7 / -- _ACA Certification No. : ry DATE TIME CITY OF ORONO CALLED IN S 1d INSPECTION NOTICESCHEDULED /8 PERMIT NO. 1,T COMPLETED ADDRESS -� 90 6�� 7 ak_ cc; OWNER a.: r CONTR. All/ �� L TELEPHONE NO. Q DESCRIPTION RCP& gad 4, 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 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 07 DEMO-FINAL 27 SEPTIC M 21 COMPLAINT T 09 PLUMBING RI 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC AL • OWNER/CONTRACTOR TO MEET YOU: ES NO COMMENTS: — Rack zyLLJ CC CC CC Q W CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC .!❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 o, sj i Inspector. ,i 0,/ 1, — /?/ ✓,�._ White Copy/Inspector's File Canary Copy/Site Notice DATE_- TIME CITY OF ORONO CALLED IN /� k3 INSPECTION NOTICE SCHEDULED i0 " // 3.3d PERMIT NO. _65g7 COMPLETED 'I, 41‘j/`'� ADDRESS V 910 �. OWNER CONTR. TELEPHONE NO. I/ ✓✓ DESCRIPTION r ,[� • 01 FOOTING 11 MECHOliCAL RI V 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS CI • 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 1.01.4 22 FOLLOW-UP v10 PLUMBING FINAL 23— OWNER/CONTRACTOR TO MEET Y41yE S N ' v)• COMMENTS: 7,r / , .0ls C J d c.:4:30/41/e. d CC W CC d 2 WORK SATISFACTORY:PROCEED G PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 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 .n, e: Inspector. , /1 White Copyllnspector's File Canary Copy/Site Notice y�DAATE TIME CITY OF ORONO CALLED IN /b INSPECTION NOTICE SCHEDULED N-7-I5 i?I'30 PERMIT NO. -O5OMPLETED /- 1 ' ADDRESS ..-2-200 4 i4 Uhk dill OWNER CONTR. Ifi 1�1'� J--,i-,,,, c, TELEPHONE NO. / DESCRIPTION + i 34' � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING CI 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O • 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 ct v 07 DEMO—FINAL 27 SEPTIC ,: 21 COMPLAINT = 09 PLUMBING RI - • 22 FOLLOW-UP v 10 PLUMBING FINAL EPTIC INAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO u) COMMENTS: ' /7 /®0 0 —J(i3 pi rf W Q. CC — P "np . n, /a , / 1-/ o l' - /w 'K) W = zA'P,)er1tS o •, q -es-) cr p,- cc W z W tz G � � El PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r] ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 PHOTO TAKEN INSPECTOR WILL RETURN C7 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 . . _. . Inspector. # fAlig White Copy/Inspector's File Canary Copy/Site Notice IDATE _ TIME CITY OF ORONO ^ CALLED IN I-' ,r .. ,i INSPECTION NOTICE 6 �' SCHEDULED 11S PERMIT NO. CO LETED ADDRESS ,---,-.7 �A, i? 1ski 1 OWNER /!�l-/( r7 CONTR. },51-7.-y- J, 't TELEPHONE NO. DESCRIPTION 4.1 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 14. Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING t/ 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION ti 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL EPTIC'FItL OWNER/CONTRACTOR TO MEET YOU: 'Es_NO t 9, OMMENTS: .r1gi* f�Kr� 0) a -Vas i y1'° ((iay (4)i d CC ,T7see•, I-) >. cc0 - /27 ,j ca=4'.."r%- bpi/rte lr' r--7d J W CC Q W Z W CC O p W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspec /n 24 hours in adv. ce.473-7357 Owner/Contractor , e: Inspector. a. (�� r. or it v i"---,., • White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN I / 3'00 INSPECTION NOTICE {,5 v SCHEDULED /.01"/44-4/3" I4i 3O PERMIT NO. OMPLETEED 01 c0 ADDRESS Lek aK C_ii i OWNER CONTR. T2 bS®I'1 TELEPHONE NO. DESCRIPTION • 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 4. Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Q 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 ✓ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT cL 09 PLUMBING RI 15 SEPTIC INS 22 FOLLOW-UP .I 10 PLUMBING FINAL Z OWNER/CONTRACTOR TO MEET YOU: ES_NO oy COMMENTS: //he)9L. d/� W 14)/ . rte o c 0 ..... co.1491,-- aziy-fe_pl, 0L/y)d)0 0 4.W CC Q W Z W CC d ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W CICORRECT WORK&PROCEED :1_ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑, PHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor • ' e: Aper( Inspector. .'/,/.�a ..i.. /. Ai./z/.i White Copy/Inspector's File Canary Copy/Site Notice