3935 Westbury Tr
i
CITY OF EAGAN §~W~ s~~~ PET
3830 Pilot Knob Rwd
P. O. Box 21199 PERMIT Np.:
Eagan, MN 55121 DATE- Own~r:. ~'ronti~r NO. ~ Unlts: :
Addrcss:
Sito Addross: 3 9 35
Plumbw.
5-13--<95 121 f 3
~ yne ro .arry wa a.
~ebf Of RqNw Conrnctlon Owme: 425.00 1);.1
OdIM~eN,
Aornuunt Deponh
Pom+lt FN:
B Surohorpr
Y Misc. Chorym
DaM of Intp.:
Totcl:
InW: Dote Pald:
~ CfTYaFEAGAN yyATO SERVitE PERMlT
3830 Pilot Knob Road . P. 9. Box :h 199 PERMIT NQ.:
EaWn. MN 55121 DATE: ~-~-85 '
Zonirg: R 1 No. cf Untts: I
Own.r. Frontter ;fidwest
Addmm
Slh Addrom; 3935 Westb v Trail I8 83 LTEstburv 4 ~
Plurrrber. 3 p j
I
M.t~r No..,! eOr. ~XccIan Q+arpe: _ 50100 nd ,
Size: i Reoder No.. fl i "~bql7f~t Fee:
I Glm b *My With An m.-M
~ic.~ (~iaros;
132.00 n~
f B
Ptl r I
Y Dote id:
Date of Insp.: PJ
.-o ~_~_T4o ~ I~:
j
\7 /8 6 - BEACT I VATSD AgalumL , I
THOMAS P I SROR - TY O F EAGAN
t 4 5 4- 7 9 I 3 38XI Pila Knob Rosd, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
BUILDING 'ERMIT Rece+pt ~F
T46 M+nd fM Est. Vo1ue Oote 19
Site Addrea , - Erect Q C.cwpsncy
Lot Block Remodel ? Zoning
Fiepafr ? Type of Comt.
PueN No. Addition ? No. Stwin
Move ? Lenyth
~ Narrme Damoliah ? Depth
Addross ` Int Impr. ? Sq. Ft.
City Phone ' Inatall El
Nama Aoprerolt Ee"
A~~ Assessmant Permit
~
Cfty Phon. Wohr 6 Sew. 3u?charge
~
Polict Plan Revfew
W Nam• Fln SAC
Addras ' Enp. Water Conn
u
City Phone PlonnN Weter Metsr
Councll Road Unit
I hereby ocknowledye thot I Fwvr nod this oppiicotion ond state thot Bldg. Off. Tc PL
the informotion Is tortect and agrce to comply with oil opplicoblt A~ Psrka
Stah of Minr+ssoto Statutes ond Gty of Eoyan Ordinonces.
' Var. Date C~~
Siqnofun of Pemiift« Totsl
A Buildinp Pennit Is issued to: an tM *xpe~as Coediflon If+ot
dl work shnli be dorn in acewdoncs with di opplimble Stab of /Ninneaoto Statutea and Gty af Eaqw Ordinoncas.
9ui1din0 Offidal
1
Pwmit No. Parinlt Ha1dN Dab TeIePhone i
PkmWWn• GJ I ~
H.vA.c.
Ew r; uC-
satt«o.
IropWion Ds" Insp. Othw
FooNngsl - 4t
Footlnqs II
Ar-I
Foundatloe
FnMieq
noonnq
Rough Plbp.
Rough Hty.
Insul ) y ` ~
Fir"lscm
!~/SOEGT cc, -
D -
Flnal Htp. 6L S
Final Plbp.
Find
CKVOCC.
.
watw posaibo Location:
IL-rt~ 2'' D4D cA~•v - OdC.r.var~vS
WNI AO,04. -
SA~f- c -/9-
Pr: DIsP.
~ ~
Rnaipt {iIIECHANICAL PERMIT Permit No. ' -
CITY OF EAOAN ~
pM ~U.G') ~
~ - ~ • ~ r ; fifl !n rwrr?bwrd tP+en S/C • S C+ ~
Typx or Print 14epJbly Tot ~
~
1. Dm 7130/85 Z. Installation Cost 1715. (1,0
~ Jobqddrys 3935 {veatbury Tq.t 8 Blk. 3
4. Owner Froukier Coeipauies ~
~ Contmcuw Wenzel Mechanical pho,,, 452-I565
;
• g, qddrm 3600 Kennebec Drive ~
.
~
7. GtY EBKan State MN Iip 551?2
8. Buildinq Type: Residsntial M Commercial 13 In:titutional ? ~
;
{
9. Work Desaiption: New CMXX Add ? Alter ? Aepair ?
i
i 10. Dacibe heating system FuelType nL~tur;;i gas
~
11. No. EpuipmtpL 8TU - M. Ea. No. Eauioment CFM
~ XX FOfced Air Air Hsndling: ~
Mfg. ,
Boilen Mech. Exhaust ~
Mfy. ~
Unit Flrater
Mf9. Othar
Air Cond.
Mfy.
Gas, Piping Outlets
12. I heroby cartify thet the above information is true and oorrect, and I sgree to
camply with all ordinances and codes govarning this type of work.
5ignsd : f ' t - 1-- / / ' t for
Rouyh FinN
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt PLUMBINGPERMIT PermitNo.
CI7Y OF EAGAN
' F"
Fill in numbered spaces S/C
Type or Prim /egib/y Tot
~
1. Date,' . ~ 2. Installat+on Cost i
3. Job Address 41''-i I Lot Blk. Tract ~
4. Owner
5. Contractor 1' 4:~4Zd L L Phone y,-'..~ _
6. Address C ~"s c • ` ' ~`E s
,
7. City State Zip i
•f-
8. Building Type: Residential ~ Commercial 0 Institutional ? '
~
9. Work Description: New G3 Add ? Alter ? Repair ? ~
9
7
10. Describe
~
i
11. No. Fixtures No. Fixtures ;
.7 Water Closet Cesspool/Drainfield ~
Bath tubs Septic Tank ~
_;L Lavatory Sottner '
Shower Well
v
Kitchen Sink
Urinal/Bidet Other/, 70 ~
. ~'7J
Laundry Tray ~
L~~
~ Floor Drains ~
Drinking Fin.
;
Slop Sink ~
,
Gas Piping Outlets !
~
12. I hereby certify that the above information is true and correct, and 1 agree to ~
comply with atl ordinances and codes governing this type of work. ~
Signed : Zi/L
for
' Rough Final
Inspection5: Date ' Insp. Date Insp. i
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 454-8100 ~
Rmaipt PLUMBING PERMIT Permit No. ' -
CITY OF EAGAN FN
j ~<< ~ fill in rwmberod wacm S/C
Type ar Prin[ legibJy Tot _
j 1. Date 2. Irutallation Cost
3. Job Address 3 ~-~-5 L6t I Blk. Tract • i
a. owner OI'r1 D?"" ~
. - ~
5. Contrsctor 1` 1 rr l f, Phone
8. Addres~4 1A~l.-Ol_! 11~ Ci
T. City 'State Zip'.,!' I l~- I
8. Building Type: Residential E~ Commercial ? Institutional 0
9. Work Description: New 'O Add O Alter ? Repair ?
10. Desaibe i
11. No. Fixtures No. Fixtures ~
~
Water Closet Cesspool/Drainfield ~
Bath tubs Septic Tank ~
Lavatory ~ $oftner ~
Shower Wel I ~
Kitchen Sink ~
Urinal/Bidet Other
l.aundry Tray
Floor Orains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above inforrt?ation is true and correct, and I agree to ~
comply with all ordinances end codes governing this type of work.
Sj9flBd ;
for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
i
IN5PECTION RECORD
CITY OF EAGAN ~ PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ' '
(612) 681-4675 -
SITE ADDRESS: t " APPLICANT:
I.u t
o Ir , i I:t)f?Y i i: i~t.,; ,,,~~i , I
LII , 1 iilff' i ~t 1 11 i, i i.'t,. F~
PERMIT SUBTYPE: TYPE OF WORK: ~
INSPECTION TYPE D' INSPECTION D' i
i ~
I
I
I
~ - - - - ~
Pormk No. Wrmk Holdsr osta Tilephone i
ELECTRIC
PLUMBINC3
HVAC
Insputlon Dtl* Nnp. Commwb
FOOTINGS
FOUND
FRAMINC3
ROOFING
ROUGH
PLUM&NG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIH TEST
FINHL PLBG
FINAL HTG
ORSAT
TEST
BLDCi FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
~l ~ ~
, CITY OF EAGAN No 10 3 9 4
, _ . 3830 Pilot Knob Haad, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 R«<iw # `:5~4 7/-3
T. M ard Ier SF DWG/GAR Est. value $53, 000 pete JUNE 13 1 9_8 5_
SiteAddreu 3935 WESTBURY TR erea M occuPency R3 Lot 8 Block 3 cec/Sub. WESTBURY 4TH Remodel ? Zoning RL
Per~el No. Repair ? Type of Const. V
Atlditlon ? No. Stonea
FRONTIER MIDWEST HOMES INC Move ? Lengtn 48
W Name Demolish ? Depth 36
~ q~rmi 3908 SIBLEY MEM HWY Int lmpr. ? Sq.Ft.
C;iy EAGAN pnone 454-0433 Install ?
t~ Neme SAME Apvrovab Res
s~ Addrms Asuument vermit 292.0(
~ City Phone Wnter 3 Sew. Surcheige 26. 5(
Police Plan Review 14 6. 0 C
'W Neme RICHARD CHARLIER F~ro SqC 525.0(
9= Addresa 14103 GARDENVIEW CT Erq. Water Conn. 500 0(
x~
~W City APPLE VAL phone 432-5492 plonnar waterMeter 63.0(
CounNl Roed Unit 2 a 0. 0~
I heroby ocknowtedps that I haw reod this apvlication and ztare tMr Bldg. Off. 6/13/85 Tr. PI. 132 - 0(
fhe inlormolion is correct und ogree to wmOlY '+'i- Icuble APC Perks
Stots of Minnesota Stotu rtC Ciry of 90 rdi
Var. Dete Copies
Sipnofura of PermiMas z FRONTIER MIDWEST HOMES 7atel $1,964.5C
A Buildinq Permit is iuued ro: on tM expma conditlon ihot
nll work sholl be dona in occordarKa with oll i bl Stat of inneto_ ta Stotutes ord Ciry oi Ecpon Ordiwnwti
Bulidirq Olficial
/HOUSE HEATING TEST RECORD
ADDRESS APT. _FLO R CITY ~UBUR6
OCCUPANT OWNER ~Yv;ov
HEAT LOSS DATE HTG. INST. -
SOLD BY ~ ~INSTALLED 8Y ~ F< <
Electrical Work By Gos Line By 22t2 4!rt
TYPE OF HEAT GA _ FA _HW STEAM _SPACE HTR. -UNIT HTR. 'X/-OTHER
/
GAS DESIGN CONVERSION
MAKE TL1W'~ MAKE OF BURNER
Model ~,c`.$fC'-~~/ ~ L/°_5 ~ Model
~ZZ 3"
Serial Max. @TII Rnr'na ~
MAKE OF FURNACE ~ t^
Model
~
i i
THERMOSTAT CONTROLS
~ Heat Plug Vent $i:e
Valve KIND OF LINER ~ NONE
Limit Draft Hood egularor
Limit SeMing Fileers Sixa Number
Fan Setting Chimney Location Insida Outside
Pilot Type Chimnay Construction
Pilot Moke
Pilot Model Smoke Bomb ' Wiring
Pilot Timing Droft ~ Test Tag C -
L.W. Cut Off Door Pressure Lighting Inst. ~
Pressure ~ ~ ,/4'Cj ~ Percent C02~ Date Tested
Input CFH Percenf O Company Testing r.~> 'P ~~i.. ,
Smck Temp. Percent COZ Name oF Teseer ~ % ~ ~
Form 235 1 /
V
CITY OF EAGAN Remarks
Addirion WESTBURY 4TH ADDN• Lo, g a,k 3 Parce110 83653 080 03
Owner Street 3935 Westbury Trail State F'a'gan' MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~R 1 1985 17.61
o~ S 0/L• a 5 /D ~r~~~S
SEWER LATEfiAL
a ermlin , o/6 ~V'
WATERMAIN XO~ 3 45 yy~'D 0~~'~ZS`1
WATER LATERAL
WATERAREA aU.S O/(o~S /o ~
wa er area .:b" /f33_•.7. .zs ~
STORM SEW TRK ~ 5 710,24- 112-05 ' D1~c a?S /U/ V Wll
STORM SEW LAT VI 1 g~ 156,71 0 16 a S S' IO ~j
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
n u
BUILDING PER. 10294
~ n
SAC
PARK
F 0 R C I T Y U 5 E O N L Y
PE3MIT ISSGED
rcr.S: $ ~Q•'SD SEi•i~? nra.irT (_:;C:.-y,_ ~iiRC::~=G~l
$ WATER PER'1ZT (Ii:CLL'DE SURC?:tiRGE)
$ WATER METE3/COPPERHORN/OUTSZ^E RE:,vER
$ WaTER T?P (I.;CiUD: COR:ORATICN S:CP)
$ SE:•iEB ':'RP
$ ACCOONT GE?OSIT - S:idER
$ /5-~ ACCOUDIT DE?OSIT - WATER
S S oo- ~ taac
$ sac
$ TRUNiC WATER ASSz'SS':'!E:IT
$ ' TRCic1K SESPER ASScSSMENT
$ LA^1EP.AL BE^?c^IT/TRL'NK SE::ER
$ LATERAL BE::Ez'IT/TRU27R WATER
$ /,~,cw•.': OTHER " •
$ . TOTAL
$ S'- AM0U.7T PAID/REC°IPT
DOcS L'TILITY CONNECTION REQUIP,E EXCnVATION IN PUBLIC RIGriT OF WAY?
YES IF YES, THEN A"PERhiIT FOR WORK LJZTHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
, ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUL'JECT TO TEIE FOLLOTNING CONDITIOtiS:
APPROVED BY:
TITLE:
DATE: ff~~
~ -d-T-
~
I . • .
z/aa
~
~CITY OF EAGAN
/
r1PPLICATZON FOR PERMIT
1111
SESdER AND/OR WATER CONNECTIOAi
(PLEASE PRINi)
1) P?:OPADDR-"SS: q2,5- ) ` ^t^ '
-.rc=,i, eF-S=-TPTTcN: R ~ (_~Je tz( h. a r\ Iq,' o z ~1-4. r,
(Lot/dloc4/Subdtvision r Ta•: Pzrc21 I.D. NLnber) E;5S=':i, M'<U~ n.= G° Q.4IG:1:AL :J41J.DD.G ="lm ?csz:?\C_°:
~ F3°_S',_ j,..iT:.' c-~
{ - •r- ~o_~ ~:s: .~S a-~ s~:c,~-. _
? P,-2 GUP=: ('T_~:~ C,?IITJ)
0 R-3 ZCi.%%HCt;SE (1:~,;~, + LNITS) ( UNrmS)
? Tj_d 1Z.1 ~ L111TJi
? COl$E?Clal.yRc,_'1:=i1L,/0=-'TcE
o L%mvs=L
? rnsTZ~,-rioNU/ccV~~~~=>r
2) i,P?T SCA?:T (PLEASE PR 4i)
ADD.2z'SS:
CI?"-'. SI'.='?'r, ZIP: 9-21
PFa>E: p1433
L"cA$E PR1Nf1 FOR CITY USE ONLY
3) PI;"~'°.:~
FDDPEc..c~: Q PLU!!B IC 45E:
I Acti've
mat
CTi!, ST:~'Iu, ZI?: ~ Expir d
• ~ o of Fecord
PEO\c: - PLUYBER UCENSE i~~~ <
r: initia
4) OCC[,TPNT/C!-JNER !(PLEA$E PRIN )
NAE-IE: L[1Of11G5 01 h~i~(,~a ~~`~ILnr
ADoaEss: s7a() l~ i n nP-~- ~ r I~-UP N~ ~(O 3
CI'n', ST;-,'iE, ZIP:
PHMM:
5) ItdDIG+T'E S:1-i?C?I PEP.'-UT IS BEIP:G RD'>UESTID:
~ cc.NECr?av TO ciTY se,-ER
~ cc,NIBCrzav TO czTY stiaTea
~ GTF'~.."2 (PLFASE DFSC?SBE)
6) r:DI= C`:J: M~ 9E
PL;,SE F:OLD APPROIrED pER,tiLiT FOR PICi:-UP BY C\'E OF ~~'E `I-o : nzel'f
~?7yaS `TmkLIL APPROVm PE~-LLT 'ID 1, 2, 3, 4;{FAVlE, 0"Nech4nicct. (
(Circle on=~ 360a Ken~~e ~
7) SIC:-~?~..iL.: _ Dr.TL: E R~Qn.S-J(l~i7i
OFFICE USE ONLY
~
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
? 31 New ? 33 Aiterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Adual) 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 Faotprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permk
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°h SAC
SAC Units
#09bize 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction ReauiremerKS BamodellReoair ReauiremenLs
? 3 regiatered site eurveys ? 2 copies W plan
• 2 copies of Dlans (Indude beam 8 window aaaa; poured fid. aesign; etc.) • 2 site surveys (exterior aEditions 3 decW)
? 1 energy dlculaNons • 7 energy mlwls8ona for heated atltlitlons
• 3 copiea of troe preaervation plan % lot platted aRer 711/93
raqufrod: _ Yes No '
:o
DATE: N- Z I 7-7 / CONSTRUCTION COST:
DESCRIPTION OF WORK: S, NO5 '
STREET ADDRESS: 3~ u~ Y
LOT ~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: LK e00J'S Phone 7 S y yg ~ 3
OWNER •
StreetAddress: 3 q 3~ ~S'~ hi~v 1 I-~
City: ~qu a kJ State: ~t'~ ~ Zip:
CONTRACTOR Company: fXQ (ec 49 LfJS7X-ud,01U phone
Street Address: / 3?$ &Ack 7h License
City: rG qa:v State: YO 'li
Zip:
~
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the informa ' n co ect and agree comply with all applicable
State of Minnesota Statutes and City af Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No _ Not Required
~ r PERMIT .
/1~CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 2 6
(612) 681-4675 Date Issued: 0 3/ 21 J 9 7
SI7E ADDFiESS:
3935 WESTBURY TR
LOT: B BLOCK: 3
WESTBURY 4TH
P.I.N.: 10-83653-080-03
DESCRIPTION:
SIDING
Building Permit Type SF (MISC.)
Building Work Type ALTERFTION
Census Code ' 434 ALT. RESIDENTIAL
~
REfViARKS:
FEE SUMMARY:
VALUATION $1,800
Base Fee $56.75
Surcharge $.50
Total Fee $57.25 .
COfVTRACTOR: - Applicant - OWNER:
MALECNA CONST 16869025 DAVIS GREG
4498 BRADDOCK TR 3935 WESTBURY TR
EA6AN MN 55123 EAGAN MN 55123
('t12) 686-9025 (612)454-4873
T hereby acknowledge that T have read this application and state that the
infiormation is correct and agree to comply with all appTicable State of mn.
~ Statu s and I agan Ordinances. J
APPLICANT/PERMITEESIGNATURE ISSUEDB A7 RE
Cities Di ig tal Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
~
~ 7 4,/4y S
- - :
81 O M A House
SUFtVEY1NG Csrtlflca?e For:
SEFiVICEB t
t.. 3908 Sibley Memorial Highway F~t~r Midwes
Eagan. Minnesota 55122 Corpo~atlon
Phone: (612) 452-3077
Moda- NA0.TFON4 Li , LOT -1 I ~Q
8)9°42' 00 I0~4P
~
h
l.o
o I
71
~t
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(14 1
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~ LUT
o I Q~j.ns 4W ? -
4) \ ~ =1
n ~ ~ xs~o 5 / 0' I 10
~ hCALE'. I =tL0 t--
;
s oU ' - , _ U1
~
-LEGENO _ PROPOSED GARAGF_ FLOOR ELEVAT ION= S1IJ_
O Denotes Irm Yorxnenl PFIDPOSED fop of 81ock ECEVAT ION= ti ?.0
° Denotes Moai Hi,b Set PROPOSED BASEMENI FLODR ELEVAIION=_&G9.0_
.e105 Denotes Exisfirg Spot Elevation
ArJTE Ven ly all floor heiyhis •ifh Final House Pians.
Denotes Proposed Spot Elevatinn
,-Llenotes Drainage Direction ~WR
!yq~ GEqTlFICATlpV-.
1 Irreby certify thet this survey, plan or report
-f'WRTY DESCRIPTI(Xd- ras Frepared by ire or u-der my Oirect supervisim
LOT_QS"BLGCK 3 arii ihai f am a duly Registererl Lard Surveyor
u-der the le¦s of the Slate of Yinnesota.
accordiry to 1he recerdcd plat thereol.
ILL_Date:
61.6L Id~ n ~
-Ca.nty. YimesOta M'ayrc 0. Cordes. Yinn. Reg. No. ;~45`~ 1`~~$Q~.
.;t~:•' •.,9 i
VdAYNE D.
CORDES
. 14675
;:9''•• ,
~ji~...
' °°""nnnSnV p1V`"~~~°°~•
r
~
, MINNESOTA ENERGY CODE I-2 Fami/y Residenlial Building
RESiDEIVTIAL "COOKBOOK" WORKSHEET
A i t Name Phone Date Slatement of Compliance: Building OlTiciel Uu
l~t ec ~ 61J. 7.22-(o(oS~C S d'-~
Applicant A.~mY ~ PJ P S The DioDoud bulldinB desl6n R
p~aented in IAqe
" documenu If comistcnl with the bufiding plem,
/Yj^3 .S / 7 spetificefivm, and other ulculttioro eubmined
Buil ing Addrcss: _r . wlth Ihe permit epplicnion. The propoud
31,3s (.~eJ 7- ~ Y T~ building hn becn (teslgrrcd 1 met( Ihe
E4 , rtp f te f1~Minn EnergyCode.
g GuJ /lrl~
p i 1/Enginea '
MiNIMUM REQUIREMENTS tor "Cookbook" Option:
Entry Doors 1-3/4:" solid wood w/ stortn Ceiling with energy lruss R-380• Rim joisl R-19
door br equivalent (Min. 7%:" top plate to sheathing)
Foundation Windows• Insulated Glass w/1/2" gap in Ceiling with low heei truss R-44•0 Floor over R-24
wood or vinyl Game unconditioned space
'include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
to determine above grade Window U-Velue.
•'Insulation Perfortnance at Winter Design Conditions
Wlndow and baor Arca ` L00 t Tq + 9)~- ' WMDOW U-VALUE : 5-
Ae of Eiposed Wsll Area lbove Gnde Wlndaw and Groy Wa11 Area Wlndow/Door Arp Souree: NFRC or ASHRAE 1993 Handbook
RoUndetlonWlndow/Door Arca
i 1 L-oW C-f- t S F~ eTTS-2- FO r2 l~ l/!M.(~
~L MAXIMUM WINDOW U-VALUES
CAeek Well . •.WALL TYPE MAXIMUM WINDOW AND DOOR AREA OF EXPOSED WALL AREA
Type Used 12•/. 14% 16% 18% 20% 226G%24% 26% 28% JO% 32% Jd%
Tl'PE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 . 0 0Z7 0.25 0.23 0.22 0.20 0.19
Tl'PE B 2x4 framing, R-IS insulalion, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.15
TYPE C - 2x6 freming, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.76 0.32 0.29 0.24 0,22 0,21 0.19 0.18 0.17
TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 037 0.34 0.31 0.28 016 0.24 0.22 0.21 010
TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 015 0.23 0.22 0.20 0.19 0.18
TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 019 0.27 0.25 0.27 0.22 0.21
This lable contnins interpoletions o(the valucs in the Energy Codc, Pan 7670.0475, Suhp. 2.
~ This ?s a summary only. Othcr roquiremenLS may epply. See the Minnesota Energy Code, 2111"
QuestionsT Call Department of Public Service Informetion Cenler at 612/296-3173 or I-800/657-3710.
. . Qp ~
MINNESOTA ENERGY CODE
A!/ Buildings
S MARl' OF BASIC CATEGOR)' I AND CATEGORI' 2 BUILDING REQUIREMENTS '
FOR INSULATION PROTECTION, AIR TICHTNE55, AND VENTILATIOT
MINIMUM: All buildings must meet the following minimum code requirements:
VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operabie windows) are
relied on to provide necessary year-round ventilation. If one or more of the Category 1 measures beloN is
incorporated into the residential design, 6owever, s residential mechanical ventilation system as specified below
must be installed.
VAPOR RETARn .R• A vapor retarder, also known as a moisture barrier or vapor bartier, must be installed on the
warm side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code
requires a vapor retarder to be installed only on rim joists that aze susceptible to condensation from moisrure diffusion.
AiR BA Ri .R: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the
conditioned space into eMerior ceilings, walls and tloors.
• Plumbing and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that
is located on an exterior wall.
• Air sealing must be done at all dropped ceiling areu, chimney flues, ventilation ducu, and other fire stops that
penetrate the vapor retarder.
• Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the
service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated).
•]oints in the building envelope must be sealed, including around window and door frames, between wall cavities and
window or door frames.
• Tested air infilVation rates must not exceed 034 cfmisquaze foot of operable sash crack for windows, 0.5 cfm/square
foot for residential doon and 1.25 cfm/square foot for commercial doors.
WIND WASH BARRiER: An air-impertneable barrier must be installed at the attic edge (baffles must be rigid
material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows.
OPTIONAL: Category 1 Buildings meet all requirements as listed above plus the following:
RFSIDENTIAI MFCHANiCAL NTI ATION SYSTFM L`AD DCCiiISNTiAT RfTii TiATCc
A system that, by mechanical means, is capable of introducing and distributing outdoor air to aU habitable rooms and
removing indoor air at a rate of not less than 035 air changes per hour or 15 cfrn per bedroom plus another 15 cfm,
whichever is greater.
AIR L.EAKA(:F. BARRi R; p bazrier against air leakage must be installed to prevent leakage of moisture-laden air
from the conditioned space into the building envelope:
• Electrical boxes and fan housings must also be sealed.
• All rim joisu, band joisu, and where floor joists or trusses meet outer walls must be sealed.
• The top of interior partition walls thatjoin insulated ceilings must be sealed.
• Joints must be sealed between wall usemblies and their rim joisu, sill plates, foundations, between wall and
roof/ceilings, and between separate wall panels.
WIND WASH BARRiFn• All exteriorjoints in the building envelope that may be sources of air leaks must sealed.
This u a summary only. Other rcqwremrntt mey apply. See the Mimesota Enugy Code. 2/5/96
Queaions? Celt Departrnent of Public Smice Infortnatian Center at 6111296-5173 or I-800/637-37I0. 0 hiMMESM
1°2 FAMILY RESIDENTIAL BUII.DINGS PACKET
~ MINNESOTA ENERGY CODE
I-2 Family Residen[ia! Buildixgs
SUMMARY OF BASIC REQUIREMENTS
ROOF/ .ii.1N-. WA .LC. FLOORt:
• Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR
meet U-Value criteria as outlined in Exterior Envelope U-Values Worksheet.
07'HFR .Iv OP . iTR iA:
• Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline.
• Foundation walls must be insulated with R-10 minimum from top of wall.
• Loose fill insulation installed must provide the required perfortnance at winter design conditions.
EFFECTIVENESS OF iZFOiTiRFD THERMAT, INC Ti.ATION:
• Building design must meet Category 2 requiremenu for vapor retarder, air leakage and wind wash barriers, and
ventilation.
DUCT INSULATION AND SEALING:
• Insulation for ducts encued in cement or within ground must be R-5. Insulation must be installed on bottom and
side of plenums.
• Ducts installed in attics, garages, exterior walls or unheated cnwlspaces must be R-8, minimum.
• Retum air ducts conducting air into a fumace through the same space as the furnace must be sealed continuously
airtight.
• For ducts running ouuide the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints
must be sealed.
HYAC PIPE INSULATION:
lnsulation'I'hiclrness, Inches
Pipes 1" and Pipes
System Runours' Less 1-'/:'to2"
Heating 'fi 1-fi 1-h
Cooling (Suction) 1/2 1/
•Applies to runouts not exceeding 12 feet in Irngth to individual terminal units.
SERVICE WATER HE:4TING:
• Either the first eight feet of both inletand outlet pipe must be insulated with 1/2 inch thick pipe insulation or heat traps
must be installed.
• Energy requirements for swimming pools and spas aze in Part 7670.0710, Subpart 5, page 55 of the code.
Me.T . ia .c AND INS Ti.ATION INFORMATION:
• Materials and equipment must be identified so that compliancc can be detertnined. Completed insulation receipt attic
cazd must be supplied near access opening.
• Manufacrurer manuals for all installed equipment requiring preventative maintenance for efficient operation must be
provided. • Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly
marked on plans.
This is a summary only. Other rcquirements may apply. See the Minnesots Enngy Code ~ 2/5l96
Quenions? Call Depanmem of Public Service Infortnatian Crnter at 61112963I75 or 1-600/657•3710. ~ ~
OFFICE USE ONLY
rr
Y ~ ~'V BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 ExL Att - MuRi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 17 10-plex Plbg _Y or _ N O 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings = Width Footprint sq. ft.
Const. (Actual) V Basement sq. ft. ,S ~ Census Code ~
(Allowable) Main level sq. ft. r 2 MC/ES System
UBC Occupancy jL3 _A4,,, sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ 30,
Surcharge
Plan Review
License
MC/ES SAC
cicy s,ac
Water Conn.
Water Meter ~
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: ~ • 9
SAC Units
% SAC
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~ ~~l'r`T`(~I
. i w CITY OF EAGAN
3830 PILOT KNOB RD - 45122
q-0~a~ 651-681-4875 ralIt4 ~_J ~IIL(oo
l, VI
New Conshuctlon Reaulremenh /`pl, 00 Remodet/Reoalr Reaulremenh
7
> J reylsterod sIfa wneys showlnq fq. H. ol bl, sq. f1. ol haue 2 coplea ol plan
anC gfl rooled areas (40% maxlmu~++ 101 cweraae allowedl 1 sef of eneryy cdcWallons lor lieated addlX
> 2 caples ol plam (ahow beam 8 wlndow slxos; poured fnC. daslyn; etc.) 1 site wrvey for axteAOr additlons e decks
: 1 sef of eneryy cdculaMOns
: 3 coples of hee preservaflon plan II IW platled after 7/1/93 ~t I U? L,:~ L(?G CONSTRUCTION COST: r~ 3~~, COO
DATE: ~"7Dh
DESCRIPfION OP WORK: 744I 0"?
STREET ADDRESS: 3 3 S 1/2
LOT: ~ BLOCK: ~ SUBD./P.I.D.B: d
Name: J~A,/, S Pnonelf: ~S I Y5 Y~~73
PROPERTY tast FlrM
OWNER Q J r T
Sheet Address: ~ 7~ 1/L
City .-L J+G N _ State: /ln N Zip:
Company. /"4 /PC-/I c~, L/oC?S l~ FhoneM: 7,t~'l=G'.S G
(area code)
COPlfRACTOR Sheef Address: lltense M:~ Ov 4~S ~ E~cp
cny V~P1s srare: MA) zip: 7
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sheet Address: RegishaHon N:
State: Zip:
Clty
Sewer/water licensed plumDer (ff Installina sewer/waterPhone
I hereby acknowledpe thal I have read thfs aPPlicatbn, atafe that the Wortnation is cortect, and agree fo compy wHh a0 apppcable SfatE
of Minnesofa Sfatufes and CNy of Eapan Ordinances.
Siynature of AppiicanY. ~J
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ZNo
y-~o- Go
Tree Preservation Plan Received _ Yes _ No ~ Not Required
PLA kA ~
L..i &jE.,4 L FT, EXposcp WALL
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r,00c/cEiLi:+c •
ConstrucGlon R-Valiic
1, intcrior air filn 0.61 "
3. IiVSUC.
i ~I II;(I+
~
4' Extcri.or ai:- filn (still) O.G
~ j~Il I~ '~^(1~ Il~ _ Torn1 4 Oa
vErT ~~i. .~~-~t?11;1~1~~~~ 2 4sao
- __--r
HeaC f1oc7 ~ 1. Interior air film 0.62
~~ted z_
. 3-
' . ' • 4. !:xtr_rior ir _iln (st..l ~6T
Totat 2 = qo.rS
ric. as~ •
. . ~=.oz4.
• _ _ . ~ ~ ~ GoA.Sr~?C7'i
, 1. Insidc air filin 0.61
3_ . .
4 -
0.17
'(~I 5. Cutsidc air. filin
_iIII~~1~1~~ ' • . Total
~02 _ I. Tnsldc ai.r filin 0.61
• ~J
2.
a . . , . - .
'vented 3- ~
tlov up • , j 4.
. ' ' • ' ' ' S_ Outsidc air Eil:n 0.17
. ..YIG_ C6. . ~ . . . . Tota1
- • . -3 ~ 0 v 1_ Snside air filrn 0.61
2'
3_ " • .
a _
. _ / , . o. i7
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y~ . : Tota1' . .
to Lo ti%/A :
. - -
hote: Uso additional sheets if more cpace i:
~ - • , . ' ~ nocclecl for deL:ils and calculatians.
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. ~ . _
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FIWig IVAf.L
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_..----Qi S• 141Nt1.1._SlR4~!'S . ..~.~m~
G. F.>:Lrr~nr ;~ir l'ilie 0.17
FIG. fl2
~ I•• ~ ~f 1 n t. c i' i~~ r a i r I i I m 0. I
~ • . . .
(.._-Ll z. ~.~LM..._. _ ~•~~8
T._ I _ ._.._...._....1_ .00
7.uv
_ol~l~
.
zCT:
~ <<-.: > ~ aGt~ - - - •
,
'l.~-~-----:=------°--~-~'- 1. int~•ii~,c .,Ir fil~:• n.r.,n
`1 , .
, - \
lk L''_.fLYI'Lo S.-G.....----
' ' •
. o• Q n. . PL'.rT~e~_tl~G.. ~a*¢sieP...._..._....-_
~ tr. P' • ~ ` ~ ~.`1 G. 1:.<lrrii~r ,~.r :~~ri _q_1'1
" 07
' SIhU c1N ';IUUIi
,
t ' • I
Ftc:. 04 Iri
G. 13
i ~
i ti"~ ~ , '1~.1^.t•I~C'1: ql lu';~i~~.illry:l.
~ Ext~~rior linvo].opa Avor.ncje "U" Coinpuent:ion Pttgo 2 of 4 .
, .
Tola1 exposed root/cciling nrca = $ ~Q
m. 7b1u1 s}:y11.,ht aro<i -
n. Total roo`/cciling frvning arca (avc.agc 104,)... -25-UF- ,
o. 'POtal nct insulated roof/cciling zirea........... 7 O ~
-f-s-~---
. lletermine "U" value for each rooi/ceiling segr,imit
' m x „U„
.,U„ Z 4_ - I_1_
o. -79Z a „U„ ,o70
4 1bta1
If total of 44 is the same as, or less t:han 112, you have met the. intent of
SHC 60Q6 (c) 1. •
Alternate IIuilding L'nve].ope Desie,n
'ib uCilize the total envelope 'system mechod, Lhe values esCablislied by ehe s;un of
items N3 und II4 shall not be 9reater ehan the sLm of iL-ems I,1 and 112.
1. ZOQ. 7 dy + 2.
3. j CG~. 9. _k -19
~Zi !
Page i oF 4
/h1A/N6~~+w4 (`~Cb~Grw~' `177MIOR CNVE -C CO ' 1`+AIZTF~~-'' ~
_ LOP n~vr.rnr,F. °u" hfi`uTA,TIOh,
. - - ~ ~wr9
i. w~L{.. '
~
owr~Ea: _ nnrr:
SITE ADDR.SS: i'lIONE:
CONTRACTOR: FEG.J~yr-
Determine working square Footage of each
1. Total exposed wall area..... 181S Z S sq. ft. x .11
Total roof/ceiling area..... AAC sq. ft. x.026 = Z Z. B$
lotal exposed taall arca above floor=
a. Total wall window area (t 3
b. 7ota1 door area ~ q,t~ Z
c. Total sliding glass door area Z
d. Total fireplace wall area
e. otal wall framing area (average lOp).......... g 7
f. Total rim joist area Z 5
. .
.
9. net wall area above floor.L.`F . ~ -
h. wall area above floor
wall area above fluor
,
frame wall arez at _`oundatior
Total ex,posed ioundation area
k. Total foundation window arca
l. Total net foundation area above grade
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. 11 z u 3 ?a
b. 3s oo2 X„U„ , 4.5 7
c.. 47. x.45 ZZ.& .
d. X ~v,
e. J iB 15. 7 3 x •U~ __i4• Us
r. ~ 2 8. 5 X„U„ , 0 3
4- x „U„ 103 Cli
_
h. X V.
i . X
x 'lu„
If iCem N3 is the sam
x as, or less than item
you have meti,.th`e
"g S X'U' J f -
intent of SBC .6006 ~4,c,r
3 . .................................Total ~ICP~,~ ;s'
r'
2
i~ X-85039
April 19, 1985
Excavation depths, elevations, and fill requirements are
as follows:
EXCAVATION EXCAVATION FILL NEED TO REACH
LOT N(3. BLK.N0. 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 1 876-378.0' 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
S 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' 9- 7
14 ~ 3 1-2 866-870.0' 1- 4
15 3 1 865-869.0' (d (Cut to grade)
~
~
r
SIIBTERRANEAN
ENCINEERING CORP.
x n MINNEAPOLIS. MINNESOTA
-
S 1 O MA House
SUFtVEY1NG CerllfJccte For:
8EFSVICEB ~rontle~ ~~We~t
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 Corporatlon
Phone: (612) 452-3077
f%J,a- H110.TFp(Up L - ~
~ L.o'r 7
LOT q ~
bt~9%I N P~9°42' 21~~E ~~2•~ ~
- _ J
=Z.
- N e%4° ~•/j ' Q o,1o
r f LoT 8 co '
y.-
DO I I Q~g,v.a~ ~ 4r o
'
a~,e~ ,~.o = CL
~ xens ~ ~
~cALE'. 140
yG0 o+.-1,4y ;e-r0
s~~ ~ 58`1~55' lo "bJ 9'I.~l'~° 3
W E 5T ~U R-( ~J A-(
-LEGEND- PROPOSED GARAGE FLOOR ELfVAIION=
0 Glnotes Ircn Yonirrent PAOPOSED Top ol Block ELEVA110N=
m (knotes aoai Hi.b Set PROPOSED BASEIIENI FLODR fLEVAT/ON= 69,0
„e10.5 OL-notes Exisfirg Spoi Elevation
NOTE: Verily all floor ipights •ith Frnal House Plans.
(n ~ Lenoles Proposed Spot Elevat i rk)
, Denotes Drainage Direction -SJaEYQR5 GERJfFICQTlpV-.
1 Ipreby certify ihet this survey, plan or report
'PADPE~ ~~~~I ON - was prepared by rte or ta-der my direct supervision
Lor_$_.,eLaK 3 / arii that ! am a du/y Regisfered Lero Surveyor
WESrQUQ`l '~l)OITIOIJ urder the laas o( the State ol Yrnrpsota.
actorAiry to the recerded plat lhereol, 5~~I
Date:
~Coimty, Mimesota Wayre D. Cordes, Minn. Reg. No. 14%~ R1E$~~~~ir„~
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,
WAYNE D.
CORDES ?
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24~ x 22 = SzS n i ~ " f.
524(o 4
1985 BUILDINC PERMIT APPLZCATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED iRTH TNE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
N
r'JSODO. -
To Be Used For: Sinqle Familv Valuation: '-c^c~ Date: 6-3-85
Site Address: 3935 Westbury Trail OFFICE USE ONLY
Lot: 8 Block 3 Sect/Sub Erect X Occupancy R-3
Remodel _ Zoning
Parcel 0 WestbUrY FouTth Addition Repair _ Type of Const 'Z -
Enlarge 11 of Stories
ONner Piskor. Thomas and Linda Move _ Length 48
Demolish _ Depth 3b
Address 5720 Winnetka Ave. N 1i203 Grade _ Sq Ft
City/Zip Code New HOpe, MN 55428 -
Contractor Frontier MIdwest HOmes Corp. APPROVALS
Address 3908 Sibley Memorial Hwy. dkE Assessments Permit Z °o
Water/Sewer Surcharge 2!~•5=
City/Zip Code Eaqan, Mn 55122 Police Plan Review 1 4(a.°-
Fire SAC 525.
Phone # 612-454-0433 Engr Water Conn SOo.-9
Planner Water Meter co3. =
Arch./Engr Richard Charlier Council Road Unit 2 So.~'
Bldg Off Parks
Address 14103 Gardenview Ct. A.V APC Treatment P1 1'~2•~
Variance
Phone 0 432-5492 TOTAL l1 y G Y. 50
� Use BLUE or BLACK Ink
�-----------------
� For Office Use �
. i �'��,"��`� i
C�1�� Ol ����il � Pertnit#: �
� � � �
� ) ��.� � Permit Fee: � I
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax:(657)675-5694 I Staff: I
i I
�����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
�ate: 4-10-2015 siteAdaress: 3935 Westbury Trail. Eag��n, MN 55123 un�t#:
� ��� � David Chow 507-421-5747
;�� Name: Phone: �
��� � 3935 Westbu Trail. Ea ain, MN 55123 �
� _ ;' Address/City/Zip: ry g
� �. � -
�� � � �� �;����� Applicant is: Owner X Contractor
� �� ' '' 1 Window Replacement into existing openings, no structure change.
{` § �' " Description of work:
��� � � ��� Construction Cost: 5,362.00 Multi-Family Building:(Yes /No X )
� � ���� �� -��� Custom Remodelers, Inc. Karli Anderson
Company: Contact:
�, _
�, � ��� AddreSs: 474 Apollo Drive _��ty: Lino Lakes
� � MN 55014 (651)784-2646 karlin.a@customremodelersinc.com
�� � � : State: Zip: Phone: Erriail:
r ��=� �� �� = ����� ��� CR001748 � NAT 27064-1
License#: Lead Certificate�t:
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 ba�sed on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
� ; ��.;, ����, a
�: �
,
�� ���. � �� ' ��
_ t ,�,
r�� � , � �� . � �
p �_ -
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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.aoaherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in con�formance 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 •te Building must be completed within 180
- days of permit issuance.
� �
. X Karli Anderson ��: _.
Applicant's Printed Name Applicant's Sig e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150765
Date Issued:07/24/2018
Permit Category:ePermit
Site Address: 3935 Westbury Tr
Lot:008 Block: 003 Addition: Westbury 4th
PID:10-83653-03-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
David D Chow
3935 Westbury Tr
Eagan MN 55123
(612) 817-3713
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153779
Date Issued:01/22/2019
Permit Category:ePermit
Site Address: 3935 Westbury Tr
Lot:008 Block: 003 Addition: Westbury 4th
PID:10-83653-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David D Chow
3935 Westbury Tr
Eagan MN 55123
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature