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3813 Westbury Dr , • CITY OF EAGAN ~ n^~ 1 3830 P'ilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING PERMIT RKeia ~ TO w wod he Est. Volue Dote .19 SiteAddrets G•'Ec;r'SUR=' f)R Erect Q Occupsncy Lot Block ' Sec/Sub. ,1LSTEILhY r : Remodel ? Zoning Repeir ? Type of Const. , j Parcel No. AddRion ? No. Stories Move ? Length ~ Name Demolish ? Depth ~ Addresa 13 ^Int Impr. ? Sq. Ft 4 C i t y ? NGTt ' P h o n e I n a t e l l ? Aoorovols FNs ~ Nam~ ` `'"1f Addrest Assessment PermH City Phone Wote? 3 Sew. Surcharpe Poliu Plan ReWew 0 ~W Neme Fin SAC ~ • 00 Address Erq. WeterConn. ~ W City Phone Planww Water Meter L)3. d U Countil Roed Unit 1So• I F+ereby ocknowledpe thot I haw rood this applicotion and stote Nat Bldg. Off. Tr. PI. J. ~...i ~1 the infwmation is correct and aqrca to comply with all opplicabl• APC State of MinrNSOro Statutes ond City of Eoflon Ordinor?ce:. Parke Var. Date Copies Sipnatun of PenniftM Total A Buildinp Psnnit Is IssueE !o: on the axpn- Conditlon tho+ all work shall be donw in ocoordonu with all opplimble State af NUnnnoto Statutts ord Gty oi Eopon Ordinona:. Buildinp Officiol f Pwmit Na. Pwmk Ha1dK Dab TehphoM ~ Plumbin4 H.V A.C. C,b r~l-c. I la A A~ r ~f i/~~ ~ C> '(o U? EiwWc 11M' cl ~5. o v 5~ l S' sotc«N. Irbpection Dsn Insp. Othw Footinys 1 FooUnqsll Foundstlon Frsminp RooHnp Rough Plbq. ~s Rough Htg. 4 s~ Insul. ~ ~ Finplace Flnal Htp. ' Flnal Plbp. Final c.wocc. wrt..' o.wie. Loc.eion: w.n Sewer Pr. Dlsp. Roaipt PWMBING PERMIT Permit No. CITY OF EAGAN Fw fill in numbered;pacas S/C TYps or PNnr ley/bJy ToL P 1. Date 2. Installation Cost 3. Job Address Bik. ~ Tract ~ 4. Owner F b. Contractor ~ ~ ~ : ' _ . . } { ! rI • Phone : + J _ 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe 11. No• Fixtures No. Fixtures Water Closet Cesspool/Drainfisld Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : o`r i Rouph Final Inspections: Date lnsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition WESTBURY SECOND ADDITION Lot 4 RIk 1 Parcel 10 83651 040 01 Owr,er screet 3813 Westbury Drive 5tate Eagan, MN 55123 Improvement Date Amount Annual Years gS Payment Receipt Date STREETSURF. 2a ~I~3.SS q a~.7~93 -~,7/-2$ STREET RESTOR. GRADING Wa e area 1986 433.7 8 2 1 64 016q93 SAN SEW TRUNK 325.24 8 6j, 5 A o/599s ~e SEWER LATERAL 1986 5008.73 1001 . 75 5 . 6'3 159 3 Watermain 1986 65.29 4.35 1 ?a•e/ 0169q-3 05 WATERMAIN 1984 50.89 3.39 15 ;tjra ~ WATER LATERAL 1986 O/~Gf 9`~ -a'~/• ~7 WATER AREA 1984 `136.96 9.13 15 74' *Services 1986 STORM SEW TRK _ 19$( 142.05 s 783 ~y OI$9 9 J ~-a/ - 85 ~ STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit • 52342 6/3 85 WATER CONN. .SOO.OO rt n BUILDING PER. 10326 sa,c 525.00 PARK Reaipt') PLUMBING PERMIT Permit No: ; c~ ; t CITY OF EAGAN FN Fill in numbered spaces ' S/C Type or Print leyibly Tot 1. Date 2. Installation Cost 3. Job Address - LotBlk. l ac7~ t~ 4. Owner 5. Contractor . Phone ' - - 6. Address 7. City State Zip. f8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New 13 Add 11 Alter O Repair ? 10. Descrihe 11. No. Fixtures No. Fixtures • Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner t Shower Well Kitchen Sink Urinal/Bidet Other ' Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I ayree to oomply with all ordinances od codes governiny this type of work. Signed : - for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Roaipt ~!r JNECHANICAL PERMIT Psnnit No. CITY OF EAGAN FN F1ll /n rwmbared spsces • S/C Type or Print leplbly • Tot 1. Date 2. Installation Cost ' . i r 3. Job Address , ~ i _ ° LotBlk. _f Tract 4. Ovmar ~ 5. Contractor Phona Ll~:- . ~ f 6. Address 7. City State Zip 8. Building Type: Residential tl Commercial ? Institutional O 9. Work Description: IVew [n Add 0 Alter O Hepair ,-I 10. Desaibe Fuel Type 11. No• Eqtjjpmpi BTU - M. Ea. No. Equipment CFM Forced Air Air Handliny: Mfg. Boilen Mech. Exheust Mfg. Unit Heater --7- Mf9• . Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinanas and codes governing this tYpe of work. Signed : - - - - - ~ for ~ Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 464•8100 COntrol INSPECTIUN RECORD I No. ti CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L07,4 RL,aC IK g y APPLICANT: 381:i WE578URY DR MEW SPACEB NOME CRAF1'SMAM 4{t`31'E3URY ~:Na (612) 435-3+78 PERMIT SUBTYPE: TYPE OF WORK: n,?•.+ r+t Nr r i Nt SN aI.TERAYioM INSPECTION .A 3 1: AM i N1I iMSU4A1 IDM F 1 MRJ l~tMAkX~s kt t:F tF' f• SFpARATE PP,RMiYS REQUIRLD FITA ELEC ~ Plilq No- w vermtt No. wrmrt Nower neta ?blspnone • S/VH PLUMBING f Gb ~ HVAC ELECTRIC ~ ELECTRIC Inspscdon DoM Insp. Commertta Footings 1 Foundatbn Frartar?g ~ D Rooting Rough P9bg• Rough Htp_ ISUI. Frrepla~ -7 t .S FkW Htg. Orsat Test Fnal Wbg_ Pibg. InepeatOr - Nodly Plumber Conrd. AABter EngrJPlen slafl. Final r. ~ 9z 'QS. ~1S'y Sr~ = !3 ~ F`9. cryl~ sT ~2 Deck Rnel S%: eoo~fi - ~Z~ wen Pr. Disp. I ~ INSPECTION RECORD C°ntr°' j ~ CITY OF EAGAN PERMIT TYPE: i' in 3830 Pi{ot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDHESS: 1, o t: 4 H t Cl c k, ~ APPLICANT: 31413 WE3.T8URY pR Nl1I1'Hlla5 JIN NEfiYHtfRY 2N0 (612) 464--6908 PERT~T,§UBT1fPE: TYPE OF WORK: M~u INSPECTION . ~ uM I I hli, lr 114Ac a' Partnft No. Permit Holder Date Telephane # S!W PLUMBING HVAC ELECTRfC ELECTR{C Inspectlon Dete Imp. Commerrts FooRings I Foundation Framing Roofing Rough P1bg. Rough Fitg. ~ Isul. Flreplace Final Htg. OrSat Test Final Plbg. Plbg. Inspector-NotNy Plumber Const. Meter EngrJPtan Bldg. Fjnaf Dedc Ftg. Dedc Final ~ Well Pr. Disp. This repurst wid 1& B T~~ 7° `~r Nequest Date Fire No. --ilnspection ~ flo eA? ~Heady Now ll Notify.lnsper g Yes ~No Whn Acady Licel6hd Elechical Conhactor . 1 h¢reb y r equest inspec6on ol above Owner eleetrical werk instnlled aL Screet Address. 90: or Ibute No. Ciry ~$13 G(~f':5'~- ur ~Q ttPl tjon Tawmship Name a No:\ Rang¢ No. Counly Occu tIPRINTI ~ Phone Na. E /Yli//C~' Cl'ST- -J601 Power lid A dres 877F yecuital CnM [ar ICmpa NameNonirar.lor' License No. L Mailinp Mdress IConVactw w Owmer king Ia~tailauonl ~ Ssid ~ Av or zed SiBm IComractorzOwicr Wk Insta lationl 7hone Nurnbcr YINHESpTA STpTE Bpplm OF ELEClii1CRY THIS INSPECTION REQUEST WILL NOT Griggsalidiiiny Bldg_ - Ropo N-tel - BE ACCEPTED BY THE STAIE BOApD 1821 Universitp Ave., SL Peul. YN 55701 UNLE55 PROPER INSPECTION FEE IS ~ 46121297Z111 ENCLOSED. 5~( 16 IEQUEST FOR B..ECiWCAL INSPECTION EB-°°°°'-°° ' S. irttruetions tw comple[i.p [his torm m back of vallmv 4.192'T ..X.. Below WDrk I C~overed by Ihis Request AAd Reo- Type o18uiWng AAalianeesMirap E9u:pment Wired Fiome Range Temporary Service Ouplex Water Heater Ligh[iny Fixmres Apt. Building Dryer ElecVic Heatin Cammercial Bldg. Fumace Silo Unloader Inrkstrial Bldg. Air Conditioner Bulk Milk Tnnk ~y~ tnnr Scec. fv) 01ner IScec;(y) 1 r Syec, y OiOer Othor ompule lnspection Fee Be%w I Fes Se,viceEnlraaeSiie k Fee Feeders/Subteeders H Fee Circuits O m 200 Amps 0 to 30 qm s oZ^ 0 in 30 M~ A6ove 200 pmps 31 to 100 Amps f Q 31 to 100 A Swimming Pool A6ove 10Am s Above i(10_A TrarSSimners Irrigation Boom< Partial%Other Fee SigS Special Inspection TOTAL REE I I poupbin Date L 1. the E ctrira • he~eby certify that 1hB above ~tion has bean Fi~1 Onte W ' paa. ~JJ ~ ttl.npuet.0ia18mw0n7mm J66~85~ ~2, z-~ t&"#2052 ReQuast Dale Flre No. Pough-in Inspectio Repoired? ? Reatly Now .~7NFy Notlty Inspetlor 6-25-92 %Yes ?NO WAenReady? I[i14eensed contractor O owner hereby request inspeclion of above electrical work at: Job Atltlress IStreet Bon or Route i City 3813 Westbury Drive Eagan Seclion No. TownsM1iO Name or No. Range No. Counry , Dakota Occupani(PFINTI PhoneNo. N- -B Jim iKathews (rlew Spaces) 454-6908 kmidm Pawer Supplier AOOress Elecmwl Connaclor (Company Name) CanVactOrS License No. Burnsville Electric CA00342 MaiLnq ACaress (ConVactor or Owner Making Inslallation) 117 Belmont Rd. A le Valle 55124 AutM1Onzetl Slgn w I racbe/0 nar g Ins~atlelton) P~one Num~ar 688-6002 MINNESOTA STATE 00/.H OF ELEGTqICITY THIS INSPECTION REOUEST WILI NOT Grlgga-Mitlway Bltlg. - Raam S173 9E ACCEPTEO BY THE STATE BOARD 1821 Universiry Ave., 51. Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS Vhone(612) 66I-0900 ENClOSED. ~ REOUEST FOR ELECTRICAL INSPECTION EB-00001-08 5~ • See insVUClions br compleling Ihis lorm on back of yellow copy M, ~P "X" Below Work Covered by This Request ew+ldd.Rep.. Typeol6uiltling ApplianceSWired EquipmeniWiretl X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Other (Specity) Comm./Industrial Fumace Farm Air Conditioner Omer (syeaN) Contracmr's Remarks: Compute Inspection Fee Below: finishedo basement # Other Fee B ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps Aqpyo 700 _ Amps SigOS inspecmr's Use Only: ? TOTAL Irrigationeooms Jo~ 30.50 Special Inspection Alarm/Communication THIS INSTAILATION MAY BE ORDER S9ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 N HS. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Finai been made. OiFICE USE ONLY This requesl voitl 18 monlhs Irom CITY OF EAGAN N! 10 3 2 6 ~ 3830 Pilat Kno6 Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:4548100 S~ - BUILDINCa PERMIT Receipt # , Te M mnd fw SF DWG/GAR Est. Val.e $57, 000 Dare JI1NE 4 , ~9 85 Site Addrem 3813 WESTBURY DR . Erect QC Occupancy R3 lot '4 61ock 1 Sec/Su6. WE$TBURY II Remodel ? Zoning R1 Repair ? Type of Conrt. p Parcel No. Add{tion ? No. Stories a Nerime JOE MILLER CONST Move ? Length 4 1 ~ 18133 CEDAR AVE Demolish ? Depth 48 Address Intlmpr. ? Sq.Ft. City FARMINGTONphone 431-2001 Install O $AME Apprerab feas O Name S~ Addreas Asseumenr Permit $ 304, 00 ~ City Phone Worer 3 Sew. Surcnerge 2$- 5 0 Police PlanReview 152-n0 tW Name Firo gqC 525.00 i~ Address Erq. WaterConn. 500.00 ~W City Phone Planner WaterMeter 63.00 Councfl Road Unit 280. ~ 0 1 hereby acknowledge thot I haw read thiz opDlicotion ond stote ihaf BIdg.Off. 5/28(8 5 Tr. PI. 132. 00 tha inlormation is correcf and a9ree to comply with all aPPliccbl APC Parka Stote of Minnetoro Stotutes qnd Ciryof Eagun OrdinoMes ~ ~ Var. Date Gopies SIQnMUrc of Pem+ittea • . l Total rr. 0 A Building Permit is issued M: JOE MIL ER CONST m the expron cpditlpti that dl work shall ba dona in xcordance wie II a liw a Sf ro of Minnewta Srotutea ond Ciry o5 Eoqan Ordinances. BuilNrp Official - 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements RemodellReoair Reauiremenls Office Use OnN 3 registered site surveys shawinq sq. ft. of lot, sq. fl. of house; and a0 roofed areas 2 copies of pHn showing footlngs, beams, joists Cert WSurvey Recd _ Y_ N (20%mazimumlotcoverapeallowed) isetofEnergyCalculaUOnsforheateGaddifions 7reePresPlanRecd _Y _N, 2 copies Mplan shuwing beam & vnndow sizes; poured found design, e[c. 1 site survey (oratltlitlons & decks Trce Pres.Required - - Y_ _N 15etofEnergyCalculaUons Addifion - indcafeiion-sitesepticsystem On-siteSep6cSyslem Y _N 3 copies d Tree Preservation Plan i( lot platted after 711193 RimJOislDetailOptionsselectionsheet (buildingsvnih3orlessunits) Minnegasco mechanica: vcntilation form Date _4_113 /2nni Construction Cost Site Address 3813 ,Ai, ry bc Unit/Ste # Description of Wur:. JAw,. Multi-Ramily Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ~11~K J- Cr.MCti+ Telephone#(fo5) ) 681-8yV~ Contractor Address City State Zip Telephone # ( ) COMI?LETE 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 Worksheet (dsubmissiontype) Submitted Submilled . Energy Envelope Calculations Submitted In The last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( J I hereby apply tor 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. /'lkK _T Applicant's Prir.ted Name Ap ant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvnes ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ezt. Alt - Mulli ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Oemolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacemen; •Demolilion (Entire Bldg) - Give PCA handout to appllcant D@SCrID110I1: Watar Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code _ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs _ Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Foo[ings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Fina( _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Re[aining Wall Approved By: Building Inspedor - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total T300~`\ 2006 RESIDENTIAL MECHANICAL rERMIT arrLicnTiox City Of Eagan 3830 Pilot Kno6 Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date 1,5 / D (o Site Aadress /'y 8 z g (AJe /s'l o"1 Unit H f~ i / ?I Proper[y Owner Telephone q( 6 S/ ) y23 - 9 ~'f3 ~ I Coe.rac.cr ~o ~1"4 a,w ?2 f 4 7 c' Street Address 1'7 69 e~o 6r ee( r./ V . City \ 1- /~i ~l cJ ~ State ?V I w Zip .5'6 67 Telephone # ( 6 5 ! ) Y,39 - ,S- r7 )70 Bond Expires: V Contractor _ O[her The Applicant is _ Owner 7~ Add-0n or al[erafion to existing dwelling unit $ 30.00 _ fumace _Add'Rional ~Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge $ •Sa Total $ 30, Sa ~ I hereby apply for a Residential Mechanical Permitand-acknowledge that the infoanation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to star[ wi[hout a perm ; that the work will be i acc rdance with the approved plan in the case of work which requires a review and approval of plans. - (J 0. r?c ~ H-a, / v~ rs a~ v ~ ~ Applicant's Pri ted Name ApplicanYs Si atu 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS lNST BE LICENSED KI?H THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 5~ oc~v. m To Be Used For: zze-J Valuation: ~ Date: Site Address: --7--9FFICE OSE ONLY Lot: ~ Block ~ Sect/Sub ---~~~",rect ~ Occupancy ~-3 Remodel _ Zoning ~-I Parcel 11 Repair _ Type of Const -,T_ Enlarge Il of Stories Owner Move _ Length 41 Demolish Depth 46 Address Grade Sq Ft City/Zip Code Phone APPROYALS Contractor ~ Assessments Permit Water/Sewer Surcharge ZS-~ Address Police Plan Review Fire SAC SZS•= City/Zip Cod ~ ,.~SOZ~Engr Water Conn 500•= Planner Water Meter Phone ~~/-o2QQ/ Council Road Unit Bldg Offf Parks Arch./Engr. APC Treatment Pl Variance q G(~ c Address TOTAL ~l / e 7- J Q City/Zip Code Phone II _ _ _ ' /C,ertificate for: . , Joe Miller Conetruction ' Bkr 86/59 , Ellington II P1an 83-106 Plan is flipyed DELMAR H. SCHWANZ ///JJJ LANDiURVEYOIIG INC ~JO~~ I~~ ~ AsaPrrE un0~r Law! OI iM $Itle M Mmryple ~ ~ 14750 SOUTN ROBERT TRAIL ROSEMOUNT. MINMESOTA 5506! MIONE ilt 423-1769 ~ ' 1Q /6ps38 ~C~Y SURVEYOR'S CERTIi1CATE ~ ,hJ al _ Be4l.• 2 /1'll°I!7Z ~ \ . , ,;;p- Vs~Pe l n,~ g'D~ p C0 / ~ y 5 Br° ~~~°`g o v j5',- '011 8 c ' • Elevations ehown are T~-IZS- 3 ~ ~Ly h L,a s @X18tltig Propoee ra e floor elev. `090'` ~ J v~ q I hereby certify that this is a true and correct representation of Lot 4, Block 1, •r. ro~ -~a6 WFSTBURY SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minneeota.'a~ ,as~ Also showing the location of a proposed houae as staked thereon. ~ . Dated: May 16, 1985 ~ MINNESOiA RE6ISTRATION NO. 8825 X CITY OF EAGAN PERMIT C°"` 07 78 3830 Pilot Knob Road PERMITTYPE: BUILDING Permit Number: 0 Eagan, Minnesota 55123 010@4 Date Issued: 07/09 j92 (612) 681-4675 SITE ADDRESS: 3813 WESTBURY DR LOT: 4. BLOCK: 1 WE5TBURY 2PiD DESCRIPTION: '6uiltl''i,ng Permit Type OECK jBuilding,,,Work Type NEW UBG O:cc.up2hcy R-3 Building lengxh 20 Building WidthL_, 12 r ~ ` . 'J1, L i ~.i REMARKS: ~ ~ (9gla FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee ;25.50 CONTRACTOR: OWNER: - ApPlicant - MATTHEWS JIM 3813 WE3TBURY OR EAQAN MN 55123 (612)454-6908 I hereby acknowledge that I have read this applieatian and etate that the informattnn is carrect and agree to compl.y with all applicable State of Mn. Stattites and City of Eagan Qrdinartces. ~ - APPLICANT/PERMITEESIGNATURE ISSUED .SIGNATURE PERMi7 N CITY OF EAGAN $~'J ~ REACT.IVATE'_ f~0 1992 BUILDING PERMIT APPLICATION,~U 681-4675 N 0 5~ SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of speciftcations, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in ?vhich re uest is made or lot chan e is re uested once ermit is issued. Date JZA uf- / S / /S~7a Valuation of work C~1OUO Site Address: 3S13 LcJESr/34.2~ 02. STREET SUITE M Tenant Name: (commercial only) IAT BLOCR SUBD. P.I.D. IF Descri tion of work: NE„o QECK The applicant is Owner ? Contractor Name ~ rHfs Tr~ Phone 508 Property LAST F,RST ~ Owner Address 38 ~3 C~;ES r Ru y~2%r~ STREET STE 0 SS/~3 City F_66on) State MAJ Z i p Company SAmc- Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engfneer Name Registration # Address City State Zip Sewer 5 water licensed plumber . Processing time for sewer 8 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 wit all applicable State of Minnesota Statutes and City of Eagan Ordinances. pw N tm yM 6L4 R„Ti Z) Er--K pt-~7e p/,wiuG 1:fONW, 5ignature of Applicant: w'r)'I J`n' ft7yELs -sDNI. OFFICE USE ONLY BUILDING PERMIT TYPE ' ~ 01 Foundation O 06 Duplex 0 11 Apt./Lodging O 16 Basement Finish ? 02 SF Dwg. O 07 4-Plex 0 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 ? 19 Comm./Ind. Misc. El 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE lp 31 New ? 33 Alteratians ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump ~k of Stories Footprint Sq. ft. Fire Sprinkler Length oOn-site well Census Code Y3 Depth IOn-site sewage SAC Code APPROVALS ' Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS. O Site ~ Footing O Framing ? Insulation ? Nallboard ~ Final ? Dr.aintile ? Fireplace Permit Fee pp „ei„nt;a,; g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter , Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units, . lCsrti,ficate Por: • , - . Joe Mi-ller Construction • • INC = 86/59 , - ~ , . . . . / 8111zfgton .II Pian 83 ~,06 d . f~YESCO ~-T DELMAR H. 8CHWANZ Plan ie Yli ' tu+o swvtroFW INc pwflwp ynew lM MTM 91M, p Min~ 14750 SOUTH ROBERT TRAIL ROt[YWMT. MNNNUpTA MU MIOM( 91=4mflN SuRVErop's cieTNICATt ~ ti ~ p ~ N c~ ~ `t~ ~x• - N ~ y .4 *z °ft ' s Elevations ahown are exlsting +„~3~ ~~i ~ V~ • b ~ ~y'Y Proposed garaRe floor t` ~ elev. .0 PROPoSED nEcK ~9pG ND'TE', •W tl~l ql'r~S ~ I PE 1. I I.~E ~i ~ EASEMEM'f PERMIT OF 6-29-9Z ~ ALLGUS A MAxiMVM 2 FUt3T ENGlZOAGHMQNT I hereby certify that this ie a true and correct repreeentation of Lot 4, Bloak l, ° wESTBURY 3DCOND ADDITION, according to the recorded plat thereoP, Dakota County, Mitvfesota. `-b.~ Also ehowing the location of a proposed house ~ as staked thereon. - Dated: May 16, 1985 - MINNE80fA RE018TRA ION NO. la25 - SHORTVFARM ENCROACHMENT PERMIT W/LL/AMSP/PEL/NECOMPaNY„~~ , - ' ~ ; '.yt^;, i ~OF7HEW/LLGMSGOMMAVk$/NG. ~ / : FORMM LEG•7023 12B8 , PERMITTEE.: , DATE: ~s Name ~ "7;..i iY~./ ~~i s Address: ~,~~.3 C.?f~ S-f ,r~~ r~- ' ~Phone 64J, ';::.??S~.~ .G74 ;.(a~CoDQ , i ; , . . LOCATION Saction:. . Township: Ran9e: Counry: Stete: ~ 7-.2 % 1`'23~ i ~~•f.~ ' . LinaSectlon:;:j ;,t . AlignmentSheetNO. MilaPost: Eng.StationSNO. TractNumber: ROWWidth: 1/3:., ~D1W.4= °43?/G 7-32, /z~ag t 5'7Z.- 3 z~ i ~ S r DESCRIPTION OF PERMITTED FACILITY ~ ' What t'' `ra 41`1';'"1 er .~i~ vc le , . . . . . , . . W6ere: . . . 38~ ,t?,.y~~ U r 9~.i.~ ry7iL1 . . . ~ja9ram• ~~rs~ ~ ~ i . ~/f, fnp,+es,?uiNe? S . r I E,lor}G; .1 n aJn I ~q~.,~, . 13 I . . , . . . ~ ' ~ ~ I ,..,This;'permit~ is granted subject to the terms and Special Provisions shown below and ;,;,strictly;in,accordance with.the specifications shown on the reverse side hereof. ' •.i : . . . , ' . . _ , , CONDITIONS 1. The Permit herein granted is subject to the existing easement 7. You agree that WPL may remove, at your_expense, any rights oi WPL.. encroachment or portion thereof, if in WPL's judgement it is reasonably 2.: Permittee will construct, maintain, relocate and remove the necessary to do so in order to construct, alter, . - encroachmentatnoexpensetoWPL. maintain, repair or replace its facilities located:wiihin the easement, or in order to construct or install new tacili4ies. j3 Permittee~must notdy WPL at least 48 hours before work Should WPL remove any such encroachments, or portions , cortiinences,on od,near-WPL right-of-way. No work shall take thereof, WPL will not be liable to you or your successors or ; place;without WP,L' staff being'given the opportunity to be assigns for any damages resulting by reason of such removal. presentatthesite:'`' g. WpL reserves the right to alter the specifications of this per- - 4. You shall supply such plans, surveys and drawings as WPL mit at any time, provided that you will be given a reasonable :.s-;;deems necessary•, r.:. , 'time to compty, at;your expense, with any new'requirements 15'This permit stiall be revoceble 6y WPL in the event of your imposedaftertheconsVUCtionotthefacility. : nonc'omplianoe'with any requirements, conditions, or speciti- 9. All permitted facilities shall be constructed and maintained cations of this.permit, upon notice given ro you and/or the to comply with ali lawsand industry standards. ownerofrecord. 10. The permission herein granted ty,Williams Pipe Line .6., You,agree to indemnify,,saye and hoid harmless W PL, its Company is limited to its interest and authoriry in the subject '•;``,shargtroldersl and•their,directois`and employees, and WPL's land and Permittee acknowledges the possi6le obligation to subcontiactors ag'airist any and'all claims for damages, injury o6tain the required permission from othei parties of interest : or death arising by"reason of your placement and maintenance or the Govemment. W PL permits this facility only to the of said permitted,facilities.,.;., extent it may do so by law. Special'Provisions ',r~.aY+ e ic:: , , . . . . . ~ . . YourlocalW.fLcontactis; Name: (y( 4), Address Pfione.',~(.,~i:%Z:~(0~3_',C/.~;~-~v~ i IAFFACODf) InEventofanEmergency:" 1=800-331-4020 or 7-918-I588-3200 WILLIAMS PIPE LINE COMPANY I acknowledge that I have reviewed, with a Williams Pipe Line representative, the requirements, conditions and specifications of this permit and agree to the provisions thereof. SUBMITTED BY ~?t~'~'^~='~-`'` i i .r APPROVED BY, i - ' DISTRICT MANAGER PERMITfEE . DISTRIBUTION: WHI7E - Land, Recortls 8 Claims (Tulsa); CANARY • Division Ollice; PINK • Permittee. - RETEN710N: Permanent . PERMIT ' Controi No. 0613 ~ CiTY OF EAGAN s 3830 Pilot Knob Road PERMIT TYPE: auzLoiNs Eagan, Minnesota 55123 Permit Number: 0 0 0 7 7 2 (612) 681-4675 Date Issued: 0 6/ 11 / 9 2 SITE ADDRESS: 3813 WE3TBURY OR . ..LOT:.4 BLOCK: 1 WES7BURY 2N0 DESCRIPTION: 8uildYng Permit Type BASEMENT FINISH - .Builrling'Work 7ype ALTERATION f' , 1 r' . i v . . REMARKS: RECEIpT NftjqJ~3 SEPARATE PERNITS REpUIRED.POR EIEC & PL86 FEE SUMMARY: 8ase Fee ;35.00 Surcharge $•6@ Lic. Search Fee $5.00 Total Fes . $40.50 CONTRACTOR: - nppliaant - ST. Lt OWNER: NEW SPACE5 HOME CRAFTSI4AN 14363478 000158 MATNEWS JIPI 15025 3TEVENS AVE 3 3613 WESTBURY DR BURNSVILLE MN 55337 EAGRN MN (612) 435-3478 (612)454-6908 Z hereby aeknowiHdge that F have read this applicatfon and state that the information is correct and agree to camply with all applfcabAe 5tate af Mn. statutes and City nf Eagan Ordinarrces. ~ - a. '64 , APPLICANT/PERMITEE SIG Ufi ~IS D6 : GNA7URE PERMIT CITY OF EAGAN ~ ~Q • S 0 REAC7IVnrE _ 1992 BUILDING PERMIT APPLICATION 681-4675 roJUN'0 5 pEr,o SINGLE & 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 when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ~U-Ne- / S /_1-19a Valuation of work * 9.06a Site Address: 3913 FSrsu2v QR. STREET ~ SUITE / Tenant Name: (commercial only) LOT /L SLOCK ~ SUBDC~~ Z~ P.I.D. 0 ~ Descri tion of work: 819scMC,u; Fiuis The applicant is: ? Owner Contractor ? Other (Describe) Name M~9THEuus TH ~ L4 ,uA1 Phone `f6y-06 8 Property LAST FIRST Owner nddress _ 38/3 (_.~esreU2y Dfl. STREET STE N City EAGaj State /,Y/j Zip 55/~3 Company /UEw LPnces r,e- 2fiF)FrSh/n4l Phone (6id) `F35- 3V7J' Contractor Address /Soa 5STEVf-A-~s A0E. S. License # 586 01< Exp. ~95~3 City /c~Q2NSVlLcE- State. &111 Zip SS337 Company Phone ArchitecU Engineer Name Registratian # Address City State Zip Sewer 8 water licensed plumber Pracessing time for sewer 5 water permits is two days once area as been approved. 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. Signature of Applicant: i OFFICE USE ONLY ~ - BUILDING PERMIT TYPE 11 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging EF16 Basement Finish ? 02 SF Dwg. ? 011g4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish 32 Additian ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft: MWCC 5ystem (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length . On-site well Census Code Depth On-site sewage 5AC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site p Footing 12 Framing 4'T Insulation ? Wallboard 13 Final ? Draintile, ? Fireplace Fermit Fee vei,mcip,: g Surcharge Plan Review 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. M ies er Total: SAC 76 SAC Units [ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ IUZJ~ CITYOFEAGAN ~ IIZ•15 3830 PILOT KNOB RD - 55722 651•681-4675 Mew CauhucMon ReaWremenh RemodeVReoair Reauiremsnts D 3 replsferetl fife wrveys tlwwinp tq. R ol bf, q. R. W house 2 coWes d plan and girooleC areas (Mmmtlmum bt:covamae dbwed) 1 aeT of energy cdadaHOns for haated addtlons ? 2 copiet of plans (shOw b60m & vAncbw slzes: pouretl hd d941yn; etC.) 1 site aurvey lor exledor adcBHOru 3 d6cb D i Nt of aneryy CmCUlatlonE > 3 coples of hee preservation plpn N lot plaAtad aRer 7!1/99 6z7 DATE: ~ d$~dv CONSTRUCTION COSf: l DESCRIPTION OF WORK: Z-&v F srnEET nflnREss: 3 s31 ~z s~- ~LOL• ~ BLOCK: ~ SUBD./P.I.D. ri: ~NeS'H9T IcS~ Nome: ~DD i 14 Phone o: ~f S( y PROPERTY toar iira OWNER Sheet Address: G-K 5 F ciri sta?e: np: ss r ad ~ . Company. /'70-Lri. 441t-s (3~54 Phone A: ~1-2 8 Ff~l - lioSzo (area code) COMRACTOR EXP,~ 401 Sheet Address: v, c/4 lleense #C?L--, S-)911- Cify State: ZIP: S~Zfd e ARCHITECT/ ENGINEER Company: Name: Telephone M: ( ) Sheet Hddress: RegisfraNOn ~i: - CNy StaFe: Lp: Sewer/water licensed plumber fif installina sewer/waterl: Phone I hewbY acknowledpe lhat I have read lhis applicaBon, ataFe lhaf the Inlortrwibn is cortect, and agrea b canPly wHh atl app8cable Stade o} Minnesota Stalutes and CNy ot Eapan Ordinances. . Sipnalure of Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ee Preservation Plan Received Yes No Not Required R 0 4 2000 ~ Tr . 7BY: I OFFICE USE ONLY BUILDING PERMtT 3UBTYPES ? 01 Foundation O 07 05-plex ? 13 16plex O 21 Poreh (3-sea.) ? 31 Ext Att - MuIB ? 02 SF Dwelling O 08 06-plex ? 17 Garage O 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 Ot of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki O 04 02-piex O 10 OB-plex O 19 Lower Level ? 24 Stortn Damage ? 05 03-piex ? 11 10-piex Pibg _Y or_ N O 25 Miscellaneous O 06 04-piex ? 12 12-plex 0 20 Pool O 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Faundation) ? 46 Windows/Doors * Give PCA handout to appllcant for demolition permit' i3eNERAL iiiFC'r3MAT11Old SAC Code # of Stories sq. ft. No. of Units Length Sq. ft. No. af Buildings Width Footprint 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 ? Stucca/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ' Treatmeni PI. ' Park Ded. , Trails Ded., Other Copies Total: - SAC Units % SAC CITY OF EAGAN FOR CITY USE ONLY " 3830 PIIAT RNOB ROAD EAGAN, MN 55122 (f~ PERMZT * PHONE (612) -OP"0dE' a~ RECEIPT # DA7'E: -77-119 C~S~pENTIAT.i:~ YLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & „ TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. ' WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _ ADD-ON MINIMUM 15.00 15:00 ADD ON x finished bsmt. _ SHOWER 3.00 REPAIR WATER CiASET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: Jim Mathews 1V S~ _ KITCHEN SINIt 3.00 _ IAUNDRY TRAY 3.00 SITE ADDRESS:4R1 I GlaqrhnrW Dr HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT:~ BLOCK L SUBD. FIAOR DRAIN 3.60 GAS PIPING OUT.. . INSTALLER: Burnsville Electrical/Mechanical (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: 117 Belmont Rd/ _ OTHER WATER SOFfENER 5.00 CITY: Apple Valley Zip: 55124 _ pRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ' PHONE ^ 688-6002 - i SUBTOTAL $ 15.00 I ST. SURCHARGE .50 ~ --~SIGNA E OF PERMITTEE ; TOTAL: g 15.50 ~,OMMERCiAL/T~IDIISTRTA7,:; PLBASE COMPLETE THIS PORTION FOR ALL COHI4ERCIAL/INDUSTRIAL BUILDINGS AND . ' MULTI-FAMILY BUILDINGS VHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. ' STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. IAT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ` ADDRESS: STATE SITRCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) f'UR : CITY DF EAGAN ~ 2/84 CITY Or EAGAN 11~i1 APPLZC:ITI^vN FOR PERtilIT SE:•7ER AND/OR WATER CONNECTZON (PLEASE PRIHi) i) ProeERTY ar:)Rzss_ 3/3 1,1 esiL r.rraL cE..~sbrTcs: (LOt/Slocx/Sutcivislcn or Ta:c ?arcei .D. MG:,z2r) I'i' -~iI S?^,-UC^*.'ti.. DAi=. 0_° Ci2TGI!Ai. uiZi :^:G T_SSZ:r=: porcL': ..^.:T::~'?ROFCS~ L' ? R-1 Si:C~'L.-~. .:.ffry . ? R-z -:1. 7. (T•a Ur~I_Ts) ? R-3 :C;,i.'.--r.,~5E (m::~c, - L^- =:S) Q ~-4 e=?:s;:?"c'`:?'iC':.i,i,:.ir~~•-;^,S ( L~'iii_Si 0 `^7.1~1F - Q Z) A??T_Si:=-T (fLEf.Sc Pftllii) ~ ~ c /?~a~/eh ADD?2ESS: __(Pt3~t C°etDrtr- l4uL , CT'_"_'. ST7.7:., ZIP: ~Nrt;rc ~in+~ H'rv 6-5-01`( ' PfiONE: 3) Fu.ieE? /J lPLE~Sc 'i7ltii) FOR CIiY LSE 04LY NP.ti1E: NLOLI.TN F~ ~~r yr?c PlUMBERS C:tiSE: ADD=ESS: /y 2-z$ 4r.,c-. A/ ActiCITI, .STAi'E, 2IP: P(q rnou~ '~5 YY/ N4Z d PHOVE: S'S'(-~Cv7J PLUflBEA LICEYSE A~6j Jq,3 4) CX:CUPAS]T/C!:TI'~'2 NA (PLEASE PR1dT) i~: ADDRESS: SG~xc t2-~ C CITY, STA'I'E, ZIP: - PfiO`IE: 5) ZNpIG.TE ;q1-IICH PER•lIT IS SEIi:C; RECLTES'PM-: CC:.;~ECTION 'lU CITY SEYIER (K-COi]'VE.Y.`TZCY 'IO CITY S•IATE.'2 ? crrL'-`-R IPI.rn-sE D°.~C'.2IBE) 6) M'DiCA.:: C..:: • . ~ PI.°'SE 1?OLD tlPPRGV~ PER}~ST FOR PIC:~-L2 BY C:+E OF ADME , . ~ ?°T-= "Sc :•r1IL APP?)= PE'.:.LTT TJ 1, 2. 3, 4 AEav'E (Ci:c1e one) 7) SIC-:,,'ILc'2.-^,: ~jp_~ /b9dyQ,, DATE: &et 0 6 ~F qalyfY~O i~ ll~ ti l~~~ ~ t/R Oa-~~ i~ sissi:a a~ 1R Y!l~y1Hl~ f~l S y~! S~~~ F O R C I T Y U S E O N L Y P^aMim u TSSUED $ A ^o nr.a• M. S Q S.'~..:.... .,_17T ~I~1~_T..:i:.',. S ~o ~ v WATr? p°R"t2T (Ii:CL'vDE SuRC.°.A2Gni $ WATER METER/COPPERHORN/OUTSZ'JE REnuE:2 $ WATER TAP (INCLUD£ CORPCRATZON STOP) $ 5::•;c.'' ;AP $ _/S~•'-U AC.^_OUNT DEPOSIT - WATER $ .SbU- c^r_7 S4nC - $ S eL S c"~ $AC $ TRG:•IK WATER ASSESS::E:;T $ TRGi:K SE:dER ASSESS::°ciT $ LnTE3:-iL Br.:vtFIT/T3U:dK SE:•i== $ LATER•1L Sr,NEFI'i'/TP,U:1K WATER $ WATER TREAT*fENT PLANT SURCHARGE $ C, OTHER: $ TOTAL $ JlG_p,MOII`:T PAIDjREC~T.^T R' 3d7-1-7 . DOES UTILZTY C0.]:IECTION REQUIP,E EXC ;VATION IN PU&LIC RIGHT OF WAY? L, YES ZF YES, THE.] ee "PE3;IIT FOR 'r70Rii WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE L~ O-----ENGINEERIrIG DIVISION. LIST AS A COIVDI- TION. SU2SEC: TO THE FOLLOWING CONDITIONS: • APPPOVED BY; TI:LE: • DAT° c - 41 W-mMNWM wWw f-M wrG w.a w:WIw=-jft sM V&-+ wE Wse Wj"@ wW pcWwwm wm 2000 BUILDING PERMIT APPLICATION (RESIDENTIALI ' CITY OF EAGAN 40 ~~~'J 33830 PILOT NNOB RD - 55122 I 851-681-4875 ` New ConihucMon ReaulremeMS Remodel/Reoalr Reaulremenh s-aa-ao > 3 reylstered flte wneys stwwlnp aq.11. W bt, sq. R. ol lwuse 2 copies of plan and ga roofed areas (20'16 rcwxlmum lot coveraae albwed) 1 se10l energy calculaHOns for heated adtll8ons D 2 coples of plana (ahow beam & wintlow aixes; poured fnd. dealgn; efe.) 1 sife wrveY ror axteAOr addHtona 3 dec W > t set ot energy cdculatlons > 3 eoplea o/ hee preaervaHon plan If lot plaHed aHer 7/1/93 DATE: S- /g-DU CONSTRUCTION COST: S ODQ, ~ DESCRIP?ION Of WORK: R09f D r STREET ADDRESS: 3913 4tJ4~246'eS~ d0vtg/ z5c9a4, m"O'r- LOT: 4- BLOCK: ~ SUBD./P.I.D.9: Y~_~I9UPT~fId Name: 4*t9G& K~rK PhoneY: IvSI~d 87'~~/S~6 PROPERiY last Flrat OWNER Sheet Address: Y CHY Stafe: Lp; . Company:fl/Wi'`(,a y Phone (area code) CONTRACTOR Sheet Address:lo~-y7 N! LB/~et ~Uc s License 0~/ 60X~?Exp. Sz.cbi -7 a+r BvA.vsl/"IIc srate: /rlrt- Z1p: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration N: CNy State: LP: Sewer/water licensed plumber (if instalflrw sewerlwaterl: Phone ( I hereby acknowledge that I have read fhis applkatbn, slate lhai 1he InfannaNon is corteM, °^d °9ree t° comply wNh all applicable SfatE of Minnesota Statutes and City o( Eagan Ordinances. Signalure of Applicant OFFICE USE ONLY l•~'„ ~ Certificates of Survey Received _ Yes _ No ^ r Tree Preservatlan Plan Received _ Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 EM. Att - Muiti ? 02 SF Dwelling ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 07 of _ plex ? 09 07-piex O 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration O 38 Demolish (Inte(or) ? 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. No. of Buiidings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MClES 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 • I , . - , - - :°-'''''',';',' • - , ,-',---,, .,,,,,,.'*-.14',,'"' . '''' '..:-r r.zt:' , f 1. ' ' '-';:,11:. ,;,t.,s,,' %- — , ':•:- .-L. , ::,:: „ . 2 :; ,, ''' '' -.-„-- .. , , 1 ,,, 47., 0* , --":::4*'"' , ,,i, '''Igr'''''-'!:, ' „,,, , i. ; , .,..,,,,, ''' iqj ,, -\-. .,:,-,,,c- * 0 I ' , - 01 solid, ... - ''.:f of '''-'. tpitt; + ,Y t 7 c : -' l ' .� °.. i :? v51 t a�^'� '_ ^" i' , "'# . P :. 1 For Office Use 1, 4 1q( -7' -- e 4 $� 0 # :::: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(c�citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '3 / 3 1")E57.73viztr '641 r/ £— Unit#: 0 Name: k Phone:6_5') 3 36, Li tc ,,:,fiesidentt 5'SI23 x when Address/City/Zip: 3E/3 /,tJcs 62,v I f.,4G,4-ice -✓ Applicant is: Owner Contractor ��y fe p�e��f Work Description of work: e L D/'C Construction Cost: '5 Multi-Family Building:(Yes /No ) Company: bA 1/1.11 CA Js'r- LL.C— Contact: bAv s= C2.4 H/I Contractor Address: g 79 Gt)L5;-sii.ez y -J V£ City: G-/4-/✓ .ME StateA l47 Zip: -.S i L3 Phone: S i 208 p252 Email:oL vvq,re,4 ( :ter ... ' License#: L 6 '9 S 8 3 Lead Certificate#: If the project is exempt from lead certification, please explain why: c2v-v r- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting;documents thatyou salmi �` nsidered to be public information. Portions =r Rion may be classified as non-public if you provide specific real ; � ltd.permit the City to concluder aro* You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 orf p ,) 1.6 444 AI Applicant's Printed Name Applicant's Signature For Office Use q,/ %:‘ ; i,' E AG N Permit#: gei Permit Fee: CQ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECE'VE Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56FSB 0 6 2019 L Staff: --PC7/ (a. buildinginsoectionscityofeagan.com 2019 RESIDENTIAL BUIEDINGRERFAIT APPLICATION Date: Site Address: Unit#: Name: Kirk .rh•cyt En,to Phone: lc 5 -2GD8395' Resident/ Owner Address/City/Zip: 3 513 Westbury bphie� r�,t N / pni• S3723 Applicant is: Owner X Contractor d /24-dc Type of Work Description of work: �,cwlr I. vet,e E le eft QS( Construction Cost 2 v 000. OD Multi-Family Building:(Yes /No X ) Company: /Inwkeye Cons+rohf%ot 4.gewto.Q. Contact <A.tsr NOva esa(C„SOII Contractor Address: /$90 ,Err,bry Ave City: '7�wu.'•�+� t State: Mn. Zip: X5'02 if Phone: 6/.2-590-3A/1/Email: /%rco Jfe e- rue"'t a!Gir`f' vi.ete- License#: BC 69.5-7 9 Lead Certificate#: If the project is exempt from lead certification, please explain why: /30/1T i� S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x CA41 ffertriUKSdn x G04484,i Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE : (gi e.4Y 041 (/ fj _ ' /SC J C-( SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex = Lower Level Pool _ Accessory Building WORK TYPES New — Interior Improvement Siding _ Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior i Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation g40 Occupancy l Re - / MCES System — Plan Review / Code Edition ;t0/,`" SAC Units — (25%_100% tom) Zoning P.0 City Water Census Code kt 3 4 Stories — Booster Pump _ #of Units i Square Feet PRV — #of Buildings i Length Fire Suppression Required Type of Construction 57 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) jce Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final )4- Framing ✓30 Minutes 1 Hour Drain Tile _f Fireplace: Rough In ,)jt Air Test je Final Siding: _Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES '3 N4 6* op A0tyr 70Q0 �' Base Fee /“ a Surcharge Plan Review /6 0J N� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ' r For Office UseE 4,•;,,, N AG l Permit#: -� CC Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections ancitvofeaoan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3-5'01-o f 0 Site Address: S / 3 t Ai ts.-/-1304 y ,Or Tenant: Suite#: Resident/OwnerName: PPhone: „.;w Address/City/Zip: Name: 3 1,1-L 0l 4ek kA4 License#: • � a Address: 3395 6e}i l )wCX `f r City: /Q i1.1 C� State: J4' Zip:5- 3 7 dZ Phone: 6 12 - -5Y95 5 Contact: gMA- Email: 5°V `–e--"� )Y ( 1614 /.ce l Type of Work New _Replacement —Repair _Rebuild .,Modify Space _Work in R.O.W. Description of work: L 6(JD& /6-6/61 Water Heater Lawn Irrigation(__RPZ/ PVB) Water Softener Add Plumbing Fixtures L—Main/—Lower Level) DoscripOonSeptic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ 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.gopherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 w is n to art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of la x lA-crA,[lAk x /I Applicant's Printed Name Aicant s Signature Page 1 of 2 FOR OFFICE USE a A4. '':',;'-',4.-;,4:,',,,-,--4,4!;','.:,,c,,, R } 4 / 5'a'.CSS h #Y`� p ,, r a � ra ^„ znry�•'"nrr s �' ' -;:t;)Kr 04�'^t �` ''' �, , 4'x+•[ 3� P � Ftequ'i'fie! � e x iA$e ..7s �..�a x '''' !Meter Relate d keis� rSS z f , � r ,,,� f 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinainsr ectionsCa�citvofeagan.com Page 2 of 2