HomeMy WebLinkAboutBldg Permit 01-1004
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~-
-01
L Whl" FIle I PERMn NO 0
2. Pink Cuy .
). Yellow Applicant
(Please tvoe OfOrint and sign at bottom) '-_/._":1'" _~_ '_" ~ I . ~ ,r ~_ _ ~ _
ADDRESS "r&f'(/ C/ r V f/ IV , , '1 I V 1'1 c..v.> (,./ I~ .
&SFMQVL4 ot FCun~~u R-,t~(" ~~~Dwv...4 .
,
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION!;: }...Ol
OWNER
(Name)
\-\..ev,b We..~\Mau~D
}1O'lS 1>1tl\t..lA.. bVlv.~..
(Address)
Sui h
BUILDER \ II . .
(Name) U.JQ.~M~"'J t:tOMJ2.~'
(Contact Name) toM ~d
(Address) c. .l. (
0A M..ll.. l\. ~ I'< 16 OI.LL .
TYPE OF WORK
.\~L
o New Construction
::J11tuZ~ ..d~ PIDjC;- 36:3--Q1)-()
(Phone)
~-I ~cf CJ&,. t/ if 00
zoo
F~16U 1 MtII. ~6"12Z_
(Phone)
(Phone)
CP5/-c..foeo- cJc.fDo
M\ ~ LPI2. - 31o'i-;l.Pl)
,
DDeck
DRe.Siding
DPorch
ORe-Roofing
DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
~Mis~I\/)n '5\~.~ PROJECT COST/VALUE (excIudingland) $r# qrt, 700 ~
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
;ter~4~~::~gn/ antu_7reede "12s /qsp., 1fl-/lrDOater
~~n Contractor's License No.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'11. t'JdO .00
{.~3. t.. '"
'1u.B7
2'1. c;O
r,~ron ~s Your Building Permit When Approved
W ~AJ\" 9-/~-o(
BUlldi-' Offi:::ial ~ Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
lather:>, 'f6r>tAtk $ (5:'0(')
I TOTALDU~-'lUaJ "I-z5-bJ $ tj /1.5.02- I
11/ t:t _ Del- I Receipt No. '6.Ulo iff'
q - d-I-IJ J Bv (JC---
r Paid
I 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
::::d/'-:'::fi~ Plann" constitutes a tempon", Certific'" of Zoning compliance and allows construction to com,:nce, ~B'for~ occupancy, a Certificate of Occupancy must be
/~_~_-.- St3Q/(p{ ~4~~,'Sr
v/ Planning Director Date Special Conditions, if any
24 hour nolice for all inspections (952) 447-9850, fax (952) 4474245
~~
~hi II .l~i~i%
Canary . Engineering
Pink . Planning
Thf (-..nl... ,,' thO' I..k.. ('ounlry
NAME OF APPLICANT
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
uJ~ Ib../)
g~ ~ - ~(
APPLICATION RECEIVED
Th B 'Id' E' ~ iCf"- d~v.....pl ~;;- rt ~ h . , d h ' d' ,
e Ul lng, ngineenng, an annlng epa ments ave revlewe t e bUll ing permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By: s...... ~ tJ...0 ~~ Date: I\! Li ! al
Comments: ,S~ Reverse Sitle forAdditional1nformatiol'l!-'
,
::>ee Attacnments: 1) Grading Plan, 2) Erosion Control Measures
3' Ero!:ion Control PI~n
"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."
~1
While - Building
Canary - Engineering
Pink - Planning
The ernl.. "r th.l.ak. Counl."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lJ)jlA~
f-~6 ~6/
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
1= ,).0' L-o-f ~ tfJ/1 :+M~ ~
Accepted 7< Accepted With Corrections
Denied G1 / I
Reviewed By: j1V~1\.....
, /
Date:
7'-(3-0 (
Comments:
"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."
~:
t~~
White - Building
Canary - Engineering
Pink - Planning, ....f"
Th~ ('~nl~r nf lh., I..k., Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,/
,
{ ,
APPLICATION RECEIVED -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ I
"
Accepted
~
Accepted With Corrections
Denied
Date:
t#/~t'b!1
i
Reviewed By:
.
com~n:J <'-'Ai,,~1D ~~~~
~!~. ,~;t:r~$t~~
10 ~ ~pvtA. /A~ I~ iP
~^PY~ <:::;i~ ar~ ea~
/ (()() <~ 6... /")Ah--Y- ~ ~
~~t"P~'f? ~-.4' ~ ~r~ .WA/
/7.. ....lA ' jIl-" /l , - ,
~/{ , ~e.
"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
O:S::A;::~:r~~61J .
~{lt- A00jO~S
Thr C'rnlrr of Ihr I.lkt ('ounlr)'
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
uJ~. . , /tr. .../)
~-2e- ~(
APPLICATION RECEIVED
Th B 'Id' E' S .icp.. d,v.-p1 &s:.O'"" rt~t h - , d th b 'Id' ,
e UI lng, nglneenng, an annlng epa men save reVlewe e Ul Ing permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By: c -1...0 M..c \) o~
..----'
See Reverse Side for Additionallnfoimatioi1!
Date:
a../ u I a(
I I
Comments:
. "....,~,'"" .
:See Attachments: 1) Grading Plan, 2) Erosion Control Measures
:on Frn~ion Control PI;:.n
"The issuance. or granting'-of a permir 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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 44-00 FoulII.~l",-
NATURE OF WORK~" S "'(f
USE OF BUILDING en............
PERMIT NO. () 1- IO()4- DATE ISSUED B. 28 . z-. (
CONTRACTOR .100.....,,"-'-tr- ~c::. PHONE G.12-.3(.,1.::.]LL'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~;Il~
J"t' q"
INSPECTOR
DATE
'FOOTING. l[j I )rOA\?) J1T7.- ..<;?--)
I FOUNDATION ?~gLr- ~ ~n~~ I Ic9}e}~(
PLACE NO CONCRETE UNTIL ABOVE HA-S'lEEN'SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1jJ~
I~ 1)0/
BUILDING
ELECTRICAL
-=-
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
S"p 13 01 04:25p
CHANT V01GT ~ ASSOC1ATES
(651) 686-8883
p.2
Chant, Voigt and Associates, IlIc.
463.5 Nicols Road, Suite 204, Eagan MN, 55122
GENERAL STRUC1lJRAL NOTES
PROJECT: fOUNDATION HILLS - SIGN BASE
I. f3UILDr'\lG CODB USED FOR DESIGN:
3. MINNESCFA BUILDING CODE, 1998 EDITION. (UBC J 997 EDITION)
2. .EQ!JNl)ATlm'~l;
3. 1'\1 LIEU OF SOIL BORINGS, PIERS HAVE BEEN DESIGNED FOR A MAXIMUM SOIL
BEARlNGPRESSURE OF 2000 PSF AND AN ALLOWABLE LATERAL PRESSURE OF 100
f'CF. IT WILL BE THE RESPONSIBILITY OF OTHERS TO VERIFY THESE VALUES TO
INSURE THAT DAMAGING DIFFERENTIAL SETTLEMENT OR MOVEMENT WiLL NOT
OCCUR.
3. DESKiN LOADS;
a.
DESIGN LVE LOADS:
lli/IND
RESIDENTIAL
· 80 MPH
40 PSF
'EXPOSURE B
4. DESIGN STRESSl~
a. CONCRETE:
STRENGTH AT
28 DAYS(PSn
TYPE MIX
LOCATION
3000 STD. WT.
AlR-ENTRAJNED
b. REINFORCEMENT
c. STRUCTURAL TUBING
PIERS
Fy = 60,000 PSI AS1M A615 (LAP 36 BAR DIA.)
Fy = 46,000 PSI ASTM A500 GRADE B
5. CONCRETE COVERAGE FOR REINFORCEMENT:
PIERS
3"
6. CONCRETE:
a. CONCRETE WORK SHALL CONFORM TO ALL REQUIREMENTS OF ACI 301.
b.JNLESS SPECIFIED BELOW, CONCRETE MUST REACH THE FOLLOWiNG
PERCENTAGES OF ITS 28 DAY COMPRESSIVE STRENGTH (PC) BEFORE SIGN IS
INSTALLED.
PIERS
80 PERCENT
Sep 21 01 11:57a
.
~.
~.
'.0'
~
CHANT VOIGT' ASSOCIATES (651) 686-8883
8'-0"-- i
f-- 4'.0" --j
r.........---...... ....-.-
FOUNTAIN HILLS
24"
--
: I
I I
0)
~
NO S'::AlE
SIGN FRONT ELEVATION
SIGN
FOUNDATION
FOUNTAIN HILLS
~
CHA.NT, VOIGT
ac ASSOCIATES, INC.
REVISIONS:
PROJ. #: 2001.068
Aa3SNlCO~lND. aUtrl:204 I~GAN.MlNNESOTA 55122
PHONE ($$08867727 FAX (651).88--
DRAWN BY: DSC
p.l
8-0
10F4
DATE: 9/21/01
I
I
- 8'..0"
f-- 4'-0" ----1
14"1 · FOUNTAIN HILLS
10'..0"
PROJECT
ADDRESS
I
24"
SQUARE FOOTAGE CACULATIONS
TOP COpy
14" X 96" = 1344" /144 = 9.3 Sq. Feet
TIME & TEMP 2'X4'= 8 Sq. Feet
MAIN CABINET 10'X8'=80Sq.Feet
TOTAL SQ. FOOTAGE = 97.3 SQ. FOOTAGE
'.
!;~~~
Ca\ l.. - ,\,,10 I -'1.1o~ '?
,
SALESREP. SCALE CUSTOMER APPROVAL
3/6"=1'-0"
DATE DRAWN BY DATE
Kl3
THIS DRAWING IS THE PROPERlY OF:
AcTIoN Plus SIGN COMPANY
69'i'i 140m STREET
Appif V,UE\', M N 55124
612.891.4444 . 612.891.44" FAX
nCTz:P&
SIGN COMPANY
CITY
STATE
Sep 21 01 11:5?a
CHANT VOIGT & ASSOCIATES
(651) 686-8883
p.2
- --t---
~
1"5 &..ex 114 GOUJMN
eMBED MIN. OF "12'
I HEREBY CERTIFY THAT THIS PLAN,
SPIiClPlCATlON. OR REPORT WAS
PREPARED BY ME OR UNDF.R MY
OIRECT SU~ERVlSION AND THAT I AM
A DULY REGlSTP.REO PROFESSIONAl.
ENGINEER IlNDHR THE LAWS OF
THE STATE OF MINNESOTA
Pr-tW.),J
~
...
J
,
DATE=q/1.ljO\ REC.. NO. 20705
::::1/1::
II
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f- - (&) tfl VERTIGAL.-
w: ~ "GOVER
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L -l6 TIS AT 12' 0,(,,-
'..
j
oll
.
.
..
3'~.
(;)
, ....
9 ~
;..~
NO're:.
DE516N ~ ON 12'-1)'..16'-0'
516N - MAXJMAoof HEl6HT 20'-0'
;"-oM
G)
SIGN FOUNDATION PIER
NO SCALE
SEE STRUCTURAL NOTES
FOR AODmONAL INFO.
nA
CHANT, VOIGT
Be ASSOCIA'TES, INC,
SIGN
FOUNDATION
FOUNTAIN HILLS
8-1
~NlCOurftD. !\vf1"E204
PHONI (_n ....Y'a7
E.lGAN,Mt ._'" __, "'22
FAX (8151)68&118II3
REVISIONS:
PROJ. #: 200 1.068
DRAWN BY: DSC
20F4
DATE: 9/13/01
S@p 21 01 11:57a
CHANT VOIGT & ASSOCIATES
(651) 686-8883
p.3
I HEREBY CERTII'Y THAT THiS PLAN.
SPECIFICATION. OR REPORT WAS
PREPARED BY ME OR UNDER MY
DIRECT SUPERVISION AND T}iAT ( AM
A DULY REGISTERED PROFESSIONAl.
BNGINEER UNDER TIlE I.A WS OF
THE STATE OF MINNESOTA
rJ-..LW.J .;J
.
DATE:~'L\f"\ REG. NO. 20705
'1/1
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I I PER Ml"GR.
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AN.!irLE 4"4,, 1/4 1 1
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'y Ir~'X8"x 1/4' 6UT If.
~I I CABINET FRAME W
BUT PLATE
I _L~~~~~~~-i
1/4"~
, e.1o
" 101<<,. ~
T5 E>x~xil4
Q
TYPICAL SIGN CONNECTION DETAIL
~I J SCALE
~)OOO.I(FI
~
CHANT, '/OIGT
Be ASSOCIA'TES, INC.
SIGN
FOUNDA liON
FOUNTAIN HilLS
8-2
REVlSIONS:
PROJ. #: 2001.068
30F4
DATE: 9/21/01
..315 NICOLS !to.. S.Ultt Z04
PHQNE _5t'-'7:121'
~^~I:'~~22 DRAWN BY: DSC
(651) 686-8883
p.4
Sep 21 01 11:57a
CHANT VOIGT & ASSOCIATES
I
)( 6" LONG I
LY-; I
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"
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I HEREBY CERTIFY THAT THIS PLAN.
SPIlCII'ICATION. OR REPORT WAS
PREPARED BY ME OR UNDER MY
DIRECT SUpeRVIsrON AND THAT T AM
^ DULY REGISTERED PROFESSIONAL
ENGINEER UNDER THE LAWS OF
THE STATE OF MINNESOTA
{),.uLw .J~
DATE: 'll 1.'1 9 \ REG. ~O. 20705
MONUMENT TOP
FRAI-E W BUT
FLA n:
1/4"~
/t:. 70
\ ~'1'tzoo~
T~ 8x&x1/4
(7\,
\V
rlo SCALE
MONUMENT TOP CONNECTION DTL.
5000.io()
~
CHANT, 'VOIGT
& ASSOCIA TES, INC.
SIGN
FOUNDATION
FOUNTAIN HILLS
8-3
REVISIONS;
PROJ. #: 2001.068
DRAWN BY: DSC
40F4
DATE: 9/21/01
~NICOL5~. SUrT'Eacw.
PHONE (est)__7727
ti 'GAN, ..NNE$OTA S8t22
FAX t&Sl~ ,., I' :, ''''
c' .--01
Date Received(l r ~
Date Reviewed
PERMIT REQUIREMENT
Date: ~~ 2l!> Date:
Request: Reply:
S\~\Jc\~~ ~~
Permit #
REPLY DATE
f~' cr-L{
Date:
Request:
Date:
Reply:
Date:
Request:
Date:
Reply:
Date:
Request:
Date:
Reply:
B u ilding/Planning/Eng ineering
Permit ;ompleteD
PERMREaU.DOC
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Permit Issued 0
rz.:"1"O rAT.
4400 Fo(jN7J1IAl HI L,US
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
J{)StO/ ~lf/
DATE TIME
/-/064-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
.,0 GASLINE AIR TST
FVU)A.J
'..$/~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTGN AND PROCEED
o CORRECT WOR . CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~ J' {j;)a Owner/Contr:
CALL 44;.9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSHOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
F'~~/h.
H,'/Is
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.::>illFINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
4 -IS-03
S/!th.
\v("~,..~~" Ho""'O
{)\.. lou.(l
)l( EXlGAIlIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
O!I'wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
10.8.01 I?z.:oo
ADDRESS
Fo ()N7JU;V HI L-LS
OWNER
CONTR.
PHONE NO.
);/" FOOTING
/0' FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Pylon 50n
I
O/~ IOeY!
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o l( -h ftJ u..r--
~J~Je re...to;vt\I^1 ubI! p)dMC, -1-0
~v\i'^1 ai/ul PA1IVlPf"J'l''1 loe4re Iavt/'IJ;wr
/
rORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ WOR" CALL FOR REINSPECTION BEFORE COVERING
Inspector: <R.. \ \ (t,tL(J Owner/Contr:
CALL 447~B5: FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
If'iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
.~I u QUIT CLAII\IIJUED Millllesota UllifOlIll COllveyandll.ll. Blanks (1/15/97)
Millel/Oavis Co, CI 51. Paul, MN 6bl-642-19BB
;{~rporalion,
Limited Liability Company
Doc. No. A 505068
OFFICE OF THE COUNTY RECORDER
SCOTT COUNTY, MINNESOTA
Certified Filed and/or Recorded on
.inguent taxes 3ml transfer entered; Certificate
cal Estale Value ( ) filed ( ----)not required
'i!iJ!~at~ of Real Esta'le Val(l~~q)l' .
-""'\'" " . ,,5""" -/4'-:-12/." ' ;"
1';.,.. '" .
0. I' '(D~ "",.'J
- ~i:''Zfi,,;':;.. A";."
by , I
05-14-2001 at 01:00 Receipt: 95174
I.5epl~IXQ
Pat B. "J, "n, County Recorder
by fJJ/rI ,Deputy Fee: $24.50
01
DEEDTA~:t lili~T
e:J' ~~
._ApdLL4c:L-.-20QI
\1
_Wl!lL n, , , ,," , .N\'1/ lUICRtvn
....WIlLL CllaTlflCATa Nor IUlQU'IID
Date:
(reser\'ed for recording dllla)
FOR V ALUABLE CONSIDERATION, IIp.-!,p,'' II WpnsmaruullldElai/1P R WP1lsmallll_lmsbamlJlllli.\\!ifp
(lI\llritlll SWillS)
Grantor, hereby conveys and quitclaims to EoulltaiILHiIls.Jlusilll:ss~ark.AssQ(:iation
Granlee, a C'lrporatinn under the laws of MinnesoJ'
real property in ____ S"Olt County, Minnesota, described as follows:
An easemenl for purposes of erecting and maintaining an advertising sign/billboard and maintaining the grounds on
which said sign/billboard is constructed, on 'the East 20.00 feet of Lot I, Block I, FOUNTAIN HILLS
ADDITION, according to the recorded plat thereof, Scolt County, Minnesota.
Consideration for this deed is less than $500.00.
togelher wilh all hereditaments and appurtenances.
(;;heck box if applicable:
J;LI The Seller certifies lhat the seller does not know of any wells on the described real property.
o A well disclosure certificate accompanies this document.
o I am familiar with the property described in Ihis instrument and I certify that the status and number of wells
on the described real property have not changed since the last previously filed well disclosure cenificate,
~~#~:a~lI'/ ~~.-
Affix Deed Tax Stamp Here
d~./.;// (/~. /-r~__4///dd.A'/_
Elaine E. Wensmanu
STATE OF MINNESOTA
COUNTY OF DAKOTA_
}"
This instrument was acknowledged before me on
Apriu5/Q ?OJ) I
Date
by Herbert J I..W ensnJalllLand .Elaine.E...w.ellsmann~IIUsbandJUld..wi fp
NOTARIAL STA"'U' OK SI!:A'. 10k OTIlIi:K Tl1'J.E Ole RANK)
~G,."r-'l. KEu':y'M. MURRAyt"
\:'" N, 0, fary Public
;;~ " . Minnesota
till . ~ My CUIlIOlt5sIOn E-llIfes .I.ln_ 31, 2005
~1Je:-o,;!2L ~!.I1.C~I~O~~~I~~-
Check here if pari or all of the land is Registered (Torrens) []
Tax Statemenls for Ihe real property described in this instrument should
be sent 10 (include name anti address of Grantee):
TIllS INS'nlUMENT W,\S D1tAFTEIJ IIY lNM.IE "'Nil MJIlltESSI:
(-Herbert H. Wensmann and Elaine E. Wensmann
c/o WenscD. Inc.
1895 Plaza Drive, Suire 200
Eagan, MN 55122
RUSSELL L. STREEFLAND, 11106355
ATroRNEY AT LAW
12940 HARRIET A VENUE SOUTH
SUITE 250
BURNSVILLE, MN 55337
952-890-2477
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W^,lNING: UNAUTlIORIZEO COPVING OF THIS FORM pnOUlillTED.
Description Sketch for: WENSMANN HOMES
i'
County
Road
No.
42
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1 Inch =100 Feet
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c.5'. j /;~ / EASEMENT PER PLAT \"-
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PROPOSED
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'S89'00'S3"W 172.1 O~
PROPOSFn FASFMFNT
The east 20.00 feet of Lot 1, Block 1, FOUNTAIN HILLS ADDITION,
the recorded plat thereof, Scott County, Minnesota.
according to
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. THIS SKETCH DOES NOT PURPORT TO SHOW THE EXISTENCE OR NONEXISTENCE OF
ANY ENCROACHMENTS FROM OR ONTO THE HEREON DESCRIBED LAND. EASEMENTS OF
RECORD OR UNRECORDED EASEMENTS WHICH AFFECT SAID LAND OR ANY
IMPROVEMENTS TO SAID LAND. EXCEpT AS SHOWN.
,
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WE HEREBY CERTIFY TO WENSMANN HOMES THAT THIS SURVEY, PLAN OR REPORT WAS
PREPARED BY ME, OR UNDER MY DIRECT SUPERVISION, AND THAT I AM A DULY
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LICENSED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA,
THIS 15TH DAY OF MARCH, 200L
S~G~ : PIONEER EN??I ~ P.A. BY:
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!6hn C. Larson,
'Professional Land Surveyor
Minnesota License No. 19828
DATED
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9
HILLS DRIVE
1993'i.8505.DWG
i 2422 En terprise Drive
i Mendoto Heights. MN 55120
AA~\bEQ..ro.,n _ (651) 681-19~_ ~
P L"""'..........NI"...".,....,.'f" 625 Highway 10 N.E.
.M.l \: i \i;! \.:t U c.r Blaine, MN 55434-
, (612) 783-1880
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