HomeMy WebLinkAbout1996-008583 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
�' 2750 Kelley Parkway- P.O. Box 66 . :, T .;
Crystal Bay, Minnesota 55323 Permit Number: - -_ _. -. �
(612)473-7357 Date Issued: -°"�_``"='��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO SEPTIC SYSTEi�i PERivIIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, N� 55323
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JOB SIT'E ADDRESS: � 5 3 S� �'� �� �.-.-!��� �
Occupancy Type: Residential � Commercial Other
Permit Type: New or Replacement System, $100.00
Repair Existing System, $ 50.00 J/
(Tanks or Drainfield)
0.50 State surcharge added to above fees
, *See fee schedule for non-residential permit fees
O�mer's I�'ame: PhoneNumber:
� c�ty: - ' � - 4�--�s�
1�Iailing Address: — ' " _
Contractor's Name:
� � Phone Number: �.��J - /�� 5
Nlailing Address• ���� City:�,�����-� �p�� -�.5
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DO NOT I�IAII. PAY�IENT WTTH THIS APPLICATION
GE\rERAL �i tSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
Offices; however, permits will not be mailed out. The permit must be picked up in
person at the City Offices and work must not begin unless the permit card is on the job
site.
2. Permits will be issued only to contractors holdin� a City of Orono Septic System
Installers License.
3. All work must be done in accordance with the approved septic system design. Desi?n
reports are not considered approved unless accompanied by the "City of Orono Septic
System Approval" cover sheet si�ned by the City Inspector.
4. The followin; 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
afrer rouQh-up but prior to sand placement (sand will be jar tested for silt content),
and a�ain during pressure distribution pipin� installation in the rock bed.
D. Fi.nal inspection to verify proper final cover depths and to verify that all pump station
(where required) components are functional and comply with codes.
5. Individual holding MPCA Installer Certificate shall be present durin; inspections: A 24-
hour notice is required for all inspections.
�
NOTE: Applicant must initi 1 all spaces. Fill in all appropriat blanks,, check all appropriate
boxes. ..� �yj�2C-� �•(� �z
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1. I have received a copy of the system desijn including the Ciry of Orono
Septic System Approval Cover Sheet.
2. I will be installin� the following:
A. Tanks: Precast Concrete Other Manufacturer
Tank Capacities: 1) gal. 2) gal. 3) gal.
B. Pump Station (if required)
Pump make & model (attach pump curve &
literature); system design requires gpm at feet of head.
High water alarm make & model Outside
� ' electrical work to be completed by installer 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. "
Maniford Pipe Diam. "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
trucked in
The undersi�ned hereby applies to the Ciry of Orono for issuance of a septic system installation
permit, a�rees 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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SignatureofApplicant: - � Date: //—� � � �f' �
MPCA Certification No.:
Staff Review: Approval � Denial
Revie�ver: - Date: �a�'
Reason for Denial:
D E TIME
CITY OF ORONO CALLED IN // ,�2�' i-E
INSPECTION NQ.�IC� SCHEDULED -�- �6 �l'G
PERMIT N0. � � COMPLETED �� ,
ADDRESS ���� �'�, �!%'�c`���u_ ��s
OWNER ' CONTF�i�-�--�-�n-�t-'
TELEPHONE NO. `���l "�� � `'
� DESCRIPTION .itc-.����f"��%
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/GRAOINQ/F�WNQ
�Q 02 FRAMINO 13 MECHANICAL FINAL 19 LAl�SHOREJWETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z pq yyqLL gp, 1 WATEA H 17 SITE INSPECTION
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= 05 FINAL O6 PROGRESS
~ 07 DEMQ—SITE 2 21 COMPLAINT
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W 07 DEM�—FINAL PTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI SEPTI 35 HARD COVER REMOVAI
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES N
� COMMENTS: '— �D _
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d ❑WORK SATISFACTORY:PROCEE �PROJECT COMPLETE
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� C�CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OHDER POSTED.CALL INSPECTOR '=: CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor n ite•
Inspector. '—'�
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