3873 Westbury Dr
CITY OF EAGAN 9347
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100 .
BUILDING PERMIT Reuiat #
Te M aW h. ''F llWG/GA4i Est Value $61,000 Date JULY 30 19 84
Site Addresa 3873 WESTBURY DR Erect t] pccupsncy R3
Lot 9 Biock Sft/Sub. Remodel ? 2oning
Parcel No. Aepair ? Type of Const.
Eniarge ? No. Stori 3
W Name JOS MILLER CONST Move ? l.ength
~ Address 18133 CEDAR E Demoliah ? Depth
City FPRMINGT NPhone 454-4753 Grade ? Sy. Ft. _
SAME ApPeorols Fess
~i Name
Address Assessment Pertnit $ 316.00
City Phone Woter E~ Sew. Surchorqe 30.50
~ Police Plon check 525.00
Name Fin SAC
~W
_o Address Enq. Woter Conn. 470.00
u
~W City Phone Plonner WoterAAeter 63.00
Countil Rood Unit 260.00
I hereby ocknowted9e that I hova reod this opplicotion and stote that Bldg. Off. Parks
the intormotion is correct ond ogree to comply with oll opplicoble APC Total ~ U
Stote of Minnesoto Statutes and City of Eogon Ordinorces.
Var. Date
$ipnature of Penniftee
JOE~ ` , CoNS'l
A Building Permit Is issued ro: on the exprm ca+ditlon thot
oll work sholl be done in ocoordance with oil opplicoble State of Mlnnesoto Statutes and City of Eopan Ordinontes.
Buildinp Official
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3830 Pilot Knob Ro di P.O. Bo 2G-A1 9, Eagan, MN 55121 11879
PHONE: 454-8100
BUILDING PERMIT Receipt # ~ /
To be used tor pOOZ' Est Value $11,000 Date rAY 2 , 19 _t3_6
SiteAddress 3873 WESTBURY flR Erect ? Occupancy
Lot 9 Block a Sec/Sub. wFSTBURY 15T Remodel ? zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name ROBERT TILE Move ? Length 17
SAINE Demolish ? Depth
o Address Int. Impr. ? Sq. F?
Ciry Phone 452-UUtt3 Install ?X
o Name CUSTOM POOLS IIJC Approvals Fees
Address 641 k F;XCBLSIOR AV8 Assessment Permit $ 86.50
P citY HO pKIWone 933-2255 Water 8 Sew. Surcharge 5.50
Police Plan Review
~ = Name Fire SAC
x Z Address Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state thatthe Bldg. Off. 4~2 4~~ Tr. PI.
information is correct and agree lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
5ignature of Permittee--4 Total $ 92 . 00
A Building Permit is issued to: CUBTOM POOLS INC on the express condition that
all work shall be done in accordance with all applic4ble State of Minnes4ta Statutes and City of Eagan Ordinances,
Building Official -~T ~
?
WrmR No. PwmN Holder Date Tilephone 8
Plumbiny
H.V.A.C.
Electric
sofqnsr
Irapeetion Dete Intp. Commenb
Footings I ~ 77
FooUeqa 11
Foundatlon
Framinp
Roofing
Rouqh Plbq.
Rouyh Mtp.
Inwl. 11
Firoplace
Flnal Htg.
Flnal Piby.
Bldp. Flnal
CM. Oec.
~ r
Do ck Fty.
Deek Fmp.
WNI
Pr. Dlsp.
Aeceipt MECHANICAL PERMIT Permit No. IV
I l i / CITY OF EAGAN Fee
J' .
Fill in numbered spaces S/C
Type or Print legibly Tot. 6
1. Dat~ 2. Installation Cost ~
3. Job Addres[ 1:.ot_Bik. Tract ~Jc
1 l ~
4. Ovmer !
, -
5. Contractor Phone
6. Address
7. City • ' L State` Zip `
8. Building Type: Residential '-0 Commercial ? Institutional ?
9. Work Description: New~0Y Add ? Alter ? Repair O
10. Describe FuelType^!. C"
11. No. Equioment BTU - M. Ea. No. Eauiament CFM
Forced Air
Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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 : . - - -tI for
i
Rough ~ Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks Dl ?%S; vYrzt7/n-r? )Q=±"4. Cl/
Addition WESTBURY FIRST ADDITION Lot 9 Blk 2 Parcel ln R365n_(19f1 02
Owner Street 3873 Weatbury Driv State Fagait. MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. , 1986 2850,0 ' 2$50.0 C010004 1-21-65
STREET RESTOR.
GRADING
Water ar a 1986 1 133.79 C010004 1-21-85
SAN SEW TRUNKq:j 1985
~ SEWERLATERAL 1986 5008.71001.75 5 5008.73 C010004 1-21-85
65.29 " "
WATERMAIN 1984 ()$.71 4
* WATER LATERAL 1986
WATER AREA
*Services 1986
STORMSEW TRK ~ 1986 710.24 142.05 S 710.24 C010004 1-21-85
~ STORM SEW LAT 19$6
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 #45006 7-30-84
WATER CONN. 470.00 it "
BUILDING PER.
9347
SAC
925-00
PARK
Receipt PLUMBING PERMIT Permit No. / y
Y I r CITY OF EAGAN a.~
, Fae
Fill in numbered spaces S/C ,Sp
Type or Prini legibly Tot.
, .
1. Date - Z 2. Installation Cost
3. Job A'd re4C/ Lot. Blk. _ c,)- Tract
4. Owner
~
5. Contractor 1" Phone
6. Address
7. City State Zip
8. Building Type: Residential tV Commercial 0 Institutional 0
9. Work Description: New L!~ Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Y Cesspool/Drainfield
Bath tubs $eptic Tank
_L Lavatory Softner
Shower ~ T 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
j.
oomply witti all ordinanOs and codes governing this type of work. ~
Signed ~ 'Z• L,., y ~Lt~~Gi.., for
Rough Finel /
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
- CITY OF EAGAN N 0 11879
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PEHMIT qeceipik
To be used tor POOL Est Value $11 ,0 0 0 Date MAY 2 , 1g 86
SiteAddress 3873 WESTBURY DR Erect ? Occupancy
Lot 9 Block Z Sec/Sub. WESTBURY 1ST Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
w Name ROBERT TILE Move ? Length 17
Demolish ? Depth ~ 5
o Address SAME .
0 IntImpr. ? Sq.Ft
. City Phone Install m
a CUSTOM POOLS INC approvals Fees
i~ Name $ $6.50
$a address 601 E EXCELSIOR AVE Assessment Permit 5.50
~ C;y HOPKIN$hone 933-2255 Water&Sew. Surcharge
~ Q Police Plan Review
F = Name Fire SAC
~ Z Address Eng. Water Conn.
a W Ciry Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisappliethatthe gldg.Off. 4/24 86 Tr.PI.
information is correct d a ree to AL
e State oi
Minnesot
a Statutes a d pi EaAPC Perks
~ Var. Date Copie
Si9nature of Permittee 9 2. 0 0
Total
A Building Permit is issued to: CUSTOM POOLS IN on the express condition that
all work shall be done in accordance with al pli ble St e of tatutes and City of Eagan Ordinances.
Building Oflicial ~
~
y CITY OF EAGAN N9 9347
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagaa, MN 55121
PHONE: 4548100 ~pp fp
BUILDING PERMIT Receipt #
Ta M uwd for SF DWG/GAR Est. Value 61 ,000 DOfe JULY 30 _ 1q 84
Sitenddress 3873 WESTBURY DR Erect R3
~ OccupanCy
Lot 9 Block ? Sec/Sub. WESTBURY IST Ramodel ? Zoning RT-
Parcel No. Repair ? Type of Conct.
Enlarge ? No.Stories
W Name JOS MILLER CONST Move ? Lenyth 39-
z 18133 CEDAR AVE oemolisn ? Depth 46
Address
City FARMINGTONphone 454-4753 Grade ? Sq, Ft.
p . Approrols Faes
O Name $~1E
Zu Address Assessment Permit $ 316 _ 00
~ City Phone Waror E Sew. Surchorge 30-0
~W Police Plon check 158.00
Neme Fire 5AC 525.00
Addrass Eny. WaterConn. 470.00
~w City Phone Planner WaterMefer63,40
Council Raod Uni1 260 _ 00
I hereby acknowledge thof 1 have reod this opplication and state that Bldg. Off. Parks
the informofion is correct and agree to wmplY wlth oll opplicc6le APC Total $1. $22. 50
State of Minnesoto5tatutas and City of Eagan Ordinances.
. . . • , . Var. Date
Sipnature of Permittee A Buiiding Perrriit i: iswed ro: JOS MILLER CONST on the express condiNon thnt
dl work shall be done in acwrdanc all oppliwb a f innesota Statutes ard Clty o4 Eupan Ordinoncea.
8uilding Officlol
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~ CITY USE ONLY
LERMIT RECEIPT DATE: I
8002 WKSIDEPTUL M£CiiAt1VICAI. PERMIT "PLIClkTIOR
crnt oF E?sAx
38so eao'r tavos [tn
gttsax buv 5512E
651-6$1-4675
Please complete for. ? single family dwellings
townhomss and condos when permits are required for each unit
Date:
SITE ADDRESS:
OW NER NAME: t~C-C+-' P-n'1 TELEPHONE
W STALLER NAME: ~ Wohlers Southside Htg. & Air, Ina
6950 W. 146~' St.; #106 - -
STREET ADDRESS: Apple Valley, MN 55124
(952) 431-7099 '
CITY: ZIP:
Place a check mark next to the pertnit work type
Add-on, modification or alfer2tion to existina dwelling unit $ 30.00
• fumace replacement
• air exchanger i-P
• air conditioner r''l ^n ~In I
• omer ^ S_ P 3 0 2002} C) ~
Nature of work: I l~ CLCOJ --ft-L-C rlacp--,
u
mC" C;--m t.1 T
State Surchar e $ .50
7otal $ ~ ~JG
Z cJ
SIGNATURE O PERNIITTEE
iroz
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
EOOE COMMEiCIAL MECH"C!!I. PEgbI1T APPLICATIOR
C1TY Oi' E4HAN
S$SO PILOT KNOB gD
Eifl,a?N,Mv 55is$
651-6$1-4675
Please complete for: ali commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dweliing unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE -
TENANT NAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIF':
TELEPHONE
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nahue of Work:
R'hen instalfing/removing underground tank, eaU 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater.
Underground tank removaVinstallarian = minimum fee
Contractprice: $ xl%=$ (BaseFee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
. Updated 1/02
`
. Certifica[c For:
~ -
~3oseph'M. Miller Construction P1an Duchess 18
18133 Cedar eivenue Saut}i
Farmington, Mn 55024 zl~
DELMAR H. SCHWANZ
LANOSURVEVOFS, \aC. .
ReglstereC Untlar Laws of The State Of Minnesota
2978- 745TH STREET W. - BOX M ROSEMOUNT, MINNE507A 55068 PHONE 812423-1769
SURVEYOR'S CERTIFICATE
~T
\ 3 N Scxle: 1 i.nch = 40 feet
rh _
\
,L .
6
~
~3oo
bL~
/ 6
, o ~ `~9 vai6 ' ti
3.6~
zY2, 77,.,.
(~~,0 = Proposed elevaCtons 14)
U = Set wood hub
Proposed garage floor elev,tCiun dE U?~
J = Property curncr - -
Proposed drainage
I hereby certi[y tl-at this is a true xnd correcT reprE+sentati.on of thf:! Col.lowing described
tract of larid: Lot 9, Bluck 2, WESTBURY I'IHST AUDITION, according to the recorded plat thereof, Ilakota
County, Minnesota.
Al.so showing the locatiun of a proposed house not staked thereon as of Ju]y 25, 1984.
Hvuse staked , 19 .
r. i~:. 1 ~
.
MINNESOTA REGISTRATION NO 862!
1/
G r Y /U •
l ~
1986 BOILDING PSRI~IT APPLI ATI08 - CITY OF fiAG9N
NOTS: ALI. CANTBACTORS MOST BE LICENSSD HITH THE CITY OF BAGAN
3IAGLS F6MILY DHELLINGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MpI.TIPLS DiiE[.LINGS - SfiSIDSNTIAL BENTAL QBITS FOR SALB DNITS •
INCLUDE 2 SETS OF PLANS, CESTIFICATS OF SURYSY - CHECB iIITH BLDG. DEPT.v
1 SET OE ENERGY CALCULATIONS
COMERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation~~-~L--8-~-0Date: 4, 'L 6
(
Site Address /pgFICg Dgg ONLY
Lot ~ Block Z Erect ~ Occupancy
+ p ~ Remodel _ Zoning
Pareel/Sub k1Eati Vsc 6'&~fle.D Repair _ Type of Const
Addition _ # of Stories
Move Length /
Owner
` C Demolish Depth ~
Address Int.Impr. _ Sq Ft
Inatall
City/Zip Code ~r~r:?
Phone APPROVALS FEFS
Contractor Assessments Permit I
Water/Sewer Sureharge
Address LOl GX~1O'?L.~ E. Police Plan Review
Fire SAC
City/Zip Code ~inSS, Engr Water Conn
Planner Water Meter
Phone Couneil Road Unit
Bldg OfP~~ Treatment P1
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL ~
~
City/Zip Code
.
Phone ~k ~
NOTE: ADDEESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOi1NEE lIQST DESIGNATE WHICH ADDRESS
IS DSSIRED. NO CHANGSS fiILL BE ALLOpED ONCS BIIILDING PERhIIT IS ISSIIED.
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CITY Or EAGAN
APPLICATION FOR PERMIT S~b
~
• SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROPER't'Y ADDRESS: 32 73 Lti}~-m'1,i.i," y ljes4-~uM~.
T.Ff AT• DESGRIPTIC:I: ~v ~ ~1 ~
(Lot/Block/Subdivision or Tax Parcel I.D. NtuTtiDer)
' .I"r W;IS_'=-:i STnLTCP':2E, DA' 0° ORIGuIAL 'iiILD~:G P.~~~ST ISSiir
~r
P.~ZFSL+'?' Z.^IPF:/°~OPOSc~J L'SE: 'N3"~R-1 SINGL: FPMSLY
? R-2 DUPLW{ (7L'0 iJNITS)
0 R-3 ZCF.v~iLf-ICYIcg ('?7?REE + LZ7IT5) INITS)
? R-4 APA.4T'TM~/CONIDCi•LTNIUi2 ( UVITS)
? CC1'42M .RCLA L /RETAII?OFFICc:
? I~i'DIIST2TIAL
? INSTIT[.,'TIO:]AL/G^vVE.RAIMEA"P
2) APPISC%.NT (PLEASE PRIYi)
NAh1E:
ADDRESS: 18133 Cc~Pa~.. ,4acS
CTTY, STATF,', ZIP; rAw,H; uc~av
PHOINE: q3/-.;~oGI
3) PLumBER . PLEASE PFINT) FOR CITY USE ONIY
NAME• 2?ly~a +e i c.-
' ' PLUHQERS LICFNSE:
ADDRE55: /Y378 e73.tiQ qvic eJ, ?`j Attive
CITY, STATE, ZIP: Ezpired
--AA3iF~ Q Not of Record
PHONE: 5 S7 - 367 J PLUMBER LICENSE /f -Ao(o :r ArJ;
3 r nitiar-
4) CCC[TpANI'/av-TIER NAD'IE:: (PlEASE PRINf)
ADDRE55: ^ p rn ~ IC-S C'2 ~
CITY, STATL•, ZIP:
PHONE:
5} INplCIATE {17{ICH PERMIT ZS BEING RDQUESTID:
~ CODINECPION 'Io CITY SES^TER
e CONNECI'ION TO CITY WP.TER
~ dil= (PLL'ASE DESCF2ISE)
6) INDZGlm C:+'E:
.~r PLEASE HOID APPRUVVm Pg2,~1iT FOR PICK-G'P BY ONE OF ABWE
? PIFASE bAIL APPROVE:D PER~tIT Tn 1, 2, 3, 4 ASOVE
(Circle one)
7) SI~~'IG'RE: pp.I.E:
.
~4 R Aal~lis.~ s~ a! ~~:a.-aa's ae s ns~sr . .
FOR C I T Y U S E ON:,Y
PERMIT ISSUED
FEES: $ l4 • s~' SE:^t'ER T_J°RMTT (I`ICL::DE SU°CtiIRGE)
$ ; ~i. d WATER PERPIT_T (INCL'JDE StiRCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLODE CORPORATION STCP)
$ SE;JER TAP
$ :-?GSI= - a_:1=3
$ ACC.OUNT D.F.ppS IT - P7ATER
$ WAC
$ SP C
$ TRGNK SVATER ASSESSi^.ENT
$ TRli:IK SESIER ASSESSMEDiT
$ LATERAL BENEFIT/TRUNK SE:IER
$ LATE2i-1L BENEFIT/TRUNK WATER
$ OTHER '
$ TOTAL
+5 AMOUNT PAID/RECEIPT ~ sJ C~
DOES UTZLZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG;-IT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR Tr10RK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVZSION. LIST AS A CONDI-
TION_
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
TITLE:
DATE: 1D- f'C~
~¦_r~ w~a wF ~ ia Ra ~a s~ ~
.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3873 Westbury Dr
Lot: 9 Block: 2 Addition: Westbury 1st
PID:10- 83650- 090 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Ashley Orman
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
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
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Daan Klem
3873 Westbury Dr
St Paul MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA078528
06/26/2007
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
t ' {
of 'Unttst
'FiF�t�"• 3 �' " xag
W *stbu D
Connection Charge:
- _ -- --
hiet1K Nio.: De sit
Accx�w►t: Po >,
'Reader hio.` P erm it Fee•
to with *be Cam► of Eagan Surcharge �lx +li4 ,;.
°141111411611116 Misc. Charges:
Total:
B Date Pold
Date of lnsp.: , �
P '', Bbx 'I5a9 . P NO.: 595$
at Zoning: J'r?sp of 4Jnits: r
' i1 miller � f 7avner.
Addres
Site Address: II a
Plumber: P1 . , 0 b Pib �; a_. '
i ` 0 ` ' vi i 4 , ! !
esri. to eempJy ■w� doe 25.00
Haas. Fd
'Ordinances. Accoun `D epo A 5 . . • ..
Permit F • $.00 pd
�u . .50 • x .i
Y " i isc. Charges;
Dote of insp.: a.—
insp.: O,� '�r .
• to Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173186
Date Issued:11/02/2021
Permit Category:ePermit
Site Address: 3873 Westbury Dr
Lot:009 Block: 002 Addition: Westbury 1st
PID:10-83650-02-090
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 -
Todd R Busch
3873 Westbury Dr
Eagan MN 55123
(303) 915-5731
Lb Solutions Llc
14061 Kings Ct
Savage MN 55378
(952) 769-7922
Applicant/Permitee: Signature Issued By: Signature