HomeMy WebLinkAbout1993-005754 - addition PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �;t���-�����`�{R
Orono, Minnesota 55356-0815 PermitNumber: �;{��?��
(612) 473-7357 Date Issued: ; �:;�,_;`,�;:;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY: ���� """"
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CONTRACTOR: OWNER: — H����� i�r;�f{:. --
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APPLIC /P ITEE SIGNATURE ISSUED BY:SIGNATURE , ..�,
` CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ ���,,�.-) � Date Received: 1�'d ' �i 3
Date Approved:
Entered By: ('��% _
Permit#: /f. `J
ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRA OCT�
JOB SITE ADDR$SS: j*z-S ��!T�� ,�(/�'_ ZIP: is���
(wo rk lS`� "J`��G1
NAME OF OWNER:. /�FI� 4 ��/�.�y �D,�'� PHONE: (home)q7S �'�/G�
MAILING ADDRESS:�Z-S �/�"1��7"� �//�: CITY:f�/'ffY�Z�}�i'� ZIP: ����
CONTRACTOR �NAI� ' �/�uG f�. ��,�U/1�1G�/ PHONE: �7�-- �j�;�Z
MAILING ADDRESS: �J�-� �j �j/�� GjT CITY: L,.'Ga4�� ZIP: �j�j��
STATE LICENSE: � '�-- Cq�. P�� 8`�U - 530�
�, �iZU - �6� 1
ARCHZTECT/ENGINEER:�i�f�/� �E��TZ�'��`��� PHONE: 9'1��� y���
MAILING ADDRESS: ��� �j/f,�,��/f /9U(.�� CITY: u�����"�%�I ZIP:��3��
NAME: REGISTRATION #
TYPE OF WORR: New Addition� Accessory Structure biove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : ����`- �� /,"�'�`�iP�-�'�I ���Gc��T/4�(,�
��l��u� � �J2�� ��= � ��
STORIES:�_ SQ. FEET OF EACH FLOOR: Z� _
NO. OF BEDROOMS: �� GARAGE STALLS: ATT. '�� DET. �
C�
ESTIMATED CONSTRQCTION VALIIATION (eacluding land) : $ � �, /2-C��
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 wil 1 be in accordance with the approved plan. �
APPL I CANT'S S I GNATURE s � � i .G�'i Jt_.(��- �/ '�G'�'r� DATE: �f'� - ��
i . .
ENERGY CODE DESIGN BY�ACCEPTAIiLE PRACTICE ,
. To Deterinine Coa�liance with the Minnesota E�nergy Code
(Section 602 of the State Amended 1983 Model Enetgy Code)
Ihis form is azly a�plicable to detached ane-and two-Family dw�e�.ings. The reauirements h�rei.
are based cn Table No. 6-I1 in lieu of the criteria specified in Sectians 602.2.1, .2 and .3.
Building Address �i2-7� �i�'ll�Tf� �U�.
Contractor or Owner �/ZfI� £ D�� �O�G��%�-
3uildinq Flement� "R" values Area (sa ft) � of E�t. wa?1s
reilings Design�Req'd 38
�Ta]1s (exterior) ' Design�l�Req'd 20 9 , 7Q
(w/o fdn)
E'Ioors (over unheated spaces) Design "'— Req`d 20
kWindvws (in bldgs w/o �. � Design�Recr'd i 2
�l.idir�g glass door) � (gt ass)
kWindaas (in bldgs with a . Design Rea'd 10
3liding glass door) (91ass)
burr3ation Wa11s Design�Req'd 5 (when insulating full depth of
foundaticn wa11)
Design Req'd 10 (whe� insulating rnly t� frost
depth and footings extend belaw)
3lab�-�rade floors Design Req'd (See Figure No. 3)
�*Doors (1-3/4" metal faced) Design Req'd 3
* A11 wirx3ows shall be double glaz� or have storm windvws
** Conventional doors other than metal require a storm door
CE�ZTIFICATION
; hereby certif� that I have ca�leted the above in£ormation and that it ccarplies with the
Cinr�esota State Energy Code. •
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�ignature ��`�- ��c.�r/�� Date ��� �
C.SD 3-89 ' 15
�C/�i/6593
� F
�
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� HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: �CIRCLE ONE) �-75' 75-250� 25�-5��' 50�-1���'
EXISTING HARDCOVER IN ZONE
--------------------------
A� HOUSE �`-� X = �� S�F�
� LENGTH WIDTH
• /Z X � _ ' Od� S�F�
/U x Z� _ ��� S�F,
ZU X � = G�� S�F�
X = S�F,
B� GARAGE �� X � � _ ��� S�F�
C� DRIVEWAY �'"`r X = _ 2 � S�F�
� X I�� = S� F�
D� . SIDEWALK X = �� S�F,
x = S�F�
x = S�F�
E. �ATIO/
ECK � l� X �i�/ _ • ���o S�F�
F�LANDSCAPE X = S�F�
AREAS
UNDERLAIN
BY X = S�F�
PLASTIC� '
SHEETING
x = S�F�
X = S�F�
G� OTHER X = S�F�
------------- �
TOTAL NARDCOVER IN ZONE - �i ���S�F� �
T07AL PROPERTY AREA IN ZONE - � (/ � �b S�F� �
A �� : B �"��3� x 100 = �
-2 0
,
. ' ,
..a,y� �
Plumc�ir.g ;
��;p�,11, � ,en si:��.e :^�:::.�_e si:::r � �._e . � , t��
ttlr c M�- f�"� ts T���_ w�
�i:i3I1��E�w MO�i: Si;�_�W?r i�UC?�' S . �'1,10 f .V� fC�_�* fl�'��'a' '_?5S 14J;�:lti� ,
bath/showe: stalls , one ��iece . Tw� Koh '_er t :il�ts . .Tye wa`e�
supnly will come fr�m the basement soffitt �r�a . `
. ''�, " , ' ;�
Cultured marble ;
White cultured :^ar:.�ie van: ty tc��s �cr b�_ :n b�t^�c:�o:;�;� . �
.. �',
Cabine:s ;
A f ive foot ana � . .._ �- = _ - - . .... _ .� ;ri . .. �a_ s�:. -:...__ _.� __� .
c : r_ �`
`i'@ ` �°= - - � '✓�... . -,% �'�- - - .... , = 2 ���,...' - r �;._ ='v�c y.5. �;':`.i:� . .
mi;��l � . .
Shee:�c�:t ; .
SL.r,plS' d.`1�'� 1ri5td11 u� : S(;�2t1"OC�{ 1I'1 c',IL T'�m�ce '_ec 3Y'@''uS .
Ceilings will get a s��ray textured appearance . � '' <r �
Ce�a:r.ic ti ?e ; �
� , ,
Fioors ir. eacn o� t:�� :�athrooms . �
Roo f i r.g ;
This price only includzs the new additi�n onlj ! W�athergar�
the first six feet and matching shingles the rest of tY:E
house . I did not have him come out until We were sure the
' total ' direc� ion you would iike to gr , � �
Insulaticn :
To blow �he a�tic to a R-40 . Insulate tre walls with R-19 ,. -
and to poly complete . The existing attic where it was ,•J� `'
dis.turbe� , will get reblown .
Heating ; by cousin?
TOTA:., :):' I i:MS L.T.STED ; � � " ' .
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Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
':��� �_ o '-.< On the North Shore of Lake Minnetonka
�� DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
data", we would 3.ike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish will be used to determine yaur
qual.ification 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 Iocal , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii act�or_
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 proc�ss this application or
permit.
u._.. ....... �
�� „-��;`„�� 1�� C�'1 !'�G -
First �' Midc�le Last
� � �
� ,� �._ `_ �
/ --� � -�->ii Ir 7��� f.� G' � �
Address
C-��'�'%l�L�...; /" �, ,�:� ,� ��
City State Zip
� �/ , �
! ��__ �� ,�'-;
Phone
I understand my rights as Stated above.
, ,
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r � 'i „�� �' ,,
- a�.L L�. �=� `
ignature •
BUILDING&ZONING—�173-7357 • ADMINISTRATION& FINANCE—�73-7358 • PUBLIC WORKS —473-7359
ASSESSING
_.� ------------..._- -.._._.--------- _ , , ,.
�.04 RIGHTS OF SIIBJECTS OF DATA �
gubdivision L Type of dat�- The rights etia�viduals on whom the data is
stored or to be stored shall be as set forth in thLs se
Subd, 2. Information require
d to be giren indiv���' An.individual asked to
� ' su 1 rivate or confidentiel data concerning 8mwithin the ccllect g stat agency, .
PP Y P uested da
purpose and intended use of the req tem; (b) wheLher he ma� refuse or is lega]ly
political subdivision, or statewide sys ��� �y �own consequenc� arising from his
. required to supgly the requested data; �d (d) the identity of
supplying or refusing to supply private or confidentiel data;
other ersons cr entities authorized by state or federal law to receive the data• T�-
p when an individusl is esked to supply investigative data,
requirement shall not apply to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
'vision in the indiviauel income tax or ro ert tax re und instructions instead o
su��i
on those orms. . - ---- - -� �'�� " .
Subd. 3. �
Access tc �ata bp indivi�ual• IIP°n request to a responsible
authority,.an individuel shall be informed whe b c hpf V8 eepr confidentiaLe UPon �
individusls; and whether it is classified es p � ublic date on
e to him and, if he desires, shall
further request, an individuel who is tbe subject of stored private orn�u� h� been
individusls shall be shown the aata v�itho of�'�y i a�a s. After en indi
�e informed of Lhe content and meaning the data need not be disclosed to
shown the private data ar►d informed of its u���8ction peusuant to this section is
him for six months thereafter unless a d�SP �
� endin or additicnal data on the individuel h� ateeor public datarupon request by
� p g require the
responsible authority shall provide cflpi�The hresponsible authority may
the individual subject of the date,- certifying, and comp�ing the
requesting person to pay the actusl costs of making,
copies. ' it possible, with any request
The responsible authority shall comply immediatelY,
made pursuant to this subdivision, or within,�e �y immediateat ompliance ey�,�ues�t�
excluding Saturdays, SundaYS and legal hol� ys,
ossible. If he cannot comply with the request �t wit�n w�ch toh mply with the
individu8l, and may hsve an additio� leV al hol�days•
request, excluding Saturdays, SundsYs g
Subd. 4. Prxedia'e when data is not accc�ate or complete. An in�i�� maY
himself. To
the respcnsible authority
contest the accuracY or completeness�of public or private data concerning
exercise this right, � in��� S� notify � ��e authority shall within 30
describing the natiu'e of the disagreemenL The respe
days either. (a) correct the data found to be inae��e��u�ngPee�ipi��nemedt by
notify past recigients of inaccurate or mcomP
the individual; or (b) notify the individusl i��au���s�temen t�f�a�eement is
Data in dispute shall be disclosed only if
• included with the disclosed data• �ible authority may be aPPeeled purs�t to the
' The determination of the respo
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST FOR ISSQANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /,2 S ,�/�Ut"� �C-�.=Z� PID: C'.ri- //�- �Z� - 1/ '�%G%7
DESCRIPTION OF WORK: C����t�-��-c.�-�
--------------------------------------------------------------------------------
ZONING REVIEW BY: ��,,;� (Q,{�,�� DATE APPROVED: ((- (S" �7 3
BIIILDING REVIEW BY: � DATE APPROVED: ��- � s ��7�
FEES TO BE CHARGED: Misc. Fees Ca].culated By:
PERMIT Yes � No
PLAN REVIEW Yes_� No SEWER CONNECTION
STATE SURCHARGE Yes �" No WATER CONNECTION
INVESTIGATION FEE Yes No ✓' PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------g---------�-----�-----------------------
ZONING CHECR LIST Zonin District /QfQ (�
Fire Department: [,•C.,. Post Of f ice: w�z..4�o School Di strict: p�t.0�tsb
Lot Area: �o, �2? 54 � �.Width: �7/ � a' ,g.v�. Depth: /?`'f�� �4V�
Survey Submitted: Yes C No Date of Survey: �• 25 • f�
Proposed Setbacks:
Front (�e) : ( UZ � -� Right Side: ��� SFac
� ���
Rear (Str'e'�'� : .5"3� Left Side: �2.�
Adjacent Structures: �.� _ Wetland: /i/lj¢
Building Height: Def. Hgt. V- k. Peak Hgt.
Avg. Setback: ot Cove age:
xisting Propo d
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance equir d: Yes No Date f Council Approval:
Grading: Staff Appr val Da e: B : Council Ap ova� Date:
Septic: Staff Appro aJ. Date: By:
Zoning File:# Reso uti n # : Resolution Date:
REMARRS (in house) :
BQILDING REVIEW CHECR LIST
�
IIBC: � 3 CONSTRDCTION TYPE: `,(N
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd Floor x =
Garage x =
X =
TOTAL
$stimated Construction Value: $ Z£�, �
o °�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/FiJ.�ing
Footing �Mechanical Fire
Framing Septic Water Connection
Insu�ation Fireplace Sewer Connection
�Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Wel 1 (State Permit)
�Electrical (State Permit)
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REMARRS (IN HOOSE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date BY�
----------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
ATE �/ TIME
CITY OF ORONO CALLED IN -Z �f
INSPECTIpN N�OT��� SCHEDULED �' // = .3 0
PERMIT NO. cOMP ETED ,h R '
ADDRESS .S`- v
OWNE `� CONTR.�Q�in-�J
TELEPHONE NO. � �7� - ��� �
� DESCRIPTION ,�.Q
� Q1 F 11 MECHANICAL RI 16 WELLTEST PUMP
Q 2 FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 0 SULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 27 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORKSATISFACTORY:PROCEED i� PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED L; ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINBPECTION TEMPORARY
Lj BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN `
f CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContract or�site:
Inspector. U
White Copyllnspector' File Canary CopylSite Notice
T TIME
CITY OF ORONO CALLED IN I �I � .�
INSPECTION NOTICE SCHEDULED '� /�-�'}
PERMIT NO. �1 COMPLET k K
ADDRESS ��-� �
OWNER CONTR. ��ik�-
TELEPHONE NO. 70��.J' �a a--
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y �NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
��'��� 12 WATER HOOK•UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � : CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor o te:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
G�
DATE TIME
CITY OF ORONO CALLED IN ` '
INSPECTION NOTICE SCHEDULED � _� ." _�
PERMIT NO. - ���� ��/ ;_ coMP�ETE� ��� �_
ADDRESS ��'� '���� C���
OWNER ��yu��'u CONTR. �d'1��P��
TELEPHONE NO.�?� � � c��c�--
� DESCRIPTION
� 01 F G 11 MECHANICALRI 16WELLTESTPUMP
Q FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETIfURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL / -� 27 SEPTIC MAINT. 21 COMPLAINT
= PLUMBING RI -��1�- 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d (�WORK SATISFACTORY:PROCEED ❑ PROJECT COMP�ETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �f pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contractor o�: �
Inspector. �.� -
White Copyllnspector's File Canary CopylSlte Notice
CERTIFICATE QF SURVEY F�R
BRAD HQRNER ��� -�:e
� IN LOTS 64 AND 65,"aRON� ORCHARDS" ���� ,�� , � ��� �
: HENNEPIN C�UNTY, MINNESOTA �`
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�,� ► �'TN REVISIONS
Al l bearings are based upon an assumed datum . JI �`�� �a���� ��� �
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LEGAL DESCRIPTION OF PREMISIS SURVEYED : � ' � C
Lot 64 and that part of Lot 55 lying Northerly of a 1in� `�C - -� ��l 1�e„'__ _
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running from a point in the Southwesterly line o�F Lot 70
distant 25 �Feet Southeasterly rrom the Northwesterly corner
o�� said Lot 70 to a point in the TJortheasterly line of said
Lot 65 di. stant 7 feet North�,�esterlv from the Southeasterly
corner thereof , ''ORONO ORCHARDS :� � ' '
This survey intends to show the boundaries of the above
described property and the location of an existing house
and garage thereon . It does not purport to show any other
improvements or encroachments .
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I hereby certify that this survey was prepared by me or under my direct super- �ATE 9-29-93
�� � 1 � ' 1 � ' vision, and that I am a duly registered Civil Engineer and Land Surveyor under
�,�� the laws of the State of Minnesota. scALE f��c¢O�
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� loarvo. 93-4-27
Mark S. Gronberg Minnesota License Number 12755
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:PROVIDE ATTIC VENTILATION EQUAL TO
�1I150TH ATTIC AREA. IF 50% OR
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