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1253 Dunberry Lane5V-74 , • qs9 76 0/6 62 *. City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 A U G Fax: (651) 675-569 ') ?5 7 7 EP", SEI v 1* ir D ii,,c,,,,,,,..rvic Use BLUE or BLACK Ink / 0 2010 RESIDENTIAL BUILDING4J PERMIT APPLICATION) Date: Ids- -'^ C'S to Address: / �L`/ ' ! 0-53 Gt 11 t-.1(•(‘7' La nn c Tenant: Suite #: RESIDENT / OWNER Name: Pb ~ c OU (t A jj l �^ Address / City / Zip: / p2�t / O 1.,t)rt C c - T^l` IZ EitsG M Phone: (DS% - (17 7 q/ " Applicant is: �O^caner Contractor TYPE OF WORK Description of work: \C LA) c CD4(- "tw (.. ou Construction Cost c9„ ti C7cr.,aa Multi -Family Building: (Yes / No CONTRACTOR Name: 1 -\A 0(),\ ke License #: O90(, 307 `-"7/ Address: i7 b}C �5 � City: FIl2& State: /44 /1 Zip: -QC4 Phone: 93—c9- 96' / 9 Ss— c.. "( Qs -a- ass-- Contact likit t Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? "Itt jYes NoIf yes, date and address of master plan: r/' f ftis f„� �!7' �m` Phone: &i -'644r if 1wibi�7 -�mcal � rac or� `c`� h �' '6J � Phone: /��'�3'gw----v( X Phone: CO i9 ®_%s t7 `--� '�(5 40 Led Plumber: Mha Sewer & Water Contractor: TE: ocuft -e corn Inde sa CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. j, Applicants Printed Name +cys,a/I Applicant's Signature Page 1 of 2 15"-/ P5-3 butdo&pe. Ln, DO NOT WRITE BELOW THIS LINE Q697-7— SUB TYPES Foundation Single Family it Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION .� Valuation 3t" ave -- Plan Pian Review (25% 100% 4/ ) Census Code # of Units # of Buildings Type of Construction 311 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof:. j Ice & Water 4Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final x.50 /407 21 Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant SRC —02 MCES System SAC Units R- x City Water Booster Pump At PRV Fire Sprinklers /YO 6-G .iV'O A"1 Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: _ Footings — Backfill Radon Control Erosion Control , Building Inspector Final Brick Final i ISk'to hi., PP's'.( z 4/ ?•512 16.912;;L? lly /1,4/ G 6 2 f f. e ,te.L. (/5 f /,, /1r Pm- ',10,441xA 851 )0.444ft GS ipt X2,X336Fr .ex¢ie4.46. Sty 3111J '1 Page 2 of 2 LOT SURVEY CHECKLIST FOR RESIDENTIAL q3---7//BUILDING PERMITAPPLICATION 0- PROPERTY LEGAL: Q+/ E! ' k? rye _ �%� A4/4#& DATE OF SURVEY: /%//© LATEST REVISION: a) ca 0 o z < DOCUMENT STANDARDS 0 0 • Registered Land Surveyor signature and company . 0 0 • Building Permit Applicant ../2' 0 0 • Legal description 0 0 • Address 0 ❑ • North arrow and scale 0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ 0 • Directional drainage arrows with slope/gradient % 0 0 • Proposed/existing sewer and water services & invert elevation 0 0 • Street name Ar 0 0 • Driveway (grade & width - in RNV and back of curb, 22' max.) 0 0 • Lot Square Footage "3. 0 0 • Lot Coverage ELEVATIONS Existing 0 0 • Property corners ❑ 0 • Top of curb at the driveway and property line extensions ❑ 0 • Elevations of any existing adjacent homes 0 0 • Adequate footing depth of structures due to adjacent utility trenches 0 0 • Waterways (pond, stream, etc.) Proposed ) 0 0 • Garage floor 7 ❑ 0 • Basement floor ,' 0 0 • Lowest exposed elevation (walkout/window) p 0 0 • Property corners ❑ 0 • Front and rear of home at the foundation PONDING AREA (if applicable) o / 0 • Easement line 0 0 • NWL ❑ Z 0 • HWL ❑ 1 0 • Pond # designation ❑ i9 0 • Emergency Overflow Elevation o 2f 0 • Pond/Wetland buffer delineation Y 1 • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS X 0 0 • Lot lines/Bearings & dimensions fa° 0 0 • Right-of-way and street width (to back of curb) 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0 0 • Show all easements of record and any City utilities within those easements ,I 0 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 0 • Retaining wall requirements: Reviewed By: G:/FORMS/Building Permit Application Rev. 11-26-04 Date 04h° ENGINEERING COMPANY, IN . ROBE CONSULTING ENGINEERS. PLANNERS and LAND SURVEYORS 1000 EAST 146th ST., STE 240, BURNSVILLE, MN 55337 PH (952)432-3000 TRU VALUE HOMES PROJECT NO. 14611.00 CERTIFICATE OF SURVEY Legal Description: LOT 1, BLOCK 2, CHES MAR FIFTH ADDITION, DAKOTA COUNTY, MINNESOTA 1022.7 (1022.7) (102 6.00) (1026.33) (1022.98) DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE • FINISHED GARAGE FLOOR ELEVATION • TOP OF FOUNDATION ELEVATION • BASEMENT FLOOR ELEVATION MH SCALE : 1" = 30' 1022.41 DUNBERRY LANE LOT AREA: 15,000 SQ.FT. HOUSE AREA: 2,922 SQ.FT. DRIVEWAY AREA: - 930 SQ.FT. PORCH AREA: 70 SQ.FT. ADDRESS: 1251 & 1253 DUNBERRY LANE _j( 'FD IP - •SER 1021.63 023.52 022.15-+- 1 22.58 ....100-.-22.99 S89'47'26" .•+��"" 022.7 100.00 CAB. (1024.0) X1024:0 f RJ *$ It paoSION Z x 30.00 N 1TRI C N*O o MH 1021.10 rn 0 OX • O z n O PROVIDE AND MAINTAIN 0 INLET PROTECTION UNTIL 1021.01 FINAL TURF IS ESTABLISH D By frAGAN ENGINBL F N N 0 O SAN NV M 0 in cr) o3 0 HUB= 1026.00; 21.00 O M (1025.8 1025.0 ///..(1025.8 0 0 0 ±1013 22" MAPLE _ 0 17524°. 55 (1026.00; 21.00 GAR. GAR.' 1 21 _ 1025.0 6.8 7I •.831ri � 0 ~I 0 oN�- 1 WW zj W W (/) (f) �� co o `-i op 0-o , 0- o E. o I p_ o 15.50 N12.33 12.33`V1r ' 50 1025.1 1024.7 (1025.8) 1 (1025.8) 0 15.00 1 HUB=1024.81 • 10 5.8) 13.6 2"IMAPLE 130.33 102 co co LOT I ) r") a__ s • Ls e \ L- 1023.7 DRAINAGE & • 1 026.0 026.8 101.1 s 5 FD IP r O No 1026.36 GAR FLR rR N Z �. xI d- W O N N ,n NII m oR -, oM d CV to `0 z EXISTING FENCE N • 0 ♦LP d 100.00-6 A 1022.3 X1021.7 S69'47'26"E 1021.5, (1022.3) :i':BITUMINOUS TRAIL.. 021.67 )1021.10 [3V: 3 Io < O IVISION CLIFF ROAD (C0. RD. Rb. �Jz I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this 11TH day of A GUST, 2010. 19L + Minn. Reg RUSSELL P. DAMLO City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1253 Dunberry Lane Lot: 1 Block: 02 Addition: Ches Mar 5th PID:10- 17104 - 010 -02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: More Than One Floor Meter Size Meter Type Comments: Fee Summary: Valuation: 1,000.00 Contractor: Richie Plumbing Inc. 7676 Jasmine Ave S Cottage Grove MN 55016 -0000 (651) 459 -0506 Manufacturer Linda Richie 7676 Jasmine Ave Sol. Cottage Grove, MN 55016 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Dakota County CDA 1228 Town Centre Dr Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA088658 04/06/2009 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Date: ZI / I 0 Fee: $50.50 City Sewer City Water Repair Disconnect Description Of Work: 1-..s _con ft-'e- St t .J c d Wes! r_ Street Address for Proposed Work /AS / - ft1 s1.3 cb 0 Le r 7 ■--d* " - - - - OWNER Name: LIAN V Gt a ( ✓ T e Phone: l,(,J I '-"'7'' L1'_d 3 Address / City / Zip: 1 I % j 4 C f `7 -' I ` • i�► 4 Applicant is Owner .✓Contractor Licensed Name: L ..Q,4i a'I Qf Pipelayer Master Plumber 1. Property Owner CI /t l ` 04- hell' s it ( t Phone: Address / City / Zip: a! (`t 1 & `l y" _ ,^ • r4. / 04.4 <Aim✓ rt p to Pipelayer Training Certification Card #: or Master Plumber License #: acknowledge that the information of the City of Eagan and the no - . ,, • out a . L4ii is complete and accurate and that the work will be in conformance with the ordinances and codes State of MN Statutes. t understand this is not a permit, but only an application for a permit, and work is it. / ,e 1 9 n Gc — 1 ti Applicant (° t Name) Applicant's Sign ure City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 SEWER AND WATER REPAIR / DISCONNECT PERMIT Permit #: Permit Fee: Date Received: Staff: Use BLUE or BLACK Ink CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 40 City of Evan Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x B Y 5 V uka. Applicant's Printed Name Use BLUE or BLACK Ink Permit #: 9.? 0 9 Permit Fee: 9l J 1 Date Received: GI w`3 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 75- t () Site Address: t aF - 1) 1 E' vYt ,j L d v C �/ Suite #: -RE31BEI3T / OWNER TYPE OF WORK CONTRACTOR Name: r� uvk�. CC+,)nV -V c P A . Address / City / Zip: _ i 'C�i C c\--or Applicant is: Owner ,54.. Contractor Phone: 'A5 . 1 --L (1 Description of work: Construction Cost: .b t�.pi,Uc Multi - Family Building: (Yes /( / No ) Name: k< . ° K d try s\ License #: Address: 1 J (C C icc Cit S . 54- d State: m h) Zip: 5 Phone: (05) - � - 3 (C) CO Contact: i3\r E) t5' LC_, Email: h Y � ` [� d ra-- \ Sh C..n+ve COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: • Pl CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's - gnature Page 1 of 2 CITY OF EAGAN WATER SERVICE PERM T 3795" Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: — No. of Units: Owner: Address: Site Address: 05-3 Plumber: — Meter No.: _ Connection Charge: Size: — Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: — Ordinances. Misc. Charges: _ Total: By Bate Paid: Date of Insp.: Air -- 1 I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: _ —_ DATE: Zoning: __— _ Owner: __ — No. of Units: — Address: —_ — — -- — - -- Site Address: —_ _ -- ------ - - -_ -- Plumber. __ __ — ---- -- - - --- - I agree to comply with the City of Eagan Connection Charge: —__ Ordinances. Account Deposit: _ Permit Fee: By Surcharge: Date of Insp.: 'Misc. Charges: p.: - - Date Paid: _� - To.i1-? rz 3v) w?A ild¢re '_ac. F. C. JACKSDN w+o sumreroa ?n=3o R9011T[R[O UMDXR LAW/ OI OTATIC O? MINN[AOTA .. ?? { r0 K LIG[Nf[O r OF0111ANC[ C/ G7Y OP YtMN[AlOLIY ? 5816 EABT S6TM STRHET fjwl] - 727-3484 ..? .s y _ ' . , fburbepor'g dLerlititate f . 30 - ? 2 L' .- --- - -?- ' S `? ? , St 94' ? o I??? ?? \1 v ?y ? t ? ? N I '. , ? I ` T/OPeSP?? ?ubliv?S/DyI J 14? ' J , 2 Z. i I ? , - - , - 0 ____ _I \ i r :?-f ii G? ? , 1 M[R[RY C[qTIIY TXAi TN[ ABOV[ IS A TRU[ AND OORRiC PU1T 0/ A SURVK O? Lnt l,Block 2,Chae Mar Yif[h Addt[lon, Dakota County,Mianeeota. 133-12A i 1 ? ? Q ? . C C ? , v , Af 6URVlY[O miY M[ TMIS_8th_OAY OI 'aoV• A.D._ .•:'?•.-' " ? i _?s.. . ... . ' . _ . . _ _ . . e_ . e . . .'}.. ..._ . x __