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3878 Westbury Dr PERMIT # PLUMBING PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Add~ess - BLDG. TYPE WORK DESCRIPTION LoBlock Sec/Silb.-2~~ ~ • , ,;Res. New m Name Mult Add-on ~ Address Comm. Repair c City Phone Other NO. FIXTURES TOTAL ~ Name Water Closet - $3.00 t 3 Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 .X Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE UrinallBidet -$3.d0 MINIMUM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ ,50 Water Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whiripool -$3.00 BEYOND $1,000.00) ~SoGas ftenern $O~ets - $1.50 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN 12308 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 PHONE: 454-8100 BUILDING PERMIT Raceipt # Ta be used for sF DWG/GAR Est Value $67,000 Date JULY 21 19 85 SiteAddress 3878 vaESTBURY DR Erect (N Occupancy x3 Lot IL 1 Block 4 Sec/Sub. WESTSURY IST Remodel ? Zoning pn Parcel No. Repair ? Type of Const Vn Addition ? No. Stories rvame JOSEPH MILLER CONST n~ove O Length 45 W 18133 CEDAR AVE SO Demolish ? Depth d~ 3 Address Int. Impr. ? Sq. Ft 0 FARMIN 431-2001 city CA~i,~ Install ? X SA. M, E APprovals Fees o Name 0 ~ Q Address Assessment Permit ~ 0 ~ Ciry Phone Water & Sew. Surcharge ~ Police Plan Review ~ F W Name Fire SAC 5 7~•~~ Address Eng. Water Conn. 5 00 . 00 < W City Phone Planner Water Meter65-.S0 Council Road Unit Z9~00 I hereby acknowledge that I have read this application and state thatthe B~dg. Off~0 Tr. PI. Z 5~00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Oroinan.ces, APC Parks a Var, Date Copie Signature ot Permittee .rotal :52 , lig . 00 A Building Permit is issued ro: J0Sk'.PFi MZLLER COIdST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official - - kl ~ 4- " pomnit No. POrmN Nolder Dats TNephona N Plumbing - _ y s _ ;'Ii , . tlc_ . IH.1kA.C. ~ S !.x .4 JeJ.~ son.nK Inspeetlpn Date Insp. Commenb Foodngs I D5 6 al;~~ Footings II Foundatbn 11 Framinq Roofkng Nouyh Plbg. Rouqh Htp. Imul. 9/~ 6 4J 4 Fksplace Final Hty. ~o FInaI Plbq. I Bltlq. FMaI ! IGrt.Occ. 4 iti I Deek Fty. Oeck Frmg. Dsscdba LocsUon: Well Pr. Olsp. PERMIT # PLUM8IN(i PERMIT RECEIPT # ~ 4p CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE ~ PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sik/Su - Res. v New m Name Muli Add-on Address 441 A • Comm. Repair c City `-f Phone ' 'k ~ Other NO FIXTURES TQTAL Name t'- r~'' 1 Water Closet - $3•00 = ' -f c Add -s-3 -~Bath Tubs - $3.00 p City ~ Phone p- ZLavatory - $3.00 - Shower - $3.00 ZKitchen Sink - $3.00 ` FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE - $10.00 ~rFloor Drains - $1.50 ~ MINIMUM - COMM/IND FEE - ~Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 . Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES % Gas Piping OuUets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 , Private Disp. - $10.00 Rough Openings - $1.50 ~ 51GNATURE OF PERMfTTEE FEE STATE S/C ~ ~ FOFt CITY OF EAGAN GRAND TOTAL• eZ ~ •'A`l~'.'~' , . . , , .~...r PERMIT # <c--, MECHANICAL PERMIT RECEIPT # CIT1f OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub { , c / ' r Res. New m Name Mult Add-on .S Address Comm. Repair c City Phone pther ~ Name i FEES c Address - ~ RES. HVAC 0-100 M BTU -$24.00 ~ C~y t_ ..1 pha~e ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU i 6.00 GAS OUTLETS 1.50 EA. Forced Air "M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE - S/C: SI(3NATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN , , ,~qr,°'¢_~Ha^.9i',..+y.~,.~:ar4~.,t•~.- . . ~w..Tap•;~;.. . .s . , .-..~'~,',-~r,.~.-:. ;CITY OF EAGAN 142 17972 ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 { 'r BUILDING ~ERMIT Receipt # ~ ~ ~ To be used'fort DZCK Est. Value :i ,000 Date Jung b , 19 90 1 Site Achess g= ; Lot Block SeC/Sub. OFFICE USE ONLY PBfCBI N0. Occupancy - FEES Zoning - s25•00 W Name (Actual) Const - Bldg. Permit SAM o Address ~ (Allowable) - Surcharge ~ City Phone ;Y of stories .Z.~. Length Plan Review o Name Depth - SAC, City OU 4 Address S.F. Totai - SAC, MCwCc ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn W W Name On Site Well - Waler Meter W Address MWCC System - ~ Accc. oeposit i~ City PhOne City water _ PRV Required _ S!W Permit I hereby acknowlege that I have read this afiplication and state that the Booster Pump - S/yV Surcharge `with all applicable Siate ol information is cofrect and agree.to coetl~ tment PI Minnesota Statutes and City of E an ces. Trea Signature of Permitee ~ vC~~y APPROYALS Road Unit A Building Permit is issued to: Pla'"ef y- Park Ded. on the express condition that all work shall be done in accordance with all couricii 1000 applicable State ol Miivresota/llatutes and Ci pf Eag n Ordinances. gldg, pff. - COpieS - Variance TOTAL $26*50 Building Oflicial ' . . _ . : . : _ . . _.w 1 PeMit No. Permit Holder Date Telaphone # WATEF SE4VER PLUMBING H.V.A.C. ELECTRIC Mapsction Date Msp. Comments Footings I Foundation Framirg Roofing Rou9h Plbg. Rough Htg. Isul. • Fireplace Final Htg. ' Fnal PIIig. Cpnst. Meter Plbg. Inspector - Notiiy Plumber Engr./Plan Bldg. Final Dedc Ftg. z s~~0 !Jl , jO~iCS 0 ~ Dedc Final P- S jG S ' 4~137-726- S~l .0 O Well Pr. Disp. r`w,t~~re,~j°•~,.~T ~F .~~,,,r: ~wr? - , r .~4's . ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, W55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ~ 7 To be u~s~l fori 'R'RM a+ m,1C Est. Value $131,000 Date .]1J1d 6 ,1 g 91 Site AAress 3878 Ii'ESTWitY D& Lot I i Block 4 Sec/Sub. WEsZBURY 1ST OFFICE USE ONLY PafCCl N0. Occupancy - FEES Zoning W Name !lIKS YH LS1.Eft (ACtual) Const _ Bldg. Permit 14~?.00 ; Address 3878 W83TBUAY DR (,vlowable) _ ° City ZAGA14 Phone 481-1667 # ol Stories _ Surcharge 6.30 Plan Review 94•00 Length Zo Name JOE MILLSR oePin - sAC, city 0~ Address 18193 CEDAR AYd S S.F. Total uF - SAC, MCWCC City rAMNGM PhOf12 y 1-3 S.F. Footprints _ F On Site Sewage _ Water Conn ¢ Name w W On Site Well - Water Meter Address MwcC system <W City Phone City Water _ ~ct. Deposit PAV Required _ S.M1N Permit I hereby acknowiege that I have read this applicalion antl state that the Booster Pump - gMl Surcharge information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Or nances, ~ Treatment PI Signature of Permitee -1-11 I ~ APPROVALS Road Unit A Building Permit is issued to: '~or. 141=R Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gid9. pff, _ Copies Building 0lficial . - t " Vazi~e - TO7Al 2~~ ~ Permit No. Permit Holder Date Telephone N WATER ~ SEYYER PLUMBING H.V.A.C. ELECTFIC Inspsclion Date Insp. Camments Foot,ngS I~ 3 9~ H Foundation . Framing ZP11 9 Rooling Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final % Well Pr. Disp. CITY OF EAGAN Remarks ~ ~~s~ n7 ~/SS >:T n4754 ?S/ Addition WESTBURY FIRST ADDITTON Lot l i Rlk 4 Parcel 10 83650 110 04 Owner Street 3878 Westbury Drive Stace Eagan, MN 55123 ImQrovement Date Amount Annual Years Payment Receipt • Date STREETSURF. 1986 2850.0~ 570 STREET RESTOR. GRADING Water area 1986 133.79 8.92 1 SAN SEW TRUNK 1985 436.23 29.08 15 ~ SEWERLATERAL 1986 500$.73 1001.75 Watermain 1986 65.29 4.35 19 WATERMAIN 6' 1984 68.71 4.58 15 ~ WATER LATERAL 1986 WATER AREA 1984 184.92 12.33 15 *Services 1986 STORMSEW TRK 1986 710.24 142.05 5 STORM SEW LAT 1986 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK CITY OF EAGAN No .19186 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ~ ~ 3P7 To be used for . PCRM & DEC1C Est. Value $13,000 Date JUN 6 , 19 91 Site Add'ress 3878 WESTBURY DR Lot 11 81ock 4 Sec/Sub. WESTBURY 15T OFFICE USE ONLY Pareel No. occupancy - Fees Zaning - Q w Name MIKE WHISLER (ACtua1) Const - 81dg.Permit 144.0 3 Address 3878 WESTBURY DR (Aliowa6le) - 6.5 O 0 EAGAN Surcharge City Phone 681-1667 xatsrories - 94.00 Lenglh _ Plan Review ~o Name JOE MILLER Deplh - SAQCity gp Address 18133 CEDAR AVE S S.F.Total - SAC,MCWCC ~ pity FARMINGTON Phone 431-332 S.F. Faatprints _ On Site Sewage _ N'aler Conn 01--u-i-, NalllOn Site Well Water Meler AMWCCSystem City PhOne Cirywater _ Accl.Deposit PRV Required _ SNJ Permit 1 here6y acknowlege that I have read this application a state [hal Ihe Booster Pump - SNJ Surcharge information is eorrect and agree to comply with all ap I' able Sta1e oi Minnesola SWtutes and Cily of Eaqan Or ' ances. Treatment PI Signature of P¢rmitee APPflOVALS Road Unit A Building Permit is issued lo: JOE MILLER Pianner - park Ded. on ihe express contlilion thal all work shall be done in ac rdance with all Gmwil applicable Stare ol Mi esoW Statutes ~Gi loll ry ot Eaqan Ordinances. Bldg. Off. _ Copies ~ L44.iv BuildingOlficial y~ Variante - TOTAL CITY OF EAGAN 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 N2 12308 BUILDING PERMIT PHONE: 454-8100 Aeceipip Tobeuaedlor SF DWG/GAR Est.Value $67,000 oare JULY 21 1986 SiteAddress 3878 WESTBURY DR Erect 99 Occupancy R3 LoC 11 Block~ 4 Sec/Sub. WESTBURY 1ST Remodel ? Zoning PD-Parcel No, Repair ? Type of Const. vft Addition ? No. Stories ~ Name JOSEPH MILLER CONST Move ? Length 4 F ~ = 18133 CEDAR AVE SO Demolish ? Depth46 o Address Int. Impr. ? Sq. Ft Ciry FARMINCR9M 431-2001 Install ? a SAME Approvals Feas io Name $ 334.00 ~Q ¢ Address Assessment Permit ~ Ciry ' Phone Water&Sew. Surcharge 33.50 ~a Police PlanReview 167.00 Fw Name Fire SAC 575.00 Z Adtlress 50~.0~ ~'u , Eng. Water Conn. <W ciry Pnone Planner Waternneter' 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 7/18/86 Tr.Pi. 156.00 intormation is cofrect and agree to comply with all applicable State of Minnesota Statufes end ity o( Eagan O~ i aryce . APC Parks ` Var. Date Copies Signature of Permitte $ 2 119 . 00 Total • A Building Permit is issuad to: , JOSEPH MILLER CONST on the express condition that alLwork shall be done in accordance with all applicabl tate of MinpesoAa Statutes and Ciry of Eagan Ordinances. Building OHicial . CITY OF EAGAN NO ' 79,2 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 ~ v+ry b BUIIDING PERMIT Receipt # QJ ~ Tobeusedfor DECK Es1.Value $1,000 Date .iltNR 6 , 7g_10- SiteAddress 3878 WESTBURT DRIVE Lol 11 Block 4 SeGSub. ~STBURY 15T OFFICE uSE ONLV Parcel No. Omuvancv - FEEs Zoning - $Z5.00 c Name VICKY EMERY (ACtuaq Const - Bldg. Permit (Allowable) - .50 o AddresS SAME 681-1667 HotStories 5urcnarge Clty PhOnC $nME langth 12 Plan Review , p Name Depth SAQ City 0, a Address S.F.TOtal - SAC,MCWCC ~ City Phone S.F. Foolprints - On SOe Sewage _ Waler Conn r W w Name On Site Well - Water Meter AddfBSS MWCCSystem - qecLOaposit a2 City Phone ciiywaier - PRV Required - S/W Petmil I hereby acknowleg8 that I have read this ~plication and slate that the Booster Pump - SM! Surchaige information is cortect and agree to comp with all applicable State of Minnesota Statutes and City of an rd' ances. Trealment PI Signature of Permitee ~ APPROVALS Road Unit A Building Permit is issued lo: VICKY EMERF Planner - park Ded. on lhe express condilion that all work shall be done in accordance with all Council - 1.00 applicahle Stale of Minnesota tatutes antl Ci of Eagan Ortlinances. g~, pry, = Copies ~ Variance TOTAL $26.50 8uilding Official ! ~ 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN y 'NOYS: ALL CONTRACTORS MDST SE LICENSSD iiITH THE CITY OF EAGAA ~ 3INGLE F9MLY DAELLI9GS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS - - - MDLTIPLE DiiELLINGS - HESIDENTIAL RENTAL UNITS FOR SALS QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYSY - CHECg SIITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS C019iERCIAC INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND G',70Z510, bd To Be Used For: ~,v Valuation: - Date: Site Address -3,77 OFFICE DSE ONLY Lot Bloek ~ Erect ~ Occupaney Remodel Zoning Pareel/Sub Repair = Type of Const , Addition # of Stories Owner Move - Length ~ Demoliah Depth Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPAOOAIS FSES Contractot Assessments Permit ~ Water/Sewer Sureharge L Address Police Plan Review ~ Fire SAC ~ City/Zip Cade Engr Y Water Conn ~ L ? Planner~ Water Meter , S" ~ Phone Council Road Unit ~j Bldg Off Treatment P3. Arch./Engr. APC Parks - Variance Copies ~ Address TOTAL City/Zip Code Phone # NOTE: ADDRESSE3 EOR CORNER LOTS -,CONTRACTOR/HOMEOfiNER MUST DESIGFiATE RHIC$ 9DDRESS IS D&SIRED. NO CEiANGBS HILL BE ALLOW6D 6HCE BOILDZNG PERMIT IS ISSIIED. ~ ~ TRI ' LANO C O. SiTE PLAN FOR : SURVEY-[.NG JOSLPH MILLER SERVtC-ES CpNSTRUCTION, INC. 4655 NICOLS R4AD EAGAN, MINNESQTA 55122 OUr1-0T 's z s?T•,o, SCALE' I"= 30' . ~ 15 LOT LaT %?ti ` z i_~r'T ~ :0 * JA, • ' o ! 2 ,o- in u cp V . ws ? 6 ~0 1~ • !23r ~ ~~15 DRIVE~. PROPERTY 0 SGRtPTI LOT BLOCK WESTBlIRY.~1` ; oeeordtnp to't . a plaf t1lenof . DT~^ , ,.,,.,.,eamly.MinnsWa o pF.NQTE3 TINIQNI~ENT PROPOSED CARAGE FLOOR ELEVATION= 4bax o DENOTES`FItJB~SET PROPOSED FIkST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BASEMENT PLOOR ° ELEVATION ELEVATI ON DENOTES PROP05ED 3F'OT EI.EVATiON DENOTES DRAINA(3E DIRECTION NOTE * VERIFY ALl FLOOR HEI611TS WITH ~ FlNAI H(1ll8E PLANS c~rtffY tAef .~Rt?ayrPlon or wcs preor w~der m~? upon and i am a duly Bradley J. SNensa?. Mn. Req. No. 1~35 1 olf athe St~ ~ e unda the Dote = 'i E ? ; CITY OF BIIILDIN(3 DEPARTMENT I XOCPERIOR' ENVII.OPE.AYERA(3E "UI' COMPUTATION • (To be eubmitted with building permit application) . . i; One or Two Family Dwelling Owner All Other u Site Address P ~ Contractor Date ,3-14-Si Phone i b~d-q~" . LI1%EAL : r;ET OF I q ~ E:{PO5ED i'JALL l,(/b~~ ~,74,EET ft. above grade = 1~j~O„SQ TOTAL iXnOS::D WALL ARrJI SQ. FT. 0:; tUE ':71JL COnSTRUCTI01a: "U" Value x Area lietail I"AV"i~:7 flu ° •043 x SQ. FT. 140$.70 •6p•44 M(A) CoN~: e:erence rrUn .140 x 52. FT. 93•9O= 1 (U) (A) ` from "U° .n40 x SQ. FT. If .Zp_(U)(A) attached IOU't x SQ. FT. _ (U)(Q) .;heets ~ °U° x SQ. FT: c (U)(A) 'lUts x SQ. FT. - (U) (A) :'.IIdDOlvS: "Ulf Value x Area Mla'.:e & TYPe USUL. !4,e7N1lT "pll . sZ x SQ. FT. 0, p= 57_ l/ M(A) " i "U" x SQ. FT. - (U)(A) u u nUn x SQ. FT. _ (U)(A) ~i n ~ nplt X SQ. FT. (U)(A) IYJORS: "Ull Value 9c Area ~iu:;e & Type 5TI_I• 1tk~UL. 11U'1 :14 x SQ. FT, z•DO = s$$ (U)(A) If " YAZ2 f "U" 147 x SQ. FT. 42.00 =/?.Zf_(U)(A) It n nUn x 542. FT. _ (U)(A) n n _ nun x SQ. FT. _ M(A) 2"JTqLS I5;I0.50 SQ. r•T. /(ol.j(p (U)(A) AVERA(3E "Ulf TOTAL (U)(A) Vd,I,UES 1621442 _ DIVIDED BY TOTAL 17AI,L AREA ItW- SO AVc;RpGE "U" ,715 or less for 1&2 family gs l ROOF/CEILING: TOTAL AREA: 000_ Detail reference IIUII .OZS x SQ. FT. 00 - ZS,OD(U)(A) from ' IOUll, x SQ. FT. ~ (U) (A) nttached sheetac IOUIf x SQ. F'T. - (U)(A) Describe onenings+IUII x SQ. FT. _ (U)(A) . in roo£. ~ npre x Sq. FT. _ .(U)(A) CUra> TOTAL (U)(A) VALUES"DIVTDED BY 70TtFL42 000 1$.00 h = 'I'u;AL R00^/CEILIi:G ,`,:iE'a /00 00 AVERAGL•' "Ufl ,025 jfor ventilt:ted roofa. Q ~ I, ; --wa[.L sDCTIOg-- . Determining "Dlt values at Rooi..Na11, Rim, end Conc. Block ROOF/CEII,IN(i R VALUE S 1.) Interior Air r'ilm 0.61 z.) 5/81, ayP. sa. .56 3.) Insulatioa 38.oD 4.1 5.) Exterior Air Film .61 ' (STILL) ~ 2 3 6 nUa = 1/R= OZS L-'OTAI, (R)= ~9•78 ~ l $ WALL R VALUE q 6.) Interior Air Film 0,68 7.) P GYn. Bd. .45 8.) Insulation iq.oo 9.) Zs~3L" BwLT-PiIE Z.o4 10.) Masottite Siding .67 10 11.) Exterior Air Film ,17 11 t'U" _ 1/x= , 043 ToTaL (a)= Z3.o I RIM (R) VALUE 12.) Interior Air Film 0.68 13.) Insulation 19.o 0 1 14 74,) 2" Fir Rim Joist 1.88 l5 15.) ~3y~ BvflX^ R17E Z•o4 16.) Maeonite Siding .67 170) Exterior Air Film ,17 . o . • . . rtIIff - 11R= TOTAL (R)- Z4," v~ U ~ P'OUNDATION R UALUE 18.) Interior Air Film 0.68 tg 19. ) 21 • • ~ ~ 0~ 21,) 12" Concrete Block 1.28 e ~ 10 22.) 0N'bER- 09:" S.oD 23 "b 23•) Exterior Air Film .77 e Od B, . nUn = 1/R= . 140 TOTAI. (R)= 7. 13 ~ lo+z4 +Z}~ = l4z J. o0 `1.SO X (f7,t1Z+17) = 3S9•SD . (v7X ~ 34+34 3&-r3(,) = 9 7,• So ~ . m So~sT •83X ~34+34~-3~t3~J = 11lo,Zo W~r~DowS IloX 3C~ _~.o X Z= g.o~ zox3(o = S.o x 4 ~ zo.op 14x3& = ~•o X 4 = 24-oo Zo X 48 = 6•7 X~}. - Zl~. go Z4x48 = 9. o x 4 = 3Z.op Ilo• 80 3° s7~. zl.oo Z~ 57i..• Zl.oo ~14'fro 47, o 0 g4 z4 X 34 = S~lv !2 x lz = /44 s x 8 = 40 I,ooo ~ NEr wAu.. E4UAi-S &P-O~c w4u- 1 SI D. So LESS G'oxc.. , 93. So ,i Pm U(o.zo n wDw's 11o•130 - ~of. 8a n Dob~~j pl g.00 J 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 5830 PILOT KNOB RD - 55122 ~ J~~~ 651-681-4675 New Conshuctlon ReauhemeMs Remodel/Reoah ReaulremeMs ? 3 regisfered sXe surveye showing sq. tt. of lot, sq. fl. of house 2 copte: of plan and gl roofed rneas (20%, maximum lot eoveraae atlowed) t sef of energy calculaHOns ta healed addNbns ? 2 coptes of pians (show beam i window aizer, poured ind. design; etc.) 1 sHe survey for exterior addlNons 6 dec W D 7 sef of energy cakulafbns ? 3 coples of hee preservalion plan q lot platted aker 7/1/93 ~ DATE: 1 n] I 3 I cI ~j CONSTRUCTION COST: ~.U oo DESCRIPTION OF WORK: O U -PG/ W~ STREETADDRESS: O/ cT U r) V~ LOT: BLOCK: ~ SUBD./P.I.D. Name: L~ ~1 I S l.(G r V 1(,' ~1,1 Phone IF: Lo sd PROPERTY Last FU~ OWNER Sfreet Address: b U [~:j cny c( n state: VY1zip: S S f o~ 3 Company: ~ 1s Phone 7 C) (area code) CONTRACTOR -I ~3 Street Address: aa y~J /~1? e o J(.e4- License # 0W1 4093 ~ LOO City t~ur Vl S U I State: Yn Zip: ~J 3-7 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheet Address: RegislraHon Cyty Sfote: Zip: Sewer i wafer Ilcensed plumber (reauired fa new construction onlv): PenaHy applies when address change and lot change is requested once permR Is issued. I hereby acknowledge thaf 1 have read fhis applicaHon, stafe that the intormaNon cortect, and agree fo c py wHh all applicabl ' State of Minnesoto Statules and CNy of Eagan Ordinances. Signature of Applicard: . OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pooi ? 25 Miscdllaneous WORK TYPE ? 31 New ? 35 Tenant Impr 0 39 Gas k.ine Oniy ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water - Width Footprint sq. ft. BoQSter Pump PRV Fire Sprinklered APPROVALS - Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: , SAC Units °k SAC 1990 BIIILDING PERMIT APPLICATION CITY OF EACAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. JUli 0 4 BEev To Be Used For: c ~L Valuation: r vV ~ Date: Site Address -317-fq lDoSvU.~~I De= OFFICE USE ONLY ? Lot iL Block ~ FEES Occupancy / Zoning Parcel/Sub (~(/£S"fblw., Actual Const B1dg. Permit C~5'0C7 Allowable Surcharge ..5~ Owner ,c L/O AA ep # of stories Plan Review ~~~~I-~~5~ Length SAC, City Address Depth SAC, MWCC u S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter f Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor Y~jMWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # ' TRI-LAtVD CO. S1TE PLAN FOR= SURVEYIIVG JpSEO'H MILLER SERVICES cONSTRUCTIOOV, INC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 Z url.0T b, ' SCALE' I°= 30' 34"W / `5 • 1 LOT Lor . t Lcr . z~`:~,•% ,e,~ 1 ~ 3 , 10 12 f Z J: ~ r ~y • •ar.s.~r iws~.vi~vr~ - . ~y ~wESrev ~ RY ORIV~_- PROPERTY DESCRIPTION lOT_JJ., BLOCKA-, WESTBURY IST . aeordinq to tM rocordad plat ihsreof nAAOTA CautY, Minnasoto LEa ND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=1m.Tr3 s pgNpTES WOOD FO SET PROPOSED FiRST FLOOR ELEVATION =/2s.2Q ' pE1dOTIES EXISTINC $POT PROPOSED9ASEMENT FLOOR = 1d~?o 0.EVATNON ELEVATION ~ pENOTES PRQPOSEO SPOT ELEVATION NOTE ~ VERIFY ALL FLOOR HEIGN7S WITH ~ DENOTES DRAINA(iE DIRECTION FINAL HOUSE PLANS l lqrepy aertify tAut tAis survsy,plan or roport wae preporod Dy me or undsr my 24 dirsct supervision and fhot 1 am a duly 8radlay 4COwen Mn. Req. No. I5236 Reqistared Laod Surveyor unda ths S~jS~BG : Laws of the Stote of Minnesota ~~e' ' 1991 BUZ LDINGLICATION r S D CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL \2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 143 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PI.ANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYYING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WfiICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS B EN OMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. y~c~ / To Be' Used Fox: QO4 k Valuation: B00 Date: q~ Site Address 2?-;~ ? OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy Bldg, Permit Zoning Surcharge 6.S Parcel/Sub ~6~ylj Actual Const Plan Review Sy Allowable SAC, City Owner # of stories SAC, M41CC Length Water Conn. Address _ Avi'iE ' Depth Water Meter S.F. Total Acct. Deposit City/Zip Code fAaAn N Sfr3 Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage_ Treatment Pl. On site well Road Unit Contractor MWQC System _ Park Ded. City water Trail Ded. Address /6~~/?3 «lX4v ~ PRV _ Copies ~ Booster Pump City/Zip'Code O SUBTOTAL APPROVALS Penalty Phone y?1~'3YAL Planner _ Lot Change ' Council TOTAL T4 M 0 Arch,/Engr. Bldg. Off. VgX'iance Address City/Zip Code Phone # ~ n agrees that all work shall be done in accordance with (Signature of Contracto all applicable State of Minnesota Statutes and City of Eagan Ordinances. i , a TRl-LAND CO. SITE PLAN FOR= SSERVICES JOSEPH MILLER CONSTRUCTION, INC. 4655 NICOLS ROAD " EAGAN, MINNESOTA 55122 avr z s/7, , S CALE ' I"= 30' g°"' lll,T~ 34"~y /e~Kb I /O-l0lS / ~ . S/ 'S ~ LOT fi , Lal' ^7 .0 Z~r p * 14 12 ~ ti~ ~8~ i Z CA o ~ N , t~ ' ~r4?S~ . ! ~ 9 n . ~ • M , . ~Miry?w If ~ vr~ p . . ~a . t~~Y fAftMlNf~ ~23 N ~~ESTB~RY ^ DRIV_`-- , ' PROPERTY- DfiSCRIPTION LdT BLOCK` , WESTBlJ~tY ISl" aecordinq to ttd:ntcoMad plat,tMroof DA,_Camly,Minnesota r ; - LEBEN~ ' . ~ ; o pENO?E8 IRDii MGNUNENT PROPOSED GARA(iE FLOOR ELEVATION • , r pEMpTgS .IMpOp " SE7 PROPOSED F11tST FLOOR ELEVATION = /1 ~o 'V` ON~T ~ELE~VATI~ONSEMENT FLOOR ~ . ~S" 3POT 't~~ .,l ~~°'~q,•~},d' }Of `6gu ~~[ItECTiON NOTE ~ RIFY WITH , I Mreby certify thdt tfiit sarrsy,Plan or ,.roport ras prepared by h?e or under my ~ dlroM sopervislon and ihat t am a duly Bradley wenson, Mn. Rsp. No. IJ235 ~ Raqiatsred Land Surveyor under the p~~: . Laws ot the State of Minnesota. . CITY OF EAGAN ERTERIOR ENVELOPE AYERAGE 'U' COMPUTATION ~ ONNER: M~ ~Yr\vS SITE ADDRESS: w2's~tLr~ CONTRACTOR: ~1 D f IA? I11a M F S DATE: S"a% PNONE: Ns Determine rorking square footage of each: 7. Total exposed wall area L ( • 5 sq, ft, x. 11 2. Total roof/ceiling area sq. ft. x.026 Total ezposed xall area above floor a. Total wall window area 601V Z~ b. Total door area .~o. ? c. Total sliding glass area -0_ d. Total fireplsce wa11 area - 6.- e. Total wall framing area (average 10%) 5-1.,t" . f. Total net wall area above floor 33-;? tf1 g. Total rim joist area Total exposed foundation area h. Total £oundation window area i. Total net foundation area above grade . Determine 'U' value of each wall segment: a, xtul 58 = 3 b. x 'U' . c . x TU' - d. x ' U' _ . e. 57.5 xIU' , 22, f. -23a x fUl 1641 - bv~/Y go x 'W' - h, x 'U' - i, x fU' - 3. Total If item B3 is,the same as or less than item 01, you have met the intent of SBC 6006(c)2.' I Total exposed roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area (average 10%) 4.5" 1. Tota1 net insulated roof/ceiling area a,.I7." OVER Determine `U' value for each roof/ceiling segment: J. x 'U' - k. x fU' ~w.~s~ . x 'ut ,oa,s - ~11 4 . Total - G•~ ~ If total of #4 is the same as or less than B2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items !t3 and I!4 shall not be greater than the sum of Items #1 and 02. 1. 2. 3. + 4. W,f~ , 2 ~zD,-j,~ gz~~s „ " ,•~a ,[~j , .i J~•.~,cf~~s -177 '/4 42 h~n•~n G~, So~,~Z° ,y 7-X..,,r~ JS ~ waa,` ''.~l S/ ~ 7e1 7 1 ~ ; < .~c•;':~ ~ zf'£ -~2~-~ .~lry s ti/ T zz- L/f ; Aj ~~'Sp _ q~i, .'Y"?~~~/ /~1 ~ c~'O~• ~'"ni ~u/ - ~iv~//!~,7~v~J /~y~'l/Y~ G/S ' ~j -~cv(T . ~ . / * **#********f******##t******#i#*#*# . C I TY O F E G A N *~F' PAYMSNr OF k'EE AT TIME pF » , *APPISCATION DOFS NcYr COI1SiZ2= * APPROVAL OF PFTthIIT. * ~ ~ APPLICATION FOR PERMIT * ~ . * INSPDLTION OF SEWE2 ADID/Ct FMEE2 * ,*F TTS1'ATS.ATTONS WILi+ AXYP BE SCm- * SEWER AND/OR WATER CONNECTION Umm PEPMT.HAS HaN ~ . * ArPxovFn. * . . * » ~ *****~~*~t**.*.*,~**~.************:k* P ease Print 1) PROPERTY ADDRESS: ~ L(J LEGAL DESCRIPTION: L. / ~ Lot Block Subdivision or Tax Parce ID ) IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BLILDING PERMiT ISSL'ANCE: S•- ~ G ~ PRFSEP7r 7ANING/pROPOSID t!SE: (hbn Year} Q CAj'AERCIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY ' ~ IrIDL'STRIAI, ~ R-2 DL'PLEX (Two Onits) ~ INSTIZ[.'TIONAL/GpVIItM= ~ R-3 ZtJWNEiOUSE (Three + Units) ( Onits). R-4 ApARTMEPPP/CODIDOMINILni7 Units) Z, ~ NALt'IE: f / I • ADDRESS: ~ CITY. STATE, ZIP: PHONE: 3) ~ - - For City Lse ~ Plumbers License: ADDRESS: JD! ~~F ' . //7 ~(J ~p Active ~ F~cpired i CITY. STATE, ZIP: ' 5"1915r',C Not recorded PHONE: QO5-cg G MASTER LI(:ETISE# 35C. D,csi C StafF Initial Q) •~w • • ia• . . . . . . NAME: ` ADDRESS: . CITY. STATE, ZIP: PHONE: • 5) ~ r ~ a• • : ~ • o~ - CONNECTION Zt7 CITSC SEWIIt ~ CONNECTION TO CITY WATER C( di'HER . 6) ~ r~• ~ i• pLEpgE HOIA ApPROVED PIItMIT FOR PICK-C~P BY ONE OF ABOVE - r ~ PLEASE MAIL ApPROVID PERMIT 10 1. 2. 3. 4, ABUVE . (Circle one) 7) rn u•• _ •7- • ~ -r ~ • r a i~• ? r .p. ~Y ~ .y.,• a~ a• • r. u• r. ~ e: o-~•r. •,aa. i ~ ~ : • ~•r a• •~i~ . FOR CITY USE ONLY = ~ PERMZT # ISSCED Pd w/Bldg. Permit FEES: $ $ lD,J~D SEWER PERMIT (INCLC?DE SURCHARGE) $ $ WATER PERMIT (INCLODE SORCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ $ /S• ZTJc ACCOUIVT DEPOSIT - SEWER $ S ACCOC'NT DEPOSIT - WATER S 500, c?v $ wac s ~ 75. ~ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ /-~l•~JU $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ 7' J o S ~ I• CX~ TOTAL 2'6q 6 RECEIPT RECEIPT DOES LTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: O ~p ~ • } 31118 Vwt 4 . � r a ` w"'Ss s < s Gote of i1t. $ , ' f i n 'MX - ' ' a, Zsi f 1 -18.46 64864 EIY 1 ,140..--'....."—"^----...iiy5fay............. PERMIT City of Eagan Permit Type:Building Permit Number:EA110410 Date Issued:05/09/2013 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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. Window or Door:1 bay window replaced in existing bay opening Tim Schenk Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Whisler 3878 Westbury Dr Eagan MN 55123 (651) 681-1667 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------, � For Office Use I I y � � . I Permit#: �� / ��� � �j Of�� � . _ �. � ' �o.� � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 ` OCT � O ?O�4 � Date Received: /b' �d��� Phone:(651)675-5675 � I Fax:(651)675-5694 � �"_ X I f< . 6 � Staff: I � .....__ ___._�_�. . ___.._ . .�����.������������J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 10/7/14 SiteAddress: 3878 Westbu�; Eagan, MN 55123 Tenant: Suite#: �_ - �_� _, - � ������'��� °` Name: Mike Whisler Phone: 651-681-1667 � ' � ` Address/City/Zip: L Name: K&S Heating, Air Conditioning & Plbg LLC�;cer,se#: MB5216 �����r� _ �,��E� ���� ��, � � address: 4205 Hwy 14 W ary: Rochester � a�� �� '�' �����_� ;s��� state: MN zip: 55901 Phone: 507�-282-432$� � �� �� � � �� ��� ��"������ cor,tact: Heidi Brown � Ema;i: hbrown@ksheating.com���� � � � �*,��� a �'�'� � � _ ,���°� _ New XX Replacement Additional ��Alteration Demolition � - fr��������� � =_ Description of work: x � _ �. __ — _ , ,��� l�t��� � ��� und,r�to�l�fed rn��^� ����r�t�m�� °'�{���t�,1'�"�" �" h ��:��ryaCi��jt' ,. � _ �. � ' a ;— .�ni r .�- - �� i��ii =� INI i a � .Iw�t�"n i� u�`� _- � _PT���� ��� �,���+����c��e�������rm���; re�n���r�#�__= � , - � ` , �� RESIDENTIAL COMMERCIAL �� � ����, a�„���I�ti� — y ,� * __ XX Furnace _New Construction Interior Improvement � � " " �'�� � N��� , � XX Air Conditioner Insta�l Piping� � � Processed � � @�' � �f��; �4 �° — — — — � ,��r ; ��, _Air Exchanger � _Gas � _Exterior HVAC Unit � ��o� � � � ,� „i��' '< � � Heat Pump Under/Above ground�Tank �Install/_Remove) = ��I�� ��� — — � ,@i — Other �� � RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.0� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" ""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 "*`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this inforrnation 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 Rick Keehn /Zr���� X Applicant's Printed Name Applicant's Signature �fA� _� iii�iw I� 3 I�"�d ?r"� — '� - a� � �'��3���' � . 11�.�, ��,�� ������g�" ��� I iI��I�y N �i����i�i �° ? _�u�i 1� _ _ ii�)9 I N�i����;"M = �i�7E� �� � '"�� ' ��'�f�'� = � _ ����, 'r=��4��������-c- A�����q�� ���.. } Use BLUE or BLACK Ink r-----------------� I For Office Use � � � Permit#:�� ! � Clty of ����� ; � . 3� � Pe mit Fee. 3830 Pilot Knob Road ) ^� Eagan MN 55122 � Date Received: 1, �" ��'� i � Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: � � ----------� ------- �� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ��� ��, Date: � Z Site Address: W��^�V � f-J� (l`� Unit#: � \ A �(/l_J �l5/ ? � Name: ��'f�p �ILk ti ���'l�(�/l Phone: ( U � �1 lo�� Residerrt/ k�y3 r�� OWn�r ,;�- _, Address/City/Zip: ��� J/�� f� ; '". Applicant is: Owner � Contractor ` � : Descriptionofwork: �JVic�ur' 1'�53�-(`�yti i �Y�� � li1•t���� �� /►'1 f klrC�iF'!�/✓ Type of Work - � � ��� �'� _ �.� g. ` Construction Cost: f� Multi-Family Building: (Yes /No� � 5 �a �..� �,.��'" ��- Company: � � 1 � �tl�u�ontact: c�.l�-C/l�— ; ��� ' s�a:: n p �.� �, yContractor. '= Address: �w���1 city: l�-f�B-��LC�t�n�� ,�� �/ �y �'�� State: � Zip:�_Shc�O Phone: � �� �Q °C � Email: -�I�LA� � S� �iLr,(-pld�( k= ��'S �f�1 S� = License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f3U��,l�' t�_ I�`L� 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 supporf�ng documents that you submit are considered to�e-publtc information.. Portions of : the�nformation may;be classified as non public�f�you pro�ide specific reasons;that would permit fhe City to ,: cqnclude;thaf they;are fratle secre#s.; CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 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 w' 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 B ' ' g Code must be complete'Q'within 180 days of permit issuance. x ��--VI�— ApplicanYs Print ame Applica ' nature Page 1 of 3 : i + ' ��� �s��� �� DO NOT WRITE BEL W THIS LINE ����]�/ } , � SUB TYPES Foundation Fireplace Porc€r(3-Season) Exterior Alteration (Single Family) � Single Family _ Garage _ Porch(4-Season) Exterior Alteration (Multi) _ Multi _ Deck _ Porch(Screen/GazebolPergola) 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 �O� Occupancy �,/�G~r MCES System " Plan Review Code Edition .=or0'') SAC Units "� (25%_100% ✓) Zoning � City Water "' Census Code � Stories --- Booster Pump -- #of Units / Square Feet "' PRV "' #of Buildings � Length — Fire Sprinklers �"' Type of Construction � Width -�' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final 1 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 J p� � Q ��/� ���''Q ! ase ee �� Surcharge Plan Review � MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133205 Date Issued:09/28/2015 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Michael Whisler 3878 Westbury Dr Eagan MN 55123 (651) 681-1667 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138975 Date Issued:09/30/2016 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Michael Whisler 3878 Westbury Dr Eagan MN 55123 (651) 681-1667 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142984 Date Issued:05/26/2017 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Michael Whisler 3878 Westbury Dr Eagan MN 55123 (651) 681-1667 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150934 Date Issued:07/31/2018 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Michael Whisler 3878 Westbury Dr Eagan MN 55123 (651) 681-1667 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155358 Date Issued:05/13/2019 Permit Category:ePermit Site Address: 3878 Westbury Dr Lot:011 Block: 004 Addition: Westbury 1st PID:10-83650-04-110 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description:See Comments Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:5/13/19 Contractor originally pulled this permit for reroof, siding and window replacement when he only wanted it to be for siding and window replacement. The difference between the permit fees is $76.25 which we will be reimbursing him for. pf Please print pictures of ice and water protection and house wrap and leave on site. Valuation: 15,000.00 Fee Summary:BL - Base Fee $15K $265.50 0801.4085 Surcharge - Based on Valuation $15K $7.50 9001.2195 $273.00 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 Whisler 3878 Westbury Dr Eagan MN 55123 (763) 670-2212 Integrity Home Improvements Inc 306 South 1st St Mount Horeb WI 53572 (763) 670-2212 Applicant/Permitee: Signature Issued By: Signature