3914 Westbury DrCity of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
Permit #: /F/SS:�f
Permit Fee:
//7---//
Date Receiv
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
RESIDENT /
OWNER
Name: 4)t-'( t/7 AtC- / `-e. Phone: 7(-2 ) 2V2-'
Address / City / Zip: -j / i'%/e-5714G'-.7-` J
Applicant is: 7= Q ner Contractor
TYPE OF WORK
Description of work: J 4 CQ j 5/ / /Vj94(QC/Gr//`1
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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 they 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.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.
Exterior work agrized,b 'buil E ertj� ue i ccordance with the Minnesota State Building Code must be completed within 180
days of . • ••' , ce. v' �i
iliowi
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
CITY OF EAGAN SWU sBVWA PERMR
3830 Pilot Knob Road
P. fl. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zoninp: No. of Uni
OwrNr: -
/lddress:
Site Address:
Plunber,
1mow !e NPly wtK !V Clyr of fowa C.orriaction Charpe:
OdiMwas. Ataamt DeposM:
Penrit Fee:
Surchoe+pr
By Miu. Uwrpes:
Date of Insp.: Tolnl:
Insp.: DoN PoFd:
~ CITY O', NGAN WATER SERVICE PERMtT
3830 Pi nob Road , .
~I P. O. frbx t1199 PERMIT NO.: , _
; Eagan, MN 55121 DATE:
Zaninp: _ No. of Unlts: "
. VwIwr: T
Addm~
5ft llddrm: r<< i s t
Pluriber.
Mstor No.: ~ ! 3 G / .U_ 0.-7a ,.Rtn e ~~p6A~? g019 ~ ~ : . ~ t t . c :
.
Size: " RAC&C C"• C' 1 S. O0„d
Roa. a.o, ,.ft a. cR[~@ R E
'
i ~ ~ ~7~ O~liNSar~. Mlsc. Chorpe:: 1 1 2 Totcl: -itetr
B Date Paid:
; of Irap.: Intp.•
/I• Z 1• ~S
, CITY OF EAGAN 1127 4 ` 3830 Pilot Knab Road, P.O. Box 21-199, Esgsn, MN 55121
PHONE: 454-8100
BUILDING rERMIT Receipt ~t
Te bo wd 1a Est. Volue Dote ' 19
Site Address Erect ? Occupancy
Remodel ? Zoning ~
Lot Block Sec/Sub.
Parcel No. Repair ? Type of Conat.
Addition ? No. Stories
Move ? Length , t
~ Name Demoiish ? Depth ~ .
~ Address Int Impr. ? Sq. Ft.
City Phone Install ?
Name Approvols Fees
A~~ l~ssessment Permit +
City Phone Woter & Sew. Surcha?ge
Police Plan Review
r
W Name Fire SAC
P~~ A~~ Enp. Weter Conn.
~ Z. City Phone Plonner Water Meter
Council Roed Unit
I hereby ocknowtedge that 1 how reod this opplicotion ond stote that gldg. Off. ~ Tr. PI.
fhe inlormotion is correct ond ogree to comply with oll opplicable AP~
State oi Minr?esofo Stotutes and City of Eo9an Ordinances. Parks
Slgnoture of Permittea Var. Date Copies
tal
A 8uilding Pennit Is Issued to: ~ on the . .
xp?est tondition thoi
all work shall be dora in eccordonce with oll epplicabla 5tate of Minnesota Stotutes and City of Eapon Ordinonces.
Buildinq Offitlol
m
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n n x 3 ~ ~ ~ ~ ~
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+
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;
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Roaipt ~ MECHIWICAL PERMIT Rsrmit No.
CITY OF EAGAN FN ?
+ J r', 1 r I. Ffll in numbered spsces ~ S/C
Type or Print legibly To~ - r
t. Dste ~-,4 2. Installstion Cost
3. Job Address Lot ' Bik. 4 Tract
4. Ownsr
5. Contractor r i : Phone 4; c ~ . e
8. Addrea: n, t ; S:
7. Gty State i- t Td 2ip
8. Building Type: Residential C~ Commercial ? Institutional ?
9. Work Desa'iption: New 0,, Add ? Alter ? fiepair ?
10. Describe ~ r Fuel Type i ._t ~
11. No• Equipmop,L 8TU - M. Ea. No. Equiament CfM
~ Forced Air
Air Handliny:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg, Other
Air Cond.
Mfg.
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.
5igned :
for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
f Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print /egibly
Tot.
_
1. Date " 2. Installation Cost T'~~'~
3. Job Address_ Lot~ _Blk. Tract ~ y
,
4. Owner _
5. Contractor
FT % 114 1 Phone
6. Address
7. City State Zip
~ -
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New JZ7 Add ? Alter O Repair O ,
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 afl ordinance~ d codes governing this type of work.
Signed : ~ - , . ew, for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
vr EAGAN Remarks Z~~~1~'~N~~~-~
Addition WESTBURY FIRST ADDITION Lot 17 Blk 4 Parcel 10 83650 379 04
Owner Street 391.4~;?egt-bur-TDi-io.e_ State F.ag~,n. MN 55123
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1986 2$ O
STREET RESTOR,
GRADING
SAN SEW TRUNK 1985 436.23
29.08 15
* SEWER LATERAL 1986 5008.73 1001.75 5 D0 (p . LwQ -eF4
(Q 0. O
WATERMAIN U 1984 68.71 4.58
* WATER LATERAL 1986
WATER AREA
*Services 1986
STORM SEW TRK 1986 710.24 142.05 !56 • 1 ~Q 41ZIF
~ STORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit - 57454 11/13/85
WATER CONN. 500.00 It it
BUILDING PER. I1274
SAC
PARK
CITY OF EAGAN N° 112] 4
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
" BUILDING PERMIT PHONE:454-8100 Receipt #
Te 6e wed 1er SF DWG/GAR Est, yalue $57,000 Date NOVEMBER 1 19 85
SfteAddreas 3914 WESTBURY DR erect OC occuPeney R3
Lot 17 81ock 4 Sec/Sub. WESTBURY 1ST Remodel ? Zoning Rl
Parcel No. Repair ? Type of Conat. V
AddNion ? No. Stories
GRAND OAKS DEVEL CO Move ? Lenytn 46
W Neme Demolish ? Depth 40
; Address 1881 SUNRISE CT
b ` EAGAN 452-8934 lntlmpr. ? Sy.pt.
City Phone Install ?
Name SAME ADVrorals Fae~
81 Address .4zsessment permit •00
Warer 8 Sew. Surcharge 28.50
r City PAone
Police Plan Review 152 . 00
Name Fire SAC 525.00
Address Enp. WaterConn. 500.0 0
~W City Phone Planner WaterMeter 63a00
Council RoadUnN 2$0.00
1 hereby acknowiedge ihot 1 have read this oDDlicotion ond stote tfwf gldg. Off. 11 12 $ Tr. PL 132.00
the informofion is eorrect and ogree toy~+ mply with oll opplicabie A~
State oi Minnesoto $totu or~d Cify Y~a on Ordina ces. Parka .
Var. Date Copies
Slprwture of PermiM Total $1,984.50
A Building Permit is issued to: GRAND QAY~b DE E CO on the exprese cordition thot
all work sFwll be dnne in accordonce with allypp~ly~Wbla Sptafe 4-(Vn_nWjt9 Stotutes ond Ciry of Eopon Ordirwnces.
Building OfiiNoi
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructionRenulrements RemodellReoalrReoufremeMa
• 3 registered site surveys showing sq. ft of lot, sq. ft. ot house; and all roofed areas • 2 copies of plan
(20%mauimum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan shovnng 6eam & window sizes; poured found design, etc.) . 1 site survey for exterior addNOns & decks
. 7 set of Energy Calculations . Indicate if home served by septic system for additions
. 3 copies of Tree Preservation Plan rf lot platted aRer 711193
• Pom Jaist Det2il OpGOns selection sheet (bldgs with 3 or less units)
0 0
DATE 0 0~- VALUATION g 9 6 d~-
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER f- /Z 6S -
TYPE OF WORK S I¢Cl~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT I?L nc`ie, /e PHONE# GS-/~7~8 6O S`/~'
ADDRESS ~ 78Ct' E~ ~7 f"h SS4 "eG?f AAc/ ZIPCODE 19 I1 q
PAGER # CELL PHONE # FAx # GS/-~38- 6 d GD
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM ~ a~~ D
Energy Code Category MINNESOTA RULES 7670 CATEGORY O ppR 1 5 2002
(check one) - Residential Ventilation Category 1 Worksheet Su i ed
- Energy Envelope Calculations Submitted Gco
By ~ J~.l
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00
WaCcr F-Icater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or' nces.
Signature of Applieant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updffied 2002
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 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 bldg) Final/C.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundarion FIVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wal]
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~d 1985 SUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 7 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be'Used For: Valuation: 570oo Date:
Site Address OEFICE USE ONLY
Lot 4 Block 4-1 Erect ~ Occupancy R•
p 51i Remodel Zoning (Z•
Parcel/Sub ~/~t,(A.Ll Repair , Type of Const -S-L:
^ Addition II of Stories
Owner vv~ Move ~ Length
Demolish ~ Depth o
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit 304
Water/Sewer ~ Surcharge ZSs°
Address ag Police P1an Review
J Fire SAC 525,
City/Zip Code Engr Water Conn S 9.
PlannerWater Meter l03.
Phone ry~~- ~g 3~ Council Road Unit ZQO.
Bldg Offjj-F'r'= - Treatment Pl 132.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL 8 S C7
City/Zip Code '
Phone 11
, .
' SURVEVOR'S CERl'IFICAT'E ~ GRAND OAKS DEVELOPMENT C0.
~ X - S600 N ,.~v ~ h s~s~so,~
oa~r'A
Sc n x
LOT
.
5~\a +
f 7 /
~00
,v .
~~j /
2b0 ~~~?C~~t~ ~~~•~p v
O AR 'r~
5p .y0•ob / ? qi J
,y0~ ' GSS
. . S ~o~ ,~p~ ~ . .
p'~2?- h ? O
. ~ eQ.
o; _ `p • , ,
~ ~SOosO~r*~~,~,' ~ 8y~`••}~ !
.
88s w88s~~C`
32 M . ,
i ~ s~'c 4,. S~ ~ _
Os
gO
\~~~'.S9 s., s8 • 9~ , . .
T
f ~v'
~ .
l DENOTES PROP05ED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =$a 8•'3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 66 55 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 868, 7 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 17, Dlock 4, !,:ESTBUR`..' FIRST ADDITION, according to the recorded plat
; t`ereof, Da!:eta Count~~, 1 I~iIIPIeSO{,CZ• w.)IY
~
~
~ 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 SUPERVISION,
! THIS 8TN DAY OF NoV. , 1985.
SIGNED: JAh~ R. HILL, INC.
I I BY: ~
~ HAROLD C. PETERSON, LAND SURVEYOR
PIINNESOTA LICENSE N0: 12294
PROJECT N0. BOOK / PAGE JAMES R. HILL, INC.
~85956
~IV(o7 Planners, / Engineers / Surveyors
FILL Na. 8200 Humboldt Avsnue 8outh~
. .
FOLDER sloomiegton, Mn..56431 812-8e4=3029
+ 1EXTERIDR ENVELOPE AVERAOE 'U` COMPUTATION
GRAND OAKS DEVELOPMENT COMPANY
MODEL N2 AREA U U X AREA
REOUIRED
1. TOTAL WALL AREA ' 1600 X.11 ' 176
2. TOTAL ROOF AREA 924 X.026 24.024
ACHIEVED
t
AREA • U U X AREA
A. WINDOW AREA 123.77 p 41.009
6. DOOR AREA 39.9 .077 3.0646 ' .
C. SLIDE OLA33 AREA 13.44 .48 6.4512
D. FIREPLACE AREA. O O O •
E. WALL FRAME AREA 160 .042 6.56
F. NE7 MM4LL AR£A 1070.94 .049 52.47851 .
c'. R:M .Ia71ST AREA 106.24 .0436 4.63--k?64
H. FO.NVD b?INDOW AREA O O O ,
1. FOUND ABOVE GRADE 83.76 .135 11.3776
t
3. T07AL WALL AREA 1600 146.6490 ~
J. SKYLITE O. O O ~
K. ROOF FRAME 42.4 .032 2.9368 !
L. NET ROOF AREA 831.6 .025 20.79 i
4. TOTAL ROOF AREA 924 23.7469 •
~ t
~ SUM 1.+2, 200.024 ,
~ SUM 3.+4. 170.3958
~
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CITY OF EAGAN
0130
APPLICATION FOR PERMIT SEWERR ADID/OR WATIIZ CONPIECTION
1) PROPII2TY ADDRFSS: (Plea e Print) . /
P c r u orlc, Q
~w D~~orr: Q'~ /t~ G LI
(Lot/B1ock/Subdivision or Tax arcel I.D. Number)
IF EXISTING STRtiCTL'RE, DATE OF ORIGINAL &!ILDING PERNffT ISS['ANCE:
(Mon Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DC'PLEX (Tao Onits)
R-3 TbWNHO05E (Three + L'nits) ( Lnits)
R-4 APARTMENP/COAIDOMINIOM ( Units)
COMMERCIAL/RETAIL/OFFICE
IDIDC:STRIAL
INS'II7['TIONAL/GOVERDIMENT
2) ~
NAME: ra o
AnDREss: N/b'/
crTY, sTATE, ZIP: -Ee' ci Gs'I /'9 2
Pxo~: c/ s or'~ ° S'°3Y
3) i: f For City Ose
~o a I/le ~~i
~ P~ -~lcense
aoD~ss: (o / c' C r e cA 1..a a Act ~e
czTY, STATE, ZIP: `,So K4 or. )??n, S S~SoZ ired
PHONE: L~ 9,z ~~1.21 MASTII2 LICENSE # t Recor,
itial
4) ~ar • ~ i~•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ~ u a a• • a~
CONNEX;TION TO CITY SEWER ~ CONNECTION TO CITY WATII2
[Q OTHII2 (Please Describe)
6) • • i
? PLEIISE HOLD APPROVID PERNIIT FOR PICK-L'P BY ONE OF AEpVE
~ PLEASE MAIL APPRgNM PERMIT TO 1, 2, ; 4, P,EOVE t L zvjbw (Circle one)
7) ~ b
F O R C I T Y U S E O N L Y •
pEF`1IT ISSUED
EEF S: $ PERMTT (2?tCL:;D: SURC :1RGc)
$ /c .5 L WATER PERP'LZT (INCi,IIDE SuRC::ARGn')
$ cWATER METER/COPPERFiORN/OUTSIp:. READER
$ WATER TAP (INCLUDE CORPORATI0:1 STOP)
$ SE:vER TA?
$ =CcQi:_?P
$ 6 ACCOUNT DcPOSIT - WATER
$ WAC
$ SPC
$ TRu:•IK I4ATER ASSESSi?E:IT
$ TRliP]K Sc:•iER aSSESSiiEPiT
$ L?,TE?.:,L SENEFIT/TRUNK SEi:ER
$ LATE:2AL BENEFIT/TRU:IK :OAT_°F
- $ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOT1L
$ i, AMOL`::T PAID/RECEIPT n Sfl j
,~~I y SCU 5 )~S~
DOES UTILITY CONNECTION REQUIP.E EXCr1VATION ZN PUBLIC RIG'riT OF WAY?
YES IF YES; THEN n"PERMZT FOR tn70RK WITHZN
PUBLIC ROr1DWAY" MUST BE ISSUED BY TAE
Q NO ENGINEERID]G DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY; ~
c
TI':LE:
DAT° :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142996
Date Issued:05/30/2017
Permit Category:ePermit
Site Address: 3914 Westbury Dr
Lot:017 Block: 004 Addition: Westbury 1st
PID:10-83650-04-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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 -
David P Mcneese
3914 Westbury Dr
Eagan MN 55123--208
(651) 280-9889
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146019
Date Issued:10/04/2017
Permit Category:ePermit
Site Address: 3914 Westbury Dr
Lot:017 Block: 004 Addition: Westbury 1st
PID:10-83650-04-170
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
David P Mcneese
3914 Westbury Dr
Eagan MN 55123--208
(651) 280-9889
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:EA162149
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 3914 Westbury Dr
Lot:017 Block: 004 Addition: Westbury 1st
PID:10-83650-04-170
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 -
David P Mcneese
3914 Westbury Dr
Eagan MN 55123--208
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
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