3924 Westbury WayCity of aaal
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit if: 4=45
Pernit Fee:
Date Received:
Staff:
1 2010 MECHANICAL PERMIT APPLICATION
Date: qiii2D I 0 Site Address: 39 2J4 . Wer
Tenant: rJ / / �1
RESIDENT l OWNER
CONTRACTOR
Name: grad D el ti ! r'
Address / City /Zip: 3' f w tJ a
Marne:1' . � b ► £ �j -1
11 Q r Gi.t'lit cense#: fl t1cQSLj 1'
Address: ! 1 bq V evhi i l l { {3 :�1 ity: Ha57 j I ► +J
State:, Zp: G+ Phone: (pr I- 43'1- 4111
Contact: Nett
Suite #:
Phone: b» ! TS_—gO 1q
Email:
TYPE OF WORK
PERMIT TYPE
New i/-' Replacement Additional Alteration Demolition
Description of work: re iffee • "ef?7L 416 74 fkir`nce-..-
RESIDENTIAL
Amalie
Air Conditioner
Air Exchanger
Heal Pump
Other
RESIDEN77AL FEES;
$50.50 Minimum Add-on or alteration to an existing
$90.50 Fire repair (replace burned out appliances, ductwork,
COMMERCIAL FEES:
$70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > 81,000, surcharge increases by S.50 for each
$1,000 Permit Fee (i.e. a 81,001-52,000 Permit Fee requires a 51.00 surcharge).
New Construction
Install Piping
Gas
Under / Above ground Tank { Install /_ Remove)
—"When installing/removing tank(s), call for Inspection by Fire
Marshal and Plumbing Inspector
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
unit (includes 8.50 State Surcharge)
etc.) (includes 8.50 State Surcharge) $ TOTAL FEE
OR Contract Value $
=8
=8
=8
x1%
Permit Fee
Surcharge
TOTAL FEE
CALLBEFORE 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.00eherstateonecall orsl
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
wi e apprgvan In the case of work which requires a review and approval of plans.
r RfArrwnnni► t LI/rr f .ti . Jpe gtAA,v%,„,_
Aicant's Printed (Same
Ap cant's Signature
2•d
Et.SS-LC17-TS9
.anoH auO s, .touuo0, 0
wd90:9 0102 20 daS
cIrr oF Eac,aN
3830 Pilot Knob Rwd wATM MVICE PEiAR
P. O. Box 211gA
I E"an.7MN 55121 PERMIT NO.: _ DATE:
i Zoning:
OwrNr. -C~ii~_~~~ ' iC;Wy No. of Unfts:
i Addmw-
~ 5Jh 1lddnm - ' ' .
~.'a ir i . ~ , , ~ ~ ] '
Plurnber:
'I A
size: 40Mr No.`` r. , a . Cc1nre.7ion Chorp~;
I No.: A°eoint 'D'ePosit:
Mme h eowpip Wa so Permit Fee;
I ONb.ep~, N bN~ Surchargs:
Miic. C]horpm 'TP
gY Taot: er
Date of Insp.: Dou Pakf:
C1TY OF EAGAN
3830 Pilot Knob Road SEWR SERNICE PEL4"
P. O. Box 21199 Esgan; MN 55121 P~IT NO.: '
Zoninp: ~ y DATE: -
OwrNr: No. of Unlts: - ]
Add?ess: ~ C,-
Site Addrass: - .2 ; jr%:,; t~,; ti . t.. .
Plumber. ; ~ 't? ~ F,1 '
~+siw re ee.* fh. Cft .f
Conndetlon (how; _ 2 S r
AcoOUM Devowt:
Permlt FN:
Surdho
By r0.:
Datr of Intp,; Amse. Char'Qas:
Insm; Totai:
DoM Poid.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
~ PHONE:4548100
QUILDING PERMIT TO M wna hr d( C',r R Est. Value Date
SitsAddreo 14 .1iU::Y ~~AY Erect Q Occupancy
Lot Block Se'/Sub. R9MOdBl ? Zoning
Parcel No. Repair ? Type of Conrt.
Addition ? No. Stories
Narr~e t.ir .TT~'.R ~_i!.1WF'~`T T:O:'•i:."' Move ? Length
- Demolish ? Depth
l?dd?ess ti ^Pu
~1 iiWY $L Int Impc Sq. Ft.
?
City Phone 4 U 4;; Install ?
AVpevels FNs
Name
A~~ Assessment Pertnit Y = b 3- 00
~ City phone Water b Sew. Surcharpe
Poliu Plan Review ! 4 4_ S Q
Nams i:lt-}jlfRFJ Ci1AFZ].I EK Fin gqC 525.00
A~~ 14103 GA~t7ENVIF:W C7' 500.00
z A. v. d 3~- 5 4 9 2 wacer cor,rL
~W cicr Pnone Plonrw wecerMecer 63.00
councu Rosd Unit 280.00
1 heroby ocknowiedpe thot i how rood this cpplicction ond stote thot Bidg. Off. 8/ 5/05 Tr. PL 132.00
the inlormotion is correct ond o9ree to comply with oll applicoblt APC
SroN of Minnesom Statutes and Gty of Eayon Ordinoncss. Pa~
Var. Date C~~~
5lqnofun of PermitfN
Ff20"J'~'IEP. !^ID`~JES'" F;OMFS Taei 51, 959 . 50•
A Buildinq Permif Is issued to: on fM expnat aaditlon 1lw
dl worlc sholl be dar in otcordona with olyl;,opplicoble State of M;nnesoto Statucss a+d Gty ot Eopan Ordinoncta.
OWkiiflQ VriIGW
r,L '
Pe?mit No. PKmit Holdw Oab TNePhone S
Plurnb+n.
H.v.w.c.
ENaarte
SoftMN?
i
inspection wa insp. oM,«
Footl~~ 1
Footlnps 11
Found~tlon
Framinp r~ S
p.
.
W
:Flreplace
Final Htp.
Final Plbp.
Fl
nal ,
CWt/Occ.
.
WatM DMe?Ibe Loeadon:
WNI
SeYIIN
PI. Dlsp.
Receipt _ PIUMBING PERMIT Psrmit No. i
CITY OF EAGAN ,
Fsa
fill in numbered spaces S/C
type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk.- Tract
/ .
4. Owner - `-7' -
5. Contractor• Phone
6. Address
7. City State Zip _
~ S. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New O Add ? Alter O Repair O
10. Describe
i
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Drainfield
Bath tubs Septic Tank Lavatory Softner
/ Shower Well
; Kitchen Sink
~
Urinal/Bidet Other -
Laundry Tray
- Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping C}utlets
~
f
i' 12. I 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
Rough Final
Inspections: date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Roaipt MECHANICAL PERMIT Pormit No.
CITY OF EAt3AN
, FN
F!!I ln numdrnd ipmicw S/C ,5i1
7yPe or Print !plbly
Tot ~
1. Dm :~7~?"G Z. Installation Cost A; '
~
3. Job Addram -t b: r; tspt ` Blk. Trsct
;
a
4. Owna F ron C ie r t:.rmY
~
a. Contmcuw rf7Of1A ~i) .•..~-~`1~ ~
~
~
e
0. Addrff
i
7. ~ity id''c ~ State ZIp J51... •
~i
B. Buildiny Typt: Residential'ComrrNraal ? Institutional ?
f 9. Work Description: New Z Add ? Alter ? Repair ? r
i ~
r 10. Descibe Fuel Type
11. N~a Eqttipment B TU - M. Ea. No. Eauiument CFM a
- ~
Foroed Air ~
Mf9• Air Hsndlinq: ~
~
Boiltr:
Mech. Exhaust
~
Mfg.
~
Unit Flaater - - _ ~
Mf9• Other ~
Air Cond.
~ Mf9.
Gas, P'iping Outlets
~
~
12. I hereby certify that the above information is true and correct, and I agree to ~
comply with.all ordinancps and codes governing this type of work. ~
S'igned :
for 1
Rouyh f inal "
,
Inspections: Oate Insp. Date Insp.
This ia your permit when numbered and approved. ;
Approved CITY OF EAGAN 464-8100
- - - - - _
Raceipt ' PLUMBMG PERMIT Psrmit No.
CITY OF EAGAN Fee
fill in numbered spaces S/C `
Type or Prini /egib/y Tot
1. Date 2. Installation Cost
• ~
' 3. Job Adtiress f { ~ • ~ _ : ~s.Y ~otr - BII~ ~ Tract i~
4. Owner i _ - ~
5. Contractor P a,~~-, F 1. " ~.."Plrotte'
~}q ~..,~i
~i 7S1L L.' r
6. Address ~ er-I ' r'
.
..I 0 IJ. - . .il Vt13
7. City -S4ateJ ZiP
8. Building Type: Residential ['d s,/ Commercial O Institutional O
9. Work Description: New M Add ? Alter O Repair ?
10. Describe
~ 11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
SIoP Sink
` Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wilh all ordinances and codes gaverning this type of work.
Si ned : ~9 , for
' Rough Final
~T Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
PERMIT # - ~
MECHANICAL PERMIT
~8 C~ C. CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ z
CONTRACT PRICE PHONE: 454-8100
Site Addr~e,ss BLDG. TYPE WORK OESCRIPTION
Lot Block Sec/5 Res ? New
! Mult Add-on ?
~ Name
. Comm. Repair
i Address u ' ' ' • ' ' Other
c City Phone
! FEES
Name j AES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
p City Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APt eLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Urait Heater M-BTU REMODELS - 12.00
Air Cond. M BTU $ 'MINIMUM COMMERCIAL FEE 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
' Gas Piping 4utfets # BEYOND $1,000)
Other
FEE
S/C: SIGN U O RMI ' EE ^
TOTAL:
FQR: CITY OF EAGAN
, . I CITY OF EAGAN N°_ 16715
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ee«ivr #
Te y~ SF DWG/GAR ~ yaiue $52,000 pate AUGUST 5 1985
SitaAddreee 3924 WESTBURY WAY Erect 10 OccuPency R3
Lot 5 9lock 4 Sec/Sub. WESTBURY 4TH Remodel ? Zoninq R1
Repair ? Type of Const. V
Parcel No. Addition ? No. Stories
FRONTIER MIDWEST HOMES Move ? Lengtn 48
~ Neme Demolish ? Depth 36
? 3908 SIB MEM HWY #E
~ ,address 454-0433 Int Impr. ? Sq. Ft.
City EAGAN Phone Install ?
SAME Avv"al+ ieas
o Neme
u~ A~~~ Asussment Permit 289.00
~ City Phone ~Nater 3 Sew. Surcherge 26.00
Police PlanReview 144.50
GW Name RICHARD CHARLIER Fira gpC 525.00
x~ Address 14103 GARDENVIEW CT Enp. waterconn. 500.00
tW Citv A.V. Phone 432-5492 planner WaterMeter 63.00
Council Raad Unit 2$ 0 • 0 0
I hereby ockrowladye thof I hava rcad this application ond stote that Bldg. Off. $ S 8 S 7r. Pl 132. 00
the inlormotian is correcT and gree fo comply wirh all opplicobla
APC parks
Stats o! Minnesoro Statu~es a Ciry Y Euqan Ordi~onces. Ver. Date
57pnoture of PermiMea CoOies
FRONT ER MIDWEST HOMES Totai $1,959_50
A Building Dermif Is iuued M: on the e>pea corditlon that
oll wark shall be doro in accordanca wit~ ol pplimbla State of nnetota 5lotutn ord City oF Eopon Ordirqncef.
Buildinp Offlcial
-crrY"OF EAGAN Remarks
Addition WES`I'BURy 4'PH ADDN• Lo, 5 Bik 4 Pa,.ei 10 83653 050 04
Owner Street 3924 Westbury Way State F'a-gan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Dace
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 4 19 5 2 4•20 17. 1 15 246.59 A016473 10/22/85
SEWER LATERAL
watermain 198 5.29 4.35 15 65.29
WATEFMAIN oZ 198 51• 4 3•45 15 44.80
WATER LATERAL
WATER AREA Ap 198 139.1 g .2 1 120.53 1986 133. g. 2 1 133.79
STORM SEW TRK S 198710.21{. 142•05 5 710. 24
STORMSEWLAT yg 198783.56 156.71 5 783.56
CURB & GUTTER '
SIOEWALK
STREET LIGHT
WATER CONN. 500.00 11 't
9UILDING PER. LO71 5
SAC 525 .00
"
PARK
'S p c~ RESIDENTIAL Cl? S~- 2S
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsMuetlon NeauhemeMe NemodeVHeoah Reaulrements
• 3 registered sRe suneys showing sp. N. ol bt, sq. ll. of house; antl ~II rooled areas • 2 coples ot plan
(20% maximum bt coverage albwecl) . 1 set of Energy Calculations tor heated ad4Rbns
• 2 copies ot plan showing beam 8 wintlow sizes; pouretl tound tlesign, etc.) • 1 stle surveytor exterbr add'Aions & aecks
• 1 set of Energy Calculatbns • Indicate tt Mme served by septic system tor add8bns
• 3 copies ai Tree Presenation Plan N bt platted aNer 7/1/93
• Rim Jolst Delail Optbns seleclbn sheet (bl0gswith 3 or less units)
DATE ~ ih O Z VALUATION I ~I O~ qf ~Z
SITE ADDRESS 2i ~Z~I 5., 6UAl /,0~,c MULTI-FAMILY BLDG _Y xN
NPE OF WORK T~2-or'W. L~~a -X4::v f~oaSP~s~DiNC~ I~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT iL GLae ,v ~ 0,0 T
STREET ADDRESS 4 CITYOeL. STATE, /1t/ ZIP SS~hD6
TELEPHONE 1~6122- 2U CELL PHONE # FAX #
PROPERTYOWNER /~-r~-IJ~-~c, TJU~'~~ TELEPHONE#~eS`~~~
~
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 9670 CATEGORY I MIN (J submission type) • Resitlanhal Ventil
ation Category 7 Worksheet Submiried N tted
• Energy Envelope Calculations Submiried Plumbing Contracfor: Phone # In
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor. Phone k
I hereby acknowledge that I have read This application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances ~
Signature of Apptlc ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Inlerior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EnNre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bidg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Founda[ion H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ 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
MC/ES SAC
City SAC
Water Suppry & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: /ALL CONTRACTORS NUST BE LICENSED 4fITH THE CITY OF EACAN
H~~~~P \ 15) INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
52,ocv. °O
To Be Used For: Sino12 Familv Valuation: -62,.989. Date: 7-31-85
Site Address: 3924 WeStburV waV OFFICE USE ONLY
Lot: ~5 Block q Sect/Sub Erect x Occupancy ~-3
Remodel _ Zoning 2-I
Parcel # Westburv Fourth Addition Repair Type of Const .tZ
Addition ~ # oF Stories
Owner Brad & Sheila Duenow Move , Length 6,e,
Demolish ~ Depth 34~
Address 1930 Jade Lane #307 Int.Impr. Sq Ft
Install
City/Zip Code Eaqan, MN 55122
Phone 452-8879 APPROVALS FEES
Contractor Frontier Midwest Homes Assessments Permit 2f3`~~
Water/Sewer Surcharge ?10.=
Address 3908 Sib1eV Mem. Hwy. #E Police Plan Review 144, ~
Fire SAC 525 . =
City/2ip Code Eaqan, Mn 55122 Engr Water Conn Sc~o,`°
Planner Water Meter (,3•°=
Phone 454-0433 Council Road Unit 2So.`=
Bldg Offg!y_87-Treatment Pl 137.2~
Arch./Engr. Richard Charlier APC Parks
Variance Copies
Address 14103 Gardenview Ct. TOTAL
City/Zip Code Apple Valley, MN 55124
Phone # 432-5492
. r,cu "I(D J ~u 'i,.•1r'
~ SoGMA House
96Jd~VEY11lOO Cerllficote For:
SERVICES ~/'~~~~~P ~1~~~~~
3908 Sibley Memorial Hiqhwey
, Eagan. Minnesota 55122 ~~~.~~r~tdon
Phone: (612)'452•3077
~rl~c~~'={~ARrFo(,lq;'- i 3O I
~
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5
~ em"* N f 4 e: 14 0, 01
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1
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UT I L I'Iy E A~,'
/ ~ . ii% .981D ~
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(zc/, `'T'j 'F
~ 1 -~pra.nayr
O~ ~j ~ I L O"~ CP
`~a~\~..~.......,~ , j'%I ~ .
WAYNE D., ,
= CORDES
= i =
~ 14675 - :`Q~;
r .
-LEGEND- PROP05£0 GARAGE FLOOR fLEVATION= 8831
ODenotes Iran NaY_vmnt ' Pfd)POSfD Top of 81ock fLEYATION- 953.8
(knoles ICocd Hub Set PROPOSED BASENENT FLOOR ELEYATlON- ~JBO•8
k ees,o qyrvtes fxisting Spot flevatian
AbfE: Verify al! floor heights with Fina! kouse Plans.
~)INGHDWU) (krotes Praposed Spof Elevafitn
Oenotes Drainage Direction gRVDM CMIFIC41
1 hereby certify thct thrs survey, plen or report
-FfO~PEKIY L~S~R~Pf~CpV- vas prepsred by ire or vder my direct supervisim
~-r-s-~ ~r-n---'?.^•'_• -m
ftOl' ,;BLGCK if ' ard thaf 1 am a duly Registered Lerd,Sweyar
FS'r'({ufL~ ~"'~-{~"'ApOiTio?Jy, u~er the lews of the State of Yimesote:
accordirg to ~he reccrded pfat fhereof, ~-1" r&S
r1 V~~~a.~ Date:
1~~13 Caniy, drmesofa 17Eyne D. Cordes, Yim. Reg. No. 14575
CPCSat4'a • rage 1 of 4 „
fOR ENVELOPE _FlVE'
_RAGE "ll" COMF`UT11T10N µAIZTFc3`*+M
OWNER; nnrr: 3- 25
S1TE A6DRESS: PHONE:
CONTRACTOR: Fr.C01~,» M
Determine working square footage of each
1. Total exposed wall area..... iBS 7 Z g sq. ft. x.11 = ZpL{, Z 9
2. Total roof/cei?ing area..... 4680 sq. ft. x.026 = Z Z. a$
Total exposed wall area above flnor= ~~S~,Z~
a. Total wall window area
b. Total door area
, ;
c. Total sliding glass door area 41. f. Z
4t
d. Total fireplace wall area '
e. Total wall framin area
9 (average 10%) 1 8 S• 7
f. Total rim joist area
.
.
.
g• net wall area above floor.t.`F . . . .
' -
h. wall area above floor - -
i. wall area above floor . . . . . . . . . . . . . . . . . . . .
.
,7. frame wall area at Foundation
Total exposed foundation area= G~, Z g
k. Total foundation window area..................
l. Total net foundation area above grade
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. I 1 x~~ u"-,3 ~.-=~~o • I ~r _
~ I
b. 31. b Z. X ',ull 'AS
C. 6l 2 x 'lull .45 d. X 'lu,.
e• ~ $~y. 7 ~ - X ll 'p 112 =-f "f. v4s
f.-1_Z~•~ X ~~~~~o.3
' 9•_.~.~~~~ T X ~.ul .03 0'
h. X 'lull
.
1. X
j, X liuii . .
k X„~„ If item p3 is the,~'.same
- as, or less than°item>
N 1, o u
1 x Y have mef;:the'r'
• intent af SBC„600 '
3. . . . , . . . . . . i ~
.......................racal
n~
~f
r,:i
• - . '
cior Cnvolopo Avornqc "U" CoinpuLciCion Paqo 2 oP q
- _ Total expooed roof/ceiling nrca
,
m. 1bta1 skyliyht arca n. Total rooF/ccilin, framinq area (avcragc 102)... ~
o. Total net insulated roof/ceilincj ;irea........... '7 I
. uetermine "U" value for each roof/ceiling segment ; m x ,lUll
n. _ a ,.u., ~ _ ?•-~-L
o. 77 9Z a „u„
a Total
If total of ;IQ is the same as, or less than 02, you have met tne intent of SHC 6006 (c) l.
_Alternate IIuildinq EnveJ.one Desiqn '
ib utilize the total envelope'system method, the values established by tlie s;un~of
iCems t!3 and t19 shall not be qreater than the siun of items JEl and if2.
+ 2. Z~,~ = 2 Z ~ 1
3. + 4.
~ 7• / ~ _ _ l l ( ~ ~i~
+
lyl
r
..~.i.,:
. ` • ~ .:1J. . ' ' ' • ' i :;i:
. ~I. ~,CfPI'ICrt70 ~
XmIll ilr. un n1 cri ~ r t ruci iUf1 (l,n l i~i~ :I 1 ;1.
' -.,,.m _ ----~i) ~ q» A?~~n . . . . cv.(~i~ .
7_ ~
. ~Py.lnt~ .+o,i.v~e?, . . •40 I
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~ CZTY OF EAGAN
APPLICATION FOR PE2yIIT
. SEWER AND/OR WATER CONNECTIODT
(PIEASE PRINT)
PRC°~ ~ORF-S5= _ 3924 Westburv Wav '
=,i. DE=PTICV: S/ 4 Westburv Fourth Addition
(Loc/B1ock/S=divisicn or Tax :arcel I,D. NL:.Der)
•
' ir .~•55~=" S?M,[=!:%, naTEE os CRT_GiIa'A, uiI:.DL:G
P°=SL.'?' C'S: ~ ?~1 Sl= Z-P~S.ITY .
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0 :',-4 UtiI:J)
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? ~l'CliSi. T3L
? L`:STI 77 IO:LAI./G~"'~'~'`~•+.~:T
Z) F7DISC=:"P (PLEASE PRiNi) .
N2'='IE: Frontier Midwest Homes Corporation
AEDRE`S: 3908 Sibley Memorial Hwy. B1dg. E
CTT", STaTy', ZIP; Eaqan, MN. 55122 -
PHO`E: 454-0433
j) pu,:.~nL_v (PLE„SE PFINi) FOR LITY USE OflLY
N21PE= Star Plumbinq
PDD.~c.SS: 1018 Mound Springs TEP. ' ~ PLUHBEFlS L "ise:
ive
;ired
CITY, STATE, ZIP: gloomington, MN. 55420 PHOJIE: 884-4149 rd
PLUNBER LFCENSE N 3329
' rr ;nl:tal
4) '[,'?p,N'j`/Cr,yI,*F-,it (PLEASE PRINf)
MV'IE: Brad & Sheila Duenow
ADDRESS: t 930 lade Lane 96307
CIT^!, STA'iE, ZIP: Eaaan. MN 55122
PHONE= 452-8879
5) INpIG,'I'E :d[[ICH PER•LTT IS BEIhG R.FQCTESTI:D:
C]rINECi'ZON TC) CITt SEWER Please mail gold copy to
~ C17NNFCPIC;I TO CITY t•lATER ~Wenzel Mechanical
~ 07FR (PTr^.cE DESC.,SBE) , 3600 Kennebec Dr. _
Eaqan MN. 55122 -
6) L";DZG,:: C2:c: .
• ? PIZ~~SE f?OLD APPROVID PERN+ST FOR PICi:-L? BY CNE OF tlFC~iJE
P*_E=,SE %V1I APPD0J'u7 P&z:IZT TJ 1, 2 3, 4 ABGv'E--
n • (Ci:~se one) J
DATE:
F 0 R C I T Y U S E O N L Y
PEPMIT " ZSSliED ' .
rrrj: $ ~(~~ilJ Si:c.°. D=nt1I1 (I,IC•LJ:)E JG~C :d~GL)
$ /G ~U S4AT°? PERrtIT (I?;CL'uD: Su?.C°A;2G'c) $ ~3n2? W.aTER METER/COPPERHORN/OUTSID-'. iZ.-.ADER
$ WATER TAP (ZNCLUDE CORPORATIQV S?CP)
$ S`.:vcR TAD
$
/.~v~ r._..~'i':i''_....._ r'•ci= - ;
$ ACCOU?]T DEPOSIT - [•7AT°_R
$ ~JU.u-p Wi,C
$ S 2.~o U SAC
$ • TRli?:K S9ATER ASJLSS.!_::T -
$ TRlic:?C SEWcR PISSESS:i=?iT
$ L'nT :3nL Bt:+c.FIT/m,°,U`IK SE?
$ j.ATL.~l1L BLNL' 1T/TpU.`]N ;'IATz'p
$ WATER TREATME\T PLANT SURCHARGE
$ OTHER:
$ TO'_"AL
$ ~/U, SZ A~IOU`:T PAID/"RECE1PT
DOc5 UTZLITY CONNECTION REQUIP.E EXCc1VATZON ZN PUSLIC RIGi-IT OF WAY?
~ YES IF YES, THEN A "PERh1IT FOR :40R'.C WITHIN
PUBLZC ROADWAY" MUST BE ISSUED BY TF:E
~ NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TZON.
SUEJECT TO THE 7OLL0:9ING CO[VDITIONS: •
APPROVED BY: / -
TZ::,E: '
DAT_: _ ~L/JJ_
mft~
~ s~ E.~ wc~ ~a ~r w_+~ w~ ~ ~e ~-r w r~ ~t•~ w~ r~ ~i~ ~s~ w.+ ~t ~ s~ ~is wa R~ it sr w~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112623
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 3924 Westbury Way
Lot:005 Block: 004 Addition: Westbury 4th
PID:10-83653-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:1 patio door replacement
Tim Schenk
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Bradley Duenow
3924 Westbury Way
Eagan MN 55123
(651) 452-8879
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175119
Date Issued:03/14/2022
Permit Category:ePermit
Site Address: 3924 Westbury Way
Lot:005 Block: 004 Addition: Westbury 4th
PID:10-83653-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Bradley & Sheila Duenow
3924 Westbury Way
Saint Paul MN 55123--148
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature