HomeMy WebLinkAbout2000-P02308 - septic * _ . PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po23os
Crystal Bay, Minnesota 55323 Permit Type: sept��
(612) 249-4600 Date Issued: 4ilo�2o0
SITE ADDRESS: 345 NORTH ARM LA
MOiJND,MN 55364
P I D: 06-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 100.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: J•S. STEWART COMPANIES, INC OWNER: DAVID SIPPRELL
16400 OLD ROCKFORD RD 345 NORTH ARM LA
PLYMOUTH,MN 55446 MOUND,MN 55364
THE UNDERS[GNED HEREBY REQUESTS PERMISSiON TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK(N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF M[NNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PCRMITEE SIGNATURE ISSUED l3Y SIGNATURE �
Copies: City,Applicant,Assessor, Finance Page2
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CITY OF ORONO S�PTIC SYSTEM PERNIIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
JOB SITE ADDRESS: 3�S /(�o2-�-t.} A RYYI Z��.
Occupancy Type: Residential _�_ Commercial Other
Percnit Type: New or Replacement System, $100.00
Repair Existing System, $ 50.00
(Tanks or Drain�eld)
0.50 State surcharge added to above fees
*See f schedule for non-residential permit fees
Owner's Name: Ic��m oneNwnber: 3�� -Zzyy
Mailing Address: City: 7ip:
Contractor's Name: J-5 ��A,� �a,�,o,4.v r�s� T..�c. PhoneNwnber: G -
Mailing Address:��o rwn �cxr�an �. - � . -- City: D ZP'. �IyG
DO NOT MAIL PAYMENT WITH THIS APPLICATION
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
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 holding 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 signed 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. Drainf'ield 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,installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump station
(where required) comporents are functional and comply with codes.
5. Individual holding MPCA Installer Certificate shall be present during 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 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) ►30o gal. 2) 130o gal. 3) t�ao gal.
B. Pump Station (if required)
Pump make & model �aouc.0 (attach pump curve &
literature); system design requires 3S gpm at �O feet of head.
High water alarm make & model z�v��m 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 1� 'x�'
Drop Boxes Sand bed dimensions �'x��'
Distribution Box Pressure Dist. Pipe Diam. i'�v "
Manifoui 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 certi�es that all statements made on this application
are complete, true and corr .
SignatureofApplicant: Date: - �� ^ ��
MPCA Certification No.: � ?(��
Staff Review: Ap al Denial
Reviewer: ' ��K.�/ Date: y l� �d U
Reason for Denial:
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DATE TIME
CITY OF ORONO CALLED IN 6'ZZ`d0 71�
INSPECTION TICEQ SCHEDULED �'ZZ'O° 8%d�
PERMIT NO.��'30�/ COMPLETED
ADDRESS ���5 Na�� A-�i Lanc
OWNER CONTR. �l � s ` S�w��
TELEPHONE NO.
� DESCRIPTION ��K �
� 01 FOOTING 1 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 S 21 COMPLAINT
� 07 DEMO-FINAL 5 SEPTIC INSTAL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali f r the ne spection 24 hours in advance. 249-4600
OwnerlCo tr on i :
Inspecto
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED `I —�y' a0 ;ot,�
PERMIT NO. , � COMPLETED
ADDRESS ��J� ���� �/�'�+'�'� ��
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TELEPHONE NO.
� DESCRIPTION �C`�//C ��YJ'lk ins�llar�G�
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL.� 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call f h ne t i spection 24 hours in advance. 249-46��
OwnerlCon ra �on si :
inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN � O�
INSPECTION TICE SCHEDULED � -��
PERMIT N0. O COMPLETED
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OWN ER CONTR.
TELEPHONE N0.
� DESCRIPTION � rr�a
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z04 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
J 07 DEMO-FINAL SEPTIC INSTALL.� 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali fo the nex ' spection 24 hours in advance. 249-46�0
OwnerlCon ac r o
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �,/
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED '
PERMIT NO. COMPLETED S OO
ADDRESS 3�S �. ��''` �'^��
OWNER CONTR. ���—
TELEPHONE NO.
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 3 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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Call fo e ne � spection 24 hours in advance. 249-46��
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Inspector.
White Copy/inspector's File Canary CopylSite Notice