3933 Westbury Way
CITY OF EAGAN ~ mvm pnmn'
3830 Pilot Koob Road
P. O. Boz 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zanieq: No. of Unitc -
Ownw?: = U ~-i c i ):1 tiw'S t-
Addroos: -
' Sttt Addrets: `'r•, ` _ , ,
Plunber.
I M~ 1r owyly wbb tY G1p oF lqpn Coruwetion Chope: -
OrdingneM. /loooiwk Depait:
P+mrn+lt Fw:
Surdharge:
By Mbe. Chorgm
Doft of Irnp.: Totol:
Irhp.: Oah Pbid:
~ CITY OF EAGAN WATER SERVICE PERMIT ~
~ 3830 Pilot Knob Road 6663 '
P. O,Box 21199 PERMIT NO.: ~ Eppn, MN 55121 , . OIXE:
.2, ~,LL~
ZOfflf1Q: . 1 ! aCw OF v~~R 1 I
OwrMr: rUCltlt'Y' H1<'Er>- ~
~"ys.f.,.{~' /Iddhm - J - I
:r'n
Sih /~ddns: 3933
Plunfber. EEKPOI 2° U ~
AAehr No=- 3 S U R' 9.~ Canrnctian Chaw:
Sit1: AOOOtM1t QlpOsit: • ' i
~ Reoda No.: - 0~ I17 qi7 '74 5 Permit Fes:
I 1som to 40001* wok eM Ci1r .i E.P¦ Surohorp.; .50pd
I AamenaL Miac. Chorgt: 132.001.x] i'P
Toral: a.
I sr ,~bX4ky7-oae aow: ;
Dme of Intp.: ~ Irnp,• I
71715=-
1
CITY OF EAGAN
• ' 3630 Pilot Kno6 Road, P.O. Box 21•199, Eayan, MN 55121
PHONE: 4548100
~ eU1LDING PERMtT a~ipt #
To re w~d tM : F ; Est. Value 0 Date 19
Site Address 3 M`; R Y Fti".%y'Y Erect 0 Occupancy
Lot ~ Block 1 Sec/Sub. WF..;Ti"; 4Remodal ? Zoning • 1
Repair ? Type of Conct.
PwcQl No' AddRion ? No. Stories
Move ? Length
Nsme _ DemoHsh ? Depth
~ Address Int Impr. ? Sq. Ft.
City Phone 4 5 4 Inatall O
Aporovals F~
~ Name . , U i . _ ~
Addrm Asseument Permit
City Phone Woter a 5ew. Surcharye
Police Plan Reylew G. 5•'J
Neme !_J 1"` Firt SAC `-,25.00
tu Addres~ - } F. .'I I t Enp. Weter Conn U a Q
~W City Phone t~ Plonner Water Metar G 3 f-I
Councll Roed UnR %8 0 C.
I hereby ocknowtedge thot 1 hove rood this appliwtion ond stote thot Bldg. Off. Tc PL 32 •au
the inlormotion is oonect ond oyree to comply with all applicable
A~
Stnte of Minnesoto Stotutes ond Clty of Eagon Ordinonces. Perks
Var. Dste Copies
Slpnafuro of Pennitte* 7otal
A Bulldinq Permit Is Isswd to: on Nn express conditlw? that
oll work sholl be dorN in ocoordonu with all applicoble Stote of Minnesoto Stotutes ond City of Eoyon Ordinonces.
Buildirq Off iclal '
~ PKrnit No. Pwtnk HoWw Doq TNWpho~~ s
S-
N.vA.c-
EMatrfe ~ ~ /oJia la . c-0
:ottwMr
Irspeetion Daa Insp. OthK
Footirqs I
Footings II
foundatlOe ~ 5,- Cc,' 4
F?arninp
RooMnq
Rough Plbp.
ROUph Htg.
InsuL ~s
Finplap
Final Fita. ••r : j ~~1~)
, Flnd Plba.
Flnsl
C~?f/Ooc. ~~S U-C,p (
Wotw Dhcri6e Location:
1MN1
Sewer
Or. D~~R
~
Receipt PLUMBING PERMIT Parmit No. '
CITY QF EAGAN -
Fae
Frll in numbered spacea S1C
~ Type or Print IegiWy
Tot
` 1. Date 2. Installation Cost
3. Job Addressir/,~ ~ T_ Blk. TracY ~ 4. Owner <ii,n'{ /
I F S. Contractor Phone
6. Address
7. City : . ; State Zip ~ ~ ~ •
Building Type: Residential Commercial ? Institutional O
9. Work Description: New ~I Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
_ Water CVoset Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
UrinaUBidet Other ' ;41"
' Laundry Tray
; Floor Drains
Drinking Ftn. ~
Slop Sink
Gas Piping Outlets 1
~
I
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
_ - -
R"ipt ; MECHANICAL PERMIT Pwmit No. TT
CITY OF EAGAN -
. FM
Fll! fn nurnbard rpeca S/C 'i_
7YPe ar Prira lwibty To`
1. Oat~ 1012/85 2.InsssllationCon `;.R~ut~.~',C)
3. JobAddras 3933 Westbnr; •1.bt f Blk. ' Tkm _
~
; 4. pyyrw Frontfe~r Compsn.ies
I r S. Phone 14 52- 'i6.`.)
6. Addlu 3A0 kF: Jrire
; 7. qty E:a~~ State ZIp
>
8. Buildinp Typs: Residential%C.pu~: Commereiat 11 Institutional ?
9. Work Oescxiption: New „U- Ad4 ? Alter ? Rapair 0
~
10. Dssvibe nrsatins: s' <,zC:u Fuel Type qAturdl
T
11. No• F.DUjpm9pi 9TU - M. Ea. Na• Eauiomant CFM
Forced Air .-aue
Air HandlIng:
Mfg. ~0
' Boilea
ti Mech. Exhaust
Mfy.
~ Unit Heater
Mfg• Other
` Air Cond.
AAfg, .
i~ Gas, Piping Outlets
.r
it
~
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 :
~ r.. ' 1 1.~ `fOf
~ Rough F inal
k' Inspections: Date Insp. Date Insp.
This is your permit when numbered and approaed.
` Approved CITY OF EAGAN 454-8100
~
r
_ ; . : .
PERMIT #
MECHAHICAL PERMIT RECEIPT # -L'L
CITII OF EA(3AN 3830 PILOT KNOB ROAD, EAGAN, MN 55127 DATE `F 7
CONTRACT PRICE $10OU. OG PHONE: 454-8100
SiteAddress ~'s ur;,,~y I
BLDG. TYPE WORK DESCRIPTION ~
Lot Btxk SeclSub
, Res. New
m Name MechLnicui_ Mult Add-on
Address 3600 Kennebec Drivt!
~+r
~ e~ Eagan Phone 45~-1565 R
Name ~~11ke "iant - FEES
; Address same as above
RES. HVAC 0-100 M BTU - $24.0p ,
p Ciry Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON A4R COND. 0-24 8TU - 12.00
T11PE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00
" AitCond. 1~ M BTtt STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PFifCE GOES °
Vent CFM gE1rOND $1,000.00)
Gas Piping Outlets #
Other
FEE
~
S/C: • 5U SIGNATURE OF PERMITTEJE
5U ~~lf
TOTAL•
FOR: CITY OF EAGAN
~
, CITY OF EAGAN N° 10 9 3 4
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receipr #
Te M vaed lor SF DWG/GAR Est. Value $56,000 pate SEPTEMBER 10 ly 85
Sitenddress 3933 WESTBURY WAY Erect Is OccuPancy R3
Lot 7 Block 1 Sec/Su6. WESTBURY 4TH Remodel ? Zoning R1
Parcel No. F7epair ? Type of Const,
Addition ? No. Stories
m ame FRONTIER MIDWEST HOMES CORPMove ? Lenytn 38
N
Demolish ? Depth
Z Address 3908 SIB MEM HWY #E 46
~ Int Impc ? Sq. Ft.
city EAGAN pnone 454-0433 Install O
~ SAME AVDrovals Faes
o Name
ou Address Assessment Permit ~ 3 •~0
u~ City Phone ~?ater 8 Sew. Surcharge 28.00
, ~ Police Plan Review 150. 50
w Neme RICHARD CHARLIER Fire SAC 525.00
u~ Address 14103 GARDENVIEW CT Enq. watarCOnn. 500.00
~W City A_V_ Phone 432-5492 plonner WeterMeter fi .00
Council Roatl Unit 280. 00
1 hereby acknowiedge thaf I have read this opDlication and stote that gldg. Off. 9/1 O/HS Tr. PI. 132 .00
the in(ormotion Is correct and ogree to comply with oll applicable APC 51ota of Minnesoto Stotute~s or}A City of ~o9on Ordinon es. Parks
Var. Date CopieS
Sipnature of Permittee ~51,979.50
FRON ER MIDWEST HOMES CORP Tota~
A Bullding Permit is issued fo: on fhe express conditlon ihoi
uli work shall be dorx in ac<ordante with oll o~(ppJIico~ble State of Min ewfo Statutes and Ci1y of Eopon Ordinances.
Buildinp Of4iciol /~k-i~' .~L-~
CITY OF EAGAN Remarks
Addition WESTBi1RV 4mu ADDN Lot ? BIkTParcel
Owner Sveet 3933 weStbLLT'Y Way Stare Eagan? WN12
Improvement Date Amount Annual Vears Paymen[ fteceipt Date
STREETSURF.
STREET RESTOR.
GFiADING
SANSEWTRUNK 93/ 19g5 264.20 1.61 1 ~v•.s /.~O~~a ],j io~YL b5
SEWER LATERAL
w ~ Gs, zy /a-o 16 v73 ,o /zz/si'
WATERMAIN ,12 „j'D /la/(c 73 ia aa,f~
WATEF LATERAL
WATER AREA ny 13972 9•27 /,2m,53 HO /(n 5173 /zz~gr-
water area Wy 7 19g 133. ~ 8.92 1 133, 79 F+oi6 4/~3 ,o%2/t~
STORMSEWTRK ,c~ -7/Q/~O/G,y7.3 /p/J
STORM SEW LAT g g 7 3, 4173 ~d6 L,(S,~
CUFB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 55277 9 10 85
WATER CONN. 500.00 " "
BUILDING PER. 10934
SAC
PARK
RESIDENTIAL cD 7S'
~ `~t~ BUILDING PERMIT APPLICATION ~
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Canstruetion Reaufremenb RemodellReoair Reauirements
• 3 registered sde surveys showing sq. ft. of IoL sq. fl. o( house: and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 7 set o( Energy Calculations for heated addihons
• 2 capies of plan showing bearn 8 wmdow s¢es: poured found desgn, etc.) • 1 site survey for exterior additions 8 decks
• 1 set o( Eneryy Calculations . IMicate it home served by septic system for addiUons
• 3 copies af Tree Preservation Plan H lot plaGed after 711/93
• Rim Joist DelaY Options selection sheet (bldgs wiN 3 or less units)
DATE - 0 Z. VALUATION
SITEADDRESS \393.36k)esTi3t,Rv Le14V MULTI-FAMILYBLDG _Y _N
TYPE OF WORK ~;a -SiD e FIREPLACE(S) _ 0_ 1_ 2
APPLICANT~~CodE ;PnaF..ua ~4414( SiI)i.u~
STREET ADDRESS ~o,i$~1 ~',dEJV?i1IE b/vD 3&iT 130 CITYFDJr,u &rQrt STATE*f d[ZIP dW3 yG.
TELEPHONE # 75-07 •S7S~Sa3SCELL PHONE # FAX # 9S~~S9y-/3~8f1
PROPERTYOWNERi7'CF h7~.VeY TELEPHONE#6S1- y5y o 5/3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RULES 7670 CATEGORY t MINNLS07'A NULES 7672
(4 submission type) . Residential Ventlation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitled
Plumbing Controctor: _ _ Phonc #
Plumbing system includes: Water Softener _ Iawn Sprinkler Pee $90.00
Watcr Healcr No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mcchanicil systcm includes: _ Air Conditioning Pcc: $70.00
Hcat Recovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read ihis application, state ihat ihe information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance9
Signature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg 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) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Founda[ion HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insula[ion _ Retaining Wall
Approved By , Building Inspector
-
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1 . '
. . 4~- /o
7985 BOILDING PERNIT APPLZCATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YZTH THE CITY OF EACAN
C014MERCIAL SINGLE FANILY D{iELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: S;ng1P Jamilg_ Valuation: Date: 9-5-85
Site Address 3933 Wasthiiry Wav OFFICE USE ONLY
Lot 7_ Block I_ Erect X Occupancy -
Remodel Zoning -
Parcel/Sub WPGthury Fntirth ADdition Repair T Type of Const
Addition 0 of Stories
Owner MikP~2pd Karen Manev Move ~ Length 3 a
Demolish Depth ¢(o
Address 1461 E. SQth ST,, Int.Impr. ~ Sq Ft
Install ~
City/Zip Codegloominaton. MN 55420
Phone $54-8424 APPROYALS FEES
Contractor Frontier Midwest Homes Corp. Assessments Permit
Water/Sewer ~ Surcharge
Address 3908 Siblev Mem. Hwv. #E Police Plan Review
Fire SAC Z5.
City/Zip Code Eaaan, Mn 55122 Engr Water Conn Soo,
Planner Water Meter 6
Phone 454-0433 Council--~-y~y~ Road Unit So.
Bldg Ofi?7///~~ Treatment Pl 1 2.
Arch,lEngr. Richard Charlier APC Parks
Variance Copies
Address 14103 Gardenview Ct. TOTAL
City/Zip Code Apple Vallev. MN 55124
Phone ll 432-5492
mwwc~N~+v ~7cbt~.~+. I •
. IOR ENVELOPE AV;-RAGE "ll^ COMf'IITA; ION ~-rAI~TFvti~
' - . . .
, . . _ Kwrts. 00-06 L1,.
OWNER; nnrr: 3 ~ Z •rj~~~
SITE ADDRESS: Pil01JE:
CONTRACTOR:
Determine working sGuare footage of each
"Total exposed wall area..... 1464; t Z S sq. `L. x.11 = Z,pi;, L 9
2. Total roof/ceiling area..... ;q, f?, x.026 = Z Z, B$
Total exposed wall area abnvc floor= ` vS,,Z;5
a. Total wall window area ~
. otal door area
q,~
c. Total slidin9 glass door area 3 Z
" -
~
d. Total Plreplace wall area............ _4 Z
e. Total wall framing area (average lOro),,,,,,,,,,,,,,, , ,
f. Total rim joist area I 8 S. 7
9. ~ net wall area above floor.t.tiF. ~ ~
h• wall area above floor......... "-~47 -~Q~ -
i. wall area above floor
J. frame watl area at foundation
Total exposed foundation area= y
k, Total foundation window erea.........
1. Total net foundation area above grade............
Det:rmine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a._ i1~ R "I"_~
e• x l,ull , 4 S =17
C. X ~lul, .4 5
d. X ~v„ , 3cop
e-_IF35. 73 x °u"_ - 0~ =--f5
f. t2~.5 x ~~~~,-•o.3 _ .aS
x u~,
n. x ~
t. x
x „v
k, X „u„ If item #3 is t~he, same
- as, cr less than:'item:
1~_~g• 'E 5 X"L"' I 5 = 1• ~L1 ~ ~1, You have metitne::;:
3 intent of SBC, 6006+':(,c):
. . . . . . . . . . . . . . . . . . . . . . . . . . To ta I
. ~u../ •
ahi~•;~. .,i..~.~ ~~~u~~ u w j,uL: .IU t ' Pt1[)e 2 oE 4 -
i7
Totul exuoacd rooi/ceiling nren = ~~Q
m. 7btu1 s}:yli.c;lit area
n. Total roof/ccilin, frlming area (avcrayc 104.)... ~
o. Total net insulatcd roof/cciling a.rea........... 7 A 7
. lletermine "U" valuc for each roof/cciiing seament
M. X „Ull
. n. a„~„ 2~_ - Z ~ t o. a„u.. _•O Z. _ ~ r9 ~
4 Tot-al ~ r 7. ~ 5
If total cf ;,4 is the same as, or less t:han 112, you have met :he intent of
5riC 60C16 (c) 1. .
_Alternatc Buildin Enve].oPe Desiqn ` .
' ' . ' i1_ y
7b utilize the total en'velope 'system method, the values establlslied by tlie s:vn of
items 113 and 114 shall not be greater than the siun of items I!1 and 112.
+ z. 3 (o + 4.
.~,t,.•Jl, i~j':,'i0n: unlt .,tv;, for
i:<ai:.l r,jcl Iun ',.u .i i iu : ~~.i~ 1: ~'.ilu.•
11
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sted Z. ~
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- - -y 1. Tnside air filtn 0.61
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S. Ou:sic:c oir, filin 0.17 -
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ta) 3 r - -
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4-
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2/84
CITY Ot EAGAN
,1141~ APPLICATION FOR PER~MIT
SES9ER AND/OR WATER CONNECTION
(PLEASE PRINi)
1) PPOP= ppp -~.,,-~Sc _ 3933 Ula~th ry Wav
LEG.aI. DrSG2IPTICV: ~ ~ ~ ~iPGth„ry Fourth Addition "
(Lvt/Block/SL::,aivisicn or Tati T-rcel I.D. NlarSer) ' ]'r' DATt,' 0F CRIG~--AL `u;IL^L-:G _ =%S: ISS~?\C.:
ear;
P.~SL'?' ;^`1I~;~:/P?OPOS~ C'S: ~ ~-1 S~:GLS P~~nSLY .
? R-2 DL'P= (T;a L^:ITS)
13 i2-3 1Cf,•:ti.vrrrcr (mT.= + U•TITS) { rJm:'^)
? :-4 e,2:y:,'_^f°`:T/C:.':~Ci•1~IILZ1 ( LP;ITS)
? CCi`ryIEP.CT_AI./RE~'~II?Cr 'ICy
? L1'CliST.RL%_L-
? LVSTI:LTIOJI~L/G.~"V~'_^'~;T
2) APDLIC=~NT IPLEASE PR11i(~
~-!,E; Frontier Midwest Homes Corporation
ADDRESS. _3908 Sibley Memorial Hwy. Bldg. E
CI:"_', STnTE, ZIP: Eaqan, MN. 55122 •
PFO`E: 454-0433
3) pI,"-.~~ N' (PLEASE PRINT) FOR CITY U3E 04LY
1`~~ Star Plumbinq
PDD3ES5: 1018 Mound Springs Ter. PL LIC.sSE:
aceive
CIT"f, STATE, ZIP; gloomington, MN. 55420 0 Expir d
MASicm
PHGVE: 884-4149 PLUNBEP LFCENSE H 3329 N of R cord
~
' ar,- tni[ia
4) OCC[;pp,i~]T/Cr,y'~;F~2 (PIEASE PRlNf)
Mike and Karen Manev
ADDRESS: 1461 E,&Qth St.
CITY, STATE, Zip: n MN 55420
PHONE: 854-84 4
5) INpICT,TE ;•7HICH PERi•LIT IS BEII`C~ RECUESTEp:
cn:?NECriOV TO CIT~1 SEr;ER Please mail gold copy to
ry C0:1:v'FX'TIG:1 TO CITY taATER Wenzel Mechanical
3600 Kenne6ec Dr.
E] OTIIER (PLrA.SE DESCRI-gE) Eaqan. MN. 55122
6) P,:DSC,.:. C:<c: .
• ? PT.: -SE E?OID APPRWFD PEP:1IT FOR PZCI;-L'P BY CNE OF e1BGVE
'Z' P~',SE ; aI APPRWED P&R:•tIT TJ 1,'~ 3, 4~
• (Ci`~Se one)
73 SIC?,Tt,h,: DATE':
~e wc~+<aw~~ss r e ~~~a~ a~?wosaa s~ss~:~a ~e r~ra:a~yta+~ ~rdc~~
F O R C I T Y U S E O N L Y •
PEPMIT ISSUED .
r=ES: $ 165-0 S~i•.'Eo nr.pNiTT (I_`?CL:i:): SU°C=r.3Gc.) -
$ /U SG WAT°_R PERtlIT (Ii:CiUDE SiiRC.°.,`v3GE)
S 61.Z ve, WATER METER/COPFE4HORIQ/OUTSZD : R: nD-ER
$ WATER TAP (ZNCLUDE COP.PORATIQN STOP)
$ 5:WcR TAP .
$ ACCOiiNT DF.PpSIT - S•iAT°_R
wac
$
$ ;a, spc
$ TBliVK S•7AT°R ASSES521E::T
$ TRliN?C SE:~'rER :;SS: SS:,iENT
$ LATE3nL BL'.VLt T_T/TRUNK SE?d-R
S L?.TERaL BLNLFTT/TRUNK ?'IAT°R
$ WATER TREATPENT PLANIT SURCHARGE
S OTHER:
$ ToTaL
$ SS'~•7 A:"oUNT PAITJ/FECEIPm R ~3o.s~
DO:S UTILIT! COi:NECTZON REQUIRE EYC.aVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN H"PERMZT FOR WOR'.C WZT?-IIN
POBLIC ROADWAY" MUST BE ISSUED BY TY.E
~ NO ENGINEERZr1G DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOIJING CONDITIONS: •
~
APPROVED BY: -
TZ:TE: '
DAT_°:
on.!~ .c m .m Er wtm wm w W:ft wow mcm V"w wmm i" spe mtM wt m se W_~ m±~ pa m it sw IN m
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169845
Date Issued:06/11/2021
Permit Category:ePermit
Site Address: 3933 Westbury Way
Lot:007 Block: 001 Addition: Westbury 4th
PID:10-83653-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Michael P & Karen A Maney
3933 Westbury Way
Saint Paul MN 55123--140
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature