1132 Westbury Cir
~ CITY OF EAGAN ' 1Q 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
_PHON E: 454-8100 ,
BUILDING PERMIT Recaipt# '
To be used for Est Value Date
Site Address ~ t'~ 'rT'',-';Y C i; OFFICE USE ONL
Lot Block `Sec/Sub. On Ske Sewaye Occupency
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name Ciry Water (Allowable)
W PRV Required ~ of Stories
3 Address
~ City Phone Booster Pump Length
Depth
, o Name I "CCTi'W' S.F.Totai
o (i Address ' Footprint S.F.
U~ City Phone qppROVALS FEES
~ W Engr./Assess. Permit
y~ W Name . ~U
~ Planner Surcharge
= Z Address
a= Cit Phone Council Plan Review
~w Y
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 applicabie State of WaterConn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unlt
A Building Permit is issued to: 'Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parkg , .
TOTAL Building Official
Permit No. Permit Holder Date Tslaphone #
Plumbing
H.V.A.C.
E lectric
Softener
Inspectlon Date Insp. Comments
Footings I ~
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition WESTBURY THIRD ADDN. Lot 6 R,k 2 Parce, 10 83652 060 02
Owner Street 1132 Westbury Circle State Eagan, N 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 17. mZ eZ 0 0 -1-2 -/y~ S
SEWER LATERAL
watermain 198 4;2 -i y
WATERMAIN . . 26 15
31, (p C'~j 11~j ~
WATER LATERAL
WATER AREA C°0 / ~ /L- `~.1
water area 198 6 9• 3g 4•. 3 15 1, 4: 1(, eo 113 1-2- i 9-ct~"
STORM SEW TRK 5 1986 3 73 • 5 02 .6-0 e 0 11,3 t19' 1.2, -eS
STORM SEW LAT 19 491 • 00 98.20 5 C Ll D1/,j c 1-2 CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. a n
BUILDING PER.
SAC
PARK
• CITY OF EAGAN 1105 a
~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
eU1LDING FIERMIT Re«ipr ~
Te M wa for t, Est. Volue pote
Site Addreas ~ E"'~~ ~ I ~ _L.. Erect p Occupancy
Lot Block ~ Sec/Sub. V ~`1' ' Remodel ? 2oning ~
Repair ? Type of Const.
Parcel No. Addition ? No. Stories
)F hi7L1:f;'1 COI'•I;3'i Move ? Length
W NaT1e Demolish ? Depth ~
z Address _..s f~.'i;i:Ai2 AV:': Intlmpc ? Sq.Ft. -
City ot•'Phone 4-{ 1 ~ Install 1:1
Aporovols Fees
Z~ Name
uu Addres6 Asussment Permit
City Phone Water b Sew. Surcharge
Police Plan Review
~W Name Fire SAC
Address Eny. WaterConn.
tW City Phone Planner WaterMeter
Countil Road Unit •
I hereby acknowfedya thaf 1 how reod this appiication ond state thot Bldg. Off. y/J_ 3f Z 5 Tr. PI. '
the informntion is torrect ond ogree to comply with oll opplicobl• A~
Stote of Minnesota Stotutes ond City of Eopan Ordinonces. Perks
Var. Date Copfea
Sipnature of Permittee Total ~ ' •
h Bufldlnp Permlt is Issuad to: on the expreu condition thot ~
pll work shall be done in acoo?dance with oll applioobta State of Minnesotc Statutes o.id City of Eaqon Ordinances.
BuHdinq Offidol
Pomit No. PKmit Holdw Dsw TeIephpne ~
Plu^W^g ~od 7 ~I i7 d'.i ~a ~GSo G
H.vA.c. ee~~-~L¢.dZ. 6~r o-G oa
Elawetrio
Softernr
IrtWection Datt Insp. Other
Footfnps I ~
Footings 11
Foundstfon
Framiny
Roaflng
Rouyh Plby. ~
Rouyh Htg. b53
,
ln:ul. re; ' ez R~
Firoplece
Flnal Hty.
Final Plbs.
Final
CKqOcc.
Water ~~ibe Location:
Wall
Sewer
Pr. Dlsp.
Receipt PLUMBING PERMIT Permit Na.
CITY OF EAGAN
_ ; , Fee
" Fill in numbered spaces S/C
Type or Print legibly Tat. ~
1. Date - - 2. Installation Cost
3. Job Address Lot Blk. Tract ' T
4. Owner
,
5. Contractor Phone~ r G i
6. Address J,
7. City State 2ip
8. Building Type: Residential FLI Commercial ? Institutional O
9. Work Description: New El Add ? Alter El Repair ?
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Drainfield
' Baih tubs Septic Tank
-;2~ Lavatory Softner
_ Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordiriao~s and codes governing this type of work.
- ~
Signed: for
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
/ i .
Reaipt MECHANICAL PERMIT Permit 11b.
CITY OF EAGAN FN
Fill in numbered wwa S/C +
Type or Prinr /egJb/y T&L
i , • ~ . -
1. Deta 1',-~' 2. Installation Cost
3. Job Address f) Lot' \Blk.Tract
.
4.Ownar
~
5. Conuactor ' Phone .
6. Address
~
7. City State ~ Zip - -
8. Building Type: Residential 0Y Commercial 0 Institutional O
9. Work Description: New D Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No• Eouinment 8TU - M. Ea. No. Equioment CFM
~ Forced Air ^ + ' ~ ~ Air Handling:
Mfg. ,
Boilers Mech. Exhauat
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Rping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
wmply with alt ordinances and codes governing this type of work.
5igned : - - - - -
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
/
This requesl void55515
18 mpnths fwm n .i L 39.516
ReVUes Date Fire No. RouBh- in I nspection
fleq red? ~fteady Nuw Wfll Notity.InsPec-
la ' Ves ?NO K. When HeadY
iicensed EIecVical Convactor 1 hereby request insoacrion ol above Owner electrical work instelled ac Street Atldress, eaz or Route No. Gtv
LUcs~6v~. ~+~~ulr ~~t 4n
ecuon o. Townshlp eme or No Fange No. County
Occupan (PqINT) Phone No.
' > S~f ~/31- Z
P e Supplier Add
IC I
EIr~cvi. a,~l .Convactor ICompany Nam 1 on a mr's License No.
~'dJ, o / -
Mailinp AAJress (COnVa or or Owner Makmg Instailation)
1
Authprize Signa[ure IConha r O n Ma ing Insta tioN Ph e Number
" sa- 5
MINNESOTA STATE BOAXD OF ELECTflICITY THIS INSPECTION NEQUES7 WIIL NOT
, Griggs-Midway Bldg. - Room N-181 BE ACCEPTEO BY THE STATE 80ARD
1827 University Ave., St. Peul. MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone (612f 297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oooot:cu
See inscructions for complating this form on back ot Yellow copy.
X" Be/ow Wark Covered by Thrs Request
4S~ t V ~ 60
Nev4Addj Nep. Type o1 Building AoGlinncea Ill ~ Equipment Wired
Home Range Temporary Service
Duplex WBtOr H2ater Lightin,y Fixmres
Apt. Building Dryer Electric Heatine
Commercial Bldg. Furnace Siiu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fafm Other peci Y Other (Snecify)
t nr ueci(v t er Other
ompute Inspection Fee Below
p Fee ServiceEntranceSiza k Fea Faxdars/5ubfexders # Fee Ci~cuits
J. 0 to 200 Am s 0 io 30 Am s d .lS 0 to 30 Am s
Above 200 qmps 31 to 100 qmps 31 [0 100 A s
Swimming Pool A6ove 700_Amps Above 700_Am s
Transformers Irrigation Booms t1 Partial•'Other Fee
Signs Special Inspection $ TOTAL FEE ercwrks
3 ~ .d n
Rough-in ~ Da[e I, the Elactrical
q/~~N( InsDector, hereby
• certify tha[ the above
Final ~ O"1e 'nspaction hes been
mada.
Tnle reQUast voltl 18 montha Irom
CITY OF EAGAN N° 15107
3830 Pilat Knob Road, P.O. Box 21•198, Eagan, MN 55721
BUILDING PERMIT PHONE: 454•8100 Receipt n h
~~A ~ y~
7o be used tor' DECK Est Value $1, 000 Date JUNE 1 1 g 88
Site Address 1132 WESTBURY CIR OFFICE USE ONLY
Lot 6 Block 2 Sec/Sub. WESTBURY 3RD OnSlteSewage _ Occupency
MWCC System _ Zoning
Parcel No. On Site Well _ (Actuap Const
TERRY ANDERSON Cirywater _ (nllowable)
rc Name
3 Address 1132 WESTBGRY CIR PRV Required _ # of stories
eooster Pump Leng[h
° City FAGAN Phone Depth
, o Name TICKNER CONSTRUCTION S.F.TOtal
o a Address 1700 NOKOMIS CT Footprint S.F.
UP City MPLS phone 825-2276 qpPROVALS FEES
~w engr./Assess. Permit 24.00
WW Name 50
r z Planner Surcharge .
i - Address
aw City Phone Council PlanReview
Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC
information is correct and agree to comply with all apDlic le State ot Water Conn.
Minnesola Statutes and City ofFmr9MTS)rdinance . e Water Meter
Signature of Permittee
Road Unit A Building Permit is issued to: TICKNER CONST Treatment Pt
UCILK
on the ezpress Condition that al I wOrk shall be done in accordence with ell
applicable State of Minnesota Statutes and City of Ea9an Ordinances. Parks
"jy~ TOTAL Z4.50
Building Of(iCiaL~~.~_~t
CITY OF EAGAN rJ° 1105$
, 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55127 Gv L
PHONE: 454-8100 5 4 0-
BUI~LDING PERMIT / Reteipt
To M med fer SF DWG/GAR Est. Volue $103,000 pme OCTOBER 1 , 1 q 85
SiteAddrese 1132 WESTBURY CIR erect MI OcwPency R3
Lot 6 Blxk 2 Sec/Sub. WESTBURY 3RD Remodel ? 2oning RZ
Percel No Repair ? Type of Const. V
.
Additlon ? No. Stories
JOE MILLER CONST Move ? Length 49
~ Name 18133 CEDAR AVE Demolish ? oepth 3$
Address InL ImDr. ? Sq. Ft.
~ city FARMINGTONpnona 431-2001 Install O
SAME Avv°„^b Fees
o Name
addreos Assessrriert Parmit $ 440.50
City Phone Water &$ew. Surcharge 51 . 50
Police Plan Revlew 220.25
Name Fire SAC 525.00
rc~ qddress Enp. WaterConn. 500.00
~W City Phone Plonner WaterMeter 63.00
Council FoadUnit 280•00
I hereby acknowled9e fhof I hove reod fhis application ond stote thof gldg. Off. 9/13 /HS Tr. PI. 132.00
the inlormation is correcf ond ogree fo comply with oll opplicobl P~ Pa~
Stafe o4 Minnesoto $tatutes n CitYA of Eoean ~onces. Var. Date
_ -QhXlt~ GjC/a? CoPies
Sionature of Permine 7otal $2.212.25
A Building Dermit Is issued ro: JOE MIL ER CONS on tha expresa condition thoi
all work shall be done in ocmrdance with ell a ' ble StaMtbT741f newta Statutes and Ciry ol Eapon Ordinances.
Bulldirg OffiNal
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 Z$ 3} 3
~ Telephone # 651-675-5675 FAX # 651-675-5694 (c . ~ •
New Construction Reauirements RemodeVReoair Rcwulrements Office Use Onir
3 registered site surveys showing sq. d. of lot, sq. ft. oF house; end all roofed areas 2 capies of plan CeA of Survey Recd _ Y_ N
(20%maximum lol coverage allmved) 1 set of Energy Calculatbns for heated addfflons Tree Pres Plan Recd _Y _ N.
2 copies of plan sMwmg beam & window sizes; poured found design, etc. 1 sfte survey tor additions & decks Tree P`es Required Y_ N
1 set of Energy Calculations Addffion - irMlcate don-sde sep6c sysfem On-site Sepflc System _ Y_ N
3 copies of Tree P2servation Plan if lat platted afler 711193
Rim Joist Deteil Options selecGon sheet (buildings with 3 or less units)
Date /v / Construction Cost
Site Address Unit/Ste #
Description of Work /LM AJ4 nIA"
~
Multi-Family Bldg &&-r' Y e N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (
Contractor of WI'imesota Inc• _ _
Address _ NnnyTo~~k Rd CitY
State a, " TT4 Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv ] Minnesota Rules 7672
Energy Code Category . Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+lsubmissiontype) Submitted Submitted
• Energy Envelope Calculations 5ubmitted
In the last 12 months, has the City of Eagan issued a permiT for a similar plan based on a masTer plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Piumber Telephone
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved lan in the case of wo k which requires a review and
approv of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Aecessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addi[ion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolifion (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
~ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~
` j.
I
i
~ ~
~
~
E
;
w
~ ~ ~y ~ 7
i . ~rr~ak'~~~8~'T } s~~,~~~~ ~,'xa! a1'~h;i~ ~ ~3 ~fY;;~~: , 1 Ea~v~, N i gr a~;,. 'Y*~'FM1~k~ '~I~ F+s b ,I _I.
s~IS,r~ ~ ? I i k +I•S~r- g u r. rn~.r.<<frtt;;xy l~ u.~~'+, ."'~'~t€'ra~ ~F 3, ~
kr~~ r~':. tlEFx~~'~~ j~~l~"~r1~~~~~3~~~ I.~~~R ~~~~~3a~ ~c~ ~f k~iPl. ~~eP i i{ 4aF,1{ I7~'~4~"~' a•.;. ,
~ ~ y ,~;(~~3S=s N`~~~ ~ 14 : P ~ aw ~r ( y ~ i~r ~r ~~,„.ih a ' ~ ~ , v' t ~~~k3A ~ R al i. ai,~ i` ~ ~
4> Y B_ 5, rj~ t~ t^:N
~ ~ ~ , ~~~I,~,~n~~ ~ ~ u ~d ~ rt ~
,ri ~ ~ ~~~i
i~~l~ ~ rl ~ ~ ~ ~I h ~ ~2 ~ ~i'*:~ t~ + cu tin`6t ~ ' f
~
' ~ ~ ~ ~ ~ ~ ~ ~~t~~~~ ~7 I~ PI 9q~a k ~ i `
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f ~i~~~ 4~ ~t ~ ~ ' ~ S a 4' Vf ' p~ d.t. r ~ f ; F` a~
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N ~ A~~ 9~ ~ ~ ~k ~ i ~1 ~ F? pt-~~ ~,~,.yi~~plY I~~ p{If~ , ~~p 1-
t ~d q } 9(]
6 .5 l ~ k,Ni ~ If R~~~~4 5f~ '~n @8 t{i(~ ~ I t
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~ W~tiF~~~ v~ ~ m4 ~ Vh~ ~.'~~i',~ "~i: ~ l' ~ i ~ i ' i~~ ~ ma ~r ~,y~ir i '
~ ,ft 4 ~ ~ u~ tl ~S i ~
4 ~ i~ a~ ~ sG~w~, ~ , ~ R. . ~ ~ ~ ~ o-s # ~ ~ '
t W ~ , ¢ i 4~r x d''~'1 P~r~il~~Ih~L i(~,t 1 ~ i7'.
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' ~ . ; ~ti.~`~' i , la~~~~a'~° xl fii~ ~.~4 B ~~~'s, H, y "(~~A~f~ ~~.~y~'~y .~~~~"t~~'~~a~~r~ - .
. i~~ si ~~~j4~~'i~~ <~~Mi§~ 1 ~~atmy~{' ~ I~~ ~ ~,r)1~ rc~ i: .
. , . -~I i__~ 1~ ~,y~~.~x_, ,-s ~ i a'm~?'~7~'.~~ryl'' ~ .
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7985 BUILDING PERMIT APPLICATION - CITY OF EAG9N
NOiE: ALL CONTSACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
85'I41 INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS •
'~,CbO
To Be Used For: I0
Valuation• ~ Date•
Site Address: 1113"P OFFICE USE ONLY
Lot: ~ Block C~
Sect/Sub C(/3Erect ~ Occupancy
Remodel Zoning
Parcel f1 Repair _ Type of Const 7EE-
Addition # of Stories
Owner Move Length ~
Demolish Depth
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor 1 Assessments Permit
' -rv
n ~ Water/Sewer _ Surcharge 51 ~
Address / ` Police Plan Review ZZD .25
c- ,r Fire SAC S`aS.
City/Zip Code Engr Water Conn SoO.
~ Planner Water Meter (03,
Phone Council d Unit 22~p_
Bldg Of Treatment Pl l32
Arch./Engr. APC 7 Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone 0
I
\ ~
2-7 x ZC~ O Z x 5~° 4-0^1 I(
22 x 2~. = 4-8~X 12 - 58~8
Ic~2~z¢
. TFtI-LANO C0. '
$ITE PLAN FOR :
suRvEYiNG .
sERVicEs
JOE MILLER COMBTRUCTIOM
4636 NICOIS ROAD
EAGAN, NIINNESOTA 58122 '
~fiSTeURY
sa a ~~RC~f
v
,
"WA6E . T l
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o ~Sti~ HousE
3 M1Y
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/ CIV
zt
c ~
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- \
Sso•r~' E 9o'a °
PROPERTY DESCRIPTION SCALE : I"= 30'
LOT -k-, BLOCK? , '
wESTBURY TMlae amirtaJ
cccordinp fo the rscarAed plct fMreot
ONCOTA CaY1ry. MinnesOta
LgOENR
o OENOTES IRON MCNlNMEN7 PROPOSED GARAtiE FLOOR ELEVATION• 858 -
o DENOTES WOOD HUB SET PROPOSED FIItST FLOOR ELEVATION =GL3_
DENOTES EXISTIN(i SPOT PROPOSEDBASEMENT FLOOR
ELEVATION ELEVATI ON
OENOTES PROPOSED SPOT
ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
I Mr~bp ctrtifr fhat tAlysurwy, plon or
report vos pnpand by ms or under my
' direct supvvfsion and Mat I am a duly Brodief/J. SMenson, Mn. Req. Na. I5¢35
~ ReqisWed Land Surveror under the
. Laws oi the Sfafe of Minnemota Date ~'dioliK
F
EXTERIOR EIiVELOPB AVERA4E ~,Ulf C013pUTATION
(To be aubmitted ttith.building:permit'appliaation)
One o'r,Tmo Fami.ly DwelliaBOtvaer :
All other 82te Address
~&/w ~
Contractor LL Date oae
LIt1EAL FEET OF
Exrossn Vrai,t, s~y. wo2~c. s~ fte above 8raae ~ Z>(DZ ~ •
TOTAL EXPOSED WALL AREp gQ, FT.
opAqUE WALL CONSTRUCTIONt "U'f Value x Ares
Dotail: aUof x SQ. FT.
recerence ~~U• npn a Sq. FT.(+Uj(p) npa (U) (A) _
from 1 . x SQ. FT. e I U)(A)
attached up° x SQ. F'T. ~ U)(R}
sheo~e; ilpr? x 8Q.
npn x $e, - (U)(p)
YlI11DOW5: "Uif 'Yalqe' x Area
Make & TYPe . U " npn, ~ x..gQ. iT, =_W(U)(A)
n n nUn
u n X Sq. FT.= - (U)tA)
- n x::t3Q FT.' - - (U)(A)
x'3Q. (U)(A)
DOORS: 'lUll Value x Area -
MWce & Type x Sq. FT. 5 3 °_.-1c.
n u
-7, (MA)
np11 x SQ. FT.~(U)(A)
n It
It fl~te x Sq. Fr. _ (U)(A)
- - X Sq. FT. ~ (U)(A)
TOTALS Z31OZ. SQ. F'T. [~I I Z (U) (A)
AYERAC3E ~~U~~
'lQ`r/Il. (V)(/1) V~.oES qri/ 1- a f . .
DIVIDED BY TOTAL 1iALL AREA ZZ?69Z
AVEHAQE "Ns$ ,115 or lese for t&2 family dwellinge
ROOF/CEILIN(i s
TOTRL AREA s _ _ I Z('jQ
Detail roference nun OZ/ X 8Q. L~!z_~ (ll)(A? '
from : Q ~v~~A)
c~ttached aheete. np» x SQ. P,T. ~ )tA)
Deecribe oneninga frUn Q (U) (A)
in root.:' --"_npo x.sq. Pf. a (U)(A)
TOTAL (U)(A).:VilLUE3 DIYIDfiD BY . ZS. Z ~~~1•r7 -1=-~N.f( ZSz Cuj'A>
TOTAL ROOF/C&ILINa AREA /7C~•., . . OZiI •
AVERADE "U" ~ i
.025_for veatilsted roofa.
,
t _
` . . .V . . ,
y
?
~ i 2 a ~ e a°
t -
:
a
a
J
O
Y
3 /
4
S
~
~ '
~
~
I
. 12 O
rs D /
. u
is
u . -
17 G tv-
u (
u
te r
71 .
12
f] ? ~ J
II ~
IS wD
27 II
tf . t
: 11
]t Z , y^
37
71
71
73 -
36
77
It
Determitxing.l+Ull :valuee st Roof~ Wsllp Rimp end'Coao. H].ook
R4pF/OEILINQ R Y U
1.) Interiox Air tilm 0.61
. z.) 5/8" ayp. sd. .56
3. ) Inaulation rp
4.)
5.) Exterior Air Fiim .61
(BTILL)
t 2 3
6 nUn n 1/Ra ~OZ iOTAL (R)n
,
WALfI R VALU
6.) Interior Air.Film 0.68
7.) 1" ayp. sa. .45
80 Inaulatsoa )Q.aO'
. 9.) : .~IC. -~?T'~ 2,0
- l0.) hfaeonite siding. .6~
~p 11.) Exterior Air.Film 07
i
npn a 1~R~ ;~-3 TOTAL (R)= Z3.D1
f
17 RIF R VALU
12.) Interior Air Film 0.68
13.) Ineulation 19.00
~ n 14.) 211 Fir Rim Joiat 1.88
16.) Maeonite siding .6
170 Exterior Air Film .17
n '
, d • • • $lIjn e I/Re TOTAL (R)~s Z¢~(
p r ~
• Oe
~ • FOt1HDATION R VALU
0
: 18.) Interior Air Film 0.68
21 • • $ 19' ) •
s1xhPPaP 1/.00
n ~j°• 9 210 12" Oonarete Hloak 1.28
' • ~ 10 22. )
z3 b.~ • 23.) Exberior Air Film .17
a
nUII e 1/Re r07~0 TOTAL (R) a
~r
ti . ' " .
, ' ' , , r; . s.. : . ' . . . . . ' . , , , . .
.
' :1.. . . . . . . ' ' . .
1988 BDILDING PERMIT APPLICATIDN - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 01
INCLUDE 2 SETS OF PLANS, 3 CEEiTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CARNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PE[iMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAtERCIAL
INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS
J C':" fL ~ / OOc~
To Be Used For: Valuation: Date: n'!R-~. ?o
Site Address OFFICE USE ONLY
Lot 14- Hlock On site sewage_ Oecupancy=
MWCC system Zoning
Parcel/Sub h On site well Actual Const
City water _ Allowable
Owner PAV required _ # of stories
Booster Pump _ Length
Address Depth
S.F. Total
City/Zip Code ~YIYIY Wr~ Footprint S.F.
Phone APPROVALS FEES
Contraetor l0A) Engr/Assess Permit 00
Planner Sureharge 5 ~
fiddress 1~~(~_ Couneil Plan Review
Bldg. OPf. J~~ SAC, City
City/Zip Code. ~''~'i->, Variance SAC, MWCC
Water Conn
Phone Q)5- Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOT9L
City/Zip Code
Phone If
, _ .
;
~ . ~
_ . - . - . O
~9 ^
m
,
~
~
I
10-7
L -b BL ~ CITYUSEONLY ~aSJ,_Z
RECEIPT C~ J
SUBD. RECEIPT DATE: oV
PERMIT #
8000 PLUM$1Nfl PERIYITI' IF.EswNTIk1-)
crrY oF gwsax
sSso Pu.or Kvoa ftn
E!?fiRR, MN 551 EE
651-691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to e sting d@Ili minimum fee
Describe: $ 30.00
8ath tub !:M3.00 x = $
Floor drain x = $
G2s I in Outlet ' minimum -1 x $
Hot tub/s a x $
Kitchen sink x $
Laundr tra x $
Lavato .x = $
Se tic S stem newrrefumisned 'requires MPC Iie. 75.00 x = $
Se tic S stem abandonmenc 30.00 x = $
RPZ new inslallationlreairlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Uf1d0r fOUnd 5 finklEf if dwellin is under consWction 3.00 X = $
Under round s rinkler itexistin dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater- . 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
WBtef SOft8f1Ef if exlsting dwellin 30.00 X = $
Waterturnaround 30.00 x _ $
State Surchar e 50 $ 50
Total > $
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge ihat I have read this application, state ihat the informaGon is corred, and agree lo comply wilh all applicabie City of Eagan ordinances.
It is the appliranYs responsihility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City duhng i[s normal
operafional and maintenance activitles lo the facilities consVUCtad under fhis permi[ within Cily property/righFOf-wayleasement.
SITE ADDRESS: /'5726ii Xre-V Cl.4l% f
OWNER NAME: :~/9~~ C°?O~Y~_~~ TELEPHONE C~,
~ (AREA CODE)
INSTALLER NAME: 16'U TELEPHONE ~ ""~Z~
2-e021) (p'REA CODE)
STREET ADDRESS:
CITY: RECFIVFD TATE: ~ ZIP:
APR 1; " '1000 /
BY: SI NATURE OF P RMITTEE
i
2/84
l CITY OF EAGAN
APPLICATI0.1 FOR PERMIT
SEWER AND/OR WATER CO\NECTIODI
(PLEASE APINi) 1) PROpERTY- AeDREss: /,vCS I6ua C:.#e
rFraz, DEsCRztirzcN:
(Lot/Sloc.k/Sc: ctivisicn or Ta _ axcel I.D. ~ r)
I=S:'=:U STRL'C^^:'iE, DATE 0° CnT_GiIAi, uiI7..P.L`:,~,
PP°S~:I' ~:^,`7IiVl;/p!?OPOSr~ IIS: O R-1 SL:G'i..-'. r.A;•tSLY .
? R-2 irIIrL=: (T.iO GSIITS)
. Q lZ-3 iCT•.N-EtVTCF (?q-;c= + C^7I'Sv) ( Wi 2^'S)
E3 R-4 eP.A:.7,c,.;m/CC_.z)Ci.irillLm ~ Wi ITS)
Q CCl•n1E.°.Cl-:~_L,/RE^.,A:I,/OF:'ICE!
? 1NDus-l-Rrz
? LOsTZ7L;TTo~.~?c~^v~:~m-T
2) APPISv.,]'I' (PLEA$'c PALS(J
N71~~IE: ~se Mt//th
ALDREss: 1$l33 C°404?, i4uc,
crrY, s=-, zIP: ~aNr„ ~~~a a .,v
PxoNE: S~31 -~a7/
3) Pu;:IBER. (PLENSE PHiNT) FOR CITY IISE ONLY
NlaME: ~~Y .+~~•,.1yi ~~~c .r ~7i`~re T.vc
~ PLUN8ER5 CE4SE:
ADD^nESS: _ /4L1 $ ~3~ ~ ,tJ ir e
' CITr, STATE, ZIP: Q f Record
Pxorre: PLUMBER LFCFYSE # ao~5 ~
' :nltla
4) 0 ~.'u^2ply'p/Cr.yiIER NF411E: (PLEASE PRiYi)
ADDRESS:
CITY, S=, ZIP: .25
PHONE:
5) INDIG'LTE :VEIICH PERMIT IS BEINC, REQ[7ESTEp:
Q'CONNF.CTION 'R7 CITY 5EWER
u C0:7NFX.TIG:I 'IO CITY SdP,TEZ
? diH£R (PIT;~SE DESCi2ZBE) 6) INDZG=~ C.:r.: .
. ErPZ: ASE E?OID r1PPRMED pgZmST Fl7R PSCK-Us BY ONE OF ABGUE
? PIEr1SE b*?S2, APPROc/Ea PEF:-lIT 'M 1, 2. 3, 4 ABC7VE
(Circle one)
7) srcaT.-RE: nATe: sc
~ I
Mit w! olaLilU~ i sa l~afu! s~+t~:aira is ~ i it.sa:a a~e f.!!,l~yi f~ a rrtll~,asKa'~ar
F O R C I T Y U S E O N L Y '
PERMIT " ISSUED
Frrs: S l0'Su SEl:LP. °~39~rm / nr_-^r••
{dATER PEMIIT (IL:CLUDE SiiRCHARGc.)
$ -~du WATER METER/COPPE:2HOi2N/OUTS:D° REi,D: R
$ WATER TAP (ZNCLUDE CORPCRATIQN STOP)
S SE:JEB T~P
$
$ _ ~c°~ ACCOliNT D.E:PnSIT - WA':ER
$ wac
$ snc
$ TRUVK SJATER ASSESS:?E:iT
$ TRli:JK SE;9ER .`,SSc55:_?:iT
+S LA,ERAL BEivEFZT/TRU:IiC SE::ER
$ LA:cRAL BENEFIT/TRU.:K i•7AT°R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTyL
$
~ AMOL'NT PAIDjRECEI?T n ~373~z
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PU&LIC RIGHT OF WAY?
G YES ZF YES, THEN :ti "PERh1IT FOR 'AORK WITHIN
PUBLIC ROADWAY" MOST BE ISSUED BY THE
C] NO ENGINEERING DIV:SION. LIST AS A COIVDZ-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: •
~
APPROVED BY: - r
TI:Lc: •
DATr :
~ Fr as wMse wkw MLM
1
, REGEIL`Ep mY 9 ~ 9988
Gabbert Development
1055 East Wayzata Blvd.
Suite 201
Wayzata, Minnesota 55391
May 9, 1988
Tom
Grand Oaks
Enclosed is a copy of letter dated April 18. It is
very disappointing to hear from 6oth the homeowner
and the City of Eagan that you have not connected
the rear lot drainage on Lot 6, Block 2, Westbury
3rd Addition.
You assured me when we talked in February that this
problem would be corrected in the spring.
Because of your lack of communication with your
customer, he is now threatening suit to get some action.
Why not handle this one properly!
Please call the homeowner, Mr. Graudal at 688-0573,
Mr. Foertsch at 454-8100, and myself at 473-5401 and
let us all know when this is going to be handled.
Dave Gahbert
DG/cb
Enc.
cc: Dwight Graudal
Michael Foertsch
City of Eagan
C1tV OF cCCiCJtIn
3830 PILOT KNOB RpAD, P.O. BOX 2I199 yC EiuspN
EAGAN. MINNESOiA 55127 htaYOr
PHONE. (612) 454$100 TMOMAS EGAN -
DAND K. GUST/+FSON
. PP1vtElA McCREA
1HEODCf2E WACFRER
' COVnCJ M~
iHOMhS HEDGES
Cih~dminenafor
EUGENE VPN OVFRBEKE
CiN C~
February 11, 1988
GABSERT DEVELOPMENT "
15T NATIONAL BANK BLDG
SUITE 201
1055 WAYZATA BLVD E
WAYZATA MN 55391
RE: LOT 6, BLOCK 2, WESTBURY 2ND ADDITION
3820 WESTBURY T,ANF.
Dear Mr. Gabbert:
As ynu may rAcall, ths City of Eagan sent you a letter ciated
11/10/87 requesting a solution to an existing drainage problem on
the above-referenced parcel.
Today I received a call from the resident of 3820 Westbury Lane
requesting the status o£ the proposed grading operations. Before
the snowfall, I had noticed that some activity had occurred on
the lot. Please provide a status report, a schedule of
completion, and documentation of the completed work when finished
for our records.
'I'hank you for your attention to the City's request. ~~J~ G~
Sin erely ~
,
! ?
1/chael P. Foer V
Assistant City Engineer
_ . x .
cc: Dwight Gravdal 1~ -~;a~ r~ _
7r /1"{ C
MF/jf /
r
( c7dt RCt ~ 2 J r _ ,
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMl1NIN
/
Gabbert Development
1055 E. Wayzata Blvd.
Suite 201
Wayzata, MN 55391
November 13, 1987
Grand Oaks
Grading correction is needed to release trapped water on the
N.E. rear corner of Lot 6, Block 2, Westbury 3rd Addition.
Your customer has issued a complaint with the City of Eagan.
Please keep myself and Michael Foertsch updated weekly on
your progress. We assume this will be handled at once before
the winter closes in on us.
Sincerely,
David Gabbert
DG/ch
cc: Dwight Graudal
Michael Foertsch
Cityof Eagan
~
411,1/`.
CityofEaau
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:
D
19i
n X20012 RESIDENTIAL `PLUMBINGPERMIIT APPLICATION
V\ U, l
Date: v� v Site Address: \' �. r/i 1 C' �/ E'' "C Ct y1
Tenant: Suite #:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
Name: ( t/L 11 (oeHsch Phone:
Address /City / Zip: J L52. Voest ' CMCI ?
cas PI mb►n e #: D2
.1JG City Nair'
Vr'
Name:
Address: 0Y'
State:
Zip:
[tam
Contact:
Phone: I2.
Email: ei / L #
New _ Replacetment Repair Rebuil Modify Spa Work in R. W.
m-04 161(suflive(CAla.flqfblia-:
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
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 $189.00 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) I V�
TOTAL FEES $ (.O �f
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aooherstateonecall.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, anwork is not o 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 appr al • plans.
x
\MA k 1(0 eS
Appl cant's Printed Name 'r 1 ents Signature
Required Inspections: Under Ground
Reviewe
_ _Rough -in
Te
k l
y ':
4 b i `yg i.
?` : " .ate t � ... y ,.. • , e t
r
r a t v 4%- - s, w E r .' 'rA '
fi "" " F ` rt .� . ,' te ~. • t �
�, t
CITY ,I
` 0_7
�4016sI 1
Z Jaw b Fez coast
plumb.; t plauab r , see.
o`4
f ' # �T�l .L / e
surcharge
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116808
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 1132 Westbury Cir
Lot:006 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Andrew J Goettsch
1132 Westbury Cir
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
� t�c�.�'�e�-3 FS12�'Z
�
Use BLUE or BLACK Ink
— —-,
������ � For O�ce Use I
��6 O�11Q Qll j Permit#: /�"��� 1
I Q �
3830 Pi�t Knob Road ��L 2 Z 2014 � Permit Fee: � j
Eagan MN 55122 I ?��! I
Phone:(651)675-5675 BY� � Date Received: �
Fax:(651 j 675-5694 � �j,� �
� Staff: i-- �-
�����������������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � 1 � �1 Site Address: ,r�� "��. ��-�, �✓�'�� `�`°
Tenant: �v`���v � Suite#:
.ResidentlOwner _ Name: � , C� ��.-�����.,-�"� Phone: � � � � �Z�
� Address/City/Zip: _ J�
} Name: � � d- License#: lX � � � ��J-✓
Contractor Address: �°l U�-§ \)�L.It'�Yl I� �1 � 4'1 S"1 City: �f..t.0�t'�Ci�
�,�.a y p�
State: �4�� Zip: ��J�Phone: �Q� � ` � ��'� �� 1
�.
Contact: }�`� Emai1: (t R C� ��.r�r CuYV�
_New �Replacement Additional Alteration Demolition
� Type�of Viloi'k � Description of work: �
� �.. .��. ���..���� --� � � r t � �
NOTE'Roof mounted and ground mounted mechamcal eqwpment is requir`ed to be�screened by City
Coc3e Please contact the Mechanical inspector fo�information on permiited sc�eening methods. `- ,
�.,��,�
�
RESIDENTlAL COMMERC/A L '
Furnace New Construction _Interior Improvement
tt Perinit T e � � �Air Conditioner _Install Piping _Processed
_YI?�
Air Exchanger Gas Exterior HVAC Unit
� _Heat Pump Under/Above ground Tank (_Instail/_Remove)
Other
RESIDENTIAL FEES
$6Q.00 Min9mum Add or aiteration fo an existin�unit(includes$5.00 State S!�rcharge) G J
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� • TOTAL FEE �
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installationiremoval =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
*"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***if the project valuation is over$1 million,please call for Surcharge =$ �° TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work wili be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permft,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.
x �-21V1'L1 ��(,��,2�1'.S�7Y� x �
ApplicanYs Printe Name Applic nt's Signatur
,.��._��... �n,�,�� �._x����� �,�e«�«��n, �,..�. �_�
FQR OFFICE USE�� � ���`°� � '�`����� � � �
Reqwredlnspect�ons: � � '�� � Reviewec�By �: t Date � � �
� �, _ � � � .�, m,,�..�..�� �� ��� ��� �� � � �,.��< :
�.� ,
Underground _Rough Tn �ir`Tes� Gas 5ert�ice Test �` �r���filoor I�eat - Final . �iVAC Screening_,:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125678
Date Issued:07/30/2014
Permit Category:ePermit
Site Address: 1132 Westbury Cir
Lot:006 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Andrew J Goettsch
1132 Westbury Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128996
Date Issued:12/23/2014
Permit Category:ePermit
Site Address: 1132 Westbury Cir
Lot:006 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Andrew J Goettsch
1132 Westbury Cir
Eagan MN 55123
(651) 452-6258
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139526
Date Issued:10/26/2016
Permit Category:ePermit
Site Address: 1132 Westbury Cir
Lot:006 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Andrew J Goettsch
1132 Westbury Cir
Eagan MN 55123
(651) 452-6258
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141763
Date Issued:03/29/2017
Permit Category:ePermit
Site Address: 1132 Westbury Cir
Lot:006 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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:
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 -
Andrew J Goettsch
1132 Westbury Cir
Eagan MN 55123
(651) 452-6258
One Hour Heating & Air
1904 Vermillion Street
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
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Permit 0: . g. g 0 (l ,i-
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Permit Fee:
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' Date Received: 'A a:-4.-I
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I Fax:(651)675-5694
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buildinoinspectionsAcitvofeapan.corn ., t!.. 2 Jo'
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/28/2017 1132 WESTBURY CIRCLE
Site Address: Unit#:
--, ,
GOETTSCH 651-452-6258
1 . Name: Phone:
1 ReSideriti
°Wrier I Address/City/Zip: SAME AS SITE i) ,t,,
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, Applicant is: Owner Contractor
$ .._
I INSTALL EGRESS CASEMENT WINDOW 28"Wx42"H.
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Descripwork:
tion of k.
1 Type of Work ' .
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Construction Cost $1500
Multi-Family Building:(Yes /No )
REVAMP REMODELING & DESIGN MARY M. DEVENS f
Company: Contact:
4.
Address: 105 NEW ENGLAND PL., #145 STILLWATER
I City: ,
Contractor
1
State: MNZip:
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4. 1 55082
BCPhone: 612-231-0010 Email: revampdesign@comcastnet
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_,...._ License#: 634654 Lead Certificate#: F114840-1
1 If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
-,i
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:
i
I
Licensed Plumber: Phone:
i
1 Mechanical Contractor: Phone:
Sewer&Water Contractor:
Phone:
t
Z Fire Suppression Contractor: Phone:
NOTE.Plans and supporting documents that you submit are considered to be public infamiation. Portions of the information may be
classified es non-pub/Ie If •u.rovide s.ecific reasons that would•..• it the C to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citycfeartan.comtsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at 851)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstatoonecail.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 plans,
xMARY M. DEVENS .
4,, y
x
Applicant's Printed Name Appli nrs Signet re
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE
SUEZ 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 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
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation s Occupancy de, - / MCES System --
Plan Review Code Edition ,,oi j SAC Units --
(25%
(25% 100% ✓( Zoning Pry City Water
Census Code 4!3'J Stories — Booster Pump --
#of Units / Square Feet — PRV —
#of Buildings Length Fire Suppression Required ...-
Type of Construction .A Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/ No C.O.Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &,Water Final Pool: Footings Air/Gas Tests _Final
4" Framing aZ30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS
Insulation -- Windows
Sheathing Retaining Wall:—Footings_ Backfill!Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced WallsErosion Control
Shower PanOther:
Reviewed By: "------------------
, Building Inspector
RESIDENTIAL FEES
Base Fee 7 3 2'9'
Surcharge
Plan Review 4,7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
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