3913 Westbury Way
CITY OF EAGAN SE'WER SERMCE pERMR
3830 Pilct Knob Road p~IT NO.:
P. O. Box 21199
Eagsn, MN 55121 DATE-
,
Zoninp: No. of Units:
Owrwr: .t= <°,.,r,
~
Addrsss: ~
Si» Addnss: %`~13 ':est`st:r-• 'aa;'4 F:i fI~tbkv. 4 i
PItNn*er:
j•S j r-. 3 A f.'~, ~ G~"'
1 M~1! wM~ tv CM1? of foNa Ca+ewction OwrO~: 426•_G'J~a I
Or~ w. /1,ooourK OrpoNt:
Prmnit F«: 1C ~ '
SuKl+orpe:
gY /Aisc. Cl+orpm
Dote of Imp.: Totoi:
Irmp.: Date Pald:
CITY OF EAOAN WATER SERVICE PHtMIT
3830 Pilot Knob Road
P. O. Box 211841, PERMIT NO.:
Eapsn, MN 55121 DATE:
Zoninp: No. of Unlri: 1 ,
Owner. : rjnLier ":i-JvRst
Addnu: -WA
Sih /1ddress: '=~t'J fij 1~:>3t~~u_r 4
Pitmber. St p tl Will',
M.n.r No : f E- ELE _&&Qepn cha•o•; 500. oaEx:
pepowr; 15.d0~c?
Reoder No.:
1"w hwMb 00 of f~o Surdw~:
Ar+~1wsc. G+oro..: 13::.00pd
- _ / 'rorol: o3.~.TMd r u:?t =c
By ' Dah Poid:
Dam of Irap.: ~ MAP.•
9 ~9~a5
, CITY OF EAGAN - k~ r--
4
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
ItUILDING IPERMIT Rece+a #
Tg M wn/ fN Est. Vol ue ' S`~' ?0 t! Dare : ~ 9 y 5
Sia Addrsa 3913 L-~FF`PriL' R Y hAY Erect ? Ocwpsncv ' 4
Lot 41 Block ~ Sc/Sub. WF: ST Ef U^: l' 4 Remodel ? ZoMnp t 1
Parosl No. Repair ? Type of Conft.
AdaniG o r~o. sto.;~
~
r Nari,e E'R(JlITIF;R CDWrST HOMEE, Move L.npeh ,
~ 'EJN [i4JY E Demolish ? Dspth 47
Address Int lmpr. O Sq. Ft.
Citv Phone _ 4-- 0 4 3 3 Inatall D
APMo"N FNt
Name
~u Addran Assessment Permit ~v ? 1 V_ 00
~ clty Phone wote. b~ s.w. surcnaroe : 4 ---50
Polic. Man A.view 15 ~ p
P~ Name it 'i~iARU C:iA.RLIEn
Fin 5nC 525.00
=3 naa..W 4 1 G 3/, RT~D.F.1aV I F4V c:2~ w.ter co~,n
500. 0 0
u
43a-s4?2 63.00
City - Phone Ptonrnr Water Meter
Countil Road Unit 280.00
I hereby acknowledge tF+ot I how reod this opplication and te fMwt 81dg. Off. 2/85 Tr. PL 13~.
fM intormotion is corre-ci-md dgree to Comply oll lioobl~ A~
Stoh of Minnasoto $(atutes~p o~
nd'~E ~ Vsr. Wts Coplea
5ipnofure of Permiftw
~':~•Jr„y,!'',~ Tolal v94
A Buildin4 Pennit is Issued to: ~ on thf exprns cadition thot
dl work sholl be dorn in oooordonce with oll appilaoble State of Mirxw*ofo Statutes ond City of Eopan Ordinanus.
8ulldie+p Offidal _
Pamk No. Parmit Holdkm Do" TeNPhone
Pl„~~ -)y a (,J
H.vr?.c.
ENuMo
Sofmw
Inmwetion aa insp. Oeh«
Fooffnpo 1
Foodnpall
FoundWon -
Framing
Rooflng
Rouqh Plbp. ~
Rouph Nty.
Ineul.
Fireplap
Final Htp. o
Final Plb¢ ~
FiMI
COf/Occ.
WalK Dae~ibe loeation:
WNI
SlMK
Pf. Dlsp.
~
Recsipt MECHANICAL PERMIT Pennit No.
CITY OF EAGAN
Ffll rn nambered spacer S/C
~ Tyw or Prirrt /eylbly Tot. $20•50
1. Oate 8/14/~ 5 2. InstaUation Cost $145G . Ol:
3. JobAddrau 391 Westbur}- Wtlt 4 Blk. i Tract
, 4. Owner 'r'ro.it~er Companies
' b. Contnctor We~cel iechantcal phone 452-1555
- ~
g. ,qddnm 36, Kennebec vri ve
7. CitY Eg ; State Zip S 5 i. -22
~
t. S. Building Typs: R idential ~ Commercial ? Institutional ?
~ fl
9. Work Description: New 44 Add ? Alter O Repair ?
10. Describe liea~ir.g system Fuel Type Lural gas
11. No• BTU - M. Ea. No. Eouiament CFM
Forced A~ Air Handliny:
Mfg.
Boilers Mech. Exhaust
Mfy. "
bath `
Coj
Unit Heatar ~
Mf9• Other
Air Cond.
Mfg.
Gas, Pipiny Outfats ~
~
,
' 12. I hereby certify that the above information is true and correct, and I agree to ~
comply with ilII or.dinan s and codes governing this type of work.
~ f
Signad : • '=C~-,~1 f t Jfor
~ Rouph Final
Inspections: Datei" Insp. Date Insp.
1
This is your permit1lwhen numbered and approved. ~
Appraved CITY OF EAGAN 454-6100 ~
I
- - :,.:;~arii~r~--• -J
Reaeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN FN
fi11 in numbered spaces S/C
Type or Prini /egrMy Tot. ~
1. Date 2. Installation Cost ~
. ~
3. Job Address 37 47, 4 1,00Vot4_Blk. Tract
1-
4. Owner T j~ .,a~FU t' ;
_
5. Contractor (j;Lt»c-c th-e 4-1 Phone 4t74-45,!.~° i
6. Address lrr j )A >E
7. CitY ~:yCOaE : State Zip r'S7 7_ ~
~
9
8. Building Type: Residential ~ Commercial ? Institutional ? ~
~
1
9. Work Description: New Add ? Alter ? Repair O ~
i
10. Describe
1
11. No. Fixtures No. Fixtures ~
- -
Water Closet Cesspool/Drainfield '
i
Bath tubs Septic Tank ~
~ Lavatory Softner ~
Shower Well ~
,
~ Kitchen Sink ~
Urinal/Bidet Other 1 •~i ~
Laundry Tray ~ •~YS ~
~
Floor Drains ~
Drinking Ftn. ~
Slop Sink ~
Gas Piping Outlets ~
12. 1 hereby certify that the above information is true and correct, and I agree to ~
comply with, all or4iances and codes governing this type of work. y
~
Signed: ~--fi Lt 4 ,f~..... Z. - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. '
Approved CITY OF EAGAN 454-6100 i
I ~
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ 651•681-4675 2-
NawConstruclbn RwuVrements RemoMRwilr Reauirements
. 3 rpis4xed site surveys stawinB sV. M1 W bl s4. R M hase: antl II rooted areas • 2 copies d plan ~
(2016 maximum bt covaage albwed) • 1 set af Enngy Cak:ulatlons far heated addN=
. 2 tapim d plan shoviiig beam 8 window saes; poured bwid design, aic.) . 1 sile wrvey fa exterior addNOns 6 declo
• 1set0(EnergyCalc.abons
. 3 capies of Tree Presarva6on Plan if bl platled after 711193
. Rim Joiet DetaB Optlons selec0on 5heM (bldgs wiCi 3 a kss uMS)
DATE SI31I0 1 VALUATION(EXCLUDINGLAND)~I3 ~LI ~
.;JB SITE ADDRESS ? (AJ
IF MULTI-FAMILY BUIL`DING, HOW MANY UNITS?
PROP"RTYOWPI'R-]01bN 4' V-41-~ "^j
TYPE OF WORK a l S 1(L1r44YI L.ZIt,0M,Elti#" Wit-V--"jS FIREPLACE(5) _0 _7 _2 _3
APPLICANT GQtYtT I,,kY 0, 1N , n oa~ 4 Sl o t ,-Q Gv . PHONE # ~SZ~fS ~l -3y~o
ADDRESS I7-CaS& G1k~vpA DIZtv f~ • A•V_i rm IJ ZIPCODE SIZ
PAGER # CELL PHONE # FAX # 95-2- "811- C12, SQ
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing S}'stem Luludes: _ VVater Softener _ L.-mn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Controctor: Phone #
blechanical S}s[em Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone M
I l I ~
All above informafion must be submitted prior to processing of applicadon.
I hereby acknowledge that 1 have read this application, state that the information is co Rgt, and agree to com y with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature o1 Applicant
I
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updatad 1101
OFFICE USE ONLY
O 01 Foundatlon O 07 05-plex O 13 16plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling O 08 06-plex O 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex O 09 071plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OB-plex ? 18 Dedc O 23 Poreh (screened) O 36 Mutti
? 05 03-plex ? 17 10-plex 0 19 LowerLevel ? 24 Storm Damage
? 06 04•plex ? 12 12-piex Pibg Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement O 38 Demolish (Interior) O 44 Slding
? 32 Addition 0 36 Move Bido. O 42 Demolish (Foundation) O 45 Fire Repair
O 33 Alteretion O 37 DemoGah (Bldg)• O 43 Reroof O 46 WindowslDoors
O 34 Replacement 'Damolitfon (Entire Bldy only) • Glve PCA handout to epplleant
Valuation Occupancy MC/ES System
Census Code Zoning City Watei
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fim1/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundatioo FIVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Sidiug Stucco Stone
_ Insulation _ Windaws (new/replacement)
Approved By , Building Inspector
ease Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Olher
Total
CITY OF EAGAN N0- 1 0 5 5 4
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Recelpt # 5~> ~
T. b. m~d h. SF DWG/GAR Esr. votue $59, 000 pate JULY 11 19 85
SiteAddren 3913 WESTBURY WAY Erect ?C Occupancy R3
4 1 WESTBURY 4 Remodel ? 2oning Rl
Lot 81ock Sec/Sub. Repair ? Type of Conn. V
Percel No. Addition ? No. Storin
FRONTIER MIDWEST HOMES Move ? Lenqtn 40
~ Name
~ SIB MEM HWY ~E Demoliah ? Deptn 47 3908 Address Int Impr. ? Sq. Ft.
Cijy EAGAN Phena 454-0433 inscan ?
Approralt Fus
o Neme SAME
Addresa Asuszment Permit $ 310, Q 0
~ City Phone Worer 6 Sew. Surcnarge 79 _ 50
Police Plen Review 1 5 S_ 0 Q
rr'W Neme RICHARD CHARLIER Firo SAC 525, 00
Z? qddms 14103 GARDENVIEW CT Erq. waterConn 500.00
City A.V. Phone 432-5492 plonner waterMeter 63.00
Council Road Unit 280.00
I hercby acknowledga that I hove reod this opplicotion ond stote fhuf Bldg. Off. 6/28/85 Tr. PI. 132.00
the inlormotion is Corre[t a ree to com01 w' oll o icebla
Sfats of Minrrosota S APC Parks
t tp ~a` aY r inon .
Var. Dete Copies
$ipnefure of PermiMea-~l
A euildin Permir Is iuued ro: FRONTIER MIDWE OMES w ~ aal Sl 994 _ SQ
9 mmst totditlon Ihat
all work shall be done in occordance with oll liwbls tate f Min tas ord Cih of Eopan Ordinorxea.
Bulldinp 0{ficlal
CITY OF EAGAN Remarks Lll~
Addition IAEST$IJRy 4'1'H pD)N Lot ~i eik 1 Pa,cei10 83653 OL.O Ol
Owner Street 3913 weSi.liUTy W3V gtate F3gan, Mv 55123
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~ a ~,•S- ~J~~~,-~ 9 ~p~y s
SEWER LATERAL
waterniain OF tff 119816 .51. 4 3.45 15 5" Ly o16 Lys iu /57€A
WATERMAIN 68 19 5•29 4.35 .eo ,q0161 yq ,o y/f,-
WATER LATERAL
WATER AREA ~j7 1989- 13 •1 9•27 1 /.,?O, -6-3 fJ O 16 •2 W S".~-
/5
water area W,° 198 133.7 $.92 15 133 7 R a/6 2- 5~ 9 /-0
STORM SEW TFK 198 710.24 142.05 5 7i0•..? O//a Z`/ rl /O p b
STORMSEWLAT -Jy 19 783.5 15 •71 5 83.s6 6~y57 ~o y y.~
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 11
9UILDING PER. 10554 11
SAC 525.00 PARK
~ -
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED IdITH THE CITY OF EAGAN
`~TaFFo2~
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Single Family Valuation: 42-,-988- Date: 6-28-85
Site Address: 3913 Westbury Way OFFICE USE ONLY
Lot: 4 Block 1 Sect/Sub Erect y~ Occupancy 12-3
Remodel Zoning R-1
Parcel /1 W25tbury FOUrth Additi0n Repair Type of Const Q
Enlarge of Stories
Owner Randy & Susan Albertson Move Length qo
Demolish Depth 4-1_
Address 12830 Nicollet Ave. S#201 Grade Sq Ft
City/Zip Code 8urnsville, Mn 55337
Phone 894-2299 APPROVALS
Contractor Frontier Midwest HOmes Assessments Permit 310.
Water/Sewer Surcharge zcl$0
Address 3908 Sibley Memorial Hwy. #Epolice Plan Review 155.°°
Fire SAC 525.
City/Zip Code Eagan, MN 55122 Engr Water Conn Soo.°=
Planner Water Neter
Phone 454-0433 Council Road Unit 280.`=
Bldg Off Parks
Arch./Engr. Richai'd Charlier APC Treatment Pl
9
Address 14103 Gardenview Ct. Variance TOTAL
City/Zip Code Apple Valley, MN 55124
Phone 1l 432-5492
( ~iei-~Son - c_• ,
. , . ~
~ Nous e
SIDRvEYe~BQ~ Cortlflcate For:
sE~avoces F~'onttei~ M9d~fest
3908 Sibley Memonal Highway
Eagan. Minnesota 55122
' Phone. (612) 452-3077
I rMja-..` s-iAF~:o P00 -
-N- I_.or 12 x .SBo ~ -
N C - ~ x9bN
Ka~ibl ~,y' LUl" '4
r.o
~iLALE', I+: 40~
o %q : mm d
a^~1gA3~ 4 ~
O i 19.0
I 1 ~
~ I.! li YO
,O I ~d" / / .ee1° o~ ll•m ,
r ,N I
L ~a ~c
~
s io ~ T e
L.UI" lo I I ~~v
I wT ~ ~
l= ~
~
U
~
jpSF S
' n'-
N,AyNF
GORD[S =
- '#~~c'P ~ =
s.~.. ~
-L G~ END- Pi70r-05c"0 GAA,RGE FLOOP. ELEVATION=
v 1.1enotes ircn,tionunenf Fl70POSED Iop ef E!ock F(_FVATION= ~~S-I•Z.~
m Denotes Woa1 Nub Set PRUPOSED BASEMENi F"LOOR ELfVATlON= 854.3
x eeis qenotes Exrstirg Spot Elevation WIo
NOIE' Verify all floor he+ghts wrfh Fina! House Plans.
~„tisHoWN) Denotes ProposErJ Spot Elevation =
Denotes Orainage,Direction _UWEyqRS CERjIFICATIGrd-
f hereby ceriify tlwt fihis survey, plan or report
-PROpEKTY DESCRIP(IQN- was prepared by rre or under my direct supervisiai
~OT_L_ ,BLLL'K ard that I am a duly Registered.Larzi Surveyw'
~ CIVR ~N !i0 I1"IUh ur er the laws of the State of Minnesota.
according fo ihe recordcd plat thereof, ~l,1 185
f~. C~
al + Da te
l/c~O 7 County, 1Amnesota Wayre U. Cordes, Alinn. Reg. No. 14675
~ rage 1 of 4
~ E>;rEaIoa INvELorc Avr.anr,r. °11" C0M1'1JTATIOi~
owraER; ~
% nnrr:--~~~.5 ~
SITE ADDRESS: PIIONC:
CONTRACTOR: FA2cjJJ't[ OL _
Determine wor-king square fobtage of each
1. Total exposed wall area....._(-4![",S,c;, ft. r.
~~-1---
2. Total roof/ceiling area..... _ 10 16 sy. ft. x.026 Z(~ 4A '
Total exposed wall area above flnor=_
a. Total wall tiaindow area
b. Total door area
c. Total sliding g1ASS door nrca
d. Total fireplace wall area........................................
e. Total wall framing area (average lOro)...... ~ S
,
f. Total rim joist area O
9• net wall area above floor...? 4
~4 Ce~Tc'.'y,...,.....
h• wall area above floor
wall area above floor
~
frame wall area at foundation
Total exposed foundation area=
k. Total foundation window area
l. Total net foundation area above 9rade............
Determine "u" valuc of each wall segmenC
(e.g. window, door, each separate wail seciion)
~
• a• X „Ul,_-
~ b.
. C. zi Z x „u~, _Q- -5
. a. ~ g z,lu,l , 3 Co
~ e. S x "U„ 08 ~ f. I~o x 'lul, . 0 3____
-
~9. I~~IrO~:2 x "U" .03
. h, X „u~~ _
X U.,
j, x 'lull _ . .
. ~ If item #3 is the'sam
X"U" as, or less than,'item
k'1, you have met,.fFie
x 'lul-_,~S = 1~75 inCent of S6C, 600§;1{c
3. 6'Kl~tini^:1~
..........................Total
F~, a.,
1I'acprior rnvclopo Avcrnpc "U" Compur.jt:ion Pngo 2 of 4
. ~ .
- Total cxpo:;ed rooL/cciling arca
:
m. 7btu1 sF:yli.yht arna
n. To[al rooL/ccilinr, frami:lg arca (nvcragc 102)...
o. Tolal nct insulated roof/cciling urea...........
. Uetermine "U" value Por each roof/ceiling segment
` M. _ X ..U.,
n. I Of• l!/ x ..U„
O. , / - S 1. Vu i Q Z .
4 '!btal - za
If total of- 149 is the same as, ar less t:han 112, you have mcl' L-he intent oP
SHC GOQf, (c) 1.
Alternatc IIuildinry Enve].ooe Desiryn
ib utilize the total envelone 'systen metizod, the values established by ttte s,un of
i.tems 0 and 49 shall not be greater than the stvn of itcros }kl and 112.
i• ZICo,U9 + 2. 24Z,S
3. C:/-1 + 9. LC->, 73 . ,
~
- °r
~
, .
• WniJ, ~:r.r;•rtnua ~y
u,1 11 nrc,t fi r
t ruCl lun <.:•~~~.t
y~~.,;
r--- ~ ~
y2in.li~-. ..i, ~.,..I q~~8
r 1`w ~RNUWp 7. WL)
i X*
~ ,
L. h:,.l~•i iur .~i i. i. U.~
- . ,
. ~ 4,P?'~~ c,~ g . A$
F1C. lll T011VIE.iJ OF
. FIWtE hAL1, . InCrr_nr lllin
' - . . .
~ • ~--.I~S~-~. _.3 s1~ ~..~o
l ili.i . . .O.17
FIC. 12
~
~ ':i .,__"~,l 2. ~.'~.~!!?1. . _ ~•fif~
1SrxLr^
_ • ~ s . 611vr?, _Su.l.v.tn.c,c Sa l
~r:•al \y xt~•r(or nir i i lin 0.1'i
' 1 ~ " S - .
`~,1.
19
r. .
3`u 1
~ ~ ~L.~iL - -g
,,ir (i!-:•
1, ' .
. ~1• . o - ~ • n. . PL?.aaT~a_'t1~G . 4iF±CSie~..
I!y ~n I:::lri wl'
i.%•.
i
. • ~ ~
.I1 ~I f 4
' ~ ~ --CR~ - 11(-- . ~ • , {
• : , ~ I!) ' ~ • . /;;7
Fll;.
C. 13
~ r. • 1 ~ I.-_--'.r ~In'Ci:: In~ll~:at~: ly~~.. ,~,~luc,'~l~~r.Ch And
, . ~ ~il.n:rn~••iC iir:ul.llin:i.
• ~orjceiLi~c , • ~
, . .
Construction A-Valuc
• ~i .
Intcrior aix' filn . . 0.61
Jn2sU L.
1 II I ~~~~~~,II 4. Extcri.or air filn (still) 07T
Toeal 2 ~SO~
• ~f1\ I .~~1 - . . ' • V- .~Z ' '
- ' FRA+rt ` ,
HeaC Flow 1. Interior nir f.ilm 0.61
:nted z.
up - • ~ ~t~G~~D
, 3. ~ ~ ~~SuL 38.35
. , - 4. I_xtetio_: it fI tn (st~.U ~~-Z~T
• ~ . •rotit
I'IG. $5 .
. . . . . . V = . oz4:.
• _ _ . Co.~.s7R?cri ey~_ - .
,.~:...,-,-.,,c_~.-__"l•;='~,.._."~`'..~ ~ 1_ Insidc air film 0.61
- . - = . 3 _
-vno
4 ~ 5. Outsidc : ir. fil:n ~ll~~<<llt~~~~•11~~1!~~lli~i/1~~ ' . - Total .
' IL
~ 3 n'" a_ InsSdc air Pilrn 0:61
t • • . . . .
: Y.ec[ flov vp - , j vented 3- '
. 4.
S. Outsidc air filin 0. 17
. FIG_ i6.~ . • . ' ~ " : . Total .
Ynsidc air film
Z. '
' .~1~~~~~.-v". -.~~•J.•.•.:~j • - -
• •y,._-. . ~L`. /-r--' ~ ~ 4'
Ctjtalcl(, oir filin 0.17
, . • . Tora1 . .
~ ~ L{~ ~ ~t~ •
. \J . ~J . ` ~ • .
. ~ . ~ _ • ,
. ~Q;1_p*~~-~•_' ~ Ro _te: UsQ ad3ltional -heets if more -paco i:
, needed for de:aiL and calcu?ations.
~ . ~ FicnL ~ • . ! .
- ; , - 11ou un ~ - '
. • . .
' PIl;_ f7 . r' . • .
~ • , ~ . . .:.,.~~Li7i;"'"'"ly+;
~4~nt:i, r,r,r,•r~c,~~: ~ ~R~CK - ~IR~~L~.~E
lli~ll n:C(1 ' . " .":~''ti::'9~6~i"~
: : `i•.,
jTiIRY: GGtIlil7UCf.~Vf1 (~(~t;::l~uc:lini~ H-V.11U.; 'I.
~ , , . ~ ;i• '~id '
:si:
4 A R PAl~ (oQj i. ,
! . , . . ;it
rrli~• U.
2.15'.
~ ~ .
F1G.': II1 :Yi11 VI114 OF
~.r.:.
rFIWtE WALi.; 1. IiiCrrln:__aiie :iln~ „_'_._....._'_'___(i:Gll _ , •~,~lr
~~~~.I I.~ii~ 2~ ~
3.
.
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0
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G. F.>:tcrio; ^0.~1~7~.
! ~'Y.~.,,+ ,~t.,~ le
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CITY OF EAGAN
APPLICATIO.T FOR PER:'9IT
SEWER AND/OR WATER CONNECTIODT
(PIEASE PRINi)
1) PP.OP=- ACDRE55: 3 913 W e s t b u r y W a y
rFraI. DFSGRIPTICV: 4/1 Westbury Fourth Addition
(I~tBlock/Si:bdivisicn or Ta: Parcel I.D. LNL:..er)
S?^.C('^7-W. DAi:. O_° Cc2T.G`a,~i,
P~SL~ ~:':7Z~:~y'•_~?OPO~ L'S'-~.': x 2-1 SiNGLE Fl~ti+SLY ? R-2 (T.•:O L~?I':'S )
? 2-3 2rF.~,={,`SE + L^]ITS) ( WS':'S)
? 4 LiNI-j)
? CCi•L=CTAL/R=-i~L/ =zzTf^'
p L%cr;s-1-aL L
- - - - - -
- p L`.ST=IO:lML/G.~"`V=n=T-
2) APPLIC:iT _ (PLEAJc PR1SfJ
r
~w•~= Frontier Midwest Homes Corporation
ADD-PES5= 3908 Sibley M=morial Hwy. Bldg. E
CIZ"'• STIT=. ZIP: Eaqan, MN. 55122 •
PI:ONE: 454-0433
3) pu:,= N"TE: Star Plumbinq (PLEASE PH1Hi) FOR CITY OSEOVLY
~YSE:
PDDRESS: 1018 Mound Springs Ter. PLU98ERS -IC: active/
' CITI, STATE, ZZP: Bloominqton, MN. 55420 Et:cired
Hbi:r. Q~No f R tord
PHOVE: 884-4149 PLU~9BER LF[E~iSE H 3329 ~'y/ u
arr ~nitta
4) OQ r'pAVT/C!-;1%;F.tt (PLEASE PRL'li)
Randv & Susan Albertson
ADDRESS: 19830_Nicnllat AvP. S/k 01
CIT"l, STATE, ZZP: Rii nsvi 7 1 a- MN 55337
PHO>E: 894-2299
5) IIqpIG.TE :J[-IZCH PEP7•LIT IS BEIItiG RFQUESTfD:
19 MZIDiECrIO:I 2n CITI Sc•iER ,-=Please mail gold copy to
IR CO^IN=ZG:1 'IO CITY t,TATE2 / Wenzel Mechanical
- 3600 Kenriebec Dr. -
? OiEMR (PI.CASE DFSCRIBE) Eaqan,'MN. 55122 `
6) I:DIG,:: C:::: •
• ? pTr`SE f?OLD APP.r= PER.NST F174 PICn-GP BY O.u'E OF AfiGVE
~ or.YLa :•*_~i APPpOG'ID PW:~LIT T`J 12
f 3, 4 AFOVE I)
(Ci Z~le one)
7) SZC:~,'IL'Rc.: D:,T°:
F 0 R C I T Y U S E O N L Y '
P=RMI'^ ?SSUED
rrr5: $ - //J- S U
_ ~ tC...... SU.o._. ~_r_- o
.GE)
. $ - ~a• j U IqATra DFUt?m (ZNCiI.iD£ SiiRrun3Gc)
$ W?.TER METER/COPPE4H02iJ/OUTSZ^D REnD'iZ
$ WATER TAP (INCLUD° CORPORATZ0N STO?)
$ S~:dcZ Ty?
$ ACC?u':T DEPOSIT - t•JAT=R
$ S°4 6/t, WaC
S S SaC
- - - - - ~ - - TRiiNR f']ATb'R tiSJLSS::E::T .
$ TRu:•:5 S'cINER P~SSESS::-_ciT
$ LAT:R„yL BE.+EPIT/TRU`In S:?'i=:c
$ LATcR.aL Bt.\r',:IT/TRU:7R ?•;ATt'??
$ WATER TREATDfEATT PL01T SURCHARGE
$ OTHER:
$ TOTaL
$ P.il10G'.`:T PAI'JjRE;^rZ?^ n 5-3Y6 3 ;~7
DO:S UTZLZTY CON'7ECTION REQUIP.E EXC?.VATION IN 2UBLIC RIGriT OF WAY?
YES ZF YES, THEN n"PERh1IT rOR 'AORK WITHIN
PUBLIC ROaD'AAY" MUST BE ZSSUED BY THE
V~--NO ENGINEERIDIG DIVISION. LIST AS A CONDI-
TION.
SliE3EC': TO THE FOLLO[JING CONDITIONS: •
APPROVED BY: • ~ j ~
TI.LE: •
DAT°_:
wc m.wmll~+ otww =w W~"
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Conshuctlon Reaulremenfs Remodel/Reoair Reaulrements
> 3 regbtered sHe surveys showing sq. N. of lof, sq. M. of house 2 coples of plan
and all roofed areas (20% maximum lot coveraae allowed) 1 sef ot energy calculatlons for healed addNlons
i 2 coples ot plans (show beam 3 window sizes: poured fnd. deslgn; efc.) 1 ille survey for exterlor addMions 3 decW
> 1 sef of energy calculations
> 3 coples of hee preservatlon plan H IoT plalfed afler 7/1193 .
DATE: -14NE S / 9`I J CONSTRUCTION COST: ~5~~ • 0 d
DESCRIPTION OF WORK:
STREET ADDRESS: 3?1-3 IN ~S % BN'e'y OJ"' 7 z5f6AAJ 53ia3
LOT: 4 BLOCK: l SUBD./P.I.D. l(95Y641'ey/ YAVY;A'lli- -
Nome: /1~7~0(''j JWd Phonek: 6n' 99(/'
PROPERTY tast Fhst ~/-2- - 34,2-$6 Zq W
OWNER StreetAddress: 3713 Vf65 7,6u4V V`~~
~ity E)4GA? srare: In A. Z,P: ~Sra3 ~
1
Company: lyeNG Phone k:
(area code)
CONTRACTOR
Sheet Address: License # ExP•
City State: Zip:
ARCHITECT/
EN6INEER Company: Name:
Telephone area code ( )
Street Address: Regishation 1k:
City State: Zip:
Sewer 3 water Iicensed plumber (reaulred for new conshuctlon onIY):
?enalh/ applies when address change and lot change Is requested once permff Is Issued.
i hereby acknowledge thaf I have read this applicatlon, sfafe thaf the Informatlon Is cortect, and agree to comply wtlh all applicabl
,State of Mlnnesota Statutes nnd CIly o! Eagan Ordtnances.
Signature of Appilcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex Q~ 18 Deck 0 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
1~11 31 New 1 ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair 0 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units d
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ / DO
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIVN Surcharge
Treatment PI. Park Ded.
Trails Ded.
Other Copies
Total:
SAC Units
% SAC
Cities Di ital Quality 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.
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SUtaVEYIIVG House
/ SEqVICES Corll/lcate For:
3908 Sibley Memorial Highway
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Eagan. Minnesota 55122 V ~
' Phone ~612~ 452•3077 Corporatron ~
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~~,i;; `•:;i.. PItOPOSED GARA '
Gf FLOOR fL£VATIUN= d81.O
. 0 Llenates Ircn Monu~en{ FNpPOSED lo
lknote W p of 81ock ELfVATlON= 8$1,7~
, s ocd Hub Sef PRUPOSED BASEXfNT f"LOOR
eei.s ELEVA(ION= 884.3
fknofes fxistirg Spot flevalion W~o
~ f„ s°~io~w~ L~notes P~~p~~ Spo~ Elevat~on NOIE. Verily all ~i9hfs with finel Nouse Plans.
~-----0.~nofes Drainage Direchon
~u~ra~s rE?zrIFicarrav-
_ _P(~~ (~c~I~~~_
1/~reby certify Jh3t this survey, plan or re 1
P~'
iLOTwas p-eparer/ 6y rrr or vder my direct supervrsrm
a -1-- dro rnar i
f am a duly Registererf.Lani Surveyor
; .c• __W~_'L-- 11100
4VR u~1 ~ ur er the laws ol }he State of 1linresoia.
accordnt7 fo ihe recorded plai thereol, ,
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Date:
C!ty ef £aall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
RECEIVED
MAY
n 2011
Use BLUE or BLACK Ink
For Office Use
Permit#: /6116/41l�� 1 ��
Permit Fee: 6 ` "
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
Site Address: 3913
wa y
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
Name: `� �� reS 71104/ � � 9 kP hone:
Address / City / Zip: 51/(C
Name:
tAddress:
3 State:
Contact:
SI23
Suite #:
psi-99?sy
i�iii
�,���r t i�.;C COMPANY RNC'
1f11 i.�- '
1400 CONCORDIA
T. PAUL, MN 55104
Zip:
551_040 � 7ogPhone:
Email:
License #:
City:
New x Replacement Additional Alteration Demolition
Description of work: A t'lIli e e Fi r ri T er G C
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
)(Furnace
?(Air Conditioner
_ Air Exchanger
_ Heat Pump
Other
New Construction
Install Piping
Gas
Under / Above ground Tank ( Install / Remove)
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
t $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
lV V TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR Contract Value $
= $ Permit Fee
$ Surcharge
' TOTAL FEE
CALL BEFORE YOU DIG. Call GopherState One Calt 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.orcF
I hereby acknowledge that this information is complete and accurate; that the work will . - in confo • .ce with the or_din
Eagan; that I understand this is not a permit, but only an application for a permit, and wo : is not ith • a permit; t
with the.approved plan in the case of work which requires a review and approval of plans.
x � `Q_It�lF.i�
Applicants'Printed Name
nd codes of the City of
e'work will be in accordance
Applicants Signature
FOR OFFICE USE
Required Inspections:
Underground - Rough In Air Test Gas Service Test In -floor Heat Final _ HVAC Screening
Reviewed By: Date:
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA104516
Date Issued: 05/25/2012
Permit Category: ePermit
Site Address: 3913 Westbury Way
Lot: 004 Block: 001 Addition: Westbury 4th
PID: 10-83653-01-040
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total:
$105.25
Contractor:
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
- Applicant -
Owner:
John A Kretlow
3913 Westbury Way
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 142016
r
Use BLUE or BLACK Ink
For Office Use _C
Permit #: �~�
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION 1}�
Date: Site Address: .342/, lJe�7�L1v� G'l/�2../,�> Unit #: �:�% t1
Name: c l inr� / ✓C Phone:V3-Y0-2-/
Address / City / Zip: 3'1 /3 (%,-e -LY (4.)a , LtJ
Resident/
Owner
Applicant is: ic( Owner Contractor
Description of work: / c k - r n
Construction Cost: 3./ L7 C' t2.)
vp
n uL S /Z g I)4'7G,+t,, TCG jc r %Ll�lu' r7/1/11
Multi -Family Building: (Yes / NoX )
Company: F Contact:
Address: City:
State: Zip: Phone: Email:
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:
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 the are trade secrets.
Mechanical Contractor:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq
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 approual of plans.
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.
x ) 0,19 ✓1 }?i kfrie
Applicant's Printed Name
X4 Lei
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
1011
1
�� L3'
Porch (3 Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
5 52 -
Siding
Reroof
Windows
Egress Window
C 3(
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
,14c—/
P%2
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: — Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Air/Gas Tests Final
, Building Inspector
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