HomeMy WebLinkAbout1992-004316 - repair septic PERMIT
CITY OF ORONO PERMIT TYPE:
SEWE
1335 Brown Rd. South • P.O. Box 66 Permit Number: iR -`tATEFs
Crystal Bay, Minnesota 55323 Date Issued: 01:3/ ,/"9,
(612) 473-7357
SITE ADDRESS:
='.30 OLD CRYSTAL BAY RD
CH
P. I . N. , 04-117-23-43-0008
DESCRIPTION:
REPAIR SEPTIC:
Sewer & W I t.er Permit. Type DRNFLD &/OR TANK
Sewer & Water Work Type REPLACE EXISTING
REMARKS:
FEE SUMMARY:
CITY - ORM
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Base
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Fee # O t""}t_) i iiini'rL•� L ! i}•i
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Total Fee vi UL7} .AA
$Dt?. Si}
122,2200000
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CHECK 50..50
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05/08/92
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C Tpp��� — Applicant - OWNER:
_TEF,'RY EXC: 54734.361 HUST GEORGE
2445 tip+RN I N}GS I DE RD 8.20 OLD CRYSTAL BAY RD
LONG LAKE MN 5535 ORONO MN 55356
(612) 473-4:361
iND}ER`::I CNED HEREBY REQUESTS F EF'ti I ��I ON "; A': "'.
c I ED AND AGREES TO DO ALL Wt R I NSTRICT 1 O _ c
1.1 : D I NANC:ES AND STAT IF t 11IN A E;t 1 I Lr}I N
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE-Zi- CA-)
APPLICATION FOR SEPTIC SYSTEM PERMIT
CITY OF ORONO
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Instructions:
1. You may apply for septic system permits by mail or in person at the
City offices. However, permits will not be mailed out and must be
picked up in person at the City offices.
2. Permits are not valid until you receive a permit card.
3. Work must not begin unless the permit card is available on the job
site.
4. Permits will be issued only to contractors holding a City of Orono
Septic System Installer' s License.
5. 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.
6 . 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.
7. Individual holding MPCA Installer Certificate shall be present during
installation. 24-hour notice is required for all inspections.
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JOB SITE ADDRESS: �--4--",14J D/ C'j-/ �/( L-
Occupancy Type: Residential X Commercial Other
Owner' s Name: 6-?9. -r- /%5 ( Phone:
Mailing Address: City: Zip:
Septic Contractor' s Name:.--4/-j-1 �/� ', c /� �- Bus. Phone:
Mailing Address: City: Zip:
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- over -
SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2
Permit Type & Fees (check one)
New Construction, Full System $100. 00
A Repair or Replace Existing System $50. 00
$0.50 State surcharge added to above permit fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAYMENT WITH THIS APPLICATION
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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks,
eck all appropriate boxes.
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Mgregftv
1. I have received a copy of the system design including the
v City of Orono Septic System Approval Cover Sheet.
2 . I will be installing the following: �
A. Tanks: J Precast Concrete )( Other Manufacturer //-/
- ank Capacities: 1) gal. 2 ) gal. 3 ) iinOgal.
B. Pump Station (if rwir )
1 Pump make & model e,/
(attach pum9yurve &
W literature) ; s ste desi n requires gPm at feet
/��✓rlfe of head. High water alarm make & 9c, Ch/cc.t,
may 6,
��piacern Outside electrical work to be completed by emirs alley
• electrician other . Inside electrical work
irs = P�-. must be complete-CI- by electrician.
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe Rock bed dimensions /D 'x '
Drop Boxes Sand bed dimensions t x
Distribution Box Pressure Dist. Pipe Diam. / "
Manifold Pipe Diam. "
D. Final Cover/Topsoil to be: borrowed from site
/(show location on site plan)
l/ trucked in
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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 correc
,
001PDate:
Signature of Applicant- `_1J _ ��►��,�,� �
MPCA Certification No. : e"
DATE TIME
CITY OF ORONO CALLED IN - //.5/A'-
INSPECTION NOTICE SCHEDULED ..- --//5//1.2--
PERMIT
S-//3/5'.2-PERMIT NO. 1(3/6 /COMPLETED
ADDRESS �2C' ( %-ei, Urrc.. a ( d'
OWNER � �r CONTR. mss--)
TELEPHONE NO. 6/73—4/3 C.,/
DESCRIPTION `C �/�? . cit Al
IQ 01 FOOTING 11 MECHANI L RI 16 WELL ST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
1,• 07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
✓ 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LIJ 09 PLUMBING RI SEPTIC INSTALL 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO L
o COMMENTS:
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W• ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN r,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 •it-
17 Inspector. ��� ✓`�
White Copy/Inspector's File Canary Copy/Site Notice
4 DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTISCHEDULED
PERMIT NO. I COMPLETED
ADDRESS SI1R1 e /, t/ Riy �'`
OWNER CONTR. (.5. -yam CCK e
TELEPHONE NO.
//__
DESCRIPTION $i9GA &J _
L4 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LU 09 PLUMBING RI 15 SEPTIC INSTAL 22 FOLLOW-UP
• 10 PLUMBING FINAL 23 SEPTICF AL
Q OWNER/CONTRACTOR TO MEET YOU: L."-ES NO
o COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract• • si
"Mir-
Inspector.
v
White Copy/Inspector's File Canary Copy/Site Notice
D TE
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED t ✓�
PERMIT NO. 4/3/K COMPLETED h� ����
ADDRESS ,6 0JcYy / Pal
OWNER f�ir.4'-- C NTR. .��'1'�.Jd�Y1Sot--
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
• 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 ICf.J.N.A4_
J C/
Z OWNER/CONTRACTOR TO ME • NO
o COMMENTS:
CC
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-- Cosi- a9rov,-/--e
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O ❑WORK SATISFACTORY:PROCEED /PROJECT COMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac r •n 'te:
Inspector:
White Copy/Inspector's File Canary Copy/Site Notice