1167 Westbury Knoll`b
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: t7 �`E' 0
Permit Fee: V 0 0
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / ® Cj /® Site Address: i 1 67 use 546, 7 %ino1(
Tenant: K42 11.1 t: De. b Tho rs c r'
Suite #:
RESIDENT / OWNER
Name: Ke k/ i " rS�� `� C b T h c rS e i� Phone 6 _a iii
Address / City / Zip: I J b7 Wes- ry kilo ll` Eckq 0..A' ,M IV 5 5 /23
Applicant is: X Owner Contractor `JJ
TYPE OF WORK
Description ofwork: .1eNs'Iaif 6 S'me Size ` S / IN- t,�`inaO'-%S
Construction Cost: 41500 c•L'� � �eMulti-Family •Building: (Yes / No) )
CONTRACTOR
Name: Si ('F License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water 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.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 'n. f.S`b
Applicant's Printed Name
ant's Signature
Page 1 of 3
CITY OF EAGAN SEWR SEVICE PERMR
3830 Pilot Knob Road
P. O, edx 21199 PERMIT NO.:
Eagan, MN 55121 p^TE; _
ZO^i^o: - No. of Unlh:
OwrNr.
/lddroas:
1I ~7
Site Addmss: I(i1G' 1 i,.s Ii-1; -
Plunber. _ ar ?~l tr. - ; • I'~.=..n?; 1 •:v-', l
I yrw to ees* wllb iIN Cihr OF !nom¦ Connection Oiorpe: 425 _ 00;-,d
on++ussom Acaa,nf apodr: 15. n Ooa
Perenlt Fes: - ~ Q-f),27 '
Surcharpe: `•l
BY Mlac. Chorppc
Dote of Irop.: Total:
Insp.: Dob Paid:
CITY OF EAGAN VYATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Bc < 21199 PERMIT NO.: ~1
Eagaa, MN 55121 p^TE; 3-8-85
Zoninp: No. of Unlts:
Ow?wr, rS.Ae. S,
Add?ns:
Sice Addross• Kno:• 1£3 R2 r•IeStbuxy 4
Plurrber.
Meter No.: -361 3.5-9 SaZ Connection Charps. 500. ()C;.)d
Stu: 5A" Ao cK Acomint pe15.00p:
Reods, No.: 1l~ r~ a o h S Pen,d: Fee: 11. 0 0; x1
I ym io oomply wuh !IN City d 4ypw Surchonpe: • 50pd
0a+00100o.06 Mix. cb?pm t 3 z. o o-.A s~~•
Totol: f3.1)li.-~c: ;toeter
BY ~--,~T--- Doft Poid:
~
Dote of Insp.: irnp.:
~0-3- gs
Receipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN
- Fse
Fil1 in numbered spaces S/C
Type or Prinr legib/y Tot.
1. Date 2. Installation Cost °
3. Job Address s e' Lot - Blk. Tract
4. Owner Z
5. Contractori~,%-- ~~.q Phone
'
6. Address
7. City State 7• Zip '
S. Building Type: Residential O Commercial O Institutional O
9. Work Description: New ? Add O Alter Q Repair 0
10. Describe 11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower We I I
Kitchen Sink
Urinal/Bidet pther
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~ " CITY OF EAGAN N0- 10 5 51
3830 Pilot Knob Road, P.O. Box 21-199, Espn, MN 55121
eU1LDINa IPERAAIT PHONE: 454-8100 Receipt #
To wNeed FW SF DWG/GAR Est. yal„e $63,000 Date JULY 10 i 9 8 5
Sits Address 1167 WESTBURY KNOLL Erect 12 Occupsncy R3
3 2 s,,,. WESTBURY 4 Remodel ~ Zoning Rl
Lot 81ock /Sub. Repair ? Type of Cona. `J
Parcel No.
Addltfon ? No. Stories
FRONTIER MIDWEST HOMES Move ~ Lenytn 40
~ Name Demolish ? Depth 4 $
Addreta Int Impr. ? Sq. Ft,
ciri eagan phone 454-0433 instau D
Nsme SAME APMmrah Ftis
Addren Assessment Permit • 00
~ CitY Phone Wat•r bSaw• Suroharqe 31.50
~ Police Plen Revlew 161.00
~ Name RICHARD CHARLIER Fin gqC 52500
q~~ 14103 GARDENVIEW CT ~y, waterConn 500.00
~ W City A-V- Phone 4 3 2- 5 4 9 2 pla,~ Water Meter 6 3_ 0 0
Council Road Unit 2 8 D- d 0
I hereby ocknowiod9e thot 1 how rood this opplicotion ond stote tho Bidg. Off. 6/28/85 Tc PI. 13200
tM iniwmotion is corrcct ond com ly with all lic APC P8rks
State of Minresota Stotutes a d~
~ Var. Oate ~p~a
Siqnotun of Pennittcs ' Total 0
Buildinq Penmit ts isswd ro: FRONTIER MIDWEST H S a„ the .,pi,n Arion tna,
dl work aholl be dorn in ocao.donce with ol Stah o Ml atutes nd Gry ofi Eopon Ordinonces.
Buildinq Offlciol
7/$6 - REACTIVATED FOR DECR
;;KEIlIN THORSON - CITY OF EAGAN
" 4 54-247 4~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 SUILDING rERMIT PHONE: 454-$100 aece+at ~qt
To M wrd fair Eat. Volue Date 19
SiteAddres: Erect q Occupancy
Remodel Zoning
Lot Block Sec/Sub. •tir~' ~ f Y ~ ?
Repair ? Typa of Contt.
Percel No. Addition 0 No. Storiea
Move ? Lergth
W Ne"ie DemoNsh ? Depth
~ Address ' Int Impr. ? Sq. Ft.
City Phone Install ?
Aypesvak FN~
~ Name
~t A~~ Assessment Permit
~ City Phone Woter 3 Sew. Surcharge
~ Poliu Plan Revfew
W '
~ Name - Ffn SAC
W
~z ! '1%1.'' G•' (:'1'
x~ Aaarm ` Enq, wacerconR
.W C+ty Phone ~~-!54 9 2 Plonner Watar Meter
Council Road Unit
I hereby acknowledqe thot 1 Fww rood this opplication ond state thqL Bldg. Off. ' Tr. PI.
tFfe informotion is corcect and ogrmfio com ly with all p~plispbT~
State of Minnesota Srotutes and"'City qfy,~p~p -Ord.iw4ys.~ APC Perka
~
Ver. Oete
Copies
Siqnotun of Permittee .~a: ~T f , , ~ . ~
Total
A Buildiny PeRnif is fssued fo: " on tM express coe+ditlon tlwt
oll work sholt be dorw in ocoordonte with all oppliwbl• Stote of AAinnesoto Stotutes and City ot Eapon Ordinoncss.
Buildirq Qffkial
Pwmit No. Pwmk Holda Dob Telsphone ~k
Mumbinq, (A)
H.VA.C. f ~ C), l,J
EMctrlc
Sohowr
Iropeation Da" Insp. OMw
Footinga 1
Footings II
Foundation
Fnming
pOOnflg
Rouyh Plbg. . t~
Rouph Hty.
Insul. 7A.1
Fireplace
n~G~ ~ o4 i Xe cj ~-/`~-X"~ L- • .
Final Htg. 44
Final Plbg. ~
Final
CsKt/Occ. p~ J ul ~
Wattr ~ibe Loeation:
well . a
Sewer
Pr. Disp.
R--~.
Receipt PLUMBING PERMIT Permit No.
~ CITY OF EAGAN
F°° -=t--
~ Fill in numbered spaces S/C _
Type or Print legib/y ToL
~ 1. Date 2. Installation Cost
~ 3. Job Address 4 LoT'Bik. Tract ,
,
4. Owner , , - /i l.~ i r • .
~
5. Contractor Mz,-rT z - Phone ..1
J
~ 6. Address
~ 7. City State Zip
r
~ .
. 8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New Add ? Alter ? Repair ? ;
10. Describe ~
11. No. Fixtures No. Fixtures
Water Closet Cesspool /Dra i nf ield
Bath tubs Septic Tank
Lavatory Softner
Shower Well ;
i 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 I
comply with all ordinances and codes goveming this type of work. ~
Signed : , • ` ~ : ' i~l for
Rough F i na l
Inspections: Date Insp. Date Insp. '
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERMIT Penmit No. 1-
CITY OF EAGAN 'il. 00
l FM
~ Id jiq~ Fil/ in numbered spacat S/C .50
Type or Prinr /eglblY TOL $ 20. 5 G
1. Date 2. Instatiation Cost 30. 00
3. Job Address 11:)7'w't8€: t; , r•, 3@Ik. Tract
4. Owner rrvvj.±e-r Companies
5. Contractor '•iet: nan :_ca'L Phone
8. Address t•,ztwabeC Drive
7. City Fagan State Zip `1
S. Building Type: Residential D. Commercial ? Institutional D
9. Work Descriptioa: New Add ? Atter 0 Repais ?
10. Deacribe i,eatil-19 Fuel TyPe '::ituLai
11. No. EguipmenL BTU - M. Ea. No. Equipment CFM
k- Forced Air
Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleta
12. I hereby certify that the above information is true and correct, and I agree to
comply with ~II prdinanoes and codes governing this type of work.
Signed: C~":~ ~~s__ j;,: t. ~1
~ for
Rough Pinal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition WES''BURY 4`~ ~DN • Lot 3 Blk 2 Par~~ $3653 03~ 02
Owner Street 11U7 Westbury Knoll State ~n
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SANSEWTRUNK 18 26 .20 1.61 1 Z46.5 A016473 10 2 S5
SEWER LATERAL
waterfnain 1% 65.29 .29 WATEFiMAIN 198Y 51.64 3.45 1 44.80
WATER LATERAL
WATER AREA o 1$ 1 0. 3
1986 133 . 79
STORM SEW TRK 198C 7 1 0. 24
~i
STORM SEW LAT 18 783.56 156.71 783 .56 i t
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CdNN. 500.00 BUILDING PER.
11
SAC 525.00
PARK
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan \
3830 Pilot Knob Road, Eagan MN 55122 (.~CJ
~a Telephone # 651-575-5675 FAX # 651-675-5694
New ConsWction Reouiremenls RemodeVReoairReouirements OHice Use Oniv
3 registered site surveys showing sq. ft. of Wt, sq. ft of house; and all ropfed areas 2 wpies of plen Cert of Survey Rerd _ Y_ N
(20%manimumlotcoverageallowetl) lsetofEnergyCalculalionsforheatedadditions Tree Pres Plan ReW _Y _N_
2 copies of plan showing beam & wiMow sizes; poured found desiqn, eta 1 site survey for additions & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculetions Add'rtron-h+dreeteAon-sifeseptlcsystem OnsileSepticSysiem _Y _N
3 wpies of Tree Preservation Plan if lot platted after 111/93 ,
Rim Joist Detail Options selection shcet (bldgs with 3 or less unRs
Date / oc Construclion Cost
Site Address ~JeS4`'u"(y ~1,kI 0~ I~ Z` ~en S S/~ 3 Unit/Ste q
i
Description of Work l0-)^'p`' (e"eI
Mulfi-Family Bldg _ Y_ N FSreplace(s) _ 0~( 1 _ 2
Property Owner flt n f°~UYSa'~1 Telephone 6 S!) Y~y a y~ S`
Contractor C) W rie V 5
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 Minnesota Rutes 7672
Energy Cqde Category . Residential VentilaGon Category 1 Worksheet • New Enerqy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephon~i ~
Sewer/Water Contractor II ~I I UTAR C~Telephopl~jl ( ) '
1~13
I hereby apply for a Residential Building Pemut and ac I~knowl-odge that the info ation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. 7~~ 774~
Applicant's Printed Name )4p51icanYs Signahue
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level p 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof - ? 46 Windows/Doors
? 34 Replacement •Demolition (EMire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMlT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reuuiremenb RemodeUReoair Reauirements
• 9 registered sde surveys showing sq, ft. of lot, sq. R. of frouse; and all roofed areas • 2 copies of plan
(20% maximum lol coverage aliowad) . 1 set of Eneryy Calculations for heated additions
• 2 copies o( plan showirg beam 8 window sizes; poured found design, Mc.) . 1 site survey for ezterior additions & decks
• 7 set of Errergy Calculations . Indicate if home served 6y sepfic system toradditbns
• 3 copies af Tree Preservatian Plan if lot platted afler 7l7193 ~
• Rim Joist Detatl Options selection sheel (bidgs wdh 3 or less units)
oare -7 la q lb 2-
VALUATION
SIiE ADDRESS lL--? W e~4L;,,-v 110JI MULTI-FAMILY BLDG _Y -XN
TYPE OF WORK d d 1'-G`l-064- FIREPLACE(5) .X0 _ 1
- 2
ho wse ~ -~r4r~e,.~r~
APPLICANT k'P V %A __F_hUl',•vtn
STREET ADDRESS I~ 6 7 W eS'f6 r,. I~iito U CITY 6 .~_STATE M!~'ZIP 55
,
TELEPHONE # 6,7 i `%CELL PHONE # - FAX #
PROPERTYOWNER' b e6r, `17-,0 TELEPHONE#(661.Z'fiV
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RULI:S 7670 CATL'GORY 1 MINNESOTA RliI.ES 7672
(J submission Iype) • Residenlial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water 5oftener Lawn Sprinkler Pee: $90.00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanicai Contractor: P tl e#~ ~ I II I
Mechanical system includes: _ Air Conditioning rr1i 2 9 Z00 ~e~1 ~$70.00
_ Heat Recovery Sysccm
Sewer/Water Contractor:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota S atutes and City of Eagan Ordin ces. (7~
~ignature of Appltcant~~,
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4IQ2
OFFICE USE ONLY • .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - MuIG
? 03 01 of _ plex 0 09 07-plex -0'17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-ptex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
6, 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
f~C- 33 Alteratlon ? 37 Demolish (Bldg)' 43 Reroof ? 46 Windaws/Doors
? 34 Re lacement * ~
P Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy 71& MC/ES System
Census Code Zoning City Water
SAC Units ~ Staries
Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
Footings (deck)
X Footings (addition) FinaUNo C.O.
~ plumbing
Foundarion HVAC
~ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stuceo Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit C~
License Search ~
Coples ~
Other
Totai
~ SIGMA Ffouse
~ SURVEYING Cert(lfcote For:
SERVICES F~fler l1~1/d~~st
3908 Sibley Memorial Highway
Eaqan. Minnesola 55122 Corporatlon
Phane 8
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^ qeno}es IIOW HLb Sef PROPOSEO BASEYENT FLQDR fLfYAIfON- $~9.3
fknoto Existirq Spol flevatiai
c~w p,ned spot E reval,r+) M7lC: Verily al / flocr lrigh/s wiIh firol Hp,ee Plarts.
(Ax„ Deno+es rro
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-Iknofes Drainagc Orrectiai -gfRMQRS CERfIFICdfIQV-, •
I IpflDy ClftifY iMi fhis Sarvey, plan q- rrporf
"P~~ ~~~~UCH' wns preprred by nr nr vder mY difKt SupErviSiCn
!DT 3,&GCI(_ Z aro tlat / am a duly Regislered (wry Su-v[yor
TH A uroer thr lews o1 fhe Stale c/. -Y .nrrsofa.
wcsTBURY_._~I. qQL'f
actadirg }o IM recaded plal there"l. 5~
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1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRAC?ORS NUST BE LICENSED WITH THE CITY OF EAGAN
LPcMPJRIIX~~ INCLUDE 2 SETS OF PLANS
3 CERTIFZCATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
(03,000
To Be Used For: ._Single Family Valuation: Date: 6-27-85
Site Address: 1167 Westbu{ry KnQll OFFICE USE ONLY
Lot: i3 Block __Z_ Sect/Sub Erect X Occupancy
Remodel Zoning
Parcel # ~pestburv FOUi'th Addition Repair _ Type of Const
Addition N of Stories
Owner Kevin & DgfbTa j,hOrson Move _ Length ¢o
Demolish _ Depth
Address 620 Cleveland Ave. Int,Impr. ~ Sq Ft
Install ~
City/Zip Code New Briahtan, MN 55112
Phone 636-3106 APPROVALS FEES
~
Contractor Frontier Midwest Nomes Assessments Permit 322. ~
Water/Sewer Surcharge s'
Address 3908 Sib1eV Memorial Hwy. #E Police r Plan Review \Co1. m
Fire SAC
City/Zip Code Eaqan, MN 55122 Engr Water Conn ~.w
Planner Water Meter (03. s-
Phone 454-0433 Council Road Unit
Bldg Off 8 ~freatment Pl 7z.4=
Arch./Engr. Rlchard Charlier APC Parks
Variance Copies
Address 14103 Gardenview Ct. TOTAL ab( lF . S(~
City/Zip Code Apple Valleyy MN 55124
Phone U 432-5492
S! G MA House
BLlF~1/EYING Certlficate For:
SERVICES ~ ~~er Mad~~st
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452-3077 CArporation ~ J~'1od - CAry4RIDGE -
5S
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- ND- PROPOSED GARAGE FLOOR fLEVAIION= S8Zo
0 0.anotes Irai Yar.ment PROPOSED Top of B/ock ELEVATlON- SS~3
° Qenotes M'oa! Hc,b $ef PROPoSED BASEMEMT- FL04OR ELEVATION= $~9.3
R 8~10 Aenotes Existiry Spot Elevatiai
Llenotes Proposed Spot flevaticn NCTf: Verily all fleor liights wilh Final.Mouse Plans,
r
Denotes Drainage Directiai
at%= CEftTlFfCAT1pU-. ,
1 Irreby certrfy fhat /hrs survey, plan or reporf
~~~~ION- was preparecl by me or urfer my direct superv isian
LOT 3,&(XK Z- aM thaf I am a Auly Registered Lerty Sirveyor
WEST4uRY 4Tµ A~ ~Tlunr urd r the laws ol 1he State oi Yirrpsota.
accordirg to the recadad plat thereof, Nte'r(3 /iS
Q~p~ -
~a6 County, Yimesota 1layne D. Cades..Nirrn. Reg. No\,,\\`\;W EiS
OV'a., 6,~'` 'z
• ,
W A Y N E D. CORDES
t4675
~o ~ ~1 .
,
, Page i of 4
, - ~ EXT[RIOR ENVELOFE AV1-ftAU "II° CDMPI1TATipN CAI'1MQ'Cm
~wee
OwNEft : nnlr
45 15 ~
SITE FlDDRESS: PIIONE:
CONTRACTOR:_ ~94~er.,
Determine working square foota9e of each
l. 7ota1 exposed wall area....._Zsq. ft. x, 11 = 2,451, 75
2. Total roof/ceiling area..... rC~~~_ sq. ft, x.02b zts
Total exposed wall area above floor
a. Total wall window area ~
b. Total door area ^ 6~
c. Total sliding 91ass door area ~
d. 7ota1 fireplace wall area
e. 7otal wall framing area (averaye 10%)
f. Total rim ,joist area -
9. net wall area a6ove floor..,~~,,,,,,,,,,,,,,,,,
h. wall ai~~ea above floor...
i. wall area above Ploor
j. frame wall area at foundatien....... ~
Total exposed foundaCion
k. Total foundation window area
1. Total net foundation area above qrade
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. l~~• X ~~----~1 I5
b._ .(P-L _ X 2.-,b3
C . X u U n • ~ ~ , ~ r ~
dX liull
~ ~ °
e. , Z Z~. NO X r_ C; ~ ~
,
f • ti X ° U" ~ C)
9 X ,lull ~ ~
h. X iiuii _
i. X 'lu„ _
r<.
j_ X IIUII _
~ Tf item #3 is the'sei
k' X as, or less than°;'j,t~ei
N1, You have metbwtlie
K'~~°____~_~ intent of SBC,,600 f~~ri
3. . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . To t a 1
~
l ]ia '[,r10r Lnvolopo AveLagc Comp.,iLnl.ion Page 2 of q ,
' 7`olul expo;ied root/cciling nrca = 1~~_,
• ; .
m. 7btal skyli.gltt area
n. Total roof/ceiling framzng area (averarfe 102)... .
o. ToCal net insulaLed roo.[/cciling area...........
. Determine "U" value for each roof/ceiling segment
` M. x i.Vi.
11. -
~Ug• "U"
o. a „U„ , v Z &T,
A . ~otial = Z. If tota.l cf- 4k4 is the szime as, or less t:han 02, you have met the intent of
SttC 6006 (c) 1,
Alternate Buildin Envel.ope Desi.gn lb utilize the total envelope'syster,i method, the values establzshecl by the snm of
i.Cems 1!3 and 114 shflll not be 9reater than the smn oL items ;{1 and #2. .
1•_ Z 5 I, 7~ 1- 2.~~._
3. + n.
.
. ~
,.d;..
fi007/CEILING
, • yr~~ Construction R-Valuc •
1, Zntcrior air filr,n 0.61
l, s. ~T 6~ ~r~
3. I,vS0[.. 44 0'O
~
(lI 4. Extcri.or air filn (sl-ill) 0.
Total
4s8o
_ 1 -{z~ . - .02
~ ~ . . .
Heat flow ~ 1. Inrerior nir E.ilm 0.61
:nced uP • Z- G'7~~- ~
. a . `
' • 4.
• . . . , - ------------SotaL 2, - 9 P. 1S
FIG. 65 , •
~ ~ . U-.oz~...
~ - ~ C oA, yr~e ? c ri o y~. •
r.+,i_...~-.:.v, .,~,ti:'-•::~,t.._...~~.,._ nv_.:... ~ ;
~
Tnsldc ai.r Ylltn 0.51
. 2 _ -
. ~ 3_ • . -
q,
film 0.17
3
F.t'~'3rf Ls~ .
tc Insidc air Yilm. . 0:61 •
2. . .
~ Y.ec[ Ilov up . , ~ j~vented 3• '
a.
- . . ' ' • • • . s_ aitsiac air eil,a 0.17-
' •FIG. 96 . ~ . . . . TOta1
`3 ~ '~i I_ Ynside air filrn . • 0.~~
z-
;
~ ~~~a1r•.y~~.:---~':.~ .,_:-fv J ' ~ , ' ,
rt'~•--~:'C"':':..•.. 4'
Cutsidc ozr Eiltn 0.17
/ • Total
~ 1 1 l ~ . • •
. , _ . .
. . . - ' .
. g~t_~•~ , ' 1VOec: Uso additional shee[s if morc apaco i:
necded f.or details and calculatians.
' . ~ Heat ' • .
• , • flav up
. • ~ •
' FI P7 . s' . • - V
u.1ll nrU n tLJ r
• ftnma r.c,nr.lr~cllun It,i;:vnlu.; .
- ----0 YV'
~ ~ - - t!+c~n~,p._ . 7: cx)
A _ . •
E ~
G. r.l~. rik.r .il , i i',~~ . 0.,
- ° - - . . _
'foi ,~l
pI~, ~7 TOPVIFIJ OF
' e1N1tE IJnLI, . InCc•r(~~~ air :ilm O.GII
, . . .
z.
• ~ ~
. . J ~ . ' 4• ~_~r~rl_@i'ffiV..._.._. ~r_4~V
~ ~ 5. P,1~,m.__~tt9~,..~. .,.~r
6. F.xCorior nir
. - i
eic. 02 ~ 'ru c,i
.
~`"~~~d/ ~ gL~• . Intrrio r ii ir filrn __O.G:t ~
I . dori --p- . . . Q
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. •
ISGAt'rJ(~ ~..._l....._.
- ~7 _A.~.Yllb
cr.--
yr••al i . . \y G. F:xtr•rloti nic i i Im 0_ 1_/
'-7., i L / ~ - ! ~ - - -
To~::,t
~
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mo
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1
2/84
CITY OF EAGAN
~t~'r.• i
APPLICATZON FOR PE1;4%IT
SEWER AND/OR WATER CONNECTIOrT
(PLEASE PRIHT) 1) PROPII2T^! 11I;pR-SS: //J~91Alaathury Knol l
r.FraI. DESC.~SPTTCV: 3/Z InlpGthiirY Fo iTth ndrlitipn `
(Loc/Block(Si:aaivisicn or Tati Parcel Z.D. Ntrmer)
, Tr S?'RCC'^jti:, Dr1'^ Or CcZT.G^Ai. BU2LP.L~:G =-;'_Z': ISsz::~'NG:_
PRE5~.^_ a R-1 =GL: FPyffLY .
? R-2 CUrL.._.°Y ('Z'.%'O G^II':S)
? R-3 2C:,.~"z:C'iIGE ('1':'-?°. + L'::ITS) ( Wi =-5)
? r-4 UDiI"_S)
p CCS ryEPCI.U/RE"•ATI,/OFr'ICZ
? ~'CCSi~2.3L
_ ? L`7STI'ILTIONAI./Cr.~"V=--mL%M7
2) PPPLI= ,._(P.LEASE PRI7iT
.Frontier Midwest Homes Corporation ~
ADDRESS\"3908 SibleY Memor-ial Hwy. Bldg. E
CITY, ST,=-, ZIP: Eaqan; MN. 55122 • ~
PHONE:~- 454-0433
-
3) pi'U,Lm NNME= Star Plumbinq (PLEdSE PR1Hi) FOR CIiY USE 04LY
PDDRc.SS: 1018 Maund Springs Ter. PLJNBERS lIL:45E:
~J,A C ti, e
CITY, STATE, ZIP; gloomin ton, MN. 55420 i0
E Expire
No f Record
PhOVE: 884-4149 PLU,MaEa LFCExSE J/ 3329 ~
~
4) pCCUppI,IT/Cr:T;ER (PLEASE PAINI)
n'61M F~ Kevin & Debra Thorson
ADDRESS: 6?0 C1 v land Ave
CIT"1, STA'Ir-, ZIP; NPi8f Rrj,ghton MN 55112
PM,E: F26-3106
5) INpIG,TE MICH PERi-LiT IS HEIM; RDQi,TES'PID:
~ C0.]NF.CPZ0.7 'IO CITY SE4;IIZ .Please mail gold• e9py .to~
~ GUN=IC;V TO CITY [aATE?2 -Wenzel_Mechaniea-l----~
3600`llennebec Dr~.
? c~E1ES2 (PI.E.~-SE DFSCPSBE) ~ Eaqan,_MN. 55122 .
.
6)
. ? PLEASE I?OID APPP,OVID PER.+7IT POR PIC:-L'P BY ONE OF ABGVE
_PL£nSE ;InI - APPROl7ED PEF'_•LLT 'PO 1. ~ 3, 4 AEOVE
. (Ci.~~Se one) •
7) SIC?.T~,"RF.: DATE:
~ROl~lYfstJO~wn[ls:aaua~:r+tof:aaa~ssrFS~a:~alftwibt,+.tr~r~~a~t~sQAa'8a~. m
F 0 R C I T Y U S E O N:. Y
Pc?2MIT ISSUED
F°'.~''~. $ ]
//J'SU SL:'iL.D. n~D\1Ty ~I~](~uui~ SL'.~.C:.1RGL~
$ /G,S"U WATEc2 PFR~1TT
(IIICL'uDE SliRCFinRGL)
$ WATER PIETER/COPPERHORN/OUTSIDE REhDER
$ WATER TAP (INCLUDE CORPORATZO:I STOP)
S Sz"lGR iA9 .
+S ~~d~C~ r-.....'l+-•- ' .
ACCCUNT DF:PC'S IT - S^]ATER
$ wac
$ SAC
$ TRG?IK tPAT°R ASScSS=E2IT
$ TRliidK SEWER ASSESS:iE;1T
$ Lr7TEP.AL BEN£FZT/T?2UD1K SE?',ER
$ LATERrIL BENEFIT/TP,U..K :JAT°_R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTA L
$ p.M0L'::T PAIDjAECEI: T;
DOES UTILITY CONNECTION REQUZP.E EXCaVATION IN PUbLIC RIGHT OF WAY?
L YES IF YES, THEN A "PERA7ZT FOR 'AOR?C WITHIN
, PUBLIC ROADWAY" MUST BE ISSUED BY THE
ENGINEERING DIV:SIOIV. LIST AS A CONDI-
TION.
SUSJEC2' TO THE FOLLOWING CONDITIONS: •
/
APPROVED BY:
TS?LE: _ ~ .
DATr:_ -711
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169829
Date Issued:06/10/2021
Permit Category:ePermit
Site Address: 1167 Westbury Knoll
Lot:003 Block: 002 Addition: Westbury 4th
PID:10-83653-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Kevin J & Debra Thorson
1167 Westbury Knoll
Saint Paul MN 55123--147
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176986
Date Issued:06/09/2022
Permit Category:ePermit
Site Address: 1167 Westbury Knoll
Lot:003 Block: 002 Addition: Westbury 4th
PID:10-83653-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kevin J & Debra Thorson
1167 Westbury Knoll
Saint Paul MN 55123--147
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature
Rev 06-13-2022
not to scale
REVIEWED FOR
CODE COMPLIANCE
06/13/2022 11:52:18 AM
akittelson
BUILDING INSPECTIONS
10' side yard
setback