3896 Westbury Dr
CITY OF EAGAN iAc. 10O30
. 3830 Pilot Knob Road, P.O. Box 21•199, Eagsn, MN 55121
PHON E: 454-81 QO ,
eviLoiNG rERMiT R~~ipt ~
Te w wed ier Est. Value ~ Date 1 F
5ite Address Erect D Dccupancy
Remodet 0 Zoning
Lot Blxk Sec/Sub. ?
Parcel No. Repair ? Type of Const.
Enlarge ? No.Stories
Move ? Length
W Name Demolish ? Depth
; Address ~ Grade ? Sq. Ft.
b City Phone ' Install ?
APpeovak Fees
Name . .
t-
S ~ Addresa Assessment Permit I
F City Phone Woter & 5ew. Surchcrqe
G police Plan Review
°C
W Name Fire 5AC
x13 Address Enp. Water Conn.
~ W City Phone Plonner Water AAeter '
Council Rood Unit '
I hereby ocknowtedga that I hove read this app{icntion and stofe that Bldg. Off. ~ Perks
fhe informntion is correct and ogree to tomply with all opplicable APC Total
5tote of Minnesota Stotutes and City of Eagan Ordinonces.
Var. Date
Slflnoture of Permittea ~
Buildin9 Permif is issued to: on tht expross condiNon Iha+
all work shall be done in occordante with all opplicabb State of Minnesota Stotutea ond City of Eapon Ordinantes.
Buildlnp Official
Permit No. Permit Hoidar DoN Talephone #
Plumbihq
H.vr?.c.
C'L
el.caic
Soituwr
Irqpection Data Insp. Other
Footinqt F-2S C~,- ' 1& I1r St~
r o Foundstian Framiny Roofing
Rauqh Pibp.
Rouyh HVAC
Inwlation ~ .
Final Plba
Finsl HVAC
Final s ~ S
CSrt/Ooc.
waur Dascri6a Location:
MWII
Sewer
Pr. Disp.
CITY OF EAGAN r3830 Pilot Knvb Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt~
To be used for ' Est Value Date
Site Address OFFICE USE ONLY
"
Lot Block ~ Sec/Sub. 1:T On Slte Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Weli (actual) Conat
ac Name V•'•. City Water (Allowable)
W ~ PRV Required * of Stories
3 Address
~ City Phone Booster Pump Length
Depth
°Co Name `,+lLL~'( 1NVLr";"r1,1F.1TS C(3 S.F.Total
. •
~ Q Address 'I:'' Footprint S.F.
i-` Ciry Phone t~
APPROVALS FEES
FQ
Engr./Aasess. Permit
F W Name planner Surcharge
~ ~ Address
i W City PhOne Council Plan Review
Bldg. Oft. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC
information is correct and agree to comply with all appliCable Stete of WaterCOnn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A 8uilding Permit is issued to: ' T- Treatment P1
on the express condition that all work shall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official _ TQTAL
Parmlt No. Parmit Holder Date Telsphone *
Plumbing W/b/
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. • _
Rough Htg.
Isul. la !
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
' . i , . . . . .
; . ~ . . PERMIT # ,'--r--
, PWM8ING PERMIT
CITY OF EAGAN RECEIPT # '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PHICE: PHONE: 454-8100
Site M79ss ~"cst BIDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. ly New
Mult. Add-on ~
~ Name ih f- l' 1! r: 1!<'N L- Comm. Repair
~ Address' Other
c Ciry Phone RES. PLBG. ONLY - eOMPLETE THE FOLLOWING:
NO FIXTURES TOTAL
`
Name LIXVle ~571/J~'ivT~ ZWater Closet - $3.00 $
~ Bath Tubs - $3.00
~ Address
~Lavatory - $3.00
p City Phone Shower - $3.00
Kitchen Sink - $3.00
FEES UrinaliBidet - $3.00
COMMIIND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -St 50
MINIMUM - RESIDENTIAL FEE - $12.00 =Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.5Q
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: 'f~G
Receipt MECHANICAI PERMIT Permit No.' f 1 ~
, CITyOr EAGAN
Fee
Fr/I in numbered spaces S/C
TYpe or Piini legibl y
Tot. . v •J::
1. Date 2. Installation Cost ~ ' •
3. Job Address Lot Blk.~/ ~Tract 111G
-Y--- / ' I
4. Owner
GLn Crnn.r„n.r ~ . . .
5. Contractor Phone 6. Address f•.~~~<~~;_, _ _ ~ , i3
f371 t%
7. City State Zip
8. Building 7ype: Residential C1~ Commercial ? Institutional O
9. Work Description: New ff Add ? Alter O Repair ?
10. Describe ~ i-• l " i , ~ - ~`.i Fuel Type
11. No. Eauioment 9TU - M. Ea. No. Ectuipment CFM
~ Forced Air - Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg, /
i Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : _
'for
Rough ~ Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt PLUMBING PERMIT Permit No. '
CITY OF EAGAN
Fee
'-4 fill in numbered spaces S/C
Type or Print /egibly Tat.
1. Date i 2. Installation Cost
3. Job Address Lot : Blk. ~ Tract
-.1
4. Owner
,r ,
5. Contractor Phone
6. Address
r.
7. City. State Zip : -j +
A I
8. Building Type: Residential Q" Commercial ? Institutional ?
9. Work Description: New ~Add O Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: • for Rough f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks e5ze?~y
Addition WESTBURY FIRST ADDITION Lot 14 Blk 4 Parcel 10 ~~50._4.lag 84
Owner Street 3896 Westbury Drive State Eagan, MN 55123
Improvement Date Amount Annual Years 5 Payment Receipt Date
STREETSURF. 1986 2850.00 C010 g2 6-
STREET RESTOR.
GRADING
water area 19$6 133.79 8.92 15
SAN SEW TRUNK 07-15
SEWER LATERAL 1986 5008.73 1001.]5 00$ .73
Watermain 1986 65.29 4.35 1 .2
WATERMAIN 19$4 6$.71 (}.58 15 59• 5
WATER LATERAL 1986
WATER AREA 1984 184.92 12.33 160.28 *Services 1986
STORM SEW TRK 1986 710.24 142.05 5 710.24 STORM SEW LAT 1986
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit • 50664 4 5 85
WATER CONN. 500.00 BUILDING PER. 10039
SAC 525-00
PARK
GEO. SEDGWICK HTG. & AIR COND. CO. ~3( a 6
HOUSE HEATING TEST RECORD
ADDRESS Z . CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. I ST.
SOLD BY ~ INSTALLED BY
Electrical Work By ` Gas Line By ~TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OT R
GAS.DESIGN ~ ~N
MAKE _ r , ~IAKE OF BURNER
Model _Z y G ?9w u~ CG J~ Modei--_'__--_ - -
Serial 51~ 5, a'~ SG Max. BT11 Rating -
INPUT MAKE OF FSIRNAGE'-
CONTROLS ' ~ j • '
THERMOSTAT Heat Plug Vent Size C' pATE
Valve KIND OF LINER SIZE NONE
Limit Draft Hood `-1 =7•~~~in Regulator
LimitSetting Filters 5ize Number
Fan Setting Chimney Location Inside Outside
Pilot Type- Chimney Construction - -
~
Pilot Make
Pilot Model " y Smoke Bomb Wiring Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
,vJ i~ C
Pressure Percent COZ Date Tested '
Input CFH Percent OZ Company Testing
~ r) r Stack Temp. ' ` 'Percent CO ~ Name of Tester - ' - "Form 235
CITY OF EAGAN N0- . 14872
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt # 119 -f) OQ ~
v
To be used for BASEMENT Est. Value $11500 Date APRIL 21, 19 88
Site Address 3896 WESTBURY DRIVE OFFICE USE ONLY
Lot 14 Block 4 SeGSub. ~STBURY 1ST On Slte Sewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (ACtuap Const
a Name KEVIN GLIVA Ciry Water - (Allowable)
w S(~pjE PRV Required # of Stories
3 Address -
~ City PhOnC Booster Pump _ Length
Depth
, o Name VALLEY INVESTMENTS v0 S.F.Total
oa Address 3770 SO LEXINGTON FootprintS.F.
U1- City EAGAN Phone 454-5191 pppROVALS FEES
'-a Engr./nssess. Permit $34.00
wW Name 1.00
~ i Planner Surcharge
Address
~r City Phone Council PlanReview
¢W
a Bldg. Off. SAC, Gity
I hereby acknowled e that I have read this application and slare that Ihe Variance SAC, M WCC
information is cor nd agree to compry ith all applicablq5tate of Waler Conn.
Minnesota Statute an City of Eagan Ortlin es
Water Meter
Signature of PermitrnesotaStatuteS ~~f.{7 Road Unit
A Building Permit is V.Aj,I,,$y~;jiyE$T.~{.~T Trea[ment P1
ontheezpresscon workshallbedoneinaccordan ewithall
applicable State of and City f Eagan Ordinances. Parks
/TOTAL $33~d ~
C «~r~
Building Official r
17 '~V
CITY OF EAGAN N ° 1 0 0 3 9
3830 Pilot Krrob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 4548100 RKelVT tij - O G G y`-
# -T
Ts M mad !e. SF DWG/GAR EI. Value $70,000 pme APRIL 9 1 y 85
SiteAddreas 3896 WESTBURY DR Ereet 91 Ocwpancy R3
Lot 14 B1ock 4 ca.;lsue. WESTBURY i Remodel ? 2oning ul
Repair ? Type of Conat. V
Parcel No. Enlarge ? No. Stories
GRAND OAKS DEVELOPMENT CO Move ? Lenyth 50
~ Name Demoliah ? Depth 4 $
~ Add.as 1881 SUNRISE CT Grade ? Sy. Pt.
5 City EAGAN Phone 452-8934 Instan ?
SAME Avameb Feas
~ Name .0 Q
Z~ Assessment Pemut
o~ qddress u City Phone WaterSSew. Surchorye 35.00
Police Plan Review 171.50
GW Name Firo SqC 525.00
1-UZ, Address Erq. Wahr CAm. 500.00
iW Ciry Phone Plonrrer WoterMeter63-.00
Councll Road Unit9FI() 40
I hereby ackrowledye thaf I Mw read this opplitotion and stote that Bldg. Off. 4$ 8 rJ Xio-]mcT . P. 132.00
tM inlormotion iz Wrrect and ogree fo wmply with oll opplicable APC Total S2 049 _ 50
Stota of Minixsota Stotutet and C/iy, Eegan rdinonces. V.er. Date
Sipnatum of i9IMeJ7(c'e~
A Bundinfl Pormu is +ss~;ed ro: 7 GRAND VAKS,DEi7ELOPMENT CO _m ryhe sxpras cadiNon tMt
oll work shall be done in acoordance wlth a~l(yJy ~ppli~cab~le~ 5 of Minnesota Statutes and City of Eapan Ordinances.
Buildlrq Of/iclol ~
~
a~
~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EACAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: el_ ,5'g5
Site Address: ~ OFFICE USE ONLY
Lot: ~ Block ~ Seet/Sub Erect (Z Occupancy
Remodel _ Zoning R-I
Parcel # Repair Type of Const
Enlarge !1 of Stories
Owner Kv d- ta ~ Le 61i?cl, Move _ Length r~:;o
Demolish _ Depth 4t5
Address Grade Sq Ft
City/Zip Code
" Phone APPROYALS
Contractor C,(ZAN) QA(4S Assessments Permit 31
(~1 Water/Sewer Sureharge 35
Address IY2 3Uyu P/5~ Police Plan Review 1-II.5-°
r- Fire SAC 52,5, °
City/Zip Code A- (5 /-\-./v Engr Water Conn
Planner Water Meter (03.
Phone Council Road Unit ZeD,
Bldg Offl-F-O' Parks
Areh./Engr. APC Treatment P1 132-~
Variance
Address TOTAL
City/Zip Code
Phone ll
`
, SURVEYOR'S. CERTIFICATE ~ GRAND QAKS DEVELOPMENT C0.
' . 274
f
;
.
: .
: , ,
390
4:'' !
.
y L)
i J 0\1~o R~Q Feoo
O
p
0
30
Qv
S ,\~p~ • ~ O a. '~q O \ 1\ ~
/ P Ao.
\A \ Q ~oQ 22 0 o~~s o
? V
ti39o
O~
o
;
.
4i
06, 'so ~O n ~
`30 s
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE fL00R = 919•3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9'7(0.5 _ FEET ,
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9-19.1 FEET
I HEREBY CERTIFY TO 6RAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lot 14, Block 4, WESTBURY FIP,ST ADDITION, according to the recorded y
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT Ta SHOW IMPROdEMENTS,
OR ENCROACHMENTS, IF ANY, THEREON. AS SURUEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 2-7T1+DAY OF r1AO-c-%k , 1985.
- SIGNED: JAN~ R HILL, C.
~i~
BY :
H ROLD C. PETERSON, ~AN~ SURVEYOR
FIINNESOTA LICENSE N0, 12294 '
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85519 pianners / Engineers / Surveyors FILE NO. 8200 Humboldt Aronu* South•
FOL,DER sloomln9ton,urn. 55431 812-884-3029 ,
. ."EXTERIOR ENVELOFE AVERAGE 'U' COMPUTATION
GRAND OAkCS DEVELUFMENT COMPANY
MODEL Q AREA U U X AREA
REQUIRED
1. TOTAL WALL AREA 18vn X.il 198
2. TOTAL ROOF AREA 1196 X.026 31.096
ACHIEVED
AREA U U X AREA
A. WTNDOW AREA 186.66 .5 93.33
B. DOOFt AREA 39. 8 .077 3.0646
C. SI.IDE GLA3S AREA 13.44 .48 6.4512
D. FIFiEPLACE AREA 0 U U
E. WALL FF:pME AREA 180 .041 7.38
F. NET WALL AREA 1164.1 .049 57.0409
G. RTM JOIST AREA 119.52 .0436 5.211G72
H. FOUIVD WINDOW AREA CU U U
I. FOUND ABOVE GRADE 96.48 .135 13. o24E1
3. TOTAL WALL AREA 18OC> 185.5026
J. Sk;YLI'TE u 0 O
K. ROOF FRAME 119.6 .032 3.8272
L. NET FOOF AREA 1076.4 .025 26.91
4. TOTAL ROOF AREA 1196 30.7372
SUM 1 . 229.096
5UM 3.+4. 216.2398
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
_
SINGLE FAMILY DWELLING3 / v ~ ~ ~
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPL£ DWELLINGS RENTAL IJNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECK WIT$ HLDG. DEPT.$
1 SET OF ENERGY CALCULATIDNS
COM41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS
' f}uEl1`lE/ill p
To Be Used For: -//Lf Valtn n : jt9od ` Date:
Site Address ~s9,(, W~S"7~U1~ OFFICE USE ONLY
_ • °
Lot ~ Block ~ site sewage_ Occupancy
WCC system Zoning
Parcel/Sub l.t/ n site well Actual Const
City water Allowable
Owner ~~l//N GL-/I/f} PRV required _ U of stories
Booster Pump _ Length
Address 604--S j $~,e.{~ Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor ~/~'L[~~ ?.~S'TjY~/l1'TS' ~~cL~ssess Permit
' Plafiner Surcharge I, r°
Address ~ 77C~ JCouncil Plan Review
J Bldg. Off. ~4/21 SAC, City
City/Zip Code y~-q-~',~g-e/ Varianee SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address ~ Copies
~ TOTAL
City/Zip Code
Phone #
~
z/aaCITY OF EAGAN
5
05-1
APPLICATION EOR PERA1IT
SEWER AND/OR WATER CONNECTION
- (PLEASE PRINT)
i) PPOD=_ rDDREss: ~fr~ s~ b v r~r ~r fr~ Fcacfs~
r-Fr,"?• D=,7ricN__ L, o~ Q l O c fC f.e~ es ~p c~ ~c,~~
(Iot/Block/Su:dsvisicn or Ta:t Parcel I.D. DI= r)
~ i: S?".~Dai:. O_° Ci2IGi^.i-w c::iILDL`:G '-=;~5'. IS
FJDFCL7T` ~;^~;F;~onOP05~ L'SE: 9 R-1 SI~..:GL:, c?vffLY . ? R-2 DL'PZ~_{ (T,iO L^?ITS)
? R-3 TCi,.-N-ICrjSE (TY?= + L"7ITS) ( QNZ^'s)
? r-4 t`;r:.;c?'_*'TM'~:T/CC_I)Ci•iTIIi,~,1 ( U~iIT_Ji
? CCi-!%L. F'.°.CL:%I,/RE^.".1II./OFF'IC::
? GST?S.'vL
? ~1STI~~TIo-.1'~L/Cr,~^V~DLh~T
2) AF?LIIC=_ jPLEAJE Fft1fil)
r~•~: r n
r.LD2rss: t _3`t/s-)
criY, sTazy, zzP:
PxoNE: _Y ~ 07 /07 I
3) 1?117~IEER - LE"aSE-PFINT) FOR CITY USE O4lY
rrPl:- m v r r
I PLUHBEAS LICE45E:
PDDRESS: Attive
= ciTr, sTaTe, zrn:~~ Expired
Hot of Record
PHONE:^ y 76 f,j -.P.LUYBER_LICENSE.H.-
~7. 1n1Lta
4) OCC'.'?AD1T/('J,'7edEFt NAME: (PLEASE PR1NI)
ADDRESS: e
CI?"l, STATE, ZIP:
PFiC}`1E:
5} m,~pIC= ;,)yZCH PER•fIT IS BEIf:G REQLTESTED;
~ CC.INECfIOV 'ICJ CITY SESv'ER
~ CONZTECi'ICN 'IO CITY I•lATEZ
C] OTIaFR (PLL'ASE D.SCRIBE)
6) P,:DiG~~ C::F.: •
~ PLEaSE f?OID APPP.CVID PERMIT FOR PICiC-L's BY CNE OF r1SCUE
~-PLFiiSE '•:aIL APP??OVID PERMIT 'PJ 1, 2. 1*. 4 Abmt ~
_-(Circle-one)
' 7) SIC~,1LTti: DATE: ~f 3
ffiqoIa+LMw?.e~ara~c~aa~:fa~r~~s~saa+ASS~s~a:aa~f~ls~ s ' . •
FOR C I T Y US E ON;,Y
PER-MIT ISSUED
~
F°r'.S: $ /(-).rU CEEi:^R ?)r?t4T'!` (TNl.:,'oiL SURCitAR.r'iL)
$ JU. SO WATE2 PERPlIT (ILiCL'uDL SURCFiARGG)
$ ~uv WAT°R METER/COPPE4HORN/OUTSZDE READER
$ WATE3 TAP (INCLUDE COR?ORATION STOP)
$ S_E:liER TAD
$ AC^Oli2IT DEPOSIT - L•iA':'ER
$ whC
$ c~ov sac
$ TRUVK fdATER ASScSS::E:<T
$ TRi::7?C SE:1ER aSSESS:4ENT
$ L`n:ERAL SE:vF,FIT/TRUNK SE;':ER
+S LI-iTLRtiL BENEFIT/TP,UNK t•IAT°_R
$ , oCJ • OTvEa .
$ TOT? L
$ AMOL'..T PAID; RECEZYT n Z-1-3 DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN n"PERMIT FOR ;40R:C SVITHIN
PUBLIC ROADWAY" M[)ST BE ISSliED BY TY.E
O ENGINEERING DIVISZON.. LIST AS A CONDI-
TION.
SUESECT TO TfiE FOLLOWI:1G CONDITIONS: •
APPROVED BY: • /
TZ:LE: '
/
DATE : S
wwwM wM M si+RartWwWrw~
SURVEYOR'S'CERTIFICATE ~ GRAND OAKS DEUELOPMENT C0.
' 274
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ry an :Rpp_. o ~ .
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DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: i INCH = 30 FEET
• DENUTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 919-3 FEET
X000.0 DENOTE$ EXISTING.ELEYATION PROPOSED LOWEST FLOOR = 9,74P.5 FEET .
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 919,1 FEET
~ I HEREBY'CERTIFY TO GRAND OAKS DEVELOPMENT'CO"THAT'7HIS IS A TRUE'AND CORRECT
i REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: .
Lot 14, Block 4, WESTBURY FIP.ST ADDITION, according to the recorded '
plat thereof, Dakota County, Minnesota. •
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISIDN.
THIS 27T1+DAY OF r1Aa-cµ, 1985.
SIGNED: JAN~E R HILL, INC. ,
BY:
H ROLD C. PETERSON, LAND SURVEVOR
h1INNESOTA LICENSE N0. 12294 i'b
PROJECT NO. BOOK / PAGE JA1VIE-~S R. .HILL, INC. `
,
85519
Planners / Engtneers./ Surveyor ' • •
FIIE NO. -
~ 8200 }#umboldt Awnw SouEh- ; • • ,
k FOLOER - Skoenington, Mn 56431 aiZ-884-302fl1;is•
• . . $A . - t
'~a
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3896 Westbury Dr
Lot: 14 Block: 4 Addition: Westbury 1st
PID:10- 83650- 140 -04
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Construction Type:
Occupancy:
Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling
finish(i.e. sheetrock) has to be removed to install a smoke detector.
$132.75
$3.00
$135.75
Owner:
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA078222
06/11/2007
ePermit
- Applicant -
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.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3896 Westbury Dr
Lot: 014 Block: 004 Addition: Westbury 1st
PID:10- 83650- 140 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
Contractor:
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
e - Water Heater
New
Water Heater
Meter Size Meter Type
Permit closed
Cherie Pung
1424 3rd St N
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
hout required inspection(s). Letter & correction notice sent to applicant on 1/7/2010. (pf)
- Applicant -
Serial Number Remote Number
Owner:
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA089890
06/24/2009
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3896 Westbury Dr
Lot: 014 Block: 004 Addition: Westbury 1st
PID:10- 83650- 140 -04
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: SEE COMMENTS
Meter Size Meter Type Manufacturer
Fee Summary:
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Comments: 07.29.2009 - contractor mistakenly pulled water heater permit twice for same address. need to reuse this permit number
when they have another plumbing permit to be issued. valid permit # 89890. Bk
Owner:
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Plumbing
EA089935
06/29/2009
ePermit
Line Size
WFGAN WkT VILE PERMIT
, Grurb Road 614
ilt r " lee PERMIT NO
1; r . 55121 DATE: 5
Zoning: No. of Units:
()wee r:
Grand Oaks
Address:
site Add ress: 3896 Westbury Dr. L14 B4 Westbury 1
Plumber: Murr Plumbing
Meter No.: Connection Charge: 500. O0pd
Size: Account Deposit: 15.00pd
Reader No.: Permit Fee. a4 00
t 1 ogres to comply with the City of Eagan Surcharge: .50
Ordinances. Misc. - Chorgest 132 .00pd
Total: 6 3.04pd
gy Date Paid:
Date of Insp.: 4,S7 E lnsp.
r,� . ' 4 . 7
S-3 -85
. " Oa 44). of All*:
°
Tress; / �
Site 3 95 West1ts Dr. Li'4 Westbury 1
- ,' - 'I epee to paaply 4 . Ow ter • Connection % oepe 425.4Qpd
0 , 1 I Aieo�unt D 13.D(?pE1
Irmit Foe:
:',, 7 \ N N .50 ....
By/ Misc.
,. 1. , Tom.
ice.: r ems.
Date:
City of Ea�an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 9
Permit #: /0g O a I l
Permit Fee: a ✓ - ) 6
Date Received:
Staff: G�"i/'t
g.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
14 91 Site Address: �e . W ' 4-
s V�
Unit #:
Name: t D 4 L �, /J Ss.5 Phone: 6. 1/0 5-- ovo 2.C3
Address / City / Zip: 3B ?cP 1,J e - 2tArc�l 7)(` i c1U� , NDN S' I2` j
Applicant is: Owner Contractor
Description of work: S 1/ Doo r
Construction Cost: SOS Multi -Family Building: (Yes / No A )
Company: A/A-Zaf-oc� ,P 1--c r Contact:
1
Address: / a
State: /U Zip: 0 7 -
License #:
City: S k:i)tt 1?0-ek—
Phone: 5 2°1 j 742_1
Lead Certificate #: L. 3 kms" /14-1 O �^
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 supporting documents that yowsubmit are considered to be public infdrmatic
the information may be classified as non-public if you provide specific reasons that would pen
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stat ilding Code must be completed within 180
days offppermit
(n xissuance.
x n
%! fh0Tihofi
Applicant's
Applicant's Prirl Name
gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150541
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 3896 Westbury Dr
Lot:014 Block: 004 Addition: Westbury 1st
PID:10-83650-04-140
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
(612) 205-5367
Advantage Construction Inc
18563 Vermillion St
Wyoming MN 55092
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature
r For Office Use 0
; %�
Permit*:
EAGANPermit Fee:
04
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 �� Iir
Date Received:
(651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694AAStaff: 1242
buildinginsoectionsf�citvofeaaan.corn 13 2020
2020 RESIDENTIAL BUIL RM APPLICATION
Date: 51)3 Site Address: Unit#:
Name:Tini /l1/w n Phone:1,11 Z Z c36 7
:Resident/ ',/
• :' OWner !N
Address/City/Zip: 3,4'(, eslbu y ,dv
Applicant is: Owner ,�Contractor ,J Pb ti.) -E.toLtdE L/
Type of.Work. Description of work: 11 c r ars;t -11-4°
Construction Cost 5125°° Multi-Family Building:(Yes /No )
CompanyS it dared t ti a *,)! Contact/(1?//y
Contractor Address:5337 LA Ili It rid/ Aue dl City: (tecyc /
stateh?i1 Zip:.0-1/2°l Phone:7k?'5?7'VfVEmail:17//LP_-afx4.0/4-o /•/!eP✓1
Ucense#: 1 Cl)/)/SL Z Lead Certificate#:)2,101Z/4/?b'$
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression Contractor. Phone:
NOTE:Plans and supperth g_documents that you submit are considered to be public information. Portions of the In ormatlon may be
cisssifed as`nonpublic Ifyou'provldespeellic reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstatennecali.ccl
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 without a pent that the work will be in
accordInce,• the approved plan In the case of work which requires a review and approval of plans.
A Ii can ' I nate
Applican�rinted Name PP 9
DO NOT WRITE BELOW THIS LINE - U S� 1
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen!Gazebo/Pergola) At 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 Z,000.d Occupancy :RC- I MCES System
Plan Review X Code Edition 3.e26014/RC SAC Units
(25%_100%1) Zoning p.116 City Water
Census Code Stories _ Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction WSWidth
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) 4.- Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour x Drain Tile
—
Fireplace:_Rough in Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
—
Insulation Windows
—
Sheathing Retaining Wall:_Footings,Backfill_Final
—
Sheetrock Radon Control
Fire Wails Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan �/� _ Other.
Reviewed By: I1'�'� (..� T ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161913
Date Issued:06/18/2020
Permit Category:ePermit
Site Address: 3896 Westbury Dr
Lot:014 Block: 004 Addition: Westbury 1st
PID:10-83650-04-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
(612) 702-1249
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161913
Date Issued:06/18/2020
Permit Category:ePermit
Site Address: 3896 Westbury Dr
Lot:014 Block: 004 Addition: Westbury 1st
PID:10-83650-04-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
(612) 702-1249
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162950
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 3896 Westbury Dr
Lot:014 Block: 004 Addition: Westbury 1st
PID:10-83650-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Timothy P Nelson
3896 Westbury Dr
Eagan MN 55123
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature