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3813 Westbury LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3813 Westbury Lane Lot: 5 Block: 3 Addition: Westbury 1st PID:10- 83650- 050 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 PERMIT City of Eaan Comments: 2/12/09 Scheduled Jeff for an "anytime" final inspec Fee Summary: Valuation: 2,000.00 Contractor: American LTD 3775 EP True Pkwy Suite 260 W Des Moines IA 50265 (563) 359 -1769 When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and Surcharge - Based on Valuation $2K BL - Base Fee $2K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: on on 2 -17 -09 in p.m. No letter sent. pf $1.00 $69.00 $70.00 Owner: Paul 0 Engfer 3813 Westbury Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Building EA075466 10/13/2006 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 h all applicable State Issued By: Signature II III ~ CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot K nob Road ~ ~ ' P. O. Box 21199 PERMIT NO.: F Eagan, MN 55121 pA~; - 1-•.,1 I Zonirp; RI No. of Units: 1 ! Owner, Grenc' Nk:; ^evelopment Address: i Stte /lddrcss: 3813 Weetbu Lane 7.5 F? ;.'ePtbsr;r I _ Plumber: VaJ.ley Plbu ~i')^.ri° 100.00 pL ` 1 prN !e ean* wiM ehe Cihr of [aoas ConnsctTon Charpe: 425 OQ d Ordimaoa. Ntcount Depoait: - • n P ~ Pennit Fee: 10.00 pd . SurChorpe: .50 DCl gy Misc. Chorpss: ~ Date of Insp.: Total: ~ I nsp • - Date Paid: - - - - - t ~ *1+TL.R 5icK1rXE PiitNcOT ~ 383C ..oad 6051 P. O. PERMIT NO.: _ -5 Eagm, MN `55121 DATE: 1 ~ Zuninp: r~ T No. of Units: r Slte Add?ess: t~- ' Uftlbl~: ~00.00 n~ `~lebr No.: P~ ' siu: c/e i ZZ v_ ~i~~w~Deposir: I Reoder tJo.: 7f- 7 Perrr?ir Fee: 1 c) . 00 p1L_ i I yme to QoM* wilh 11w Ciep of Eayen Surchorge: , 0--A- Mtsc. Choroes: 53.00 pd rieter, Oedi"aaM. ] ? ~ i]p Tatol: ±,d ; le' ~ BY Dcte Paid: Dat f Irup.: 574 IniD•: 7!~ CITY OF EAGAN 9973 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ~ PHONE: 454-8100 dUtLDiNG PERMIT Receipt # To " wwd fa Est. Vol ue Dote 19 • Erect 0 Occupancy Site Addreu Remodel ? Zonfng Lot Block Sec1Sub. Repair ? Type of Const. Parcel No. Enlarge ? No. Stories Move ? Length t W Name Demoliah ? Depth r Address OmmisE CT Grade ? Sq. Ft. crcv ~ Phone 43i2-893~ InStatl ? APyrovob FNs ~ N~,e Z~ A~~ /lssessment Permit 4 o0 g~ City Phone Wcter a Sew. Surchar~ 35.00 pol{Ce Plan Review121.~0 ui Name Fire $AC t? S_ AQ ~ H . Address Erg• Water Conn. _~.Q-~Q ~ w. Z. City Phone Wonner Wcfer Meter -j3.r0 0 Council--~~-~- Rood Unit ---2$4,100 1 Fxreby otknowied9e thot I have rcad this opplication and state that gld9, pf f, ''.P. 132.0() the inlormotion Is wrrect and agree to tomply with all applitoble APC Total _s3,rnao _ sn E Stote of Minnesota Stotutes ond City of Eogan Ordinonces. Var. Date IE Sipnoturc of Permittea N Bufldinq Permit {s isswd to: ="D O]?1C8 DEVEI.OPMt1iT CO on t~ express cqWftion thw oll work shall be done in occordonce with all opplicabl• Stote of AAlnnesota Statutes ond Uty of Eoqan Ordinances. Buildinp dfflciol Permlt No. Pwmk Holdar Date Talephone # Plumbiny H.VA.C. Elec-tric sore«w Inspection Date Insp. Other FootinR 3 S l~ Found~tion F~ami~y Roof I~y Rouyh Plbp. -ld •Y Rouph HVA . Inwlstion 9-1 Final Plby. ~ Final HVAC Final L~ Grt/OCe. ~ Watrr Desc+i6e Loqtion: IMoII Sewwor Pr. Dbp. a Rawipt ~ MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae ' FiII in numbemd spacea S/C Type or Prim legibly Tat. . 1. Date 2. Installation Cost 3. Job Addresa Lot Bik. Tract ' ; 4. Owner ' 5. Contractor ' Phone • 6. Address 7. City State Zip ' B. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New C~ Add ? Alter ? Repair ? 10. Describe • Fuel Type 11. No• Equjpment BTU - M. Ea. No• Equipment CFM t Forced Air Air Handliry: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that tfie above information is true and correct, and I aqree to comply with all ordinances and codes governing this type of work. Signed : • for Rouqh Flnsl Inspections: Dau Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ~ FN Flll in numbered spacea S/C Type or Print legibJy - ' TOL •r 1 r'_ 1. Date 2. Installation Cost 3. Job Address Lot ~ 81k. Tract 4. Owner c- 0 tnl 5. Contractor l~ Phone 6. Address 7. City State *J Zip-;~ 8. Building Type: Residential CI Commercial O Institutional 0 9. Work Dascription: New A1 Add ? Alter O Repair D 10. Describe ~ :~~~•G~~ r f- 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield /Batfi tubs Septic Tank Lavatory Softner TTT ~ ShOWCI' WB~l 10. Kitchen Sink Urinal/Bidet Other ' Laundry Tray T- f Floor Drains Drinking Ftn. Slop Sink ' Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinar,tices-and Codes governing this type of work. ~ Signed : ~%le. : / cJ_ , r - for Rough F inat Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 CITY OF EAGAN Remarks -D) v/, ;~~~~Syf g&4w ! ~y /addition WESTBURY FIRST ADDITION Lot 5 Blk 3 Psrcel 10 83650 OSQ 03 Owner Street 3813 WeGtbttry'L.ane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1986 28502850.00 C010 -2~ STREET RESTOR. GRADING 1 3.7 SAN SEW TRUNK igg; 436.23 29.08 15 1+~-15 * SEWER LATERAL t SOOS. 7 IOOZ . 7S •3 Watp-rmain -6~, 4.35 15 5 . z9 WATERMAIN 68 71 4.58 15 59•55 WATER LATERAL WATER AREA Q 1984 16o.2 . 184-92 19-33 15 *Services 1986 STORMSEWTRK r_ 19$6 710.2142.05 5 710.24 STORM SEW LAT 1986 CURB & GUTTEFi SIDEWALK STREET LIGHT Road Unit 280.00 50258 3/20/85 WATER CONN. 500.00 BUILDING PER. 9978 SAC 525.00 PARK COntro1 No INSPECTION RECORD I . CITY OF EAGAN PERMIT TYPE: Y~ n f Ma 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;~t:~ a~srauar i ANE APPtE PotiLs s sNAs NESTBUIIY f.ST (612) 481--6991 PERMIT SUBTYPE: TYPE OF WORK: '611 M 1'~+i?I. N~W ~.)C`;Ci~1PTIOM 1M--ORpl1Na . R+iit t I Nli ` f T NR! _ ~fi"a~ .Y' v• ; _ . f . . rF'~ z.l._ .-'.y~.-~A. _ _ ' ' " _ . _ . _ r.. ~a~s.`a.,..`cf~~L.•i PKmli No. PermR Floldsr Date TWephonw i S/VN PLUMBING HVAC ELECTRIC Af) ELECTRIC Inspectlon Da6s Inap. CommsnEs FooUngs1 FoundatfOn Framing Roofing Rouyh Plbg. 6- z•V Z /-o o C I c f r~ 1,4 Houflh M9. P/ e SS' u r~ ~ C ~ i e r~dr ~ v-C, lr~ /¢L ~e ~ isw. Z - ~ l o v ~ ~ ` ^ , . e A4 Fireplece Fi" Filg. Orsat Tesi FlnaI Plbg. Plbg. InapeCtpr - Noft Plumber Gonst Meier EngrJPlen Bldg. Finel Dvc4c Ftg. • Dedc Final weli Pr. oisp. 5~ 3,~ f'~ ~ PA, y . CITY OF EAGAfd Na 9978 3830 PiIM Knob Road, P.O. Box 21-199, Eagan, MN 55127 AIILDING PERMIT PHONE: 454•8100 R°uim # 5pd5-v Te M *ud fer SF DWG/GAR Est, Value $70,000 pa~e MARCH 20 iq 85 SiteAddren 3813 WESTBURY LN Erect [Z Occupency R3 Lot 5 Blotk 3 S+c/Sub. WESTBURY 1ST Remodel ? Zoning R1 , Repair ? Type of Conrt. ~17 Peroel No. Enlarge ? No. Stories GRAND OAKS DEVELOPMEN Move ? Length a Name - Demolish ? Depth 4$ = 1881 SUNRISE,CT q Address _ Grade ? Sq. Ft. b City EAGAN phone 452-8934 _ Instau O ~ S~E Apprevab Fees Neme Assessment Permit . ' ~ ou Address v~ CitV Phone Water 8 Sew. Surcharye 3 S_ 0 0 police Plan Review 171.50 i Name Fite SAC 525.0 Address Enp. Wafer Conn. ~0 Citv Phone Plnnner Water AAeter 63- ~ 0 Council Rood Unit gR n nQ I hereby ockrowledge thaf I hove reod lhis applimtion and state that gid9, pry, 3 z0/8'S T.E.. 132 . 00 the intormofion is correcf ond oqree to comply w{th oll opplica6le APC I Toul ~$2 _ 049 _ S~ Stafa of Minnesota Statu and Cit ~ o Ea9an Ordinances. Sipnafurc of Per Var. Date miM C A Buildiny Permlt Is iuued to: RAPdD S D OPMENT CO on Nw axprcn conditbn that oll work shall be done 7n acmrdance with all /a~(p~/ ~mble Stotp\-o~f~( innTew~to Statutes and City of Eaqan Ordirmnces. Bulldinp Offtdol ~ : , . . . ~ . ALL CONTRACTORS MUST 8E LICENSED WITH THE CITY OF EAGAN 40 ~ INCLUDE ~ SETS OF PLANS, ~ ~~(p`J El CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation:7d 0-00 Date: -:3-~~-p S~ Site Address: ~pi3 S • Lot:_fE H1ock:3 Sect/Sub:(,(/u.,f Erect: X Occupancy: ~-3 Parcel Remodel: Zoning: ~-I Repair: Type Of Const: 'S77 owner: ?s}vt- d' 6/iad/ L/7/6FI f2 Enlarge: # Stories: Move: Length: 50 Address: q23 7 - /0 - G-v-c S . Demolish: Depth: 45 City/Zip Code: Grade: Sq. Ft.: Phone fl: lo 7c7 ContractorG-4K_S ~ Address: ~ 1yfrl SvA/2/SF' C~ Assessments: Permit: City/Zip Code: Water/Sewer: Surcharge: 35•°` Police: Plan Rev.: k Phone A: ~P" Fire: SAC: 525,°-' Engr.: Water Conn: 500. Arch./Eng: Planner: Water Meter 3.0? Address: Council: Road Unit: ZgD.°° Bldg. Off.: 3 to P-a.~ks:TP` 132.°° City/Zip Code: APC: Variance: , RESIDENTIAL BUII.DING ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConstrucM1On Reaui2ments RemodeVReoair Reauirements Office Use OnN 3 registered site surveys showing sq. ft. W lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum bt coverage allowed) 1 set ot Energy Calcula6ons (or heated additions Tree Pres Plan Recil 2 copies of plan shaxing 6eam 8 windax sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Add'rtion - indkate if onsRe sepfic system _ On-sHe Septic System 3 copies of Tree Preserva6on Plan if lot platted af[er 711193 RimJoistDetailOptionsselectionsheet (bldgswith3orlessuniLs Date to /~,,~L Construction Cost i G~~ ~ Site A d~ ss ~~(JSI ~ U/vf UL UniUSte # I Description of Work NC4 , ~T ~ D'~ 010 Multi-Family Bidg _ Y a R n _t N FSreplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Addre'ssn Ci[y I~ V~- State N Ylu Zip r16~61 Telephone #~~~y ~ COMPLETE TNIS AREA ONLY 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 (JsubmissionType) Submitted Submitted . . Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( } Sewer/Water Contractor Telephone # , I - ~ 1 I OCT 1 3 2003 JI I hereby apply for a Residential Building Permit and aclaiowledge that the info ation is complete and ccurate; that the work will be in conformance with the ordinances and codes of the Ci ~o~agaxrand~~-Stat of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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. ~IGU( l1n 0.,1 Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 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 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI69_Y w_ N ? 25 Miscellaneous Work Types ? 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) • Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation IIVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total , RESIDENTIAL w BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 7 c~ 651-681-4675 Naw Construction Reuuiremenb RemodellReoair Reauiremanta . ] registered site surveys showiN sq. k. of lot sq. k. of hause; aM all roofed areas • 2 copies ol plan (20°h maximum lot coverage allowed) . 1 set of Eneyy Calculations for heated ad0itions . ? copies of plan showing heam 3 window sizes; ooured found design, eic.) • 1 site survey for extenor additions & decks . 1 set of Energy CalculaUOns . Indiwte if home served 6y septic system tor addiGons * 3 capies of Tree Preserva[ion Ptan if lot platted afler 711193 • Rim Joist Defail Options selection sheet (61dgs with 3 or less uniGs) DAiE D^g t- Q VALUATION SITE ADDRESS L~~ MULTI-FAMILY BLDG _Y ~.N TYPE OF WORK TZE- P,0O r FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ I G STREET ADDRESS LCG f. ~ ITY ?lS _STATEI _ZIP SS33~7 / TELEPHONE #9&k-X?'&7cS 7 CELL PHONE # FAX # 12 J~TO -WT4-P PROPERTYOWNER PArtil,L TELEPHONE#QLSI'~ q---- -°-z=--........................... COMPLETE 7Nl5 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(I\"\FS01'A RULES 7670 CA'1'I:GORY t NIIVNL• SO'G\ R[;LGS 7672 (v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshee[ 5uhmitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbine system indudes: ~ Water SoFtcner Iawi Sprinkler 1!cc: nS7O.OO ~Vater Heater No. oF R.I. Baths No. oC Baths Mechanical Contractor. Phone # NIcchuiic.il systcm includcs: Air Condiuoning Heal Rccoven• S}'stctn Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this applicaTion, state thai the information is correct, and agree to comply with all applicable State of Minnesofa Statutes and City of Eagan rdinances~ Slgnature of Applicant ' 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 Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plez ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 0402-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) D 36 Multi ? OS 03-Qlex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex P16g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaliC.O. _ Footings(deck) FinaV?Vo C.O. _ Footings (addition) Plumbina _ Foundation HVAC ~ _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tzsts _ Final _ Framing _ Siding 5[ucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (ne.+/replacement) _ [nsufation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL I~ 3 ~ s BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 ~I1) as 651-681-4675 t~aZ ~ ~c.~t NewConstructionReaulre ~ RemodeVReoairReauiremeMs • 3 regislered site surveys showing sq. ft. of IoL sq. R. of house; all rooTed areas • 2 copies of plan (20% mazimum lot coverage allowed) . 1 set of Energy CalcNations for heated additions • 2 copies of plan showing bea 6 window sizes; poured found design, etc.) • 1 sde survey tor eulerior addi[ions 8 decks . 1 set of Eneyy Calcula6ons • Indicat if home served by uptic system fir addNons • 3 copies of Tree Preservation P n d lol plalled aRer 711193 . Rim Joisl Deteil Options seleclb sheet (bldgs wAh 3 or less units) DATE g a i VALU TION 'N0 b0- o(o SITE ADDRESS 21 eS~61-~_ej_ e. MULTI-FAMILY BLDG _Y _ N TYPE OF WORK 0 A 00~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS CITY >Y'v~~I STATE~ZIP~337 TELEPHONE# 95a'8N6-o770 C LLPHONE FAX# 75~? -S~/6~d77 f PROPERTYOWNER TELEPHONE# COMPLETE O"NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN I:SO'1'A R LES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • sidential Ventila'on Category 1 Worksheet Submitted • New Energy Code Woiksheet Submitted • nergy Envelope C culations Submitted Plumbing Contractor: Plione # _ Plumbing system inc des: _ WateV awn Sprinklcr Fee: $90.00 Wateo. of R.I.Baths No. oMechanical Co ractor. Phone # Mechanical sLem includes: Air CFee: $70.00 Heat Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Ea~ dinances. Signature of Applicant - %~i~ 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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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) - Glve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundafion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Iusularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total city oF~ecigan PATRICIA E. AWADA ' Mayor PAUL BAKKEN PEGGYCARLSON September 9, 2002 CYNDEE F[ELDS MEG TILLEY CouncilMunbers MIDWEST TIMBERWOLF 12360 RNER RIDGE BLVD THOMASHEDGFS BURNSVILLE MN55337 , GryAdminisvamr RE; RFFUND OF BUILDING PERNIIT 54668 TO WHOM IT MAY CONCERN: MunicipalCenter. On August 22, 2002,'a permit to reroof the residence at 3813 Westbury Lane was issued to 3830 Pilot Knob Road Midwest Timberwolf. The property owner has advised us that your company will not be doing the work and we are, therefore, refunding $111.25 to you under separate cover. We are unable to E~a,,, tfx 55tzz-ta97 refund the $2.50 state surcharge that was collected. Phone: 651.681.4600 Fax:65i.G81.46i2 This letter is also meant to advise you that etfective January 1, 2001, the City of Eagan's Fee Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a TDD: 651.454.8535 courtesy, we aze informing contractors of this policy and issuing a full refund, minus the state surcharge, for a cancelled permit on a"one time only" basis. Maia"°""` F'°l`ty: If you have any questions, please feel free to give me a call at 651-681-4695. 3501 Coachman Point y, eagan, Mx ssiu SJeveron Phone: 65 L681.4300 Faz: 651.681.4360 TDD: 651.454.8535 Office Supervisor cc: Dale Schoeppner, Chief Building Official www.ciryofeagan.com THELONEOAKTREE The rymbul of mrngth and growt}i in aur mmmuniry , CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: MIDWEST TIMBERWOLF ADDRESS: 12360 RIVER RIDGE BLVD BURNSVILLE MN 55337 LOCATION: 3813 WESTBURY LANE RECEIPT #/DATE: 33471 8/22/02 REASON FOR REFUND: NOT DOING WORK PERMIT 54668 VALUATION: $5,000 TYPE OF REFUND: Pluxnbing Pernut 9001.4087 $ Mechanical Peanit 9001.4088 $ Building Perntit Fee 9001.4085 $ 111.25 Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ ' SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Pemut 9220.4532 $ Water Pemut 9220.4507 $ Account Deposit 92202252 $ WaterMeter 9220.4509 $ WaterTreahnent 9220.4685 $ Surcharge 9001.2195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 111.25 I declaze under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. C\~~ ~ 9/9/02 SIGNATURE DATE ' SUFVEVOR'S CERTIFICATE ~ GRAND OAKS DEVELOPMENT C0. (265) WESTBURY LANE o M O s ss°a2'z7"w 69.00 cg9O~ 30 O !0 ~ I IY 7 ~t. ~ t ~r~yQ M ~ - d, I z2.o --~~-"so.oo p Q M/GAR. ~ N ftci J M I N~ ~ ~ CB9'~5 ~ o 4.0 °o. ~ 28.0 O I / Q ~ ~ b PROPOSED O W M, N HOjE N M ~ M ~ - ~ 46.0 ^ 8^ 590,`7L~+9o.~)-- o LOT 5 y ~ ~J L ORA/NAGE 9 UTlLlTY EAS£6ffNt ~4- /PfR PL AT ' S89°4227"W 89.0~ 30 I L~ I I ' ,J I DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET O DENOTES IRON MONUMENT fOUND PROP05ED GARAGE FLOOR 3-$ FEET X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 89~, ° FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = B`~4.2 FEET I HEREBY CERTIFY TO GRAND OAKS DEUELOPMENT C0. THAT THIS IS A TRUE AND CORRECT RCPRESENTATION OF A SURUEY OF THE BOUNDARIES OF: Lot 5, Block 3, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND Of THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS, OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 13TH DAY OF MARCH , 1985. PROPOSED ELEVATIONS SHOWN SIGNED: JAM . NILL, INC ARE AS TAKEN FROM THE i GRADING AND DEVELOPMENT PLAN FOR WESTBURY PREPARED BY ~ DELMAR SCHWANZ, L.S., AND BY: LAST DATED 7-30-84. HAROLD C. PETERSON, LAND SURUEYOR FIINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JpMES R. FiILL, INC. 85486 planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER swoMin9ton, Mn. 55431 612-e84-3029 ` EYJEkIOR ENVELOPE AVERAGE 'U' COMPUTATION . GRAND OAk:S DEVELUFMENT CpMFANY MODEL Q AREA U U X AREA REQUIREll 1. TOTAL WALL AREA iBUO X.il 198 2. TOTAL F200F AREA 1196 X. 0=6 ' 1.(-)46 ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 . .5 93.33 B. DOOFt AREA 39.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIREPLACE AREA 0 0 0 E. WALL FFtAME AREA 180 .041 7.38 F. NET WALL AREA 1164.1 .049 57.0409 G. RIM .70IST AREA 119.52 .0436 5.211072 H. FOUND WINDOW AREA 0 0 0 I. FOUND ABOVE GRADE 46.48 .135 13.0248 3. TOTAL• WALL AREA 18oo 185.5026 J. SYYL.TTE 0 0 0 K. ROOF FFtAME 119.6 .032 3.8272 L. IVET ROQF AREA 1076.4 ,025 26.91 4. TOTAL ROOF AREA 1196 30.7372 SUM 1.+2. 229.096 SUM 3.+4. 216.2398 - 1 . PERMIT , Control No. 0523 CITY OF 'EAGAN 3830 Pilot Knob Road PEFiMIT TYPE: euiLozne Eagan, Minnesota 55123 Perinit Number: 000654 (612) 681-4675 Dafe lssued: @ g/2 g/g 2 SITE ADDRESS: 9813 WESTBURY LANE LOT: 5 BLOCK: 3 WESTBURY SST DESCRIPTION: IN-GROUND liuildi~ktg Permit Type SWI19 POOIr Buildxng Work Type NEW - U@G tlccup.anoy pl-2 .Building.Lenq-th . 39. , 8ui.lding Width 23 y I \ I y(~~ ` t -y ` ~ ~ i ~ `•Y ~ \L, ti4t r~ ~14J L~s~~ Tv';.'71~ REMARKS: LON05"7 FEE SUMMARY: vawarxoM a14,e0e . Base Fee $153.00 . Plan Review ;99.45 Surcharge $7.00: Total Fee $259.45. CONTRACTOR: - Applicant - OWNER: . APPLE POOLS & SPAS 14315391 ENGFER PAUL 14650 GLENDA AVE 3813 WESTBURY LN APPLE VAILEY MN 56124 EA6AN PIN 55122 (612) 431-5391 (512)452-2873 E herehy aCknowledge that I have read this application and state that Zhe information is correct and agree to camply w3Ch all applica:bZe 5tate of Mn. Statutes and 'Eity o# Eagan Elydinan-ces. L P ANT/PERMITEE SIGNATURE ISSUED BY: SI ATURE PERMIT NCITY OF EAGAN ~-a -s- ~ ~ S 1992 BUILDING PERMIT APPLICATIO Y ` 681-4675 2 1 RECb SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date L Valuation of Mork 3S' 7' Site Address: V13 /.Jec~l,~~ Lun e STREEt STE / - T nt. Name: (commercial onty) - ~oT _sLac sueo. P.I.C. ~r / Descri tion of work.o o 2'~qo/. The applicant is: ? Owner 4,Contractor O Other (Deseribe) Name F ij &FE Phone Ysa - ae7 ~ Property uST ?iRST Owner Address 3113 ~le sf b0rti Lk,..e STREET STE M City L~A-6 /4'I1/ State Pil/ z;P JaELd "P_ Company SPA4 Phone 4,13 / --r3S/ Contractor Address / yj'o So Cp GEh/D-4 A ?C' License # Exp. City ^/'t"LI& C?IAGGL~"i State Zip Architect/ Company , Phone Engineer Name Registration N Address ' City State ZiP Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all 'cable State of Minnesota Statutes and City of Eagan Ordinances. / l ~ Signature of Applicant: Z/// s~ ~ OFFICE USE ONLY BUILDING PERMIT TYPE i ? 01 Foundation O 05 Apt. B1dg ? 09 Basement Finish ? 13 Comm/Ind New ? 02 SF Dwg. ? 06 Garage/Accessory ,M 10 Swim Pool ? 14 Comm/Ind Add ? 03 Two family O 01 Fireplace E3 11 Res. Add. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch ? 16 Public Fac. _ ? 17 Agricultural WORK TYPE Q 31 New O 33 Alterations ? 35 -Move O 32 Addition ? 34 Tenant Finish O 36 Demolish GENERAL INFORMATION Const. (Actual Basement sq. ft. MWCC System (A1lowable3 Ist F1. sq. ft. City Water UBC Occupancy M-z 2nd fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump t of Stories Footprint Sq. ft. ' Fire Sprinkler Length -14AT r On-site well Census Code Depth y3• On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS 4--,v& aou.Ha D Site S Footing ? Framing ? Insulation ? Mallboard Final ? Draintile ? Fireplace Permit Fee 153 • b ° v.iust;on: : Surcharge -7, o0 Plan Review ?9, y5 License MWCC SAC City SAC Water Conn. . Water Meter Acct. Depasit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: , SAC % SAC Units ,,uAVEYOR'S CERTIFICATE : GRAND OAKS DEVELOPMENT C0. (265) WESTBURY LANE o M M - _e)S 89°4227"W 89.00 le~~ a 30 ( o ~ - ,o a N Z _l M ,r_30.0"} = o Q z2.o ~ I /GAR. C~93•S ~ o 0 4.0 ° 29.0 0 v 1' / v ~ PROPOSED o W N HOUSE N M M M ' 46.0 C30.00 ^ - o g i 0 0~l ~ ~ r S~ ~ J r- y I/ I m ~ I ig' aa' I 3 ~J AlNAGE TIL1T'K EMfNT . ~ s l t i 3q ' -a .o ~ ~ h h 9~q ~ S8904227"W 89.00 ~ L3O „ t;- , I I I I DENOTES PROPOSEf] SURFACE DRAINAGE = FEET T-O DENOTES IkON MONUP4ENT SET SCALE: 1 INCH 30 O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE fL00R = 893;8 FEET X000,0. DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =$9, ° FEET (000.0) DENOTES PROPOSEO FLEUATION PROPOSED TOP OF BLOCK = f~`~4•2 FEET I f1EREf3Y CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT RCNRESENIATION OF A SURVEY OF TNE BOUNDARIES OF: Lot 5, Block 3, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. THEREON. BU AS D SURVEYED BY E N OR UNDER MY DIRECT PURPOR SHOW DOENTSIO IF O ANY, PROPOSED OR ENCROACHM ON, 7HIS 13TH DAY OF MARCH , 1985. PROPOSED ELEUATIONS SHOWN SIGNED: JAM . HILL, INC ARE AS TAKEN FROM THE ~ GRADING AND DEVELOPMENT PLAN FOR WESTBURY PREPARED BY ~ DELMIIR SCHWANZ, L.S., AND BY: LAST DATED 7-30-84. AROLD C. PETERSON, LAND SURVEYOR PIINNESOTA LICENSE N0. 12294 PROJEC7 NO. BOOK / PAGE JAMES R. HILL, INC. 85486 pianners / Engineers / Surveyors FILE NO, 8200 Hnmboldt Avenue South FOLOER eloominston, Mn. 65431 612-ee4-3029 tj~~ UNDF.RGROUND SPRINKLER SYSTEM PLL'NIBIr1~ PERMIT Date: 7 -f-3 Pemvt # Date 7-ao-931 Receipt # 110U(4 _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ~ E3dsting residential: $15.50 (Plumbing pemut not required if backflow preventor was previously installed). _ Residential develoi2ments: Fee to be determined by building inspections department. May require payment oi water permit, plumbing permit, WAC, and water treatment plant fees. 39i 3 (Address to be spri red) Homeowner/Plumber: Phone Zv ~1 ~ 7< StreetAddress: ~ 773 / -2~So. City, State, Zip: Owner Name: "Z9 Street Address: Pbone Irrigation Contractor: Phone I hereby aclmowledge that I have read this application and state that the information is conect and agree to com ly with all applicable City of Eagan Ordinances 0 cc: Engineering Department 2/84 ~ CITY Or EAGAN APPLICATIGN FOR PERMIT SEWER AND/OR WATER CONNECTIODT - (PLEASE PNINi) 1) PP.GP= ADDR£SS: of U h -r'fh L° ~ T.EGAi, DES=PTIC:I: O Y't'1 / S- (7ALB1ock/Subdivisicn or Tati Parcel I.D. N.,ber) ~ lr =37=:G ST?LCiIME. Drl'i't; 0° OftT_Gi sAL wI'_,.~' P:G -=_•ST ZSSU?tG.: PPESZ.'?' L*c,;: Lj R-1 =GL: :PYSLY ? R-2 GUPI..Ei (7%0 LT1IT5) Q iZ-3 TU-•.1V.CrJGE W+ L':IZTc) ( TNZTc) ? R-4 aPAR7=^r/cc.Z0-r1'ruM ? ccC^i~cz~,/~:zui?o~?~.i ? 1=s=-LU ? I\`STI':';TICJIAi,/G==;T 2) APpLI`,= jPLEASE 7RItiiJ DVs_ ADcREss: CITY, ST«T.5', ZI?: J~ Pxo-qE: 3) PLL:T-E? PLEASE PRINi) NME. FOR CITY USE O4lY ~ / PLUHBERS LICEYSE: P.L7D:2ESS: _~Q~Q zqh Attive g4CITY, STATE, z~: ~'o a- d a n . p~ Espired n Q Not o~f Re~ ord PH0NE: PLUMBER LILENSE N e'P C.-(J dtC lnlila Q) ~~~ptvr/CrzTER NFME (PLEASE PRINI) : ADDFtE55 - CIT'!, STA'IE, ZIP: 77 PFiO*IE: 5} INDIG,TE Id[-IICH PERi•fIT ZS BEING RD~UESTID: ~ COidNECPION 'Iq CITY SEWER ~ C0:7N=C:1 'RO CITY WATER ? U'II-ER (PITt'1.SE DFSCFLiIIE) r 6) II:GI= C:s.: . ? PL`ySE E?OID APPP.WED pgt,"~LIT FOR PICi:-L'r BY ONE OF ABGVE IN PI.F.'.SE '•+'.,'JL APPRWID P=LIT TrJ 1, 2, 40. 4 ASOVE i:cle one) 7} SIC,,,'iC,cW: (C DATE: ~ FQR C I T Y USE ON:,Y PER~MIT ISSUED ~ F..ES' $ / L,b TJCA~.4T^' (IJ~.C..."'L._. .1^ rU", y•_'F.r.~L) _ i 7..: $ WATER PErS[IT (IPICLIIDE SliRC3ARGc,) WATER METER/COPPE:tHORN/OUTSZDE READER 5 WATER TAP (INCLUDE CORPORATiOD] STOP) $ S: ;iEF TAP AC^CUNT DEPOSIT - WATER WnC $ vr a2 ~~~a--d SAC $ TRli_JR WATER ASSESSCdE:IT $ TRu:JK SESdER ASSESSME:iT $ L'n:cRT,L BEDIEFIT/TRUNK SE:IE.°, $ LA:ER?L BENEFiT/TRUNK WATER $ _ /.3~?• "d OT:IER ~ $ TOTAL $ Aiti'.OU;:T PAID/RECEIr^T rir `s ~ 7~' 6 DOES UTILITY CONNECTION REQUIRE EXC:,VATION IN PUSLZC RIGHT OF WAY? L, YES IF YES, THEN A"PERMIT FOP,TniORK WITHIN ~ PUBLZC ROADWAY" MUST BE ISSL'ED BY THE NO ENGINEERING DIVISION. LZST AS A CONDI- TION. SliBJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: TI;LE:,~G/ DAT_°: + fl~ ws ~4f~ R~/q EJ~ l:1~ R~ R~.f! !!f~ R+~ ~k~ Ipi~ ii~ ~k~ ~E ~ i4 ii~ R~ R~ 1! sJ~ xECOxn oF coMPIArn^r Date - -z 3 Complaint taken by ceDpsier Type of building s~Q Name Aadress I.egal description Phone number 2 - Complaint ~O°7 / ~ 4 kin a ' Action taken r~C~ f f o oF~SNrv~~ f~t e W:f4~~s o ff 6n CL'i/,'hs h v~ ~ Mc Sov'rce tvlfX oU dr~Y Sosy~ l,/~41, S . _~t- Xbip /'Tei^ 74O Cas,)~ac;f c~ ~ev~ c u~ fp.u ~~~s• J`o 4 c y- _S"os.-z 6;~s . Signature BUII.DING COMPLAIIv'T GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibiliry. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City empioyees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; po]ice department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. zoos RESIDENTIAL PLUMBING PERMiTaPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ~ Date ~ 1 10 I _D('0 \-C~S I~ Site Street Address ~~,1 w A A ~V~ • Unit # I Property Owner. .UIQ,YI, ~l~ Telephone# li )L(Sa'7.~~I3 ~ ~ i' Contractor ?-TC' ~1 J1QA.t~Ot YI,S Telephone #k~Au zb~I3LI0 A ; Address ~o`~O n '0Ud1 F-C~ • City ~"a11 State Wl J Zip S5123 , , . C---- II The Applicant is: _ Owner VIContractor _Other ~I ' Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee I $ 100.00 li ~ Peras-built $ 10_00 - - - ~ Alterations to existing dwelling $ 50.00 ~i Add piumbing fixtures. This fee includes installation of a water softener and/or water ~ - ~ heater at the same time. !f you are insfalling oRIV a wafer softener and/or water I heater, do not complete this section; move to the next section and check_the appliance(s) you are installing. _Septic Sysiem Abandonment i li _WaCer Turnaround (add $130.00 if a 5/8" meter is required) ~ Other ! F - II i_ Water Softener ?Water Heater $ 15.00 new ?placement - - - II _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 t j~Il State Surcharge $ 50 II ' Total $ J6•5d ~ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permii, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to b reviewed and approved. ~(15,n t e~h . . AoplicanYs Printed Name Applica Ys ignature I 5 $ Q~.~b ~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATTON ~ p$2009cicyorFAgao ~ 3830 Pilot Knob Road, Eagan MN 55122 • Telephone # 651-675-5675 FAX # 651-675-5694 office usi aow 3repis0eredsdeumeysahovAngaq.ftofid.sq-ftdhouw andiffmdedarees 2mpiesMPion shawinBfaoffiqS.6eema.Fhtr CeRdSUrveyRea! =V_N (2096meXmumbtcwxageadwwe0) laetafFMgyCalpdefwnsbrbeahadeddAiom SalsRepwt - -Y-_N 1SaERepoM1I PiopoaetlCwldin86fi6splemddtdieWfbedsml 7sYesurvey5madd'NomBderks TreaRmPlonRaaf _Y--._N. 2mpresdqkm slroamgbeembvmdoxe¢ea:WNedfouMdssgn,et~ Addtim-irdoad`ma7eaWlica}stam TreeResReVWeil _Y_N 139 otEmtpyCalatla5are OnalfeSepticSyshem:.Y;:_N 3 copies of Tree Pmsevation Plen WId pMeA after 717193 ISan.rolst0eW aptldsaNermonsAeetnndd'ugswih3«ksswttaJ . Mfmiegssm med~amc~venBlallon tqm Plans are considered ublic informafion unless ou sfate the are trade seeret and the reason. Date 2Q /oq ConatractlonCoat qI `1.31 SiteAddresa 3RIj kjeqbv~u i-U/!E UnidSte # Deacription of Work o ~ Multl-Family Btdg _ Y _ N Ffnpiace(s) _ 0 _ 1 _ 2 IV PropertyOwner ~.hn T\MO~0 Tdephoae#(o6f ) 4G2 -2971 Contraetor ~'~,~.^~G • Addrnsa ~Q ~i 1~1~L17C' LUf 1c City State "?N- 71p ~32 Telephonep(7~ ~/1~IZ1 Z~ COMPLETE T111S AREA ONLY IF CONSTRUCTIN6 A NE1A1 BUILDING Enew-C~ - Mirmesota Rules 7670 Cateeorv 1 _ Mimeauta Rules 7672 submis~on type) • ResWendal Venrtilatian Cate9orY 1 Walcsheet . Naw Ere~gy Code Warlat~aet SubmHted Subntitted • Ene,9Y Errvelope Cakulaleons SubmHted In ihe IasF 12 months, has the Ciy of Eagon issued o permil for a smilar plan based on a masTer planB _ Y _ N If yes, dqte arxJ address of mcuter pian: Licensed Plumber ielephone # ( ) Mechpnical ConiracFor Telephone ) Sewer/Water Confractor Telephone ~ I hereby apply for a Residenrial Building Permit and acknowledge that the infoimation is complete aad acctuate; that the work will be in conformance with the ord'mances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemrit; that the work will be in accordance with the approved in the case of work w~ requires a review and approval of plans. /Pffi1l\) ~ Uil. ~C.-r 1 ApplicanYs ted Name plicanY i e City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3813 Westbury Lane Lot: 5 Block: 3 Addition: Westbury 1st PID:10- 83650- 050 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Integrity Plus 9800 Shelard Pkwy. Plymouth MN 55441 (763) 225 -8720 Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $90.00 Owner: Paul 0 Engfer 3813 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 EA077234 04/09/2007 ePermit al (i.e. debris that could block vent openings) and 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 h all applicable State