3944 Westbury WayCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA098311
03/21/2011
ePermit
Site Address: 3944 Westbury Way
Lot: 018 Block: 003 Addition: Westbury 4th
PID: 10-83653-180-03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet:
e -Siding
Siding
House & Garage
434 -
0
Construction Type:
Occupancy:
Comments:
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 10,600.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50
$1.50
0801.4085
9001.2195
Total:
$90.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
- Applicant -
Owner:
Todd St Mary
3944 Westbury Way
Eagan MN 55123
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
Issued By: Signature
CITY OF EAGAN WATER SERVECE PERNUT '
3830 Plbt Knob Rwd
P. O. $ox 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zoring: ' 1 No. of Units: 1
OwrNr: "YOf:L1Cr
Itiddroas:
Sib /Wdnam 3941 Gesu~ur',' Va.,iy in..S i,l:i 'v7:25~,iuT'y 't
Plun&r. oneaftsomage
Mew No.: an awgo; 500. U d
Size: - i ~ rn -ftjoY"itlpo.ft:
R,.od.r No..
I .F.. ~ cN, .f I E D 9 --:7
REQU -
Totol: 53.'1'''~ ,ri
BY Dat~ Pold: r ~
Dot~
, , IrVW6,; ;
~
CITY OF EAGAN MIR SLVM Paw
3830 Pilot Knob Road
P. O. 3ox 21199 PERMIT NO.: _
Epsn, MN 55121 p,ATE; -:-$-RS
Zoninp: No. of Units: Z
Owror:
/lddress:
5'ih Addrom _ _ y ~ _,~,..C.tili7r • It" ~.1 =i ;~r~ .,r •r_., A
Plulnbe1':
. . . J~. 3~
I Mm t+amm*1! MIh W C11y oi VMN CorrNCtton Gqp: 12 5.00! G:
Or~IM~. Aeoo«+t Orpait: 15. • p-'~
Prnnlt F..: y. d0
, Surdmwp; . 50i..~e'
BY Mtw. Chopm
Dote of I rrp.: Total:
I^sp,: DaN Pbid:
CITY OF EAGAN ! ^ ± i ~
, . s.:
~ 3830 Pilot Krab Road, P.O. Box 21-199, Eape, MN 55121
PHONE: 454-8100
eUILDiNG PERMIT Rfte+a #
c~` t~'r,r. '~;n,~•K . (if?~.J ;'ltt`'
To M r/ fw ` Est. Value • Dote 19
Site Addrea Erect QC Occupsncy
Remodel Zoning
Lot Block ~ISub. Af..'r+ Y~ i rt ? ?2 ~
Repalr ? Type of Const. j
Pareel No. Additfon ? No. Sto?ia
f'RONTIf:14 N.iDWEST H0ki-E5 Move ? i..sngth
~ Narrme D Depth b
~ A~~l 3908 SIB ri~:F'h ~1WY #r Int m'P~h ? Sq. Ft.
City KAGAN Phone 454- 0 9 3 Install ?
; • AoPro..h f"s
b` Name •,r~[~iE
Addrus Assessment Permit Y 2 •00
Wotsr 3 Sew. Suroharqe 26.00
~ City Phone
Poliu Plan Review 144•50
Name :--.J.CFLA40 t. Fin 5nC 525 . 00
W
Addross 14103 G~~i.: i' R Erq. Water Conn. 500. U CJ
t Z. City V• Phone J~-~~~ 7 Plonner Water Meter ii 3 u
Cawxil Road Unit 2bQ,{10
I heeeby ocknowlodge thot I hove rocd this opplicotion and stote thqt ' Bldg. Off. 6. 1~ 8-F Tr. PL 132°(11,`
the intwmotion is w??ect ond o9ree to comply with all appficplAe,
Stah of Min?»sota Statutss and Gty 0'f Eoyon Ordinorx4a A~
wT ~.r~ f.. , . r. Dete C es
Siprwtun of Vernwttu ~pi
. a`.,
FR N'i IgR MIDWE:~i' :~UMF:: TotaA 9
A 8ulldfnq Permlt is isswd to: an fM exprese oaditlon tho+
dl work sholl be dorw in acaordance with all o ble Stote of Minne:om Sftatwtes and City o? Eayan Ordlnonces
1r
9uildieq Offidol
>
PWmit Mo. Pwink Holda Dtb TONpho"
Plwribnw
H.vA.c.
eMee.ie a c~
~
irw.eei«, om insp. ah«
Foodrqs I
Footings II
Foundatlon
Framiny a
RooHnp .2 6
Rou9h P1bp.
Rouyh Ht9.
Inwl ~
Flreplaq
Fin.l Htg. 9
Flnal Plbg.
Final
Cw_t/Oce. Y.ZO ~ g
WatK Ohe?ibe loeation:
Wdl
SewN
Pr. DFsp.
l1tl~~~
Reaipt - MECHANICAL PERMIT Pwnit No. 'CITY OF EAOAN
FM
~ I f f l l !n num b a r e d *a c a c S/ C .St~
~
- TYPe w Print Ip1dY Tot. $ 20 .
1. Dsts 8/`'I85 2. tnstaliation Cost
n r
3. JobAddren 3544 Westaury Blk. Trsctl' 1
4. Ownw rRi)Iv TIi:it C(?~TAN IrS ~
b. Contrsctor Phone
i
8. Address 36011 ECenr.-bec lli i.vw ~
7. C'ity ga:r, State Zip
~
~
8. Building Type: Residential ~ Commercial ? Institutional ?
~
9. Work Descxiption: New.Q Add ? Alter ? Repair O j+
1
10. Desaibe ;:,tem Fuel Type =?-,turo.i gas i
11. No. Equtpffwn1 BTU - M. Ea. No. Eauioment CFM ~
_
Foroad Air
Mf9• Air Handlinq:
+
Boi Isra
Mfy Mech. Exhaust ~
.
Unit Heater hati=
_ Mfg• '
~ Other
: A{r Cond. i
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and oorrect, and I agree to
comply with all ordinanas and codes governing this tYpe of work.
Signed: for
~ Rouyh F inal
' Inspections: Date Insp. Oate Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN FN • ~.~C
P Fill in numbered spaces S/C • : ~
Type or Piin[ legib/y Tot. '
1. Date 2. Installation Cost
;
,
~
3. Job Address.~~ Lot ~ Blk. tract i
4. Owner i. • 1~.~ , r ~
- i
5. Contractor Phone
,
6. Address
7. City State Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Wark Description: New Q~ Add O Alter ? Repair ?
~
10, Describe ~
~
11. No. Fixtures No, Fixtures ~
v-- Water Closet ~
Cesspool/Drainfield j
Bath tubs Septic Tank
- Lavatory Softner
~ Shower Well
Kitchen Sink ~
Urinal/Bidet Other . • ~ ~
~ Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
~
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 : . , . 1'1 iIr' - for
--r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,6100
Rsceipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
FN
' Fi11 in numbered spaces SJC ;
Type or Print /egib/y ~
TM. ,
1. Date 2. Installation Cost - ~
3. Job Address Lot ~ Blk: : TrBCt
,
• i
4. Owner
I
5. Contractor Phone ~i
~
6. Address t
~
,
7. City ~ State Zip -
~
I
8. Building Type: Residential O Commercial ? Institutional
{i
9. Work Description: New 0 Add 0 Alter ? Repair O ~
~ 10. Describe
i
11. No, Fixtures No. Fixtures ~
i
Water Closet Cesspool/Drainfield ~
Bath tubs $eptic Tank ~
Lavatory ~ Sottner 1
" Sh0wer Well I
Kitchen Sink +
Urinal/Bidet Other 1
Laundry Tray ~
~
Floor Drains J
Drinking Ftn. I
. Slop Sink ~
Gas Piping Outlets ~
r
12, I hereby certify that the above information is true and correct, and I agree to ~
f
comply with all ordinances and codes governing this type of work. ~
Signed: for '
Rouyh Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approaed.
Approved CITY OF EAGAN 454-8100
~ INSPECTIaN RECQRD ~ CoRtrol Na:
~
, CITY OF EAGAN PERMIT TYPE: nut t n i Nfo v
I 3830 Pi1ot Knob Road Permii Number:
I Eagan, Minnesota 55123 Oate lssued:
~ (612) 681-4675 ' SITEADDRESS: LoY, 18 SLOCK, 3 APPLICANT: ~
I 3944 lEsTOURY WAY IfOht MA1t11 _ iI
~9YiWlY ~ITM (617~ 91~-lb~•
PER IT TYPE• P
I I~AASFJB r ktsa TY E OF WORK: M~w
.
~RAl1[N ki FIMAL
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Preei Na PunnM tloiNr oft ?iloom'N 0
S!W
PLUMBIN(3 ~ 0 r
HV/1C
ELEcraIc -
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k.p.ceon ow ~.r. commmoft
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Pr. 011p. _
.
- -
, CITY OF EAGAN N° 10 4 7 8
' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
BUIIDINC PERMIT PHONE: 4548100 tteceipt #
Te be uwd {er SF DWG/GAR Est.Value $52,000 pate JUNE 27 19 85
SitaAddresf 3944 WESTBURY WAY Erea C3C occur,ancv R3
Lot 1$ Black 3 SeclSub. WESTBURY QTH Remodel ? 2oning RI
Percel No. Repair ? Type of Conat. V
Atldition ? No.Stories
FRONTIER MIDWEST HOMES Move ? Lengtn 3$
= Neme Demolish ? Depth
~ Address 3908 SIB MEM HWY #E Int lmpr. ? Sq. Ft. 46
c;tY EAGAN Pha„Q 454-0433 i„scen ?
Neme $AME AVVrmah Fees
KO
ou Addrees Assezsment Permit 2 9.00
~
City Phona Water 6 Sew. Surcharge 26. ~0
?
~ Polica PlanReview 144.50
~~W„ Name RICHARD CHARLIER Firo SAG 525.00
qddress 14103 GARDENVIEW DR Erq. WaterConn ~`QQ-00
~~Z,. City A_V. Phone 432-5492 Plunner WaterMeter 63_0 0
Council Roeaumt 2R0_00
1 hercby acknowledge tMt I hove read fhit applicofion ond state thof BIdg.Off. 6/12/85 Tr. PI. 132.00
tha inlormotion is correcf and -oqree to wmply with all~a Q'1ic A~ parks
Sfate o{ Mmnesota 51ofu ~f"End Ciry ~TOrdi 6.
- ar. Date Copies
Sipnoturo of Pem+itt' FR NTIER MIDWEST HOMES Total $1,959.50
A Building Vermif Ia iuued fo: on fha axpress cordiflon lhoi
all work sholl be dorw in accordance w~ app bla ate of Min soto tu~es ond Ci1y of Eeqon Ordirqnces.
Buildinp Officiol
97?
CITV OF EAGAN Remarks
Addi[ion WF-S.TBURY /iTH AL1DN Lot 18 aik Parcel 10 8.3653 180 M
Owner $[reet - 3944 weStbU7y Wa}T 5[ate Fagan, M 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 264.20 17-61 15
e~ (p .,S 9 ~}O/(o S~. lO~.ZS J'J~
SEWER LATERAL
watermain ,S" 19 5.29 4.35 15 6 s•~Z y ,9 o i6 s z cl io
WATERMAIN 194 J`l• 4 3•45 15 p
.Uv ~~0•7 ~ /O ~S eF.S~
WATER LATEFAL
WATER AREA .2715 a o..53
water area 19 133•7 .92 1 133. 7,q rao /e,szy io/LS-l6-4'
STORM SEW TfiK u r . Iy 142.05 5 7 / p/30 /F. S2 9 /o Za- ,F}'
STORM SEW LAT -3 5 7d3 • 56 ~9 0/6 S b 7r' ~O LJ ~S~
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. n u 500-00
BUILDING PER.
10478
SAC SZ
PARK
. . ~ ~ :
1985 BIIILDING PERMIT PPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
SZ,OOO , w
To Be Used For: Single Familv Valuation: '-62-,-5~ Date: 6-11-85
Site Address: 3944 Westburv WaV OFFICE OSE ONLY
Lot: 18_ Block 3_ Sect/Sub Erect X Occupancy R-3
Remodel Zoning 9-I '
Parcel # U,les bury Fourth Addition Repair _ Type of Const ~
Enlarge f! of Stories
Owner Michael Griesaraber Move _ Length 38
Demolish Depth 4(o
Address ._1313 W. Mavnard Dr. 9643 Grade _ Sq Ft
City/Zip Code St. Paul. MN 55116
Contractor Frontier Midwest Homes corp. APPROVALS
Address 3908 Sibley Memorial Hwy. IIE Assessments Permit 209-"''
Water/Sewer Surcharge 't1o.
City/Zip Code EBqan, MN 55122 Police Plan Review 74 4=
Fire SAC 525.
Phone # 454-0433 Engr Water Conn Soo.
Planner Water Meter _6 3'°'^
Arch./Engr Richard ChaTlier Council' Road Unit 280.`-°
Bldg Offy-11 Parks
Address 14103 Gardenview Dr. AV APC Treatment P1
Variance q c,
Phone 71 432-5492 TOiAL ~~/'S Sd
24 x 3~ ° g~¢ K Sq- °¢cac~s~
20 ~ 44a x ' ~ ~ 4~40 •
S ~ 4~~
SURVEYING Certifrcate For:
~ E33908 MA House
SERe~oces
S+btey Memorial Highway FrOfIpieP M ~~W'~°5~
Eagan, Minnesota 55122 Phone (612) 452-3077 Corpo~.~~don
7
Madel- UARTFoRO -
. y l.,l E~'T F.~ Y ~J AY
-N- N8~'~5~ lo'E y C)
a
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il i S~ o ~~3"IS m
':~2CAL_E : 1_ 4.0 8 ~ M
yY
°1 I___HO__ T
~ I Iry N ~'p~N ~O}
' IB.o \0.0 I
i ~ 36. 14.~01 O
l.o I ri ~ I %8'14.0 I
~ LdT16 I I7RA~NPGE 0
~ ~~uTi~i~Y ~ O
5 EASM 7. o I~
N
I- ~ - - m^$
GS•00
?>9° 55' 10° W
LEGFND- PROPOSED GARAGE FLOOR ELEVATlON= S 4.0
0 Lenotes Iren tlax,r.ent PROPOSFD Iop of Block F_LEVAIlONa ~1y.3
m lknoies WoW Hub Set PROPOSED BASEMENT FLODR ELEVAT ION= 811.3
x 811.5 Denotes Existirp Spci Elevat ian
NoT S"O~""~ NOTEVerify all f(oor heiyhts with Fina! House Plans.
~~Llenotes Propos~ S~it E/evvt+on
Denotes Dra i nage D i rec t i on -&RVEYQRS CERTIF( CQl I OiV
P~~ 1 hereby cerYily Ihei this survey, plan or report
was Freprcd by me or wrier my d i rec t superv i s i m
LUi IS ELOCK 3 ard thaf I am a duly Registercd Lard Surveyor
q"t ~DO ~TIa~ Lirder tM faws of /fh~f~ e State of Ninresofa.
accordirr~ to ihe recorded plat ihereo/, ~`-l' Oate: 5/31 /SS
0aI ~~kala Coun,'y, Yimesota q'ayre D. Cordes, Minn. Reg. No. 14575
l~'~'SrI~ ~0
WAYNE D.
= CORDES j =
146
75 - ; s
Cities Di i~ tal Quality Control
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' PERMIT C°n' ° 116 2
~ CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: eurLozive
Eagan, Minnesota 55123 Permit Number: 001594
(612) 681-4675 Date Issued: 10 / 0 8/ 9 2
SITE ADDRESS:
3944 WESTBURY WAY
LOT: 18 BLOCK: 3
WESTBURY 4TH
DESCRIPTION:
Buildiog Permit Type BASEMENT FINISH
Building'Work Type NEW
UBC Occupanby R-3
i •
i
u
REMARKS: C o~ I~J I (
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
KOHL MARY
3944 WESTBURY WAY
EHGAN MN 55123
(612)370-9508
I hereby acknow].edge thaC I have read this application and state thaC the
inYormation is correct and agree to comply with a11 applicable State of Mn.
Statutes and City of Eagan Ordinances.
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APPLICANT/PEFMITEE SIGNATURE -ISSUED B . 51 NATU'
PERMIT.# • CITY OF EAGAN $gz, rD
REnt7ivA7E _ 1992 BUILDING PERMIT APPLICATION
681-4675 o c1 0? R~co.
~
SINGLE 5 MULTi-rrAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typiny of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 10 Valuation of work
Site Address:
STREET ~ SUI7E N
Tenant Name: (commercial only)
IAT BIACK SUSD. tU , IV&M.t 7 Y.I.D. N
W t IV
Descri tion of work: n,Sh -lni,.ar )PVVI
The applicant is: -J.'Owner O Contractor ? Other (Desertbe)
Name ~f:~j m/,` r^l a Phm-. e 7 = C'.Q'-~1 r
Rcoperty L.ST ?,RS, ~ r_)zq _71C-' - 1~
Owner Address 3~l1LJL'OSA iri A
STREE7 STE R
City r1 State mx! Zip
~
Company _ Co Phone
COntFBCtOf Address ~J License k Exp.
City State Zip
Company C-160 Phone
Arch(tect/
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer h water permits is two days once area has been approved.
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.
Signature of Appl icant: / / ~O/Il/
.J
J
OFFICE USE ONLY
BUILDING PERMIT TYPE
-
O 01 Foundation ~ 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 8-Plex 11 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
6 31 New ? 33 Alteratfons ? 35 Tenant Finish ? 31 Demolish
O 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
/ af Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage AC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O Site ? Footing . ? Framing ? Insulation
? iiallboard ? Final O Oraintile ? Fireplace
Fermit Fee Veluttm: $
Surcharge ~
Plan Review
License
MWCC SAC
Lity SAC
Mater Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
n c,~~ 1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
\ ~ CITY OF EAGAN
~ 3830 PII.OT KNOB RD - 55122
(651) 681-4675
New Construction Requirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fnd design, etc.) • 1 site surveys (e)cterior addilions 8 decks)
• 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies oi tree preservation plan if lot platted after 711193
requiretl: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: ~ SUBD./P.I.D. V v L)'1 VJ li~~"1 l~
Name: Phone
PROPERTY Lazt First
OWNER
Street Address:
City CJT~~ P~~ _ S[are: ~k3 Zip:
.~e?tlo~~
Com any: , Phone
CONTRACTOR ' q
C~~ p.
Sne Ac{dre ~'^^ss:~tn, u1:, 1,! 55h25 License# Ex
_ (C 1 ~ ' ~ V " U u ,3
City
- - L' - State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address
changi; and lot change is requested once permit is issued.
I here7y acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: " -
OFFICE USE ONLY SEP I 5:-~ ~
Certificates of Survey Received = Yes = No ~ n
Tree Preservation Plan Received Yes No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.ILodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
cE r:EE 4 ;L 1 r:Fcnx M . A TIoN
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System '
Length sq. ft. Ciry Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation; $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded. ~
Other Copies ' •
Total:
% SAC
SAC Units
LBL ~ CITY OF EAGAN CITY USE ONLY
pLUMBING
SUBD.I,c/~rU~sati.w PERMIT
_ (612) 681-4675 RECEIPT
DATE 16 9
&EBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00
y}-~~ ~f IAVATORY 3.00
OWNER NAME: !~_K:tt^u KITCHEN SINK 3.00
J ^.I IAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
' ROUGH OPENINGS 1.50
ADDRESS: _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE _ W. TURNAROUND 15.00
STATE SURCHARGE .50
SIGNATURE OF YERMITTEE TOTAL: S I~l.fl~i
COMMERCIAL
PLEP.SE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BU7LDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
~
.
z/aa
CZTY OF EAG.aN
APPLICATIOPI FOR PERMIT
SEWER AND/OR WATER CONUECTIOrT
(PLEASE PAIHi)
PM-°~`-' ACDr=--`5= 3944 Westbury Way
rFr''L D=S,=pTTCN: 18/3 Westburv Fourth Addition
(Ior/Block/SL:ivisicn or Tai ?:scei I.D.
i LS=-,Lr1Tr.:r DA27 OC CIRT_.ri1^.lr1L L1JIL:ING
, P ,..411V^_%. Gcr.c=- L'S: i = =ytTr-, ` 'e=' .
( ? R-2 L'vc~.i L;?Z:S) \
? P, 3 ~T•\~.lYiCF ~i^"_' ~ - L~IIiC/ I iJt:~~.=.J
? .-4 ~`:.a:T2'^.:?'~CV:.Z,i.iTr~.til ~ GiVi_J)
? cc:.~~c_-~,~~~L~e~= T~-
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2) i-??-7 'T (PLE:,sE vRtNr)
Frontier Midwest Homes Corporafion
Ai°`SS= 3908 Sibley Memorial Hwy. B1dg.,E
C=, S^:'=- , ZI?: Eaqan, MN. 55122 -
P~ONE: 454-0433 -
3) FL:.:.?ni"iE= Star Plumbinq (PLEAS: PR1N1) FOR CITY fJSE OYLY
-
PLU9BERS L CE~YSE:
FDD?.ESS: 1018 Mound Springs Ter. cci~
CIiY, STa ZI°: Bloominqton, MN. 55420 Esp'red
MA~i-r t o~ Retord
PhOVE: 884-4149 PLusaEa LF[E;~Se # 3329
" :nt: 5i
4) (Xi::[,?F=:T/C!•ic?Ei2 (PLEASE PR1!1I)
NAME: Michael Griesgraber
ADDRESS: 1313 W. Mavnard Dr. f643
CIT^!, STAT:, ZIP; St. Paul, Mn 55116
PFO`E: 698-1828
5) Ic?DIC.TE' :4HICH PE.4i•SIT IS BEZi:C REQ[J:'SI'r.~D;
~ COr.TrECPIOV TO CIZ^! SLrj= Please mail gold copy to
~ CCCRNFECrIGy 'in CiTI DrATER Wenzel Mechanical
3600 Kennebec Dr.
? GM'-ER (P? E`--- D =-~C:'ILE) Eaaan, MN. 55122
6) U:DIG=- C:: : •
. ? PM`SE E?OID ?.PP:?Cn/FD PE.4.`.11-T FOR PI,~GK-L'+ BY Q:'E OF t1EG%'E
~ ~°TW iSc :•?aI APP??OV~ PP_~LIT TJ 1. Y(2 J 3, 4 AuOVE
~b~~ • (Ci`~e one)
7) SI,iL:4.: DATE:
olia.all,?JS! r a!~:aa.:a f~ ~ r+a-a s:aa 1~ I~s~:s:~ a ue ~~cEy1~-si ~ rs s'ar~,~ y
FOR C I T Y US E ON i,Y
P°P~%tIT - ?SSUED
$
"RPl_ (Ii:Ci'uDE Su~C`.:P,~Gc)
WATER METER/COPnEpHORN/OUTS?D? REA,r,-E?
S WAT:B TAP (INCLUDE COBPORn1T_QN STO?)
5 S::icR TA?
$ = -C~i::._ ..:r~S_= - cc..=3
$ (S~ ACCOli`:T DFPC:SIT' - :•i?.T=R
$ W ;C
$ SAC
$ TRli`IK I4pT°R ASSESS::=^
$ TRu:dK S'c::ER ASSESS:i°_ciT
$ L`nTEP.nL BL:'iLC ZT/TRLN(( SE?:~$
S L:1Tr.2aL BE\EFIT/T:?UNK '.'7nTra
$ /31•°~ .
WATER TREATPfENT PL4:\T SURCHARGE
S OTHER:
$ T0; ~L
$ E~ ~d/~.SU AMOU`:T PAI.^l/R-C°i.-
DOES UTILIT'1 COP::IECTION REQUIP.E EXC.1VATION I.I PU6LIC RIGiiT OF WAY?
IF YES, THEP7 n"PE3D}IT FOR WORS WITHIN
PU&LIC ROADWAY" MUST BE ZSSliED BY TY.E
NO ENGZ:]EERZNG DIVISZON. LIST AS A CONDI-
TION.
SliEJEC': TO THc FOLLOS9ING CONDZTIONS: •
APPROVED BY:
TI.:,E: '
DAT°_:
wm m,,m Nr w w m-,w w w w wm% sM I. w
January 13, 1986
Marshall G. Oakes
Frontier Midwest Homes Cotp.
3908 Sibley Memoiial Highway
Building E
Eagan, MN 55122
Dear Mz. Oakes:
I have enclosed photos of my qarage floor which clearly show the
damage from recent fzost heave. The entize flooz is czacked £LOnt to
back and side to side. These cracks appeared in mid-December after a
brief warm spell. The temperatuie fell to 29 below zero a couple of
days latez and the cracks enlazged so that some of them are nearly
1/4 inch wide. Also the floor is heaved up as much as 3 inches in
the center of the garage.
The subsoil undex the garage is puie clay and was very wet at the
time the cement floor was poured last September. Possibility thete
was insufficient sand or gcavel base put down before the cement was
poured.
According to the building permit (#10478) the foundation was
inspected on 9/20J85, however, it is not clear if the flooz was
poured then or not.
In any event the floor is a total disaster and I would like it
replaced under the terms of the New Home Warranty.
Could you please provide me with a written notice of the date foz the
replacement so I can make arcangements to clean out my belongings
before the wozk crew arrive.
I think it would be best if the work were done while the ground under
the dziveway is still frozen otherwise the heavy trucks might ruin
the dziveway in the process of removal and replacement of the gazage
floor.
Thank you for your prompt attention to this matter.
Sincezely,
Michael J. Griesgraber ~~l -3 v~9Srb~ Ry 9
3944 Westbury Way
Eagan, MN 55123
. • ~ '
Mazshall L. Oakes
January 13, 1986
Page Two
P.S. I believe the shingles were also impropezly installed. A
large number of them blew off on Satutday during the high
wind. I retzieved several and noticed that a protective
plastic strip was still covering the adhesive strip on the
undecside of the shingles. The adhesive stzip is designed
to bond each shingle to the one under it. This can't occur
if the protective strip is not removed first. My entire
zoof appears to have been incorrectly installed.
cc: Veterans Administration
Fedezal Building
Fort Snelling, MN 55111
City of Eagan
Building Inspection Department
3830 Pilot Knob Rd.
Eagan, MN 55122
Attention: Dale Peterson
.
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City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA097469
Date Issued: 12/17/2010
Permit Category: ePermit
Site Address: 3944 Westbury Way
Lot: 018 Block: 003 Addition: Westbury 4th
PID: 10-83653-180-03
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total:
$90.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
- Applicant -
Owner:
Todd St Mary
3944 Westbury Way
Eagan MN 55123
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
Issued By: Signature
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 4 / 6 / 12
r
R7 -CEI ED
APP 117017
2011
Use BLUE or BLACK Ink
For Office Use /�
Permit #: / 0 rifoq
Permit Fee: (,00' -'
Date Received: L-(,1 1 -/2 -
Staff: /7 -
Staff:
2012 MECHANICAL PERMIT APPLICATION
Site Address:
Tenant: Mary St . Mary
3944 Westbury Way
4(7
Suite #:
'RESJDENT 1 OWNER.:
Name: Mary St . Mary Phone: 651-687-0225
Address/City/Zip:3944 Westbury Way, Eagan, MN 55123
......... . .
Name: K&S Heating, Air Conditioning & Plumbing LLC License #: 0153
Address: 4205 Hwy 14 W City: Rochester
State: MN Zip: 55901 Phone: (507) 282-4328
Contact: Heidi J Brown Email: hbrown@ksheating.com
TYPE OF WORK ::
New XX Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mechanicalequi equipment required to be screened by
g g City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
PERMIT TY
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
X2,_ Air Conditioner
Air Exchanger
Install Piping Processed
_
Gas Exterior HVAC Unit
Heat Pump
^
Under / Above ground Tank (___. Install / Remove)
Other
_ _
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (Includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ 6 0.0 0 TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes
(includes $5.00 State Surcharge)
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge Increases by $.50 for each $1,000
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
$ Surcharge
- If the Permit Fee Is > $10,010,
Permit Fee
= $ TOTAL FEE
(Le. a $10,010-$11,010 Permit
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.nopherstateonecall.orq
1 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.
Rick Keehn
Applicant's Printed Name
Applicant's Signature
OFFICE CE US
FOR
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test :.` Gas Service Test:::: In -floor Heat :Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167911
Date Issued:04/02/2021
Permit Category:ePermit
Site Address: 3944 Westbury Way
Lot:018 Block: 003 Addition: Westbury 4th
PID:10-83653-03-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Todd & Mary Beth St Mary
3944 Westbury Way
Saint Paul MN 55123--146
Millersberg Construction Llc
P.O. Box 155
Dundas MN 55019
(507) 301-3626
Applicant/Permitee: Signature Issued By: Signature