HomeMy WebLinkAbout1998-010773 - sewer/water PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 HWE fi t WATER
Crystal Bay, Minnesota 55323 Permit Number: 010773
(612)473-7357 Date Issued: 09 17 11
SITE ADDRESS:
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CITY OF ORONO CALLED IN
INSPECTION TllSCHEDULED : $-02r T
PERMIT NO. COMPLETED V
ADDRESS-3o
OWNER CONTR.
TELEPHONE NO. x.33--353
DESCRIPTION =M-
W 01 FOOTING11 MECANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 ME ANICAL FINAL 19 LAKESHORE/WETLANDS
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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 MAINT. 21 COMPLAINT
REM Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Call for the next inspection 24 hours in advance. (952) 249-4600
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White Copylinspector's File Canary Copy/Site Notice
APPLICANT/PERMITEE SIGNATURE v ISSUED BY:SIGNATURE
CITY OF ORONO SEPTIC SYSTEIMPERIIITAPPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, Mit 55323
JOB SITE ADDRESS:
Occupancy Type: Residential _ Commercial Other
Permit Type: New or Replacement System, $100.00
Repair Existing System,
(Tanks or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
Owner's Name: PhoneNumber:
Mailing Address: 3®l City: Zip.
Contractor's Name: - PhoneNumber: 7
g Address• City: L-or�lc zip-LiS33"
Mailin
DO NOT rVIAM PAYiN ENT 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 main 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 duringa 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 desiJgn including
the City of Orono
Septic System Approval Cover Sheet.
.2. I will be install' the following-
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A.
ollowing:A. Tanks: _Precast Concrete Other ManufacturerA-
-
Tank Capacities: 1) gaI. 2) - � gal. 3) gal,
B. Pump Station (if required)
Pump make & model .,� J�Q (attach pump curve &
literature); system design requires _ gpm at a.;7,ur{eet of head.
High 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:
Trenches: s.f. L"Mound
Depth of rock below pipe Rock bed dimensions
Drop Boxes Sand bed dimensions 'x
Distribution Box Pressure Dist. Pipe Diam. "
Maniford Pipe Diam. 1 "
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:
MPCA Certification No.:
Staff Review: Appro al Deni
Reviewer: Date: '��
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE o-p3 SCHEDULED �l3
PERMIT NO. CQWLFTFD
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
F-+ 07 DEMO-SITE 27
21 COMPLAINT
v 07 DEMO-FINAL SEPT s ALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET ES NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance.473-7357
Owner/Contractor d
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
DATE— g I ,T�I�QF,�
CITY OF ORONO CALLED IN
INSPECTION NOTICE �'Ij SCHEDULED
PERMIT NO. // MPLETE
ADDRESS �� y
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION poiQk—tr-�,
W 01 FOOTING 11 CHANICAI RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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 S INT. 21 COMPLAINT
07 DEMO-FINAL SEPTIC INST 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINA 35 HARD COVER REMOVAL
J 10 PLUMBIN36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 1=j CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspe tion 24 hours in a vance.473-7357
Owner/Contractor
Inspector.
White Copy/Inspector's Fiie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 10-S 7K //YVE
INSPECTION NOTICE SCHEDULED O 7f 0
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PERMIT NO. 7z 3 COMPLETED
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OWNER h.) Ght��iir 1. �tUti CONTR.
TELEPHONE NO. -7 57-- �
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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 MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEE OU:_YES_NO
COMMENTS:
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V 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 insp tion 24 hours in advance.473-7357
Owner/Cont ractor e:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
O ATE TIME
Y CITY OF ORONO CALLED IN- vfq/.2//9 F
INSPECTION NOTJCES
CHEDULED 9IF
PERMIT NO. ZO ° f COMPLETED
ADDRESS
OWNER CONTR. <
TELEPHONE NO.
DESCRIPTION
lye 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
COTQ 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 H K-UP 06 PROGRESS
07 DEMO-SITE 2 EPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO YOU: YES—NO
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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 ins ction 24 hours in advance.473-7357
Owner/Contractor
Inspector.
White Co Ilnspector s File Canary Copy/Site Notice