HomeMy WebLinkAbout2014-01154 - add over existing porch ` ' CITY OF ORONO * z 0 1 4 - 0 1 1 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/27/2014
ORONO, MN 55356-
952)249-4600 FAX: (952 249-4616
ADDRESS : 3200 NORTH SHORE DR
PIN : 08-117-23-41-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 100,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
ADDITION OVER EXISTING PORCH
APPLICANT PERMIT FEE SCHEDULE 1,056.75
STATE SURCHARGE(VALUATION) 50.00
PEARSON BUILDERS TOTAL 1,106.75
3947 EXCELSIOR BLVD. Payment(s)
MINNEAPOLIS,MN 55416 CREDIT CARD 8069 1,106.75
(612)743-4325
OWNER
LUND,ROBERT
3200 NORTH SHORE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the wo�k described and does
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 hereia This permit will
expire and become null and void if cons[ruction authorized is not
commenced within 180 days of the date of issuance,or if construction 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 the State Building Code.This permit may be
revoked at any.time . c
� D �? �/
Applicant Permitee Signature Date Issue By Signature Date
� � /
CITY OF ORONO I l���'7�
BUILDING PERMIT APPLICATION �
FOR NEW STRUCTURES OR ADDITIONS
�O • MailingAddress: Permitnumber: p�� ���
1�TO PO Box 66
Crystal Bay, MN 55323-006� Date received: �� '7-�
Streef Address:' � ' �1� I Received by:
y � 2750 Keliey Parkway ti Plan review fee: g6• �'7
�r�KESH���G � Orono, MN 55356 ��I �0/i+/_D/�s�
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ��C'C� �'�'��� �j�-�� ����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specral event permit is required with Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLIC T INFORMATION:
Name: `� ' �
State License# �j� Gc>f[�z.� T Expiration Date: 3 ( Z� 6
Phone: cell G l2, office '�Z� 2�'= ����
Mailing Address: ?�� � ��l � \ �J7 � �% Cit :.�L. ZIP: �
Contact Person: � ' C%!'� Applicant is: ontrac o / Homeowner (Circle One) :�
Email and/or Fax: �,v ��;ri.�.� - {
PROPERTY OWNER INFQ.ki�ATION: � � `
Name: ' ���� 1-.�%l`��
Phone (day): c� Z-,�C�,�'�%3��a
Address: ,,32-c%c% `�(�,=���ti�- City: ��-��� ZIP:
Email and/or Fax
ARCHITECT ENGINEER ORMATIOIy� �`��`''Z ���
Name: ,/N�,�� �
Phone (day): ��(2,�'Z,7��Z-.S
Address: �-a / 1�,� 2�� ���iC City:�'�-�� � ZIP:-�f��
Email andbr Fax: _��z,--���7�� �: �
PROJECT INFORMATION: Description of pro�ect:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal S
�� Water Supply
❑ w Construction Single Family with [�7 Residence
Addition attached garage ❑ Garage/Accessory Bldg. �ublic Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage �'Public Water
**Any�arth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
' Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ���i� ���
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= � Number of bedrooms= ✓
�ood/Frame
b.Width (ft.}= �L Number of garage stalls: � ❑ Masonry
Areas in square feet Attached= � ❑ Metal
� ❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1bt Story = f�0 ❑ On-site Prefab
e.2"d Story= � b D ❑ Off-site Prefab
f. '/z Story = ��� ❑Other(please specify):
g.Total Area= ���'
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your appfication to be processed:
Not
Enclos A licabfe
� ❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
❑ Stormwater Pollution Prevention Plan
❑ �' Hardcover Cafculation s
❑ Se tic S stem Site Evaluation Re ort
❑ GY Access Permit
❑ [�` Wetland Buffer Im rovement Plan
❑ En ineered Pians for Retainin Walls 4 feet or above
❑ Plan Review Fee
❑ Application Escrow&Agreement
❑ C� Other.
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 faifure to do so, the staff has no alternative
but to reject it until it is compfete;
• Acknowledges the Escrow Agreement is compfeted 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 annualfy 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 temporery Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
�---
Appficant's Signature:
j -� Date: l�'�� 2,�`1 lf
�� � �l�-'���--���
Owner's Signature: Date:
���� ������ ��������� ��� ��� ��������� f h���������
�►ddresslPsrmit NLmbec: ��o� �0�� �'��O�iG �l e�-Q
D�scription af�►ork: /4�� �t?�pPJ Ov e,/t ��3C e-5 �i'7 /� Co
Se tic review b : R/' J� -
P Y Date Approvecl:
Zoning.review by: _ Date Approved: !o-23 t 1�
Building review by: D�te Approved: j t�-�� - � `�
Grading review byc �l' 1/�- Date Approved: "`-�
Zoning Districf: �.R-2 g,: Zoning File#: "` Reso#: ""� Reso Date: "'
� Zoning: Lot Area: �►�G SF/AC Wfdth: �' Lot Coverage`. SF _%o
Sunrey Submitted: �Yes 0 No Date of Survey: 0��1'`�� l O Re�ised tlate(?)•to-j`�� �O
Pro oSed SBtbaCks: �4.� �v�l Y� `,
Froa�t .Lake Rear Street ( �
� ) ( ) p Sid� W ) ( � S�de � � OtherBuildings W►etlan�l '
�s ��' ';' �p� + 1v J/'� ,�! #�
Definett HetgMt: � �� Peak Hefght: FFE: fFE minu�6 feet= {Exlsting Gonto��
Perimete;r . ear feetD= " 50°�= #of Storiee Ok? G YES
Fi7R A BUiLDING�AIITH A NT OF�CRAWL SRAC�; � ,,,...f-�''
� � The "'�4ween th�irnvest FDR A BUiLDIDT�QN A FbU1+tDAT10NC
START WiTH pmpased floor basement or crawl .
space)and the highest " t e�oof. , . The�listan�e between the fop of siab.and
� :. . ART WIl'#i � tha fiiyitest: nt
(f you have a... Rd of the rooF. .
• f�/ABL�OR Hi�PED R00F En0 ' 1f You have a.. -
�� . � � withdoHrsj: Sutihad h�lflEti�.� r� � • ��3ABL��3R�HIPP�D i�E)OF�(�io;
distance DeMreen the higti8atpoi ���� SubNa�t half��diatana
� � po� :belweer��1_t�@h�h�tpmrrtoftde4oc
� � af th8 roof tQ the kiw poinfi �-_ •.. �� . `to the Ci�Kpcn�t of�h@ cortespphtlin�
- SUBTRAGTION . • cortespbnding�able ped roof SUBTRAQ �8ble���iip�et!rocf
TM E)D ON f�Of��' e GABL�.OR ii ROQF VNth' , ($A3ED 0�
(.� �,• `GABL�UR}iiPPECS�ROD�FvYitfi'
wladows� hetf-the. ROOf TYP£� ' . windo,x!s); S�btraet half;lhe disfsn�
d betvveer+tt�,e top.ot the . beMr9�ta ffie u}p of:tha hig�t
- est Windovv and ttie kyghest window"ani!the hiphes�POinf ot the
point Of the rodf � - - ,�f ; _
� +; ALL bTHER ROOF TYR�&(flat� • ALL OTH�R ROOtt TYP�S,�tlat, -
�ansar+d,etc�:No subtraction. . , ina satd:- No.subtra�ti
; , ._ , ., � ADDITi�iN Addlhe�dlefsl�iij��betweefi the�� .dr318b
StlbfraCtthe.dtstanCe beriiree�i ti�e
SU TIQN Y�EQ;bN . a�d tAe h(gf�sf e�6atiA98ratle�jac�eft.h
SEp ON�JCISTING basemenUcrawt spaoa tbor and tls� :�XIST�IN6 the fpundation."
RADES) h�hest existing giadQ atlja�ent to the �RAD.ES �
feundation OF��fi feet twhictlev�r is less}. ;'�q A1� - [►�firNad bulldii�g hefgtit •
E4UAL3. Deflned bui Ing he1gM . • . ,
;. , . .
� Shorelar�d District ti�G1ND Pe . it Rec�ivec! . :Avera e.Lakesliore Setback Met?. Bta�ff -
� Y�s No - - � C] NJA G Yes No
t@! Yes G No ` �Yes G Np C N/A '
Permit Number. Se�ack:
Storm�ater Quataty Exi�tireg Proposed _
Overta Disfirict T�er Harcfcover Hardcover Variance Requirecf CUP Required
o O Yes No � Yes No
� � TYP��S)� TYpe(s):
�
Updated: January 2013
v:\fortnslplan review chedclist 2013.doac
.
REMARKS (in-house):
Fees to be Cha ed YES : wLl:
�. .
Plan Review
' ,�'��1��. y�; .
investiga#ion f�e " .
� � � �� ,�i+�:�#��s'. �.��
. .. � . .� .. . . .
Other{specify)
S uare Foota e S r S. u�r+s Foota ,
Basement X _ $
1a Floor x . - $
2nd Floor _ X _ = $
. Garage X _ $
Esximated Constrvction Yalue: S �d�,���
Orono lnspe�#ions Required. Work Requiri�tg S�para�e Pecmits Required St�te 1�ermits
G Site Plumbing t7 Grading/fi�lin,g ' C] Welf -
O Hardcover.Removal Mechanical O Fire j�Electrical
C7 Footing "G Septic G Water Connection
`� Roured Vlfail 'G Fir"epi�ce �fl Sewer�rinectior
:C! Foundation Survey 0 Masonry G Lawhlrriga#ion
Q Radon Rock�ed Q Mfg:
�Framing �7 Othec;(specify)
�1''Insu{ation . �
I3 .As-Built Sut�ey. - ;
Fina! .. , ,,
'G Wetland"B�ffer '
[7 Other(spec�'y) ; _
REMARKS(in-house):
Other Revfew: Reviewetl by: Date J4pproved;. _
Access: Existing: Cf YES Q NO New: E� YES C7 NO
O�FICtAL REMARKS -TO BE NOTEO ON PERMIT AND iNlTIALLED
t9pdated: January 2013
v:�fortnslplan review checkfist 2013.docx
� D T TIME ���
�/
CITY OF ORONO CALLED IN
INSPE����Il'.-" �C� L� r SCHEDULED a-•-�-�
PERMI v -U J�-t COMPLEfED
ADDRESS 32C�v � S.Q.
OWNER _ TELEPHONE NO. ����• ���3�
CONTRACTOR I L,t�d� �IC�r
�; DESCRIPTION �� -
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING
Q ❑ p ❑ MECHANICAL RI p LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERJFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
'� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� CGMMENTS: ��ec. �� — �a `5 � I y
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a f�3 r�v�Oc �' �.�GnP rP� u��yr,�o� �1�•�,�sr��o �-�
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
��.RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR Will REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
Inspector. �'`-'
Wh Copylinspector's File Canary CopylSite Notice
_ -_ ✓
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION O�TI� _b 1 �5��sCHEDULED
PERMIT NO. `f OMPLETED
ADDRESS �a C� L� / �/ ' ������/�P D�
OWNER TELEP ONE NO.
CONTRACTOR � `��9��5
�; DESCRIPTION ( ����
�
� ❑ FOOTING ;,,.- ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POUR ALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ F MING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
ZSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ S�C FINAL � FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW ORKSAT�SFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PEFiMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAII INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance;�(952) 249-4600
, --�--,
OwnerlContractor on site:
Inspector. "� `�
White Copyllnspector's File Canary CopylSite Notice
�� �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI J SCHEDULED �� ( 0�c�-;
rERMIT NO.�� � � 'ST COMrLETED
ADDRESS �+� S ��
OWNER TEL H NO.������3��3 Z�
CONTRACTOR �-G(Z(�� C77"1 t� Id rs
� DESCRIPTION ' , �� � / �� �
l� ❑ 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
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑�TIC INSTALL
2 OWNERICONTRACTOR TO M�: YES_NO
c�i, COMMENTS:
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W O WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED O SSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 9-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notiee
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� LEGEND
' '` � • FOUND MONUMENT �o—I--¢- WATERMAIN ———--— EASEMENT LINE
SET MONUMENT o---- > —� SANITARY SEWER —•—•—•— SETBACK LINE
o MARKED LS 47481 oa—»—� STORM SEWER o RIGHT OF ACCESS
� ELECTRIC METER �—»---Gl FLARED END SECTION CONCRETE CURB
-3� LIGHT EO—uE—m ELECTRIC TRANSFORMER �--� BUILDING LINE MCCOIt1�S Ft'atik flflti�
Ac AIR CONDITIONER �0--�T—f� TELEPHONE PEDESTAL --------- BUILDING CANOPY ASSOC181BS, IIIC.
�—GUY ANCHOR O—��—� GAS METER � BITUMINOUS SURFACE �48o028�A�r►ueNa�•Su'ce�40
� HANDICAP STALL ow OVERHEAD WIRE ��M� ��
CONCRETE SURFACE phone:763/476-6010•fa�c•763/476-d532
� UTILITY POLE a CHAIN LINK FENCE � �qNDSGAPE SURFACE "��"^'�^^'mfracom
■ GUARD POST s IRON FENCE �
• BOLLARD x WIRE FENCE '�� DECIDUOUS TREE �Ilf;nt
+ SIGN � W000 FENCE ���' CO�VIFEROUS TREE
, EXISTING CONTOUR �� 1 ST �TREET
CONSTRUCTION
DESCRIPTION 417 EAST FIRST STREET
WACONIA,MN 55387
The east 57.75 feet of that part of Government Lot 1,Section 8,Township 117,Range 23, Hennepin County,lying north
of the Road.
Project
PROPERTY SUMMARY 3200 NORTH
1. Subject properties address is 3200 No�th Shore Drive,its properry identification number is 08-117-23-41-0001. SHORE DRIVE
2. The gross area of the subject properry is 0.70 Acres or 30,357 Square Feet.
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BENCHMARKS
BENCHMARK#1 location
Survey Disk located in Bridge,on Shadywood Road south of Nonh Shore Drive. Elev.=954J5
ORONO, MN
SURVEY NOTES
1. The east line of Government Lot 1,is assumed to bear S00°00'07"E.
2. This survey was prepared without the benefit of a Title Commitment or abstract and the surveyor has made no
independent search for easements of record,encumbrances, restrictive covenants,ownership title evidence or any
other facts that an accurate title search may disclose.Therefore,this survey may be revised by showing that which
would be cited in a title commitment and then illustrated on the survey.
3. Field work was completed on 10/12/10. Certification
I hereby certify that this survey,plan or repod was
4. The building(s)and exterior dimensions of the outside wall at ground level are shown on the survey. It may not be prepared by me or under my direct supervision and that
th2 fOl1f1d8tI0f1 W811. I am a duly Licensed L1ND SUflVEYDR underihe laF:.;
of the Statr of Minnesota.
(_
"------r
Ma us F.Hampton
. RegisVation No. 47481 Date: 10/14/10
, This cartiflwtion Ia not valid unlesa w�sipned In blua h�k.M appllcabla,
contact us tor a wet sipned coDY of thls suney whk.h is evail�le upon
request at McCombs Frank Roos Associetee,Inc.,Plymouth,MN otfice.
Sammary
Designed: Drawn:JCB
Approved:MFH Book/Page:694/33
Phase: Initial Issue:3/9/10
Revision History
No. Qate By Submittal/Revision
A 3/23/1J JCB PEHCfTYCOMMENTS
B 3/24/10 JCB CHANGE PROPOSEO DECK
C 5/24l10 JCB REVISE DRNEWAY 6 PROP.SUNROOM
D 6/11/10 JCB flEVISE ORIVEWAY 8 P(iOP.DECK
� E 10/1 V10 JCB AS BUILT SUflVEY . �
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Sheet Title
- CERTI�ICATE aF
SURVEY
She�t Number ���ri�i��
0 2� 40 8� 1
1
E
SCALE IN FEET: 1 INCH = 40 FEET Project No. 1 ST1�49�