3912 Westbury Way
CITY OF EAGAN SFAM S"(E 'ubm ,
3830 Pilot Knob Rotd
P. O. Box 11199 PERMIT NO.:
Epan, MN 55121 D/?TE:
; Zorir'q: ' i No. d Unifs:
Owrnr.
' Address: _
I Sih Addnas: Z`' ± ~ - 4i,:y ;,~iy . , ?
. PI1I11blC t - _ r .I%r1(J/~
I Mm h Mo* wkh IV Car o/ `MII CQMMCt10n 0IOwpf: . ,
,
^Op0{nt Depodf; ~ PffT11it rN: ,
SUIChOrge1
By AM= Cf10rQm
Dote, of Insp.: Total: '
j Irap.: Qoh Pald:
CITY OF EAGAN WATER SERVICF PERMIT ~
3830 Pilot Knob Rosd
P. O. Box 21199 ~ . PERMtT NO.:
Esyan, MN`-55121 r DATE: ' - 5
ZarOng: ' No. of Units: 1
Owner: _ )n 7.i
Addra~ i
~h ~!C 4 ;?i',~,'m Q
I
Plurwmr.
mew ~ 500.ll n. - 7
,oppnsgson Sl:e: Aooax~t peposl~• 15 . (7 UpCt
RwAer No...2~? 7/l Sf"3 00PLi
~+/ime !e sommb a1161M Ciy of Vpm SurcFwrpe: . SUpd ~
OriW.w. Mhc. Clwro.s: 132.00od S/C ,
Total: f 3. J O,oci :rrPter j
By Da,a p+aW; I
~ Ooh of I rup.: lerp.:
~ ~
' CITY OF EAGAN . 141~~ ~ 5 D
3830 Pilot Krab Rosd, P.O. Box 21-199, Esqsn, MN 55121 v
PHONE: 454-8100
sUILDING rERMIT ttece+ar #t
To Mowd iM Esf. Voiue ;L, 0 Dote 19
SiteAddrea 591'2 PTSTBLfRY W,Y Erect ~ Oeeupancy ?
Lot 2 Black ~ Sac/Sub. 4 Remodel ? Zoning ZI
Parcel 14o Repeir ? Type of Conrt. 1-1'
Addition ? No. StoNa
FRGti`I'IE". r- ii Move ? L.nqcn .1 ~
Name Demolish ?
~ - th -"t b
~ Dep
Add?ess Int Imfx. ? Sq, Ft.
City ' Phone 4.5 4 Inatall ?
FNs
Se:.~; APpi ev h
•
Name
Addrou Asssssment Permit '2
~
~ City P~~ Water & Sew. 3uroharye 2 6•~
Polfce Plan Review 1 4 4• 1
t,°LName RICHi~,l:CEIARLs_F ~ Fire 3AC 52 .l"~~.
Addreu 1410 3 t;H??,'3 ~:PJ Tc: r,' - Enp. water conn
~ A.~~, 4 3:.--`~49 2 63.E:.;
City Phone Plonrnr Water Meter
Cow+til Rosd Unit 2 n • "
I heieby ocknowladpe tFat I Fwve reod this applicotion ond stcre tFat 91dg. Off. • t'' j Tr. PL 13 i.' . t1 l;
the information is correcf ond opree to comply with oll cbJe
Stata of Mimesota Statutesror a$on~iro Gs APC P8rke
VK.Oate Copies
Sbnoturo' of Permittat.
Total ~ i
/1 Buildiny Pertnlt Is isswd M: an th~ a, pp o Conditbn tfw
d) work sholl be done in acoordonce with oll appiiaoble StaN of MfnnesoM Stotutes ond Gty of Eopon Ordinonoea.
~ldif10 Offk*M
. e v
Pwmit No. Pwmk Haldw Deft ToIoPhono ~
Ph""b0'~ c- ylr - ~ ~
~in ~ H.VJ1 w ~ -
Elecu*c
saft.».
In,v.ction wft i~a. otn..
Foodnpsl
Footinys II
Foundation - 13 Framin9
Rooflny
Rouoh Plbp•
RoupA Hts. ~~/Q InsuL ~p r
Flnplaw ~ c~J
Flnal F1ta.
Final Plbp.
Final
c.woa. _ 6 _
WatN OftwfM Loatlo.:
WNI
So1MK
Pr. DFsp.
,
R~aipt PLUMBING PERMIT Pennh No.
~ CITY OF EAGAN Fee zz ~ I
~ J
Fill Jrr numbsred tWcee S/C ~i
Type or Print Jspi61Y Tot 't `ir
1. Date Z, Installatian Cost ~
3. Job Addreu~* < 6t. Blk. 4 Tract
4. Owner f ~
~ ~ '~tJ`~ / i~!`.l i ! "L
5. Contractor
i l~41 . Phone
6. Addross
7. City ta State 2ip
8. Building Type: Residential Commercial ? Institutionsl 0 ~
9. Work Description: New Add O Alter O Repair O '
~
10. Describe
11. Mo• Fixtures No= Fix ure
,
Water Goset C&upool/Drainfield
~ Bath tuba Septic Tank
~ Lsvatory Softner
+ Shower WNI
~ Kitchen Sink
Urinal/Bidet Other Nt' ~ , G
~ Laundry Tray SJ~ L<c^G!C S
~ Floor Drains '
Drinkiny Ftn. ,
Slop Sink
Gss Piping Outlets
12. t hsreby csrtify that the above infwmation is true and correct, and I aWee to
comply wi31? ail or4i+~f-ances and codes governing this type of work.
Siyned : tor
Rouph Final
Inspections: Date Inap. Qate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4644100
` Rftipt MECHANICAL PERMIT Permit No.
CITY OF EAQAN FN ' . ;Iu
.
fill !n nwnbwed *aas S1C ~
TYPe or A?int ApIWy Tot $4 U. 5u
~
1. Dm 2. Inttalinion Cott
• . i
3. Job Addrea 3 9 W e 5 t bu r- LEow Z 81 k. 4 Trtct
4, pwner l~ront r Cona ar.ie~-
5. Contractor Wa.i2~1 IfechaL2.:~:1 phone
i
j
8. Addre:s
. y
36
~
a
7. City Stata '~N 2ip 55i22
8. Buildiny Type: ~idential ~ Commercisl ? Institutional O ~
I
9. Work Desaiption~: New ~ Add ? Alter O Repoir O
10. Daaibs he Lir,-, FuelType I l«cur~'
> "
.
11. No• BTU - M. Ea. No• Eauicment CFM
~
Y-X Foroed r
Air Handliny:
Mfy.
Boilers Mach. Exhautt
Mfq. Unit Flea~ler bdth fac.5
Mfg• Other
I Air Cond.
Mfy.
f Gas, Pipin9 Outlats
~ I
~
12. I hereby csrtify that the above information is true and correct, and I aQree to
oompty with all *dinances and codes go+rerning this type of work. ~
5igned k- t. 'i ( _ for
Rouph F insl
Inspections: Da Insp. Date Insp.
This is your permfwhen numbered and approved.
Approved - CITY OF EAGAN 454-8100
CITY OF EAGAN W2 1$721
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
~ PHONE:454-8100 BUILDINi"a`PERMIT Receipt # ~To be .ed for B"EwZ'ff !Il1ISA Est. value ;1' 500 Date FEE 19 1991
Site ACV ress 3912 ilE3'CaURY WAY
Lot Block Sec/Sub. % OFFICE USE ONIY
PafCBI N0. Occupancy - FEES
, ~i~
Name (Actual) Const _ Bldg. Permit 35.00
; Address 912 HESTwaY WAY (,vb,,,abie) - 1000
0 Ci ~ Phone or stories _ S'ncharge
ry Plan Review
VN.LY T NMTHEKs CONBZ Lerigth -
o Name oevt+ - sAC, city
XXINGITIM HTS 1 S.F. Total - SAC, nncwcC
g~ Addr A
~ City Phone S.F. Footprints -
On Sit@ SeWage _ Water Conn
~W Name on sice weii - water Meter
~ ; Address Mwcc syste„ _ ~ Deposit
i W City Phone cny wa~er
PFV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the 9ooster PummP - SMr Surcharge
information is cairect and agree to comply with all applicable Stale of
Minnesota Statutes and City of Eagan Ordinancels; JI / ~ Treatment PI
~ ?V~
Signature of Permitee z 2-1Zt -6-> APPROVALS ~ Road Unit
VAIJAY NVg$TMWM Planner
A Building Permit is i 8Q to: - Pa?k Ded•
on the exQress Conditi ihat all work shall be done in accordance with all Co+^cA
applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldy, pry. _ Copies
36BuikfingOfticial i r Variance - TOTAI
Pennn No. wm,n t+omw o.e. T.l.pnon» #
WATER ~
SEWER
PLUMBMr(3
H.V.A.C. Ii
ELEcTwc
rap.ctlon o.a rap. ~ con~n.na
FooYrps I
Fawndation
Frwriw
Aoohg
R.* Plbg.
R.0 Hog-
FnpWe
Final Fllg-
Frwl PIDg- I
Coiul. Me1M Plbg. Mspectw - No* Plumber
EVJPlan
eag. FwW HOE ~I
Dedc Ftg.
Deck Final
WeR
Pr. Disp.
J
~ • ,,,~/~ric~~~, f~D 6 0 2
PERMIT # -
~/U f MECHANICAL PERMIT
;_rc~~ ~ C•-'- . /z !JeQ CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRtCE ~PHONE: 454-8100 0?
Site Addpss t 4• c srq ~ ~e n• BLDG. TYPE WORK DESCRIPTION
Lot ~ BI ck ~ Sec/Sub Res. ~ New
Name file r, A L M ult Add-on ~
~
-a Address Comm. Repair
c City Phone Other
Name `)-1t7 "L T`` ~ r RES. HVAC 0-100 M BTUEES - a24.00
c Address ADDITIONAL 50 M BTU - 6.00
- p3 City ~'hone - : _ - . (R£S. HVItC-kIGLUDES AtG ON NL~ -
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkdlln - 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 APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. Z r M BTU i.7- `MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other ~
r ~
FEE
S/C: ' I TOTAL• ~ 2 ~F R: CITY OF EAGAN
CITY OF EAGAN o
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 10 5 5 0
~ PHONE: 454-8100 +
BUILDING PERMIT Receipf $ z/
Te y~ word }a SF DWG/GAR Est. Volue $52.000 DO1e JULY 10 19 ~ 85
SiteAddren 3912 WESTBURY WAY Erect In Occupancy
2 Block 4 ~ec/Sub. WESTBURY 4 Remodel ? Zoning RI
Lot
Fepair ? Type of Const. V
Percel No. AdCition ? No, Stories
Move ? Length
m Neine FRONTIER MIDWEST HOMES
z 3908 SIB MEM HWY BLDG. E oemolish ? oeptn 46
Address Int Impr. ? Sq. Ft.
~ CitY EAGAN phone 454-0433 Install ?
$AME ApOrovalt Feas
g Neme
o~ Address Assessment Permit $ 2°?•~0
u~ City Phone ~Nuter 8$ew, Surcharge 26. 04
Police Plan Review 150
GW Neme RICHARD CHARLIER Firo SqC 525.00
4~ Address 14103 GARDENVIEW CT Enp. waterConn. 500.00
~W City A.V. phone 432-5492 ptonnar watertneter 63.00
Council RoadUnit 280.00
I hereby acknowledge fhot I hove read fhis op0licotion und stote fhat Bldg. Off. 6/28/85 Tr. PI. 13Z . OO
the inlormation is correct and ree to comply with oli pQl' abla
Stata of Minnewro Statutcs nd'Ci ( gan ' lna s p'PC Parks
Ver. Date Cop~es
Sipncturo of Permittes Total ~ 959 _ SQ
A Buildinq Permir Is issued ta: FRONT R MIDWEST HOMES m the e%pmy conditio~ ihat
oll work sholl be done in accordonce with all a~bla Staro of Min to fotutes ond City oF Eapan Ordinances.
Buildlrq Official ~
CITY OF EAGAN Np 1872 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUIIDING'PERMIT PHONE: 454-8100 Receipt p CI ZI SC~
To be und (or BASEMENT FINISH Est. Value $1, 500 Date FEB 19 , 1921-
Site Address 3912 WESTBURY WAY
2 4 WESTBURY 4TI-I OFFICE USE ONLY
Lot Black SeGSub.
PafC01 NO. Occupancy - FEES
Zonmg -
w Name ['LAT2K TWEDT (ACWa1) COnst - Bldg Permil 35•00
; Address 3912 WESTRURY WAY (Allowaole) - Surcharge 1.00
° EAGAN Phone N oi siories -
CIlY
Lenglh Plan Review
-
, o Name VALLEY INVESTMENTS CONST Depth - SAC, City
~a Address 2401 LEXINGTON S.F.Total - SnC,rnCwCC
U~ Cily MENDOTA HTS Phone 454-5191 S.F.FOOtprints -
On Sile Sewaqe _ Water Conn
ww Name OnSileWall - WaterMeter
~ z MWCC System
AddfBSS - Acct Deposit
cw City PhOnB CiryWater -
PFV Required _ S/W Permit
I hereby acknowleqe that 1 have read this application and state that the Booster Pump - SIw Sumnarge
iNOrmation is corred a ree to comply wnh all aqplicable Stle of
Minnesota StaWteS an City o Eagan Ordinanc Treatmanl PI
SignaWre of Permilee APVROVALS qoad Unn
A Building Permit i5 is VALLEY INVESTMENTS Plannar - parkDea.
e o:
on Ihe express conditi al all work shall be done in accordance wnh all Council
Copies
applicable State ol Minnesota StaWtes and Gry of Eagan Ordinances. gldg, pIL -
~
Bwldmg Official ~21A~~~ variance - 70TAL 36.00
CITY OF EAGAN Femarks
Addition WESTBURY 4TH ADDN. Lot 2 Bik 4 Parcel 10 83653 020 04
Owner Sveet 3912 westbury Way State Eagan, NN 55123
-
Improvement Date Amount Annual Vears Payment Fieceipt Date
STREET SURF,
STREET RESTOR.
GRADING
SANSEWTRUNK -1 19 5 2 14•20 17. 1 15 246.
SEWER LATERAL
waterniain --19-Ul 65.29 4.35 15
65. 29
WATERMAIN /79' 19 51.64 3.45 15 44.80
WATER LATERAL
WATERAREA 19 139•1 9•27 15
water area qr7 g 2
1 13 3 - 79
STORM SEW TRK 0' 1986 710.24 142.05 5 710. 24
"
STORMSEW LAT /j 19 7 3•5 15 •7Z S 783.56 'CURB & GUTTER '
SIDEWALK
STREET LIGHT
gfl
WATER CONN. 500.00 11 11
9UILDING PER, n i
SAC
PARK 525.00
'1 11
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date l I-,N I Og_
Site Street Address .42- ~ Unit #
Property Owner Cayy4 441, L ~o.iiJ Telephone # U.61) ~k~ -~99(
Contrector W 'yO ) A-k,LaJ Telephone# (~51)3 los -~3 ~16
Address ,3tl''7[~ ln&en4 WA cfty State ,~r1n, ziP-15X/.~.3
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $ x5,56
t=' ~
I hereby apply for a Residential Plu bing Permit and acknowledge that the information is complete
and accurate; itat_Y~ in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
.C1c/ l/e h
ApplicanYs Printed Name ApplicanYs S nature
C'~ V
l
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN
~F'~~O?D INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OE ENERGY CALCULATIONS
S~coo. `P
To Be Used For: Single Family Valuation:i M Date: 6-27-85
Site Address: 3912 Westbury~.,~ 'k OFFICE USE ONLY
Lot: 2 Block 4 Sect/Sub Erect ';4, Occupancy ~-3
Remodel Zoning
Parcel I1 Westbury Fourth Addition Repair _ Type of Const
Enlarge of Stories
Owner Frontier Midwest Homes Move • Length a,
Demolish Depth 4G
Address 3908 Sibley Memorial Hwy. Bld. E Grade Sq Ft
City/Zip Code Eagan, Mn 55122
Phone 454-0433 APPROVALS
Contractor Frontier Midwest HOmes Assessments Permit IL69
Water/Sewer Surcharge Z(o.=°
Address 3908 Sibley Memoi'ial Hwy. Bld. E police Plan Review I 4 4.*2
Fire SAC 525' -R
City/Zip Code Eagan, MN 55122 Engr Water Conn
Planner Water Meter
Phone 454-0433 Council -R-o'ad Unit Zgp,=
Bldg Off Parks
Arch./Engr. RiChard Charlier APC Treatment P1
Variance
Address 14103 Gardenview Ct. TOTAL
City/Zip Code Apple Valley, MN 55124
Phone 11 432-5492
S I G M A Fious e
SIJFtVEYI1VG Certlflcafe For: _
seAVicEs
3908 Sibley Memorial Highway ~p~0~~i~i' M~dwCst
Eagan. Minnesola 55122 ~~rp~~~tion
Phone I6t214523077
30 1 QMo NA flT FoRO -
-N- ~ ~„57G°2~, .N
„
yI ra f ~ ~ E ° ~J
;:t.o _to
N . 1~~` ~ ' » ~ ~ ,g„g,
(Q'~
~~~n+ L G r~ I ~^l/; 1 V
~ic.~ • T
~11 pw""~~° xGRAINACl E
~ UTi ~rf-( S r-
~ U1 o~
, J
~j8q~
Lr:2T ~
J °
O I
~
, +tik%.
' : . '
_LEGEND- PROPOSED GARAGE FLOOR ELfVAT10N= F)a r•7
0 lknotes Irai Monwrent P/d7POSED lop of 8lock ELEVA710N= g88,0
° Denotes Wocd Hub Set PROPOSED BASEAIENT FLOOR ELEVAT/ON= 835.0
x ees,s Denotes Exisfirg Spot Elevation
NOTE. Verrfy a!1 floor heights wi1h Frnal Hwse Plans.
Iknotes ProposErl Spot Elevation - '
[knotes Drainage Direction -SUWEypRS g(jj)FICATIQM-
! hereby certify that this survey, plan or report
-P~~ was prepared by me or urder my direct SUpErviSi~
~'L'OT~ ?BI.LCK 4 aM thal 1 am a duly Registered LaM Surveyor
st.1F¢~-knflY 411~ AfD01TiUlJ urder the faws ot the S1ate of Ilinresota.
accordirg to the recerded plat thereof, Date 6/1DI&S
IJal,o County, Almnesota Wayre D. Cordes, Yinn. Reg. No. 14675
/hMNV6j,M1WM C1pCutcra• Pa9e i of 4
10R ENVCLOPE AV
-f.RAG~C "II° CflPif'IITAT101J AAWT~~+' ~
- - _gwre4. W1~Lt. ~
owNER: _ nA Tr:
SITE ADDRESS: p~~ON`:
CONTRACTOR:
Determine working square foota(,e of each
1. Total exposed wali area..... IBI; 7Z `y sq. f:. x.11 = Zdy
2. Total roof/ceiling area..... 6450 ;q, ft. x.026 = Z Z,~ gj
Total exposed wall arca above
a. Total wall window area
b. Total door area ' << ~
~ y.
c. Total sliding glass door area 16 2
d. Total fireplace wall area 4
e. Total wall framin ar.~a
g (average 10°~) __J~~• ~
f. Total rim joist area . . . . . "
.
. . . .
a s
9. net wall area above Floor.'C.`f .
h............. _
-
. wall area above floor - 4 -
walt area above floor
frame wall area at foundation
lotal exposed foundation area=
k, Total foundation window area.........
. Total net foundation area above grade
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. I ( X ~,u,,z_----~'r~~-
e. r. ,lul, . 4S - /-7 ? 7
6l Z X.,~~,
d. X 'lull
e. x u~ •p~ = 14• Ss
f. 12 8 . 5 x ~v, . o.3 ---3 -~5
9-_.1"s CX). x ,lu,l ,03
h. X ~1V _
1. X
J ~ V ,iuii
k X „u„ I f i tem #3 i s the same
as, or less than' item
1 . g x U. i 5 = 6$• ~ ~ #1 , you have met;.thei}t
F intent of SBC.6006
(c.)
3.
. . . . . . . . . . . . . . . . . . . . . . . . . . To ta 1
I:x ;Ir1or Iinvolopo Avm-n(je "U" Com~~uP.nP..i.on Pngo 2 oP A
• . ToLa1 exl)oned root/ceiling nrca = $ ~Q
m. 'lbtal s}:ylj.yht arca '
n. Total roof/ccilin, framing arca (avcrayc lOB)... ~
o. Total net insulated roof/cciling iirea...........
-(-i
. Uetermine "U" value for each rooi/ceiiing segment
m. liU,i
o. x
n Totai
If total of 114 is the same as, or less L'nan 42, you have met the intent of
SHC 6006 (c) 1. .
Alternate IIuildinq L•'izve].one Desiqa
'tb utilize the total envelope'syctan method, Lhe values esLablishecl by elie sam of
i.tems 113 and i19 shall not be 9reater tlian the siun of ilems II1 and 112.
+
3. CoTZ_ + 9-
,
mnt.r, i,r.rrrirn+n .w
4,111 r~t1•I% fJC ~~~II?~
`f t~~m•: t!t,wh l rvr.l (un ('..~i 1 i u~ ~n. v, 1 Io
-Q.`A . ~
~YP
7. ~
i~4 ~ ~_1~~;.g .~ai.~~+. . i
~:C ' ` • G. iir tli (i~ U~~~ .
~
~ y
P1C. di TGPVIf14 OF
FIW4: HA L1, . liilr'!n; ni~ .'71m O.GII
• o
~y G. F.~:t.oritir ,Iii 1ili,i Q.17
FIG. fl2
I J ~
O
~2/ ~ ' ' . )nlri 1VC ~lir I~ilm O.f,!I .
1,• .~i
- - ~----QQ 4-.0i-~.-_
1 S(AC7A
~c.•~ i ~ ~ G. h:xc!•rlor nic i i iin 0. lY
- . - - ~ ~ - -
'POI::L
'
intr1•~~~[ ,ilr (il'!
~L~ e - -
~.4.°~.---•- \
,y ;.cn ~ - --c=~ ~ . .ry_ .~.Q _ S.-.S?.....--
~,t• • 'a' O • a. __P~'arT~ee_'Cu+G. FfA~~4e~ `
l _ _ _
.
,
" stJ'li Or! (;)u,uli
: _C ~rr ~ • ' . . ~_l
' ~ _-rR~p ` 1(/..- _ , • •
I
~ t. ' , ~ . f 11 ~ - . ' M1 • . / "
iri
Y'• ~ ~ , ~ <
• ~ f'1G. i!h } f
I ? . ~ ~ ~_t----;, ~ ',j s
i . ' . ~
. . ~
nnd
n.
• ~ ~ ~~l.r.rn~•~it. .~f iir:iil.ii_~n:~.
ROor/cEiLitic , .
. . . • .
Construction R-Valtic
• ~ry'"~/
. ~i .
~ ,3 1. Zntcrior air film . 0.61
2. _ 8 L2`S ~3D ~B
1n15UL.
~ 3- 44 •Oa
4. Extcri.or air filn (still) O.G
V"IT Total ~ 4s$0
. ~i . ~ .02 .
02
• ' F~"+•~r ~
g.at flov 1. Interior air film 0.61
1 . `'P ' s• ` I1.(suL. 38.35
, ~ ' • 4. f:xtetic~= e_i tiln (~t~.Z~-T6r
• ' • ~ , . . 'rotal
TIC. G5 ~
. . ~ ~ . . . U=.o
CoA,SrOt?Cri my`~ •
~~~)~~~VY.VI:T•~1_ ~~~~A~~I~,n~4~ 1
0.61
filin
2-
, 3_ , .
4.
Cutsidc-oir. filin 0.17
III , ~II~ Tbta1
1 ll
0.61 .
. ~ 3 ~ • I. Tnsidc af.z filin
~ ' •
! • • . . 3_ . .
S ~ vented '
~ Y.ccc flov vp 4
• . , ' - ' ' ' Out:idC air filin 0.17
..~G_ ~6.~._. • . . . Tota1
~ 3 O FC5) v 1_ Insidc air film O.G1
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CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
PLuM8$NG YEMST DATE:
RESSDENTIAI.{ PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQOIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR ~ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: WtOtA2r4 HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: o~- BLOCK SUBD. Y _ FLOOR DRAIN 3.00
/ GAS PIPING OUT.
INSTALLER: (MINIMIJM - 1) 3.00
~ ROUGH OPENINGS 1.50
ADDRESS: I ySI .~it"UTAAIY/~,li OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE /
URCHARGE $ OOO
1~ Qilo/1~ `"o~l J~~AI/lA~67?J SUBTOTAL
SI ATURE OF PERMITTEE
TOTAL: S 15"50
COMMERCIAL/It]DIISTRIAI'si: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH ;
DWELLING UNIT.
CONTRACT PRICE: FEES
nr,iNgq NAME; 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
. ~
1991 BluiLDINAPPLICATTON
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUI.ATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~F1S~dY1F.ti r` „a G /
To Be Used For: Valuation: Date:,,?-~'-! I
Site Address '3r OFFICE USE ONLY
Lot ~ Block l~ FEES
Occupancy Bldg. Permit s. DD
l Zoning Surcharge /,JJ
Parcel/Sub W9_ aLL,}"A Actual Const Plan Review
Allowable SAC, City
Owner # of stories SAC, MWCC
/ Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Petmit
S/W Surcharge
Phone On site sewage_ Treatment P1.
IJy- On site well Road Unit
Contractor I%ST, MWCC System _ Park Ded. _
City water Trail Ded.
Address -1 PRV Copies
Booster Pump
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone L(~ L/"-'s{~ ~ Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. = ~-q/
Variance
Address
City/Zip Code
Phone #
~ J z'W-~J agrees that all work shall be done in accordance with
ignature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1
i`
2/84
~ CITY OF EAGAN
I
APPLZCATI^v,l FOR PEB24LT
SEWER AND/OR WATER CONNECTIODi
' (PLEASE PRIHi)
1) PP.OPE.T~' ACDP.ESS: _ 3912 Wa~,th-i y Wav
r_FGAr. D"RSPTICV: 21a iiPS bury~ourth Addition
(L0t/310ck/Si::aivisicn or Tac Parcel I.D.
S?'RCCILMi%. DAin DF CiZ?GI^.Ai,
_ ,
P.P_~Sr ^ Z^`TI:ry'P?OPC=-) L'S: N ?-1 Si:GL: F?y+SLY .
? R-2 DU?- 7" (7i0 U:II':S)
. ? R-3 'IC,?.12_'rvicr ('I'.`= - L^1?TS) ~ LN=':'S)
? ..-4 r',c='s'`:'?'/CC:S):i.ir~Irtil ~ G'iii'I'S}
? CCi•n1E?C LAL/?2~'?IZ?OF:'IC::
? 1NT.tiJ-1-PT]L
D:STI'i ,'?'?~V.~.~GiJVL~~:~:r
2) pp?j,T`.nr (PLEdSc PR1Nf)
N~•!-':,-Frontier Midwest Homes Corporation
ADnR=~S:- 3908 Sibley Memorial Hwy. Bldg. E
CTT", STaTy, ZIP: Eaaan, MN. 55122 •
PFO`IE: 454-0433 '
3) pu-,.~~ ~PIE:,SE PR14IJ FOR CITY OSE O4LY
Star Plumbinq
, p=tZESs: 1018 Mound Springs Ter. ~?LUrseas-Lic.vsE:
~ Activ
CITY, STA'?'E, ZIP; gloomington, MN. 55420 0 Ex 'red
84-4149 MA'i`~ iNot ui Record
PHQVE: 8 PLU:iBER LFLEYSE H 3329 ~(j~LVF~
' ~rr ini:iai
4) OLM'PpDJ'j'/Cr,;T;EZ (PLEASE PR1YT)
N%"E: Frontier Midwest HOmes
ADDRE55: 3908 Sibley Memorial Hw . Bld E
CITY, STA'I'E, ZIp: Eaqan, MN 55122
PHO`E: 454-0433 ^
5) 1NDIG= :4I[ICH PF.Fi•lIT IS BEInC REX)CTFSTID:
~ CC.IDIECrION To CI'I^t SLAEEt -Please mail gold copy to
~ CONN~PIGV 'IU CITY WATER Wenzel Mechanical
~ 3600 Kennebec Dr.
? d:I'.ER (PZ,G,SE DESCP,ZBE) Eaqan. MN. 55122 ~
6)
?P*-=+SE f?OLD r1PPRCVED PER.%+ST El7R PIGF-L'P BY 0.*IE OF AE.RiIE
PLF'-+SE :-*aI APP°WED PE:'-uT TJ 1.'~ 3, 4 ASOVE
(Ci`1e one)
7) SI"-v,TL'~: DATE':
~ w AaLaIJ?.O i~ i a!~:a~ a~ A ne o saa a~ ~ s~s~'a :a a s f~e ~FJ~Fa ~~f~ ~~~t ~t a~:saa~
- . vy
F 0 R C I T Y U S E O N L Y
PEDMIT T_SSUED
ror5: $
~
, $ _ ~U-SU WATrR PE:2P1I'I' (Zi:CilUDG SU7CHHRGG)
$ ~3 so WAT°R METER/COPPE4HORN/OUT5ZDE READER
$ t^iATE:t TAP ( ZNCLUD° CORPOR.=,TION STOP )
$ S_E:•icR TAD
$ / --..~•i,::': ~,ci_ - a=..=3
$
ACCOJ?:T DF.POSIT - S•i:,TER
$ S4?.C
$ S d S ~Z SP.C
- - $ T°[iVK SqATrR ISSESS:?E::T - - -
$ TRii:4K SE:iER ASSEESj?iEciT
$ LATE?lL 3EidEc ZT/TRUNK SE:•i='R
$ LATc'.IRrlL HEVEFIT/,T:?U:IK ;•IAT_°R
$ WATER TREATMENT PLAiVT SURCHARGE
$ OTHER:
$ TOTAL
$ AN!OL":T PAIDjRECEZ?T n ~'~?`f" C/
DO:,S UTILZTY CONNECTZON REQUZP,E EXCaVATION IN PU6LIC RIGHT OF WAY?
~ YES IF YES, THEN H"PE3MIT FOR 'r10RK WIT?iZN
PUBLIC ROADLJAY" MUST BE ISSUED BY THE
ENGINEERZNG DIVISZON. LZST AS A CONDI-
TION.
SUEJECT TO THE FOLLONING CONDITIONS: •
/
APPROVED BY:
~
TI.LE: '
DAT°_ :
LOT: BIOCK: SUBD./P.I.D 4
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
Z ~ 3830 PILOT KNOB RD - 55122
651-681-4675 ~
New Construction Reauirements Remodel/Repair Reauirements
? 3 regfsiered site surveys showing sq. R. of lot, sq. ft. ot house 2 copies of plan
and all rooted areas (20% maximum lot coveraae ailowed) 1 sef of energy calculations for heated addHions
? 1 coples ot plans (show beam & window slzes; poured fnd. design; etc.) 1 site survey for exferior addltfons 8 decks
? 1 set of energy calculatlons
? 3 copies of hee preservaflon plan if lat plaMed atter 7/1 /43
? Rim Joist Detail Optlons selection sheet (bulldinas with 3 or less unNsl ~
DATE: I 0 `r ' C~F-0 CONSTRUCTION COST: 3? l 6
DESCRIPTION Of WORK: a-6 If muHi-family bldg., how many units?
STREETADDRESS: 4u e~ tW C1 6'~ i"
Name: ~0 /`-J ~ ~ S 2~? VL Qrl/''l [ 2 Phone 6 .Sr ? - (r7d ta ^ 2-9
PROPERTY Last First
OWNER ~c~ ~ 'Z,. Wt)l ~?(N'`~ f~/?~;'
Street Address: /
City ~/~-e ~ r? State: Zip: L15-
Company: ~ C~ •---P ~-1~.~~~ `1Phone Z 0~4 )l3
(area code)
CONTRACTOR Sfreet Address: O' ~ n~ Ucense# 31,,33~Exp. ZLO
City State: A,(-~ Zip: 5550 33
ARCHITECi/
ENGINEER Company:
Name:
Telephone N: ( )
S}reet Address: Registration
Cily Sfafe: Zlp:
Sewerlwaterlicensedplumber(ifinstatlinasewerlwater): Phone#: L~
I hereby acknowledge that I have read this application, state fhat the information is correct, and agree to
comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes No Not Required
- - 0013 T~§b'0d000
B Y.
OFFICE USE ONLY
O Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 79 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit • Give PCA handout to applicant
VALUATION Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
_ Footings: New Blde _ Insulation _ Windows - new/replacement
- Footings: Deck _ FinaUC.O. _ Siding
Footines: Addition FinalNo C.O. Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test 5nal Roof; _ ice & water _ final
_ Framing Pool: _ ftgs _ aidgas tests _ final
APPROVALS
Planning Building Engineering Variance
Base Fee
Surcharge 2- v U
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Use BLUE or BLACK Ink
r For Office Use /� .( .-CCl***
0 Permit#: 7
ty f Ea�a� Permit Fee: / 1"""
3830 Pilot Knob Road
Eagan MN 55122 Date Received: •
Phone: (651)675-5675
buildinginspections a cityofeacgan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: EV►V" / )sf r\1`...,tt4,,1CG.rL. Phone: �`�l 3 -i — "'7�'
Resident/
nOWneAddress/City/Zip: Z, t-,-) sl �LL. �.A:lr
,
Applicant is: Owner Contractor
Type of Work Description of work: '\ t-r^�.Cj'!; �� ��� '�
1
Construction Cost:1-\p:.7C) Multi-Family Building: (Yes /No )
Company: , L.II_ I. cfl .) Contact: DY LAkv‘,. ?'jeGwin-1...r"-r-
Contractor i Address: `1u-(o L4.< (,l,, v t1�f -:#I()Z City: _oz. i�j k, Ir) 0+1"-,ICL,
State:/4v'Zip:Sc�IZ E, Phon ,/1-�-47Z-7/ il: &i/.4i \ 5Z./� e '2 .(✓S-?. Ccj
License#. C (•G ! 2 S w Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
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.cityofeagan.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(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 plans.
11A1A,If' Ae OA
5\)W
Applicant's Printed Name , Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151325
Date Issued:08/20/2018
Permit Category:ePermit
Site Address: 3912 Westbury Way
Lot:002 Block: 004 Addition: Westbury 4th
PID:10-83653-04-020
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)$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 -
Donald W Elsenheimer
3912 Westbury Way
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
For Office Use
\ t / Permit#:
E AG N
\.. Permit Fee: l
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:
buildinginsoections( citvofeacian.com L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: DovN 4 wr2fy IS2^ktv'vWx Phone:
6251 315 32'71
Resident!
Owner Address/City/Zip: 31 1 i 2 W:S-1-.6u'-1
(.00.1/4/
Applicant is: Owner X, Contractor
Type o rk
Description of work: &� : (-2. St(-t-
ofConstruction Cost: I 2. 0` Multi-Family Building:(Yes / )
Company: S "E`U- C' ��.,�s"t fve..4 tov Contact: .Seitri y ( or
ContractorAddress: —70Mf1 tavi JI JkvK- City: , P.
State: r&J Zip: 5942-S Phone: 7b3-1 b'L Email: jerteut�S►tir,ltc U Sit
cS1 - I
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.citvofeagan.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(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 approv I of plans. /
x 1 Rr-2+^^ ,4-c1.r x .�. _ •
. _
Applicant's Printed Name Applicant's Sig re •