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Home My WebLink About1992-004634 - replace septic PF,IZMIT , CITY OF ORONO PERMIT TYPE: ��;EWEF; �� WATER 1335 Brown Rd. South • P.O. Box 6o Permit Number: {�{'��=,=;� Crystal Bay, Minnesota 55323 Date Issued: i 7��/�.�,��;� (612) 473-7357 SITE ADDRESS: ��;��, FREt�IGH C:�;EEt�:: �:I�t C:H F' . I .�I. ; 1�.�—� i 7—z_:—�::=;—i 1i�i�_: DESCRIPTION: RE?�`r��E '��EF'f I�.: '=�ww�r t� +�at-�r F'�rr►,i t� T��e DRt�a�LG ��1�►E�; 7a1Vf�:: '��tw�r �� t.i�t' 41{�if'�:: �'yF�� F:�F'LF�C�E ExI:��!IP+I� �'I'3�Y t1f �k�'�� :N;fi;�C� �r�I�� :f133t;�i��4� � ,L}i Gi� S��G� It�t�L}U�'t�#? � L� vFt� .� REMARKS: �'' t�'" " j� t '"`(.''" !�L 4L•i 1 T !!-f�i�f 1 ��Yj �;:r•i7i i� r��i� rf�i� ri� �� ta1t�J1 V t+ ! / i•�S . . Y}!/fi�%TL FEE SUMMARY: E.�� F�� i� . i}ia '_��1'C t'tct i'3+=' ---____ _��a'�,�) �'��t•�l F�e ��t�. �t� � • ��€�a��c:�v�;-r�ra�� f�?� �YK±�l�� c��r� F,T :� E�f�;t; : �':;_`;_�i; FREN�=H C:hEEl��:: C:IF� Fi_�t:�::��}�;fi Mr� ti�_:;:�: E�a�i:��i�_i �� _;�s�. +.:►�.1"�:r �.7 i—�i.�77 __ _ . _ �----___ ._.—_ ___- __._--- _----___.___ . ► , �F�� l}h�?C�Eh'�:I C�N�Ca }-lF.�,��:Y �Ec;=t�E_?"�� F E��i I _ �;i t�� T�� t'�R�;:E T6-iE �iE��C_ I t�lr'�if�►'�1E�?E t�T'�� =3�=`ES�=I�I E[3 t��`�kC� �i��I�:E�'�; �i:� �7i�► �,E�. �,�t i�z�.:: I h� '==�i R I ti:T t�:i=�t1f='L I Ats�C:E ��1 I T�-! r�LL �=I T� �:�� t�zf:;�iP�fE�► CtRCs I P�I��E�:�'�; �t�Cy '_�T�7��: t�a�� t�I��h��::�,�:��'� �;t�I LC�I�lC� t�::��i� �;F��!J I�;Et��t�?�'=� . L_ l � 4 :r � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �� c � i� - �,�� APPLICATION FOR SEPTIC SYSTEM PERMIT CITY OF ORONO Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 **#******tt*#*#*****t**tft***#********t*t*tf*****t*t*#**t**�t******#:*t**** 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 hoiding 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 Approvai" 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 general contractor. b) Tank installation prior to covering. c? Drainfield trench installation 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 instal Iation 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 comp ly with codes. 7. Individual holding MPCA Installer Certificate shall be present during installation. 24-hour notice is required f or all inspections. �***##*****:#******�****�****#****************�************�**�*�*****�**** JOB SITE ADDRESS: � � �V '7Z�Z.(/Vl`"'� �,•c:�L�- �iC� Occupancy Type: Residential `� Commercial Other , > Owner' s Name: V��-a�V✓� Phone: Mailing Address : City: Zip: Septic Contractor' s Name: i ,(,lY.�..- Bus. Ph e: l.��7��_�� 5 7_� Mailing Address : City: � ip:�� ****************�*************f:****#***:***�*:**� ***** �******tt*****t: - over - �G�; � �� '��`r� � .�c��' � y SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2 Permit Type & Fees (check one) New Construction, Ful.l System $100 . 00 . . . . . . . . . . . . . . �epair or Replace Existing System $50 . 00 . . . . . . . . . . . . . $0. 50 State surcharge added to above permit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMLNT WITH THIS APPLICATION #**�**�***#**�**��**t*�*****�*#*******�***f*�******�*******�***t*�****�**#� NOTE: Applicant must initial all spaces. Fill in aIl appropriate blanks, check all appropriate boxes . , Initi � 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 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 /U Depth of rock below pipe " Rock bed dimensions��' x(� ' Drop Boxes Sand bed dimensionsl�lx�? Distribution Box Pressure Dist. Pipe Diam.��_ Manif old Pipe Diam. �" D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) trucked in #**�**##*�*************#�*****#�***�***�**�****************�**�******#***** The undersigned 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 that all statements made on this application are comp i ete, true and c rre ct. Signature of Applicant: � �l�'V `-/� � Zf Date: ;�SPCA Certification No. : � -, � i- DATE TIME CITY OF ORONO CALLED IN `f� ��'. INSPECTION NOTICE SCHEDULED -� '�' ��` �� PERMIT NO. ��' �� COMPLETED f� � ADDRESS � Cf' r OWNER CONTR. �' TELEPHONE NO. � DESCRIPTION ��f'� � lL 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING � 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC INT. 21 COMPLAINT Q = 09 PLUMBING RI 5 SEPTIC INST 22 FOLLOW-UP J 10 PLUMBING FINAL 23 AL � OWNERlCONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � � a � J O � Cy'L� � � / o , � � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED r' pROJECT COMPLETE W WC; CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O i-,CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor n 'te•' Inspector. �" White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NO/T� ICE SCHEDULED PERMIT NO. `'7�=�� COMPLETED ----+�Q=�� -� ADDRESS�O �l�r� G�L'K C��i� OWNER CONTR. r��v ��- TELEPHONE NO. _ � DESCRIPTION r lY�I lL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP � 02 FRAM�NG 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 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 � 07 DEMO—FINAL 27 SEPTIC MA�NT. 21 COMPLAINT = 09 PLUMBING RI � 22 FOLLOW-UP J 10 PLUMBING FINAL SEPTIC FINA � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � / W —l '..�v- , P� a j o " y nn��, C�l< a � 0 � w � Q ti z W � W � � f d ❑WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W � l7 CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O C]CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING 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 n it : Inspector. - White Copylinspector's File Canary CopylSite Notice