City Of Owatonna Foundation Elevation Certification printable pdf download

City of Owatonna Foundation Elevation Certification

Property Address:____________________________________ Building Permit #___________________

Builder Name:_______________________________________ Date: ____________________________

Actual Foundation Elevation Method (to be used after foundation wall installation)

Actual Foundation Elevation**

_____________________

(must be between 101’-6” to 102’-8”)

Control Elevation***

100’- 0”

Total Foundation Elevation Above Control Elevation (18” - 32” Inches)

______________________

I hereby certify that that this survey was prepared by me or under my direct supervision and that I am a duly licensed land surveyor under the laws of the State of Minnesota.

____________________________________________ __________________________________________

_____________________

Printed Name

Signature

MN Lic. #

Proposed Foundation Elevation Method (to be used prior to foundation wall installation)

A) _______________________________

(Actual Footing Elev. by surveyor/engineer)

B) _______________________________

(Foundation Height)

C) _______________________________

(Foundation Elevation*)

—

100’- 0”

For City Use:

(Control Elevation ***)

Foundation elevation above control elevation meets policy

standards.

Building Inspector Initials____________

inches

(Foundation Elevation Above Control Elevation)

I hereby certify that that this survey was prepared by me or under my direct supervision and that I am a duly licensed land surveyor under the laws of the State of Minnesota.

____________________________________________ __________________________________________

_____________________

Printed Name

Signature

MN Lic. #

Provide sketch of house indicating location of foundation measurement

Notes:

____________________________

See reverse side for policy and footnotes