3888 Westbury Lane
CITY OF EAGAN SIRM mVxl PmmR
3530 Pilot K•ob Road -
P. O. Box 21199 PERMIT NO.:
Esg :h, MN 56121 DATE:
Zonin0: Na of Units: - 1
QNrnMr; _ Szrr Clq1c R1 dra _
Addrois: ~
~ Sih Addrost: -38II8 Westbnrv I.ane 1,17 B1 !:e.;tl-u: 117
pli,,,,ber. R's Mechan fcu i
' 3-25-66 60872 10, 0 .i;1.'.,,
1 Nrw to ""b rriM WCky of iyro Corawction Chorq: 4 7 S. 00 2,,1
Ch dim sess• Acoount DeDONh 15. vOF,s;
Prmnlt Fw: I , - e
SuKhorpe: S'
Br Mtsc. Chorpm
~ DoM of I rxp.: Tatol:
~ ImR: Obb Pald:
~ OF EA(3AN WATLR SERVICE PERMIT
~ 3830 pitot Knob Road
~ O. i ~tx 21199 PERMIT NO.: " -
-csan, MW 55~?1 D,~~: '
ZO^i^o: No. of Units:
Owner urr a urs.
llddnss:
Sift Addrom ' • est ury _a.ze 1,17 est ury III
Plumber s F-ec an cal
Meftr No• ~ - ~ 't' +
s,n: fx« RoCK Before dbWgmq . ;
Rooe.r ~t ~iU ~f 69 0 9 uumnNE. 10 00pa
; ons ~ .rw~ c~,"~UI
[AW • P
~ Total: b_ .pd meter
Doft Plo(d:
~ BY ~
I"zp•: frrp..
. _.~~..M ~ . • . . .4-~R: - _
CITY 0f EAGAN ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 E`• 1161
7
' PHONE: 454-8100 -
BUILDING PERMIT Receipt N -
To be used for 5F UWG; GAtt Est Value $57,000 oate F~RCH 1Li
SiteAddress 36$8 idESTBURY LN Erect 13 Occupancy p i
Lot 12 Block 1 Sec/5ub. WESTDURY 3itD Remodel 0 Zoning
Parcel No. _ Repair ? Type of Const
Addition ? No. Stories
~ f3URR OAii BLDRS 11`~~ Move ? Length
W Name 1 473 C'sOLDENROD Demolish ? Depth
; Address InL Impr. ? Sq. Ft
° City CGt)t7 R1WAQS T07YY7 S7 Instau ?
o Name SAi•lE lfS2~~~OG Approvals Fa"
~i Address Assessment Permit $ 304_00
City Phone Water 8 Sew. Surcharge 28 - 5U
Police Plan Review-1%.2.00
Name Fire SAC 575 _ 00
Address Eng. Water Conn. 5 o 0_ 00 W City Phone Planner Water Meter6--1-SO
Council Road Unit 2 9fl - 0 0
I hereby acknowledge that I have read this application and state that the gldg. Off. 3 Z 4~8 G Tr. PI. 1 ~1h_ 00
iniormation is correct and agree to comply with all app}icable State of
Minnesota Statutas and Cip~r ot Eagan Ordinances. APC Parks
1 r Var. Date Copies
Signature of Permittee Total ~ 2, 0 6 9. U 0
R Building Permit is issued 1:4 BURR OAK BLDR5 INC on the express conditlon that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
- - ~
PrrmR Mo. Pwrril Moldu OeN TibpAoi» A
pkmnbing C
l
El ~c~- ' S-IS- 3 ~
sonw..
~
Impoelfon Deft NNp• Camnenls
I Fo~ I Cv B
FoolinW N
Foundolfon
F-v* -,i4 q vor
RoolYq
ROUP Pft z ~
Rouph Nq. ~
liuul.
il Finpl~p
I FkW MW
Flnal vft 7
FMW
121197 4='-A. 1
c«+. oa. s~ c-~• 6- - 6 ^
I Doek Flq.
~D.* Fma o-v G.to
Wbo aot S'~'~O G?
~ n.• a.n. ~
,i
. . , -n--•»-•rarr------•~ye a .
PERMIT 03 0
- • PLUMBtNG PERMR RECEIPT #
. CITY OF EAGAM
' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
l CONTRACT PRICE PHONE 454-8100
Site Addr BLDG. TYPE WORK DESCRIPTION
y Lot,~ Block -T Sec ub '
Res. New
m Name L L S1 L~- ~ Mult Add-on
~ Address S53 uVT it c N 5 Comm. Repair
c City Phone 2 ! - » Other
N FIXTURES ,TOTAL
~ Name " ~ Cc. ~'1"' Water Closet - $3.00 ' -
c Address ~Bath Tubs - $3.00 - - '
p City Phone Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00 ~
COMM/IND FEE - 1% OF CONTRACT FEE EY undry Tray - $3.00 MINIMJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 Water Heater - $1.50 ' STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD 550 S/C IF PERMIT PRICE GOES =Qas piping Oudets - $1.50
BEYOND $1,000.00) Softener - a5•00
Well - $10.00
Private Disp. - $10.00
( ~ ( r I (,,C =Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE;
)
STATE 3/C:
FOR: CITY OF EAGAN GRAND TOTAL:
J
. f.
PERMIT 0 s CITY OF EAGAN FEE - ~
MECHANICAL PERMIT
RECEIPT 1k 454-81 00 S/C
I MINIMUM RESIDENTIAL FEE -=10.00 + $•50 TOTAL
DATE MINIMUM COMMERCIAL FEE - =20.00 +;.SO
1. Bidg. Type: Res ~ Comm inst Z New.L~ Add Atter Repair
3_ Total Bid Price 4. Job Address 4
I 7
Lot IS2- Block Sec 6 5. Owner
~ ; ~r < < , , . ~ , I , t
- ~ ~ , t : . - -
- } I. ,
6. Contractor
(Name) , , (Streeq (CnY) (ziP)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Eech additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$t2.00. Each additional 6,000 BTU's or fraction -$6.00
M ODI FICATIONS /ALTERATIONS -a10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
aIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG.
RES. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS =.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
.
Signed: ' i for
Approved Inspections: Date Rough Insp. Date Final Insp.
t ! ~ . . . - T ~ -~r•-.- .s . . _ ~ . . . . . . ~ . ' T ~ / 1~ _ PERMIT N
, PLUMBING PERMIT RECEIPT N
GTY OF EAGAN i O/~ c I+r' ~
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ^lI"- «BLDG. TYPE WORK DESCRIPTION
Lot Block
ub
SOO
- Res. New
m Name • > Mult Add-on
Ad r ~ J~ - ` Comm. Repair
c Cit~'=Pthone l~3 L? fc~ Other
' s Cl G~ NO. FlXTURES TOTAL
Name ' " ' ~ Water Closet - $3•00 :
; Addrest."~9 c' Bath Tubs - $3.00
o Cm, Phone L/J ~7_~ 7 Lavatory -$3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray -~3.00
MINIMJM - RESIDENTIAL FEE - a10.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 Water Heater -$1.50
STATE SURCHARGE PER PERMIT - Whirtpool -$3.00
(ADD $.50 S1C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,OOU.00) -TSoitener - $5.00 Well - $10.00
j~ Private Disp. - $10.00
~ Rough Openfngs - $1.50
SIGNAT pF PE M, E FEE
STATE S/C: ~ ~
~
FOR CITY OF EAGAN GRAND TOTAL: '
.
.
fgtrtifiratF af Mrrupanry
titp of olagan
fiPplwlPilf of 3wPtltDtt
This CerdJtcale rssued pursuunt to the requiremenu af Seelioa 306 of the Unijorm Building
Code cerrifying that at the time of rssuaxce this slru,cture wres ie rnmpliance widr tlre vnrinur
ortfinances of the Gliry regulating building rnnstrrection or xse. For flte jollowing: '
u.c Qmirxatioo yV 114CA'AR R.mit Pro. 114Z7
O-V-CS' T~Pe tT 7=4 pisoiq }t ~ 'n'Pe Caau v
O«na d Bm7dm W- Or'L" ~~n M 11' enm RAP'f-::;
&.la" Add~ 3988 'Vi,;,311~,'?:? EM. I-Nry L12. Bl, WF~-jr~r1' 33Rfi
a„W ASAY 29, 1987
w1dws officw,.
POST IN A CONSPICUOUS PIACE
C -T A-----T-INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 ' ' ` `
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT: I
~ , ~ . ~ ~ , ~ ~ . • ' , . .
PERMIT SUBTYPE: TYPE OF WORK:
~ ~r, . . i: ~ ~ ~i
INSPECTION .
~ ~
Permn Mo. wm,R Nold« wa r.Npl,on. •
ELECTRIC
PLUMBING
HVAC
Inspwtlon Otb hNp. Commwnb
FOOTiNC,S
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD .
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R_I.
BSMT FINAL
DECK FTG
DECK FlNAL ~IO TO 2
CITY OF EAGAN No '11677
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
BUILDING PERMIT PHONE:454-8100
Receipt#
ro be uaed tor SF DWG/GAR est. value $ 57 ,000 oate NiARCH 25 .1986
SiteAddress 3888 WESTBURY LN Erect M Occupancy R3
Lot 12 Block 1 Sec/Sub WESTBURY 3RD Remotlel ? Zoning R1
Parcel No. Repair ? Type of ConsL y
Addition ? No. Stories
~ Name BURR OAK BLDRS INC Move ? Lengih3P
z 11473 GOLDENROD Demolish ? Depth44
o Address Int. Impr. ? Sq. Ft.
Ciry COON RA~44S 755-9513 Install ?
ia Name SAME APProvals Fees
$Q nddress Assessment Permit $ 304.00
~ Ciry Phone Water & Sew. Surcharge 28.50
Police PlanReview 152.00
Fw Name Fire SAC 575.00
¢i nddress Eng. WaterConn. 500.00
aw Ciry Phone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off~7147FG Tr.PI. 156.00
information is correct and ag~ee to comply with all a cable State of
Minnesota Statutp, and Ci ~r in~nce APC Parks
SignaWre of Permittee ~ Var. Date Copies
Total 0 0
A Buildin Permit is issued t BURR OAK LDRS INC
9 on the express condition that
all,work shall be done in accordance with all applica tat f Minneso Stat t a iry of Eagan Ordinances.
Building Official ~
CITY OF EAGAN Remarks
Addition WESTBURY THIRD ADDN. Lot 12 elk 1 Parcel 10 83652 120 Ol
Owner s„eet 388$ Westbury Lane State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GRADING
SANSEWTRUNK _1 1 J~ 255.00 17.00 1
SEWER LATERAL
watermain Ap- 1984 49.90 3.33 1
WATERMAIN ~ 19833.86 2.26 15
WATER LATERAL
WATER AFiEA 1984 134.21 8.95 1
water area 1986 69.38 4.63 15
STORM SEW TRK 9,05 1986 68 . 2 73.66
STORM SEW LAT 1986 491.0 98.20
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
$AC
PARK
~ RESIDENTIAL
5 d 3 I~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConstructionReauirements RemodellReoairReauiraments
• 3 registere0 site surveys showng sq fl of lot, sq. tt. of house. and all mofed areas • 2 copies of plan ~
(20% maximum lot coverage allowed) • 7 set of Eneryy Calculations for heated additions '
• 2 copies of plan showing heam 8 window sizes; poured tound design, etc.) . 1 srte survey for extenor atldihons 8 decks
• t set of Energy Calculatwns • Ino;cate d home served 6y sepl¢ syslem for adtlilions
• 3 wpies of Tree Preservation Plan d lot platled aRer 711i93
. Rim Joist Detail Oplions selection sheet (bldgs wtlh 3 or less unils)
oP
DATE VALUATION 51 000
.
S E ADDR MULTI-FAMILY BLDG ~Y N
TYPFOF WORK KE" I'-E7P~--~ aIS(~,~ FIREPLACE(5) -~b _ 1_ 2
APPLICANT 1
STREETADDRESS 1A9V' /?/co//c,~4" fli~Sa CITYffin.S0lJt STATE#f/IZIP>E7337
iELEPHONE #9,2^~'J2-i~S2 CELL PHONE # FAX #
(~~F~p~
O'0
PROPERTYOWNER ~ aY~. 1~1 ~TZ TELEPHONE#~GO~- d"
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category \IIVAES( )"I':A RLfLES It;iO CA'I'ICGORI' f lI1V`~A'1 ~ p
(J submission type) . Residential VenblaUOn Category 1 Worksheet Submitted • New e r h t ~(t d
• Energy Envelope Calculations Submitted J UN 2 6 2002 U
Plumbing Contractor: Phonc 4 Bv
Plwnhing systcm includcs: _ Watcr Soficncr -[a«n Sprinklcr Fcc: S90.00
XVatcr Hcatcr \o. of R.I. 13aths
\o. ol' l3allts -
Mechanical Coniractor. Phone #
~Ndccli;mical ;}•stcm iududci: t\ir Condiliouing Fcc: $70.00
E-Ical Rccovcn' SNsicm
Sewer/Water Coniractor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances. J
Signature of ApplicantC ~
OFFICE liSL ONt.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated a102
OFFICE USE ONLY
~
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? Ov 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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 Addilion ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacement 'Demolition (Entire Bldg only) - Give 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 bld,) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice SWater _ Final _ Pool _ Ftes _ AidGas Tests _ Final
_ Framino _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ \Vindows (new/replacemen[)
_ Insulation _ Retaining 11'all
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
/L 7~7
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YIITH THE CITY OF EAGAN
OAKwqOp r4oD6L-
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
51 ,000
To Be Used For: N'! °L Valuation: Date: b b
Site Address: OFFICE USE ONLY
Lot:
I Z- Block 1- Sect/Sub sI Erect )C Occupancy 42,3
Remodel Zoning (L1
Parcel 11 Repair _ Type of Const i
Enlarge 1! of Stories
Owner ~ur•r• ~ak 8~~~ Iwc Move Length 3g
Demalish Depth c~
Address f/y73 G~~~zyro~ Grade _ Sq Ft
City/Zip Code
Phone APPROVALS
Contractor I/ Assessments Permit ~('XE,
Water/Sewer Surcharge Za.~
Address Police Plan Review 152,
Fire SAC 5'75.
City/Zip Code Engr Water Conn Soo.
Planner 1Jater Meter L3,So
Phone Council Road Unit 2q 0.
Bldg Offy q ` Parks
Arch./Engr. APC Treatment P1 15(a.
Variance
Address TOTAL 06
~
City/Zip Code
Phone I!
" ZSosco
l01Zns~' 11 ~3ro ~ .
3 S2 x 9 4= I S¢SS
22~20 ~ ~40 K f2 = SZBo
Sl.o C-i (.9 U
; - -
f Certificate of Description For:
( W. Jawor
~ 11473 Golden Road _
Coon Rapids, MN 55433
~ DELMAR H. SCHWAPiZ
, 5D
tANO S11PVEVpNC iNC It ~
Np-alnrb Undlr LA'it o1 ilp GMe Ol Mrnn%nln ' .
11750 SOUTN ROBERT TRAII NOSEMOUN7. MINNESOTA SSOBB PNONE 612 4211789
; SURVEYON'S CENTIFICATE
n
i ~
~ -
3y ~ ~ ~ ~+l
~
I ~~q I ~I' l~ A O\
~ io• ~ y' ~ . ; ~ Cn~ ~
e~•.ft'2J"Ay
i ~
~1_ o I \ t I ~
~ ro w
C ~ V
~ v ~
w
S '
I hereby certify that this is a true and correct
representation of the following described tract of
land:
Lot 12, Block 1, i16STBORY THIRD ADDITION, as
on file and of record in the office of the
County Recorder, Dakota CoUnty, Minnesota.
March 18, 1986
~
~ • MINNESOTl1 REOISTRATION NO. 8625 ~
•
979-4947
cndit i n90c4ln, Inc.
~w~NWIn~nN.~n.Nl~i
YieMbeNnl M 11 a ewo , idlig E1LTaiIOR fNVE1APE AVERpG& "p" CpplppTpTI0D1
owr~ ' ~eoN+ 5pL,-~
PlAN No. a~ L.
SITE ADDRESS DpTE l o
CONTRACTOR hVz2 rJQ y- 3ylLOEZS PHpNE
Determiae xorking equare footage of esoh
1. Total eaposed rall area......$Ir eq.ft. x.Lj
'
2. Total roof/oeiling area...:.. )O 5 sq.ft. x• ??k= 7-(
1--ic1LJJ..J
3. Total floor/C831t • 82'98 • Sq of}. 7( L. Total ezposed vall area above floor odh%
8• TOt.81 Uf811 wifYlOW 6I'98.oor9..oeo
b. Total door area
C? TOt81 SI.S.dSYIg glSS9 CI002' 8PA8.,
~
d• Total tireplace 1d81l 8I'98...*.., ~
9 • TOt81 MBZZ fr8Wii1g 8I'68 (average 1 0%) ~ ~ ~ ~ ~ ~ ~ • ~ .
f• TOt.31 l19t W$11 8T98 8bOV6 fl00l**,
g• Total rim joist 81'88........................
Total eaposed foundation area 7'I,1 _
h. Total fouiriatiort windour area
1. Total nat foundation area abova grade.......
.
Datermine "II" value of each Kall aegment -
a . (0 . 4051 z "U" '}j,
. ~ x "U" ,
o. .o x "II"
d. x "D"
e.cio.951:0 x PNIA5 ^UUn" ~
' •
g x M
x p Q" a ,
h• z pD° a
1. 7
7 Z. 7C "U°
~
4 . .....~...6... Totaal a Q~
If item $4 is the same as, or lese than item f1, you have met
the intent of SBC 6006(0)2.
~
t
,
. y
,
, Total exposed roof/oeiling area
J. Total etylight area
k. Totnl roof/oeiling iraming area (aver. (.10016"0/0),,.,,
(.0625324"0/0)...~
1. Totnl net insulated roof/oeiling area ~
Determine "U" value for eaoh roof/ceiling segneent
J. z "U" a
k. ~ x "U" ~ a ~ to
1.~ x °0° .0?17 °
S . Total
If total of 4$ is the same as, or leae than +2p you hace met the
lntont of SBC 6006(o)i.
Total exposed floorfoant. area
m. Total floor/cant. tr area (average .10%).........
.
II• Total net insultsd floor 08IIt• YI'98eoeeeeeeeee &**Ol•
Determine "II" value for eaoh floor/oant. aegment
M. X pU° a
n. z IOU„ a
6• •~~••~~~~~~~•~~~•~~•~.~~••~~~~~.••~•••••••••r••.• TOt81 a ~
If total of #6 is the aame as, or less than #3, you have met the
intent ot SBC 6006('0)3.
xLTNMNATE BUIIDING IIIVEIAPE DESIGN
To utilize the total envalope system method, the naluea eatablished
by Lhe aum of items $4s $5 ard #6 shall Dgl be greater than the eum
or items #1, #2 arrl $3. ' ,
1. l1 b,~3 2. 2Z - 17 3. - -JTJ5 o
u. °b 5. 21,Z1 6. = 13S,~a
Prepared by
ngca r2- I i&(,
Y~. v
h.,. 9~'tlD int. Air .68 . THRU ~s. waLL Ins. ur .68 .
r/ B.H. • BIDINO 1/2" S.R. .45 t/ SA. 6 9ID3310 1/20 g.R. .45
8tue (0,0015 . zw, I ~ '00
25/32" H11d. 2.06 25/32" Hild. 2.06
9lding ,lo~ 37d
in6 ~ ~07
HKt. Ait _ 017 r Sat. 41r 1
~Z
Total ."R" - I C), I . Total "It" m
2=j~o2j
1 IR °"0" m 1IR °"D' O
THRU RIM Int. Air .68 THRU CONC'BIACB Int. Air .68 -
JOIS2 Ine• I I,~ C.H. I.
Opt. 9tyro.
Opt. Itie. O
i 1/2" Wood 1.89
ESct. 47r ~17
25/32° Hsid. 2.06 . opt. S.R.
t. ~
•
S Sng Ogt. 31d.
&kt. Air .17
/ e Total _
Opt. Briok 1/R - H0" a ~
TOtal "R" _
l/R c"Um = ~
~
TFfftO CLO. Int. Air .61 THRU GLG. Int. Air ---=-•-.61--- =-c
!MEt S.R. IpISUi,ATION S.R. ,S(°
Clg. Memb. Ins. 1O
.
~ ~ i ( 0
~ • Still 41r .61
} I/ Still Air .61 Total "R" _ ~ I7°O I
Total "R" _ ff1/R = pOM
1 /R = "0" =
~
~ PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u i Lo s rv G
Eagan, Minnesota 55122-1897 Permit Number: 028967
(612) 681-4675 Date Issued: 10 / 0 3/ 9 6
SITE ADDRESS:
3888 WESTBURY LANE
LOT: 12 BLOCK: 1
WESTBURY 3RD
P.I.N.: 10-83652-120-01 '
DESCRIPTIOM:
AROUND HOT TUB
• Building Permit Type DECK
Building Work Type NEW
Census Code 434 HLT. RESIDENTIAL
/
' i
REVUJARKS:
FEE SUMMARY:
Base Fee $45.00 COPY $.50
Surcharge $.50 Total Fee $46.00
Subtotal $45.50
CON7RACTOR: OWNER: - Applicant -
HEAVER DEBORAH
3888 WESTBURY LANE
EAGAN MN
(612)688-8428
S hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State oF Mn.
L 9tatutes and City ofi Eagan Ordinances. ~
~i'w-?..,~ c-- -(1.a,P,
APPLICANT/PERMITEESIGNA i~TE ISSUEDB1jSIG ATUR
~
` . CITY OF EAGAN ~C, (Jti
~ 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPUCATION (RESIDENTIAL)
681-4675
New Gonstrudion Reauirement=_ RemodeUReoair Reauirements
? 3 registered site aurveys ? 2 copies o( plan
? 2 copies of plans (include beam 6 window sizes; Doured Md, design; ete.) ? 2 sile surveys (exterior additions 8 decks)
? 1 energy wiculationa ? 1 energy calculationa tor heated addilions
? 3 copies of tree preservation plan H lot platled after 7/1193
required: _ Ves No
DATE: 96 CONSTRUCTION COST: ~ 07)
DESCRIPTION OF WORK: de-c-k. -F~or ~or-I-QI3)e- ka-}-
STREETADDRESS: LcLA'Lc ~Ul~im/V. 5-S/a3
LOT BLOCK I SUBD./P.I.D. Th i rd A cAO ' u-),,
PROPERTY Name: fl e G, Ve R- 2e.bo rail Phone 689-slka 8
OWNER
Street Address- 3 g~ 8 ~Ues-1- b u r~ ~._ca~
City: ~aqcL,~ State: IJ Zip: r a 3
CONTRACTOR Co any: Phone
Street Ad s: /Lic~
~
City: iState: Zip:
ARCHITECT/ Company: / Phone
ENGINEER
Name: / Registration
Street Address/
City: / State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicabie State oi Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant `~~-Q~'`'a-L«~'~ ~~~-F~?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No OCr 0 1 1`Jyb
Tree Preservation Plan Received _ Yes _ No
%
OFFICE USE ONLY BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex r' 15 Deck
WORK TYPE
0"31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. R. MCNVS System ~
(Allowable) Main level sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o~
Census Bidg ~
Census Unit o
APPROVALS
Planning Building M8 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
. City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies • sv
Total:
% SAC
SAC Units
.
_,ficate of Description For:
Jawor
1473 Golden Road
ocn Rapids, MN 55433 . ~
3
pEL11AAR H. SCHWANZ ~
;~r04avE~'oc MC f
pynMM UneIM \ArO'ny IqnMmrvnO1P
147g0 $OUTM ~OBBRt TAMI AOSErOUNT. MUNMESOTA 55066 ?MONfi e~~ 41}~
4UqVEYOp'3 ClNTIFICATL
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~ I hereby Certify that this is a true and correct
representatio.^. of the follawir:g described tract of
land:
Lot 12, B].ock 1, MESTBORY THIRD aDDITION. 8s
on file and of record in tk:e Office.of
Cour.ty Recorder, Dakota Caunty,
Narch 18, 1986
/ i
.
,
Mu+NESO'A RE~~STRAT~`~~' NO 8825
****R*#!**********t**~f**#*}}?}*#i#k
*
' C I T Y O F E A A f~ pAYMF:~If OF FEE AT TIME pF
APPLICA2ZON DOFS NOT CONSTIIVIE
~ APPLICATION FOR PERMIT *~P~~. OF PERhIIT.
w
. * INSPF)CTION OF SEWET2 ADID/OR NF,MM -
I1zS'PALLaTTONS WII.L NOT BE SCHED- ;
SEWER AND/OR WATER CONNECTION *~M LWM PMMIT HM BEEN ;
* APPROVFD. ~
r ,
•
*f.+t+t*w.t*.:x.::+*f.*+,tt,t•*tf tr,t+:k*
P ease Print)
1) PROPERTY ADDRESS: 13 -r t12 "
LEGAL DESCRIPTION: -
Lot Block Subdivision or Tax Parcel ID )
IF E}QSTING STRCCiL'RE. DATE OF ORIGINAL BL'ILDING PERMIT ISSCANCE: .
~ (hbn Year
PFtESE[~7f ZONING/PROPOSID LSE: .
? CODID]EFtCIAL/RE1'AIL/OFFICE ~ R-1 SZNGLE FAMILY
0 IDIDOSTRIAI, r-I R-2 DCPLEX (Tr,o Units)
INSTITL'TIONAL/GOVERDIDg,'NT ~ R-3 'IOWNHOL~SE (Three + Linits) ( Linits)
. R-4 APARTNEIV'p/CONIDOMID]ICT1 ( 'Units)
2) ~
NANIE: ~ S 4LI •cc~ p n. ~ ~ C~L t ~a v
aDDREss: 33 s-7 /97
CITY, STATE, ZIP: ,q A, a,~~ ~yj c o 3
PxorE: ~s3 - 3
3) ' u NAP1E. 13 R v For City Use .
Q o Plumbers License:
ADDRFSS:~ ~ S' -7 / 97 fi~ r1 ~ c A~Active
pired
~ CITY, STATE. zIP: Not recorded
PHONE: ~:;>,S-3 - 3~6 ~ MASTII2 LICENSE# 37 0;3 M'T
St Initial
4) ro • • ~ i~•
NAbIE:~ G! ~2 nt QAA-
_ AwDxFSS:1/ ,417 3 Pa .f 8 -7r
CZTY, STATE, ZIP: :~iQ6 iv /-9fLo
PHONE: .
.5) i:~ r ~ r : a~ • o~ o-~
~ CUNNECI'SON 1O CITY SEWIIt ~ cpNNECTION ZU CITY WATER ~ pTFER .
6) ~ v r• r ~ PI,FIASE HOLD APPROVfD PEf2FIIT FOR PICX-LiP BY ONE OF ABOVE
~ PLEASE MAIL APPROVID PEE2MIT TO 1, 2, 3, 4, ABOyE .
(Circle one) '
7) r r• u• • ~tu~ rf~~=.~ c~ ~
r ~ r ~•r w
• riu • • r
IYF. 71 • J•
~ 1 1' ~ Y I (~p1 I 11 • ' ~ 1 ~ ~
,
- ~
. FOR CITY USE ONLY ~
PERMIT # ISSL'ED
7412 -
Pd w/Bldg. Permit FEES:
$ $ %G -56 SEWER PERMIT (INCLI)DE SORCHARGE)
$ $ WATER PERMIT (INCLUDE S[.'RCHARGE)
$ ~ J7 SQ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATZON STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ /S ,0 O ACCOUNT DEPOSIT - WATER
$ .5 bn • ~'U $ wac
$ 57S.au $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $LATERAL BENEFIT/TRC'NK WATER
$ /ljG aG'~ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ ~a, y_ j D $ , y~i D a TOTAL
~01f7~- Z Z
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
~
SCREENS 26,29&30 REAL ESTATE INQUIRY - NRME/RDDRESS/LEGRL XINGNUIi„
PFaRCEL ID: 10 83652 120 01 PLAT NAME: WESTBURY 3RD RDDITION
LEGRL: 12 1
HOMESTERD CARD ENTERED: 02 21 1989
FIRST DIVISION: 016069 09 05 1985
~ LAST DIVISION:
" FEE CURRENT OWNER:
THOMRS J & BAR5ARR DIDIER
3888 WESTBURY LN
ERGRN MN 55122
TRRNSFER TO SCREEN NUMBER:
PF8-SCROLL FDRWHRD
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114170
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 3888 Westbury Lane
Lot:012 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Derek Lindsey
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelley L Paulson
3888 Westbury Lane
Eagan MN 55123
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160560
Date Issued:03/19/2020
Permit Category:ePermit
Site Address: 3888 Westbury Lane
Lot:012 Block: 001 Addition: Westbury 3rd
PID:10-83652-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelley L Paulson
3888 Westbury Lane
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature