3922 Westbury Tr
i
~ CITY OF EAGAN SOM s~VKZ PERM
3830 Pilot Knob Road
I P. O. Box 71199 PERMIT NO.:
Esgan, MN 55121 W1TE:
,
ZaninO: ` No. of UMts:
i Owrnr: Fx'o]t1E'L" ~IidweSt
, Address: ~
Sir. Addrem: 3922 'AX--st:rn~, - / t,ll Bl :^7estbury Ith
plumber. ,"•3r/"4enzel
i _,w_..~15 54085 10 0,'_•?'T
! I.pr. to «wply wMb !r. Cly .i &we conrnetion Omeq.: L 2 5. GOpt1
or~l....... Aeaount p,podt; 15. 00.-)d
Prrmit FM: 10•
• SurcFwrpe: •
eY Mlsc. CMrqm
Dote of Insp.: Ta1o1:
Da% Peld:
CITY OF EA(iAN - - WATM SERVICE PERMR
3830 Ptlot Xnob Rood n476
~ P. 0. Box 21199 PERMIT NO.:
Eapn, MN 65121 DATE: n-~-~'S ~f ZoMnp: No. of Unlts: '
! pwner. :'rontier 'lichaest I
llddms:
I
~ Sitr Menw 3922 ,•Iestb 1 11 stbury
WAKNINu
~ Plunber.
' ettr No.~I 34.3 5~3~.~t
M - I
5lse: f''.7,~,,• ' ~
! RN No.: 07 ~ t r+.,it' ~.e: I
I ..m h«N;* ,,~~.*E+(S" REP49: ' ,
oti..oo... lVu,c. C?wrga: I32. `JCri T^r,(') • ) D lt~ter
Totol:
gy .(%GGh //!r[XfL. Daft Pbid:
j Oah of Insp.: f a+// ' IrNp.:
~i ~
i ~
CITY OF EAGAN 10663
' 3830 Pilot Knob Road, P.O. Box 21-799. Eaqan, MN 55121
PHONE: 4548100
iU1LDING rERMIT aece+pt ~
T, M",a iM " DW ;/Gl1i? Est. Value $r 3 r O lf CJ pme
Site Addrest 3 9 2` Erect }(3 OCCUpancy
lAt Y 4 Remodel ? 2oniny
Repalr ? Type of Const, v
Pa?cel No. AddRion ? No. Stories
F'1iON'I'IER ti'II',tII'r:ST FiOHiEP Move O l.enytn 40
~ Name , . . ~i ~ l l E Demolish ? Oepth
~ ~ 48
Addross Int Impc ? Sq. Ft. ~
~AC,'~N t54-0433
City Phone Inatell C7
~
AVMw M
Name ENS i
Addrop Assessment Permit ' 32.1 • O ~
~ City phone Wo Mr 3$ ew. Suro ha?ye 31.50
Poliu plan qeview 161• 00
Name RICI.ARD C:Mi Fih SAC 52S .00 I
xz qddrass 1410i (-ARr)I.: ',T. 2!^ "=`l' Enp. water Conn. J00. 00
1
u
~
~ W C i t v , P h o n e ^ J:? 9 2 P lonne? wa ter r~e ter G3. 00
~
cowxil Road unn 260. 00
j
I hercby ocknowtodge that 1 la+re rood this opplication and state that Bldp. Off. 7 2 5 t J Tr. PL 132.00
the informotion is Conect ond oyree ro tomply with oll applicabl*
A~ Parks ~
Sm» of Minnesoto Stotutes ond Gty of Eaqon Ordir~onces. Vsr. Date
Copies
Sipnotun of PennittN ~,•j~,')i~;T.T.-;:: M~.CiWE59' Tota1 ~~~U
A Buildiny Pennit Is isswd fo: on the exprem corditlon Ihot
di work sho11 be done in oooondana with oll oppiimbio Staft of Minnewto Stotutes and Ciry oi Eapon OrdlnwncK
Bu1ldino Offldol . - . , _
Pamit No. Pwndt Holdw Doa TeNOhone s
Plumbirq Ig -
KvA.c.
Ekctric 699n ' ~d ay YS
sottwwr
io,vcon on. inmswp. otn«
Footlngs 1
Footinps 11
Foundstlon
Fnminy
RooHng
Rouqn Plbp. i1-S15~
Rouqh Hty. ~
Inwl ~S
Flnplaq
Final Flty.
Flnal Wbp. -
Flnat
C~rVOcc.
Dueribe Locitioa:
WatN
WNI
S~w~r
P?. Dlsp.
Reaipt MECHANICAL PERMIT Peemjt No.
CITY OF EAGAN
, Fw ff!l rn ntrmbered apscee S!C •
Type or Prin[ lspibly , TaL 1. Date 2.InstallationCost ~ 3. JOb Addrau Ke5 L hu - 1ot Blk. y Traet
4. O+imer '<<_:itle~ CuMT,... ,
I
5. Conusctor "'i.~_. . Phone
f B. Addreu
7. C'itY ~ State ` 2ip .
11 Building Type: Fiesidential Commercial ? Institutional ?
9. Work Description: New t3' Add O Altsr O Repair ?
10. Dacribs Fuel Type ~ . . ,
11. N~,s Fqnjpment BTU - M. Es. No. Eauioment CFM
FOfCed Alr
Air Handlfnq:
Mfg.
Boilen ' ~ F,
Msch. Exhaust
Mfy.
Unit Hsatar
Mfg. : Other
Air Cond.
Mfy.
Gat, P'iping Outleb
{
iZ• 1 herobY certify that the above information is true and oorroct, and i apree to
comply with all ordinanCes and codes yoveming this type of vrrork.
Siyned :
for
Rouph F insl
Inspsction:: Date Insp. Dste Insp.
This is your permit when numbered and approvad.
Approved CITY OF EAGAN 46"100
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
- F..
Fi!l in numbered spaces S/C
I
Type w Print legibly Tot.
1
1. Date 2. Installation Cost !
i
3. Job Address-~U L6t Blk. Tract
~
4. Owner ~ •f . - j 4 / ~
~
5. Contractor '.,'c:t~,_:i, Phone
6. Address
i
i
7. City State 2ip
~
8. Building Type: Residential t Commercial O Institutional O ~
9. Work Description: New E~ Add O Alter ? Repair ? ~
i
10. Describe ~
~
11. No, Fixtures No. Fixtures
~
Water Closet Cesspool/Drainfield ~
I_ Bath tubs Septic Tank ~
i
s~ Lavatory Softner
~19- Shower Well ~
_L Kitchen Sink
Urinal/8idet Other - • - i
_L Laundry Tray ~
Floor Drains ~
I
Drinking Ftn. ~
Slop Sink ~
' Gas Piping Outlets '
I
!
t JI
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. J
Signed, fo? ~
Rough Final
Inspectiorl: Date Insp. Date Insp.
This is your permit when numbered and epproved. I
ApproverJ CITY OF EAGAN 454-6100 j
;.-4eceipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
FN
Fi!l in numbered spaces S/C
~ j Type or Prrnt legibly
Tot
1. Date . i,•'r%.'ii .i 2. Installation Cost
j . ,
3. Job Acidress ,Lot------ _Blk. ; Tract
4. Owner .'7 , i
~
5. Contractor Phone
~ 6. Address
~
~ 7.~itY State Zip
8. Building Type: Residential ~ Commercial ? Institutional ? ~
9. Work Description: New ? Add ? Alter ~l Repair ?
10. Describe
11. No, Fixtures No. Fixtures ~
Water Closet Cesspool/Drainfield u
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink ~
Urinal/Bidet Other
Laundry Tray
Floor Drains
Orinking 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 codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
~r Approved CITY OF EAGAN 454-8100
, • CITY OF EAGAN rJ~ 10 6 6 3
3830 Pilot Kmb Hoad, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 l y
BUILDING PERMIT Receipr # ~ ~
T~ y~ S~' DWG/GAR Est. Va~ue $63 ~ 000 pa~e JULY 29 ~y 85
Siteqddran 3922 WESTBURY TR Erect gl Ocapancy R3
11 1 WESTBURY 4 Remode~ ? Zoning R1
Lot Block Sec/Sub. Repair ? Typeof Const. V
Paroel No. AAdition ? No. Stories
FRONTIER MIDWEST HOMES Move ? Length ¢p
a Name 4 $
~ SIB MEM HWY E Demolisn ? Depth
Address Int Impr. ? Sq, Ft.
~;iy EAGAN pho~e 454-0433 ~nsta~~ O
S~F Avv~ovab f~a~
ffi Nmne
pu A~~~ Asxssment Permit •~0
u~ City P~one ~Nater E$ew. Surcha~ge 31 . 50
t Palice Plan Revlew 161 . ~ ~
" Name RT('HARn (`HARi.TF.R Firs gqC 525.00
q~~s 1 41 n3 (;AR1~F.N VTF.W ('T ~y, WeterConn 500.00
~W Citv A_V_ Phone 432-5492 planner WeterMeter 63.00
Council RoadUnit Z80.00
I hereby ackrwwledpe that I haw reod this applicnt~on ond slate fhot Bldg. Off. ~ 2$ $ 5 Tr. PI. 132 . ~ ~
fha informofion is correcf and a ree to omv~Y ~'~~h otl appliccble AP~
Stata of Minnesota Statures a d City o`£a an Ordi s. Parks
var. Date Copies ~~~50
I $ipnofuro of Permiftea
A Bu~ldinq Perm~r ~s ~uued ro: FRONT ER MIDWEST HOMES ~~e e~e~
xpren CondiHon tho~
d~ work sholi be done in uccordonce wrth~ ~I~I /op(/pIiCa~ble S~tote of Minne a Statutes ond Ciry of Eopon Ordimncea.
Buildirp Oflidal -Fi~~Lo-r+~~
-VITY"OF EAGAN Remarks
Addition WFSTBURY LTH QDDN. Lot 1 1 BIk 1 Par^ n i i n rn
Owner Street 3922 Westburv trail State Eagan+ MN 55123
Improvement Date Amount Annual Vears Payment Recelpt Date
STR E ET SUF F.
STREET RESTOR.
GRADING
SANSEWTRUNK (f1 1985 26 .2 a 6•s9 Poi6 y ~2 io/LZ/~S~
SEWER LATERAL
watennain V 1986 G~- "
WATERMAIN At 198q Ej .z 1 .O p •
WATER LATERAL
WATER AREA ~07 '~.3
wa r r E7 3 3.-7
STORM SEW TRK y • • 7/0• oZ "
STORMSEW LAT C 3•5 15 .71 5 3•~;(.
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. n n
BUILDING PER, n n
SAC
PARK
1 •
V T ~ ~
/
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
.a
[o3ocn. ~
To Be Used For: ~iP Valuation: ~ Date:
Site Address: OFFICE USE ONLY
Lot: ~ Block ~ Sect/Sub Erect V- Occupancy R.3
Remodel Zoning P-I
Parcel 11 U..~?alblit`V Fhuf"Hl rtQCl. Repair _ Type of Const S[
I I Addition 11 of Stories
Owner (~~p~ja0. ~0.hE' F~Uh~4ZG~ Move _ Length 40
~ Demolish Depth 45
Address 11hp00 Ig~ H17C Ic4 Int.Impr. _ Sq Ft
Install
City/Zip Code Plv~~u~!-h. f11n. ,54~7
Phone `t 3•-~~ I 1 APPROVALS FEES
Contractor ~~hi'l`V'1Pf' (lll(iU,QS'h 1Fph1PS Assessments Permit 322.°°
I Water/Sewer Surcharge 3
Address Police Plan Review I(ol
Fire SAC 57 5. °
City/Zip Code POG~~~~ffin.SJ~ZZ Engr Water Conn ~o.~
1j- Planner Water Meter (.3.~
Phone 33 Council__~Unit 280. =
Bldg Off 1T~~3'reatment Pl 13Z
Arch,/Engr. ~i{~GC - N \ ~/1Q1'IIQr APC Parks
Variance Copies
Address )q1n 2j G-ofAPl\ V1Pu.- d • TOTAL
City/Zip Code /#nnj~~~
Phone 11
8 UF~VEYI9V C rflflcafe For :
~ 0 ~ :Fro:ntler se
SEIRVICES ~l~~~~$
3908 Sibley Memoriaf Mighway Eagan, Minnesota 55122 ~~P~~~~~t~~
, Phone' (612) 4523077 (
I'1o~ - CA~`1QR~0C~~ I-
. ~ i ~c~T 12 i
__I N Y~~l'92' 21" E 130.0o I°ee
0~~.x ?
-N-
~ ~i,' /
o x
\F /i.I o o! LOT ii ~
iw >ao j N o O~I~
° I
a, ~ ~
v ~ ~O Ke9''P
° 263~ ~e
f- Z IU ~~%15~ dl ~ m
I '
30
- ND- PROPOSfD GARAGE FLOOR ECEVAfION= S8Z,7
0 Denotes IrmYaw.rrent PWPUSED Iop o1 dlock ELEVATlON-
m Denotes Naai HLb Set PROPOSED BASEMENI f,(_ODR ELEYATIQN- 880,0
KB82'° Denotes Existirg Spof Elevaiiai
NOIf. Veri(y n!1 fh:ior /piyhts wiih Fina! Nane P/ans.'
(fN$10WN) Llerofes Proposed Spoi Elevation -
Denotes Drainage Directian _~RVEY075 CERTIFIC/lTIQY-.
_P~.~, I lereby cerli/y JF~at ihis survey, p/an or report
was pepared by rte or urrler my di rect supervisim
Lor 1i &crK 1 ard tiwt Iam ,3 duly ReqisterErl Lert1 Surveyor
!A[SiTf~Vf{1_~~ AOOiliOrJ L# er tlr la.s nf 1he State of Minnesota.
accordirg to 1he reca'deJ plat thereot, ~ 6/
C. ~ `?f~~ _Date: _ /li /85
o a C~ty, pi~sofe • IYayne Cordes, kuin. Rey. No. 145 75
.,•:5~,,; ~nrruu n'in
W A Y Nc D. '•.:'Y %
- COi3DES . 't =
.~Ji ^,7J
:,~D.`, • . .
, Page 1 of 4
• ~ EXTERIOR ENVEI.OP-E - _ /1VFRAG.
_ f "It" COidPIIT/17i0N cAm~~IC03~
.
~a+ec
OWNER; ~
- nnrr :--3-z, S -45 45 ~
SITE ADDRESS: PIIONE:
CONTRACTOR: FQ~7V'((e~ •
Determine workinq square foota9e of each
1. Total exposed wall area..... Zsq. ft. x.11 = 2451, 745
2. Total roof/ceiling area..... I G"08 sq. ft, x.026 = ?Z, ZCS
_ Total exposed wall area abovc flooi
a. Total wall window area ~
b. Total door area . . . . . . . .
Z b~-
c. Total sliding glass door area . . . . . . . . . . . . . . . . . . ~
d. Total fireplace ~~all area ~
e. Total wall framing area (averaye 10%) . . . . . . . . . . . . . ~ ~ ~
~ 8• 8(0
f. 7ota1 rim ,~oist area
g• net rrall area above floor...Z-
.
h. wall area above floor ~
wall area above floor.........
j, trame wall area at fowxlation
- Total exposed founclation areo
k. Total foundation window arca
1. Total net foundation area above grade
Deterniine "u" valuc of each wall segineiiC
(e.g. window, door, each separate v;a11 section)
a.~~~~ 3 X
b..~1.(&-L X
C.~. x s} ~ _ ~ ~ • -
d. y,lu,l_-~2~-__
e. ~d.rp . X r
f. X "U"
g"-_1(~+'r)((~•~ "U" ~e-A
h. X
7. x nUu
j, ~ ~V,
k K„u„ If item N3 is the'sani
- - aS, or less than;i.tem
X' U" k1, You have meE;;ttie~~
intent of SBC,,600P1' C
.1 I M~N I -
3 . .................................Total ~ ~,pi~:f~~~~
;4
I °
lix yrior Lnvalopo Averngc "U" Coinpul-nCion Pngc z of n
1, . .
'PoLa1 expoucd root/cciling nrca
,
,1..
m. 'lbtal skyli.yhl' area
n. Tol'al roof/ccilinq fLa:ning arr_a (;ivcragc lOP.) o. Tota1 net insulaCed rooC/cciling urea........... Uctermine "U" valuc Cor cach roof/ccilinq segment
~
M. x "Vi.
n. LGe - P.~ a "U" OZ
o. 'f 71, _ 7~ `T, S V
9 . . . . . . . . . . . . . . . . . . . . . . . . . . . '1aL' a
If: total of ;I-] is tlie sceme as, or less 1:ha? I12, you h:ive meL Lhe intent of
SriC 60Q6 (c) 1.
A].ternate Bui].dinq L•'nve].one Desi9n
'lb ut:ilize the Lota1 envelope'systen meUtod, Che values esL-ZUlished by Lhe snm of
lems t!3 and i!q :;hnll not be grca tcr Lh~1
i n Lhe sum of items I{.I. and i12.
7S + 2.
s. -t n. 7:
~
~
1
~
, ,
, ROOC/CEILIyC , .
• , . . ~
~ Con^.truction ' R-Va1uc
Intcriar air filrn 0.6I
3- _JdLSUL. 4~'~
lLI 4. Extcrior ai: filn (still) 0.
~ YENT Total
• '/~I~ ' ' . ' , . ' i0Z .
' . FRFrM 0. ~ . .
fleaC flov 1. Interior nir filcn 0.61
znced 2
up - • -
. 3. _Z f_
. • 4. I:xCCCio;: _ iL_I`0r.i I_:ti
Tota1
I'IG. 95 , •
, . U=.oz~:.
C oti Yri¢ ? c ri vP..~ . ,
~_Ny~~t~r-~~.V11'h`l_,_ ?.4r~..~.},~~IJM1~l~~ul '
Insidc air f.tlm 0.61
= ~ - - ------r - -
. 2_
3_ '
~ 4-
~ ~ (}m• ;~'y~/l ~ ' 5. Out,idc air fil;n 0.17
Tota1
~~I~li~~ll~) ~GII_~~1!;~_~~ . .
~ L02 3 ¢ I. Insidc air ILlm 0:61
2. ' .
~ I'.cct flov up ventad 3. -
. 4_
• . ~ ~ ~ ' S. Outsidc Dir Pilin 0.17
_ YIC_ A6.~ . ~ . . ' : Tota1 ~
'3 ~ Ynsidc air film . O.Gl
. • ~V~' ~ .1•.t ...r__'_~ 2. `
. °~:=1. ~ 3" -
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air filia 0.17
xo ta l
~ . . • . • .
Ntote: Usu ndditional -heets if more cpaco i:
nocdcd for dctails and calculations.
~ . Hcat
- , _ - flov uP
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wni.~, ~~r.rrrtni~n •
. U:-r'Ju,111 ntes fur
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u,17
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
y CITY OF EAGAN
3830 PILOT KNOB RD • 55722
651-681-4675 ~
L. 1 -t- °l
New Construcilon Reauirements Remodel/Reoalr Reauirements
? 3 regislered sRe surveys showing sq. N. of lot, sq. ft. of house 4 copies of plan
and qfl roofed areas L20% maxlmum lot coveraoe allowed) 1 set of energy calculaFfons for heated addXions
D 2 coples ot plans (show beam 6 window sizes; poured fnd. design; etc.) 1 fHe suney lor exferlor addHions a decks
D 1 se1 of energy calculallons
? 3 copies of hee preservatlon plan B lot plaMed afler 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
Lor: l ~ BLOCK: i SUBD./P.I.D.N:
Name: Uv-~ 4.'s' ~FIZA~ Phone
PROPERTY Las+ Ftrsf
OWNER T!1
Street Address: ~~aa ~I.~EST~,UtL`l \ t~
Cify U\G(-~'o State: Zip: sSv~-S
\
Company: Phone M:
(area code)
CONTRACTOR
Sfreet Address: Lleense 1k Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sfreet Address: RegistraHon k:
Ci1y State: Zip:
Sewer S water Ilcensed plumber (reaulred for new conshuctlon onlv
Penalty applies when address change and lot change Is requested once permR Is issued.
I nereby acknowledge thaf I have read this applicatlon, siate fhat the Information is cortect, and cgree to comply wMh all applicabl
SfaFe of Minnesota Sfatutes and City of Eagan Ordinances.
1 Signature af Applicant:
OFFICE USE q LY
Certifcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY .
~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~
(Allowable) Main level sq. ft. SAC Code d/
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System _
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~L Engineering Variance
Permit Fee 60190 Valuation: $
Surcharge
Plan Review
License
MGES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. '
Park Ded. '
Trails Ded.
Other ~
Copies 3 1a5
Totai:
SAC Units
°/a SAC
5
f
SIGMA House
8URVEYtNG Certlflcate For:
SEFtVICES ~rontler N9id~vest J
3908 Sibley Memorial Hiyhway
Eagan, Minnesota 55122 Corporotlon
Phone. (612) 452-3077
. , i L.o? 1'L i ,
e
130,0o
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~ L.•':> T 1~'? I
30 ~ Z I ~
~
3H 1~- CITY USE ONLY
LOT 1 1 BL ~ RECEIPT
StiBD. LI 4\ RECEIPT DATE: 9 1
1999 MECfiMICAL P£$MIT (ft£SIDENTiAI)
CIl']' OF £AfiRN
3830 Mor xxoa ltn
EasRrr MN 55 112 `LI
Date: (851)681-4675 4 30-~~
o(
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
: nVAC: 0-iG0 M B 1 U S 30.00
ADDITIONAi. 50 M BTU 6.00
• Gas outle[s (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section orilv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New ~Replacement _ Repair _ Other
, Furnace X- Air conditioning
, Air exchanger, i.e. Vanee system, eic. Ofher
Reminder: Ca11681-4675 for inspections. $30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: 'Jll
OWNER NANiE: PHONE CA `ja -~~L'ILv
I.\STALLER NA!v1E: PHONE ~01 a-~~~-I -DUD S~
STREET.4DDRESS: QSAg1 S
CITY: STATE: N4'~ ZIP:
cI"l I C L / L
SIGNA7'IJRE OF PERMITTEE
15 PORSU BLDb1ECH PER'NIT(RES)- t999
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 M£CHAN1CAL P..RMff (COMM£RCIAL)
CIN Of EfkfiRN
3$30 ?ILOT KNOB RD
£AfiAN. MN 55122
(651) 6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family bulldings when separate permits are S required for each dwelling unit
CATE: :;OivTiiACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: I% of contract price OR 530.00 minimum fee, whichever is greater.
Processed piping - 530.00
CONTRr1CT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (5.50 per 51,000 ofpermit fee due on all permiu.)
TOTAL
SITE ADDRESS: _
OWNER NAME: PHONE
TEN.4IvT NPu'vIE (LvfPROVEME;vTS ONI.Y):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERiMITTEE
:
.
z/a a
CITY OF EAGAN
APPLZCATIvN FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHi)
1) PP.OPm-2T'! AL'DR-',SS:
. I.EG.aI. D°SG°TDTICV: LI/ 1 l)P~~1L~(~~ ,l ~-ir1
(Loc/Block/S~..,aivisicn r Ta:. rarcel I.D. ~=ner) •
' lc =ST=:G S?^S:C^JTZ. DAT~.' 0F Ci21_G:.IAi, `uUII:L':G ISJUANC.:
c_ pP_°S~'?` ~,••1T:6y"-: ~G?C5~ C'S: N 2-1 SZjGLZ FFNSL° .
? P,-2 i,"vr_^. (T.iO L'i]Z':'S)
? ?-3 'IC;•ivrv,cr (rt?-in^, + L,.R-s) ~ [J.iZ_'S)
? R-a n. z_s)
? ccc•=Ic_u,/Iq..i?=cy
? TEN c cs-,, R LA L
. ? D .s:zT UT io~1,7 k L /cC vE 71 E::T
Z) A?T.1C=ij' (PLEASi PRf41)
DUV•'E:. Frontier Midwest Homes Corporation
ACD'WSS: 3908 Siblev Memorial Hauy. Bldg. E
Cr."!, STlTE, ZI?: Eaaan, MN. 55122 -
P~ONEJ 454-0433
3) Pu,:.T-z.'.n (PI~:,SE PR1Ni)
N'1"~': Star Plumbinq FOR CITY USE O4LY
, PDCRESS: 1018 Mound Springs T2T. PLU!!B.CAS LICEUSE:
. ~,/J Active
CITI, STa'?'E, ZIP: gloomin ton, MN. 55420 0 E:pired'
PHOVE: 884-4149 PLUNBEN LILENSE H 3329 ~ Not of Record
' r?`"',n,c,a i
4) (PLEASE PRl;li)
~~1(~ a :re~P kuh'~
a~DRESs: t-jlen0_ lLf'zh 'Nue.
CITY, STA'I'E, ZIP: 'F I UM 6 ai.{1 i'y) n. 55qq,1
PEiaTE: uI_ -
5) IIdDIG,i7 ;J[-{ICH PERAIT IS BEIr:G RF7~)CTESTID:
i
~ CG;INEC.'TION TO CIT^t SETr]EI2 Please mail gold copy to
~ CONNEcPIC;1 'IU CITY wATER Wenzel Mechanical
3600 Kennebec Dr.
El 0711ER (P~'cF DESCPTP-E) Eaqan MN. 55122
6) m*DIG,
• ? PT-= ASE I?OLD APPRCUID PEPy1IT FOR PICN-LP BY O:u'E OF AEGVE
1_y -°T-E~ :•:aI ,'aPPPGVED P~_uT 'PJ 1,Y~ 3, 4 AFO1E
(Cl~~e one)
7) SIC,;,TL,n:: G
DAT°:
~f ~l e1al.awll~o s r v~~:saa a~ ~•.+t is i+~a t~ ~ s i~a~:a a s ral~:a ~s~ ~ s~ ~ T2:~
F O R C I T Y U S E O N L Y
PERMIT ?SSUED
F°_~S: $ lL'~V SE:ico nr.UNtry (INC-L.:i_'. JUP.C'1.RGL)
$ IU'SU WAT°R PE.-P21T_T {IiICL'uDE SiiPC :yRGL) .
$ (O 3-0 6) WATER MFTER/COPP°4HORiJ/QUTS:D : REnvER
$ WAT°TJ TAP (ZNCLUDE CORPORP.TZON STOP)
$ S-E:•+ER T.aP
$ vo r.=i;:.`^ :--r%ci- -
$ °U ACCOU?:T DEPOSIT - i•7P.^=3
$ WAC
$ U SP.C
$ • TRG`]K WAT°R ASJLSS.:E::T
$ TRli2IK SE:;ER ASS?SS:i°_ciT
$ LATE?.AL BLIVL: ZT/TRUNK SETiER
S L:iT'cRaL BLVLFIT/TA(_];.;K 11aTrp
WATER TREATPiENT PL4NT SURCNARCE
S OTHER:
$ TOTaL
$ ~OGS-SU rl:`!OU`:T PAI'J;'RyrEi_^ R J"~ S
DOcS UTILZTY CONNECTION REQUZP.E EXCAVATION ZP7 PU6LZC RIGiiT OF idAY?
~ YES IF YES, THEN n"PE3h1IT cOR PIORK WITHIN
PUBLZC ROADWAY" MUST BE ISSUcD BY TY.E
0 NO ENGZNEERING DIVISION. LIST AS A CONDZ-
TION.
SU°JEC2' TO TfiE FOLLOWIVG CONDITIONS: •
/
/
AP?ROVED BY:
TI:Lc: '
DAT_ : 71
~~~j~ ,
.a ara E~. M AN ~s .c ~ IN M.16 OcMw Mw s-M w rG w.a lmF4W w ~jWM~ M,-mMWse WJ"w M,~ oc~ om am a. ~
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113599
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 3922 Westbury Tr
Lot:011 Block: 001 Addition: Westbury 4th
PID:10-83653-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Ashley Harrington
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joey M Page
3922 Westbury Tr
Eagan MN 55123
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130483
Date Issued:04/27/2015
Permit Category:ePermit
Site Address: 3922 Westbury Tr
Lot:011 Block: 001 Addition: Westbury 4th
PID:10-83653-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Joey M Page
3922 Westbury Tr
Eagan MN 55123
(952) 232-8624
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
r
For Office Use/
t, * -,• AW�; =lir Permit#: //0/....-r..---,6.7
MAY 2020 Permit Fee: i 7.
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
bulldinoinspectionsc cityo€eaoan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 J Li'1. Q Site Address: 9 22- Vv es-1-1-)v.c, I r 00% Unit#:
Name: 3 u..- 0 ry rno e t' bs1--9SS-221 1
I Phone: 11
Resident/ i
l i
Owner Address!City/Zip: S Cl ZZ i.)-.e gA-1.,',. .v7. 1 -► ` i
J
IApplicant is: Owner Contractor
1 T ype ofWork Description of work: L1 e C k 'ce c4C ,<"v- e...a A' a -O'er
Construction Cost: * sp C7 0 Multi-Family Building:(Yes /No W )
1, Company: N - Vl o Me C w n(r Contact:
Contractor Address: City:
State: Zip: Phone: Email:
)
License#: Lead Certificate#. _
If the project is exempt from lead certification, please explain why1C1 S S
`jLAtk� 1��
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 X No If yes,date and address of master plan:
E i
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
i NOTE:Puns and supporting documents that you submit ars considered to be public information. Portions of the Information may be
classified as non.. bile if�u vit s specific reasons that would• - it the C to conclude that the 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.citvofeaaan.com'subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.goDherstateonecali.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved''�'� plan in the case of work which requires a review and approval of ns.
x J c7.'`i l t
el ,Yll trve,( .L.�l. �r
+ '^s ---
Applicant's Printed Name Applic is Signatu
L
DO NOT WRITE BELOW THIS LINE 1 0 LJ ESf (x2 / /2 • / ‘,/g. q'
SUB TYPES y
—
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
X Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
_
X Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 'S;C b o Occupancy IRC- ( MCES System
Plan Review Code Edition ac c SAC Units
(25%_100%_) Zoning PD City Water
Census Code 1/34( Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 2-:Tr5 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
X Footings (Deck) Final/C.O. Required
Footings (Addition) }{ Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: �- Ak iso— , Building Inspector
RESIDENTIAL FEES
:�5 ex;s-k;,, cec't
Base Fee - A)ew ?c- F:.- <•.ze . 0 x id co/5}ti:
•
" L' r
SIGMA House
SURVEYING Certificate Four:
SEFIVICES Frontier Midwest
a 3908 Sibley Memorial Highway
Eagan,Minnesota 55122 Corporation
Phone (612)a5?•3077
Ila -cAmeik,c6 -
1\ . I I
1.°Ti2
el, NSq°12121"E 130.0 1 ',.
,
'N- `Q IoI--i-rav ;_ ;,c:we N
li 0 • f es , /i \� � C *
a." _• 0 s'
gC:ALE: I''a401 (L -r_lj :. i ?t$ I .
II � ` I c
t zil Q+ l°L - _ ___
t .�° s 89°tel-L'2'r"I 1 fO.OO
I I
I ,47.1- i0 I
1 1
_ 30 af
NO- •
PROPOSED GARAGE FLOOR ELEVATION= 88Z.7
o Denotes Iron Monatent PROPOSED Top of Block ELEVATION- $53,0 •
a Denotes Morn! H1,6 Set PROPOSED BASEMENT FLOOR ELEVATION.. 880,0
PiB 24 Devotes Exis,irg Spot Elevation
u°� MOIE: Verilyall fluor heights with Final House Plans:
(r stiow ) Denotes Proposed Spot Elevation y
�.-----Denotes Drainage Direction
I.MOliS CERT IFICAT IOY-.
-PFCF'ERTY DESCRIPTION- I hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
LUT 11 ,BL(Xx_ 1 and that I am a duly Registered Lard Surveyor
W TORY_ Wm. Ao01-110, a et- the laws of the State of Minnesota.
according to the recorded plat thereof J
k/� Cl
lJ �` =*cL_ Date: `(11 T85
o a MinnesotaCasty Mlesote _. •• n Cordes, M'tin. Reg. No. 14675
14fi
GlUVlillfJiJJ
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441:1-6,,,, }•o ,r/ WAYNEryD. :*z
e)tt s-►:'s AEC K. . t CORDES .
l
' 14675_ i,`
•
. ;.,-:r..,._3.A4../3 s^ .V 'y,''"j.�iuJ lr,plalffttS Li 11'� �`Y.
S -/3 . 6a
2.3 Y.: i.s.!'./3 i ' :1•,;.Y E C`1 iv.%1\ UIVi.:ai�.,�6J