HomeMy WebLinkAbout2016-00215 - detached garage ' � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - PJ 0 2 1 5 *
DATE ISSUED: �6/24�2916
ORONO,NIN 55356- �
952 249-4600 FAX: (952)249-4616
ADDRESS : 3188 NORTH SHORE DR
PIN : 09-117-23-32-0011
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 004
PERMIT TYPE : ACCESSORYSTRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE-DETACHED
ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS
VALUATION : $ 20,000.00
NOTE: TEAR DOWN&REBUILD DETACHED GARAGE
APPLICANT PERMIT FEE SCHEDULE 356.22
PLAN REVIEW 231.54
RUCINSKI,MICHEAL&HOLLY STATE SURCHARGE(VALUATION) 10.00
3188 NORTH SHORE DR TOTAL 597.76
WAYZATA,MN 55391-
Payment(s)
CHECK 4483 597.76
OWNER
RUCINSKI,MICHEAL&HOLLY
3188 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pertnit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if wnstruction 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 State Building Code.This permit may be n,,,
revoked t y time fo ue cau . Y�A�
� / UCQ� !'�� � i ��i I
, ', .i
CITY OF ORONO ' 0 z 1 s •
�6/24i2�,
�o- `'' . e�\ BUILDING PERMIT APPLICATfON
� FOR NEW STRUCTURES OR ADDITIOIVS
�- ....�. .._ :_�.. .
�O�O Mailing Address.� Permit number. �� �i�(o — 7
PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: �-1> .�, -
Streef Address:� Received by.�.
ti�, G� 2750 Kelley Parkw 2 ���C'��2��� Plan review fee C'c r����d�� ��'
T . �
�'�KEsxo��` Orono, MN 55356 / ;� �k �: ��z� �c,- /�t��z,1 — ci�
Main: 952-249-4600 Total Fee: �,^� �� ,r��
Fax: 952-249-4616 �vvfv�,.ci.orono.rnn.us `� '�
This application form must be completed in fufl and all required information must be submitiea.
Incomplete applications wilt be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: S � ' � 4;�• `,�, ��,�� ,{` � ,�-a N,�,
Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service w�I be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATIQN• �
Name: � r�c�E. � � �.;�,
State License# � �" Expiration Date: �,. � }� L
Phone: cell - Z ' � �`i` office �--
Mailing Address: ( � " �'a � , �j Cit . •` ',�� �;; ;, IP: �
Contact Person: ` yr•� Applicant is: ontrac / Homeowner (Circle One)
Email and/or Fax: ���d���,� �,�����y��w �'�;v�y� � „�
t> v
PROPERTY OWNER INFORMATIO� � �
Name: ' � �,� �kt
Phone (day): � --��
Address: �, Cit : L�n ZIP: ��� �
Email and/or Fax �. �,� �;�v�rr �,. � ' -�- �
ARCHITECT/ENGINEER INFOR TION:
� � .
Name: �u i S� ' f ��� e�; ��'� �' �1 v.��'c'
7v. J � v
Phone (day): ��:
Address: � ' � � � Cit : ZIP: '"�'""_��
Email and/or Fax: � ; � ,� ,� �; - . ;
• � Vl
PROJECT INFORMATION: Description of project: � � � ' v� a..����►e �r� � `; u�l
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction ❑ Single Family with Accessory Bldg./Garage
❑Addition attached garage Deck ❑ Public Sewer
�ccessory Building l.�c;��j '� ❑ Single Family with ❑ Office/Commercial
[� Relocation detached garage ❑ Residence
❑ Other: s eci ❑ Private Sewer
( p fy) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
"*Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse
Minnehaha Creek Watershed District MCWD ❑ Private Well
( ) �Other. (specify) ❑ Other(speciry)
15320 Minnetonka Blvd
Minnetonka, MN 55345 ���
Phone: 952-471-0590 �� � e
Fax: 952-471-0682
www.minnehahacreek.or �t�(;l �
Estimated Construction Valuation (excluding land) $ �Z� �'�
�
Last Updated: January 2015
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction
a. Len th ft. - � �=- � Number of bedrooms=��
9 � )- �,Wood/Frame
b.Width(ft.)= � � � Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= � ❑ ICF
d. 1St Story = ❑ On-site Prefab
e.2�d Story= � ❑ Off-site Prefab
f. '/2 Story = � ❑ Other(please specify):
g.Total Area= -�
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Buildin Permit Escrow A reement and Fees
� ❑ Plan Review Fee
❑ Com leted A lication Form
' ❑ Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ Surve -2 full size,to scale meetin ALL surve re uirements
❑ Hardcover Calculations
Se tic S stem Certification
❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ Landsca e Walls and/or Retainin Wall Plans
❑ Stormwater Pollution Prevention Plan SWPPP
❑ Access Permit
� ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
. Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
. Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
. Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-bu't survey and all site improvements.
/� ,/l �,
Applicant's Signature: '� '� � / Date: � � � ' ����
__ ` � . 6 �
Owner's Signature: Date: - �
Last Updated: Jan ry 2 15
DATA PRIVACY ADVISORY
In aa:ordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, 'Tennessen waming", 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 fumish will be used to determine your qual�cation 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 Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
� \ `
1 d�
First Middle Last
�
� R� ��c�l�. S1n��� ��Lv �
Address
d��v� M N �'�'.�� � 76�� 2 �6� �(�2Z..
City State Zip Phone
I understand my rights as stated above.
�
Packet Last Updated: August 2015
. Pege 7
DATA PRIVACY ADVISORY
In acxordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, 'Tennessen waming", 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 fumish 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 Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
� ` .
First Middle Last
�1�—��C�. �1rv�c� ��` ��-�
Address �
� �co v� \��l �.�?�a 1 �l Z�6� .�'s�FS
Ciry State Zip Phone
I understand � ed bov .
Signature
Packet Lest Updeted: Auqust 2015
Page 7
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the ap�lication will NOT be �
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements. �i{� _ a� !� � ✓�lc�r�ire. r
� �ers��`�err � rz�-F� �l�vv� -+-�b�
�2 � r �°�' y� ee ��,a�.-
�
Completed Application � �`� �� 5� ' n
�'o� � � cc���- ����d�.
5 c� �
r-�
� �w PP
Plan Review Fee Paid �d ��
�t3-�-I'Z .��J''w1l`�S�(rl 6V� �zo Ilo-�Z!'
�-�j Signed Escrow Agreement & Escrow Payme� P�� �-��-�`{ �
-�-s�`j w i < < �--�� ,�� �f �
C�l� � ( `-� �P��ca.E�f ��f r�-• `� �-�'�S
Building Plans (to scale) x2 p��
rtificate of Survey (to scale) sh�varin�he proposed project &
meeting all requirements x2 �
c�"`�
Hardcover Calculations (if applicable) �"��
I am aware that Orono will not issue a building permit without a Cr`���c��
copy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-4 1-0 0
re rdi g is o' � , �.
Signed by: r
.
Address: �/ � � ,
Permit #: �1(p — � Z( � J'�J�c � •-�--1 orv��
2 01� -- Q O 2 L S C� �-r��
PaCket Last Updated: August 2015
Page 2
; [�" ��� ������ ��'����'�� ��� �`��� ���������� � ���������
Address: _ ��g� �O� �bC �. �errntt t�o.: �.�1�0 • ��d�'�
Descriptiorr Q�f�inror�c� � '� � �' s�i�G�A
Date Rec'a: •3 •� •0�
. �2S
Septic reeie�nr l�y: ,}�� � d� �I Date Approv�d•
Zaning review by: Date Approveci:
, Buiiding rev6e�v bY� � Date Approved- ��
Gr�ciing review bY= Da#e Approvee�; �I�OL ld :
Z�ning District: ��� Zareing Fffe#: � � �0 Reso#: � � Reso Date: 2 ' ' �
Zoning: Lo�Area:_�'�/AC iNidth: Lot Coverage:�� '' SF r �...r �a
S�rvey SubmEtFed: �Yes � No Date o#Surve�: Z.� ZL-�t D�Reuised date(?)•
Land�c�ape �alan submitted? �Yes � No Lanc�scaper:
Pro osed Setbacks: :
..,.-<-.
FronY{ e) Reae(�t } � PE S E :1A! ) � (� S E �.t) Other Buifd��gs 1A►etland
Si�� , Sic�e }d �¢�;:r. '
`;? � : � - � �f�" � ,
�� �'�
�y�._ �
D�fiined Height; Peak Height: F�E: �FE minus 6..#�et= _ ;_.��xi�#ing Conto
. � � . ��
P�ci�etsr(tinear feet)= 50°/a= L:F.below'grac�e
Baset�t? fl_Y�s�-`` i� No, Stories
� FOI�A B1�ILDING WITH A'BA$FWlENT OR CF2lRWL SPACE: �OR A BU1LDiNG ON.A SLA$�pUtVDATIQl�t:: .
TT�e.distance beHaeen the lowest p�+oposed � ai�.at�r gr�te� ,
START WITH floor(of the basemerit,or Crawl space)and m�8�'frt�r�
1Me highest poirrt of the recE. �p.� �• �
• _. .
NitO'
iF Yotr.hBve a..:'
$UB�RACTION • GABLE OR Hl RObF�no �e � � � �,�p
;
{BASED ON . windows)•. Ct h8M#�edtstBr,aCe "^� �.-� W �-- � � to the
ROOF 7Yf'E) t�etw e highest poirst of the roof
e low point of tfie�rresponding � ��_IL `���1 � ,,�p
. �ble ochipped roof 1 �1.�' � ��� W � OF
, GABLE OR HIPPEb itbOF(nrith � �� .
windGws): Subtract haU th�distanas '/� I�. �n �p
betw�n the to cithe hi hest ��L�� ��""" ` '`l'�`-E� to
window and the hqghest{wiart oi the : L��
rabf `�`P • ... _ ... _._ _
• ALL OTHER ROOF TYPES(flat, OOF
mansard,eTc):No subtradion. �
!� SUBTRACTION Subtract the distance between the : n .
: {BASED 01J basementic�rt apace fioor:artd tt+e
;` EXI3TING highest e�istlng grade adjacent to the _ ._ . . _ .__....
� GRADES) foundation OR 10 feef(whichev�is less).
ES
0
EQOALS Deflned building height' �
,
, !
-- — , ---- ___ _ --
�. . _._,
Updated: Odober 2015
z:\fiormslpian review chedclist 10-2015.doac
�►veraga Lakeshore Setb�ck
�hoceland��strict fi��C�� Permif liAeYt B{eaffi �
�Yes � No Permit Number: � � . B Yes � No N/A � Ye No
C] fV/A—see attached Setback:
Storm�ater t,�uai'� Existing Propos�c�
Overls�Dis#rict TEe� Harcicover Hardcov�r yariance Required CUP Reguir�d
circie one %and s %and s
��•g�0�{3 Yes No G Yes No '
1 � 3 4 � {.4U��.�'� T pe�s . TYP�t�)�
�� �
E�es to be Ch� ed YE8 i�0.
P�ni� : , . . , ;
Plan Review _;/' :
St�s-S�rche�r�s _ �-�- , _
Inv�tigation�ee V"
_ S1KC-�k�ttber�f SA�G l�#�s
_ Other(specify)'
S uare Foota e � er S uare Foota e
Basement X _ . �
:1�f loor X . ' � $ ;
2nd��OOf X ` $
Garage X = : $
Esttmated Cohstruction Value: _,li{'/T,0�� �
Orono lnspectfons Required Vllork Requirtog S�parate Permits ,
f'ooting �3 Site G�Plumbing t�u�rading l�iNin� ,,�
fl 'Poured:Wall � SiitFenc�lErosion Control C� Mechanical - l� ;�i�e
Cl �pundation�urvey G Hard�:over:RBmoVai :O S�ptiC �J:y!llater.Coi�ri�itto�i
t3;Foi�ridation Waterproofing � Other(specify) �7 F�eplace i3 �ewe,r"C��ih'e,ctibn
`Fraining t3 Masonry t3 Lawra 1r�g�tioi�
G fisulation G Mfg. ' !3 LandScapir�g�`
G As-But�t Survey '17 Other(s1��Y) . ' :
�ina1
� Lathe Required StatePermits '
!1 O#her(specify)
� iAfeli ,,. ElechiCal
RENiARKS;(in-house):
OFFICU4L RERflARKS-TO BE R�QTED QK PERPiAi'C QND 3N6Ti�LLED:
� See Bu[Icle �,cketowEedgement Forrre
eleas of e as-built su rdcov e subm"
Upcfated: October 2U15
'•lfnrmc\nlan rnvipw rharklict 1(L9R1F rinrv
' �-�� RESIDENTIAL
O
�
ACCESSORY BUILDINGS
6�, ��' www.ci.orono.mn.us
�' 952-249-4620
l9kESH���
PERMIT
A permit is required for all accessory structures. An application packet may be obtained on the City's website
(www.ci.orono.mn.us)or at the City offices.
DESIGN � p ' ��
Accessory structures 120 square feet or larger located on lots of less than 2 acres must be consistent in design
and color with the principal structure (house). Garages located within the rear yard on lots that have frontage
on a lake must have windows or other ornamental, architectural features on the wall facing the street or private
road.
��� �,�
size �,
Maximum Individual Accessory Ma�cimum Allowed Total Footprint
Lot Area Building Footprint of All Accessory Bu*Idings
on a Pro e
.00-1.99 acres 1,000 uare feet 2,000 uare feet
2.00-3.00 acres 1,200 uare feet 2,400 uare feet
3.01-3.50 acres 1,400 uare feet 2,800 s uare feet
3.51--4.00 acres 1,600 s uare feet 3,200 uare feet
4.01--4.50 acres 1,800 s uare feet 3,600 ua�e feet
4.51-5.00 acres 2,000 s uare feet 4,000 s uare feet
5.01-6.00 acres 2,200 s uare feet 4,400 s uare feet
6.01-7.00 acres 2,400 uare feet 4,800 uare feet
7.01--8.00 acres 2,600 uare feet 5,200 uare feet
8.01--9.00 acres 2,800 uare feet 5,600 uare feet
9.01 or more 3,000 uare feet 6,000 uare feet
*Only one accessory building may exceed 1,000 square feet.
NUMBER
Absent any other zoning requirements there is no limit on the number of accessory buildings per property.
STRUCTURAL COVERAGEIMASSING
Properties less than 2 acres in size are subject to a 15 percent structural coverage limitation. (See the
Structural Coverage information sheet,)
HARDCOVER
Properties located in Tier 1 though Tier 5 within the Stormwater Quality Overlay District are subject to
hardcover regulations. These are typically properties within 1,000 feet of lakes or 300 feet of certain creeks.
(See the Hardcover information sheet.)
Reference:City Code Sections 78-1279, 78-1288, 78-1404. 78- This is an infomiation sheet.Every effort has been made to
1405, 78-1435 thrnugh 1438 insure the accwacy of the iMormation contained heiein;
however,if any info�mation is not consistent with provisions of
January 2013 the City Code, the Code provisions will prevail.
Page 1 of 4
V
p�� n�E
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED �
PERMIT NO. �o coM�erED � '�
ADDRESS 3✓�`d � ��� '��'�
OMINER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION G�t�'49� ����`i�� �lec�"/���
ty �QOTING ❑ DEMO-FINAL D SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVKiRADiNCa/FILLIN(3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
= 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
v 0 DEMO-SITE ❑ SEPTIC INSTALL
Z dwN911�RACT�R TO MEET YOU:_1f68_NO
� COMMENT�
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o ❑COFiRECT WORK G1LL FOR REtNSPECTION TEMIPOAAfiY
�j BEFORE COVERINO PERMANBdT
O f�ORFiECT UNSAFE OONDITION YYRHIN �0�1�. ❑pHpTO TAKEN
INSPECTOR WILL REI'URN ❑CITATION ISSUED
p STOP ORDER P08TED.CALL INSPECTOR
❑INSPECTION REQUIRED.G1LL TO ARH/�N(iE ACCESS.
c.N toru�e next tnspecdon 24 taws�n ad�►anoe. (952) 249-4600
on stte:
�nspector: � _
WMa�p�rAns�cto�'s FlN C�mry Co�f81b NMky
�✓ � /
DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE I i scH�u�eo ' '� =��
PERMIT NO. � �` CO PLETED
ADDRESS
01AINER T LEPHONE N0..11A 2��La,a_�—..SSS�
CONTRACTOR (
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNEIUCONTRACTOR TO MEET YWI:_YES_NO
� COMMENTS:
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W
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j
W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
� CORRECT WOi�C 3 PROCEED �ISSUE CEFiTIFICATE OF OCCUPANCY
0 ❑ RECT WORK,CALL FOR REINSPECTION TEMPOFtARY
V BEFORECdVERIN(3 PERMANENT
❑OORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR NIILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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I hereby certify that this plan, specification, or, report
was prepared by me, or under my direct supervision,
and that I am a duly Licensed Land Surveyor under the
laws of the State of Minnesota.
k S.
Minnesota Lice e Number 127
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PROJECT DATE GRONBERG & ASSOCIATES, INC.
4-20-15 CIVIL ENGINNERS, LAND SURVEYORS, LAND PLANNERS
SCALE
1 "=20' 445 NORTH WILLOW DRIVE LONG LAKE, MN 55356
_ Jos NO- 952-473-4141
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PROJECT DATE GRONBERG & ASSOCIATES, INC.
4-20-15 CIVIL ENGINNERS, LAND SURVEYORS, LAND PLANNERS
SCALE
1 "=20' 445 NORTH WILLOW DRIVE LONG LAKE, MN 55356
_ Jos NO- 952-473-4141