Loading...
3866 Westbury Dr41111' tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3866 VJ @S4 OcJ4y Dr. Tenant: % °//5S Ockr0nbrut,tr. RESIDENT / OWNER CONTRACTOR J Suite #: Cv Name: AG rssck. I3c t•cn 14uarrl Phone: 657- 9?4-/' O Z EP 3 Address / City / Zip: 3 Eirs4 Wo.54-baly DP. EGtec.n 567 3 Name:Am/fa/1m ..Lnl$ rfet5 O` inn License #: QS'8 /.3/ ePI Address: / /^I SOS Pc c c t s S 1` /V a City: /` r`o P c Ke State: in n Zip: SS" .3 7 2 Phone: 9S2 - L/(4 ea L/ / Contact: / h fGle.l le Email: TYPE OF WORK PERMIT TYPE _ New ,replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) _ Septic System New Abandonment Sater Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 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) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours hefore you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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. x t7to /14 cte41.1A Applicant's Printed Name x— Applicant`s Signature FOR OFFICE USE Required Inspections: __Under Ground ,_Rough -In Air Test _Gas Test _Final Reviewed By: Date: ~.~..,^rr,r~ riaR sl 1! r87 1,56-c~r,6~CITY OF EAGAN 5..r?72 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for •"~)Wr/CAR Est Value $63,000 Date APRIL 2 19 ':;66 P7,_.STBITRY ;7R 5ite Address Erect Lf Occupancy `!'HU?2Y 10,1' Remodel ? 2oning Lot Block c/Sub. Parcef No. Repair ? Type of Const. t+ Addition ? No. Stories ¢ Name `(VE'PF MILLx'T2 CU?+.ST Move ? Length aa W Demolish ? Depth FEDAR ; Address r~ Inl Impr. ? Sq. Ft ° Ctty 431-2001 Install ? _ 0 Name APProvals Fees Q Address Assessment Permit ~ City Phone Water & Sew. Surcharge - Police Plan Review ~ ~ • ~ = iVame Fire SAC 57 S• ' ~ ~ Address Eng. Water Conn. • ' = < W City Phone Planner Water Meter • Council Road Unit I hereby acknowledge that I have read this application and state that the q/~ 1.~'<<6 information is correct and agree to comply with atl applicable State oI Bldg. Off. Tr. PL Minnesota Statutes and City of Eagan Ordinances. APC Parks Sisnature ot Permittee Var. Date Copies r f?t ~ MLzLr.FR ::nS~Totai ~ A Bullding Permit is issued to: on the express candition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Cily of Eagan drdinances. Building OHicial ~ PermN No. PwmR Holdw Dats Telephona k PIum6ing ! V 3 5 ~ . . M.V.A.C. 7-3 Elotfflc Softener Inspecdon Date Insp. Comments Foonngi l Faodnqs ll Faundation Framing f rYl 1 5(~ ` f! ~ e~a Pl ~ T~D RooNny Rough Plbp. Rouph Ht9. Insul. ~Z- Finplace Flnal Hty. Flnsl Plbg. ~ - ~ Bldg. Ftnal ~ Cert. Oec. 3`9 . , C. Ti, i r) - 3_ Goe4; C, tcx-E U Dsck Ft9• Dack Frmq• 12~ ~ WNI a - T ~ Pr. Disp. 1~' . , • . , PERMIT # CITY OF EAGAN FEE - MECHANICAL PERMIT RECEIPT # r 454-8100 S/C - MINIMUM RESI.DENTIAL FEE - $10.00 +$.50 TOTAL DATE ((7' MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res Comm Inst 2. New ° Add Alter Repair 3. Total Bid Price 4. Job Address Lot ~Block T~ Sec r 5. Owner 6. Contractor'.. (Neme) , / ~ ~ v (Streeq ' (Ci1Y) (ZiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additiona150,000 BTU's or fraction -$6.00 AESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. ~AIR PIPING PROCESSED PIPINC3 AIR HAND. EQUIP. RtFRIG. ~ RES. GAS PIPING OUTLETS - E1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE r 196 OF TOTAL BID PRICE PLUS $.50 STATF, SURCHARGE FOR EACH $1,000 OF FEE. Signed: Ct ~ i E C- - for Approved;' Inspections: Date Rough Insp. Date Final insp. , . PERMIT # _~033 • PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address >qe' BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/ b ~r Res. > New ~ m Name - Mult Add-on m Address Comm. Repair c City _ Phone`.° -Other NO. FIXTURES TqTAL Name Water Closet - $3.00 s ~ c Address Bath Tubs - $3.00 p City Phone ' Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 Laundry Tray - $3.00 MINIMiJM - RESIDENTIAL FEE - $10.00 ~ Floor Drains - $1.50 MINIMUM - COMM/IND FEE -~.00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets -$1.50 BEYDND $1,000.00) Softener - $5.00 Welt - $10.00 Private Disp. - $10.00 ~ Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S1C: FOR: CITY OF EAGAN GRAND TOTAL• • CITY OF EAGAN Remarks / Addition WESTBURY FIRST ADDITION Lot 9 Blk 4 Parcel 10 83650 090 04 Owner Street 3856 Westhury nrive State Eagan, MN 55123 _ Improvement Date Amount' Annual Years gS Payment Receipt Date STREET SURF. 1986 Z$ Jr, STREE7 RESTORfjQL GRADING - " Water area,,' 1986 133.fi3j',, 8.92 15. SAN SEW TRUN 436 29.08 15 , i3' ~ 5EWERLATERA ~ 1986 5~~ 1001-79 Waterm ain 1986 65. 4.35 19 WATERMAIN 1984 68.71 4-58 15 Jr 55 WATER LATERAL - WATER AREA 1984 2 *Services STORM SEW TRK 1986 710.24 * STORM SEW LAT CURB & GUTTER ' SIaEWAl.K STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ~ p~CITY OF EAGAN - 11728 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np f--~1 PHONE:454-8100 BUILDING PERMIT Receiptq 7,7 7obeueedtor SF DWG/GAR Est.Value $63.000 Date APRIL 2 ~y86 Site Address 3866 WESTBURY DR Erect 6 Occupancy R3 Lot 9 elock 4 Sec/Sub. WESTBURY 1ST Remodel ? Zoning Rl Parcel No. Repair ? Type of Const V Addition ? No. Stories JOSEPH MILLER CONST Move ? Length 45 = Name 18133 CE AR AVE SO Demolish ? Depth dF o Address Int. Impr. ? Sq. Ft Ciry FARMINCprg&W 431-2001 install ? Name SAME Approvals Fees a o $p nddress Assessment Permit $ 322.00 ~ Ciry Phone Water & Sew. Surcharge 31. 50 Police PlanReview 161.00 Fw Name Fire SAC 575.00 Address 500.~~ 330 Eng. Water Conn. a w city Phane Planner Water Meter 63 . 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4/1/86 7r. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or i ences. APC Perk3 ~ ~ Var. Date Copies SignatureoiPermittee - Total $2.099.00 JOSEPH MILLER CONY A.Builtling Permit is issued to: _ on the express condition Mat all work shall be done in accorda with I a ' le Sta €Minr~a fa Statutes and City of Eagan Ordinances. ~ Building OHicial n t / 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I I Site Street Address ~,-od ? Unit # Property Owner TiP/l Telephone # *W)/`'6S = /a o ~ Contractor r..~ T/elephone # Address ,U?VL,4rQg zl-r-So City State 4l Zip The Applicant Is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5l8" meter is required) Other: WaterSoftener C-Vqa~ter Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Tota~ LAPR g/s I hereby apply for a Residential Plumbing Permit and ackno ation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the ev a plan is required to be reviewed and approv ` ApplicanYs Printed Name Ap IicanYs Signature . ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTHACTORS lNST BE LICENSED i1ITH THE CITY OF EAGAN MODEL 65- (Cr~ INCLUDE 2 SETS OF PLANS .1 CERTIEICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS • C03.000 To Be Used For: Valuation: Date: Site Address: ?!f/ OFF CI E USE ONLY Lot: 9- Block ~ Sect/Sub Erect ~C Occupancy ~ Remodel Zoning 12,( Parcel / Repair 1 Type of Const ~w Addition Ik of Stories Ocmer Move _ Length 45 Demolish , Depth 4~, Address Int.Impr. _ Sq Ft Install ~ City/Zip Code Phone APPROVALS FEES Contractor~~ ~ Assessments Permit 3 Z2, C Water/Sewer ~ Surcharge 3l' S-° Address af~.3 Police Plan Review Ifol. Fire SAC 575 City/Zip Code Engr Water Conn C o. Planner Water Meter (,,3 5= Phone Council Road Unit 'LrtO. Bldg Off;S b Treatment P1 I>G,. Arch./Engr. APC Parks Variance Copies Address TOTAL =0 y City/Zip Code Phone II ' TRI-LAND C0. SURVEYING SITE PLAN FORO. SERVICES JOSEPH MILLER 4655 NICOLS ROAD CONSTRUCTION, INC. EAGAN, MINNESOTA 55122 N \ SCALE I"=30' y a 6 ~ . Y w~ ~ N 54017' 33" W m,0 ; 140.00 N O M. ? 1 NT N y ~J O ~ ~ . ~r~•.. N A ~hr 24' ~ CT ' ' Z ~ 12 0 _..r m ~ LOT 9I ST v g~ oON ~ I ~ 0 N -4 m 30 ~ ,o - 140.00 " N 54°17'33W F 1 yl / : 1 9a O~ PROPERTY DESCRIPTION LOT_, BLOCK_, WFSTBLIRY FIRGT ADDITION occordinq to tbe recorded plat thereof DAKOTA Ca?mq, Minnssota LEGEND o DENOTES IRON MONUMENT PROPOSED 6ARAGE FLOOR ELEVATION= 107~°° o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE* VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS l hersby certify ihaf This turvey,plon ar rsport was preporod by me or under my 1. - direct supervision and that I am a duly Bradley enson, Mn. Req. No. 15235 ; Repistered Land Surveyor undsr the .'V2 1R~ : Laws ot the State of Minnesota Dote • ~ _ . ; ' ' • CITY. OF BUILDIN(3 DEPARTh;ENT r k:XTERIOR ENVk3.OPE,AVMGE "U 's COFIPUTATION (To be submitted with building pormit applicatloa) One or Tva Family Dwelling Owner All Other Site Addrasa Contractor So~F_pd /~iLF..Q 0415T. Date Phone #$s-loo LI[v6kL ; EET OF 7 E?C'O:;ED 6'tALL ~EE <</o,e,r ~ly~ET~ tt. above grzde < z, O}g,00 U TOTAL i;;C'OSiD 13ALL Ak'r.A SQ. FT. 0?n,:,UE ;7i.LL CJi:SP'r.D:TIJt:: "U^ ValUe x Area Detail FA- AN7E flUit •0,f 3 x SQ. FT. 1(05Z.Z0. 740¢ (U)(A) re:erence Cct~,e• "U" •07(a x SZ. FT. Wa48= 7.33 (U)(A) from "U" .040 x SQ. FT. 1l9•5Z= -?./0 (U)(p) attacned "U" x Sq, FT. _ (p)(a) sheets "u" x 5:;,. FT. _ (U)(A) "Ult x Sn, FT. - (U)(A) '.7I1:D0',75: "U" Value x Area Aia:ce & Type I1JSVL• dS.PV'T "UP' . 4$ x SQ. FT. ~•oo (U)(A) "u" x SQ. FT. - (U)(A) ? fr nQn x Sq. FT. - (U)(A) u °Un X SQ. FT. - (U)(A) T1JOR5: ^[f" Valiio x Groa :ia:ce & Tyue ~i'rt • IA,5.vL. nUn •14 x SQ. FT. q' •bo (U) (A) " " 847i o "U" . 47 x S: . FT. Z•oo = A) uuu x SZ. FT. _ (U)(A) n n _ upn x SQ. FT. - (U)(A) TOTAI.S Zogg.oo SQ, r-T. /S3•g3 (U)(p) AVERA4E "Ull ToTai. (u)(a) vr.t.oES JS3.~~ _ - , 073 DIVID:iD BY TOTAL :71.LL kRr:A Zogg oo ~ AVF;kAC3E itUt~ ,115 r less for 1&2 family dwellinga ROOF/CEILINCi : T9TAL AREA: IOOZ ~ Detail reference •oZl x SQ. FT. /OOZ = Z/•o~j- (U)(p) from x SQ. FT. = (U)(p) attached sheeta. IIUII x SQ. FT. - (p)(p) Describe oneniags IOUll x SQ. FT. - (U)(A) in roof. x SQ. F.T. - (U)(A) TOTAL (U)(p) VALUES DIVIDED BY TTA{Vj ~ t 'f0`iRL R00?/CEI ,Ii:G :.l;Ep ~ppZ.C,0 • OZ f AVER„GE "U ,025 for ventilc:ted roofa. - i ~ ? ~oRK yWE E-r 14.5o X~38t38+34+34) = Z~OSB•~~ Co?1e . .G7K ~38*38t-34t34~ = Y(o.`FS ~r ~lrn-Tors . 83K (,38+38t34t3¢~ ~ I19•SZ ~ 1~/i~1Aow S Ibx3&= 4•o x 4= llo.oo loK3& = 5, 0 X (o= 3o. 00 24x 3&= rv.o x 4~ zqL.0c, zox49; =(P.7 x 4= z&. so z4)c 48 =$.o J( q. = 3z, ov /28• So ~ Icvp~S 3 ° sn.. w/5.c Zg' $7c.- SE,e = 21, o0 /o= PAT/o = ~fz,oo A_ ERv/a~ Z,oeF oo Z4 X 3 S= q2 GESS co~lc. q~.gs 9 x lo = 90 1~ ~P~~rJ• u4•sL n wDw's lzs.go -St3S:8o l,002.00 Daorz?s 9l•00 1~ ~SZ. Zo ~ -wtt.L=sscnoa-- Determining 1,U11 values at Roof, Wall, Rim, rand Conc. Block S ROOF/CEILIN4 R VALU] 1.) Interior Rir r•ilm 0.61 2.3 5/8-1 ayp. Ba. .56 j.) Insulation 4.1 4¢,p0 5.) Exterior Air Film .bl ~ 2 3 ISTILL) f 6 nIIn = 1/R= .0al LOTAL (R)= 4s.7r~5 I _ O WAI,L (R Vf,LUr 6.) Interior Air Fila 0.68 lJ 7.1 P GYP. Sd. .45 8.) Insulation 1q.C~o 9. ) ~ y~~ $ut(.T- Ri7E Z,04 10, ) iitasonite Sidino .67 l0 11.) Exterior Air rilm .17 l l npn o 1/R= TOTAL (R)=Z3,0/ RIM R VALUE 12.) Interior Air r'iLu 0.68 13.) Insulation /9.00 14.) 2" Fir Rim Joist 1.88 IS 15.) zs/3Z+ 8vrv-R,~e z,oq. 16.) Maeonite siding .67 17.) Extorior Air Film ,17 . „ . • . . IiIIu = 1/R= .04d TOTAL (R)=z4.g¢ ~ FOUNDATION (R) VALUE 180 Iaterior Air Film 0,68 zl . . ~g 19 . 3 Jo 20. >P-1 f S-rRIPPEA 1l • o0 n • 9 21.) 12" Caacrete Block 1.28 22.) 63 ."b 23.) Exterior Air FSlm .17 ~ - "Ull = i/R= , 07l0 TOTai. (a) =13.13 ~ , ~*********#*********##!***#**#t##*** C I T Y O F E A A i~ PA~'~ OF k~E AT 1~ pF : * APPI,2CIATION DOESS NUr CONSPI7STlE *y APPROVAL OF PFRNIIT. : ~ APPUCATION FOR PERMIT ~ . * iNSencriorr oF' sE~t r,rro/Ot ~~t ; * IPS'LALLs+'T'TONS WIIS, NOT BE S(;fE4- ~ SEWER AND/OR WATER CONNECTION UITM PERMIT HAS EM ; . . . . * APPROVID. ; > . rt~*+,r*t***~*~~+e*,tr~~r,exa*x*+**:k,rx,t*~ P ease Print 1) PROPERTY ADDRESS: ,~jG6 ,Cl~ LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING SIRCCICRE, DATE OF ORIGINAL B[.'ILUZNG PERMIT ISSCANCE: - ~ i (MOn Year) PRFSEDTi' 7ANING/PROPOSID C'SE: • Q C0~','A'E2CIAL/F2ETAIL/OFFICE ~ R-1 SINGLE FAhffLY r7 I6IDOSTRIAL Q R-2 DL'PLEX (Ttoo Units) ~ INSTI'ii'TIONAL/GOVERDIlNE,'NT ~ R-3 TC))WNHOUSE (Three + Units) ( Onits) . Q R-4 APARTMENT/CONIDOMINIL~M ( -Units) Q74.~~ 2) NA["g'+: 6 B . _ • ADDRESS: CITY. STATE, ZIP: PHONE: 3) • u N~. For City Use Plimibers License: ADDRFSS: Active CITY, STATE, ZIP. ~Pised i Not recorded PHONE:_5t~7.` - 0,57D E MASTER LICIIVSE# St~tial ; Q) ~a • ~ i~• _ ' ~ NAME: ADDRFSS: • CITY, STATE, 2IP: PHONE: . 5) ~ ~r• ; ~ a: • : a • o~ - ~ CONNECI'ION T0 CITY SEWFT2 1SL1 CONNEC.TION 10 CITY WATER ~ OTHER ' . 6) ."071" ~ PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APP PERMZT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r n u• • L,,~, 1,~. • .)/i ' • `1: • i' :I: ~ ~ ~ 1' t~' •l ? I:t• . i~ I• Y71' • Ib . . . • ~ 1 • I. • 1+. 1 1 :7 M:1• •,tlD~ 1 /1 ~I' ~ t~' :A' • 1 : + \ _ . ~ . • . FOR CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ /0- S L SEWER PERMIT (INCLLDE SURCHARGE) $ $ /D S G WATER PERMIT ( INCLC'DE SI'RCHARGE ) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ~Sl~ lJ ACCODNT DEPOSIT - SEWER $ $ ACCOP[VT DEPOSIT - WATER $ •~l' O . P n $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRPNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ A5 $ WATER TREATMENT PLANT SURCHARGE • $ $ OTHER: +S_ 12- S d TOTAL y v ~~-/d'3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EX:AVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PLBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERILVG NO DIVISION. LIST AS A CONDITIO[V. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: ,(~kle-f C~ TITLE: DATE : a"' �' ,�+ ' ,t oho- r v .,,,.‘„,,it-'4.- ,--..° :.:7,1:;:,':%:. ...lie,„,,. ..• . *�"�' le ,M, ✓ X dfi_1F`4 � o ✓r. RR d. : s ka s- ; 4 Y ., 3 t ' - , C('1: c Pte[ • _T 1 8b 4,1499 t$ATB: 51190v, Mot 55 Z : _ No of UMts J se Miller COX St. Co,' Qwner _.._ �►ddre O ri d, Wear . '° le t Sits g , I ear Pltsmb�t �' '"'. 4_ ! :. 6114‘,,,, . LOO. 1 «Airily 'tall '' of 475.0 N, - . rkog , By , . � . , 1 - Jm *r.,. II 1,100.. `' 'P PERMIT City of Eagan Permit Type:Building Permit Number:EA124435 Date Issued:07/01/2014 Permit Category:ePermit Site Address: 3866 Westbury Dr Lot:009 Block: 004 Addition: Westbury 1st PID:10-83650-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Kelly Meyer 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 - Thomas S Barenbaum 3866 Westbury Dr Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130307 Date Issued:04/16/2015 Permit Category:ePermit Site Address: 3866 Westbury Dr Lot:009 Block: 004 Addition: Westbury 1st PID:10-83650-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Lisa Skogen 5660 Memorial Avenue North Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Michael Omomo 3866 Westbury Dr Eagan MN 55123 (651) 600-2567 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature