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Home My WebLink About1991-004009 (sewer & water) PERMIT CITY'�O� 10RON0 PERMIT TYPE: �_;�_€,�►�� :, ;�,�;�_f; 1335 Brown Rd. South • P.O. Box 66 Permit Number: =��}��-"-p'=' Crystal Bay, Minnesota 55323 Date Issued: ��}��'_�� (612) 473-7357 SITE ADDRESS: �.r,i��i:� ��t�Y°�=i�;� �.{.� L'=�J �'� . J. . !4 . � __?_�-"f ,��_-.��__ .:""ti{li3�i DESCRIPTION: �i�_i'�...r'.i:E �;I c;i =;`r.'�'_�1 c�i =;�o��r•t^ ;�� :J�+�•�t` i=`��i'ii;3 {. s;�t,=�f� Csr:il��L1.:1 �ih: ��i i�C;�f��. �_�e�Wc��' '� ��+�_.t:�i� �._�,}�k:: "s"��j�� iiE i='i_r�i.�� E X I��T I��ii.:� _ �� >r�� ;;,.,, � � , � � �� a �� '�,ti,� � � ��` , � � �� '� �� , ��u � :��` "��"aP�';� . . ,. V1! ( V� Lt�L��tV L:�!:'4r.ft'i �)T'�TI'� REMARKS: r�j —t�7 �T�z g'j 1JJ►'✓1l��VVY� rr 'tT !��/ ri! i3�! :.r.�11 Llt riVrVV i::�c:ic�%v{rtv� n V i UL!t+ ��! FEE SUMMARY. 41tLL•!, 7L ��v.,�y ist'i`L'TL'�._%'i::ieie' l't�i i llLL•L1! 7 i f rr.�Ti� 1 vu �::%i`�i:+ f�%:ri' r�rf�i i�'zL�rl 7fLtVil1 4VV3 / V1 !b�:•f.' ~�ct'�C �r'�' ��+!� .{_jj_' iv%i�i�� :-•� i.. � �%� =�_a!''4_i}ci�'=�t.' --.�....�..._.r }�:�L•tl� r f�t.' . ._`.'t_e��!i CONTRACTOR: -- �r��1 i c�.a��t- -- pW�� Tf' h':�•"' t F�"".r'�!i • F"' - • [ t�It't T G _�i�F'!i�•_�i_�ia �s_!'1Pz F �:�l.. ��i i.tit}_�� .i i�-� C.�i_�t4l4 1 C - +-r� .;_'%+L1.'� i�li=iiii�i I i�i�;�`=�1 D� F:i�t �i-�_��_f r��'�`'_�I i:i��. i?'�J i._�_��!? Lt��'�.� rt{�'��f ��_��tF_. i_iF�j%Ij',ji_I }`:t'y r�_��`r !,i+��.si.' ��,f-=`iL��i_� � 5 f — r __ r:�-;-:: •r - ,ks_ _,r _ . t..t ��-- -r�! tr • r.� �r,;�:-•>-•i ;�.t,_.,,i�.. �.: i t'1L '%f4L?�+�:��l�.if'��k+ ref._f.k...r. r r1�':._,+_+L_. : ; . 4-• -��'k�- -��i_3iV { �_� f�i?-ii•�.� f J.�_tt�:;F'ii._ _.. :1-j��t._'s rt }� �y i '.- �� .� '-`�+ - � I .�t �- •- ��•3ryj ��w; -� �- Y' .-,t:• y L -..�t�.L'_• i E_•�_t:�i!"f!x�-il�;_.�_ �,>�i t +"? Y'Ii�E_ �.».t. I �i� j sf" �::t �.L f 1 4_ f-i��.J Yi.��'it.��_ i '-# t i. f+l + t �..�� -.,-.:� .. -. • .�r.f; �:•,--,-• r, . s ; . _ _.r: -,i r,s - _ r,'.' " � , 1 E}-(t, y�_i t_ Yi 1!y!-�i`�l•�"��_• +-s�v�i :� t t{t t�, f,,,t t eS.dl*�f_��I�.f 4 Yi C��_�.! �L.�3.��1i t.{_{l!C: 4?�'.�•�,_'.i'�?E"_3 e_. �3! �- . L � ��'�"� � ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��9�/� APPLICATION FOR SEPTIC SYSTEM PERMIT !� p0 � CITY OF ORONO Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 **#�****�r****�**************************************:***�******:*********** General Instructions : 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. 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 genera 1 contractor. b) Tank installation prior to covering. c) Drainf ie ld trench insta 1 lation 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: L .L � Occupancy Type: Residential�ommercial Other Owner' s Name: �j;/�,, P � �� Phone: Mailing Address: City: Zip: Septic Contractor' s Name: � Bus. Phone: Mailing Address: City: Zip: *�*t�*:*:�**:****#*:*::**s�****�****��*�f:*:**t�:*****::**#****�*t*#*t**�t* - over - . � ��-� ;�--�- /�--�`�'-�/ � t>�,��,�, ,� , ��' � SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2 , � � Permit Type & Fees (check one) N Construction, Full System $75. 00 . . eplace Existing System ( 1 or more new tanks . & �drainfield) • $50. 00 . • . • . - _Partial Replacement (replace just tanks or just drainfield) $30 . 00 . . . $0 . 50 State surcharge added to above �ermit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITH THIS APPLICATION �*************************************************************************� NOTE: Ap�licant must initial all spaces. Fill in all appropriate blanks, eck all appro�riate boxes. I i 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 follo 'ng: A. Tanks: �Precast Concrete Other Manufacturer � Tank Capacities: 1 ) ��-gal. 2 ) �gal. 3 ) ��v� gal. B. Pump Station (if require ) Pump make & model �d��J� ,J�� (attach pump curve & literature ) ; system design requires �3 �gpm at �� feet of head. High water alarm make & model � �-- — G7� , .. �, Outside electrical work to be completed by _ nstaller electrician other Inside electrical work must be completed by electrician. C. Treatment System: Trenches : s.f. Mound � Depth of rock below pipe " Rock bed dimensions �'x�' Drop Boxes Sand bed dimensions�' x��' Distribution Box Pressure Dist. Pipe Diam.�" Manifold Pipe Diam. � ' D. Final Cover/Topsoil to be: bor owed from site (show location on site plan) trucked in **************�*******��*�*******�*********�*#***#************:***********� The undersigned hereby applies t the City of Orono for issuance of a septic system installation permi , agrees to do all work in strict accordance with the ordinanc of e City and the regulations of the State of Minnesota, and certifi t t al statements made on this application are comp lete, true and c re Signature of A�plican . Date: �d � �'�� - � � MPCA Certification No. : � DATE TIME CITY OF ORONO CALLED IN �O /- �� INSPECTION NOT CE SCHEDULED l� i s� � �d PERMIT NO. �/ COMPLETED �� /r� Z� %) ADDRESS OWNER � � .-- .,, � - CONTR. � �� t� �r��.. i ✓ L' � TELEPHONE NO. � DESCRIPTION :�–�–�—��,�—,�?�,r� —� �i7i.vG� .1=�'.��--�� 01 FOOTING �'/ 11 MECH�AMICAL RI 16 WE� TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC A4AIt�IL_ 21 COMPLAINT = 09 PLUMBING RI �1�SEPTIC INSTALL 7 22 FOLLOWUP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS:�� =?<�'� W a � � O � � O � W � Q � Z W � W � � � �-WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITH�N HOURS. � pH0T0 TAKEN 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.473-7357 OwnedContract r o e: � Inspector. ��.�'-� -.:;y�---= i White Copyllnspector's File Canary Copy/Site Notice ✓ DATE TIME CITY OF ORONO CALLED IN -� ��-`% ��'�� INSPECTION NOT�I SCHEDULED '�� ?� PERMIT N0. c MPLETED ADDRESS �� ' %��"'� � � � OWNER CONTR.�.�P� �'�i"��-� TELEPHONE N0. _�%''�'% ''� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 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 v 07 DEMO—FINAL 27 SEP , INT. 21 COMPLAINT = 09 PLUMBING RI � 15 SEPTIC INSTAL�__� 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC F NAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � ��..��-�� W � O �%�1,i_��.j�J�(�.'vi- `-� �C��/ � � � O � ti � Q � 2 W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor n 't - Inspector. ---=-�'� White Copy/lnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN JO��Jl � ' INSPECTION NOTI E� SCHEDU�ED !�.'?-'"'�-�l ' � �-� PERMIT NO. � COMPLETED '` �GS�� ADDRESS � � �"�% '�-~ �� OWNER L�L CONTR. )�r��; _a��`�'��3►-�, TELEPHONE NO. 1 � �, � DESCRIPTION !'`�"��-- �L� � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETfTURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTICJ�(NAL Z OWNER/CONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: a / _ ' � `: 'r� � , � 0 � � 0 � W � Q � Z W � W � � GW �.WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor n 'te• Inspector. 1� � ��"��'�-�` White Copyllnspector's File Canary CopylSite Notice ✓.. D�� T�ME� CITY OF ORONO CALLED IN �� p ' �s INSPECTION N SCHEDULED � y C � PERMIT NO. � OMP.LET D �' �� ADDRESS '' OWNER � CONTR. TELEPHONE NO. � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORElWETLANDS 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 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i 09 PLUMBING RI 15 22 FOLLOW-UP � 10 PLUMBING FINAL 23 SEPTIC � OWNERICONTRACTOR TO MEEf YOU: Y S_NO � COMMENTS: � � � � � a � o ~ � a � 0 � W � Q � Z W � W � � W ❑WORK SATISFACTORY:PROCEED �–F�.2.ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT C CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED O INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContracto o ' e: Inspector. �� White Copyllnspector's File Canary Copy/Site Notice