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