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1121 Westbury Path CITY OF EAGAN WATER SERVICE PBtMIT 3830 Pilot Kn~ob Road ; ~5 2 P. O. Sox 21 PERMIT NO.: Eagan, AAN 551 ci DATE: Zonirq: .71 No. of UMts: I.,wner, Crand Qaks Mdror.: \S~ih Addross: 121 sOI Qf~;;5igstburv 1 \1'lun'ibar: I 1`- - _ ~ AA ,J~hr No.: 50 . 00 pd , Stss: QX•L 15. pd Reoder No.: o L.207 ~Q Parmit Fee: • pc 1 Nme h ea*h wilr llw Gp of Eep¦ Surchar+ps: • P O~ Misc. Chorpss: 132.0 pd Totol: F,'i_00 et mvreT• i Dah Poid: ` - - - . Imp.: ~•Z..9-.~.~pu,.. ,.:....-y,-;yti„PS4- ~ CITY OF EAGAN ~ SMM SERVICE PBMR ~ 3830 Pilot Knob Rosd ' 7241 ' P. 0. Box 21199 ' PERMIT NO.: Eagan, MN 55121 pATE; Zonlnp: R1 No. of Units: 1 p,,,,f.r Grancl Qaks Addrou: Site Addrom 1121 Westbury Path LQ E3 We$tbury 1 p~umber Valle Plbv ~ 2- 25- 5 4.733 100.00 pd f I owm t+ «aph? wM6 eM Ciep .f tq.¦ Ca,rndton chap.: 425.00 ad Aoo,u„t pspoph 15.00 d ~ Pemnft FN: • P , . I 5""ei'°"pe° 8Y lYllsc. Chorpm ~ Dote of Imp.: ToMI: I rup•: Qob Pbid: I I I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . ~ BUILDING PERMIT Receipt F' To be used for I:~•, ''l..ACE Est. Value $3 s 000 Date Site Address i 12 1 WESTBJRY ~ ~ Lot Block Sec/SubF,~y.~ ~fIR,~. OFFICE USE ONLY . Parcel No. occuPancy - FEes Zoning W Name (Aduaq Const - Bldg. Permit 2'~ p Address 1.:17 Y~~ a~ bu r y Pa r h (wbwanie) - Surcharge . Jv City ~ 4 a n Phone # af Stories - Length _ Plan Review ~ Name Deptn - snc, ciry Address 5dL'5 1b')t S.F.Total _ SAC, MCWCC ~ City Pl ysu'. Phone S.F. Footprints - On Site Sewage _ Water Conn t~i ¢ W Name On Site Well - Water Meter M- Address MWCC System - Acct. Deposit ~ W City Phone cny wafer - PRV Required _ S/W Permft I hereby acknowlege that I have read this application and state that the Booster PumP - SrW Surcharge infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI Signature of Permitee ' APPROVALS qaad Unit A Building Permit is issued to: 111LIk T.", Planner - pyrk Ded. on the express condition that all work shall be done in accordance with all Council - applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. gldj. pff. _ Copies Building Official Variance - TOTAL IZ' • 50 PermN No. Permk Holds? Dsts Tslsphons # WATER SEWER PLUM&NG H.VA.C. ELECTRIC Nnpsetien Dats Insp. Commsnta FaoRings I Foundatan Framing Roofing Ftagh Pb9• Rough Hi9• hul. Freplace Fnal Hlg. Final Plbg. Consl. Meter Plbg. Inspector - Notify Plumber EngrlPlan Bldg. Final Deck Flg. Oedc Final Well Pr. pisp. CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 ; BUILDING PERMIT Receipt ~ To be used for ~ : -~'y C Est. Value Date ,19 • : 7 Site Address 11:1 WEST6t iiY PA'!';- OFFICE USE ONLY Lot Block 3 Sec/Sub. ''T LC;• : i~ i On Site 3ewaqe Occupancy MWCC Syatem Zonfny Parcel No. On Site Well (Actual) Const a Name 17961) Gity Water (Allowable) = Address PRV Required * of Stories p . j..; Booster Pump Length City Phone oepm , o Name S.F. Total _ o~ Address 136i'3 F•LEASMiT f.N FootprintS.F. u~ City Phone APPROVALS FEES ~W Name Engr./Assess. Permit = o Address Planner Surcharge ~ W City Phone Council Plan Review _ Bidg. OH. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC _ information is correct and agree to comply with all applicable State ot Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter _ Signature of Permittee _ Road Unit A Building Permit is issued to:- Treatment P1 _ on the express condition that all work shall be done in accordance with all Parks appNcable State of Minnesota 5tatutes and City of Eagan Ordinances_ TOTAL ~ • i Building Official : . - Permit No. Permit Holder Dab TeNphone s Plumbing H.VAC. ElectriC 9 SoRener Insaction at* lmp• Comments Footinys I Footinqa II Foundation Framinfl Roofing Rough Ptbg. Rough Htg. Isul. Fireplace Final Hty. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Fts. Deck Final Well Pr. Diap. WIMMIE FO.t nEcK-I= M,rt $soo vaurMota .V14/$7 ' FRMQC & AM CEMS 452-6154 (H) C ITY OF EAGAN " ~ 681-7188 (W) . 21 3830 Pilot Knob Rosd, P.O. Box 21-199. Eapn, MN 55121 PHONE: 454-8100 ~UILDING ~ERMIT R.c.ipt To w wad fN Est. Volue' J0: pate 19 r Site Address 11 .i ' F;: F ~ . Eroct Q Occvpancy l.ot Bloek Fiemodel ? Zoning cel No. Repair ? Type of Const. Par 'v Enlsrpe ? No. Stories K:. v'~LMOV@ ? L011Qth 4L NBrt16 ' Dlmollsh ? DOPth ~ Address Grade ? Sq. Ft. ? f; City j',~? : ~ Phone . . -9 Install ? SAMF, AVNov~b iees ruame A~~ Assessment Permit ~ CitY Phona Woter a Sew. Surchorpe Pollce Plh Review Nane Ffn SAC ' ~ -Addross Erq. Woter Corx+. City Phone Plonntr Water Meter Cowxil Road Unit 00 1 he?eby atkrawledpe thot I have reod this application ond stots that etdg. Off. jir21,/Ei 32 Mn inlormotion Is correct ond ogree fo tomply with all applitable Stott of Minrwsoto Statutss and City of Eaflon Ordinonces;: APC Totsl ' i~J '50 Vu. Date Sipnoturo of Permittn 9uildinfl Ptrmit Is issued to: ' ~ ` ' • ` , ~ - on the txprea cordltbn Ihol all work shall b* done in ocoo?donu wlth all nppl{mble State of Mfnnesoro Stotutes ond Gty of Eoqon Ordinonns. Bulldinp Offitiol . Pwmit No. Ponnit Holdw Drw ToNPIwno s vluneww H.vA.c. 3 at~,c, 3~ -l1 b E~a (7Y ~ ! softww lnpfttion Dsa insp. otn« Footings Foundation Fnmino ~ RooNnq Ro„gh viea. Rouoh HY ~ Imulstion ~ Find Plb¢ Final HVAC Fiml ~ Cwt/Oeo. wow w.n ,~~p De~iCr ~ IZO, P,v Receipt ~ PLUMBING PERMIT Piormit No. CITY OF EAGAN ~ FN I fill in numbered spaces S/C I TyPe or Print legibly Tot , 1. Date 2. Installation Cost 3. Job Address Lot Blk. ~ TreCt ' ~ - ~ ~ 4. Owner 5. Contractor Phone 6. Address ~ i ~ . . , • k r ~ 7. City State f,, Zip 8. Building 7ype: Residential l~ Commercial ? Institutional ? 9. Work DescriPtion: New Add ? Alter ? Repair ? 10. Describe I 11. No. Fixturea No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank L2vatory Softner Shower Well ~ Kitchen Sink ~ Urinal/Bidet Other i Laundry Tray ~ Floor drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with atl ordinances and codes governing this type of work. Signed : ~ 1` - for Rough f inal Inspections: Date lnsQ. Oate 1nsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered 4oacea S/C ~ Type or Prinr /egibly . Tot. 1. Date 2, Installation Cost 3. Job Address Lot Blk, Tract 4. Owner 5. Coniractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Cl Commerciaf ? Institutional 0 9. Wark Description: New Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Pquioment BTU - M. Ea. No. Epuipment CFM Forced Air Air Handling: Mfg. Bailers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, P'iping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 INSPECTIUN RECORD ~ ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612)681-4675 I t ra l4e .i.i~K,Wi- ifiKH- t3 ; SITE ADDRESS: APPLICANT: I r-ia tIM14 r PArH t 14 1ot, 11+; ~ {il E ir!rRY tS7 (F,t r) rani -;400 PERMIT SUBTYPE: TYPE OF WORK: i i 5 i i!(. r'1 1{ 1 i E•t , INSPECTION D • DA I f !I,'.I ~ I Pertnk No. Psrmk Hddar Date TeNphons N ELECTRIC I PLUMBING HVAC I Inspsetion Date insp. Comme~rts FOOTINGS FOUND I FRAMING I ~ ROOFING ROUGH PLUMBING PLBG AIR TEST I ROUGH I HEATING ~ GAS SVC TEST I INSUL I GYP BOARD i FIREPLACE FIREPLACE AIR TEST FINAL PLBG I I FINAL HTG I I ORSAT I TEST I I BLDG FINAI I ~ BSMT R.I. I ~ I BSMT FlNAL I I DECK FTG I I DECK FINAL I ` ~ I ~ I ~ CITY OF EAGAN N~ 16129 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE:454-8100 /3// ~y h BUILDING PERMIT Receipt # ~ ~ 9 ~ To be used for FIREPLACE Est Value $1 ~ 000 Date , 19~~ q a Site Address 1121 WESTBURY OFFICE USE ONLY Lot 8 Block 3 SeclSub ~STBURY 1ST Parcel No. occuPao~y _ Fees Zaning _ ~ Name FRED GIRRES ~ACtuaqCons~ - Bldg Permit 26.00 w 3 Address 1121 Westbury Path ~nuowame~ - sor~harge .50 ° ~d Ea$an Phone # ot stones - Y Length _ Plan Review ~o Name MIDWEST FIREPLACE oepm - snc, cny Address 5205 169th N S.F Total ~ City Plymouth Phone 559-5900 SF Foo~pnnis _ SAC,MCWCC On Site Sewage _ Wa[er Conn Fw Name OnSrteWell - WaterMeter ~ AddrOSS MWCCSystem Acct Deposit aw City Phone cnywaier - PRV Reqwred - S~W Perme I hereby acknowfege thaf I have ~eatl this application and sla[e Ihat the Boos~er Pump - SNY Surcharge intormation is correct and agree to Comply all apphcable State of Mmnesota Stawtes and Ctly o gan Ordin c 0 Treatment PI Signa~ure ot Permitee a-G~v APPROVALS Road Uni[ ABmldingPermitisissuedto: MTIIWFR'l FTRFP7,(+(`F Planner - park~ed. on fhe ezpress condrtion that all work shall be done m accoidance wtlb all Councd _ apphcable State ot Minneso[a StaNtes and Cny of Eagan Ordinances. g~d9, pry _ Copies .F~ -rv,,I Vanance - TOTAL 26.5~ BuildingOfficialJl~~4.1 r i~:l.l1 CITY OF EAGAN N o 9926 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt qj L g73a Te be Used yr SF DWG/GAR Est_ Value +581 ,000 po1e FEBRUARY 25 I q 85 SiuAddren 1121 WESTBURY PATH Erecl Ga O=vencv R3 Lot $ 81ock 3 Sec/Sub. WESTBURY 1ST Remodel ? Zoning Rl Repair ~ Type of Const. V Percel No. Enlarge ? No. SWries GRAND OAKS DEVELOPMENT MO"e 0 Le"gth 42 Nme ~ a 1 CT Ge~'sn O Deptn 36 A~res SUNRISE SqEAGAN 452-8934 ~F~~ City Phone install O SAME Avvrorols iaa g Ne"1e . 0 C o~ Address Assessment Permit 376 V~ City Phone Water 8$ew. SurcFnrpe '4 0•$ C ~W Police Plan Review 1$$..0c Neme firo $AC 525 _ OC W i~ Address Erq. WaferConn. rino - OC ~ W City Phone Planner Warer Meter 63-, 0 C Council Rood Unit 28-CI-- 0 C I hercby ackrwwledge thot 1 Fwva read this appllcafion and state thaf glde• pry. 2/21/8 5 T...p - 132. 0( fhe inlormation is correcf and agree to wmDlY wiih oll opPlicable Stofe of Minnewto Stafutea and Ciry of Eagan Ordirances. p'PC Total ~52. 1 04 _ S( ~ . Q _ ~ Var. Date Sipnoturc of Permines {~J~~ Jr A Buildirq Permit Is issued to: CRAND C1AK4 TIFVF.i OPMFNT CO on Ny express condttion Ihat dl work aholl be done in ocoordance with oll applimbls of Minr~Of~tofutes_ ~ ord Ciry ol EaOOn Ordinonces. Buildirq Oftlciol t.~~~~i1-o~YY~I CITY OF EAGAN N° 14 2 0 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt --l 0 ,.To be used for BASEMENT Est. Value $Z > 500 Date SEPTEMBER 23 1 9 87 Site Address 1121 WESTBURY PATH OFFICE USE ONLY Lot S Block 3 Sec/SubWESTBliRY 1ST OnSiteSewage _ Occupancy . MWCCSystem _ Zoning Parcel No. On Site Well _ (ACtual) Const a Name FRED GIRRES City Waler _ (Allowable) w PRV Required # of Stories f Address SAME ° City Phone 452-6154 Booster Pump _ Length Depth a0 Name HAP4fERLUND BGILDERS S.F.rotai ou Address 13623 PLEASANT LN FootprintS.F. U~ City B'VILLE phone 890-2010 qppROVALS FEES ~w Name Engr./Assess. Permit $44.50 ~i~ Planner Surcharge 1.50 i Address ~ Council Plan Review aw City Phone BIdg.OfL SAQ City I hereby acknowledge that I have read this aOPlication and state that the Vanance SAC, MWCC mformation is correct and agree to comply with all applica6le ~sate of WaterConn. Minnesota Statutes and City ot Eagan Ord es. Water Meter Si9nature of Permittee Road Unit A Bwldmg Permrt is issued to HAMMERLUND BUILDERS 7reatmeni P1 on 1 he express condibon that a II work shall be don e m accordance with al I apphcable5tateofMinqn ~s~ot,aySt~at~ut~esan/d'EiryofEaganOrdinances. Parks emldingOfficial ;i~-~-"`"' Y` 8~~-c.Q. TOTAL $46.00 ~ CITV OF EAGAN Remarks ? ~ ' iY`-~-~~' ' ,d>; Adtlition WESTBURY FIRST ADDITION Lot 8 sik 3 Parcel 10 83650 080 03 Owner Street 1191 West6usy Path State Eagan, MN 55123 Improvement Date F5008.73 ount Annual Years g~ Payment Receipt Date STREETSURF. 1986 5~.~~ 570.0 S7REET RESTOR. GRADING 1 7 1986 2 1 " " SAN SEW TRUNK 1985 36.23 29.08 1 " " '~SEWERLATERAL 1986 1001.]5 $ 1 n n WATERMA W 0 1984 6$.71 4.5$ 15 59. 55 " " * WATER LATERAL 1986 WATER AREA U 1$4 184.92 12 " *Services 1986 STORMSEW TRK - 1986 710.24 142.05 $ 710-24 " " " STORM SEW LAT 1986 CURB & GUTTER SIDEWALK STREET LIGHT 280.00 49738 2/25/89 WATER CONN. 500.00 11 " BUILDING PER. 9926 " " SAC 525.00 " " PARK ALL CONTRACTORS MUST 6E LICENSED WITH THE CITY OF EAGAN ~ ng' Y y~ INCLUDE E SETS OF 1'I;Atv3, CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 81,G~p Date: Site Address: /~aj f • • • • -f~ Lot:J~c BlockSect/Sub: (3% Erect: X Occupancy: Q-3 Parcel Remodel: Zoning: R-I Owner:~ Repai~: Type Of Const: ~ Enlar e: # Stories: ~ Move: Length: 41 Address: L.3 5`j ~u&AAA Demolish: _ Depth: 3& City/Zip Code: Grade: Sq_ Ft.: Phone # : Y 5' 2 Contractor: Address: 110(\ C~- Assessments: Permit: ~")(p,OO City/Zip Code: Water/Sewer:* Surctiarge: c 7 5? Police: Plan Rev.: Phone Fire: SAC: 527,°O T- Engr.: Water Conn: SCp,°"' Arch./Eng: Planner: Water Meter (o3.°I Address: Council: Road Unit: -LEp.= Bldg. Off.: arks: City/2ip Code: APC: PL Ig2.= nt,,,n~a - Variance: 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVUClion Reauiremenls RemodeVReoair ReQUirements OKce Use Onlv 3 registered sHe surveys showing sq. ft. of lot, sq. tt. ol house; and all roofed a2as 2 copies of plan CeR ol Survey Recd _ Y_ N (20%mazimum lot cove2ge allowed) 1 sel of Energy Calculations for heated addi6ons Tree Pres Plan Reoi Y_ N. 2 copies of plan showing beam 8 window s¢es; paured found design, etc. 1 srte survey for additions 8 decks Tree Pres Required Y _N lsetofEnergyCalculatbns Addrtion - mdicafedon-srteseptksysfem On-sfleSepGcSystem _Y _N 3 copies of Tree Preservation Plan if lot platted afler 711193 Rim Joist Detail Optians selection sheet (6uildings with 3 or less unNs) Date 10 _ DS ~~~U, l~ Construction Cost 19 '1344 co Site Address 1121 '_~CcAA_-. UniUSte # Description of Work l~kAC2 13 ~G-,7 . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwoer J[_p* ~.t-TL<S-C.,{\] Telephone #((OS 1) yS14-' V U tc a Renewal By Andersen Contractor 1920 County Rd. "C" West nddress Roseville, MN 55113 City State 651-264-4777 _ Telephone k ( ) License #20130983 , 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 (J submission rype) 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 Coniractor Telephone J 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; 1 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 approv 1 of plans. I f' 1'~ I I I VA '~'On i' PAY ~ 3 2005 ~ ~I I i App AcanYs Printed Name pplicant's Signature , O'FP'ICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex O 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interiar ? 44 Siding ? 32 Addilion O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'DemollUon (EnHre Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water 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 _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Cities Di ig tal _Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. •-••~..u so•.1. tuu u.ov Pri4 /OJ D71 '446D , . _ ~lYGIT1fLd3k° @lYLriiC.7tSf! _ - cuu re s~,e 200~ - - Ciey of Eagan . 3836 PiIcrt Knob Rnnd . Ea5n+ MN 55172 ~ To Whom k May cotcern: EIder 7ones is authori2ed tp pUl buiIding petm;ts for Renewat by Aade:sea Plcasa xlIaw Eldcr )ones to provido t$is scrvzcc f date boyond 616/01; orua in Fagan. `titia autEiotlzetibn ig vaiid fvr any to the City. uuti( aIGnowal by And=an mmaM aRradY revakes it in wiitiag I rcquest this attthoxizatian bc a'ccepted~-ax - ovr baHdinS Poimita nn fv ~x'.didously. ac to ¢ot delay m the processing of cantacrcd at Y.. rthcr. Plcazc cail mc If thctc at+c nny 763502-470b qnculona., I can bo , . . Your lmmgdiatc sttcntion to ihLs mattcr is e ' - d8[Cd. SinoeialY, . . . ~ f > ymond*R Rau astallation Managcr Renowa( bY Andcrsca CorPoratzon , C'c: Kars~-F.irie.r7~nea - _ - - - - - - - - --~raJ~e.naaw Received,Time Jun. 1. (~O7PId RESIDENTIAL ~ BUILDING PERMIT APPLICATION v 3830 PILOT KNOB RDEAGAN MN 55122 u\v~/ 651-681-4675 New Construction Reauirements RemodeUReoair Requirements • 3 regislered site surveys showing sq. ft of lot, sq. ft. of house; and all mo(ed areas • 2 copies of plan (20% maeimum lot coverage allowed) . 1 set of Energy Calalations for healed additions . 2 copies of pian showing beam 8 window sizes; poured found design, etc ) • 1 site survey for exterior additions 8 decks • 1 set of Energy Calcula6ons . Indicate if home served by sep6c system for addihons • 3 copies of Tree Preservation Plan'rf lol platted after 711/93 . Rim Joist DeWil Options seledian sheet (bldgs with 3 or less unifs) DATE CD I I~-t I OZ- VALUATION l I-f v SITEADDRESS MULTI-FAMILYBLDG _Y ~/N TYPE OF WORK r~) e, EOD~ c.1 PEjaYw~ LQ.CpIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ L Nad-zJ ~'S1O SiREEi ADDRESS I'"1 1D >D GLe2'JQ'e\ • CITY VAI( SiAiE M/'-lIP 5-91--)' TELEPHONE # qSa-S~II- 3`-IC)C) CELL PHONE # FAX °75 aMI PROPERTYOWNER 4-~1G?Vl TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTr1 RULES 7670 CA7'EGORY 1 MINNCSOTA RUL,LS 7672 (4 submission type) . Residential Venfilahon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: - - - - - - Phonc # Plwnbing sysLem includes: Walcr Softcncr Iawn Sprinkler Fec $90.00 Water Heater No. of R.I. Baths No, of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning P'ec: $70.00 Hcal Recovery Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature o} Appllcant - - I - NR-74 792---1 ~ OFFICE USE ONLY L ' . Certificates of Survey Received _ Tree Preservation Plan Received _ Not uired ----uFxffTFe aioz OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `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 W idth REQUIRED INSPECTIONS _ Footings (new btdg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Dram Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Buiiding 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 Totai RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstruction ReaulremeiNa RemodallRenair RauuiremeMe . 3 registered site surveys shovnng sq. ft of lot sq, ft. of house; and all rooled areas • 2 capies of plan (20% mazunum lol coverage alloaed) • 1 set of Energy Calwlalions for heated addNons • 2 copies of plan showing beam d windaw s¢es; poured lound design, etc.) • 7 sNe suney for ezlerior additbns 8 decks • 1 ut of Energy Caltulations • Indicale fl home served by sepUc system for addilions • 3 capies of Tree Preservatlon Plan if lot platted afler 711/93 • Rim Joist DetalOptiois seledion sheet (Mdgs with 3 or less unfls) ~ DATE N'1U1I-2 • Oa VALUATION JOB SITE ADDRESS IIa 1 L~l1M-har~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER '.XA"* -'R.e~C_•f.N TYPE OF WORK~~~~Q~_Ca 1Aktr~ LN_oaia FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 4wx~s •ct PHONE# 40 51- al(cq•`l1T_7- ~ ADDRESS 19ad Go~mlta Q.& "C2 W. ~ ReS~v;At MKZ~ ZIPCODE 5'S113 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water SoIlener L,awn Sprinkler Fee: $90.00 Water Hcatcr No. of R.I. Baths No. of Bailis Mechanical Contractor. Phone # Mechanical System Includes: _ Air Condiuoning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhaetor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that ihe info ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' nces. SlgnatureofApplicanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 O FFICE USE ONLY ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-ptex ? 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 Demoiish (Interior) ? 44 Siding ? 32 Addition • ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof U 46 Windows/Doors ? 34 Replacement 'DemoliNon (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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Foo[ings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Nater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ W indows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~~•~,r..•.a auo 1L.JV rnn ~oo o/l '9 ' r 400 KCryCrtAL t3Y MILISR,ylS(Y ~HI UU2/ U re al . . 7une 7, 20p1 (ntY of Eagan 3836 Pilot Knob Road . RaM MN 55122 To Whom It May Concern: Elder Jones is suthorized to lmll bnilding peimits far Ranewal by Andeisen. Please aliow Blder Jones to pravide this sorvice for us in Eagan. '[hia muhorizazion i4 valid for any date bcyond 616101: uutil a R"enewal by Andersen mAnggr to the City_ wP~1Y rsvokes it in wrldnp IreNest t[us authorization be accepted expedidously, av to not dela dhe proceWng of ovr truildinS Pe~b any further. Plcasc eaII mc If thcao u+e eny quo,u m lone. I can (e concacted at 763-5024706. ' Yaur immqdiate atuation to this mauer 9s appreeiated, Sincaioly, . . ond R. Rau osqllarion Managor Renowtti by Andascn Corporadon ('r.: Ks~rn-F]de.r ~~nev G - ?-akSOj C4H p J+a.nmos Received Time Jun. 7. I:O]PM SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0. #2l0 "1- N89°42'27"E i cr 74.00 J s ' S . : ORAINAGE d U77L17Y 1 ~ •EASEMENT PER.PLA7'~ ' I . . 3 Z. 3 M. LOT W. 8 ..m o. o 0-- . "is-°o' (E~~.o is.oo er o 30.0 40)~ o \PRO\EO ' ti~ HWSE o, 24~0 \\"n O; ( BBQ. o ~ i O • . ~ 20.0 . - M ~ •ie.-ao M 5 . . 5 M. ' o. • ~ O ' i cse3•3 74:00.;~;,,~. icae39) N 89 °42'27"E M " M WESTBURY PATH . ; -a- DENOTES PROPOSED SURFACE QRAINAGE O' DENOTES IRON MONUMENT SET ' SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND -PROPOSED GARAGE FLOOR = 55'1•-3 FEET .R000.0 DENOTES EXISTING ELEVATION ,PROPOSED LOWEST FLOOR = g79..6 FEET (000.0) DENOTES PROPOSED ELEVATION : ;•:`PROPOSED TOP OF BLOCK = FEET . . . I HEREBY CERTIFY TO GRAND OAKS DEVELOP.MENT C0. THAT THIS IS,A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES,OF: Lot 8, Block 3, WESTBURY FIRST ADDITION, accordina to the recordedplat, thereof, Dakota County, Minnesota. , , . . AND Of THE LOCATION OF A PROPOSED BUILDING.' IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREQN. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 23RDDAY OF Jwhluq4,y, 1985. ~ NOTE: PROPOSED ELEVATIONS SHOIa'N SIGNED: JAME R. HILL, INC. ~ ARE TAKEN FROM THE GRADING AND DEUELOPMENT PLAN FOR WESTBURY, PREPARED BY DELMAR H. SCHWANZ n 9, LAND SURVEYORS, INC., LAST DATED BY(~ , . "6~ 7-30-84. • H ROLD C. PETERSON, LAND SURVEYOR , PIINNESOTA LICENSE N0. 12294 PROJECT NO. BooK ~ PncE . JAMES R. HILL, INC. 85419 Planners / Engineers / Surveyors FILE NO. ' 8200 Humboldt Avonue 8outh FOLDER eloominaton, Ma 65431 612-884-3029 • r. . F:ATEkIOF: EM4ELIJPE AVEREaGC 'U' COIhFU'1"A'fIC)N (;RF-1ND pAh':S DEVEI.OFhIENT COIWF'IaNY NIODE:L Y !-1FEA U U X AREA RC:G!I_)IRF_D 1. TOTAI_ WAIJ.._ AREA 2:144 X.11 :35.84 TOTAI_. RC]OF AREA 1020 X. 0^6 26.52 AC;H I EVED AREA U IJ X AREA A. WIhIDCJW AREA 149.4 .5 74.7 B. DOOR AfiEFI 39.8 .077 3.0646 C. SI_IDF_' GLASS AREA 13.44 .48 6.4512 D. F.T.F.EF'LACE: F1F:E:A +i 0 n E. WALL FRAI`1E AREA 214.4 .!iyl 0.7904 F. NL.7' WFdl..l_ f-dRf.::A 1407.96 .049 68. 99004 G. RIhI JOIST AREA 222 ,.0436 9.6792 H. FOUND WIIUDOW AREA 6 V 0 1. FOIJND ABOVF_ GFiADE vi .135 12.285 3. TOT'AI_.. WALL AREA 2144 113.'„ 96U4 J. SF::YL.I TE 0 q o K. ROOF FrAME 102 .032 3.264 L. NET RODF (-1FiE:A 918 .025 22.95 4„ TOTAL RCIOF AREA 1020 26e ^14 5UM 1.+2, 262.36 SUM 3.+4. 210.1744 PERMIT CfTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: euzLoxNs Eagan, Minnesota 55122-1897 Permit Number: 031974 (612) 681-4675 Date Issued: 0 5/ 0 7/ 9 8 SITE ADDRESS: 1121 WESTBURY PATH LOT: 8 BLOCK: 3 WESTBURY 1ST P.I.N.: 10-83650-080-03 DESCRIPTION: 3IDING/SOFFIT/FASCIA Building Permit Type SF (MISC.) 8uilding Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL ` , REMARKS: FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 Surcharge $5.50 Total Fee $180.25 CONTRACTOR: - Applicant - ST. LIC OWNER: GREAT LAKES WINOOW & SIDE 18913400 2006042 PETERSEN DIANE 6098 LOWER 161ST ST 1121 WESTBURY PATH R,OSEMOUNT MN 55068 EAGAN MN 55123 (612) 891-3400 (612)454-4668 I hereby acknowledge that I have read thie application and state that the information is correct and agree to comply with all applicable State of Mn. L 3tatutes and City ofi Eagan Ordinances. J _~nun R~,i;l I m~1 APPLICAN7/PERMITEE SIGNATURE ISSUED Y: GNA RE 3jjq4 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Requirements RemodaVRepair Requirements • 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include Deam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (aMerior add'Rions 8 decks) ? 1 energy ealculations ? t energy wlculations for heated additions ? 3 copies ot tree preservation plan if tot piatted after 717/93 required: _ Ves _ Na DATE: 4-- CONSTRUCTION COST; %/aYJ- DESCRIPTION OF WORK: q 1a ,J STREETADDRESS: ~/-J1 LOT: BLOCK: ~ SUBD.lP.I.D. lAJ'd~,1~ I~i Name:_ /;Jc -1,~ 9 c: Phone PROPERIT 1-zst Firs( OWNER Street Address: Ciry State: 653'V-/n Zip: S~/o2 e Company: Phone jr'f / -3 CONTRACTOR Street Address: License # ,.,7UU(oD ~ City ~.~ir•e9;.,'.~ State: Zip: nxcwrECri ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. c Signature of Applicant: .LYLc c1 16i.cc OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Require •t4%, Vf~.q~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? OS SF Misc. O 10 _-plex O 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 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 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee I 94. 7$ Valuation: $ Surcharge S. 5 O Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies _ ~ Total: 6 ~ • ( % SAC i' SAC Units NlH•• _1 ._T4eTlsbe'W . wJJ 1989 BDILDING PEIMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I ~a I ^q INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DFS IGNATE WEiICH 9DDRFSS IS DFS IHED. NO CHANGES WILL BE ALLOIiED ONCE BIIII.DING PERMIT IS ISSIIED. MDLTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF [JNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECK WITA BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI+AfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: y-ir-e P60 e.._- Valuation: Date: Site Address S7 6LCYil OFFICE OSE ONLY Lot ~ Block Occupancy FEES I Zoning o-_•~ Parcel/Sub '(,l)Ahuo„1 IAActual Const Hldg. Permit alp Allowable Surcharge .50 Owner FPP~~ (9 i n'ti'eS !I of stories Plan Review Length SAC, City Address //.Z / /,')esAu,c4e 1047-14 Depth SAC, MWCC ~ S.F. Total Water Conn i City/Zip Code FAqa..r r'y,y, Footprint S.F. Water Meter Acet. Deposit ~ Phone On site sewage_ S/W Permit ~ On site well S/W Surcharge I Contractor C',. MWCC System _ Treatment Pl. City water Road Unit Address .?o.cll PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code TOTAL i APPROVAIS Phone 612- 5S'9-S906 Planner Council Arch./Engr. Bldg. Off. Variance , Address Couneil ~ City/Zip Code Phone # NOTE: Sewer 6 Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days onee a licensed plumber has applied for a permit at Citq Hall. C;,) ~ ~ , 1987 BUILDING PERMIT APPLICATION - CI1R OE EAGAN , SZNGLE FAMILY DWELLINGS ZNCLiJDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MOST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIED. MULTIPLE DSiELLINGS - RFSIDENTIAL RENTAL UNITS FOR SALE UHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOltVEY - CHECB GTITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS • COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND Z 500 . To Be Used For: ,,.r Valuation: Date: ~-2 3 Site Address //„2/ CJPJ~du~~y rrrG_ OFEICE USE ONLY Lot ~ Block ~ On Site Sewage Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const City jJater (Actual) Owner Freci C.o /r~ ~J • ` (Allowable) )Il of Stories Address c+~ y~ 2f y Length Depth City/Zip Code S.F. Total Footprint S.F. Phone S^ `f 2- -~9 r s9PPROVALS FEES Contractor z,H.a..- Z4.+/ Assessments Permit q-g ~ p Water/Sewer Surcharge so Address C 2~ $ PZJZ° ~ro, i Police ' Plan Review Fire SAC, City City/Zip Code -S~ 377 Engr SAC, MWCC ^ 1 0 Planner Water Conn Phone ~ ~ ~ Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL I L ~L City/Zip Code Phone # hA 7 1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLZNGS INCLUDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: 9DDRESSES FOR COENER LOTS - CONTRACTOR/HOME05iNER MQST DESIGAATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. MULTIPLE DiiELLINGS - RFSIDENTIAL RENTAL DAITS EOR SALE UHITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SORVEY - CHECK HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COIMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTORAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: AW AM4< Valuation:3 150.Date: 9319-7 Site Address //Z1 WE5TLPrl2S1 Aj// OFFICE USE ONLY Lot ~ Block 3 On Site Sewage_ Occupancy KWCC System Zoning Parcel/Sub WE3t1304$" ~~Tlo'r? On Site Well Type of Const City Water (Aetual) Owner <5~~ (Allowable) lk of Stories Address I/VfTrlfqCy O/f'1H Length Depth City/Zip Code ~i .lp.? 5-n23 S.F. Total Footprint S.F. Phone TsZ'~OI~Y ApPR0V9LS FEES Contractor $L-L~ Assessments Permit p Water/Sewer Surcharge ,SO Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter ~ Bldg Off 5~ 9/3 Road Unit Areh./Engr. APC Treatment Pl ~ Variance Parks \ Address Copies \ TOTAL ff City/Zip Code Phone 1 ~ 2/84 CITY OF EAGIN APPLICATION FOR PEBiMIT SEWER AND/OR WATLR CONNECTIODT - (PLEASE PRIHi) 1) PP.OPET?'?'Y ADDRESs: //oI J GUCJ 57" bU Y<-I ~'A 1 l' F cc~Y\ IFr=,i, or.ccaTpTzml_ Q1 oc A 3 L~e s~ bvru I sdL (Lot/Block/Su:civisicn or Tax ra-Icel I.D. Nu:,-cer1 ~ i: ~•:IS:'=:G S?'= *:'c~, DAit. 0_° ORIG^::yi, = ? Z-2 CUFL? ('?•,i0 LNITS) 0 R-3 ZC:•1y rv;cz (mc= ~ L-•,Iyc) ~ UTIZ'=S) ? R-4 [NI'?'Si ? CCi.^n'~'?i._~.L/F2E~'ivT?Or:Icz ? T-N s~1.L: z ? r.:sTrT,,-rzc.lAL/cc%,=~r•n~-:z 2) ~'~PLTC:\'~'r (PLLIiSG YRIiiI) r~~: G rcr P 4 n.DeREss: S017r%6(f-G` cri^:-, s^a= , ziP: ~a aa 11) --2 PEoNE: 3) pl(,;.tp,Ea ~ME- V" ~~PLE,7SE PRINT) FOfl CITY IISE 0,4LY . . 7IO ( Y~(° 'z ~/7 t0 PUJ!! PS LILE95E: FTiCilE55: I Active CITY, ST~'1TE, ZIP: `lo r Ac, }~R . ~ Sp2 Q Expired usa-~ial r 0 Not of Necard PHO~IE: PLU.MBER LICEt7SE N C::Pe-0 arr t~- 4) p~~?~~~'p/Cr•~i.,-*r-Z,1 (PLEASE PAINi) NFkME: ~DREss: ,~,~'7-~ , crrY, sTn~, ziP: r J PxoNE: 5) 117DICATE :VHIC'rl PEP1•lIT IS HEINC REQUES'I'ED: ~ Ca:NEC.TION 'IO CIT'! SLS^r'm ~ CO\"VECI'IGN TO CITY WF+,TG:? ? di11M (PLI'~'1SE DF_SCRIBE) 6) IiDIG~:: C:::: . ? PL°_=+SE I!OID APP.,, m PER.MIT FOR PZCi:-L'? BY C'E OF eaEC,\JE ~ PI.&+SE '•T,3IL APPRDV='.D PZD:•1IT TJ 1. 2. OR 4 AFOVE (Circle one) 7) SZG.:,T[.Tv.: DATy': 00~l oliaw~?.~s i~ r sa ~~:a~ra ~~'w o sa ~ ~ s~~cs sa :a a~a ~ a~.ar.s~ ~ R': ~~a+ . r F 0 R C I T Y U S E 0 N L Y . pcRt!IT - ISSUED $ /O.l~ G nr.?•.1rT (I_`iCL::~~ SU~r_'r.~Gc) $ /O- ~-Q WATFR D-R,1tTm (INCLLDL JURCL:aRC•L) $ Ws.T°R MrTcR/COPPERHORN/OUTSID= RE:.DER $ WATE.: TAP (INCLUDE COP.PORATION STOP ) $ 5:'riER T.Y? $ c-a =~~Oi:::•" ~-?GcI= - a_:.=~ $ ACCOliVT Dz:POSIT - 4iAT°_:2 $ S~• wac $ SAC $ TRCi:di: IqATErZ ASS7-SS:,iE::T $ TFIi.':F S=i-7LR nSSLSJ?L.i'T.T S LAT:R=,L BE:iEFZT/TnUNK SEWER S LATc4:,L BENEFIT/TRlic:iC ;'IATrR $ OT?iER ' $ TOT?.L o---d p $ Ai11Oi;`:T PrlID; REC°I?T " tO 7 O~ DOcS UTZLZTY CONNECTION REQUIRE EXC.,VATIOD] IN PUBLZC RIGHT OF WAY? YES IF YES, THEPI N"PE3i•1IT FOR :40R5 WITHIi1 ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERIr1G DIVISION. LIST AS A CONDZ- TION. SliPJECT TO TEiE FOLLOS•7IidG CONDITIOP:S: ' AP?ROVED BY: TI:LE: DATE: ' RECEIVED MAY 2 8 1986 Mey 21, 1986 Hr. Dave Gebbart Proaidont Gabbert Development Coapany lOSS E. Weyzatn Blvd. Wayzata, MN 55391 Deer Nr, Gabbert, We the undersigned heve purcheaod houses from Joe. Miller Con- atruction and Grand Oaka Development on.the south side of Block 3, Westbury Firat Addition. 31nce eccupyina Qur hoaea, wa hGVC nll experienced aigaificant probleaa with sEandiag wnter and merahy apota in our bnck yarde due to poos drnlnage, and problews with wet besewents. TheBe itesa have ell baen previoualy reported, but the problea haa not bmen corrected. Now thet th• final house on the block is neering completion, we feel that it ia an appropriete time to ideatify end iaplewent a solution to our dreinnge probleaa. Reaolution will require a re- examinetion oi the drainage for the entire block, end nny neces- sary correctiona will require a coordinated effort between devel- oper, buildera, end whoever doea the repeir work. We require that you aubwit to us for npproval, in writing, how you propose to remedy thia situation and your anticipated scAed- ule for per£orwing the repaira prior tn beginning any work. Sincerely, ` ~ . Fre GirrQS a~aes R. Wood f Weber ~1121-WeaEbury PatA> ~ 129=Watbury_,Path. 9jlil25 - Pnth' Eagen, Mii 59123 Eegen, MN 55123 Eagen, MN 55123 ~ " z~Cl ~ U Sth R dolph 1/ ---3117-Weatbury _Path ~ « « Eagnn, MN 55123 CC: m Colbert ' Joaeph Miller' llichaal Parriah Public Worka Director Preaident Presldent City of Eagnn Joa 11111er Conat. Grand Oaka Dmvelopment Home Buyers Warrenty 3t. Charlaa, Illinoia ~ a q7o 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION 2 City Of Eagan 430S~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase complete for. smglc family dwelhngs & townhomes/condos when permits are required for each unit Date ~ / 0?,9 / "LI Si[e Address ~TX~L//~C/ NGi'r"h Unit # Property Owner D[pnne re-FPl-!se/) Telephone#( (p$1 4I(6S Con[:actce 5f /,-bi/l /I')L~ G7/lq HkQ-f/nG] Street Address (040 V' G,-e 4 Ve City ~a- NG v~ State Mn/ Zip ~C) S Telephone #(&S/ ) n~fS-~'/o~~U Bond#: R)y(),2-Ia~5 Expires: 7~3//.Zoo~-{ The Applicant is _ Owner ~ Contractor Other Add-on or alteration [o existing dwelling unit $ 30.00 ~ furnace _Additional ~Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total JAN ~ 2004 $ c3C7•SD I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordmances and codes of [he City of Eagan and wi[h the Mechanical Codes; that I understand [his is not a permit, bu[ only an application for a permit, and work is not to s[art wi[hout a permih, tha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ fYl~c.helle ~~nr~ Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for. commercialhndustrial buildings multi-famity buildings when separate permits are not required for each dwelling unit Date Si[e Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractc: Street Address City S[ate Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _ Remove "see 6elow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '*When installing/removing underground tank, ca!l for inspection by Fiie Marshal and Plumbing Inspector Pefmit FeeS: $70.50 Underground tank installmionlremoval 550.50 Minimnm, (includes State Surchar¢e) or Conhac[ Value $ x I% _ $ Pemut Fee • Ifpermrt fee is $1,000 or less, add $.50 ~ State Surcharge If ge rmit fee is over $1,000, add $.50 for every $ 1,000 nermit fee S Total Fee I hereby apply for a Conunercial Mechanical Pemtit and acknowledge that the information is complete and acwrate; that the work will be m conformance with Ihe ordinances and codes of the Qty of Eagan and with the Mechanical Codes; tha[ I unders[and this is not a permit, bu[ only an application for a permit, and work is no[ to start without a permih [ha[ [he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signature Approved By: , Inspector Date: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1121 Westbury Path Lot: 008 Block: 003 Addition: Westbury 1st PID:10- 83650- 080 -03 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA078343 06/18/2007 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Diane L. Petersen 1121 Westbury Path Eagan MN 55123 -2075 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1121 Westbury Path Lot: 008 Block: 003 Addition: Westbury 1st PID:10- 83650- 080 -03 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 - Applicant - Owner: Diane L. Petersen 1121 Westbury Path Eagan MN 55123- -207 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA088224 02/17/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA141764 Date Issued:03/29/2017 Permit Category:ePermit Site Address: 1121 Westbury Path Lot:008 Block: 003 Addition: Westbury 1st PID:10-83650-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Diane L Petersen 1121 Westbury Path Eagan MN 55123--207 (651) 238-1413 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169162 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 1121 Westbury Path Lot:008 Block: 003 Addition: Westbury 1st PID:10-83650-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Diane L & Scott G Petersen 1121 Westbury Path Eagan MN 55123--207 (651) 238-1413 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature