HomeMy WebLinkAbout18137 Green Gables TrlG:\Engineering\Miscellaneous\Forms\Certification of Grading.doc
CITY OF LAKEVILLE
CERTIFICATION OF GRADING AND
FINAL PLACEMENT OF IRON MONUMENTS
Building Permit #: __________________
Legal Description: Lot ___ Block ___
Subdivision: ________________________________________________
Address: ___________________________________________________
I hereby certify that on _______ day of _______________, ______ an inspection of
this property was conducted by me or under my direct supervision and that the as-built
grades, elevations and drainage patterns of the site and building are in conformance
with the grading plan approved by the City Engineer or amendments previously
approved by the City Engineer. In addition, all property corner monuments are in place
as of this date.
I hereby certify that this survey, plan or report 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.
Print Name: ___________________________
Signature: ____________________________
Date: ________________________________ MN License #: __________________
NOTE: ATTACH A COPY OF THE CERTIFICATE OF SURVEY SHOWING ALL AS-
BUILT GRADES, ELEVATIONS AND DRAINAGE PATTERNS
Approved subdivision grading plans should be obtained from the property owner or
developer. General questions relating to the building permit should be directed to the Building Inspections Department at 952-985-4440. Questions relating to grading should
be directed to the Engineering Department at 952-985-4500.
Prior to release of the Grading Security, this document shall be filed with:
City of Lakeville
Engineering Department
20195 Holyoke Avenue
Lakeville, MN 55044
Mitchell A. Scofield
48634
AVONLEA
2020JANUARY
6 2
18137 GREEN GABLES TRAIL, LAKEVILLE
6th
1/6/2020
HOUSE ELEVATION DATA
HOUSE TYPE = SPLIT LEVEL
LOT TYPE = LOOKOUT
BASEMENT WALL HEIGHT = 3.5
PROPOSED GARAGE FLOOR EL.= 999.7
PROPOSED TOP OF BLOCK EL.= 1000.4
PROPOSED LOWEST FLOOR EL.= 997.2
HOUSE ELEVATION DATA
HOUSE TYPE = SPLIT LEVEL
LOT TYPE = LOOKOUT
BASEMENT WALL HEIGHT = 3.5
PROPOSED GARAGE FLOOR EL.= 999.7
PROPOSED TOP OF BLOCK EL.= 1000.4
PROPOSED LOWEST FLOOR EL.= 997.2