HomeMy WebLinkAboutProject PacketCITY OF ORONO
P.O. Box 66
Crystal Bay, MN 55323
473-7357
TO: David R. Carlson
2400 Mayflower South
Minnetonka, MN 55343
TYPE OF APPLICATION: Variance
DATE OF MEETING: 6/15/92
ZONING FILE 11745
NOTICE OF PLANNING COMMISSION ACTION
Date of Notice: 6/22/92
COPIES TO:
VOTE: 5 For O Against
The Planning Commission recommended tabling your variance application
at your request because of the apparent intent of the Planning Commission
to vote unanimous denial of the improvement plan as proposed as
structure could be relocated within approved building envelope outside of
75' lakeshore protected area. You asked the Planning Commission to
recommend tabling as opposed to a unanimous denial.
Per our recent phone conversation you advised that you would not
return with the revised plan for several months as you wished more time to
consider a complete new seasonal dwelling if current seasonal dwelling
could not be upgraded at present location.
With your plan to redesign a new structure, please refer to the RS
district code sections that provide clear directives for construction on
Big Island. In light of the property's limitations regarding suitable or
adequate area for septic development, your seasonal dwelling would be
limited to a structure under 800 s.f. As we also discussed on the phone,
it would be necessary for you to provide elevation information as to any
potential conflict with the flood plain at the 931.5 elevation. Based on
the spot elevations completed for the septic work, it appears the area may
be located within the flood plain of Lake Minnetonka. As I also advised, I
would be in contact with the DNR to determine how this may impact your
plans for new construction.
In any event, the City will need your written request to table the
variance application indefinitely per requirements of State law.
Please contact my off ice if you have any further questions or if you
wish to meet to discuss any preliminary plans for new construction.
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To: Chairman Kelley and Planning Commission Members
Mayor Peterson and City Council
Ron Moorse, City Administrator
From: Jeanne A. Mabusth, Building & Zoning Administrator
Date: June 10, 1992
Subject: #1745 David Carlson, 620 Big Island -
Variances -Public Hearing
Pertinent Ordinances
1. Section 10.22, Subdivision 1 (B) -Lakeshore setback
variance approvals required as entire seasonal dwelling is
located within the 0-75' setback area and applicant proposes
major structural modifications and intensifications of
structure.
2. Section 10.22, Subdivision 2 -Hardcover variance required
within the 0-75' setback area.
0-75' setback area= 38,430 s.f.
Allowed= 0 s.f.
Existing= 1,240.92 s.f. or 3.22%
Proposed= 1,491.52 s.f. or 3.88%
Additional hardcover= 250.6 s.f. or 0.66%
Review of hardcover within the 75-250' setback area:
75-250' setback area= 4,797 .s.f.
Allowed= 1,199.25 s.f. or 25%
Existing= 243.4 s.f. or 5.07%
Proposed= 777.52 s.f. or 16.2%
3. Section 10.55, Subdivision 26 (B) -Non-conforming uses.
Structural alteration or additions. Improvement of a non-
conforming structure cannot exceed 50% of the value of the
structure at the time of its being classified as non-
conforming. Applicant proposes major repairs that well
exceed original value of structure.
4. Section 10.31, Seasonal Recreational Code.
5. Section 10.31, Subdivision 11 (A} -Based on proposed
improvements of the structure, the code wi 11 require
permanent frost depth, solid masonry or treated wood
foundation that completely encloses the entire perimeter of
building.
6. Section 10.31, Subdivision 11 (D) -New roof must meet
standards of RS code and be at a minimum 3:12 pitch.
Zoning File #1745
June 10, 1992
Page 2
7. Section 10.31, Subdivision 11 (E) -Minimum plumbing
requirements of RS code not valid as structure (seasonal
dwelling) is less than 800 s.f. in area. Applicant is
required to address existing plumbing needs, sink in kitchen
area.
8. Section 10.31, Subdivision 11 (F) -Smoke detectors and fire
extinguishers required.
9. Section 10.31, Subdivision 18 (F) -Non-conforming
substandard buildings or structures. There shall be no
setback exceptions permitted for any horizontal building
addition or hardcover increase of any kind within 75' of the
shoreline or within 26' of any wetland. Applicant's
proposed improvements do not fall within the exception set
forth in Subdivision 18 and requires variance approvals even
for improvements within existing building envelope.
Please review Exhibit E, Gaffron's memo that reviews
pertinent ordinances that govern requirements of septic
capabilities for property based on existing and proposed
improvements.
10. Section 10.56, Subdivision 7 (C) -Part of Shoreland
Ordinance; Section 12.30, Subdivision 7 -On-site sewage
treatment code; Section 10.31, Subdivision 12 -Recreational
seasona 1 district and MPCA 7080 code specifically Chapter
7080.0210, Subpart 6 (F).
List of Exhibits
A -Application
B -Property Owners List
C -Plat Map
D -Neighboring Property Owners Acknowledgement Form
E -Gaffron Memo 6/5/92
F -Hardcover Fact Sheet 0-75', Existing & Proposed
G -Hardcover Fact Sheet 75-250', Existing & Proposed
H -Detail -Existing Seasonal Dwelling
I -Detail -Proposed Seasonal Dwelling
J -Survey
K -Floor Plan
L -Elevation
M -Septic Report 10/31/90
N -Photo of Seasonal Dwelling
O -Resolution No. 1998 Approving the Lot Area Variance for
Record Lot 28
Zoning File #1745
June 10, 1992
Page 3
Description of Request
The applicant proposes major alterations of existing cabin
consisting of an attic expansion for storage purposes, new siding
and windows and alterations/remodeling of interior layout.
Review Exhibit Hand I, the existing deck on the south side will
remain as shown at 8 1 x 22'. Applicant will reinstall a new
overhang over the existing grade level patio measuring
approximately 7' x 17' to the west side. Note overhang is now
part of the gabled roof design and has been relocated slightly to
the south so that it no longer blocks view windows along west
side of structure. Review Exhibit I, the new additions to the
cottage consist of grade level deck and proposed screened porch.
250.6 s.f. of the grade level deck is located within the 0-75'
setback area and 630.52 s.f. of the improvement is located within
the 75-250' setback area.
Variances are required for all improvements to structure
located within 0-75' setback area and for portion of grade level
deck also located within 0-75' setback area. Per Gaffron's memo
variances will also be required for treatment of grey-water from
existing single sink in kitchen area of dwelling. There is no
way that an on-site septic system can be developed within the
limited area within the 75-250' setback area. The only option
available to applicant if sink is to remain is to approve a
variance for the use of a holding tank. Review Exhibit E, note
the specific conditions set forth for any use of a holding tank
on a Big Island property. As Gaffron's memo also notes, there
has not been a request for a holding tank on Big Island since the
1978 septic codes were adopted. It is the practice of the City
whenever a property owner seeks approval for the use of a holding
tank that Council approval is required. There are several
physical limitations that will create problems for the
installation of a holding tank on this property and if approved
will require special design features.
The RS district requires foundations, at permanent frost
depth, solid masonry or treated wood foundation that completely
encloses the entire perimeter of the building. Staff has no
knowledge as to the type of foundation that exists today. Review
Exhibit N. The Assessor's record notes cabin was constructed in
1963 with footings only. There is no record of any additional
improvements to the foundation since 1963. Applicant has been
asked to arrange for an inspection by the Building Inspector,
hopefully, prior to our meeting of Monday evening, so that they
can report on the status of the current foundation and what
applicant will be expected to provide. If structure is to be
raised and a new foundation installed, applicant may be asked to
move structure within the limited building envelope within the
75-250' setback area. (Review Exhibit J.)
Zoning File #1745
June 10, 1992
Page 4
Issues for Consideration
1 Applicant proposes the removal of approximately 20 s.f. of
patio block in exchange for some 250 s.f. of additional
hardcover within the 0-75' setback area.
a. Can the new deck structure be modified so to minimize
additional hardcover in lakeshore protected area?
b. Are there other existing improvements within the 0-75'
setback area that can be removed?
c. Is the existing porch area to the west side of the
house a concrete patio or deck as current plans
propose? Is applicant proposing construction of a deck
where existing patio is now shown?
2. Review Exhibit K. Note storage loft area now proposed
within the proposed attic area.
a. Is it to remain exclusively for storage?
b. How does the expanded roof design impact new foundation
needs?
c. Refer to Exhibits Land N, new overhang is now tied
into gable roof design. This is a more intense,
permanent structural improvement than current flat
overhead structure.
d. Pending receipt of a report on the status of the
existing foundation, the RS district requires major
upgrading of foundation, would applicant be best
advised to move structure out of the lakeshore
protected area and into the 75-250' building envelope?
Statement of Hardships
Please refer to Exhibit A. Staff would add the following:
1. Property is a peninsula and limited by 0-75' lakeshore
setback area.
2. The majority of the one acre lot is located within the
0-75' setback area at 38,430 s.f.
3. Structure was installed prior to lakeshore standards in
1963.
4. Entire structure is located within the 0-75' lakeshore
protected zone.
Zoning File #1745
June 10, 1992
Page 5
Options of Action
Denial,
OR
Approval as proposed,
OR
Approval subject to the following conditions:
A. Applicant must hold hardcover at present 3.22% within
the 0-75' setback area. This can be realized by either
reducing proposed new structure and removal of existing
hardcover improvements within lakeshore protected area.
B. Recommendation to approve holding tank subject to the
conditions set forth in Gaffron's memo or removal of
existing sink within kitchen area.
C. Per Section 10.31, Subdivision 12, applicant will be
allowed an alternate waste treatment system as current
outhouse does not meet code standards of both Orono and
MPCA.
D. Others.
Planning Commission Recommendation
Based on the report of the Building Inspectors, applicant
may wish to table the application to determine the feasibility of
relocating structure within 75-250' setback area.
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CITY OF ORONO -VARIANCE APPLICATIO# )
Initial Application Fee $175.00
($50.00 per each additional variance)
Renewal Variance Fee $100.00
(no change from original application)
Variance for non conforming use $200.00
After-the~Fact Fees (Double application fee).
---------------------------------------------------
PROPERTY INFORMATION
Site Address lc20 5~:)fs\Mq\
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Property Identif. Number (P.I.D.) _________ _
Attach legal description to application if not
included on required survey.
Date Property Acquired 51u.Gtu"t J9f I (month/year)
I ~(do not) also own the adjacent parcels of land. •
Present use of property: __ residential __ other(specify) /?ee-l(~~fio~
Zoning District : -----------
APPLICANT Phone (home) .S:-'// -/6&-0
Name /)AViD R C/-JRLSON Phone (work) 93f-LJ.85;s
.ro11;/,,
Address: 2 "-/-QO /YJAYF/..OWE.R City: /YJiKNefot1KA /JU Zip: S:S M 3
OWNER (if different than applicant) Phone (home) --------
Name $Ame Phone (work) _______ _
Address: _____________ City: ________ Zip: ____ _
DESCRIPTION OF REQUEST Estimated Construction Cost$ --------
Describe request in detail:
---------------------------------------------------------------------------
VARIANCES REQUIRED
Lot Area Lot Width _){_ Hardcover
Setback: Front Side Rear
;
✓other (specify) L~ ~k
HARDSHIP/DESCRIPTION OF UNUSUAL PROPERTY CONDITIONS
__ Lot Coverage
Average Lakeshore
Describe undue hardship or practical difficulty and unusual property
conditi~ns preven~ing compliance with Zoning Code requirements:
1,c.,.;.1.J/-J-4~1/fe4 fo l?emflde / /d'e~ sf ,uJ-t.tlf. e ---
(attach additional sheets if necessary)
REQUIRED SUBMITTALS
All of the following information must be submitted by the application
deadline date in order for lication to be considered cam lete:
1. __ Completed Application Form
2. Certified Property Owners List of owners within 150' (you must obtain
this list from Hennepin County Department of Finance A-603 Govt Center
348-3271).
3. Plat Map (obtained with property owners list).
4. vcertificate of survey (signed by a licensed surveyor) to include
hardcover calculations as required (provide one (1) copy 8½"xll" for
reproduction).
5. __ Topographic survey (existing and proposed elevations) if any changes
in existing grade are proposed (provide one copy 8½"xll").
6. __ Sketches or plans of floor & elevation views (provide 1 copy 8½"xll").
7. __ As an addendum to this application, please attach a separate list of
any other persons you wish notified of this application.
8. Additional items as may be requested by City staff.
The Applicant and Property Owner must sign this application. Please
remember that. your variance application is not complete if the above
information has not been included.
---------------------------------------------------------------------------
APPLICANT'S SIGNATURE
The applicant hereby agrees to provide al 1 information required or
requested by the Zoning Administrator, agrees to pay additional fees (staff
time not covered by original fee payment) and/or consultant expenses
incurred in review of thi ap lication, and certifies that the information
supplied is true and corr o the best of his/her knowledge.
Applicant's Signature Date S/zzl~z
OWNERS SIGNATURE
The owner hereby ackowledges and agrees to this application and further
authorizes reasonable entry onto the property by City staff, consultants,
agents, Commission members, and Council members for purposes of investiga-
tion and verification of thi~ reaqu
Owner's Signature 5/Jfflt:. x _ Date Qz.z/q7...... • ---------------------------------------------------------------------------
Applicant must have all submittals into the City offices 25 days before the
Planning Commission Meeting. Planning Commission Meetings are held on the
third Monday of each month.: Applicants must be present at all scheduled
review meetings of the Planning Commission and Council. If an applicant is
unable to attend a scheduled meeting, please make arrangements to have an
authorized agent attend in your place and to advise the Building & Zoning
Office of this change prior to the meeting.
-
--
RUN DATE 05/28/92
BATCH 005
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR
PROP ADDR
OWNER NAME
TAXPAYER
NAME/AD DR
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR
PROP ADDR
OWNER NAME
TAXPAYER
. NAME/ADDR
38 22-117-23 24 0004
00680 BIG ISLAND
N BRYSON & T BRYSON
WILLIAM & THELMA BRYSON
3015KIMBERLEY LA
PLYMOUTH MN 55447
38 22-117-23 24 0008
00700 BIG ISLAND'
SHERYL RAMSTAD HVASS
SHERYL RAMSTAD HVASS
12120 GOLDEN ACRE DR
MINNETONKA MN 55343
38 22-117-23 31 0002
00560 BIG ISLAND
DON HENDERSON ET Al
DON HENDERSON
1522 LA SALLE AVE APT 201
MPLS MN 55403
38 22-117-23 31 0011
00630 BIG ISLAND
DOUGLAS E-PERSON ET AL H/L E
JEFFREY A PERSON
.935 HARBOR LAN
PLYMOUTH MN · 55447
38 22-117-.23 31 0014
00610 BIG ISLAND
CHARLES L PEGELOW
CHARLES l PEGELOW
12215.45TH AVE N
PLYMOUTH MN 55442
38 22-117-23 31 0020
00590 BIG ISLAND
JD FIEGER & J M FIEGER
JAMES FIEGER
5111 HOLIDAY RO
MINNETONKA MN 55345
HENNEPIN COUNTY PROPERTY INFORMATION SYSTEM
PROPERTY OWNERS LIST
38 22-117-23 24 0005
00670 BIG ISLAND
WE BRYSON & Tl BRYSON
WILLIAM & THELMA BRYSON
3015 KIMBERLY LA
PLYMOUTH MN ·55447
38 22-117-23 24 0009
00710 BIG ISLAND
MICHAEL J NEINER
MICHAEL J NEINER
2406 WEST FULLERTON
CHICAGO IL 60647
38 22-117-23 31 0009
00630 BIG ISLAND
DOUGLAS EPERSON ET Al H/L E
JEFFREY.A PERSON
935 HARBOR LAN
PLYMOUTH MN 55447
38 22-117-23 31 0012
00610 BIG ISLAND
CHARLES LEROY PEGELOW
CHARLES l PEGELOW
. 12215-45TH AVE NO
MPLS MN 55442 ·
38 22-117-23 31 0015
00610 BIG ISLAND
CHARLES L PEGELOW
CHARLES l PEGELOW
12215 45TH AVE .N
PLYMOUTH MN 55442
38 22-117-23 31 0025
00620 BIG ISLAND
PAULINE VANDERHOOF
DAVID R & JAN W CARLSON
2240 DWIGHT LA
MINNETONKA MN 55343
REPORT NO. PI435401
PAGE 13
38 22-117-23 24 0006
00038 ADDRESS UNASSIGNED
. SHERYL RAMSTAD HVASS
SHERYL RAMSTAD HVASS
12120 GOLDEN ACRE DR
MINNETONKA MN 55343
38 22-117-23 24 0010
00690 BIG ISLAND
R & B BRUDER . .
JOSEPHINE·O HERRMANN
9901 PENN AVES APT 212
BLOOMINGTON MN 55431
38 22-117~23 31.0010
00630 BIG. ISLAND
DOUGLAS EPERSON ET AL Nil E
JEFFREY A PERSON
935 HARBOR LAN
PLYMOUTH MN 55447
38 22-117-23 31 0013
00610 BIG ISLAND
CHARLES LEROY PEGELOW
CHARLES L PEGELOW
12215 45TH AVE .N
MPLS MN 55442
38 22-117-23 31 0016
00600 BIG ISLAND
G & 0 ADAMS
GEORGE & DONNA ADAMS
10312 TOLEDO AVE
BLOOMINGTON MN 55437
38 22-117-23 31 0026
00660 BIG ISLAND
ELIZABETH FOSTER SALISBURY
BETTY F PRINCE
C/0 GWEN SMYERS
12009 H HILLOWAY RD
MINNETONKA MN 55343
-
--
RUN DATE 05/28/92
BATCH.005
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR
PROP ADDR
OWNER NAME
TAXPAYER
NAME/ADDR.
38 22-11 i-23 31 0027
00650 BIG ISLAND
JAMES AR JOHNSON
JAMES AR JOHNSON
2880 BENTON BLVD
MPLS MN 55416
38 22-117-23 31 0030
00640 BIG ISLAND
CLINTON KNUDSON
CLINTON KNUDSON
1823 FRANKLIN AVES E
MPLS MN 55414
HENNEPIN COUNTY PROPERTY INFORMATION SYSTEM
' .PROPERTY OWNERS LIST
38 22-117-23 31 0028
00650 BIG ISLAND
JAMES AR JOHNSON
JAMES AR JOHNSON
PO BOX 15263
MPLS MN 55415
38 22-117-23 31 0031
00580 BIG ISLAND
JD & J M FIEGER
JAMES D FIEGER .
5111 HOLIDAY RO
MINNE.TONKA MN 55345
REPORT NO. PI435401
PAGE 14
38 22-117-23 31 0029
00570. BIG ISLAND
JODIE R VARGAS ET AL
JODIE ROBB VARGAS
43.4 14TH AVE N .
GOODING ID 83330 .
TOTAL BATCH 005 00023
I CERTIFY THAT THE FACTS REPRESENTED.ARE AN ACCURATE AND TRUE
REPRESENTATION OF INFORMATION AS IT·APPEARS THIS DATE ON THE RECORDS
OF. THE lll'•l•CPIN Ccum' D~~T OF PROPEl3.TY TAXATION, TO .J'HE BEST
OF MY KNOWLEDGE AND BELIEF. ·
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Adjacent Property OWners• Acknowledgement Form
I (we) cifMilJ~e(~-J~e\oJ . of ~jRn~~~s~
have reviewed the plans for the proposed improvement or proposed use of the
property located at W/0 also referred to as Land Use
Application No.
I (we) understand that in executing this acknowledgement, I (we) am
(are) not asked to declare approval or disapproval of the property or use
but merely to confirm for the City Council that I (we) am (are) aware of
the improvement plans and that the proposed neighbor's project or use
requires Council a roval.
Property Owner
I (we)
Date
Date
**************************************
of
[print name(s)] [print address]
have reviewed the plans for the proposed improvement or proposed use of the
property located at _____________ also referred to as Land Use
Application No.
I (we) understand that in executing this acknowledgement, I (we) am
(are) not asked to declare-approval or disapproval of the property or use
but merely to confirm for the City Council that I (we) am (are) aware of
the improvement plans and that the proposed neighbor's project or use
requires Council approval.
Property Owner Date
Property Owner Date
If you have any information that may assist the City in the review of
this Land Use Application, please submit your comments to the _Building &
Zoning Office at least 10 days prior to the scheduled meeting date.
To: Jeanne Mabusth, Building & Zoning Administrator
From: Michael P. Gaffron, Asst Planning & Zoning Administrator
Date: June 5, 1992
Subject: #1745 David Carlson, 620 Big Island -
Septic Issues
It is my understanding that applicant is requesting a
variance and building permit for additions to his existing cabin
on Big Is land. The property is therefore subject to both
Shoreland Regulations and On-Site Sewage Treatment Codes.
Section 10.56, Subdivision 17 (C) is the section of the
Shoreland Ordinance which deals with non-conforming sewage
treatment systems. Any non-conforming sewage treatment system
must be upgraded and made conforming, at a minimum, at any time a
permit or variance of any type is required for any improvement
on, or use of, the property.
The On-Site Sewage Treatment Code, Section 12.30, defines
non-conforming system as "a prohibited systemp a system located
within a designated 100-year flood plaini any system which may or
may not meet all the location, design or 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".
That section also defines sewage as "any water-carried
domestic waste, exclusive of footing and roof drainage, from any
dwelling or other structure. Domestic waste includes liquid
waste produced by toilets, bathing, culinary operations, and the
floor drains associated with these sources ••• ".
Subdivision 4 of that section requires that "all sewage
generated within the City shall be disposed of by connection to
the City sewer system or shall be treated and disposed of in an
on-site system according to the provisions of this section".
Section 12.30, Subd. 7, defines special provisions for Lake
Minnetonka Islands. Subsection D indicates that "a complete on-
site sewage treatment system including plumbing fixtures, is
required for all structures containing a principal dwelling, for
all properties containing two or more dwellings, and for all
seasonal dwellings over 800 square feet in floor area. It
further notes that a complete on-site system is required for all
buildings containing a water-activated toilet regardless of the
type or duration of use or occupancy.
Zoning File #1745
620 Big Island-Septic Issues
Page 2
Further, any dwelling, building or structure having running
water plumbed inside to any sink, lavatory, tub, shower, or any
other plumbing fixture, but not a toilet, shall have a conforming
grey-water disposal system including a septic tank and drainfield
connected to such fixture drains.
Further, Subdivision 7 (D) (4) requires that any existing
building required to be connected to an on-site system but which
is not connected as of the effective date of this ordinance
(February 10, 1992) within one year of notification that a non-
conformity exists, but in any case not later than 2 years after
the effective date of this ordinance, shall have a new conforming
on-site system installed.
Existing Situation
Staff is advised that there currently is a sink on the
property which discharges to some unknown system. Whatever
system this is, it is most assuredly non-conforming.
Based on the code sections noted above, in order for this
sink and any other plumbing in the building to continue to exist
or be expanded, a conforming septic system must be provided.
Testing has indicated that there is no viable site in which to
locate a conforming septic system on the property. The entire
property is too near lake level and ground water levels to be
considered for even a mound-type sewage treatment system, much
less an outhouse which might have been an allowable alternative
based on Section 12.30, Subdivision 7 (B) if conditions were
adequate.
There appear, then, to be two alternatives to consider:
1. Elimination of all plumbing from the structure, and use of
an alternative waste treatment device such as an
incinerating toilet, composting toilet or small portable
holding tank toilet which is carried to the mainland for
disposal in a sanitary sewer system. Such devices are
allowed per Section 12.30, Subdivision 7 (C).
2. Granting of a variance to allow construction of a holding
tank for grey-water and/or toilet wastes. The reasons that
a holding tank situation requires a variance are as follows:
a. Section 10.31, Subdivision 12 (B) (4) states "sealed
vault-type outhouses shall not be permitted because
pump-out and sanitary disposal is unfeasible." Staff
considers holding tanks as similar if not identical to
sealed vault-type outhouses in use characteristics.
Zoning File #1745
620 Big Island-Septic Issues
Page 3
b. The standards for holding tanks contained in Chapter
7080.0210, Subpart 6 (F), indicate that holding tanks
shall be located "in an area readily accessible to the
pump truck under all weather conditions ••• ". It has
long been staff's contention that Big Island is non-
accessible to a pump truck under normal conditions.
Research into current and past codes, has not yielded a
specific code section which says, "holding tanks are prohibited
on Big Island". However, the issue of installation of a holding
tank on the island in the past rarely, if ever, was brought
forth, because the obvious infeasibility of pump truck access was
a clear violation of the On-Site Sewage Treatment System Design
Manual, Resolution No. 894, which was adopted by the City on
February 15, 1978. Part V, Section 7 of that Design Manual in
Item F indicated virtual identical wording to that contained in
the current MPCA 7080 codes, i.e. "holding tanks shal 1 be located
in an area readily accessible to the pump truck under all weather
conditions".
Conclusion
Based on the above information, a holding tank would not be
allowed on Big Island unless the City grants specific approval.
It has been City staff's policy under previous septic ordinances
to request Council approval of all holding tank installations on
the mainland, and to my knowledge there has not been a request
for a holding tank on Big Island since the 1978 septic codes were
adopted.
One additional concern about the idea of placing a holding
tank on the Carlson property is that the proximity to water table
and groundwater would tend to cause serious flotation problems
with a sealed septic tank every time it was pumped out. That
tank would be sitting in water virtually all the time, given that
normal lake elevation is 929.4 feet, and spot elevations on
applicant's survey indicate a significant percentage of the
property is less than 2' above the OHWL and most of the property
is likely below flood plain level.
Additionally, the use of a holding tank for grey-water
and/or toilet wastes in a location where pump truck accessibility
is severely limited, provides a great incentive for a property
owner to find alternative methods to empty the holding tank: the
City should not encourage a situation which would tempt a
property owner to break the law.
Zoning File #1745
620 Big Island-Septic Issues
Page 4
If, in fact, the previously proposed septic easement
situation could come to fruition, that would be the best of all
worlds in many respects for both Pegelow and Carlson. They would
share in the cost of a system that is used on a minimal basis (I
am presuming that Mr. Pegelow does not spend the full year at his
cabin, although I note it is homesteaded property).
If the Council was to grant approval for Mr. Carlson to have
a holding tank, the following conditions of approval should be
considered:
1. Holding tank must be protected from flotation.
2. The cabin may never be granted a conditional use permit for
greater than 180 day residence per year.
3. A current pumping contract must be maintained and kept on
file at the City.
4. Yearly inspections should be required, property owner to
provide transportation for City Inspector.
5. Any single confirmed incident of holding tank overflow or
unlawful discharge will result in the immediate revocation
of further approval for use of that system, and the system
would have to be e 1 imina ted and p 1 umbing removed from the
building.
Outhouses and sewage treatment systems using soil disposal
units (drainfields) should continue to be acceptable sewage
treatment devices for the seasonal type use historically found on
Big Island. These systems under such minimal usage require
almost no maintenance. A holding tank on the other hand requires
diligent monitoring and maintenance, at an usually high expense,
and has a high potential for becoming a nuisance.
lsv
"\
'•
)
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) @ 75-250' .. 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
··A,~ 3a-·z.. X 22.. ... l = ·c I.&, ··1 + z S,F,
LENGTH WIDTH
X = S,F,
X = S,F,
X = S,F,
X = S,F,
B, GARAGE X = S,F,
c, DRIVEWAY X = S,F,
X = S,F,
D, . SIDEWALK X = S,F,
Bc,::;6 rz..,e,-ev 1ST. <'.:,:::,yi d I .J--,on
f,/4\ ~c~ DU<.N~ ' I ' 7 X lJ -4 1 = 12.1; ~ S,F,
-~ 104--+· I '2-8.8,
1). z._ Ci°2-ooi::'\cue-1:.1'4~~eAl_'2h~/. X Z}+-~2(. ~ z.2~2,)= Z.'3 3,. '2. S,F,
E,
EC ~-' I
X ·-z.4-= 144-•.· S,F,
F,lANDSCAPE X = S,F,
AREAS
UNDERLAIN
BY X = S,F,
PLASTIC
SHEETING
X = S,F,
_____ X _____ = _____ S,F,
x \ \ -$'S '$ F X 4-· . -. . -.. 2C .. . s, F, 5
G, OTHER . S'
' co~':---f'A\-,c s.1...oc..~..S . ... ·-r OT AL .. HARDCOVER IN ZoNE
1 '' . ~ '•• l • ,. •' / ~-~---...;-:-:•
.... • fl. ·: ·,, \ 'id.o .. 92. s. F,
.._.... ... ____ ,,
: :, Tor AL. PROPE.RTY . AREA IN ZoN~:; : ~: -'. '~ .. • '::S';B /4:=~-~:/'" ·c ~ ~ F.
·~ .. ·.,
[I]
[ii
;-%. ··---
: 0
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE)@ 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A, . HOUSE------X ______ ·=· ______ S,F,
LENGTH WIDTH
------X ------= S,F,
------X ------= S,F,
------X ------= S,F,
------X ------= S,F,
B, GARAGE ------X ------= S,F I
C, DRIVEWAY _____ X _____ _ = S,F,
------X ------= S,F,
D,. SIDEWALK _____ X _____ _ = S,F,
e)C..t=r\.lUC( \J.~_o_c:..o __ u_e1<..._, _-__ X ______ = +· 1240.92 S,F,
Re t-J\ovt:=: PA-c-,D Bu;c:J(s c x 4 = -z o ~_;:. ____________ S,F,
E. ~ Pt.....c::,...>-J(N"'\"2_~12-C:D
ECK .S ..e. .e.. 'D'-VC:1 -. +=:; 2 so.4:. -·s F X ------______ , , I I
. -
F,lANDSCAPE X = S,F,
G,
'
~ ---... ~,r
AREAS
UNDERLAIN
BY X = S,F,
PLASTIC
SHEETING
X = S,F,
... ,-··•
X = S,F,
-SS'PTlC. ME:C..+\ t C
OTHER ·4 x 4-------;,,; -,.,,,.-.. -r <.;-S,F,
···rorAL .. HARDCOVER IN ZoNE
. . .. .•· . . . . -·~ . . .' .... -, ... ":· '"' ... ,_ .
•
0TOTAL. PROPERTY ""AREA IN ZoNE:,,::. ~. . -· -~;38, ·4~ o· . ., . ~:FI
·., [}J 1~·4C}J.·~; ··. : ITJ "~&~4 ~b-:.~ xloo·-,;----~s-:s f % ---
. P1~P-µ_..;,,__r"--1::, c..ov·~e t49t . .;=.:;z_
t.)'-($~-. N.,A-.Sc:-'C> Cc:,'1$1':-.. \-Z..40,<;J 2.
.. --' ~
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' ~-250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A, · HousE _____ x _____ = _____ s,F,
LENGTH WIDTH
_____ x ____ _ =
_____ x ____ _ =
_____ x ____ _ =
_____ x ____ _ =
B, GARAGE _____ x ____ _ =
C, DRIVEWAY _____ X ____ _ =
_____ x ____ _
D,. SIDEWALK _____ X ____ _
E, PATIO/
DECK
· fo
-
F,lANDSCAPE ____ _
AREAS
UNDERLAIN BY .
PLASTIC
SHEETING
... . .,·l•
X
X °'-"=
X
X
X
X
X
=
=
=
=
=
=
=
=
=
S,F,
S, F,
S,F,
S,F,
S,F,
S,F,
S,F,
S,F,
S,F,
96 S,F,
S,F,
S,F,
S,F,
S,F,
S,F,
,S-2-:J -7
.... ~ .
X G' OTHER __ .......,__=-_........,...,_;,_ __ . -1·47 .4 .... s' F •
' ·Stle;T.:) -------------
•··ToTAL .. HARDCOVER IN ZoNE' :.,. c-:; ·::y·,; z'.,-43_4'.-_;i S,F, m
, · ·,ToTAt: PROPE~rv·AREA IN ZoN~;,.-::: ~: ,: __ ,A 4--{9~71 ·:'L~:F, [i]
.,,..
' ...... .. . ~ ~ ·.' . .... . . ~ m -~43A . ' : ill ·-4:-i~~"'j -;.' x""lo □·-~---5:b7 ;-%. ··---
: 0
HARDCOVER CALCUlJ\TION WORKSHEET .
SETBACK ZONE: (CIRCLE ONE) 0-75 1 @:2i.9)· 250-500' 500~10 □0'
EXISTING HARDCOVER IN ZONE
'
A, · House _____ x ______ -··· _____ S,F,
LENGTH WIDTH
_____ X ______ = _____ S,F,
_____ X ______ -_____ S, F,
_____ X _____ = _____ S,F,
_____ X _____ = _____ S, F,
B, GARAGE _____ X _____ = _____ S,F,
C, DRIVEWAY _____ X _____ = _____ S,F,
_____ X _____ = _____ S, F,
D,. SIDEWALK _____ X _____ = _____ S,F,
ffl--Cf>O~ X
?oa...c.'1.4
i . 'I I :S~r-J"e=P ze·-s ,_ X Z2 -
E, PATIO/
DECK
X
F,lANDSCAPE X
AREAS
UNDERLAIN
BY X
PLASTIC
SHEETING
X
.. . .
__ .,. .
X
5~ 5-. '7 . . ---G, OTHER 1 s :2 ... x" ·
... ·~ ... .; ---T □T AL., HARDCOVER IN ZoNE
..
.:....;•
. --
-----S,F,
=
-_. _____ S,F,
= _____ S,F,
= _____ S,F,
= _____ S,F,
= _____ S,F,
. -. "·l+·1·· S,F,
;::/,:',~-~'77-:/~S2,. S,F, m
· "r~rAC PRoPE.Rrv-AREA rn ZoN~;~;,~: ~, '~-' .:~. 4"7i:} .::'.,·:~:F, Ci]
.. • .. r [El --7~7,52.-~ : ill ?EJ-cr=~~j ~~ xlo □·-,;----~ .. -i 7, ;% ___ _
l ~ l+'--u:>"'-' A-b I.e. f-/e12-D ~ t)f;? I'-~ z. s ~ ""'4 r/, -
2..., -p'R.o po~ "'t-. CY--. l ~-~ • +Ji~~S. c;;;, l'"i;,, ~~
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DATE '
Feb 2s,·
1~92
3·2·~2
·ll' ' --
{"= 30'
/2
I 9·
({~~ ~-------
This drawing has been checked and
reviewed this 14 lfz day of
Febru 9 ry 19 9Z.,
by ~ :}7~
' .
-~ REVISIONS
BY REVISION
i./J~.P. Show limi-\5 of'roof'overhano o5 CK'D
measured bu c:I ient. BY
w'l2P .. SI-tow E'xi<atina Deck os measured
••bu client -
~
" .
~--.-
,
<)-
I hereby certify that this survey was
prepared under my sup rvision and t hat
I am a Licensed La nd Surveyor under the
laws of the St::~~
~~Kemna
Date: Feb.1'2, \<)<)2 License No.
SCHOELL & MADSON,
•
I ENGINEERS• SURVEYORS• PLAN NERS
SOI L TESTING• EN _VIRO NMENTAL SERVJCES
--105110 WAYZATA BLVD.
MINNETONK A, MN. 55343
(61 2 ) 546-7601 FAX : 546-906.5
I
I ;; .._
-
DESCRIPTIO :
'.JJ
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RESERV E, "Pleasant View at La ke in netonka ," according to t he re corded plat
thereof_-
GENERAL NOTES:
1. • -Denotes iron monument foun d.
2. a -Denotes wood sta ke set.
CLIENT LOCATIO N
Cst-20)
BOOK: 134
PAGE: 74
81G ISLAND
LAl<t MINNeTON~A
O~NO, MINN.
S.M.1 . PH OJECT NO. 60589. ·063
n'. Gi"
14' . eo"
.J.
H
I o,
V r
--'
1 e; . o"
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT
OWNER -PERMIT NO.'S. DATES
ADDRESS
On the North Shore of
Lake Minnetonka
POST OFFICE BOX 66
1335 S. Brown Rd.
Crystal Bay, MN 55323
473-7357
CONTRACTORS
City Ordinance No. 210 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 6a an existing system D new construction) ~ ~'€..,,
□,
02
Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating
properly.
Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed,
located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major
upgrading of the system is required at this time.
Does not meet current City standards in many respects relating to design, construction, or location. Appears to be operating
adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at
this time. * 12314
System may or may not meet current City standards for design, construction or location, but is failing to properly treat and
dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters, or is
creating a safety hazard, or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary, soil testing will usually be required, and a design and site plan
must be submitted for review. Your contractor must obtain a permit before work is started.
SYSTEM CONDITION_( Q'l Checked items may require your action)
Tank inspection indicates:
D Pumpout not needed at this time.
D Solids accumulation in tanks indicates they should be pump-
ed out this year to help prevent future problems.
D Solids accumulation in tanks is at a critical level. Tanks
should be pumped out as soon as possible.
D System is discharging to surface. Tanks must be pumped
within 48 hours to eliminate surface discharge.
D 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.
SITE CHARACTERISTICS:
Limiting Site Factors
D Slope
0 Soil
::0, High water table
□.Lot size
:2} Lake, wetland, or stream
D Drainage
Date of Inspection
D 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 inspection indicates:
D Drainfield is dry, no surfacing evident.
D Some evidence of surfacing, not critical yet.
D Drainfield is saturated and visibly discharging untreated
effluent to the surface. This condition may require replace-
ment or additions-to drainfield. Contact the City Inspector
immediately. Repairs must be completed within 90 days.
D Drainfield extent and condition unknown.
Site Capabilities for
Future Expansion
D Adequate
@.Fair
D Poor
D Inadequate
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 system location and pumping records.
WHITE COPY/ Inspector's File GOLD COPY/ Homeowner
BIG ISLAND PHOTOS
Date
by A.P. Olson -M.P. Gaffron
P. I. D. :l-:z-3 / -oa Z<;::
Owner ,).Id, l,/4Hdc!,,-4&ic-P
#1 (:a,b1v1 -ht'Cl SF t-[76' >;: Y/M(i
I
#2
#3
MAIN
Blt.
BLDG _x._ Excel.
l</£3 X Good
Fair
Poor
Sleeping Only
Kitchen
Winterized
No Foundation -¢; Crawl E
X Footings Only Bsmt
Toilet
Drainfield
None
Cesspoo
.)S__ Out House ;
JGQ I b-<r1M /4,&, -v--erv /~,<2 -11'
Well Lake Pumr:
No Water ~ From
Neighbor
Accessory Bldgs Excel.
_¼. Good
Fair
Poor
STATE OF MINNESOTA
l
COUNTY OF HENNEfIN
CITY OF ORONO
)'. -.-. '
'-... 'I':
)'; ~:.:: r :, ....
):~.: ~~ ~
.... . r•
•l: e a:>
;,, ~ ·•· i :~ ·~ ;; ~~
i =· -~"'. -·· t. .,., ~ ,~
I Dorothy H. Hallin •.. _City. ClEfrk ,..of the. City of Orono, Hennepin
County, Minnesota, do · h-~reby · certify that I have compared the
foregoing copy of a resolution of the City Council of the City of Orono
with the original record of such resolution in the Minutes of the
proceedings of said.City Council at a meeting of said City Council held
on May 27 , 19 8 6 , and that the same is a true
and correct copy of said resolution was duly ad~pted by said City
Council at said meeting.
In Witness Whereof, I have hereunto set my hand and seal this
28th , day of ,Y , 19 86
) ----
/
City Clerk
Minnesota:
/~
City of ORONO
RESOLUTION OF THE CITY COUNCIL
NO. 1998
APPROVING A LOT AREA VARIANCE
FOR RECORD LOT NO 2 8 -----PURSUANT TO ORDINANCE NO. 246,
MUNICIPAL ZONING CODE SECTION 10.31
BE IT RESOLVED by the City Council of Orono, Hennepin County,
FINDINGS
l.' That John w. & Pauline Vanderhoof is (are) the owner(s)/tax-
payer(s) of record of the following described property located within
the RS Seasonal Recreational Zoning District of the City:
"Reserve'' Lot, Pleasant View Lake Minnetonka, Hennepin County,
Minnesota
2. That in adoption of Ordinance No. 246, the City Council reviewed
ownership, development and use patterns on the islands and has deter~
mined that all the above described property combined is and shall
hereinafter and henceforth be one "RECORD LOT" as defined in Section
10.31 of said ordinance.
3. That all the above described property when combined as one RECORD LOT
is still less than the minimum lot size required for new lots in the
RS District, but that this RECORD LOT is being used and/or may be used
in the future for any permitted use in the RS District without adverse
affect upon public health, safety, or welfar~.
CONCLUSION
The City Council of Orono hereby grants a lot area variance to
the above described RECORD LOT based on the above findings and subject to
the following conditions:
1. This RECORD LOT including all the above described property combined
shall henceforth be continued in common ownership by the same person
or persons even if recorded as separate lots or tax parcels, and it
shall not be subdivided, sold in parts, reduced in area or otherwise
separated without application for and approval of a subdivision by the
City. This condition shall not preclude future sale or transfer of
the complete "RECORD LOT" as a single unit.
2. Granting this variance means this RECORD LOT may be used for_one-
family seasonal recreational use without a structurei or a single new
seasonal dwelling may be builti or an existing seasonal dwelling may
be used, improved, added-onto or replacedi all without requiring
further City Council review of lot size, but subject to strict com-
pliance with all building permit, setback, hardcover, on-site sewage
treatment and other performance standards for development in the RS
District.
City of ORONO
RESOLUTION OF THE CITY COUNCIL
NO. 1998
PAGE 2; RECORD LOT N0.-=2=8 __ : RESOLUTION NO. 1998
3. Granting this variance shall not vest any rights in the property other
than as specifically provided in Ordinance No. 246, and shall not
preclude a future City Council from amending, modifying or otherwise
limiting development rights and/or performance standards in the RS
District.
4. The undersigned has read and understood the terms of this resolution
and on behalf of himself, ~is heirs, successors and assigns, agrees
that the above described property constitutes a single RECORD LOT;
agrees that the RECORD LOT use may be so limited by the City; and
agrees to th,~ recording of this resolution in the chain of title of
the proper.tt'""·'t •· · ..
,;> .... : ·~, -~<\\\t\·' .,··\,.
A~i~~.f~4/~y~}~t~~ Orono City Counci 1 on the 27 /jt:::.~.~?1?\\t~.: t .1:;; ·
day of
. /:(1-:j,·•,.,/j/t ... ,""{'r .. -a ' .. ,'
EsT :~,,~j~;rir~.~;'.f A!
• B~t'.1 ~~f~(6~:X ·•-. --~ -~ . -. . -:::;::;/' ··1 '-~;~~}'~, ....
J,--;;,,,, u; -1<~,:? f -== IT Property Owner(s
STATE OF MINNESOTA)
)ss.
COUNTY OF HENNEPIN)
Mary C. ~ler,Mayor'
(2)~~
May ____ ,
On this 22 day of April , 1986, before me, a Notary Public
within and for said County, personally appeared
John W. and Pauline Vanderhoof known to
me to be the person(s) described in and who executed the foregoing instru-
ment, and acknowledged that he (they) executed the same as his (their) free
act and deed.
NOTARY PUBLIC
Mar. 1, 1991
MY COMMISSION EXPIRES
This document is being recorded for the benefit of the City of
Orono per Minnesota Statutes 386. 77.
State Deed Tax Due Hereon:
This instrument was drafted
City of Orono
P.O. Box 66
Crystal Bay, MN 55323
473-7357
Exempt
by:
··:1 .. --'
. ·.--
CITY OF ORONO OOTICE --. . I
•-.--I . ~,-i,J ~P ian"'n rng 'c~mm\~ion .will hold 1
public hearings in the Council Chambers at ·
1275 South Brown Road on Monday, June
15, 1992 on the matter of review ing the
fo llowing land use applicalions :
1) ~739 Albin J. Nelson of 500 Oxford
Road, seeks approval of a conditional use
permit for land alterations involving the
rer:,ovaJ of retaining walls and the placing o1 ·
'fiQ _a,_exce~ of JOO cubic yards adjacent 10 an
emang swunm1t1g poql.~-_ • ·: . ._ .
2) #1740 Steven M. Harris or 3850
Watertown Road, has applied for a renewal
conditional use permit which would anow the
Installation or a pond within his residential
property. . . . . . . . ; -.
• ':3) ·11141 Rodney J. and Shanon K .
Batzlalf or 1115 Brown Road South seek
approval of variances · for a proposed 1
· deta_c _hed garage measuring 24'X22' j
requmng a side setback variance and a I
variance that would allow the detached
_-structure--ID be Installed In front of the lront
line of the principal structure . · ·_ ,--; •· ~ -
· ·• 4) 11742 James and _Amy Laing of 500
Orono Orchard Road, seek approval or street
setback and rear yard -variances for a
proposed family room and garage addltion.
5) 1 1744 Donald Helgager of 3265 Sixth
Avenue North, seeks approval of a setback
variance lor a rear yard fer;ice that shall be
located within the 150'·required setback area
for all structures from a natural environment
lake. -·' ,
-6) #1745 David R .-Carlson of 620 Big
Island, seeks_ approval of lakeshore setback
and hardcover variances within the 0-75' and
75-250' setback area for remodeling and a
deck addition to a seasonal cabin. Proposed
imJln:>vements will requ ire review of exi.1ting
on-site sewage treatment facility and
conl~rmance to the required standards .
Applicant has also applied for variances to
the recreational seasonal code seeking
approval of an alternate waste treatment
device for septic wastes and a holding tank
for containment of a gray water.
All persons wishing to be heard will
appear at th is time . Written comments are
solicited . Plans are available for review in the
City offices for review by appointment
-City of Orono ----< :' · -
·. By: Planning Commission -"'~·•
:-~· --. -':'. · · · -· Jeanne A Mabusth ., _._: ' < ._-. ·.s~i lding & Zoning Ad~ini.1trator
·: (Published Jµne. 1, ·1992 In The Laker
and PkJneer) · • -~ _· --:.'"':: · -~ ·
. . . ..:. . ':. :...~
Affidavit of P_ublication
S ta t e o f M innesota , County o f Hennepin _
Bill Ho lm. being duly sw orn, on oath s ays th a t he is
an authorized agent and employee of the publ is h er
of the newspaper k nown as THE LAKER . M ound . Mi n-_
. neso ta, and has full k now ledge of the fac t s w hich are
stated below:
A .) The newspaper has complied with all the requir e-
ments constituting qualifications as a qualified
newspaper, as provided · by Minnesota Statut e
331 A-02 , 331 A .O7, and other applicable laws , as
amended . I,., 1 ::+-
8 .) The printed_L;::./4'..ll.?1JL..!.·,0 L-! .,:W.J/J!.J.._1}f--'q.Af~¥-IJ,=-#-'-'-1/)'-'-"-;U-'-'-';).,__,.,.~j'--'
which is attached was cut from the columns of sai d
newspaper , and w/s printed and published _once eac h
week for ___ _,___ ______ success1v e w e eks:
It was fi rst published M/)day,
th e / d d ay of __ ...J',.;.,~!.f,L.J/CJ.L.,."-------
and was thereaft e r pr rited and publishe d
Mo nd ay, to and includ ing Monday .
the __ day of
(?..,-::J....
1 g'_~,
eve ry
1 9_;
~-~
-------,J,_ __ .... ft/>,ulhcrized Agent
KRISTI HOL M
NOTARY PUBLIC -MINNESOTA
HENNEPIN COUNTY
My commission expires 7-10-97 e
Subscribed and sworn to, me on this
L ff day of iv nl .
By : cfmn'r:dkmJ
r Not ary Public
Rate Information
(1) Lowest dassilied rate paid by commercial users for com par·
able space: $10.76 per inch.
(2) Maximum rate alloWed by law for above matter: $1 ?,76 .
(3) Rate actually charged for above matter : $5.84 per inch .
Each add itional successive week: $4 _02.
.. CITY ~F ORONO -SUBDIVISION APPLICATION / j 1· jJ: 11 !!5,_
PROPERTY-LOCATION ________________________ .::tt,__ __ ---t=;t !1 ~ i:Jt::::' /
1 r · I ~ .. ~~J -~ p
Site Address G,2,o 6,~Ls\socA_ --------~ t
Property Identification Number (P.I.D.) ~r_
61
D7fh
Please check one -Property __2l__ abstract or torrens? ~-
Attach legal description to application.
APPLICANT Phone {home) S ~/ -I/; S-0
Name DAVi D ~~~R .......... ~'~-;J ___ R~J...~_S~fY_V ___ Phone (work) 93'1: .. lf-955
OWNER (if different than applicant) Phone (home) --------
Name
Address:
{attach
EXISTING LAND USE
Number of Tax Parcels
Development Size • 'I 't Acres Dry Land
r----Acres Wet Land
.99 Acres Total, all parcels
Present Use (check) ✓ Residential; no. of units J
Other (specify)
Present Zoning District _____ _
Division for Tax Purposes
;
Lot Line Rearrangement Only (no new building sites)
Subdivision for New Building Sites
Number of Building Sites:
Proposed Gross Density:
Minimum Lot Size:
Proposed Use: (check)
Existing Units
New Units
Total Units
_____ Units per __ Acres
Sq Feet Dry Buildable Land
Residential -----
J. r;-h t::; f /o ~
Other (specify) .... -------
..$L4 b ,..,,#vz.4 P11>/f /-'t,;lf/f'~Se... S".. ct:, .p ~,lf/4'1~,ll,/Q,.N7'
I r el'he. F-.a > 1::/11 eAI h /..ors. It./. 1s;1t.A4,17 A'esel(IJ-e_ ✓ .,. / ,,,,,,
'-'-pl €4-, s-a. J.J +. ()1 ~ W a f /.. cJ,,J{e,..,/VJ I ,A) #'e -f--o .A)%~.
MINIMUM MATERIAL NECESSARY FOR COMPLETE PRELIMINARY APPLICATION
1. Completed Application Form ,
2. Preliminary Plat information on Certificate of Survey.
3. Certified Property Owners List of owners within 350' (you must obtain
this list from Hennepin County Department of Finance A-603 Govt Center
348-3271).
4. As an addendum to this application, please attach a separate list of
any other persons you wish notified of this application.
Certification by Zoning Department that Preliminary Plat Application is
complete.
Zoning Official's Signature _______________ Date
I -----------------------------------------------------------------------------------
1. Payment of fees (park fees, filing fee, sewer and water assessments).
2. Signed Certificate of Survey or mylar copies of formal plat.
3. Title opinion.
4. Easements, Covenants, etc.
5. Developers Agreement and Letter of Credit.
Certification by Zoning Department that Final Plat Application is complete.
Zoning Official's Signature _______________ Date _______ _
FEES
Sketch Plan Review (Class I, II & III) $200.00
Subdivision of a Lot Line Rearrangement 300.00
Preliminary Review (Class I & II Subdivision) 300.00
Preliminary Review (Class III & all non-residential) 325.00 +
25.00/Lot
Final Plat Review (Class III) 175.00
*(Plus any legal or engineering charges)
Renewal of Preliminary Subdivision Application 150.00
Renewal of Final Subdivision Application 100.00
The applicant hereby agrees to provide al 1 information required or
requested by the Zoning Administrator, City Engineer, City Attorney,
Planning Commission and Council necessary to process this application and
further agrees to pay all additi al fees established by ordinance.
Applicant's Signature
Owner's Signature
Applicant must have ttals into the City offices 25 days before the
Planning Commission Meeting. Planning Commission Meetings are held on the
third Monday of each month. Applicants must be present at al 1 scheduled
review meetings of the Planning Commission and Council. If an applicant is
unable to attend a scheduled meeting, please make arrangements to have an
authorized agent attend in your place and to advise the Building & Zoning
Office of this change prior to the meeting. •
CITY of ORONO
Municipal Offices
Post Office Box 66
Crystal Bay, Minnesota 55323-0066
DATA PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your zoning request with the City of
Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your
qualifications for approval.
2. You may refuse to supply data, but refusal may require that
the City deny the request.
3. The information may be shared with other local, state or
federal agencies to the extent necessary to process the
request.
4. If your request requires Council action to approve, some
information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name is required to process this application •
.
DAVID 8-{JLF C//RLSON
First Middle Last
21/-00 liJlt,YF°LCJWe& S0 tt th Address
City ' State
..S¥1-/bS'O
Phone
and my rights as stated above.
TELEPHONE-473-7357 • FAX-473-0510
Sl.3.04 RIGHTS OF SUBJ:ECTS OF DATA
Subdivision 1. Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be given individual. An. individual asked to
· supply private or confidential data concerning himself shall be informed of: (a) the
purpose and intended use of the requested data within the collecting state agency,
political subdivision, or statewide system; (b} whether he may refuse or is legally
required to supply the requested data; (c) any known consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by state or federal law to receive the data. This_
requirement shall not apply when an individual is asked to supply investigative data,
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the notice re uired under this
subdivision in the individual income tax or propertv tax re und instructions instead o
on those forms.
Subd. 3. Aceess to data by individual. Upon request to a responsible
authority, an individual shall be informed whether he is the subject of stored data on
individuals, and whether it is classified as public, private or confidential. Upon his
further request, an individual who is the subject of stored private or public data on
individuals shall be shown the data without any charge to him and, if he desires, shall
Se informed of the content and meaning of that data. After an individual has been
shown the private data and informed of its meaning, the data need not be disclosed to
him for six months thereafter unless a dispute or action pursuant to this section is
pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by
the individual subject of the data. The responsible authority may require the
requesting person to pay the actual c~sts of making, certifying, and compiling the
copies.
The responsible authority shall comply immediately, if possible, with any request
made pursuant to this subdivision, or within five days of the date of the request,
excluding Saturdays, Sundays and legal holidays, if immediate compliance is not
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may have an additional five days within which to comply with the
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness ·of public or private data concerning himself. To
exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement. The responsible authority shall within 3 0
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccurate or incomplete data, including recipients named by
the individual; or (b} notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagreement is
included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the
provisions C?f the administrative procedure act relating to contested cases.
CITY of ORONO
Municipal Offices
Post Office Box 66
Crysta1Ba~Minnesora55323-0066
ON-SITE SEWAGE TREATMENT SYSTEMS: SITE EVALUATION FOR SUBDIVISION
(Applicable to unsewered areas only)
At the time of filing an application for preliminary plat
approval, the developer is required to provide a site evaluation
report confirming that each proposed building site has sufficient
suitable soil for on-site sewage treatment. Required submittals are
as follows:
1. Plot plan which shall be a copy of the preliminary plat drawing
showing all existing structures, wells and drainfield systems and
all proposed building sites, well locations, primary and
alternate drainfield locations.
2. Site evaluation report which shall tabulate data from soil
borings and percolation tests on each proposed building site of
less than five (5) acres.
3. Copy of the current compliance inspectio•n report for each
existing on-site system within the subdivision boundaries.
4. Site Evaluation data showing that an alternate drainfield site
exists for each existing on-site system within the subdivision
boundaries.
5. Where the site evaluation shows slopes in excess of 12 percent,
percolation rates slower than 60 minutes per inch, ground water
table less than 5 feet deep or soil classification requiring
innovative system design, the site evaluation report shall also
indicate specific system design specifications as normally
required for construction permit applciations.
GENERAL REQUIREMENTS
1. Site evaluation reports shall be accepted only if signed by a
City licensed, MPCA-Certified Site Evaluator. A list of licensed
site evaluators is available.
2. Evaluation Report. Proposed sites for all on-site sewage
treatment system construction or alteration shall be fully
explored, evaluated'and reported. The City of Orono shall be
notified at least 24 hours prior to any soil boring or
percolation testing so that an inspector may be present at the
site. The location of all soil borings or percolation tests
shall be indicted on the plans and certified by the site
evaluator. No soil testing shall be undertaken when t.he soils
are frozen.
TELEPHONE-473-7357 • FAX-473-0510
ON-SITE SEWAGE TREATMENT SYSTEMS
Page 2
3. Description of Site Evaluation Report. Each report shall include
a plot plan and supporting data.
A. Plot Plan -A scale drawing of the entire lot showing the
following:
1. All property lines and lot dimensions.
2. All existing and proposed structures.
3. All existing or proposed well locations, or water
supply piping.
4. Relative elevations of house, lot corners and
drainfield areas.
5. Slope or ground at drainfield sites by contour lines or
direction arrows and slope percentages.
6. Location of all percolation test holes and soil borings
with identifying symbols and relative ground elevations
of each.
7. Primary and alternate drainfield areas identified. A
minimum of six (6) soil borings and six (6) percolation
tests is generally sufficient to identify primary and
alternate sites.
8. Distance from primary and alternate drainfield areas to
property lines, well locations, and any lake, stream,
marsh or drainage channe 1 within 7 5 feet of any part of
the system.
B. Site Evaluation Report -The supporting data recording the
information gathered by on-site soil analysis including:
1. Log of all soil borings keyed to the plot plan showing
diameter and depth of hole, soil profile and ground
water conditions.
2. Log of all percolation tests keyed to the plot plan
showing diameter and depth of hole, soil profile,
percolation rate expressed in minutes per inch and
ground water conditions if encountered.
3. Description of the testing methods and equipment used.
4. Date(s) of testing, name, and MPCA Certificate Number
of Site Evaluator.
GENERAL SITE REQUIREMENTS
1. Site evaluation should identify enough area for a primary and an
alternate (future) system on each lot.
2. Setbacks: A) Septic tanks from:
House= 20' minimum
Well= 75' minimum
L~ke, Stream or Wetland= 75' minimum*
B) Drainfield from:
House, driveway, patio, pool, tennis court,
other forms of hardcover which potentially
drain surface water onto drainfield = 20'
minimum
*Certain lakeshore areas will have more restrictive setbacks. Please
check with the City staff.
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, HARDCOVER CALCULATION WORKSHEET
'Bc:FeJ rz..,s,r-ev !ST-C"7"1d, .J...,on
SETBACK ZONE: (CIRCLE ONE) @ 75-250'. 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
.. A,~ 30,·2-X .2'2, l = [r; l.t:,7,42 S,F,
LENGTH WIDTH
_____ x ______ = S,F,
_____ x ______ = S,F,
_____ x _____ = ____ _ S,F,
_____ x _____ = ____ _ S,F,
B, GARAGE ----------= -----X
C, DRIVEWAY----------= -----X
X =
X D,. SIDEWALK ____ _ = ----------
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F,lANDSCAPE _____ X _____ = ____ _
AREAS
UNDERLAIN BY . _____ X _____ = ____ _
PLASTIC
SHEETING _____ x _____ = ____ _
S,F,
S,F,
S,F,
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G, OTHER · s: x __ 4_.____ -_· _•_-_·· .. -";;z.._o ____ .... _. _ s, F,
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·•--rorAL .. HARDCOVER IN ZONE .... "'' :,'.~y:~,fu~~: S,F,
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.. ->TOTAL.. PRoP·E.RTY 'AREA .IN ZoN~;; ,~: ~: ::. ,;:?;8 J~4~b-!r,·c~~F.
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HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE)@ 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A, . HOUSE------X ------=· ______ S,F,
LENGTH WIDTH
-----X ------= S,F,
------X ------= S,F,
------X ------= S,F,
------X ------= S,F,
B, GARAGE ------X ------= S,F,
C, DRIVEWAY _____ X _____ _ = S,F,
-----X ------= S,F,
D,. SIDEWALK _____ X _____ _ = S,F,
eY--ts-\-\ UC( \,l~O~u e1<-. x _____ _ = +· 124b.92 S,F,
= ;z.o S,F,
-2. so.4:. = -4-; S,F,
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F,l.ANDSCAPE -----X ------= ------s IF I AREAS
UNDERLAIN BY .
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SHEETING
SS'PT\C. MEC..-1-\-
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------= ------s IF I
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HARDCOVER CALCULATION WORKSHEET .
SETBACK ZONE: (CIRCLE ONE) 0-75' ~-250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A, . HOUSE-----X -----= -----S,F,
LENGTH WIDTH
_____ x ____ _ =
_____ x ____ _ =
_____ x ____ _ =
_____ x ____ _ -
B, GARAGE
C, DRIVEWAY ____ _
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EXISTING HARDCOVER IN ZONE
A, . HOUSE -----X ------= -----s IF I
LENGTH WIDTH
_____ x ____ _ = S,F,
-----X ------= S,F,
_____ x ____ _ = S,F I
_____ x ____ _ = S,F,
B, GARAGE _____ x ____ _ = S,F,
C, DRIVEWAY _____ X _____ _ = S,F,
_____ x ____ _ = S,F,
D,. SIDEWALK _____ X ____ _ = S,F,
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FROM BEST & FLANAGAN NO. 3 Fl 'l'
I '•I
DEED OE' APPURTENANT EASEMENTS
THIS DEED OF EASEMENT is made this --day of May, 1992 by
and between Charles L. Pegelow and Ethel M. Pegelow, husband and
wife (collectively referred to as "Granters") and David R.
Carlson and Jan W. Carlson, husband and wife, (collectively
referred to as "Grantees").
The following recitals of fact are a material part of this
instrument.
A. Grantors are the owners of the following described
real estate located on Big Island in the City of Orono, Hennepin
County, Minnesota:
Lots 14, 15, 16 and 17, "Pleasant View Lake Minnetonka,"
according to the recorded plat thereof, Hennepin County,
Minnesota (hereinafter referred to -as "Pegelow Land").
B. Grantees are the owners of real estate which adjoins
the Pegelow Land and is legally described as follows:
The tract of land designated as «Reserve" on the plat of
«pleasant View Lake Minnetonka," according to the recorded
plat thereof, Hennepin County, Minnesota (hereinafter
referred to as "Carlson Land»).
C. lt would be advantageous for the Carlson Land to have
the use of a septic system, but there is no suitable location on
the Carlson Land.
D. The Pegelow Land includes sufficient suitable land to
construct a septic system which could serve both properties and
it would be advantageous to the Pegelow Land to have the use of
a s~ptic system.
E. The pa~ties have agreed on the following easement and
sharing of costs with respect to a septic system.
NOW THEREFORE, in consideration of the premises and other
good and valuable consideration, Grantors hereby grant to
Grantees, their heirs, personal representatives and assigns the
easement rights hereinafter described, subject to the following
conditions and covenants.
·1. Q_rant of Perpetual Easement. Granto:i:-s hereby grant to
Grantees, their heirs, personal representatives and assigns as
an easement appurtenant to the Carlson Land for the benefit of
all present and future owners of the Carlson Land or any portion
thereof, a perpetual non-exclusive easement to construct,
FROM BEST & FLANAGAN .,0 21, 1 ,•,
t. p 1./ 4
maintain, operate, service, repair, reconstruct and use a septic
system over, under and across the following described portion of
the Pegelow Land:
Those parts of Lots 14, 15, 16 and 17, •Pleasant View Lake
Minnetonka,~ according to the recorded plat thereof,
described as follows:
Commencing at the northeast corner of said Lot 17;
thence on an assumed bearing of South 12 degrees oo
minutes oo seconds West, along the east line of said
Lot 17, a distance of 132.00 feet, to the point of
beginning of the easement to be described; thence
No~th 12 degrees 00 minutes 00 seconds East, along
said east line, a distance of 65.00 feet; thence North
78 degrees 00 minutes 00 seconds West a distance of
aa.oo feet; thence South 36 degrees oo minutes 00
seconds West, to the southwesterly line of said Lot
14; thence southeasterly, along the southwesterly line
of said Lots 14 and 15, to the southeast corner of
said Lot 15; thence northeasteily, along the east line
of said Lot 15, to the intersection with a line which
bears North 78 degrees 00 minutes 00 seconds West from
the point of beginning; thence South 78 degrees 00
minutes 00 seconds East to the point of beginning
(hereinafter referred to as "Easement Premises").
2. The Us~ of Easement...J:.t.emises. 'rhe use of the Easement
Premises is not confined to the present buildings on the Carlson
Land. The right to the exclusive use of the Easement Premises
is not hereby granted, Grantors hereby reserving the right to
make joint use of the septic system and to make any use of the
Easement Premises which does not unreasonably interfere with
Grantees' exercise of the rights herein granted.
Grantees shall with reasonable
uc e sep 1c sy · _
remises, together with a pipe to the foundation wall of the
present building·on the Pegelow Land, sub·"ect to h ·
· ~ 1 1e e ow. T1e plans and specifications
for the septic system will be subject to the approval of
Grantors, which shall not be unreasonably withheld. The design
and construction of the septic system shall in all respects
conform to good engineering practice and all applicable laws and
ordinances, and Grantees shall be responsible for obtaining all
necessary governmental permits, inspections and certifications.
Upon _completion of the installation of the system, the dirt
shall be backfilled, but Grantees shall not be responsible for
sodding, seeding or landscaping the Easement Premises.
4. Sharing of __ C..Qn1?-hlli:J:i.9n Cost. Prior to cormnencernent
of construction, Grantees will provide to Grantors whatever good
-2-
FROM BEST & FLANAGAN Fl C'
I ,.I
faith estimates of construction costs are provided to them by
subcontractors and materialmen. Upon completion of the
construction of the septic system, Grantees will provide
Grantors with an accounting in reasonable detail setting forth
the out-of-pocket expenses paid or incurred to third parties by
Grantees for the design and construction of the septic system.
Grantees will not charge for their time or for the time of any
employee of David Carlson Companies, Inc. for management,
supervision, administration or profit connected with the
Project. Promptly upon receipt of the statement, Grantors will
reimburse Grantees for one-half of such amount.
5. Maintenanc~ and Repair~. The parties covenant with
each other to keep the septic system in good operating condition
and repair at all times. Either party may contract for
maintenance, repairs or reconstruction of all or any part of the
system, provided that written notice of the nature of the work,
the contractor and the estimated cost shall be given to the
other party not less than 10 days before the commencement of the
work, except in the event of the need for emergency work. Upon
completion of such maintenance, repairs or reconstruction, the
cost thereof shall be shared one-half by the then·owners of the
Carlson Land and one-half by the then owners of the Pegelow
Land, except that maintenance, repairs or reconstruction of a
connecting pipe which serves only the Carlson Land or only the
Pegelow Land shall be borne by the then owners of the respective
benefitted parcel. Such costs and right of contribution shall
be the personal obligation of the respective then owners of the
Pegelow Land and the Carlson Land.
6. J.l.lJl~mnificatiQ.Q, To the ex.tent Grantees perform or
order the performance of work or materials for the Pegelow Land,
Grantees shall defend, indemnify and hold harmless Grantors
against any and all claims, demands, damages, actions, causes of
action, liabilities, losses, judgments, costs and expenses of
any nature whatsoever arising out of the exercise of these
easement rights by Grante8S or agents or contractors of
Grantees, including without limitation, mechanics lien claims
and claims for personal injury, subject however to Granters'
obligation of co'ntribution with respect to costs of maintenance,
repair and reconstruction as described above.
7. Running of Benefjts_jind Burdens_. All provisions of
this instrument, including the benefits and burdens, run with
the land and are binding upon and inure to the heirs, personal
representatives and assigns of th8 respective parties hereto .
. 8. Terminat_j._QJl of Covenant Liability. Whenever a
transfer rif ownership of either parcel of land takes place,
liability of the transferor for breach of covenant occurring or
expenses accruing thereafter automatically terminates.
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FROM BEST & FLANAGAN
9. Con~tru~ti_Qll. The rule of strict construction does
not apply to this Grant. This Grant shall be given a reasonable
construction so that the intention of the parties to confer
usable rights of enjoyment is carried out.
and Grantees' address is
Court, Eden Prairie, Minnesota 55347. Either
ode wr· e o change o a r . 1
notices shall be sent by U.S. Mail to the addresses provided for
in this paragraph and shall be deemed given when placed in the
mail. The affidavit of the person depositing notice in the U.S.
Post Office receptacle shall be evidence of such mailing.
11. Acceptance of __ Conditions. GrantE=~es join in executing
this Deed to evidence and agree that they accept this Grant of
Easement subject to the reciprocal covenants and conditions set
forth herein.
IN WITNESS WHEREOF, the said Granters and the said Grantees
have executed this instrument as of the day and year first above
written.
Charles L. Pegelow
Ethel M. Pegelow
David R, Carlson
Jan W, Carlson.
STATE OF MINNESO'rA ) ) ss.
COUNTY OF )
The foregoing instrument was acknowledged before me
this __ day of --~-·---' 1992, by Charles L. Pegelow and
Ethel M. Pegelow, husband and wife.
Notary Public
-4-
E,
FROM BEST, FLANAGAN
STATE OF MINNESOTA) ) ss.
COUNTY OF )
f1~ ')1 qq·;,
" '" I .I.. I l • • ,I. 1 !"I l ••1 .•
l~I I Lt,
The foregoing instrument was acknowledged before me
t·lO, 3
this_ day of ______ , 1992, by David R. Carlson and Jan
W. Carlson, husband and wife.
THIS INSTRUMENT DRAFTED BY:
N. Walter Graff
BEST & FLANAGAN
3500 IDS Center
80 South Eighth Street
Minneapolis, Minnesota 55402
1242p
Notary Public
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p I 7
DESCRIPTION FOR: DAVID CARLSON COMPANIES 60589-063
Prepared By: y;·I· --
I
Proposed Septic Easement
SCHOELL & MADSON, INC.
ENGINEERS• SURVEYORS• PLANNERS
SOIL TESTING• ENVIRONMENTAL SERVICES
10510 WAYZATA BLVD.
MINNETONKA, MN, 55343
11121 540-7801 FAX: 540-9005
An easement for septic purposes over, under and across those parts of Lots 14,
15, 16 and 17, "Pleasant View Lake Minnetonka," according to the recorded plat
thereof, described as follows:
Commencing at the northeast corner of said Lot 17; thence on an assumed
bearing of South 12 degrees 00 minutes 00 seconds West, along the east
line of said Lot 17, a distance of 132.00 feet, to the point of
beginning of the easement to be described; thence North 12 degrees 00
minutes 00 seconds East, along said east line, a distance of 65.00 feet;
thence North 78 degrees 00 minutes 00 seconds West a distance of 88.00
feet; thence South 36 degrees 00 minutes 00 seconds West, to the
southwesterly line of said Lot 14; thence southeasterly, along the
southwesterly line of said Lots 14 and 15, to the southeast corner of
said Lot 15; thence northeasterly, along the east line of said Lot 15,
to the intersection with a line which bears North 78 degrees 00 minutes
00 seconds West from the point of beginning; thence South 78 degrees 00
minutes 00 seconds East to the point of beginning.
Date: May 19, 1992
Theodore D. Kemna
Land Surveyor MN Lie. No. 17006
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to inform you that your request for a permit or
license from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
-~ou are notified that:
~~--
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
DAViD First
ROLF
Middle
CARLSON
Last
Address ·
City 7 State Zip
5?1/-/6.S-O
Phone
and my rights as stated above.
RIGHTS OF SUBJECTS OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be given individuaL An. individual asked to
· supply private or confidential data concerning himself shall be informed of: (a) the
purpose and intended use of the requested data within the collecting state agency,
political subdivision, or statewide system; (b) whether he may refuse or is legally
required to supply the requested data.; (c) any known consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by state or federal law to receive the data. This.
regui:rement shall not apply when an individual is asked to supply investigative data,
pursua.pt to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or orooertv tax re und instructions instead o
on those forms. . ·
Subd. 3. . ··· Aceess to data by·· individuaL Upon request to a responsible
authority, an individual shall be informed whether he is the subject of stored data on
individuals, and whether it is classified a.s public, private or confidential. Upon his
further request, an individual who is the subject of stored private or public data on
individuals shall be shown the data without any charge to him and, if he desires, shall
Se informed of the content and meaning of that data. After an individual has been
shown the private data and informed of its meaning, the data need not be disclosed to
him for six months thereafter unless a dispute or action pur-suant to this section is
pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by
the individual subject of the data. The responsible authority may require the
requesting person to pay the actual costs of making, certifying, and compiling the
copies. ·
The responsible authority shall comply immediately, if possible, with any request
made pursuant to this subdivision, or within five days of the date of the request,
excluding Saturdays, Sundays and legal holidays, if· immediate compliance is not
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and may have an additional five days within which to comply with the
request, excluding Saturdays, Sundays and legal holidays. ·
Subd. 4. Procedure when data is not aeeura.te or complete. An individual may
contest the accuracy or completeness ·of public or private data concerning himself. To
exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement. The responsible authority shall within 30
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccurate or incomplete data, including recipients named by
the individual; or {b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual1s statement of disagreement is
included with the disclosed data.
_ The determination of the responsible authority may be appealed pursuant to the
provisions ~f the administrative procedure act relating to contested cases.
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