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Home My WebLink About1996 - 008229 - new septic system . . PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: SEWER & WATER Crystal Bay, Minnesota 55323 Date Issued: 008229 (612) 473-7357 08/07/96 SITE ADDRESS: 2:550 WOODHAVFN DR P T N DESCRIPTION: Sewer & Water Perri t. Type NEW SEPTIC SYSTE Sewer & Water Work Type REPLACE EXISTING REMARKS: FEE SUMMARY: Base Fee $100. 00 Surcharge Total Fee $100 . 50 CONTRACTOR: . OWNER: -- Applcant - PETERSON ELMER j CO 54718151 HUTCHINS GEORGE 5Sr'l DAGUE AVF SE 2560 WOODHAVEN DR DELANO MN 55328 ORONO MN 553S6 (612) 471-8151 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF L ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , _ .,>ef _ k APPLICANT/PEWTEE SIGNATURE ISSUED BY:SIGNATURE 1 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, IN IN 55323 JOB SHE ADDRESS: 2 1 y e, . - A - 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 r Owner's Name: �� w� Phone Number: Mailing Address: Scs /'�/� � �% ^, City: Zip: Contractor's Name: Phone Number: Mailing Address: City: Zip: 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. -4 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: / Precast Concrete — Other Manufacturer Tank Capacities: 1)/ gal. 2) gal. 3) gal. B. Pump Station (if required) Pump make & model l/r> ,ls ; �� e (attach pump curve & literature); system design requires gpm at / feet of head. High water alarm make & modeles, e_, . Outside electrical work to be completed by insta[Iler 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 /'f 'x ' Drop Boxes Sand bed dimensions` 'xcT�> ' Distribution Box Pressure Dist. Pipe Diam. / Maniford Pipe Diam.D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) /c 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 //�� r�� Date: (tiecci MPCA Certification No.: c /,>-7 Staff Review: Approv Denial Reviewer: %J/. �� </jlt_— Date: /' / Reason for Denial: DATE TIME CITY OF ORONO CALLED IN x 54 INSPECTION NQTICE SCHEDULED /-;- h/5� =i� PERMIT NO. 41,51A 2-9 COMPLETED LS ADDRESS OWNER CONTR. TELEPHONE NO. '4?"7 7-i2/`5( DESCRIPTION /?Cel— J ,/i-7jj,,fr 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL SEPTIC INS1A 22 FOLLOW-UP = 09 PLUMBING RI 23 EPTIC FINAL" 35 HARD COVER REMOVAL J 10 PLUM 36 OUNDATION REMOVAL ' OWN CONTRAC R TO MEET YOU: YES NO ct, COMM : — 7ZaCC Amp )ip }"."' 71;Nn CC o 4IP•;r1 o; 0 w w 0; Q w w EC- 2 WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CC C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 1 /%�` OwnerIContract ooiit y , r- Inspecto White Copyllnspector's File Canary Copy/Site Notice T ATE CITY OF ORONO CALLED IN �jI Fie. INSPECTION SCHEDULEDtw6li IF. PERMIT NO. COMPLETED /1 ADDRESS 07S /LOS/lien I)„" OWNER CONTR. FiJ 71:41- TELEPHONE NO. DESCRIPTION 4.1 01 FOOTING 11 MEC ICAL R-I--tit) 18 MAV/GRADING/FILLING y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 0 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION T 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS I. 07 DEMO—SITE 27 SEPTIC ._ .1 21 COMPLAINT J W 07 DEMO—FINAL . _ t. -" • 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET U YES NO COMMENTS: '� $1`° .• t !p Ok --ct �L ccExC4:7 , -_,.7.51. --,,i.es--/ik 44-0 /..)5.0o cc 0 Lu 2 Q Z Lu z W cc 2/WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor off�' . Inspector. j' C ��(�i 1 White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ci7A-to/Pe INSPECTION NO I E SCHEDULED 1?/.Z<o/lb //lap PERMIT NO. -<ZC COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. A/?/ "S2/S-' DESCRIPTION • 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG 'Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS k• 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI SEPTIC FIN* 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO ET YOU: YES NO CI COMMENTS:cc Lu (IX CC gh,frid 001 o _ CC W cC W cc/WORK SATISFACTORY:PROCEED PROJECT COMPLETE W W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins• -ction 24 hours in advance.473-7357 Owner/Contract. ' Inspector. White Copy/Inspector's File Canary Copy/Site Notice