3848 Westbury Dr
ICITY OF EAGAN Q"r`.0~
. 3830 Pilot Kno6 Road, P.O. eox 21-199, Eagan, MN 55121
` PHONE: 454-8100 BUILDING PERMiT Receipt ~qt ~ I
T* M wWd fw SF' D4dG/GAR Est. Volue $68,000 pate IdOVEMDER 16 1 q~' 4
Site Add 3848 WES'PBURY DR Erect ~ ~,~ncy R3
~ess 4 WESTBURY 1
Lot Block SeclSub. Hemodel ? Zoning
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Storiss
W Name JOE MILLER CONST INC Move ? I..enyth- ~6
= Demolish ? Depth 29
~ Addres 431-ZUUI Grade ? Sq. Ft.
City r Phone
S11P91', Approvols Foes
Name
3777M
uu Address Assessment Permit 34.50
City Phone Water 3 Sew. Surcharye Police Plan check 1 b 8. 50
W Name Firo 5/1C 525.00
Address Eny. Water Conn.4 7 0. 00
v
~ W City Phone Plonner Woter Meter 6 3. 0 0
Council~ Road Unit 260.00
I hereby cckrwwledya that I how reod this opplicotion and state Nwf gIdg. Off. 11/`'/°Y Perks
the intormotion is correct ond ogree to comply with oll appliccble APC Total r •
State of Minrxsoto Stotutes and City of Eaqon Ordinances.
Var. Date
Sipnoturo of Pertnittee
, , AILLER-CDIM
A Building Permit is issued to: on ths exproa cadltion Ihai
all work sholl be done in ocaordance wit all opplicpble,Stote of innesoto Stotutes and City of Eopon Ordirances.
Buildinp Officiol ~ =t ~ ~ , •
Parmit No. Pamit Hoidw Oab
Plumbinp '131' 7 rl
H.VA.C. q q ~o - Co
EMctric
Softanar
Inapettion Date Insp. Other
Footings d 6 ~
Foundation
Framing 3~j
~ - .
Rou~ Pibg. ,
Rouqh HVAC
Insulation
~
iSei
Final Plbg. -'ZC rl ;
- Z
Final HVAC .J pr ~
Final
Cert/Occ.
Water Desc?ibe Lotation:
Well
Sewer .
Pr. Oup-
. CITY OF EAGAN rJ~ 9728
~ 3830 Pilot Knob Robd, P.O. Box 21-199, Eagan, MN 55121
PHOW E: 454-8100
BUILDING PERMIT Receipt #
To w"*a fw SF DWG/GAR W, yQlue $ 6 8, 0 0 0 pate NOVEMBER 1 b , 1q 84
SiteAddress 3848 WESTBURY DR Erect 13 Occupancy R3
Lot 6 Block 4 sec/sub. WESTBURY 1 Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
~ Neme JOE MILLER CONST INC Move 0 l.ength 66
~
Address 18133 CEDAR AVE SO Demolish 11 Depth 26, City FARMINGTdN Phone 431-2001 Grade ? Sy. Ft.
SAME ApProvals Fees
~ Name
A~~ Assessment Permit 337.00
City Phone Woter a 5ew. Surchorpe 3 4. 5 0
.
Police Plan check 16 8 5
W Neme Firo SAC 525.00
P~~ Address Erq. WoFer Conn. 4 7 0_ 0 0
~ Z. City Phone Planner Woter AAeter Fi A _ o n
Councll Road Unit ? h n n n
1 hereby ockrwwledge that I have rcod this oppticction and stote that gldy. pf{, 1 Z/rJ $4 Parks
the inlormotion Js correct ond agree to comply wifh oll opplicobls p~ Total $ .8 5 8.0 0
State ofi Minnesoto Statut and City F Ea9on Ordi nces. Var. Date
Sip.wfure of Pem?ittee ~N- I A Buildinq Permit Is issued to: JOE MILLER CONST on the e%press corwlition lhot
oll work shall be done in accordance with o i ble St of in esota Stotutes ond City of Eapan Ordinances.
Bufldir+fl Offltiol
CITY OF EAGAN Remarks
Addition WESTBURY FIRST ADDITION Lot 6 Blk 4 Parcel 10 83650 060 04 407
Owner Street 1432 '.~•'esebcny-aath or State Eagan, MN 55123
3848 Westbury Drive
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1986 2850.00.00
STREET RESTOR.
GRADING
Water area 1986 133.7 8.92 -8
SAN SEW TRUNK 1985 43 -
* SEWERLATERAL 1985 500$.73 1001.75 5 2-25-85
Watermain 1986 65.2 4.35 1
WATERMAIN Q 1984 68.71 4.58 15 59.55 AA015271 3-22--85
~ WATER LATERAL 1986
WATER ARE~, 1984 184.92 12.33 15 28 A015271 -22-8
*Services 1986
STOFM SEW TRK'#°r, 1986 710.24 142.05 5 2-2 -85
~e STORM SEW LAT 1986
CURB & GUTTER
SIDEWAIK
STREET LIGHT
WATER CONN.
BUILDING PEFi.
SAC
PARK
Receipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN
Fse
- Fi// in numbered Waces S/C
Type or Print /egibly Tat. ~
k•_ >
1. Date 2. Instailation Cost n I
3. Job Address Lot Blk. ~ Tract f '
4. Owner S. Contractor ~t,~t! rl. _ Phone
6. Address ~ t ~,1~? .
7. City i"i • ~ 5tate Zip ~ -
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ? Add AD Alter O Repair ?
~
10. Describe
11. No. Fixtures No. Fixtures
y Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
! ~ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
laundry Tray
F(oor Drains
Drinking Ftn.
SIoP 5ink
Gas Piping Outlets
12. 1 hereby certify that the abqve,infqr~'}~tion is true and correct, and I agree to
comply with at1 ordinance;'an+d code.i governing this type of work.
~ . F,
Signed : -
for
Rough f inal ~
Inspections: Date~~ /nsP.~ Datelr9 .?e x'~Insp.
This is your permit when numbered and a
pproved.
Approved CITY OF EAGAN 454-8100
~ q (o I - v 6 ~ I (,S - ,.-..n .
I -i
Receipt L! ~ lI PLUMBING PERMIT Permit No.r~l
r CiTY OF EAGAf11 Fee
Fi!l in numbered spaces 5/C
Type or Print legrbly
Tat. ~ s o
1. Date V 2. Installation Cost Z : .
3. JobAddress Lo~t Blk. Traczi.,
~
'
4. Owner
5. Contractor Phone
6. Address
7. GitY State Zip
8. Building Type: Residential 0" Commercial ? Institutional ?
9, Work Description: New ? Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspaol/Drainfield
/ Bath tubs G Septic Tank
Lavatory Softner
5hower ,4
Well
/ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
Floor Orains
~ prinking 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 ordinances and codes governing this type of work,
Signed r:-~ for . 1~
i
Rough F inal
4nspections: Date 1nsp. date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
, Fes
r ~ Fill in numbered spaces S/C
Type or Print /egibly ~
1. Date 2. Installation Cost Tot.
~ • I.A
3. Job Address Lot Blk. I Tract- ~
4. Owner
,
1 J
5. Contractor k Phone d/ ~
6. Address
,
7. City State Zip _ _ .
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New 0- Add O Alier O Repair ?
. ~7
10. descri be Fuel Type
11. No. Eauinment 8TU - M. Ea. No. Equipment CFM
~ Foroed Air
Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ocdinances and codes governing this type of work.
Signed :
Rouph Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~ : ~ . . . ' '
. ~ /
~ ALL CONTRACTORS MUST BE LZCENSED WITH THE CZ Y OF EAGAN
INCLUDE Q SETS-'OF PLANS,
i~ 7C;), CERTIFICATES OF SURVEY
S.F C~U ~UAR, ~ SET OF ENERGY CALCULATIONS
Valuation: Date: IA-~'q
To Be Us3e~d48For: P
Cog,~O. g' •
Site Address:~ n,~ Slock: Sect/Sub:
Erect: X Occupancy:
Lot: R'3
Remodel: Zoning: R-I
Parcel Repair: Type Of Const: "-Zr
Enlarge: # Stories:
Owner: Move: Length: Colo
Address: Demolish: Depth:
Grade: Sq. Ft.:
City/Zip Co3e:
Phone
Contractor:
~ J Assessments: Permit:
Address: ~
. „1Water/Sewer: Surcharge:
City/Zip Code: Police: Plan Rev.:
Phone ~J~~7d~tFire: SAC: 525.Engr.: Water Conn: 4-70.
Planner: Water Meter 103.
Arch./Eng: Council: Road Unit: IGO.'
Address: Sldg. Off.: Parks:
City/Zip Code: APC: 1-21
Variance:
nhnna~k c
I Jo
2006 RESIDENTIAL MECHANICAL rExMiT nrrLicnTiort
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleeu complete for: single femily dwellings & townhomes/condos when permits are required for each unit
Date u/ U ~0
Site Addras WI g W P S *y1VV pv Unit H
Property Owner JOL K ocvVl P l/ _ Telephone #((O
Contractor _
O'CONNOR ONE HOUR
Street Addras 1904 VERMILLION STREET Ciry
HASTINGS, MN 55033
State Telephone q (1,751 Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit S 30.00
fumace _Additional /Replacement _ New
air exchanger
~ airconditioner
heat pump ,
other
I-1 (4-
$t8tl.SUIYhAf$! $
pC ? 5 2006
Totai s .3U - 5°
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accuratc; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the worl will be in accordance with the
approved pian in the case of work which rcquires a rcview and approval of plans
jf/ss,v ~ w v
Applican 's Printed Name App i ant's nature
0~'SGIp )~-ll.~ o0
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWclian ReauiremenGS RemodeVReoair ReauiremeMS Office Use Onlv
3 2gisterad site surveys shovnng sq. ft. of lot sq. ft. of house; and ell roofed areas 2 copies of plan CeR of Survey Reoi _ Y_ N
(20% manimum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd _ Y_ N,
2 copies of plan stww'vig 6eam & window sizes; poured found design, ek. 1 site survey for additions & decks Tree Pres Required _ Y_ N
1 set of Energy CalcWatbns AddiNon - bMkete if onsRe septic system On-sfte Septic System _ Y_ N
3 copies of Tree Preservatian Plan If lot platled after 711193
R'vn Joist Defail Optbns seledion sheet (buildings witli 3 or less units)
Date q / 6)~ Coostruction Cost ~7000
Site Address 3~i qZ9 AJ(,/ • Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) _ 0 Ol, 1 _ 2
~ 0 =12n1C'~2
Property Owner Telephone # ( ~~7)~/J / 7L
Contrector ~ ~
Address 1~/ City
State Zip 7e Telephone#(eo)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted .
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a masfer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
h requires a review and
permit; that the work wili be in accordance with the approved plIV7
approval of plan s. oti\ l , A ~
N f~N Apphcant,s tnnt
d Name Apphc t s Signature
OFFICE USE ONLY
Sub Types •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 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.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 MiSCelianeous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolidon (Entlre Bldg) - Give PCA handout W appliwnt
Valuation Occupancy MCES System
Pian Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Otlier
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
' 'Certificate for:
Joe Miller Const. '
18133 Cedar Ave. So. Harrington Model
Farmington, Mn, 55024 Ar4 141411 114
DELMAR H. SCHWANZ
LANOSURVEVORS~ I K)C.
Rpisbrotl Untlb Uws o1 ThaSLU oi Minnesob
2978 - 146TH STREET W. - BOX M N08EMWNT, MINNESOTA 56088 PHONE 612 423-1768
SURVEYOR'S CERTI FICATE
- - -W r st BwRY PPT H "
jCP Cuqg
- f ii8o.9S Sil. 7 ,r 0
I X~~~,g M
74.ST S89"¢2~27~~W-
/ fCl
n- ~
Q ;
J.. \A 88~. S p f y
~v
~ zc ( ~ O = Property corner
Set wood hub
981.o - Existing elevation
~.2 O S84 = Proposed elevation -
\
8~~.as Q
~v/rig }
~s°~, 'O•a p
87,~•78 Uo
o ~an = proposed garage floor elevatinn
Tdv.v.~s ? akl n) /
, , g87 q
I hereby certify that this is a true and correc[ representation of the following
described tract oF land:
Lot 6, Block 4, WESTBURY FIRST ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon this
day of OCr, , 19 f4 .
CertiFicate drawn Oct. 8, 1984
House ataked October 26, 1484
}MINNESOTA REGISTRATION NQ.8625
(
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^ . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 9 ol
New Conshuctlon ReaulremeMs RemodeVReoair ReaulremeMs
? 3 regtstered sRe suneys showing sq. ff. of lot, sq. tt. of house 2 copies ol plan
and pJl roofed areas (20% maxlmum lot coveraae ailowedj t aet of energy calculaflona for heaied add8tons
D 2 eopies of plans (show beam 6 window slzes; poured Md. design; etc.) 1 sHe survey for euferior addHions 6 decks
? i sef of energy calculations
)o 3 copies of hee preservation plan M IM plaHed after 7/1/93
DATE: CONSTRUCTION COST: ~ - ~
DESCRIPTION OF WORK: v'-Q~
STREET ADDRESS:
LOT: C° BLOCK: 'i SUBD./P.I.D. ~~S=gr-
Name: Phone#: 'C~a" z~S~fo
PROPERTY Last Fi n
OWNER
StreetAddress: `C ~i•P~ VJU~~.,
City Lr4 29 A'M State: N Zip:
Company: Phone#:
CONTRACTOR (area code)
Street Address: o ~h~a ~ T License # ~i.-Exp.'~
City State: ~N Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sfreefi Address: Registration 16:
City State: Zip:
Sewer 8 water licensed plumber (reauired for new conslrucfton onlv):
PenaNy applies when address change and lot change is requesFed once permit is issued.
I hereby acknowledge thal I have read this appiicatlon, siate that ihe Intorm~o s c nect, and agree to comply wRh all applicabl
State M Minnesota Statutes and Clty of Eagan Ordinance:.
Signaiure of Applicant:
OFFICE USE ONLY ~
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 Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 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
O 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) ? 42 Reroof
* Give PCA handout to appiicant 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. MCIES 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/VV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
.
z/aa
CZTY Or EAGAN
APPLICATIO.I FOR PE:hAIT
• " SEi1ER AN?/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PRC7P&RI^! ADDRESS:
r.Fr`+I, DF_SCRIarTc:v: S
(Lot/Block/Su'~civisicn or Tax rarcel I.D. N=6ar)
~ D:-l'I't 0_° C2T_Gi:L\T.
~ pRrcy-n ~,.•.~,-F;~+?arJPOS~ II~:.': ~~-1 Sii~GL: cP~ImI~L~
~ ? R-? LmUC.~..~ (~%V L^?lTVi - .
?~-3 TC:t~-crrv cr (mc.~q~. - L~7I:S) ( UV2"'S)
? ..-4 A=:..'-:^'c'.:T/CC:~Ci.iT;r~,i ~ L^Ii=Si
? CC'c!niE?CT_-I./RE:'.'~TL/CFF=-
Q --'Ci:S= 1.L
Q P:STI'~'=0:1U/Ga'~~2:N~•~:'~`
2) APPT,iC=_'i_ I~L~FSc Pn[;ii)
r~•~: a"me
accREss: /8/33 C'~~ l~oc S
cr:^r, sraTE, zzP: ,u
PNOLNE:
3} PLu=a (r-LTE~ASE i'NIHi) FOR CITY USE OALY
NP,P'tE:
PLUH~ERS LIC:NSE:
~C~$S= 1~~~~ o~~l r~ yUc ~ ~'j Active
CITY, STATE, ZIP: zl.s /~iou~i = Expired
~iHaicn Q Not of R tord
- PHOI,IE; PlUMBEN LILENSE N p(os /~3 G~
~
arr nt[ia
Q) pCCT,p=/CryTTPR N}VME: (PLEASE PRtNT)
ADDRE55:
CITY, STAT'E, ZIP:
PFiO*IE:
5} INDZCATE :4I3ICfI PERi= SS BEI\G RFQiJESTID:
0 Q7AINECTION TJ CITY Sa7ER
~ COCSNFa:IcI M CITY i9ATER
~ dilMt (PITI,SE D£SCRIIIE)
6) IrDIG,:: C::c.:
YPL°.-ISE I?OID APPR(7VID PER.'•tST FOR PZCK-UP BY ONE OF 'AEi 'E
PLEfLSE Xf1LL APPRCVID PII2:•1ZT 'P'J 1, 2. 3, 4 AWVE
(Circle one)
7) SIG,:%T[.12E: DATE:
~r o1+La~fs~r:f~ ~ sa[ E~:aau vr ~a I+s sca s+~~ as s rs ~~ss.a :a a~e ae ~u.r~s~~ ~w a a~ ~~ar
F 0 R C I T Y U S E O N L Y ~
PERrIiT ISSUED
FCES: $ SE:YEF PERMIT
+S WATER PERI`1T_T ( IilCiiiD: :liRC::Aj2Gc„
$ WATER PIETER/COPPE4i-IORN/OtIT== RErDEP,
$ WATER TAP (INCLGDE CORPORATIOAI S?C?)
S SE;•iER ; AP
$ ..:.?CO-_
$ AC^OUNT DFPOSIT - S•ii,^.E3
$ ~17d• wac
$ sr-.c
$ TR(jVK SdATER ASSi.SSME.dT
$ TBtiNK SES4EP. ASSESS:•lE`IT
$ LrIiER:.L BENE:IT/T:2U2IK SE_:•:ES
$ LATE.°.AL BENEFIT/TRWK WATFR
$ ` OTAiR '
$ TOTAL
p p
$ AMOLNT PAIDjRECEI?T
DOES UTILITY CONNEC.ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR :qORK WIT?IIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISIO[V. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLL0;4ING CONDITIONS: •
APPROVED SY;
TI.LE:
DATr: J q" fl 7`
`"nt=-go mum wmwWiawmwarFwsawme Raw?IM wspO
w..
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3848 Westbury Dr
Lot: 006 Block: 004 Addition: Westbury 1st
PID:10- 83650- 060 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Joseph A Roemer
3848 Westbury Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA086324
09/23/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
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CITY bP EAGAN WA "$ iCE PERMIT
3830. -P nob Road '°
P. 00,130x 2,1099 ox 99 PERMIT NO 58 2
. : 58 - 19_$4
Eagan, MN . 5V ?9 DATE:
Zoning: No of Uriits:
Owne Joseph Miller Con*t .
Address: 38 Tihdi�nnt Westb Dr I� . ii'estbu I
Site Addreet Pith PIb
Plumber • Meter No. Connection Charge: / UU
Size: Account Deposit: 15.00 pd
Reader No :• Permit Fee: 10. G
1 agree to sang whir the City of Eegen Surcharge: .5Q -.r
Ordlnanas. / Misc. Cho 63.11U pC1 1144 ,
Charges:
Total:
By Date Paid:
Date of I nsp � Into .:
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