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3938 Westbury Dr ' CITY OF EAGAN WATER SERVICE PERMIT 31130 P"W, Knob Road P. O. Box 21199 PERMIT NO.: ~ Eagan, MN 55121 DATE: Zoninp: 1 No. of Unitr. 1 Owner: Czand 40 a k s Address: Sih Addross: 3919 G;estbuzV ~~r'.•,;~_ T?l 2st Plurnber 111-kl-v t`-';mh AAeter No.: ~0` ! Size: " 0IV " ffol R/lGder IVO.: w- to 'i TOfOl: 8y DOM POId: f Insp.: Af - ~L s Irop.: - 86 CITY OF EAGAN SEIKR SERVECE PERMR 3830 Pilot Knob Read • P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: ' No. of Units: Ownar: - Addross: ~ SitE Add~QSS: PlW1'1bQR - - I yme 10 0-ph wilb the Chy of EaN¦ COnMCtlOn dlafQe: ordlNIICM. ACGDUIIL DEposif: - Pamnlt Fee: Surcharpa: - gy M1sc. Chorom Dafe of Insp.: Total: Insp,; DoM Poid: k-- - - ~ 3830 Pgot Knob Ro dl P.O. Box 2G-A199, Eagan, MN 55121 1~. 6~ 3 PHONE: 454-8100 BUILDING PERMIT Receipt # To ba used tor ~)F uWG/C.AR Est. Value $61, UD0 Date ~'-~IiCli 11 SiteAddress 3938 wEsTSUxY DK Erect [2` Occupancy K3 Lot 21 Block 4 Sec/Sub. ~VE57bUjtY IST Remodel ? Zoning i~1 Parcel No. Repair ? Type of Const. y Addition ? No. Stories a (i,?ITiN13 UAtf.;i DE:VE:L CO Move ? Length 44 Name = I8$1 SUNRISF: C1' Demolish ? Depth o Address Int Impr. ? Sq. Ft City EAGAT' Phone 452-8934 Install ? = o Name S.4.MF, Approvals Fees Address Assessment Permit $ 3 16 . 00 ~ City Phone Water & Sew. Surcharge J 0. 50 ~ a Police Plan Review 158 . 00 F W Name Fire SAC 575.00 Address Eng. Water Conn. 500 . 00 i 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. 3/12 /ib Tr. Pi. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee Total 089. UU GRAND AKS JEVRL CO A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Ofticial - - ' Permit No. Permit Ho1dK Da/e TMophom A Plumbinq ~~C 3 3 8 ~ eleclrfc $ollener Inspectbn Date Insp• Comm~nts J ~ Faoang. I /d Footlnqsll FoundeNon Framinp j ~ Roolinp R«,gh Plbg. Rouph Hty. ~ Imul. ~j'-~'•~~ )311-1 Firoplace Fhul Hty. Final Plby. Bldp. Flnal CMt.Otc. Dsdc Fty. Deek F?mq. Wdl Pr. Dbp. . ~ ~ . ' i:i i ' PERMIT # OgY CITY OF EAGAN FEE PLUMBING PERMIT S~C RECEIPT # - 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL a`IS ~ DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res ~ Comm Inst 2. New X- Add Alter Repair CQ . 3. Total Bid Price 4. Job Address s1~9 W~~vrs/ .L,riv c~ Lot Block ~ Sec Lue.s~ bu~ ~/S-/ AWW-5. Owner <Or^~~'el 6/VA"-S IAV- s. Contractor 1441-&-v A1Lv.n6.i26? 17D_ (Name) (Streeq (City) (Zlp) 7. Contraqtor Phone # y9~~ : ~ial NO. FIXTURES NO. FIXTURES NO. FIXTURES / Water Closet - $3.00 ~Laundry Tray - $3.00 -Well - $10.00 =Bath Tubs -$3.00 Fioor Drains -$1.50 Private Disp Syst -$10.00 -/--Lavatory - $3.00 ZWater Heater - $1.50 -J-Rough Openings w/o Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 2--Kitchen Sink - $3.00 7~Gas Piping Outlets - $1.50 -Uriridl/Bidet - $3.00 -Softener - $5.00 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inapections: Date Rough Insp. Date Final Insp. Roaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' % • - FM ~ Fill in numbered spacer S/C • Type or /iilnt legib/y Tot. € 1. Date 2. Installstion Cost ' 3. Job Address Lot Blk. Tract 4. Ownar , ; 5. Conuactor Phone ! ~ 6. Address ; ; 7. ILAty State 2ip 8. Building Type: Residential O Commercial O lnstitutionat ? 9. Work Description: New ? Add ? Alter ? Repair ? ~ 10. Datxibe Fuel Type f ! 11. No, Epuiument 8TU - M. Ea. No. EQUipment CFM ' Forced Air Air Handling: Mfg. • Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. t 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 ~ Lll PERMIT # ~ ~ q-7 MECHANICAL PERMR RECEIPT # g • qTY OF EAGAN n 3830 MLOT KN08 ROAD, EAGAN, MN 55121 DATE 3 CONTRACT PRICE: PHONE 454-8100 Site Address ' BLDG. TYPE WORK DESCRIPTION LotBlock Sec/ ~ - ~ Wz ~ New -T m Name Mult Add-on ~ ~ Address Comm. Repair c city - , Phone Other ~ Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTPAL FEE - 10.00 Unit Heater M 6TU 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 Outlets # Other ' FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # S I a b CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address-L 2 BLDG. TYPE WORK DESCRIPTION LotA I Block OLi_ f Sec/Sub e- Res. New m Name Mutt Add-on ~ Addr Comm. Repair c Ci Phone Other I Et.~ NO. FIXTURES TOTAL Name Water Closet - $3.00 $ c Addr Bath Tubs - $3.00 p City Phone` Lavatory -$3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMiJM - RESIDENTIAL FEE _$10.00 Laundry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20.00 Floor Drains - $1.50 STATE SUfiCHARGE PER PERMIT - •50 Water Heater - $1.50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) ~ Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: S~~~ CITY OF EAGAN Remarks Addition WESTBURY FIRST ADDITION Lot 91 Rlk 4 Parcel Owner Street 3938 WPetl,ury Dr-iVe State E3gan, MN 55I23 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1986 2850.00 570.0 STREET RESTOR. GRADING Water area 1986 133.79 8.92 15 SAN SEW TRUNK 1985 436.23 SEWERLATERAL 1986 5008.73 1001.75 5 Watermain 1986 65.29 4.35 15 WATERMAIN LJ WATER LATERAL WATER AREA - - 11184 - 99. 313 15 ervices g STORM SEW TRK " 1986 710.24 * STORM SEW LAT 1986 CURB & GUl'fER ' SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN _ 11603 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np PHONE: 454-8100 BUILDING PERMIT Receipt u / d~4yo Tobeueedfor SF DWG/GAR Est.value $61,000 oate MARCH 11 19 86 SiteAddress 3938 WESTBURY DR Erect Occupancy R3 Lot 21 Block 4 Sec/SubWESTBURY 1ST Remodel ? Zaning Rl . Parcel No. Repair ? Type of Const. V Addition ? No. Stories Move ? Len th 44 s Name GRAND OAKS DEVEL CO Demolish ? Depth dR = 1 81 SUNRISE CT Int. impr. ? Sq. Ft o Address Ciry EAGAN phone 452- 934 Install ? a SAME Approvals Fees o Name 6.00 ~ ¢ Address Assessment Permit " Ciry Phone Water&Sew. Surcharge 30.50 Police Plan Review 158.00 0 ~ w Name Fire SAC 575. 0 ~a Address Eng. WaterConn. 500.00 a W City Phone Planner Water Meter 63 . 5 0 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bid9.oN. 3/12/86 Tr.PI. 156.00 information is correct and agree to comply wiM all applicable State of Minnesofa Statutes and City ~of Eaga 'fdi ances. APC Parks ~ (ar_Date Copies SignamreofPermitteei Total $2,089.00 GRAND AKS ~ V L CO A,Building Permit is issued to: on the express condition that all work shall be done in accordance with all ca State of in sota tatut s and City of Eagan Ordinances. Building OHicial RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 f9 651-689-0675 New Constmction Reauiremanis RemodellReoair Reuuirements . 7 regisrerea site surveys showing ;q. N. of !ot ;q, ft. of house', and all roofed areas . : u:cies oi j20°6 maximum lot coveraqe alloweCl • I set ci ?^e jj -alcula[ions fCr healed additions . 2opies of pian showing beam 3 window srzes; poured found desgn, ztc.) . 1,;re survzy `cr :x!enor addilions 3 decks • t sei uf Energy Calculations .!ndicate f ncme serveC oy septic system for additions * 3 copies of Tree Preserva[ion P1an If lot plarted after 711i93 . Rim Jaist Oetail Options selection sheet ipitlgs with 3 orless uniGS) DATE 77 II gJDY VALUAiION gy"2- •o-D SiTE ,GDDRESS 3932 w 5, I1102~ b{Z.. vtULT{-FAhiILY 3LDG _Y 2(v TYPE OF WORK IAJIINaowS . SrOf w 4 SN-(NG-E-~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 2k uC CDtis772.0ca70-) +-p~QM3r^tV-- STREET ADDRESS l S~~`I 1=~woo,0 wA-,?~ CITY I~PL~ STATE/ ZIP S31}4 TELEPHONE # CELL PHONE ~ y-St~"7- b~gl FAX # 9S2 ~~9/ ~'`~61~ PROPERTYOWNER .MR- 1-MRS. 76WC1- C _ TELEPHONE# -ri477 COMPLETE THIS SECTION FOR "NEW" RESiDENTIAI BUILDINGS ONLY Energy Code Category _ y((NV15(Yf.A R[;LL•5 7670 C:A'fEGORF l NfIV\lS0"1':A RCLEti 7672 (ti submission type) - Residential Ventilauon Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mittec • Energy Envelope Calculations Su6mitted alumbir.g Conlracto:: Plionc ' Plumbing system includes: _ Water Softcncr _ Lami Sprinl:ler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # NIcch,uiicsil s}stcm includcs: clir Conditionin; : -5 . Htai R«ow„- sy5<<nt. 2 4 2002 ' ~ .IIN Sewer/Water Contractor. Phone # 1 ~r I hereby acknowledge that I have read this applicotion, state that th infer ation is correct, d agree to comply with all applicable State of Minnesota Statutes and City of Eagan O'na e. Signature of Applicanf ~ OFFICE U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated d102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 OS-plex ? 18 Oeck ? 23 Porch (screened) ? 36 MWti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Pibg_Y or _ N 'J 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. p 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 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) FinaliC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plum6ing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W'acer _ Final _ Pool _ Ftgs _ AiriGas Tzscs _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemeny _ Insulation _ Retaining Wall Approved By , 6uilding Inspecter 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 ~ \ i` 1986 BOILDING PERlIIT APPLICATION - CITY OF EAGAN NUTE: ALL CONTRACTOHS MpST BS LICENSED HITH THE CITY OF EAGAN COM4ffiRCI9L SINGLfi FAMIILY DWSLLIRGS 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 J $2t000 LANDSCAPE BOND To Be Used For: S'P~ T Valuation: Date: -p Site Address OFFICE DSE ONLY Lot ~ Bloek Ereet X Oceupancy :(Z • 3 j.4 ' Remodel Zoning Pareel/Sub ~-Q-o Repair _ Type o£ Const ~ Addition # of Stories Owner Move ' Length 4+ Demolish Depth ¢ Address Int.Impr. . Sq Ft Install City/Zip Code Phone I ApPROYALS FSffi Contraetor tJ Assessments Permit 3 1(0. ~ Water/Sewer ~ Surcharge 30.2~ Address I g~ Police Plan Review I 5g. Fire SAC 5"75. City/Zip Code Engr Water Conn Sc'Y~- Planner Water Meter Phone ^ D 3 Couneil Road Unit Zqp- Bldg Off Treatment P1 S(~,. Areh./Engr. APC Parks Variance Copies Address TpTAi, ~ y City/Zip Code Phone Ik NOTE: ADDRFSSSS FOR CORNER LOTS - COATBACTOR/HOMFAiiHEH Mf15T D&SZGNATE {iHICH ADDRESS IS DESIRID. NO CH9NGES WILL BE 9LLOiiED ODiCE BOILDING PERMTT IS ISSOED. ~ ~ ~ . . ..R . e ` , • , • ' ! J: . . • r~'~"J"~1i, 't' ' ` ' EXTERIDR ENVEIOPE'AVERAGE .'UI' COMPUTATION GRAND OAKS pEVELOPMEN7 COMPANY MODEL. Q AREA ; U U X AREA 1 kEQUIRED 1. TOTAL WALL AREA 1800 X.11 I98 2. TOTAL ROOF AREA 1196 X.036 31.096 ACHIEVED AREA U U X AREA A. WINDUW HREA 186.66 •.5 93.33 B. DOOR AREA 39.8 .077 . 3.0646 C. SLIDE OLASS AREA 13.44 -.48 6.4512- D. FSREPLACE AREA 0 0 O E. WALL FRAME AREA 180 .041 7.38 F. NET WALL AkEA 1164.1 .049 57.0409 0. RIM JOIST AREA 119.82 .0436 5.211072 H. FOUND WINDOW AREA' 0 0 0 , I. FDUND ABOVE QRADE ° 96.48. -.135 13.0248 s. . 3. TOTALb WALL AkEA. 1800 l85. 5026 . . e ' , J. SKVLITE , ,0;, O•, K. ROOF FRAME ' 119.6 " • ; , .032. 3.8272. L. NET ROOF AREA 1076.4 -.'023 .'26.91 ' 4. TOTAL ROOF AREA 11,96 5.''.30.7372,.: • ` . SUM 1.f2. • . 229.096 SUM 3.+4. 216.2398 t ~~y , • SURVCYOR'S' CCFi.TIFICIo?TE : 6RANU OAKS UEVELOPMENi CU. (352) I z I 30 r~ LJ S00I7'33"E 145.64 zzze X U) W ff84.8X ~ 89/.41 , h ^ ' ol I' -I io W) ~ ~ h ' ol 10 n I N(~1 0 ~ I~ • LOT N P ~ ry 21 v o°' S~ N~ ~ } e a~ oo \92.5 . y ,j a= 22.0 8 9/. 6 O ~I , 1^ W ~ 89a.g URlv war ~ e ~ 7 tsv'I,Y..rz;a 30~ 10 4, W 717 N ~L / S9016 {~y 4e.is a~ 3~ /6,3:62 X5.90 s.oo . oQ exisr\G I \ I ~ 30 'i- . OSE \i ~ I OENOTES PROPOSED SURFACE DRAINFlGE O UENOTES IRON MUNUMENT SET SCAIE: 1 IMCH = 30 fEET • UENOTES IRON MONUh1ENT FOUNU PROP05[0 GARAGE FLUUR = 892•(. FEET .X000.0 DENO'fES EXISTING ELEVATIUN PROPOSED LOWEST FLOUR = g$9.a fEET (U(30.U) UENOTES PROPUSEU ELEVATION PROPOSEU TaP OF 6LUCK = Sn 3- o fEET I fIEREOY CERTIFY TO GRAND OFlKS DEVELOPMENT C0. THAT THIS IS A TRUE ANU CORRECT REPRES[NTATIUN UF A SURVEY UF TNE BOUNUARIES OF: Lot 21, Block 4, WESTBURY FIRST ADCITION, according to the recorded plat thereof, Dakota County, Minnesota. ANU OP TIIE LOCATION OF A PROPOSED 4UILDING. IT UOES NOT PURPORT TO 51104! IMPROVEMEMTS. OR EIJCROACIIMENTS, IF ANY, TIiEREON. A5 SUIZVEYEU BY ME, OR UNDER P9Y UIRECT SUPERVISION, TIIIS 4TH UAY OF P+ARCN , 1986. SIGNEU: JAMES R. IiILL, 1NC. [3Y : HAROLU C. PETERSUN, LAPIU SURVEYUR PIINNESUTA LICENSE NU. 12294 PIIUJECT N0. BQOK / PAGE JAMCS R. t-IILL, INC. 86398 15-15 Z planners / Cngineers /.Survey.ors ~ FlLE N0. 8200 Humboldt Arenw Soulh• FOLDER sioo„iii,eton, Mn. 55431 012-804-3029 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN q q 3830 PILOT KNOB RD • 55122 f ( 3~~ I 651-681-4675 Re-ulrements Remodel/Reoah Reauhemenh D S regbtered sXe surveys fhowing sq. R. of lof, sq. fl, ol house 2 eopies of plan and g1 rooled areas (20% maximum lot coveroae allowed) 1 fet of energy calculaHons tor heated addNions D 2 copies ot plans (show beam i window sizes; poured Ind. deslgn; efe.) i sMe survey for exferior addlHons 6 decks D 1 set of energy calculaNons a 3 coples ot hee presenalion plan tl lof plafFed alfer 7/1/93 ot-&) DATE: CONSTRUCTION COST: OV0 ~ DESCRIPTION OF WORK: ~T~-4-+1d- OFF ~~Ovv w~-O~ STREET ADDRESS: i A4 gi LOT: BLOCK: ~ SUBD./P.I.D.1~: Name: Phone PROPERTY last Firn OWNER Sheet Address: 3 q3 sMl,P-(, .J2 r v~ City )~1-6A7~j State: Zip: Company: k Phone (area code) CONTRACTOR Sheet Address: C'9 TO License #Y! Exp• ~ O~ Cryy &,JF M ~ i 5 State: Zip: S-3'-/vZU ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheet Address: Regtstration Ci}y State: Zip: Sewer 3 water Ilcensed plumber (reauired for new construcNon onlvl: PenaHy applles when address change and lot change is requested onee permR Is Issued. , I hereby acknowledge thaf I have read lhfs applicaHon, state that the for n Is conect, and agree to comply wkh all applicabl Stafe of Minnesota Statutes and CMy of Eagan Ordinances. ~ Signature of AppllcaM: OFFICE US Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex p 08 6-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened) ? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq, ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 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: SAC Units % SAC , ***********1******#***~******#t##*** C I TY O F E G A iV *~~nTT~ ap~ ' APPROVAL OF PFRrIIT. APPLICATION FOR PERMIT * * INSPncizota oF sEWEt AND/at WMM : *f rnSrnr.ramrONS WIIL NOT BE SQHED- SEWER AND/OR WATER CONNECTION * ~ ~m PEPMT HAS BEm * APPRWID- ; ~ * * * * * *,e * t * *,e * ,e * * w ,r, r +*,r * * t e,? *,~,t+r x ~ * t ~ P ease P int) 1) PROPERTY ADDRESS: 3 ~~j U%' ~ /G.• LEGAL DESCRIPTION: J~,Q ~ ~C v~ • S " Lot B ock ub ivision or Tax Parce ID ) IF EXISTING STI2CCiURE. DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: i (Nbn Year PRFSENP ZONING/PROPOSID LTSE: ? CIX"MERCIAL/RE,TAIL/OFF'ICE ~ R-1 SINGLE FAMILY . Q IAIDCS2RIAL Q R-2 DUPLEX (1wo L~nits) n INSTITL'TIONAL/GOVERNME,'NT ~ R-3 ZUWNIIHODSE (Three + Units ) ( Units ) R-4 APARTNMPf/CpNIDpMINILM ( Units ) 2) NAME:~J ~C_ [1A S • ADDRESS: G/ ~ ciT^r, srATE, zxP: -Lc n 3 a~ PHONE: 3) • u For City Use . Plwnhers LicPnse: . ADDRESS: Active Fxpired ~ ciTr, srATE, zIP:J~7 f-4e 'm rrot recoraea PHONE: Y-~j `~I p7I MASTF.R LICENSE# Staff Initial 4) •Wr • • 7 ia• NAME: ADDRFSS: ' CITY, STATE, ZIP: PHONE: - , .5) ~ r~ r -~~u•ti~a. 62) CONNECTION T0 CITY SENRM ~ CONNf]CTION ZU CITY WATER ~ OTAER . 6) " M PLEASE HOLD APPROVfD PFI2MT FC)R PICK-L'P BY ONE OF ABOVE ~ PLEASE N1AIL APPR1PEftMIT TO 1, 2, eg, 4, AB(7VE : (Circle one) ' • '1: • Y" Y'I: M ~ • ~ ~ I' • J I:.t' i~ F YDI' • ~I• 1 ' 7~' • • D~ • ~ ~ r. ' 10. 1 : i r:/•,tlJ~ 1 i 1 :A' • 11 Y' ' } . . FOR CITY USE ONLY PERMIT # ISSDED 733 ~ `f/If/~6 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ /b- JQ WATER PERMIT (INCLODE SC'RCHARGE) . $ 6-35711 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP " $ $ ACCO[]NT DEPOSIT - SEWER $ ACCOL'NT DEPOSIT - WATER $ S13 C c-7` $ WAC . . $ 57s $ sac $ $ TRCNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ /S,3: G G $ WATER TREATMENT PLANT SURCAARGE $ $ OTHER: $ ~3 2-l/. C~ ,;2TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUSLIC Q ROADWAY" MUST BE ISSL~ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: Use BLUE or BLACK Ink r For Office Use I Eaaall Cityof ::::: : ii-7iJ4 3830 Pilot Knob Road ` t}i7 I I Eagan MN 55122 Date Received: //lb� Phone: (651)675-5675 ) Fax: (651)675-5694 Staff: 1" 1 601 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1'1-10-1,-) Site Address: Unit#: nn I I I Name: INI (, LL k) ' Phone: (-OSI"1-1,s-19 '-q(p'-2 Resident/ 1 i i OwnerIAddress/City/Zip: �sD > vi ►,1 yi ( c cu i i Ai ,SSI-93 ' Applicant is: /Owner Contractor Type Description of work: --f i'h S tel tlr1� Jewel/ 1 level Construction Cost: 55 ©9O Multi-Family Building: (Yes /No 14 I I Company: Contact: 1 Address: City: 1 Contractor 1 ) State: Zip: Phone: Email: I I 1 License#: Lead Certificate#: , If the project is exempt from lead certification, please explain why: '' I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 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: i Licensed Plumber: Phone: I i Mechanical Contractor: Phone: 1 Sewer&Water Contractor: Phone: i 1 Fire Suppression Contractor: Phone: i I ,. NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 1 r the information may be classified as non-public if you provide specific reasons that would permit the City to 1 ,, _ conclude that the 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.qopherstateonecall.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Thi- //P c'eiye/l x ��.uu&e ./ g Applicants Printed Name Applicants Signatur Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES -31-S IS L e S"1 ��f j J /L"1/ l' 3 Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex �° Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION _ Valuation /Lc '? Z Occupancy L -1 MCES System Plan Review Code Edition 4/1/1 ZED SAC Units (25%_ 100% ) ) Zoning r City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Ito Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final A Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: TOLA YNtyiq- , Building Inspector RESIDENTIAL FEES p, Base Fee / sg ' Surcharge )C 2-® •Gam' S9 • fr • Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use City Eaall of Uj d% Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4423 —1 7 Site Address: 3 t 3 e 6,_,/, ,f6✓,- `/v Tenant: Suite#: "l j C k e!/,2. tJ -C'v�<' r! ` Phone: Resident,Onrner Name: i ° Address/City/Zip 5 9 3 e 4.4.9 1` (3t/rc f Name: 44-v'] 2t!t. ,(&--- /A_ C License#: Contractor Address: 6-6)2- 7 Adl. L'4%n-e lel ve ity: Cry 7�`--C State: //4 14 Zip: /Z 7 Phone: 4, / `/Z (P Contact O ` /Email. � / -de'r l C 1/4.7/1461- C/ � i'`--F1 T e of Work ,New _Replacement _Repair _Rebuild —Modify Space _Work in R.O.W. yp Description of work: RESIDENTIAL i S Water Heater Ii i Water Softener Lawn Irrigation( RPZ/_PVB) Perrr'tt Type ! Add Plumbing Fixtures ( Main/,)(Lower Level) { Septic System ` ' i Water Turnaround _New Abandonment RESIDENTIAL FEES: -.. " $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) i i $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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 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; to understand this is not a permit, but only an application for a permit, and work is not to stt• without a permit; that the work will be in acco nce wit the appr. -. ,Ian in the se of work which requires a review and appr. - of p=ns. kpplican s Print si, am Applicant's Si - . - 'OR OFFICE USE Reviewed By: Date tequired Inspections • Under Ground Route-in AirTest ., Gas Test Final. Meter Related Items Meter Size Radio Read Manornn ter' Staff: I— For Office Use 1 % %.:‘,.% E AGA N � :�� Permit#: �' Permit Fee: , ao- o 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: buildinginspections(acitvofeagan.com - , 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: AAddress: 1 Unit#: Name: J vne 5 4 M�C1/fe I le_ \-eW e I � Phone: 6'S7 ,)70^ 99 Ll 7 Resident! + Owner Address/City/Zip: 3 13 0 `,l.)es)'b u ry De, Applicant is: Owner X Contractor Type of Work Description of work: -elf "-©-� C . re'rOC)-E Construction Cost: /0195(',,o8 Multi-Family Building: (Yes /No X ) Company: I\Ire,7 W.4.4 E5l! +32e,of s U' _Contact: -A O 1+n;1---z0-,A, Address: 6 Li,)...y R.0 ( -P AV City: Ec1 r ACL Contractor � 3 l 1 State: /r/Zip: Phone: 40 ,'-5 5 mail: kr'e t zek,a4 E )/l'e e,"a•,s e5✓n4:I•(.0,-)License#: Q C -7„/ 3 g 5 L Lead Certificate#: Nig T / i ♦ - 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 permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with he 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 thout 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.ans. �i x jOPy IreAZinArl x /Si,! Applicants Printed Name Applic- '_ s inat e DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Waiter Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 .. .. ' / / F For Office Use i �/ �J `� i •i �� PZe: E AG A N P (. �1 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: buildinginspections@cityofeagan.com J 2020 RESIDENTIAL PLUMBING G PERMIT APPLICATION Date: //Z-72-0 Z-/2—g Site Address: '73&. W 5 -1,u, 00 1 11-J //Li/v 7 Tenant: \—i--1014 �� ' Suite#: ': J d -J �Zi 1 Phone:43 - 7Q r �l�It�@ � Name: Address/City/Zip: 38 G�eS�b .D SOV SS/r� : Name: 57J <• p (7/J /License#: 41R- contractor.: Address: 9 AA. 5-, City: v ,�/A-t'S 14 egy‘h• State: VP)ki Zip: ,��s l D'-'1 �jc[ "! 3 a C 3 / Contact: J Email: P' 1 L(M EC0 �1 (P J &6' 4c/ New Replacement —Repair —Rebuild —Modify Space Work in R.O.W. TYPe c Y©Irk — — Description of work: JI �u� c J 1. 5 C�.�-, - S iia,} -�v =P-f v �j Tankless Water Heater Lawn Irrigation(_RPZ I_PVB) Standard Water Heater @e> clri', tioinAdd Plumbing Fixtures( Main/—Lower Level) Water Softener Description: Septic System —New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read = $550 *Sewer&Water Permit also required for connection charges TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(6.51)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 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.citvofeasgan.com/subscribe. 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 nota permit, but only an application for a permit, d 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 appr al of plans. x , eSS x _ Applicant's Printed Name Applican s ignat Page 1 of 2 FOR OF CE USE x r Reviewed By: '',gate: Required Inspections: Under Ground "` Rough-In Air Test Chas Test Final Meter Related Items: Meter Size Radio Read _ Manometers Staff:, 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspectionsAcitvofeagan.com Page 2 of 2 , For Office Use /� �J 7 ,1 •%• i i :ri :::: III:::: A : ECEI Date R • ed: -2'.--31-16- 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 i (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 DEC 3 1 2019 ii. Staff: buildinginspectionsacitvofeagan.com L /-3'.0 i111 2019 RESIDENTIAL BUIEbi IG PERMIT APPLICATION .. i\ -vim Date: Site Address: 9.3r p S i:1ir 01 Unit#: ✓'k Name: U'/ ,! 4 an ( (25" /�i'GjQ � �✓Q�/-�%� Phone:�l�7D` l � Resident/ ?7 n Owner Address. /City/Zip: ��J� �,�p,� ,,,,� �?n'' / 4 "— Applicant is: Owner Contractor ,i . (De (' / T e Of Work Description of work:--<)1-4,1( L,fr'Y'.� ,-3 /� 'yrl • , yp / _ 'r"� 0_/ Construction Cosf [S/ Multi-Family Building:(Yes_/No ), Company: -7-,/ c_rC U /t , _h.f_- Contact: 0.... -..-- Address: V//, O,7 , 4A' (Vf2'/? 'Clty: C -, 4j ,'0,-/..37e- Contractor / State:!"r/l/Zip: . Phone:62?/d--(�'�l mail: V �S(4,11756),% l"/2 - .• 0 License#:,, To __ Lead Certificate#: C`` If the project is exempt from lead certification, please explain why: 4`->-.- 7(7,76:-2- ;„; 17t a . 1 /979 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 ars considered to be public information. Portions of the information may be classified as non-• • ' if • •vide - - reasons that e C to conclude that# 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.citvofeaoan.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. vww✓.aopherstateonecali.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 - permit; that the work will be in accordance with the approve plan in the case of work which requires a review and approval of plan, x 7/57/a j L_J['>� i J ; 41111 Applicant's Printed Nam App- al r'= ignature 393K 10sbory fir /5 1e) DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace —_ Porch(3-Season) _ _ Porch(4-Season) Exterior Alteration(Single Family) A[ Single Family Garage _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous — 01 of_Rex _ Lower Level _ Pool — Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof — Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1 ° 'v(1° Occupancy PNY:1- CES System Plan Review Code Edition 0)S SAC Units (25%_ 100%1 ) Zoning o City Water Census Code Stories ��j Booster Pump #of Units Square Feet PRY #of Buildings Length Fire Suppression Required Type of Construction ------V--6--- Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) �( Final/No C.O. Required Foundation Foundation Before Backfill 1 HVAC_Service Test Gas Line Air Test_Hood • Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes_1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control `•\ Shower Pan Other: Reviewed By: /-0. ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge \PS1 l , j L i Plan Review Olj MCLS SAC: v (11 City SAC `` Utility Connection Charge " S&W Permit&Surcharge rr�� Treatment Plant 0�f 11.42%M/ 1111 IWI n.....a OAPj:tf 0 ft...0x164.. 1\6aA Copies i • TOTAL +CIP P" Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166650 Date Issued:01/26/2021 Permit Category:ePermit Site Address: 3938 Westbury Dr Lot:021 Block: 004 Addition: Westbury 1st PID:10-83650-04-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - James & Michelle Jewell 3938 Westbury Dr Saint Paul MN 55123--208 (651) 270-9947 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature