3920 Westbury Way
CITY OF EAGAN SEWO SuVICE PERMIT
3830 Pilot Knob Road
P. O. Boac 21199 PERMIT NO.:
Eagsn, MN 55121 DATE• _ - ? ' : :
zonin0: I No. of Units: '
O1YPNr _
Add1'QSS:
slts Addnss: 3920 :A:st!-nrI :'n3k L4 A: -v d'ct: -
Plixnber. _ SCdT~`t'":t~~I
I .oe.e h w.* wph Iln cMy of a.*.. ca,rnctIa, aaro.:
A a~• Aeoount DepoWt: 15.
PNmit FM: 10. (?O-X:
SuidwrqN:
BY Misc. Chorpes:
Dots of Imp.: Totol:
Insp.: Doh Paid:
CITY OF fAGAN WATER SERVICE PERMR
3830 Pilot K nob Road
P. O. Box 21189 ~ PERMIT NO.:
` Esyan. MN 55121 oATE:
' Zcninp: - Nc. oF Unin: ;
Owrnr: FZ'c?rit.12,C M11CtweSt
~ . Addrosr
! Slte Addnsc 3920 Westlbtl~ V.ay' L4 F]4 .
Plunb~r. cv~stbt 4th
C'. L'i
St3z' J~ 2i~I. '
M~t~r No.. ~O ~ 500. OOpd
,
4 sl=:s/~~~Ra..~. 15.00pd
~ 10
Read~ r No.: Q 4i m~~6 goZ..i Permit Fee: .00pd
1 Nw~ N eew~pl~r wNl~ lw Cihr of 4p¦ Surchorpe: • SQpd
! OAi..mer. Mtu. Choroa: - 132.00pd '"P i
Total: 63.OOi.~c'z reter
, By oot. Pcid: I
DaM of Insp.: / ~ Irrp.:
r. . ~
p . CITY OF EAGAN ~ ~ 73 6
3830 Pila Knob Road, P.O. Box 21-199. Espn, MN 55121
PHONE: 454-8100
eviLoiNa IPELMrT R~ipt ~
To MNow fM U. 'C / 6FL1i Esf. Valw Z, C9 C. pme %i ii' 19
SIte Addrsa i' ? li W S:'tf El K'r 4*1110 Erect 12 Ocapancy y
' ~/Sub. ';~F S`J`BUNY Remodel ~ Zoning
Lot 4 Block I._t
Repair ? Type of Const. 'V
Prcel No. AddNion ? No. Stories
Move ? l.enytn J,
~ Ner^e DemoliBh ? pspth 4 r
Addrest 390ij f,7[?; 11'.,^: HWV $E
Int Impr. ? Sq. Ft.
City P h o n e 45 - 04J3 I nsta ll ?
Name Appoveh fen
Assesunent Permit ! U
~ Addreu
City Phone Water 3 Saw. Surcha?ge
Polfu Plan Review 0
Name ,("1ARI) t..?jRu ,.K1. Fin SI1C 1•
i~ Addreis 1=1~13 ^:+t yi) r.' e V IE`vJ C`l Erq. Water Conn 1 l)
~W City ' v' Phons 4 2 5
- 4Plonn~r Water Meter F' ~.U0
Council Roaa unit 260 . G 0
I hereby ccknowledge tF+ot I haw nod this oppiicotion ond stote tF+at Bldp. Off. ~ I t' ' Tr. PL 132 •0 V
fht informotion is correct and ogree ro comply with all applicobl*
A~
Srob of Minnesoto Stotutes a?d Ciry of Eaflon Ordinoncts. Park&
- ~ Var.Oate ~
Siprwtun of Pem+ittu ~
A Buildinq Pennlt Is isswd M: ' an fM expmta Corditlan 1hot
dl work sholl be doem in ocoordona with oil oppliaoble Stah ot Minnesota Stotutes ond Gty o} Eopon Ordinanoes.
ssAwino offkiW
'
Pwmk No. hrmit HoMNr Oaa TeNahon• ~
Mwnbin~ ~
H.v.w.c. U (
EMQMa
~sofarNr
Irppection Da" in~p. Other
Footinps 1 ~ .
Footin9s 11
Foundatlon W
Framiny ° ~
ROOfl1p O
Rough Plbp.
Rou9h Ht9. • .
InwL
FirePlaw
Final Htp. ~
Flnal Plbp. r ti
FlnN
Cwt/Occ. / 0 I
I Wate? DNw ibw Lotation:
WNI
BwrN
Pr. DNp.
L
Reoeipt (IAECHANICAL PERMIT Pe?mit No.
~ CITY OF EA(3AN
pft 'LL' . UC
fi/l in nuinbe,?vd ~ascet SJC .50
' 'Type or Prini legiWY Tot. Y 2 CJ Cr '
t. Date ~IlE/t~5 2. Installation Cost $1700.00
knr , .
3. JobAddreu 392U We:>tDucY Lot 4 Bik. 4 Tract ' i
4. Owner r roatier Coatpanieb '
i
5. Contnctor Wenzel Methani::al phone -4 52-1565 ;
i
8. Address 36UQ itennebec nrive ~
. ~
7. ~ty Eagan State Zip 55124 '
i
~
8. Building Type: Residential ~ Commerciai ? Institutional ?
;
9. Work Description: New Z3 Add ? Alter El Repair 0 .j
10. Describe heating FuelType !-,'Lurral
C A
~ 11. No. EqujpIDent BTU - M. Ea. No. Eouiament CFM
- Ky' Forced Air I rii''e ~
Air Hendling: ~
Mf9. ise, Uoo ~
Boilers Mech. Exhaust
Mfg. I
1
Unit Heater XY. ;)ath faiis I
Mfg. Otfier ;
Air Cond. ~
Mfg. ~
Gas, Piping Outleu
~
~ 12. I hereby certify that the above information is true and correct, and I agree to
comply with all prdinanCes and codes governing this type of work.
~ Signed : 1 '7 ;,z.-~.~ ~i !(Q. •t_ ~ for
Rouph Finsl
Inspections: Date Insp. Date Insp,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4644100
i
L- - -
Receipt PLUMBING PERMIT Permlt No.
CITY OF EAGAN
, FN
~ r~~! =~'-+~e•r
fill in numbered spaces S/C _
Type or Prinr /egibJy T~
1. Date ~1- /f- .t~ C' 2. Installation Cost
3. Job Addres (d64'~B1k. 'Trect r
4. Owner k p~,,,,,,r~;
5. Contractor Phone
~
6. Address ~-CEr -4'4-- 6I~~
7. CitY State ~ Zip
8. Buifding Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New l'j~- Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
_L Shower Well
_L Kitchen Sink
Urinal/Bidet Other
Laundry Tray
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 ordinances and cOdes governing this type of work.
Signed : :;.X„a C ~ for
.,r-.~-
~ Fiough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
IN-9PECTI0-N R-ECffRD7 !
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. '4 6 1-04 '
Ea an, Minnesota 55122-1897 i i
9 Date Issued: I
(651) 681-4675
SITE ADDRESS:~ APPLICANT: ~
r wnv
ts ti s i Tti~
I
PERMIT SUBTYPE: TYPE OF WORK:
! I;
INSPECTION DA • D•
I
I '
I
~ . . . , , . , . . . . . . . ~
1
l- - -
Permk Holdet DnEs Telsphons #
SEWER/
WATER
PLUMBING
HVAC
InspeeHon Date Insp. Commenb
FOOTIMGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
1NSUL I
~
GYP BOARD
FIREPLACE
FIREPLACE
AlR 7EST
FINAL PLBG
FINAL HTG
ORSAT I
TEST
BL4G FINAL
DOMESTIC
METER
IRRIGATION
METER I
FLUSH I
MAINS
CONdUCTIVITY
TEST
HYDR0.STATIC I
TEST
BSMT R.I.
BSMT FINAL I
DECK FfG II
DECK FINAL I
~
I
- - - ~
, CITY OF EAGAN No 1Q 78 6
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
Receipt # ,S~/
BUILDING PERMIT 52G
T. M uwd fw SF DWG/GAR Est. Volue $52. 000 Da1e AUGUST 13 19 $5
SiteAddreu 3920 WESTBURY WAY Erect E1 ocwpancy R3
Lot 4 81ock 4 Sec/Sub. WESTBURY Remodel ? Zoning RI
Percel No. Repair ? Type of Const. V
Addition ? No. Stories
& FRONTIER MIDWEST HOMES Move ? Lenqtn 38
Name Demolish ? De th 46
~ Address 3908 SIB MEM HWY #E Int.lmpr. ? SqPFt,
City EAGAN phone 454-0433 ~nstal, ?
~ Neme SAME Avvrorab F~as
q~rny Assessment Permit 00
1- City Phone Water 8 Sew. Surcherge 26.00
~W Police PlanReview 144.50
W Name RICHARD CHARLIER Firs SAC 525.00
z~ Address 14103 GARDENVIEW CT Enq, waterConn. 500.00
~W City A.V. phone 432-5492 Planner waterAteter 63.00
Council RoadUnit 280.00
I hercby ocknowledge thaf I have read thia epplicohon ond stara tFwf Bia9. on. 8/13/85 Tr. PI. 132.00
the inlormotion is correct and ogree to comply with al applicoble
Sfate ol Minnesoto Stofutes ond Ci o/ Eog Ordi o S. APC Parks
SipnarureofPernnittes Var. Oate Copies $1~959.50
iotal
A Building Permir Is issued to: FRONTIER MIDWEST HOMES m *s axpmu conditlon thot
dl work sholl be done in accordance wirh all a~ ~ blar St•me o Min ta tatutes and City oF Eapan Ordirances.
Buildinp ONlciol
rn
CITY OF EAGAN Remarks
Addition WESTBUFY 1i.TH AL1DN - Loc 1i eik~M Parcel 10 $365~,"~OL.O O1y "
Owner Street 3920 WC'StbUY'y wdV Stace Eagan. MN 55123
Improvement Date Amount Annual Years Payment Recetpt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK q 246.59 A016473 10 _
SEWER LATERAL
watermain A 19 5•29 4•35 5 65.29
WATERMAIN 19 51. 4 3•45 15 44.80
WATER LATERAL
WATER AREA 7 120. 53
water area
997 19 133.7
1 .92 1 133.79 " "
STORM SEW TRK .rj 1 .2I~,
l/y2. 5 5 7 1 0. 24 STOFMSEWLAT ~r 783.56
CURB & GUTTER '
SIDEWALK
STREET LIGHT
280.00 54529 8/13/85
WATER CONN. 500.00 11 11
BUILDINGPER. 10786 11 °
SAC 929-00
PAFK
RESIDENTIAL
5~ ~ z C BUILDING PERMIT APPLICATION
~J CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requiremenh RemodellReoair ReCUiremenb
• 3 registered site surveys showing sq. ft. ol lol, sq. of house; and all roofed areas • 2 wpies of plan
(20% (naximum tol coverage allowed) • 1 sel of Energy Calcula6ons for heated adEitions
• 2 cropies of plan showing heam 8 window sizes: poured lound design, eta) . i site survey for extenor additions 8 decks
. 1 set of Eneryy Calculations • Indicate d home served by se0uc system for adtlitions
. 3 cropies ol Tree Preservation Plan if lot platled after 717193
. Rim Jaist DeWil Options seleGion sheet (61dgs vnth 3 orless unRS)
DATE ///~Tk c;z_ VALUATION 339
~
-r
SITE ADDRESS ??IaO 06+1")211~T A LI MULTI-FAMILY BLDG _Y ~QN
TYPE OF WORK . I~ 9 _ FIREPLACE(S) # 0_ 1_ 2
APPLICANT 'I'~J f1 `6 Ce(rh:t)r,&irA
I.'
STREET ADDRESS I' SCITY~_STATE I~J~^'ZIPSWO(O
TELEPHONE # 69'7ot'CaRaL(CELL PHONE # FAX #
PROPERTYOWNER ,lXlllliSP ~aXAw'C ( ncP'P ~TELEPHONE# ~D~"US
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INNI:SO"CA RULLS 7670 CA"1'L(;0121' 1 MINNI:SO"1'A 1tULL•'.S 7672
(d submission type) • Residenhal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submdted
Plumbing Contractor: Plionc #
---1
Plumbing systecn includcs: Watcr Softcner L1wn Sprinl:lcr i-ree:.- 904)
Watcr Hcatcr n'o. oC R.I. 13adis [I I I.- I ~ I
No. or B1ai5 I~ ~J S_P 1 2 2002
I
Mechanical Contractor: Phone #
~
mcc},ulical sqtilcm includcs: _ Air Condiuoning Pce: $70.00
Y _ -
Hcat Rccovcrp Syslcin -
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, state th rmation is corre t, nd agree to comply
with all applicable State of Minnesota Statutes and City of gan Ordinan es.
Signafure of pplicant
.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot 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
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof 0 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bidg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
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) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
I'1AP-"rFo(2p (A) INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
SZ C~-'U. =
To Be Used For: J;nrIP~ Valuation: Date: g'-(p
~ I1'-C'
Site Address: 3qZD W4+uPq ~).JGOFFICE USE ONLY
r
Lot: 4 Block 4 Sect/Sub Erect Y, Occupancy ~-3
11~I~I Remodel Zoning Q-I
Parcel !i )~TpUrU FOUC"4-r~ I'4U~4_ Repair _ Type of Const
r Addition 1l of Stories
Owner ~~~i7~ a~P(IiSP 1~4t'jP~/ Move _ Length ~
D 1 T- Demolish Depth 4-(,
Address 1~IV f ~r)oC1S L0.h-2 Int.Impr. _ Sq Ft
n~ Install
City/ Zip Code '5533 7----------°-----------------------
Phone ~,$2 APPROVALS FEES
Contractor Frnn-h r MiLES+ f'YOfwes Assessments Permit -Z-P~`7
Water/Sewer Surcharge 2(~.
Address Police Plan Review 144.g'
Fire SAC 525.=
City/Zip Code (~Cp~n SSI ZZ Engr Water Conn SaO.°~
Planner Water Meter (o~ m
Phone 4,-5 4 W 3 3 Council Road Unit P0 =
Bldg Off <24 Treatment P1 732,=
Arch,/Engr, ~jCk,~~ rh~~l~ e r APC Parks
Variance Copies
Address 141h~ (-~f~ellUiPW L~' TOTAL =5-. 5 Q
City/Zip Code
Phone li q 3 - S'1"I"L _
Oi161A House
BiJFiVEYING Certlflcate For:
sERvICES
3908 Sibley Memorial Highway
Frontle~ ~Oodwest
Eagan. Minnesota 55122
Phone: (612) 452 •3077 CorpOP~ ~,~n
Model - NaarFoRO - 30
~ p I I . 5
~ . I I Q 'r JJ
-N-
(0
-20
~0~ 5~ d~ C ~ I ~Ll
~A
00
~
~i i' 4o f~ ~ w°
DF'AINAGi6 ~ \9 l~
:3.3 ~ ~ uT I u~''( ,
io I-- --,~eA~,M'T• iI1 0
~ - - ,r
111 I e0t0x S t~J 4 4 'n~ I 40 . O I' ~ 9035
~
,
~ \ \•g; ~ ~ , ' E 3 ~ / p ' D ~ ~ .
WAYNE
CORDES
:
94675 =
pn~nnummmu~~
-LEGEND_ PROPOSEO GARAGf FLOOR ELEVATION= ~'/85•,
O Lenotes Irar Mawvrent PAOPOSED Top of Block ELEVATfON- 88~•0
x lknofes N'ad Hub Sef PROPOSED BASEYENT FLAOR ELEVATION-! $83,0
R 885.0 (knotes Exisiirg Spot Elevalian
NpTE: V@rify all 11oor heights rith Final Naae Plens.
I„'z;,,.,) Derotes Proposed Spot Elevatian
Qenates Drainage Direction ~~FfCATINd-
1 hereby certify fhef thrs survey, plen or report
_Plq°IERIY LESCRIPTICYV- Nas prepared by me or u'der my dirorf supervisian
LOT__~'_,8LG1:K erd thaf f am a duly Re9istered Leid Stxveyor
,~[F_ST6U0.Y y74 ~4~iTor) u'd the lans ol the Sfate of Nimesata.
accordirg to fFr recorded plat fhereof, L, 0 G"L Date: 6/IZf85
6JA4Ael--Canty, dimesota M'ayne D. Cordes, ~inn• Reg• No. 14675
M«,yV~tT''aN~A oCbOra' rage 1 of 4
_ IOR ENVELOPE AVFRAGE "ll" CpMf'UTATIOW µ/Q~TFvmm
, . _ - _K^o s46 Lt,.
OWNER: fNt7f:
SITE ADDRESS: PIIONE:
CONTRACTOR: Fr.C',~»M
Determine workinq square footage of each
~1. Total exposed wall area..... ~857 Z~j sq, ft. x .11 = Zp4, Z9
2. Total roof/ceiling area..... 8Da sq. ft. x.026 = Z Z. a$
Total exposed wall area above floor=
a. Total wall window area
b. Total door area 9• v,Z
c. Total sliding glass door area,,,,,,,,,,,,,,,,,,,,,,,,,
d. Total ftreplace wall area......... . . . . . . . . . ' 9 Z
e. Total wall framin area
9 (average 10%) _ I 8 S• 7
f. Total rim joist area 2
.
. . . .
.
g. net wa11 area above floor.L.#. . .
. . . . .
~
h• wall area above floor . .
. wall area above floor............
.
frame wall area at foundation ~
Total exposed foundation area= a 4, Z g
k. Total foundation window area
l. Total net foundation area above grade
Determine "u" value of each wall segnient
(e.g. window, door, each separate wall section)
a. I 1's z "
b. bi X l,ui, , 45 = i_ ~ o7-
q 2 x u~, . 4 5 ZZ.`
d. 9t, X ~,U" I .
e•~85. 7 3 x°u° .0 _-i 4• 85
f._L28 - S x "U',:Q3 =.-3 _-ZS
x U„ 103 o l
h. X "U., _
i. X
"v -
x „U„ _ - ~
k X„U„ If item #3 is the'same
- - as, or less than;item;
# 1, y o u h a v e metfi
t
~ • Ce~{. Z, ~ X "U" (p ~ intent of
SBC, 6006 ~(,c.)
3 . . . . . . . .
..........................Total
• w~.
•s:;i:;
~,c;or Cnvolopo nvornge "U" CompuL'tilion PAgo 2 of 4 .
r~ .
Tolnl exposed roof/ceiling nrca
~
m. 'lbtal skylight area
n. Total roof/ccilin, fr:uning arna (avcrayc 102)...
o. Total net iiisulated roof/cciling darea........... :lletermine "U" value for each roof/cciling segmeitt ~
M. X ..U„
n. 98 _ „u., ~ = Z. 1 L Y
o.-7~x „u„-,Q~
Q 7bLa1
If total oL 1~4 is the same as, or less L'nan :12, you have met the intent of
SHC 6006 (c) l.
Alternatc IIuildin 1?nvel.ope Desiyn To utilize the total envelope 'systeJn metltod, the values establishecl by tlie s:un of
items i13 and #4 shall not be greater than the siun of iCems I;1 and I;2.
1. ZdA4, Z_dj + 2. . C., 109 = Z. 1 .
3. cai. + 4.
.
-
; :'.,j
. _ •,~i, t.t:r:i;c~un r
jl• J~' U* u'll~
QOn:.I l'UCI iUn l
j 1.,, qXALin m
.G ~
~
~ y;`' ..[ry ~ .Q'p .4_5
7
v
~U
• 4i i
~:C ~ G. }:>.l~•ci~,r .iti !i:•u U.I7 .
- . . .
- ~3 Lg
I~ ~ w~' y Q. og .
Y1G. tll TOl'VI114 OF ~
FItNtE 17Af.L . luCrrli,r ,iir :iln~ ( f~ll
' . . . . . . . _ .
. 3. !R.
• 4• a!Y.__... .~•_~V
5. Slf?4!?!S .t.(a~
. .1 G. F.st.rriur ;~ir iili.i 0.17
--ty
FIC. 02 I'ut.il~ Ci~
J -
~ °-~2J ~ . 1nl_r~ ii~t' oir filin U.f,'I
. . . 1 _p.-_..._. . . -
3• _z~4L~,._ . . ?_q.ao
IScAC_rA 7.uC~
lr_ral I -03_n _Rlrf~rvn~_l~.~~tNf,e------- ..---•-S~D~
G. }:xtr•rlor nic i i Irn
~ ~s L- ~ -..----Z-- ~
, i , ;
• ' . O 3
~~.C~V~ W-
1.-0_.-'_^__~__'_'_-._O~ i. Int~•ii~i• nlr (il~:~. I~.(,R
, . .
~
iUlCll t'•. •~A .b_°~.. ----•---G~ 7. 1~~~_.QL. 0~ ~f~. ~
• . • tl
• ~
• ~I' • 0 • A. . P2atT~_R~6... ~A~~ICP_..
i` .~•j~ G. l::tt~:ri~~C .i.r :i~i~~ _U_17
_~1;._/~ • ' ' 7
slllu Ori
. ' • u l~ --rRA „(.IJ /ii ~ . ' . ~ - 1,~= 1
. I11 ---rE ~'r l " . • - {
~ • ~ , , - - ' h , ~1 i l
~ t~ y . s ni
r ~
r. Ftc:. 04 ~~i } a • /~r ~ .
i . ID
`
~
i•
~ ~ ~ ' ~il.i:rn~•'~;. ~e( iu:ul.i~_',n:f.
- ' ~ ,r•%cEZLZ:ic , . E
~ ' • ~
~ Construction R-Valiic ~
. yr
~
r 1. Int-crior air filn .0.61
s. 3 '=rP ~p sg
1,~,5~L.
3• 44 Oa
~ 4. £xtcri.or ai_ f_lia (still) O.G
Tot&I ~
vU~ 4s 80 -
' • ~ :
-l Cb : - . • ~ _ . oZ ~ -
• ' Fti~m ~
:nLed HeaC fiov ~ 1. Interi~air film
1: ' •
, ~ ~ • 4. F:xLrtio~ aiL f~ln
' ' ' . •rotat j2 - 90.15`
~ , .
P'IC. 05
. . . . _ . . U=.oz4...
- - . . • . CoA.. STA'vCT/ my~~
Insidc air filin 0.61.
/ . 2-
3_
4.
Elk ~OlltSidc.lC fil:n U.ll Total
l'~I
: La) 3 r . : .
L I. Insidc aiz P11m 0:61
~ . . - 2_ . .
S' 1?cct flov up . , vcn[ed 3-
. 4_
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PERMIT
CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number.
(651) 681-4675 Datelssued:
SITE ADDRESS:
i1) 1) Wt-I. i ttoi,v unY
iui: '4 iot~:. q
W •`I, !GUR" 4!11
DESCRIPTION:
Rf RDOF
Bu- IIcrm, i. lyp: '.1"Of411 0,9f1nGl
lyoo Ht.l'I1f.R
? . , , q34 l11 f. I2F:iI0l-N' TIRL
% ~ ~
,
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER:
:llil R I 1LU(i CON`IR.'~ TIVC. 1/0/6959 291111180 CP.KI Y 01'V1'i
L?.131 NIC01 1.1 T IM idUl 'i^''() IJI ti'i111R`I ~1:'.Y
n'1Vi 1 Ll riiV Sti:;3/ EAGAN idN S5t~3
I_ J
APPLICANT/PEfiMITEE SICaNATURE 4SPUED BY: SIGNAT RE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 ~ 1~~' ~ 3830 PII.OT KNOB RD - 55122
•_C (651) 681-4675
New Construction Requirements RemodeUReoair Reauirements /
? 3 registered site surveys ? 2 wpias ot plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks)
? t energy calculations ? 1 energy calculations for heated a0ditions
? 3 copies of tree praservation plan if lot platted after 7/1l93
required: _ Yes _ No
DATE: IL-C~cI CONSTRUCTION COST: tS, 000
DESCRIPTION OF WORK: ILL - 1~ ?V~ L~-G%~ WL~~.
STREETADDRESS: 3 aO ~NLasyvsLlI2--~
LOT: ~I BLOCK: ~ SUBD./P.I.D.
Name: Cv~e1 Phone
PROPERTY Lmt Fint
OWNER
Street Address: 7vi A 0 (/007 y~
City E ~ GA A) State: /o /j Zip:
Company^~tl2~C~~e11~.Orrj& &OX/11 .174L) Phone#: 1,7Id - /C} /
CONTRACTOR
Street Address:/aa33NfCGLC. L= J /L- Sd . License lYle{6U Exp. ~
City State: Zip: 5 S 33-7
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of 6linnesota Statutes and City of Eagan Ordinances. 1
Signature of Applicant: ~ U~
OFFICE USE ONLY V
~
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
3UILDING PERMIT TYPE
7 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
-1 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
-1 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
1 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex 0 15 Deck
WORK TYPE
-1 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
:~onst. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
JBC Occupancy sq. ft. Census Units
?oning sq. ft. Census Bldg
Y of Stories sq. ft. MC/ES System
_ength sq. ft. City Water
Nidth Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
NPPROVALS
'lanning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies •
Total:
% SAC
SAC Units
. ~
.
z/sa
CITY OF EAGAN
APPLICATION FOR PERZ-IIT
SEWER AND/OR WATER CONNECTIODi
(PLEASE PPINT)
1) PrOP&'7I'`_' ACDRESS: LF.GaZ, DESCP.I?'PT_CV:
(Lc>c/Block/Sl::,divisicn or Tati Parcel I.D. Nu7 r) ' ir ~iI~ST=.C~^.%. DaT' 0F CZT.G^AL uiI7.:;L`:G -:_-'S: TSJL.c'.\C.:
US: x P'-1 Si= -l--%SILY - -
? R-? CUP= (?'':0 C.^?I'^S)
13 R-3 N•TCr (mc.-c- i j,-•=c) ( Wi ZTS)
? R-4 7,?:,.'-=m/Ci.:DCi.m1r-m ( U.iI^5)
? CCi.nIE'CZ~S./RE"~F.Iy/Oi r I!
? ='UsTRL::r,
? ~.s~r:~~rzo~.~./c~,~-~",~,;T .
Z) AnPI.Zi_~nP (PLEASE PRliii)
N711•IE: Frontier Midwest Homes Corporation
pDD°=`S: 3908 Siblev Memorial Hwy. Bldg. E
cIT"-', S-!;=. ZIP: Eaqan, MN. 55122 -
PrCNE: 454-0433 3) pu;.,y.,=..v NA1`IE: Star Plumbinq (PLEAsE Pa1sr) FOR CIT7 USE,6NLr
PLUHBEAS -ICEYSE:
PDD?FSS: 1018 Mound Springs Ter. Active
CITY, STATE, ZIP: Bloomin ton, MN. 55420 E:Pir
of Record
PHOVE: 884-4149 PLII.MBER lFLE4SE k 3329 C-:
' r; :n
4) OCC7„'PPNT/Q~~;Eit I (PLEASE~RIN1) -
NAP'1E: hU1~I Q ~ 1'~1CP f, M ADDRESS: Ir-iS nrv1.S L 4 he
CIT"l, STAT'E, ZIP: iftl il • 553 3
PFarE:
5) IDIDICATE SdI-IICH PER-LLT IS BEIr:G RF](?UES'I'ID:
Cr.NECTIOzi 4U CI'I"1 SueiER ; Please mail gold copy to
~ COhT1ECI'ICII :b CZTY t,aTE:t Wenzel Mechanical
3600 Kennebec Dr.
E] 07TR (pLEAcF D=_sgE) Eaqan, MN. 55122 •
6) D:DZG,:~ C:+c: •
- ? PL-r.%SE f?OID APPROIID PM+ST FOR PI,~Cl:-G? BY O:vE OF ASCVE
~ PT~:~,Sc :•*.aI ^APPRW'u7 PE'_~,ST TJ 1.'r2 J 3, 4 AF04c,
~b1y' 1 • (C1:~5e one) J ,
7) SIC.:,'IL'r2-~.: GC~~~~ DAT°:
. 1 , .
!!l A:~IMP?p y~ r s l~afcl~ f~ ~ A ta s~a r s~~s~:a :a a~e rlfi~y~ f~ ~ ~ ~:1~ ~c~.s
FOR C I T Y US E ON;,Y
PEDMIT " ?SSU-D
rrrS:
/
WATER PEEl-UlIT (Ii:CiuD; SuRC?::eRGc.) 5 6 3.vD WATER METER/COPDERiiORN/O[JTSi'JE ?E;-,DER
$ WATER TAP (INCLL'DE COR?Oc2ATIQV STOD)
$ SE:dcR TA?
ACCOliNT DFPOSIT - S•IAT_3
$ scU. .ti W:,C
$ S~ S~ uci SAC
$ T?2li`7K WATER ASSESS:I_-:;T ' . .
$ TBli?:?C SE;;ER PSS :SS::_ciT
$ L'nT°P.aL Bc.ivEc IT/T.°,U?IK SE?•:-:c
S Lr.TLRiiL BLVL.FZT/TRU.':K '.•Ir1T_°}?
oG •
$ /X?2- WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOT:,L
$ SC/ A`lOL":T °AID/Rz'•,^_~I?m n S~~J•~
~
DOES UTZLITY CON:]ECTION REQUZP.E EXCaVATION IY PUBLIC RIGHT OF iJAY?
YcS ZF YES, THEN :y "PE3PIIT FOR WOBK WITHZN
PUBLIC ROaDWAY" MUST BE ISSUED BY TY.E
=~'NO ENGZNEERZr]G DIVISION. LIST AS A CONDZ-
1Z TION.
SliEJECT TO THE FOLLO:'7ING COVDITIONS: •
i
APPROVED BY: ~ ~ G`_ • '
TZ':LE: '
DnT°_ : % 3
~
p"
;bf' Use BLUE or BLACK Ink
For Office Us---/i�
City of EanaR REwl, OVER i Permit#: T�
3830 Pilot Knob Road FEB 2 2 2016 j Permit Fee:
Eagan MN 55122 I Date Received:
Phone:(651) 675-5675 1 I
Fax:(651)675-5694 Staff:------ --------
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
` \ r
Tenant I`Y � ��//�'
Suite M
Reslclent%Oe� t Name: t� Phone: -�
1 �t. Address Zip: es 1VWJ57
Name: Milbert Corr�pan Inc dba Cum an Wa er
-.Y'. g License#: WC641376.
con v
tra
Addres s: 18Q1 50ei St East Inver Grove H g
tS.city:
Mn
State:' Zip: 55077 Phone: 651-451-2241
s William R Milbert
Contact: Email
_ air Re New —Replacement Rebuild —Modify Space —Work in R.O.W.
p —Repair
Description of work:
RESIDENTIAL
Water Heater
f Lawn Irri ation RPZ/ PVB) Water Softener
` erm t g (_, —
K Septic System Add Plumbing Fixtures(_Main/—Lower Level)
New Water Turnaround
—Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic System NeW($10.00 per as built)(includes County fee and$5.00 State Surcharge) O O
TOTAL FEES$ .
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 dig16 receive locates of underground utilities: wwW.aopherstateonecall.ora
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
acco dance wi, the approved plan.in.thecaserof work whigh requires a review and appro I.oT plans. .
r r �JG� G
X ` � X
Applicant's Printed N..me Applicant's Signature
�a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141947
Date Issued:04/07/2017
Permit Category:ePermit
Site Address: 3920 Westbury Way
Lot:004 Block: 004 Addition: Westbury 4th
PID:10-83653-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David E Carey
3920 Westbury Way
Eagan MN 55123
(612) 750-9291
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:Building
Permit Number:EA156182
Date Issued:06/19/2019
Permit Category:ePermit
Site Address: 3920 Westbury Way
Lot:004 Block: 004 Addition: Westbury 4th
PID:10-83653-04-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 E Carey
3920 Westbury Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature