1163 Westbury Knoll . . _ ~
+ . ~1+i" {y• .-•'x - r
. : ~ { . .4. ,
_ • , . ;4 ~ E ~ ~~y ,.~y
; , . . , -
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilox Kno6 Road
P. O. Bax 21199 PERMIT NO.: '
Eagan, MN 55127 DATE:
Zanirg: 0. of Units: ~
Owrwr: FrOr. t
Mdross:
51te I\tidreas• W--stburv 4
Plumber. `,talfELTP4,1 f7 qat6fi iC.31 ~
Mebr No.: S %*WCFwrpe:
Size: /laount Deposit:
Rec No.. Q r tY! i/,D 5? 7 Permit fee: LO . CJ'J`}t:
1 h" ee %*h fw iit? of Eo"¦ Surcharye: . SOpd
Oai`e~aw. MIx. CFwrpes: 132. GUaG' ~/C
Total:
By Dot* Poid:
Dote of trap.: C7 / Irup.:
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Koob Road
PERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 D/?TE:
Zoninp: No. of Units: '
Ownsr:
Address:
siee Add?esc F- •~s±burv
Plurrlber: ' i'~ ~ , ~ r . , . ~ ~•,'l~'~~i lcilll t~i'. <
1som to eeiyl? wIM !iM Cily of gqps Connsctlon Charpe: 425. 9!1-rXi
Oediw~~. M.oount Deposit: 15. oilrY.~
P.rmlt F.e: 10.QCt:l
V .
Susdweye: 0-j
:
8y Misc. Choros::
Dote of Insp.: Totol:
insp.: Doh Pald:
4,.~.,_.~.:.._ . . _ ' ' . . . , . .
~y
- . . . d'__.. . . " '
CITY OF EAGAN
3830 Pilot Knob Road, P.Q. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Re«ia #
Te bo rwd Ier c_. 1'ry! ' • 1, . ESt. ValuE c"j:% to 0 pote I 9 ~ r
Site Address I'o~ Erect Qy Occupancy _
Lot y Block Sec.,lSub. Remodel ? Zoning
Repair ? Type of Const. ~ r
Parcel No. Addition ? No. Stories
Move ? Length S :j
W Name "~~r"'s
Demolish ? Depth
; Address $1 DG Int Impr. ? Sq. Ft. M 6
City Phone Install ?
Appeorak h
Z~ e•
,
Name
u~ Addresa Asussment Permit
City Phone Water a Sew. Surcharge 2 F.
Polics Plan Review ] 4 4- 5 Q
~W Name }2 ZC't:!:i:D CilE!.;~ a, Fin SAC
~Z ~ Addresa Erp. Water Conn. ':(1 0-O(1
izW City • • Phone ~ 4 2 Plonne, Water Meter s "A G
Council Road Unit ! dj - D (I
I hereby ock?wwledye thot I hove rcod this opplicotion ond stete thet gldg. Off. L~." ~''5 Tc PI. 1=~ 0
the inlorrtwtion is tonect and ogree to comply with I ap " blt APC Parks
Statt of Minnesota Stotute,t-ond
Var. Date Cppies
Sipnoture of Pemtiff
Total
A Buildinq Permit Is iuued to: on tM txprcss eondition thot
oll work sholl be dorn in accordance with all ayp(iaoble State of Minnesota Stotutd and City oi Ee4on Ordirwnces.
Buildinq Offkiol
Pwmit No. Psrmk Holder Dow Tslephons #
Plumbinp 5d 151
H.v.n.c. w ~ g
Eisctde ~ ~ C" U• UC~
SoRemr
Inspection DsM Insp. Other
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
InaW. ° S yS LJ
Fireplaca
Final Htg.
Flnal Plbg.
Final ~
Cert/OCC. d~ Ld,~i 'r.f Bi r l~
Water dsu?iba Location:
Well
Sewer
Pr. Disp.
/
Raoaipt MECHANICAL PERMIT Parmit No.
CiTY OF EAGAN ,
Fee
C
-FiJI in numbered spaces S/C
TYAs' or Prini legibly Tot _ ~ ' ` • -7 ~
1. Date 2. Installation.Cost ~ % ~ • ; --0 '
3. Job Address i;`<. ! ~Lot Blk. Tract
{~I
4. Owner ".k~--~~ .c_~ : `~~'~~o...•~._~~' 5. Contrsctor Phone
6. Addreas ! ~ ~ ~ '
7. City _r..._ State Zip., I ; L
8. Building Type: Residential I~I Commercial ? Institutional O
9. Work Description: New Lal Add ? Alter ? Repair ?
10. Describe Fuel Type s^~
11. No. Fqui~m nt STU - M. Ea. No. Equipment CFM
~ Forced Air I%: A-f
Air Handling:
Mfg.
Boilers 1 Mech. Exhaust J!-'
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : ` J for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
,
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
F"°
~ Fil1 in numGered spaces S/C
TypB or Print legibly Tot.
1. Oate 2. Instatlation Cost
3. Job Address//! ' rbt Blk. Tract
~ 4. Owner
5. Contractor, Phone -
6. Address
7. City . State j ~ Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
~ 9. Work Description: New;Q Add ? Alter O Repair ?
10. Describe
11. No, Fixtures No. Fixtures
? Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
1 Kitchen Sink
Urinal/Bidet Other,
_L Laundry Tray 2i ,
.
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
InspectiQns: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN Remarks h
Addition ~'~'$~y Lot ~p Blk 2 Parcel 10 653 OL02-f-bO'~
oWner street 1163 WestburY Knoll stte_ Eagan, mN 55123 ~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK 1985 1 264-20 117-61 15 e~ • 5~ 14 6 2 )O ZS eS-
SEWERLATERAL
watermain 19 65-29 4.35 15 Z ~30 /4,SL n/z r
WATERMAIN G+ 1 l. 4 3•45 15 . O AO /~r 6-2T /0
WATER LATERAL
WATER AREA
9.27
S 0 0, S3 AO /G SZP /p/-?s/dS~
water area ~ i9$ 133 . 7q 8.92 15 133, 7 9 t4 o ~ ~.s2 8 io /2 s/&s-
STORM SEW TRK 1986 710.24 142. Q5 5 -7/0 • d 4-O S`
STORM SEW LAT 783, S6 O/~v S-Zr r0 ~s j j`j'~
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 n n
BUILDING PER, 10559 it n
SAC
525-00
PARK
Control
INSPECTION RECORD I Na
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: AAM~~?~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo t R 4 e i nc Ka~ APPLICANT:
1163 WESTBUftY KNQLI PlTERSOM PAUL
41EStBUR1r 4TN (612) 464-27121
PERM[T.pBTYPE: TYPE OF WORK: MEu
INSPECTION .
FhATtNG FIMAL
tl~~-Qm_
r
~ - - - - , , - - - - - - - - - , - - -
PsmiR No. PermR Holdw Daft Telaphone N
S/NV
fLUMBiNG
HVAC
ELECTRIC
ELECTRIC
inspectlon QaM Insp. ComrtwMa
Footings i
Foundation
Fmmin9
Roofing
Rough Plbg-
Rou9h Ht8•
laui.
Flreplace
Firml Htg.
Orset Teat
Flnal Plbg. Pibg. Inspector - Notl}y Plumber
Const. Meter
Engr./Plan
Bldp. Final
Deck Ftg.
neac Flne! 7 2 ~ Z P I
WeW I
I
i
Pt. Disp. I
I
I
~
' CITY OF EAGAN N° 10 5 5 2
% 3830 Pilot Knrob Road, P.O. 8ox 21•199, Eagan, MN 55121
~J.~/~,
PHONE: 4548100 Receia # /
BUILDIN6 PERMIT /
Te M rrd ier SF DWG/GAR Est. Value $52,000 pate JULY 10 1985
SiteAddrew 1163 WESTBURY KNOLL Erect Ck Dccupency R
Lot 4 81ock 2 ~ec/Su6. WESTBURY 4 Remodel ? 2oning R1
RePair ? TYPB of Const. V
Pareel No. Additlon ? No. Storiea
FRONTIER MIDWEST HOMES Move ? Lengtn 3$
~ Name Demoliah ? Depth 46
qddrny 3908 SIB MEM HWY BLDG E Int lmpc ? Sq, pt,
city EAGAN pnone 454-0433 Install ?
$AME AOYrora6 Fws
Neme
uu A~~ Assessmenf Permlt ~OO
City Phone Water E Sew. Surcherge 26 . 00
F
Polica Plan Review 144 . 50
~W Name RICHARD CHARLIER Firo SAC 525.00
q~me 14103 GARDENVZEW CT Erq. WaterConn 5~00
~W citY A.V. Phone 432-5492 pionner waterMe<er .~00
Council RoeeUnit 280 _ 00
( herobY ackrqwledge fhot I have reod this oPDliCafion and stote thaf 81dg. off. 6/28/85 Tr. PI. 1 32 _ OO
fha informofion is correct ard ree to comply with I op ' ble AP~
Srota of Minnesota Statute 0Perks
Var. Dete CopiBS
Sipnotum of Pennittx
A Buildinq Permit Is lssued m: FRONTIER MIDWEST ES e~x~ $1. 959. 50
preaf Corditlon Ihot
oll work shull W dons in occordonce witA le Sjate~f Mi w uM}-vrd-Eiy ol EoO~ Ordlnantes.
BuilNnp Officiol C,[.C~,_ ._P~CQ~yyy`~
IIbr~~c~
S 1 G IVBA House
Sl,iF3VEY7MG Cerflflcore For:
sERvacEs ~~o~f~eP ~td~Ye~t
3908 Sibley Memorial Highway
Eagan, Minnesola 55122
Phone: (612) 452 3077 ` _~~~~p~~~~q
V 0
\ ~o~,a - I{ARTFO(lp -
1~0' S T SS o
I Jn /g i
4,
-N- L~oT
O /
~ 1/~~~1j ~ ro
hCAi.E: I- QO,
~ Q~ 1 I •
l~ ,88w v / ~ LoT s
. /1 3 O
1ProPOeeQ }
V1 ~ '*.otiHWSE ° ~
m ~ •
p a..+
~n
m f ,'~e0~o .'`~~~c~~ / o
d G
\ 4'8 o.oo . J.
a, , o
. E57guR~- vo3R56 17 52 4~e~ ~
~KNoC~ -
~
~ 0
m
'LEGEND- PROYOSED GARAGF FLDOR fLEVATION= ~g2•5,_
0 (knotes lrai Morx,ment PiOPOSED lop o/ 81ock ELEVAllON= g62.S _
Denotes woca+rLb sef PROPOSED BASEMENT fLopR ELEVArroN=9-7q.S
he~3o (knofes Exrstirg Spot Elevaliun
(A.+s*^w (knotes Proposerl Spof £ leva t i en hYITE: Verify all (lqor k-igh15 rifh Firy/ Nouse Plans.
~.-----'---Denotes Drainage Direction -SURVEYQRS CERTrFICATIQY-,
~~j~.~~ i liereby certify Ihat this survey, plan or reporf
u was ~efured by rre or uzler my direct supervisia~
I LOl_=(&CCK Z arxi tlW ! am a duly Reqisfered Lard Surveyor
Lv er t/e laws of the Sta1e ol Ilrrresota.
; accnrdirg to tM recordcd plat thereol. S~ (
- -
~
--~--Cowity, Nirviesota Wayre D. Cnrtles, Monn. Reg.No
E SO
N
. , .
WAYNE D%
' CORDES =
94675 - ~ =
= ~ • •
a3'...4~......~~.
`q'l;~~~mnvca".
_ . ~ S~-
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED WITE[ THE CITY OF EAGAN
NP-4z,T froRD INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
S E, OI;)0. ~
To Be Used For: Single Family Valuation: -62,99 Date: 6-27-85
Site Address: 1163 WestburyKnall OFFICE USE ONLY
Lot: 4 Block 2 Sect/Sub Erect ~ Oecupancy R-3
Remodel Zoning F--I
Parcel # Westbury Fourth Addition Repair Type of Const Q
Enlarge # of Stories
Owner Patricia Morical/Paul Peterson Move Length 3g
Demolish Depth 4(0
Address 10036 Nesbitt Ave. 5 Grade Sq Ft
City/Zip Code Bloomington, MN 55438
Phone 835-7491 APPROVALS
Contractor FrOntier Midwest HOmes Assessments Permit Z gq.°~
Water/Sewer Surcharge
Address 3908 5ibley Memorial Hwy. Bld E police Plan Review 144.'~
Fire SAC 52.5."
City/Zip Code EAgBn, MN 55122 Engr Water Conn 500
Planner Water Meter co3
Phone 454-0433 Council d Unit
Bldg Off arks
Arch./Engr. Richard Charlier APC Treatment P1 ~32
Address 14103 Gardenview Ct. Variance TOTAL r9 5~- s U
City/Zip Code Apple Valley, MN 55124
Phone 432-5492
Pagf 1 pr 4
_ IOR EhIVELOP'F AV' . [RRGE COhiPUT/1T10lJ ~I~AI~T~°M
. ~NS4. W^ EeOwNER: - - rnrr:
SITE ADDRESS: PiIONE:
CONTRACTOR: Fer,,ihJq'lM
Determine working square footage of each
1. 'Total exposed wa71 area..... 164;'? Z g Sq. Pl, r. .11 = Z(,yL~,
2. Total rooP/ceiling area..... as* ;:a, ft. x.026 = Z z.z$
Total exposed wall aeca abnve 1'li,ur=
a. Total wall window area (l'~
b. Total door area
c. Total sliding glass door area,,,,,,,,,,,,,,,,,,,,,,,, '
d. 7ota1 fireplace wall area.
4 z
dd
e. Tetal wall framing area (average.10;:;) . . . .
~$g.~
. Total rim joist area . . . . a ~
. . . . .
g• net wall area above floor.~.`P~. ~ -
h• wa!1 area above floor
i• wall area above floor
,7. frame wall area at ,`o.uidation
Tota; exposed foundation area= a 4.
Z~
k, Total foundation window area
1. Total net foundation area aLove grade
Determine "u" value of eacn wall segment
(e.g. window, door, each separate wall section)
a. 1 ! X ,U„
, - -3~~_--
b.- . 4P r „r
c . dq 7. _ x "U"
,
d. X
,
x L -L4
f.I~~•`~ X „v„ .o,3 _.--3-2~ 5
n. x ,lu„ _
1. X
j, X ~lull- ~ .
If item p3 is the samt
k' x as, or less than:item
1. _ I~ = 1~ r6? ~ N1, You have met..tfiei;.;
G.,'~• X"U" intent of SBC0
~ ..r,
3 . .................................Total
f..,.
1~
;.:or L'nvalope Avaragc "U" Comp»lat:inn Puge 2 of• 4
/ .
• % ToCul exuo::ed roct/cciiinr, nrca = 0
~
m. 'ibtal skyliyht area o~
n. Total roof/cciling fraroing area (:tvcrayc 109.)... .
o. Total net insulated roof/ceiling tirea....
~s-~--d--
uetermine "U" valuc for eacli roof/ceiiing segment-
r,1. x ..Ull
n . A
CP~
o. -7q7
9 1bta1 ir
If total cf ;,9 is the same as, or less t:han ir12, you have met the intent of
SHC 60:,G (c) l.
A1l-ernate ?uilding i3nve7.ope Del-iqn
To utilize the Lotal envelope'system method, the values esl-ablishecl by t17e s:un of
2,tems if3 and t9 shall not be greater Lhan the sLVn o: items ;'1 and 112.
l. 7,04. t d7+ 2. U-ift _ Z . 1 .
3. + 4. 19 co'1.10
t::
~r-
i i~pamn: uAl nr~•„ fir
j '~•f:rin•,~: ccdi:, t rucl tun ~ u; .~r L._~:l lu.• .
Y;.
p e q4/n . . _o..(~;~ ,
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7.t~C)
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. G. r:r.lcri~,r ,,i. . u•~?l .
, ~ _
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}'1G. tlJ TGl'Vif'N OF ~
, clWi$ WAL1, . InC~~rl~~;' n~r :1!m p.Gll
• . 3. • ' 4• L'~~_R~i?A!~V___... . _ ._?.~JC~
_.._'~_..V 0 S • l~14vlY1~_ .S1~4!~+g . ...r.~~
. ~ G. F.rCOCiu;~ ;tii~ Lili,~ O.17
FIC. 02 I'ULaI
~ "'-~'l ~ ~ . 7nl_rrior a.i[ film (>.f,!I
CZ~ ~.~?=s~~?'1..... __._._.._.....__`_~i~+
. -
---Q 1.
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_tN~~r_~--. _7,vo
fcA t !A
tic ral i _CD_~ s. Fa.4.~vn~._4.1.~ti~e[~-~-----...--•-S~l
~s'~i•- - ~ L~ 6. }:x[crl~~r nir i i Ir.; 0.1'1
r._~~1__._- t-1---~' - _ . I
' • '____'(Jl
~ ~ ~ ' ~ ~q• 3 ~
'.-o'_'~_'II i. inti•:i~i. nl; fil~.. ll.li(1
'i^ .i o I ~ ~ ~ ~ • ~~~_.~5._S$.~ c~tl. .a~f~. ~
T.cri .a.~ . ---•-----t;~ . . _
• i~ ~ . ' ~---~iy~~ `~.-.C?_ _
•
~ ~I• . o• . Q ~ n. . P~a,rr~_R~6... kiA¢~teP...'~--.--..
, . . _ - . .
~
SY ~n I i!ri 0.1~1
~ 'rul,l
41• 7
~
~ SV~.I~ OPI :;INUG
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• ~ ~ -r ,~r-, - x - „ ~ . ~
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~yr-~;. : ~ j~~'~~ ~ M1 • . i; 1
i
7
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' • + ~ :ffl:. !r.~li~~n;~.'~1~;~ . ...!uc, ,1~:,,tl~ nm!.
y ~
i
~ _ I
. . . .
~r~I ~ • ' J . . . .
~ f • y/ Construction A-Val~ic
Intcrior air filca 0.61 ~
2.
C,~ = ' • .
s. s~c.
` I~` l ~ 4. £xtcri.or ai_ fil~a (sti11) O.G
vz:ZT Total 2 4s8o
• ' Fr~A+rt o:
HeaC fiow I- Interloz air film 0.61 .
znted 2-
3. - 71- Y-- ` luSuL 38. 3S .
~ ~ • Q. F:xLrcior a.ir fi lca istilTl '(1-6T~
9P.1~S'ZG. CS .
. . ~ . . . ~ U
CO.L47r1?CP/ myti- '
~ 1_ Insidc air film 0.61
- ---r
? • _
~ 4 3.
5. Outsidc . ir. film U. 17
'rotal
~42 0.61
j. Insidc, air film
Y - -
. . , , ' 2'
Yrcc flou up • j vented 3-
. . 4.
. . , ' ' • 5_ Outsidc air fil:n 0. 17
. . _YIG_ i6.~ . . . ' : Tota1
- -3 . ~ zi 7,_ Ynside air film : • . . 0.51
..z~o .
3-
~ , ~.~.;°_-e"~%--:}~.~-.: _•.rr`'_- 4. Cut.idr. nir filin 0. 17
_ /
Tota1
, h~.7_ti~~i~ lvotc: UsQ additicnal sheets if morc spacn i:
m eeded far de~.ils and ealeulatians.
' . FIcnC ~ ' " • • .
• ' . , - ilou up • • ~ '
' I'z,. F7 ...t:.. . y
~ : i ` , • r ~
Mn
r r~rtaNs ~ ~~`jRICK - -PIRF- FI A,Ge
,
uf ppoijur unll nren fur
~[rrim; liVl1l1{T11C~.jUO Con_lCnc' N`Vlii
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! ~ ~i.4E...B{zuGx. ._[L
~ -
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$IC - "r. . , G. F.>t!ii ~.r .~1 ilin C.1) -
'FIG.A! IYiPVIFSd OF~
~FMt1:: IJAL1,~
. .
•
.
ExCCr~nc ,0i liln 1J.11 "
FIC r~112 ~ c 1.11
` ~ I~
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' . 1 ~ . 2• .
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. r~,~~-o_._-.:-~ :V._O 1 ii,.•iic,r r~ ..filr., p.GR
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.
i . .
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~~Y ~n~ P G. l:l.~ii.c ~ii i1n U 11
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' . ' ~ w . ~ • ~ .4{li ,~'1;
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If ~ G' - . i M1~
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PLA Q ii~
FT. F-Xpos~D WALL _
5l..o,( k ; ?Z-+ 178.S
ir S -
774 4G.5
~:ULL ( ~
~
,
~
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?3LocIC'~ r x , S = 64.Zg
i:~NEE; K 5' s .
Pu LL I tZb
~ v
Aq~
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r:l W D1til5 I~ 3 1r&Z
D.•a..~s r`~
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~1~~~ ~ r 25 ~ ?ATio Dt.S.
sc
'IC4.
. - 1 t ~ ~
PERMIT r Control No. 0446
A' CITY QF EAGAN
3830 Pllot Knob Road PERMITTYPE: euxLDtNo
Eagan, Minnesota 55123 Permit Number: 000559
(612) 681-4675 Date Issued: 0 6/ 16 / 9 2
SITE ADDRESS:
1163 WESTBURY KNOLL
LOT: A BLOCK: 2
WESTBURY ATH
DESCRIPTION:
Bu;tlding Permit Type DECK
, Buildin 67-lWork Type NEW
UBC Occuparivy R-3
r BUildittg ten}th 20
Sui2datng' Width? 12
~
„
J
4i:,. . . '
\ n,f
t
f
~a
i
`L: ~~'-x c~`?/ A.~u'r i ~ l,~i.l` ~4 ~ ``"r I ~..`5 t.t,) ~ J
h
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge S.50
Total Fee $25.50
CONTRACTOR: OWNER: - APPlicant -
PE7ERSOPI PAUL
1163 WESTBURY KNOLL
EAGAN MN 55123
(612)454-2321
I here6y aoknowledge that T have read th:ts appXicaCion and state that the
infbrmat3en is correcY antl agree to comply with all applicable State ofi Mn.
StatuCes and Gity af Eagan Ordlnanaes.
~ -
APPLICANT/PERMITEE SIGNATURE ISSU D BY: STMATURE
PE?ZMIT f. CITY OF EAGAN , 1992 BUILDING PERMIT APPLICATION
681-4675 «;AY ~ 3 RECo
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Oate . ) / Yaluation of work
Site Location: a `.I~nc~M
STREET LTE M
Tenant Name: Wai~ V-A~ ?Q4C/ydv?
LOT ~ BLOCK ~ SUBD. P.I.D. /
Descri tion of work: L~e
The applicant is: Owner ? Contractor ? Other co~crine>
Name ~~.~d+'j Phone 5FS`~-oZ3~-~ \
Property IAST F1RST Qr
Owner Address 116 ~ (.cles'*1CAJ~n~ ! ~ x ~s
STREET STE N
City ~n State Zip
Company Phone
Contractor Address License # Exp. •
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
n•-
Signature of Appl icant: i n6 4(Z,ccX :~z?C'f2_/C P."
OFFICE USE ONLY'
BUILDING PERMIT TYPE n
~
O 01 Foundation ? 06 Garage/Accessory O 11 Res. Add./Porch ? 16:tiAgricu4tunal
? 02 5F Dwg. ? 07 Fireplace ? 12 Comn./Ind. New 0 17 Building Mave
E3 03 Twa family Dec ? 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. asement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. 13 10 Swim Pool ? 15 Public Fac.
WORK TYPE
tPAddpition ? 34 Remodel O 37 Move
? 35 Repair O 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Basement sq. ft. MWCC System
Zoning lst F1. sq. ft. City Water
Const. (Actual 2nd F1. sq. ft. PRV Required
(Allowable3 Sq. Ft. total Booster Pump
# of Staries Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code ~
Depth _~a ! On-site sewage 5AC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site ^ Footing ? Framing ? Insulatian
0 Wallboard %Final ? Draintile 0 Fireplace
Permit Fee 2 6o r.iuacion: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn. Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other .
Total:
SAC %
SAC Units .
81 O MA House
SUAVEYING CertlflcotQ For:
SERVICE3 Frontler II1~d~eJ~t
3908 Sibley Memorial Highway '
Eagan, Minne5ola 55122 i -
Phone: (612) 452•3077 Corporatlon ~
\~o~ SS ~oda - NARTFO(l0 -
~o
~ 6 F • ~ ~
- N - L.o T 3 ~ .
_ . . - i ~~,Q ~
\h h /
a~,? It ~
, o
hca,LE: Iao ~?L ~ •
aO&`
, ,r,ovo..a 1 3
. ~ ' ~•aIHOUSE14 r• , ` ?
a 9 'I .
%eo.,, ~ f pP M1p '
~oll N
` \ ~ ~ ~.t~ { • ' ~ , s~ o
O, pO
1 • 52 0 ~00
, ~ESTguR?' y°3~56-
~ `
~KivoC~ 4_1
ND- PROPOSED GARAGE. FCOaR ELEVATION=
0 Glrnotes lron 4aaurent PflbPOSfO Top ol Bfock ELfVATfON- g02.9
' ° Oenotes Moai H,.d $e/ PHOPOSfD BASEY£NI f100R £LEVAl70N= -19.5_
i
. w s¦s.o (knpies £xist ug Spot Elevaf ia, '
' N..s~.., NpTE: Verify a11 lloor lpiqhls rilh final Hwse Plans.
(r- Aenotes Proposed Sppl Elevaticri
.+---Ornotes Drainage Direcliar _ at~= CERTIFICQTION-,
, -P~RTY DESCRl~ION- I hereby cerri/y thst this survey. Plan or report
was {repared by mr vr inler my direcl supervisrcn
IlJT~ ,BLCCK Z ani thut I am a duly I7eqistered Lard Surveyor
Lroer the la.s o1 the Sfafe of Minnesota.
ac[ordirg to the recorded plat lhereo(. ~1 f
CWI}Y. MINIE50}d Wayre D. CorUes. Yinn. Reg. No. ~~T9*
r1NES~p ~4
WAYNE D..'k ~
CORDES i s
;~`t,.-14675 - Q~
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~
3830 PII.OT KNOB RD - 55122
~ (651) 681-4675
lonstructionReauiremts RemodeUReoairReauirements
O /
? 3 registered sde surveys ? 2 copies af plan
? 2 copies oT plans (inGude beam & window sizes; poured fid. design; etc.) ? 1 sRe surveys (exterior additions & decks) ? 7 energy calculations ? 1 energy calalations for Aeated additions
? 3 copies of tree preservation plan if lot ptattad after 7/7l93
requiTd: _Yes _ No
DATE: i~^~a`"~Q ~ v
CONSTRUCTION COST: 12l o7CX-) .
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: Li k3LOCK: SUBDJP.I.D.
Name:_~~Q,~~_,~ pQ~,~Phone#: ~
PROPERTY Last First
OWNER f \L
Street Address:
City State: Zip: ffsl-)~_
• Company: C1F 1 ! \ Phone -~Vl[1~ b
CONTRACTOR c+
Street Address: >~~~(Kp License # a 179 Exp. ~ ~ L)
City State:
ARCHITECT/
ENGINEER Company: Phone i!:
Name: Registration
Street Address:
City State: Zip:
Se,tier & water licensed plumber (new consVuction only): . Penalty applies when address
chazge and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the informaGon is corcect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
• 5ignature of Applicant
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE •
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
? 32 Addition 0( 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bidg
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV •
APPROVALS Fire Sprinklered
Planning Building Engineering . Variance
PermitFee a31.Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SI1N Surcharge .
Treatment PI. Park Ded. '
Trails Ded. '
Other
Copies .
Total: a a5
% SAC •
SAC Units
1
~ z/sa
CZTY OF EAGAN
1Uq APPLZCATI^uN FOR PEPuMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PP,OPERTY ACDp,ESS: 1163 Westbury K noll
rFrAi, prcCR7PTrCy. 4/2 Westbury knoll
(Lot/Bloc}c/SL:uivisicn or Tax rarcel I.D. Nlr:~er) ' I"c ::iIS:'=:G S'?'RC(:.'=:. DA^ Oz' CcLTG^TAL rtiILP.L`:G 1: ISSu?\C:
PRtrSr :S Z:^„7i:ry'Pp.Ot',''S=, IIS"': R R-1 5=GL: FPti1SLY
O R-2 DLTP-= ('I;:p L,\IITS)
0 R-3 + L,.ITc) ~ LNI'_'S)
? P.-4 ~-,^c:.,Y'?"T~'^:T/CC:'S)Ci.1~;IIG~S ( GtiI^_S)
p CCMNSE.°.CL7%I./RE.'*'•AiL,/OF'FIC
Q ~~~ST t_aL
- -
? L`75T=IG`:lAI./Gi~StiE:~;T
2) AIPPLIC=-1j'T (PLEAJE PRfhi)
Frontier Midwest Homes.Corporation
PDDRF:SSc ~3908 Siblev Memorial Hwy. Bldg. E
CTT'_', STa=, -ZIP: Eaoan, MN. 55122 -
PH(DNE:-- 454-0433 ~
.
3) (PLE:,SE PRINi) FOR CIT7 I1SE OHLY
Star Plumbinq
eEas tT-
PDD3ESS: 1018 Mound Springs TeT. vtur. Activr
CITY, ST?.TE, ZIP: Bloomington, MN. 55420 ExP' ed
--FTHai[n Of fie oq r6
PFiOVE: $84-4149 PLUYBER LFLENSE H 3329
' aft tnl[131
4) ~,~ppt.r/cry„m (PLEASE PAltli)
-Patrir;a Morical/ Paul Peterson
ADDRESS: 10036 Nesbitt Ave. S
CITY, STA2z-:, ZIP: Bloamington, MN 55438
pp;p*E: 835-7491
5) 12dDIG= I4I-IICH PEfL'-SIT IS HEIriG RfQUESTID:
~ COtINECTI6N Tn CITI SE.TriER -_-Pfiease mail gold copy to;
~ CO^INECTICN TO CITY taATE:t Wenzel Mechanical >
.3600 Kennebec Dr. -
I ?0-11IR (PI.ZA-CE DFSCPSBE) Eaqan, MN. 55122
6) P,:DIG=m C::c: •
. ? PI: ASE F?OID r1PPRat7ID p&P'.`^ST FOR PICii-IIP BY ONE OF AHC,+VE
~ PLE'Si APP?'~t/fD PEF_•tIT 'PJ 1, 2 3, 4 A&CNE `
- (Ci~e one) "
7) SIC,'IL'i^v-~,: DA'I'E:
~ q:~liR}l.i0 y~ i Q!~:gx'.+~ ft IR Aii#~ ~ 14 i l~Fiii :i a 1t f!l~T~l~~]~ f~ 1~ i s~r
F 0 R C I T Y D S E O N L Y
PERMS'!T L' TSSUED
rr^S• . $ _ . .
. SELR °DBMry (INC,LuiE JURCHlRGL)
. .
$ L4ATEcZ PEi2PtIT {ILICL'uDE SliRC:?.'vRGr,}
$ WATER METER/COPPEBHORN/OUTSID : REi,DER
$ WATER TAP (INCLL'DE CORPORATIQN STOP)
5 5~.;iER TAP
$ ACCOUNT DEPOSIT - t9AT°R
$ wac
$ SP.C
- - -
$ _ _ TRtiVK IqATER ASSESS:lE:7T
S TRli?IK SEG7ER yS5ES5:,?E^IT
+S Li,TER?L SENEFIT/TRUNK SEtdEt
$ LATE:2AL SE*IEFIT/TRU.`:K [4ATrR
$ WATER TREATMENT PLANT SURCHARGE
S OTHER:
$ TOTAL
$ AMOUNT PAIDjRECEI?T ~
DOES UTII,ZTY CONNEC:ZON REQUIP.E EXC?VATION IN PUSLIC RIGHT OF WAY?
L, YES IF YES, THEN A"PERMIT FOR W0R!t WITHIN
PUBLIC ROADWAY" MUST SE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CDNDI-
TION.
SUBJEC: TO THE FOLLOti4ING CONDITIONS: •
APPR04ED SY: -
TZT:.E: .
DAT°_;
04 iA sk~ ! ~ i~ !I9 /l ~l# Ri ~ ~ /E ~t-Jf Rl+ !k~ ~F~ 1! ~i~ if~ /F ~ f~ ~si~ A~ /k~ wk flY ~ ~
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomesPoondos when pemvts aze required for each unit
Date l ~
SiteAddress ! ( (03 Unit#
Property Owner Telephone #
Contractor
~~y~~/! ~CJVi
StreetAddress p(&(aS SU 61• w- City
State 1 1 7ip S~ Telephone #((05} c JdR-S
Bond Expires:
The Applicant is _ Owner -~-C`oniracror _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
k- fumace _Additional \-60acement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total $30,
~
I hereby apply for a Residential Mechanical Permit and aclmowledge ttiat the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan a e Mechanical Codes; that I understand tbis is not a
l Eon! and to start wiout 't; that the work will be in accordance with the
ires approval of p
ApplicanYs Printed Name Apphcant's Signature
Use BLUE or BLACK Ink
r————————————————�
I For Office Use �
� 1�L, I
C�� O� n� �� � Permit#: I
H_ � � I
y 1J � I permit Fee: �
3830 Pilot Knob Road j i
Eagan MN 55122 � Date Received: i
Phone: (651) 675-5675 � i
� Staff:
Fax: (651) 675-5694 �-----------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
/ c,--
Date: ✓ ( '�> Site Address:
Tenant: Suite#:
��� � 7�'" /,S�C�
Re�ade�itlOwnet"a," Name: ' ,� �`��'c�@G'1 Phone:��f"r�
`..�.. . .w ��_ � �°�� �::' Address/City/Zip: �/ `e S�`��� !/I O 6��
� �� ` ,/�
� ���`t` � Name: ��- � License#: ��Q�d��f"�
� ���� �� � � � (�
� ��...� � Address:� ��� _U ��L�''i�� �C/� City: �
���tract+�c
�� �/� ^ �S�d � ����
���£��x State:�Zip: Phone:
�
� �� ��� �
���� �' Contact: Email:
�:# �n�
:������ � ���
# T�p������� #�� _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
�� ��� �
# �� w ;� Description of work:
n��. .;..
� � RESIDENTIAL
% �� �� y��
� ��y v
�� Water Heater
Water Softener
���� ,_ � Lawn Irrigation(_RPZ/_PVB)
��� P�'������� � Add Plumbing Fixtures�Main/_Lower Level)
��£::; �
�� �� Septic System
� ,;
=} Water Turnaround
x , New
�w�� � ������� —
#��' , r �� 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 Svstem Abandonmen't,Water Turnaround�`(includes State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC SVstem New(includes County fee and State Surcharge)
TOTAL FEES$
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.aopherstateonecall.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
�� L�, G'�--'�'\.
X � X
ApplicanYs rinted Name Applicant's Signature
�„ : � � �
� � � � ��.
FOR�J�Fi�C�t���$`_" Re�iewed B��� ��� Date ���
� �.x .
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�
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165401
Date Issued:10/29/2020
Permit Category:ePermit
Site Address: 1163 Westbury Knoll
Lot:004 Block: 002 Addition: Westbury 4th
PID:10-83653-02-040
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: 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 -
Paul A & Patricia Peterson
1163 Westbury
Eagan MN 55123--147
(651) 271-1513
Evergreen Construction Company Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature