3856 Westbury Lane
C
k CITY OF EAGAN sown savici 'MOR
3830 Pilot Knob Rwd 9713
~ P. O. Box 21199 PERMIT NO.:
' Epan, MN 55121 DATE: 6~16 S
1 Zonlrip: Ri No. of Unita: I
1 Joe Mi.~ler Const.
~ Addoe ~
~ SiTM Addrom 3856 Westbu I.atne B1 Westbur-y 3
~%umber ii tner P am ing
i 5-27-86 53037
~ I .Mm «.wy ,.ilr d. 01lp .i Iw¦ C+oneNdian O+aW: 4 7 5 . OOp0, ;
Aooou+c Drpoeit: 1 S.0(fpd
I Prnnit F«: 10,Q4pcl
Sundump; . SC rd
I By Misc. Chorpas:
~ Doh of Irop.: Totol: ;
! I?ap.: Doft Pbid: '
~
-
CITY OF;EAGAN WATER SERVICE PERMR
3830 PHot K nob Road
P. Q BoX 2.1199 • PERMIT NO.:
Eaqm, MN 5512~ DATE: - L ~
RNo. oi Units:
Zaninp:
Owrwr. .Toe atil ler Const .
AddrasK
Sft Ad&,m 3R56 West6ury Lane L4 Bi Westburv 3 -
Plumber 7,ii1[ner P2umbin^
~ : a,~,; soo . oona
StC-Arov EgAtO 15.OOvd
Read Noad :5 A p 10.0 o d
. 50 d
tlOEd TP
E 63.54pyi meLQr
: ,
gy Goe. Poid:
pat~ Inip.: 96 IroR:
7 ~ 3'
CITY OF EAGAN . 3830 Pibt Knob Road, P.O. Box 21-199, Esgan, MN 55121 12016
' PHONE 454-8100 `T
~UILDING PERMIT Receipt M
To be wM br SF DWG/GAR Est value $ 63 ,000 pete tdAY 28 , 19 86
Site Address 3856 WESTBURY LN Erect Ox Occupancy R3
Lot 4 Block 1 Secisub. +'JESTBURY 3RD Remodel ? 2oning g i
Parcel No. Repair ? Type o1 Const ~
Addition ? No. Stories
W JOSEPH MILLER C414ST Move ? Length 45
Name Demolish ? Depth
o Address 1$133 CEDAR AVE SO Int lmpr. O ~Fr 36
Ciry F~MINC~W 431 - 00 Install ?
F Name S~E APProvab Fas
i '
~ ~ Address Assessment Permit ' 0ii
Ciry Phone Water 8 Sew. Surcharge ' S~
Police Pian Review 161.00
~ W Neme Fire SAC 575.00
,
= Address 500.00
~ uT En g. W a t er C on n.
$ W Ciry Pnone Planner Water Meter 63.50
Council Road Unit 290. OQ
I hereby acknowledge that I have read this application and state that the gldg. Off. 5/2 78 Tr. PI. 156.09
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan 0rpiprances. APC Parks i
Var. Date Copie
Signature of Permittee -Z. ~sr! l~~-~-~~-~---- To~~ , . od
A Building Permit is issued to: / JOSEPH MII.LER CONST on the express candition that ~
all work ahall be done in accordance with all applicable te of Minnesofa StatuEes and City of Eagen Ordinancea.
`r-•
Building OHicial C " ~ ~ • ,
~
~J
' ParmN Mo. henO MoldW Wb TN@p1aM #
ftm"
IH.Y.A.C.'
Ebetrk ~
~ L
'Sarewwr
IltNpwetlon Dsb Imp. CannnwnM
Fo~ '
~ ~1
Found.llon
FrandMiq
RoolYq
Ra+Yb PIbY. .
pouqh Flq,
JMUI.
Fir~pl~e~
FInW HW S u>~
ftw w029.
saq. Frar
c.N. oco. ~ tcJ
Doek FIO.
Deek Fmq.
1M611 Oseedbe Lotatlon:
P?. DMp.
. - .
PERMIT # '
, . . MECHANiCAL PERMR RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHON 4 -8100
Site Adoress " BLDG,. TypE WORK DESCRIPTION
Lot Block i 5ec/Sub ~y
. ~ R~. i New ~
m Name Mult Add-on
ar AddreSS Gomm. Repair
c City Phone pther
Name 771. FEES
c Address RES, HVAC 0-100 M BTU -$24.00
p City -Phone L~ - ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL _ 6 M BTU - 6.00
TYPE QF-WOt3K - ' GAS OUTIETS - 1.50 EA.
Forced Air M BTU ` COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C iF PERMIT PRIGE GOES
VeM. CFM BEYOND $1,000.00)
Gas Piping Outlets # '
Other _
FEE ' : ~ -r
s/c. SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
• r - T . ~ . ~ PERMIT M
, PLUMBING PERMIT RECEIPT #
• ' GTY OF EA(;AN '
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address l f1/ BLDC3. TYPE WORK DESCRIPTION
Lot L4.- Block Sec/Sub
es. ` New
m Name v!+ Mult Add-on
~ Address 10 2- ' • ~ - L 'Comm. Repair
,
c City Phone Other
NO. FIXTURES TOTAL
L Name -2- Water Closet - $3.00
c Address ZBath Tubs - $3.00 '
p City L { V'l Le Phone -y-Lavatory -$3.00
1 Shower - a3-00
FEES -T-Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ' Urinal/Bidet - $3.00
Laundry Tray - $3.00
MINIMJM - RESIDENTIAL FEE - a10.00 =Floor Drains - $1.50
MINIMUM - COMM/IND FEE -20•00 t Water Heater -$1.50 ~
STATE SURCHARGE PER PERMIT - •50 Whi?Ipool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND a1.000•00) Softener - $5.00
weu - $10.00
J Privete Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE 7?•
STATE S/C: . 5 D
FOR CITY OF EAGAN GRAND TOTAL: ~ S U
CITY OF EAGAN 12016.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 PHONE: 454-8100
BUILDING PERMIT Receiptk 6
ro be used lor SF DWG/GAR Est. va ue $ 63 ,000 py1e MAY 2 S 19 86
SiteAddress 3856 WESTBURY LN Erect LY' Occupancy R3
Lot 4 Block 1 Sec/Sub. WESTBURY 3RD Remodel ? Zoning Rl
Parcel No. Repair ? Type oi Const. Vn
Addition ? No. Stones
a JOSEPH MILLER CONST Move ? Length 45
w Name 18133 CEDAR AVE SO Demolish ? Depth-36
o Address Int. Impc ? Sq. Ft
City FARMING'd'QWe 431-200 Install ?
~ SAME Approvals Feea
o Name
~a Address Assessment Permit 322.01
Ciry Phone Water 8 Sew. Surcharge 3~ 5(
~ Police Plan Review 161.01
t:i Name Fire SAC 575.01
=
u a nddress Eng. WaterConn. 500 01
<w ciry Pnone Planner water Meter 63. Si
Council Road Unit 290 • 01
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Ofl. 5/27/$ Tr. PL 156.0information is correct and agree to comply with all applicable State of
Minnesota Statutes and i of Eagan r fnances. APC ParkS
' Var. Date Copies
Signature ot Permittee- ~Totel ~T~_~ p
A euilding Permit is issued to: JOSEPH MILLER CONST on the express condition that
all work shall be done in accordance with all applicabl tate of Minn ota tes 8nd City of Eagan Ordinances.
Building Official
~f
CITY Of EAGAN Remarks
Adtlition WESTBURY THTRD ADTJN LLot 4 Bik 1 Pa,ce, 10 83652 040 01
Owner Street 3856 Westbury Lane S[ate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SANSEWTRUNK Q 5 255.00 17.00 15
SEWER LATERAL
watermain 1 8
4 49. 0 1 3 .33 1
WATERMAIN ~ 198 33.86 2.26 15
WATER LATERA
WATERAREA
1
7 1 86
water area ~ 1 8 1.2 8.95 1
STORM SEW TRK U s 1986 368.2 73.66
STORM SEW LAT 1986 491-00 98.20
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
'D ~
. / 0 1-
1986 BQILDING PERHIT APPLICATION - CITY OF EAGAN
90TE: ALL CONTRACTORS MOSi BE LICENSID i1ITH THE CIT7C OF EAGAN
SINGLE FAlQLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
!lOLTIPLS DTdELLINGS - RESIDENTIAL RENTAL DSiITS FOR SAL6 IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECB NITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAfERCIAG
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: Valuation: Date: 3-31yd W
Site Address 3 ~ ~ M/- OFFICE DSE ONLY
Lot A Bloek ~ Erect 25 Occupancy
Remodel Zoning
Parcel/Sub Repair = Type of Const ~
Addition ll of Stories
Owner Move _ Length
Demolish Depth 3~
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPROVALS FEES
Contractor(l(~~ Q~,h`~ ,-(}l ,~,Q QS1JZ, Assessments Permit jZZ
~-T f Water/Sewer Surcharge 31' Sn
Address n
l~ ~ 33 A.~,I.ft I) l.l,{,tQ •'s • Police Plan Review /r/
Fire SAC 1~7
City/Zip Code ksma4 Engr Water Conn Nzl~_
1tI J Planner Water Meter G 3..~C>
Phone "f)l Council Road Unit 2fb
Bldg Off57. ~)I$-b Treatment Pl I~z
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone 1F
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER MQST DESIGHATE AHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOflED ONCE BOILDING PERMIT IS ISSUED.
2V,~36= P/Z a S8 ° 528~~ .
2 zx Zz Ll z
io x p= ~i'D x Vv= 3 9~D
-12
. . l
,
TRI-LAND C0. .
SURVEYING SITE PLAN FOR:
SERVICES JOSEPH MILLER
4655 NICOLS ROAD CONSTRUCTION, INC.
EAGAN, MINNESOTA 55122
N
I
SCALE I" = 40'
t O,r %*3 ~
so
S89042'27"W r~
g" 150.00 v m
m ' - - ' x
U) ` - - °
z
~ ~ 3Y lee ~
~
a)
C s ~il • Y I- ~ e ~
0
N t ' - ~u ' a' • (o \ M n ` Z.
r1
LOT 4 o W I
~
~ ; <
m
e
Z'° 150.00 " Z
m ' S89°42' 27" w ~c
~r 4 PROPERTY DESCRIPTION
LOT_, BLOCK_,
WESTBURY THIRD ADDITION
aeeordinq to the reeaded plat iMreof
QAKOTA cwrry, M~nneSao
LEGEND
o DENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION= 103Uon
* DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =103,so
DENOTES EXISTING SPOT PROPOSEO BASEMIENT FLOOR =~~-oo
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVXITION
~ DENOTES DRAINOjGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I Mr~bp corfHy tAof this surveY,Plan or
report ras preparsd by ms or under my •~d~+~
direet supervisian ond tAat I am a duly Bradley J. enson, Mn. Req. No. 15235
g Repisfered Land Surwpor undK the
Date
Laws of the State of Mirmewta ~ Y~~YB6
:
I
. ' ~
? • CITY OF BUILDING DEPARThiENT
Y:iCPERIOR EIJVt3,OPE AV}:RAGE "Ull C0IIPUTATION
(To be submitted with building permit applicatlon)
One or Two Family Dwalling ~l Owner I
All Other ~
Site pddress I
,ontractor /iGF~ oklSr Date i Phone
~Ss-loo I
LIIiEAI, c t;ET OF ~i ~ i
aiC:'OSED l:'ALL SEE <</v~,~ ri/~EE T~ Pt. above grede J z, 0g;g,00 ~
TOTAL E;QPOSc:'J !'iAI,L Ak;:A SQ, =T.
0?I,,:_U:; ':'li.LL "U" Value x A['ea I
6etail -PRANIE U~~ .0¢3 x:;Q . FT. 1&P52IZ0_ 740¢ (U)(A)
re:erence CcwC °Ull_ .07(a x S2. FT. 960148- 7.3~ (U)(A)
from .040
x SQ. FT. I19•1SZ= ~•7n (U)(A)
attached ~~U~~ x S2. FT. i = (U)(a)
sheets liUll x 5;~. FT. I = (p)(A)
"U" x SQ,. FT. i = (U) (A)
;7I[!DO'N5: "Ull I/alue x Area I
i•ia'.te & TYPe ~/~SVL• (!s~»'T ~~p~~ . 4a D
X sQ. FT. 9/, o- 93~8 (u)(a)
X sa. FT. - cu>(A)
'lUll _
n u x 5Q. FT. - (U)(A)
"U" x SQ. FT. _ (U)(A)
N-)oas: "1111 Vsluo s F.roa
:ia:;e & Ty_oe SjL • IVSvL. #lUll
.14 x SQ. FT. 4•bo = (y.$Cv M)(p)
YATio ~~~n
n - 47 x s:Z. FT. z.oo (p)(p)
n nUu _
X S•2. FT. - (0)(A)
n u _ nUu x S!2. FT. _ (U)(A)
'MTALS 26709.0o SQ, r'T. /S3•~3 M(p)
AVERA6E "U"
TOTAL (U)(A) VAI.UES 153.4~>
- ~073
DIVIDED BY TOTAI, ';1kLL ARr:A Zo,5B,oo
AVEkAC3E ilUt ( , ~ ~ 5 r less for 1&2 family dwellinga
ROOF/CEILIN(i:
TOTAL AREA: IOOz ~
Detail reference IlUll .vZ! x SQ. FT. fOOZ = Z/•oq- (p)(A)
from IlUol x Sq. FT. . (U) (p)
attached sheete. "Ull x SQ. FT. _ (p~(p~
Describe onenings IIUII x SQ. FT. - (U)(p)
in roof. npu x SQ. FT. _ (p)(A)
TOTAL (U)(A) VALUES DIVIDLD BY TTAtLLj 1002. Nft Zf•ck~ CV~/~>
'f0'~~,L R00?/CEI ,Ii;G ;,l;EA p~Z p0 ~ r
AVER;.GE "U ,025 for ventilr:ted roofs. I-T-
1
I •
1 • ' •
~oRK SWcET
~R~Ss ExFte,~ wqt-c.
14. So x(38 +38 + 34+34)= Z~ OBB•
Cor1e .
.~7x ~38r38t-34t34~ _ `I(v.~$ 4c-
~r~n TorST
. 83X (38t38+34+3g~ ~ 119.SZ 4,
WirlDow S
lbx3&= 4•v x 4 = !(c•cc;-
lbx3& = 5,0 X (0 = 30.00
Z4x a& = ro•o x 4= Zg•oo
zo)(40 < lo•T x So
24x 4g -$•o x 4= 3Z, o0
!28 8
DcoRS
3= ~;M. W/S.C..
Z$ STL. SE.2 = 21. o0
/v° PAT~o - 4Z.oo
VeT ~ 4I&_e-
69p5-s w441» o0 24 X 3 S = q/L
1E5S L'o~lC . qb, ¢g 9 X 1 D = 9 D
~r t?q.sZ
w~ws rZs.go -4~.s: sv r,ooz.~
Dc~s `It.oo -
(vSZ. 20
--WALL SECTIOB--
. s -
Determining "U" values at Roof, Wall, Rim, und Conc. Block
ROOF/CEILINa R VALUE
S
1.) Interior Air r'ilm 0.61
z.) 5/811 ayp. aa. .56
3.) Insulatlon 44,0o
4.1
5.) Exterior Air Film ,61
~ 2 3 (STILL)
f 6 nU" _ 1/R= iOTAL (R)= 4s78
l -
O WALL (R VAI,U
6.) Interior 61r Fila 0.68
LJ 7.) 1" GYi). Bd. .45
8.) Insulation 17.oo
9.) Z_,Y3 Z" $urLT- Ri7E Z,p4
10.) MASOnite Sidino .07
to 11.) Exterior kir rilm .17
l1
' tiUll _ ,/a= , 0¢3 ToTw (a)=23.0/
RIM (R) VALUE
12.) Interior Air r'ili¢ 0,68
13.) Insulation /9.00
14.) 2" Fir Rim Joist 1.88
IS 15.) zs~3Z' SVILT-.QtTE Z,oq.
16.) Masonite Siding .67
17.) Exterior Air Film .17
. o
. npu _ 1/R= . pcf p TOTAL (R)=z4.4¢
' FOUt7DATI0N (R) VALUE
18.) Interior Air Film 0,6$
21 . . ~g 19.)
J~ zo. ) K-N 5791,PfL=A 1/.00
22 ' 9 21.) 12" Concrete Block 1.28
' e ~ ?d 22.)
23.) Exterior Air Film .17
~
L>° (go . npn _ 1/R= TOTAL (R)=13.~.3
****#*#+********#*t*f~i****##*#*}#**
*
• CITY OF EAGAf~ * ~ ~o ~F~ oF
,*t APPROVAL OF PII2bIIT.
~ APPLICATION FOR PERMIT *
* INSPFXTION oF SEFII~R ADID/OR FIARIIt ;
~ II15TA?ATIONS WIIS, NOT BE SC~~D-- ;
SEWER AND/OR WATER CONNECTION s ULID UNPII. PEE2I~IIT HAS BFE9 ,
* APPRWID. >
r
• **:t+,t*+.r*t~~rekr****ixtt:*tr*~tt,r*ti
P ease Print)
1) PROPERTY ADDRESS: ?~5-~ ~,~i~ S f'L, ? i
LEGAL DESCRIPTION: ~
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STR[:CI[,'(2E, DATE OF ORIGINAL BL'II,pING PERMZT ISSL'ANCE:
, PRESEKP 7ANING/PROPOSID CSE: (Mbn Year)
Q COLMMEFtCIAL/REI'AIL/OFFICE Q, R-1 SINGLE FAMILY
Q IDIDC'STRIAL ~ R-2 DL'PLEX (Tt,o Units)
C] INSTITCTIONAL/GOVIIwENT ~ R-3 TUWNFIOUSE (Three + Units) ( Onits)
~ R-4 APARTi"1ENT/CONIDOMiNIfIM ( Units)
z)
NAA'lE:_ -kt[•~1~ C1 ~ il ~
ADDRESS: .
CZTY, STATE, ZIP:
PHONE:
3) • u - NAME: For City Use .
P1isnUers Licen ~e:
ADDRFSS: 2~j Iti J r I A L. ~ p Active
CZTY. STATE, 2IP: ~Pired
~ CNot recorded
PHONE: ~ja `I MASTER LI(Ef]SE#
Stai Initial
4) •
I+()~ 7
NiME'_ U Z 1` I f~II
1I T' % ~
_ rwDxFSS: l
CITY, STATE, ZIP:
PHONE: .
1 ~ ~r• ~ r• • ~ ' o~ 4 '9y ~o-~
mNrEcrzoN zo ciTSC sEWER ~ corrrEx.Trorr 1v czxy wATEa p arfER
6) ~ PLEASE HOLD APPROVED PE[tMIT FOR PICK-IIP BY ONE OF ABOVE
~ PLEASE MAIL APPRdVID PEf2MIT TO 1, 2, 3, 4, ABptIE
(Circle one) '
7) r. U..
~ ~ • ii. ~i'T., f ~ 7^r-
~
• ~ r i t+o-~ i ~ i . a •~r s u
:u.
FOR CITY USE ONLY
PERMIT # ISSC'ED
25-?. o /4-76
Pd w/Bldg. Permit FEES:
$ $ /c` •,S C' SEWER PERMZT (INCLODE SURCHARGE)
$ $ WATER PERMIT ( INCLCDE SC'RCHARGE )
$ $ WATER METER/COPPERHORN/OC•TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ 0 ACCOC'NT DEPOSIT - WATER
$ < $ WAC
$ J -7 S !7 n $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRC'NK SEWER
$ S LATERAL BEN°FIT/TRC'NK WATER
$ O t1 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S $ n TOTAL
J7 Y/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PCIBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERZNG
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
%
01'
APPROVED BY:
TITLE:
DATE:
, !
SCREENS 26,29&30 RERL ESTRTE INGUIRY - NAME/RDDRESS/LEGRL XINF'N003 •
PHRCEL ID: 10 83652 040 01 PLpT NAME: WESTBURY 3RD ADDITION
LEGAL: 4 1
HOMESTEAD CRRD ENTERED: 02 21 1989
FIRST DIVISION: 016069 09 05 1985
LRST DIVISIUN:
FEE CURRENT OWNER:
MICHREL D & KIM5ERLY bOWLING
385E WESTBURY LANE
ERGAN MN 55123
TRANSFER TO SCREEN NUMBER:
PF8-SCROLL FORWRRD
l
huJy E.S/97-
-ho m
J ar? cFy je/id
m Q~ No 90 .
8 -aa-89
~ F,o~Qffice~Use 1
Clty of Eapn ~ j Permit# ~v I
I ~
3830 Pilot Knob Road ~ PermitFee:
Eagan MN 55122 j I
Phone: (651) 675-5675 Date Received: ~
Fax: (651) 675-5694 j Stafr, I
2008 RESIDENTIAL;PLUMBING PERMIT.APPLICATION
'
Date: _ I- IrL= D~b Site Address: WL'b WeS'I"IJl-CI" lj Lh'
Tenant: Suite
RESIDENT / OWNER Name: Md)CI Qj BWI I'1 G1 Phone: 05I"~ `1~J2- I/ /.7-
Address / City / Zip: LZ r 55 -Q
CONTRACTOR Name: License ~P I~~] l'~- ~M
Champion
Address: 651-3651348
City: 3670 dOdd Rd. #100 State: Zi
P:
Phone: I~~ S •
Contact Person:
TYPE OF WORK _ New -sZReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ~
PERMITTYPE RESIDENT/AL
~ Water Heater Water Softener
_ Lawn Irrigation Add Plumbing Fi#ures ~ 11f1 ~ D
RPZ / _ PVB) Main _ Lower Level)
D '
_ Septic System _ Water Turnaround ~qN 16 2008
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, oc:Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge).
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround" (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $
I hereby acknowledge that this infortnation is compiete and accurate; Nat the work will be in conformance wRh Ne orUinances and codes of the City of
Eagan; that I understand ihis is not a permit, but only an applicalion for a permit, and vrork is not to sfart without a permit that the work will be in
accordance with the approved plan in the case of vrork which requires a review and approval of p%
l
X r 1 a.m,~, G. .M o~ er X
ApplicanYs Printed Name ~ ApplfcanPs Signature
FOROFFICE USE
µR@VIC,W2d~By
v f 5 i ~ t d 6~
Required~lnspections: Undec Ground Rough
Qir Test Gas'~Test , . FinaU
~9 03 b 4o
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3856 Westbury Lane
Lot: 4 Block: 1 Addition: Westbury 3rd
PID:10- 83652- 040 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Home Depot at Home Services, The
5169 Winnetka Avenue North
New Hope MN 55428
(763) 367 -9740
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael D Bowling
3856 Westbury Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 tims @elderjon es.com
$69.00 0801.4085
$1.00 9001.2195
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 with all applicable State
Issued By: Signature
Building
EA073350
05/15/2006
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3856 Westbury Lane
Lot: 4 Block: 1 Addition: Westbury 3rd
PID:10- 83652- 040 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
Construction Type:
Occupancy:
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 by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Michael D Bowling
3856 Westbury Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Issued By: Signature
Building
EA091071
09/08/2009
ePermit
*City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE o BLACK Ink
1
For Office Use
Permit #: t t)
Permit Fee:
Date Received:
Staff:
-71
C
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 123 13 Site Address: 3 $5lo Wes x v-'
Tenant: M cfriae I tAD I'n
Suite #:
J
Re3ldent/O�M1ei
J
Name: i`,i�c-�Y.lei �L�I 1%lr� Phone: (D51' LIS 2'
t-}
Address / City / Zip: i . -JJ5 • LA')
Contractor =
A el .' c,,, crt t., gtz, l t. _5' 4.4 v.s rJ
Name: ,� . • , =r ► 'i . AGeT License* S81-155 -
PM
Address: ‘t -ll l 05 i2-uctyc-S S-fi' P JFi City: ?OD' o' L-Gck&
State: ) N Zip: 5 3.5-2.. Phone: Q 52' '-I (., q - 33 LI I
Contact: M I C -he i I t, Email:
Type A� Work
New x_ Replacement Repair Rebuild Modify Space Work
in R.O.W.
— _ _ _ _
Description of work: Re -Owe LADE-i-eYscAei'2Y
Permit Type
RESIDENTIAL
Water Heater
1 Water Softener
Level)
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures (_ Main / Lohrer
_
Septic System
_
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment Water
and Softener (includes $5.00 State Surcharge)
• oo
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surchar)
and $5.00 State Surcharge)
TOTAL FEES $ /pp
(add $200.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x --)req Mar -kin
Applicant's -Printed Name
FOR OFFICE USE
Required Inspections:
Under Ground
Applicant's ature
Reviewed By:
Rough-lrr" -
Test
Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110735
Date Issued:05/24/2013
Permit Category:ePermit
Site Address: 3856 Westbury Lane
Lot:004 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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.
Window or Door:REPLACE UPPER DECK PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Michael D Bowling
3856 Westbury Lane
Eagan MN 55123
(651) 452-1742
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126490
Date Issued:08/26/2014
Permit Category:ePermit
Site Address: 3856 Westbury Lane
Lot:004 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Michael D Bowling
3856 Westbury Lane
Eagan MN 55123
(651) 452-1742
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink j�
-------- ��," '
� For Office Use
+ � �
' � Permit#: � �� ��c./ �' � ,
C�t� of �a��� , �
iPermit Fee: �� �• � � �
3830 Pilot Knob Road I �I
Eagan MN 55122 � �"�, -; .� . I Date Received: i
Phone: (651)675-5675 �� -�� � �� ',� I� I
Fax: (651)675-5694 ���, ,, ,, � Staff: �
�.. t; , .M.. .. �-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 07/09/2015 Site Address: 3856 WESTBURY _. � �V � Unit#:
�?��� ' Name: MIKE BOWLING � Phone: 651-452-1742
� Re�ider�ti
� 'Qy���� Address/City/Zip: SAME
� ' Applicant is: Owner X Contractor
� . _���....��.>.��.�..�...«�.����.«.�,.�..»�.,»k,�.�.�.-.��� .����.r..��.�� .�..�.
� ' ' Description of work: DECK INSTALL �
� TYpe a►�Wcit�
� Construction Cost: $15,000.00 Multi-Family Building: (Yes /No X )
�.� � ��, ..���.�
�
� • � Company: ACTION ROOFING & SIDING LLC Contact: STEVE MERRELL �
� � Address: 1315 SOUTHVIEW BLVD City: SOUTH ST PAUL
� ��antr�+�tar :�
° . state: MN Z;p: 55075 Phone: 651-457-2642 Emai�: action@actionroofinct.net �
.
� :
� ' License#: BC005421 �ead Certificate#: NAT-109445-1
�,.�.-,� �„�..�.�� � � a
� if the project is exempt from lead certification, please explain why:
�
�
�
;
w
��� �� ���� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
� In the last 12 months, has the City of Eagan issued a permit for a s�milar plan based on a master plan?
�
� Yes No If yes, date and address of master plan:_
�
� Licensed Plumber: Phone:
s
� Mechanical Contractor: Phone:
�
� Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
. Nt�TE: P�an�s ar��f sce�ipc��rtin�d���me�#s.fJrat,���u submit�re�r�sid�red tn�.pi��li+�ir�farrt�,�#�c�n :=F�'�rtinns€�t'
� fhe intormati'c�n�`t��be clas�3�r+�c�=as r�r�n;:public i€�r�u prc�vid��sp�+cifi�r�a��r��;��.�rra�wt�p�rmit.th�.�ity t+� :. :
� +�t�r��l�de tha�th�re trafd�.s��re�s.
.,�.a�<�_.�� � .��
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.popherstateonecall.a�
I hereby acknowledge that this information is qomplete 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.
Exterior worlc authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x KURT MERRELL X
ApplicanYs Printed Name a Sig t e
Page 1 of 3
���� � "-���-�C�Y�L��2_�-sJ � DO NOT WRITE BELOW THIS LINE /�` � ��
,
SUB TYPES � '
Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
Addition Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows _ Demolish Foundation
X Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �� Occupancy �'���� �' MCES System
Plan Review Code Edition �����" SAC Units
(25%_100%�) Zoning � City Water
Census Code Stories Booster Pump _
#of Units Square Feet PRV _
#of Buildings Length Fire Suppression Required _
Type of Construction \f� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �� � " , Building Inspector
RESIDENTIAL FEES �
Base Fee ��f�'��� �F
� �
Surcharge '�,� ��''
�
Plan Review
:�''���
MCES SAC (°r
r
City SAC (� ��.�... �� � � �
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. . ��� ��� �� ,����„� �� � �-
. � /��� -��
. '
� T R! -LAN D C�1. .
SURVEYIN� s�T� PLAN F4R:
. SERVICES JO SEPH M! L LE R
4655 NICO�S ROAD CON�TRUCTI�H, INC.
EAGAN, MtNNESOTA 55122
�
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l0T * BLQCK____,
ST URY TH1#�D DDIT�ON
aecor�nq ta the recaded ptat tM�eat
QAKQTA Caunfy,Minnasafa
��.�.�
o OENaTES IRt1H MONt�11�NT PROPaSED (iARAGE FLOOR ELEYATION= /4�Z.an
a OENOTES MIOQiD l�JB SET PRaP09ED FIRST FLQOR ELEYATION = �,�
OENOTES EX,�IEVATION�T �POSED 8A8EMENT FLOOR = �
DENOTES E`p���NpOT ELEVATtON
�•-- DEN�TES DRAIN��3E DIRE�CTION N4TE: VERiFY ALL FLOOR HEIGHTS WITH
, , FINAL H4USE PLANS -
1 IMnby o�rtity tllOf thls sprvsraPEan or
report r� preparod bY n�e or w�dar my
dl�act supenrision amd tAat i am o dulY B�odisy J, anson� Mn. Re9. Na. 15233
� Raqistered Land S�urv�or ur� tM
. Laws af tt�r Stote af Mim�esotn Dote: Y��86'
w
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169473
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 3856 Westbury Lane
Lot:004 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-040
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 leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
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 -
Michael D & Kimberly Bowling
3856 Westbury Lane
Saint Paul MN 55123--307
(651) 278-3034
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature