HomeMy WebLinkAbout2013-01240 - addn/remodel/repair . CITY OF ORONO * Z 0 1 3 - 0 1 2 4 0 *
� , 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2013
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3805 NORTH SHORE DR
PIN : 17-117-23-21-0029
LEGAL DESC : SHERRI LAKEVIEW ESTATES
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 33,000.00
NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
I,OWER LEVEL FINISH
APPLICANT pERMIT FEE SCHEDULE 499.00
SCHNETZER,THOMAS STATE SURCHARGE(VALUATION) 16.50
3805 NORTH SHORE DR
MOUND, MN 55364- TOTAL 515.50
PAID WITH CC# 8795
OWIVER
SCHNETZER, THOMAS
3805 NORTH SHORE DR
MOLIND, MN 55364-
AGREEMENT AND SWORIV 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 work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended Y'or a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring qt�red inspections aze
requested in confor a� ie S e ilding Code.This permit may be �1�1'
Q�u e aus . __ � ��/
/2� z � /3 �� � �
, ��� �
Applican e itee ign Date Issued By Signatur Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
r /
L
City of Orono `'��2^13 � 5� S. % ���9�,
Building Permit Application for Maintenance / Replacement / Renovation
' (No structural expansion. Only windows, doors, siding, re-roof, etc.)
' OA',�, Mailing Address: Permit number. �� — �/ z
' � ,V �� PO Box 66 �—
� � Crystal Bay, MN 55323-0066 Date received: //-22y I 3
�� � � Sfreet Address: Received by: ��
'F �;� 2750 Kelley Parkway Plan review fee: 3 Z�,3J`� CC.
t � ` Orono, MN 55356
'�Krs►��,�1` '� dO/ —
___- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and alt required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: /�
Job Site Address: �� Q S �f'-'�'"L� ���'� G-�N� ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No
If yes,a special event permit is required with Police Department and Cify Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events wil!not be allowed.
CONTRACTOR!APPLICANT INFORMA`TION:
Name: �liia�s-s�y 5 �.c-+�/�",f�''�e'
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes fhat were constructed rior to 1978
Phone: (cell) G/�- �tj � „?' fj �°_ (o�ce) �� � �'�+ 'Y'
Mailing Address: �' �3,� S ,�,•�. •�, ,�"'Li,srr � �✓�'4�r City: <•-.�-,�,.,,. ZIP: � �'
Contact Person: �a s+-+ �. �- ,,,,,P- 2+— Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: �;���„�,f �a ,� � ��� , `i,�f
PROPERTY OWNER INFORMATION: .,
►vame: �hOs-n 2��'� ..�c�/��'�2�--
Phone (day): �j,�-- �,��. - � ��p
Address: :� ' � � :� + ����°'�"`�
�C�s � o.�f'h ,�'�"rC ,l✓�'.'s.A: City: G lr,r.��.� ZIP:
Email and/or Fax: ;,� ,�.,e�% �•�. �'v�,,�,ayyt �;i.a,��L� , y.,e►
PROJECT INFORMATION: Overall ro'ect descri tion: ���'P'~''� �'`����p�'- ���'``'���'�"�
Type of Project: Any earth movement may also require
❑ Door(s) [�'Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $___ _ _�,3, O�'d
APPLICANT ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of hislher 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 altemative but to
reject it until it is complete;
• 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 generall ot be given to either the public or the subject of the data. Our purpose and
intended use of this information ' o annua pdat rec rds and records of other governmental agencies required by law. If
ou refuse to su I the inf n icati a be issued.
ApplicanYs Signature� � Date: __ �l'�Z'��.3
Owner's Sign re: Date:
Last Updated:03l06/2013
������ ���.�'���.� ��������� ��� ���� �'��������� � ��:�'��������
f�c6dc�ss/Pecrrci4 Nurnber: 3 �C)� dV�frC'�� �¢4 o ELt: Q(���1�
DescrEpteon o��nroc�: �E�w�� i.t�id� �=1 �r��!-1
Sep�ic re�iew bg+: aU/A D�te Ap�rov�d:
Zonir�g �°evi�w t�y: /rt �� Dat�Approe+ed:
��ilc�in� r�view bye �at�Approve�: e �^ �� ���
Gra�ir�� review by: �!b�- Date Approvec�:
Zoning Des�r"sct: �or�fi�g Fil��R: Reso#: Re�o Date:
� reing: L.of Area: SF/AC �i�th: E.o�Cover�ge: SF �%!
Su y S�bc�tittee�: �Yes � No D�te o��urvey: Revised datet?):,
Pro os d Se�tb�cics:
�cant(L e) Eteaf(Stre�t) ( � S � � � � � � � !� I Qthe���ilc��ngs �etfanrJ
Side �ic�e
De�ine� Hei�6�t: 6��a�C 6�eisht� P�E: FFE mir�us�.�eet= (�x��ting Contod
E��rioneter(ii�ear fee4)= 50%_ �of Stories O�? �YES
EOR A BUILDING WITH A BASER+IEN R CRAINL SPACE: ��
The dis 'ce between the lowest FOR A BUI�cDING ON A SLAB FOUNDATION:
START WITH proposed or(of the basement or crawl
space)and t highest point of the roof. � START WITH The distance between the top of slab an
If you have a._ / the hiAhest point of the roof.
If you have a...
� GABLE OR H ED ROOF(no o GABLE OR HIPPED ROQF Fno
windows): Sub half the ;
distance betuveen highest point ` ��d�)� Subtract half tlie tlistar
between the highest point ofthe rc
of the roof to the low p � t of the ;� to the low point of the cortespondi
SUBTRACTION coResponding gaWe or h ed roof � SUBTRACTION gable or hipped roof
(BASED ON ROOF . Gp;g�f OR MIPPED ROOF 'ttf i� (BASED ON . GABLE OR HIPPED ROOF`(with
TYPE) windows): Subtract half fhe ROOF TYPE) windowsp Subtrad half the distar
�listance beNveen the top of the be4ween the top of the highest
highest window and the highest window and the highest point of tt
point of the roof �'a� roof
• ALL OTMER ROOF TYF�S(flat, • ALL OTHEI2 ROOF TYPES(flat,
mansard,etc):No subtta�tion. mar�Sard etC:No subtraction.
ADDITION Add the dis�nse between the top of sla
Subtract tl�e distance beMieen the
SUBTRACTION � (BASED ON and the highest existing grade adjaeent
basemenUcrawi space fibor and the
(BASED ON EXISTING highest existing gracJe'adjacent to the � GRADES me toundation.
GRADES) foundation OR 10.f€et(whichever is less). � EQUALS Defined building height
EQUALS Defined buit g height ''
S�horeEand Di�tcict RlbCE�Q P��Eg�ec�ived �e+�Pa e�ak�shore�et�acF�Met? �t��f
L� Yes E] No L7 I�/A � Yes � IV�
� Yes � N � Yes � No � R!/A
Permit Number: Setback:
Starrr�wr��ec alit�► E�istii�g �r�R�$�� ��ei�r�ce F�equired +�U� lReQuired
�ver6� �is ict Tier F9aarc@co�0er E�a�e�c�vee
� Yes � No � Yes � No
Type(s): Type(s):
Updated: January 2013
v:\forms�plan review checklist 2013.docx
REfV�ARKS (in-house): �
Fees fo be Char ec� YES NO
Pertntf
R1an Reviev�
$tata Suncharge
Envestigatioro Fee
SAC-Number af 5AC Units
Other(speaify)
S uare Foota e S r 5 uare Foota e
Basement X = $
1°�Floor X = $
2"d floor X ' $
Garage X - $
Estimated Constrc�ction Value: S �3�{,?pp e'
Orcno Inspections Requirec! Work Rec�uiring Sepacate Permits Requ�red State Perm�ts
� Site PJumbing � Grading/Fiiling 0 Well
6 Mardcover Removal j�'Mechanical 0 Fire �Electricai
G Footing 0 Septic 0 Water Connection
E3 Poured Wall ' jYFir�place 0 S.ewer Connection
� foandatton S�rv�y G Masonry , C� Lawn irrigation
� Radon Rock Bed �Mf9•
�Framing G Other(specify)
�r�sulation
� AS-BUI�f SqN@�/
�Final
0 Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviswed bY: Date ApprovecE:
kcce�: Existing: Cg YES � NO New: Q YES C� NO
OFFICfAL RENEARKS-TO BE NtQTED ON PERfilill'AND iNiTIALLED
Updated: January 2013
v;�fortnslplan review checklist 2013.docx
�� <�� DATE TIME �
CIT1f OF ORONO CALLED IN
INSPECTION NOTICE_O/Z, /„SCHEDULED / `� �
�ERMIT NO. D.C� fr�COM�LETED ,
ADDRESS ���� �
OWNER T LEPH NE NOP�a'���,��JjD
CONTRACTOR `5��
� DESCRIPTION `�`���v���/!2 9� �
�
� ❑ FOOTiNG ❑ PLUMBING FINAL O EXCAV/GRADI /FIWNG
Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
� ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YE3_NO
� COMMENTS:
�
�
�
0
�
�
0
�
W
�
Q
�
W
�
W
�
j
d
W RKSATISFACTORY:PROCEED ❑PROJECT COMPLE?E
CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlComracto
Inspector
White Copyllnspecto�'s Fils Canary CopylSite Noties
DATE TIME ��"
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.aGY3-D/ayQ_ COMPLETED /-5/�
ADDRESS 3gOS N cS/�d�'C• �r �
OWNER ,���_�"�a ��ELEPHONE NO.
CONTRACTOR �a��ft✓
� DESCRIPTION G+ �• ���'1� Slt
� ❑ FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETL4NDS
v3 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/HEMOVAL
2 ONfNF.RICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: _�`'�` ��e�— e?-b=!l�,c
� � �S.,ao,���- a� r
� ,1�0 �40i'so � ��-' �r L.
� • E s �-Q
0
W ' �i �i�- /Ct<��c�tJ- - S�� f S Ql�� -
Q `' .�T�`"!. �C�i.�. - a'L�
2 " ,6�� ,s'�,�K, — 1J,� �-
w �' �i�,�"���, c l..�f.-��s� �'.�� — r'��`�O,�!►�
� a�
�
a
W� ❑WORKSATISFACTOFlY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK�LL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOH
NSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:7a'�--
Inspector. / �
White CopyAnspecto�'s Ffle Canary CopylSfte Notice
. � � �}V��7'REA'�'�D PLATE�PVi,�t
�
BE D ROO�1!! Wi�l Qt'� S i CONGETH RlMI�ORCING y�: .�M,�
F 1�� �I�1� t\�1.r(V��C NOTES: �,`�'� m'ee°o"�'� Rn,aer vn-sec xc wr � M r�,� n .
u n��a�u��u,t lnq7M tJ�wraia.urM�awr
20}, 1 V i���. \.+ ..�_�'?'~: �'Y•�L� ��w cartien aww� �M�� rww+ana aR*ueaes er oneee ` �-�xt n wTE7 �
ANM1 w�v loN.RUD Mex-�t►C�
aa noat naren.�o nooR wewvr nwr- m ne,m�wa n.w�ioweu � T 7 ,a o
2�p �/j � f�; �^- }� f�-{{r�,� �e���ae eow.nro waa«e.:~a rv ""'"encu e�c i►ea�wa�,uiaw� s.aneM.w. ��p<z^�
�y����. �J:a�.��Y\ �F L�i 1.J � e�ivWnw rae a'cn V�M Mrt!eACw laA
DESIGN SUHMARY ��,x o.,�y �e i n or.mr
c���< <
�crexioie urvrnoor+� a��:•`
5,7 SQ. �� R��i G�'�NI G „ �..�. .�.�...�.. .�a ,�,� � �P�.,�, �T,��.. _ �<. _
� ,�. �..�.�
i i. �ir 3 , .�� , �► .�a�s.b. .,`°�"" �„o
�p � ���� �L��� � u riue�rh eaw e�cc � " r x r w.s wYcwe.�r uc ro�blrtt s��u �-'�
r0{/DAi1Q1 M � � �
� xD�!�/o�Cwu�ide w� � � 1C X r h�P�YIN�L UTAI�G ���C N y��'W 0�
OR{f l P O I T T M I G N L f. POl%TO CWG r Z r
4���N�r� JO�NTJ�i1ALL pE IAPP�� 'y� �LG �
r r t m z r r�.s n e o e e e u� ��u���
io�ww uoRaNru C�ra aen�x• 4 v o
�nwcno oxiv ra� • r ezreiD Reav
ruu�ar.an n�r��c. r x� __"'_ c wro tiw •� ��earton y aw x.ueo. ► o u u
� r r r �i aue[vwn ._ _ ��<���� �
hAtER1Al8: � a •s. r x r ��� i° ; .
SPEC(AL NOTE WOT�OCqqYT4 ,°� "-�"� ."m� `�-' �"�1�<� �
' W<OVIV�� ��
Kim 1ll OR .E.•.
IlOJ p�A d1Y9 10' i ; � r14lO�OL n r � �.2�=��
..LL�..�. �...,w.,,a,...�..�, a�.„e,a ,-J� _
�...�a„ � • , �� r$=�� �
SEE ATTACHED SHE T ''°"'°""' '`<".�' ��� ""'"" .'' �°"""� `�F"=�
amwn-�vr nwx r.�o
..ua.v�n.K o�.w ne. waw z ••wn. �a���y�
�-n�eom a.�u 'ur.w.w rne eorron o.�.r.c
�O� �'r �O� `,� �-� � w-�u.�or�Mu on.nn.o �+cwvre.oir �NEEWALL i<�3�ni
�T4 TO p!Rm �U��ot1 OR
�STND BASEMENT UlALL
co�nn a°+`rww WALL 81SCT10^N�eo eaw. GRADe �EAM/ scA►E.s�r -r-o- xA�G�r-r-o�
CODE REQUIR�MEN S °'�`°��`° "r.'_°' $�� r°oT'"°
.��.�..-,. � 3
.�..,...�._._.
�_'°' � �
�,�� �<�-,• - �, �
i�'�• 6ALL ���
n-r ]'-O
REtA1NING dl1LL ]Y-O' .�
�' - - �' B V e .
------------- ' r. � r • � i
ar-r n._b. - . --------- q a
. � � � f---- ------------- ( ` -_'_ . :. in r-a � f/j
I •.rxr+u o'�rnw oerc�nneo�er c�e�x , ' �- . } ..� T � �
I. � � I ,
xro � w
i°''°' i+'-+' ��-w• s-a� i._o. I � : i � .°;a�.:�'�.a<.o�.�.. �• ..' .. GAR,4GE WITH x o e�
r--------- �----- D-I-- --- �o+a aww� � ' I � � � ° WALKOUT GAI2AGE BRICK I.ED a �
---- _ --- -no � r� ' f i ' . `-' ec.sce,air'r-o- �' sc�ue�sir-�_o• sC��e,ais•.r � �
� ---- .<.., O �
y � :r----�..ru�r�•i------� ----- -- ---
o.l��`� r�ucourone ^ -- --- ---,_�- I � I � U a
r3� � - ���'�aTM � . I � ► '��- a �
o� ,i ow acxw��,No � � I �_ w �
.� , I �cueai Roon� I � � .
C � �
� $�j -I O� . 1 L_� � � NNO80R NEXT DRIlNSION VqIYL l9NOOiW
�. I � � 1 UWT y2E OUANITY
Q
ia � g� "� �AMM.Y ROOM� I .. I XGN�A7ED � SH-PKi-�H
� � � -7 1 � � soxw-�.o-so'xw� ►.v«�r soon I
I ���-�o-1--- I f � o
p ' � ---- ' `� � I � ^ � �e�� om cua�r rtn
o � L � � I � I co•X 4Z' I
o ( � y �s I � ( � reR�ua�ca� r.v+�.r noon �
���I� I rr-a- I �, � � � � � � �o�ao n•x�r e�a ucw w ��) �
I vORDERING PTFI�ETORE �
r-7 p�Y �� I �♦ � I I � � F
uM�4 � - II �_`�-_'_�
` I I W
� --.i' a-- . � - � fY � p �i
- . -.. �
. ,. � __ . _;-.
I
^ � M I lif�T I�� � ._ -..__ _`- er s�a � � I � � Y� ,
1 ,-
i ' .� , R '.' � , a � � �•> i � XHAU T F�4N � � �Y
�$ Type X Sh��tro k ' �: ; L: `, � _ -� �` -- — __ �,-se.,J� aa�E� �.�ours�� �- i EXT�RIOR 000Rs m�
� _ �' D ` , , J : i i �
Und�ersrde Of St�:irs A �I� � — _�� � � �' ,x�e��:�- � � ._._ , i ED—! �uoP.,�� � �W
on
>.
..� � � �..,w,,a�sr � . �
� : _ :-`: �:__ , .. . --- ----------------
. ` �oue�e�oom�ea
. . '�e _- . �. :� . ._; .-..
. � ' ����eleq ula €tECN/ ORAGE� � Y7
� . I Ll7CRR9Z!iROOM� . >; ( ___ _�_ _________________ K
f x�r�t�iw �i�• ^4 �"�• �+"'�" D
� '� ' � - �• W K
wore on�u n.wws. = O
� -._ vMu ' I� O
axr e�a ro' . �- CARSO}I MONOXIDE ALARMS� n�SswO i��i no = ef
� . '� nar�awe ror -; ——— , -s �`�6caic°m�ic ;. � noax No¢s�raNT = W F
r�mc[w oi - �. .: TO E!MOYIDlD At/D �o.os uiwe�a woTen
I � w'a eoit rnr, �� —_i' -.�, :.�: : I � O Q p �18TA4lD P!R MNtilSCTA otHrrswe. q Y�
� " �r e� �,,,. I ,._� L ———— — -, "' t, - 1.Olt1�R LEVEL � STATUE 7'Nr50. Pwovme so�o ea.�auiG i ==o
I � N N ra�rr�ioi.�w'.�•R s. O �v�e�
t `.,.. , , _ � P=OUNDATION PLAN �o
.. . .a . '- '� ' 6CNlRAL CO�IOTRUC7�ON TRu6�E0.ETG TRAMYER = ar m LL'
a BCALE: i/1' � I'-O' �r�, �o�os urrN e�oc�cpro . t �Nf O
L---____•._`.�_ � tlEXGAVATED 4 ALl 71R a�7 oaw To p�
11'-1 I/Y �C�AR . LI������E�u 1'OIMDATtOM I�OOTM4a {]
SIZ!'OOlINGS RH TN!
�lElPIMG ROOM lHALL !pG pEAq�NG CAPAptY o�+G BA9E
NAVE S.l Sp FT Of M!T AT 71e 9Tl. ,���
AST`LN SUI�1P COVE o �;,n;�;�,�
—' tIAX11�01�LL!lKdff EXPAMOlD
OR O'KOOI�I�1r 9110K[pETEC�OR3 OVO�/701]
L 1'IIA%R4fi p'�Ii�( PRONO!lIIOK! REVISIONB
7-O• �''C - B•-II' -O• S'-�O' 7'-O' M KL GYARORAI& OHTECTOR9 W EVEI!'f O�/1V1012
)J fiW110RAM13 1401lREO �lOROOM ANO IN TMt CK 9GT 11TG
. - ON 2He OPlM�IO!O� CORROOR GNM4 AC[E56 IVOI/700
AN7 liA1R OI�q.�t- 10 lME�Eplppll,pN oinnon
3Y-3' �ORM eaORE TMAX)C All ItOOR9.INC4OOK
�a���/G TH!�ALE11miT_A00 A
lNOR[p�TC(,'Tpq M AMy
ROO�OTN A CENMG
MEKN7 nOR!TMAM N
� D@AN JOHN90N HOf�B.IHC MWert trrnN iHE
e0awoo�ts�ceesewG 12-�31
T11!ClDq00119.
f![T 11P
U E D AFT7N t D i N A _�
•wr�ow dave.oaxa mr nsn rose arncm rwi-sw-.sn f•1
R���ir.�c���`r '�n"'�Y ��C `�;;:'�_ r:.�'iR��33s�i����'y�.
r- -�-•-•--� ���� ��� �;
PLAN CHECKED BY D`}�iT� -r z -z-��0 3