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3849 Westbury DrCityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 012009 msra Permit #: q,2 Permit Fee: Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Date: \-20-09 Site Address: cl Tenant: Tb Suite #: RESIDENT / OWNER CbOb €C Phone: (-Lygtv.Q- c?CO ? Name: -c___ S Address / City / Zip: 34.ci f Dr 1 / c SS) Z3 CONTRACTOR License #:Li ( (4�1ri 13 Name: BURNSVILLE HEATING & A/C, INC. Address: 3451 W. Burnsville Parkway Suite 120 City: Burnsville, MN 55337 State: Zip: Phone S - ' 4 -000,S—Contact Person: 6\ YtC"-- U TYPE OF WORK New Replacement Additional Alteration Demolition �D�e„m�olition Description of work: I i 1 ' ll 4.1 t f) 4 (r 4 IJ ! '--1-14(A- , {N 9F'�I Oi�PNy� � u��y'�' ` p � "L=`,3��,Fi �` ��11��§•�� ,�-c �. .�` ) � 1. Y f d' a- � � `j � � + "�, PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed l‹ Air Conditioner Gas Exterior HVAC Unit Air Exchanger Heat P mp Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector / X Other TI�'j RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $90.50 Fire repair (replace burned $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is Tess than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 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. Applicant's Printed Name x Applicant's Signature . . . _ _ CITY OF EAGAN . ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 . , PHONE:4548100 eUILDING PERMIT Rece+vt # To M wed fM Est. Volue 7 0 0o Date i-~VR 7 T iL- Eract Q Ocwpancy Site Addra*s - ' - /Sub. Remodel ? Zoning R - i Lot Block " ~ - - Parcel No. Repsir ? 'fype of Const, V Enlarge ? No. Stories p Mova ? Langth ~ N8R1@ 7 t~7'~Si~ 4 y. ~ Demolish ? Depth Addresa CT Grede ? 5q. Ft. City T= ! ~ ` Phone Install ? :i.1C3 AaYrovaM Fees Name Addrea Asssssmenr Permit 14 s_ u u~ City Phone Wote? 3 Saw. Surcharpa t Palite Plan Review W Nrne Fin SAC W 1 x13 Address Enq. Woter Conn. ;(1(, u City Phone Planrwr Wotefp Meter L' ~ Z. Council Road Unit ( hercby xknowtedg* thct I haw rood fhis opplicotion ond stete thot Bldg. Off. 4/ l 6 5 ParKs tM inlwmation is correct ond ogree to comply with cll cpplicable APC Total StaM of Minnesoto Stctutes and Cit~e of Eoqon Ordinoncss. - Var. Date Sipnoturo of PermittM C t ; • % / . r ~ A Bu{Idin9 PannlT {s lsswd fo: on tM expnss tonditbn 1hot dl work sholl be dorN in ocaordonct with oll appliaoble Stote of MlnnetoM Stotutes and City of Eopan O?dinonas. 9uildinp Offkiol PKmit No. Pomit Ho1dK DoN TN hons ~ MumbGq 2 a_ H.VAR. ~ -ci - 5 5 q -(r eMeaio YLco 3 Sottowr Impection Dsb Intp. OthK Footing Founelation Fnmin4 Rooilnq Rou9h Plby. . O31 Rouyh HVAC Inalation Finsl PIlq. - , Find HVAC ~ ~ Fie+d {j e. ' ~ w,m onor~e. Loe.N . NNIi Sower Pr. Di1p. CITY OF EAGAN Remarks Addition WESTBURY FIRST ADDTTToN - Lot 5 Blk 2 Parcel 1.0 83650 ncn .,O Owner Street 3$1E9 Taestbur3:~ri-ve Sta[eRagan, MN 5512i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 . Q C010426 7-1 5 STFEET RESTOR. GRADING Watermain r 1986 65.29 4.35 15 SAN SEW TRUNK 416-21 99-08 15 407-15 n ~c SEWER LATERAL it i~ Water area 1986 133.79 8.92 15 1-33-79 " " WATERMAIN It it WATER LATERAL 1986 WATER AREA 6-_ *Serv3ces 1986 STORM SEW TRK 1986 710.24 142-05 5 210,24 ~e STORM 5EW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. n n SAC 525-00 PARK ^ ^INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4, '•r Eagan, Minnesota 55123 Date Issued: 4+ ° 1 (612) 681-4675 SITE ADDRESS: APPLICANT: " 1' 611 I! Il~t 4•1 ;1l I INt I Ii 1lillt- e (r, 1,' '.1.,10 PERMIT SUBTYPE: TYPE OF WORK: i I I , r [,,I' ili if INSPECTION . .A :f111~~1i IIJ I I~~:~i ~ F L J Permlt No. PermR Holde? Date Telephons R I S/W PLUMBING ~ HVAC ELECTRIC ELECTRIC inspectlon Date insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Otsat Test Final Plbg. Plbg. Inspector - Notily Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Fnal Well Pr. Disp. ~ INSPECTION RECORD CITY OF EAGAN PERMtT TYPE; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SlTE ADDRESS: APPLICANT: 1!I ~!:I1~, ~ I 1 i i.~ • 1~ , PERMIT SUBTYPE: TYPE OF WORK: ; r~?~r~ i 1~~~r! t~! INSPECTION D• ON TYPE D• IiC9 1 Yj t: r~~ r~ I I z~i: I I Ffltl I IMSri;:i . t1 '.II'/1t;(tll flV hY1I f, i•;f1?I1 1 1,1 ir Eiti; A !'d'I 1!~< li.t(l~il N1+1~f s 113, ~ 9- K,L PermR No. Pertnit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inapectlon Date Insp. Commenta FOOTINGS ^Qrjj^ i FOUND FRAMING r• ROOFING ROUGH PLUMBING PLBG AIR TEST , ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAI BSMT R.I. BSMT FINAL DECK FfG , DECK FlNAL CITY OF EAGAN N° 10 0 9 4 ' 3830 Pilot Knob Road P.O. Box 21•199, Eagan, MN 55121 BUILDINC PERMIT PHONE: 4548100 R«eiW # Te M qud {ar SF DWG/GAR Est. Value 70,000 Dote APRTT. 1 S 19_$,y SitaAddren 3849 WESTBURY DRIVE Erect 0 ocaupancv R-3 Ws 5 aloek Z Sea{Sub. WESTBURY 1ST Re'^°del O Zoning R-1 Repnir ? Type of Conrt. V Parcal No. Enlerge ? NO. StoriM M Ne,,,, GRAND OAKS DEV °"e ? ~enytn 50 ~ ~ De1881 SONRTSE CT moliah ? Depth48 Addreu Grede ? Sq. Ft. citv EAGAN Phona 452 -R934 Instau ? Apyrovab Fas }G Name S~E Assessmenf Peimit 343 _ (1(1 ( Address ~ City Phona Water85aw. Surchorpa 35.00 Police Plan Reviaw 171 . 50 G°W` Name ~ Firo SAC 525_00 g! W V Woter Coron.24 Q_.QQ. x~ Address + Erq. .CZ City Phone Vlonner WoterAAeMr_G.3_.QQ Councfl Road Unit 28a _ nn 1 hercbY ocknowledps that I hove raad this applicotion and stare that Bldg. Off. 4 1 85 7p1Qio TP 132_ 0 D tha informotion is wnect and o9ree to comPly with oll opPlicoble APC Total 9 State of Minnawta Srot/uy and Gt r o Ea9on dironcas. Var. Date Slpnotun of Pemultai" G(R A Bufldinq Permit Is isiusd to: D A DEV. m ths expreu eonditlon tMt dl work shall be dwa in nte with oll opplimble of Minneaofo Stotutet and City of Eoqan Ordinoncas, Buildirp OHidM ~ ~ City of EapIl ; Permit# I pertnitFee: 3830 Pilot Knob Road I ~ Eagan MN 55122 ~ Date Received: ~ Phone: (657) 675-5675 i I Fax: (651) 675-5694 I Staff: I . I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~G C~a Site Address: 3~5` / Tenant; Suite RESIDENT / OWNER Name: Phone: f0~~ OZ~ -2 Address/ City /Zip: Applicant is: V_ Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes N%~Vlj ~ CONTRACTOR Name: License Address: City: State ~ Z' O s~" O Phone: &S ( - 3a5 - I-r'j 73 Contact Person: ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 SubmisslOn Type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: " NOTE: Pta»s and sy-pporhng.-do6urrients that you.submit are consitlered,ta be pub11646116rmatian:~ Portrons'-of the informatfonmay be c/assffjed as na»=public if you prouide spec~c ieasons ~at`would perri5it fhe Crty"to coddutlethatthe areirade:secnets::.- ~ I hereby acknowledge that this iMormation is complete and accurete; that the work will be in confortnance with the ordinances.and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permd, 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. x-~'~~ ~ 4 c1'o ApplicanYs Printed Name Applicant's Signature Page 1 of 3 659qs' ~7D~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reaviremenis RemodellRepair Reauirements Office~tJse{7nH 3 registered site surveys showing sq. fl. of lol, sq. ft. of twuse: and all roofed areas 2 copies of plan Y--0. (20°6 maximum lol cwerage allowed) 1 set of Energy Calculatiore for heated addition TreePres.~len~R~tl _Y. _N; 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks FrBEPrasRequired Y mmN 1 sei of Energy Calculations Addition - mdicate if on-sife septic system Dtestle Sbpite System .....Y _ N. 3 ccqies oF Tree Presenration Plan d lot platled afler 711193 . Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units Date lk Construction Cost f'; Site Address Unit/Ste # Description of Work Multi-Family Eldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~II Q ~~lC7 Telephone Contractor a~bilU Address 67~ if/' City zm~~~ State Zip 03W Telephone # (qJ7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categoiv 1 _ Atinnesota Rules 7672 Energy Code Category • Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) 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 J Mechanicai Contractor Telephone # ( ) Sewer/WqterContractor 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 pernut, but only an application £or a pernut, 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. &5 0A44,-~' Applicant's P nted Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 PorcNAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor _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 Alteration ? 37 Demolish 8uilding" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Boaster Pump # of UnRs Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of ConsY Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundauon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Frazning _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wa11 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 l~ ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS !lUST BE LICENSED HITH THE CITY OF EAGAN ~ INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OE ENERGY CALCULATIONS To Be Used For: Valuation: ~ Date: Site Address: ~ OFFICE OSE ONLY Lot: ~ Block Z. Seet/Sub de-f-4:Lct ~C Oceupancy L Remodel Zoning ~ Parcel # Repair _ Type of Const ~ Enlarge 1! of Stories Owner ~~ij~e~Ad~t&}.L Move _ Length ~ Demolish Depth ~}8 Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor~~{Jf~ Assessments Permit 343.' Water/Sewer Surcharge 35,m Address /j~ril sUl]gfS£ ~ Police Plan Review Fire SAC City/Zip Code Engr Water Conn GxC;,.°' Planner Water Meter fo3.= Phone y$3 Council oad Unit 2gp, m Bldg Off , arks Arch./Engr. APC Treatment P1 132.°° Variance Address TOTAL City/Zip Code Phone ll ~ , $URVEYOR'S CERTIFICA.TE : GRAND OAKS DEVELOPMENT C0. (272) ; . ~ , ; . ~ DENOTES PROPOSED SURfACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR s t.~ FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = .8 fEET (000.0) DENOTES PROPbSED ELEVATION PROPOSED TOP OF BLOCK = S82.D 4"FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ' ~~i~r~dfB~Cako~s CoS~SUFYi,FIDSTQAaGiT:C'rd, accard:rn to the record-d plat AND OF THE LOCATION OF A PROPOSED BUILUING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 22NC DAY OF F"•ARCH , 198 5 i s 8IGNED: JA~ R HILL, INC. BY: HAROLD C. PETERSON, IAND SURVEYOR Sheet 1 of 2 sheets. h1INNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE ,JAMES R. HILL, INC. 85509 /oG ~ 57 Planners / Engineers / Surveyors • FILE NO. 8200 Humboldt Avonuo South• FOLDER sloomington,nsn. 55431 e12-8e4-3029 SURVEYOR'S GERTIFICATE ' ' (272) `8Q g . o lyF ~ 880. ~ Sre , ti ,'~'-~'g3,ss 7 ~ 's ~A tta M ~ ~titi~cq9 .!o ~ ) \ o ~ 2 v J ~ a_ 9' ti ; a 3 ' ti n~ ; N (4) ~B 9 ~ ~w g~R / y. p~OP j e0 ~ ~ p~ , ti ~ yo`o,rFo r 40 ~~8~~2 4so rym•^oo .'114 ~ y L OT 5 4 0\ ~ ~ 0 g s ~ 1 . S 0°l7433"E FA29\ N F A PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85509 /6 ~I-5 7 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Arenue 6outh FOLDER etoominaton, Ma 55431 612-88473020 EXTERIDR ENVELOF'E AVERAGE 'U' COMPUTATION 6RAND OAk::S DEVELUPMENT COMPANY MODEL 0 AREA U U X AREA REQUIRED 1. TOTAL WALL AREA 1800 X.11 148 2. TOTAL ROOF AREA 1196 X.026 31.096 ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 .5 93.33 B. DOOR AREA 39.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIFEPLACE AREA v O 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 G U 0 I. FOUND ABOVE 6RADE 96.48 .135 13.0248 3. T07AL-WALL AREA 180o 185.5426 J. Sk'YLITE U O 0 K. Fi00F FRAME 119.6 .032 3.8272 L. NET ROOF AREA 1076.4 .025 26.91 4. TOTAL ft00F AREA 1196 30.7372 SUM 1.+2, 229.096 SUM 3.+4. 216.2398 PERMIT (?2 3 r y ClTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N 6 Eagan, Minnesota 55123 Permit Number: 024542 (612) 681-4675 Date Issued: 0 9/ 15 / 9 4 SITE ADDRESS: 3849 WESTBURY DR LOT: 5 BLOCK: 2 WESTBURY P.I.N.: 10-83650-050-02 DESCRIPTION: Building-.Permit Type FIREPLACE building Wo,rk1~ Type NEW t _1 Y , i i~ r ~17\~ ~~l!~~ REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - OWNER: VIERECK FIREPLACE INC 14455620 GATES 60B 3465 NW 140TH 3T 3849 WESTBURY DR SHAKOPEE MN 55379 EAGAN MN (612) 445-5620 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 3tate of Mn. Statutes and City ofi Eagan Ordinances. J ~ IN APPLICANT/PERMITEE SIGNATURE SI SU~'-ED B IGN URE N, CITY OF EAGAN 14541 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, i set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuati of work a 7 - a Site Address:3 9 A Q,o 1„ STREET SUITE N Tenant Name: (commercial only) LOT _Z BLOCK ~ SUBD. P.I.D. # l.V Descri tion of work: ~ r C. G The applicant is: ? Owner lKContractor ? Other (Describe) Name G Phone Property ' LAST FIRST owner` qddress GJ~L4~ L1. ~ . STREET STE p City a~ State Zip Company UIFRCGK F-,I , _ _ Phone Contractor Address 3465 140TH ST. N.W. License # Exp. E, MN. 55379 City _ da5,5a~n State Zip Architect/ Company Phone Engineer Name Registration # Address " City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this aPplica on and state that the information is correct and agree to comply th all appli able ate~of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY iA BUILDING PERMIT TYPE a. ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind. ? 04 SF Porch ? 09 12-Plex 415 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual Basement sq. ft. MWCC System (Allowable; lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census unit Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site ? Footing ? Framing ? Insulation ? Wallboard O Final 0 Draintile ? Fireplace Permit Fee veiuac;on: S e2. ' Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units PERMIT erw#9s';:W ~ CITY OF EAGAN suiLozNG ~ 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 7 9 (612) 681-4675 Date Issued: 10 / 0 3/ 9 5 SITE ADDRESS: 3849 WESI"BUf:Y DR LOT: 5 BLOCK: 2 WESTBURY 1ST P.I.N.: 10-83650-050-02 DESCRIPTION: (ENTRYWAY) &fiildin§_Rermit Type SF ADDITION Buileling Wurk Type NEW `t ; ~ r. \ { 3 ~ . . . _ ' ~ REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $3>000 Base Fee $74.75 Surchiarge $1.50 Total Fee $76.25 CONTRACTOR: - ppPlicant - s7. l.zc. OWNER: R 0 CONST 14523575 0004988 GA7ES BOB 980 5TONY POINT RD 3849 WESTBURY DR EAGAN MN 55123 EAGAN MN 55123 (612) 452-3575 (612)688-8869 I hereky aoknow]edge that Z have read this applzcation and state that the information is correct and agree to comply with al1 appSioataSe State of Mn. Statutes and City of Eagan Ordinances. L- ~ P NQ n IC Ojj 1! I~ APPLIGANT/PERMI7EE SIGNATURE \ ISSUED BV SIG TURE IL419 CITY OF EAGAN ~ F 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CP~~t~ 681-4675 New ConMdion ReauiremeMS ItemodeVRepair Reoulrcments ? 3 repfalerod site smveys ? 2 eopies of plan ? 2 copies of plera (indutle beam & window sizes; pomed fid. Eesign; etc.) ? 2 ske suneys (exterior adOitions 8 dedcs) ? t energy niwlatiorro ? 1 energy celwletions Por heated eddilians ? 3 oopies W hee piesenation plan H lot plalted aRer 7l1A3 requirod: _ Yes _ No DATE: F' 'Z 7- S S CONSTRUCTION COST: Z DESCRIPTION OF WORK: STREET ADDRESS: --a LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: C7 -e-te 5 Wa ~ Phone OWNER Street Address' 3'y `f &42 Sy City: ~ a ti State: d-c-w Zip: ss'~ z'3 CoNTRACTOR Company: R. 0. CoNBTRUCTION Phone qf-L' 3 r 7 5~ EAQAN, MP! 65123 Street Address: License 5s City: State: Zip• ARCHITECT/ Company: Phone #ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumher. . Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Signature of Applicant: t------ - - OFFICE USE ONLY j Certificates of Survey Received _ Yes _ No SEP 2 7 1g95 Tree Preservatlon Plan Received Yes No OFFICE USE ONLY " . • BUILDING PERMIT TYPE } ~ ~ 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool ~03 5F Addition o 08 8-plex o 13 Garege/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations ? 36 Move ~32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. %3y Depth Footprint sq. ft. SAC Code 6TI CBnsus Bldg • Census Unit _0 APPROVALS . Planning Building Engineering Variance Permit Fee Valuation: $ Do ° Suroharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) - CITY OF EAGAN g- 3830 PILOT KNOB RD • 55122 651-681-4675 Hew ConshucNon ReauiremeMs Remodel/Reoalr Reauirements ~ ? 9 reglslered sRe surveys :howing sq. R. of lot, nq. H. of house 2 copies of plan and gll rooted areaa (20% maxlmum loT coveraae allowed) 1 set of energy calculaNonf for heated addfNons ? 2 coples of plans (show 6eam 6 window sfzes; poured ind. dealgn; eTc.) 1 sHe survey fw exterlor addRiona 3 decks D t sei of energy calculatfona ? 3 coplea W hee preservaNon plan p IW plaNed aMer 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: z Zt % 'e 5 ia -N/ LOT: ~ BLOCK: SUBD./P.I.D. , ~ ~7 ~ Phone / Name: L> ~4; fi ce PROPERTY Last ~ Fkn ~ OWNER Street Address: ~ b ~ Ci1y State: < Zip: Company: 0).7 a ir1,a Phone#: e~;5 (area code) CONTRACTOit lJ , Sheet Address: 157d e Llcense #??~~o&xp. cny state: 111'73 ziP: ARCHITECT/ ENGINEER Company: Name: Yelephone area code ( ) \ Sheet Address: Regishation N: Cffy StaFe: Zip: Sewer 3 water Ilcensed plumber lreauired for new conskuction onlvl: PenaHy applies when address ehange and bt change is requested once permM is issued. I hereby acknowledge tho} I have read this application, state fhat the Information ect, and agree fo comply wBh all applicabl Sfate of Minnesota Statutes and City ot Eagan Ordinances. L~ Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received -A Yes _ No Tree Preservatiort Plan Received _ Yes _ No _•NotRequired OFFICE USE ONLY • . BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plez ? 12 12-plex ? 17 Garage ~ 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 13 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 7enant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Q 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (interior) ? 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units ~ Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building e_~ Engineering Variance Permit Fee Valuation: Surcharge Plan Review 1 2- Co- 9 1 License MClES SAC . City SAC Water Conn. • Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. , Park Ded. Trails Ded. Other ' Copies Tosai: SAC Units % SAG . . • . 3~s'~~ U-)~~-b~~~ CITY OF EAGAN E7[TERIOR ENVELOPE AVERAGE IUI COMPUTATION Oi1NER: SITE ADDRESS• CONTAACTOR: AI LUIQN C~~S ~ DATE: PHQNE: Determine vorking square fooLage of each: 1. Total exposed wall area 409 ( sq. ft. x.11 = -j(4o ( 2. Total roof/ceiling area 349b sq, ft. x.026 Total e:posed wall area above floor = (091 a. Total wall windou area W b. Total door area a c. Total 933d#xg glass area•Awtal 35 d. Total fireplace uall area o e. Total xall .framing area (averagetOx) U,q ~ f, Total net vall area above floor 39-7 g. Total rim joist area ~ Total ezposed foundation area = a h. Total foundation windou area o 1. Total net foundation area above grade p ~ Determine IUI value of each rall segment: e, ll4 x IUI 34.2 b. o x'U' o - p c. 3S x +U' d. o x'U' O = o e. x IUI 08 = ~ f. 3'~'1 x'U' 0 5_ 8 6. 7lo x' U' e 3. od. hir X IUI b 1•. o x 'U, - - c 3 . zotal _ (n9.49 If item 63 is the same as or less than item 91, you have met the intent of SBC 6006(c)2. Total ezposed roof/ceiling area = ~(p p J. Total skylight area k. Total roof/ceiling framing area (average 10%) .4"je 1. Sotal net insulated roof/ceiling area .~12A OYER ~ ~ . . ~ Determine 1 U' value f.or each roof/ceiling segioent: J. o X IuI a ~ . k. 34(0 XPut pZ$, _ 1. ~24 x OuI q . 2ota1 c 13 If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(c) 1. Alternate Huilding Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items 01 and 02. _ c'->l + z. 9. 3co 3. (09,49 + u. 8.13 - co2 , ~ ~ ~ 2 1 • ~ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EACAN 3830 PILOT KNOB RD - 55122 ~ q a 651-681-4675 Z ( jfaw ConshucHon Reauhemer~h Remodel/Reoah ReauMemeMs ? 3 regMered aHe suneys showtng sq. R. of lof, sq. fl. ol houfe 2 coples of plan and Qy roofed areas (20% maxlmum lot coveraae allowgd) 1 set of energy caleulaflons for heated addMions > 2 copies o} plans (show beam 3 window sixer, poured fnd. design; etc.) 1 sBe suney for exferlor atldiHons 6 decks D 7 set W energy catculafiom ? 3 copies W hee preservaFion plan 8 bt plaHed aMer 7/1/93 ~ DATE: 2 3/99 CONSTRUCTION COST: DESCRIPTIAN OF WORKt._ Z''4ky7~~ STREEf AODRE55: ~,?Z/y C~~-P~-~~60"~ • ` LOT: "LJ BLOCK: ~ SUBD./P.I.D.Ik: ~~.stAS~~Y VL Name: /Q 7-2~~ , Phone Cv a ~ ~='~3 PROPERTY ?cst Fin? OWNER Street address: GU'~r~3ii2 y • City State: /*W~ Zip: Company: Phone 1k: cv 1 (area code) CONTRACTOR Sfreet Address: License # Exp. ciy /~iU~ stme: nP: ARCHiTECT/ ENGINEER Company. Name: Telephone area eode ( ) Stree't Address: Regisfration k: Clty State: Zip: Sewer & water Ifcensed plumber (reauired for new construcHon onlvl: Pqnally applies when address change and lof change Is requested onee permN is issued. I hereby acknowledge thaf I have read this applieailon, staFe Thaf the Informafion is irect, and agree to comply wRh qll appitcabl S;ate of Minnesoto SlatuFes and CHy of Eagan Ordinances. Signalure of Applica~: OFFICE USE ONLY Certificates of Survey Received ~ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 02 SF Dweliing ? 07 5-plex ? 12 12-plex 0~ 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-piex ? 13 16-plex 1? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ~ 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code ~ UBC Occupancy sq. ft. No. of Units d' Zoning sq. ft. No. of Bldgs _L # of 5tories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ~ Engineering Variance Permit Fee 61 ~ ~--5 Valuation: $ . Surcharge a- C Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. . Trails Ded. Other ' Copies / Total: 9 q . SAC Units % SAC . • ~8p,8 . ' M'8go.) / re~ , ~ 1 rv~s n~ s ( ,~1• ~~a 3j6. F 6•3 ~ . N ~ \ p •0,~0 l~l M~~i ,?8 \ ' > % zs s h~ / \ q ~ v ~ k~ nl,~ $I.3) ^q Fg a~ ryh~jOR o ~ o > k ; yo~ sFo . \ V / I opso ry~ ~ ~ ~ tb--~ . ~ o / ~ ~~i 3 4 ~0 96~6 ~~r. b~+? . ~l ~p/ ILOT 5 ~Q o\~ `v I J ~iQ P~ S QP~ i S 0017`33"E i y3s\ ~F F~ \ N F ll CJ I L_ l/ I /-I 1499 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3S~ 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 New Construction Reouirements RemodeURepair Reauirements ~j~ i • 3 registered site surveys showing sq. ft. o/lot, s4• fl• of house • 2 copies of plan S.1 and all roofed areas (20ry, maximum lot covere9e allowed) ? 7 set of energy qlculations fo ated additions " ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 s@e survey for exterior addition5 & tlecks ? 1 set of energy calculations ? 3 capies of tree preservafion pl n if ot platted aRer 7Nl93 DATE: ~ LI ~ CONSTRUCTION COST: 00 DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D.#: ~ 1Vame:_~~ a JPhone ti: PROPERTY OWN'ER 2 Streei Address:_ 141 Cit~---a-41n, J-7_ State: -z-`-'~-E--- ZiP: Compan, Phoue H: o! - CONTRACI'OR 1In Street Address: hd'yrw Liccnse # Wk_Eap. CitS' Stale: i! L_----- ZiP -s1 ARCHITECT/ ENGINEER Company: _ Phone Name:_---- - RegistreUOn N: Street Address:,__ Ciq State: Zip: Sewer & water licensed plumber (reauired for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali appiicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ~ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 - 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch.(3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex C] 17 Garage ? 22 Porch/Addn. (4-sea) ? 03 7 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 . Lower Level O 24 Storm Damage ? OS 3-plex ? 10 8-piex ? 15 Lodging ? 20; Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr O 39 Gas Line Only O 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish k31dg. ? 41 Wood Stovfi ? 45 Fire Re^^:ir u 34 i.rpaii Li :sd Demolish (interior) ? 42 Reraof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units _ Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review .icensa MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S1W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please compiete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are n-Qt required for each dweiling unit. DATE: _IT~Gf CONTRACT PRICE: S U O WORK TYPE: NEW CONSTRUCTION ~ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: Eta pI a- C ktiy~R- 0'-1 + FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $7,000 of Rermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCNARGE TOTAL SITE ADDRESS:3~ OWNER NAME: ~o b Ga~.s 7ELEPHONE ~g 3- 973 TENANT NAME: (mnPrtovennenTs oNLv) INSTALLER: ADDRESS: CITY: S, s-~ 'Pq'j I STATE: M~J ZIP: ~S PHONE L! S I - I~`7 b 51GNATURE: ~ SIGNATURE OF P MITTEE CITY INSPECTOR CITY USE ONLY ~ l!~,-~~\ ~ ~ L ~ BL ~ RECEIPT ~ ~ ~ - ~ a = ~ SUBD. ~t/A9~~'ir- I ~ OATE: ~ ' r1 ~ 1995 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 Add-on air canditioning ~Fireplace conversion (to existing fireplace) Date: ~ - .S ` 9 ~ 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 ~Q SITE ADDRESS: ~ ~'``s ~ ~ur D ~ OWNER NAME: ~C~I~ ~G~c PHONE#:~~? 3~ INSTALLER NAME: ~iFe ~ l ~ ~d'~-~ ~ Uj ~ S ~S STREET ADDRESS: ~~ad Sv - CITY: g• S~' V av ~ STATE: 1''1 f`~ ZIP: ~ 55d~S ONE#:(6i~ ) ~/SI-197~ ~ ~ ~ 2- 7y- ~S ~ r 5~~~ # ?0,0-0 ' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Reouiremenls Ofllira Use OnN 3 regislered site surveys showing sq. fL of l04 sq. 8. of house; and all rooted areas 2 copies of plan Ced of Survey Recd _Y _ N (20%maximum lol caverage allowed) 7 set af Energy Calalations for heated addftbns Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & wirMow sizes; poured tound desgn, etc. t site survey for addNOns 8 decks Tree Pres Required _ Y_ N 7 set of Energy Calculations Addfion -lrMkafe ff oo-site septic sysfem Onsite SepGC System _ Y_ N 3 wpies of Tree P2servation Plan'rf lot platled after 711193 Rim Joist Defail Optlons selekion sheet (buildings wRh 3 or less units) ~j(~ / Date I l U / 0~ v~ ConstructionCost Site Address sQ)~'~,p, I ~Ca~I3~ ( ~ , /,`)T UniUSte # Descriptian of Work ~A-))%mC C4~"5 5(3xlr Multi-Family Bldg _ Y Yl N Fireplace(s) _ 0 1 _ 2 Property Owner Telephone#((p5_~ yTl Conhactor h lGG SG~~ Address ~y3c19 l7vN~&~s~v ?VCS, City ._7~1141 State Zip 7e Telephone # (66) )S1/%S`lfL K ; - . • COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD t'a g . / - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submiried Submitted _ • Energy Envelope Calculations Submitled . In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone ~ Mechanical Contractor 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 ttte City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, an work is not to start without a permit; that the work will be in accordance with the approved plan in e case of or which requires a review and approval of plan ~~R p~~c~ . Applicant's Printed Name Appl canYs Signature OFFICE USE ONLY , Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling O OS 06-plex ? 16 Fireplace O 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 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Demage ? 06 04-plex O 12 12-plex Pibg_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 Alteralion ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolftlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% 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 INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insu(ation _ 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 CiY' P i lot I tuGAN WATER „SERVICE PERMIT 3�t1Cnob Road 3 "PERMIT NO.: 6142 P oxiiii 199 5 -3 -85 *Ottil,'MN 55121 DATE: Zoning' ALL No. of Units: 1 Owner: Grand Oaks Address: 3849 Westbury Drive L5 B2 Westbury lat pl um b er: Site b Valloy Plumbing er. 500.00 Pd Meter No. • ConnectMn Charge: 15 . 00 pd Size: Account Deposit: 15.00 Reader No.: Permit Fee: .50 fogeys to comply w . ith the City of Eagan Surcharge:. 132. Pd Ordinances. Misc. Charges: Total: 63.00pd meter BYA Date Paid: Date of Insp.: p C3 Insp .• S' ,x cif � f i'1G 5 a , ` p a P . . : 7 i , ,_, 040.16: , F-111`.r."1-.' 4 3--s5 ,,:. „,i,,::: , 38 . ., x . : Westbuc hive L5 B 2/West b u, ' _ ari a ! 4 -15 -8 , 50902 100. Pd _ 425.00 1 !a A sti r Nn elk, of Gsnelattit!!! 1 \�� \ A,ecau►t 5 . ' Ia. , „ 50, By . Charges: rte; r« t cr