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Home My WebLink AboutBldg Permit 05-0152, Deck 0264 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ~- 3-OS (Please type or print and sign at bottom) ADDRESS f fv 511 OLL7('.-H Hue 5,E. I. White File I PERM I i ~~~I~w ;:~t;licant IT NO. 05. 0/52- ZONING (office use) 5537;l LEGAL DESCRIPTION (office use only.l. c.J:. E. ~ I t)F <:..L LOT NaBLOCK ADDITION P loJ ~b01q 5() 'IU Jl)q f3(UX) K I I PID ZOCfIoO /0 OWNER ' (Name) ~a...u, ~ l ~),\.~~ ~7+l ~+ Clpl~ B~DER II (Company Name) A J I fI lYle.r I c.o.". !,O""'l t.....$ . (Contact Name) ~'" Gr-P.f'\"'Zt'.r- (Address) 416~ .,$l..rc,\,"-t"'. t\r~~.~ \Jo...rY t1tJ (Phone) h "C ~ (.0 - 0 <bY (Address) Z2.ll. l,U (')N S5 L{ /9 (Phone) 5t.3 B 7$ - 2<12..1 (Phone) 7(,'1. t./3.P. -(y./{)O .5~ Y- t/ TYPE OF WORK ll.1 New Construction ODeck OPorch o Re.Roofing 'DAddition OAlteration OUtility Connection 0 Misc. CODE: ~R.C. DI.B.c. Type of ~!troction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 o Re.Siding OLower Level Finish 0 Fireplace PROJECT COST /V ALUE (excluding land) $ LbD. De0 , I hereby certity that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzcd agent for the abovc.menlloned 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 J~ Fmthermore. I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed Inspcctions. X ;.:::> J LJJJ.-. 2 -.3- LC>t> (" , Signature Contractor's License No. Date - 1/ I Permit Valuation "'" p.,(P400a ,00 I I Park Support Fee # $ I Permit Fee $ 20 f 3.$"0 I I SAC # $ - I Plan Check Fee $ I.~og. 78 I I Water Meter Size 5/8"e (UW) $ ~OO, 0 0 I State Surcharge $ .; '3D. DO I I Pressure Reducer $ 75..00 I Penalty $ I I Sewer/Water Connection Fee # $ -- I Plumbing Permit Fee $ IOtJ, 0 CJ I I Water Tower Fee # $ - I Mechanical Permit Fee $ /tJlJ, 0 fJ I Builder's Deposit $ I~() () ..O~ I Sewer & Water Permit Fee $ ~SJ5"O I Other ,IW~ ~O$ i,- $ SOO~O~ ..... I Gas Fireplace Permit Fe~~) $ ~IJ, OtJ I TOTALDUE ~7;; 2.U.OS- $fo,/02.7A . ~ T . Application Becomes Your Building Pennit When Approved I Paid (t?!tJ;;( , 1i'"- .-J Receipt NoLA?O 7i ~~ ~~S- I Date .:.J-~-IJ~ I By ~. - V7 , Buildlllg tlicial I ' Date ThIS IS to certity that the request in the above applicalton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This document when stgned by the CIty Planner conslltutcs a temporary Certtficate of ZOlng compltanceld allows constlucllon to commence Before occupancy. a Cctttficatc of Occupancy must be ISSlr~ \j0 <>-ilL-. 11\. ~ 2. I ~ () .s- -PrcN. ,t.. t..:.,.,!~ ~.Q...:. (1) Planning Director I Date' ) Sreei'til Conditions. if any 0 24 hour notice for all inspections (952) 447-9850, fax (952) 447-424. .... L... 1(') ~ ftt.~ 16200 Eagle Creek Avenue Prior Lake, MN 55372 \" ~ . , ~ ~""1--~'--'---''''''--' (Please type or print and si2ll at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d /" I/~~-~ I PERMIT NO. ()S-~L/I White " File Pink City Yellow Applicanl 16~ll ~'k.\- c.-l. Aut c c 0.C. ZONING (office use) RtsD LEGAL DESCRIPTION (office us, onlY2 F ~ I ct. ~ e;c. E ~5 0 c-. " ,A.. / /2 LOT BLOCK ADDITION ~-~/J17 K.J1,bJt.c rCL4l<- PID;~-/J9C:;-CJOI-() OWNER (N ame) ~\':\ \~\'.'(~~ 2.11{, Q ~ I~l ~-+ Mpb (Phone) ~/L 920 -0 LOL-{ (Address) BUILDER (Company Name) (Contact Name) (Address) -v - -.J . /""'\ n~... \. ("" u..'~ (Phone) (Phone) (h"l ,_) t1g7-..-7!iJ"L TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe.Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection 0 Misc. CODE~' I.R.C. DI.B.c. Type of onstroction: Occup cy Group: A B Division: I E III IV V A HIM R 2 3 4 5 PROJECT COST IV ALUE S (excluding land) 10 DO () , I I hereby certify that I have hlrnished mformation on this application which is to the best of my knowledge true and eorrect. I also certify that I am the owner or autholtzed agent for the above-menl1oned property and that all constructiOn Will conform to all eXlstmg state and local laws and Will proceed m accordance With submllled plans I am aware that the bUIldmg official can revoke this permltp"/u>l Cd';Se Furthermore, I hereby agree that the CIty offiCial or a desIgnee may enter upon the property to perform needed mspecl10ns X p.J Ll1l ~-7-0S Signature Contractor's Ltcense No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee II F 1 B S U lf30oo, 00 $ eS,25 $ 57. a, $ /.50 $ $ $ $ $ Park Support Fee SAC # # Water Meter Size 5/8"; 1 "; Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE $ $ $ $ $ $ $ $ $ IL/?, 1/ Paid Date /F7// ~. fJ,.t'f; Receipt !':JQ. 4f:frC/U By r This Application Becomes Your Building Pennit When Approved ~ .7~ --1Lz~S Buildlllg Olllcial Date ThiS IS to certify that the request in the above application and accompanying doeuments is in accordance with the City Zoning Ordinance and may proceed as requested. This doeument when signed by the City Planner constitutes a temporal)' Certificate of Zoning compliance and allows eonstruetion to commence. Before Lleeupaney, a Cerllficate of Oeeupaney must be issued Planning Director Date Special Conditions, if any 24 hour notice for all inspeetions (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 <. ".."..--t.~,,~-",~,.....<-_..~"*,~~..~".~.,-,...",----~ Residential Building Permit Checklist Deck Additions to Single Family Homes BY: ~- ~ Date: . 2/--- 7- 5' PID: Zoning: 105/'/-jj}~~ Building Permit # Site Address Legal: L B Subdivision: Existing Structure~r NO CONFORMS TO ZONING ORDINANCE YES 1 Yard Setbacks: NOT APPLICABLE MEETS CODE - Side Yard (25' if abutting a street, 30' if abutting a street in Cardinal Ridge) - Side Yard Requirement 10' 10' - Rear Yard 25' - Townhouses Must be consistent with approved plan for development NO Proposed zsr ~ tJk tJP\ ' ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE PLANNING DEPARTMENT. ALSO, A1~Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR A1~Y OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT. THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PE"&'V1IT FILE TO l\1AINTAIN A RECORD OF THE REVIEW. L:\TE:NlPLA TE\DECKCHCKDOC FEDERAl EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read thelnstructlons on 1?198$1 . 7. SECTION A. PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME DAVE TADDIKEN BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 16517 Dutches Ave SE CITY STATE Prior Lake MINNESOTA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Partel NL...l ;l." Legal Description, etc.) LOT 1 & 2 Ex East 25' of LOT 2, Spring Brook Park, 25-099001-0 BUILDING USE (e.g., Residential, Non-residential, Addition, Acce$sory, etc. Use 8 c.....". ...nts area. if ~-ary.) RESIDENTIAL LATlTUDElLONGITUDE (OPTiONAl) ( fI#!'. tf# - ##.#If' or ##.tI##II#') O.M.B. No. 3067-0077 Expires December 31, 2005 For Insurance Company Use: Policy Number Company NAIC Number ZIP CODE 55372 _other: l HORIZONTAL DATUM: SOURCE: _GPS (Type): NAO 1927 _NAO 1983 _USGS Quad Map SECTIONB. FLOOD INSURANCE RATE MAP (FJRM)INFORMAllON . 81. NFIP COMMuNITY NAME & COMMUNITY NUMBER I 82. COUNTY NAME COUNTY OF WASHINGTON (UNINCORP.) WASHINGTON 84. MAP AND PANEL 85. SUFFIX 86. FIRM INDEX B7. FIRM PANEL NUMBER DATE EFFECTIVE/REVlSEO DATE 2704320004 C NOV 19,1997 B10. Indicate the source o. the Base Flood Elevation (BFE) data or base flood depth entered in 89. FIS Profile FIRM CommunityOc;ill:.Illlined J<_Other(Describe) WASHINGTON COUNTY B11.1ndicate the elevation datum used for the BFE in B9: X NGVD 1929 NAVD 1988 _Othe~Describe): 812. 1$ the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Nea (OPA)? DesiQnation Date: B8.FLOOD ZONE(S) X I 83. STATE MN 89. BASE FLOOD ELEVA TION(S) (Zone AO, use depth of flooding) 909.0 Yes X No .. ..,. .8em c;.~. BUIt.DING ELEVAtION INfORMATION (SURVEY REQU~ C1. Building elevations are based on: _Construction Drawings* Building Under Construction. -X,Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building OiagrlJT1 Number 3 (Select the building diagram most similar to the building for which this certificate is being oompleted . see pages 6 and 7. If no di"'lllal" accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A 1-A30, AE, AH, A (with SFE), VE, V1-V30, V (with SFE), AR, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO Complete Items C3.-a..j below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the 8FE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the spa:;e provided or lhe Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum _NGVD 1929_Conversion/Comments Elevation reference mark used DNR BENCHMARK Does the elevation reference mark used appear on lhe FIRM? Q a) Top of bottom floor (including basement or enclosure) 910.08 ft.(m) Q b) Top of next higher floor 920.9_ft.(m) Q c) Bottom of lowest horizontal structural member (V zones only) ft.(m) Q d) Attached garage (top of slab) 915.6_ft.(m) o e) lowest elevation of machinery and/or equipment servicing lhe building (Describe in a Comments area) 910.8 ft.(m) o Q Lowest adjacent (finished) grade (LAG) 909.8 ft.(m) Q g) Highest adjacent (finished) grade (HAG) 915.5_ft.(m) Q h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 o i) Total area of aU permanent openings (flood vents) in C3.h 0 sq. in. (sq. Cm) SECTION p. SURVEYOR, ENGINEER, OR ARCHITECTCERTIFICAT~N This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, S, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME JAMESH. PARKER LICENSE NUMBER 9235 MN LAND SURVEYOR TIltE PRESIDENT COMPANYNAME ADVANCE SURVEYING & ENGINEERING CO. ADDRESS,......."" CITY STATE ZIP CODE ~;Q~~~~;~i:os ~::~:~ I \ ~onn 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ""0",- 1 1 ., i~ w~ !! ~ ~ .~ ~ -' Yes _LNo BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 16517 Dutches Ave SE CITY Prior LAKE ~ Nul)1ber STATE ZIP CODE MINNESOTA 55372 SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation CeItificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Company NA1C Number Check here if attachments SECTION E. BULDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BfE) For Zone AO and Zone A (without BFE), complete Items E1 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 being completed - see pages 6 and 7. It no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ _ft.(m) in.(cm) ~above or _ below (check: one) the highest adjacent grade. (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 _ _ft.(m) _ ~n.(cm) above the highest adjacent grade. Complete items C3,h and C3.i on front of form. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in Q\NV' Janca with the WI ,."unity'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 au1l1orized rep."",,,,, ,iative who completes &'..'~VI,I) A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, S, C, and E are oorrect to the best of my knowledge. PRCPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME DAVE TADDIKEN ADDRESS 16517 Dutchess Ave SE SIGNATURE CITY Prior LAKE DATE STATE MN TELEPHONE ZIP CODE 55372 I COMMENTS I Check here if attachments SECTION G. COMMUNfTY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate, Complete the applicable item(s) and sign below. G1. _ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2, _ A ........'" "unity official compleled Section E for a building :vvaled in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. _ The following inTuit. 'Q~";) (Items G4--G9) is provided for community floodplain management purposes. I. G4.PERMITNUMBER I G5.DATEPERMITISSUED I OO.DATECERTIFICATEOFCOMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for. New Construction Substantial Improvement G8, Elevation of as-built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: . ~ ft.(m) Datum: . __ ft.(m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE Check here if attachments FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ADVANCE SURVEYING & ENGINEERING CO. 5300 Highway 101 Minnetonka, MN 55345 Phone (952) 474 7964 Fax (952) 474 8267 March 14,2005 Building Inspection Dept. City of Prior Lake FAX: 9524474245 RE: Elevation of low floor Today we visited the home under construction at 16517 Dutch Avenue SE. in Prior Lake, Minnesota. We determined the elevation of the concrete floor was 910.80 as we measured it. This is to certify that this survey was prepared by me or under my direct supervision and that I am a licensed Professional Land Surveyor under the laws of the State of Minnesota. Sincerely, ADVANCE SURVEYING & ENGINEERING CO. ~CV\AM () ~ tfarry J. Ht 1.S. No. 24332 ." "---, White - ~uil~inq ~ary - l:::naineering) Pink . - Planning Thf Ctnlt>r or the Lib Countf)-' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L~d Jadd/,{e~ r:)- 3- S- The Building, Engineering, and Planning Departments have reviewed the building permit application for constr~bn;;Vi7hi~~r;;:;f: /he- Accepted Accepted With Corrections / Denied Reviewed iSy: ~:::f~ Date: d/ '7/t)s Comments: ~ a.Lf ~... 6-e-f' -4c ~~ ~. ~,~~ ~~ ~a'~~&i'i,J;! I JI' V J I ~. ~ ~.p ~ .,' ~ ~ t?--'7-- d"';~ ., , . / . , /2..u A.Ld~' tfJu ~ ~ $, ~~ ~ ~ ~P~iz> /!!-~/ Icr~t',:S -ro Z~fI--/ o-v.l) 1....:-J) f~ A~o/.1-;/;____). ~ A- ~~ ~,~- ") d ---7.... -Tr- , IJ ~ - - jP ~4~. 1tn.,- ~ ~ -U-Q~9 ~ r R -J- - _ ~~6-1.. ~ ~ ~..{..o I,e.a, ~ A~ I~ ~ ~ ~.'~p4, IJe ~~ liThe 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.1i _____._... .._... .... ...__..,_...____...._.u, ....... .._.. ... .. ..._.._.___.... Tht ("tnltr or tht tlkr Counlr)' White -...B1IilfJin~ C---'danllQ' - ~"lgIneermJC> Pink - ~Ianmng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED j /" : 1 .,;;-'.' ""'j A ./" '.;' : /- -1 ","-, -:~ .<N- <-...-. -) ~~" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /1 //7 ,C.. --... / ,---/ _o./."/ /., ;41-:;;/"e_ I f.?- ) / ,/ /' c.-! I ,I; v , Accepted x Accepted With Corr.ections Denied Reviewed By: Jf!!l6 ~ Date: 2-lf-oj Comments: See' Reverse Side for Addifionallnformationl See Attachments: 1) Grading Plan. 2) Erosion Controll\'leasures "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." Thf ('rnlfr of the I.akr Countr)' White - Building Canary - Engineering ~. - Plannini3).. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / /\_~ . ,. j ./ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: } / / I) ..</0'~," /('...- (;-// ;/ Accepted With Corrections j Accepted Denied -. 2)'../v!llr Reviewed B~ m,~ Date: c::::..O, l ' Comments: ~..A.... ~ ~ fJe:M.A Tt- ~ .L. D ~ ~ ~ ., T.('.fL "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" , ~ Aquatic EcoSolutions, Inc. Ecological Solutions to Environmental Challenges Lakes' Streams' Riparian' Wetlands' Watersheds 16517 Dutch Avenue SE Prior Lake, Minnesota for Mr. David Taddiken Wetland Delineation Report December 3,2004 Number: 04126DT 2116 Marquis Road Golden Valley, MN 55427 Telephone/Fax: (763) 545-0912 16517 Dutch Avenue SE Prior Lake, Minnesota for Mr. David Taddiken prepared by Aquatic EcoSolutions, Inc. Number: 04126DT The 16517 Dutch Avenue SE site is in the SWt;4 of the NWt;4 of Section 2, Township T. 114 N., Range R. 22 W., Prior Lake, Scott County, Minnesota. The parcel is located adjacent to and east of Dutch Avenue SE, adjacent to and south of Green Heights Trail, a westward extension of Park Avenue SE, a southward extension of Pleasant Street, which extends west from State Highway 13 one block south of Eagle Creek Avenue SE in Prior Lake. The adjacent land usage is residential homes. Land use on the property is a residential lot with the delineated wetland. The purpose of this project was to examine the site for wetland conditions and delineate them. The Results section describes the wetland conditions observed on the site The wetland delineation was performed on December 2, 2004 by Robert IF. Merila, Professional Wetland Scientist #1030. Methodology In Minnesota, wetlands are under two jurisdictions: State and Federal. The State jurisdiction guidelines were set by the Minnesota Wetland Conservation Act of 1991 (yVCA). This State jurisdiction is administered by the Local Governmental Unit (LGU) with technical guidance provided by the Board of Water and Soil Resources (BWSR). The Federal jurisdiction is administered by the U.S. Army Corps of Engineers (COE or Corps). Starting in 1996, both jurisdictions agreed to use the Corps of Engineers Wetland Delineation Manual (Environmental Laboratory, 1987) along with supplemental guidance by the Corps. This manual is commonly referred to as the 1987 Manual. The wetland delineation method used on this site was the Plant Community Assessment Procedure of the Routine Onsite Determination Method. The Routine Onsite Determination Copyright @ 2004, Aquatic EcoSolutions, Inc. Ecological Solutions to Environmental Challenges Page 1 of 4 16517 Dutch Avenue SE Number 04126DT Forms (located in the back of the report) detail the three technical criteria (hydrophytic vegetation, hydric soils, and wetland hydrology) as described in the 1987 Manual. The wetland edge( s) were delineated where one, two, or all three of these technical criteria drop out. In order to expedite regulatory review, some wetland edges were delineated such that the hydrology criterion was not met below the delineated edge. At some time in the future, the landowner may choose to have the hydrology criterion below the delineated edges examined more closely in order to "tighten up" a wetland edge that was staked high. This detailed hydrologic study was not part of this wetland delineation. At least one sample point transect perpendicularly crosses each delineated edge. These transects consist of one sample point above the edge, one sample point below the edge, and there may be one along the edge. A Routine Onsite Determination Form (data form) was completed for each of the sample point locations. The data forms describe the plant community, soils information, and hydrologic indicators at each sample point. Sample points are labeled as follows: SP2-TI-LOW 2=basin or edge number l=the first transect for this edge (the second would be "2") LOW=the sample point below the edge ("UP" is above the edge) (additional points on a transect would be "LOW2," "UP2," and so on) Plant species on the data forms were listed by common names, scientific names, stratum, percent cover for that stratum, and the species hydrohytic indicator status. The delineated wetland edges were staked with sequentially numbered four-foot wooden lath and orange or pink "Wetland Boundary" flagging. The numbered side typically faces toward the upland side of the edge. Striped flagging may be tied to vegetation if the lath is tough to see. Blue and white striped flagging was tied on the lath which mark the transect sample points. The numbers on lath placed at the edge or below typically face toward upland, while sample points on the upland side of the edge generally face toward the delineated edge. Copyright @ 2004, Aquatic EcoSolutions, Inc. Ecological Solutions to Environmental Challenges Page 2 of 4 16517 Dutch Avenue SE Number 04126DT Results One wetland basin was identified and delineated on the parcel. The specific locations ofthe edge can be obtained from the surveyor who located it. According to the Department of Natural Resources (DNR) Protected Water Inventory (pWI) of Scott County (Sheet 2 of 2), no "Protected Water" was identified on the parcel. The National Wetlands Inventory (NWI) did not identify any wetland polygons on the parcel. The Soil Survey of Scott County identifies the soils on the parcel. The data forms describe the soil information along the edges. Soils mapped on the Soil Survey include: HbB Hayden sandy loam LbD Lakeville - Burnsville gravelly sandy loams PbA Peat, deep Edlle Descriotion Basin 1 was a Type 5 wetland (pUBG) in the northern portion of the parcel, extending eastward off of the parcel. This appears to be a stormwater flowageway with the water flowing into a stormsewer inlet. The basin was mostly open water or non-vegetated soil with a fringe of reed canary grass. Adjacent upland was mown Kentucky bluegrass turf and a few white oak trees. Some tall goldenrod was observed along the fringe of the wetland. Copyright @ 2004, Aquatic EcoSolutions, Inc. Ecological Solutions to Environmental Challenges Page 3 of 4 16517 Dutch Avenue SE Number 04126DT Conclusion This wetland examination, delineation, and report of the 16517 Dutch Avenue SE site was performed in accordance with the generally accepted methodology of the 1987 Manual at the time of the services rendered. No warranty, express or implied, is made. Ifunavoidable impacts are planned for this project, permits or exemptions from State (WCA, DNR, Watershed District), Federal (Corps), and/or other applicable entities need to be granted before the impacts occur. The wetland delineation was performed and report prepared by Robert J.F. Merila, Professional Wetland Scientist # 1030. " ~9/5l: ~ ;" ( ""-- ( 3/0'1 I Robert J.F. Merila, PWS #1030 Professional Wetland Scientist Associate Fisheries Scientist Aquatic EcoSolutions, Inc. Date Copyright @ 2004, Aquatic EcoSolutions, Inc. Ecological Solutions to Environmental Challenges Page 4 of 4 # : ~ ., .. .'.. ~: ".: ~: 1 .-..'....) -. - - . "':. Aq uatic EcoSolutions, Inc. ........ '.... .. .. * Ecological Solutions to Environmental Challenges Lakes' Streams' Riparian. Wetlands. Watersheds DATA FORM ROUTINE WETLAND Dc I cRMINA TION (1987 CaE Wetlands Delineation Manual) 2116 Marquis Road Golden Valley, MN 55427 TelephoneIFax: (612) 545-0912 '''2-1 ~/.-, .$c-1'f"' hi,.) , I {.#1.J Project/Site: Applicant/Owner. Investigator. I," >1 ~ 1>"" 't---- A-u<-- 56- t>~ --r~J^;~~ ,.ltI ~~ Date: County: State: Do Normal Circumstances exist on the site? Yes Is the site significantly disturbed (Atypical Situation)? Yes Is the area a potential Problem Area (explain on back)? Yes No 'f- No f No r- Community 10: Transed 10: Plot 10: VEGETATION ~I ~ 1"\) l..-c.; Dominant Plant Species (Scientific Name) . 1. f k....J..:..A'\ ~c v'..J""'). ,'" ~.\;-,~. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. t; +-v "",,.o.J ~ , ."")... Common Name Pc.J ~ If. .ro.~.s l/ Stratum \-1 % Cover f....O Indicator ~A'c:.--' to- Percent of Dominant Species that are OBL, FACW or FAC (excluding FAC-). IG>O Remarks: HYDROLOGY - Recorded Data (Describe in Remarks): Stream. lake. or Tide Gauge Aerial Photographs Other .22 No Recorded Data Available Depth to Surface Water. Depth to Free Water in Pit: Depth to Saturated Soil: ~I DOn.) ~ ,,. On.) (I" On.) Wetland Hydrology Indicators: Primary Indicators: Inundated ...2Q. Saturated in Upper 12- Water Marks Drift Unes Sediment Deposits _ Drainage Patterns in Wetlands SecOndary Indicators(2 or more required): Oxidized Root Channels (Upper 12j Water-Stained Leaves Local Survey Data FAC-Neutral Test Other (Explain in Remarks) Field Observations: Remarks: Cover class as a percentage: 6 = 95-100%; 5 = 75-95%; 4 = 50-75%; 3 = 25-50%; 2 = 5-25%; 1 = 0-50/; ?1 "n1_~nJ".NlW..t SOILS Community 10: 1- I -Go-.....J Map Unit Name (Series and Phase): fJ?A- fCdJl. ~ , Taxonomy (Subgroup): t"\ t< -n,...fO , Drainage Class: Field Observations Confirm Mapped Type? Yes No Profile Description: Depth (inches) Horizon b -~ .,tt <{; .r , 'l-- ~ Matrix Color (Munsell Moist) Nil _1.0 1~ '-f~ Mottle Colors (Munsell Moist) Mottle AbundancelContrast Texture, Concretions, Stnucture, etc. . r S 1..A 'tz, s"" ..,..,I ~v1f-(,., S ti--.t.. Hydric Soil Indicators: Histosol Histic Epipedon Sulfidic Odor Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors Concretions . High Organic Content in Surface Layer in Sandy Soils Organic Streaking in Sandy ~Ie Listed on Local Hydric Soile Ust Listed on National Hydric Soils Ust Other (Explain in Remarks) Remarks: WETLAND DETERMINATION . Hydrophytic Vegetation Present? Wetland Hydrology Present? Hydric Soils Present? Yes \..L No Yes $- No Yes 'I.... . No Is this Sampling Point Within a Wetland? Yes 'i. . No Remarks: ".". ."'. .-.-.,..-, ._'. -.,. ,---,----,------ '-..".'.-0-.-"- _., ......__, _n.._.__" . ,.__..._. .________.,.____._ . __ ...,...... ,_..,._. 21501-301coewet ,'.: :~~':::~:l ,-.",::~:, '. P "':..Aquatic EcoSolutions, Inc. . - , , - . .' '. Ecological Solutions to Environmental Challenges Lakes' Streams' Riparian' Wetlands' Watersheds . DATA FORM ROUTINE WETLAND Dc I cRMINA TION (1987 COE Wetlands Delineation Manual) ProjecUSite: Applicant/Owner: Investigator: 1 (, ~') . I) ""''\t.A-.' '--h...e:- Ii e D.........,.~ T"J'.. 14., \ t. ~ . fl., '" ~,.,- ~ ; {, Do Normal Circumstances exist on the site? Yes Is the site significantly disturbed (Atypical Situation)? Yes Is the area a potential Problem Area (explain on back)? Yes VEGETATION ,4"re~.rf '"1'0 /0" u....... .----..- ---'--'. .. .---- ., .- ........---- Dominant Plant Species (Scientific Name) '1. ?...... 0 ~$l4{ , 2. 3. cl)...,<..r,....~ '~b~ 4. 5. 6. 7. 8. 9. 10. 11. 12. No "X. No tr No )C.. l..c. $' ""0...--. Y-'~ Common Name tt-.-.1'"\. c>.- b I v<.tl& """'<: t - ..; \;1"'- \~+c. f:)..Ie- Percent of Dominant Species that are OBl, FACWor FAC (excluding FAC-). Remarks: HYDROLOGY _ Recorded Data (Describe in Remarks): Stream, lake, or Tide Gauge Aerial Photographs Other '(J No Recorded Data Available Field Observations: Depth to Surface Water: Depth to Free Water in Pit: Depth to Saturated Soil: '/... On.) 'f On.) >-- On.) Remarks: Date: County: State: Community 10: Transed 10: Plot 10: '\ 0-. .I Stratum K T' ~o- 2116 Marquis Road Golden Valley, MN 55427 TelephonelFax: (612) 545-0912 ,1-7 '2. /1>'" S""r ^1P ) ,f v(" % Cover ICla Indicator ~c.. - 30 V-~. (J Wetland Hydrology Indicators: Primary Indicators: Inundated Saturated in Upper 12- Water Marks Drift Unes _ Sediment Deposits Drainage Patterns in Wetlands SecOndary Indicators{2 or more required): Oxidized Root Channels (Upper 12j Water-Stained Leaves Local Survey Data FAC-Neutral Test Other (Explain in Remarks) .. Cover class as a percentage: 6-;-95-100%; 5 = 75-95%; 4 = 50-75%; 3 = 25-50%; 2 = 5-25%; -1 = 0-5% ?1t;n1_~n/~t SOILS Map Unit Name (Series and Phase): H.", 8' Taxonomy (Subgroup): 1'"f~~ ... , V Profile Description: Depth (inches) ..p ... I J Community 10: -.--.-___...,_'''.. __h _" __.'___""_.. _ .._. '___~__... " ''''''',va.., l-tu.- ~- "$I> Ca.-'O:;>Drainage Class: ,/ .. Field Observations H"f I....jo-l.~ , Confirm Mapped Type? A- Matrix Color Mottle Colors (Munsell Moist) . (Munsell Moist) ~,,~. ~/~ ...,.- Mottle AbundanceAContraR Horizon Hydric Soil Indicators: Histosol Histic Epipedon Sulfidic Odor Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors Remartcs: '" .. WETLAND DETERMINA nON Hydrophytic Vegetation Present? Yes Wetland Hydrology Present? Yes Hydric Soils Present? Yes Remarks: - '-.., ...", '''.'''''-,.. _.,,-, .- 21501-301c:oewet ,,,..,,,""<'" t .,.. (- Of:;' .' - Yes No Texture, Concretions, Strudure, etc. . y~.~_ c;~ /o.~ .- Concretions " High Organic Content in Surface Layer In Sandy Soils Organic Streaking In Sandy SQlls Listed on Local Hydric Soils List Listed on National Hydric Soils Ust Other (Explain In Remarks) ._,--_., -..... .,--. ,... ,.--. .. ".,..- ,- "'".. .-.. No "10 No -..,( No ")<;. .' Is this Sampling Point Within a Wetland? Yes No y.. .an .... ~__.___"...____._._'" __ ." _. '''.,,__ '.'.. , !'l'\ ::-:::it::;:;:- - ~~.{,.. _!~ ''l ~I Protected Waters Inventory of Scott County Minnesota Department of Natural Resources ( 1"=1 Mile Scale) tN 16517 Dutch Avenue SE Aquatic EcoSolutions, Inc. "I9.It:~F2,,,;..l<)l~\,...: .~..- 1.....I1.~~~~~.!;tPc.. ...~~ \;;"';:...i::.:~, A~f"" b.l\_ ;~('; .' "'" '. ..' D':"&JF'):' / ~~,. ii~. .~ I .... f.;:'~ ,..~'; yr;.~;J'''-~ PfMCo . i.Ij~; '~:t: '<:\.Wf.:;.~.>'..~ '.' ,P~~ :\~xt).(~/ ;>.; ;;,,~~~ h.lOHJ... fr~,::J . - -- J;,l,::~~.~"f~' :;"/i..0<..).- ..~'", ~,.,... 1 \~. ~~ -" ",>;,.~'l'~:~~~::r;f.d~~:f''.~ . ,,~'<G.' ;ii~'~":;::!\; .'. r,'l" ~()l\ ,t_ ..~." .. /,.., " '. .,.;.< if::;'~:'" ,.;;., ,~<,'~"!r]~l,)\(.~ 9:),./ 'l"~~2~:" . A'1rv-Pl; "~O<::..<:If'W.,. ..... :1~".. .'.1:'<' ; .'. ~. I'FOh_7v/ ;.1 '. <~~!' '. "."','., (P'rir-boW' .., . .... .. ;'-' -"',..... v, .. fro'"'' '.ii.!j~.I,.'l:".,~r'f'U; . .':".~' ~.!f..... ./::.:t'i'~;:-.',-. '7". r~M....~...' . 'i';S'f: ..... /~ni:'l";' (Ill."ml .;.,.;~,:~' , ~~~~~" :'.J jJM~;.J~~';t "'J, ?' 'i;'t,Pi'ij.// " C \.,...,/ /'1 er;; Y'n'iP~~~'.)i~'ll .."'. ~J itL1t:. .'. i., /).,] i~_- n:, d' p 'VIe (-,. . "nj, Ii' ......':J.1]<, , ",,,,-:;L- 'A"-'~ 1"tM~ I . . ,.-. '. :t~~L~b~~'~:'~~~J'.i~~;~F ;;'/>\. . i '?J= ~F~l APE~.~~ Ii ~ff.OI~,.'1~. . ,~..Y 7. UU.' B.. H.., . '!<, ..H~' .~ ~.' PUeB."""",f7.. >-- , ". :~M( (' ;,. :'-. ~!reMe..' G-. t:f:.MC.~ : (fr- o' . 'x^ I ,Hi;;':;', t <;~ 'IX' ~E.M. /\ . . ' _ '<,. National Wetland Inventory us Fish and Wildlife Service (1"=2,000' Scale) tN 16517 Dutch Avenue SE Aquatic EcoSolutions, Inc. (" o o o o o o o o o o o o o o '0 o o o o Soil Survey of Scott County Natural Resources Conservation Service (NRCS) tN 16517 Dutch Avenue SE Aquatic EcoSolutions, Inc. .1 I II " n o o o o o o o ,0 o o o o o o o o o o Approximate Edge Locations US Geological Survey Aerial Photograph tN 16517 Dutch Avenue SE Aquatic EcoSolutions, Inc. .1- I Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please type or print and sign at bottom) ADDRESS '65 \ '1 \) ~\-('_~ }\vS ~ ~ ~~~:w ~ii~ I PERMIT NO. /:; -- I 5 ....., I 3. Gold Applicant <::--7 00;. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) c::: ~ W ~ '" ~ f'( \t" It \:+ (Address) (Contact Person) '-- 0\ i'\ c.. €-/l C..c 0 r ~~ APPLICANTSIGNATUR~ ~ ~ APPLICANT (Name) C.a Q ~ \ r-J (Address) 5 D R q . (Phone) -9-..<:; ~ 4 ') ~ ::t. '1 ( ~ (\1 (() u 1'U) C;-c; J b L-l (City) (Zip Code) (Phone) b I ri., ~Lf 0, tb )..2. 0 DATE -->.~ . ,,?- ~'O S APPLICANT PLEASE COMPLETE BELOW Size of water service t 1" inches. Location of any couplings from structure ..;If feet. Type of sewer pipe. 0 ABC [B1S"vc 0 Cast Iron Estimated length of sewer line 30- 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 Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date pa~'IJ3/d<J Dat~ ~dOt- S- Receipt No. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 By ~ III U- 'I ' . PR 10 R LA KE DEPARTMENT OF BUILDING AND INSPECTION . INSPECTION RECORD SITEADDRESS 1~~17 DUTc.H ~€Nu. J.E-. NATURE OF WORK N~w MII~a r -S:-OCAt'OAT'OA tJIJ""". ,,', USE OF BUILDING $'. ~ I> .. . PERMIT NO. D~6152- . DATEISSUED1JB/os . CONTRACTOR ~ ~ ~)oHON~'ll. 'lJ'. .&014 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~ DATE I FOOTING lkJL p<<JI-r'S5 '-(-;q-I!s" I / V I, C./ I 7 - Cf-o.r ~ FOUNDATION (Prior to Backfill) J rill./ J 1- It.}- ()~- ,,-.., f'~ Pb,ACE,Jj>, CQNC~E.TE UNTIL ABOVE HAS BEEN SIGNED ~~'~ V.'W/l1u."~ OUGH - INS SEWER I WATER I SEPTIC FRAMING [.,tr M'..s ~ 'Yo$" INSULATION ELECTRICAL PLUMBING /1, (:t !lilt L//;/~5/ r f re 'red GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lucrH~ II-\o~SfW.~ I I FINALS )\ If?-" ~ )7 /)// GRADING (Prior to Sodding) BUILDING ~~I\ BEFORE l:C.o, ELECTRICAL PLUMBING HEATING DO NOT ~ )~~ 'C.- ') ,-a; I ~, J...~' os" I OCCUpy UNTIL ABOVE HAS BEEN NOTICE lor - k"-()S SIGNED This card must b.e posted near an electri"81 service cabinet prior to rough-in inspections and maintained until all inspectionsJlilve 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 -~---""~"."'-""."-~--~~~'.^"-"'-'"""'<---~~,",,,~-~,"."'-_''',,,,.._'..._,- dlerfifirafe nf @rrupanrl! CITY OF PRIOR LAKE ;!Elrparftttrnf of ~uil~ing Jf nsprtfion tfi Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY 05-0152 Use Classification . Bldg. Permit No. R3 VN R1SD Occupancy Type Type Construction . Zoning District L 1 & 2, EX E. 25' OF 2, SPRING BROOK 16517 DUTCH AVENUE S.E. Legal Description Owner of Building. Site Address ALL AMERICAN HOMEE, 4165 SHORELINE DRIVE, SPRING PARK 55384 Contractor's Name & Address A // ROBERT D. HUTCHINS f/ (1// JANE KANSTER / _ City Planner Date: (, .10~dOS~al Date: _. ~'..'~ ~, CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I GSlt r ~k0 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: .s -t- r Ole ___ /' /1 ^ ( ( J [/.:)-< \ '-- DATE TIME ~. ~-,,~' ,4,-",- S--/S2 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o - r/ Ir(, " -.... ) ~ ---- ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING M' Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ~,.,-.--~..,.-..---------"''''''''''''''''-'''~''''''- ....,.,~.". .. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /CQ7 OvA tt 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 ... PLUMBING FINAL e1IECH FINAL COMMENTS: ~ t1);,J i:v htuL IJ h1Y (1/(lIIIIIh,-"., +1 ,....,..",,..~ .f-.- pIA f;.~ ./hIi\-h!4j at DATE TIME ,)-~)~ S--I rr o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o (."~If I o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED tJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 1ft, . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED S'-zs~ 2~ ADDRESS ~ 51.L.]J.,k,t, #vt OWNER CONTR. PHONE NO. PERMIT NO. ~-1S1.. ~EXI~ILLING o COMRAiNT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: _ ~ck- e;( Cutb&F-- oK- /h e., ( ~ Ie., J., E rOs,(;V'\ (1?/A ~rJ I , -- TnaStJ, ScJ-~,~-q;- .~ WORK SATISFACTORY, PROCEED / ~RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector~ ". 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 TIME SCHEDULED (i. I )--..-u ( ADDRESS 1/. (.-.~ . to' v I .I ()u kl--1 OWNER CONTR. PHONE NO. PERMIT NO. o.~- . 2..(. (I o FOOTING o FOUNDATION o FRAMING o INSULATIQN p..PINAL / ~fL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ---- /.: J------ / I.~- ( ~U.)C- ~ ~ ~ .-- - ~ 1_,'/ l I'~ / / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~~' ~L FOR REINSPECTION BEFORE COVERING Inspector: V V V Owner/Contr: , CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl