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Cii o z 0 I 0 O;u S CD -4 TI -I Z CO ;:tl is > is ::1!; ~ en ~ ?' 0 0 Z -I Z 0" TI 0 > 0 mm ~ 0 > Z .~ ;u r r c ~ -I TI "ll "ll ~ :r: 0 ;:tl ;:tl ~ m ;:tl 0 0 000000 Z ;:tl 0 0 ~ m m m m 3C"llen:E3C"'D >< m m ~ -I Z C C mr~)limr en OC -40C i ~ z ~ "ll :r:3C m:z:3C "'D 0 en en m T1!!!;:tl;:tl;U!!! m 0 0 Q ~ "'D 0 ZZ:r::r:-Z ;u Z ::t ::! m !!! -I >Ci)00 Ci) ~ -i ~ m ~ 0 (; is rTlOO ;:tl ::j ;U 0 ~ -I 0 Z -"" - " C (5 3- l:D ZCC Z ~ r Z :-! m ~"ll"ll p m ~ TI ~'f... 0 N 0 ~ ~ ;:tl :r: m (", ~ 0 0 '> C ('"'" ;U 0 ~ < ~ en m 0000 of ~ Z ;:tl Ci)T1T10 ~ C Z > > >:6:60 f -4 R- 0 G') l' m ne rn ~ ~ _"D"D"D -...& Z!;!;!; ~ Z moo- ~ 0 ~mm~_ !" ;:tlTl;:tl r -4 -1-- r i enZ z rn -I~ Ci) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ADDRESS f5t}{) t.-();e..o.5 S/RA5el LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) Date Rec' d +. 1/ c'b I White Pink Yellow I PERMIT NOO~. 033 z+ File City Applicant ZONING (office use) (Phone) (Address) BUILDER (Company Name) (Contact Name) ~~::: z;;- J704- Z8{1 TH ST. vI}, Nt: I'll PRAC-: LIt=:: (Phone)9sZ--1'5.B. Zf4-z.. (Phone) /1A./ 5(j?o7/ New Construction DDeck ~Porch ORe-Roofing Addition DAlteration OUtility Connection CODE: ~I.R.C. DI.B.c. Type of~nstruction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 (Address) TYPE OF WORK ORe-Siding DLower Level Finish ~ FirePlace(Z- o Mise. PROJECT COST IV ALUE $ (excluding land) "/5-0 6(;) 0 J I hereby certify that I have hlrmshed mformation 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 fllf the ahove-mentloned property d that all cons 1 tlOn will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the huildmg offiCial can revoke tlllS per for Just cause F rthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectllns '1 /1 x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee $ $ $ $ $ 100,oC) OD. 00 35. $"0 0, Co Sewer & Water Permit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Permit When Approved ~~ 5/t L? l4 Buildl1l~ Uftlcial Contractor's License No. Park Support Fee SAC $ $ $ $ $ $ $/5"00.00 $ $ # # Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # Builder's Deposit Other TOTAL DUE MUCO ...0: i. OC. Paid Date ~f' 7V '1. 0(. Receipt No. By ThIS IS to certIfy that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. TIllS document when signed by the C1ly Pia ner constItutes a temporary Certificate of Zonmg complianee and allows construction to commence Before occupancy, a Certificate of Occupancy must he issllcd ~ Ght-~~- 5~o-r- Special Conditions, if any S-I-Ob Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 CITY OF PRIOR LAKE DEMOLITION PERMIT Date Rec' d 1- /I{,~~ I PERMIT NO. O~. 03331 (Please at bottom) ADDRESS ZONING (office use) 4-56 () --e -- -- L () /C?--O 5 I Ie -t:::.- C / /2/50 j::-tl-w/z/fj/-j LEGAL DESCRIPTION (office use only) . LOT BLOCK ADDITION pm 2-5. 135. {} I (> . () OWNER (Name) (Phone) (Address) CONTRACTOR / ~ "- ) / /) <<: /c: <).$- (Company Name) cl L~'L.-[ ~ L:-' -<.-. (Contact Name) (Address) 17L' 4- ~ 0 rl1 5T (Phone) ^J5lJ. 2- fi 42 (Phone) /1/ /-'k!/7 ~ {j C; n IV .s C' {17 / Use of Building: SF:D. /'I<.e. INTERNATIONAL BUILDING CODE Type of Construction: I IT ill IV V A Occupancy Group: A B E F HIM R Division: 1 2 3 4 5 B S U MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION ~ 11/6 c.. 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 h",by ,,,,eo that th, city ,ci><1 0" de" "may ",to< upon th, pmp"'" to p"'orm needed in'P'oti~/;, lOb Date This Application Becomes Your Demolition Permit When Approved ~~ Building Official <lj;7~~ Da{e Ic~~~O ~5K (!~I0-=H-2-1ZCZ.(I/'/ .SAPE) /1-. I / Ct~ - -jldL/ ,/ This is to certify that the re uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested_ 4/ J8/D& I Date Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 White - Building Canary - Engineering <;::}'ink - Plan~ 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" /" /\ / i'~"/ ./~ 1# ;' / .~. / . .......... \,.' l Accepted x /~ t ! ( Accepted With Corrections Denied Reviewed By: ~ ~. Date: S - / - 06 Comments: ,l./f; ~ ek.v~",,~ wlJ ~re. /S- -ff::. fi~W\ .5-4-"u.7!:tAYe. WI(,l.SE: if!. "'-1\ ekv~~^ ~ 9/JJ5. r' ~r fjJ'&- rf/l1A ~QyC- /tI~.sZ""k c~r~e .6~r41 rCQ '5-sueL ~T, '"r .It ~ Air l;vnilltioner".:;,~,tl vtner l'i'leCIU?.:rr;"c:,- Units Cw....1rJ.ot Encroach into Required Sl(le ^')[;SLl~fi SK~t1}~1.~:2,;L3 "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." c:a -BUil~ anary - t:nglneering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED G; Ee OLD, 8 /COS . ~. /1 O(p The Building, Engineering, and Planning Departments have reviewed the building permit application for con~truction activity which is proposed at: /C4' p/J /CI /t N e1500 L_ O~:.oS' .s //eEc / IN{!.,L- vOeL) D&fL1t)L / '77 oAf Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Comments: ~ aLl ~_ ~Lo-J ~ /" - - - -- 0". r(J~' A:I- ~ ~ A~ ~-;at?~ ~~ ~~~-fk~~ (1(cnm.- k~ hi ~) a..ut ~ 9(J'j, '1 'Mfn.~ po-..::; ~~,;2~ ~~ ~?<~~~ ~ ~ Te,a. ~ -t~4''''l..tJ, ~ ~ 0:J. <'- ~ Date: 7' f-( fa" /) 0 . ' (~~ ~~~A1- , "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." ~~A - ;~lIdl~ . na~ - Engineer Pin - ann ng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED QE120LD EICOS. 4-. / /. 0 & The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /01 PI"1 ~ /TN C;-500 LO~S S//e6t;.'/ /N(!,.LUOer:;; OEI'-?OL 177 oAf )( Accepted With Corrections Accepted Denied Reviewed By: /YJ1f;, Date: '1..-:<90' Comments: See Rever~e Side for Acklition81 Informationl .... See Attachments: 1) Grading Plan, 2) Erosion Control Meas~es. .; "The issuance or granting of a permit or approval of plans, specifications' and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ., ..,,,... CITY OF PRIOR LAKE HEATING/AIR CONDmONINGIFIREPLACE PERMIT Date Rtc-'d I ~";;;;"Zi5':,"'~":Js H IV F I LEGAL DESClUPTION (oJlicc Uac mly) _ LOT BLOCK ADOmON ~ =-.. S- I PERMIT NO~. 33~ I I I ZONlNG_.., I PID ~::c:f G e~o IGl gy-C) +-~ elrS (Addresa) JlfOCj E. fV1Ot/~ sr - P.O- gOY: /~X (phone) 4 ~ d - 759; - d g LJ d r, LLe fYlt"\ S Q ~:~F(o~~or" F/'rGflv..c~ ~S+-eV\.G (Phcne) 7{J - 7~t - 'd:J'11 (Addttu) ~d ~d 4.... H-\vV" st. rv[. StJ~;-t"'!. L"K ~ Pc...v k , 1'Yl h S5 G/"] d (AddlIJI) , '7 (Citr) (ZIp Code) (Cont.\ct Fc:rxln) f yh (:.t W ~6ev (phont) DATE c>g-'/ClS /66 APPLICANT SIGNAroRE APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION REPLACEMENT 0 At TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE JUmJRN OPENINOS 1NPUT OUTPUT "l"YPE OF SYSnM HMnNO OR POWER plJ\NT ~ ~~..a Rldlttloa SpccAll DcYICa l-H~}' /V/~~O~~lX 1- J-'~ J 't:. ooo,(:-O.4{ PLOSE Non; Air CDDdltiaoer Unju CanOl Eoaoecb blo Jlr:qulre4 Sldt Yard SGtbacl.:s FU SCHEDULE ill a. MlIlti-Funl11 1% of job COlt RaidalliaJ. Oa Fuqal~ $19 50 aaiai1num RUldcmW. l-IcatllII4; Ale (NG1W ConRNaion) S9'J 50 acAdccuaL. Ml1ilicml ~ Alta"llions RCSldRlUai. H~U.I ON] (New~) S64 )0 ~QJUI1. A.C OIIJy S19,j(J D',o J)9,~ EstDnucd Cotl S Buildias PtnIU1 " HEATING PElUtnT FEE ST A IE SURCHAXoe TOTAL nRMlI' FU s s s (00Sn UK 0.1,) Tbis APl!lk:lrioll Bcc:oma Yoar BGiI4iac Pawtt ~ Apprvved -SQ PAID WITH BU'LDI~G_ PERMIT I~~o ~ 0!Iiaal o.a !~ :u ~.u..uc. fw..~ (m) 447.9t5Il, rn~) "7~ 10 /1G 3:l\;;id dom~OJ LGC::LL 1LE:9L 9C:::r1 9GGC::/SG/BG MAY-24-2006 13:41 CITY OF, PRIOR LAkE Cl'n- Q~ PRIOR LAKE PLlJMBIN(.i tY~l'nJ.... .. .. 9524474245 P.01 \ t~L ~~,,~, ~ERl\11T NO. {J~33J- ~f~;l'e~~_.!!I.9m.&~ttQ..~)-----~.""---'-~'--'''--'''-''''''.'---.'-- ] pn- _..~ \ ADDRESS L=~ '''''';_1 _.-_-~~~J~:!:-.!!f.------ iLiiOALDESCRlPTii5j:i(,';;:;'", .",l -..----------..---------- ---~--J l...loO~_"I.O~DrnOl'l .__--.-----_~_1!2~ --.- \,~~;R--- ;;'d 7~-.-.----:---.-.. Phon' ?:z - 75.?~ \ (A'~~:~ -c --' ~-;::;::- ( ) 3- -----1 l_(i::!_!iL--~~ ~~ <<:----.--- -----.--- - r;-;--.-------.-----------------~-~- -.----- ~;~r:;::..~--~../1:k~~~..e' _-- (~hoa.) __3!2Z- - 1f.t:~~~ (AdM.,,) __-k..t..Q..e5..- / /; ~ ~L~~~ ~ .::2!:?.z (Add....') ~- (Ci,Yl (Zip Old') (CM",,,p,,,on) _---~n __-- (<'hoa') _..uu-;z.z,1_-:J[f'..f5. _~~~~T$]g~~-=--.a~-~~-~TJ r~~~~ Ar.PLlCA~T Pl,E(\.SE COMFLETE BELOW .- Q'~~~.ty ~ _ ---I!l~~~='l-~~J'::--- Tytl. .fF\".!~=::: ~ B.th Tub with os withau, ,how" Rougll-ins' '-'---7- DI'hW"'l^'----- ----------- 'W.w, He"" --- ---I FiOOri')s<ili1--------- ._--1--. W.te,Sol\ner -------- .~-=-_ . ~IYJE.rl,,~-sin-.r-.::-----..-..t---I- S,andPipe (W..hin~ Machin.) ___--L L.undry r<ay (I o~~rtl~'-at ~!!k .::... _~:...:.== Sow.g. Ejector -:-=.~::--=-- _2=- ~~o~~" ~.___--- ___'-'-- E""I'f1~~bly -~~~.- _--- ,,"~ B.c~l1oW N<embly Tes< _ EarSiak ---- ..-- .-----r:;;;;,aS rinkler -,--.--- ------:3 W.,,, C\o.Ot (TOilOi)-------- _-.L- Other p ----.--. ,-- - ---_._~-- ---..---- - --, --- FEt SCI!EDULli', 1.,,,,,;,1, Comm,,,;.1 &. Mulu.(,m\l, \% ",ob "'~ ",lID' ,~9_50 m"imlun Reo""ti.i, ",'" 0".. rwo-V""ily '19"_50 Rl:~idc\il\~\. I>.dditiOM &. Altcr!\ti/,\l1l pl).50 Estimated CCl~t $ Building Permit # .. -------- --....---...--... (Offlr, I)~( O'~l)" .-.-,- [Thi~ A pt.'lB~~ti(')I\ B~(:l'I1~~ )' 0:; tluUding 1P(!r~~~;A;~~~-"j' tPOid.=-----r:oceiP' N'~=-_ _--=--",,,,,,,omd'~ __ _....-_.- D'" I By - ___-- .._---..- __~ J_----.-,.-- 14 Mllr MIke fl)li'!1l h'l~p~diJ!lJ;l&: (Q~~) d.il".Q~50, fl\1( (?51) 44i-4.1oiS pr...UMBtNO PERMlT FEE ST A l'E SURCHARGE TOT At, PERMIT FF.,t $ $ .------.-jO _.----~--- $ ., .., -.-. ~ U:34 .CITY OF PRIOR LAKE CITY rJI" 1""1'< 11..1:": ,~,-.r",-, 9524474245 P.02 J~1dt. R~ I d CITY OF PRIOR L,AKE IlEA TINGI AlR CONDITlON!NGIFmEPLACE PERMIT ~:~;~rd.g fiE- ~- t~ 1!i._ll'ltQMlTNO.{)~=r~~ -=-= rzO::'-~J _..---.__'..._v.... LEGAL DT1,sCRIP.'t10'N (aftit.';<! 'Iftll only) --,..... ~--..-~ ....~ .-1QT aJ~e..CJs;:. ~v;:;,~~d.k~~- e- (l'bOOO) ~"- - . .J N.Mrs.~'>-~W ~~~~~-~ .-_.~- .-..-.-. AOornON _--.-------r----------' Pm ----.... __.--..----.....---.-.------.----..--M ------,.....~ ~v.~-ut>u-#.. ~'cJ .__ t;!'booe) 97'J!--YY';!'-Zj!.7"C;_ [~"..) .-EOb,( Ld~;;-~ ./'11&---- CTo..;:-d.......... hA--- ~ (~;I (Cl1;y) C?Jp 1::0i~e) (C,,,,,,aP,,,on) __-..M":J------- (Pb""'.l- b/Z-~/:z2'f..5 Al'l'LICAl'IT Sl~TtJllll _<"':'2~~ DATE ~ .!'f - 2:i.::..1~ APPLICANT M...RASE COMPLETE BEl, oW .,.'_ -~EWCONm1JCnON' [lREPL.ACSMENT-"O AtTBRAT.lO'NS - . FURNACE MAK'B AND MODEl.. _~t.:k<--LP421?l) --,'-"-'" FUEL ---.----- fLUE STZE. _'_- RETUl1.N OP11NIl'KAS __.-_--.-' rNPUT _ QtJ1'PUT ------ rm Of SYSTEM HI?A TING OR ?QVlF..R PLANt _.-~,- OWmn Air ~l.~n~ 8 S~l\':1)rp fL~mr. r,.IO"ft'E~ c:l<~ [. '10' WOW A< COQdill'"" v",. ...f.31iii~hF.l,,"lr.n.l 0 'RJ!lUation c",1lnot EClr.:t'a-lI1<lh Infn _~01l<lit.io!\il\lli 0 Spacjlll D~ce$ .__.._.. RequirM aiAr. Yate! Ovent Sy.!l~n 0 Oth&\r [Jf:'(,,.lol:\.'t _" SSl.baclc3 FlJ.r~'pj....ACS MA.KE J\NP MODEL _"w. ,-, ...... -- . _...--.0\.....-.....:..::---- ~ ;:::.. ----. lrl(!UStrlll.l, Com~rc.iallt, M\tlti-'I'IlmI~ Re~rlcntIBI. H~9.1(nf. r'l Nt. (No~ C(IL~W'lC~Qfl) ltt!idnr\~~1. Hl1'4tlTl!!. Only (NL';W Cun!tt(l1Ctlon) "$ gcaEX>Ul-,F, ,% OO'jn.b \",(jgl TI.P.~ldc:!I.tlo.t, QlIFo ri~IMe ~;'~~.50 1111nlml\m .~99.S0 Rl:1:Ii(\011tial, Mlrl\1.lcm~ 8t. ^I~ti.ol'lli ~M..50 ~I.kinll~t.. AC Only ~3\).~O ~!I~O ~~\ljO E.'>tjmat~d C:o.q~ $ ----...-........,..... iNilcUng PElrmit #- kffiAWG l'E~M..n FEE $ 3 'I, 50 81' Are :ltIRCtJAAt:jJ,:l $==::i.i:~ TOT. AL rERMlT ~EE $ If) r'l (O!',(it~ 1)$II)II.Gy) --.- .- .J..JjG.V~ [ :~_:~"~ _... Yo"r Dol~.rmJ' ,v>;. ~PP"'~ t::~_--F~C~~ H/~. --~ ~ I ....;.. ""'~~ . ",u'- ..-- I IJ.. ~ ,,__...~..___.. _ ___.-.- J M n~~r I'\ll.j~ ~ aU lll~{l~UaJU ~5Z) 4Jl.7~:)!i!m."'-X (lffill M,7..~5 .. - In?All'l i.RI~. CK'\.~k. A"'~'(I" Vrficll' !_~~,!-'O'I 563'-n., TOTAL P.02 .-.---- -=::r=~. Impe~:~;u~~~~~~tions i~l~~!~ ~ ~U: \~\~ (To be Submitted with Building Pennit Application) . F or All Properties Located in the Shoreland District (-' The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address ,/G t:?O /L//2.0S :::;/ kEET Lot Area Sq. Feet x 30% = .............. ................****.**..*****...***.*..**.*.**.........********.*..**** HOUSE LENGTH It? x 32 x g#, G x ATIACHED GARAGE WIDTH 26 = /oZ.zt;; = zg SQ. FEET 260 .:32.12. ~6LG = TOTAL PRINCIPLE STRUCTURE...................... '1-197 DETACHED BLDGS (Garage/Sh:d)t ~;J? ~/TT !bV:S6' , x ?L? x ZtJ. Z LjzJ~ TOTAL DETACHED BUILDINGS....................... tit? 4- DRIVEWAYIPAVED AREAS (Driveway-paved or not) (Sidewalk/Parking Areas) 21. X Iff x X 36 8~ 66f' h/Z = = = TOTAL P A YED AMAS......................................... /'17,1 . PATIOS/PORCHES/DECKS x = (Open Decks W' min. opening between X = boards. with a pervious surface below, Ie? bB 68t:? arc not considered to be impervious) II X /4 = /61- TOTAL D ECKS........................................................ B3Lj OTHER 6yZJcJ P 6 X X /0 6CJ = = TOTAL OTHER....................................................... 't:J TOTAL IMPERVIOUS SURFACE I 'i2:J/ UNDER/OVEn . I 2>061 prepared~ Date 'I/q/o6 Compan{1ERHt4 tiE" UfI.J) 6v;:eVEy'~ k.Phone # 762 -~ - f/6/f -:: ]:::5 West 126th Street. Suite 500 . Savage. MN 55378 PHO:-JE: 952-890-7366 . FAX: 952-890-5883 [T = = CO INSTANf TESTING CONIPANY Gerold Brothers Homes P.O. Box 128 1409 East Main New Prague, Minnesota Cofy ,+~~ c\CA ~I (\ c;~~ ~\ \ J-<\ :\ @ CAt ANNIVERSARY I 2003 May 9, 2006 ~J/ 56071 ()G- 33>L RE: 4500 Lords street Northeast Prior Lake, Scott County, Minnesota As requested, site visits were conducted on May 5, 2006 to evaluate and test subgrade soils for the construction of a slab-on-grade single family residence located on a lake shore lot. It is our understanding that a previous residence was removed from the site, and no subsurface exploration has been conducted to date. 5/4/06 (6:36 A.M.): At the time of the inspection, the west and northwest section of the proposed build area had been excavated, removing saturated mixed fill soils, and other unsuitable materials. Excavation depths averaged 2 to 3 feet below proposed footing grade, with a deep, water filled section, near the pad centerline exceeding 4 feet. Soils at the base of the excavation consisted primarily of near optimum silty lean clays with, an isolated area of granular in the south west. To evaluate the relative strength of the soils, a 5/8 inch diameter smooth probe was used to penetrate soils at random along the proposed footing lines and across the base of the excavation. with full body weight applied, the probes indicated a upper zone of lower strength soils increasing in strength at depth. - Maximum probe penetration was recorded at 12 to 18 inches within a 11 foot section of the west footing 1 ine were above optimum moisture was observed.. A 1 3/4 inch fluted handauger probe extended into the deep water filled excavation near the mid-point of the pad, indicated soft saturated soils an additional 3 1/4 feet in depth. Soil exploration was expanded by test pits excavated within the northwest and east sections of the pad. Soils at the base of the excavations ranged from a moist silty/sandy lean clay within test pit #1 in the NW, to a blue/grey silty clay at test pit #2 in the east. Probes indicated penetration at 16" and 8" respectively. To assess the relative loadbearing capacity of the soils, 3 dynamic cone penetrometer tests were conducted within test pits or the excavation base. The dynamic cone penetrometer (DCP), uses a eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in millimeters per blow. From the DCP readings, a per blow, penetration average was recorded and a N-value derived. This N-value, is an empirical relationship we have established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard penetration soil boring test. Test #1 - Test Pit NE Corner (Approx. 2' Below Ftg. Elevation) DCP Depth Per Blow Avq. / N-Value Estimated Load .760 MM (27.0") 39.7 MM / N-7.7 2775 PSF Test #2 - Test Pit East of Pad (3' Below Existing Ground Elevation) DCP Depth Per Blow Avq. / N-Value Estimated Load 740 - MM (26.2") 40.0 MM / N-7.7 2775 PSF Test #3 - East Ftg. Line (Excavation Base 3' Below Ftg. Elevation) DCP Depth Per Blow Avq. / N-Value Estimated Load 662 MM (23.1") 33.3 MM / N-9 3275 PSF 5/4/06 (1:04 P.M.): The contractor had expanded the excavation to the east garage footing line removing unsuitable soils to the underlying cohesive soils established as an acceptable base by observations made in the A.M. Excavations depths within the south section of the garage footing were at approximately 7 feet, to remove an abandoned sanitary sewer line. Probes conducted at the base of the excavation indicated acceptable soil strength. After our A. M. site visit, the contractor uncovered a septic tank, of masonry block construction and a undetermined depth. The tank at 5 feet in diameter, contained water at .approximately 5 feet below the top ring. The contractor will remove the tank to competent soils, and backfill as part of the pad correction. Soft saturated soils at the west footing line, as observed during our morning visit, were sub-cut approximately 1 foot and backfilled with a medium/coarse sand. It is recommended that during pad correction to the east, the contractor call for an additional inspection of subgrade soils and compaction testing during placement of engineered fill. Our observations and subsequent soil evaluations on this date are limited to the depths of the excavation, test pits, shallow probes, and dynamic cone penetrometer tests. We therefore, are unable to assess soil conditions at elevations which may be encountered by soil borings conducted as part or t d investigation. a s an ard subsurface geotechnical Sincerely, Insta~~ Testing Company ~"~/~",(/ -/ (/ V/j"'- _.'/~??l/7 Gary S ndish / Senior Inspector ,/ I #701 - 1/ #605 -131/4/ #306 - 3 (DCP) / #612 - 28 GEROLDB2.DOC ~ -/ ! __ I / I ~~_~ (W~~ Dennis Odens, P.E. lIto I".STANT TESTING C"MPANY 7125 West 126th Street Savage, MN 55378 (952) 890-7366 FAX (952) 890-5883 Soils Inspection Report May 9,2006 Gerold Brothers P.O. Box 128 1409 East Main New Prague, MN 56071 . Project: 4500 Lords Street NE, Prior Lake Date of Inspection: May 6, 2006 @ 11.33 am Inspector: Ken Schaaf, ITCO A technician from Instant Testing Company arrived to perform a visual inspection on an excavation of a proposed house, Approximately two to three feet of highly organic soil had been removed to expose a . fairly soft clay base which was saturated with water and offered little resistance to a % "steel hand probe. The base level was not much higher than the adjacent lake which indicates the clay has little chance of ever drying out. With a minimum of six feet of controlled fill the soft base should not be a problem in constructing the slab on grade house. All of the fill was being imported with a good sand layer covering the base to 18 inches with a good clay loam following the sand. Copies To: Charge Code: Soil Inspections Mileage #602 #612 1 15 Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating frost combined with a season of freeze-thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either granular of fine-grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or technician. ,nsm/J9~ Ken Schaaf, Soil Technician lIeD INSTANl rESTING COMPANY 7125 West 126lh Street Suite 500 Savage, MN 55378 · (952) 890-7366. Fax: (952) 890- 5883 DENSITY TEST REPORT Gerold Brothers P.O. Box 128 1409 East Main New Prague, MN 56071 Proiect: 4500 Lords Street NE. Prior Lake Date Tested: May 9, 2006 @ 11 :53 am Ordered By: Customer Reported: May 12, 2006 Field Technician: Ken Schaaf, ITCO Inplace Density Test Remarks: Test Number: 1 Location: 12' north and 3' east of garage comer Deoth Below Grade: 6' Visual Soil Class: Clay loam Proctor Curve Number: 06-01 Percent Moisture: 15.9 Ootimum Moisture: 10.8 Relative Moisture, Percent: 'J47 Field Density, PCF: 119,0 Standard Maximum Dry Density, PCF: 118.6 Relative Densitv, Percent: 100 Required Minimum: Copies To: Charge Codes: Density Tests 1 Charge Per Test Mileage Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter, Penetrating frost combined with a season of freeze-thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either granular or fine-grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or technician. , #601 #306 #612 1 1 15 ';900' ~/ p,.2- Gordon J. Kopacek, Professional Engineer - Registration No. 7254 IJco INSTANT TESTIN.G COMPANY 7125 West 126th Street Suite 500- Savage. MN 55378 - (952) 890-7366- Fax: (952) 890-5883 Proctor Test Report Gerold Brothers P.O. Box 128 1409 East Main New Prague, MN 56071 Proiect: 4500 Lords Street NE. Prior Lake Date Sampled: May 5, 2006 Reported: May 12, 2006 Submitted By: Ken Schaaf, ITCO Performed By: Ken Schaaf, ITCO Standard Moisture/Density Test Curve Number: 2006-01 Visual Soil Class: Clay loam Standard Maximum Dry Density: 118.6 Optimum Moisture: 10.8 Representative Of: Densj!y test 1 Remarks: Copies To: Charge Codes: Standard Proctor #303 Sample Prep #301 Signed Gordon J. Kopacek, Professional Engineer - Registration No. 7254 .~l/I P j::- ,"I , ~~ .~ ;{ .IJ to INSTANl rESTING COMPAN'T 7125 West 126lh Street Suite 500 Savage, MN 55378 - (952) 890-7366- Fax: (952) 890- 5883 . DENSITY TEST REPORT Gerold Brothews P.O. Box 128 1409 East Main New Prague, MN 56071 Proiect: 4500 lords Street NE. Prior lake Date Tested: May 8, 2006 @ 9:58 am Ordered By: Customer Reported: May 12, 2006 Field Technician: Ken Schaaf, ITCO Inplace Density Test Test Number: 2 Location: 21' south & 36' west of northeast comer Depth Below Grade: 4' Visual Soil Class: Clay loam Proctor Curve Number: 06-01 Percent Moisture: 18.5 Optimum Moisture: 10,8 Relative Moisture, Percent: 171 Field Density, PCF: 113.0 Standard Maximum Dry Density, PCF: 118,6 Relative Density, Percent: 95 Required Minimum: 95 Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating frost combined with a season of freeze-thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either granular or fine-grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or technician. Copies To: Charge Codes: Density Tests 2 Charge Per Test Mileage #601 #306 #612 1 1 15 /li~4a'-" p.-C- Signed Gordon J. Kopacek, Professional Engineer - Registration No, 7254 .IT'= =CO INSTAN1 rESTING COMPANl 7125 West 126th Street Suite 500 Savage, MN 55378 - (952) 890-7366- Fax: (952) 890- 5883 DENSITY TEST REPORT Gerold Brothers P.O. Box 128 1409 East Main New Prague, MN 56071 Proiect: 4500 Lords Street NE. Prior Lake Date Tested: May 9, 2006 @ 1 :50 pm Ordered By: Customer Reported: May 12, 2006 Field Technician: Ken Schaaf, ITCO Inplace Density Results Test Number: 3 4 Location: 34' east & 18' 51' west & 19' south of south of northwest comer northeast comer Depth Below Grade: 0.5' 2' Visual Soil Class: Clav loam Proctor Curve Number: 06-01 Percent Moisture: 20.6 19.2 Optimum Moisture: 10.8 10.8 Relative Moisture, Percent: 191 178 Field Density, PCF: 113.2 114.0 Standard Maximum Dry Density, PCF: 118.6 118.6 Relative Density, Percent: 95 96 Required Minimum: 95 95 Remarks: Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a single winter. Penetrating frost combined with a season of freeze-thaw cycles might loosen soils to the depth of the frost. This applies to fill composed of either granular or fine-grained cohesive material. All pads left exposed for one winter should be inspected by a geotechnical engineer or technician. Copies To: Charge Codes: Density Tests 3-4 Charge Per Test Mileage #601 #306 #612 1 2 15 .~~ P~t2. Signed // 4' Gordon J. Kopacek. Professional Engineer - Registration No. 7254 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. OMS No. 166()..()()08 Exoires Februarv 28, 2009 SECTION A - PROPERlY INFORMATION For Insurance Company Use: A 1. Building OWnet"s Name )q l & Susan Ferquson Policy Number Ro er A2. Building Street Address (including Apt. Unit. SuiIe, andIor BIdg. No.) or P.O. Route and Box No. Company NAlC Number 4500 Lord's Street City Pr10r Lake Slate MN A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Z1PCode 55372 M. Building Use (e,g., Residential, Non-Residential, Addition, At;cessory, etc.) Res ide n t i a 1 AS. LatltudeJlongitude: Lat 44 43 ' 51 · long. 93 2 6 ' 27 II Horizontal Datum: IZI NAD 1927 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance, A7. Building Diagram Number-1- A8. For a building with a crawl space or enclosure(s), provide: a) Square footage of crawl space or enclosure(s) b) No. of permanent flood openings in the aawI space or enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB,b o NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage 965 sq ft b) No. of permanent flood openings in the attached garage walls within 1,0 foot above adjacent grade c) Total net area of flood openings in A9.b sqft sqin sqin SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. County Name B3. Slata Scott MN B4. Map/Panel Number B5.Suffix B6, FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevatlon(s) (Zone Date EffectiveIRevised Date Zone(s) AO, use base nood depth) 0002 C Nov. 19, 1997 A7 909 B10, Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in Item B9, o FIS Profile ug FIRM 0 Community DeIennIned 0 Other (Describe) B 11, Indicate elevation datum used for BFE in Item B9: m NGVD 1929 0 NAVD 1988 0 Other (Describe) B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date 0 CBRS DOPA DYes []J No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: tJ Construction DrawIngs. 0 Building Under Construction* 1]1 Finished Construction * A new Elevation Certificate will be required when construction of the building Is complete, C2, Elevations - Zones A1-A30, AE. AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO, Complete Items C2.a-g below according to the building diagram specified in Item A7. BenchmarkUtllizedCitv of Prior Lake Vertical Datum N.G. V .D. 1929 Conversion/Comments a} Top of bottom floor fmcluding basement, crawl space, or endosure floor) b) Top of the next higher ftoor c) Bottom of the lowest horimnIaI strucIUIaI member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 910 . E? 7 {jJ feet 0 meters (Puerto Rico only) .---0 feet 0 meters (Puerto Rico only) .-0 feet 0 meteIs (Puerto Rico only) 910 . ~~ feet 0 meters (Puerto Rico only) 910 . 6~ feet 0 meters (Puerto Rico only) 909 . q~ feet 0 meters (Puerto Rico only) 910 . l~ feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the infonnation on this Cettficate I8pI8tlI8IJIs my best eIIods 10 inIeIpIet Ihe daIa avaifable. I understand that any false statement may be punishable by line or impdsonmenI under 18 U.s.. Code. SecIion 1001. 1&1 Check here if comments are provided on back of form. James E. Boerhave RLS 7095 Cedifier's Nallljil . Ucense Number pres~aent Boerhave Land Survey~n9,Inc* Tltli4243 Mitoka Cir. N ~~ Lake CIy 06 55372 ZIP Code PRIOR LAKE INSPECTION RECORD , SITE ADDRESS ~S(J() i",O/t.D$' ~r NATURE OF WORK WIAJ t.w/rH 3r1UftU Ft.,"" - ./I.../tI.6MI.... J USE OF BUILDING . I=:' . PERMIT NO. 00 033 L DATE ISSUED CONTRACTOR ~ gltJ)$ &~~ PHONE · ~ - Z. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEFARTMENT OF BUILDING AND INSPECTION FOOTING (; /II~~ FOUNDATION (Prior to Backfill) S -(G-1k PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED rzAme- .; HOM.f6IA&A,. I I I FINALS ~/rl/ GRADING (Prior to Sodding) BUILDING VA /-1 \ ELECTRICAL PLUMBING HEATING 1.+01 DO NOT 1,-(1)1 /2-/ ,~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850