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HomeMy WebLinkAbout1996 - 008338 - new septic system PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 '=±=k3 e_ , WATER Crystal Bay, Minnesota 55323 Permit Number: i;4; -3 (612) 473-7357 Date Issued: 09/05/q6 SITE ADDRESS: 2785 WHITE O A K CIR CH P . I . N . . 04-117-23-42-0014 DESCRIPTION: NEW SEPTIC SYSTEM Sewer & Water Permit Type NEW SEPTIC SYS T F Sewer :f Water Work Type RESIDENCE REMARKS: FEE SUMMARY: Base Fee $100. 00 S3arC:har'ge S 0 Total f Fe $100. 50 CONTRACTOR: - Applicant - OWNER: VOLF•.EN NT t SONS INC- 5s.7.ai, .1.7 DOUGA ; JOHN N 10:30 C:TY RD 8:3 2785 WHITE OAK C I R MAPLE PLAIN MN 55359 ORONO MN 563c (612) 479-1547 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK:: IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . P/4.1- APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� . I0 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 ; (")/ (Y JOB SITE ADDRESS: 4 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 �`6 4 CU-,4.10 Phone Number: Owner's Name: ,� �.�� Mailing Address: Z-7$s �Cl A-k. i2. City: Zip: Contractor's Name: Lip tkew lti c_ PhoneNumber: -79t r SLt7 Mailing Address: City: Jt( p Zip: S j 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. • l NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. v 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: ( Precast Concrete _Other Manufacturer Tank Capacities: 1) j&or gal. 2) gal. 3) gal. B. Pump Station (if required) Pump make & model u l� (attach pump curve & literature); system design requires zieU gpm at :LS feet of head. High water alarm make & model . Outside electrical work to be completed by installer electrician X other ©wA1, . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. ) Mound Depth of rock below pipe " Rock bed dimensions /o Drop Boxes ,Sand bed dimensions �l 'x Zt Distribution Box Pressure Dist. Pipe Diam. 2 " Maniford Pipe Diam. " 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 co t. Signature ofApplicant: III �� j_ Date: 9 — 7� � MPCA Certification No.: (K) Staff Review: Approval Denial c� Reviewer: /./�i� 1- s///.�i / / 1 Date: Reason for Denial: DATE/ TIME CITY OF ORONO CALLED IN �!9G INSPECTION N TICE SCHEDULED • - if 30 PERMIT NO. COMPLETED /^ ADDRESS '`7 '� 6" 01'4, - �1. �•A , • OWNER ti,er �.= CONTR. ��- �, TELEPHONE NO. 4- % 9 - 7 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL SEPTIC INS TAZ • 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO . •U' YES NO 9 COMMENTS:cc fJ OC— CC 0 cc 0 cc Q z WORK SATISFACTORY:PROCEED PROJECT COMPLETE W CC C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT C CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor • s' Inspector. I /.� White Copyllnspector's File Canary Copy/Site Notice V DATE l TIME CITY OF ORONO CALLED IN 4 INSPECTION NOTICE SCHEDULED ice/ PERMIT NO. : i COMPLETED l ADDRESS �7 / J om-c; OWNER CONTR. t49040,19(4— TELEPHONE NO. DESCRIPTION g:: ---- ii' 111.4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG E1 02 FRAMING 13 MECHANICAL ANAL 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 Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 - ' . . 21 COMPLAINT W 07 DEMO—FINAL _ 22 FOLLOW-UP = 09 PLUMBING RI 23 SE' 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Q OWNER/CONTRACTOR TOM YOU: YDS NO O F,,) COMMENTS: '� ' l cc Li, '_ CC 0 /141PC — 4V/ Ok--z____ .4,,,Are fp' cco 4. i CC -- A. & ° '/�/ - lid, Q . `.. 0 7 See / e,,�j Lu .% c?1?. i� d• Lu )4,-T° - fir\ d ORK SATISFACTORY:PROCEED W C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑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/Contra r 1• Inspector. f 't ^.12t White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /- // - rG INSPECTION NOTICE _� SCHEDULED - , G' /' e_t PERMIT NO. e,33 6 COMPLETED ADDRESS , 1 '`+ L;. /.c ( , L ' -7 ( , OWNER /, - < y ,\-- CONTR. / _.i r. 1 TELEPHONE NO. ! - DESCRIPTION Icts 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG • 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI -23 SEP CTf Fl 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES 0 2 COMMENTS: ... 7 ,h. '%i,rK ,,,a,.i. cc cc — O ,. ._ / ��wrawnezmwor,..mr. ,«r NE _ . ._° - ''- ( i/A ,,- s� W ' ' C, z - i �r W z W cc Lu O ❑WORK SATISFACTORY:PROCEED , PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED /" ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspect.n 24 hours i adv nce.473-7357 Owner/Contractor . 1 �• /•: / Inspector. , :� ✓ �i �� White Copy/I pector's File Canary Copy/Site Notice