3805 Westbury Dr
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt~
To be used for ~'~+'ri Est. Value ; 3, • Date ,19
Site Address L;. OFFICE USE ONLY
Lot ' Block Y Sec/Sub. WLaT!?1'FiY 2^i1i OnSite5ewage Occupancy
MWCC Syatem Zoning
Parcel No. On Site Well (Actual) Const
oc Name :;Cf;'"(' M[ULr,U'rT City Water (Alloweble)
= Address 3805 W7ZST&'kY DR PRV Required * of Stories
~ City FAGIRN Phone 45[404:; ;E37- 1~•('~,. BoosterPump Length
Depth
, o Name S.F. Total
~ ` Address Footprint S.F.
~ City Phone pPPROYALS FEES
~ ~ Engr./Assess. Permit
WWW Name
_ z Addf@SS Planner Surcharge
~ W City Phone Council Pian 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.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: St"OTjMCDM'nTj Treatment P1
on the express condition that all work shall be done in accordance with all a~ ~ i F 1. f3R~
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL 5 • ,;0
Permit No. Psrmit Holdar Dets Telephone ~
Plumbing
H.V.A.C.
E lectric
Softener
Inspection oats Insp. Comments
Footings I
Footings il
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
DAck Final
Well
Pr. Disp.
' ~ 3830 Pibt Knob Ro d! P.Q. Box~2G-A1 9, Eagan, MN 55121 N2 12197
PHONE:454-8100 -
BUILDING PERMIT R@C@Ip1 # ~To be used ror S~ DWG/VAR Est Value $64, 040 Date JUNE 27 .19 86
Site Address 3805 WESTHURY DR Erect ~ Occupancy R3
Lot_2 Block IL-Sec/Sub. W$STBURY 2ND Remodel ? Zoning R-Pll
' Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories
W Name JOSEPH MILLER CONST Move ? Length 45
; Address 18133 C E : ~.'2 A,VIi Demolish ? Depth 44;
° FARI~IIN 431-Z001 Int. Impr. ? Sq. Ft
City i~ Install ?
Name SAME APprovais Fees
¢
= o
00
Address Assessment Permit 325.00
1- City Phone Water 8 Sew. Surcharge 32.00
Police Plan Fieview 162.50
a
~ W Name Fire SAC 575.00
Address Eng. Water Conn. 500. 00
i W city Pnone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 5Z27Z$ Tr, PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
~ O
Signature of Permittee Var..Date Copie
- , " Total , '
A euilding Permit is issued to: JOSBPH MILLrR CU:IST on the express condiHon that
all work shall be done in eccordance with all a icable State ot Min pSOta Statutes and City ol Eagan Ordinances.
Building Otficial
__F~
' PermH Na Psrmit MaidW Dtte TNwphaM N
IPlumbMp -S- ,y
IN.V71.C. 73 ) L G _
Electric
SOItMK
Innpeetlon Dab Insp. Commanh
Foolln9s I fi
FooNnps II
IFouedatbn
Framinp
Hooflnq -(j-
Rouph Plbq. W-6- .
I Rouph Hty. 1 O
Inaul. ~/~r (V
I Flreplace
IFinal Hty.
Final Plbg.
Bldy. FMaI -~~C
Cwrt. Occ. . ~Yp lo `il ` r
I I
Dock Ftp.
I Oeck Fmp.
Describe Locatbn:
WNI
Pr. Dhp.
. ,-I,. . . • . . . . _ . . .i , . . . . .
' ' . PERMIT # ~
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ' -
3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE
CdNTRACT PRICE PHONE 454-8100
Site Address G. TYPE WORK DESCRIPTION
Lot " Block Sec/Sub - ~ '
Res. New ~
m Name Mult Add-on
y Address Comm. Repair
c City ' Phone ' Othef
Name ' pEW
c Address - • ~ RES. HVAC 0-100 M BTU -$24.00
p Cityk Phone ~ ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU ' COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Oudets #
Other
FEE - - ,
g/C, SIGNATURE OF PERMITTEE ~
TOTAL:
FOR: CITY OF EAGAN
. . . . , K . . 7.v ~C.~ fa1.+ rf:'my-:: 11j
• , _ PERMIT # Q_t
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ~ Sec/Sub' - ~
- - Res. New
m Name Mult Add-on
.g Address Comm. Repair
~ City Phone Other
Nd. Fll(TURES TOTAL
~ Name Water Closet - $3.00 $
c Address Bath Tubs - $3.00
p City Phone Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/INO FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMEJM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50
(ADD $50 S/C IF PERMiT PRICE GOES Whirlpool -$3.00
BEYOND $1.000.00) Gas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 -
51GNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN • GRAND TOTAL:
PERMIT # ;r~_~ ~ ' • X
41 `PWMBING PERMIT
GTY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: '
CONTRACT PRICE: PHONE 454-8100
Site Address % BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub
Res. New
~ Name " Mult Add-on r`
w Address %Comm. Repair
c City. Phone Other
Name r~; ;De /Vj NO. Water ClosetFl~ ~ ES $ TOTAL
c Addre33 Bath Tubs -$3.00
p City " f Phone` Z ' Levatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _$10,00 laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20,00 Floor Drains - 31.50
STATE SURCHARGE PER PERMIT _ _50 Water Heater -$1.50
(ADD $50 S/C IF PERMIT PRICE GOES Whiripool -$3.00
BEYOND $1,000.00) -y--Gas Piping Outlets - $1.50
~''~Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
. , ~ . . .T... . . . -F 7[.. o • -'w~T-~ ' -•~LT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-81Q0 , • f%~'
BUILDING PERMIT Receipt #
Tobeusedfor B"zwmT Est. Value Date ~gPTEHM ZS 19 91
Site Address 3805 ti93TEURY DRIVB
Lot 2 Block i SeclSub. ~$=MY Z~ OFFICE USE ONLY
Parcel No. occuPancy - FeEs
$cm Zoning - $35.00
W Name (Actual) Consl - Bldg. Permit
~ Address I~i~~le1 - • ~
o surcharge
City Phone 452-1040 # or scories -
_ Plan Review
Length
=o Name .IOE 11111.1.El 1lOHES pepih - SAC, cily
o~ Address 18133 CEDU AVE 50 S.F. Total
~a - SAC, MCWCC
~ City FARKING1= Phone 431-33:2 S.F. Footprints -
On Site Sewage - Water Conn
~
W W Name On Site Well - Water Meter
z ; Address MwcC syscem -
¢x Acct. Deposit
a W City Phone cicy water _
PRV Required ^ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eag n Ordinances. Treatment PI
Signature of Permitee -r"'y X_' '"tl , I APPROVALS Road Unit
A Buiiding Permit is issued to: J~ miiim itowS Planner - park Ded.
on the express condition that atl work shall be done in accordance with alt Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pn. ~ Copies
Buildirtg OftiC'ta4 Variance - TOTAL ~~s~ ~
r
J
_ . . . _ . • -
, . u..._. z. . -
Permit No. Permit Holder Date Telephane #
WATER
SEWER
PLUMBING ~ Ao/ d / l~I~~ ^
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenis
Footings 1
Foundation .
Framing ~ 9/ ~
Rooiing
Rough Plbg. O'-!D
Rough Htg.
Isul,
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
8tdg. Final
DeCk Ftg.
Dedc Final ~
Well
Pr. Disp.
CITY OF EAGAN Remarks ' - - l~ , ~
Addition WESTBURY SECOND ADDITION l.ot 2 Blk 1 Parcel 10 83651 020 Ot
Owner Street 3805 Westbury Drive State Eagan, MN 55123
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1986 2850.00
STREET RESTOR.
GRADING
Water area 1986 133.79 8.92 15
SAN SEW TRUNK 3) I9$5 325.24
SEWERLATERAL 1986 5008.73 1001
Watermain 1986 65.29 4.35 15
WATERMAIN 3~- 1984 O
WATER LATERAL 1986
WATER AREA p'I
Services 1986
STORMSEW TRK 1986 710.24 142.05 5
STORM SEW LAT 1986
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COIVN.
9UILDING PER.
SAC
PAR K
4 8 ~
g ~2 ~ ~~o° ~
Repues~ Da!e Fire No. R ? Inspechon
q ' ? CiReady Now ? Will Notih' Inspectot
=Yes N. When Ready?
I icensetl contractor ? owner hereby request inspeciion of above electrical work at
Job Aa ress f5treet Bov ar Ro te No.l Ciry~
Sec[ton No- Townsnip Name or No. nge No. Count
Occupan I ^ ~ ~ Pho 3 a~.
lJ "
Power SupPliar Address
Becmc Vaclorl mpany M I ConVacmr's License N.
MatliAd e~9r ar erMakiKg nstalleli0~) A w
cww.ii %`iri
ilLe
Aoih ea Signawre iCOnbaao/, nei Making Instal~alwn, e umber
~All)_50~ 3p--5~3~
isai
MINNE TA ATE BOAP~ OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT
Grigg5-Mi0way BIUg. - floom S473 BE ACCEPTED BV THE STATE 80ARD .
1821 UniversRy Ave.. SI. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (611) 602-0800 ENGLOSEO.
/~~/9~ REQUEST POR ELECTRICAL INSPECTION t es-aooo,.oe I
? See inslmciions lor completing IDis brrn an bac4 0l yellow copy "~~~F- /O D G~ d
~ 44882 "X" Below Work Covered by This Request ~7 J
ew Atltl Rep. TypeofBUiltling AppliancesWired EquipmentWiretl
~ Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Specily) Comm.llndustrial Fumace I
Farm Air Conditioner
Omer isyeciry~ Con!racmrs Rerna
Compute Inspection Fee Below: 0
# Oiher Fee # ServiceEmranceSize Fee 5 CircuitslPeeders Fee
Swimming Pool 0 to 200 Amps 0 m 700 Amps
Transtormers Above 200 _ Amps A e 100 _ Amps
SI9nS Inspedar's Use Only: TO L
IrfigatiDn BoomS 26 0
Special Inspecfion ~
~niarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON .
I, the Electrical Inspector, hereby Aooqh1° oare
certify that Ihe above inspection has Fr,,ai ~ c d
been made.
OFFICE USE 3NLY ~
This raqvest vaitl 18 months tmm
, CITY OF EAGAN ` N° 15 2 8 9
,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~
pS~N
BUILDING PERMIT PHONE:454-8700 Receipt # z W
To be used for PORCH Est. Value $3,000 Date .ItiNE 30 ,1988
Si[e Address 3805 WESTBliRY DR OFFICE USE ONLY
Lot 2 Block 1 Sec/Sub. WESTBURY 2ND OnSiteSewage _ Occupancy
MWCCSyslem _ Zoning
Parcel No.
On Site Well _ (Actuap Const
a Name SCOTT MCDERMOTT Cirywater _ (Allowable)
W Address 3805 WESTBURY DR PRVRequired - #oBtodes
~ z City EAGAN Phone 452-1040 687-1908 eoosteraump _ Lenyth
, Depth
, o Name CAMF. S.F.7otel
~ a Address Footprint S.F.
~ City Phane pppROVALS FEES
ww Name Engr./Assess. Permit 50.00
~i Z- Address Planner Surcharge 1.50
Q w City Phone Council Plan Review
Bldg. Off. SAC, City
I herebyacknowledge that I have read this application and slate that the Variance SAC, MWCC
information is correct and agree to comply wi h~Aall applicable St e of Water Conn
Minnesota Statu[es and Ci of n Ordinan
. Water Meter
Signature of Permitlee
Road Unit
A euilding Permit is issued to: MCDERMOTT 7reatment P1
onthe express condition that allworkshall be done in accordance with all
ym7p~C0 i0S _~.9Q
applicable State of, /M~innesota Statutes ~aynd~ City ot Eagan Ordinances. p
Building Of~icial ~ I Mll.l y! TOTAL 52.50
CITY OF EAGAN No .19730
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/i I
PHONE:454-8100 Receipt# li j l D
BUILDING PERMIT /A
To be used for BASEMENT Est. value Dare SEPTEMBER 25 J9 91
Site Address 3805 WESTBURY DRIVE
Lot Z Block 1 SedSubWESTSURY 2ND OFFICE USE ONLV
.
PBfCBI NO. Occupancy - FEES
Zoning
a~ Name SCOTT MCDERMOTT (Actual) Consl _ Bldg. Permil $35.00
3 Address (Ailowa6le) - .50
0 City Phon6 452-1040 k of Stories _ Surcharga
Length _ Plan Review
F Name .TOF. MILLER HOMES Dapth - SAQ City
~a AddreSS 1R733 ^F.DAR AVF. 50 S.F.TOtal _
'6- City FARMINGTON Phone 431-3322 S.F. Footprints _ SAC, MCWCC
On Site Sewage - Water Conn
~
05 Name on sae wau
ww - Wafer Meter
Addfess MWCCSystem
aw City Phon2 City Waler _ ~t. DeOOSit
PpV Required _ S/W Permit
I hereby acknowlege thal I have read this application a ate that the Booster Pump - S/W Surcharge
inlormation is correct and agree to compl with all appl ble State of
Minnesota Slatutes antl Ciry ot Ea n Or i nces. Treatment PI
Signelure Of PBrmitee APPROVALS Road Unit
A Building Permit is issued to: Planner - park Ded.
on the express contlition that all work shall be done in accord nce with all Council
applicable Stata of Minnesota 1 Wtes and City of E an Or ~ nces. BIdg.Ofl. Copies
Variance
Building O~ficial ~ - TOTAL i35.50
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N p 12197
BUICDING PERMIT PHONE: 454-6100 Receiptp ('0 7'
86
To'beusedlor SF DWG/GAR Est.value $64,000 Date JUNE 27 19
3805 WESTBURY DR X. R3
SiteAddress Erect L" Occupancy
Lot2 elock 1 Sec/Sub. WESTBURY 2ND Remodel ? Zoning R-PD
Parcel No. Repair ? Type of Const. Vn
Addition 0 No. Stories 4 S
w Name JOSEPH MILLER CONST Move ~ Length
; Addiess 18133 CEDAR AVE Demolish ? Dapth 4F
o Int. Impr. ? Sq. Ft
Ciry FARMING 99k; 431-2001 Install ?
i o Name SAME Approvals Feea
$4 nadress Assessment Permit S 325.00
~ ciry Phone WaterBSew. Surcharge 32.00
~a Police Plan Review 162.50
Name Fire SAC 575.00
~ Z Address Eng. Wetel Conn. 500-0~
a W Ciry Phone Planner Water Meter63.50
Council Road Unit 290 _ 00
Iherebyacknowledgethatlhavereadthisapplicationantlstatethatthe gldg.Off. 6/7 Tr.PI. 156_00
intormation is correct and agree to comply with all applicable State of
. Minnesota Statutes and 'ty of Eagan~ ifitnces. APC Parks
J •
Signature of Permittee D-- VaG Date Copies $2 ,104 . 00
Total
A euilding Permit is issued to: J SEPH MILLER CO T on the express condition that
all work shall be done in accordance with al cable ~ate in w oJa ~ Wt s antl City of Eagan Ordinances.
Building ONicial O
2007 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
lumbin on the same a plication; separate applications and ermits are re uired.
Date 's 1 ~Lr, I ~
Site Street Address Unit#
~
Property Owner ~ ~ VM~ Telephone # b51) i`72_ ) 1_01'~~ ~
Contractor IN, o z- CCti il. Telephone#
Address . 1 City Yl~t`h V State .~uL~ Zip
The Applicant is: Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
insta!ling onlv a water softener and/or water heafer, do not complete this section;
move to the next section and piace a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
714Lawn Irrigation _RPZ _PVB x new _repair _re6uild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormation is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permiT, work is not to start without a permit and work will be in acxordance with the approved plan in the event
a plan is re wred to be reviewed and approved.
n....r......u.. o.:.,a..d r.i....,.. n....r......v~ c:,.....~.....
2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN
CITY OF EAGAN '
3830 PILOT KNOB ROAD, EAGAN_MN 55122
651-675-5675 ~
Please complete for modifications to existing residential dwellings.
Date d~ i J I~
Site Street Address Un,t #
Property OwnerA~~eW1LA± Telephone # ( bSr) ~110L(~0
Contractor~. 1 no-ii) O'( ~v ~ Telephone #(bSk) 31oS- S 3`~p
Address ~~I-3lV ~Ol'w • City f,M C~h SWteAdlA Zip cJ9 a3
The Applicant Is: _ Owner J Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to exlsting dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onl a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
n i: Ic r~,
_Ssptic System Abandonment ~I~J I~ LI ~ ID
_Water Turnaround (add $130.00 if a 5/8" meter is required) IFEB 12 20 7
Other:
Water Softener /Water Heater $ 15.00
_ new eplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $15 56
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
o w'h
ApplicanYs Printed Name ApplicanYs Signature
Ti 4-
19/6B?N/? PLIC9TION - CITY OF E9GAN
NORE: Ai.i. CONTRACTOHS MIiST HE LICSNSSD IiITH THE CITY OF EAGAN
SIIiGLE FANIILY DWELLIRGS "
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
M(JLTIPLE DWELLIPGS - RESIDSNTIAL RENTAL ITNITS FOR S9LB DNITS
INCLQDE 2 SETS OF PLANS, CSRTIFICATE OF SURVEY - CBGCK F1ITH'BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAC
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, .
$2,000 LANDSCAPE BOND
To Be Used For: J'7"(J//(.(/ Valuation:Date:
Site Address JJ/Jc.~ [~C/,DG~~~~ OFFICE DSS ONLY
Lot ~ Block Erect Oceupaney
,y Remodel Zoning ~,el
Parcel/Sub Repair _ Type of Const ~
Addition - # of Stories ~
Owner Move Length
Demolish Depth
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
- Phone 6PPROVAIS FEFS
Contraetor 7~'. ! l Assessments Permit 5z~
Water/Sewer Surcharge
Address Police Plan Review
City/Zip Code Fire SAC
Engr Water Conn
Planner Water Meter ~
Phone 7~~'afdC~~ Couneil Road Unit
Bldg Off(.~ Treatment P1
Arch./Engr. APC Parks
Varianee Copies
Address iOTAL a /
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONT&ACTOR/HOMEOi1NER MQST DESIGNATE HHICH ADDRfiSS
IS DESIRSD. NO CHANGE3 WI[,L BE ALLOWSD ONCE BDILDING PERMLT IS ISSOED.
~1z
q ~ ~a = x ,c~~?-~ ~
&2Z
~
~
TRI-LAND C0. SITE PLAN FOR:
SURVEYING JOSEPH MILLER
SERVICES CONSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
N89°49'10" W
60.00
DM/MML •
V$ Vl/l/IY[AIfM(YlIOI
4/1L1.14M3 6ROiNldS 0/IF1iM[ LQ - EASLNENf ooC No. YyJ206 ~ M
~
W.00
0 N
M
_ It
L -
LGT 3 `I LOT 2
w SCKLE: I"=40`
M il I~ M
k
~ O
Y
ON : 'r, uoust = r No
2 x
M
~~•f
•
,e>•'
4.79 56 67
0-4°34'19", S89°42'27°W n
WESTBURY DRIVE
PROPERTY DESCRIPTION
LOT , BLOCK ,
WESTBURY SECOND
aeordtnq to the reeaded plat thereof
DAKOTA county, Minnesota
LEGEND
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=/03-10
* DENOTES WOOD FIUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PIiOPOSED BASEMENT FLOOR
0.E VATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION NOTE. VERIFY ALL FLOOR HEIGHTS WITH
,~-DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
Ethe fy tMt tAis swvsy,plan or
repared by maor under my
sion and fhat 1 am a duly Bradson, Mn. Rey. No. 13235
and Surveyor under the Stote of Minnesota. Dote ~ S
rs ~ 1 , ' 1
, CITY OF BUILDING DEPAR'iMENT
EiCfF:f2IOR E[VV}MOPE AVF.RAGE "UP' COIIPUTATION
(To be submitted with building permit api)lication)
One or Two Family Dvaelling Owner
i
All Other Site Address
Contractor So~~p{{ 1- E,2 I.oWST Date Phone
~SS-IOo
LIP+EkL , EET OF
EiC'O:;ED l':ALL 7EE tvp,P,~ ~jff£ET ft, above grzde = z) 08g,00 ~
TOTAL li:CP05?D '3i1I,L AR::A SQ. FT.
0?A--;U3 ?!:_LL i.J2;S'P'r.0"Ull Value x Area
lietail r)~AN1E lUll .6?¢3 x:;ci. FT. 7/.04 (U)(A)
: e; erence ~cwe 'lUll . 076o x 52. FT. 9Cv 48= 7.33 (U) (A)
from "U"__ . O¢O x SQ. FT. 114•5L= q.;r, (U)(A)
attacned x SQ. FT. _ (U)(4)
sheets x &Q. FT. _ (U) (p)
"U" x SQ. FT. - (U)(A)
77II:D0',/S: "Ull Yalue x Area
f•ia'.<e & TyPe NSVL x SQ. FT. /•00 = 13•6-$ (U)(A)
n n nUn x SQ. FT. - (U)(A)
x S2. FT. - (U)(A)
n u uUli _
x SQ. FT. _ (U)(A)
1»ORS: I'[i" Valuo x I:roa
:ialce & Ty?e STL• IAIi01- . "qJtt ,14 x SQ. FT. 4•ao = (v•$Cn (U)(p)
° u FiLTi o u un
- 47 x SQ. FT. Z•oo Ty-7'(lt)(p)
n n uptf _
X Sq. FT. - (U) (A)
n n _ uUu x S.Q. FT. - MW
TOTALS zo0g.oo Sq, r'T. /S3•43 (U) (p)
AVERACiE "Ull
ToTai. M(A) vai.uES 153. _
DI VI Dls'D BY TOTAL IYALL ARr:A Z05g, oo
AV~:ka(}E ~~Us ( ,115 r less for 1&2 family wellinga
R00 F/CEIL I N(i :
TOTAL AREA: IOOZ th
Detail reference IIUII •6?Z1 x SQ. FT, )OOZ _ ZJ•o4- (U)(p)
from liUll x SQ. FT. . (U) (A)
attached sheeta. "UII x SQ. FT. - (U)(A)
Describe onenings ifUlt
x SQ. FT. - (U)(A)
in roof. ~~U~~ x SQ. F.T. - (u)(A)
TOTAL (U)(p) VALUES DIVIDL•'D BY z/.og _ TY /002- NfT Z/'af- CUrA>
~
'POTP,L R00^/CEII.Ii1G Rl;ZA fOOZ_oo ' e2
AVERAGE "U ,025 for ventile:ted roofs.
~oRK ydc- Er
~ s ~x~A c•~q~c.
14.S4) X~38t38t34+3-~) = Z pgg,~~
~
Co~Je -
.~7K ~38*38t-~¢t39-~ _ `Ilv.`~$ ~c-
~rm TbrST
. SSX (38t38+34+3g~ = r!9•SZ
w,~,Dow ~
lbx&= 4•o x 4 = !(o.oo
lbX3lv= S,o 1( (o= 30.00
Z4x a&_(o•o x 4= z4.oo
Zn)C48 s(0•7" X<} = Z(v. So
Z4x4g= $•o X 4 = 37.oo
IZS o ~
DOKs
3= s7L. w/S-L. = ZS.oo
Zg sn. sEp- = zI.oo
~p- PRT/O ~ ~fz.00
qjoc A-
VeT
679PsS w~- Z,oeg. ob Z'~ X 38 = q~Z
GESS Conlc. Y6.¢g 9 x lo = 4o
n le,w• ti4•sz
wDw's rzsSo -435: Sv I,vaz.oo
rr DOWs 9l.00 - -
1) lv52. 20
f
--war,L sECTios--
Determining "Ull values at Roof. Wall, Rim, nnd Conc. Block
ROOF/CEILIN(i R VALUE
S
1.) Interior Air r'ilm 0.61
2.) 5/8 1' ayp. Ba. .56
3.) Insulation 4¢,oo
4.1
5.) Exterior Air Film .61
~ 2 3 (STILL)
f ~ nuII _ 1/R= .OZI LOTAL (R)= 4.s.75
1 `
O WALL (R VF.LUE
~ 60 Interior &ir Film 0,68
7./ 1" GYP. Bd. .45
8.) Insulation
9.) $urL'r- rQiTE z,p4
10.) Itiasonite Siding .07
l0 11.) Exterior kir rilm ,17
N
"U" = i/a= ToTnL (x)=Z3.0/
RIM (R) VALUE
12.) Interior Air A'iltn 0.68
13.) Insulation /q.oo
14.) 211 Fir Rim Joist 1.88
15 15.) zs~2~ PiVILT-,Q/TE Z.O4
16.) Masonite Siding .67
770 Exterior Air Film ,17
_ o
. • npn _ 1/R= .dc~d TOTAL (R)=z444
o ° oD ~
' FOUNDATION (R) VALUE
18.) Interior Air Film 0,68
19.)
Jo zo. )~-!f 5t,elPpEr') lI. o0
21.) 12" Concrete Block 1,28
22.)
23.) Exterior Air Film ,17
e
TOTAL (R)=13.~3
nUn = 1/R= • O~~o
1
~ 1991 IIIILDIOG P IT 7~PLICAT~
j CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS C014fERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS RE6ISTERED SITE SURVEYS - & STRUCTURAL YLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PF.RMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - GONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS DNCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~~~i
To Be Used For: ~smT Valuation: Date:
Site Address 3$05 Wp,IA' OFFICE USE ONLY
Lat ~ Block L FEES
Occupancy Bldg, Permit
2oning Surcharge i S'L`
Parcel/Sub Actual Const Plan Review
Allowable SAC, City
Owner DJE wnt ` # of stories SAC, MWCC
I.ength Water Conn.
Address c~~W\ `C_ Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
.1 S/W Surcharge
Yhone On site sewage_ Treatment P1.
I On site well _ Road Unit
Contractor MWCC System _ Park Ded.
C\ City water Trail Ded.
Address ~~O'v~ PRV _ Copies
Booster Pump
City/Zip Code ~F-nryn,~ ~ VV\, SSbl'~ SUBTOTAL
t , APPROVAI.S Penalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. /DS
Variance
Address
City/2ip Code
Phone #
Sewer/Water Licensed Cont .
~hn . }1 agrees that all woik shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
2C~ i
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS %
~
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.p
1 SET OF ENERGY CALCULATIONS
COi•A7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY LCULATIONS
2 i968
f2
To Be Used For: Valuation: Date: ~O ~ ~
' OFFICE USE ONLY
Site Address 53~ ~/~/~T[~/~ /v vcl
30oo -
Lot 2- Block 7 ~ On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub W&STZlAPy SEC.GW7) On site well Actual Const
City water Allowable
Owner S (OTr J'( ~nr~a/Y2o r PAV required _ Ik of stories
~gos ~var&any Booster Pump _ Depghh
Address ~
~I S.F. Total
City/Zip Code ~-r7u~/(~ 7~s~2 5 Footprint S.F.
Phone `7 97--~OC/0 (pp t) ~ APPROVALS FEES
Contractor ~~-F Engr/Assess Permit -SO.QO
Planner Surcharge 5n
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address Copies v o
TOTAL .5~ . S o
City/Zip Code
Phone U
•~TRI-LAtVD C0. SITE PLAN FOR:
± SURVEYIfVG JOSEPH MILLER ;
; SERVICES coNsTRUCT1oN
4655 NICOLS ROAD
. EAGAN, MINNESOTA 85122 •
~ N89°49'10"W
60.00
rp~wtwv~o/
, L//[L/qM5 BROiNL15 o/~E UM[ LO. ~ ~
'E9JLNfNI OoLNO. 49fi06 GQ
7- . ~ tD
~ M
Q.Q0
n N
~
- L47 3 41 LOT 2L.O; 1 w ~-SCI"=40`
M
' o A SI i N0 SG~QEE,yE'17 W
QN ~ ~ uouse a
e 9 ~.2
. . * . I F 6 r ° M~.n Ia n,.. , ~ . . J•f eHrf.q_. -jy
ur. v revnaJP ~e
479 5667
d-4°34'1S89~42'27"W ^
WESTBURY DRIVE
PROPERTY DESCRIPTION
LOT , BIOCK WESTBURY SECOND
aceordinq to the rocaded plai iMreo} . 'DAKOTA cwMy,Minnesota
LEGENO
o DENOTES IRON MONUM1ENT PROPOSED GARAGE FLOOR EIEVATION= 0.50 .
DENOTES WOOD NUB SET PROPOSED FIRST FLOOR ELEVATION= DENOTES E%15TING SPOT PHOPOSEDBASEMENTFLOOR = LGr°
ELEVATION ELEVqTION .
DENOTES PROPOSED SPOT ELEVATION NOTE! VERIFY ALL FLOOR HEIGHTS WITH
DENOTES DRAINAGE DIRECTION = FINAL HOUSE PLANS ,
1 haeby csAity ihat tAis survay,plan or report rae prepored by ma or under my J2l
' diroef aupervielon and that I am a Euly gradley .`~xenaon, Mn. Rey. No. 15235 ,
' _ 1 a Raqistered Land Survayor undsr ths ' 3.'Z(g,
~ Laws of the Stote of Minnesota DaTe, ~ ~ - i
F
CITY OF EAGAN FOR CITY QSE ONLY
3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT *
PHONE (612) 454-8100 RECEIPT # O (v
BING fP DATE: 10110191
:........:......::::F.~<..<. ~,.q.w
~IAEtF~'IIf:L; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FA4fILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
TdORK DESCRIPTION COMPLETE THE FOLLOWING:
N0, FIXTURES EA. TOTAL
NEW CONST _ ADD-ON.MINIMUM 15.00 /S•OCI
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TI7B 3.00
n~ IAVATORY 3.00
OWNER NAME: C_L24f KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
~ d WATER HEATER 3.00
IAT:~ BIACK SIIBD. FLOOR DRAIN 3.00
~ n GAS PIPING OUT.
INSTALLER: ,1'Iv1./ ~47ZQ~(1~qy _ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS : OTHER
WATER SOFfENER 5.00
CITY: ~ ZIP: S S`aZ _ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE
~p SUBTOTAL S
ST. SURCHARGE .50
SIGNA E OF PERMITTEE
TOTAL: S ~S6-6
~IRIERCiALjiNDIIST&IAT.:` PLEASE COMPLETE THIS PORTION FOR ALL COPlRSERCZAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 19 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BIACK _ SIIBD. $25.00 HINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY USE ONLY 1 p~ ~
L gL (1 RECEIPT#: a O
SUBD. . RECEIPT DATE: - D 9.9
~
PERMIT #
1999 PLUM$INH PER14ITf (ftEStDENT1AL)
C1TY OF £AfiAN
3$30 fILOT KNO$ RD
ERflAN, MN 551 E£
(651) 681-4678
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
Bath tub ~w 3.00 < - $
Floor drain 3.00 x = $
Gas i in outlet " minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr lra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h a enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
WBtef SOft@n0r If dwelling under Construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x _ $
State Surchar e 50 $ .50
TOtal $
Remindss: Cail fo; inspect(ons uf alteratioiis; i.e. riater heaters;:svater softsnerro, etc.
i hereby acknowledge that I have read this appliratlon, SWte that fhe iniormation is wrtect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanfs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operelional and maintenance aclivities to the facilities conslructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: , Mcoeannorr, scorr
- 3805 WESTBURY DRIVE
OWNER NAME: EAGAN, MN 55123 TELEPHONE
- (651) 452-1040 - (AREA CODE)
INSTALLER NAME: TELEPHONE
. (AREA CODE)
STREET ADDRESS: -
B~OM PLUMBlN6 CO.
CI GBA VENTGp/APPLIANCE IPJuTAiLERS STATE: ZIP:
280E C,lARFI L6 AVE. SOlITH
MIPINEAPOLI3, MN 55408
~ ~
SIGNATU OF PERMITTEE
y _ * *#****ff#*******#***k******#*f#t**
C i TY O F E A A f~ **~F' PA~~ OF FEE AT TIME pF -
APPLICATION DOES NOT aIVSTIRSTiE >
y*. APPROVAL OF PII2NIIT. ~
APPLICATION FOR PERMIT * =
y. INSPF7CrION oF SEbM ArID/OR F71%TFR
,*f TTsI'AT.TATTONS WII+I+ NOT BE SQmm- ~
SEWER AND/OR WATER CONNECTION um"L PmmIT HAs BEEN ;
• ~ AP11xavF9. ,
r ;
*:***s:+r,e*:***k+****w,t::****:~***sk*
P e~aese Print
1) PROPERTY ADDRESS: 3 ~ ~'(~IL=ST ti(J /4`/ pn. -
LEGAL DESCRIPTION: ~Z&
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRL'CZL'RE, DATE OF ORIGINAL BLILDING PEE2MZT ISSL'ANCE:
i
'
PRESEKf ZONING/pROPOSID []SE: (Mon Year
[D COMMERCIAL/REPAIL/OFFICE ~ R-1 SZNGLE FAMILY .
? IIIDCSTRIAL Q R-2 DL'PLEX (ltoo Onits)
INSTI7.VTIONAL/GOVERN~P ~ R-3 TOWNEiODSE (Three + Units ) ( Units )
. q R-4 APARTNIENT/COAIDpMINIUM ( Units)
Z) ~ rraME: L~ ~
P,DDRESS:
CITY. STATE. ZIP:
' PHONE:
• 3) u NAME. G For City Use .
Plumbers License:
ADDRFSS: Active
~ CITY, STATE, ZIP: bcPis'ed
qCe ~[J Not reCOrded
MASTII2 LICINSE# Sta~itial
4) ~ i~•
NAME°
ADDREss:
CITY. STATE, ZIP:
- PHONE: •
•5) ~ u v - ~ r: • o • a~ y- y~~~
~CONN]C,TZON TO CITY SEWIIt CONSIIX,TION RO CITY WATII2 ~ OTHER .
6) ~ PLF,ASE HOLD APPROVED PIItNIIT FY1R PICK-OP BY ONE OF ABOVE _
PI,EASE MAIL ApPROVED PII2MIT ZU 1, 2.~4, AHOVE .
(Circ ne)
7) r r u• - ~ "-~/7
7c • v :c M ~ • • • ~ ~ r a~ • a ~a• ~ r r~' • ~ • y• • o• r • ~ ~
• r- w~ • 1~ 1 1 M:1• •.HJI 1 1 1 . p1' • i• dl' 1 I! ' ` .
, • _ _ _
. FOR CITY USE ONLY ~ PERMIT # ISSUED
Pd w/Bldg. Permit FEES;
$ $ /(i . -r~'l7 SEWER PERMIT (INCLUDE SURCHARGE )
$ $ /fJ , lD WATER PERMIT ( INCLC~DE SL'RCHARGE )
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ SD D. G c 3 $ wac
$ $sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL.BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
~51 • ~'U $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ o $ 5,1. Da TOTAL
~ ya-s0 y ,
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CO[VDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
.i
TITLE:
DATE :
5~ f 2000 BUILDING PERMIT APPLICATION (RESIpE
~ cirr oF eacan ~ "~i
~7~0 3830 PILOT KNOB RD - 55122 r '
C~ 00 851-681-4675
New ConshueXon Reauiremenh Remotlel/Reoair Reauiremenh
> 3 reglsfered slfe wneys showlnp aq. K ol lof, sq. H. of house 2 coples W plan antl gfl rooletl ar6da (20X maximum bt covemae allowed) 1 fbt W anergy cdWlaHOns fOr hedl8d Oddltlans
> 2 coples ol plans (show beam 8 window sltes; poured tnd. tlefign; etc.) 1 sife wrvey fa exledor addiflau & decks
> 1 eef ol enerpy caleulaHOna
? 3 coples ol free preaervaflon plan If lot plaMed after 7/1 /93 ~
DATE: 5'" 3-OO CONSiRUCTION COST: ~~Od
DESCRIPTION OP WORK: P E' 9-d °F
STREEf ADDRESS: 3 S O S W ES )~S~•t d2`~ 7YL1 v Lr
LOT: BLOCK: SUBD./P.I.D. i: A A
Name: MC D ry2 wl o'f'i- S co TT Phone C (oS 1- 4 So2 -10 ik O
PROPERTY tast Flrst
OWNER
Sheet Address: 3 8 os Wt S T )3 k YL y D Y2- \V L:
ciy tiIN G VPr rJ state: V,\A n~ zip: 5 512- 3
Company: AmMtcA-.) &,,.IDIwC, 0'a7zoc.rut-s Phone#: b)a-- ?67 - 65 59
(area code)
COMRACTOR
Sheet Address: taly _l 1A«1-LC T AJ t So ucer,se # ao t&5 a P3 Exp. 3 d
Cily Ci ~,2..a S v r~LL State: V'N/` rJ pp; S S 3 3 7
ARCHITECT/
ENGINEER Company: Name:
Telephone M: ( )
Sheet Address: Regishaflon tl:
Clfy Sfate: nP:
Sewedwater Iicensed plumber (jf insWllina sewer/waterl: Phone # L~
1 hereby acknowledye Ihat I have read Ihis applkaNon, state that 1he tMortnatbn is eortect, and agrree to comPb wHh atl appqcable StatE
of Minnesota Statutes and CHy of Eagan Ordinances.
Signalure of Applicanti0sk
OfFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
;,Gy _ 4
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Mutti
A 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ ptex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex O 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ~ 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (FoundaGon) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
Ne. of Buildings Width Fcwtprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
y �, w8�j
3805 •M i y D$v W 2 • Wi t,
t i 3
O . k
. r p.
6 7...,
_ 4 a4 f
C F EAGAN a
nob R. , 4 ��` } am .
55 ' � ° .
Mawr. ' � . 1'' '°`
j°41%
� \te ..
1 as v of g`! • t #
B r
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150775
Date Issued:07/24/2018
Permit Category:ePermit
Site Address: 3805 Westbury Dr
Lot:002 Block: 001 Addition: Westbury 2nd
PID:10-83651-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Scott M Mcdermott
3805 Westbury Dr
Eagan MN 55123
Highmark Exteriors
8720 Eagle Creek Pkwy
Savage MN 55378
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature