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
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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• .
' ~ ~
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.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
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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
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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