3928 Westbury Way
i
CITY OF EAGAN SEWER SERVItX PERMIT
3$30 Pilot Knob Rwd I
P. O. Box 21199 PERMIT NO.:
Esgsn, MN 55121 pATE:
Zanrnp: __Fl1 No. of units:
Owrnr. Fronrfax- H#dwest
llddress: ~
Stte Addreu: 39213 It,T3 L~ rC ','.^_Sibu 4
Plumber.
5271" 140.00 pd
1 prN hoon* wil& !M Cky of RoMw Corxiectlon C}+arw. 425. 4d.1 a~
; Ori1M~oM. llowunt Depasit: I `s . 00pd
P.rmit F..: 10 .0 10~ !
surdwro.: . 5','.xl
By Misc. Chorpp;
Dote of Intp.: Totol:
I^sp"' DoM Poid:
CITY OF EAGAN WATM SERVICE PERMIT
3830 Pilot Knob Road
J'Y
P. 0.,8ax 21199 PERMIT NO.: ~`3~
Eagsh. MN 55121 OATE:
2onirg: 1 Na. of Units: 1
pM,nwr: Fronticr "'i.dwest
/lddnm
Site /lddresr. _3928 Westburv Way L6 B4 [4esthury
'Plumbsr.
N4ftr No.: ~3~~Z 3(o Connscrion Char9s: 5i~(1.00 ~l
Slu: xt E,` Akopurrt Depawt: 1). 0001
Reade? No.: 1~31?7 O~~ Permit A6• 00`,Xl
I aNw tn th yrpb 11r Qry o! 9"50 Surchorge: . 5o-x,
~,/J' ` Mlsc. Chorp~s: i 32 . OU p,~
~ L% Total: 6 3. 00 pc~ me C e r
By Dote Picid:
Dote of Irnp.: '
CITY OF EAGAN 10393
' 3830 Pgot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121 PHONE: 46481d0 .
evi~ciNO ~E~~ R~~ipt # , ;
Ta, b wr/ fN S F f! Vv{ % G AFZ Est. Vol ue b'~> 2,'. ~ U G Dote t• 1~_
9 28 G))'L'CF;IIRY WAX Erect ID Occupancy 3
Sits Addrea
7:;'1.3h°t 4_TH Remodel ? 2oning ~71
Lot ~ 81ock ~/Sub. - Repalr ? Typs of Conrt. T
Partxl No. Addition ? No. Staries
FT'OPdTIEi: >Move ? Length
Nsrime Demolish ? Qepth
~ Addren Int Impr. ? SC. Ft. 'a
City LAGAN Phone 4 5 4 -0 t- 3 ' Insteil ?
ApprovaM f~
~ Nrne
~u Assessment Permk ~ •
~ Addren
City Phone Water a. Saw. Surcharqe 2 i- •00.
Poliu Plan Review ! 4 • S
W Name R ':'_kARLI C':i. .:?LIFR Fin SAC 5• U
i0 Addrsss . T~ , . Enp. Water Conn 0• 0
u a .~t•-~ ' ~ 63.(~
11Lz+ City Phone Pfanner Water Meter
Courxil - Road Unit
I hereby xknowtodpp thot I hovs road this opplicotion and stote tMwt Bidg. Off. Tr. PL 131 .0
A~
f!M informotion is co?rect and ogree to comply with oll appliwble
Swh of Minnesoto Stotutes and Gty of Eaqon Ordinonces..' ~ Var. Date
~ ~i,. C°Pies 5
Sipnoture of PennittM Totel - '
A Buildinq Pennit ts Issutd to: . . on tM expnp conditbn 11nt
pll work shall be GaK in ocaondantt wifh oll opplicpbW Sfote of AAirrosofo Sfatutes ond City ot Eopan Ordinontea
ewwft offkia
Mrmit No. Pwmit Holdw Datn ToIophone !
M*+~. (J ~ z ~a Y ~5
H.v.n.c.
Electric
a~
Insn•ce+on onn lMv. oth«
Footlnps l ~ .
Footinps 11
Foundation
Fnminy
Rooflnigi
nouoh Plbp.
Rouph Nty. W
InsuL
Firplsp
, Fin.l HeO. VIA4
, Final Plbp. S
Final ~
c«vo~. _ ~ _ ~
wat« a.aib. Loeation:
WeII
SowK
Pr. Dfap.
~ J
: . -
R"WPt I l - ~ ~MECHANICAL PERMIT hnnk No.
CITY OF EAG/W ZC.yu
FM
Flll !n numbwrod tpacu S/C .50
TyPe ar Phlin !plelY TOL $20 . 50
1. Date -7/ Z 2 /h5 2. InstNlstion Cost ~ 1700. 00
3~i2E Wesibury W ~
3. Job AdOnn ~t Blk. Traet
4. OwnK Fruntier t;om,i ~ es
y
5. ~~~a~ ldenzel I".ec:ianlca1 ~~e ':555
8. Addnss 3640 ar,ineb:;C il-i•,e
. ~
7. Gty Esgaa Stau YuV Zip 51, 2
8. Buildiny Typa: Residential M Commerdsl D Inttitutional O
9. Work Descxiption: New 19C Add 13 Atter ? Repair O
10. Describe iit~/ 5ys. FuelType
11. No. Equipment BTU - M. Ea. No• Eauioment CFM
ForesdAir
Air Handlinp:
~ Mfg.
~ BoilerY' X Mech. Exhsutt
Mfg.
catti t~ u~
Unit HNmr
Mfg. ' Other
, Air Cond.
gG , Pipiny Outlets ~
~
12. I hereby oertity that the above information is trus and oorrect, and I ayree to
comply with aII ordinanoes and codes govaming this type of work.
Signed : for
Rouqh ' Final
Inspections: Date Insp. Date Insp.
This is your psrmit when numbered and approved.
Approved CITY OF EAGAN 46"100
~~x
Receipt PWMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbeied spaces S/C
Type or Print legiW y Tat.
1. Date ,~L,'2. Installation Cost
i
„
3. Job AddresrL~~ Blk. Tract ~
4. Owner r'-;~.,r~
5. Contractor Phone ~6. Address
7. City State ZiP ~ ~ ..,Z • ,
8. Building Type: Residential Q Commercial ? Institutional O
i
9. Work Description: New Add ? Alter ? Repair ?
,
10. Describe '
i
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield ~
Bath tubs Septic Tank
Lavatory Softner ~
Shower Well j_ Kitchen Sink
Urinal/Bidet Other
i Laundry Tray ~ . ' !
1'_ s..=~"
Floor Orains
Drinking Ftn, i
Slop Sink '
~
Gas Piping Outlets '
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 : i 4':1'1 l(t fV _ ' ! ( • 1 for ~
j i Rough final
Inspections: Date Insp. Date Insp. -j
This is your permit when numbered and approved.
~
Approved CITY OF EAGAN 454-8100 ~
. ' +5 ' , . r 1. ; . : ,n' ikll . 'a , . y~, - {~S
~ Y . M Y PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~Lkgb
1
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot /e_ Block Sec/Sub Res ~ New ~
V Mult Add-on
? Name Comm. Repair
Address ~
c City Phone ` Other
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone r (RES. HVAC INCLUQES A/C ON NEW
- GONSTflUCT10N) - - - _
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMMlINO FEE - 146 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00 i~
Air Cond. M BTU INIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD a.50 S/C IF PERMIT PRfCE GOES
Gas Piping Outlets # BEYOND $1.000)
Other
S/C: SI kS
FEE ~ ~ #GAN
TOTAL•
"Cl
F R: CI
• ' . • , - . „ . . •t
i
PERMIT 11 ~Z
q PLUMBING PERMIT
RECEIPT #
CITY OF EAGAN -7
3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ~ SeciSub/ Res. New
Mult. Add-on
~ Name Comm. Repair
~ Address Other
c Ciry Phone RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
N0. FIXTURES TOTAL
Water Cioset - $3.00 ~
Name ~gath Tubs - $3.00
3 Address 9 Lavatory - $3.00
o Ciry ;k__Phone _ Shower - $3.00
% Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMMIIND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8, CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whfrlpaol - $3.00 '
MINIMUM - COMM/IIVD FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) U
(ADD $.50 S/C IF PERMIT PRICE GOES _ySoRener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
~ Raugh Openings - $1.50
~ SIGNATURE OF PERMITTEE FEE: G U
STATE S/C: S ~
~ FOR: CITY OF EAGAN GRAND TOTAL•
HOUSE HEATING TEST RECORD 1
ADDR ESS ~a c ~
~ APT. FOOR CITY UBURB
OCCUPANT OWNER
HEAT LOSS DATE HT . INST.
SOtD BY L k ~ INSTALLED BY l C
Eiechieal Wwk By Gas Line By 041 'v ~--e
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
.
GAS DESIGN t CONVERSION
IriAKE r' , MAKE OF BURNER
Mod•I U~ 0 ~ 41) AAod•I
5«ia1 Moz. BTU Ratiny
INPUT MAKE OF FURNACE
Model
CONTROLS
7HERMOSTAT ~ Heat Plug Vent Size A -3 ~4
Volv. KIND OF LINER ~E~-NONE
Limit Droh Hood R~I
Limit Settiny Filtsrs Size Numbar
Fan Settiny Chimney Location Inside Outsid*
Pilot Type 4c y•I~'~ I I ? ~~14-'~- r5- Chimnsy Construction
Pilot Mak.
i
Pilot Model Smoke Bomb Wiriny
Pilot Timing -flraft ji Test Tay {
L.W. Cut bff ` Door Prosswe Lf Lightinp Inst.
/ C C Pnssure ~ W Percent COZ 7o Datr Tesfed - ?J i
Input CFH ~ Pereent OCompany Testiny
2
S1ack Temp. ~ P~rtent CO ~ T'~ Nams of Testsr
Fam 235
I
RESIDENTIAL
~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
~ - a~t ~
New ConsWCtion Reavinmants RemodellRenair Reauiremenfs
• 3 regislered site surveys shaxirg sq ft. of bt sq. ft of hause: and all roofed areas • 2 copes of plan
(20% maximum bt covarage albxred) • 1 set of Eneigy CakuWfioris for heated addi6ons
• 2 copes M DWn showug beam & wiMaw sizes; poured fand desgn, etc ) . 1 site survey lor extenor addAions & decks
• 1 set of Energy Calculatqns
• 9 copies W Tree PreservaGon Plan if Id plaHed after 711f93
• Rim Joist Oefail Options selection sheet (bldgs vnth 3 or less uniLS)
DATE 1' .22 "01 VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS 8 es b u N N .S5 /-Z3
"jy
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
\
Y
PROPERTYOWNER R iErCS4- e'r1Q Z (oSl-yo5-~fS~S
TYPE OF WORK ?1 r e~ 1hr0o FIREPLACE(S) Z_1 _2 _3
APPUCANT eYPSc~ i ytZ PHONE # 65/-(o8d~- 7/6 f
ADDRESS 39aY 24U2 IV lU ZIPCODE /'23
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDI G ONLY - FILL T OMPLETELY
Energy Code Category MIN SOTA RULES 7 ORY 1
I (check one) ~ esidential VentilaGon Ca ry Workshe; tSub itt
Energy Envelope Calculation ubmitted ^
_ INN~SOTARULL~7fi~/2
~ - New Energy Co~~4orkshee brt~te
V
Plumbing Contractor: , Phone
~ Plumbing System Includes: _ Water S kener Lawn Sprinkler Pee: $90.00
Water Hc No. oF R.I. Baths
No. oF 13aths
i Mechanical Contractor: Phone Ik
~ Mccli:uiical Systcm Includes: Air Conditioning Pee: $70.00
Hcal Rccovery Systcin
Sewer/Water Contractor: Phone N
~
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is correct, d agree to co' y wit
all applicable State of Minnesota Statutes and City of Eagan Ordinances. y
Signature of Applicant 7alQdA.- Ri-nQ/{,Z
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Owelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage O 22 PorcFdAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex Deck ? 23 Porch (saeened) O 36 Mutti
? OS 03-plex O 11 10.plex , 19 Lower L el O 24 Stortn Damage
? O6 04-plex ? 12 12-plex PIbgAY _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) O 45 Fire Repair
~33 AlteraUon ? 37 Demolish (Bldg)' O 43 Reroof p 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applieant
~
Valuation 2 l 0 0 Cl. Occupancy Q-3 MGES System
Census Code N 3q Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units O Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const :14ie Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
_ Footuigs(deck) X FinaVNo C.O.
_ Footings (addiuon) ~ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Ot6er
X Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
~ Insulation _ Windows (new/replacement)
Approved By_iw_, Building Inspector
Base Fee 6 q ,GG
Surcharge 1.06
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total -070.GG
CITY OF EAGAN N? 10 3 9 3
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT R«e+a # -
To m wd fer SF DWG/GAR Est. Value $52,000 pate JUNE 13 , ~$5
siteAdtlreu 3928 WESTBURY WAY Erect CR occvpency R3
6 4 WESTBURY 4TH Remodel ? Zoning R1
Lot Block Sec/Sub. Repair ? Type of Const. V
Percel No. Addition ? No. Stories
FRONTIER MIDWEST HOMES CORPMove ? Lengtn 36
~ Name
Address BLEY MEM HWY Demolish ? Depth 46
~ SI
EAGAN 454-0433 Int. lmpr. ? ~ Ft.
City Phone Instell ?
ApOrorals Feas
o Neme GAMR
Address Assessment Permit • 0(
u~ City Phone N~ater d Sew. Suroharge 26 . 0(
Police PlenRevlaw 144.5(
W Neme RT(`HARfI CFIAR7 TFR Firo SAC 525 0(
p~ qddrmy 14101 rnunENUIEW CT Erq. waterConn. SQQ.O(
~W City APPLE VAL Phane 432-5492 plonner weterMeter 63_0(
<
Council RoedUnit 280.0(
1 hereby ockrwwledga 1Fwf I how rcod fhis opplication ond stote thaf BIdg.Off. 6/5/85 7r. PI. 132 . 0(
tha informotion is correct and ogree to comply with a0ol" la APC Perks
Stats of Minnesoto $tatutqs-arni Ci of pomOr pon
Var. Data Copies
$Ipnaturo of PermiMee
FRONTIER ~MIDWEST HOMES rotei
A Bulldirp Vermif Is issued ro: on tM axpross CadiNOn thoi
dl work sholl be done in xmrdence with ol ic Stote of inro ro tm tei ond Ciry o1 Eopan Ordinancea.
Bulldinp Official
CITV OF EAGAN Remarks
Addition WES`PBURY 4`PH ADDN. o~ 6 Bik 4 P fCe110 83653 060 04
Owner ZSt~- ~ganSireet State ' ~
Improvement Dare Amounc Annual Vears Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK q a, y f}0/ -~.S
SEWER LATERAL
watermain 0
WATERMAIN f~~; • Q ?
WATER LATERAL
WATER AREA /4,)
water area qp 1 133,
STORM SEW TRK - ,Jaf ? ?
STORM SEW LAT , k~~ ?
~
CURB & GUTTER •
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 11 11
BUILDING PER. 11
SAC 11
PARK
` 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALI, CONTRACTORS HOST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
SZ,poo ~
To Be Used For: Sinqle Family Valuation: 62-r9G9--ee' Date: 6-3-85
Site Address: 3928 W2stb6ry Way OFFICE USE ONLY
Lot: _6 Block 4 Sect/Sub Erect x Occupancy ~-3
Remodel Zoning
Parcel ll Westburv Fourth Addition Repair _ Type of Const Q
Enlarge of Stories
owner Isaack,Joseph & Barbara Move _ Length 3G
Demolish Depth 4(0
Address 5720 Winnetka Ave. N 1I103 Grade _ Sq Ft
City/Zip Code New HOpe, MN. SqA _
Contractor Frontier Midwest HOmes Corp. AppROVALS
00
Address 3908 Sibley Memorial Hw .#E
Assessments Permit
12
Water/Sewer Surcharge 26.
City/Zip Code Eagan, Mn 55122 Police Plan Review l4 4.5-°
Fire SAC 52.5, °O
Phone fl 612-454-0433 Engr Water Conn rp
Planner Water Meter f03.
Arch./Engr Richard Charlier Council ad Unit 2Bo
Bldg Off 4-5.,rj Parks
Address 14103 Gardenview Ct. Apple Valle)ApC Treatment P1
Variance
Phone 0 432-5492 TOipI, • ~S
9 S`v
24x 3~Co = g~ ~ x ~ 4- = ~c~cos~ . .
20 6-46 x tl = 4~4~ ;
5 I 9 ~I
NG Cerilflcate For:
7Sibbley House
ES ~POrItj~Y I~IP~~1~$~
al Highway
a 55122 ~~~~o~~~ f~~
2-3077
30 ~ Moda - NA0-TF0iq,'0 -
~r~
Q k LoT 5
33 ,
NS`I',42' 21~~ E 126.73-- 8~,0
_ N _ , 9,oR x
/ ~
:.o
30.0 1 ..o-.
All
~
40 "1o a 10
eeo. oJ:~ RzA~ hl AG I c~
N70>~9 ~.~ll'f I l. IEPSM T ~
53
x
1
-LEGEND- PROPOSED GARAGF FCOOR fLEVATION=
0 Denotes Iron Yaw.vrenf PFt7PO5ED Top of Block ELEVAT ION=
m Denotes Moai Hi.b Set PROPOSED BASEMENI FLOOR ELEVAIION= $pOi
n 880.o Denotes Existirg Spot Elevafion
v„ sNOw.~ MOTE: Verify all floor ieiyhis with fina! Ncuse f'lan;.
J Denotes Proposerl Spot Elevai)rm -
Denotes Orainage Direction _&WFO6 GERTIFIC.QTIQW-,
_P~~ I hereby certify llbt this survey, plan or reporl
was prepared by me or cuiier my direcf supervisia^
LOT ,Bl.CrK9_ arti fhat I am a duly Regrstered Lard Surveyor
WFsTQuRY ~l~_~bQ~T~OrJ ~ r the laws of the State ot Ymrpsota.
accordiry to tFr recordcrl plat fhereol, ~ 5/Ylss
~3~oTd WQ~y.c_- rd, c.t Dvie:
County, Mimesota IYayne D. Cordes. Yinn. Rey. No. 14675
~~~0A.},1,','.'~r~~
; c: •
ydAYNE D.
CORDES
' '/'ii~i
~~///!/!llfilllllllt6'~~\~~\`
W0000)
I
MWW6Z"CPN*A (";PCbi(wa1 Page 1 oF 4
_ ~nicrclOR CNVEL-OPC {1V-CRAGf "I;° Cf)1PuTAT101! AA1rTF~Mr>
: , - - - Xwr ~ i. w1~ Ll..
OWNER: _ ~ ° zS?~~S ,
SITE ADDRESS: PHOtJE:
CONTRACTOR: ~rtIlR,
Determine worE:ing square rootaqe of each
1. 'Total exposed wall area..... sq. f!. x.11
2. Total roof/ceiling area..... sq. ft. x.026 = Z z.~' $
Total exposed wall arca abnvc floor= t~
a. Total wall window area (i ~
b. Total door area........... -
~ 4.
c. Totai sliding glass door area . 9. Z
d. Total fireplace wall area . . . -`A Z
e. Total wall framin9 ar:a (avera e 10%
9 ) . . . . . . . . . . .
f. Total rim joist area.. .
. .
. . . . . . . . . . . '
. . . 2
9• net wall area above floor.=.~ . - -
h• wall area a6ove floor
wall area above floor
J. frame wall area et foundation
Total exposed foundation area= a t}. ZS
k, Total foundation lvindota area
1. Total net foundation area above grade . .
Determine "u" value of each wall segment
(e.g, window, door, each separate ara17 section)
b. 31. 4oZ x 'lul . 4 5 12 A
X
d. x u3P
e._t,ff5. 7 3_ z ~v, •v~ ~ 4. 8~
r.~ 5 X ~~U" . 0 3 ~~5
_..l,300.4- X ~~U" ,03 _ ~cl ot
9.
h. ~ X »ull _
1. x _ ' .
:
j, K Ilu~~ _
y, X„u„ If item Y,3 is the same
as, or less than item
~ ~ "`1 , you have met,:th~e "i
intent of SBC,.60D6,'c>}
3. .........................Total
' l.acorior Envolopo nvarn(jc "U" CoinpwLal:i,on Pngo 2 of 4 .
' ToCul esuosed root/cciling nrca = ~~0
m. 9bL'ul s}:ylight aren -
n. Total roof/cciling framing arca (avcragc 102)... ..o. 'Lotal net insulatcd roof/ccilin9 area........... '7 0 7
-rt-~--'~- _
. Deter.mine "U" value for each roof/cciling segrienC
M. 1;
7t. 1; i,U,•0 fi 7,- .
.t
o. s „U„ •O ~ _ ~ ~ ~
4 'lbtal
If total of ;,4 is the samz as, or less than 112, you have met- the inCent of
SHC 60QE (c) l. Aleernate IIuildinq L'iive].ooe D=siqn
1b uf.ilize tlte total envclope'systcia method, the value> esLabli,hed by L'he sum of
i.tems 43 and 49 shall not be greater than the swn oL items IIl and 112.
+ 2. Z L, = z . I
3. + 9. ' ~ f• _ _1~ (~Zi~
~
r,r.r:TrniM
. 1S1:,J1~ 7 1,1ndn unll nri"~ foC
. (f:iln•.' Utdif, l fUCI iUfl
ft,,,,
.90600944 f-.a c~.~? i 00
~ '~.lDt_ ALv~,.. . •.Ga 1
~ • .
h:zli•iio r t1i u ` ~
.
($.ZI
p1~, q] TOPVIFM OF ~
£IV~t4i WN.1. . lnlrri„r air 'Ilu~ D.,GII
2'
. ' d • ~ii~ _n~e _SJC.)
~ G. F.):l.~~rir iir tili.~ q.17
FIC. f12 7 'u L a 1~-
~
l,ri~ior pir 1 tlm 11.~.'I
. • _
..--~1 ~`~._l~'tM. - ~i-
3. A...
ISrnt_A I_ -
ti
n:r 1111m - ~
_.._.__Z"-1.
.
o
' - ------o
~ ~~.~.t~ - -
aa.s^"J. 4pam
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i ~
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• 'o • P~•rc~a_t?~+~.. Rfa.¢~ep
I ~ . u ~!%?noC 5. - _
.
n , f~ •~•'i G. I'..clr.: i~~i .~~r l ~~r~ __0.1~~
07
' st,nt, 0rr I,W\ui:
u • `
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CITY OF EAGAN
APPLICATION FOR PERMIT
SE:JER AND/OR WATER CONNECTIODT
(PLEASE P9IHi)
1) PPOP= ADDRESS: ~U bc,{(-\
rFrAL D~~TprTcv: (Q 6 A ~
(Iot/Biock/Sub3ivisicn r Ta;c Parcel I.D. Number)
ST'2L:CP :v°., DATE G_° ORIGi?;AL EiiIL:L`1G ~-::5,:• 'c-::'~NCE:
~ FP.:=_- R_1
S~iG"~.. =ACLY
? R-2 GUP=; ('ItiCO LNITS)
? R-3 MvTII-IOiiSE (T:-IIL-:c + [7`1I:S) ( IJNI'.'S)
? R-4 PppR?°TZ-+;m/CCMCF._ri]ZL:~I { [.'~TI"'Si
? CQm1IvfE.'°.C7AL/PEI'AIL,/OFFICE
? rML'S"i"t2IAL
? I;:STI'IUTIC^]PS./CL4'ERjmlIIv-1•
2) APPLI= 1PLEaSE PR i) ~
NFAtitE: -
ADDRESS:
CITY, STa'?E, ZIP:
Pxo,E: = P.
33 - - -
3) pLL7.IBER LEASE PRllii) FOR CITY USE ONIY
NP,~IE:
LUNBERS E45E•
ADDFESS:
Active
CITY, STATE, ZI?: ~x ir
PHO~~IE: 0/No i Aec d
~ PLUMBER LICENSE iI 33~
~
C r' tnltl~
4) OCC[,'PpNT/CryiIER ~~e (PLEASE PHIN!)
IcI ~t f`~V' (i.. -T' CCa CY..C ~L
ADDRESS: S 7,~11 l U-i f1(1Q+`c~
CITY, STATr-, ZIP: ~~jf1P ~r1 `l ~Z-~
PH6`IG:
S) INDICi,T~.' Y7HICH PER%liT IS BEP:G RDQUESTFD:
W CY;,"VNEC.'tIJN 'IU CITY SES"iER
~ CC"IY'ECPIG:J 'IC7 CITY HATER
? dI'f'ER (PLEASE DESCRIBE)
6) I;pIG,-IE C::T: I
? PL°,=SE FiOID A.°PF20VID PER+1IT FOR PIG-UP BY ONE OF 11BCiV-E I~Yii I gOIU
PL.EM,_QE-MAIL APPRO~'ID PER_-LTT 'IO 1, 2, 3, 4ABC%?E coP$ to' .
'(Circle one) ~'en~I nlzchvmcad
'~op 7~nnebec.~r.
D;,'re: L 4~t~ n 5512Z,
~~lLt:~i~~:fi~a~t~.s~~ft~~ ~~it~tiv.ss:a:~~~[l~~.~~:~I~f~a~~~~i'a~C•n
y..
FC.°. C T Ty U S E ONLY
PE=.-MIT = ISSULD
c°i.'V~ nsDatT^1 - •-o^~~-1--•)
F°ES: $
-
~ -
. $ sB IYATE~ P^ ~"IT_T (Ii:CLu~DE SliRC'tEnRG:)
~3.--d LvaTER ME?TER/COPP'RF?ORN/OUTJ:D= ni,nvLR
$ W:ilER TAP (li:CLUL7E CQRYOIZA.ilCiN SiOP)
$ :1cR _
$ AccooNT LEPoszT - sE:;Ez
$ ACCOUi1T DE?OSIT - i•i:,TE3
$ ~OU. u-U Wt-1C
$ SaC
$ TR'tiiviC ~1rATt'D :15S°_55:-1E.:T
$ TRuidK SE:•;EP. ASSESSe•]rNT
$ L?,TE°4L BENEPIT/TRUNK SEi•iER
$ LATEFAL BENEFIT/TRli:vIK ?4Am°_R
$ OT?iER
$ TOTAL
$ .?6/6-~F_Z 2V40U`]T DliTD/tZECE1PT ' ~7")-
D07-S UTILIT'I CONUECTZON REQUIRE EXCF,VATION IV PUBLIC RZGiiT OF WAY?-
C YES IF YES, THEN A"PERMIT FOR [40RK SJITHIN
/ PUBLIC ROi,DWAY" MUST BE ISSUcD BY THE
I NO ENGIi]EERZP]G DIVISION. LIST AS A COiIDI-
TZON.
SliBJECT TO TFIE FOLLO'.•]ING CO.^IDITIOP'.S:
AF°ROIJED EY: l ~
TITLE:
DATz':
w s~+ w.c ~s s sa .c~ mm.m pua wmw s~06 ww w.~ W~ wM301 ~sq aa i.c wse si+ wbm ~WAR f r w. ~
PERMIT# ' I 1~S l RECEIPTDATE:
USIDENTIAI. PLUM$INfl ~ERMiT APP11CATION
crrY oF EAsLAv
S$SO fILOT KNOB fiD
EA6ikN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 3/-zr GUesfbu2y WAv rt?Cj ~N A1 S sia3
OWNER NAME: : 1SAVIY10Ylo QVIGI _7~ F/PS4" RPI/IA?fLTELEPHONE &5J~p
(AREA CODE)
INSTALLER NAME: fiA-V/YIOo(t ~PI/1GYfZ TELEPHONE Iv SI - lo 7A- 716
/
STREET ADDRESS: ~?ol? (AREA CODE)
~P,S / r~vQV Gll~l~
CITY: QqA/ STATE: 14 N Zlp: 5 S
Place a check mark next to the ermit wark t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
V Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: j /15'kl 11 / DU9er le ?C / bQ-hr00?h
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge n i 50
~ ~
Total JAN 2 3 2001 ~u g$O. SU
Reminder: Be sure to schedule inspections of alteretions, i.e. gtpr heaters, water softe ers, etc.
I herebyacknowledge that I have read lhis application, state thal the information is wrrect, and agree lo comply with all applicable Cily of Eagan ordinances. It
is the applicanCs responsibility lo nofify the propeAy owner ihat Ihe Cityof Eagan assumes no liability (or any damages caused by lhe Gtyduring its normal
operahonal and mainlenance ac6vities lo the facililies wnstructed under this permit within City propertylright-of-way/easement.
::n~. P"~
SIGNATURE OF PERMITTEE
Updated 1101
4 0 `4
2007 RESIDENTIAL MECHANICAL rERMiT .aPrLicATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc completc (or. singlc family dwellings & lownhomes/condos when permi[5 arc required for each unil
Date/I / b 7
Site Address Unit #
Proper[y Owner 1- Telephone # 1~5 /6
Contractor
- O'Connor's One Hour
Street Address 1904 Vemvllion St. C~~y
Hastings, MN 55033
State Telephone q( la S'/ )~37-~/7 -7
Bondu: IZLIgw 7lo8-' Expires: --/o/da S"
The Applicant is _ Owner ? Con[rac[or _ Other
Fire repair (replace burned out appliances, duc[work, etc) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling uni[ $ 50.00
? furnace _Additional ? Replacement _ New
air exchanger
air cor.ditioner
heat pump
other
State Surcharge $ .50
Total $ SQ ,
I hereby apply for a Residential Mechanical Permit and acknowledge [hat the information is complete and a
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha ~r h i o
permit, but only an application for a permit, and work is not to start without a permit; that the work will n accordance wit the D
approved plan in the case of work which requires a review and approval of plans. ND ~ Q,~ 2007
~?sy l..~v
Applicants PrintedName AppP' ant's gnature Y__._
S~SD
~ ForOffice lJse I
City of EapIl I Permita. L7 J-~ I
I
~ Pertnit Fee:
3830 Pilot Knob Road i i
Eagan MN 55122 I Date Received: ~
Phone: (651) 675-5675
i i
Fax:(551)675-5694 j i
2008 MECHANICAL PERMIT APPLICA N1UL 2 4 2008
Date: ~ b ~ Site Address:
Tenant: BY
RESIDENT/OWNER Name: Phone&5 /-go-i3C4:,
Address / City / Zip: ~,)~-5r8(.t4
CONTRACTOR Name:L.wt_ ~.4 iP_ License R LT 6_9S'-4(o':2-
Address.
City: AA 5-r, N* $ State: ~ Zip: _:6~0.3 3
Phone: 657J"77 4/77 Contact Person: i-
TYPEOFWORK -New Replacement _Additional _Alteration _Demolition
~~4c~ ~~G ?1 ~i~ t'~ 1~y5rC~2 c~
. Description of work:
NOTE: 8oth roof mounted artd'ground mounted mechanical equipment is required to r
' be soreeued by City,Code.. P/ease contact the Mechanical lnspector or one of the
Planners for.'information on ermitted screenin methods. PERMIT TYPE RESIDENTIAL COMMERClAL
Furnace - New Construction _ Interior Improvement
~ Av Conditioner _ Install Pipinq _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
' HVAC units must be screened
_ Heat Pump Under I Above ground Tank Install 1_ Remove)
Other ° When installing/removing tankisj, call tor inspection by Flre
Marshal and Plum6in Ins ctor
RESIDENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (inciudes $.50 State Surcharge)
$90.50 Fif@ f@p8if (replace bumed out appliances, duc[work, etc.) (inCludeS $.50 State SurCharge)
$ Sb -50 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x t°i,
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee - If PgrLns Fee is less than $1,000, surcharge is $ 50
- If Pertni Fee is> $1,000, surcharge increases by $.50 for each S[ate Surcharge
$1,000 Pertnit Fee (i.e. a 51,00142,000 Permit Fee requires a$1.00 surcharge).
' $ TOTAL FEE
I hereby acknowledqe that this infcrmanon is complete and accurate; Ihat the work will be in conformance with the ordmances and coCes of Ihe Ciry of Eagan, that
I understand this is not a pertnrt, but only an applicahon for a permit, and work is not to start wrthom a permit, that Ihe work will be m accordance vn[h the approved
plan m[he e of work which requires a review and approval of plans.
X eoA X /-K4
ApplicanYs Printed Name LR//_ Applicant's Signature
FOR OFFICE USE 'Reviewed'By: Date:'
Required Inspections: Under Ground' 'Aough fn .-_Air Test' ~ _Gas Service Test ,:_In.-floor Heat Fin'al ,
' ' .
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I I
Permit
City of Ea a '}00
~
4 11100
el R I Permit Fee: i I
3830 Pilot Knob Road I 3 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ` "Z3._ZCJi 3 Site Address: P0• I'Ll UnitM
Name: Jy1E'~'~/1/J~SC' Phone:
Resident/
Owner Address / City / Zip: ~C~~~ ~it/LSfbV r y ~'(/c>r/ GfG9m 41411 S
Applicant is: Owner Contractor
I
Type of Work Description of work: i4 at,- X411 cTJ jc
Construction Cost: 0c~, Multi-Family Building: (Yes / No )
i
i Company: / ( S Ty^(~~ P T Contact: ~(Z t )"Y-,C,, eJ
Contractor Address: UGC 0 r~ _,iY City: l~l P l~ k 14 t 4V Q
State: n Zip: / Phone:y 3) 0 -4- c/
License a Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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
p conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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. ~2
x &C~f_414V Applicant's Printed Name Applic nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171558
Date Issued:08/23/2021
Permit Category:ePermit
Site Address: 3928 Westbury Way
Lot:006 Block: 004 Addition: Westbury 4th
PID:10-83653-04-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Berhe G Meseh
3928 Westbury Way
Saint Paul MN 55123--148
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature