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Permits - Permit# 11-01DEM - 2447 Black Lake Road - 1/1/2011Q-R;N': r'h f+. 952 471 9160 (t�;G9;%(.' 13 —'-'----• f:ITI' OF SPAT\G I*:>►Ab Noi$g_Qrdinance Ir+. FffgS� � 4 49 VVarrer, Avert,.e Spring Park, MN 5536-, z c Pr•ont' (952) 471-9C'..51 Fax (952) 471-9160 Monday - Priouy bc!;.:e 7 a rn. d r I and after 10 P.m. S i BUILDING PER1i1T Weekenas/Ho'iday5, ae'cre 7 a.m and after 2 P.m DATE-----�--- ---- j CHANGES TO APPROVED 81-11LDING PLANS MUST HAVE C'TY APPROVAL SITE AGGRESS a, cf 7 e V of at PID CONTACT NAME - FIIONE • EMAIL - FAX 3 S,fj y ------i ARC h:?f*.G.T. ,r Ngw i�J1; N3R.ikL6=rs_s / ri v r Stale / Zro i PhF'x�._ I A%.i4t?. tda:ctl9 lesr.i_GI>y� 52te: 7:Q / P.M I r•. .' .••"� -- 1 GONTA NAME - PHONE - EMAILFAX /a 617,25 y ---' CONTttA�70R LICENSE - TYPE OF WORK - Its• H:rnc Deck_ �or R,! - _ _Re Reside-tial Addition -- --Fence He, ►t. _r Ra-Silo - _..._.._.. • _____ ' EST. VALUATION OF WORK Remodel ❑ Pool _ _ I-_Ret �Ya l Hei i:t: chi..... i'.'ht U------- -------�•-- ----- S t. ofillor-Finish 3acernant c Succo Demo Vviinriow Re;aacelnera _ aui!di.ng ie Feet E, Accessory Structure E. Sticco Gtttar - - N o! Sto:ie!:; _ SCOPE OF WORK: Jse cd Building ",a­ r C' V.i i�''�.f.Y,t :y :bn kit+' DI'�^ar0 O+^C! 0' i'•W cal WiliCW. a[ va P.n:': no: WON•Caa is'C . �'': I C.raC T'td aw+o•�:ol rite Coy Zvr,rg �a^+•.:un:•' :' oe;�pv� f.. 9��e f'e Ir. a Va. flit J:.'.i r.;• p•�CrT. r,ar r.•! ,v, en aro C.:ry nay t, .kL oa+. P, nail;• , ha••r •Dlna,.le :e uvl : n..a r.ae t,{ ••o! ulo-. ••.a {w:• r•: •I L1 r aro- a .-.• a > c •.o i'•+ n:: .• �. •inra,Je 1'.,l, .. aU... 'i••1 all v.al{,pa�Jrn.ra _c i• .i At:a•.a-Ca .-It• aFn aA P!.,. • d ea,d. ara .,d 1. A.J. b{ all: C''A.IY:2�-.•::by 'a•!'. _:7. a" !C 11 --W-' I aar�• L DA, ail Olsr. ni:•. r..[ • ill el.> xl 1• Pree... rlq 1•.—AL 1'•T•il •a7•'a[ W-..wit K b. asn ...... -.> .AC v n '•^.` ... i., • .. , r... _ ., wA i .a A.-t��.=rr Ica. ;C.'aC •.' "! MCa_'! 10 lac a•)[ N'_? :•rA,f 0' witV� ■ 11e,M1 or �;{aiCl.cn w,I 1. ia:tiaG IC a P.r..<y Call M INSPECT for inmpPcl'gnp Al (962) 44:.7510. (24 Hour Not cG) 8:D0 a..m - A.3C p rr. SISNATURE OF APFUCANT. v '1 / it�lr`c'a .! _..._ . :LATE C1 PRINT=D N.AIv'E.• - -- r M A i- j alp r CL- fll r4 /ti /V Qn i f__ i --::R _ ._:16e) ........................... OFPI USE ON! Y SE1,aW THIS EWE - - - LEGa; CESCR!PTIO` : Lot _BlockAddtion Zoning _ ValuA!iunc:fPe,-y,it b .M Lot Area: CCCLT, 'vPE: CONST.TYPE: CODE: BLQaSPRi�KIED Yes ..c - SET9AC iS: REOUiP,EC R ACTUAL Permit File s T(ft) root (kUW _ _..._ _. ) NOTE: The aprllcen_I l is v , Gne:r. Fee � _ Rear. �. - required to submit commercial alate S,.rcr.arge S-_ _1% Srde _— plans to Met Council c lw i!,g' Fite Side ` Environrriantal Services 1cr - -- _ _ .._. ---- sE a Fee 5- -. Ccrner SewerAvailabifi� arjde g ChE C Fee3 - - - -- Lakeshore (SAC) deteanlra!ion. Contact = ° Jessice Nye @ 651-602-1378 _- _-- for submittal requirements - Permit wil) not be issued Ln;il Sews H001 a detetm!natlor letter is Avef hock -Up s _ provided. • Mel„ St _ Receipt No �;�: • IDate -- -- i------- B TOTAL DUE: s ----'---- 7, r. ER T1 0 Poor Quality Document Disclaimer The original or copy of a document or page of a document presented at the time of digital scanning .contained within this digital file may be of substandard quality for viewing, printing or faxing needs. J CITY FILE COPY READ ALL ATTACHED MATERIALS! NO OCCUPANCY OR USE ALLOWED UNTIL FINAL INSPECTION AND APPROVAL CALL BUILDING INSPECTOR 952-442-7520 OR A FEE MAY BE CHARGED EVERY PERSON PERFORMING WORK FOR WHICH THE CODE IS APPLICABLE SHALL COMPLY WITH THE CODE. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO CALL GOPHER STATE ONE CALL 651-454-0002, OR 811 BEFORE BEGINNING EXCAVATION LOT LINES PROPERTY LINES MUST BE STAKED IN ORDER TO VERIFY SETBACKS TO LOT LINES - IF NOT STAKED MUST PROVIDE SURVEY. CONTROL EROSION OF BARE SOIL AREAS SO THAT SILTATION DOES NOT OCCUR INTO STREET OR NEIGHBORING PROPERTIES UNTIL LANDSCAPING AND TURF ESTABLISHMENT ARE COMPLETE. MUST POST ADDRESS ON CONSTRUCTION SITE VISIBLE FROM ROAD WOtA-JL rerr� Ar d.1ma79- 4 ltzgre R,440a95 4-n 4GxeJV,,-, �, REVIEWED SUBJECT TO COMPLIANCE WITH CODES AND FIELD INSPECTION DURING CONSTRUCTION FOR ALL INSPECTIONS CALL (952) 442-7520 24 HOURS IN ADVANCE AND GIVE PERMIT NUMBER &--Col Deln FEB-09-11 06:00 PM MARTY"S EXCAVATING 6126572447 P.04 a I ut i'ARK 952 471 9160 04'"1 '1111 1? :i; =•�. ; ,:;� ..: .. •r . CHECKLIST FOR DEMOLITION PERMIT Project Name: _ - Date: Add! etis ��� / <. �L '`c e _Lip' n City: SF � of -z _ UiS Owrer's Name: Telephone Number: Contractor's Name: /4 >}_t7 Telephone Number: yS_:2-;C Detailed explanation of work to be performed: Has the following been provided or completed Yes No NIA i�� ❑ Completed permit application submitted to the Municipality. Two sets of site plans verifying the location and size of structure's) being demolished. ED a Two sets of plans showing area of interior demo work. Written verification and/or site plan identifying the type of pedestrian protection being provided. Describe type, location and height of fencing to be used. L (� Have all utilities been properly terminated. Has a "Notificatior of Intent to Perform a Demolition" (not required for single family dwellings) been submitted to the Minnesota Pollution Control Agency. Have all walls been properly abandoned in accordancc with Stat". Health Department regulations. u w.) Septic tanks pumped and removed. Written description of building demolition method provided. r7i Are there any underground storage tanks to be removed. i� Performance bond, letter of credit; escrow or securities provided in accordance with the Municipality policy. Have all hazardous materials been removed and disposed of in accordance with the Minnesota Pollution Control Agency. Sin �� 9 rat __ ___ ��--- ��>„�� �..,.� Date:_._,_____ epten�lier l4,?007 Demolition hagr 2 - FEB-09-11 06:01 PM MARTY"S EXCAVATING 6126572447 P.05 .ccoRATE (M ! - CERTIFIC ATE •F LIABILITY INSURANCE _ °/9/, 2/9/2°"""' 1---; - 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORCED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. if the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATION 13 WAIVED, subject to ;the terms and t ondltions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the I�'certificate hoi4et in lieu of such endorsement(s). � PylODllCFa _ - •--_-.•— ,NAME.... 8tefani Braun_ . ..... j American Agency, Inc. PHONE ExU.—(9._52..__ 5_4.. 5-1230 F 5851 Cedar ;Lake Road AgI Npl. 1952) 593-8733 9; stefanib@amoricanagAncymn. -- com P 0 Box 16127 "OoU Ill' , ' 00005690 CUS-.URED nneapol i s MN 55416 !WFgRlsi AFFORDING COVERAGE NArc N. IfortyIa Excavating, Plumbing Heating LLC 7185 Rutz Lakes Rd HN 55360 INSURER A.General Casualty .11+SURERe:S F M. Mutual Insurance Co 11347 INSURER C_: INSURER 0: INSURER E : VERAGE5 CERTIFICATE NUMBERCL1012305668 REVISION NUMB R: _ HIS IS 10 CLft�IFY THAT TILE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE .OR THE POLICY PERIOD INDICATED NOTHSTANDING ANY REOUIRLMLNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEKEIN IS SUBJECT TO ALL THE TERMS, CLUSIONS ANt, CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BFEN RFDI1f:FD BY PAID CLAIMS. .I _ ... .. TYP • OF INSURANCE ADDLiBTlBItI POLICY EFF j POLI N EXP �. .. NSli 111(VD .....-. POLICY NUMBER YMr00/YYYY MM/ YYYVI LIMITS _-..._ GENERAL LIAHIL.ITY i EACH OCCURRENCE I R00 O --'-..._._, _....- j GOMMFt?rIj1L GENERAL LU181LITY IIDAMAGE TO RCNTEPREM1$E'_j�p.occurren(:eI s 100, 00 A CLAII.1;, MADr I X I OCCUR XCx0030267 1/3/2011 /3/2022 1 MED EXP (hy one P5,00 PERSONAL & ADV INJURY S 1,000,00 GEN'L AGGRI-GAT£ LIMIT APPLIES PER. X POLICY : PRO. I ... ... AUTOMOBILE LIABILITY --....._. X 'ANY AUTO A, ALL (.WVNF1) AUTO:; SCHLOUI 1-1) AJ70S HIR170 AU1l9!. j 30267 a/3/2011 �GENERALAGGREGATE I9 I PRODUCTS . COMPIOP ACC ! 3 E GOMDINCD SINGI C LIMIT (Ea accidWA) $ I l/3/2012 BODILY INJURY (Per {,arson) 3 BODILY INA IRY (Per ar17,L o) 3 PROPERTY OAMA.GF _ (Pe. ao ;dons) NON OV if 0 AUTOS I Undernnsured mOtorisl S „_I.._......_,___--'�---��u- -_--- ----,.., UnmsureC rnolorist r:orralnea I S AS OCCUR EACH OCCURRENCE -- ;- EXCESS LADUYOREI.I.A LCLAIMSIAUCi AGGREGATE i f DEDUC7tRi V. � I $ RETLNTION; 3 2,000,OC 2,000,0C 300,00 300,000 300,000 WORKERS H. COMP'.E?1SAT10N l'----��• - ' l AND EMPLOYERS' WCSTATU- ot LIABILITY I __. . TORY LIMITS . I, FR I Y/NANY PROPRILIUI t�ARTNER/EXFCUTIVC + DFFlCERurwrr1 r.xcjt.R0EO.7 U NrA E.L EACH ACCIDENT 3 100,00 (Man"CAY In NH) 9606.205 /17/2011 /17/2012 k - r E.L DISEASE EA EMPLOYE s as Oeau,Oe t _ , M yy 9j7( DES;RIPTION OF (WERAT IONS below ELDISCA$C • POLICY LIMIT„i 3500.0c i ' I LOi I OE R1PnON Or OI'[RAnON3 I CATIONS I VEHICLES (ApaGh ACORD 10T, Additional Remarks Bclladula, H more space Is rewired) i City of. Sprin.3 Park 4349 Warren Ave Spring park, NN 55384-9711 RD 25 (200 25 c.00wq) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES IjE CANCELLED BEron THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRCSENTATTVE Menefee/SLB .� �.-� .�.... �� : � � -�_ jam- � • - The ACORD name and logo are registered mar 009 ACORD CORPORATION. All rights ACORD Plan Review Comment Sheet Applicant: Minnetonka Custom Homes Project: House Demolition Valuation: $6,925 Permit #: >-M Number of Days / Address: 2447 Black Lake Road Date Issued: Municipalit : Wiring Park Inspector Issued: Date & Comments 2-9-11 Received Application and Worksheet. NQ F/`li� CCA #1219 1- INSPECTION RECORD PERMIT NUMBER I ^ `—M Location Type of project Permissio hereby an�te/�d to: to install or construct the improvements applied for. This permit is granted upon the condition that the person to whom it is granted, and his agents, employees and workm n, shall conform' all spects to the Ordinances of the City of and to the Statues of a State innesota in such cases made and provided; this permit may be revoked at any time upon violation of any of the provisions of said Ordinances, Statues, or for any misrepresentation in the application. NOTICE This card and reviewed construction plans must be posted near 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 and plans shall be placed near main entrance. NO INSPECTION will be performed 0 card and plans are not available to inspector. REINSPECTION FEE WILL BE CHARGED. Do not occupy until all final inspections have been completed. Permit expires when building and work Is not commenced within 180 days or If building and work Is suspended, abandoned or not Inspected for 180 days. CALL FOR ALL INSPECTIONS 24 HOURS IN ADVANCE 8:00 A.M. to 4:30 P.M. Monday thru Friday 952-442-7520 Non -Metro 1-888-446-1801 DATE - 2 _1 ` / BUILDING INSPECTIONS Note: Permit holder Is responsible to call for these Inspections. Required Inspections are circled Date Inspector 10 Rscc J n/FS a I 1 MECHANICAL & PLUMBING INSPECTIONS Date Inspector Plumbing Rough -In Plumbing Final — Heating Rough -In _ GAS LINE — Heating Final Fireplace Rough -In GAS LINE — Fireplace Final — Electrical Rough -In Electrical Final Wendy Lewin From: gsoctransition@korpartners.com Sent: Wednesday, February 16, 2011 7:22 AM To: wlewin@mchsi.com Subject: NORMAL GeoCall Locate Information - 110470011 Gopher State One Call Locate Request Ticket Number: 110470011 Old Ticket: By: ANTHONY L Source: VOICE Type: NORMAL Date: 2/16/2011 7:22:08 AM Send To: CSPPRK01 Sequence: 1 Company Information MARTY'S EXCAVATING, LLC Type: CONTRACTOR 7185 RUTZ LAKE ROAD MAYER, MN 55360 Caller: SHARON ZIERMANN Caller Phone: (952) 657-2548 Contact: SHARON ZIERMANN Contact Phone: 612-868-0581 Company Phone: (952) 657-2548 Company Fax: (952) 657-2447 Company Email: Work Information ---------------------------------------------------------------------------- State: MN Work Date: 02/18/2011 8:00:00 AM County: HENNEPIN Done For: MINNETONKA CUSTOM Place: SPRING PARK Street: 2447 BLACK LAKE RD Intersection: CR 15 Type of Work: OTHER - SEE REMARKS Explosives: No Tunnel/Bore: No Right of Way: No Duration: 3 DAYS Remarks ---------------------------------------------------------------------------- DEMOLITION LOCATE THE ENTIRE LOT 2-�- 1 �// / 4-1 Members ---------------------------------------------------------------------------- Code Name Phone Number ---------------------------------------------------------------------------- CMOUND01 CITY OF MOUND CSPPRK01 CITY OF SPRING PARK FRTIER05 FRONTIER COMMUNICATIONS HENDPW01 HENNEPIN COUNTY PUBLIC WORKS MINGAS05 CENTER POINT ENERGY MNDCBL01 MEDIACOM QLNMN03 QWEST XCEL08 XCEL ENERGY 9524720614 9524719051 7636823514 (612) 596-0294 (763) 559-5185 8002212603 8002834237 6126304366. 1 S14/ treet _ No. - dditio Between .k:�9se- and T .ot Block Sewer Service y0 Distance Length /-Depth at Z6. 3 Contractor �o- Installed by Tied V. Water Service MH Distance Length �Size Type Pipe Contractor_ Installed by Tied by Date- Street / .� ,<1� , -Z- ee No. " dditio BetweeLot // 07 Mock Sewer Service MH �9 — Distances Lengepth at P.L • d ' +lac+cS6 19.0 z=. Contractors Installed by-�r�- Tied by . Date Water Service Distance_��/� Length So' Size Type Pipe h t4aus6 J 75Ae Contractor Installed by Tied bTate ? � �y BLACK LAKE Water Elev.=929.13 Sept.30, 2010 dock EXISTING HARDCOVER House 760 Sq.Ft. Garage 592 Sq.Ft. Decks (1/4" spaced) 0 Sq.Ft. Conc. Walks & Drive 637 Sq.Ft. Walls 55 Sq.Ft. Total Hardcover 2,044 Sq.Ft. Lot Area 12,783 Sq.Ft. X of Hardcover = 16.0 X PROPOSED HARDCOVER House 2,203 Sq.Ft. Conc. Walks & Drive 1,147 Sq.Ft. Total Hardcover 3,350 Sq.Ft. Lot Area 12.783 Sq.Ft. X of Hardcover = 26.2 Y. OHU Denotes overhead utilities ww Denotes window well o Denotes iron monument ® Denotes found monument x 000.0 Denotes existing elev. (000.0) Denotes proposed elev. --� Denotes surface drainage CERTIFICATE OF SURVEY FOR: 939 _ N C / z 930. 1 1 JV l eck 7�*43i,21 �, 9`�.��94n_42� Adjocent House 1st hoar-947.8 _..T-�\ 110 U (V 0 ,moo ' I —94a-­, —I 9471 Adjacent raj Garage � v �• � �y Floor=948.1 26"l/ rock re wall Ook I x 948.0 raw 1 { 1 �dblw�il) T� / ► `. / t' a; 11 18" Yople � ' I ' 'Settle AsMenee " SIEVE SEXTON DEMARS-GABRIEL LAND SURVEYORS, M. 6875 Washington Ave, So. Suite 209 Edina, MN 55439 Phone: (952) 767-0487 Fax: (952) 767-0490 N37.6 r go 3.2 deck • s� Proposed garage floor e/ev.=949.08 Proposed top of foundation elev.=949.58 Proposed lowest floor elev.=940.87 no eas* l" h d the t*" ovubw aww rid&W � �1 1 hereby certify that this survey, pion or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. David E. Crook Revw. 1/19/2011 Revimk 1/27/2011 Date: September 29, 2010 Minn. Reg. No. 22414 File No. 13857 B Book —Page 1 "=20' 7 Adjacent House p P j ` roPosed! Garage hoc MH ' Rim-944.54 lriv.=933.56 x 950.4 1 o� Jt rh 1l 948.2 Jy � o c ypQ,[�,O�JF o 1 9465 / / %lop nut hyd.=950.84 Rim=948.40 Inv.=933.01 PROPERTY DESCRIPTION: Lot 11 & the northerly 112 front and rear of Lot 10 SKARP AND LINDQUISTS ROSE HILL BLA CK LAKE Water Elev.=929.13 Sept.30, 2010 _ l 939 3 e � dock �I I� EXISTING HARDCOVER House 760 Sq.Ft. Z Garage 592 Sq.Ft. 1 Decks (114' spaced) 0 Sq.Ft. � 930.1 Conc. Walks & Drive 637 Sq.Ft. i / Walls 55 Sq.Ft. i Total Hardcover 2,044 Sq.Ft. \ Lot Area 12,783 Sq.Ft- 7 of Hardcover _ 16.0 9 l � PROPOSED HARDCOVER House 2,214 Sq.Ft. Conc. Wolks & Drive 1,140 Sq.Ft. Total Hardcover 3,354 Sq.Ft. Lot Area 12,783 Sq.Ft. 7. of Hardcover — 26.2 9 OHU Denotes overhead utilities ww Denotes window well o Denotes iron monument • Denotes found monument x 000.0 Denotes existing elev. (000.0) Denotes proposed elev. —+- Denotes surface drainage CERTIFICATE OF SURVEY FOR: 'deck i 79*431 .0, 1 l ;i Adjacent House ist Roor=947.8 947.1 rock ratl.. .. Ook f�. r I V` ` rc;. � I 0 LI C r iQD I b / / ( 1 rEt. }ralli'i o �pn \ Y 1i I � go.3i.:i SaIlle fifes denee STEVE SEXTON DEMARS—GABRIEL LAND SURVEYORS, INC. 6875 Washington Ave, So. Suite 209 Edina, MN 55439 Phone: (952) 767-0487 Fax: (952) 767-0490 Proposed garage floor elev.=949.08 Proposed top of foundation elev.-949.58 Proposed lowest floor elov.=940.87 mo azbv hwe had ft Wmv a w6w ft fAw � e`er.'-0i27 I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. E. Date: September 29, 2010 Revised: 111912011 Minn. Reg. No. 22414 File Poo. 13857 B Book --Page Scole 1 "=20 pRopos�� 80115'�c► ��¢�j' .�! . i OC9nf i_ -- — — — 948.0 Lo CA J 1 x Q; /. Adjacent House j, 4 8.0t c OG 8.0 i� P-0,osedl Drove � � � o 1 .c aF ' gs6 s 1 0 a° '/ Top nut by .=9 0.Re Garage PROPERTY DESCRIPTION: Lot 11 & the northerly 112 front' and rear of Lot 10 �\ SKARP AND LINDQUISTS ROSE HILL O \\ I MH Rim-944.54 Inv.=933.56