3923 Westbury Tr
j CITY OF EAGAN
3830 Pilot KnOb Road SMR SWICE PERMIT
P. O. 8ox 21199 pERMR No.:
~ Epan, MN 55121 DATE:
No. of Unit= ~
' pwn~r. `r'Kc.~IitiP.,r !'lidWE'5t ~
Addrom
Site /lddrosi: 3923 i.~-'.~~?tltY ?3 'r. _ :r~~~tt~ ;
i Plumb.r. Star/t12nze1
5379n .r-
z
~ 1 Mm N MmwIp w11r IM Cby of fWE Conneetton Owep~:
O, iMnom Aooount Drpait;
~ P4m* Fw: Z • ' '
! Sunciwrp'
~ BY Misc. Charot
DaM of lewp.: Total:
OoM Pdd:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pflot Knob Road ' • "
P. O. F3ox 21',99 vERMIT NO.: ~`~3'7
Epan, MN 55721 DATE:
ZoninO: R 1 A No. of Uraes: 1
own.r• rrontier :1idwest
Addea~
Sit. /dd,,,,.. 3923 FJes,. .y B3 '.:?n-s*'-)urv 4
Pfunber.
Moter No. . cmqoq" omw. 500. G 0~ i
st~: ~ ~ t~ 115.010
0 . 00pd -pd
1 Nwo te ommeIp VMA M» C1ti oi lqpn Sunct+aror. . 507,d
Or11wesom MIyC. ChOfp": 13 2. 00ixd '~'P
Tad: 63. f?Otx?. mete;-
BY Dote Poid:
Dah of I rap.: ~ Inep.:
~ ~ 85
I
' PERMIT#
MECHANiCAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE S-14 Zk7
CONTRACT PRICE: 0' ' PHONE: 454-6100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block 3 Sec/Sub pes ? New
Mult Add-on
Name
m
Address Comm. Repair
c Ciry ~ - Phone U aher
FEES
~ Name ' RES. HVAC 0-100 M BTU -$24,00
3 Address ADDITIONAL 50 M BTU _ 6.00
p Ciry Phone - 0 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPUES
Boiler . M BTU 1ukNMAUM RE3IDENTIAI FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU ' o MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT ,50
Vent CFM (ADD $_50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
~
FEE: -r/t r c
S/C: Sb SIGNATURE F P
TOTAL•
FOR: CITY OF EAGAN
. ~
-
CITY OF EAGAN
38M Pilot Knob Rwd, P.O. Box 21-199, Espn, MN 55121 -
PHONE: 4548100 ~
eUILDING 1'ERMIT RK.ia
To Mumd fM Est. Volue pfll? Dote 19
SiLe Addrl~i ~ t ~ ~ +c.•r-r- - ~ i ~?r.Tl . Erect 0 OCCUpanCy t •~Z
Remodel 2oning
W,Y 471: d
Lot Block
. Repair ? Type of Contt. _r
Percel No. /1ddklon ? No. Stwias
N hAove ? Lsnqth
~ me F~~Ti'~2 HnF~~
ri8 FTR7FY p.r:St ia4N -'F Demollah ? Depth
Addrass ~p
Int Impc ? Sq. Ft.
City Phone 454--f.,''~ i Install ?
ApMovah
Name
Atg A~~ Asstsunent Permit 6- City Phorro Water b Sew. 3urcharqe
Poliu Plan Review -L~
Name Fin 3AC t--
~3 Add?ea _ E„0. wate.conn
~ W City Phone Plonner Water Meter ~
Countil Road Unit
1 hereby ocknowtedpt thof 1 how reod this opplication ond state t Bldy. Off. Tr. PL
A~
the informotion is conect and opree to com y with olt opp a
Stab of Minnesota Smtutes ond Ciry c O~dinonws.
Var. Date Copies
Sipnoturt of PenniftN ~
Total
A Bulldinq P*r+nit I: +sswd ro: on M+e expras ca,dir+on that
oll work shall be dorw in oaordonce wlth cll oppliaobl* StoM oi Mt.w,890ro Starut.s ond Geq of Eopon Ordinonces.
8ulldinp Ofilcfal
~ -
- P~rmft No. Pwnmit Holdr Dab TeNpAone s
pko*'w l ~6 L~ y '
H.YA.C.
EMatr{e
Soitw+r
Irapection Dsn Insp. Othw
Footlngs I
FooNngsll
FoundaUon
I Roofing
I Rough qbg. .
Rough tft9.
' Insul. 9 l~- 9t
Firoplaw
Ffnal Ht9. 0
Finai Olbp.
FInN ~
CWt/Occ.
WatK Wsaibe loeation:
WNI
Sower
Pr. Disp.
Reaipt pAECHANICAI PERMIT PKmit No.
CITY OF EACNN
F« :i
flll in numbered wscet S/C
TYPe or Print !eplbJy ToL
;
2. Instan,tion cost 0 C,
1. Dst~
3. Job Addrsss { V3 .~`.tc~_iu + ?.r_a~ Lot Blk. ~ Tract
4. OwnK, „-~?"~~~.,q~~ _ an-°r~:+:~ ~ Q oJ ~
9
6. ContractorUi'-1-l ;s. Phon
8. Address
7. Gty, State Zip
: a
8. Building Type: Residential Commercial ? Institutional ? ;
9. Work Description: New l~ Add ? Alter O Fiepair ? i
;
10. Daaibe r` Fuel Typt
5 ~
11. No• EQUIUMML BTU - M. Ea. No. Equiarttent CFM X Forced Air Air Hendlin9:
Mf9• C,, ~c C,
Boilers Mech. Exhau:t
Mfy. 4"
UflIL Heeler
Mfy. Other
Air Cond.
Mfg.
Gat, 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 thia type of work.
Signed : L?.._. 0_.l _ -s N ~.J - for
qouqh Flnal
Inspections: Date Insp. Date Insp.
This ia your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Reaipt'; PLUMBING PERMIT Permit No.
CITY OF EAGAN
, Fes
~ ~
I~ fill in numbered spaces S/C
TYpe or Prinf /egib/y Tot
A
1. Oate ~ 2. Installation Cost ~
3. Job Address 1; Lot Blk. tract
4. Owner ~r i .'i - - - ~
i t .4..~-,• Phone ~
5. Contractor
6. Address
7. City State 2ip
8. Building Type: Residential 47 Commercial ? Institutional O
9. Work Description: New Add ? Alter O Repair ?
,
I
10. Describe ~
~
11. No. Fixtures No. Fixtures ~
Water Closet Cesspool/Drainfield ~
; Bath tubs $eptic Tank ~
Lavatory ~
Softner ~
- Shower Well
Kitchen Sink ~
Urinal/Bidet
Other
_L Laundry Tray
Floor Drains
Drinking Ftn. ~
Slop Sink ~
Gas Piping Outlets {
i
~
12. I hereby cenify that the above information is true and carrect, 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.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
FN
Fill in numbered spaces S/C
Type or Print /egib/y Tat.
s
i 1. Date 2. Installation Cost
/ 3. Job AddressLot Blk. Tract 4. Owner ~ ~ .
5. Contractor Phone 6. Address 7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter Q Repair ?
10. Describe 11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
= Bath tubs ~
} Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains I
Drinking Ftn. Slop Sink ~
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed :
for
Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Appraved CITY OF EAGAN 454-8100
CITY OF EAGAN N_° 1 0 610
• ' 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT tteceiPr
Te M urd fer qE' ryW/rAR Es1. Volue 63.000 Doro •nnV 1R , I 9--a5_
Site Addreu 3923 WESTBURY TRAIL Erect ip Occupancy R-1
Lot Block 3 SeclSub. •STRiTRY t]TH Remodel ? 2oning P-3
Percel No. Repair ? Type of Const. ~
Addition ? No. Stories
Move ? Length 40
a Narime FPdWPTF'R MTfHnTF'RT H('P7RR
Z Demalish ? Oepth 48,
~ Address '1908 STRT.F'V MFM T1WV #F. Int. Impc ? Sq. Ft.
City -FArAN Phone 454-0411 Install ?
o Name SAME Auvro.ols Feas
Address Asttssromt Permit 31.~50
~ City Phone ~Ncter S Sew. Surcherge
Police Plan Review 161, 00
Gw Name
Firo SAC .,,~5 ~1Q
Addreu Enp. weterConn. _500_00
~ Z. City vnone Planner water rneter _b 3,.00
Coundi Road Unit 28n 00
I hereby acknowledge ihof 1 have read ~his applicotion on ote th ~ Bldg. Off. ']/1_/RS Tr. PI.? 22 !10
the inlormofion is correct ond ico I with oli~ le
Stata o{ Minnesotn Stotutes nd Ci el o l p'P~ Parks
Var. Date Copies
Sipnaturs of Pertnittee ~
~ rotai 2 014.50
A Buildfnq Permit Is issued fo: FTXIT7I'T7A p41DvA;S.,2 ~~aqBs on fM aapmas conditlon thot
oll work sholl be done m accorda~~ ith al a
Buildirp ppli ~Sytqfe o~f Minnewta Srotutes cnd Ciry oF Eapon Ordfroncet
OHiciol
I
CITY OF EAGAN Remarks
Addi-ion WFS`PBURY 4`I'H ADDN• Lot 5 B,k 3 PafCe, 10 83653 050 03,/
Owner S[reet 3n 723 WeStbU7y Trall Stare Eagan, M 55123
Improvement Dare Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GFADING
SANSEWTRUNK ~ 246.59 A016473 10 22 85
SEWER LATERAL
w 1 g 6.2 1 65.29 "
WATERMAIN ftGY 19g 51.b4 3.45 1 44.80
WATER LATERAL
WATER AREA 1 g 1 .lg .2 1 2 . 5
f7 1 g 1 . 8.92 1 13 .79
STORMSEWTFK ~ 1 g 1~.2 142.05 710.24 "
STORMSEW LAT ,q 1g~6 7g3.56 156.71 783. 56
CURB & GUTTER '
SIDEWALK
STREET LIGHT
280.00 53790 7/18/85
WATER CONN. 500.00 11 11
BUILDING PER.
SAC
PARK
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
4 D NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN
C,~t~33(LiDUC ZNCLUDE 2 SETS OF PLANS
3 CERTIFZCATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
00
• (D3, ~t~o -
To Be Used For: AxValuation: ~ Date: 10 Site Address: OFFICE USE ONLY
Lot: 15 Block 3 Sect/Sub Erect Occupancy 2-3
t'~(~ I1 Remodel Zaning ~-I
Parcel ll v~/pS4UrV N[YQ-• Repair _ Type of Const
II Enlarge If of Stories
Owner ~ Move Length 4p
Demolish Depth 46
Address Grade _ Sq Ft
City/Zip Code
Phone 9S2-01 APPROVALS
Contractor Frn(-~aC (~1~U.~p I hHlYY1P'> Assessments Permit
11Water/Sewer Surcharge
Address ~Z$ Sij~~JPV lPM. I'YW~i.#E Police Plan Review ((ol.
Fire SAC SZS.°=
City/Zip Code FaCrAn 1zZ Engr Water Conn 1500.
Planner Water Meter (03,
Phone q5+ p> Council R d Unit
Bldg Off 7 / Parks
Arch./Engr. ~iC_.I,u r~ C6s-he r APC Treatment Pl 132, p
Variance
Address TOTAL ~f11~/,SU
City/Zip coae la~~le ~l~e~ ~512~-1
Phone Il y 3z,- ~A Ci Z
, Paye 1 of 4
EX7ERIOR ENVLLOPE AVf.ItAGI: "II° COMPUTA'fiON CAfvAdeIp'cm
KN ec
owNER: nnrr:_ 5-45
51TE ADDRESS: PFiON[:
CONTRACTOR:. F
Determine aiorking square footage of each
1. Total exposed wall area..... _Z_Z$$,,6(o sq. ft. x .11 = Zg(. ? rj
2. Total roof/ceiling area..... I U08_sq. ft. x.026 = za, ZS
Total exposed wall arca above floot
a. Total o-rall window area
b. Total door area ` g
c. Total sliding 91ass door ar•ea
d. Totai fireplace wall area.................................
e. Total wall framin area (avera e 10%9 g ) . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . ~ ~ • ~blrs
f. Total rim joist area
g• net wall area above floor...S .
h. wail area above floor
1 . • wall area above floor
j. frame wall area at fow-,dation
Total eYposed foundaCion arei_~~,_~ ~
k. Total foundation window area l. Total net ;oundation area above grade
Determine "u" value of each wall segmenC
(e.g. window, door, each separate wail section)
a._L~g• 3 _ R r.-=~-~--~---~~i_~ . •
b._~'?• ~Z _ x u,~
C.~-- x "U,, .45 _ 18.41
d.~ z 1 ~ - '
u°-~~
e. (o X u~, yC.) 06
X -cd
9 -=1 c~~ X ,v,_ . C) 0
h. X
i. X llull
,r
n
j, X ~lull
k X „ull T1' item N3 is the'saa
as, or less than,"i,teR
1. #1, You have met~the';
K ~u~~_~_ intent of S6C4.600~~,~G
. . . . . . . . . . . . . . . . . . . . . . . . . . . . To Ca 1
3 . . . . . . A Sk . s
.,r.: ,
lix prior, linvolopo Avm:agc "U° CanpuL-tiL•i.on PngC 2 oP q
/ - ToCal expoL;ed roof/ceiling arca
,
m. 'lbtal skyli.<iht area ~
n. 4'otal roof/ccilin, P_'Zming aroa (;:verayc 10%) L04---r ,
o. Total net iitsulaCed rooE/ccili.ng area...........
• Determii:e "U" valuc tor cach roof/ceiling seymenL
, m . x U
!1 . " /y
.OZ._-
o.'? 1, Z a °u^ , (i 'Z. _ t 4T, S~
4 . me,i = (e;,
if total oi 44 is the sauie a, or 1es5 i:]ian 42, you have met the intent of
Srir 60Q6 (c) 1. '
Alternate Buildinq Lnve7.oPe Desiqn
7b utilize the totzl envclope'systGn meChod, tlic values esL-ablished by L-he snm of
i.tems 03 and ii9 cha11 not be greatcr L-han L-he sum oL it-ems I{:I, and 112.
1. Z51. 75 i. z. Z&Z .0-3
3. + n. 7:
y
- ' ~
l 'I y
. . . . ~ i ri.n
II
i ,
ConstrucGion ~ R-Valuc
L
Intcrior air filci
2• P , S'R
3. IAJSUL. ' Q
II ~ ~
I I` . '4. F.xtcrior air filn (sCil11 0.
.otal 2 4 8
mted flea[ Plow 1. Interi~ r air f.ilr., _ 0.61
uP - '
s. t lysut_ 38.35
• 4' Iixtrtio_~,ic i!n (_r7.Z~ ~-~.T
_,I'ot3l
2 = 9o.iS
. rzc. es~ , •
~ . U-.oz4...
coti',TV-'vcri
~.~y=1V1~.Vl:„~Z`-v.~i~~•,~~-~=I?~ll.t,a~ ~
- 1. Insldc nir filin 0.61
4
cu 3_
M-11 I ~ 5. Ou t'sidc air. film (J.17
~ Tocal
i~~fl~~~~J~~1_L
~ ~ F.t.'~9~'f ~ . . . .
1 2 i. Tnsldc air Iilm 0:61
~ • ~ . . " 2_ . .
~ Y.ect flov up • v¢nted 3-
~ 4_
• ~ . ~ ~ - ~ ' ' S. Outsidc air £ilm 0.17
~ ..PIG_ 66. . . . Total
3 1~ 1~ v 1_ Ynsid'e air film 0.61
• . . `..t,.~i.~r;~ 2. ~ ' .
3.
4"
~ . ~ .
our.,;idh: air f5.1m 0.17
TotaL .
~ . . ~ .
• gp;r_pII;= . Y;otc: Usu additional 'sheets if morc rpaco i;
necclecl tor clctails and calculations,
' . Hcat ' - .
- ; _ • fZou up . - ' ' • •
. ~ . •
' YI P7 . a' .
~ V~nI.L• i,Cr,•Ptrnip '
a, ioI> unl l nccA fir 'v\~
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. •
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Consfrucfion Reauiremen}s Remodel/Reoalr ReauIremeMs
D 3 registered sMe surveys showing sq. k. of lot, sq. H. oi house 2 coples ot plan
and all roofed areas (20% maximum lot coveraae allowed) 7 se} 01 energy calculaHons for heated addHfons
D 2 coples of plans (show beam d wlndow ilzes; poured ind. design; efc.) 1 sfle survey for exterior addBions 3 decb
D 1 sei of energy calculatlons
D 3 coples of hee preservaHon plan M bf platFed aNer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: t n P 1-70c`J
.u
STREET ADDRESS:
LOT: ~ BLOCK: 3 SUBD./P.I.D. i(,d A l~ILA
Name: d-el /C/ Phone ySL/
PROPERTY tast Flrst
OWNER Sheet Address:
Ci1y Sfate: Zip: S
Company: Phone G ~ ~ ~ ~ '
t~' 3 (area code)
~j~y-~~' 1I31fs>CJ
CONTRACTOR
Street Address: 1 S License 2~/5<lt1t~~) Exp.
City ~ State: Zip:
v'
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Regtstration
City State: Zip:
Sewer d, water Ilcensed plumber (reauired for new consfruction onlvl:
Penalty applies when address change and lot change Is requested once permN Is Izsued.
I hereby acknowledge fhat I have read this applicatlon, state that the InformaNon is conect, and agree to comply with all applicabl
S1ate of Mtnnesota Sfatutes and City of Eagan Ordinances.
Slgnature of Applican}:
OFFICE USE ONLY
Certificates 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 ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex Q 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
7J~ 3L ~ 3830 PILOT KNOB RD - 55122 it
651•681•4675 C L(
New Consfrucfion Reauirements Remodel/Reoalr Reaulrements
> 3 reglstered sMe suneys showing sq. k. o} lot, sq. H. of house 2 coples of plan
and all rooled areas (20%moximvm lof coveraae allowed) 1 set of energy calculations for heated atldkions
> 2 coples of plans (show beam 6 window sizes; poured Ind. design; etc.) 7 sNe survey for exlerior addNions 3 decks
1 set of energy calculatlons
> 3 coples of free preservatlon plan M l01 plafted afler 7/1 /93
DATE: CONSTRUCTION COST: DOO
DESCRIPTION OF WORK: 3-!Z-aSO.j W,-g &ck
STREET ADDRESS: _ 320-3 V. l~ .Ex~h/ ? r'a: ~ /yJ// SS /Z'7
LOT: BLOCK: SUBD./P.I.D.#: Ap~'4:1 Ar..~
Name: IK~~ /ctk Phone#: &-4~7- ysv-eooi
PROPERTY Last First
OWNER
StreetAddress: ~Z3 G~es~ew,~ rirz~I
City GaGUvl State: ~r! Iip: SS%23
I
Company: /V/ry Phone#:
(area code)
CONTRACTOR
Street Address: L(cense # Exp.
Cfty State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Regfstration
City State: Zip:
Sewer 8 water Ilcensed plumber (reauired for new consfrucfion onlv):
• Penalfy applies when address change and lot change is requested once permit Is Issued.
I hereby acknowledge that 1 have read fhis application, state ihat the Intormation is correct, and agree fo comply with all applicable
~ State of Mlnnesota Statutes and City of Eagan Ordlnances. ~
Signature of Appliconr
OFFICE USE ONLY Certificates 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 ON 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 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
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only' ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration O 37 Demolish Bidg.' ? 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 6/ 3N
(Allowable) Main level sq. ft. SAC Code D/
UBC Occupancy 35cqg sq. ft. 168 No. of Units ~
Zoning eal: sq. ft. 7,yD 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 Buiiding V" " Engineering Variance
Permit Fee Valuation: ~ poU
Surcharge
Plan Review
License /2 x, y = Iblef xyo 767,20
MC/ES SAC
City SAC Qco!(
Water Conn. 7 ?r<d - /rz
Water Meter ~ N - '6
Acct. Deposit V,r = 7''&7
S!W Permit Op
S/W Surcharge ~
Treatment PL ~ cl 7-0
Park Ded.
Trails Ded.
Other '
Copies
Total:
SAC Units
% SAC
S 1 O MA House
SUAVEYINO Csrflflcate For:
SEpV'CES Frontter Midwest
3908 Sibley Memorial Flighway
Eagan. Minnesota 55122 Corporatlon
Phone: (612) 452-3077
(°Iedc1 - CArn00.~AGE- ~ I
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e°°~~ ~g90 42'211W 14a.(12 ,t;'^"• W
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- NO - PROPOSED GARAGF FLOOR ELEVA IION= ~62•00
0 Lenotes !rm Ypxrrent PHYJPOSfD Top o/ Block ELEVAIION- 862.3
m (knotes Moai Hib Set PROPOSED BASEM£Nf FLODR £LEVA110N= 979.3
,evz.i Denotes Exisfiig Spot Elevafion
AKJiE: Verify all llocr Ipiyhts rith fina/ Hovse Plans.
(r - (knoies Proposed Spot E/eval io»i
_~---Llenofes Drainage Directir~ ~M CEWIFICRIaV-,
-PI~ERTI, ~S~R~PfICN- I hereby certily thet this survey, plan or report
Mas prepsred by m= or urler my direct superv ista'i
LOl 5,gL(xK_3 erd tlut I am a Auly Registered Lerty Surveyor
~~S Du~y_??t'(}~_ AOO\I~o~l the lennn.s ///o~~~l lhe State o/ Yiruesota.
accordiiy lo fhe recordeti plaf ihereol, S/
~.Z Dafe: _ 2LI $S
Ow~~a Camfy, Yimesota MeyneD. Cordes. Yinn. Reg. No. 14515
,,•;:.;,~v,1r,
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'G~; •
WAv ra ~ v~
CORDE.~ ` -
14675 ~<;9''•.
i~~/~O•..`; . ~!%,L4`,~~~~~/411atiUI11I ~V 1~~~~~`
• . ? -
5Z q~lM~a~ay~ r a ~~:aau ~e t r+'a~aaa ti s sssaa:~ a~ r~atira~s~ ri ~ ~s~,~
FOR C ITY USE ON:,Y
PERMI?T T_SJUED
rr=Sa $ . 16 ~.S~:.J . . SE:•:E.°. °EnMrT \INCL.:i.'1..
• $ (G' WATER PEi2PiIT (IiICiuDE SliRCHAcZGc'.)
$ l~ ~w WATER METER/COPPEBHORN/OUTSIDE READEB
$ WATER TAP (ZNCLUD° CORPORATZON STOP)
$ SL:VLR TF1P
$
~S~cu '-..~'i:-•- ~?OS~' - o_..=~
+5 ACCCUNT DEPCISIT - WATER
s S~~~v wac
5 ~oo. Uv sAc
-
TRWR WATER ASSESS:+.E:IT
$ T4li:1K SE:•iER ASS?55::°_`IT
+S Le.T :P,AL BEivEc IT/T'.'~.UNK SE::~?'c
$ LAic.RAL BEVEFIT/TRU.`1K WATER
WATER TREATMENT PLANT SURCHARGE
S OTHER:
$ TOTaL $ ~O6 S' S^U pMOC:7T PAID ~
iR..rr.._ ~i.T ~ S~7 6
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PU&LIC RIGHT OF WAY?
• ~ YES IF YES, THEN F-, "PERMZT FOR WOR?C WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERZNG DIVZSION. LIST AS A CONDZ- TION. . .
SUESECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: • `
. . .
TI:Lc: .
. DATr•
. • • " ~Ra.E~sa~~~.~~c~wsw~.~
-
.
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2/84
CITY OF EAGAN
APPLZCATIvN FOR PERMZT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
1) PP.O= ACDPE..s: 3~i2~ 1 x STDU(` ~ . -
I crai, or..~s~rTcv: E 3 (,lje 4 ~ a rv 41 16 (ac1 ~
(I.0t/'B10ck/6L.,aivisicn o Ta. ?arcel I.D. P7i.r._>er) ST=i;:.'??I?Z, Drl'-' 0° CRZGi^.I?,i, uiILDL`:G -_-'Sml TSJi.a+_%=:
pnE= ~.•.~F;~?~POS~ C'S: ~ r-1 5z:GL'. F:-,~SLY .
? R-2 GU'~i T~{ ('?'.:TJ L^]ZTS )
? rZ-3 'IY..1d1N.v`v.cr (mr->c^ + L':7ZT5) { UN27S)
? Y~4 iti v mm,;T~C~..'_S~.i•tnll'..r'1 ~ Ut1I=5)
? CCi•ti1E?C=~I./.T~..z'*'~TL?Or:7r~,'y
? TI1'CliSi~?AS,
- - ? L`.STI~'C,^'IC~].~I./Cx~"V~~~+r~;T - - - -
2) t`tP??SC_;iI` (PLEASE PRltli)
11E-2•1E: Frontier Midwzst Homes Corporation
ADDR=SS: _3908 Sibiev Memorial Hwy. Bldg. E
CI?"-', STrTE, Z2P: Eaaan, MN. 55122 •
P~ONE: ~ 454-0433
3) PL'.,:=? ' (PLE;.SE r"R1Yi) FOR CITY L~SE 04LY
NA-~"E: Star Plumbin
, PDD?ZSS: 1018 Mound Springs Ter. P~ur.8Ea5~ItESSE:
CJ/Active
CITI, STATE, ZIP; gloominqton, MN. 55420 Ezpir€d
or Record
PfiOVE: 884-4149 Lo
PLUNBER LFLENSE p 3329 ,
~ , ' S rr i~nic;~T
A) OC'r_iPP.f]T/CS-ziEit NAN1E: l _,4k 11 I~(PIEASE PFt:IT)
v',
ADoRES~s: I05" ln or\ ~u e - ~
CITY, STATL', ZZP: (~f1nl~ CYl f1 •
pHONE:
5) Itv'pZG,T :v1-IICH PE^nhLIT IS BEItiL; RDQUES'TTM-:
~ CQ`1NECTIOV ZU CITY SE?9cR Please mail gold copy to
~ CO:TIEx.TT_C;I TO CITY WATE:t Wenz21 Mechanical
? Oi[!ER (PI.G,SE DFSCR?EE) 3600 Kennebec Dr. .
, Eaaan, MN. 55122
6) P,<pZG;::: C::c: ,
• ? PT-= aSE f?OID r1PpRpVID PER`^ST FOR PICi:-LP BY C:1E OF ATGVE
~ oT r.:,SE
:•!PI ppPnOVED PER'•lIT 'PO 1. 2 3, 4".~£iOVE
~01 n (Cir _e one)
7) SIG.:iTLcZ-~: G~~~/ . .
DA'Iy:
s ~ G ~A` House
SURVEYING `Certlflcate For:
SER~'CES Frontier Midwest
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 AO~~o~Ot10A
Phone. (612) 452-3077
(~1odc~ - CAm00.~OGE- ~ i CO t} ~ ~ I
e / IN
14 69°A2' 2'1'6- 130.p0 ~ J
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n~ n 1 ~11 p~ •
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10 ~
14a.~2 m~~e• ~ 11v11
' ~o
-L fND- PROPOSfO GARAGf_ FLOOR ELEVAIlON= a62.00
0 Denotes Iran Monurent P/d7POSED iop o/ Block ELEVAT/ON= 862.3
° Denotes Moai HL.6 Set PROPOSED BASEUENT FLODR ELEVAIION= a79.3
ke?z.i Denotes Existiig Spot flev.itian
MJlE: Verily all /loor iLiyhts rith Final House P/ans.
Denotes Proposcd Spot Elevntiai
Denotes Drainage Directia-i a&WEYLF?S CERTIFICQTIOV-
. P~E~, I hereby certify thet this survey, pfan or report
was prePared by rtr or i.vder my di rer t superv i si a'i
LOr 5,gLaK_3_ ar-d that I am e duly Registered Lerti Surveyor
wE S-cS3u IRA00\T~00 urder ihe lews ol lhe Slate ol Yrnresota.
accordorg to 1he recorderl plat thereol, J
Date: 5/L`$S
Do,Eco-\s Camty, Lrmesota Mayrp D_ Cades, Minn. Rcg. No. 14575
i`wm5:
WAY~!E
CORDES =
° , - ~£3*y~ ;
%
' 1t ~~v
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3923 Westbury Tr
Lot: 005 Block: 003 Addition: Westbury 4th
PID:10- 83653- 050 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Keith J Held
3923 Westbury Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA076685
02/13/2007
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114177
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 3923 Westbury Tr
Lot:005 Block: 003 Addition: Westbury 4th
PID:10-83653-03-050
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Keith J Held
3923 Westbury Tr
Eagan MN 55123
(612) 866-7471
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature
Peter Akmenkalns
From: Brian Preuss <bpreuss@aspenexteriors.com>
Sent: Thursday,June 05, 2014 10:29 AM
To: Peter Akmenkalns
Subject: EA114177
Inspector Akmenhalns,
R�: permit#EA11��77
3923 Westbury Trail
Eagan, MN 55123
I am forwarding you the message I got for Kolbe. Please advise if I can now close permit out and advise hjo.
The drip caps are also on the windows you advised.
Brian Preuss
Aspen Exteriors Inc
14245 St. Francis Blvd. Ste#101
Ramsey MN 55303
763-277-8869 direct
763-434-3687ph 763-434-5671 fax
bpreuss@aspenexteriors.com
From: Tom Yehl [mailto:TYehl@kolbe-kolbe.com]
Sent: Wednesday, June 04, 2014 7:46 PM
To: Brian Preuss
Subject: RE: UW136
Brian,
After much discussion with our R& D people we cannot increase the vent opening of this window to sufficiently meet
egress requirements. Please keep in mind that any alteration of this unit will not be certified by the WDMA thus making
it able to be warranted.
Thanks for your concern but at this time there is nothing we can recommend.
Tom Yehl
Regional Manager
Kolbe & Kolbe Millwork Co., Inc.
VM 1-800-955-8666, x 1345
Fax 1-888-865-7849
���
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1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130746
Date Issued:05/12/2015
Permit Category:ePermit
Site Address: 3923 Westbury Tr
Lot:005 Block: 003 Addition: Westbury 4th
PID:10-83653-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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)$55.00 0801.4088
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 -
Keith J Held
3923 Westbury Tr
Eagan MN 55123
(651) 454-8001
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature