HomeMy WebLinkAbout1999-011800 - new septic system �
►� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 '=�?"�`�'��' -:� �'�: t ``�
Crystal Bay, Minnesota 55323 Permit Number: -
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(612) 473-7357 Date Issued: _ V �__ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- :-,-,- _ :.:-.,;�,,�,�. -- OWNER:
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APPLICANTPERMITEESiGNATURE ISSUEDBY:SIGNATURE t�
� �
C�'I'y O�' .ORONO SEPTICSYSTEI�IPER��-IITAPPLICATTON �
Bo?� 66 (2750 Kelley Pazkwav) -
Crystal Bay, I1�1�T 55323 :
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J'os sifiE ADDRESS: �2� � rr�w �- . \ .
� Occupancz• Type: � Residential 2%� Commercial � Other �
. �
Permit T�•pe: I�+'esv or Replacement System, �100.00 `
Repair Existina System, � 50.00
(Tanks or Drainfield)
0.50 State surcharge added to above fees •
. *See fee schedule for non-residential permit fees
Osvner's I�`ame: �� � � Phone�Tumber:�Z U - E,S US
iYlailina Address: �Z5"� �w� 5 City: ���o �P_—
Contractor's I�'ame: PhoneI�rumber: �-1 7��/?� Z
31�Iailing Address:,� �c-� '"� �� s •�� City:�gn��x �P�=�
DO 1TOT i�ZA� P��•�NT '�i�ITH THIS APPLICATIO�I -
GE\rERAL �TSTRUCTIO�IS � �
�, Applications for septic�system pennics may be mailed or submired in person ac the Ciry
Offices; however, permits will not be mailed out. The permit must be picked up ia
person at the City Offices and work must noc be?in unless the permit card is on the job
site. � �
2, permits will be issued only to contractors holdin� a City oi Orono Septic System
Installers License.
3, Ali work must be done in accordance �vich the approved sep[ic system dzsi�n. Desi�n
reports are not considered approved unless accompan.ied by the "City of Orono Septic
System Approval" cover sheet si�ned by the City Inspector.
4, : The follow'in� inspections i,vill be required for aIl sep[ic systems: _ : .. .
� A, Pre-installation site inspection to include inspector, installer, and general contractor.
B. �'ank installation prior to coverin�. Q ection is requued
C. Drainfield trench ir�tallation prior to coverin�. For mounds, insp
after rou�h-up buc prior to sand placemenc (sand wiil be jar tested for silt con[enc),
� and a�ain during pressure distribution pipin� installation in � rock b p• S��ion
D, F i.n 3 1 i a s p e c t i o n t o v e ri f y p r o per fmal cover de pths and to veri that alI umP
(where required) components are functional and comply with codes.
5, Tiidividual holdin�MPCA Installer Certificate shall be presenc durin� inspec[ions: A 2`�"
hour notice is required for all inspections.
� .
NOTE: �Applican[ rriust initial all spaces. Fili in all appropriate blanks, check alI appropriate
`�� . -
� �
I. I hav� received a copy of the system desijn includin� the Ciry of Orono
Septic System Approval Cover Sheet. -
�. : � � .2. I wiIl be�installin� thz followinQ:'� . : � : . .
A. Tanks: �ecast Concrete Ocher i1�lanufacturer�
Tank Capacities: 1) 3�U QaI. 2 ��-w'`"'
-�_� )� ?aL �) 30U gaL.
. � z� 6�/
� B• Pump Station (if required)
Pump make & model ��� �// �3 � I�`(attach pump curve &
literature); s ystem desi�n re quires opm at feet of head.
Hi�h water alarm make & model L�� (4�-�., Outside
• ' electricaI work to be completed by installer �
other electrician
. IrLside electrical work must be completed by
electrician. �
' C. Treatment System:
� ✓Trenches: izs y s,f, Mound
`{/� L�hu,l Depch of rock below pipe " Rock bed di.mensions -'x '
/�r� _�"Drop Boxes � Sand bed dimensions 'x ' -
Distribucion Box � Pressure Dist. Pipe Diaril. � "
� � .Maniford Pipe Diam. � � "
D. Final Cover/Topsoil to be: '—''rboRosved from site
(show location on site plan)- -
trucked in
The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation
permit, a�rees to do all work in strict accordance wich the ordinances of the City and the
. regulations of the State of Minnesota, and certifies that all sEatements made on this application
are comple[e, true and correct:
SignatureofAppIicant: Date:
. . . _ ��zS^ "��
MPCA Certif cation No.: �, `{ � - �
Staff Reriezv: A�rprov�� � Denial �. �
, �
� ReYieiver. �� � ��%GCC-C� � ' �. _ � . .
� ,; Date: � �S �i,
Reason for Denial•
Ci�`' ��5
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED S�l 2 —��
PERMIT NO. O l� �D U COMPLETED
ADDRESS g�_ ���� �� ` � '
OWNER CONTR. c��Ccs�-�5 ? ��S
TELEPHONE NO. � �3 r a���
� DESCRIPTION b
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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
Q O5 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 � FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOPORDER POSTED.CALL INSPECTOR f=' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail fo the ne spection 24 hours in advance. 249-4600
OwnerlCon ac r on ' e:
�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI�E SCHEDULED �S 95 .3 �"3Z�
PERMIT NO. /� �� COMPLETED
ADDRESS S '�.��rJ-, �� -
OWNER CONTR.� -
TELEPHONE N0. '7;? _ �-,_5 z/
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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 15 SEPTIC INSTAL . � 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �. PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspe i n 24 hours in advance.473-7357
OwnerlContr c n n site:
Inspector.
White Copy/inspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �_
INSPECTION NOTI SCHEDUL�D 25 �I��O
PERMIT NO. D� COMPLETED
ADDRESS go2�� £SY7ht,ln� /C,�X S.
OWNER CONTR.�'Y�-�1�RS
TELEPHONE NO. c6 ��.� g�� I
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAI 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 S 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance.473-73rJ7
Owner/Contra t q site
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice