3934 Westbury Tr
CItY OF EAGAN SlWER SERVICE PERMR
3830 Pilo^ Knob Rwd
P. O. Bax 21199 PERMIT Np.:
Eagan, MN 55121 DATE;
ZioNn0: No. of Units: '
Owrrr. '.•rc~~lw~c.r ~,eic;wes~ ~
llddross: ~
Site /lddrm: 3934 Westburv Trail L[i Si ',,~r,;;5ury t,
Plumbsr.
f±-2ti-+s5 ; I00-00 P'i
~.lr« ft ..Mrb wkb o. Cley .f i.no. Conn.ctton c],o.p.: 15. 425.00 I
OdiMaeN. /1cao~mt Depodt: _
P.m,it F«: 10.4~`;;.;
Surohorp: . S 0t.x~ ~i
BY Miac. CMrom I
Daft of Irap.: Totcl: I
Irop.: Daft I+btd: ~
CITY OF EAGAN YIIATU SERVICE PERMIT
3830 Pilot Knob Road 6 494
P. Oi Box 21199 PERMI7 NO.: j
Ea9an, MN 55127 DATE: '-3 -8 5
tonirq: ` i No. of Units:
OwMr, I'rvntier 14jdwest
llddnss:
Site "i93G t~Jesthurv Tra 1. It~i , 1 Wdstbury
Met~~No.: ` 4. CannecMon C}~arps: 500.00 p d
, ~ .
51u: 61 ,~oOU
M, ,
Read. No • 16L~I~7 ~E~ 0. 0(. ix
11 Permit Fes:
1 Mrw to M.rh? mMb tM C'E04,64 ! A\& .0r)..
~E O^": 132.00 p~.1
0rmwwaM. M1sc. chowa:
) Taol: 63.00 pd :ri~eter
.
gy Dot. PaId:
Oota of Irup.:
3
PERMff #
MECHANICAL PERMIT RECEIPT 11
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA8/IN, MN 55122 DATE:
CONTFiACT PRICE: PHONE: 454-9100
Site Address Y-~ ` BLDG. TYPE WORK DESCRIPTION
Lot 4 81ock ~ Sec/Sub Res 4 New
1 : , r < J`h Mult Add-on
m Name
Address Comm. Repair
c City Phone
Name FEES
~ RES. HVAC 0-100 M BTU -$24.00
3 Address ' 'l ADDITIONAI 50 M BTU - 6.00
O City Phone `T CONSTRUCTION) INCLUDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Neater M BTU REMODELS - 12.00
Air Cond. y( M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outleb # BEYOND $1,000)
Other E
;
FEE ~ ~ • ~
tv .
S/C: ~ SIGNA F PER TTEE
TOTAL• - ~~Ll/,s~ y,~s•c p~ 7
11
FOR: CIN OF EAGAN
REACTIVATED FOR DECK - 6/%.TM OF EAGAN
.
~ 3830 Pilot Krab Rw4d, P.O. Box 21-199. Esqsn, MN 55121
PHON E: 454-8100
eSJILDINO PERMIT Receipt ~
,
Ti M wud iw Est. Volue Dote 19
Sitt Addrou Erect Occupency
lot Blcek Ses,J$~b, Remodel ? Zoninq
Repalr ? Typt of Const.
Ps No' Addition ? No. 5toria
Move ? L.ength
~ Nsrr~e Demoliah ? Depth
~ Addma Int Impr. ? Sq. Ft.
City Phone Install ?
Neme Aopnweh F~n
~ Addren Auessment Permit
CitY Phone Wahr a Sau'. 3urcharqe
~ Poliu Ptan Review
~W Narne Ffn SAC
m~ Addnu Erg. Water Conn
I.Z. i City Phone Plawrr Water Meter
Cowrcil Raad Unit
( hercby ocknowledye thot I havt rood this opplication or+d stote thct gldg. pff. Tc PI.
the intormotion is cantt ond oqrce to comply with all oppliWblst
Stob of 1ltiinnasoro Srotutes and Cify of Eogon Ordinonus. APC Parke
Var. Date
Siprwtun of Pernwttu Tota1
A Suildiny Pnmit Is issued to; on ft enpnss condition thot
dt wo* shoFt be dorw 1n ocaordonce with all cppliaobl• Stote of Mlnnwwta Statutn ad City ot Eopon Ordinoncw
4 Buildinp OffiNd
IL
Pnmit No. Permk Holder Oow TeNphora ~
~un*hq ( 1.J c
H.vA.c. 5~7 u CJ ~ ~ r I~ v a ~ '
EMctr{o =j• 'l. i ' ' ..J ; c~
So?bnw
Otfia
Footlnpst
Foodnpall - - ~
Irppeetion Dsw Ital'ie
FoundaUOn F.,mUp
Aooflno L Rou9h Plbp. Rou9h Htp. 41
lr.,,L Fireplaot
FInN Htp.
FInN Plbq. L I ,
Flnal
~ CwyOcc. ` ~ v /
I
Wate? Ohcribe Loeaeioo:
I Wo11
Swrer
P?. Dbp.
I~ 1
lIAECHANICAL PERMIT Pormit Na
CITY OF EAGAN
i ~ FM
F,u j., ,mmb.twaspwa vc
7YAe or Prinr leoibly
Tot $20.5C ~
J
1. Dste z-jZ0/65 2. Inutal Iation Cost I. u. 00
I
3. JobAddran 3)34 tiiestbury Trot 6, Blk. i Trect omw Prontier Companies b. Conmctor Wenzel Mechanical Phone i
& qddm: 36 0 Kenuebee Drive
7. City E.
-
8U Stste Zip ,
S. Building Type: gtsidsntial E& Commercial ~ institutional ?
%
9. Work OeuYiptiom: New DC Add ? Altar D Repeir 0
z
10. Oescribe hesting system FuelType '"~u~°~
11. No• FquipmBnt 8TU - M. Ea. No. EQUipment CFM I
XX Forced Air Air Handling: ~
. ~
Mfg.
Boilan Mech. Exhaust
~L Mfg. Unit Fieater
Mfg. Other
Air Cond.
Mfg.
j
~ Gas, Piping Outlets ~
I
i
i
i
12. I hereby certify thet the above information is true and correct, and I agree to
oomply with all ordinances ar}d codes governing this type of work.
Signed : k I
- 4 or
Rouph Final
Inapections: Date Insp. Date Insp. I
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
r FN_
fill in numbered spaces S/C _
Type or Print /egibly Tot
1. Date 2. Installation Cost
3. Job Address ['.ot ' Blk. 1 Tract
4. Owner't-Jy.~,
b. Contractor Phone , i -
6. Address
7. City ' State Zip
8. Building Type: Residential Commercial ? Institutional ? i
9. Work Description: New Q Add ? Alter O Repair ? ~
e
{
10. Describe j
;
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield {
_L Bath tubs Septic Tank ~
Lavatory Softner ~
Shower WeU ~
Kitchen Sink i
Urinal/Bidet Other, ,J- . i
Laundry Tray
L Floor Drains ' a
4- i, :T,,,.~. .
Drinking Ftn. i
Slop Sink 7
;
Gas Piping Outlets ~
;
12. I hereby certify that the above information is true and correct, and 1 agree to j
comply with all ordinances and codes governing this type of wrork. ~
;
Signed : , . . ~ for ~
Rough Final 3
Inspections: Date Insp. Date Insp. ~
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 464-8100 ~
INSPECTION RECQRD
Y QF EAGAN PERMIT TYPE: " " + 14' `
3830 Pilot Knob Road Permit Number. `y ~!Rr,
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, iji:'S7R11RY TR .~tt . t i •a;
ilt'.lf:11f', 4 ;fl i.'t ii.'' :4+<43
PERMIT SU@TYPE: TYPE OF WORK:
INSPECTION ON TYPE D.
~
~ I
~ ~
PermR No. PertnN Holdsr wa TiNpnor» t
ELECTRIC
PLUMBING
HVAC
Mspwnon o.a kNp. comm.~a
FOOl1NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBCi
AIR TEST
ROUCiH
HEATIM(i
CaAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLB(3
FlNAL HTG I
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
~
DEqC FTG
DECK FlNAL
1
RESIDENTIAL
yS37D BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
lew Conftruetion Reouiremenh RemodellReoair Reauiremenls
3 mgistered site surveys shaxing sq. ft. of lot, sq. k. of house; and all roofed areas • 2 copies ot plan
(2(1% maxknum lot coverage aMOwed) . 1 set of Energy Calculatioas for heated additbns
2 copies of qan showing beam &window saes; poured found design, etc.) . 7 site survey for exletloraddilions & decks
lsetofEnergyCalculations • Iridicaleifhomeservedbysepi'c systemforadd'Aions
3 copies of Tree Preservation Plan it lot qatted after 711193
Rim Joist Qefail Options selectbn sheet (bldgs wifh 3 a less urdis)
)ATE :f) )/Lo I U \ VALUATION
106 SITE ADDRESS Cl
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER
"Yrt CiF iNCiRK Wae~C_e S%& ' c FIREPLACE(S) _0 _7 _2 _3
4PPLICANT PHONE#
4DDRE$S tiV E ~ea 61 ZIP CODE t( OZ
'AGER # CELL PHONE # FAX # rpS I` cR$ 7-61 q6
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNE30TA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventiiation Category 1 Worksheet Submitt
- Energy Envelope Calculations Submitted i~I1I M4Y ~ g 1 I~
i~JU J
MINNESOTA RULES 7672 I
- New Energy Code Worksheet Submitted IBY
l
Plumbing Contractor: Phone
Plumbing System Includes Water Softener Lawn Sprinkler I'ee: $90.00
Water Heater No. of R.I. Baths
^.o. o. EaLhs
Mechanical Contractor: phone #
Mechanical System Includes: Air Conditioning Fee: $70A0
Heat Recovery System
Sewer/Water Confractor. Phone #
111 above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
A appficabfe Stafe of Minnesota Statutes and City o( Eagan Ordinances.
SlgnatureofApplic^^!~
:ertificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 1101
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
7 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 PorCh (3-sea.) O 31 Ext. Alt - Mulli
7 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ect. Alt - SF
] 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Mulfi
] 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
] 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
] 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
] 32 Addidon 0 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors
] 34 Reptacement •Demolition (Enlire Bldg only) - Give PCA handout to applicant
/aluation Occupancy MClES System
:ensus Code Zoning City Water
3AC Units Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinklered
'ype of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Paol _ Ftgs _ Air/Gas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved By , Building Inspector
Fee
iurcharge
'fan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
'reatment Plant
llumbing Permik
Aechanical Permit
.icense Search
;opies
)ther
rotal
. ' CITY OF EAGAN No 104 4 g
3830 Pilot Knw6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Re«iu #
T, b. „wd f„ SF DWG/GAR Est. yal„e $59, 000 pa,e JUNE 25 , 19 85
SitaAddresf 3934 WESTBURY TR erea [R occuPancy R3
Lot $ Block 1 Sec/SubWESTBURY 4TH Remodel ? Zoning Rl
.
Repair ? Type of Const. V
Parcel No.
Addition ? No. Stories
FRONTIER MIDWEST HOMES ~+1ove ? Lengtn 40
~ Name Demolish ? Depth 47
Address 3908 SIB MEM HWY #E Int.lmpr. ? Sa. Ft.
City EAGAN phone 454-0433 lnstalt ?
SAME Avv"•"ls F«.
~~O AddNameresa Asxssmenr Permit $ 310.0(
~ City Phone ~?ahr 8$ew. Surcharge 29 - SI
tW Police PlanReview ~0(
Neme RICHARD CHARLIER Fira SnC 525.0(
q~rfts 14103 GARDENVIEW CT Enp. weterConn. 500_0(
~W City A.V. Phone 432-5492 plonner WaterMeter 63-0(
CounNl RoadUnit 29 0 .0 (
I hereby ackrowledqe thot I hava rcad this opDlicotion and stote that jdy p}f G/Z O/H S 7r. pl. 132.0(
the inlormotion is correct and~ ree 1o comgiy with_oll ~~yovv~Wbl APC Parks
Srots of Minxwm Smtutesc6nd Ciry oE ganmar. Date -
Copies
Sipnoture o4 Pertnittae C
FRONTIER MIDWEST HOMES Totel $1,994.51
A Buildirp Permit Is iuued ro: a+ the expren carditlon ihot
oll work shall be done in ocmrdcnea wi II o ~mbls St of M m tatutes ond City of Eapan Ordirancet.
Buildinp Offidal
CITY OF EAGAN Remarks
addiuonWti'emorrov imv nnnFf- - Lot 8 eik ~ Paran 83653 080 Ol
Owner Sveet 3931: WeSt.YJilt^V `I'Y`3i 1 State Eagan. M 55123 b~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET FESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
w erniairs 99 1986 65.29 1 6.35 15 - 1- 9 /~Lo/G io /z 31d
WATERMAIN a 198Y 51.64 3.45 1 y• jJ /~-O/(o VV- !o 1.31JJ
WATER LATERAL
WATER AREA f(7/ 1$ .27 15 /..?o • 53
water area W% 19,8 8 92 15 ~ 133•7J 1-7 o/6/o 231dN-
STORMSEWTRK yi 7/0a 790/6 l6 Z?/d1
STORMSEW LAT 9,y'l 198( $ 6 156.7-1 5 7ff3.5 (p /.~O/(o ye /0/13/ofJ-
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 11 1.
BUILDING PER. n n
SAC 525.00 " n
PARK
• ~
1985 BUILDING PERMIT APPLICATION - CI17 OF EAGAN
NOTE: ALL CONTRAC?ORS NUST BE LZCENSED SfITH THE CITY OF EAGAN
STAFFOP-O
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURYEY
1 SET OF ENERGY CALCULATIONS
59,oao
To Be Used For: Sinole Familv Valuation: 62-968- Date: 6-11=85
Site Address: 3934 Westburv Trail OFFICE USE ONLY
Lot: g_ Block 1 Sect/Sub Erect ~ Occupancy Q-3
Remodel Zoning R-1
Parcel f! Westburv Fourth Addition Repai.^ _ Type of Const Q
Enlarge _ ll of Stories
Owner Cory & MarV Nelson Move _ Length 40
Demolish _ Depth
Address 3815 Ballantrae Rd. #7 Grade Sq Ft
City/Zip Code Eaqan, MN 55122
Contractor Frontier Midwest Homes Corp APPROVALS
Address 3908 Sibley Memorial Hwy. #E Assessments Permit 310•='
Water/Sewer Surcharge 2~I.so
City/Zip Code Eaqan, MN 55122 Police Pla? Review I S S•°-°
Fire SAC SZS. °o
Phone 0 454-0433 Engr Water Conn SAC>.
Planner Wa.ter Meter 603. ~
Arch./Engr Richard Charlier Counciload Unit 280.=
Bldg Off / Parks
Address 14103 Gardenview Ct. Apple Valley APC Treatment P1 13 2.~
riance ~ 9 ~ S v
Phone Ir 432-5492 Va ipip(, ~J
Y
• , 5IGMA House
SUAVEYENG Certfficote For:
SERVICES a
3908 Sibley Memorial Highway Frontler ~iY~~i~~
Eagan. Minnesota 55122
Phone. (612) 452-3077 ~jor~oa°otl~n
, MoM - STAFFORD -
~
i
I ~
-N ~Iebaq~l _ N~J~I~~I'2~Q~~~E f'~•00 I0^3~- - - -
Q I I ~ aao IAr-' \ 5
n'~~e V T'
. ~ y~~M xqT d Y r (Y
/ u}~C4 /
I G I^O~ ~ pp \ Easu~.ZI ~ Ld~ I
w
scALE : I' =40' ~ l g
m
r
~ z
3 g48 ~ ~ra:..e~m ~ U};~;}y ffa5enen{ O 91~'~
55' Ia"VJ 130.00
-
- - f ~0
I xa~`- WE~TP~UR-( hlA~f a,o.o
s~ o
-LG,ENO - PROPOSED GARAGE F LOOR ELEVA T ION= Sl I.1_
0 Genotes Ircn Mcrxorent P(SJPOSED Top cf 8?ock ELEVAiION= ~61Z.O
° Denotes Mocd Hc.b Se1 PROPOSED BASEMENT FLODR ELEVAIlON= No9.O
K$696 Denotes Exrstirg Spot Elevatiwi
(x Uotc~< N07[' Verify all fleor herghis wilh Fina! House Plans.
` Qenotes Proposed Spot E leva f i a~i -
-Genotes Orainage Directia-i
SUAVEYQ4S CfRT1FICATIQN-,
1 lvreby certify that fhis survey, p/an or repori
P~~ ~~~~I CN was Frepared by me or ureier my drrect supervisrai
LOT-R,BLOCK _i_ ard that / am a duly Registertd Lard Surveyor
_VNEhTQUft,~ rtA~lT101-J urd LdA"- t~ laws o/ Ihe State ol 11inreSota.
accordng to tFe recorded p/at fhereol,
/
n Dafe' -lZA(8S
County, Mrmesota IYayne D. Cordes, Minn. Req. No. f4575
Rev;sA ; SI3o C~,a+y, 4a, SjqFFoevD
%
E'Sr'o
WAYNE D.
_ CORD[S
sC~- 14675
. ~p.
. ,~Ga\\\3
fiiiPI iit,
~ eITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031856
(612) 681-4675 Date Issued: 0 4/ 2 3/ 9 8
SITE ADDRESS:
3934 WESTBURY TR
LOT: 8 BLOCK: 1
WESTBURY 4TH
P.I.N.: 10-83653-080-01
DESCRIPTION:
(ROOFING)
Building Permit Type SF (MISC.)
Building Work Type REPAIR
Census Code 434 ALT. RESIDENTIAL
~
~ -
REMARKS:
FEE SUMMARY:
VALUATION $3.000
Base Fee $74.75
Surcharge 1.50
Total Fee $76.25 CONTRACTOR: - Applicant - ST. LIC.OWNER:
BHRR CONST INC • 14237030 2006368 BRIGGS BRAD
509 GUN CLUB RD 3934 WESTBURY TR
R05EMOUNT MN 55068 EAGAN MN
(64;2) 423-7030 (612)686-8523
I hereby acknowledge that i have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- J
~ R~~~ I m..d
APPLICANT/PERMITEE SIGNATURE IS~SUED Y IGNAT RE
31,66&998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeUReuair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & decks)
? 1 energy ealculations ? 1 energy calculations for heated adtlitions
? 3 copies of Vee preservalian plan if lot platted after 7/7/93
required: Yes No
DATE: f{C F i 1 ?.Z 11 I a~I TJ CONSTRUCTION COST; i(Y-310 0 1
~
DESCRIPTION OF WORK: ``~`LLW
STREET ADDRESS: _'A?-)Q C J
LOT: _t! BLOCK: SUBD./P.I.D. oPdjP«Uhll Yt
Name: f i r Q C :?D ('C ( 1 Phone
PROPERTY I.est First
OWNER
SueetAddress: ZC] -:~L l.f7C~i-,bL-C(U IVCt.I~
City an 1ZI State: m ~ Zip:
Company: r f ~Ol'IS'j'<( (''1} (5 Phone ~ 0-3 CJ
CONTRACTOR n /
Street Address: ~11 C",('~((s C~Q (~i 3L ce se N
City State: / I`~j Zip: 's Sc(O X
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City Srate: Zip:
Sewer & water licensed plumber (new construction onty): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 7
OFFICE USE ONLY D l3 L5 0 V~
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Requi '
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 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
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MGWS 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 Valuation: $S,OU0
Surcharge ~.30
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: l ~O•,a•~'r;'`
.t 1
% SAC , .
SAC Units ~
~
2 / 8 4
~ i
CITY Oc EAG.aN
APPLICATIvN FOR PE:ZMIT
SES4ER AND/OR WATER CONNECTION
(PLEASE PRINi)
PROD`RTv ADDPw-`S= _3934 Westburv Trail
r.Fr,L D:_.~GRSPTICV: 8/1 Westburv Fourth Addition
(Lot/B1ock/St:;divisicn or Tai ?arcei I.D. P1=_-~-_r)
S'?'RC:C:^_LMW. DHi:. Oz' CR_TGI~:Ai.
CS-: R ..-1 Si:GI..'. . -~%ffLY ? -2 CL?-.~. (7.'0 L^?I.S)
??-3 m~r, iHrrrcr ~ L. mc) ~ .v-.....
m._~~ro^- -.7I ~
? ..-4 :,c:~;rn~c-.;m/CC:.t'~,Ci.tn7~?;.1 ~ IR•i:=~i
? CCi.L=lCT AL/?LF^_'AI??C:':'TT_
~Tf•C
Q ~lv ul. T-'~
? rrs~z:~TT~.i~.~~~~~„~,;;
2) A ?r='_iT (PLEASE Fdllii)
~i•~= Fron£ier Midwest Homes Corporation
pLD°°cS: _3908 Sibley Memorial Hwy. Blda. E
ST":T^, ZIP: Eaqan, MN. 55122 •
454-0433 .
~ _ .
3) pj,?-:2-= (PLEdSE rRl.Yi) FO.~ CIiY US; 09LY
Star Plumbinq
PDC3P.SS: 1018 Mound Springs Ter. PLUM9ERS LICEySE:
=,ACti ve
CITY, ST;,TE, ZIP; 8loomington, MN. 55420 E:pired
3 Q Ot a' Record
PHGVE: 884-4149 PLIIMBEA LFCEUSE k 3329
' arr( :nv:tal
4) Oac'(,Pp,p*I'/cr,.;~L;M (PLEASE PRf,1i)
UN"E: Cory and MarV Nelson
ADDRESS: 3815 Ballantrae Rd. 4k7
CIT"!, STa'I'E, ZIP; Eaaan, MN 55122
PHaTE: 452-9345
5} n,7p2CATE :dHICH P&^-.;•LIT IS BEZNC: REQUES'I'ID:
~ CL`DnrECTION TO CITY SETr,= Please mail gold copy--to
~ CUNTTECi'ZCV TO CITY t•IATER i Wenzel Mechanical /
% 3600 Kennebec Dr.
? O7'-IIR (PLii-SE DFSCPSBE) /Eaoan. MN: 55122 ,
6) IIiDIG, C:W: •
• ? PI~~= f?OID r1PPRWED P&T?".^ST FO4 PZCK-L? BY ONE OF AFM'E
~°LE7-SE :-:U rIPPP,= P&z'.%IIT Z`"J.1, 2 3, 4 ALOTE-
(Cir _e one} -
7) SZC.1,'ILzF.: DA'I~:
FOR C I T Y U S E ON;,y
PER~MIT ISSUED
rvEs: $Ei.°. PEoM7T or^c'nr-
Sti.._..:
$ /U.Sv WAT°2 PEi2DlT_T (I?iCi,UDE SiiPrcA3GE)
$ -WAT°R P9ETER/COPPER:-IORN/OUTS~D~- REnDE?
$ H'AT°R TAP (INCLUDE CO.^z?0RnTZCN STOP)
$ AC^Oii`?T DEPCSIT - i•i?.T'=3
$ sU0_ u~c~ WnL`
$ SP.C
$ TBO?IK t•IF,T°R ASSESS?iE::T
$ TRG:7!C SE:icR ASSESS}i°?iT
$ LATEP,nL BL:VLt'IT/T°G:`dn S=i:: =
$ I.ATLRAL Br.\i.°IT/T.°,U.`:K :':A^°??
$ l3~ `~U WATER TREATPIENT PLANT SURCE?ARGE
S OTHER:
S TOT `,L
$ ~~j-ScJ P.MOli`.T °AI'JjR=_EI?i
D0: S UTILITY CON:IECTION REQUIRE EXC.aVATION IPI PUSLIC RIGHT OF iJAY?
Y°S IF YES, THEN ;y "PERPIZT FOR ;QOR?: WITHILN
PUBLIC ROrIDWAY" MUST BE ZSStiED BY THE
NO-- ENGINEERZDIG DIVISZON. LIST AS A CONDI-
TION.
SUBJcCT TO THE FOLL0:9ING CONDITIOD?S: •
APPROVED BY:
TIT:,c: '
DAT°_:
w mw f~ wps StM vcmw ~~w Mfs stM wt = se ~a 0c=ia sw aa
. . , oo~ - ta6b5 -03 16Y`11;~9s
R,e-cyqo ehrc)~u- Io7-23
•
. ~ For OHice Use ~
City of Ea~aIl I Permit#:
3830 Pilot Knob Road I Pertnit Fee:
Eagan MN 55122 ~ j Date Received: 'Ue) j
Phone: (651) 675-5675 i stan: i
Fax: (651) 675-5694 I ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 2Q~~I I\f~I-hi a Yl
~
Tenant: Suite
RESIDENT ! OWNER Name: hYm-i- li-6Y1 ~JYlf~.gS Phone: ZQM - f Q8(o -GE2,9
Address / Ciry / Zip: ?{a ~~I PS~i ~vU~~fQ_A.0
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description of work: ~
Construction Cost: 5=t-4b • Q5 Multi-Family Building: (Yes No I
CONTRACTOR Name:-PNPm_iuGLm ~C)dPi,(lYS License#: 2bL7n 2fgj5
Address: -T:,2)5j Y~W-\A j7vCJ( 1lh fV
City: L,10t:DFP. ~'Sll'iN~ State: u n1 Zip: 553 LA
Phone: 71 ---~SO " J_bZD Contact Person: t~1S1'l p cSV'161~'-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category submined sunmined
(4 Submisslon type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City ot Eagan Issued a permit for a simliar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documenfs that you submit are considered to be publlc informaUon. Portlons of
the information may be classified as non-publlc if you provide specific reasons that would permit the City to
conclude fhat the are trade secrets.
I hereby acknowledge that ihis intortnation is complete and accurate; thal the work will be in conformance with ihe ordinances and codes of the City of
Eagan; that I understand ihis is not a permit, but only an application for a permit, and work is not to start without a permit; that ihe work will be in
accordance with ihe approved plan in the case of work vfiich requires a review and approval of plans.
x Ana~ P ~Sftx)"V X k " D '<:3~
Applican ' Pr(nted Name Applicant's nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130221
Date Issued:04/13/2015
Permit Category:ePermit
Site Address: 3934 Westbury Tr
Lot:008 Block: 001 Addition: Westbury 4th
PID:10-83653-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
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 -
Bradley R Briggs
3934 Westbury Tr
Eagan MN 55123
(651) 686-8523
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143966
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 3934 Westbury Tr
Lot:008 Block: 001 Addition: Westbury 4th
PID:10-83653-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
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 -
Bradley R Briggs
3934 Westbury Tr
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature