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1120 Westbury Cir ' CITY OF EAGAN R^ 10812 , 3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING rERMIT ?teuipt # ; - - TO 6o ww far Est. Value Date 19 Site Address Erect ? Occupancy Remodel ? 2oning Lot Block SeclSub. Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length ~ Name Demolish ? Depth Address- Int Impr. ? Sq, Ft. Chy Phone Install ? Approrob Fees ~ Name oU Assessment Permit u~ Addreaa City Phone Water & Sew. Surcharge Police Plan Review G W Name Firo SAC Addresa Enp. Water Conn. • 0 j tW City Phone Plonner WaterMeter Council Road Unit I hereby acknowlad9e tFwt 1 have rood this application and stote that gldg. Off. ` 1-• S5 Tr. PI. fhe information Is conect ond oqree to comply with oll applicoble AP~ Pa~ Stote of Minnesoto $tatutes and Gty of Eagan Qrdinonces. Var. Date 5ipnoture af Pertnittee ~ - , Copies , . Total A Building Pem?it Is issued fo: an the expmss cor+ditlon thol oll work sholl he done in acoordarxe with all opplicable Stote of Minnesota Statutes and Ciry of Ecqon Ordironces. Bu1ldlnp OffiNol •dsla vd jaMO$ IIoM :uoiieaol ppwmp J038M I~uld ~ ~ -G3' s7L~7S~oJIY/ 441d leUld '(rt '54H Iruw eoaldaLj •insul 'diH 46noM l~ • 1A - 57VIet o•641d 46n0a Buµooa -9W 6uluuYij uonspuno:l 11 a6upoo.4 C (n $ ~1 1 asuitcosi J0410 •dsu~ qeQ uoi12*ds+l an~aKo$ IomrA b ew*unid ~t auoydqal 0324 mPIoH Uu"d 'Wd tIWmd .I..f3 3 :47:_ : . . . ? . . . . . . . ~ ~ CITY OF EAGAN A2 18077 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~Jl~ BUILDING PERMIT A,QovL-' ~'„@xuN4 Pa&L Receipt # VTo be used for i POOI' Est. Value $40U00 Date 'TUNE 29 , 1990 Site Adct~ess 1120 YBSTBUltY CIA OFFICE USE ONLY Loi Block Sec/Sub. MTMY PSfC@I N0. Occupancy _ FEES '!0!! 3 PAZ COLD Zoning 63,00 W Name (Actual) Const - Bldg. Permit o Address R (Allowable) - 2.00 Surcharge City ~N Phone _ s ol stones , Length ~ m ~an Review a Name sA~ Depth - SAC, City Address S.F. Total - SAC, MCWCC ~ City Phone S.F. faotpriMS - On Site Sewage _ Water Conn ~ W W Name On Site Well - Water Meter ~ t: z' AddreSS MWCCSystem - qect.D t < W City Phone City Water - PRV Required _ S/W Permif I hereby acknowlege that I have read this application and state ihat the Booster Pump - S/yy c,,urcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI $ignature ot Petmitee APPROVALS Road Unit + 3M OR p'AT OOLD planner - A Building Permit is issued to: Park Ded. on the express condilion that all work shall be done in accordance with all ~uncil - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ CoPies - . •b6 Building Official - , Variance - TOTAL Pertnit No. Permit Holder Date Telephone X WATEH + SEWER i PLUMBING H.V.A.C. ELECTRIC Inspsction Oate Insp. Commants Footings 1 Founda6on Framing Roofing Fiough Plbg. Rough Htg. . Isul. Fireplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspedor - Notity Plumber Ergr.IPlan Bldg. Final Dedc Ftg. Deck Final wen Pr. Disp. ~ CITY OF EAGAN Remarks Addition WESTBURY THIRD ADDN. Loi 3 Rlk 2 Parcel 10 $3652 030 02 Owner street 1120 Westbury Circle State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 5 l7 . OO 15 f~Z U4oo SEWERLATERAL watermain 19 '4 ~ 4. 3.33 15 o WATERMAIN 19 .2 15 ~ WATER LATERAL WATER AREA ~67 1984 8.95 AN SO l water area 19$6 9.3$ 4.63 15 STORM SEW TRK - 19 • 368.2f 73 • 5 Q j- ~ STORM SEW LAT 19 4• Q 9 • 20 5 3 f Q Ii ~ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 it n 9UILDING PER, 10819 of n SAC PARK Rowipt MECHANICAL PERMIT Permit No. CITY OF EAGAN FN ) • ~ = ( - _ ( [ fil/ in numbered a~sces S/C • ~ Type or Pri»r legfbly Tot i _ I. Date f 2. Instailation Cost U• ~ ~ 3. Job Address ~ 1ZG VJi%`.iLL+r'v tj„otBlk. Tract -^~!•t++~~ 4. OMmer -;1'ctJ lJ ()C'_" i 1 ; 6. Contractor [7-Lj(L' E~C (l F iPhone J 8. Address Mey ),ls~- A ` b` q f 7. Gty e State Zip 8. Building Type: Residential ,m( Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? i". 10. Destxibe r 1' l°' re Fuel Type 11. No. EQuipment BTU - M. Ea. No. Equipment CFM Forced Air i J Air Handling: Mfg. Boilen Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, P'iping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rou It Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Reaipt ' `PLUMBING PERMIT Permit No. _ j CITY OF EAGAN FN fill in numbered tpam SJC Tyve or Prinr leyibly Toc 1. Date 2. Ir?stallation Cost 3. Job Addreu Lot Blk. ~ Tract ' 4. Owner t . k ~ . 5. Contnctor V ~ L Phone ~ ~ 6. Address r 1 7. City ~ State - 2ip ' 8. Building Type: Residential ~ Commercisl O Institutional ~ 9. Work Description: New ~l Add ? Alter ? Repair 13 10. Describe 11. No. Fixtures No. Fix ures Water Cloaet Cesspool/Drainfield t Bath tubs Septic Tank ~ Lavatory Sohner Shower Well ' Kitchen Sink Urinal/6idet Other Laundry Trsy ~ Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above inforrt?ation is true and correct, and I ayree to comply with all ordinanqes and code overning this type of work. Signed • -for Rough Final Inspsctions: Date Inap. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4648100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road t I~i Permit Number. F+?Nfi 7 0 Eagan, Minnesota 55122-1897 Date Issued: 01' (612) 681-4675 SITE ADDRESS' • APPLICANT: i u 1, i F~! u~ ~ ii?-s'rNtlli•r c7R 111r• I 14 1,110 PERMIT SUBTYPE: TYPE OF WORK: ~~i i 11 I ?~~f.l . ~ fl~~ ~~f~l INSPECTION D• • DATE INSPTR. I.rti1~,11 I I'f t IId/11 F ~ L i Permit No. Permit Holder Date Tetephone k I ELECTRIC I PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS I FOUNO FRAMING ROOFING ROUGH PLUMBiNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE / FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN (V0 . ~ $O7~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 ~ g / ~ BUILDING PERMIT Receipt # To be used for j POOL Est Value $4, 000 Date JUNE 29 ,~g~ Site Address 1~ 20 WESTRIiRY CIR J 2 WESTBURY 3RD OFFICE USE ONLV Lot Block Sec/Sub. Parcel No. occ"pa"°y _ FEEs Zoning a Name TOM & PAT GOLD (Aduap Consl - Bldg. Permi~ 63 . 00 3 Address 1120 WESTBURY CIR (Allawable) - Surcharge 2_ nn ° ~it EAGAN Phone 452-1429 +rois~o~es - y len9th ZO' DIA Plan Review o Name S/~MF' Depth - SAC, Ciry ~Q Address S.F.TOtal - SAC,MCWCC ~ City Phone S.F. Foolprinis _ On Site Sewage - Water Conn W w Naffle On Site we11 - Water Meler w AddfeSS MWCC System ~u ry Acct. Deposil aw Cily Phone Ci waler - PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SMl Surcharge intormation is correct and agree lo omply wiih all applica de State ot MinnesoW Statutes and Ciry of Eaga Ordinances. Trea~ment PI ~ APPROVALS Road Unit Siqnalure of Permitee A Building Permit is issued to: TOM OR PAT GOLD P~ar'"a~ - Park Detl. on the express condition that all work shall be done in accortlance with all applicable Sta~e ol Minnesota Stalutes and City ot Eagan Ordinances. BIdg.011. _ Copias ~~~ry f~ p~'~(.I 7Y~~ Variance - TOTAL 6$.00 Building Oflicial ~__~~a<,~ ~ CITY OF EAGAN N°_ 10S'I 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDIN 'G PERMIT PHONE:454-8100 sece+Pt dc , Te be uwd fer SF DWG/GAR Est. Volue $70,000 pate AUGUST 19 19 85 SiteAddresa 1120 WESTBURY CIR Erect Ex Occupancy R3 Lot _3 Block Z Sec/Sub. WE5TBURY 3RD Remodel 0 Zoninq Rl Pafcel No. Repeif ? Type of Const. V Additlon ? No.Stories - ~ Name GRAND OAKS DEVEL CO Move ? Length 50 Demolish ? oepth 48 z Address 1881 SUNRISE RD Int Imvr. ? Sq. Ft. City EAGAN phone 452-8934 Install ? Neme $AME ADVrovals Faes O Zu Address Assessment Permit . ~ 0 8~ ~N 6- City Phone ater 8$ew. Surcharge 35.00 l- Police Plgn Review 171.50 Fw Name Fire SAC 525.00 Address Eny. waterCOnn. 500.00 o w City Phone Plonner WaterMeter 63.00 Council Roatl Unit 280.00 1 hereby acknowledge thot I hove reud this opplicotion and stote thof gldg. Off. 9$ rj Tr. PI. 132. 00 the inlormation is conect ond ogree fo comply with oll opplicable APC State of Minnewto Statutes and City of Eogan Ordinonces. Parks ~ Sipnature of Pertnittee a"_A/ Var. Date Copies 2, 049 - 50 GRAND OAKS DEVELOPMENT CO Total A Buildinq Permif is issued M: on tha express cordition Ihot oll work shall be done in acwrdance with all li a Sfafe of Mi esotn totutes City of Eogen Ordinonces. Buildinp Officiol , 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET DF ENERGY CALCt1LATI0NS To Be Used For: Valuation: Date: Site Address: p7UOFFICE USE ONLY Lot: ~ Block ~ Sect/Sub ¢~3 Erect ~ Qccupancy 2-3 Remodel Zoning (L-I Parcel ¢ Repair _ Type oF Const 'SZ: / Enlarge # of Stories Owner Move _ Length 5b Demolish Depth 4P) Address Grade ~ Sq Ft City/Zip Code Phone APPROVALS Contractor Assessments Permit 343.`~ Water/Sewer Surcharge 75 Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter l03. Phone L--~ Council Road Unit Bldg Offr--Packs Arch./Engr. APC Treatment P1 Variance Address TOTAL 9, Cj o City/Zip Code Phone # l~ ~-i.?,9144hx 6 - ~E t<~' r . c~a 4•~ws g'°' a , 6„~YTERIOR E4VilELLtt~~`AtV~R~YATN . , M t i1 g e i;~a`'+r W.•y''i a f:^kr. + ~fsya . . . . . • GRAND OAKf? pEVELUPMEtJT COP~~`ANY ~ , , • .MODEL.'., Gt ~pREA~ tfi'~I U., U X AREA , , , . . "i • k ( A, "~i ~ b . REGIUIRED ;:^n.. 1. ' 7DTAL WALt'"AREA iBOt~ X 'r 12 ° 198 2. , TOTAL,ROOF AREA119b:x,026- 31.096 ACHIEVED , " . AREA U U X AREA A. W I NDOW AREA 186. 66 g 93.33 B. DODR AREA 39.8,. .077 3.0646 C. SL I DE ' OLA39'. AREA 13. 44.:-. , 48 6.4512 D. FIREP4.ACEl'RREA' ; 0 0 0 E. WALL' FRAME pREA " t 80 : . 4A 1 , 7. 58 , F. , NET WRLC'. AREA 1164: 1 049 57.0409 0. RIM.°JOIST-AREA:'. ° 119;32;11.11 .0436 5.211072 H. FDUND WINAQW AREA ` • , . . 0 ` O 0 „ I. FOUND ABOVE ORqDE'^t..°~." 9b.48. .138 13.0248 3. TOTAl9 WAi.L AREA.. " 18o0 185. 5026 , J. SKYLItE O.. O K. RtDOF FRAME,:; 119.6t : .032. ; S. 8272 L. NET ROOF:AREA, 3076.4 `.'023 26.91 4. TOTAL RODF.AREA•±' 1196 30.7372 : . SUM 1.+2.', 229.096 . . , SUM 3. +4. 216.2398 .,t ` , . . • ••A) 1r r . .Y . . . . ' " •''~!;'r ' Y ' . , ' ' _ r .;SURVEYORNS' CERTIFICA.TE GRAND OAKS DEVELOPMEN7 C0. ^ 4c~j, ; g 0 3 . .o s0 v°9, °k Ae L_l/i ~ ~ ~1rP~aj • ~ ~'h / M r . ~CK ry ~ yo'~ ~~ryN ~ ~ ~.r sso~' ~6~ l~ M a 14.9( h / VA L_ \J f i' LOT \F~ ~1'qC O y ~ ~NT ~ Gr, • / ~ - OO0 \ C,rrFNS ~ . . c~ V) a~ . ~</g \ --4-- DENOTES PROPOSED SURFACE DRAINAGE ' O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROP05ED GARAGE FLOOR = 783•7 FEET .X000.0 DENOTES EXISTING ELEVATION PROP05ED LOWEST FLOOR =FYP0•5 FEET (000.0) DENOTES PROPOSED ELEVATION PROP6SED TOP.OF BLOCK = S84 6 FEET I HEREBY CER7IFY TO GRAND OAKS DEVELaPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. A5 SURVEYED BY ME, OR UNDER h9Y DIRECT SUPERVISION, THIS DAY OF , 198 . SIGNED: JAMES R. HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR PIINNESOTA"LICENSE N0: 12294 PHOJECT N0. BOOK t PAGE JAMES R. HILL_y IIVC. 8579! Planners / Eng[neers Surveyprs FILE NO. 8200 Humboldt Avonue 8outfi? FOLDER Bbomin9ton, Mn, 55431 612-e84-3029 . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: suT LozrvG Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 7 9 " (612) 681-4675 Date Issued: 0$/2 7/9 6 SITE ADDRESS: 1120 WESTBURY CIR LtlT: 3 BLOCKs 2 WESTBURY 3RD P.T.N.: 10-89652-030-02 DESCRIPTION: ~ 6A8 LStdE ONLY Permit Type fIREPLACE 8ra€ ,I~ 7,,YVq~ork Type ALTERATION rd#~e~~s , Cp~ck6'°~% 434 ALT. RESIDENTIAL AP .~s ^ .t 4 . "_tl•^~f m~ ~ ~ 4 A ~ uav j ~ ~u~~'. ~'w'A~~ ..~~4 3} s'~4s~ 'e :~6 w x E st eu n -«z rv~y'`,`~ ~ T&v3 ~.r s qr3 z~£ ~~t +`60 ° •~ffi `~t. 3 4~ I v ~3 1 ' REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - S7. LzC.OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 GOLD TOM 3850 W HWY 13 1120 WESTBURY CIR BURNSVILLE MN 55337 EAGAN MN (612) 890-0758 (612)452-1429 " T herehy a"ki'pw~k~ctge ~ha~°°2 h~~+`e re~ct ppiiaatxon atrd S;C~+~~ ,'~~~~'.,~h~ infarr~~G3.on c~?~~~~5~ ~~th "aS3~ "~.~iPl~~ab1.e "aCOt.e=~?f ~1n<° . 5tatut=es City o=f E4qa!n.Or`dxrrar+ces«' . APPLICANT/PERMITEE SIGNATURE ISSUED . StGNATURE ~ CITY OF EAGAN 3830 PiLOT KNOB RD - 55122 7996 FIREPLACE PERMIT APPLICATION 681 -4675 DATE: DESCRIPTION OF WORK: _ INSTALL NEW FIREPLACE: _ WOOD BURNING _ GAS _ INSTALL GA5 LOG ONLY IN EXISTING FIREPLACE ~C INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: STREETADDRESS: LOT ~ BLOCK SUBD./P.I.D. 5 "'a"' APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: Vl,o Lt~ ~o U't MA7' Phone OWNER Signature: StreetAddress-~~~-° ~~-City: E:A C., A N State: Zip; FIREPLACE Company: Phone INSTALLER Signature: Street Address: License City: State: Zip* GAS uNe Compan A Phone $~~7~ ~:72 INSTALLER Nam . Signature: L'L-O Street Address-3s5-D -W V-3 City: State: v%A' l Zip~ 33 7 OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New o 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: I~a~l'~l a 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. TTYar~oR~~.NT~ To Se Used For: poo- INVTALL Valuation~ Date: ~'e 2 6 I QQ Site Address (12.0 (.JE$`f'BVRY C1R Lt 000 OFFICE USE ONLY Lot 3 Block 2 FEES Occupancy ~ Zoning 63,0 Parcel/Sub ~~~~~VQ~ '~N I~Zb Ay}'~N, Actual Const Bldg. Permit O T Allowable Surcharge ~0 Owner -IoM f p IRT GOLD # of stories Plan Review Length ;-Ap'D;n SAC, City Address 1120 (,VE578uQy CIRCLE Depth SAC, MWCC S.F. Total Water Conn City/Zip Code jEA GAN 5S123 Footprint S.F. Water Meter s2-1y2Q Acct. Deposit Phone y On site sewage_ S/W Permit On site well S/W Surcharge Contractor '4L AM6QICMN ~E QfATionl CC System _ Treatment Pl. City water _ Road Unit aaaress 129 0L-Z cE AV& Pxv Park Ded. O Booster Pump _ Copies City/Zip Code pLaO NG SSk2-f SUBTOTAL APPROVALS Penalty Phone g s~- S ry ~ Planner TOTAL ~ r. ~ ~)C/ ouncil Arch./Engr, cg~y'l ~p d q Bldg. Off. jj~7-7 Address A 4) IN Variance City/2ip Code Phone # I • . c., • . . • ~ SURVEYOR'S:, CERTIFICATE `:GRAND OAKS UEVELOPMENT C0. Y e Q O ~a1o ° %6` ,ha,t.~/ . c C~ h~ ~ i_~i ~4 j fQ~y3p1 m~ \ ry n tl's'_eJSJ ~F~oo~~oo ~ q'/~ / O ~BO '4 h fa cN ` . a . ~a ~ ~ ry y~s~ 40ry ~ry ` titif1~• . 14, / 3 L, ry/' ~.V L_\l I ~ /f SJ r v . o a~, ' • v,t,4 ,t - °j ~ O0 q ~ O F SF . A/ . . SsOe Fy~,N.-Z- S `ry • , r , ~ w . . ~ M A~ S)2 i8859,~_. . . DENOTES PROPOSED SURFACE ORAINRGE O DENOTES IRON MONUMENT SET SCAIE: 1 I":CH = 30 F`: • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR ~ g84-4'S Fc;" .R000.0 OENOTES EX7STING ELEYATION PROPOSED LOWEST F100R.~ g 8 i•0 FE-." (OOOM OENOTE$ PROPOSED ELEYATION PROPOSED TOP OF BLOCK = 8 65 • Z FEET. I HEREBY CERTIFY TO GRAND OAKS OEYELOPMENT C0. THAT THIS IS A 7RUE AND CORRECT REPRESENTATION OE A SURVEY OF 7NE BOUNDARIES OF: ' Lot 3, Block 2, WESTBURY THIRD ADDITION, according to the recorded plat . thereof, Dakota County, Ifinnesota. ANU OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMEN'S. OR ENCROACIIMENTS, IF ANY, THEREON. A5 SURYEYEO BY ME, OR UNDER NY DIRECT SUPERVISION, THIS i 5Tµ DAY OF AucLisT , 1985. . Y • ~ 1 C + li 2/84 CITY Or EAGAN APPLICATZON FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PCEASE PRINT) 1) PROPERI^? ADDRFSS: Q(,J Q,~~-~l `CL{ ~ f ri ~ C.c c LFZu. Drs=7rTc:4: (IOt/Bloclc/suu)cr.lvisicn or Tax Parcel I.D. Nkm~,5er) S?'-nS,'C^ME, DATb' Or ORT_GuIAL riiILDL`:G P= -_•S: _•%:e=-% PP.ESL': --:^„7riS:/?'P.OPOSETJ C'S: ' 0 R-1 Sl.~GL: F'PytSLY Q R-2 CLTPL...~'Y (T%'0 LT]ZTS) _ 0 R-3 ZY7.v~II?C~?GE ('?'IM.= + L':]I'I5) ( Wi I'^5) ? iZ-4 kPi~~~~~/cci'Da'.IljjLM I U14ITjI Q CCL%7MERCI2U/RE^'AII,/OFfIC_: ? INDCST3LAI, ? MSTI:LTI011AI,/GGVnmINI~,"r Z) HPPLI(Z=V'P (PLEASE PR1NT) . NAi•tE: G (`.A _0,7, k ADDRESS: CTT". Smm, ZIP: u, n PHOiNE: 3) PLI.:;•igER PL~EASE PRlNT) t j1pi~_ ~)C' L' l]// FOR CITUSE ONLY pDpREcg; ~ i PLUMBE UCEYSE: ~ Atti CITY, ST~1TE, ZIP: t- D It ~.~`j •,So~ Q Ex red ~NJiGn ot of ecord - PAO~IE: p~UXBER UCENSE N arr nitia 4) CCCCPANC/G?Yi~...c NA (PLEASE PRItJf) t~: - ADDRESS: CITY. STATE, ZIP: PfiGNE: 5} INpiCATE tI{ZCH PERMIT IS SEINC; RfQUESTGp: ~ Cb:IIVECTION 'Ib CITY SDIER - ~ CONNNFCTZO.I 'IO CITY SJATEl2 - ? U.T;FR (PIT.ASE AESCFtIBE) 6) TvpIG,.~ C:+r.: ? PI.EaSE F?OID ppPRZ7FD PER+1iT FOR PICI:-UP SY ONE OF ABWE pI.Fr1SE bIAIL APPROVED PERUT TO 1. 2. 9. 4 AB(7VE (Circle one) , 7) SICaTCRE: DpTE, . 36 gJ • ~ ~ ~I 71 • • ~ R oiaa_a~lffp y~ ~r sa l~gau a! us Htsasai~ a~ s is~a a~e rel~i~~a s s+~ ~.=e~~~ . : S F O R C I T Y U S E O N L Y PE'Z:'4IT " SSSUED ' Frr.s: ' 5 ?U'S v SE:^iER ?'~4?1IT . (I`ICL''uD~ SUP.C?i?RGc) S /U 5-u WATER PERP1IT (INCL'uDE SliRCHARGc) $ ~ ~iuU WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:GE4 TAP $ ACCOUNT D.,F,POSIT - F7ATER $ WAC $ SP.C $ TRGNK WATER ASSESS:iE2dT $ TRtiNK SELdER ASSESSiIEDiT $ LATE?.AL BENEFIT/TRUNK SE;:T:,'R $ LATcRAL BENEFIT/TRUNK {•7AT°R $ c L-, WIrTER TREATMENT YLANT SURCHARGE - $ OTHER: $ TOTAL f . $ AMOLNT PAID/YECEIPT' 5-~- DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? o L, YES IF YES, THEN i•. "PERMIT FOR T+dORK WITHIN PUBLIC ROADWAY" MUST BE ZSSUED BY THE Q NO ENGINEERING DZV:SION: LIST AS A CONDI- TION. SUSJECT TO THE FOLLOWING CONDITIONS: ~ APPROVED BY: TI.LE: ' DAT°: i• ¦t ws w~~ .u, rtM am s" wrm wM w s~.a wm wtm mum wmi~ Wpm stm a*= sa Wpo Mt+m Mtm ia s~m w~ . . , . . ~_xaw- . - . . . - f NEAT LOSS CALCULATION ° TEMDIFF. Custonrr Nrw ^ T~ ~ - DrMr NanN.~ Windem Sterm SM 'i.weE H aTtiNG : 9/C~ Strwt f~.4 L1frl~,p.~4~~ M~ A.~ F w~ti Wa1N . 4 Ins. Gty e.,~c~ 1/ Ev _1648da_ CS117 ~j~ I~' wk1tn t FI.PjM Roanll wwah wirbows,ne ooo.s-G.c4.y. «+a Arw wo+dew~ r+a ooer.-Gsaup «W A?.a we w~~a w.~M. we. a ~ 4wr, n. n~ •wwA w M l~ h. : n nr ~N s~ ~M L N ~ne~ h. M~. ~IMM~ . r Z - coa. em ' cod, Btu In}~Itrat~6n 3 Infikratfan GNa O SO ODO Glnt. Ewp. wall ILO ~ g Eap. wdl Not r:P. wall V 0 No ~xp. ~11 Int. wall IM. wNl Giling Gilirq 3 Fwo. ~3 x32 Fwa. Toul Bw. Tonl9tu. Fl er ' oorwll WidM O FI Roan~Lwi h Wfdth .Z INi t Windows Ouwrs-Gaekpr and Arr Windowr and Doori-Gackay~ Md Arr wym Nry~~ ~a M Hl4~l~h. A'_. It ~ O D a ~ a cod, ew cwl. lhu In}ihratim O I~ihrition Gtw p / G1as a 17_DO E¦p. wall 35-Xg jIre0 - EYp. wNl ~Ayx z Nel arP. +wll NM rx0. nN" (O O Inl. vwll ' Int. wNl _c«iIng /52(7.-0 v c.iiing /UIZ 3 1 bwr F loa Tnlsl Btu. Toul Sfu. OQ F~.i ~e ~ aomf~. n wwed '10 W.• t 8 Fl. .Z AwolLwepth Z width o ?r.i wmmws Prf ooas-Gxkap ana Arr Wh+dew~.nd Ooas-Cr.ek.pwd A?s. wn w•n~w .~r..M~ M~. N L~K ~r~ ww. M MM W~ IM. ~1 ~MY11~, h . n~ ~yw~ n1 L ~ ' ' o z 3 z ca1. Btu Ca1. Btu Infiltrslan 31, Infihnt~on G4;a S D Glm C 00 .51 Ekp. wall a, EsP. well z Ho intP. wNl C9' No fa0. vwll ~ Int. vall IM. weN Gilin! AO ~ coiiwM /2 /P l D plow Fba Tebl Stu. ToW Stu. ZO 5~ ~ x 6/s 6 RAfVD AKS DEVELOPMENT COMPANY June 16, 1986 Gabbert Development Co. 1055 East Wayzata Blvd, Wayzata, MN 55391 Dear Sir: I wish to respond to the accusations and facts of the situation presented to you by Mr. Thomas Gold. As Mr, Gold is now aware, his statements were founded upon an outdated development plan that both he and I had posession of throughout this Spring. The actual final development plan shows complete consistency with proposed and actual grades. I gained privy to this info- rmation on Sune llth. I believe the questions of Mr. Gold have been answered. I feel Mr. Gold's letter is an act of misunderstanding, mistrust, and poor timing. I have concern of the negative credibility implied upon Grand Oaks an myself personally. I therefore choose to present some facts of the situation: 1. The atiached copies of development plan and actual elevations show Mr. Gold's house to be within k" of proposed elevation. 2. Mary Ann has communicated with Mr. Gold no less than 30 times for situation upda[es. I have talked with Mr. Gold no less than three times on the specifics of the situation. 3. Since Mr. Gold first talked with me in early winter my response has always been Che same: a. There existed excess fill in the general area which needed to be hauled out with trucks when conditions allowed b. The grades proposed on the original development plan were inconsistent with actual final grade. c. Jim Hill Engineering provided all of our individual lot surveys and staked each house we built in Westbury. I should (and did) hire Jim Hill Engineering to study the situation to determine what happened and what could be done to correct the situation. d. Grand Oaks would address the questions of grade and complete the.fittal grading in the Spring as weather permits. 4. In Mid May we put a wide track dozer to work in the area to provide 1ut+t Snnriza Cnurf Fdn,- ' 55122 (612) 452-0747 . - " temporary positive drainage to prevent Spring water problems. At this time the wide track dozer was the only piece of equipment able to work in this area of super-saturated clay soils (mud). 5. In late May I requested Jim Aill to schedule in a survey crew to check existing grades and propose finai grades. 6. In late May Jim Hill crews shot elevations and plotted information. 7. On June lOth Grand Oaks hauled about 50 loads of excess dirt from the - general area. , 8. On June llth Jim Aill crews staked proposed final grades of drainage swale, 9. On 7utte llth it rained and neighborhood kids pulled most of the stakes. 10. On June llth Jim Hi11 crews gave me a copy of revised development plan. 11: Dn Tune 13th I met with Mr. Gold and reviewed the situation. 12. I intend to continue finish grading according to the development plan and requested restaking of Jim Hill. This will proceed as as conditions allow. We cannot finish grade mud. I hope my statements of facts will clarify the positive intent and positive actions taken by Grand Oaks. I feel the negative implications of Mr. Gold's are founded only upon his impatience of getting a12 the facrs before he acted with his letter of June 10. our truly, Thomas Montgomery j f\CUk..y Mary An~ Montgomery ~ copies: Mayor Bea Blomquist Thomas Egan James Smith Jerry Thomas Theodore Wachter Dale Peterson Veterans Administration Thomas Gold ` 1 .1 ~ \ 2 -ti --=a-- ~ ~0 \ t.e ~ \ • ~ o g R ` . . '1 y c 4 tl~. . F i • o . ~ ~ ` r t{'1 1 ' F ~ ~ : ~ ~ . t~ i, n M ~ M n ~ / i p, v~ ~ •i ~ E r~ ~ i P tk: S. ; !w~*.....__ - . . , ~1 , . ~~Q i i I o 'I I ~ P ,f . ~ --~4 I ~o~ • ~.i l I ~ ; 2 ° ~ e-sF m ~ M b-I ~ , ~ \ / ~ r y _ ' _ .[•SE . :,j 4e \ 890 f 6 < a. i J!F I-9 ~ ~ / ! ,~i~ e~~ ~ r ,P_3.~- i i ~ ~''~E i / ' ~ v~ I I ICa~ I m ~ ; ' , ~ ~ ~ ~ , ea--= / / ~ \ wL I ~ ~ 13! I L - wFSTBLF?y Z ~ DRIVE 1120 West6ury Circle Eagans MN 55I23 June 11, 1986 Gah6?rt Development Cv. 1055 East Wayzata Plvd. Wayzatz, t1N 55391 L1par Sir: This is a'fqllow-on letter to my June 14, 1486 letter addressed . to yoi!r firm. This letter also covers my concerns about noncompliance with applicahle huilding codes and Minimum Froperty Standards. Specifically: 1. Uniform Ruilding Gode sectien 2447.(a) General - Foundations supporting wvod shall extend at least 6 inches abvve the adjacent finish grade. 2. Minimum Froperty Standards and IJniform Buiiding Cvde - On , graded sites, the top vf any 2X.'t?!'lOr foundation shall extend above the elevation of the street gutter at point of discharge or the inlet vf an approved drainage device a minimum vf 12 inches plus 2 percent. 3. City of Eagan Approve3 Deveiopment Plan - The location of the drainage swale falls aivng the southern property line. The three requirements Iisted above are not being complied with on my lot(Ibt 3, 61ock 2s Westbury Third Addition). I have been unable to get any answers ar action from Grand Oaks Develepment Company(buiider), Your assistance in answering how Gat+6ert Development Co. will ensure that their development wil2 comply with these requirements will be appreciated. As Tom Egan was quoted in the newspaper in reqard to problems with Tellef<en Buildersi city council should limit their concerns to code vialations, not aor4cma.nship items. Therefore, in parallel with this letter, I shali be at the next city cauncil mee±inq to ask for the co{!ncil's assistance in cvrrecting these violativns. I shall also be at the neut Advisory Planning Cvmmission meeting to bring to their attentivn that the Development Plan that they carefuliy reviewed and approved has not been complied with. Any information that you can provide me prier to these meetings will be appreciated. 5incerely, A'q Thomas M. Gold cvpies: Mayor Hea Blomquist Themzs Egan James Smith Jerry Thomas Theodvre Wachter Dale Petersvn Veterans Rdministration k ) 1120 Westbury Circle Eayan, MN 55123 3une 10, 1986 Gahbert Development Co. ' I055 East Wa.yzata &1vd. Wayzata, MN 55:91 Dear Sirs: I wish t? bring to your attentien that the Westbury Third Additien is not fellcwing the City of Eaga.n appreved Development Flan. I will als? a.ddress additional concerns that I have in regard to the draina.ge and landscaping of this addition. ThF app'raved de..elopment plan shews my lot(lat =,blocF; 2,Westbury Thirci Additien) to have the follccwing required elevations: Rear ef heuse 886,0 ft. Seuthwest carner 885.7. ft. Southeast corner 884.7 ft. Additionally, the drainage saale sits on ±he southern lot line anc drains tewards Westbury Lane (at 883.0 ft.) The following questions and concern= of mine have been a.ddressed to Tom and Mary Ann, representatives of Grand Oa4::s Develepment Cn., tca no avail. Your a.ssistance at an=wering these directly would be mast useful. 1. Will there be at least six inches hetween the hottom edge of the Ma--c•nite lap siding and the finish grade(as per cotie and applicatien instructions)? 2. Is the rough gre.ding crew ta4::ing into acceunt the {our inches of still te be placed topsail that 6rand Oal;s will be placing on my lot? Is the landscapiny crew _aware of items 1 and 2.7 4. Tom said that a survey of the area was being done and it would resLtlt in an engineering report ?n the recommended drainaqe. Nvw can I get a. cepy of this report? 5. If L'abbert Development Ce, is planning to deviate from the City of Eagan approved drainage plan, how and when could I get z copy vf the changes^ b. My house was pl.aced at the same elevatien as lot 2, blocl: 3, Westbury TFiird Addition, instead af one and a half feet higher as'shown vn the development plan. This lewer elevation further complicate= the drainage pattern. How are you ensuring that the . slnpe of the drainage swale(heavy clay) will be sufficient to adequately handle the area runoff? , . Your quicF:: respense would he greatlf appreciated. Flease feel free to centact me if you have any questions. My home phone is 612-452-1424 and my wor4:: phvne is 61:-681-6416. ` Respectfully, Thomas M. Gold cepies: City of Eagan Planning Commisinn C:ty of Eagan City Ccuncil members Grand Oa4::s Pevelopment Co, Joe Milaer Construction Ca. ********~*********k**~***************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 769 DATE: 08/24/00 TIME: 12:19:37 ID: NAME: NORBLOM PLUMBING CO 3212 9001 1120 WSTBURY CI 30.00 2155 9001 1120 WSTBURY CI 0.50 Total Receipt Amount: 30.50 CR136430 USER ID: JAN j; CITY USE ONLY L V BL w'- I . RECEIPT SUBO. RECEIPTDATE: ~ PERMIT # 424 9,S 8000 PLUM$INzri PEiMT!' (RESIDEN17i4L) crrYoF EAs" 3830 Pu.or Kivos Rn BABAN, MR 55122 asl$s1-as7s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tubls a 3.00 x - $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem newlrefurbishetl • requires MPC ile. 75.00 x = $ Se tlC S tem abandonment 30.00 X = $ RPZ new installatlon/re airlrebuild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under rounds rinkler Ifdwellin isunderwnswction 3.00 x Under round s rinkler if exissin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 3. 0V W ater softener if dwellin under constructlon 5.00 X. _ $ Watersoftener Nexistin dweumA 30.00 x = $ W ater turnaround 30.00 x _ $ State Surchar e .50 $ .50 30 50 Totai $ Reminder.• Cafl ior inspections of aiterations, i.e. water heaters, water softeners, etc. I hereby acknowledqe that I have read this applicatlon, state that the information is correct, and agree W comply wiN all appliwble City of Eagan ordinances. IC is [he applicanPs responsibility to notity the property ownerthat the City of Eagan aswmes no liabitity for any damages pused hy the City during its rwrtnal operational and maintenaore.ani ~e.faciG[ies.constructeduutle[ this..oerm~t wilhin City property/rightoFwayleasement. SITE AOORESS: GOLD, TOM/PAT I OWNERNAME:: I 712aWESTBURYCIRCLE I TELEPHONE#: EAGAN, MN 55123 (qREA CODE) (651) 452-1429 INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: NORBLOM PLUMBINQ C0. CITY: ~aa [ai~F~i: Bn~A 801IT4i STATE: ZIP: MINNEAPOL13, MN 65408 SI ftE OF PERMITTEE V ' -� y b `'� ] n-y 't ' ll+eer - • Mr , ► 41f:.•11111* ' # .rte ,. _ a low Y r A c t ;I r r CIO! k' p rtt a ' 1 Atithow' 1120 Visiltilly' Cr. , 10t IP *Ett-taltl' 3rd - tlydls;.`, Plumber iv8 ey P1aarb '`� •A,d 8-19985 54 4 425.0(412 # NN to l• Csir al t 15 00t cvpositz 1 P 1 9• 50 eD / tot: Dot. Pow In O Jet - fjif 4/1/* City at8tan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink INFLOW & INFILTRATION PERMIT APPLICATION X Plumbing / Sewer & Water Date: 12141/2411. Site Address: II2 1n%tft OiirIla. < w..l MN /55/2-3 Tenant: 0,Aor 644. 4J Suite*: J RESIDENT / OWNER Name: /hCMAS i Wadi a —0tf[t Phone: 65/. 452- t 3 2,1 / 1 A Address / City / Zip: I 1 2 .4 /i t &ur y C� rd` fA*s / 551 i.3 CONTRACTOR Name: OW 0 Nr License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building Repair envelope) Other: Other: DESCRIPTION Description of work: tizp /1601., pi br iitpaJJ lIhJ` - pt 11;04iS flobvp pm — FEES , $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ lUV 0-4 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit IA repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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. 'Amen 7.-Weiefvf., Applicant's Printed Name Applicant' Si ature FOR OFFICE USE Required Inspections: Reviewed By: Date: Under Ground _,_Rough -In Final City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIALi PLUMBING PERMIT APPLICATION Date: . = - Site Address: t - wAcw __= cAt Tenant: Resident/Owner Contractor Type of Work Permit Type -- �_a -- Suite #: ,e..-___________ Phone. . 13 Address / City / Zipi��,u i ` • kJ �r ( F- Name: it*$I F :' i �1 3'] 05_7.61 "� 'J l! i� i �1..Z `�.- License #: l/5_ 1� Address:1 C' �p 0- ed , qq _ -' `�-7 City: 1� 1 ��ij-�,.0 State: H N 5 531 C C3j- 44 5 "4 03 ---- Zip: — __— Phone: ) Contact: Email: New >_ Replacement Repair Rebuild Description of work: RESIDENTIAL _ / Water Heater _ Lawn Irrigation (—_ RPZ / PVB) —_ Septic System New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ _— Modify Space —_ Work in R.O.W. Water Softener __ Add Plumbing Fixtures (___ Main / _ Lower Level) Water Turnaround c) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - =le Applicant's Printed Na FOR OFFICE USE Required Inspections: A cant s Signature 3 -r* Reviewed By: Date: Under Ground _Rough -In ' Air Test __Gas Test Final Use BLUE or BLACK Ink r________________� I For Office Use �/` ' 7 �/ �.._� C7 j Permit#: �--5 � � v � �ty of ��a� /� ' � / �p� � � Permit Fee: (!.�V � V� � I � 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 i � Fax: (651) 675-5694 I Staff: _► �---------------- � 2015 RESIDENTIAL PLUMBING PERMIT APP�i ATION Date: ��/ �� Site Address: �\� Q ��-�� ti 5-�- � r----_ Tenant: �S�� Suite#: R�S1C1�t�t1O1N�B1' Name: ��s� � �_ : � Phone: �2� 3�� - ��l�j Address/City/Zip: �� l�� e Name: `�c..��e., �' �` .�-r-^- �� License#: �v�� c�ntrac"tor Address: � O C� `�1 �a�-'� �� - City: �c•�-� state:�N zip: �5 ��3 Phone:��o� � / ��cv 3 '-3�0 � � Contact: ��\ Email: � �-�--��"� � � � � �� Q 1-�c�, e�. T�/j3�0#�flt'k '��`�ew _Replace ent _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: � �'��,S� �.� 3� �G--� RESIDENTIAL Water Heater ' Water Softener ° Lawn Irrigation(_RPZ/_PVB) Per�rrai#T�r�e Septic System Add Plumbing Fixtures(_Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge) "`Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be' 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 wo is not to start without a permit; that the work will be in accordance with the, roved plan in the case of work which requires a review and approval of p s. _....__.__.._� � S _,. —___.... X �3 \' csz--t-7 Q_��. -C' X � ..-' Applicant's Printed Name Applicant's Signature fOR OFFlCE 1�SE ` Revieviiecl By: flate: : Required Inspections: Under Gro�nd . ' Rough-In Air Tes# Gas Test Fina1 ' Meter Related Items: Meter Size Radio Read ` Manometer S#aff: r Use BLUE or BLACK Ink �________________�lo ` I For O�ce Use ' �,�l�D j Permit#: f�-��G' � I City of �a�a�� REC � , «. �� Cj ,� ��fo'� i Permit Fee: 7 _° �� r 3830 Pilot Knob Road 0 �' � � Eagan MN 55122 � Date Received: � I � _ � Phone:(651)675-5675 I � I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATI�j�3 Date: f� JR 1� SiteAddress: �rGb W�J��Y l.t✓L� � ¢h �"� Unit#: t �� . (� � ' " Name: J R�a{'1 cJ�t�� Phone: �L�'32 (�/�T ' Re��d@nt/ / �./ Q�1�►�eC::r . Address/City/Zip: 1 �Zo WCS,vHr y C�f c-(l � �5 4� .Ml� ��-3 �� = Applicant is: �Owner Contractor x � ��n �r:� � ��,; Description ofwork: `UW�T �c r K+J� (�'�'�'ld' ( TyQ� Uf�� " �±� Construction Cost: ��C�`�.�C) Multi-Family Building:(Yes /No ) � _. �� . Company: Contact: �� COntr�CtQr Address: City: � � �� : ��'; State: Zip: Phone: Email: , #��. �� : License#: Lead Certificate#: � :. If the project is exempt from lead certification, please explain why: . � � !i/�..1 /� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: ' Phone: NOTE:Plans ar�t�s��;`�rting d4�m�nts t�� tf��a��side�e�i� ��ublic r��'a�� the informat��n ma��be c7as�ifi�c��a��rra�� i�� ,��t��t�p��v�ec�fic r� � ��'��t woul'd�� o � �;;, �� c��t�� xra. �r�� _ * ��cre# xx ��.. � �� ;��v�� CALL BEFORE Y�U DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnes ate Building Code must be completed within 180 days of permit issuance. x o�� ts�.�� Applicant's Printed Name Applica Signature Page 1 of 3 \ ! �� `DO NOT WRITE BELOW THIS LINE � ��--� . SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage Porch(4-Season) Exterior Alteration (Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex X Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior � Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window- _ Water Damage _ Retalning Well *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation C� ' Occupancy � MCES System —' Plan Review Code Edition �/�� SAC Units '— (25%_100%� Zoning fJ,Q City Water "' Census Code �34 Stories — Booster Pump — #of Units � Square Feet _.. PRV r` #of Buildings � Length -- Fire Suppression Required -- Type of Construction � Width -- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows � Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ya� � � �d`' �''I�V Base Fee /?'? Surcharge Plan Review //� � MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL _ Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158107 Date Issued:09/25/2019 Permit Category:ePermit Site Address: 1120 Westbury Cir Lot:003 Block: 002 Addition: Westbury 3rd PID:10-83652-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Heather Peterson 1120 Westbury Cir Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (952) 895-8100 Applicant/Permitee: Signature Issued By: Signature