3868 Westbury Lane
' CITY OF EAGAN
: 3830 Pilot Knob Road ~ S~~/~ P~
P. O. Box 21199 PERMIT NO.:
Eapan, kiN 55121 pATE:
Zordr+0: No. of Unfts:
Owner, i,i~tserR Con~; r .
Addiess: ^
Sir. Addns: 3R53 Hestt~urv r ;i :;esi; c:r•~ 3rr' -
; pl„Rdm,; Ol -ilerg Const,
~ 5-•21--~F, ~;^79r lOd
1 Mw N wmmlp .*b dM CIly d Mp¦ Gonrnction Cham.: 1; 7-.') C ~ el
, A0001J11f Dlpodt.
PoItt11t Ff:
i
SurCh01'0e: - -
, BY AAisc. Choeos:
Dote of Imp.: Totol:
DoM PeW:
CITY OF EAGAN WATHt SERVICE PERlIAIT
3830 Pilot Y nab iiad
, .P,'O. Box 21199• PERMiT NO.: ` l - : 6
, Eapn, MW,~ 55121 DI1TE:
Zoninp: F:1 No. oi Units:
Owrwr, nl-n~I^ r'?~SCTtiCtlo~
, Add1om Sft #&CjdrgW •.iirv l.an~ T esthurv ?ru
~ Plur+ber: u,,st
M~ter No.: / P'O . . 50~.OOp,~
Sise: RecC. wofe 15. n0ou ~
,tS~P ~ ln.`)pd
. .od.. n~o.:e3~q~L43 E ~
a,
I N+wlr~l~ wNM !w Ge~rowiRi . SQpd
, 0fdlm~ AAIsc. Chorqa: 15 6. 00pd P
Totot: 6 3 50!:) d w!et ~r
By ~~e~ ( /Q-E------ Doft Patd: I
DoM of Irnp.: Imp.: 'I
$'~zo- 4G I
I
~I
I
CITY OF EAGAN ~
3830 PNot Knob Road, P.O. Box 21-199, Esgan, MN 55121 i`. 13 19 9 0
~ • PHONE: 454-8100
BUILDING PERMIT Receipc #
To be used tor Est Value 5, U G u Date •=1;~=~ 1 , 19
SiteAddress lv:;STBC;.:4' ~3
Erect ~ Occupancy
Lot % Block 1 Sec/Sub. 'n'f~ 5`PB(hiY 3`J) Remodel ? Zoning '41
Parcel No. Repair ? Type af ConstV=
Addition ? No. Stories
4 4
W Name ~C 0~ iS' Move Length
Demolish 0 De th
v„ 131~i'i' p
~ Address Int Impr.•..? Sq. Ft _
City 'ti • Phone 432 - 9m /y _ Install ?
~ Name Approvals Fees
~ i Address J Assessment Permit $ 3 2 3. U 0
~ Ci ty Phone Water 8 Sew. Surcharge 32• 50
Q Police Plan Review 164.00
t:= Name Fire SAC 575.00
Address Eng. Water Conn. 5 U 0. U 0
< W city Phone Planner Water wteter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the gidg. Off. 5/7/66 Tr. Pi. 15 6.(? U
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks ~
Var. Date Copiea '
Signature o} Permittee - - i -
Total i;'j
A Building Permit is issued to: uL-l3E1Z(a CUIVSTRIIC'I' on the express condition thet
all work shall be done in accordance with ail applicable Sfate of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
.
PWnil Na PrrmM F1oMl~r DaN TMMpAerr
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IIrop.-tlon DaM Inap. Conunwb
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PERMIT #
MECHANICAL PERMIT RECEIPT 1f
CITY OF EAGAN CJ - r1 -~(a
3830 PILOT KNOB RGAD, EAGAN, MN 55121 DATE
CONTRACT PRICE - U~ PHONE 4544100
Site Address gLpG,, TypE WORK DESCRIPTION
Lot Block ' Sec/Sub ~
Res. New
m Name ' Mult Add-on
~ Address ' - Comm. Repair
c City. Phone - Other
~ Name pEEg
c Address RES. HVAC 0-100 M BTU - a24.0U
p City PhOne ADDITIONAL 50 M BTU - 6.00
AOD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% 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
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000.00)
Other
FEE ~
s/C: SiGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
_ , . . . . . ..q . c t ` y ~ .
. - a ' i ~
PERMIT # ~
PWMBING PERMIT RECEIPT # c/ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
! CONTRACT PRICE PHONE: 454-8100
Site Address `.'P L' BIDG. TYPE WORK DESCRIPTION
Lot rBlock ~ Sec/Sub
- ~ es. " New
m Name Muli Add-on
~ Address Comm. Repair .
c City ~ ~f • ' ~ 3 ~ • Phone Other
FIXTURES TOTAL
L Name ~ Water Closet -$3.00 $
c Address ~Bath Tubs - $3.00 '
p City ~ A G /'lJ Phone Lavatory - $3.00
Shower - $3.00
_Kitchen Sink - $3.00
FEES
COMM/IND FEE - 196 OF CONTRACT FEE Urinaf/Bidet - $3.00
/ Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE - 3y0•00 ~ Floor Drains -$1.50
MINIMUM - COMMIIND FEE - 20•00 / Water Heater - $1.50
8TATE SURCHARGE PER PERMIT - .50 Whirlpool _~00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $70.00
- ,
- - . • ~ . ~~r :s ,~~..,s:?. Rough Openings - $1.50
SIGNATURE k~F PERMITTEE FEE
` STATE S/C:
FOR: CITIf OF EAGAN GRAND TOTAL• `y'
I~ INSPECTION REC4RD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '13 Eagan, Minnesota 55122-1897 Date Issued: ' ' ' ~ ' • ~ • `
(612) 681-4675
- + 1 H i-~+
~ SITEADDRESS: ~ i:+ ? E APPLICANT:
, , ,1 i ANE
~i, , ~ • , ,
;
PEqWj 5144TYPE: TYPE OF WORK:
~ i i; ~ ~
INSPECTION . .A
. i,~,, ~
~
L ~
Permit Holder Dats TNephone a
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS i
FOUND
FRAMING
ROOFING
r~u
ROUGH
PLUMBING
PLBG i
AIR TEST ~
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DQMESTIC
METER I
IRRIGATION I
METER I
FLUSH
MAINS i
CON WCrIVITV
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FlNAL
DECK FfG
DECK FINAL
- - - - ~
INsPEcTioN REcoRn Control No. - . i
CITY OF EAGAN PERMIT TYPE: r "u ~
3830 Pitot Knob Road Permit Number. , . ~Eagan, Minnesota 55123 pate Iasued:
(612) 8814675
' SITE ADDRESS: La Ts r ut n c Ks I APPUCANT:
Si60 W941'BUltY LANE ('AFFERY MALTER
ill~TlldRY ~AD ~~2-~?15•
PERIIUtIUBTYPE: TYPE OF WORK:
fti~~ 4 1 M~ PIM#L
~
I
~
C
a
. i
PWfllk OD. P.Wom fmidf ~ ~ 0
slw '
PLLotABINQ
HVAC
EI,ECI'filC
ELEC7'RIC
In~prrMr~ Oft Mno.
FooMfnp~ ~
Foundbion -
- Roo~q
Fmuph Qbq•
P-+ph ?Ap•
1w1.
Fh
_ - QIi11A tiN
Fir1 PbD. PbD. kePeolw - Mo* PMoibK
CdML lirler
61RJPYn .
Bk~. Firnl
~ ~ '~?-ZZ- jt
WON
Pr. Dbp.
' CITY OF EAGAN 11990
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 1PHONE: 454-8100
BUILDING PERMIT Receipt a
7obeusedror SF DWG/GAR est.value $ 6 5 , 000 Date MAY zl 1986
SiteAdtlress 3868 WESTBURY LN Erect C}} Occupancy R3
Lot 7 elock 1 Sec/Sub. WESTBURY 3RD Remodel ? 2oning R1
Parcel No. Repair ? Type of Const VLl
Atldition ? No. Stories
~ rvame OL-BERG CONST nnove ? Length 44
3 Address 6400 131ST ST CT Demolish ? Depth n7
pr. ? sq.Fi
° ciry A.V. Pnone 432-9179 IInt. nsfall ?
i o Name SAME Approvals Feee
Address Assessment Permit $ 3 2 8. 0 0
" City Phone Water & Sew. Surcharge 32 .50
Police PlanReview 164.00
~ w Name Fire SAC 575. 0 0
Address
Qi Eng. WaterConn. 500.00
aw ciry pnone Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicatwnandstatethatthe gldg.Of(. 5/7/86 Tr.PI. 156.00
information is correct and agree to comply wrth all applicable State of
Minnesota Statutes and Ciry ot Eagan Ordinances~ APC Parks
. ~ Var. Date Copies
Signature ot Permittee Total $2,109. 0 0
A Building Permit is issued to: OL-BERG CONSTRUCT ON on the express condition that
all work shall be done in accordance with all applicable t f esota tatute i~ oi Eagan Ordinances.
Bwldinq Oflicial
CITV OF EAGAN qemarks ?
Addition WESTBURY THIRD ADDN. Lo, 7 Rik 1 Parcel 10 $3652 070 Ol
Owner Street 38g Westbury L,3ri@ State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK ~ 1 85 zSS.OO 17.00 15
SEWER LATERAL
watermain 1 8 49-901 3.33 151
WATERMAIN 1986 33.86 2.26 pl WATER LATEFAL
WATER AREA . 2 8.95 water area 7 1986 69.38 4.63
STORM SEW TRK ,y 1$6 68. 2 73.66
STORM SEW LAT 9TS 1986 491.0 98.20
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
2004 RESIDENTIAL BUILDING PERMIT APPLICAT[ON fl To
U~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New Consimction Reauiremenis Remodel/Reoau Reqwremenls Offirce Use QnN
3 registered site surveys showmg sq ft of lot, sq. fl, of house, and all roofed areas 2 copies of plan Ced ot Suivey Recd Y _N
(20% maximum lot wverage allowed) 1 sel of Energy Calculalions for heated adddions Tree Pres Plan Recd Y_ YJ.
2 copies of plan showing beam & window srzes, poured found design, etc 1 sile survey far additions 8 decks Tree Pres Requirzd:' YN
1 sel of Energy CalculaAOns Addition -indicafe ifon-site sepGC sysfem Oo-sile Septic System- : Y_ N
3 copies of Tree Preservation Plan if lot plaAed after 7!1193
Rim Joist Delail Ophons selection sheet (bldgs wdh 3 or less units
Dxtc 17! ! N / b~ 1 nI Construction Cost "
Sitc Address p p(p~ \Y~1 ~ ~ vvr~ y .r" o_~ UniUSte #
Descrip[ion of Work V V 1 rjWV\-) S.
Multi-Family Bldg _ Y ? N Fireplacc(s) _ 0 _ 1 _ 2
PropeRy Owner e/?\ Telephone #((aj
Contractor C It.CPT l~ 1 ~ ~)!91
Address ~~-t~/1~l~ I~JI~- • City-A)20 U.
Sta[e a4(~J Zip Telephone #(GJ~j _~~I y ~o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7070 Categorp 1 Minncsota Rules 7672
Energy Code Category . Residenlial Venhlation Category 7 Worksheet • New Energy Code Worksheet
(V submissiontype) Submitted Submitted
. Energy Emelope Calculations Submitted
Have you previously constructed a building in Eagan with a simil ~ Y_ N If so, 25%a plan review
fee applies.
r u~
Licensed Plumber 21~~hQ~~4#(~ J
Mechanical Confracior BY Telephone #ij )
Sewer/Water Contractor Telep
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate,
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
. I ~ ~~FE & eW S
App icant's Printed Name Applicant s gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 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
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolitiun (En[ire Bldy) - G've PCA handout 1o applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Otlicr
Roof _ Ice& Water _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding Stucco Stonc Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windoivs
_ InsWation _ Retaining Wall
Approved By: , Building Inspector
Fee
Base Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
1986 BOILDING P RFIIT 9pPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACfORS MOST BB LICENSED iiITH THE CITY OF EAGAIi
SINGLE F6MIILY DWELLINGS
.
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOLTIPLE DiiELLIHGS - RFSIDENTI6L RENT9L Ot7ITS FOR SALE IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg HITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COPIIMERCI6ti INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: S6L, rA?'n, W6514X'Waluation: r7Tac+s • lYate: S"C" 0 6
Site Address 32(,RI,JCSTBuICY LANf OFFICE USE ONLY
Lot 7 Block I Erect ~ Occupancy APS
} U/Remodel Zoning
Parce:l/Sub W-C-STtsu ~ J Repair e Type of Const ~
Addition - # of Stories
Owner e- a S Move ~ Length
c v w 7R, n tT b~L- Demolish Depth
Address Int.Impr. Sq Ft
Install
Cii:y/Zip Code
Phone APPROV9LS FEES
Contractor UL 6E,if E, Q7/S I Assessments Permit 32%
Si Water/Sewer Surcharge 3
Address ~O ~~a ~ 31 - S T. C-T, Police Plan Review Wiga:
Fire SAC
City/Zip Code Hf P LE VA LLEy ,/s j,t 4 Engr Water Conn ~p
Planner Water Meter
Phone y.3 a~9 a--~ F Council Road Unit (7
Bldg OffS Treatment P1 l5'6
Arch./Engr. APC Parks
Variance Copies
Address TOTAL a2
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER KIIST DESIGHATE AHICH ADDRESS
IS DFSIRED. NO CHANGES AILL BE ALLOiiED ONCE HQILDING PERMIT IS ISSQED.
.
~ _ /l-~~D '~`~y~ ~
? ~ ~ / ~
l
, ~~t- ~ J'
~ C l, ~ ~~1, n ~
~ ~ j - /~~~C = C~%r~
v~~/i~
' Certificate for: .
01-berg Construction gk: 103/1
~
DELMAR H. SCHWANZ io3i ~ 30
' L>ND $UFVEYpRS INC f
RnO•P•M UnC?r LTwa ~11 iM1J CITIr` ~I M-r.c"A
14750 SOUTN ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PNONE 812 423-1769
SURVEYOR'S CERTIFICATE
J
I ~
~
% ~so 00
~ N 22LJ V m 9~'vii~o9a U~i~ffi ~
' ~ ~ I vl ? 1 / /1 p ~ ~
1?~ \ I V
(w C~ 30.0
I Elevations shown are existing and based on ~
assumed datum.
Proposed garage floor elev.
~
I hereby certify that this is a true and correct representation of Lot 7,
Block 1, WESTBURY THIRD ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: May 2, 1966
M NNESOiA REGISTRATION NO. 8625
EXTGRIOR IiNVG[,OI'I: A'?IiftAC.li "U" COt1PU9'ATIOIJ
GWIJCR
JLTL AUDfU:J:a e f{~,~ W~J 1 IBLLI" / Y+'tY?F
CONTfU1C'CORp~
DAT6 PI10[Jl
Determinc vorAiny square footagu oC eacli.
1. Total exposed •ea11 arca Z~Wo,.~L Sq, tt. x •~11
=~y
2. Total rooF.ceilinq arca ..._.../!iG yp sy. ft. x .025
` Total exposed wall area above floor
a. Total vall window area gG•3
b. Total door area
c. Total slidinq qlass door'arca ,312.17
d. Total Lireplace w511 area e. Total wall framing area (averaye loe)
f. Total net wa11 area above floor
g. Total rim joist area JltRCl
' Total exposed founda[ion arca = _461~ •C,
h. Total foundation window area Q
i. Total net foundation area above yradc
De[erminc "U" value of each wa11 segment.
' a. 9c - 3 x"U.,
b. x „u.. .p7G = ~2
^ c. x ..u„ .ss > j79
a. b x..U„ p = O
e. /9s!~ x ••u.. .~a = ~~.3 _
~
r._ 157U 0 5i3
I
: BG.G .o9j 78
•J.
1 TuC.ll
I: item A] i, the samc :is, or 1e!u: tliaii iLum ql, you hrwu imee chw inceni
suc 6006 cci2. Cq&,+ A3~7~i~
, S{jc. Ganv (J2
Total cxposed rouf/cciliny arca = Ou ' Q
j. T4ta1 skylight area C~
•
k. 1'ocal roof/cciliny framiny :ir•.:a (avcrayu lU'O /OO.y
1. Total neC in~;ulated roof/cuilimj r.rca Oj
Determine "U" vaLuc Eor cach rooE/ceilinq suymenr..
- j. o x•. u" o = o
k. x "U" .~j! _ .3•3 _
x ,.U„ . Uvn-/ _ ~fi • ~
a .Total _ ~~•a
iIf total of H4 is the same as, or less than 42, you have met Uic intent of
'S:C 6006 (c)1.~~ A e-S ~ z, c o a ~jS. „vr~a../" /J c G o o G Cc-J l
Alternatc Building Envelope Design
'PC utiliza the total envelope cystem methocl, thc values esCabli>h-:d by the
scm of items 03 and 94 sha11 not bc greatcr than tlie sum o: items kl and I.?.
r~
1. 1.3,y + z.
~
~3. . 4. aa•~__= ~s+~.~__
A 3 ~ y (/9 Z C= 3
,
i
a•
LHTE[dIOlt IiNVL[pPli AVfiIU1C1: "U" C0:1DU'I'ATIOtI
G4JNf:R
S L'CL /1DDft1:SS T.~3L1
coNTancrorc
DATE FI IQf7E
DetecmLne wockiny yquare footagu oC each.
1. Total exposed va11 arca .......;y. Pt. x .II -~j3,y
2. Total roof.ceiling arca ,.......dG /U sy. ft. x •025
' Total exposed wall area above Eloor =/9S/o•.:t
a. Total wall window arca 9G.3
b. Total door area
c. Total sliding glass door'arca
a. Total fireplace ua11 area (J
e. Tota1 wall framing area (averaye 10e)
f. Total net wa11 area above floor
g. Tota1 cim joist acea...........
. . . . . . . . . . . . . . . . . . . . . . . . . . • i`.~z~~~• 3
' Total er,posed £oundation arca =
h. Total foundation uindow arca Q
-
i. Tocal net foundation area above yradc..................... P/.6
Determine "U" value of cach wall segment.
' a. 9c ~ 3 K "
b. y/..s x .,u.. _v7~ = a3.a
c. 3~..2 x „u„ .ss = /77
a. b x..U„ Q = O
e . ~95!/ x u
,
i
c. /57G•/ _ x °v-. .0513 _ _ ~~•S
`~~11~8:3_.--- .p~-~_ ° -~•J
~,._..-G--~---. • 0 = O
_ ' i
,
~ i .....................................To ea I
I' iCem q) i: Chc samc ass, or Lc:;:: ehan itcm ql, you liavu mWc 1.1ia inCnni
o " SI1C GOOG ( c ) 2. C~*m A,j <77 /J G i~~+- ~ ~ .~.'J• y/ ,•7v~ p~a f~lap
, S/Sc. GanG (CJ2
Total expo,ed roof/cciling acca = Ou
j. Tota1 skylight area &
F:. 1'otal roof/ccilinq frarniny arQa (avcroyu lOt.) . • • • • • /G'C, S;;
1. Total net insulated roof/ccilimj .irca
Detcrmine "U" valur_ Eor cach rooC/ccilinq seqmenr.
j. O 'f. " U" o = O ~
k. /vo. y x "u" .o3d = ~•3
` i. 903-d" xU.. , o,;L/ 9
4 ........Tota1 = •a
If Cota1 of H4 is the same as, or less than N2, you Iiave met ttic intent of
e~ y g ~j/
SEC 6006 (c) 1. ~ ~ p V e-5,3 ~
C- G 00 G CCJ l
~ Alternate Building Envelope Desiqn
'Cc utilize the total envelope systcm methoci, thu valuc:: cstablish~.d by the
sum of items 03 and 14 shall not be greatcr chan the sum o: iCems kl and R2.
I. « z.
3. • a. ~a•~
" 3 F y I/9 9~ 3, c 9~Cu.~ A~-•- ~ i. ~z a 8•s~
4/2k 54
!J
PERMIT , C°nt 0789
X CITYOF EAGAN
3830 Pilot Knob Road PERMITTYPE: suiLoiNG
Eagan, Minnesota 55123 Permit Number: 001005
(612) 681-4675 Date Issued: 07 /10/92
SITE ADDRESS:
3868 WE3TBURY LANE
LOT: 7 BLOCK: 1
WESTBURY 3R0
DESCRIPTION:
Building Permit Type DECK
Building,Work Type NEW
UBC Occupancy R-3
Building length 12
~ Building Width ~ 12
.
(l
REMARKS: C 0
FEE SUMMARY:
8as,e Fee $25.00 COPIES $6.00
Surcharge $.50 7ota1 Fee $31.50
Subtotal $25.50
COMTRACTOR: OWNER: - Applicant -
CAFFERY WpLTER
3868 WESTBURY LN
EAGAN MN 55123
(612)452-2158
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 Mn.
Statutes and City of Eagan Ordinances.
l?11I1~~.~aA',~ ~
PPLICANT ERMITEE SIGNATURE IED IGNAT RE
PERMI7 # . CITY OF EAGAN ~`~I
REAC7IYATE 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 6 MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date E `'t?_ Valuation of work
Site Addre :~Y,~n~ r~
STREET SUITE R
Tenant Name: (commercial only)
IAT _Z I BLOCR I SUBD.V~~~~~A``I P.I.D. M
ADD'h1
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Deaeribe)
Name 0aTTi'H 1,)'-."Al-cr 1- t3r.c.~L' Phone
Property LAST F,RST
Owner Address WeS\'b.r L^I--
STREE7 STE N
City LState ;An Z;P SS 1 Z3
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
. City State Zip
Sewer 6 water licensed plumber Processing time for
sewer & water permits is two days once area as been approve .
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.
~
Signature of Applicant: C..-
OFFICE USE ONLY ~ - -
~ ~ " •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2_3 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code v3
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ~ Footing ? Framing O Insulation
? Mallboard ~T Final ? Draintile ? Fireplace
Permit Fee 25,00 g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Nater Meter .
Acct. Deposit ,
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ~ .oo
Other
Total:
SAC %
SAC Units
rrtificate for:
01-ber, Construction ~ Bk: 103/1
DELMAR H. SCHWANZ io3r L
t>NO SURVETORS WC
Rediclerp(j U~(IPr LTw' t11 1~P GImP nl MnnVSnIT
14750 SOUTH qOBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 873/231769 /~p a jG •
5URVEYOR'S CERTIFICATE
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Elevations shown are existing and based on ~
I assumed datum.
Proposed garage floor elev.
I hereby certify that this is a true and correct representation of Lot 7,
Block l, WESTBURY THIRD ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: May 2, 1986
M NNESOiA REGISTi7ATION NO 8625
PERMIT
ClTY OF EAGAN
3830 iiilot Knob Road PERMIT TYPE: B U I L D I N G
-Eagan, Min nesota 55122• 1897 Permit Number: 0 3 3 3 71
(612) 681-4675 Date Issued: 0 9/ 2 2/9 8
SITEADDRESS: 3868 WESTBURY LANE
LOT: 7 BLOCK: 1
WESTBURY 3RD
P.I.N.: 10-83652-070-01
DESCRIPTION:
T.O. & REROOF
Buildittg Permit Type STORM DAMAGE
Building Work Type REPAIR
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
R'rGR~RWf~Y~t'OUFING PP 115578678 0003999 90"SNFR' JoHN
16475 45TH AVE N 3868 WESTBURY LANE
PLYMOUTH MN 55446 EAGAN MN 55123
(612) 557-8678 (651)688-9685
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 Mn.
Statutes and Cit,y of Eagan Ordinances.
L ~
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APPUCANTlPERMITEESIGNATURE IS BY.SIGNATU
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I CITY OF EAGAN
3830 PII,OT KNOB RD - 65122
681-4675
New Construction Requirements RamodeVReoair Reauirements
? 3 rogistered sde surveys ? 2 copies ot plan
? 2 copies ot plans (inGuGe beam & wmdow sizes; pou2tl fid. design; etc.) ? 2 site surveys (exterior addRians 8 decks)
? 7 energy calculatians ? 1 energy calculation5 Mr heated atlddions
• 3 copies o/ Gee preservation plan if lot Dlatted after 7!11/93
required. _ Ves _ No
DATE: 9/15/98 CaNSTRUCTION COST; $4,300.00
DESCRI ON OF WORK: Tear off and reroof, apply ice and water sheild
Waive fee for hail damage
S EET ADDRESS: e _
LOT: BLOCK: SUBD./P.I.D.
Name: Hosch Karen & John Phone#: 688-9685
PROPERTI' Lasc First
OWNER
StreetAddress: 3868 Westbury Lane
City Eagan State: MN Zip: 55123
Company: Rictht Way Roofinq Phone#: 557-8678
CONTRACTOR
StreetAddress: 16475 45th Ave N Plymouth License# 3999
City Plymouth State: MN Zip: 55446
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
57eet Adciress:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this appliption and state that the inTortnation is correct and agree to compty with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: M
OFFICE USE ONLY RECEIVED
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required BY:
OFFICE USE ONLY ' BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility
? 04 SF Porch ? 09 12-plex 0 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Aiterations ? 36 Move
? 32 :4dc:;?:r~n 1a 3A RPp.3ir r 37 Deniolition
GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
MCNUS SAC ~
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
TreatmertY PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY USE ONLY
L BL ~ RECEIPT
d
SUBD. ~ DATE: 911 ~ f(,,,~,
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction ~ Add-on furnace
x Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
- - - -
DBte: September 16, 1996
FEES
• Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
~ Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL $20.50
SITE ADDRESS: 3868 westbury Lane
OWNER NAME: xarP., Flncrh PHONE 588-9685
INSTALLER NAME: Fredrickson Heating & Air Conditioning, Inc.
STREET ADDRESS: 3650 xennebec Dr.,#1
CITY: Eagan STATE: MN ZIP: 55122-1003
PHONE ( 612 ) 452-2775
SIG T
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee ql 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of pgtmit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
Tx~xx~.xxxxxxxxxxxxx:«:xx:x~~x~x:xN
C I T Y O F E A A[~t PAY~IF;NT OF k'F~E AT TIME OF *
* arrLIcAazoN DoFS rxYr corsTTZVTE *
APPROVAL OF PERMIIT. *
APPLICATION FOR PERMIT *INSPECrION OF SE4ER ADID/OR M7II2 *
; Irs•rr,ra.ATTrnus wua. rror sE sc~ED-- *
SEWER AND/OR WATER CONNECTION ~UI UMrIL PII2P'ffT HA.' BEIN ~
* APPROVI•D. ~
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. '~t***+**+**~**r*~****,t*rxts**f*~***:
P ease Print)
1) PROPERTY ADDRESS u LJ F, 5 Z~ LL 12y }s,~ nl~
LEGAL DESCRIPTION: L_`7 g I IN~S7{$~« y ~~'D
(Lot Block Subdiv~ion or Tax Parcel ID )
IF EXISTING STRL'CILRiE, DATE OF ORIGINAL BL~ILDING pERMIT ISSC'ANCE:
, PRESENr ZONING/PROPOSID L'SE: (hbn Year
~ COA47ERCIAL/RETAIL/0FFICE 2/R-1 SINGLE FAMILY
IPIIJCSTRIAL F-I R-2 DDPLEX (Tr,o C~nits)
~ INSTI7LTIONAL/GOVFI2DIIMNT (7 R-3 ZOWNHOLSE (Three + Units) ( Lnits)
~ R-4 APARTTgNf/CObIDOMI[VIL'M ( Units)
2) ~
NAME: SA MI~ 19 S#
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • For City Use
NAME'_~ ~_~O
- t~ G 61J 5~ Plunibers License:
ADDRESS: S'S l" AExActi
pired
; ciTY, srATE, zxP: ?p P PLf vo LLE rbt recoraea
PxoNE: d. ~Mr,sTm LIcecvss# 3 t~1 I m q StafF =nitial
4) • i~•
NAME:: ; N rr`
ADDRFSS: '
CITY. STATE, ZIP:
PHONE: 5) w • : a • -
M-1CONNECI'ION TO CITY SEWER CONNfX.'TION TO CITY WATER ~ 0'I'fTER ' .
6) • • r ~ P E HOLD APPROVID PII2MIT F'OR PICK-C~P BY ONE OF ABOVE
~E MAIL APPROVFD PERMIT M 1, 2, 3 4, AHOVE
,Q (Circle one)
7) ' • 7- • r ~ • ~ ~ ~ i•~ • ~ 5 ian n 02• • V • a• C • _p:4qjT5T
• ~ ~
• n • ~ :'r M•r•,eID. 1 11 . JI- • ~I• •
. fOR CtTY USE ONLY
PERMIT # ISSUED .
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~D• S G WATER PERMIT (INCLUDE SURCHARGE)
$ 3 ~ lJ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ 0-7) ACCOUNT DEPOSIT - SEWER
$ $ ~S~• 6f- V ACCOUNT DEPOSIT - WATER
$ O 0 $ WAC
$ $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC)NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~44 S S/, G U TOTAL
- ~Z 7~ ~ ~ qc c
RECEIPT RECEIPT
DOES OTILSTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LZST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: `)"-o
TITLE:
DATE:
SCREENS 26,29&30 RERL ESTRTE INQUIRY - NqME/RDDRE55/LEGRL XINGNO03
PRRCEL ID: 10 83652 070 01 PIAT NAME: WESTRURY 3RD ADDITION
LEGAL: 7 1
HOMESTEAD CARD ENTERED: 02 17 1989
FIRST DIVISION: 016069 09 05 1985 •
LRST DIVISION:
FEE CURRENT OWNER:
ANN MAYERS
3866 WESTBURY LN
ERGAN MN 55123
TRRN5FER TO SCREEN NUMBER:
PFB-SCROLL FORWRRD
-+D hw esmc -t-
fkrcel ?a an C-I'~
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, • 2000 BUILDING PERMIT APPL{CATION (RESIDENTIAL)
cirr oF E?c,ari ~ ~O 50
3830 PILOT KNOB RD - 55122
~ l 651-681-4675
NewConsUUCHonReaulremenh Remodel/ReoalrReaulrements Called 0510p
> 3 reglaferetl slte surveys ahowing sq. N. of lof, aq. fl. of house 2 copiea of plan
and Q roofed areas (20% rtbxlmum lot coveraae allowetll 1 se10l energy calcWallons tor heafed addlBOns
> 2 coples of plans (show becm 8 wlndow alzes; poured (nd. deslgn; efc.) 1 sife wrvey for exterlar atltlltlons 8 decka
: 1 set ot energy calculaNOns
> 3 coples ol tree preservallon plan If lot plaftetl after 7/1l93
DATE: U~' 1-L/0 CONSTRUCTION COST: 61500
DESCRIPTION OF WORK: deCt- ar1ILkG!• ,O/)/')~ If muifl-family bldg., how many units9
STREET ADDRESS: Z?
LOT: ~ BLOCK: I SUBD./P.I.D. We&A U( h
Name: Phone p: q(f/ 015
PROPERN Lasf First
OWNER Sheef Address: 0 0 la n~
Ciy aL State: ~ v Zip:
ComPanY:-1, Phone#: 13 L
~
(area code)
CONTRACTOR
Sfreet Address: License # Exp.
City State: Zip:
ARCHITECTj
ENGINEER Company: Name:
Telephone p: ( )
Straet Address: Regishation Y:
, City Sfate: Zlp:
Sewerlwater licersed plumber (ii installiim sewer/water): Phone (1,
I hereby acknowledge that I hwe read this applicafbn, sfafe thaf fhe informafbn Is c rrecf, and agree to com Sly wifh all appOcable Stafe
of Minnesofa Statutes and CHy of Eagan Ordinances.
Signature of Applica :
OFFICE USE ONL RECEI VEU
AUG 14 000
Certificates of Survey Received Yes _ No
- - ~ sY• oooz ~ 1 on
Tree Preservation Pian Received Yes No "
Q~L1I~~~2i
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16plex ? 21 Porch (3-sea.) ? 31 F_xt. Ait - Multi
? 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex OZ- 18 Deck ? 23 Porch (sCreened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
,k 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration O 38 Demotish (Interior) ? 45 Fire Repair
? 34 Repair C] 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code b I # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buiidings Width Footprint sq. ft.
Const. (Actual) ~ Basement sq. ft. Census Code ~
(Allowabie) 5•Main level sq. ft. MC/ES System
UBC Occupancy V-15 sq. ft. City Water
Zoning PT7. sq. ft. BoosterPump"'
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTiONS : • • '
? Stucco/Stone '
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
W ater Meter
Acct. Deposit '
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
.ficate for:
• ' -berg Construction gk: 103/1
DELMAR H. SCHWANZ iosr
14ND [UAVEYpPS iqC
PeOI+rM 1n1l1 LAwa 11 i4 CIMP M MinnY{IIT r . I~~
71750 SOUTM ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 PMONE 812 473-7769
SURVEYOR'S CERTIFICATE CaJ
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.41 S 3 b
Elevations shown are existing and based \ 1
assumed datum. on
Proposed garage floor elev. 104.v
I hereby certify that this is a true and correct representation of Lot 7,
Block 1, WESTBORY THIRD ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: May 2, 1986
M NNESOTA REGISTfiATION NO 8625
~
The type of deck that you use
will be largely determined by ihe •
I~ pool site you choose on your
property, the size of your house and
property, and the general terrain
sUrrounding your home. If, for instance,
your property is on a hillside, elevated
wood decking around the pool that rises,
step by step, is a natural progression befitting
~ _-"=I°'ll~l the site. If, on the other hand, your roPer
Y P tY
is flat, you might prefer a single-layer deck,
level with the top of the pool, that leads
directly from a patio or back door of your
house, In anY case, be sure to consider
proper fencing for the pool, or pool area, to
ensure the safety of your family and friends
(See "Ideas for fencing° section). You'll also
need to instali a deck ladder for entry and
exit from the pool. Remember, never jump
or dive into an above-ground pool!
If you have a deck and small children are a concern, you might want to consider ~
a second 3 1/2 foot or 4 foot fence located on the deck itself, with a couple of gates
installed at strategic points. You may also want to consider Optional Above-ground
Pool Fencing. This attractive pool fencing, available
from your local Dou hbo
>F.• Y g y pooi dealer, utilizes soff
colors and classic lines to blend well with pool colors
and home styles. Optional Above-ground Pool
Fencing enhances pool security by providing an
additional 3 1/2 foot barrier on top of most
I II~ IE ~f~f~lll[~IIIII
Doughboy pool walls. At the same time, this vertical
~"~~~'°i';'.°` ~ _ picket fencing provides maximum safety as a barrier
r
~ against unauthorized pool entry. This pool fencing ,
conforms to National Spa & Pool Institute (N,S,P,I.)
J. standards. Contact your pou hbo
Y 9 y pool dealer for
more information about this worthwhile product,
. II
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3868 Westbury Lane
Lot: 007 Block: 001 Addition: Westbury 3rd
PID:10- 83652- 070 -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:
Great Lakes Window & Siding
14650 Glenda Dr
Apple Valley MN 55124
(952) 891 -3400
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Karen E Baker
3868 Westbury Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Building
EA087559
11/24/2008
ePermit
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
Use BLUE or BLACK Ink
r
For Office Use I
Permit
City of Eq,n
; Permit t Fee
3830 Pilot Knob Road 01151 -,5 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I -V I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: .:37d k r\ I~O~rC }~OSCI~ Phone: ~=31-4_70-409_S
Resident/ 1
Owner Address / City / zip: 38 ~,B
Applicant is: Owner _1_ Contractor
Type of Work Description of work: R'nC3 rq
00
Construction Cost: Col (3(0 Multi-Family Building: (Yes / No X
Company: me-r- r i-LA Re!56rcJ ion Contact: f CkGL.
Address: 2031 Lg, cGss wacx4 C--~_• City: I OC K;-zva
Contractor
State: ~N Zip: 553 3 Phone: col Z -2-S-2- 99-7 1
License C- GLI (81 Lead Certificate
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
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
8 _Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
F NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.gopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x x --~71
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117576
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 3868 Westbury Lane
Lot:007 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Karen E Baker
3868 Westbury Lane
Eagan MN 55123
Merritt Restoration
2031 Basswood Ct
Rockford MN 55373
(612) 282-9979
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142621
Date Issued:05/11/2017
Permit Category:ePermit
Site Address: 3868 Westbury Lane
Lot:007 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Karen E Baker
3868 Westbury Lane
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142663
Date Issued:05/12/2017
Permit Category:ePermit
Site Address: 3868 Westbury Lane
Lot:007 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-070
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Karen E Baker
3868 Westbury Lane
Eagan MN 55123
(651) 688-9685
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165560
Date Issued:11/05/2020
Permit Category:ePermit
Site Address: 3868 Westbury Lane
Lot:007 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Karen E Baker
3868 Westbury Ln
Saint Paul MN 55123--307
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165586
Date Issued:11/09/2020
Permit Category:ePermit
Site Address: 3868 Westbury Lane
Lot:007 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
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 -
Karen E Baker
3868 Westbury Ln
Saint Paul MN 55123--307
(651) 470-4095
All Season Remodeling & Exteriors Llc
17344 Puma Street NW
Anoka MN 55303
(763) 444-1373
Applicant/Permitee: Signature Issued By: Signature