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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 P Q I~ . . . _ , g.5 ,Y ~ ~ • . ' . . j~i~ ~3~ ~~.lDt+~...ALv~~... •Ga ( ~:c t:>.i,.•: i„r i ~ ~ • u,! - _ I . yI~. Ml T011VI°1J OF ~ FIWti IQALf, . InCrrlnr ,iir :ilm p.Gll ~ 2 Y- [rxp.- ~1 C> _,4S . ; . 3. _.3.5/bs ~ ~.-~'o . , a. irc. nZ - )nl.rrior air f ilm 0.(,3 •i i..--~~ 2. . . - i T-' - ~ jscAc_rA _A.161~, Zq: T 9 r ~ ' I l'~~,' n 1 ~11C~•:1'i! 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O_ .oZq~.. - - - ^ ' cotivcri ~~)~~\~I~l~Vl~~1~`!~l/i~iV~~~rl~ _i?~I121'4/ 1 - - -y 1. Tnside air filtn 0.61 - - ,-~-r ? • 2- ' 3. 4. J / (1 ~ S. Ou:sic:c oir, filin 0.17 - btal 7 i~lll~<<1 `Il) 1 ~ I . . . _---=----r ~ . 1. Insidc air film 0.61 ta) 3 r - - ~ • • . . ~ . . t YCGC ilov vp .~'vcnted 3- 4- 5- • . , ' ' . ~ ~ ' Outsidc air Eil:n 0.17 Tota1 . -3 . ' ' l 1 ~ v Z. Inside air film 0.61 . • ~ -S``~~ 2 _ . a1i~.r,~.l--.~•.:_:lj'.•.^ 3- - . . . ~ o ~~s__.r~:_~..:: f~~7 ~1~.~.~.~'~.. . ~ ~ . 4_ ~;~_~?~•.•;.._.•:c:'~s jj~ Out.idc oir filir. 0.17 .otaL . . • ~ . ' ~ ~ . • • SG;I-CL;i~J ~ ?+otcs Usa addition3l ~heets if rorc opace S: necclecl for dctaiL and ealeu?aticns. i . . Hcnr ' - , -i - • ; . • :lov up • - ~ ~ • . • . • ' Irz ~P7 . . . f' . . . . , . ~ . Y r,rrrsr,~a~ ~ ; ~Rl c K - ~1RF_ ~Ld~GE °~.`;;;h;~~;:~i°:r~;;;: ~•~4t ;of t~l~o~~ur, urtll nrcn for ;.,!,,7%~`:,i s : . If-Vnlu.: ;'C:;. 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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