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3837 Westbury Dr CITYOF EAGAN 95,18 3830 Pilot Knob Roai, P.O. Box 21-199, Esgan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # V(o , Te M Yad ier S-T' T7WC,/GAR Est. Value $80,000 pQte SEPTEMBER 26 , 14 84 Site Addresa 3837 WESTBURY DR Erect [3 occupancy R3 W~S UR Lot~3 6lock 2 Gec/Sub. Remodel ? Zoning RI Percel No. Fiepair ? Type of Const. v Enlarge ? No. Stories W Name JOE HIILLER CONST Move ? Length 5 ~ 18133 CEDAR AVE Demolish ? Depch Address City FARMINGTON phone 431-'2001 Grade ? Sq. Ft. SAME Approvob Fses Name a~ Address Assessment Permit ' a u~ City Phone Water b Sew. 5urciwrye 40.00 Polica plan check 186.50 ~W Name Firo SqC 525.00 U~ Address Enq. Water Conn. 470.00 4 0:4. City Phone Plonner Wate? Meter 63.00 Council Rood Unit 260.00 I hereby acknowledge that I have read this opplicotion and stcte thot Bid9. off. 9/25/84 mj( COp17 ) 1.00 the informarion Is corcect ond agree to comply with all applicoble APC Total , 9 113 --50 Stoes oS Minnesatn Stotutes and City oF Eo9on Ordinorices. Var. Date Sipnotwe of Permittae A Building Pertnit ls iuued to: ~E lI E ST ori the express tondition thot oll work sholl be done in acwrdonc~-wiffi oH opplicable Stpte of Minnesoto Statutea or+d City of Eaflon Ordirantes. Buildinp Officiol 'Z - ~iSj / Permit No. Permit Holder Date Plumbin9 T-7 f; -.N ~l ~L H.VA.C. 0 5q C0 n-~Yo ~R 104 YbQ ~c b ZL ei.ct,ic d~~t~55 ~ d ~ I c Softensr Inspeetian Date Insp. Other Footinps D- •P A Foundation Framiny 22-1 Rough Plbg. Rough HVAC Inwlstion ~ Final Plbg. 3~. Final HVAC Finel S3 c~na. Water Dascribe Location: YYell Sewer Pr. D'ap. , ~ - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt ~ To be used for UEGK Est. Value ~ 3ooo Date ; i...~ ,19 Site Address 3c,37 NF:51'Hl'RY r-t.,LVi: OFFICE USE ONLY ~ Lot Block ? Sec/Sub. aF`.Tbi'"Y i IkS C On Ske Sewage Occupancy MWCC Syetem Zoning Parcel No. On Site Well (Actual) Const a Name City Water (Allowable) W PRV Required # of Storles ; Address ~ City Phone ; ~j Booster Pump Length Depth ¢ Name S.F.Total .o ~ i Address Footprint S.F. City Phone APPROVALS FEES ~ CC EngrJAssess. Permit - j • ~ ' ` W Name _ g Address Planner Surcharge • ' ~ 4 W City PhOne Council Plan Review Bidg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is conect and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Mefer Si9nature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks BuildingOff icial TOTAL ' Permit No. Permit Holder Date TeIsphone ie Plumbing H.V.A.C. Electric Softener Inspection Dats Insp. CommentS Footings 1 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP DeCk Ftg. 8 Deck Ffnal Well Pr. Disp. CITY OF EAGAM Remarks 1iJX~~-r-~rC~~ Addition WESTBURY FIRST ADDITION Lot 3 131k 2 Parcel 10 8369}O3002 Owner screet 3837 Westbury Drive State Eagan, MN 55123 Improvement Date Amount Annual Years g Payment Receipt Date STREETSURF. 2850,9O 2850.00 C010003 1-21-85 STREET RESTOR. GRADING C010003 1-21-85 SAN SEW TRUNK / 1985 436 . 23 29.08 15 SEWERLATERAL 19$6 '"jfl08.73 10015009.73 C610003 1-21-85 65.29 " " WA7ERMAIN 59.55 A014942 12-11-84 /&1 9=84:7 68 71 4 - 518- 15 WA7ER LATERAL 1986 WATER AREA Q 160.28 A014942 12-11-84 15 *Services 1986 STORM SEW TRK 1986 710. 24 142 .05 710.24 C010003 1-21-85 * STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #46626 9-26-84 WATER CONN, 470,00 " " 8WLOING PER. 9539 f7 11 SAC 5125-00 PARK ( Receipt PLUMBING PER(rA1T Permit No. CITY OF EAGAN Fee ,T' ~ - Fill in numbered spaces S/C Type or Print legib/y ' Tot c - 1. Date r7`•~ fs 2. Installation Cost 3. Job Address Lot Blk, c.~ Tractivi. 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential G} Commercial O Institutional D 9. Work Description: New,Ca Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet T Cesspool/Drainfield Bath tubs 7 $eptic Tank Lavato?Y / Softner ' Shower ! Well 1 Kitchen Sink Urinal/Bidet Other _L Laundry Tray ~ i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanc,es and codes governing this type of work, Signed : . ; , ~ • • j , ` for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Receipt ' I~~'I 7- MECHANICAL PERMIT Permit No. I` ~9 ~ CITY OF EAGAN Fee Fill in numbered spaces S/C ' Type or Princ /egibly Tot. 1. Date - -s 2. Installation Cost ' 3. Job Addresa-~~ ~-~Lqt~ Blk. ~ Tract 4. Owner 5. CoMractor. Phone 6. Address ~ 7. City State Zip 8. Building Type: Residential ~Q- Commercial ? Institutional ? 9. Work Description: New I0"- Add ? Alter ? Repair O t 1 10. Describe Fuel Type I 1'~ ~^<< 11. No. Equipment 8TU - M. Ea. No. EQUiament CFM i Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cand. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' l ' . c} for Rou h Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . . . : .i . , . a.; . _ CITY OF EAGAN N? 9538 . 3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be ntad fer SF DWC'/GAR Esf. Vulue $80,000 Dore SEPTEMBER 26, iq 84 SiteAddress 3837 WESTBURY DR Erect Ix Occupancy R3 LotI -Biock 7 Sec/Sub. WESTBURY IST Remadel ? Zoning RI Percel No. Repair ? Type of Conrt. V Enlarge ? Na. Stories ~ Name JOE MILLER CONST nnove ? Length 5'~- z Address 1$133 CEDAR AVE Demolish ? Depth 48 city FARMINGTON Pnone 431-2001 Grede ? Sq. Ft. SAME ' A'v0rovab Faas Z~ Name O ou Address Assessment Permit u~ City Phone Water 8 Sew. Surchorga 4 0 • 0 0 Police Plan check 186.50 GW` Name Fire SAC SZS.OO U-,V Address Eny. WaterConn. 470.00 ~W CitY Phone Plonner WoterMeter 63.00 " Council _ Rood Unit 260.00 I hereby ocknowledge thot I have read this application and sfote fhat Bldg. Off. 9/2 S 84 pwx( COpy ) 1.00 the inlormation is Correct ond ugree to wmply with oli applicuble AP~ Totel ~1, 918.50 Stote of Minnesota Statutes ond Ciry of Eagan Ordirwnces. . . Ver. Date Sipnature.of Permittee A Buiiding Permit Is iuued to: JOE MILLER CONST on the express conditlon Ihat oll work shell be done in aCwrdan ~ opplim e te f Minnesota Statutes and City of Eapon Ordinances. Buildinp Officiol . . _ . . . ~ CITY OF EAGAN N2 15 3 4 5 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Receipt u C,5 ~0 /.f" t~ L-~ To be used tor DECK Est. Value $1,000 Date 1Trr v 15 Site Address 3837 WESTBURY DRIVE OFFICE USE ONLY Lot 3 Block Z Sec/Sub. WESTBURY FIRST OnSiteSewage _ Occupancy MWCC System _ Zoning ParcelNo. OnSiteWell _ (ACtual)Const a Name ROBERT LANDIS cirywater _ (AUOwable) i 3837 WESTBURY DRIVE PRVRequired _ #ofStories Address ° City EAGAN phone 454-3730 eoosterPUmp _ Length Depth , p Name SAME S.F. Total ~ Q Address Footprint S.F. , P City Phone APPROVALS FEES ~ W Name Engr./Assess. Permit 2~+.00 Wi Planner Surcharge .50 i- Addrass a W City Phone Council Plan Review 81dg. ON. SAC, City I hereby acknowledge that I have read this application and state Ihat the Varience SAC, MWCC information is cotrect and agree to compty with all applicable Slate ot Water Conn Minnesota Statutes and City of Eagan Ordinanc~,s (~~WaterMeter Signature of Permittee Road Unit A Building Permit is issue to:_ $F.RT T.ANDIS Treatment Pt ontheexpressconditiont lallworkshallbedoneinacwrdancewithall applicable State of Minn a Statutes d C~ity of Eagan Ordinances. Parks TOTAL $24_ S!1 Building tficial SEDGWICK HEATING & AIR CONDITIONING CO. resTRecoR~ JOBNO. s97 ~6 6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 801-9000 ADORESS 3d 37 w~~ ry Q rl ?G CI7Y OCCUPANT pWNER 0~4r K ~ A~/SSOLDBY m•~~N~~~ INSTALLEDBY :N~~U~uS MAKE MODEL G 6ouN-3~r9 -070 SERIALNO. ~b vLj ~ V INPUT 0'90 / THERMOSTAT / SO 00 VENTSIZE VALVE ! I'-~- TYPEOFLMER LIMIT 1 l XY ~Pj~"/ , LINERS¢E r~ I 999~~~\ LIMITSETTING ~CYV FILTERS: SI2E NUMBER FAN SETTING 4-410L~/ WIRING PILOTTVPE TESTTAG J e~% IGNITION MODEL ' ' / LIGHTING INST. ql PILOTTIMING SA~OI DA7ETESTED PRESSURE S pERCENTCOz COMPANYTESTING INPUTCFH PERCENTOz STACK TEMP. :Zje~-yl PERCEN7 CO O NAME OF TES7ER FORM235(REV.11/09) FORMDISTRIBUrlO: WHITECOPV-JOBFILE VELLOWCOPV - qTY ! ALL CONTRACTORS MUST BE LZCENSED WITH THE CITY OF EAGAN jrl~ INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY ~ SET OF ENERGY CALCULATIONS To Be Used For: Valuation:~ Date: site Address: ~ gp~p ~ om Lot:_.f Block:_cL SV? c Sub: ~ 61 Erect: X Occupancy: Q-3 Parcel Remodel: Zoning: R_I Repair: Type Of Const: Owner: Enlarge: $ Stories: Move: Length: Address: Demolish: Depth: ~ City/Zip Code: Grade: Sq. Ft.: Phane Contractor. Address- p6 Assessments: Permit: City/Zip Cod • ~~~lC! Water/Sewer: Surcharge: Police: Plan Rev.: Phone Fire: SAC: 525.°' Engr.: Water Conn: 47p.°= Arch./Eng: Planner: Water Meter Address: Council: ~ Road Unit: 2fct'J~ Bldg. Off.: Parks: City/Zip Code: APC: Zco ~ i ~ ~ Variance: ~ /ly . RESIDENTIAL -J') FA-? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Coostruction Reouiremanb RemodellReoair Reauirements • 1 registered site surveys shmving sq. R. of lot, sq. fl. of house; and all roafeG areas • 2:opies of plan (20% mazimum lot wverage alloweG) . 1 set of Energy Calculatwns for heatetl additions • Z copies of plan showing Ceam & window s¢es; poured founE desgn, etc.) • 1 site survey for extenor additions 8 decks • 7 sel of Eneryy CalcWations . InOiwte if home served 6y seplic syslem for additions • 3 copies of Tree Preservafion Plan if lol platted after 711193 • Rim Joist Delail Options selMion sheet (hidgs with 3 or less uniLa) DATE I/7/3"00 VALUATION 31-1 (14, '70 SITEADDRESS33YrI MULTI-FAAAILYBLDG _Y ~-Alu1 TYPE OF WORK FIREPIAGE(S) _ 0 k1 _ 2 APPLICANT ~ -J- F STREETADDRES OLJ,ibm~nc~ C~ue, iU. CITY E^7 ZIP TELEPHONE # 7Cn~3/5'2SO~ELL PHdNE # -r FAX # PROPERTYOWNERNAA~ dTELEPHONE#4~/''/SV-373C3 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDiNGS ONLY Energy Code Category _ N[INvlSO'C:1 RUI.CS 7670 CATEGORY 1 MI]NVESO"C:\ RliLLS 7672 (d su6mission type) • Residential Venfilatlon Category 1 Worksheet Submitted . New Energy Code Wcrksheet Submitted • Energy Envelope Calculatlons Submittetl Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90_.00 Wa[er Heater _ No. of R.I. Bat~s\ No. of Baths - ' . . . . l.Li~ Mechanicai Confractor. Phone # Mccfuanical system includes: _ Air Conditioning Pee: S70.00 Heat Recovery Sys[cm Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this opplication, state that the information is correct, and agree to comply with all applicabie State of Minnesota Siatutes and City of Eagan Ordinances. Signafure af Applicar11`4QZ't22 ^ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received , Not Required _ Updaled 4102 OFFICE USE ONLY ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 Oi of _ piex ? 09 07-plex ? 17 6arege ? 22 Porch/Addn. (4-sea.) L] 33 Ext. Alt • SF ? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 43-plex 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int 4mprovement ? 38 Demolish (tnterior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entlre Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. ; Footings(deck) FinaWo C.O. . . _ Footings (addi[ion) plupbing _ Founda[ion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirGas Tests _ Fina] _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacementj [nsulation _ Retaining Wall Approved By , Building Inspector ' 8ase Fee Surcharge Plan Review MC/ES SAC Ciry SAC W ater Suppiy & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ As- S~- I I RESIDENTIAL . • BUILDING PERMIT APPLICATION CITY OF EACAN C 3830 PILOT KNOB RD, EACAN MN 55122 Q~- 651•68'1-4675 NewConstructionReauirements RemodellRawirReauirements • 3 registereE site surveys showirq sq. R. of IM, sq. ft. of house: and all roofed areas . 2 copies of plan (20Yo maximum lo[ wverage ailowed) . t set o( Eneryy CalculaGons For hea[e6 adCitions • 2 copies of plan shomrg heam 8 window s¢es; poured found desgn, etc.) . 1 site survey (or extenor addifions 3 Decks • 1 se[ of Eneryy Calala6ons . tndicate il home served 6y septic system for atlditions • 3 copies of Tree PreservaUon Plan if lat platted after 711193 . Rim Joist Oetail Optlons sHecNan sheet (61dgs wiM 7 or leu umfs) DATE A~ VALUATION 3 7j O(~ SITE ADQRESS ~j` / eSi" MULTI-FAMILY aLDG _ Y _ N TYPE OF WORR ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT !OK 6~',74 1 /A4i's ~ STREETADDRESS O CITY i~ STATE 3'/JZIP 2505 TELEPHONE # Lvr/-2,S-o7¢¢ CELL PHO E# 4-Iz-9G9'-,,~Z FAX #_50?-6-63_ `720b PROPERTYOWNER TELEPHONE# COIVIPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY 1 MINVESOTA RliLl57Gi2 (q submission type) • Residential VenGlaGon Category 1 Worksheet Submitted • New Energy Code W orksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contwctor: Phone # Plumbing system includes: _ Water Softener ~ Latim SprinlJer Fee: $90.00 Wa[er Heater _ No. oF R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mccliviical system includes _ Air CondiUOning n'7( Heat Recovcn' Svstcm 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 Minnesofa Siatutes and City of Eagan Ordinances. Signature of Appllcant - _____________OFF'ICE USE OtiLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 OFFICE USE ONLY 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 13 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New W 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding Q 32 Addition ? 36 Move Bfdg. ? 42 Demoiish (Founda[ion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entira Bldg only) - Give PCA handout to applicant Valuation v~C:ui Occupancy R •3 MC/ES System Census Code Zoning Ro City Water SAC Units ~ Stories Booster Pump Nbr. of Units Sq. Ft. PRV N6r. of Bldgs ^ Length Fire Sprinklered ~ Type of Const ~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinallNo C.O. _ Fooangs(addiaon) Plumbing _ Foundation ~ HVAC _ Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding Srucco Stone _ Fireplace _ R.I. _ Air Test _ F(nal _ Windows (newiieplacemen[) _ Insulapon ^ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies (J ~ , ,2y`¢ Other Total ' 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WI3ICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. ` MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SIIRVEY - CHECR WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS G To Be Used For: Valuation: Date: '7/6 Site Address o/". OFE'ICE USE ONLY Lot '5 Block a'-' On site sewage_ Occupancy I MWCC system Zoning Parcel/Sub On site well _ Actual Const City water Allowable ~p ~aA611i~5 PRV required _ # of stories Owner l Booster Pump ` Length Address 3837 G~/C)Sf,b~~~ l~rneptn C ~ /a3 S.F. Total City/Zip Code C(.[-a9/'7/13 n Footprint S.F. Phone V5,~- ~ 7,30 APPROVALS FEES Contraetor \611{77e AS )(l e~ En$r/Assess Permit Planner Sureharge Address Council Plan Review Bldg. OfF. ~J/12SAC, City City/Zip Code Varianee SAC, MWCC Water Conn Phone Water Meter Road [Init Areh./Engr. ~I~le /SJS 14~7011C' Treatment Pl Parks Address Copies TOTAL City/Zip Code Phone 7f entiflcate Por: ` - oe Miller Construction • E'lan: Dartmoor I._ : 18133-Gedar-Ave. -So ' Farmington, Mn. 55024 ~,e. . ; ~ . , DEIMAR H. SCNWANZ . . _ . , . : LANOSUNVEVORS~ ^ . ' , . . QpislarW UnOR l.aws Oi ThISbte o} Minn*fo4 '2878- 146TH STHEET W. - 80X M ~ROSEMOUNT, MINNESOTA 56088 ' PHONE 612 421.7789 ~ - SURVEYOR'SCERTIFICATE . ~ ..q . . ~.~~NNY..' •BBB.C.s t~./ . . , - S s9 42.' • ~n . . . , ~ . 30. s' - x _ ? Ip t,~ u) I BB63- ~ ~ ~ 22.73 ' r 2f. G7 N 0 ,p °q . ~ N 1 N o ~ a ~ ` . ~ zv.o6 io c~ g'3~4?' Z?"ui ssp.c~ ZU4.~710 . BsfZ f . ,r+ ~ 2 ? ~l ~ f : - ~.J ~ Set wood hub ~ - _ ,IJSI = Existing elevaEion , . Proposed garage floor elevation { . r . . . . ' . ~:r , . a' ' ~ , ~ _ ~,~NJi'i."* . i,5•• • _ ' ~ _ _ . r 3 '.TC{^ .Y. ' ~ . . . . . - : . . . ~,M:;i• ~ s ` s~ ~ereby certify tha[ this is a true and correct representation of the y following described tract of land: Lot 3, Elock 2, WESTBURY FIRST ADDITION, according to the recorded plat~ 9:~ti~~ 'r thereof, Dakota Coun[y, Minnesot8 9~ r . . . ' , s ; ..t F Also~showing the tocation of a proposed house as staked thereon.this ~ t ~/9TN day, of.~EVT , 199~. , '.~iSrF.~ .«i ry ryr ? '4' 'i h- ~'r 'r ' . r ~ 4 - . f c Zi~s•~s+rr~ ~ ~Sk 't~ ~ ~ . ~ a t e . ~ Y" % a~Y' r.eF+e a~i. ~+P'lS '~n..~ .i r~ ~ ~ n.• ~ i kS ~ t.,nw-~q} '.~~+•''_af~+ ay5~l ~ ~i ~YS^id~i ~ v .,t ~ r t.• ia i~! ~ ' ¢,`r-^~.t'~~i ,FG'.N" Vl1 7j k~+, a6 T i e F~~'+c.~ u ?rs' /'~`y u z ~ . sp-.~a l~s,F-~ :~~+}t ' •~+'~e~f -K ~ 3,z ;-a?-• ~~~t C,q 1'~ <~n,.~• . t q~'~ - = ta-° 1's- 3.d. ~ ~ ti 4~ x Y L ~.F.. MINNESOTA REGISTRATION NO 8826 ? '+~d'~lL3F--7k"''r=4dr~"cr~.L~i?rr~'t~a-.°d.:~kS2Yi~3'-i~t'.'v,..,.-~.°...'s'sk~.+~..~'...c~a'YS.::~~~'.+d;5"~.~~'',_;. e~Miller=Qonatruction*~~r: P18I'1 D$Y't14002' 18133 Cedar Ave `So. t . ~ ~~~'Y > . ` ~ ' ` ~ h ~ ~'~rmington, ~ J~5~~2~ + ~ y,s.t c 7 r , ~ S;~ ' ..y. _ ~ . : d t -a am. . y ~ . . 'y"'` ~r 1~ ! a~ ~ rt• DELMAR H. SCHWANZ r:lANb~SURVEVORS~~..~AIG~ UnOar L4wf ot Th#54b of Minnowta L 4 r STNEET W- BOX M ~~~HOSEMOUNT, MINNESOTA 56088 PHONE 812 42}i768 i ~.°Sy. A ' . . F. SURVEVOR SCERTIFICATE . ~ t _ ~ t as~ ; ~p ~-sr v~ •r ; ~ NNA , 00.9°w9 15 89°42:' 2? Ob ~ r ~ - - , , t„ tp if1 M ~ LL). . . . t ~r e'.. . P'l r l F t $ Zt G9 14X- a ~/pusE y ^r> m tb_ IC : ~ I :r! Jo -a rl~~ a.`, L S aJy3~ uI .493.6z ZU4~ ~~v B8424 .7of'Nrg . . ToYNr6 L- , _ , , . ; ` ` . C3 = Set wood hu6 lf,9sl = Existing elevaEion , g$~.0 - Proposed'garage floor elevation - ~ t y .i'!~ ~ r. 3 -vt_ T-' T~ t~ i•:~,. 1 ~~r~ ~ o ~ y- 5 ~ .v~-i~`, r • L ~ Y'$~'b ~t r}a,-w a"M E :..Cs t w`~7 r y,~r^ 'V`rt:. T tk'1 "~^as.t 'i` ~Gn v : ~ ~!'iu r W~ G-q~ I,'Kereby certify'that tpis is a true and correct representa[ion of the ' failowing descrlbed trac[ of kand s}.;r rx ~ ~y, . ~ t s -t ~ ~ ~ e '3.sy.~` . . Lot 3, Hlock 2, 'WEST$URY,FIRST ADDITION,~according to the recorded plat z aF<~,~~ khereof ~ DakOtB CoLrit}t , M1IIIIeSOtS s ~ c:- ~ i.i„y~r-4a` : ~Y s S~ . a rai'~`~ri .,Fa 4s £"1''1" ~Eso shoving thejoCAtion of a proposed house as staked thereon this~~ ytn ~!.~*yyy }aE,w.Y ~'~9TN ' a$y Of, 9~%~~. Kt4 r u r 3: , d ~ ,etfi ~ J11 ~Ar 4 i 4 Fs, 3 J : .y l° a ,T ,*s ..h _4L,yCta~ W t~s i 5. w y.~ ? i.~' E y#..~K~ . ',~z`!'"{.~y~ ~4?"` 'Mw~+~v.~.~~`.'.-r...5,{.M.1J'~~,.~i.."^~•~:. i:~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) cu~a 3830 PILiOT KN B RDN 55122 (a• ~ U"~( 651-681-4675 p,-- New Conshucflon ReauiremeMs ~651~ ~ , Remotlel/Reoatr Reauiremenfs ~ ? 3 reghfered sHe surveys showing sq. H. of lof, sq. H. of house 2 copies W plan and QH rooted areas (207, moxlmum lof coveraae allowed) t sM of energy calculatlons for hea}ed addBlons ? 2 copies of plans (show beam & window s&es; poured fnd. design; efc.) 1 sHe survey for exterior addMions 3 decks ? 1 set of energy cakulahans ? 3 copies W hee pre:ervalion ptan H lot platfed aRer 7/1/93 DATE: ZS CONSTRUCTION COST: ~ ~.7~.J• 0 DESCRIPTION OF WORK: 'C.~ STREETADDRESS: LOT: ~ BLOCK: SUBD./P.I.D. Name-Owy [ 1 V K i Ud(,1 ~Vt~C+ Phone (~D:J I ~I "i z,~Z-' -~7 -s 0 PROPERTY Lcs? Ftrs OWNER Street Address: ~J~~ A~1 S`~. ~7 • cit~ O-CACLN-> state: M Yl~ . np: ~S 12 ~ Phone CCD1Z. -~~OSLO 1 (area code) CONTRACTOR I O~O~ ~ t~, It /1. ~ C Z~ Sheet Address: C~~ J License # G'~~1.-~i7 /L~Exp. t'~ Ciiy ?~(-X)OAJ!nC1 State:Zip: 2l l ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheet Address: Registration City State: Zip: Sewer 8 wafer Ilcensed plumber (reaulred for new construcfion onlvl: PenaNy applies when address change and lot change i: requested once permN Is Issued. 4 hereby acknowledge That I have read thts applicaHon, state that the int rmatlon Is correc}, and agree to comply wfth all applicabl State of Mlnnesota Statutes and CNy of Eagan Ordinances. , Slgnature of Applicant: OFFICE USE ONLY ~ ER~FCEIVIEni Certifcates o f Survey Received Yes No 9 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 af _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) O 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge P1an Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: SAC Units °h SAC , . ` • i 2/84 i CITY Or ERGAN l II APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTION _ , . . . , , (PLEASE PNINT) 1) PROPER''Y ADDRESS: t~3 /,ves f' r T.FrAr• DESCFtIPTIC:1: (Lot/Block/Subdivision or Tax Parcel I.D. Nlmber) .]"r S?'P.L'CT;J:tE, DATE OF ORiGi^.IAL 'r.iiILDL;G PEF•1IT .ISSurING: : ear; PRESLT -~:2:7Pr,/PVZPOSr'TJ C'S: f.7'p,-1 Si1;GL: FA:4II.Y • ? R-2 DL1PL...{ ('ISNIO UZIITS ) ' [3 R-3 TCxRLSIIiCUSE (TF?Q.r::. + L^7ITS) ( L.IITS) ? R-4 APt1RT_`fENT/CCimGnL`IILtil Q C0,%llMERCLz1L/RErAII,/0FFIC " ? LML'STZIaL _ ? ZNSTITLTIO:]AL/GGVERrZIE.'~'T 2) A.DPLIGuN1T . (PLEASE PFIiYi) . , ADDRESS: l8/ 33 GesP.s~ Auc S CITY, STATE, zIP: F.ar,~,~~,[eJ ~?tN sSd2~ . ' Pxo.E: N31- .2oo / PLEASE PIiiNT) 3) PLL:16E4 ' FOR CITY USE ONLY NAME: ~ryh,oLek Aikma•,.s _ ~ Pl,ll ENS IICEVSE: ADDRESS: /Y218 33~CQ Xloa A~. Active CITY, STATE, ZIP: y 14 mewN. »'ttJ S~Si~// Expired i ~TFR Not f Record PH~_ 569- ~ 3c aPLUMBER LICENSE N c2p65 ~'J3'' a FF7 nitia 4) p=ppNT/d0TER (PLEASE PRiNf) ' ' . . NF1P9E: , . . ADDRESS: CITY, STATE, 2IP: 5??,?la Jgs ~ PHIXVE: 5) INDICI\TE TQHICH PEFI•tIT IS BEING RDQUESTID: . _ _ ~ ~ CONNECrION ZO CITY SEFIER ~ CONNfCfION 2q CITY S+TATER E] 071ER (PIEASE DF._SCRIIIE) 6) IP.DIGam u+'E: • ig PI,E1SE fIOID APPRaVfD pgt,tiLIT FOR PICF:-UP BY'ONE.OF }180VE ? PI.FASE b+Aii, ApPROVED PERNIIT , T0 1. 2. .3, 4 ABWE. (Circle one), , 7) si~Az~~: ~ir+A~ DAxE: pc,,j ~ ! 8fy . . 2/84 - ~PCZTY OF EAGAN APPLICATIODI FOR PERiMIT • l' SELQER AND/OR SdATER CONNECTIO,T (PLEASE PRIHT) 1) PP.OP= ApOR.55: r Fr',L DESCRI?TZC:I: (Lot/Bloc:ti/Sl:bcivisicn or TaY ?arcel I.D. Ntar,ter) STRL'C^.';M, Dr1T' 0_° Oc2LG21rli, ciiIT~^.MG n.i_ S. PR'S'= --TT./P??OPOS:m C'S: ? R-1 SL;GZ: FA',t-=Y - ? :3-2 CUP= (7ti0 L'::ITSi . ? R-3 'IC?,;y-.mvrcr (mI-_c^ ~ L=I.,.S) ~ II:iI"'S) ? R~4 t;?:.:.'T_`~":T/C'_Zl:i;r;Ii.`-1 ( U:iIT_Si Q CCifitE°CI.aZ/RE:.7~Ii,/Or 'IC:: ? 1'CliSi?.T7S, ? I\STI:LTZO.%'AL/G:JF.,Z:~nT~E-;m 2) PPPT...'=.,T iPLE;.SE rRflii) NAi•^c.': ADCRESS: CTM"_'. STAT°, ZIP: - Pf?OiNE: 3) PL=,T-m . (PLEAS"c PRINT) FOR CI1Y l1SE 04Lr PUJNBERS IICEYSE: ADDZESS: = Active CITY, STATG, ZIP: 0 Expired NacR Q Nat of Retord PHOiNE: PLUNBEN LICENSE N arr nitia Q) OCCv+ppj,T/CryTTM NAME (PLEASE PR1NT) : ADDRESS: CITY, STATE, ZIP: PHO*IE: 5) INUICA'I'E ;+7HZCFI PERMIT IS SEItiG RFQUESTID: ? CC.INECI'IO.I T'J CZTY SES-iER ? COC7:IX;I0;1 TO CITY IVATEft ~ Oi'[tF'R (PI.Pt`SE D._SC'i2IBE) 6) IP:DIG,-l" ? PL°.~SE E?OID APP;tOVID Pgt,+'!IT FOR PICi:-G'P BY ONE GF AEGVE ? PI.MSE ~''.IL APPR= PM-LLT 'PJ 1, 2, 3, 4 F1fiOVE (Circle one) 7) SSCN'ILM: ' DAT'E: s !~l qilaifa./Y i~ i eR l~:af~j !~a ns o sra i s s rCSar-i:~ a at a! ~clfa v~s f~ ~`s ! a sCS.~a , F O R C I T Y U S E O N L Y PER".iT ISSUED , F_°ES_ $ /o - S 6 SE:iEP. PEBl1T^y` (r~ICL'=`_ SURC::?RGE) +S F7ATER PEP.PlTT (INICLUDE JURC::A12GL) $ ---d WATER METER/COPPERHORN/OUTSICE READER $ WATE3 TAP (ZNCLUDE CORPCRATION STC?) $ S: WE4 TAP $ $ ACCOliNT D="POSIT - WAT_P $ ~/7 d . ~ wac $ U ~;`.°-rJ SP.C $ TRUNK WATER ASSESS:,1`':IT $ TRL:'ITC S_'.:'JE~.'~. ASjc.SS:•?°NT $ LA:ERnL BE:iEFIT/TRU.`IiC SET:iER $ LATE:ZAL BENEFIT/TRUSK WAT°R $ OTHE? ' $ TOTI,L i -fJ $ y. P.iti?Oti.iT PAIDjRECEI^rT 7 Z:3~ / DOES UTILZTY CONNECTION REQUIRE EXCF,VATZON IN PUBLIC RIGHT OF SJAY? ~ YES IF YES, THEN n"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED SY THE NO ENGINEERIt]G DIVISION. LZST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY<::4(~D DATE: wps nt= remsaWsm W±4 0*00wsrm m ,----w„_, ~ ~"W"rtc~Ica Us~ ~ City of Eap I Permit#: I ~ 3830 Pllot Knob Road ~ Permit Fee: ~_.~...E Eagan MN 55122 I oaie a~ Ad:~ I~ Phone: (651) 675-5675 I l5 Fax: (651) 675-5694 ~ Stafl: 2008 RESIDENTIAL PLUMBING PERMIT APPLIC ON Date: 7/tk SIteAddress: ~ O~ I Vve I?~• BY -••-•°-"'°"'-'Tenant: Suite RESIDENTlOWNER Name: ~1LlLlT ~_A.VI(~US Phone:CRSI 'qs"13_73C) Address / City / Zip: S.lJ'VlK (A S Gii QlJo~-, , r ` CONTRACTOR Name: c~S I(,1.Y11i(J Q. n License 00 1 _L~Q,3 Address:.~a Sk. cLI.~CY1 I l'~ City: c2~ !/1 State: J I V I v Zip: 11:7~3so'. Phone: I4ID- ~000 4`I I Oa+ Contact Person: UaC (Nl TYPE OF WORK ~ New _ Replacement _ Repair _ Rebuild _ ModitySpace _ Work in R.O.W. k Descri tion of work: I/MIA r PERMIT TYPE RESlDENTfAL Water Heater _ Water Softener ~ Lawn Irriga6oq _ Add Plumbing Fxtures _ RPZ / X PVB) C_ Main _ Lower Level) 7T Septic System _ Water Turnaround New Abandonmerrt RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.so State Surcharge) `Water Turnaround (add $136.00 if a 5/6" 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 bumed out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this iniormatlon is complete and accurate; lhat the work will 6e in confomiance with the ordinances and codes oi the City of Eagan; Ihat I understand ihis is not a permit, but only an application for a pertnit, and work i lo starl without a permit; thal the work wi11 be in accorUance with the approved plan in the case of work which requires a review a;fts sApplicanYs Printed Name Signature ! FOR OFFICE USE . Reviewed By: Da4e: Re4uiredInsPectionsn ,_Ucrder Ground' _Rougb-)n -,AirTest. Gas Tesk _ FinaL ~ • . ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3837 Westbury Dr Lot: 3 Block: 2 Addition: Westbury 1st PID:10- 83650- 030 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 Owner: Robert L Landis 3837 Westbury Dr Eagan MN 55123 $50.50 Permit Type: Permit Number: Date Issued: Permit Category: $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA079952 09/24/2007 ePermit ñü ðÿð þýýüûúûûú û ùüüýýðïðÿêýþ ä÷ ýþ û ìäáïä þý ÿþýüûú÷õ à þüûú ÷ ÷õ à öõàëúó ãþ þ íäíåþúû ß ÿòþ óú çó ó òþ ó ý ó éæ õõú æ æ ó ý úéæ æ úæ é ýóè òþ ýûõ æóûó é ùêäâêììéïì éíìï öù ÿþ ê éïð é ðï Þþä é õô óò úú ëõ ëý ðþûë÷ äìä÷ ýþ û ë ç öïï ä öïï ä ñáï îáíí ýûõç úú æ ó óúûõúúýÿ æ ÿþ ûæå é úúà óÿþ þûÿþ R �t�it► Arad " h� PERMI IQ. DATE: 11 -1 -4 • of t�ijt w�11 w�I31C �e /War+ess: » 7 ' at �° W � tiva L 12 t L . µ �a° t b { I �lo. a; a Cannection C htirge '470.00 pd Account Deposit: 15, 00 pa r . �' �° ` Permit Fey: 1 r+. ' 50 eaMptjr with the CifY of Eegon Surchorgec •. . d `• a rcs. 7 Mi Charges: 3 • p4 > t* .1 Tomb x Date Paid: Dot of Insp.: % � Irsp.: 149 r_ weAN \ SEWER SERVla DIFD l t9 f�oii PERMIT NO: . ., r �,, 55121 1 No of Units: Jot Milxe' Conan address: 3837 West ux Drive L3 `B2 Weetbu y, 1st :Site 1 d ress: o - Plumber: � I • * * 9-26-84 662. 4 5.00 1 coy p ly wish the • ]► n Connection Cho t prrdier nees. unt Depo , ' \r S PP 4, fee: t .. Surcharge: Misc. Gorges: BY Total: Date Paid: City of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: /0 r Use BLUE or BLACK Ink For Office Use Permit #: (0-7E1‘:7 ` " Permit Fee: 60. CO Date Received: Staff: INFLOW &.INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water /0 "" 9, D / 2- Site Address: Tenant: 3837 r)EST 80 Ry bRtUG Suite #: Name: RD1?E T L-191116/3 Phone: 6 S/ 4`..4-$' 3730 Address / City / Zip: 3g 3 7 14/E0TBURy Z / ti9G 94' 3 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: RD U% 51.1111P PmJ/LJ p cbtsciim7R&E c907" oF-5/,V 4/i),6 /A/To )/ R/ 49.ER 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 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.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. 0:444e% Applicant's Printed Name Applicant's Signature x ROZ3tT/? T 1-, ?/V.af5 Date: City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or..BLACK .Ink For Office Use %� Permit #: '1 � 061 Permit Fee: 27/65v Date Received: - / (Z Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Name: LA L- 4N/ t l5 Address / City / Zip: 3,837 k/,13u 1 b i Applicant is: Owner Contractor Unit #: Phone: In S G 1-54 `373 TYPE OFWORK Description of work: (P C ONE AII3o Construction Cost: 4 -j, 60 o Multi -Family Building: (Yes / No Company: �L� 4-1 465 ,- 1-'A � A o Contact: j�( 'K Address: 133 l h WuRdr C, f City: 4) PLk /4 -(--tet' State: M`V Zip: 5-57 Z Phone: 6/2_ U Z- V 6 773 License #: 17 t 0 Z4 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) uiL✓i Af-IER 1978 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. 'Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota tate Building Code ust be com.leted within 180 days of permit issua ce. At k oZ � K xr Applicant's Printed Name x Applica(pt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA111342 Date Issued:06/19/2013 Permit Category:ePermit Site Address: 3837 Westbury Dr Lot:003 Block: 002 Addition: Westbury 1st PID:10-83650-02-030 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Robert L Landis 3837 Westbury Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature . �� r————————————————1 I For Office Use I 1• ; �� 5� ' �1�� Permit#: � I I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: � �----------------- Phone:(651)675-5685 Fax: (651)675-5694 Email: planninqta�citvofeaqan.com ZONING PERMIT APPLIC:ATION p Please identify improvements on a scaled site plan drawiing that shows lot lines, structures and existing conditions. � „ , ��t �� u � ��r� ��r��; s Site Address: 3� 3�� W�5�,�3L�''P?�('1��1�6�: ,C,dC��N �9 P� ��3 � � ��' �[i�� 0 ��T��" , �� - �-�� Owner Name: RO�`��'�12 )� t,� �- �)L�� -13�'� �L� _ ��"F.<..: �� a�� Phone: (��.5�`I �'�a� �� '/ �� 9��,�<< �� '' -, Name: I,/��y `L.(�ND�� _ � � �a �� ,� a�� aadress: ��3� V►t��.y `�R c�ryistateizp: �A(�A� �N :� t �� '��n - i 7 � `� �''�� .,� �- � � = �� = ��4 Applicant Signature: ��oD'�� d' � ��-�� Date: '�'�:.�Q '"'�� ,� ��= �� , .� '"�� `�� f�r�e��r� r � �:��r 1,r►� . r��-�: � �, -� � _ �, . Email address: ra,��'� :� � � ��- �;� `•�� `` �� :�❑ Retaining Wall<4 feef � ❑ Driveway � � � � �other: a5'rt�R�-�� i�l�� '�� „��t ❑ Patio � � � ❑ Sport Court � ��O�� "�,� ❑ Sidewalk ❑ Fence � � � �� u��,{,� a,�n '��`, ��"u��_ Descriptionofwork: C.OtiS"fIZU�� I�xt� St`�Cl� �� I�� 7�✓�C��1� �rI�IQ�►�� .�� " � �- , ` v �Ft� �ng �� =�et � r�su ,�� ; �:��e,�� r�1� �zcz�'i�i }b F �� .��, �� x � `�� ' �x. ��, � fi � h- - ��a� � .. .a � -. ,. . � � - _ - . ...... .iw. .- _ _.... . : . ... _ :.. Approved Denied Date: ��7j�''l 5� Staff: �'��1' / • = m�CI �l�vV� O'� a C�--`�-�P� G-CC�°-��SC3� `�VV C.�'C1'�S j S�EE, p�.�-c�,e-c� In.c�rCl a v�#- � ' �v �� '(�1 C ' -�,��- U'� � Revised Plans �},(?�;�'13�-e�-'� Approved: Yes/No Date: Staff: � �t�- ��uc: ��. i, � ' � ��sa �, .. : d(4�;, . �: a� mi� �: .- v � � �� li � ' �� r3�t��8�'�� r��ir�}�,cfr�in'a�� "l�ty aserr��, ��3 vfir��l v;�l��rc�s�� olx��rr�v Q �ri��n �i�#�f � e#� '� �� .�. ,... � � , �.� - � -�.. n.w: ��.�:: �z :�� __ _ Approved/Denied '��; p�,��_��` Notes: � re�ponss�3e for campliance with Properiy rnes tc��v�rE�ie� a�pi�c�t��e ccar��tru�fii�n codes. by contractor,��wn�r. Revised Plans Approved: Yes/No Date: Staff: ,� �� j�l �� .. . V�' � '�'�'x �� d� .�.y �(I' '`"0�� :< ' .'uLL-_» � � �k�.a ,�NH7�`� .�ua ;. !(�4:�: � I 1�-;'.: - t G� or; ir:.: : *�'� `!�f CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for K�rotection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq G:\Building Inspections\PERMIT APPLICATIONS � � �J : M � � I � � � — V1 ,y„ � .� !} C�G 1� Z � ._ 4 � � J � � � i, • N .. 1 � � � z � _ � �, � a � �- ( � � � 'tJ `�` I + � � � � � � , j � � � � t�----9 - -� -�---� � � .g l � -a � __—___ : m ,� � � � U � � � j cn � o .�� o • ; .� �-v ,�,g ,... _r _ � � � v, c.� � � V U .''� c � ;.� C!! '_' G \`�` �� 1 ; � i ¢o o �'$ �� _--, ; , `—� m � �,; , �, ' p� � ._ � .�--� j G"i€a � Q. � � p" I � i � � � 1 � ~ � � � � � i � " � � 1 � 0 � , A j � w �i � � � � � � � f-s N, '-`� 1 l a � 1 r � F- o a � o .� � � � a � i I 3 � � l ; � 1 � ' .` . !'` � i — � c-e c- � � � � � ' � �"`'— � t.� �b � : T N o� � --' � � �' `� , s � .� , ; -�- Q � � � � ; J ; i .�.. _ _ �. _ � � Use BLUE or BLACK Ink For Office Use CL— Permit#: ,6/ City OfE Perm � Permit Fee: tom.l: ,J�yyis 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 1. 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: — /7 1 7 Site Address: 3' 3 7 IA) £5 T a 4.)R% J7 . Tenant: /J"--Suite#: Name:rvrtp DG '�'� n.. l. ` ��GUwD ( (� 3 Phone: /_, z74.3 � ,b �o � O Resideftt wner rt Address/City/Zip 3 7 LA)66 l 8i)12. EA&AN �JI 2-3 F i Name: License#: Contra r Address: City: State: Zip: Phone: } Contact: Email: New (�. Replacement —Repair Rebuild —Modify Space Work in R.O.W. Type of Work — — Description of work: RESIDENTIAL, SI• VWater Heater Water Softener Lawn Irrigation ( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/—Lower Level) Septic System f I New Water Turnaround Abandonment e L C GJ i 1 l' 5H U T 0 Fr AJ b&5 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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. ;,all 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq 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. A DBERT l . L fiMD 15 x A �/ p� c--1:47104 kpplicant's Printed Name Applicant's Signature 'OR OFFICE USS Reviewed By: Date: iegaired Inspections Under Oraund Roug :tn AirTest. Gas Test Final later Related Items: Meter Size Radio Read Read.iMaf am r` Staff: • ‘ 1/#1,0,P • C- For Office Use � &.,a- ,, t� � ;�� Permit#: ..„, E AG A N ,.....,,,, (-6_. .,..., Permit Fee: /,, " IN✓T-- . Date Received: `� V ,��/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-18101119-.1-`u-a---C (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56941 Staff: buildinginspections(a�citvofeagan.com JUN 1 3 L ,f____j 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/12/18 Site Address: 3837 Westbury Dr Unit#: .......... Larry & Judy Landis Phone: 651-431-8066 Name: Resident/ owner Address/City/Zip: 3837 Westbury Dr. Applicant is: X Owner Contractor Type of Work r Description of work. Replace window with triple sliding door Construction Cost: $400 Multi-Family Building: (Yes /No X ) Stacy Strojny Design, Inc StacyStrojny Company: Contact: i ' Address: 13194 Glenhaven Ave. City: Apple Valley Contractor Phone: 612-490-69 Email: SStrojny@yahoo.COm State: MN Zip: 55124 License#: CR713158 Lead eftificate#: If the project is exempt from lead certification, please explain why: Replace window only 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 tbe information may be • classified as non-•ublic if •u=rovide s ecific reasons that would.•ermit the Cit to conclude that tare 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.citvofeauan.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.00pherstateonecall.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 isi 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. xStacy Strojny x Applicant's Printed Name Applicant's Signature 33-7 Wi/..s+bJr, ci){ DO NOT WRITE BELOW THIS LINE /✓Oa 7 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 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 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: -- Footings (Deck) Final/C.O. Required Footings (Addition) x Final/No C.O. Required Foundation Foundation Before Backfill i HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test 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: Tt , Building Inspector RESIDENTIAL FEES t , 03 ' Base Fee �v({ 41)6/1/' Surcharge 't Plan Review 6 r'iCrAt'/' ,s, MCES SAC ��T {! City SAC Utility Connection Charge cr' S&W Permit&Surcharge r'1 Treatment Plant _ " 12_ (9 `9 Copies 3 pd.< ) f TOTAL (7 16/1/ Page 2 of 3 Jeffrey Wheeler From: R.J.Landis <landisrj@earthlink.net> RECEIVED Sent: Monday,April 29, 2019 11:38 AM APR 2 9 2019 To: Jeffrey Wheeler Subject: request to amend Inspection Record Hello Jeff, I would like to amend the inspection record#EA142150. For 3837 Westbury Dr.,Eagan. 55123-2077 original description was, Replace: 1.watersoftener, 2.Water heater, 3.two water shutoff valves Amend to say replace: 1. Water softener, 2.Two water shut off valves. If you have any questions I can be reached at 651-431-8066. Robert L. Landis 9 ad c i't/4 a/i9 rd /Z/2,4fDit A, YIt kv /I i ,¢;4v /x, ;,1 N P QED Pot/,lir E'y. _.s__... SS..d 0%///? :DNS DIVE::; ON PERMIT City of Eagan Permit Type:Building Permit Number:EA168557 Date Issued:04/26/2021 Permit Category:ePermit Site Address: 3837 Westbury Dr Lot:003 Block: 002 Addition: Westbury 1st PID:10-83650-02-030 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert L & Judy Landis 3837 Westbury Dr Saint Paul MN 55123--207 Jtr Roofing 11200 Stillwater Blvd N, Suite 106B Lake Elmo MN 55042 (651) 777-7394 Applicant/Permitee: Signature Issued By: Signature