3861 Westbury Dr
PERMIT # r
PLUMBING PERMIT RECEIPT ti
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Site Address
Lot Block Sec/Sub Res. New
~r Mult. Add-on -
~ Name Comm. Repair
AddreSS Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO-% FIXTURES TOTAL Name Water Closet - $3.00 ~
Bath Tubs - $3.00
3 Address ~ - -r •c. / rL Lavatory - $3.00 -
p City Phone ' Shower - $3.00
Kitchen Sink - $3.00
FEES UrinaliBidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPUES Floor Drains -$1.5o
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/INO FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Saftener -$5.00
BEYOND $1,000.00) - Well - $10.00
Prfvate Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: STATE S/b: FOR: CITY OF EAGAN/p GRAND TQTAL: ,
CITY OF EAGAN 9955
~ 3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121
• PHONE: 454-8100
dUILDIN(i rERMIT aece+pt #t
Te w wwd fee • Est. Volue . . pme
Erect D Occupaocy
Site Addrm i. Remodel ? 2oning !
Lot ! 81ock - ~c1Sub.
Parcel No. Repsir ? Type of Const.
Enlarge ? No. Storiea
Move ? Lanpth ,
W NBr^s Demofish ? Depth
Z Address yV :
Grode ? Sq. Ft.
~ City " Phone ~ 3 k-.eG O 1 Instau ?
Aporovols
Name S'~YUe ~
Assessrnent Pem?it
O~ Addresa `
u~ Clty Phone Water b Ssw. Surchorye 41•00
Police Plan Review -189• 50
r' W Neme Fin S/1C 5 2 5. a 0
PW ~
x~ Address Erq. Water Conn. 0 V V V
00
City Phone Plonner Wcter Meter 63-00
Councfl Rood Unit 2An- 40
I hercby acknowledgs thot 1 hove read this applicotion ond stafe that gld9, p{f, 1 ~ 2.00
the inlormation Is correct and ogree to comply with all opplkoble RPC Total
Stab of Minnesata Stctutes and Ciry of Eaqon Ordinances.
Var. Date
Siynoturo of Pertnittee '
H Buildinp Pennit Is isswd to: '1' i=-. 1; f' on tF» express tonditbn tho+
all work sholl be done in oaordonce with oll opplioobb Stofe of Minnesota Statutes ond Cify of Eapan Ordinar?ces.
Buildinp Qifkiol
Pwmit No. Pwmit HoIdK Date Telephone #t
Plumbinq• CA
H.VA.C. J Ci . 3`Z~O '1 `~POZ
El.eWc, ' d.P - i- s 3 ~
Softemr
Insptction Date Inap. Other
F~tinp 3/
Foundseion
Framiny
Roofing Iq
Rouyh Plbp. -
Rouph HVA
Inwlatan
Final Plbp.
Final HVAC ~.s
4FinallD~tuibe Locstion:
Sevwr
Pt. Diap.
/J'5'fj-
CITY OF EAGAN Remarks Oy62;1-
Addition WESTBLTRY FT RT ADDTT70N Lot 7 Blk 9 Parcel 10 83650 070 02
owner streec 3861 Westbury Drive scate_ Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1956 28505-8-85
STREET RESTOR.
GRADING
Water area 1986 133.7 8-92 19 1
SAN SEW TRUNK L}O .15 A01 61 - 1.-8
SEWER LATERAL [986 5008.73 I001.7 8. i 1 ~
4v/ 5- -Fl5
Watermain 1 65.29 4-19 15 65.2 0- '
~-55 1 tt
WATERMAIN 198(~ 68.7 (~.58 15 5 • 5
WATERLATERAL 1986
WATER AREA 160.28 A015 5- 6 1 5 - 3 1 - 5
*services 1986
STORM SEW TRK 1986 710.24 142.05 5 "
STORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGFiT
WATER CONN, 11 to
BUILOING PER. 11 9955 SAC
1 n -52500 PARK .
Rsaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered apacea S/C
TYPs ar Prinr /egibly Tot
1. Date ' 2. Instsllation Cost
3. Job Address ' Lot ; Blk. Tract
4. Owner
~
5. Contractor • Phone -
6. Address '
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter 0 Repair ?
10. Descrihe Fuel Type 11. No• Eq~~~omp-^-* STU - M. Ea. No. Eauiament CFM
Forced Air . , Air Handling:
' Mfg.
Boilen Mech. Exhaust
Mfg.
Unit Heater
mf9• Other
Air Cond.
Mfg.
Ges, P'iping Outlets
12. 1 hereby oertify tfiat the above information is true and correct, and I agree to
oomply with all ordinances and codea governing this type of work. Signed : _
for
Rouqh Final
In:pections: Date Insp. Date Insp.
This ia your permit when numbered and approved.
Approved CITY OF EAGAN 464•8100
Receipt PLUMBING PERMIT. Permit No. -
CITY OF EAGAN
Fee '
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost '
3. Job Address.. Lot " Blk. ~r Tract, 4. Owner 5. Contractor Phone T i 6. Address
7. City State Zip
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New 0" Add O Alter O Repair ?
10. Descrihe
11. No. Fixtures No. Fixtures
3 Water Closet 7`
Cesspool/Drainfield
r Bath tubs Septic Tank
Lavatory
Softner
Shower ' Well
Kitchen Sink
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, and I agree to
comply with all ordinances and codes governing this type of work. ,
Signed : " for ' . ,
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~ CITY OF EAGAN N? 9 9 5'5
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55727
BUILDINC PERMIT PHONE: 4548100 keceiPt # ~0.A~
T. M wad for SF DWG/GAR Est.Volue $$2.000 pae MARCH 11 I 985
SiteAddress 3861 WESTBURY DR Erect E1 Occupancy R3 7 2 c ~A7F.$TSURY 19T Remodel ? Zoning Rl
Lot Block ec~Sub. - Repair ? Type af Const. V
Parcel No. Enlarge ? No. Stories
JOS MILLER CONST Move ? Lenyth 44
~ Name Oemalish ? Depth 34
Z Address 18133 CF.DAR AVE SO Grade ? Sq. Ft.
~ City FARMINGTONphone 431-2001 Install ?
$AME Approrals Fass
~ Name 379.00
Z . Asseument Permit
o" Addreu 41.00
u~ CitY Phone Worer & Sew. Surcharye
PoliCe Plan Review- 189+.50
~W Name Fin 5AC 525_00
z~ Address Enq. WaMr Conn. ~,-.OO
,0
City Phone Planner WaterMetar63.-0d
Councll Rood Unit 2R n- 00
I hereby ocknowledge fhot I have reod lhis application ond smte that gldg. Off. 3/6/8 5 P-. P. 132 . 00
fhe inlormation is corrett ond ogree to wmply with all apPlicable qPC Totel 1 0 S
$tofe of Minnesota Statutes ond City of Eo an Ordirwnces. +S-~ ~ Q
Q ~ Var. Date
Sipnaturc of PertnitteaL~
A Building Permit Is luued to: JOS. MILLER CONST on the expren corditlon tha+
oll work aholl be done in aemrdonce w7th all~qpplicabie Staf~Nlin~ew tatutes o f Eaqan Ordirwnces.
Bufldinp Official
~
' 1 ~ • •
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
~ INCLUDE 0 SETS OF PLANG,
~ y~ s S^ Q CERTIFICATES OF SIIRVEY `
~ SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 2AO~_ Date:_
site Address: 319(Ql 3 2, °oo • •
Lot: -7 Block: oZ Sect/Sub:_ 14~'Erect: Occupancy: (Z-3
Parcel Remodel: Zoning: R_I
Repair: Type Of Const:
Owner: Enlarge: _ # Stories:
Move: Length:
Address: Demolish: Depth:
City/Zip Code: Grade: _ Sq. Ft.:
Phone
Contractor:
~
Address: M, Cpda~, ftU( • SO - Assessments: Permit:
City/Zip Code: jr~ yq„ O(r$pyc.f water/Sewer: Surcharge:
Police: Plan Rev.:
Phone Fire: SAC: SZS,=
Engr.: Water Conn: Sop.°-°
Arch./Eng: Planner: Water Meter (03,°_°
Address: Council: Road Unit: Zgp.=°
Bldg. Off.: ,jI garks__ 7-~~Pi~ zo
City/Zip Code: APC: TPc- I1i2.=
Phone#: Variance: ~ 21 4 . 'st)
2006 RESIDENTIAL BUILDING rERMiT ArrLicnTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements RemodeUFiepair Reauiremenis Dtfice kJseOaH
3 registered site surveys showing sq. fl. of lol, sq. fl. of house; and all roofed areas 2 copies of plan showing footings, beams, joisis Cett of $wvey Rsed ? Y N
(20% maimum lot coverage allowed) 1 set of Energy Calculations for heated addilions Tcee Pres PIBn Rectl LY _N.
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions 8 decks T[CeRes Re43it&i _Y N
1 set of Energy Calculations Addition - indlcate i( oo-site septic system On-siie SePtic System K N.
3 copies of Tree Preservation Plan if lot platted afler 711l93
Rim Joist Detail Options selection sheet (6uildings with 3 or less units)
Minnegasco mechanical ventilation foim
Datc o?~ / 0 61 Construction Cost 402C
Site Address / d.UniUSte #
E ti Al a 5 4~
Descriptioo of Work t Q s j , e P L % , o ~of c t tl 7'U
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Propcrty Owner U urt !4 u Telephone #(oS / ) 03^-
Contractor ~1A d t 7GU E S wi ajr, L4~ 5~G a rf
Address '/O L N c/i S~, .~T • City 4'2~"°' L~
State Zip ^/G Telephone#(~o~h p`ls^3-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeon~ 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone # ( L
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
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. ~
/,e~~v,c G~ /~c~/ ~
Applic t's Printed Name pplic nt's ' nature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 76 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 08-pfex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O, 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 . Reroof ? 46 Windows/Doors
? 34 ReplaCOment `Demolition (Entire Bldg) - Give PCA handout to applicant . .
DeSCriDtl011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan 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) _ Sheetrock
_ Footings(deck) _ Final/C.O.
Footings (addition) _ FinaUNo C.O.
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved By: , Building inspector
- - - - - - - - - - - - - - -
Base Fee ~
Surcharge '
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment PIaM
License Search
Copies .
Other
Tofal
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reau'vemenls RemodeVReoairReauiremenls Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. 8, of housa; and pll roofed areas 2 capies of plan CeR W Survey Recd _ Y_ N
(20%mazimum lot coverage allowed) 1 set of Enertgy Calculations for heafed addilions Tree Pres Plan Reoi _ Y_ N.
2 wpies of plan showing 6eam & window s'¢es; poured found design, elc. 7 site survey for additbns 8 decks Tree Pres Required _ Y_ N
isetolEnergyCalculalions AdO'rtion - irMkateifarsdesepticsystem On•sneSepticSystem _Y_N
3 copies of Tree Preservation Plan if bl plaHed after 7/1193
Rim Jolsl DeWil Op6ons selection sheet (buildings with 3 or less units)
Date ~ l ~~l ConstructionCost
Site Address 3 T /e D~dC Unit/Ste #
41b/
Descrip[ion of Work _Z~574// i4 Z&A
Multi-Family Bldg _ YZ~,N Fireplace(s) _ 0 Q~ 1 _ 2
Property Owner DocxR L-AUJ2(- Telephone # (ds'/
Contractor ~//7L' 174rv~
nddress :S'0V7 rity
0/ Telephone #(7~3
State Zip 5~_3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submissionrype) Submitled Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( ~
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#~ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in confortnance 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
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. ~
JA500 E-Idk1\-)efd'5c,U
Applicant's Printed Name plicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
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 WindowslDoors
? 34 ReplaCement •Demolition (Entlre Bldg) - Give PCA handout [o appllcant
Valuation Occupancy MCES System
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 Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Ftaming _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building 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
RESIDENTIAL
BUILDING PERMIT APPLICATION
cInr oF eacaN
3830 PILOT KNOB RD, EAGAN MN 55122 )
651-681-4675
New Conetructbn Neaulremante NemadeVHeoelr Beaulrements
• 3 registered site surveys shaving sq. fl. of bt, sq. fl. of house; antl d roofed areas • 2 wpies of plan
(20%maximumbtcoveregeallowed) • lselolEnergyCakulatbnsfarheatedatlAAions
. 2 copies of plan showing heam & window saes; poured lound design, etc.) • 1 sile survey br ezterbr additions & tlecks
• 1 set ot Energy Celcula8ons • trMNxte M home served by septic system for additbns
• 3 capies of Tree Preservetion Plen if bt platted atter 711/93
• Rim ,bkt Dete7 OpGOns selectbn sheet (bldgs wMh 3 or less unfts)
~
DATE a(o -0d__ VALUATION ~ (0000
SITE ADDR SS 0 l4' W e 5t6v.i Yl V'Q-- MULTI-FAMILY BLDG _ Y ~ N
NPE AORK ke-- oU la3,9 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C~~VW' • c..okin h+ IG r S G
STREETADDRESS 02,41 itccllefl' vesa CITY rn vj V--STATEW~zIPSS337
TELEPHONE #952-X?-(695 ~ CELL PHONE # FAX #~~a?'
PROPERNOWNE~~G' ~~pq, TELEPHONE#~1 "~S- ~5~7
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7690 CATEGORY 1 _ M ~~J~J,E ~
(J submiasion type) • Residential Ventilation Cetegory 1 Worksheet Submitted • e ~ae~~~ e mitted
• EnergyEnvelopeCalculaNonsSubmitted mi. Q 12002
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor. Phone #
Mechanical system inciudes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Siatutes and City of Eagan O ces.
SlgnalureofApplkant
___s.__-._..___..__.______._.__.____.._. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt- Multi
? 03 Ot of_plex ? 09 07-plex ? 17 Garage O 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors
13 34 Replacement •Demolkion (Entire Bldg only) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
` REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ tlir/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ tlir Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
" 'Survey For: Joseph M. Miller Const.
18133 Cedar Avenue So.
Farmington, MN 55024
DELMAR H. SCHWANZ 81/59
I.ANDSURVEVOR51 INL.
RepistarW UnCer Laws of Trye St+L ot MinnasoL
2978- 146TM STREET W. - BOX M. ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-7769
SURVEYOR'S CERTIFICATE !I
foP 5YK ~oPSPK, ~I l
_ N 540 17 W B61'1~97.49 s76.17. a& z
u~ sr.~ ?o•~ I B~.9Y
1 jo I ~
~ I 1 I 64R. ao
_ 1? 1.5' u~ ~'j ---i
yyP2oPO~v ~ y ,r ~f- :
m
7 \ a , ,
0_' \ Bb.~j I Bc/, 3+ jp 3 n! ~
° i
- N 54° 33" 1~d 19~.~4 ~uPSPK _ BG~•LI Be,
~oP~illc 8 [,3.c~ I
463.89
3
~I
O = Property corner
D = S W-b Set Spi:ce
' 165~' = Existing elevation
, ' (L = Proposed elev2tion
Proposed direction of drainage
8~9 P= Proposed garage floor elevation
I hereby certify that this is a true and correct representation of the following
deacribzd trac[ of land:
Lot 7, Block 2, WESTBURY FIRST ADDITION, according Co the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon this 2 9th
day of Jan. , 19 85 .
House plan: Royalton II
Plan ie flipped
No walkout
House is staked closer to north property line to allow for services.
Buyers prePerence to keep house 10 feet from north lot line. Met survey
crew when houae was ataked.
~ n
~ MINNESOTA REGISTRATION N0.8625
- r: , ~
Ck _
c:ty oF esigrin
3830 PIlOT KN08 ROAD. P.O. 80X 21799 - BEA Bi.OM9UI5T
EAGAN. MINNESOTA 55727 r.wrn
PHONE: (612) 454$100 7HpMAS EGAN
JAME$ A. SMIiH
JERRV iHOh1A5
DATE: October 29, 1984 THEODOREWACHTER
e~1memoere
TNCMAS t+EDGES
Gtv A~1n010ra
EUGENE VAN OVERBEKE
SPECI2S. ASSESS?fENT SEARCH CN C~%
Requested by: ?AKOTA COUNTY ABSTRACT C0, RE: Westbury First Addition
1250 Highway 55-P.O.Box 456 Lot 7, Block 2
Hastings, MN 55033 3861 Westbury Drive
Enclosed herein.is the search which you requested made on the above described property.
Kind of Imnrovemenc Runs BeRinning Orieinal Amount Balance Due
Swr Trk 15 yrs. 1985 $ 436.23 $436.23***
Watermain 15 yrs. 1984 68.71 59.55
Water Area 15 yrs. 1984 1$4.92 160.26 %
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having heen approved and are now in the process
of planning or completion.
Kind of _Improvement Aporoximate Date of Comnletion Avnroximate Cost
Utilities - $6058
Street . 2687
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or its
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideratio
of any nature whatsoever, any claim against the City or its employees rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Bix 21199, Eagan, MN 55121.
Very truly yours,
SPECZAL ASSESSMENT DIVISION
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GFtOWfH IN OUR COMMUNITY
~
2/84
CITY OF EAGAN
APPLICATI0N FOR PERNIMIT
• SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINT)
1) PROPEf2T`_' ADDRE55: 38(a / &4:Vf,Aq n y /CJL J_
rFrar• DE..CRIprTCV: 7 2 n.~~A.~ q /
(Lot/Bloclc/Su.'~.divisicn or Tax Par 1 I.D. .:uner)
~ S'?'4L'CP'RE, DAT' 0° OiZTGi IAI, cuIT~.^,=~G :.j_= ISSU?NC.:
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PRz'SL~?' ....^,:IIi~:p?OPOS~ Ccy: ,GL:r.-_.SI,
? 2-2 CUPT-= ('?WO L^'ITS)
? R-3 'IG[v-?CLIGE U:TITS) ( L'NI'^E)
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2) P,PP_T,I= (PLEaSE PRINT)
11Ah1E: ,dc._ 119. //et
ADDRESS: ~8/ 3 3 ~C;r4 4c
CI'i"l, STATS, ZIP:
~
PHO2~E:
3) P~~BER (PLEASE PRINT) FOfl CSTY USE OYLY
NPIME: ineud-S pl«i.,
~ i - PLIIM,8ER5 LICEYSE:
ADDi2E55: `I Active
CZTY, STATE, ZIP: Expired
Not of Record
- PHONE: PLUMBER LICENSE H~p(o,s - N93 vY
arr nitia
4) O=AN•r/U'7[IER NF IPLEASE PRINT)
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ADDRESS:
CITY, STAT'E, ZIP:
PHOiVE:
5) IDIDICliTE W[-IICH PERMIT IS BEING REQUESTEp;
~ =INEC.TZ0N 'I"J CITY SF7iIER
~ Cl7M1FC7ZQN 'It7 CITY WP.TEIt
? anIER IPLZ'vSE DF_SCRZIIEI
6) ILIDZG, C.+'E:
El PI.::ASE F?DID APPRWED PER.+IIT FOR PICF:-UP SY ONE OF A&CVE
? PIF115E ~*AIL APPRCVfD PII2.tilIT TJ 1, 2. 3, 4 ASOVE
(Circle one)
7) SIG:,TN'IVRE: DATE: rl/~~,T,[ gs~
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FOR C I T Y U 5 E O[V:,Y ~
PE2HIT ISSUED
FEES: $ /a. .19-0 SE:^iER ?'rR;1T_T (I`.ICL:;D: SU°C :?RGE)
i~ S'O WATER PERP[IT (I,7CL'u'D: c-liRCFiARGE)
$ 1--4vf WATER METER/COPPERHORN/OUTSIDE REi,DER
$ WATER TAP (ZNCLUDE CORPORATION STCP)
$ S: ;dcR TAP
$ :;_=GSl=
$ ACCpUNT D6POSIT - VIA:ER
$ j"7[iC
$ SAC
$ TRliVK WATER ASSESSi-+.E.7T
$ TRli:7K SESIER ASSESS:IE.IT
$ LATERAL BE:iEFIT/TRUNK SE:'.ER
$ LATE2r1L BENEFIT/TRUNK G7ATER
$ ~..~a• OTHER '
$ TOTAL
Ab'.OU:;T PAIDjRECEIPT # v~p-,4p le
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITFIIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVZSION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
TITLE:
DATE : oc.g;
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383Q yx Knob Road 5996
P. O. x 21198 PERMIT NO.: 5996/5
Eagan,' MN 5121 DATE: 1
_ 111 No. of Units:
Owner: Joe Miller Comet
Address:
Site Address: 3861 Westbury Drive L7 82 Westbury 1
Plumber: Piyr Outb P].ttmbiuR
-- Meter No.: Connection Charge: 500 pd
Size. Account Deposit: 15.00 pd
Reader No.: Permit Fee: 10.00. pd
1 ogres to comply with the City of Eagan Surcharge: .50 pd
Qraomoa. Misc. Chorges: 13 pct
Total. 63.00 pd mt.ar
By Dote Paid:
Date of Insp.: - ak _ insp,•
3O F~: ALAN `� �
8 P RMU
3 30 ' nob Ragd .' ?
►..� ax 21199 PER IT ;t+fb.: 5
c") lag i, MN 85 1 • DATE-
Zoning: No of units: •
Joe Miller. Court.
S
Address: 3861 W*atbtt Drive L7 B2' Westbury' 1
FiYti ut to ].blab img ' •
Plumber: 3 - 11-85 ` 50025 i_00.00opa •
1 agree to comply with the Cdr of Eagan Connection Ch arg e : 25.00 pd
Ordinances. Account Deposit 15.00 pd
"o Pe F ee: 1 0.00 pd
Surcharge: • 50 p
•
By ,ft) n•- ,� � Charge ` "
Bata of Insp.' 4� Total: •
Insp: Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107042
Date Issued:09/24/2012
Permit Category:ePermit
Site Address: 3861 Westbury Dr
Lot:007 Block: 002 Addition: Westbury 1st
PID:10-83650-02-070
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
651-686-6696
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Douglas Lauder
3861 Westbury Dr
Eagan MN 55123
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172308
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 3861 Westbury Dr
Lot:007 Block: 002 Addition: Westbury 1st
PID:10-83650-02-070
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Douglas & Josephine Lauder
3861 Westbury Dr
Saint Paul MN 55123--207
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature