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3876 Westbury Lane i dTY OF EAGiAN Permft Na 1 0" 5'' Date: 9-29-87 3830 Pilof~lobiiad B/P No: ;~-i ' Date: 9-22-E 7 P.O. Bq~c~a118~'` Eagan, MN 55121 j•• ' t;~-1~y-, Owner. xaui iiansw Site Address: ~376 Westburp Lans L9 E1 'Westbury III Plumber. agan F:luml2it:g - ~ ~ - ~ MWCC: 5' 0()N Zoning• P1 City Chg: 19710• Qf'T)kl No. of Units: 1 Acct Dep: 15.44Pd Permit Fee: 30. OOpd I aprse to complr wllh the CMy of Eapan ! Surcharge: 1' O?dinances. Misc.: gr SEWER SERVICE PERMIT CtTY OF EAGwN_, Permft No: 9 1U'- pafw. 2-29-R7 3830 PNgi Kht,o Aoad Meter No: .3 8' S' 3 9/ 5 9 Size: SAk"A"IC P.O. Box 21199 Reader No: 6'_ EaQan, MN 55121 ~ Owner. Wr.t G Hansen Site Addreas: 387' Westbury Lan 9 P,1T estbury =II Plumber F.ajan PluM ry " g. Conn. Chg: 525.00 d . L~•._~ itl Acct Dep: 15. o~.~ ~fare i ging Permit Fee: 1 o. omEPli4E+1E. E . ~ surcnarge: .5n ~ Tr. Plant 180, U MELPatmsn nonces. Meter. _ ti7 pp~ i Misc-- gy WATER SERVICE PERMIT . ' - CITY OF EAGAN 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt4t To be used for Est Value Date ` ,19 ' Site Address Y OFFICE USE ONLY Lot Block ! Sec/Sub. Y On Site Sswaqe Oocupancy MWCC Syatem Zoniny Parcel No. On Site Wel1 Wctueq Const cc Name City Water (Albwable) ' W ' PRV RequUed #of Storfea 3 Address ' . ~ City PhOne 5' ~~ter Pump Length Depth o Name S.F. Total v ~ Address Footprint S.F. P City Phone APPROVAL3 FEES ~ W N8m@ Engr./Assess. Permit W ~y L Planner Su?Charge ' ~ n Address W. W City PhOne Council Plan Review Bldg. OH. SAC, City I hereby acknowledge that I have read this application and state that the Varlance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment Pi on the express condition that all work shall be done in aCCOrdanCe with all appllcable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official_ TOTAL Permit No. Ponnit Molder Date ToIophono it Plumtsiny SG, v H.VAC. Electric SoRener v lnspocnon oste IneD• COItlrt1e11ts Footinys I ~ a,)x Footings It Foundation Framing I~ Roofing bS~s 1 G e~r Rough Pibg. Rough Htg. isui. F(replace ,O(;~ Final Htg. a Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Fty. Deck Finel Well Pr. Disp. I fter#ifira#r ,af COrrupanry titp of eagan iorprhnmti of liwmng iwrrtimt This Certifrcate issued pursuant w the requirenie»ts of Sectlon 306 of the Unijonn Building Code certifying lhat at rhe tinie of issuance this structure wns in compllance with the various ordinances of tlie City regulaiing buildir?g rnnstruction or use. For the jollowing. u,e clwwcarin.n IJ~ni;/C~1Fi elds. rtrmit nro. ~'y 1; oannncr TYve R- za" netric, TYM COGNL owarorW&M W. G HAN..~i23 Addrm 37 io DGAM: CJ.Yt1RTf Ihilding A, LO-Iky 7S ~ 7' ,19~:. li POST IN A CONSPICUOU5 PLACE I II III PERMfT # 7o~CD .S . MECHANICAL PERMIT RECEIPT ti , CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ~ ' BLOG. TYPE WORK DESCRIPTION / Lot BInCk ~ yr Sec/Sub Res. L._~ New Name ~i . _ ' . Mult Add-on m -.f.. Comm. Repalr h~ ~ Address ~ ^Ot c City Phone FEES ~ Name 27 RES. HVAC 0-100 M 8TU - a24.00 c Addre33 n ' C. f ADDITIONAL 50 M BTU - 6.00 ~ (RES. HVAC INCLUDES A/C ON NEW p City Y r ra _ Phone CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ~LtzQM BTU p APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 -It Air Cond. M BTU MINIMUNF COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other r FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• ~ FOR: CITY OF EAGAN . . r . . PERMIT li 7D SC_~ 1 • ' ° PLUMBING PERMIT RECEIPT # ' CITY OF EA<3AN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address i BLDG. TYPE WORK DESCRIPTION Lot 2- Block ~ S~c/Sub Res. ? New r~ M ult. Add-on ~ Name c Comm. Repair r ~ Address ' Other c Cily hone " RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TO A L L Name ' Water Closet - $3.00 ` Bath Tubs - $3.00 3 Addres G s Lavatory - $3.00 p City Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 ' COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000. ) Well - $10.00 •1 Private Disp. - $10.00 Rough Openings - $1.50 3"F6N / RE OF P E R M I TTgE FEE: ~ STATE S/C: • ~D FOR: CITY OF EAGAN GRAND TOTAL• 3, 2 0 CITY OF EAGAN N°_ 14 2 01 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 ~ --1 BUILDINGPERMIT Receiptn To be used for SF DWG/GAR Est. Value $68, 000 Date SEPTEMBER 22 19 87 Site Address 3876 WESTBIIRY LN OFFICE USE ONLY Lot 9 Block 1 Sec/Sub.WESTBURY 3RD OnSiteSewege Occupancy R3 MWCCSystem X Zoning PD Parcel No. Vn On Site Well (ACNap Const a Name WM G HANSEN Citywater X (Allowable), Vn - 3 Address 3718 DENMARK CT PRV Required _ nof Srories 42 ° City EAGAN phone 452-3271 eoosterPump _ Length Depth 46 , o Name SAME 626-4300 (W) S.F.rotat oa AddreSS FootprintS.F. ~ City Phone APPROVALS FEES ~s Engr./ASSess. Permit ~ 391.50 w w Name t z Planner Surcharge 34.00 xa Address aw City PhOne Council PlanReview 195.75 Bldg OfC SAQ City 100.00 I hereby acknowledge Nat I hlyt read ihis applicah ntl st ihat ihe Vanance SAC, MWCC $25i00 information is correct antl comply with pli le Slate ol Water Conn _52~~0 Minnesota5tatutesand it nOrdir~n s. WaterMeter _67_..00 Signature ot Permit) e _ - Road Unit _3Q5.-00 A Building Permn is i uetl to: ~ G HANSEN Treatment Pt 180.00 on Ihe express condihon that allwork shall be done in accortlancewdh all applicable State of Minnesota atutes antl Ci y'bf Eagan Ordinances. Parks ~~~~~5 Building Ofhcial 70TAL ~ CITY OF EAGAN Remarks Addition WFSTRiiRY THTRiI ATli1fU Lot 9 Bik I Parcel 10 $3652 090 nl Owner Street 3876 W~,'StbUY'V 1,3ri8 State Eagan, N!N 55123 Improvement Date Amoun[ Annual Vears Payment Receipt Dare STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK t?21 1 g 255.00 1 . OO 1 SEWER LATEFAL watermain , 1 g 49.90 3.33 1 WATERMAIN 1986 33.86 2.26 15 WATEF LATERAL WATERAREA 7 1984 134.2 8.95 1 STORM SEW TRK 1 gb 368.2 73.66 STOFM SEW LAT 1$6 1. 0 98.20 49 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK Cities Di it~a1 Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. APPLIANCE PEFIFOpMAN6ETEST Atfach to gas line adjacen[ to regularor Heaiing Contractor ~~~~led p'r Hlg 8 A/C Name of Tester ~ Date ~ 'Z' d1107 I ` - Job Address Heating Contractor Controlled Air ~ Name of Tester - , ~ Date -~7~- " I Percent OZ 7-q Percent COz Percent CO Stack Temp. 1 1 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction ReauiremenLS RemodelfReoair Reouirements Oftice Use OnM 3 registe2d site surveys showing sq. fl. of lot, sq R. of house; and all mofed areas 2 copies of plan Ced of Survey Recd Y N (20% maximum lot coverage albwed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiGons 8 decks Tree Pres Reqd Y N isetofEnergyCalculaGons AddRmn - indicateifon-sResephcsysfem On-siteSeplicSyslem _Y _N 3 mpies of Tree Preservation Plan if lot platted after 711193 Rim Jomt Dehail Oplions selection sheet (bldgs with 3 or less uni6 d._ Date ~~-C- / ~ l or3 Construc[ion Cost -7 CIt Site Address 3- S"--) 4 bsS7"'~i~ UniUSte # Description ot Work ?(2,,;7 Multi-Family Bldg _ Yg N Fireplace(s) _ 0 _ 1 _ 2 Property Owner A6g~2z~ JrA6rt/t- L',t/SDv Telephone # (66-1 ) LfUS- ~ ~~t Contractor ~'71J5A4~ Address Z- City V- 5T State /W AJ Zip Telephone #Ve s/) 35 Z/ Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (q submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telepho e#(~ r- _ C~~su Sewer/WaterContractor Telepho lel#bEC) 9 2003 ~ u I hereby apply for a Residential Building Permit and acknowledge that the i'~tarmation is complete d accurate; that the work will be in conformance with the ordinances and codes of the Cit~y of ~agan the~State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ 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. , pplicant's Printed Name plicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSpiex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 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 EM. All - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 70-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundalion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Foo[ings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding S[ucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . / IV . 2 - ~ 1987 BOILDING PERMIT LICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CERTIFICASES OE SQEtVEY, 1 SET OF ENERGY CALCQLATIOHS NOTE: 9DDRESSES EOR CORNER LOTS - CONTR6CTOR/HOMEOYiNER MQST DESIGNATE WHICH ADDRESS IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS - RFSIDENTI9L RENTAL UNITS FOR SALE ONITS IyCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS • COiMMERCIAL . INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: N~/pEiUYlr~ Valuation: 14j&Z-FB~ Date: ~ ~ Site Address 3 Gyl oooe OFFICE USE ONLY u Lot Block On Site Sewage_ Occupancy R- 3 MWCC System ~ Zoning pD Parcel/Sub On Site Well Type of Const City Water v (Aetual) V-rJ Owner Dp- E//c (Allowable) ~/-N Address Oz~~~~ 7./- li of Stories ( Length City/Zip Code S.F. Total Footprint S.F. Phone ~a - 39 71 APPROVAIS FEES Contract.or d~Gq~ Ec[cN Er~3 Assessments Permit 7 SO Water/Sewer Surcharge 3 q. o0 Address rT Police Plan Review 195. 75 Fire SAC, City I nn.oo City/Zip Code Engr SAC, MWCC S 2 5,00 Planner Water Conn SZS,oO Phone 'y$a' •2 71 ~o2/p-~'jL~ Council Water Meter 6 ,00 Bldg Off 9 ZZ Road Unit OS.OV Arch./Engr. ZU111/QF,,67-0 44 /LJ&`I APC Treatment Pl Igp_00 W Variance Parks Address Copies TOTAL City/Zip Code? {iy SS3~j Lx; Phone 11 ~2 Gu'e2~ - (02 ~ ~ O O GRRaa.E . , r . ?zz'xzz= qY~l xi2 = seo8 ' buSe ~0 .2 y = 960 ~0 X i3 = 130 - 7 X /oGz x 58= yoy ~9 TRI-LAND C0. gITE PLAN FOR: SURVEYING SERVICES WILLIAM a ELLEN 1260 YANKEE DOODLE ROAD H A N S E N EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT 9,BLOCK I~ WESTBURY THIRD ADD. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA FJ . SCALE = 40 T•~ V F `~l ~ I N Z~ /5d . 00 S~9 N - 41 ~ ~ ~~`Ai A,) -A - - -I Ni ~ ,l ~ '27• ~ .so.oo W 77, 7 , v ~ «s.. Z> ' ~ LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= ~'3 3 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVQTION = 883_S (gz.o) DENOTES EXISTING SPOT PF20POSEDBASEMENT FLOOR = 15-79 8 ELE VATION ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify thaf tAis survey,plan or rsport was prepcred by me or under my direct auperviaion and that I am a duly Bradley J. son, Mn. Rep. No. 13235 Reqiafered Land Surveyor under fhe Laws of the State of Minnesota. Date ~ 9 l2o ~8~? ONE AND TWO PATIILY I1WEI.LINCS ENERGY CALCIJLATION - AVERAGE "U" COHPUTATION ~or 9 bLK I klesi6w~ Isr, aWxER wi m ~ G~Len Na,~sa, sixE aDDxESS NtA/ CONTRACfOR DATE cj -/S"$ 7 CALCULATIONS BY Sc,oTT PHONE Determine wrking square footage of each that applies. . SQ F!' 1. Total exposed Nall area ~ 3 x./~ 202 .3 2. Total Roof/Ceiling area '1Z x.bZlo - 30,5 3. Floors over unheated epace 20 x.OS - 1•0 4. Roof/Ceiliag area (no a[tic space)..... z 5. Unheated Slab on Grade (Ln. Ft.)....... z 6. Heaied Slab on Crade (Ln. Ft.)......... x ~ Total Exposed S7a11 Area Above Foundation S a. rotal vall vindov area b. Totnl door area c. Total aliding glaee door area 3(p d. Total fireplace vall area 0 e. Total vall framing area (average lOX)........... f. Total net vall azea above floor g. Total rim joist area Total Exposed Foundation Area h. Total foundation vindow area (p i. To[al net foundation area above gzade............ 1qT_ J. Total unheated slab on grade area k. Total heated elab on grade area 1. Total floor area over unheated apace 710 Determine "U" value of each vall segment ' a• lqy" x' ,1/2- (oO~S b. z .O'7 Z• c. x~ d. e.' Ib r/ z D ~ /(o.la f. 1137.9 z S. 2Z : h. : ~ OS i.z . 0 9 I 12 . 2 ' j• _ ' k, x • i. _ 7. roxAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f ~O 8 . 2 ~ _f line !7 ie the aame aa, or lesa then linea #1 +(3.5,6), you have met the intent of thie code. Total Roof/Cnlling'Area m. Total ekylighC area . n. To[al roof/cailing frnming area o. Total net roof/ceiling area /Q 55F,Q p. Total Vaulted Area Detemine "D" value of each vrull aegment ' AREA . nUn M. x n. I17. x . 02(O 3.05 o. l ra5~• 9 x . az5 .,z<,~ 37 P. x = 8-.Tozni 2 9.y2 If line P8 is the snme ae, or leee then line #2, you have met the intent of thio code. ai + d(3,5,6) Zo3.3 +,1z 30.5 ~.33. 07 1(oS.2,lo + 48 z9,N7- 19 7, 6 To u[ilize the [o[al envclope syatem method, the vnluee tublis by thc sums of lines #7 + AB ehnll not be greuter then the s~s of lines + 0(3,5,6) + 02. ~ hi .i• i", . ' a` H>.ir~; • . 1.'..: }a ~4;,j,;;.:'.,- ~ . ~ i'i:,il . . . . . r p f' r 1'' i,: . , *i****#+**#*#****Y#*4#i******t;#*+*1aF * • C I T Y O F E G A f~ ~F~ .1.T~~F * APPROVAL OF PII2NIIT. * . APPLICATION FOR PERMIT * * itasrDCrronr oF sEWM Arm/ox WXM * TTISTAT.idTTONS WIIS, NO1' BE SCRED- * SEWER AND/OR WATER CONNECTION ~MM UWM PERMT HAS BEEN ; . * APPROVID. ~ * * • ~ r * * • ****+*,r*+~+r,r*x,e,e~,rt,e:***:***+r,e,r*,r*,e* P ease Print) 1) PROPERTY ADDRESS: .3 / Z LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXSSTING SIRL'CIL'RE, DATE OF ORIGINAL BDZLDING pERMiT ISSL'ANCE: ' ' PRFSENP ZONING/pROPOSID L'SE: (Abn Year) ~ COP'AAERCIAL/F2E,TAIL/pFFICE R-1 SINGLE FAMILY Q IDIDCTSTRIAL Q R-2 DCPLEX (4tvo C~nits) ~ INSTITL'•TIONAL/GOVIItNMENr ~ R-3 TOWDII-IODSE (Three + Units) ( C~nits) . ~ R-4 APARTMEN'P/CODIDOMINILTI ( Units ) 2) ~ NAME:_ 0~-CF~~#',7Q2ei"^ P,DDRESS: CITY, STATE, ZIP: PxorE:~ 3 - 9.5"3 :7 • 3) • u For City Use . Plumbers License: ADDRESS:~~,~~ Active yr ~i SC C i CITY, STATE, ZIP: ~ Expired G«~~ ~3'/ ~J- 3 Noc recoraea PHONE:~g~ MASTER LICENSE# C7C7 / Yn C' gtdtf 7nitial 4) • i~- NAME: Lv:` /!t ~(d rr s.s_„ ` • . ADDRESS: 3 7% 8' CITY, STATE, ZIP:_~,.` PHONE:__l~.5 ?1 _ 3r,~ 7/. 5) ~ v ~ r: • ~ - o• - o-~ 0~CONNECTION DD' CITY SEYM Q- CONNF]CrION 'IC) CZTY WA1E2 Q p1HER 6) ~ PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVID PEE2MIT TO 1, 2, 3. (4) ABJVE (Circle one) ' 7) r ru• • ~ "'1: ~ 1° 1'I: M ~ ••,Y ~ • I' D I:A• . i~ lY~' • JI• 1 • r. , ' I:n t e ::r M•1. •H?~ 1 1 1 ' :A' ~ . I P t~. M1 • • D~ • ~ ~ .FOR CITY USE ONLY PERMZT # ISSDED Pd w/Bldg. Permit FEES: $ $ /h S--~) SEWER PERMIT (INCLODE SORCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ r~ 7CS~ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ASC Z ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ 5 z s 6--Z) $ wAc $ ~2 S -flZ~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ 40 0 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S I'7 I 7' D C) $ TOTAL 77OC 7 . RECEIPT RECEIPT • DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: ~ APPROVED BY: TITLE: DATE : , ity oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 21799 ' . BFA BLOM9U4Sf EAGAN. MINNESOTA 55121 rdoror PHONE(612) 454-8100 THOMAS EGAN .WMES A. SMrtH . V1C ELLISON . _ 7HEODORE WACHIER - CoirrA Meenbers . iHOMlS HEDGES ' Ctty <bnwmata October 17, 198E7. EUGENEVPNOVERBEKE aiv cwn DAVE GABBERT GABBERT DEVELOPMENT 1ST NAT'L BANFt BLDG 1055 WAYZATA BLVD E WAYZATAI MN 55391 Re: Assessments for '_-"_--tre= 3rd Addition Bituminous Trail Project 441-B Dear Mr. Gabbert: v.es'Efocti n~ Please find enclosed Waiver of Hearing No. 00147 for special assessments proposed to be levied against Lots J~„ 6, 9 and 11, Block 1 T~=-,a-ee 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, cat Christopher Call Engineering Intern Attachment cc: Ed Kirscht, Engineering Technician III Deanna Rivi, Special Assessment Clerk CC/cks THE LONE OAK TREE.. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN , • ` DATE: October 15, 1986 WAI9FR OF HEARING N0. 00147 Special Assessment Autharizatioa I/He hereby request end authorize-the City of Fagan, MN •(Dakota County) to assess the following deacribed property osmed by me/us: Lots 2, 6, 9 and'll, S'lock 1 Windtree 3rd Addition to be assessed equally between 4 lots per verbal aereement wi[h Dave Gabbert ' for the Denefit received from the following improvementsd $24,000 8 4=$6,000 per lot ' ITF2[ 9HOUNT PROJECT ' . Bi[uminous Trail Lump sum (1) $24,000.00 441-B (1) The balance in the amount of $16,257.28 is being billed to the developer to be paid within 30 days. TOTAL $24,000.00 to be spread over 5 years at an annual interest rate of 9.0 % against . any remaining unpald balances. The undersigned, for themselves, their heirs, executors, administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby xaive notice of any and all hearings necessarry, and xaive . objections to any technical defects in any proceedings related to these assessments, and further xaive the right to object to or appeal £rom these assessments made pursuant to this agreement. Dated: . State of ) sa. By: ' County of ~ I t s: On this day of '19 , before me, a within and Yor said County personally appeared and to me personally known, xho being each by me duly sworn did say that they are reapectively the President and the of the corporation named in the foregoing instrument, end that the seal af£ixed . to eaid inatrument is the corporate'aeal of said corporation, and that siad instrument xas aigned and sealed in behal£ of said corporation by authority _ of its Board of and said and acknoxledged said instrument to be the free act and deed of said corporation. . Notary Public County My commission expims , 19 Notary Public , ~t APPRO4ED: Eng/Haiver Reviaed: 70/85 Fisgan Public Works Director SCREENS 26,29&30 REAL ESTRTE INDUIRY - NRME/ADDRESS/LEGAL XINGNC)G3 PRRCEL ID: 10 83652 090 01 PLpT NRME: WESI"BURY 3RD RDDITION LEGRL: 9 1 HOMESTEAD CqRD ENTERED: 02 22 1989 FIRST DIVISION: 01E069 09 US 1985 LRST DIVISION: FEE CURRENT UWNER: WILLIAM & ELLEN HRNSEN 387E WESTBURY LN ERGRN MN 55122 TRRN5FER TO SCREEN NUMHER: PF8-SCROLL FORWRRD , eSmNT ,Paree( /D on CTy rn~ r~o 90 ~~~-~9 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVUChon Reaui2ments RemodeVReoav Reouirements Offce Use Onlv 3 registe2d site surveys showirg sq fl of l04 sq. R of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20% maximum lotcoverage allaved) 1 set of Energy CalculaGons for heated addi6ons Tree P2s Plan Recd Y_ N 2 cop'ies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey for additlons 8 decks Tree Pres Required Y N isetofEnergyCalcuWtions Addrtion - indicaleifon-sdesepticsystem On-s'rteSepficSystem _ Y _N 3 copies of Tree PreservaUon Plan if lot plaaed after 711/93 Rim Joist Defail Op6ons selection sheet (bldgs with 3 or less umts Date l / 2 3 /o , Construction Cost 767> ~ Site Address UniUSte # i Description of Work L~-GV ,f jJp7,,7= ' /q/:/lA4p~^-" Multi-Family Bldg _ YZ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( yU~) Contractor r ~+t~ 17-57*10 Address Z( /C~ City .ST L State Zip Telephone#((,,,,5/) 3212_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6latlon Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Coniractor Telephone ) Sewer/Water Contractor Telephone ) 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 ofplans. /,S!-/Tir,~- plicant's Printed Name licant's Signature OFFICE USE ONLY Sub Types ? 01 Foundalion 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-p10x ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplacCment 'Demolition (EnUre Bldg) • Give PCA handout to 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 Const Width REQUIRED [NSPECTIONS _ Footings (new bldg) _ Pinal/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile 0[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Smcco _ Smne _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING • Permit Application City Of Eagan (o I 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucUon Reauirements RemodeVReoair Reuuirements Offce Use Onlv 3 registered site suneys showing sq. ft. ot lot sq R of house; and all roofed areas 2 mpies of plan Cert ot Survey Recd Y_ N (200% maximum lot coverege allowed) 1 set of Energy Calala6ons for heated addi6ons Tree Pres Plan Recd Y_ N 2 copies of plan shovring 6eam 8 window sizes; poured found design, etc. 1 site survey for addillons & decks Tree Pres Not Reqd Y N 1 set o( Energy CalculaUOns Addifion - mdicate domsde sephc sysfem On-site Septic System _Y _ N 3 copies ot Tree Preservation Plan if lol pWtted after 111193 Rim Joist Detail OpGons selection sheet (bldgs with 3 or less uniLs Date 4;/ Construction Cost 5,,O~ OhTJ Site Address V)F-S-rg~'UE~y L.psTJ g=:= UniUSte # c Yvi dJ~SI 2-3 Description of Work I ZX `{-r_>7> !T-10/.1 Multi-Family Bldg _ Y x N Fireplace(s) ~ 0 _ 1 _ 2 PropertyOwner ~~Lb{TLas' 12 MEor )0}(-A$e3j Telephone#((051 )!JOS 35B47 ~ Con[ractor ~ . LZV--A1StI 4rp-Pi;=t`~-~l Address Zej-Z7 ~ ~ . City N . 5'-~tfv i- VS-1 ) ~ ~S 3 Z1 S[ate ki Zip 4t_5_1 0 Telephone # V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenUal Venlilatlon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissianrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor S P Telephone ) Sewer/Water Contractor I Telephone ) B 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. A licant's Printed Name plicanYs Signature OFFICE USE ONLY Sub Types • ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - PAulti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage /RI 22 PorchlAddn. (4-sea.) 0 33 EM. Alt - SF ? 04 02-plex ? 10 08-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_Y or _ N ? 25 Miscellaneous WorkTypes (064-jC ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition~ ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation C9 Z7 Occupancy ~L MC/ES System Census Code y 3 y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units ~ Sq. FL PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Canst Width REQUIRED 1NSPECTIONS Footings(new bldg) FinaVC.O. ~ Footings (deck) ~C FinaUNo C.O. Footings (addition) Plumbing ~ Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ AidGas Tests _ Final x Framing _ Siding Stucco S[one Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Re[aining Wall rK Approved By T2=:~ , Building Inspector ease Fee `a-9 3 1 a-~- Surcharge 9.00 .p0 I/ - 5 Plan Review MC/ES SAC City SAC L I Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total y 01 a-~ ~ . ~ TRI-LAND C0. . SURVEYING sITE PLAN FOR: SERVICES' WILLIAM-8t: ELLEN 1260 YANKEE DOODLE ROAD; . H A N S E N EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT 9,BLOCK -1-, WESTBURY THIRD ADD. ACCORDING TO THE RECORDED PLAT . . . THEREOF DAKOTA COUNTY,MINNESOTA ~ : . . _ A . . ~ _ . . . . i . • i ~ . ' , , , • - , . . . SC,4 LE • / = 40 , ~ . • ~ I~ .~~a Z'J'IsIf - _A_ Q l .ry~ S4.e ~ ~ I ie r?a~ " _ _ _ ~ _ _ I /e V1 ~ I ~1 1M) L l~. Al 4V, 1:27+.-0 3c ) . ~ LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSEO GARAGE FLOOR ELEVATION = 5125a•3 ~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = $83•S (Sz•o) DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR = g-79•S ELEVATION ELE VAT) ON. DENOTES PROPOSED SPOT ELEVATION ~ OENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGNTS WITH FINAL HOUSE PLANS 1 henby eertify thaf'tAis surveY, Plan or rsporf Mas pr,epared by me or under my direet ,supervisian and fhat I om a duly Bradley J. son; Mn. Rsp. No. 18235 a Rsyfstered Land Survoror under the ~ Laws of the State of Minnesoto. Dafe : g o OCT-9-2003 10:25 FROM:J.CRENSHRW CARPENTRY 651-779-6023 T0:6755694 P.2 Pcrmit Number REScheck Compliance Certificate cn=kea ByrDate 2000 Minnesota Energ,y Code REScheck Software Version 3.5 Release le Data filename: lohnson.rck PROJECT TITLE: Addition and Deck COUNI"Y: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION 7'YPE: Single Family DATE: 10109/03 DATE OF PLANS: 8/39/03 PROJECI' DFSCRIPI'ION: Trent and Michelle Johnson 3876 Westbury Lane Fagan, MN 5123 DFSI G NFJUCONTRACTOR: J. Crenshaw Carpenvy Inc. 2422 14th Avenue North N. St Paul, MN 55109 COMPLIANCE: Passes Maximum lfA = 129 Your Home UA = 108 16.396 BetterThan Code (UA) Gross Glazing Area or Cavity Cont. or poor Perim r R-Value R-Value U-Factor UA Wall 3: Wood Frame, 16" o.c. 96 19.0 0.0 3 Window 3: Above-Grnde:Vinyl Frame:Double Pane with Low-E 17 0•290 5 Window 3 copy 1: Ahove-Grade:Vinyl Frame:Double Pane with L.ow-E 17 0.290 5 Window 3 copy 2: Above-Grade:Vinyl Frame:Double Pane with i,ow-E 7 0280 2 Window 3 copy 3: Above-Grade:Vinyl Frame:Double Pane with L.ow-E 7 0•280 Z Wall 2: Wood Prame, 16" o.c. 128 19.0 0.0 6 Door 1: Class 8 0.320 3 Window 2: Above-Giade:V iny! Freme:Double Pane with Low-E 17 0.290 5 Wall 1: Wood Frame, 16" o.c. 128 19.0 0.0 7 Window l: Above-Grade:Vinyl Prame:Double Pane with l.ow-E 8 0.320 3 Wa114: Wood Frame, 16" o.c. 96 19.0 0.0 5 OC7-9-2003 10:25 FROM:S.CRENSHAW CARPENTRY 651-779-6023 T0:6755694 P.3 Window 7: Above-Grnde:Vinyl Frame:Double Pane with Lnw-E 17 0.290 5 Wall 5: Wood Frame, 16" o.c. 128 19.0 0.0 S WaII 5 copy 1: Wood Frame, 16" o.c. 128 19.0 0.0 8 Floor 1: SlatsOn-G[ade:Untteated 44 5.0 33 Insulation depth: 3.0' Ceiling 1: Cathedral Ceiling (no attic) 224 30.0 0.0 g Fumace 1: Forced Hot Air, 90 AFUE Air Condidoner 1: ElecVic Central Air, 10 SEER Proposed and Maximuro U-Factor Averages proposed Maximum Aveiage U-Factor Allowed U-Factor Abovc-tirede Windows artd Glass Doors 0.293 0.370 includes Foundatlon Windows > 5.6 ft2 COMPLIANCE STATEMCNT: The proposed building design described here is consistent with the bwlding pluns, speciticaGons, and other calcutations su6mitted with the permit application. The proposed building has been designed to meet t~e 2000 Minnesota Energy Code requiremenis in REScheck Version 3.5 Release le (fonnerly MECcheck) and to comply with the mandatory requirements listed in [he RFScheck Inspec[ion Checklis[. Builder/Designer pytej!E~. ~J _ J ) SUBTERRAMEAN ENGIR9EERIiVG CORP. 8875 Highway No. 65 N.E. P.O. Box 32377 DATE MINNEAPOLIS, MINNESOTA Phone 574-1242 EARTHWORK OBSERVATION REPORT ' ~ OBSERVED Job Nams iL/e~t61~GY~/ J- Y"'s'~~to ~ /1_(>DN_ Job No. _ EXCAVATION~ t7 Job tocatlon -Wesec f,f'a/._f .fex:~b Lot ~1.-~~"----- EartAwork / Block _ Contr ctor Cllent ~_~t'r Plal 3 ~pAi~i~• ~'c•Y O:36 pM, ~~'t ~Arrive Jo~ SSMlleape _3`r'ni. FILL PLAC;7; ~~.N~~ Tote µ '0' Z ~ Charpsable ~ Lot D~pert ob '~ravsl Tlme Houro 2 Lab. Tlme Block Totsl Hours /~irl Enp'r plat On Job RsPort Tlme Review Tlms Summary of Toehnlesl and /or Enyfneerinp Sorvleea Der}ormsd Ineludlna Fleld Test Deta, Loeatlons, Elovations, snd DsolA• sre sstlmated. THE LIMITATION OF LIABILITY STAT@MENTS ON THE REVERSE SIDE OF THE COMPACTION pUALITY CONTROL TEST REPORT CONS4ITUTE AN INTEORAL PAqT HENEOF. _ feet desp ~O feet doop ~ 1. Excaretlon I• j_ Elsvatlon st _i_ end , 9radln9 to i~~ Elovitlon at - ond 2. Sld* Slopes srs approx.: vsrt. K 1/2 horiz.: lvert. O 1 horiz.: 1 vart. C7 2 boriz: 1 vsrL O tlatter than 2:1 p otbar E 3. Constructlon Staking Is: adequale g not evallable C7 IneomDlet• C7 X 4. Excevatlon Is orsrolzed 2. ' feet outside of building Ilnet. c S. Excevatlon Is: dry ~ wet ? A 58. Water Is sseDing from v 5b. Depth o1 water In sxcevatlon eDProx. A 5c. Dewatsring Ie: neceesery ? not rsqulred ? T 8• Excavetlon Is wlth : dragllna ? beckAos 0 •craper O doter ? ~ 7. All unsulteble eolle have bsen excavated YES SU /L NO ? 0 7a. feet of-p1" d !,_,5Q# _S![J_.- wll nmalns to be remowd. N 8. Soil at eacevetlon baas Is: Sllty Clay ? Sendy Clay ? Clayey Sllt 50 Sllty Sand ? e Clayey Sand Q Clean Sand O O:hor - 9. /set o1 /111 reQUlred to reeeh dssign subyrsd*. 10. Excavatlon Is: Approvsd ? Not Approvsd ? for flll placement. 11. FIII Is (type of Solq 11a. Imported ? On-sIto borrow El 11D. Compactfon Is with shespefoot rolter ? manuel tamper O rlbratory O F emooth drum roller ? sNT-propellod ? non-vlbratory O 1 12. Parformed ilsld densily tssls. Soo Compaetlon Ouallty Control L Tott Roport No. ~ L 13. feet o} tlll remalns to be placed. 14. Denslty tsats mest coJnpactlon spsclilceflons. YES ? NO ? 14a. Tsot No'e. dld not most eompactlon opoelficatlone. 15.Addltlonel observetlons nd/o t a r Ir d YES 19 NO FROST ADJACENT 0 DEWATERING: PROTECTIO STRUCTURES: WEATHER CONDITIONB: ~ N wNl polnt O straw blan ets ? Hot Dry ~ ~ ~-dseD sll~ O looas s ? _ Worm ~ Ratn ? I T op~n Iteh ? frost pping ? wlthl 20 feet O Cool ? Snow O ~ o sa•• Purnp C so . neac ? /30-40 coos ? i32'F L1 S o •r O ot er ? 40 or more feet ? Sub-hoazin9O RECOMMEN AT ONS/ UMMARY/WORK PROdRESS: -r - ~ P P i r 4 tie : . DISTRIBUTI ee: CC: _~Cp{LSL .~L cc: DY i~ -T- _cc; Subterranean Engineering Corp. ce: THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: 1. In perForming our professionel services with regard +o eahhwork in:pection end queli#y wntrol, our findings will be obteined and our recommenda#ions mede, in eccordance wifh generelly accepfed engineering principles end prectices. We will observe, monitor end +esi +his work, end may advise or make recommendations, but we are not guerertlon. This warrenfy is in lieu of all other werranties either expreued or implied. 2. $ubterreneen Engineering Inc. does no4 predice in fhe field of lend surveying, end is not responsible for }he eccuracy of grade siakes end/or building location s}ekes eY this jobsi+e. There must be adeque4e construction s+ekes, cleerly marked, +o eneble our wil inspec+or fo properly aness the excevetion. We will not be responsible for eny herm- • ful tonsequences resuhing from improper or incorreci construction sfeking. 3. The field densify fest date presenfed with this report represenh fhe velues at per- ticler locelized poinfs wifhin +he eerfhwork. Alhough ihis is believed #o be feirly repre- serttatire of +he condi}ion of +he fill placed end compacted on this dete, condifiom af o}har.locefions and eleve+ions in +he fill may vary, and we do not warranf or guerenfee uniform fill densities. 4. We cennof ceriify, either expre:sly or by impGcetion, the quelify of eny work on 4his projecl which we did no+ heve ffie opportunify fo observe at first hend. Inspedion of #his aerfhwork project et irregular intervals does not permit the inspecfor to esseu fhe full scope of the contrector's ecfivifies. 5. If the siructure is redesigned in sixe and shepe, or if it is ofherwise moved subsequant fo our inspecfion, we should be notified w thef we cen asseu if edditionel inspeetion work is required, or suggesf zound engineering elternetives. We are not responsibb for eny soil-foundefion system where the sfructure has been relocated wiih resped }o esuvetion end fill erea, subzequent to our inspedion. . A'o J f / . ; lol ~,4~ % v~ qyY 14 ` r l; ~aT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3876 Westbury Lane Lot: 009 Block: 001 Addition: Westbury 3rd PID:10- 83652- 090 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Permit expired without required inspections. Letter sent 2/10/09 CE Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Michelle R Marshall 3876 Westbury Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078347 06/18/2007 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 h all applicable State r 1 For Ofrlae se P *5 City or Eaali Permit Permit Fee: SO/ i 5 C 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675 -5675 Staff: Fax: (651) 675-5694 2009 SEWER AND WATER REPAIR DISCONNECT PERMIT Date: 4 1 q' t Fee: $50.50 City Sewer City Water V Repair Disconnect Description Of Work: Lots °e t'` 5 r q7 e (A5 L' d rc Street Address for Proposed Work 3 S e Oc4 r ft-k, OWNER Name: Ire i 7 4- 6 r Phone: f.P57 y 3 Address City Zip: 3 76 Lt-16'57 LCt Applicant is: Owner Contractor Liceensed Pipe el layer Master Plumber y Property Owner Name: 64 Phone: l d- 3 6 d 4 l�� r� if Address City Zip: 5 r 2 Pi ela er Training Certification i License 051-.7 U p y g rt cat on Card or Master Plumber Lice se I acknowledge that the information is complete and accurate and 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. Applicant (Print Name) Applicants Signature