1159 Westbury Knoll
CITY Qw EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE:
~ing' No. of Units:
~ Owner. i
/4ddress: -
Site Address:
Plumber.
I ym to asiaplp wilh fl» Clhr of iwpn Connscttan Chorps: `
Ordilmams. Accou+t Deposit: ~
Panmit FN:
B Surchorgs: -
Y Misc, Chorger.
Date of Insp.; Totai:
Insp.: Do» Potd:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 27189. PERMIT NO.:
Eagan, MN 55121 D/?TE: -
Zonin9: No. of UnEts: 1
pwrw; :7ruat ier :"fidwes t
Address:
Sita Addrcss: 1 r59 '''estbury Knoll L5 E2 Westburv 4
Plumber:
Meter No.: 3 S "LJ M.23 on Charge: 500.00 pd
size: 2P-L R..,.4. efore dij~,qtl~!tPit' - L3. j,,,)u
Reader No.: PGYIt ~/D ANn," ~~~'t OC"d
I"pM to aewvly wuh ~~~K Surcharfla: ' .50. o~+..~... ~ D 132.00 pd
TotoL 61. a d me C e r
BY Date Poid:
Dcte of nsp.: G I?qp.:
0 5
CITY OF EAGAN F ~
" ~3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value ~10'JO Date ,19
Site Address +'~i:5" ri14' ~~t f.i. OFFICE USE ONLY
Lot ' Block Sec/Sub. WF"' ~T'L*1`Y 4n On Site Sewage Occupancy
MWCC 5yatem Zoning
Parcel No.
on slte well (Actual) conat
C-.4..1' ERA,11D I BOCb'f'AN Ciry Water (Allowable)
a Name
; Address r t 'F.~TF! `Y KNOLL PRV Required # of Stories
~ gterPump Length
° City '•~'t~' Phone ~'S4-375` 7~u-3.1 ~
Depth
°C Name S.F.Total
.O
~ ` Address Footprint S.F.
~ City Phone APPROVALS FEES
~ ¢ Engr./Asssss. Permit ' yU W Name . .
~ = Planner Surcharge
Address
m= City Phone Council Plan Review
qW
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply wilh all applicable State of Water Conri.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State oF Minnesota $tatutes and City of Eagan Ordinances. Parks
Building Official TOTAL
Permit No,• Permit Holder Date Telephons it
Plumbing
H.V.A.C. ~Electric
Softener
Inspection Date Insp. Comment8
Footings I ~-2
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Raugh Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. ha f el~~r
Deck Final S 3 p
Well
Pr. Disp.
r
r
t'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
QUILDING rERMiT Receipt ~qt
To w wW fa c_ 7' Est. Vclue Dote 19 ,
~ r•'1 • EreCt OCCUpanCy
Site Addross J. : • c N'' ')L I ,
Lot 5 Biock 2 sec/Sub. ' ~ ~ 1 $l1 Y ~1 ~ Remodel ? Zoning -
Repair ? Type of Const. ~P~cel No. qddition ? No. Stories
~(Ar' iT Move ? LQfl9th
W Nw^e Demolish ? Oepth 4 7
~ Address Int Impr. ? Sq. Ft.
City Phone S `'Install cl
ApPwvels Foes
~ Name .
V . '.i
^ r
o Address Asseument Permit 1 J
Water a Sew. Surcharge ~~f
City Phone
Police Plan Review ~ 5v- • ,3(
Name .=1:iRD r"iARLIEPL Pin 5qC 525.0(
W
~Z ~UU•~~
Addrss: Enp. Water Conn.
~ W City Phone 432 ~2 Planner Water Meter ~ 3•
Countil Roed Unit 180.0(
1 hereby ocknowled9s that I haw rood this opplication ond state that eldg. Off. r Tr. PI. 132.0(
tha information is correct and ayree toc9m ply with all bpplicable State of Minnesoro Stotutes ond G,s#,.-Eo9on Ordinonces. p'~ Parka
- Var. Date Coples '04.-. `1(
Sipnatun oi PertniftM
i 1 Total ~ti.i'i
A Buildinq Permit Is iuued to: a+ ~exV , cormAtb^ that
oll work sholl bt dons in acoo?donte with all appliaabb State of Mfnnesotc Statutes ond City of Eaqon Ordinonps.
8uildirq Official , ~ ; , -
Pe?mit No. Pormit HoMer Dats Telephons ~k
.Pl„mbing
H.VA.c.
ENcMc ~ -
Softernr
Intpection Deta losp. Other
Footinga I ~
Footings II
Foundstion
Framing ~
RooNny
Rough PIlfg.
Rough Hty.
Insul.
Firoplaca
Final Hty.
Flnal Plby.
Flnal
Csrt/Occ.
Water Dswi6e Location:
Wsll
Sewer
Pr. Dlsp.
Rftaipt MECHANICAL PERMIT Permit No.
CITY OF EACAN • ,
Fes
Fill in numbered smcss S/C
TYpe or Print legib/y T~ . C, r[l
1. Date 2. Installation Cost f~ A C•''
3. Job Address/I ~J 1 c! ! K:jT~' 4 /Lot 81k. Tract ,
4. Owner '_h.~e--r~~~_a_h~
5. Contrsctor Phone
~
8. AddP'eft
,
7. City State Zip =1-
-r -
1
8. Building Type: Residential Commercial ? tnstitutional ?
r 9. Work Description: New ~ Add 0 Alter ? Repair 0
10. Descri6e ~~1 • -d_~-~a~ • Fuel Type ~-2i
11. No• Eauinment BTU - M. Ea. No. Equiament CFM
h Forced Air ~
Air Handling:
Mf9• i
Boilers ~ Mech. Exhaust - -
Mfy.
Unit Heater
Mf9. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : - ~ ~ t L)
for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-8100
~ Receipt PLUMBING PERMIT Pe?mit No.
CITY OF EAGAN Fee
Fill in numbered spaces SIC
Type oi Print legib/y Tot
1. Date,j42. Installation Cost '
3. Job Address 444 lbdY Bik: - Tract
4. Owner '1,~ 4-0
5. Contractor Phone ~ -
6. Address ~csc r.
7. City ~ State Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New E~ Add ? Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
~
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other ,
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : 1,r 0=~r, for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-5100
CITY OF EAGAN Remarks
Addition WESTBURY 4TH ADDN. ~ 5 Rlk 2 P ~~~.0 $3653 050 Oz
Owner Street ~estbury Knoll 5tate ~ 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK ~ 1985 264.20 17.61 15 -P .5f O I6,3 3e
SEWER I.ATERAL
watermain 1 65-27- 1~. .1 o ib 3
WATERMAIN 19 51-64 3.45 41 AO~G~ 3? /O bS ks'
WATER LATERAL
WATER AREA 07 1 a0•-t;,3 i90 /!0 33 f~ /S eS
water area ~ F 19 133.79 • 2 5 / 3: 7 f} a ,16 33 ,P
STORM SEW TRK 1986 710.24 142-05 5 /O- a p16 3 3,r
STORMSEW LAT 7 3:56 R"O 16 33f
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road t 280.00 53052 6/25/85
WATER CONN. 500.00 11 11
OUILDING PER. 10448 11 11
SAC 525.00 11 rr
PARK
CITY OF EAGAN N? 10 4 4 8
' 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
~ PHONE: 4548100
BUILDING PERMIT Receipt #
Te M urd I« SF DWG/GAR Est. Val.e $59,000 pOfe JUNE 25 ~y 85
SiteAddress 1159 WESTBURY KNOLL erea f}d occuPencv R3
Lot _5 _ elock 2 Snc/Sub. WESTBURY 4TH Remodel ? Zoning R 7
Paroel No. Repair ? Type of Const. v
Addltion ? No. Stories
FRONTIER MIDWEST HOMES Move ? l.engtn 40
a Name
~ Demoliah Depth 47
Address 39OR STRT.F.V MF.M HWY #F. Int.lmpc ? Sq.Ft.
citr EAGAN pnone 454-0433 ingleii ?
SAME Avorevolf ins
Name
O ~
ou A~~ Auessment Permit , -3~-V_•OC
ul City Phone Water S Sew. Surcherga Z 9• 5 (
Polica Plen Review 155 0(
~W Name RICHAR? CHARLIER Firo snC 525 0(
4-~ , Address 14103 GARDENVIEW CT Eny, waterconn _S9Q.0(
~W City A.V. Phone 432-5492 plon~r Waterrneter 63-0(
c,u,Ku Road Unit 28171 _ p(
1 hercby ockrqwladga that I haw rcad this applicotion ond sfaee af 81d9.Off. 6/20/85 Tr. PI. 1~7 . OI
tM {nlormotion is ee to ~nply with ~apP alila APC Parks
Smta of Minnetoro $rot ond Cify,n O inoncaa
~'~~C/ / 1 Var. Date poPies
SipnaNrc of Permiftes 5 (
A Building Permit Is issued ro: FR NTIER MIDWEST HOMES Total
on the axpren Corditlon ohat
dl work slwll 6a done in xmrdance with all app/lim~.{~1/q ~State of i ta Statuto ond City o1 Eapan Ordinancas.
Bulldirq Offlcial
i
CITY OF EAGAN N! 151 12
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
`PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for DECK Est. Value $1, 000 Date JUNE 2 1988
Site Address 1159 WESTBURY KNOLL OFFICE USE ONLY
Lot 5 Block Z Sec/Sub. WESTBURY 4TH On Site Sewage - Occupancy
MWCC System _ Zoning
PafCel No. On Site Well _ (ACtual) Const
e Name GARY & RANDI BOCKMAN Ciry Water _ (Allowable)
w
z Address 1159 WESTBURY KAIOLL PaVRequired _ #ofStories
o EAGAN Phone 454-3753 726-3518 BoosterPump _ Length
City
Depth
, p Name SAMR S.F.TOtal
~ Q Address Footprint S.F.
¢ City Phone pppROVALS FEES
~x Engr./ASSess. Permit 24.00
ww Name .50
ri ~ Address Planner Surcharge
a W City Phone Council Plan Review
Bltlg. Off. SAG City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City Eagan Ordina ces.
Water Meter
Signature oi Permittee Road Unit
A euilding Permit is issuetl to: ARY & RANDI SOCKMAN Treatment P7
on the express condition that all work shall be done in accordance with all
applicable State of mnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 24.50
Building Official I_1,V11L~~~~l
, _ ~ . .
1985 BUZLDING PERHIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iRTH THE CITY OF EAGAN
S j AFF~ 12 D
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
=1r,,~_,C> E-
To Be Used For: Single Family Valuation: -627~ Date: 6-20-85
Site Address: 1159 WestburyKnoll OFFICE USE ONLY
Lot: 5 Block 2 Sect/Sub ~ Erect x Occupancy 2-3
Remodel _ Zoning pl-I '
Parcel ll Westbury Fourth Addition Repair _ Type of Const
Enlarge ' l! of Stories
Owner Gary & Randi Bochman Move Length qo
Demolish _ Depth 4-1_
Address .3697 Denmark Grade _ Sq Ft
City/Zip Code Eaqan, MN 55123
Contractor Frontier Midwest HOmes Corp. APPROVALS
Address 3908 Sibley Memorial Hwy. lkE Assessments Permit 310.`=
Water/Sewer Surcharge 29..50
City/Zip Code Eagan, MN 55122 Police Plar Review 1 55.
Fire SAC S2 S.
Phone # 454-0433 Engr Water Conn Soo.=
Planner Water Meter =
Arch./Engr Richard Charliei' Council Road Unit 2 go.
Bldg Off 1i arks
Address 14103 Gardenview Ct. AV APC Treatment P1 73 Z.
Variance
Phore I1 432-5492 YOiAL 1~L~• S ~
S 1 G MA House
SUR\/EVING Cerflflcate For:
SERvICEs Frontier Ni~dw~st
3908 Sibley Memorial Highway
F Eagan. Minnesota 55122
Phone: (612) 452-3077 Corporotlon
X0-i3.o ~TAFFORIp -
S
SS o
5 ~ \0 /8 .
\ 5t2
- N - X98zAv'C',q/ ~
r17 k5q0 o a
UN r 0 T 40 ~ ro ~ ea3 a
I "b ~T~ ~ S83.o ~
hGALE 1~~=40 c J O~
' ae5.o
i .e x
Lo-r 4 ~ +o.o
s"e e
Q N cpo ~
U~ ~ ° /i° ~i
-4s-ro vA /
o ~
mo 52
R'477,52 4`30Z N190•2~ ~ keaM.~
_ ~'V Ee~ s zo ~ --~_W
9~uR_=KNo LL
.
ggyA
~
-LEGEMO - PROPpSEO GARAGE FLOOR ELEVAT ION= S$S,~_ _
0 Denotes Iran bonunent PROPOSED 1op of Brock ELEVAlION= M0_C)
° Lenotes Wocd Ni,b Set PROPOSED BASEMfNT ftODR ELEVATION=8S3,O
~eaY.i penofes £xistirig Spot Elevation
roFwsed Spot E leva t i nn NOTE: Verify all floor lpights with Fina! House Plans.
(Nr oT LpnoJes P
-7
Lenotes Drainage Directicn
:SYlAI/E= CFRT 1F1CQT fQN- ,
~~~p,,,~~ 1 l~reby certify thet this survey, p/an or report
was prepjred by me or under my d irxt supprvis rm
LOT S,BLCXK 2- ard that I am a duly Registercd Lard Surveyor
_We~T&R,`( -qr~-- *T-m7fOn) Ir the laws of 1he State of Yrnnesota.
accordrrg to the recordcd plat thereof, '
Da
Coc,nt Alinresota -te:
Y. Wayre 0. Cordes, Mrnn. Reg. No. 1'~75
. ;
vOi
~ n .
. '/?i~~~/p~~Un~}~1\~~~`,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
J ~ 651-681-4675 ~j
~ ~1-L-
Conshuc ion ReaulremeMs Remodel/ReoaU Reauirements
~
? 3 registered aMe suneya showing sq. tt. of lot, sq. R. of house 2 copies of plan
and QII roofed areas (20% max(mum lof eoveraae allowed) 1 sef of energy calculalions for heafed addlHons
? 2 coples ot pians (show beam S window sizes; poured fnd. deslgn; etc.) 1 sBe survey for extertor addMions S decks
D i seT of energy calculalions
D 3 copiea of hee presenaflon plan M l01 plalled alfer 7/7/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
LOT: S BLOCK: -D, SUBD./P.I.D. ~ ~V.1 A n n.,_ y~
Name: Phone
PROPERTY Last Fird
OWNER StreetAddress: ~~59 l~VCS~?a//,Y~. it~/~~~
City C~Q ,Gr~Ql~~ State: /'/2U Ztp:
L
~ ~f U~~l
~ Compnny: rd~~CGC~ i Phone _i6/Z 7L~61~ OD
' (area code)
CONTRACTOR
Sfreet Address: License #
Ciiy /V04 S State: '"n/ Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sfreet Address: Regisiration
City State: Zip:
Sew3r 3 wafer Iicensed plumbe? freauired for new consfruction onlv):
Penally applies when address change and lot change is requested once permff is issued.
t
t hereby aeknowledge that I have read this applicatton, staie thaf the Information is correcf, cnd agree to comply wMh all applicabl
Stafe of Minnesota Statutes and GHy of Eagan Ordinances.
Signoture of Appllcant:
• OFFICE USE ONLY p~ECEIVED
Certificates of Survey Received _ Yes _ No jut~ p 1 1999
Tree Preservation Plan Received Yes No _ Not Required
- - gY.
OFFICE USE ONLY
BUILDING PERMIT TYPE i
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
19~02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only /V43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert O 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair rJ 38 Demolish (Inferior)„ 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: $ ~790 ~7~
Surcharge
Plan Review
Licanse
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 •
ToWI:
SAC Units
% SAC I
198$ BUILDING PERMIT APPLIC9TION - CITY OF EAGAN
I~ ~ I
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WIL E ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL ITN S FOR SALE UNITS # OF UNZTS
INCLUDE 2 SETS OF PLANS, TIFICATE OF SURVEY - CAECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULA ONS
COf7MERCIAL
INCLUDE SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
/~E'SiD~.vrrA~ Valuation: Date: S-3/-
Site Address -//Sq WAS-57-DuR~' OFFICE USE ONLY
Lot $ Block On site sewage_ Oceupancy
MF7CC system Zoning
Parcel/Sub tVE5T/3ui9y y H i¢DDJ"TloA? On site well _ Aetual Const
City water Allowable
Owner amy iRA-NDZ BoeK.'lA^i PRV required _ ll of stories
Booster Pump _ Length 19~
Address //,S"`~ GI/ESTC~tI/ey 1<NO~L Depth
S.F. Total
City/Zip Code E~~¢/y 56/~3 Footprint S.F.
Phone t/5y-3753 . N/• 726-35'119 APPROVALS FEES
Contractor Sy-yIt/E A5 Engr/Assess Permit 2-y•00
' Planner Surcharge . S°
Address Couneil Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Areh./Engr. S5¢/-1F_ 4S UOkIiYE/c~~~ Treatment Pl
Parks
Address Copies
City/Zip Code TOTAL
1
Phone li
1NE5 7-3ue?y
JI
-
a ik
PRoPosED
AECK ~ I
5CA ~ E
,
I 56?UARE= S~/--
,
i
, ,C~ A R'y [3ocK.,.~M
f 1S9 W E57"aLlRy KHDL4-
,Ni~v, ssi~3
af.ysy-37.~3
i . .
~
~ i 2/84
CITY Or EAGAI3
IUa APPLICATZON FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
PPC°`--'- pDpRE55= 1159 Westburv KNoll
r.Fr:,t, pu-°CR1pTrCV: 5/2 Westbury Fourth Addition
(Iot/Block/Sl:;civisicn or :ac Parcei I.D. N=,Der)
~ 17 S717==W, Drli:. OF GcZT_G=w `u7I7,P.L:G T_SSU:-\CJ:
P.z--S= PS: N F.-1 S'2:GL.: :l-:m= '
? R-2 DiP= ('?':'0 L?]ITS)
? R-3 'iCr.~~rv,cE (T= - L^]ZTS) ( W. I^S)
? ..-4 G::I_S)
? CCin1EE~.C?=Z/RE^_'FS,T_,/Oi_ IC :
Q zi'Cli5 iS,
? L`:S1=,: PIO`LAL,IGve,~•~~'`;T
2) FL?PI.'iG_T (PC£FSE PRf;i()
K''M"': Frontier Midwest Homes Corporation
PDDR=S?:" 3908-Sibley Memorial Hwy. Bldg. E
C=' S'=rT=, ZIP: Eaqan, MN. 55122 •
P'r'GVE` : 454-0433 ~
3) FI:,,:-== NA,`'-E: Star Plum6inq (PLE„SE PR19i) FOR CITY USE O4LY
`PlI H- LICE95E:
PDC:-~.55: 1018 Mound Springs Ter. C nctive
' CIT`l, STATE, ZIP: Bloomington, MN. 55420 ~ Expir '
k~ICr. E=/ ot RGCOr
PHOVE: 884-4149 PLUNBER LFLEYSE N 3329 C.~-/
' dre int:ldl
4) p(,v auvNLT /cr-zTER (PLEASE PFINT)
NP.ME: Gary & Randi Bochman
ADDItESS: 3697 Denmark
CIT"l, ST?'I'E, ZZP: Eaqan. MN 55123
PHO`E: 454-3753
5} INpIG,TE' 'WI-tICH PERt•LIT IS BEZNC RFQTJESI'ID:
fg[ CO.NEC.TZON TO CITY SE*r1ER Please mail gold copy to
IR COi'TNEciZC:I 'IO CZTY [,7ATErt Wenzel Mechanical .
3600 Kennebec Dr.
? OTITR (PT-Z,7-CF O-~;'TgE) Eaqan. MN. 55122
6) RDZG.::: C::.: '
. F] P=-~SE F?OID r1PPRGUED PEP:^.IT FY1R PICi:-GP BY C;1E OF AEGZJE
~ PT_ESc:-.:al ,APPRWE:D P&°_-1IT T'J 1. 2 3. 4.A£OVB ~
~o~~ • (Cir e one)
=7)SIC27-A=E: DATE:
~+e w a~a~a~~e~s ~ r e ~.~a~: ns ~ o - 4:^•
~rr a~ s s~saa:~ a a~ r~r.:ss~ ~ r r,~ap~sss
FOR C I T Y U SE ONi,Y
pEP.k1Z"' - rSSUFD
rry$: )l~
5J..'.:L^D TJ`C.RMT_i (INCJ .T.it~.:L ' D~L'....^L"
..l.R.riL)
/
s i0- 5~waTia PE:utTm (INcLUnL SUacvaRcE)
$ WATER METER/COPPERHORN/OL'TSZDE READ:.R
$ WATER TAP (ZNCLUDE CORPORATION STOP)
$ 5E:4ER T??
$ ~S ~ °-,.:'i:::_ ~._._CS-- - a=• =3
$ ACCOUNT DEP(?SIT - S•1AmrR
$ WAC
$ SP.C
$ TRliVK WAT°R ASSESS==T
$ TRli:J?{ SE:•iER nSSESS.'•:E`iT
+S LATEP,r1L BE:vEFIT/TRliPIK Sr:•~A
$ LAT'c?2AL BEVEFIT/TRIJ::K SQATcR
'S WATER TREATMERTT PLANT SURCHARGE
$ 7- -z-er- OTHER:
S TOiAL
$ AMOC;.`:T PAID%Rr _~~m
..r _ n tJ ~cJ~1~
DOES UT:LITY CON.IEC:ION REQUIP.E EXCaVATION IN PUBLIC RZGHT OF WAY?
~ YES IF YES, THEN n"PERMIT FOR WORK WITHZN
PUBLIC ROADW?1Y" MUST BE ISSUED SY TY.E
I C~ NO- ENGINEERZDIG DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOfJING CONDITIONS: •
I
APPROVED SY: y ` TI:LE: •
DATE:
~ ~.i~ w ~ .t~ .c~ rt O?r SUM 04 M w sif wr6 Mt+9t4W 00 W ig I.w OcM 0%.~ sa W*~Wm R~ ram w ~w ~
v'
For Office Use I
t r 1,014/ I e
. _ EAGAN
� o s , Permit#: !41 7 7aZ .
0,0 Permit Fee: / "7 7' 6'
RECIEVED /24
-��/
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 JAN 2 3 2018 Staff:
buildinginspections(&cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: C') ',0---.1----( ^ •4 ')'..1t \t ; Phone: �S-7 -5S-/S 2_
Resident!
Owner Address/City/Zip: I. , , 'C c 2_ `4•��\
IIP
- Applicant is: Owner 2- Contractor ,
ab
Type di Work Description of work: �,-t. �--, �-= \
Construction Cost: c:5 LP----- Multi-Family Building:(Yes /No )
Company: 1` E L,�- W4'---`Rv-3Contact: ' Cc _ k
'', : Address: -2-. .2.--2-S-3U3� �� t�--ova 3 City: L. £i �:,� 'C''''ontre •rat -4C3
C3
, State: NkK.1 Zip: c 'VA Phone: ,_) "`i•q- Email: `t-= e `S e--.-Zr •,. ` + -
License#: \ -2-- Lead Certificate#: 1-J •;) "-)-
"
If the project is exempt from lead certification, please explain why: %.
,15 ' ii-._Q_ •
A U l4 7 Iry 1?-S—
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:
lo
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supportingdocuments h t +ou submit are considered la be-public in e E irtions o r information may be
classified as non-public if you provide specific reasons that would permit theCity to conclude that they'areifra•- secrets 444*
You may subscribe to receive an electronic notification from the City of proposed ordinances by sighing up for an email update on the City's
website at www.citvofeaqan.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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accor ance with t a proved plan in the case of work which requires a review and approval of pla .
x J,� (4 x
App icant's Printed Name Ap ant's Signature
DO NOT WRITE BELOW THIS LINE f �� i �;Lam-- � '� ft- C% fAv`�? I J 1L.�7 7 C'
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
JI` 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 '3®pc 'l- Occupancy ..7j -/ MCES System —
Plan Review v Code Edition AV./. SAC Units --
(25% 100% Zoning Po City Water —
Census Code 4i 34 Stories — Booster Pump —
#of Units I Square Feet PRV
#of Buildings ( Length Fire Suppression Required —
�
Type of Construction 719 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 Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final
At 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: Inp
, Building Inspector ,RESIDENTIAL FEES /XO #kaG lt,i�► @ �D �/� ^ aZW OUB
Base Fee ?-$ '—
Surcharge
Plan Review 67L3-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For Office Use
: 0a ::::e(
_0 _0 E AG AN
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535( FAX: (651)675-5694 Staff:
buildinginspectionsna citvofeagan.com L
2018 RESIDENTIAL PLUMBING? PERMIT APPLICATION
Date:1--°°—/f Site Address: /457 Ale,f'��'y kno��
Tenant: DI" A101.
eb5 907 Suite#:
Resident/Owner Name: Phone:
Address/City I Zip:
�liLicense#: CG 796�5^
Name: � > P & �C
Contractor Address: yd M'tg l ke' City:
State: /t/A/ Zip: -5g19VK Phone: X57_ Z/6 -7/99
ti Contact: k Email: 4'mi7 'iib+ aaaoo.um
—New 2eplaceme t _Repair uild —Modify Space Work in R.O.W.
Type of Work / —
Description of work: Albi G� 1 1 C/171/./".
�
RESIDENTIAL SJhcef43,04a(
Water Heater ‘IttA,F.Of
Water Softener
Lawn Irrigation(_RPZ/_PVB)
Permit Type Add Plumbing Fixtures( Z Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
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 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 e 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
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.citvofeagan.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 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.
l '(ark...5.---61("/512-
Applicant's Printed Name Appli ant's gn e
FOR OFFICE USE Reviewed BY: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read, Manometer Staff.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152683
Date Issued:10/25/2018
Permit Category:ePermit
Site Address: 1159 Westbury Knoll
Lot:005 Block: 002 Addition: Westbury 4th
PID:10-83653-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary L Bockman
1159 Westbury Knoll
Eagan MN 55122
(612) 581-8132
Evergreen Construction Company Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature
I-
For Office Use 5_pi 8,3
,� • ::::ee:
to
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:
buildinginspectionsc cityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: -7//s ) 11 Site Address: 1 16-1 1/�1 eST6,)r'7 k'ho /l
Tenant: Suite#:
r Name: i' ' - l1 cJ Phone: 6/2-6.14,, 2o1 2...
Resident/ er " am'
Address/City/Zip: 115 Lf.ie ��r .o //
Name: 114-€'\S-Kr- 13 License#: Ca/6 y hoia-2
J /
Address: '7 0 7 7 SC,�,-,,� R City: Let�K,t
Contractor
State: 1 Zip: ,`Z- Phone: 6 Si^ 33-7- I I) 3
Contact: Email:
New Replacement Repair Rebuild Modify Space Work in R.O.W.
Type of Work
Description of work:L.4 ✓ f p_ )
Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener
Description Add Plumbing Fixtures( Main/ Lower Level)
Septic System
Description:
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 $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
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.aopherstateonecali.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.citvofeaean.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 not a permit, but only an application for a permit, and work 's not to sta 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 ns.
X —37‘,"), I 01, —~ x
Applicant's Printed Name Applic 's Signature
Page 1 of 2