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2016 - 01219 - new/replacement septic
CITY OF ORONO 1111�II1111 11111 11/111111 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 960 WILLOW DR N PIN : 27-118-23-33-0011 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) ACTIVITY : SEPTIC(MOUND) NOTE: MOUND SYSTEM 2 PRECAST TANKS (1)-2250 AND(1)- 1000 APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 ELMER J. PETERSON COMPANY TOTAL 400.00 Payment(s) 5921 DAGUE AVE SE CHECK 20182 400.00 DELANO,MN 55328 (763)972-2420 Minnesota State License#: BUIL-219 OWNER BODE,KATHRYN 960 WILLOW DR N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. R-45- . � /Q/ ! D/ 1 (,o Applicant 'ermitee Signature Date Issued By S ature Date Cit of Or6(6,no FOR CITY USE ONLY /1*. ���� PO.Box �/ 9 _ �G,,/ /_ l 2750 Kelley Parkway Date Received: //-- / S ' --„Ni � ^,' Crystal Bay,MN 55323 Permit# CA CD/ 5F�" 4�oZ�7 Phone:(952)249-4600udy 'n `,i�eslioa ` Fax: (952)249-4616 l O l ( 1r Approved By: Amount$: yet:9- .o CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) Job SiteI er t r ona Site Address: y� U l/li',/,e_e"u.,J WA, '-A, 6til, Owner: ae/IZ,, -e--rz� Mailing Address: ,�J � , City: (�;1 r724) 1 Zip: Home Phone: Alternate Phone: Contractor l` ' n information: Contractor/App: 2c., /4 ,,,Z,,j_,,,e7.7 Contact Person: .i. 27 Address: 1c)/ / ' /L - g,I,i_, State License #:;'� City: —G �(4'nz� Zip: 6.--i- 3 a r Expiration Date: Phone:! 3 `7 7, - 0? /off 0 Alternate Phone: 4(Z-" Z 6 2 7,5 9 AIResidential Commercial I I Other **I ANT, ON AR LJ At T*�` Fill in all appr,„,_*,,,,,,.*LTO,., p i`iate'btan S and ctiec4k� ppi ti►priatii xes. Tanks: Precast Concrete _ Fiberglass 1 I Plastic I I Other: Number of Tanks: c Size of Tanks: / �h / _`Cc c Type of Activity: n Trenches if Mound Pressure Bed n Chambers Holding Tanks Pre-Treatment Other NOTE: Provide an As-Built of the system before the final inspection. A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. Page 1 • New or Replacement System $400.00 (20 Repair Existing System 100.00 (Tanks or Drainfield) Total $ The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that all statements made on this application are complete, true and correct. Signature of Applicant Date: `eit MPCA License No.: c2/ Staff Review: cept I Denied Reviewer: Date: Reason for Denial: Comments (to be printed on inspection card): 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. ' DO NOT MAIL PAYMENT WITH THIS APPLICATION *** 2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency (MPCA) Septic System Installers License. 3. All work must be done in accordance with the approved septic system design. 4. The following inspections will be required for all septic systems: A. Tank installation prior to covering. B. Drainfield trench installation prior to covering. For mounds, inspection is required after rough up, but prior to sand placement (sand must be jar tested for silt content) and again during pressure distribution piping installation in the rock bed. C. Final inspection to verify final cover depths and to verify that all pump station (where required) components are functional and comply with codes. 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present during all inspections. Page 2 COPY Joseph Olson D.B.A. Rusty Olson's--Soil and Percolation Testing Joseph J. Olson—MPCA License#810 11481 Riverview Rd. NE, Hanover,MN 55341 (763)498-8779 Fax (763) 498-8290 July 24,2016 Kathryn Bode THIS (STEM IS DESIGNED FOR 960 Willow Drive N f BED R0OMS. ANY INCREASE IN N1J!MIR Orono, Hennepin CountyOF BEDROOMS INVALIDATES THIS DESIGN, To whom it may concern, I was contacted by Kathryn Bode to design the repair for the failing mound system at 960 Willow Drive N. In the city of Orono.The results of the inspection and design are as follows. Soil borings indicated that the existing rock bed does not meet the three foot separation to the periodically saturated soils.Therefore the solution is to remove the existing rock bed and any of the sand material under the rock that is not clean. Then replace it with clean sand to the proper elevation. The original soils under the uphill side of the rock bed at the north end are at elevation.-97.2.The system was original designed for 1.3 feet of sand under the uphill side of the rock bed. There is currently approximately 0.8 feet of sand under the rock bed.The bottom of the new rock bed must be placed at the elevation of 99.0 the bench mark for the elevations is the top of the existing well. The original soils under the uphill side of the rock bed at the south end are at elevation.-97.7.The system was original designed for 1.3 feet of sand under the uphill side of the rock bed.There is currently approximately 0.3 feet of sand under the rock bed.The bottom of the new rock bed must be placed at the elevation of 99.0 the bench mark for the elevations is the top of the existing well. The existing tanks will need to be abandoned and replaced with two new 1250 gallon septic tanks. If the lift station needs to be replaced it must be a 1000 gallon tank. There is one rock bed 50 feet in length. This will take approximately 17 cubic yards of rock with six inches of rock. The clean sand required will be approximately 32 cubic yards. This number may vary due to the fact that. We don't know how much of the sand will be removed until the rock bed is removed. The sandy loam cap will require approximately 15 cubic yards.The existing cap is 24 inches deep and can be reused. The laterals will take 144 lineal feet of two inch pipe with 14 inch perforations.Clean outs must be installed on the end of the laterals. The topsoil required will be approximately 61 cubic yards. The pump curve is 38 gpm 17 feet of head pressure. If you have any questions please call. CITY OF ORONO SEPTIC PE: IT PL �•R VIEW Sincerel • INSPECT•R ,t�, t; ),;Nt.r �� ".• PERMIT NO. - A PROVED AS SUBMITTED APPROVED WITH CORRECTIONS AS NOTED NOT APPROVED-CORRECT&RESUBMIT Joseph J.Olson These comments arc for your information. All work shall be done in full compliance with all.a,pli,;:h:e septic and toning code. Requirements inciudine itcn;ti nut,i,rci; c:t;iy noted in this review. KEEP THIS PLANSi,I ON SI,EAT ASL.TIMES Il'00"ii'JM e4, q i,,,, h ' g -,„ ..3- ',,‘...o• ),:: — \ ,,i.{. 5 , ,. “..1 • cK, ,-- .S Z-Lv 57 7 \ -1,0 C.4A11)-i ,,,s.,,1/4,,-, ... ;Ir \ Si, -- .I • -.),,..0., d k+7 , ( ,i ' ,..1"801J .....-... ..-.-......-.-......-.---....-....*—.-•.... S tiS,-re A.), Scale ......________.... e Percolation Tosl Gil SOH Boririg 0 BdfICII Mark Cluck nil undergrotaxl utilities I,ropcny or ._........................._....______ . . Daio.2_41/.4_ PH(763)408-8779 Homy Olson's s il and percolalion testing Designed b • __._......—......._.. ,. aC h. jC r Y cr` CA : ta* r. 7 ?R ( l • b o i f } 02• Q ` $ a .w = O \ a, rr i.;------, i 2( 'a ' " C 'z •y • AbV O�Js S, ... • Iai L. :,.., , , , ,. , ,,,, i. . .,„ , X 7. ,.., ,_,. d _ . . , , :__.,., i , 1 ,,,, ,,, . illairfr . F t'1 C ° a w '� b w. 7 ! RIi fU . . I:: 1-:: .1 g /1 1 L 1 4. !i-r... v ._ . 141 11 '.. I 1 , i's ) --D ,:i.) �I ,, r , . atiw i: p N Hi ' L I .0 1 1 I \% Lill h. . dia t•Ii • i 11 t tPA f!1 tf! fTt R1 i-4.(/ I I r t I { Ii"i 4, -. Iaa 1 7# ZVI Io I•44r1 1 (‘t s + 1 • 2011 purple code Mound Design www.SepticResource com (vers 15.2) Property Owner: Kathryn Bode Date: 7/19/2016 Site Address: 960 Willow Drive N. PID: 2711823330011 Comments: The design shows for a new system. We are reptaceing Rock bed. instructions: =enter data =adjust if desired = computer calculated - DO NOT CHANGE! I) 4 bedroom Type I Residential System 600 GPD design flow Yes Garbage disposal or pumped to septic 50% larger tank with multiple comp/tanks 4, 2250 Gal Septic tank (code minimum) 2250 Gal Septic tank (design size / LUG req'd) Tank options: none 1.2 GPD/ft2 mound sand loading rate contour loading rate of 12 req's a min 50 ft. long rockbed 6) 10.0 ft rockbed width 50.0 ft rockbed length r 3.0 ft lateral spacing 3.0 ft perforation spacing (maximum of 3 for both) end feed manifold connection g, 3 laterals 48.0 feet tong 17.0 perfs / lateral 51 perfs total (1/2 a perf means the first perf starts at the middle feed manifold) +, 1/4" inch perfs at 1 feet residual head gives 0.74 gpm flow rate per perforation for this perf size Et spacing, Et pipe size on line 12, max perfs/lateral= 25 , line#8 must be less --> 10, 4.0 doses per day ( 4 minimum) 11, 150 gallons per dose (treatment volume) 2.00 5x 12 2.00 inch diameter laterals must be used to meet"4x pipe volume"requirement 2.00 3x 13r 30 feet of 2.0 inch supply tine leads to 5 gallons of drainback volume (Tip: "top feed" manifold to control the drainback) 141 155 gallons TOTAL pump out volume (treatment+ drainback) 10 feet vertical lift from pump to mound laterals, leads to a: 16, 38 GPM @ 17 feet of head, Pump requirement (note: >50gpm may require an extra 3-6'of head) 17) 500 gal Dose tank (code minimum) 1000 gat Dose tank (design size / LUG req'd) at 25.00 gpi leads to a is, 6.2 inch swing on Demand float, or timed dosing of 4.1 min ON (confirm pump rate with drawdown (this delivers Average flow, =70%of Peak design flow) 9 hrs OFF test and adjust as necessary) 19, 12 inches from bottom of tank to"Pump OFF"float z, 18 inches from bottom of tank to"Pump ON"float, or 12 inches to'Timer ON"float if time dosed 21 r 21 inches from bottom of tank to"Hi Level"float, or 31 inches to"Hi Level"float if time dosed 22; 475 gallons reserve capacity (after High Level Alarm is activated) 231 0.60 gpd/ft2 Absorption area Soil Loading Rate, which gives a mound ratio of 2 (minimum) (this must match the soil boring log) desired mound ratio 2.0 24, 2 percent site slope (0-20% range) 2 (%downslope site slope, if different than upslope) 20 inches, or 1.7 ft. to Redox or other limiting condition (need at least 12"to be a Type I) Treatment zone contains 0 inches of 0%soil credit, and 0 inches of 50%soil credit. Giving a: _'b, 16 inch, or 1.3 ft. Sand Lift Mound CRITICAL FOR FUTURE CERTIFICATIONS!!! 27) 20.0 ft.Total ABSORPTION width (with sand beyond rockbed as follows:) 'K, 0.0 ft. upslope and sidestope 10.0 ft. Downslope Individual slope ratios give BERM widths (topsoil beyond rockbed)of: 4:1 upslope ratio 12 ft. upslope berm 30, 4:1 sideslope 14 ft. sideslope berms 31) 4:1 downslope 15 ft. downslope berm 32) Overall Dimensions: 10.0 ft. wide by 50.0 ft. long Rock bed 37 ft. wide by 78 ft. long Mound footprint 4" inspection pipe 18" cover on top Upslope berm 12 Downslope berm 15 M ._ 12" cover on sides (6"loamy cap&6"topsoil) 1.3 Clean sand lift 1.7 Absorption Width 120.0 I Note: For 0 to 1%slopes, Absorption Width is measured from the Bedequatty in both directions. For slopes >1%, Absorption Width is measured downhill from the upslope edge of the Bed. 33, Rock Bed: 10.0 ft. by 50.0 ft. by 6 inches under pipe, plus 20%gives 17 yd'or*1.4= 24 ton 34 Mound Sand: (note: volume is based on 3:1/4:1 slope from top of rockbed, Exchange sand for loamy cap if desired) 26.1 up + 36.2 downslope + 9.5 ends + 26.5 under rock= 118 yd'or*1.4= 165 ton plus 20% 351 Loamy Cap: 33 ft. by I 74 lft. 6"deep, plus 20%gives 55 yd'or'1.4= I 77 Iton 36) Topsoil: 37 ft. by 78 ft. 6"deep, plus 20%gives 65 yd'or*1.4= I 91 Iton I hereby certify that I have completed this work in accordance with alt applicable ordinances, rules and laws. Rusty o(son's Soil£t Perc 810 7/19/2016 signer Signature Company License# Date • Installer Summary 2250 gallon Septic tank (minimum) Tank options: none Dux tar ger 1411K WW1 rnuu.ipre comp/Ulf KS 1000 gallon Dose tank (minimum) at 25.00 gpi 38 GPM® 17 ft. of head, Pump required 6.2 inch swing on Demand float which translates to roughly 4.1 inches of float tether length if time dosing is required --> 4.1 minutes ON time& 9 hours OFF time 18 inches from bottom of tank to"pump ON"float, or 12 inches to"timer ON"float 21 inches from bottom of tank to"Hi Level Alarm"or 31 inches to"Hi level alarm" if time dosed 30 ft. of 2.0 inch supply line with end feed manifold connection (Tip: "top feed"manifold to control drainback) 16 inch, or 1.3 ft. Sand Lift Mound 10.0 ft. wide by 50.0 ft. long Rock bed 3 laterals 2.00 inch diameter 48.0 ft. long 3.0 ft. lateral spacing 1/4" inch perfs 3.0 ft. perforation spacing No Effluent filter&alarm 3 clean out &valve box assemblies 20.0 ft.Total sand ABSORPTION width (minimum) 0.0 ft. upslope and sideslope (sand beyond rockbed, minimum) 10.0 ft. Downslope . ; K, Specific slope ratios give BERM widths (topsoil beyond rockbed) of: 4:1 upslope ratio 12 ft. upslope berm 4:1 sideslope 14 ft. sideslope berms 4:1 downslope 15 ft. downslope berm 4" inspection pipe 18" cover on top Upslope berm 12 I Downslope berm 15 1 12" cover on sides _.,,d011111 - •� (6"loamy cap&6"topsoil) 1.3 Clean sand lift 1.7 Absorption Width 20.0 Note: For 0 to 1% slopes, Absorption Width is measured from the Bedequally in both directions. For slopes >1%, Absorption Width is measured downhill from the upslope edge of the Bed. Rock Bed: 17.0 yd3 or"1.4= 24 ton 6 inches under pipe Mound Sand: 118 yd3 or*1.4= 165 ton calculation based on 3:1/4:1 slope from top of rockbei Loamy Cap: 55 yd3 or"1.4= 77 ton 6"deep Topsoil: 65 yd3 or"1.4= 91 ton 6"deep INSPECTOR CHECKLIST - mound 96U W1llOW Urtve N. Y El i. setbacks: 20'to pressure tested sewer line (5 psi for 15 min) 50'to everything 100'to dispersal area with shallow welt PROPERTY LINES setback: 10'to everything Road setback: platted: 10'prop tine. Metes a bounds: out of road easement, or outer ditch. LAKE BLUFF setback: 20'for bluff. Lakes: GD_, RD_, NE . Protected wetland_. _ _ Building setbacks: 10'for everything, 20'for dispersal area. .-ITER LINE under pressure sc 10'to bed,tank Et sewer line. (else sewer line > 12"below) Sewer line a baffle connection (no 90's, 3'between 45's, slope min 1"in 8', max 2" in 8') (no depth req's, clean out every 100', Sch 40 pipe) Septic tank and risers (water tight, insulated, proper depth, existing verified by pumping) mfg 2250 gallons none Riser over outlet, riser over inlet or center, and 6"+ inspection pipe over any remaining baffles. No effluent filter a alarm Dose tank risers and piping (water tight, insulated, proper depth, drainback) mfg 1000 gallons dose pump 38 gpm 17 head VERIFY PUMP CURVE 4.1 min ON 9 hr OFF n float setting drop 6.2 inches at 25.0 gpi "DESIGNED" 4.1 inches approx float tether length 155.0 gat dose divided by gpi "INSTALLED" = inches float drop (field corrected LABEL pump requirements and drawdown on riser or panel Cam lock reachable from grade - 30"max. J-hook weep hole. Supply line access (no hard 90's) 2.0 inch supply pipe: Sch40, sloped 1/8"+, supported by 4"sch40 sleeve or compacted, and buried 6"+. splice box / control panel / electrical connections flow measurement: CT, ETM, time dosed, home water meter mound absorption area rough up mound rock dimensions 10.0 X 50.0 Sand lift depth 16 inches. (Jar test : 2"sand leaves < 1/8"silt after 30 min) nAbsorption Sand beyond rock 0.0 upslope 10.0 downslope Bermed topsoil beyond rockbed 12 upslope 14 sideslope 15 downslope cover depth of 12-18"+ VERIFY 3 laterals (1-2'from edge of rock) 2.00 inch pipe size (Sch40 pipe a fittings) 3.0 ft lateral spacing _ 1/4" inch perforations 3.0 ft perforation spacing Air inlet at end of laterals, and at top feed manifold if necessary. VERIFY _ clean outs (no hard 90's) 4"inspection pipe to bottom of rock, anchored VERIFY Abandon existing system - if necessary Re-use existing tank certification monitoring plan and type well abandonment form - if necessary System Elevations i "1 rs,�ll1.A NNWIS„„..A evations ywiif r - - - - SHWT Mound r (Grade elevations are existing. If a loamy cap different final grade is desired it should lateral be shown and described here.) bottom rock grade (at upstope roc k bed) SHWT (at upskope rp(k bed) 11 .►aeu�. I _..J —" r-1---;7- rl I I I I 7 c7 I 7 / Sewer pipe exiting house Septic Tank Septic Tank (d appik able) Pump Tank Grade Grade Grade Grade Pipe inlet inlet inlet Tank bottom Tank bottom Tank bottom Soil Observation Log ins w.SepticResource.com vers 12.4 Owner Information Property Owner project: Kathryn Bode Date 7/19/2016 Property Address PID: 960 Willow Drive N Soil Survey Information ❑ refer to attached soil survey Parent matl's: Q Till ❑ Outwash ❑ Lacustrine E Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit ❑ Shoulder ❑ Side slope ❑ Toe slope soil survey map units: L25A slope 2 % direction- Lineal Soil Log#1 Q Boring ❑ Pit Elevation 97.1 Depth to SHWT 20 inches Depth(in) Texture fragment°'o matrix color redox color consistence grade shape 0-14 Topsoi I <35 10yr3'2 Loose Loose Single grain 14-20 Loam <35 10yr43 Friable Strong Blocky 20-26 Clay Loam <35 10vr5:3 l0y4'8.1-6'10y Firm Strong Prismatic loose loose <35 single grain friable weak granular blocky 35 -50 >50 firm moderate prismatic platy rigid strong massive 35 loose loose single grain j 5 50 friable weak granular blocky ASO firm moderate prismatic platy rigid strong massive Comments: •• 960 Willow Drive N Soit Log#2 #.. El Boring ❑ Pit Elevation 99.5 Depth to SHWT 44 inches Depth(in) Texture fragment% matrix color redox color consistence grade shape I 0-22 Fill <35 Loose Loose Single grain 1 22-30 Topsoil -35 I0yr3i2 Friable Loose Single grain 30-38 Loam <35 10yr4 3 friable Strong Block, 38-44 Clay Loam <35 I0yr5-4 Friable Strong Blocky 44-48 Clay Loam =35 10yr5i4 10y4/8.1-6,'lOy Firm Moderate Prismatic 960 Willow Drive N Soil Log#3 Boring [❑ Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35 - 50 friable weak granular blocky 50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35 -50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive I hereby certify this work was completed in accordance with MN 7080 and any local raj's. Rusty Olson's Soil & Pere 810 %c igner Signature Company License# DATE TIME CITY OF ORONO CALLED IN _ INSPECTION NOTICE SCHEDULED ji�.Y11 ) PERMIT NO. 2ffi//��- 0[Z/? COMPLETED "BM 1f'QIO ADDRESS /61f fiIc'UQks• OWNER TELEPHONE NO. CONTRACTOR rr DESCRIPTION t�al 7 V G"� 't'//'( C.tli'�7' k CIFOOTING CIDEMO-FINAL CI SEPTIC FINAL • ❑ POURED WALL ❑ PLUMBING RI El EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL • El RADON SLAB El MECHANICAL RI 0 SITE INSPECTION • ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL El WATER HOOK-UP 0 FOLLOW-UP I ❑ AS BUILT-SURVEY El SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE PTIC INSTALL - OWNER/CONTRACTOR TO MEET U:_YES NO yo COMMENTS: ea,<.0frebterca •nw�cj es de-9t, cr • ©t� O co �`'�c!f K , cc O z k/Z39 ? ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN LISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract n site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice �� DATE TIME \/ CITY OF ORONO CALLED IN // INSPECTION NOTICE SCHEDULED i/i 1 /U', ' PERMIT NO. 7�ILf,-0f, .2'Q lCOMPLETED ADDRESS 9 O C L' , i 1 ) O i.c Die- N OWNER TELEPHONE NO.W'3 6/73---=? y 0 CONTRACTOR Ej Yom_p J. P -Th i j-) DESCRIPTION k- 3 d W ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL Ik lix ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ElFOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLA.CE 0 COMPLAINT v ❑ FINAL 0 WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 S P IC INSTALL OOWNER/CONTRACTOR TOMEETYOU: YES_NO^ 1 �)^� C y COMMENTS: l ✓✓✓ cc w e O O fi L C.. , /Ji W ` Q i - - `- I '- z-1 t2 W ec v W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE itW ❑CORRECT WORK&PROCEED LI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN 0 O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: 1,--' Inspector: `1L. f"� ` 1- 1 White Copyllnspector's File Canary CopylSite Notice 7 DAT TIME CITY OF ORONO CALLED IN p� i �� INSPECTION N �j G SCHEDULED C72 /1 //�11� PERMIT NO. / /'t `��//COMPLL/ i ADDRESS ' 'a W! `/ c2)1/', i•1/ ' I OWNER T PHONE NO���—7509 CONTRACTOR g/✓nom 7--. .ie .,) ch n4 DESCRIPTION /�tn-r-S W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL LL lix ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O Z ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL , ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO C) COMMENTS: QC iIQ zz3-0 (-t /A00 pi/i., CL POrezi J it• / 4/1,'i..). cril-ecitr ._6/7-7Q1cdv W CC liW z W CC a• ' W ► s•K SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC 0 •s'RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY ." 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra on site: ir Inspector. C y64 -J White Copy/Inspector's File Canary Copy/Site Notice