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= ❑ Conditional C.O. Ex
� � *' This Certificate ificate issued pireS
=
Building pursuant to the requirements of =♦ <�
(' S Code certifying that at the time of issuance this structure was in co 1 ,. r,
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f Section 110 of the ❑ Residential / ❑ International
ordinances of the City of Prior Lake regulating =
�' ` - ", gulating building construction or use. For the following: the various �)
Use Classification ��
Y/ /t/ // g
y t `
Occupancy Type /A...? Bldg. Permit No. Q
«: Type Construction V� Q ��/ .00
(\ a Legal Description L / 0 r? Zoning District /S
7 A/ /L%� Voo� ° �
(dam Owner of Building
: l � )
� ; , Contractor's Name & Address
c Site Address �p � f 7
1 `" %'� Date:�ng Official 1 City Planner ' 'i'll
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of d PRtp CITY OF PRIOR LAKE BUILDING PERMIT, ate ec'd
, � � � . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
WC
x AND UTILITY CONNECTION PERMIT !6
M,A'NESOAP I. White File
2. Pink City PERMIT NO r) 2 r � 0
3 Yellow Applicant ` / /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ C- 2 /7 NO / ..hzoo � cl ,OcZc/ N0 fZ/ 5 p
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ADDITION Alog.,HW 0O I.7 PID 2. 5 14 j - O 14 -O
OWNER
(Tame) L /11 / cA .4- 5.9Ma,7A r..e - n- ,14/1, (Phone) ' 5- 4iy7 - ,s
(Address) /(, J t f ? JVfin'4j - 8 126 i %t L4
BUILDER _
(Company Name) L COhbvz.- 1 CE,OiJ„yi. (Phone) 2)2.- 0q7 -5 1
(Contact Name) (Phone) ti I)- - 3 r3 -C.-4V g ce Lt,_
(Address)
TYPE OF WORK A New Construction ❑Deck ❑Porch DRe-Roofing ❑Re- Siding sower Level Finish . Fireplace CO
DAddition ❑Alteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ / BCC 0 - 0 - 0
Division: ® 2 3 4 5
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the
above - mentioned pr•peity and •`, t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revo is permit for t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
lia
' Signature Contractor's License No. ,a • `s
Permit Valuation (49 /97 ` 0 0 0 , 0 a Park Support Fee # $
Permit Fee $ 1 (0 3 s so SAC # $ C it
Plan Check Fee $ l r 0 to 3. b g Water Meter Sizi 1 "; $ 32.S. `
State Surcharge $ 48 S Pressure Reducer $
c Q , —
Penalty $ [ Sewer /Water Connection Fee # $ C.R-Eb t r
Plumbing Permit Fee $ /Sa, 00 Water Tower Fee # $ GR -CD lr
Mechanical Permit Fee $ / SO , 0 o Builder's Deposit $ I 5'O o ,.O o
Sewer & Water Permit Fee $ S r"Z . 0 O Other �J/� /� - 7.9,0b $
Gas Fireplace Permit Fee $ CO 0O I TOTAL DUE ���:�Gtf,.G $ 5 1 1 1 , °•
This Application Becomes Your Building Permit When Approved Paid 574 00 Rec t No. ,moo 7 /7
, Date 7 9 £? � By
4 ( 2. ` 4 1 / o
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. i
7 9 1 / / �/� to S �c. bAe (7 4 6,6W Planning Director Date Speci onditions, if any
24 hour notice for all inspections (9.52) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
( 4.( / A�� 9 CITY OF PRIOR LAKE D to ec'd
DEMOLITION PERMIT (o o a
�
PERMIT NOS • 35 2
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/6 (/ 7 ,iv n n /L 0 ) e.,6 / Ji,J t o21 t.yr_ La Q..,t SD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID Z 1 r f ( 14- 0
OWNER _
(Name) L� T)/3--1N d 5.9,14062441 (Phone) 9,52 - (1/5/1-5-73
1
(Address) /601/7 itiorz y, czxX -.n /1/w A2 /c/-2 CA
CONTRACTOR
(Company Name) J/) i9 --/Z (Phone)
(Contact Name) (Phone)
(Address)
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV ® A
7i Occupancy Group: A B E F H I MR S U
Division: 1 2 3 4 5
X MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that
I am the owner or authorized agent for the above- mentioned property and that all construction will conform to all existing state and local laws
and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereby agree that t'' 'ty official or a designee may enter upon the property to perform needed inspections.
lam*
• Signature Date
METRO (MCES) SAC UNIT
This Application Becomes Your Demolition DETERMINATION
, , ermit When Approved
hi",
{Q /8 D 4> z " f N YAu tar
Bui (mg Officio Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as re
fY 4 PP Y � Y requested.
P 9
�r /�✓� ��1 Og 7 'VT /- SEE ConNENT.9166
'tanning Di - tor Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
o f PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd oti
A . T EMPORARY CERTIFICATE OF ZONING COMPLIANCE
.., T AND UTILITY CONNECTION PERMIT
M. �P if--6
6' �// fi&C co. 04-
NNESO I. White File PERMIT N
�._ 2. Pink City • o e O & 06
3 Yellow Applicant C,� lY
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/(0.1-7 /1/0/2; 77 ,W .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER 1 / / / ✓� l 3 Z (S
(Company Name) C ()_re: P76 L 6�Lf (Phone)
(Contact Name) (Phone)
(Address) 2 7lr- Z (c pie. — l v/2., ,IL/ / L/-tc V/t:d
TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing DRe-Siding DLower Level Finish ❑ Fireplace
❑Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
1
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above- mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X i� _ - . — �— 40 Qom'
1 � Contractor's License No. Date V
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE
This Applicat . t s our Building Permit When Approved Pail Rece' O.
Li
J e G Date 0 ./2 ,o6 By.
1 'Nov. Offic Date
lir
This is to ce ify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signe. by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued,
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
rRI J Date Rec'd
° � e CITY OF PRIOR LAKE PLUMBING PERMIT
41 1A'NESarc A Blue F ie
z cola C PERMIT NO. a' _ ,..
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/t 0 y /t/vn? - / o /
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER /� ' —�
(Name) 22 �4/�� (Phone)
(Address) 54,441, 0'6 - ie- — M r/11
APPLICANT
(Name) C,616 0 L/$o it A - 1/ m /'t (Phone) q tr.2 - 95'V — .2.202.—
(Address) L vin y Y ri 2., y
(Address) (City) (Zip Code)
(Contact Person) if 'rx Aga ' " ' (Phone) 4 .2. . t / 2 2-0 2
APPLICANT SIGNATURE DATE /0 - 2 21 - 0 R
/APPLICANT PLEASE COMPLETE BELOW
Quantity y pe of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher / Water Heater
Floor Drain / Water Softener
Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
1- Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50 i
Estimated Cost $ Building Permit # 6
PLUMBING PERMIT FEE $ n 0 � �
STATE SURCHARGE $ .50 �l
T
' F
OTAL PERMIT FEE $
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota '3 - - - - --
i
( FRI - Engineering__
�
/NNESO`SP Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lciirc,( ‘
APPLICATION RECEIVED (D - 7S r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4/7 Not? kT
Accepted Accepted With Corrections
Denied /
Reviewed By: /1116& Date: v - 0 0 r
Comments:
/Vc�c 7 e.--c / J 'h ec5em 4r J-41')
P° 4(
GY V�h�n 1� t 3f9/C cou i r
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRI
' u
White - Building
Can - En ineering
NNSSO Pink - Plannm
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -,-.- 3,V7,1. " " "lit - r�
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(:26/ / 'Tff _ '.J (.s.z e/0
f '
Accepted X Accepted With Corrections
Denied
Reviewed By: Date:
Comments: / , /.1 is -6, 1,emej'toh 041
Pi' Pos ED /l/Eh/ co/l/STX'ac TLO/✓ B/,CIL,01 V PF,P/fl
4aaur SFP.4, 47E /�l /Val/ Cows 7 ,eucr -r
PE T 4/pL Tle/v H4i Tf/� / owz VG ISSGIES:
• JETA Al2116• Is ,186vE M44X sG. F7
• kFTAII1/I,v )14 APE WIT LL RIBE2Z sfwEe F.4SE/u&v7
• ,OWELLZjvG 444Y NEED To BE SHIfTE) Otte' 7 GRADES
• NEIv cWN- sT,fuc From PERMIT RFVIFW I-Ms YET To QF
oruP/ ET AT TIME a` rs- sG,4 -NCE OF CE/IV PFRin'T
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PR /0
O � 1 'i
`_ x
U
, rrf
White - Building
y� �P Canary - Engineering
N " ESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT LAJ .--
APPLICATION RECEIVED 6 /bAe
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which 's proposed at:
7 47 /r/A
cl 0
Accepted Accepted With Corrections
Denied
Reviewed By: Date: l4
Comments: t` x-teeAti 0 r -r« Pc_i4/c0
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRICK LAKE JUL rHUTIIN
0 3 2008
Impervious Surface Calculations
(To be Submitted with Building; Permit Application) By
For All Properties Located in thi;; Shoreland District (SD' .
The Maximum Impervious Surface Ccwerage Permitted is 30 Percent.
Property Address
Lot Area 2'3, X23 41904, €J clot/ sq. ft. x 30% = `` ,
***************************************** 0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
I° to PO k?' LENGTH WIDT!=[ SQ. FEET
. HOUSE x _
/4 45 d , it4 e,
Baez "'`" x =
ATTACHED GARAGE x = j 1 6, J Y ., 0 ,, l J . s a V
TOTAL PRINCIPAL STRUCTURE 3,0 '/
DETACHED BUILDINGS & A"l" v S . x /
(Garage /Shed) X
TOTAL DETACHED BUILDINGS Z / 4 7/
DRIVEWAY/PAVED AREAS �1 x = 3
(Driveway -paved or not) ?Tome *5 06:4_ x _ 2. 3 4,5''
(Sidewalk/Parking Areas) x _
TOTAL PAVED AREAJ; • Z >
PATIOS /PORCHES/DECKS x =
(Open Decks 'A" min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS
OTHER x =
x
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 5'7(03
UNDE • • VER Q
Prepared By
Siaig ' 4 - ...),/kleV(Sork) .__ Date - r d o s
Company , k cy c .f,ru-4 14 °J Phone # $ / 7R 2 7
L: \HANDOUTS \IMPERvious.doc
t
0 S M, EASEMENT NO. / Pciv.
.
x
,, Description and Drawing
1 K CUM MAY MK SUM', KAN, OR IMPORT WAS ►IVAIID BY M! OR r '�`
k : { N ' . ' ' NMR MY DINI 1UKUIVI$ION AND THAT I A DULY IIOIST!I1D LAND SURVEYOR
} � '� NDR 111! EATEN T! Of N
RTA�
{ s:, : - / 0. N ../ S
1111111111 11I1NM o a IDWAI 11 R! O.1 1r1 ... _7./9% DATE O •s
1111 91107777171 WAYNI I. MONO IMO. NO. Tat:
f Iii ORR • f3CHELEN • MAYERON & ASSOCIATES, INC.
4- 1011 JAM NINNIPIN AVN • S11111 I71 • MINNAPOII$, MINNESOTA 15117 • ' /ITI 771 1110
NOTE: No boundary survey work was performed as to the precise
location of this tract. .
a
t OWNER: Harold F. Koerner and Marion rn;umn.,t 31916 1e
- Route 2, Box 49 Volume Poqu3.A___ cerifItut6 4.420.5
"
Prior Lake, Minnesota 55372 Dyne. of Tlopi7tlAr of T.1:ao
4
S^.a41 County, MLlneroti •
.,p 1 hereby certify thot the .✓LL'un instrument
t was filed in tit's cfpce for record cn
the Z day of �'� ' P
r 19 at
3: J'cbck
', - --M1...., — --
1
By d /J, Registrar of Title
i1 -C.P.� Deputy .
DESCRIPTION OF EASEMENT: a -
A permanent easement for public utility purposes, over, under, and across
that part of the above described Lots 110 and part of 109 lying 10.00 feet on
each side of the following describea centerline:
Commencing at the northeast corner of Lot 112, said plat of Northwood;
thence South 03 degrees 41 minutes 13 seconds East, assumed bearing, along the
•
'' east line of said Lot 112 a distance of 246.15 feet; thence South 89 degrees 31
minutes 14 seconds West 95.00 feet to the point of beginning of the centerline to
be described; thence continuing South 89 degrees 31 minutes 14 seconds West 65.00
feet; thence North 25 degrees 22 minutes 44 seconds West 112.35 feet; thence
South 63 degrees 47 minutes 38 seconds West 25.00 feet and said centerline there
terminating. -
The side lines of said easement shall be lengthened or shortened to
4 terminate on the boundaries of said part of Lot 109 and Lot 110.
Said permanent easement contains 2,125 square feet more or less. .
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JUL 0 3 2008
EXHIBIT A
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�' EASEMENT * "
, THIS INSTRUMENT, made this 5 day of 1 fd57 , 19 85 , by and
between Harold F. Koerner and Marion Koerner, husband and widia the
County of Scott, State of Minnesota, parties of the first part, and the CITY
1 OF PRICK LAKE, a municipal corporation, rporation, party of the second part;
WITNESSETH, that the said part ies of the first in consideration of
c .
4 One Dollar and other good and valuable considerations to them in hand
paid by the said party of the second part, the receipt of which is hereby
acknowledged, do hereby Grant, Bargain, Sell, Convey and Warrant to
said party of the second rt, the easements situate in Scott County, Mirme- '
nd
sota, described on Exhibit "A" attached hereto and made a part hereof.
IN TESTIMONY WHEREOF, the said parties of the first part haVe hereunto
set their hand(s) the day and year first above written.
a: .
Harold . KdernerA
•� �i _i
Marion • - mer
STATE OF MINNESOTA)
_;`. ) ss .
Fpp,L COUNTY I o 5�ir )
On this $ ikt day of d 7 , 19 85 before me, a Notary Public,
within and for said County, personally appeared Harold F. and Marion Koerner, husband
to me known to be the person s described in and who executed the foregoing and wife
instrument and acknowledged e ,-• • • e .. - as their free act
• and deed.
• :6k,,,.... JAMES J. SPEIKER / J JO/ ' .
r'.� ; H OTAIT KISLIC — MINNESOTA • • • • i 4
` SCOTT COUNTY
My c mb,t•n •rlplr•, July 12, 1991
THIS INSTRUMENT WAS DRAFTED BY
Lommen, Nelson, Sullivan, & Cole,P.A.
-11 1120 Twin City Federal Tower n � j (�
Minneapolis, Minnesota 55402 �J LC
"` JUL 0 3 2008
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4646 Dakota Street S. E.
U A t� Prior Lake. Minnesota 55372 -1714
'
BUILDING DEPARTMENT
PERMIT REVIEW
MEMO
June 25, 2008
Re: 16047 Northwood Road N.W.
Leonard and Sandra Gephart
1. Engineering is required on the tall wall with openings for the great room and where floor area
is being cut out within the moved in home. Hinge points in tall wall construction is not
allowed.
2. Platform decks are defined as decks less than 30" from grade measured at 5'- 0" from the
perimeter of platform and cannot be fastened to the primary structure. These platforms
cannot go over easements. Patios or platform decks shall also be indicated on the survey.
3. Dormer / cupola is not on the plans, this structure is in the middle of a valley. Plans must
show how this is framed and these roof designs must meet snow and drift loads in it's design
and must direct water flow around original valley.
4. Foundation for garage is not indicated on plans. House foundation design is engineered for
poor soil conditions. If soils are corrected and foundation is placed on an engineered building
pad, foundation plan for house and garage should be redesigned to meet the 2006 IRC code
requirements or designed by the Structural Engineer.
5. Moving permit is required for house move onto lot and is to include route to site and verify
notification to Law enforcement agencies, State, Counties for road restrictions and Street
Department of the City of Prior Lake, along with any local utility companies associated of
the route to the site.
6. Plan shows sliding patio doors in the upper area of the tall wall. There is no deck outside this
area and it is assumed that these will be fixed windows for the floor area will be removed.
Please advise us if this is the case.
7. Porch beam and footings are not indicated on the plans.
NOTE: Soils Engineer Report shall be followed and if altered shall be re- evaluated and
resubmitted as needed if site conditions require these alterations. Erosion control will need to
be addressed continuously to contain run - off of fines off this lot or into the lake.
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
P Rioa Engineering Department
Building Permit Review
ti �` City of Prior Lake
MEMORANDUM 17073 Adelmann St SE
Prior Lake, MN 55372
N NESO
TO: Bernie Feidt
FROM: Nate Briese, Engineering Tech II
DATE: Thursday, June 19, 2008
RE: Engineering Dept. building permit review comments for 16047 Northwood Rd
1. Retaining wall must be pulled out of easement need top and bottom of wall elevations
2. Grading on neighbors property need to have a letter signed by the homeowner stating
the right to grade on neighboring property
3. Draw easement on survey Doc. # 31916 recorded at Scott County
H: \memos \16047 Northwood Rd.doc
PRI w W`
u:4 PERMIT REVIEW Community Development&
Natural Resources Department
M emo
To: Bernie Feidt
From: Jeff Matzke
CC:
Date: 6/25/2008
Re: Building Permit Review— 16047 Northwood Road
The Community Development & Natural Resources Department has reviewed the above listed building
permit application. The following is a list of comments from the review:
1) Indicate public sanitary sewer easement on survey. Retaining walls cannot encroach into
easement. If house is to be relocated due to relocation of retaining walls, the proposed grade
must still be at or above and elevation of 908.9 for at least 15 feet beyond the limits of the
structure.
2) The total lot area allowed for all detached accessory buildings a maximum of 832 sq. ft.
Proposal indicates two buildings with a total of 1,176 sq. ft.
3) Maximum height allowed for detached accessory structures is 15 ft.
4) The platform deck on the east side of the house must be indicated on survey and identified for
structure side and lake setbacks if it is attached to the house (and not floating platform). Also
platform cannot be placed within easement.
5) Any overhangs cannot encroach into the 5 foot side yard setback.
6) An Elevation Certificate must be completed by a Minnesota registered surveyor prior to
foundation inspection approval. A FEMA report will be required prior to temporary certificate of
occupancy issuance.
7) Any future deck to the rear of house (excluding platform deck) may not be possible due to the
short Lakeshore setback.
1
A IL
Site Restoration Proposal For Demolition
4 INNyso (0
Applicant:
Address: /6; c/ A)�ni G,)::) r 0
Check boxes below:
• Fill Excavation to grade
❑ Sod or seed all bare soils
A Erosion control (see handout). Maintain erosion control until turf is established.
al Cap sewer below grade.* Mark location. Licensed contractor required.
❑ Cap water below grade.* Mark location. Licensed contractor required.
Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal. — . tJ t- f2e to v c9: )
,) Cap gas line.* (By gas company)
Disconnect electric at meter. (By electric company)
❑ P,r a n,a fill cesspool /septic tank. Certified contractor required.
❑ -Abandon well. Certified contractor required. Existing well
c10' Remove existing structure foundation and footings, materials, and debris. **
Provide dust control by following means:
0 Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide survey or draw site plan)
*Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
■
Signature Date
J:\HANDOUTS\Demolition Restoration.doc
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Lenny Gephart Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
16047 Northwood Road NW
City Prior Lake State MN ZIP Code 55372
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 110 and p/o Lot 109, NORTHWOOD, Scott County, Minnesota (PID #251410740)
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.)
A5. Latitude /Longitude: Lat. 44.4300.6 Long. 93.2704,9 Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1.463 sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b 16.048 sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Prior Lake, Minnesota 270432 Scott MN
134. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone
270432 003 C C Date Effective /Revised Date Zone(s) AO, use base flood depth)
7/26/74 11/19/97 AE 909.9
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ® Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized Vertical Datum NGVD'29adi.
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 910.Q ® feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor 919.0 ® feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 909.3 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (I-AG) 909.6 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 0 feet ❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. / certify that the information on this Certificate represents my best efforts to interpret the data available.]
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
Certifier's Name Scott M. Swanson License Number 42309
Title Land Surveyor Company Name Valley Surveying Co., P.A.
Address 16670 Franklin Trail SE City Prior Lake State MN ZIP Code 55372
Signature Date 10/01/09 Telephone 952 -447 -2570
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number
10647 Northwood Road NW
City Prior LakeState MN ZIP Code 55372 Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments The existing dwelling is a slab -on -grade structure. A detached garage also exists on the premises which has a slab elevation of 910.0 as well. At
the time of the survey,(09 /30/09) the water level of Prior Lake was at elevation 899.0. Also, the City of Prior Lake has a Community Based Flood Elevation of
909.9. All elevation being on NGVD'29adj.
Signature Date 10/01/09
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Lenny Gephart
Address 16047 Northwood Road NW City Prior Lake State MN ZIP Code 55372
Signature Date Telephone 952 -447 -5921
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO.
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
fl Check here if attachments
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
16047 Northwood Road NW
City Prior Lake State MN ZIP Code 55372 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
, ma r
.
,
_____
_________
. _________ ___
li —__________________
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____ __ -. ::ten ...- .___- ___._- ____.— .__- ._,
_______ . _______
____ _____ . ro
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View From Lake (9/30/09)
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
16047 Northwood Road NW
City Prior Lake State MN ZIP Code 55372 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View."
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View From Street (9/30/09)
Land Surveyors
Planners
N Valley Surveying; Co., P.A.
(952) 447 -2570 Suite 230
16670 Franklin Trail S.E.
Prior Lake, Minnesota 55372
August 29 2008 n /4
Lenny Gephart
16047 Northwood Road NW V ,°
Prior Lake, MN 55372 ! 0�
RE: Top of Block Certification S E P - 4 2008
By
This is to certify that the top of block of the residence under construction, located at
16047 Northwood Road NW, Prior Lake, Minnesota, is at elevation 910.0 and the top of
block of the garage under construction at the same residence is at elevation 910.4; both of
the aforementioned elevations being on the National Geodetic Vertical Datum, (NGVD),
1929 adjustment.
Signed:
Scott M. Swanson, PLS
Minnesota Registration No.42309
Our file 8387
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L 6"NN e
AME O PLICANT
APPLICATION RECEIVED 6/40 40
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
((o 17 dog-Tft woop / A/ k). .
Accepted ><..._ Accepted With Corrections
Denied
Reviewed By: MI6 Date: ,' 9 1 "Og
Comments: See Reverse Side for Additional information!
! c Sl` Eras / ®h CO 01'110 I
- r
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
\\
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
• Surface storm water drainage flowing to the perimeter of this lot to
and from adjoining properties must be conveyed to the roadway
and /or to the rear of the lot in drainage swales within the drainage
easement.
• All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
• The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
• The builder is responsible for maintaining the erosion control
measures until the turf is established.
• The rock construction entrance must be installed at the time of
backfilling of the foundation.
G: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATlONS.doc
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NNESO Pink tanning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED ( //6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
u
Accepted X Accepted With Corrections
Denied
Reviewed By: i� Date: 7 -9 "49
Comments: E /c,. :,, C e ,-6, 6 - 44 must k ���„„ ,fir a /kW rysttrei
51t rVe pr pri..r ez. Ib. $feez;:,v, eyo r•A.A.I
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Rlp
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Canary - Engineering
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT L ANN r
APPLICATION RECEIVED &7/627
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: / J
L..; - 4 7 A/04. v/ (4.)000 / • tC/ . .
Accepted Accepted With Corrections r
Denied
Reviewed By: �P- V Date: .i2 '//0 8
Comments: /eae.J.X a-e, 0 • eer>.-tt4--,
-472irt.," --LorA-;4-e-D ex i#-
.ate a fi? -e-e, f ca i o a a A-1.a . z
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f -Mil - - el e-41-4) Zit 6 4L-6 9/ ' w/.e %- ?67 4 20-1/1-
co -.Q- 77c, o , c.o - .d.e.ca-, o ff` 2- .(i ,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
ITCO ALLIED ENGINEERING COMPANY
• AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
.;oosiie .3na Laooratcr Testing. vectechnicai Services. . ommerciai. Residential and \;;unic;oai
7 '25 'Nest "26 Street. Suite 500, Savage. Minnesota 55378
Teieonone: 952 -890 -7366 Fax: 952- 390 -588;;
June 24, 2008
Mr. Lenny Gephart Phone: 612- 363 -6648
16047 Northwood Road NW
Prior Lake, Minnesota 55372
RE: 16047 Northwood Road NW
Prior Lake, Scott County, Minnesota
As requested, a site visit was made on June 20, 2008 at 10:00 A.M.
to evaluate subgrade soils within a test pit excavation, for the
proposed construction of a slab on grade single family residence
located on a lakeshore lot. A subsurface exploration report
#07039 dated September 17, 2007, as prepared by Allied Test Drilling
Company, was available for review prior to the site visit. At the
time of the inspection, a previous structure had been removed from
the site, and it is our understanding that the foot print of the new
residence will inpart, occupy a portion of the previous house pad.
A test pit was excavated within the south section of the proposed
build area, to a depth of approximately 10 feet. Excavated soils
consisted of a upper zone of a brown sandy clay, underlain by peat
and organic clay terminating at the excavation base within a light
grey clayey silt. Ground water infiltration was observed at the
intersection of the respective soil zones, with a increase in flow
noted from a sand seam located at the south wall slightly above the
excavation base.
To assess the strength of the soils., a 5 /8th inch diameter smooth
probe was used to penetrate the soils at the base of the test area.
With full body weight applied, the probes indicated an average
penetration of 1 3/4 - 2 feet. A 1 5 /8th inch fluted handauger probe
extended into the subgrade soils indicated a rapid transisition
from the soft surface material, to a stiff cohesive soil at depth.
Soil samples extracted by the probe indicated subgrade strata
consistent in classification with material observed at the excavation
base.
To evaluate the relative loadbearing capacity of the subgrade soils,
a dynamic cone penetrometer test was conducted at the base of the
test excavation. The dynamic cone penetrometer (DCP), uses a eight
kilogram (17.6 pound) hammer to drive a 20 millimeter diameter
conical point into the soil, with the penetration recorded in
millimeters per blow. From the DCP reading, a per blow, penetration
average was recorded and a N -value derived. This N- value, is an
empirical relationship we have established to equate the dynamic cone
data to the more familiar blows per foot (BPF) standard penetration
soil boring test.
Test #1 - Rear South Section of Pad (10 Test Pit)
DCP Depth Per Blow Avo. 1 N-Value Estimated Load
549 MM (21.6") 28.1 MM / N-11 3750 PSF
Based upon soils observed within the test excavation and the
bearing capacity results of the dynamic cone penetrometer, we would
anticipate subgrade soils generally consistent with those reported
by the subsurface exploration report. We would therefore assume an
average excavation depth of 10 feet to remove unsuitable materials
within the house pad area It is our understanding that the
contractor will place a granular backfill, and call for compaction
testing as required.
Sincerely,
Instant Testing Company Reviewed By:
1001 0000r A w f
Gary Stindish Robert P. Sullentrop, P.E.
Senior Inspector Minnesota Reg. # 17823
#701 - 0 / #605 - 1 1/2 / #608 - 1/4 / #304 (1) DCP / #612 - 16
GEPHART1.DOC
•
ITCO .ALLIED ENGINEERING COMPANY
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
.,cosite and Laboratcry Testing. -:3ectechnical Services. Commercial. Residential .3nc Municipal
7'25 West ' 26 Street, Suite 500. Savage. Minnesota 55378
Teieonone: 952- 890 -7266 =3x: 952 - 890 -3882
July 15, 2008
Mr. Lenny Gephart Phone: 612 -363 -6648
16047 Northwood Road NW
Prior Lake, Minnesota 55372
.RE: 16047 Northwood Road NW
Prior Lake, Scott County, Minnesota
As requested, a site visit was made on July 9, 2008 at 7:55 A.M. to
evaluate subgrade soils within a house pad excavation, for the
proposed construction of a slab on grade single family residence.
A subsurface explorations report #07039 dated September 17, 2007, as
prepared by Allied Test Drilling Company, was available for review
prior to the site visit.
At the time of the inspection, the proposed build area, including
an appropriate oversize, was fully excavated to remove unsuitable
materials to approximately 10 feet in depth. Soil at the base of the
excavation consisted of a cohesive (grey clay /silt), corresponding to
the soil strata observed in a test pit excavation on June 20, 2008,
and documented by the soil exploration report. Ground water covered
a large section of the base, with the flow adequately controlled by
pumps located within the SE and SW corners of the excavation.
A 1 5 /8th inch fluted handauger probe extended into the subgrade
soils at random locations indicated soil strength acceptable for
placement of engineered fill. A quantity of well graded moist sand
delivered into __the excavati_on,. _.was-_ -oonsi dered_ ac eptable_and _m..o.u1.
be expected to provide a high level of consolidation as engineered
•
fill.
Sincerely,
Instant Testing Company Reviewed By:
I/ 0,44-1-04-12L-4-"fi
Gary Standish Robert P. Sullentrop, P.E.
Senior Inspector Minnesota Reg.# 17823
#701 - 0 / #605 - 1/2 / #608 - 1/4 / #612 - 16
GEPHART2.DOC
•
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500, Savage, Minnesota, 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
Soils Inspection Report
July 15, 2008
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date of Inspection: July 8, 2008 @ 11:30 am Inspector: Tom Warner, ITCO
At the request of Lenny Gephart a site visit was conducted to evaluate soil conditions within an excavation for a single family
residence. At the time of the inspection the contractor had excavated the east edge of the proposed wood structure. Approximately
six to seven feet of unsuitable material including organic soil and debris had been removed. The base soil consisted of a silty sandy
clay. According to Allied Boring SB #2 this soil is suitable for construction. Some ground water was present at the time of the
inspection. I informed Mark, the contractor, that I would return later in the day to inspect the remainder of the excavation.
Copies To:
Charge Code: Soil Inspection #602 1
Mileage #612 15
Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating
frost combined with a season of freeze -thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either
granular of fine - grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or
technician.
Instant Testing Company Reviewed By:
i
Tom Warner, Soil Technician Robert P. Sullentrop
Minnesota Reg. #17823
•
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500, Savage, Minnesota, 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
Soils Inspection Report
July 15, 2008
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date of Inspection: July 8, 2008 @ 3:00 pm Inspector: Tom Warner, ITCO
Upon returning to the job site later in the I found the contractor had excavated the remainder of the house pad area. The base soil
was a silty sandy clay. I informed Mark that this base soil was suitable for construction. The ground water infiltration had increased
since the previous inspection. ITCO Allied's Senior Engineering Technician, Gary Standish, will visit the job site on July 9, 2008 to
evaluate the ground water conditions. He will also perform a final inspection on the base soil.
Copies To:
Charge Code: Soil Inspection #602 1
Mileage #612 15
Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating
frost combined with a season of freeze -thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either
granular of fine - grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or
technician.
Instant Testing Company Reviewed By:
1) )—LIJ
L
Tom Warner, Soil Technician Robert P. Sullentrop
Minnesota Reg. #17823
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500 - Savage, MN 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
DENSITY TEST REPORT
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date Tested: July 9, 2008 @ 11:00 am Reported: July 15, 2008
Ordered By: Customer Field Technician: Tom Warner, ITCO
Inplace Density Results
Test Number: 1 2
Location: Southeast Northwest
corner of house corner of house
pad pad
Depth Below Grade: 10'
Visual Soil Class: Sand & gravel
Proctor Curve Number: 08 -01
Percent Moisture: 5.0 4.5
Optimum Moisture: 11.9 11.9
Relative Moisture, Percent: 42 38
Field Density, PCF: 120.8 122.1
Standard Maximum Dry Density, PCF: 118.8 118.8
Relative Density, Percent: 102 103
Required Minimum: 98 98
Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a
single winter. Penetrating frost combined with a season of freeze -thaw cycles might loosen soils to the
depth of the frost. This applies to fill composed of either granular or fine - grained cohesive material. All
pads left exposed for one winter should be inspected by a geotechnical engineer or technician.
Copies To:
Charge Codes: Density Tests 1 -2 #601 1
Charge Per Test #306 2
Mileage #612 15
1 1/1
or
Signed
Gordon J. Kopacek, Professional Engineer - Registration No. 7254
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Residential and Municipal
7125 West 126th Street, Suite #500, Savage, Minnesota, 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
Proctor Test Report
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date Sampled: July 8, 2008 Reported: July 15, 2008
Submitted By: Tom Warner, ITCO Performed By: Tom Warner, ITCO
Standard Moisture /Density Test
Curve Number: 2008 -01
Visual Soil Class: Sand & gravel
Standard Maximum Dry Density: 118.8
Optimum Moisture: 11.9
Representative Of: Density test 1
Remarks:
Copies i o:
Charge Codes: Standard Proctor #303 1
Sample Prep #302 1
Jr
Signed
• Gordon J. Kopacek, Professional Engineer - Registration No. 7254
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500 - Savage, MN 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
DENSITY TEST REPORT
Lenny vephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date Tested: July 9, 2008 @ 2:30 pm Reported: July 15, 2008
Ordered By: Customer Field Technician: Tom Warner, ITCO
Inplace Density Test
Test Number: 3
Location: Southwest corner
of house pad
Depth Below Grade: 8'
Visual Soil Class: Sand & gravel
Proctor Curve Number: 08 -01
Percent Moisture: 5.0
Optimum Moisture: 11.9
Relative Moisture, Percent: 42
Field Density, PCF: 118.7
Standard Maximum Dry Density, PCF: 118.8
Relative Density, Percent: 100
Required Minimum:
Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a
single winter. Penetrating frost combined with a season of freeze - thaw cycles might loosen soils to the
depth of the frost. This applies to fill composed of either granular or fine- grained cohesive material. All
pads left exposed for one winter should be inspected by a geotechnical engineer or technician.
Copies To:
Charge Codes: Density Tests 3 #601 1
Charge Per Test #306 1
Mileage #612 15
am ,.
op
Signed
Gordon J. Kopacek, Professional Engineer - Registration No. 7254
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500 - Savage, MN 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
DENSITY TEST REPORT
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date Tested: July 10, 2008 @ 8:30 am Reported: July 15, 2008
Ordered By: Customer Field Technician: Tom Warner, ITCO
Inplace Density Test
Test Number: 4
• Location: Center of house
pad
Depth Below Grade: 6'
Visual Soil Class: Sand & gravel
Proctor Curve Number: 08 -01
Percent Moisture: 5.1
Optimum Moisture: 11.9
Relative Moisture, Percent: 43
Field Density, PCF: 114.0
Standard Maximum Dry Density, PCF: 118.8
Relative Density, Percent: 98
Required Minimum: 98
•
Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a
single winter. Penetrating frost combined with a season of freeze -thaw cycles might loosen soils to the
depth of the frost. This applies to fill composed of either granular or fine - grained cohesive material. All
pads left exposed for one winter should be inspected by a geotechnical engineer or technician.
Copies To:
Charge Codes: Density Tests 4 #601 1
Charge Per Test #306 1
Mileage #612 15
/ At:"
Signed
Gordon J. Kopacek, Professional Engineer - Registration No. 7254
•
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500, Savage, Minnesota, 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
Soils Inspection Report
July 15, 2008
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date of Inspection: July 14, 2008 @ 11:30 am Inspector: Tom Warner, ITCO
A visual inspection was performed on a proposed detached garage. At the time of the inspection the contractor had excavated the
south half of the garage area. Approximately 10 to 11 feet of black organic silt and clay had been removed. The base soil consisted
of a grey sandy silt. According to Allied soil boring this is acceptable soil for construction. I informed Mark that it was okay to begin
filling this area. I will return this afternoon to inspect the remainder of the garage excavation.
Copies To:
Charge Code: Soil Inspection #602 1
Mileage #612 15
Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating
frost combined with a season of freeze -thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either
granular of fine- grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or
technician.
Instant Testing Company Reviewed By:
-Z"'""" PA-lf
Tom Warner, Soil Technician Robert P. Sullentrop
Minnesota Reg. #17823
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500 - Savage, MN 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
DENSITY TEST REPORT
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date Tested: July 14, 2008 @ 11:30 am Reported: July 15, 2008
Ordered By: Customer Field Technician: Tom Warner, ITCO
Inplace Density Test
Test Number: 5
Location: West footing line
of house
Depth Below Grade: 4'
Visual Soil Class: Sand & gravel
Proctor Curve Number: 2008 -01
Percent Moisture: 5.8
• Optimum Moisture: 11.9
Relative Moisture, Percent: 49
Field Density, PCF: 115.6
Standard Maximum Dry Density, PCF: 118.8
Relative Density, Percent: 98
Required Minimum: 98
Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a
single winter. Penetrating frost combined with a season of freeze -thaw cycles might loosen soils to the
depth of the frost. This applies to fill composed of either granular or fine- grained cohesive material. All
pads left exposed for one winter should be inspected by a geotechnical engineer or technician.
Copies To:
Charge Codes: Density Tests 5 #601 0.5
Charge Per Test #306 1
Mileage #612 0
Signed
Gordon J. Kopacek, Professional Engineer - Registration No. 7254
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite #500, Savage, Minnesota, 55378
Telephone: (952) 890 -7366 Fax: (952) 890 -5883
Soils Inspection Report
July 15, 2008
Lenny Gephart
16047 Northwood Road NW
Prior Lake, MN 55372
Project: 16047 Northwood Road NW, Prior Lake
Date of Inspection: July 14, 2008 n 2 :30 pm Inspector: Tom Warner, ITCO
On returning to the job site the contractor had excavated the remainder of the garage area. About ten feet of black organic silt and
clay had been removed. The base soil consisted of a grey sandy silt. The foreman was told that this soil is suitable for construction
and placement of fill could begin.
Copies To:
Charge Code: Soil Inspection #602 1
Mileage #612 15
Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating
frost combined with a season of freeze -thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either
granular of fine - grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or
technician.
Instant Testing Company Reviewed By:
• (
Tom Warner, Soil Technician Robert P. Sullentrop
Minnesota Reg. #17823
APPENDIX A
BORING LOCATION PLAN
Northwood Road
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SUBGRADE EXPLORATION
FOR Att 2 1"'
Lenny Gephart Site (v `404 ' 411---
Prior Lake, Minnesota
Allied Project No. 07039
September 17, 2007
INTRODUCTION
This report presents the results of subgrade exploration performed by our firm for the above
referenced site. This work was requested and authorized by Mr. Lenny Gephart on September 11,
2007. Our work was performed as described in our proposal for subgrade exploration dated
September 10, 2007.
Three Standard Penetration Test (SPT) borings were put down on the site in order to obtain
information regarding the in -place subgrade materials.
PROJECT INFORMATION
As shown on the site map, the project site is located at 16047 Northwood Road, Prior Lake, Scott
County, Minnesota. There are existing buildings located on the site which will be removed. A house
from a different site will be relocated to the site. A new foundation and lower level will be
constructed and the relocated house placed on top. A separate garage will also be constructed.
1
BORING LOCATIONS AND ELEVATIONS
The borings were located as shown on the site plan included in the Appendix. Dimensions were
measured off the existing house. Elevations were taken from two separate benchmarks roughly at
the same elevation. An arbitrary elevation of 100.0 was assumed for both benchmarks. The
garage floor was used as a benchmark for soil borings 2 and 3. An electric box west of the house
was used as a benchmark for soil boring 1.
FIELD EXPLORATION
Three Standard Penetration Test (SPT) borings were put down at the site. The borings were put
down to depths of 20 feet in accordance with ASTM 1586 -84: "Standard Method for Penetration
Test and Split - Barrel Sampling of Soils ". Using this procedure, a 2" O.D. split barrel sampler is
driven into the soil by a 140 -1b weight falling a distance of 30 inches. After an initial set of 6 ",
the number of blows required to drive the sampler an additional 12 inches is known as the
standard penetration resistance or N- value. The N -value provides an indication of the relative
density of cohesionless (coarse grained) soils or of the consistency of cohesive (fine- grained)
soils.
As the samples were obtained in the field, they were visually and manually classified.
Representative portions of the samples were then sealed in clean glass soil jars and returned to
the laboratory for further examination and verification of the field classification. The recovered
soil samples were classified in accordance with the Unified Soil Classification System, ASTM D:
2488 -84. A chart illustrating this classification method is included in the appendix of this report.
Logs of the test borings indicating the depth and identification of the various strata, measured
penetration resistances, soil classifications and the results of water level checks are also included
in the appendix.
SUBSURFACE CONDITIONS
Soil boring 1 consisted of 20 inches of topsoil, underlaid by clay to a depth of 3.25 feet, sandy silt to
a depth of at least 4 feet, peat from at least 5 feet to at least 6.5 feet of depth, silty clay from at least
7.5 feet to at least 9 feet of depth, organic sandy silt from at least 10 feet to at least 11.5 feet of
2
depth, silty sand from at least 12.5 feet to at least 14 feet of depth, silty clay from at least 15 to at
least 16.5 feet of depth, and sandy silt from at least 20 feet to 21.5 feet of depth.
Soil boring 2 consisted of 9 inches of topsoil, underlaid by organic silt to 5 feet of depth, organic
clay to at least 6.5 feet of depth, clayey silt from at least 7.5 feet to at least 9 feet of depth, silty
sandy clay from at least 10 feet to at least 16.5 feet of depth, and sandy silt from at least 20 feet to
21.5 feet of depth.
Soil boring 3 consisted of 3 inches of asphalt pavement, underlaid by 3 inches of class 5 aggregate
to a depth of 6 inches, sandy clay to a depth of 2.5 feet, organic silt to a depth of 5 feet, organic clay
to a depth of at least 6.5 feet, silt from at least 7.5 feet to 10 feet of depth, sandy silt to at least 11.5
feet of depth, silty sand from at least 12.5 feet to 13.4 feet of depth, clayey sand to at least 14 feet of
depth, silty clay from at least 15 feet to at least 16.5 feet of depth, and sandy silt from at least 20 feet
to 21.5 feet of depth.
N- values ranged from 3 to 21, which indicates that the soil ranged from loose to firm in density. N-
values of 5 and below do not provide a high enough bearing capacity for a standard loading for a
residential structure.
Groundwater was encountered in all three borings initially at 11 feet in boring 1, 10 feet in
boring 2, and 5 feet in boring 3. Final readings at the time of backfill for each boring were 6 feet
in boring 1 and 5 feet in the other 2 borings. Groundwater conditions may vary both seasonally
and annually, based on precipitation amounts, patterns, and both surface and subsurface drainage
in the local area. Included in the appendix of this report are logs of the test borings, which
describe the conditions encountered at each drilling location. The depth of the individual strata of
soil may vary at and between the drilling locations due to unsampled intervals, the occurrence of
transitions between soil layers and the natural variability of the subsurface conditions.
CONCLUSIONS AND RECOMMENDATIONS
Organic topsoil, organic silt and clay layers, peat, loose fill, and any soft layers which may be
encountered, should not be relied upon for support of the footings, slabs or controlled fills that
3
will support these elements.
It should be possible to provide support for the planned structure with conventional spread
footing foundation systems by using excavation and controlled refilling procedures together with
an observational approach. This should require excavation at the boring locations in order to
prepare for the placement of controlled fill to make grade for concrete for footings or slabs.
Topsoil or other materials which would not be suitable for use as controlled fill may be able to be
used as surface fill in the lawn and landscaping areas.
The Department of Housing & Urban Development (D -HUD), which underwrites F.H.A.
mortgages, requires a separation of 4.0 feet between the highest observed groundwater and the
lowest basement slab. Although this may or may not be a requirement in Prior Lake, it is a good
standard to follow in order to avoid water intrusion or footings becoming submerged. In order to
provide a four foot separation between the highest known water elevation and the lowest slab,
the lowest slab would need to be placed at 1 foot below the current grade. This would require
some above grade filling if a full basement or a split entry is implemented.
Additional recommendations are presented in the following sections:
1. EXCAVATION
In general, grubbing and stripping operations should remove all significantly organic or root
infested soils from the areas to be worked. Frozen material or otherwise unsuitable soil and
debris should be removed. Soft soil layers should also be removed. Where undocumented fill or
otherwise unsuitable soils are exposed in the base of excavations which will support slabs or
footings, these materials should also be removed. Frozen soils resulting from frost penetration
may turn soft upon thawing and would need to be removed. Silt layers that consist of mineral soil
need not be removed if they can be compacted to meet density requirements, but this type of soil
can become unworkable when it is wet.
For the support of fill sequences, slabs, or footings it will be important to remove unsuitable soils
prior to the placement of the controlled and compacted fill to make grade for concrete for
4
foundations.
Once the organic topsoil layers and otherwise unsuitable materials have been removed, the
completed excavations should be observed by an experienced soil engineer or technician, then
aerated and re- compacted until the conditions are judged suitable prior to the placement of
controlled and compacted fill to make grade for concrete for footings or slabs. The following
areas should be observed at the time of construction and removed and replaced as necessary to
obtain adequate compaction of the soil for the proposed residential structures:
•
Soil Boring Soil depth associated with
Soils requiring modification
#1 Topsoil, 5 -6.5 feet, and 10 -11.5 feet
#2 Topsoil, 0.75 -6.5 feet
#3 Pavement, 2.5 -6.5 feet, 7.5 -10 feet*
*It may be possible to reuse the soft silt layer at 7.5 -10 feet of depth if it can be compacted and
meet density requirements.
2. FOUNDATIONS
It should be possible to provide support for commercial footing foundations systems using one of '
the following methods:
Excavate and controlled filling procedures
It should be possible to provide support for spread footing foundations systems using excavation
and controlled filling procedures. As mentioned previously, the topsoil, peat, organic silts and
organic clays, and any uncontrolled fill encountered during the excavation work should not be
relied upon for support of footings, slabs or controlled fills which will support these elements. It
will be important to monitor the conditions exposed in the excavations during the grading work
prior to the placement of fill to make grade for concrete for footings or slabs. Hand auger borings
should be put down in the completed excavations and the exposed conditions judged suitable by
an experienced soil engineer or technician prior to the placement of footings or fill.
5
Once the recommendations presented in this report have been implemented, a net allowable
bearing pressure of 2000 pounds per square foot may be utilized for the proportioning of
individual footings. In designing the footings, it is recommended that they be designed to exert
approximately equal pressures to the bearing strata. This should limit total and differential
settlements to 1" and 1/2" respectively.
For frost protection, we recommend that footings in unheated areas be placed at a depth of 48
inches below finished grade. In heated portions of the buildings where frost susceptible materials
are absent, a depth of 42 inches would be adequate. Where full or partial basements are utilized,
frost depths for garage areas and porch structures should be maintained as outlined above
Pier or Piling Foundation System
Due to the depth of unsuitable soils, excavation and replacement with engineered fill may not be
suitable due to the large area required to excavate unsuitable soils and importing of suitable soils.
A pier or piling foundation system consists of a pier that is driven into the soil until adequate
bearing capacity or shear resistance is reached to support the structure. A grade beam is then
placed on top of the piers to bridge the soft soil between the piers. A grade beam is essentially
the same as a footing that is reinforced to span the intervals between piers. Three options most
commonly used for piers include:
• Push pier — round steel structural member pushed into the ground.
• Helical pier — round steel structural member with helical auger plate turned into ground.
• Geo -pier — augered hole with compacted rock using a hydraulic ram to force rock into soft
soil layers.
3. FILL PLACEMENT
Fill material should be mineral soil, preferably granular, and free of debris, boulders and organic
material. The on -site soils would be suitable for reuse as controlled fill material. Silt layers
would likely become unworkable if they became wet during construction.
Fill should be placed and compacted in a manner that will allow complete compaction of the
entire fill layer to a minimum of 95% of the Standard Proctor Density according to ASTM D:698
6
in the building pad area. Required compaction should be increased to 98% for fill areas 4 feet
and deeper below final grade and below all footings. A minimum of one representative field
density test should be performed for each two feet of fill placed at a time in a given work area.
Density tests in mass fill areas should be performed at a rate judged sufficient to represent the fill
sequence as a whole. Where sand fills are to be compacted, smooth "drum" type vibratory
equipment would be preferred, however, a sheepsfoot roller with short wide pads may provide
adequate compaction.
Fill areas should be properly oversized to provide for adequate distribution of the imposed loads.
The fill supporting structural elements should extend at least one foot horizontally beyond the
structure, slab or edge of the footing. Fill surfaces should extend downward and outward on a 1:1
slope to competent soil. If the fill slope is unconfined by other soils, the downward and outward
slope should be flattened and stabilized. Also, no unremedied excavations should be carried out
within the fill oversize areas.
4. FOUNDATION DRAINAGE
Backfill zone drainage should be planned and the installation monitored at the time of
construction by an experienced individual who fully understands the intent of these drainage
recommendations.
In planning backfill zone drain tile installation, the invert elevation should be below the level of
the lowest floor slab and the line should be adequately protected from blockage prior to
backfilling by a suitable encapsulation of gravel, (such as Mn/Dot spec 3149.2 H; "coarse filter
aggregate "), and geotextile separation fabric. In the backfill zones above the drain tile the use of
granular material is recommended. Sand for this purpose should contain less than 12% passing
the number 200 sieve, (Mn/Dot "select granular borrow "; spec 3 149.2 B). Care should be taken
during the backfilling operations to ensure that the drainage materials are not crushed or
deformed. Fill installation in these areas should be initiated with a two -foot lift of the granular
backfill. A two to three foot thick compacted clay cap, with a positive slope away from the
structure, may be placed at the top of the backfill zone to aid in reducing the infiltration of
moisture into this area which would need to be carried by the drain tile system. It should be
noted that the construction of the backfill zone drainage system should be performed with the
same level of care as the foundation wall itself.
5. FINAL SITE TOPOGRAPHY
The final soil surfaces should be graded to provide adequate drainage away from structures and
pavements in order to minimize deleterious effects associated with water infiltration. The areas
adjacent to footing walls should be adequately compacted, (not loosely placed), and provided
with drainage outlets to avoid this zone acting as a "sump" and creating nuisance water
conditions.
Compliance with the building code provision for positive surface drainage away from the
structure should also aid in reducing the quantity of infiltration into the backfill zones adjacent to
foundation walls.
STANDARD OF CARE
The recommendations contained in this report are professional opinions. These opinions were
arrived at in accordance with generally accepted engineering practices currently in use at this
time, location and for projects of this type. Other than this, no warranty is implied or intended.
Soil samples recovered from the test borings will be retained in our offices for a period of thirty
days from the date of this report. After that time they will be discarded unless prior written
instructions to the contrary are received.
I hereby certify that this report and/or specification has been prepared by me or under my direct
supervision and that I am a duly registered Professional Engineer under the laws of the State of
Minnesota. If you have any further questions or we can be of any further assistance, please do
not hesitate to phone or write.
ITCO ALLIED ENGINEERING COMPANY
i ).,, .
Robert Sullentrop, P.E. Gordon J. Kopacek, P.E.
Project Engineer President
8
APPENDIX B
BORING LOGS
ALLIED TEST DRILLING COMPANY
PROJECT: Lenny Gephart Site NUMBER: 07039
16047 Northwood Road PAGE 1 OF 1
SURFACE ELEVATION LOG OF BORING
w 2 } CC 0 100.45 SB #1 TEST STANDARD
u- z w > RESULTS PENETRATION
w a o a DESCRIPTION AND AND TEST DATA
I-- a ¢ ct = CLASSIFICATION O THER (blows /foot)
MI `0 u , OF MATERIALS REMARKS Z
5 10 20 40 70
DARK BROWN CLAYEY TOPSOIL
1 LRAB - ' ' ' ' '
- .67 98.78 1 1 i , ,
2.0 % MOIST TAN CLAY, CL ,
w /sand fens on bottom
1 , , ,
�j925 SS s7.2 8 , , , ,
MOIST TAN SANDY SILT, ML 1 ' ' ' '
4
98.45 1 ' ' I 1
4.0
- I 1 I l
I I I I I
BLACK PEAT, PT
- 3 SS ' 10
6.0-
93.95
1
80 % MOIST GREY /BLACK SILTY CLAY, CL
4 SS slightly organic 5
91.45 ; ; 1
10.0
-_ _ MOIST BLACK/GREY ORGANIC SANDY
- 5 SS = SILT, OL
9
— 11.5 88.95
12.0- 1
MOIST BROWN SILTY SAND, SM
-
6 SS 14
14 86.45
14.0 , , ,
-
MOIST GREY SILTY CLAY, CL . , ,
- 7 SS 10
16.0--
/.16.5 83.95 i i
-
18.0 -
1 i • iii,
- i i ■ , i i 11
20.0 WET GREY SANDY SILT, ML ' ' ' '
- 8 SS 11
- I I 1 1 1 1 1
215 78.95 1 1 1 I L 1
1 1 1 . 1 1 1 1
22.0— L L. ;JJLL
WATER -LEVEL CHECKS METHOD
SPT
DATE TIME SAMPLED TO CASING CAVE -IN WATER
09/13/2007 9:30 21.5' 20' 14' 11'
• •r• .
10:45 6' 09/13/2007 09/13/2007
DRILLER RIG
Craig CME -55
_ DRAWN BY APPROVED
ALLIED TEST DRILLING COMPANY
PROJECT: Lenny Gephart Site NUMBER: 07039
16047 Northwood Road PAGE 1 OF 1
SURFACE ELEVATION LOG OF BORING
o!
W m a- >- o 101.08 S 8 #2 TES
1-- W R ESULTS STANDARD
z z -A o = PENETRATION
_ °- 0 °- DESCRIPTION AND AND TEST DATA
w 2 < Et ct CLASSIFICATION OTHER (blows /foot)
o 0 OF MATERIALS REMARKS >
Z 5 10 20 40 70
_ 1 GRAS DARK BROWN TOPSOIL W /ROOTS
1.75 100.33 i i ,
- BLACK ORGANIC SILT, OL , ,
, , , , , ,
2.0- , , ■ ■
-
2 SS 5 ■
4.0
• 96.08 , ,
- 3 SS BLACK ORGANIC CLAY, OH F 1 ,
6.0- w
4 ■
i
• .5 94.58
i
80- MOIST TAN CLAYEY SILT, MH
4 SS 5
92.08 ' I ' '
• 10.o MOIST TAN /GREY MOTTLED SILTY SANDY t ,
- 5 SS CLAY, CL 1 9
-
12.0-
- I I
- 6 SS .
11
1
14.0 I
y
- 7 SS 18
16.0- O
8.5 84.58
18.0 -
20.0 GREY SANDY SILT, ML �'
8 SS 18
-
P1.5 79.58
1
22.0— - - - i I i ; : 1
WATER -LEVEL CHECKS METHOD
SPT
DATE TIME SAMPLED TO CASING CAVE - IN WATER
09/13/2007 11:15 21.5' 20' 5'
STARTED COMPLETED
1:00 5' 09/13/2007 09/13/2007
DRILLER RIG
Craig CME -55
DRAWN BY APPROVED
ALLIED TEST DRILLING COMPANY
PROJECT: Lenny Gephart Site NUMBER: 07039
16047 Northwood Road PAGE 1 OF 1
SURFACE ELEVATION LOG OF BORING
w ca w 99,80 SB #3 TEST
z _ z uj > RESULTS STANDARD
w a DESCRIPT AN D PENETRATION
_ AND v TEST DATA
a a CLASSIFICATION O THER (blows /foot)
o N u) OF MATERIALS REMARKS
5 10 20 40 70
'&ASPHALT PAVEMENT %,'' ' ' ' '
I I I I
\CLASS 5 AGGREGATE r '
1 GRAB I
BROWN SANDY CLAY, CL
2.0-
//.5 97.3
- _ BLACK ORGANIC SILT, OL
2 SS - 8 , .
4.0 —
- __.5 94.8
BLACK ORGANIC CLAY, OH
3 SS . 6
6.o-
.5 93.3 ,
I 1
GREY/WHITE SILT, ML 1
8.0 4 SS 3
- I
lo.o
10 WET GREY SANDY SILT, ML 398 '
- 5 SS 11
11.5 88.3
12.0-
1 i I
Ff WET BROWN SILTY SAND, SM
- 6 SS , 1.13.4 86.4 6
4 WET BROWN CLAYEY SAND, SC 858
14.0 '
- 1 1
1
TAN SILTY CLAY, CL '
I I I I I
1 7 SS
16
6.0-
/% 6.5 83.3 1 1
1 1
I I I I
18.0- I I I I ,
I
1 '
I I I I
20.0 � _ GREY SANDY SILT, ML
8 SS 21
_ 1
21.5 78.3 I
1 1
22.0— - - _ - _ 1 L LJJJ L
WATER -LEVEL CHECKS I METHOD
SPT
DATE TIME SAMPLED TO CASING CAVE -IN WATER
09/13/2007 1:45 21.5' 20' 14' 10'
STARTED COMPLETED
3:45 5' 09/13/2007 09/13/2007
DRILLER RIG
. Craig CME -55
DRAWN BY APPROVED
ITCO ALLIED ENGINEERING COMPA.NY
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
. obsite and Laboratory Testing. Geotechnuca/ Services. Commercial. .Residential and Munic;pai
7125 `Nest ^26 I Street, Suite 500, Savage, Minnesota 55378
} eieonone: 952 -390 -7366 Fax: 952 -890 -5883
June 24, 2008
Mr. Lenny Gephart Phone: 612- 363 -6648
16047 Northwood Road NW
Prior Lake, Minnesota 55372
RE: 16047 Northwood Road NW
Prior Lake, Scott County, Minnesota
As requested, a site visit was made on June 20, 2008 at 10:00 A.M.
to evaluate subgrade soils within a test pit excavation, for the
proposed construction of a slab on grade single family residence
located on a lakeshore lot. A subsurface exploration report
#07039 dated September 17, 2007, as prepared by Allied Test Drilling
Company, was available for review prior to the site visit. At the
time of the inspection, a previous structure had been removed from
the site, and it is our understanding that the foot print of the new
residence will inpart, occupy a portion of the previous house pad.
A test pit was excavated within the south section of the proposed
build area, to a depth of approximately 10 feet. Excavated soils
consisted of a upper zone of a brown sandy clay, underlain by peat
and organic clay terminating at the excavation base within a light
grey clayey silt. Ground water infiltration was observed at the
intersection of the respective soil zones, with a increase in flow
noted from a sand seam located at the south wall slightly above the
excavation base
To assess the strength of the soils., a 5 /8th inch diameter smooth
probe was used to penetrate the soils at the base of the test area.
With full body weight applied, the probes indicated an average
penetration of 1 3/4 - 2 feet. A 1 5 /8th inch fluted handauger probe
extended into the subgrade soils indicated a rapid transisition
from the soft surface material, to a stiff cohesive soil at depth.
Soil samples extracted by the probe indicated subgrade strata
consistent in classification with material observed at the excavation
base.
To evaluate the relative loadbearing capacity of the subgrade soils,
a dynamic cone penetrometer test was conducted at the base of the
test excavation. The dynamic cone penetrometer (DCP), uses a eight
kilogram (17.6 pound) hammer to drive a 20 millimeter diameter
conical point into the soil, with the penetration recorded in
millimeters per blow. From the DCP reading, a per blow, penetration
average was recorded and a N -value derived. This N- value, is an
33
-- , EASEMENT � - —
THIS INSTRUMENT, made this _Z/ day of J ti /y , 197 7,
by and between f>Jr - . 7 l rJ e "e l'" i ' , / . 1 1/- ? 1. .
/i -, ?S /G9`-- //
of the County of Scott, State of Minnesota, part', of the first
part, and the CITY OF PRIOR LAKE, a municipal corporation, party •
of the second part; •
WITNESSETH, that the said part'6.$ of the first part in :
consideration of One Dollar and other good and valuable consider-
ations to - 1't in hand paid by the said party of the second
part, the receipt of which is hereby acknowledged, do hereby
Grant, Bargain, Sell, Convey and Warrant to said party of the
second part, the easements situate in Scott County, Minnesota,
described on Exhibit 'A attached hereto and made apart hereof.
t
IN TESTIMONY WHEREOF, the said part".$ of the first
part haU• hereunto set 4. +� hand(s) the day and year first •
above written.
J— t' _am vs ■ st
1 - , i��
■
_ / /,• /, OF MINNESOTA)
�LStv�' GC� )ss
COUNTY OF
.tiCt6;��c: / /c,. J
On this 2 4 day of �IJ 197 �, before me, a
,.--, • t t cr f, c 6- Notary Public, within and for said County, personally appeared
/�.+�tzc 0 ` < 17/1 ,e /CAi /(UL= ,c /t/c�
• l- 7 ` /-,'/ate c c / e i
k 7:.5 / .b45 441 ^ to me known to be the person described in and who executed .
1 ic. 'tn tc _
`L,� �c,e the foregoing instrument and acknowledged that -Lhe executed
3) far 4' G the same as .�"' w free act and deed.
i t� C. f r, r �_ G
-.1,r ,,. ..f, / t', J.<. ` �� ( Notary Public *;
/ .� S / 7 ,,c0.0" � ..' 1. __ .... _ .. .:, iti Wit'
:i Sc -• t' CY -,: : - 4
Li'
/
O
F: OS A EA E �' .,Li.50
1 Description 1, `► ".AMA„ IP s .
> 1N D
AE6RfIFY THAT i5� 01 � M �I1HEf0TA lY ' '1%. P REPARED GY ME OR
UI N MY Y CF DIRECT OF THE T� td t FRED LAND SURVEYOR
UNDER THE LAWS OE THE f
ti r - y fl D. EOWA
�. .. • . y r " 911T D
CORIULTIRI 1/111111/1 BRUCE A. EOl7 pF� �o' RCM 4 MES 7 1 z - 7 ,Rt L4/0 11 WAYNE R. LONG 00 �f► N INNEAP0I I DATE
ORR • sCHELENt form MI pNE o 6 IAE
too A oi Aol
lrS
2021 EAST NENNEPIN AVE.• � For d at
To s s l13 • ∎612) 331'1660
NOTE: No boundary survey work % • precise
Iocotion of this tract.
i. (;'13
OWNER: Harold F. Koerner & Mal
Route 2, ]3ox 49
Prior Lake, MN 55372
DESCRIPTION OF EASEMENT: � t a o
A 20 foot permanent easeit► a on fil 1 purposes
over, under, and across the Ea p° t.4inn ir, O 9 and Lot 110
according to the plat of Nortri:d' 11oW o td, t he Office of
the County Recorder, Scott Count' eorriers: o The center line
of said easement is described a G
� eeS 41 Lo
Commencing at the northeast lineintit 1 • said plat
of Northwood; thence South 03 Z ath 89 of es 13 seconds
East, assumed bearing, along t o 5 ° point d e 9r Sd '
distance of 246.15 feet; thenc e e of @e 1d Lot u a �
14 seconds West 95.00 feet to C Y►� ° conti begis P 31 minutes
s
ri e feet; th 1 nq ning of the
center line to be described; t feet; theee N 89 degrees
31 minutes 14 seconds West 65. 3 fe et a ne o rth 25 de grees
22 minutes 44 seconds West 11200 Sa S outh 63 degrees
47 minutes 38 seconds West 25. easene o enter line there
terminating. 01i 09 an rat °v
e a temporary construct scribed Lot i u nder
L
and across said East Half of O e ce 1p
1. feet on each side of the above a sha ll rat lying 25.00
T side lines of said ea,,,o- r1es Of f ..�
shortened to terminate on the S a i d n gtt2 or
Lot 109 and Lot 110. ta_ 2 ►12g fast t H Ha alf of
Said permanent easement CL.' ins 3,G Sgua feet more
or less. �0
Said temporary easement c�yes Jul Squa feet more
or 1
ess. Y 1
Said temporary easement e' 197 8,
'-_ IS - —`--- ____ NOR
C4 g - _ - —
G
,.
INV. 911.06
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MSE•,
c , A t rf I 1. 4 104 tl�'' 18 °T EE Mme '1.1 • . 0 01 ••• i \i‘ l � ' � I ► iF 904 '
ROCK ,1 � ���Y. 'Fd I
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9 32 k • / 01∎5 - MANH• E 13 -5 WILL. `i/ ``' •.. + FP
' 4 ,/ , / / � �cp "I` BE PAI FOR AT UNIT ‘ y , � to- m 5'i ' s' cP ___ -_
/ PRICE = D FOR x c�5 j 1 ' "
04- STANDA•D MANHOLE
0 4445 . 45'
r 1 y(i° 1� 30'
• 1 / e
,s 1 ° c.f. ;NI & i / /.1'
0
li%\\\t/ VE �Y � �1 tP t� 4 .i 0P,t 5 i�- - SPECIAL DETAIL M.H. 13 5 ' I t ' ; �� C • s
• 4 I � / f, � / � J, c ` � < < 3, , sH i T .IS END OF CA NG � , FeS24 � t'�/ / PIE TO BE SEAL , i" ., .. •
��� , I ct Bust+ � � rq / /J 90° BEND
..---°-.....
ttiv EL. OF
4, / //' CASING Pa
IJV ELT!
x` `` _
1 8 D. L
EtTENO f
_ / % 6" D.LP. WATER MAIN TO LEAVE SO"
\ • 24" /� -
CASING PIPE PRIOR TO CONNECTION —41. �
TO MANHOLE AS SHOWN ! / VIY
r ' / 3C CASIN
.
„,,,-% E_. 91700
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Lommen, Nelson, Cole & Stageberg, P.A. J
ATTORNEYS AT LAW
JOHN P. LOMMEN 1100 TCF TOWER LYLE R. FREVERT
V. OWEN NELSON 121 SOUTH EIGHTH STREET • MINNEAPOLIS, MINNESOTA 55402 RICHARD L. PLAGENS
PHILLIP A. COLE Telephone: (612) 339 -8131 THOMAS J. NIEMIECt
MARK N. STAGEBERG Minnesota WATS Line 1-800-752-4297 MICHAEL P. SHROYER
ROGER V. STAGEBERG PAUL C. PETERSON
GLENN R. KESSEL* RAUL A. GASTEAZORO, JR.
THOMAS E. PETERSON TULGREN SQUARE, THIRD FLOOR SCOTT T. ANDERSON
THOMAS R. JACOBSON *t 502 SECOND STREET • HUDSON, WISCONSIN 54016 i BARBARA VAN OFFEREN*
RICHARD A. LIND Telephone: (715)386 - $217' EH RICH L. KOCH
THOMAS D. JENSEN Twin City LTIll'1612)436 -8085 ,J 9x CARYN F. BRENNER
TED E. SULLIVAN* } a i e TODD J. THUN
ROBYN N. MOSCHET June 4 , ` i� l / �, JUDY L. HALLETT
THOMAS F. DOUGHERTY JAMES R. ANDREEN
KAY NORD HUNT* REP4YJ O: r- 198-1 SHERRI D. ULLAND
Minneapol i s,tiyi
* Admitted in Minnesota and Wisconsin
MARK SULLIVAN - RETIRED t Hudson Office
Of
Mr. Larry Anderson CITY
City of Prior Lake lalga
P.O. Box 359
Prior Lake, MN 55372
RE: Our File No. 16772 -E -55
Engineer's Easement No. 133
Owners: Harold F. Koerner and Marion
Koerner
Legal Description: Lot 110 and that
part of Lot 109, Township of Northwood,
Scott County, Minnesota
Dear Mr. Anderson:
In checking out the title on the above property it was deter-
mined that an easement has been recorded bearing Doc. No. 31916
and memorialized on the title certificate (Certificate No.
14605). I am enclosing a copy of the description of the easement,
and we are marking our records that the sewer, water and storm
drain easements have been properly recorded on this property.
Very truly yours,
LOr, NELSON, COLE & STAGEBERG, P.A.
"R F - , ert
LRF/rfc
Enclosure
•
l ,
•
t.
•
OSM EASEMENT N4.ay. fi= 4
Description and Drawing 1
r yy J y
'/l m = rs was "
Tu t1Aat a ��
Airr wit w . k a
wig �ww su
0411111
NM= earn 10116 w, - . - 7 ' , ' i' s " '
� Osta - sCSast�rr hdAYRR�ON & INC , y ;.r.- me «a Isms
on UM NIMltn. Aar • wan US • 0I11e1A.MNI.11111Nt11M1 *MU • •e„ US MM
NOT M. b. dory wwwy w«! ws performed ee to t h e 'reds.
Smoke" .1 His tress.
40
- 6
OWP(R: Harold F. Koerner and Marion n rw
,t 319 1 mw__yp•3:_
Route 2, Box 49 yobs aow.clik ccae:J'c' ....14146S. kl*
Prior Lake, Minnesota 55372 Moe of 1 atrar of 'Mae
Soon Caeiay. boatta
I hereby *artily flat w winia nhr
rim d ` of
wv Med la Ws office far ra*ord os
dw day 4 . titt
9 � _
- i at ` /i/roesi
* .. - Deputy :-
DESCRIPT OF EASEMENT. S
A permanfnt easement for public utility purposes, over under, and *cross
that part of the above described Lots 110 and part of 109 lying 10.00 feet ea ,
each side of the following described centerline:
Commencing at the northeast corner of Lot 112, said plat of Northwood;
thence South 03 degrees 41 minutes 13 seconds East, assumed baring, alert the
east line of said Lot 112 a distance of 246.15 feet; thence South 89 degrees 31
minutes 14 seconds Nest 95.00 feet to the point of 0eginning of the centerline to
be described; thence continuing South 89 degrees 31 minutes 14 seconds Vest 69.00
feet; thence North 2S degrees 22 minutes 44 seconds West 112.35 feet; themes
South 63 degrees 47 minutes 38 seconds West 25.00 feet and sate centerline there . �
ter 1natln0.
The side lines of said easement shall be lengthened or shorted to ° £-
terminate on the boundaries of said part of Lot 109 and Lot 110.
Said permanent easement contains 2,125 square feet more or less.
ity/. fra0o
A rd . /Mir.)
, , 1
ft. o . 1) + y
EXHIBIT A �
W. , ° ,. .
empirical relationship we have established to equate the dynamic cone
data to the more familiar blows per foot (BPF) standard penetration
soil boring test.
Test #1 - Rear South Section of Pad (10' Test Pit)
DCP Depth Per Blow Avq. / N -Value Estimated Load
549 MM (21.6 ") 28.1 MM / N -11 3750 PSF
Based upon soils observed within the test excavation and the
bearing capacity results of the dynamic cone penetrometer, we would
anticipate subgrade soils generally consistent with those reported
by the subsurface exploration report. We would therefore assume an
average excavation depth of 10 feet to remove unsuitable materials
within the house pad area. It is our understanding that the
contractor will place a granular backfill, and call for compaction
testing as required.
Sincerely,
Instant Testing Company Reviewed By:
C MC41-9-j-(2%- ` 11L4± 1 /3
Gary St ndish Robert P. Sullentrop, P.E.
Senior Inspector Minnesota Reg.# 17823
#701 - 0 / #605 - 1 1/2 / #608 - 1/4 / #304 (1) DCP / #612 - 16
GEPHART1.DOC
P R I O n LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS - • I r ► •, /1i ace
�
NATURE OF WORK sr. 014011 / mw,)
USE OF BUILDING
PERMIT NO. UE , c4-.S DATE ISSUED tdef
CONTRACTOR Lam, A Aye. t 'HA, PHONE - .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
�y THE PERMIT IS / / BY SEPARATE DOCUMENT
C / ei s,i J € V P l f / a! ,''" INSPECTOR ATE
I FOOTING , r' 'r' ,E` # I' - /4;19 �� i/? a' I
I FOUNDATION (Prior to Backfill) Er gi �r Yi.d - I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC W . i� Yi/cf
FRAMING &A c, , /zi/c 1t# 1111
INS ULATIONGA,
ELECTRICAL
PLUMBING i 46/. f
HEATING (if required) II
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'RASP t /if (v ktitile 1 I
FIN ALS
GRADING (Prior to Sodding)
BUILDING Rai 1A P E'0IJ `( 4T. Vitt) 113
ELECTRICAL
PLUMBING P
HEATIN
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE. •
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850