HomeMy WebLinkAboutBuilding Permit Application J
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Oo2, Date Received:
'/�—/v Date Approved: �� ���'7 n
Entered By:
Permit#: 9!
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or ONTRACTOR
JOB SITE ADDRESS: � / ( � s: l i,�t ! OP ZIP:
(work) j `
NAOF OWNER: �� �+, 'L L ,"�� PHONE: (home)
ME
MAILING ADDRESS: 74c) o). 16,1 c,)ie CITY: iAgzd- & ZIP:
CONTRACTOR: I yP j � ` .jh PHONE:-
MAILING ADDRESS:,3:C 14 ELVD CITY: �L�%Lt 1_� ZIP: �5 {
TYPE OF WORK: New AdditionAccessory Structure Move�l!"C
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : OYA1'-
V'
SI rl rt
STORIES:_ SQ. FEET OF EACH FLOOR: � y✓i`f �i�i�,r'2; kd
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
f ' — V
APPLICANT'S SIGNATURE: DATE: C� )
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
i
On the North Shore of Lake Minnetonka
February 7 , 1991
Dave Nelson
740 Willow Drive South
Wayzata, MN 55391
RE: Building Permit Application
Dear Mr. Nelson:
On December 6, 1990 this office notified you of a fee due the
City for a plan review that was completed for a project that
canceled. As of this date this fee has not been received.
This letter is to inform you that this fee ($70.20 ) must be
submitted before February 25, 1991. If this deadline is not met,
the City will proceed with legal action. If you have any
questions please feel free to contact me at my office.
Sincerely,
Ly _ Oman
Building Official
cc: Jeanne A. Mabusth, Building & Zoning Administrator
Michael P. Gaffron, Asst. Planning & Zoning Administrator
Bruce Vang, Field Inspector
LO/lsv
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING FAX-473-0510
CITY OF ORONO O
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 ON—SITE SEWAGE TREATMENT
INSPECTION REPORT
ti
Esxog�o
Owner: b: /y Address: 2Y121-4 1wAha� LL J,
Permit #'s: ;;�9� Dates: -2 Contractors: xC�
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is 14 an existing system [ ) new construction)
SYSTEM CONFORMITY (1-3):
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristichas or [ I has not been identified at this time. If the limiting soil
characteristic has not been identi 1 , this classification may be subject to revision.)
TANK CONDITION (5-10):
T inspection indicates:
5 Pumpout not needed at this time.
Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next punpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
DroOnfietd inspection indicates:
UY Drainfield is dry, no surfacing evident.
12 Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water tabte.etc.): "0)
COMMENTS:
Date '53T Inspection '9-6pyib System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly, but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system location and pining records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
CITY OF ORONO 0
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a ON–SITE SEWAGE TREATMENT
INSPECTION REPORT
o4�p
EsI;
Owner: LLA— f Ar4nr-., Address: ZLL AA bf.
Permit #'s: Dates: L Contractors:
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is r(an existing system E I new construction)
SYSTEM CONFORMITY (1-3):
"CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic X& has or E I has not been identified at this time. If the limiting soil
characteristic has not been identified, this classification may be subject to revision.)
TANK CONDITION (5-10):
Ler:l inspection indicates:
l5/ Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next pumpout. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
DQfield inspection indicates:
11 Drainfield is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS (slope.setbacks.etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.):
COMMENTS:
Date of Inspection p is System nspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly, but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the premises with the system location and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner