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Home My WebLink About1997-009462 - replacement system PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66Permit Number: 2 1 WATER Crystal Bay, Minnesota 55323 Date Issued: 09/29/97 Q 2)4739357 SITE ADDRESS: 1180 WILLOW OR PN DESCRIPTION: REFtACEMENT SYSTEM Sewer 1 Water Permit Type NEW SEPTIC SYSTE Sewer h Water Work Type RESIDENCE REMARKS: FEE SUMMARY: Base Fee $100 .011) Total Fee $100 . 10 CONTRACTOR: - Applicant -- OWNER: HAYES EXCAVATIN6 54791762 THIEA', VE 263 82int O ST NE 1180 WILLOW DR N MONTROSE MN SS3Q-*, C44 0 AX-3 MN Q356 aP (612) 972-3521 1 (610475-1808 -PEOMISSION' TOAAKE, §' THE VNDERSIGNSO HENSYZE TS M"PA ov M t f ,T , ,M 'TR,;,� 11AWALL "CIT Y AND AGREE Tri 50', ALL, 1VQ%( ,IN -S,-_ I D PLIAM&W SFECIfIED MONO ORDINANCES AND 'STATE QF Hj'*ESr-1TAQ0j bi C068PRE40 NJ; APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 4 • CITY OF ORONO SEPTIC SYSTEM PER ,IIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 JOB SITE ADDRESS: U 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: ,��,P `TIS: PhoneNumber: q75 Mailing Address: i i�rp r,��`lf�� .�2r //• City: Zip: Contractor's Name: S 4 5-*,s Phone Number: 4471 - Flailing Address: -2 3 City: 3� 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. NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. 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: _recast Concrete _ Other Manufacturer-D14--t-),A,' Tank Capacities: 1) o��o gaI. 2) (oco gal. 3) i 30o gal. p�,,f, B. Pump Station (if required) Pum make & P model '.3 k.,y. (attach pump curve & literature); system design requires l gpm at I feet of head. High water alarm make & model Le u e(Q,,,,,,, Outside electrical work to be completed by installer t,--electrician other Inside electrical work must be completed by electrician. C. Treatment System: _ Trenches: s.f. Mound Depth of rock below pipe Rock bed dimensions L 'x ' Drop Boxes Sand bed dimensions 75'x ' Distribution Box Pressure Dist. Pipe Diam. `%z " Maniford Pipe Diam. �2- " 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: g—,?- 9—F MPCA Certification No.: 62y� Staff Review: Approval D ial Reviewer: Date: Reason for Denial: DATE TIME TIME CITY OF ORONO CALLED IN A6 jj— � �:6& INSPECTION NOTIC ,// SCHEDULED /�7 - 7-C,,7 PERMIT NO. 7 �oppCOMPLETED ADDRESS OWNERS-sem CONTR. TELEPHONE NO. - Z 76 eZ DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �Q 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 Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 S� N19TAL�. 22 FOLLOW-UP = 09 PLUMBING RI3 S2 EPT1C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CED INGLES 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W O O cc O W CC Q LA Z W W & WORK SATISFACTORY:PROCEED ROJECT COMPLETE Cr W I CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY Q F. CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT OCORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the inspec ion 24 hours in advance.473-7357 Owner/Contractor site: Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY NO CALLEDIN INSPECTION NOT I SCHEDULL ED PERMIT NO. 2 COMPLET D ADDRESS A_) 14 de OWNER CONTR. TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24125 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE �-SA8 "M W-1 21 COMPLAINT J Tyr�� JJ 07 DEMO—FINAL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO ME Y _NO 'y COMMENTS:cc a o; O 0; O W cc Q 12 Z W W cc Z) afVORK SATISFACTORY.PROCEED PROJECT COMPLETE W Q: ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C0.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in a#4,&ance.473-7357 Owner/Contractor on Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY NO CALLED 'i INSPECTION NOTICE ,� SCHEDULED �l PERMIT NO. �? { y COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ti 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 = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—SITE 27 SW.DQJrNT,, 21 COMPLAINT 07 DEMO—FINAL <51EPTIC INST 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL 2 OWNER/CONTRACTOR TO7YT OCOMMENTS: o; W � a O 77 O LL W cc Q 2 W Z W cc 4ARK SATISFACTORY&PROCEED PROJECT COMPLETE W 0 CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContracto Inspector. White Copy/inspectoes File Canary Copy/Site Notice ATE / TIME CITY OF ORONO CALLED IN 30 /Q7 INSPECTION NOTICE SCHEDULED 1o7,, 197_ = 30 PERMIT NO. g5�y COMPLETED /� 4 ADDRESS �8d tazc1- OWNER CONTR. TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ti 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 = 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC NT. 21 COMPLAINT 07 DEMO-FINAL EPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23TMC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL OOWNER/CONTRACTOR O MjFgYOU: YES NO v, COMMENTS: W a j ' O rc O U_ i beeW cc Q 2 W Z W cc d El WORK SATISFACTORY:PROCEED � - PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n 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.473-73557 OwnedContractor Inspector. White Copy/lnspector's File Canary Copy/Site Notice