3932 Westbury Dr
CITY OF EAGAN WATER SERVICE PERMIT
383"v Pilot Knob Hoad
P. O. Bgx 21199 PERMIT NO.: _ Eagan, MN 55121, ~ DATE:
Zonirg: - No. of Units: ~
d1Ynlr: . J
A~IEE3: ~e:N. aTg r
siee Ada?effi: ` `
Plumber
Metar No.: Connection Charye:
57ze: G' ' y~ . OC~o::
Reade No.: ~..-m ~'~O 9 7 Pem+it Fee: IJ. 0Ojx;
. 70rx3
1 Gew h ao~wrhr MrMi tM CirysF Ep~e Su?d,ar+ye:
oraM Misc. Chorws; 132.00xi 7P
7" AA,~ Torol:
By Dote Paid:
Dote of Insp.: Inap.:
CITY OF EAGAN SE1lVER SERVECE PERMIT
3836 Pilot Knob Road
P. O. Box 21193 PERMIT NO.:
Eagan, MN 55121.,, .T DA'1E-
N0. of llnits: -
Zoninp:
OM/nlr: ci2,-i OakS f XYve
Addrcu: -
e~S'"~:.?'~+?`~: L, • 7r j• `
Slte Addross: 3)32
Plumbae -3~~`~
1agew to a-plq wNU tw CIly of EwM Connoetion Charpe: ,
OrdimaeN. Ac+aourrt Dbposit:
Permit Fes:
SurcFwrpr
gy Misc. Chorpas:
Dote of Irup.: Total:
lnap.: Dah Paid:
• i
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100
QUILDING PERMIT ae«ipt #
To M wed fa Est. Volue ~Dote 19
Site Addrea Ere~t ? OccuPsncV
'
Lot 8{xk ~eclSub. Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
of Neme Move ? length ~
Z i T„T , Demolish ? Depth !
~ Address `~j Int Impr. ? Sq. Ft.
City Phone Install El
Name AnProvab iees
Address Assessment Permit
City Phone Water & Sew. Surcharge
Poliu Plan Review
~W Neme
W Fin SAC
19 Address Erq. Water Conn.
~W City Phone Plonnwr WaterMeter
Countil Roed Unit
I hereby acknowledps thot I how read this opplicction ond stote that Bldg. Off.7_V! Tr. PL
fhe informction is tOrrett ond ogree to tomply with all opplicoblt APC paAcs
Srots of Minnewro Statutes and City of Eogon Ordinances.
Vsr. Oate
Sipnature oi Permitta Copiea
~ r•• n, r, ;cl ~ . -T1T;~1T ,C °'T'',.N;Y Total !
A Buildiny Permit Is issued fo: on the exprsu conditlan Ihot
all work sholl be dorw in aooordonce with all applioable Sterte af Minnesoto Stautes ond Gty oi Eoqon Ordinoncea,
8uildinp Officiol
Pwmit No. Pwmit HoNlK DSO TNeDhons ~
Murobin0 lL 1 ~ Y ~ , -
H.v.a.c. c y{~ Ya l(,~
eNee.ia vAA. 34 t'
Soitowr
Irapection Dats Insp. Otha
Footlngsl i)If
Footinys 11
FoundeUon
Framing r.-
Roofiny
Rouyh Plbg.
Rouph Htg.
Insul. ~
Firoplscm
Final Htg.
Final Plby. T_//-e
Final
CuVOcc.
Wat*r Dowibe Loeatfon:
Wl11
Stwer
Pr. Disp.
Reaipt ' ' ' MECHANICAL PERMIT Permit No.
CITY OF EAGAN
FN Fill in numberrd apacet S/C
Typs or Prinr lspidlY Tot
1. Date 2. Instaltation Cost i L- "
3. Job Addreu Lot-Blk. ~ Tract
4. Ovmer . ? _ . 1 _ ~ ~ ; c-
5. Contrsctor Phone -
8. Address ~ a~ a• ' 1 ~ i- i.;
7. City ~ ' - State tI` Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter ? Repair ?
10. Desaibe • Fuel TYpe
11. No, Equinment STU - M. Ea. No• Eouiament CFM
~ Forced Air ` Air Handlinp:
Mfg.
BO1l°n Mech. Exhaust
Mfg.
Unit Flaater
Mfg. Other
Air Cond.
AAfg.
Ges, P'iping Outlets
12. I hereby certify that the above information ia true and wrroct, and I ayree to
oomply with all ordinances and codes governing this type of work.
Siynsd : - L for
Rouqh Finel
Inspection:: Oate Insp. Date Insp.
This is your permit when numberod and approved.
Approved CITY OF EA(iAN 454$100
Maipt PLIIMBINO PERMIT Pwnnk Na. - ~
, CITY OF EACAN FM
f1/1 fn iwmbard WWW S,/C
Type or Prlnt Iey/dly Tot
1. Dstef-7~?~J ~ 2. Instaltation Cost ~
. .
i /
3. Job Address tot Blk. ~ TrW
4. Ownsr t -^Ine/
5. Conuactor Phone
i ~
8. Addrou 1,5~ /I
7. Gty s ~•s~ir' Stsu ti1r(i' 2;p. -
---T
8. Buildiny Type: Hesidential.'V Commercial ? Institutional ?
9. Work Description: New O Add 13 Alter O Repair O
,
10. Describe 4/~ ~~"t)':L
11. NQ Fixtures No• Fixtures
3 Water Goset Cmpool/Drainfield
Bath tuhs Septic Tank
Lsvatory Softner
Shower Wsl I
Kitchen Sink
Urinsl/Bitkt Other
Laundry Tray
Floor Drains
Drinkinp Ftn.
Slop Sink
Gas Pipiny Outlets
12. I hereby prtijf that the above information is true snd cormct, and I sgree to
oomply wA,* all o?din/r?eeytnd codes governiny Mis type of work.
Siynsd : s~-.t f"• r«_ for
Rouqh Fiml
Inspmions: Datd- In:p. Date In:p.
This is your ptrmit when numbered snd approwd.
Approwd CITY OF EAOAN 464-8100
PERMIT # i O 7G
MECHANICAL PERMIT RECEIPT #
CiTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address - :2 ~ '32 gLDG, npE WORK DESCRIPTION
Lot aG Block Sec/ ub
Res. New
1..V ~ T . i .
m Addff- Excelsior Ave. E. Co
mm. Rpaon
c City o kTs, inneso a ne Other
L Name FEES
c Address RES. HVAC 0-700 M BTU -$24.00
p CityPhone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping utiets # ; .
Other(,(,, OG , ~ ~
L FEE ~ tiG t : Lct
S/C: • SG SIGNATkJ E O PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition ~STBURY FIRST ADDITION Lot 20 eik 4 Parcel 18 g~~.§g ,200 _g1,
Owner Street 3932 Westburv Drive State Fagan, MN-5S1$3
Improvement Oate Amount Annual Years Payment Receipt Date
STREETSURF. 1986 2$50. 350 •0 0 C-l 33 7 9 --J 745
STREET RESTOR.
GRADING
n o / 3,3• _ -lO 337 cf-d7-,f S
SAN SEW TRUNK 40 ? -1
* SEWER LATERAL 1986 5008.73 1001.75 0 Q . .3 6.1 ~
5 , a2 `j
WATERMAIN (J ~ ~j. ~5 ?
* WATER LATERAL 1986
WATER AREA ~ 1984
92 1233- 15 CpU . ~Z C -/O.33 -~Z 7- S
*Services 1986 ~ ~
STORM SEW TRK 1986 710.24 142.05 5 710 ~ -1 D'J-3 -4 IJr
* STORM SEW LAT 1986
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN, 900-00 n n
6UILDING PER, 10596 n n
SAC rt
PARK
CITY OF EAGAN N0- 10 5 9 6
. 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
" PHONE: 454-8100 5~3
BUILDING PERMIT seceipt #
Te M uwd ia SF DWG/GAR Est. Value 56,000 pote Ji7LY 19 1y 85
SiteAddreu 3932 WESTHURY~D ~RY ~T RErect emodel ? Zoni^gnCV
Lot 20 Block 4 SeclSub. Repair ? Type of Conrt. V
Parcel No. Addition ? No. Stories
Z Name ~~`7D ~1~CS DE~1 Move ? Lenyen 46
Demollsh ? Depeh _~Q
as Address 1881 SUNRISE CT Int. impr. ?
city F,~:GAN vnone 452-8934 sq. rt.
Inetell ?
o Name SAME ADOrovals Feq
~u ,ress Assessment Permit 301.00
~ City Phone Wate. d Sew. Surcherge 28•00
G~ Police PlanRevlew ~.SO.SO
~uZ Neme Flra SAC 525. 0~
Addras Erq. WaterConn. r'QQ..Q~
m
,uZ. City Phone Plonner WalerMeter 63-0O
CD,,,,cii z_i4_RS RoadUnlt 2Rn_np
1 hercby ockrowledge thot I hova rcod fhis upplicotion ond state thaf Bldg. Off.7_l 7~Z Tr. PI. l 42- OO
fhe intormotion is corrcct and agree to wmply with oll opplicobla AP~
Stote of Minnesota Stotutaa and Cify of agon Ordinonces. Parks
$Ipnotum of Pe rmiMee Var. Dat Copies __T1_9Tj30
t
Total
A Buildiny Permif Is issued ro: D an Ma axpresf corditlon IMt
oll work shali be done in acco a with appli ble 5 of Minnesoro Stotutea ord Ciry o£ Eepon Ordlnoncaa.
Buildinp pfficiol _~7~-~~ 1e.tYl
;tf
, ~
G .
C~~~_ )
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS ?NST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: S Valuation: Date:
Site Address: OFFICE USE ONLY
Lot: Block Sect/Sub ~/.z~.! ~ ~ Erect Occupancy F-_3
-r Remodel _ Zoning 2-I
Parcel N Repair Type of Const
Enlarge 4! of Stories
Owner Move _ Length ~
Demolish Depth qp
Address Grade Sq Ft
City/Zip Code
Phone APPROVA(.S
Contractor jCAJc,,_('~ Assessments Permit 301 ~
Water/Sewer _ Surcharge Sg.
Address Police Plan Review T
.p Fire SAC 525, p0
City/Zip Code Engr Water Conn r,oo.
Planner Water Meter (03.
Phone Council 7)- q- SRoad Unit 11so.'°
Bldg Off ?Z) ks
Arch./Engr. APC bul tment P1
Variance
Address TOTAL ' ~-al ~
City/Zip Code
Phone 1l
,
, SURVEYOR'S CERTIFICATE ~ GRAND OAKS DEUEIOPMENT C0.
~ _ ' . #301
~ ` .
~ • , .
i • I
~
r
~
i
4p J -
/6,3 62 A
4 `i 9'16'01" .
40 23 1 84 O
Lor 2 or ; ~ - 913 Ln m ~
~ 5 p ""~N~'~ ~ • / R p ` l /0 ~ h' P~4p 9 ~qy[/~. 1'•. . l N/ry ~ . ~ ; ~ ~ . .
c~i1 40 •2.0
~4
g
~
rol~ (b 0.0
. .
v
. v ~
! 32pp _ (Q ' Y
DENOTES PROPOSED SURFACE DRAINAGE -
O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = 3 O FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = gyta FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 889.0 FEET
(000.0) DENOTES PROPOSED. ELEVATION PROPOSED TOP Of BLOCK = 8q2•?- FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE ANO CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 20; Block<4, WESTB'URY rIRST ADDI'TION, a'ccording to the redorded p7at •
thereof, Dakota County; Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROYEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS tbTN DAY OF 1985.
SIGNED: JA R. HILL, INC.
BY: ~
AROLD C. PETERSON, LAND SURVEYOR
h1INNESOTA LICENSE N0: 12294
PROJECT NO. BOOK / PAGE ;JAMES R. HILL, INC.
s5ray
13L lZA Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avsnue South•
FOLDER sloomington; Mn. 55431 e12-ee4-3029
_
, .
_ ~ • - - -
•
EXTERIOR ENVELOPE AVERAC,E 'll' COMPUTATION
GRANU OAKS DEVELOPMENT GOMPANY
MODEL N2 AREA U U X AREA +
REflUIRED
1. TOTAL WALL AREA 1600 X.11 ' 176
2. TOTAL ROOF AREA 924 X.026 24.024
ACHIEVED
AREA U U X AREA
A. W I NpOW AREA 123.77 . S9 4 l. 0717t7
6. DOOR AREA 39.8 .077 3.0646 ' .
C. SLIDE GLA3$ AREA 13.44 .48 6.4512
D. FIREPLACE AREA. O O O
E. ' WALL FRAINE AREA 160 .041 6.56
F. NET WALL FY2EA 1070.99 .049 52.47853 .
d. R:N 3a72ST +SvEA 146.24 .0436 4.632N?64
H. FOUND ptINII00d AREA v O 4 ;
I. FOU?VD ABOVE ORADE 85.76 .235 11.5776 F
3. TOTAL WALL AREA 1600 146.6490 !
~
J. SKYLITE 0- 0 O
K. ROOF FRAME 92.4 .032 2.4568 (
L. NET ROOF AREA 831.6 .028 20.79 i
4. TDTAL RQOF AREA' 924 23.7468 •
SUM 1.+2. 200.024
SUM 3.+4, 170.3958
~
.
I '
, 3a1
`i 2/84
C,
l w}`~ ~ CITY OF EAGAN
~ ~7!r~~.
~ APPLICATIOY FOR PERNIIT
SEIdER AND/OR WATER CONNECTIODT
(PIEASE PRINi) .
1) PROP&Tr?'Y ACDRESS: W''3" Y" lDr/' j4ff
=L L.D o b/a (,k Y WeS 4,b r U I 3
(Lot/Block/Sti,ciivisicn or Tati rarcel I.D_ Vumb
S?".'[;C^M, DATE Q° OjZTG^AL ci.iZLP.Z:G = ISSz::-~;C:.:
e~,
pcrcL•,• ,••.T~;/P?O:'CS~ PS`-._': ~ R-1 Si:C~'L~. :?!+SLY -
? R-2 DLI'rL= ('I'CO L':II':S)
? c2-3 :C'i.•.NHCr_7CC (mc*o^, + i.'`I~Tc) ( iJ:77_5)
C7 r-4 AcA:::"°^:T/CC`.L~,G:•Lri = ( Ciii=S)
? CCi•TMSE?CZ~Z/RE".AII,/Cir IC::
Q ~'CL'S i'~S.~.L
Q I1%STI:L'IICNAI,/G,~^V=,~n+f'~'T
2) APPISC=~1T (viEasE PRt~w)
ACnREss: .S[)n Y i t f' G~-
~
, C=_', STAT::, ZI?:
PsoNE:
3) PLtmE:? 1_..z'. - 1`G ~ i1 JP}E~ASE PRINT) FOR CIT~Y USE OtiLY
~~1 V
c. AXIL.NSE:
PDC.ZE..S. PlUN8ER5 r
CIT_'. .STATE. ZIP: Ex 'red
t of H~ord
. PHOVE: C./CJ'"~ PLUHBEA IICENSE H ..~.~s`.._ .
' ar .nv[ia
4) OCCf,'PpP]'j`/0,.iL\?m (PLEASE PH171T)
N74'~IE'
ADDRESS: ~
CTTY, STA'IE, ZIP:
PFiC}`IE:
5} INpZC7,TE WHICH PER•LiT IS SEInG RE.L")[IEST'Lp: •
dg CG;;.IECPION M CITY SEYiER
~ CL':7ti'FX.TIC;I M CITY SVATER
? "U.'iE2 (PT.PiLSE DFSCRIIIE) 6) INDIG,l-Z C.W: . •
Q P*y.z'.,-`,SE f?OID APPF?C7VEp pgt,MaT FOR PICi:-G'c BY pNE OF AFiCIE
~ PLE7%SE %''~ZL APP:t(7Vm PEFMLT TJ 1. 2. 4?, 4 r'1FiOV'E
(Circle one)
7) SIa7TL'R:: _ AVn,04 t~~avusfi/.n~~ DA'Iy:
~ [A:~IMflA! l1 Q ! ~J~~lf~ ! ~l I! ~:a if il~ f ~~i~ :a a ! !l1fl~Y-f~ f~ ~ 1~ YF~i~y
F O R C I T Y U 5 E O N L Y
Pc?-%?IT ISSUED
SLRC"1.RGG) -
WATE-t P^?.:[I:' (r..Ciu •-DE ~ .
ii. ~ii..C_~.:-~RGn)
WATEa2 MET°?2/COPFERHORN/OUTS7 D: REi,D;?
$ SdATER TAP (INCLCDE CORPCRATION STOP)
$ SE-::c2 Ty?
- $
$ ACCOu\T C.F.angIT - SdAT_°3
wac
$t?C
S TRUN{ SQAi.`~~R ASJ: S.C..':ET
, $ Z'RU.1K C~~".L7 As :ES ..:.F'NjT
$ LAiF7.AL ^nE:vEFIT/TRU:1ii SE;ic=
$ L?.TcRaL 3EVEFI_^/TP,U:1iC :•lATz'R
$ WATER TREATMEh`T PLANT SL'RCHARGE
$ OTHF.R:
$ TOTYL
$ AMOL'`;T PAZDjRECEi?T 2 S~/6a~
:r
DOES UTILZTY CON:IECTION REQUIRE EXCaVATSON Iy POBLZC RIGHT OF WAy?
L YES IF YES, THE.^] P. "PERMIT FOR `r70R5 WITHIy
PUBLIC ROADWAY" MUST BE ISSUED BY TEE
~~NO ENGINEERING DIVT.SION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY: ~
TZTLc: •
DATE:
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KN08 RD - 55122
851-881-4875
menta
New Conshucilon RealLremeMS Re_mneal/Raoair Reauire
v 3 registered elfe wrveya atwwing sq. H. W bt, aq. B. ot tause 2 coples W Plan
and MU rooled areaa (10% mmdmum lot coveraae alloweN 1 sef W erergy calculoNOna la hedteG addNlona
n 2 copies of plana (elww beam 8 wlndow alxes; poured 1nd. deslgn; etc.) 1 site wrveY ta extarbr adtHNOns & decka
a 1 aef Ot 6ner9Y cdCUIaMOM
> 3 copies of hee preaervallon pl(m H lot platEed afler 7/1 /93
DATE: In' zt G~O v CONSiRUCTION C05i:
DESCRIP'f10N OF WORK:
STREET ADDRESS:
LOT: 20 BLOCK: SUBD./P.I.D. i: W64NYy ~ SJ
Name: 44 a Phone 45rs'/ y~.~z
PROPERTY Laat Flrsl
OWNER Sheet Address:
CNy Stafie: ~ Z1P:
Company: Phone M:
(area code)
COMRACTOR
Sheet Address: Lice~ ~ ExP.
C(ty Siafe: Zfp:
ARCHITECT/ Name:
EN6INEER Company:
Telephone ( )
Street Address: Regishatbn
CHy State: Lp:
SeweAwater Ifcensed plumber (M installinn sewerhvaterl: Phone
I hereby acknowledge Ihaf I have read this applicaNon, sfafe ihat Ihe InfomwtNn is cf, and agree to co pla opp0oable StatE
of Minnesota Stalufes and Cify of Eagan Ordinances.
/
Signalure of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received ^ Yes _ No
Tree Preservation Plan Received Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIU
? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex O 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bidg. 0 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) 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 Engineering Variance
Permit Fee VaiuaGon: $
Surcharge
Plan Review '
License
MC/ES SAC
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116403
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 3932 Westbury Dr
Lot:020 Block: 004 Addition: Westbury 1st
PID:10-83650-04-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Tammy Donner
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 L Torkelson
3932 Westbury Dr
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature
. --=---------------
� For Office Use �
Cit of�� aIl � Pe�,�#: .������a ; �:�
� � � _ . � .,:-
3830 Pilot Knob Road 1 ���/` j y�
Eagan MN 55122 REC�1��� ` � Date Received:_ '•-
Phone:(651)675-5685 L---------'--------� `"'�
Fax:(651)675-5694 �(�(� � � 201/� �
Email:planninaCaacitvofeaaan.com ,;�
_ x<s
T:
Z�NING PERMIT APPLICATION s
❑ Please identify improvements on a scaled site plan drawing that shows lot lines,.:structures �
and existing conditions. .., �,`:�
�
� ;
� t y .Y �y� � . J4i.
� FR y�
F 'C�i'.�h+"} i`'.r.�a
`��,pp�� Site Address: _�� � � �r
tnforma�c�n 3:� � � � � � � � � � � � . _
;� ;� ��, � � � �� �,
'� ' ' Owner Name: � •�
;; Name: ^ ��. Phone;' `'ZV G-"'T7�-' !'7 g
��- :� Address: ���� ��- �,� �Gity/State2ip: � /�L{,�, � -
. -'
x; Con#act
:
n� �
g Applicant Signatur : � ` � � �Date:�_� � �",�-�"�lsv �� �
«_�_. , : . � > �;.
: Emaii address: �1 '7�` �C �^Id�A-.��!,'?�+,� ��i.19'��i,1�G'rl ' `� � �
CJ + ' � , _
' ❑Retaining Wall<4 feet ❑Driveway p Other:' � � �
��� `` � ❑ Patio � �Sport Court � � � � � '
�Type of:�Nar� � ❑s�dewaik � � � � � � �F�nce��. � � � �
_ ��
Description ofwork: `Sn 11; �1- r;.t . c�GC. �
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Revised Plans 8 f193 t0 b8 V8fif18d
Approved: Yes/No Date: Staff:' by CO�u'dCtOf/OWtl@C. -
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergrour�d�uttlity',��mage Call ^� ''�
48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateo�ecall.ora ' "
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�--�--- DEN07ES PROPOSED' SURFACE DRAINAGE �
o DEN07ES iRON MONUMENT SE'f SCALE: i iNCH = �e FEE7
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g9l,$ FEET �
.X000.0 DENOTES EXISTING ELEVATION PROPOSED L�WEST FLOOR = �g9.+� FEET
(000,0) DE�l07ES PROPOSED. EtEVATION . PROPOSED TOP OF BLOCK = $9z.•Z FEET
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I NEREBY CERTIFY TO GRANp flAKS DEVELOPMENT C0. THAT THIS IS A TRUE ANU CORRECT
REPRESENTATION OF A SU�VEY OF TNE BOUNDARIES OF:
� � Lot��20; Block•�4, WEST�'tJRY��I�ST ADDITI�N'; a'ccord'i�ng �o th� rec�o'rded plat ���� ' • �� -
thereof�,. Dak-ot�a' .Count�y����Mi�nnesota. �,;���, ,,.;�,��;�.;,�, ;;��,�
. - iG� vt�:l�;"��i�:=€rC?k+r.,"��'.
AND OF TNE LOCATION OF A PROFOSEO BUILDING. IT DOES NOT PURPORT 70 SFEOW IMPR4VEMENTS ,
OR ENCROAC1iMENTS, IF ANY, THEREON. AS 5URVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
TNIS tbTN DAY OF ,�u�.y , 1985. .
� � SIGNED: JA R. HILL, I(�C.
' . sY. � - .
� AROLD C. PETERSON, LAND SURVEYOR
' � htINNE507A LICENSE N0: 12294
PROJECT NO. 80(3K / PAGE �q�ES R. Hr��y INL.
85 7aY
�3c. j2� Pfanne�s / Enginee_rs / Surveyors �
F1LE NO. BZOQ Humbofd! Avsnu� 8ouih•
F4LDER � . Btoom�nston; Mn. 6b431 eiz-aa4-3o��
[—For Office Use /G
a Permit#:E AG N
Permit Fee: / /fCG
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoections@_cityofeadan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '/a 3/(ct Site Address: DDaL t, -es-I--6" CAr ' Unit#:
Name: MC. f r rc2 (con Phone: 6 dot — P- 5 4(cic1
Resident/ ‘ 61 3oz (--e.5 6 C CCr �"--Q
owner Address/City/Zip: t,� �,/
Applicant is: Owner x Contractor I 004 C -i' �( �cO/e
Description of work: W vk_D( s' 9 eQ S t
Type of Work
Construction Cost: 3 0 ' c"t' Multi-Family Building: (Yes /No-& )
Company: i,,.t` v')'t\' O- i�a.,ve Se r 'c:&S` Contact: Qe rt
Contractor Address:( 0 sa&o lel c. l(O LN it) /* /'�� p(J
3 s
State: it'% 3 6-362 9Phone: Email: 11 St Idt'-e
License#: 2-0S-405-C/(7‘5- Lead Certificate#: NA-1- 5--03 3`1—�
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and 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 penult 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.citvofeauan.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 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 QG P-c-AA..CU
App(cant's Printed Name App ic. • - gnature