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Home My WebLink About1992-004444 - repair/3 tanks PERMIT � ' ��`TY OF ORONO PERMIT TYPE: ��;�w��; i� wATER 1335 Brown Rd. South • P.O. Box 66 Permit Number: C�i it�.Q.t�.�. Crystal Bay, Minnesota 55323 Date Issued: t_3t,ji5 i�i;� (612) 473-7357 SITE ADDRESS: 1�:'�� LYt�AN AVE CH ► �'. I .�f. ; :��—f 1:=,—i:�—::�.—i yi�i}4 DESCRIPTION: REF'A I R�:�: TAl�I��::`_: '�ew�r �� ;:�1at��r F'�rr3�it. Ty�� D�i�FLC� it;�3k TANk; '=;�wer �; �at.e}= W��=F:: i y�� ;EF°LA�.:E �k:I'=�TING � � �� . , , ��x dr �' ��N�� [sr�l��1��pu�+�"n�"� �t«u �x��`��t � � � �Y� � - �'Ati r ��" �rfwr,�^�"'r�- �, � ,�� '� � � � ,� �u t � ,,� �� :�� 3��; �� r �! �� a��"y%iw �� ,� fi � :�' � � �� x �� , �.�, +r � � ".�"�� N�"M "�' � ; as » r � �m '* �� 'i� ��,; � a,�ry '� � ��.�a �r � r, iv, �h �Mir� n� F #'"` - d +' �s.`�'��' rv'.N t �'�}/� ^" `'F�.� REMARKS: FEE SUMMARY: �-•;� �,;;,,, n 3��a..�,.7{r{ivv�r V1 V41t� r.'lla�V ��;��d3ifti �r E��c F�� fii�.t ii.} ��'��: • u i%i vii i� .�v _�la)'C{"Icl!'�� _�_�__� _�...�+�) :•..-i'`3�• i3 ifSf Til1 i..� L4d !L iY1�VY Tr��•cl�. �� ^�i�iE), ri4l +=t'��CTl:T_i iiAaiJ�' Y�i► lIL4L11 ! 1171'l/Tf 1 U ..:lA+-::Y:tet 1't�ii{ ��lfll !{t,�•�'r !fiTJ'►TL 4VV1 7 Vl !V •i�1 Va� �� , Ill�i.a!%!i. CONTRACTOR: — A��plicant. — OWNER: r _T�tHN'=��i� _1'E��iY �XC: �47_:4_:E,I WH I TEHEAC? MARC� z :�44� h1�a�N I hIG'�I DE i�D 1�'�'t� LYh1t�N AVE . ��i1VG LF`�k::E t"ihJ S�_:SF. ��FF�i:.��lC} h'I(V ��}'�f ► {F�:t.} �7:�{—�� _____ _.___ . __.__ __ _ ._. _..._ ..___.._._. _- -- - _ _ ___ ____ _ ___ . _._--._ __._. ._ ...; - � � �, THE t 1 '- E��,EED !-IE��::Y �E��t��_i'�� F`ERt�I _ ��►_�h� Tf:E I�Rk�:E TN� F�EHL I h'jF�;��t�lENT�; =��'E{=�F�FD ' Ai�RE�'=� T�! Dt a r�LL �:�3�h�:: I h# '��T�'I�.:T i:i��i li='L_I r��.�E �I TF�i �LI_ {:I Tl� i�� i ii��=�Cd �� _? ' � '�. C:E°�� P.�� _«:i��TE s aF t�I��?hdE_:��.f�-h �:t!��I�EC= �::+:l�rE �E�:�U I f;Et�!Et�T'�� . � � APPUCANT%PEFiMITEE SIGNATURE ISSUED BY:SIGNATURE �� `�'`�',�� . ♦ � APPLICATION FOR SEPTIC SYSTBM PERIKIT CITY OF ORONO Box 66 (1335 So Brown Rd) Crystal Bay, LrII�i 55323 ***:�*��**�*f***�**�**��f:�:�***�*��****t**:�*�*�**:***�*****��**�*:#t:t*� General Instructions: 1. You may app� for septic system permits by mail or in person at the City offices. However, permits will not be mailed out and must be picked np 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 holding 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 Approval" cover sheet signed by the City Inspector. 6. The following inspections will be required for alI 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 lation 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 for alI inspections. *******:�***#**********�**:�*�**:******:*�::��**�*�*:*:*�**�*:****t*****:*� Jos siTs Annx�ss: /��CJ .Lj/i��trt, �f'�- Occupancy Type: Residential� Commercial Other Owner' s Name:��%�'�t,fG �%/��G�� d Phone: Mailing Address: City: Zip: Septi c Contractor' s Name: �1-�- O n✓ k,G Bus. Phone: 7�� Mailing Address:�l(� a}-�r� 'r� �<- �� City: � �L Zip:.�s3s� *�*#:*:**�::*:*� � * #*:* **::*�* t�*:�***** ** * ��******�:�*�#t*** - over - � ��' ��--�- ��_� � �� --Py-�� /�- 13� v ' . SEPTIC SYSTSM P$RMIT APPLICATON - PAGE 2 Permit Type � Fees (check one) New Construction, Full System $100.00 . . . . . . . . . . . . . . � Repair or Replace Existing System $50.00. . . . . . . . . . . . . $0.50 State surcharge added to above permit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITS THIS APPLICATION �*�t****t**�*��*��*�**:�*******�*:****#*t*�*t*�*�**��*�*******#*�*#***t*#� NOT$: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. I 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) ��bL--gal. 2 ) 1/�'vv gal. 3 ) ��='L�gal. B. Pump Station (if re ire � Pump make & model � ,�' (attach pump curve & literature); system design requires gpm at �� feet of head. High water alarm make & model�j�c�r��.. ��:.��c�. Outside electrical work to be completed by insta� ler electrician other . Inside elec�t`rical work must be completed by electrician. C. Treatment System: Trenches: s.f. � Mound Depth of rock below pipe " Rock bed dimensions /D 'x Drop Boxes Sand bed dimensions �'x ' Distribution Box Pressure Dist. Pipe Diam. " Manifold Pipe Diam. �_" D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) trucked in ***********�:�t*********�********�*t:****��*�**:�:***��*�**�**�***�*�#��** 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 correc , Signature of Applicant: Date: �"��` �� MPCA Certification No. : �•� � �� D TI E , CITY OF ORONO CALLED IN INSPECTION NOT C SCHEDULED — � PERMIT NO. � COMPLET D ADDRESS � � � OWNER � CONTR. TELEPHONE NO. � DESCRIPTION ��1�v-[� � 01 FOOTING 1 MEC ANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y IXi INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETffURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTI T. 21 COMPLAINT 4Qi 09 PLUMBING RI SEPTIC INST . 22 FOLLOW-UP = 10 PLUMBING FINAL 2 F�yRL J �.� Q OWNERICONTRACTOR TO MEET YOU:'�YES_NO Z y COMMENTS: � W a � J O '' a � 0 � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WtLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-7357 Owner/Contra r s' : Inspector. Whlte Copyllnspector's File Ca�ary Copy/Site Notice . � < , DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICyE SCHEDULED '1 " � �� PERMIT NO. '`�`� C MPLETED G2 �ti—_ ADDRE OWNER CONTR. TELEPHONE NO. � 3 ' 3 _ � DESCRIPTION �� ,,(�� ty 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING H 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 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 O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT W 09 PLUMBING RI 15 SEPTIC IN TA 22 FOLLOW-UP = 10 PLUMBING FINAL 23 S IC AL v � OWNER/CONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: �� ' '�� W a � / s � - s 0 � 0/7 —s o �. � W � � s Q �" c0'!�'r �� 2 W W � -��,� ��'�Yz°� �-� � � � d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract n si : Inspector. White Copyllnspector's File Canary CopyfSNe Notice D�� TIME CITY OF ORONO CALLED IN � /d � INSPECTION NOTt�I /E1 SCHEDULED PERMIT NO. / T � COMPLETED ADDRESS ` °� �O a�''t-J OWNER I.0 p CONTR. ` ��'�"� TELEPHONE NO. � DESCRIPTION _ / l�� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 S HOOK-UP O6 PROGRESS � 07 DEMO—FINAL 27 SE AINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTI L. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTI AL � OWNERICONTRACTOR TO MEEf YOU: YES_NO y COMMENTS: � � �` � J O � � n � v� O � W � Q � 2 W � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL REfURN ❑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 it . Inspector. White Copyllnspector's File Canary CopylSite Notice v'� DATE TIME CITY OF ORONO CALLED IN -��'�� 31� INSPECTION NO I SCHEDULED �� PERMIT NO. co PLETED �� ADDRESS �^' OWNER r CONTR.� /�nS4►� TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WEIL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 031NSULATION 24125 WO00 BURNER/FIREPLACE 19 LAKESHOREMIETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTI ALL. 22 FOLLOW-UP J 10 PLUMBING FINAL �� Q OWNERICONTRACTOR TO MEET YOU: YES_NO 2 y COMMENTS: W —�0. o — > s�' l �o . � - -,,- � 0 � W � Q � 2 W � W � � d �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERINCa PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContract o s' : Inspector. White Copyllnspector's File Canary CopylSlte Notice