HomeMy WebLinkAbout1998-010115 - septic repair � PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelle Parkwa P.O. Box 66 :nkL F����` `'' ������:
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Crystal Bay, Minnesota 55323 Permit Number: �- _ � ��
(612)473-7357 Date Issued: i�r�t� r'`_=��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICAN RMITEE SIGNATURE � ISSUED BY:SIGNATURE '�'`�� �
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CITY OF ORONO SEPTICSYS'I'EI�IPER�ti-IITAPPLICATTON
Box 66 (2750 Kelley Parkway)
Crystal Bay, Nl�t 55323
JOB STTE ADDRESS: G- � �' �� �
✓� t�'ci' : �l L G �� �
Occupanc�� Type: Residential � Commercial Qther
Permit Type: iV'e�v or Replacement Sy'stem, $100.00
Repair Existing System, $ 50.00 ' �
(Tanks or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
Otimer's I�'a.me: �.(,�, l 1� ���� j /�� � � =� c l _ PhoneNumber: �---j 7 5-/ ����"
IYlailing Address: z z-- z 5" �� r�� -��-� ( � , . _ City:/'��- 7�P� ��s�3 s E-
Contractor's Name: ��, �/,'�, ; ,s Gl f� /,- �� :C, � . PhoneNumber: ��7 3-��3�'G
1��Iailing Address: �G �c -'��-' ���� �� City: c� `�, Z�p�s�3`%i
DO \TOT I�IA-II., PA'Y�IENT ti�IT'H THIS APPLICATIOti'
GEti'ERA-i., I�'STRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the Ciry
Offices; however, permits will not be mailed out. The permit must be picked up in
person at the Ciry Offices and work must not be�in unless the permit card is on the job
site.
2, perm.its will be issued only to contractors holdin� a City of Orono Septic System
Installers License.
3, All work must be done in accordance �vith the approved septic system desi�n. Desi�n
reports are not considered approved unless accompanied by thz "City of Orono Septic
System Approval" cover sheec si�ned by the Ciry Inspector.
4, The follow�in� 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 coverin�.
C. Drainfieid trench installation prior to coverin�. For mounds, inspection is required
afcer rouQh-up bu[ prior to sand placement (sand will be jar tested for silt content),
and a�ain durin� pressure distribution pipin� installation in the rock bed.
D. Fiaal inspection to verify proper final cover depths and to verify that alI pump station
(where required) components are functional and comply with codes.
5, Individual holdin�MPCA Installer Certificate shall be presen[ durin� inspections: A 2`�-
hour notice is required for all inspections.
NOTE: Appltcant must initial alI spaces. Fill in a11 appropriate blanks, check all appropriate
boxes.
1. I have received a copy of the system desi�n includin� the City of Orono
Septic System Approval Cover Shee[.
2. I will be installin� the followin�:
A. Tanks: � precast Concrete O[her Manufacturer �f G��,
Tank Capacities: 1) � , � gal. 2) :� �-� �al. ;) ga1.
B. Pump Station (if required)
Pump make & model (attach pump curve &
literature); system desi�n requires opm at feet of head.
Hi�h water alarm make & model Outside
• electrical work to be completed by installer electrician
other Inside electrical work must be completed by
eleccrician.
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 City of Orono for issuance of a septic system installation
permit, agrees to do all work in strict accordance with the ordinances of the City and the
regulations of the State of Minnesota, and certifies [hat all statements made on this appiication
are complete, true and correcc. ,
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SignatureofApplicant: ��, � ! _� Date: �'�" �- �7,�
�
MPCA Certification No.: � �.C%
Staff Review: Appro aI Deni
. � _� ��j- �
Retizetiver: �--
i" �"-7
; ��� �� ��' Date: � L,
Reason for Den.ial:
DATE TIME
CITY OF ORONO / CALLED IN
INSPECTION NOTICE j G��� SCHEDULED � �
PERMIT NO. COMPLETED I� �
� �
ADDRESS
� `
OWNER CONTR. I �
TELEPHONE NO.
� DESCRIPTION IC����
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC NT. 21 COMPLAINT
� 07 DEMO-FINAL PTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�_YES_NO
� COMMENTS: a" l " � �
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W Ci WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO 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.473-73�J7
OwnerlContractor
Inspector. " % -�/
White Co yllnspector's File Canary CopylSite Notice