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3805 Westbury Lane CITY OF EAGAN SEWER SERVlCE PERMR 3830 Pitot Knob Road PERMIT NO : ' P. O. Box 21199 ~ Eagan, MN 55121 DAT~: Zoning: No, of Unin: • : . , Owner: - AddI'GSS. 1`1^ .`ny}..~t.::-1• +u :'".i :i': . $ite /4ddrESS: PI umber: 1 Mno h ews1f? wfth !M CiM of alom CAnnacNon CFwrpa: OrdiMeam !?aour?t Deposit: _ Perrr?lt Fm: Surchorpe: BY Misc. Choroes: Dote of Insp.: 7otol: I nsp.; Dab Pafd: CI7Y OFefAGAN WATER SERVICE, PERMIT 3830 Pilot Knob Road pERMIT NO.: P. 0. Box 21199 Eagan, MN 55121 DATE: Z~ing: No. of Untts: Owntr: I I~7~ -'J /Qss: SiM Mdreas: 3805 '„eetb„r~,r I,a,1e ~~~~r• ~i i i.tn.er Plur.tb i: ~ _ M4tar No.: D ~ 4 n~+or9e: 50 . ^ d. ~ Size: ~ lQo c L'n ~,~t: i . ~J pc'• ~~j~1iYrFee• . S~~p;i ~ Reader No.: 3N y7d ~ Wuh . ~Choroes: I ()P~~ '!p IR 6'1 ri0nCl P1PtE:Y' ~i ~ ~QV TotQ,: . ~ Daite Paid: ' I ~ of Irnp.. lnsp.: 96 ' . _ , . . . . ~ t...~ _ e..,.. CITY dF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 115 y4 PHONE: 454-8100 - BUILDING PERMIT Receipt # Tobeusedfor SC JwG/G11!~t EstValue $68.000 Date r1--g=,1tjA:zY 24 ,19 --aL SiteAddress 3805 WE5TbIJitY Ltd Erect OX Occupancy :t3 Lot 4 Block ? Sec/Sub. GIESTEURY I `iT Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? Na. Stories a Name ~TGE P,ILLER CONST CO Move ? Length 44 = Demolish ? Depth w c 3 Address 18133 CEDAR AVE SU int. Impr. ? Sq. Ft ° City FA,RhiI Wn W N A 31- 2 U U 1 Install ? o Name •1P Approvats Fees nddress Assessment Permit $ 337.00 City Phone Water & Sew. Surcharge 39 . 50 Police Plan Review 168.50 LU W Name Bl+11ll SWE[JSnN Fire SAC 575 . 00 ~z a Address Eng. Water Conn. 50U.00 iW City Pnone 452-5950 Planner WaterMeter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 2/14/~ Tr. Pl. 156.00 information is correct and agree to comply with all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature oi Permittee_ : War. Dete CopiB ~ 5U Total . A Building Permit is issued to: J0 F•. MILLER COIv5T CO on the express condition that all work shall be done in accordance with all applicable Stete of Minnesota Statutes and City of Eagan Ordinances. Building Official - - Pamdt Na PwmH Mdder Datt TNWphonm N Nmbl"o !G' " V-I,' /7 e 4 7-77 H.V.A.C. Ebctft oZ3J gi ~ 1son.nw Inspoctlon Datt Insp. Cammenb Footlnps I Foofts 11 I Foundatlon Frsminp Roo#n9 na,on ~i`-~ A3 Rouqh Htq. FkePisce Flnal Hty. -30.-~ . Final PI64. Bldy. Final A s Cart. Oee. Dock Ftq. Dock Frmy. Wdl Pr. Disp. PERMIT # CITY OF EAGAN FEE ~ MECHANICAL PERMIT C' v RECEIPT # 454-8100 S/C , ~ MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL (O DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 ~ 1. Bldg. Type: Res ~'~Comm Inst 2. New Add er Repair "2' ' i c t v~ ~ f 3. Total Bid Price 4. Job Address Lot L t Block - Sec 5. Owner '-Ar--r~= 6. Contractor (Name) y 1 , IStrB~ (~1e1l) {ZiP) 7. Contractor Phone # ~r RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. E4UIP. RtFRIG. _L--RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RAT,E - 146 OF TOTAL BID PRICE PLUS $•50 ST.,~ATE SURCHARGE FOR EACH $1,000 OF FEE. Signed:_ for Approved' Inspections: Date Rough Insp. Date Final Insp. • • PERMIT # 29~ PLUMBING PERMIT RECEIPT # CITY OF EA(iAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHOHE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot / Block " Sec/Sub ~ i ~ 4es. x New m Name f~ Mult Add-on m Address Comm. Repair c City - - Phone Other N0. FIXTURES TOTAL - Name Water Closet - $3.00 $ 3 Address ' Bath Tubs - $3.00 p City Phone ~I avatory -$3.00 T_Shower - $3.00 FEES I Kitchen Sink - $3.00 " COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE - $10.00 1 Laundry Tray -$3.00 MINIMUM - COMM/IND FEE - 20•00 i Floor Drains - $1.50 ~ Water Heater -$1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADO $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets -$1.50 ' BEYOND $1,000.00) Softener 45.00 wen - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ` SIGNATURE OF PERMITTEE FEE STATE SlC: FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN 4jol1, aemarks JIJI ~^~~r gz:!~u Addition WESTBURY FIRST Loc 4 eik 3 Parcel 10 93.650 040 03 Owner screec 3805 Westburv Lane stateRagan, 1NN 5512 ~ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1986 2850.00 STREET RESTOR. GRADING Wat r area 1986 133.79 8.92 15 SAN SEW TRUNK 1985 436.23 29.08 15 SEWERLATERAL 1986 500$.73 Watermain 1986 65.29 4.35 15 WATERMAIN Q 1984 68.71 LF.S$ j WATER LATERAL 1986 WATER AREA !T 1984 184.92 12-3 Services 1986 fl::-Lq STORMSEW TRK 1986 710.24 142.05 STORM SEW LAT 1986 CURB 8i GUTTER SIDEWALK STREET LIGHT WATER CONN, n n BUILDING PER. 153.34 SAC PARK CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 115 3 4 PHONE: 454-8100 BUILDING PERMIT ReceiptR ,7obeuaedior SF DWG/GAR Estvalue $68,000 Date F'EBRUARY 24 ,ig 86 SiteAddress 3805 WESTBURY LN Erect C~ Occupancy R3 Lot 4 Block 3 Sec/Sub. WESTBURY ST qemodel ? Zoning R1 Parcel No. Repair ? 7ype of Const v Addition ? No. Stories Name JOE MILLER CONST CO Move ? Lengih 44 W 18133 CEDAR AVE SO Demolish ? Depm_6 o Address Int. Impr. ? Sq. Ft Ciry FARMINqTQj4 431-2001 install ? i o Name SAME Approvals Fces Assessment Permit 37.00 ~Q Address -34.50 ~ Ciry Phone Water & Sew. Surcharge Police Plan Review 1650 ~ W Name B~D SWENSON Fire SAC 575.00 ma Address 500.00 452-5950 Eng. WaterConn. a W Ciry Phone Planner Water Meter 63. 50 Council RoadUnit 290.00 Iherebyacknowledg'thatlhavereadthisapplicationandstatethatMe gldg.Off. 2/14/$ 7r.P1. 156.00 information is correct nd agree to comply with all applicable State of MinnesotaStatutesan '-of aganOrd' ces. APC Perks ~ Var. Date Copie5 Si9nature of Permittee Total ~~0 A.Building Permit is issu d to: JO MILLER CONST CO on the express condition Mat all work shall be done i, accordance with all a lica State of innes Statutes and Ciry of Eagan Ordinances. 'ft BuildingOflicial ~ RESIDENTIAL ~j O I ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsW ction Reauirements RemodeUReoalr Reauirements • 3 registered site surveys showing sq. ft o( lot, sq. il of house; and all roofed areas • 2 copies of plan (20% mazunum lot coverage allowed) . 1 set of Energy CalcWations for healed additions )7/. 7s • 2 wpies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterbr addAlons & decks . 1 set of Energy C2lculatbns . Indicate if hana served by seplic system for additions • 3 copies af Tree Preservatlon Plan'rf lot platled after 711/93 . Rim Joist Detal OZ40- selection Sheet (bldgs with 3 or less units) DATE ~J VALUATION rq~n S~D • SITE ADDRESS .~/GVJ ~./ES I(~cJ/~U L/lJ MULTI-FAMILY BLDG _Y ~ TYPE OF WORK r I2OC>f:~' FIREPLACE(S) _ 0 2 APPLICANT AL C'QII O!_~- STREET ADDRESS Ca S ~_PS GDc- n1i//9-eee~ CV D CITYIEfl~r~ 42-.STATE ~IP S'S y TELEPHONE #/~_Z 97VSZi5_CELL PHONE # FAX # PROPERTYOWNER 10/ri!ZA- TELEPHONE# lo~~'~nBS ~ 9 COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 M ~6~ n (d submission type) • Residential Ventilation Category t Worksheet Submitted • 11 ~ r o h ~ itted . Energy Envelope Calculations Submitted MAY 1 0 2002 Plumbing Confractor: Phone # Plumbing systcm includes: _ Water Softcner _ Lawn Sprinkler ec: . Water Heater No. of R.I. Baths No. ofBaths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. ~ Phone # I hereby acknowledge that I have read this application, state that the information is ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrcJinlanc . Signature of Appllc t - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (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 *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry 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. _ Foofings (addition) _ plunibing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ F'ueplace, _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulafion _ Retaining Wall Approved By , Buiiding 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 r z.. c S . . 5 41 1985:~BUILDIIIG~PERMIT APPI:ICATION. ` CIYT tlF~EAGAI( ~t NOTE• . A1.L='COIfTRACTORS' NU37 BE. LICENSED:ifITK ?9E `CITf`OF"EAG9A. 'a Y, r~. OF PLANS C~R~~,FICATES'OF;SUItYEV ; , _ * ' y;~3ET'OF~ENERGY CALCULATIONS . _ ' To Be Used For: {fILceJ.?,~."i~-eJ Valuationr Site' Address: oy-e>~/.1/ "OFFICE 63E ONLY L'ot: Block ~ Sect/Sub Erect x _-c~unj ' Oceupaney R.3 Remodel' Zoning 911 Parcel p ' Repair Type of'Const SG ° Enlarge i`of.Stories Owner(4u-2 Move: Length ~ Demolish Depth 469 Address ~~V/ .)3 Grade. : Sq ;Ft City/Zip Code S50 2 , Contractor ~~,...e_. APPROVALS - Address Assessments Permit•.., 3 Water/Sewer Surcharge 3 ~ City/Zip Code Police. Plan;RevieW:;...~5.- Fire SAC ' ST 5.. Phone 9 'f.il- 2-UQ Engr ` Water Conn 5oC;- ` 3_ so Planner ater~ Meter' 6 Arch./Engr, :24aj~,,,a~,.:~ ' 'Council Road Unit 7-9o. Bldg; Off Parks.' ' Address APC ~Treatment P1 I 5(0. I/ Yariance Phone B ; . ' 707AL a /o v SG , . . : ~ r' F . . i.Y N ~ 1'RI-LAND C0. SITE PLAN FORO SURVEYING SERVICES JOSEPH MILLE R 4655 NICOLS ROAD C ON STRUCTI ON EAGAN, MINNESOTA 55122 - - ~ WESTBURY LANE ~oo '0° ~ io° R . - - o ~ 0 0 - - ~ ~ ^u 3 I 1`~ y., GARAGE . . • I 4;0I •"i w HOUSE • O I 'b' >O ~ I SCAL E' I'= 30' 0- '+o x ^ ~ I o I ~ 1+ I sl ~ L- y F-- 8q042' 27• w q~ NOT E SET GARgAG E TOPpOF CURB BOVE PROPERTY DESCRIPTION LOT4, BLOCK3 , WESTRURY FIRST ADhI'PION oecordinq to the recorded plaf thereof nAKnTA Counly, MionesoTa LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= iot.70 a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= looxoo DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR - ELEVATION ELEVATiON DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE OIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hxaby csrtify ihat this survsy,plan or report was prepared by me or under my direct supervision and that 1 am tl duly Bradiey Swenaon, Mn. Req. No. 15235 Reqistered Land Surveyor under the Dafe Laws of the State of Minnesota ~ z~~a~~ 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) 4142 .15 , CITY OF EACAN . f 3830 PILOT KNOB RD - 85122 651-681-4875 ~ New Conshucflon ReaulremenM Remotlel/Renair ReaWremenh n 3 reylatered slle wrveys ahowlnp sq. H. of bT, aq. fl. of Iwuse 2 coples al plan and gp rooletl areas (7D% ma¦1mum lof coveraae allowedf 1 set ol energy calculaMOm for heated addtlsa e > 2 copiea of plans (show beam & window sizes; poured InO. deelfln; etc.) 1 site wrvey lor exterbr adtll8ons 3 dec W i 1 set ol eneryy ccIculadons > J coplea of hee preservaflon plan If tot plattetl aNer 7/1 /93 DATE: CONSTRUCTION C05T: S~_~r~ e n C c,~ DESCRIPTION OF WORK: -4) STREETADDRESS: 3ar-'0S1UedT.Bd1zV ! Gt'/2-2- 6w~,~. LOT: BLOCK: J SUBD./P.I.D. 0: "!C\7 bUry f S} Name: QJ~~livGl,2fZ PhoneN: PROPERIY Lasl Flral OWNER Sheet Address:3r-VO,~- k/e,-~ 7lb U/Z'/ `-p'"~ c,tv sta?a: np: ST/Z 3 . Company: S a vr' ~ Phone (area code) CONTRAC'fOR Sheet Address: Llcense # Exp. CMy State: ZiP: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheef Address: Reglshaiion i: Cny Sfate: vp: Sewedwater Iicensed plumber (H InsWllina sewerhvaterl: Phone L____J I hereby acknowledge that I have read Mis applicaHon, slate Mat Ihe infomnalbn is cortect, and agree to comPly wNh a0 apPOCOble Statf of Minnesota SMiufes and City of Eagan Ordinancea Signalure of ApplicanY. OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext. Alt - Muw ? 02 SF Dwelling ? 08 06-piex O 17 Garege ~ 22 Poroh/Addn. (4-sea.) O 33 Ext. Ait - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory BkJg. WORK TYPE UJNVeMa.I& VX44f"{rJC-i SCPiEOs P0a6,H- rto '1 GeA6r'~ ? 31 New O 36 Move Bldg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permlt GENERAL INFORMA170,N SAC Code # of Stories s9• ff• No. of Units ~ Length sq. ft. No. of Buildings Width Footprint sq. ft. ~ Const. (Actual) 61 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 Vaiuation: $ w6o Surcharge Plan Review License nnciESSac 10X1ti = 120~XS4 = 6 cicy sac Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC i , MINNESOTA ENERGY CODE , ~ I-2 Family Residenlial Building RESIDENTIAL "COOKBOOK" WORKSHEET A plicent Name Phone Da[e Statement of Compliance: Building Official Use I ~ Sc/i~~~- (osl 68 04•29• . ~ Applicant Address The proposed building design RpraeMed in thse doeumrnlthmnsistentwithUhebuildingplero, I d' ~ spaificatlons, and other celwle[iona submided Building Addross: with Ihe pemdt epplicetion. The proposed buNding has been designtd to meel ihe i b Ilhe Mi e $nergy ~~eGGr ApplicenVEnginar ' i ~ MIMMIIM REQUfREMENI'S tor "Cookbook" Option: Entry Doors 1-3/4:" solid wood w/ storm Ceiling with energy truss R-38•* Rim joist R-19 . door br equivalent (Min. 7'/z" top plate to sheathing) Foundation Windows' Insulated Glass w/I/2" gap in Ceiling with low heel truss R-44'* Floor over R-24 wood or vinyl frame unconditioned space *Include squere footege in calculation of Window/Door Area Ceiling-no attic R-38 w! R-5 sheathing to determine above grade Window U-Value. •'Insulation Performance at Winter Design Conditions , ' Window and boor Ares 100 z S7 + WtNDOW U-VALUE : Ae •b of Exposed Wall Area lbove Crade Window and Groaa Wall Arom Wlndow/Door Area Sootcr: NFItC or ASHRAE 1993 Naadbook BoundetlonWindow/Door Ane MAXIMUM WINDOW U-VALUES ' Cheek; Wall . WALLTYPE MARIMUM.WINUOW AND pdOR AREA °/s OF EXPbSED WALL AREA T?ollded ' 12% 14"/e 18°k 20sle 22% -24°h26'/a 2$% 30'/0 32'/o 34% ' TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 033 0.30 0.27 0.25 0.23 0.22 010 0.19 TYPE fl 2x4 framing, R-LS insulation, sheathing R-5 or greater. 0.52 0.45 039 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 : TYPE C 2x6 Gaming, R-19 insulation, sheathing less than R-5. 0.48 0.41- 0.36 032 0.29 0.26 0.24 0.22 0.21 0.19 0.18 0.17 , TYPE D 2x6 6aming, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 037 0.34 031 0.28 0.26 0.24 0.22 0.21 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 023 0.22 0.20 0.19 0.18 Tl'PE F 2x6 framing, R-21 insulation, shea[hing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 032 029 0.27 0.25 0.23 0.22 0.21 . This tablc contains inlerpolations af tNe values in Ihe Energy Code, Part 7670.0475, Subp. 2. ~ ~ iNs a summary only. Other reqmranents may apply. Sa the Mmnesota Energy Code. Quest~ s7 Cal I DepaNnmt of Public Service Infattnation Cenler at 612l2%-519S or 1-8001657•3710. 2~5/9l' QP ~ we 'r CITY USE ONLY C~ ~ 2 g~iKb ~ RECEIPT q: SUBD, ~ RECEIPTDATE: PERMIT # 8000 PLIJM$INfi PERMiT (PtESIDENTIi4L) crrY oP ensnx 3830 Pu.or xxos sn EA?snx, Mx 55122 e51-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to e~yis 'ng dwellin 02 'mum fee Describe: A.,/ $ so.ao 3 0°` Bath tub $ 3.00 x = S Floor drain 3.00 x = $ Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem new/refurhished • re uires MvC tle. 75.00 x = $ Se tic S stem abandonmenc 30.00 x = $ RpZ new installationlreaidrebuild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under rounds rinkler itdwellin isunderconstruction 3.00 x = $ Under rounds rinkler ifexisUn dwelling 30.00 x = $ W ater closet 3.00 x = $ W ater heater 3.00 x = $ Water softener if dwawn under construction 5.00 x = $ W ater softener it exieting dwewn9 30.00 x = $ Watertumaround 30.00 x _ $ State Surchar e .50 $ .50 Total S Remirtder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. t-- -ca-ble-Ciry-of Eagan ordinances. . corteU, a - nC agree o compl Y with -all-appli- I hereby ac knowledge that I have read this applicatlon, stale-tnat - the • information . is . It is the applicanPs responsibiliry b nodty the propeAy owner that Ihe City of Eagan aswmes no IiaOility for any damages caused by the City during ita normal opera0onal and maintenance aMivities to lhe facilities consWCted under Mis permit vAthin City property/nght-of-wayleasement. SITE ADDRESS: OWNER NAME:.~'gl_.~~' h/wj a v' ~7 TELEPHONE (ARE CODE) INSTALLER NAME;~L TELEPHONE 9S ~ Z (AREA CODE) STREET ADDRESS: CITY: G o i f STAT ZIP[' 14,02 ~ - SIGNATURE OF PERMITTEE ~ • IDWON lwwaftl I • off'o 10 • i Bffo'@• o i~• • u r . { ti ~ ~ •~00 ki 0 ' RKIK$)U ~ ~ ~ ( •3 / CITY OF EAGAN APPLICATION FOR PERMIT SEWEE2 ADID/OR VATFTt CONNECTION (Please Print) 1) PROPII2TY ADDRFSS: Ce n= T.hY;AT• DFSCRZPTION: L. ~i' lG'Subdiv~lN~ (Lot Block ision or Tax Parcel I.D. Number) IF EXISTING STRL'CTLTRE, DATE OF ORIGINAL BOILDING PERMIT ISSL'ANCE: Month Year) PRESENT ZONING/PROPOSID LSE: R-1 SINGLE FAMILY R-2 DL'PLEX (T4,o Units) R-3 'IOWNHOL'SE (Three + Onits) ( Lni.ts) R-4 APARTMENT/CONIDOMINIL'M ( L~nits) CONA'JEFtC IAL/RETAIL/OFFICE IbIDL'STRIAL INSTI'IL'TIONAI,/GOVEEtNMENT 2 ) ~ NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) • For City Lse NAME' P1iunUers LicensE ADDRESS: /O~,~cf ?~7E-.Ga(s Li? C= Active CZTY, STATE, ZIP: C Expired PHONE: c7y MASZER LICINSE # 35E C= Not R2COr( Staff Initial ' 4) ~0.~1 •L~i N;.I~I~; NAME : ADDRESS: CITY, STATE, ZIP: PHONE: 5) n a • a• a~ qL CONNECPION TO CITY SEWER M CONNECTION TO CITY L@1TEE2 Q OTHII2 (Please Describe) 6) u • • i ~ PLEASE HOLD APPROVF.D PERMIT FOR PICK-L'P BY ONE OF ABOVE PI,EFISE MAIL APPROVED PERMIT 'IO 1, 2, 3, 4, AHOVE (Circle one) 7) F O R C I T Y U S E O N L Y PEBMIT ISSUED F°ES : $ SS'.':LR PERMTT (INCI.uDE $ ~D- .S 0 WATER PERMZT (INCL'JDE SliRCHARGn) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATZON STOP) $ SE:GER TAP $ +S ACCOUNT ?..F,ppSIT - WATER $ WAC $ -49 7L, ~ SP.C $ TRliNK SVATER ASSESS,!E\T $ TRli:d?C SEIQER ASSESSME:iT , $ LATEP.AL BE:IEFIT/TRU`IK SE:•i: q $ LATERAL BE:VEFIT/TRU;IK [VATrR $ 16~ C-Z) WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ ~4 57) AI~IOL'\'T PAID/qECEIPT # Z0 2 . e--r) 6~ DOES UTSLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? YES IF YES, THEN ei "PERMIT FOR WORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE C_] NO ENGINEERING DIV:SION_ LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TZ:LE: ' DATE : 9// O ~ 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ciTr oF e,acaN ~ . • 3830 PILOT KNOB RD - 55122 651-681-4875 New Conahucnon aeaulremen C ~ I ~j ~ 00 h RemodeVReoalr ReaWremenh > ] reglstereO tlte wrvey& alwwlnp aq. fL of bf, eq. H. of twu:e 2 copiea of plan . and gp rooted areas (70% mmcimum lot coveraae allowed) (1 I' O O t set of energy edculaMOns for heated addiflons * 2 c~les of plans (ahow beam A wlndow sizes: poured tnd. des(g~ etc.)7 ~ I 1 sita wrvey for e)derbr addiriona A decks > I se+ a eneryr cacwanau > 3 coples of fiee prefervaHon plan tt lot platted aRer 7/1/93 DATE: 8/ CONSTRUCTION COST: DESCRIPTION OF WORK: STREEi ADDRESS: SO D5 ~'!/~7/$u•~ L-CUt~ LOT: BLOCK: ~ SUBD./P.I.D. S: (S~-Gdd°- ~~z.~z Name: jCiw aR ~ z Phone Y: PROPERTY LOd fl'st owrieR 3~os S Gt/c~.~r~ heet Address: Cly SMte: AtI/1/ ZIP. . Company: Phone M: (area code) COMRACTOR Sheet Address License # EXP• Cly State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone M: ( ) Sheet Address: Reglshutlon ri: City State: Zlp: Sewerlwater Iicensed pl mber (N InsWllina seweriwaterPhone ( I herebY acknowledq~ttfat I have read this applkatbn, stafe tlwt the InfonrxHOn is rteet. and agree to comply wflh a0 applkable Stafe of MlnnesoM Statutea and Cify of Eagan Ordinancea Signalure of Applicant OFFICE USE ONLY 7AUG EIVED Certifcates of Survey Received Yes No 1$ Z000 Tree Preservation Plan Received Yes No Not Required ~ _ OFFICE USE ONLY BUILDING PERMIT SUBTYPES • ' ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 21 Porch(3-sea.) ? 31 ExtAlt - MuRi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ piex ? 09 07-plex 0 18 Deck Of 23 Porch (screened) ? 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _V or_ N? 25 Miscellaneous ? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 "ACCessory Bldg. WORK TYPE 12P 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (FoundaUon) ? 46 Windows/Doors • Gfve PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code Q / # 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 Sprinkiered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Buiiding ld~ Engineering Variance Permit Fee ~ ~~~J • Valuation: )O. ~ Suroharge (-4~ Plan Review ~G~ License City,SACAC a(o ! x 3 c7 7 85/F Water Conn. Water Meter Acct. Deposit j SM/ Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC ~ f TRI-LAND C0. SITE PLAN FOR* SURVEYING SERVICES JOSEPH MILLE R 4655 NICOLS ROAO CONSTRUCTION EAGAN, MINNESOTA 55122 - - ~ WESTBURY LANE g , ao " o° 100 - - , ~ p kr`h o sl T~Ve..H,. l ^ I) 313 GARnGE • I W ( HDUSE , I o ~/O' I w s•-~ I Q ~ SCAL E: 10- Q 0 4i s • O - T'~ ~~d ' x ~ - r ~I 1,2 I 34 I~ I 4 I f s yi 74.00 E-- a ~ r gq•42 27•W NOTE SET GARAGE TOPOF GI~RB BOYE PROPERTY DESCRIPTION LOT-21-, BLOCK3 , 1nIE5TAURY fIRST ADbITION xeordinp to the recaded plat ihereof nAKOTA CaAy, Minnesoto LEGEND o DENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION=.1ot.7o o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= iooaoo DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH ~ FINAL HOUSE PLANS I hxeby csrtify tAaf this swvey,plon or report wps propared by me or undor my ~-+~?'r~ ~ ~fBnd^^~ - diract supervision and that I am a duly Bradley Swenson, Mn. Rep. No. 15235 ~ Repistered Land Surveyor under ths Laws of the State o} Minnesota Date ~ 2~~.lu PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permiu are required for each unit Date Site Address W~-S4-~6« Unit # Property Owner 5o L J LLx u,)a r4-7 Telephone # ( (oS1) Contractor 9`rP Ntt,"; v.o, Address I`7 Z d 1 ~Le~-4,b;LA A-a) e- uJ 7 city l.d.k,--v,~ State 10 L04-i Zip -o q µ Telephone # (9S;W• ~7 ~ The Applicant is _ Owner -2( Contractor _ Other Septic System New _ Refurbished Su6mit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener NIS/ Water heater $ 15.00 ~ replacement _ additional ~ State Surcharge $ .50 " J Total e I hereby apply for a Residential Plumbing Permit and aclmowledge that the in ormahon is comp e e an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application for a pemvt, 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. -J App icant's Printed N e ~ ApphcanYs Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CC Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: — Date Receiyd:� .� Staff: J /2011 RESIDENTIAL BUILDING PERMIT APPLICATION OD` l Site Address: ge-` es i/ r Gam/ Unit #: Name: CUQ� C1I� 9�� Z- Phone: 6/2-O O98 y Address / City / Zip: 190 43live- 11/11/l'ae /17/% 6:5-9o/ Applicant is: ( Owner Contractor �,/' weir; Description of work: Er,eS /Mq7 ow$ Foe kfemeS Oij /1 Qy,! ,2/%1G- W Construction Cost: $01000 Multi -Family Building: (Yes / No ‘,/) Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One CaII 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 Minnesota State Building Code must be completed within 180 Ofej"" Applicant s Signature/06/9,0a days oermit issua /jj Applicants%�Printed N,a��R12 L- € f ' �Q__JJf('' Page 1 of 3 Dec.26.2012 13:34 Gity of EaIail 3830 Pilot Knob Road Eagan MN 85122 h ‘31".c Phone: (661) 676-5676 Fax: (661) 676-689400"u , 0," 4- r J•..Q �1 PAGE 1/ 1 l , Use BLUE or BLACK Ink For office Use Permit#: `AP Permit Fee: cep0,2 Date Received: t - 2 te'"12- Starry INFLOW & INFILTRATION PERMIT APPLICATION X Plumbing / Sewer & Water Date: 1 a ' `� /w .- / • - Site Address: 3 a U'3 4.4./.e. J`� - ) '-• ./A1 L y1 - Tenant: Sults 9: RESIDENT I OWNER Name: 0 3 C)1 r.., , r -1. z... Phone: Loa- u - 4S d'r/ Address/City/Zip: I/90 `(a `a A A/ R,Acher•4a-✓ /41A' S' -5S'0 1 CONTTO* Name: I-1 t cr '1ii s 1.11`, License#: Pc (011 y 3 S g Address: P. 0 . 130 4. 11 a City: °'t dna State: I'V) ti' Zip:.S S , e1 Phone: (o S I - (o a I - ? -.`.LQ... Contact: PI , Ke .S ;) i- 'z Email: WI i Pk, 0 his 4 ;,1 h t u y.. hi ni .. (.., 0.r p TYPE .OF .WORK.. DESCRIPTION PLUMBING (Within the building envelope) 4... Sump Pump Repair Other. SEWER & WATER (Outslde the building envelope) Repair Other. Description of work: �Q p i' p.c. :, r^ r' ) ,1 '"''go 1-u v •.• 44' r' d•e 4-'0� ,, ,...... TOTAL FEE S C? ' U o FEES se IP q r4 A -c. c)l a (vr $60.00 / Each (includes $5-00 State Surcharge) C , "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I!I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www,cltyoftman,com/IMapw, or City Hall at 9890 Pilot Knob Rd. CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage, Call 46 hours before you intend to dig to receive locates of underground utilities, www.000tierstateoneca t.orq I hereby acknowledge that thls 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 %1 i Kg s c )i J+ Z x� ,c Applicants Printed Name Applicant's Signature 'EOR OFFICE tint ReVlo est 0y: * biy Required Insp.oNdns: :;;;«:Under Wound ,�,; „aodgh.ln PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111076 Date Issued:06/11/2013 Permit Category:ePermit Site Address: 3805 Westbury Lane Lot:004 Block: 003 Addition: Westbury 1st PID:10-83650-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Phil Holmin 900 Park Knoll Drive 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 - Tatyana S Schwartz 3805 Westbury Lane Eagan MN 55123 Holmin Heating & Cooling Llc 900 Park Knoll Drive Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r I For Office Use I I I qq Permit City of E,IVE,D I Permit Fee: V I 3830 Pilot Knob Road R EC j + i laeq"11 i Date Received: Eagan MN 55122 phone: (661) 675-5676 I staff: j Fax: (661) 675-5694 1 - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Ll Site Address: Tenant: Suite m „ Name Phone: 1. Lo- Resident/Owner J Address / City / Zip: Name: (License * L4016 [ Contractor.. Address: City: -~d T 6 State:Zip:~(~1 Phone: ~1C~.s~ L~ Contact/ R~V Email Type of Work -New Replacement -Repair - Rebuild - Modify Space Work in R.O.W. Description of work: t yr RESIDENTIAL Water Heater Water Softener Lawn Irrigation (-RPZ / - PVB) ~ Permlt Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) l Minimum - G $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5,00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $106.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) - eQ 0- TOTAL FEES $_1 0 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. wvv?Nactu,phc rstatQOnecall. L. 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 a cl Y1(~ ccY; C~ Y^ X Applicant's Printed Name Appli nt's SignAure FOR OFFICE USE Rev ewed y. Date: _ Required nspections Under Ground Rough-ln Ire:st leas Test Fina!