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1116 Westbury Path4011° City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 lbw 2 2 2010 Use BLUE or BLACK Ink For Office Use Permit*: q92 9/ Permit Fee: / 7. • 36, Date Receive•. y 0 Staff: J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION dal ,' a� Date: 42_4D Site Address: I 116 t N e, -SI ILA Tenant: ✓ Suite #: RESIDENT / OWNER Name: J CA.s l ice!) Phone: C5 1 a6--23:35J Address / City / Zip: l l /6" &JJt 419- b.,._ AA)502z Applicant is: Owner Contractor TYPE OF WORK Description of work: t&€ /'-e-!/vel Construction Cost: Cb°y Multi -Family Building: (Yes / Nc( ) CONTRACTOR cttk Name: 1r h Cl G' lv, /Jtnr C S LC License #: 205Z657 S Address: 2? 3 G� J City: 57L NA -A f it State: ✓ ' ' A/ Zip: ✓/�6 7 Phone: CS / f? -S / �'it' (At" 6191 5 isi? /14%.C' C614/1 60- ft'tl 8 contact �OICt�W'.�b Email: v 4b6461A f/ . COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 p,ermit; that the work will be in accordance with the approved plplan 6in the case of work which requires a review and approval of plans. A,44 Applicants Printed Name Applicantfs'Signature Page 1 of 2 111(,211-46A-4,-/ SUB TYPES Foundation _ Fireplace Garage Deck Lower Level 0-1-1 DO NOT WRITE BELOW THIS LINE _ Single Family Multi 01 of Piex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Interior Improvement Move Building Fire Repair Repair 2-600v (25%_ 100% )C) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Reviewed By: \ V — Siding Reroof Windows Egress Window Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required "iC, Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /i /. lf,�� = 4/15- X;o : (y.3b Page 2 of 2 _ CITY OF EAGAN SEVM sUVWS PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 p^TE; ZO^ing' No. of Units: j OwrNr: .Jof iiij 3 eX Ct'-i' ^t /lddress: Stte Addresc: 111E3 !Je3tt,urv ''a,: Plumber: 7 t a 1 ; I s/nN !r Mn%1r wM /1n Cw oi iqM11 CofnNCt(On Qforge: OraMweN. Acaount Depositt 1 Permk FN: Surcharpr. BY Misc. Qnrom Dote of tmp.: Totol: I^sp" Doft PVoid: C17Y OF iGAGAN WATER SERVICE PERMIT 3$30 Pilat Knob Road P. Q,Box 21199 PERMiT NO.: Eapn, MN 551R 11 D/1TE: Zontrp: No. of Units: OwMr. Joem "i er .on Address: t,er-,tb rx ~~i-~~GJ,~ i{}~jtl~d~stt~urv l~ Sltr Addnn: 1116 Plumber: M.t.r No.. L-LIIJI 500.00 c? Size t IE~=t: 15 nc. No.: Permit Fee: . U n 1elm 1e oorplp wft lw GIlp d iqp¦ Surthorpe: Misc. Chcrpu: 132.00 pa Total: d`:_nn pd ra rar :T!~.: DoM Pnid: Ifep,; CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $11O00 Date -iinm $ , 19f19- 5ite Address 1116 WESTBUAY FA'Pif Lot 2 Black 4 Sec/Sub. ~6~~KY ASr OFFICE USE ONLY PBrC@I NO. Occupancy - FEES Zoning W Name srEM & P$~ (Actual) Const - Bldg. Permit 26.00 o Address 1116 WESTBi1ItY PATH (Allowable) - Ci F~~ Phone 414-2977 # of Stories Surcnarge ~ Length 140 Plan Review t~ Name s~ Depth ib* SAC, City a~ Address S.F. Total _ ~ City PhOfle S.F. Footprints SAC, MCWCC - On S+te Sewage - Water Conn r- W W Name On Site Well - Water Meter E~ Address MWCC System - Acct. sit cW City - Phone Ciry wacer - PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge intamation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee I APPROVALS Road Unit STEVEN OR DEUM FERLSY Planner - Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldy. pff. _ Copies . Building Official Variance - TOTAL 26.50 Permit No. PsrmR Holdsr Date Tslsphone # WATER SE4VER PLUMBING H.V.A.C. ELECTRIC Inspection Date insp. Commenb Footingsl founda6on Framing Raofing Rough Plbg. Rqigh Htg. Isul. Freplace Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrlPlan Bldg. Final Dedc F1g. ~ Oeck Final weli Pr. Disp. , CITY OF EAGAN 3830 PNot Knob Rosd, P.O. Box 21-199, Esgm, MN 55121 PHONE: 454-8100 euILciNa PEw+IT Receia # To M wnd he Est. Vclue Date 19 Sits Addren zErect Q Oecupancy 3 l.ot Block Sec/Sub. 1';F: T}-~?' i - Remodel ? Zonin9 'r l Repair ? Type of Comt, ~r Parcel No. Additlon ? No. Storia Mova ? L.anyth ~Nanle , ,.T. i..1`.: r? CC}INS]' Demolish ? Oepth ; ~ . i ~ .~i.i~:~it AVE , Addrost Int Impr. ? Sq. Ft. c~v I~'AF ;,1 i', ,~'c3C~hone A i 1-;', U U 1 Install O AoMmr.M E~u ~ Name Addcep Asstssment Permit 3 0 4 .0 0 ~ City Phone Water & Scw. Suroharge 2 tq,. 50 ~ Police Pian Review ~ Nsme Fin 3AC ~3 Add?sa Enp. Water conn tW City Phone Plannn WaterMeter j Council Rosd Unft ~ I hereby acknowledqe that I?ww nod this oppliwtion ond stote that Bldy. Ofi. Tr. PL 1 3.' fhs informotion is correct ond oprce ro comply wfth oll applicabb A~ Stoh of Minnesoto Stotutes and Ciry of Eopon Ordinoncss. Parka Vsr. Date ~i~ Sipno~un of Pem+ittM ;'.l , _ . . : A Buildinq Pennlt is isswd M: ~~Ui: ~~i ~ LLEF on the etaxpma conOfioe+ thav dl worlt sholt be daw in ocoordonn with alI appliaoble Stote of Minnesoto Stotutes m+d City ot Eaqan Oedinonas, dulldinp Officid P"mh No. ?wndt HoWa Mb TNphora t wUM"w (0 3 9 U 14 ; I ~ H.v.n.c. ( ( lo ~ 1'~'r II -'F - ~ S~c~o -(00 z Eiwwk sattow liapedion Dab Insp. Othe? Footlngs I Footlnpsll Foundatlon Fnming . ~ ~ Rootlng s' pouph Plbp. Rough Mtp. Inw1. ~ Finp~ao. ~ ~ I Final Ht9. II Final Plbp. Flno l i Grt/Occ. ~ I WstN Oswibe Loeation: If Weil Ssw~r P?. Disp. l Rtaipt ` MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fi11 !rr numbansd spacet S1C Type or Print !eglbly Tot 1. Data 2 Installation Cos2 3. Job Address i L~ ~ "tBlk. ' Tract I 4. Owner 5. Conaactor ' - i ~ Phone B. Addrass ' 7. Clty State • Zip 8. Building Typa: Residential m Commercial ? Institutional O 8. Work Description: New fl~ Add 0 Alter ? Repair ? r' • 10. Dascribe Fuel Type 11. No• EQuUu= 8TU - M. Ea. No. Eauiament CFM Forced Air ' ' • Air Handting: Mfg. , - Boitera Mech. Exhautt Mfg. Unit Heater Mf9• Other Ai r Cond. Mfg. Gas, Piping Outlets 12. I hereby cenify that the above information is true and oorrect, and I agres to comply with all ordinances and codes governing this type of work. Signed : ~ _ _ -fior` Rouph Finel Inspections: Date Insp. ! Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN FN ~ fill in numbered spaces S/C ~ Type or Prin[ legibry Tot. ~ ~ , 1. Date ' 2. Installation Cost ~ 3. Job Address lot elk. ` Tract 4. Owner ; 5. Contractor i Phone ~ 6. Address 7. City State 2iP 8. BuildingType: Residential 17 Commercial O Institutional O 9. Work Description: New ~ Add O Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Orainfield Bath tubs $eptic Tank ^ Lavatory Sohner ' Shower Well Kitchen Sink Urinal/Bidet Other Leundry Tray Floor Drains Drinking Ftn. Slop Sink ' r Gas Piping Outleu ' 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing ihis type of work. Signed : for Rouqh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN N? ~ QQQQ 13 . 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~j~ f PHONE: 4548100 BUILDING PERMIT rtece+Pt # Te be uwd !er SF DWG/GAR Est. Value $57,000 Dote JUNE 18 9 85 SiteAddrezs 1116 WESTBURY PATH Erect (X occupancy R3 Lot 2 81ock 4 Sec/SubWESTBURY 1ST Remodel ? Zoning R1 . Repair ? Type of Conzt. V Parcel No. Addition ? No. Stories JOE MILLER CONST Move ? Length 50 W Neme Demoli&h ? Depth 3 rj = Address 18133 CEDAR AVE Int. Impr. ? Sq. Ft. ~ City FARMINGTOI~6hone 431-2001 mstat, ? o Name $A"1E AVVrovals fasi, =u Addresa A:usunent Permit $ 304.OC City Phone Wafer 8 Sew. Surcharge 2$ • 5( ~ Poliu PlenReview 1 S2.OC °C Name Fira SAC 525 _ 0( ~w Address Enp. WaterConn S00_OC MA W City Phone Plonner WaterMeter 63-0 ( Council RoatlUNt 280.OC I herebV ocknowledge tMt 1 haw reod lhis apDlicahon and slafe th Bldg. Off. 6/17/85 Tr. PI. 132 _ 0( fhe inlormation is correct and agrea to comply with all appli le APC Pa,~ Stute of Minnesoto $totutes C City f Ea dinances. ~ Var. Oate Copies ~ SiQnoture of Permiftee . 5 ( rota~ ~ N Buildinq Permit Is issued t: JOE MIL ER CO on tha sxpress condiflon Ihot all work sMll be done in accordance wi,tK"cl a wbla Sta of innesoro totu_ t~ Ciry on Ordinances. Buildirq OHicial •~~~-~-6- , CITY OF EAGAN N~ 16585 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUiLDING PERMIT Receipt # 7o be used for DECK Est. VaWe $1, 000 Date JUNE 6 , 1 9.$9-- Site Address 1116 WESTBURY PATH 2 4 WESTBURY 1ST OFFICE USE ONLY Lot Block Sec/Sub. Parcel No Occupancy _ FEES Zaning - w Name STEVEN & DEBRAH FERLEY (ACmaqConst - BIdg.Permit 26.00 z AddresS 1116 WESTBURY PATH (Allowable) - q o Surcharge - D City EAGAN Phone 454-2977 umStones Lengt6 14' Plan Review ~o Name SAME oepm 16 ~ snc. cny 0,¢ Addf2S5 S F. Total - SAC. MCWCC ~ City Phone s F Foacprincs - On Srte Sewage _ Water Conn Name On Srte Well Water Meter Addf055 MWCCSystem qccLDeposit City PhOf1B Cirywater _ FRO-1 PRV Reqwred _ SiW Permi[ I hereby acknowlege that I have read this applicafion and state that the Booste. Pump - SiW Surcharge information is correct antl agree to comply with all applicable State of Minneso[a Statutes and City cf Eaga Ordinances. Trea[mem PI SignaNre of Peimitee APPROVALS Road Unit A ewlding Permit is issued to. STEVEN OR DE Pianner - park Ded on [he ezpress condihon ihat all work shall be done in accordance wrth all CouncA applicable State of Minnesota StatutIes and City / of Eagan Ordinances Bldg Otf. _ Copies BmldingOflicial L ~I~J~QIfA 11l~~LI Vanance - TOTAL 26.50 1 -cITY-OF EAGAN Remarks 7 1 e,?,- , . t i AddiLOn WESTBURY FIRST ADDITION Lot 9 eik G Parcel 10 83650 020 04 Owner Sveet 1116 Westbury Path Scate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSUFF. 1986 2850.00 STREET RESTOR. GRADING Water area 1986 133.79 8.92 15 SANSEWTRUNK 1985 436.2 29.0$ 15 SEWERLATERAL 1986 SOOS Watermain 1986 65.29 4. WATERMAIN U 1$4 68.71 [y.s$ 15 WATER LATERAL 1986 WATER AREA 184.92 12.33 15 1984 *Services 1986 STORM SEW TRK ~ 1986 ]j0. Zly STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit . WATER CONN. 500.00 BUILDING PER. SAC 525.00 PARK ' jO 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COtITRACTORS NUST BE LICENSED SiITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 57,~. To Be Used For: Valuation: ~ Date: Site Address: OFFICE USE ONLY Lot: cP? Block .411 Sect/Sub,,/z~`~Erect ~ Occupancy R-3 Parcel I^~~ ~ Remodel _ Zoning Repair _ Type of Const ~ Enlarge I/ of Stories Owner Move _ Length 50 Demolish Depth 35 Address Grade _ Sq Ft City/Zip Code Contracto APPROVALS Address 1~,~,~ Assessments Permit 304 Water/Sewer Surcharge S ~ I 7, City/Zip Cod~~:~1l~ZGl~ Police Plan Review--:~ _E6..$° Fire SAC 525.'° ~5o~~e +t s~cJ~Engr Water Conn 500. Planner Water Meter Arch./Engr Council Pad Unit Bldg Off bn/y-A'larks Address APC Treatment P1 l 32 = Variance Phone p 707pL l Cf~Y ' S V . r, . s ~ . .3"etti -r ' & ' - 'a s.' o'~dC:`~ t7, - . . . . : -_.''...i~..~ 1.•:i, _..~.'i: . .W........o. . =1. 1.. . A, Survey-and Certificate For: ' 'Joseph M. Miller Conat. 18133 Cedar Avenue South Farmington, MN 55024 DELMAR H. SCHWANZ ' IANDSUFVEVOR st I NC, RpHtpW UMM Laws 01 TM Sbte 01 Mmnesob 2678 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56088 PMONE 812 423-1789 SUR V E YOR'S CE RTI FtCATE W ES"r g u Ry Ppri-V+ 8rr3. f9 f 983. 9 ry'° a'Qe ~ r~? ~a ~ -65.0o sa9°42'21"1~, NOTFS : 8631 ~I ~ 8g~f plan 83-101 Elev, D Garage floor elev. o ~ ~ IN raised 0,7 feet ~is per i tiI`^ revised grading plyr.. I.~~R~.~ ! Bd f. ~9 : BBSf9 J';Ate N08 ~ .'zb p I L1 ~ Ih zc ~ ? ) N 24 8pd.94, 8ss~~ ~ >e~~••e = J gsf s I l e ti, I 111 f° ~ SCa` ; o = Property corner 0 O= Se t wood hub Q ----_1 Q B6.f = Existing elevation 'n Dp~?~RGE $ ~ = Proposed elevation U~ o ~ uT,L,TY o Eit'SEMEuTm = Proposed garage floor elevation 8s>~ ~4z ~os.oo 589°¢2'Zl~ 1~" I hereby certify [hat this is a true and correct representation of the folluwinK described tract of land: Lot 2, Block 4, WESTBURY FIRST ADDITION, according to the recorded plat ttiereof, Dako[a Coun[y, Minnesota. Also ahowing the location of a proposed houae as staked thereon this lOth ' day of ,Tune , 19 85 . ij`Y~,,~ _ MINNFS(1TA RFf:ISTRnTIl1N N!1 4R95 ~ ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) - CITY OF EACAN ~ 3830 PILOT KNOB RD - 55122 651•681•4675 (4 New Cons}ruction Reaulrements Remodel/Reoair Requlrements ? 3 regfstered sNe surveys showing sq. R. of lot, sq. R. of house 2 copies of plan and all rooled areas (20% maxlmum lof coveraae allowed) 1 sef of energy calculatlons for heated addilions 2 copies of plans (show beam d window sizes; poured fnd. design; etc.) 1 stte survey for exferfor addNions 3 decks 1 sef of energy caiculatlons > 3 coples ol tree preservallon plan 81of plafled aRer 7/1/93 DATE: Li - a 5f - CL ~ CONSTRUCTION COST: L4 'FSUC) .O U DESCRIPTION OF WORK: !V'~Z- Q-OU ~ - 4ea'a B:" -44'0~ --4Xul- STREETADDRESS: III (.0 1.~-i- 6 tx.Y(~y LOT: D' BLOCK: L' SUBD./P.I.D. L& vJ Q(~u i,~ Name: Loc, (t s~s l/-~' ~S C Phone ~a PROPERTY last Firsf OWNER f ~fi71 Street Address: City G~~ State: ~ Zip: Company:~S~ Phone#: Lo 1 2- S~I I-~3U Sc (area code) CONTRACTOR Street Address:=1 U S ir~\ License # aU~Sj G~fxp. 0 U City \J rI y-1 Z:~o State: -,Nvn Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 8 water Iicensed plumber (reauired for new constructfon onlv): , Penalty applies when address change and lo} change Is requested once permit Is Issued. I;iereby acknowledge thaf I have read this application, stafe ihat the Informaflon Is correct, and agree fo compty with all applicable State of Minnesota Statutes and City of Eagan Ordlnances. - - Slgnature of Applicant: k-~ OFFICE USE ONLY ! 6 Certificates of Survey Received _ Yes _ No - Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 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. (4-sea.) ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 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 0 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 S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ` Other Copies , Total: SAC Units % SAC ' . 1989 BIIILDIAG PERMIT APPLICATION CTTY OF EAGAN ~ 145$5 ~ SINGLE FAMILY DHELLINGS lIDLTIPLE D{iELLINGS COMMERCI6L 2 SETS OF PLANS 2 SEfS OF PLINS 2 SETS OF AACHISEGTURAL 3 AEGISTEEtED STTE SOROEYS BEGISTfiRED 3I'fE 3URVEIS - 6 STROCTQftAL PLINS 1 SEP OF ENERGY CALCS. (CSECH iTITH BLDG ?IV.) 1 3Sf OF SPECIFIC9TIONS t SET OF LFZRGY CiLCS. 1 3ET OF ENERGT CALCS. MULTIPLE DifELLINGS AENTAL UNTIS FtlH SALE UNIiS # OF QBTTS BOTEc 1DDRES3ES FOA CUHNEH LMS - CONTRACTOA/HOI+EOHAEA lIIIS? UMIG69SE iiHICH IDDRFSS IS DESIRED. 80 CHANGES iIILL HE ALLONED OiRCE BIIILDING PERMIT ZS I35IIED.. SEiIER 8 UATER PERhiIT FF.FS AHD ACCODNT DEPOSIT FEFS 6TII.L Bfi INCLUDED WTfH T8E BUILDINa PEEtlMTT FEE. PROCFSSING TIME FOA SEWEA AND itATER PE&tITS IS TWO D?YS ONCE l PERMIT HAS BEEN COMPLETED INDIC9TING A LICENSED PLOlBER. PENALTY APPLIES NUPls PERMIT IS AlOT PRID FOR IN S&FIE MONTA IT IS AEQUESTED. LOT CH&IdGE IS AE00ESTED OIVCE PERMIT IS ISSIIED. dt~l Ij'L" JU!± 0 5 1989 To Be Used For: ~ eG K Valuation: 000 ~ Date: 6~2 61 Site Address 1~16 lai_jrbN.I '"a. 1~ OFFICE USB ON1.Y ~ Lot Bloek 1-4 Occupaney P'EES 2oning Parcel/Sub Aetual Const Bldg. Permit (.,od C{--t~ Allowable Sureharge Ormer JJt~Jtn '~"~DY"aA "I PI"Ie'?E of stories Plan Aeviea Length Address ~~1(n b?CS~ur~ ~G I h ~r~ Depth SAC, MWCC S.F. Total Hater Conn City/Zip Code G n ~S~ Z3 Footprint S.F. Aater Meter j ~ Acc'c. Deposit Phone On site sexage SlW Pe: mit S(2_( On site well - S/W Surcharge ConErac or Gt Gt MNCC System Treatment P1. City vater _ Road Unit Address PRV required _ Park Ded. R D ` Booster Pump _ Copies City/Zip Code 3~ on p~Y'F- ,sj'( 3~ SDBSOTAI. / 1PPAOYALS Penalty Phone ~(D 3 Planner !O'!AL ~ Council Areh./Engr. ~IA- Bldg. Off. =6 ~ Variance Address City/Zip Code Phone R SurvRy arAd Certificate For: JSaeph M. Miller Conat, ~ - O 18133 Cedar Avenue South Farmington, MN 55029 3 DELMAR H. SCHWANZ ~ LANDSURVEYORs~ IrJL, , Rplsl~rM VnC~r Lawb ol TN Stlts ol Mlnn.sota 2978- 146TH STHEET W. - Bp% M ROi6MpUNT, MINNESOTA 66088 PHONE 812 423-7769 SURVEYOR'8 CERTIFICATE Yu EST guRy QA--r-4 m ~~sb3.s~ faea.v _ -65.ao Ss9°4z27~~1df- NOTES: ~ ol R 0~3 ~ i9~r plan 83-101 Elev, D Garage floor elev. ~ i ti o IN raised 9,7 feet 3s p, M ' f~. ~ ~ I M revlsed grading plar. I ~9A7.9 ! 64; 79 n - ~ 88S fq ro/ i/wB ~ gBf. ~ .o T 4 { p ro~ rvi ~e.'s Z6 i o 8 8 ~ 8 ~ M N -49' 4 ~ 7--4 1 : ~ ~ ~ eQ t 9ss c~ ~ Ti~ NN6 rs.s f >a/HNd ~~so I e ti i ~~~h ? z Sca / fi I~ p= proper[y corner Set wood hub 0 JI Q BO = Existing elevation ,n DQA~~IRQE, ~ n ' Proposed eleva[ion U ~ !I' ( o ~ ~TiLtry o 1 T ~CAr~F_MEklTm ~ '9~f77 - Proposed garage floor rleva[ion ej7~ -+92 I hereby certify tha[ Chis is a true and correc[ represen[aCion u( the folluwiny described trac[ of land: Lot 2, Block 4, WESTBURY FIRST ADDITION, according to the recorded plat thereol, Dakota Coun[y, Minneso[a. Also ahowing [he Location of a propoaed house as staked thereon this 10th day of ,7une , 19 85 . _ MINNGC(1Tp pF(;i^.TAATnni u!1 H~~[ ~ - 1 2/84 CITY OF EAGAN APPLICATZ0N FOR PE:h'9IT SEWER AND/OR WATER CONNECTIOri (PLEASE PRIHi) 1) PrOPE7I^! AL'DRESS: zI/lo ~i~s~Liu ry ~?e¢~~ rFr=,L DESCRIn'I'ICN: (Ir~t/Block/Su;divisicn or Tai Pa:rcel I.D. PiLmter) STRL'CITia-v°.. DAT' Oc OR-IG21.aI, u;Z JL'G -=-:1': IcS~;-J~C?.: PR-=L"?' ? R-Z DUP-= (7:7J L^?ITS) 0 R-3 ni?vti.~:CUSE (2'f?D= + L?IZTS) ( T-II^_S) o =-a ~,i-y; T{°•;m~C~,':Zld.,,•;r11 c UP;ZTS) ? CC11n1E°CL={L/RE^'TI,/0'r'FIC'.: ? \'CC;ST:-2LU ? L`:STITL,TIO:LAI,/G"JE:':,:mi:~;T 2) (PLEA6i PRilli) NAi•IE: ~eC IwD.RESS: _ / 8/ 3 3 CIT`!. SfATE, ZIP: ~_¢r~ ~t ~od /4/~? .j3A.75/` Pxo~: 5.3/- a c~/ 3) puMEP, (PLEASE PRIYI) FOR CITY USE OHLY iQAhL_: X /Q 'L vc, PLU!!BEAS LIC:4S , ~o~ss: ya~9 A«~~ CITY, STATE, ZIP: 0 P~red kNq of Record PHO~IE: PlUNBER LFCE}!SE N_a0( ' rJ73 ' atr intcta 4) OCC.?,'PpN'j`/C?iMTQZ NFlME: (PLEASE PRl:li) ADDRESS: CIT"!, STA'IE, ZZP: S4`ne. I'~S PFIO`IE: 5) INpICATE :dHICH PERidIT IS BEINC; REDCT,1ES'I'ID: i~:'NECTION 'IO CITY SE4IER ~NNF~fIC:V 'IO CIT"l WATE[t ? C7i'IEF2 (PLG",SE DSCF;IIIE) 6) II:DZG,.c C::c: • . P*.--:%SE f?OID APPP,CNID PER~LIT FOR PICi:-G'? BY ONE OF ABGVE ?°ZEtiSE :!AIL APP??Wm Pg':-LIT 'PJ 1, 2. 3, 4 AFpVE (Circle one) 7) SICZ,'IL'RE: DATE: fU(1(/9,?,5- , , ' ~ROI:~I.MJlA.~ivt~ga~l~/+~p • FOR C I T Y U S E ON;,Y Pc4MIT ISSUED rrrS: $ ("U.S u c-i;7.°. pr0%irm (INCT..DL SUP.CF.I.=CL) S /Ci•fU WATER PEi2MlT (IP:CLUDE Si.iRC.°.ARGc) $ WAT°R METER/COPPERHORY/OUTSID° RE:,GEZ $ WAT°R TAP (INCLUDE CORPORnTZO:] STO?) $ S :'riER T •CO = ~-=C.cy: - =3 $ _ / 1^J U AC^Oli`:T DEPOSIT - f•iATE. +S ~.ll..'YJ WnC $ SP.C $ TROtdR [7ATER ASSLSS:?E2iT $ TRu't1K SP.:iER :~SSEESj:i^NT $ LF,TER=,L BEidEe IT/T3U?iR SE::ER $ LATc'.RaL BENEFIT/TP,U::iC :•7ATEn $ 4~2 -WATER TREATPfEn'T PLANT SURCHARGE $ OTHER: $ TOTaL $ t1GdL, 06 r1ti10L":T PAID,%RECEI?T DOcS UTILITY CONi]ECTION REQUZP.E EYCAVATION IN PUBLZC RIGi-IT OF WAy? YES ZF YES, THEN A"PERh1IT FOR WORK WIT?iZN PUBLIC ROADSJAY" KUST BE ISSUED BY THE C] NO ENGI:7EERItNIG DIVISION. LIST AS A CONDZ- TION. SUBJECT TO TEfE FOLLOWING CONDZTIOh'S: • ~ APPROVED BY: TITLc: . DAT°_: ~ss~~sw~~~.?s~c~~~?~+~aw'M w1§"% ww§c+w~~~~~M gq wj.'m M M s~W_M MW 0cM wmrm m ' ~ aaa.Lp RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReamremenLS RemodeUReoair Reauiremenfs Office Use Onlv 3 registe2d site surveys shovring sq. R ol lot, sq, ft. o( house; anC all roofed areas 2 copies of plan Cert o( Survey Recd Y_ N (20q, maximum lot coverage allowed) 1 setof Energy Calwlafions tor heated addi6ons Tree Pres Plan Reod _Y _ N 2 copies of plan showmg beam & window sizes; poured found desgn, etc. 1 sile survey for additions & decks Tree Pres Reqd Y N 1 set of Eneyy Calculations Additian - indicate 6on-site septic sysfem On-site Septic System _ Y_ N 3 copies of Tree PreservaLon Plan if lot platted aker 711/93 Rim Joist Defail Options selection sheet (bldgs with 3 or less units Date j/ I,3 / a 3 Constructioo Cost Site Address /(6 (a 6005-1-b?07 d/+17-1 UniUSte # G'- J Description of Work //2 SrAGC. Ga S 57auE Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner ~J`J.5 ~ J`~' ?L U^~lJG~'N Telephone #(61_7 ) GPG - 73 j j Contractor Fc !a I,' ~ LU(% ~7 ° ~ / Address 3jBSb • /aLll~ /,3 City /,?ye) State % yv Zip $~33 7 Telephone 912 ) 99J -07 SPi COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enetgy Code Category . Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% ptan review fee applies. Licensed Plumber ' Telephone ) Mechanical Contractor Telephone ~ Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 no- u Applicant's Printed Name Applic Ys Signature OFFICE USE ONLY + Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 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.) O 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc. ? 05 03-plex O 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Misceltaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Qoors ? 34 Replacement •Demolitfon (Entire Bidg) - 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 bldg) _ FinaUC.O. _ Footings(deck) _ Fina]/No C.O. _ Footings (addition) _ Pluznbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu Final _ Framing _ Siding Stucco Stone _ Fiteplace _ R.I. _ Air Test _ Final _ Windows (ew/replacemen[) _ 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 Tatal 03/0112010 12:53 7634752566 4011111' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675»5675 Fax: (651) 67S 5694 Data: Tenant; 2010 RESIDENTIAL ?RIVN1T APPLICATION -tI o Site Address; PAGE 01/01 Use BLUE or BLACK Ink Ni Permit#: q7 7 3 5 Permit Fee: d > 6 Date Received: Staff: Suite #; RESIDENT l OWNER Name: t _ vt_ ff 0:15 iii Address / City 1 Zip; CONTRACTOR 411. Name: Wel d Ct,+'t d _! G<.mi +Q i}13.fcense #: Ogi ac-P,M Address: 341 0 Kt 1 ipt-_V t-Gc b1- . City: Pi v y(d"t 61 State: M _ Zip: 55 it ( Phone: _ C-163) L17 5 -0 2-6/'4, Conta i ) (•e_.I . _ Email: ctte 11 ,51 Z WW tee zukci g011 L. C_° P -r TYPE OP WORK PERMIT TYPE RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater aid, Softener (Incl6de;3 $.50 State Surcharge) New I✓ Replacement _ Repair Rebuild Modify Space ,Work in R.O.W. Description of work; _iv" 5� ii.K it,` P P) n — r,� t j i N e . RESIDENTIAL Water Heater Lawn Irrigation RPZ/PVS) Septic System New Abandonment Water Softener Add Plumbing Fixture �( Main Lower Level) Water Turnaround $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter,is required) $100.50 Septic System New ($10.00 per as built) (Includes County fee and $.50 State Suri barge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $.50 State Sucharge) TOTAL FEES $ CALL BEFORE YOU DIG,. Call Gopher State One Call at (651) 454.0002 for protecti' n against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoohe tateonecaliorg, I hereby acknowledge that this information Is complete and accurate; that the work will be in conformarro with the ordinances and codes of the City of Eagan; that I understand this is not a permii, 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 planplIn the case of work which requires a revleVrtmd�pproval of pans. ov Applicant's Printed Name Applicant's Sign ture 0:: � ' � �� } is 6 .5i el 9 . . ' 3 d «.. �.� �i• ;n� II li yy {{�� 11 dI ��' 1 9}_1I}1I ::,..1,. . .a , "�11 I 1 S l)Il jf. " s . k 1 tic. I I it '�` ; i S , n 4p'i.'1' i}a 1 ij 1y r 1 L r � il� d 1 ,�s°� {, tN �l� +� nl� �.�_ � � l e s e t T.. , 1. i1 u: i6 =t � 1? y ,,t ��ttkk}}��t}} 1'Itt, s??lt2� !� + i but nti illi ,>t� ,,•,, I i�lit��kiai�.�.4t . I.. �..I; p ,y {{�;�}�}�4p�r: 1 •,�It �Vifi�f4 d..,. 1P.SFit1'1R1itS �81..,1St }. 11l i) +c : �.„«.„.t��sii> tt�t t!+� 1,41.6.1. I. ,':'. iY}�' }�ii P .. sf 1 t r : 1141 M».,«„Y��b�l } {E dtSilt ti , 111 �� MI S i I..fA1Eh,1�t� sl }}iPf i1 iii. d< p l`ff`l i ��rl�r��i's'31i�1t�.11 4�„? it11i� . +l�"�� • , 1 For Office Use . . 4 % / 7J : � � � • Pe , mtit#: ,,,, E AGA N 4/701t ql ....• •.+.. A11111. Permit Fee: ..,„......„,„„ flECEIViE ": Date Received: q. � �/9 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 S i P i . s,-� Staff: : i' � buildinginsoectionsCa)_cityofeagan.com L By: LYr'y 2019 RESIDENTIAL BUILDIN PPLICATION ,15 Date: q' 10'4 Site Address: : .ti /ifs 0 A 7 / Unit#: 19.0 Name: J r Phone: htt �� t hr e vc B�lue �' owner Address/City/Zip: I J`ies j'(J /$C btfill /24/11/ '"/- Applicant is: Owner Contractor 0,,#;.„,,}4)._ fo y TyeDescription of work: /; / - - / La 44 of Work Construction Cost: Multi-Family Building: (Yes /No ) Company: L4/1jDj.,JA,(,[f,, W1 pContact: L1 /, ISA Address:•Contractorre4eC ft)51.11, City: i rlA Stat Zip:W21/4Phone: mai License#: l07'15 0 Lead Certificate#: • 10144. If the project is exempt from lead certification, please explain why: 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a penult for a similar plan based on a master plan? Yes No if yes,date and address of master plan: j Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor Phone: NOTE:Plans andswooning Cllr float you,submitconskiforedllo be Otibag fere P oatib classifiedas nomootba I'utwoWdo spittlfic reasons It would pen*Ow CRY to condude that toy are bade se You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 wgrk' n start without a permit; that the work will be in accordance with the appro plan in the case of work which requires a review and approval�Of la x VI '?'�.L '/ x WilifiLlt— App cant's Print Name Applicant's Si nature DO NOT WRITE BELOW THIS Oil S6,1 ()Ark IS LINE ltI \ (r) SUB TYPES Foundation — Fireplace i Porch(3-Season) _ Exterior Alteration(Single Family) Single Family X Garage _ Porch(4-Season) — Exterior Alteration(Multi) Multi _ Deck Porch(Screen/Gazebo/Pergola) V Miscellaneous 01 of_Plex Lower Level Pool Accessory Building — WORK TYPES New _ Interior Improvement _ Siding ___ Demolish Building* LAddition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair ` Windows Demolish Foundation Replace ____ Repair ` Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation (77 Occupancy 4--- MCES System Plan Review r Code Edition A/ SAC Units (25% 100% Y;) Zoning City Water Census Code /" Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 05 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Add' on) Final/No C.O. Required Foundation Foundation Before Backfill I HVAC Service Test Gas Line Air Test Hood Roof: Ice& ater Final Pool: Footings Air/Gas Tests Final Framing y 30 Minutes 1 Hour Drain Tile — Fireplace: r Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: ReviewedBuildingInspector By: 1 Pe RESIDENTIAL FEES 44611/119-61 Base Fee Surcharge Plan Review Pill" MCES SAC City SAC (J/D Utility Connection Charge3 , (1 f :-- -/ .c 7 7 ti q S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Suarvgy Arad Certificate For: • l57 '?YJ Jfaeph M. Miller C • . . Qnet. �� 18133 Cedar Avenue South �•� "4,026;3Farmington MN 55024 j DELMAR H. SCHWANZ LAND SURVEYOR t r , hoc, . Registered Under Laws of TF1•SW*of Minnesota 2678—146TH STREET W.—BOX M ROSEMOUNT,MINNESOTA 56068 PHONE 612 423-1789 SURVEYOR'S CERTIFICATE /iP c w ET $uR.y Pr 0 tR_ to - , 8,r f_S9 t$3 4 --GS.c o S a9°42'ri d ui- NOTES : a O poi.' �� • 1 0 Rt!� Plan 53-1��1r_:..____ T` : k Elev. D 4 � Q Garage floor elev . v a raised 0. 7 feet -is pi M 6� I t� `.`i, ti revised grading p1,1saI-,g87a ! ,....,./..- U �. _ _ lt ea., Z6 0 e a. ai,K 0 . , M /0 A n --- 4' /g AVO rTA:ON ph, ;. 4 kk 1h414t•0,-.47 i; ,ah 14 2 0,..6.2 e T 7-,f,?..a ti 13.s. ra h4? . 5gat5 ...� inC I toP h ' ) t1(7//ri)/(q TZ I 0,0 r. I 0 •- Property corner �--�, �-- D z• Set wood h u b IV �,/� a 1 __ 0 .0,,f- Existing elevation / Proposed elevation U' QPfltNRcE $ • a / Lirt1 rrY 0 CIN r�I4,7 PtS WlEuTgeOttz t f$77 = Proposed garage floor c'levet ion ., u ea 01\ '(01.be 5 a9°42`l7" Pr -I 17fitir 9( e' e v r /1/ by certify that this is a true and correct representation of the following described tract of land: Lot 2, Block 4, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon this lath day of J'ur _ . 19 85 . x' r- UINNfl1A / / taProfrro a rtrom Pun fig".S •