The URL can be used to link to this page

3828 Westbury Lane CITY OF EAGAN SEWER SERVlCE PERMIT 3530 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagaa, MN 55121 OATE: Zoninp: - No. of Unlts: Qw?1er f'ra r ' - - Aidfl55: . Site Addross: t, • Plumber. o ' - 1m/eM h demplr wllb !i» CR? sf 4pw Cannectlon f]+arpa: CrdlMwew. Acoount Depoait: Pennlf Fae: - - Surrlwrpe: - gy Misc. Chor'0m Date of Inap.: Totol: Insp,; Date Paid: CITY QF EAGAN WATER SERVICE PERMIT 3830 PiJotXnob Rosd P. O„ Esox 2119y PERMIT NO.: j Eagan, MN 55121 DATE: ' 1 ` Z~ing; No. of Units: ` ; Owner: , Mdross: Site Addross: - Plumber. - Metar IV[p~, d $iZO: 7~/X •ir t ~F+~"~CtCi. 1.~ . L1L~DCI Rcodsr No.. ~-y o,~0i.e-~ ' ~iUN~ I .,r.. to ao~n.lr wMi~ N~. c~er ~ , • F, . ~ ;c n~ .t t ' ri"MAQM~J~ BY ~ Date Paid: Dote of I nap.: I^sp.: . 76, : j. . . . _ 'a'-... CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor 5t' n'~~~~Gr'~R EstValue $63,000 Date XPR1L 21 ,19 ~H ~ Site Address 382 n 'ra'E5T3U3Y Lij Erect ?x Occupancy Lot Block 2 Sec/Sub: WE5Tl3URY 2Nll Remodel ? Zoning Parcel No. ' Repair ? Type oi Const. +r- Addition ? No. Stories c GriA~JD OAKS EVEG CO Move ? Lengih 42 W Name Demolish ? Depth A 7 o Address 1381 SUI4RISE CT Int. Impr. ? Sq. Ft Ciry :':AVAi, Phone 452-8934 Install 0 o Name Approvals Fees Address Assessment Permit ~ Z• ~ 0 ~ City Phone Water & Sew. Surcharge 31.50 ¢ Police Plan Review 161 . UU ~ W Name Fire SAC 575.00 = Address 500.00 ~ c~ Eng. Water Conn. < W City Phone Planner Water Meter 63 . SO Council RoadUnit 29U.00 I hereby acknowledge that I have read this appl ication and state that the Bldg. Off. 9/21/86 Tr. PI. 156.00 iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan prdinancss. ` APC PBrks Signature of Permittee ~ J~ Var. Date Copies Total $2,099 .IJU A Building Permit is issued to: GRAND OXICS UEVEL CO on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 1 j Permk No. Permit Moldu DNe TM"hom i wumWnp 9 f d--O H.V.rtC. C)C) IEleehic Sof1~r1M Inapsedon Daft Insp. Commenb IFooNnysI j-) Footlnys II IFoundslbn Framinp Rooflny Rou9n Pibg. Rouyh Nq. / Imul. Fkeplsc• ~ %o Final Hip. FMN Plby. Bldy. Final Cert. Oce. Doek Fty. Oeck Frniq. We11 Pr. Dhp. ~ . PERMIT # PLUMBING PERMIT RECEIPT # ~ 3 CITY OF EAGAN L 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?-aa CONTRACT PRICE a LQ l) PHONE: 45+-8100 Site Address L" BLDG. TYPE WORK DESCRIPTION Lot ~ Block ~ Sec/Sub y ~ l.? fs t b., , ^j Res. ~ New ~ Name V`` 16f, t`' Mult Add-on Address 1 ~ ~ Comm. Repair ~ Cjty Su r d c ~ PhOr1B , Oth9r Np. FIXTURES TOTAL Name c 0'. 1, ' O-e " f Water Closet - $3.00 S 3 _ ~ c Address 1 S ~ ` ~ ' -rBetth Tubs - $3.00 p City Phone L/ S > > ~ I Lavatory - $3.00 Shower - $3.00 FEES ~-Kitchen Sink - $3.00 ` COMM/IND FEE - 1% OF CONTRACT FEE I Urinal/Bidet -$3.00 ~ MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray -$3.00 S MINIMUM - COMM/IND FEE _ 20.00 -LFloor Drains -$1.50 I, J STATE SURCHARGE PER PERMIT - .50 -~~ater Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES TWhirlpool -$3.00 , BEYOND $1,000.00) Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ~Rough Openings - $1.50 SIG TURE OF PER EE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• S v .~~7;fi'44w~!?_.'P . . . . . . . . : . _ , . ' PERMIT # - - -7 1-7 MECHANICAL PERMIT RECEIPT # GTY OF EAGAH 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub _ Res. New m Name Muit Add-on y Address Comm. Repair c City Phone Other L Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU -It MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU ~..MINIMUM - COMM/IND FEE_ - 20.00 Air Cond. M BTU ' STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE ' - - s/C.. SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN Remarks D'i ' ' -D Addition WESTBURY SECOND ADDITION Lot 8 BIk 2 Parcel 10 83651 080 02 Owner Street 3828 Westbury i,ana State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. 1 STREET RESTOR. GRADING Water area 1986 133.79 8.92 151 SAN SEW TRUNK 1985 325.24 21.68 15 ~SEWERLATERAL 1986 5008.73 Watermain tI] 1986 65.29 4.35 15 WATERMAIN :0 O 1984 8 3 ~k WATER LATERAL 1986 WATER AREA *Services 1986 STORM SEW TRK 1956 710.24 ic STORM SEW LAT 1986 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAF K CITY OF EAGAN ~ ' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N- 11826 ~ PHONE: 454-8100 BUILDING PERMIT Receipt# 7obeusedtor SF DWG/GAR Estvalue $63,000 Date APRIL 22 19 8_6 SiteAddress 3828 WESTBURY LN Erect C~ Occupancy R3 Lat 8 Block 2 Sec/Sub. WESTBURY 2ND Remodel ? 2oning Rl Parcel No. Repair ? Type of Const V Addition ? No. Stories 42 W Name GRAND OAKS DEVEL CO Move ? Length ; Address 1881 SUNRISE CT Demolish ? Depth 47 ° ciEAGAN 452-8934 Int.impr. ? Sq.Ft ty Phone Install ? o Name SAP4E Approvals Fcea nddress Assessment Permit $ 3 Z 2- 0 0 m Ciry Phone Water & Sew. Surcharge 31. 50 ~ Police Plan Review 161. 00 F W Name Fire SAC 575.00 nddress Eng. WaterConn. 500.00 <W ciry pnone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gidg. oft. 4/22/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of ; Minnesota Statutes and Ci 4 E an Ordinanc~s. APC Parks Signature of Permittee y+~~ L Var. Date Copies rotal $2,099.00 A Building Permit is issuad to: RAND O KS DEVEL CO on the express condition that all,work shall be done in accordance with all applicabl~e Sta,t/e~/pf M~inn~es~ota tu nd City of Eagan Ordinances. Building Official 4~X~rZ.[-~~- , ~ RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 ~ 851-681-4675 New ConsWction Reauirements RemodellReoafr Reauirements • 3 2gistered sde surveys showing sq. ft. o( lot, sq. ft. of hause; and all mofed areas • 2 copies of plan (20%maximumlMcoverageallowed) • lsetolEnergyCalculationsforheatedaddilions • 2 wples ol plan showing beam 8 window sizes; paured found design, etc.) • 1 site survey for ezlerior additians & decks • 1 set af Eneryy Caiculatiorrs . Indrcate if Frome served by septic system Fw additiois • 3 copies of Tree Preservation Plan N lol platted after 711193 • Rim Joisl Dehail Optiore sdection sheet (bidgs wiN 3 or less units) DATE g/; f/ G~ VALUATION ~ 5(-Y'L SITE ADDRESS ?P %X'~' U.iP=.,ti,~Yy LanC S~l"Z3MULTI-FAMILY BLDG _Y XN `J TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 ~ c APPLICANT ~ a~uc~~cr J'~~~~Z Yuec~)~nc- STREETADDRESS 2-25 2--d 6~:~5k~~~YV Lc~,rte CITY r=c~,~cw $TATE /.~%%'ZIP J TELEPHONE # 4L~() 6 iC: -GY31 CELL PHONE # - FAX # PROPERTYOWNER S-Juc,rd~, ~~arrz (~~;~inc~ TELEPHONE# C~5 G9C C~{3I COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RiJL,ES 7672 (J su6mission type) . Residentlal Ventllatlon Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted . Energy Envelope Calculations Submitted Plumbing Contraetor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 ~ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 y Heat Recovery System Fern ~ Sewer/Water Contractor: Phone # L . ~ I hereby acknowiedge that I have read this application, state that the information/ is c ct,_ and qgree to eo ply with all applicable State of Minnesota Stotutes and City of Eagan Ordinances. = p, ~ Sfgnature of Applicant-- - ~ _...._...._......._.~~___.........,"'..__.~_~.....__.....__......___._....r_ OFFiCE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 0 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MufU ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn 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 O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Damolition (Entire Bidg onl» - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) Final/No C.O. _ Footings(addirion) _ Plumbing _ Foundarion HVAC _ Drain Tile pther Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC Cily SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 11 ~ 1 1-OZ- ° c_a-Y--e.Q.Q,e,JL.. t S 3 aSqµ~Y~~-~--.n~-~" RESIDENTIAL B LIU DING PERMIT APPLICATION j CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I• ~ 651-681-4675 New Conatruction NeaufremeMe RemodeNleoelr Reaulrementa • 3 repistered stte surveys showhg sq. R. oi lot, sq. It. ol house; and 11 roWeG ereas • 2 coples of plan ~ (20%ma)imumlatcove gealbwed) • tsetofEnergyCakulationsforheatetladdtti6ns . 2 copies of p~n staw~g m& windaw sizes; poured found tlesign, etc.) . 1 stte survey for e#erbr aGtlAbns 6 decks • 1 set of Energy Cakulati ons • Indicate If home served by septic syste r atltlitans • 3 copies of Tree Preservation P M bt pletted aRer 7linJ3 • Rlm,bist Detail Optbns select~n eat (61dgs wfth 3 or less units) DATE tei - VALUATION v-I SITE ADDRESS 38,78 "vp-y - MUITI-F MILY BLDG _ V _ N N E(S) _ 0_ 1_ 2 PE OF WORK E - d FIR LAC APPUCANT wt G Lk . f r/1~I MV1-F- STREET ADDRESS /2 147 t[:vG r-T CSo- CITY~ I~IS SiATE9~JZIP S-E337 TELEPHONE #%So?-9O9"ki iS~CELLP NE p _ FAX # 579a -FOP- 5~t(a PROPERTYOWNER SW}Lv1`},(kkJYl, SaFi MEJ)r TELEPHONE# 6SI-610 -0Z131 COMPLETE THIS SECTION FOR - EW- SIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CAT RY 1 MINNESOTA RULES 7672 (d aubmission type) • Residential Vantilation Category 1 o aet Submitted • New Energy Code Worksheet Submitted • Energy Envelopa Calculations mittad Plumbing Contractor: Phone # Plumbing system includes: _ Water oftener _ La Sprinkler _ Wat eater _ No. fR.I.Baths AUG 21 2002 No f Baths Mechankal Contractor hone If Mechanical system includes: Air Conditioning Ly Feei $76.~U Heat Recovery System Sewer/Water Conhactor: Phon # - I hereby acknowledge that have read this application, state that the information Is rrect, and agree to comply wiTh all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signaiure ot Applicant ` OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY • ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling O 08 08-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 EM. Alt- Mult( ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) O 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interbr) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ,0 45 Fire.Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire 81dg only) - Cive PCA handout to applicant Valuatlon 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 W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City 5AC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total • CLAIM VOUCHER-REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: AMERICAN BUII.DING CONTRACTORS MR DONN LAVOIE 122471vICOLLET AVE S BURNSVILLE MN 55337 LOCATION: 3828 WESTBURY LANE RECEIPT #/DATE: 33471 8/22/02 REASON FOR REFUND: NOT DOING WORK PERMIT 54625 VALUATION: $8,000 TYPE OF REFUND: Plumbing Pemut 9001.4087 $ Mechanical Permit 9001.4088 $ Building Pernut Fee 9001.4085 $ 153.25 Plan Review Fee 9001.4222 $ SAC (MC/WS) 92202275 $ SAC (Cty) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Permit 9220.4532 $ Water Pernvt 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ WaterTreatrnent 9220.4685 $ Surcharge 90012195 $ Oveipayment 90012250 $ ' Curb Box Deposit Refund 92202253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 153.25 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 6't~ 11/7/02 SIGNATURE DATE i city oF eagen November 7, 2002 PATRICIA E. AWADA Mayror AMERICAN BUILDING CONTRACTORS PAUL BAKKEN ATTN: DONN LAVOIE PEGGYCARISON 12247 NICOLLET AVE S CYNDEEFIELDS BURNSVILLE MN 55337 MEGTILLEY RE: REFUND OF BUILDING PERMIT #54625 Caundl Members Dear Mr. LaVoie: THOMAS HEDGES As you requested in your letter of No-vember 7, 2002, permit #54625 to reroof 3828 Westbury CtryAdm[nLracor Lane issued to American Building Contractors has been cancelled. The City is refunding $153.25 to you under separate cover. We aie unable to refund the $4.00 state surcharge that was collected. , Munic;pai Center: This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee 3830 Pilot Knob Road Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a courtesy, we are informing conuactors of this policy and issuing a full refund, minus the state Eagan, MN 55122-1897 surcharge, for a cancelled permit on a"one time only" basis. Phone: 651.681.4600 If you have any questions, please feel free to give me a call at 651-681-4695. Fax: GS 1.681.4612 TDD:651.454.8535 $lricei2l}', - Main[enance Facility: . ' ?ang~Severson 3501 Coachman 1'oinc QfficO SllpervisoI Eagan, MN 55122 Phone: 651.681.4300 cc: Dale Schoeppner, Chief Building Official Fax: 651.681.4360 . TDD: 651.454.8535 . www.uryrofeagan.com ' THELONEOAKTREE . The symbol ofnrength and growt}i in our wmmuniry f T ~U~ ' c1JOr1/~ ~1~~G1 L ~w1'~rYL1C~ ~l l LL~ 1 r.1G ~.`orJ~-/~-G7WlS , ~y~l L C ~ ~ ~P~~ IAA~ pjkjD FuP-- T~tf f2ooFi}.1G pE12rniT"m ~ ~A-fz~`~ `T~-trS ~0 A-9, 5PrLvADa ~2, c arJTYZ- A-c TL D w I714 kc S'1 0Do 14 12,oo r R-CIQl*ct ~m'~'f- o,.1 r} tS Flcwk~, !3 u'r l, lA-T-`2 C_ ~i-~ G 4tS rvio%J0a WO f' Ng-c 4 A-S r n Tft e ~ L_":~ r~A ti`~ '6 L Fc~2L `r tf I S G Fi n-nl C. L,,f- w IAS vl p E. S[ til C L 116~15Q- DI'D Na T Do I lry[S rn1of--r-, 1.J e 1'fia2. L l4sKih1G lo~ 14 Rt~~n1u 1=G2 '~FF I°E~-wi ~~e CDO.X~ Ca RESIDENTIAL n BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 New Conetrucibn Neoulrementa HemodaUHeoeh Reauirements • 3 registered sHe surveys 5howing sq. It. of bt, sq. tt. M house; and gll rooled areas • 2 copies of plan (20°/. maxinum bt coverege albwetl) • 1 set of Energy Calculatans for heateG edEObns • 2 copies of plen showinp beam 8 wlrMow sizes; poured fouM Oeslgn, atc.) • 7 stte survey for exlerior atltlilbns & decks . t set of Energy Calculatbns • InCicate N homa served by septic system tor adtldbns . 3 copies of Tree Preservation Plan H bt platled efter 7/1/93 . Rim Joist Oahail OpTrons selectbn sheet (bldgs witli 3 or less unils) d ~ DATE ~ ' ~ ~ ^ 0 Y VALUATION SITE ADDRESS 39O? ~`J WoMA1Z7 [!`iN E MULTI-FAMILY BLDG _ Y ±-N NPE OF WORK 9E- S I,D E 1`7W5G- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT C- lA 1LPF11"JC-- 0-01J _)yL4C7ZW-f STREETADDRESS 4aa42 ru T ~j CIN ~-~1-%STATEW%JZIPSS337 TELEPHONE #52 '7GT '67.2~ CELL PHONE # FAX # 9Sd 'rPOe -.PX V (o PROPERNOWNER S(G}LVADPK SI.lAREZ MED W H1 TELEPHONEq G) -100 - Of31 COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 0 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmiBed • Energy Envelope Calculations Submitted Plumbing Coniracfor: Phone # e Plumbing system includes: _ Water Softener _ Lawn Spri nkl~ei ~ l! Fae:~ $ Q 00 _ Water Heater _ No. of R.I. B i qUG 2 1 2002 I I No. of Baths ~ Mechanical Conhactor: ~0n~3# Mechanical system includes: _ Air Conditioning L~- " Fee: $.00 _ Heat Recovery System Sewer/Water Conhactor: 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 Eagan Ordinances.I~ r~n Sigrwture of Applicant v _._._.-----------._....r._...~. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 07 Foundation 0 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3sea.) ? 31 EM. Aft - Mutti ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Dack ? 23 Poroh (screened) ? 36 MuRi ? OS 03-plex O 11 10.piex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Yor_N O 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) 13 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicaM Valuallon 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Paol _ Ftgs _ AidGas Tests _ Final - FraminB _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total 1986 BOILDING PSAMIT APPLICATION - CITY OF EAGAN ~ HtYPB: Ai.i. CANTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[R.TIPLE Di1SLLINGS - RESIDENT29L RSNTAL DNTTS FOH SALS QNITS INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SURVEY - CH6CB i1ITH HLDG. DEPT., 1 SET OF BNERGY CALCQLATIONS C0MlERCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SE'f OF ENERGY CALCULATION5, $2,000 LANDSCAPE BOND To Be Used For: ~ Valuation:u~02rO Date: 4 7i U~ Site Address a~/~ W~~ OFFICE US6 ONLY Lot O Bloek Z Erect ~ Occupaney ~ Remodel Zoning 1E.1 Pareel/Sub Ftepair _A Tqpe of Gonst Addition # of Stories Owner Move Length 47- - Demolish Depth 47 Address Int.Impr. _ Sq Ft Install City/Zip Code Phone APPRDVALS FEFS Contractor Assessments Permit 32 2, pWater/Sewer Surcharge 31.50 Address p J~ Police Plan Review I~7 I, Fire SAC 5"7 S. City/Zip Code Engr Water Conn Seo. Qlanner Water Meter (D3. Phone Council~ Road Unit 290• Bldg Of Treatment P1 1~0. Areh./Engr. APC Parks Varianee Copies Address ROT9L City/Zip Code Phone # NOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DESIGNATE WHICH ADDRESS IS DESIBED. NO CHANG&4 HILL BE ALLOii6D OHCE BDILDIHG PBRMIY IS ISSIIED. raiiRV.EYOR'S CERTIFICATE GRAND OAKS DEVELOPMEPlT C0. Z _ _ X 994 5 _ X885.2 LEXINGTON AVENUE ~ ~ a a g9g.,x - S 0°I7'33" E 65.00 ~%892.3 o ~ ORAINAGE B UtILlTY~ ~ g EAS£MENT PER PLAT 5 896.6X I ~ - X891.1 p 0 L_ k-./ I .i LOT 8 O 0 ci ' 3 ~ I rCSas.z) (eay,z~ I~ 3 N i t I 7 N.xee~.z N (V EXI571NG x 7,/12 ~.sx x ~ HOUSE ~ ~r ~ 891b6 89QU ~1.0 ~ I 891 3 ~ 0B~. ~ ~M 5.1- 4 315 m j r ~ BB9.SX - - ~~a, ~ -SO°i7 33 E 65.00 ~ (~~~.0 - I[B8B e XB87 9 r88T.6 O m M W~STBURY LANE %887e SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JqMES R. HILL, INC. , 86508 Planners / Engineers / Surveyors FlLE NO. 8200 Humboldt Avenue South ' FOLDER B(oolnington,Mn. 56431 eis-ssa-aaza , . . ' 'SURVEYOR S CERTIFICATE GRAND OAKS DEVELOP,P!EPlT C0. 373 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCN = 30 FEET • DENOTES IRON MONUMENT FOUND fROPOSED GARAGE FLOOR = 8923 FEET X000.0 UENOTES EXISTING ELEVATION PROPOSED L047EST fL00R = 58-1,5 FEET (000.0) DEIJOTES PROPOSED ELEVATION PROPOSED TOP Of BLOCK = 892.) FEET. I NERE[3Y CERTIFY TO THAT THIS 1S A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE E30UIJUARIES OF: Lot 8, Block 2, WESTBURY 2PJD ADCITION, accordino to the recorded plat thereof, Dakota County, h1innesota. APID OF TI1E LOCATION OF A PROPOSED BUILUING. IT DOES NOT PURPORT TO SIiOI•! 1h1PROVEMENTS OR ENCROACHh1ENTS, IF ANY, THEREOfJ. AS SURVEYED E3Y P1E, UR UNUER MY DIRECT SUPERVISION, TNIS Ill'N UAY OF A?a-i~- , 1986. SIGNEU: JAMES R. HILL, INC. BY: HAROLD C. PETERSOW, LAND SURVEYOR P11NIdESOTA LICENSE N0. 12294 SHEET 1 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. sssos ~ Planners / Engineers / Surveyors FILE NO. 8200 liumboldt Avenus South FOLDER Bloornington,Mri. 65431 6 12-884-3029 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4 ! fo02 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Conshuctlon ReaufremeMs Remodel/Reoair Reavirements D 3 registered sMe surveys showing sq. (1. of lol, sq. M. ot house 2 copies of plan and all rooted creas (20% maxtmum lof coveraae allowed) 1 seT of energy calculatlons for heafed addMions ? 2 coples of plana (show beam 3 window sizes; poured fnd. design; e1c.) 1 sife survey tor exterlor addRions 8 decks ? 1 sef M energy calculations ? 3 coplea o1 hee preservatlon plan N lof plalfed aHa 7/1/93 ,dDATE: ~f_ -Z-"CJ I CONSTRUCTION COST: DESCRIPTION OP WORK: %pa/ lfF"rzAi/ia STREET ADDRESS: 39Z !2; L"i LOT: ~ BLOCK: _2~ SUBD./P.I.D. 70 Name: 0/6 .F~/_1y,L. O~i C~tr~ Phone#: PROPERTY Lost ~ Fint OWNER 1/ Street Address: ~~.-t~S L?t sTVhf~ L. C11y 4r ot A'31 .n State: .~41 Zip: Company: rht/0'Cr44 L~Lu ~~,"n~ ~v~v,rf'm r!fC~S Phone k: 16 11- 707-051 (area code) CONTRACTOR SheetAddress: 17-2y License# zrslgj~)Sr3 Exp. ~ city state: ~m el Zip: S-5-3 37 ARCHITECT/ ENGINEER Company: Name: Tetephone area code ( ) Streefi Address: RegistraNon Cffy State: Zip: Sewer 8 water Iicensed plumber (reaulred for new conshuctlon onlvl: Penalty appiles when address change and lot change ts requested once permM is issued. I hereby acknowledge thaf 1 have read this applieaflon, state that ihe Informafion Is corteet, and agree to comply with all applicabl StaTe of Minnesota Statutes and City W Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ~ - Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 1 fi-plex ? 18 Deck ? 23 Po.rch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ~ Total: SAC Units % SAC Ttxxxwxxwxxx~xxxx=r=~ ..r:xxxxxxxxz,q. C I TY O F E G A i~ PAYMF.TTI' OF F'EE AT TIME OF ; - i- ~ AprrIcATIoN noFS rCYr CONSTITuTE * * a2rxoVAt. oF PERMIT. : APPLICATION FOR PERMIT *INSPEMON aF SENM AND/CR yVdM * . *t Tt1STAT.TATTONS WIId+ P70'P BE SCHED- SEWER AND/OR WATER CONNECTION umm PEWT HAS UNN ~ * A2rxavID. » : . *~****************************,#:x** P ea e Print) 1) PROPERTY ADDRESS: o r Y LQ~ e - LEGAL DESCRIPTION: L(Sfg ~ G CR Lot Block Subdivision or Tax Parcel ID ) Z£ E7ff5TING STRLY.'IL~RE, DATE OF ORIGINAL Bf)ILDIM pERN1IT ISSL'ANCE: ' ~ Mon Year PRFSENf ZONING/PROPOSID USE: ~ COI4JERCIAL/REfAIL/OFFICE ~ R-1 SINGLE FAMILY Q IDIDIISTRIAL Q R-2 DCPLEX (Mm Dnits) n INSTI=ONAL/GOVEEtNNEN'r ~ R-3 717WM00SE (Three + Units) ( Dnits) . d x-4 APAxTrM2orroorurrz[,M ( anits) 2) ~w NAIVE: QD reincl Qa ~5 AoDxESS: / g g~ ~ u h#'l S p. GCITY. STATE, zIP: ' PHONE: 3) c~• For City Use . ~ Plumbers License: a,ooREss: ( o( U C r e-e k L-a n-e ~Active ~i E~cpirea ~ CITY. STATE, ZIP: ~ d Cl] O Y~ ~{Y~~ , Not recorded PHONE: U MASTER LI(ENSE# Sta~~itial 4) • i~- : .NAME:_ ADDRESS: CITY. STATE, ZIP: PHONE: • '5) r • : a • a~ - 7~ WCONNFCPION 7O CITY SEWER ~ CpNNE(,'1'ION TO CITY WATIIt OTEM - 6) ' ~ PI.FASE HOLD APPROVfD PERMT EY)R PICK-UP BY ONE OF ABOVE - M-PLFIISE MAIL APPROVID PERMIT TO 1, 2. ,0. 4. ABOVE _ +-,,'1~ (Circle one) 7) ~ . '~Y~' ~ .0 ~ . • ti: • ¢ ~ ~ ~ ~ r • • a ia• i~ r• ua~• . . ~ . . ~ ~ • n • ~a ~ • «:r• -.r.>~ ~ ~ ~ • • ~ . . _ FOR -CITY USE ONLY ~ • ~ PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ $ /O- S cJ SEWER PERMIT (INCLLDE SURCHARGE) $ $ /O- S G WATER PERMIT (INCLODE SLRCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ . WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ OZ> $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ S75 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENFFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 13 $ (J--o TOTAL . Z / 77/ d35 ~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: Z /f G SCREENS 26,29&30 RERL ESTHTE INGlUIRY - NRME/ADDRE5S/LEGRL XINGNVU,?, PARCEL ID: 16 63651 086 02 PLRT NAME: WESTBURY 2ND RDDITION LEGAL: 8 2 F13MESTEAD CARD ENTERED: 02 16 1989 FIRST DIVISIDN: 015710 11 06 1984 LRST DIVISION: FEE CURRENT OWNER: fiNTHONY M & LEDONNR BOWLING 3828 WESTHURY LN EAGfaN MN SSlc,.?. TRANSFER TO SCREEN NUMBER: PF8-SCROLL FORWARD k4AA~ 4o es mN ~ ..~Q rceI CP a c>n y ~.lw ~ ~0 9b - - j FOiOfficeUse I Clty of Eapn ; Pwmn#: ~z go ; I I Permit Fee: 3830 Pilot Knob Road ~ i Eagan MN 55122 iDate aeceivea: ~ Phone: (651) 675-5675 Fax: (651) 675-5694 j 'taff 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Slte Address: w~'4b V,(v~ L)A &cL9Qq HlU Tenant: Sulte il: RESIDENT / OWNER Name: SqiULrJo-! Svc~rP2 Phone: GS/ .~/SZ • 23 j y Address/ city/zip: 34Y2X UVPs4LvY%ti L-n FZ01an 141V 5-E123 Applicant is: kllbwner _ Cornractor TYPE OF WORK Description of work: ka of Y2 (>ia [ ewt P4 Construction Cast: Multi-Family Building: (Yes No CONTRACTOR Name: License ri: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minneso[a Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residerrtial VeMilation Category 7 Worksheet • New Energy Code Worksheet Cat¢gory Submrtted Submitted (q Submissfon type) • Energy Emelope Calculations Submitted In the last 12 monNhs, has the City of Eagan issued a permit fw a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Conhactor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and suppoiiing documenis that you subm/t are considered to be public iMormation. Porl7ons of ` the information may be classified as non-pubtic N you provide specif7c neasons that wauld perrr+it the City, to ` conelude that the areYrade secrets. % I hereby acknowledge thai this information is complete aM accurate; that ihe vrork will be in confortnance with the ordinanCes and codes of ihe City ot Eagan; that I understand this is rat a permR, bu[ only an application for a permit, and work is rrot to 54wtho a permit; that the work +MII k~e in accordance wRh the approved plan in the case of work which requires a review and appmval of plans. x JG`llGfy[N ~UAY_2 (~'It~ylNCJ~ Applicant's PriMed Name ApplicaM's natPage 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132149 Date Issued:07/28/2015 Permit Category:ePermit Site Address: 3828 Westbury Lane Lot:008 Block: 002 Addition: Westbury 2nd PID:10-83651-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Salvador Suarez-medina 3828 Westbury Lane Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature I* city of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 2 1 2016 r Use BLUE or BLACK Ink For Office Use -7 Permit #: / Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Name: Site Address: 1C:z kJes-1 >- S U._cry J) ItU d1`rc Address / City / Zip: 3'81R Wcs +Ly5 to,1 J Applicant is: Owner Contractor T Of Work Description of work: d d v' 4;0 el ype Phone: G51 41" cz. .cr ✓ S"�Z Construction Cost: Multi -Family Building: (Yes / o Company: Contact: Contractor Address: City: State: Zip: Phone: Email: Lead Certificate #: 1 If the project is exempt from lead certification, please explain why: �_..,.._ License #: 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 6) If yes, date and address of master plan: 4 Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specdc reasons that would permit the City to - - conclude that the 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.gopherstateon ecall.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 Cod= must be completed within 180 days of permit issuance. Phone: Phone: x (%/ado S< ye 2 of jj'i't(J\ Applicant's Printed Name DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of __ Plex WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace — Garage Deck Lower Level — Porch (3 -Season) Porch (4 -Season) — Porch (Screen/Gazebo/pergola) Pool — Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 7()Cocaly Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Yl� REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) 70 Footings (Addition) • Foundation t0 Roof: /0 Ice & Water Final Framing 1 NR • Fireplace: Rough In Air Test Insulation !o Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: 1 O ✓n (7) ; /4//¢ Siding Reroof Windows — Egress Window /.6,e/7,/ _ Exterior Alteration (Single Family) — Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* — Demolish Interior — Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy 5gC— Code Edition Zoning Stories Square Feet Length Width Final p(In 2bIs /cr 2 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required > Final / No C.O. Required 10 HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: )4 Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 2. /e' 20 1 -1.73.5' -fir K I/QP, 3 r ,i `x 2-6)' X 5 .?35/tt d- Y7 l z , / / y62 f v 3t), X16 2 9 � 3 Page 2 of 3 ('SURVEYQR'S CERTIFICATE 1 1 rr LO-E5,4LateL(Z,1 GRAND OAKS DEVELOPMENT CO. --6/-/ X894.5 _-z x895.2 LEXINGTON AVENUE u) 893.IX - S 0017133" E 65.00 - X992.5 (.9933/11"(91'32 t 2 `.0) DRAINAGE Q UT,ury-1 i EASEMENT PER PLAT r 896.6X —7 0 0 M O 0) CO rov --� X697.1 /b 1' 10 LOT 8 . A. L_t.,, ..� e• K8r. T- f(689.z) (88).i 4 P)cF p4.5 42.0/ 1 [A9 % tit `, t1 J .�.- ,ED/ \ er l'° -H/OUSE p 4- Om tp-GAR/. I� f l \ i ti S ,! 1, i 89r 66 __ _ -.— jr 22.0 44(_439955 991. a r l fi9r.3 .' 890. "1 0 Vg 5.1--- _ . .5X\141 ox,p -- (83q77'. S0° 17'33"E 65.00 n' X851.2 ,EXISTING O HOUSE W (4) PROJECT NO. 86508 FILE NO. FOLDER UP a X W.9 A88T.6 WSTBURY LANE BOOK of PAGE SHEET 2 OF 2 SHEETS JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Btootnfngton, Mn. 55431 612-884-3029 City of Eagan PERMIT IP1' City of Eaan Permit Type: Plumbing Permit Number: EA137689 Date Issued: 07/18/2016 Permit Category: ePermit Site Address: 3828 Westbury Lane Lot: 008 Block: 002 Addition: Westbury 2nd PID: 10-83651-02-080 Use: Description: Sub Type: Residential Work Type: Alteration Description: Fixtures 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 (miscellaneous) $59.00 0801.4087 Surcharge -Fixed $1.00 9001.2195 Total: $60.00 Contractor: Owner: Salvador Suarez-medina 3828 Westbury Lane Eagan MN 55123 - Applicant - 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. Applicant/Permitee: Signature Issued By: Signature ;82 0 we51 87`' fei G/me_ MiTek' x/36 y7y MiTek USA, Inc. 16023 Swingley Ridge Rd Chesterfield, MO 63017 314-434-1200 Re: QTREC0462362 REPAIR FOR SALVADOR MEDINA The truss drawing(s) referenced below have been prepared by MiTek USA, Inc. under my direct supervision based on the parameters provided by Midwest Manufacturing. Pages or sheets covered by this seal: I27375214 thru I27375214 My license renewal date for the state of Minnesota is June 30, 2018. Lumber design values are in accordance with ANSI/TPI 1 section 6.3 These truss designs rely on lumber values established by others. I Hereby certify that this plan. speci- fication, or report was prepared by me or under my direct supervision and that I am a duly Licensed Pro- fessional Engineer under the J s of the o ' inn sots DATE REG. NO. 21980 August 1,2016 Fox, Steve IMPORTANT NOTE: The seal on these truss component designs is a certification that the engineer named is licensed in the jurisdictions(s) identified and that the designs comply with ANSI/TPI 1. These designs are based upon parameters shown (e.g., loads, supports, dimensions, shapes and design codes), which were given to MiTek. Any project specific information included is for MiTek's customer's file reference purpose only, and was not taken into account in the preparation of these designs. MiTek has not independently verified the applicability of the design parameters or the designs for any particular building. Before use, the building designer should verify applicability of the design parameters and properly incorporate these designs into the overall building design per ANSI/TPI 1, Chapter 2. Job Truss Truss Type Qty Ply REPAIR FOR SALVADOR MEDINA ' UNITS: 1.0 127375214 QTREC0462362 F2 FLOOR 16 1 ENG: DCR Job Reference (optional) Midwest Manufacturing, 0-14 HI 2-6-0 Eau Claire, W 54755 r REPAIR: MEMBER 2-14 REMOVED 3x6 = 3x8 = 2 1.5x4 3 3x6 = 4 7.640 s Sep 29 2015 MiTek Industries, Inc. Fri Jul 29 16:00:17 2016 Page 1 I D:Dw12_t?5JpkTrAkbcyU9pKz8wYX-5MuQ EoV WsVudXTe_prMCTpvkeTViOLD6oD?cycyt9SS CUT WEB JUST BEYOND CONNECTOR PLATES AT ITS END. THE JOINT MUST REMAIN UNDISTURBED. 1.5x4 II 5 3x6 6 1.5x4 7 3x10 = 8 1-7-8 9-18 Scale = 1:34.5 1.5x4 II 1.5x4 = 9 3x10 = 3x8 = FABRICATE SCAB TRUSS AS SHOWN ON SHEET (2 OF 2). ATTACH SCAB TRUSS TO EACH FACE OF EXISTING TRUSS IN ALL ALIGNING MEMBERS WITH (0.131"X 3") NAILS PER THE FOLLOWING NAIL SCHEDULE: 1 ROW SPACED @ 2" O.C. USE 2" MEMBER END DISTANCE. CUT AND REMOVE THE SECTION OF THE EXISTING TRUSS SHOWN (DO NOT CUT SCAB TRUSS) 20-0-0 3x12 = 3x6 = 20-0-0 Plate Offsets (X.Y),[1:Edge 0-0-12] [15'0-1-8 0-0-12] t16.0-1-8 0-0-12] LOADING (psf) TCLL 40.0 TCDL 10.0 BCLL 0.0 BCDL 5.0 SPACING- 1-4-0 Plate Grip DOL 1.00 Lumber DOL 1.00 Rep Stress Incr YES Code IRC2012/TPI2007 CSI. TC 0.41 BC 0.76 WB 0.78 (Matrix) DEFL. in (loc) I/defl L/d Vert(LL) -0.47 12-13 >499 360 Vert(TL) -0.7512-13 >318 240 Horz(TL) 0.09 10 n/a n/a PLATES GRIP MT20 197/144 Weight: 74 Ib FT = 20%F, 11%E LUMBER - TOP CHORD 2x4 SPF 1650F 1.5E(flat) BOT CHORD 2x4 SPF 1650F 1.5E(flat) WEBS 2x4 SPF Stud(flat) *Except* 1-14,9-10: 2x4 SPF 1650F 1.5E(flat) REACTIONS. (Ib/size) 14=720/0-3-8, 10=720/0-3-8 BRACING - TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins, except end verticals. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. FORCES. (Ib) - Max. Comp./Max. Ten. - All forces 250 (Ib) or less except when shown. TOP CHORD 2-3=-3199/0, 3-4=-3199/0, 4-5=-4103/0, 5-6=-4103/0, 6-7=-2826/0, 7-8=-2826/0 BOT CHORD 13-14=0/1906, 12-13=0/3904, 11-12=0/3715, 10-11=0/1339 WEBS 2-14=-2003/0, 2-13=0/1367, 4-13=-744/0, 6-12=0/410, 6-11=-939/0, 8-11=0/1571, 8-10=-1495/0 NOTES- (2) 1) Required 2x6 strongbacks, on edge, spaced at 10-0-0 oc and fastened to each truss with 3-10d (0.131" X 3") nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. I Hereby certify that this plan, speci- fication, or report was prepared by me or under my direct supervision and that I am a duly Ucensed Pro- fessional Engineer undjr-the laws of the e •f innepd{a. DATE STEVEN E. FOX REG. NO. 21980 August 1,201 A WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII-7473 rev. 10/03/2015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSIITPII Quality Criteria, DSB-89 and BCSI Building Component Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. 1411 MiTek' 16023 Swingley Ridge Rd Chesterfield, MO 63017 Job.' Truss Truss Type Qty Ply REPAIR FOR SALVADOR MEDINA UNITS: 1.0 127375214 QTREC0462362 F2 FLOOR 16 1 ENG: DCR Job Reference (optional) Midwest Manufacturing, 1 1 2-0-4 Eau Claire, W 54755 2-3-4 2-5-0 2 3x6 = 1.5x4 11 3 3x6 = 4 7.640 s Sep 29 2015 MiTek Industries, Inc. Fri Jul 29 16:00:17 2016 Page 2 ID:Dw12_t?5JpkTrAkbcyU9pKz8wYX-5MuQ EoV WsVudXTe_prMCTpvkeTViOLD6oD?cyoyt9SS 1.5x4 II 5 5x10 I I 14 1.5x4 II 13 3x12 = 10-5-8 12 3x1 2-7-8 2-6-12 2-6-12 2-6-12 SCAB TRUSS Scale = 1:34.1 PLATES GRIP MT20 197/144 LUMBER - TOP CHORD 2x4 SPF 1650F 1.5E BOT CHORD 2x4 SPF 2100F 1.8E WEBS 2x4 SPF Stud *Except' 1-15: 2x6 SP 2400F 2.0E, 2-13: 2x4 SPF No.2 A WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITER REFERENCE PAGE MII-7473 rev. 10/03/2015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSIITPII Quality Criteria, DSB-89 and BCSI Building Component Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. 11111 MiTek' 16023 Swingley Ridge Rd Chesterfield, MO 63017 nc Z0 CO cn W CO C . D � Z I '_ 7) a ■h a c)5ocop�zz o mc C (D p) m 0. 7 W 0 a•te• m 7 a a (0. O (p 7 0 N co_ (D (I) 7 7 fD in �: O 6 5 Q CiD G)(7N 7 co E. O C 5.c ,..<-.a * W O 3 Q o. rn 6'O-".� gip' �� X N O (o 0_7 Q 0 co fD 7 coN-, 7 0a. (D co . (D -1(p N 7 O� *73 S S CD p • 0 7" 6 ez • -' O o O (D O (D �G C) CD N 7 C' N CO d j j=- 6� N ,1 C) . 6 O o al 3 (oA O O (D o co m (D 5. D . 6 f) =.L (o y O D= Q n D 6 2 O S M • to 7 C) (O N 7 (D n N cn S 111 Q 0 c% O m 0 CO CD p (D - 3 7 N O o N 6 (O •O.. 7 m 7 3 0 CD o 7 tU ^ (D 3 O O. `� DJ 7 (U C c ,7 7 o N E. - Q p 7 (N S o 7 .L co NO111/007 JNIOV218 1V2131V1 X 3 O N (n d ID (T O 7' y3CO �. 60Q CD C c. N QO Q(n O 3fD 7 O CD N y. O (7n 7 S fn O O" lD • 7 c O W (U N 3ZIS 3lVld ) O Q O CD N 3 0) C CD N ,p N oO N C -.O O a) c 7 N N N0• C) 'O 7 co ()) 3 w - m y • '^ 7 N O o o- ° 0 T Q 6 CD n 7 3 Fe- O_700. O 7 co S -,Q5 c y •C N. O Q 7 = Cc 0 (D O (On X• ‘T, (D O (D Co " (D X C S n< to O N PLATE LOCATION AND ORIENTATION cn 3 O cn MiTek Engineering Reference Sheet: MII-7473 rev. 10/03/2015 paMasa1 s446!J II`d ®>1e1!01 Z60Z CO CD CO r - V) CD C v a3 CSD a a) Q CD co a -1(,-0. N < St a. N (DC C N N CL CD m T. 3• (0 7 o m 'LI a O N 7 7 C fD 3cr �. co D Z E CD c c y c fn y c m 7 N tn (n CD 0 m N 2 7 m g �. • a O v a N 7 (D CO 7 CD 0 5 - CD mm 73 W CO o(...) m= cnm �W w -a N (wj) m�) (nm 1,73 ca -co W m w N OD :spode] s3-001 S1VA02IddV 3000 lonaO2Id z C) -I > c- o i xA0 30 mOz co WA mz-1 my mz(A A0 11 > rz =m � v M mXI m m NWmN FA � v > CA r m D-< o 73z z z3 1 G) co iii > m m W xv �m z -�I O ? m C)) 0 y0 Z AC) x0 m f) -I * (n o N M TOP CHORD TOP CHORD 0 0 2 0 v w uua}sAs 6uiaagwnN 17. Install and load vertically unless indicated otherwise. 15. Connections not shown are the responsibility of others. A W () 7' O 5' Oo vo v5E nv vin me �c p y J ug o f., 3 0 3-03 m 0 m N . O o' N O' O cr N N W 3 (p o N (D N� N J 9,) N 70 N i'' O .° a(8 av QN MX O S J O. -O C ID O ° ° 3 G a m a d m o m 1 egO. m y FD v mCA ? 3 m v o O m N m al a ^' 2 N ?. o a . fl) ,G a N c c om a v 3iD g mk v'o IOo N (� a N N P J a N 2 ,J-. N c N o o � a m= a m a 54 (1)2. m v v N O O pQ� NrS 3 p) W f0 ; ,D).. J :,11,4 3 N P N N >' N .°. 9j O ry w N O 0. 0 IO O a N aQ p N r) W O C N o v 5m :.: �mco � vcoiN0con co 1 J (D N O 7 o °: a, 50 3o dp poJ I. ?� v 9_,°' 3 ' —7 m °3 O a In J "o y a J p. N N J n a o C ID O. 70. O N N O N 3 N m o 0 a- r N Cut members to bear tightly against each other. sv 111 W m `V CD 74- 0 71 0 CD CD 0 CD /A�++1 S13 Q c (D mN V 0 CD sa;oN /Claps I 11.06.S.Oce, 9 ' A)C, W A L L 1,1-3/A_S•r>b-rj-.) TYP4-7- _.------------''. g I tA-9°Y 1--L :. 16,-0" _-• (4 Ile,piP rr-)ETE4 GO q E-1-.) "+"-). 16 es 1_10. 47 /" a ,c, ...0. . ,.._.. 1 'a E349e# e -A -JD 6F 2-1 3/4"xS I/2" Iv, . 77-7'E ( ve-e2IFY z,..)/ r=e ;,=40 elm 3" bearing to foundation • ea. e t 70.e. ct\ existing exterior wall line - - - I Ir I I I I I EXISTING KITC11-IEN I 2d -o" EXISTING SUILOING e extstIng replace wit 2-1 3/45itil lvi NOTE provide solid ben o urs aI bsons, headerk girders dour, to rdatio.L NOTE trues 4 .:471,1 re' o to ver'cy elle 4 opacIne of ail NOTE contractor to verify al; rot conditions, ano d1rienti•o4s be reepOrbe for the se. MAIN FLOOR FL,4N prao.s.c= soaks 1/4" page 3 of 5 7, 7 te2tt ) Lk/ i=4 Y Rffr1OUE: , i t \77 ti .--) If City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA139688 Date Issued: 11/03/2016 Permit Category: ePermit Site Address: 3828 Westbury Lane Lot: 008 Block: 002 Addition: Westbury 2nd PID: 10-83651-02-080 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 - Applicant - Owner: Salvador Suarez-medina 3828 Westbury Lane Eagan MN 55123 (651) 452-2314 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171678 Date Issued:08/26/2021 Permit Category:ePermit Site Address: 3828 Westbury Lane Lot:008 Block: 002 Addition: Westbury 2nd PID:10-83651-02-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Salvador Suarez-medina 3828 Westbury Ln Saint Paul MN 55123--301 (651) 295-0907 Elysian Construction Inc 301 Thomas Ave N Minneapolis MN 55405 (651) 895-2137 Applicant/Permitee: Signature Issued By: Signature