1116 Westbury Cir
~ CITY OF EAGAN 10 G 3
' 3830 Pilot Knob Road, P.O. Box 21-199. Eagart, MN 55121
PHONE: 454-8100
BUILDING PERMIT Reui~ # -
To 6t ~d fe~ y•~ '~~C, f~ Est. Value 7 O, Ct 1. Date ~.;'i U r, Erc L 19
Site Addreu r:; ~ c• L x~: Erect QS Occupancy
Lot Block Sec/Sub. '•~~rIsli ?Y 31?i~ Remodel ? Zoning
Repair ? Type of Const. ~
Parcel Na. Addition ? No, Stories
Move ? Lengeh tD
~ Name ' J ~ •Z ` Demolish ? Depth
AdclresB "CT Int. Impr. ? Sq. Ft.
City Phone 452" ° Install ?
~
Name Approvals Faes
,o
A~~ Asseument Permit
E- City Phone Water b Sew. Surcharge u. 0~
Police Plan Review 18 U. 5 Q
~ Name
PW Fire SAC 5 2 5 - Q 0
Address Enp, Wafer Conn. 50b.00
tW City Phone Planner Water Meter 63•00
Counci! Road Unit lU • C, {
I hereby ocknowledge thnt I hovt read fhis epplicetion ond stote thar gldg. Off. Tr. PI. 1 ?2.• !the information is torrect and ngree to wmply with oll opplicable APC
$tote of Minnesota Stotutes ond City of Eagan Ordinonces. Parks
Ver. Date Copies
Sipr~oturc of Permittee 5 •
TOt91
N 8uildin Permit Is issued ta +l.,, ; v eX
9 prcss condition Ihot
ell work sholl be dore in ocwrdonce with oll oppliwbla State of Minnesota Statutes ond Ciry of Eaflen Ordinonces.
Buildinq OffiNol _ _ ' - -
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Rowipt MECHANICAL PERMIT Permit Na
CITY OF EAGAN , -
,
FN Fill in numbered ipaca S/C
Type w Prlnt /eglbly ToL Z L•r-
1. Date 2. Installation Cost
t i_•~
3. Job Address Lot Blk. j- Tract '
, •
4. Owner YLi, r" 1C i k t_
5. Contrac[or • t -Phone i ?
6. Addrass U 'I
7. City State 2ip
8. BuildingType: Residential,q Commercial ? Institutional ?
i
9. Work Description: New 13- Add ? Alter O Repair ?
~ 10. Descxibe 'L ~ t, Fuel Type ! , " I - , +
11. No, Equinment STU - M. Ea. No. Eauiament CFM
1 Forced Air ~~{•t'-' Air Handling:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with atl ordinances and codes governing this type of work.
Signed : ' _ •
~ for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 464-6100
Receipt PLUMBING PERMIT Permit Na
CITY UF EAGAN ~
Fes ..#.i_, -
' F fill in numbered spaces S/C
Type or Print legiWy Tot. _Y2 ~
1, Date 2. Installation Cost
3. Joh Address Lot Blk. Tract
~
4. Owner
-
- + ~
5. Contractor Phone /~i ' - .~fi: -
6. Address
~
7. City State AylN Zip
8. Building Type: Residential I~ Commercial ~ Institutional ?
9. Work Destription: New 0 Add ? Alter O Repair 0
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
lavatory Softner
r' Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Siop Sink
Gas Piping Outlets
12. I hereby certify thai the above information is true and correct, and I agree to
comply with 01 ordinances,3rtd codes governing this type of work.
r = = -
` Signed : I f~~` ' , I for
Rough Final
, Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks %
Addition WEfiTRIIRY THSRLLAIlIlI~ ~ ot 2 elk 2 Parcel Ig $3652 020 02
Owner Street 111~ Westbury Circle State Eagan, MN 55123
Imprvvement Date Amount Annual Years Payment Receipt Date
57REET SURF.
STREET f2ESTOR,
GRADING
SAN SEW TRUNK i = , 000--11 17-00 GC //_j S 1 ~ 4?71r
-1985
SEWER LATERAL
waterrnain 4 4 3.33 t-n a- -1986 WATERMAIN 33.8b WATER LATERAL
WATER AREA 1984 N• 8.95 u CG / S d
water area 198 69 • 38 4.63 1 1,v. G/ 3' i.,2z
S70RM SEW TRK 1986 368.2 . 66 So Gc 1.35 r
S70RM SEW LAT ~ 1986- 491.0( 98.20 5 _3`7 ,f- C' C ,
CURB & GUTTER
SIOEWALK
STREET LIGHT
F2C}a. CITll't .
WATER CONN, u ~ n
BUILDING PER. 063
SAC
PARK
3(oaa
RESIDENTIAL
BUILDING PERMIT APPLICATION 4
CITY OF EAGAN
E830 PILOT KNOB RD • 55122
651-681-4875
NewConsWMfon Reauirements RemodeUReoalrReauiremenrts
. 3 regatered site surveys shovring sq. R M lot sq. ft of house: an~ll roofed areas . 2 copies o( plen
(20% maximum bt mverage aPowed) . 1 set ol Eneigy Caltulations tor heated adCNOns
• 2 copies of plan showing beam & window slzes; poured fand design, etc.) . . 7 site survey for exterar add'Nons & decks
• 1 set ol Energy Cakulations . IMicate fl home served by septic system for additbns
• 3 copies of Tree Presenation Plan if lot platled after711193
• Rim Joist Delail Options selection sheet (bidgs wNh 3 or less unh)
1 I r
DATE I 011 OI VnALU/~fION C~`C
JOB SITE ADDRESS II I 'WP.ST OW 1J~ l~ C~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER DQ'1)? d
TYPE OF WORK fIREPLACE(S) _ 0_ 1_ 2
APPLICANT _~8~5P~ ~'$,a,' PHONE#`~lGt3'7SS~aaa I
ADDRESS Coon Ra?Id3;, MN 554s3 ZIP CODE
PAGER # CELL PHONE # FAX # 36l_7SS'S~C)
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical Syscem Includes: _ Air Conditioning
_ Heat Recovery 5ystem
Sewer/Water Conhactor: Phone 1F
All above Information must be subrhitted prior to processing of applicaUon. gy
I hereby acknowledge that I have read this application, state that e information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga O inances.
SignaFure of Appllccnt
~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-piex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace 0 21 Porch (&sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF
? 04 02-plex ? 10 08-plex 0 78 Deck ? 23 Poroh (screened) ? 36 Multi
0 OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 37 New O 35 Int Improvement O 38 Demolish (Interior) O 44 Siding
? 32 Additlon ? 36 . Move Bldg. O 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Aiz Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatrnent Plant '
Plumbing Permit
Mechanical Permit
License Search
_ Copies
` . Other
Total
This reQiest void
18 nwMhs from
L~,3
LPE Repust Oate Fire No. I RouPh-in InsVeE ion
fleq rted7 ~Reatly Now .~VJIII NoUfy InsDeo-
~es ?No When fleatly
Licensed Elec[ncal ConVactor I hereb
y requasl inspeclion ol above
? Owner electrical work instelled aY
SVee[ AdAress, Boz or Ho te No. . Ciry fl ~ ~f~'`~~/~U.~
ecuan o. Township Name or No. ange No. County
Occu tIPRINTI Phane No.
~.r>r~ ~k ~fs~ -~5751
Pa SupPlier Address
Eie~j ~ical Contraclor ICOmpany Name) Cont actor's Lie:ense No.
~C 6E7sT.2'-/r,- ~i `/l ~7' s
Ma' Add~(COnt~~ r Owner MInstailaL
Autho - ' nature ICOnvacm ner Makiny In a lationl P u i^e~~
MINNESOTA STqTE BOAflD OF ELECiNICITV THIS INSPECTION PEQUEST WILL NOT
Griggs-Midway Bldg. - Hoom N-181 gE ACCEPiED 8Y THE STATE BOARD
UNLE55 PROPER IrySPECTION FEE IS
1827 UniversitY Ave., SL Paul, MN 55106
Phone 1612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Eg-0o0°1-0
5-) ' 4 ' See instructions lor completine this form on Eeck of yellow capy.
~ X" Below Work Covered by This Request
B Ad NeD. TYPB Of BuilCin9 AP6rhunce3 Wiretl Eqaipmenl WireA
Home Ranye Temporary Service
Duplex Water Heater Liyhtiny Fixhues
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fy~m Other Spacr v -ther l5oar,iFy)
t er rSGecifY Othe, Othor
ompute lnspectian Fee 8elaw
k Fee Service EntranceSize A Fee Faeders/5ubteeders K Fae Circults
0 to 200 qm s ' 31 0 to 30 Am ps 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 qi 5
Swimming Pool Above 100_Amps Q Above 100_Amps
Transformers Irrigation Booms Pdrtial:'Other Fee
Signs Special Inspection
Rerrarks $ TOTAL FEEU~ ~
-i f ~
Roueh-in ~ate , the Electriw1~
. ~{.i3•€ ~~saacta., l,e.obw
certity that the abova
Final ~ D:itEA inspection has baen
~ g4; made.
/l
ThiareQuestvoldl8monthelrom
CITY OF EAGAN NO- -1 10 6 3
3630 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 ~
PHONE: 4548100
BUILDING PERMIT Receipt #
Te M wed fer SF DWG/GAR Est. Value $76.000 pate OCTOSER 2 1 y 85
SiteAddress 1116 WESTBURY CIR Erect Ex Occupancy R3
2 2 WESTBURY 3RD Remodel ? Zoning Rl
Lot Block SeclSub. Repair ? Typa of Const. V
Parcel No. Addition ? No. Stories
GRAND OAKS DEVEL CO Move ? Lenytn SU
~ Name Demolish ? Oepth Q$
Address 1881 SUNRISE C`1' Int.lmpr. ? Sq. Ft.
City EAGAN Phone 452-8934 Install ?
o Name SAME ApVrorala Faes
Address Assessmenf Permit 361.00
City Phone Woter & Sew. Surcharge 38 . 00
Police PlanReview 180 .50
~Z Name Fire SAC 525-00
qddress Er+g. WaterConn. 500.00
'W City vhone Plonner watermeter 63.00
Coun<il Road Unit 280. ~ 0
1 hereby ockrwwledge thot 1 hove read this opplicafion ond sfote fhat gldg.Off. 10/2/85 T, pi 132.00
fhe inlarmation is corrett ond ogree to comOJY with oll opplicable
Stata of Minnesota StatuteS ond Ciry of Eo9an OSdinances. 'QPC Parks
Q ~l - - ~ Var. Date Copies ~~.~5 0
SI nafure of Permittee C1~-?~2a_<_ SafZllisG!':1y
GRAND OA DEVEL CO 7otal
A Building Pertnit Is issued W: on the ezpress condition thol
oll work sholl 6e done In accordance ~yLl't~h\ ~o(/I}~ op~plica~ble~ Sto e of i ewfa Stntutes ond Ciry of Eoqan Ordinances.
Bulld7n9 ~ficiol ~-~~~6~-e-
-S911>
3s
RESIDENTIAL
BU{LDINC PERMIT APPLICATION ~
~ CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConstrucUOn Reouiremenb RemodaUReoair Reauiremenb
. 3 registered site surveys showing sq. ft. oF lat, sq. R. ot house; and all roofed areas • 2 copies oF plan
(20 % maeimum lot coverage aNowed) • 1 set of Energy Calalations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found desgn, e(c.) • 1 site survay for exterior additions & decks
• 1 sel of Energy CalcNations . Indicale if home served 6y seplic system for additions
. 3 capies of Tree Preservation Plan if lot platted after 7i1193
. Rim Joist Detail Options selection sheet (bldgs with 3 ar less uniLs)
DATE O-O~ VALUATION 4 [e)._J~
S{TE ADDRESS ( I l WM_J~\1 Iff V', MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK\.~J~'~OU115 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Cedar Valley Exteriors, l11C.
STREET ADDRESS Coon Rapids, MN 55493 CITY STATE_ZIP 2
TELEPHONE #~IIo~J~~~"o~04,(I CELL PHONE # FAX # YI-~~J~J4 ~
PROPERTYOWNER /V 1'~XV I~,t`~~CR1SY1 TELEPHONE# (p51 '(nS7- Fx~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'CGORY I MINNESOTA RliLES 7672
(V submission Type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Larvn Sprinlzler Fee: $90.00
Water Heater No. of R.I. Baths
No, of Baths
Mechanical Contractor: Phone #
Vlechanic<il system inclttdes: Air Conditioning Pee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that information is orrect, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan O dinances.
Signature of Applicant
u
---n~- }
~--toor-.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ N equued
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex 0 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 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 WindowslDOOrs
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Vaiuation 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.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
~ Drain Tile Other
Roof _ Ice& W'ater _ Fina! _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ W'indows (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
7 BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 q
New ConatrucUon Recuiremanb RemodallReoair Reouirementa
• 3 regislered site surveys showing sq. ft. of lot, sq. R. of house: and all roofed a2as • 2 copies of plan g
(20°k mazimum lat wrerdge allowed) . 1 set of Energy CakWaNons for heated addNans
• 2 copies of pian showing beam 8 window sizes; poured found desgn, etc.J . 7 site survey for extenor additions & decks
• 1 set of Energy Calculatqns . Indicate i( home served by septic system for add'NOns
• 3 copies of Tree Preservation Plan if lot plafled after 7I1193
• Rim Joist Delail Opfions selec6on sheel (bldgs witlh 3 or less unAS)
1-1~
DATE .CI G1ZG1 =Z. VALUATION ~ tQ, OOO
SITEADDRESS 1aQ CI.K.~ 16IZ3 MULTI-PAMILYBLDG_Y ~N
TYPf OF WORK Po7DI"('tc] f.I PIREPLACE(S) _ 0_ 1_ 2
APPLICANT CkML, f OAtt f~etwwo
STREETADDRESS IlN IA-135CW~~'J~'.l.C CITY~STATE~ZIP~~_
TELEPHONE #CQ G111E -0-71 ~ CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(q submission type) • Residential Ventila6on Category 1 Worksheet Submitted D d ~ Submitted
• Energy Envelope Calculations Submitted ~~N 2 6 2002
Plumbing Contractor: Phone # B
Plumbing system includes: _ Water 3oFtener _ Lawn Sprnilde ~ ee: .00
_ Water Heater _ No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Nlechanical system includes: _ Air Conditioning Pee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O
Slgnature of Applicant
- _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102 . '
~
OFFICE USE ONLY ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ,4 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt • SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
,gl, 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handaut to applicant
Valuation OI-V Occupancy /Z-3 MC/ESSystem
Census Code h' 3Lt Zoning r? D City Water
SAC Units Stories - Booster Pump
Nbr. of Units ~ Sq. Ft. 66 PRV
Nbr. of Bldgs Length /!I Fire Sprinklered
~
Type of Const N Width G
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ~ FinallNo C.O.
4 Footings (addition) Plumbing
jf Foundarion 'HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Au/Gas Tests _ Final
FraminB _ Siding Stucco Stone
Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement)
~ Insulation _ Retauung Wall
Approved By , Building Inspector
-
, , - - - ~Id
Base Fee ~4 ~,Z
Surcharge 3 6°
Plan Review
0
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
,
SURVEYOR'S CERTIFICATE : GRAND OAKS~DE~V~ELOPMEN~T~CO~.
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--K- DENOTES PROPOSED SURFACE DRAINAGE ~
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 83•9 FEET
.X000.0 DENOTES EXISTING EIEVATION PROPOSED LOWEST FLOOR = 9 81.0 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP Of BIOCK = 9 64•2 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lot 2, Biock 2, WESTBURY THIRD ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATTON OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 24TU DAY OF SePT. , 1985.
PROPOSED PROPERTY CORNER SIGNED: JA . ILL, INC.
ELEVATIONS WERE TAKEN FROM
GRADING PLANS BY DELMAR H.
SCHWAN2 LAND SURVEYORS, INC.
BY: V
HAROLD C. PETERSON, LAND Sl1RVEY0R
' h1INNESOTA LICENSE N0: 12294
PROJECT N0. BOOK / PAGE ,JpMES R. HILL, INC.
85879
Planners / Engtneers / Surveyors
FILE NO. 8200 Humboldt Avenue South•
FOLDER Bbomington, Mn, 55431 612-ee4-3029
1985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
COl41ERCI9L SINGLE FAlIILY DItELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: r~('j 000 Date: /0'-~
Site Address OFFICE USE ONLY
Lot ;Z Block ~ Erect X Occupancy .
Parcel/Suh L f1.a~A-c~-3 "~0 Remodel ~ Zoning •I
Repair ~ Type of Const ]Z
Addition it of Stories
Owner U/«-Uh Move ~ Length 50
Demolish Depth 48
Address Int.Impr. Sq Ft
Install ~
City/Zip Code
Phone APPROVALS FEES
Contractor -ArQnd CJGtl<L-~ Assessments Permit 3(01,
Water/Sewer Surcharge
Address Police ~ Plan Review ISo.s°
Fire SAC 525,
City/Zip Code Engr Water Conn ,Sczo,
Planner Water Meter 63,
Phone '~jra2 -xc~3v Council Road Unit Zgp.
Bldg Off a• .85SPkz'eatment Pl I 2.
Arch,/Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone #
8s
. FTb, tc).?
1 • .l . ' . ~
~ SURVEYOR'S CERTIFICA.TE GRAND OAKS DEVELOPMENT C0.
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DENOTES PROPOSED SURFACE DRAINAGE ~
O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = 30 FEET
• OENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 83•8 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST fL00R = 9 81.0 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 954.Z FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRl1E AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Block 2, WESTBURY THIRD ADDITION, according to the recorded
plat'thereof, Dakota County, Minnesota.
AND OF THE LOCATIQN OF A PROPOSED BUILDING. IT D4ES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THTS z4TU DAY OF SepT. , 1985.
PROPOSED PRDPERTY CORNER SIGNED: JA . ILL, INC.
ELEVATIONS WERE TAKEN FROM
GRqDING PLANS BY DELMAR H.
SCHWANZ LAND SURVEYORS, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0: 12294
PROJECT NO. eooK i Pnce JpMES R. HILL, INC.
85879 ~
Planners / Engineers Surveyors •
FILE NO. ~
. 8200 Humboldt Avenue South•
FOLDER gbomtngton, Mn. 55431 e12-8e4-3029
~
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rREOUYRED
1. ` 70TAL WAI.L"'ll AREA ; .180A X . i l ° 198
•
2. TOTAL,ROOF ARtA 11961X.026 31.096
ACHIEVED , ~
AREA . 1 U U X AREA
A. WINDOW pREAs~=.: 186.66 ".5 93.33
8. DOOR AREA'39.8„': .'077 3.0646
C. SL I DE ' OLA35-. AREA 13. 44 48 6.4512
D. FIREPLACE''AREA'.u:; 0O 0
'
E. WALL " FRAME.: AREA 180 ; . 041 . 7.39
F. , NET WALL'. AREA 1164: 049 :57.0409
0. RIM°JOIST:AREA ^ 119.52s ' .0436 5.211072
H. FOUND WINDOW AREA : 0: . p' 0
i. FOUND AEOVE ORADE—.'_" .135 13.0248
3. TOTALS WALL AREA 1800 185.5026
, . . . "r.: . , .
J. 8KYLITE.`4'' ' 0 4
K: ' ROOF FRAME, 119,6 .032. ; 3.8272
L. NET ROOF AREA ' 1076.4 ' !.'025 26.91
: 4. 70TAL ROOF AREA 1196 , 30.7372
5UM 1.+2.', , , 229.096
8t1M 3. +4. : 216.2398
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' CITY OF EAGAN
APPLICATION FOR PIItMIT SE4VER ANIIJ/OR WATER CONNECTION
(P ease Print)
1) PROPII2TY ADDRESS: ' f Y'
T•FY;AT• DESQ2IPTION: O G GCJ-P 'f^ U N" r
(Iat Block Subdivision or Ta~c Parcel .D. Nuffbeil)
IF EXISTING STR['CTLIRE, DATE OF ORIGINAL &JILDING PERMIT ISSC'ANCE:
(Nbn Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DUPLEX (1Wo L'nits)
R-3 TOWPII30L~SE (Three + Cnits) ( Units)
R-4 APARTMENT/COAIDOMINIL'M ( L'•nits)
CONIIKERCIAL/RE"PAIL/OFFICE
IbIDL'STRIAL
INSTIT[Pi'IONAL/GOVERI1=
2)
NP.ME: l~ 0 G
ADDRESS: G -
CITY, STATE, ZIP:
T sa'r_
PHONE: C/
3) • r.~' ~ For City Ose
NAME' Plimhers Li.cense
ADDRESS: Active
CITY, STATE, ZIP: s~~o( C7 E~tpi d
PHONE: L~ ~ez') ~ ) pl 1 MASTER LICENSE # ~ Recorc
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NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHOLVF':
~ • •
5)
~ COiVNII?CTION TO CITY SEWER 4FCONNECTION 'IO CITY FTEITII2 ,
Q 0'PHER (Please Describe)
6) u • ~ i
? PLEASE HOLD APPROVID PERNIIT F+OR PICK-L~P BY ONE OF ABC)VE
op PLF.ASE MAIL APPROVED PERMiT TO 1, 2,*4,' 4, P.BOVE
(Circle one)
7) ~ ~ ~ ~ ~r- ~5
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F O R C I T Y U S E O N L Y ,
PE4.MIT " ISSUED
E::::=
/
Fr_rr ..5: $ U ~(J SE:^iER ?'EBMrT (I`tCL:;DE SUP,CHaRGc)
$ lU S L' WATER PERN1IT (INCL'uDE SliRCHARGB)
$ WATER METER/COPPERHORN/OUTSIDE REABER
$ WATER TAP (ZNCLUDE CORPORATION STOP)
$ SE:dER TAP
$ ACCOUNT DBPOSIT - WATER
" $ $ i~%Ci. ~^c.J WAC
$ Sd- f~. o tSP.C
$ TRliNK WATER ASSESSi4ENT
$ _ TRliNK SES4ER ASSESSiIE.IT
$ LATERAL BENEFIT/TRUNK SE:,IER
$ LATERAL SENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ ~ Gv
AMOU:vT PAID/RECBI?T $ S( flt~~
DOES UTILITY CONNECTZON REQUIP.E EXC?VATION ZN PUBLIC RIGiiT OF WAY?
YES IF Y£5, THEN n"PERMIT FOR W0RK WITHIN
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOS9ING CONDITIONS:
APPROVED By; ~
T I': LE :
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143052
Date Issued:05/31/2017
Permit Category:ePermit
Site Address: 1116 Westbury Cir
Lot:002 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
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: 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 -
Michelle C Goldberger
1116 Westbury Cir
Eagan MN 55123
1st Choice Remodeling LLC
7482 Large Ave NE
Albertville MN 55301
(763) 515-6095
Applicant/Permitee: Signature Issued By: Signature