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3843 Westbury Dr REACTIVATED FOR DLCR 5/86 CITY OF EAGAN . 3830 Pilot Knwb Road, P.O. Box 21-199. Eagan, MN 55121 PHONE: 454-8100 BUILDING 'ERMIT Receipt # TO M wad fa W. Volue Dote 22 , 19 - 3$43 FI88TBURY DR Erect Sl Occupa: -y R3 Site Addrea Lot 4 Block Z Sec/Sub. W$ST111[1HY I Remodel ? Zonirrt Al Repair ? Type of Contt. V Parcel No. Enlarge ? No. Storia GRAND O~U~CS Move ? Length 60 ~ Name pemoliah ? Depth 48 z Ada.es, 881SUNRISE CT crede ? sv. Ft. City EAGM Phone 452-893e Irntall ? Name Aworals Eoq ~ Addren Assessment Permit • O ~ City Phone WaKr 3 Sew. Surchnrpe 3 S. Do Poliq Plan Review 171.s0 t~„W Name Firo 5AC 525 • 90 MZ Addreas Enp. Woter Conn. S00, ~ W City Phorte Plonner Watar Meter _63.e~ 0 Councfl Road Unit 284 - n0 I herrby ocknowledgm fhat I haw rood thi: applicotion ond state thot Bldg. Qff. 4 ZZ 8S T.P. 132.00 tM inforenation is oo?rect and agree to comply with o11 applicable APC Total r 49 • -3-0 Stah of Minnesota Srotutes ond City of Eayon Ordinanc+s. Var. Date Siynatun of Pennin.. GRMD o"s nsvxLOpMsaiT co A 8uildinq Permit Is iuwd to: a+ fhe expreas conditlon tho+ oll work sholl bt dono in oooordona with ppliaobie State iA Mlnmsoro StotuMs o.,d City of Enpon Ordinonus. Buildirp ONitid I • '•c~~ `,i. Pannit No. Pwmk Holdn Daa Tel hon~ ~ ~~~ing H.VA.C. ~ L( U - 0 5,5v E"c ~ a.~' `1k-o-~-~~-•_, s~ G I gIge 5 5 .t ~ 7 soft.rNr Infpeetian Date Insp. Other Footin~ i r e Foundst n Fr~min9 RooHng Rou~ Plbq. y ~ Rough HVAC ~ hPALgO X**' yv 9,-'J&eA-. - / P - Insulation Final Plbp. .4 roc, - q.bT -vGt3/Y../ ~1,J Final HVAC ~ CVST Y~f~ i ,5 G - Final c..voor- waar OKaibe Locscion: /~ac~ ~'6~ Z xr~ ~ /o wro s.w.. Pr. Disp. i?~.~ CITY OF EAGAN Remarks . Addition WESTBLTRY FIRST ADDITION Lot 4 Blk 2 Parcel 10 83650 049 02 Owner street 3843 Westbury Drive state Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1986 2850 2850.0 STREET RESTOR. - GRADING Water Area 1986 133.79 8.92 15 133.79 SAN SEW TRUNK 19$5 436.23 * SEWER LATERAL 1986 5008.13- 1001-75- 5 5008-73 Watermain 1986 65.29 4.35 15 65.29 WATERMAIN 1984 68 71 WATER LATERAL 1986 ~ WATER AREA *Services 1986 STORM SEW TRK E 1986 ]j,Q. 710.24 STORM 5EW LAT 1986 ClJR6 & GUTTER SIDEWALK STREET LIGHT Road Unit 280.00 51071 4/22185 WATER CONN. 500.00 " " 13UILDING PER, 10123 s,ac 525.00 PARK INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Itnob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I ; 4 j4i APPLICANT: ~ I i: •_,TsttiRS~ nk r~~ , ~ r:, PERIUIIT SUBTYPE: TYPE OF WORK: INSPECTION • I ~ L~ - J PertnR No. Pertnit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspectfon Data Insp. Commanta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINCi PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE o - v FIREPLACE X k AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTI4N REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: APPUCANT: ~ f ~ r:?. r ~ .TR11}rY l~~t ~ , i ~ , • I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . Psrmit No. Parmft Holdar Data TelepAona A ELECTRIC PLUMBIN(i ~l,I'c,~' . ~t.IXJeQ,py~~ //S"0 97 a7~ p~7 HVAC Inspection Date Insp. Comments FODTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK Ff(3 DECK FlNAL Repipt MECHANICAL PERMIT Pamit No. CITY OF EAGAN Fes _ ~ Fil1 in numberied *acas S/C - TyPe ar Print legibly Tot. 1. Date 2. Installation Cost i.. 3. Job Address Lot ' Blk. Tract 4. Owner i - , 5. Conuactor Phone 8. Addreu 7. City ' State Zip 8. Building Type: Residsntial O Commercial O Institutional O 9. Work Descriptian: New G7 Add ? Alter O Repair ? 10. Describe Fuel Type ' 11. No• Enuioment 8TU - M. Ea. No. Equiament CFM Forced Air Air Handling: Mfg. 8oilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, P9ping Outlets 12. I hereby certify that the above information is true and correct, and I apree to comply with all ordinanoes and codes governing this type of work. Sign0d ' for Rouph Ffnal Inapectiona: Date Insp. Qate Insp. This is your psrmit when numberad and approved. Approved CITY OF EA(3AN 454-6100 Rooeipt J Y PLUMBING PERMIT Parmit No. ' CITY OF EAGAN F« Y ~ fi!l in numberod rvecas S/C Type w Prinr /eyidly TOL 1. Oate J 1 ~~`j S 2. Installation Cost' ~ 3. Job Address Lot 7 Blk. Tract _ 4. Owner 5. Contractor Phone `t ; )t ~ 8. Address 7. City ~ State - Zip ~ _ . 8. Buildiny Type: Fiesidential ~ Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. fixtures No. Fixture , Water Closet Cesapool/Drainfield \ Bath tubs Septic Tank Lavatory Sortrwr Shower Wfll Kitchen Sink T- Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink ' Gas Piping Outlets 12. I hereby certify that the above information is true and correct, snd 1 agree to comply with all ordinances and codes governin9 this type of work. fiigned : i . for Roupl? F insl Inspectiona: Dste Insp, Date Insp. This is your permit when numbered and approved. Approvad CITY OF EAGAN 46448100 CITY OF EAGAN ~J° 10123 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 BUILDINCs PERMIT PHONE:4548100 RKeia # ,j l0 7 / Te M ard f. SF DWG/GAR Est,yal,e $70.000 pata APRIL 22 I q 85 3843 WESTBURY DR Ereet Sl 0«upency ~ Srca nddr~.. i.ot 4 siock 2 nac/Sub. WESTBIIRV T _ Remodei ? zonin9 Rl Repeir ? Type of Conrt. V Parcel No. Enlarge ? No.Stories GRAND OAKS Move ? Lenqth 60 ~ Name Demolish ? Depth 48 ~ A~~ 1881 SUNRISE CT Grede ? sy. Ft. ~ City EAGAN phona 452-8934 Insteu ? SAME Appnevab i.et ~ Name o~ A~~ Assessment Permit $ 343, 00 u~ City Phone Wcter 8 Sew. Surchnrpe 35 _ 00 G Polica Plan Review~0 W Name Fira 5AC 5 2 5_ O p W x~ Addrecs Erq. WaferConn. 900- ~0 u ~Z Clty Phone Plam~x Woter Meror 6.~D 0 Council Road Unlr 9R n n o 1 hercbY aknowledge thot I haw read this epplicotion ond zfote that 81dg. Off. 4 2 2 8$ T. P 132.00 the inlormotion is correct nd ogree to comply with oll applicable APC Total Z, 049. 50 Stota oi Minnesoto Statu nnd Ci o gon O dirwnces. Var. Date 9arwfuro of Permiff A Bulldinp Permit Is issued ro: GRAND G~ItAS ~ LOPMENT CO m Hy axpmys thal dl work sFall he done in aeco ance witi~ a~.sipplicabla St Minrrowta Stmutes ond Ciry ot Eaqan Ordinancea ewiario orfiaai , i Fa~ onaa usa i YCity of Eap ; Pemrt°: I Pwmit Fee! 3630 Pilot Knob Road ~ r67 Eagan MN 55122 ~Phone: (651) 675-5675 Fax: (851) 675-5694 I Staf2008 RESIDENTIAL BUILDING PERMIT APPLIp 5 2008 nam:si~ naare~: Tenant RESIDENT / OWNER Name: Phorre:o/5 75 51 9 Address / City I Zip: YF`7 3 De. 67~Ay Applicant is: _ Owner CoMrac[or TYPE OF WORK pescription of work: ~ e~d% x Construction Cost: O d Multi-Family Building: (Yes Na 74 CONTRACTOR Nams:g~~F~~~1/l~"7J E..C ORf ucense u: Q D3 ndaress: CitY: /~`'-~o!~E State: ~ Zip: 5l~ dr' Phone: h S1 I"o CoMact Person: UG;'U OR iq2k7: _ GOMPLETE THIS AREA ONLY IF CONSTRUCTtNG A NEW BUICDING Minnesota Rules 7670 Cateaorv i Minnesota Rules 7672 Energy Code . ResiderNal Ventilffiion Category 1 Warl6heet • New Energy caue worksneet ` Category submmed Sunmined (4 submisslon type) • Energy Emrelope Cala,hations S,anitted In ttie last 12 maMhs, has tlce Clty of Eagan Issued a permlt for a slmllar plan based on a master plan? _Yes _Na It yes, date and address of mas[er plan: Llcensed Plumber: Phone: Mechanical Contrador: Phonre: Sewer & Water CoMractor: Phone: HOTE: Plans and supporfing documents thef yoer submN are cronsidered to be public f»formatiore. Portions of the frHormatlon may be dassified as rronpublic if you provide specific reasons that would permit the City to cw?crude tner tne are rmde secreta I hereby acknowledge that this infartnaNOn is cwnplete and accurate: that tlre work wiil be im confwmanCe wdh the ordinances and codes ot the Cily of Eagan; tlat I understand:this ris not.a peririit, but oMy an appiicadon fw a pwmd, ard work ts rqt W sCar[ witlqut a permd; llet the work will be In accordance xfth llie approVetl plari in the case of work whidi requires a review and.approVal d plans: . . - . . . . . . _ . . ~ A Ic . 'Ap canYs Prlr~ted Name pPpllcanYs Signa[ure Page 1 ot 3 40 PERMIT # `lRt 90 RECEIPT DATE: ~ ~ 1\lnOL1~lX --1~1 ~o 2002 RES1D£NTIAL PLUM$INH PERbI1T APPLICATION crrY oF Enfi?x 3830 raor axoa itn KAG"•81~ g 4675 Please complete for: single family dwellings, tavnhomes and condos when permits are required for eac t. MAR 0 6 2002 , backflow preventer for irrigation system 2 1 SITE ADDRESS: J ~ ,~V Q~~O~U ~ ~ By S~ OWNERNAME:: 'Rcl' 1TELEPHONE#: UL51 -lS4 ' 1A~3l (AREA CODE) INSTALLER NAME: MCAJ IIRF R 9f1NS TELEPHONE C 8. STREET ADDRESS: 605 12111 Av6ttuE SO:O (AREA cooe) CITY: STATE: 21P: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: AddRional consukant fees may apply • MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to bwer levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 518" meter if needed -$118) Other: _ RPZ: new installation/repairlrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ~ water heater $ 15.00 State Surcharge $ .50 Total $ 1S ~ I hereby acknowledge that 1 have read this application, state that tha infortnation is cortect, and agree to comply wdh all aOPkable Cily of Eagan ordinancas. It is the applicanPs responsibility to notify the property owner that the Cityof Eagan assumes no liabllit )for any damages causad by the City during its normal operational and maiMenence activilies to the facilities constructed under this permit withi City pro Arty/righho4way/easement. AAiM Z UZ SIGNA UR OF PERMI E 1102 ~ I 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN MOTE: ALL CONTRACTORS KUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: = Date: Site Address: L~LAme&n OFFICE USE ONLY Lot: ~ Block ~ Sect/Sub Erect ~ Occupancy Remodel _ Zoning Parcel !I Repair _ Type of Const ~ Enlarge IF of Stories Owner ehp/ 01Q{/ Move _ Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROYALS Contraetor ~ (i(kkS Assessments Permit Water/Sewer Surcharge 3 5 - Address Police Plan Review = S° Fire SAC 5Z-15, d° Cit /Zi Code ° y p Engr Water Conn 5po, Planner Water Meter (og, Phone Council Road Unit 2g0 Bldg Off _ga•Q arks Arch./Engr. APC Treatment P1 Variance Address TOTAL City/Zip Code Phone # < < y SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0. F . . #275 ~ i ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET . SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =~6`s5'3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =$9 2.5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 8 S S'1 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CD. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, Block 2, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 26?H DAY OF MA°CH 2 •1985: SIGNED: JA HILL, INC. BY: v AANDSURVOE701 SHEET 1 OF 2 SHEETS PiINNESOTA tICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85520 ~ Planners / Engineers / Surveyors • FILE NO. 8200 Humboldt Avenue South• . FOLDER ebominoton, Mn. 65431 e12-ee4-3029 S11AVEYOR'S CERTIFICATE GRAND OAKS DEVELOPPIENT C0. #275 WESTBURY , 0 oR, vE ~ Y 43s`l•a~ 102.00 - 43165 ;r 4°/3o32,2~„ °o S o 3 M ~ IS'~~`A4 ,u,.1M ~ ~ . qLxr, \ . A~i~O~F.~f5 h ~ 4.0. ' p 22.60 - ; ~l ' N .G.4R;\N ~ ro YkS'o £lS~p `f ~ . . 28.0 . P,AOP \EO \ y ~OE N N _ N\ ~ y aa>o ~ 0 (V m ~85~2.2~ / / ~0~, ra: ~ . fSiS2,2) Y5.~9'• ~ 0~ dl OD r- W I 4 ~ ' N ; / ~o~ \v • I ~ ~ "J S 2 O J / Ln --46.05 0) N O° 17' 33" W ~-7 -i i-1 -7- n I L_ lJ f /--I N SCALE: 1" = 30' SHEET 2 OF 2 SHEETS PROJECT.yO. BOOK / PAGE JAM.ES R. HILL, INC. 85520 Planners / Engineers % Surveyors FILE NO. 8200 Humboldt Arenue South FOLDER eloomlnaton, Ma 65431 612-e84-3029 . EXTERIOR ENVELQPE AVEFAGE 'U' COMPUTATION GFAND OAk:B DEVELOPMENT COMPANY MODEL Q AREA U U X AREA REQUIRED 1. TOTpL WALL AREA lBOU X.il 198 2. TOTAL ROOF AREA 1196 X.426 31.096 ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 . .J 93.33 B. DOOR AREA 39. 8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIREPLACE AREA 0 0 0 E. WALL FfiAME AREA 18U .041 7.38 F. NE7 WALL AREA 1164.1 .049 57.0409 G. RIM JOIST AREA 119.52 .0436 5.211072 H. FOUND WINDQW AREA Q 0 0 1. FOUND ABOVE GRADE 96.48 .135 13.0248 TOTAL• WALL AREA 180o 185.5426 J. Sk:YLITE V 0 G / K. ROOF FRAME 129.6 .032 3.8272 i/ L. NE7 ROOF AREA 1076.4 .625 26.41 4. TQTAL ROOF AREA 1196 30.7372 SUM 1.+2. 22ni.U96 SUM 3.+4. 216.2398 - PERIVIIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u r Lo r NG Eagan, Minnesota 55122-1897 Permit Num6er: 029447 (612) 681-4675 Date Issued: 01 / 3 0 J 9 7 SITE ADDRESS: 3843 WESTBURY DR LOT: 4 BLOCK: 2 WESTBURY 1ST P.I.N.: 10-83650-040-02 DESCRIPTION: (BpTHR00M) #'uildi g-'-Parmit Type BASEMENT FINISH Building Wo,r-k Type ALTERA7ION ~ Cen,su9 Code 434 ALT. RESIDENTIAL ~ % r.- . f' i ~ LJ: 4/ i r :i r Y REMARKS: ~ F15E SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 , ~ CONTRACTOR: - qpplicant - sT. LIC OWNER: PETERSON CONST, CARL 16886564 0004275 ELLER RICHARD 1574 LAKEVIEW CURVE 3843 WESTBURY DR EAGAN MN 55122 EAGAN MN 55123 (612) 688-6564 (612)454-6137 I hereby ack~nowledge thatI have rtach this applicationand state that the information is eorrOcG and agree to comply with a]:l appl9.cable State af Mn. L Statutes and City of Eagan Ordirtances. ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: ~1'aNA7URE laq 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eacaN -~J O._'D 3830 PILOT KN08 RD - 55122 6814675 Naw ConsWction Reauirements RemadeVReoeir Reouiremanffi ? 3 registerecl aite surveys ? 2 copies of plan • 2 copies of plans (Indude beam & window aizas; poured fid. dealgn; eteJ ? 2 site surveys (exterior additiona & dedcs) ? 1 energy ealculations ? 1 energy calculaNOns tor heated atlditions ? 3 copies of tree preserveHon plsn H lot platted aRer 7/1/93 required: _ Yes _ No - DATE: I' aa "9 -7 CONSTRUCTION COST: DESCRIPTIONOFWORK: pAA,000" STREET ADDRESS: 3 8Y3 In1 ~s f'(~.*. y J~r- . ~ ) J LOT BLOCK SUBD./P.I.D.#: PROPERTY Name: ar-I Phone ~i3 7 OWNER M)„ Street Address: 39y3 W t S T46N 1y D.- CIty: t4 g9 -1 State: A" ^v 2;p. ss/a 3 coN1'w?C7oR Company: _ Cw,-( Co,\s f,,,c'0,,, phone Street Address: I5'7y Lq kev.<.w C.,.•^c License 'Va 7S CIty: 45-0.l A~ State: '"I A/ ZiP: ss~aa, ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new oonstruction only): . Penalty applies when address change and bt change are requested once pertnit is issued. i hereby acknowledge that I have read this applicabon and srdte that the iMortnation is correct and agree to compy wfth ail applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY RECEIVED Ceftcates of Survey Received _ Yes _ No JA N 2 3 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required $y; OFFICE USE ONLY ~ • ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool n 03 SF Addition o 08 8-plex n 13 Garage/Accessory n 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace a 21 Miscellaneous o 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New .e"33 Alterations o 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System ~ (Allowable) Main level sq. ft. City Water T UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. u3y Depth Footprint sq. ft. SAC Code o~ Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance Permk Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Treils Ded. Other Copies Total: % SAC SAC Units - PERIVIIT ~ CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: e u i LoIN G Eagan, Mi nnesota 55122-1897 Permit Number: 0 2 9 3 0 2 (612) 681-4675 Date Issued: 12 / 0 2/ 9 6 SITE ADDRESS: 3843 WE578URY DR LOT: 4 BLOCK: 2 ' WESTBURY 15T P.I.N.: 10-83650-040-02 DESCRIPTION: (GA5) Bti1ldin4-,.Permit Type FIREPIACE 6uilding W'a,rk Type NEW ~s Census Cdd!e 434 ALT. RESIDENTIAL r f . . . _ \ i r ~ ry' f. v Y (4 ?=.~{5- ' 1,7 ~ I I "1g+.'u`. . .4 REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 ~ j 1, . CONTRACTOR: - Applicant - s7. LIC OWNER: FIRESIDE CORNER INC 16331042 0001068 ELLER RICK 2700 N FAIRVIEW AVE 3843 WESTBURY DR ROSEVILLE MN 55113 EAGAN MN (612) 633-1042 (612)454-6137 T hereby adknowle'dge`that I haveread this appliaation and state that theinformation is correct and agree to comply with all applicable State pt Mn. Statutes and City of Eegan Ordinances. L . ; _ . . ~ APPLICANT/PERMITEESIGNATURE IS UED EIY. S N T RE . CITY OF EAGAN 3830 EPLA CE P RMIT APPLICATION ~ 0 0 1996 FIR V ~ 6814675 DATE: DESCRIPTION OF WORK: + CONSTRUCT EW FIREPLACE: _ WOOD BURNING ~C GAS _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTFER: ROOM TO BE INSTALLED IN: STREET ADDRESS: LOT ~ BLOCK ~ SUBD./P.I.D.#: APPLICANT: (c'vcle one only) OWNER ` LCONTRACTOR I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 13PROPERTY Name: Phone#: ~ OWNER ~ nm Signature: Street Address: City: z:-- qz-- State: Zip: FII2EPLACE Company~-~'-'o Phone INSTALLER I~ Signature: Street Address: ~ 7C0 License City: State: Zip: GAS LINE Company: Phone INSTALLER Name: Signature: Street Address: Ciry: State: Zip: . OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GEIVERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. / 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) p la ~P CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conatrtietion ReauiremeMs Remodel/Reoair Reauhemenh ? 3 regislered sMe surveys showing sq. M. of lof, sq. k. of house Z2 eoples of plan and all roofed areas (20% maximum lot eoveraae allowed) 1 set of energy calculalions for healetl addRions ? 2 coples of plans (show beam a window sizes; poured ind. design; etc.) CC 1 sRe suney for euterior addNtons 3 decb ? t sef ol energy calculaflons U D 3 coples ol t ee p esenaflon (pgn R l01 plaHed affer 7/1/93 l,~f ~ /YR 2 DATE: ~ CONSTRUCTION COST: ~r ~ DESCRIPTION OF WORK: STREET ADDRESS: LOT: ~ BLOCK: ~ SUBD./P.I.D. ~ Name: Phone#:~~ PROPERTY tast First . OWNER Sfreet Address: Cify State:Zip: o)E ZL ~ Companj~~~ C7 (_~c0~/ [ Od i'7 ~ VV Phone CONTRACTOR ~ (area / II II.~T 1LU/ [ ~~H' ' - License # ode Sheet Ad ress: ~H' City State: Zip: i:J C ARCHITECT/ ENGINEER Company: Name: Telephone orea eode ( ) StreeT Address: Regisfraflon City Stote: Zip: Sewer 8 water Iicensed plumber (reauired for new conshuctlon oniv): Penally applles when address change and lot ehange Is requested once permR is Issued. 3 ' 1 hereby acknowledge ihat I have recd this applicafion, state that the IMo ation is cortect, and agree to com ly wifh ali applicabl State ot Minnesota Statutes and City of Eagan Ordinances. Stgnature ot Applicant: G` G OFFICE USE ON Certificates of Survey Received _ Yes _ No 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 Dwelfing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) CI 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 Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. , t Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC . , . Dt-, ~ o z~aa R' CITY Or EAGAN AP9LICATION EOR PERMIT SEWER AND/OR WATER CONNECTIOrT - (PLEASE PRINi) 1) PROP&TtTY ADDRESS : ~eii r ve r.Ecar. oF..~uPricN: 1 'g Gc~ f') S (Lot/Block/Subciivisicn or TaY rarcel I.D. N, r) S?'~CC~'O:c: , DA'r' O° CRIGuIAL LAJILDL.J ~...:.•J.1 !SJIJ;%_\:G: _aar, PPESL:: ,,,^II:F:/PP.OPCSED L`SE: ~ R-1 SiNGL: :?nTLY . ? R-2 DUPL= ~%'O LTIITS ) ? R-3 Tr7.,7i\FCLTSE ('?'F?p.= + L^IITS) ( WI'_'S) ? ic-4 A^rzR?'T~'`:T/CC_1X'i-SIIL-,q . ( GtiITS) ? CC,1tinERCIAL/RbTASI,/OFFICc: ? iNTCST?SAL ? T_D1STI:LTSONAL/G.~^4'E-24NnYENT 2) p_Ppi,T`yTr (PLEASE RIIii) tsar•~: ~ C3 ADDRESS: n i C cITl. s:aTE, zIP: c ~n 'I'Yl vi Pxo~: yT~-~ 89 L( 3) pu~T-Eo PLEASE PPI4T) FOR CIT7 USE OyLY N71P'IE c l ~ ` I PLUHBERS LICEYSE; P.DD:2ESSt--- CITY, STATE. 2IP:1~ Z'1'~ 6~ S~- ~ Expire I ~'~=n N Retord PHONE:-1490-~DI-.pLpflBER_LI.LENSE,.N_ ~ ~ r r initt~ 4) 0cYC'upp,iy'p/Cr,.z]m N11ME(PLEASE PRP7f) : ADDRESS: zi CTTY, STATE, ZIP: PHaNE: 5) INDZG"fI'E Wf-IZCH PERhLIT IS BEII~C; REQUESTED: 9? CO:T1ECrI0N 'M CZTY SE41ER a CO:NECI'IO:I 'IO CZTY wATLTt ? di'(TER (PI.FASE DESCRIBE) 6) L"dDIG,.:: C::c: • ? PLyaSE k?OID APPP.OVD] PER.',LLT FOR PZCI:-Up BY ONE OF AF:GVE r ~ PLFI,SE :•TAIL APPROVm PER.•IIT TJ T, 2. d& 4 AIiOVE i -(Cirele-one)- - ' 7) SIC~,` ;=,~E: DATE: J~V~ ~~eoi:+~aw~.isi..raE~a:a:~nrr-~. . s+~a as s s ec~a:s:~ a~: wc~~rrs~-~ a~ a~ y~ ecaar . F 0 R C I T Y U 5 E O N L Y PED+?IT ISSUED pr"S: $ j~.Se cr;.;LO nra•,arT (I_`ICL'',:D: SUPCR?RGc) $ WATER PEP.P1IT (I2:CL'uDE SiiRC:?ARGc.) WATER METER/COPPERHORN/OUTSIDE READER $ WATE.°, TAP (INCLUDE CORPORATION STOP) $ SE'.•;ER TAD $ /-5•~'O ACCOUNT D.F,ppSIT - FJATER WAC $ Sr.' ~ ~-o SP.C $ TRliNK SPATER ASSESSP-IE.`IT $ TFcii::?C SE[IER ASSESSMEiiT $ Ll.:iRAL BENEFIT/TRUNK SE:•:ER $ L.^.:c.R?L BENEFIT/TRUNK L9ATz'R $ OT3ER ' $ TOTAL $ / vCJ AMOLT.:T PAZD/RECEI?T n DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY? L, YES ZF YES, THEPI A"PER6IIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSL'ED BY THE C~~NO ENGINEERING DIVT.SION. LIST AS A CONDI- TION_ SOESECT TO THE FOLLO[dING CONDITIONS: ' APPROVED BY: ~ TI:LE: DATE : 0 no w~m wkfw !m ti iJ+ mF! /e m!f mltm UlfO m!m ~k~ 1! ~1~ ~?~7 R~ N4 Wl! wiq Ri Rmo m! im m m 39d~RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 657-675-5675 Please complete for modifications to existing residential dwellings. oate~, Site Street Address W Q, Unit # Property Ovmer cS.Q(141, Telephone IA jlft= o t Contractor G~,VS PI U AAL,'iY( Ql Telephone #((pI a 1~ p~" (f1g 'g lda Addressa,7 S-, 5~ljbw 14 &VrLCity ~`lnda,1._. State MAl ZipSS= The Applicant is: _ Owner )(Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per asbuitt $ 10.00 Alterations to existing dweiling $ 50.00 _ Add plumbing fuctures. This fee inGudes installation of a water softener and/or water heater at the same time. tf you are installing oniv a xmier softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are instailing. _Septic System Abandonment _ Water Tumaround (add $130.00 'rf a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement 4Lawn Irrigation _RPZ ~IPVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 3Q I hereby apply for a Residential Plumbing Pertnit and acknowledge that the infortnation is compiete and atxurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a pertnR, but only an application for a permit, work is not to start without a permft and work wiil be in accordance with the approved plan in the event a plan is required t e revie ed and approved. T con Lafrc-, Applicant's PriMed Name plicanYs Signature $ C) roS S~ CITY USE ONLY L gL RECEIPT#: ~ RJ ~ L SUBD. U/oAAIkPJ/. RECEIPTDATE:~ 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dweilings . townhomes and condos when permits are required for each unit ~ backflow preventer for underground sprinkier system FIXTURES €9SH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath 7ub 3.00 x = ~ Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTub/Spa 3.00 x = Water Heater 3.00 x = Ploor Drain 3.00 x = Gas Piping Ouxlet • minimum - 1 • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under consWdion 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler `fordwellingunderconst. 3.00 = U.G. Sprinkler "forexistingdwelling 20.00 = Alterations * to Bxisting residence 20.00 Water Turn Around 20.00 = Private Disposal System ' oak cty iic. 75.00 = (new and refurbished systems) Private Disposal Systems `ntandonment 20.00 = STATE SURCHARGE .50 TOTAL 1D.-M I hereby adcnowledge that I have read this applicatlon, state that the infomiation ia corred, and agree to comply wdh all applicable Ciry of Eagan ordinances. k is the applicanCs responsibilily W notify the property owner that the City of Eagen essumes no liability far any damages pused by the City during its noenal operaGOnal an0 maintenance aGivlties to the Tealitles oonsWded underthis pertnk within C'Ry property/right-of-wayleasement. SITEADDRESS: 3~y3 GJest6c,~,, OWNER NAME: c t.n j E//tr INSTALLER NAME: 7~016e r,'I- ]Jc,tcrso., TELEPHONE a/f STREET ADDRESS: u C 7 4 Eo X y-70 CITY: }~Ac(~t.,5vck STATE: /l ZIp. VoYSIX ~oQ,e,-t SIGNATURE OF PERMITTEE il . PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135570 Date Issued:03/23/2016 Permit Category:ePermit Site Address: 3843 Westbury Dr Lot:004 Block: 002 Addition: Westbury 1st PID:10-83650-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Joseph Korah 3843 Westbury Dr Eagan MN 55123--207 (651) 452-2161 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139424 Date Issued:10/21/2016 Permit Category:ePermit Site Address: 3843 Westbury Dr Lot:004 Block: 002 Addition: Westbury 1st PID:10-83650-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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 - Joseph Korah 3843 Westbury Dr Eagan MN 55123--207 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168689 Date Issued:04/29/2021 Permit Category:ePermit Site Address: 3843 Westbury Dr Lot:004 Block: 002 Addition: Westbury 1st PID:10-83650-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joseph Korah 3843 Westbury Dr Saint Paul MN 55123--207 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177486 Date Issued:07/05/2022 Permit Category:ePermit Site Address: 3843 Westbury Dr Lot:004 Block: 002 Addition: Westbury 1st PID:10-83650-02-040 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joseph Korah 3843 Westbury Dr Saint Paul MN 55123--207 (612) 709-7766 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature