3919 Westbury Tr
CITY OP EAGAN SlWER SERVICE PERMR
3830 Pilot Knc+b Rwd ~~~T ~ ; 7'1 l P. 0. B"ox 21199
=3--
Eagan, MN 55121 DATE:
Zanirp: K i No. of Unlts: .
'4, runr ~ c~ is.i we:3 C
Owrwr.
/lddreas: Z;
t „~ry
19 +e9t., c~rn _rd.~ ~
Slte Addrosa:
Plumber:
5 2 T) r, .
~~~~.(;,j
I apw h Mn~lr wllr 11M GM of i~M+ ConrwCiion ChO~:
Ow1Mnam Acoount Deposit: ' • • y;`
Parmlt Foe:
Surcharpm:
gy Mist. C+or9w
Date of Irnp.: Totol:
Irqp.: DoM Pa1d:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pi4ot KnoCr Road
P. O. Box 21199 PERMIT NO.:
Eapn, MN 55121 6ATE:
Zoninp: No. of UMts:
.
Ownwr: Frc!Lticr ~iid::est
/lddreas:
SheAddMsc 391q Westhiir 2rai1 L4 B3 Westbury
~
Plunber. 3.5, ~g on CFarpe: 500. 00 ~~ci
~Mhr No.: 1 .
Size: S ~M Devwii: I[' . C
a~d.. +~o.: ~~c~n call I~,a,f,I~tPli~ ;5I
~ .~n. h .e.~h? ~ C T$t~r~Ch@+1~~ E _
, .
.~~c 3.. . uo ~a
~ 1
~ REQUfRED ~dtci~C^ 63.10 ?c meter
! ey uoc. Patd:
Data a4 . ~ l^aD.' i
e~ -
REACTIVATSD 4/86 FOR DECK CITY OFEAGAN
M . ~
' 3830 Pilot Knob Road, P.O. Box 21•199, Esqsn, MN 55121
PHONE: 4548100 '
euiLcINa FeRMff RK~ipt
To 4 wai fer Est. Volw Oate i
Sita Addrm Erect ~ OccuPMcY
Lot - . Bloek Re'/Sub. RemOdel ? Zoninq
Repelr ? Typa of Const.
Paresl No. Addition ? No. Stwia
Move ? L.
N artle L: ; . . Vts1F ` , i C,(• U ~~yth
~ Demolish ? Depth
Addms
Int Impc ? Sq, Ft.
city Phone 4 5 4 0 4 3 3 ,neta„ o
ApP?e"h iNS
Nema '
~ A~~ Assesunant Permit li 0
~
City Phona Water d Sew. Surcharoe 50
Polip Plan Revlew 00
Nert?e :ir'-ar~721J ~T~A,I{I.1r: Ffn SAC -~S.Qd
W
iAddrou ~ 1) 3 ~ u`'' Eeq. Water Conn. ' i 0 0. 0 C~
t W City - Phone PI~ Water Meter 63.00
Countil Road UnR % ~ • 0 U
I heteby xknowledpe that I how road fhia opplicotion ond stote Hwt Bldy. Off. 6/.-i Tr. PL ~ Q
p~
fhe iniwmotion if Correct ond oq?ee fo wrnPly with ali applicablo
Stoh of Minnesoto StotuM: ord Gty ot Eaqon Ordinonus.;
f •
Slqnatun of PtnnittN .01- Vsr. Dm Coplea
r'Rt'~t.~~I'~rt ;•71DWFST 1.Li'-I_:S ;;ORF~ Taai
A 9uildinq Permit Is iss~Md to: on ft expna conditlon 1ho+
dl work sholt be dont in acaordonee with oll appliaoble Stote of Mirn+poto Stotutes and Gty o3 Eopon Ordinonch.
, ~ .
9Wldinp Offitiol - ~ - -
~ - - -
Pannit No. PwnNt Ho1dN Dib Td~phon~ ~
~Nw^b+ng 3
H.VA.C. W Q,n 7-~/1 1~ ~ 5
3 .5'Z)
T
irwecoon w" insp. otn«
Footing. 1 y s
Footlnpsll
FoundaNwf Y,,
F?aminy I ~
RooAng
Rouph Plbp.
Rouph Htp.
InauL
Finplap
Final Htp. ~
Flnal Plbp.
FInN IA
Cort/Occ. ~
w.c.. w GO~)pc,t
WNI ~ ~ ~JQ~~
S~?~~
Pr. Dhp.
RftMPt MECHANtCAL PERMIT Poemk Na
CITY OF EAGAN FN ~ J.'iU ~
F111 !n nwnbnd *acw 3JC - 30 ~
7'ypr w Prln[ IhVJOfy Tot
1. Dm 71`21 ~5 2.InstallationCo:t v17G~~.~U ~
3. Job Addmn 3919 Westbury :Iot Blk: ' Tnct !
r 1
4. pwnw Froutier COmp:aiilZb
f' I
b, ContmeW 1YZ11Z,C1 oechazitc..i phone ~•~2-i5b~
S. Addnm 2f,(1Q Ke«lieber llrive !
. ~
7. Gty i:"dan State ?:tv Zip .,52
8. Buildin9 Typs: Residential 6}. Commeraal D institutionsl ? '
9. Work Deaxiption: IVew W Add 0 Altir D Repsir O
10. D~saibt :'tr .Fuel Type 's,-v L:` 1 g°5
11. No• EwWa= BTU - M. Ea. No. Eauioment CFM I
Forced Air 'Air Hsndliny:
m9.
Boflen' ' Mech. Exhaust
Mfp.
Unit Fleater
Mfg• Other
~ Air Cohd.
I Mfg,
Gac, Piping Outleti
12. I hereby certity that ths above information is true and vorrect, snd I ayres to
comply with sll ordinances and codes governing this type of work.
~ Sign°d ' for
Rouph Final
Ir Inspections: Date Insp. Dats Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
f 1~ / 1
J
Reoeipt F~) •1 PLUMBING PERMIT Permit No. I
CITY OF EAGAN FN
fill in numbered spaces S/C
Type or Print /egibly ~
TOt
1. Date /41 2. Installation Cost
,
3. Job Address ? ~ - - - Lot Bik. Tract
A
4. Owner
5. Contractor i i)v< ~;4, 1 r Phone
6. Address,
7. City State TP
L 1
8. Building Type: Residential Commercial O Institutional O
9. Work Description: New G] Add ? Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
i Shower Well
Kitchen Sink
Urinal/Bidet Other,, ir.r
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and cqdes governing this type of work.
Signed: for
Rough Final
InspectionsP Date ~ Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt ~ PLUMBING PERMIT Permit No.
CITY OF EAGAN
- FN
- Fi!t i» numbered sPaces S/C
Type or Prini legibly T~
1. Date 2. Installation Cost
3. Job Addreu Lot ,Blk. Trsct
~
,
4. Owner
- -~D } ~-fl G Sj ~
5. Contractor r ' Phone
6. Address
;
7. City • iI . j State Zip
8. Building Type: Residential C] Commercial O Institutional O
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Ceaspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Sottner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and oorrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signad : • for
Rouqh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 PilOt Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 I
SITEADDRESS: APPLICANT: ~i
lt -:1,ti1tf7Y 1k iN!c i! i''It t 111ip!',I i I rJ,, f
i t~ . I!'4tl• r 1 11 ~ ~I ~ i. yr. .t i
I
I
PERMIT SUBT1fPE: TYPE OF WORK:
INSPECTION DA • D•
~ r'•,,
I
I
II
L ~
ELECTRIC Permlt Ho. Mmit Holder Dab Telphwne
~
PLUMBING
HVAC
Inspetdon Dab Msp. CommeMa
I FOOTINGS
~
I FWNO
FRAMING
ROOFING
r v~
I
' ROUGH
I PLUMBING
I PLBG
I AIR TEST
ROUGH
HEATING
GAS SVC
TEST
I~ INSUL
I
I GYP BOARD
~
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
I FINAL HTG
i ORSAT _
TEST
I
I BIOG FINAL
I BSMT R.I.
BSMT FINAL
DECK FTO
~
I DECK FlNAL
~
~
~
~
~
CITY OF EAGAN N? 10 3 9 7
~ 3830 Pilot Kno6 Road, P.O. Boz 21-199, Eagan, MN 55121 `
PHONE: 4548100
BUILDING PERMIT R«eiw #
T. 6. wod Mr SF DWG/GAR Eo. Value $59,000 pate JUNE 13 19 85
3919 WESTBURY TR E.ect 12 Occupency R
Sita Adtlresa
Lot 4 el«k 3 Sec/Sub. WESTBURY 4TH Remodel ? Zomng Rl
Repair ? Type of Const. V
Percel No.
Addition ? No. Stories
s FRONTIER MIDWEST HOMES CORPMOVe ? Lengtn 40
= Nerrme Demolish ? Dep[h 4~
~ q~rfts 3908 SIB MEM HWY InL Impr. ? Sy. Ft.
c;Ty eagan vnone 454-0433 i„staii ?
$AME Apyrerah im
o Name
o~ Addreae Atseument Permit • OQ
u
cieY rno~e Wafer 8$ew. Surcharpe 29 • 5C
~
U Police Plan Review 155.010
W ryame RICHARD CHARLIER Flro sAC 525.OC
rW
q~reys 14103 GARDENVIEW CT Enp. waterConn. 500 OC
~W City A.V. Phone 432-5492 planmr weterr.teter 63.00
Council RoadUnit 280.010
I hercby acknowledqs thot I hova read this eOGlicotion ond stofe fMf Bldg. Off. 6/5/8 S Tr, PI. 132.010
the inlormofion is corrett ord ogree to wmDly with oppl' le APC Perks
Srote of Mmnewm Sro n 1 Ciry eqon ua
Ver. Date CapieS
Slpnoruroof Perminea ' $1,994.50
RONTIE MIDWE T HOMES CORP Totai
A Buildinq 7ermif Is issued lo: on the expess condiflon Ihot
dl work shall be dora in xmrdunce with o licabls St of Min S~crurea ard Ciry o7 Eapan Ordironcas.
euuano orriciai P ~
po J~~ HOUSE HEATING TEST RECORD
ADORE55~ II! Lt/PST'b!J/-, :ZZ~
. ppT.-FL OR CITI~?rhLSUBURB
OCCUPANT OWNER ~
HEAT LOSS L~~ DATE y. INST. / -
SOLDBY f~- INSTALLEDBY ~•<r -N
Elactrical Work By Gos Line By z~ ~~G? r~% l?
TYPE OF HEAT GA _ FA HW _STEAM SPACE HTR. _UNIT HTR. Y OTHER
GAS DESIGN CONVERSION
MAKE ~ N MAKEOFBURNER
Model Model
$erial 3 Max. BTU Roting
INPUT d MAKE OF FURNACE ~ p
Model ~
CONTROLS ~
THERMOSTAT 20 72,. Heat Plug Vent Size
Valve KIND OF LINER ~ NONE
Limit DroFt Hood B ~2 I~ar
Limit $etting 2 cLGI Filters Size Number
Fcn Setting - Chimney Location Vside Outside
Pilot Type /'/H l~/'^- Chimney Consiruction
i
Pilot Make
Pilot Model $moke Bomb Wiring L
Pilot Timing Droft Test Tag
L.W. Cut O~fjf Door PressureLighting Inst.
Prossure S- ~ PercentCOZ Date Tested
Input CFH U Percent O~ Company Testing L~'>.•~ ~ ~~~1
Stack Temp..~~Percenf COZ ~ Nameof Tester ~ S;-~ (G~-'~ ~f!"-'~•
Form 235
CITY OF EAGAN Remarks 1 )
Addir.ion W"STBURY 1~ µTH ADDN• ot BIk 3 Parce~O $3653 040 03
S5123 (
Owner Street 391'~ WeStbLll"'SJ `tY'd11 State Eagan' iqN
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING -1795- 7
SAN SEW TFUNK
SEWER LATERAL
watern~ain qVj 11986 5.29 4•35 15 Gs, z y /1016~ s 7 /o 63l
WATEFMAIN 19 51• ~F 3.45 15 .+fo f~i~i'1lo~$7
WATER LATERAL
WATEFAREA v>~y 19 139•1 9.27 15
water area t7,~'-' 19 5 133•79 .92 15 /33. ~9 o/~~ ~ 7 loiY/65
STOFMSEWTRK rQ~j' 19 6 71~.2~{. 14.2.05 5 7/O-o2 ~G/(<.7$'7 /o/y/dS
STORMSEWLAT 9"j 1 3•5 15 •71 5 57
CURB & GUTTER '
SIDEWALK
S7REET LIGHT
WATER CONN.
n u
BUILDINGPER.
SAC 525.00 PARK
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consnucfion Reauiremen6 Remodelhteoair Reawrements Olfice Use OnN
3 registered sde wrveys showing sq fl. o( lot, sq. R of ha:e; and all roofed areas 2 wpies W plan shaxing foo6ngs, beams, jds6 Cert of Survey Recd _ Y_ N
(20%maximumlotcoverageallowed) 15e[ofEirergyCalculatlonsforheatedaddi0on5 ShcsReport _Y _N
7 Soils Report if proposeA buikring is ro Ge placed on disWrbed wil 1 5M wrvei for atlditlons 6 decks Tree Pres PWn Recd _ Y_ N,
2 copiw of plan shoxting beam & windax s¢es; poumd found design, etc. Adai6'on - ind'cate i/on-srfe seplic system Tme Pres Requfred _ Y_ N
1 set ot Energy Cakulahons On-site Sepnc System _ Y_ N
3 copies of Tree Preservabon PWn d lot platled after 711193
Rim Joiri Detad Optlons selec6on sheet (buildiigs oth 3 or less unils)
Mmnegasco rtwrhanipl ventllabon fpm
Plans are considered ublic infortnation unless ou state the are trade secret and the reason.
Date G / 2 ~1 ~ Construcfion Cost ~ O(~l 0( p
Site Address C~9 ~ pI U~) CSA6 M 4 t Vl.~ \ UnitlSte #
Description of Work t/
Multi-Family Bldg _ N Fireplace(s) 0 _ I _ 2
Proper[y Owner Ccr lc)S ~~YPjYYl C7 Telephone #(~jl U
Con[racror
Address tl_~rDD A~A S ~n City State Zip v Telephone 1
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 Cotle Worksheet
(J submission type) Subminetl Submiriee
• Energy Envelope Calculations SubmitteC
In ihe last 12 months, has ihe City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Coniractor Telephone ~
Sewer/Water Coniractor Telephone J
1 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 pertnit, but only an application for a pertnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of which requires a review and
approval of plans.
~
. 1 ~c~.
Aoant s Printed Name Api ant's Signature
D~~ ~
1985 BUILDING PERNIT APPLICATION - CITY OF EAf
NOTE: ALL CONTRACTORS HUST BE LICENSED 1iITN THE CIT' 310-+
29•5+
INCLUD 755•+
3 CERTI 525•+
1 SET OF EN 500•+
~jq,000•06 63• +
To Be Used For: Sincle Familv Valuation: "'o& Ds 280•+
732• +
Site Address: 3919 WestburV Trail OFFICE USE 11994•5*
Lot: [ Block 3 Sect/Sub 4th Add. Erect X Occupancy
Remodel , Zoning R-I
Parcel lf _ Westburv Fourth Addition Repair , Type of Const S[
Enlarge of Storles
Owner Hubred. A1 and JOdv Move _ Length ~
Demolish , Depth
Address •8109 Fifth Ave. S Grade , Sq Ft
City/Zip Code gloominqton, MN 55420
Contractor Frontier Midwest Homes Corp. APPROVALS
Address ~
, 3908 Sibley Memorail Hwy. IkE Assessments Permit ~I O• '
Water/Sewer Surcharge 2°I.so
City/Zip Code Eaqan, MN 55122 Police Plan Review IS=
Fire SAC 525."
Phone /I 454-0433 Engr Water Conn 5C)f>,
Planner Water Meter !03
Arch,/Engr Richai'd Chai'lier Council . ad Unit 2b0.~
Bldg Off Parks
Address 14103 Gai'denview Ct. A.V. APC Treatment P1 l3 Z.`-°
Variance G
Phone I! 432-5492 rorac. ~ i~ / y`-s ~
Z5 K~}O = 1 Ooo x 54 '~4-eo c~ .
2d~22 - -
sE) E> 4o
. , ' 2
~ X-85039
`•i~3)Y
April 19, 1985
Excavation depths, elevations, and fill requirements are
as follows:
EXCAVATION EXCAVATION FILL NEED TO REACH
LO'F NQ. BLK.NQ. DEPTH (ft) ELEVATION DESIGN SUBGRADE (ft)
10 1 1-2 882-884.0' 0- 3
11 1 1-2 877-881.0' 1- 5
12 1 1 876-278.0' 1- 3
" 1 3 1-6 853-864.0' 15 - 20
2 3 1 864-874.0' S- 12
3 3 1-2 870-881.0' 0- 8
4 3 1 877-881.0' 0- 5
5 3 1-2 872-875.0' S- 8
6 3 1-2 868-874.0' 6- 8
7 3 1-3 864-871.0' 4- 7
8 3 1-5 861-871.0' 0 - 10
9 3 1-3 853-860.0 7- 18
~10 3 2-9 841-852.0' 20 - 24
11 3 2-10 840-853.0' 19 - 25
- 12 3 1-3 854-860.0' 12 - 18
. 13 3 1-3 860-865.0' 4- 7
14 ~ 3 1-2 866-870.0' 1- 4
15 3 1 865-869.0' 0 (Cut to grade)
~
C <
SIIBTERRANEAN
ENGINEERING CORP.
x x MINNEAPOLIS. MINNESO7A
81 O MA House
SUAVEYING Certlffcate For:
SERVICES .~'rOP~tle~, ~~d~est
3908 Sibley Memonal Highway
Eagan, Minnesota 55122 ~~rporotlon
Phone: (612) 452-3077
moii - STAFFGRO - 4, 5 ~ ~W ~~7g[~RY
=s38'~3-- ~ KNo~ L
~ L. 7-sz 1
-N- 4a/7 I S79°2~'r~„E ~ V7,_l
~~•48
/
rll ~ L
L o-S
~ a
SGALEl0°40~
~Cr( 3W
~"~e:Z=~
% /~Q o~;~. y ~o m
r~ a a ~o/L~/ve~% ' el-nj ~
ja z,
0
rra/ 7 ~
11~ "eso__~ 10 't--
2 IS GiZAINAGE ~ ~ °O
E~SMf„>t5o N ~ ;N ,
. e~~.~ - - - - - - -
~ b`~° 42~ 2"~° ~^1 13O.DD
~
/ Lf7T Gj
-L GEND- PROPOSED GARAGE FLOOR ELEVA110N= &Zu-~
0 Denotes lron kax.vnent PROPOSED Top al Block ELEVATION- 884.R
° Denotes MoW Ni,b Set PROPOSED BASEN£NT FLODR ELfVAT10N=8A1 6 ~
xa'z' Denotes fxistiry Spot Flevatiao W10
Ckrates Proposed Spot E leva t i ai lYOTE Verrfy all flcor heights with Final House P/ans
~
Denotes Drainage Directrorr ~WEYORS CERT1F1CATfpY-,
_P~~ ~~I~~~_ I hereby cerfify ihet inrs survey, p/an or report
+as preperr.d ,7y ffe or ixder my dirert supervrsicn
LOT--!~-,&LCJ(3._ , artl thaf ! am a duly Registerel Lard Surveyor
~g•l, 11'CH A~OiT~oN TSna--r the /aws o/ the Sta!e of Yinresota
accordirg to the recor0ed p/at thereof, 5
Date: I~BS
'Oo.!<o'~a County, Mirnesofa Wayne D. Cordes, Minn. Reej. No. 14575
.~r..........r/
.`.bVAYNE D.'•;~%
_ CORDES ' _
~ i; °~J~•, =
/~i~n?
Paye 1 of 4
• _EXTERIOR EtJVELOPC AVf.RAGf. "II" COPiI'117rl1lOh!
' _ .
! ~ OWNER; .
nnrr:--~~~5
SITE IIDDRESS: !'l10Nf :
CONTRACTOR :_~~-c~t~e'-rm--
Determine workiny square footage of each
~1. Total exposed wall area.....__~ ~sq. Ft. x .11= C~
2. Total roof/ceiliny area..... ;rl, ft. x.p26
Total exposed wall arca al,ove flror=--•.I~-+Lr4iC
,J
a. Total wall window area..........
b. Total door area
Z
c. otal sliding glass cloor areo ---4 -2
d. Total i'ireplace wall area
e. Total wall framin9 area . . . . . . . . . . " '
~ S
average lON) -
f. Total rim joist area . . . . . .
'
.
. O
9• net wall area above floor...Z~g.. Ce'~y.,
h• wall area above floor . . .
.
• 0v~
walt area above floor............ . . . . . . . . . . . . . . . . . . . . . . . . .
J. frame wall area at fow uiation
Total exposed founclation area= (n~
k, Total poundation window <urea
1. Totat net foundation area above .
gracle ..............-~n ~ -
Detcrniine "u" value of each wall se(jinenl
(e.g. windorr, door, each separate wal l secCion) -
' a• x uZ__-_--~-
- b• a U'._-ZL-5
~ . C. ~ Z x IV
-9=`~
~ d. x,u,l 7
~
e. l '45 x "r__C)g _ ~S2L
~ f~ I_2~ o Iv U,, 0
- i
~ 9• ~ 3~ a-> _ z " U" -_0 3 ~-1-4~-
. n. X
• 1 . X 11 u„ i
J. x uUn . .
~k• X"U" _ IF iLem q3 is the sam
- as, or less than;item
ul You have met. ,
`~~U"- ~s =2 75 inCent of SDC
600¢,H. C
3 . . , . . 111~ r'f:~yt~~~,i
.............................Total
. Y.~Y' ~ I ~ •
~ • . - , . ~.i1W
rx'~:rior Envelopo Avcragc "U" Comput:at:i.on • Pngo 2 ot q
- ToCcil cxpoued rooL/ccil.ing Arca = ~ b
. :
in. 'lbtul sl:yli.yhL are,,L n. Tota]. roof/ccil.inq framin9 arca (ivcrlyc 10e)... p,
o. ToCal nct insulated roof/cciling „rea...........
DeCermine "U" value f:or cach roof/cciling segment
' M. X
n. 1O f.(o a„~„
o.~1-`~-, X 074
= g ~ Z
a . mtai
If t.ota,l of 114 is the same as, or less I:ha? 112, you have meL• the inLenl: oP
Stsr• GOOr, (c) 1.
Alteniate IIuildinq ]invc).ope Desi.qn
'ib uYili.ze the total envelope'sy,tun metlZOd, the values establisliecl by the sam of
i.tems i'r3 and i,9 shall not be greater than the siun oF items Ikl and 112.' 09 a. z. Z6:) 41 = Z4z-, s , .
3. b`l + 4. Zv, 73
- -
„
.
4
i` •
• ~
' . . . . . . i :1'I.
. . rr r... . . I. n
~ n1~<• .'.:n . .
• rtni,i, r.r.rrrtn~in ~~~/1~1,1~ . .
unll ntUn [Ur ~
t'VCI i Uf1 <..`.n'.I:iii I I! V.llu.; .
_.~:,,..m . •
3:C ' ~ G. }:,~li•ii~,r nti !i!:u ...__._`,_V.j~ '
'iut
r•tc. n~ T011VIE1J oF
• FIINt}i IqAL1,
z.
' ' 1. •1!-~~V6..• - ~ ~i ~~RJ
. . ' ~ • ' ~ . ~ 6 ~r tP1~N. _ . . ~._4J CJ
5. IQINfV1,_.~tf9{~?rRJ . ..o, .
~l
' ~ G. F.i;Lrri~~i' nii 1'ili.i q.l'/
f IG. 02
~.•'.~i 2. I/n.
1SrRLrA
lcral I „
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,
PERMIT CITY OF EAGAN
3830?ilotKnobRoad PERMITTYPE: BuiLoiNc
Eagan, Minnesota 55122-1897 Permit Number: 031052
(612) 681-4675 Date Issued: 10/ 31 / 9 7
SITE ADDRESS:
3919 WESTBURY TR
LOT: 4 BLOCK: 3
WESTBURY 4TH
P.I.N.: 10-83653-040-03
DESCRIPTION:
, (ROOFING)
Building Permit Type SF (MISC.)
Building Work Type REPAIR
Census Code 434 ALT. RE3IDENTIAL
~
~
REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
CONTRACTOR: - Applicant - ST. LIC OWNER:
PiEW HOME COUNSELING INC 14560674 2006044 NEWMAN GREG
1.566 WEXFORD CT 3919 WESTBURY TR
EAGHN MN 55122 EAGAN MN 55122
('612) 456-0674 (612)454-3176
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.
L Statutes and City of Eagan Ordinances. ~
APPLICANT/PERMITEESIGNATURE MUED B SI ~ATUREI k
~
~1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~0,_,7_4,5-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
687 -4675
New Construdion Reauirements RemodeUReoair Reauiroments
? 3 registere0 sita surveys ? 2 copiea M plan
? 2 copies of piane (induda beam & window sites; poured fid. design; etc.) ? 2 stta surveys (exterior addiGons 8 dedcs)
? t energy eelculatlons ? 1 ene
rgy celculatlons Mr heated edtlitiona
? 3 copies W tree preaervation plan H lot platted aftet 7/1/93
requlred: _ Yes _ No DATE: ~51 - / CONSTRUCTION COST:
DESCRIPTION OF WORK: L -
STREET ADDRESS: ~
LOT ~ BLOCK Q _ SUBD.IP.I.D.
PROPERTY Name: ; ;/"7a'OWNER Street Addrs; City: Stat4~-~rl Zip:
CONTRACTOR Company ~ e , _ -
Street Addr ss;/ , ~cense #2~
I
City: Stat~/~'J. ZipZ~ ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new conshuction onty): . Penalry applies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that 1 have read this application and state that the infortnation is correct and amply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. -
Signature of Applicant: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ;Al¢
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
o OS SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
0 31 New ? 33 Akerations o 36 Move
? 32 Addition o 34 Repair o 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 Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
i
a28,~ CITY OF EAGAN
~V'` ~ APPLICATION FOR PEP-~IIT
v, 1
SE:4ER ?,ND/OR WATER CONNECTIO:I
(PLEASE PRINT)
1) P:?cP~,."<<'TY ADDRzSS: _39 Iq WP ~4-~!1 C\ I 7 ~"n t I
r Fr=,L D~T_°''IC.I: V I~ UJ P~T Fn (a r`k V N
(Iot/Biock/Subd-ivision or Tat Parcel I.C_ :iumber)
i ::•:I=='= :i, S7Ri:CIL'2Z°, D.''~' G? CRZGi daL :,uIi,^L`:G ==-.i••TcS~?\C=.:
~ FP~S=-- .~R-1 SLiG'i:J '-_LY
? R-2 CUPT.i,.: ('Iti;~ uNITS)
Q °-3 ZCr:1IIICt'SF (TI-?V..~"'~. + U`IITS) ( CJP?I'^S)
? _2-a
? CQ`r~SEPC7rti./t~'~AIL?OF'FICE
? L'MUSTRI?,L
(3 INSTITLTIC^1kL/GCVER:\•EN?I'
2) t+FDT~.IC»'P ~ I~LEdSE PR 4i )
NAi-L° : . ~r
ADDR°..SS: 2220 eQ~.~ - n
CITY, ST,-.TE, ZI?:
PHOTIE: - p -
3) PLL:ffi--R LEASE PRlhi) FOR CIiY USE ONLY
PDDR.SS: PLU!!BERS IICENSE:
Active
CITY, STATE, ZIP: Expired
'~i'. o" ecord
EO~= ~ PLUMBER LICENSc t/
P
iar, tla
4) =TnnTr/C,•,~,;ER QL (PLEALPflINI)
NAtIE:
ADDRESS: lt(' .SN
CIT_', STATE, ZIP: ~
PHO,E: 8 sI - 4Z(o
S) INDIC= W(iICt{ PEP.~.LIT IS BEIiP:G RE(e`UESTID:
19 C"U:~-T'r,CPIOV 2U CITY SEti:IEt
14 CC"VECT'ICN 'M CITY Sv71TER
El dI"'.m (PLEASE DESCRIBE)
6) D:DIG=Z 0:4.: Mc~l~ g0~ Cd~(
? PI,v`SE f:OID P,PPF20VEp PER4LiT F'OR PICi:-UP BY 01rE OF ABCT,'E -~p° Wen-Ze,l
~?IEaSE -%;IL APP.RO1,c"'D PFFP.q:IT :U 1, 2, 3, 4 aPCJKic.---,. 3(oOa ~ennebec.
(Circle one) , Df
- ~ a54 n, l`n n 7) 5?C:.?C - . D'nT'^ : SSI Z,Z
~ w Ai~lEJai~ a~elt~:~ s~ r~ wsaa ~ o~~:ss:s:~ ~~a r~:+~:.~s:~:~a Ss~saac• i
FOR C I T Y U SE OiVLY `
PE3-MIT ' ISSUED
rcr.5: $
$ j4.'yTER P=RMTT (Ii:CLL'DE SliRC?:n:?Gc)
$ WaTER i•7ETER/COPPERHORN/OUTSiDE rZE;,'vER
5 (di-flr°.R TnP (1`CLi.lDE CCR'OR=.TT_Ct. SaO?)
$ SEi,E° TA?
$ ACCOU\T DE?OSIT - SEi•1ER
ACCOliNT DEPOSIT - PiAT°B
$ CUO_C-u W1C
$ ~J~~rru S?C
$ T4uidK f'iAT°.°, l5S°_SS:•i ;.IT
$ TRuNI:: SE~:iE2 ASSESS:.1ENNT
$ LATE°yL B°:iPFIT/T4UNK SET.%
$ LATED.AL BE"E_°IT/TRUNiC idATER
$ / C'L~ 'OTF:ER
$ TOTAL
AMpL':dt P'iT_rJ/tZLI.FlPT ? S 7cJw
DOcS UTZi,ITY COVNECTIOV REQUIRE EXCAVATION IN PUBLZC RIGriT OF [4AY?-
~ YES IF YES, THEN A"PERh1IT FOR WORK :JITHIN
PUBLIC R0.'vDWP.Y" MUST BE ISSUED BY TEE
NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION_
SUBJECT TO TfiE FOLLO!9ING CO?:DZTIOC:S:
APPROVED BY:
TITLE:
D:y':'O :
~ af+ w ~ ~ ~t~ ~c~ t ~.w w ~ w ~:w w~ R+~ ~r~ ~ af~ Ra ~t ~ se s.r~ Ra wc ~ w ~r w~ ~
40/1'
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
//iiol
Permit Fee: /0 -?5
1
Date Received: '(i //0
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Ca — l " i 3 Site Address: l/,CS` Ca''c`
67s- (YY -0l`9
Description of work: LlL11 h WSdo*�P�
Construction Cost:
Multi -Family Building: (Yes /
Company: �,c� i✓dpi ► i` 1,d Ab Contact: V`. EN(' U
Address: b 2-6 City: •Ne,- iNiar 1 v . ---
V Zip: s^C3 y 7 Phone: i S 2" 9
License #:c--% 7 0 Lead Certificate #: ,/ " �^ 93 d ! '�
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 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:
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.popherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
A • • licant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
� r-----------------�
I For Office Use �
� � Permit#: [ � �
Clty of �a�a� ; . � �� ;
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
� _ �� _ � Site Address: I el (XXS��(A-r �Q� 1
Date: Unit#:
' ,;�i�� ( �
�a� a � � � Name:�'`"�� 5 � �t,c.�ad..0.,- Phone: f°.�����Z"�� �
�F�@SCC�f;Ilt/��
F
:Quyt11�C °` Address/City/Zip:__�� �� �5 �c•'� `1 �Q-� �
Applicant is: Owner �ontractor
' Description of work: e � �—�'0'1�
Typ�4f WQrk
; Construction Cost: � `B'� Multi-Family Building: (Yes /No
o� � � Company: w �zx S�. � �: ���`cs Contact: �� 2-- I`'� �"� �
, . �
� � -c__.
, �. Address��G'i 0 Z�o �`LeS rti '�' City: � P 11� V�a�,r�
iC'rOi�'kl'c�G�Q�
r.,, /� 1
Sta : Y`zip: S�3 Phone: Email: 4 V V'b c��Q� f'`c��`r� � �(d���i�
°/S'Z'9a 'i�� „ �
License#j�C v� ��O U Lead Certiflcate#: �Y�-T ' S �l 3 o I"�
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 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: 'I
i1�t�TE A,Jar�s��d sup�artrr�g dc��urr�,en�s�hatr yc�u submr��re cortsider"�ai fc�b�pubarc.inf�r�a�iora. PUt'f'14►15(?f '�
�'h@)l�f�f7l7�f��lt 1�1��'�`�i#�'C/�S,S��BK�a'�.5 l7t�iT7?j.�l���1#i�l,�%f;)/llif;�3f'QYlf31@�fJ#�G1�C f�'?S�►l3#�#,�fWU�ll(�p@17f'�if,fh@°��#y 1��
_. �< � � �
, �� ��.._ ���� ,. �d, .Juae��`��t f�e���:v�r�e-�r�d��s�cr�t�;
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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Ezterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X�-��- �w��`�
X
Applicant's Printed Name � icant s Signature
Page 1 of 3