HomeMy WebLinkAbout1999-012171 - addition _ — ��-
PERMIT
CITY OF ORONO PERMIT TYPE: ,_ _;::-:
275(�Kelley Parkway - P.O. Box 66 - - � �' _���
' Crystal Bay, Minnesota 55323 Permit Number. . _.`:`�� "`����-�
(612) 249-4600 Date Issued: _ . ,- -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OVI(NER: �- "�`�'�` ' �=� "� �
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APPLICANT/PERMITEE SIG ATURE ISSUED BY:SIGNATURE
1
�Total Fee: $ %, �;`�.7� �'F- Date Received:�i; �"'f �::�
Entered By: l,/�� Permit#: �`:,�./'��
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: .� .t�.�d i(1�/<":`r+f �!r'1��f f,��;' ZIP: t-,��,?� ��
NAME OF OWNER:�e�,,,�c �. ,�1�,��:, �;• PHONE: (home) �/2 -�/�2"�&��/
(work)
MAILINGADDRESS: S`��J ,��r.-;f�/ lf�c'�,r �'�� CITY: �'�<1�r�r ZIP: '; „, ,�l �/
!
CONTRACTOR: �-: �� � ` � PHONE: �
CONTACT PERSON: }1 i',,. - MOBILE/PAGER:
MAILING ADDRESS: �'� i CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER:�c�F '� , PHONE: -;I� .- �'��1;� . ;;;(, , ,,,.;.
�h�t4Jl���
MAILING ADDRESS: ;� ��;�,�.,. 'r.r�� ;"-� CITY: ,.� a� ' t'�� 4�"� ZIP: ��
NAME: REGISTRATION#
TYPE OF WORK: New Addition�_ Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: � ` '" > � � � . ��
STORIES: � SQ. FEET OF EACH FLOOR: ��a
NO. OF BEDROOMS:�,`. �.1 r' GARAGE STALLS: ATT. �tJfi� DET. ,�' ?�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ��: '>-:�' '
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in ac�rdance with the approved plan.
APPLICANT'S SIGNAT : �{r'r��r c �, _ �'�,cs� t: °. DATE• �( - I � `"�'"�
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sea 13.04 RIGHTS OF SUBJECTS OF DATA �
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. M individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, political subdivision,or statewide
system;(b)whether he may refuse or is legally required ro supply the requested data; (c)any known consequence arising from his supplying or
refusing ro supply private or co�dential dara;and(d)the idenury of other persons or endties authorized by state or federal law to receive the daa.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or arooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shall be informed whether he is the
subject of stored data on individuals, and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or pubiic data on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision, or within five days
of the date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an addi[ional five days within which ro comply with the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua]may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual sha11 notify in writing the responsible auihority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the daha found to be inaccurate or incomplete and attempt to nodfy
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correc[. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deternunadon of the respo�sibie authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the City of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�t e� ct�e' �; U I<-°,� �� t�,
First Middle Last
's C '� � ,� ' ,
f ;,''.i , _ ' °E`"' e 6 f� �,;� .
Address
, �+} � c, ��, �:; ' o ' � � `1
,� �� + ��
� �3�� �
C�iy State Z�p Phone
I unders my rights as stated above.
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Signature ''
6
�: � CHECK OFF LIST FOR ISSUANCE OF PERMITS
. FOR OFFICE USE ONLY
ADDRESS OR LEGAL: S�o (�rc�RTH A�rv` (J2
PID:
DESCRIPTION OF WORK: I� �p i n o�
ZONING REV�W BY: DATE APPROVED: /�' 22 '�j
BUILDING REVIEW BY: DATE APPROVED: �t - z`z�S
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes t� No SEWER COTfNECT'ION
STATE SURCHARGE Yes c/ No WATERCOrfNEC"TION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: L 12-J/-�
Fire Department: y►iW�n�� Post O�ce: yV��/vD School District: �S�N�c.9
Lot Area: Sq.ft. N��l�i4nr�,t Acres ' Width ` Depth
Survey Submitted: Yes � No Date of Survey:
Proposed Setbacks: � �
Front(Lake): t � `(3 i= Right Side: �7 -�
Rear(Street): z� % Left Side: tb7 =
Adjacent Structures: /�}�'FGNL� Wedand: N//'4
Building Height: Def. Hgt. C9• � Peak Hgt. --
Lot Coverage: —'
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: # � Resolution: # Resolution Date:
Shoreland District: Y,Pg
Avg. Setback: c�. k Bluff Setback: rv/�t Lot Coverage: --
Existing Proposed
Hardcover: 0-75'
75-250' O•�L
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUILDING REVIEW CHECK LIST
UBC: 2 '� CONSTRUCTION TYPE: � �''�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
�
Estimated Construction Value: $ Y�,0 4�-
Inspections Required: Work Requiring Separate Permits:
Site `� Plumbing Fire
Hardcover Removal Mechanical Water Connection
�_Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
p- Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT):
8
DATE T ME
CITY OF ORONO CALLED IN 3--� U O ,-3 �
INSPECTION NOTI E SCHEDULED �� �`o �
PERMIT NO. � �Z- � 7� COMPLETED � � 48
ADDRESS S�P � Y� �_� �� -��-
OWNER��J CONTR. ��� 7��-�
TELEPHONE N0. � � 7 � �I SS D
� DESCRIPTION �trY1� --�.0 �l`�Q�X _ >v
� 01 FOOTING 11 EC 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 3 N�FCHANICAL 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 OS 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q WNERICONTRACTOR TO MEEf YOU:_YES_NO
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0 BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. C, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector.����� _______ _
White Copyllnspector's File Ca�ary CopylSite Notice
,/DATE TIME
CITY OF ORONO CALLED IN 7-'��, / a`� �'--3�
INSPECTION NOTICE SCHEDULED � `"�'� p �-0�
PERMIT NO. C� I�l 7 � COMPLETED � 'L`�� `�
ADDRESS �� a �a''t � CG��y'z �"'-.c_�
OWNER CONTR
TELEPHONE N0. � �-� Z���
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR NNf-�.� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COM ENTS:
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4C ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector.�+���.—�_ C�-�/ �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �--�'`�
PERMIT NO. �'Z��7� COMPLETED �'� �
ADDRESS �Z.PO N!%''-{'� 1��� �'
OWNER CONTR. ��t�'"l✓�G1
TELEPHONE NO. U !��7��
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR�AMIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COM ENTS:
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��ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN , CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContract on site:
Inspector. /////� v�� �i r
White Copyllnspector's File Canary CopylSite Notice
DATE TIM/E
CITY OF ORONO CALLED IN o� �� �' `
INSPECTION NOTICE SCHEDULED � ^�--� ° --c�
PERMIT NO. O l Z l 7� COMPLETED �� �
ADDRESS S� ° ��� �'�- �✓'�
OWNER CONTR. ���
TELEPHONE NO._�7 Z— 7 FS��7`
� DESCRIPTION
l� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORE COVERING PERMANENT
C7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
G STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContra t r on site:
Inspector.��t�7i
White Copyllnspector's File Canary CopylSite Notice
D TE TIME
CITY OF ORONO CALLED IN /�1n
INSPECTION NOTICE SCHEDULED ��=C3 G
PERMIT NO. +� f� � COMPLETED �� �
ADDRESS --��/�� `;/��,�",,�/1� � �
OWNER �� CONTR. �
TELEPHONE NO. 'S�7.Z —�I �c� �
� DESCRIPTION � ��
�
ly� 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR r,. CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on ' e:
inspector.
White Copyllnspector's File Canary CopylSite Notice
3-0
0
i
S.L
R
PORCH WOOD RAIL
GUARDRAILS
36 MIN. HEIGHT
4" MAX. OPENINGS
10
9'-3"
G
o
STAIRS
ID
UATLEAST
X. RAISER 9" MIN. TREAD
'-8" MIN. HEADROOM
ONE HANDRAIL REQUIRED
UARDRAIL OPEN SIDES
ROOF LINE 48OVE
f`✓LA
IN LEVEL FLOOR PLAN
SCALE: 114 — 1 — O
GRADE
ROOFING TO MATCH
SIDING TO BE DETERMINED
EAST ELEVATION,
SCALE: 1/4" - 1*— fl„
--
SPECIAL NOTE
SEE ATTACHED SHEET
FOR tAAN,0AA(L
CODE REQUIREMMTS
SPECIAL NOTE
SEE ATTACHED SHEET
FOR .Srti LLAL w et�viL i
CODE REQUIREMENTS
VTS
CITY OF ORONO
'BUILDING - T PLAN REVIEW
IN�REGTflFi.,,," _
DATE
a U- 274. PE�?Is�IfiI44.-ITh -
❑ APPROVED AS sui Ii-* fCTEfl
91 APPR ;VED �MTTH CCRRECTI ONS AS N9-7 D
c t)T APPEOVE0--CORFUECT & RESUMJ41T
c o.niv :encs are for your inn rma Oma:'}. All wo.--.0 st!ali u9 dare
ccwpiar::e wm, a:i Applicable av-j Zp!?'+g cAe.
ir11Y„ ._',;!8vL
KEEP 'T HIS F%X4 SE 4 aN Si TE Ai A .L -11VE5
ORONO Cil
PROJECT: SUE S! T O M
MOUND, MN.
REVISED: 9-25--1999
REVISED: 3-15--1999
DATE: 9-21-1998
MAZER
Raul 0. Jaunich-Architect
ssistallce
n
esign �
evelo meat
328 South 3rd St., Delbno, Mn. 55328
(6 12) 972-8822
SHEET NO,
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WOOD RAIL
x
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UP�VG
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ty� OR
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1500/0R QO 'i
Pik RSOSt�� gE
--"(R-38.0) E
2 X 6 CLG .
5/B" S.R.
FINISH FLO
UNDERLAYME
1/2" SUBFL
2 X 8 JST
T HANGERS
FINISH FLOORIN
ERLAYMENT
1I SHTHG.
X 8 STS.
7-0 PATI
9'-3,.
Pj�
-,741 4,, OSPLIT CEDAR SHAKES
Layers �f 15L 301 FELT
provide 2 �-sY ed Together 6/8" ROOF SHTHG.
Solid Mope 2 X 6 RAFTERS
2 ide EXT. WallLine
ies 0x
N F.G. INSUL
TS
.B.
16" 0. C.
FINISH FLOORING
3" PRD. CONC. FL.
�."
1 X 4 NAILER
1 X 6 FASCIA
W/1 X 3 TRIM
3/8" CEDAR SOFFIT
SIDING TO BE DETERMINED
1/2" SHTHG.
2 X 6 STUDS
6" 1=,G. BATT INSULATION
INTERIOR FINISH W/V.B.
SHTHG TO LAO RIM
6" F.G. INS. @ RIM
WALL CONTRUCTION AS ABOVE
MIN 6FYXRPD TO EARTH SEPARATION 8"
SECTION THRU ADDITION
SCALE: 1/4" + 1'— Q"
SUNROOM
4 \ ��
\ kZ1Y
\ /
\ f
\ 3-2460 C f
L.. F_R_ _L F—Y. .Y
SCALE: 1/4" f 1'— O"
9,-3„ 6._p„
UPPER LEVEL_ FLOOR Pl._._AN
SCALE: 1/411
CEDAR--
eGts 12
ust Be Ir�sP
e p�piication G
ROOF'I G TO MATCH
SIDING TO BE DETERMINED
MIN. WOOD TO EARTH SEPARATION 6"
SOUTH -ELEVATION
SCALE: 1/4' + 1'— O"
EXISTING DECK & RAILING
PLAN
REVISED: 9-26-4999
REVISED: 3-15-4999
GRADE DATE; 9-21-1998
PR0,MC'N SUE & TOM MAZER
MOUND, MN.
Paul D. Jaunich-Architect
SHEET NO.
ssistance
n
_J/
eves�loment P-2
328 South 3rd St., Uelano,Mn. 95328
(612) 972-3822
5
-.