3848 Westbury LanePERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127396
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 3848 Westbury Lane
Lot:002 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-020
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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Julie K Schiltgen
3848 Westbury Lane
Eagan MN 55123
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
Date:
City of Evan 6 60 ,.Es
3830 Pilot Knob Road
Eagan MN 55122 J /�
Phone: (651) 675-5675 /
Fax: (651) 675-5694 'SEP 0 3 (SCO
Use BLUE or BLACK Ink
,A
Permit #:
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: JUL I4C ON t i44 Phone: loos-[- 'fog -l60'10
Address / City / Zip:
e5uJrji2Applicant
p
is: ✓ Owner Contractor 1/}- j( ��� -,�=C� 0 3—fly
TYPE OF WORK
Description of work: Nein) Dec L ` eepl Lice rl k, i S f t i' OLE
G
✓✓
Construction Cost: i bsoo Multi -Family Building: (Yes / No 1//)
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be, public information Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
Eagan; that I understand this is not a permit, but only an application for a permit, an. •• k is not to st
accordance with the approved plan in the case of work which requires a review and a ' • rood • plans.
JULIE 3-11146
Applicant's Printed Name
the ordinances and codes of the City of
hout a permit; that the work will be in
Applicants Signa ure
Page 1 of 2
3Refs�\e,,,,,etr.N DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
1( Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%,
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
X Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
X 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
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Certificate for:
01 -Berg Construction Company.
6400 131st. Street Court
Apple Valley, Minnesota 55124
DELMAR H. SCHWANZ
LAND SURVEYORS INC
RPQistp,Pd Under Laws of The State of Minnesota
Bk: 96/53
.0? 4)&41/407.
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 612 423.1769 n 1 f
,ti��� a /89- Si Z. -2'7 E ,„e' \'\ fro: ao
4 1. q'b�+' fop 4016 41
00- 0 k1 y 3 {
4
Drainage and
Utility Easement
6
2E.14
viis
14.00 v41,
ion'/89-qz-z7&"
T4s1
o 2 -
Scale: 1 inch = 30 feet
0 Denotes iron monument
Q Denotes setback monument
(iron pipe front, wood hub rear)
ti\
/6-4? ace
619•V Denotes existing elevation
0
Denotes proposed elevation
I hereby certify that this is a true and correct representation of Lot 2,
Block 1, WESTBURY THIRD ADDITION, according to the recorded plat thereof, Dakota
County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: April 2, 1986.
fw,
MINNESOTA'REGISTRATION NO. 8625
r •
CITY OF EAGAN SEWER SERVICE PERAMT ~
3830 Pilot Knob Rwd
P. O. Box 21188 PERMIT NO.: '
Eagsn, MN 55121 DATE: '
~ Zonin0: ~ i No. of Units: ~
Owner (il__•a,e~.. rUr.E c .
. Address: ~
sif! Add1Qti:
Plurriber: O16er4 t;Cnst .
I Ml'M b Nmqy MrN` !V CNY of ywn C0nMCt10n 010w: QfaNnOM. ACCDIX1t DlQOlih 1'- S3~s
PMffl* FN: 1 - 0Ci'}il
SUf'CFIOf'Qe:
Bv Mlac. Choroa:
Dote of terp.: 7oto1:
' Irnp.: QaM Pnid:
y CITY OF4cAGAN WATER SERVICE PERMIT
3830 Pilot Krwb Rwd 1 F
` P. O. sox 21199 PERMIT NO.:
-1- 1
Eagm, MN 55121 DATE:
~ Zoniny: No. of Units: '
' Owner, _erg Cons . a
/1ddnss: l
I
' Sitr Mdreo: 3848 esr. ury ane 7- 7 _ 7s u r v
~ Plunvber 01herg Car.st ,
S/ , 50 .anPd I
' oc ~ K 15.t?Ond
, No,Q.fN S/ L~' • 1 0. O0pr?
1 Mme hemm* wNM llw C'• ~Nw t~ p d
REQUIRE6u.TK 156. 00Pd T:
j ~ Totai. 63.50pd meter
~ gy ~ Doh Poid:
Daft of Irup.: Irup.: ;
g.Zo-
~
fter#ifirafe uf Mrruvanry
titp of eagari
loPpwb"W of adaftto iwPrtwYt
This Certificate issued pursuanr to the requirements ojSectton 306 of the Uniform BuiJding
Code certifying ?hat w the time ojissuance this slructure ww in compliance with tke various
orrtirrances of 1he City regulaiing building construction or use. For the jollowing.•
s,. 11768
uu cLmifinooe
OMUPR-Y '?YM R3 Zmma awia Ri rya Mr r
Oweero[wift CL'BM {7~352f~R^':(~; Adad 64r11`.' '1315T ST. GT. A.V.
DoMa Add= 34~'+ 4-SfiN tN Locality i.2 ,Bt, WE'TLtR:' M
a~ :-M1 13. 1':k57
Ikulding Official
POST IN A CONSPICUOUS PLACE
_ . _ . . . . _ . . ~ .~-r
qITY OF EAGAN ~ 117C8
L 3830 Pllot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PHONE: 454-8100 ~ ~ .
BUILDING PERMIT Receipt #
To be used 1or 3 E' DWG/GAR est value $79,000 Date A.PR IL 9 .19 66
SiteAddress 3$48 WESTBURY Lbl Erect CX Occupancy '`23
Lot Z 81ock 1 secisub. WESTBURY 3RU Remodel ? Zoning Ri
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name nL-BERG CONSTRUCTION Move ? Length
; Address 640(1 131ST ST CT Demolish ? Depth 48
Int Impr. ? Sq. Ft
0 City A - V Phone 432-9079 Install O
a Approvals Fees
= o Name 5AKE ~
$ a nddress Assessment Permit $ 3 7 0. 00
~ City Phone Water & Sew. Surcharge 39.50
~ Police Plan Review 1$5 .OU
F W Name Fire SAC 575.00
Address Eng. Water Conn. 500 . 00
i W City Phone Planner Water Meterr63~ SU
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. OH. 4/2 $ Tr. PI. 15 6. U Q
information is correct and agree to comply with all appticabie State of
Minnesota Statutes and Ciry of Eagan Ordinancep. APC PBrks
1~ Var. Date Copies
Signature of Permittee I`~ $ Z ,17 9. U O
OL-BERG CONSTRUCTIQf~i Total
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota StBtytes and City of Eagan Ordinances.
Building Oflicial 1 ~ -
. PWnM No. Po mM Noldn Dab TwNphoesN
0 CQ~- C'e,~' y D i
M.v.j.c.
Ekm*ic
s~.~.?
Impettloif DaN Imp- Commnft
Footings I
FootN?pe il
Foundatlon
FnnMng
RoolNiy
Rouqh Plby. - C - ~
Rouyh FNp. f sl C ~
InwL
Fkopl-
Flnal M1p.
FMuI Plbp.
Bldp. FhaI
Carl.Oce.
Dock Fty.
Doek Fnnq.
WNI
Pr. Disp.
•------_--••.-r-,. . .
, . , PERMIT # . 7 -7
' MECHANICAL PERMIT RECEIPT N wa 72 D
ClTY OF EAGAN /
3890 PILOT KNOB ROAD, EAGAN, MN 35121 DATE: g~
CONTRACT PRICE PHONE 454-6100
Site Address - u'< < Nt gLp~•,, npE WORK DESCRIPTION
Lot &xk Sec/Su
Res. J! New ~
m Nam ~J G Mult Add-on
~ Address Comm. Repair
c CityF'QfN ?RA ~ R "E Phon ' '2152 Other
Name 0L 45cF14' G0 N i FEES I
c Address RES. HVAC 0-100 M BTU - $24.00
~ C~yiJ PP/c phoney3 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) ~
Gas Piping Outlets #
Other
FEE:
g/C. . SD SIGNATURE OF PERMITTEE i
TOTAL: ab,co
FOR: CITY OF EAGAN
. . . . _
• PERMIT #
.
PLUMBING PERMIT RECEIPT
CITY OF EACiAN
3930 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRtCE PHONE: 454-8100
b i.~ r; -r ~ C-
Site Addresa ~PLDG. TYPE WORK DESCRIPTION
Lot a- Block ~ Sec/Sub
Res. i/ New
~
m Name Mult Add-on
~ Address ~r S r r Comm. Repair
c City Phone ' r ` Other
FIXTURES TO AL
Name ` f ' Water Closet - $3.00
c Address -TBath Tubs - a3.00 •
p City Phone ~L.avatory - $3.00
~Shower - $3.00 ~
FEES ' Kitchen Sink - $3.00 . j Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ~~undry Tray - $3.00 '
MINIMJM - RESIDENTIAL FEE - S70.00 _Floor Drains - $1.50
1 I"
MINIMUM - COMM/IND FEE - 20•00 ! Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00
(ADD a.59 5/C IF PERMIT PRICE GOES f Gas Piping Oudets -$1.50 ~
BEYOND $1,000•00) Softener - $5.00
Well - $10.00
-7- Private Disp. - $10.00
~.t.Rough Openings - $1.50 SIGNATUFiE OF PERMITTEE FEE • '
STATE S/C:
FOR CITY OF EAGAN QRAND TOTAL• -j
INsPEcTlo~v i~coi~ -1"-ntra .
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Rpad Permtt Number e 006 Fj3
Eagan, Minnesota 55123 Date Issued: afif+' e/q2
(612) 6814675
SITE ADDRESS: i o t p;r "t. u c r. SI APPUCANT:
31348 4JE:fiYOURY 1A#1E PROTEC7'IVF tFOME COVlRINA
WEStEIURY ;{RIt (a!1} 8H4-~t?~
PERN~T ~SPBT'AYNP&S TYPE OF W4RK: A*T~RArIoN
aESClfIP'TtOM VxMYL SIpiMB
f'iNAI.. '
i
I
-
. _ - i
~
hiinit No. PwnMt 11o1dM Dow 1aImphaw #
S/W
PLilMBINCi
HVAC
FLECTRlC ^
H.ECTM '
r,.p,cYon o.A. YpW coWAm,d
Faalk~ I
FolufdeAfon .
- i
Ftwiv .
Floo"
Fbuph iNp.
P^*~
isul.
krPM~
Fk.t Fib.
oras Inm
ww P". i~.aor- ?+o~r ~wn+e«
cor+ie. ww.
Fi+aJPYn
04 F"
Detk fa.
DedtfYnl YYMI
Pr. Obp,
7
~
CITY OF EAGAN Remarks
Addition WFSTF3TTRY THTR11 An.DN Lot ? e1k 1 Parcel 1(~$3 ~20_2n 01
owner str~t_ 3$4$ Westbury Lane state Eagan. MN 65123 I
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 37 105 - 1 17. OO 15
I
SEWER LATEFiAL
watermain 986 2,2 1
WATERMAIN 4 3.33 15
WATER LATERAL
WATER AREA T 1984 8.95 1
water area --7 19 9•3 4.63 15
STORM SEW TRK 11986 368.2 73.66
STORM SEW LAT qtg 111986 491.0 98.20
CURB & GUTTER
SIDEWALK
STREET UGHT
WATER CONN.
BUILDING PER, i
SAC
PARK
ITY OF EAGAN
3830 Pilot Knob R, P.O. Box 21-199, Eagan, MN 55121 N2 11768
~ /
' BUILDING PERMIT PHONE: 454-8100 ~~3C7
Receipt#
7obeusedfor SF DWG/GAR EstValue $79r000 Date APRIL 9 1y86
SiteAddress 3848 WESTBURY LN Erect ~ Occupancy R3
Lot 2 Block 1 Sec/Sub. WESTBURY 3RD Remodel ? Zoning R1
Repair ? 7ype of Const. V
Parcel No.
Addition ? No. Stories
s Name OL-BERG CONSTRUCTION Move ? Length 48
3 Address 6400 131ST ST CT Demolish ? Depth~-
° 432-9079 Inl lmpr. ? Sq.Ft
Ciry A • V •Phone Install ?
o Name SA`4E ApProvals Fees
$ 370.00
~ i Address Assessment Permit
~ Ciry phone Water&Sew. Surcharge 39.50
~Q Police PlanReview 185.00
:tx: w Name Fire SAC 575.00
~ Address 500.00
~ Eng. Water Conn.
aw Ciry phone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe eidg.oa. 4/2/86 Tr.PI. 156.00
information is correct and agree ro comply with all applicable State oi
~ Minnesota Statutes and CJJJ'ty of Ea an Ordinanc APC Parks
Signature of Permi (Dr-~ Var. Date Copies $
e Total 2,179 . 00
OL-BERG CONSTRUCTION
A Building Permit is issue to: on the express condition that
allwork shall be done in accordance with all applicabl tate o( Minne ota ute5 antl City of Eagan Ordinances
Building Oflicial -7^ ^
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete Cor: single family dwellings & townhomes/condos when prnnrts aze requued Cor each wu[
Datc & / 13 / 0S'
Site Address O T - U/ J~[ti dl a,"_~ Unit #
Property Owner ~44C.tXJ ~~7.,l~ , Telephone # (42571 ) V,4s -9 o o
Contractor SO4(l1/l-S/!JP #ealilip.~ A /C".J*'-4-
StreetAddress M go t) - O/14 City U149 dI'lTi't
State /m n Zip Sr/ Telephone#
Bond Expires:
The Applicant is _ Owner _X Conuactor _ Olher
Add-on or alteration to eaisting dwelling unit $ 30.00
~ furnace _Additional i Replacement
air exchanger
~v airconditioner _New ~Replacement
other
State Surcharge $ 50
Tatal s 30,SU
[ hereby apply fw a Residential Mechanical Pemtit and acknowledge that the informalion is complete and accurate; tlwt the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permi[, but only an application for a pemut, and work is not to start wi[hout a permit; that the work will be in accordance with Ihe
approved plan m the case oC work which requires a review and approval of plans.
6 C/0L. F&_ r 2`
ApplicanYs Printed Name Applicant's Signature
f
~ ~
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete for: commerciaUindustrial buildings
multi-family buildings ahen separete pemiits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Addrcss City
S[ate Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Typc
New Construction _ Underground Tank _ Install _Remove *"see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
""When installing/removing undeiground tank, call for inspection 6y Fiie Marshal and Plumbing Inspector
PC1'Rll[ FCCS: $70.50 Undergound tank insullatiodremoval
$50.50 dlinimum (nciudcs Smle Surchugu)
or
Conlrac[ Value b x 1% Pennit Fee
• If cermit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over S1,000, add $.50 for
every $ 1 000 DCrtnlt fee $ Total Fee
I hercby apply for a Commercial Mechanical Pemiit and acknowledge Uial tlie infonnation is complete and accurate; that tlie work
will be in conformance with the ordinances and codes of the City of Eagan and N~ith the Mechanical Codes; that 1 understand this is
not a permit, but only an applicauon for a permit, and work is not to stan without a permit; that the work will be in accordance with
the approved plan in the casc of work which requires a revicw and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , lnspector Date:
7,1 . so
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I D I ` `
Site Street Address 3b"l8 W Q zAvi' 1, I G Unit #
~
Property Owner V I I e Telephone )(0 5r
~
Contractor r- Telephone # ( )
Address S6 `l c,-k City r~ Statefif~ Zip
The Applicant is: _ Owner ontrector _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. lf vou are installinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required) ~~0~
-Other: ~
~ n
ay OS
Water Softener ~Water Heater $ 15.00
_ new \-,//replacement \
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and appr ved.
~
pplic nYs Printed Name A IicanYs Signature
RESIDENTIAL
• BUILDING PERMIT APPLICATION J~a 7S
CITY OF EAGAN
C~ 3830 PILOT KNOB RD, EAGAN MN 55122
cs 651-681-4675
New Construction Reauiremanh RemodeURaoair Raauiromenb
• 3 reqistered sile surveys sliowing sp. R al lol, sa. fl. of house; and all (oofed areas • 2 coDies of plan
(20%maaimum tac caverage allowetl) • 7 set of Eneryy CafwlaGons for heated aAEitions
• 2 copies of plan Oowirg heam 8 window s¢es; poured lound desgn, elc.) • 1 site survey for ezterior aEdi6ons 8 decks
• 7 set of Eneyy Calculations • Indicate it home served by septic system lor additions
• 3 copies of Tree Preservatlon Plan if lot platted after 711/93
• Rim Joal DetaA 00tions selectan sheet (61dgs with 3 or less unAs)
2 d
DATE S~ aCi -VALUATION 300
SITE1A~DDRE 8-L 8 WEST v& N~. MUITI-FAMILY BLOG _ Y ~N
TYPE RE IZOO `1- 22SCI0S. "v¢~ "le FIREPLACE(S) _ 0_ 1_ 2
APPLICANT IUY0Ycxc-hrn9=:Z 6^^ef1cav\ SLnI Wlv\mi l~AyAc-'~r~'-S ~..lh c-
STREETADDRESS Ii &aTYA.rn.N% 11,e--STATEJs11jZIP~" 337
TELEPHONE #9S2-702-69 S5 CELL PHONE # FAX #9S2 '707'~/~~
PROPERTYOWNER IA\Kt CHINCT TELEPHONE#6S1-LFOS-~'j1(.OG
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:\ RliLFS 7670 CATEGORY l MINNESOTA RULES 7672
(J submission rype) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Ptumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. oF Baths
Mechanlcal Contractor: Phone 1?
Mecfianical system includes: _ Air Conditioning Fee: $70.00
_ Hea[ Recovery S}stem
Sewer/Water Contractor: Phone #
----------------------------------------------------------------------------------------Zcorrect.
I hereby acknowledge that I have read ihis application, state that ihe information and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Slgnafure of Appilcani
_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 OSplex ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
0 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraUon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaWo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain'Cile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucca Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
v . P y ' •
1985 BUILDING PERMIT APPLICATION - CI'IY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED IiITH THE CITY OF EACAN
C0141ERCIAL SINGLE FAMILY DNELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCl1LATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND -Iq 00O
To Be Used For: 5(,(- rAm.,DOL6, Valuation: 65-z5bb-- Date: `F '3 ' 6
Site Address Jd y p :a~Vr OFFICE USE ONLY
Lot c)- Block I «l~~ Erect X. Occupancy R•3
Remodel Zoning R I
Parcel/Sub (,JES'j,$U~,~3 ~ Repair _ Type of Const 'SZ
Addition I! of Stories
Owner QL 6 GbT),ST , Move _ Length 4-5
Demolish Depth 8
Address Int.Impr. ' Sq Ft
Install '
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer ^ Surcharge 39 -
Address Lba 131 iTST,. C.-C, Police ~ Plan Review 1 b5.
Fire SAC 5"1
City/Zip code J9 F'~L~ j/,A1,~•~ .5",~Jy~ Engr water conn Soo
Planner Water Meter ~3 ~
Phone ~3~ ~ 91S?9 Council Road Unit q0.
Bldg OffqZ;;ZR, Treatment P1
_ Arch./Engr. APC Parks
Variance Copies
Address TOTAL .~l
City/Zip Code
Phone fl
,o
~
~
:t
t
R
44-
I I x ~
48~-
Z2x2~-
-78o6o
. • ' ~ Bk: 96/53
Certificate for:
01-Berg ConstrUCtion Companyu
6400 131st. Street Court
Apple Valley, Minnesota 55124
DELMAR H. SCHWANZ
IAMOSURVEVOR$ INC
Pp)IPW Unplr (A'%t oI TIP GIa1P M MinnP3(la
14750 SOUTN ROOERT TRAIL 110SEMOUNT, MINNESOTA 55068 MIONE 61$ 4Z3-1789
SURVEYOR'8 CERTIFICATE
pe,
Yt -27 E ,~,~v~ ea /So, o0
Q I ~ 30.00 q9 33 ~ -
S'9 hsb•e 1
Drainage and I ;,a
I N
Utility Easement I
I ~
i
I! ,.e.~ ~ PR~~oSE~ ~oT Z I I M
-f-- rouv9 2L.;9 I
1
~ ~90 6~?R. ~~'°`r'~ ~ I~,, J
o
Tn.oo -~m p
lof9 4 N89-yz-27E ~~g~uP"'~° /so u~
j~b
Scale: 1 inch = 30 feet
O Denotes iron monument $n•y Denotes existing elevation
p Denotes setback monument O Denotes proposed elevation
(iron pipe front, wood hub rear)
I hereby certify that this is e true and correct representation of Lot 2,
Block 1, YBSiBURY TFIIRD ADDITIQi, accotding to the recorded plat tfiereof, Dakota
County, Minnesota.
Also showing the location of a propoaed house as staked thereon.
Dated: April 2, 1986.
L
MINNESOiA'REGISTRATION NO. 8625
(
exTeItioii rNVeI.01'!: nvEiinc!: "u" Co:aru•rr,1•tou
OI,ura
n
st'ri: nuoiu:S~ LO! f~L~K I IJESfCfll*_3Z-
CO2ITRACTOk 1,V-6-iLa
= DATE FIIONG
Determine worAiny :;quare Cootoqc oI each.
1. Tow1 exposed ~.+a11 area ......./,~O 70 Sq. Et. x •<< ~ _~/Cj__
2. Total roof.cciling area /Py7,o sy. rc. x •026
' Total exposed wall area above Eloor =/1~y C'
• a. To[al wall windoa area
b. Total door area y/•,7
c. Tocal sliding glas, door'arca
d. Tocal Cireplace wa11 area yO.:d C. Total wall framing area (averaqc 10e) J6'.
f. Toeal net wa11 area above floor /~A99 -o_
g. Total rim joist area /33-3
, Total exposed foundaeion arc:a
n. Total foundation Nindow area O
i. Total net foundation area a6ovr_ yrad~ /
Octermine "U" value oE cach wall segment.
, a 9.~. y x „U„ ..~.s = .s~•9
b- y/•3 x ..U.. .O~G• _ .
c. 3a•a x .~U..
a. yo- a xu.. o aBy = =3- y-
. e. 178•y X U.. _
,
' c. /3~y,3_x ~•u° ,a~SCa--- = Go•,%x
. - ~
/33-3 ,.i,.. . Us3 = G•~ . _
3 .....................................T,,ta t =
If itcm NJ i.^, the s:imc as, ~or lcss t!»n iCUm kl, ;ou h,i•a~: ~wrt t:h~~ inCCni
or soc eoor.(c)z.~n r3 C/73•3) e~m"l G9~•3)
Z7S'94; G oo
Total exposed ronf/cciliny arca
j. T4ta1 skyli9ht areo G~
k. Tota1 root/ceilinq f[aminq (avcray._ LO''.) /.p -
1. Total net insul.1tcd rooE/ccilLrnj arca
Detcrminc "U" va1u.: for each roof/ccilinq ?winent-.
j G .,,.U., o = 0
k. i~3y.x x ..U,.
i. x ,.U„
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total
lf total of N4 is the same as, or less than 42, you have met the Lntent oE
S[3C G006 (c ) 1.C94e.N a y~a 2. y) e~~,:~.3~,.~-~ ,~T.Qi-~? tJ
O
, s13 G oai.
Alternate Buildinq Envelopc Desi.gn
'i'o utilize the total envelope :;ystem methocl, [he value? estabLish:13 by t1u'-
::um of items 03 and q4 -shall not be gzeatec than tt}e s-u. ot items @L and 02.
i. /9e •3 + z. 31? - 3 = -~9•G
_ ~U~•~
' 3. 193•3 + a. 97,51
~Qe'n'~- 'I
k
JL PERMIT ` C°" 0522
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Buz LoiNG
Eagan, Minnesota 55123 Permit Number: 000655
(612) 681-4675 Date Issued: 0 5/ 2 8/ 9 2
SITE ADDRESS:
3898 WESTBURY LANE
. LOT: 2 BLOCK: 1 WESTBURY 3RD
DESCRIPTION: VINYL SIDING
Building Permit Type MISCELLANEOUS .
Building Work Type ALTERATION
'j V'~.~V`.. ~`:i. . .
REMARKS:
FEE SUMMARY:
VALUATION $6,000
Base Fee ;81.00
Surcharge $3.00
Total Fee $84.00
CONTRACTOR: - Applicant - ST. lI OWNER:
PROTECTIVE HOME COVERING 18840123 000416 WHITNEY T
9929 PLEASANT AVE 3808 WESTBURY LN
BLOOMINGTON MN 55420 EAGAN MN
(612) 884-0123
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 Mn.
Statu-tes and City of Eagan Ordinances.
L ~
~tn ~1 rn~
APPLI ANT/PERMI EE SIGNATURE ISSUED~Y: ~GNAT E
PERMIT NW CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
a
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_S structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested ance ermit is issued.
Date S, Valuation of work ~~DU• ~
Site Address: .3e
STREET STE /
Tenant Name: (commercial only)
lOT ~ BLOLK SUBD3~ V.I.D. M
V-
~
Descri tion of work:
The applicant is: ? Owner ontractor ? Other (oeb«tbe)
Name - Phone
Property LiST ?IRST
Owner Address -31-d ~l J~f i K%: ,v
STREET STE 0
City 0~'lG{~r~ 4- State ZiP
Company aTr. c °41 //a Phane 9.f'-1-6123
COI7tf8CtOf Address zSA44- AiQ Li ense
City State lYli? Zip -f~~yzc
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer 6 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 co 'th all applicabl~of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY AA~
BUILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish . O 13 Comm/Ind New I
O 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comn/Ind Add
O 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac.
. ? 17 Agricultural
WORK TYPE
? 31 New 0 33 Alterations ? 35 -Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Lonst. (Actual Basement sq. ft. MWCC System
(Allowable; lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
i of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site ? Footing O Framing ? Insulation
? Mallboard ? Final ? Draintile O Fireplace
Permit Fee v.iuatio,: :
Surcharge ~ 6-A
Plan Review
License
MWCC SAC
City SAC
liater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: ~A J- A U_
SAC %
SAC Units
*i*****#*t**+*****f#*1R*t4*ik#*f#*
C I TY O F E A G A N **oTI PAYMFN.C OF FF.E AT TIME OF
* APPLICATION DOFS NOT COmPINIE >
*F APPROVAL OF PERNIIT. *
APPLICATION FOR PERMIT *
.
s INSPFX.TION OF SESWM AbID/O2 FII11FR *
* TTSti'TAT.T.ATTONS WII,L bAT BE SQIF)- ~
SEWER AND/OR WATER CONNECTION ~ULID UD= PII2MIT HAS BEE`1 ;
* ArrxavID. *
» •
***#**~.***.*x*~,~,.**.~#..*****~*****
~ P ease Print _
1) PROPERTY ADDRESS: ( u r~V
LEGAL DESCRIPTION: L a 61 W ~ S r Lg o)? ~ ~ 1Z.Yl ~ D
(Lot/Block Subdivision or Tax Parce ID )
ZF EXISTING STRL'CIL~RE, DATE OF ORIGINAL BLZLDING PERMiT ISSL'ANCE:
' PRESENP ZONING/PROPOSID OSE: (Nbn Year)
COAY`9ERCIAL/REl'?'SL; OFFZCE Q.~/R-1 SINGLE FAMILY
Q IAIDOSTRIAL Q R-2 DC'PLEX (1Wo Units)
f-I ZNSTZ'IUTIONAL/GOVIItRjENT ~ R-3 TUWbII-IOUSE (Three + Units) ( Units)
~ R-4 APARTMENI`/CODIDOMINIUM ( Units)
2) ~
NAME° r)c ~F~.6 C a.~<T
ADDRESS: ~
CITY, STATE, ZIP:
PHONE:
3) • u For City Use
n r/S I Plumbers License:
AwDxFSS: 6 z-! W 13/ 5~ Si C1 Active
ciTY, sraTE, zzr: p 0 Lf V A L F ~irea
Not recorded
PxorE: 43 -L ° q o-79 9ASTM LICENSE# 30)
Staff Inicial
4) ~1a.~i~+;
NAME:-a F 2 ~ n~s7'
. ADDRFSS: CITY, STATE, ZIP:
PHONE: .
.
5) i~ - r: : a • o~ - ai
N[gC.`I'ION TO CITY SES9ER
P/'CO CON6gJCTION TO CZTY WATER C] pZ'(ER ' .
6) • r ~ PLF'JA.SE HOLD APPROVED PERFffT FOR PICK-UP BY ONE OF ABOVE
Q PLEASE MAIL APPROVID PERMLT 7O 1, 2, C 4. ABOVE
7) / (Circle one)
l~'~ a:42L"L~ / J I Ll 6{~
, • 7' • Y' 1' Jt • /U ` •
• ~o. ~ ~ no-~ ~ ~i ~ ~ • ' ~ • a•
, ~ a ' .
I - . .
. FOR CITY USE ONLY PERMIT # ISSUED
2.,~/ '///i/W
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /d,S v WATER PERMIT (INCLUDE SURCHARGE)
$ (p~•~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ D ACCOUNT DEPOSIT - SEWER
$ $ •O-D ACCOUNT DEPOSIT - WATER
$ S~/~~ DD $ WAC $ S]Ll DO $ SAC .
$ $ TR[JNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ C) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S A $ TOTAL
REC IPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK iVITHIN PUBLIC
ROADWAY" MCST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
0
~
SCREENS 26,29&30 REFL ESTRTE INQUIRY - NAME/RDDRESS/LEGRL XINPN003
PRRCEL ID: 10 83652 020 01 PLAT NHME: WES7bURY 3RD ADDITION
LEGRL: 2 1
HOMESTEAD CARD ENTERED: 02 16 1989
FIRST DIVISION: 016069 09 OS 1985
LAST DIVISION:
FEE CURRENT OWNER:
THOMRS & PRTRICIA WHITNEY
3848 WESTRURY LN
EAGRN MN 55123
TRpNSFER TO SCREEN NLIMBER:
PF6-SCROLL FORWRRD
~
~.w : swb; -~o f~~y
gS rnnl T ,Qarce ~ l'~ on C~y
qlJ Majo Il)o 90
.
~~a -~9
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA105354
Date Issued: 07/10/2012
Permit Category: ePermit
Site Address: 3848 Westbury Lane
Lot: 002 Block: 001 Addition: Westbury 3rd
PID: 10-83652-01-020
Use:
Description:
Sub Type: e - Water Softener
Work Type: New
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Eric Bruckmueller
Comments:
3992 Pennsylvania Avenue
Eagan, MN 55123
651-686-6696
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Bruckmueller Plumbing Inc Julie K Ching
3992 Pennsylvania Ave 3848 Westbury Lane
Eagan MN 55123 Eagan MN 55123
(651) 686-6696
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.
Applicant/Permitee: Signature Issued By: Signature
W/26/2013 11:30 FAX 651 769 2234 CRAFTSMAN RENOVATIONS
41,111`City of6agu
3830 Pilot Knob Road
Eagan MN 66122
Phone: (681) 6766876
Fax: (661) 676-6694
11001
Use BLUE or BLACK Ink
For Office Use
Permit #: I I 19
Permit Fee: g..0V
Date Received: 1 Pit 1 t3
Staff:
r ,2013 RESIDENTIAL ��BUILDING PERMIT APPLICATION
Dais: 1 J 261 t 3 Sits Address: I "f - • ►1 Lin
Resident/
Owner
Name: J J V tz
Unit #:
Ur.'t t^C
Address / City / Zip:
Phone: k 5 I ` 2 15 5t, %
Applicant is: Owner Contractor
Type of Work
Contractor
Description of work: '14 f rN Re_t^r`bC & (-el? to crO P .6)
Construction cost::[ 3Q 000 Multi -Family puilding: (Ye(s�/ No )
Company: C'" #S Man. R€r .." 101'\ 4 Contact: Mt I!e i"4
Address: (3 48_ � W ir4t Ade- e S -- ISD Ba y5'Ity: Cc -461C Gro -v e..
State: M ('J Zip: 5 Sot b Phone: Co ;1 1 - `� `� QS O
License #: BCC, 3c 750 Lead Certificate #: ISA T 37,S - I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Pc -),,e but' [4 - i 198(
I) Mho
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified es non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL. BEFORE YOGI OIC. Cali Gopher State One Cali at (851) 464-0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receive locates of underground utilities. www.popherstatgoneCall,orll
I hereby acknowledge that this information ie complete and accurate; That the work will be in conformance with the ordinances end codes of the City of
Eagan; that I understand title le not a permit, but only en application for a permit, and work Is not to start without a permit; that the worts will be In
accordance with the approved plan In the case of work which requires a review and approval of plana.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 190
days of penult Issuance.
►c \`/ �- F� x Ni L K E. SALT 1
Applicants Printed Name Applicant's Signature
Page 1 of 3
.% 0.7/26/2013 11:31 FAX 651 769 2234 CRAFTSMAN RENOVATIONS
14 002
3Sgg Wts-i-ot 1A ',1gD
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 Of Flex
Accessory Building
W9RK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTIQN
Valuation
Plan Review
(25%_ 100%
Census Code
Fireplace
Oerege
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
a Repair
�f341
# of Unita
# of Buildings
Type of Construction 44
REQUJRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Oazebo/Pargola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
,t Framing
Fireplace: Rough In Air Test Final
_4- Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FgES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
T 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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
Building Inspector
/3� 95" s f .� ' � e/s4R- /7.0
J%GtM/s Jiooe
Page 2 0 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131752
Date Issued:07/07/2015
Permit Category:ePermit
Site Address: 3848 Westbury Lane
Lot:002 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-020
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 -
Julie K Schiltgen
3848 Westbury Lane
Eagan MN 55123
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146167
Date Issued:10/11/2017
Permit Category:ePermit
Site Address: 3848 Westbury Lane
Lot:002 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Julie K Schiltgen
3848 Westbury Lane
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan „ , Permit Type: Building
3830 Pilot Knob RdPermit Number: EA147378
Eagan,MN 55122 -- Date Issued: 01/03/2018
(651)675-5675 Permit Category: ePermit
www.ci.eagan.mn.us
Site Address: 3848 Westbury Lane
Lot: 002 Block: 001 Addition: Westbury 3rd
PID: 10-83652-01-020
Use:
Description:
Sub Type: Siding Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments: Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material,remove existing material(i.e.debris that could block vents)and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary: BL-Base Fee$4K $103.25 0801.4085
Valuation: 4,000.00
Surcharge-Based on Valuation$4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Krech Exteriors Inc Julie K SCHILTGEN
5866 Blackshire Path 3848 Westbury Lane
Inver Grove Heights MN 55076 Eagan MN 55123
(651)688-6368
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.
Applicant/Permitee:Signature Issued By:Signature
7--C,For Office Use ,
44%:41t I :,0" ECEI �1 E..: Permit#: / ! c�
!R r! t
,„,,,6„.. ..„,,s E AG A N MAY 2 4 2018 Permit Fee:
BY. .
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections a(7.citvofeagan.com L
J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Mal .a 3 gei6 Site Address: 3� t6 I elicb:Ary Lance- Unit#:
fpi
Name: �u.ki e. 5c..k ' 1
, 41 eel Phone:
Resident/
Owner Address/City/Zip: 3 Live Lie M # ems- CAn 11
Applicant is: Owner 1C Contractor
Parp
—
Type of Work Description of work: AepcA i- r c> c. c J V u lei
Construction Cost: . i(1" Multi-Family Building: (Yes /Nor? )
Company: kCr-eh 1=.1Ctet`;Cr"3 Contact: 3 rJ 1(0.r.1t\c,_
Contractor Address: S3 c c' lLc\czln:rc, i�4�t�.. City: ,muter 6r�l4c -t�,5 s,
State:MA) Zip: .550", Phone:60--4a1ii-xfL:7 Email: � c.rjvi w e k,..,1„.e-w+e.1412 t-s
L Cc net
License#: gc,5133;417(1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-•ublic if •u •rovide •ecific reasons that would•ermit the Cit to conclude that the are trade secrets.
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.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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,thhee-ccase of�woork which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Lai
DO NOT WRITE BELOW THIS LINE 3-i0 0e 5N 1 �-A.- i10
CI
SUB TYPES
Foundation Fireplace Porch (3-Season) * Exterior Alteration(Single Family)
Single Family Garage — Porch (4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window -y` Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 5'61)1-) Occupancy xj16.1 MCES System "-
Plan Review Code Edition A.0/gyp SAC Units
(25%_ 100% Zoning F4 CityWater
Census Code Y34e Stories Booster Pump .--
#of Units / Square Feet .. PRV -_--
#of Buildings Length -- Fire Suppression Required '�
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) /Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice9A/ater _Final Pool: Footings _Air/Gas Tests Final
Framing v 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL F S
Base Fee ‘1'0 11'
Surcharge
Plan Review
3
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies & /4
TOTAL
Page 2 of 3
3830 PILOT KNOB
(651) 675-56751 TDD: (651)�45-8535 FAX: (661)
buildinginsnections
75
tir7cituofeagan.Com
EAGANECEI
ROAD EAGAN, MN 55122-1810
6
JUL 14 2020
BY:
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7i ?� Site Address: 3 a 7 g lee- vC Unit :.
f
Name: cut hl ' 1 Phone:5l1J a /2 1
For Office Use
Permf #: /I ?s ,6, .CC
Penn t Fee: /.3 - 0 o
Date Received:
Resident/
Owner
Type of Work
Address l city' Zip:
Applicant is: Owner X Contractor
Description of work: 24 ' in
Construction Cost
Comps _ 4 f dtid
Contractor Address: 6d035— tifS h /i City: ;Ad)
Q7�p
sta1e►illy �A: ��/ �/�/5� Phone:.,0 /Frria��RsQ ���t7� COI"�''�
license #. C 7 7 G TO 9 Lead Certifies #: /tht7746 DAi"9—A
Slat
L
cL--bu.,
Multi -Family Building: (Yes ! No
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BU
In the last 12 . > :: the City of Eagan issued a permit for a similar plan ba
_Yes No if yes, date and a r plan:
Licensed Plumber: Phone:
Mechanical Contractor: Pho
Sewer & Water Co
Fire
ster plan?
Nora mans and suppotlingifecumalts flintyo sating tate considered to ire ►,r r infennation. PoiUonri
ciessilledas'nwi °' r.,r ifyouu • ,de s _ircreasons that ' •uld the r 0)conc`ude i r.• ri _ are
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for : email update on the Cfty's
website at www.cltvofeattan.camisubscribe.
Exterior work authorized by a building penult Issued in accordance with the Minnesota State Bulking Code must be contacted within 180
days of permit issuance.
CAL. BEFORE YOU Dia Cali Gopher Slate One Bag at (651) 454-000Z for protection against underground utility damage. Cali 48 hours before you
intend to dig to rive locates of underground utilities. www.aonh erstateonecafl.orq
I hereby acknowledge that ills fttturmation Is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of
Eagan: that 1 understand this is not a penult, but only an application for a permit, and work Is not to start without a permit that the work win be In
accordance with the approved plan in the case of work urtdch (whina review and approval of plans.
x t ,hrl.S ir6 BSI/WI
elbeaZZLZJsJ
Applicant's Printed Name Applicant's Signature
DO HQT WRITE BELOW THIS LINE
'SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
4 Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
_ Porch (3-Season)
Porch (4-Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Interior improvement
_ Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
_ Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
1L
_ Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
OD
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164774
Date Issued:10/07/2020
Permit Category:ePermit
Site Address: 3848 Westbury Lane
Lot:002 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Vishal Kapoor
3848 Westbury Ln
Eagan MN 55123
(651) 452-1247
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature