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
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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
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.•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.
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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�
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MPCA Certification No.:
Staff Review: Approval _ Denial
Reviewer:
r Date: 0/ei
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Reason for Denial:
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Di'TE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICS SCHEDULED ----I-a-571-5-
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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
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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.
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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
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DESCRIPTION JI VI4
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04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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v 07 DEMO-FINAL 15 S ,LL. 22 FOLLOW-UP
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v 10 PLUMBINe' .• 36 FOUNDATION/REMOVAL
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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
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White Copy/Inspector's File Canary Copy/Site Notice
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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--
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• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREETLANDS
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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•
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✓ 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; ,
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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 ,` /, , ;
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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
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LU 09 PLUMBING RI 23 SEPTIC FINAL M 35 HARD•OVER REMOVAL
J 10 PLUMBING FINAL 36 FOUND• ON/REMOVAL
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✓ BEFORE COVERING PERMANENT
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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
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02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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:
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• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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❑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