HomeMy WebLinkAbout1999-011674 - septic repair PERMIT
CITY OF ORONO PERMIT TYPE: .
`2750 Kelley Parkway- P.O. Box 66 '=��::.�`r`' �:� i�:�:!:��'
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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CONTRACTOR: �� ���'='�'' ='=�=�''=� � OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE -t��
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CITy OF ORONO SEPTICSI'S'I'EI�SPER�Z�IITAPPLiCA'IZON
Box 66 (2750 Kelley Pazkway) • ;;� P 1 �'�l�
Crystal Bay, I1�l�I 55323 .
7 �J � l ,V'� ��—� ` r�1a. l L
J'OB SIT'E ADDRESS: 7 . . .
. � Occupancj• Type: � Residential` � Commercial �. � Qther �
Permit T��pe: I�'ezv or Replacement System, �100.00 � 'I
Repair Existing Syst � 50.00 -%
(Tanks or rain�el
0.50 State surcharge added to above fees � �
. *See fee schedule for non-residential permit fees
Osvner's I�rame:1 �h;� l ',-���.�•�; � I _ Phone�Tumber� � �
�;� C'��,u��..�D Trz�-,� City: �P�
iYiailina Address: y� 5 ghonei�Tumber• Li-�s-��� z-
Contractor's I�Tame: �.%;�y��s �!� � ��� - "
IYIailing Address: 2�j .�z `` }�- s ��
City:��y���u Z�P: c-s3 t� z
p� 1Tp'�' i�xASY, pAX'�•IENT '�'YITH THIS APPLICATION - I
GEti�RAL L�TSTRUCTIO�IS � � .
�, Applications for septic�system permics may be mailed or submitted in person at the Ciry
Offices; however, permits will no[ be mailed out. The permit must be picked up in
person at the Ciry Offices and work must noc be�in unless the permit card is on the job
site. � ,
2, permits will bz issued only to contractors holdin� a City oi Orono Septic System
Installers License.
3, AII work must be done in accordance �vith the approved sep[ic system desi�n. Desi�n '
reports are not considered approved unless accompanied by thz "City of Orono Sepcic
System Approval cover sheet si�ned by the Ciry Inspector.
4, : The follow�in� inspections will be required for all septic systems: . : .. �
� � A, pre-inscallation site inspection to include inspector, installer, and general con[ractor.
B. Tank i.nstallation prior to coverin�. Q eetion is requued
d trench installation rior to coverin�. For mounds, insp
C. DraLnfiel P
after rouQh-up buc prior to sand placement (sand will be jar tested for silt content),
� and a�ain durin� pressure distribution pipin� installation in � rock b p• S��ion
D, F i.n a l i n s p e c t i o n t o v e ri f y pro per fmal cover de pths and to veri that alI umP
(where required) componencs are functional and comply with codes.
5, Iridividual holdin�MPCA Installer Cerificace shall be present durin� inspections: A 2�'"
hour notice is required for all inspections.
.►
NOTE: �Applicant rriust initial alI spaces. Fi1i in aIl appropriate blanks, check all appropriate
boxes. .
1. I have received a copy of the system desi�n including the Ciry of Orono
Septic Sys[em Approval Cover Sheet. �
- � � � .2. T �viIi be�iastallin� thz followins:�� � .
A. Tanks: Pcecast Concrete Other Manufacturer
Tank Capacities: 1) gaI. 2) QaI. ^
J ,) a�i, .
� - B• Pump Station (if required}
Pump make & model • (attach pump curve &
literature); system desi�n requires gpm at feec of head.
. Hi�h Svacer alarm make & model Outside
• electricaI work to be completed by installer electrician
other . Inside electricai work must be completed by
electrician. �
' C. Treatment System:
� 1����j , Trenches: s.f. �Mound
�� ��,�1 Depth of rock below pipe " Rock bed dimensions ��X �
� Y v�w ��s�,,,� ^� � Drop Boxes � Sand bed dimensions 'X ° -
1�`_ Distribution Box Pressure Dist. Pi e Diam. T-"
�,,bY�� � ��' . P r �i.
v,�� '` � .Maniford Pipe Diam. � "
D. Final Cover/Topsoil to be: borrotved from site
(show location on site pla�)- �
_�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 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:
��
Si�na[ureofAppIicanc:_�_ �_ - _ � �,
- . Date: 7 �-- � " � S
� . . �
MPCA Certification No.: � � (J . - - �
Staff Reriesv: Approval �� Denial . . �
� ReFiesver: � " ' � �
� Date: '� - ?� � S��
Reason for Denial•
DATE TIME
CITY OF ORONO CALLED IN a�����L�
INSPECTION NOTICE SCHEDULED s �
PERMIT NO. ,/ r'7`'� COMPLETED ?�.�?7f�,' !/-d O
ADDRESS � S � `�
OWNER CONTR. �...�
TELEPHONE NO. � ��-�- �J�.Z �
� DESCRIPTION �%�.i'_��t� �� �' 1�'./h->,Q, o� '� �,
l� 01 FOOTING MECHANICAL RI 18 EX / ADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MA T. 21 COMPLAINT
v 07 DEMO-FINAL 5 SEPTIC INSTALL.� 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPT �- 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMME S:
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOF WILL RETURN
i, CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan . 73-73�J7
OwnerlCon c or ite
Inspector
ite Copyllnspector's Canary CopylSite Notice