3908 Westbury Dr
CITY OF EAGAN slWER SERVICE PERMIT
3830 °ilot Knob Road 74) 5
P. O. Box 21'199 PERMIT NO.:
Eagan, MN 551~~ pA~; `~-I•~ ~.5 17
~np; No. of Units:
Ownar: . osep i er
Addreas:
Stte /tiddross: eBt urv rfve L16 P4 'est 7ury st
Plumber. "Ivmouth hr. l:lq
4- 16- c
425.00 pd
1o/eN te @No* ?vieh eMe Wey oi tye¦ Connectlon Chorpe:
OrAMnew. Aoooi~+t DeDoWt:
Prmnit F10.00
Surcha?ge:
gy Miac. Charp.s:
Dote of Irop.: Totol:
Inap.: Date Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Koab Road pERMIT NO.:
P. Q. Box 21199 DATE:
Esgsn, MN 55121 Zoninfl: No. of U~m
;r-• 'il?er i
Ownsr. - •.5
Nddro3S: , - ;h~:Y-.; ;•r1vC: ;.,1; tf-+ `r:Rf3t.r.. 1S~
51h Addrcaa:
Plumber. Con nection Char9s: 500 . 07 ud ~
Mater No. pe~t:
Siu:
Reoder No.: U.3 l~'1 Perm{t Fee:
1 Mme to eamof wub as of amps Surcharpe:
Mlu. Choroes:
By ~3 - i,i' nci rnete•
04 Total:
pc" Paid: ;
Dote Insp.: 'l Imp.: '
L_
3830 Pilot Knob Ro d! P.O. Box 2G-A1 9, Eagan, MN 55121 N2 13240
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedtor 3-Sr:A POftCH Est.Value $3,500 Date FEBxUARY 19 19 87
SiteAddress 3908 WE`iTB[JRY DR Erect ~ Occupancy
Lot1 6-Block 4 SeclSub. qF,;'1'F3(JRY LST Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Name ~Ilc:lu.EL & JEAN 4•o'?NTER Move ? Length
W Oemolish ? De th
a Address S~lE Int. impr. ? Sq Ft
City Phone 4 5 2- 9 3 98 Install ?
o Name TUDD TI+lKLEBERG Approvals Fe"
nddress Bnx 2 Assessment Permit $ 51. 5 0
cc c;ty :~rpOi) S'i'O~~ne 777-0741 Water 8~ Sew. Surcharge Z. UO
~ Q Police Plan Review
F W Name Fire SAC
Address Eng. Water Conn.
U Z
i W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of Permittee Var. Date Copies Total ~ ~
A Building Permit is issued to: *Pf)I)U T I:1 KLEBERr on the express condition that
all work shall be done in accordance with all applipable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial '
~
PumN No. Pmmit Holder Dafe TNephoneN
Plumbinq
H.V.A.C.
Elecfrle
SoltsnK
Inspecllon Date Insp. Commsnq
Foptinys 1 p
6
Footinys 11
Foundsdon
Frsminq j Z4~,e
RootMnp
RouQh Pibp.
Rouyh Htp.
Irnul. v .92
Ffr*"plsee
Final Mty.
Flnal Plbp.
eft. FwnW y~ a Tu~sT .+~vr~s
ceri. oee.
Deck Fty.
Doek Frmy.
WNI
Pr. Dlsp.
Reosipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN '
Fu
Fi/l in numbered spaces S/C
Type or Prrnr /egibly Tat.
1. Date 2. Installation Cost
3. Job Address Lot~lk.~ rac
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Wark Description: New O Add ? Alter O Repair 0
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
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 ! agree to
comply with all ordinances and codes governing this type of work.
Signed : far
Rough Final
Inspections: Date Insp. Date tnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7140122-f
CONTRACT PRICE~ • r. PHONE: 454-8100
Site Address ~ • gLpG, NpE WORK DESCRIPTION
Lot~ BI ge~/ ub
,-~~i<.;. T y~- Res. ? New
~ [ ~?Z~` ~.jc Mult Add-on
~
Name
Address ~ ~ ~ • Comm. Repair
c City Phone Other
fts.i'r/r ? 5t FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHM1n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ~ y M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
'
$!C: SIGNA~Uftf OF PERMITTEE
~.TOTAL•
' FOR: CITY OF EAGAN
_ . - . _ . _ _ _ . .
Raaipt ' MEGHANICAL PERMIT Psrmit No.
, CITY OF EACAN
Fw
fill in numberod apaces S/C
Type or Print /QgiblY Tot
1. Date 2. Irtstallation Cost
3. Job Address ' ILot Blk. Tract 4. Ownor
~
5. Contractor r + phqqe
6. Address t
7. CitY 9aoe ' Zip ,
8. Building Type: Residential Q Commercial ? Inst' itutional ?
9. Work Oesaiption: New D Ail 0 Alter ? Repair ?
10. Dssaibe Fuel TYP1e
11. Njo Eodm= BTU - M16. No. EQUioment CFM
Foroed Air - Air Handling:
Mf9• - ~ . . ,
Boi lers
Mfg. - Mech. Exhaust
Unit Heater
Mfg. : Other
Air Cond.
Mfg.
Gas, Piping Outlats
12. I hereby certify that the above information is true and c;orrect, and I agree to
comply with alt ordinanaes and codes governing this type of work.
Signed : ' for
Rouph Final
Inspections: Date Insp. Date Insp.
this is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
REACTIVATED FOR DECK
GENE WINTER - 835-9250 C1TY OF EAGAN ~ ~Q Q?~
3830 Pilot Knob Road, P.O. Box 21•199, Eagsn, MN 55121
PHaNE: 454-8100
sU1LDING PERMIT aeceia #
,
To MUwd ier Est. Volue Dcte ' t 19
Eroct Occupancy- -
5it@ Addrea
Lot Block - ' Sec/Su6. Remodel ? Zoning
Pa?cel No. Repair ? T`ype of Const.
Eniarpe ? No. Stories
~ r. : Move ? Length ,
W Na^a J. 51 Demolish ? Depth
~ Addmss Grade ? Sq. Ft.
City Phone Install ?
~ ams AVMeYals Eets
N
Addrm Assessment Pe?mit
~
City Phone Woter b Sew. 5urthcrp! ~
Poifu Plan Review
~W Neme Fih S11C
,
x~ Addross Enq. Wofar Conn. ~
~ W City Phone Picnrw Woter Meter
Council Rood Unit - ' ~
1 F+ereby ocknowledye thot 1 haw rood this opplicotion ond stota fhat Bidg. Off. t,~ " •
fhs inlormotion is carcect ond oqree to comply with oll opplicabl• APC Total Statt oE Minrnsoto Statutes and City of Eoqan Ordinonu~.
Var. Data
Sipnatun ai Penniftae _
A Buildinq Permit Is issued ro: on tM eftpe+oa Cordidon thot
dl work shall be dane in oooordonee with all applimblo Stoft. of Minnesota Sfotutes ond Cih of Eopon Ordirances.
8uildinp Officid
- Pa mk No. Pwmf! Holdw Dsw TN=hone S
Plumbinq
H.V.A.C. Y-h 6I Lt ltS
EUeMa
Sohww
Inspection DaM Inep. OthK
FootinR
Foundation
Framinq 1-pS'
Roofing
Rouyh Plbp.
Rouph HVAC ~
Inwlation
Firtd Pibq. 1W
Finsl HVAC
ck 3-r6=fl~ 0. A. No 0.14
.f...~~ Final • .
gz-
cwvom t
Water Doraibe Locstion:
YYell
Sawar
Pr. Dibwp.
CITY OF EAGAN Remarks 1/ )>'~~~Q-~
Addition WESTBURY FIRST ADDITION Lot 16 elk 4 Parcel 10 R36,ri0 ifiA 94
Owner Street 3~Q~;r•~e8~r~.e- 5tate F.g~n. MN S 51 73
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, WI, 1986 2$ eZ SSO, 00 014,13
/ -
STREET RESTOR.
GRADING
Water area 1986 133.79 133. / ~ / - -Eff
SAN SEW TRUNK
, r ~
~ SEWERLATERAL 1986 500$.73 1001.75 ~
Watermain ' 5-
1 1-1 9 ' 1986 65,29 4-15 15 WATERMAIN if ~ ? ,i
* WATER LATERAL 1986
WATER AREA '11 -
*Services 1986
STORM SEW TRK 1986 142.05 5
~ STORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. it
6UILDING PER.
10099
SAC
PARK
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
: If: y n(r . .
PERMIT SUBTYPE: TYPE OF INORK:
INSPECTION .
F
L
~
SEWER/ Permit Holder Oate Telephorte #
I
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS .
FOUND
FRAMING
ROOFING
ROUGH I
PLUMBING I
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG I
FINAL HTG I
ORSAT I
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION I
METER
FLUSH ~
MAINS
CONDUCTIVITY I
TEST
HYDROSTATIC I
TEST I
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
~ CITY OP EAGAN r~° 10 0 9 9
3830 Pilot Krwb Road, P.O. Box 21•199, Eagan, MN 55121
PNONE: 4548100 j~
BUILDING PERMIT Receipt #
Te M m~d fer SF DWG/GAR ~ ya~~~ $68,000 pa~~ APRZL 15 ~q 85
SiteAddren 3908 WESTBURY DR ~ Erect ~ Oawpency ~ R3
16 4 WESTB RY 7ST Remodel ? 2oning ul
lot Block /Sub. - p~~r ? Type of Conrt.
Percel No. V
Enlarqa ? No. Storiae
~ JOE MILLER CONST M°"e ? ~°"ecn 40
~ NM^e Oemolish ? Depth
A~~~g CEDAR AVE SO ? ~.Ft. ~8
Citv FARMINGTONphone 431-2001 ~nsta~~ ?
Name S~ME AVMevaM F~q
ndaresa nssessmeor Fam,tr 337.01
u~ Cfty Phone ~Nater E Saw. SurChorye 34 . Si
Police Plan Review~,.Sl
~W Neme Flro SAC 525 _ 01
. Addreas Enp. Woter Conn. ` ~.01
~W CitY Phone Plonner WaterMeter~~01
Coundl Raad Unit ~Rn 01
1 hercby acknowledge tMt t have road fhis ap0lication ond stote tMt Bidg. Off. 3 1$ ~ 5 T. P. 13 2. 01
the inlorrtwtion Is Corrccf and ogree to Gomply wlth oll apPli ~a A~ Total $9 nnn . n~
State ot Minnesofo Statutes a d iry of Eago rdinorxas.
Var. Dete
Sipnaturo os Permitt JOE MIL ER CONST ~
w Buildinp Permir Is issued ro: on ths expros cordirlon ~ho~
ol~ work sholl be done in atcordance with ~I1~oppij,oab _ te of_Minnesota Stmures and Cfty~of Eaqon Ordinonce~.
Bwldirq Of(Idal ~C`/ alCc -
~
CITY OF EAGAN ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N- 13240
~ PHONE: 454-8100 -7C4/7
BUILDING PERMIT Aeceipta
Tobeusedror 3-SEA PORCH EstValue $3,500 Date FEBRUARY 19 1y87
SiteAddress 3908 WESTBURY DR Erect 13 Occupancy
Loc 16 siock 4 secisub. WESTBURY 1ST Ramodel ? zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
w Name MICHAEL & JEAN WINTER Move ? Length
3 Address S~E ~ Demolish ? Depih
° 452-9398 Intlmpc ? Sq.FL
City Phone Install ?
o Name TODD TINKLEBERG Approvais Fees
$ Q address BOX 2 ~ Assessment Permit $ 51. 5 0
~ C;tyWOODSTOCp~~e 777-0741 WaterBSew. Surcharge 2•00
Police Plan Review
F Z Name Fire SAC
¢ i Address Eng. Water Conn.
a W City Phone Planner Water Meter
' Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI.
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and CI of Ea 64di nces. I APC Parks
Var. Date Copies
Signature of Permitlee %;53 . 50
Total
A euildin Permit is issued to, TODD TINKLEBERG
9 on the express condition that
all work shall be done in accordance with all app' a le State of Minne S(atuteg antl Ciry of Eagan Ordinances.
Building Official -F~
, . .
ALL CONTRACTORS MUST SE LICENSED WITH THE CITY OF EAGAN
INCLUDE 12 SETS OF PLANS.
CERTIFICATES OF SURVEY
0 SET OF ENERGY CALCULATIONS
To Be Used For:qyli) 410~- Valuation: ffpi~ Date: ?-I'7-g5
Site Address:S'hR U}'j-fwpa_ &`R''C'OV •
Lot:_& B1ock:~Sect/Sub: Erect: x Occupancy: (z-3
Parcel Remodel: Zoning: 12-I
Repair: Type Of Const:
Owner: Enlarge: # Stories:
Move: Length: 40
Address: Demolish: Depth: 4b
City/Zip Code: Grade: Sq. Ft.:
Phone
Contractor:
gogo
Address: I Q) ~p 01 .Sp. Assessments: Permit:
City/Zip Code: Water/Sewer: Surcharge: ~
Police: Plan Rev.: 1(og.~
Phone t4--31 IM Fire: SAC: 525 aO
Engr.: Water Conn: ~ q~.°-'
Arch./Eng: Planner: Water Meter (v
Council: Road Unit: ~
Address: Bldg. Off.: SI/T/ r: TPL 132-°
City/Zip Code: APCc
Variance:
S-a; vey 'For:
~Joseph M. Miller Conet.
18133 Cedar Avenue Soutih .
Farmington, MN 55024 81/58
DELMAR H. SCHWANZ
LANOSVMVEYOR s, 10(.
RNirtwW UMw Ur, 01 TM Sbt% 01 Mlnn.wU
' 2Y78 - 146TN BTREET W. - BO% M 0086MOUNT, MINNE807A 6608t PNONE 812 4231789
30II SUAVEYOR'8 C[RTIFICATE
Ul g ~.S ~ S ca.12 01 = v0 4 ee-`
P
00 t~ 3c3'422.~ E 69G.v
f ~ w
~ ~ E~ I a n~rz+sco ^ ~r
0
LC\ ~ ~ ~ .w•~.se i ~ ~
oQ
1)8 9 ~
'n
pr~„zb
~ ~ ae%c8 04•~`~ (42. Gfo N 39° 42' 2Z " E 58~.8
0 = Proper[y corner
~ ? _ 9&. .-_19k Set spike
ff~ = Exi.s[ing elevation
.SD = Proposed elevation
Proposed direction of
dralnage,
(597.0= Proposed garage floor eleva[iun
I hereby cer[ify [hat this is a true and correc[ representation of the folloWing
described tract of land:
- Lot 16, Block 4, SiESTBURY FIRST ADDITION, according [o the recorded plat thereuf,
Dako[n County, Minnesota. ,
Also showing [he location of a proposed house as staked [hereon [his 29th
day of Jan. , 19 85 .
House plan no. R3267, Kingsman, Elevation B
Houae not centered to allow for utility eervices to be a few fnortherly of driveway.
,
,
- -
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 8 U T I.. fl T N G
£agan, Minnesota 55122-1897 0 3 11; 5
(651)• 681-4675 Date Issued: 11 ! 2 7! 9 8
SITE ADDRESS:
3908 WFS76URY DR
LGTo 16 I3LqCK: 4
WESTP,URY 15T
P,S.N<: 10--53650-160--04
DESCRIPTION:
0
T.O. & RFRUDF
y~ldirli7 ?}zermit Type STORM RAMAGE
By~ildinp W0rz.Type I?EPAZ13
/C8#'isus Code ~ ~34 ALT. t7ESIUEN'flAl
r,, r1
.
1 r
t?'~ ' b . . . .
1~\4,?~l _,..L
rP,.
i r t
REMARKS:
FEE SUMMARY:
CONTRACTOR: flop].i.canr - sr. L zc. OWNER:
701"AL MOME MNSNTENAMCE 1429652£3 28103096 WILLIAMS DIIKE
6155 337TH STREFT 39e8 WES7"BWRY DR
S7ACY MN 56079 EAGAN MN 55122
(612) 429-61528 (651)681-0111.
I hereby ackrruwledge that I have read this applicati,on and st.ate that the
intai^maGioh i5 Correet and aqree to aomply with a11 apolbcable State o7' Mn.
~ 8tatutes and Citv ot Eaqan Grdinances. ~
APPLICANT/PEFMITEE SIGNA7URE SUED BY: SIG ATUFE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(3AN
3830 PII.OT KNOB RD - 55122
681-4675
New Canstrucbon Raouirements RemodeVReoair Reauirements
? 3 rogistered site surveys ? 2 oopies ot plan .
? 2 copies of plana (inGude beam 8 window saes; poured fid. design; atc.) • 2 aite surveys (exteriar additions 8 decks)
? 1 energy caleulations ? 1 energy ealalations for heated addkions
? 3 mpies of tree presenaGon plan 'rf bt platted after 7/1/93
raquired: _Yes No y~
111.2-e /9,9 CONSTRUCTION COST;
DATE:
~
DESCRIPTION OF WORK: b'~ ~ C ~Q J.~11~~e A
STREETADDRESS: 39 6 S L? ~f-S y~BrJRy ,P/{ .
LOT: BLOCK: SUBD./P.I.D.
Name: 144 ~KE y?.L L~4 -1-'S` m S Phone
PROPERTY La%t Fint
OWNER c
Street Address:
r ,
City fV-6:-,4 1K State: rh T/ . Zip:
Cofipany: /jd IM E M9~s?riE.vC5 rM Rc.A4~Phone g
CONTRACTOR ~ T "V
•i y~V ~n P
, 1~- J 3 ~ I"LIP~ense # c20/O 3 O 9(
Street Address: (~/I s
~ d !
City ~ State: Al Al Zip: /
ARCHITECT/
ENGINEER Company: Phone
Name: Registration tt:
Stteet Address:
CiTy State: Zip:
Sewer & water licensed plumbar (new cxnstruction only): . Penalty applies when address chang
and bt change is requested once permit is issued.
I hereby acknowledge that I have read this application and state thatthe intortna' s copeta~d agree to comply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicank
OFFICE USE ONLY
Il v
Certificates of 5urvey Received ~ Yes _ No NOV 2 51998
Tree Preservation Plan Received _ Yes _ No r Not Requir
OFFICE USE ONLY _
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwelling ? 07 4plex ? 12 Muni RepaidRem. ? 17 Swim Pooi
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Faciliry
? 04 SF Porch ? 09 12-plex O 14 Fireplace O 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 75 Deck
WORK TYPE
? 31 New ? 33 Alterations O 36 Move
? 32 Addition 0 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. R. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Boostar Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Btdg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License '
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
5/W Pertnit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded. .
Other
Copies
Total:
% SAC
SAC Units
. ~ 4 1987 SIII ING ERPffT 2APPLICATI - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLDDE 2 SETS OF PLANS, 3 CBRTIFICAYES OF SOROEY, 1 SST OF ENERGY CALCOL6TIONS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGAATE A$ICH ADDRESS
IS DFSIRfiD. NO CHANGES WILL BE ALLOW6D ONCS BDILDIAG PEAMIT IS ISSQfiD.
MOLTIPLE D4iELLINGS - RFSIDENTIAL RENTAL iR7ITS FOR SALE USITS
INCLUDE 2 SETS OF PLANS, CERTIFICA2E OF SIIRVEY - CHECB WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COiMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
3,500
To Be Used For: fo,?cA Valuation: Date: Q~11,61C7
Site Address 39og G~rirf~uky ,Qriuc. OFFICE USfi ONLY
Lot _ZL Block y On Site Sewage_ Occupancy
M41CC System Zoning
Pareel/Sub On Site Well _ Type of Const
~ i L ~ City Water _ (Actual)
Owner iC//Ac .sn (Allowable)
# of Stories
Address 3q'!}$ fDire4 "O"vi Length
Depth
City/Zip Code Znqq,7 /J9.i ,S.s1'23 S.F. Total
~j Footprint S.F.
Phone 22 qY' APPROY9LS FEFS
Contractor OQ'q' Assessments Permit
Water/Sewer Surcharge 2•
Address ryoy oZ Police Plan Review
Fire SAC, City
City/Zip Code ~17712 Engr SAC, MWCC
Planner Water Conn
Phone 77~-Y77Y~ Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
• Address Copies
TOTAL 3 r'j
City/Zip Code
Phone li
5urv,;sy Vor:
Joseph M. Miller Conet.
18133 Cedar Avenue South
Farmington, MN 55024 81/58
DELMAR H. SCHWANZ
IANDiUIIVEVOR s, lac,
RpfatrW UnAw Lnr$ of The Stab ol Minmwla
' 9W8 - 146TH iTREET W. - BOX M wDfEMOUNT, MINNEiOTA 66088 ?HONE 612 4237789
30 iURYEY011'i C€11TIFtCATE
U,! I S c(3,1e iW~h =dt)o
h a ws~.ro t.ru+`_
o og
I M E I 'S ~ f0• N ~ ~
r ~ 5~ w~ro M ~ N
90! .l ~/.t Ls N000E q / • 1~ O9
I;k
!~1 Y Q 1 .f .
N ~ esF 1 d-
~
- - - - - _ . _
W„/
~~„cb D ' `r
W°~ 90. ~at,GG N 39° 42.% 27" E gBy.a
~ 1vif~
O = Property corner
~ o = -fieE-weed-kenb Set apike
P8~ = Existing elevation
= Proposed elevation
• ~m Proposed direction of
drainage,
' ,D = Proposed garage floor elevati.on
I hereby certify that thia is a true and correct representation of [he following
deecribed tract of land:
Lot 16, Hlock 4. OESTEURY FIRST ADDITION, aceording to t6e recorded plat thereof,
Dako[a County, Hinneeota.
Alro ehowing the location of a propooed houae ae staked thereon this 1 9th
aay of Jan. , 19 85 .
Houae plan no. R3267, Kingeman, Elevation B
Houae not centered to allow for utility services to be a few feet
northerly of driveway.
~
r2'~?t~ %i ~ -f,lr~•~ : i
~ ~
_ MINNESOTA HEG157RATION N0.8625 - '
t ~
~I 1
2/84
Ca ~
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINi)
1) PROP= ApDRESS: 31:?6 8
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2) APPISi?V'T (PLEASE PRf7ii)
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3) PL[.MffiF..4 (PLEASE PAINT) FOfl CITY USE OHLY
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4) OCCUpp,I]T'/Cr,,zLTQZ , NAME (PLEASE PRINI)
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ADDRESS- S4a« i4s '~.11
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5) INDIG+TE i,ti'HICH PERMIT IS BEIIvG RF.OUESTLD:
51 CONNECrION 'IU CITY SaJER
~ CONNEoTION 'Io CITY t+TATER
? C7"iE-I'R (PLPASE DESCFtIBE)
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E~_PLEaSE f?OLD_ APPROVID -PERMLLT FQR PICi:-Uc' BY O.^IE OF 11BCVE
? PIEASE D"~IL APPRWM PER:•lIT 7O 1, 2. 3, 4 AEOVE
(Circle one)
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FOR C I TY U S E ON;,Y
PERMIT ISSUED
~
F°ES: $ zo -SU SSi^iER PE4MT_T (I_`ICL:;D: SU°CH?RGE)
$ /O Su WATER PERI"lIT (INCiiiDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE;vER TAP
$
$ s"~J ACCOUNT D.F,POSIT - GiATER
$ ~ v U. uti WAC
$ Sd S - ~ SAC
$ TRUVK S4ATER ASSESSPQE:IT
$ TRliD1K SE[JER ASSESSMEAIT
$ LATERAL BENEFZT/TRUNK SEi•:ER
$ LATEBAL BENEFIT/TRUNK WATER
$ OTHER •
$ TOTAL
$ ~rG vU Ai".OUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
C~ YES IF YES, THEN A"PERMIT FOR 610RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUBJEET TO THE FOLLOWING CONDITIONS: '
APPROVED SY:
TZ:LE: '
DATE: 2
~i
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RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenfs RemodeVReoair Reouiremenls Offce Use OnN
3 registered site surveys showing sq. ft of lot sq, ft. of hause; and all raoled areas 2 copies of plan Cert of Survey Recd
(20°h maximum lol coverage allowed) 1 set of Energy Calculations for heated additions Tree Pms Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions 8 decks Tree Pres Not Reqd
i set of Eneqy Calculatlons Adddion - indicate i/on-sRe sepfk system _ On-site SepGc System
3 copies of Trce Preservaban Plan if lot pWtted after 7/1l93
Rim Joist DetaJ Optlons selectlon sheel (hldgs with 3 or less unifs
Date ~C~/ Coostruction Cost ?uX g() D . v ~7 ~
Site Address I f x-1~ UnidSte 1!
l
Description of Work
Multi-Family Bldg _ Y~ N Fireptace(s) _ 0\. 1 _ 2
Property Owner ~i I I ,\^3'elephone # (Io
Contractor ~+h
Address ` City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VentilaUon Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope Calwlations Submitted
Licensed Plumber Telephone )
Mechanical Contractor~l !1f'C I Telephone )
J
Sewer/WaterContractor, Telephone#( )
B
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Applicant's Printed Name ApplicanYs Signature
' OFFICE USE ONLY
Sub Types
O 01 Foundatlon ? 07 05-plex ? 13 16-plex [3 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ' ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex PI6g_Y M_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
?!1- 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg) • Give PCA handout to applicant
Valuation ' ~ Occupancy MC/ES System
Census Cod ~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new hldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) ~ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas TeSts _ Final .
_ Framing _ Siding Stucco Srone
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ InsulaHon _ Retaining Wall
Approved ByBuilding Inspector
-
Base Fee
Surcharge
Plan Review p`
MGES SAC (/~l •v
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
For Office Use
I
Permit#(} Eapil ,�6/3/
City Ul �s
Permit Fee /0
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspectionsacityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION ��ss^^
Date: 1 d -1e-/ '�' Site Address: "3 leo 8' W f 8G�K ®Zi d C Unit# Sia A-iSe
1 .M m... - // ,, (/C ,rte ..
1.--
Name: �/��(N�GL/ � ....,,, .. ,.p.,. Phone: �� " 7 OT
Resident!
Owner Address/City/Zip: 3%ca 't 'c 71-ice/ItIV Pry.
Applicant is: Owner ?CContractor •
Type OT
escription of work: 7 d £t
work
Construction Cost: S4420 Multi-Family Building (Yes /No ( )
e
I Company:S'/ 7 L't eio''''-ST-A .>rp7v-J L L.C. Contact:ear19.Afitii6 ' 4/4 -r &Plat —
ContractorAddress: 7'' 4 L4 ,4 . '7 Svc St/o 2 City: /S a-1 ioi,-,wk-
State/Ale Zip:$2r3e7 6 Phone&llZ-X12--1/mail: ot-r4-1-s . -(i ' - cyt
s License#: 6CgS7 2 31 Lead Certificate#: '
1
If the project is exempt from lead certification, please explain why: li
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?
I
I Yes No If yes, date and address of master plan:
1 Licensed Plumber: Phone:
t
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE.Plans and supporting documents that you submit are considered to be public information. 'Portions of the w" r
information may be classified as non-public if you provide specific 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.cityofeagan.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.gopherstateonecall.orq
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.
x A444)*‘'N( 5^it)<'") xj(;1-------------------
Applicant's
j -_
Applicant's Printed Name Applicant's Signature
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