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HomeMy WebLinkAbout1998 - 010281 - new septic system PERMIT C OF ORONO PERMIT TYPE: 2750 ley Parkway- P.O. Box 66 Permit Number: EF° i�ri L R Crystal ay, Minnesota 55323 .i 1 i'281 (612) 473 7357 Date Issued: 06/18/98 SITE ADDRESS: 1 :315 W9-'sODH 1 L� RD I . N. . 02-117-73-13-0006 DESCRIPTION: Sewer & Water Permit Type NEW SEPTIC SYSTF C Sewer & Water Work Type ype RESIDENCE REMARKS: FEE SUMMARY: 5ase Fee $100. 00 Surcharge - t . a� Total Fee $100 . 50 CONTRACTOR: - Applicant - ST . LIC OWNER: SAta. O EXCAVATING INC _7i;ii:_.407 1.;�.;�ii c::': LUTHER _ - - �'�O�_f'!t erg=:f�� 1045tr LEVET: 315 !1:+OODHiL_L. RD CIRCLE PINE`:; MN 55014 ORONO MN . .E:?1 (612) 780-3407 4 82-0205 THE UNDERSIGNED • R. DY EQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AN RES 0 DO ALL WORK IN STRICT COMF'LIANCE WITH. ALL CITY OF L ORONO ORD I t AC' S NJ !:,—ATE ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. AK A APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE ($ ( tO22 ' CITY OF ORONO SEPTIC SYSTEM PERI`-IIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MEN 55323 JOB S1[E ADDRESS: 315 W XJ% W ) I RA Occupancy Type: Residential lC' 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: L f1+(ne_Vl ( 11( ( I PhoneNumber: q9 —O\O 5 Mailing Address: City: /\c, Ito 60c( Tp: Contractor's Name: Sow,c0• PhoneNumber: ?g0—3'%o'7 Mailing Address: /o t/So i eco c S 4-- City: C; /c)e �: 55n e-1 DO NOT MALL 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. r 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) /000 gal. 2) Men gal. 3) gal. B. Pump Station (if required) Pump make & model /A Y 141„16,1p t a C f 4 (attach pump curve & literature); system design requires 1-0, gpm at j / feet of head. High water alarm make & model t / 'wt. /) . Outside electrical work to be completed by installer electrician other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. 7\ Mound Depth of rock below pipe " Rock bed dimensions /p 'x ? S ' Drop Boxes Sand bed dimensions .5 'x /// Distribution Box Pressure Dist. Pipe Diam. A" " 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, d ce ies at all statements made on this application are complete, true and correct. SignatureofA licant: Date: PP /h,A, MPCA Certification No.: '2 9,0 Staff Review: Approv. Den'al • Reviewer: . Date: Reason for Denial: (c) . Minnesota Pollution Control Agency ,w, Individual Sewage Treatment Systems Program Has Issued Thomas J. Dreshar, D.R.P. Sandd Excavating,Inc. Installer Expires:5-29-99 License#1220 MPCA INFORMATION: 1-800-657-3864 ISTS LICENSING: (612) 296-7309 D T •Q0 TIME CITY OF ORONO CALLED IN ► INSPECTION NOTICE I f .t,' t SCHEDULED At PERMIT NO. /�— M/PP TE ADDRESS 7/'� J 1// OWNER CONTR. L,Xr'. TELEPHONE NO. • DESCRIPTION l'7k °CoCil k. W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LI- cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS cc) Q 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 .e NT. 21 COMPLAINT J 07 DEMO-FINAL22 FOLLOW-UP Q 102111114' IQ 09 PLUMBING RI 23 SE' 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEYOU:_YES NO / " COMMENTS: ...ear �rA� _ t •fr, __ el, 1.14 Q. 4? j ' '1 )(2) -. ) CC . k 4-0A7/161,1/�/1 P . 0cc Lo �V W Q W Z W CC LU• WORK SATISFACTORY:PROCEED C PROJECT COMPLETE CCW ❑ CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN P CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ex 'ns. -ction 24 hours in advance.473-7357 Owner/Contracto 'Ate. , Inspector. - t ,,4j /1(J� White Copy/inspector's File Canary Copy/Site Notice DATE CITY OF ORONO CALLED IN it INSPECTION NOTICESCHEDULED lira: �` PERMIT NO. © I O1/ %/e ~ ADDRESS_3 / i • OWNER CONTR. LC• TELEPHONE NO. DESCRIPTION jafik--5 W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y Q2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS . . O 0p 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 �PTIC INSTAL 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNS NTRACTO TOME U: AYES_NO to COMMENTS: ✓'1� �• /a(104'`/, /00' Q. cc Ajill b'9 :-:47;11 74 a"1 -5- dfr-1 0 r- W L { T Q W r a 7 W ❑ ORK SATISFACTORY:PROCEED i ••i ECT . PL. W &PROCEED ElI ERT - ATE OF OC -•ANCY fORRECTWORK • ORRECT WORK,CALL FOR REINSPECTION TEMPORA' O(..) BEFORE COVERING PER . ENT ❑CORRECT UNSAFE CONDITION WITHIN HO RS. ❑ PHOTO T: N INSPECTOR WILL RETURN CilSTOP ORDER POSTED.CALL INSPECTOR ,--• • ION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne.t inspection 24 hours in advance.473-7357 Owner/Contractor ,,/ Inspector. !I9_.�T'ilP'Jna_ze"'i White Copyllnspector's File Canary CopylSite Notice ,L, ,-(..- DATE TIME CITY OF ORONO CALLED IN 6/>_? 1 Y INSPECTION NOTICE SCHEDULED C/i`/`31 PERMIT NO. /() N'✓ COMPLETED I 1 ADDRESS ` A'e,-71 'Lz OWNER —ar-- .r CONTR. .c'r TELEPHONE NO. /7Y6 _ -3`Y C • DESCRIPTION )Z' ,L W 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 INSTAttl�• 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU• Y / NO ---s ` COMMENTS: i' f �U `- J lcc 01141.1-- Ok /,. .--cc _ 54.-O d W CC cCtn W Z W CC Vj d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY CZI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O• BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the -xt- sp:ction 24 hours i ad ance.473-7357 OwnerlContracto • • - -.; of..........--- /' Inspector. o ', ,/ /1 White Cop:/Inspector's File Canary Copy/Site Notice