HomeMy WebLinkAbout2006-P10540 - new septic system ` ' � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P1o540
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Septic
Date Issued: 11/8/2006
SITE ADDRESS: 560 Big Island Unit#
Excelsior,MN 55331
P��� 22-117-23-31-0002
DESCRIPTION:
Proposed Use: Residential
Permif Class: General
Se tic Permit Sub-type(s): New Septic System �
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernlit Fee: $ 100.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Mork Well Co. Inc. OWNER: Christian Family Church ET AL
7303 185th Avenue N.W. 509 12th St.NE
Anoka,MN 55303 Owatonna,MN 55060
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PE MITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION
Box 66 (2750 Kelley Parkway}
Crystal Bay,Mn 55323
JOB SITE ADDRESS ��PO �j�� TSLA►Ji� O�'O iv0
Occupancy Type: Residential X Commercial Other
Pei•mit Type: New or Replacement System $100.�0 �
Repair Existing System $ 50.00
(Tanks oc•Drainfieid)
$0.50 State sui�charge ldded to above fees
* See fee schedule for non-i�esidenti�l permit fees
Owne►'s 1Vame: � I YVl �t�T�250 i�1 Phone Number: (c-�f Z.-3 o�t- 5�8� C��-
Nl�iling Address:��y►S Lit�C_� �t . City: l.�+F.�vtu� Zip: 5��y(�
Conti�actor's Name: �-��-� 1,.� c�.� C� �:�c Phone Numbet•: `7�3 ZS`3-?��
Mailing Address:��3�� i`'�S�'� f�� . �W • Cit3': �-'��-+� Zip:_ �5��,�
*** DO NOT IVIA� PAY"Ii'I�I+1�['Zi�'I�'H THiS t��Li��TI�Ny�*
GEI�'ER.AL INSTKUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
Off'ices; 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 holding a Minnesota Pollution Control
A�ency(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system desijn. Desijn reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City Inspector.
4. The following inspections �vill be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, and general contractor.
B. Tank installation prior to coverin�.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
roujh up but prior to sand placement (sand wi11 be jar tested for silt content), and a�ain
durin� pressure distribution pipin� installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump stations
(where required) components are iunctional and compiy �vith codes.
�. Individuai holdin�tiIl'CAlnstallers License sha11 be present durin�all inspections. :�2�-�ios.��•
raotice is i•equi►•ed for• all inspections.
r.+. .
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet,
--� 2. I will be installin�the followin�:
A. Tanks: Precast Concrete �Other Manufaciurer �`''�v`'�5��
Tank Capacities: 1) I p0� jal. 2) l�d �al 3) ��O jal
B. Pump Station (if required)
Pump make& model ��r�v�-� ��— y 1 (attach pump curve&
literature); system desijn requires "ZU gpm at '_�(_feet of head.
Hi�h water alarin make &model i_�'tl��.���1/� . Outside
electrical work to be completed by installer�_electrician other.
C. Treatment System:
�_Trenches: '��7 s.f. Mound
Depth of rock below pipeCu,ny,� ' �j 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: _� borrowed from site
(show location on site plan)
trucked in
The undersigned hereby applies to the Ciry of Orono for issuance of a septic system installation permit,
ajrees to do all work in strict accordance with ordinances of the City and the rejulations of the State
of Nlinnesota,and certifies that all statements made on this application are complete,true and correct.
Signature ofApplicant,�� (�,e ,,,,��� ,�.� Date: (( � P���ro
MPCA License No. �. '?(�-��c'
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Staf#'l�ev�e�v: Approval � I)eni��
Reviewer: �.!/��•�C�-x+ �<���r'C� D�te• �� " ��- j>�
�easoa� for �enia➢:
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/�� ' I��I� D TE �/- TIME ' /
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�I'�Y OF ORONO CALLED IN -�L�o
•-�INSPECTION NOTI E SCHEDULED �/L�/� �
PERMIT N0. � COMPLETED , ��'���b 6
ADDRESS �j o r� �-� -��a-/'��
OWNER CONTR. �f�L L( ��I
TELEPHONE NO. ��p � � ��,� - ,���G�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL �`�� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU� YES_NO
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W� WORK SATISFACTORY:P ❑ PROJECT COMPLETE ` , ��
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OC��
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� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on ite:
Inspector. �✓
White Copyllnspector's File Canary Copy/Site Notice