3800 Westbury Lane
CITY OF EAGAN smm SERyICE pERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ~ 117
Eagan, MN 55121 p^TE; 1-15-85
Zonino: R1
pN„wr 1
Josaph Miller Coast o. of Untts:
I
/lddress:
i S;ta Addrau; _ 3800 Weatbury Lane L1 B2 Westbury 2
Plumber. ~vmnuth P1 bF
IZ-i-ov 48187
I ~ ro~nw~r w~lr e1~s C~ .f 100 . OOpd
ff""O Ca+nection a,o,p,: _ 42500 nd~_
Acca,nt pepowt: _ 15.29 pd
Permlt F.e: - 10.00 vd
8 Surr,iwrpa; _ .50 pd
Y
I Dote of Inap.: ToMim tal:
~ Insp':
Dots Pald:
~
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilct Knob Road
P.. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ~
Zonirq: = No. of Units: 1-
pw,wr; Joseph 'Iiller Canst
mu:
~h 3800 jJes,tburv Lane I.1 7? 1•,estburZr 2
umber.
~,Metar No.: 3119417,Z76 Connection Chorpe. 47f). 00 ud
Size: S/S~ ~-C ~ , iI 1 i ic' Y' r ` t; ~ 15.00 p d
Read.r No.: 6 q lz- ~!Q S 3 i2, Perm?t Fee: _ 10.00 nd
i Mm N oowMIr W116 1w Citp of !qpn Surchorge: 50 pd
A+/iwesor. 1Wsc. Chnrpsr. -A3.00nd r;t.ter ,
Totol:
BY Dots Poid: I
(nspDcte of Inap.: ,
,
CITY OF EAGAN _T~ 9 7'~"
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /
BUILDING IPERMIT RKe?pt #
To 6e wod fa SF DWG/GAR Est. Volue $57,000 Date DECEMBER 7 19 34
Site Addr 3800 WESTBURY LN Erect L] Qccupency A3
ss
Lot ~ Block ` Sec/sub. WEST R Remodel ? Zoning 'R
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name JOSEPH t~ILLER CONST CO Move ? Length 91
z Addres CEDAR AVE Demoliah ? Depth 48_
~ City FARMINGTONPhone 431-2001 Grade ? Sy. Ft.
$AM~` Aporovols Fees
~ Name a
~ Address Ilssessr*wnt Pennit '
u~ City Phone Woter b Sew. Surchorps 28.50
Pol ice Plon check 15 2. 0 0
Name Firo SAC 525.00
i~ Address Eng. Woter Cor?n. 470.00
tW City Phone Plonner Woter Meter 63 . 00
Councfl Road Unit 260.00
I hereby ocknowtedge thct I have reod this opplication and stote that gidg, pff, 12 6/84 Parks
rhe informafion is correct ond ogree to comply with all applicoble APC Total i
Stote of Minnesota Statutes and City of Ecgon Ordinances.
l Var. Date
Sipncture of Permittee ,L. v/
A BuUding Permit Is issued to: •7Or' t'lILLER COtJST on the exprcss condltbn tha+
all work sholt be done in accordonce with all appliwble Stote of Minnesote Statutes ond Ciy of Eogon Ordinances.
Buildinp Officiol
Pamit No. Pwmit Holder Detal
Plumbinp ~ l 31 r I U•~C -4,`~ 4 3~-~~~I ~
HNA.C. 5 1~5 Ur-h-v ~61 Ar W Ig y~ o c~oZ Z
El.ctric ~ q ys~o rn,' d Y
SoftMer
InWection Data Insp. Uthsr
Footinyt
Foundation
Frsminp
Rouyh Plby.
Rouqh HVAC
Inwlation ~
Final Plbg. - S
Final HVAC
Final
Cert/Occ.
water Describe Location:
YYell
Sower
Pr. aitp.
3830 Pilot Knob R di P.O. Bo 2G-A199, Eagan, MN 55121 12356
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be uaed Ior DECK Est Value $800 Date '7ULY 28 ,19 86
Site Address 3 S 00 WESTBURY LN Erect ? occupancy
Lot 1 aiock 2 secisub. FIESTHURY 2ND Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
a Name ROHERT NICKI.AY Move ? Length
= SAME Oemolish ? Depth lb
o Address Int Impr. ? Sq. Ft
City Pnone 454-9600 ingtall p
= o Name SAM Approvals Fses
0 < Address Assessment Permit ~ 50
' City Phone Water 8 Sew. Surcharge .
'a
ri Q Police Plan Review
F = Name Fire SAC
Address Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. ? a B S 6 Tr. PI.
information is correct and agree to compl with all applicable State of
Mlnnesota Statutes an,d"~ly o a~ Ordir n~es_~ ' APC Parks
. ~ ~ .
Signature of Permitte Var. Date Copies
e` Total ~
A Building Permit is issued to: ROBERT N IC on the express condition that
all work shall be done in accordance with all applicable State ot MiF?nesota Statutes and City of Eagan Ordinances.
Building Official
~
PwmN No. PamN Holder Dnb Talephon* N
Plumbiny
IH.V.A.C.
Elpctric
SOM411N
I
Inspecdon Date Inep. Commmnb
Footlnysl L C;
FOOtinys II
Foundatbn
Framinp
Rooflnp
Rouyh Plbp.
Rouyh Ntp.
Insul.
Flreplae*
IFMaI Hty.
I FMaI Plbp.
81dy. FMaI 3
ICnt. Occ.
Dsek Fty.
IMck Fmq.
Descrlbe Loeatlon:
W~N
Pr. Dlap.
CITY OF EAGAN Remarks
Addition WESTBLiRY SEGOND AnDTTTON Lot 1 Blk 2 Parcel 10 83651010 02
Owner Street State Eagan, MN 55123
3800 Westbury Lane
Improvement Date Amount Annual Years S Payment Receipt Date
STREET SURF. 1986
2-850, 570 - 00 5
STREET RESTOR.
GRADING
, 2
SAN SEW TRUNK 431 Ll 325.24 21.68 15 .903.54
* SEWER LATERAL 5008 JCd~j/' (03
Watermain 65.29 4.35 15 7-Z,
WATERMAIN 50.$9 3.39 1 WATER LRTERAL WATER AREA
136.96 9-13 19
*Services 1986
STORM SEW TRK 1986
~ STORM SEW LAT 1986
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260
WATER CONN. 470.00 11 "
BUILDING PER. 9777 11
SAC
PARK
INSPECTION RECORD 47
CITY OF EAGAN PERMIT TYPE: ~ r~.
3830 Pilot Knob Road Permit Number: ~i . r, i f
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 10 APPLICANT:
lr,T.. I 1-11
ucl
i; , I 1;11FtY I AN) h1N I Nf
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
nrt I
( i F1t1!
~;i r•::,~:r f~ I rt hA It. I'k hMf i 1', Fsl Q1.111;1 It 1'111~ riH~ I I i: 1~.40 I111kR
I ~
~ , t ~
PermR No. ParmR Holdsr Dete ~ Tslephone N
ELECTRIC
PLUMBINQ
HVAC
Inspactlon Dets Insp. Comments
FTS
FOOTINGS
D f3
FWND
FRAMING 9~7~~ 3I Td fsirvJ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: • r
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:' APPLICANT:
t~~ I~ 1 ic~ iia r
d0 L 1: 1 N11kY ! l1M1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •A .
~ , ~
PormR No. Pwnit Moldsr Dets Telephone #
ELECTRIC
PLUMBING
HVAC
Inapwtlon Dah Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12356
~
BUILDING PERMIT PHONE: 454-8100 Receipt q ~ ~M T z
-
Tobeusedfor DECK Est.Value $800 Date JULY 28 ~y86
SiteAddress 3800 WESTBURY LN Erect ? Occupancy
Lot 1 Block 2 Sec/Sub. WESTBURY 2ND Remadel ? Zaning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
w Name ROBERT NICKLAY Move ? Lengm 12
Demolish ? Depth ~ F
o Atldress SAME
454-9600 lntimpr. ? Sq.Ft.
Ciry Phone Install ?
s Approvals Fess
o Name .r+1lMF.
o~ Assessment Permit $14.50
04 Address
m ciry Phone Water & Sew. Surcharge - 50
6~ Police PlanReview
F W Name Fire SAC
u 0 nadress Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.Z28186 Tr.PI. information is correct and agree to com I with all applicable State of
Minnesota Stamtes a ity a9an rdi a es. APC Parks 1. 50
`L Var. Date Copies
SignatureofPermitte To~l $16.50
A euilding Permit is issued to: ROBERT NICKL on the express condition that
all work shall be done in accordance with all applicable St~of ~rJiqnes~tut an ~iryof Eagan Ordinances.
Building Oflicial
~a
CITY OF EAGAN N? 9777
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721 ~
PHONE: 454-8100 ~
~BUILDING PERMIT Rece~pt #
Ta Ee wed (er SF DWG/GAR Est yalm $57,000 pate DECEMBER 7_ 1 y 84
3800 WESTBURY LN ` R3
SiteAddren Erect ~ Occupency
Lot 1 Block 2 S-clSub. WESTSURY 2 Remodel ? Zoning Rl
. Parcel No. Repeir ? Type of Const, V
Enlarge ? No. Stories
g Name JOSEPH MILLER CONST CO Move ? Length 41_
A _
Z ~~~g 18133 CEDAR AVE Demolish ? Depth ~
~ City FARMINGTONpho„Q 431-2001 Grade ? Sq.Ft.
Name SAME Approvalf Faes
o t 0
Assessment Permit • 0
UAddresa ~N 2 a . 5 ~
~ Cit Phone ater & Sew. $urcMrge
Y 152.00
Police Plan check
ww Name Fire $AC 525.~0
iZ Address Enp. WaterConn. 470.00
'3
~W City Phone Plcnner WorerMeter. 63.00
. Coundl Roae unir z 6 0
i hereby ackrwwledge thot I have reod this npplication and stare thot gldg. Off. 12 /6 /84 Parks
fhe informofion Is correcf and agree to comply with oil opPlicoble APC Total $1.802.5~
State of Minnesoto Statut nd City of E on Ord~i/rwnc s. Var. Date
Sipnature of 'Perminee ~/~~l DY'^
A Building Permit Is issued to: JOE MILLER CONST on the express conditlon thai
all work shall ba done in otcordan[e with all II ble State f Min so Statutes and Gity of Eagnn Ordimnces.
Bulldinp 04ficiol I C
S~1>
. ~ . .
. ~ = . . . . - -
~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 9/~ ~NCERTIF~
~
~ ICATES OF SURVEY
U a? ~ Q SET OF ENERGY CALCULATIONS
To Be Used For: _ Valuation: 9~- Date:
Site Address: ,4epQ 51,000~ ri •
Lot: / Block: o( Sect%Sub:41~rect: ~ Occupancy: (j.3
Parcel Remodel: Zoning: 12-1_
Repair: Type Of Const:
Owner: Enlarge: # Stories:
Move: Length: ql
Address: Demolish: Depth: q$
City/Zip Code: , Grade: Sq. Ft.:
Phone
Contractor
Address:_ /y/'P ~Jo4 ~
Assessments: Permit:
City/Zip Code. Water/Sewer: Surcharge: 'L8.~9
Police: Plan Rev.: ~52.0
Phone ~f~/-a( JL"l~ Fire: SAC: rj25.%1
Engr.: Water Conn: 4-10.='
Arch./Eng: _ Planner: Water Meter (03.2!
Address: Council: Road Unit: ~ZGp.pO
Bldg. Off._ ~'Z~Parks:
City/Zip Code: APC:
Phone#: Variance: ~ /,~/Da.Sa
. C.-rtificate for: ~ 'Joe Miller Construction
DELMAR H. SCHWAIVZ Mcae11 -E11lnL.ro:;
Gv~SCi~T7~L.tio q,IAVEVOAS INC ,
0.PO~P4 Untlpr L.IWa I, Tt,p C1a11 II MinnPFf'IA I
~ 14350 SOUTH HOBERT TRAIL ROSE UNT. MINNESOTA 55068 PHONE 812 423-1769 ;
~Q~
SURVEYOR'S CERTIFICATE
b
715•s4 q= 6_2z-si
~
~ 703• 4i
,
a
SCALE: 1 inch = 31 feet ;
~ Elevations shown are existinrz
o Denotes set wood hub i
_ j LI,lP ~ Propoaed ga,ge por ~ y
elevation
4p % ~ • ~
~
~ aq
I hereby certify that tnis is a
a T 1 fj true and ccrrect representation of
~ L ~ Lc>t 1, Block 2, WESTSi7RY SECOND
ADDITION, according to the recorded
69z 6. o 0' ti ug plat thereof, Dakota County,
qeile ~ Minnesvta.
a
7iPQ~''sB ~j;oPvSfD ~D Also showing the location of
h f/~usE N ~ proposed house as staked thereon,
~ B
N '
M $q~'~J
x 30. o ~ _ Z° ~op
~ e91 Z a~zT
~ r~~~~ Drainage Dated: November 27, 1984
i(utility easement °
i
B9o.3 Byo.t' ~p i j p;
ca xa ~ '
GU~STB~IlC~ G~/?~ _ - MINNESOiA REGISTRATION NO. 8625
,
, ~ ~
2/sa
a
CZTY Or EAGAN
tllll l APPL:CATION FOR PE4itilIT
• " SEWER AND/OR WATER CONNECTIO.i
(PLEASE PF[Ni)
Pr.oDF-7-t--,' AeDRFss: DD r
r.Fr:.r oEScItirTcN: -L ~ ~
(LOt/Block/Sl;.~,divisica or Tat =arcel i.D. Ph.r..~r)
~ I"r' cTor•C^=, Drl'r' 0_° OR11G;'D.i, ciiI7..~^.P:.r, T_S5.:: `:C7-:
FJDCC= UJE: ~ .S~LiG~.~u i:1Zi.IT,~?
.
? ~-2 LV= M`V LTi:iT- S j
. ? a-3 'ICrvti,-~x~vTCr (T?-.:~c. _ L'••I.,S) ( LN2='S1 ? .=._a U::r_s;
Q CCi.?LSSE::CL~.L/RE^u`,=I ?C: = rr^
Q \'CliSi??~S,
2) PPPrrCy;r ia~~;ts~ rriir~r~
NP1-IE:
r.ecTREss: 1813.3
cT_^-^', sra=-, zzP:
Pxo~: S!31- 2,go(
3) p~~,~~ kVLEASE rR[Nf) FOR CITY USE ONLY
` ~ - PLUnB~RS UCE9SE:
ADCRE55: /y~wB ota ,t,?uc AJ ~ Ac[ive
CIT'1, $TATF.', ZIP: ~~Ya~aa~i /1'1•t7 S3 S~/~ ~ E:pired
i 4ea~cn Not af Record
PIiODIE: ~l~.'~. 3( 7y PLU`1BEft LILENSE N ~
arr initial
4) OCCTjPPNT/C!vTIER NF1ME: (PLEFSE PlifNr)
ADDRESS:
CITY, STATr-, ZIP: cc'?J
PHONE:
S) INpIG,TE W[IZCfi PERi4IT IS BEING RF.QUES'I'ED:
~ COPNEC'ZON 'I`J CITY SU)IIR
~ C0.'JNFK:Z0N 'Ib CZTY WATEFt
~ OiEiFR (PIZA-SE-E DFSCRIBE)
6) IC.'DZG~~ C.ZE:
~ PLr-,SE f?OLD APP:?OVm pg2,'~LIT fOR PIC1:-G'P BY CNE OF ABCVE
? PI.E~SE MNiL APP?2CVfD PFP.•LiT T'J 1. 2, 3, 4 AECJVE
(Circle or.e)
7) s=%TURE: DazE: V'
~loF.tiwfe.,r s r eelOga~:a art : r.+el~~~ra ws s~a ~si:a:aa Ie lt~r.l:s}r.~s ~ slawcsarw
FOR C I T Y U SE ON:,Y
PERMLT ISSUED
~--1
FE_.S' $ SE:'iEo ncatpTy ~I\TC.*...:^1: .'~UAC.:lt^CGG%
$ WATER P-R:`tIT (I`.CiZ:DE SliRCHARGi)
$ WATE2 MET°R/COPPERHORN/OUTSZ-~~ RE-DER
$ WATE3 TAP (INCLtiDE CORPORATION STC2)
$ S~;IE3 TAP
$
$ ACCOU_•IT DFPnSZT - S•IAT==
$ We;C SRC
$ TRUVR WATER ASSESS:?E.IT
$ TRUi:?: SE::E3
$ LA:Ei2.yL BEivEFIT/TRU:IiC SE?•:ER
$ LATERrIL &ENEFIT/TRUNR SJAT°R
$ OTHER '
$ TOT?.L ,
$ AMOliNT PrIID j REC.jI?T.
DOES UTILZTY CODINECiZON REQUZRE EXC.-1VATION IN PUSLZC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR SdORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERIDIG DIVZSION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOSJING CONDSTIONS: •
APPROVED BY:~~?_~
TI:LE:~Za
DAT°:
me wy.wwem ~ ~ wl~ MM wcm B*m pa Wsm Ra omcww wr w m
CITY OF EAGAN PERMIT a111109
D N G
3830 Pilot Knob Road PERMIT TYPE: permit Number: 026313
Eagan, Minnesota 55122-1897
(612) 681-4675 Date Issued: 0 9/ 01 / 9 5
SITE ADDRESS:
3800 WESTBURY LANE
LOT: S BLOCK: 2
WE5T8URY 2ND
P.I.N.: 10-83661-010-02
DESCRIPTION:
BNfi'lda.ng~„mPermit Type DECK
~`U%1tIiMg hJ~%r_k 7ype NEW
Fx' . . ~.k..
~.3 . . .
. ..ipay»..
w
~
; '
~k~ ar.E Va
& 3 xn~naaq - REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES _ $2.00
Surcharge $.50 Total Fee $32.50
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
NTCKLAY ROBERT
3800 WESTBURY LN
EAGAN MN 55123
(612)454-9600
~ , - _ . - . - ° : . . ,
I Nereby ackrcA,,].e~1 g,e that- I 1vave read this ap.,plic~tirr and state", that tYce a
infa`rmation ils cQrrect and agree-to Crsniply aittt all Appliaable State csf Mr).
,Statu~e~~ andCity et"@ Eagar, Drd,inanees.
JhAAb , . _ _ .
° . _VcHau-
APPLICANT/P MITEE SIGNATURE 4*4ISSUEYI URE
~ - CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Nay Construction Reaulroments RemodeVReoair Reauiremerits
? 3 rsgistered site eurveys ? 2 mpies of plan
? 2 coDiea of plens (indude beam & window saes; poured fid. design; etc.) ? 2 site surveys (exlerlor additions & dedcs)
? 1 errorpY talwletions ? 7 energy celalations for healed addRions
? 3 wpba ot fiee preservation plan ff lot plelted after 7/1/83
required: _ Yss _ No
DATE: ~`t l~G oIZ g I~ S S CONSTRUCTION COST: r~06
DESCRIPTION OF WORK:
STREET ADDRESS: L y,
LOT ~ BLOCK SUBD./P.I.D.
PRCPERTY NamelPhone#:
OWNER
Street Address• 3 BOO LV~S A r`~ L~•
City: Eo-~a r State: z;P: s s ~ a 3
CONTRACTOR Company: -<~QC_.F Phone
Street Address: License
Ciry: State: Zip4
ARCHITECT/ Company: SQ C 1~ PhOne
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
chan9e are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that th I rtnation is correct and a ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: V
OFFICE USE ONLY ~~~[S~M~~
CeRficates of Survey Received _ Yes _ No AUG 2 8 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
~ww . s
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dweiling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
a 03 SF Addition o 08 8-plex a 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ~15 Deck
WORK TYPE
A"1 New ? 33 Afterations ? 36 Move
n 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCNUS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq.ft. Census Code. ~
Depth Footprint sq. ft. SAC Code o/
Census Bldg ~
Census Unit 0
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeposR
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies Z. 00
Total:
% SAC
SAC Units
~ . Certificate for:
-Joe Miller Conatruction
i .
~ . :
DELMAR H. SCHWANZ Model-Ellington
UNOSURVErpnc Mf I .
[/v lC.. . ArofIwM1 UMn lM~ CI tM GMV M MnMf01I
9~50 SOUTM BERT TRAII . R08F09UM MINNESOTA SSOBL PMONE 672 4217789
( 14f4 ~
kA ~ SURVEYOR'S CERTIFICATE
7B•.r4 , 6.23-3Y .
Nov a
scar,E. . ;
Elevations shoNn sre existinar.
o Denotes set wooci hub
7iRrm % t # cZ ~3 ~p i
Yi P_ t'o (JACI~
~ ~,y~P Pro osed garage fl.~or +
qEL~ e vation ~
--~~y
0 ~ ~ m REVIEWED ;
o ~ BY I
i . ~ L
DATE
I t \4\ I hereby certify that this is a
L~ T ly true and correct representation of
Lot 1, Block 2, WrSTHURY SECOND
j°I ADDITION, according to the recorded
,~,t ~ I 4,0 plat thereof, Dakota County,
~ L, P I~ Minnesota.
'L ~O.O ~R9
~ f~~~ I prroposFO I ~D Also showing the location of a
~ n N~a~E N ~ propoaed house as staked thereon.
3 ~ b~' I ~q~.k A' I~ ~O D L5 ~ L5 ~ L5
N ~ ~L I ,.ti° a Nw 2 B 1984
I 9
~ ofa Ih`ainage & 4Q o Dated : , Jolf
3 ~ , /lutility easement
p ,_ia- - -
6,911 ~ ~q o .
80.~ f89-¢2- 2 7 LJ
/ .
yo.3 h . (
7!/ Cv,o
~ MINNESOiA REGISTRATION NO. 8625
- PERMIT cp-4du
` CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: Bu LDIN6
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 3 6
(612) 681-4675 Date Issued: 0 8/ 14 / 9 5
SITE ADDRESS:
3800 WESTBURY LANE
LOT: 1 BLOCK: 2
WESTBURY 2ND
p.T.N.: 10-83651-010-02
DESCRIPTION:
,
Building!._permit Type SF PORCH
Building Work Type NEW
~
z..i
REMARKS:
A SEPARATE PERMIT IS REQUTRED FOR flNY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $11,000
Base Fee $174.75
Plan Review $61.16
Surcharge $5.50
Total Fee $241.41
CONTRACTOR: - Applicant - ST. Lzc. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 NTCKLAY ROBERT
3118 SNEII.ING AVE S 3800 WESTBURY LN
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 721-6628 (612)454-9600
I hereby acknowletlge that I have read this application and state that the
information i.s correct and agree to comply with all applica6le State ofi Mn.
, 5tat:utes and G3ty of Eagan or-dinances.
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AP ICA /P RMITEE SIGNATUPE ISSUED B: SI ATUR
4
. CITY OF EAGAN
3830 PILOT KNOB RD - 55122 '
xvob 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL C t
687 -4675
New Construr3ion Reauirements RemodeVRenair Reauirementa
? 3 iepisKeed aite surveys ? 2 wpies M plan
? 2 coDks ot plens (indude beam 8 window saea; pourotl fid. design; etc.) ? 2 site surveys (eMerior addiNons 8 decks)
? 1 snerpy calCUlations ? 1 energy calcula6ons Por heeted addRions
? 3 copbs of dea proaervation plan 'rf lot platted after 7/7l93
required: _ Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: o.v
STREETADDRESS:
LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: /QKJ~LttY ~317-P-7 Phone -Y~V- 9 OWNER
Street Address- '~'F'~ WjurIo~kX A_4-21-
^
City: 0e,&4,fA/ 5tate: /tft/ Zip: •'~/~3
CONTRACTOR Company: 1A)Phone
Street Address: RN8 S. License
City: ?o~/ S State: lto'itx Zip_
ARCHITECTI Company: 'Phone
ENGINEER
~ Name: Registration
Street Address*
City: State: Zip:
Sewer & water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this applicaGon and state that the information is correct and agree to campty with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY ~~~EWEUD
Certifiptes of Survey Received _ Yes _ No AUG 10 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
0 01 Foundation a 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
a 02 SF Dwelling o 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
~04 SF Porch o 09 12-plex o 14 Fireplace a 21 Miscellaneous
a 05 SF Misc. 0 10 _-plex o 15 Deck
WORK NPE
0 31 New o 33 Alterations o 36 Move
~ja-'32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Ailowable) Main ievel sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Y3 J/
Depth Footprint sq. ft. SAC Code G/
Census Bldg i
Census Unit 0
APPROVALS
Planning Building Engineering Variance
~
Permit Fee Valuation: $ l ~a !
Surcharge
Plan Review
License
MCNVS SAC / ~S S=~5o X SY =/O, Z(oD
City SAC ( 2, Z S~ X
Water Conn.
Water AAeter
Acct Deposit
SIW PermR
SNV Surcharge
Treatrnent PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Totai:
% SAC
SAC Units
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ewsnnG THESE PIANS MUST
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REMAIN ON~ -
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. - ~ i. REMOVE EXISTING SKIRT BOARD 4 INSTALL NEW '
- Rln JOI575 EA SIIDE CN OtlT51DE OF
- . . ~ . . . ' EXISTING JOIBT9
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I ' _ I I I I _ CGSHED LINE INDICATe5 P=RIFfETER OF NEW ROOI't
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i 1 . . . : 9 . . {•.1 ' . . . F9'10VE EXISTING 8'cGttS 4 PO5T5
OLLNER TO REM:OVE_CONC.';FiG'S IP RECd11rCD
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' . . .0. i... jOs ~ : . . : .
5~ .
\ EXISi1NG FTG'S ARE B"o
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li 0 I / - ? 4y~iE DETAIL ( I-
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!I ~ L----~~--~,~J 07t5~~8b,~Ss a R,lGf1,7v'y~f~f1 ~.~PffS°b
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I - : 7 x ~,p G' 7 K S•s 1 I' ? OJ.NER TO RE EXISTING HANDR4IL,
5Tl+IRS 1 DECK BO.oRDS fR01"I
! B'-0" s~` ~ y$~'•b" EXISTINCa Ek15TiNG D?CK
~ ceueRn~ NoTes: pnp'F' ~,I~''~Sp''y ~ FRQI"11NCz PLAN
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U. 5?= DETAILS ON SHEETS SPECI'rl?D. - tON ~P
, CONSTRLIGTED BY PANELGe4F7 OF M;NNESOTA, Iti~-. C°ti~w "I0Iro NICKLAI' -A2-
\ . ,
1986 BQILDING PERlIIT APPLICATIOH - CITY OF EAGAP
IQOiS: ALL CONTRACTOHS MOST BE LICENSSD WITH THB CITY OF EAGAA
3IAGLE FAlIILY DAELLIBGS
INCLUDE 2 SETS OF PLANSo 3 CERTIFICATES OF SIIRVEY, 1 SET OE ENERGY CALCULATIONS
MOLYIPLS DiiELLINGS - HSSIDSNTIAL FEdTAL ONITS FOH SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CHECg fiITH HLDG. DSPT.,
1 SET OF BNERGY CALCULATIONS
COMMCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULAT
$2,000 LANDS HOND
To Be Used er 4, f Valuation: Date: 7 rd (P
Site Address 321M (,~eS(-~n,~ /~nP OPFICE IISE ONLY
Lot ~ Bloek Q, Ereet ~ Oecupancy 1-3
flemodel Zoning Pv _el
Parcel/Sub l~aeSf~u[~ S2Coh~ GeLX4~jbn Repair _ Type of Const
A,"~~ Addition U of Stories
Owner ~!`~•~-$(,e~L~ /Ui'(:,M1(.0.ti Move _ Length /Z
c Demolish Depth ~
Address 1$(10 Cue~f- Gt~r1 Lar^'e Int.Impr. _ Sq Ft
Install
City/Zip Code 65 ta 3
Phone AYPROVALS FEES
Contraetor OLo)jeY' Assessments Permit ~Y•SU
Water/Sewer Sureharge ~
Address 'SC~m2 G.S 40 C Police Plan Review
Fire SAC
City/Zip Code ~~Czm-C GlC G~~a~ Engr Water Conn
Planner Water Meter
Phone vy~4 C~S Council Road IInit
Bldg Off,7=12_g7, Treatment P1
Arch./Engr. APC Parks
Variance Copies -
77~
Address TGTAL ~16, Sn
City/Zip Code
Phone lk
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATS WHICH 6DDRESS
IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSQED.
` Certificate for:
-Joe Miller Construction -
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DELMAR H. SCHWANZ Model-El.lington
LANDSIIRYEVORi INf f
. . ~ Ppy~nwI u!b« la+~ n~ tn~ pdu M Minrnnte I
_ U~SO SOUTM ROBENTTRAII-- . ROSEVgUNT..MIMNESOTA55088 VMONE 672123-1789 . ` ~9 . /GpAf~ . . . . . kA~ SURVEYOR'S CERTIFICATE
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NOV i tl iaiu
~ scnzE:
Elevations shown are existina
o Denotes set woori hub ~
Proposed garage fl.~or
V~~y elevation
n \1 m
1
I ~ D~ / ri(~ ~ I hereby certify that this is a true and correct representation of
I , Lot 1, Block 2, Wr5T8URY SECOND
101 ~/4 N~„y ADDITION, according to the recorded
,ffzo '4~,a~ oecY. ~ I ti~g plat thereof, Dakota County,
~ ~ ~ati ~fl P t~ Minnesota.
0~ x~. yo o- 3c ra
R9
Also showing the location of a
~ • N N~plE N ~ proposed houae as ataked thereon.
~ LO
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N o l984
trut! f~i~B r Drainage Dated: , _llutility easement J,, ~
p ~_ia
DDqls 6q '
8c.oe fB9-f2- z9al
~ 890.3 Byo. z ~c p i f.
tr,~G . . lji aRe . ! , . I %
4 . ,
prESrgu2r LANE _
MINNESOiA REGISTRATION NO. 8625
-
j For:OfficeUse - I
I Pemit
I ~
City of EapIl . ' ~
~ Pemit Fee:
M
3630 Pilot Knob Road Eagan MN 55122 i oaie a Phone:(651)675-5675
i
Fax: (651) 675-5694 1 stan: 2008 MECHANICAL PERMIT APPLICATION By
Date: -Qt!~ Site Address: 3() 60 wL~.S l fJ U f,U L- lI
Tenant: Suite
RESIDENT ! OWNER Name: 60h ! 1~C CL Lj Phone:
Address / City ! Zip:
CONTRACTOR Name: cense a:
Lofgren Htg & A/C
Address: _ 5708 Upper 147th St W#102
city: Apple Valley, MN 55124 e: ZiP:
Phone: A~ 3~•~O ~I concaa rerson: G ~
TVPE OF WORK - New Replacement _ Additional _ Alteration Demolition
Description of work:
NOTE: 8oth roof mounted artd ground.mounted m haNcal equipmenf is requhiad ta
be screened by City Code, Please contact the Mechanical Inspector or one of the
Planners tor lnformatfon on pp-rmftted screenin methods.
PERMIT TYPE RESlDENTIAL COMMERCIAL
~ Fumace ~ New ConShuCtion = Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
' HVAC uni[s must be screened
~ Heat Pump Under / Above ground Tank Install Remove)
Other ° W hen installinglremoving tank(s), call for inspection by Fire
Marshal and Plumbin Ins ctor
RESIDENT/AL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fif6 f@p8if (replace burned out appliances, ductwork, etc.) (inCludes $.50 Stale SurCharge)
. $ .~6~STJ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1°k
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- It Pemit Fee is less than S1,000, sumharge is 5.50.
- If Pertni Fee is >$1,000, surcharge increases by $.SO tor each State SurCharge
$1,000 Pemit Fee (i.e. a$1,001-$2,000 Pemit Fee requires a$1.DD surcharge).
y TOTALFEE
I hereEy acknovAedge that Mis information is complete antl accura[e: tha[ ltle work will be in contor ce with the ortlinanCes a cod05 of the City of Eagan; that
I untlerstantl thi5 i5 not a partniL 6ut only an application fOr a pertnit, and work i5 not to start mtMu a partnd: ihat [he Ho/k w II in accottlance with Ihe provetl
plan in [he case of work which reqWres a review' a)nd approval ot plans. ~
¦nG1 n C=1.1
ApplicanYs Pri t Name Appl' anYs Signa
FOR OFFICE USE Reviewed By: DaLe:
RequfredInSpections: UnderGround Rough In _Air 7est Gas Service Test In-floor Heat Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120491
Date Issued:02/14/2014
Permit Category:ePermit
Site Address: 3800 Westbury Lane
Lot:001 Block: 002 Addition: Westbury 2nd
PID:10-83651-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Gary Robideau
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J Nicklay
3800 Westbury Lane
Eagan MN 55122
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature