HomeMy WebLinkAbout1999-012209 - new septic PERMIT
• �' ORONO , PERMIT TYPE:
� .��"�y Parkway - P.O. Box 66 . .•. . �..,
Crystal Bay, Minnesota 55323 Permit Number: � �
(612) 249-4600 Date Issued: V _
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CTTY OF ORONO SEPT'IC SYST'E1�IP�RitiIIT APPLICA3TOY
Box 66 (2750 Kelley Pazkwav) •
Crystal Bay, IbfiY �5323 -
3�o �S .,.��c d��S � e� .
JOB.SITE ADDRESS: . . .
� Occupanc�• Type: � Residential`_� Commercial �� . Other_
Permit Tspe: hetiv or Replacement S�stem, $100.00 �' �
Repair Existing System, � 50.00 `
(Tanks or Drainfield)
0.54 State surcharge added to abave fees �
. *See fee schedule for non-residential permit fees
Owner's �"""'��_'�{� �r�' PhonetiTumber: b12�- 37 I - "7R b0 .
IYiailing Address: 4 -�t • +� l 01� City: �P_����-�
Contractor's i�Tame: PhoneN ber:
lYiailiag Address: City: �P�
AO 1T0�' N�� PAYt1•IENT WIZ'H THIS APPLICAT�O�►' -
GE�IER.AI� �tSTRUCTIO�TS . .
1, Applicacions for septic�system permits may be mailed or submitted in person.at the Ciry
O�ces; however, permics will not be.mailed out. The permit must be picked up ia
person at the Ciry Offices and work must not begin unless the permit card is on the job
site. � . �
2, perrnits 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. Design
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-inscallation site inspection to include inspector, i.nstaller, a.nd general contractor.
B. Tank i.ascallation prior to cover'ui�.
� For mounds, inspection is required
C. Dra'u�field trench installation prior to coverin,.
after rough-up but prior to sand placemenc (sand will be jar tested for silt conteac),
� and a�ain durin� pressure distribucion pipin� installation in the rock pd• S�tion
D. Final inspection to verify proper fmal cover depths and to verify that all ump
(where required) componencs are functional and comply with codes.
s, Iridividual holdin�MPCA Installer Certificate shall be present durin' inspections: A 2`�"
hour notice is required for all inspections.
NOTE: 'Applicant rriust initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes. .
� .
� 1. I have received a copy of the system desi�n includin� the Ciry of Orono
Septic System Approval Cover Sheet. -
� ' .2. I �viIl be�instaflin� the.following: � � � �
A. Tanks: Precast Concrete Other Manufacturer
Tank Capacities: 1) 12'S�gaI. 2)�_ gal. 3)�2'S`�gal. .
- B• Pump Station (if required)
Pump make & model . (attach pump curve &
literacure); system design requires gpm at feet of head.
High �vater aIarm make & model . Outside
• ' electricaI work to be completed by�installer electrician
other . Inside electrical work must be completed by
electrician. , �
' C. Treatment System: �
� Trenches: s.f. Mound �
Depch of rock below pipe " Rock bed dimensions � 0 �'X Lp��
Drop Boxes � Sand bed di.mensions�t�'x$� ' -
Distribution Box Pressure Dist. Pipe Diam. � � "
� .Maniford Pipe Diam. Z` n
D. Final Cover/Topsoil to be: ��borrowed from site
(show location on site plan)- -
trucked in
The uadersigned 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 chat all statements made on this application
are complete, true and correct:
Si�natureofAppli�ant• �h • �� Z .
Date•
MPCA Certification No.: . � � - �
Staff Review: A r Denial . . �
� Revietiver: Date: /� ��'� �� �
Reason for Denial:
�
����1� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDUIED l��i/ �l �
PERMIT NO. I �aG`� COMPLETED
ADDRESS ��'� r Gt eG S �l�
OWNER CONTR. li�'1
TELEPHONE NO. � �"f� �s�
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE . 21 COMPLAINT
� 07 DEMO-FINAL 5 SEPTIC INSTAL 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WtLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call fo�.tt�e next in ion 24 hours in advance.473-7357
OwnerlCon ac.�� n sit
Inspector. ����
White Copyllnspector's File Canary Copy/Site Notice
7
TE TIME
CITY OF ORONO t �� CALLED IN ' 3'` - �`"QO
INSPECTION NOTICE SCHEDULED il-3o-17 3.� 3�'
PERMIT NO. � COMPLETED
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ADDRESS � � ' tt."`C`�`�-' �- �'
OWNER CONTR. �Lc.�2-��c.�v..�� -�`
TELEPHONE NO. /��"�� ��� -�
� DESCRIPTION -l'���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑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.CALL TO ARRANGE ACCESS.
Call for the ne i pection 24 hours in advance.473-7357
Owner/Contra�t r on/s' e:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
C��(� DATE TIME _
CITY OF ORONO CALLED IN
INSPECTION NOTICE 2��Cr SCHEDULED '�3 Gt �=—�`�
PERMIT NO. � COMPLETED / �� �
ADDRESS ��n�S � �� ��� �l �
OWNER CONTR. ��� I�7"�"
TELEPHONE NO. ��a�g��
� DESCRIPTION �C���?f
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI PTIC INAL 35 HARD COVER REMOVAL
� 10 PLUMBIN��s� 36 FOUNDATION/REMOVAL
Q OWNERI NTRACTO O MEET YOU:�ES_NO
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� �❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTOTAKEN
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
Owner/Contract r on site:
Inspector.T/����CQ G7.�
White Copy/lnspector's File Canary CopylSite Notice