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3855 Westbury Dr CITY OF EAGAN 10O2? 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 PHONE: 454-8100 SUILDING IPERMIT ReceiPt # To w wnd ier Est. Value p,ate 19 Site Address s • Erect 11 Occupancy ~ Lot Block Sec/Su6. Remodel ? Zoning Parcel No. Repair ? Type of Const. ~ Eniarge ? No. Stories Move ? Length ~ Name pamoliah ? Depth Address Grade ? Sq. Ft. ~ City Phone Install ? C Name AvWovak ieas u Address Assessrnent Permit City Phone YVater b Sew. Surchorye ` Polite Plan Review ~W Name Fira SAG L' 1,2~-~ Address Enp. Water Com. .~I C ~ W City Phone Plonner Woter Meter 4.: • Gi G Countil Road Unit I hercby acknawiedpe that I hava read this opplication and stete that Bldg. Off. =j/ 7~"! Parks . tha iniormntion is correct and ngree to tomply with oll applicnble APC Total Stofe of Minnewto Stotutes ond City of Eoqnn Ordinonces. - Ver. Date Sipnoture of Pennittee ' • , , . i . - ~ Buildinq Pem+it Is Issued to: on tha expren tOnditlon that oll wwk shall be done in aooordance with all opplicable State of Minnesata Stotutea ond Ciry of EoQan Ordinances. Buildinp Offtciot ~ S ~ 11 11 T ~ ~ m x T 11 71 N fll 2 ~ c, 3 g 2 I p m A 7 » 02 ~Ap ~ LLL S w o r ~ s n = w~ e ~ : O s ~ $ , ti' v x . ~ 1 v 1 0 ~ ~ ~ Q/ # CITY OF EAGAN Remarks Z:): C', : %e.-r-~irr~~ ~ /is1 Addition WESTBURY FIRST ADDITION Lot 6 Blk 2 Parcel 10 83650 ObQ 02 Owner Street 3855 WesthLr3r nrivp State Fsgatt, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1$ 1 666 2850.00 -1-g STREET RE3TOR. GRADING 6 .z A01 666 -1 - SAN SEW TRUNK 9 5 436 . 23 29.08 15 0.1 Aoi 666 6-19-85 lfflaLL * SEWER LATERAL ?ffz/ 1956 500$ 5008.78 A01666 6-1 133.79 A01 666 6-1 -85 WATERMAIN 198 a015666 6-19-$5 WATERLATERAL 1986 WATER AREA 160.28 A01 666 -1 - 5 *Services 1986 STORM SEW TRK 1986 710.24 142.05 9 710.24 A01 666 6-19-85 STORM SEW I.AT 1986 CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit WATER CONN. 500.00 BUILOING PER, 10022 SAC PARK Receipt ' PLUMBING PERMIT Parmit No. CITY OF EAGAN Fas d" fill in numbered spaces S/C Type or Print /egibly Tot 1. bate `iLi`i ~ 2. Instatlation Cost C. W es t bu•~/ 3. Job Address 3g5~ Lot Bik. Tract /ST 4. Owner C- r 5. Contractor Phone t' 6. Address ~ ~ 1: " i•' 7. CitV ! State r' Zip 8. 8uilding Type: Residential ~ Commercial ? InstitutiOnal ? 9. Work Description: New ~ Add ? Alter ? Repair 0 10. Descrihe i,;; ; 11. No, Fixtures No. Fixtures _ Water Closet Cesspoal/Drainfisld Bath tubs Septic Tank ' Lavetory Softner ` Shower Well KitChen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slap Sink t Gas Piping Outlets 12. t hereby certify that the above information is true and correct, and I agree to complo with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date insp. Date Insp. This is your permit when numbered and approved. Appraved CITY OF EAGAN 454-8100 INSPECTI4N RECURD I C°nnol No. CITY OF EAGAN PERMIT TYPE: Buj{1111404 3830 Pilot Knab Road ' Permit Number: 00121 f Eagan, Minnesota 55123 Date Issusd: (612) 681-4675 SITEAQDRESS: LQT;6 BLoCK ! r APPUCANT: 3866 WFSTDUR1l QR 41ILEX I.i$A W3THURY 1ST (612) 462-7661 PERYJT PUBTYPE: TYPE OF WORK: NEW INSPECTION . f+tu 1 1 Ni~ F 1 NA1.' 1 i - 1 ~ r . f~ li ~.r~~! },'b, .~t-1n•.r ~ }1.• ~ . ~ ~ er~ W~ h.~~~4 t~, . r . .x.~:em + wrmn No. wrmk Hoa.. Date rMpnons 0 S/Vlf I PLt1MBING I ~ HVAC I ELECTRIC I I ELECTRIC I k?spectlon Date hqp. Commionts I FoOtitEgs 1 I I I Foundation I I Fmmtng I FWofim9 ~ I Rough Ping. I Raugh Htg. I tsuL I Fffip1w* I I Flnal Fi[y. I Orsat Teet I I Flnal Plbp. Pibg. Inapector - Notify Plumher I I Corirtt. Me1er EngrJPlan Bldp. Finpl Deck Ftg. Deck Ffnal Welt Pr. Disp. Rewipt MECHANICAL PERMIT Permit No, CITY OF EA(iAN Fu Fil/ in numbersd spacas S/C Type or Prrnr legibly Tot. r 1. Date , i - 2. Irkstallation Cost ~ . . . ~ 3. Job Address Blk. ' Trect ` 4. Owner 5. Contractor ! 1' ' ~ ~ . t ' !1 1. Phone 6. Address 7. City t State Zip - •i 8. Building Type: Residentfal ~ Commercial ? Institutional ? 9. Work Oescription: New l~l Add O Alter ? Repair ? 10. Describe Fuel Type ` 11. No. Equjp,ment STU • M. Ea. No. Eouioment CFM Forced Air Air Handling: Mfg. Boilen Mech. Exhaust Mfg. - Unit Fbater Mfg, : Other Air Cond. Mfg, ~ Gat, P'iping Outlets ~ 12. I hereby oertify that the abova information is true and correct, and t agree to oomply wit4 all ordinanas and codes governing this type of work. Signed : for~ . Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 This reques[ wid 5( I I~( la5 n[hp. ~ C~~66 ~ i~ ~ ~ ~ 3"1 0 fleaues[ le Fire No. Pough-in Inspecti qwretl? ~FeaAy Now ill Notify. InsPec- {J-J es ~ No ~r WMn qeady icensed Electrical Conhactor 1 hereby raquest inspeclion ol above Owner electrical work imiglled et: $treet Address, Boxor flou[e No, e Gity 37r 5 1~J.r.~=~ ,~?ti~ ~ ~ ecban o. Towrsh/ip Name or N Nange No. Couuty, ~liof~ Occupan[ (RtINT) ~J Phone No. Power Su/pD~~er Atldress K a ~ tf Etectncal Contractor (CamOam Narfel Comracmi's License No. • G, ~ 2c~, d~ G~ 9~l8~ 3 Mailing AAdress (Conuac r or Owcer Ll.ikine Installation) C rXr . Authwi SiB ure ICOneractor/ ner4lakirg Iretallationl Phone Number tz~ ~'c'cLi~t 5r25 MINNESOTp yTp BpARD OF ELEC7IiICITY THIS INSPECTION qEaUEST p/1LL NOT Griygs-Mitlwsy BIAg. - R. N-197 BE ACCEPTED BY THE STAIE BOARD 1821 University AVe., St Peul, YN 65100' UNLESS PROPER INSPECTION fEE IS PM..e I6121 297.2111 ENCLOSEU. QUEST FOR ELECTRICAL INSRECTION Ift ~ ~ ~ See i~truetions tor eo~lati.g this fum m beck of yellow coov 017466 Be/ow Work Ca~ by This Request dC R.P. TvPe ot Bui Wing Apolianrcee MiraA Euuiomeni wired Home Range Temporary Service Duplex Niater Heater Ligh[ing Fixtures Apt Building Dryer Electric Neatin Cortmercial 81dg. Furnace Silo Unloader Industrial Bldg. Air CorWitioner Bulk Milk Tenk Farm olne. Sneu y Otner (Soer.ifv) [ ! SyCCify 1hC! Oiher ompute lnspection Fee Be%w M Fee ServiceEntrnneeSize # Fee Feeders/Subfeetlers C Fae Circuits 0 to 200 Am 0 to 30 Am s 22 ~ 0 to 30 Am Above 200 Amps 31 to 700 Amps ~j 31 to 700 Amps Swimning Pool A6ove 100_Amps Above 100_AmFri ' TransTOnners Irtigation Booms O Partial%Other Fee, Sigis . Special Inspection TOTAL F jQ Rerterks S 3P " 3 NouBh-in ( D:~te the EI ri ~ ~ I~spectw, ~erpby ce ifY «t the abova Final ' r nsoeetion hns been . v J" "a ~.reaa_ rnh repumt .ao ta monun tmm y CITY OF EAGAN N ° 'I O O 2 2 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 p~3 BUILDING PERMIT Receipt # Te 6e wed fer SF DWG/GAR 61. Volue $65,000 pote APRIL 2 19~1`_ SiteAddrecc 3855 WESTSURY DR Erect 0 Occupency R3 - Lot 6 Block 2 G+c/SubWESTBURY 1ST Remodel ? Zoning Rl . Repair ? TypeofConst. V Percel No. Enlarge ? No.Stories GRAND OAKS DEVELOPMENT CO Move ? langth 46 ~ Name 1881 SUNRISE CT Demolish ? Depth ej $ Addrog Grode ? Sq. Ft. CitY EAGAN phone 452-8934 Install O SAME Avvrorals het ~ Neme Assessment Permit 328.00 ~ Address l- City Pnone Woter & Sew. Surchorqa 32.50 , Polfce Plan Review 164.00 ~w Name Fira SAC 525.00 w i~ Address Enp. Water Conn. 5.~... 00 u ~w City Phone Plonner WcterMeter~.-00 CounNl Road Unit 2.9n - 00 I hercby acknowladge thot I hava read this opPlication ond slate that gldg. Off. 3/29/H S Xs[1sT _ P_ 132.00 fhe inlormation is rnrrett und agree fo comply wirh ull opplicable APC Total $2. 024 _Q Stote of Minnewto Statute and City„of. Eognn Ordinances. yer. Date ~ Sipnature of PermiRee ~t, GRAND KS E ELOPMENT CO m tM aXPreas torditlon thot A Building Permif Is iss~ all work sholi be done in cccorGtlance with all opp' ble Stote Min xo Stotutea ond Gry ot E~an Ordinancea. Buildirp Of/1cio1 ~O ' 'Y~ "~Qj . SURVEYOR'S CERTIFICATE ~ GRAND OAKS DEVELOPMENT C0. . . z~ 3 u~ . My DENOTES PROPOSED SURFACE DRAINA6E . O DENOTES IRON MONUMENT SET SCALE: 1 INCH = FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 573•a FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST fL00R = '0 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = a'14.Z FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot u, Bioc!< " WESTGURY F:"5T HLDITICI~j, ::ccordi;.e te t!:e recorriEC: nlat Ca:ota Count_>, '';;:r;~seta AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROUEMENTS. OR ENGROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 23RD DAY OF N?RRCH , 1985. SI6NED: AM . ILL, INC. BY: Vl- ROLD C. PETERSON, LAND SURVEYOR S!,eet 1 of 1 s,eets FINNESOTA LICENSE N0. 12294 PROJECT N0. BOOK / PAGE JpMES R. HILL, INC. E:.EOE /0(0 / 59 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South• FOLDER gbomington, Mn. 55431 612-884-3029 ' SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOpMENT C0. ~a-0 - WE-STB DRIVE . RY; - _ - 84 7, s I B~Z•~' I 31.65 m M ~ 8=6023104" ,N3504227"E _ 48.10 - -•32.00•-~ V'73i ~ 0 5 ' 'wt o 10.00: 87/ q --24.04 ~ -e.70.56 . ' 22.0\ - - ' - I i I ` NM O j V= 1~ ~i GA\N . ~ ~ . . N O 4.0 •7 <ti . . ~I ' p . . ' 24.0 `r . _ . PROPOSE N ~ MOUSE N , W ~ 3 . ~ /1'7- Ih' KI I N 42.0 72,1 ' v z I LOT i I ~ . ~ i ? 0) . ~ ~ 1 DRAINAGE 9 UTILITY 1 1 EASEMENT PER PLA1' S/ h + 80.01 ~ - . N 34° 44'29"E ` ~11 1-7-1 rl -7- n l/ v I e_l/ 1 /-1 2 ' . , ; . 7" =so' Sheet 2 of 2 sheets PROJECT NO. BOOK / PAGE JpMES R. HILL, INC. 85508 fp G 15q Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Aronue 6outh FOLDER Bbomtngton,Ma 55431 612-8e4-3029 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS FIUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OE SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: 3~ 2S-~S Site Address: OFFICE USE ONLY Lot: Block Z. Sect/Su'~ Erect X Occupancy R-3 Remadel _ Zoning Parcel # Repair _ Type oF Const ~ Enlarge ll of Stories Dwner k)SS ~ L-IS~ W I 1'e~/ Move _ Length ~ Demolish Depth 48 Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor C-)74/1d) OA/1;7S Assessments Permit 3Z8.'~ /Water/Sewer Surcharge 3 2.5v Address Sun 4N/S-V t~ Police Plan Review L Fire SAC r,°-. City/Zip Code Engr Water Conn SOp.°- ~ Planner Ldater Meter (o3. Phone 3~ Council Road Unit 2gp.m Bldg Off 3 Parks Arch./Engr. APC Treatment P1 (3Z.m Variance Address TOTAL ar v~r. SU City/Zip Code Phone 1k ~ - ~ EXTERIOR ENVELOPE AVEFAGE 'U' COMPUTATION GFAND Op1::S DEVELOPMENT COMPANY MODEL O AREA U U X AREA REQUIRED i. T07'AL WALL AREA 180U X.11 198 2. l"OTAL F.OOF AREA 1196 X.0=6 31.096 ACHIEVED AREA U U X AREA A. WTNDOW AREA 1$6.66 .S 93.133 B. DOOR AREA 39.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.451: D. 1=IREPLACE AREA (D O O E. WALL FF:AME AREA 180 .641 7.38 F. NET WALL AREA 1164.1 .049 57.0409 G. RIM JOIST AREA 119.52 .4436 5.211072 H. FOUND WINDOW AREA 0 0 U T. FOIJND ABdVE GRADE 96.48 .135 13.0248 3. TOTAL•WALL AREA 1800 185.5026 J. SYYLITE u U i) K. ROOF FRAME 119.6 .032 3.8272 L. NET ROOF AREA 1076.4 .025 26.91 4. TOTAL ROOF AREA 1196 30.7372 SUM 1.+2, 229.096 SUM 3.+4. 216.2398 PERMIT 'Control No. 0937 ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road BUILDING Eagan, Minnesota 55123 Permit Number: 001211 (612) 681-4675 Date Issued: 0 8/ 12 / 9 2 SITE ADDRESS: 3855 WESTBURY DR LOT: 6 BLOCK: 2 WESTBURY 1ST DESCRIPTION: ,Building Permit Type DECK ' Building"4ork Type NEW UBC Occupancy R-3 ~ Building LengCh 37 ;Building Width 12 • l% ~ n r v REMARKS: l~ O 2C) 5 FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - WILEY LISA 3855 WESTBURY DR EAGAN MN 55123 (612)452-7661 I hereby acknowl d e that I have read this application and state Chat the infiorm ion is r ect and agree to comply with all applicable State of Mn. Statu e and C f Eagan Ordinances. L ~ - A LI ANT/PERMITEE SIGNATURE I SUED BY SIG ATURE PERMIT # , CITY OF EAGAN REACTIVA7E _ 1992 BUILDING PERMIT APPLICATION 681-4675 C) SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural b structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date / c,-- /'7a Valuation of work _ 3,~ C1l) Site Address: STREET . SUITE * Tenant Name: (commercial only) LOT BIACR SUBD. IAI P.I.D.- N Oescri tion of work: The applicant is: 0 Owner ? Contractor ? OtI18Y' (DescrtDe) Name 1/ Z I~1( SyA (,ISS~L~ Phone J4~ 76 (a Property LAST FIRST Owner pddress 3`~;S 1/~~S i B ~~R,..•~ A v) ~ STREET STE / City E_k'NQ_~p r'j State Y\"/) +v Zip Company J A rv-'-'- Phone Contractor Address License # Exp. City State Zip Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 3 water permits is two days once area has been approve . 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. , 1-4 Signature of Applicant: 1~~- ~1 ~Aj j ~ OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool 003 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ~115 Deck ? 20 Pubtic Facility ~ ? 21 Miscellaneous WORK TYPE 9131 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) --Wcar Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy T --I 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length 2 On-site well Census Code Depth 1 2, On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site 1~1 Footing O Framing ? Insulation 0 Wallboard C~cFinal ? Draintile ? Fireplace Permit Fee 25,00 Yaluatim: $ Surcharge ,sp Plan Review License MWCC SAC City SAC Nater Conn. Nater Meter . Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: . SAC % 0 SAC Units i tQF; S. CERTIFICiATE GRAND OAKS OEVELOPMENT C0. . . .~~73 • _ VyESTB _ DRlvE 31.65 I -13..7_ 1 m ~•-7Q 6'0 23'04" N 35°422T "E ~8.10 •-32.00•- - ~ 3.7 _ 777T - ~ ~ . r p ~y,..;.}r, 1 , . a ~ ; g g 5 ~ij~Z:p . y ' 1oAO; 3."S' 87/.7_ ' S6 ~ 22.0~ `8~• ~ N~ O • ~ 1~ ~i GA\qj ~ ~ . M ~al3.S) i o . o~~ a.o\ .7 en.1 I a6 . ~ 24.0 ~ I~j PROPOSE \ tV N\r+ousE a W ~ ~y t_ 1 M~ xI I 42.0 92./ 0 v z ~ L.O T° 6!~ ~ . ~ . ~ ~ 0) ~ . 1 ORAINAGE d UTIUtY I Lg / g EASEMENT PER PLAT , h tn - 80.01 ~ - - fV34044'29"E ; k 1-7-1 / 1 7' A s l? v ! Lr /-1 ~ ~ • ~ 1" _30t Sheet 2 of 2 sheets PROJECT NO. BOOK / PAGE JAMES R. HiLL, INCio 85508 J0615q Planners / Engineers / Surveyors FILE td0. 8200 HumDok94 Avenue 6oetA FOLDER etoornlnston,Mn. 6s431 8 12-e84-3029* z/sa CITY Or EAGAN TW APPLICATION EDR PERMIT SEWER AND/OR WATER CONNECTZODI - (PLEASE PRIHT) 1) PROP= ADDRr-SS: C-'S ~ U!^ 4-9 i v P QCx C~ s/Z rFrar• DESCRItirzcV: E,eo- lo ck r~ (Lot/Block/S ~~ivisicn or TaY : o-rcel I.D. ilm r) i 1S .`_.'.I:T_.G ST7-.j:C7=, Di>TEE OC QRICiiiTAL LVILDL-..ri TSJUA`C+: PPESEN?' R-1 Sy:= F?tiffLY ? R-2 CU2" (7.:'0 L'NITS) ? R-3 ZCW.iNa?CLTSE + li:7ITS) ( Wi Z"_'S) ? R-4 Ac:.: ^TM'`:T/C'_SJCi,LT;2C,~4 ( GtiITS) ? CC11niE:.°.Ci-%L/RE"I?OF7ICr ? ll~'CC51""~.-S;.L Q NSTITUTIONAI.iG=n=;T Z) APPI.I=v"P (PLEASE ?RIIii) rr~r~: C vR (4 da kS r~DREss: I~;( S'v., rr5~° C. cIM" sE=-, zzP: YYi n. ~ SS>a PHONE: y;5 tY ! ~ 3) PI.L-IEE.R (P~+ E PAlNT) FOfi CITY USE ONLY rf~ar~: a l/e p.f 1J ~L b r ~ PLUt!BERS LIL:4SE: PDDRESSt F~Attive CITY, ST?.Tc., ZIP: O n j.? Ezpired ~ ~ST-r• -Record P H O D I E:_ p LU M B E R L I C ENS E N ar:nitta 4) GCCu?mT/CJ,i'iIEF2 NA4E (PLEASE PRl;IT) ' : ADDRESS: e CIT'_/, STAT'E, 2IP: i PHO:IE _ 5) INDIG"~TE :VHICH PEfT11IT IS SEIi.G REQUESTI;D: E CO,INECTION 'Ib CITI SaIER ~ CO~TZ0:7 'IO CITY WP,T&2 ? di'I?ER (1'L.PIISE DESCRIIIE) 6) INGiG,-I~ C.r.: • _Q PZ: aSE ltOID APPPI7VID PER."^ST Fl7R PICn-L'c' BY ONE OF ASCZJE ~ w'PI:Fr1SE,,*?3-L.,APPRWm-PEF,%LIT T'J-3; 2.'qr'4 AB(7VE--- i (Ci:cle one) 7) SZC.,,'ILRF.: DATE: F 0 R C I T Y U S E O N L Y PE7MIT ISSUED $ SEi`iER nr.?'.1T~ (I`_iC:.uD: SURC:^?R.,c.) $ /j~, }!l WATE-1 PEi2P4IT (I:JCLGDE SliRC:?ARGL) $ f>>~ a WATER METER/COPPERHORN/OUTSZD-- RErlDER $ WATER TAP (ZNCLUDE CORPORATION STOP) S S_E;;E3 T-~? $ ACCCUNT DEPOSIT - PIATc.^z $ WAC $ SAC $ TRliVR I1AT°R ASJLSS.'IE:IT $ TBu.v'K SE:vER `,SSESS~L;i'^ $ Lr,T:.RAL BENEFIT/TT;UNK SE:dEF +S LATc.RAL BENEFIT/TRUVK jtiTATER $ ~J~~2 • ~ c~ OT?i,= R ' $ TOT?,L $ 0 7<<'U • ANIOli21T PAID/RcC°I?T 4 m DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF LJAY? L YES IF YES, THEN ii "PE;2AIIT FOR TAORK WITHIN PUBLIC ROADWAY" M[15T SE ISSL'ED BY THE ~r--NO" ENGINEERID7G DZVISION. LIST AS A CONDI- TION_ SUBJECT TO THE FOLLOLJING CONDITIONS: • APPROVED BY: TITLE: ' DAT° : ,PHot.Ktlob Road - ' > "+ S 4 I. ,B°` 't'199 PERMit Na: ` 6141 x� , , � 5!x'121 DATE 5-3-85 , _ rt , '' )111 r.> J No. of Units: 1 `P "Grand O akd Dear - C>,+vner� Address. a Site Address`: ' 3855 Westbury Dr L6 12' Westbury 1 Plumber: alley Plumbing ff Meter No.: Connection Charge: 500.00 pd Size: lY Account Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 1I agree to owe* ritfh the City of Eagan Surcharge: .50 ". Ordinances. Misc. Charges: 132.00 pd l Total: 63.00 pd meta By Date Paid: Dote of Insp,: 4,� Insp: CI MTY'.l r*EAGAN i 'S S E PliaidIT 1111 '.Knob Road I PERMIT NO 1330 .: P ER. Ow( 2 1199 5 -3-85 " 'Eagan, MN 5`5121 .,. DATE Zoni aI i '. — `No. of Units: I ,Owner• Grand iiaks 17�ty, S� Address: 3855 W tbury IIr VII L G B2 files t yiry 1 . Valley iu>�ebing y tpite» 10. eQ pd ' 4,-2-85 i 425.00 pct f ogre, to whM idiot{ of Bosco', c .onnectir Otoke• P O rdin Accou Deposit: "°�' I O . J O 1 rm Fee: . 54 \` Z � i, Su Pe Q . ,.. 1,...z.e....71-- Caste of Insp.. " otoi:� #nap.• 1 4 • Date Pa14 Use BLUE or BLACK Ink r For Office Use ~ Permit 3W j City of Eap Permit Fee: ! USa 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - Site Address: S S Unit M ° Name: C V Phone: l4 ~T_ ' Z (I Resident/ U Q Owner Address / City / Zip: Applicant is: Owner --)C Contractor Description of work: Z a ° S Type of Work Construction Cost: ~ C)C3 d Multi-Family Building: (Yes / No i Company: rtU C Cx\-li-FC.C+,M Contact: Oc"Z V) Address: wC- City: 0 +'P9 C) Contractor State: - Zip: !S53 cp"'- Phone: CZ Z n~ License 1CAK wL 1 Lead Certificate q ~ I$- 31 S w G-7g If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: i 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.aopherstateonecall.org 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 State Building Code must be completed within 180 days of permit issuance. x CA (3 NK I Q2 V-q x kt~ A" ica is rifted Name p want's Sig ature Page 1 of 3 Oct.25. 2013 1:33PM ( No.6841 P. 2 Use BLUE or BLACK Ink ~ For Office Use ---y ----(-n 1 j Permit 0: ( City of Eap Permit Fee: 0 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 Staff; H C Fax: (651) 675-5694---------------- 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: lc'tO 1-3 Site Address: 3 ~ S5 L0 -f&6gn4 Nn Vg. Tenant: suite Resident/Owner Name: r. Phone: 01'7' a3s~ Address I City/Zip: 3 5S W csL r. ryo 55 t 3 Name t .~E-/ I License pm 00.003-7 Address: . )ACS t3Y1 -'1T _ City: Contractor 11 State: mN zip: ,S~~j33y Phone: eZ - O -~~7(4- (KA Contact: Email: , New )~_Replacement -Repair _Rebuild ^ Modlfy Space _ Work in R.O.W. Type of wok Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Perfnit Type : _ . Add Plumbing Fixtures L Main I _ Lower Level) Septic System _ New _ Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5,00 State Surcharge) TOTAL FEES $ 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.gophefstaWonecall.org 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 x ~K d 2 _IOC~.'1P1 X Applicant's Printed Name Appl 'es Slgnature Date: FOR OFFICE USE Y. . Revlewed 6 Required.Inspectlonse..,:: UnderGround.; : ' Rough4n "`AlrTest :Gas';Test . `Final PERMIT City of Eagan Permit Type:Building Permit Number:EA117675 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 3855 Westbury Dr Lot:006 Block: 002 Addition: Westbury 1st PID:10-83650-02-060 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 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles Jr Higgins 3855 Westbury Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature r Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I I For Office Use Permit City of Eapn I , a9). I y Permit Fee. 3830 Pilot Knob Road RECEI~J D I I Eagan MN 55122 Date Received: 5 l Phone: (651) 675-5675 APP 2 2 2016 I I Fax: (651) 675-5694 I Staff: I _ I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: o Site Address: 3$S5- (,f.~eSlta+ry Drt~-e Unit - Name: Phone: (7- 3 Resident/ I 5 S~a3 Owner ! Address/ City /Zip: 3$5S W"4- f E4,10,11, Applicant is: Owner contractor Type of Work Description of work:! Ir~w'►td A ~ Construction Cost: 75tx0•(~O Multi-Family Building: (Yes / No Company: K a. Contact: cemc-^ Address: 24716 Y-rba,--k-k 1_w XJ City: AloytL Contractor State: t{~~ Zip: T !95WY 7 Phone: 6);?- ;ZIR 6 • 3 021:;L 5- License j 3 $gg Lead Certificate Vtr (-00 6 3 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are conside~edto be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org 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 State Building Code must be completed within 180 days of jpermit issuance. X_ x t Applicant's Printed Name A ica ignature Page 1 of 3 h DO NOT WRITE BELOW THIS LINE 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 A IV? SAC Units (25%_ 100% Zoning 1'A City Water Census Code At 341 Stories Booster Pump # of Units / Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) ; Final [C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 41~ ids quo Base Fee '73 Surcharge Plan Review '17 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of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a1'\]*HH*+. 3F3;'6-+LC1&'(M-+0-Q'`;;838::',-./012'61 XCHC+'DY''::";3XCHC+'DY''::";3 S9:"\['F!:738:3S9";\[';"Z7;3:W 5'N-1-/2'C%&+@$-)H-'NC'5'NCM-'1-C)'N*.'C??$*%C*+'C+)'.C-'NC'N-'*+P1LC*+'*.'%11-%'C+)'CH1--''%L?$2'@*N'C$$'C??$*%C/$-'=C-' P'D*++-.C'=C0-.'C+)'E*2'P'XCHC+'K1)*+C+%-.O (??$*%C+A4-1L*-- '=*H+C01-5..0-)'#2 '=*H+C01- Use BLUE or BLACK Ink a` r For Office Use r ' `' Permit#: /`/0K D , City of Eaaall RECEIVED Permit Fee: e-- 04 3830 Pilot Knob Road JAN 1 9 2017 f 9 Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1.--1C1— 1(O Site Address: 38Sc 1,3(1'54-6.X-1., --Di-► Unit#: nvnu,uamw ra+...w,t�ww..w+s�wwa+�w«.myvrwwv+a+waw.mewswraw�nw«w.r�nmva .,........., .... I I Name: CI AS" %It 1-1i rn S Phone: (010-2Ji- t 35 Resident/ �9 IOwner Address/City/Zip: ,3SS b.e-s+bpi - n MN .5/s73 i i / Applicant is: Owner Contractor $ [ IP I Type of Work t Description of work: Re - Deck. Construction Cost: 46 CI off.o p Multi Family Building (Yes /No >4 ) , Company: 1'()-D44. A C -f C6,CS _ Contact: c 4 r ' rovii I-% (c� tela,-.3a�- 33 Contractor Address: 170 itAtb L )J (J City: Goon Rap&As ' i State: MN Zip: ss-tie Phone: 7(p3 75-7•yig 7y Email: pmoi41 CQ/1'614.CL6r'S Q'rail•co* 1 I License#: DV(01? 34/5- Lead Certificate#: If the project is exempt from lead certification, please explain why: i 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? i I Yes No If yes, date and address of master plan: 4 Licensed Plumber: Phone: I Mechanical Contractor: Phone: l g Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to .r. m.. �� conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 State Building Code must be completed within 180 days of permit issuance. n,t Xy vtc� !k4c4►‘_1n x......, -,k--______:=.. Applicant's Printed Name Applicant's Signature Page 1 of 3 (6 � (4)6s.7 k(,4,y D O,NOT WRITE BELOW THIS LINE / Gl 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 T Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0 42 0 Occupancy . ': ~' MCES System Plan Review Code Edition OO,t SAC Units (25%^_ 100% ) Zoning i/() 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) Final/ No C.O. Required, Foundation Foundation Before Backfill 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: It , Building Inspector RESIDENTIAL FEES Base Fee pridt#6ri Surcharge 0 P / I , L. Plan Review i r MCES SAC City SAC Utility Connection Charge '710 0 X / 0 01Vf S&W Permit&Surcharge Cit ' Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169639 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 3855 Westbury Dr Lot:006 Block: 002 Addition: Westbury 1st PID:10-83650-02-060 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Charles Jr Higgins 3855 Westbury Dr Eagan MN 55123 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170022 Date Issued:06/17/2021 Permit Category:ePermit Site Address: 3855 Westbury Dr Lot:006 Block: 002 Addition: Westbury 1st PID:10-83650-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Charles Jr Higgins 3855 Westbury Dr Eagan MN 55123 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174257 Date Issued:01/12/2022 Permit Category:ePermit Site Address: 3855 Westbury Dr Lot:006 Block: 002 Addition: Westbury 1st PID:10-83650-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles Jr Higgins 3855 Westbury Dr Eagan MN 55123 Paul Bunyon Plumbing Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature