Loading...
HomeMy WebLinkAbout1998-010682 - new septic system PERMIT " CITY OF ORONO PERMITDaTYPE: 2750 Kelley Parkway P.O. Box 66 SEWER . WATER C(61ry2)stal4737357 Bay, Minnesota 55323 Permit te IsNusmuedber:: i x 106 82 08/27/96 SITE ADDRESS: 640ORCHARD PK RD 6 CH i e //yy **(yy P . I . N . i .-2-1 1 ii-000 =TEIrYSTEM �E TIC ;YDESCRIPTION: NEW SEPT NEW Et. Type ter Fer iIype°eer ? Wt.t�r W_ ^_ewer a REMARKS: FEE SUMMARY: $100 . 00 Bas}" Fee_ ' t) Total Fee $100. 0 _ OWNER: TONY_ ONY- appiicint. - 6nET :547:�,E E , ;CONTRACTOR: i ORONO LEAS=H .i ETH AVE N ....A0 , i `CHAFD F :: RED F1 30MN ��=HA EL THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL PNTS.. IT' I F IED AND AGREES TO; "Da ALL WORK ISI,,STRICT NG C°I)E t I ,I SLI;; TY x L `.�RONr ORDINANCES AND STATE' i t M INN,- SPEC S T � I t t ERE I �� I APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE /6 cal CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, WI 55323 JOB SUE ADDRESS: 6, 4/0 0,/PGl-i4e0 �,m_xY Occupancy Type: Residential > Commercial Other Permit Type: New or Replacement System, $100.00 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: l�Ij(� �/'1 e 7-= Phone Number: Mailing Address: /go oIC��4iW i ]) City: ('` ifo//) Zip: Contractor's Name: / ci.v GL e.4,5-0/LJ PhoneNumber: 6(,2 6 Mailing Address: / 500 l X0,4 U: yVo, /tieLimiv Zip: 653 c) 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. 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: 3_ Precast Concrete 1/ Other Manufacturer ErUC1 S Tank Capacities: 1) (OW gal. 2) 1000 gal. 3) /000gal. B. Pump Station (if required) Pump make & model W f}''JJc yfp (attach pump curve & literature); system design requires yr) gpm at 'may feet of head. High water alarm make & model Outside electrical work to be completed by installer electrician 1/ other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. Mound Depth of rock below pipe " Rock bed dimensions /0 'x.5-5' Drop Boxes Sand bed dimensions go 'x 86' 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: Ac2 - -- ��'�� Date: � � '3! MPCA Certification No.: • g Staff Review: Appr al Denial • Reviewer: �>> r / , Date: 0"X"?? Reason for Denial: DATE TIME CITY OFNO CALLEDIN INSPECCTIONION NOTICE SCHEDULED t.RZTSr )9s PERMIT NO. COM LETED / l ADDRESS ] ( � row /opi, cri OWNER CONTR. ZZLIWN_ fr TELEPHONE NO. E DESCRIPTION44) W 01 FOOTING 11 ECHA L RI 18 EXCAV/GRADING/FILLING 4. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS • 07 DEMO-SITE 27T. 21 COMPLAINT ✓ 07 DEMO-FINAL 1 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL O OWNER/CONTRACTOR R T0�YO :�ES_NO �� 2 COMMENTS: ----0 -- CC a ‘' I)4'r /41-4kod /�4, ' f' O CSI ,aSP- AlliCCO 4. W CC cnW Z W Cc O WWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CICORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY tZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR C' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n-xt" s• tion 24 hours in a•vance.473-7357 Owner/Contractor / r. /�YJ Inspector. Nrl� White Cop nspector's File Canary Copy/Site Notice 97 J • . JMEj CITY OF ORONO CALLED IN dr INSPECTION NOTIip, SCHEDULED :>flt PERMIT NO. A • COM ETEEDD A. iil ADDRESS I ,t ! ij C�(lc ZIS OWNER CONTR. 6/fix_Dr,,` 1 1' TELEPHONE NO. DESCRIPTIONj` r& pIi YrrB -\ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL CI• 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 J 07 DEMO-FINAL SEPTIC INST;j11 22 FOLLOW-UP = 09-PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO !Y+U:_YES NO n COMMENTS: ��/ �' � � /� A 11 4cc Q. — �, ► Pt' J cc O --..... no.li! , '( , ' , )r) ....;41�DY \ cc Lk ,.Pf- /77? 0f a1tucc je....z. /t,,,,,d Q c,)1....W z W cc O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n- t i,,-pe. ion 24 ho rs i ad ance.473-7357 Owner/Contractor • / <. ) Inspector. ��//_ /f// White Copy/Inspector's File Canary Copy/Site Notice to T CITY OF ORONO CALLED IN I / INSPECTION NOTI � SCHEDULED ' "� kyr a PERMIT NO. eAtii�. C MPLETED I I 1 I ADDRESS K'; _ 11. /C R!;, .. OWNER CONTR. 6F r\ SfC. TELEPHONE NO. DESCRIPTION Rcick. ;, 1... LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREANETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS • 07 DEMO-SITE 27 EP C u,INT. 21 COMPLAINT Q 07 DEMO-FINAL 410311P'. 22 FOLLOW-UP = 09 PLUMBING RI • C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES l n Ar Q COMMENTS: �. % ) l7 �, s cc -LiL, ��� /�,� . V), VAP 41i CC .o ( � • ► 6L� .; /tie ' 0 4 /' l • /Tee, aZ sus. V O - _ /0 i --1600---/c)X: iti %, ,...iW c I- --IL 1 girl); •/11 MO z LU CC W d $WORK SATISFACTORY:PROCEED E PROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CI BEFORE COVERING PERMANENT O 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 ext ins! -ction 24 hours in advance.473-7357 OwnerlContrac / Inspector., i � �46. J White Copy/Inspector's File Canary Copy/Site Notice DATETIME CITY OF ORONO CALLED IN za-tea "g.57 X' ,A /arri INSPECTION NOTICE SCHEDULED 7 _,3 -91 9:0'3 Q''''"/ PERMIT NO. -- / 0/6 6S1�� COMPLETED � ADDRESS L//o C!/ e 7 �1� OWNE 'e z- CONTR. ._ / - - ' TELEPHONE NO. 417 2 - 6oZ 6, DESCRIPTION LI. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 v 07 DEMO-FINAL 15 S INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUND ION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES I N i n COMMENTS: ' '! I ,y �//Ok cc 14.1 /� / ec — ,v, cefre‘t-rool, 9;t cc ,igt))7,7,,_s-koi,/ 469 ioa ti,./ W Q Z W z W d W ❑WORK SATISFACTORY:PROCEED E PROJECT COMPLETE CC ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0• BEFORE COVERING 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 -xt' s s -ction 24 hours in advance.473-7357 OwnerIContractoi;� /x%91 Inspector: White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE o(9 01• SCHEDULED �'�10 17 PERMIT NO. I b COMPLETE ADDRESS 1 qo ©wiillow JR4 OWNER CONTR. TELEPHONE NO. DESCRIPTION SEPT/C.- t 1/1 / 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS • 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 S • A L. 22 FOLLOW-UP Lust 09 PLUMBING RI 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACT R 0 MEET YOU:_YES_NO oy COMMENTS: /ac,) Ve�/t- ' I S�aFI/1 1" SFC 12s fM hD/f Co VE 1,(4. <✓`r7 -� cc >. cc CMM W z W cc d W ❑WORK SATISFACTORY:PROCEED E PROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W CQRRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /Q0 Call for the next' spection 24 hours in advance. �j OwnerlContr c on t : Ye, Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN l7-9'cfd;/S INSPECTION NOTICESCHEDULED t•1-1°9' PERMIT NO. u(p6 COMPLETED ADDRESS ( VO QIech4 fri4/2 / OWNER CONTR. TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 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 SEPTIC MAINT. 21 COMPLAINT ✓ 07 DEMO-FINAL 15 SEPTIC_INSTALL. 22 FOLLOW-UP IQ 09 PLUMBING RI 3 SEPTIC FINZL) 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES cl COMMENTS: 5eP-tcc ct 1c' W • a o &meh lour -fa (eirfluIE" to 100- ) cc 0 W cc z cc IQ W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE • ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OW BEFORE COVERING 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 fo the next ction 24 hours in advance.473-7357 Owner/Con . on s' 1}� Inspector. White Copy/Inspector's File Canary Copy/Site Notice