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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 ✓1 1 1 OF Base _„'- ,;ri ri 1 Fee # O t""}t_) i iiini'rL•� L ! i}•i sur charae fit) 1J13.JOL!t„.„ iY A Total Fee vi UL7} .AA $Dt?. Si} 122,2200000 Cil GEN '.t} V1 VL)T •ilV CHECK 50..50 RECEIPT-THANK Bali YOU hUW W t ffi71 M1V LrVV1 11V1 !SV•TL' 05/08/92 :,_. 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 ,1 ►' oA=/ 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 *************************************************************************** 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. *************************************************************************** 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: *************************************************************************** - 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 *************************************************************************** NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, eck all appropriate boxes. I gf.e6 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 *************************************************************************** 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: CC Lu € /9D07C'�s O cc RDA /i40‘ W z cc 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: cc Lu cc f-Coro-�Rd /Lsjiezd O O W W W z W CC O//WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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 IME - f T5(4 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 LIJ Fps t�'C -- Cosi- a9rov,-/--e 0 W W W k O ❑WORK SATISFACTORY:PROCEED /PROJECT COMPLETE C ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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