3844 Westbury Lane
~
CITY OF EAGAN SEVVER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: - ZoninD: Na. of Untts:
Owner:
llddress:
~Tf ~fRffi: 1r4~i !il.S~~l:1'tl
Plunber. ~~~'ttzc.I "lvs-?'~~.r~t~~`- -
1 Nm NeesnI! wM6/M C!p of bwn Canr»ction Owege: 4 2 ~o)j,
OdiwseM. Aomx+t peppyt; 15 . ^r?r
1
Pem+it Fw:
SurcharQr.
8Y MIsC. Clqrqs:
Dote of Insp.: Totof:
InsP.: Dote Poid:
CITY OF EAGAN WATER SERVICE PERMR
, 3830 Pilot Knob Rwd 7 p 711
P. , t?. Box 21199 PERMIT Np.:
Epan, MN 55121 DATE:
Zoninp: _ P.1. No. of Units:
Owner. Parkgr.een, Inc. ,
Addnm ~
384 :estbury .T~n. L b ldest urv . r
~~~r tti enze t u~:. ~
Mat.r No.: 36 5-'-6 v 9 necrian Ctwro.: OOT)d
Stse: ADeposit: 15. ,
Rsoder No.: d 04
1 Mm S'~ P
o~i.. TE~,Q4t4 ' - - ~ 00pt Tp
IR~Q ~~ra~~ ' 1 ~ol,a ~~fnr
Dcte Paid:
Dote of leup.: Iruip.:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 114 0 9
" y PHONE:454-8100
BUItDING PERMIT Receipt M
To be wed for SF DWG/GAR Est value $ 66 ,000 Date JANIIARY 2 ~g 89
Site Address 3844 WESTBURY LN Erect L]' ,~t Occupancy R3
Lot 1 Block 1 Sec/Sub. WESTBURY 3RD Remodel ? Zoning R
Parcei No. Repair ? Type ot Const V
AddiUon ? No. Stories
a Name PARKGREEN INC Move ? Length
= P. O. BOX A Demolish ? Depth 4 6
a Address Int Impr. ? Sq. Ft
Cih, ROSEMOU~ne 454-3172 Install ?
o Name SAME ApP?ovab FeS
Address Assessment Permit ' 0
33.QD
Ciry Phone Water & Sew. Surcharge
~i a RUSSELL HOME DESIGN Police Plan Revipw 0
Name Fire SAC~ 5~~ .00
Address 4940 VIKING DR 0
~ o Eng. Water Conn.
ci~ EDINApnone 835-5970 pianner WaterMeter---6--.-00
Council Road Unit I
I hereby acknowledge that I have read this application and state that the Bld9 Off. 11 /2 0/ 8 Tr, pi, 132.00
information is correct and agree to compl with all applicable State of
Minnesota Statutes and Cily " agan O inanc ; APC Parks
90
c Var. Date Copie
Signature of Permittee L
5 Q
~ .
PARKGREEN INC Totel ~~c u
A Building Permit is issued to: on the express at
all work shall be done in accordance with all a li le State of M' neso Statutes and City of Eagan Ordinances. I
Building Ofticial
f r ~ -
CITY OF EAf AN
3830 Pilot Knoli Road P.O. 43ox 24 •199, Eagan. MN 55121
, PHONE:454-8100 -
BUILDING PERMIT Receipt #
To be uted 1or SF DWG/GAR Est Value $66,000 Date JANUARY 2
SlteAddfess 3844 WESTBURY LN Erect ?X Occupancy R3
Lot 1 Block 1 Sec/Sub, WF%STHURX 3RD Rbmodel Zoning H1
Repair ? Type ot Const y
ParCel No.
Addition ? No. Stories
a Name Y'ARKG~2~:EN 1NC Move ? Length
= P. O. BOX A Demolish O Depm a6
o Address Int Impr. ? Sq. Ft
City KOSEMOWC%e 454-3172 Insmll ?
o Name SAIaF ApP~~~b Fma
~ Q Address Assessment Permit 3 31. 0 0
~ Ciry Phone Water 8 Sew. Surcharge 3 3. 4 4
Police Plan Revie 1' ' S~ I
~ W Name RLJSSELL HOl~IE DEBIGN
~ W Fire SAC .!~?5
31= Address 4940 VIKZNG DR 500,00
0= Eng. Water Conn.
5W ci~, ED I Nl~hone 8 3 5- 5970
' planner Water Meter 63.00
Council Road Unit 260.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 111201 ~ Tr. PI. 132.00
information is correct and agree to comply with,all applicable State of
Mlnnesote Statutes and City otf0agan Ordfnance , APC P8rk3
Signature of Permitt Var. Date Copies
- Total
A Building Permit is issued to: PARKGREFN INC on the express cond Uon'thaC •
all work shall be done in accordance with all applicqWe State of Mlnnesota Statutes and City of Eagan Ordinances.
Buildiny Ofliclal
a
' PMmM Mo. PrmN Mold~r OsN TMophoM •
PkWA" `
H.Y.F.C. '
Eloclft g• a3 c a s .5~,
soft~
i
l„e"cft, o.» it. Conwnwft
F"aMq. i 'd x
FoolYgs N
Rouna+uo^ w 8
F..~ 4.
Roo+Mw
R«ugh Ptbo• dp .
nouon ?np.
in.uL
Finplsu
Finallllp.
FYUI Plbp. -
lld0. FInN
Grt.Oea vK, (it+ /vi
D*4* Ra.
Wck Fmq.
1AId1
Pr. Wmp.
D
PERMIT # CITY OF EAGAN FEE
(J MECHANICAL PERMIT v
RECEIPT #454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + S.SO G d~
TOTAL
DATE MINIMUM COMMERCIAL FEE -=20.00 + $.SO
1. Bldg. Type: Res Comm Inst 2. New ~Add Alter Repair
3. Total Bid Price `JQO' 4. Job Addresa T l
ec S. O ner
t~r r1~
Lot B4(N
6. Contractor L~L C /~C ~ L' y0
(Shssq (C
ity) Qlp)
7. Contractor P
RESIDENTIAL HEATING - '01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or haction - $6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFI IONS/ALTERATIONS -510.00 minimum fee
H TIN(3 VENTILATING ' HOT WATER STEAM AIR COND.
PIPING PROCESSED PIPINQ AIR HAND. EOUIP. RtFRIG.
RES. GAS PIPINO OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. q/?Tf =1% TOTAI~, P ICE PL $.SO STATE 3URCHARGE FOR EACH $1,000 OF FEE.
Signed: ' • for
Approved Inspections: Date Rough Insp. Date Final Insp.
•
~
PERMIT N CITY OF E/tGAN FEE a 7 GU
PLUMBING PERMIT
RECEfPT 454-8100 S/C '
MINIMUM RESIDENTIAL FEE -:10.00 + $.50 ,
TOTAL
DATE N ~ •
MINIMUM COMMERCIAL FEE - $20.00 + 11•50
1. Bldg. Type: Res x Comm Inst 2. New X Add Alter Repair
3. Total Bfd Price 4. Job Address -;w
Lot ~ Block Sec 5. Owner
6. Contractor /(J,k-i I /~~Pc: ~l • 46G fi: iii~t C :ai/
,Neme> (SUe" (City) RIp,
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES NO. FIXTURES
~ Water Closet - $3.00 / Laundry Tray - $3.00 -Well - $10.00
~ Bath Tubs - $3.00 =Floor Drains - $1.50 Private Disp Syst -$10.00
~ Lavatory - $3.00 ~ Water Heater - $1.50 ~Rough Openings w/o
~Shower - $3.00 Whiripool - $3.00 Fixtures - $1.50
__LKitchen Sink - $3.00 =Gas Piping Outlets - $1.50
-Urlnal? Bidet - $3.00 - Softener - 55.00 COMM./IND. RATE - 196 OF TQi'AL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: ~ for
Approved? Inspections: Date Rough Insp. Date Final Insp.
,
- - - - - - - - - ~ _
~ INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
, ..r•1 i P+I~
Perms No. w.mit Mo1de. o.ts rel.plaM •
S/W
PLUMBING
HVAC
ELECTRI a5 fT ~
ELECTRIC
In~p~ctfon Deft Insp. ComrrNnts
Foonngs I
Foundsrion
Framing Z ` I-A,
Roofin9
R°ugn Plbg.
Rough Hto. ~ ~ .
iw. y 2 0 - T
Rreplace ~
Fnal Htg. Orf~ ^-esnJ N'n-/~- c.Xc.c Cv„ir~vv!
ro rt . ~O - ~i y
Orsat Test
FkW Plbg. Pbg. Inepector - Natl1y Pkunber
~
Const. Meter
EnWJPIen
Bldp. Final ln~L ,
DedcFtg. 1G` /CS$ ui n O~
Deck Rnel
weli _
Pf. DisP.
~ - f12
I CITY OF EAGAN Remarks ~L[!.p p
I Addition Lot 1 81 k ~ Parcel 1(L$ 3b~2 mi Ol
Owner CLII& st.~t 3$44 WesLburv Lane State Ea an MN 12
/o ~ 7
Improvement Date mount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK S 17.00 15 3 R O/(p ,r4 /.2 ;3/-,KS_
SEWER LA7ERAL -
Wa.termain 19 1~ 3.33 1 3.~ 40 16 0 1.2 -.d -e_~,"
WATERMAIN 19 33.8t) 2.26 1 3~• lp Q D o2
WATER LATERAL
WATER AREA 1984 lowNwi • 9S 1 /O ~ 2 O/ !f '~J
-P 1$6 9.3 4.63 15 (,,el Ao/ o a.3i-gt5'
STORM SEW TRK 11986 368. 73. 02 AO ~~O C -3 8S
STORM SEW LAT 1. O 98.20 3 3. OI O
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ppad Unit 280.00 58731 2 86
WATEFi CONN. 500.00
BUILDING PER. 11409
SAC 525-00
PARK
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
. City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122 99, aS
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWclion Reauirements RemodellReoair ReauiremenLS OKce Use Oniv _
3 registe2d sfle surveys shaxing sq. ft of l04 sq. N. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% manimum lot wverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam 8 window sizes; pouretl found desgn, etc. 1 site survey for additions & decks Tree P2s Required _Y _ N.
t set of Energy Calalatlons AddNOn - indicate if on-s8e septic system On-site Septic $ystem . _ Y_ N.
3 oopies of Tree Preserva6on Plan if lot platted aRer 711193
Rim Joist Detail Options selecdrn sheet (bldgs with 3 or less uni5
Date Construction Cost 6 5-1
Site Address ~~`I fJ'fl~l~R A L.Anc UniUSte #
Description of Work I,GtQ 'i I W ,"J" °"S `
Multi-Family Bldg _ Y:~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~A1'~ 01 n~'' f~~(~ }1~'?e SD1 e.f f Telephone # ( (pSI ) [lg 3 ~'J
Contractor P 1'
Address 1111050 C-flehd City k, V li,
State M N Zip Gg I 2q. _ Telephone # (q$'L )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled Submiried
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( ~ ISAV
I hereby apply for a Residential Building Permit and acknowledge that the informati is complete and ac ate;
that the work will be in conformance with the ordinances and codes of the City of e State of
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to st wi ut 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.
\1 Vt he/ -90 /0 Applicant's Printed Name Applicant's ature
OFFICE USE ONLY
Sub Types . ,
? 01 Foundation ? 07 OS•plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Inl Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 RCplacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ AidGas Tests Final
Framing _ Siding _ Smcco _ Stone _ Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
- - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
• 1 ' ~ / / / ~ ~
7985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN
NDTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAHILY DNELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: (o(o,f.OC) Date: vU / 1!9 ~
Site Address y~jyq k~L.r kc"te. OFFICE USE ONLY
~
Lot B1ock 1 Erect X Occupancy •3
Remodel 1 Zoning
Parcel/Sub Repair ' Type of Const ~
Addition I/ of Stories
Owner e~T ~nCi Move ~ Length
Demolish Depth
Address-Aj BoK ~ Int.Impr. , Sq Ft
Install
City/Zip Code L6enn00„{ [I/t1U SJ06K
Phone ~.Sy `3l7,? APPROVALS FEES ~
Contraetor _Ruv"kere' c+,~..s v, C Assessments _ Permit S4Q
Water/Sewer ~ Surcharge 33 171, y'c
Address opx Police Plan Reviex (.5.s° _
Fire SAC - -
City/Zip Code Engr Water Conn - Sco, 5 p"O
Planner Water Meter - 1,3. , 3
Phone --,t,~.-~v
Council Road Unit - 2g~,
Bldg off O^ ~r'eatment Pl
Arch./Engr. WoSSal) rteme DEs~," APC Parks
V Variance Copies
Address 149qo C/7/,Uc- TOTAL ~od . s(~
City/2ip Code 41 l1/ ~jSy13<.
Phone 0 ~S ~70
15 r~ ~v~ _ .~~c~ ~ S~ = 330~0
_ ~ ,
nN'~-~~
i~n 2~ 9~4~ = 1~2~~
~s ~ = i~s ~ _ ~57a
20~ 20 x ~2 = 4`~ov
(aS~ 4 ~
' Certificate for:
. Parkgreen, Lta
. . AA
DELMAR H. sCMWANZ ,~."Vq.a.. .K h :
AwslrrC u~ LHr 01 TM i11M 01 10wMM0 .
14750 50UTM ROU11T TRAII IIOnYO1M7, immom?OrA spM MIOIIE NZ 4901m
4#0'pfA SUNYEYOA's CwmN1[
589-42-Z7~
jo.~C
IMN,~Nhi
f
h
v ~ ~ ~ ~ P.¢oVoe~D ~ I ~ Q
e G
. & ~
L` 9of:r Yt~1111ty
~ +w~ant ~ ~0 0
~'1 ~ gL ~~d ~ h ~ _ ~ i ~ - J rN 30
x
~~a y ~S° • °p S 8'9- ~f Z - ~ ~.J ,
~ Elavatiats a~ a:'~ 0uistim . ,
Proposed garage floor elovqt.i~
from developqent plan - 889.5 . • 1 inoh •3O fN!
I hereby certiPy that thie ie a trw and correct representation of
Lot 1, Block l, WFSTBURY THIItD 11DDITION, according to the rocorMd
plat thereof, DakotaCounty, Mlnnesota.
Also showing the location of a proyoNd house as stalaed tlsereon.
Dated: October 21, 1985
MNINESOTA RE6ISTMTION NO. e626
, '
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
'ONNER
SITE ADDRESS
•y~ . - - _ _ _
CONTMCTOR N.; ~_i r ; u ~.i i ~ ? , ' DATE Z- B5PHONE
- ~
Determine working square footage of each.
1y 1. Total exposed wall area 1527. sq. ft. x_
n, 2. Total roof/ceilin9 area sq. ft. x.OZJo ~E:Z "-M
- r -
Total exposed wall area above floor
e. Total wall window area
b. Total door area
r^ c. Total sliding 91ass door area
" d. Total'fireplace wall area '
e. Total wall framing area (average 10X)..........:: ~ ,
• f. Total net wall area above floor ~i
g. Total rim ,joist area
Total exposed foundation area
h. Total foundation window area
,
i. To . . . . .
al net foundation area above grade
Oetermine "U" value of each wall segment.
~S 1 a.- X "Uli ° so._
x "u„ -,1~ - 2Z
C X "U.1_
~
i ~ d. - X
1
ts e•-___{' ~ - x „U,,0ql _ _13.2~ ,
~ ' • f.__I2p, al) _ x „U„ , D = _A.YL
X „v'
w' `
1,• . y A V 11u11
~
;.C(~ z U„
3
If Stem 03 is the same as, or less than item tll, you have met the intent
of sac 6006(c)2. ~
k ,
l ~ ~ ~ `ti~,'~ ~1:. ~v~, , •
" . : . • ' , <.`F. y„ ^ i~ „ .
• ' . ~ ' ' ..4~ 7iAf,cCR'~k~,F~ , , .
.f~f~ .c , ai f t).
. ,-l' • ~
_ ~ • ! ' , ,
- Total exposed roof/ceiling area = 2 ,
Total aross roof/ceiling area
r
; • j. Total skyliyht area ^
k. Total roof/ceiling (r,,ming area ,
1. Total net insulated rno`/ceiling area.......
DeterminF "U" valu- for each roof/ceiling segment.
j'------- x „u„
; k.---Ij 2' - x „U„ = 2• 71 ; , ~ •____~DI ~a. L - Y „D„ _ • o~Z- _ _2~35
' 4 ..................................Tota1
-
„ • if total of 14 is the same a,,;, or less than N7_, you hove met the interit of
I , SBC 1:006(c)i.
To utilized the total envelope systr_m method, the values established hy the .
Sum of items N3 and pd sh:il not be greater than the sum of itens B1 and k2.
.
P
. l. + 2. _
3 , 3. 1 4.
~ NA"F.RIALS T~:~+. "r'..s.1:;t.ince "P'•
~F.Kteri:>r Alr .~7
S1Air.g Nateri.zl ~
~ 3heaf.hing Z
In»ulation '
Shuetrock
' Interior Air
. stues •2~,(~
Rim 4•~
Conc. Blks. 1.2R
t .
,
i'
h
~~,gy#y~ ' . • ~ .
PERMIT (Dg2 -"3 y~
~ CITY OF EAGAN
.3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 0 7 7
(612) 681-4675 Date Issued: 03 J09 J94
SITE ADDRESS:
3844 WESTBURY LANE
LOT: 1 BLOCK: 1
WESTBURY 3RD
P.T.N.: 10-83652-010-01
DESCRIPTION:
Building'Permit Type SF (MISC.)
Building Work Type ALTERATION
-Square Feet 322
.
i ~ -
C-~J
REMARKS:
CONVERSION OF A CRAWL SPACE INTO A BASEMENT
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00 COPY $.50
Surcharge $2.50 Total Fee $75.00
Subtotal $74.50
CONTRACTOR: - Applicant - s7. LIC. OWNER:
SCHWEICH CONST, DAVIO 14478$08 0003607 TAYLOR MTKE
17160 NAMILTON DR 3844 WESTBURY LN
LAKEVILLE MN 55044 EAGAN MN
(612) 497-8808 (612)688-6952
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City of Eegan Ordinances.
- " 1~ J
APPLICAN RMITEE SIGNATURE IS~B ' 5 NATU~'
CITY OF EAGAN . . ; , ~
230if 1994 BUILDING PERMIT APPLICATION ,
681-4675 ~
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ~ 9 ~'7 Valuation of work D d~
Site Address: 39`1 Y ,I.tr-~ ~
STREET SUITE #
Tenant Name: (commercial only)
IAT BLOCK SUBD. P.I.D. a
Descri tion of work:
The applicant is: ? Owner IR/Contractor ? Other (Describe)
Name _ {^j -7-4 y4 0 Phone 6 e''8'- 6 S'f~
Property LAST FIRST
Owner Address 3 01' y y 1,J
STREET STE #
City E/1 G'~ State Zip
Company 104+JlD lv_a/t~Tr Phone 1i4-7
Contractor Address i 7i6 v t?AM ~ c.Tor~ ,~,P License a ~d 07 Exp.S_
City El/iLG(- State vI-1 Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all plicable State of M' nesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY " . ~
++e.
O1 ~LDING PERMIT TYPE
Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Cortnn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
JRF 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK IYPE Turh„"' Cr.ul SP>« iti~C' 13sti0t
? 31 New 0 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 32,2 MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3Depth On-site sewage SAC Code ~
Census Bldg i
APPROVALS Census Unit o
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? .Site O Footing ID Framing ,p Insulation
? Wallboard 0 Final ? Draint9le O Fireplace
Permit Fee vaiuacid,: g S dOo
Surcharge
Plan Review ~ Z -2- 0
License ~
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies , So
Other
Total:
SAC %
SAC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcflon ReaulremeMs Remodel/Reoalr Reaulremenh
D 3 regisfered sMe surveys showing sq. k. of lof, sq. N. of house 2 coples of plan
and all rooled areas (20% maximum lot coveraae allowed) 1 sef ot energy calcWallons for heafed addNions
D 2 coples ol plans (show beam d wlndow sizes; poured Ind. design; etc.) 1 sHe survey for eutedor addHions 6 decks
? 1 sef ol energy calculations
? 3 copies of hee presenation plan tl lot platted aNer 7/1/93
DATE: 5-~- Ii q CONSTRUCTION COST: 3 ~~v
DESCRIPiION OF WORK: tbcii'wia~
STREET ADDRESS:
IOT: BLOCK: ~ SUBD./P.I.D. N: ~ 'F'~ . 3~
Name: J~C~ S ~01' Phone k: 5J<5e32S7
PROPERTY l st First /
OWNER SfreetAddress: ~I"C~/es46w'y j-
Ciy State: Zip: 5-5-f )3
Company: ~ S c-oti S9~-Lc AcN~ Phone M: 70-1 - 3 6 3 7
CONTRACTOR ~.J~(:'~~feO ~ 3- 3 JD U
Sfreet Address: ~l w0UJ C P Llcense # T006%, Exp, o~DUd
City ~re Ur ~~.J State: /1-~ ti Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration k:
City State: Zip:
Sewer 8 water Ilcensed plumber (re~ulred for new conshuctton onlv):
Penally applies when oddress change and lof change Is requested once permR Is Issued.
I hereby acknowledge that I have read this applicafion, stafe that the Informatton 1 cortect, and cgree to comply with all applicabl
State of Mlnnesota Siatufes and CNy of Eagan Ordinances.
/
Slgnature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
. . .
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1994 PLUMBING PERMTT (RESIDENTIAL) ~
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AiSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
S~Y~L~ 3 00
L~SE~
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATEDISP. •DakCry.lic. 20.00
U.G. SPRINKLER • nome unaer consi. 3.00
ALTERATIONS • to ecisling 20.00
WATER TURN AROUND 20.00 ~),p. np
STATE SURCHARGE .50
TOTAL: ac. So
SITE ADDRESS:
OWNER NAME: ~
INSTALLER:_ a I -}z`.
ADDRESS: I cI oZ (o c~ ~YI U v) /'l l~2
CITY: STATE: ZIP CODE:
PHONE (&fa) ~'VQ ' 7 7 ~
SIG ATURE F PERMITTEE
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1994 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUC170N
_ ADD ON
mm~QVPATR
WORK DESCRIPTION:
CONTRACT PRICE: $
ere: t% oF corrrxncr FEE.
STATC SURCHARGE: $.SO FOR EACH $1,000 OF PER}ti'IIT FEE.
1111N1111U11i FEE: $ 25.00
CONTRACT PRICF. R 1%O $
STATESURCHARGE S
TOTAL S
SITE ADDRESS:
TENANT NANiE: STE. #
OWIYER NA114E:
INSTALLER:
ADDRESS:
CITY: STA1'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
I
z/aa
• /j CITY OI•' EAGAN
~ APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHi)
i) PROPERP`! ADDRFSS :
r.FraL, DESC'i2IPTIC.1: f"1J~~/r/
Tfot/Block/Su}xtivision or,Tax Parcel I.D. Ntunber)
iE{I =7=':G SPRC'CI'U:2E, DaT' 0_° ORIGi dAL cv2LDL`;G P-_--_~ST ISSUeaING:
I,''C:--''-c= ,
I •/-°:^C°CSr.`~ ~;5~: ~
Q R-1 5D1GL.., iP_'~SLY
? R-2 DUPLa{ ('TWO Wi ITS )
? R-3 TC4u1,II-IpIISE (THRE" + tP.VITS) ( UNITS)
? R-S APAR'If=+T/CJNDC'A~1Pi1SCM ( UiNSTS)
? COCAMEFtCIAL/RETAII,/OFFICE
? Ili'DUS'iRIAL
? INSTITUTIONAL/GOVERnIETIT
Z) AppLSCn~NlT ~ (PLEASE PRINT)
aDnREss: /G3vi -dD ~ ~ ),r
CIZ^l, STATE ZI?: ~
, yv
PHO-NE:
3) pIJ-TI,ffiER PLEASE PRINT) FOR TY USE ONLY
ZWIE:
PL ERS ICE45E:
P,DDRESS: ag00kCF~INEBECDRIVE EAGAN MINN.55122 q tive
CIT!', STATE, ZIP: 452•1565 E pired
t ~ ecord
PHOVE: PLUMBER LICENSE N 001445M2
ar nitia
~ 9) OCCJPAly7`/('J,•,~tTER ~i NAhtE: /(PLEASEPRINi) '
ACC:tjSS: ~
CITY, STATE, ZIP:
PFipNG:
S) INpIC=,TE W}iICH PLPXIT IS BEID]G RDQUESTEp;
~ CO.+NECPZON TO CITY SETr1ER
Q COL`IIVECI'ZOV 'IO CITY WATEFt
? C= (PLEASE DESCRIBE)
6) L`~IQ;;~ C:~:
? PL,rASE HOLD APPROVID PERtiLiT FOR PICi:-UP BY ONE OF ABGVE
Q°L.F15E ^IAIL APPROVID Pg2;~LIT 'IC) 1, 2, 3, 4 AEOVE
(Circle one)
7) szCZZ%1I
,-RE: iiP~r~ DaTE:
"
! R 6~~ a ~a?a:~ ~ ~e ~ ~ h~isa:ai . . . . . . . .
F O R C I T Y U S E 0 N L Y ~ PE:.MIT = ISSUrD
F
F_~S: $ Sr~.,ER ncn~~T'^ (?`]CL;i~~ Sil?.CHI.F.G~i
$ /(i 5-z, WATER PERPIIT (INCLUDE SURCEA?GE )
WATER METEP./COPPERHORN/OUTSZD° REaDE3
~
$ WATER Tr;2 ( I\CiCiDE CO.°.?OR:=TIO\ STCP )
$ Sz':9E.°. TAP
$ /S^ W ACCOUNT GLPOSIT - SEt%?ER
ACCOUiIT DEPOSIT - WATcR
j 00 ;4AC
SAC
$ T4UNK ?'AT°R ASSFSSi•iE\T
$ TRUNK SE6dER ASSESSMENT
$ LATEP.t1L BErIE°IT/TRU\{ SE?•7ER
$ LATERt?L BEVEFIT/TRUV' -59AT~R
$ OTHER ~`-""-e
$ TOTP.L
$ r'1M0UNT PAID/RECEIPT 4~6vw/
D0:5 UT?LIT'! CONNECTION REQUIRE EXCAVATION ZN PUBLZC RZGi-IT OF ;vAY?
CI YES IF YES, THErI A"'PERMIT FOR WORK WITHZN
' PUBLIC ROADS4AY" MUST BE ISSUED BY THE
0 NO ENGINEERIi]G DIVZSION. LIST AS A CONDI-
TION.
SUIIJECT TO TIIE FOLL0WIPIG CODIDITIONS:
A?PROVED BY:
TITLE:
DATF :
ol ~Jw VL-W A m !d 4 OR7E Ri OkM po loJmg iJmo m1:do !4 m}! Ws~m !la /4 w /4 wJls I
RECORD OF COMPLAINT
DATE: O_ .2
0
COMYi.kINT TABEN BY:
NAME:
ADDRFSS:
V
PHONE NO.:
COMPLAINT:---(~
ACTION_TAKEN•~~~~~~
~ - .
COMENTS:
-~v-~Lp _
TYPE OF HOILDING:
SF-eLl).
LEG9L DESCHIPTION:
_
~
SIGNEb:
SCREENS 26,29&30 REAL ESTRTE INL?UIRY - NRME/FDDRESS/LEGAL XINPN()03
PARCEL ID: 10 83E52 010 01 PLRT NRME: WESTbURY 3RD ADDITION
LE6AL: 1 1
HOMESTERD CARD ENTERED: 02 22 1989
FIRST DIVI5ION: 01E069 09 05 1905
LAST DIVISION:
FEE CURRENT OWNER:
MICHFIEL & TRMRRR TqYLOR
3844 WESTBURY LN
EAGRN MN 55123
TRRNSFER TO SCREEN NUMBER:
PFB-SCROLL FORWARD
S cc b, j~ta hW y esm ~ 7`
.J ~a.ree ~ /8 on C+Y P/0 Ny
90
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136185
Date Issued:04/28/2016
Permit Category:ePermit
Site Address: 3844 Westbury Lane
Lot:001 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Harold E Spiess
3844 Westbury Lane
Eagan MN 55123
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
For Office Use
::::::Y
le 0.Date Received: ( 6),- Q l j v
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 1 0 Ctiww
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCcilcitvofeaoan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: `V�5�1 Site Address: w S77 't/
Tenant: Suite#:
Name: / 4/'.E t._ £h/L 5 S Phone: 6 - j'3
Resident/Owner
Address/City/Zip: k _SrAt 4-4 "11.
Name: License#: oc:-! ? f*1/
COMMERSCONDITIONED
Contractor
Address: essay swestm s City:
am*Mil 65446
State: Zip: Phone:
Contact: 1�''1 Email: /iSG, 11 6-(\'' a mt✓��. i/--
Type of Work —New 2Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: ]- //-LaJ C-Ca •!
RESIDENTIAL
Water Heater
/Water Softener
Lawn Irrigation(_RPZ/_PVB)
Permit Type Add Plumbing Fixtures(_Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required) /
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60-CDC
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.00pherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
x A Li 4 id x .zai � - ✓
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE , Reviewed By: Dater"
Required Inspections: _ Under Ground ' Rough-In Air Test Oas Test " ' Final
Meter Related Items: Meter Size Radio Read'' Manometer. . Staff:."
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150350
Date Issued:07/03/2018
Permit Category:ePermit
Site Address: 3844 Westbury Lane
Lot:001 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Harold E Spiess
3844 Westbury Lane
Eagan MN 55123
(651) 600-8622
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature