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3812 Westbury Dr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: -001.5 ! y-' /'+4 ' (612) 681-4675 SITE ADDRESS: APPLICANT: I1~ ?Itil)~•'r 1 r.l . 7 i~ S~t.1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . i h e:N I MI p i 1; , I I'l, l-11ii,l1 ! rl I~ ~ i rdr~1 F J L Permk No. PermR Holder Date Telephone N SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Inap. Comments Footings I 4qr ZZ ndation Framing Roofing Rough Plbg. Rough Htg. leul. Freplace Final Ftlg. Orsat Test Finai Plbg. Plbg. Inspector - Notify Plumber ' I Const. Meter EngrJPlan Bldg. Final I Deck Fig. I I Deck Final i Well I I Pr. Disp. I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: , 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: 1" " APPLICANT: <<?i : c ftI(,fj ~ iiRY f1R ! N~ PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . ~ J Permit Holder Date Telephone N SEWER/ WATER PLUMBING HVAC Inspectlon Uate Insp. Comments FOOTINGS FaUND FRRMING ROOFINO ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ' FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG . DECK FINAL . ~t Receipt PLUMBING PERMIT Permit No. Y~ CITY OF EAGAN ~ Fee acJ FiU in numbered spaces 5/C ~ ~ Type or Print legibly Tot. o~ S o 1. Date~ 2. Installation Cost 3. Job Address_? Lot ~_Blk. TracL(~y~;~~ / j 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ~ 9. Work Description: New 0' Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner ~ Shower Well Kitchen Sink Urinal/Bidet Other Laundry 7ray 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 w~t~ all ordinances and codes governing this type of work., ~ 5igned : for /4`1 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 I . Receipt MECHANICAL PERMIT Permit Na CITY OF EAGAN ' Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 1 ~ /f ` 3. Joh Address Lot Blk. , Trac'f 4. Owner , 5, Contractor Phone . 6. Address , 7. City State ~ Zip 8. Building Type: Residential 0- Commercial ? Institutional ? 9. Work Description: New El Add O Alter ? Repair ? i' 10. Describe Fuel Type 11. No. Equipment STU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. . Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed : - for Rougfi Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CITY OF EAGAN Remarks 7)) tJ; s+0/744 ! S's%"~- LC..<< ~.~U Addition WESTBURY FIRST ADDITION Lot 3 Rlk 3 Parcel 10 83650 030 03 Owner Street 3812 Westhury T,anP State F.agan o Mbi 551,23 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$6 2850.00 STREET RESTOR. GRADING Water area 1986 133.79 8.92 15 SAN SEW TRUNK SEWERLATERAL I985 5008.73 Watermain 1986 65.29 4.35 15 WATERMAIN Y6,~- 1984 WATER LATERAL 1986 WATER AREA Services 1986 STORM SEW TRK 1986 710.24 142.05 5 STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.0 WATER CONN. 470.00 11 ti BUILDING PER, 11 tt SAC n tt PARK PERMIT # ~00~5 PLUMBING PERMIT RECEIPT # 09 GTY OF EAGAN 'n 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address :2 BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ~ Res. New ~ RG& WA3tR NIN Mult Add-on AddrM Excelsiof Ave. E. Comm. Repair ~ ~opicins, nneso a c Ci one Other Name JR {y ~ r? L NO Water ClosetFl$3.00 ~ TOTAL $ c Address Bath Tubs - $3.00 p City Phone y S ~ y Lavatory -$3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMi1M - 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 Gas Piping Outlets - $1.50 BEYOND $1,000.00) ZSoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNA RE OF PERMITTEE ~ FEE STATE S/C: FOR CITY OF EAGAN GRANO TOTAL• ' CITY OF EAGAN Nn 9O~ ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHOTVE: 454-8100 BUILDING PERMIT Receipt l"~AR $ 6 t l.' i•i.TiY 2 3 ' 4 Te 6o wed fer Est. Vatue ~ Oate , 19 L .,::;~rBUr:Y r.,~ t:s Site Addr~ess ` Erect Occuponcy Lot elock S111Sub. 111ter ? Zoning iz Parcel No. Repalr ? Fire Zor?e Enlorpe Q Type of Const. V a Name Move Z _ ? # Stories ~ 3 Addres _ Demolish Q Length b City Phone 4 5 4 - 4 7 5' Grode ? Depth Sq. Ft. 19 APProrab Faes O Name Address Assessment Permit Y J 3%. U 0 City Phone Woter 3 Sew. Surcharge ~ 4•~~ Police Plan check 168.50 ~ W Name Firo SAC 5 2 5. U U ~ ~Z O Address Erg, Water Conn. 470.00 ~ W City Phone plcnner Woter Meter oS• 00 Council Rood Unit l('L•O U I hereby acknowledge thot I have read this applicction ond stote that 81dp. Off. fhe information is Correct and ogree fo comply wifh all cpplicoble 5tote of Minnesoto Stotutes nnd City of Eagon Ordinances. APC Total Slpnaturc of Permittee ,7O,Q. i L1.,T? CC3?:;-~i' /1 Buildinp Permit is iuued to: on the express condition thnt oll work shall be dons in rdo th e~l upplieable,Stqfe of Minnesoto Stotutes and Ciry of EoQan Ordinonces. Buildinp Offictat ~ ` ~ • ` _ J f i Permit No. Permit Holdar Misc. Permit No. Holder Plumbiny H.V.A.C. ~1 3{0 f'o Well Water Disp. Swrer elect.ic Inspection Date Insp. Other Footinps SIJ a P Foundatfon Fnminp e C Rauph Plbp. Rou9h HVAC Inwlation Final Plby. ~/s• /3 Finel HVAC Final C', Wa"r Datcribe Location: 1Afel1 Sevwr Pr. D"ap. rnis rea.est voie 7F moncnsyom qq60 ( -7/ ( o (,b I . p'~55pj L 3 6 3 A~tof biii,,- t sr 3a.I;b Request Oate Fire No. Rough-in Inzpection T~ flequfred~ ? DReatly Nuw(~ Wi II No1ify Insoec- No r lor When Ready ~censed cVica ConUector I hereb y requBSt inSPection of aboVe Owner electricel work instelled al: Slreet Address, eox ar Route No. City ~5~- ~ an ecuon o. To nship Name or No. Nanee No. C nry ~n C~ ccuuam (PRINT) Phone No Zj7)CMj'1YR Power SapDlier Adtlress /(.fU Elec rical PnnV ctor ICOmpany Namel Contracto,'s License No. fc! ~ , . -a Mailing AdJress 1 onhacmr or Owner Makine Instailationl 3 ~ - -a Authori d Signature onva tor Owner Ma mg Ins Ilationl Phone Number f ~ MINNESOTA STATE BOARD OF E T CITY THIS INSPECTION REUVEST WILL NOT Griggs•Midway Bldg. - Noom N-191 gE ACCEPTED eY THE STqTE BOAHD 1821 Universitv AVe., St. Paul, MN 66106 UNLESS PHOPEP INSPECTION FEE IS NCLOSED. Phnnw (612) 297,2111 E i REQUEST FOR ELECTRICAL INSPi$•CTION jj% e/s-ooooi:oa See instruetions for comDleting this fORn on beck of yellow cooV. ~1 lo' g~ '"X"' Be/ow Work Covered by This Request ~ ~ 3s Fdd Nep. TVOe of 8uilding APDliances Wiretl Equipmenl Wired Home Range Temporary Scrvice DuplFx Water Heater tiny Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. urnace Silo Unlonder Industrial Bldg. Air Conditioner Bulk Milk Tunk Farm o[ner pen v 75iherlSUecHV1 ut er Suecify Other Other rnnpute lnspectron Fee Be/ow # Fee Servica EnhanceSize IX Fee Feetlers/5ubfeeders b Fee CircuiM d U to 200 qm ps 0 to 30 qm s ?0 •50 0 tn 30 Am s Above 200 qmps 31 to 700 qmps 31 to 100 Amps Swimming Pool Above 700_Amps Above 100_Am s Transformers irrigation Boo'ris g'0 PartLaiMftw Fee Signs Specialinspection S ~ ~qI~,FEE _ Remarks TO f0 ~JO~ Nough-in ~ Da1e EI wal ctoq here0y c rt fy tAs[ the nbove Final ` Dp~e . ection has been de. Thla roquast voi01B montlu from d ~s 5496 ~ i-~8° 3 ReQVest Date Fire No. I flough-in In ion qaquiretl? e~' Now ? Will NaHh/ Inspeclor S Yas . No When ReadY9 I licensed contractor D owner hereby request inspection of above electrical work at: Joh Adaress (Slreet 8ox or Routa No.) Ciry Setlion No. Township Name or No. Rarge No. Counry ~ Occupanl(PRINT) PhonB No. Power Supplier Atltlress le~-A Elecmcal Contredor (Company Name) Canlrador~ LiCBnse No. L Mailing Atltlrass ontractor or Owner Making Instellfltion) ~ ~T-iSG Aut ignamre (COnlrac riOwner Ma Ing Inslallatwnl P~ona Num~er e Gd-G3/~ MINNESOTA STAT B PU Of ELECTRICI O~ THIS INSPECTION REOUEST WILL NOT Ghggs-Mitlway Bitlg. - Room S113 BE ACCEPTED BY THE STATE BOARD 1821 Unlverelly Ave.. SL Poul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 60241BUO ~ L-~~~ENCLOSEO. ~-76&o REQUEST FOR ELECTRICAL INSPECTION ~r°="`-~I, ee-ooooi-ae p ? See insvuctions lor completing IDis brm on back of yellow copy. ~ 9 @. / 54956 ' ")C" Be/ow Work Covered by This Request ~9-1 eviAtltl TypeolBuiiding AppliancesWired EquipmantWired Home Range 7emporery Service Duplex Water Heater Electric Heating ~ Apt. Building Dryer Othec.(Speciy) CommJlndustrial Furnace Farm Air Conditioner Other (spealy) Contrector'S Remarks'. Compute fnspection Fee Below: # Olher Fee S ServiceEmrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspectorg Use Onry: \ TOTAL Irrigation Booms 1 (,J Special Inspeclion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°ugh-in oete certify that the above inspection has Final r eie been made. 610, OFFICE USE JNLY Thls reQUest witl i8 monlhs irom CITY OF EAGAN AT . 3630 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121 jr ? 9095 PHONE: 454-8100 BUILDING PERMIT Receipt g .jSa To ba umd fer SF DWG/GAR Est. Value $68,000 Date MAY 23 1984 3812 WESTBURY DR ~ R3 Site Ad ss Erect Occupanty Lot T Block 3 Sec/Sub. WESTBURY Alter p Zoning R1 Percel No. Repair ? Fire Zone N A Enlarge ? Type of Const. V a Name JOE MILLER CONST Move ? # Stories = Address 18133 CEDAR AVE Demolish ? Length 40 ~ city FARMINGTONphane 454-4753 Gwde ? Depth 36 ' Sq. Ft.- ~ SAME Apvrorals Feas Name u~ A~fe$$ Assesement Permit $ 337.00 l- City Phone Water85ew. _ Surcharge 34.50 F Police Plan check 168.50 Fw Name Fire SAC 525.00 Address Enp. Water Conn. _47Q .00 <W City Phone plonner Water Meter 63 .00 Council Rood Unit ~ H n . 00 I hereby ocknowledge thot I have reod this applicotion ond state fhat gldg. Off. the information is correct and ogree to comply with oll epplicnble ~ 1$rj$.00 Sfota of Minnesoto Statutes ord Ciry of Eugan Ordirances. APC Total Sipnofure of Permiffee A Building Permit Is issued to: JOS. MILLER CONST on tha express condition thai oll work sholl be done in a rda e ith /oIll appi" ble 5Nte of Minnesata $tatutes ond City of Eagon Ordirwnces. Buflding Ofiiciol d~`, 5J~1-10 01~6 2007 RESIDENTIAL BUILDING PERMIT APPLICATION -00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConstmcfianReauirements RemodeVReoairReauirements 3 registered site wrveys showing sq. fl. of lot sq. ft, of hase; and all roofed areas 2 copies of plan shaxing foofiigs, beams, jois5 Cert pf SuNey W Y_ N (20°h maximum bt caverage albwed) 1 sel of Energy Calculafions far heated addNOns 8pls Re "p~lt ..~t 1 Soils Report N proposed bulltling is lo be placed an disNrbed wil 1 sile survey tor additlons & 0edcs Tree pres' Plan Reod Y_ i{ 2 capies of plan showing 6eam 8 window sizes; poured found design, etc. Addifion - inctcefe H onsile sepNc sysfem ,TreePr95AequIfeQ ,~1 N 1 sel ai Energy Calculafions On;sit8,5"System', ',.,,,_._Y__ N 3 copies of Tree Preserva6on Flan'rf lot platted after 7I03 RimJdsiDeteilDpfionsselectionsheet (buildingsvnN3orlessunits) Minnegasco mechanical venfilafion fam Plans are considered ublic information unless ou state the are trade secret and the reason. Da[e 10 / ~ / ~ ~ Construction Cost *1~ ~r~.~ ~ Site Address 3$ I a We54-burN Dr; 'JP Unit/Ste # Description of Work 14 Multi-FamilyBldg _ YVN Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 50.,6TI °4 KQj'ilV '}'C7n Telephonek((p51) ''ISLI -09_f Contractor '/Ae~11QI & fl o (i L ff j' f S Address -735 1 KI KLODcC) (_a." Au. __4 00 city ~l-e Groue State MN Zip .9f53f QCJ_ Telephone #(xs3) -I sv _.~11 a J_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy COde CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission lype) Submifled Submitted . Energy Envelope Calculations Submitied In ihe IasT 12 monihs, has the City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contraclor Telephone # ( ) Sewer/Water Contractor Telephane ) 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 of plans. ~ ie Snwv c i~1C)e . n Appli t's Printed Name Applica~ ' Signawre I RESIDENTIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New ConsWcdon Reauirements RemodeUReoair Reauirements • 3 reg'stered sNe surveys shovring sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20%maximum lot aveiage allowed) • 7 set of Energy Calculatbns for heated additions • 2 copies of plan showirg beam 8 window s¢es; poured found design, etc.) . 1 site survey (or ezterbr additions 8 decks . 7 set of Energy Calalations . Indipte'rf twme served by septic system for additions • 3 copies of Tree P2servation Plan'rf lot platted after 711l93 . Rim Joist Delail Oplions selectlon sheet (bldgs with 3 ar less unils) DATE VALUATION~ S1T~EpA~DD,~ESS 3Y1't DrMULTI-FAMILYBLDG _Y X N TYPE bF WOR Dt> ~ h";~ c~~„~, a~7S1T- FIREPLACE(S) _ 0_ 1_ 2 APPUCANT Arner lCm-, 90 } ~d ,h4 ~flh~fv'4Ctalrs~~'l~- STREETADDRE=?t)7-6jK_9 fCa7/~" ~~e• S'v CITY ~STATE~~!J ZIP S5337 TELEPHONE # CELL PHONE # FAX #`I~H 7D7-`/SZ5 PROPERTYOWNER - "077-Yt 4*_~111"Yn TELEPHONE#6-r~ Sy~Z.)1 COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.ES 7670 CATr:GORY 1 M 'n(d submission rype) • Residential Ventilation Category 1 Worksheet Submitted • Ne p(K~e{g j ed • Energy Envelope Calculations Submitted MAY 1 6 ZU~ l~€ 0 Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener Iawn Sprinkler Iee: _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conciitioning ree: $70.00 Heat Rccovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicaM ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ~ ? 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 - Multi ? 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 (screened) ? 36 Multi ? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) • 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 _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fiieplace R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Pertnit License Search Copies Other Total Cer.ti£Scate for: / Joe Miller - 18133 Cedar Avenue South r Farmington, Minnesota 55024 ' DELMAR H. SCHWANZ xouse Plan: 95057 Duchess II LANDSUAVEVORSI II,IC-. R eqistarW UeOar Laws of Tbe Sbte of Minnesob - 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 672 423-1789 SURVEYOR'SCERTIFICATE ,,~'~-'~-J --T~ - _ Wi= s ra v,~ Y lJR, plF . I ' 7 ey V~ .~/Z 2 7 ~ P ~ $ea/e • 1 "`-30' ~oti ~o~~«~qe~ uf;i~~u ~S~t ~~c~: Q,~.a~~ r T -XX- • Denotes iron monument + h I ~ , B9Z.S ~ s~ Denotes set wooci hub I T0to Nv"f 1; Zs.33 i7+ ~ Y'~13 Denotes existing elev. ~ ir A !4 g9~~8 \ 7J ~ I~y Garage Denotes proposed elev. tMl I 4.D) M P3gposed y1•~3 v , M I ~ House 7~ Sip. 17 M ~ ( I • ` o Z ' 5~ Gor 3 .~'coc,r3 `~5 - -s a~yb 0 nle9at-z•7f ~Y,«; I hereby certify that this is a true and correct representation of Lot 3, Blnck 3, WES`TBURY, Da:kota County, Minnesota. 'Also showing the location of a proposed house and garage as ataked thereon May 10, 1984, . ' PIOTE: Plat not filed an of 5-14-84, MINNESO7A REGISTRATION N0.8625 ` % ( PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B (J 1 L o z iu r Ea'gan, Minnesota 55122-1897 Permit Number: 0341 47 (651) 681-4675 Date Issued: 1 L/ 0 2/ 9 8 SITE ADDRESS: 3812 WES78URY DR I_QT: :i BLOCK: 3 WESTBURY 1ST P.]:.fd.: 10-83650-030-03 DESCRIPTION: REBt~T WHOLF CHTMNEY Bu.,ildinq F-r,mit Type STORM DAMAGE Buildinq Workk-.,Type F'EPAIft ,~~ensus Codc \ 439 RIT. RESIDENTIAL 't i ~ . ~ , r,. REMARKS: RE8UILDING t=ROM GROUND UP R.B. SMOKECHAMBER DIJE TO S70RM pAMAGF. FEE SUMMARY: CONTRACTOR: - Applicant - OWNER: EXFEHT MASONRY INC 18906321 BURTON SCOT'i 1908 E:1.23R0 ST 3612 WESTBURY D}2 BURNSVSLLE MN 55337 EAGAN MN 55123 (612) 890-6321 (651)405-8248 I herebu acknowiedqe Y.haC I have read tHis applicaT.ion and state Lhat the intormation is correct and aaree T.o comolv wiT.h all applicable ST.ate ot Mn. Statutes and City ofi uaqan Ordinances. APPLICANT/PERMITEE SIGNATURE I ED BY: SIGNATUR Z'' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3~ I i 1~ CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 1 a - a New Construetion Reavirements RemedeVReoair RecuiremeMs ? 3 registered site surveys • 2 eopies of plan ? 2 copies of plans (inGude beam 8 wiMow a¢es; poured (nd. design; etc.) ? 2 site surveys (exteria addRions 8 tleeks) • 7 energy calculatioro ? 1 energy akulations for heated addkions • 3 copies of trae Dreservation plan if lot plaked after 7l1193 required: _ Yes _ No ~ DATE: li Z- z-- `J ff CO TRUCTION COST; I 2; 6ao S-~~ , DESCRIPTION OF WORK: 3 ~9 ~~i NCz4 t=(Z~ GR-oi-.. La• +Z3 s~~~ ~ rh~ STREET ADDRESS: 3(is 1'Z ia . _ LOT: 3 BLOCK: SUBD./P.I.D. ~~,2~~ I~ Name:~o~~+v Sc-o ~'i Phone ~-O S- FSZ PROPERTY ~ First OWNER Street Address: >g 'Z- W~ i 3~`,1 17~ • City -~Z. p-Co Pn~ _ State: V~, cv • Zip: 53 I 2 3 Company: r'~~L P-~.fG- 1V+P~,S~r.+K± ~-NC Phone ~cl 0' to 3 Z I CONTRACTOR StreetAddress: I~O g 11.3 1 D Sl - License # City 1J v,Q.5 State: Zip: 5~5 3 31 ARCHITECT/ ENGINEER Company: Phone Name: Registration StreM Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowiedge that I have read this applicatlon and sfate that the information is correct and agree to camply with all applicabl State of Minnesota StaWtes and City of Eagan Ordinances. Signature of Applicanc~ ~ OFFICE USE ONLY D i Certificates of Survey Received _ Yes _ No DEC - 21998 Tree Preservation Plan Received _ Yes _ No ^ Not Required OFFICE USE ONLY " . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Faciliry ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = piex ? 15 Deck WORIC TYPE ? 31 New ? 33 Atterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main levei sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unft APPROVALS Planning Building Engineering Variance PermitFee ~W~ --,)3~ Valuation: $ Surcharge G, 0( Plan Review License MCNVS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit S/W Surcharge Treatment PI. _ Park Ded. Trails Ded. Other Copies rotal: 1 G 3. a~ °1o SAC SAC Unils ~qo ~CITY O~• EAGAN PERMIT cg 3830 Pilot Knob Road PERMIT TYPE: Bu x Lo z rv e Eagan, Minnesota 55123 Permit Number: 0 2 3 7 8 2 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 4 SITE ADDRESS: 3812 WESTBURY pR LOT: 3 BLOCK: 3 WESTBURY P.I.N.: 10-83650-030-03 DESCRIPTION: ~ s SIDING/SOFFITJFASCIA 6uilding-Permit Type SF (MISC.) Building Wor.k Type REPAIR ~ - i~, !J i: REMARKS: FEE SUMMARY VALUATION $9,000 Base Fee $108.00 Surcharge $4.50 Totel Fee $112.50 CONTRACTOR: - Applicant - sT. LzC. OWNER: MINNESOTA EX7ERIORS 14935500 0002877 BpRTON SCOT7 8600 JEFFERSON HWY 3$12 WESTBURY DR OSSEO MN 55369 EAGAN MN 55123 (612) 493-5560 (612)454-1299 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wiCh all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ L ficu,n p~ -SUED W. SI NATU E I APPLICANT/PERMITEESIGNATURE ~ CITY OF EAGAN 101 4 -t 1994 BUILDIN 68 ~s 15 APPLICATION SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date . ~ • Valuation of work Site Address: ~t • ~ STOFCT Tenant Name: (commercial only) IAT ~ BLOCK A_ SUBD. P.I.D. # Descri tion of work: . The applicant is: ? Owner Contractor O Other (oeser;be) Name Phone -/d- Property Lasr FIRST `Orivner pddress d- ~ STREET STE # Q~~ City State Zip 51A°~ Company Phone Jr~~ Contractor Address ?a2k ~ License # Exp. J City ~ Siaie7,51! Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Pracessing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a licable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY • • , . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Ueck ? 20 Public Facility E) 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish ? 32 Addition _Z34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump q of Stories Foatprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit - Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace go/ L Permit Fee veiLns;oo: $ Surcharge Fian Keview License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units , ~ ~ ' 2/84 % CITY Or EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHT) 1) PROPERTY ppDRESS: LEGr1L DESQ2IPTICN: ~+Of" .3 (Ir~t/Bloclc/Subdivision or Tax Parcel I.D. NimiCer) ~ I'r' W;IS=-G STDL'CP'RE, naT- oF ORT_GuIAI, u;2I.DI:`.G P.-::~5T ISSU?NC?.: PDFS= ::C,'IIU:/?'R'OPOScTJ L'S: m' R-1 SZ;GL:, rP_yLiLY ? R-2 DUPZ:...~'`{ ('ISti'0 L'PIITS ) ? R-3 ZCiv~iII-IC{?SE ('LZ-= + L^IITS) ( Wi I?'S) ? 2-4 t~' sic'I_'SE'r.`7T/CO`.•~Ci•1I`:I;,til ( UNIT; ) ? CC,l~ME.RC1]AI./RF.'".AIL,/OFFIC:: ? I~iDL'STRLAL p INSTI'I'LTIO:IAL/GGVE.R~~ME:'T Z) AppLSC,~= (PLEASE PRlNi) NP.hfE: fOC. 741 ILEl- ADDREss: t 813-; L°CrDqh A,- S: CITY, STATE, ZIP; J~~µ„Mr~~.yforJ M? :S$0,25~ Pxo~: y31- ~ool 3) PEciBER PLEASE PRINT) FOR CITY USE ONLY NAME• Pl,.,.w~x -P!a"b,ws i PLUM,BERS LICEYSE: ADDRESS: /H)j$ .750-j Au~N, Attive CITY, $TATE, ZIP: .01I3 /W? JrS4fy/ ~ Ezpired PHONE: ' KAS i tA ~ Q Hot of Recor1d S,J `I- ,~o7S PlUMBER LICENSE H ~O~oJ /7,j ~P (I__~~j a nitia q) OCCupANT/a~IER bR11ME: (PIEASE PRINT) ADDRESS: CITI, STA'PE, ZIP: '54.K~ As PHONE: 5) INDIGN'IE W[[ICH PF.RMIT IS BEING REQUESTIiD: g CONNECtION TO CITY SEUIER coNrrecrio,r TO ciTY wAxEtt ~ ~ UPEIER (PLFASE DF_SCFtIIIE) 6) INDIG=E C.IE: ~ PLE~SE HOLL1 APPFtOVED PERMIT FOR PICi:-G'P BY ONE OF AECNE ? PLFASE %*AIL APPROVID PER-LiT TO 1, 2. 3, 4 ABOVE (Circle one) 7) SZCa'1ZG'RE: DATE: MR RalRAmfs.,a:m ar a E~:a:a: . . . ` • FOR C I TY U S E ON;,Y PErLMIT ISSUED ' F°ES: +S S°;IEo PrRMrT (I`ICL;-DE SU'.-2CHARGc) $ WATER PERP1IT (INCL'JDE SIIRCHARGE) $ WATER METER/COPPERHORN/OUTSZDE READLR $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP Zr'-Jl'._ ACCOUNT D,F,POSIT - FIATER $ WAC $ SPC $ TRliNK WATER ASSESSi-lE:VT $ TRtiVK SEWER ASSESSME.]T $ LATERAL BENEFIT/TRUNK SE;QER $ LATERt1L BENEFIT/TRUNK WATER $ OTHER ' $ TOTAL $ °"-a AMOLT:VT PAIDjRECEIPT i~ rr,~-7 !9 a DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? C~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIV:SIO[V. LIST AS A CONDI- , TIO[V. SUBJECT TO TFIE FOLLOWING CONDITIONS: • . APPROVED BY: TITLE: DATE : Mas~we~~MAN a"= stmaaa*wwr~ie~w~-rewM FL40 8471MwIM-Aw~~M M%WseW~M w.aWcWjft sJM L ~ ~ 3 zJ~~ i .nE '4 ity oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMOUlST EAGAN, MINNESOiA 55121 M°y« PHONE (612) 454-8100 THOMAS EGAN JAMES A. $MIiH JERRV THOMAS ' THEODORE WACHTER Councll Members TFIOMAS HEDGES Clty Atlminlxlrobr EUGENE VAN OVERBEKE City Clerk November 21, 1984 Joe Miller Construction Co. ATT'ENTION: Joe hfiller 18133 Cedar Avenue South Farmington, hIIV 55024 ' Dear Mr. Miller; On Novemher 21, 1984 you requested a water turn on for 312_Westbury Drive. As £ar as the City of Eagan is concerned the services have not been installed as of this date. The City has no record of these services being installed. When you get the services installed call 454-5220 and we will have them inspected and turn the water on. ' erely ~ ; Joe Connolly, Sup rintendent i Water and Sewer Department " City of Eagan /bp cc: Dale Peterson Lorna Olson THE LONE OAK TREE . THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY ôöô ÷ü ÿ þ þýý üûùûùù øýý ùìý þ ÷ ûü áè þýô ýüûú ùøü ã ÷ ú ùäì ùøü ã Ùü ÿ ÿ ù ò ôü ò ñüû æ þý ù þÞçèÝ ý è æ òøÞàù êèèðð óø ýü ñ êèðçðçè òëñ ôðï ùù îÿ ß ýå èâùù âñý÷÷ ûü ýü ÿ æäèè ùùë æäèè ÞçèÝè ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü d4 Y "vA� iI�YSNi v'A u p �ti '� -F r ' at, y a '� Fy '�` � ' 4 *3 W ilu�"' ` Gr F °ode 4 • ‘`i x11 goli, `-'1, F' T S, a y i i . s F f /y� tiar, I Y ' F t r ' i v`i Q 4 a s f '4t n 1 x .yam y' !�! fete, Raid e of i Insp.: , 5121 r . z ' 1 Zoning: ti, Z oir No. of Units: �' '"F'= Address: Add` ddress h 3812 W:6 ur brtva L3 B3 W stb y (1 ' 4 , � 1; , Site Pyout $ Plumber: 5 -24 -84 4'327 "----"1.. IUU. Lit/ pd y � L' e i 4:', : '� to 410N1�► With !Ito G!y 0 geA ' . 1° �{.,�� el ' + .• r P 7'�$ IMOnceL ''„ Account • p sit: 1 • • i # s�, PeF�t . 5! yx Surcharge: P BY JlIMisC. Char es: ` , VS Date ff 1 • Tata1 ` 0 ' 1►,: D1.te Paid- City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use D7 Lli Permit #: Permit Fee: Date Received: Staff: 37r 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: )U_1"ZDiz- Site Address: 15 31Z W¢.+;`(ir',� D�� Unit#: RESIDENT ! OWNER V tt Name: I�tjnmoi- ``Y. l Nil -0,v N Phone: (.oI Z - 661A 1247 - Address /City /Zip: \n13.`ZjTVoi t T -3f . (-QC4+n 551z-3 Applicant is: )( Owner Contractor TYPE OF WORK Description of work: 14c.,,nna.. Ac . cin,,, lir-+— Construction Cost: G_5, Obb Multi -Family Building: (Yes / No }{ ) CONTRACTOR Company: ! 1,10r,4 u. I Q,S Contact: con (A.L- 31'0 --3S97 Address: 1-1'`t (.o(a \A/V,h1 tivwcJ l -f' City: L_.o, AState: ,M !V 1I 561 -tate Ll 9 Zip: 53 Phone: 1v51 _ License #: `311 Lead Certificate #: If the project is exempt l-+ /fi from lead certification, please explain why: (see Page 3 for additional information) -i-/ -=,N- PD -Gum- t I R �S Iii In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are,considered to be public information. Portions of the information may be classified as non-public if you provide specific.=reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x Ni oL tc.:, i v✓. Applicant's Printed Name x Applic is S Page 1 of 3 SUB TYPES Foundation Single Family Fireplace Garage DO NOT WRITE BELOW THIS LINE Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 04 Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) _ Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Interior Improvement Move Building Fire Repair Repair 3/ cv0 4.7 h'3 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) At Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant �k-L a2a'7 PP 1 /70 /D /7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required ,,t Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _ Siding: Stucco Lath Stone Lath Windows Retaining Wall: _ Footings Backfill — Final Radon Control Final Brick Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL p0(4 /?(/ 96." z/ 7 2. / 7® L L �d " • 3/0 3P 30 78' tz-e Page 2 of 3 1111 Certificate for: Joe Miller 18133 Cedar Avenue South Farmington, Minnesota 55024 DELMAR H. SCHWANZ LAND SURVEYOR S1 Inc.. Registered Under Laws of The State of Minnesota 2978 — 146TH STREET W. — BOX M ROSEMOUNT, MINNESOTA 55068 x 4.9 SURVEYOR'S CERTIFICATE � o�H 72A0 . House Plan: 95057 Duchess II PHONE 612 423-1769 2,1/W2 -s re R/ ve- /fr4lik 'O.Pm/novel tlfi%iriu 45,p? f • Denotes iron monument 0 Denotes set wood hub yg3 Denotes existing elev. Denotes proposed elev. :;:TIONS DIVISION I hereby certify that this Is a true and correct representation of Lot 3, Block 3, WESTBURY, Dakota County, Minnesota. Also showing the location of a proposed house and garage as staked thereon May 10, 1984. NOTE: Plat not filed as of 5-14-84. /1( MINNESOTA REGISTRATION NO. 8625 Use BLUE or BLACK Ink r - - - - - - - - - - - - - I I For Office Use I I -3 Permit ~ 0 I 1 4~ I City of EaEan 1 1 Permit Fee: 1 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: 11 -13J-Z- 1 Phone: (651) 675-5675 I r~ 1 Fax: (651) 675-5694 I Staff: J L -----------------1 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite M Name: L'> > Phone: RESIDENT I OWNER Address /City /Zip: 5c) i3 vi ~ 7 6A- Name: rY 1,4~r C-, c, Z I l License M Address: Z 3 c 7jz- ~J f' City: CONTRACTOR State: Zip: Z Phone: I Z 7 ' y y ~ S lJ Email: ? 1 AJ,(i CP T-C OL Contact: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ Of *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeactan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the wor will be in con ance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applic-6n fora permit, nd work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work hich requ' es review and approval of plans. Applicant's Printed Name Applica s Sig ture FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121560 Date Issued:04/07/2014 Permit Category:ePermit Site Address: 3812 Westbury Dr Lot:003 Block: 003 Addition: Westbury 1st PID:10-83650-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Scott J Borton 3812 Westbury Dr Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150102 Date Issued:06/20/2018 Permit Category:ePermit Site Address: 3812 Westbury Dr Lot:003 Block: 003 Addition: Westbury 1st PID:10-83650-03-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 J Borton 3812 Westbury Dr Eagan MN 55123 (612) 384-8242 Mn Superior Exteriors 474 West Minnehaha Ave St Paul MN 55103 (651) 774-5582 Applicant/Permitee: Signature Issued By: Signature