1137 Westbury Cir
CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 11410
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor ~F'' Est Value 3, 0 0 U Date ~~H1'~UF+J2Y 6 , 19
~
SNeAddress 2137 WESTB[1F:Y CIRCLr' Erect [j{ Occupancy i?3
Lot9 Block 2 Sec/Sub. ~J'•STBUkY 31<D Remodet ? Zoning Kl
Parcel No. Repair ? Type of Const
Addition ? No. Stories
Move ? Length 46
°C Name
_ Demolish ? Depth
o Address 1 v133 CEUAr f? VE Int Impr. ? Sq. Ft 52
Ciry EA R.`o; J";jiq 41 4 31- 2 0 O 1 Install ?
a Name SAE"I Approvals Feea
~ i Address Assessment Permit $ 3 8 2 - ~ ~
19 City Phone Water 8 Sew. Surcharge 41.50
~ Police Plan Review 191 . 00
h= Name Fire SAC 575.00
address Eng. Water Conn. 500.00
< W City Phone Planner Water Meter 63 . 50
Council Road Unit 260.00
I hereby acknowledge that I have read this application and state that the gldg. Off. 12>> 2y% ~Tr. PI. 132.06
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and Ciry of Eagan OrdinanCes. APC Parks
' a Var. Date Copie
Signature of Permittee Total a, 6 5. U U
.fU?: ~~.LL~;tz ~ut:~'i
A Building Permit is issued to: ~ on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eaqan Ordinances.
Building Official
Permlt No. PsrmN Hdder Dab TNephone k
-y r • -
PlumbMW ) ' _ ~
H.V.A.C. /~L~i (O (~L~ r~Ya I ~~I - G GYI
Elechic
Softsnsr
Inspection Dah Imp. commwb
FooUnysl
Footinys II
Foundatfon
Frsminy
Rooliny
Rouph Piby. '1~ • ~
Rouyh Hty.
InsuL ~
Ffnplace
FInN Ntq•
Flnal Plbp. Z ' ~
Bidy. Flnal - CerL Oec.
Dock Fty.
Dklc Frmq.
YYNI
Pr. Wsp.
r..c~ ° q+-.-'P-~.--~~rT~C'!~7'~!1 ~`r".F' ~?'^~Y Rv!~~~~wrF~'I-+?-~^ r v-..-. e~_-' '~"R~v~"^r~~iw?
~
, . ' YJVJ( 0 L1\0
PERMIT #CITY OF EAGAN " 0 J FEE
PLUMBING PERMIT -
RECEIPT # J ~ 454-8100 S/C
MINIMUM RE3IDENTIAL FEE - $10.00 +=.50 TOTAL
DATE MINIMUM COMMERCIAL FEE -;20.00 + $.50
1. Bidg. Type: Res ~ Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address
1Z
Lot~ Block Sec ~j G ~ 5. Owner
,
f .
6. Contractor ~r r~ ; i~ ~ i ~.J T~_F, t/ t'.~ _ •
(Name) (31?eeU (CnY) (ZiP)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES NO. FIXTURES
_?SWater Closet - $3.00 t• ` ' Laundry Tray - $3.00 -Well - $10.00
~ Bath Tubs - $3.00 ~ !TFloor Drains - $1.50 Private Disp Syst - $10.00
~Lavatory - $3.00 L - ' Water Heater - $1.50 =Rough Openings w/o
~Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 I U
ZKitchen Sink -$3.00 ~ Gas Piping Outlets -$1,50 -Urinal/Bidet - $3.00 -Softener - $5.00
COMM./INQ. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
~
-
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt
To be used tor ijECK Est. Value 41.000 Date AUGiiST 32 ,1 g 88
Site Address 1137 ia!?:t?BtIRY CI 2 OFFICE USE ONLY
Lot Cf Block ? Sec/Sub. UF-STLURN ~PP On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Sire wen (nctual) Consc
:304TAED b MILAF11 1'ETSIi+GFA Citywater (Allowable)
rc Name
= Address 1137 OTl:SIPJRY CIF: PRV Required * of Stories
0 City LA"N Phone ~sZ-3z~l Booster Pump Length
Depth
, a Name SAM S.F. Total
Footprint S.F.
~ 6 Address
~ City Phone APPROVALS FEES
~ s Engr./Assess. Permit 24.00
W Name gp
_ ~ Address Planner _ Surcharge '
4 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 applicable State of Water Conn. _
Minnesola Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to:_ ~M,kA tETSIIt x 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. Parks
'
Building OfficiaL_ TOTAL
. . . . . . . .t. . . _ . . _
Permit No. Permit Holder Date TeIephone, it
Plumbing
H.V.A.C.
Etectric
Saftener
Inapectlon Osts Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fina? Htg.
Final Pibg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ~ .
~
Deck Final
S
Well
Pr. Disp.
Reaipt MECHANICAL PERMIT Pennit No.
CITY OF EAtiAN
FN
-i - f ,
Fill in numbered apacet S/C
TYPe or Prini legibly ToL
1. Oate 2. installation Cost ~
~ .
3. Job Address r• Blk. ~ Tra t/ ~
4. Owner S. Conuactor r ' Phone
~
e. ndarfts
7. City' State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9, Work Description: New l3 Add ? Alter ? Repair ?
10. Desc?ibe Fuel Type, ` 11. No, Eniiripment 8TU - M. Ea. Noi Euuivment CFM
Forced Air i Air Handling:
Mfg,
Boilera Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond. Q0
Mfg.
Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
oomply with all ordinances 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 464,8100
CITY OF EAGAN Remarks
p,ddition jl1FSTRTIRY THTRn AnpN _ Lot 9 Rlk 2 Parcel 10 $3652 090 02 -
Owner Street 1137 Westbury Circle State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK .
SEWER LATERAL
watermain gD 3 , ~ 3_11 -j
WATERMAIN 47g . 2.26
WATER LATERAL
WATER AREA 8.95
water area 19 86 N 4•3 15
STORM SEW TRK Zg 2 73 •
06
5 i / '
STORMSEWLAT , ,
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Un-t 58794 1 3 86
WATER CONN. 500.00 13UILDING PER. 11410
SAC 29-00
PARK
CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15544
BUILDING PERMIT PH O N E: 454•8100 Receipt (J/7n
it d /v`f'
Tobeusedfor DECK Est.Value $1,000 Date AUGUST 31 ,1988
Site Address 1137 WESTBURY CIR OFFICE USE ONLY
Lot 9 Block Z Sec/Sub. WESTBURY 3RD On Site Sewege _ Occupancy
, MWCCSystem _ Zoning
Parcel No. On Site Well
_ (ACtuap Const
s Name HOWARD & SARSARA PETSINGER City Water _ (Allowable)
w PRV Required # of Stories
z Address 1137 WESTBURY CIR -
a Booster Pump _ Lengih
City EAGAN Phone 452-3291
Depth
, p Name SAME S.F.7otal
~a AddreSS FootDrintS.F.
: City Phone APPROVALS FEES
P-a Engr./Assess. Permit 24.00
Name
ti i Planner Surcharge .50
i - Address
a w City Phone Council Plan Review
BIdg.OfL SAQ City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC
inbrmafion is correct and agree to comply with all appliwble State ol Water Conn.
Minnesota Statutes and Ci of E an Ordin s.
Water Meter
Signature of Permittee . 4z-tih-rc
Road Unit
A BuilCing Permit is issued to: HOWARD OR BA _ARA PET-$IN R Treatment P1
on the express contlition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ortlinances. Parks
,1 C
Building ONicial A,MA.(1TOTAL 24.50
~
, CITY OF EAGAN N p 1141 O
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 S'~ t~~
BUILDING PERMIT Receiptp L
To be used tor SF DWC'~GAR est. va~ ue 3, 0 0 0 oate JANUARY 6 ~ g 86
SiteAddress 1137 WESTBURY CIRCLE Erect C~ Occupancy R3
9 2 WESTBURY 3RD Remode~ ? 2oning Rl
Lot Block Sec/Sub.
Parcel No. Repair ? Type of Const SJ
Addition ? No. Stories
JOE MILLER CONST n4ove ? Length 46
w Name Demolish ? Depth~~,,,~
o nddress 18133 CEDAR AVE
FARMINf~T(~U 431-2001 Intlmpr. ? Sq.Ft.
~ Ciry 'PTtfrtC Instail ?
~ a SA1~j$ APProvals Feee
o Name
V'a Address ASSBSSm@Ot PBffillt~~50
~ ciry Phone Water & Sew. Surcharge
Police Plan Review~~00
¢ S~~OD
_ i Name Fire SAC
a= nddress Eng. WaterConn. 500.00
< W Ciry pnone Planner Water Meter 63 . 50
Council RoadUnit Z80.00
Iherebyack~owledgethatlhavereadthisapplicationandstatethatthe gldg.Off. lz~Z9~8 Tr.PI. 132.00
info~mation is correct and agree to comply with all applica6le State of
Minnesota Statutes and Ci of Eagan Or ' ces. APC Parks
' ~ Var. Date Copies
Signature oi Permiriee "
Total ~~~~.,pp
JOE MILLER CONST
A 8uiltling Permit is issued f~~ on Ihe express condition that
all work shall be done in accordance with ail app~l~ica/b~} q~J St~ate~ f inne ta Statutes and City of Eagan Ordinances.
Building Ofiicial ~ ~
This request void
78 mon[hs Irom
4 4 2 8 8 zi 13-,~?
ftequest Date Fire No. Fough-i In eclion
~ tl? ~Reatly Now i,l Nfv Insaec-
Neo re
~ ~ ~ ~'es ?NO or When Heatly
? Licensed Elec[rical Conlractor I hereby repuest inspaction oi ebove
,N~Pwner elechical wark installad at
Street Address, Box or Route No. City
' I I37 Wesz i6 u< 1 LIKc".LE ~~roHPJ
eclwn o. TownShip ame or No. RanBe o. Counly
OccupantlPqlNTI P;ne No.
CSV.1~~ e J'r3
Power $upplier ,p Add ess ~
. 6 AV,t'~.iou±~ ~A~P'trnk`9ia
Elec[rical ConVacto/ (Company Nama) Conhactor's Licnnse No.
Mailin0 /1tlJress IConVactor or Owner Makind Instailationl
11-S7 w -i'ssuf Cr c4~L
A orizetl SiBnaWre (COntractor Installat~oN Phone Number ^
MINN TpTE BOARD OF ELECTRICITV THIS INSPECTION PEQUEST WILL NOT
Grig9s-Midwav gldg. - 0.oom N•191 BE ACCEPTEO BY THE STqTE BOAND
tffi7 UniversitY Ave.. S<. Paul. MN 55704 UNLESS PflOPEN INSPECTION FEE IS
Phone 1612) 297-2111 ENCLOSEO.
S/~2r/~cF~~ flEQUEST FOR ELECTRICAL INSPECTION ee'-o`u'twi-oa
, See instmctiens br comoleting this fmm an back of yellow capv.
~ 2 8 8 "'X'" Be/ow Work Covered by 7his Request
Fdd Beo. Tyoe of Builtline Aooliancea Wiretl EpaiVmant Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAinq Dryer Electric Heatin
Commercial Bldg. Fumace Sib lJnloader
r Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm tnnr peri v Iner IS~+r.r,ifyl
1 nr uccify t er Other
,ompute lnspection Fee Be/ow
p Fae ServiceEn\renceSize p Fee Feeda,s/Subteeders C Fee Circuits
U to 200 4Amps 0 to 30 Am s bove 31 to 100 Anips mmnAbove 100Am s rnsforIrngationl3oorzis Partial.'Other Fee
$igis Special Inspection S~'rm
TOTA EE
emvrks
flough-in r Date , ppe Elacbical
~ Inspectoq heroby
cy thet the aCOVe
Final 7
nspeclion has bae.
~ mBde.
mb mpuest voiA 18 monlln irom
~ (~r~?4~
G i/a 69
~ 33596 ~'~p
Request Date Fire No. Rough-in I action
G Ready Now ~i11 Notity Inspec[or
? No When Ready?
I 0 licensed contractor owner hereby request inspection of above electrical work at:
Job Aetlress (Sheet. Box or RaWe No.) City
-8
Sec~ion No. Township Name or No. ilanqe No. Counry
Jccupenl (PRWT) Phone No.
Power Supplier ADtlress
{-AkM,a6,M J
Elechlcyl Goniracror (Company Name~) J ( Gonireotor6 Llcense No.
n IAJkJ ' - 77C~:.t1.'VCD
Mailing Atltlress (COMrador or Owner Making InsWllacion~)J
18 ~ L~" 4s lSLi.~ j' L/kc Lk---
Autnori Signature (COnhactor/Owner~ Phona Numbyer
v
MINNESOtA S OARO OF ELECTRICITY THIS INSPECTION RWUEST WILL NOT
GrIgga-Mltlway Bitlg. - Room 5-113 BE ACCEPTEO 9Y THE STATE BOARD
18E1 Unlverslty Ave, 5t Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PMne (612) 644-0800 ENClOSED.
REOUEST FOR ELECTRICAL INSPECTION ~"~a, ee-ooom-m
? See instmclions lor wmptafing this form on back oi yellow copy z ~
C~ 3 3 5 9 6 rX" Be/ow Work Covered by This Request
e AOiS-Re. TypeofBUildinq AppliancesWired EquipmentWired
Home Ran9e Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryar O[her (Specity)
Comm./Indushial Fumace
Farm Air Conditioner
Omer (speciy) Conhaclor's Remarks:
Pompute /nspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fae # Circuits/Feetlers fee
Swimming Pool 0 to 200 Amps ~r o to 100 Amps
Transformers AbOVe 200 _ Amps ADOVe 100 _ Amps
SignS InspecrorS Use Onty: TOT~ fD
Irrigation BoomS • ~Q
O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS. 4 ~
I, ihe Elecirical Inspector, hereby Rouqmin a~e ^ lG
certify that the above inspection has F;o,i oat
been made. '1
OFFICE USE ONLY
This request witl 10 manths fmm
Tlis reques[ void ~ / q
18 monihs (rom a • ~ ~S
Q q ou
R6qucst ate ~~~rrr Fire No. RouNh-in InsVec[ion
V~ ired7 ~He y Now Will NolifY Inspec-
~ Q Ves ONO ~or When ReaAy
Licxnsetl ElecVical Contractor I hereb
y request ins0ection ot ebove
? Owner elecVicel work installed et:
Street Address, Bos or floute No. • . Cit
/3
ecLOn o. ownship Name or No. Rnn~e Na ount - / •
V L'W
Occupani (PRINT) Pho~e No.
A
04 Power upplier A ass -
1
1 /I •
`Ele QnU c or IComv ny ~m onv ctor's icnnse No
.
(Ci'r~Ce"--4'Ti
Mailir AAJress ontr.wto or Owner Making histaila ioN ' e
~ n
Authorized, ignature (CO ra t wner ikiny Installatiunl Phone Number sa s~ ~
MINNESOTA STATE BOAFD OF ELECTNICITV THIS INSPECTION FEQUEST WILL NOT
GrigAS-Midwey 91tlg. - Noom N-191 BE ACCEPTED BV TME STqTE BOAqD
1821 Vniversity Ava., 51. Paul. MN 55104 UNLESS PqOPEP INSPECTION FEE IS
Phone (612) 2972111 ENCLOSED.
QV REQUEST FOR ELECTRICAL INSPF.CTION, ee-o0 ~01-04
5 V l~~ , See instructions for comoletin9 this form on back of yellow cooV.
° X'" BelowWork Covered by This Request
E'~J -
tl.Ad Reo. Tyoe af 9uiltlinq ApPlianms WireC Equipmenl Wired
HOme ftange Temporary Service
Duplex Water Heater Lighting Fizwres
Apt. BuilAinq Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm thei peu y 01her (SUecifvl
thnr Vodty Nar Olher
ompute lnspection Fee 8elow
M Pae ServiceEntr enceSize p Fee Fee.ders/SUbleetlers N Fee Circuits
0 to 200 qm s0 to 30 qm ps D to 30 Am ps
7Above 200 qinps 31 to100 Amps 31 to 100 Am s
imming Pool Above 100-Amps Abave 700_AmUs
Transiormers Irrigation 8ooms $ PartiaL'Other FeB,
Signs Special Inspection / 71
Q/
Nemarks TOTAL FEE n
Noueh-in Oa[e 1. the Elect
Inspeclar, her¢by
certify ihet the above
Final -nspection hes been
~`•~/ti6.(d ~ mTda.
This repuest voltl 18 monlhe irom
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
~Q 9~ 1 3830 Pilot Knob Road, Eagan MN 55122
~ Telephone 4 651-675-5675 FAX # 651-675-5694
New CansW ction Reauirements RemadelRteoair Reauirements O(fce Use Oniv
3 registered sile surveys showing sq, ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Reoj _ Y_ N
(20% maximum lot mverage allowed) 1 set of Energy Cakulations bt heated additions Tree P2s Plan ReW _ Y_ N
2 copies of plan showing beam & window sizes; paured found design, etc. 7 sde survey for additlons & decks Tree Pres Not Reqd Y N
isetolEneigyCalwlations Adddion - indkateifon-sifesepGcsysfem On-siteSepticSystem _Y _N
3 oapies of Tree Preservation Plan'rf bt platted after 711193
Rim Jaist Detail Op6ons selectlon sheet (bidgs with 3 or less uniCa .
Date /1411 03 Construction ost o
Site Address E~~3' % ~ ~~--t.u~ C, Unit/Ste #
Description of Work
Muiti-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telep6one # (6s ,4
Contractor
Address F 7 • ~ C Ci
State Telephone #'(163) olvbt "7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUiLDING
- Micmesota Rules 7670 Cate¢orv 1 Mirnesota Rules 7672
Energy Code Category , ResidenGal Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone
~~?I';II I', lil1
Mechanical Contractor Telephone .
i liG (,LUUJ
Sewer/Water Conhactor 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 work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
.
25V,U /z/D~,e~~
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pi6g_Y or _ N ? 25 Miscellaneous
Work Types
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings(new bldg) _ FinaUC.O.
_ Foorings(deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Srucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insularion _ 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
1 / . ,
w1 ' 4 /
~f 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
i%
NOTE: ALL CONTRACTORS NUST 8E LICENSED SiITH THE CITY OF EAG9N
COl4IERCIAL SINGLE FANILY DHELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND 83
To Be Used For:Valuation: ~ Date:
Site Address OFFICE USE ONI.Y
Lot ~ Block ~ . Erect ~ Oecupancy 3
n~ Remodel Zaning
Parcel/Su4~1' Repair ~ Type of Const ~
Addition ~ 1i of Stories
Owner Move ~ Length (D
Demolish ?epth 5
Address Int,Impr, , Sq Ft
Install ~
City/2ip Code - -
Phone APPROVALS FEES
.
Contracto Assessments Permit
Water/Sewer ~ Surcharge
Address Police Plan Review 191,
` Fire SAC
City/Zip Code Engr Water Conn op.
Planner Water Meter (o v
Phone Council ad Unit 280,
Bldg Offl Treatment Pl 1'1L.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL - ~
City/Zip Code
Phone ll
TRl-LAND C0.
SURVEYING SITE PLAN fOR:
SERVICES
J08 MLLlW. tOMMKMTf$W
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
q~k•s~ 89• 9&.fo
r S r -
r - - - - - - - - - ~
` I .
~ I
~ i -
16 ~ ~ y1 I U, - -
~ ~ ~ P
,s
sP Y6
Scale: 1" = 30'
I I
1
y.i ° ~ la ln
1 ~ m---
~ CRM1• M I ~
a, o ~ . .
~ 'ae. I ~
1 1 I
.L
G1=l~9°31'53.. \ I
L = 72.81 \~y
PROPERTY DESCRIPTION R: 60oo
LOT-E, BLOCK-2, VVE5 TguRY NSg;~.56•,E
aeeordtnq o the reca0ed plat thereot C r RCLE 23.25
Dakotn CaaAy, Minnesota
LEGENt ,
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION
o DENOTES WOOD Ht18 SET PROPOSED FIRST FLOOR ELEVATION = ao•~o
DENOTES EXISTING SPOT PROPOSED BASEMIENT FLOOR =
0.EVATION ELEVAT) ON
DENOTES PROPOSED SPOT
ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION
FINAL HOUSE PLANS
I henby ctrtffy that this survey, plan or
report raa preporod by me or under my
direet supervisian cmd fhat I am a duly Brodlsy renron. Mn. Rea No.16235
a Repistsred Land Survoyor undsr ihe .
: Lrnrs of ths Stote of Minnesota. Date •
, CITY OF BUILDINQ DEPARTt4ENT
, - EXTF•RIOR ENVII,OPE AVERAt3E "U's C0I4PUTATION
(To be aubmi:tted with building permit application)
One or Two Family Dwelling Owner
All Other Site Adndr sa 1/,3 7
Contractor _QyFp/L ////u.E4 qOly/ST Date hone
~S~Z4t~
LINEAL FEET OF
EXPOSED YlALL OO,P,' ~_CT ft. above grade
TOTAL EXPOSED WpLL AREA SQ. FT.
OPAqUE WALL CONSTRUCTION: ItAPI Value x Area
va tair~ "U" . 09--7 x sq. FT. l1v93-zo ( u)( n)
"U" . 07lo x S . FT.
c;reFerehce TLIAA nUu R =-~.Zi.(U)(A)
from . 04d x SQ. FT.- IZ2'g~= 491 ~U)(A)
attached °Uet x SQ, FT. - U)(Ig)
sheeta "U" x SQ. FT. _ (U)(A)
flUll x SQ. FT. - (U)(A)
wINDO4vs: "U" Value x Area
Pfake & TYPe NSJG CSN1'T npn x SQ. FT._/Q-&-fj0 - 70. (U) (A)
it uUll x SQ. FT. _ (U)(A)
n n nUn x SQ. FT. - (11)(A)
u n upn x SQ. FT. _ (U)(A)
DOORS: "Ull Valua x Area
Make & TYPe S7-L, /NSrXi uUlf •/Q' x SQ. FT. Z.oD $ (p)(A)
n n npll
.47 x SQ. FT. ,00 =~N.7 (!T)(A)
n n npn X 3Q. FT. _ (U)(A)
u n _ nUu x SQ. FT. - (U)(A)
ToT/II,S ZAP•OO SQ. F'T. f Sl- 3T' (U) (A)
AVERAGE "Ulf
TOTAL (U)(A) VALUES 18/1e~7' zA ~
.
DIVIDED BY TOTAL i'iALL AREA 7/4-L0,00
AVERAQE IIU~ Ir lesa for 1&2 fami7,y dwe linge
ROOF/CEILINQ:
TOTAL AREA:
Detail reference ilUtt x SQ. FT._/Z$ .00 .0S~'(U)(
= 27 A)
from liUll x SQ. FT. ~ (U)(A)
attached sheeta. I'UII x SQ. FT. - (U)(A)
Describe ooeninga I'U« x SQ. FT, - (U)(A)
in roof. flUff x SQ. FT. _ (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY Z7~ p4, rTAcVJ 1-25$ SQ.~( Z7•o`F CV~~
TOTAL ROOF/CEILII7(i AREA
AVERp(iE " .025 f r ventilqted roofa.
~1 ~ lo~ ~if~EEr '1
W
~~055 aSEA 1~1A~.
LL
.la7X C4~v+glo~ ZS*28~ _ . 9'~-!~~
~~t- Toisr
, S3X C4(o-F46v+zStz6)
1~1ir1~~ s ~
~l, x3rv = 4:o X 4= I(~.oo
zox 3Iv = 5• d x 4= Zo_oo
Z4X3(* x LO = 3l0.00
ZdxfB = !n•7 X 4 = Z(v-So
z9x48 = 8-~ ;c Co = `t8-Oa
~oo
STC-, 5rIT. = 01. o a
Z$ Stc.. = Zl.op
pATto = 4z•oo
8-.00 Ji~- .
C,Poss wM~L z~9~O.oo 00
6E4S Co~C, 94-1(o Z$K4~ _ /Z8$.oo~.
It ~~lGl 122.g~f
w)4C"457 J4O•so " 9s2.8o
Lboz,,5 g~.o~ ~ Z0~
a Determining OIUII values at Roof, Wall, Rim,, and Conc. Slock
ROOF/CEILIN(i R V/LLUE
~ 1,) Interior Air F'ilm 0.61
z.) 5/811 ayp. sa. .56
3.) Insulation 4f,00
4.1 .
5.) Exterior Air Film .61
~ 2 3 (STILL)
. f~ nUn = 1/R= IOZ~ 'POTAL (R)~
lJ
- l
waLL R VALUE
q 6.) Interior Air Film 0.68
7.> 1" ayP. Ba. .45
8.) Inaulation 19,00
9.) .rorl.T-Pi 7-6 Z.pq.
10.) Masonite Siding 67
- 1o il.) Exterior Air Film ,17
i
"llll = l/R=. .p~~ . TOTAL (R)=Zw(q/
~Z RIM R VALUE
120 Interior Air Film 0.68
`J 13.) Insulation 19100
14.) 211 Fir Rim Joist 1,88
~s 1s. ) .P~1tt rrTE Z oJ 16.) Masonite Siding .9f
17.) Exterior Air Film ,17
- o
\ • . . IIuII = 1/R= TOTAL (R)= z¢41
L
. po :r
D FOUtiDATION R VALUE
18.) Interior Air Film 0.68
zl . . ~g 19.)
` s 20.)
~'l~ SrP,I~ ~ ~~00
tt ~ b~' ~ 21.) 12" ConCrete Block 1.28
e n 1n 22.)
23 23.) Exterior Air Film .17
n
D' , (g, • ~ npn = 1/R= ~ 07 ~D TOTAL (R)
.i
7988 BUILDING PERMTT dPPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEYp 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE SIIILDING PERMIT IS IS3UED.
MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UNITS 1F OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COfRdERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: b1.=Cy-- Valuation: t,000,00 Date: 8'30-88
Site Address 1137 WEST8uR'i CtPCI.E DFFICE USE ONLY
Lot 9 Block d On site sewage_ Oceupancy
MWCC system _ Zoning
Parcel/Sub WESTBuM THiRQ PbDiTtun~ On site well ~ Actual Const
I~p City water Allowable
Owner ryowARCf IETSIayrr2 PRV required of stories
Booster Pump _ Length
Address 1137 WfST8u2N r,IRCI.E Depth
l S.F. Total
City/Zip Code EAr_~>W+ M1J, SS1 a3 Footprint S.F.
Phone q 'rJC~ - 3a9 ! APPAOVALS FEES
Contractor M Y S ELF Engr/Assess Permit
Planner Surcharge •S o
Address Council Plan Review
Bldg. Off.G~7~36 SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
I TOTAL
City/Zip Code ~ Phone ll
„ .
TRI-LAND C0.
SURVEYING • 3lTE PLAPI;FOR:
SERVICES . . : . . ; ~
, : JOE YILLEA.:0.Oi21~3'RU~C.?.~Q~,,;~r~'
4655 NICOLS ROAD • .
EAGAN, MINNESOTA 55122 +
:
aNS~ • 9&So
, r--- --1
" ~1 ' • . ' I 4. i
1 . ~
~ y
~ ' S`
~ ~eck A ~ g 1 i•.
~
Scale:
= 30 3 I y~ ; ~
1 _ ~
; l ~ . i
_ . ,a'
,4
~ ~II feK- s . ~ r -
p ~ •o
PETS~~IC7EPe I\EBr.~iF-nlC~ t ' u
~ ~ - J. ~ N i?
! I 37 w€~-reu~ ~ „eC~E ` . • ~
n~n1, ssia3 ~ . . , I . . ~ •
~/52--3a41 ~ ' ~ 40 I
Q_~o31.s3.. ~ '
L _ 72.81
PROPERTY DESCRIPTION ~
R= bO.oO 44 ` <<
LOTS„ BLOCK-.?,, WESTeuRY '
Wes+t~.,~.. Third Addi~[on C IRCLE "N58•~•~~E
aecordiny o ihe recorded plaf thersof
T)akote Canty, Minnesata .
---'.EL•;~"s9~s `
.cIDr_P.3T€5 iROri NiGF1UhEFiT PROPOSED GARAGE FLOOR ELEVATION= 99•0
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = ~oo•Sa
DENOTES EXISTING SPOT PROPOSED BASEMENT FI.OOR ¦
ELEVATION ELEVATION '
DENOTES PROPOSED SPOT ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOflR HEI6HTS WITH
FINAL HOUSE PL'ANS
i hereby es?tify that this survey,plan or
?eport wos prepared by me or urtder my
direct supervision and fhat I am a duly Bredley qj~twensw, Mo. Re¢ No. 13235
^ ReqisTered Land Surveyor undsr the
Laws oi tha Sime of Minnesota Date *
2/84
CITY OF EAGAN
APPLICATION FOR PE2MIT
SEtdER AND/OR WATER CON:IECTIODI
(PLEASE PR[Hi)
1) PPOPr*Y?1' ACDRF.SS : L3 7 LL'~b ~ Gt, k") rFr=+L DF_.S1=CV:
(Lct/31ock/Su:nivisicn or T• rarcel I.D. NL::..-er)
~ T ~•T=..~.-.n m
1~ ....:i..__.~, ST=DAi~. OF CiZTGiP., CLJIT_.u1.r.i p^_=:1i lSji.;`.%1-.:
P.v__Lrc--.-_ R-1 Si:.~ r-~, ^ tr,IL~ - '
. ,,.^.,:TCl;/t:RGcCS~ L'•~~'.-',': ~ .r_ '
? R-2 DLcT= (7':0 (,^IITS)
~ ? R-3 'ICi•.\i,'.-:rvTCE T L?±:: ) ( rZ'--S)
? R-4 APA.=:^=:T/CC:.Ll.'vtr; :.til
? CCi•LFi~~'.CZ~S,/?2E~"-iI?OL_I~
Q 3mliST-cL".L
Q r.,ST_..,_ T~--•~T..,~~. ~I,/Gv'"Vr ~nr~m
2J AP?_TLrG_;I'
ISVME: d?~/il~~GAnDRrss: 18133 L°«li~t- ~Jvc
CIT"_'. S:~:TE, ZI?:
PfiO:':r.:
3) pa;.m„--c~ tPLEhSE i'HINi)
FOR C LSE 09LY
NPMF:
ADC.zESS: PIOH .5 LIC:S E:
, ~3 RD ,gv~ N
Activ
CZTY. ,.ST?'"E, ZIP: C] red
NHaic.
PHOVE: PLU"IBER LICEt1SE N ozoGS !~!3 ~~e~d
' arr ;ni:ia
4) CX_'[.'[J?AS1T/C!;T.'E."~2 N (PLEASE PRINi) Fu+~:
ADDRESS: f rt n,< dl.y' x.)
CIT'!. STA'I'E, ZI?:
PfiC`IE:
5) INpIC;,iE ;+1(iICH PER•1IT IS BEI,:G RFFxCTEST^J:
EF--6C~, .`,2IELT
,IO:V 'IU CITY SE7i~IER
~ C-C:N=IC:V 'IO CZTY VIATE2
? 071E2 (PIT~'~-SE DESCi2IBE) ,
6) 2:DiG,~"- C:.:.. •
P7.r-`,Sc F?OID r1PPRGV'rD PERmST FbR PICi:-L'c BY CYE OF AE=
°LE=Sc c•'aIL APP??WED PE::•LiT TJ 1, 2. 3, 4 ABM-E
(Ci.rcle one)
7) SZC:NTLRE: DA'PE: -Qti 00S '
,
R wili~lfs~a s r a la:aau aO s r.~ ts aa:+~a r r s~ssi:a a s~! ~t~.YS+~yf~ s S`~ aCa scapR~
FOR C I T Y US E ON;,Y
PcP`?IT u ISSUED
$ SE:iEo no~ir2' (I`:C?.SU°C
$ WATER PE3:tT_^: (ii:CLi:DL SURCHAcZGL)
$ WATER METE4/COPPE4HORN/OliTSZDE REAGER
$ WATE.°. TAP (INCLCDE CORPORATION STOP)
S =:cR Ta?
$ N:~~n
$ ACCOu\T WATER
$ WnC
+S S ~j GCJ S:.C
~S 'rR(JNK :'IAT= .~`yS :'SS:iE::T
$ TRGc7K 5':'ic.3
$ LAT :?.rfL DL::G: Z-`/T'.2U:I'tC SL?':E=
$ LA:ERAL BL":LF1T/T=~K :•7AT_D
$ WATER TREAT.IE\T PL.aNT SURCHARGE
$ OTHER:
$ TO,AL
$ 'CI oo Ai"..n.L'NT ?A=;'RYCZi?T n •~c`SoZ.-~~~
DOcS UTILITY COCI:IEC:ION REQUIP.E EXCIVATZON I:] PUbLIC RIGHT OF SJAY?
L YES IF YES, THE*I A"PERMZT FOR :dORK WITHIN
Pi]BLIC ROADL4AY" M(7ST BE ISSUED BY TY.E
NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLL0WING CONDITIONS: •
, j
APPROVED BY;
TI:LE: •
DATE:
wsg ocm 0* m Iaf=pw w~pcm rwrn wm
-
�K 4 S:M' �S �, i
6 K3 y 3 ai�X + - a .... av " '9 k . .
t Y d :C4-. } ¢X
�f ' `
:,-,•::;,.... ��t .°
� ; R � � � }' y g , .. �+� ," S "�.:
Y ... ,,Sy `2. Wtz h, " ` „v kj S , *� '�
l +�n5�ypY s, f
3 A J 5F ,p Y f . i •
Y 3 t 3 ~ u j5 ,
,1 s *D�i ;1 :4 ft d S 1 i s
a1
z
tl7 a
� } Mawr..
y *2 �.... 1 ,.. e
13-86 $ 7' _
® ! * tQ y
Pa ,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127338
Date Issued:09/29/2014
Permit Category:ePermit
Site Address: 1137 Westbury Cir
Lot:009 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-090
Use:
Description:
Sub Type:Reroof & Windows/Doors
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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Howard Petsinger
1137 Westbury Cir
Eagan MN 55123
Elite Home Services of Minnesota
217 Old Hwy 8
St. Paul MN 55112
(651) 631-2000
Applicant/Permitee: Signature Issued By: Signature
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