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