The URL can be used to link to this page

1117 Westbury Path CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21190 PERMIT NO.: Eayan, MN 55121 p^TE: „ Zorsing' No. of Units: 1 ' Own.r. .7ce "-7i11~: r Const. Addreu: Srte Addnss: 1117 Pattt L. i B.3 Z - ' Plunber. 6- _ r.. . ~ l 1: lMmM M~Iy wMl~ !i~ Clyr ~f V~¦ Connection GKWW: 5. q j 1?'?- OnNReaeM. Acoount pepppt. • 5. U;, PonMf FN: Surchorge: By Mlu. (]wrom Doft of Irup.: Totol: Infp.: Doh Poid: ~ CITY OF E/,GAN ~ 383o-Pilot Knok Road ~ WAIU SERNICE PERIIAIT ~ ~ P. O. Box 21199 ~ PERMiT NO.: Eapan. MN 5512~1 + DAl'E: ` ~ " No. of Unirs: 1 ~ OwnNr. IW i'il es Co.1fit. Adda Sft A,ddnm st:~tr ~Y111~R Qtt'.QI{~'jrb~ UtI I I2$ Met~r No.: D ' Size: Reoder No.: • • - p~.-'. . ~ h ~rM lin CN~r E~0 SurshorQe: >c_'. 13 2 0 AAIsc. Chorpn: 8 Total: y DaM Paid: Imp.: I- - ~ ~ I I I CITY OF EAGAN 12730 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ` To be used tor UEGK & PORCH Esi value $2,000 Date OCTOBER 6 19 3 6 ~ Site Address 1117 47ESTBURY PATH Erect A Occupancy Lot 7 Black 3 SeclSub. wESTBURY 1ST Remodel ? Zonina Parcel No. Repair ? Type of Const Addition ? No. Stories KEITH J RANDOLPH Move ? Length Name _ SAME Demolish ? Depth ' o Address Int Impr. ? Sq. Ft ciry Phone 937-7325 (W) mstall O o Name $AMAE 4 5 4- 9 319 Approvab Fses o i Address Assessment Permit $ 3 2. S 0 ~ City Phone Water 8 Sew_ Surcharge 1. llU ~ Police Plan Review ~ =a Name Fire SAC ~a Address Eng. Water Conn. i W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state thatthe gldg. off 10/ 6/ b 6 Tr. PI. information is correct and agree to comply with all applicaLbte State of Minnesota Statutes and City of Ea an Ordinarrces. APC Parks ~-f r Var. Date CoPies Signature of Permit~8f~'~' tt ~J= v TOtSL $33.50 ' RLITH J RANDOLPH A Building Permit is issued to: on the express condition that aiS work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial ~ T Po nMI No. Pa mif MokNr Dab TN~phon~ M PlumbMp H.Y.A.C. EIocUic SoNMer Impectlon Daft Imp. Cammonb FooUnptl FootinW II Foundtlion ~ Framinp 5- ~ Roobnp Rouyh Plbp. ppuph Htp fnaul. ` Finplact FMaI Mp. Final Plbq. Bldq. FNN GA. Oec. Dock Ftq. Mck Frmq. WNI Pr. Dap. CITY OF EAGAN , 3830 Pilot Knob Rosd, P.O. Box 21-199. Eapsn, MN 55121 PHONE: 454-8100 ~ euILDiNG PERMrr Rece+pt T~ M wd fw Est.Volue ••fic3,0C3G ~e i;t1' 19 `~5 Sits Addreu 111 7 ;-fE ST ',1i1RY Pr%TH Erect Occupancy Lot 7 Block ub. W17FTAUi<Y 1S1' Remodel Zoninp :{1 Paresl No. Repa ir ? Typa of Contt. Addftion ? No. Stories ;IOE MILLER CONST Move ? Lengtn 4C1 ~ Nwne C$rlaZ AVE Demolish ? Depth 48 Addm Int Impr. ? ''AF_MI[3GT`~'1t}~hona 1- O1 instan ? Ft. City AVNm'oh fNs Name Addrea Asstsunent Permit Y ~ City PAona Woter 3 Sew. Surcharye 4.5G Poiiu Plan Review lb t? . 30 Name Fin 3AC 525.00 ' A d d r e u Eny. W a t e r C o n n. 500.00 t~ Cfty Phona Plarxrr Water Meter h=•OU Councfl Road Unlt '2 8 i) l) I heneby ocknowledye thot I how reod this application ond stote thot Bldg. Off. 7 1 0 S J Tr. PL 132. a U fhe in(ormotion is oorrect ond oqree to comply with oll applicaWe, A~ Stah of Minnwsota Stotutes ond Gty oF Eo4an OrAironces. 1 Vsr. Date Cppies Sipnafun of PennittM ; , ~ ~ CE~:VST Total 2rU4si _CU A Buildinq Pennit Is isuMd to: an the expeem CordiHon tlwo dl work sholl be done in ocoordarice w" all appliaoble Stole of Mlnnesoto Statutea cnd City ot Eapon O?dinoncas. euiwino arkW ' Prrmlt No. Pwmlt HoWw Dob Tehphon* s Mumbin/ /--h c_ ~ - H.V.A.C. ct'I,_f /-T 1 v Ebmis 156 g aofmw liapeetion Doa Imp. Othv Footinps 1 Footings II Foundatlon Framinp Rooflnq Rouph Plbp. ~ Rough Htq. InsuL Flnplam ~ Final Ntp. Flnd Plbg. Finsl C.woec. wac.. o.,arie. Loe.si . WNI Swrer P?. Dlsp. RmaiPt MECHANICAL PERMIT Pamk No. CITY OF EAOAN ' F« ~ fis In nw„a~ *wm s/c TYW a PnM laWbiY ToL.-,n `,T ~ " 1. Dm 2. InstaIlmon Con i 3. Job Addna 81k. Trsct - ~ i 4. OWMf , t_ 6. Contrsetor _ C r Phone 8. Addnu _j 7. Gty ? 'i Stats 1 ~~~1 !1 i ` Zip 8. Buildin9 Typr Hesidsntial Comnwrcial ? Institutional O 9. Work Desaiption: New Q Add ? Alter ? Repoir ? 10. Dacribr Fwl Type I 11. No• FqiljpWMnt 8TU - M. Ea. No• Eauioment CfM Foroad Air Air Hsndlinp: Mfg. Boilers Moch. Exhautt Mfg. Unit HNater ; Mfg. Other Ai r Cond. Mfg. Go, Pipinq Outlett ~ 12. I hsreby aertify that the abow informetion is true and oormct, snd 1 apres to oomply with all ordinanoes and oodss porsminy thi: typs of work. SiyrNd ' _ a ltr, Rauyh , Final ' inspmions: Dsb Insp. Qate Insp. Thfs is your permit when numbered and approved. APProvsd CITY OF EAOAN 46"100 Reaipt PLUMBING PERMIT Pwmk No. \ CITY OF EAGAN ' FN Fil1 in numbwMwx.w 8/C Type a Prlnt !pldly Tot. 1. Dats' 2. Instsllation C,ost 3. Job Addressi s'r-. Lot Blk. Tract ~ r i ~ i~ 4. Ownec . ~ r • ~ ' ~ 5. Cantnctor, - Phone~ i,- 8. Add?esFa= - - - 7. City Sute` j 2ip 8. Buildinp Type: Rosidential f] Commsrcial ? Institutional O 9. Work Description: New O Add ? Aiter O Repair ? j ~ 10. Desaibe 11. No• Fixtures No. Fixtures Water Closet Coupool/Drainfield Both tubs Septic Tank Lavatory Softner Shower WNI Kitchen Sink Urinal/Bidet Other Laundry Tny Floor Drains Drinkinq Ftn. + Slop Sink Gas Pipinp Outlets 12. I heroby certify that the abov% informatibn is true and correct, and I aqree to comply with all ordir}apces Md.codes,qoverniny this type of work. S'iynod : for Rouqh f inal Inspections: Date Insp. Date Insp. This is your psrmit when numbemd and spproved, Approved CITY OF EA(iAN 46"100 E ; ` INSPECTI4N RECORD ' E Control No. CITY 4F EQGAN PERMiT T1fPE: 3830 Pilot Knob Road Permit Number: ~)~~a{f.;t ° Eagan, Minnesota 55123 Date Issued; (612) 681-4675 , ~ SITE ADDRESS: c o t t ~ t„ ~?c ~ ~ APPLiCANT: ~ t,r I KiiFi r ra rH 1.;aNPti(0ra- ? r NutjHF n ur~.I litin4 1,31 ~~i~~r ~.~t-~,?,af, i , ~ ~ PERNYT IYY,TYPF: TYPE OF WORK: REPR IIr M L1E8CRJPTTOl1 rlrRlt 11AMAwf ~ FRAlIIlIA fiHAI ~ i: ~ - f ~ ~ i ~ ~ ! r - - - - - h Poenll No. tiMmit ?ldom orM Tokptrone 0 SrW. PI,UMSINCi NVAC . ELELrTRIC., I - Ga.i.MIC 1 . MpM~On DaM Y"P. cornn%w101 FoOwIQa 1 [ Foan~i~nr~ ~ r, ~ RoWinO , P"O pbg. i ~ P"Pwm 4S ` . i' , snd ' Of"T" . FkMI P1bg• Pft Ytipecrlo? - NdMy PhnibK , Cqtit 6M7sr _ ~ EnprJPlan omaM? fip. Dedc And Y" - a' CITY OF EAGAN N-0 10 6 9 8 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT rteceipr # Te M wd 1ar SF DWG/GAR Est. Value +568,000 Date AUGUST 1 19 85 SiteAddreu 1117 WESTBURY PATH Erect ~ Occupancy R3 7 3 sa WESTBORY 1ST Remodel ? Zoning Rl Lot Blotk c/Sub. Repair Percel No. u Type of Const. p Addition ? No. Stories JOE MILLER CONST h~ove ? Lenqtn 40 W Neme Demolish ? Depth Z Address 18133 CEDAR AVE Int Impr. ? Sy. Ft. ~ City FARMINGTOI~hone 431-2001 Instau ? $AME Approvals Feas o Name Address Asussment Permit • 00 ~ City Phone Water 3 Sew. Surcharge 34 . 50 G Valica PlanReview 168.50 ~ZW Neme Firo SAC 525.00 Addrass Enp. WaterConn 500..00 "'W City Phane Clonner Water Meler ~ ~ < Council RoadUnit 28() _ DO I hereby uckrowledge thof I how rcad this opplicohon and smre thaf Bldg. Off. 7 0$ S Tr. PI. 1 3 7- O O fhe inlormotion is corre[t und ogree to wmply with all aDPli[al~ State o4 Minnesoto Stotues o d 'ty of Eaqan inances. A`P~ Pe~B X Var. Date Copies $ipnofure of Permittaa I n Buildin9 Permit Is issued ro: JOE MIL ER CONST m ~ e~al ne n 00 A xprea tordlMOn ihot oll work sholl be done in accorda e i 11 all applicabla fitMe~ Minrowta Srotutes ard Ciry of Eaqen Ordimnces. Buildlnp Offidal C~ CITY OF EAGAN - 12730 ' 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 Np PHONE: 454-8100 BUILDING PERMIT Receipt k 7obeusedlor DECK & PORCH Est.Value $2,000 Date OCTOBER 6 1986 SiteAddress 1117 WESTBURY PATH Erect L~ Occupancy Lot 7 eiock 3 secisub. WESTBORY 1ST Remodel ? Zoning Parcel No. Repair ? Type ol Const Addition ? No.Stories m Name KEITH J RANDOLPH Move ? Length z SAME Demolish ? Depth o Address Int. Impr. ? Sq. FL Ciry Phone 937-7325 (W) Install ? io Name SAME 454-9319 Approvals Fcee nddress Assessment Permit $32.50 ~ ciry pnone Water & Sew. Surcharge 1. 00 ~ ~ Police Plan Review Fi Name Fire SAC u i nddress Eng. Water Conn. a W Ciry phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicatwnandstatethatthe eidg.Ott. 10/6/86 Tr.PI. information is correct and agree to comply with all applic He tate of Minnesota Statutes and Ciry of an idin es. APC Parks I I Var. Date Copies SignatureofPermitl ~ Total $33.50 A Buddmg Permit is ised to: K ITH J RANDOLPH on the express condition that all work shall be done m accordance wilh all applicable State Minnesota Statuie nd,Ciry of~n Ordinances. Builtling Official ~ CITY OF EAGAN Remarks //i ?i~ ~ n~~ ~ Q~~-'~~~% WESTBURY FT ~ 7 a Addition R5I 1lBAITzgpd Lot sik 3 Parcel 10 36~9 978 93 Owner Street 1117 Wecthiir3. Patl7 State ggsgn, pN 53123 Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. 1 oZpSO•L10 / 020 /r oZ -c~5 STFEET RESTOR. GRADING [dater area /~'I 1986 133. 7 8.92 15 / 9 .61do - a. SAN SEW TRUNK 1$ 43 2 29.08 15 4/0 ,~0/ o0 * SEWER LATERAL 1986 5 0 5009,73 P"O 0 8 ' Idatermain 1986 65.29 -T - a9 14 0 /~oao 9- 45 WATERMAIN 07 1984 68.71 4-58 15 S. ' AOt (,aod' 9-a -8 WATER LATERAL 1986 WATER AREA 0 1984 184.92 19 111 15 0.a1 S' ao -a - s *Services 1986 STORMSEWTRK ,r, 1986 710.24 142.05 5 1Qi.a7-A1 0/ a.Ot q-01. -95 t STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT WATEF CONN. n n 500.00 BUILDING PER. n n SAC n n PARK ~ 3U ,so ~ 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Plcase complete (or, single family dwellings & townhomes/condos when pertmts :ue required for each unit Date v / I / ~0 SiteAddress Unit# Property Owner ~,(-~h ~n Telephone # ((DS J ) y 5y - G} Contractor StreetAddress City 1~7 (-~l 1'1 , ~ srare zip 5 Telepnone # ~j) ) ~RN-(20 ad ~1J Bond#:e-)c)-~~~n--~ Eapires: ~ - ~ ~ I~LI The Applicant is _ Owner ? Contracmr _ Other Add-on or alteration to ezisting dwelling unit S 30.00 ~ furnace _Additional _Z~Replacement = New air exchanger ~ airconditioner heat pump other State Surcharge $ .50 Tocal $ 3(2).5Q I hereby apply for a Residentiai Mechanical Permi[ and acknowledge tha[ the information is complete and accurate; that [he work will be in conTormance with the ordinances and codes of the City of Eagan and with Ihe Mechanical Codes; that I understand this is not a permit, but only an application for a permi[, and work is not to start u•ithout a permit; that the work will be in accordance with the a oved plan in [he case of work which requires a review and approval of lans. r nd_Is~ ' c ApplicanYs n ited I`'ame App icanPs Si n t e 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodeUFteoair Reauirements OKce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq fl. of house; and all roofed areas 2 copos of plan Cert of Survey Recd Y_ N (20°h maximum lol coverage allowed) 1 set of Energy Calculations (or heated additions Tree P2s Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured lound design, etc. 1 site survey for additions 8 decks Trea Pres Required _ Y_ N 1 set of Eneryy Calculations Addrtion -indicete i(ar-sde sepGc system Oo-site Septic System _Y _N 3 copies of Tree P2servation Plan'rf lot platted atter 711193 Rim Joist Detail Options seleIXion sheet (buildings with 3 orless unRs) Da[e a l a/ l UC. Construction Cost 25V U Site Address 7 GU-! SfbLCeZy Pa-l-h uniuste a Ea cc iv 557/23 ~ 5CLme cu Wh c1A erev-~ DescriptionotWork lI`1S~a/l ~ LJUW o'~/ihsrr~- w~hdows ~~el Multi-Family Bldg _ Y)~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Ke i kh Pa ti d o I a h Telephone > G S/ - y5y- 9~319 Contractor L GC{')')hC?~ ~,YD/'~J Address AEf Z~f$A). Fa%YviEUJ City KOSfUJ/ State lJ')/hl7E SOf GL. zip 3 Telephone q(&5!) 95 31n S'0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene~gy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (q submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # Sewer/Water Contractor 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 plans. Ll(n)elle, VanWcrqneR _&AtbeCP, Uai?L)i~W~ Applicant's Printed Name Applicant's Signature 9o.oo OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea ) ? 31 Ext. Alt - Mulli ? 03 01 of _ plex 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Exl. Alt - SF ? 04 02-plex [J 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 MiSCellane0u5 Work Types ? 31 New ? 35 Inl Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AI?eration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA hantlout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump ik of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ AidGas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Pireplace R.I. AirTest Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total . ~ + co 2005 RESIDENTIAL BUII.DING PERNII'f APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaui2menis RemodeVReoair Reauirements Offce Use Onlv 3 registered site surveys showing sq. ft of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20%mazimum lot coverage allowed) 1 set of Energy Calcuiations for heatetl additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing heam 8 window s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _Y _N lsetofEnergyCalculations Addition - indicatei/on-sResepficsysfem OnsiteSeplicSystem _Y _N 3 copies of Tree Preservation Plan H lol pWiled aNer 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / ~ / C) K_ Construction Cost (yC-,C'O Site Address t7 iy F Unit/Ste # Description of Work Multi-Family Bldg _ Y ~/N Fireplace(s) _ 0 _ 1 _ 2 Property Owner l~< 7% 0 lZ AvJ ~ U LF>A Telephone # (CoS 1 3 l ~ Contractor S 13lna S(A i~ C~' 0NA L(F77f S Address `1008 City SfiZii..lc~ State Zip 38C~ Telephone #(9SZ g-~t `1 ~ y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitled • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan& _ Y _ N If so, 25% plon 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 5tate 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 w'chsequu-cs_ review and approval of plans. uN os 2005 Applicant's Printed Name Applicant's Signature By- - - OFFICE USE ONLY i Sub 7ypes ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 0 1 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt- SF ffi' 18 Deck ? 23 Porch (screen/gazebo) 13 36 Multi Misc. ? 04 02-plex ? 10 08-plex /k ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Buitding' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitlon (EnUre Bldg) • Give PCA handout to appliwnt Valuation (ouv Occupancy MCESSystem Census Code l~l ~LL Zoning City Water ~ J ~ SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ~ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector - - Base Fee Surcharge 0 Zli,~ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Certificate for: Bk: 91,19A . Joseph Miller Construction Co. 18133 Cedar Avenue South Plan R-3267 Kingman Farmington, Minnesota 55024 Plan is flipped No walkout DELMAR H. SCHWANZ LANDSURVEVOHS~ ~k3L, Reqiateretl UnOer Lowf of The SLte of Minnasota . 7978 - 116TM STREET W. - 80X M ROLEMIOUNT, MINNESOTA 66068 PHONE 612 423-1769 BURVEYOR'S CERTIFICATE gg6.9 _74.pD SB9°42'Z7~1~-- I ~I I ~ -~~5 1 ~ Q I ~ _ oS f'~o~b?bY~ 7.7 ~ I QTvpf~?8 V p ~~o _..-,f,o ~qn) ggg.IS a I p,¢o~vf£D 1~ ~ ~ youSE ~ ~ ol lo p~I ~ ° %1 f I ~h^ ~ I n 1; r?c~ = 3 " C'a Sd6,5$ I ~ 888 g 0 Q = Property corner o Set wood hub ~ Lht Uty EAbflML~ST ~ ~5~~ = Existing elevation S 89°42-27, W~ 888 = Proposed elevation T~Pc,Ra TPC~R a o Bes.y ~53.9 m EeJT II Ule-Y 1 ^PtT~ 1- SS9'0= Proposed garage floor elevation ~1 I hereby certify that this is a true and correct representation of the following described tract of land: Lot 7, Block 3, WESTSURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minneaota. Also ehoving the locatip~ of a proposed house as staked thereon this 20th day of JuTle ly tl • ~ ~i '.~l rC,i•_'{~ MINNESOTA FEGISTRATION NO. 8625 ~i RESIDENTIAL ~ BUILDING PERMIT APPLICATION ~5~) CITY OF EAGAN ~ I~.. U~ 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsW ction Reouirementa RemodellReoair Reouiramente . 3 registered site surveys showirg sq. ft. of lot, sq. fL of house; and all rooled areas • 2 copies of plan (20% mazimum lot coverage allowed) , • 1 set of Energy Calculations for heated aCditiore . 2 copies of plan showing beam & window sizes; poured lound design, etc.) . 7 site survey for extenoraddNOns 8 decks • 1 set of Eneqy Calculations • Indicate if home served 6y septic system foraddi6ons • 3 copies of Tree Preurvation Plan if lot platted after 771193 . Rim Joat DeWd Options seleclion sheet (bldgs wAh 3 or less units) DATE VALUATION SITE ADDRESS 1n11/ w~'~~^'~ /d"~ MULTI-FAMILY BLDG _Y _ N TYPE OF WORK KP- le961~_ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT C STREET ADDRESS II b~-Iyq CITY ~'wSk. STATEtA*! ZIP,532-F7 TELEPHONE O.sd gF,~-(F003 CELL PHONE #6Ia 770-1y12- FAX #(V(W" "lnOII PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"fA RUI.LS 7670 CA1tiGORY I MINNESO"1'A RULGS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcula6ons Submitted Plumbing Conhactor: _ Phonc # Plumbing syslcm includcs: Walcr SoCtcner _ I 1ivii Sprinklcr Pcc: $90.00 Walcr Hcaler No. of R.I. 13allis No. of Batlis Mechanical Contractor: Phone # Mcchvtical systcm includcs: _ Air Conditioning D~~~ n M~ ~N rcc: $70.00 _ Heat Recovcry Systcm ~l ~ ~1 4 Z002 Sewer/Water Contractor: j P one # I hereby acknowledge that I have read this application, state tha F~ieinform n is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan es. SlgnatureotApplicant --------------------------------------------------e~~~__-___~~~-- OFFICL USL ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES 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) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC Ciry sAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l9UST BE LICENSED YfITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICASES OF SURVEY 1 SET OE ENERGY CALCULATIONS (78,coo. -f To Be Used For: Valuation: ~ Date: Site Address: ~7 OFFICE USE ONLY Lot: 2 Block ~ Seet/Sua„rect X Occupancy ~-3 Remodel Zoning ~-I Parcel !1 Repair _ Type of Const -~F-_ Enlarge 1t of Stories Owner Move Length 4.0 Demolish _ Depth c}$ Address Grade Sq Ft City/Zip Code Phone APPROVALS Contracto Assessments Permit ~ Water/Sewer Surcharge ~ ~ Address Police Plan Review Iib • Fire SAC ~cL.~ City/Zip Cod QEngr Water Conn 5e b Planner idater Meter (03.°-° Phone 5~3i aooi Couneil ~Road Unit 2gp,°-° Bldg Off / gS Parks Arch./Engr. APC Treatment P1 13 2.°° Variance 7 Address TOTAL "SD f/ 7 d - a7) City/Zip Code Phone (J lN , .._Certificate for: Bk: 91,19A ' Joseph Miller Construction Co. . : 18133 Cedar Avenue South Plan R-3267 Kingmari Farmington, Minnesota 55024 Plan is flipped ' No walkout DELMAR H. SCHWANZ . LANDSVRVEVORS~ ~kx. RpiatwW Untler LawI a1 The Sbts ol Minnesota . 2978 - 746TH STNEET W. - BOX M ROYEMOUNT, MINNESOTA 56068 PHONE 872 023-1768 SURVEVOH'S CERTIFICATE gg6.9_74.pD 589°42~27MUI~-_ S~~J Lr, ~ ~ 5~-- - - - - ~ I w I ~CA (Aft Ir I ~ h ~06u~ 88~.5 ' ~ ToPNue ~ l~o ¢o /9o ggk IS N Q I ~ flvuSE ~ ~ 0 o u. ,~~,3oT ~6,5~ I r ~ 888 $ ; O = Property corner 0 Set wood hub L1TtL EAbBMlli1T~ ,J - Existing elevation tbv --~40Q 5 89°42'27" W~ e88 = Proposed elevation ToPCuiea 'PC~R Q a e03. y M m w Esl' guP-Y pp'i 1'14 SSS'O = Proposed garage floor elevation I hereby certify that this is a true and correct representation of the [ollowing described tract of land: Lot 7, Block 3, WESTBURY FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minneaota. Also ehowing the locati p of a propoaed house as staked thereon this Zpth day of J~e , 19 ~7 . - ~ ~ ~ Zi MINNESO7A REGISTRATION N0.8625 ~ l ~ J ~ \ w , _ ; n ~ ~ PERMIT C°" 0882 CiTY~OF EAGAN euz~oiNc 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 001175 (612) 681-4675 Date Issued: 0 7/ 2 9/ 9 2 SITE ADDRESS: 1117 WESTBURY PATH LOT: 7 BLOCK: 3 WESTBURY 1ST DESCRIPTION: FIRE DAMAGE Buildfng Permit Type SF (MISC.) Building-Work Type REPAIR , REMARKS: C (1 o`2DI o~ ~ FEE SUMMARY: VALUATION $20,000 Base Fee $207.00 Surcharge $10.00 Total Fee $217.00 COVA TAJ~TOR: - APPlicant - S7. IICOWNER: N-LINOGREN 17215546 0003129 KEITH RANDOLPH 2228 E 35TH ST 1117 WESTBURY PATH MINNEAPOLIS MN 55407 EAGAN MN 55123 (612) 721-5546 (612)459-9319 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 Mn. Statutes and City of Eagan Ordinances. ~O ~A!flll '.a~~ ~ APPL ANT/PERMITEE SIGNATU ISSUED Y: SIGNA7UR PERMIT N CITY OF EAGAN REACT•:VAtE_ 1992 BUILDING PERMIT APPLICATION 681-4675 I SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit 1s requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date /-2 9~ 9 2 Valuation of work ;S2 13, v~o Site Address:l//'~ l.~J~S-f-gu {e y. P,4A STREET SU17E N Tenant Name: (commercial only) IAT q BLOCK ~ SUBD. P.I.D. 11 Ul a.cxa il Descri tion of work: ~i2c eA Th2 applicant is: 00wner Contractor ? Other (Deseribe) Name c 17~1 n~ u Phone gs~ Property LAST FIRST Owner pddress 1//7 w~5f &kKy F,4~ ~f STREET STE il City cp+4 41%j State /it-` Zip Company SAm Sn v L; ~,eta., i,,C_ Phone 55 Contractor Address ~~-2k L ~S 74 Sf License, #1J_~2 Exp3 3/y3 City vYl„oX,. State 114, Zip Arch(tecU Company Phone Engtneer Name Registration # Address City State Zip Sewer 3 water licensed plumber . Processing time for sewer A?vater permlts is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wi'th01 applicable S te f nnesota Statutes and City of Eagan Ordinances. Signature af Applicant:, OFFICE USE ONLY BUILDING PERMIT TYPE _ w ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~a1GBasenfent Finish ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ' ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./1nd. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility 0"21 Miscellaneous r~t~~~r WORK TYPE 'r p ? 31 New O 33 Alterations ? 35 Tenant Finish ? 31 Demolish ? 32 Addition ID 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Nater UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code v35- Depth On-site sewage SAC Code APPROVALS Flanning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site ? footing E] Framing ? Insulation ? Mallboard Final O Draintile ? Fireplace Dermit Fee 70 ? v.i~ccd,: g Surcharge ~o Plan Review License MWCC SAC City SAC Water Conn. Mater Meter . Acct. Deposit S/M Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC 96 SAC Units 0 1986 BIIILDING PERlII2 APPLICATIOH - CITY OF EAG9N HOYE: ALL CONTRAC'lORS MQST HE LICENSED WITH THE CITY OF EAGAN SINGLE FAMIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NQLTIPLS DiIELLINGS - RFSIDENTIAL RENTAL 09ZTS FOH S6LE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDAVSY - CHECB WITH HLDG. DEPT., 1 SET OF ENEAGY CALCQLATIONS COlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Dqc Pd*IWValuation: 2~000 Date: I' Site Address 74/e6S73vR.Y Of-~ OFFICE QSE ONLY Lot 7 Block ~ Erect ? Occupancy 8emodel Zoning Parcel/Sub Repair _ Type of Const / Addition A of Stories Owner AlE/T71 • ~jq'NDOL/~G Move _ Length Demolish Depth Address Int.Impr. _ Sq Ft Install _ City/Zip Code 2hone ySS4-Y31 19.~7- 73a~ ezaN APPROVALS FeFs Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies . Address TOT9L City/Zip Code Phone 0 , MOTE: ADDRESSES EOR CORNER LOTS - CONTAACYOR/HOMEOiiNER IiDST DESIGNATE WHIC9 ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BOILDING PERMIT IS ISSITED. I Z r~ 12 = 144 ~ I 2a k IS So x b " 7~8 ~Gs ~32~ 1 2/84 CITY OF EAGi,N APPLZCITION FOR PERMIT SE:•iER AVD/OR WATER COi NECTIOiT (PLEASE PflINi) 1) PROP&T7?"f ACDPZSS: ~JUAy TFr=,t. D~.~=PTTc:r: _ 7 3 ~ (LccBlccti/Si::,aivislcn or Tzc rarcei I.D. caTE cc cP-Tc-7':~.L -=_1I= =-Sr=..-. Gsz: ? ..-1 Si::,'L: ~irr•~ R-2 CUc-=. (?';'O L'^]I;'S) ? R-3 ':Ci•.\i,'.-:^Jcc (mc._c^ - L--T:=: ) ~ 1==Z? ? ..-4 i,==.•=T.c-.miO::T,C:.tri ? CCi~n~..?C_ S./R ,IL~Cr: T_Cu ? ~'CtiSi?r~.I, Q r,;Si! . r~.,.,.,~ tirc~ ~i./G.~'Z.-~ : 2) i,P?L.IC__T iFLE;.SE 7R[V) K°'~~= ~oe " ACeREss: 18133 rccvi4r v.-GVL . CI'_^_', S"17.T', ZI?: ~~yr.ar:4.•r~otJ iTJN S~~iOeZ`~ PI:GNT: y~/- o2D0 f 3) Pu:.i..M lNLEASE PNLYi) FOn CIiY G5E 09LY ~ ~/Y h104 Th ~~U/w~i 41 C~ CiHC~ ' PlJ!!9E iC.SSE: PDC_,ESS: I4.22P --23 fV qvc dl ~ wt CIT'l, .$TITE, ZIP: ~ ysou /y/ PH O~iE; 5 -367.i PLUNBER LICE}7SE N/a'f3 Record ~i:ia1 4) (PLEASE PFltli) Ni+i~tE: ADDRESS: ST::TL, ZIP: PI:O`IE: 5) It~IpIG.iy :vHICH PER;•LIT IS BEZ::C RECUESTID; ID/CC`:NF.C?'IOV'Ib CIT'! ScS-i'E:2 CC:::=G:I TO CITY [PATE:t ? Cr'i~..'? (PLG;SE D:SC?.IL'E) 6) U:JIG, C:.:: . • D'~P=tiSE~f?OLD r1PPP,= PEPMST FOR PZCFC-Up BY C:+E OF F1E(,,'E ~ orr:,S-- :,1.7IL APpRWED pEF_.iLT 'PJ 1, 2, 3, 4,aFiOVi (Ci:cle or.e) 7) SIC..,'I[.iv.: __Ldl_Cdtrl~t/ DATc': tg5 ~~l O~ala~llAi~ ~ eal~.Yfra ff ~/+tta a:~a i s~s~a'a YtlJ~:sry~.~ S Soot I !'wAk~ FOR C I T Y U S E ON;,Y P~RNt^• TSSiJz'D $ //l•ro S`IAT^7 AF'zit7T {Ii:CiuDc S-uaC:::~RGci $ WAT°t2 MET°R/COPP°R:?ORCI/OUTS?~~ RV;;p=,~ $ GdAT°a TAP (INCLUDE COR?ORnTZC.`: STO? ) $ SSi•;c3 TA? $ ' ~U -_..-1.::7 $ /~•u~ ACCOuJ:T D•°:?C'SIT - f•IAT_3 $ <UG LJ ;C $ olS?.C $ T!?U:`i:: 47AT°R :;SJESSr:=:iT , $ TRG:?IK SE:'iER ASSZ-cJ:7°_:'!T . s Ln;E?,nL BL['lGtTT/T3liP1iC SEi:E= $ L'n:'c:2.yL BLNLL 1T/TDU:Ii< S-1ATr- $ 1' cv WATER TRPATTfE*;T PLA:\T SURCHARGE $ OTHER: S TOT:,L PuMOti`.T PrIZDlRECEi?^ DOES UTZLITY COi:::EC.ZON REQUZP.E EXCAVATION Iy pUFiLIC RIGi-IT OF WAY? YES ZF YES, TFIEP] n"PERPIIT FOR '.•IORS WITHZN PUBLIC ROADSvAY" MUST BE ISSUED BY THE NO ENGI:]EERING DZVZSZON. LIST AS rl CONDI- TION. SGEJECT TO THE FOLLOS4I.IG CONDITIONS: • APPROVED BY: TZ':Lc: ' ~ • . DATr. i wem =t+w4m ralo-Joe w"v ` RECE1vEu MAY 2 8 13216 xay zi. 1986 L~ Ilr. Deve Gabbmrt President Gebbert Developeent Conpany 1055 E. Wayzate Blvd. Wayzata, MN 55391 Dear lir. Gebbert, We the underaigned heve purcheaQd houaes £rom Joa. liiller Con- atruction and Grand Oeka Development on the aouth side oY Block 3, Weatbury Firat Addition. 3ince eccupying our hoaen, we heve all experienced significant probleRS witA standing water and marahy apota in our back yarde due to poor draitlage, and problews ' with wet basewonts. Theae iteaa have nll baen previoualy reported, but the problea has not been corrected. Now that ths £inel houae on the block is nearing completion, we £eel tAat it 1s an appropriate time to identi£y and implement a solution to our dreinnge problema. Resolution will requira a re- examination of the drainage for the entire block, and any necea- sary correctiona will require a eoordinated effort between devel- oper, buildera, end whoaver doea the repnir work. We require that you aubait to ua £or approvel, in writing, how you propose to reaedy thia situation end your anticipated ached- ule £or per£orming the repaira prior tn beginniag any work. Sincerely, ' Fre Girraa 429 ea R. Wood ' 9i1l25 f Waber 1121 Weatbury Peth Weatbury Path Weatbury Pnth Eagan, !!N 85123 Eagan, MN 55123 Eagan, MN 55123 L ~ ~th R dolph 1117 Weatbury Peth Eagnn, !IN 55123 • CC: Tb& COlbertJoseph Miller Nicheal Parriah Pub11c Worka Director President Preaideat City of Eagen Joe Miller Coast. Grand Oaka Devslopwmnt Hom• Buyera Werranty St, Charlae, Illinoia 33 -4~;D L 7 gL ~ CITY USE ONLY RECEIPT a: C 12 9 0 ~ SUBD. ll RECEIPT DATE: ~ PERMIT # ( lS~ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newrreturbisned ' requires MPC Ilc. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new installationfrepavlrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ UndergfOUnd SpfinklCf if dwellin9 is under construction 3.00 X = $ Underground sprinkler if existing dwelling 30.00 x = $ Wa1er closet 3.00 x = $ Water heater 3.00 x = Water softener If dwelling under constructfon 5.00 x = $ Water softener lf axisUng dwelling 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge 50 $ 0 Total Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. 30 •`J 6 I hereby acknowled-ge that I have 2ad this application, state that the information is cortect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibildy to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normat operational and maintenance activities to the hcilities constructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: / ` 1 -7 KrLSTf3Ll21.J Par-H OWNER NAME: : ~SJTN OAyUV-.Lr-W TELEPHONE (~S/ - ~FSq (AREA CODE) INSTALLERNAME: fUliR. TELEPHONEi~~~'~~'~-'S STREET ADDRESS: e-~d OD /r]OLCS D/C. ,<~-,,yE '7'b ( REA CODE) CITY: ~6~1/•l'-fa T . ZIP: ~ SIGNATURE O PERMITTEE RESIDENTIALBUILDING cU ~y 75- Permit Applicatioo City Of Eagan 3830 Pilot Knob Road, Eagaa Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtion Reauirements RemodeUReoair Reauirements OKce Use Onlv 3 regislered site surveys showing sq. R ol IoL sq. A. of house; and all roofed areas 2 copies of pian Cert ol Survey Reoi (20% maximum lot coverage allawed) 1 set of Energy Calalalions for heated addiGons Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured (aund desgn, etc. 1 site survey for adtlifions & decks Tree P2s Not Reqd isetofEnergyCalculatwns Addifion-mdicatei/on-sResephcsystem _On-siteSepticSyslem 3 mpies of Tree Preservafion Plan i( lot platted after 7/1l93 Rim Joist DeWil Options selection sheet (bldgs with 3 or less uniLs Date a / ( 4 1 ! 6 3 ConstructionCost C,2, a'15lp Si[eAddress S~bV{lJ~ PGl,rl UniUSte # Description of Work , Multi-Family Bldg _ YL<,_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) RMA HOME SERVICES INC. ~ - - Contractor Home Depo[ Instalted Sales I I~ ~ IT: 3200 Cobb Galleria Pkwy, Ste. 5200 ~ Address Atlanta, GA 30339 _ City /I nr, State 763-542-8826 phone ~L L) BC-20268257 ` l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submined • Energy Envelope Calcuiations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 ro start without a permit; that the wark will be in accordance with the approved plan in the case of work w}ilch requires a review and approval of plans. AafQ ~~C\,-) Applicant's Printed Name Applicant's Signature GFFICE USE ONLY Sub Types ? 01 FoundaGon ? 47 05-plex ? 13 16-plex ? 20 Poul ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 11 36 Multl Misc. ? 05 03-plex d 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_V or_ N 0 25 Miscellaneous Work Types ? 31 New • 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ?.45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolition (Entire Bldg) - 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 REQUIREDINSPECTIONS _ Footings (new 61dg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbmg Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A'u Test _ Fina] _ Windows (new/replacement) _ Insula[ion _ Retaining Wall _ Approved By , Buildir.g Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant License Search Copies Other Total . • • ' Instailed ~ Siding and%MUsPOWER OF ATTORNEY r , . . . , ' OUNTY OF COBB , • STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("PrincipaP'), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, NIN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my name, place and stead the power to execute, acknow(edge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessazy and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installa[ion, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attomey aze limited solely to the express powers delineated herein and apply solely to the Work:' ' This Limited Power of Attorney shall'expire and automatically be revoked on the 30"' day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the PrincipaPs death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 3ON day of Mh`t , 2002. a c D o§ David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30'h day of May, Notary blic in for the Stat of eorgia My Commission Expires: Januazy 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT . ' Use BWE or BLACK Ink . 5� �------------------ � � For Office Use � :. C � �a.�� City of �a�� G�� I Permit#: � ' �o. 5� � � Pertnit Fee: � 3830 Pilot Knob Road JUL 2 2 �f��J Eagan MN 55122 Z�,� � Date Received: f o�� "l � Phone:(651)675-5675 �Y:_ � I Staff: I Fax:(651)675-5694 � � �_____��_______��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7'18-14 siteAddress: 1117 WeStbury Path, Eagan, MN 55123 u�it#: ;��..°.- ' Name: Keith RarldOlph Phone: 651-454-9319 � ��'��'�� A 1117 Westbury Path, Eagan, MN 55123 `�h�� ddress/City/Zip: � ,� :� � �"° ; Applicant is: Owner X Contractor �� '�`` 1 Replacement window into existing opening no structure change. � '�' �,�„ ��,� �� '� Description of work: �. l �� Construction Cost: �890.0� Multi-Family Building:(Yes /No X ) ��' . ; compa�y: Custom Remodelers, II1C. Contact: ' Address: 474 ApollO Drive ��ry. Lino Lakes Contra�to�r � ��'`��"�� ` �"°�� M N 55�14 (651)784-2646 '" ' State: Zip: Phone: Email: � ��ce�se#: CR001748 �ead�ertifcate#: NAT 27064-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI�DING r In the last 72 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NO�F:Plans and.supp�r�i,n''g document�'�#ta#you�sutim�t�ccu�s� �i be,��nformatAo�. #�r�� = ;th�Infctrtt�ation ma,��'asslfied as n��iwbNc Jf you pnrw�de�;psci�'c��[�af w�t�at�r�t�r�t� ° �p► t cQnclt�de tha#ths ar�e frade�eac�s. �� 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.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformanc�with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 780 days of permit issuance. X Eryn Nelson X Applicant's Printed Name Applicant's Signature (� � � ��! � �� '�� Page��of 3 � Use BLUE or BLACK Ink For Office Use *City of Latall Permit#: Permit Fee: / 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinoinspectionsecitvofeaoan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Wel h�lk h Phone: Resldentl Owner Address/City/Zip: III ? Lie4 i)tc 141+10% Q h L�E 6t AAA/ \f-Contractor' 1 Applicant is: Owner V Contractor J Description of work: C-0 0 Type of Work Construction Cost: 1) V 00 Multi-Family Building:(Yes /No ) Company: CY ce C. Contact: M.^-tc Conti 8010 Address: 6 3 0I b .S$- N City: O C�.. State: lky Zip: ST1 2 g Phone: (,Sr—t!1y_0Sa)ckEmail: tt°t;km- VIt`f -eLe..0 d`cepC.. GCaI".. License#:11C. b 1 607 7 Lead Certificate#: If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeaoan.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.ciooherstateonecall.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 wok will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _J� e,. r1 �'T......,. (�S�1t .4140% Applicant's Printed Na a Appli 's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161724 Date Issued:06/10/2020 Permit Category:ePermit Site Address: 1117 Westbury Path Lot:007 Block: 003 Addition: Westbury 1st PID:10-83650-03-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Keith J Randolph 1117 Westbury Path Eagan MN 55123 (651) 983-9319 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature