3897 Westbury DrCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA102178
Date Issued: 11/22/2011
Permit Category: ePermit
Site Address: 3897 Westbury Dr
Lot: 004 Block: 001 Addition: Westbury 1st
PID: 10-83650-01-040
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Alex Barna
PO Box 188
Cedar, MN 55011
763 444 0292
Fee Summary:
PL - Permit Fee (miscellaneous) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total:
$55.00
Contractor:
Sowada and Barna Plumbing
PO Box 188
Cedar MN 55011
(763) 444-0292
- Applicant -
Owner:
Randy L Gehling
3897 Westbury Dr
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
Clly of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675,
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use c,
Permit #: —1 2 c
Permit Fee: t j
Date Received:
Staff:
Q 2010:MECHANICAL
�,!PERMIT APPLICATION
Date: th•29" Site Address: 3q7 ��Sk Lt_
Tenant: Suite #:
RESIDENT / OWNER
Name: Cliti 11 (1 6 Phone: 49! 4- 0&,9 7
Address/City/Zip: Fell inN S Ya3- 3091 West-ifite D
CONTRACTOR
Name: THE SNELLING COMPANY, INC. License #:
Address: 1400 CONCORDIA City
S I. PAUL, MN 55104
State: Zi651-646-7381 Phone:
Contact: Email
TYPE OF WORK
New >( Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
yy' RESIDENTIAL
K Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Other
Under / Above ground Tank (_ Install /_ Remove)
_
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ dal...,
TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010$11,010 Permit
_ $ TOTAL FEE
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be' corfi nforma
Eagan; that I understand this is not permit, but only an application for a permit, and work is not to start
with e approved plan in t e case 4f work which requires a review and approval of plans.
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
x
with the ordin >- - nd codes of the City of
rk will bei . ccbrdance
Applicant's Signature
Reviewed By: Date:
Rough In Air Test _Gas Service Test; In floor Heat Final
_ Exterior HVAC Screening Inspection
• , ~ ~ 1
PERMFT CITY OF EAGAN FEE
. / MECHANICAL PERMIT _ 1,
RECEIPT 454-8100 S/C .
Lr ` j MINIMUM RESIDENTIAL FEE - $10.00 + Z•50 TOTAL
~ DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
~ 1. Bldg. Type: Res L_, Comm Inst 2. New v Add Alt{ r Repair
~ 3. Total Bid Price 4. Job Address F?`
Lot PIpck ~ Sec 5. Owner "`Ac le 1 l 1• ~ ~ ' ~ ~ r ~ ~ ~
6. Contractor'-4-'- ~ t t i C , • ~ ~ j` ~
(Name) (Streeq (Ciry) (Zlp)
7. Contractor Phone # t~ < . - j= '
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Eachadditiona16,000 BTU's or fraction - $6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR CON
T41R PIPINC PROCESSED PIPING AIR HAND. EQUIP. G.
~ ~ RES. (~~S PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
I,~~Ca ~i'r._i 1' E (_~r S 1.~ " '
COMM./IND. RATE - 1% OF4OTAL BID PRICE PWS J50 ST/?JE SURCHAR~E FOR EACH S1,000 OF FEE.
Signed: - for
~ Approved Inspections: Date Rough Insp. Date Fjnal Insp.
~ r•
:
:
PERMIT #
PLUMBING PERMIT RECEIPT # '
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE '
CONTRACT PRICE fC Q.- PHONE: 454-8100
5ite Address-? P 2 7 BLDG. TYPE WORK DESCRIPTION
Lot.LA~ Block 2 ~ Secl8ub
Res. New
,
~ Name Mutt Add-on
m "
~c Address~` Comm. Repair
hone. ~3 c P ~ Other
NO. FIXTURES TOTAL
Name Water Closet -$3.00 =
3 Addreqn1 r 9 '7 Bath Tubs - $3.00
p Ciry ,J Phone Lavatory -$3.00
%Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 19'o OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$lO.OQ Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 yyater Heater -$1.50
STATE SURCHARGE PER PERMIT - Whiripool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) / < Softener - $5.00
Well - $10.00
Private Disp. - $10.00
~ , - Rough Openings - $1.50
SlGNATURE OF RMITTEE FEE \
~l~
! STATE S/C: rFOR CITY OF EAGAN GRAND TOTAL•
2- ! ArE. ~0'Z DEC[C 4/30/87 CITY OF EAGAN 11684
SLY .452--9675(H) SWW~~T~nob Rosd, P.O. Box 21-199, Eagan, MN 55121 1J . , .
PHONE: 454-8100
• BUILDING PERMIT Receipt M
To be uaedfor SF lli'JG/GAR Est Value $G7? UQU Date MARCH 25 , 19 1-6
Site Address 3$97 iti'L'STHGRY DR Erect QK Occupancy K3
Lot Block 1 Secisub. 1vESTDURY LST Remodel ? Zoning
Parcel No. Repair ? Type oi Const
Addition ? No. Staries
W Name `'f '~~pf; t~IILLE~2 COPIST Move 0 Length 5'~
= 16133 CEDAR AVE SO Demolish ? Depth
o Address Int. Impr. ? Sq. Ft Ij-
City 131-2001 Install O
Z o Name Approvab Fees
0¢ Address Assessment Permit $ 334 . 00
~ Ciry Phone Water 8 Sew. Surcharge 33.50
Police Plan Review 167.00
F W Name Fire SAC 575.00
u a Address Eng. Water Conn. 5 0 U. 00
i W Ciry Phone Planner Water Meter 63.50
Council Road Unit 290 • 00
I hereby acknowledge that I have read this application and state that the gldg. Off. 3/21 /8 Tr. PI. 156.00
inTOrmation is correct and agree to comply with all applica6le State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature ot Permittee Var. Date Copies
• Total S 2,119 . U U
A Building Permit is issued to: Jd5F:PFi MIT,LER CONS`L' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Cit}J'of Eagan Ordinances.
Building Official- - 2-
, PsrmN No. PsrmM Holdw DaN Telephor» k
ilumbk,o - 12 V~3--, L y~ ~5 ,
IH.V.A.C. 7,19
IEIOcMc
HORlIIN - . ~
Irupeetlon Da/e Insp. 7c~
Fooeng. I y/9' tu
Foouny. u
Foundadon
Froming - ~j
Roorinp
Rouph Piby -/,D
Rouyh Hfy.
Insul.
Flroplace
Flnal Htq.
Final Plbp. t
Bldp. FNw . " Oeze4
Cert. Oce. - ~
Declc Fty. ~
Deck Frmp. ~ f~& is 404 Wsll c~G (a '
I r. Olsp.
PERMIT #
' , • , PLUMBING PERMIT RECEIPT #
• . CITY OF EAGAN ' 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHWdE: 454-6100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ~ S6~c/Sub
Res. New y Name • K Mult Add-on
~o Address Comm. Repair
c City Phone Other
NO. FIXTURES ~ TOTAL
Name ! Water Closet - $3.00
~
c Address 1 Bath Tubs - $3.00
p City Phone -~-L.avatory - $3.00
~ Shower - $3.00
~
+ Kitchen Sink - $3.00 -
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE r Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE - $10.00 ~Floor Drains - $1.50
MINIMUM - COMM/IND FEE -20•00 ~ Water Heater -$1.50 5
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES I Gas Piping Outlets -$1.50 ~
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
~ Private Disp. - $10.00
~-Rough Openings - $1.50
~
SIGNATURE OF PERMITTEE FEE
STATES/C:
FOR: CITY OF EAGAN GRAND TOTAL• ~J
~ f ,y.,.-• _ - ~;:.o- ~ i'%+~:.'
C I TY O F EAGAN ' 454-8100
DEPT. OF BUILDING INSPECTIONS ~
Correction Notice
Located at.3-Fy/7 4
~I have this day inspected this structure and
; these premises and have found the following
violations of city codes governing same:
<
G7 I
L! ' 7
When corrections have been made, please
call 454-8100 for inspection.
;
Date y"~'b'
Inspectar City of Eagan
DO NOT REMOVE THIS TAG
¦
Permit No. Permit Holdsr Date Telephone it
Plumbing
H.V.A.C.
Electric
Softener
Inspectfon Date Insp. CommBfltS
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. KIZ29
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
~
CITY OF EAGAN Remarks E)) UI ; Si'fi-
Addition WESTBURY FIRST ADDITION Lot 4 Rik 1 parcel 10 83650 040 nl
owner street 3897 Westbury Drive 5tate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1986 2850.00 M2 Od
STREET RESTOR.
GRADING
Water Area 1986 133.79 8.92 1
SAN SEW TRUNK 1
EWERLATERAL 1986 5008.73 I001.7 O
Watermain 1986 4.59 15
WATERMAIN d 1984 68.7 4.5 15 -
ATER LATERAL 1986
WATER AREA O 1984 184.9 12.3 IS
ervices 1986
STORM SEW TRK 1456 ]10.24 142.05 5
TORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PAR K
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: (612) 6$1-4675
S{TE ADDRESS: f 1) i ; 0 0 0 11 1 ; i 1.11 h ~I?PPLICANT:
. i; Y [1ft t~ t i i I I, a„ i t It}
PERMIT SUBTYPE; TYPE OF WORK:
~ . !ij 1+
INSPECTION DA .
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tr f Iel: t i I
'
F-
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~ W ~ W ~ ~ ~ O 31 c o o ~ T o
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m m ~ ~ ~ r$' ~ m S S~ ~ Q m ~ ~ ~ W
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~
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3
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a
CITY OF EAGAN rJo- 14 7 5 9
' 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILD ' PHONE:454•8100 ga~39
BUILDING PERMIT Receipt #
To be usi To be used for BASEMENT Est Value $1 , 500 Date MAR CH 11 ,1988-
Site Addres Site Address 3897 WESTBURY DR OFFICE USE ONLY
Lot 4 Lot 4 Block 1 Sec/Sub. WESTBURY 1ST OnSiteSewege - Occupency
Parcel No.. MWCC System _ Zoning
Parcel No. On Site Weli - lACtuaqConst
i Nan BRUCE T SLY Cirywater - (Allowable) a Name
o Add = PRV Required - # of Stories
Address 3897 WESTBURY DR
Ciy o EAGAN phone 452-9675 BoosterPump - Length .
City
a Depth
O~ Narr o Name S~E S.F.TOtal
~o
Addi i ti Footprint S.F.
~ Ciry ~a Address
~w City Phone APPROVALS FEES
iL Engr./ASSess. Permit 34.00
F= Name Planner Surcharge 1.00
ug Address
Council PlanReview
a w City Phone Bldg. OH. SAC, City
I hereby a Variance SAC. MWCC
informatic I hereby aCknowledge that I have read ihis application and state that the -
MinnesoU information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and Ciry o agan Ordinances. Water Meter
Si nature ~ -
9 Signature of Permittee Road Unit
A Building Pe A euiltling Permit is issued to: BRU_CE T-$1~ Treatment P1
all'work5hall ontheexpressconditionihatallworkshallbedoneinaccordancewithall parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 35.00
Bullding Offic TO7AL
, euilding Official_L1(jU,f'~ A 7x 1 ITrn~, _
~ d -
7986 BDILDING PERMIT APPLICATIOA - CI'fY OF EAGAN
HOTS: ALL COATRACTORS MOST BE LICSRSSD WITH THE CITY OF EAGA9
COMMERCIAL SINGLE F9FIILY DWSLLINGS
INCLUDE 2 SETS OF 9RCHITECTURAL INCLIIDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONSJ
$2,000 LANDSCAPE BOND coo
To Be Used For:lVaeA-)s4tA?/ Valuation: ~<Date: 3 Za~~6
Site Address OFFICE IISS ONLY
Lot Block L Ereet ~ Occupancy
Remodel Zoning 2•I
Parcel/Sub Repair _ Type of Const "SZ
Addition # of Stories
Owne~~~J~~~ ~j-c.~~~-•--i~~~ Move Length 5Z
p Demolish Depth Q-O
Address c.~L~o-z-,~-c~ Int.Impr. , Sq Ft
~
City/Zip Coda Install
Z11-Z-7°-°-----
Phone 7 0~ ZD APPROV6LS FEES
Contraetor ~55 eff,--c.f-i Assessments Permit
Water/Sewer Surcharge 33.g'
Address Police Plan Review ~&7.
Fire SAC 575,
City/Zip Code Engr Water Conn 5~_
Planner Water Meter
Phone Council Road Unit 29O.
Bldg Off 3,41'eGSpTreatment Pl f S(,.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~
City/Zip Code
Phone # ~
~
NOTE: ADD&ESS&S FOR CORAER IATS - CONTEACTOB/HONHDi1NES MOST DFSIGNATE i1HICH
ADDRESS IS DFSIRID. NO CH9NGES WILL BE ALLOiiED ONCE HIIILDING P&RMIT
IS ISSDED.
TRI-LAND C0. gITE PLAN FOR:
SURVEYING JOSEPH MI4.LER
SERVICES CONSTRUCTI ON, INC.
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
wES ~T RY -DRI- V1E'
27.73 t,~„a 60.0
~ 11
Ea.~.,R ~
N
I IS \
,'~,?a: ~ I ,
_-f so scaLE: 1130
: 1?,
q, I
_ OT I 4 Nomo ~
~ y~ y 43' ~ I Iti Cr ?~~+'T
f~ I
3 ~ ~ rov't W
Nh=I \ I ~ MN
9a
a` ~ S~opE \ I M
s z
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4 ~ M
108.65 S55018'42" E "t`i°
PROPERTY DESCRIPTION
LOTA, BLOCK 1 NOrE SfT GARAGF icOOR / Fpo7
WESTBURY FlRST ADDITION "'°°"e ~TNWe~rfgLY vo,NT
icoeR
xeorcinQ to tM rotadad piat ihsreof tr aA1Gbc
DAKOTA cwrey, Minnesaa
LE6END
o pENOTES IRON MONUMENT PROPOSED CARAGE FLOOR ELEVATION = 96.3
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 92..5
„aoo DENOTES EXISTIN(i SPOT PROPOSED BASEMENT FLOOR =
ELEVATION ELEVATION .
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAtNAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEI6HTS WITH
FINAL HOUSE PLANS
t Mr~6y ctrtify that thls svvey,plon or ~
rsporf wqs prepmmd br ms or under my +
dirsct supwisiao cnd Mof I om a duly Bradley J.
enso~, Mn. R~q. No. 15235
~ Reyistersd Lond Surveyor uodsr the
^ Laws oi tha Stats of Mtmesota Dote I 3~n/8c
. • MINGESOTA STATS E:iERCY COpE r.ALCULATI0N5
BASED OV f,tlAPTsR ) GF THE
+ - - • MOULL ;IERGY CODE - 19 EDITLON F2j--
Adup[(un EEfee[iva 1/1/84
)wner Phone q--~a'S25
_ rarP
;ite Address . :ontractor , OS ( ¢i Gll~ • ?hone
3u4lding Classification: Type Al (Single Fa:nily S Duplex) ,x Type A2 {Residential~
(3 stories or ess
(Other) (aver 3 stories)
i"cNERAL INFORMATION
l. Building Perimeter 14-5 ft.
lJall height (ground to eave) f$, ft. '
2
3. t. x 2. (above) gross Hall;grga, Zp(I~i ft:
6ui ioing dimensions (l)/i9,r. GIrnZK~~1k (41) ¦ QZ ft.2 roof S floor area
S. Square Pcot area of rim joist - floor jois: size (2 x/ ) I' `n+1
~ N ? x Perimeter,- Rim joist area _ftz
T ~ 4,
• Doars - Area ~S 3 '
' Thic ness - n. 97actor ~ 04, `
Type of Construct on . Perimeter ft.
Manufacturer
7. 7ota1 door's perimeter ft 8. 4(indows: Manufacturer GSlvt 1"T~ StaLe approved
u factor , 52
TYPE SIZE AR.A (f,.2) !IUMBER OF TOiAL FEET 2
EACH UNITS
g, 7otaY ft.2 Glass
»4 Fireplace area: Width x heiaht ¦ x Ft.2
11. Exposed foundation: Height x Perimeter 1a _ /bZ 'ft,2
']PIPCETION Of TNIS fORM IS R:QUIRED FOR All NE14 COPISTRUCTIOti,- MAJOR REtiOD.LING AR0 BUIIDFNGS BEING
13V.D 4lHERE ENIERGY, OTHER THAY THE MINlMAL CODE ALLO:-IAflCE, IS USED.
12. ~ Frc:ming area • tOX of gross rrall area.
.
13. Gross wall area ZDOfj ft.2
! Nindow area A ft.2 U Nindows U x A~ ~ip.~pG
; Rim foist area A ~l9 ft.2 U rim jo1st • ~b U x A*
' Door area A Z
ft. U door area a .14 U x A¦74
i Fi-~ area A ~Z ft.2 U fireplace -U x A¦~
Exposed foundation A /b Z ft.2 U faundatian ¦ a U x A~ T7
5
; Framing area A 70~ r.,z ft.2 U framing area •,09S U x A~ 9 D
;
; Net wall area A (o ft. U wall II .OA?) U x A=
' (138) TOTAI . . . . . . . . . . U X A = 9~.9~
14. 6rnss wall area x 0.11 {A-1 single famiTy 3 dupiex ¦ aliowable U x A/Code
(13. above)
x 0.23 (A-2 other residential) ~
~ x .23 (Other buildings)
. x .28'(Over 3 stories)
` BTUH Hust be larger th,
A x U~gde. A ¦ 9.9 _7F. 138 above
15. Ceillnq framinq area (Af) equals lOS af ceiling aren ~ or the same as)
iSA. Gross ceiling area ~(L) ~?-~~Wp,Q,L~ st/T (M) . /0 Z7 ft.2 >
~
158 Joisi area (Af) u 10a ceilinq area * fp ft.2
15C. Net Ceiling area (Ac) (]5A - 15H) • RZA ft.2
U ce111ng x A c~ 67,2 x 97,4
= 7C7,3Z
U framing x A f= .OZ-J7 x ~ tj~j • Z. ~j7
ISD. TOTAI U x A
16. Leiling nrea (15A) x 0.026 {A-1 singie family S duplex - code allowaDle U x A .
x 0.033 (A-2 other residential) ,
x 0.06 (other)
BaUH Must be targer than 150 (above)
A 1 A /OZ x(~ (code)= 1fO. 7,0 F (or the same as )
, DZ c0
NOTE: Use U and A values abtained from nps 1, 3 and 4.
~
Y
~ •
a -
a
~
8
z, '
2
1 ,
S ~
~ i
. . ~ - '
u u
tl W)kbn , 1
.1_
17
14 1.
1f w '
tl
1! 11
:a 21
2.
22 t:
23 ~ b t:
24 D
:s Z
r . ; .
=o :i
x:
sa 31
31 ' 31
u u
u 33
u ai
3s ' ii
39 71
~ 31 37
38 31
30 1..-. ILL. AJA I I 1 3e
40 B=F 40
~.'Lk(o WALL -'6t11L~ y~~ V YNLUC W1Ll,ULHI WM
. SHE,4T141 I~U ALUE U VALUE
Iasido air film .68
~
TrALL Ldtarior vall 'K (ttall) U . R .
i
SECTIOh Insulation tqa03
Sheaching 'j.-OG • 0 t3
Siding 7
1 Outslde air Eilm .17
. e rornL z 3,63
Inaide air film .68
STL'? I • Interiar vall I A}$,
SECTIOH Aw sCUd ((V) R' AWW~p, 50(Fracotng) U.R ~
~ Sheathing
~ Slding .(07 •~95'
Outstde air Eilrs l7
J ~
• ` R TOTAL I6,s3
' Inside air ftlm Ra .68
21+ID WALL Intesios wall '
SECTION Insulation (41a11 ~ U . ~
Shea %
, . ' Exterios vall ring
" Extertoe air film R..
B TQTAL
• Intec[or air fLlm R= .68
8IM InsulaCion
JOIST 1h ineh soft vond R=1.88 (Jam U
st)
SheathLng.
t ~
Exterior vall eovering .67
Ex[erior air ftlm R- ,17
~ fl TOTAL ?Cj,4-e,
' Incertor air film R= .68
Inaulactan 11,00
, foundation 1.2$ (Fdn.) U
Extector air Eilm R' .17 .~j'r(P
f A TOTAL 91uck 15/13
\ C~ Y
CEIlnG at'H 'lENT'cD ATTIC SPACE ABOVE
• R :AlL'E lUE
f41IPlG CEIL ING
• 0.61Air film 0.61
Insuiation
' 38 ,lotst .
Ceilinq iCZo
0.61 Air Film . 0.61
42.Qo ?otal a
1
.0'2.3 U ~ A . .d2Z
FL.4T RGOF OR CATHEORAL CEILING
, Va ue R YAIUE
FiL;t4IN6 CEILING ,
` 0.61 Inside air film 0.61
Ceiiinq -
Jaist (stvd
Insulation
Air space
Rocf decking •
, Insulation
L ! 8uilt-up roof 0.17 Outside air fitm 0.17
. Tatal R
, I u
R~
aindow infiltratian .5 cfm/lineal foot af crack •
tesidential daor inffitratian 0.5 cfm/square foot or doar and minimum code requirement
;cn-residential doar infiltra N on 11.0 cfr/lineal faat of crack -
Jb 12" cnncrete 61ock na fnsulation ¦:47•R 2.1 - ,
1b 12" concrete black fnsulated cores - .26 R 3.8 ~
15 12" liglitweiaht block - .32 R3.1 .
1b 12" lightweight block insutated cares s.12 R 8.3
1 single glass - 1.13; with storm xrinQo++ .54
1 dauble glass - .55 .
J cripie glass = .41
311 exterior wails and ceilings must have a vapor barrier (0.10 perm m3x.). '
;aoor barrier must 6e on the inside (heated side) cf wa11.
iapor barrfers of the polyethetene Lhin film have no R value. .
X PERMIT
\ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u 1 L01 N s
Eagan, Minnesota 55123 Permit Num6er: P 20< Z 2
(612) 681-4675 DaYe Issued: 01/g2/9 3
SITE ADDRESS:
3897 wesrauav oa
LOT: 0004 BLpCK- 0001
WEsHuRv isr
P.I.N.e 10-83650-040-01
DESCRIPTION:
Buil.di~nq Perrtii.t T,ype F]:REPLFlCE
BuildingWork T"ype NL'W .
i
~ ~ t' ` r~~^~~ ~ i,%'= • ' ' -,A
.
REMARKS:
RECEIP'I' # 2--Z- Cl I
FEE SUMMARY:
Pase Fee $25.00
S u r' c h+a r 9 E ~5 0
l'otal Fee ~$25.50
CONTRACTOR: - Ac, pt icra n t- OWNER:
ViERECK FSREPLACE SNC 14455620 SLY BRUCE
34 6 5 NW 1407H 41 3857 Wf=STBURV Dft
SHAY.C)FfE MN 55379 EAGHN MIJ 55123
(612) A45-5620 (612)454-9646
T hereby acknowledge that I Iiave rEad this rappi,icatiion dnd state that the
inforinaCZOn is correct and agree to carnp).y with all applicable State uY Mn.
TtLitps and Czty ot Eagan Ordinances.
~ J
r ~R;~ I lh
APPLICANT/PERMITEE SIGNATUFE I S S U E D Y: IGN UR
REnc7IVa7k _ CITY OF EAGAN
PERIQT N 1993 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: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issu2d.
Date a Val ation of work C)~.
Site Address:
STREET SU1TE M
Tenant Name: (commercial only) ~
IAT ~ BIACR SUSD. P.I.D. k
Descri tion of work: • , ls.,,
The applicant is: wner 43~Contractor ? her (Deacribe)
Name Phone Nv
Rrarer#; LbST FICST
Owner Address 3 ~Q 7 )9'/vINIX~
SiREET STE tl
City State /V` kl Zip_S-S I JL 3
Company a. Phone Yc/S-S6a o
Contractor Address License # Exp.
City J2~ ft'-% . State 44 'A ~ Zip '-S737
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 been approved.
I hereby acknowledge that I have read this ap lication and s ate that the i formation is
correct and agree to compl it 11 applicab State of M' nesota Statut and City of
Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging INemq ntt f"ni
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 5F Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tatal Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site 0 Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile Fireplace
Permit Fee v.iuac;on: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
I ~
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNIT3 # OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONASERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
iffA MIAR 3 0 9*
To Be Used For:k~~~~l eo,)5'6aluation: Date: 3LB
Site Address OFFICE USE ONLY
~
Lot L4 Block On site sewage_ Oceupancy
, MWCC system Zoning
Parcel/Sub (~CJ 4~~-~ ~~i f5~ On site well _ Aetual Const
~S l City water _ Allowable
PRV required _ # of stories
Owner
S~C Hooster Pump _ Length
Address ~X Depth
C ? S.F. Total
City/Zip Code Gll ',11n Footprint S.F.
Phone H FIS'a - IQ Co 7 S (,J APPROVALS FEES
Contractor Engr/Assess Permit 3y,
Planner Surcharge eo
Addresa Couneil Plan Review
Bldg. Off. SAC, City
City/Zip Code Varianee SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address Copies
~
City/21p Code TOTAL
Phone #
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD • 55122 ~ .
651-681-4675
New Conshuctlon Reauiremenfs Remodel/Reoalr ReauUements
? 3 regLStered sRe surveys showtng sq. (t. of loi, sq. k. of house 2 copfef of plan
and 4 roofed areas (207, maximum lot coveraae allowed) 1 sef of energy calculallons for heated addMions
? 4 copies of plans (show beam S window sfzes; poured fnd. design; etc.) 1 sXe survey (or extedor addRions a decks
? t aN ot energy calculW{ons
? 3 copies of hee presenafton plan tl IW plaMed after 7/1/93
DATE: 7- 9 -D1 ~ CONSTRUCTION COST: ~ SROd
DESCRIPTION OF WORK: ~A/ ~ _eeQF~i~y~~ o~-•s~ ~~~j~- ~
STREET ADDRESS: 38q 1 W CjS 1Rl^ 12`; .D ?L I\J0
LOT: ~ BLOCK: I SUBD./P.I.D.
Name: 5 L l 13 i2\A CPhone
PROPERTY Last Pirst
OWNER
Street Address: 3~ q, W C-~~ L& ~L`~ Da-
Ciiy E A-G iar'1J State: M rJ Zip: S S~d~3
Company: Phone to ~ 01 -7 0 7-61 5'l
(area code)
CONTRACTOR
Street Address: I )LaLj 1 N I Cut_.LL= ) AN l; .S O License #ao! 69 383 Exp. 3 00
c;ty r2~sv ~ c- ~ L`~ state: ziP: SS 3 37
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sheet Address: Regishation M:
Ci}y State: Zip:
Sewer S water licensed plumber (reauired for new consirucHon oniv):
Penaty appites when address change and lot change Is requested once permB Is issued.
I hereby acknowiedge that I have read this appilcaHon, state thaf fhe intormatlon Is conecf, and agree to comply wRh ail applicabl
~ Stafe of Minnesota Statutes and CHy of Eagan Ordinances.
Signafure of Applicant: a)6-Yv~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
It;, ,
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
~02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
03 1 of _ plex ? 08 6-plex 3 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Dernoliah (Lrteriui) X 42 Reroof
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length - sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee LS. ~S Valuation: $
Surcharge C)
Plan Review
License
MC/ES SAC ~
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. ,
Other -
Copies '
Total:
SAC Units ~
% SAC
~**************#*****#******t**#*#**
%
• • C I TY O F E A A iV *;~,n~ ;°F~
APPROVAL OF PERNIIT.
APPLICATION FOR PERMIT *
* INSPDCrION oF SEWR ANID/OR F7ATER ;
. * INSTATdATIONS WmL NOT BE SCmm-
SEWER AND/OR WATER CONNECTION ~ ~ ~M PERMT HAS BEEN
. _ • . ; aPPROVID. ;
»
~
Please Print) ~
1) PROPERTY ADDRESS: -
LEGAL DESCRIPTION:
41
Lot Block Subdivision or Tax Parcel ID )
I£ EXISTING STRLY.'lURE. DATE OF ORIGINAL BL'ILDING PERMIT ISSC'AN(E: ' -
~
_ (hbn Year i
PRFSENP ZONING/PROPOSID LSE:
C0NP1ERCIAL/RETAIL/0FFICE ~ R-1 SINGLE FAMILY '
~ IAIDL'STRIAL ~ R-2 DOPLEX (2WO Units)
~ ZNSTITL'TIONAL/GOVERNMET1'p ~ R-3 TOWNHOOSE (Three + Units) ( Units)
. p R-4 APART=/CONID(7MINIUM ( Units )
2)
rAME:
. ADDxESS:__
CITY. STATE. ZIP:~~~,z~r'r -7-
PHONE: Y,4/ _ ~cso [
3) i: ~ME. For City Ose
Plisnbers License:
ADDRFSS: Active
ExPired
~ CITY. STATE. ZIP: <-s 19 rt 9' Not recorded
PHONE: g 2 Y_ G S 06 MASTER LI(E[VSE# Sal
4) 9.« • • i~+-
NAME:
ADDRESS: .
CITY. STATE, ZIP:
PHONE: •
5) ~ v ' ~ a• • : n • ~ - ~a
[4 CONNEGTION T0 CITY SEWII2 ~ Cpp]NECI'ION 117 CITY WATEft Q pTiER ' .
6) • r P PLF.RSE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE _
~ PLEASE MAiL APPROVID PERMIT TO 1. 2. 3, 4, AHOVE .
" (Circle one) 7) . ' 7c • r" 'r ~ • ~ ~ • r • ~ • a ia• n r• a~• . • • • a• • ~ ~
' 1:ti 1• : M:1. •.Hd~ 1 /1 :A' • i~ :A• • I M1 .
.FOR CITY USE ONLY ~PERMIT # ISSL'ED
~ -'Tj z
Pd w/Bldg. Permit FEES:
$ $ s 6 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE)
$ ~'3 - S LS $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP $ $ /y;Q CJ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ E7 U (J $ WAC . ,
$ $ sac
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $LATERAL BENEFIT/TRONK WATER
$ ~~7O 'o- a $ WATER TREATMENT PLANT SURCAARGE
• $ $ OTHER:
$ $ TOTAL
7/ 3
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" ML~ST BE ISSLED BY THE ENGINEERING
NO DIVISION, LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
PLUMBING (RESIDENTIAL)
Permit Application ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
Date , 3 0 , 03 - -
Site Address GEHLING, RANDY Unit #
3897 WESTBURY DRIVE
EAGAN, MN 55123 -
(65'I ) 994-0697
Praperty Owner _ Telephone # ( )
Contractor NORgf.OM P.~ING CO,
(612) 827-d033
Address City
State S.
ip Telephone # ( )
The Applicant is _ Owner ~ Conhactor _ Other
Septic System . New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additlonal consultant fees may apply.
Alterations To Existing Dwelling Uni[, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild g, 30.00
_ Lawn irrigation system
_ Water softener ~ Water heater $ 15.00
x replacemant _ additional
so
State Surcharge
~
1
I hereby apply for a Residenrial Plum6ing Pemut and aclmowledge that the informatio _"complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pernilt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Je~ Ndc6avy,
Applicant's Printed Name A#'cant's Signature
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Datee2-~I-l ~C~q`j
Site Address Uni[ tk
Property Owner J~V7/ Telephone #
Contractor
~
Address CitY _
State /(iL-- Zip ~c5 Telephone# *Z)-~5~-0~6~
The Applicant is _ Owner _ Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additianal consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
t/' Water softener _ Water heater $ 15.00
V replacement _ additional
$ 50
State Surc6arge
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the worl: will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is noi ;i
permit, but only an application For permit, and work is not to start without a permit; that the work will be in accordance wiih ihe
approved n in the se of wor ich requires a review and approval of plans.
Ap icant's Printed Name ~ ApplicanYs Signature
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Ibil
Aug. 13. 2019 4:23PM No. 4097 P. 2
, 4
For Office use
i i ; i
Permit#;
E AG N
`,• • ,,
Permit Fee:
AUG uV G1 Dale Received.
3830 PILOT KNOB ROAD EAGAN,MN 65122-1810 4 2019
(651)676-56761 TDD:(651)454-85351 FAX:(651)676-5694 0, Staff: •
bulldintlinsDectionsecityoleaaan.com L q
201, RESIDENTIAL BUILDING PERMIT APPLICATION SS'19
Date: 211S--1 7 Site Address: 3q97 Dr Unit#:
• Name: ,Phone:95Q o(37!e O
Resident!
>L..,...,....Ov;rtelr•• Address i Fay/Zip: 3 S9 e o - •-
�/ D -
}-
Applicant is; ,�.Owner /� contractor D .0— Gk
`type of Work
Description of work:L + r 1i')kf7JY Tr,
Wry'
•
Construction Cost: `S Multi-Family Building:(Yes 1 No )
• Com an ' Lam. / / _12iii ' a ontact:
Contractor Address:.603.35- L S hay / City: 18i
t� �
Stater?Zip:553.55 Phone: .:�7,COYEm•"• /i '' /„` i "ir "!L‘
License#:g____OSS__462911._Lead Certificate#: 147.456
•
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI ' =
In the last 1 • •as the City of Eagan Issued a permit for a similar plan base s A master plan?
Yes No If yes,date an• a•• -•- • --= er plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone: •
Sewer&Water Con - •r: _ Phone:
Fire . •pression Contractor: Phone:
•it:Plans and supporting documents that you submit are considered tope public Information. Portions of the Information may
classified is non-public If you Vitae speeillc reasons that would permit the pi ry to conclude fiat they are/rade aed/eta. .
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email updato on the City's
website et www.cltvofeaaan,condeubacribe,
Exterior work authorized by a building pennil issued in accordance with the Minnesota Stale Building Code must be completed within 180
days of permit Issuance.
GAIL BEFORE YOU DIG. Call Gopher State One Call al(651)464.0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00aherslaieonecaliorQ
I hereby acknowledge Ihat Ibis Information Is complete end-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 permll,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.
1*tishre S ,/ j xsdiu:25/1-, _.
Applicant's Printed Name Applicant's Signature
ti
. .
DO NOT WRITE BELOW THIS LINE �Q -601 1 i'DrSUB TYPES 1
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
7 Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement , Siding Demolish Building*
Addition Move Building __._ Reroof Demolish Interior
T.,Alteration Fire Repair _ Windows Demolish Foundation
_ Replace Repair T Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 2,q ) Occupancy Mt- MCES System
Plan Review Code Edition ,; , )c SAC Units
(25% 100% ) Zoning P20 City Water
Census Code Stories 1 Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) I 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 Drain Tile tkor
Fireplace: Rough In Air Test Final Siding: Stu"dco Lath Stone Lath Brick EFIS
Insulation Windows
-
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
-
Braced Walls Erosion Control
-
Shower Pan Other:
Reviewed By: tI , Building Inspector
RESIDENTIAL FEES
Base Fee
SurchargeD(1P3/11\n
Plan Review
MCES SAC
City SAC 7--) /]
Utility Connection Charge L 5-0/
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694
bu ildincinspectionsacityofeaaan.com
Af\il
For Office Use
Permit #: /.5- 7 -�
Permit Fee: °°`:: O�
REG EI VEI? Date Received: 7-6
SEP 0 6 2019 ! Staff:
2019 RESIDENTIAL BUILDING PERM PPLICATION
Date:((/l0/ )l• Site Address: 5A(97
Unit #:
tesi� en
Owner "
v f
Name: ♦ a • �'g. [ iii
Phone: £7 / 1-71-6Y7 1 ,I
�T �
. __ —
Address / City / Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: 1 t t-4- x 7D i at c_413
Construction Cost: it 01-1-1Y) Multi -Family
/ No )
Building: (Yes
Contractor
Company: fr-04\ 12__,K_ L Y L, Contact: -) Mon
Address: 33 `2 L.a-a-_Q P\V'e--- City: VAJ,SQ
.
State:JZ: J1(JV l I Phone: "✓V 1 'Zell bb it
-C ( Vivi 1 r i o-
License #: (..)1.,c,--TD"\--1,0 Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based
Yes No If yes, date and address of master plan:
A NEW BUILDING
on a master plan?
Licensed Plumber:.
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that theyare 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.com/subscribe.
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.aooherstateonecall.orq
I hereb = - •wledge that this information is complete and accurate; that the work I be rmance with the ordinances and codes of the City of
Eaga ; that I derstand this is not a permit, but only an application for a permit, not to start without a permit; that the work will be in
acco •ante e approved plarf/in the case of work which requires a review a = a• •royal o ans.
x . V
Appli Printed Name
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
e Single Family
Multi
01 of Plex
WORK TYPES
?o New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
Fireplace
Garage
_O Deck
Lower Level
1,3,..-4-19i,td- bt,e
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
J's -b1(4.
# of Units
# of Buildings
Type of Construction ✓9
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
1t�n
olP201.5-
P
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: / Hyl k l7
, 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 '"1' "�' aS
TOTAL
z'(' xi `-i = 33z0 59.,1r-.
Pee )c - L4na; ne? -- 5Ti4i7�
Page 2 of 3
• (A)c-c._,-0(fi2,11 E5e-
TRI-LAND CO.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOSEPH MILLER
CONSTRUCTION, INC.
LOT
3
WESTBURY SDR v
E
27. 73
60.00
SCALE: I'k3d
108.65 S55°18'42" E
PROPERTY DESCRIPTION
LOT , BLOCK._L,
WESTBURY FIRST ADDITION
according to the recorded plat thereof
DAKOTA County, Minnesota
LEGEND
z
NOTE: SET GARAGE Boat / For
A*avv AroorNwesre4LY POINT
aF
6A4.16E F4.004
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159042
Date Issued:11/18/2019
Permit Category:ePermit
Site Address: 3897 Westbury Dr
Lot:004 Block: 001 Addition: Westbury 1st
PID:10-83650-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Randy L Gehling
3897 Westbury Dr
Eagan MN 55123
(952) 237-1860
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170777
Date Issued:07/16/2021
Permit Category:ePermit
Site Address: 3897 Westbury Dr
Lot:004 Block: 001 Addition: Westbury 1st
PID:10-83650-01-040
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Randy L & Wendy M Gehling
3897 Westbury Dr
Saint Paul MN 55123--208
(952) 237-1860
Encompass Builders
17754 Icon Trail
Lakeville MN 55044
(608) 280-1877
Applicant/Permitee: Signature Issued By: Signature