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Home My WebLink About1999 - 011856 - new septic system / PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number: , Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: SITE ADDRESS: ! L.) DESCRIPTION: : Sew±r & Water Permit TYP NEU SYSTE REMARKS: FEE SUMMARY: 3103 . 0o $100 . S0 CONTRACTOR: - APPilcant OWNER: 4*-- (612) THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THP F;E: L IMPROVEMENTS SPECIFIFO ANO AGREES 10 DO ALL WORK IN sTRIcr COMP_IANCF WITH ALi CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE 44. I) q-5 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 U..); 11_,c•LA..) a JOB SUE ADDRESS: NVT-Z IGLK t GOO F S ()") Occupancy Type: Residential v 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: �Ro 7-4s 6,Lp. Phone Number: 4f 73 - 3 2 S Mailing Address: 3,43c, (40 2= A/. papicity: CS,rr4L. Zip: 553/3 Contractor's Name: PO4-77, „,.3,e_. /72o s Phone T ber: --7 3 C13 Mailing Address: z oo (o 4 n1, City: KO 6.ipits Zip: 5537'{ b 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 e following: A. Tanks: recast Concrete Other Manufacturer S Tank Capacities: 1) (ZS 0 gal. 2) i oo U gal. 3) tZS o gal. B. Pump Station (if required) G 'o Sf/ Pump make & model 6,0,1,4 s - 31sYS-- (attach pump curve & literature); system design requires 3 Q gpm at '33 feet of head. High water alarm make & model 6�vt/o S ° ,h%t . Outside • electrical work to be completed by installer electrician E' other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. Mound Depth of rock below pipe " Rock bed dimensions J0 'x 68 ' Drop Boxes Sand bed dimensions f3 'x /0)' Distribution Box Pressure Dist. Pipe Diam. " /7.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: L , 1:77-4111W.- � Date: q7679i MPCA Certification No.: g Staff Review: Ap ro al Denial Reviewer: ZZ Date: `i 1 Reason for Denial: V — DAT TIME CIT F ORONO CALLED IN /- Y-97 INSPECTIONNOJJc SCHEDULED 7-1,29-- 7 /O•.°G PERMIT NO. COMPLETED ADDRESS gS O Gtiamu) OWNER r e o? .' S I CONTR. Pc / TELEPHONE NO. �T C- 7 3 ?3 • DESCRIPTION - /1./2d- LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL) 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: Y- NO 2 COMMENTS: RdDuc/h. I A_ I Q. cc cc cc cc d• WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne spection 24 hours in advance.473-73557 Owner/Cont : ron i e: ye-5 i • Inspector. -- White Copy/inspector's File Canary Copy/Site Notice C;'hrtsS DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT`I E SCHEDULED (--4/3 'I f 3C) PERMIT NO. \ 1 . COMPLETED ADDRESS gS-O W,Mw .73'. ‘0 OWNER CONTR. TELEPHONE NO. q d&- - 7c7._3 DESCRIPTION -77n /-5 ? pa_e_Bed ,.... Lt., 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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-FINAL22 FOLLOW-UP :,t 4iiir11231017ar = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: /OX 6$ R B cc e le" S,441b cc ff-Tis+ oK VIZ• tq-60,./.5- - Gems 3f ,c- /g i cc0 Q IZSv, fGY2', Izsv Ecotes �^l nn W * Cf{QCK f't1 AI 4- Rf5625 41- riKa l k W d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC E CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f the nex -•-ction 24 hours in advance.473-7357 Owner/Con a r pn s I• Inspector. White Copy/Inspector's File Canary Copy/Site Notice