3831 Westbury Dr .r72:,~~oo>
7 b O Q 1
CITY OF EAGAN
• ~ 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 • ' . 1
eUILDING PERMIT Receipe #
Te be wn/ lar SE GW•I,/CAs: Est.Volue y7C1,G~ Dote 2~, 19 tI
SiteAddreat ~ 15.Sl ?~'E.r+7'$TI.~Y i)t. Erect (3 Occupency :
? t?i1FY r Remodel ? Zoning
Lot Block ' Sec/Sub.
Parcel No. Hepair ? Typa of Conat. ~
Enlarge ? No. Storias
,.F.Ar71~ !iAi~ S Move ? Length
~ Name ` 1 . Demoliah ? Depth 4$
Addrets EA(?A.. t5 Grade ? Sq. Ft.
City Phone Install ?
. ApProvals FNs
~ Name z~ Asseument Permit
Addreas
~ City Phone Woter 3 Sew. Surcharye 3`~ . l3 U
Police Plan Review.
~ W Name FIn SAC 5•~~
s~ Address Enp. Water Conn. 5 0 • V0
t W City Phone planMr yyatef Motor 63. 0 0
Council Rood Unit 280, 0 0
i hereby ocknowledfle thot I hove reod this cpplication ond stcte that gldg, pff, 3', 2 6 ~6i 5 732.00
fF?e informotion is correct ond ogree to comply with oll opplicabls APC Total ~ r
Stote of Minnewta Storutes ond Gity oi Eaqcn Ordinoeues.
Var. Date
Sipnatum of Pern+ittas ' ` , I , ' , i ` ,
-P.,.~ ~ .r
A 6uilelnfl Pennlt i: issu.e to: on n,..xpress cand+ria, thot
oll work sholl be done In acaordonce with nll opplicoble Stote of Minnesoro Statutes and City of Eaflon Ordinanus.
Buildinp Offidol ' ' _ ( L` _ ' K, -
Pamit No. Pwmit Holdr Do" Telephone ~f
Plumbinq
H.VA.C. 5 ~I( 5 5 -r~
Ehctric ~
Softensr
Inipeetion Date Insp. Other
Foot~ngs .3
Foundation
Fnmina '
~
Roofing
Rouyh Plbp.
Rouph HVAC
Inwlation ad
Final Plba
Final HVAC
Final ~
c..voa. 'CC) `312
?
w,te. oasc.ib. Lnoadon:
YYell
SewA?
Raceipt MECHANICAL PERMit Permit No.
CITY OF EAGAN
Fae
FiII in numbensd spacsa S/C '
TYpe or Prinr legiblY Tot
~ 1. Date 2. Irntallation Cost
3. Job Address • Lot ~ Blk. = Tract
~
; 4. Owner
5. Contractor + Phone
~ B. Addrosa ~
7. City State Zip
8. Building Type: Residential f7 Commercial ? Institutional 0
9. Work Deac?iption: New Add O Alter ? Repair ?
i
10. Describe Fuel Type
11. No• Equioment BTU - M. Ea. No. Equipment CFM
Forced Air ' Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfy.
Unit Hester
Mfg. : Other
Air Cond.
Mfg.
Gas, P'iping 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.
S+gned :
for `
Rough Finel
Inapections: Date Insp. Date Insp,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No. - '
CITY OF EAGAN Fes _T
Pi!l in numbered spacea S/C
~ d d
Type os Prlnt /egrbly Tot
1. Date Yi ; 7 _ _2. Installation Cost ~ lX-, s 6ury
3. Job Address3831 Lot ' Blk. Trect ~ ST
~ 4. Owner
5. Contractor L. Phone
6. Address • ~
7. City State • " Zip - ,
8. Building Type: Residential 27 Commercial O Institutional ~
9. Work Description: New 0 Add O Alter O Repair O
10. Describe V •
11. No. Fixtures No. Fixtures
~ Water Closet
Cesspool/Drainfield
Bath tubs Septic Tank
l.avatory Softner
Shower Wetl
~ Kitchen Sink
Urinal/Bidet Other
I l.aundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply 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 454-8100
CITY OF EAGAN Remarks U i~i Jvt~~SS ~/r 6-,gc-.~~
Addition WESTBURY FIRST ADDITION Lot 2 Rlk 2 Farcel 10 193650O9CL02
Owner Street 3831 WPCthurrr nr-}ye State Eagan, MN 55123
Improvement Qate Amount Annual Years Payment Receipt Date
STREETSURF. 1986 2850.00 570.00
STREET FiESTOR.
GRADING
1 5699 6-26-8
SANSE4UTRUNK 1985 436.23 29.08 15 A015699 6-26-8
* SEWER LATERAL 19$6 5008.73 1001.75 5 6-26-8
...A-Ql-5.699 b-26-8
WATERMAIN • LF,S$ 15 59,55 A015699 6-26-8
~ WATER LATERAL 1986
WATER AREA ,1 19$4 1$4.9 12.33 15 160.84 6 6-26-$
*Services 1986
STORM SEW TRK 1956 142.05 5 710.24 A01569 6-26-85
~ STORM SEW LAT 1986
CURB & GUTTER
SIDEWALK
STREET LIGHT
n u
WATER CONN. cm-on
8UILDING PER.
SAC
PAR K
N0- 10001
, CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21•199, Eegen, MN 55121 ?~1~
PHONE: 4548100 ~
BUILDING PERMIT Receia #
Te M owd }er SF DWG/GAR Est. Value $70,000 pote MARCH 26 ~ 1985
SiteAddreu 3831 WESTBURY DR Erect Occupancy R3
Lot 2 81ock 2 Sec/SubWESTBURY I Remodel ? 2oning R1
.
Repair ? Type of Cons[, _j.,
Parcel No. EnlarBe ? No. Stwies
GRAND OAKS Move ? Length 60
W Name
Address 1881 SUNRISE Damoliah ? Depth Q$
~ Grade ? Sq. Ft.
City EAGAN phone 452-8934 Install ?
Approvob Faas
~ ~vame
Add S~E 343.00
Assessmenr Permit
ress
~ City Phone Wnter85ew.SurcFwrge 35.00
Police Plan Review 171.50
Name Fire SAC 525-00
i~ Address Erg. Wahr Conn. 500-n 0
~ W City Phone Plonner Woter Meter - ~ D
Council Rood Unit 79n nQ
I hereby acknowledge ihat I hove reod this opplication and state that Bidg. Off. 3 26 $S lgrtacT. P. 132 . 00
fhe inlormution is correct ond ogree to comply with all oDVlicobla APC Total $2, 0
49 _ SQ
Srota of Minnewto S tutes ond f Eagon'Ordinonces ~
Var. Dete
Sipnoturo of PermiM
A Buildinq Permit is issued ro RAND O S V LOPMENT CO on the express cadltlon tMt
all work shall be done in acco anee with o pliw6le Sfo of Iinneeota Sfatutes and City of Eopan Ordiwncet.
Buildinp Officfol
~
~ C~ . .
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS Nt1ST BE LICENSED WITH THE CITY OF EAGAN
u2~ ~ INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 7U~ Date:
Site Address: 3 L3 OFFICE USE ONLY
~
Lot: z- Block Z Sect/Sub Ereet ~ Occupancy rL-3
Remodel _ Zoning ~-1
Parcel It Repair Type of Const Q
G Enlarge f! of Stories
Owner Move _ Length lod
Demolish Depth ~
Address (p4y117, ,2A,.yL)/SA A-dS S. Grade _ Sq Ft
City/Zip Code R,chd7~~Ji~ 4.f/
Phone (~~0 ~ysd APPROVALS
Contractor 6tAy1/(`~ a+k( Assessments Permit 343.
Water/Sewer Surcharge
Address 881 501VRiss Police Plan Review ~"I t.SD
Fire SAC 525,'=
City/Zip Code 616~~,qJ /j,(/t," Engr Water Conn 500."°
Planner Water Meter 103.
Phone / 5 Z~'~"/~~ Council ad Unit 2!~,O. ~
~ Bldg Off ~Parks
Arch./Engr. APC Treatment Pl
Variance
Address TOTAL ~ ~ ~ ~ S(d
City/Zip Code
Phone
~ ~
r '
; SURVEYOR'S CERTIFICATE ~ GRAND OAKS DEVELOPMENT C0. ' -
f .
~
~
r
i~
}
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = FEET
' 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =`6'e9-a FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ='aS4O'1" fEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9k9, FEET
I HEREBY CERTIFY TO GRAND 6AKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTA7ION OF A SURVEY OF THE BOUNDARIES OF:
' Lot Bleck 2, 14E5T6URY FIRST Ai'DITiCi„ acee:~.:i;:~ to ~`e recorded nlat *hereef,
Caketa Ccunt,a, !?;nresot,
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SIJRUEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION,
THIS 22ND DAY OF Mpi.al+ , 198,f ~
SIGNED: JAM R. HILL, INC.
~
BY:
AROLD C. PETERSON, LAND SURVEYOR
Stieet: 1 af 2 s!;eets h1INNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
BSSi C'7
Planners / Engineers / Surveyors -
FILE NO. 8200 HumboldYAvenu* South~ '
FO L D E R sloomtn9ton, Mn. 55431 412-884-3029
SIJRNEYOR'S CERTIFICATE
N
I INCH = 30 FEET
WESTBURY DR/VE
0
8870 ~B86.o BBLJ M -
S 0°l7'33"E 85.00
- - X8 6.9
° ~3Sf at , °
N ~
8BB9x x8B5.6
888.69 I-~-------- 32 89559 •
; N /GAR M y,
o r8~s.c ~'6.vx 28.0 14.0 ~ o =
10 ~ v $$&7y ~ ~
O p/PROPOSED HOUSEb i In y
y W
N m N
46.0 ' IX '
3 "--.xa9~.o . eaa.ox-----t~ • 3 xses.s
i. y (,~x6,'~) C~~s•9) ol ^
N N N N
~ x 88'?3 • p~
~ 8B~3 x ~
LOT 2 ,
`J
~J
I
~ y
. S~RAlNAGE 9 UTlL1T'Y EASEMENT 5
PER PLAT ~
l ~
899.6 X .
~ SO°17'33"E 85.00
n
~i V J L_ l? r /-i
" SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85510
106~49 Pianners / Engineers / Surveyors
FILE NO.
8200 HumboWt Arenue 6outh
FO L D ER BbomTngton. Mn. 55431 612-884-3020
EXTERIOR EIVVELOPE AVERAGE 'U' COMF'UTATIQIV
GFAND f]Ak':5 DEVELOPINENT COMPANY
INODEL Q AREA U U X AREA
FiEQUIRED
1. TOTAL WALL AREA iBi>p X.ii 198
2. TOTAL FtOOF AREA 1196 X.026 31.096
ACHIEVED
AREA U U X AREA
A. WINDOW AREA 186.66 .,.i 93.33
B. DOOR AREA =9.8 .077 3.0646
C. SLIDE GLASS AREA 13.44 .48 6.4512
D. FIREPLACE AREA 4 0 0
E. WALL FRAME AREA 180 .041 7.38
F. NE7 WALL AREA 1164.1 .049 57.0409
0. RIM JOIST AREA 119.52 .0436 5.211072
H. FOUND WINDOW AREA U t~ 0
1. FOUND ABCIVE GRADE 96.48 .135 13.0240
3. TOTAL• WALL AREA 1600 185.5026
J. SY..YLITE 0 0 0
K. ROOF FRAME 119.6 .(-.)32 3.8272
L. NE7' FOOF AREA 1076.4 .025 26.91
4. TOTAL k00F AREA 1196 30.737=
SUM l.+s, 229.096
SUM _.+R. 216.:398
a.
1
z/aa
~
~
CITY OF EAGAN
APPLICATION EOR PERMIT
SES4ER AND/OR WATER CONNECTIODI
- PLEASE PRINT)
1) PP.OPE.??'Y ADDFtESS: r y J
T.Fl:,`.T D:SC-Z??TICN: 27 I O jF U C ~ 5.
(Inc/Block/S •t,bciivisicn or Tati rarcei I.D. V.wer)
~ li S?'~.CC^DAT;' 0_° Or2T.Gi IaL 'cuIT_DL`:('_, TSJUcai=:
FFFSL'?' US"r.': 4W R-1 SM~GL:, iPy+SL1'
? R-2 DIJFT.;.{ ('?r:'J LT?ITS)
? R-3 ZCr•IECvTCg + L^TI':S) ( LNITS)
? ic--! t`-.?>,<^_'_^TM"`]T/CC_ZCi,t?`II"ti.~l ( UNI?Si
Q CCi-TM;CZAL/RE^_'L?OF:'IC-E
? CSIp~
? I:,STI'_^~TIC:I~L/C-0VER:~?~~;P
2) APpLI.C (?LEAJE 'rRlfii)
ru~-IE: ~~ra hQ~ Oc. ~
AcoREss:
cI^Y, sTmE, zzP:
PxoNE: , - ~
3) Pu:rBE? N~~• - ~~(~SE PRIHT) FOR CITY USE 4HLY
Y ,
PLU;BERS LICE45E;
PDDi2c.5S: r'e ~ ,P~j h.P Active
CITI, STATE, ZZP: p j'1 , 3 S`~' I~---;,I Ezpired
PHODIE; " ~ PLUHBER LICENSE u Hot of Pecord
arr tnv[ia
q) pCr-Lv.ANT/Cr-:NER IdANIE (PLEASE PRINI)
:
ADDRESS:
CIT'!, STA'PE, ZIP: cl~
~
PFiOVE:
5} INpIG,TE ;IIIZCH PER111IT IS BEZ\G REQUESTL'D:
~ Cb:VNF_CI'ZO:V TO CITY SEYiER
~ CL'':1:~'EC.~TZCN 'Ib CITY WATER.
~ (7'EMR (PL,E7ISE DESCRIBE)
6) Il:DICA-" C::r.: •
? PI.£15E f?OID APPP,OVID PER.'~tIT FOR PICi:-U'c BY ONE OF AEC,ZIE
,
~ PI.E-S ;•*',~IL APPR(NED PER:•lIT TJ 1, 2, JV, 4 AFCJVE
(Circle one)
7) SIC.:,'IL ti: DATE: ' ~
~ R aaiaR?r.ia s r' a~caaara ar ~ ree ras~a a~ ~ s.~~.~-a:~ a.e ~a.c~-a..s~.~. ~ r ~ s~~sar .
F O R C I T Y U S E O N L Y
PE?MIT ISSUED
~Frrrs' $ J a. R. nr `qrT (2_~I "'v SURC~:?3Gc)
~:r..
$ WAT^cR PERN1ZT (Ir7CL'uDE SliRCFIARGL)
$ WAT°R METER/COPPE4HORN/OUTSI'J-^. REi,G: R
$ WATE.°. TAP (INCLUDE CORPORATION STOP)
$ 5.°:•iER TAP
ACCCliNT DFPOSIT - WATER
We-,C
SAC
$ TRVNK WATER ASSESSt4E:IT
+S TRi;:QK SEPIER ASSESSbL:iT
$ LtiTERAL BEivEF2T/TRUNK S=:=R
$ LATERr1L BENEFIT/TRUNK WATER
$ / OT:IER '
$ TOTAL
$ Ai".OL":T PAID/'~m s~"~9-t•~'%
RE:..rl_ _ „
D0E5 UTZLZTY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR TAORK WITHIN
- i PUBLIC ROADWAY" MUST SE ISSliED BY THE
C~ NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO TEIE FOLLOWING CONDITIONS: •
APPROVED BY:
TI:Lc:1,!'4&
DAT°: / .~f g
mFlw !n omi~ ow 314 /k4w wF m m wiq w'm wk= l4 sA wl m
,
- - - -
; o~i_ce- ~ ii ~
I Permil
~
City of Ea~aIl
~ PertnitFee: "jCJ I
3830 Pilot Knob Road ~ ~
Eagan MN 55122 I oat
Phone: (651) 675-5675
Fax: (
~ F4N
657) 675-5694 Sta 2008 RESIDENTIAL PLUMBING PERMIT APPL4 2008
Date: ~f &O Site Address: b31 W S~ ~r•
Tenant: Suite ii:
RESIDENT / OWNER Name: Phone: I D C I~)
Address / Ciry / Zip:
Zaaaio
CONTRACTOR Name: i License#: 010("3X~
Address• 9~J S~Li ~Yl l Q!~ 1711)f Aciry: < )i5`CAQ v~ state: Mf\i zip: ~535
Phone: (-)d Contac[ Person:
TYPE OF WORK ~ New _ Replacement _ Repair _ Re6uild _ Modiry Space _ Work in R.O.W.
Descrl tlan of work:
PERMIT TYPE RESIDENTIAL
WaterHeater _WaterSoftener
~ Lawn Irrigation _ Add Plumbing FiMuies
RPZ PVB) _ Main _ Lower Level)
Septic System _ Water Turnaround
New
AbandonmeM
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigati0n (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $
I hereby acknowledge that Ihis iMormatlon is compiete and accura[e; ihat ihe work will be in con nce wi[h th ordinances and codes of the City af
Eagan; that I understand this is rrot a pertnit, 6ut onty an applicahon for a permit, and wor s n to starl ' out a permit; thet the work will be in
accordance with ihe approved plan in ihe case oi work which requires a review and approv of pi s.
x Z64/(G-t x
ApplicanPs Printed Name IicaM' Signature
_ __r . . . . , .
FOR OFFICE USE` Reviewed By: Date: `
Requlredlnspections: ,_„~„UnderGround _Rough-In _,AirTesi_GasTest ~ 7 Final p„ A
I
„„ .. ° ob Rom # r e 6093
P. ' . _ Sox 2 • - ” PERMIT NO .•
ea ,lA14 55121 ,. µ DATE ... ; _, ti' -17° 5
>v9: No. of Units: 1
F Grand Oaks Dor
Address:
'. site Address: 3831, Westbury Dr 12 B2 Westbury I
f Plumber: valley Plbg
,:Meter No.: Connection Charge: = 500.00 pd
' Size Account Deposit: 15.00 pd
Reader No.. Permit Fee: 1 0.00 pd
lost** to comp', with Ole City of Eeg•n Surcharge: . 50 pd
Ondinane s. Misc. Charges: 63.00 pd mete
Total:
232,00 p a/e
By Date Paid
Date of. Insp..: / 4 � lisp .•
CITAtlefilLAGAN 1 Sa Itifillii
K¢tosd
Q. 90x21199 PERMIT No 7282
.� •4 .: 4 -17 -85
, •
4 No . of Units:
saner. Salter Grand Oaks /) v
sits _ satbu Dr L2 32 Wutb v I
`Plumber: ' 1 f ' '
, 3/26/85 50 7 .. cc • . ep . ,
e of geese Connection Chorpe: 425.00 pd
\ ( Permit Fee 1 40.00 pd
1 sue rs.: " » .50 pd
By /1 Misc. •
Dots .of I - ✓a.`. • .A" • • :.\ 1
Insp.: y t aOte {
'
Oily of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: )/0nn 1443
Permit Fee: 'U V
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: S - p1 —1 1 Site Address: 3 .a .eS^t W v..C1 tiZ E, A- (-,A Mtv
Tenant:
Name: (\f\
Suite #:
J
Address / City / Zip: 383 2S47C
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: 5 uunp t3 L c t `^s - uk e -eel cx4 e e_N
c d e
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.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 of plans.
x e,(
Applicant's Printed Name
x -k.t,
Applic is Signature
07/23/2013 19:32 N0.291 #001
For Office Use I
I 2 I
City of Eap I Penn it#: I a®35
I I
i1 I
3630 Pilot Knob Road
Eagan MN 86122 1 Date Received:
L--.. -
Phone: (651)675.5685
Fax: JG51) 676-6694
Emall: planningiMcltvofeagan.corn
ZONING PERMIT APPLICATION
O Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
ld~a~tji Site Address: J'`~1
~nfottixtetiorti ~ ( ( c
Owner Name:
Name: Phone:
Address; C) City/Staterzip: 1Q<<~~t~~_
-
Contact
Applicant Signature: - ' , fate: -
Email address: r ~;yL1~ ~IC~G>t ~ly Y=11.CiLt"~ J ~~G~
❑ Retaining Wall <4 feet Driveway ❑ Other:
❑ Patio ❑ Sport Court
y_pe 61f Work ❑ Sidewalk ❑ Fe
Description of work;
J
Planning Set oks, hl rd sutfaoe coverage, sFto> talnd,.zon ft bluff zdne/setbeck% eMd:
Arvid' Denied Date: -1 c~3-~j l Staff: k~
Notes:
Revised Plans
Approved: Yes 1 No Data: Staff:
EngiAeerrng Gr ding drainage, uti i y easaments,.,weUands, erostan control tmpfavem®nts In the±Rlght-of'Way, etc,
Approved / Denied Date: Staff.
Notes:
Revised Plans .W.~..
Approved' Yes / No Data: Staff:
Cgmm~nts : .
CALL BEFORE YOU DIG. Call Gopher State One Cell 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
G:1Bullding InspectloWPERMIT APPLICATIONS12011\2011 Permit Appllcatlons
07/23/2013 1932 HO.291 #002
The Twin Cities Paver of Choice .;,b.,
pBB~ Y~~ .I~I~~y~~~• BB~R
u:iwct: l
ESTIMATE By: #CZ?T
r
Date: I N,., . i •
Name: P
7745 2nd Avenue S.
Address: L~ t 10 V Y L Richfield, MN 55423
B Ph: 612-866-8836 - Fax: 612-866-8078
City: A G 14 n ~S 17- 3 _ P wwwAchfeldblacktop.com
No Yes U Ok to use Bobcat
(c) V - Z(o 0. 9'0-1 I _ Replace as is Lj in yard. Customer
Flares O repsonsible for any
(w) - Stumps/Roots ,6.V O yard/landscaping repair.
26, Permit Yes / No Water shut off 0 O
JO Remove Asphalt Drive (Extra charge if over 4") New Cover ❑ Sign -
Q Remove Concrete (Extra charge if over 4°) Drainage Problem O
U Apron removal 2 car- 3 car ❑ Design on separate copy.
-
Lt Cap Blocks (Does not incl. foundation work)
❑ Remove Gravel, Dirt or Sod ~,AS 5 p v tn~~ Y
-4 ~rBase, after compaction f 1 5 ~ b ~ w~►t~C
U Your existing base and ours
Regrade for proper drainage
Hot Mix Asphalt compacted to_.0' A fay`'
LI Addition to drive
U Concrete, see concrete form
g% Approximate Square feet
Yr. Warranty li 6,L) rh J N
Yr. Asphalt Protection Plan (see details on back)
Options: Gl ~L ~,,i T , b t] f=abric Installation SF ;'1;..
O Permlock LF. $
Customer Initial
Estimated Cost
Down ~ o o
Galan w.~ Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY Property Line?
1 2 3 4 5
Circle One
Licensed • Bonded - Insured - .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123194
Date Issued:06/02/2014
Permit Category:ePermit
Site Address: 3831 Westbury Dr
Lot:002 Block: 002 Addition: Westbury 1st
PID:10-83650-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Michael Koppi
3831 Westbury Dr
Eagan MN 55121
(651) 452-1874
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138652
Date Issued:09/12/2016
Permit Category:ePermit
Site Address: 3831 Westbury Dr
Lot:002 Block: 002 Addition: Westbury 1st
PID:10-83650-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Koppi
3831 Westbury Dr
Eagan MN 55121
(651) 452-1874
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150697
Date Issued:07/19/2018
Permit Category:ePermit
Site Address: 3831 Westbury Dr
Lot:002 Block: 002 Addition: Westbury 1st
PID:10-83650-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Koppi
3831 Westbury Dr
Eagan MN 55121
(651) 681-1440
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature