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1171 Westbury Knoll CITY OF EAGAN SEINER SERVIC'E PERMR 3830 Pilot Knob Rosd ~7') < P. O. Box 21199 PERMIT NO.: - Eagan, MN 55121 ~ATE' ".i Zonirq: No. of Units: ; ? . .l .~r t Owrnr: Addmss: ~ 5ite Addross: 117 t,v4?s ' •i:~ : Plumber. Qu; ~-19-':"• ' F ' ' 1 pm h ee~Nl! wMh tw CM ~~n Conrwalon Charpes 4' S. 001-..- f1 a ~ A~iMwe~a. AooowM DePOSit: Prm+it F«: _ Surcharpr gy Misc. Chaross: Date of Irop.: Totol: 'nep.• Do» PoW: ~ ~ - • CITY OF EAGAN . WATER SERVICE PERM I~ 3830 Pilot Knob Road pEyMIT NO.: P. O. Box 21199. - - Eagan, NiW 55121 DATE> 1 j Za+lrq: _ i'`1 No. of,Udts: ' /''~,R~~ •'~i~tt:~ _ V~R~. 1 il Add1lw. 11-„ . -Tlrxva~ ti)~1:_~7 . ~.i Ske rross: 3,00.00 i Connection CF?orpe: ~ ~ Meftr No.: !7 .G, AccoLmt DePasit: 15.OQ(>'. I Rsadar No.. ~ S~ M g 9 9 ~ 3 Permit Fee: 1u , j~'~ 1 Surchoroe* ~ NrM te oo Misc. Charoa: 13. 1 rPb ~ e1N Citp e~ 9o¦ Ddt Paid: O~I Totol: ' gy Oate of InsP.: I^sp" R~f~r - ~ CITY OF EAGAN 17983 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # `To be used for DEM Est. Value *ls000 Date , 19 90 Site Address i OFFICE USE ONLY . T Lot Z Bfbck Z Sec/Sub ~ Parcel Nol, ~ Qtcupancy - FEES mc oiasm Zori^g - $25.00 W Name (Actual) Const _ Bldg. Permit -3u o Address (Albwable) - Surcharge o City Phone 432-7075 * of stones - Lengih _ Plan Review , o Name SA~ Deplh - SAC, City a`~' Addr2SS S.F.Total - ua SAC, MCWCC ~ Clty PhOn@ S.F. Foolprinls - On 5ite Sewage _ Water Conn 8.) W Name On 5ile Well - Water Meter ~Z Address MWCC System c~ ~ - aoct. Deposa - i W City Phone c~ry wate~ PRV Required _ S/W Permit I hereby acknowiege that I have read this application and state that the Booster PumP - SM! Surcharge infarmation is correct and agr io comply with all applicahle State of Minnesota 5tatules and City E,4en OrdinBnCes. Treatment PI Signature of Permitee ' APPROVALS Road Unit 11- A Building Permit is issued to: Planner - park Ded. on the express condition that all woik shall be done in accordance with all Cou^cil - applicable State of Minnesota Statutes and Cily of Eagan prdinancea. g~, pff, _ ~OP1eS "`4- C- < I G ~C- Variance - TOTAL Building Otficial ~ Parmit No. Permit Holder Date Tebphone # WATER ~ SEWER PLUM8ING H.VAC. EIECTRIC Mspection Dete Insp. Comments Footings 1 Foundation ' Framirg Ropfing Rough PI6g. Fiough Htg. Isul. Freplace Final HtQ. Fnal Plbg. Const. Meter Plbg. Inspector - NoGfy Plumber Engr./Plan Bldg. Final oeck Fty. q'i oedk Finai wei Pr. Disp. ~ : . PERMIT # MECHANICAL PERMIT RECEIPT # ~~`i~ CITY OF EAGAN DATE: 3830 PILaT KNOB ROAO, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office U5e Only: Site Addr~ss i 77 -~tiES'i'I;RY 1(fdOL~., BLDG. TYPE WORK DESCRIPTION Lot Block ( $ecISub Res. y New , .SC Name BUR1VSY LLE HEATING Mult Add-on Address Comm. Repair Other c Ciry Phone FEES Name ERIC " RES. HVAC 0-100 M BTU -$24.00 c Address -3 'y KNa~'r' ADDi'fIONAL 50 M STIJ - 6.00 p City Phone 4 5=-'°7 07(RES. HYAC INCWDES AIC ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMII) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 195 OF CONTRACT FEE FprCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAI FEE - ALL ADD-ON 8 Unit Neater M BTU REMODELS - 12.00 Air Cond. ~ M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudets # BEYOND $1,000) Other FEE: " S/C: SIGM TOTAL: FOR: CITY DF EAGAN F ' CITY OF EAGAN 10A 2-1 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagsn, MN 55121 PH ON E: 454-$100 dUILDfNG PERMIT Receipt # To M uwd fer ;P Esf. Volue Dote 19 Site Addren =::1":~? Erect Q Occupency Lot Block ~/Sub. ` ~ ~'!`F; Remodel ? Zoning y Repeir ? Type of Conat. Parcel No. Addition ? No.Stories Move ? Length Name 1(v'T'Ii''.F' 0 ` W Oemolfah ? Depth ; Address Or. Int Impr. ? Sq. Ft. • . b City Phone Instell O Aporova Is Fees ~ Name - A~~ Assessment Permit u~ CI Phone Water a Sew. 5urcharge ty Police Plan Review ~W Name ~•:arA ~ti.l'r•A Fin SAC x~ Addresa , % 7i_7' Enq. WaterConn. ~W City - Phone - ~~~()2 Plonner Water Meter 'a ~ • ~ CouncN Roed Unit 1~ n• U L i hereby acknowledge thnt I hove read this oppl icdtion cnd stote thot gldg. Off. bj Tr. PL ~ U Q fhe informotion Is correct and ogree to comply with oll opplicobie APC Parks Stota of Minnesoto Stotutes ond City of Eogon Ordinonces. Var. Oate Copies Siynoture of Permifta* Total • i~•- A Buildiny Pennif Is issued to: ' ' Y';' , ` on the express conditlon Ihat otl work sholl be dons in occordonce with all applicobla Stote of Minnesota Stotutes and Ciry of Eoqnn Ordinonces. Buildirq Offkiol •dslp 'Ad JaMes IIeM :uo~leao~ aqla"p JolSM ',g If~ld 'd41d ifuld •8lH Ifuld w 1?' •1nsu~ •eIN ye~a -~1- •S9ld y6noa suit~a sulwai~ (_17 uol4epuno:i 11 s8ulsoozi n7 I s6ullooj Asyip 'dsul alea uolpodn+l iweijo$ (Y) •~-rn•H a,iaW„id # auoydq*l *WQ JOPWH Muu*d 'oN MWJGd Roaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN FN 20. 00 r ,r - FIlI in numbered spacsa S/C .50 Type or Prini legibJy TaL 42U.50 1. Date 9/18/85 2. Inatallation Cost 'ic) ' 1171 i~'estbur ~'~011 2 3. Job Address Y Lot Blk. ' Tract 4. Owner Fror. c ier Companies 5. Contractor wenzcl Mecbanical Phane 45:1-i56:: 8. Address 3600 F.ennebec Drive 7. CitY Eagan State Zip 55122 8. Building Type: Residential 9( Commercial ? Institutional 0 9. Work Description: New KY Add ? Alter 0 Repair ? 10. Describe heatin6 system Fuel Type .,:.atural xuu 11. No• Eauinment BTU - M. Ea. No. Equipment CFM XX% Forced Air Trane Air Handling: Mfg. 80 , 000 Boilers Mlech, Exhaust Mfg. RX Lat: tv•:n Unit Heater Mfg. 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 ! . .-j'_~ for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 y Receipt t? ~r)1: _ PLUMBING PERMIT Parmit No. " CITY OF EAGAN Fee Fill in numbered spaces S/C ~f Type or Prini legib/y Tot 1. Date 2. Installation Cost • 3. Job Address Lot Blk. =T~~ Tract i 4. Owner ~ 5. Contractor Phone 4 54F.S ~ 6. Address si " KF'L*7r'itl•'(' ' ~ 7. City State Zip 8. Building Type: Residential Commercial ? Institutional O ; ~ ~ 9. Work Description: New Add ? Alter ? Repair ? ~ 10. Describe 11. No, Fixtures Na. Fixtures ' - Water Closet Cesspool/Drainfield ~ o Bath tubs $eptic 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 : ' ' = . ' for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition 1AESM.jRY ){M Lot 2 Blk 2 Parce ~123 Owner Street 1171 Westbury ~ail State 'an , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEWTRUNK ~ 246.59 A016473 10 2 8 SEWER LATERAL waterrnain 86 65 •Z9 4.35 15 65. 29 WATERMAIN ~ • 3.45 -15 44.$0 WATER IATEFiAL 11277 WATER AREA ~ 1 20 . 53 water area g 133. 79 STORM SEW TRK • 710. 24 STORM SEW LAT 783. 56 CURB & GUTTER SIDEWALK STREET LIGHT Road Uti. . 54693 19 85 ATER CONN. ~ 6UILDING PER. 1- Q 2- 2- 2 ii SAC n n PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 1' Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: ; APPLICANT: ~ ~ i r~ . i+,i;f, k?~il~l t i i:~, ~,i i„ i i r~~ 1,111; 4 i II PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • F ~ L Permit No. Permit Holder Date Telephone ~ S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commerrts Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Pibg. Pibg. Inspectvr- Notify Plumber Const. Meter Engr,/Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Aisp. t CITY OF EAGAN N° 'I O H 2 2 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 ?~l y~ BUILDING PERMIT Receipt T. M wed fer SF DWG/GAR Est. Volue $63,000 pate AUGUST 19 lq 85 SiMAddreu 1171 WESTBURY KNOLL Erect E Occupancy R3 Lot 2 Blxk 2 Sec/Sub. WESTBURY 4TH F7emadel ? Zoniny Rl Repair ? Type of Const. Parcel No. Addition ? No. Stories FRONTIER MIDFlE:ST HUMES Mave 11 Length 40 ~ Name Demolish ? Oepth $ ~ Address 3908 SIBLEY MEM HWY #E lntlmpc ? 5q.pt. City EAGAN Phone 454-0433 Install ? Avvrevali Faes o Name SAME ~ }t Addresa Assessment Permii 322.00 City Phone Woter 8 Sew. Surcharge 31.50 Palice PlanReview 161.00 tw Neme RICHARD CHARLIER Pim SAC 525 _ 00 Address 14103 CARDENVIEW CT Erq. WaterConn 500.00 iW c~ty A_V_ phone 432-5492 Plonner waterMeter 63.00 Gauncil Road Unit 280.00 1 hereby acknowledge that I huve read this opDlicorion and stote that BIdg.Off. 8 5$S Tr. PL 132 . 00 the inlormotion is correct and ogree to wmply wirh all oODlicable AP~ Parks Stafe of Minnezota Stotutes a City oy~Eogan Ordina ces. i A ~ Var. Date Copies Sionmure of Pem.ittee Cgef 7ota~ $Z.014.50 A Building Pe~nit Is Issued to: FRON IER MIDWEST HOMES on the expresf condition thai oll work sholl be done in ocmrdance with cll opplblgQ e$tofe of inneso . mtes and Ciry ot Eoqan Ordinoncas. Buildinp Officiol L.FF~ CITY OF EAGAN No 17983 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 G I v_-J BUILDING PERMIT PHONE: 454-8100 Receipt # ~ 1,000 JUNE 11 To 6e used for DECK Est. Value ~ Date , 19 90 Site Address 1171 WESTBURY KNOLL LOt _Y~ BIOCk 2- S2C/SUb. ~STBURY 4TH OFFICE USE ONLY _ Occupancy - FEES PBfCeI N0. ' Zoning - $25.00 w Name ERIC GIBSON (AcNaqConsl _ BIdg.Permit i Address SAME (Albwable) - Surcharqe • SO ° City Phone 452-7075 B ol Slories - Plan Review Len9th _ , p Name S[~I~ Deplh - SAG Cily ~a Address S.P.TOtal - SAC,MCWCC x City Phone S.F. Footprinfs - On Si1e Sewage _ Water Conn W w Name On Sile Well - Water Mater w MWCC S lem ~ z~ Address ~ - A«t. Deposit sw City Phone Cirywater - PPV Requirad _ SNJ Parmit I hereby acknowlege that 1 have read this application and stale ihat ihe 8ooster Pump - SNJ Surcharge information is correct antl a to comply with all applicable State of Minnesota Statutes and Ci oi agan Ordinances," 7reatmenl PI Signature of Permit APPp~~A~s Road Unil A 8uilding Pertnit is issued to: GIBSON P~a^^ef - Park DeO. on the express condition that all shall be dona in accordance wilh all Cuuncil 1.00 applica6le Stale ol Minnesota Statu s i Ea_ gan OM nances. gldy, pN. = COPia$ 2.5~ U 8uildirg Official Variance TO7AL RESIDENTIAL BUII.DING d 'S_ Permit Application . City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telep6one # 651-675-5675 FAX # 651-675-5674 New ConsWction Reauiremenb RemodeVRapair Reauiremenfs Office Use Onlv 3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20%maximum lotcoverage allowed) i setaf Energy Calcula6ons for heated additions Tree Pres Plan Reod 2 copies of plan showing beam & windaw sizas; poured tound design, etC. 1 site survey for addi6ons & decks Tree Pres Not Reqd 7 set of Eneqy Cakulations Addgion - indicate i/onsife saptic system _ Onsile Septic Sysfem 3 mpies of Tree Preservation Plan if lol plalted after 7/1193 Rim Jaist Deteil Options selectian sheet (bldgs with 3 or less units Date J~ Construction Cost 1~+ ~ U, Cft~ 7 4 J~{~ UniVSte # Site Address S Description of Work LAJ' w ~-S ~ Multi-FamilyBldg _ YN Fireplace(s) _ 0_ 1 _ 2 Property Owner CS Telephone # `7` ( Vn_ Contractor j2d f eG ~~C T~~r aY c~e (~~dY1-S Address a ~D S- 7-'' City State /29n Zip Telephone #(7 (o ~~y~ 7 4 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Cate 1 _ Minnesota Rules 7672 . Residentlal Ventilatiari Cete o t Worksheet • New Energy Code Worksheet (J submission Type) r rEnv ed) ~ ~ ~ Submitted • lope'Calcula8on bmitted 4 Zoo3 V Licensed Plumber Telephone ) lU ~1 Mechanical Contractor ~ Telephone # ( ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. < < e ~ ~Gi t 1~~ lJ~ V/ ~SzM Applicant s Printed. N e A plicanYs Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool C3 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement . Temolition (Enttre Bldg) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation FIVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total , RESIDENTIAL BUILDING PERAAIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 5(,. New ConeVUCtlon Beauiramenta RemoGeURaoalr HeaWremeirta • 3 regislered s8e surveys showing sq. ft of IM, sq. ft. of house; and It roofed areas • 2 copies of plan (20°k mazimum bt coveraga albwed) . 1 set of Energy Calculatbns Por heated addttions • 2 copies of plan showing 6eam & whidow sizes; poured tound design, eta) • 1 stte survey for eAerbr atldNbns 8 Aecks . 1 set ot Energy Celculations . Indkete il home servetl by septic system for addnbns • 3 copies of Tree Preserratbn Plnn tl bt platted ailar 7/1l93 • Rim Joist Detail Optbns selectbn sheet (Dldgs wiN 3 or less untts) DATE ~ "ALUATION $ Iy'i q I . 00 SITE ADDRESS I I,W~eS'}~~fY K?ao 11 MULTI-FAMILY BLDG _ Y l-d' TYPE OF WORK WI YIoCWV ~2.P~aCe-u.+ev,r}'S FIREPLACE(S) _ 0_ 1_ 2 APPLJCANT ~~kftlcka,,C"' ~a~ hcti STREET ADDRESS taa~~ NI'wl l,c'F P1PC. cSa CITY &rvmaV c 1 ItSTATE ZIP~ TELEPHONE CELL PHONE # FAX #TS2~;~DB.'~D I PROPERTY OWNER 1 oJcC f(lllt t'bc. ,n K-S TELEPHONE #~g) 86 ~'t"~ t COMPLETE THI5 SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 9672 (4 submission lype) • Reaidential Ventilation Category 1 WoBeheet Submitted L ~ ne-yl'~$dBwo~3heat 5ubmitted • Energy Envelope Calculations Submitted 2 8 eUtdf ~Plumbing Contractor: Phon_" I Plumbing system includes: Water Softener Lawn Sp Fee: 90.00 Water Heater No. of R.I. Baths No. of Baths Mechanlcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confracror: Phone # I hereby acknowledge that 1 have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. ) Signature of Appllcanf ~ Owv~J ~ vc~~ _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 i OFFICE USE ONLY - ` • ? 01 Foundatlon ? 07 05-plex O 13 16plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 13 OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Fact. Alt - Muki ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 13 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 37 New ? 35 Int Improvement ? 38 Demolish (Interlor) ? 44 Siding ? 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 WindowslDOOrs ? 34 Replacement *Demolkion (ErHire Bldg only) • Cive 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 Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Ratainvig Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ''RESIDENTIAL ~ a y4 ~ BUILDING PERMIT APPLICATION cinr oF eacaN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Conetructbn AenulremeMe RemotleVReoalr Beggiremente • 3 registered ste surveys showing sq. fl. ot bt, sq. fl. of house; ena II roofed areas • 2 copies of plan (20%mazimumWtoaverageallowed) • lsetofEnergyCakulatbnsforheatetlatlONOns • 2 aDpies of plan showing beam & wintlow sizes; poured lound dasign, etc.) • 7 stle survey for exierior addttbns & decks . 1 set of Energy Cekuletions • Indkata If home served by septb system for addNbns • 3 copies of Tree Preservation Plan B bt planed atter 1/1/93 . R'un Joisl DeNail Optbns seleclron sheet (bldgs w8h 3 or less units) DATE 6' 2 `f -O- VALUATION 60' DO C~fo~" SITE ADDRESS I V~ I w r S'J"zt,i 12-q k.nl o l. L MULTI-FAMILY BLDG ~Y ?N NPE OF WORK F E C F-a A6 l.E FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~~.n ~tv` t~ad' 'Ncw~ e t~c c, v~ '5~ 7 61nnt l' c.~ ~'SC~fS STREETADDRESS 1a1a1y7 Nic.o11e~1- Ktr,-- Sa ~CITYI3~..Yrsv,lleSTATEy11NZIP5S3 TELEPHONE #!'2'9o9-6y S9 CELL PHONE # FAX #as_;K_-9,i!Z" ~j~ r---~ PROPERTY OWNER ~ a D9 FOY) J2 J31'rr1 Y--S TELEPHONE # 651-6 9 6-u4 y~ ° COMPLETE THIS SECTION FOR °NEW• RESIDENTIAL BUILRINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 nr7~ (~J submission type) • Residential Ventilation Category 1 Worksheet Submitted Dv ~r~C~deLWorr'~c3h Submitted • Energy Envelope Calculations Submitted ~ I~ JUN 2 8 2002 I ~ I~ Plumbing Conhacfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkl y - . . 0 Water Heater No. of R.I. Baths No. of Baths Mechanlcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Wafer Conhactor: Phone # I hereby acknowledge That I have read this application, state ihat the information is correct, ond agree to comply with all applicable State of Minnesota Statutes and City of Eagan qc~l~~ances. ' 1 \ SlgnalureofAppl~an~ ~ Jo"M~ r- OFFICE U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY O 01 Foundation ? 07 06plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 PorcH (screened) ? 36 Multi ? 05 03plex O 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_YOr_N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding 13 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Akeration ? 37 Demolish (Bldg)` 13 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (EMire Bldg ony) - 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) FinaUC.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 _ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total i I k5o1 q 7 `f :RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ a • ~S New Conmructlan RecNramente BemodaVRaoalr Reoufremems • 3 registered rAe wrveys showing sq. fl. of Wt, sq. H. of twuse; aM ~II roofed areas • 2 copies ol plan (20% mazMUm bt coverage aliowed) • 1 set of Energy Calculalions tor heated additbns . 2 copies of plen ahowing Ceam & window s¢es; poured tound Design, e1c.) . 1 stte survay for exterbr atlditions & decks . 1 set of Energy Cakulatbns • Indicete N homa served by septfc system for atltlRlons • 3copies M Tree Preservatbn Plen 0 bt plettetl eRer 7/1193 • Rim JoI6t Detail Optiam SeleCllan Sheet (bldgs wBh 3 or less untts) ~ C~a ~1 ~l-_ _ ~j s~ V Ji - DATE I'-Q2-- VALUATION \ (2 SIjE` ADDRE MULTI-FAMILY BLDG _ Y N NPEWV~K FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ Ca r 0~ C. STREET ADDRESS t aa~t ~ [c-dl ~ e,~ ~ d CI l2_STATE V4 IJ LP SS3 3 TELEPHONE # j-V-7A71,95~ CELL PHONE # FAX 072'~j~~~ PROPERN OWNER I d 3117 Jtt "P}7J 1~-S TELEPHONE # 65; ° COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CAT$GORY 1 MINNESOTA RULES 7672 (4 submission type) • ResiOential VendlaNon Category 1 Worksheet Submitted • New Energy Code WoACSheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprixikler Te Water Heater No. of R.I. Baths No. of Baths JUN 2 8 2002 j Mechanical Conhactor: Phone a Ely Mechanical system includes: _ Air Conditioning • • _ Heat Recovery System Sewer/Water Contracfor: Phone # I hereby acknowledge that I have read this application, staTe that The Information is correct, an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or li ces. ~ Signature oP Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ucaacad araz OFFICE USE ONLY . . O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Poroh (screened) O 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Pibg Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Adtlition ? 36 Move Bidg. 0 42 Demolish (FOUndatan) ? 45 Fira Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Storfes Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.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 _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Reteining Wall Approved 8y , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ . D . . , ~ v 19$5 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS MUST BE LICENSED 4IITH THE CITY OF EAGAN ~MB~VpC~E INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SUHVEY 1 SET OF ENERGY CALCULATIONS (v 3,GGt~ o~ To Be Used For: Single Family Valuation: 62-9498- Date: 7-31-85 Site Address: 1171 Westbury Knoll OFFICE USE ONLY Lot; 2 Block 2 Sect/Sub Erect ~ Occupancy Remodel Zoning ~-1 Parcel 4l Westbury Fourth Addition Repair ~ Type of Const SL Addition 0 of Stories Owner Mark Lopac Move _ Length Ao Demolish Depth 48 Address 5429 Penn Ave. S Int.Impr. ~ Sq Ft Install City/Zip Code Mpls., MN 55419 Phone 925-9467 APPROVALS FEES Contractor Frontier Midwest HOmes Assessments Permit Water/Sewer Surcharge ~ Address 3908 Sibley Mem. Hwy. 4kE police Plan Review 7(o~, = Fire SAC 525, City/Zip Code Eagan, Mn 55122 Engr Water Conn SN.i°- Planner Water Meter = Phone 454-0433 Council i i Road Unit 'LEp. Bldg Offf/,r/d5 Treatment Pl Arch./Engr. Richard Charlier APC 1/ Parks Variance Copies Address 14103 Gardenview Ct. TOTAL City/Zip Code Apple Valley, MN 55124 Phone S 432-5492 NG Certlficate For: =Sibley House E5 ~~d~e~~ al Highway Frontie55122 ~orporotlon -3077 N5904°I'2(0 0E [ . . 93'l.k 2~•~e ~+J~ o -N- S 2C9 ~ ~ _ X953o VL N /0 Lo-f 1 /_4-hJ a Q` rv~ n 9"16.0 / vrcaofod_ n ''ol I ~IOtISf (IV _\J / 4~ ~ rl IIII'I ~1 / Y ~Illfl~', / ~v nv oX \ 3/ ' y' ~ ' '••:v WAYNE D.';#= ~ yQ _ : CORDES i ~C Q 14675 -t ; S R ~+iurrumim~~a~o - fND- PROPOSED GARAGE FLOOR ELEVAIION= 580,0 ~ Genotes /ron Mork.vrent PROPOSED lop of Block £LEVAtION= 80U.3 m Denotes M'ocd Nib Set PROPOSED BASEMENT FLODR ELfVAllON= a_ ll x87 ° lknotes Existiry Spo1 Elevation ~"!o (n <r> N,Twu Llenofes Proposed Spot Elevafiiai AYJTf: Verily all floor heights with final House P/ans. J ~---Lenofes Drainage Directicn ~RVEYORS CERTIFIC~ION. _P~~, ~~r~~~_ 1 hereby certify ihat this survey, plan or report was prepared by me or wxler my direct supervision LO1 Z,BCIXI( 2 ard that 1 am a duly Registered LaM Surveyor _ W STQUR~ /e~D01TION Lrder the /aws of the State of Yimesota. acccrd)rIg to ihe reccrded plat thereof, !1 6~lSlas p~.fZ ~?s~Date: r Counfy, Yinnesota Wayne . Cordes, 11inn. Reg. No. 14675 -aye i ot 4 EXTERIDR ENVELOPE F1V_F_R_l1Gf "II" COMN _ UTATION GAJhR~~1P~~ ~.,a...~- ckNER; DA"ff SiTE ADDRESS: PIIONE: CDNTRACTOR: F=eCX•Me=- Determine wor•kin, square footage or' each Total exposed wall area..... z sq. ft. x.11 715 2. Total roof/ceiling area..... IUe?8_ _sq. ft. .026 rns Total expesed wall arca abnve fioor ez-U~b,(e(;7-' a. ?ot31 wall window area ( Z~'j• 3 b. Total door area 6 L- c. Total sliding glass door area d. 7otal fireplace wall area e. Total wall framing area (averaye lOp} ~164o F. Total rim joist area . . . . . __L4 ~ g. net wall area above floor...'4. h. wall area above floor i. wall area above floor j. fram= wali area at foundation Total exposed foundation area=__~~,~ ~ . k, Total foundation window area 1. Total net foundation area above grade Determine "u" value or" each wali seameiit (e.g. window, cioor, each separate wail section) a . ( t 5 ~ ' x b. ~jdf•(o "L X „U.!'°[~ c. A. 7; "U.415 d- ~V R "U~~_~`."-_- e. X -G 6 f• _f uti X°U" . V3 = q. 9 x „v. h. k i. K U., _ k _ If item q3 is the san as, or less tharr iten l X "U~j = ^ 1 , you have meC...ttie , (io intent of SBC..600b~;~(G 3. ......................Total 'x , ~t ;L;,rior Lnvnloi>c nveragc "U" CompuL-,i::ion PaJe 2 of 4 . . ~ Total expoucd :oot/ceilin, arca ;.m. 1bta1 skylight area ~ f°n. Total roof/ceilin, f:raminq ama (avcragc 10~)... (C46 W- . o. Total net iiisulatcd rooP/cciling .irea........... T!~~. 7L . Determine "U" value for each roof/ceiling segment M. ~ X "ll" _ - n, rC~9 , 6~ . a ,.U„ oZ _ Z. `o a.Y q, Z a,.U„ ,~Z = t 't, 55 4 Total If total cf 1~9 is the smne as, or less t:nan 1~2, you have met the int-ent of 573C 6006 (c) 1. Alternate Buildin EnveJ.ope Desiqn Zb utilize the total envelope'system method, the values establishecl by the s:un of i.l'cmis 1!3 and 09 ;;hall not be greater tlzan the smn oL• items ft1 and 112. 75 + 2. 3. _1 ~1 • ~ _ + 4. 4 G.. _ _'ZO~~ taa ~ ~ ' : ; ~3. leoor/cEILT\G , ' Construction R-Valtic . 1~ • ~ 1, Intcriar air filn 2. y3 Im~~~ 4. £ ior air f:ln(still) 4 ~ _ r(~~lllli,l I~~ l Total (Z. 4 g ~ - - . • .oZ . Hea[ floc.r ~ 1. Interloz nir film 0.61 _nted 2. up ~ • , 3• _Z- y-1 i,(suL. 38.35 . ' • 4. ::XCr_cin:: <ii' 1 ~i1 n isC:ll t i -------Totat FIC. CS ' ~ ' . ~ . ~ U=.ozq:.. - - - ~ C a.l.vr~vcri ~~il~n~~./~v~.Vl:~"ti.••r~/1~~l~.•r1~-~~KJ~!\1~iG . ~ 1_ Insidc a1.r Tilm 0.61 - ' - ~--r" . 2 _ - % . , 3 . • . ~ . 4• (~~y(((}}}~(~~/J~(I~~ 'r~ S. Qutsidc air. fiLn 0.17 :~Jl~~1~~1~~~71~~ - Total ' L _ .C,~-9"/ ~ . ' ' • . ' LG Z. Insidc air Yilm ~:61 r' - 2 _ , 'p . . , , . . . . ; 1?ccz flov up • , •vmnted 3. - , . q_ outsidc air Filcn 0.1? TSG. ~ o. . _ . ~ . . _ . . TotaL • . -3 . ,i I_ Ynside air fil+n : - ' ' - 0_61 ~ ._t -1"-A 2 _ S • , . . ~ v~ _ • • ~ j. . ~ . . ^~_J~~.1. . - • . - •c_ t~~• l/ ~ ' „ n~.;1-..., • J ~ 4 _ .r. 5. oUtsidc air film 0.17 w-.:;•~:-:-:rl~-'t".'~"' I~J~., / TOta1 . . t<b ~ ~ . . . ~ . . . . , . . . . . . . . h~,-t_~~~• . ' rioCc_ UsQ additional sheets if more ~paca i: ~ „ peeded for details and calculatians. ' . ~ Hear . , flov .:p - - . . • . ' ~ - ' ?Z 27 . f' . • . ~ f,,'F t'I U% W,1~~ Atl`fl IJl' cce~r.t ru cl iVf1 1 i n~ ~ ir.~i I: ~`J.l lu.• I . J ~ . . , - ,qkU A4/n.. . c?.4Z y..~ yyt~~,,i„•. q, e 7- cdo . ~ j~-• _1-3 ~_lA~.•.,~._oal.wr~,._. . . ..La ! ttt UA ' ' _ . . . . _ .L ,;.i. ~ . - p PIG. tll TC VIESl OF 2 • Y . Gr~ _ ` O - ---.z~ ~ ~ . . • . 3. .~wi _.~.gf~~-----~- t~--~9 . . G. 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I I ~ ~ f^ ~ ft n•' I ' I . . . . . film 0.(,`t + , . Z. i V { =T~ ~ ; _ol , ~ q ~~(Ai''J( TOt.:l pP ~ :Ilf 1)C A~1 ~'i(•.i (l,(in . 1 ~ . o n • 2 . . . ~~~.aA v'"~ ~ 1' ~ Y 'vil ~li:.CII 1 ' • - - ar k~f L • . _ - • ~ ~ • , S Y ~ ~O~ F _ . ~ ~ ' . . . . W bM, i~~~~~~~~~~. • ti~ iTn,C . J. _ . )k~4~.~ 6. I::<la,i'~a•t ir , i l~i ti 11 Y 1 • -i - . . . , . ' % . Tulai~ - s:All nr, (titnui. ~ ' \ ! • ~ _ ~ ~ `4 ' ~ S{~. _ ~ ~ `(7~A If~•~- . . ' '-1, . ty~t~°frt.; . r ~ ~ r ~ , . • ` . ~ r 1 i~~~ . V ~ n ' ~ ~ ~i~~.~~'~~'y`~'`~ + ~ • ~!~r, ~ . Flc7. IIA 1~, d ~ a C , ~ (c(~ r . p i . t . 1. ~x4il a +i.l• ~ ` t4~. . • I . ' ti!.l1rn~.i`. of i `:1r.^. r2, ~ (J C z~ m _ _ - - - - ~ - _ _ _ - - N t ~ ' CA 4. m ti ~ ~ z v~ fl~ p s~ ~ ~ - • - ~ c ~ . (A W~,- ~A~~~~,~ 08 ~vi (A m ~ < a c ;n v°? Cp ~ d rn ~ . a- ~ tq ~ . . ~ PERMIT <CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 024715 N Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 10 / 12 / 9 4 SITE ADDRESS: 1171 WESTBURY KNOLL LOT: 2 BLQCK: 2 WESTBURY 4TH P.I.N.: 10-53653-020-02 DESCRIPTION: (GA5) B~I.I.z.ldl y-Permit 7ype FIREPLACE ~uzlBing W'O,rk Type NEW Y~j • \ - I ~ fr,,.. 1 ~..1-%.._ ~ti~~`J~~1~~ e-,J REMARKS: FEE SUMMARY: Base Fee $25.00 5wrcharge $_50 Total Fee $25.50 CONTRACTOR: - Applicant - sT. Lzc. OWNER: FIRESIDE CORNER INC 16331042 0001068 GI6SON ERIC 2700 N FAIRVIEW 1171 WESTBURY KNOLL ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)452-7075 I hpreby acknowledge that I have read this application and state that the inform:atibn is corwsct and agret- to comply with a11 applS:,pable State of hln. Statutes and' City of Eagen Qrdinances. A(ul a. 1R,01A - APPUCANTlPERMI7EE SIGNATUPE ISSUED BY SIGN UR~ k ~ CITY OF EAGAN 1~ 1994 BUILDING PERMIT APPUCATION ~ ~ 681-4675 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ~~lO~•bC_ Site Address: I.k-f!, STREET SU1TE # Tenant Name: (commercial only) IAT I BLOCK ~ SUBD. P.I.D. # W Descri tion of work: ~rt re S~~Y2 P The applicant is: ? Owner O'Contractor ? Other (Describe) Name \(a..~S4 't. LY'C, Phone y53L^ Property LAST FIRST Owner Address \\-11 STREET SiE # City Ca2!~!~ State r~~~ ZipSs~~-3 Company \ V~Cesic\e ~ 0- (O1C> Phone Contractor Address a^1~A "'VL\t tACLx--' License #\Q1CE) Exp. City State Yl-..J Zip 551~;a 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. Signature of Applicant: r OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE O 01 Faundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Poo1 ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Add9tion ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories footprint Sq. ft. fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site ? Footing ? Framing ? Insulation ? Wallboard ? Final O Draintile ? Fireplace Permit Fee veuat;Q,; g Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units . ~ ~ ~3 -1%. 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 14[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCNITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. J U W 07 RecD To Be Used For: Valuation: (Q40 Date: (o"S-90 Site Address OFFICE USE ONLY Lot ~ Block 2. FEES Occupancy Zoning Parcei/Sub 1CO't~/+4~ Actual Const Bldg. Permit z-~ Allowable Surcharge .S~ Oconer # of stories Plan Review Length SAC, City Address Il~i lu¢:,}~~~ru knc,~I Depth SAC, MWCC S.F. Total Water Conn City/Zip Code F,kf,-N MN 5$123 Footprint S.F. Water Meter ' Acct. Deposit Phone A 7 ~q5 7- -7b7'ai On site sewage_ S/W Permit On site well S/W Surcharge Contractor MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies .Oo City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council :Arch./Engr. Bldg. Off. bf& Variance Address City/Zip Code Phone # % ! } ~ fl . . . . _ . . _ . . . . . i . . . . 810 MA Hous e 8URVEYINO Certlflcate For: ~ ~ SER"'CEB Frontler Midwest 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Corporotlon Phone: J612) 452•3077 NFi9°461'26;'E , 1"I#dd - CAMeRio(,E - • e310„ 2?'~ SSSo 'yTS /8 ' -N- ,S ~ x ?B~~E ~ ~ x953o h \O j ~LL4T n/ ~Q~~ LO7 1 ~ I xe~o.o 4O 4i o ~ ~WAtod /~l / 10 'tpl I~/10US[ III ~ ~ o, I ` ~ h/ °~~~~II / d~ 2 ^ \ ~ ~ .o0k I II o / ~y \ O an.o x \p ~ rv G 6 O S ~o"~~~~xmuuu~u4ii r1NE3pw'b `*~WAYNE~D.9*~~ ~ f CORDES i = . ~ . ' 14675 - iQ~ :9,j,ti y0 i -LEGEND- PROPOSED GARAGE FLOOR EIfVAIION= 880.v I O Qenofes Irai Ilax.rrent PIdDPOSEU 1op of 8fock fLEVAfION= P1b4.3_ m fknoles Noa1 Hub Set PROPOSED BASEMfNI fLQpR ELEVAIION= flll. ne" ° qenotes Exlstiry Spof Elevition w0 MOTE: Ver,ly a!l ll~wr heights with final Huuse P/ans. G~noles Proposed Sput Elevalion -Qenotes Drainage Directiai ~MLORS CERTIFIC/ITI(N_ P~~ ~~+~1~_ ! hereGy cerfify 1Mt this survey, plan or report was prepared Gy me or u-rler my direct suyervisicn LOf? BLCCK z ard thal I am a duly Itegisterod Larti Surveyor ~ STQU0. 7H p~7ioN uyder the lars of ihe State o/Yinresota. /1 l accordiny fo fhe reccr0al plal thereoi, ~ 0 1 !._U_ 61LSf8s pa.~c~'{ Z `~asn= ~a te : Lounty, Yimesota Wayre . CaUes, Minn. Reg, No. 14675 1 . 2 /84 CITY Or EAGAN APPLICATIGN FOR PERAIIT , EIM SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PRO°FRTY ACDRESS: 1171 Westburv Knoll ' ` LEG1L DESCu-°TTCv= _2 /.2 Westburv Fourth Addition (LOt/Block/Si::.divisicn or Tax ?arcel I.D. LN=ber) .-^~.iIy '=:G STn,L':.'^ ' DAT? OF Ci2IGi^.AL ui22.DI:`:G =-:.11T ISS~2.NC.: r . P.----S= C'•S: ~ R-1 Sz;GL: cP-%ffLY . ? R-2 CUP= ('I'CO L^1Z':S) O cZ-3 'IC7.:~~1?rvicg + L^:I.S) ( iNI'"5) ? R-a AP1m!*t,zr/cc.ma-±Tjr~i ~ UNiTs) p ca-±%EPcT~./RE=L?oEF zcy ? INCliS=L ? Z.`:STI:'~TIOJIAL/GC'VE?,.`~~'T . 2) . A°PLSC=;vT (PLEASE PRiM1i) . NX•'-E: Frontier Midwest Homes Corporation ALDRE=S= 3908 Sibley Memorial Hwy. Bldg. E. CI'I"!, STaT;', ZIP; Eaqan, MN. 55122 • PFO`a: 454-0433 3) PLu,,i2E:R Star Plumbinq JPLE;.SE PRIYi) FOF CITY SE O4LY NF'"'•E= ADD~.SS: 1018 Mound Springs Ter. CITY, STATE, ZIP: Bloominqton , MN. 55420 waic- cord 4nF : PHOV^: 884-4149 PLUNBER LICENSE q 3329 tia Q) pC(,`r~~pprr/Lryi?E:R (PLEASE PR!!li) ( r~: Mark Lopac ADDRESS: 5429 Penn Ave. S CITY, STATE, ZIP: Mols.. MN 55419 PHONE= 925-9467 S) II1DICATE :dEiICH PER;•LLT IS BEIN(7 RF?QCTESTID; CG.Z=IOD1 TO CITY SETr7ER Please mail gold copy to ~ CbNNEcPICN 'IO CITY viATER Wenzel Mechanical 3600 Kennebec Dr. ? O:IIER (PLEASE DFSCFtZSE) Eaqan. MN. 55122 6) L":DIG, = C::c: • . ? PT.y`,SE f?OLD APPF?OVEp PERXIT FOR PICli-GP SY QNE OF ABC'VE ~ PIEySE ";~i APPR= PEP_•1ST TJ 1,Y 3. 4 AB0~7E (Ci_ e one) 7) SI~~TL'cZ~~.: DATE: A:Railf~~a s r1 s l~g~ta s s/RS~i~a a~ s s sssa:a s aa r a[Jfirrss f~ s t~ aita~aca~y . F O R C I T Y U S E O N L Y PFD+,tim u ISSUED . ~ rrE5' ~~/SU SE:':L.D. T_~ED\1TT (INC:. ~..'?~L JU.°..!'.:rRCiL) $ , - ~ /,•trU WATER PERP4IT (IrICLUDE SiiRCHARGc) $ fG~oC- WATER METER/COPPE4AORN/CUTSID~ REi,DE.R +S WATER TAP (INCLUDE CORPORATIQN STOP) $ S.;:dER TA? $ ~~GL ACCOIINT D£POSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESS:?E:IT . - $ TRliNK SEI4ER rSSESS:iEPiT $ Li,TEP,AL BEivEr^IT/TRU:IK SE:?EA $ LATt',:2aL BENr,:IT/TRU.:K WATER $ 15d'C•~ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TO;AL $ clo c- 5, 6 AM0[J`:T PAIDjRECEi?m D0E5 fJT:LITY CONNECTION REQUIP,E EXCaVATION ZY PUBLIC RIGHT OF WAY? L YES IF YES, THEN n"PERMIT FOR 'r]ORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TY_E NO ENGINEERING DIV:SZON. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY; ~ TZ.LE: j • DATE: T -4 20 ~ 0 ;)_ooG 2065' RESIDENTIAL PLUMBING PERMIT APPLICATION 3830 PILOT K OB ROAD, EAGA 651-675-5675 ~ JAN ~ 1 2006 Plea e complete for modifications to existing residential dwellings. Date~_/~/~~ Site Street Address 7z Unit # Property Owner JC5i Il11Ja n/ Telephone # (aS/}- Contractor_ ( ~ttrYlY~lt9/t~ Telephone# ~~v2)%35=76'9f~ Address Ed City, State-h2A) Zip,,i~ The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Adtl plumbing fictures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Ahandonment _ Water Tumaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _XWater Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new ^repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowfedge thaf the information is complete and accurate; that the work will be_in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. &~el- . /JZa ~ Applicant's Printed Name Aj:fpli6ant's Signat e For Office Use a : e. —)—Dsq 7 P [ a - 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: buildinginspectionsacityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: IName: tgC•C.Ve..2M (' t&fav1 poM:-Aarv, _..Phone: 9-k+ 3n 5 119 I Resident/ £ • V Owner I Address/City/Zip: 1 � �b uYn1 01-4 1 Applicant is: X Owner Contractor I I Type of Work Description of work: "-- °----1:c\°".\ I t Construction Cost: S ' n Multi-Family Building: (Yes /No ) I j Company: Contact: g i I Contractor Address: City: f State: Zip: Phone: Email: i License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING IIn 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: I Mechanical Contractor: Phone: : • ° Sewer&Water Contractor: Phone: I i 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 ifjou;proyide ecific reasons that would permit the to conclude that thee 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.cityofeaoan.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 accordance with the approved plan in the case of work which requires a review and approval of plans. x N GIV,/,eo v-) ��4 C,,�1 �r^,g�.",6 x N'' N' eA^- Applicant's Printed Name Applicant's Signature