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3921 Westbury Way CITY OF EAGAN smm SMKE PERM + 3830 Pilot YCnob Road ? ~~~7 P. O. Box 21199 PERMIT NO.: Eagan, N.N 55127 DATE; l t--? : • ZonInO: ~ No. of Unlti: ~ Owner. Add?ess: Sttt Addresr 3921 --4--5t::)i , rv -rzy PiW11bAr I aw. !e eomm1y wob tw cM, ii ag.. connKti«i aww: k l 5. L 0'-'c! Aooount peposit; Pamdt Fw: SurrHorpe; BY Misc. Cinrpm Dote of Inap.: Totol: Irup.: Dvh Pdd: ~ - - - - - - CITY OF EAGAN WpTO SERVICE PERMIT ~ ~ 3830 Pilot Krwb Road ' j P. O. Box x:1" , PERMIT NO.: ' ; Eagan, MN' 55121 D^TE: , ~ Zonlrg: _ No. of Ur?its: ' f OwrMr. F7'oI2'!e; F? AddMm: ~ I ~t'R ~'~wfM~: 37L1 ~ Sl~ ~ I , Pluniber. ~;~t'~ r r ~ • , i ~ Mattr No.: -5 49 3o ~ i SJO.OO: r;~ ' ~ SEze: " , ' 15.QO•>_: j ~ Reod~r No.: 09rm 9'/ ~S S6 Poerrrdt Fee. 10 . OUrx; I . - ; ; 1 qrN ft sswpy? wNb Nw Citi of aYN¦ surchorpr . 501Y3 ~ ?Ntsc. Chory.s: 132.OOixi '.:fi I Total: 63. ('Cv,: ? r~ie1.-•,:~ ~ BY Doft Poid: I , Doft of Insp.: 7..7- ~ ~ CiTY OF EAGAN 10790 3830 Pilot Knob Road, P.O. Bax 21-199. Eagan, MN 55121 PHONE: 454-8100 , ; aviLoING rErtMIT RKeia ~ T• M wW lm o' UWG; 3Aii Est. V ue ,0(` Q Dore Jli it: r J;' I= 19 c S Site Address 39s"'.1 WFSTI3 t1 I: Y Erect 6a Occu pancy ~ot Block ~ ~/Sub. :3ESTg~'RY 4 Remodel ? Zoning Repair ? Type of Const. ~ Parcel No. AddRion ? No. Stories i R;.:t,.`'i'IER MIUWES`' H0I4F:.5 PMove ? l.ength 4 i, °t N°mg Demolish ? Depth ~ Addreas 39J S:I.F3 tA'l~:t•i Ili~titi E: Intlmpc ? ~:AG.NN 454-0 9 ;i sa. Ft. City Phone Install ? Name Aopeo•ab - -Fees u~ Address Assessment Permit 0.00 Woter 6 Sew. Surcharye 29. 51! F City Phone ~W N~a RIC~iARL CH.ARL I FR Fin police P ~IeC Review 4~ Addreu .14103 1' Enp. water Cona 5 0~.~, l. ~ W City `s ' ' Phone 4 3 " - Plonrw Water Meter 63 . C ~ CoWxil Road Unit 280. 1l : ) ( hercby ocknowtedgo that I how read this appl ication and state thot gldg_ pff, tl /13 /8 Tr. PL 13 2. 0 J the inlormation is correct and aqree to comply with oll opplicable Stuh of Minnesota Stotutes ond Gry ;of Epyan Qrdironcss, '4PC Paeks Sip~ofun of Pem~ittN ' ? C' . AL-' • , • . Var. Dats CoPias ,Alrnw~ ,:3^. I?c~~;:, ; Total A BLaiIdiny Pertnit Is fssusd to: on the expnss conditlon Iho+ oll woric sholi be done in otoordonte wifh oll opplicoblo StoM of Minnesoro Statutes ond Uty o3 Eaqan Ordinarxes. ~ BuUdinp Official - - L Pormit Mo. PwmR Holdw Deft TNopltom # Plumaino 9 ~v H.V.A.C. ~ U iefecto Soiterw Iropoetion Daa Insp. Othw Footln4~ ~ tt~~ Footlnps 11 Foundation Framinp o /S 5 -.6 r ROOflnq Aougn Piby. Rough Htp. Inwl. Finplaa Flnal Htp. 44-1 ) , Final Plbq. -SS ti Final Cert/0ee. LG~~ W~~ DKCribm Loeation: W~ll Swr~r Pr. Dlsp. I Ruwpt ; MECNAHICAL PERMIT Permit No. ~ CITY OF EA(iAN FN Fl!! !n rwmb"d iporcw SJC 7Yw or Prlnt /pibly ToL i 1. Dib J / g /6j Z. (rKUllatlOfl CiOit 7 ~ i 3. JobAddrea 3921 b~:,-=; 44t Blk. = Trsct a ~ 4. OMnNr rrcntier C~j;nod.nle~ ' ti ' b. Coritracto? i ,-Phone ~ 6. Addreu :i.~uG Y,:: ; 7. Gty :pStste Zip 8. Building Typa: Hesidential Commercial ? Institutionsl 0 I 9. Work Description: Naw 11 Add ? Alter ? Repair ? i 10. Desaibe FYYI I ypE LSaS `'Jl ~ ~ 11. No• Fnaljpffwpi BTU - M. Ea. No. Equiament CFM j Forced Air Air Handlinp: ~ Mfy. 80, 0Ui' Boi len Mech. Exhaust Mfy. . _ . Y ~ . Unit Haater ~ Mfy. Other Air Cond. Mfg. 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 : for Rouyh f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C TYpe or Print legiWy Tot J`,•'~_ 1. Oate 2. Installation Cost ~ 3. Job Address,3l t 1. Lot Blk: fract , fi 4. Owner 7 ~ 5. Contractor4 Phone 6. Address 3bi)u 7. City 4:A,,;'A;e State Zip~S i,_ ~ 8. 6uilding Type: Residential ~ Commercial ? Institutional O ~ ~ 9. Work Description: New 14 Add ? Alter ? Repair ? ~ I ~ 10. Describe ~ r 11. No. Fixtures No. Fixtures ~ - - ~ ~ Water Closet ~ Cesspool/Drainfield ~ Bath tubs Septic Tank ~ i ~ Lavatory Softner j _L Shower Well ~ ~ Kitchen Sink ' Urinal/Bidet Other ! I Laundry Tray l. c. ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets i ~ ! 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed: for ~ ~ Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 ~ ~ . CITY OF EAGAN N? 1079 O 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:4548100 BUILDING PERMIT Reteipf ~F Te yo umd fm SF DWG/GAR Est. VaIue +559, 000 pote AUGUST 13 19 SS SiteAddreu 3921 WESTBURY WAY Erect }CI Occupancy R3 6 1 WESTBURY 4 Remodel ? Zoning R1 Lot Block Sec/Sub. Repair ? TypeofConst. V Paroel No. Atldition ? No. Stories FRONTIER MIDWEST HOMES CORP Move ? Lenqtn 40 W Name Demolish ? Depth ¢ ] z 3908 SIB MEM HWY #E ~ Address -0433 Int lmpr. ? Sq. Ft. City EAGAN Phone 454 Install ? $AME ApOrorals Fees F Name o" Addrees Atseument Permlt $ 310.00 Vf- City Phone WOter85ew. Surcharge 29.50 Police PlanReview 155.00 GW Nme RICHARD CHARLIER Fi.e Y. SnC 525.00 r= Address 14103 GARDENVIEW CT Erp. Water Conrt 500.00 ~ ~W City A.V. Phone 432-5492 planmr WaterMeter 63.00 Council RoadUnit 280.00 I hercby acknowledqe fhot I how rcod this applicotion and stote fhat Bldg. Off. 8 13 8 Tr. PI. 132.00 fhe inlormotion is correct ard ogree to comply with ol apPlicoble APC Parks Smte of Minrxwta Srotutas an Ci~of aga rdi a es. % Var. Date Copies Siprwturo of Permiftea e Total +51, 994.50 A Building Permir is Iuued to: FRO TIER MI WEST HOMES m the axpmss conditlon that all work sholl be dona in occordonce wit II opplimble Stote o Mirmewla Statutes ond Ciry aF Eopan Ordinoncef. Builelrq ofriciol _ ~~~t!= - ~_.-.-uf' EAGAN Remarks Addition WES'PBURY 4TH ADDN. Lot B1k ~ Pa,.i 10 $3653 060 Ol Owner Street 3921 Westbury-Bri-veU4y Stare Eagan, Mn 5512T Improvement Dare Amount Annual Vears Payment Receipt Dare STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ 19 5 2 LF•2~ / 17. 1 15 °2 (v,.5 /{0// .3 SEWER LATERAL waterniain 19 , 51• 4 i 3.45 15 5-~y' ~4oiG~/~3 /o/zL d~ WATERMAIN 90~ 19 y 5.29 4.35 ~-r7 P0 16 7~ /0 /Z WATEFi LATERAL WATER AREA 20 1 3•1 9•2~] 15 /a,. 63 V? 3 /o ~sYIs.f water area 1 g 1 ~ 8.92 1 133.79 ~ G y73 io /z z(d S' STORM SEW TRK 19g 71~.2fy /].(42.0 7/U ' oZ /f O/(p C~~`j /O L 2ld,}^ STORM SEW LAT 19g 7$3.56 156.71 5 b'3 -sG F+D i~ 1173 io%.zAf CUFB & GUTTER SIDEWALK STREET LIGHT Road Ut'. 54535 8/13/85 WATER CONN. 500.00 11 BUILDING PER. I0790 11 ~ SAC 525.00 " " PARK ~5t RESIDENTIAL 2 7 3 zS BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Conatruetbn Neoulremente RemodeVHeoair Reauiremente • 3 regWered stle surveys showing sq. N. of lot, sq. fl. ot house; and II roofed areas • 2 copies of plan (20%mazcnumlotcovemgeallowetl) • lsetolEnergyCalculaGOnstorheatedaAOAbns • 2 copies of plan showirg beam & window Saes; poured found tlesgn, etc.) • i site suney for eMerbr add'rtions 8 decks • 1 Set of Energy Calculatbns • Indicate rt home serve0 by septic system tor additbns • 3 copies ol Tree Preservation Pian If bt pLetled atter 7/1/93 • Rlm,bi51 Detail Opibns selection sheet (bltlgs wilh 3 or less units) DATE c~ z?CJ VALUATION /S 7 7 _ , ~a SITE ADDRESS ~3P~ I G?FS i 43+.2u MULTI-FAMILY BLDG _Y ~ N NPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 > APPUCANT ALC'U?'L ~.>.,•,~ivPl ~ .~i~i.?G' STREET ADDRESSC~S-~.i ~.06n/ 1/ALL ~.~LHD CINft~w Pais ~z~(~-STATE ~N Zlp 5'S 3Y,G TELEPHONE #95; -f'7Y - 50 ~S CELL PHONE # FAX # PROPERNOWNER (-R"N~ Ll Fz, TELEPHONE# l S/'YSro' t ~j COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CA'I'EGORY 1 MINNESOTA RULFS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheat Submitted • Energy Envelope Calculations Submitted Plumbing ConhaCtor. Phone # _ Plumbing system includes: , NVater Sofrener Lacvn Sprinkler Fee: $90.00 XVater Heater No. of R.I. Baths No. of Baths MechaNcai Conhactor: Phon Mechanical system includes: Air Conditioning r D I[ Tn_ F,'~: 00 Heat Recovery System MAY 2 0 2002 U Sewer/Water Conhactor: Phon ey I hereby acknowledge that I have read This application, staTe mat the Information is c ct, and agree to comply with all applicable State of Mlnnesota Statutes and City of Eagan Ordinanc s. Signature of Applica - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06plex ? 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 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Btdg only) - Give PCA handout to applfcaM 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. _ Footinyc (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcw Stonc _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining WaII Approved By , Building Inspector - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , . /0770 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC'fORS MUST BE LICENSED 4IITH THE CITY OF EAGAN ~TAF~oR9 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 5inale Familv Valuation: 62~~ Date: 8-5-85 Site Address: 3921 W2stburv Way OFFICE USE ONLY Lot: ,6 Block 1 Sect/Sub Erect x Occupancy R3 Remodel Zoning R-I Parcel 11 Westburv Fourth Addition Repair Type of Const ST Addition i I! of Stories Owner Todd Horsaaer Move Length Qo Demolish Depth 47 Address 2104 RiverHi115 Di'ive Int,Impr, ~ Sq Ft Install City/Zip Code Burnsville, Mn 55337 Phone 890-3679 APPROVALS FEES Contractor Frontier Midwest Homes COrp. Assessments Permit 310.'= Water/Sewer Surcharge 2q.$D Address _ 3908 Sibley Mem. Hw. #E Police Plan Review Fire SAC 525," City/Zip Code Eaqan, MN 55122 Engr Water Conn Planner Water Meter 63. Phone 454-0433 Council Road Unit 2gfl.'"- Bldg Off,,5K Treatment Pl 132.°~ Arch./Engr. Richard Charlier APC Parks Variance Copies Address 14103 Gardenveiw Ct. 2'OTAL 5o City/Zip Code Apple VAl1ey, Mn 55124 Phone !r 432-5492 ~<~yc i ur 5 =XTCRIOR EN;'ELOPC AVCR;iG~ "II" i:01-1111?A'f1ON , • ST~~P~+I~C~ FJG7 W~. L ~ owNE R: % S SITE ADDRESS: CONTRACTOR:_FZc4--,> Determine working square f00t3ge cf each 1. Total exposed wall area..... ;q. f;. r 11 -co• aCy 2. Total roof/ceiling area..... _,C);(:. x.G2G = Z(M Total exposed tvall arca abnvc flnor= ~2 i a. Total wal) iaindow area L. Total door area a Z c. Total sliding glass door arca ~j -z - d. Total i'ireplace wall area q~ S 1 e. Total wall framing area (average lOm)..... ~ ~ f. Total rim joist area ..........J............ . ~,-J 9. net wall area above fioor...Z~4~ ~~c•T7',`,,...,. . h• wall area above floor i. wall area above floor j. frame wall area a; _'ot:ncation Total espcsed foundacion area= k. Total foundation windo,a arce l. Total net foundation area above 9rade ~ r Deterinine "u" v~tluc of each o-r„il scgnic;it (e.g. windorr, door, eLcfl sep,jr~te ~)all section) y~~~~~~__7~ _ b, q~ x,.u„ 45 C. x „v - . Z ---z , S U„ , ) . d. q g )11 „ ~ ~ ' e X c)~3 ~ S • ~ rl ~ r. I-2 ~,D x 11 u,. a 3 = ~'1 ~0:72 Y, l'U,i c.D _ . h. X W. i. ~ u~, j, X u~~ - i . ~ If item k'3 is the'same X"U" as, or less than'iteai #1, You have met. G(•7~ inCent of S4C..6006'<(c) , . _ .v ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To t a 1 ! :.,•.;~,,,,,5:>, iihe~!:io: iinvclopc nvc_nqc °U° Computiclon Pngn 2 of 4 . Totul expoced roof/cci? in9 arca = ~(O 1btu1 s1:yli.ght area . n. Total rooI/cciling framing arca (avcrayc 107.),... 1 OI ~ o. Total net iilsulated roof/cciling ..rea........... LDetermine "U" value for eacl: roof/ceiling segment M. - x 'U' _ n. } Q ( . (p 1: „U., ,?z 2, ~ ~ X,.U., C Total Ii tota:i of 1,4 is the same as, or less t:hcin 112, you have meL Che intmtt ot' S}sC GOOr, (c) 1. • Alternatc Buildinq ?;nvc]ooe Desiqn 'Sb utilize tne total envelooe 's) stem method, the values estzblished by tiZe s:un of i.tens and 114 s17a11 not be 9reater than the sum of items i!1 anc 112. 1. Z I c.D . U9 ZG. 4 I = 24 Z , S r~ 3. + 4. 73 gCn , ~ ~ ~ ~ • 4)~I,I~ ;.1'f"~'IfiN;J (~/-.I~ . ~i.. .L`:'r jit, 01l ~~~~Oni1i• unil nll`1 ~VY ~i~../.~I~%~ ~ (:ail:.tr,cilt~n + _._....v I . A\e 7. cio 40 ~b_lWA-,j 'G2 ~ l i _ i i ~ fl 'rorvie:+a o: L{ ta • C$ ~ F1Wt'r: IdALL lnlrr:i~~' nir :71ni ().G!t PIC. n2 ci~ 1 ~ r ~.,------1~~ ~ . 8•.• . Jnlr:~~uC ~1:: filr.. (1.f,!1 I . . . - . -~l 2. I----Q/ 7• _.z.N_ 4,~~... _ _ _t ~.00 a• 7.uO ~~_ral I+ 5. ~ ~ GC-------. ___•_S~l ~C~•`i ---~-~-~'S G. }:xccrli: n: iilm i`.1'f i•) [ nl r (1.6f1 ` a~.~----•----(^~ ~•a~ -~~~_.QL~L~.I~~----- aF2~.1.~ S. 5T~f r-P ~.U ' << • ~ _ . 1-- .t' f . , d' -•---a'11 . . . r{~~ • •4. . 4. . _PZatT.eG_]~~'v.. QP?~.EL~F^._. . . - ~1,~ . . , - . - - ~`7' 'n r ~ L. i~s~,~~;~•~ 0.1? • n . ~~t ~~if~v~'.~((1~, . • . 1 k~~,~ C~( r 1!(---~~ . ~ 'x' t~--~ • . ~ \ ~ , ~ • , 'v I~, I , • ~~l ~r, ~y ~ ~ . r t G. G, IJ - ~ nnd ~I,' ~ ' • ' ' o n_ r, l ~ ~ f nln:rn~•ic f iir:,il.iL ir;:I. ~ • r,no,r•/c~sLZ;:c , - , • '~i Construc:ion R-Valuc Intcrior air film 0.G1 ' 3 P .~R , 3. WSUL. ~ 44. 4. Extcrio: air filn (still) O.u YrlT Total 2- L~SB~ ~ • . ~-Q 1-02 • • . _ . . ,02 . • ~ FR~r+rr o~ ~;,Ced HeaC flov 1. Interi~ir film _ 0.61 1 up - • Z , - ~ • C. ::xtcil~: :ir ]in (sG;.l).T ~ , . . •ra,:3i 2'IG. 65 • ' - - • ^ ' ~o.l,9rRvr ri ,_,._,.,-,-..,,1•,.~-~_..n.;r-~-+~^.._,nv.%~.ry~ ' =-~T 1_ Sn~idc ~iir film 0.61 ' 2. 4. film U. 17 ' l ~I ~ ~ I Tota2 Tnsidc air "ilm 0:61 ~O t02 r • . f ' ' • • • - i Y.ec: tlov up l'vented 3- ' . 4. • . , ' ' . ' ' Outsidc .ir film 0.17 Total u - 3 ~ " 1_ Inside air film . • Y ~1..5=~.P~~ 2_ . • , wy~_~~1,__'1?!':D-F-•J••.. ~i 3- • "J-•~~.,_~~~/,~-''- ~-`~1~ e. Ciit'.idc air film 0.17 y - ' . / ~J i ' ~ Tota1 - 1 Vj'. , . . . . ~ . , . . ' . ~ ' ~1J ~ ' • ' ' - ' • Ro_tc: Use a8ditional sheets if morc ~Face i: necclccl for (jc:.:ils and calcu!atitrns. ' . ~ IienC - ; • flov cp ~ - • . • . . ' rir_ ¢7 • Wnt,r,_;r.r.T_o~a: DKICK - t-1R~ f- lA~ iC: U: r,~,t ;o'f t~l!ot~un w,lll nrcn far ~ '.jP~lfll~: CUIlfilrucl.lun I._V.ll,i•; trzia . $.t.OCIC 8" Ml r{ _I • 1! ' • '-~J ~ :n,l~t"; ,.,1~ . . ~ > SIC i.l i-ri,.r nli (i:m r U.I'1 ~.ti~~,.:., u. . ' . - • I ~ F1C.'.fll 1YA5VI[1J Or' ~ . , ,I . . ~ , ~ ~ - ~ I . ~ . i i; . ..::'r•.:......'.~;<' , , ' PnCilm 2• ii S...1I ~ ;•'l'nL;~,:Y:~ . lr~:Ac~ 'dS '~'f •---1~ 6. };r.t~t-iCS rti~ flJm ___-0-1'1~~' - t:.i;':_::v,~~,:.,..; ..ir.' . ~ . I 'I'o C:; i _ ~ „ ~ ~ p I. • ~ : ,i~:: - ~ j~-~, ~ . • ~ / - . . " `,;_i..'.~ .y~;;''~r..-S~ , ~ , . . , , A o 2' . . - - ~ - ~ . •a ~ ~ ~ n. - - l.,i - . . . ' . ~ " ~ i:~,i-. SiAil_(11'1 GR1U1_ . • inRF_,lr , /:'::,=',r`;~._ ~i , _C~! r • , ' : ,.;',:.'1~,::.`.;:>:;z":.;', " F:~• ~ ~ 1 ~II `P._~ I(I.~- . ~ • .r,,=~.,{'-::;~::~s~r': ` . c-:ii~ ..a ~ ~ ~ I(/ ~ F • + c,li ' ~ ic;. Iln iri r _i- ~ ~ ~G;`=~r• ~ :;:;=.r:; ,;;m..a.. u 13' /~y-'.~- - - - ~ -~l / _r;;'~- • !Ci ' ~1 ~ ~ . .:m;:y ~.v:.i,.:5•1:i'_ ! ,f~. ~U~N''.u:•~ " i~' ~ .:C, .....,,i::^:~~}:r~.:Id':GC%~:r IOIl I CGf.i` ly, '~C~. \'lfiUl: 'l7CUl.~I~•/6(1C~~~'...'-::f"'?'itc? r~tYyt^~, . J( 0:1. n:,`~~~,I~,`'+,;;~:I~::~ i I - . PLA Q , ~ - ~ ~ L i ue.4 L FT. EXposc p W,4 L L gLOC_ {t ; ~ S ~ ~:ULL~ ~--L-.Z-...z. . SGZ . PT. SK-PoSeD WA LL AR,-EA t3LG S K, S = SZ-5 ~-/Nt,-; o x S = (brw v ruLLl t~~ x 8= t~~~ c ~ • z _ F. 4J5 75 o To ~A L_ I qcoq, 5 ~ JQ,rf ,~tC~oS~D GEI LIUC~ 0 v 1(~ 4V D x!5 Ia1 D oo ~.5 L~ s 4 / r.. jG. ~ co - , 7.0(;~~ " 'p Zo Go _ ?hTI o DfzS , ~ 2,7 ~ gsH'-+ uL) i-i-5 ~ l Z. S ~ ~ ~~z/aa ; CITY OP EAGAN . pvw ~ `~APPLICATIO.T FOR PERb1IT SELdER AND/OR WATER CONNECTIODI ' (PLEASE PfiIH!) 1) PP.OPEY?'!' ADDRESS: 3991 Wacthury way r.Fr,21,1' D`~c~q=-°TTCV: _6 l L UIPGthi ir Fo urth Addition ' (Lot/Block/St:;divisicn or Tati Parcel I.D. NL:.-,zr) • 7'r' S?'RLC^.'L';Z. Drl^ 0_° CiZT_GMAi c`vIi :L':G :_•r-=-' L'S• • ~ P.-1 Si:GI.F :'F -*ffLY . ? R-2 DLIi'i Ji (T.;0 L^:ITS) . ? R-3 77tL\Ervtcr M?o^ i L.~r•c) ( CNI:S) ? r-4 UiiITS) ? CCi^=,CL?L/R=I,/pr 'ZCZ ? 11"CUsr.-u:z ? MTszr:UTzcu.at,/cOVEE2,~rT-17\:r 2) APPLIcL~A7 (PLEasE petnr) tAME: Frontier Midwest Homes Corporation ALDRESS:, 3908 Sibley Memorial Hwy. Bldg. E CTTY, SI'ATb', ZI°: ~ Eaqan, MN. 55122 - , P~ONE: 454-0433 3) pi,t,;.ism N'1IE= Star Plumbinq (PLE;.SE PR1YT) FOR CITY USE 091Y ` , PDDRESS: 1018 Mound Springs Ter. viur.aeiExpii c:NSE: etive CITt, STA?'E, ZIP: gloomington, MN. 55420 ed PHOJIE: 884-4149 No of Record PlU.9BER LILEVSE H 3329 ~ arr 1 iat 4) (x,'C[,'pp,~~]'j`/cF.ij,ER NA~IE(PLEASE PR14T) ~ iodd Horsager ' ADDRESS: ?104 Riv Hi11G Drive CITY, STATE, ZIP: Burnsville, Mn 55337 PIiO`]E: A90-3679 5) IIVpIC:,TE WI3ZCH PERi•LIT IS BEIi:G RFX'UES'IM; i ~ C0,INECL'I0N TO CIZ^1 SEr;FR Please mail gold copy to ~ CO:NE:CPIC:1 TC) CZTY WATER Wenzel Mechanical 3600 Kennebec Dr. E3 0`171ER (PLZ--~.SF DESC'SBE) Ea an MN. 55122 6) P,zIG.::: C::c: . • ? PI.: ME f?OLD APPRWFp PERmIT FLR PZCi:-LP BY O:v'E OF tlE('VE ~°i.E~+SE S'aI APPF?dVm PE=:•LIT T`J 1,'r2/ 3, 4 RBOVE (Ci:~le one) 7) SICZ:n=pZZ: 6 C%L~ \ DATE: ~ R E~al~4)1?JY! i t~ !~:gftf~ ~ i/R p~~i i~ i ii ii:s ~ lt r~l~'.!Y/-~j 1~ i s~y . . , y . F 0 R C I T Y U S E O N L Y PE°-MZT ?SSU°D rrrS: $ r0,~] S~i:co nc?Mrm (I_`ICL::D°_ SU.°.C::n3GE) + $ /O.SU SJAT°R PEi2PtT_':` (IL:CLUD:. SiiRC:?;,-RGL) . $ /o~uu WAT°R METER/COPPE4HORN/OUTSSDE REAGER $ S WAT°_R TAP (INCLUDE CORPORATIQN STOP) $ 5E:4cR TA? $ ACCOUNT D.F.POSIT - S4ATr3 $ WAC $ Sar.~.~ spc $ TR[i`:iC S4ATER ASS%SS:fE.iT $ TRCi:d!{ S'c:';'cR :~SSESS:L'riT $ LniEP,1L BGtVLl TT/TRU,TiC S: T'iE= S Lr+Tc?ZaL BEVE:IT/T°U.:K ?'IAT_°R $ WATER TREATMENT PLAcVT SURCHARGE $ OTHER: S TOTAL $ .-~GY~~U P.lMOU`:T °AI'J/REC°I?T DOcS UTILITY CONNECTION REQUIP,E EXCAVATION IN ?U6LIC RIGHT OF WAY? Y°S IF YES, THEN A "PERh1ZT FOR :aOR?: WITHItN PUBLIC ROADSJAY" MUST BE ISSUEp BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TZON. SUEJECT. TO THE FOLL0I4ING COIVDITIONS: • APPROVED BY: TI"T L: • DAT_°: f Il34- r ~e ^ ~ s~ .ts .c m am ow-ow glum w w w lW=" wrN MmRa w IN--m ws* §ca *W s~ w"mw Pc.w ON sia w ~ MECHANICAL (RESIDENTIAL) ) ~ QZ~ jS Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Smgle Family Dwellings Townhomes and Condos when permits are required for each unit Date- -1- /V / 6 :3 Site Address ~ Unit # Property Owner 5L S I G~J Telephone #4S U ` Contractor STAhIA^Ry HEn7i~G & AmTOVNBIT10NING rn 410 WEST LAKE STREET Street Address AAINN~APONS, MN 56406•299R City State 81 2-8Q4-M58 Zip Telephone # ( ) The Applicant is _ Owner A, Contractor _ Other Add-ou, modification or alteration to eatisting dwelling unit $ 30.00 furnace replacement air exchanger ~ air conditioner other State Surcharge $ .50 To[al I hereby apply for a Residenhal Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the- iTy of Eagan and with the Mechanical at [ understand tlus is not a pemut, but only an appff11icaho r a p t, and work is ot to s[art with a u't; that th ork 1 be in accordance with the ap ved plan in thee of k whic requires a review nd appr ~al plan .-k/VKL pphcanYs Printed Name Applican ign ture City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com Site Address: 3921 Lot: 006 Block: 001 PID: 10-83653-01-060 Use: Description: Sub Type: Furnace Work Type: Replace Description: �.� o ff IL s:ff In Mr Westbury Way Addition: Westbury 4th Permit Type: Mechanical Permit Number: EA179586 * E A 1 7 9 5 8 6* Date Issued: 10/11/2022 Permit Category: ePermit 111111111111111111111111111 1111 III 1111 11111171will Comments: Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 Total: $60.00 Contractor: - Applicant - Owner: Air Express Inc Jonathan Le & Trang Nguyen POB 490400 3921 Westbury Way Blaine MN 55449 Eagan MN 551.23 (763) 447-3999 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 ssued B : Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179586 Date Issued:10/11/2022 Permit Category:ePermit Site Address: 3921 Westbury Way Lot:006 Block: 001 Addition: Westbury 4th PID:10-83653-01-060 Use: Description: Sub Type:Furnace Work Type:Replace Description:See comments Comments:10/13/22 - Contractor called to switch address from 2023 Safari Heights Trl to 3921 Westbury Way. ePermit was pulled with incorrect address. mw 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Jonathan Le & Trang Nguyen 3921 Westbury Way Eagan MN 55123 Air Express Inc POB 490400 Blaine MN 55449 (763) 447-3999 Applicant/Permitee: Signature Issued By: Signature