3804 Westbury Lane
CITY OF EAGAN
3830 Pilot Knob Raad MrATER SERVICE PERMIT
P. O. Box ;1199
Eagan, MN 55121 PERMiT NO.:
Zonlnp: R1 DATE: 4-26-,~5
Owner; .7ose h7,er N0','Of U^its: I
Ilddroas:
?Sitf ^ddrlsi: 3 f'7 0a Iri r S~ ti` ; r T .
Phsnber: T']~,r.e L, :t? 's~estbuY 2nd
Meftr
~Size: Co^^ectio+ Chorge: 500. 00 d
RecdsF No.: L~ 7 3 Aoount DepoNt: i. P
~ Permit Fea: 1 R. pc.
I M" !o ao~Ih? ~?MI~ flw phr O,6w Surchorpe; . n
~
Mlsc. Chorges; 132.00 d I
gy TOfOl: 63.0Q d P.iEtrr ~
Do?e of Ins°.: Dcte Pioid:
~ 6 f71~~ Insp _ ;
CITY OF EAGAN SEWER SERVICE PERMR
3~i0 Pilot Knob Roed
P. O. Box 21199 PERMIT NQ.: 7111
~~an, MN 551~1 ~ p^~ 4-26-
r,p; 1
Ownsr: oaept? "'iller No. of Unlts: Z
Add?ess: 1.111, Srte Address; k'eatbu ~ estburv ?
~ ry Lane L.. 1;? r~
Plur++ber. YMouhh F1-ir.l,in~.
J. .
~~vb whi~ Nw C~r Oi ~n Ca~cNon Chapr _•'+25. 00 n~
Accourit Deposlf: 1 5.006d
Permk FM: i0 .15(31'd
By ~^~ro•: . 5 d
' Dote ef I Misc. Chorpex
nsp.: Totol:
aoto Roid:
REACTIVATBb FOR DECK 5/$6 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. PHONE: 4548100
QUILDIN~ ~ERMIT Receia #
To M wpd ier VYv j i~AI,. Esf. Yolue pate r, 1_? , 19
Site Addrem Erect ~l Ocwpaney -c i
Lot Block • ~ ^ec/sub. Ii Remodel ? ZOOing
Repsir ? Type of Contt.
ParcN No.
Enlarge ? No. Stwies
Move ? Length
..i,~'^ • • 'i
Nsme
Demoltsh ? Depth
Address Grade ? Sq. Ft.
City " Phona Install O
Appeeveh Eas
~ Nsme
u Address /lssessment Permit
Al
0- City Phone Water a Sew. SurcFwrpt
Polite Plan Review
~W Name Fin SAC
~W
Addrea Enp. Wcter Conn.
'(W City Phone Plonrnr Wotar Mebr
x
Countil Rood Unit
I herebr ock++cwldps that 1 havt reod this opplication and stats fhct Bldg. Off. !
tF» Informotion Is torcect ond oyree to comply with oll opplicable APC Totsl
Sroto of Minrwsoto Statutes ond Giry of Eoqon Ordinoncas.
Ver. Deta
Sipnoturo of Pem+iftae
A Buildirq Pennit Is isswd to: a+ fhe expnm oordition thoi
oll work sholl be dons in accordanee with oll opplkoble State of Mlnnesoto Statutes ond Gty of Eaqcn O?dirwnoet
8uildinp Officiol
Pwmit No. Pwnk Holdw DoM T*le hone ~
riurnfiing a~ l~ Pa -~s'o 6
HNm.C. J ~ 5Y6 0-ka ~
E~~;~ ~ 8 3 L ~'s~ :~'6 z o
softwwr
Irapection Dan Insp. Othw
Footinys ~ O
Ft~ .ZP .A,
Foundstion
Fnminq r
Rooiing
Roug+ Plby.
Rough HVAC
inalation
Fin~l Plbq. ~ -
Finsl HVAC
Final
c.rt/ooc. r7 1.{' -f ~
Water Wseribo Location:
IIWII
TNw8r
I P.. Oop.
Reaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
~ ~ - F~a
.
Fill in numbered *aces S/C
Type ar Print /egibly Tot. ~ 1. Date 2. Installation Cost
- , _ ` . .
~
3. Job Address. ~bt B I k. Tract -
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New g- Add ? Alter O Repair O
10. Describe Fuel Type_.;
11. No. Fauiument 8TU - M. Ea. No. Eouiament CFM
Forced Air Air Handlinp:
Mfg. ~j -
Boilers Mech. Exhaust
Mf9.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby oertify 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
Rouph ' Final
Inapections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 464-8100
rf
Raoeipt PLUMBING PERMIT Permit Na
CITY OF EAGAN FM
Fill in »umbered spacea S/C
Type or Print /eyibJy TOL
1. Date 2. Installation Cost
3. Job Address Lot~Blk.--- Tract ~
~
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add O Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Sottner
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
Receipt PLl1MBING PERMIT Permit No. ~
CITY OF EAGAN {~,r
Fes
Fill in numbered spaces S/C -`3J
Type or Prini /egibly To t. ~
1. Date 2. Installation Cost
3. Job Addresglw Lot Blk. 1 Tract
4. Owner .
5. Contractor Phone
6. Address SURGE WRTER CONIIIIInHiug
•xce?si!lr Ayg. E.
Hopkins, AilnrSWa r53143 Z;p
7. City
-18E-1
8. Building Type: Residential 9~1 Commercial O Institutionat ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for . . ,
Rough F inel
Inspections: Date Insp. Date Insp.
This is Vour permit when numhered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN Remarks t , . ~ J~ , -tt ! ; 74%
Addition WESTBLiRY SECOND ADDITION l.ot 2 Blk 2 Parce1 10 83651 020 02
owner street 3804 Westbury Lane State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1986 2850.00 A01 -1. -8
111126- STREET RESTOFi.
GRADING
Water area ffZ 1986 133.79 8.92 1. 57 93 -1
SAN SEW TRUNK 1985 325 . 24 21.68 15 03.56 A01 5 793 -1 -8
* SEWER LATERAL , rwwl 1986 5008.71 1001-79 .73 015793 7-15-85
Watermain 1986 65.29
WATERMAIN ~ 14$4 50.89 3.39 15 .11 A01-1
* WATERLATERAL~ 1986
WATER AREA - 01 1984 1
*Services 1986
STORM 5EW TRK 1986 s~. 710,24, 142.05 5 710.24 A015793 -1
* STORM SEW LAT 1986
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road ni .
WATER CONN. 500.00
BUILDING PER, ].OI.OO
sac 525.00
PAR K
CITY OF EAGAN .
?
454-8100 ' r
DEPT. OF BUILDING INSPECTIONS "
Cormction Notice
5glo~ /,/,C/
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes overning same:
p1- v'4y Xrs o ' us r/dr~
-.4v ~
2t c°o !cr
When corrections have beA made, please
call 454-8100 for ins ecti%44,-
4tor Date/4~ ~
Inspe City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN No 'I O'I O O
- 3830 Pilot Knob Roed, P.O. Box 27-199, Eagan, MN 55121
~ PHONE:464-8100
BUILDING PERM17 rteceipt #
Te ye ~d fm SF DWG/GAR Esr. VnWe $57.000 pate APRIL 15 1 q-u_
SiteAddrm 3804 WESTBURY LN Eect M Occupancy,~_
I.ot z etock 2 ~clsub. WESTBURY II Remodel ? Zoning
Repeir ? Typa of Conet. V
Percel No.
Enlarge ? No. Smries
JOE MILLER CDNST Move ? Lenqth 50
~ Name Oemoliah ? Oepth 35
z 18133 CE~AR AVE
Address Grede ? Sq. Ft.
~ City FARMINGTON pha~@ 431-2001 Install ?
S~E Apqwal~ Fus
~ Neme
oU A~~ Assessment Percnit . ~
u~ 28.50
City Phone Woter R Sew. Surchnrpa Police Plan Review 152.00
~W r~eine Piro 5/~C 525.00
iZ Addreas Enp. WaterCoim. 500.00
u
"W City vhone Plannar WarerMeror 63.00
Council Rood Unif 280• ~0
I hereby ockrowledga that 1 hova read this ooDlicotion ond state that gld9. Off. 4Z 1 5/R 5 T. P 132.00
tha intormotim is CWrecf ond agree fo complY wifh all upplicabie APC Total $1, 984 . 50
State ot MinnesoM Statutes o d iry of Eagan Ordirance -
Ver. Date
Siqrwturo of Permittr - ~ A Bulldirg Permit Is issued ro: JOE LLER CONST on ths expreas condiHOn thoi
dl work sMll be dona in acoordonee with oll app~bla Sfate o in sota Statufes ond Ciry of Eupan Ordfroncai.
BulWlrp Ofllcinl ~ l o
_ . .
a , ~ ~ . .
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CON?RACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
5l,oeb.
To Be Used For: Valuation: ~ Date•
Site Address: OFFICE USE ONLY
Lot: 2 Block 2 Sect/Sub&;dVjf
~aErect C Occupancy Q-3
Remodel Zoning ~L
Parcel f! Repair Type of Const
Enlarge # of Stories
Owner Move Length 50
Demolish Depth 35
Address Grade Sq Ft
City/Zip Code
Phone APPROVALS
Contracto~('~~~/~~~J ~ Assessments _ Permit 3D¢
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC 5Z5,°-°
City/Zip Cod Engr Water Conn 5CO. r°
Planner Water Meter (73,~
Phone Council Road Unit 22~w
Bldg Off Parks
Arch./Engr. APC Treatment P1 1 32-
Variance f/
Address TOTAL ~ ~7 5 p
City/Zip Code
Phone U
. ._,.:..~a,.~n....,:p,.-9..a,e.iY .>._s....... :.;.>+...._:,.~v A..,.: , . . . .
Certificate for: Bk: 81/75
' ,`'Joseph M. Miller Const. Co.
18133 Cedar Avenue South
Farmington, Mn, 55024
DELMAR H. SCHWANZ
UINOSURVEVOR31 113C•
' RpistoW UnGn Laws of The St+la of Minnamb
2878 - 146TH STpEET W. - BOX M ROSEMOUNT, MINNESOTA 56066 PHONE 612 423-1768
19/ r SURVEVOR'S CERTIFICATE
s ~z s'O3•y/ '~9A
6s
N 1
2 3~ S 2 1
w
1
N89-3~0~ ~
. W ItL1AMS 8R05. . PI~ECI~~ ESM'r.
Z pec. No. '/43~06
.0 . saale: 1 inch a 30 Feeti
~ ' IU 1
o Denotes iron monwnent
- - - '
W , w o Denotea set wood hub
~ TUtility Jrainage and Eaaement ~ 8916 Denotee exieting elevation
I ~ I Denotes proposed elevation
(per development plan)
T 1.,~ . ~ 2y b 4';1
L9 ' 1) Plan 83-102 Arcadia l
~ Elevation D
$ 1titlarage I Houne17 2) . P l a n i s f l i p p e d
ItZ
3) Front eetback stakes are on
N 21 M 5
N i• 2 foot cant 1 v
t
p gl~, 43 i- t~P N~B
89103
.
9~ a '3'is_
81f. B9-'/z I z7l f~• ~Q ~ st ~Y
jCuRB ~ ` 'T°rCwt~
; . Sqo.l ~ 89a~
- ~
W6S7Bu RY tRNE
I hereby eertify that this ii a trw and correvt representation of
Lot 2, Block 2, Wffi?BURY S1E01ID'ADD2TION, according to the recorded
plat thereof, TJakota Coeant;, MSnneeota.
Also showing the iocation of s proposed house as stalaed thereon,
Ayril 8, 1985.
.,V+'!'l/?1 , ' i:r . '
J J
~ MINNESOTA REGISTRATION N0.8625 ~
, P . . . , , .
r
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
V I FAC 101 3830 PIL'OT KNOB RD - 55722 113. , j
u1,~ 1~ 651-681-4875
New ConsfiucHon ReaulremeMS Remotlel/Raoair Reauiremenh
D 3 regisleretl tlte wrvBys ahowing aq. 8. 01 IOt, aq. ft. of house 2 copiea of plan
and 9H rooled areas LZO% maximum b1 coveraae Wbwedl 1 set of energy cdcWaHOns ta heatetl addiMOns
D 2 copies ot plans (show beam & window sizes; pouretl hW. tlesign; etc.) 1 aNe wney br exteAor aACBtlons & tlecks
D 1 set ol energy calculaHona . .
? 9 coples d hee presenatfon plan H lof plaHetl aBer 7/11/93
DATE: CONSTRUC110N COST:
DE5CRIPfION OF WORK:
STREET ADDRESS:
LOT: ~ BLOCK: A~ SUBD./P.I.D.
Name: 7 )ew\ 1 Phone (or 4' N~'r7 q' qa~rl
PROPERN wst firsr
OWNER On/ 1 l.l Y`~Y Jl)~l/ Ln ~
Sheet Address:"7~ ~t7LZC
City C.aGI/'i Stafe: Zip:
Company: da, Nf )m6(10mS( )f1DIU cT/In~ Phone &/,a_
(area code)
CONTRACTOR 110n( Streef Addreu: Ucense # h 3 Exp. 3tUl
Cny F-~( l ri ((,eJL State: 4LL Lp: L65.fn2,
ARCHITECT/
ENGINEER Company: Name:
Telephone Ii: ( )
Sfreet Addreu: Regishailon
Cily State: Lp:
Sewer/water licensed plumber (H Installina sewerlwaterPhone
1 hereby acknowledge Mwt I have read this applfcaMon, afate Nw1 the infomwtfon is cortect, and ugree fo comply wMh all applicable State
of Minnesota Staiutes and Cily of Eagan Ordinancea.
Signafure W ApplicaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No -
i i; . .
Tree Preservation Plan Received _ Yes _ No _ Not Required
f r
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex 0 13 16plex ? 21 Porch (3sea.) O 31 Ext Ak - MuHi
O 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. AR - SF
? 03 01 of _ plex O 09 07-plex O 18 Deck ? 23 Poroh (screened) 0 36 MuRi
? 04 02-plex ? 10 08-plex 0 19 Lower Level ? 24 Stortn Damage
? OS 03-plex O 11 10-plex Plbg _Yor_N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) 0 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: I13,~~~
• SAC Units
% SAC
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3630 P D - 55122
631-681-4675 -
'
N.W CaSMIcAm Raauirertanh
rapbterotl sih wrwYS ghowlnp aq. R of lot, s4. H. ot tause 4 eopies of Wan
and yorooletl areas fZQ% mmdmum lot coveraae allowedl 1 sef of wieryy cdculallons for heatetl odNMons
? 4 caPles o/ Plau (slaw beam & wUWOw slzes: Pared tnd design: efc.) 1 tlfe wrveY for exFada otlmtlons 8 tlecks
? 1 tet o1 eneryy ealeWaHOrn
? S coples W hee preservallon plm H bt plalled ader 7/1193
DATE: CONSTRUCTION COST: - ~
DESCRIPTION OF WORK: :~h1 M Iec,
STREET ADDRESS:
'D
LOT: BLOCK: ~ SUBD./P.I.D. ~ a Y'LA
Name: Eyo 7 lews/ Pr+onellf: 6P~146U' 42zp
PROPERTY lasf M
OWNER Slreet Address:3[Y,~•~ 11 1 ly~)(\I Ln
cw 0,06 ,n State: rnt~~ Zip: 65 {.l~
Company: ~ffi)'Yl l(1L1t?") 1(~ Tll~,c Phone S: &/Q_ -
(area code)
corrrR?croR sfr«rnaar9w p7/2L( (-ffi(U,n a- A1~E uc.nse # 7/n0ExP• ~.OI
CHy l(I~ State: Lp: 216I-23_ -wa ARCHITECT/
ENGINEER Company: Name:
Telephone 0: ( ) •
Sheet Address: R~Mtlon
q1y State: ZIP:
Sewefivater licensed plumber (H installina sewer/waterl: Pho^e t. L___)
1 herebY ackrawiedpe Mwt I have read lhis cPPOoafbn. dWe thaf 1he YdomwNon ia correcf. and apree to eomply wNh 00 appOcable Slak
ot MinneaoM Sfalutea and Cfly of Eapan Ordinancea.
5tynalure of Appffeant ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No MAY I I •
Tree Praservation Plan Received _ Yes No _ Not Required
1
Fj[§E )ffi~s4-4,, 2/ 8~}
CITY
OF EAGAN
~
APPLICATI^N FOR PERAIIT
r SESdER AVD/OR WATER CONNECTIO.T
(PLEASE PRINT)
1) PP.OPF'R'?"f ACD.T2ESS: 3 Y0 ~f /t )cs 16u n
rFrar Dr..SGRI?':IC`J: a-
(Lot/Bloc}c/Sua,ivisicn or TaY Farcel I.D. NL:.ber1
W:Is"_'=:G c:'=i:C".'r~:~. Da';' 0F OnIG-.7~i., Ei;Ii.CP.'G _.i_-Si
!
pFrcL.T ,•..i.:l;~"~aOPOS~ C•S: ? i2-1 5Z=- iPt+SLY .
? R-Z DUP= ('I'.':O L'::=S)
,
[3 Z 3 TCt•i-:rv,cE (?l= - C`:ZTS) f II:II^~)
? :c-! [;~:.::!-'r~•:T/C~_Zti.i.tr; ~~I ( U:iI':'Si
~ CCi.n1E?C?~.L/T2F.^_'~T.,,iC~rr^:
? S'C':S i?,S: Z
? IVSTI:LTZMALiG;1v=~^R'`T
2) .^vPPLIG=_i" I?LEASc "rnltii)
NF1i•IE: Soc
ADC.RESS:
CT-"_"_'. STATE, ZIP: FN~~ni?4-fsiJ /)1~ SS6~-'~ '
PI:ONE: 43/ -.2 Oo /
3) PLL:'$E2, --Q(NL"c~iS"_ IH; NT) FOR CITY I15E OALY
~~y~rtoa~
I--- i- ' - - PLUHBERS LICEtiSE:
P,DCRESS: 1'{~-76' Active
CITY, STaTE, ZIP: P~~µro~A ~YJ~J ,.5~} ~f~f~ ~ Expired
~ ~ d++a~cn Not of Rewrd
PHONE: 3 (6 7J PLUNBEA LICENSE N~06,j yv(j
e
afr lnitla
4) OCCrjp=/Lr-;NER NANIE: (PIEASE PRtNf)
ADDREss: saw-
CIT7, STA'IE, ZIP:
PHO^IE:
5} INDIG+TE :9[-tICfi PERh1IT IS BEILNG nr74,`iTEST:D:
C0.`INECPICN 'P'J CI'I"1 SE.TriEE2
CODIDI~=N '1C) CITY I-7ATER
~ 0'i[E2 (PIT15E DFSCi2IIIE)
6) IiDIG,TZ C:s.:
E:PL-.ASE E?OID APPROVfD pERALT FOR PICi:-L'P BY ODIE OF ABCVE
? PI.F:,SE :•T.-liL APPRG'VID PFF.:•LIT M 1, 2, 3. 4 AB(T7E
(Circle one)
7) SIGZMRE: DAT'E:
I -
~~eaaiawss~siraeEO:g~a~r.ar.+to
~r~ a~ s racsa~:~ a ie ~awir~la~rr~~w at.-~ssa~
FOR C I T Y U S E ON:,Y
PERMIT - ISSUEI7
F°_E5: $ IGJL' cr*,- n nr
$ /U..S~ WATER PEFJlT_T (I`ICiuDE SiiRC:?ARGc)
$ WATER METER/COPPERHORN/OUTS:D~.. : REa6ER
$ WATER TAP (INCLUDE COR?ORATION STCP)
$ SE;IE.T2 TAP
$
S AC^OUNT D`:POSZT - S'i.`v^.ct
$ S -VU. ~p WAC
$ S..2_57 ~ o SPC
$ TRGVK NATER ASSESS>!E:7T
$ TRii SES:cR :iSSESS::E`iT
$ L:.:E3~;L SENEFIT/TRUDIK SE??=R
+S LATERrIL BENEFIT/TRUNiC WAT°R
$ ~--:?dVU OTHER •
S TOTAL
$ AMOCNT PAIDjRECEIPT
'
DOES UTILITY CONNECTION REQUIRE EXC?,VATION IN PUSLIC RIGriT OF WAY?
YES IF YES, THEN :y "PERb]IT FOR ;40RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERIrIG DIVISZON. LIST AS A CONDI-
TION.
SliEJECT TO TfiE FOLLO[4ING CONDITIONS: -
APPROVEp gy.
TI.L£:
DATr:
tw R+ raa w~~01 M 09 wa §W~~ se =:PQ wa r* M Me sPM wM
.
Zoo7RESIDENTIAL BUILDING rExMiT aprLicaTioN
> City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys shovnng sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan showing Pootings, beams, jasts CeR of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations ior heated additions Soiis Repod _Y _ N
1 Soils Report if propQSed 6uilding is to be placed on disWrbed soil t site survey for addifions & decks Tree Pres Plan Recd - Y _ N.
2 copies of plan showing beam 8 window sizes; poured found design, etc. Addifion - indicafe if on-sife sepfic sysfem TreePres Required Y_ N
1 set of Energy Calculations Dn-site Sep6c System _ Y_ N
3 copies of Tree Preservalion Plan d lot platled atter 717/93
Rim Jasl Detail Op6ons selecfion sheet (buildings wilh 3 or less uni[s) G y~
Minnegasco mechanical ven0lation foim f~ ~J 1~ l.
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date I~ Construction Cost l0 - lS ~
Site Address 3$QK W25t'h+~"~ L6Y~' Unit/Ste #
E/OGAA/ MA~ $5EZ3
Description of Work 06R649 @1GL05d2 £
Multi-Family Bldg _ YV N Fireplace(s) _ 0 2
Property Owner Telephane#(651
Contractor 6fJPLFI 15 G6n5~r UUlrn
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ON4Y IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Su6mitted
f~ ~
. Energy Envelope Calculations Su6mitted n fLS ~ r~ LS t~ 2~ L5
I I 11 V
I...(
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pl0ru MAY 0 3 2007
_ Y _ N If yes, date and address oE master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone J
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
Sfatutes; 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
apprQVal of plans.
~
Applicant's Printe Name pplicant's Signat
I
DO NOT WRITE BELOW THIS LINE
Sub Types ~
? 07 Foundafion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory' Bidg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi -
? 03 01 of._ plex ? 09 07-plex ?17 Garage A 22 Porch/Addn, (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergoia) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex ? 25 Niiscellaneous
Work 7vpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
~ 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion p 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors,
? 34 Replacement 'Oemolition (Entire 61dg) - Give PCA handout to applicant
DBSCrIptlDfl: WaterDamage_Ye5 ,
Valuation 0, 7 Occupancy MCES System
Plan Review ~ 100% or _ 25%
Census Code ~T Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Wdth
UIRED INSPECTIONS
_ Footings(newbidg) Sheetrock
Footings (deck) FinaUC.O.....
~ Footings (addition)"/-
Final/No C.O. _ Foundation HVAC
Drain Tile Otner
ftoof ` Ice & Wa[er _ Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. Air Test Final Windows
_X_ Insulation _ Retaining Wal]
Approved By: 6uilding Inspector
Base Fee
Surcharge S~o-i
Plan Review ,~I,
MGES SAC f~/'M"V7
Ciry SAC 79 O~ 75~ ,y,
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: Porch Enclosure
Report Date: 05l02!07
Data filename: C:1Program FileslChedcU2ESchedcSPorch Endosure.rck
Energy Code: 2000 Minnesota Energy Code
Locauon: Dakota CouMy, MinnesoW
Conswction Type: Single Family
Glaang Nea Percentage: 12°h
Climate 2one: 2
Construdion Site: Owner/Agent: DesignedContractor:
3804 Westbury Lane John Berge John Berge
Eagan,MN 55123 Homeowner Homeowner
6516888216 6516888216
. . •
Assembly . D..
Wall 6: Wood Frame, 16' o.c.: 384 21.0 0.0 18
Window 10: Above-Grade:Wood Frame:DOUble Pane with 16 0.300 5
Low-E:
Window 12: Above-Grade:Wood Frame:13ouble Pane with 12 0.300 4
Low-E:
Window 13: Above-Grade:Wood Frame:Double Pane wkh 12 0.300 4
Low-E:
Window 11: Above-Grade:Wood Frame:Double Pane wilh 16 0.300 5
Low-E:
Wall 5: Wood Frame, 16" o.c.: 592 21.0 0.0 32
Door 2: Solid: 21 0.100 2
Wall 3: Wood Frame, 16' o.c.: 128 21.0 0.0 3
Window 5: Above-Grade:Wood Frame:Double Pane with Low-E: 20 0.300 6
Window 6: Above-Grade:Wood Frame:Double Pane with Low-E: 20 0.300 6
Window 7: Above-Grade:Wood Frame:Double Pana with Low-E: 20 0.300 6
Door 1: Glass: 21 0.300 6
wall 2: Wood Frame, 16" o.c.: 92 21.0 0.0 3
Window 3: Above-Grade:Wood Frame:DOUble Pane wifh Low-E: 20 0.300 6
Window 4: Above-Grade:Wood Frame:DOUble Pane with Low-E: 20 0.300 6
Ceiling 1: Flat Ceiling a Scissor Truu: 192 30.0 0.0 7
Ceiling 2: Flat Ceilirg or Scissor Truss: 888 30.0 0.0 31
Wall 1: Wood Frame, 16" o.c.: 128 21.0 0.0 6
Window 1: Above-Grade:Wood Frame:Double Panewith Low-E: 8 0.300 2
Window 2: Above-Grede:Wood Frame:Double Pane with Low-E: 8 0.300 2
Wall 4: Wood Frame, 16" o.c.: 592 21.0 0.0 32
Window S: Above-Grade:Wood Frame:Double Pane with Low-E: 12 0.300 4
Window 9: Above-Grade:Wood Frame:Double Pane with Low-E: 12 0.300 4
Wall 7: Wood Frame, 16" o.c.: 384 21.0 0.0 18
Window 14: Above-Grade:Wood Frame:DOUble Pane wiN 32 0.300 10
Low-E:
Window 15: Above-Grade:Wood Frame:Double Pane with 24 0.300 7
Low-E:
Window 16: Above-Grade:Wood Frame:Double Pane with 12 0.300 4
Low-E:
Flaor i: All-Wood JdsVTruu:Over OWSide Air: 192 30.0 0.0 6
•Floor 2: SIa6-On-Grade:Unheated: 122 10.0 107
Insulation depth: 1.0'
Compliance Stafement: The proposed building design descri6ed here is consistent with the building plans, specifications, and other
calculations submitted with the pertnft appliption. The proposed building has been designed to meet Uie 2000 Minnesofs Enargy Code
requirements in REScfreck Version 4.0.1 and to comply with the mandatory requmeMS listed in the REScheck Inspectlon Checklist.
t
n
Name - TRIe ature CI/ D e
REScheck Software Version 4.0.1
REScheck Inspection Checklist
DaM: 05/02J07
Plan Review and Inspection Issues
This list of items may be helpful for Plan Reviewers and Building Inspectors W use as a guide for enforcing the Minnesota Errergy Code.
The items apply to Group R, Division 3 Occupancies, one- and lwo-tamily residential dwellings. The items marked with ' apply only to
detaMed one- and lwo-family residenGal dwellings.
Plan Review Issues
Foundation Inspection:
Ei Foundation wall insulation R-5 minimum.
cl Foundation insulation extends from top of wall down to top of the footlng.
Li EMerior foundadon insulation is covered by a protective watirg finish.
Concrete Slab ar UnderSlab Inspectlon:
Fj Slab on grade perlmeter insulation R5 minimum.
Li Slab insulation eutends from top of sla6 to design frost line or top of footlng.
E) Floors over unheated space R30 minimum.
Windows I Doors I Skytights:
Fl Average U-value is 0.37 maximum for wirMows and glass doors (exGudes foundation windows).
ci Window U-values consis[ent with building plan and REScheck CerOfipte.
Li Window and door areas consistent with building plan and RESclreck Certificate.
Mechanical Ventilation Issues:
ci Residenfial mechanical ventilaUon system providas adequate ventilation per cade requirements'.
F-I Fumace affldency is consistent with REScheck Certificate or building plan.
Lj Protection against excessive depressurization is Installed per code requirements'.
Envelope Insulation for Plan Revlew:
~ Interior basement insulatlon R-5 minimum ('rf no exterior insulation).
n Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate.
C] Wall framing and insuladon level is consistent wilh building design and REScheck Certiiicate.
Inspection Issues
Concealed Insulation
Freming and Sheathing:
0 Wind wash barrier installed at attic edge.
~ Exlerior wall comers framed so that insulation can be installed after eMerior sheathirg Is installed.
Li Intersections of interior partition walis and exterior walls framed so that insulation can be installed between the partidon end
eMerlw sheathing after euterior sheathing is installed.
Lj Gaps between framing less than one-half inch are eliminated by securing framing togettier or are insulated at the tlme of assembly
Lj All penetradons between condNOned arW ummnditloned spaces made prior to framing inspection are sealed
Interior Air Bartier:
•L] All fire stops are air sealed.
, Ej Pipes, ducts, wires, equipment and flues and chimneys through the interior air bartier are sealed.
ci A sealed continuous interior alr barrler is installed on the warm side of the building envalope at ceilings, walls, and floor hm joist
areas
Li Air barrier behind tub and shower is sealed antl protected.
Ll Recessed light fixlures are sealed.
Envelope Insulatlon:
ci Basament insulation R-5 minimum.
ci Wind wash bartier on wall separeGng house and garage is sealed.
Cl Loose fill insulation is prevented from eMerfng the eaves.
Cj Insulation on skylight shafts and walls exposed in attics is supported on the unoonditloned side.
Attic Insulation:
13 Attic access panel insulated to R-38 tor ceiling panel arM R-19 for wall panel.
Cj Attic card attached to framing near access opening.
Li Notfication of attic R-value and date of instailation posted near building permit inspeclion card.
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions7 Call the Dapartment of Public
Service IMormation Center at 651-296-5175 or 1-800-857-3710.
ificate £or: Bk: 81/75
eph M. Miller Const. Co.
,133 Cedar Avenue South
•:armington, Mn, 55024
DELMAR H. SCHWANZ
LANOSUAVEYORSI IU L.
. Reqif/bmE UnEar 14w3 0/ TM StaU ol MinnuoU .
2978 - 146TH STNEET W. - BOX M ROSEMOUNT, MINNESOTA 65088 VHONE 612 423-7769
SURVEVOR'S CERTIFICATE
s Z Z ~ 703. y/
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N 8 9-;~-0~ E
W i~.L ~An~S 8RO5.
PrPEt~~~ ESn~T.
Z Doa No. '/932-04
3cale: 1 inch ~ 30 feet
v j o Denotea iron monument
,
W-
y~ o Denotes set wood hub
~ FvUtility Drai:sage and Easement p oytA Denotea existing elevation
e~ tes propoaed elevation
D
r f!'~per development plan )
r086
15~01 T-7-
bV/
~q1•'~ ~ 1) Plan 83-102 Arcadia l
- ( Elevation D
~ ryQarage IHouse;~ In ~ 2~ Plan is flipped
3 Front setback atakea are on
2 foot cant lev
p g1~. 43 ~
e. - 'TiP NuB
~oP I~ f~ 8f1.; 891.67
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I hereby eertify that thts i• a trus and correvt repreaentation of
Lot 2, Block 2, WFS7BURY SECO11D ADDITZON, according to the recorded
plat thereof, Dakota County, Mlnnesota.
Also ahoring the location of a Droposed house as etaked thereon,
ADril B, 1985.
MINNESOTA REGISTRATION'N0.8675 ~
~ ~
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: Porch Enclosure
Report Date: 011106Po7
Data filename: C:1Program Flles\Check\RESchecMPOrch EnGosure-update.rck
Energy Code: 2000 Minnesota Energy Code
Location: Dakota County, Minnesota
Cons4uclion Type: Single Famlly ,
Glazing Area Percentage: 12%
Climate Zone: 2
Construdion Site: OwnedAgent: DesignedContrector:
3804 West6tay42os. John 6erge: John Berge
Eagar[:R1N:55123` F~.Homeowner
5gt~1'16' 6516868216
.
, D.
Wall 6: Wood Frame, 16" o.c.: 384 13.01 0.0 27
Window 10: Above-Grade:Wood Frame:Double Pane with 16 0.300 5
Low-E:
Wndow 12: Above-Grade:Wood Freme:Double Pane with 12 0.300 4
Low-E:
Window 13: Above-Grade:Wood Frame:Double Pane with 12 0.300 4
Low-E:
Window 11: AbwaGrade:Wood Frame:DOUble Pane with 16 0.300 5
Low-E:
Wall 5: Wood Frame, 16' o.c.: 592 13.0 0.0 46
Door 2: Solid: 21 0.100 2
~ Wall 3: Wood Frame, 16" o.c.: 128 131.0 0.0 4
/ Window 5: Above-G2de:WOOd Frame:DOUble Pane with Low-E: 20 0.300 6
Window 6: Above-Grade:WOOd Frame:Double Pane witti Low-E: 20 0.300 6
Window 7: Above-Grade:Wood Frame:Double Pane with Low-E: 26 0300 6
Door t: Glass: 21 0.300 6
~ Wall 2: Wood Frame, 16" o.c.: 92 13.0 0.0 4
Window 3: Abrne-Grade:Wood Frame:DOUble Pane wkh Low{; 20 0.300 6
Window 4: Above-Grade:WOOd Frame:Double Pane with Low•E: 20 0.300 6
n Ceiling 1: Flat Ceiling or Scissor Truss: 192 38.0 0.0 6
Ceiling 2: Flat Ceiling w Sdssor Tnrss: 868 38.0 0.0 27
~ Wall 1: Wood Frame, 16" o.c.: 128 19.0 0.0 7
Window 1: Above-Gratle:Wood Frame:Double Pana wiTh Low-E: 8 0.300 Z
Window 2: Above-Grade:Wood Frame:Double Pane with low-E: 8 0.300 2
~r Wall 4: Wood Frame, 16" o.c.: 592 19.0 0.0 34
Window 8: Above-Grade:Wood Frame:Dou61e Pane with Low-E: 12 0-300 4
Windaw 9: Above-Grade:Waod Frame:Dou61e Pane with Low-E: 12 0.300 4
Wall 7: Wood Frame, 16" o.c.: 384 19.0 0.0 19
Window 14: Above-Grade:WOOd Frame:Double Pane with 32 0.300 10
Low-E:
Window 15: Above-Grade:Wood Frame:Double Pane with 24 0.300 7
Low•E:
Window 16: Above-Grade:WOOd Frame:Double Pane with 12 0.300 4
Low-E:
Floor 1: PJI-Wood JoisVTruss:Over Outstda Air. 192 40.0 0.0 5
Floor 2: Slab-On-Grade:Unheated: 122 10.0 107
Insulation depth: 1.0'
Fumace 1: Forced Hot Air. 93.8 AFUE Compliance Statement: The proposed building design described here is consisteM with the building plans, specifications, and other
calculatlons submitted with the permit appliptlon. The proposed building has bean designed to meet ihe 2000 Minnesofa Energy Code
requirements in REScheck Version 4.0.1 and W comply wlth the mandatory re uirements Ilsted in the REScheck Inspection Checklist.
J6~,. 720~ g-6-0:7
Name - Title gnature Date
4 ~ -
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3804 Westbury Lane
Lot: 2 Block: 2 Addition: Westbury 2nd
PID:10- 83651- 020 -02
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
John T Berge
3804 Westbury Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA077229
04/09/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Date:
City of EaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant
RECEIVED
FEB Z 4 2012
Use BLUE or BLACK Ink
Permit #: J��f1 ct
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
/7/13' Site Address:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
Name: .MILBERT COMPANY INC.dba C GAN WATER
Address: 1801 5 0TM ST EAST
State: MN Zip: 55077
Contact BILL.MILBERT :t
Phone:
Email:
City: . INVER GROVE HGTS
651 :.451-2241
Newplacement _ Repair _ Rebuild _ Modify Space _ Work in.R.O.W.
Description of 2ork.:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ / _ PVB)
_�. Septic System
New
Abandonment
'Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
355.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes 35.00 State Surcharge)
335.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'Water Tumaround (add 3166.00 if a 5/8' meter is required)
3105.00 Septic System New (510.00 per as built) (incudes County fee and 35.00 State Surcharge)
395.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 35.00 State Surcharge)
TOTAL FEES $
O, 00
CALL BEFORE YOU DIG. Cali Gopher State One Cali at (851) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.- www.000herstateonecall.ora
1 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 wo is not to start without a pyrtnit; that the work will be in
accordance with the approved plana In the case of work which requires a review and app
ApplicanWs,Priinted Nam" e I /.h
®4
Applicant'sS gnature
Date:
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
11M3
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 38O4/ Wes�
Unit #:
Resident/
Owner
Name:
/✓v
c1,11hcAtl CYcic),44am Phone: 2 P.Z3
Address / City / Zip: 38D'/ &-sks4-1,-,--] (a i -.j Cu 4`'> sill" SS/Z j
Applicant is: Owner x Contractor
Type of Work'
Description of work:
Construction Cost:
((,e -roof
�y jnJ3tV
G7
Company: Cer. (e '
Multi -Family Building: (Yes / No )
Address: /ZOU 64,-fr,„‘ /j,,_k Cv✓✓c
Contact: Md. -t t/d td A
State: i✓l i`f Zip: Z 0
License #: 6C SII? -z 0
City: .11€4444.7742 #C-1.7/1-45-
Phone:
C-13Mr
Phone: 6.-s-1,209, 3/30
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
A40, d2-1 t39-1 r7p V91,%5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 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.
Exterior work authorized by a building permit issued in accordance with the Minn
days of permit issuance.
x 1c- P
-Applicant's-Printed-Name
to Building Code mu t be completed within 180
x
Applica
s -Signet
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110721
Date Issued:05/23/2013
Permit Category:ePermit
Site Address: 3804 Westbury Lane
Lot:002 Block: 002 Addition: Westbury 2nd
PID:10-83651-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Scott Lofgren
5708 Upper 147th St W #102
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Rachel Boyle
200 Mississippi River Blvd N Unit 3d
St Paul MN 55104
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131612
Date Issued:06/29/2015
Permit Category:ePermit
Site Address: 3804 Westbury Lane
Lot:002 Block: 002 Addition: Westbury 2nd
PID:10-83651-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Rachel Boyle
200 Mississippi River Blvd N Unit 3d
St Paul MN 55104
(651) 785-5904
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163944
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 3804 Westbury Lane
Lot:002 Block: 002 Addition: Westbury 2nd
PID:10-83651-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rachel Boyle
200 Mississippi River Blvd N Unit 3d
St Paul MN 55104
Doug's Roofing
14785 Manning Court North
Stillwater MN 55082
(612) 298-1228
Applicant/Permitee: Signature Issued By: Signature