HomeMy WebLinkAbout1997-009591 - repair septic system PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66pjF
Crystal Bay, Minnesota 55323 Permit Number: ,
(612) 473-7357 Date Issued: - - - --
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT,PERM TEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO SEPTIC SYSTEM PERIMIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay, NLN 55323 �S
JOB SITE ADDRESS: S5-ew
Occupancy Type: Residential Commercial Other
Permit Type: New or Replacement System, $100.00
-,e,Repair Existing 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: (AA." PhoneNumber:
Mailing Address: City: Zip:
Contractor's Name:G Phone Number: 7 L 3 7 I 5�s
Mailing Address: City: Zip:
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. 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 installation 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 comply with codes.
5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24-
hour notice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
I have received a copy of the system design including the City of Orono
Septic System Approval Cover Sheet.
D .2. I will be installing the following: �J y� w�`S w
A. Tanks: _Precast Concrete Other Manufacturer pt �
Tank Capacities: 1) !2 s a gal. 2) 123-0 gal. 3) 12 so 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.
A � W /) /.
SignatureofApplicant: Da — 2
MPCA Certification No.:
Staff Review: Approv Denial
Reviewer:
Date:
Reason for Denial:
DATE TIME
CITY OF ORONO CALLED IN 1.2,13-97
INSPECTION NOTICE SCHEDULED
PERMIT NO. 959 COMPLETED
ADDRESS Sj4 2'7 a-I-n Rd
OWNER CONTR. e YZ Ii A�p
TELEPHONE NO. -7 7/Sf
DESCRIPTION 4A,-✓/
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
h 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
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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
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07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RISNAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL EPTIC NGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMIE/NTS._ _,I ysr✓`Q
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QEl WORK SATISFACTORY.PROCEED _ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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.473-7357
Owner/Contract sit
Inspector.
White Copylinspector's File Canary CopyfSite Notice
DATE TIME
CITY OF ORONO CALLED IN 10- ,3t17 A):s7
INSPECTION NOTICE SCHEDULED 11_31–q I
PERMIT NO. SCOMPLETED
La ,� r 1
ADDRESS y l �JL�-r�`�1 t:h1�Zs�f V
OWNER L-A?- .&,V CONTR. n o
TELEPHONE NO. � �� ' 15
DESCRIPTION
U_ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLlNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC AINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEffZTMr— 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LWORK SATISFA TQR CEED i} �l PROJ T COMPLETE
W L' CORRECT WO PROCE JD , t�;- IS E CERTIFICATE OF OCCUPANCY
Q C, CORRECT WORK,CALL FOR REINSPECTI TEMPORARY
V BEFORffCAPR G PERMANENT
❑CORRI I HIN HOURS. PHOTOTAKEN
IN PECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor n e:
Inspector. Yui
White Copy/Inspector's File Canary Copy/Site Notice