3860 Westbury Lane
; CITY OF EAGAN SWWER SERVICE ~MR
3830 Pflot Knob Rwd
P. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 0ATE: ` T G T`•
i
Zaninp: s"- Na of Units: 1
' .;aspph `'iil.Ler c,anst.
Address: ; '1
Sta Mdrem: 1960 Fiestbtxry T.afte 1...
Ptumber. Hiltr.er T'lwnbino
1 ,i•• i,.
, •
:-19-36 6l,r
1GeM hessmIy Mr11r /v vqr oF foMs Conrwction Ci+oMe: 4'! •`l,1
orowww, Aooour?t p.po.it; 15, 00,.e
Pam* FN:
, Surolarpr.
8y Misc. (horom
Dafe oi Irqp.: Totd:
Date Paid: ,
~
CITY OF EAGAN WATER SERVICE PERMR
! 3830 Pjlot Knob Road
P. AD. Bcsc'2119tl PERMIT NO.:
.
DATE: ;
I Eaqan, MN 557~
No. of units:
osep _ er ,onst. Addnm
Owrnr:
Sift Addma; 3E60 Westlivry Lane 15 31 Westbur>> III
I? iltner. Pl ~
Plun~r. O 5u . ^Opd
AMftr No.: : 15.
~
2=9 ~ t; C~lpd
Sl: ~ 1 C . OOpcl
ReodW No.d y q~ •
1 pr» h«mvy wNr !rWim'1111TED . ~O d
a: 1 5 ~ . 0 pd 'rF
~rp.VV'
; Totol: ~1eter -Ar 7Ins44 Oor. Po1d:
p. : : ItiD-:
.
CITY OF EAGAN t 0 1~ 8 2
~
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 w..
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used lor SF DWG/GAR Est Value $63 0 0 0 0 Date A2k j L 18
Ske Address 3660 4JESTBI)RY LN Erect Oy` Occupancy k3
Lot 5 elock j Sec/Sub. WES`1'BURY 3RD Remodel O Zoning R1
Parcel No. Repair ? Type of Const y
AddiUon ? No. Stories
~ Name JOSGPH NILLER CUNST Move ? Length 45
1$13 3 CEDAR AVE SO Demolish ? Depth 46
o Address Int Impr. ? Sq. Ft
~~ty FARMIt~~gw 431-2001 instan ?
o Name SAMf' Appmvab ~
~ i Address Assessment Permit $ 322.00
~ City Phone Water & Sew. Surcharge 31.50
~ a Police Plan Review 61 0 U
F= Name Fire SAC 575.00
~a Address Eng. Water Conn.500s00
z
~ W Ciry Phone Planner Water Meter 63.50
Council Road Unit 290,00
Iherebyacknowtedgethatlhavereadthisapplicationandstatethatthe Eud .Off. 4/4/86 Tr, pi, 156. OU
information is correct and agree to comply with ali applicable State ot 9
Minnesota Statutes and City oi Eagan Ordinaqces. APC P8rk3
Signature ot Permittee Var. Date Copies Total $1 ,a99 • U0
A Building Permit is issued to: ~ 30SEPH MILI.ER C0N53' on the express conditlon that
all work shall be done in accordance with all applicaple State o} Minnesota Statutes and City of Eagan Ordinances.
Building OHicial ` ?~c i' `
' PrrnAt No. PwNI Noldw DMW TiNpI+oM N
PkmopinY , -J -Jra
H.VXC. ~ a t • y a,
°um.
aaa~..
lmpserion oaM Inw• CommmNs
Foodo I
Foowq. u
Foundanon
Framwp /3 !~J
RooMy
pw-o mmi.
Ro.0 HW
I FM:II.
I /3.~
.
siao. FNW
c.L oa.
o.dc Fq.
Goek Fnnpw
wa
Pr. Wmp.
~ .
PERMIT # CITY OF EAGAN " FEE
MECHANICAL PERMIT Sic
RECEIPT M ~ 454-8100 ,
44 ` C! ( MINIMUM RESIDENTIAL FEE - $10.00 + a.50 TOTAL
DATE ~C-1 MINIMUM COMMEqCIAL FEE -$20.00 + $.50
1. Bldg. Type: Res ~'Comm Inst 2. New Add Alter Re air
~ ~r, l ~'t~ P ~.a ~
3. Total Bid Price 4. Job Address -
Lot_aL ck ~ c Owner~O -e- M1 j~'r l lJD ~ S~
6. Contractor F, ~ "`J Y~? 1l! .~`,.S ik-
(Nams) rJ 1 ( c, (Saeeq , i ) ' 2IP)
7. Contractor Phone ~k d ~
RESIDE(VTIAL HEATING - 01-700,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - a6.00
RESIDENTIAL COOi,ING - 01-24,000 BTU's - $12.00. Eech additiona16,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
L_,,
HEATING Z~VENTILATING HOT WATER STEAM AIR COND.
11R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
~ REa. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER
COMM,/IND.TTE - 1% OF TOTAL BID PRICE PLU3;.50 STA,TE SURCHARG FOR fACH sA,000 OF FEE.
Si9ned: for~-~i: r1~Y Z~~ 1~ l[ :
Approved - Inspections: Date Rough Insp. Date Final Insp. ~
" i
,
. PERMIT # ~
• PLUM81N~i PERMR RECEIPT # ----L~i,
CIT1f OF EAGAN ~
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: S/S
CONTRACT PRICE PHONE,54-8100
Site Addrr BLDCi. TYPE WORK DESCRIPTION
Lot Block ~ Sec/Sub '
Res. New ~
m Name ~ ~ ~ Mutt Add-on
~ Address Comm. Repair
c Ciy,
, Phone Odw
NO. FIXTURES TOTAL
Name Water Closet - $3.00
3 Address = Bath Tubs - $3.00 J,
p Ciry Phone l.avatory - $3.00 ~
=Shower - $3.00
j`
FEES I Kitchen Sink - $3.00
COMM/IND FEE - 194 OF CONTRACT FEE Urinal/8ldet -$3.00
MINIMUM - RESIDENTIAL FEE _ a1p,pp Laundry Tray -~3.00
' Floor Drains - $1.50
~MINIMUM - COMM/IND FEE -20•00 1 Water Heater - a1 •50
STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00
(ADD $.50 S/C IF PERMIT PRICE GOES ~ Gas piping OuUets -$1.50 7 J
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 1
SIGNATURE OF PERMITTEE pEE;
. ~
STATE S/C
FOR CITY OF EAGAN GRAND TOTAL• ~
CITY OF EAGAN A' 11822
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ V-0 . 1PHONE:454-8100
BUILDING PERMIT Receiptfl
7obeuaedtor SF DWG/GAR Est.value $63,000 Date APRIL 18 19
3860 WESTBURY LN R3
Site Address Erect LI Occupancy
Lot 5 Block 1 Sec/Sub. WESTBURY 3RD Remodel ? 2oning Rl
Repair ? Type ol Const. v
Parcel No.
Addition 0 No. Stories
a Name JOSEPH MILLER CONST Move ? Lengih 45
~ 18133 CEDAR AVE SO Demolish ? Depth-~-
a Address InL Impr. ? Sq. Ft.
CiryFARMING'~,'PAe 431-2001 Instau ?
o Name S~E Approvals Feea
Address ASSeSSment Permit 3 2. 0
~ City phone Water & Sew. Surcharg~~ ~
~ Q Police Plan Review 161 . 00
ww Name Fire SAC 5~5.~0
~
¢i Adtlress Eng. WaterConn. 500.00
<W Ciry Phone Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4 4 86 Tr.PI. 156.00
information is correct and agree to comply wrth all applicable State of
Minnesota Statutes and ~iry of Eagan Or i ces. APC Parks
Signature of Permittee , Var. Date Copies
7otal $2.099.00
A euiltling Permit is issued to: JOSEPH MILLER CONST on the express condition that
all work shall be done in accordance with all plic le State of nneso tatutes and City of Eagan Ordinances.
Building OHicial
~
CITV OF EAGAN Rema.ks ~
Addiuon WESTBURY THIRD ADDN. Lot S sik 1 Parcei l() 936i5 -0-50 01
Owner Street_3$60 WeStbUY'y Lane State E'dgdri, MlV 55123
Improvement Date AAnnual Years PaYment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK qGj
SEWER LATERAL
watermain 1984 49•90 3.33 15
WATERMAIN y4 19833.86 2.2 15
WATER LATERAL
WATER AREA ~ i9 4 134. 2 4 .95 1
water area 1$6 6. 8 .6 1
STORM SEW TfiK 5 1986 368.28 73.66 5
STORM SEW LAT 1 1986 491. M0 9$ . 20 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
4VATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
^ BUILDING PERMIT APPLICATION
~~(J\ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Rwuirementa RemodellReoair Reauirements
• 3 regktered sAe surveys showing sq N. of bt, sq. ft. of house; and atl roofed areas • 2 wpies of plan
(20Y maximum lot wverage allowed) . 1 set of Energy Calcula6ons for heated additions
• 2 copies ol plan shovnng beam 8 window sizes; poured foun0 design, etc.) . 7 site survey for exterior additions & decks
• 1 set of Energy Calculahons . Indicate if home served by septic system foradditiore
• 3 wpies of Tree Presenation Plan if lot platted aNer 717193
. Rim Joist Detail Oplbns selection sheet (bldgs wiU 3 or less umfs)
DATE VALUATION ~ -~C~C76.00
SITE ADDRESS s79CUO L~' MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ~~~IU(~,~O7AlS A-0~I7Jit ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C) '
STREET ADDRESS " U CITY.~ NP~STATE ZIP
TELEPHONE #g7 USA7R 3 CELL PHONE #~G FAX #
PROPERTYOWNER d JbRIS fGI. AllVP/L TELEPHONE# jnS~ ar,3:,9.J
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ yIIv\'t:SO'G112liLLS 7670 C:1"I'LG011Y 1 bf[VNL•'SO'1':\ 12ULES 7672
(J submission type) . Residential Venhlation Category 1 Worksheet Submitted • Ne www~,,,Eneigy Co3e-WO7K5heeTSv6milted
• Energy Envelope Calculations Submitted
!1
y uu` I
C
I~_~~ ~
Plumbing Contractor: Phonc 2~~
Plumbing system includcs: Waier Softcner _ L1wi Sprinkler Pec: $90.00
Water Hcater No. of R.I. Batlis
No. of 13aQis
Mechanical Contractor: Phone #
V[cclcmical sys[cin includcs: Air CondiUOning Pec: 870.00
HcaL Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Z'Lt2 inances.
Signature of Applicant ~ /
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
O 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
O D CITY OF EAGAN
~ 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Canstruction Reauirements RemodeURewir Reauirements
• 3 registered site surveys shovnng sq. k. of bt, sq ft of house, and all rooted areas • 2 copies of plan
(20 % maximum lot coverage alloweU) . 1 set of Energy Calculations for hea[ed addihons
. 2 copies of plan showing heam 8 window sizes, poureA found design, etc.) • 7 site survey for ezterior additlons 8 decks
• i set of Energy Calcula6ons . Indicate if home served by septic system for addihons
• 3 copies of Tree Preserva6on Plan if lot platted after 711/93
. Rim Joist Detad Opuons selec6on sheet (61dgs with 3 or less unAS)
DATE I~"O Z. VALUATION OVS 47
SITE ADDRESS J8&Q Q2EST/~ u2V Z 1? MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK -CC -~ooF- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT_41GO? _ ~Qaoi-vt R,UA -S. bj-?5
STREETADDRESS CvJ'BS EIJFN?*/r' A/vD, su,T 13o CITYL-'u6N r'n,.yR,c STATE M NZIP1:53-3y
TELEPHONE # 95,~ •774-5-03 5- CELL PHONE # FAX # Ssa-ffY - >s8"1
PROPERTYOWNER Z.46ky 6c)*~ IVE/Z TELEPHONE# 1co/'91Sa'3~7`/3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ >4INNI:50"CA RUI.I:S 7670 CATI:GORY f NIINNI;SO'1'A RUI.I:S 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phonc #
Pluinbing systein includcs: _ Water Soltencr _ Iawn Sprinkler Cec :690.00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Mcchanical systcm includcs: _ Air Conditioning P'cc: 570.00
Heat Rccovcry Systcm
Sewer/Water Contractor: Phone # ~
Q ~ l"~, -
I hereby acknowledge that I have read ihis application, state that the information i rr~~ t ~ -mply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnafure of Applfcant
-
usE, oNI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Inl Improvement ? 38 Demolish (Intenor) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ' 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowsfDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
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) _ FinaVC.O. ,
_ Footings (deck) _ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final
_ Framing _ Sidina Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ~ ~cJ
Surcharge
Ptan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
' : . ..•.'J'_.. v
,
~ ~ . ' ' ~ • Z , ' . , c., ? b- ,
1985+BUILDING PERl1IT, APPLICA1+I011 , ~ . . . s
CITZ
. . sOF EAGAN"',~;,_?':„,> . . . .
NUTE: AL[: ~ COIfiRAC'IORS' MUS'I BE `LICEtIS@. ffITH ,iHE *~CIi7f OF' EAGAN . .
HODEL_ 0S•Ioc7 . INCLUDE 2'SETS`OF PLANS
. ~ CERTIFICATES OF;SURVEY.
i SET OF ENERGY'CALCULATIONS
r, C~3. ovo
To He Used For: ~Rt'87KQ Valuation: L71; Date: -3 "p~ `7- ~'6
Site Address: MQ ed,,e OFFICE USE ONLY
Lot: Block ~ Sect/Sub Cv.B• 3Ld Erect ~ Occupancy (Z•3
Remodel Zoning ~
Parcel !f Repair _ Type of Const ~
Enlarge # of Stories
OWner ' Move _ Length 45
Demolish Depth 96
Address Grade _ Sq Ft
C i t y/ Z i p Cod e
Contractor ~pn~ ~}'J ~,Q/Oa ftq~-. APPROVALS
Address /8(3,3 c~n l~,cl • S• Assessments Permit 922,
Water/Sewer Surcharge 3 i. S"
City/Zip Code 55~0~ Police plan Revieu ic1l,
Fire SAC S-IS,
Phone OEngr Water Conn Sw•
Planner Water Meter
Arch./Engr Council / / Road.Unit 29rJ
Bldg Of~~fl~Parks
~ Address APC ~C"_Treatment Pl I Stc,
Phone 0 Variance
TOTAL ~99
^k..
.,r
. „ ~
TRI-LAND C0.
SURVEYING SITE PLAN FOR.
SERVICES JOSEPH MILLER
4655 NICOLS ROAD CONST.RUCTION, INC.
EAGAN, MINNESOTA 55122
N
I .
SCALE: I"'= 40'
Li;T 4
S 89 °42' 27" W r-I
150.00
~
m , r
o x
~
Ico ° q mz~ Z
~ oO LOT J I y 3W(11 G)
3; o 0'_
~ m O
Z
= --T - - h g so
Z 150.00 " D
rn : S89°4227"W . <
b o m
;
•T- h
z
" c
. m
PROPERTY DESCRIPTION
LOT 5 , BLOCK I ,
WESTBURY THIRD ADDITION
xeordinq to the neorded plof iMreoi
DAKOTA Cauty, Minneswa
• LEGEkD .
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION=
DENOTES EX15fING SPOT PROPOSED BASEMENT FLOOR
0.E VATION E LE VAT I ON
DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
I Mr~r oertify tAat this survey,plan or
ra port r?a preparsd by me or under my
dirscf suprvision and thal I am a duly Bradley w nson, Mn. Req. No. 15235
o Repletersd Land Surveyor under the
,
: Laws oi the Stots of Mimiesota Date 1 31:~113h
i
. CITY OF BUILDING DEPARTi•iENT
EiCPERIOR ENV}1.OPE AVF.RAGE "Ull COIdPUTATION
(To be submitted with building permlt eppllcation)
One or Tva Famlly De:elling Ovmer
All Other Site Address
C.ontrnctor S~iF_Pd L.CkJSr Date Phone
LIIiEkL z EET OF ~ L
E7C"'O:;ED l'lALL SEE '<</v2.~ EET"/ Pt. above grade = Z~Of'jg,00 U
TOTAL E:LT'OSE'J :7elLL AR:-',i SQ, FT.
J:'n':,UL., ili.LL 0 J]:3'fr0:':IJ1"U'l Value x AI'ea
Getail ~~'AN9E °U11 •OQ3 x:;Q. FT. /(oSZZo. 7/•0¢ (U)(A)
re:'erence Ccvve "U" .07(o x 52. FT. 9(048= 7.33 (U)(A)
from "u" . 040 x SQ. FT. f19.5'L= -7.(U)(A)
attacned olUft x SZ. FT. _ (U)(f{)
sheets "Ull x 5Q. FT. _ (U)(A)
liUll x S Q. FT. - (U) (A)
'9II'DOCI5 : "U" `lalue x Area
?ia:ce & Type IIIScL• Cs)U'T "U" . 4a x SQ. FT. l•oo = 93- (08 (u)(a)
11 " - - l'Ute x S@. FT. - (U)(A)
" "U" x SQ. F2. - CU)(A)
u n npu x SQ. FT. - (U)(A)
NORS: [!Valu~ ~ l:r, a
:IHlce & Type 51T1• 1AS01- . "Ull .1¢ .x S.Q. FT. 4 •oo (U)(A)
Y47i0 null .47 X S:Z. FT. Z•oo =T¢ (U)(A)
n n npn x SQ. FT. - (U)(A)
n n uUu _
_ x S2. FT. _ (U)(p)
ToTnr.s Zogg.oo SQ. rT. /53-43 (u)(n)
" AVERACIE "Ul'
ToTai. (U)(a) vAi.uES /53.42-> -
- , a73
DIVIDE'D BY TOTAI, t'lF.LL ARt:A Zogg,oa =
aVF;kA(3E "Ut ( ,115 r less for 1&2 family dwellinge
R00 F/C EIL I N(3 :
TOTAL AREA: JOOZ ~
Detail reference •oZj x SQ. FT. /OOZ _ Z/•04- (U)(p)
from x SQ. FT. . (U) (A)
attached sheete. "Ull x SQ. FT. - (U)(p)
Describe onenings flUte x SQ. FT. - (U)(A)
in roof. "Ult x SQ. F.T. - (U)(p)
TOTAL (U)(A) VALUES DIVID[:D BY z/.67¢ = T71,kLe'j I002. Z)•a} CVY~>
C
'f0TP,L R00?/CEI Ii:G ;,1;-EA l002. pp - e2Z j
AVER„GE "U ,025 for ventilr.ted roofs.
•
WoRK S~cE7'
14. so x~ 38 t38 + 34+34)= Z O$$ cb
,
.~~x (38+3s+-34t~-) =
To~s-r
. 83X (38t38t34t3~~ = 119.SZ 41-
1"~irl Dow ~
lbx~= 4•o x 4= 1(0•G~C>
lox3~ = s•o X (o = 30 co
Z4x u~= 6•0 x 4= Z4•oc~
Zox48 - !0•7 X 4= Z&. 80
Z4x 4g = g•~ X 4= 3L. oo ,
/ZS• So
D~TLS
3= siL. w~5~. = ZS.c~
Z$ STL. SE.~ = Z/. o0
(o° PAT/o - 4Z.oo
cc A-
AIeT EA fl tJs,tic.
Z,o88 00 24 X 38 ~ 4/L
~E55 Co~lc . qb. ¢ g 9 x 10 = 9 ~
~i~?f• 119•SL
t,uDw's 1zs.so -435. So l,ooz.oo
Dcb2~ S 9l.00
f ~ lvSZ. 20
--wnLL SECTIOH--
Determining "U" valuea at Roof, Wall, Rim, and Conc. Block
ROOF/CEILINa (R) VpLU:
S
1.) Interior Air t'ilm 0.61
2.) 5/81, ayp. Bd. .56
3.> Insulation !f¢,oo
4.)
5•) Exterior Air Film ,61
~ 2 3 (STILL)
~ (D upn = 1/R= .OTAL (R)= ¢S 7j
, I _
O WALL (R VAI,U'r
~1 6.) Interior 61r Fila 0.68
7.) 1" GYi). Ha. .45
3
8.) 'I~n/sulation 19•oo
9. ) `73Z~$utLT- rer7E Z,p4
10,) MASOnite Sidino ,07
11.) Exterior Air cilm ,17
l I
„U„ _ ,/R= , 0¢3 TOTAL (R)=23,0/
„ 12 RIM (R) VALUE
12.) Interior 61r N'ilm 0.68
13.) Insulation 19.6'v
~ t4 14.) 2" Fir Rim Joist 1.38
IS 15.) zS/3z" bo~cS-.2,re z.v
„ 16.) Maeonite Siding ,6~
17.) Extorior Air Film ,17
. o
. . rfpn = 1/R= .04d TOTAL (R)-z4.tf¢
U~ ' p° _
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0,68
19.)
zo. ) K-,l srK/PP EA
21.) 12" Concrete Block 1.28
22. )
23.) Exterior Air Film 17
21 P-41
~~Uu = 1/R= TOTAL (R)=/3./3
~
L 5 BL cirr use oNLr RECEIPT#. 94"-)
/ d
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT IINOS RD
EAGAN, 14N 55122
(612) 681-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot a 3.00 x =
Water Heater 3.00 x =
Floor rain 3.00 x =
Ges Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
WBter Softenef ' for dwellings under construdion 5.00 x =
Water Softener ` for ezisting dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const 3.00 =
U.G. Spfinkl@r ' for ezisting dwelling 20.00 =
Alterations ` to existing residence 20.00 _
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE 50
-O
/
TOTAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby adcnowledge that I have read this application, state that the infortnation is cortect, and agree to compy with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the CRy during its
nortnal operational and maintenance aetivdies to the facihties wnstruQetl under this permR within Ciry propertyinght-of-way/easement.
SITE ADDRESS: -78 lZ G bi'1i,
OWNER NAME: ~19y,~ µiCV-
~ /T
INSTALLER NAME: X~(i~4 ~ r i c pl l,cvh h,'.~,v TELEPHONE g' 7Ic, y
STREETADDRESS: o4 dU N~•
CITY: 1~4/? L S. STATE: ZIP:
SIGNATURE OF PERMITT
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
******#1t#*****~*f**tt3******f*f**#!
?
C I TY O F E G A f~ ~F~ ap Z~F :
4C= ,*F APPROVAL OF PERNSIT.
APPLICATION FOR PERMIT rNSencriota oF s~t r~rm/ox ~~t
,*t INgLAr.raTTONS WIIS. NOT BE SQIFD- ~
SEWER AND/OR WATER CONNECTION +ULEE) UNTIL PmMIIT HAS BEEd
- . . * APPROVID.
~
w
r
***#**'Y*#4**iF*'k*#'k#*********t***1*!1
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: '
Lot Block Sub ivision or Tax Parcel ID )
ZF EXISTZNG SIRCCMME, DATE OF ORIGINAL H(,'ILDING PERMIT ISSL'ANCE:
' PRESENP ZONING/PROPOSID C!SE: (!`1on Year)
? CAtiMMCIAI./RETAIL/OFFICE ~ R-1 SINGLE FAMILY
Q IPIDCSTRIAI, r-I R-2 DCPLEX (Two Onits)
n INSTI2CTIONAL/GOVERIZENT 0 R-3 TOWNH00SE (Three + Units) ( Onits)
0 R-4 APARTNffNf/COAIDOMIIQILTI ( Units)
2) '
N11ME: ~ u
ADDREss:- 1517 ; 42 ~
CITY. STATE, ZIP: - • /~~J ,r 5, d.~ 'y'
PHONE: ,/-3/_
' 3) NAME: For City Use
Plumbers License:
ADDRESS: ~ ~ . Active
i CITY, STATE, ZIP: /J . , • ,r _ ExPired
Not recorded
PHO2~: _ g2 9_ u;;-n G MAS'i'ER LICIINSE# y r a,,,~~
St Initial
4) ~u • i~•
NAME: ~
_ ADDRESS: CI1^l. STATE. ZIP:
PHONE: .
5) ' v ' • : o • o~ a~
~ CONIgX.'TION 'PD CITY SEWF'.R ~ CpNNECTION TO CITY WATER ~ pTHgR . .
6) ~ r ~ PLEASE HOLD ApPROVFD PERMIT FY)R PSCK-UP BY ONE OF ABOVE
PLE7aSE MAIL APPROVID PERMIT 1U 1, 2, 3, 4, A6pVE
(Cixcle one)
7)
r r. u• . `
_ ' '1: ~ Y Y'I: ~ O ^ • I' • ~ " D G• . ~ I• YJI'
• 1+. l~ ::r M•1. •.t1?~ ~ ' JI•! I ':1• • • D• 1' • F1
' 1 1 . ]I" ~ 1: ~ : ^
FOR CITY USE ONLY PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ 5 L WATER PERMIT (INCL[iDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
r
$ `7Z'0 $ WAC . .
$ r U $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
, $ $ OTHER:
~
TOTAL
G/C,~~ ,•'/~3
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 DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: '
SCREENS 26,29&30 RERL ESTRTE INQUIRY - NRME/RDDRESS/LEGfaL XINPNOU;,
PARCEL ID: lu 83652 050 01 PLAT NHME: WESTPURY 3RD RDDITION
IEGAL: 5 1
HUMESTERD CHRD ENTERED: 02 16 1989
FIRST DIVISION: 016069 09 05 1985
LAST DIVISION:
FEE CURRENT OWNER:
LRRRY & DORIS WRGNER
3860 WESTBURY LN
EfaGAN MN 55123
TRRNSFER TO SCREEN NUMSER:
PF8-SCROLL FORWRRD
~D~Q- sc.<,6J -rr~ h~y esrr?~n r
" fareel /q an CT Y
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131834
Date Issued:07/10/2015
Permit Category:ePermit
Site Address: 3860 Westbury Lane
Lot:005 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-050
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 -
Anthony Nowicki
3860 Westbury Lane
Eagan MN 55123
Weld & Sons Plumbing
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132446
Date Issued:08/14/2015
Permit Category:ePermit
Site Address: 3860 Westbury Lane
Lot:005 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Anthony Nowicki
3860 Westbury Lane
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158022
Date Issued:09/23/2019
Permit Category:ePermit
Site Address: 3860 Westbury Lane
Lot:005 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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.
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 -
Anthony Nowicki
3860 Westbury Lane
Eagan MN 55123
(218) 348-7678
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature