3920 Westbury Dr
CITY OF EAGAN 3EWER SERVICE PERMR
3830 Pilot Knob Road ` 3;; ,
P. O. dox 21199 PERMIT NO.:
„
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Ownsr. '
llddras:
5ite Address: ' _ . - • ^ ` -
Plumber.
1 pm h~soi~ w11b IM Cky of fmp¦ C.orr»ctlon C1wrgr.
OemsenaM. A4oount Depwit: Pemat Fw:
Surchor+pe:
By Mfsc. Gharpes:
Date of Insp.: Total:
Insp.: Dah Poid:
CITY OF EAGAN WATER SERVICE PERMIT
' 3830 Pilot Knob Road
P. C.-3c.,. 21199 PfRMIT NO.:
Eagan, MN 55127 D/?TE: J
Zonirg: :•l No. of Units: '
Owner: Grand Oaks
Mdrom:
Site hddress: 3920 WestLurq nrivo ''°st Lrv I
Plumbar. Vallev Alumbi::;
Meter No.: 2 6 -2 ~ anQarge:
~
~No.:~iN r 11 ~ . n
I N+w !o aewolp W14dav 3urch p c.
~ ~ . ~ _ ;
. )i,P 7e;_er
i.~ ~Total:
ey oor. Aow:
Oote of Insp.: Irnp.:
'3 _ 2 7-8(v
3830 Pllot Knob R d! P.Q. Box 2G-A1 9, Eagan, MN 55121 11J73
' PHONE: 454-8100 '
BUILDING PERMIT ReceiptM
To be used for SI' Dk'G/GAR Est Value $ 5 7,000 Date MARCH 5 19 86
SiteAddress 3920 uVESTBURY DR Erect n( Occupancy R3
Lot 18 Brock 4 seasub. WES'I'BURY 15T Rem ? Zoning Hl
Parcel No. Repair ? Type of Const tV
Addition ? No. Stories
W Name GRA14D OAKS DEVEL CO Move ? Length
; Address 1881 SUN SF CT Demolish ? Depth
o Int Impr. ? Sq. Ft 40
ciry £AGANnone 452-8934 Install ?
o Name 5A-l`IE Approvals Fees
o¢ Address Assessment Permit $ 304.OU
City Phone Water 8 Sew. Surcharge 2$ • 50
~ Police Plan Review ~52.OU
F W Name Fire SAC 575.00
Address Eng. WaterConn. 540.00
< W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. off. 3/ 5l8 6 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Ea~g,ac~ Ardinances. APC Parks
Signature ot Permittee Var_ Date Copies
,i~~_:-: Total $ 2, 069. 00
A Building Permit is issued ttf` r~ OAKS DI:VEL CU on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
~s
PKmH No. Permk Holder Detp Tslaphooe M
PIum6ing y j
IM.V.A.C. &SO`
IElectrle - / O
1Sottener
Inspoction Date Inap. Comments
FooW?gt I
Footings II
Foundation
Framiny
Rooling
Rouyh Plby.
Rouyh Htq. ~ /,,J
Insul.
Fireplace
Find FNq. •l.~
Final Plby.
Bldp. Final
Cert. Occ.
Dsck Ftp.
Deck Fmq.
L. W~11
Pr. Dbp.
Li I I
V-it~ 4w,~ ~~J v~ i w~
~
PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT ~
RECEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + 5.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bidg. Type: Res Comm Inst 2. New • rAdd Alter Repair
3. Total Bid Price 4. Job Address -
Lot Block % Sec 5. Owner
6. Contractor - - -
(Name) , (Streeq (CitY) (ZiP)
7. Contractor Phone #
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. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HPtND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for ' .
Approved Inspections: Date Rough Insp. Date Final Insp.
~ ^'.,R'_+P7[R~^-s-rr:~~':.^ . -r- . , ar~7 -~:,i, a[•; s4T7~ /
PEhMIT # CITY OF ERGAN FEE 677, ~ D
PLUMBING PERMIT
RECEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL v? 7, S O
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res _A_ Co ~ O Inst 2. N~ Add Alter Repair
3. Total Bid Price 4. Job Address e5 ai ?
Lot ~ Block ~ Sec ~S4bvLS/ /S74 5. Owner Gr~l emt~5
8. Contractor eD 61,0 gornd! .C*/!e-
(Neme) (SVee~ (CiH) (ZiD)
7. Contractor Phone # 6lz~`091AI
NO. FIXTURES NO. FIXTURES NO. FIXTURES
/
~ Water Closet - $3.00 Laundry Tray - $3.00 _Weil - $10.00
Bath Tubs -$3.OQ Floor Drains -$1.50 Private Disp Syst -$10.00
Lavatory -$3.00 Water Heater -$1.50 _a::Rough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
iKitchen Sink - $3.00 -.,/-Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 -Soitener - $5.00
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN 11273
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
6UILDING PERMIT R«eia #
T* M wwd Mr Esf. Value Dote 19 '
Site Addreas Erect ? Occupency
Lot Block ~c/Sub. ~ Remodel ? Zoning
Percel No. Repair ? Type of Const.
AddRion ? No. Stories
Move ? Length
~ Name Demolish ? Depth
Addresa Int Impr. ? Sq. Ft.
City Phone Install O
Approvols Fe•s
Name
u~ A~~ Assessmenc Permit -
F City Phone Water a Sew. Surcharye
G Police Plan Review
~W
~ Name Fin SAC
Address Eny. Water Conn.
ceW City Phone Plonner WaterMeter
Councii Road Unit
I hereby acknowledye thot 1 have reod this opplication and state lhot gldg. Off. ~ Tr. PI.
the inlormotion is correct ond ogree to comply with oll applicoble ~P~ Pa~
Stote of Minnewto Statutes ond City of Eaflon Ordinonces.
Var. Date Copiea
5ipnotura of Pem+ittee
Total
A Bullding Permif Is iuued M: on the express conditlon thoo
all work sholl be dona in occordoncs with oll applicoble 5tate of MinnesoM Statutes ond City of EoQcn Ordinonces.
Buildin9 Offlcfal
. Prrmit No. Pamit Holder Data Telophone it
Plumbinp
H.V.A.C.
Ehebic
Soft«wr
Irapeetion Dats Insp. Otho?
FooUnps I
Footings II
Foundatlon
Framiny
Rooting
Rou9h Wbg.
Rough Ntg.
Inwl.
Firoplace
Flnsl Hty.
Final Plby.
Final
C}rt/Occ.
Water Dftc?ibe Location:
Wsll
Swver
Pr. DIsP.
~ .?.>~r.A~~wh-w~..y. . . _ , . . . . . ' t . . . . . ~4: . ~1 ^ I~~
-PERMI-I'# CITY OF E/tGAN FEE
~ PLUMBING PERMIT G
RECEIPT # ~ J 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL
DATE ' MINIMUM COMMERCIAI FEE - $20.00 + $.50
1. Bldg. Type: Res ~ Comm Inst 2. New _,Y._ Add Alter Repair
O '
3. Total Bid Price ~ 4. Job Address - 352-44) Gr24M5 74269-2.,(-Z rr~ ~
Lot Z (5 Block 41 Sec -162&S 14,Avr ' S. Owner
6. Contractor '(-7o
(Name (Streery (City) (Zip)
7. Contractor Phone # ~
N0. FIXTURES NO. FIXTURES NO. FIXTURES
_LWater Closet - $3.00 -/-Laundry Tray - $3.00 -Well - $10.00
-/-Bath Tubs - $3.00 -/-Floor Drains - $1.50 Private Disp Syst - $10.00
__~/_Levatory - $3.00 /-Water Heater - $1.50 :YRough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
:;EKitchen Sink - $3.00 --,ZGas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND. E- 1% OF T AL BID PRICE PLUS S.SO STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fae
~ fill in numbered spaces S/C
Type or Prini legib/y Tot.
1. Date 2. Installation Cost
3. Job Address ~ot Blk. Tract ~
4. Owne[s%~~'./~~
5. Contractor /~'r~'~~~ ` Phone
6. Address i
7. City `JGl A- ~ State ZiP
8. Building Type: Residential C~ Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair O
10. Describe
,r--
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Qther
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 Final
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-$100
CITY OF EAGAN Fiemarks
Addition WESTBURY FIRST ADDITION Lot 18 Blk 4 Parcel ln 83650 180 04
oWner Street 3920 Westbury Drive state Eagan, MN 55123
Improvement Date Amount Annual Payment Receipt Date
STREETSURF. 19$6 2$50.00 570.00 -00
STREET RESTOR.
GRADING
Water area 1986 133.79 8.92 Years ia . g C'O l G 3
(o
SAN SEW TRUNK 1985 436.23 29.03 1 4006,40 7, 07 O//S cS' 3
* SEWER LATERAL 1986 5008..~3 1001.75 e"O .3
Watermain 1986 65.29 4.35 15 1 !v0 - 9 e S 6 -5191 S~
WATERMAIN V 68.71 4.58 15 5 eQ 6 O
* WATER LATERAL 1986
WATER AREA d 6
*Services 1986
STORM SEW TRK 1986 710.24 142.05 5 b9. 2-0 C'-4
~ STORM SEW LAT 1986
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 115 7 3
~
BUILDING PERMIT PHONE: 454-8100 aeceipt n ~'0
7obeuaedfor SF DWG/GAR Est.velue $57,000 oate MARCH 5 1986
3920 WESTBURY DR R3
Site Address Erect L] Occupancy
Lot 18 siock 4 Sec/Sub. WESTBORY 1ST Remodel ? zoning Rl
Repair ? Type of Const. 11
Parcel No.
Addition ? No. Stories
Q GRAND OAKS DEVEL CO Move ? Length
W Name Demolish ? Depth
o Address U R Int. Impr. ? Sq. Ft~~
City EAGAI*hone 452-8934 Install ?
o Name SAME Approvals Fees
$Q Address Assessment Permit 3 .00
~ City anone Water & Sew. Surcharg~ 50
~a Police Plan Review
00
F i Name Fire SAC
~ i Address Eng. Water Conn. 0 0
~d W Ciry Phone Planner Water Meter ~ 00
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bid9. off. 3/5/86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry rdinances. APC Parks
n~ Var. Date Copies
SignatureoFPermittee Total $2.069.00
A Building Permit is issued to: G D OAKS DEVEL CO on the express condition that
all work shall be done in accorda e' I p lic t innesota Sfatutes and City oi Eagan Ordinances.
Building Otficial
CITY OF EAGAN . N_ 112 7 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
,
PHONE: 454-8100 ~J ~7 ~ ~
BUILDING PERMIT rteutPr # -
Te M wW fer FOUNDATION Est. yalue Date NOVEMBER 15 19 85
SiteAddrese 3920 WESTBORY DR Erect ? Occupancy
Lot-18 elock 4 cec)Sub. WESTBURY 1ST Remodel ? Zoning
Parcel No. Fepair ? Type of Conrt.
ACdition ? No. Stories
GRAND OAKS DEVEL CO Move ? Lengtn
W Name Demotish ? Depth
; Address 1881 SUNRISE CT lntimpr. ?
b city EAGAN phone 452-8934 sa• Ft.
Instail ?
Name SAMh ADOrorols Faem
Address Assessment Parmit $15.00
City Phone Water 8$ew. Surcherge
Police Plen Review
W Neme
~w Fira SAC
Address Enq. WaterCOnn
~W City Phone Plonner WaterMeter
Council Road Unit
I hereby ockrrowledge that I have read this aODlicotion ond stote thaf gldg. Ofi, 11/14/8Tr. PI.
fhe inlormofion is Correct and agree to wmply with oll opplicable
Stata of Minnesota Sror ond Cit r f an Ordi onces. '0'~ Pe~
Var. Date Copies
Sipnaturc of PermiMee $15
A Buiidin Permit Iz issued ro: GRAND O, S DEVE CO om rhT o~tal
9 xpresf cordiNOn that
oll work sholl be dane in etmrdonCe oll plicoble Sta of ^es7o-t-o -Stotufes and City of Eopon Ordirwntes.
Buildirp Ofticiol L.c
~
N2 i~
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iIITN TNE CITY OF EAGAN
COlQ4EBCIAL SINGLE FAlIILY DNELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
i
To Be Used For: ~F.QW6.14(\V- Valuation: 000 Date: "~~5 Y~
Site Address 3~20 WESTE3CC2y D?, OFFICE USE ONLY
Lot /e Bloek 7 Erect X Occupancy ~ 3
~ C 1~~- ;g~ Remodel Zoning 2- ~
Parcel/Sub 1^' Repair Type of Const Q
Addition ~ ll of Stories
Owner Move ~ Length
Demolish ~ Depth qo
Address Int.Impr. , Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit 304
Water/Sewer ~ Surcharge 2g.-2
Address Police Plan Review Is 2.
Fire SAC 5 5.
City/Zip Code Engr Water Conn 900
Planner Water Meter 77-
Phone Council Road Unit 250
Bldg Off j Treatment Pl lsto.
Areh./Engr, APC Parks
Variance Copies
Address TOTAL Zo6
City/Zip Code
Phone Il
;
~ SURVEYOR'S. CERTIFICATE ~ GRAND OAKS DEVELOPMENT~ Z
4658 ~85 9u
E
~ . ~ ~Q`~` ? 3,=
O T / ~ . .
0'~ 18
,pN
~
~ ~ .o
.
-2~ 3 AJ ~`~b v v
`v p ~ ° tinr ~ +I~(1 . r~al 5
»
~ .g' a 4,; y .
y,o ~ ,,9 op , 4 k, . . _
. 8g ~ y~ a~ ~8~ - .
' ' • . . ~ h ~ .:ti, Gs. SE.O . ,
~
, . \ ~ ~6 S~g? ¢ % ~ . S~• ~ m ~ ,
4~
, \e~ gs3s gs3 '
` ~~Qy9 0~h~~
OA X ~
8\ c-
~
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONl1MENT SET SCALE: 1 INCH = 3o FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g gq,j fEET
,X000.0 DENOTES. EXISTING ELEVATION PROPOSED LOWEST FLOOR = gg6, 7 FEET
(000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF BLOCK = 8v9-9 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lot 18, Block n, !a'ESTBU,°.Y FIRST ACDITION, accordinq to ttie recorded plat
thereof, Daketa County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BV ME, OR UNDER MY DIRECT SUPERVISION,
THIS 8T14 DAY OF NbV, , 198 .
SIGNED: J R. HILL, INC.
BY:? ~ ..l~
AROLD C. PETERSON, LAND SURVEYOR
PiINNESOTA LICENSE N0: 12294
PROJECT NO. BooK ~ PACE ,JAMES R. HILL, INC.
8 51957 Planners, / Engtneers Surveyprs
FILE NO.
, 8200 Humboldt Avsnuo 8outh•
FOLDER Bbomington, Mn. 6b431 812-884-3029
t~ • EXTERIOR ENVELOPE AVERAOE 'U' COMPUTATION
,
GRAND OAKS DEVELOPMENT COMRANY
MODEL N2 AREA U U X AREA ;
REDUIRED •
1. TOTAL WALL AREA 1600'X :11 ' 176
2. TOTAL ROOF AREA 924 X.026 24.024
ACHIEVED .
.
AREA • U U X AREA
A. WINDOW AREA 123.77 .5 011.61VO
B. DOOR AREA 39.8 .077 3.0646 ' .
C. SLIDE OLA33 AREA 13.44 .48 6.4512
D. FIREPLACE AREA. O O O •
E. WALL FRAME AREA 260 .041 6.56
F. NET idALL LiFiEA 1070.99 .049 52.47853 .
c'. R:tf JJIST r4Z.A I06.24 ,0436 4.632k'164
H. FOlllm kINDiTid ARER O O O ~
1. FOUND ABOVE GRADE 85.76 .135 21.5776
. ~
3. TDTAL WALL AREA 1600 146.6490 '
~ J. SKYLITE 0. 0 0 ~
~ K. ROOF FRAME 92.4 .032 2.9368
L. NET ROOF AREA 831.6 .023 20.79 ' i
~ 4. TOTAL ROOF AREA 924 23.7468 • ;
I ~
~
( SUM 1.+2. 200.024
~ SUM 3.+4. 170.3958
g - ,
~
~
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~
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~
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~
,,i2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAItl
U 3830 PILOT KNOB RC - 55122
2~ ~ 851•881-4875 3--~)3-0d
•New ConsfiucMon Reaulremenis Renwdel/Reoair ReculremaMa
D 3 reylatered site wrveys showiny aq. tt. of bt, sq. M. of houae 2 copies ot plan
mfd guroofed areas (20% maxlmum bt eovemae allowedf 1 sef d energy cdatlCMOns for hected addlNont
? 2 coWea ot Wane (show beam & window sizas; Poured hW. desiprc etc.) 1 stte wrveY tor extedor atlmlloru & deo W
> 1 tet of anerpy aACWaMau
D J eopks of fiee PresenaHon plan H lot pk~tted aRer 7/1/93
DATE: 3 -;L ( Ov CONSIRUCTION C05f:
DESCRIPTION Of WORK:
STREET ADDRESS: OL
LOT: j g BLOCK: ~ SUBD./P.I.D. A: ~~~~Yui I 5~
Name: Phonep: 6S/- Gdj'l-"a7
PROPERTY Lad Firsr
OWNER
Slreet Address: 3 cI a o
City /Z G,g A/ Sfafe: Zip: SS / Z 3
Company:i/f~ IJtK~K l~n~r> i>oo2 C~. c phOttAM: G/L-~,~~ - %f C/aW
(ar6C COdA)
CONTRACTOR
Sheet Addreas: //L? L ~?i2v~-~ 14-v? d license #-Ll s 7 Exp,
Cly /Ndiiw 6~2ov/t /~/fiGHrS State: Zlp:
ARCHIiECT/
ENGINEER Company: Name:
Telephone C ( )
Sfreet Address: Registratbn 0:
.
Gfy Sfafe• LP:
Sewerhvater licensed plumber tH irretallina saxrerMraterPhone
I hereby acknowledye that I have read Ihis applkalbn, atate that ihe InfortrwNon is eortecf, and ayree b oomdY with atl app8cable State
of Minnesota Stahites and Ciy of Eagan Ordinances.
Signalure of Appliwnt
~2!¢Y /firMN/fB.~J'
OFFICE USE ONLY
CeRifiCates of Survey Received _ Yes ~ No ' L ~
Trae Preservation Plan ReCeived _ Yes _ No __0 Not Required
OFFICE USE ONLY °
BUILDING PERMIT SUBTYPES
0 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.) O 31 Ext. Att - MuIU
0 02 SF Dwelling ? 08 06-plex ? J7 Garage ? 22 Poroh/Addn. (4-sea.) O 33 Ext. Alt - SF
O 03 01 of piex ? 09 07-plex 18 Deck O 23 Porch (screened) E3 36 Muiti
? 04 02-plex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex O 11 laplex Piba Yor_N O 25 Miscellaneous
O IXi 64-plex ? 12 12-plex p 20 Pooi O 30 Accessory Bidg.
, lNARK TYP..E.
n~'31 New ? 36 Move Bldg.. O 43 Reroof
? 32 Addition 13 37 Demolish (Bldg)• CI 44 Siding,
13 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair or
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o i # of Stories sq. ft.
No. of Units • o Length sq. ft.
No. of Buildings ~ Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code H3 Y
(Aliowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 3J G Engineering Variance
PermitFee 6o.so Valuation: $ 1,2 oa
Surcharge
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: . ~ 5
SAC Units '
% SAC I
,URVEYOR'S CERTIFICATE ~ GRAND OAKS DEVELOPMENT C0.
~ .3 .z C1
. . / 1165869 'E
N 7
AO T / .
I 8 /
C~~ ~
~ .o
:
1=,1. o -'~3 A~ 46~y 0 .
,y~ ao•° o~ ro~~ Gl
'iP A~C9 -
~OOr A,~./`~~p . ~ , ~ . _ . ` 8
. , 7
- \ ~brybCb1 F~~~~.v,~ o / O~y~ •
S p .r
~ POQ.;,4,~ :e•~ ?O
;Q?7 ~J 6p O y: {Pj~r.
~ \
~
~
~gs3o~~ ~ / -
~ n8
~
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 3o FEET
• DENOTES IRON MONUMENT fOUND PROPOSED GARAGE FLOOR = g gq,j FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOQR = ggb, -y FEET
, (000.0) DENOTES PROP05ED ELE1fATI0N PROPOSED TOP OF BLOCK = s89- 9 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURYEY OF THE BOUNDARIES aF:
I_ot 18, Block n, !dESTBURY FIRST ADDITION, accordinq to the recorded plat
t~ereof, Daketa 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 P4Y DIRECT 5l1PERYISION,
THIS ST?a DAY OF N6V, , 198 .
_
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
~
COl4IERCIAL SINGLE FAMILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PI.ANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECZFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS q
$2,000 LANDSCAPE BOND
To Be Used For: --~~~~Valuation: 6~ Date: I I- I Z- d~
Site Address 39g16 WyaOFFICE USE ONLY Lot -bf Block 4 Erect X Occupancy
JJ~~ Remodel ^ Zoning
Parcel/Sub La~4 Repair , Type of Const
Addition II of Stories
Owner Move _ Length 5
Demolish Depth 0
Address Int.Impr. ~ Sq Ft
Install ~
City/Zip Code
Phone pPPR0YAL5 FEES F-r7
~ /S -
Contraetor 0~ Assessments Permit 13
~ Water/Sewer Surcharge
Address ~ police ~ Plan Review ( b.
Fire SAC
City/Zip Code Engr Water Conn S
~ Planner Water Meter .
Phone Cquncil Road Unit
Bldg Off Treatment P 17f)
Arch./Engr. APC Parks ~
Variance Copies ~
Address TOTAL
~
City/Zip Code
Phone ll
o~ NA
~
~ •i ~ • • • U • i • o - ~ - • .i~ . r. .
i
' a- ' • r• e • a~ i • • ~ ~ ~ r• • • a~ ~ ~ ~ ~ a~ • ~
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CITY OF EAGAN APPLICATION FOR PEF2MIT SESv'ER PSID/OR WATER CONNECTION
' (Please P int)
1) PROPERTY ADDRFSS: j .
r.Fr;ar DFSQ2IPTION: c, Lk
(Lot Block Subdivision or Tax Parcel I.D. Ntunber)
IF EXISTING STRL'CT.URE, DATE OF ORIGINAL BLII,DING PERMIT ISSL'ANCE:
(Month Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAN1iLY
R-2 DCPLEX (Two Cnits)
R-3 2OWN[-IOLSE (Three + L'nits Cnits )
R-4 APART.',RNT/CObIDOMINIL'M ( C~nits )
CONP4ERCIAL/RETAIL/0FFICE
IAIDCSTRIAI,
INSTI'IT TIONAL/GOVERNMEVT
2) ~
NAME: 2,-& C~ C\ S
aoDREss: l v ~p C .
CITY, STATE, ZIP: ~ s
PHONE:
3) • i: I ~ For City ?se
NAME' 6~~/ ~'e U l-lG' ` P1LUnbers I~lcense
ADDRESS: 2. t~ve
CITY, STATE, ZIP: ~f C> y'~ f7cpired
PHONE: L( c/) -Q /aI ( MASTER LICENSE # A4ot Recorc
Sta•f nitial
4) ~a~ • i~-
tvAM:
ADDRESS: /In ~
CITY, STATE, ZIP: ~
PHONE:
5) i~ • • a• a~
al CONNEY."PION TO CITY SEWER gil CONNECTION 1h CITY WFITER
Q OTHER (Please Describe)
6)
? PLFASE HOIA ApPROVID PII2MIT FOR PICK-C'P BY ONE OF ABOVE
~ PI,EASE MAIL APPROVID PERMIT 'IC) 1, 2, 4, ABOVE
(Circle one)
7)
~
F 0 R C I T Y U 5 E O N L Y '
PE?MIT " ISSUED / •
F.r..r ..5: $ jL SEi•ic..°. °ERMrT (I`_I..L::DE SUACci?RGc)
S jG SC. ' WATER PE%Ir: (Ii7CL'uDE SliRCHARGn)
$ (O ~ WATER METER/COPPE4HORN/OUTSIDE READE2
$ WATER TAP (INCLUDE CORPORATZOV STOP)
$ 5:.::cR TA?
$ $ _ fJ Gr~ AC.^.CuNT DFPOSIT - i'7ATE?t
dT eq ta;,c
$ f_ 7 5'~ sac
$ TRu^Ir: WATER ASSEESS:?r::T
$ T2u:dK Si,:•iER ASSESS:i°:iT
$ L.,TE?.,L BEVEFIT/TRUVK SEi~Lri
$ L?.TE2AL $i,NEFIT/TRU2:iC WATER
$ WATER TREATMEnTT PLANT SURCHARGE
$ OTHER:
$ TOT?L
$ y,C• UL t'1lMOII`:T PAZD;'REC°I?T ,'r DOES UTILITY CONNEC.ION REQUIRE EXCaVaTION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THE:1 P. "PERDIIT FOR WORS WITHIN
PUBLIC ROe\DWAY" MUST BE ISSUED BY THE
C] NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI•LOWI:]G CONDITIO^IS:
APPROVED BY:
TI:LE:
DATE:
L BL CITY USE ONLY
1 -L- RECEIPTit: 13 S 4
SUBD. ls~-
RECEIPTDATE: 0CJ
PERMIT# A
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGpN
3830 PILOT IINOg gD
EAGAN, P4N 55122
651-681-6675 Piease eomplete for. ? single family dweliings
? townhomes and condos when pertnits are required for each unit
? badcflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub
Fioor drain $ 3.00 x = g
Gas PiPin9 autlet • minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry trey 3.00 x = g
Lavato 3.00 x = g
Se tic S stem 3.00 X _ $
P Y newfrefurbfshed ' requfres MPC lic. 75.00 X $
Septic S Stem abandonment 30.00 x $
RPZ new installatian/repaidrebuild 30.00 X - $
Rough openin -
Shawer 1.50 x = $
3.00 x - g
Underground sprinkler Hdweliing is underconstructian 3.00 x - g
Underground sprinkier 'rfexisting dwelling 30.00 x g
Water closet -
Water heater 3.00 x = g
3.00 x - g
Water softener lf dwelling under consWctlon 5.00 x g
Water softener I?exlsting dwelling 30.00 x - g
Water tumaround 30.00 x g
State Surcharge .50 g .50
TOt81
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
1 hereDy adcnowledge Niat I have read this appliptlon, state that the inMrtnatlon is-° corted, and- a ree to
It is tAe applicanPs responsibility to notify the properry owner that the City oi Eagen assumes no Iiabili~ty ~k~any~Camages qu ed by the City during its
nortnal opereHanal and maintenance acttvdies to the faeiliUas constructed under this pertnit within City proparty/right-af-way/easement.
SITE ADDRESS: _ 3LO I ~ ~C n~U l A .Y~ ( 1 \1~ ~ ~ ~
OWNER NAME: : T~~Q,-kTELEPHONE 0.D-C
(AREA CODE)
INSTALLER NAME: r TELEPHONE ~3 Q
STREET ADDRESS: L ~ ~1 , `1AO CDE)
cirr: i-~ ~ 1? ~~l i
i ~ STATE: ZIp: t
~
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146237
Date Issued:10/16/2017
Permit Category:ePermit
Site Address: 3920 Westbury Dr
Lot:018 Block: 004 Addition: Westbury 1st
PID:10-83650-04-180
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 -
Leona M Hernandez
3920 Westbury Dr
Eagan MN 55122
Maus Construction
1020 E 146th St, Suite 262
Burnsville MN 55337
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature