HomeMy WebLinkAbout2001-P03652 - deck PERMIT
CITY OF ORONO
27�0 Kelley Parkway - PO Box 66 Permit Number: Po36s2
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeUlzepair
(952) 249-4600 Date Issued: 4iioi2oot
SITE ADDRESS: 4680 North Arm Dr W
MOLIND,MN 55364
P ID: 06-117-23-23-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: ftesidentiai
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 209.25 Valuation: $ 12,000.00
Plan Review Fee: $ 135.98
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 351.23
APPLICANT: Joseph R.MIller Construction Co. Inc. OWNER: BRADLEY&TERESA SWENSON
17171 Ipava Ave. 4680 NORTH ARM DR W
Lakeville,MN 55044 MOLJND,MN 55364
THE UNDERSIGNED I-�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI1Y OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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A PLICANT PERMITEE SI NATURE ISS BY SIGNAT[.7RE
Copies: City,Applicant,Assessor,Finance Page 1
r � � ' �,
Total Fee: $ � �� ' Date Received: -� �c�-U f
� Entered By: z' Perm.it#: /�L 3Cp��-
;
� � :
_ �
CITY OF ORONO - BLTII�DING PER�vIIT APPLICATION
All information must be submitted in full before plan review «zll be started.
� (please print all informarion)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ���U ���f� ��M � Z��
NAME OF OWNER: /J/`�� �G✓�'rr s'c�n PHOiVE: (home) �S�- S/�/-o?v i 8
(work)
�IAILING ADDRESS: . CTTY: ZIP:
CONTRACTOR: "�=��� /�� I�1%l�� Co�lsr, �v PHO�TE: 7 ��- �'9�— S��' S
CO�1'TACT PERSON: ;;�� /v!,/!e,- MOBILE/PAGER: �/-2- S�9�- 3do6
MAILING ADDRESS: %�/7/ I,a�,. /��� CITY: l��1��//< ZIP: S'SD�i��
STATE LICENSE: # �D/ 3 0 3 ��/
ARCHIT'ECT/ENGINEER: PHO\TE:
MAILIVG ADDRESS: CITY: ZIP:
N��: REGISTRATION# '
TYPE OF WORK: New Addition Accessory Structure �
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: /��..�/� /,���E �. ,Givu�c
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
EST�IATED CONSTRUCTION VALUATION (excludi.ng land): 5 /�, 0 c U
I hereby apply for a building pernut 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: �/.,�ti-- �-��'' DATE: �` °��� `°�
NOTE! Parade o Homes events require separate permit approval by Police Department atad
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0i RIGFiTS OF SLJBJECTS OF DaTa
Subd. 1. Type of data. 'Ihe righcs of individual on whom[he data is sior�3 or to be stored shall be as set for[h in this secdon.
Subd.2. Information reqirired to be givm individual. An ir.dividual ukcd to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and incended use of[he requesud dara v.i3�in the collecang 3tate agency,poliacal subdivision,or sratewide system;
(b)whecher he may�zfuse ot is legally required co supply the requesud dan:(c)any Imown consequence arising fram his supplying or refusing to supply
privace or conndenda!daca;and(d)the idendry of orher persoas or earides aerhorized by sute or federal law m receive the data..'Ihis requirement s6a11
aoc apply whan an individual is askcd w supply invesdgadve data,pursusat co seccoa 13.82,subdivision S,to a law enforcemenc o�cer.
The commissioner of re�•enue mav nlace the noace rewired erder this subdivision in the individual income tax or vropertv tax cefund
inssucdons inscead of on chose forms.
Subd.3. Access to data by individuai. Upon requesc to a resgansible auchoriry,an individual shall be informed whether he is the subject
of swred data on individuals,and whe[her it is class�ed as public,privae or confidenrial. Upon his further reques�an individual who is the subjecc
of szorai private or public data on individuals shall be shown the dara wi3:out any c'narge to him and;if he desires, shall be informed of the content
and meaning of chac daa. Afrzr an individual has been shown ehe privac:dan and informed of i[s meaaing,the data need not be disclosed to him for
six conchs ehereaiter unless a dispute or acrion pursuanc w this secdon is cending or addidooal da[a on the individual has been colIected or creaced.
1�►e responsible au[hority shall provide copies of the private or public data cpon reques:by the individual subject of[he data. The responsible authoriry
may require che requesdng person ro pay the actual cosu of making,cerying,and compiling the copies.
The responsible auchoriry shall comply immediacely,if possibl=,wirh any r.quest made pursuant to this subdivision,or within five days of
the datr,of the requesc,excluding Sacurdays,Sundays and legal holidays,if imrnediace complianca is not possible. If he cannot comply with the requesc
wi�hin thac time,he shali so inform ehe individual,and may have an addidonal five days within which to comply wich the request,exctuding Samrdays,
Sundays and lega!holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�ate
daca concerning himself. To exercise chis right,an individual shall noafy ia wridng�e respoasible authoriry dzscribing ehe nature of the disagreemenc.
The responsibie authoriry shall within 30 days eithec: (a)correct[he dae fcund to be inaccurate or incomplete and aaempt to noafy past recipiencs of
inac:urate or incomplete dara, inctuding recipients named by�he individi:al;or(b)coafy the individual thac he believes the data to be correct Dara
in dispuce shall be disclosed only if che individual's stacement of d'uagrea�ent is ir.clided wieh the d'uclosed dara.
The decerminarion of the responsible auehoriry may be appeale3 pursuacc to the provisions of[he adminisaarive procedure act relaang to
con�sted cases. .
DATA PRIV?�CY AD�'ISORY
In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data",we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of i*s deparments may require you to furnish certain privace or
confidential information.
You ue notified that:
1, The information you furnish will be used to de:ermine�'our qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
3, The information may be shazed wich other loc�l, 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.
�, You have cenain 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 permic.
First Middle Lut
Address .
Ciry State Zip Phone ,
I understand my righcs as stated above.
Signantre
� CHECb' OFF LIST FOR ISSUA!�TCE OF PERtiSITS
_ FOR OFFICE USE ONLY � .
A�DDR�SS ORLEGAL: y�gp /UpRTF4 /a2vin U2
PID:
DES CRLP'I'ION OF�ORK: ELK
.
ZOr'L�G REY�ti�%BY: DATE APPROVED: �-r'� 2 -c�(
BUILDI�i TG REY��BY: D�TE APPROY�D: �(- i -c�f
FEES TO BE CH.4RGED: Niisc. Fees Calcula[ed By:
pERIvIIT Yes � No :�
PLAN REVIEW Yes v' No SEWFE�CONNECTION
STATE SURCHARGE Yes ,�No ti�ATERCONNECI'ION
L'�i,'VESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPEC"ITON
Number of SAC�Units OTHER (specify)
ZO�Z�.�IG C�CK LIST zoning Districc: R R-1�
Fire Department: �o�N/� Post Ofuce: /�i�N,/� Sc�ool District: t��-e STL�7N�� �
L,ot Area: Sq.ft. �-l3,��I Acres � � Widch f�(0 Depch 3�1•� 5
Surve;f Subr.itted: Yes� No Date of Survey: G•ZZ-�b �'v �-��`=)
Proposed Setbacks:
� �
F.ont (La.ke): �"�`.� Ri�hc Side: 25
Rear (Screet): �(� Left Side: __�2.'
Adjacent Structures: ��� � �Vetland: /1� �� .
Buildin� Hei�ht: Def. H�t. ��/�- Peak H?t. /✓/A-
I.oc Covera�e: N /�
Gradin�: Scafr Approval Date: ^ By: Council Approval Date:
Septic: Staff Approval Date: �-- By:
Zoaing File: � --- Resolucion: : — Resolution Date: � .
Shoreland District: /U(7
Av�. Setback: Btufi Setback: LotCocera�e:
E���j Proposed
Hardcover: 0-7�'
7�-250'
ti0-500' --
500-1600'
Hardcover Variance Required: Yes No Date of Council Aoproval:
gEl�iA_RhS (in house):
7
BLTII,DING RE'VIE�� CHECK LIST
UBC: R • � - CONSTRUCTTON TYPE: U�
Sq Foota�e � Per Sq Ftg
Basement x =
lst F1oor z =
2nd Floor x =
Garage z =
z =
TOTAL
Estimated Construction Value: $ t Z,c�o0�
InspectiorLs Required: �Vor�:Requiring Separate Permits:
Site Piumbing - Fire
Hardcover RemovaI Mechanical Wa[er Coanection
_� Footing Septic Sewer Connection
_� Framin; Fireplace Lawn Irrigation
Insulation (Masonry) Other
�Vall Board (Mfg.) WeII (S[ate Permit)
oL Final Grading/Filling Electrical(S[ate Permi[)
Other
RE�•IARKS (IN HOUSE): �
REVIEW BY OTHERS: � DATE:
Access: Ezistin� New
Access Approval: Date By:
RE��LARKS (TO BE\'OTED ON PERMI'1�:
8
��ON
0 COP�
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BUILDfNG P M1 PLAN R�V1EW
INSPECTOR� ,`��,+��T���,`_
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� h + p APPRCVED P�.�>,
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. �r , ,. u,, '�t�ese commeats �-' 'ld' �
��'b�'��;�;�.:c�L �.f ..,i`� =�iirL�- ,t,;,ec,iically no;ad in ihis review.
fn fu�l compiia��:.a ��"�`� �+� �,,'�"``` b�' °1 3nd zon�ng co •
Requiraments i��cl�id,r�;);iem:�'��.
KEEP THIS PIAN&EY aN SITE AT A�TirnEs
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--� �V�S� P(hr' /97��
DATE TIME
CITY OF ORONO CALLED IN -�-
INSPECTION NO CE,� SCHEDULED ' � � e •
PERMIT N0. � COMPLETED � 'd � � �d
ADDRESS `���U IJ .. � •
OWNER ��t.�,,�_S'o r'� CONTR. _ �CI;:S���. /Z,��2����r C,r�¢
TELEPHONE N0. � f�` �I � �I �
� DESCRIPTION__ � (�t� �h i�t 4� �✓ !�2/('/C
� 01 FOOTING 11 MECHANICA 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 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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o ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site:
Inspector.,��a�r/� �!il�'
White Copyllnspector's File Canary Copy/Site Notice
�/�. ti � ��� �
;J J./" ' � �7�'�-Ow �"`K-ATE iM (�
CITY OF ORONO� �ALLED IN -�a~ �( , �
INSPECTION ��ICE SCHEDULED —1 _(� _ ,pD
PERMIT NO.--r � .3� COMPLET r � •_3 d
ADDRESS � �• ��'�' '^'�'''��
OWNER-����-�-�-- CONTR. ����
TELEPHONE NO.
� DES TION �`S� ��� v�l�`� (p�7 .���6r�
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL ��SEPTI'<,iiJ;ii HLL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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� ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. _-, pHOTO TAKEN
INSPECTOR WILLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr tor on site-
CQ2-C
Inspecto � �S
White Copyllnspector's File Canary CopylSite Notice
� , I}AT O O/ TI M E
CITY OF ORONO v CALLED IN �7�
INSPECTION N TICE SCHEDULED��{� - �� � ��
PERMIT NO. d � COMP Eo - l -��
ADDRESS `�'� 80 /vt�- G-C'-t��i�-�"2�
OWNER;�a��r��� CONTR. �t-��`�
TELEPHONE NO. C��'��-" ���— ���
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O t Q�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� � ��EFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
-' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlCont actor on s _
,/�/� r
Inspector. /11��!'� ` �`�.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTIC /�--� SCHEDULED �--�—
PERMIT NO.�N� COMPLETED " �'•
ADDRESS ���lP�� �• ,�� �.•
OWNER CONTR. � ��'llc.r Cv�
TELEPHONE NO. o�' / aI
� DESCRIPTION �ll�/n-`1 GQ' rJc�r – ��Glc �,�c��.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
y 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContracto it
Inspector.
W te Copyfinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. ���� COMPLETED �`-'f � --�
ADDRESS �'7 � '�� ��' ,,,,(
OWNER CONTR. �%/ CC�?S/ _
TELEPHONE NO.
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ly FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 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
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr ctor on site:
Inspector./���_-���S
White Copyllnspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN 5��-3
INSPECTION N /I� / SCHEDULED ��
PERMIT N0. �` �l� COMPLETED "a1 - ��
ADDRESS �{�Bg� �. /�(Z�'i�l . �
OWNER CONTR.��tsr%.�'. i2 M.rIIC:Co�jt,
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� DESCRIPTION 1'��/ll'.� � t�C�«-cit'L.
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q Fltd1 L 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.�c� �-�Gt-c.�l�
White Copyllnspector's File Canary CopylSite Notice
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• �������� Cert i f i cate of �Survey for
Timothy R, Gramentz
i n the SW '/� of the NW Y� of Sect i on 6- 1 1 7-23 �o�
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LEGAL DESCRIPTION OF PREMISES SURVEYEO: , ~ ��� � `� �
The West 140.00 feet of the East 561. 86 feet of the South 311 . 15 feet� of the Southwest
Quarter of the Northwest Quarter of Section 6 , Township .117 North � Range 23 West of the
5th Princtpal Meridian . .
.
, •
I hereby certify that this survey was prepared by me or under my direct supervision � and
that I am a duly registered Civil Engineer and Land Surve,yor under the laws of the State
of Minnesota . �
COFFIN & GRONBERG, INC. '
��i�..� � . .
� Mark S. Gronberg Mn . C�� . No . 12755 Scale : 1 inch - 40 feet
Engineers � Land Surveyors , Planners Oate : June 22 , 1990
Long Lake, MSnnesota o . Iron marker set �
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. Iron �
marker found �
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. . B�earings shown are based upon an
assumed datum.