HomeMy WebLinkAbout1993-005145 (sewer & water) I�EI�MIT �
CITY OF ORONO ' � i PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: =;`=�i�`'c'=` �'��'��''`
Orono, Minnesota 55356-0815 `= ��- '--€�-
(612) 473-7357 Date Issued: i;:::;,;; �:•��::;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT' ITEE SIGNATURE ISSUED BY:SIGNATURE ��J�
APPI.ICATION FOR SEPTIC SYSTEM PERMIT
CITY OF ORONO
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
*:****�*#*�********#**:***�***:*****t**#*t*�**�***t*��******t******t*#*�***
General Instri�ctions:
l. 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 . AI. 1 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 alI 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 px•ior to sand placement
( sand will be jar tested for silt content) , and again during
pressure distribution piping installation in the reck bed.
d) Final inspection to verify proper final cover depths and to
verify that al. l pump station (where required) compon`nts are
functional and comp ly with codes.
7. Individual holding MPCA Installer Certificate shal 1 be present during
installation. 24-hour notice is required for all inspections.
*�*******�*�******��******�***#******�*�**********�*�************�*�*******
JOB SITE ADDRESS: 4495 Bayside Rd.
Occupancy Type: Residential� Commercial Other
Owner' s Name: Bonnie Kelley Phone:
Mailing Address: 4495 Bayside Rd. City: Maple Plain Zip:
Septic Contractor' s Name: Elmer J Peterson Bus. Phone: 471 -8151
Mailing Address: Dague ave S.E. City: Delano Zip:55328
*****�*��*****�**���r*�#********:***�****�**#�********tt�**�:�:��**t***���*�
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SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2
Permit Type � Fees (check one)
New Construction, Full System $100. 00 . . . . . . . . . . . . .
�x Repair or Replace Existing System $50. 00 . . . . . . . . . . . . .
$0. 50 State surcharge added to above permit fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAYMENT WITH THIS APPLICATION
�**�***�t****���**t*�****:�**�***��*�*���*��******�t***�**:*******�***�***�
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks,
check all appropriate boxes.
Initial
no l. I have received a copy of the system design including the
City of Orono Septic System Approval Cover Sheet.
2 . I will be installing the following:
A. Tanks: �Precast Concrete X Other Manufacturer
Tank Capacities: 1) 1000 gal. 2 � 1000 qal. 3 ) 1000 qal.
B. Pump Station (if required)
Pump make & model Blue Angel (attach pump curve &
literature) ; system design requires �_gpm at �� feet
of head. High water alarm make & model anrhn
Outside electrical work to be completed by _installer
x electrician other Inside electrical work
must be completed by electrician.
C. Treatment System:
Trenches: s.f. X Mound
Depth of rock below pipe " Rock bed dimensions 10 'x41 '
Drop Boxes Sand bed dimensions �'x�$�'
Distribution Box Pressure Dist. Pipe Diam. T2 "
Manifold Pipe Diam. 2 "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
x trucked in
********:***********��*�r�****#**�****�*****:****��****�**�*****�*****���***
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.
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Signature of Applicant� Date: ' ,� ��5�
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MPCA Certification No. ��j^�_
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/ DATE TIME
CiTY OF ORONO CALLED IN <o`.��"��
INSPECTION NOTI�j � SCHEDULED (o -3 D � %�7 a
PERMIT NO._�/ J` COMPLETED 3 �
ADDRESS jf`1�`l s �Q.c�.c-a�4- �cO
OWNER�-Q� CONTR. ����� CO
TELEPHONE NO. `�7�� ��5�
� DESCRIPTION /��'� �"`'�-•'t `� �
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
2 09 PLUMBING RI ` 1�pTIC�INS A 'a 22 FOLLOW-UP
J 10 PLUMBING FINAL �23'SEPnC�L
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: � �
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W ❑CORRECT WORK&PROCEED C,i ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAL�FOR REINfiPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContracto
Inspector. �
White Copyllnspector's File Canary CopyfSite Notice
CITY OF ORONO ,I CALLED IN
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INSPECTION NOTICE �'�� SCHEDULED
PERMIT NO. connP��rE�
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ADDRESS �
OWNER CONTR. c
TELEPHONE NO.
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL SEPT
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContractor o s' •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �i �� �J`
INSPECTION NOTIC'E/ SCHEDULED s����� _�✓� �--��
PERMIT NO. ti l`7``J COMPLETED l� �
ADDRESS '�T�� : ��.�<�-�C� , �� ��''�
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OWNERr.�� ��,� CONTR. � �- .< o �
TELEPHONE NO. '�� — -S�
� DESCRIPTION �
� 01 FOOTING 11 MECHANI L RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC M/i7R1 . 21 COMPLAINT
= 09 PLUMBING RI 5 SEPTIC INSTAU-- 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC F L
� OWNER/CONTRACTOR TO MEET YOU: _NO �
� COMMENTS: `�— f� ��
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CORRECT WORK 8 PROCEED ��_� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
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 for the nex inspection 24 hours in advance.473-7357
OwnerlContractor si .
Inspector. ..1�, �
White Copyllnspector's File Canary CopylSite Notice