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3933 Westbury DrPERMIT City of Eagan Permit Type:Building Permit Number:EA128285 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 3933 Westbury Dr Lot:003 Block: 005 Addition: Westbury 1st PID:10-83650-05-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Shawn D Gardner 3933 Westbury Dr Eagan MN 55123 (612) 581-8070 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature ' Y OF EAGAM WATER SERVICE PERMIT 3830 Pilc; Knob Road 66 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Un(ts: r: f~rar~ nallul; sr. Site /lddrcss: 1,:iZv ~ lumber: 4 . . . ~ JI~Meter No. ~Y e ~F+ar9e: i Siu: " I 1~ %poslt: I 5. U~; p u 'i ~ Reade? o.: Parmit Fee: 10 . QU pc' oe~splr wid+ eh. cit~r ef L.y.. surchnrge: . So- j?c? Ordiee'p.. ~ Mlac. Chorpas: p meter Totol: ~ By Dote Poid: i Dute of Insp.: .~t.g_ Ir~sp.: I . ' CITY OF EAGAN SEWER SERVICE PERMIT ' 3830 Pilat Knob Road P. O. Box 21199 PERAAIT NQ.: Eagan, MN 551pqTE; I0- Z 1 :4 Zoning: No. of Units: ~7ran a Owner: Address: 3933 e-' Site Address: , 8t uny r ve B est ury Plumber: `'yilmal!3 P1bQ s... _,-3. 46 . n 1 agroe !o comPip wbb the CifY of Eoga¦ Connectlon Chorge: 425.00 ptI Ordieenass. Acoount Deposit: p Permit Fee: • P Surcharye: ~ By Misc. Chargtes: Dote of Insp.: Total: Insp.: DoM Paid: _ - ,1 _ • 5r t.~' r . ' CITY OF EAGAN 95114 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 4548100 BUILDING PERMIT Reuivr # Te be ussd ior ~~/GAR_ Est. Volue $70i 000 pate SEPTEMBER 13, jq 84 Site Address 3933 WESTBURY DR Erect 19 Occupsncy R3 Lot 3 Block 5 Sec/Sub. WESTBURY 1 He,nodel ? Zoning RL Parcel No. Repair ? Type of Const. V Enlerge ? No. Stories of Name GRAND OAKS Move ? Length 5 0 Z Demolish ? Depth 48 ~ Address LAKEVILL; - Grade ? Sq, Ft. City hone APprovob F"s , o Name SAME ~u Address Assessment Pennit $ 3 4 3. 0 0 0 u~ City Phone Woter 3 Sew. Surchorye 35.0 ~ Poitcs Plon check 171.5 ~W Name Fire SAC 525.00 ~ 0 Address Erp. Water Conn. 470.0 ~W City Phone Plonner Woter Meter 63 _ 00 CounNl Road Unit 2 6 0_ n n I hereby acknowledps that I have reod this opplicotion ond stote fhot Bidg. Off, 9/13/84 Parla the information Is corcect and ugree to comply with oll opplicoble APC Total $1 6 7. S 0 Stote of Minnesoto Statutes and City ot Eoycn Ordinonus. Var. Date Sipnoture of Permiftee GRANn OAKS A Buildinfl Pe?mit is issued to: on the axprest conditlon thai all work shall be done in occordanct wlth all opplicable $tatp_nf. Mfnnesota Srotutes ond Cify of Eaqon Ordinonces. 8uildinp Officiol / J ~ - , i ' Permit No. Psrmit Holder Date PIum6lnp ~-7 H.VA.C. Electric Softener Inspaction Date Insp. Other Footinys Foundstion Frsminq 6 ` Rough Plby. Rough HVA inwlation Final Plbp. Final HVAC Final c..aoa. _a/ s y q Water D-ibe Location: T YYell 6/~ Sewer , Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces 5/C Type or Print legibty Tot. 1. Date 2. Installation Cost i, , 3. Job Address Lot Blk. ~ Tract l-' 4. Owner ~ , i ~ U ~ % . ,1, . ' 5. Contractor Phone 6. Address 2-~ i 7. City 1 i,l State Zip 8. Building Type: Residential Q Commercial ? Institutional ~ 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauinment 9TU - M. Ea. No. Equipment CFM ForCed Air Air Handlin Mfg• - ' • " ~ g. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. r' - ~ - Gas, Piping Outlets ~ 12. 1 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 454,8100 11 ' UL Receipt 1.) PLUMBIN(i PERMIT Permit No. GTY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legibly Tot. e;~_ ,.1. Date _2. Installatl`bn Cost 3. Job Address ~ Lot~Blk. Tract ~ 4. Owner c-- Y~v 5. Contractor Phone "/SV<-- 6. Address 7. City State Zip 8. Buiiding Type: Residential ~ Commercial ? Institutional O 9. Work Description: New IE5Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank ~f Lavatory Softner ~ Shower Well Kitchen Sink Urinal/Bidet Other Gvi ~ ~ Laundry Tray Floor Orains 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 ordina ces and codes governing this type of work. i ~ Signed : for/~l~~ t-: r Rough Final ~ Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 i CITY OF EAGAN Remarks 0.t.'r - ~ Addition WESTBURY FIRST ADDITION Lot 3 Blk 5 Parcel 10 L836S0 030 OS Owner Street 3933 Westbury Drive State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1$6 2850.00 Co1ooio 1-24-85 STREET RESTOR. GRADING Water area 7 1986 133.721 8.92 15 133.79 CO10010 1-24-85 SAN SEW TRUNK 1985 436.23 29.08 407.15 C009988 1-3-85 ~ SEWERLATERAL 19H6 5008 -24-8 Watermain 986 665.29 4.35 15 65.29 CO10010 1-24-85 WATERMAIN p 68,71 4-59 15 59.55 C009988 1-3-85 ~ WATERLATERAL 1986 WATER AREA d '160.28 C009988 1-3-85 *Services 1986 STORMSEW TRK ' 1986 710.24 142.05 1, 710.24 CO10010 1-24-85 * S70RM SEW LAT 1986 CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 260.00 #46271 9-13-84 WATER CONN. 470.00 V BUILDING PER. 504 " " sAC 525.00 PARK T . ~ ~-•-r•~- _ . ~ . ; %erfiftCRte 0f CCCItpQIiCV (fiti) of W agatt mepartateur of Zxitbing 384ccrion This Cenificate issaed pursuanl ro the require+nents ojrhe Uni,f'orm Building Code certifying rfeat at tiu time of issuance this stsrecturr was in compliance with the various ordinances of the Ciry negulating building construction or use. For the following: F1RE DAMAGE 31683 ux cImirKahm: swg. Pcnnit No. Occ„p„rcy Type 7ming U;str;a rype const. o~..f g,,;idix STEVE KENOW Aamam 3933 iJFSTBl1RY DB_, EAGAN, mN gwlding 3933 WESTBLIRY DR ~~ocwjry L3. B.S. WESTBURY 1ST ~ Dam: JULY 1, 1998 &d1dW&" POST IN A CONSPICUOUS PLACE _ . • - - ~ A ~ INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~ APPLICANT: ';i 1411pv np PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . . , a~i,`,s:r... ~ ~ ;.t .•~t i~, ~ ~ ~ ~ Pertnit No. Permit Holder Date Telephone # • ELECTRIC - PLUMBING ~O 9 8(~-GG9G HVAC Inspectfon bate Inap. Comments FOOTINGS FOUND FRAMING 6 ROOFING ROUGH PLUMBING S I ~J ~ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FiREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL A 9 ~ ~ 0 MCD .e?ite~Polnt- MAR 1 3 2006 E~~ HOUSE HEATING TEST RECORD Minnegasco j ADDRESS .Z`7j ~QS,}' Y1tlY'4 lot- APT. FLOOR CITY$rl OCCUPANT OWNER HEAT LOSS Yes ^ pATE HTG. INST. Z' C1C, SOLD CenterPoint Minneaasco INSTALLED BY _ QenterPoint Enerciy Minneqasco Electrical Work By 4 Gas Line By I r TVPE OF HEAT v SPACE HTR. UNIT HTR. OTHER MAKE GAS DESIGN (I CONVERSION ~V?~ ~ Model !IG 0' ' o7, -q 4Vent Size _ Serial ' KIND OF LINER- ' SIZE NPl1T 7S,000 NONE / Draft H~ dUlYN Regulator CONTROLS Filters Size K i Numbar THEfiMOSTAT Heat Plug Chimney Location Inside Outsitle Value ChimnayConstruclbn Limit ~ Limit Setting Wiring VI" Fan Setting , Test Teg Pilot Type , Lighting Inst. Pilot Make Date Tested ~ ~ Point ,OG pilot Model Company Testing r Minneaasco Pilot Timing Name of Tester ~(1 Pressurer , PerCent COp . z nput CFH Percent OZ Steck Temp. ~ ct.s ~ Percent CO0-0 CITYOFEAGAN 0 9504 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 0 - BUILDINC PERMIT PHONE: 454-8100 Receipt # -f l Te M wed for SF DWG/GAR Est. Value $70,000 pale SEPTEMBER 13 1 q 84 SiteAddress 3933 WESTBURY DR Erect I$ Occupancy R3 Lot 3 slock 5 Sec/Sub. WESTBURY 1 Remodet ? zoning Rll. . Parcel No. Repair ? Type of Const. V ~ Enlarge ? No.Stories & Name C'RAND OAKS Move ? Length 50 _ Z Address 7623 UPPER 167TH Oemalish ? Depth48 ~ City LAKEVILLF'hane 432-6561 Grade ? Sq. Ft. o Nama SAMF. ApOrovalt Feea o" Address Assessment Permit $ 343.00 0 V~ City Phone Woter & Sew. Surchorge 35.0 Police Plan check 171 . 50 C,°C„ Name Fire SAC 525 _ 00 Address . , Eng. WolerConn.470_00 ~ W City Phone Clonner Wofer Meter -.Council Rood Unit 760 nn 1 hereby acknowledge thot I have read this aDPlication ond state that gld9. Off. 9 13 84 Parks fhe intormotion is correct and ogree to wmply with oll applicable APC Total $1 . 867. 50 Srote of Minnesota Sratutes and Ciry of Ea9an Ordirwnces. _ . . . Vaa Date Slpnofure of Permittee A Building Permit Is issued to: GRAND OAK$ on the ezpress condiNon thot oll work sholl be done in ct anc 'th oll opp icabl tm Minneaota Statutes urd City of Eagon Ordinonces. BWldinp Offlciol ~ Morx--- L ' G2' ~ . . MB9M-,„ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN , /3 INCLUDE Q SETS OF Y'LA~NS, 1 / 0 CERTIFICATES OF SURVEY SET OF ENERGY CALCULA/T/IONS To Be Used For: Valuation: 70, 4UO Date: Y Site Address: 3933 epf~~ • • Lot:~ Block: ~__Sect/Sub: Erect: ~ Occupancy: R-3 Parcel Remodel: Zoning: 1- Repair: Type Of Const: Owner: Enlarge: # Stories: Move: Length: ~A Address: Demolish: Depth: City/Zip Code: Grade: Sq. Ft.: Phone Contrac tor : Address_ 67 23 ~67 ~ Assessments: Permit: City/Zip Code-~~ Water/Sewer: Surcfiarge: -S-rJ x Police: Plan Rev.: \~j 1, _ Phone `13aFire: SAC: SZS."- Engr.: Water Conn: Arch./Eng: Planner: Water Meter (a3.~` Address: Council: Road Unit- Bldg. Off. c Parks: City/Zip Code: APC: nhn.,Pa- Variance: ~ /j,F 6;7's 0 ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ New ConsWCtron Reauiremenfs RemodeURenairReauiremenls Office Use Onlr 3 registered site surveys showing sq. ft of lot sq. ft, of house; and all mofed areas 2 copies of plan CeA of Survey Recd _ Y_ N (20% maximum lol coverage allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Reod Y_ N. 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey fir addNOns & decks Tree Pres Requi2d _ Y_ N 1 set of Eneyy Calculalloris Addition - irid'rafe if on-site sepfk system On-site Septic Sysiem _Y _ N 3 copies of Tree Preservadon Plan'rf lot platted ailer 7M53 Rim Joist DefaY Options selectlon sheet (buildings with 3 or less units) Date la l46 l Z oO.S Construction Cost ~ZJ~QO Site Address UoiUSte # E!1 G nv /V DescriptiooofWork E/ttOVE Ej(/ST/A/G -51.PjNG~ eUST11e-1 /VEy VNfi'4 SD/N Multi-Family Bldg _ Y V N Firepiace(s) _ 0 ~ 1 _ 2 Property Owner S7",67V EAND Al~EHmw Telephone re S/) D170 Contractor 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 Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculalions Submitted , In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) 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 ca of work hich quires a review and approval of pl tcj f-~eAOw Applic t s rinted Name cant's Si ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 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 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. O 05 03-plex O 11 10-plex D 19 LowerLevel ? 24 StormDamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement *pemolitEon (Entire Bltlg) - Glve PCA handout to applicaM Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Fina]/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Ofher Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. AirTest Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search ` Copies - . • '1 Other Total RESIDENTIAL •BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EACAN MN 55122 `i~ 651-681-4675 New Construction Reauirements RamodellRewir Reauiremenb . 3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20%maximum lot cove2ge albwed) • 1 set ol Energy Calculations for healed addiGore • 2 copies of plan showirg beam & window s¢es; pou2d Pound design, etc.) • 1 site survey for extenor additions & decks • 1 set of Energy Calculatians • Indicate if home served by septic system for additions • 3 copies of Tree Preservafion Plan if bt platted ader 711193 • Rim Joist Deqil Optiop selection sheet (bldgs with 3 or less unifs) DATE VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y N TYPE OF WOR FIREPLACE(S) _ 0_? 1- 2 APPLICANT ~ STREET ADDRESS C 5 I TELEPHONE NE # CPS~ FAX~ 2- PROPERTYOWNER TELEPHONE COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 bIINNESOTA RTJI.ES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Watcr Hcater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # ~ ~1 ~ ~ Yfechanical system includes: Air Condiuoning r e• ~'~Q.O ~ ~ Heat Recovery Systeai ,JUN ~ ~ Sewer/Water Cont?actor: Phone # I hereby acknowledge that I have read this application, state That the' orma s corr t, n a e to co ly with all appiicable State of Minnesota Statutes and City of Eaga r' an s. Signafure of Applic OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ UpdateC 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt • Multi ? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliHOn (Entire Bldg only) - Give PCA handout to appiicant 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 W idth REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Poot Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall pproved 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 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u r Lo z N e Eagan, Minnesota 55122-1897 Permit Number: 031683 (612) 681-4675 Date Issued: 0 5/ 01 J 9 8 SITE ADDRESS: 3933 WESTBURY 6R LOT: 3 BLOCK: 5 WESTBURY 15T P.S.N.: 10-83650-030-05 DESCRIPTION: (FIRE DAMAGE) Li~1'1dilt~g~'ermit Type SF (MISC.) ~Bia~,'14€xrag Type REPAIR . ~ensYls Gbrd~., 434 ALT. RESIOENTIAL J ~ F cagan REMARKS: PLRN REVIEWED BY MIKE BflRCK . . FEE SUMMARY: VALUATION $73,000 Base Fee $718.50 Surcharge $36.50 Total Fee $755.00 CONTRACTOR: - Applicant - sT. LIC.OWNER: RONEL RE5TORATIONS 14351932 0002158 KENOW STEVE P 0 BOX 240744 3933 WESTBURY DR ~PPLE VALLEY MN 55124 EAGAN MN 55123 ~612) 432-3444 s s a i'v ( a s : •-'.-Pi~- i~ 9 ws ro" ~ ~ ~ , ,^3 . e ,s s, v r ~ p27 4 k ~ ~ w~` +ris . ~ 3"aakrrar~uied~}~' 7-1s otam~is~~ d ti}~ i ty, ~...ee. . . ..'w ~n . a., i << abiS.2l~u $ ~ e..et v ~ i ,4~• .~z ;s °W . APPL ANT/P ITEE SIGNATURE ISSUE BV: SI TURE 431,L61998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 47~'~. 0 0 ~ CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 3( 681-4675 New Construdion Reauiremants RemodeVReoair Reauirements • 8 rogistered site surveys ? 2 copies oi Plan ? 2 copiea of plens (inGutle beam 8 window sizea; poured fid. design; etc.) ? 2 sfle surveys (exlerior additiona 8 tlecks) • 7 energy piwlatlons ? 1 energy calwladans lor heated adtlilions ? 3 copies of tree preservation plan if lot platted aRet 717l99 requiretl: _ Yes _ No DATE: ~ - 36 CONSTRUCTtON COST; ~1,00a ~ DESCRIPTION OF WORK: 4-7 or~wlq'G(= STREETADDRESS: OIZ ?n6 LOT: BLOCK: _0' SUBD./P.I.D. Y.V.d&Ni Name: 4=e1-06? Y'}-e V e- Phone PROPERTY Last Firsc OWNER ~f' / ' Street Address: J4 W P,f t(S!„s2 Dl[ City State: hl/v Zip: Company: Phone ~ q 3 a CONTRACTOR Street Address: 7` a L/d 7License # a l.~ tt~ City 1104Q 67 State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registation Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction onty): . Penalty applies when address chang and lot change is requested once permit is issued. nd agr ee to comply wkh all applicabl I hereby acknowledge that I have read this application and state that the infortnaV147 5tate of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certficates of Survey Received _ Yes _ No ' MR 3 0 10 ~r Tree Preservation Pian Received _ Yes _ No _ Not Require . A' v n w OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ;EY-05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE -~F- ,i2-~: R!F--r:.y.I a ? 31 New ,0'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq, ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3y Depth Footprint sq. ft. SAC Code ~ Census Bldg ~ Census Unit APPROVALS Planning Building /Ke Engineering Variance Permit Fee Valuation: $ 7 3. o vo Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies , Total: . SAC~..M - , : ~ ; • ; SAC Unj~s _ _ _ / CITY USE ONLY ? L ~ BL S RECEIPT 9,~& T 7 SUBD. IA 4A{J-44W RECEIPT DATE: Y~ 9 1998 PLiJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT IINOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = G8s Piping Outlet ' minimum - 7 3.00 x = Rough Openings 1.50 x = Water Softener for dwellings under construcGon 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Spfinkler ' far dwelling under const. 3.00 = U.G.Spflnkler "forexistingdwelling 20.00 = AiterBtions ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC iic. 75.00 = ?O~ 61'd (new and refurbished systems) Private Disposal Systems * qbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL - I hereby acknowledge fhat I have read this applicatian, state that the inforination is wrred, and agree to eomply with all applicable City of Eagan ordinances. It is the applicanPs responslbility tn notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement. SITE ADDRESS: 3/ 33 )oQi OWNER NAME: /I Or~- C~ ( co INSTALLER NAME: ~.aC/BC/c°? TELEPHONE ~ZK- e~G941- STREETADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CDlPERMIT FORMSlRPLB PERMIT (RES) - 1998 . ~ 2/a4 u CITY Or EAGAN APPLICATIGN FOR PERMIT • SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) i~ PROPEF7I'Y ADDRESS: e's fb oru ~ r\ V P LErar• DESCruarzcv: 1..0~ .3 tQlock, ~5- I~J~ -~~~7c-u `s+ (Lot/Block/Subdivision or TaY Parcel I.D. Nimbe$) ~ .T'r S?'P,C'CPJE2E, DA'I-' 0_° OR.iGi II1L ISS~ANC.: PPWST :,^,`,IIiq: /P!20POSED LTS': ~ R-1 SZiGLE zP_NLILY ? R-2 DUPT= ('IS40 L'NITS ) ? R-3 ZY7.jN7CUGE ('I'I-m...~F"-. + L^IITS) { IIN2•,•S) ? Fi-4 AFAa'L"SE^7T/C0:7]CmIP72tTiI ( LNITS) ? CClMME?CLTkI,/REPIIIL,/OFFIC ? r.'DL'STRIAL Q i^ISTI;2,TIONAL/GGVE.RINPi1E:~'T Z.) APPLIGAti"P (PIEASE PRINT) PS]DRESS: IP~`_3 t~ 47oc> \~a"1"` S crrY, sTATE, zIP: PHONE: Y3a- (0 sA t 3) PLLmffiE.4 ~ME. ,M ;1 PLEASE P iNT) • fOR CITY USE dNLY d„G1Jc5h v PLUP RS IICEYSE: ADCRESS: ~f:~s- 91Q ACJ~ Active CITY, STATE, ZIP: LG C~r~,1. s~d v~I ~ Expired ai:n Q Not0 Record PHaNE: ~169- 3 ~ PLUMBEA LICENSE Jl _e--) af nitt~ q) a==/aq,ER NANIE (PLEASE PRINT) : ADDRESS: CITY, STA'IE, ZIP: PHOVE: S) INDICIITE WHZCEI PERMIT IS BEING REQUESTID: ~ CbD1NEC.TION 'IIO CITY SE.S^1ER ~ CbNN?C:ION 'IO CITY WATEE2 ? diHER (PLL715E DESCRIIIE) 6) IDIDIG'.UZ C:lE: ~ / / ? P~5E ?0 APPR T' ICf: UP ~Yw ~ PLFASE : *AIL APP T . ~ C (Circle one) 7) SIG~,Tz~'IL'RE: DATE: !!lOl:aliwf~e_.ai~ils.!la:axa~r . . . . . . . ~i:ftviliiYMii~sii:ialft~lf!?tl~Jl!!1Al~~ieF~iii~FOR C I T Y U SE ON:,Y ` PE2MIT ISSUED " ro rr. - $ ~.G . ~ Sc..r~ER nva ~ ~ B_1r_T (I.ICL;;i. : SUn..r,..v ~ ,ARr„c.) $ WATER PETU1IT (INCL'JDE SliRCFIARGc) $ l ~ •^--cs WATER METER/COPPERHDRN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:dER TAP $ _.cCGi;:iT 7`.?OSI7 $ _ la+t". ~ --d ACCOUNT DF.POSIT - A]ATER , $ ~,.-/7 tr. WAC $ `~-1° ••'-c' SAC $ TRUNK WATER ASSESSMENT $ TRli:IFC SEWER ASSESSME:iT $ LATERAL SENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ` OTHER ' $ TOTAL $ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR 'r70RK WITHIN ~ PUBLIC ROADWAY" MUST SE ISSUED BY THE NO ENGZNEERING DIVISION. LIST AS A CONDI- TION_ SUBJECT TO THE FOLLOWING CONDITIONS; • APPROVED BY: TITLE: ---L-~ ~ DATE : Ra§cw MR swm m 5llRVEYOR'S CERTIFICATE GRANp 6AY,5 DEVELOPMENT CD. 9--- 890.3 y ~ WESTBUR-Y~ DR/VE X 890. 7 d_7,45¢4R=5/3.59~+~j p~ S82.27 9°55'l0"W OJ.50 890.J ! ~ o ° - ; y o \f 89 0.6) . . ~ 5~ ~ ~ 40? . ~ y O ro q 01 O M 22.0 891. 897.78 M AR m N O V , ; PN M 4j 1891.2 /.O ~ 891. b ~ 28.0 ~m °m4U O p p PROPOSED N NOUSE N mt N ~ i ~ . ' m' I o°, C1' IR 72 46.0 88 e.9 m `~I V f LOT 3 "?DRAINAGE & U71LlTY EASEMENT'~\- 4 SER PCqT ~ LJ 882.6 h ~ 886.g 0883.5) S89055`10"W 90.00 (88-15) s DENOTES PROPOSED SURfACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE fL00R = 593•0 FEET X000.0 DENOTES EXISTING ELEVATION PROPDSED LOWEST FLOOR = n9 0.2 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =593,Q. FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATTON OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block 5, WESTBURY FIRST ADDZTIOii, according tott!:e recorded plat thereof, Dakota Ccunty, P9innesota. 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 P1Y DIRECT SUPERVISION, THIS lOTH DAY OF SEPTEMBER 1984. SIGNED: JAMES R. HILL, INC. C p 4~~z BY: HAROLD C. PETERSON, LAND SURYEYOR PIINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84g?9 10o ~&Z-) Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue 8outh FOLDER etoorninyton, Ma 66431 e12-884-3020 - - r . EXTERIOR ENVELOFE AVERAGE 'U' CDMPUTATION . GRAND OAkS DEVELOPMENT COMPANY `,II MODEL Q._. AREA sU U X AREA FiERU I RED 1. TQ7AL WALI.. AREA 1900 X. 11 148? , TOTAL ROpF AREA 1196 X.026 31.096 ? ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 .5 93.33 B. DaOR AREA 39.8 .077.. 3.4646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIFiEPLACE AREA 0 0 4 E. WALL FF2AME AREA 18b .041 7.38 F. NET WALL AREA 1164.1 .(}49 57.0409 G. RIM JOIST AREA 119.52 .0436 5.211072 H. FOUND WINDOW AREA Q 6 p 1. FOUIVD ABOVE GRADE 96.48 .135 13.0248 3. T07AL WALL AREA 1890 185.5426 ? J. SKYLITE p O 'O K. ft00F FRAME 119.6 .032 3.8272 ' L. NET RDOF AREA 1076.4 .025 26.91 ' 4. TOTAL ftOOF AREA 1196 30.7373"/ . , 5UM 1.+2. 229.096 " SUM 3.+4, 216.2398 i . • zoos RESIDENTIAL PLUMBING PeRnniraaPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ 1 30 1 O rb I SiteStreetAddress 3``l33 W~s'{Duvv (~Y Unit# PropeRyOwner 4s ~qcs7v~ Y~ ne? Telephone# (CosO `j'?~/~9D6 Contractor Telephone # ( ) Address City State Zip The Applicant is: '/Owner _ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Peras-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee indudes installation of a water softener and/or water heater at the same time. If you are installing on/v a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment 1E a v D _Water Turnaround (add $730.00 if a 5/8" meter is required) MAY 3 0 2006 Other: Water Softener 11~Water Heater $ 15.00 _ new Z~replacement Lawn Irrtgation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ /5-• 57 ~ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with t/he approved plan in the event a plan is require o be rewewed /a F'approved. ~'G~Y W V/\ C7~ 6Vi 'e T jt_.. Applicant's Printed Name `Applicant's Signature ~ 2~23 ,qYo~,i=~;~~ ~3o.So RESIDENTIAL MECHANICAL PERMIT APPLICATION _ ~ . 0200 (o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: singte family dwellings & townhomes/condos when permits are required for each unit Date _C)(, Site Address 3ei 3 3 t,uev- bur ~Dr Unit # PropertyOwner '~J~2V2n /-&e/1(7c.J Telephone#(65~ )~-(S~/ ~C~c7 Contractar i'an~er Pblnt Fneruy StreetAddress 1~5b~ Cefi1rcl A,P Q1E' City State m q/ Zip Te?ep6one # (-'/~3 ) -7 S 7-- Bond It: Z ZO I 7~~ ~V Expires: The Applicant is ~ Owner ~ Conhador _ Other Add-on or alteration to exis[ing dwelling unit $ 30.00 asfurnace _Additional ,:<_Replacement J ' air exchanger airconditioner _New _Replacement other State Surcharge $ 50 Total $ 0^ SD I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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. e,- ~ n Q.• ~ ~~-y~~J.~.. ~.v9e~' ~l vf~' i r, Applieant s Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION ; City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenant Name (iFapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Band Expires: The Applicant is _ Owner _ Contrac[or _ Other Work 1'ype New Construction _ Underground Tank _ Install _Remove ""see below fnterior Improvement _ Install Piping _Processed _Gas Nature ofWork: `*When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector Permlt Fees: $70.50 Underground tank installation/removal $SO.SU Minimum (includes State Suroharge) or ContractValue $ x 1% PermitFee • If ep rmit fee is $1,000 or less, add $.50 =t. $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 oermit Fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 acwrdance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: Inspector Date: nteriPoint. Energyy April 7, 2006 Stephen Kenow 3933 Westbury Drive Eagan, MN 55123 Dear Stephen: The City of Eagan has notified us that a change needs to be made to your installation in order to be in compliance with City/State codes. We have tried numerous times to contact you to schedule an appointment to complete this work. Failure to respond in a timely manner could result in additional permit fees being assessed by the City. Additionally, should you decide to sell your home in the future there could be potential issues with code compliance. Please contact us at your earliest convenience to complete this work. Sincerely, CenterPoint Energy Installation Department 763-757-6202 cc: City of Eagan H:custcodewmplaince , . , . . . , . ~ , Clt of Ea aIl j Pertnit# I ~ 1 Permit Fee: ~1/ 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: ~ j Phone: (651) 675-5675 i ~ Fax: (651) 6755694 I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L/Ou SiteAddress: .5C/33 LA-e5f~arj `.Gx." 4 14,)_` -Tenant: 6Y1a.w.1 ,~v)~ L-+~q (5-ecY~d`eV- Suite#: RESIDENT! OWNER Name: Phone: (957/ AddresslCity /Zip: 34733 we-5-f 6, r~ ~f Applicant is: l/ Owner _ Contrador TYPE OF WORK Description ofwork: Drcjc ~an S'~tiu c.~rO Construdion Cost: 06U Multi-Family Building: (Yes_! No~ CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (+l submission type) • Energy Envelope Calculations Submitted 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: NOTE: Rlans and supporting docuinenfs,thaf yod submifare considered to be public information. Portions of the inforinatiori may be classified as non-p'ublic'Tf you provide specific reasqns that Wou(d permif the Gify;to. ' conclude Yhat the are trade secrets. I hereby acknowletlge that this infortnation is complete and accurete; that the work will be 7n confortnance with the ordinances and cotles of the City of Eagan; that ederstand t is is not a permit-,bvYoa an application for a permit, and work is o start wrthout a permit, that the work will be in yecordan i he approve plan in the case of work 7 requires a review aruJ Vprova y s. Applic`~nYsI-Printed Nam Applicant's Signature ~3 i DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AIL - Multi ? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? E#. Alt - SF ? 02-Plex ? OS-plex x Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ~Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ~0_a__D Occupancy ~ MCES System Plan Review Code Edition 2[?<? ~O SAC Units (25%_ 100% ~ Zaning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. fV6~ Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ~ Footings (deck) ~ FinallC.O. Footings (addition) ~ FinallNo C.O. Foundation HVAC Drain Tile Other: ` Roof: Ice & Water _Final ` Pool: _Footings _AidGas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:^R.I. AirTest _Final Windows ~ Insulation ~ Retaining Wall Reviewed By: Building Inspector - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge , S8W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 :S'VEYOR"S CERTIFICATE 6RAND DAY.S DEVELOPMENT C0. 89O 3 ~ WESTBURY DR/VE X 890. 1 1~~~ee~. s a=7° ~ f?= 513.59 2 2 7 a, (e9oo) , 45'44 6958 ~~8S89 5510 W ~ yQ o ~l ow . ~ 01 ~ 5 ~ A o~ 1 5 0 O y p q ~ h .4 (89 2.~) l, 1 8 9 l. 5 891. B9OB 122.01 „ p ~ ~ 0 GAR N Q m i PN ~ ~ Q. Q91.2 .0 C 28.0 / es1.61 O 0 i m W A p p/ PROPOSED c~`u i ~ ~ N HOUSE N16 ~i .-19.T2 46.0 988.9 (BFi`j.q `Y D ~D ~ LOT }}--'aa-->DRAlNAGE 6 UTJLITY fA MENT~ ' { 5 I PER PLAT , I 862,6 h h 9B6.g ~883.5 S89°55'10"W 90.00 (aa7.s) ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES 1RON MONUMENT 5ET SCALE: 1 INCH = 30 FEET • DENOTES IRDN MONUMENT FOUND PROPOSED 6ARAGE FLOOR = 5~73•v FEET X000.0 DENOTES EXISTING ELEVATION PROPDSED LOWEST FLOOR = n~ D. 2 fEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 5 93.d. FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CDRRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block 5, WESTBURS' FIRS; ADDITIOii, according to it~-e recorded plat thereof, Dakota Ccunty, t^.innesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS DR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION, THIS lOTH DAY OF SEPTEMBER 1984. ~ . t SI6NED: JAMES R. HIIL, INC. C `~C/u~t4dr--~ I HAROLD C. PETER50N, LAND SURVEYOR PtINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 848~9 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue 8outh FOL DER eboMin9ton, Mn. 56431 612-684-3020 - . - PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129832 Date Issued:03/17/2015 Permit Category:ePermit Site Address: 3933 Westbury Dr Lot:003 Block: 005 Addition: Westbury 1st PID:10-83650-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Shawn D Gardner 3933 Westbury Dr Eagan MN 55123 (612) 581-8070 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175194 Date Issued:03/18/2022 Permit Category:ePermit Site Address: 3933 Westbury Dr Lot:003 Block: 005 Addition: Westbury 1st PID:10-83650-05-030 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 - Shawn Donald Gardner 3933 Westbury Dr Eagan MN 55123 Pure Home Restoration Llc 20384 Hampton Ave Lakeville MN 55044 (952) 955-9011 Applicant/Permitee: Signature Issued By: Signature