3890 Westbury Dr
cinr oF EAoaN
3990 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r.i~ ~ 11??2
' PNONE: 484-8100
BUILDING PERMIT Reoeipc#
To be used for ' F DW G/ C A R Eat. Vat ue $ 6 3, 0 0 0 Date A P R I L 1 19 86
SiteAddreas 3890 WESTBURX DR Erect CN Occupency R3
Lat I3 Block 4 Bec/Sub. WEST8CIRY L5T Remodel O Zoninp R
Paroel No. Repeir ? Type o} Ccnat, ~l
Additlon ? No. Storise
JOSEP~t P~lILLER CQNST Move ? Lenpth
~ Name
Addreae 18133 CFDAF? AVE SO Oemolish ? Depth d~
Int Impr, ? Sq, Ft
Clty FARMIN4%Q4I 431-2001 Inatall O
Neme SATM F. A provNs FNs
~ Addreae Aasessment Permlt 322.00
City Phone Water & Sew. Surcharge 31• S0
Police Plan Revlew 161.00
Name Fire SAC 575.00
Address Eng. Water Conn. 500.00
g~ ciry Phone Planner Water Mater 63.50
Council Road Unit 290.00
I hereby acknowledge that I heve read thia appllcatlon and atate thetthe gldg. Off. 4/-1/139- Tr, PI. 156.00
Information ia correct and agree to comply with all applicable State of
Mlnnesota Stetutes and Clty of Eagan Ordinences.. APC Parks
Slgnature of Permlttee Var. aete Cople 2,099 . 0 0
Total
.TO EPfi ~'ILLER CONS'P
A Building Permlt ia lssued to: on the expresa conditlon that
all work ahall be done in accordance with ell applicable State ot MlFlnesota Statutes and City ot Eagan Ordinancea.
Bullding Oflicial
~
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PERMIT #
PLUMBING PERMR RECEIPT # « `J r 7 17
, • ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ~
CONTRACT PRICE PHONE: 454-8100
Site Address LDG. TYPE WORK DESCRIPTION
Lot Block SeclSub +
Res. New
~ Name ~ Mult Add-on
w Address Comm. Repair
c City Phone Other
NO. FIXTURES TOTAL
Name ' r, Water Closet -$3.00 ~t'
c Address Bath Tubs - $3.00
p City Phone Lavatory -$3.00
Shower - $3.00 •
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1°r6 OF CONTRACT FEE Urinal!&det -$3.00
MINIMJM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00 ~
MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 ~Nater Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
+ Gas Piping Outlets - $1.50
BEYOND'$1,000.00) Soitener - $5.00
Well - $10.00
-Private Disp. - $10.00 ~
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
' STATE S/C: C)
FOR: CITY OF EAGAN GRANO TOTAL• ~-3 ~ U
PERMIT # CITY OF EAGAN FEE
~ MECHANICAL PERMIT S/C
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
( : o
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ~Comm Inst 2. New `l Add Alter Repair
3. Total Bid Price 4. Job Address SbciO W e- S l. -r- ~ ~
Lot _ ~•J Block Sec 5. Ownel~ ii l 1' f Y~ ~ n=L
G'~1~ (~.I I~ 1 i I J~ J, >
«c~ ~ ~ :J
!
6. Contracto
(Name) (Streeq (Ciry) (Zip)
7. Contractor Phone # ,
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$fi.00
RESIDENTIAL COOLING -01-24,000 BTU's -$12.00. Each edditional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
~IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GA5 PIPING OUTIETS - E1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RqTE - 196 OF TOTAL BID PRICE PLUS $.50 STf4TE SURC kRGF~.FOR EAqH $1,000 OF FEE.
Signed: ~ - for - - -
Inspections: Date Rough Insp. Date Final Insp.
Approved,'
CITY OF EAGAN Remarks r
Addition WESTBURY FIRST ADDITION Lot 13 BIk 4 Parcel 1 8
Owner sveec _ 3890 Westbury Drive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1956 2$
STREET RESTOR.
GRADING
Water area qr7 qB d. ~ zl,
SAN SEW TRUNK ~ 1
* SEWER LATERAL 1986 5008.73 1001.75
waterm i 1986 65.29 4,35- 15
WATERMAIN Q 1984 68.711 4.59 19
~ WATERLATERAL 1986
WATER AREA 1984 184.92 12-33- 15
*Services 1986
STORM SEW TRK 1986 710.24 142. Q5 5
* STORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
_ .l =
INSPECTIUN RECURD I C°ntr°'
CITY OF EAGAN PERMIT TYPE: AUF 1111 1 NW
3830 Pilot Knob Road Permit Number: 000%78 '
Eagan, Minnesat8 55123 Date Issued: 06/1 g/92
(612) 681-4675
SITEADDRESS: LoTt 13 AI.OCK: A APPLICANT:
-3090 WESTBUIiY OR MULKEltN JOS?lF11
WE'SI'NURY 1ST (fix) 668-9626
PERYP~SUBTYPE: TYPE OF WORK: ~Ew
INSPECTION D.
i=u~Ttti~ ~IMAL
RFMARKa1r ltFCEIPT *
wwm
Wrmit No. WrmR Halder Dab ToIophone M
S/IN
PLUMBING
HVAC
ELECTRIC
EL.ECTRIC
Mwpeetlon Date Insp. Commsntf
Foodngs I
' Four?dation
F?er?lfng
Rooting
Rough Pib9•
Rough Hlg•
lsul.
Firepiace
Fkial Hty.
OroBt Test
Final Plbg. Pibg. Inspectar - Notify Plumder
Const. nAeter
EnprJPlan
Bldg. Final
Dedc Ftg. • ~>gZ
Deck Flnal •Z~.~ z oS
Well
Pr. Disp.
CITY OF EAGAN N 0 11722
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt u D/dcit/
Tobeusedfor SF DWG/GAR Est.value $63,000 oate APRIL 1 19 86
SiteAddress 3390 WESTBURY DR Erect ~ Occupancy R3
13 4 WESTSURY 15T Remodel ? Zoning R
Lot Block Sec/Sub. Repair ? Type of Const. V
Parcel No.
Addition ? No.Stories 45
~ Name JOSEPH MILLER CONST Move ? Length
= 18133 CEDAR AVE SO Demolish ? Depih 46
o Address InL Impr. ? Sq. R.
Ciry FARMINCAGN 431-2001 Insrall ?
it Name SAME APProvals Fees
$ ¢ Address Assessment Permit - 00
~ Ciry Phone Water & Sew. Surcharg~50
~ Police Plan Review~l' 00
Fw Name Fire SAC 575.00
z Address
Eng. WaterConn. 563.50
a w Ciry Phone Planner Water Meter
Council RoadUnit z90.00
Iherebyacknowledgethatlhavareadthisapplicationandslatethatthe gldg.Off~n7~~- Tr.PI. 156.00
iniormation is correcl and agree to comply with all applicable State of
Minnesota Statutes and y o agan Ordinart sc APC Parks
Signature of Permittee _ Var. Date CopieS Total $2,099.00
MIL.ER CONST
A Building Permit is iss d to: JOEPH on the express condition that
all work shall be done i accordance with I applic 61 ete ot nesota Statutes and Ciry of Eagan Ordinances.
Building Oflicial ~(t ~g~ ~ ~b g~(,~1~~ ~
~
INSPECTION RECORD Control No. 0463
CITY OF EAGAN PERMIT TYPE: 8ui LDiNG.,
3830 Pilot Knob Road Permit Number: 000578
Eagan, Minnesota 55123 Date Issued: 06 / 19 / 92
(612) 681-4675
SITEADDRESS: LoT: 13 BLOCK: 4 APPLICANT:
3690 WESTBURY DR MULKERN JOSEPH
WESTBURY iST (612) 686-9626
PERqVC~UBTYPE: TYPE OF WORK: NEw
INSPECTION . D•
FOOTIN6 FIHAL
REMHRKS: RECEIPT i
F
- ~ - ~
L
/ V
1985 BUILDING PER?IIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LZCENSED WITH THE CITY OF EAGAN
MO(~ECr 8~'I~U INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ltla-(f Valuation: Date:
Site Address: c~ D ~ OFFICE OSE ONLY
Lot: -Z,~- Block Sect/Su6~ Erect x Occupancy (2.3
Remodel Zoning a.~
Parcel !k Repair _ Type of Const ~
Enlarge I! of Stories
Owner Move _ Length ~S
p Demolish Depth 41-
Address Grade _ Sq Ft
City/Zip Code ~IiYjnGnfl~~l~ ~
-7-"
Phone APPROVALS
Contractor Assessments Permit 32Z.
Water/Sewer Surcharge 31. So
-
Address Police P1an Review 1(~I.
Fire SAC S'7S
CitylZip Code Engr Water Conn 00.
Planner Water Meter (03.~
Phone Council Road Unit 240-
Bldg OffeS Parks
Arch./Engr. APC Treatment P1
Variance q
Address TOTAL ~ U / ,
City/Zip Code Phone tk
~!C}~
~
' CITY OF'. BUiLDINCi DEPAR'II•iENT `
- EXTF.RIOR-ENYMOPE AVFRAGE $$U's C011PUTATION
' (To be subcaitted with bullding porroit application)
One or Two Family Dv+elling - Owner
All Other Site Addresa
Contractor SoLF_pd ( OWSr- Date Phone
4SS-loo
LIIvEA1, rEET OF .L
E)C"OSED k:ALL SEE ~vP~ ~ik~ ~ ft. ahove grade = O)O/~'jg,00
TOTAL :::C.°OS%'J '.'lr1LL ARiiA SQ. FT.
0?i,CU:; iYI.LL i.Ji;S'Pc.U':TIJI;: °Ull Value x Area
Getail --~AME flUts •OQ~3 x(~, FT. 1(o52•Zo. 7~•oQ- M(A)
reierence Ccsue• flUte .07eo x 52. FT. 9l0•48= 7.33 (U)(A)
from nUII .040 x Sq. FT. I14.6 L= 4•7^n (U)(A)
attacned "U" x SZ. FT. _ (U)(A)
sheets 'fU" x S^,,. FT. _ (U)(A)
loUu x SQ. FT. _ M(A)
"lII:DO';IS: "U" Yalue x Area
Y4a.te & TYAe ~1~St~L• @5~~'T ~,U,i . 4PJ x SQ. FT. i•00 = ~J3•(vg ~U)~A)
ft It °Un x Sq. FT. - (U)(A)
u a nUn xSQ. FT. - MW
n u npff _
x SQ. FT. - M(A)
WORS: "[I" V11ue x rrcn
zialce & Tyoe ~iTL• lNivL. 1,Ur, •14 x S:j. FT. 4 .bo (U)(p)
rr u YATio ifUll •47 x SZ. FT. Z•oo =~(U)(A)
n n upu x S•2. FT. - M(A)
00 u _ liU° x SQ. FT. - MW
TOTALS zOgg.oo SQ. h'T._ /S3•43 (U)(A)
AVERAQE "Ull
ToTat. (v)(a) vr.t.oss 153.4Z _
.073
DIVID:;D BY TOTAL 1'lI,LL hRF:A Zopr'g,ao ~
AVk;kA4E $OUt~ .115 r less for 1&2 family dwellinge
ROOF/CEILINCi :
TOTAL AREA: IOOZ 1!3
Detail reference foUls •dzl x SQ. FT. IpoZ = Z/•oQ- (U)(A)
from 11U11 x Sq. FT. . M(A)
attached sheete. IIUII x SQ. FT. - (p)(p)
Describa onenings I'UII x SQ, FT. - (U)(p)
in roof. Stpll x Sq. FT. = (u)(A)
TOTAL (U)(A) VALUES DIVIDED HY TTAIL~j POZ N,ft Z/•O'~ CUTA>
~
't0`L'P.L R005/CEI Ii7G :.1:EA ~ppz.oo -OZ~
AVEFcAGE "U .OZS for ventilF:ted roofa.
VoRK 5WcET
l4. So x~ 38+38 + 34+3g~ = Z O$$ c~
~
Co?~e .
.~7x C38+38t-34t34-~ = 96,.4-8 ~
~?m Tor
. 83~C (38r-38t34+S4~ ~ ~19•SZ ~
WiI1Dow S
Ibx~= 4•o x 4 = !lo•oo
16x3& = s, o X(o = 30. o0
Z4)(a&_&•o x 4= zg.ce
zox49; -(v.7 x 4= z&. So
z4x 48 = S•o X 4= 3z, o0
!Z8• 80 ~
Dorp-S
w/5(.. = ZS.ao
Z$ S7L• 4E,2 = 2.1, o0
6= PR-rio = 4=00
`l/. oO A-
NIET
(~)ev~.5 ev~r_t.. z,oe~ oc 24 x 3 s= 9~z
~E55 Coelc. qb.q~.g 9 x fo = 9 D
ii ~i/q- 119•SL ~~OOZ.~
r, wDw's rzs•so -435.8o
„ Dc~o2's 9?•00
1~ (vSZ. 20
. ,
. - _ - --WALL SECTIOH-:..
Determining "Us' valuea at Roof, Wall. Rirop and Conc. Hlock
ROOF/CEILINO R VALU1
S
1.) Interior Air r'ilm 0,61
2.) 5/811 ayp. sa. .56
3.) Insulation 44,v0
4.1
5.) Exterior Air Film .61
~ 2 3 (STILL )
~ 6 nU" _ 1/R= aOTAL (R)= 4S•7!r`j
l
O WAI,L (R VRI.U't
~ 6.) Interior 6ir Fila 0.68
7.! i" GYP. Bd. .45
8.) Insulation l9.c~o
10. ) IZni~te f Sidng~ ? ~
'07
Io il.) Exterior hir rilm .17
11
"U" = t/a= ToTat. (s)=Z3.o/
RIM R VALUE
12.) Interior A2r r'ilm 0.68
13.) Insulation 19.av
14.) 2" Fir Rim Joist 1.88
15 15•) Z',~3Z, 8v~v-,eirE 2,o4
16.) Maeoaite siding .67
170 Exterior Air Film .17
. o
, 0 • • • npu = IIRo .Oefd TOTAL (R)=z4.[f4
UA ' 0°
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0,68
21 . • ~S 19.)
zo. > P-N ST,eIPI'Et~, !1, o0
sJo'. 9 21.) 1211 Concrete Block 1.28
' e n @ 22.)
z3 ."b 23.) Exterior Air Film .17
~
. . npn a 1/R= •d7lo TOTAL (R)=13.13
TRI-LAND C0. gITE PLAN FOR:
SURVEYING
SERVICES JOSEPH MILLER
4655 NICOLS ROAD CONSTRUCTIONs INC.
EAGAN, MINNESOTA 55122
~
S 50017' 33" E NORTH
, 71.05
~ ;1~ N r . TK tirlr~rr M ~ ~ ~ /
fl Y ~f
~ LOT 13 I SCALE: I"=30'
OD~ W
Qr- I 3t' , I s
~ ti
L.,
pN :I I pN i1T
C-J
20t ~ S NOUSf : O
r
• 2
y .I w , I MM
~ w
I `v ~ • I
tl
r r
17.31 ~ .65.90
4 05°22'30' S•5o°17' 33" E
a1O ~ ert
~ WESTBURY DRIVE
- _ - -
PROPERTY DESCRIPTION
LOT_, BLOCK4 ,
wFSTBURY FIRST ADDITION
aeordinp to the reeaded plat ihsreoi
DAKOTA county, Minnesma
LEGEND
o pENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION= l04.00
o pENOTES WOOD FHJB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ios. S
ELEVATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION NOTE' VERIFY ALL FLOOR MEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
1 hrft cortify that Mis survsY.Plan or
rsporf ras prspand br ms or under my
dirocf supervision and fhal 1 am a duly Bradley J~,enaon, Mn. Rep. No. 15235
g Rspistered Land Survoror undw fhe • 3~2 /8~
: Laws of tM Stots of Minnesota Date - ~
. PERMIT ' C°"t 0463
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000578
(612) 681-4675 Date Issued: 0 5/ 19 ( 9 2
SITE ADDRESS:
3890 WESTBURY OR
LOT: 13 BLOCK: 4
WESTBURY 1ST
DESCRIPTION:
Suilding Permit Type DECK
Buildi-ng"'~Work Type NEW
USC UcCUpdYicy R-3
r' Builtling Leng'th 20
8uilding Width 12
; i
,
~
t\ ~
;'1 q
REMARKS: ~
RECEIPT N '
FEE SUMMARY:
Base Fee =25.00
Surcharge £.50
Total Fee $25.60
CONTRACTOR: OWNER: - APPlicant -
MULKERN JOSEPH
, 3896 b1ESTBURY OR
EAOAN MN 65123
(612)686-9626
I heraby acknowi$Ega that I have rvead this applicat3on and state that the
informaCion is cbrrect ertd aqree ta comply wxth all applicable State of Mn.
Stafiutes and Gity of Eag:an Ord'inances.
L -
PLICANT/PER EE SIGNATURE- ISSUE V: SIGNATURE
1992. BUILDING PERMIT APPLICATION
cITY oF EAGAN irAY 1 8 f~~p1
REQUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DrSiRED. 'ria CHANGES WiLL oE ALLC`rYED LNCE Bi.liL€2{i!G PEr'i(UIlT !S !$SUED.
To Be Used For: Q 6c-'l Valuation: 50~ Date:
Site Address 3$9 WErT aa ~1 tNe,
FFI E USE ONLY
Lot ~ Block ~ FEES
Occupancy Bldg Permit
Parcel/Sub Wfs4~&.nV ia sf Zoning Surcharge
Actual Const Plan Review
Owner ~ Mu1.K6 Allowable License Fee
# of stories SAC, City
Address P Length SAC, MWCC
Depth Water Conn.
City/Zip 1= SS 13 S.F. Total Water Meter
Footprint S.F. Acct. Deposit
Phone S/W Permd
On-site sewage. S/W Surcharge
Coritractor On-site well Treatment PI.
MWCC System Road Unit
Address Ciry water Park Ded.
- PRV ~ Trail Ded.
City/zp Booster Pump Copies
SUBTOTAL
Phone License APPROVALS PenaRy
Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr. . Processing time
for sewer/ ater per ays once area as een approve .
agrees tliat all work shail be done in accordance with
~ ig tu o ermittee
all plicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
. .
PEwMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address•
STREET STE M
Tenant Name:
L0T J~? BLOCK ~ SUBD. 'p P.I.D. !
(,~J i- H2aU1'I' o/J
Descri tion of work: V-)~cC-
The applicant is: ? Owner ? Contractor 0 Other coesortbe>
Name Phone
Property LAST ??RST
Owner qddress
STREET STE !
City State Zip
Company Phone
C011t1'BCtOf Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has een approved.
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.
Signature of Applicant:
urri%;t uat urvLY
BUILDING PERMIT TYPE , . . . 01 Faundation ? 05 Apt. Bldg ? 09 Basement Finish 0 13 Public Fac.
fl 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool ? 14 Agricultural
? 03 Two family ? 07 Fireplace O 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. 08 Deck O 12 Comm./Ind.
WORK TYPE
~ 31 New ? 34 Repair ? 37 Demolish
32 Addition ? 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move _
GENERAL INFORMATION
Const. (Actual Basement sq. ft. MWCC System
(Allowable; lst F1. sq. ft. City Mater
UBC Occupancy j~E-?, 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length T On-site well Census Code 3cl
Depth On-site sewage SAC Code
APPROVALS .
Planning Building ~ !&.qZDS Assessments
Engineering Variance
REQUIRED INSPECTIONS .
? Site fi7 Footing ? Framing O Insulation
? Wallboard fil Final ? Draintile ? Fireplace
Permit Fee 25 wi,,,tia„ s
Surcharge ,56
Plan Review
License
MWCC SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Capies
Other
Total:
,
sac x
SAC Units -
.
. . , • ~
c~
S 50' 17' 33" E NORTH
71.05 ~ ' • un w1lwlnr N - - /
rI S
.I LOT 13 I SCALE: Ir=30'
I~p- c~ ~
= w
,
o'~ ~ '2 ~ ~ `
L-4T pm pN L::T
N /HOJSE I 0 tJ' :4 . .
• ~ 'I
Z
•I Y I
I ~ 1
c. i I
t •
~ 1731 65.90
~ VYESTBURY `E
_ -
PROPERTY DESCRIPTIQN
LOT~., 9LOCK-4.., . _ , .
T v .E!8-$1JW1TI0N- . -
.
aeordinQ to ths rocordsd piat thsreaf
DAKOTA eauoy,Minnesota
LEGEkQ
o DENOTES IRON MQNUtAEHT i'ROPUSED GARAGE FLOOR ELEVATiON= /ov.oo
c PENOTES WOOD FNa SET F'ROPOSED FIRST FLOOR ELEVATION = o~ S_
Dc,NOTES'EXISTIN(i SPOT PMPOSED8N5F-MEMT FLOQR
0.EVATION E LE VATI ON
QENOTES PROFOSEA SPOT
" ELEVATION NOTE. VERIFY ALL FLOOR F1E16NTS WITH
DENOTES QRAiMAGE DIRECTION FINAL HOUSE PIANS
I?MrWjt certifp tAat thit turwy,Pion or
repart Mo pteparsd bY nK or under my w~nton, Mn. Req.No.15235
direef fup~rvldan end thot i om a duly grodleY JY~
Reqlstered Land SurvRror undot the
Dote
~ inr. otfhe Stat* ot Mtnneeota. _
. ~**********i****#*#**f~****#*f*+***~
, . . CITY OF EAGAi~ * °F~
* APPROVAL OF PERIYIIT.
~ APPLICATION FOR PERMIT *
* INSPF7CTION oF SENIER ArID/OR M'CER '
TniCTnT7.ATTONS WIIS. P](YP BE $(]IID-
SEWER AND/OR WATER CONNECTION »um Umm PE[;51IT HAS Bm
* a?2PxovFn.
µ
, Please Print ~
1) PROPERTY ADDRESS: Jg" C?'0 ~
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parce ID )
IF EMSTING SIRL'C!S]RE, DATE OF ORIGINAL BL~ILDIM pEE2MIT ISSL'ANCE: -
~
PRFSENP ZONING/PROPOSID C'SE: (hbn Year
~ CO?,1Mt2CIAL/REPAIL/OFFICE ~ R-1 SINGLE FAhffLY
Q IMC'STRIAL ~ R-2 DL'PLEX (Two Units)
n INSTI'IL'TIONAL/GOVII2NMENr ~ R-3 TOWMOC~SE (Three + Units) ( C~nits)
. ~ R-4 APARTNMT/COAIDOMif]IUM ( Units)
z)
NAME: _
• ADDRESS: .
CZTY. STATE, ZIP:
PHONE:
3) • u r ~ME, ~ For City Use .
Plurbers License:
a,DDRE'ss: ~ a Y /J P,ctive
-L ~ FScpired
i CITY, STATE, ZIP:_f'j,~. _•o /lJ,~ 5~~`~ S~S~ IVot recorded
PHONE: Q' 2 y o i o G MASTER LZCENSE# 56 e ni c Stay -InItial
; 4) • • • ~ i~•
NAME:
ADDRFSS: . .
CITY, STATE, ZIP:
PHONE: .
WPM
5) v , ~ a• • : o •
wivM=oN zv ciTsr sEWM ~ corsmcriorr zv ciTr waTER ? arfM .
6) ~ v r 1S71 PZ.EASE HOLD APPROVFD PERMIT EC1R PICK-UP BY ONE OF ABOVE
~ PLEASE MAIL APPROVID PIItMIT TO 1, 2, 3. 4. ABOVE :
~ (Circle one) '
7) c u• • ~7 I/ - l -
'•ti: ~ w ~ • r ~a i:~• . n r~~' i • a~ r
• r. • r. ~ : o- ~•r. •,nar ~ ~ i a- • a u.' .
. FOR CITY USE ONLY ~ - PERMIT # ISSDED
7aG e /
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLDE SURCHARGE)
$ $ /D S d WATER PERMIT ( ILVCLLDE SL'RCHARGE)
I3` $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCO[!NT DEPOSIT - WATER
$ ~~ii G • v-z, $ WAC
$ $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ o-ci $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S $ TOTAL
/ve `7/ Co/D 5
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q 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 eONDITIONS:
APPROVED BY:
TITLE:
DATE:
/ CITY USE ONLY
L BL ~ RECEIPT#:
SUBD. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Fioor Drain 3.00 x =
Gas Piping Oudet ' minimum - t • 3.00 x =
Rough Openings 1.50 x =
Water Softener 'tor dwellings under construction 5.00 x =
Water Softener ' for existinp dwelling 20.00 x
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for exiating dwelling 20.00 =
Alterations ' to existing residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' oak cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'a.nandonmenc 20.00 =
STATE SURCHARGE .50
TOTAL a~
I hereby atlmawledge that I have read this application, sfete that the iniortnetfon is cortect, antl agree to comply wRh all applica6le City
of Eagan ordinences. It is the applicarH's responsibility to notify ihe property owner that the City of Eagan assumas no liability for any
damages caused by tlie City durinp ils nortnel operational and maiMenance ad'nitias to the fadlities consWUed underthis partnit within
City propertylright-of-wayleasement.
SITE ADDRESS: J b ~Kr r
OWNER NAME: S '
INSTALLER NAME: or d.4. Sr~,-?~ c E? S TELEPHONE
STREET ADDRESS: 2 c- 1• 02-
CITY: rL ~n s o . IIC~ STATE: <-ZIR:-
l `
SIGNATURE OF PERM EE
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