HomeMy WebLinkAbout1996-008500 - repair septic system _.�,,-- � _ _ _- _
PERMIT
� �ITY F ORONO
0 PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 '=���1�h :� �#F-�TEh
Crystal Bay, Minnesota 55323 Permit Number: �y;y,.,,�t_��}
(612)473-7357 Date Issued: � E_:�� �f_��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO � S�PTIC SYSTEM PERivIIT APPLICATION
Box 66 (2750 Kelley Parkwav)
Crystal Bay, 1��1 55323
JOB SIT'E ADDRESS: � � �"'��`�`' ��`-' �G�`�`�
Occupancy Type: Residential �� Commercial Other
Permit Type: I�'e�v or Replacement System, $100.00
Repair E�cisting System, $ 50.00 �—
(Tanks or Drainfield)
0.50 State surcharge added to above fees
� *See fee schedule for non-residential permit fees
Owner's Name: PhoneNumber:
' % ��--e i� �-/`� City:�'�'��,�--- 7ip:
Nlailing Address:� � -
Contractor's Name: ,' " ,�✓-� �'-K-z. PhoneNumber:
Nlailina Address: ,���' -��..-u�-�- /�vt- City:!�,�.���' 7�ip:-��J7
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DO NOT N1AII. PAYMENT WITH THIS APPLICATION
GE�IER.AL �tSTRUCTIONS
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 City Offices and work must not begin unless the permit card is on the job
site.
2. Permits 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. Desian
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 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 a�ain during pressure distribution pipin� installation in the rock bed.
D. Fi.nal inspection to verify proper final cover depths and to verify that all pump station
(where required) components are functional and comply with codes.
5. Individual holding MPCA Installer Certificate shall be present durin� inspections: A 24-
hour notice is required for all inspections.
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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
1. I have received a copy of the system design includin� the City of Orono
Septic System Approval Cover Sheet.
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2. I will be ins lling the following:
A. Tanks: � Precast Concrete _ Ot er Manufacturer
Tank Capacities: 1)/�/uU gal. 2) p�rJ 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
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 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 complete, true and correct.
SignatureofApplicant: Date: �� — � � ^ / �
MPCA Certification No.: � � � �
Staff Review: Approval Denial
Reviewer: Date• ����_
Reason for Denial•
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOT SCHEDULED
PERMIT N0. � COMPLETED �
ADDRESS � �
OWNER CONTR. �P c�
TELEPHONE NO.
� DESCRIPTION f_�/l�I7F-S
� 01 FOOTINO 11 MECFUWICALRI 18IXCAV/(iFlADINO/FIWNO
�Q 02 FRAMINO 73 MECHANICAL FlNAL 19 I.AI�SHORF/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FlNAL 14 SEVVER HOOK-UO 06 PROORESS
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J 07 DEMO—SfTE 27 SEPTIC MIUM. 21 COMPLAINT
�Q 07 DEMO—FlNAL 15 SE STALL 22 FOLLOW-UP
= 09 PLUMBIN�RI EPT1C Fl 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAI 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET Y�:_YE8_NO U��
y COMMENTS: — '
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d ❑WORK SATISFACTORY:PROCEED
W� : PROJECT COMPLETE
W Li CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT 1NORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract
Inspector: _-�"
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