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Home My WebLink Aboutall paperwork from old PID#'s � . �o�o C ITY OF ORONO f ,� �,� RESOLUTION OF THE CITY COUNCIL y� : G No. b51 � r�kFS H�� A RESOLUTION APPROVING A SUBDIVISION OF A LOT LINE REARRANGEMENT AT 1150 HOMESTEAD TRAIL AND 3020 SIXTH AVENUE NORTH FILE NO. 15-3737 WHEREAS, the City of Orono is a municipal corporation organized and existing under the laws of the State of Minnesota; and WHEREAS, the City Council of Orono (hereinafter "City Council") has adopted subdivision regulations for the orderly, economic and safe development of land within the City; and WHEREAS, Richard C. Brama (hereinafter the "Applicant") has an interest in � the properties located at 1150 Homestead Trail and 3020 Sixth Avenue North within the City of Orono, said properties owned by the Margaret M. Buschbom Trust represented by Timothy J. Skelly as Trustee (hereinafter the "owner") and legally described as follows: Attached as Exhibit A(hereinafter the "properties"); and WHEREAS, the Applicant has made application to the City for approval of a lot line rearrangement which would relocate the lot boundary line between the properties; and WHEREAS, after due published and mailed notice in accordance with Minnesota Statutes 462.358 et. seq. and the City of Orono Zoning and Planning Codes, the Orono Planning Commission held a public hearing on the proposed lot line rearrangement on June 15, 2015 at which time all persons desiring to be heard concerning this application were given the opportunity to speak thereon, and on a vote of 6-0 recommended approval of the lot line rearrangement; and WHEREAS, the Orono City Council reviewed the proposed lot line rearrangement at a regular meeting held on June 22, 2015 and makes the following findings with regards to the proposed lot line rearrangement: l Page 1 of 3 � ' O �°��`: �- �� CITY OF OR�TO :;,� ��" RESOLUTION OF THE CITY COUN�,�L � a � �� j'�k �ti G~ N O. � TJ � �' FSH� FINDINGS 1. This application was reviewed as Zoning File#15-3737. 2. The parcel at 1150 Homestead Trail (the "north parcel") contains 4.20 acres in total area including platted Hennepin County Road 201 right-of-way and currently contains a single family residence. 3. The parcel at 3020 Sixth Avenue North (the "south parcel") contains 0.75 acres in total area including platted right-of-way for Hennepin County Road 201 and C.S.A.H. 6, and currently is vacant. The residence structure on this parcel was removed in 1997. , - 4. The properties are or will be served by private wells and on-site sewage treatment systems. , 5. This application contemplates a lot line rearrangement to relocate the common boundary between the two properties further north. The application also contemplates recognition of the County Road right-of-ways, as well as the creation of perimeter drainage and utility easements. The result is that the north parcel decreases in area to 2.20 acres excluding platted Hennepin County Road 201 right-of-way, and the south parcel increases in area to 2.47 acres excluding platted right-of-way for Hennepin County Road 201 and C.S.A.H. 6. The existing residence structure will henceforth be located within the new boundaries of the south parcel. 6. Each revised parcel contains suitable primary and alternate sites for individual sewage treatment systems. 7. The lot line rearrangement will result in both parcels being conforming to the RR-1 B Rural Residential Zoning District with regards to lot area and lot width. 8. Because this is a lot line rearrangement which results in no additional lots, no park fee or stormwater trunk fee will be required. Page 2 of 3 , � �-O�o C ITY OF 4RON0 � � . RESOLUTION OF THE CITY COUNCIL.�� . � � `� �'~ N O. � � � R--- j'�kFSHo�`` CONCLUSIONS, ORDER AND CONDITIONS NOW, THEREFORE, BE IT RESOLVED, that based upon one or more of the findings noted above, the City Council of the City of Orono hereby grants the lot line rearrangement of the above referenced properties based on the lot line rearrangement survey dated April 23, 2015, revised May 14, 2015, by David B. Pemberton of Sathre Bergquist, Inc. attached as E�ibit B, subject to the following conditions: 1. Following the lot line rearrangement the properties shall be legally described as shown in Exhibit C attached. 2. The applicant shall grant to the City perimeter drainage and utility easements for each of Proposed Pazcels 1 and 2 on standard forms provided by the City for filing with Hennepin County. , 3. The Applicantss shall file the appropriate deeds reflecting the new legal descriptions (subject to City Attorney approval) with the Hennepin CounTy Recorder's Office andlor Registrar of Titles Office on or before June 22, 2016, or the approval granted by this resolution shall expire. Adopted by the City Council of Orono, Minnesota this 22nd day of June, 2015. ATTEST: �. � , � •� �� iane Tiegs, City Cler Lili Tod McMillan, Mayor � Page 3 of 3 ` � Resolution Exhibit A , _ 6518 DESCRIPTTON OF PROPERTY BEING SUBDIVIDED Pa�el l:All�at pa�t of�die Northwest Quarter of�e Souti�vwest Quarter of Section 28,Townslup 118 North, Range 23 West of�e Sd�Principal Meridian,lying nordl of the cetrter line of County Road No.6,except t�at part lying south of the north 648.00 feet thereo�and�cept�e West 1022.70 feet tl��ao�Hermepin County, 1Vfnnesota. 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' � Resolution x'�;:� Exh' � C , �� '� � 8 � �� PROPOSED DFSCRIPTTONS OF PROPERT�',S Proposed Parcel 1:All that pazt of the Northwest Quarter of the Soudlwest Quarter of Sacchion 28, Townslup 118 North,Range 23 West of the Sti�i Principal Meridian,lying north of the center line of County Road No.6,except that part lying soudi of the nor�359.77 feet thereo�and lying east of tiie west 1022.70 feet thereo�Hermepin County,Minnesota,Subject to H.C.H.No.201,P]at 53. Proposed Parcel2:That part of the north 648.00 feet of the Northwest Quarter of the Soudiwest Quarter lying soukh of�e north 359.77 feet and lying easterly of�e west 1022.70 feet thereof and the east 208 feet of ti�at pazt ofNorthwest Quarter of Southwest Quart,er lying soudl of the nord� 648.00 feet thereof subject to H.C.H.No.201,Plat 53.and C.S.A.H.No.6,Plat 5. 'v'.-r,` : �O_Y O O CITY OF ORONO � � Municipal Offices � �, 3treet Address Mailiag Address: �� G'�' 2750 Kelley Parkway P.O.Box 66 'Z� �i Orono, MN 55356 Crystal Bay,MN 55323-0066 kESH�4 To: The Current Owner of Address 1150 HOMESTEAD TR City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threat Yes �No If yes, please contact the Onsite Systems Manager at 954-249-4626 within 10 days of receipt of this notice. The septic system must be brought into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified a on-Compliant Yes No If yes, system must be brought into compliance by: December 31,2007 � December 31, 2010 Other Septic Tank(s) Pump out Needed . Yes �No The city recommends the septic tank(s) and/or lift tank be serviced and pumped out every three (3) years. City records indicate the tank(s)were last pumped out on �—�-Q?`�-�. The tank(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: � ��.J��'� � Inspector: Date of Inspection: �0 7 Telephone (952) 249-4600 • Fax(952) 249-4616 www.ci.oroao.mn.us - --,• . Septic System Upgrade Deadline is Approaching . Here's a friendly reminder to all Orono property owners with non-compliant onsite septic systems. Beginning in the mid-1990s the City began to identify those septic systems that made use of trench drainfields, a majority of which do not maintain the minimum required vertical separation above seasonal water tables. Each existing system was subjected to soil borings to determine the seasonal water table depth. When a system was identified as non-compliant,the owner was notified of the need to bring the system into compliance and given several years to complete the upgrade. The deadlines'to upgrade were divided into whether or not the property was in the Shoreland District (within 1000' of a lake, or within 300' of a protected tributary stream). Properties in the Shoreland District were given until December 31, 2007 to become compliant. Properties outside the Shoreland area with non-compliant systems were allowed until December 31, 2010 to conforrn to the septic code. Don't wait until the last minute'. The City is strongly recommending that property owners not wait until the deadline arrives to bring their systems into compliance. The process to upgrade your septic system can be guite lengthy. The first step in the process is to hire a site evaluator& designer to determine what type of system is required and provide the blueprint for the system installation. The property owner must then contract with a septic system installer to have the system constructed. The installation of septic systems is very weather dependent, especially for mound systems, which can onl�y be installed when the ground is relatively dry,i.e. typically June thru September. Contractors' schedules fill up quickly, so it's important to start your planning and design process now to ensure a timely insta.11ation. The period of time from deciding to update your septic system to the actual installation can easily exceed three to four months or more. Please contact the Building and Zoning Department at (952-249- 4600) �Nith any questions you may have about bringing your septic system into compliance. For a list of licensed designers and installers you may go to wdvw.ei.��-ono.mn.us, elick on City Departments, click on Septic, then click on the link to wwwpca.state.rnn.us/pro�rams. � °� 0 0 ;r%��,,r�,_ _ � CITY of URONU � ��,� ��: *� � � �ti Municipal Oftices ,\\ ��t.''. 'r.�;; '�j:r � . �` � !�� ;-�� ;��" G� SVeet Address: °15a-a49'�160 � Mailing Address: �`�,� -.�.�.;�� 4,� � ., k�Hp � 2750 Kelley Parkway P.O. Box 66 �_ -�' Orono, MN 55356 Crystal Bay, MN 55323•0066 To Current Owner: Address: ��5� Nc�/►'iP S 1`�!� ci T/�• City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. �,CYSTEM CONFORMITY (1-3): � 1 "CODE SYSTEM"An LSTS which meets all the location,design and construction standazds of the current Orono Municigal Code. 2 "COMPLIANT SYSTEM" An LSTS which does not meet all the location,design and construction standards of the current Orono Municipal Code but does meet the three foot separation requirement or two foot requuement for systems installed 1996 or earlier,and which is not failing or an i�inent threat to public health or safety. 3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the location,design,or conshucdon standards of the current Orono Municipal Code and which is failing for any reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characterisdcs. TANK CONDITION(5-7): S Tank inspection indicates: 5 Pumpout not needed at this time. 6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 years. Tank was last pumped ). Make sure seatic tanks are aumaed throush manhole and not throu¢h white inspection aiaes. This allows for the aroaer cleanins. Keea water softner and iron 51ter discharge out of seatic svstem to urolons life of drainfield. Ask aumaer to test alarm float to verifv alarm is still workin¢in vour 6ouse. The alarm warns owner that seatase is about to backup into basement. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. DRAINFIELD CONDITION(8-10): � 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly dischazging untreated effluent to the surface. Contact the City Inspector immediately.Repairs must be completed within 90 days. COMMENTS: A..i a �lJ. ,;,a „ -t � ,1,�.� s r io �-� � .�� (.��- Date of Inspection Septic 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 euarantee or certifv that an existinQ Svstem will continue to function properly, but is merely an opinion of the adequacy of the system under current � o� o:�:� o . -��:�_�� C ITY of ORON4 � �,��',�'�;`�� !4 Municipal Offices 4 � ��.��t,�� ,t f;�,��, � Street Address: Mailing Addross: '9ltEgHOg' 2750 Kelley Parkway P.O. Boz 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 To Current Owner: Address: )�50 �a�t �'��,c� �r`� ' City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years. The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORMITY (1-3): � 1 "CODE SYS'I'EM" An ISTS which meets all the location,design and construction standards of the current Orono Municipal Code. 2 "COMPLIANT SYSTEM" An ISTS which does not meet all the tacation,design and consWerion standards of the cutrent Orono Municipal Code but does meet the three foot separation requirement or two foot requirement for systems installed 1996 ar earlier,and which is not failing or an imminent threat to public hoalth or safety. 3� "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may or may not meet all the(ocation,design,or construction standards of the cuaent Orono Municipal Code and which is failing for eny reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. � TANK CONDITION(5-71: � Tank inspection indicates: 5 Pumpout not needed at this time. OSeptic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years. Tank was last pumped E;i`"�-o t�. ). Make sure septic tanks are pumoed throuQh manhole and not throueh white insnection aiaes. This allows for the proper cleanine. Kee�water softner and iron �Iter discharge out of septic system. 7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If tanks have not been pumped out within the last three years,they should be pumped out now. INFIELD CONDITION 8-10 : � 8 Drainfield is dry,no surfacing evident. 9 Some evidence of surfacing,not critical yet. 10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector unmediately. Repairs must be completed within 90 days. co�rrrs: �c�.:�.�-t�� s �,�� c��;:��- �,� M��fi 6� Ccp��z J �Z- �i -t��u , P,sr.. S -��. �-��5 :-� �� ,� .,��-- a:�,. p� r-g�� ".�-'1'�;� \�S�s- �('e�tS � Q�'•r s�� r.S�Cc t';Y.. �0�� (�a� .�CS�7' � . �'t�s-o� �� Date of Inspection Matt Bolterman- Septic 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 ar certify that an existing system will continue W function properly,but is merely an opinion ofthe adequacy of the system under current conditions based on the available information. Telephone(952)249-4600 • Fax(952)249-4616 www ci.orono.mn.us � �°� - o � o �� :�-�ti CITY of ORONO �,' �� Mimidpal O�Ces � � � �,G �sareet Aadrou: �i��; ��'EggO� . 2150 Iteiley ParicrraY P.O. Bax 66 • Orono, MN 55356 C�ystai Bar, MN 55323-0066 Owner: � � 0 y c� �uS L�66n� Address:__ I�So Home St�Sd 'fr_ City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two yedrs, The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below. SYSTEM CONFORNIITY (1-3): 3 � 1 "CODE SYSTEM" Aa ISTS wlrich meets au the laxtioa,deign and construction standards ofthe cucreaR O¢oop Municipat Code. . 2 "COMPLIAIVT SYSTEM" Aa LSTS w6ich doa not meet all the tocation,desig�aaa co�vdion�tandardt ofine aar�rt Oimo Mnoidpai Code but doa med the thcee foot separation nquiremeof,aad which u nat failing�an immiaeat threat to public heahh or aafdy. : ('31 'NON-COIvv�LIANf SYSTEM" a�m�a�a rsTs;,n rsTs to�r�a.�;a a a«��a ioo-y�r flooa P�n,+�y isTs��y \J or may n�med all the locatioq design,a coai0nidioa ataodards of the cv:reat Or�o Municipal Code and which is failing for aay cusm;and any ISTS with lar thsn thrse f«t of uivalurated soil or sand betwaa the distn'bution device aad the limiting aoil chacadcistics. . .• TANK CONDTTION(5-101:� 5 � � � Tank inspection indicates: • � Pumpout�needed at tlils time. 6 Tank awst be pumped out this year (city code requires tarilcs to be pumped out every 3 yea�s. Tank was last pumpeH 4-19-4 7 �. 7 Solidt acwmulatioa in taaks is at a aitical a aitical IeveL Tanks should be pumped out as soon as possible. 8 System is discharging W the surface. Taaks must be pumped out within 48 hours to eliminate surface discharge. 9 Inspectioa risas missiag-tanks could not be ia4pected In�tion risas(4"dia.Pipe)must be icutalled in each taak ai aext pumpout If taak� have not baa pumped out withitt the last thra yeais.they ahaild be pumped out now. 10 L�spxtion pipe is located directly over tank lia@le(daes not give aa.vrate measurnne�of solids accumulation). If tanks hsve not b«n pamped out within tfu last three yeus,thry ahould be pumped out now. , DRATNFIELD CONDiTION f l 1-14): \� 11 Dca;nseld'u acy,no wrfac;ng eviaeat, • . 12 Some evideoce of surfaciag,not csitid yet . - . 13 Draintield is aatutated aad vissbly discharging uotreated effiue�to the surface. Contu.ti the CitY Io�dor�m�iate(Y•RePa�must be oompldcd within 90 day�. � 14 Dca;nfidd e�aeac and oond'itioa unkaow,1 • � ` COMNiENTS: Sys�e� �� no�—con.�\�w.� d� to Iqc.k o.� 3 �o+ se�k�a+o� berwen,n �A � Se�Sa�a\ wct}er+ablC �� bo+ra�. � irc�t�ts QcPlqcc �.� i�.-3hao10 $-9-b1 � .. I�te of Inspection sep6e system Iospector ~ Note: Ia the eveot Wat this iaspcction repoct is uxd to sa2idy the reqn'a�h fa a moRgage a atha�aasfer of ProBertR be advised that ffiia repact doa nat gwrantee a cectify that aa e�osting system will coutinue W fundion pmpaly,but is maely an opinion of the adequacy of the infocmatioa syskm uader a�¢o�ooed'itioai based m the svailable SEPTIC SYSTEM INVENTORY - Address: 3020 Sixth Ave. N. PID: 28-118-23 32 0002 Building Typ residence #BRs/GPD: 2 #Systems 1 Units Billed 1 Permit#: 4442 Date of Permit: 6/2/76 Installer: Day Plbg. System Type standard trench Experimental: no Appliances lndry SYSTEM CONDITION Conformity: 3 Tank Condition: 9 DF condition: 11 Failure Pot: medium SEPTIC TANKS Material: concrete block Capacity: 1000, 500 Setback to Bldg: 20 Cesspool: no DRAINFIELD Length of Lines 100 # Lines: 2 Trench Width: Treatment Area: 200 Type of Filter rock Soil Boring: yes Tile Size: Under Tile Perc Rate: Setback DF-Bldg: 20 DF Ht above Wt: Soil Type: Limitations: WELL DATfI Setbacks - Well-Tanks: 50 Well-DF: 60 Report in File yes Pump Type: subm. Depth: 212 Diameter: 4 Method: drilled INSPECTION RECORD PUMPOUT RECORD DA TE DESCRIPTION COMPLIANCE DA TE GALL ONS 6/3/76 installation 7/9/90 1200 11/29/82 no surfacing 2 11/1/90 1000 8/14/86 no surfacing 2 4/21/92 1500 9/14/90 no surfacing-need risers 2 9/10/96 800 8/13/91 no surfacing-risers located 2 10/21/93 non-conforming-repair by 12/31/95 3 7/22/96 non-compliant,repair by 12/31/96 3 10/11/99 non-compliant-repair by 12/31/2000 3 :� ,u,:�: � e;.. �� :�� S�x�� -✓� � �, L}u- � �^ i ^ I G � �� -- b � , I i � � ' �� _� � f I ----- - --- - -i - - J�1�C��'1 �U�?;� .�, � � � c � � �r� ��'g ��'� _ .� = � ��, �g� _ ^ a n � �� D - I�� ..� I , ��,9 a�� _ CITY OF ORONO � O� Mu�icipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(�E TREATNIF,�iT �, �, INSPECTION REPORT ti ��9kESH�4'�G Owner: T' �D�l� ��SGh,t7�)YI Address: J�20 S�r�vt �-1/�/v, �SS�S6� Permit �'s: yyy'1- Dates: (�- 2-76 Contractors: ��+��/ l��Icr 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 falt into the category checked below. (This is� an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): � 1 "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 tocation, 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-CONfORMlNG 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 aith less than 3 feet of unsaturated soil or sand between the distribution device and the limiting soil characteristics. (The limitin� soil characteristic� has or [ ] has not been identified at this time. If the limiting soil characteristic has not been identTfieZf, this classification may be subject to revision.) TANK CONDITION (5-70): � Tank inspection indicates: 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. tanks should be punped out as soon as possible. System is discharging to the surface. Tanks must be punped out within 48 hours to eliminate surface dischar�e. � inspection risers missing-tanks could not be inspected. [nspection risers (4" dia. pipe) must be installed �n each tank at next punpout. If tanks have not been ptariped out withtn the last three years, they should be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the last three years, they should be p�rnped out now. DRAINFIELD CONDITION C11-14): �� -_r+— D field 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 (sloae.setbacks.etc.): w�„�n.+y��j�1, POTENTIAL FOR SYSTEM FAILURE (decends on soils.water table.etc.): (/�}�A 114/'Yl COMMENTS:S �' ` pYJ � CQ.�,� �Z1 � ��,� �' � � � .�-h��.. , � IO-11--A'4 Date of Inspection Septic ystem 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 op�nion 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 locetion and punping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner o ��,, � � ,�, 0 0 , ;j,;� ; CITY of ORONO a �� . ,o� �► ,, �',, �'�;y �f'� `� � �ti�l Municipal Offices � �� , ��_ G�% f ``� " Street Address: Mailing Address: l,9 `,�,�i i ��'kE8H�;-� 2750 Kelley Parkway P.O. Box 66 ...-- � Orono, MN 55356 Crystal Bay, MN 55323-0066 Owner: � �� Address:3020 Sixth Ave. N. Permit #' s:4442 Dates:6/2/76 Contractors:Day Plbg. (This is �� an existing system [ � new construction) SYSTEM COMPLIANCE (1-3) : 3 1 Code Svstem: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant Svstem: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. '�3� Non-Compliant Svstem: 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 any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level �] has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision. ) TANK CONDITION (5-9) : 9 5 Pumpout not needed at this time 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been ,-->� pumped out within three years, they should be pumped out and risers installed now. � 9 � Inspection pipe is located over tank baffle-can not measure solids accumulation. If �� tanks have not been pumped out within three years, they should be pumped out now. (During the last septic tank Maintenance Pumpout the tanks [ ] were or �] were not confirmed to be watertight by the licensed pumping contractor. If the tanks were not confirmed to be watertight, this classification is subject to revision.) AINFIELD CONDITION 11-14 : 11 rl Drainfield is dry, no surfacing evident. ~ �12 Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (system acTe and condition, soils, etc. ) : medium-high COMMENTS: The non-compliant septic system must be repaired by 12/31/96. Z�._ � — ' ,�+ ' � � � ; ,�,,..�._--�_ Date`o�nspection Se tic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473-0510 /: / .-O ��\. /,�� \� O O \\, t,v:,, C ITY of ORONO a �► �',, `, ,< ' �!� , Municipal Offices � � � �� G!� Street Address: Mailing Addross: �'��9kEgg0�'�� 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 . �� Owner: \ ��}��r Address:1150 Homestead Tr. Permit #'s:1820 Dates:5/16/68 Contractors:Earl Day � (This is an existing system [ ] new construction) SYSTEM COMPLIANCE (1-3) : 3 1 Code Svstem: Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating properly. 2 Compliant Svstem: Does not meet all current City standards for new construction, but in most respects appears to be designed, located, and constructed in accordance with previous codes and is functioning properly. 3� Non-Compliant Svstem: 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 any system with less than three feet of vertical separation between the bottom of the drainfield and the saturated soil level. (The saturated soil level � has or [ ] has not been identified at this time. If the saturated soil level has not been identified, this classification is subject to revision.) TANK CONDITION (5-9) : 9 5 Pumpout not needed at this time 6 Solids accumulation in tanks indicates they should be pumped out this year. 7 System is discharging to the surface. Tanks must be pumped out within 48 hours. 8 Inspection risers missing-tanks could not be inspected. If tanks have not been pumped out within three years, they should be pumped out and risers installed now. �9� Inspection pipe is located over tank baffle-can not measure solids accumulation. If tanks have not been pumped out within three years, they should be pumped out now. (During the last septic tank Maintenance Pumpout the tanks [ ] were or [ were not confirmed to be watertight by the licensed pumping contractor. If the ta ks were not confirmed to be watertight, this classification is subject to revision.) D INFIELD CONDITION 11-14 : 11 1 Drainfield is dry, no surfacing evident. `12 Some evidence of surfacing, not critical yet. Repair is not required at this time. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repair must be completed within 90 days. 14 Drainfield extent and condition unknown. POTENTIAL FOR SYSTEM FAILURE: (svstem aqe and condition, soils etc. ) : medium COMMENTS: The non-conforminq septic svstem must be repaired bv 12/31/2006 or within 90 days of failure (surface discharqe) , whichever comes first. �-1��-9'6 � � Date of Inspection Sept' System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a transfer of property, this report does not guarantee that an existing system will continue to function properly, but indicates the operation of the system under current conditions. Telephone (612) 473-7357 • FAX 473-0510 CITY OF ORONO �O� Municipal Offices O O Post Office Box 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAGE TREATMENT v�,� � INSPECTION REPORT ti ��9kEsHo��G Owner: //�1'7\ l !]Y�S�Prv�1� Address: ��(� .�l�X/h �`ti�Pr �lt Permit �'s: y�/�1� Dates: (��7b Contractors: ��✓� //�✓ T//�f. City ordinance nu�er 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site seuage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is ;J/7�an existing system [ ) new construction) SYSTEM CONFORMITY (1-3): 1 "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. "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 700-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 distri6ution device and the limitina ' 3 (The limiting soil characteristic�as or [ ] has not been identifiecl�at �tT�is� �fifie. If t e l�ting soil characteristic has not been identi ied, this classification may be subject to revision.) TANK CONDITION C5-10): Tank inspection indicates: 5 Pumpout not needed at this time. 6 Solids accumulation in tanks indicates they should be punped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical tevel. 'fanks should be punped out as soon as possible. System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each tank at next purtipout. If tanks have not been pumped out within the last three years, they should be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the last three years, they should be purtped out now. DRAINFIELD CONDITION (11-14): Dr field inspection indicates: 1 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 [nspector immediately. Repairs must be compteted withfin 90 days. 14 Orainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): COMMENT : � �S Date o Inspection Se ic System I spector 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 pre�nises with the system locQtion and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner CITY OF ORONO � O� Municipal Offices O O Post Office eox 66 Crystal Bay, MN 55323-0066 � � ON—SITE SEWAQ�E TREATMENT r$), . �, INSPECTION REPORT ti ��9kESH��'�G Owner: �/OV(� �/�J1�dYY"� Address: /�,1L� �I'DI7'1��5f� ��. Permit #'s: / Dates: 5'�� Contractors: �Y/ 1.b1�� 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 f�l, an existing system [ ] new construction) SYSTEM CONFORMITY 7-3 : "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 tocation, 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 failiny for any reason; and any system with less than 3 feet of unsaturated soil or sand between the distribution device and the limiting so�l characteristics. (The limiting soil characteristic [ ] has or �has not been identified at this time. If the limiting soil characteristic has not been identified, this cla sification may be subject to revision.) TANK CONDITION (5-10): TpNc inspection indicates: C5� Purtipout not needed at this time. 6 Solids accumulation in tanks indicates they should be pimped out this year to help prevent future problems. 7 5olids 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 punped out within 48 hours to eliminate surface dischar�e. 9 Inspection risers missing-tanks could not be inspected. Inspection risers (4�� dia. pipe) must be installed tn each tank at next punpout. If tanks have not been punped out within the last three years, they should be punped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been punped out within the last three years, they should be p�xnped out now. DRAINFIELD CONDITION (11-14): Dr�field inspection indicates: 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 irtmediately. Repairs must be completed uithin 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (sloae,setbacks.etc.): POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): ��.� COMMENTS: Date of Inspection S tic 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 certtfy that an existing system w�ll 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 �xmping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER �/�� ADDRESS //� ��7�'� ��% PERMIT NO.'S. /�� DATES -��:�g CONTRACTORS -��L1-1�— City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on3ite sewage treatment system at the above address has been i�spected and appean to fall into the category checked below. (This is � an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. � 2 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 properiy;no major upgrading of the system is required at this time. � 3 Dces 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 probtems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design,construction or location,but is faiting to properly treat and dispose of xhe 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 nuisan�.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replaceme�t 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 ( m Checked items may require your action) Ta�k inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump� have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drai field inspection indicates: should be pumped out as soon aa possible. �Orainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. � within 48 hours to elimi�ste surFace discharge. ❑ Drainfield is saturated and visibly discharging untreated � Inspection risera misting—tanks could not be inspected, effluent to the surface. Thia condition may require replace- Inspection risers (4"dia.pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition u�known. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (dePends on soil types,water Futur Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table ❑ Low Fair ❑ Lot size �Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible � �surfa di harge. COMMENTS: '� � ��9-9/ Date of Inspection eptic 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 i�formation. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 �-- � �f�� `-,, �;�'�� !� -��'�` A D D R ESS `� �`�'� ,r�(/�, �i.�l°,� � � •_WNER �� i'�RMIT NO.'S. `��y� DATES � � /� CONTRACTORS -1�d�L�L�7____� . 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 �an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. �2 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. � 3 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. � 4 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 ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Dces not �-Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soo�as possible. � Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. � Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unk�own. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table ❑ Low �-Fair ❑ Lot size ^�Medium � Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. COMMENTS: �I 3�f � �' � �.� Date of Inspection eptic 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 system location and pumping records. WHITE COPY/ Inspector's File GOLD COPY/Homeowner On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay,MN 55323 � 473-7357 OWNER �(�,��1 AODRESS l��TC��'1 �l Y� PERMIT NO.'S. —{� DATES �� CONTRACTORS �r City Ordinance No.210 requires that each on-site tewage treatme�t system in Orono be inapected on a regular basis.The on�site sewage treatment system at the above address has been inspected and appeers to fall into the category checked below. (This is I� en exiating system ❑ new construction) �� Meets or exceeds current City atandards in all reapects relating to deaign,construction,and location.Appears to be operating W�►�Y• � 2 Does not meet all current City atandards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previoua codes.System appeers to be fu�ctioning properly;no major upgredi�g of the syatem is required at this time. D3 Does nat mcet curcent City standards in many respects relating to design,construction,or locetion.Appears to be operating adequately at this time,but has a relatively high potentiai for future problems.No major upgrading of system is required at this time. � 4 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 g�oundwaters,or is creating a aafety hazard,or is otherwise creating a public nuisance.Please contect the City Inspector to discuss system repair/ replacement p�ocedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan muat be submitted for review.Your co�tractor must obtain a permit before work is atarted. SYSTEM CONDITION �m Checked items may require your action) Ta�k inapection indicetea: ❑ Inapection pipe is located directly over tenk baffle.(Does not $l Pumpout not needed at this time, give eccurate meesurement of solids accumulation.) If tanks ❑ Solida aecumulation in tanks indicatea they ahould be pump- have not been pumped out within the last three years,they ed out this year to nelp prevent future proWema. should be pumped out�ow. ❑ Solida eccumulation i� tanks is at a critical level. Tanks Drainfield inapection indicates: should be pumped out as soon as poasible. � Drainfield is dry,no aurfecing evident. ❑ System is diacharging to aurface. Tenka must be pumped ❑ Some evidence of surfecing,not critical yet. within 48 hou�s to eliminate surface discha►ge. O Drainfield i: ssturated and visibly diacharging untreated ❑ Inspection risers mis�ing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inapection risen (4"dia.pipe)muat be inatsNed in each tank ment or additiona to drainfield. Contect the City Inspector at next pumpout. If tank:have not been pumped out within immediately.Repairs must be completed within 80 days. the last three years,they ahould be pumped out now. ❑ Dreinfietd extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potentisl for System Failure Site Capabilities for O Slope (depends on soil types,water Future Expansion ❑ Soil table and system condition) �.Adequate ❑ High water table �Low ❑ Fair ❑ Lot size O Medium ❑Poor ❑ Lake,wetland,or stream ❑ High . ❑ Inadequate ❑ Drai�age ❑System is causing visible surface discharge. COMMENTS: ��/�� Date of Inspection eptic System Inspector Note: I� the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be sdvised that this report does not guarantee or certify that an existing system will conti�ue to function properly,but is merely an opinion of the adequacy of the system under current conditioos based on the available information. This report must be kept on the premises with system locetion and pumping records. WHITE COPY/Inspector's File GOID COPY/Homeowner On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER �(OVU E. f,u5 G�l�b ►� ADDRESS .T.I S� ��►'v1�� 1 m � I PERMIT NO.'S. 1$a� DATES 5� �6- �g 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 �an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to desig�,construction,and location.Appears to be operating properly. � 2 Does not meet all current City stendards for new construction 11978 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 systern is required at this time. � 3 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. � 4 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 sSfety 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 ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located direcily over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks �Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed.out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. � Drainfietd is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfaci�g,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is seturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risers (4"dia. pipe)must be instelled in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) �Adequate ❑ High water table �Low Fair ❑ Lot size ❑ Medium �Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: I dl-►'1� ��1f�ut�C�l �Q �� !`�r�� J�) -f1c�+ � �R r� � Cl V'D i a (1a�r� � Tq, �.�r�� (�DS�"�c,, r� i r'S, ��6 �b7 Date of Inspectio� Septi y m 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 system location and pumping records. WHITE COPY/Inspector's File GOLO COPY/Homeowner minnesota department of health 717 s.e.delaware st. p.o.box 9441 minneapolis 55440 � � .- _ . ��, 16121 623 5000 'r""' 4 l�; a� ` ' JUL28 � ., �� ..�� .��_._�._ -�� -- �u�y l�, 19s� . _. ___ _ ._ ,- �"�---� � . Mr. Floyd Buschbom " (,� 1150 Homestead Trail � � � Long Lake, Minnesota 55356 Dear Mr. Buschbom: Enclosed are the analysis results of the water samples collected from the wells serving your home at 1150 Homestead Trail and your rental property at 3020 County Road 6. The wells were sampled as part of a monitoring program established by the Metropolitan Landfill Abatement Act. The water samples have been analyzed for the presence of 54 volatile organic chemicals and seven indicator parameters. Volatile organic chemicals were not detected in the samples. The concentra- tions of the indicator parameters were within the range of background water quality. We have enclosed a copy of the analysis report, and a water quality informa- tion surrmary. Should you wish additional information, please contact Ron Thompson at 612/623-5264. Sincerely yours, � �°°� yy�� w Sister Mary Madonna�ton Commissioner of Health SMMA:RDT:cad Enclosures cc: Gordon Meyer, Minnesota Pollution Control Agency Hennepin County Community Health Service Senator Gen Olson Representative John Burger Mayor James Brabek, City of Orono ✓ Mark Andrews, Chair, Hennepin County Board of Health an equal opportunity employe� MINNESOTA DEPARTMENT OF HEALTH 6ROUN0-MIATER MONITORIN6 - YOC SAMPLE/ANALYSIS REPORT Form SSU-3 Rev. 9-85 S. SAIPLE INFOAlNTION SN�'.0. Z U S � Ni�rMell Mater Syste� .S � Nase (Public Syste+�) Collectloe T1�e Orner Na�e t—I c��[� ��AScL► �Wl pate 7 (2�-hr. tlock) � Facilit Address '1 M M D D r r H H M M Y (SL., Rte. or P.O. Box)_f� �C\ Fi� u V�G� � �»«� py a � City and Zip Code S S 3 5 [.�'G Untreated Hakter�, Nu�ber �t I I'VU��F�� GI.� Il�� --��I � T Treated Nater-Treataient Type Lab Sa�aple Field Blank i � 0 Other Nunber 7 � �3 Nu�ber O � �/I Saapling P int scri tion 1 �(` C�N�S��Z ��ut� � eO�S� Sll`e o`r �o�l1P Oate Date QT Received � Malyzed Z $ M M 0 0 Y Y M M D 0 Y Y Malysis Type (check v one) [��Initial Sample ❑ C Check Sample �� ❑ 0 Otber Confinoed Reported � 6 � M M D D Y Y M M 0 D Y Y Split Sample? � Yes [�►f6' 6. PARAIETER AND CONCENTRATION INFOWNTION � .f° �° alysis Requested - Volatile Hyd carbon - Code 465 Code VOC �``��M`6� Result (ug/1) ; �OC's Detected7 ❑ ves No a a — — — — — — chlorodibromomethane cis-1,3-dichloro- �°� �t° 1-propene ❑ ❑ _ _ _ _•_ _ Code VOC d`� �d'� Result (u9/1) 2-chloroethylvinyl ether ❑ ❑ _ _ _ _ _ _ acetone � � _ _ _ _ _ _ 1.1.1.2-tetrachloroethane � ❑ _ _ _ _ _ _ ethyl ether � � _ _ _ _ _ _ 1,1.2.2-tetrachloroethane � � _ _ _ _ _ _ benzene [� � _ • _ pentachloroethane ❑ ❑ toluene � � _ _ _ _ _ _ 1.1,2-trichlorotri- fluoroethane cumene ❑ ❑ _ _ _ _ — — 1.2-dichlorobenzene ❑ ❑ _ � m-xytene ❑ ❑ — — — — — — — — — — — tetrahydrofuran � � � _ trichlorofluoromethane � � 1,1-dichloroethylene � � _ ;i methyl ethyl ketone ❑ ❑ _ _ _ _ _ _ — — — — — ! methyl isobutyl ketone ❑ ❑ _ _ _ _ _ _ trdichloroethylene � � _ I ethyl benzene ❑ ❑ _ chloroform � � _ _ _ _ _ _ o-xylene D Q = _ _ _ _ _ dibromomethane _ _ _ _ _ I p-xylene _ _ _._ � — carbon tetrachloride � � _ chloromethane � � NaT�lIANTIFIE�._ _ dichloroacetonitrile � � _ vinyl chloride � � jNOT�rtFtE�._ _ 1,2-dichioropropane � � _ chloroethane � � MaT uAMTiFIE�._ _ trans-1,3-dichloro- dichlorodifluoranethane � � NOT�IIANTIFIEO ._ _ 1-propene � � _ _ _ _ _ _ bromomethane � � NOT�u�TIVIEo ._ _ 1.3-Cichioropropane � � _ _ _ _ _ _ dichlorofluoromethane � � NOT 11ANTIFIE�._ _ 1.1,2-trichloroethane methylene chloride ❑ ❑ _ _ _ _ _ _ 1.2-dibromoethane � ❑ _ _ _ _ _ _ ailylchloride ❑ ❑ _ _ _ _ _ _ bromoform 1.1-dichloroethane ❑ ❑ • _ — _ _•_ — 1.2.3-trichloropropane � � _ _ _ _ . _ _ cis-l.2-dichloroethylene [] ❑ _ _ _ _ _ _ 1.1.2�2- 1�2-dichloroethane � ❑ _ _ _ _ _ _ tetrachloroethylene � � _ _ _ _ _ _ 1.1.1-trichloroethane ❑ ❑ _ _ _ _._ _ chlorobenzene � � - - - -'- - bromodichloranethane ❑ ❑ _ _ _ _._ _ 1.3-dichlorobenzene ❑ ❑ 2.3-4lchloro-l-propene � � _ _ _ _ _ _ 1,4-dichlorobenzene � � _ _ _ _ _ _ 1.1-dichloro-l-propene ❑ ❑ _ _ _ _ _ _ � � _ _ _ _ _ _ 1.1.2-trithloroethylene [] ❑ ❑ ❑ Analyses Result (mg/1 unless Analyses Result (mg/1 unless �eQuested Code Parameter otherNise noteC ReGuested Code Parameter otherwise noted) � nitrate;nitrite nitrogen � _ C . � specific conductance _ � _ Q. _ _ a ammonia nitrogen — _ _ C_, . ;� � umh cm. chloride (`: . ��> � ❑ pH — Z . � � sulfate _ _ � c'_. _ _ � - - -- - - � iron _ _ i . �- _ � - - -- -- MINNESOTA DEPARTMENT OF NEALTH I 6ROUND-�iATER MONITORIN6 - YOC SAMPLE/ANALYSIS REPORT ' Form SSU-3 Rev. 9-85 S. SAIOLE INFOAIMTION Site I.D. Field Yell �` Mater Systa� N�e� Z — C7 S N�aber ("t S Naa�e (Publit Syste�) Collection Ti�e Owner Na�e ��(� t��n W� Oate 7 (2�-h�. clock) � Fatility Addross N M D D r r H H M M (St., Rte. or P.O. Box) 3��(1 �h (� Collected by o�M City and Zip Code �A S3 S+aP� TpPe (check v one) Lab Qudget I�I�I I,I I,..�I' IUI I�I,,J �-n Untreated Mater Nuibtr c} INB (] T Treated Mater-Treataient Type up ��e � Fi�rBlank U O i I ❑ 0 Other Nu�ber Sampi ng Point Description �� u du� S � � �U uLi Recei ved Ma l yzed 6 Z U M M 0 0 Y Y M M D D Y Y Malysis Tjrpe (check vone) [t�t�Initial Sample � C Check Sample Date Dste ❑ 0 Other Confi nieG Reported Q Split 5 M M o o r r N N n o r r ample7 � Yes [�Fo 6. PARAlETER AND CONCENTRATION INFORINTION e a Ilnalysis Requested - Yolatile N rocarbon - Code 465 ��`'�``f Code VOC y� d� Result (ug/1) �OC's Detected? � lres No a — _ — — — — chtorodibromomethane cis-1,3-dichloro- .�`'�`.!�'� 1-propene ❑ — — — — — — Code VOC er d Result (u9/1) 2-chloroethylvinyl ether � _ _ _ _ _ _ acetone � _ _ _ _ _ _ 1.1,1,2-tetrachloroetha�e ❑ _ _ _ _ _ _ ethyl ether � 1.1.2,2-tetrachloroethane � _ _ _ _ _ _ benzene � _ _ _ _ _ _ pentachloroethane ❑ _ _ _ _ _ _ toluene � _ _ _ _� 1,1,2-trichlorotri- � _ _ _ _ _ _ fluoroethane � ��e 1.2-dichlorobenzene � m-zylene ❑ _ _ _ _ _ _ trichiorofluoromethane � tetrahydrofuran ❑ _ _ _ _ _ _ 1,1-dichtoroethylene � methyl ethyl ketone ❑ __ _ _ _ _ trans-l.2- methyl isobutyl ketone [� _ _ _ _. ._ dichloroethylene � ethyl De�zene ❑ _ _ _ _ _ _ chloroforni � o-xylene ❑ _ _ _ _ _ _ dibromomethane � p-xytene ❑ _ _ carbon tetrachloride � chlorometh�ne � �r�wulTtFtE�._ _ dichloroacetonitrile � vinyl chtoride � �T,�TiFt1._ _ 1,2-dichloropropane � chloroethane � �T�u�Ttvt�._ _ trans-l.3-dichloro- dichlorodifluoromethane � LT UANTIFIW�._ _ 1-propene � bromomethane � LT lIAMTIfI�._ _ 1.3-dichloropropane � dichlorofluoromethane � L IIANTIFi1._ _ 1.1.2-trichloroethane � methYlene chloride � _ _ _ _ _ _ 1,2-dibroaaethane � a11ylch1or1Ge ❑ _ _ _ _ _ _ bromoform � 1.1-dichloroethane ❑ _ _ _ _ _ _ 1.2.3-trichloropropane � cis-l.2-dichloroethylene � _ _ _ _ _ _ 1.1.2.2- 1,2-dichloroethane � . _ tetrachloroethylene � 1.1�1-trichloroethane � _ _ _ _ _ _ chlorobenzene � _ braoodlchloromethane � _ _ _ _ _ _ 1,3-dichlorobenzene � _ _ _ 2,3-dichloro-l-propene ❑ _ _ _ _._ _ 1,4-dichlorobenzene ❑ 1,1-dichloro-l-propene � _ _ _ _ _ _ � 1.1.2-trichloroethylene � _ _ _ _ _ _ � � — — — Analyses Result (mg/1 unless Analyses Result (mg/1 unless RequesteG Code Parameter otherwise noted Requested Code Parameter otherwise notea) � nitrate+nitrite nitrogen � _ �. � specific conductance _ � Q ❑ ammonia nitrogen _ �._Z Wnho/cm. � chloride _ _ �, �Q Q pH — Z ,Z ❑ suifate _ Z Z, _ _ __ _ _ � iron — — � ' � � � — - - - -- � � CITY OF ORONO * Z 0 1 4 — 0 0 3 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2014 ORONO, MN 55356- 952) 249-4600 FAX: 952) 249-4616 ADDRESS : 1150 HOMESTEAD TR PIN : 28-118-23-32-0001 LEGAL DESC : UNPLATTED 28 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 29,569.08 NOTE: VALUATION OF PERMIT:$29569.08 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 466.75 STATE SURCHARGE(VALUATION) 14.79 LAKEWOODS REMODELING INC. MAIL-IN FEE 2.00 9001 E. BLOOMINGTON FREEWAY ST BLOOMINGTON,MN 55420- TOTAL 483.54 (952)888-5550 Payment(s) Minnesota State License#: BU1L-20443066 CREDIT CARD 9692 483.54 OWNER BUSCHBOM,MARGARET M 1150 HOMESTEAD TR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. •Zo�- �f� �/ l��,� Apphcant Permitee Sig ure Date Issue y Signature Date J � 64/22/2014 12:22 9528885554 PAGE 61 ��,�.�s�, ��, ��+�� '� c�(�. . � � � Ci�y of C3rono Building permit App�icat�on for Maintenance / !'�eplacement / Renovativn (No structural expansian. Only windows, daors, sid;ng, r�.�roo1�, etc. �o,� MaNing Address: � Pq Box B6 ;Pertti�nwinb�r;;. -. Crystal 8ey, MN 55323-OOfi6 ` � � ��F��tA"t'er;�iW�1dt .,, .Tv�-- � StreetAddress.� 'Fi�'iv�id,Ly�'.' " y� � 275D Kelley Psrkway ;. ::,,�,,:,:..,, :,��•. : . .��, �'�$ s�p `� Oron��MN 55358 ';,�I�FY�r�evj�Yli7'�g f �,. � � Main: s52-249-46pp �ax: 952-249-4616 �T�otail��ie�; � �' 7hiS appliaatlon form m�st be cOmple#ed in futlwa I mno.mn.us ;'. '„'��,�'��' Incomplete applicatfons will be r�turned.d(Pe se print) ust be submitted. G�NERAL INFORMATfON: . Job$ite Addrass: b m � �'�' Wil!thls be a Parade of Home$, f�emodefers Showcase Wnme or other Dlsplay Home? ye$ If ys�,a speclal evenr permlf!s requf�d wifh polica bepanman�a»d Cpy Counc!!� rove160 da N� required unless applicanl derrronst�tes suHlclAnt on•slte park,ng Is avai shls. nlan-�rmi ed avar�tsVuv�p n Shb�jjo�aQN�W�ll be CONTFt�qCTOR 1 APPLICANT IN�'ORMATI�N; Name: �,IG, -- ��y�� ' � � �R Q l,L��.�t'�C� 1��`� S#ate LiCense# �� `�"" L.ead CertifiCation IVumber. Expiration Date: ,� _ (for work on homes that werp con�$q��pnor�0 978 Expiration pate: ��n� �� , Phone: (cell) ) � S��f Mailing pddress: �,� 3�-�� fo�ce �� Cantact Persvn: �'�y� �Sm�r ;3 ZIP: � � �- Appfics�nt is� Contrac � / omepwner �maii andlor Fax: � tcr►�,o a,,,� PRpPERTY DwNER INFORMATION: Name� �� Phone(day): ��_{t�� Address: � �-- Email andJor Fax: City: z�p; PR4JECT INFORMATIpN: Qverali ro ect descri tion:� Type of Project: - — -�--- ❑Door(s) � �Y eartlt movement may alsa t+equlre ❑Remadel �Fire Damage 114C1n►D►svlew&permlts; �Re-roof,asphalt ❑Repalr ❑5torm bamage Minnehaha Creek Watershed blstrict(MCWD} ❑Re-roof,Cedar [�I�estdration ❑Wafer pamage �8202 Minnetonka Blvd ❑ Re-roaf,other s ct �eephaven,MN 85�g1 ( Pe �y1 ❑Siding []Other:(specify) Phone; 952-a71�d590 -- � [1 Wlndow(s) Fax: 952-471-068z Estlmated Constructidn Valuatlon of ProJect(excluding land) � �'m�nnehahacre�Jt.or� APPLICANT ACKNOWLEDGEMENT; • Agrees to provlde all Informatian required or requested by th�guiiding oepartment; • Cerbfias that the information supplled is true and correct to the best of hislher knowledge. 'rhe applfcant rscognizes that they are solely responslble for Submltting a complete applicatlon being awar�that upon(ailure fo do so,the staff has no altematlwe but to r�jeCt it until it Is complete; • Some or aU of the information that you are askad to provide on this appllCation Is claSsifred by State law a8 eithQr private or confidential. Prlv�te dQt9 is inf�ormation whiCh generally Cannot be gl�en to th�public but can ba given ta the subject oF the data_ Confidentiel data i$information which generally cannpt be g;�en to either ihe publlC or the subJeCt af the data, Qur pul'pose And ►ntended use of this Information is to annually update our records and recards af other gQvernmental agencies required by law, �t ou retuse to su I the information,the a IicaHon ma not be lssued, �lpplicanfs Signature: �� Date: Owner's Slgnature: date: Last Updeted;o3�oarzo�s ��I DATE TIME ✓ CITY OF ORONO CALLEO IN — INSPECTION qIOTI SCHEDULED - — PERMIT NO.dO� �� C MPLEfED � i ADDRESS �� 'J�D ,��'� %Y� OWNER � T PHONE NO,�aZ,�S� CONTRACTOR � DESCRIPTION � �. � ❑ FOOTING ❑ PLUMBING FIN XCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ E REMOVAL ZO IN TION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: W � j O � O � � W � Q � � W aC � d W� O WORK SATISFACTOFi�F.PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52 249-460� OwnerfContractor on site: Inspector. White Copyflnspector's File Canary CopylSfte Notke �// DATE TIME � cinr oF oRONo LED IN �6 � INSPECTION N TICE SCHEDULED ' PERMIT NO. -� OMPLETED ADDRESS � OWNER Tj¢�PH E NO ��" CONTRACTO � � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOpD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT J DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � 01NNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: W 1L a �bUs e . Q'7��C� �14�a�� .2 Jf 0 GT'� IL�.� / 9�� t�Qs p� �Ce �k vtJ�i � /oa� Q �.1c0`t �a�..Me.�,t r�c.�cueg �- � � a . . � �#r� I/ant��tco... p�ov tee4 j4�D�K ��y�ois Gb 7�,.�.e lc� � ,d��.�o� �rcti f� a W� ❑WORK SATISFACTORY:PROCEED '�PIO�fiC�T COMPLEfE W ❑CORRECT WORK 8 PROCEED � O ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REf]UIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor onl,site: Inspector: White Copyllnspector's File Canary CopylSite Notice � � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03860 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: si29i2ooi SITE ADDRESS: 1150 Homestead Tr LONG LAKE, MN 55356 PID: 2g-i 1s-23-32-000t DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Minor Alterations Permit Sub-type(s): Building- Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 139.25 Valuation: $ 7,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 142.75 APPLICANT: Lemmerman Const. lnc. OWNER: FLOY�E BUSCHBOM ETAL 9037 Cty.Rd 17 SE 1150 HOMESTEAD TR Delano, MN 55328 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERNllSSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. - ��.- �ir�� -� APPLI A ITEE I NATURE ISSUED 13Y SIGNATURE Copies: City,Applicant, Assessor, Finance Page 1 f � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BiTII,DING PERMIT A.PPLICATION All information must be submitted in full before plan review will be started. � (please print all information) THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: /<r�D f/CIMF�ST�qp �Q/ �-I L, �NS�ZIP: SS 35(0 NAME OF OVYNER: �� M�.Y B�Sc�l�M PHONE: (home) 952-ti73 –2b63 (work) �— 1�iAILING ADDRESS: �� A'� Agov� . CITY: ZIP: CONTRA.CTOR: ' �M�� - PHONE: 763-912-�l70�S CONTACT PERSON: Tt�M MOBILE/PAGER ��2.-�-�0��I MAILING ADDRESS:90�C7yrzD !y SE CITY: 4�€IA�D ZIP: �'�`32 STATE LICENSE: # ��5�f ARCHTTECT/ENGINEER: N�� PHONE: MAILING ADDRFSS: CITY: ZIP: Nr�,ME; REGISTRATION# • TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �t��C1DF ��S IS7l�16 �'d�. . STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT: � DET. - - . .. ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ `�OG�� 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. , APPLICANT'S SIGNATURE: ATE: o`L9 MMl b/ NOTE! Parade of Homes events require separate permit approvat by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. � ti Sec.13.04 RIGHTS OF SUBJECTS OF DATa Subd. 1. Type of data. The righrs of individual on whom[Le data is stocrd or to be scored shall be as set forth in ehis secaon. Subd.2. Information reqirired to be given iadividual. An ir.dn�idual askcd to suppiY priva[e or confidendal data concerning himself shall be informed of: (a)the purpose and inrended use oEthe csquested data v.:�ia the collecaag Stace agency,polidcal subdivuion,or sratewide rysum; (b)whe�her he may refuse oY is legally mquited co supply the requested daa:(c)any l�own conscquence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenriry of aeher persoac or enrides aLchorized by s�a[e or federal taw co.receive the data..This requiremenc shall no[apply when an individual is asked to supply invesdgadve data,purs�^�to secdon 13.82,subdivision 5,to a taw enforcement o�cer. The commissioner of re�enue mav place the nodce roauired crder chis subdivision in ihe individual income tax or nrooem rex refund inscruc�ions instaad of on those forms. Subd.3. Access to data by indi�idual. Upon request to a r_ronsible aurhoriry,an individual shall be informed whecher he is the subject of scored data on individuals,and whe[her it is class�ed as public,priva�or confidenrial. Upon his further request,an individual who is the subjecc of scored private or public data on individuals shall be shown[he dara Ki.�out any c'narge to him and;if he desires,shall be informed of the content and meaning of[hac data. After an individual has been shown che priva_�an and ir.iormed of its meaaing,the data need not be disciosed to him for six monehs chereaiter unless a dispute or acrion pursuanc to[his secdon is fending or addiaonal data on the individual has been collecced or creaced. The responsible auehoriry shail provide copies of[he private or public daa L:on reques:by[he individual subject of�he data. The responsible authoriry may require che requesdng person to pay the acaia!costs of making,cer;•ing,and compiling the copies. The responsible auchoriry shalt comply immedia�ely,if possib'.e,wich aay r:quest made pursuant co chis subdivision,or within five days of the date of the requesc,excluding Saturdays,Sundays and legal holidays,ii ir,.mediau.compliance is not possible. If he cannot comply with the request wi�hin[hac dme,he shall so inform[he individual,and may have an addi�e�l five days wirhin wtuch to compiy wich�he request,ezcluding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. :�►individual may contesr the accuracy or completeness of public or pri�•ate daca conceming tiunsdf. To exercise chis righc,an individual shall nod"r,.•ia wriang c�e responsible suthoricy describing che namre of the disagreemenc. The responsible authbriry shall wichin 30 days either: (a)correct the da2 fcund to be inaccurate or incomplece and aaempt to nodfy past recipiencs of inaccura�e or incompiete data, inetuding recipiencs named by[he indivit�:or(b)�ocify the individual that he believes the dara to be correcG Data in dispuce shall be disclosed only if the individual's stacemenc of disagr��ent is ir.cluded with the disclosed dard. The de�erminadon of the responsible authoriry may be appe=_'=�pursua.cc to the provisions of the adminisaarive procedure act reladng to contested cases. . DATA PRIV�CY AD`4ZSORY In accordance with M.S. 13.04,Subd.2, "RiQhts of subjects oi data",we would like to inform you that your reQuest for a permit or license from the City of Orono or any oi ia deparments may require you to fumish cenain privace or confidencial information. You are notified that: 1, The information you furnish will be used to�::ermine�'our qualification for the permit or license requested. 2. You may refuse to supply data, buc refusal nay require that the Ciry deny the permit or license. 3, The information may be shazed wich other local, stace or federal agencies to the excent necessary to process the permit or license. 4, If your requested permit or license requires Council action to approve, some information may become . . public. g, You have certain rights under M.S. 13.Ot (available upon request) to review private data on yourself. 6. Your full name is required to process this zpplica[ion or permic. Firsc Middle �� Address • Ciry State Zip Phone I understand my riahts as stated above. . Signanire DATE TIME CITY OF ORONO CALLED IN INSPECTION OT C SCHEDUIED PERMIT NO. � �� COMPLETED J� %�' ADDRESS.�J�D y22�5'�'P� �i J OWNER CONTR. TELEPHONE NO. � DESCRIPTION ��--� 1 T � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:._YES_NO � COMMENTS: � w � � � O � � O � W � Q � Z W � W � 1 � d W �WORKSATISFACTORY:PROCEED ❑ PFiOJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContrac on site: Inspector.��a��- ��, White Copyllnspector's File Canary Copy/Site Notice ��,� �Q�� a's �/ ��°r��' DATE TIME CITY OF ORONO CALLED IN �� '' '3� INSPECTION NO ICE SCHEDULED / � ,� PERMIT NO. 3g�� COMPLETE� '� �� ADDRESS__��G `��me�� Q �i . OWNER CONTR. ��.r��'YI/V��ytGt�l. C�4�1'}� TELEPHONE NO. � � DESCRIPTION ��-��l-�J`' ` `- ��(.,d�t...�o�' � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMB�NG RI 23 SEPTIC FINAL. 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� �iWORK SATISFACTORY:PROCEED �PROJECT COMPLETE W �O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOFi WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUiRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlConUactor on site: Inspector.��''�-- 7 White Copyllnspector's File Canary Copy/Site Nolice PERMIT �CI OF ORONO PERMIT TYPE: _ _ 2750 elley Parkway - P.O. Box 66 - _�.._.- � .> Cryst�;Bay, Minnesota 55323 Permit Number: ,_;::;V,:_:;'�;'� (612) 473-7357 Date Issued: _ _ SlTE ADDRESS: :�� F . r .:. . . DESCRIPTION: . . .*�'�.:. .. .. ..._ t»�e-i��.y��.S�i�.i I�'.e!.� '?;... . _ .. . .. _. . .. Y..�1, "i�;,;-ir�e f_..��'..� i �'Ii o �fr�'°y � 1 F �-'?�_' _.. '� :._. . . ._ ._ _. . L REMARKS: FEE SUMMARY: u � �:�; CONTRACTOR: _ . ; ,-: ; - OWNER: . _ _ . _ :. _ _ . .- ._.. �#�i F �i — —��" _+.h r•. t_�?�"� y:;`,t_", �'� I .. } , �,: � ' .r `�' - ' j t :.:�; ..—�. '-� .�.��.;�-i ;�{tt — — — i . .�.;i.'i.`. s� II -.�. E._._ ... �.....� . .—,, � -..,-. - -.- � _ .. ....... _. , . .� . .. _ �. .� . .. � ..�. .... ..� . ._ . .. ..� . ..� f__— � i .. � !.._�.»� ��..� ;. r. . .,.,.. . . _ . .. _t � . �..5 . : . ._. f E�, `,_..._ . I i _ y. .-k . ,_ . .� . , �,� ..�. . , , . � I } . ,... . � .. ., .. . :—: �r e—i r. _ ...S . .�� ., .... }.:W 7 . . �'.�..: � . � ....._. _ _.._ '" .t.. , . {'"_.._...� .«.' "`� ' .. . _ . . . . . _ _ . .. . . .. ., . � . . _ . . ,_, . .. . � . ..._�. ..j.. . ; ..,` ;Vi � {,�,' .a. {,�e -`-: ri;;;� _ . ..., .. ..__ .. , � . b' ,. ._ ._ _ _ ..,_ °c .. ...._. � .. f r r. z.:' I ._. .� .._ _. . :. .�__._ . . ._ . . . . .._ . . . .. _ ..__ _ _. . f L J � � APPLICANT/PERMITEE NATURE ISSUED BY:SIGNATURE . . . � � ��,�� CITY QF ORO�'O APPLICATION FOR DEMOLITION PER�ti1IT P.O. Box 66 (2750 Kelley Parkway) Crystal Bay, �1N 5�323 SPECL4I, CONDITIONS & HOLD HAR�ILESS AGREEME�rT General Instructions 1. You may be required to obtain other permits, i.e. burning, well abandonmment, etc. 2. `Vork must not be;in unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call 473-7357. � . � �/� JOB SITE ADDRESS: .��,' ' �' C,�u,�� /C.'c� � � c�-zC�, � ��.� � �, /(�. S� 3S� Occupancy Type: �Residential Commercial ��, O�i�rER'S N�itiIE: -�=v-c ' ..��acz�2�'-�� Phone:(��J�7� ��,5� - Mailin� Address: /% �� f.,-Y, �z_c� /.��.�: .Ciry:��r��<T�%�/ �� s�3.s � � � • �'i��,_ c`2��> CONTRACTOR'S NA11�:.� �j ��'�2� ,�Z � _ ' Bus. No.. ' Q ddress: ' v ��% __l� ` Ciry: j ��_ -��,z, Ma�lin� t� ( � Demolition if planned by means of: manual disassembly _� heavy equipment burnin� (by fire department) Permits Issued: # Burnin� Fire Department ## Well Abandonment In return for issuance of said Demolition Permit, the undersi�ned owner hereby agrees as follows: 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is complete. 2. Demolition debris will be kept off adjoinino property and/or the public rights-of-way unless specific prior approval is obtained in writing for temporary use thereof. 3. Foundations shall be completely removed from the ground. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abandoned in accordance with State Health Department reb lations. 6. Inspection required when all debris has been removed, before bacl�illing. a � - 7. Within � working days of superstructure removal, a final inspection shall be requested. The site shall be lef[ clean and clear of all debris, with any excavation filled with earth level with the adjacent around elevation (except when such eYcavation is to be used as part of a new buildin� and such new buildin; is actually under construction). 8. The undersiQned owner shall and hereby does indemnify and hold harmless the Ciry of Orono, its aQents, employees and assigns from and against all claims, damages, losses or expenses, includin� attorney fees, against the City, its aaents, employees and assigns arisin� out of or resulting from the demolition described herein as performed by the property owner, his employees, aQents, subcontractors or assigns. PER�IIT TYPE AND FEE CALCULATION � �50.00 =�Principal Structure � $30.00 - Accessory Structure 1. Subtotal of above permit requested $ ��. ��-' 2. State Surcharge $ .50 � 3. TOTAL PERNIIT FEE (add lines 1-2 above) $ ��'-�5�� The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all work in strict accordance with the ordinances of the Ciry and the regulations af the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � �� . APPLICANT'S SIG�'ATURE: ' �� Date: O`VNER'S SIGNATLTRE: `� l� ��.��,�y,, Date: � � �1�� APPROVED BY: �— �� '��---- Date: � �-� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE . scHEou�E� —��—,�.�-�_-_— PERMIT N0. '� connP�ET ADDRESS � `S � OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � ��" � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z OS FINAL 74 SEWER HOOK-UP pg ~ 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR T M YO :_YES NO � COMMENTS: ` � � � � � �, � � � � O � � O � w � Q � z w � W � � d W i_:WORK SATISFACTORY:PROCEED PROJECT COMPLETE � i_ CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O C! CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT C 1 CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETURN f; STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED I , INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice � � ` ' �,erti�icate of �urvey fnr Floyd E. $uschbom in the Sout,nWest 1/4 of Section 28-114-23 I �.-- - - —�,ozz.-��-__ _ _ -__- ._. 2g3s - . _J _ _ _ I `�� Wpsf % cernBr o{� f•�..NoPf�, IinP e�SW/4 ', 3.�' 3" ! SPcfion 28-//8-13 of cSpcfioq z8-//A-23 b, ( / /` i I . I .., WPS7 �/7P OT SW i 4 I `C I '`r of Sc�cJ�iOn ZB-//B-�3 ! � � !� . . .. /Oz?.7'. ` . 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C o � - — -_--------- �� _�_—____� � h.C.�: �VC o _-- -- . 6 :C��r'� -„'..__.._� `� - _ `FniC/ii/'C � '"� � / �� . -� � . � . . .. , r? . ., 1-. -. . .,. - ' _ ... : . ._ . - . , - . . _.. ��. _ ; . ._ _. . . - .� � . . . . ... - __ .. . ., _ ._ � _ ..`.�.:. � �' .. _ . � ..-. . � ... � ... _ . � _ - ... _ . �. .. . , . . . ':�: _.�. �.:. . . _ _.... _� . _ . � _ _ . , -. . �' .. _�_ . . . '. � . .. . . . _'' r� � � �' . /�, �jy-- '��'��-�'- ' / - , ��-�.�-�-� �-�-�- P�''�` ,�- � � �o� 0 0 ;,�,�;_;�� CITY of ORONO +�1 �'�� '��°�� , Municipal Offices � ��'':�,� I�'�� Gti' ,� �r l f� �i��a� .� Street Address: Maliing Address: `9$�HQg' 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323•0066 April 13, 1998 Fax to: Rolf Erickson Re: 3020 6th Ave N P.I.D. 28-118-23 32 0002 • Mr. and Mrs.Buschbom own the above-referenced parcel. They have asked me to provide you with the zoning status of this property. A demolition pernut for the principal structure was issued September 9, 1997. City files indicate that the septic system was also abandoned. The property is located within the shoreland district where a 3' separation between the drainfield and water table is required. The previous system was considered non-conforming. The zoning district is RR-1B, the Rural Residential District, where 2 acres of dry buildable is required for each zoning lot. This lot is considered non-conforming as to lot size. In order to consider this lot buildable, variances would be required. It is doubtful that the lot could provide a primary and secondary septic site and meet all other zoning district requirements. If you have any questions about this parcel please call me at 473-7357. Sincerely, �,�'Z_, Liz Van Zomeren Zoning Administrator cc: Mr. & Mrs. Floyd Buschbom, 1150 Homestead Trail, Long Lake MN 55356-9687 Phone 473-2653 Street File Telephone (612) 473-7357 • FAX 473-0510 r ; • �1'� . . ,� ��`''V� ,T:°x � �� {i\j� ? �,: , ",� b ' e�d �� 4�, � �� 'd � ` �='�ie� "_','.�� 4�� t�y';R s a�z'�+5 �;.a� ro !�-�' s d� 4� �er N R #t. d � 4 ,i f �O�O �+�`"."115� y" �r�`` { �. Y� . �'' � a �. ,,$�5�,{''x. r,,,�` �i ! .�}�`��:, � �'�_1�� , ' ,."i'! ��.N; � �� edr��.� Y� - � � �w �° � .. . ,.. . . ?� ��-�*, +.,. �-.:x��b.� , � - ° .q�..� y�" ��; a'"- . . � a >. y � ��-• .�� ,� . . 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N ID: Print Date:2/22/2015 � \ Owner Margaret M Buschbom Trustee Market $95,000 Name: Total: Parcel 3020 Sixth Ave N Tax $1,155.46 Address: Orono, MN 55356 Total: (Payable:2014) Property Vacant Land-Residentiai Sale $61,000 Type: PI'iCe: This map is a compilation of data from various sources and is fumished "AS IS"with no Home- Homestead Sale 03/1984 representation orwarranty expressed or stead: Date: impiied, including fitness of any particular purpose, merchantability, or the accuracy and completeness of the information shown. Parcel 0.7 BCfeS Sale Quit Claim Deed COPYRIGHT O HENNEPIN COUNTY 2015 Area: 30,466 sq ft Code: �. - . • ..__� http://gi s.hennepi n.us/Property/prinUdefault.aspx?C=452741.62652635225,4983050.043332296&L=7&T=hybrid&D=true&LID=O&F ID=2811823320002&VIS=0,0,... 1/2 2/6/2015 Hennepin County GIS-Printable Map Hennep�� _ + ■ � � � � 1 ! r � �p rt,.��,"�� 1�-1:. : �:> � . �1 =� 11 _� �� : 11 _.�� <:,�:� • , "�",�.. 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's�y�,��'1 �' ,:# ��`�., 4."�'" ��4 �r'��,.�e`f � ,.. s� � �1-'aL'g=' .� .r�s,�"b� ..�.`.. � T n'� � � �. .9� ;��." ►`` '"` � `�T' �+�t � • .� � �. � - ` - ��ti � '�,��r � �� :�� . r i�r- �� _�'�, �` �� r�,`� � �� c , � �< M t"5�y �, , ;'�� ,. � �" " _ ' �',� �rw � Ii... �,+�.` �;��`.��:• .. �� / 9�� ii Parcel 28_118-23-32-0001 A-T-B: Abstract Map Scale: 1"=200 ft. N ��' Print Date:2/6/2015 � Owner Margaret M Buschbom Trustee Market $378,000 Name: Total: Parcel 1150 Homestead Tr Tax $4,597.56 Address: Orono, MN 55356 Total: (Payable:2014) Property Residential Sale Type: P�iCe: This map is a compilation of data from various sources and is fumished "AS IS"with no HOme- Sale representation orwarranty expressed or Homestead im lied, includin fitness of an stead: Date: P 9 y particular purpose, merchantability, or the accuracy and completeness of the information shown. Parcel 3.91 acres Sale Area: 170,226 sq ft Code: COPYRIGHT O HENNEPIN COUNTY 2015 � -- , r'___' http://gis.hennepi n.us/Properly/pri nUdefault.aspx?C=452893.8680808354,4983046.947701107&L=7&T=hybrid&D=true&LID=O&F ID=2811823320001&VIS=1,0,0,... 1/2