HomeMy WebLinkAbout1993-005560 - add/remodel bedroom .
PEI�MIT L
` CITY OF ORONO PE�RMIT TYPE:
�;;:;F r,r:•��_
2750 Kelley Parkway • P.O. Box 815 Permit Number: �=a�.;C;;:��;
Orono, Minnesota 55356-0815 - - ��- ==
(612) 473-7357 Date Issued: ��`3 j;;::;`:::_�::;
SITE ADDRESS:
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DESCRIPTION:
t:;�}F_j,f i-i�i°1!71_;�:_ ;C�i�;�'I
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i_.t_;{`j�+.}�fSt�f.l:;;t:t� �VC_-� ij�'�
REMARKS:
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FEE SUMMARY:
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(-' 3 _�r j'3 �i;;�'v'3.+3'�:' �`ri , _;%)
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CONTRACTOR: OWNER: — €��:-�:�� �c:�����. —
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� APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE , t�,p�fi
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, CITY OF ORONO - BUZLDING PERMIT APPLICATION
Total Fee: $ � � � , ) C� Date Received: ��� �GI 3
-T
Date Approved:
Entered By: �
Permit#: '? � (�� ��
ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed}
---------------------------------------�-------------------------------
THE APPLICANT IS: (circle one) OWNER �or CONTRACTOR
JOB SITE ADDRSSS: '���'- ; ��">� S`'i ZIP: �.;, �5`! I
(work) C4-�� �'`/ Z r
NAME OF OWNER• '`� �/�� -K t'� -t X PHONE: (home) �-�f -4-�%�`
MAILING ADDRESS: ��;��r �'" �C• �c ,�'",..� CITY:`,'�a/��.,,, ��'r;. ZIP: �� ,:,'���
CONTRACTOR: PH��=
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRRSS: CITY: ZIP:
p�g: REGISZ'RATION #
TYPE OF WORR: New Addition Accessory Structure riove
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) :����,�=� •c>`� '��rT��t�r� 'i1 ��:J -� i�iL or,��.-/�
� �
`� - � iJ<, �' _i/�� c�i ��f oi -'�27 �'a �` -f -
'F�--t:,�-,f- G-!r.iC TD �--:'?</5,.,./N�;_ /t l� f�i l?-(.�'�%'��- O�/��1- !��-«c!-
STORIES: / � Z SQ. FEET OF EACH FLOOR: �S; i `4 I S"� ������7 �S;� S r=s
NO. OF BEDROOMS: � G�GE STALLS: ATT. DET. �.-�,
ESTIMATED CONSTRIICTION VALUATION (ezcluding Iand) : $ � � 7Sf`
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. �
������ ,� �
APPLICANT'S SIGNAZ'QRE: ' J .-�',-�''�� DATE: -� �_�/ J.�
_ . / . _ . _ . .
� ' CHECR OFF LIST FOR ISSDANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAI�: Z7 b S }-C��C ST PID:
DESCRIPTION OF WORR: � c� VO l�,a/� ��='�'ViU�CZ -
---------------------- ---------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: 4" Z 8"' S�
BIIILDING REVIEW BY: �3 DATE APPROVED: q� L£c�Sr3
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes V 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)
-------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: 22-) (�
Fire Department: � Post Office : �.�' l.A�fi.f SchooZ District: ���t�on�a
Lot Area:�,�,,o�z 4_3 .��cs wiath: 3�s.v� � Depth: �S FS . � y
Survey Submitted: Yes X No Date of Survey: /l�Z�f-�6
Proposed Setbacks : �
Front (�e) : /V�/� Right Side: /yS t�'��
Rear (Stre�et) : Z�C=� -�_ Lef t Side: N w
Adjacent Structures: Z�� �I-� S� Wetland: N�i'3
Bui�ding Height: Def. Hgt. EX�5TIN6 Peak Hgt.
Avg. Setbac : Lo Coverage:
Existi g roposed
i
Hardcover: 0- 5 '
75-25 '
2 0-500
50 -1000 ' ;
t
Hardcover Varianc Require : Yes No l�ate of Co ncil Approval:
/
Grading: Staff App val Da e: By: �'� Counc 1 Approval Date:
_.----
Septic: St ff Approv 1 Dat : y=
Zoning Fi� : # Resolutio # : Resol. tion Date:
;
REMARRS (i house) : ��
r
� y!
BUII,DING RL�IIEW CHECR LIST � �
IIBC: � /L-3 CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement x � _
lst Floor x =
2nd Fl.00r x =
Garage x =
x =
TOTAL
00
Estimated Construction Value: $ .Sc�d�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Fi��ing
�'Footing Mechanical Fire
�Framing Septic Water Connection
�Insu�ation Firep�ace Sewer Connection
Wa�J. Board (Masonry) Lawn Irrigation
TFinal (Mfg.) Other
Other Wel� (State Permit)
�_Electrical (State Permit)
--------------------------------------------------------------------------------
REMARRS (IN HOQSE) :
--------------------------------------------------------------------------------
REVIEW BY OTHEI2S: DATE:
Access : Existing New
Access Approval: Date By:
--------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
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' ` ;�,�_ ,,,,' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
< �
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e�. �
F'''���' r �''` ' '' 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 Iike 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 your
qual.ification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be snared with other local , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council actior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
'Y`��c` I���H��i.i� e�,t� `��cax
First Middle Last
Z�,�'�" F� � ��
Address
Y, . \! ",1 �i ��� ��%� 1 yl., .��7�
City State Z1p
�aJ� _ �'t� /�'.
Phone
I understand my rights as stated above.
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Signature, ` / %� I
BUILDING&ZOIYING—473-7357 • ADMINISTRAT[ON&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
513.04 RIGHTS OF SIIB.7ECTS OF DATA
Subdivision 1. Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information re�quired tc be g�v� ����" p'n.individual esked to
� supply private or confidentigl data concernina t8mwi hin the collect ng state agency,
purpose and intended use of the requested
(b) whether he ma� refuse or is legally
political subdivision, or statewide system; �oWn consequence arising from his
required to supply the requested data; (c) anY
supplying or refusing to supply private or confidential data; end (d) the identity of
other persons or entities authorized by staau��e8skedlto supplyinvest gat ve data,
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mev oleft taX re°und instructeonsui steadhos
subdivision in the individual income tax or r �
on those orms. ---
Subd. 3. Access to �ata by in�ivi�sl- Upon request to a responsible �
authority, an individuel shall be informed whether h r vateeor confident alre UP°n �
individuels, and whether it is classified es public, p ublic date on
further request, an individuel who is the subjecc��Q to himrlande if he desires, shall
individuels shall be shown the data withou�fan�y t �ta. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or actian p
� pending or additional data on the indivif�h h� gteeor p bl c datarupongrequest by
� responsible authority shall provide copies o P require the
the individual subject oftne actual.cos h of mak ng,l cert fyingy and compiling the
requesting person to pay -
copies. immediately, if p�ssible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lideys,�f Simmediateatcompliance eisu not
excluding Saturdays, Sundays and legal
possible. If he cannot comply with the request within that time, he shall so inf�th the
individual, and may have an additional five days within which to comply
request, excluding Saturdays,
Sundays and legal holidays.
Subd. 4. Procedtu'e �►hen data is not acc�ate or complete. An individual may
contest the accuracy or completeness of Pnb��.��, ° inr wr ting tthe�r sponslb e au hor ty
exercise th�.s right, an individual sha11 Y
describing the nature of the disagreem to be nacciu�a e oren omQlet and attempt to
days either: (a? correct the data found
notify past recipients of inaccurate or au�p�t he belie esdthe datalto be correct
the individuel; or (b) notify the indivi
Data in dispute shall be disclosed only if the individusl's statement of disagreement is
• included with the disclosed �ta• �ible authority may be aPPeeled pursug�t to the
' The determination of the respo
provisions of the administrative procedure act relating to contested cases.
. , � .
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Co�liance with the Minnesota Energy Code �
(Section 502 of the State Amended 1983 Model Energy Code)
C�roject Title ?.��:� ��.n`�'� /3�r,���,�`-r '�7�=i���i����_��� ,�..� �'�'��
..;ite Address � ��<� �a z� s'-- �.r/,�.�'7�'��Zi /-'I'�v S:� ��`�r f
T. EXPOSED WALL CALCULATIONS
ARFA "t7" VAI,iJE ARE'A x "IT"
A. Opaque Wall
1. Masonry/Concrete
a. X -
b. x =
c. x =
2. Foundatiai Wall (Above Grade)
a. x =
b. x =
3. Wood Frame Wall
a. Insulated Area 1 �t S� X �� C_ s = �-.T��.
b. Framing Area (Ave. 15� at 16" oc) �ti X �=�+� - �21 ��
c. Framing Area (Ave. 10$ at 24" oc) x =
4. Peripheral Floor Edge/Rim Joist
a. x =
b. X =
B. Glazing
1. Windaws
,. '� ' X `" � � _ �� `�
a• l/C!�L/' �-�T�/v/ �'l... ✓: 1�.�1_c���<�/�_'�/^+`T/./ `� �
b. x =
2. Doors x =
C. Doors
1. ti�o�d
� a. Solid X -
b. With storm door X -
2. Metal x =
3. Overhead x -
4. Other X -
D. TOTAL WAIL ARF�, Sq. ft......... . .... .. . . ... 'L S' S
E. TOTAL of AREA x "U" • • � `
. ........ .. .... .... .... .... . . . . ... . . . .. ....... ...
�'. ROOF/CEILING CALCIILATIONS
A. Roof/Ceiling Insulated Area � L ":� x c�. � _; = a�-}_
B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) I� X cu.T_ _
C. R�oof/Ceiling Framing (Ave. 10� at 24" oc) x =
D. Skylight X -
E. TO'I'AL ROOF/CEILII� ARFA sq. ft...... ..... ... I `-r� �
F. ZO'I'AL C�' ARFA X "iJ" . .. .. .. ... .. .. . .. . . . ........ . . .. ... . .. . .. ... ... .. . s" -
10
� , .
III. BUILDING ENVELOPE REG2UIREMENTS
��, � �UTRF3� "U" ALLO WABLE
� (From I.D & II.E) (From V.) (�� x '�")
A. Exposed Wall: 2 S S� X ��` 1� _ �- ��—
B. Roof/Ceiling: i �=r-'� x �`. Z C - �s�
C. Tp�p,L A�� BU��G �,0� (Total of A & B above) .. . �� 3 6 i
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Are3 X ��U��)
A. Exposed Wa11 (From I.E) �F i�-
B. Roof/Ceiling (Fram II.F) �f�, s�
C. TOr!'AL ACI'�7AL BUILDII� IIVVE�APE (Total of A & B) ..... . ... ... •? �r_
*(Meets code requirements if less than III.C)
V. REAUIRED "Un VALUES
� WAL1� RDOF/CEILING
Detached or� ar�d two family dw�ellings .lI .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* Al1 Other Construction �pes (3 stories or less) .238 .06
* All Other Constructicn Types (More than 3 stories) .28 .06
* Based on 8007 heatinq degree days (Mpls/St. Paui)
Adjust 'U" values accordingly for other locations
CERTIFICATION
I hereby certify that I have catpleted the above information and that it co�lies.with the
Minnesota State Energy Code.
Signature Date
11
BCSD 3-89
�r� �cn�/aS'��
. � � . Co�JSTRUCTION R VALUE
WALL FRAHING SECTION:
1 Interior air film �.bA
2 c{',�«rt ��l << 4�4 t"
3 ...��" f nches sof t wood , -
� 4 � -��r-
._,f.�.,-
5 ��ir��. E't�;�-►z. � y�
(� Exterior atr film Q. 17
• TOTAL R = ��-
. U = 1/R = �/
- 1.lALL SECTION (INSULATED)
� 1 interior ai � fitm �.�R
2 : t ��s���,-�. �Z �� C'!� 4 1�
� ,� .-�?< �/� f� � �` �f
4 ,�k�2�T1cc� �����-���:--n � L << r.. ��.
��� 5 i���.c��-.��� ����'� �' � �. r
� E�terior air film �. 17
TOTAL R = "ZI_ /�]
�T
. U s 1/R 3 � ���
RIM JOIST SECTION: �
� � ' 1 Interior a1r film f1.6R
2
� 3 -
4
� � _ _ _,
6 Exterior ai r fi lm (1. 17 �
TOTAL R = . ._ � �
FOUNDATION INSULATIOP� REQUIRED: �
Min. R-5 on entire wall OR U = 1/R = •
A, A . .,o• Mi n. R-10 down to frost depth �
. - ..�A; FOUNDATIOtJ SECTION:
e,--'. •• 1 tntertor air film �.Ffi
� •A � 2
.�.6. , : 3
, •sl = 4 Exterior ai r f i lm �. 17
e " `-''. ''� G ,p (5
: Q ;p�•Q '�,f; �,� � ��' TOTAL R =
d� .•
� U = 1/R =
SLAB ON GRADE
' a. .' �. ,� . `;�`' , 'Q ', , �• �- .a-• q-'
•�a, . . . � � t � • �. (' . I � .•i 'd'.� ��� _
. � .,d �
+� 'a';,1� �•' ,' • ' . � A � "' � ''' • Q ` � ' �' • . '�' �
' n� , • �, �-�-%�"� � d ;t..� �' 4 •. . ,.
. • � '!1 ,•� a ► r /�;�� ' � • • . ' Q.
�.4 �'• •' • • G• / �� � . •• . • , - ' , '
- V ' • 4 � � � • � � -
, �`I . q� '� � � , _ ,
� , � - • ' Heated 51abs: � , ' ci
. , , � ' , �
.• •
� .. . ' '; ," � Minimum R = 8.5 , . . . ' . ' . ' ', • -
v • • a a • � � 4
. •
' ' ) 9
-� � � �.,4. Unheated S1 abs: � . Q Q. ,• ,' Q ; ,•
, , • _ �
�� � Mi nimum R - 6.2 ;d: -' 4 � �
�• � • �
4� ,• •� . - ' •.•�
G• 4 •`� d � �a ���� �. 4� � � � Page 3
a , . . . _ . '�
CONSTRUCTI�N R VALUC '
CEILING SECTIQ�� (INSULATED) :
, � Interlor air film 11.F1
2 �=tYr'�J i,t�-� /�t 'r f�.4�
' 3 � ,. ��r��,�,!�"�.�x.��r ? �..LL�,
3 4 4 Exterior air film still) �•�1
TOTAL R =s�j,�,�
U = 1/R = r�'`� ��
�• / CEfLlNG FRANINf SECTION:
� 2 5 1 Interior air film �.f�t
. 2
AIR VENTED 3
k Interior air film stiil �. 1
FLOW �j inches soft wooci
TOTAL R a
' U = i/R =
' . CEILING SECTION (IFJSULATED) :
,�„�,�����,•��,��._�c,4����u� 1' I n t e r i o r a i r f i 1 m �•F 1
2
. 3 �
1 4 Exterior air film still �• 1
� TOTAL R =
� •I \ U s 1�R =
�' ,-�,
� 2 3 4 � CEIL1Nr, FRAMINr, SECTIO��:
1• Interior air film �.F1
VENTED 2
� 3
� Exterio� air film still �• 1
5 tnches soft wood
TOTAL R =
• U = t/R =
3 4 5 � •
■ : - -- .`''.�l
� •• '�;i``='���� � ��` � �. 1 Inside air film �.�1
;; =:;:.;. .�� :- � 2
- 3
� 4 � .
/ � � ( 2 5 Outside air film �• 17
y . TOTAL R �
� , U � 1/Rs
.1 _—
13 Page 4
ENERGY CODE DESIGN BY ACCEPTABLE PRACTICE
To Determine Co�liar.ce with the Minnesota F�ergy Code
(Section 602 of the State Amended 1983 Model Energy Code)
Zhis for.n is only applicable t� detached one-and tw�-family dw�ll.ings. The requirements herei_
are based rn Table No. 6-I1 in lieu of the criteria specified in Sections 602.2.1, .2 and .3.
Building Address `�? r t`" f:_,,�- a�i�' LL ��%J"l�'%7� ��r,r �"S��`� �
Contractor or Owner o�' ; � .- --> i-' .
Build im� Elesnent "R" Values Area (scr ft) � of E�t. Wai�s
C�ilings Design a���q'd 38
Walls (e.Yterior) DesignZ/iJ Req'd 20 =�,�--
(w/o fdn)
Floors (over unheated spaces) Design";l�W��Q'd 20
*Windaas (in bldgs w/o "' Design 2� Req'd 12
sliding g
lass door) (9t��5s)
*Windaas (in bldgs with a Design Rea'd 10
sliding gl.ass door) (gtass)
Four�dation Walls Design Req'd 5 (when insulating full depth of
foundatiai urall)
Design Req'd 10 (when insulating azly � frost
depth and footings extend belaw)
Slab�n-grade floors Design Req'd (See Figure No. 3)
**Dcors (1-3/4" metal faced) Design Req'd 3
* p,II. windaws shall be double glaze�3 or have storm windows
** Conventional doors other than metal require a storm door
CEftTIFICATION
I hereby certify that I have ca�leted the above information and that it ccarQlies with the
Miru�esota State Energy Code.
, � --? ;� �� - - -�
Signature
--' Date -� �- �/ `]-�
BCa`'D 3-89 15
CC/S�i/6593
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL �
OF TYPICALLY USED PRODUCTS
AIR FILMS � SHEATHING �
Interior Air Film (Walls) 0.68 3/4" �ood Subfloor or Sheathing 0. 94
Exterior Air Film (Walls) 0. 17 1/2" Plywood Sheathing O.b2
Interior Air Film (Vented Ceiling) 0.61 1/2" Particle Board 0.66
Exterior Air Film (Vented Cei]ing) 0.61 Gypsum or Plaster Board 3/8" 0.32
Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior Air Film (Non Vented) 0. 17 Gypsum or Plaster Board 5/8" 0. 56
Plywood 3/8" 0.47
Plywood 1/2" 0.62
BLOWING WOOLS Plywood 3/4" 0.93
Approx. 3" 9.00 Sheathing, Reg, Density l/2" �� 1 .32
Approx. 4 1/2" 13.00 Sheathing, Reg. Density 25/32 2.06
,Approx. 6 1/4" 19.00 Nai]-Base Sheatf�ing 1/2" 1 . 14
Approx. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Approx. 18" 40.00
- Built-up Roofs 0.33
All other insulation materials must Asbestos-Cement Shingles 0.21
be verified (R Factor) Asphalt Ro11 Roofing 0. 13
, ' Asphalt Shingles 0.44
INSULATION .
Insulation: 2-2 3/4" Fiberglass F 7.00 SIDING
Insulation: 3 1/Z" Fiberglass 71 .00 Aluminum Siding 0.61
Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1 .82
Insulation: 3 5/8" Fiberglass 13.00 -Alumintrm with Backer & Foiled 2.96
Insulation: 9" Fiberglass 30.00 �/2 x 8 Lap Siding (Wood) 0.81
Insulation: 12" Fiberglass 38.00 7/�6 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Cellulose 37.00 Stucco jBrown and Finish Coat) ----
Insulation: 12" Cellulose 44.00
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DOORS �
� 1 3/4" Solid Core Door .46
WOODS w/Storm, Wood .31
Fir, Pine & Similar Soft Woods w/Storm, Metal .26
1 1/2" 1 .89 ��asE Steel Goor Insl/N/uL i.45R .13
2 1/2" 3.12 Sliding G1ass Door, Wood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87
CONCRE7E BLOCK WIND�WS
8" Concrete Block (S & G Reg. ) 1 .11 All Windows
(Filled with Vermiculite) � ,93 (w/Storms 1" to 4" Space) .56
12" Concrete Block (S & G Reg. ) � ,28 Removal Double Glazing (RDG) .55
(Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69
8" Light Weight 2,�g ' 1/4" Air Space .65
(Filled with Vermiculite) 5.03 1/2" Air Space .58 �
l2" Light Weight 2,48 (Other windows specifically tested
(Filled with Vermiculite) 5,g2 can use better ratings)
14 Page S
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in Lot 25, lluditor' s Subdivision No. ?_29 � � `. �`",:. �''F
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I hereby certify that this is a true and correct representation of �the location of all existing buildings
in relation to the north and east lines of The l�esi; 365 feet of Lot 25, Auditor' s Subdivision Number 229,
Hennepin County, f�linnesota according to tf�e plat �:hereof on file ar�d of record in the office of the County
Recorder in and for sai,d County, and the location of a proposed addition. It does not purport to show any
other improvements or encroachments.
COFFIN & GRONBERG, INC.
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Date : 11 -24-86 P�ark�. ` ron erg n, ic�. No. ���55
Scale: � " = 50' Engineers, Land Surveyors, Planners
o : Iron marker Long Lake, Minnesota
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