1124 Westbury Cir
CITY OF EAGAN
, 3830 Pifot Krtob Raad, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for • Est. Value Date 119
Site AddreSS r"_ ` i 3 i OFFICE USE ONLY
Lot 4 Block ~ Sec/Sub. •`'T~~ ~ On 51te Sewage Occupancy
MWCC System Zoning
Parcel Mo.
On 5ite Well (Actual) Const
m NBme City Water (Allowable)
PRV Required # of Stories
3 Address
City Phone Booster Pump l,ength
Depth
, p Name S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
~ a Engr./Assess. Permit
W W Name
~ Z Planner Surcharge
s - Address
Q W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all appiicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on ihe express condition that aU work shall be done in accordance with ail
applicable State of Minnesota 5tatutes and Ciry of Eagan Ordinances.
TOTAL
Building Ofticiai
' PerMit No. Permit Holder Data Telephone #
Piumbing
H.V.A.C.
Electric
Softener
Inspection Date Inap. Comments
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Fina!
Cert. Occ.
Temp. LP
Deck Ftg. 117,/ s
Deck Final - V_S
Well
Pr. Disp.
L
. . . _ .u . n . _ .Y.. . . f.. .4.. . . f• ,r '
CITY OF EAGAN .
454-8100 .
DEPT. OF BUILDING INSPECTIONS
~ , _ . _ ~ V i ' ~ ~ ~.~t~ c- ?
J _
Correction Notice
Located at/-) 2`~ r~~ sr~3~rl ~z CX
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
v i~-
--r
c ' l _ ' i / ~ ~ .7 G/ ~iS~.?GL'i''~
-
When corrections have been made, please
call 454-8100 for inspection.
~
Date
~ Inspector City of Eagan
DO NOT REMOVE THIS TAG
lin.. . . .,"y+R..a •
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Espn, MN 55121
PHONE: 454-8100
dUiLDING rERMIT rteoelpt ~
Te be wd ier ti F O ~lt. Esf. Value Dete 19
5ite Address ` 1 l~4 Erect Q Occupancy
Remodel ? Zoni
Lot Block ~ SeclSub. ng
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
, Move ? Length
W Name Demalish ? Depth
~ Address Int Impr. ? Sq. Ft.
City Phone Install El
Approvab Fees
Name
u, A~~. Assessment Permit
~ City Phone Water S 5ew. Surcharge '
Police Plan Review
oc
~Z Name Fim SAC ~
~o A~~ Enp, water Conn. '
~ W City Phone Planner Weter Meter
CounCil Road UNt r)
I hereby acknowled9e that I haw reod this opplicotion ond stote that gldg. Off. i~D Tc PL ~
the informofion is torrect ond ogree to comply with oll applicable A~
State of Minnesota Stotutes ond Ciry of Eoqon Ordirances. Parks
Sfqnoturo of Permiftes Var. Dete Copies
r -
, _ j.- , ~ Total
A Buildiny Permit Is issued to: ~ . on the exprcss coriditlon thot
oll work sholl be done in occordonce with oll eppliooble Stote of Minnesota Statutes ond Gty of Eaqon Ordinonces.
Bulldinp Officiol
- Pwmlt No. Permk Holdkr Date Talsiphono ~
~~~ing J5 (6
H.vA.c.
Electric ; 5Yi g 16lq yV. sZ)
Softer»r
Irapeetion Date InsP. OthK
Footinps 1 ~
Footinga 11
Foundetion l o ~B
Framing ~
Roofiny D~ ~J
Rouyh PIb6•
Rouyh Htg.
Inwl. 6P ~ /o Of~'
Finplace
Final Htg.
io as s~ .N
Finel Plbg. D • " y
Flnal
Care/Occ. 7j~ ItJ,Q 2
WatN DKeribe Locatio •
Wali
Sswsr
Pr. Disp.
CITY OF EAGAN Remarks
Addition WESTBURY THIRD ADDN. at ~k 2 Par , 10 83652 OL~.O 02
Owner Street 1 ~.estbury ircle State ~agan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET AESTOR.
GRADING
SAN SEW TRUNK - .
SEWER I.ATERAL
watermain
J
31
WATERMAIN . 2.26
o, ,f
WATER LATERAL
WATER AREA 1984 13,440 -
6-95 . VA ifd /',f I
water area ~ 1986 9• 3 4.63 15 6 .7 /.T ~r
STORM SEW TRK 19 73.6b 5 a g r G C, i ,f-It,/
STORM SEW LAT 491-00 98.20 5 3 i p' ft f
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit $280.00 55152 9 5 85
WATER CONN. 500.00 " "
13UILDING PER. 10904
SAC 25.00
PARK
r-
Receipt - ~ ~ PLUMBING PERMIT Permit No. - ~ ~
CITY OF EAGAN .
Fee
frll in numbered spaces VC
Type or Print legrb/y Tot.
1. Date 2. Installation Cost •
3. Job Address ~ r4,4 Yt~Blk. Tract ,
J `
4, Owner
5. Contractor - Phone
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional 0 ~
9. Work Description: New ? Add ? Alter O Repair ? 10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner '
Shower Wetl .
Kitchen Sink '
Urinal/Bidet Qther
Laundry Tray
°Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
~
12. 1 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
~ Fough Final
k: Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
~
Reaipt pIIECHANICAL PERM17 Pormit No. `
CITY OF EAGAN . . •
FN
Fil! fn numbered apaces 6/C Type or Print legibly Tot
1. Date 2. Installation Cost
3. Job Address ,Lot-A_Blk. Trect ,
4. Ownsr
5. Contractor i - ~ Phone r-~~1
~
6. Addre:s j
7. City t I; State - i i',. ; Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New EX, Add ? Alter O Fiepair ?
10. Deacribe `CL fr~ Fuel Type 1
11. No. EquipmBIIL 8TU - M. Ea. No. Epuiqment CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping 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
Rouqh Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTION RECORD
ITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 , , , .
SITE ADDRESS: ' ` APPLICANT:
(r ,
PERMIT SUBTYPE: TYPE OF WORK: . . , . .
INSPECTION .
~ . s
~ . . . . . . . . . . . . . . - . J
Permk No. Parmit Holder Date Telephone !k
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Inap. Comments
FOOTINGS G`121~0 ~
r
FOUND
FRAMING
(9~ Y
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7ING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: $:t j i: i M;; APPLICANT:
. . i i•~l1RY C ~~t , ,
PERMIT SUBTYPE: TYPE OF 1NORK:
INSPECTION .
1.1 'r•:F i Nle W;
. j 4'~'.; f; r j ~ r ~~1; i itF' r~~ ! i i t t• I i .'~b ~ Ifrf=k
,
Permit No. Pertnit Holder Date Telephone #
ELECTflIC
PLUMBING
NVAC
Inspection Deta Insp. Comments
FOOTINGS
~ aFOUND
FRAMING c g
ROOFING
ROUGH
PLUMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
~x.p
INSUL ~ Q~OD \ r ,
u
GYP BQARD
FIREPLACE ;uUGTW AVdl
FIREPLACE .f ~
AIR TEST J
FINAL PLBC,
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
,
~
CITY OF EAGAN N10 9 0 4
3630 Pilot Knob Road, P.O. Boz 21-789, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT Reuipt jj
Te be snied'yr SF DWG/GAR Est.Volue $76,000 Dafe SEPTEMBER 6 1q85
SiteAddress 1124 WESTBURY CIR Erect El occupancy
Lot 4 Block Z Sec/Sub. WESTBURY 3RD Remodel ? 2oning
Percel No. Repeir ? Type of Const.
Addition ? No.Stories
m Name GRAND OAKS DEVEL CO Move 0 Ixngth
Z Demolish ? Depth
~ Address- 1881 SUNRISE CT Intlmpc ? Sq.pt.
City F.ACAN Phone 452-8934 Install ?
Avororols Faes
~
o Name SAME 00
~u A~~ Aszessment permit
u~ City Phone Woter 8 Sew. Surcharge 38.00
Police Plan Review 180.50
~w Name Fira SAC 525.00
Address Enq, WaterConn. 500.00
~uZi City Phone Plonner WaterMeter _~sOO
Council RoadUnlt 280.00
I hereby ackrowledge flaf I hove reod this opplication ond state that gldg. Off. 95 85 Tr. PI. 1 32 _ 00
the inlormotion is wrrecf and ogree to wmply with oll opplicable AP~ Pa~
State of Minrwwto Stotu~e and City oL Eag Ordirances.
Sipnoturc of Perminee Var. Date CopieB
GRAND OARS DEVEL CO Total 52.079.50
A Building Permit Is izsued to: M fhe expross conditbn thov
oll work shnfl 6e done in accardance with oll op,~(ie/?bleSt~ore~ of ' newto ta utes and Ciry ol Eapan Ordinonces.
Buildinp Officiol
CITY OF EAGAN N? 1 5 3 6 2
• ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE:454•8100 Receipt# :z Sq~~
(1
To be used for DECK Est. Value $1,000 Date JULY 20 ,19 88
Site Address 1124 WESTBURY CIR OFFICE USE ONLY
Lot 4 Block 2 Sec/Sub. WESTBliRY 3RD On Site Sewage _ Occupancy
MWCCSyS[6m _ Zoning
ParcelNO. OnSiteWell _ (ActuapConst
a Name MITCH & CHERYL STEVENSON Giry Water _ (Allowable)
w PRV Required # of Storiea
z Address 1124 WESTBURY CIR -
° City EAGAN phone 452-7363 6ooster aump _ Length
Depth
.a o Name S.F.Total
aa AddfBSS FootprintS.F.
u
~ City Phone AppROVALS FEES
w W Name Engr./ASSess. Permit 24.00
w
tz- Address Planner Surcharge • 0
z
a W City Phone Council Plan Review
Bldg. Ofl. SAC, City
I hereby acknowledge that I have read Ihis application and state that the Variance SAC, M WCC
intormation is correc[ and agree to c pli h I pplicable State of Water Conn.
Minnesota StaWtes and C f a rdi nl Water Meter
Signature of Permittee ` jt Road Unit
A Building Permit is issued to: MITCILSTEVF.NSON Treatment P1
ontheexpressconditionthatallworkshall6edoneinaccordancewithall QO leS .50
applicable Stale ofM~in~neso~t]a Statutes and City of Eagan Ortlinances. q~ P
BuildingOfficial ;j1_~,l(i I~o `V, , TOTAL 15.00
This reQUest void 5~ 3 a~ 161919
nwnths fmm
R03 0549.83 8a-
Request te Fire No. RouBh-in Inspecti ~
R quired? Feadv N o~Will Notily, Inspeo-
~5 s ?NO tor When Ready
Licensed lecvical ConVactor . I hereby reduesl inspectian ol above
? Ownar elecHical work installed et
Street tldress, Boz or Route. City
ecUOn o. To nship Name or Range Nq. - Cow
~ 3~d a o~~
Occup~' ^tIPRINT) Phone No.
Cod' ' 93 j~
P.wer Suppli r ~ AAdress
CQ ( '
Electri Mract r(Compan Na 1 . Cuntractor's License No.
Cr~P~i-i f~ ~cr.4/D 7 l1V-3
Mailinp Address (COntrnctoror wner MakinB stailatioN
/ K
Authorized nature ICo tr[o wne k, e Installatinn) Phone Number
~ ~l
MINNESOTA STATE BO D OF ELECTRICITY THIS NSPECTION PEQUEST WILL NOT
Griggs-Midway Bldg. - oom N-197 BE ACCEPTED BV TME STATE 90AND
1821 University Ave., St. Paul, MN 55104 UNLESS PPOPEN INSPECTION FEE IS
Phone (612) 287-2111 ENCLOSED. '
REQUEST FOR ELECTRICA' 'J1ISPECT~ON ~ ea-oooor.oa
See instructions for comvle' 's form on beck ot Vellow copy.
3 X" Selow Work~vered b This Request
05490~`~ D
t
Plane d Rep. TVPe ot 8uiltling ADOliances Wiretl Eqvipment Wirad
Home Range 7emporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tenk
F8Y, Othe.i pecr y t e, ISVecifyl
c er uccrty Other Othar
ompute Inspectian Fee Selow
p Fee ServiceEntraneeSize pFee FaxdarsASubieeders k Fee CjE
0 to z00 Am s~ B 0 to 30 Am s 0 to 30 Above 200 qmps 31 o 00 Amps p- 31 to 1Swinm~ing Pool Above 100_Am s Above s
Transiormers Partial'Signs Speciallnspection S _
Nemerks - TOTAL F~
?
HougM1-in ~ Date , the Elec '
Inaoactoq hareby
~ certify thet the above
Final spectian hes been
mede.
r
Irbie requesl volC 18 months tram - '
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
N07E: ALL CONTRACTORS TIUST BE LICENSED WITH THE CITY OF EAGAN
ZNCLUDE 2 SETS OF PLANS
I CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS •
To Be Used For: S ~ Valuation: ~Z Date: / - - ~ ~
7
Site Address: OFFIC~ E USE ONLY
Lot: Block ~ Sect/Sub Erect Occupancy
Remodel Zoning
Parcel II Repair ~ Type of Const
Addition # of Stories
Owner Move _ Length
Demolish Depth
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone APPROYALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge
Address police Plan Review 4LO-S o
Fire SAC
City/Zip Code Engr Water Conn ~p
Planner Water Meter 3
Phone Council Road Unit cBldg Off 9~.g5 Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address ypTpl,
City/Zip Code
Phone U
~ '
jf`SURxV:EYOR'S; C.ERTIFICATE GRAND. OAKS DEVELOPMENT C0. ^
4
r
: N
. , o
Q~O~ ~
N,\
L_ ~94,.. \ QS~ .
~
/ s ,yp
c1a / •/y \ A.,~
QsS 3. ..1 i ~
. r 8g ~ °s o` , p~
~a2' / ~ ~ ~'_~-AO .•h
LOT 4p~ 4 erz / p ~
ss <<a~, ~ .
~
sb'Oo
32\y J IL
0
DENOTES PROPOSED SURFACE DRAINAGEN,, `
O DENOTES IRON MONUMENT SET ~ SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARA6E FLOOR = 885,5 FEET
.X000.0 DENOTES EXISTING ELEVATIDN PROPOSED LOWE3T FLOOR = 9e2.1. FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 865.9 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
' REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 2, WESTBURY 7HIRD ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR l1NDER MY DIRECT SUPERYISION,
THIS 4n+ DAY Of see?mMeenr.. 1985.
SIGNED: JAMES R. HILL, INC.
J
BY: C 67/-,,C,
HAROLD C. P•TER50N, LAND SURVEYOR
PIINNESOTA LICENSE N0: 12294
PROJECT NO. BooK ~ PnGe JAMES R. HILL, INC.
858z6
Pianners / Engineers Surveyprs •
FILE NO. : 8200 Humboldt Avonue South~ ~
FOLDER Bbomington, Ma 55431 e12-e84-3029
I~ 2/84
u '
~.q` ; CITY OF EAGAN
111~~ APPLICATION FOR PERMZT
SEWER AND/OR WATER CONNECTIODT
- (PCEASE PRIHi)
1) PROPFR7^1 ApDRESS: ~01 S'T b f 1 1r Li1 ( 1 r'Gle
r.Frar. D:SC_.'4I°frC-I: t,.
(Ipt/Block/Su:alvision or Tax Parcel I.D. N r) -
S'1',LCZ'ME, DATE OF Oc2TGMAL u`i2LDL`:G P=•S. ISSU?NC.:
PPt'SL:I' --:.^.`7Iil;/p?nPOSr,'D IIS: ' .
IP R-1 SZiGL: rPMSI,Y
0 R-2 DUPL,..z"{ (Ima LTIITS )
? R-3 TUv1II?CLTSE ('1S?n.zE - L"7ITS) ( W T^5)
? R-4 PPAR7=1T/CCiZ`GmIC,tii ( TJ~iZ^'S)
p CC.l"j%ERCLAI,/RETAII?OFFIC::
? INML'STRZAL
? LiSTZMTIONAL/GGVE,RI~..n`*r
2) ApPISG V'P (PLEASE PftIYiJ .
G- u~d ~~ks
annREss: 1"02 ~Si~n 1~/4 P l~
crz^„ s:r=,
PxoINE:
3) pu;;IgER (PLEASE PH1Ni) FOR CItY USE ONLY
A171ME: ~ ~
E:
ApDtZESS: P9=FE~
, CO ~ Q l~ CP R ~Gf ~ CITY, STATE, 2IP
: /'ptCS ~l S'~ ed
PH0NE' . of PLUVBER IICENSE p R cord
~ ni[ta
4) OCC.'[TPAb1T/C*.•r'CIE"~.e NPbSE: (PLEASE PPINI)
ADDRESS:
CIZ"I, STAT.E, ZIP: ~
PIK}:VE:
5) INDICs'sTE Sa[iICH PERMIT IS BEZIK; RE2UE$'1'ID: .
~ CO:INF_C.TION 'Ib CITY SETrIER
~ CONNMCi'ION 'IO CZTY WATER -
Q 0T71ER (PI,rA$E DESCRSBE)
6) L*,DiG, = C:ZE:
~ PI.EISE f?OID APPRWEp PER.+IIT FOR PICF:-UP flY ONE OF AHOVE .
~ PLFA.SE D'AIL APPROVE:p PF3MT 1`'J 1, 2. . 4 ABWE
(Circle one)
7) SI~v'~TURE. i• • . ~ ~ • i • ~ _
•.u• • ~
7.~~~an~i~~~dNi~.y~/ ~ ~ • iw
~lwa~aLawJrJUj..~se~c~g~a~arar+e~:a~ . . ~'~~iiiisii:~a~lf!llf,fqYly~~!!l~5e4t~' •
FOR C I T Y U S E ON;,Y ,
PERMIT ISSUED
Sr~.*.;L.. no4aa_'_.Tm orc,
F.r..c ..5: $ C~SO --n (PIC7...,L~; SU.,~_:aRCE)
$ /O SU WATER PERhtIT (Ii:CL'uDE SIIRCHARGc)
$ WATER METER/COPPERHORN/OUTSZDE READ:R
$ WATER TAP (INCLL'DE CORPORATIO:7 STOP)
$ SE:JER TaP
$ /S-op _:~_('^OC:i•?'
Ir ACCOUNT DF.POSIT - PiAT°R
$ c•, ~ WAC
$ Co SAC
$ TRGNK LQATER ASSc.55;dE:7T
$ TRliNK SE:vER ASSESS.IE.iT
$ LATEP.AL BENEFIT/TRUNK SE?•7ER
$ LATERyL B£VEFIT/TRUDIK S9AT°R
$
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
AI-IOLNT PAID; Rc^CEI2T
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES ZF YES, THEN P, "PERb1IT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DZVISION. LIST AS A CONDI-
TIO[3.
SUEJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
TI:LE: •
DAT°:
t sff ~Ff~ !A ~kf~ Rmf! m/l ii! R" RM PE Wf! WiMN R+0 !kW/! i"
.
^r,`''~.~ w~-a<" . . - .
' CItY OF EAGAN PERMIT
BUTLDING
3830 Pilot Knob Road PERMIT TYPE: 032065
Eagan, Minnesota 55122-1897 Permit Number:
Date Issued: 05/21 /g$
(612) 681-4675
SITEADDRESS: 1124 WESTBURY CIR
LQT: 4 6lOCK: 2
WESTBURY THIRD
P.Z.N.: 10-83652-040--02
DESCRIPTION: ENLaRGE ENTRYWAY
ByJ 1~!~'rrt9 Permit 7ype SF (MISC.)
pruild3ttg"lAork Type ALTERATION
O'ns Us 434 ALT. RESIDEN7IAL
~
` • ~ ~
s. : .
^tiI'~ d'5~~~1,~~ ixdN .
~4 ~fl frVfr4
m.
t , w m a
~ . ' °
REMAfffK§: REVZwEO BY MIKE BARCK
FEESUMMARY: vALuarxoN $2,000
8ase Fee $62.25
Surcharge $1.00
Total Fee $63.25
p can -
lit
Ap
CONTRACTOR: n~/NFp
S TEVENSON CHERYL
, 1124 WESTBURY CIR
EAGAN MN 55123
- (612)452-7363 °z ak;aQw~ }""~r5 ~A~ wt~~~ ~t~~~' ~
xzr~.ris ~r-r¢~s~_ ~sr ~anrp~, ~V~' I~ts~~~
d KYt
AN'
L X
•1 _ /
PLICANT/PERMITEE SIGNATURE ~~~ISSUED BV: SIGNAT RE
? ~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
L CITY OF EAGAN
3830 PILOT KNOB RD - 63 122
681_4675 "J J Z ?
New Canstruction Reouirements RemodeVRecait RecuiremeMs
? 3 registered ske surveys ? 2 coples of plan
? 2 copies of plans (inGUde beam & window s¢es; poured fid. design; etc.) ? 2 ske surveys (exterior edtlkions & decka)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies ot tree preservation plan iF bt plattetl after 7/7/93
required: _Yes _ No
DATE: a--'g -q8 CONSTRUCTION COST; a, 2~cD
DESCRIPTION OF WORK: F.p1QL4& (ADO-.f
-r
STR TADDRESS: IIe~~-I (JeS-I'{'JC-Cr~ Ctrc-k.e.~
OT: 4 BLOCK: SUBD./P.I.D. I,J(2'~+bUL/
Name: 5~PXI c~OC 1 Phone k: i'IScZ -~7.3~p~
PROPERTY Lwt Fhi ~
OR'NER `
StreetAddress:llla~
ciri State: rnw Z;p: 551 a 3
~
Company: Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENG[AIEER Company: Phone
Natne: Registration
Sfreet Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction onty): Penalty applies when address chang
and bt change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compty with all applicahl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant QtbQ-x1'10- 4t(7c"ar-"
OFFICE USE ONLY
CeAificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Re
7i]
OFFICE USE ONLY
BU(LDING PERMIT TYRE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0, 03 SF Addition ? 08 8-ptex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK'fYPE
? 31 New ? 33 Alterations ? 36 Move
)4,32 Addition ? 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. fr. City Water
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq, ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code. 4S11
Depth Footprint sq. ft. SAC Code 0(
Census Bldg 1
Census Unit o
APPROVALS
Planning Building /W3 Engineering Variance
Permit Fee Valuation: $ Z ooo. ~
Surcharge
Plan Review
License
MC/WS 5AC
City SAC Water Conn.
Water Meter
Acct. Deposft
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Oed.
Trails Ded.
Other
Coples A% Totali f;
°k SAC
5AC Units-.....,...__
PERMIT
CITY OF EAGAN
•3830PilotKnobRoad PERMITTYPE: BurLoznG
Eagan, Minnesota 55122-1897 Permit Number: 036950
(612) 681-4675 Date Issued: 10 / 10 / 9 7
SITE ADDRESS:
1124 WESTBURY C'IR
LOT: 4 BLOCK: 2
WESTBURY 3R0
P.I.N.: 10-83652-040-02
DESCRIPTION:
(3-SEASON)
Building_,Permit Type SF PORCH
Building Wo,rk Type NEW
f6,`Census Cade 434 ALT. RESIDENTIAI.
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`REMARKS:
3-SEASON PORCH BEING BUILT ON EXISTING OECK
A GFPARATE PERMST IS REOUSRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25
Surcharge $5.00
Total Fee $167.25
~
CONTRACTOR: OWNER: - Applicant -
STEVENSON MITCH
1124 WESTBURY CIR
EAGAN MN 55123
(612)452-7363
. „ „
I hereby acknouledge that I have read this applicatiort and stata that¢the
infarmatxon is correct and agree to compiy wiCh all applicadle Storte of Mn.
StatW,tes antl C3ty o# Eag,a~fi Or°dinenCss.°.
_Ob" ~~C~`~,~re.?.,o~. , C
12PPLICANT/PERMITEE SIGNATURE SUED BY:51 ATUR
997 BUILDING PERMIT APPLlCATION (RESIDENTIAL) ~10r' z
~ CITY OF EAGAN ~
3830 PILOT KNOB RD - 55722
681-4675
New Constnidion Reauirements RemodeUReoair Reauirements
? 3 registered she surveys ? 2 copies of plan
• 2 copies of plans (inGude beam & window sizes; poured fid. design; eta) ? 2 sfte surveys (eMerior addRions & dedcs)
? 7 energy calwiatlons ? 1 energy calculations for heated additions
? 3 copies Mtree preservatiun plan N lot platted efter 7!1/93
required: _ Yes _ No '
DATE: i~ --I -q-1 CONSTRUCTION COST:
DESCRIPTION OF WORK: nc~~
STREET ADDRESS: V 1`a~_ I~CS~'~l! C\ ~7'~
LOT BLOCK a SUBD./P.I.D.
I1)0S'+ln[arV anrll Add•
PROPERTY Name: Q?XnSo(1 m4C-'1~L` hone '-FSd --73C9,:t)
OWNER wr nxst Street Address
City: F~~CA. n state: mIj ziP:
CONTRACTOR Company: '-~!A PhOne
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
F ~ Name: Registration
~ Street Address:
f. I
City: State: Zip:
Sewer & water Iicer.5ed plumber (new construction only): . Penalty applies when address change
and lot change arc, equested once permit is issued.
I hereby acknowiedge that 1 have read this applicaGon and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
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 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
04 SF Porch ? 09 12-plex ? 14 Firepface D 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE i&",tv 3 SPc,F„rN, cn~c^ d¢clG
? 31 New ? 33 Afterations ? 36 Move
p' 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MGWS System ~
(Allowable) Main level sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zaning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~ 3kl
Depth Footprint sq. ft. SAC Code ol
Census Bldg !
Census Unit O
APPROVALS
Planning Building MB Engineering Variance
Permit Fee Valuation: $ 10 ova
=
Surcharge
Plan Review 3 3~ah~r r~~tc
License 11, s 2 v
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
1 I . '
~ SURVEYOR'S CERTIFICA.TE GRAND OAKS DEVELOPMENT C0. ^
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L_ ll 1 ~1 e~~' ~99 \ ~ a/OS
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869 s~ F ce~3~
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,DENOTES PROPOSED SURFACE DRAINAGE~,, `
O DENOTES IRON MONUMENT SET ~ SCALE: 1 INCH = 3o FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 885•5 fEEI'
.X000.0 DENOTES EXISTING ELEVATIaN PROPOSED LOWEST FLOOR = 892•1 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = B85.9 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 2, WESTBURY THIRD ADDITION, according to the recorded plat thereof,
Oakota County, Minnesota
NND OF THE LOCATION OF A PROPOSED BUILDTNG. IT DOES NOT PURPORT TQ SHOW IMp,ROVEMENTS,
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SURERVISION,
7HIS 4T4 DAY OF gEP?~rye~r-, 1985. .
SIGNED: JAMES R. HILL, INC.
~ ' .
BY
HAROLD C. PETERSON, LAND SURYEYOR
' PIINNESOTA LICENSE N0: 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85826
Planners / Engineers Surveyprs
FILE NO. 8200 Flumboldt Avenue South!
FOLDER Bbomington, Mn. 65431 e12-e84-3029
~ r
19$$ BIIILDING PERHIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRE3SES FOR CORNER LOTS - CONTRACTOR/$OMEOWNER MUST DESIGN9TE TdHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT 25 ISSUED.
MULTIPLE DWELLINGS RENTAI. IINITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHEC% WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4tERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
ftt JVL I YW
To Be Used For: OPValuation: DO Date: `1-(0 -gd~'
Site Address 7A Wt~;k qo[v L tiRc-1F? OFFICE USE ONLY
Lot Block ~ On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub We Sti ~T ki On site well Actual Const
City water Allowable
Owner (C~i h y ~ k ik S~~OXI~n PRV required of stories
Booster Pump _ Length
Address 1~~ l~)QJ~ ~irJ QrcA2, Depth
S.F. Total
City/Zip Code E0.QOifl (rlR SSLDZ Footprint S.F.
Phone 4S APPAOVALS FEES
Contractor Engr/Assess Permit .7
Planner Surcharge .8~
Address Couneil Plan Review
Bldg. OPf. SAC, City
City/21p Code Varianee SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address Copies !•+5~
I TOTAL s
City/Zip Code
Phone N
, .
•
SURVEYOR'S;`CERTIFICATE GRAND OAKS DEVELOPMENT C0.
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9
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~'ryry ~ ~ / _ ~Bes ~ ' ' C ~ ,
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--s-- DENOTES PROPOSED SURFACE DRAINAGEN,, SCALE: 1 INCH = 3o FEET
O DENOTES IRON MONUMENT SET ~
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 68S•5 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR a 882.7 FEET
(OOO.O) DENOTE$ PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 665.9 FEET
•
I HEREBV CERTIFY TO GRAND OAKS OEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 2, WESTBURY THIRD ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota
OR ENCROACHMENTS,OIF ANY,PTHEREON.BUAS SURVEYED BQEMENOORPUNDERTMY DIRECTISUPERVISION,
THIS 4T%+ DAY OF'sev?e.+aat., 1985. •
SIGNED: JAMES R. HILL. INC.
. o~ c _ BY: '
HAROLD C. P TERSON, LAND 3URVEYOR~
• MINNESOTA LICENSE N0: 12294
PROJECT NO. eooK ~ pnaE JpMES R. HILL, INC.
8ssz6
Planners / Engtneers Surveyprs
FILE NO, 8200 Humboldt Arenuo South!
FOLDER ebominqton, Mn. 56431 012-884-3029
IXUTION ExTERIOR EM1ttLOR':A,
, b1 w ~«t;;k Fx~r i r~ , ~~~y ' . •
GRAND~:OAKS"pEV~Lpf'P1EIJt COMlrA1NY~`'
a
MODEL' qREA• y~ U X AREA .
. R 4. ` h ilS~~~j. J;iY P.
REQUIRED
1. ' TOTAL WALL'"AREA ' 184t~ X`. 1 i' • 198
• . : . . r;~;,?_;., ,r,. .
2. ` TOTAL.RQDF AREA 1l96,k.026 31.096
. . . ; .
ACHIEVED . ' x ~ , ~ t . „ ~
AREA . ' U U X AREA
A. WINDOW AREA~: ;•'186.66 ;Y .5 93.33
B. DODR AREA 39.8 '...077 3.0646
C. SLIDE 'OLASS'.AREA.' 13.44.':. • , .4B 6.4312
D. FIREPLACE~ AREA' . 0':. O: 0.
E. WALL'FRAME:.pREA"'''<160. ..041 . 7.38 '
F. . NET WALL'. AREA 1164: 1,' 049 57.0409
U. RIM.-JOTST_-AREA 119.82;'.0436 5.211072 H. FOUND WINDOW AREA 0''. O 0
1. FOUND ABOVE GRADE ' 96. 48. .135 13.0248
3. TOTALf WALL AREA.. 180Q': 185. 3026
J. . SKYLITE':...,' ~Q. 4
K: " ROOF FRAME ' 119. 6' .032 , 3. @272
L. NET ROOF AREA : 1076. A' .'025 26.91
4. TOTAL R00F AREA 1196 50.7372
, , <
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8UM 1,.+2.', 224.096
SUM S. +4. ' • . , , , 216.2398
. ' +~i J • - . . . . .
fi r , ... +>` �a r ti,S �'tz x a .� �. ;t
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a a c+ wsr r� � � d• a ?y `7��.J � >�4w.4' `�°.w.ati� ) � �" t'
�$ `� A hi ', 1 ', � �'-�+ �= a c. +�` #' �',
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'4,:"._'.4'2... � "� fir_ y ,v h- �'# ±rt ,-:::15:',..,,::.',P:','`.' 'I'"i,`,.
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•
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154804
Date Issued:04/12/2019
Permit Category:ePermit
Site Address: 1124 Westbury Cir
Lot:004 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher Brinson
1124 Westbury Cir
Eagan MN 55123
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168011
Date Issued:04/06/2021
Permit Category:ePermit
Site Address: 1124 Westbury Cir
Lot:004 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher Brinson
1124 Westbury Cir
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170252
Date Issued:06/24/2021
Permit Category:ePermit
Site Address: 1124 Westbury Cir
Lot:004 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-040
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher Brinson
1124 Westbury Cir
Eagan MN 55123
(612) 309-9932
Honey Doers
19848 Highview Ave.
Lakeville MN 55044
(952) 985-5383
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178682
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 1124 Westbury Cir
Lot:004 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-040
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Christopher Brinson
1124 Westbury Cir
Eagan MN 55123
(612) 306-6530
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature