3849 Westbury Lane
CITY OF EAGAN slim SERVICE PERMIT
3830 Pitot Knob Awd p~IT NO.:
P. O. Box e1199
Epan, MN 55121 DATE: No. oi Units: ~
O~wrn^r• Jo e '~i! ler
/1ddross:
3849 weaCburv ~ar,e i'f ~,rv .3 -
~ _
~~~r NiiU:2Y °lum[.i.tc;
5-14 -.16 624/:; 100.COp:'
1oem besow1/ wM /M C!I N i@"a CoevNCtion C1+oroot 47 5, i: 4 L•.
OrJl~ew. Aoaourit Dtpair
P.m* F..:
SYNCb01'Qe: r r~~ ry
8y Misc. Q+oro•a
Doh of Irap.: Total:
Inep,; Qob Pold:
-
CITY OF EAGAN WATER SERVICE PERIINT
3830 Pibt Kmob good 7 5'k9
P. O. qou 21199 PERMIT NO.: 6-11-96
ENmm, MN 55121 oATE:
Lanlnp: F`1 No. of Unlts: I
Owrwr. Joe Mill er Const.
llddnm
Site Addmw 3849 Westbury Lane L1Q B2 Westbury 3
Plun*er lIiltner PIL1iTtbj.L1
p t a, 500.000d
MM~r No.:
9r~: /~a cfC IS . OQpu
Reod~r No.: q 70,2 r•••c 10. Onpd
1 Nw. «wr1~ ~rIN~ Iw ' .p~; . 50 cl
156.00 ZT
63 . SOpd meter
By Daft Paid-
os inep.: Inev?'
. . . . . • - -
~ CITY OF EAGAN 17498
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 I f 1-''
BU LDIMG PERMIT Receipt k 7
To be used for USEMM Esc Value $1, sw Date_ PBS 7
! Site Address 3849 WESTIlURY 1.N
OFFICE USE ONLY
Lot 10 Block 2 Sec/Sub. VESTBURY 3RD
Parcel No. Occupancr - FEEs
zoning
W Name AL KRAMR (Aduaq Const _ Bidg. Permit 35•00
0 Address 3~+9 1~SSTDURy LN (Allowable) - SurCharge 1•00
'City EAGAN Phone 667-0391 r or siofies _
Length _ Plan Review
Name S1ME oeptn - snc, ciry
Address S.F. Total _
City Phone S.F. Foolprints _ SAC, MCWCC
On Site Sewage Water Conn
'Name on site weu
- water Meter
5- Address MWCC Syslem
Acct• DePosit
ig City Phone Citv Water
-
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state fhat Ihe Baoster Pump - SNY Surcharge
inlormation is correct and agree to comply with all applicable State ol
Minnesota Statutes and Cit of Eagan Ordinances. Trealmenl PI
i
Signature of Permitee ~T APPROVALS Hoad Unit
A Bwlding Permit is issued to: KRMM Planner - Park Ded.
on the express condition that all work shatl be done in accordance with all Co+ricil -
applicable State of Mmnesola Statutes and City ot Eagan Ordinances. gug, pry. _ Copies
VarianCe - TOTAL 3G.OO
Building Oflicial
Permit No. Permit Holdt? Date Telephone X
WATER
SEWER
PIUMBING -v-
67
H.VA.C.
ELEcrRic
Inspoc.Mbn Date Insp. Commants
Footings I
FoixndaGon
Fra„my -;0" 5
aoo(ing
Aouyr+ Plbs- - 6 - G~
Rou9h H19•
Isul.
Fireplace
Fnal Htg. 7~,~- Qa
Final Plbg. -je
Const Meter Plbg. IrtspeCtor - Nolify Plumber
Engr./Plan
Final -1,) ~
Deck F1g.
Oetk Finel
Well
Pr. Disp.
' , • : , " PERMIT lk
MECHANICAL PERMIT RECEIPT # y
' CITY OF EA(3AN DATE
3830 PILCT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
SiteAddress ~t349 Vettr.._ !lana BLDG nPE WORKDE8CRIPTION
Lot Block SeclSub x
„ _ - Res. New
- - • Muft Add-on X -
m Name r Comm. Repair
~ Address - • ~
¦ Other
c City Phone ~
. . , : FEES
Name ~ RES. HVAC 0-100 M BTU - $24.00
Address ADDITIONAL 50 M BTU - 6.00
c
p City Phone (RES. HVAC tNCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. :
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
FOrced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boller M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
(ADD a.50 S/C IF PERMIT PRICE GOES
Gas Piping Ou'ets~ _ BEYOND $1,000)
Other ~ 3 a t .
FEE
S/C: ' . J) SIGNATURE OF PERMITTEE ;
TOTAL• ~ L''~ FOR: CITY OF EAGAN
. . . . . . -F, .•Y. . . . .
PLUMBING PERMIT For Offtce Use Only
CITY OF EAGAN PERMIT #
. CONTRACT 3830 PILOT KNOB ROAD, EAGAM, MN 55122 RECEIPT#
PRICE PHONE 4548100 DATE: Q 1:0
Site Address E'S BLDG. TYPE WORK DESCRIPTION
. Lot ~ lodc ~SeclSub M k x ~o~-
~
Name Comm. Repair
Other
~ Acldress - - -
City Phone RES. PLBG. ONL1f - COMPLETE THE FOLLOWING:
r - NO. FIXTURES TOTAL
~ Water Closet - $3.00 a
F Name Balh Tubs - $3.00
Address Laval«Y - $9.00
~ City F A Q$9 Phone Shower - $3.00
Kitchen Sink - $3,00 ~ Q~'h
UrinaVBidet - $3.00 ? v'"
FEES Laundry Tray - $3.00
COMM./IND. FEE -1X OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 -
MINIMUM - RESIDENTIAL FEE $72.00 Gas Piping Outlets - i1 •50
MINIMUM - COMM.IND.IFEE ;20.00 (MINIMUIrI - t PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S/C PER EACH $7,000 OF PERMIT FEE) Well -$10.Q0
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMfTTEE U. G. Sprinkler System - $12•00
PERMIT FEE: 7N'~d
STATES S/C:
FOR: CIN OF EAGAN
' GRAND TOTAL: ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55421 119i6
:
PHONE:454-8100
BUILDING PERMIT Receipt #
To be wed for 5r v t,IG/GAE2 Est Value $ 8 6,0 0 0 Date MAY : 13 , 19 -86
Site Address 3 849 nTESTBURY LN Erect 13X Occupancy R3
Lot 1UBIock 2 Sec/Sub. WESTBURY 3RD Remodei ? 2oning R.1
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name JOSEPH MILLER CONST Move ? Length Sa
18133 CED1U2 AVE 5 Demolish ? Depth d Q
; Address Int Impr. ? Sq. Ft
° city r^KL' ItiAwl 431-200 Instau ?
~ Name SAtiF APWorab FNs
Address Assessment Permit 39 .00
~ Ciry Phone Water & Sew. Surcharge 4'00
Police Plan Review 195. 50
Name Fire SAC 575.00
~a Address Eng. Water Conn. 500. 00
i W Ciry Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. S/ 13/8 Tr. PI. 15 6.00
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances. APC Pafks
O0
Signature of Permittee Var. Date CopieS $2,214-
TOta)
A Building Permit is issued to: JOSSPH MIIrI.ER CUNST on the express condition that I
all work shall be done in accwdance with all applicable Sta* of Minnesota Sta14ed apd.City of Eagan Ordinences. +
Building Official
~
~ _ ,
~
n.nNl No. P.,nrt HokdK wb rd.pha» r
n~~w / 1 b`1 1g lo
M.vA.c.
~ C 8 s 3 ' c~ YL 3-
~
Imp"Uon DsN Imp. CowM"mb
Foot^~. i
Foowq. u
rouna.dan
F.wrng /'u,~ ~ h+ * I/a c1
RoWMq
na+gh Pft
r--r!44
K°"9" 4/s
I~
Fk"bc.
FkW HtW
'I FN,tl Plbp.
~I !{dp. Fbd 46 ~ •
~ CMt Ooa -
Doek flq.
Deek Fmq.
WM
ir. Ohp.
? ' 0p~ '
PERMIT 11 CITY OF EAGAN FEE
' ~ ) ~a G MECHANICAL PERMIT • 5 0
RECEIPT # 454-8100 SiC
~ r- MINIMUM RESIDENTIAL FEE - $70.00 + $•50 TOTAL ~ cp DATE MINIMUM COMMERCIAL FEE -=20.00 + S.SO
1. 81dg_ Type: Res ~ Comm Inst 2. New Add Iter Repair
3. Total Bid Price 4. Job Address ~
~i
Lo1~"_ ~Ck S@C ~.~n t,~ N' 5. Owne~ l~ ~f 1'
6. Contractor~' v 1 1. C\ C'~ 4
(Name)
7. Contractor Phone # (StreeV ` j(cltY) (ziP) ~
RE5IDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each add'?tiona150,000 BTU's.oFtracZion - $6.00
RESIDENTIAL COOLING - 01-24,000 BTU'§ - $12.00. Each additional 6,000 BTU's or fraction - $6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
~ HEATING __LZ VENTILATING HOT WATER STEAM AtR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER
COMM:lJND. RATE - 1% OF TOTAL BID PRICE PLUS S•50 STk%TE SURCHARGE FOjt EACH;1,Q00 OF FEE.
Signed: for
Approved . ` Inspections: Date Rough Insp. Date Final Insp.
L
v ~ I
. . PERMIT #
PWM8ING PERMR RECEIPT # ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 4544100
Sfte Addr BLDG. TYPE WORK DESCRIPTION
Lat~ Block SeciSu =
R New m Name Mult Add-on
Address ' ~ ' ' Comm. Repair
~ City Phone Other
. N FIXTURES TOTAL
~ Name ' . Water Closet - $3.00 ~
3 Address Bath Tubs - $3.00 ^
p City Phone 2- Lavatory - $3.00
~ Shower - $3.00
~ Kitchen Sink - $3.00 FEES Urinal/Bfdet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~ Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$10.00 TFloor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 ! Water Heater -$1.50 'I
STATE SURCHARGE PER PERMIT - Whiripool -$3.00 ~
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping putlets -$1.50
BEYOND $1,000.00) Softener - $5.00 ,
Well - $10.00 ~
Private Oisp. - $10.00 j
Rough Openings - $1.50 ~
SIGNATURE OF PERMITTEE FEE
j
STATE S/C: C'
GRAND TOTAL•
FOR: CITY OF EAGAN
` ~i
CITY OF EAGAN 4 f' A
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 ~
PH O N E: 454-8100
BUILDING PERMIT Receipt ~
To be used for Est. Value S1 +0M Date
SiteAddress 3649 wLZTF;t'id'z L;' OFFICE USE ONLY
Lot Zv Block 2 Sec/Sub. OnSiteSewaqe Occupancy
MWCC Syatem Zoning
ParCel No. On Site Well (Actual) Const
m Name AL ~ }'AT~~~ KW'''FR Cirywater (Allowable)
W r PRV Required # of Stories
Z Address 3844, i i:,.T4i1 it~~ (.`J
~ City phone 1 Booster Pump Length
Depth
, p Name S A'S.F.Total
~ i Address FootpriM S_F_
~ City Phone APPROVALS FEES
u W Engr./Assess. Permit '
FW Name v ~ Addr@SS Planner SurCharge
~ W City PhOne Council Plan Review
eldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit '
i
A Building Permit is isaued to: Treatment P1 j
on the express condition that all work shall be done in accordance with all '
applicable State of Minnesota Statutes and City of Eagan OrdinanCES. Parks
Building Official TOTAL
~
Psrmit No. Permit Holder Dste Telephone it
Plumbing
H.V.A.C.
E lectric
Softener
Inspsction Dste Insp, Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Firepiace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP I
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
~ 4
SITE ADDRESS: ' " t ~ )
I LI i ,4; APPUCANT:
+11 ; rRtiRY I nMr i: ;
4~; .1!'~t; , ~i • F
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
if ' , HI<ri i t ! i i'!~l l( f, lif ij111 i't 11 f 1i?, A tJ
w N Rt_ V t t!-! t f2 fi Y MTF. t' N/i k+ t
F
• ~
- - _ ~
PermR No. PKmk Holdrr Dob TeNphom 1
EIECTRIC
PLUMBINO
HVAC
InspocUon D" Insp. Camnwnft
FOOTINGS
FOUNO
FRAMING
Q ov~„/
ROOFlN(i
ROUCiH
PLUMBINf3
PLBCi
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD I
FIREPIACE S -S--qi, /0
FIREPLACE -
AIR TES7
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLD(iFlNAL 8rv ~//J
ssW R.I.
I
~
BSMT FlNI?L
DECK Ff0 I
DECK FlNAL
I j
~ I
CITY OF EAGAN N0 17498
3830 Pilot Knob Road, P.O. Boa 21•199, Eagan, MN 55121
~
PHONE: 454-8100 /If
BUILDING PERMIT Receipt # ~ ~
To be used for BASEMENT Est. value $1 , 500 Date FEB 7 ,1990
Site Address 3849 WESTBURY LN
Lot 10 Block 2 Sec/SubWESTBURY 3RD OFFICE USE ONLY
.
Parcel No. occupancy - Fees
Zonmg _
w Name AL KRAMER (AClual) Const _ Bltlg. Permil 35.00
o Addr05S 3849 WESTBURY LN (Allowable) - Surcharge 1.00
City EAGAN Phone 667-0391 pof stones -
Length _ Plan Review
o Name $AME Deplh _ SAQ Ciry
ir
0, Q Address SF.TOIaI - SAC,MCWCC
~ City Phone 5 F. Footprmis _
On Sne Sowage _ Waler CAnn
UQ
Fw Name OnSdeWell - WalerMeler
o~ Addf2SS MWCCSystem _
lZz u City PhOn@ Qry Water _ Acct. Deposit
PRV Reqmretl - SM' Permii
I hereby acknowlege that I have read Ihis applicauon and state that ihe eoosler Pump - SM! Surcharge
iMOrmauon is correct and agrea to comply wilh all applicable State of
Minnesota Statutes and CiI ol Eagan Ordi nces 7reaiment PI
Signature of Permilee ~«r/""V ~ ~w.Y?~ APPFOVALS Roatl Urn1
A Buildmg Permit is issuetl to: 4L KRLIMER Planner - park Ded
on Ihe express condition that all work shall be done in accordance with all Councd
applicabla State of Minnesota Statutes and City of Eagan Ordinances. Bld9OfL Copies
1I
BuildingOfficial ~nll ~,(~~~Ll Variance _ TOTAL 36.00
CITY OF EAGAN c
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- ~ 1/193v
~ c~y
PHON E: 454-8100 Receipt N / /
BUILDING PERMIT
To be uaed lor SF DWG/GAR Est. value $$6 ,000 oate MAY 13 ,19 86
SiteAtldress 3849 WESTBURY LN Erect 12` Occupancy R3
Lot 10 elock 2 Sec/Sub. W-ESTBURY 3RD Remodel 0 Zoning RI
Parcel No. Repair ? Type of Consl I7
Addition ? No. Stories
W Name JOSEPH MILLER CONST nnove ? Length 50
z 18133 CEDAR AVE SO Demolish ? Depth dR
o Adtlress Int.Impr. ? Sq. Ft.
Ciry FARMINr'p~Q~I 431-2001 Install ?
o Name SAME Approvale Fees
$a Address Assessment Permit .00
a
43
Ciry Phone Water 8 Sew. Surcharge • 00
~
~ Q Police Plan Review-----95. 50
---5-7 5--.0 0
Name Fire SAC
i- Address Eng. WaterConn. 500.00
u~
iw Ciry Phone Planner WaterMeter 63.50
Council RoadUnit Z90.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 5/13/$ Tr.Pi. 156.00
mformation is correct and agree to comply wrth all applicable State of
Minnesota Statutes and 'ry of Fagan Ordin nces. APC Parks
`Var. Date Copies
Signature of Permitte Total z, 21 . 00
A Buildin Permit is issued to: JOSEPH MILLER CO[VST
9 on the express condition that
all work shall be done in accoitlance with all appli St of Min esota t s iy ot Eagan Ordinances.
Building Official
CITY OF EAGAN N° 15181
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BU9LDING PERMIT PHONE: 454-8100 Receipt ug 4(oG D
To be used for DECK Est. Value $1 , 000 pate JUNE 13 1988
Site Address 3849 WESTBURY LN OFFICE USE ONLV
Lot 10 Block Z Sec/Sub. WESTBURY 3RD OnSiteSewage _ Occupancy
MWCCSystem _ Zoning
ParcelNO. OnSitewell _ (ACtua1) Const
a Name AL & KATHY KRAMER City Water _ (Allowable)
z Address 3849 WESTBURY LN PRV Required _ u of Stones
~ BoosterPump _ Length
City EAGAN phone 452-4616 667-0391
Depth
, p Name SAME S.F.Total
oa Address FootprinlS.F.
~ City Phone AppROVALS FEES
Engr./ASSess. Permit 24.00
w Name 50
_i Planner Surcharge .
Address
aw City PhOnB Council PlanRenew
Bltlg. OH. SAQ City
I hereby acknowledge that I have read Ihis application and state that Ihe Variance SAC. MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Mmnesota Statutes and Qty of E gan Ordina ce, p s.
Water Meter
Signature ot Permittee _A.- _ ~~U?Yl'aN Road Umt
A KATHY KRAMER
A Buildmg Permit is issued to: Treatment P1
on the express condihon that all work shal I be tlone in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Builtling Official_~A.U1\~A/~f~~ ~?~~-1-I y1tp TOTAL 14.$0
.,.-.-ur'EAGAN Remarks
Addition WESTBURY THIRD ADDN. 10 BIk 2 Parcel 10 $3652 100 02 '
Owner Street 384~tWestbury Lane sdLe Eagan, MN 55123
Improvement DAnnuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~
SEWER LATERAL
watermain
WATERMAIN .
WATER LATERAL
WATER AREA j
water area & .6 1
STORM SEW TRK q~ 73. 66
STORM SEW LAT C~' 9g . 20
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
1985 BUILDING PERMIi APPLICATION - CITY OF EAGAN
NOiE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
853~c~
DA~rM~ L
COl41ERCIAL SINGLE FAI4ILY DHELLINGS
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 CALCULATIONS
ENERGY CALCULATIONS 8G qoc'
To Be Used For: Valuation: ~ Date:
Site Address OFFICE USE ONLY
Lot /U Block d Erect X Occupancy IZ•3
Remodel Zoning I
Parcel/Sub Repair ' Type of Const
Addition !I of Stories
Owner Move Length 50
Demolish Depth
Address Int.Impr. , Sq Ft
Install ,
City/Zip Code
Phone APPROVALS FEES
Assessments Permit 39f,
Contractoj
Water/Sewer ~ Surcharge 3_
3 Police ~ Plan Review ~q5,so
Address j
~~~~~,/B Fire sAC 6~5,
City/Zip Code f'~71 T Engr Water Conn So0•
f~ Planner Water Meter (o3.$O
Phone '731-4QQ~ Council Road Unit Z9U.
Bldg Off Treatment P1 I
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ,
City/2ip Code
Phone II
2l~ K,Qp = ro4o x SS ~ roo72o , ,
12'~ 14 - Ib8 x ~ - ~144 • ' .
~Z`aU
l(oK lo = (~OO x~=
_ ~goe
22 x 22 = q'84 x t2
gS( S2
TRI-LAND C0. SURVEYING SITE PLAN FOR:
SERVICES JOSEPH MILLER
4655 NICOLS ROAD CONSTRUCTION, INC.
EAGAN, MINNESOTA 55122
NORTH
I
SCALE* I"=30'
o S 89°42'27W ° 3D
-tq 150.00 0
W
~ O V 10
Z I
a
W
~O - J
M0` W I ~O' ~ r
= 30'(D a j
uL 0 T 10
_..J (A m
S L m 21g• C_... Y. !a ~
0 30 w
$ 150.00 S89°4227W -
~
.
PROPERTY DESCRIPTION
LOTJQ, BLOCK-L-,
WESTBURY THIRD ADDITION
oceordinp fo the raeorded plat thereof
DAKOTA CaurNy, Minnesoto
LEGEND
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 102,00
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION=
ioo,oo DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
oe-- DENOTES DRAINAGE DIRECTION NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hersby certify ihat tAis survey,plan or
report was prepared by me or under my
direct supervision and that I om a duly Bradley 0/11wen Mn. Rep. No. 15235
; Repistered Land Surveyor undsr the
: Laws of ihe Stata of Minnesota. Date :
- ~
CITY OF BUILDIN(i DEPARTI-IENT
EXTERIOR EHVII.OPE AVERA(3E l'Ull C019PUTATION
(To be submitted tirith buildiag permit application) 7lJJ~ 3f ~Q
One or Two Family Dwelling _'k_ Owner
All Other Site Addreas
Contractor tl~Sl~tAl ?~~LL'~. (~i(IGjT Date -65-I769 Phone
LINE.,L FEET OF
EXPOSED vu+i.t 515~ lL) og~ ".-~iNrt. 8bove graae - ~
• TOTAL EXPOSED WALL ARE SQ. FT.
OPAqUE WALL CORSTRUCTION: "Ull Value x Area
De taiT ~TV,O Lf/fk.(~ isU ll . 0 x SQ. FT. ( U)( A)
reference boUll x SQ. FT. _ ' (U)(A) 1014 from LONL IOUIO x SQ. FT. = P,Lt(U)
attached isUlt x SQ. FT. _ (U)(R)
sheete "Uti x SQ. FT. _ (U)(A)
IIUII x SQ. FT. - (U) (A)
WINDOWS: "Ull Value x Area
Maka & Type 5~i [~lne.1C. 21Z+,ull ,5Z x sQ. Fr. Z-7a 14Wo(u)(n)
0' $lUll x SQ, FT. - (U)(A)
" " loUll x SQ. FT, - (U) (A)
n n npn x SQ. FT. - (0)(A)
DOORS: "U" Value x Area
t•lace & Type x SQ. FT.~= 7,¢7i (U)(A)
u n `'1
ifUll x SQ. FT. _ (U) (A)
n ° upu x S(j. FT. _ (U) (A)
n n _ npn x SQ. FT. _ (U)(A)
TOTAL$ _ ZI~3 SQ. F'T. ZZ6.~ (U)(A)
AVERAaE "Ull
ek+
TOTAL (U)(A) VALUES
i ~
DIVIDED BY TOTAL FIALL AREA TiI Z--j I~.
AVERAaE "U" ,115 or lesa for 1&2 family dwe111nge
ROOF/CEILINas
TOTAL AREA:
Detail reference IlUll 007-1 x SQ. FT. JQ-PZ= Zq, (U)(p)
from ilUte x SQ. FT, < (U) (A)
uttached sheete. IIUII x SQ. FT. - (U)(A)
Describe oneninga flUte
x SQ. FT, _ (p)(p)
in roof. x SQ. FT. - (U)(A)
TOTAL (U) (p) VALllES DIVIDED BY Z~ ,+Q, ' 7°7'4L~7 d T' 3iq.~( CUYA~
TOTAL ROOF/CEILIHa AREA ~~OZ Z,`
~
~
AVERADE "Ull ,025 for ventilated roofa.
Y
t
i ,
¦ - - -
~
J
Y
1
i Z
~ ~ b
~ -
s ,
~
1
1
! _ I
1~ -
li
11111111
i
17
11
15 ~
11 -Z tOo ~
v Zw-Zp i
u 2 - X i
u Z
20
, / J Z
n
23
u
ie
~
21
:i L~..
_1 D(L-
.
. ,8 IT I
2, u WoAxs Gv
» S
34
7s -
i
u
- o)
11
11
48
, . --Y7ALL SECTION--
Detormining "Ull valuee at Roof, Wall, Rimp and Conc. Block
' ROOF/CEILINa R VALUE
S
i 1.) Interior dir F'ilm 0.61
2.) 5/811 ayP. Bd. .56
3.) Inaulation 4f;00
4.) .
5.) Exterior Air Film .61
~ 2 3 (STILL)
. (o oUu = 1/R= TOTAL (R)= 7S 7~
.
_ l .
g WALL (R VALUE
q 6.) Interior Air Film 0,68
7.) 1" oYP. Ba. .45
8.) Ineulation j9,0 O
• 9.)
.~rtT-~?TC l.oq10.) Msaonite Siding .67
11.) Exterior Air Film ,17
1
uUn = 1/R=.. , pr! ~ TOTAL (R)= 2j.0 1
RIM (R) VALUE
Interior Air Film 0.68
13.) Insulation lq,vo
dy- 11 14.) 2" Fir Rim Joiat 1,$$
15 I5.) .Po2r- z
~~TE v
J 16.) Maeonite Siding .6~
17.) Exterior Air Film ,17
. o
. d • • • npn = lIR= TOTAL (R)= Z4 41
U
•O~ ~
D
FOUIiDATI01i R VALUE
18.) Interior Air Film 0.68
21 T~A 19. )
20. ) °1• 21.) 12" Concrete Block 1.28
n ?n 22.)
23.) Exterior Air Film .17
e l~° • (g, . ` npn ~ 1/R= o0](Q TOTAL (R)=
PERMIT
CITY OF EAGAN
3830-Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031826
(612) 681-4675 Date Issued: 0 4/ 2 2/ 9 8
SITE ADDRESS:
3849 WESTBURY IANE
LOT: 10 BLOCK: 2
WESTBURY 3RD
P.I.N•: 10-83652-100-02
DESCRIPTION:
(OECK INCI.UDED)
Building,Permit Type SF PORCH
'BUilding Work Type NEW
Census Code 434 ALT. RESIDENTIAL
!
~
/
~
r
~ - ~
't(
r,
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
PIAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUATION $9>000
Base Fee $149.75
9urcharge $4.50
Total Fee $154.25
~
CONTRACTOR: - Applicant - sT. LIC.OWNER:
VALLEY TNVESTMENTS CONST 14545191 0004241 KRAMER AL
2401 LEXINGTON AVE S 3849 WESTBURY lN
MENDOTA HTS MN 55120 EAGAN MN 55123
(612) 454-5191
I hereby acknowledge that I have read this application and state that the
information is correct and aqree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
L
R~N.P.I m,
P APPLICANT/PERMITEE SIGNATURE ISSU 0 Y: iG A RE
~~1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD 55122
681-4675
New Construetion Reauirements RemodaVReoair Requirements
? 3 registered site surveys ? 2 copies o/ plan
? 2 copies ot plans (inGuOe beam & window sizes; paured fnd. design; etc.) ? 2 sita surveys (exterior add'Rions & decks)
? 1 eneigy wlculations ? 1 energy caleulations for heated additions
? 3 wpies of Vee preservation plan H lot platted after 7/1/93
required: _ Yes No
DATE: a. 1-7- CONSTRUCTION COST; lq, 04 C)
DESCRIPTION OF WORK: / SEf}Sp"J te-Ca //7tIQ AeBtilLd
STREETADDRESS: 3S,f LN L4)FS7-P1416)-I, G/t-ILk~
LOT: 10 BLOCK: ~ SUBD./P.I.D. I,IJs,L !t(an~1. .~~rl~.
Name: Phone
PROPERTY Last First
OWNER
StreetAddress: N~ C.~t7t~
City State: Zip: S SIoZ~
Company: vl~"~~(.1 ~-~-Nur-_$71/'«Phone#:
CONTRACTOR •
Street Address:.42 y0/ 1C-- ?C/AJIG TjW S License # ~a L{~
City IhF,nJDO'T7T" A T S State: m /J Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction onty): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicaGon and sfate that the iation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. '
~
Signature of Applicant:
OFFICE USE ONLY @ c~ad Z
R
V
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY •
.
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt.lLodging 0 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex 0 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
g 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE 3 ~~E?rso.~ Fv~c~f ~€c~c
? 31 New ? 33 Alterations ? 36 Move
la 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~13y
Depth Footprint sq. ft. SAC Code o~
Census Bidg i
Census Unit o
APPROVALS
Planning Building mg Engineering Variance
Permit Fee Valuation: $ eI,
Surcharge
Plan Review
License
MC/WS SAC -2 ro lb ~ ov - gyov -
City SAC
Water Conn. ~
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
<< • '
Total: 'r
% SAC
SAC Units
, .t
~
i
~
~ G R"6 ;
~ i
4, ,,.s i
! i
?RO P PE6,,Lfi
!
i
~
sp' ~ I
I ~
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN_
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, i SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESZAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS !F OF UNITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,-
i SET OE ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND i SET OF ENERGY CALCULATIONS
To Be Used For: Qp,~ Valuation: ~ Date:
Site Address 38'qQ - U_)e_S"fFjur,4 Lnne, OFFICE USE ONLY
~
Lot Bloek ~ On site sewage_ Occupancy
iNWCC system Zoning
Parcel/Sub Wesf'btit'~(+~irtL On site well Actual Const
City water Allowable
Owner Ku+k)/ Kran1PY PRV required _ Ik of stories
Booster Pump Length.
Address ,j$'ffq WESfbu.rv Zane Depth ~
S.F. Total
City/Zip Code ?_QOpM ? /Nr\ SStas ' Footprint S.F.
Phon_T y S a- yI 11_ b 7_ 0391 APPROVALS FEES
Contractor 5e-~-~ Engr/Assess Permit o0
Planner Surcharge , S'a
Address Council Plan Review
Bldg. Off. I 6 lo SAC, City
City/Zip Code Variance SAC, M4ICC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. - Treatment P1
Parks
Address Copies
I TOTAL 1~9.27
City/Zip Code f
Phone 4!
, i
' NORTH
I
SCALE~ I"•30'
o S 89042' 27 W ° p
~ 150.00 R
- rDMNK• Y=• MfY ' LL)
1'10.. ~ Z I
I - •a
W ~ a
in
M~ F~ vl T 0-
~ oU' 1 LOT 10 ' I 9 o1 ~ ~
-cn ~ ~o• ~
_..1 0 0, ~
m
(n
3
~
150.00 S 89°42' 27 "W
. ^
PROPERTY DESCRIPTION
L0T1Q, BLOCK9 ,
WESTBURY THIRD ADDITION
xeordinp to the raeaded plat thsreof
DQKOTA _ CouMy, Minnesota
" LEGEND
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = o 00
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
+ao.oo DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR -
ELEVATION ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
l
I hxeby eertify thet ihls survey,plan or
report was prepared by ms or under my
direct suparvision ond that I am a duly Bradley wsnson, Mn. Req. No. 15235
; Reqlsfered Land Surveyor under ths
= Laws of the State o} Minnesota Date 1
:
. 'i
# /71/18
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DA1
OF MC[v'TH Tn'Y.ICH P.EQUEST IS MJ4DE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: FA;5k (3uSemenTValuation: w 4~6od Date: A17ly0
Site Address ~i q9 vJ esi-bury LN OFFICE USE ONLY
Lot Q Block o'L FEES
Occupancy
Zoning
Parcel/Sub We.gT6urV 'f"~.~rcQ h Actual Const Bldg. Permit
~n-~ Allowable Surcharge
O~aner /t1 Kramer' # of stories Plan Review ~
Length SAC, City
Address 38119 Westbu~y L-nJ Depth SAC, MWCC
S.F. TOC31 L]2rcr rpnn
City/Zip Code Ea~Q~ SS/a3 Footprint S.F. Water Meter
Acct. Deposit
Phone 14 ((.Ia) 45a -1/6 /6 (B) 667-039/ On site sewage_ S/W Permit
~ On site well S/W Surcharge
Contractor Se ~4~ MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV _ Park Ded.
Booster Pump _ Copies
Gity/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
L J~ BL ~ CITY USE ONLY RECEIPT C tl I~(A Ib
SUBD. we. Y a RECEIPT DATE: 5W160
PERMIT # 4„l V'1~_
2000 PLUtyIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newrrerumisned ' requlres MPC lic. 75.00 x = S
Septic System abandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 x = $
Rough apening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler ifdwelling is underconstruction 3.00 x = $
Underground sprinkler if existing dweliing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener if Cwelling under construction 5.00 x = $
Water softener if exlstlng dwelling 30.00 x = $
Water tumaround 30.00 x _ $
State Surcharge 50 $ 50
TOtal $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
ce-.-
----now -th--is----application- - ----info--rtna---tion ---------,a----nd----agrea----to-w--mp--ty--w-it-h-all-----applicableCi---------ty--of--Eaga--n -----or----dina-n-- s
I hereby ackledge- lhat I have re ad stata that the iscortect
it is the applicanYs responsibility to notify Ihe property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenanca adivities to the facilities construded under this pertnit within City propertylrighboi-wayleasement.
SITE ADDRESS: I GS ~Buy~ `5-Z-~74:3
OWNER NAME: :~L K•~9~'fl~'~ TELEPHONE
(AREA CODE)
INSTALLER NAME: TELEPHONE # ~fP 3 S3-~ ~-533-
STREET ADDRESS: 2~~~ ~uS u -;0~0 (AREA CODE)
CITY: ~GY/~d~fTP7~- STATE: la,11~ ZIP:
SIGNATURE OF PE ITTEE
*xaxxxxxxrxx>xx.+.RRr:....F==. Rrx:
• • C I T Y O F E A A f~ ,*t PA~r OF FF.E AT TIIyE OF. *
* r,prisCATzoN noFS Nom wNsriz[rrE *
*F APPROVAL OF PII2PffT' *
APPLICATION FOR PERMIT
* IxsPncriorr oF sEWEt Arm/ox MkTM *
,*F msnr.raTTONS WII.L NOT BE SCHm-
SEWER AND/OR WATER CONNECTION ~IJI UNTIL pERMIT HAS BEEN ~
* rPPxavm. ~
* *
. *
~
. ***~****#*~***k*~**~~*:*~*,..***#*~**
P ease Print)
• 1) PROPERTY ADDRESS : ln/ e^ I- Ip r/ / I ue
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SiRLC!gLlRE, DATE OF ORIGINAL HLILDIIVG pERMIT ISSCANC.E:
(Mon Year) -
PRFSEIdP ZONING/PROPOSID L'SE:
cl C0MMERCIAL/7ETAIL/OFFICE la~ R-1 SINGLE FAMILY
F7 ZAIDL'STRIAL ~ R-2 DCPLEX ('Pwo Units)
~ ZNSTI2L'TIONAL/GOVERMJENT ~ R-3 'IOWNIIIOC~SE (Three + Units) ( Tinits)
~ R-4 APARTMENT/CODIDOMINIC'M ( Units)
z) ~
NAP1E: S~i ~a
ADORESS:
CITY, STATE, ZIP:
PHONE:
3) NAME. + I / For City Use .
Plumbers License:
ADDRESS: Active
Expired
~ CITY, STATE, ZIP:- F Not recorded
~.c.:..~.-,:•._,i
~ONE: ~i~•=lti~h /MASTII2 LICBNSE#
Stal£ Initial
4) • i~•
NANE:
ADDRESS: '
CITY, STATE, ZIP: J„ 1"
PHONE:
5) r • o~ -
D~CONNECrION TO CITY SEWII2 0--_CONND(,'PION ZU CITY WATII2 ~ p7'AER .
6) • r ~ PI.EASE HOLD APPROVID PII2MIT F'OR PICK-UP BY OPIE OF ABOVE - -
PLEASE MAIL APPROVF9 PERMiT To 1, 2, 3, 4, AHOVE
(Circle one)
r. r• •
7)
y•
~ r. ~ u- ~ r s ia• n i. ~ .o•
• ^ • ~o. ~ • ~a. •.e+s~ ~ 4 i 4.A;,Jj • •0 LTA s• • p. -
! ~
.-FOR CITY USE ONLY ,
PERMIT # ISSUED
7s 3 i
Pd w/Bldg. Permit FEES:
$ $ -c'?' SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ler," S2, WATER PERMIT (INCLUDE SURCHARGE)
$ A 3- S--b $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~ACCOUNT DEPOSIT - SEWER
$ $ Cc ACCOUNT DEPOSIT - WATER
$ $ WAC
$ i $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ i • S -C' $ • C~ TOTAL
~ z z~ 5~ 7 --5(l 3 S
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THE[V A"PERMZT FOR WORK LVITHIN PUBLIC
Q
ROADWAY" MUST BE ISS[?ED BY THE ENGINEERING
NO DIVISIO[V. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
I ~~I o' c~d
2007 RESIDENTIAL BUILDING PERMIT APPLICATION a.~
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122 ~~jISLG
Telephone # 651-675-5675 FAX # 651-675-5694
New CansWChon Reauiremens RemodellReoair Reouiremenis Office Use OnN
i
, fY - N
3 registued sde surveys showing sq. ft of lot, sq. fl ot house, and all roofed areas 2 copies of plan showmg fooUngs, beams, jasts Ced'of Survey Recd Y _ N
(20% mawmum lot covxage allowed) 1 set of Energy Calcula6ons fw heated addibons Soils Repod '
1 Soils Report rf proposed bullding is to be placed on disWrbed soil 1 site surveyfor addi6ons & decks Tree Pres Plan Recd - , -Y =N,
2 copies at plan showing 6eam 8 window srzes; poure0 found design, etc. Addifion - indicate if on-sde sephc sysfem Tree Pres Required _Y _ N
i set of Energy Calalatlons Oo-site Septic Syslem , Y N
9 copies of Tree PreServahon Plan il lot platted aRer 711193
Rim.lotst Detazi Optlans selechoo sheet (6mldings with 3 or less units)
Minnegasco mechanical venhlalion form
Plans are considered ublic information unless ou state the are trade secret and the reason.
co
Date Construction Cost
~Zl~~~
Site Address 3~ ~ We S T Y>, GAl UoiUSte #
Description of Work .72rlllig OF~ &,"e kr ROO~
Multi-Famity Bldg _ Y x N Fireplace(s) _ 4 _ 1 _ Z ,
Property Owner rr Telephone i> yjz - yd/~
Con[ractor V
~iv ~oa/
r
' L~
Aadress y~d l~7/ City e/Y.~DU1~!,
State Zip Telephone #(7Ej). Sy~ O~ O/
F,,bllssion LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
ory , ResidenUal Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Su6miried
. Energy Envelope Calculabons Submitled
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone ~
Sewer/Water Coniractor Telephone # ( ti
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN
Statutes; 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.
e 6vurf~»x .irOrTi~Pz o
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub TVpes
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory BId9
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level q 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Wndows/Doors
? 34 ReplaCement •Demolition (Entire 81dg) - Give PCA handout to appllcant
DeSCflptlon; WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% ~
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation H V AC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tes[s Final
_ Framing _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insula[ion _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee .
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3849 Westbury Lane
Lot: 10 Block: 2 Addition: Westbury 3rd
PID:10- 83652- 100 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Allyn Kramer
3849 Westbury Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA086966
10/17/2008
ePermit
cal Inspector,
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142112
Date Issued:04/14/2017
Permit Category:ePermit
Site Address: 3849 Westbury Lane
Lot:010 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Allyn Kramer
3849 Westbury Lane
Eagan MN 55123
(651) 353-3672
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164376
Date Issued:09/28/2020
Permit Category:ePermit
Site Address: 3849 Westbury Lane
Lot:010 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Allyn Kramer
3849 Westbury Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164827
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 3849 Westbury Lane
Lot:010 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Allyn & Kathryn Kramer
3849 Westbury Ln
Saint Paul MN 55123--207
(651) 353-3672
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165007
Date Issued:10/14/2020
Permit Category:ePermit
Site Address: 3849 Westbury Lane
Lot:010 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Skylight
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Allyn & Kathryn Kramer
3849 Westbury Ln
Saint Paul MN 55123--207
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature