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