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3818 Westbury Dr
. . . _ • : PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: Q PHONE: 454-8100 Site Address BLDG. TYY, WORK DESCRIPTION Lot Biock __?S Sec Sub Res New .J v Name Mult Add-on ~ ~ Address Comm. Repair c City Phone _ Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ~ i . ADDITIONAL 50 M BTU - 6.00 3 ~ (RES. HVAC INCLUDES A/G ON NEW p City Phone GONSTRUCTION) GAS OtJTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Q TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiier M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M 8TU REMODELS - 12.00 Air Cond. ~gT~ $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PEF} PERMIT - .50 (ADD $.50 S/C IF PERMIIf PRICE GOES Gas Piping Outlets # ~ BEYOND , Other ~ ` FEE: , S/C: ° SIGN F I E 'G TOTAL: , ~ Joq, FOR: CITY OF EAGAN ! CITY OF EAGAN 9 844 3830 Pilot Knob Road, P.O. Box 21•199, Esgan, MN 55121 PHONE: 4548100 dUILDING PERMIT RKeipr # T. re w.e fo. Slr DNG/GAR en. vai-e #81000 Date eRCRxw~ ~d 119-~"_ Site Address 3818 MSBTSVRY DR Erect ~ Octupancy ~ r Lot 2_ Block 3 SeclSub. NB$TSM Remodel ? Zoning 1 Parcel No. Repeir ? Type of Const. V Enlarge ? No. Stories JOSEPB NILLpR COl18T Move ? Utnycn 52 W Ne^1e Demalish ? Depth 48 ~ Addres *JMU ~ Grede ? Sq. Ft. City hone Install ? ~ App.ovol¦ Fses o Name Q u Assessment Permit ~ Addreu Woter b Sew. Surchorpe 40.50 ~ ~ City Phone 18a.0a ~ PoHce Plan Review. !~W Name Firt SAC 525.00 i~ Add?esa Enq. Woter Conn. 500, tW City Phone Planrer Woter Meter ~QD Cowxil---~-7~7~ Rood Unit 140 ~ 80 I hercby ocknowledge that I have reod this opplicotion ond state that gidg, pff, `!'I 5+ T•p• 132.00 the intormafion is correct and ogree to comply with all opplicobls A~ es Stuta of Minnesota Statutes and City of Eagan Ordinonces. Var. Date Tptil$Z*l0rj.s0 Sipnoture of Permiftee A Buildin9 Permit Is issued w: JOBEP$ MII.LER CONST on the oxpress condition thot pll wark shall be dons in ocoordance with aV upplioobla State of Minr?esota Statutes ond City of Eapwn Ordinorces. Buitdfnp Offldot i F . .Cma .,d J" u«w zt~ /Oll 1RUld f~ Ot/AH Iluld Oqid 1„+1:j uo1mmel I ~ vnH 45noa . . ~ _ 6.It:: baia Onoa • ~ euµood ) • . ~ - sulwu:j d d` d~ = r uollepunog +s~1100:1 •agul n.a -1p.ewl +w~Ws aI+~N3 L Z ~ ~•~r~~N _ S~-l~r~r ~ ~•,1,~ l~ 6~~ euWnld ale auoydol*l NtQ MPIoN MuLad 'oN MUU*d CITY OF EAGAN Remarks Addition WESTBURY FIRST ADDITION Lot 2 Rik 3 Parcel 10 83650 020 03 Owner Street 3$18 Westburv DrivP 5tate FSac'1I1, MAT 55123 Improvement r198~ Amount Annual Years <"Payment Receipt Date STREETSURF. Z$SO. STREET RESTOR. GRADING Water Area 3.79 8.92 15 SAN SEW TRUNK SEWERLATEFAL j ( 5068.73 Watermain 1986 65.29 4.35 15 WATERMAIN Q 68.71 59-55 WATER LATERAL 1986 WATER AREA ' Services 1986 STORM SEW TRK 1986 710.24, STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 280.00 4t48 84 1-14-85 CONN. 500.00 " " BUILDING PER. if 5AC 525.00 PARK INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: . ~ , . INSPECTION . F L ~ Pertnft No. Pertnk Nolder Date Tebphone # ELECTRIC PLUMBING HVAC Inspectlon DaU Insp. Comments FOOTINGS FOUND FRAMING 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 6SMT R.I. BSMT FINAL DECK FTG DECK FINAL `I . Receipt MECHANICAL PifiIMIT Permit No. CITY OF EAGAN Fee l Frll in numbered apaces S/C Typa or Prin[ legJb/y , Tot. 1. Date ~ ~ 2. Installation Cost 3. Job Address L'ot r~ Blk. ~i Tract 4. Owner Phone 5. Contractor+` ` i _ 6. Address 7. City State tip 8. BuildingType: Residential Commercial ? Institutional ? 9. Work Description: New Gl./ Add ? Alter O Repair ? 10. Descrihe Fuel Type 1' 1G u-- 11. No. EQuiument BTU - M. Ea. Plo. Equipment CFM ~ - Forced Air t \ JC Air Handling: Mfg. I ~6 G _ 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. 5igned : t c.^----i for Rough Final Inspectiqns: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt PLUMBING PERMIT Permit No. P CITY OF EAGAN F~ Fil1 in numbered s,paces S/C Type or Piini legib/y ToL ~ f 1. Date 2. Installation Cost 3. Job Address Lot ~ Blk. _ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter 0 Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidei Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby cenify 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 Rough Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454,6100 I CITY OF EAGAN N! 9 8 4 4 . 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55721 • PHOPIE: 454-8100 ~f~d y BUILDING PERMIT Re"ivt ~ Te M wmd Mr SF DWG/GAR ea. Vclue $81,000 pate D. .MB .R 1 4. 19--.&5 SiteAddreu 3818 WESTBURY DR Erect ~ Ocwpeney R3 Lot 2 Block 3 ca.,/Sub. WESTBURY 1ST Remodel ? 2oning Rl Repeir ? Type of Const. V Parcel Na. Enlarge ? No. Stwies JOSEPH MILLER CONST hiove ? Lengtn 52. W Name Oemolish ? Depth 4 8_ ~ Address CEDAR AVE SO Grade ? Sq. Ft. city FARMINGTO[$hone 431-2001 instell ? SAME Appovala Fam ~ Name 77M 0 ZG Addresa Assesvnent Permit s~ Ciri Phone Woter 6 Sew. Surchorpe 4 0- 50 Polica Plan Review 1 RR _ OQ ~W Name Firo SAC 525(10 W ._5.pD. 0 ~O x,-~~ nde~s F~q. Water Conn. . ~70 City Phone Plonner Worer Meter~.e~ ~Q Council Rood Unit2fig..~Q I hereby ackrowledge thof I have reod fhis opplicotion and stote that gidg. Off. 1/9 $ S T, p_ 1'49_ 0 0 ihe inlormation is correct and ogree to wmply with oll opplicoble Stote of Minmwta Stutut and City of E n Ordinan s. AP~ COj~iA~S ~ nn Var.Date Total$2~105.$0 9pnoturc of Per+niMee ~Q/Yl A Building Dermil Is issued to: TnSFPH MTT T F.R C`nNST on ths srprea cadillon Ilwl oll work sholl be done in cowrdance with al a plimbls St~.~ta Statutea and City of Eopan Ordirorres BWldinp OHicial s" This repuest wid 18 Y 1 g-wh~ V bV Fe DalPy fire No. Pough-in Insoection po- ed? ~Ready Now Mi~ Nutily, Insoec- Y~s ?NO or When qeaAy i nscd Elecvical ConVactor I hereby reauast insoection ot above O er electrical work insiallad at Si,ect Ad d,ess, B x Route Cit Q f~ ection o. Township Name or No. Nange fVO. ~ O u.nt (PRINT) ' Phone No. Po $upplier ` Add ess C Elecvical Contracror (Com N pa ame) onh ctors /~icen e No. kit) MaiYnB A pr'e7ss 1 ntracto r t Makina I~s tl ionl Authtllized Signatur Coatra lor Owner akin Installation Phbe= MINNESOTA STATE 60APU O LECTRICITY THIS IIYSPECTION REQUEST WILL NOT Griggs•Midwey Blde. - Aoom N-181 eE ACCEPTED BY THE STp7E BOARD UNLESS PROPEB INSPECTION FEE IS ' 1827 Universitv Ave.. St. Poul, MN 55104 Phene (812) 297 Z111 . ENCLOSED. RICAL INSPECTIOId ' Ea00001104 ae i~ ruciions for completing ihis fo{~4 It ( ack of yellow copV- l a~ I~ F '.7L+~ ~ 1~F)j 3 7;3 3 '"X" 8elow Wark Covered by Thrs Request ~ Ne4Addj Rep. TYae of Builtling Appliancaa Mired Equivmunt feired Home Range Temporary Service Duplex Wa[er Heater ghtiny Fixtures Apt. Building Dryer Electnc Heatin Cominercial Bldg. urnace Silo Unloader Industrial Bldg. Afr Conditioner Bulk Milk Tdnk Farm omP. aecTfv inef (spe.:iN) t r ueci y Offier Other 6mpute Inspection Fee Below # Fee $erviceEnbgnceSize k Fea Feeders/SUbfeeders b Fea Circufts ~Q 0 to 200 qm s0 to 30 qm s a to 30 Ani[Ls Above 200 qmps 31 to 100 Amps ~ 31 to 100 A Swinvning Pool A6ove 700-Amps Above 100-/>nqis Transformers Irtigation Boorr's c'$"U Partial'O r Fee Signs Speciallnspec?ion Rema.ks s(,~<`, 5~ TOT L FEE G r- ° qouep_in Da[e , ~he Ele Kcal I- ;34~sOeeta. ha.aby ifY t the abore Final !D irapection has b¢q. TMa pepuest voiA 1B monttre fro. 18imont~hs(rom.d~~/~~ • D - 96845,~; . jl Request Onv, Fir No. qouPh-in Insp_r, ion RequireA? qeatly Now E]Will No(ity Insper.- ?1'es o tor When Ready Li~ensed Elee[rical Contractor I hereby request inspaction oi above Owner elacirical work installed at: Street Address, Box or Raute No. ~ City ection . Tow, ship Name or No, Rang¢ No. Cow y Occapant(PRINT) Phone Nn. cu e ~ic, 6/5- ,7 - 0 3 1113 er Suuplier Atltlress eok/ Elecvica n`actor I ompany Namel Conhactor's License No. r ~ Maili g Addres IContraoor or v, er Mak g nstaila[ioN Au h iz d Sipnamre (C nVactor/ ner kine Insfallationl Phone Num er MINNESOTA STAT B qpD ELECTNICITY THI I PEC ON NEQUES WILL NOT Grie9s-Midwey Bld m N-197 BE ACGEPTED 9Y THE STATE BOAFD 1821 Universitv AA~St Paul. MN 55104 y a~7 ~ UNLE55 PHOPEH INSPECTION FEE IS Phone(6/21 - ~ 2 Z eFNCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi-os ~$ee instructiens for comolelimg this fwm on back of yellow wFV e7l D° 8 4 5 "X" Below Work Covered by This Request Add Neo. TVOe ot Builtling AoPliances WireE Equiumen, WireA Home Fianye Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heahn Commercial Bldy. Furnace Silo Unluader Industrial Bldg. Air Corxiitioner Bulk Milk Tenk Farm Ofhe, per., v (Itherl5ucr.~iv1 [ nr SueciMy iher 01her ompute lnspec[ian Fee Be/ow p Fee ServicaEntrenceSize M1 iee Feede,5/5ub(eaders # Fee Circuits U to 200 Am s 0 to 30 qm s 0 tn 30 An+. s Above 200 Am ps 31 to 100 Amps 31 to 100 Am s Swinvning Paol Above 100-Am s Above 100_Amps Transformers Irrigation Booms 57 Partial.'Other Fee $igns Special Inspection emsrks TO L EE .Q a ElecVic Roueh-in D11e I,ns[o raby I ~ cerlilV that the above Final i^sOection hea been g - moaa. . mie re0uest voitl 1B monib trom '7 ~ OFFlCE USE ONLY This requesl void 18 months 6om wlidoiion date printed in this 6oz. ~~~~~~~~~~~~~I~~,~~~~~ 69 9 400.-~- * 0 6 0 2 3 2* pLEASE PRINT OR TYPE Requexr Dore a~ ~ Rouqh+n inspeclion required2 ? Y. No Inspecnan qher ll~an P.ougMn: ? Ready Nmv Will Call I~ ~Ya must mll the inspecior wAen ready) Da,a Ready: I, licensed conhactor 0 owner hereby requesf inspecFon oF the a6ove electrical work at Job Addreu (Stevot, Bax or Roule Na.) City Zip Code Sechon No. iowns ip Name or No. Range Na Fire No. unry r~' PowerSoppliar Address Elechiml Conrcacbr (Compo„y Nome Convocror Licenu Na, Nwskr Lic. No. JPh~~ Elecf. Only) CI E leC~-. Cors~- Co ~ CA Matimg Address (Canrcanar or Ownrr Perbrmceg Instolbfio.) ~ M N 5510 ANMrized Si nowe (Conhacbr or Owner Par(ormiig Insbllorionj PMne No. 1 Z8 E er.is enne rnw _ evc iueTmirnnuc nu oeer ne vv~ ~ nw rnw REQUEST FOR ELECTRICAL INSPECTION ~ 4 0 6- 0 2 3M821 Univers ty Ave. r Rm. S-72r8, ISt. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other. New Addn Commercial Indushial Farm Remod Re air Air Cond. H~g. Equip. Wafer Hh. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Senice "X" obore the work covered 6y this requesf. Enler remaiks in fhis space and on the 6ack oF the whife copy only. vQ~~ Calculafe Inspeclion Fee - 7his lnspection Requesl will nof be accepted wifhout fhe rorred fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mo6ile Home Park Slall 0 ro 200 Am s 0 to 700 Amps Skeet ltg./Traffic Sig. Above 200-Amps Above 100_Amps Transfarmer/Genefator INSPECTOFS USE ONLY TOTAL Sign/Outline Ltg. Xfmr. Alorm/Remote Canhol Swimming Pool I hereb am 'har I m: e xnlwl mamlbnon descn6ed hareln w~ Me doren:rored Irrigafion Baom ko'iNn po~ Special Inspection > Final Dqe~ J Imesfiga~ive Fee G i THIS INSTALLATION MAY BE ORDERED DISCONNECT IF NOT COMPLETED WITHIN 7A N S ~ CORRECT9ON NOTICE ~ / DATE: 7+ J Address ? o ~ " Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct By~ TLl~'~.Fo v e~ a/ l - ~ For reinspection Eagan Dept.oflnspection InSpeCtOf: 3795 Pilat Knob Rd. Eagan, Minnesota 55122 454-87 00 Dept.: . . . ~ ALL CONTRACTORS MUST BE LICENSED WZTH THE CITY OF EAGAN • INCLUDE Q SETS OF PLANS,"' ~ CERTIFICATES OF SURVEY ~ SET OF ENERGY CALCULATIO~N/$ To Be Qsed For: qZ" J)Mb-- Valuation: Date: Site Address: 391 ~7l,~. oa"~ Lot:a Block:~j Sect/Sub:~F~Erect: ~ Occupancy: Parcel Remodel: Zoning: ~-I Repair: Type Of Const: ~ Owner: Enlarge: _ # Stories: Move: Length: SZ Address: Demolish: Depth: City/2ip Code: Grade: Sq. Ft.: Phone - Contractor: Address:~8/ ~ dCUC ~L~' ~DAssessmentsc Permit: City/Zip Code: S,~y Water/Sewer: Surcharge: t}D ` ,I Police: Plan Rev. : Phone Fire: SAC: 525.°- Engr.: Water Conn: Arch./Eng: Planner: Water Meter Address: Council: ~ Road Unit: Bldg. Off.: ~ -Pasks: T PL. ~ City/Zip Code: APG 2coPi~S 1° Phone#: Variance: ~ n ~ ~ N s , . N c ~ ~ - G x n x ,t o PERMIT# S 1 JbqR" RECEIPTDATE: 8008 R£SIDEPTIAL PLUM$INfi PEiiMIT APPLICATION crrY oF EALsAv 3$30 PILOT KAOB t{D EAsax, euv ssi as 651-691-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: 3?I? jdtb~1o~./ OWNER NAME: : TELEPHONE (AREA CODE) INSTALLER NAME: Pro AMAS-Fte/ ~I 67 TELEPHONE l_ ~l - (TA~2EA CODE) STREET ADDRESS: -54 QS 12:~g S~ CITY: J~idrr.,,STATE: ZIP: 02 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. ~ 1$ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/8" meter if needed -$118) Other: - - ~ - _ RPZ: new installation/repaidrebuild 30.00 _ lawn irrigation system r'= n r~? ' - LJ BY ~ Replacementladditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 CQ~l 7ota1 $ ~ a I herebyacknowledge that I have read this application, state that the information is correct, and agree to comply 'th aII pplicable Ciry of Eagan ordinances. I[ is ihe applicanCS responsibility to notiTy the property owner that the City of Eagan assumes liability for any ages caus d by the City during its normal operallonal and maintenance activities to the facilities constructed under this pertnit within roperty/' F sement. SIGNAT OF PERMITTEE 1102 ~ ~,',S lZ RESIDENTIAL 4f BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reauiremenh RemodellReoair Reaulrements • 3 regislered sRe surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas . 2 copies of plan (20% mauimum lol coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan shawirig beam & window saes; poured found design, etc.) • 1 site surveyfor extenor additiore & decks . 1 set of Energy Calculations • Indiwte'rf trome served by septic system for additions • 3 mpies ot Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detall Options selection sheet (61dgs with 3 orless units) DATE VALUATION SITE ADDRESS 3 8I 57 (v2Sf 15v4c4 pf • MULTI-FAMILY BLDG _Y lN TYPE OF WORK AAdJ 4 p&n FIREPLACE(S) ! 0_ 1_ 2 APPLICANT IykBA % ~C . STREETADDRESS 444S12 ~'a'` c~f. w• cirY"V)j « STATW-1. ZIP53-0sY7 TELEPHONE#775? '6Q -24S7 CELLPHONE# (o 1a-971f-587/ FAX#9S) -6Sd-79'8Y PROPERTY OWNER 1f~ i S•kPAY I C Io0S'P TELEPHONE #(65/" 681 -2bo) 1 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI'SOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RLJI.F.S 7672 (+1 submission lype) • ResidenGal Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheat Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softcncr _ I.awn Sprinklcr AUG 00 Water Heater No. of R.I. Ba _ No. of Balhs ~ By Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery Syslem 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 Applicant . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ , Updated 4102 OFFICE USE ONLY ~ ? 01 Foundation ? 07 05-piex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg 0,02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muitl ? 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 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N I~ 25 Miscellaneous -t(G txGY1O(„Qa ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~1a 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Endre Bldg only) • Give PCA handout to applicant Valuation l(ni~- Occupancy MC/ES System r-`~- 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 Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) ~ Insulation _ Retauilng Wall Approved By ZZ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ~ity SAC 7 Water Supply & Storage / S&W Permit & Surcharge Treatment Plant Plumbing Permit ~o I V/ J Mechanical Permit vU p License Search Copies Other Total ~ ' i'Miller Const. ,edar Avenue South ~ t'gton, MN 55024 ,rian xo. 95031 DELMAR H. SCHWANZ Dartmoor I LANOSURVEYORS, luc. Walkout ApisterW UnOV Uwf Of TFe Sbte Of MinnasoU 1878 - 146TN STREET W. - BOX M ROSEMOUNY, MINNESOTA 56068 PHONE 612 423-1769 ~ SURVEYOR'S CERTIFICATE , oo ,0 - - - - tOF o ~ - 3 -2~ p9,' ~ 'r ~I /r ~ ~ , al,~ ~s I r ? ~ n'' ~I- ~ ~ G42460 I ~ ~ wl 12.1L ~ 1012oZl0562~ i ~ ! ~ 5EX?icE ! ~ ~pUSE ~ C~ Z (1J ~ a`~ ~ ~ 6q°24,17 Z~ 13.61 ~'y ~ ~ ~ ~ o D~.\ 48,0 2 ~90 Oo Sd° 1-7' 33° E 3D O = Property corner = Existing elevation , ~9Z = Proposed elevation 892. Proposed garage floor elevation I hereby certify that this is a true and correct representation of the following described tract of land: Lot 2, B1'ock 3, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also ahowing the location of a proposed house as staked thereon [his Zrid day of January , 19 85 . ; , MINNESOT0. REGISTFiATION N0.8625 j'~" 1 2000 MI.NNESOTA ENERGY CODE i I-2 Family Residential Dwellings "COOKBOOK" WORKSHEET pplicant Name Phone Date Pbns muat be c?qrly marked with: Statement of Complisnee: I ? insulation R-values, 7be PmPowd building desigi tepmunted in . ? window end skylight U-values~ ~c documems is eonsiuent with me builamg . plens, apecificebuns, end aM1her pplicent Company ? aize and type of equipment, ceiculatioos aubmitzd wit6 the pamit ? loeation of interior air bartitt, vapor retarder 'ppl1o81iO1' Th` P`Oposed bWid"'g ho b`n and wind wash barrier, designed 10 "`ed d` "qua""0tts ofthe Minnaota Energy Code. uilding Address: ? equipment coatrols, licant IINIMUM RE UIREMENTS for "Cookbook" O rion: ntry Doocs 1-3/4" solid wood or maximum U-value of Ceiling R-38 (insulation performance at winur design Heating system efficiency: > 90 % AF[7E 0.40 conditions wndation 1/2" insulated gless in wood or vinyl frame, Foundation wa11 insulation R-10 (if a different R-value is Rim joist R-10 'indows• or maximum U-value of U-0.51 used, adjus[ the required average window U-vatue by nclude foundation window total square footage in com letin the worksheet on the next page), Ftoor over unconditioned s ace R-30 :lculation of Window/Door Area. 'iodow and Door Area ]00 : S9 • 9 ~ + ~ Jr? / 7 . / % R'INDOW U-VALUE • . 37 s% of Eiposed R'all Area Wmdow/Door Ares Groas Well Area Window/Door Area Source: NFRC -V_ or Code DefauN tabk MAXIMUM AVERAGE WINDOW U-VALUES FOR R-10 FOUNDATION WALL INSULATION & 90% AFUE FURNACE Check Wall Maximum Total Window and Door T e Used Area as Percenta e of F-IMosed Wall: 10% 12% 14% 18% 18% 2096 22% 24% 26% 28% Wall Type: Maximum Avera e Window U-value: 2x4, R-13 insulatlon, < R-5 sheathin 0.37 0.37 0.33 0.28 0.25 0.22 0.20 0.18 0.17 0.15 2x4, R-13 insulation, > R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.33 0.30 0.27 0.25 0.23 2x4, R-13 insulaUon. > R-7 sheathin 037 0.37 0.37 0.37 0.37 0.36 0.33 0.30 0.27 0.25 2x6, R-19 insulation, < R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.32 0.29 0.27 0.24 0.23 2x6, R-19 insulatlon, > R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.32 0.29 W~7 2x6, R-21 insulation, < R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.35 0.31 0.29 02fi 2x6, R-21 insulaUon, > R-5 shea 0.37 0.37 0.37 0.37 0.37 0.37 U.36 0.33 0.30 JT'E: If foundaUon wall insulation is either less than R-10 (but not less than R-5), ar R-19 and abave, then use the tables appropriate for those values. ~ is is a aummary oaly. Other requicements may apply. See the Minnesota Energy Code. 5/99 estions? Call Departrnen[ of Public Service lnformation Center at 651 296 5175 or 900 657 3710. Page 3 , f, . . RESIDENTIAL ~.57 a J SO G~ L~ BUILDING PERMIT APPLICATION O ~ CITY OF EAGAPI 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 (igw Consuuctlon peauUementa - RertadeVReoek Reaukements + 3 repiatered stte surveys showing sq. tt. of bt, aq. tl, of house; antl all roofed areas • 2 copies of plen (20%marzimumbtcoveregealbvred) • lsetotEnergyCalculetionsforheetedaddilbns • 2 copies of plan shorving heam 8 window sizes; poured found design, eta) • 1 site survey for exlarbr addttions & decks • 1 set of Energy Calculatbns • Indkete tl hane served by sepGC syslem for atltld'ans . 3 capias of Tree Preservation Plen X lot piattetl aNer 7!1 /93 . Rfm ,bist D9fail Opibns selectbn sheet (bltlgs with 3 or lass units) SG~ ~O- DATE VALUATION 14 T~Ej ~ADr~ SS r61 `d umck!' I?_~91- MULTI-PAMILY BLDG _ Y ~ N TYePE OF WOR fZMEr l~t ~SQS FIREPLACE(S) _ 0_ 1_ 2 APPUCANT 2-fZL0-0-tJ uCbiCkTV.7 STREETADDRESS I Z ZL17 N`ECOL Q-'f A!/L .S CITN Qiuu~SU~CI STATE1/ ZIP S 533-7 TELEPHONE#SSZ-7U?-&9~'/CELLPHONE# Gl -2'ssZ-SZ50 FqX# g5"2-~U~-9`IZS- PROPERTYOWNER JE4 + ShticZyC.. CLcc.vSe TELEPHONE# ° COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINiVESOTA RULES 7670 CA1'EGORY 1 MIN _ ~ (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • N e rks eetned • Energy Envelopa Calculations Submitted 1~pZ l I" J Plumbin9 Coniracfor: Phone # MAY 2 _ y Plumbing system includes: _ Water Softener _ Lawn Sprinkler -Fe'e~$90.00 _ Water Heater No. of RI. Baths ~ No. of Baths Mechanical Contraclor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # - - ° I hereby acknowledge that I have read this application, staTe ihaY the Informatlon Is correct and agree to comply with all applicable State of Minnesota Stcrtutes and City of Eagan Ordinance$ ~ Signature of ApplicaM d OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10•plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex 0 12 12•plex Plbg_Yor_N ? 25 Miscellaneous " ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Mave Bldg. O 42 Demolish (FOUndation) ? 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVpC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Fratnv19 _ Siding Smcco Stone _ Fireplace _ 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Survey For: , JoespM M. Miller Conat. 18133 Cedar Avenue South Farmington, MN 55024 Plan No. 95031 DELMAR H. SCHWANZ Dartmoor I LANOSVRVEVORSo I.u.. Rp:fNrM UnaW Uwf of TM SLb of Minnesou Walkout 1878 - 146TH STREET W. - BOX M HOSEMOUNT, MINNESOTA 66068 PHONE 612 423-1769 ~ SURVEVOR'S CERTIFICATE TiI r v a Gq2AGC=1 1 e °'f?-t ~n~~uiy F ~z.~r. ~ Pi2pPo56v , ` I 5 m Y 0 ~Lz ~ Q ~ I Y o. r O o( _ B`~ 4.17 'a - ~ ~ ~ o e o ~ '2 Op So° t-?' 33" E 'g$ti O = Property corner g9Z = Existing elevation ..~9z = Proposed elevation Proposed garage floor elevation I hereby certify that thie is a true and correct representation of the following deacri6ed tract of land: Lot 2, Bl'ock 3, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also ahowing the location of a proposed house as s[aked thereon this Zrid day_ of_ January , 19 85 . n f x~ ~ -Ju , MINNESO7A HEGISTRA 11 ON N~ 0.9825 .k~ 5 _ -A 1:1:9'~:I:tnl; i'v\•i:l: ~I'~. .•.i:~.\~.~: ~..~..II•~:•~•A'1'ItiU Q A eq . • i ONIVCIt~ nt;ri: ----•~I-~~~-.~------- siz•e nnuia:s:;: r•nONi:: - CONTitAC1\~R: 1)rlcrmin~• Nurki~~,~ :;,~u.~r.• Iox~t.k•Ic nf enCll 1. 7bta1 cxposed wall arie.i...... 2O(~_ C1., a .lY = LZ1.0 2. Toal roof/cci].incj ,rc.l X__oZ!P = 34~(v 'Ntal cr.):Jr.ct' wa1?. :~rc:i nlxiv~• f.lo:,e' L7.5 a. Total wall wind.-~h• i:ca ':ctal %~car ;ar'ri . I R ~ ~ i0~`,s] 1 At.::4 . . d. Total Eircpiarc wall arca e. Total vall fra:ninq arc:: (avur.igr li)':.) f. Total rim joisL arna - 9. ~ woll. nr-,I ~Lovr. fJonr h. wall araa abuvr E).u:,i i. _ wall azca abova fluor j. ~;~~1: ?rca ~.b..~:.~:..ar. •~Q1'~ . - • , YvUal cti;.ir:cu Coun•.1, livn .u'cj k. .btal fcncdatier teindow arc............................. 1. Total net four.dal•ion nrca abovc gz,a,li• Da.crminc "C" ~•alcc of c:ich wall ::cymrnC (e.q. vindc.~:•. dour, enc~:~ ,:ot,nrato ld'JLL liCCL]hli) • a . ____i8 Z- ~ . ~ 4~- ° 8.~' L_ r;: x ,.iV. ..---a - c . l1jjV_ a. x „U., _ i e. "LI.. °U•. 9 • °4 ~ ----S~g. ~ , • f•` : i. :c ^U~• _ A ^ . - - - ; r. 'i ( .i kcm 03 10 thC OMIq. .1:. , V - or than itcm Cl, yuu k. \ h....., meC thn .intenL• r.E • - - :.~~r• G606 (c) 2. • l.A r'1/.. r ~ . . X HriVoiP~)0 /1V111 ~1 ~~il'~ ? Uf A ~~r y • • • ! • `~-j., . ~ 7'ulnl n%~~u:.r~l In.~(:i.•~I~~n~ .~~r•.~ , m. 7bta1 okyllUhr nrea fl. Tbtal CuOL/CClliiHt t~.uaiiuq n,~•.~ ~U'~)... ~ _ .1 o. Tbtal neG in::ul.atc:! ~,~.>tri•rilin.~ .u.... ` •~~c . . . . ~ ` . . . . . . . . ' UCtCrmino °U" v.,lur t.it' '"k•h 1001/C"i 1 irnl :a,~pmmC l J( "U" _ n. 13?~ X . . a 1\,cnl __Z~•.Z•--- IL '.totel of tl4 is the s:,mv a::. ur lus:: Lh:in N', yuu hirvc muC chc inl'enC of sn;C 6o06 (c) 1. ;•,E.S~. ~Alteniale tiuildinci F.nv,1lflr! :i.y:1 ' - 1_. - TD Uti1i29 tlla tOtal tt)rvi•1L"-)u ::}.:t.rm Ly CIIC 5;un pf items N3 and 14 shall not be I)rcalor 01,111 Lhl: :auo ot' i Comf: II1. ind 02. + y• _~4 - 3. ZI Q~Pj _ + 4. . i . . PLA k,! J:k . j; R~oar Ltu E.A L FT. FxpcsEO W,4LL B~.oG k' : zco -t- 3g t 3 8-t 14 + z.+ 15 t~io~~~' s= I Sz..-r z w,o.: 3g~r FULL~ : -L(v{3b+J'b-rZt4o+4t Zt-~•S= ~59.5 r-VLI..Z..' ~I c~.Et~I..AGE ; 21.M= Sa . ~`-r, ~1~~osED wA LL A2.EA Aq.s x S wo ~ . ~ 3a x S = 304- PuLC.:I : 159.5 X 8 = rZ7cP Fu LL Z: _ k g= F ' K . Q. FzIM : 159,~ ~C f ^ ~5~,~ . To 7-a L_ 4•sxr~ = ~ sz JQ.~t, ~K~oS~D GEtLIU 12~ ~ 133z, ~r 2joc 3~ 9a8 z ~ r Z4 4V DwS L~'1 Doo?2..5 ~ 2.43c, Ii 1 Z 3° 1 ' 3'8 ~ 2q `f b»,r.r rru go Za 1 & 7 PATro Dps . ~ v 1 ¢0 . . . • WAi.L i.f..ry:nti: Z: U:6:1rot~ Of Opallun, vaJl nrea fur tC1RY:~cbI1::t CUCflUf1 FCAHt E . . ~•;i,,;''. .'_'_"r I. Iliil'1' .r ,~Ir 1~ t~.. t) LI~ ~I•. ~ 1~ • t. . l. S~L~n,tiii I .4v-81 ' J. ;i5137 ~Hrrv Z.o<p f ~ r-~~.(3~ ; . ~!v!N.~* . _ - - . . _ IC 0. }:r.tori-..r e1i [i:in U.17 \I,L • _ _ -n ; ~ ~l~ v = , oq rtc. A1 r611v[E}4 oe uET - . . FIWtE WnLt. 1. tuCrrl~.r :~iY 'llm (f.(dt 2' J.' , ' . • ~ d• ZS,3L_.S.N.T~Y_ ._.~_O!o FIG. 2Z.90 U = .04 , Q ~ `3'~LpGK . • ~ i., ~.,.1 . , ~ . . . . 1• _~~T~_._.INyVI. _.11.00, . _ ' 1@.-.]L- ~~,,~L b. l:rterlor nir iilm 4 Y'~ i ^1bC:tl . . ~ K= 13.13 o-?(~ ti, r) . v • • ~ . 1070 v1.-0-:_~___~'____._O l. ln~ri~•~~ .$1r f'!., 0.6l1 ~ • . n . . . . ~ . . . . . . . . . . . A.«~. ,:Lx4. \i IOIi L . ~ ~ ~1'• --i.~1 a . . ~ • ,i • ' ~ . • . , n o: ~.~^~c `C~ • a. ..i2" .B~o.c.k....• ..L~~ ,n. _ S. `r q r• •i•%;- I::tlr~i~•I.~ii :i'~~ _"""'_'."_'.U.37 .-1'ot.1 ~ t ~ 6.48 U = , 164 \ ~ ~~~.~1~~?,(.:.~rj --:-,1~ , , • ~ll'= • , •1 • ~ ~ f/?~R"~~ J N~~-~ ~ . • ' . , . o f' ' • ~ ~ ' d . ~i ~ ~ T ~l/ ~7~ Y ' . ' • l • ~ : f _ } ~ • ' ~rr ~ ~ ~ • ' ~ /rf dn . ~ _ .ir ~ t ' pAO~/CLTLTNO----- i . : • , „ ~ • . . • . . ry~'~ f.~~i~•i~~~n I ( ,n ll-ValUO 1- I~u i~~r r f'llu~ . 0.61 J 4. _I_xCcrinr.%i[_lilja_l:__till 0.61 VF7'T Total . . ~ LC2) . : . . . oz . ~ /-^^~t 4 • 1. In~~•rl~~r nir lil~~ sCed tlcat flnw 0.61 up iQ5ut- 3A_ 3~ . • a. ~ . rs nc. os o . . . . ~ ~ . . U = oZq .V y v'v •n? .~~.tr.~,y'..r_rNl.~.r'~ ' - _.`~~._l._1:~= - - _ . 1. ln•.!~`.~c .ilr (llm 0.61 ~ S. 01Lr:i(Io oir filin 0.17 z~tat -s-------- . . ~.r..,... ~ 1. fnsl~lr. mSr P11in 0.61 z. ~ kec[ flov vp • , . ~.vcntcd . • . . 4' , • • ' ' . • S, ~?ut i,lc• , ir l iLn 0.17 . TIG_ 06.~ . _ . • ' . _ ToW1 j ' ; _ _ . • • ~ ~ 1. In-itd- air fi]in 0.61 ' • • ' ~ .~_•s;.~'.~_.~?si 7- . , `e~'~Y L:.. _ . : ~:r.~ :1 _ .r..•..,~.. • . 1 ' ~'1 . . 0.17 •.h ' %i r• . . .(.lil _i~h---'-~------ TOtal~ ~ < ~ ~ 2t0-!-Vf?:f~it ~ , t:~~c,•~ V.~r :~d~ill'Inn.~l SbCrts 1F morc spaco ~ • ~ i.cr~lr~l I.)r.Jecails and calcu!atiorr.:. . 8cnc • • ~ Ilovup ~ ' . . PERMIT , CITY OF EAGAN PER~wiT TvPE: ~ 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 3 4 (612) 681-4675 Date Issued: 01 / 2 3/ 9 7 SITE ADDRESS: 3818 WESTBURY DR LOT: 2 BLOCK: 3 WESTBURY 1ST P.T.N.: 10-$3650-020-03 DESCRIPTION: (GAS) ,~uildiYt~F,ermit Type FIREPLACE E ~3uilding Wor-k Type NEW j~ Census Codc 434 ALT. RESIDENTIAL . ~...,.\k ~f 7 \ 1r_• / ~ REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 ~ CONTRACTOR: - Applicant - ST. I.IC OWNER: , FIRESTDE CORNER INC 16331042 0001068 CLOUSE JEFF 2700 N PAIRVIEW AVE 3818 WESTBURY DR ROSEVILLE MN 55113 EAGRN MN 55123 (612) 633-1042 (612)681-8621 I hereby acknowledge that I have read this application and state that the inFormation is correct and a,gree ta comply with all applicable State ofi Mn. L Statutes and City of Eagan Q°rdinances. ' APPLICANT/PERMITEE SIGNATURE ISSUED B/ SI oATUR' f ~ CITY OF EAGAN A43# 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ` Z 3- / 7 PERMIT FEE: $50.50 ~AS DESCRIPTION OF WORK: JO CONSTRUC FIREPLACE _ ALTERATIONS TO EXISTING f _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTI-IER: STREETADDRESS: WU'S,TgC)W-y ~e- LOT ~ BLOCK ~ SUBD./P.I.D. IA APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: CL oo s~ c~G/ ~N6YCS/L. Phone 68~ 8G Z I r OWNER Signature: Street Address: -3gwO~5 76 OIL City: State: Zip: g o --a 7s8 FIItEPLACE CompanA.L.l %7D one INSTALLER S:gna;tu~rp S t Address3~5~ License l D 6$ CityZ,312.~TZ-;VI State: Zip: ~?"'33 7 Gas LINE Company: Phone INSTALLER Name: Signature: Street ddress: City: State: Zip• ~ M,.:.'°~ 4 OFFICE USE ONLY BUII.DING PERNIIT TYPE ? 14 Fireplace WORK TYPE ? 31 New o 33 Alterations ? .°i2 .~iduiilCII El 34 R2ySli GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. , . z / a 4 I ~ CITY Or EAGAN APPL;CATIODT FOR PERP4IT SEWER AND/OR We?TLR CO\NECTIODT (PLEASE PRINT) 1) PROP~?"f ADDRESS: r_Fr=,r. D:..SCRr7r?cN: (=/Block/S u:aivisicn or Tat ?:scel I.D. N .~r) ~ I"i WiIS='=:G 5^~LC^.?.:~: . Da'I=: CF CiZTGi_IAi. cGI=2.`: ST 15=;%NC::: PDFCL.T ..TI..(:/P'.OPCSa-) USE- : i~.-1 51~1.:CL'u FF1L7TT.Y . 0 R~? CUTT(7:O UNITS) ? R-3 (mz`c4. ~ L':i^:S) ( LtiI^_'S) ? --1 .`,.~-:.:.'n'_.r`;I'/C'_~i.tr~,I?.?I ( L^iI_Si ? CC2-nIE°CL~.L/RF.'T_'~L~Ccclr~.' Q =7-':5':?---ai., Q INSTI':?,TIC:dAL/Gv"v=~:= 2) PPPTr=,; iPLEA~c r`~I~iij ACDRESS: l5?1 33 C.°c.Qpch .4u~ S. c?rr, sr'-1:y, zzP: F,~a..m..*fe~ mrJ 6s0~14- P== ~f3( -,znor 3) Pa7mBE71 ~PLE~.Sc PRINi) FOR CITY t15E OYLY NA~,IE• ~ PlUJaBERS LICE4SE: ADDRESS: /Y*2.1 B a30-~p O¢vc N, 0.ctive CITY, STATE, ZIP; Expired H~icr. Q Not of Recard PHONE: S" 31 ?j PLUHBER lIC£NSE N a06~ •!K 3 ar ccia 4) OCCLPANPI'/CSv~IEF2 NAME: (PLEASE PPINO a,DOREss: CITY, STATE, ZIP: _ $d~~ ,gg -;D PHO*IE: 5) IIVDIG,TE ;JHICfi PERI-LIT IS BEING REK?LIESTLD: B-CO;1NECTION 'PJ CITY SEWER ~ COCIDIF=IC'N 'Il7 CZTY S•1ATE.T2 El diErrEZ (PIEASE DESC2I&'E) 6) =I= C?+E: Z-PLE15E I?OID APPRW@ PER.MIT EOR PICi:-L'r BY ONE QF A'F,ci'JE ? PIEASE 4!AIL APPROVEO Pg'.•lIT 'P'J 1. 2, 3, 4 AFoIE (Circle one) 7) si~-ATURE: D.aTe: ~ AaLi+l#.s1 i~ ~ ea log~! ~a I+e sa sia~ i~ i s~~sa>:~ a~t fal~r_~s:~f~ S f~ S ik ~ac•••-~~- F 0 R C I T Y U S E O N L Y PERM,IT - ISSUED rrns: $ /o-§T- E' S°I•i~R nEg?1rT (I`?C_'.i:D~ SU?C::~RGE) +S io ..SG WATER PEE21i4T_T (I'.`ICiiJDr". :IiRC:iAr`ZGn) $ WATER METER/COPPERHORN/OUTSICE REnD:R $ WATER TAP (INCLliDE CORPORATION S?'C?) $ S--:iER TAP $ / `r"p _.~..~lL_.•~ ~~_r,ci_ - $ AC^'JliNT DFPOSIT - PiATER $ WAC $ SAC $ TRliVK WAT°R ASSESS`-!E:1T $ TF.u::K SEWER `,SSZSSz:,;EJiT $ LATE:cAL BENEFIT/TRUNK SE;•:ER $ LA:E2AL BENEFIT/TRU:IA WATz'R $ OTHER g ToTaL $ ANOL'NT BAID/REC°I?T DOES UTZLITY CONNECTION REQUIRE EXCAVATION ZN PUBLZC RIGHT OF WAY? YES ZF YES, THEN n"PERMIT FOR ;dORK WITHIN ~ PUBLIC ROADWRY" MUST BE ISSUEO BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SliEJECT TO TEIE FOLLOWING CONDITIONSc • APPROVED SY: TI'Lc : _-L___1 DAT°_: / - ~mw mam mc.mw mw +tia wm ~c+ wc~ w ~aw wEa ~ ~ w wta oame.t si+ w = aoos RESIDENTIAL PLUMBING PeRmiraPPUCArioN CITY OF EAGAN _ _ . . . 3830 PILOT KNOB ROAD, EAGAN MN 55122 ' 651-675-5675 Please compiete for modi{cations to existing residential dwellings. Dater]! 1 Site Street Address Unit# Property Ovmer 00CV5 e- Telephone #((4(') 0 I"?b a I Contractor CIIAMPIO_ _N yyphRSEqj4Grc Telephoae 056 305-I34r) -171f1 RNer Ridge Cir Address City State Zlp The Applicant is: _ Owner (,-6ontractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee $ 100.00 Per a§-built 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing' fixtures. This fee inGudes installation of a water softener and/or water heater at the same time. If you ere installirrg onl a water softener and/or wafer heafer, do not complete this section; move to the next sectlon and check the appliance(s) you are installing. _Septic.System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other: V Water Softener Water Heater $ 15.00 _ new ~eplacement Lawn irrigatfon _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ~ • 60 I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of tlie City of Eagan and the piumbing codes; that i understand fhis 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. ~tS 1 o MX ApplicanYs Printed Name ApplicanYs Signature JuL o s 2oa7 a~cs5 I~ 0/v3 2007 RESIDENTIAL MECHANICAL rERvuT arrLlcATioN City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for. single farrtily dwetlings & townhomes/condos when permits aze required for each unit Date / ~F_~ / ~ ? SiteAddress Unit# Property Owner Telephone # ((_oS (a~ I 84221 Contractor (DO A)U~ Street Address City S[ate Zip Telephone # ( ) Sond Expires: The Appticant is X Owner _ Con4actor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to eaisting dwelling unit $ 50.00 fumace Additional _Replacement _ New ~ air exchanger air conditioner heat pump ~C other $ State Surcharge .50 Total $ I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will 6e in confomnance with the ordinances and codes of the City of Eagan and with the Mechanical Godes; that I understand tlus is not a permit, but only an application for a perxnit, 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. rXni LC~ Applicant's Printed Name App 's ignature 2007 COMMERCIAL MECHANICAL rERMiT ArrLicaTiort City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-famil 6uildin s when s azate emuts are not r uired for each dwellin unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Eapires: The Applicant is _Owner _ Con4actor _ Other Work Type New Conshvction _Interior Improvement _Install Piping _ Processed _Gas Exterior HVAC Unit** **HVAC units must be screened Under/Above ground Tank Install Remove When installingJremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: P¢1'flliY Fe¢S $7050 Underground tank installation/removal $50.50 Mdnunum (includes State Suroharge) or Confract Value $ x 1°/o = $ Permit Fee $ State Surcharge To calcutate surcharge - If Permit Fee is less than $1,000, surcharge is 50 cents. If Pernvt Fee is >$1,000, surchazge increases by $.50 for each $1,000 Pemvt Fee (i.e. a$I,001-$2,000 Permit Fee requires a $1.00 surcharge). $ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conforntance 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, start without a pemvt that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Date: - Required Inspecrions: _ U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final 55127 WATER SERVICE PERMIT Cam; 4.GA Roa 5925 3$` PERMIT NO.: Ea �. 0. x 21 99 D ATE: gan,lVll11 Z Joseph No. of Units: Miller Coast Owner: Address: Address 3818 Westbury Drive LZ B3 Wes bu I. Plumber: putout . ' - rt ,4 Meter No.: Connection Charge: __ -- Account Deposit: Ze. Permit Fee: Reader No.: 1 agree to comply with tie City of Eagan Surcharge: , Ordinances. Miser Charges: 63 ao p meter Total: By / - Date Paid: ®' Insp.: Date of Insp.: 0 c!!" Rosy! � :. r ; a 99 MO UT`I i 114 �� 65121 Dl1?'E• z ooms: R1 No of Units: 1 owner. Joseph Q 'to 3 8.28 Westbury Drive L2 B3 Westbury 1 : Plymouth PibR 1-14-85 48984 100.00 pd 1 eisekt. comply with t CkNef Sasso Cor ecnon Charge: 5•00 Oratimmam '\*. Account fit Permit Fe , i f p . .: 7: � . 1 sc. Charges: r Oohs or Doe Use BLUE or BLACK Ink r -+ For Office Use Permit#: /L/�`� City Of Ea�al Permit Fee. /U 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: (' �7 2017 RESIDENTIAL BUILDING PERMIT APPLICATION © Date: ` [ ( 1 Site Address: 3 p cz cs L A r3r Q, Unit# I Name: ----. Q.-_, C' 0 (A S'c Phone: Resident/ , ' \ Owner Address/City/Zip: Applicant is: Owner )(Contractor Description of work: Type of Work p ��G r Ci ? g i-z --.,-.,D Construction Cost: I,7 75(7'' Multi-Family Building: (Yes /No)( ) Company: x Contact: D ,'Th V kC l Address: Q Ii�,J ` �} Q City: C Contractor I State: y`4+- Zip: S I a ' Phone I, 99-99(�9Email: j n j_i ec?( roU c o-v\. License# BCG-700"7 `7 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: g 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 the 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.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 and and 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 t pproved plan in the case of work which requires a review and approval of plans. Exterior wor .Imo:rized by a building permit issued in accordance with the Minnesota S e Building Code must be completed within 180 days of permit • e. x �1 6�, , -ja4nr x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166731 Date Issued:02/01/2021 Permit Category:ePermit Site Address: 3818 Westbury Dr Lot:002 Block: 003 Addition: Westbury 1st PID:10-83650-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey P & Sheryl M Clouse 3818 Westbury Dr Saint Paul MN 55123--207 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature