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HomeMy WebLinkAbout1994 - 006344 - septic system PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: c:E:iAPP WiNTPP` Orono, Minnesota 55356-0815 Date Issued: (612) 473-7357 OS/18/94 SITE ADDRESS: :315 WUIJOH ILL RO LH P I DESCRIPTION: SEPTIC SYSTEM Sewer & WatPr PPrmit Type NFW SEPTIC SYSTE Sewer & Water Work Type RESInENCE • CM OF ORONO r: Lir REMARKS: 1315300000 1;i.-:;Al 100.00 1222200000 (17 r . FEE SUMMARY: RE4:.=.P Fee $100 . 00 Surcharoe Total Fee $100 E•0 CONTRACTOR: H , icant, pol OWNER: SULLIVAN' S SERVICES INC 54734300 PRUDDEN JOHN 3660 HWY 101 S 315 WOODHILL RO WAYATA MN !'..)S91 ORONO MN (612) 473--4300 THF UNDERSIGNED HERFRY REWFRTR PERMISSION TO MAKE THE REAI IMPROVFMENTS RPECIFIED NC AGREES TO DO Ai I_ WORK Its' TF TT C:OMPLI w TH C:I TY OF-- ORONO OROINANCER AND T#-1E nF MINNERoTA RUILDTWi CADF PEC,IUIPMFNTR L_ 0 AdO .•PLICANT/PERMITEE SIGNATURE I, ISSUED BY:SIGNATURE /1-t-t• eC.-1 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 JOB SITE ADDRESS: � 1 ti/"6'z4--f'tt Occupancy Type: Residential Commercial Other Permit Type: New or Replacement System, $100.00 Repair Existing System, $ 50.00 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees Owner's Name: 6 ,(,4 Phone Number: Mailing Addre . ?l g- / '� fiLk City:Ll_i_e Zip: 2/ Contractor's Name: Phone Number: 1_3---41)u c) Mailing Address: 73Z :N 4. /,/ City: � l�: � Tip: 65 3'`1/ 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 fmal 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. ' w 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 V--Other Manufacturer Tank Capacities: 1) ► Z'1gal. 2) ) cgal. 3) t ti. gal. B. Pump Station (if required) Pump make & model (attach pump curve & literature); system design requires 176 gpm at /() feet 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. Depth of rock below pipe " Rock bed dimensions •rx /D ' Drop Boxes Sand bed dimensions 76 'x Distribution Box Pressure Dist. Pipe Diam. " Maniford Pipe Diam. 2—" D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) A 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. J SignatureofApplicant: I . . - _// Date: //� y� • MPCA Certification No.: Staff Review: Approval _ Denial Reviewer: r Date: 0/ei �-/ � �%�?" l'1�"'— Reason for Denial: f/ Di'TE TIME CITY OF ORONO CALLED IN INSPECTION N TICS SCHEDULED ----I-a-571-5- /:3 D PERMIT NO. (40 7 COMPLETED ADDRESS /.S OWNER Cjf is �1��J CONTR. TELEPHONE NO. 'S/9.3 - 430 DESCRIPTIONe-2G 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. ' 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBI• FIN• I 36 FOUNDATION/REMOVAL OWNE ONTR ' OR TO MEET YOU:! ES_NO COMMENTS: /dcc Lu go. � Q.C 0 „../Tirtcp s cc cc W cc d /WORK ORK SATISFACTORY:PROCEED E PROJECT COMPLETE W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Li PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on si .'_ D _ Inspector. ��� / White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �/�- INSPECTION NOTICE SCHEDULED 5`0- 9 MOS PERMIT NO. 6-51/Y C PL TEO t, /.S ADDRESS ' lit- )11 . OWNER CONTR. � c1 ns— TELEPHONE NO. DESCRIPTION JI VI4 Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION C 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS Z 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 S ,LL. 22 FOLLOW-UP st 09 PLUMBING RI 1* 35 HARD COVER REMOVAL v 10 PLUMBINe' .• 36 FOUNDATION/REMOVAL Z OWNER •• • .* OR TO MEA2jIhd YES NO ov, COMMENTS: '` CL/X _________ ctQ. 16.e.c, ) ,LoNak. ,k CC .....? pi i Op ‘t„..gm br 0 CC0 -- ;f s� a' 4. 14/ CC Q W Z W rt d W JJ ❑WORK SATISFACTORY:PROCEED /PROJECT CC El CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracto n te: Inspector. 1--) Vh /'�- - White Copy/Inspector's File Canary Copy/Site Notice i / V D•TE TIME CITY OF ORONO CALLED IN —� INSPECTION NOTICE SCHEDULED A' - 0 PERMIT NO. ( ; '/ z- COMPLETED ADDRESS OWNER (� _2.• ./ CONTR. TELEPHONE NO. 'L'73 - /3crz) DESCRIPTION c Ze-e-- W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREETLANDS h /W 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 S I T. 21 COMPLAINT Q 07 DEMO-FINAL SEPTIC INSTALL.' 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: ES_NO o COMMENTS:" . 411Ci ,.14— i zti• CCCC s'53// eCk-- (ST-SP, 571-f CC W W CC GW WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ID STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 ::::nt1actor; , I White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN i ` ` 'Z,/ INSPECTION NOTICE/_ 3 d q SCHEDULED • = ,-"' - iv/ PERMIT NO. '.0 COMPLETED ADDRESS ,` /, , ; ' „/ , ; ., (.1 OWNER�JI(c' r'( '- CONTR. ,.-.,( <ti/<.6.s (.ti 1^-., /. TELEPHONE NO. /.` -;Y,-1 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS • 07 DEMO-SITE 27 SEPTIC MAINT. .‘:-* 021 COMPLAINT J 07 DEMO-FINAL _. EPTIC INSTALL. ' i-� 22 FOL.OW-UP sI LU 09 PLUMBING RI 23 SEPTIC FINAL M 35 HARD•OVER REMOVAL J 10 PLUMBING FINAL 36 FOUND• ON/REMOVAL Z OWNER/CONTRACT/JR-ill-MEET YOU:_YES_NO _ /1-- COMMENT 4 t) 3 cc av - ,7 , '' t' t� , O i \ 4. / v )(a IQ cz vv . ,x...,,,40 i -----.4.-.--_ Lu i � � G� \ I i a WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC W LICORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 forthe-I-x 'ns.-ction 24 hours i a.�ance.473-7357 Owner/Contractor • • -. i / Inspector. _ / A ' r ” White Cop Inspector's File Canary Copy/Site Notice DAT- TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 12.1 ' 106t, PERMIT NO. u1rc COLETED ADDRESS 31 S WOOC OWNER t.L Ye, CONTR. TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05 INAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: CC W CC O CC O W W CC W W CC WORK SATISFACTORY:PROCEED XPROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OBEFORE COVERING U o<�f PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L: PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner!Contra n te: Inspector. C - White Copy/Inspector's Fil Canary Copy/Site Notice