Loading...
3865 Westbury Lane ' CITY OF EAGAN sWER SERVICE PERMR 3830 Pilot Knob Road I ! P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE: Zonirp: ~ Na of Untts: ` pwnrr. s Addross: Sih /lddross: ^(".+est'aurv I_Z. Lf.I: n", PIutIber: Pl1Imbj.II e' 1 Mme to eenqyr wilb IM pyr of fqp¦ Conr»etion Chorge: Orii~pam Aeeount Depoait: Pem+lt Fw: . ` , Surdwrge: `IL By Mtsc. Chorpss: Doro of Irup,: Tofd: I^SP" DoN Pald: . CITY 4FAEAGAN WATiR SERVICE PERMIT 3830 Pilot K666 Rwd 7 Cl 3 5 P. O. Ii'bx q1199 - PERVIT NO.: I , Epan, MW 551 A1 p,,TE: j Zo+inD: - No. of Unm: , ~ Owner: ~ ~ Addntx ~ Sft Addrow West6ur 3rd ~ Plunbir. M.r.r rb.:3 -S i 5ize: " ei°I r: 4 ii%r,3 j ~ it es: ~Cr~ I rlnM M~~l M'Mh SYrdta?~pe: I.rd ~Ono Mitc. Cho?pes: I 32 . fl+Jpd f~ ~ ~ t C, Totnt: 53.0 Oni? meter ; BY Daft %ld: ~ ft Irup,,: I I ~ CITY OF EAGAN ' 8175 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 , BW.3~jbING PERMIT Receipt # r- To be used for D= Est. Value 41.00() Oate JULY 20 , 19 90 Site Ad ir s 3965 TiEB?Dt)SY [.N OFFlCE USE ONLY Lot Block Sec/Sub. ST Parcel No. Occ"aa"cy - FEEs zoning W Name p~U LDTWJRT LM (ACtual)Co~t - B{dg. Permit ZS•~ ~ Address (Al10w8b1e) - Surcharge .30 0 City WAG" Phone 454,0177 r ot siofies ~ ~ Length ~ Plan Review J Name = sac, ciry ,i Address S.F. Total $AC, MCWCC ~ City Phone S.F. Footprints - On Sile Sewage _ Water Conn Name on siie weli ~uUL4 - Water Meter 5; Address Mwcc syscem _ a = G waler ~0~t < W City Phone - PRV Required _ SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - Sryy ~rchar9e information is correCt and egree to comply with all applicable State ol Minnesota Statutes and C!4y ot Eagan Ordinancpap Treatment PI Signature of Permitee APPROVALS Roed Unit A Building Pertnit is issued to: ~ PRO= Planner - Park Ded. on the express condition that all wor{c shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. gUdg. pff. _ Copies 26.0_ Building Official ~ ' Variance - TOTAL Pern+it No. Permil Holder Dsh TNbphom M WATER SEWER RUMBING M.V.A.C. EI.ECTAIC YapSction OoM Imp. Conwm+ls Foodgs I Foundation f?amirg P40" Rotgh PD9. INI. Freplaoe FirWl Fllg. Finatl Pbg. Canst. Meler PIb9• Inspecor - Nolify Plumher EngrJPlan &dp. Fnal o.& Fig. ~-Z 3 ~90 o.k F.W weo PF. oisp. CITY OF EAGAN .1 A , 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~ - BAJILDING PERMIT Receipt 1F To be used 1or SF DW(;/GA& Est Value $66, 000 Date DECE14BER 9 19 85 Site Address 3865 W E STBU4Y 7., Iv Erect 01 Occupency x 3 14 2 WESTBURY 3RD Remodel D Zonin R Lot Block Sec/Sub. Repair ? Typs o( Const V Parcel No. Addition ? No. Stories a Name GRAND OAKS DEVEL CO Move ? Length d 6 = Demolish ? Depth 49o Address _ Int Impr. ? Sq. Ft Ciry one Install ? a Name SAME APprovsb Fees o ~ .0V t Q Address Assessment Permit 33• O0 ~ Ciry Phone Water 8 Sew. Surcharge Police Plan Review50 a W,~ Name Fire SAC O O s a Address Eng. Water Conn. 500. 00 U= City Phone Planner Water Meter~ OU Council Road Unit I hereby acknowledge that 1 have read this application and state that the Bidg. Off. 2 9~$ 5 Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Stetutes and City of Eagan Ordinances. APC PBrks / Signature of Permittee Var. Date Copie - ~ ' TOtal ~ • SU A Building Permit is issued to: cxANo r»xs D£v" Co on the express conditlon that all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Building Official X < < e . ~I ^ PemiH Na PNmit Moldm DaM TN"hom # PN-bMiq EI.cMc Salww imp~cYon DaN In*. Cartwwo Fo~ I I 1 . S s 0 ? ] PooUnpslt FoundNlon ,(p FrnnMq d ' Roolinp IRou0 Plbq. ~ IRouph HEy. FMePkc~ FkW Mq. FrW wbg. 2. . 10ft. FIn.Ww Ic«c oce. D*ck Fnnq. ONalb~ l,oearm IrYrll Pr. DMO. ~p L PERMIT # CITY OF EAGAN FEE 33' " v ' PLUMBING PERMIT RECEtPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE -=10.00 + $•50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + S.SO 1. Bldg. Type: Res~ Comm Inst 2. New A Add Alter Repair -4/ - • c9 d 3. Totai Bid Price 4. Job Address Lot Block Sec S.Owner ~ r 6. Contractor ~N~4,-V olzWo••b".~o t'D lv/D Cy_s~eej< l+?ile- ho, W,,,w (Neme) (Sbeeq : ICRYl (ZiP) 7. Contractor Phone # y9g - a/ a/ NO. FIXTURES NO. FIXTURES NO. FIXTURES ~Water Cioset - $3.00 LLaundry Tray - $3.00 -Well - $10.00 Bath Tubs - $3.00 / Floor Drains -$1.50 Private Disp Syst -$10.00 T-Shower Lavatory - $3.00 ~Water Heater - a1.50 ~Rough Openings w/o - $3.00 -Whirlpool - $3.00 Fixtures - $1.50 ZKitchen Sink - $3.00 -_LGas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Soitener - $5.00 COMM./IND. E - 1!i F TAL BID PRICE PLUS $.50 STATE SUR RGE FOR EACH:1,000 OF FEE. Signed: for / ~ - Approved Inspections: Dete Rough Insp. Date Final Inap. PERMIT CITY OF EAGAN FEE J MECNANICAL PERMIT siC ~'0 RECEIPT 454-8100 ~ MINIMUM RESIDENTIAL FEE -=10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE -;20.00 + i.s0 1, Bldg. Type: Res ~ Comm Inst '•2. New lk Add Alter Repalr - + 3. Total Bid Price 4. Job Address ?~G ~ t~ U. ~k-1'~1 Lot Block Sec 5. Owner. ' Oc.akS ? . s. consractor Flar e I~~c~,}~r l~, Y~=} I c- ' u ~lE? ~a e~ (Name) T-T- (Sheetl (CiH) IP? 7. Contractor Phone ~ <,4Z 151~ 2-`7 RESIOENTIAL HEATING - 01-100,000 BTU'a - $24.00. Each additional 50,000 BTU's or fraction - a6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12•00• Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ~ HEATING VENTILATING HOT WATER STEAM AIR COND. _J11R PIPING PROCESSED PIPING AIR HAND. EOUIP. REFRIG. ~ RES. GAS PIPING OUTLETS - $t •50 TANKS: LP. UNDERGROUND OTHER COMM./IND TE - 1% OF TOT/.I, ID PRICE PLUS $-50 STATE SWCHARGE FOR EACH $1,000 OF FEE. Signed: AppTOVed Inspections: Date Rough Insp. Oate Final Insp. ' CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11369 ~ BUILDING PERMIT PHONE: 454-8100 Receipt a 5,916)7 Tobeue dlor SF DWG/GAR Est value $66,000 oate DECEMBER 9 19 85 SiteAddress 3865 WESTBURY LN Erect IN Occupancy R3 Lot 14 Bbck Z SeGSub. WESTBURY 3RD Remodel ? Zoning Rl Parcel No. Repair ? Type of Const V Addihon ? No. Stories = Name GRAND OAKS DEVEL CO nnove ? Length 46 ~ id8i SUNRISE CT Demoiish ? Depm48 ' o Address EAGp~7 - Int. Impr ? Sq Ft. Ciry -Phone Install O i o Name SAME Approvals Fees o¢ Address Assessment Permit ' ~ ~ • City Phone Water & Sew. Surcharg~~00 ~Q Police Plan Review--~~50 Fw Name Fire SAC 525.00 ~0 Address Eng WaterConn. 500.00 aw Ciry ahone Planner WaterMeter 63.00 Council RoadUnit 280.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.OH. 12 9/85 Tr.PI. 132.00 information is correct and agree to comply with all applicable State of ' Minnesota Statutes and Ci~ , of Eagan Ord nances. APC Parks Signature oi Permittee I / i/ 7~ Var. Date TotalCopies---,979-.-50 A Builtling Permit is issued to. GRAND OAK DEV CO on the express condrtion that all work shall be tlone in accor nce with all a plica State of Mi neso Statutes and Ciry of Eagan Ordinances BuildingOfficial - ~ CITY OF EAGAN NO 18175 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5572J, ' PHONE: 454-8100 BUILDING PERMIT Receipt # ~ y 9 , To 6e used lor DECK Est VaWe $1, 000 Date .IULY 20 19_- Site Address 3865 WESTBURY I.N Lot 14 Block 2 SeGSub. WESTBURY 3RD OFFICE USE ONLV PefC01 NO. OccuDancy - FEFS Zoning - 25. 00 w Name DAVE PROULX (ACtual) Const _ Bldg. Permit ; AddrOSS 3865 WESTSURY LN (Allowable) - p Surcharge - Sn City EAGAN Phone 454-0177 aorsrories Lergth 127Q2 Plan Review io Name $AME Depth SAQCiry 0, ¢ AddfBSS S.P.7otal - SAC. MCWCC Ctly Phone S F. Foolprinls _ On Srte Sewage _ 'Naler Conn U~ Fw Name On Sito Well - Watar Meter AddfeSS MWCC System _ aw City PhOnO CiryWater _ Acct Oeposii PRV Required _ S/W Pormtl I hereby acknowlege thal I have read this application and state that the Boosier Pump - SNJ Surcharge inlormalion is correct and ree lo comply with all applicahle State of Minnesota StaWtes and y f Eagan dinanc. 7reaimenl Pi SignaNre of Permite6 APPROVALS qoad Uml A Bmlding Permit is issued to: DA PROULX Piannar - park Ded. on Ihe express condihon ihat all work shall be done in accordance with all Council 50 applicable Stale of Minnesola Statutes and Cny of Eagan Ordinances. 81dg 011. _ Copios . Building Ofiiaal ~A rtll~ .OLA I 1 y~'1 ~ Variance - TOTAL 26. oo __...-.-ur EJIGAN Remarks Addition WESTBURY THTRD ADDN. LocI 1~ sik 7 Parcel 7 83 K? 140-02 ownef streec 3$65 Westburv Lane State Eagan, MN 55123 e Improvement Date Amount Annual Vears Paymen[ Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TFUNK ~ 1 g 2 . 00 1. 00 1 a ~2 . 0 0 s 6 SEWERLATERAL watermain 198L . 0 1 3,33 15 ~O so 3 a6 WATERMAIN 1986 33.86 2.26 1 3•(o o/so 3 WATER LATERAL WATER AREA X07 1984 Q' 1. eo~/~ Q ~ ~(o water area 1986 69-38 4 - 63 6.7G co isn q 6 STORM SEW TRK 5 STOfiM SEW LAT 1986 1. 98.20 .~O CURB & GUTTER SIDEWALK STREET LIGHT Roa Unit • 58107 12/9/85 WATER CONN. soo-on n n BUILDING PER. „ sac 52S-.o6 " PARK ' IU ~U ~ • • 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED MITH TNE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DiIELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: ~ Date: /'1 Site Address OFFZCE USE ONLY Lot 4y,- Block 2- ~r, Erect _ Occupancy ; ~ Remodel Zoning Parcel/Sub Repair _ Type of Const /Addition /1 of Stories Owner Qp- Move , Length Demolish Depth Address Int.Impr. Sq Ft Install 1 City/Zip Code Phone APPROVALS FEES Contractor Assessments Permit 33~. ~ Water/Sewer ~ Surcharge teS.- Address Police Plan Review 33. Fire SAC 525. City/Zip Code Engr Water Conn Sco, Planner Water Meter _ Phone r ~ ~y Council Road Unit Zgp, Bldg Off Treatment P1 132. Arch,/Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone 0 ' l. r. R • 'r . • • ,t ~ , . . 1 • :ln . . . . EXTERIOR ENVELOPEAUERAGE U' CdMIPUTFITION ~ GRAND OAKS pEVELOPMENT COMPANY MODEL 0AkEA , U U X AREA ~ kEQUIRED ' 1. TOTAL WALL AREA 1800 X.il 198 2. TOTAL ROOF AREA 1196 X.026 31.046 ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 .5 93.33 8. DOOR AREA 39.8 .077 . 3.0646 C. SLIDE OLASS AREA 13.44' .48 6.4512 D. FIREPLACE AREA • 0 0 0 E. WALL FRAME AREA 180 .041 7.38 F. NET WALL AREA , 1164.1 .049 57.0409 G. RIM JOIST AREA 119.52 .0436 5.211072 H. FOUND WINDOW AREA' 0 0 O I. FOUND AbOVE GRAAE96.48 .135 13.0248 3. TOTALS WALL AREA 1800 185. 5026 J. SKYLITE ' O' ' 0 p K.' ROOF FRAME"' 119.6 .032 ,3.8272 L. NET ROOF AREA 1076.4 •.*025 . 26.91 4. TOTAL RODF AREA 1196 30.7372 SUM 1.+2. . 229.096 8UM 3.+4. ~ 216.2398 . . , a. _ SURVEYOR'S CERTIFICATE ~ GRAND OAKS DEVELOPMENT i0. r.) I ao a 1 S 8904227"W 165.95 - . eea.v 0 48.00 0.00 eas• . , e o s,.r ` BBLY % xesy.y ~ ~?j ~4j . ~ ~ i ;.io.oo oa i ' 7(Q~~ DRA/NA6E & UTlLIn v 4'-' YBV.y 10 ~ ~'b' EASEMENT PER PLAT 4 2.3~3 B8V•S 25.67 p ~~0 Mr~P,ROPOSED W Z W BB~; \ O O7 ~ 22. •B~S LOT 14 a a . M ~ v NN M ~ \ ` \ p~ m ~ 0 2~0 i8M.7% 26.0 ""~%BB'~•1 m ~ W Ra \ al I O 2g9 ~ 4a4~a soz.s 10 ~ ~ q o ~ 30 30.07 - ~6=6°5456i R B'&9 ,y ~IR~~E M 87I.f DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g$`~.c- FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = S S I•~ FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = SS5-o FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 14, Block 2, 4:ESTBURY THIP,D ADDITIOfa, accordine to the recarded olat thereof, Dakota County, Ninnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION, THIS 4th DAY OF December, 198 . SIGNED:~ ~AM ~ . HILL, INC. / BY: . ~ 'f17.~•) AROLD C. PETERSON, LAND SURVEYOR PiINNESOTA LICENSE N0: 12294 PROJECT N0. BOOK / PAGE JAMES R. HILL, INC. 85982 152 ' /54 Planners / Eng(neers Surveyors FILE NO. 8200 Humboldt Arenue South• FOLDER ebomington, Mn. 65431 612-e84-3029 I `/I>• 1 1990 BUILDING PERMIT APPLICATION ° CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ~ 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICA ~QNS~ 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGT CP.'LCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PIGKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE krHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PER.MIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COi1PLETED. PERMIT Ml7ST SHOW A LICENSED PLUMBER. To Be Used For: A)eW $0451r-k Valuation: Date: Site Address 3J56•li W'C$-tbLin.~) OFFICE USE ONLY ~ ~ti Ss a3 Lot ~ Block o2 FEES Occupancy ' 1/Q~/ ~d Zoning Parcel/Sub (,t576Nr~ 3' Actual Const Bldg. Permit ZS 'Uv ~ Allowable Surcharge Oanner f2{1rd r= ~jZpU Ch' # of stories Plan Review wps~~ Length 1i~1L SAC, City Address 5~r~~ Depth ,2o~io SAC, MWCC S.F. Total Water Conn City/Zip Code ~~,j ~~jn~f Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor FI2U l.r /X. MWCC System _ Treatment Pl. City water Road Unit Address pRV Park Ded. Booster Pwnp _ Copies , So City/Zip Code SUBTOTAL APPROVALS Penalty ~y Phone f `-tSY 177 Planner TOTAL o( ~.Q Council Arch./Engr. SBldg. Off. 6t'7/19 Variance Address City/2ip Code Phone # } JRifEYOR'S CERTIFICATE : GRAND OAKS DEVELOPMENT i0. 1 -7 S 89042'27"W 165.95 7 ) I ao ~l 48.00 ~ .00 - 187.4 0~ xee . ~ ees•a , , edsor ~ e~.~ ~ eocv Q~4(6 ~~DRAfNAGE 6 UTIL/TY v - - - - - - . tea.y 10 ~ FAS£NENT PER PLAT 01 0 233 0 23.67 ROPOSED . w ; S fv / a ` cv ~',-~t`.ORI EWAY BBi; z \ o 0 07 ~ LO T I I W W 22.0 "iM~ J ~o aO~ \ q~. ox , V\ LL \p O ~ N- ~ ~ a Q ; 0 co y ~ V ~ W ~49 m~ ' ml 3 t a I ~ 4a4Be soz.S ~ ~ J 10 ~ s/2~i a`~/°/s'qp" il o I 30 4~26 ~ 30 OT I N ~FsTeU ~ee,~~ ~a-6•s45~ RY 8's9 , CIRC` ~ E 87/, f DENOTES PROP05ED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = ga4,(- FEET .X000.0 DENOTES EXISTING ELEUATION PROPOSED LOWEST FLOOR = S H i•5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP Of BLOCK = 885-o FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 14, Block 2, 4:ESTBURY THIP,D ADDITIOfl, accordine to'the recorded olat thereof, Dakota Ccunty, Ninnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER h9Y DIRECT SUPERVISION, THIS 4th DAY OF December, 198 . SIGNED: 7d'/~ HI LL, BY C. AROLD C. PETERSON, LAND SURVEYOR DIINNESOTA LICENSE N0. 12294 PROJECT N0. BOOK / PAGE ,JAMES R. HILL, INC. 85982 152 / 54 Planners / Eng(neers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bbomington, Mn. 65431 612-884-3029 • i ~ • • ~ • i • • ~ ia~• • u . ~ •a~ i • ~ • •M ~ a • ~ ; " • ~ o ~ CITY OF EAGAN APPLICATION FOR PII2MIT SEWER ADID/OR WATII2 CONNECTION ( PROPII2TY P,DDRFSS: P1 se Print) 1) <3d"(~S ~ b /v~ v:~ T•F7;AT• DESQ2IPTION: dr,~'C ~ ~ U U PG1 . (Lot Block Subdivision or Tax Parcel I.D. Dhu[iber IF EXISTING STR['CZSJRE, DATE OF ORIGINAL BiJILDING PERMiT ISSL'ANCE: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX ('IWo Cnits ) R-3 'IC)WNfiO('SE (Three + Units) ( Dnits) R-4 APARTMENP/CONIDOMINIL'M ( Cnits ) COhMEE2C IAL/RETAIL/OFFICE IAIDCSTRIAL INSTI'IUTIONAL/GOVERMVfENT NAME: ADDRESS: CITY, STATE, ZIP: PHONE: se 3) • c~~. WN nse ADDRESS: ~0~6 C V` e~P L-. ~Yf 'P ci~rr, STATE, zzP: PHONE: L~~r~7 MASTII2 LICENSE orc ~ 4) N11ME: ,/i/f ADDRFSS: CITY, STATE, ZIP: PHONE: 5) • a~ CONNEC.'TION TO CITY SEWII2 WCONNECTION TO CITY WATER Q OTFIER (Please Describe) 6) i~ • • i ? PLEASE HOLD APPROVID PERMiT F'OR PICK-['P BY ONE OF AEpVE ~ PLEASE MAIL APP VID PERMIT TO 1. 2, Mr- 4, ABOVE (Circle one) 7) F 0 R C I T Y U 5 E O N L Y T PEDMIT ISSUED J v F.c..r .S: $ Sr:•ic.°, nrqMrT (I`1CLi:CE SU'C:i?.RGE) $ WATER PEi2MIT (IlICLUDL JLRCHARGG) $ 6-'3~u WATER METER/COPPERHORN/OUTSZD: READER $ WAT°R TAP (ZNCLUDE CORPORATIODI STOP) $ SE'.dcR TAP =~COUNT =?C•SZ= - a_::=3 $ ACCOliNT DFPOSIT - F7ATER $ wac c $ sPc $ TRli'r:K WAT°R ASSESS't!E.:T $ TBliiQ!C SL:7LR ?,SSESSMENT $ LATE?AL BEi1EFIT/T?;U`IK SE?•iE:t $ LATE?2AL BE:VEFIT/TRU.`1R SVAT°4 $ WATER TREATMENT PLANT SURCHARGE $ OTHER: S TOT ;L $ _ yl AMOU:]T PAID; REC°IPT R c__ J DOES UTILITY CONNECTION REQUIRE EXCAVATION I[V PUBLIC RIGiiT OF WAY? ~ YES IF YES, THEN n"PERh7IT FOR 'r1pRK WITHZN PUBLZC ROADWAY" MUST BE ISSUED BY THE 0 NO ENGINEERING DIVISION. LIST AS A CONDZ- TION. SUESECT TO THE FOI.LOWING CONDITZONS: APPROVED BY: TI:LE: DATE : PERMIT City of Eagan Permit Type:Building Permit Number:EA126351 Date Issued:08/21/2014 Permit Category:ePermit Site Address: 3865 Westbury Lane Lot:014 Block: 002 Addition: Westbury 3rd PID:10-83652-02-140 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - 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: 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 - Donald J Schulte 3865 Westbury Lane St Paul MN 55123 (952) 876-5926 All Season Remodeling & Exteriors Llc 17344 Puma Street NW Anoka MN 55303 (763) 444-1373 Applicant/Permitee: Signature Issued By: Signature