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3864 Westbury Lane CITY OF EAGAN smm SINVICE PEItMR 3830 Pilot Knob Rosd P. Q. Box 21199 PERMIT NO.: - r Eagan, MN 55121 DATE: ZoWrig- No. of Units: 1 OwrNr: AMro53: _ $Itf Add?pn: _ 3`•:j:4 `v'N~tbiJiY 1-i11" 4 T,1 -L.'. Lu 1" plumbsr r-ao::- I"ech/:ti.ltr.er :'lta:~i.inz I Ol" fo ossnly wlly dr C*r oi soon Cor~ion O+orge: OFABOOML AccQun} apodt; Pefmit FNC ~ Sureharpe: @v Misc. Choros: Dah of Irop.: Totol: IroR: OoM Pald; CfTY OF EAQAN WATER SERVICE PERMIT 311129 PJiof !(pob Road 8257 P.O. 8ox 211" PERMIT NO.: Eaoon, MN 55121 DATE: 12--8-86 Zoning: _ Rl IVc, of Unitn: 1 ~ Owner. Nu-Home Const ; Address: SIte+4ddeea - 3864 Westburv I,ane L6 Bl West?.,,ry 3rd Plumber. Dood e h i Mater No.:3 7 ~ 6 5- el o on C arge: 500. QOnd Size: ~''.]f~ock ~~t1: 15.OOnd Reader No.: D q GAS f.tC, 11) _ QQnd I sWN to oomply wlth iM Vu it 8urche o.d~«. eQUIR~~ 1 s6_oona TP , Total: 63 • ~ollii meter. BY Date Paid: Dste of Insp.: Insp,; , PERMIT # D ~ PLUMBiNG PERMR RECEIPT # a~ CITY OF EAGAN I Qp" c ~j 3830 PILOT KNOB ROAD, EAGAN, MN 5S121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address ~lP \N0~T U~-1 L N Fz- BLDG. TYPE WORK DESCRIPTION Lot- (Ji? Block Sec/Subll~`-;l 16Jf 6 I Z C), Res. ~ New X_ ~ Name ~ r~ • Mult Add-on m ~ Address 1Z0?j-r V C- - Comm. Repair c Gity ~T, 1~tl 01 Phone 8- 1 D~o Other ~ NO. FIXTURES TOT L Name Water Closet -$3.00 ~ ~ Address -iZtL) N D^ 2..1 L Bath Tubs -$3.00 3. O Gity ~?~+«1` Phone ~ ` - 1 Lavatory - $3.00 .3100 Shower - $3.00 =Kitchen Sink - $3.00 . FEES Urinal/Bidet - $3.00 - COMM/IND FEE - 1% OF CONTRACT FEE _LLaundry 7ray -$3.00 133, ~ MINIMUM - RESIDENTIAL FEE -$10.00 Flour Drains - $1.50 115-0 MINIMUM - COMM/IND FEE - 20.00 ~ , ~ STATE SURCHARGE PER PERMIT _ .50 Water Heates - $1.50 _ Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Z Gas Piping Outlets -$1.50 3+00 BEYOND $1,000.00) Softener - $5.00 - Well - $10.00 Private Disp. - $10.00 ~ ~Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRANQ TOTAL• Lco - OU PERMIT # 2 ,3 ~ • , ' • MECHANICAL PERMIT RECEIPT # GTY OF EAGAN ~ 3830 PILOT KNOB FiOAD, EAOAN, MN 55121 DATE: CONTRACT PRICE PHONE 4S4-8100 Sfte A dress y gLpG,, TypE WORK DESCRIPTION Lot~ Block Sec/Sub l" '`Y Res. ~ New ~ m NamelknOy M0 , 7t7N-(-- Mult Add-on ~ Add _ ress ~ ~ T ~ Comm. Repair c C't1y ~ i, t~u J 1 Phone4PJ - pther ~ Name ~Z vC e- FEES 3 AddrgpyL4(x7"fze\N e Z u4CAE RES. HVAC 0-100 M BTU - $24.00 0 Cny 1`z~A N Phone y- G ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR CONO. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA Forced Air (c()Q22 10 BTU '00 COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M 8TU MINIMUM - COMM/IND FEE - 20.00 Air Cond. Z4b00 im gTU - p~ STATE S1IRCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outleb # Other ` FEE S/C: • SU SIGNATURE OF PERMITTEE TOTAL• ~ FOR CITY OF EAGAN 1NSYEC;'1'lUN KLC;UKD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ; iw/d"! Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 f ~ d W tc i 1,!~2 - h- A I SITEADDRESS: E, nt acr APPUCANT: 1 ANE , i; i I'., ,~~~~i: • r:! . i,; { , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . DA , i' .'.e'. s 1.1, i rI .,<< t ~ ~~ra Vlillr;i; 1 rd t'i t+6, ! t i4r,1 ~ ~ I , I I .i t<i riF#' f'?f `JF Wk"ft F;'Y M Ih.! fiAP14 ~ '.FF'AirATt i'tl?MIT f=El?U)kfU 1411t ANY i'l IIWFtFPIti W(1Ht 'ftt I -144:. ?840 t?rc,nP11TN, rl E'i rt?[vAi 111..1:M11 kM11 Ifi,, I I ~ J L Permft Holder Date Talephone 11 PLUMBING HVAC Inspsction Data Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBlNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ~ FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTC3 E ORSAT TEST I BIOG FINAL I DOMESTIC I METER I IRRIGATION I METER I FLUSH I MAINS CONDUCTIVITY I TEST I HYOROSTATIC I TEST I BSMT R.I. BSMT FINAL / w[J DECK FfG I DECK FINAL I jr. , CITY OF EAGAN ~Q • 3830 Plbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Aeceipt # Tobeusedlor SF DWG/GAR Est.value $63f000 oate OCTUHER 15 19$6 SiteAddress 3864 WESTBURY LANE Erect IIX Occupancy R3 Lot 6 Block 1 Sec/Sub. WESTBURY 3RD Remodel 0 Zoning pI) Parcel No. Repai? ? Type oi Const va Addition ? No. Stories 45 W Name $RUCE PYLRES Move ? Length = 4461 RA I NDROP LN Demolish ? Depth 4 7 o Address int Impr. ? Sq. Ft - City EAr'AN Phone 454-905 Install ? o Name NU-HOME CONST Approvals Fees $i Address 2357 7$TH ST E Assessment Permit $ 322.00 ~ city ~•G • H'Phone 450-1724 Water 8 Sew. Surcharge 31. 50 Police Plan Review 161. 00 t W Name Fire SAC 575.00 Address rJ00.0U ~ c~ Eng. Water Cos+n. i W City Phone 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. 9 3 a $ 6 Tr. PI. 15 6. 0 0 7- 7 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks R, _ Var. Date Copies Signature of Permittee _ TptaL ~2, . 00 'A Building Permit is issued to: NV'HOME CQNST on the express condition th8t all work shall be done In accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. ` Building Official ~ ~ W?mM No. PWmlt Mold~r WiM TMphone k PlumWny 7C N.VJ?.C. 3~ ~ Y~-.~,e,. g~ b Elocbk satw« IMpecYon DaM Irap. Cqnmmnh Fuotlnps 1 ~ Footln" II Foundatlon Framinp ~ RooAnp R«O Plbg. Aough HW I> I lmuL Ffnplaq Ffnal Fily. y FNaI PIAp. ~ Bldp. F4W 1 Grl. Oce. Deck Fip. Deck Fmq. WNI Pr. Wsp. J CITY OF EAGAN 1~' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Iv 2 12774 BUILDING PERMIT PHONE: 454-8100 Receipt u ~ To be used lor SF DWG/GAR Esi va1ue $ 63 ,000 Date OCTOBER 15 1986 SiteAddress 3$64 WESTBURY LANE Erea C~ Occupancy R3 Lot 6 siock 1 secisub. WESTBURY 3RD Remodel ? Zoning nn Parcel No Repair ? Type of Const. yfl Addition ? No. Stories W Name BRUCE PYLKES nnove ? Length 45 3 nddress 4461 RAINDROP LN Demolish ? Depth d7 ~ Ciry EAGAN phone 454-9057 Instampr. Sq. Ft i o Name NU-HOME CONST Approvals Fees ~°,u nddress 2357 78TH ST E Assessment Permit $ 322.00 ~ City j•G•H.phone 450-1724 Water&Sew. Surcharge 31.50 Police PlanReview 161.00 ww Name Fire SAC 575.00 Address ~i Eng. WaterConn. 500.00 aw Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledge hatlha readthisapplwationandstatethatthe B~d9 off. 9/30/86 Tr.PI. 156_00 information is correct nd a ee to comply with all a plicable State of Minnesota Statutes an Cit o a Or ances. APC Parks Var. Date Copies Signature of Permittee Total $2,099.00 A Buildin9 Permit is issued/ o: NU-HOME CONST on the express condition mat all work shall be tlone in accordance wdh8II aq~ icable State p/ Minn ot~Statutes and City oi Eagan Ordinances. I \ / ` Building Official ~ K f CITV OF EAGAN Remarks Addition WEGTBURv THIRn ARLL Lo: 6 sik 7 Parcel 10 $3652 o60 Ol / Owner Sveet3g64 W25t17UI'y Lane State Eagan, MN 55123 Improvement Date Amount Annual Vears Payment Receip[ Date STREET SURF, STREET RESTOR. GRADING SANSEWTRUNK 5 z55.0o 1].~~ 5 SEWER LATEflAL watermain 19 33.86 2.2 15 deZpet WATERMAIN ,u 19 4 49 • 90 3.33 15 WATER LATERAL WATER AREA 19 /a. 134.2) . 95 15 water area 91(7 1986 9.3 4• 3 15 STORM SEW TRK 19 96- 3 • 2 73 . 5 STORM SEW LAT c1V 19 491.0( . z0 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK 1986 BOILDING PERlSIT APPLICATIOP - CITY OF E9GAN AOTE: ALL CONTRACTORS M[JST BE LICENSED SiITH THE CITY OF EAGAH SINGLE FAKILY Di1E[.LINGS Pzv7 PL "g .V INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET-OF ENERGY CALCULATION1 MIILTIPLE DTdELLINGS - RFSIDENTIAL RENTAL iTNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB FiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAfERCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND a~i.,o ro~~ To Be Used For: RNi ;Op,I~A~ 40"luation: Date: q~~ 'U 6 Site_ Addr t, r~76, a~ J 9n OFEICE DSE ONLY Lot Block ~ Erect ~ Occupancy 3 Remodel Zoning ~ Parcel/Sub Repair _ Type of Const Addition Ik of Stories Owner ~ rQ L'Le 'e{/~~~ Move _ Length ~ Demolish Depth 47 Address yr~ /76/ Pr;.Wr•p,e 1yPNC Int.Impr. ~ Sq Ft Install City/Zip Code Fpy4u a Phone G; ia L/ ~ y- 9 d c` J APPROVAIS FEes X, 14 u n, c c o n rh - Contractor ,e p, Assessments Permit 3ZZ Water/Sewer Surcharge Address~~er"A";I.,~ police Plan Review ' Fire SAC City/Zip Code Engr Water Conn Op Planner Water Meter O Phone Council Road Unit b ~ Bldg Off Ir-- Treatment P1 1%t%* Arch./Engr. APC Parks Variance Copies Address TOTAL 7Q City/Zip Code Phone ll NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOHEOiiNER MIIST DESICNATE i1HICH ADDRESS IS DESIRED. NO CflANGES iIILL BE ALLONED ONCE BOILDING PERMIT IS ISSQED. M-Z4 k~ 9~Z k 5~ L~~c° ' zZx~ 4528,.IZ z * ~ lo k~o a loo x 8 -7 215~ s G21$g , da x . . ~ ~ ys,o 1 I ~ i i 4,o 38 - O 94~ 1 1 I I - ~oqA SOn~_ti_E.Nr (Piock) i ~ar44.G 9L.b 9SA ~4 - i I I ' I ' 0 ~ r+4.o eti.v .i ~ cc 'TC~y ISQ D__~6 I •-~y.~ ~1 I ( 1 . w ~Sr e~ay 361L p4' _SdALE _ ~ylyo aGL( wcsT3u Ry4 ANE J 0 - ~ . ~ . ~ I 9bp ~ . y; ~ i , ' , CITY OF E9GAN EZTERIOR ENVELOPE AVERRGE ' U' COlIPU'fATION OifNER: , 13 ra e. E L9 /k?S- SISE ADDRESS: ? 8(,q ~A nj E CONTRACSOR: /ICA 1-l/ ..v wo~ ~ ~cSI ~ ~ ATE: PNONE: y • Determine ?arking square footage of each: . 1. Total exposed wall area /cj 22 , j0 sq. ft. x.11 - O - 2. Total roof/_ceiling area Gj~Q ; p_ sq. ft. x.026 Total exposed wall atea above floor y[/, 9G a. Total wall uindov area 9U o~ b. Total door area 412,06 c.- Total sliding glass area LO,eU d. Total fireplace wall area - e, Total wall framing area (average 10%) . f, 1'otal net wall area above floo,r e39157 g. Total rim Soist area 19 ,2 .9L, 1'otal exposed foundation area h. Total foundation window area 7 3, G n 1. Total net foundation area above grade oe/ e&'~f Determine 'U' value of each wall segment: a. 9L1,op x IUI Su = S4,S2 b. ~j a. o X'U' 4/3 - s. 4(0 c. x 'U' d. x 'U' - e. /~•.H9 _ x 'U' .ooi = 11.I 4 f. X lUl ~Dt = 36 ~OQ 6. 14:2 1 41, x 'U' ).91 h. 2, 0 x lU' ._SS - 92 1311 i. Sov. SY xoUl , tS•1'~ I . 3 . Total = If item 43 is the same as or less than item #1, you have met the intent"of SBC 6006(c)2. Total ezposed roof/ceiling area = G'16e) J. Total skylight area - k. Total roof/ceiling framing area (average 101) 4& .0 1. Total net insulated roof/ceiling area (OVER) . . , . . Determine 'U' value for each roof/ceiling segment: 3 . -4- x ' u' = k. C/Co , 0 xI u+ 11)~7 96 1. R Cq, D x~ u, 1o0 4 . Total If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envetope Design - To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items-47 and 02. 1. + 2. - 3. + 4. - i ~ . SINGLE E DOUBLE FAMILY HOMES ' 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be,calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls 6 rim joists - R-20 U= 0.11 Average 3. Floors o'ver unheated spaces - R-20 U= 0.05 Average . 4. Exterior overhangs will be considered as exterior wall. ~ 5. Foundations (all exterior walls Y- Minimum of R-S-insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating o£ 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baifles are to be placed in every rafter space. . ; , . tuicum[ To (e) rnttuas rrm+ mmmr.[ IvaunL ~ . Of TYPIU•LLT ustu rr.oou[ii . (11) (R) Iaterior Ait ffiw (11a IIf) 0.c8 Cypiu. Or plaster bwr0 ]/B' 0.32 4terbr Air fllm (Wllf) 0.17 Gypsvn or plaste, boa.tl I/2" 0.45 'Werlor hir liin IVenteO Ceilinn) 0.61 Gypsun or pl.sler eo,.a SiC• 0.56 [attri..r Air illm (VcntcO Ccilln9) 0.61 ?ly..ood 3/8" _ 0.47 • Interlor AIr iiln (rlcn venteA) 0.67 ?lfvooe 1/2" 0.62 Eanrior Air illm (uas Yentea) 0.17 ?ly.nwd 7/4" 0.93 Sheatntnd. ~e9. densltY 1/2" 1.32 L1wlmn SiOina 0.61 Snestninn, reo. eensitr 25/37•• 2.06 AIuminum .itn Backer ' 1.83 Mail-nase sne:[ninq 1/2" . 1.14 Alreinun wi[n 6at4er G foiled 2.96 . 1/2 ~ B lco SiEinn (VOOO) 0.81 luilt -up RooFS 0.77 . • 7/16 : 12 rmreeoa.e Sidinq D.67 AsEesma-cement sninahs 0.21 Rs4eitol SiAinn> 1/4 LaPDeC 0.21 Aspholt roli rooling 0.15 S[ucco 011..m ond linlsn Coat) AsDahlt Shinqles 0.44 '714'•Wood SVO/laor er Sneathing 0.94 Insolation: 2-I 3/4" Fi0e.01asi 7.00 1/3" Ply..ootl Jhrathinq 0.63 Insulacton: J I/7^ iiberql:ss 11.00 ' 1/2' r•ri;cte_no...a 0.66 lnsulatian: 6^ fine.glass 19.OO _ . woos: so•.nur, uoois . Ilr. Ofnc L flmilar so(t UooES 1 1/7" 1.89 Fvrno.. 7" • 9.00 2 I/I" 3.12 Apcroa. 6 1/2" . I3.00 3 1/7" 4•35 Aovroa. 6 1/4" 19.00 ' . S I/2" 6.87 APFroa. 7 1/4'• 24.00 ' Approx. I4•• • 30.00 , . APOrax. IB" 40A0 ' . . . . . A1l otner insvlation materials nust De ' , - FiIled verilied (A Factor) ' (P) Vernl<vlitc . . . S' Concrc[r Bbc4 (5 t L Rea.) III 1.9), 11 12" Concre[e ¢lock (S L C 0.ey.) 1.18 IJS 8^ Light ucignt 2.18 5.03 II•• lignt I:eight 2.68 5.82 . . , . • eveeaas.:.:e.cr.e~e_ne~eee~ . NOTE: (U) x'Area Spuare im[ 1111 VInAo..t . - ' . . . (w/Storns I" 10 4•' Spacc) .56 Re•owl Douele Llazing (RDL) .55 Tnerro or weleca 3/16° air spoce .69 ' 1/4" air :vace .65 ' 1/2" air space .SB ' . . . (Other vlnCOVS specificallY tefted can use Eetter ratings) 1 3/4 Solld corc door .46 w/smrm, .,ood .jl . ' - w/ztorm, me Tai .26 ' : . ?ease StcelOOOr Insl/r:/Gl 7.45R .13 . . . ' silecnq ciau ooor. vo,e .65 . ' _ . net,l .715 . . • _ . _ - . ...:D COSCRETE BLOCl: r ~ , e~ - • . • ~ , • • i . ' Providc insulacion baffles in every' ~ JEILI.!(, ra_te: space. RODF C ~ - 7 (D ItSTE~IO(t ~ F:ItL F(l`1 ~6P . O 5~3~ G`(P. ED. • ,s6 ~ ,02 . Al^ 7 EX ~-ER, i r FIU"1 LIe~I (S-TtlL) . . ToTA` ~~~ys.-~a? I~ALL ~ l I I • Q . . Uv IN l=PCoi= AIfL FlLt1 , t,gl 4YP." oD.' : . , ~ v~• G) ~ . - g,,,; ; r~. ~ z a, ob . ~~r ~ . O C1A ~oNlT~r to . uEX;~-lo; AI-,, FJUJ l/~ ToTAL (R) _ --23•03 .~lM "°`'3 ' ~ ~ ~ t2 . • ' , ~ . V, ~z I?'TEt ~lo r. H~r. F lu1 ~ 4 48 . 7-/.... 10- 2 FIC- Rl('1 .~iST d ~ 84 . •~~.o?a is u ~z" gv;c:j.-~Tc . • . - . I! ~ . f ~~;s~r~ITE s~o1rG . ~ 7 ; Al~ FILc~ ~ o . ~ . . • - - 11 Urt . TC>TP.L ~ . . . • . . ~i~l l ~ . . °o . ~ - ~o:1NDATtoi•I . ~ . ~ ttQ vp i . •`s Q . . . _ • QQ ?N Jet7lZ Auc F?L.t1 ~ . no . a A 1J 2l ~")~~x Ujn 1G. SLY, ~ ~ ~ . ' ' v . • O I" ~ ~ YP~~~a.~^~i 9.5 - v. 10 ~ . ~ . EXj~[~1o2 Alrt FILM - ° ° ; pun • ~ D ~ • = 1~[Z= TojP~ (Cc~= Floors ote; unhca[ed spaces flust have ¢ininnz R-faetor of R-20 (tuck-undcr garages). ~ ' Floors ovec ou[dooz air (ovcrhangs) aust have a aininum P,-factor of R-33. ' PERMIT ' CITY OF EAGAN 3830 Pilot:<nob Road PERMIT TYPE: B U I L D I N G Eagan; Minnesota 55122-1897 Permit Number: 0 3 2 2 0 4 (612) 681-4675 Date Issued: 0 6/ 0 S/ 9 8 SITE ADDRESS: 3864 WESTBURY LANE LOT: 6 BLOCK: 1 WESTBURY THIRO P.I.N.: 10-83652-060-01 DESCRIPTION: Building Permit Type BASEMENT FINI3H Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: PLAN REVEWED BY MIKE BARCK SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK CNLL 445-2840 REGARDING ELECTRICAL PERMIT AND ZNSPECTZONS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: CREATIVE HOME IMPROVEMENTS 14010182 2013091 MALLECHA DONNA 240 FOX HOLLOW DR 3864 WESTBURY LANE CHANHASSEN MN 55317 EAGAN MN (612) 401-0182 (612)683-05$7 I hereby acknowledge that T have read this application and state that the information is correct and agree to comply with all applicable 9tate ofi Mn. 5tatutes and City of Eagan Ordinances. L ~ APPLICANTIPERMITEESIGNATURE ISSUE Y:SIGNATURE 199,UILDING PERMIT APPLICATION (RESIDENTIAL) 320 . CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 New Construchon Reauirements RemodeUReoaii Reeuirements ? 3 registered sile surveys ? 2 copies of plan ? 2 copies ot plans (inGutle beam 8 window saes; poureC fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks) • 1 energy wlalations ? 1 energy caleulations for heated addRions ? 3 copies of tree preservation plan if IM platted after 711/93 required: _Yas _ No DATE: b- S- 4$ CONSTRUCTION COST; _ 3SG0 DESCRIPTION OF WORK: _ SL-Oa~~-V- 645.~r.-~~..r CQq~{-10 i,~Sj STREETADDRESS: Lq-JCr- 6-1 5;;10 ~T: _L9, BLOCK: SUBD./P.I.D. W~~ 1/~Y V 1 Name: nr Phone PROPERTY Lwt Fint OWNER Street Address: v~-1 L~ Ciry ~l1T~/kJ State: Zip: Company: Phone ~a I- O I 8 Z- CONTRACTOR Street Address: I-`f License # City State: f`^-S Zip: 55 3`"i ARCHITECT/ ENGINEER Company: pbnne-#;-- Name: Registration Street Address: City~ State: Zip: Sewer 8 water licensed plumber (new construcKion only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the info ati n' rt and agree to comply with ali applicabl State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No U I I U Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish D 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex 15 Deck WORK TYPE 31 New 0 33 Alterations ? 36 Move ? 32 Addition O 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq, ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV of Stories sq. ft. Booster Pump Length sq. ft. Census Code. -13.1 Depth Footprint sq. ft. SAC Code o i Census Bldg i Census Unit r, APPROVALS Planning Building Ail'B Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies .25 f) Total: % SAC SAC Units *i*f**#**~#**********#ff*****i##*~## ~ CITY OF EAGAf~ * ~ ~F~ * APPROVAL OF PERI-IIT. * * APPLICATION FOR PERMIT * . * INSPDCPION OF SSMR APID/OR MUIIt * TTISTATT.ATTONS wIIS+ mP BE $CZ-m- * SEWER AND/OR WATER CONNECTION ~uLED uNriL PE111,1IT HAS BEEN * L * APPxavm. ~ yff~, 17c-~)y * » P ease Pr'~Jnt 1) PROPERTY ADDRESS: ~V ;~.~,(-61-tt'(ty L/,) LEGAL DESCRIPTION: Ly~ n I J~,(} ~~/Lc4' Lot Block Subdivision or Tax rce ID ) IF EXISTING SIR[:CILIRE, DATE OF ORIGZNAL BC'ILDING pE12b+JIT ISSL`ANCE: ' PRESE[1P ZONING/pROPOSID L'SE: IMon Year q C(a"'MRCIAL/REI`AIL/OFFICE SINGLE FAMILY 0 IId1C'STRIAI, ~ R-2 DCPLEX (14,o L~nits) n INSTIZLITIONAL/GOVERPMENT R-3 TOWDII-IOOSE (Three + Units) ( L~nits) . ~ R-4 ApARTmN'i'/CODIDOMINI[JM ( Units ) 2, ~ NAME:_ C, c, vti ~ 1 r b" 2 AwDREss: th A ncff 4 14 ,,u ~ CITY, STATE, ZZP:_ 1= fl~_.G° ~R 6-T 1~-4 L°, jo 1 r/t- PHOrE: ,Q~ ~r' G S~E'rb • 3) • u NA61E: For City C'se Plumbers License: ADDRFSS: l7 ~ Ir ~ n 1 ~ ~7 Active i CITY, STATE, ZIP: ~ExPired ~j Not recorded PFiONE: MASTER LICINSE# ~u- T - ~~~l St Initial 4) ~u • • I~• NAME: ~ It, I„ E S C r h A~ C'o k, ~ _ ADoRESs: 3 & 1 CZTY. STATE. ZZP: L 'li PxoNE:_ y 6"0 /7 D % !5) ~ r ~ a• : ai • o~ - ai ~ CONNEC,T20[V 'Iq CITY SE,WEE2 ej CONNFCTION TU CITY WF1TII2 ~ (YTMR . 6) ' PLEASE HOLD APPROVFD PERMIT FC)R PICK-UP BY ONE OF ABpVE PLEASE MAII, ApPROVID PERMLT 1U 1. 2. 3, 4, AEOVE U ~ 7) (Circle one) ' r,. ~C2 - • 7" • Y 1:1' M ~ ~ ~ I' • i~ 1• 1171' • JI• IY " ' D1• • • J~ ~ r •~1:~1.'.~-e u . _ , . L'~ • . 1 ~I • .A ~~^jiT~ Yj FOR CITY USE ONLY PERMZT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLCDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC}DE CORPORATIO[V STOP) $ $ SEWER TAP $ $ 0--c ACCOUNT DEPOSIT - SEWER $ $ /~O O ACCOUNT DEPOSIT - WATER $ ~DD •O o $ wAC $ ~~~SU7'j $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /e)-Z•O U $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: ~ - _ / ~i- $ I Z l y- 5-6 S .5 / ,/'1 i7 TOTAL 4-7:S5,3 6 11 Ilk RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERI[VG ~ NO DIVISION. LIST AS A CONDITION. SUB3ECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: I ~rctJ-~<-.~ TITLE: DATE: . ~---ity oF eegcin 3830 PILOi KNOB ROAD, P.O. BOX 21199 ~ BFq BLOM9UIST EAGAN, MINNESOTA 55121 Mw,w PHONE: (612) 454-8700 ~ ~ . MMAS EGAN . ,MW1ES A SMIIH , \AC ELLISON , 7HEODORE WACHIER Casci Manieen " . 1FKKvVS HEDGES ' CMy Ptlminhhalor Oetober 17, 1986 cucerieu.woveaeeKE aH aan DAVE GAB$ERT GABBERT DEAELOPMENT 1ST NAT'L BANK BLDG 1055 WAY2ATA BLVD E WAYZATA, MN 55391 ~ Re: Assessments forrWi-Rdtr'~e 3rd Addition Bituminous Trail Project 441-B Dear Mr. Gabbert: L^ UJesl~ Please find enclosed aiver of Hearing No. 00147 for special assessments proposed to be levied a9ainst Lots 3~, 6, 9 and 11, Block 1W4~* ~ 3rd Addition as per your request. The assessment is a lump sum amount of $24,000 for construction of a bituminous trail under Project 441-B. Please sign and return the Waiver of Hearing to the City as per your verbal agreement. This letter is also an invoice for the remaining balance on this assessment in the amount of $16,257.28 payable to the City. Please pay this balance by November 15, 1986. If you have any questions please call Ed Kirscht or myself at 454-8100. Sincerely, C6vi s~herr Cz.l,l Christopher Call Engineering Intern Attachment ` - ec: Ed Kirscht, Engineering Technician III Deanna Kivi, Special Assessment Clerk ' CC/cks THE LONE OAK iREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN ~ SCREENS 26,29&30 RERL ESTRTE INQUIRY - NAME/RDDRESS/LEGRL XINPN(')C)3 PqRCEL ID: 10 83E52 060 01 PLRT NAME: WESTBURY 3RD RDDITTON LEGRL: 6 1 HOMESTERD CRRD ENTERED: 02 21 1989 FIRST DIVISION: 616069 09 05 1985 LRST DIVISION: C/P CURRENT OWNER: MRRC S WEIS6ER6 DONNR M MRLECHR 38E4 WEST6URY LN ERGRN MN 55123 TRHNSFER TO SCREEN NUMBER: PF8-SCROLL FORWqRD ,parcel 13 on cc.P IVo c/O PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107771 Date Issued:10/26/2012 Permit Category:ePermit Site Address: 3864 Westbury Lane Lot:006 Block: 001 Addition: Westbury 3rd PID:10-83652-01-060 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - PAUL KIENBERGER 3864 Westbury Lane Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use i/ 1 i *.9ty of i Permit l 1 -715 Eajan i / 1 3830 Pilot Knob Road Permit Fee: ! S Eagan MN 55122 1 Phone: (651) 675.5675 i Date Received: ~La l Fax: (651) 675-5694 t i t staff: 1-1n i l 2013 RESIDENTIAL, BUILDING PERMIT APPLICATION Date ~ Site Address:33%q WIEs Z Unit Name: Y UL 1~~ _6eFl Resident/ L Phone: Owner Address / City t Zip: Applicant is: Owner Contractor Type of Work `Description of work: Construction Cost: p Multi-Family Building: {Yes / Nom. Company: Auusi Pdz- e- Contact: 146 +C T. J s Contractor Address: S - Jr -7y~~jj `-C city. -7State: 1~J Zip: SS3 63_ P hone: ~,t--r~ ` OG~ License C~ t 15 6 3 66" Lead Certificate 8!k t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING rha 2 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ~No if yes, date and address of maste r plan: umber: Phone: Contractor: f Phone: Sewer & Water Contractor: ~ . Phone NOTE; Plans and s p ortxn documents that you submit" are considered the information may be classified as non- , u i'c if you provide specific be public information. Portions of that would permit the City to conclude that the are trade secrets CALL BEFORE You DiG ~re secrets . Gail Gopher State One Call at {651} 45d-0002 for protection against underground utility damage. Cap 48 hours before you intend to dig to receive locates of underground utilities. i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the i 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 work authorized by a building penny Issued in accordance with the Minnesota U183uf ICCe d ays of permit issuance. be completed within 180 x Applicant's Printed Name %ff x Applicant s Signature Page 1 of 3. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127228 Date Issued:09/24/2014 Permit Category:ePermit Site Address: 3864 Westbury Lane Lot:006 Block: 001 Addition: Westbury 3rd PID:10-83652-01-060 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. Brian Nerison 430 E. County Road D Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Paul Kienberger 3864 Westbury Lane Eagan MN 55123 Kb Service Company 430 E. County Rd. D Little Canada MN 55117 (651) 748-4933 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA133430 Date Issued:10/13/2015 Permit Category:ePermit Site Address: 3864 Westbury Lane Lot:006 Block: 001 Addition: Westbury 3rd PID:10-83652-01-060 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 - Paul Kienberger 3864 Westbury Lane Eagan MN 55123 (651) 707-5058 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174923 Date Issued:03/01/2022 Permit Category:ePermit Site Address: 3864 Westbury Lane Lot:006 Block: 001 Addition: Westbury 3rd PID:10-83652-01-060 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Kitchen 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Paul Kienberger 3864 Westbury Ln Eagan MN 55123 (651) 351-2765 Carlson Plumbing Inc 16440 7th Street Lane South Lakeland MN 55043 (651) 291-7788 Applicant/Permitee: Signature Issued By: Signature