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HomeMy WebLinkAboutBuilding Permit 01-0476 DATE RECEIVFD CITY OF PRIOR LAKE /tl- (, - 00 BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pi:OW~ 3.Y,lioant DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) /4(,24- CJ,I9K-LAN'O BY/(!r/ ,4 V6. te./SP New Construction Chimney CJ Mlsc. 8. PROPERlY AREA OR ACRES Sq.Ft. Fireplace LI Alterations (] 12. NO. OF STORIES PID 25- /15- all- 0 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Addres~ 'l%'=> Go. 115 - 'f:1. R-.&r- Deck 0 Finish Attic 0 (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 1./</1- '::>053 Rs-rooflng (] Porch 0 Ae-sidlng 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Septic 0 Addition 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17. COMPLETI N DATE I hereby cenlly that I have furnished information on this application which is to the best of my knowledge true and correct. I also cenlfy that I am the owner or authorized agent for the above mentioned props 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 off revoke e just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed InspectJons. X ) License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual USE OF BUILDING BUILDING DEPARTMENT VALUATION Foonl sPi/ ..'" S~. S~. MATERIAL ALED WITH APPUCA TlON SOIL TESTS 0 ENERGY DATA 0 OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION '<"/ ~'~.tao_j PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 PERCOLATION TESTS 0 SETS COPIES TYPE OF CONSTRUCTION: I /I III IV V OccupancyGroup A B E F HIM A DiviSion 1 2 3 4 Permit Fee ................................... S Plan Check Fee ............................. S State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... S Sewer & Water Permit ...................... $ . ............. $ S U City: Amount Brought Forward .................. $ ParkSupportFee ........................... $ e~.~ SAC ................./"l.5D.O'O.. " r I.! - CoUective Street Fee ....................... $'~ Sewer Tap ................................... $ B~L."'-';>-?~ 75 S6c. . ~"z7. 7t.f - (fS . e9 ~8_00 $ Pressure Reducer .......................... $ Meter Hom ................................... $ C(5"~ {~O.Il>O ( b() .eX? JS"" . c;c;) C{() . 00 tI!:o \\- \'j Water Meter ................................. $ /2.s-. 00 Sewer & Water Connection Fee ........... SIt "(no. CJJD. 7 C> WaterTowerFee ........................... $ ~.o Water Tap ................................... $ Builders Deposit ............................ $ / .(:;/.JC) '(J;&Y ., Other ......................................... $, " ,'; ^ t1fl Totel Due .............................. $ Z (,J!,9~. > Paid . q Reoeipt H30.s- u Idlng perm/On Aw!t.d. {I Date ~ - ~O r Date request In the above application and accompanying documents Is in accordance with the City Zoning Ordinance and may pr requested. This document when r constitutes a temporary Ce'1"!C8it of Zoplng compl18l1lil!.. and aIIOWs1\'~~mence. Before OCCl4'8~a Certificate of Occu~ must be issued. ~\"_'It:lJ ~ -~d--J.J\~ ~~UWI_S City Janner Dale Special Conalllons any 24 hour notice for all inspections (952) 447-9850 /' t M -rf16; Th~ Cenler or the L.ke Country White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLle~ND!PARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t /-/6L E c,e Eel:::. vi L L f-j":: , 1(. r.()() The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections CE/-}clj / ;-Ji:E: . /4-/,24- u/i J:: L /-IN I..} Denied Reviewed By-r ~O-<::'~1:- ~ Comments: ~,,^A Date: ~ l/7 / tQ:J Aw-~ ~p....- Vtvt-t.tMLR ~~lL)'tl~f1)-l2t1l!-, ~~~ 0el~.J14..Ve.... e~ ~~ $~e.- LeT I~l/\.@ . "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." 00 'd183 Th~ CenCer of Ih.. uk.. Counery White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t3l1q/..;6 If) . ClZG~ V 11...-f.J1S r'OD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-IPZ4- O/lKL/tAln /3&/JtV-j AV6 . Accepted Accepted With Corrections Denied Reviewed By: {2; ~ jk Comments: ,. .1-\4.'... \....... ~ -r ~~.~ ~,J... (j~~ i 1\ fur ~ ,'~ e~\..\.\"c;.(. "'" z. Sc.A. c..\\ IocR. ~\ tlJ"1i!.a..s. Date: I Cl - (U - '000 "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." .--- (}(j.()98) T"~ elf..l.... of th.. tak.. Cou.cry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED E/-k3ji..-E If) . {~'661::!.. V ILL A...5 l' ()O The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-&24- Or//:::'L/lND f3E/it21j A Vb . / Accepted Accepted With Corrections Denied Reviewed By: LL L Date: I j- 7-00 Comments: ~eG Reve-Jesc Sf/)& rot!. /ItlPmoAJIIL WFoI?mATJOAJ " ~ Illf7klt/l1c/lJJ3: I) IFmslotJ CoJJTRoL h1easU/!.$ z.) GlzAolu;,/ER05it:I1I/ C:lt~ fL"JJ "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." Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT f-I/-eJ / \. Blue. File 2. Gold Cily 3. Yellow Applicant I PERMIT NO,1 -47(, Please e or ADDRESS ZONING (office use) /4~24- ()4L;Lr1 A/.o t5t/~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID~-/IS~ /- [) I OWNER (Name) (Address) (Phone) PPLICANT A PI ( ame) C. l1;v-(.. U. .-Ic.- /1 h.../ (Address) 1')0')<) ('7-"1>____. - _~ ()(~~ (Contact Person) ~r... v, '- (Phone) /Ph.- - S-fS - 7 v J Y' ,z:;J"b~f,/UI!/. g-eh-/ (City)! (Zip Code) (phone) APPLICANT PLEASE COMPLETE B OW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # ~. ..~. lOWliH rr \NG PERM , PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official By Date 24 hour notice for .n inspections (952) 447-9850, fax (952) 447-4245 ~ Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT f-I/-d / (Please type or print and sian at bottom) I ADDRESS /4(, 2:4- O~.f) ; ~w ~\~ I PERMIT NO. 1-,L1b 3. Gold Applicant ,. tlt7HJ# ZONING (office use) LEGAL DESCRIPTION (olliee use only) LOT BLOCK ADDITION PIDZS" - I OWNER (Name) (Address) (phone) (Address) (City) (Zip Code) (Address) (Phone) -Fifl'/;~ .Au. f (City) ~/t, - )77-7'- JY ):')U2-j (Zip Code) (Contact Person) (Phone) DA .> it- Itv-- 9 !II/PI APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure _ feet. Type of sewer pipe. D ABC D PVC D Cast Iron Estimated length of sewer line _ feet. Clean out (if required) located at feet from structure. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Penn it # -~ ~G pe.~\1', 9\>'1 SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Offiee Use Only) This Application Becomes Your Building Permit When Approved .- FPt~ I Building Official Date I Paid -- Qat'e 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 12/28/2001 06:24 5073344811 12/25/01 Fal O':ST FAl 812447&2&5 CANNON VALLEY MOTOR?__,___", tIn OF PlIOIl LAn PAGE 01 iilOOl crrVOFPRlORLAKE BEATING/AIR CONDmONINGlFlREPLACE RRMIT D... JMc'. I r:of,flJ~;;;tf-~l RIt~l I LBGAL DBScalPTION (--_I . l.OT BLOCK ADOmON ~=.; IPJ:KM1INO.O~ I I ZONlNGc_-.) I ~~r.Jl 'flu _ . PED [~= /}~1tti: (Ad4Jeoo) . ('*-Ill- eno.) APPLICANT (N&IIIe) . . (AGdm.) (Conm", P."on) III "'1rbd. .,., !)-4?:7i C. e-<.lkr ~ake D~ New Pra!ree. MN &;AI'I'7" ... 8-2737 952-888- 5 >>11., (phone) APPLICM"T SlONATVIU! (CiIJ'l (PllollC) D....TE (ZIp Cedcl AP LICANT PLEASE. COMPUU BELOW , WC:::JiJC I\BfLACEMBNr ALTERA. ONS , FUDI....CI! MAIUI Ail MODEl '7/7.L .1JtI)f tV - oY/) FUEL YUJJS1:a 3" '(... OPENlNOS INPUT '1fJ,tItf,f) O\1TPUT7J-.~p TYP. OF S\'S'I'BM HliAllNG OIl POW1l1l PLAJiIT J..... Air PI..,II. ~ S_ Ornl\)p Ho' "'_ ......,... . a.llui... ! Air ClOIllIillonillC S,..III Doo<I_ I 0111_ 5,...... 011.. Dnl... FDtIlPL"CB MAKE AND MOtl!L PL&.UE NOTE: Air CclIldJdaner Unilll c.a", IlI!craaallllllll a.'I"1nd Sid. YOI'lI SeMI" R&SCllDULJ: J.d.."iol. Comm....iol" MQUi."....i:y J"orjoa... 1lal4o:nIl1I. au rlnp.... Dt.SO Iftift.",u," _lAonriol. HUlinC" Ale 0'0" ConllNelion) 599.50 Ilaidot\lill. AlI4lli...." AI_io.. R'''d,.dol. Rcuinl0.1y (Now COII.UQl;tiQn) $64.'0 Ilaldondll. AC: Onl) '39.50 U9.50 1:111.50 Estimated Coal' SQtl41ftl PCl'IlIIl # '"""""'I r'- PAlO WITH ,lUll-DING P~RM'!. HE.A TlNO PiDtfT FEt S ST" TE SURCHAP.OE $ TOTAL PDUm RE S (0.....1lH 0>'71 nit ApplJatloo aOCIIII- "It'... a.lldln, .1",," Wh.. "PP","" ..nOIIll Ollclal 1Ia.. I:' I =-~NO' II aOQr ..11.. for 11I1IUpocd...rm) ..,.IISt, 110. (tSJ) U'~2d FROM : I'ESENBRI i'I< CONSTRUCT I o-l . PHONE NO. 9524475036 Ma!:l. 29 2002 08:36AM P2 Federal Emergency Management Agency Washington, D.C. 20472 May 22, 2002 EAGLE CREEK Ot!VELOPMENr 7765 EAST I 75TH STREET PR.ICIl LAKE, MN 55372 CASE NO.: 02-45.1823A COMMUNITY: CITY OF PR.IOR LAKE, scorr COUNlY. MINNESOTA COMMUNITY NO.: 270432 DEAR EAGLE CREEK DEVELOPMENT; This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if the property descn'bed in the enclosed documenl is located within an identified Special Flood Huard Area. the area that would be i~lImdated by the flood having a I-percent chance of being equaled or Cl!.c::ceded in any giv=yar (base floOd), on the effective National Flood Insurance Program (NFIP) ~.. : Using tbe infOrmation submitted and the effective NFIP map. our deb.u..i..ation is shown on the attached Let!er of'Map Amendment (LeMA) Determination Document. This determination document provides SdditionaI. information regarding the effective NFlP map, the legal desCription of the property aDd our determination. Additional documents are enclosed which provide information regarding the subject property and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specifie to this request may be included as referenced in the DetcaminationlComment document. If you have any questions about this letter or any of the enclosures. please contact the FEMA Map Assistance Center toll free at (877) 336-2621 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, 12101 Indian Creek Court, Belt~ville, MD 20705. Additional information about the NFlr is available on our web site at http://www.fcma.govlnfipl. Sincerely, '\~~. ~~ Matthew B. Miller, P.E., Chief Hazards Study Branch Federal Insurance and Mitigation Administration LIST OF ENCLOSURES: LeMA DETERMINATION DOCUMI!NT (REMOVAL) cc: State/Commonwealth NFlP Coordinator Community Map Repository . FROM MESENER I i'I< CONSTRUCT ION PHDi'E 1'1). 9524475036 Ma\:l. 29 2002 08: 36RM P3 Page' of2 I IDlta:~22.2002 lease 1\10.: 02-0~823A 1 lOMA (I) Federal Emergency Management Agency Washington, D.C. 20472 LETTER OF MAP AMENDMENT DETERMINA nON DOCUMENT (REMOVAL) COMMUNITY AND MAP PANEL INFOIlMATlON LEGAL PROPERTY DESCRIPTION City of Prior La~e. scott County, Lot 16. Oakland Beech.... shown On a pie!. filed for record on June 1. 1926. COMNlUNITY Mlnn_oc. by the Register of Deeds, ~Il County. Minnesota co"'UNITY NO.: Z7043Z NUMBIR: 270432C1l1GZC . AFFErnD . ~.~ City or Prior WiI<.. .. :I,IAPPMi!L .80011 Cl>UnIY. ......ola . . DATE:11/11l11fi7 FLOODING SOURCE: LOWER PRIOR I..AJ(E APPIlOJGMATILA'I1TUDE & LONG/TlJDE OF PlltClPEA'I"l': 44.771. -113311 SCURCI OF LAT & LONG: MAPllLASI'I DATUM: NAP 83 DETERMINATION . 1% ANNUAL LOWEST OUTCOII1E LOWEST BlOCI(J WHAT IS CHANCE ADJACENT LOT LOT SUBDIVISION STREeT RElAC>VED FLOOD FLOOD GRADE ELEVATION SECTION FROM THE ZONE ELEVATION ELEVATION (NGVO 291 SF'" (NGVD 20) (NGVO 29) 16 Oakland Beach 14824 Oakland Slrudure - B_ch Avenue X (ohadod) 908.9 _ gog.S feet - Spedal Flood H....rd ANa (SFIiA)- The SFHA is an al"ell that wotld be Inundated by theftood h8Ving a 1-percent chenc:. ofbelng oquaJed or exaoecled in anyg.,.., )'8Br(basefiood~ ADDITIONAL CONSIDEIlA TIONS (Pl.... ,.rer 10 !he _",priate section on A_.nll lor lhe additional co""ld.",~ons listed balew.) PORTIOlIiS REMAIN IN THE SFHA This dooument prOVides the Federal Emllfllonr;y Manag.ement Agency's delltrmlnollon rogan:llng . request for a Lattar of Map Amendmont for \he property described abo... Using tho Inlonnation oubmilled and tho affoetilie Nalienal Flood Insurance Program (NFIP) m.p, _ h... d.lerminod th.t the struc::lure(s) on the propet1y(ies) is/are nolloeal8d In tho SFHA. .n area inundated by tha ftood having a l..pereenl chan"" of being equaled or exceeded in My given year (bas. lIaod). This document .mends tho otl'1oc611$ NFIP map to remove the subJoc:t proparty fron'llhe SFHA Iocetad on the ellectivo NFIP map; therefore, the Fed.tal mandatory flood Insurance !'IIqlJfternent cloes not ap~y. HoweYIN', the '.nder has the option to contlr'lu. the ftood insurance requirement to pnllilCt ila flnancial risk on thelOlln. A ,.,.fetrod Risk Pelley (PRP)Ie IiVlIllable for bulldtng. located aulslde the SFHA. Inlonnalion aboul the PRP and how one can apply is encloaed. This determination Is ba,ed on the nood data prnently available. The endOll~ dOcuments "ro\ride additional Jnformation regarding this determination. If you have any quo.lIons about this documenl plea" centad the F'EMA M.p Asalslance Center toll free at (877)336-2627 (S77-F'EMA MAP) or by letier add,...ed to the F.de",1 Emargancy ManagomenIAge_. 12101 Indian C...k Court. Ballsvllle. MD 20705. Aclditional inlonnation aboull"" NFIP ;a availabl. on our web sllo al h'lp~/www.fema.g""/nflp/ '\~\!:.. '\~ . ~llhew B. '~In",. P.E.. Chief H_' Slu<ty Bronch podlIrallnaur..... .nd Mltigollon Administnltion Version 1.3.3 3817030151743 FROM I'ESENBR I i'I< CONSTRUCT I ON PHCJt.E NO. 9524475036 May. 29 2002 08:37AM P4 Page 2 of2 I lo.te:May22,2lll12 I Case No.: 02-Os.2823A I LOMA (I) Federal Emergency Management Agency Waabington. D.C. 20472 LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additiona' Consideration applies to the preceding 1 Property.) This Determination Document has removed the subject of the determlnelfon from the Special Flood Hazard Area (SFHA). However. portions of the property may remain In the SFHA. Therefore. any future construclfon or substantial Improvement on the property remains subject to Federal. StIIte/Commonwealth, and local regulations for floodplain management. This atlacllmllnl provides oddlUonal Infonnallon "IllI'Cllng lIlis request. II you haW! any q....tions about this ottachment. p1e..e c:cntact tho FEMA Map _slanca Conblr ...., rr.. at (Sn) 338-2827 (Sn.FEMA MAP) or by Ie"", addressed to lhe Federal Emergency Mllnagement Agency, 1~101 Indi.n Cleek Court. Beltsville, MD 20705. AddIUonallnformaUon about the NFIP Is ayeUable on our _b site at htlp:/_.fery,.,llDVlnftP/. '\~~. '\.~ Matthew B. Miller. P.E.. Chlof Hazardo Study Bronch Federal Insurance and M1t1gallon Adminlslrotlon Version 1.3.3 381703051743 FRa'l MESENBRINK CONSTRUCT! ON PI-IlH: NO. 9524475036 Ma':j. 29 2002 08:37AM PS Federal Emergency Management Agency Washington. D.C. 20472 LOMAENC-I ADDITIONAL INFORMATION REGARDING LETTERS OF MAP AMENDMENT When making detmninations on requests for Letters of Map Amendment (LOMAs), the Federal Emergency Management Agency (FBMA) bases its determination on the flood hazard information available at the time of the detcmnination. Requesters should be aware that flood conditions may change or new information may be generated that would supersede FEMA's determination. In such cases, the community will be informed by letter. Reques~ also should be aware that removal of a property (pmel of land or structure) from the . Special Flood Hazard Area (SFHA) means FEMA has detelmined the property is not subjeCt to .. . inundation by the flood having a l-pereent chance of being equaled or exceeded in any given year. (base flood). This does Dot mean the property is not subject to other flood hazards. The property could be inundated by a flood with a magnitude greater than the base flood or by localized flooding not shown on the effective National Flood hlsurance Program (NFlP) map. The effect of a LOMA is it removes the Federal requirement for the lender to require flood insurance coverage for the property descn'bed. The LOMA is not a waiver of the condition that the property owner maintain flood insurance coverage for the property. Only the lender can waive the flood insurance purchase requirement because the lender imposed the requirement. The properly owner must ..-quest and 1"flctdvc a .wrltte>a waiver from tll. I""d",. before c01Ice/ing III. policy. The lender may detcnnine, on its own as a busu.ess decision, that it wishes to continue the flood insurance requirement to protect its financial risk on the loan. The LOMA provides FEMA's cOlll:lMllt on the mandatory flood insurance requirements of the NFIP as they apply to a particular property. A LOMA is not a building pmmt, nor should it be construed as such. Any development, new construction, or substantial improvement of a property impactM by a LOMA must comply with all applicable Slate and local criteria and other Federal criteria. If a lender releases a property OWl1er from the flood insurance requirement, and the property owner decides to cancel the policy and seek a refund, the NFJP will refund the premium paid for the current polic:y year, provided that no claim is pending or has been paid on the policy during the c:urrent policy year. Thc property owner must provide a written waiver of the insurance requirement from the lender to the property insurance agent or company servicing his or ber policy. The agent or company will then process the refund request. Even though structures are not located in an SFHA, as mentioned above, they could be flooded by a f1Doding event with a greater magnitude than the base flood. In fact, more than 2S percent of all claims paid by the NFIP are for policies for stnlctures located outside the SFlIA in Zones B. C. X (shaded), or X (unshaded). More than one-fourth ofaIl policies purchased under the NFJP protect structures located in these zones. The risk to sb:Uctures located outside SFHAs is just not as great as the risk to structures located in SFHAs. Finally, approximately 90 percent of all federally declared disasters are cal).<:d. by flooding, and hQIIlClOWDers insurance docs not provide financial protection f'ronJ. this flooding. Therefore, FEMA encourages the widest possible coverage under the NFIP. FRO'1 : MESENBR INK CONSTRUCTION . PHONE i'(J. 9524475036 Ma!:l. 29 2002 08:38AM P6 The NFIP offen; two type.~ of flood insurance policies to property owners: the low-cost Preferred lUsk Policy (PRP) and the Standard Flood Insurance Polity (8FlP). The PRP is available for 1- to 4-family residential structures located outside the SFHA with little or no loss history. The PRP is available for Iownhouselrowhouse-type structures, but is not available for other types of condominium units. The SFIP is available for all other structures. Additional infonnation on the PRP and how a property OWDCll" can quality for this type of policy may be obtained by calling the Flood Insurance Infonnation Hotline, 1011 free, at 1-800-427-4661. Before making a final decision about flood insutllnce coverage, FBMA strongly encourages property owners 10 discuss their individual flood risk situations and insut1lTlce needs with an insurance agent or company. FEMA bas established "Grandfather" rules to benefit flood insurance policyholders who bave maintained continuous coverage. Property owners may wish 10 note also that, if they live outside but on the fringe of the SFHA shown on an effective NFIP map and the map is revised 10 expand the SFHA 10 include their structure(s), their flood insunnce policy rates will not increase as long as the coverage for the affccted structure(s) bas b~ continuous. Propeny owners would contitlue 10 receive the lower insurance policy rates. LOMAs are based on minimum criteria established by the NFIP. State, county, and community officials, based on knowledge of local conditions and in the interest of safety, may set higher standards for c0D8~tion in the SFHA. If a State, county, or community has adopted more restrictive and comprehensive floodplain management criteria, these criteria take precedence over the minimum Federal criteria. . In accordance with regulations adopted by the cll1lllIlunity when it made application 10 join the NFIP, letters issued to amend an NFIP map must be attached to the community's official record copy of the map. That map is available for public inspCl:tion at the community's official map reposilory. Therefore, FEMA sends copies of all such letters to the affected community's official map reposilory. When a restudy is undertaken, or when a sufficient number of revisions Dr amendments occur on particular map panels, FEMA initiates the printing and dis1ribution process for the affected panels. FBMA notifies community officials in writing when affected map panels are being physically revised and distributcc1. In such cases, FEMA attempts to reflect the results of the LOMA on the new map pllDe1. If the results of particular LOMAs cannot be reflected on the new map panel because of scale limitations, FEMA notifies the community in writing and revalidates the LOMAs in that letter. LOMAs revalidated in this way usually will become effective 1 day after the effective date of the revised map. 2 > ,. FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. No. 3067-0017 Expires July 31, 2002 1m orlant: Read the InstructIons on a es 1 - 7. SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use: Po6cy Number BUILDING OWNER'S NAME C I C I. D I -+- c a... e re.e.~ ~.;e- 0 ~I BUILDING ;>TREET ADDRESS ( ing Apt, Unit, Sune, and/or Bldg, No.) OR P.O. ROUTE AND BOX NO. /4-r;.z.. DA..,L/c...~ ~t::~ oI9ve.",...e.. CITY f'rro. {Je. HdTATE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax PIfCeI Nu r, LOQaI DescripIion, ele.) L4>r /tQ ()A-k-L.~NO EA-Gf( IL I U e.g., 1iBI, 0IH8S ential, Addition, Atx;essory, ole. Use a Is area, necessary.) 5 j Cle..: f,"tJ.. ( LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DAl\JM: ( #If'.1IIf - #I#.W or #I#.#I##I#If') LI NAD 1927 LI NAD 1983 Company NAle Number ZIP CODE S;;;,-37 z.. )'PO)' LI USGS Quad Map LI Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP COMMI.jNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 83. STATE P,.../or C-a../!-e.. Z SC4>rf- C""........ t . MAP AND PANEL IX 66. FI INDEX . EL NUMBER ,.. DATE EFFECTIVEIREVlSED DATE ?;ONE(S) 000"2... ~ 11-11-'17 rte. Bl0.lndlcate the source Dfth~ase Flood Elevatioo (BFE) data or base flood depth entered In B9. 1-1 FIS Profile ~FIRM 1-1 Community Determined 1-1 Other (Describe): B 11. Indicate the elevation datum used for the BFE In B9: ~VD 1929 1-1 NA VD 1988 1-1 Other (DescrIbe): B12.ls the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: MtJ 9. A ( ) (Zono AO, use depth of flooding) 9o'j 1-1 Yes IJ::t1'lo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based 00: I-ICoostructioo Drawings" I-IBulldlng Under CDnstrucUOO" I-!::lI'fnlshed Construction "A new Elevation Certificate will be required when construction of the building Is complete. C2. Building Diagram Number --4- (Select the building diagram most similar to the building for which this certificate Is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE). AR, ARIA. ARlAE, ARIA l-A30, ARIAH, ARlAO Complete Items C3.a-1 below according to the building diagram specified In Item C2. State the datum used. If the datum ~ different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Commerys area of Section 0 or Section G, as appropriate, to'document the datum conversion. Datum ..A/ 6 j/J _ Conversion/Comments .IV.? ""'- Elevation reference mark used Does the elevation refereDce mark used appear on the FIRM? 1-1 Yes 1-1 No . Q a) Top of bottom floor (including basement Dr enclosure) 9 I 0 . ~ ft.(m) -: Q b) Top of next higher floor 9 z,z. . -L ft.(m) " o c) Bottom of lowest hDrtzontalstructural member 'Y zones only) . _ ft.(m) ) ~ Q d) Attached garage (top of slab) '7 Z 1 .IL ft.(m) E i o e) Lowest elevation of machinery and/Dr equipment . ~ t servicing the building (Describe In a Comments area.) . _ ft,(m) ~ i Q f) Lowest adjacent (finished) grade (LAG) ") d "l . J:L ft.(m) ~ ~ Q g) Highest adjaceDt (finished) grade (HAG) 9 z.. I . Q.. ft.(m) ~" Q h) No. of permanent openings (flood veDts) within 1 ft. above adjacent grade ~ Q I) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed aDd sealed by a land surveyor, engineer, Dr architect authorized by law to certify elevation Information. I certify that the inlormation in Sections A, B, and C on this ceriificate represents my best efforis to interpret the data avanable. I understand that any 'alse statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 100/. CERTIFIER'S NAME ? /.; y t:/ ,e::: ~,../ LICENSE NUMBER /.5' 9- e... / TITLE L. a--d S.:rV; '-' r COMPANY NAME /1 n.::>O , .f /l C , ADORESS 7..5'/0 H~r ,.o.4teC' DnvZITY Ec/@,., f?-....'rleSTATEHAJ ZlPCODE.s-S3-r'1 C DATE:3 -,&-a Z. TELEPHONE 'SZ-g2..J- 070<> ~FF RR/FR.~F .l:::lnJ: I=nR r:nMTIN1IATI()N RFPI Ar.F~ AI I PRF\/lnll~ FnJTI(')N~ FI=1AA Fnrm A1.':t1 .111 nn IMl"ORTANT: In these spaces, copy the corres ndlnglnfonnatlon from Section A. BUILDING TREET Pi) SS (Incklding Apt.. Unit, SUte. and/or Bldg. No.) OR P.O. CUTE AND BOX NO. ../. ~Z O&J-kla..i'Ld" 8~a.cJ,. V-e J1/A CITY .?rf~"'" Ca-k.e... STATE/1A1 SSr~ CompanyNAlCNumber SECTION D. SURVEYOR, ENGINEER, OR AltCtllTECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company. and (3) building owner. COMMENTS For Insurance Company Use: Pofley Number L I Check here if attachments SECTION E. BUILDING E~ATI.ON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting Information for a LOMA or LOMR-F, Section C must be completed. . E1. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is beiDg completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom IIoor (including basement or enclosure) of the building is l-l-I It.(m) l-1_lin.(cm) l-I above or l-I below (check one) the highest edjacent grede. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building Is l-I_I ft.(m) l-l-lin.(cm) above the highest edJacent grade. Complete Items C3.h and C3.1 on front afform. E4. For 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? I_I Ves 1-1 No 1 I 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, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMA-issued Dr community-issued BFE) or Zone AO must sign here. The sfatemenfs In Sections A, 8, C, end E are correct to the best of 'SWNknowl~. PROPERTY ER'S OWNER'S AUlIiORIZED REPRESENTATIVE'S NAME L/"vd" &:. I"1:w ADDRESS 75/0 H".....~~,? /",4tce Pr;j/~ CITY ~ -c: /-&..r DA de... j7r'a/;'-/~ "S-e-o""- STATEf1 AI ZIP COD~S 3' <f4- LE ON ?SZ-BZ- -CJ7oo I I 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. G 1. l-I The Information in Section C was taken from other documentation that hes been signed and embossed by a licensed surveyor. engineer, or architect who Is authorized by state Dr local law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1-1 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. I_I The fDIIDwiDg information (Items G4-G9) is provided for community floodplain management purposes. IT UMBE 5. DATE PE IT ISSUED G6. DATE CE T1FICAT F M IANCEIOCCUPANCY ISSUED G7. This permit has been issued for. l-I New Construction I_I Substantial ImprovemeDt Ga. Elevation of as-buii! lowest floor (iDcluding basement) of the building is: G9. BFE Dr (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME _' _ It.(m) Datum: . _ 1t.(m)Datum: TITLE COMMUNITY NAME TELEPHONE DATE SIGNATURE COMMENTS '-.1 Check here if attachments I=FUA~nrmA1.'\1 ,1111 nn RF=PI Ar.F~ AI I PRJ=\/I01 I~ J=nITION~ PRIOR LA~':': DEPARTMENT OF R ~ " BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS J c.JJ.. 2'1 NATURE OF WORK ,.. l"h.. ') USE OF BUILDING PERMIT NO. !()- 1G.~2J:JoO CONTRACTOR I l.( '-f7- ~~ NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONSlfELOW 1=loot Ll~uc.P""," THE PERMIT IS BY SEPARATE DOCUMENT \.e.1tu- ,iJ:'DI\) ~ INSP CT R B&tR.. FO ING Cr 0 I .f"D ~ FOUNDATION (Prior to Backfill) \ro^ . tI.:;.l" I rv-S~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Sot- ~~. . ~N... -t UGH . INS J:v.Q; .. SEWER I WATER I SEPTIC , ~ FRAMING INSULATION ELECTRICAL PLUMBING (,.,(,.., l.\~, HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO 1.f'I14.~ Flo& Z1~.'ou..." Car~~~~ ~ GRADING (Prior to Soddin BUILDING,. ~.O, ~ 13 \ Oz.... ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE Cbkl,... -~ j?. - -L.. ~ 4<.- r DATE UNTIL ABO I FINALS ~..e. I - S BEEN SIGNED I Fh....1.. ..l...,..'i p. ~ -<1-0 z.. ~ c7'Z ()~' This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections hav", been' approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 AJIl. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ., , ~.-_.~,,',,\~ ." - ~." :j.',,_'. l ,< __ ,,' .," "'.- At,. .:' -" ~" ,", ""'-'i1.".,"~"':.' . ",,:;,"IL' ."...."'..1>..;....",~,, ,',:" ~;",...~.V" ....... ....~'., ",.".,, ~ n'~. DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7~z..- ~ tJ/I J::t.fiNL) d e:J1t!1j CONTR. ADDRESS / 4~ Z4- OWNER PHONE NO. 01, tJ4-7(' PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING (!J 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP 'fil FINAL 0 PLUMBING FINAL TI SITE INSPEC ION 0 MECH FINAL ..s 0 D /77t€& ,/ ~~~~..Q. o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: P.!lWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~1 Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNon / CITY OF PRIOR LAKE INSPECTION NOTICE DATE nME SCHEDULED ~;<~86 )'ff:.q'! @~ ADDRESS OWNER CONTR. 1-'176 PHONE NO. PERMIT NO. o FOOTING ~ PLUMBING RI o FOUNDATIO~ 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATIO ~ 0 SEWER HOOKUP .,.IPFmAL ~LUMBING FINAL o SITE INSPECTION J4 MECH FINAL ~I f..t o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -*-&fJ I t!-r-- m I t: (I. .'1) . rll ,I tJ7- ~~ i&~ ~ ~fl(l, , o WORK SATISFACTORY. PROCEED }II CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Conlr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (p -4-0 "Z.. 9;00 ADDRESS /'iC.;y {)C(t./~1I1c18~c~ 4//('. OWNER CONTR. Eyk U~" t 1/, 't(-..s PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ;6.c~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: Cwh !3ox.. 1'9 K. b~eh - Cge ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING lnSpectDr:~ac ,r" .o,QVner!Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! J"""'" " Job Address Heating Contractor Name 01 Tester Date Percent 0 Percent C02 Percent CO Stack Temp, ----- I 1 J "