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3852 Westbury Lane CITY OF EAGAN 3830 Pilot Knob Road SIVM SaV(CE PEwT P. O. Box 21198 PERMIT NO.: Eagan. MN 55721 DATE: Zanirg; OwrNr ne Con s t. Na of Unlts: i Addross: S1te Addrlw, -39=2 F?e9tbtIry Z,anf-. Y.3 Li Westt3ur 7TcI Plwr,ber. "tar Plurbirz: ='-1-3E fi5?ii? 17. t7f I 'SOM ~ ~sM'~ Carv»ct?on CJ~arpr 4 7 S. 0 Q-; J ~ Accot++t DrpoNt; k i. c'~ -1 Pemwt Fw: By Su^charm: , 50n a j Dote of Inqp,; Mtu. Choegm , I,~: Toed: ~ ~ DoM Pold: EAG ~~~Cr~ III AN _..s0 Rilot Krqb Rob WAi'ER SERVICE PEIWIR ' P. O. Box 21199 Y PERMIT NO.: ' . I ' E~+. MN $512.1 Zoninp: 6', t DAT'E: i Owi~r, ~unshine .C,onsti'ur[i No. of Unlts: ' I Addross: ' , S1jr 01161:1,114M 3852! Westburv T Plun~r. Star T'lui:~~?*~,:- t 1rr}_~,-.:~ I I M.ftr No.: 9~ 07 _ Q1 1r. ~ S?u: « c ,~~C~T~ •]r - • t's~'iMR" ~ ~ • P II Reader No. D O • HesnMf w" !y Clef Mbe. Cwrpn; p i i I rorcl: t Dob PbM: ' • of Irup.: ' CITY OF EAGAN 3830 Pibt Knob Road, P.O. Box 21-199, Esgan, MN 55121 N2 12386 PHONE: 454-8100 BUILDING PERMIT Receipt # r- To be wed for SF DWG/GAR Est value $78,000 Date AUGUST 1 19 86 Site Address 3 R5-,~ HIESTBURY rrpC,)F Erect CN Occupancy R3 Lot3 Block I-Sec/Sub. WESTBURY 3&&_ Rer"odei ? zonina PD Parcel No. Repair ? Type o( Const Vn- Addition ? No. Stories SUNSHINE CUN3TRUCTION Move ? Length d5 ~y Name ~ n o Address 5985 12 STH ST oemolish O Deptn Int Impr. ? Sq. F? City A• V• Phone f 31-2200 Install ? Name SAME Approvab FNs a o Address Assessment Permit $ 367.40 ~ City Phone Water & Sew. Surcharge 39.00 Police Plan Review 183. 50 1~u W Name JAMES R HILL Fire SAC 575.OQ ~ n Address 8200 HUMBOLDT AVE Eng. Water Conn. 500.00 g W c;ty BLMTN Pnone 8 8 4-3 02 9 Planner Water Meter , 63.50 Council Road Unit._.290.00 I hereby acknowledge that I have read this application and state that the gldg. Off. 7/2$/$ 6 Tr. PI. 156.00 information is correct and agree to comply with all appNcable State of Minnesota Statutes and City of Eagan Onwances._ - APC Parks _ - j ~ Var. Date Copies Signature of Permittee $2 ,179 . 00 Total A Building Permit is issued to: SUNSHINE CONSTRUCTION on the express condition thet all work shall be done in accordance with all applicable State o} A~innesota Statutes and City of Eagan Ordinances. Building Officlal - _ - - - - - - - ' - - - - PrrnYt Na PwmM NadK DaN TiNph" N Phnmw" H.yA.C. ~ r~ o < rr 9j33/ Eloctft C iJ3a sel~n~? In""tlon DaM Imp. Comnwnb FoolNqr I Foolbgs M Fo1MIdaYon F..rdng Roolinp aowo wso. n«roe Ma. ~ wd InsuL Fl..a.a Fb"i Mq. FkW weq. . , awq. FbW c.FL o«. Mck Ftp. Oeck Fmp. DMCrW L.ocarork YMON Pr. DbP. PERMIT il PLUMBING PERMIT RECEIPT # CITIf OF EAGAN 3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE CONTRACT PRICE PHONE: 4544100 ~ Site Address fBLDG. T11Pg , Q WORK DESCRIPTION LotBlock ' ~ Sec/Sub ~ 3 Res. ~ ^ New ' m Name Mult Add-on ~ Address i 1'4 l G t~ G ~ Comm. Repair ~ c Ciry'' Phone%" Other NQ. FIXTURES TOTAL Name ~ ~ - Water Closet - $3.00 c Address 71i A, f =Beth Tubs - a3.00 p City Phone" -C- Lavatory - $3.00 ~ Shower - $3.00 - ` Kitchen Sink - $3.00 FE COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE - Si0•00 / Floor Drains -$1.50 ` J MINIMUM - COMM/IND FEE - 20•00 =Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00 (ADD a50 S/C IF PERMIT PRICE GOES 7 Gas Piping Outlets - $1.50 BEYOND $1.000.00) Softener - $5.00 weli - $10.00 % Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PE MI TEE FEE c- U STATE S/C: (iRAND TOTAL: ~ ! 5~ FOR CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # CIl1f OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTMCT PRICE PHONE: 454-8100 Site Addqw,36 62 BLDG. TypE WORK DESCRIPTION Lot Block ! Sec/Sub i C N s i1TG Res. ? New Name ~ ~ ~ ~ Address O A'F~T-k"A / Ex-• M u t t A~- o n ~ m. R sir C Phone Name JU SNiNN FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City/E~EVIA Phon ,3/ -aWdOD ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 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 Alr Cond. M BTU 00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets lk ' gEYOND $1,000.00) Other FEE ~ ~ ~1 GG~ ~S~il rt~ r? s/C: SIGNATURE OF PERMITTEE rorAL- FOR CITf OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Ne _ 1/ 386 PHONE: 454-8100 BUILDING PERMIT Receiptx (U~ o 7obeusedlor SF DWG/GAR Est.value $78.000 pate AUGUST 1 19 86 SiteAtldress 3852 WESTBURY L?1T?E Erect 15 Occupancy R3 Lot 3 aiock 1 Sec/Sub. WESTBURY ,3R0___ Remodel ? zonin9 PD Parcel No Repair ? Type of Const l7}} Addition ? No. Storie5 w SUNSHINE CONSTRUCTION Move ? Length 45 Na = me Demolish ? DepthEio. 3 Address 5985 125TH ST ° city A.V. phone 431-2200 Ilnt nstmpr. Sq.R. o Name SAME Approvals Feea ~a Address Assessment Permit $ 367.00 ~ ary pnone Water&Sew. Surcharge 39.00 Police Plan Review 183 . 50 W. Name JAMES R HILL 575.00 nddress 8200 HUMBOLDT AVE Ene WaerConn. 500.00 `w City BLMTN pnone 884'3029 PI nner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 7/28/86 Tr.PI. 156.00 information is correct and agree to comply with all appli eble State of Minnesota Statutes and Cit an Or i nces. APC Parks Var. Date Copies SignatureofPer m' ee ~ - --o Total $2.174.00 A Building Permit is issued to: SUNSHINE CONSTRUCTION on the express condition that all work shall be done in accortlance with all applicable State of nesota Statutey~an y'~ ity' of Eagan Ordinances. Building Official ~-e--~- q ~ -_..-rntiFSN Remarks Addition WESTBURY THIRD ADDN. Lot 3 elk 1 Parcel 10 ~3652 03~ Ol ow„e, st,eet 3 52 Westbury Lane state Eagan. MN 55123 ~ri/_nG,9_ •;f,~c Improvement Da[e Amount Annual YearS Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ SEWER LATERAL watermain 2.2 15 WATERMAIN 19$4 49.90 3.33 15 WATER LATERAL WATER AREA 134.2 8.95 1 7 198 6 M9~. .6 1 STORM SEW TRK 2ri 1 g~j 23. 66 STOFiM SEW LAT (f~i 1 g6 98.20 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK , _ ~ ~ ~ ~ 1986 BDILDING PERlQT APPLICATIOP - CITY UF EAGAN BOiS: ALL COlTfN9CI0HS liQST BE LICENSED WITH THE CITY OF EAGAN SIAGLE FAMffLY DiiELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS IiOLTIPLE DWELLINGS - AESIDENTIAL RENTAL iJHITS FOR S6LB IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB fiTITH BLDG. DEPT.. 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL P[.ANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCOLATIONS, $2,000 LANDSCAPE BOND To Be Used For: /~lE,ct-y (2G~. Valuation: 78t!;~00.00 Date: 7 -2 3 -8h S ds-) I Site Address CcJES-4ua. 4&;. OFEICE DSE ONLY l. Lot Block Erect ~ Occupaney 'If S Remodel Zoning PO Parcel/Sub 7 (3u2v ~AD/D. Repair Type of Const ~ --r Addition !1 of Stories Owner S4 CoAcsT. Move _ Length Demolish Depth Address 59 8 S f2 ST^ ST Int.impr. _ Sq Ft Install City/Zip Code QPP~-c 1,~+.u~u SJi24 Phone 43t -Z2oc> APPAOVAIS FEFS Contractor SAME ,4-S AQouG Assessments Permit Water/Sewer Surcharge !949 Address Police Plan Review / Fire SAC '57"Z- City/Zip Code Engr Water Conn ~te'2 \ Planner Water Meter ~56 Phone Council Road Uni,t 'r_~'/a Bldg OffJ- Treatment Pl `Arch./Engr. 14rn6-S (2. 141 L-L APC Parks Variance Copies Address g20d j4u~13oi pT q---~c.° TOT9L =`-~-y--- City/Zip Code (3c~.~+.rcr7vtit 5543! Phone U gsq z62~z NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?OR/HOMEOiiNER !lOST DESIGNATE AHICH ADDRESS IS DESIRED. NO CH9NGES i1ILL BE ALLOWED ONCE BOILDING PERMIY IS ZSSDED. g CJ~t/"'~~ ' ' ~ CITY OF (ffaCrFFn~ BUILDING llEPARTt•IL1JT EXTERIOR ENVII,OPE pVERAGE "U" C014PUTATION (To be submitted tivith building permit application) One or Two Family Dwelling Owner _~l9ST~ .4- Ti{ff (\D/'~Q All Other Sfte Addrese Contractor Date phone LIP7EAL FEET OF ~ ff EXPOSED ti7ALL ft. above grade _ 0Z33,OC)~ ri_== TO'PAL EXPOSED VVALL AREA SQ. FT. OPAqllE WALL CONSTRUCTION: "Ull Value x Area • Detail "p° •O~f~x S2. FT. 17~rA.4o.==~(U)(A) reference t'~ "U"- •14,0 X Sq~Z~-= (U)(A) from '~U~~ , Q,. FT FT. ~'~'7"'~'_ ~U)(A) attached p x g sheets Plpit x SQ. FT. - (U) • npu - (j1) (A) x SQ. FT. _ (U)(A) 7JITdDOWS: "Ulf Vnlue x Area Afake & Type _IJ2 .1'.1 L!)J'T. t'pn x S FT. n n npn x SS, I Z.~oO = 58•4lv(U)(A) e' FT. (U)(A) itut n u nUn XS@. FT. _ (U)(A) x SQ. FT. _ (U) (A) DOORS: ItUll Value x Area 1•la!ce & Type npn x SeFT. ~p O _ u „ -~~"f]0 npn .47 x SR• FT.~LL_-~(U)(A) „ flUll x s~ F'~r.~= - (U)(n) nUn . _ (U)(A) - x Sq. FT. _ (U)(A) Tozai.s ZZ . o sQ. F'T. LolO (u) (n) TOTAL (U)(A) VALUES AVERAaE "U" DIVIDED BY TOTAL HALL AREA 7233,p0 AVERA(3E "Q!< -:1 less for 1&2 family dw inge ROOF/CEILIN4; TOTAL AREA: Z lD. t? 0 Detaifromference SQ. FT. (23 ZS' z-(o)(A) nttuched sheets. fl~„ x SQ. FT. (U) (A) Deacribe oneninga IfU,l x SQ, FT, -~(U) (A) in roof. x S9. FT, _ (U) (A) x Sq. FT. _ (U)(A) TOTAL M(A) VALUES DIVIDED BY Z~z T-rA1,7 Z~(p Zg, LrU yA"\ 'TOTAL ROOF70-25N.for 4C} AF2EA AVERA(}E ~~u vontilatod roofe. i ' ~ • ~ ~ i1 ~~RK ~,~~~T r~ : 14~~~ X(42t4zt~~a-r.;) = ZZ~~.oo II~ ~ • I7 x(,4z+4zt 3s~+~s) = Jo3.1 S~ ~ ~ ~ I orST ~ r wi ws I!v ~ i3 lo =4.O X Z= g, p Z~~3~ = 5 o X~= 4S o - Z4~X3 cv o X 9~ = Z4. o Z4~4g= 8.o x 9-= 3z.0 Zo i c~r~ = 8e~- x 9- = 3~. lv I ~ l4z.m ~ o I~ 3' I~j1Z-' W~:7.C.~ = Zg 00 Z~~i~7c_, SEI~- - ZI•Do (~°I ~h7o 1 = L?- ,oo , i i i~~ ~ ZSX4Z = 117lv L~s cv~e, lo3-IP~ (o.sx7 = 9~ ~lil? ~l~") Iz7, 8z w~~s i9~• 4~• ~ 1 x rg ~ Ioofz=s 91. o /Z3lo.o0 , ; 17&8.4 I~ --fl_ALL SECTION-- . , • Determin.{ng lipll valuee at Roois Wall, Rim# and Cona. Block , I . . ROOF/_ CEILINa A VALUE • 1.) Interior Air p•ilm 0.61. . 2.) 5/811 ayp. Bd.' .56 3.) Ineulation 4.1 40.00 5.) Exterior Air Film .61 I 2 3 . (BTILL) ' • . l . ~IUu a l/R= bZ?j TOTAL (R). T~ ~1- 7$ 8 %A'L . R VAI,U q 6.) Interior Air Fiim 0.68 7.) i" arp: Ba. ' .45 . 80 Ineulation ) 9•) t ul~.T•1~'rTC Y~vo 10.) Masonite Siding 2'6~~ 10 11•) Exterior Air Film ,17 . • I • nUn a IIR, •P+3 TOTAL (R)=z3~p~ . 12 RIM R VALUE 12.) Interior Air Film 0.68 13') Inaulation 19,00 14•) 2'1 Fir Rim Joiet 1.88 15.) g Z,04. 5 16.) Ffa~~nTitRsiding 67 . 170 Exterior Air Film ,17 n ' ~e' lipll 0 1~R~ ?a10 TOTAL (R)a ' 0° . • , FOUIIDATION R VALUE 18•) Znterior Air Film 0.68 zl : 6 . • Ig 19.) • n o b,•. ~ Zo. ) . ° n 21.) 1211.0onarete Block 1,28 ao 22.) ~161A IAuL, 23.) ExEerior Air Film S~oo .17 e • 'e ° • IlUll a 'IR= • e. 4o ToTai, (R)= 7. 13 . . - . , - SIiRVEYOR'S CCRTIFICATE SUNSHINE CONSTRUCTIUN,C,O. . LLJ z EXISTING HOUSE ~ ! /1 f I 1_~/ 1 ~ 889.9 %889.9 50 ~ 888.2 ~ 30 " J 0904G,L.7" W 150.00 ~ 890.3 898.7 m~ 888,9 h BB9.9 50.33 X889.6 894.1 % h % ~ B90.B I J i io ~ = 0 eso.s~~^_ 28.33 !x 9" i 0 W ° W I t6 o Ol 33 0 ~ \y W pJ j LO/' MO "1 ~ >s.ei a o N~ p M Z C 15.5 = 3 ^ LL x ~ m O PROPOSEp r.~ Q:\ \ 6' ~ - ~ p W I' ' DRIVEYVAY N q ~ (f) F •t~ • . "'"t" N 22 6 r~n _ _2767 - ~ ORAINA~GEr PERPLAT~ I ~il !O _ x eq6o m ~ , ° _°~i° ...a - °I m~ ee~e xeez7 ~ saent T 50.33 -=4 x eee.o 89316X -30 S 89°4227' 150.00 8909 I I N e8e.7x n zese.e 50 W Z EXISTING HOUSE ' ~ Q/^ A DENOTES NAIL SET 0 --4_. DENOTES PROPOSED SURFACE URA]IJ/IGE SClILE: 1 INCN = 30 FEET p DENOTES iIIUN MONUhIENT SET • I)f:NUTFS 11l(1N M(lNUP1ENT FOUIIU PROPOSED GAliAGF. FLOUk = 88y- 9 FEET X000.0 DENOTES ERISTIPIG EI.EVIlTI01V PROPOSEb LOWEST FLOOR ° 8S'I, 1 FEET (UOU.U) DENOTES f'RUI'USEU ELEV/ITIUPI I'RUPOSED TUP UI' ULUCK = 4390, " FEET 1 HEREbY CERTiFY TO SUNSHINE CONST. C0. THAT THIS iS A 7RUE APIU COKRECT NEPHESENTATIUN UF R SURVEY UF THE IlOUNDARIES Of: L'ct 3, Block 1, WESTBURY 3RC ADCITION, according to the recorded olat thereof, Dakota County, P1innesota. ANU OF THE I.Of.AT10N OF A PROPOSED BUfLU1NG. IT DDES NOT PUi2PORT TO SHOW IMPROVEMEN'fS llk ENCRUACHMEN'I'S, IF ANY, THEREUN, AS SURV[YED BY,ME, UR UNDCR MY UIRECT SUP[RVISION, THIS 29Tf1 UAY UF JULY , 1986. SIGNEU: JAMR. fLl, lHC. ~.r/j Y~~,~ l~. J•' i'~ G'--- BY: HAROLU C. PETERSUN, LAND SUHVEYUH MINNESOTA LICENSE N0. 12294 PROJECT N0. E100K / PAGE JAMCS R. FIILL, INC. 868i,4 133/52 planners / Engineers / Surveyurs FILE NO. 0200 Plumboldl Avenue 6outh FOLDER Dloominplon,Mn. 65431 612-884-3029 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~~-~J I 1 3830 PILOT - 55122 "9 C 651 r~ b 68/465 New Conshuction Reaulrements Semodel/Recalr Reauirements D 3 reginered sNe surveya showing sq. N. of lot, sq. M. of house 2 coptes of plan and all roofed areas (207, maximum lot coveraae allowed) 1 set of energy calcula}lons for heated addMions ? 2 coples o( plans (ahow beam 8 wlndow s(zes; poured fnd. design; etc.) 1 sRe survey lor extertor addMlons a decks ? 1 set o} energy calculaflons D 3 copies of hee presenaNon plan H lot platted alter 7/1/93 DATE: CONSTRUCTIONCOST: 3i30C) DESCRIPTION OF WORK: STREET ADDRESS C(~eS Thr.?~i ~ N 'jtayn LOT: --2 BLOCK: ~ SUBD./P.I.D. S: Name: Phonek: PROPERiY Last First OWNER Street Address: City State: Zip: ()-7 Company: JJO S~~ ~ruc~'~ Phone ~ S~ - 0/~ 78~ (area code) CONTRACTOR Street Address: License lOv (}S~~ DO City S~~mP ri!c.. / State: Zip: 5~-/ ARCHITECT/ ENGINEER Company: Name: Telephone N: area code ( ) Street Address: Regisfration k: City State: Zip: Sewer 3 water Ilcensed plumber (required for new consfruction onlvl: PenaNy applies when address change and lot change is requested once permN is issued. I hereby acknowledge that I have read this appllcatlon, state that fhe informatlon s cortect, ond agree to comply wRh all applicabl State of Minnesota Statutes and Cify af Eagan Ordinances. Signature of Applicant: ~;1?~~Zeo" L- 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 O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (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 Levei 024 Storm Damage ? OS 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. ? 40 Gas Insert ? 44 Windows/Doors O 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) P: 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 *s~xxr+xx~:xxxxxRRR.......R.~xR::: CITY OF EAGAN * PA~r OF ~ ~ ~ME OEx ~ ~ * ArPiscATiori ooFS Ncyr cors-rilvrE ' ~ ~ APPLICATION FOR PERMIT *APPROVAL OF PERMIIT. * * * * * INSPDLTZON OF SfiwER ADID/OR mTER ,*F T.TATTONS WIISa b10T HE $ClII'D- 'F SEWER AND/OR WATER CONNECTION ~III UWM PmMT HAS BFE9 ; * APPxOvED. * * * w * » . ***:aa++a++.+e~*,ei*k**•*.+.:**:++:*,r,r,t* P ease Print) 1) PROPERTY ADDRESS: CQ -U5 LEGAL DESCRIPTION: Lot Block Subdivision or ax Parcel ID ) 7F EXISTING STRCCI[IRE, DATE OF ORIGINAL BC'ILDING pERMIT ISS[:ANCE: 1 PRFSENl' ZONING/PROPOSID C!SE: (Mon Year) - ~ COb'TIERCIAL/RETAIL/OF£ICE ~gf R-1 SINGLE FAMILY Q IbIDC'STRIAL, Q R-2 DUPLEX ('Itao Onits) INSTI'IL~TIONAL/GOVERNMENp ~ R-3 TOWNHOCSE (Three + Units) ( Cfiits) 1 Q R-4 APARTMENT/COrIDOMIDIIC'M ( Units) 2) NAME: S~rncSr-t~~..l~ ~okST• ADDRESS: ;5 ~j 8J 12~j'~ S i ciTr, STATE, ZZP: A PPcf- vaL~_t~-:IY Mi.l 5Sr2~ PHONE: ! -2 2c.~ 3) • For City C~se ~ME~ S1A~D (Plumbers License: AwDREss: M ou"D P2 a.e `f- e ~irea ~ CITY. STATE, ZIP:_QL..~Tn TO~ ~.cs.(. M~ll, NOt recorded PxoNE: 88c{.- 4 l49 MASTER LI(ENSE# 33 2~ WL sMIT t Initiat 4) • i~• NAME:-- S .4 rtn E 4 _ ADDRFSS: ' CITY. $TATE, 2ZP: PHONE: 5) r• •z• : a • n• a~ Er'~ONNF.CTION TO CITY SEWII2 ffA--(,'p[,-rION 'N CZTY WATER ~ pTHEFt . . 6) • • r ~ PLF.ASE HOLD APPROVID PEE2MIT FOR PICK-r-lP BY ONE OF ABOVE - PLEASE MAIL APPROVID PERMiT M 1. (D3. 4. ABOVE (Circle one) 7) -23 -8co , '•y" •Y' I' ~ • I' ? I:d• . ~ h iJl• . ' ~ ~ • r. • y` 1' r M:/. •.n?1 1/ 1 ]I" G• 1. .fOR -CITY USE ONLY - - PERMIT # ISSL'ED 77G- Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ (./~3 • S-b $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ 0 TJ $ WAC 1 $ 5-7 $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TR[JNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 0 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ~SzR2-- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DZVISION. LZST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: ~ J APPROVED BY: TITLE: / DATE : e (o SCREENS 26,29&30 REAL ESTRTE INQUIRY - NRME/RDDRESS/LEGFlL XINRNOO; PARCEL ID: SO 83652 030 o1 PLRT NRME: WESTEURY 3RD ADDITION LE6HL: 3 1 HOMESTE(aD CARD ENTERED: 02 21 1989 FIRST DIVISION: 016069 09 05 1985 LFlST DIVISION: FEE CURRENT OWNER: JIM A& DUSTY K ROGGE 3852 WESTBURY LN EAGAN MN 55123 TRANSFER TO SCREEN NUMBER: C~~ n PF8-SCROLL FORWpRD ` ~p ~ a ` kQk: S'Li-b~j hwy esmN7" 4)a rcel flJo 1(4, on CT ~p noa 9v . . . , . . , . 8 -aa WZC(J( 12ESIDENTIALBUILDING Permit Application ~ City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reouirements RemodebRePair Re4uiremenis Office Use Onlv 3 registered site surveys showing sq. tt of lot, sq. k. of house; and all roofed areas 2 copies of plan CeR of Survey Recd (20 % maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 oapies of plan showing beam 8 window sizes, poured found design, etc. 1 sile survey for addiVons & decks Tree Pres Not Reqd 1 setof Energy Calculalions Adddion - indicate ilon-sde septic sysfem _ On-site Septic System 3 copes of Trce Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet ibldgs wilh 3 or less uniLs Date /Construction Cost zaOCJ SiteAddress Unit/Ste # V Description of Work L114 S ~ ~S' C&C e r~11641 / /12feyl /J (//iV(_/7 /1/ cx ~s7~r'ti~o tT ih 9 Multi-Family Bldg _ Y x N Fireplace(s) _ 0 jL 1 _ Praperty Owner Zf1 a ol /~('}0 0) p Telephone # ( ) Contractor 'E4f 0 s L J u igL'{ rill v- 8(1 Address 7? City ^ r jz MAA State ah). Zip 55,33 ~2 Telephone # 6M-7,225)F_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed riumber Telephone J MechanicalContractor `lfPCi`CL. Telephone#(~s~Z) ~?Z7 '0 Z3~ Sewer/Water Contractor Telephone . 71 , , , 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 City of Eagan and =the~ State of MN Statutes; I understand this is not a permit, but only an application for a permity 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. „ a UI~~S~~ f ApplicanPs Prin ed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex • ? 10 OS-plex ? 18 Deck 0 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-ptex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (interiar) Q 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalition (Enlire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code ` Zoning City Water SAC Units Stories Booster Pump Nbr. of Units , Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const _ Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]/No C.O. _ Foo[ings (addition) _ Plumbing Founda[ion HVAC Drain Ttle Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fveplace _ R.I. _ Au Tes[ _ Final _ Windows (new/replacement) Insulation _ Re[aining 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA121420 Date Issued:03/31/2014 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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. 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 - Gabbert Dev Inc 1055 Wayzata Blvd E Wayzata MN 55391 New Windows For America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146063 Date Issued:10/06/2017 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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: 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 - Dusty K Rogge 3852 Westbury Lane Eagan MN 55123 (612) 497-0534 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147431 Date Issued:01/08/2018 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Dusty K Rogge 3852 Westbury Lane Eagan MN 55123 Jw Plumbing Llc 14930 Dallara Ave W Rosemount MN 55068 (612) 759-0691 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150711 Date Issued:07/20/2018 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Dusty K Rogge 3852 Westbury Lane Eagan MN 55123 (651) 497-0534 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com Date: Resident/ Owner I For Office Use I jPermit #: I I Permit Fee: I I I I Date Received: I I I Staff: I------------------� 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Type of Work 1 k 'I Contractor Site Address: Unit #: Name: tj 1lQ 'r, Phone: b�{' tl i 7- Address / City / Zip: flicant is: Owner Contractor Description of work: N-� e. no N`L- % q 0 -ti . r, -,,,J r� Construction Cost. Multi Family Building (Yes / No Company: el V e s To-fr i�' f'-1f'ii Contact: Xfe4J.J,,,, Address: Q(� City: jf/ c State -MA/ Zip: Phone i'z�7 � �;i�Emai1: ) j 15& 00t IJV License #: tp�j 8� �, Lead Certificate #: If the project is exempt from lead certification, please explain why: ?too(7 ®n 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A 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 bef TT u classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.citvofeagan.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.org 1 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 �ysTn� �S X Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164245 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Dusty K Rogge 3852 Westbury Lane Eagan MN 55123 (651) 681-1868 Builders & Remodelers Inc 3517 Hennepin Ave S Minneapolis MN 55408-3830 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174999 Date Issued:03/07/2022 Permit Category:ePermit Site Address: 3852 Westbury Lane Lot:003 Block: 001 Addition: Westbury 3rd PID:10-83652-01-030 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Joann G Erickson 3852 Westbury Ln Eagan MN 55123 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature