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Home My WebLink About1993-005484 - repair septic ,;-: ' PERMIT CITY OF ORO O PERMIT TYPE: 2750 Kelley Parkway • .O. Box 815 '=`��`` `` �'��' Permit Number: t,i i�q.;_�. Orono, Minnesota 55356'0815 - (612) 473-7357 Date Issued: :��1i�f,��=a:_; SITE ADDRESS: l��,,.� i�; �q� �4� ' .,�..��1 �-��=�r C:� � �'. T . ��!. . _;d-11 _—:i:Y j:'�:'—i�i:��, .`.• DESCRIPTION: ��r'�I�, :v�EF��IC: -��;' � ��+�:.��t' F'�t'ri�it. 1';��= G+'titd�� i��; T�IV#��: �=��wei' �:a t��#.►Y.�}� �l��'�:: 7yF�� F;E'=:IC�E1`��:E � � I ; � - � I _ -..-... ,:_ _:_:..... . . _ . REMARKS: . _ . .:�;=� -. FEE SUMMARY: I ts�5� F�.�� ii . +:)t:i ��td 1�C{'Ect i'ei� I ----------.°.^-�t} �l'i�ct.�l ��r� �!�,t), �,[} II i � i�i�'��i 3.C=tt�t C��T�:�fT��E°1�� .� {;�: ��;i:;i�..° �_.��R= �.:�t;=� �`�'::1 C�� i E °==E .��' F'i f�� fi�:T��:�� L� [��I I��r(i i � ��:';;';�:; �,E�i�Jt� 1 �;��::E: tit,� �C:�:��; .��..�.} r=:'.�--_�'.'._ - , ... . .. ,,_, _ . : -; y:�..: _ z:., r . ��'"i� �_%F`�s�„t��1.�•� {�i`a=;.�.1' �-�, r�'i�`.,:. . �,�3". 'F_F__ . � L t'-j l'j i`_ - �:_;ti ; E_� �z:v��{r'..=:_ f i.�� . .��fr 3,�:�-�E-�i_I+;��.:�',i�.��I '.- ..... .:_ �.�_ _ _ ��1-��_:iE_ y '�i_1 f-?;•.};_; �.ii1,+-�=._°-; j i � �ij_= F?!'__ ?J;_t;>`i�-. �:•, _ . �''?�L�� _�'_�i"ii`L l;-'t,�`�.i�_:�` ��+��`?� ��L _:}�'Y ;'�� `V :. : .-.;,:. � .,:,a�� _ -..'r:3;'` :-�• - - i' - -- ''. �,,:; � a, . . _�. y, _ -- - :..i"i�� i_.�i#d�vl_i F_jr,i?i;i�:;;aL..__�',' : f-�„=,: :_,� . f� I �_ �..?�" . �.t`>Si'._ -;l�t j�.: z,,.:_.T Li„r I,�'�i7 �.:�_��. . .`'F.::�...i.F''.�::�'.�:_Ey = _. . L . ._.. ._ � APPLICANT/PER I E SIGNATURE ISSUED BY:SIGNATURE�-�7 • �,,�. ��-`��'Y r APPLICATION FOR SEPTIC SYSTEM PFRM.IT CITY OF ORONO Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 **tt*ft*f#tt�*�*�*****�****��****t*#�*tf*t****�*ttt*t*t*************f�**** General Instructions: 1. You may a_�� 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 t3ze City offices. 2. Permits are not valid until you receive a permit card. 3. Work must not begin unl.ess the permit card is avaiZable 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 Approvai" cover sheet signed by the City Inspector. 6 . 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 install.ation in the rock bed. d) Final inspection to verify proper final cover depths and to verif y that all pump station (where required) components are f unctional and comp ly with codes. 7. Ind�vidual holding MPCA Installer Certificate shal I be present during instal.lation. 24-hour notice is required f or all inspections. t*�*�*�**#**f**t*****�**�*�***�*********f*****tf****�*�t**�***�******�***** f JOB SITE ADDR.ESS: b�� ( �5��r�_ �'s''�^`�Z�� 1��Z Occupancy Type: Res 'dential Commercial Other � �� . '� �'�� Phone: Owner s Name: � ry`� .� '- � l_a� r Mailing Address : �E' City: ° Zip: Septic Contractor' s Name: Bus. Phone: � � �/ Mailing Address : �1f�- / �,c�,�.L �" City:_�-G-,.�.r- Z1P= � S 1 �-�' *t*�tyt�t�t�t***ir*�rir*�r*��t�r:**ir:� t*iryt�r�r�r�s�rt�ritir�t�r�rt�t �tt��ritt�ritt��r*titdt:irit7t**drat - over - !�!/Q, ,° �..,� %� � �-�� y` � � � >EPTIC SYSTEM PERMIT APPI�ICATON - PAGE 2 Permit Type & Fees (check one) New Construction, Full System $100. 00 . . . . . . . . . . . . . _ � Repair or Replace Existing System $50.00. . . . . . . . . . . . . �0.50 State surchar�e added to above permit fees . SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYi�NT WITH THIS APPLICATION � kir�**irir*f�f�*ic****tir#**tir******��*t**�**t�*�r****�#******�**�#****�t�f**�fir :�OTE: Applicant must initial. all spaces. Fill in all appropriate blanks, check all appropriate boxes. . Initial 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 followingz A. Tanks: Precast Concrete Other Manufacturer ' Tank Capacities: 1 1. 2��ga1. 3 I. B. Pump Station (if required) Pump make & model ��/��, �' � (attach pum curve & literature) ; system design re ires �O gpm at �,_ feet of head. High water alarm make & model � Outside electrical work to be completed by _install.er e3.ectrician other Inside electrical work must be completed by electrician. C. Treatm t Syste Tr�n e s: s.f. Mound Depth of r below pipe " Rock bed dimensions �'x�� ro ox �___ _..._ - Sand bed dimensions�,�'x� Distribution Box Pressure Dist. Pipe Diam. !G, " Manifold Pipe Diam. �" D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) � trucked in t**��*#*#�**ttt�***tt**�***t****#*tt**#*t*�***t��**t*t�t*�t*�**t*�**��*�*t mhe undersigned hereby applies to the City of Orono f or 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 app lication are complete, true and correct. " Signature of Applicant: Date: l� �/�� _4PCA Certification No. : � � � ' ' D� TIME CITY OF ORONO �i CALLED IN ' INSPECTION NOTIC SCHEDULED �� _�� PERMIT NO. COMPLETED � ADDRESS � � OWNER � CONTR. � �o� TELEPHONE NO. � DESCRIPTION I 9'� � � 01 FOOTING 1 MECHANICAL RI 16 ELL TEST PUMP y 02 FRAMING I 1 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING Q 03 INSULATION I M25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. I 2 WATER HOOK-UP 34 TREE REMOVAL = 05 FINAL II1 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE j1 SEWER HOOK-UP O6 PROGRESS � 07 UEMO—FINAL �1 SEPTI 21 COMPLAINT i 09 PLUMBING RI IC I . 22 FOLLOW-UP J 10 PLUMBING FINAL SEP�TI�C F �L � OWNEHICONTRACTOR TO MEET U:�1IES_NO � COMMENTS: —' � a + � � � _ � O O � d � W ..r. �- � I Q Z � W � � � �YO1RK SATISFACTORY:PROCEEC� ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED I O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REII� PECTION TEMPORARY V BEFORECOVERING I PERMANENT ❑CORRECT UNSAFE CONDITION V1�1 HIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN i ❑STOP ORDER POSTED.CALL INS TOR ❑CITATION ISSUED ❑iNSPECTION REQUIRED.CALL TOI RRANGE ACCESS. Call for the next ins ion 24 hours in advance.47�73�J7 Owner/Contractor o i Inspector. White Cop nspector's k Canary Copy/Site Nodce i CITY OF ORONO CALLED IN �U D�E7 3 .T7 v fJ/Y( INSPECTION NOTICE scHE�u�E� /o ' 7 - 93 Us 3 o�a PERMIT NO. � COMPLETED �� ' ADDRESS OWNER CONTR. rn-ti TELEPHONE NO. �� - �� S 1 � DESCRIPTION �l� �JC � 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11',MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 241�5 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � Z 04 WAL�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 UEMO—FINAL 271iEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI � EPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23�EPTI NAL Z OWNEHICONTRACTOR TO MEET YOU: YES_NO � COMMENTS:�� [,�� X��(� � �/ �� f a � � ��7+Q �- �� rn� 7/��t �S l��aff`"or� �i►+rf': 0 /�/L��P f�,iv/3 �lITF. oZ�� J�P C�' vS�C�°i ��' � O � � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ��ORRECT WORK,CALL FOR REWSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITFNIN HOURS. L' PHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO AbRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContracto s' Inspector. � White Copyllnspector's File Canary Copy/Sfte Notice i '�� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE ' SCHEDULED �� ,� PERMIT NO. cOMPLETED �> �'�d • ADDRESS �' OWNER CONTR. �,Ti�,�S�rr. Cc�. TELEPHONE NO. � � DESCRIPTION � 01 FOOTING 1 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING i�MECHANICALFINAL 18 EXCAV/GRADING/FILLING O03 INSULATION 2�25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 1'�2 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 1�METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 116 EWER HOOK-UP O6 PROGRESS Q 07 UEMO—FINAL 2# 21 COMPLAINT = 09 PLUMBING RI EPTIC . 22 FOLLOW-UP J 10 PLUMBING FINAL 2 EPTIC F L � OWNERICONTRACTOR TO MEET YO ES_NO ° COMMENTS: � o� � a — X �li � � O � � ��'� �i�'�/ O � W � Q W � W � I � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSP� TION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHI HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN �'; O STOP ORDER POSTED.CALL INSPECTp ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARR GE ACCESS. Call for the next inspect� 24 hours in advance.473-7357 OwnerlContractor si : Inspector. White Copyllnspsetor's Ffle Canary CopylSite Notice l