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Z ~ :jG)~G) O;;c ~ ~ ~ z- -4 m 0 - zO 10 ~ ~ )> - (") z 0 ~ cD o 0 en en ~ z O;;c 00 ;0 :j ~ 0 ~ :j!; ~ <II ?' ~ ~ 0 z 0" ." o > 0 mm ~ 0 > Z ;0 ;;c F 0 :< ~ -l "Tl "tl "tl ~ :J: 0 ;0 ;0 ~ m ;0 0 0 000000 z ;0 0 0 ~ m m m m 3:"tlen~3:"tl >< Z m m mr~>mr -l 0 0 OC ~oc >:i en ~ C5 z ~ "tl :x:3: m:x:3: "tl 0 en en m .,,!!!;o;;C;o!!! m 0 0 <:> ~ "tl ::J 0 ZZ:I::X:-Z ;;c Z :J: ::! m C1) ~ >G)OO G) il: -l m :::t 0 ~ 0 0 r"TlOO ;0 =i ?J c -l 0 Z -"" - c (5 ?r zcc z r ~ m ~"tl"tl 9 m z m C ~ "Tl '" 0 .... ~ :x: ;0 m ~ 0 (") c 0 r~ ;;c < 000000 en m ~ Z ;0 G)"Tl"Tl0~ , ~ ,. Z >;.0;.00 ~ .... Ro G) ~mm3:G) m c ~ < _"tl"tl"tl~ ,. ~!;!;!;c . V.l ~ Z 0 >ooz:;; \ 3 _mm~_ !l1 ;o.,,;u r .... -l-- r i enZ z m ~~ G) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT \ 4-~5 ~ 1Z-u;T ~~N1-S s- I. White File 2. Pink City 3. Yellow Applicant Date Rec'~" PERMIT NO. - , E" e-r- t-J. E:: LEGAL DESCRIPTION (office use only) LOT 3 BLOCK ADDITION ~e;,E, ~~c--h~..d Gu...~ OWNER (Name) .~ ()- OS q-{) (Phone) (Address) { ~/ BUILDER(, ~.~." tcX.-~ AC:'2 lll,.,t::; L./l(jf\ (Name) :J) \ \ p~. ct.ylYk ~ ~.. (Phon~ '1'J . ~. (ft.'" ~U (Contact Name) . 'F.J .' 5t)\\1\Dt-~ J"OB SV~ (PhO'iif l?t2 -1C't(;5-f'::f) (J'9- ~ (Address) "tCf2o L'~\L,.f_'..:1 11< i C', I ~ TYPE OF WORK New Construction ORe-Roofing o Lower Level Finish o Misc. ODeck OPorch o Fireplace OAddition OAlteration 350' 000.- OUtility Connection PROJECT COST IV ALUE (excluding land) $ ORe-Siding 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 m aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;ter upon the r r rty to r rm needed inspections. 4<,'1,.(pt(OO / dtt1 II h:3 h) I Contractor's License No. ' Datt Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas FirepI~ce Permit Fee $ omes Your Building Permit When Approved -1J-11-e>( Date Park Support Fee SAC # # $ -0 $ $ $ $- 0 $- D $ I 500 . eX) $ 5" 0 .OD $ (,/57S./t! - C> 130,O{) '"' c:> Ll Water Meter Si /8 ;1"; Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE to0 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 ~~~ S~igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows :;;;truction to co:~efor~ occu~cy, a Certificate of Occupancy must be ~ ----.-z. -f2-fcL{Ja{ ~ ~ ~. - P ann (rector Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 1. White 2. Blue 3. Yellow .F/~G wi 5t-DGt P6)VYJI/ 02 ...t70t1Zp;-m~No. f)'L-06Qr_ CITY OF PRIOR LAKE DEMOLITION PERMIT - File - City - Applicant DIRECTIONS 1. DATE / I-I '1-0. BUILDING INFORMATION SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN BEFORE PERMIT ISSUED (Please print or type and sign at bottom). 7. SIZE OF STRUCTURE 8. NO. OF STORIES 9. TYPE OF CONSTRUCTION LOT BLOCK ADDITION ~\J . S.",.-c-....... /" <f -r G It.- 60,eq PID 25- ?30 -651-0 10. COMPLETION DATE 4. OWNER (Name) L J JOHN 5. ARCHITECT (Name) (Address) (Tel. No.) (Address) (Tel. No.) 6. CONTRACTOR (Name) (Address) (Tel. No.) I hereby certify I have furnished information 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. Furthermor . here y agree th i4U>fficial or a designee may enter upon the property to perform eeded inspections. II FOR ADMINISTRATIVE USE POS / -r -& ro 1- 7-0 /2C()r'.o ~~CK:- (PCr 8S I /1/ S~Fe- MATERIAl: ILED WITH APPdcATION x METRO SAC UNIT DETERMINATION CJ Site Restoration Plan ./ CJ Utility Abandonment Plan CJ Sewer Abandonment USE OF BUILDING g, f="D SITE RESTORATION PLAN CJ Water Abandonment Accepted by Rejected by CJ Electrical Abandonment CJ Other Division 2 3 4 CREDITS Park Oed. Credit ................................................ $ SAC Credit ......................................................... $ Sewer & Water Connec. Fee Credit .................. $ Water Tower Fee Credit .....................................$ Other ................... ............................................... $ TOTAL CREDITS ........................ $ .4 TYPE OF CONSTRUCTION: II III H IV Occupancy Group A B E R V M By Date / I - 1 't - CJ t . Issued by Date This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and ma~eed asr~q sted. ?7l'-~ . ~-Z-~~ I ').11~~/L-"L City Planner 1 Date Special Conditions if any Thf ('fn.fr of Ihr L.kt ('oun.r)" White - Building Canary - Engineering Pink - Planning B KLlST J NAME OF APPLICANT ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1'-I3Sf- ~r 5t-A/C Accepted Accepted With Corrections X-. Denied -AfJ Il ) Reviewed BY:~ ~ Date: /1- J i - CJ ( Comments: . ~~ ~. ~ ~tA;~,k~'cdrov ~!Ju/rcl ~ ()CCAJP~C~- · S. )v\tAi'u W V\ f}--D~~'rnA (kj,:~ 4. J-<>",,,...t n.,Cl!- f 10 ue...:b'o-v-.. 1I.Qf1 ~\~'oo-. ~~ kroA-'/. ~ +ou~'-~ ~f,'~ "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." g~~ White - Building Canary - Engineering Pink - Planning The ('tnlt"r of the Lake Country 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: Accepted ~ Accepted With Corrections ~ 3EXD )( 7- "The I suance 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 ~t:~Sd~;p~;::~ali~ V~ To~y~~ ",:~ .r.;~:H::,,,,,;,),.,~t- III, "\~""~\''''~(<I.' :. ~ . . "',' ~~ ,-~ " '. " ~..,' ~,' , ~ '\ ',t" ~,'\".. ~.,.I ,.t >;' ,': . .'.' .I . r' ~,~ ~, .,' " '.~'" 'T" ' ". ~t ' "',';.. ',', Tht ('f'n'f'r or tht 1.lkr ('ountry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -- \ NAME OF APPLICANT iof.&r;c ~ I/&nw.~ APPLICATION RECEIVED / (- /3 - , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /L/35f- ~~:-I7:fd6! Sf-Me Accepted ",. Accepted With Corrections Denied Reviewed By: IW9J3 Date: / ! -17-0 I ~ Comments: See Reverse Side for Addition::illnform::ltionl / ~ee Attachments: 1) Grading Plan. 2) Erosion Control Measures 3}Erosion Control Plan "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." /~IV\ Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT /"'25 -02- I. Blue File I PERMIT NO I 2. Gold City . ^ '7 __Q O^ 7..- 3. Yellow Applicant U ~ V ZONING (office use) /4358 /2A./--r G G /2-.S S-I. .e.-t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT f.J f il . ' ,'" J 1 (Name) 0.;\..\.10 /1l1J.),( V -r. '"'/ D,{ (Address) ~:"O I / .;;y:;: ~)l.' v -'\ (Address~ ,r (Contact Person) f(,tc~j #tl.' /.) (~ft.. .k.. ; (Phone) lid (['f... (City) {} ~,} ~1 \-11 - f1. r-L/ / , v '. D t. _' if/I,,\ jt>l71 APPLICANT SIGNATUR (Phone) /i :-;.. - ../ J ' (Zip Code) ., .-~ 51 r1'1 I .) :J .\/' J li 5l~j ID,.r DATE Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower Rough-ins / Dishwasher Water Heater d Floor Drain \ Water Softner ..s- Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) / Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly lift Sinks Backflow Assembly Test - Bar Sink Lawn Sprinkler .3 Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW 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 02--000 '2.- 'PlI'fO B'/;P..- .50 t3U1VO Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) Dati - Z5 --o?- By _\ ..-1,,)'()" ~ Date ecomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Feb.25. 2002 10:09AM GENZ RVAN PLUMBING AND HEATING No.5101 CITY OF PRIOR LAKE HEATING/AIR CONDffiONING/FD;U:PLACE PERMIT P 2/'! . ! L Date Rec'd L9rr:er!r . ~ =.., SICO/II ~.PERMIT NO~ () J, -OOO~ I ZONlNO(,....-> I l5.P?js-~_U: . ,; ?7 'X' 2 i6e..t2-<., LEGAL DESCRIPTION (olfice use only) LOT BLOCK ADDXTION RJ- PID;' 5-930 - {} 5 q-o OWNER n b (Nanlt':) Df feR j ('Jr~ (phone) qC; 2 - 4b9 -(Q96D ~ 10 S-SCLJ (Address) APPLICANT (Name) & J!ll,- ~ Yl (Address) ~. <) be> 'ILn \r:L;? :) (AcU1re:ss) ~l{ Ol<vu (Contact Person) (phone) (0 C; ( -- LIZ, 7y- J I L/ Lf 'f7tl,.t- ~ {/VllIU-vP C;G'i/J8" '(City) (Zip Code) (phone) UJ) 1- '-l2,? - II Lf,(j DATE 2- Z. .APPLICANT SIGNATURE APP CANT LEASE COMPLETE BELOW NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL LeAIv\o't.. ~ Q 4l 1:;- 1 'l.r::;; FUEL NA-'7 Gn S. FLUE SIZE RETURN OPENINGS I /. INPUT I Zs rrrrn OUTPUT /llo/trf'J'0 TYPE OF sYSTEM HEATING OR POWER PLANT ~w arm AIr Plants L1Gravity o Mcchanic.a.l !$lAir Conditioning OVcnt. System o Steam o liot WattZ o Radiation o Special Dc:vices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial &; Multi-FlI.lI1Jly FEE SCHEDULE ] % of Job cost Residential, Gas Fireplace $39,.50 minimum $99 50 Residential, Additions &. Alterations $64.50 Residc:ntial, AC Only $39,50 ReSIdential, Heatlng & Ale (New Constru~ion) Residential, Heating Only (New Construction) $39..50 $39, SO Estimated Cost $ Building permit #- HEATINGPERN.UTFEE STATE SUR~HARGE TOTAL PERMIT FEE $ $ $ r~ PAlO WITH .50 BU1LD~NG PEF,MiT fnfftce Use Qnl)') ,ds Application Becomes Your Building Permit When Approved Paid Re:c~~, Date _. S-~o-- Date Building Offici:>.! 24 hour notice {or all inspections (~51.) 447-9,850, fax (95:2.) 447-4245 15:57 651 633 8884 FIRESIDE CORNER CITY OF 1'1UUK LAl\J1, #1874 P. 005L.~_~g u__ - REA TINGI AIR CONDITIONlNGIFlREPLACE PERMIT t~ f~~at \ PERMlTNOO;l-()UO~\ ZON1NG (offiCI!: ust) LEGAL DESCRlPTION (office use only) PID r\5r q~D-()S tjrD f...OT BLOCK ADomON owNER eN a,me) (Ad.dxess (phone) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE COFlNER (Phone) 651-633-2561 APPLICANT PLEASE COMPLETE BELOW ~EW CONsnUCTI<?N 0 REPLACEMENT 0 At TERA nONS ruRNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPEN'INGS INPUT OUTPUT TYPE OF SYSTEM MEA T.1NG OR POWER PLANT OWntm Air P1BJlts 0 StelU11 ~~~ O~W~ D MechlU1jcal . 0 Radilltion OAlr CondJt.ioning 0 Spet;BI Devices DVcnt. System 0 Other Devices RQSEV'rU...E MN (City) (phone) 651-633 -2 561 DATE a,r:,11~ (Zip Code) (Address) 2700 N. FAIRv'tEW AVFlmlE (Ad4ress) BRENDA HUSTON (Contact Person) APPLICANT SIGNATURE PLEASE NOTE: Air Conditioner Units ClUlno[ ElI.CTDBCh iIlto Rllquired Side Yatd Setbacks FIREPLACE MAKE AND MODEL FEll: SCHED1lLE I % of job cost Residential. 0115 Firephu:e $39.50 min.imllm $99,'0 Residential. Additions & Altetatlons $64.50 Residential, AC OnlY $39.50 $39.50 $39.50 InduSTrial. CommercIal 1ft. Mult.1-Family Residential. l04eating & AlC (New Con:nnJctloJl) Residenchd, Heating Only (New ConSU'Uction) Estimated Cost oS Building Penn;! # HEATING PERMIT FEE 5T ATE SURCHARGE TOTAL PERMIT FEE $ S S .50 _ . '"1 , ';l., ~ ' Ci'''. '1-: (ome~ (J~e Only} This Appll~ation BeCI)"u:s Your Bqildlng Permit When Appro"ed Paid Receipt No. Date Date 3 ~,,- a Bulldtng omdnl 14 "our nodc~ for all inspection. (952) 447-9850, fu: (9!~) 447..4245 11:21 5077445555 . Tl1B 11:12 FAX '12111114. BADGER EXC '-"... UP ,.aa..- "",A5o PAGE 02 .... . .... ,,'.... . ......c.,- ... . ... CITY or PRIOR LAKB SE:1iER AND WA'I'~R P&IUII'I' "OTE : .0. Oz.-OOO2-- Sewer and "a~.X' contract.c;n.. .y.~ b. r..l.~.red ..,l~h ~l\e Cl~Y. I.PPLlCAN~:~llcb. PL t;x CCUJ~ PHONK: S"c:>7-7W-S/7/ ADDRESS: 8"3 ,s- \1 W 7atft .(':.-::r La7'.fil:*;- ""f:! ~~ SIGNATURE: .J...-,~ -~ _ =IJLDC. 'INlt'J' · st'1'~ ADDIlESS: I V3.s<P {(3..l.f!tl"6 .4-c-~_Plo.~5 -'130 - 059-0 FILt.. IN 'tH~ BLkNIC...I. 1. Elei!f\atecl lenqth of wat..r Rf!r" ice SC9 I II 2. size ot woter .ervice___ t.et. inch(..). 3. Location of any coupl1n95 frg~ 5truct~r. - f..t. .. - 5. Type of .ewer pipe. AaS____ Esti!f\ated lenqth ot I.wer 11~e P'VC ..?:S:- 5D Cast IT"On__ feet. 6. clean out (it required), locate~ at .truct.~r.. feet trolll ~._______S=___.__..._.===~5=._~*-.---_......5~.~-.~~..==..==.C~... --" yo~r p.t~lt when .pp~oved. /- 2-2--02- OAT~: Thia 8'1 ::..,.......::li"":::.""" _....~===#~_....__.__.__...._==.S~SS~_=..C=..==.M. . r.. tor either sewer 2I water individually ia SrJ.6o plu. S .50 surcharge. ~ $ $ J5.00 3s:l~ Sewer and vater line connection permit. Surcharq. TOTAL rtES: . Sewer and water pormita i..ued for new con.tru~tion .u.t be recQrded on the buildi~9 permit car4 .t ~~e ~im' of i.,yance to Insur. ~hat no duplicate s.~er end ~at.r perm1t. are ~ i..ued. .-.---- /~' ...: DATE PA:O ~___.c- MOUNT PAI0___ ~~ RECEIPT . ~~ REC' 0 BY P ~~_/" / ~ 4629 O.kot. St. S.E., Prior ~kt. Mlnn.50la 5!372 I Ph. (6121447,4230 I F.. (612) 447.4245 JlIII to"..'I. ~lr..,r" DG'lU'ft.. PRIOR LAKE INSPECTION RECORD Sf. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Hs.i:)py ~U~'f1-}-.s NATURE OF WORK ~e.W USE OF BUILDING. SF\') PERMIT NO. 02-00D2- DATE ISSUED ~\- l't-o( CONTRACTOR C.,ll!?ff Q;t~ PHONE "/2-~8S=S/(J? NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE I FOOTING I i /17i~ Z- . FOUNDATION (Prior to Backfill) p~ '/. I 0 'Z.. ~ ~,~~~A~~~q.o~O.:t~f~~ETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS . SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ e COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I F1~ fknJ..'dJ<:!. ~~.ccJ..,-,,- ~~~ ~t!il . Ck:r1 ~d"""--- GRADING (Prior to Sodding) BUILDING r ~.~ .1J.f ~, 6t ELECTRICAL PLUMBING HEATING DO NOT b.6"U v"t." OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE bl! tp ~ 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 snail i..e placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ~1S Cef>'f '\0 'hfL VJ..~~~ ~ ~1T LbVHW lM~ ~'!..oi.l~ Doc. No. A 522241 ~~ ". OFFCE OF THE COUNTY RECORDER SCOTT COUNTY, MINNESOTA Certified Filed and/or Recorded on Project # 10-16-2001 at 10:00 Receipt 130626 Pat Boeckman, County Recorder 01 by , Deputy Fee; $21.00 X ~,J I!~ ht&~ //f.J..s-r /(~.sr:AI~ ?~I'{ 4/<6 /a/ S5J 72- / STATE OF MINNESOTA) )ss. COUNTY OF SCOTT ) The undersigned, duly qualified and Deputy City Clerk of the City of Prior Lake, hereby certifies the attached hereto is a true and correct copy of the original. RESOLUTION # Ol-016PC CASE FILE # Ol-075PC on file in the office of the City Planner, City of Prior Lake. Kelly Mey Deputy City Clerk Dated this 24th day of September 2001. ...",;";.\.< , ..'-l"IT1~";"'. ~\" J I 0 ~:'''' r\ 'j .....,....,._. :,,\\'.~-- r~..4') . _~,o,3/'-' '!~." (l .. /\',' . "'I ~. ._,//J, ',,I -',., -""'"'\"\ 't ; i~J ('fit ....,;'{ { OJ ':)i;.~1:.- '. ".' . '>c.,:r)~l;tY!~~It..- , -:~,>., .t::i~~~,~;~~\ ,.,,".;":~./H, --J "'.' -c/ ~{. .. ~;y \- !.',''';- Ii] ..II/, '~~{~~iX~;;\}r . I: 10 J fileslO 1 varianceslO 1-0751trucpyO 1.0 16.doc RESOLUTION 01-016PC A RESOLUTION APPROVING A .5 FOOT VARIANCE TO PERMIT A VEHICULAR ACCESS ELEVATION OF 907.4 FEET RATHER THAN 907.9 FEET AS REQUIRED TO BE NOT MORE THAN 2 FEET BELOW THE REGULATORY FLOOD PROTECTION ELEVATION OF 909.9 FEET; AND A 13.5 FOOT VARIANCE TO PERMIT A STRUCTURE SETBACK OF 25 FEET FROM THE FRONT PROPERTY LINE RATHER THAN THE REQUIRED 38.5 FEET. BE IT RESOLVED BY the Board of Adjustment of the City of Prior Lake, Minnesota; FINDINGS 1. John & Lorraine Teilborg have applied for a variance from the Zoning Ordinance in order to pennit the construction of a single family dwelling located in the R-l and SD (Shoreland) District at 14358 Rutgers Street, and legally described as follows: All that part of Govemment Lot 3, Section 30, Township 115, Range 21, described as follows: Beginning at a point which is 17 feet North and 30 feet West of the northwest comer of Lot 56 of "Boudins Manor"; thence North 6 degrees 45 minutes West 8.9 feet to the north line of a 33 foot road which is the North boundary of said "Boudins Manor"; thence North 67 degrees 36 minutes East, 85 feet; thence North 12 degrees 24 minutes West, 100 feet; thence North 42 degrees 24 minutes West 85 feet to the shore of Prior Lake; thence South 59 degrees 36 minutes West, along said lake shore, a distance of 177.7 feet; thence South 29 degrees 35 minutes West, a distance of 160.2 feet along said shore line; thence North 83 degrees 15 minutes East, 235 feet to the point of beginning. Situated in the County of Scott, State of Minnesota. 2. The Board of Adjustment has reviewed the application for Variances as contained in Case File #01-075PC and held hearings thereon on September 10,2001. 3. The Board of Adjustment has considered the effect of the proposed variance upon the health, safety, and welfare of the community, the existing and anticipated traffic conditions, light and air, danger of fire, risk to the public safety, the effect on property values in the surrounding area and the effect of the proposed variance on the Comprehensive Plan. . 1:\0] files\O] variances\O] -075\appres.doc 1 16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER 4. Because of the subject property's location in relation to the lakeshore and the existing road elevation for vehicle access to the subject property and to the surrounding property, it is possible to use the subject property in such a way that the proposed variance will not result in the impairment of an adequate supply of light and air to adjacent properties, unreasonably increase congestion in the public streets, increase the danger of fire, and danger to the public safety, unreasonably diminish or impair health, safety, comfort, morals or in any other respect be contrary to the Zoning Ordinance and Comprehensive Plan. 5. The pre-existing lot of record does not meet the current Ordinance for minimum vehicular access elevation in the Rl SD District. This situation creates an unbuildable lot and a hardship with respect for the preservation and enjoyment of a substantial property right of the owner. 6. There is justifiable hardship caused by the existing vehicular access elevation and the elevation required today and the lot of record. Reasonable use of the property does not exist without the granting of the variance to permit a buildable lot for a single- family dwelling. 7. The granting of the Variance will not serve merely as a convenience to the applicant, and is necessary to alleviate demonstrable hardship. 8. The granting of the variance is necessary for the preservation and enjoyment of a substantial property right of the applicant. 9. The contents of Planning Case File #01-075PC are hereby entered into and made a part of the public record and the record of decision for this case. CONCLUSION Based upon the Findings set forth above, the Board of Adjustment hereby approves the following variance for the proposed structure as shown in Attachment 1: 1. A .5- foot Variance to permit a vehicular access elevation of 907.40 feet rather than 907.9 feet as required to be not more than 2 feet below the regulatory flood protection elevation of909.9 feet. 2. A 13.5-foot Variance to permit a structure setback of 25 feet from the front property line rather than the required 38,S feet as required by setback averaging. The following are conditions which must be adhered to prior to the issuance of a building permit for the proposed structure: ~ ):\01 files\O) variances\O 1-075\appres,doc 2 i\ '7 ~O ,/ ;' .N :z:- .,.,; ~O 01 ~~ \1)- It '$, .' . . .' .... ':.$8: in '\ -- ~ //1 ,'/ I )\ ....... ) \ ~~ \ \ .l!s , \..: \~~ \~III , \ \ \ ti~ ,~::J ~l!s tt~ ~g ,III .. )/ ~\!5'[ J~.I ",-.. ,--... . "0 U. (j) 0.>" o 0.>" <.C ~ e!= 0....-/ tJ -H ~ ~ <X) U) ( (j)~ t:--- .: " ... ... ... '" \ '.' >~~ 0 W, ~ ~ .~ :J (/) ,.... I- Z w :E J: ~ ~ t1: - - 906 - _ - - ill -- -- ,,- " , 0(::'''' \ ,<<3 \ " \ ;' \ "," '--- ~-Y 6- ~ S' 00 "'0 6' Oc:-:> " ~ (,()f) , ~O)" 0.>.'- 1. Submission of a revised survey with a minimum structure setback of 57.5 feet to the ordinary high water elevation of 904 feet, and to be in compliance with all other Zoning Ordinances. 2. Year round occupancy of the property is subject to submittal of an emergency management plan to be approved by the City Police Chief and Fire Chief. 3. The Variance Resolution must be recorded and proof of recording submitted to the Planning Department within 60 days. An Assent Form must be signed and, pursuant to Section 1108.400 of the City Code, the variance will be null and void if the necessary permits are not obtained and construction commenced within one year after adoption of this resolution. Adopted by the Bo.ard of Adjustment on September 10,2001. ~5- Thomas E. V onhof, Chair . 1:\01 fiIes\O 1 variances\O 1 -075\appres.doc 3 o ~< ~ 7/ ~\\\\ . .to ./h. ~ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAPERWORK REDUCTION ACT NOTICE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used. to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR-F). . The Elevation Certificate is required in order to properly rate post-FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), for flood insurance Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE);AR, ARIA, ARlAE, ARlAI-A30, ARlAH, and ARlAO. The Elevation Certificate is not required for pre-FIRM buildings unless the building is being rated under the optional post-FIRM flood insurance rules. - . As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement . is that the community obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to comply with this requirement. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent ground elevations certified by a surveyor or engine~r will be required if the certificate is used to support a LOMA or LOMR.F request. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP,. non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has beelldesignesl and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction offloodpr~ofedbasel11ents before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential tloodproofedbasell1ents incomlllunities that have been granted an exception by FEMA, a tloodprootlng certitlcate is required. FEDERAL EMERGEN,CY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE BUILDING OWNER'S NAME 1m ortant: Read the instructions on a es 1 - 7. SECTION A- PROPERTY OWNER INFORMATION CITY LA TITUDE/lONGITUDE (OPTIONAL) ( ##0 _ ##' -##.##"or ##.#####0) HORIZONTAL DATUM: I_I NAD 1927 I_I NAD 1983 SOURCE: I_I GPS (Type): I_I USGS Quad Map LI Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. COUNTY NAME 84. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX NUMBER DATE '2.'0~"2.. 002- t 1-'2.<.-' 810. Indicate the source of the 8aseFloodElev~on. (BFE) data or base flood depth entered in 8. 9. I_I FIS Profile I_I FIRM I~Community D~rmined I_I Other (Describe): 811. Indicate the elevation datum usedfor the BFE In B9: I2::fNGVD 1929 I_I NAVD 1988 I_I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: B7. FIRM PANEL EFFECTIVE/REVISED DATE B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) o .9. B8. FLOOD ZONE(S) I_I Yes I~No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: '_IConstruction Drawlngs* I_I Building Under Construction* 1_ inished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number ~ (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 A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i 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 BFE in Section.8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation, Use the spa.98 provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. . Datum Conversion/Comments .. .... / Elevation reference mark used Does the elevation reference mark used app.ear on the FIRM? I_I Yes I Vj No g a) Top of bottom floor (including basement or enclosure) t:iJ~ . J& ft.(m) m o b) Topof nexthigher floor 't.~ . .s8ft.(m) rn al<u Oc) Bottom of lowest horizontal structural member 01 zones only) . _ ft.(m) lZ 1V CJ d) Attached garage (top of slab) q I'l,. . :Ita ft.(m) ~ ~ o e) Lowest elevation of machinery and/or equipment ~ ; servicing the building e t' ,,"w \ s.,~<< Cf 10 . -".!.ft.(m) ~ ~ CJ 1) Lowest adjacent grade (LAG) '\ I"Z.. . -CI.. ft.(m) i.~ <urn o g) Highest adjacent grade (HAG) Cf 1'Z. ....I: ft.(m) ~ o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~ o i) Total area. of all permanent openings (flood vents) in C3h sq. in. (sq. cm) SECTION D. Sl./RVEYOR, 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 information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that an false statement ma be unishable b fine or im risonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER TITLE FEMA Form 81-31, AUG99 :"2.. REPLACESALL PREVIOUS EDITIONS - D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. COMMENTS I I Check here if attachments SECTION E. BUILDING 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. If 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 1_1_1 ft.(m) 1_1_lin.(cm) I_I above or I_I below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1_1_1 ft.(m) 1___1_lin.(cm) above the highest adjacent grade. E4. For Zone AO only: Lt. no flood depth number is available, is the top of the bottom floor elevated in accordance with the comrrlUnity's . floodplain management ordinance? II Yes I_I No I_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, and E for Zone A (without a FEMA-issued or community-Issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME SIGNATURE CITY DATE STATE TELEPHONE ZIP CODE ADDRESS COMMENTS 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. I_I 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 stateodocallaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) . G2. I_I 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 following information (Items G4-G9) is provided for community floodplain management purposes. , . -.. ' I G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY . .. ISSUED G7. This permit has been issued for: I_I New Construction I_I Substantial Improvement d8. 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: LOCAL OFFICIAL'S NAME . _ ft.(m) Datum: . _ ft.(m) Datum: TITLE COMMUNITY NAME TELEPHONE DATE SIGNATURE COMMENTS FEMA Form 81-31, AUG 99 I_I Check her.e if attachments REPLACES ALL PREVIOUS EDITIONS INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify elevationinformationwhen elevation information isrequired for Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARIA, ARlAE,ARlAl-A30, ARlAH, or ARlAO. Community officials who are authorized by law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are intended for use in supporting a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMR-F. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters. SECTION A - PROPERTY OWNER INFORMATION This section identifies the building, its location, and its owner. Enter thename(s) of the building owner(s), the building's complete street address, and the lot and block number. If the building's address is different from the owner's address, enter the address of the building being certified. If the address is a rural route ora Post Office box number, enter the lot and block numbers, the tax parcel number, the legaldescription, oran abbreviated location description based on distance and direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile) home. . , A map may be attachedtothis certificate to show the location of the building on the property. A tax map, FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate. whether. the building is residential, . non-residential, an. addition to an existing residential or non-residential building, an accessory building (e.g., garage),orother type of structure. Use the Comments area of SectionF if needed. If latitude and longitude data are available, enter them in degrees, minutes, and seconds, or in decimal degrees, taken at the center of the. front ofthi building. Enter arc seconds to two decimal places. Indicate the horizontal datum and the source of the llleasurement data (for example, taken with GPS, scaled from a USGS Quad Map, etc.). SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION . Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The information for Section B is obtained by reviewing the FIRM panel that includes the building's' location. Information about the current FIRM, and a pamphlet titled "Guide to Flood Maps," are available from the Federal Emergency Management Agency (FEMA) websiteat http://www.fema.gov or by calling 1-800-427-4661. If a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area. Item BLNFIP Community Name & Community Number. Enter the complete name of the community in which the building is located and the associated 6-digit community number. For a building that is in an area that has been annexed by one community but is shown on another community's FIRM, enter the community name and 6-digit number of the annexing community. For a newly incorporated community, use the name and 6-digit number of the new community. Under the NFIP, a "community" is any State or area or political subdivision thereof, or any Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available on FEMA'swebsite at http://www.fema.gov or by calling 1-800-427-4661. ItemB2. County Name~ Enter the name of the county or counties in which the community is located. For an unincorporated area of a county, enter "unincorporated area." For an independent city, enter "independent city." IterltB3. State. Enterthe 2-1etter state abbreviation (for example, VA, TX, CA). Instructions - Page I ItemB4.MapandPaneINumber. Enter the 10-digit number shown on the FIRM panel where the building or manufacttir~ (mobile) home is located. The first six digits will not match the NFIP community number: 1) when the sixth digit is a "C" in which case the FIRM panel is in a countywide format; or 2) when one community has annexed land from another community but the FIRM panel has not been updated to reflectthis annexation. If the sixth digit is a "C," it is followed by a four-digit map number. for maps not in countywide format, enter the "community panel number" shown on the FIRM. Item B5. Suffix~ Enter the suffix letter shown on the FIRM panel that includes the building's location. Item B6. FIRM Index Date. Enter the effective date or map revised date shown on the FIRM Index. ItemB7.FlRMPanelEffective/Revised Date. Enter the map effective date orthe map revised date shown on the FIRM panel. This will. be the latest. of all dates shown on the map. The current FIRM panel effective date can be determined by calling 1.-800-427-466.1. Item B8. Flood Zone(s ).Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the letter "A" or "V" are considered Specia1.FloodHazard Areas. The flood zones are A, AE, AI-A30, V, VE, VI-V30, AH, AO, AR, ARIA, ARlAE,ARlAI-A30, ARlAH, and ARlAO. Each flood zone is defined in the legend of the FIRM panel on which it appears. . .. . ' , Item B9.Base FloodElevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Flood Elevation Table, or FIRM panel, locate the property and' enter the BFE (or base flood depth) of the building site. If the building is located in more ,than one flood zone in Item B8, list all appropriateBFEs inItem B9. BFEs are shown on a FIRM or FISProfile for Zones Al- A30,AE,AH,VI-V30, VE, AR, ARlA,ARlAE, ARlAI-A30, ARlAH, and ARlAO; flood depth numbers are shown for Zone AO..Use the AR BFE if the.. building. is located in any of Zones ARJA, ARJAE, ARJAI-A30, ARJAH, or ARJAO. In A or V ... zones,where BFEs are not provided on the FIRM, the community may have establishedBFEs or obtained BFEdata from other sources.. For subdivisions and other developments of more than 50 lots or 5 acres, establishment ofBFEs is required by the community's floodplain management ordinance. If the BFE is obtained from another source, enter the BFE in Item B9. IteJ'nBI0. Indicate the source of the BFE that you entered in Item B9. Item Bll. ..lndicate the elevation datum to which the elevations on the applicable FIRM are referenced. Item BU. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA). Federal flood insurance is prohibited in designated CBRS areas for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS designation. An information sheet explaining CBRS areas may be obtained on FEMA's website at http://www.fema.govorby calling 1-800-427-4661. .. SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Complete Section C if the building is located in any of Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARJA,ARJAE, ARJAI-A30, ARJAH, or ARJAO, or if this certificate is being used to support a LOMAor LOMR-F. If the building i~ located in Zone AO or Zone A (without BFE), complete Section E instead. ItemeL Indicate whether the elevations to be entered in this section are based on construction drawings, a building under construction, or finished construction. For either of the first two choices, a post-construction Elevation Certificate will be required when construction is complete. Item C2. Select the diagram on pages 6 and 7 thatbest represents the building. Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C3a-g. If you are unsure of the correct . diagram;. select the diagram that most closely resembles the building being certified, or provide a sketch or photograph of the lJuilding andenterall elevations in ItemsC3a,-g. . ItemC3.lndicate whether the elevation reference mark (benchmark) used during the field survey is an elevation mark oft the FIRM. If it is not, indicate the source and datum for the elevation. Vertical control benchmarks other than those shown on the FIRM are acceptable for elevation determinations. Show the conversion from the field survey datum used to the datum used for the BFE(s) eI;ltered in Item B9. . All elevations for the certificate must be referenced to the datum on which the BFE is Instructions - Page 2 ..sed: Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For property ~xperiencing ground subsidence, the most recently adjusted reference mark elevations must be used for determining building elevations. Ent~r elevations in Items C3a-g to the neare~t tenth of a foot (in Puerto Rico, nearest tenth of a meter). ItemsC3a-d.Enterthe building elevations indicated by the selected building diagram (Item C2) in Items C3a-e. Elevation for . top of attached garage slab ( d) is. self-explanatory and is not illustrated. in the diagrams. If the building is located ina V zone on the FIRM, complete ItemC3c. If,the flood zone cannot be determined, enter elevations for all of Items C3a-g. For. buildings in A zones, elevations a, b, d, and e should be measured at the top of the floor. For buildings in V zones, elevation c must bemeasuredatthe bottom of the lowest horizontal structural member of the floor (see drawing below)./j any item does not apply to the building, enter "N/A" for not applicable. BUILDING ON PILES, PIERS, OR COLUMNS 8 ,.", , . :';.~')~:?;}}:~.:);:;.~~\:.; Item C3e; Enterthe lowest elevation of machinery or equipment in an attached garage, enclosure, or open utility platform that provides utility services for the building. If the machinery or equipment is mounted to a wall, pile, etc., enter the platform elevation of the machinery and/or equipment. If this item does not apply to the building. enter "N/A" for not applicable. .. Items C3f-g. Adjacent grade is defined as the elevation of the ground, sidewalk, patio, or deck support immediately next to the building. Use the natural grade elevation, if available. This measurement must be to the nearest tenth of a foot if this certificate is being used to support a request for a LOMA or LOMR-F. ItemsC3h-i. Enter the number of penn anent openings (flood vents) in the walls supporting the building that are no higher than J.O foot above the adjacent grade; Detennine the total area of all such openings in square inches (square cm, in Puerto Rico), and enter the total in Iteme3 LIf the building has no pennanent openings (flood vents) within 1.0 foot above adjacent grade., .enter "0" (zero) for each ofItems C3h and C3i. '" ,,'. ., . SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized by law to certify elevation information. Place embossed seal and signature in the box next to elevations in SectionC. A. flat stamp is acceptable only in states that do not authorize use of an embossed seal over the signature of a ..professional. You. are certifying that the information in Sections A, B, and C on this certificate represents your best efforts to interpret the data available and that you understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100l. Usethe Comments area of Section D, on theback of the certificate, to provide datum, elevation, or other relevant informat!onnot specified o~the front. . SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO " & ZONE A (WITHOUT BFE) ... ..Complete Sectiop.Eifthe building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead. Item. El. Select the diagram on pages 6 and 7 that best represents the building; then enter the diagram number. If you are ,unsllre ()fthecorrect diagram, select the dia.gram that most closely resembles the building, or provide a sketch or photograph. Item E2.Enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the top of the bottom floor (as . indicat~d in the applicable diagram) above or below the highest adjacent grade (HAG).', For post-FIRM buildings in ZoneAO, the community's floodplain management ordinance requires that this value equal or exceed the base flood depth on the .' FIRM; Buildings in Zone A (without BFE) may qualify for a lower insurance rate if an engineered BFE is developed at the < site. Item E3. For Building Diagrams 6-8 with "proper openings" (see page 7), enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above the highest adjacentgnlde (HAG). Item E4. For those communities where this base flood depth is not available, the community will need to determine whether ,.thetop of the bottom floor is elevated in accordance with the community's floodplain management ordinance. , ' SECTIONF - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION Complete as indicated. This section is provided for certification of measurements taken by a property owner or property owner's representative when responding to Sections A, B, and E. The address entered in this section must be the actual .mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G - COMMUNITY INFORMATION (OPTIONAL) . Complete as irdicated. The community 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. If the authorized community official completes Sections C, E, or G, complete the appropriate item(s) and sign this section. Checkltem G fif Section C is completed with elevation data from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. Indicate the source of the elevation data and the date obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or architect authorized by law to certify elevation information, and you performed the actual survey for abuilding in Zones AI-A30, AE, AH, A (withBFE), VI-V30,V, AR, ARIA, ARlAl-A30,ARlAE, ARlAH, or ARlAO, . you must also complete Section D. Check Item.G2 if information is entered in Section E,by the community for a building in Zone A (without a FEMA-issued or . community-issued BFE) or ZoneAO. Check ItemG3 iftheinformationin Items G4-G9 has been completed for community floodplain management purposes to documentthe as-built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of various building components but does not determine the lowest floor of the building or whether the building, as constructed, complies with the community's floodplain management ordinance. This must be done by the community. Items G4-G9 provide a way to document these determinations. Item G4. ,Permit Number. ,Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for " the building. ..,>Uen:tG5.. Date Permit Issued. 'Enter the date the permit was issued for the building. Instructions - Page 4 .em G6.,. Date Certificateof Compli~ncel~sued.Enter the date that the Certificate of ComplianceorOccupancy orsimilar written, official dqcumentationof as-built lowest. floor elevation was issued by the community as evidence that all work authorized, by the floodplain development permit has been completed in accordance with the community's floodplain , mapagementlaws or ordinances. . ItemG7..N~wbonstruction or Substantial Improvement. Check the applicable box. "Substantial Improvement"means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair workperformed. 'Item GS. As-builtlowestfloor elevation; Enter the elevation of the lowest floor (including basement) when the construction ofthe building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws ,or ordinances. Indicate the elevation datum used. . . .. ItemG9. BFEUsing the appropriate FIRM panel,FIS, or otherdata source, locate the property and enter the BFE (or base . .flood depth) of the building site. lndicatethe eleva.tiondatum used. . : -":'.,',' ,",:: '. " --,,' . Ente{yourname,titIe,andtelephone number, and the name of the community. Sign and enter the date in the appropriate blanks. Instructions - Page 5 BUILDING. DIAGRAMS ,'The following eight diagrams illustrate. various types of buildings. Compare the features of the building being certifi~d with the features shown in the diagrams and select the diagram most applicable. Enter the diagram numberin Item C2and the elevations in ItemsC3a-C3g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section C). . All slab,on~gradeslngle- and multiple.floor buildings (other than spllt.level) and hlgh.rise buildings, either detached Ol'l'ow-type (e.g., townhouses); with 01' without attached garage.. . Distinguishing Feature- The bottom floor Is at or above ground level (grade) On at least one side. . j~l~f[~J~tiJf~~~~II~lftf~~it~~~~~~ '.' "(~X:~::>d~t:~~;~~'~'~Y'~Xi~;i~~"9~:d~)' ...... ...... '. ........... . All split-level buildings that are slab-on-grade, either detached or row type (e.g., townhouses); with or withoutattached garage. ' Distinguishing Feature - The bottom floor (excluding garage) Is at or above ground level (grade) on at least one side .' NEXT HIGH.ER FLOOR DIAGRAM 2 All single- and multiple-floor buildings with basement (other than split-level) and high-rise buildings with basement, either detached 01' row type (e.g., townhouses); with 01' without attached garage. Distinguishing Feature - The bottom floor (basement or underground garage) Is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' NEXT HIGHER FLOOR BOTTOM FLOOR (BASEMENT) ~1~f~f~~~f,i1~~I~i~~I~~l~~~llftJ~~~if!1 (determined by existing grade) DIAGRAM 4 All split-level buildings (other than slab.on-grade), either detached or row type (e.g., townhouses); with 01" without attached garage. Distinguishing Feature - The bottom floor (basement or underground garage) Is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' HIGHER FLOORS NEXT HIGHER FLOOR j~ft,}lltlfltf,111l~il~~1~~~ii~f~lltl~ 8(1)(determined by existing grade} Instructions - Page 6 DIAGRAM 7 All bulldings~l~vated on full-story foundation walls with a partially or fully enclosed area below the elevated floor. This Includes walkout levels, whereat least one side is at or above grade. The principal use ofthls building Is located in the elevated floors of the building. Distinguishing Feature ~ For all zones, the area below the elevated floor Is enclosed. either partiallyprfully. In A Zones. the partially or.fully enclosed area below the elevated floor Is with or without openings" present in the walls or the enclosure. Indicate information about openings In Section C, Building Elevation Info.rmatlon (Survey Required). NEXT HIGHER FLOOR DIAGRAM 6 All buildings elevated on piers, posts, piles, columns, or parallel shear walls with full or partial enclosure below the ~Ievated floor. Distinguishing Feature ~ For all zones. the area below the elevated floor is enclosed, either partially or rully. In A Zones, the partially or fully enclosed area below the elevated floor Is with or without openings'. present in the walls of the enclosure. Indicate Information about openings in Section C, Building Elevation Information (Survey Required). I I I NEXT HIGHER FLOOR ELEVATED FLOOR GRADE ENCLOSURE ~.'W~!t:r~!~;~~l11Yi,~&~,~\~,iij"%@\~IYij(~~)'ltii~ ~ existing grade) DIAGRAM 8 All buildings elevated on a crawl space with the floor of the crawl space at or above grade on at least one side. Distinguishing Feature - For all zones, the area below the first floor Is enclosed by solid or partial perimeter walls. In all A zones, the crawl space Is with or without openings" present In the walls of the crawl space. Indicate Information about the openings In Section C, Building Elevation Information (Survey Required). NEXT HIGHER FLOOR ** An "opening" (flood vent) isdefinedas a permanent opening ina wall that allows for the free passage of water automatically in both directions . . without human intervention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not less than one square inch for every squareJoot of ares enclosed. Each opening must be on different sides of the enclosed area. If a building has ,.more than one enclosed area, each area must have openings on exterior walls to allow floodwater to directly enter. The bottom of the openings must be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered professional engineer or architecl that the design . will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door,or a garage door is not .considered an opening.. Instructions - Page 7 c' . CI'-:Y OF PRIOR LAKE . ........~L~.Li~~\.__._- ImpervIous Surface Calculations '._--,J (To be Submitted with Building Permit Application) For All Properties Located in the Shore land District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address \"-\ '?.:>.'::"~'E\ "-R '0'\:seF_--:~ S\ ,('etA- N \C' Lot Area .?:>...~~ \ lD.~:na.h.,(}e ~L.qoq.O Sq. Feet x 300/0 = .............. \ 0 r () '" \ ************************************************************************ LENGTH WIDTH SQ. FEET HOUSE , ;~ ATIACHED GARAGE x = x = x = TOTAL PRlNCIPLE STRUCTURE...................... L~--' "1 L\ DETACHED BLDGS ~bShed) C-:.'::> x x ').....0 Q .,) \C.J TOTAL DETACHED BUILDINGS....................... DRIVEWAYfPAVED AREAS (Driveway-paved or not) (SidewalkIParking Areas) x x = = x = TOT AL PAVED AREAS......................................... \ \ \0 ~~ PATIOSfPORCHESfDECKS . x = (Open Decks 'I;' min. opening between boards, with a pervious surface below, are not considered to be impervious) x = x = TOT.U DECKS........................................................ OTIIER x x = = TOT AL OTlIER......... ............... ..... ...... ....... ............ TOTAL IMPERVIOUS SURFACE 4''1-;51 ....-.--.-.~--~~, (i:JNDs!Y6VE~ ~~~ared By ~ ~0/~~~~1~ ~ \ I ~., Company 0..\ ~J .. ~\), "B.\, 11'10\ C.." i \" ,<j C:)l '5L\ Date' (~ (.\ . Phone # \-\ 'X-(- 2e::n 'l) ',) ~r" G () CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address \ t.\ ?l ~B '-rzu~ "K", -;-J\ ('ce~' N. \; Lot Area ..~~ I \0':->1 c.\~)C\')f' fL. (''\oq.c Sq. Feet x 300/0 - .............. \ a I Oq \ ************************************************************************ LENGTH "WIDTH SQ. FEET HOUSE x = , ~ \ ATIACHED GARAGE x = x = TOT AL PRlN CIPLE STRUCTURE...................... '?- ?_) r-: \ .....1" -J DETACHED BLDGS (Garage/Shed) x X TOTAL DETACHED BUILDINGS....................... DRIVEWAYIPAVED AREAS (Driveway-paved or not) (Sidewalk!Parking Areas) X X = = x = TOT AL PAVED .<\REAS......................................... \ lJ:lilp P A TIOSfPORCHESIDECKS ~:~ X J &? = \''2.<('4) (OpenDecks y."min. opening ber.veen X = boards, with a pervious surface below, (~~"::I\(\L S\'t,u~ rl~ are not considered to be impervious) X = T OT.~ DECKS........................................................ ~~2--,-- X X = OTHER = TOT AL OTlffiR................................... ..... ............ ... TOTAL IMPERVIOUS SURFACE (~EivOVEf Prepared By ~ i'.~:\?"-\ ,,,,,,\ Company ~Q.\~ ~~"',,:,'\,\,,~ G, {7."" \ . \ - . 53~o 1 I '-\~ 121_--1 Date \ \( 0l 2-0(_'-' \ Phone # L\~.\:( -7_c.:.:(f)