1259 Dunberry LaneCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECRIVED
19
AMOUNT ? I
0 CA5H M CHECK
T ank You
a• •?? `. BY
tNhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
? r CITY OF EAGAN
3795 Pilot Kwob Read
Eo9en. Minnesoto 55122
Phowe: 454-8100
f'LUMBI;,;?
_ PERMIT
Dote: 'I 2 0/ 76
Site /lddress: ?
Lot ' Block - Sub/Sec.
Name Shurbilt Crnstructic-?
` '362 l','ilderness Rl1P. Dr.
? Address
Clh/ ..; na i. Phone:
Name ' 11eChanical InC.
?
Add.ess 100 No. Mar'.: e:-
0
CILy . . ; . . PhWIIC:
This Permit is issued on the express condition that all work shall be
Minnesota Stotufes ond City of Eagan Ordinantes.
No,
Receipt No.: '
Single I
Residentiai
Multi Res., Comm./Ind. '?-,1?'1e': I
New/Alter./Repair. Cost of Instnllotion
Permit Fee 2')• ?)"
Surcharfle ? r Total '
done in uccordonce with oll opplicoble Stote of
Buildfng Officiol
' cInr oF E?GaN
3795 Pilot Knob Rood
Eagan, Minnasole 55122
Phona: 454-8100
: ;FA7'ING
9/20/7R
Dote:
Site Address:
Lot Block Sub/Sec. _ ( `??
ombustion Air Fequired
No.
Receipt No.:
Single I
Residentiol
Multf Res., Comm./Ind. 112 Dup'pl
Name , ,.u .4? lac
New/Alter./Repoir. ; Address y62 Wilderness Con of inseonorion
O City Phone: Permit Fee
No '"d '':'0j'::1i cZl IrC. Surcharye .50
.
Addreu ' i r) N0. hSarket
3 City , Phone: Totol
This Permit is issued on the express condition thot oil work shall be done in accordance with all opplicable State of
Minnesota Stotutes ond Ciry of Eagon Ordinances.
PERMIT
Building Offlciol
w • ' '
CITY OF EAGAN
3795 Pilot Knob Rosd
Eagan, Minnesota 55122
Pbone: 454-8100
P r
LU1dBING _ pERMIT
Date: 9/20/78
. ?. .,?,nh,;.. _
Site /Wdress: .??
Lot ' Block 5ub/Sec. ?
`;urbilt Construction
Name
? qddress : -„i2 Wilderness Ru^ I)r,
City EAgan Phone:
NO111e Sand Mechanical I:zc.
r
? ,??ss 1Ci0 No. Market
e
0
u -
City ?,?r Phone-
This Permit is issued on the expreu condition that all work shall be
Minnesoto Stotutes and Ciry of Eogan Ordinonces.
No.
1214
Receipt No.: 11655
Single
Residentiol
Multi Res.; Comm./Ind. •' ."? DL1pb@X I
New/Alter./Repoir
Cost af Installation
Permit Fee
SurrFv?rnn - ? l)
Total '
done in accordance with all appliwbie State of
Building
, CITY OF EAGAN .. 4??n
3796 Pilot Knob Rood
Eagan, Minnesota 55122
Phene: 454-8100
HEATING _ pERMIT
No.
1291
Date: `)/20/78
1259 Dunberry L.
Site Address:
Lot Block Sub/Sec.
CM5
Na? '::iurbilt ConEtiactlo:;
? Address 1.362 1Yilderness Run Dr.
city Fagan Phone: 454-4465
ame - -md hlechanical Inc.
.
llddress 100 No. Market
e
DiN 55371cy
City ' Phone:
This Permit is issued on the express condition that all work sholl be
Minnesoto Stotutes and City of Eogan Ordinances.
Receipt No.: 11655
Single
Residential
. / , ',.,;? ! ex I
Multi Res., Comm./Ind. ` "
New/Alter./Repoir
Cost of Installatlon
Permit Fee 20.00
_- ,-;
Surchargc
Total done in occordonce with all appliwble Stote of
Building Official
?-
.. - cInr oF E?"N
3798 Pilot Knob Rood Eagan, MN 53112 N! 4944
PHONE: 454-8100
BUILDING PERMIT
Te 6e mued fae = %•
Site Address 1
Lot Block
Parcel #
56 *OOa
Receipt #
Date
, 19
Erect Q Occuponty
Alter ? Zoning "
Repair ? Fire Zone 3
Enlarge ? Type of ConSt. v
Move ? # Stories
Demolish ? Front
Grode p Depth ft.
Apoeovolt Feea
Sec/Sub. Ches iAeir 5th
oc Nome
z Address • _. .. . , _ ::U[[1 .
? J
°C Name _
z?
o' Address
U?
F re...
assessment -
Woter & Sew.
Pol ice
Fi re
Eng.
Planner
Permit •'?
r• ?- ?
SurcFwrge
Plan check
SNC
Woter Conn.
Water Meter ?a
I hereby ocknowledge that I hove read this cpplication and stote that gldg, pff. W lt1/ / t'
the informotion ts rnrrect ond agree to comply with all applicable APC Totol I
Stote of Minnesota Stotutes and City of Eagon Ordinances.
Signature of Pennittee -
A Building Permit is issued to: on the express mndition tFwt
all work shall be done in ncrnrdance with all applicable State of Minnesota Statutes and City of Eogon Ordinances.
Bullding Officiol
Ponnk #k DWr lau" Pnalttu
Piumbing r04 1 111 5 q -2G-1 ? 5-0tki .
Mechanical I a.?l l, 1?q a, ?f - a-o - l? ??_ n'??.?y???L ??,, •
INSPECTIONS DATE INSP.
Rouph-In
Final
Footings Pahel Inap. Date Irap.
Foundation Plumbing
Frome/ins. Mechonical
Final
Remarks:
CITY OF EAGAN Remarks
Addition CHES MAR 5TH ADDN. Lot 3 Bik 2 Parcel 10 17104 030 02
owner14? ?.?`.- /.• ' street 1259-1261 Dunberry Lane state Eagan, hW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK a; 97 172.92 8.65 20
SEWER LATERAL ?
M
WATERMAIN
* WATER LATERAL
WATE
R AREA .541
1977
172.92
11.53
15
* Services 1980
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
a ni arge 150.00 11362 8-18-78
WATERCONN. 500.00 11362 8-I8-78
BUILDING PER. #4944
SAC 1 00-00 11-362 8-18-78
PARK
SEWER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Roud pERMIT NO.: _
Eagon, MN 55122 DATE:
_ t•lo, of Units:
Zoning: -
Owner: - ?-
Address: -
•_ Site Address: _
-Plumber: n
?. .
11 ageee fo compIY M'ifh Fhe City of Eag°n te
,O
D pos
Atcount
Ordinances. permit Fee:
5urcharge:
Misc. Charges:
By
Totol:
Dote of Insp.: pate Poid:
I nsp.:
WATER SERVICE PERMIT
PERMIT NO.: .
DATE:
N0. of Un'sts:
Add ress:
N.0
No.:
to comphr with fhe Citr of Eagan
of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Totat:
Date Poid:
• vV !
pilot Knob Road PERMIT NO.:
. MN 55122
SEINER SERVtCE PERMIT
DATE:
No. of Units:
Address: --
-_---
Site Address: - - - - Plumber.
I agree to eomply with the City oF Eogan Connection Charge: -
Account Deposit:
Ordinances.
P2smit Fee: ,
Surchorge: .
Misc. Charges:
By
Dote of Ins Total:
p.:
_ Date Paid:
I nsp.: -
WATER SERVICE PERMIT
CITY CF EA?AN
3..5 Qilot Keob Raad PERMIT NO.:
Eagan. MN 55122 DATE:
Zoning: - No. of Units:
Owner. -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge;
Size: Accouni Deposit:
Reader No.: Permit Fee:
I oyree fo r,ornply wiFh the C+ty of Eagon Surcharge:
rges:
Ch
Mi
Ordinances. a
sc.
Totol:
Dute Paid:
By
? ??-
?4W
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PIL'OT KNOB RD - 55122 70, o0
651-681-4675
RamodeUReoairReauiremeMs ? -,??J -0 I
New Conswedoo ReauiremenU
• 3 registered site surveys sfawing sq. ft. of lot, sq. fl. of house; and all raofed areas
(20% mazimum lot coverege allawed)
• 2 copies o( Dlan shaxing 6eam d window sizes; poured found desgn, etc.)
• 1 set o( Energy Calculations
• 3 apies of Tree Preservafion Plan il lot platted after 7/7193
• Rim Joist Detail OpGOns selectmn sheet (bldgs with 3 or less uniLa)
DATE Zf ?-?OI
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER _NVGtJW !'
TYPE OF WORK
APPLICANT
ADDRESS \\6.? ti
PAGER #
• 2 apies af plan ?
• 1 set af Energy Calculations for haated additions
• 1 site survey for eztenor additions 8 decks
• Indicate il home served by septk syslem tor additiore
,'?
VALUATIO11i)()
L?,e,
FIREPLACE(S) _ 0 _ 1 _ 2
CECL PHONE #
PHONE#
ZIPCODE
30`7
; Fax#
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
ener9y Code Category _ MINNESOTA RULES 7670 CATEGOR ?o? o
(check one) - Residential Ventilation Category 1 Worksheet itte ??
- Energy Envelope Calculations Submitted ?
_ MINNESOTA RULES 7672 ?
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhaetor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
All above informafion must be submitted prior to processing of application.
i hereby acknowledge that I have read this application, state that the information is correct, n ag =e to comply
c,
with all applicable State of Minnesota Statutes and City of Eagan 7724/?-Z
Signafure of Applicant
Certifcates of Survey Received _ Tree Preservation Plan R ' ed _ Not Required
L
Updated 1l01
OFFICE USE ONLY
? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 70 08-plex j<1,8 Deck ? 23 Porch (screened)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
>('31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
-4 ,
? 30 Accessory Bldg
G 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoars
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 2:4000. Occupancy
Census Code L/3 U Zoning
SAC Units bi Stories
Nbr. of Units U Sq. Ft.
Nbr. of Bidgs I Length
Type of Const _TZ:1V Width
_
{L-2
i2
IU
REQUIRED INSPECTIONS
Footings (new bldg)
3K Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Approved By f?rlr r ?. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
?
HVAC
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
lew Canstructfon ReauiremeMs
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooFed areas
(20% maximum lol coverage allowed)
2 capies of plan showing beam &window sizes; poured found desi9n, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan'rf lot platled afler 711193
Rim Joist Detail Op6ons selection sheet (61dgs with 3 orless unils)
)ATE
IOB SITE
a.
F MULTI-FAMILY BUILDING, HOW MANY
'ROPERTY OWNE
'YPE Of WO
4PPLICANT
4DDRESS
VALUATION Y1/0 `'
NITS?
r?
'AGER # GOR-PHONE'#
q
2EPLACE(S) _0
PHONE#
-1 ?J -3
ZIP CODE 1-1`610
9sz
fAX# f 6? -367
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Gategory 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includcs:
Mechanical Contractor.
Mechanical5ystem Includes:
Sewer/Water Contractor:
_ Water Softener
_ Water Heater
No. of Baths
Air Condiaoning
Heat Recovery Systcm
kII above information must be submitted prior W processing of application.
Phone #
?????T
?
.,.:? a
By
hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
711 applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot AppllcaM __1__ ` - ?'- -
:ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
RemadelfRaoair Renuirements
. 2 capies ot plan
. 1 set af Energy Calculations for heated addilions
. 1 site survey far exterior additions & decks
. Indicate if home served by septic system for additions
I U 11 ? ??1 0 30 0?-
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fec: $90A0
Tee: $70.00
Updated 1101
9? l? // "`' OA ? S v
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
] 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
] OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
7 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
7 33 Alteration ? 37 Demolish (Btdg)* ? 43 Reroof ? 46 WindowslDoors
] 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
/aluation Occupancy MC/ES System
;ensus Code Zoning City Water
iAC Units Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinklered
"ype of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation FIVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stuceo Stone
_ Insulation _ Windows (new/replacement)
Approved By
3ase Fee
iurcharge
'lan Review
AC/ES SAC
:ity SAC
Nater Supply & Storage
>&W Permit & Surcharge
-reatment Plant
'lumbing Permit
Aechanical Permit
.icense Search
:opies
Aher
fotal
6uilding Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?,a r GQ
651•681-4675
New ConsW cUon Reauiraments
• 3 registered site surveys showing sq. R. of lot, sq. R. o( house; and all roofed areas
(20% maximum lat coverage allowed)
• 2 wpies af plan showing beam & windaw sizes; poured found design, etc.)
• 1 sel of Energy CaicWations
• 3 capies ol Tree Preservation Plan'rf lot platted after 711/93
• Rim Joisl Detail Optians selection sheel (bldgs with 3 or less units)
DATE J / dZ /U
JOB SITE ADDRESS I?-S9 1rL?
IF MULTI-FAMILY BUILDING, HOW MANY UN S? a-
PROPERTY OWNER Sca c,."G
TYPE OF WORK he-/' ?A o,c?
APPLICANT
ADDRESS
PAGER #
PAX #
NEIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Conhactor:
_ Air Conditioning
Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE# 1
ZIPCODE
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that ihe information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinaq,ces,.,
Stgnafure of Appltcant
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required
CELL
Water Softener _
_ Water Heater _
_ No. of Baths
RamodeVReoalrReauiremenb JQ?
. 2 copies of plan
• 1 set of Energy CalcWadons for healed additians ?-=?-y?_
• lsttesurveyfarexterbraddiGonsBdecks ? J ?r.
• Indicate if hane served by septic system for addilions
VALUATION
Phone
Iawn Sprinkler
No. of R.I. Baths
Fee: $90.00
to comply
Updated 1lOi
OFFICE USE ONLY
? 01 Foundadon O 07 05-plex ? 13 16-plex ? 20 Pool
C3 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex >R?i 8 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repiacement
Valuation a000, 00
Census Code u 3 N
SAC Units 01
Nbr. of Units 0
Nbr. of Bidgs I
Type of Const
Occupancy (?-3 MCIES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length f Z Fire Sprinklered
Width ?O
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck) FinaUNo C.O.
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insula6ou _ Windows (new/replacement)
Approved By c? r r Building Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
? 30 Accessory Bidg
? 31 E#. Alt - Multi
? 33 Ext. AIt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire 81dg only) • Give PCA handout to applicant
FinaUC.O.
_ Plumbing
HVAC
Total
cirir oF EAcaN
$795 Pi1W Knob Rood Eugen, MN SS722 N2 4944
PHONF: 454-8100
BUILDING PERMIT APPLICATION Receivt .jp 11362
Te be uaed 4or DuPlex Est. Volue 58,000 pate 8/18 19 78
sce Adaress 1259 8 1261 Dunberry Lane Erea Q occuPOnry I
Lor 3- Biock 2_ Sec/Sub. Ches Mar 5th Alre. ? Zonin9 Rl
Parcei # Repair ? Ffre Zone 3
c Name ?i+uruia ?
i Address 1362 lyilderness Run Dr.
3
o aqan -
o Nome _
?
?? Address
Name _
Address
Enlarge ? Type of Const. V
Move ? # Stories
Dertwlish ? Front 72 k.
Grode ? Depth /`'F k.
Apprevala Faes
Wuter & Sew.
Police -
Fire
Eng.
Plonner
Council
Permit lOZ.DIJ
Surcharge 29-00 _
Plan che[k
SAC1 ? 50=1,000.0
Water Conn. 2 - 5d? •0
Woter Meter 2 -1•0
Road Unit -2@_7_5.0
I hereby ackrrowledge that 1 hove read this application and stote that Bidg. Off. 8 18 78 =150.00
the information is mrrect ond agree ro wmply with all appl' able APC Total 1-9 -F?
Stote of Minnesota Statutes o B ity of Eogan Or irances.
Signature of Pern+ittee ?L?
A Building Permit is issued ro: Shurbilt on the express condition that
all work shall be done in accordance with oil appliwble Stotp of Minnesota Stmutes ond City of Eagan Ordirronces.
same
Building Officlal
4 Py? Zly
BUILDING PF.RMIT APPLICATION
,
nr,TE ?"/F ' 7?
znclude 2 oeta o# plane, 1 site plsn w/elevations and 1 set of energy calculations.
?
ao
1b be used for J(?y y) (C-x Valuation?
_. .. ?__ -
Site Address; _
? 2 Ches- Mur s? ??
Lot Block See. Sub. Parcel Number
Owner Jn u, h 42 / 4
Address 13 (c16,L?
c ,. .. .. .,. i ?
Telephone y 5 y-vK[o S- _
Contractor {-
Address
Arch./Eng. .??t?V ' ?-
Address s p. m C?
Erect
Alter
Repair
Enlarge
trove
Demolish
Grade
Telephone -
Telephone
OFFICE USE
Occupancy L
2oning
Fire Zone
Type of Const. 11
# of Stories
Front 7,9- ?
Depth &?`/'
OFFICE USE
Daie of Approval 6 Initial
Assessment
Water/Sewer
Police
Fire
Etg.
Planner
Oouncil
Bldg. Off.
A.P.C.
FEES
Pennit
Surcharge
P3an Check
sAC ?.?+Y?c-?, inco
F7ater Conn. Q 50
4later Meter D
?Q a.,, & JY '52
TOTIaL
???? ??iLi`s.?Ii?° ? •?""
'1_oT 3 ? 13LK Z,
CHes- Mp? 5'!; AOD?T?o?J
Cv
L7U nj h?ERSt?/ L A NE
Ltodq
j
??/ /Cr/lP-t?u
__?
N
P L O T P? 1? s.! --
?°
Storm Sewer Trunk
Ches Mar 4th
Block 1, Lot 1 345.67
2 346.45
3 3G1.68
4 301.02
- 5 1118.88
6 934.10
7 494.29
8 455.49
9 364.05
10 597.58
11 397.59
12 328.56
13 693.81
14 327.37
15 290.39
16 490.78
17 805.84
18 1631.79
19 1908.97
20 2512.98
B'ock 2, Lot 1 459.47 j
2 545.87
3 624.55 '
4 577.04
5 478.66
b 422.66
7 488.72
$ 553.46
9 423.54
Ches Mar Sth
x
Block 1, Lot 1 467.30 ,
2 369.51 ?
3 601.09
4 468.55
5 506.35
6 ' 403.00
7 416.03
$ 546.00 ?
9 443.09
Block 2, Lot 1 390.00
2 390.00
3 390.00
4 733.75
5 603.69
6 331.45
7 325.00
$ 325.00
9 600.68
10 1021.18
\
191
N
N
I J
? O
r
O
/ \ I
<
i 100Ff. NORiHERN NATURAL GAS C0. EASE. PER
I D0C• N0. 258480 LOCATIpN NOT DEFlNED
• i r-
I\ d i i
I ? ? i L_ ? w r v ? i 't
5
?
I
1 ?
M 1
N
tt .
z I
N
Y?W
?C?NO? &EBKR& PG. ITORRENSICROUECORD EqSEMENTI H?. ?W TEMP
OR RE5IDUE I H Q R?yyl HWY.
QT?ydl SQM?T
o ?
w
?
NOFiN 1/q.,?R SeC_
34, L29N.. q2'sW.
X=595500.494
Y=276059.f6
33' 16" E
5.f70
[3p,FL C(3. fiD. R!!i}di
vF° 'r!R'i i?ur Nu. F96
C.S.A.H. iJO. 32
iCt_1FF i?OR[i)
3z'48•° w
15.01
I