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3885 Westbury Dr , • CITY OF EAGAN A 3830 Pila Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 dU1LDING rERAA1T Rece+vt #t To M wd 1a Esf. Value Date 19 Site Add?en "BI;i:`.[ DR Erect Q Occupancy "I ft'Y 1 fiT Remodel ? Zoning Lot Block Sec/Sub. R Parcei No. epair ? Type of Const. Addition ? No. Storiea Move ? Length ~ Name ~ ~ Demolfah ? Depth Addresa ~ • AVL Int Impr. ? Sq. Ft. cisv t""'ft'". "JG ['f)'Phone •1 3 I-' G 01 ir,stau D Name Ay~ Approreb Fees ~ Addresf Assessment Pertnit ~ City Phone Woter & Sew. Surcharge • i Poliu Plan Review W„ Name Firt SAC ( Fz L' Addrees Enp. Water Conn. )c ~W City Phone Plonner Water Meter .i . U C Countil Road Unit ri 1 hereby acknowledya thot I hove road this opplicotion ond stote thaf Bldg. Off. Tr. PI. fM informotion is conett and ogree to comply with oll applicablt A~ Stah of Minnewto Statutes and City of Ecgun Ordinonces. Pa?ka Var. Date Copies Sipnotun of Pemwtte~ Total f A Building Pern+it is lsswd ro: oe+ tM expeess conditbn thot dl work sholl be donw in accadana with all oppliooble Stott of Minnesoto Stotutes and Gty of Eopan Ordinances. Bufldinq Officiol Pwmit Na Parmit Holdw Don Telephonia * Mumbinp (p ~1 (o H.v.a?.c. (0 p--(~ u Z EkoWe y.)- o. o 0 Soha»r InWeetion DaN Intp. Other Foodngsl FooUnpall FoundeUon Frsming Rooflny ROUgh Plby. Rouyh Htg. 75 Insul. 7 S FlnPlaca Y' x)~rS~ v Final Htg. Final Plbg. Flnel Csrt/Occ. Ct) Water Dose?ibe Location: WNl Sswsr Pr. Dlsp. CITY OF EAGAN Remarks WESTBURY FIRST AnDTTm ~ Addition N Lot ~ Bik 1 Parcel ],Q 81650n2n 01 Owner streec 3885 Westbury Drive state Eag.an, MN 55123 Improvement rDate Amount Annual Years Payment Receipt Date STREET SURF. Z 2,_50,OD ' f ' ~S STREET RESTOR. GRADING 79 f} C)I 5 - -115 Wa e Are 133.7 8.92 15 /33, 4PI SAN SEW TRUNK 1983, 436.23 29.08 15 ,15 g$EWER LATERAL SQp ~ Water Main r 986 65.29 G WATERMAIN Q 1984 68.7 4.58 15 *1NATER LATERAL 1936 WATERAREA _ 19$4 1$4.9 12.33 15 •a O/(p *S Y'V C STORM SEW TRK 1986 - b'S *6TORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT v n WATER CONN. 500.00 BUILDING PER. 10414 SAC 9500 PARK A~aipt - MECHANICAL PERMIT PKmit No. CITY OF EAOAN • FM Ffll 1» rwmbwed tDscer S!C Type or Prinr /plbly Tot • 1. Oats 2. InstallAtiOn Cost 3. Job Addreq " • Lot 91k. ~ r Tract 4. OvmQr ; B. Conusctor Phone 6. AdChsss 'i 7. Gty ` - Stata Zip 8. Building Type: Residentisl U" Commercial O In:titutional O 9. Work Description: New t] Add ? Atter ? Repair ? 10. Describe Fuel Type 11. No• EquipmenL BTU - M. Ea. No. Epuiamsnt CFM Forced Air • ` Air Handlinq: ~ Mfg. Boilen Mech. Exhaust Mfg. Unit Heater Mfg• Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby cartify that the above information is true and oorrect, and I agree to comply with aH ordinances and codes goveming this type of work. Signed : for Rouph Fiml Inapectiona: Date Inap. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 46"100 Recaipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fes ' c• Fi!l in numbered spaces S/C Type or Piint /egibly Tot 1. Date 2. Instaltation Cost 3. Job Address Lot ' BiIf. Tract 1 4. Owner - 5. Contractor Phone 6. Address 7. CitY State Zip 8. Building Type: Residential ~I Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shovuer Wel l ' Kitchen Sink Urinal/Bidet Other Laundry Trdy ; Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby cenify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Y ` CITY OF EAGAN N? 10 4 f 4 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121 PHONE: 4548100 S ~ BUILDING PERMIT Receipt ~j T. M ~wd fm SF DWG/GAR Est, yalue $86,000 pOfe JUNE 18 1q 85 SiteAddresa 3885 WESTBURY DR Erect IN Occupaney R3 iat Z Block 1 Sec/Sub. WESTBURY 15T Remodel ? Zoninq Rl Repair ? TypeofCOnst. 37 Percal No. Addition ? No. Stories ~ Neme JOE MILLER CONST Move ? Lenvtn 44 ~ Addreas 18133 CEDAR AVE Demoliah ? Depth 35 Im.Imoc ? Sq. Ft. City FARMINGTON Phone 431-2001 Install ? $AME Apyravak Fees O Name S~ Addm= Assessmenf Permit 391.OL Citv Phone Warer & Sew. Surcharge 43.0( Police PlanReview 195.5( tw Name Fin SAC 525.0( r 13 Address Erp, WaferConn _500 _.0( <W City Phone Plonner WaterMeter 63.0( Council Road Unlt 280.0( I hereby ockrawledge fhat I hove read this applimtion ard stara t at gldg. Off. 6 1 7 $ S Tc PI. 112 - O( the inlormotion is correO and agree fo wmply with oll op ca le AP~ Parks Stcro of Minnewla $totutes n Ciry of Eo Ordinance . Vaa Oate Copies Slanmurc of Permi - Total 5,2..~ 129 _ 5( A Bullding Permif Is issued to: JOE MI LER C~I1l5T on Me expreu conditlon Iha+ oll work shall 6e done in accordance wifh ol ' bls Stafe of AUnnesoNa tutes ard Clry ot Enpon Ordirwnces. Buildirp Oiflcfol v~ ~ ~2o06 RESIDENTIAL BUILDING rExn~iT nPrLicaTiorr L r 9~~~ City Of Eagan q 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWdionReouirements RemodeVReoairReauirements ce` se6n 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of pWn shovring fooUngs, beams, joist5 CeH ofStirviy ReCB K =?~,IV (20% maximum lot coverage allowed) 1 sel of Energy Calculations for heated additions Soils R6p6H 1 Soils Report if proposed buiiding is to be placed on disNrhed soil 1 site survey fir additions & decks Tre~ Pr29 PJaK ReW ~ YN 2 copies of plan sfwwing beam & window sizes; poured found design, eta Adddion • indicafe Honsde sepfic sysfem ?tee Eres Reqo~red t~nsltg`SepGc5ystem„ ; y.1~~=N 1 set of Energy Calculafions 3 mpies of Tree PreservaGon Plan'rf lot platted after 711193 Rim Jolst Oetail Options selection sheet (buildings with 3 or less units) , Minnegasco mechanical ventila6on (orm Date ~ /-7 l 200' Construction Cost 5 J~~ Q Site Address '"c UniUSte # 4Cpv pi-~ 4' vCVYOd-~ Description of Work Multi-Famity Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner IJPNNiSa' T2~"LSA UANd/-k-jv,7q Telephone#(~S~ ) ySy--2 '-f 2d Contractor ~~?~I'JdNit./ /T'• /v City :S'4~~CciGt~E~_2 State Zip F~ Telephone#((v57) 'i13~COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEVY BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Wwksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted - - - Submitted - . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a sirnilar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MNT Statutes; I understand this is not a permit, but only an applicarion 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. MAu ADt+ l e Aqo Applicant s Printed Name Applic~ii('s Signature t~/ ~ 1985 BUILDING PERMIT•: APPLICATION •CITT' OF EA~ : . NOTE: ALL'.CO[IiRAC?ORS MU3T BE LICENSED_NITH THE CIT7 OFl,EAt3AN ss. INClUDE 2 $ET3 OF PLANS ~ CERTIFICATES OF 3URVEY t'SET OF ENERCY'CALCULATIONS " To Be Used For: Valuation: Date: lo Site<Address; OFFICE USE ONLY Lot:' Block / Sect/Su Erect ~ Occupancy . R-3 ' ~Remodel Zoning R-1 Parcel # Repair _ Type of Const :'V Enlarge" 0 of Stories Owner Move Length ~ Demolish ' Depth 35 Address Grade _ Sq Ft City/Z3p Code Contractor APPROVALS Address Assessments Permit ' Water/Seaer 3urcharge 43•°° City/Zip Code ~t~ SSD~ Police' Plan RevieN 19 S,SO Fire SAC 5715. = Phone 0 Engr Water Conn 500: Planner Water Meter Arch./Engr Council d Unit ' Bldg Off 4- Parks Address. APC Treatment P1 132..w Variance Phone 0. 70iAL a l°Z-I`` 5 C~ , - . . . . ' . .y . .C:~...`. :s~I' . . ; CertiPicate for: j' Joe Miller Construction DELMAR H. SCHWANZ GANDSURVEVORi, l1.7G, Rpist*rW Vntlb Law, Of TM SUIe of Minnnob - . ' .'2978 - 746TM STREET W. - BOX M ROBEMOUNT, MIHNESOTA 56068 PHONE 812 423-1789''~.., SURVEYOR'S CERTIFICATE Q3.y r 9'~ -G•~k 40~..`._ jy m~ 7D.7G Q= /~•3~ 0°. 'Cc 14~• ~ - 1 a Qn ~p . ~s4~, _ _ , 6~•o q~vk' q6b~a~ ~ ''l, , ' ~~a 4 z4 0-~ N y.71 24 M ~ ia~ ~ ~1 . N ~RoPafED N Property corner N ~q D gu- ~g I] = Set wood hu6 ,1oPI~ Existing elevation 1a~.~ a qy ~ = Proposed elevation - proposed garage floor elevalion a~ E. s . . ' Y ~ v I he:rebycertify that this is a ~ r ~ true arid correct ie resentation of the following described tract of land: ,Z Lot 2, Block~l; WESTBURY FIRST 4t ~ ADDITION,".according to the recorded ~ plat thereof;'Dakota County, Minnespta. ~ Also showing the location of a proposed house as staked thereon cnis 22nd aay of Ma}r 19 85 . :.ld ~ / \ I (n.Ku ~ Y? Jt ~ / . . , 3~I Notea:.1) Plan 85-107 Royalton I7 .Buildtng;;;not oentered ~ to keep utflity lU conneCtlons out of driveway. U:d 20«~ , a$ . . ` , • ~ , , . . . . ~ ` MINNESOTA REGIST ATIONN0.8625 . a ' 2 "i ' 1 ' i t x ~ ~ " e a ~ `i d;', , :t'"`.~.,, . . . , . . u..,_ . r--~2 ~ z/a4 ' CITY OF EAGAN lllu APPLICATION FOR PER?qIT SEPIER AND/OR WATER CONVECTIODi (PLEASE PRINT) .1~ P~PE= t'DDitE$j: ~ O~Jr ~.U@5-E- ~74 M4 rFr,:~i. D:,.~S?'PICV: lICtiBlcck/Su:aivisicn or i,.K rarcei I.D. , I'r' u^.iIS='1:G S^_?.C=:Rvr, Dai:. D° CiZTGiT,?iL c`vI?.,^.I.`:G `-_=r_•,' PRrSL-•~ ,.,T._ C'..c-_..-: 13 R-1 Si:GI:, Fl--%ffLY . ? R-Z (?~tiD L^:I^S).. . Q 2-3 ^.C;,,.:rCcr L'::=:5) f r1,-^c) . ? _.--1 .~'~:T/~=~i-ir-~-.t ( (i~i=Ci Q CC11.+',1ER: "_S,/RE:~I?Cc= T!-? ? mmti5~_ T~.L ? T`_:STZ7-'~'_T.^.~ 2) APPT~,G_`.iP (PLE;,SE r;tsr) t~l'+F: ~ ~ ?rt r ll t~ APiDRESJ: I b 113 l.'eC.rl9~ ~UC , C=. S:ATE, ZZP: .r/4fA.M ThG'coJ /NR~ ~f - PFovE: q3(- 3) pj~,:,sER ~PL"cASE 'rRI.YiJ FOR CITY CSE ONLY r~ME: 2(1 , pLD~ss: ryiz8 ~ a3`1 A.~,,~ ,c~ PL~JHBEAS uc:sse: ~ Active CITY...STA:E, ZIP: :P14 10µ{-f, Expired Not of Recard . PHOVE; 3 4.7S PLIJ.MBER LICENSE amfos irJ~j ' a:',- .n[:1a 4) OCCLP.k~7T/C!-:NLIE,i"t NALME : (PLEASE PRIJT) ADDRESS; crrr, smzm, zzP: A3 .2,) Pxo*rE; 5} INDIGiE LdHICH PEfL"fIT S BEItiG ~UEST.r~.D; ~'.1F.Ci'IO~I 'IC~ CITY SES~iF~F2 lf~ CC:::QECI'ZC,1 'LU CITY WATE:2 ? OrIMIE2 (PI.I'1'1SE DFSCcSSE) 6) L`10IG,;: C:.c.: . 5rc:1sE ffOID APP?OlEp PERtiIST FYJR PICK-L-2 SY CNE OF AECIE' ~ nr r,,-, MAJL APPROVt.D PE17,•UT TJ 1. 2. 3, 4 F1fiME (Circle one) 7} SIC:%'I[.'cz: LAS.J.11 DAT'E: S , ~~l OIia1~fOA i 1~ A l~:afll~! i f+~ ia ~R~a i i E YFa~a s s4 Ma~[atslOyEf/ 1@! i~i~a F O R C I T Y U 5 E O N L Y Pc?_Ml•,• ISSUED rr~s: $ S~i•ic... _tT n nr.D., m a I..C .:i..- JU......~rU:.J ~ $ _ {4AT°-Z PE:Z,"tI:` (Ii:CiuDE SiiRC?:ARGc,) $ ,Gi 3~O WATER METERJCOPPE.^zHORN/OUTSID° REi,uER $ WATER TAP (INCLUDE CORPORATiOJI STOP) $ S: " i, cR TA? $ >J °o --_,.~i:_:_ ~•5_- - : _3 $ ACCOii\T D.°PC`SIT - WATER $ Wr,C s:.c $ T.°,li'NK WATER ASScSS:lz'.IT $ TRU:4K SENER 'ASSZSS::E:iT $ L:.TE?,:yL BcivEFIT/TRiJ:dK SE:?::- +S LaTERAL Bc,VEFIT/TRU:IK iJATE.? $ WATER TREATMENT PLANT SIIRCHARGE $ OTHER: $ TO;AL $ ~Il ` P,MOU.`:T PtlID/R: C°Z?T 3m ~L33I ~ DOES UTILITY CONNECTION REQUZP,E EXCaVATSON IN PU5LIC RIGHT OF WAY? YES IF YES, THEN H"PER:lIT FOR WORK WITHIN PUBLIC ROrIOWAY" MUST SE ISSUED BY TY.E E~= NO £NGINEERING DIVISION. LIST AS A CONDI- TION. SUE3ECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: TI.LE: - DATE: 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KN08 RD - 55122 L ~Z~ Re(flpf- 103b 651-881-4875 3q, New ConahucMon Reaulremenh Pj rif (y- 3 l.+ Remodel/Reoalr ReaulremeMs c a ijfd q-28-00 > 3 reylstered flfe wrveys ihowiny sq. H. ot bl, aq. H. of housa 2 coplea of ptan and gp roofed areae (2076 mmdmum lot coveraae allowedf 1 set of energy calculatlons for heated addlflona ~ > 2 coplea of plans (ahow beam & wlndow alzes; poured Ind detlyn; efc.) 1 aite survey fw exAedor addiflan 8 decks > 1 sef ot eneryy cdculaflons \ ? S coples ol trea preservatlon plan If lot plaMetl alter 7/1/93 ~ DATE: 9-S -00 CONSTRUCTIONCOST: 20~ o00 DESCRIPTION OF WORK: ~ ~EAS~~ ~R~ ~Ec STREETADDRESS: -3685 c.ti tiv'Ta?A Y LOT: ~ BLOCK: 1 SUBD./P.I.D. M: WPSlhUr~ )Sr ~ / EKRy Name:~i•dDEo2 c (6RdFP Z)15NK/Y Phone PROPERTI( LCaf Fusf OWNER SheetAddress;~~s city ~ rj6'~ srate: no~ vP: ~S~a3 . Company-_7 ~P.v~ Phone i: 92 13•!C3 (area code) CONTRACTOR Sheet Address• 7~'f 84x::x-z;Ea me~e9nou> XP License #aoa I434:~'Exp, Cryy ~ s36~9~ Sfate: ARCHITECT/ Lu w+~~^ENGINEER Company: Name: Telephone (4„$'/ Sheet Address: Regishaflon tl: City State: Lp: SeweNwater Iicensed plumber (if installlna sewerlwaterl: Phone ( 1 I hereby acknowledye fhaf I have read lhis cpplMaNon, state ttfat 1he Intortnalbn ia cortect. and co ly a0 pplkable State of Minnesola Stalutea and City of Eagan Ordinances. Sigrwlure ot ApplieanY. • OfFICE USE ONLY RECEIvE:v Certiflcates of Survey Received _ Yes _ No SEP 18 2000 Tree Preservation Plan Received Yes - No _ Not Requfred - BY. OFFICE USE ONLY ~ . BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 13 16-plex 0 27 Porch (3-sea.) ? 31 Ext Att - Multi ? 02 SF Dweliing 0 08 06-plex ? 17 Garage 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) O 36 MuRi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage O 05 03-piex ? 11 10-plex Plbg _Y or_ N O 25 Miscellaneous ? O6 04-plex ? 12 12-plex ? 20 Pool [3 30 Accessory BId9• WORK TYPE ' b) 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• 0 44 Siding 0 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 VNindows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ~6 / # of Stories sq. ft. No. of Units ~ Length sq. ft. No. of Buildings ~ Width Footprint sq. ft. ~ Const. (Actual) ~ Basement sq. ft. Census Code (Allowable) -5-- t) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning ~ sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: pz-a s(J Surcharge Plan Review st, -Sea,so,,,J rppyc~L License MC/ES C ty SAGAC 3~F.2 `f Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EACAN EXTERIOR~ ENVELOPE 9VERAGE 'UT CDMPUTATIOH 011 ONNERS L SI7E ADDRESS: CONTRACTOR: ~4r-- -A4/La}, DATE: 45 oZ$- bo FHaNE: Determine rorking square footage of each: 1. Total exposed va11 area ~(o(p sq. ft. x.71 Z(o 2. Total roof/ceiling area 25119 sq. £t. x.026 ~ Co.(ptm Total e:posed wall area above floor = Cala (a a. Total wall window area ~ O b, Total door area p c. Total sliding glass area lDp d. Total fireplace wall area O e, Total aall framing area (average 10%) (p f. Total net wall area above floor 02 g. Total rim ,joist area (o-l 1'otal exposed foundatioa area = h. Total foundation windoW area - i. Total net foundation area above grade o Determine 'U' value of each xall segment: a. 70 x 'ut ,3~ - 25•2 b. O x 'U' ^ - O C. Coo x 'U' d. o x 'U' - p e . (v -1 x lU' 402 x 'U' .C~4 = I(o.b,L_ B• ~n7 x '0' h• p X 'U, - O i•, p x +pt - d 3 . Total c (09_12 If item 83 is the same as or less than item 91, you have met the intent of SBC 6006(c)2. Total e:posed roof/ceiling area = ZS (p Total skylight area o k. Total roof/ceiling framing area (average 10f)..... Z lD 1. Total net insulated roof/ceiling area z ?p . l ' OVER . ' , \'4~'~•='':.i,~% \I Determine IU' value for each roof/ceiling sepent: ~ ~ J. O x ' U' ^ = d k. Z(o x ful 1. Z3o x IU' ,022 - S,OCo 4 . Yotai If total of 94 is the same as or less than 02, 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 43 and 94 shall not be greater than the sum of Items St and 02. 1. + 2, - 3. + 4. - 2 �' „.,„f _ F . '"F r tr ,'f t+ x a ss 1 " ' ' a ' 'it' � '�,- _ s y _ - ' 2 i:. . Rte» s P ' -r e • ,'':',1';'1'. x S t < -t az i Phi► a 1,, � � Or r t "� x s 'es yi p} . , Tx` t . T 4 w A ddrs ,� x R : wY L -- ^+4r+•.i�+r fib►. L ! j4 t PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA106877 Date Issued:09/14/2012 Permit Category:ePermit Site Address: 3885 Westbury Dr Lot:002 Block: 001 Addition: Westbury 1st PID:10-83650-01-020 Use: Description: Sub Type:e - Furnace Work Type:New Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chad W Vandergriff 3885 Westbury Dr Eagan MN 55123 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111698 Date Issued:07/08/2013 Permit Category:ePermit Site Address: 3885 Westbury Dr Lot:002 Block: 001 Addition: Westbury 1st PID:10-83650-01-020 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chad W Vandergriff 3885 Westbury Dr Eagan MN 55123 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130098 Date Issued:04/06/2015 Permit Category:ePermit Site Address: 3885 Westbury Dr Lot:002 Block: 001 Addition: Westbury 1st PID:10-83650-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Applicant: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chad W Vandergriff 3885 Westbury Dr Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163632 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 3885 Westbury Dr Lot:002 Block: 001 Addition: Westbury 1st PID:10-83650-01-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Chad W Vandergriff 3885 Westbury Dr Eagan MN 55123 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature