3952 Westbury Way
~ CITY OF EAGAN SlWER SERVICE PERMR
3830 Pilot Knob Rwd
P. O. Box 21199 PERMIT NO.: '
Eagsn, MN 55121 pATE;
Z°^I^p: Na of Unils: Own.r.
Mdross:
Sitf /lddrfff: ~?52 WB9tbU.I`J W&Y I.lr: 33 We6i,l?t12'y ~*.}1
Vlumber. ;f ~ rI{ ~A i
I Mm h Mw* w11h 1V p!y oi ows Corrrctlon Chew:
O~NM~w. /ccowit pepodt;
Prrmit Fee: l SurcFwpe: _ =>0r,:
BY Miic. Chorpar
Daft of IntR: Tatol: ~
InsP•: DaM Pold:
cirY oF EaQaN WA1U SERVICE PERNIIT
3830 Pilot Knob Road
P. G. Box 21199 PERMIT NO.:
~ Epan, MN 55121 ~ 9-5- "
Zonirp:. ~ ~ w %'aM.its: 7
pwner _ Frontier, ~s.~dWcaat~r~ sF frf: I 1 i , Qj ~+~~ec
^ n
Addrmw
Slh Addha: 39W ~lY 3 ' rt r'. F'S t;1 ? 4 t rl
Plumlber St8T' Pl:l tMaD,FWALAW
Mehr No.: -4, Connnctlon Q+arpe: 5.00. 00nci
Sizs: /~i Aooount peposIt; 15. CX1Ud
Raod~r No.: 1V ~7'1 f-9 9 7~o Pennit Fee: 1' ;.Dond ~
I Nm h ee.rlp wbb Ir. Gey,d I.p. Sunho?y.:
ofdbmnom Miw. Chorpss:
Total: r, 3 -(1( dmn
BY DoM Pbld: oaft of insp.; Ins°'-
CiTY OF EAGAN 10V;
3830 Pilot Knob Rosd, P.O. Box 21-199, Eaqan, MN 55121
PHONE: 4548100 ~
eviLoINa rERMiT R«;pt #
TO M w"/ fer :;F !_!~~.,juAr Est.Volue Y6~•~0(~,^ Dote
Site Addrea = 9 52 tii L, ~.7' LUtZY WAY Erect ~ Occupancy
Lot 1 t; Block 3 sec/S„n. WESTBU;2Y 4'I'N Remodal ? Zoning :
Repeir ? Type of Const. "
Parcel No. Addkion ? No. Storiea
''PO~~i'I r r?c' "•iI _•WEST `1r)M,E~E, Move ? Lengcn
~ Nwne . Demollah ? Depth
Add.e.: ~;H;,~. HWY #r Int Impr. ? sy. Fc.
City ~'r` Phone 4 5 4. C' ' ? Instell ?
~ Name APOrovab fees
Address Assessment Permit
City Phone Woter 3 Sew. Surcharye
Police Plan Review
GM Nane „ICfiIu.. :i-iriRi tER. Flrt SAc
!Gs x~ Address J 41~. r) h, l~l• ~ ~
~ WaterConn. ~
~ W City - V Phone ~'2-54V Plonnsr Water Meter
Council Road UnR
1 hereby ocknowledye thot I hove mod this oppliwtion and stote thof Bldg. p{f. Tr. PI. J- -12
the inlormofion is COrrett and Ogree to COmply wifh oll Opplitable
Srote of Minnesoto Stotutes and City ot4aflbn Ordiaor?ces. APC Parks _
- ~ Var. Date C~~
5i~otum of Permitfeo . , ~ • . . •
- ;L.-~•~- :0 1 •4:S Total
Buildinq Pennit Is issued to: an the expoess oondition that
dl work sholl be done in ocaordonce with o11 opplimble SMte of Minnesota Statutes ond City of Eopon Ordinonces.
8uildinp Officiol ~
Pwmit No. Penmit Moldm Dsft ToIphons s
Pkwnbi. d CI
H.V.r?.c. aq r•J s~,,, r o ~
Electria j 5 i
sota~..
Impwtion DKw Insp. Othw
Footlngs 1
Footlngsll
Foundatlon
Framing
Rootlnp
RougA Plbp. O .
Rough Ma a J/ F
IMU4 k, 1
Flhplsm
FiMl Hro.
Fin.i we,g. .
F1n.1 7 4 4,', r / /
CNVOcc. ~ (
wot« Daeribe Location:
WNI
S - r~t
Pr. a.v.
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN
FN
fill in numbered spaces S/C
TYpe or Prrnt legibly ToL
1. Date 2. Installation Cost
3. Job Addresk' L`ot4 ~ Blk. Tract
/ i
4. Owner j?,e,
5. Contractor v Phone
6. Address "i,,(: 1
7. City H.a(-..,-; State Zip ~y} tz
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New -f Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
i Bath tuba Septic Tank
Lavatory Softner
~
,1!2- Shower Well ~
Kitchen Sink ~
Urinal/Bidet q
Other
Laundry Tray 7 .
Floor Drains !
Drinking Ftn. Slop Sink
Gas Piping Outlets
12. I hereby certify ihat the above information is true and correct, and I agree to ~
comply with all ordinances and codes governing this type of work.
Signed : 4111 for
Rough Final
Inspections:' Date Insp. _ Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
w . ~ ? ti.~ . • = ~~'1
cirir oF EaGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-8100 I
BUILDING PERMIT Receipt
To be used for Est Value s 1' "ju Date '`AY 1 ,19 '7 I
OFFICE USE ONLY
Site Address ~ j-
t~;;;6TBikY 4Tf1 OnSiteSewage _ Occupancy ~
LOt BIoCk ' Sec/Sub. MWCC System _ Zoning I
PBfC@I NO. On Site Well _ Type of Const
City Water _ (ACtuaq
a Name ' ~j',`•~' i.iVt;:iA. (Allowable)
_ ~ of Storiea
# Address Len9tn
° City Phone Death
S.F. Total
p N8R19 `'t- 4117 ('•,i ) Footprint S.F.
Address APPROVALS FEES
1- City Phone Assessmenta _ Permit
Q Water/Sewer _ Surcharye 1 . ; }L)
yVj W Name Police _ Plan Review
= p Address Fire _ SAC, Cfty
Enqr. _ SAC, MWCC
~ W City PhOne Planner _ Water Conn.
Councll _ Weter Meter
1 hereby acknowledye that I have read this appllcation and state Bldg. OH. _ Hoad Unit
thattheinformationiscorrectandapreetocomplywfthallapplicable APC _ TreatmentPl
State of Minnesote Statutes and City of Eagan Ordinances. Variance _ Parks
Copiea
SiynatUre Of Permittee TOTAL '
A Building Permlt Is issued to: on the express condition that
all work shall be done In accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Permit Holder Date TslephOne ~
Plumbing
H.V.A.C.
Electric
Sottener
Inspectfon Date Insp. Commonts
Footings I
Footings 11
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
I sul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Oca
Temp. LP
Deck Ftg. ,o
Deck Frmg. 4!:~OiQ,Qr C-/y~. Sf 7"_ ~
Well
Pr. Disp.
Raaipt MECHANICAL PERMIT Mrmit No.
CITY OF EACAN
FN
ffll in iwmbned spsces S/C
Type w Ptint lspidy Tat. ~
1. Date r 2. Installation Cost ~ ; i ; ~ •
. Tr. , i .
3. JobAddress A52 4es*_burv Lot Blk. 3 Tract - ~
4. O1Mflw Y i0!iL:.tY C.n$y&llik:2. ~
C y~~ p~ c 7 i s(
7. Wf~~~.~i/~ rllone
8. Addrea :)z•ive
7. Gty _ . Sua 2ip ~ • ~
8. Buildiny Type: Rasidential AB Commercisl ? Institutional El
9. Work Desaiption: New Add O Altsr O Repair ?
10. Desaibe "ic .,:t 5~ FuelType
11. N~ Equjpmept BTU - M. Ea. No. Equipment CFM
Forcad Air
Air Handling:
Mfg.
, i, _._.Y1_ . .
BOIIQfS
Mf9 Mech. Exhaust
•
Unit Fbater
Mfg. Other
Air Cond.
Mfg.
Gn, Rping Outlets
12. I heroby certify that the sbow information is true and correct, and I aqree to
oomply with all ordinances and oodes goveminy this type of work.
Sign°d ' for
Rouph Flnsl
Inspaction:: Oata Insp. Date Insp.
This is your permit whsn numbered and approved.
Approved CITY OF EAGAN 4644100
~I
, CITY OF EAGAN N°_ 10 8 9 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDIN6 PERMIT Receivt #
Te be uwd ior SF DWG/GAR Est. Volue $68,000 Date SEPTEMBER 4 19 85
SiteAddrea 3952 WESTBURY WAY Erect OccuPancy R3
Lot 16 Block 3 Sec/5ub. WESTBORY 4TH Remodel ? Zoning R1
Parcel No. Aepair ? Type ot Const. V
AEtlition ? No. Stories
FRONTIER MIDWEST HOMES Move ? Lenqth 40
= Neme Demolish ? Depth $
~ Address 3908 SIB MEM HWY #E
Int Impr. ? Sq. Ft.
City EAGAN Phone 454-0433 Install ?
o Neme SAM$ ApOrovals Faes
ou qddrms Assessment Permit 337.00
~ City Phone Water d Sew. Surcherge 34 . 50
Police PlanReview 168.50
FW Neme RICHARD CHARLIER Fim SnC 525.00
~Z nddress 14103 ARDENVIEW T En9• waterConn. 500.00
~ City A.V. Phone 432-5492 7lannar WeterMeter 63.00
Council RoeaUnit 280.00
I hereby ocknowledge thof I have reod this application ond stote fhof Bldg. Off. 9/3/5 S Tr. PI. 132.00
1he inlormotion is correcf a ogreto mpl' wrth a pplicoble
$tofa of Minrxwto Slafutes an rdi ez. APC Parks
Vaa Date CoPies
Sipnolure of Permittea To~a~ $2 ~ 040. 00
A 8uilding Permir Is issued ro: FRONTIE MIDWEST HOMES an the exprcss cordition thot
all work shall be dorw in acmrdante with cll applico 5 e of M~in"ne ta ures a.d Ciry of Eapan Ordinonces.
Buildinp p{flcial )
_ i~
CITY OF EAGAN N° 13 6 4 7
~ - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # ~3 ~ B-3
To be used for DECK Est. Value $1, 200 Date MAY 19 ,19 87
Site Address 3952 WESTBliRY WAY OFFICE USE ONLY
Lot 16 81ock 3 Sec/Sub. WESTBURY 4TH OnSiteSewage _ Occupancy
MWCCSystem _ Zoning "
ParCel No. On Site Well _ Type of Const
City Water _ (ACtuap
a Name RAY BLOOM/DAVE DVORAK (AllowaDle)
# ol Stories
o Address S~E Len th
City PhOnB 452-0158 Depgh
S.F. Total
o Name SAME 696-4117 (W) FootprinlS.F.
ou Address
u a APPROVALS FEES
m
i- City Phone 23.90
Assessmenis Permit ~
tQ Water/Sewer _ Surcharge t _nn
ww Name Police _ PlanReview
iz Addfess Fire _ SAGCity
ui Engc SAC,MWCC
aw City Phone planner _ WaterConn
Council _ WaterMeter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheintormationiscorrect n agreetocomplywithallapplica6le APC _ TreatmentPl
State of Minnesota Statute d City of Eag ry r/~r~~a~ c//~~ Variance _ Parks Copies
SignaWreofPermittee ixAi -~A7e.G~~ 707aL
A Building Permit is issued to: RAY B OM/DAVE DVORAK on the expresscondition that
all work shall be done in accordance with all li le State of M' espta Statutes and City of Eagan Ordinances
Building Official
a..~
CITY OF EAGAN Remarks
Adtli:ion WFSTBURY 4TH ADDN. Lo, 16 Bik 3 Parcet 10 $3653 160 03~
Owner Street 3952 Westbury Way State Fagan, M 55123
Improvement Date !420 Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK ,~1 1985 17. 1 15
SEWER LATERAL
w in 19865.29 4.35 1 11
WATEFMAIN n 19851 51.64 3•45 15
WATER LATERAL
WATER AREA 501 .lg .2 l
C~ 7
„
STORM SEW TRK 9fjl 198710.24 142,0
710 24
STORMSEW LAT 198783.5 156.71 5
781 56
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit .
WATER CONN. .
BUILDINGPER. I0895
SAC
PARK
. ~ q3~ ~ RESIDENTiAL
~ ~330 L~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenls RemodeUReoair Reauirements
. 3 registered site surveys showing sq. ft. of lot, sq. fl, of house; and all roofed areas • 2 wpies of plan
(20Yo maYimum bt coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes, poured found design, etc.) . 1 site survey for exterior additions& decks
• 1 set of Energy Calculations . indicate il hane served by sepUC syslem for additions
• 3 wpies of Tree PreservaUon Plan'rf bl platted after 117193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less umts)
DATE VALUATION3~,~~
ADDRA~ MULTI-FAMILY BLDG _Y ~N
TYP~VePW'ORKIZEO F o~~,,5d75 ~ FIREPLACE(S) _ 0_ 1_ 2
APPIICANT ~
STREET ADDRESS MLc_oL.I,eT S- cirr Bkrnsvife- STATE ZIP 5.3.3
TELEPHONE #1Sd )769 '695~ CELL PHONE # FAX #9Sd SOF ~~{{c
PROPERTYOWNER I\lpt~ 6LUtJ IY-- TELEPHONE#L6l-q~&R ` 0,53
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIA'V ESOTr1 RULLS 7670 CA"1'LGORY 1 MINNLSO'1'A RliLES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheet Submdted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor: Phonc #
Plumbing syslcm iilcludcs: _ Watcr Soflcncr Lawn Sprinklcr ['ec: $90.00
Watcr Hcatcr No. oI' R.I. Batlis
No. of 13aths
Mechanical Contractor: Phone #
Mech;uiic>il system includes: Air Conditioning Pee: $70.00
HcaL Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, siate that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagar~~Ordinance,~.
lU„ 1
Slgnature of Applicant l.~Gc/YId,~J ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY . . .
? 01 Foundation ? 07 45-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 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 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
13 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Pina]/C.O.
_ Footings(deck) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation H V qC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining \Vall
Approved By , Building Inspector
Base Fee
Surcharge
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
a
1985 BUILDING PERMIT APPLICATION - CITY OF EAG9N
NO'fE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
CAJ"13R~~~E INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS •
~8,00lJ
To Be Used For; S;n91a Familv Valuation: 62-9gp Date: 8-29-85
Site Address: 3959 We¢thury Way OFFICE USE ONLY
Lot: 14 Block Sect/Sub Erect x Occupancy ~-3
Remodel Zoning 1Z-
Parcel # Westburv Fourth Addition Repair Type of Const
Addition /f of Stories
Owner Ray gloom and David Dvorak Move _ Length 40
Demolish _ Depth 48
Address 3359 Coachman Rd. Int.Impr, Sq Ft
Install
City/Zip Code Eaaan, MN 55122
Phone 452-0158 APPROVALS FEES
Contractor Frontier Midwest Homes Corp. Assessments Permit
Water/Sewer Surcharge
Address 3908 Siblev Mem. HwV. #E Police Plan Review ~ g so
Fire SAC 5Z
City/Zip Code Eaqan, Mn 55122 Engr Water Conn Spo.
Planner Water Meter (03.
Phone 454-0433 Council Road Unit ZW.
Bldg Off cZ-?_ Treatment Pl 132•
Arch./Engr, Richard Charlier APC Parks
Variance Copies
Address 14103 Gardenview Ct. TOTAL
City/Zip Code Apple Valley, MN 55124
Phone #
rnye t ai v
EXIE;iIOR EWVELI)fE nvr.Rnrr "u" COi41'IITATIpN
~ ~ - - - Kiv tCG Gs/fQA
GdN :R;
SITE ADDRESS:
CONTRACTOR: FeCW__Me=-
Determine wcrkin, square fnetar,.e of each
1. Total exposed wal l area..... z z4eLOA,(,(. sq. Ft, x .11
2. iotal rocf/ceiling area..... JVM sq. ft. z.021, Total expesed wall arca above flooi
a. Total o-rall tiaindow area l~$• ~
b. Tota-l door area G.~.
,
c. Total slidine glass door area 4 Z.
d. 7ota1 fireplace wnll area 14 8
e. Total wall framing area (averaye lOp) 7- Z~,~(~
f. Total rim joist aree
-..Lq
QQ
g. net wall area above floor... Z,. e,-I
h, wall area above floor -
i. wall area above floor
j. firame wall area at foundation
Total esposed foundation area=~j _
k. Total foundation window area l. Total net `oundation area above grade yUff-- _
Determine "u" value of ear-h wall sea;n_11t
(e.g. w^ndow, cioor, each separa[e linil section)
a.
b. 3,7•(a"L y, „v,
--L
"U"
d. -TV v ~lull-_~~~"-_-_
e. X
f. X °u^ V
9.-_~Cl~'•~3 r , c)
h. k ..ul. _
i. x 'lul,
x ~lu,1 _
If item #3 is the'sam
as, or less than-item
Pl, You have met,.tfie:`
3- X 'u~_~ ~ in±ent of S BC.
6006•(c
4
3 .
~ ~:.f`,,;;r~~t
.................................Total CS
.
ftl;•:1or L'nvolope Averacj; "U" Com}~..c:~cion Pagc 2 ot 4 .
2bCn1 expoucd rooL/ccilinr, arci
m. 9bta1 s}ylight area 'n. Total roofJcc_lin, f.'aming area (,ivcrar;c 10^,)
o. Tota1 net insulaLed roof/cciling urea...........
. Determine "U" value for each roof/ce+ling seqment
m. - X
LC.3p - oZ -
o.y q, Zx„U„ ,uZ - r~, 58
9 Total
If tota.l cf ff9 is the sc~ne as, or less t.nan I!Z, you have met the intent of
SIiC 6006 (c) 1. -
Alter;iate Building Enve.'.one Desiqn
1b u`ilize the to*_a1 envelone systen method, tne values es::ablislied by tlte s:un of
ituns 113 and 119 t:h:.ll not be greater tl;an the sLUn o; itemc 1I1 and 112.
I. ZSl, 7S 1 z. 2Z•ZS = Z.80 .0 ,3
3. + 9.
- j
i ~i .
- r,.oor/C!:iLiNc • . . ' , .
• i Construction R-Valuc
Intcrior a:r filn . 0.G1
Z. 67;93 JA15UL. ' 4~•0~
Extc:ior ai: filn (still) O.61
VEZZ Total (Z L~Sp~
02 Cl)Z '
1
• ~ . . .
. ~ F~,•~ ~ . ~
Heac flov I. Inr_erior nir °.i1n _ 0.61
:nted 2-
, 3• ~t~ f~,;Suf.., 3 ~
p ` 8. 3S
' . ' • ::xtcric,_ :•~r !iln ist_11 V.ui
~ ~ To:al
FIG. GS ~ .
' . . . . U = .02-e:.
~ - - - coA_ Ign'evcr~ o~ •
0.61
? - - - ~r . 2' ~ .
, 4.
J~ n n ~ ,1~_~ iZ • 5. Qutsidc ir fit:n 0.17
fll ~
~--20 1--(T ~ Z_ Inni3c air !'Slin 0_61
2. .
~ - • . . 3. . . .
e 11.ca[ flov up - , .~vcnted
4.
Gutsidc air film 0.1/
Tota1
• . -3 . FO, v I_ :nsidc air film ~ . . . 0.61
2.
..:,~~G_=="X.'..:: 3. ' . .
~ ~ .
~-%~~`1'.':••':'.'''•'~~/" J; ! 5. Cut~idc z3ir tilin 0.17
Tota1
. , t-O . . . . .
. 4`
lvote: U:;o additionaI sheec, if morc --oaco i:
' - . 6 ~ ' • peedeS for details and calculaticros.
. Hcat U - •
- : , • flov up
. • .
' PI g7 . . • Y
,
. ~i'~U:-~ y;1 0l~ i•{~vuu) u,~ll ntcn (~r
r.ow,i rv.^.i lun
• '
~ t~~,,i,,,. . 4•38
cx~
6. }.Lli•t~i,r .~li (l!u. " U.1 ~
• .
( $ Z1
FIC. tll TGYVIfSi OF
F1VdtE IiAL1, . Inlrrln:~ ,~i;' :)lm p.G71
' z. Y--;~
. 3• ---.INS_~•.
. ~ . ' a. "Lg it C..~w___ .~>_aa
,
iu ,~ir l'il~.~ p.17
.1 G. F.>.lr r
I._~ ~~i
r'IG. 02 ~---'------"-•ILLOI
_
~ - L~ z.
~ . _ .
- ~ . ~ - 3.
- ~ • ~y~/ - - - -
cr
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_(3) !1cl~
i:xCCri~~r niC i i Jra 0_ i7
r----------{~
. o ~ ' -A u~ . o ~
~ l . L !r.t:•; i-,: :Ir fit,.. ~i.r,n
~1,. -
-----1-0
. - ¢as. 40qm
i:,TlCll . A o?~ t " 1'~''r _ A3 LW.C5.0
i n • • . ~._~Yy~o S.-.U....
4 ....~~~.-01 I
`r ~7' ~ G. I:.:t~:i i~•1' ~iir : i~~'i -----(1-1-1 '
07
I,
' sl.nl+ cxl
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- -
' ~ ~ ~~LP_~p ' ' . 1~ ` I
. fl! ` ~ " ~ ~ • •
,
.-T
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. eiU. ilb ~ri S ' 'Z • i/! ~
G. 13
~ ~ ' ° I ir! - ~r• .
nnd
~ p . ~ ~i. ' . .r•. •~~~I .
' ~ ~ ~ . , I I~'~.t 'i•:T.."i' ~J, i i::.:..~'. ~r•.:1.
t ^,ll n:en for
/U,~~ 0 y~oqur , u,
•'~1'
r,
~ i'cnr:li~irli~~n II-~~.ilu.:':~.".'.~~;:,:•: ~
c.c,nr1,74ClR ~'i,
p i i~'' lli'.i'1 ~~„i ~:~1 i ; i ~ n: ll.i~ ' ~li~.~J~tii•;
~ in~ lii•: :~iit-- ~I . i
~ ~ ~ , ~ • ~nt~...BiuLK --__._.._..._ll - _ -;sc
}:r.lc__'i,r_.t1_ I i:m U!1:1
'FIC.'.tll TOPVIL14 OF
FIVU1:: IiAGL 1. inei_rl~,r ni, ~ i li~~ ...---U:Gtt •
_ . . d
. .
-
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.72-~i ~
S 1 G MA House
SUR~VEYI fV G Cer?ificate ~~~~~Forl:
sE~veces ~~ontl~r MiC~IN~~t
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 m~p~~„
Phone: (612) 4523077 A e I
mjei - CA,., gR~oC_C~ _
.wE~T~uRY
- rv - N 15q ` 5 51 10
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0 ~ ° DI~AINAG~E O
'Q ~ UTILITY I o
Z - EA5 Mf. I O
~ x863.0 ,n
V'
~ ~ _ _ $LV O
_ _ A58°x CJ5. 00 S810 55' 10° W
-LEGEND- PROPOSED GAR.46E FLOOR ELEVATION= BCo9,S
0 Denotes Ircn Nawrnent PROPOSEO Iop ol 81ock ELEVATION= 8G9.8
m Llenotes MocJ Nt,6 Set PROPOSED BASENENT r"LODR fLEVAI/ON= S~~oS
K 863.0 Denotes £xistirV Spot Elevatim W'a
s~.ew) f.pnotes Proposa9 Spot £levation ~rE: Verily all floor heights aith Final House Plans.
0.>notes Drainage Direcficn
~qMrcws cFRrrFrcaricxv-,
1 hereby certi/y flut lhis survey, pfan or reporf
'P~~ ~~~~/ON' was preFared by rre or trrler my dirert superv+sim
L1O.T~6
, ,BLGYK 3 • ard that f am a duly Reqistered Lart1 Surveyor
' `~1EATRUKY `F-"A ADOlTlOtJ_ L"'de the laws of t/he~ State of Yinr~esola.
accordirg to the reccrded pfat lhereof. ~~~d. ~ / /
D, Date: /,IlSS
Canty, Mimesota Wayre D. Cordes, Ninn. Reg. No. 14575
(~c-,v~s(-A 65 New Hause '
WAYNE D.'•.~%
~ CORDES 1 '
' = ` - 94675 f =
'O ~
S UIIR1~`~~",a~
I
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675 C I l ~ aa C)
New ConahucMOn Reaulrements Remotlel/Reoair Reaulrements
D 3 reglstered slte wrveya showing aq. fl. of lot, sq. ft. o} house 2 coples of plan
and QII rooled areas (20% maximum lot coveraae allowed) 1 sef of energy calculaHOm 1or heated atldiHOns
D 2 copies of plans (sMw Deam 8 wintlow sizes; pouretl Intl. tlesign; efc.) 1 Nte wrvey lor exfeAOr addlMOna & decks
D 1 set of enerpy calculatlons ? J Coples o1 free preaervaHon plan N bt Plattetl aRer 7/1 /93
DA1E: 'i1I z0(J~U CON UCTION COST:
i q + r 1 ( /I
``I~ 5~50 n Y~ D~ Ibg p r ~ re p f~
DESCRIPfION OF WORK: /-i Cii t-~ @'?)
STREET ADDRESS: 3q gZ, W e~+ V) 1' U Vtil (A t ~
LOT: _CP BLOCK: ~ SUBD./P.I.D. 41: )-,0 bucs ~
wvi
Name: 91 b8hn RL'arwie-?4~Le/`Ph nep:
PROPERTY Last Flnt
OWNER Sheet Address: 3`S Z~A
~.Wav
cny rc- CiA4?i sfare: ~7L) _ vp: S S' 1 2- 3
Company: kSAME Phone
(area code)
CONTRACTOR
Sheet Address: llcense q Exp.
CMy Sfate: Zip:
ARCHITECT/ ~I ~ p-
ENGINEER Company: KrGLs QY~l-~'i_ ~ Name: ~~C ~rG~JS
Telephone ((A1 A ) 114,5 -'S 70
, sneelAddrass: l~ 9 I D1 avno-nct C."e UX-f Re9ishanonilf:
city ShG.l~onC--'r' s?afa:-.,unJ Lp: ES37g
,
Sewer/water licensed plumber (Ii installina sewer/water): Phone
I hereby acknowledge fhaf I have read Mis applicafion, sfate ihaf the infomwfion is cortecf, and agree to comply with all applicable Sfafe
of Minnesota Sfatutes and CNy ol Eayan Ordinances. n
Sipnafure of Applica~(A /)t
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JAil ~ 2(
Tree Presenation Plan Received - Yes _ No _ Not Required
1
c " c
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 37 Ext Att - Multi
O 02 SF Dwelling ? OS 06-plex ? 17 Garage 'fk 22 PorchlAddn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) O 36 Mutti
? 04 02-plex ? 10 08-plex D 19 Lower Level ? 24 Storm Damage
? OS 03-plex O 11 10-plex Plbg _V or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
~ 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code I # of Stories sq. ft.
No. of Units ) Length sq. ft.
No. of Buildings 1 Width Footprint sq. ft.
Const. (Actual) ~ Basement sq. ft. Census Code
(Allowable) 4 CJ m Main level sq. ft. MC/ES System
UBC Occupancy xFe sq. ft. City Water
2oning ~ sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS ~ Planning Buiiding Engineering Variance
•
Permit 9ee Valuation:
Surchar e . U
Plan Review
License
MC/ES SAC ~G./J~ a~ ~ . ; L/~~ •
CitySAC
Water Conn. -j o_ >4r
Water Meter
Acct. Deposit ~
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
,
I I
MNCheck COMPLIANCE REPORT I I
Minnesota Energy Code ~ Permit # ~
MNCheck Software Version 3.0
~ Checked by/Date ~
I I
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12-23-1999
DATE QF PLANS: December 22,1999
TITLE: Plan #99-209
PROJECT INFORMATION:
Ray & Leanne Bloom
COMPLIANCE: PASSES
Required UA = 117
Your Home = 102
12.5% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS: Raised Truss 280 40.0 0.6 7
WALLS: Wood Frame, 16" O.C. 40 19.0 9.4 2
WALLS: Wood Frame, 16" O.C. 736 11.0 8.0 44
BSMT: Conc. 3.8' ht/3.3' bg/3.8' insul 184 10.5 0.0 14
GLAZING: Windows or poors, Above Grade 95 0.370 35
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer Date
. . _ ,
,
Cities Di i~ tal Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
a . . ~ • •
SIOMA House
SUAVEYING Certificate For:
SEF3VICES Frontjer Midwest
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 Corporotlon
Phone: (6121 452-3077
m~ - CAr1~Rio<~- -
+L! CZ'OT P~ U RY W AY
-N- NSq' S51 1011
0°tz ~0 5 OQ x8~: o
p J~ b4. O~~. NI5 Iw
~GALE 1 10=40'
~
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0 I O.O ~N ~.U
L.D'f 15 ~ LO - ~`M' ~ ~oT i"I
0 a 0
Uz AI NA.qE
. ~ UT~urY'f ~
Z EA5 rtr. I 0
G) x863.~ ,f~
V'
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~
-L.EGEND- PROPOSED 6AR.46F. FLWR ECEVArION= BC~9,S
O Dnwtes IraiMaxr+ent PNdPOSEO lop o/ Nlock ELEVAIfON- 8(~9_8_
° lknotss Moni HLb Sel PROPUSED QASEYENT fLODR ELEVAIION- S~~S
Aenofes Exislirg Spot Flevafim wI0
NDTf: Verr(y all floor heights with Final Hovse Piens.
(A 5h~~+1) lknotes Proposed Spol £levation
~---Llenotes Drainage Drrecliai -6UWEYQ?S CM 1F1CQT1(xV-.
1 hereby certily iMt this survey, plan or report
-P1DPEN(Y l,E.SCR1P(lQV- was prepercd by me or utler my dirert supervi sim
~pT BLaK 3 . ani Ihat I am a duly Reytstered Lerd Surveyor
urde iIr laws o/ ihe State ol Mimesota.
W C5T RuRY_~-~~-~ tT io+~.__
accordrrq fo tlr reccrdai plal thereol,
~~012 Can1y, Yimesota Wayre D. Cades, Yinn. Rzy. No. 145I5
T. 9'' 2
E~ S w n, O
'WAYNE D. t
= s CORDES i ~
v
~~:ti 14675 --Q;
v.
~~~iiiqrsw nRua~a°a
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
,y p c;
New Consfruclion ReaulremeMs 651-681-4675 Remotlel/Reoair Reaulreme U
nis
D 3 regisfered ske suneys showing sq. tt. of lot, sq. fl. of house 2 copies of plan
and all rooled areas (20% maalmum lot coveraae allowed) 1 set of energy calculatlons for heafed addMlons
D 2 coples ol plans (show 6eam 3 window sizes; poured fnd. design; etc.) 1sMe survey for exterlor addNlons 3 deeks
? 1 set o1 energy calculatlons
? 3 copies of hee preservaflon plan @ loi plaMed aBer 7/1/93 OO
DATE: 0--L9 CONSTRUCTION COST: 10.000
~
DESCRIPTION OF WORK:
STREET ADDRESS: 301SA W EST/3 uxV-`j r+ A Y
LOT: ~(P BLOCK: --3 SUBD./P.I.D.
Name: aLOOA 94 ~ Phone hJ ~-!fsa -o ' J8
PROPERTY Last Fint
OWNER StreetAddress: ~9sa WESTU vA1 WAY
City E-Pr&&.3 State: PA K) Zip: SS IX3
Company: AtB e. xN cs Phone N: &Q. ~
(area code)
CONTRACTOR
' 1 1 ~'~``ET (,Q • ~cense #k~~Exp 3 ~
Street Address: I1~ v
Ciry ~~mwolLir State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: RegistraNon
City State: Zip:
Sewer 3 water Iicensed plumber (reaulred for new conshucflon onlv):
Penalty applies when address change and lot change is requested once permR Is Issued.
I heceby acknowledge ihat I have read this applicatlon, sfate that the Information Is cortect, and agree to comply wtth all applfcabl
Sfate of Minnesota Sfatutes and CMy of Eagdn Ordinances. /
Signature of Applicant
• OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
~02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorclVAddn. (4sea.
03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) 42 Reroof
' Give PCA handou to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City 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/VV Surcharge
Treatment PI.
Park Ded. .
Trails Ded. Other Copies '
Total:
SAC Units
% SAC
~
1987 BOILDING PERMIT 9PPLICATION - CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS ~
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF S[TRVEY, 1 SET OF ENERGY CALCQLATIOAS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MDST DESIGAATE AHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDZNG PSRMIT IS ISSOTD.
MOLTIPLE DiiELLINGS - RFSIDENTIAL RENTAL VAITS FOR SALE IINZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK FiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMPIERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIOPdS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Date: s- rS ~ S7 ~j
To Be Used For: -0eA- Valuation: IZOO ~00
~
Site Address sqrjZ OFFICE USE ONLY
Lot Block 3 On Site Sewage Occupancy
MWCC System Zoning
Parcel/Sub' W e51~V C J JA On Site Well _ Type of Const
\ ( City Water (Actual)
Owner ~a,2 ~~D~m ~~nJc LUOYa~k (Allowable)
-I~1 lk of Stories
Address V.~ eSI b U s' v W Length
Depth
City/Zip Code ~0.R6w~ (111~ 55~Z3 S.F. Total
Footprint S.F.
Phone USZ - D I S Q 0i6-41 I-7 APPROV9LS FEES
qo
-
Contractor Sz `'f Assessments Permit E3
Water/Sewer Surcharge
Address S a Yv~~ Police Plan Review
<< Fire _ SAC, City
City/Zip Code Engr SAC, MWCC
„ Planner Water Conn
Phone Council Water Meter
B1dg Off Road Unit
Arch.IEngr. Sc. 7v.,-- APC Treatment Pl
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone Ik
1
~Z
2/84
CITY OF EAGAN
111U APPLZCATI^uN FOR PERf4IT
SES4ER AND/OR WATER CONNECTIODT
. (PLE,iSE PRINT)
1) P1?OnF?zI^? ADDRESS: 3952 Westbury_Way
rrral. D°...CR?P'I'ZCV: 16 / 3 Westbury Fourth Addition
(Lc~cBlock/St::aLVisicn or Tax Parcel I.D. N=er1
~ ir S'-~.C~^_'T~'i%, Dr1T' 0_° CFT_GMAL 'uiI7.P,j~:G -=-'S.
P _CLT s R-1 SL.CZ.. Fl~%iSLY ` •
? R-2 CU?=,: (?:;'O li^?i-S)
. ? 2-3 'ICr,12-2(vrcr (''".=4. + L'`]I':c) ~ LN'.-) .
? 4 iti:v.n=:T/C':Zl.t.1T]T7,i ~ G'ti1=J~
? CCti•?"SE?CLxT,/RE:'AII?Or
? T""'CliSi^.1?--S,
? L`:sTZ.~-rlc~].~I.~cCe~•n,v..t
Z) An?=,-'y,,r (PLEAJE PRlUi)
, NV•E,: Frontier Midwest Homes Corporation
PLDR`SS: 3908 Sibley Memorial Hwy. Bldg. E
CI7."-'. S'=r==. ZIp: Eaqan, MN. 55122 •
PfiONE: 454-0433
3) N;'""'= Star Plumbinq (PLEASE PH1NT) FOR CITY USE 04LY
ADD3ESS: 1018 Mound Springs Ter. cci~ EeYSE:
iw S
CITt, STATE, ZIP: Bloomington, MN. 55420 Exo/i ed
Nai;r, Q Hpt of Record
PhOVE: 884-4149 PLUflBER LFCENSE N 3329 u~
- ' ' r atr ~nt:iai
4) 0CC.''u'PPS1T/C!';i.IE'i2 (PLEASE PR1!1!)
14ALME: Ray Bloom and David Dvorak
ADDtiFSS: 3359 Coachman Rd.
CIT"l, STT,TE, ZIP; Eaqan, Mn 55122
PI:O`1E: 452-0158
5} INpIG,TE WE{ICH PER•LLT IS BEIr:G R.F'C_)LiESTID:
g( CaarrECrION 'In CITY Sam Please mail gold copy to
~ COf'TNmriG;I TO CITY t= Wenzel Mechanical
~ 3600 Kennebec Dr.
? OT['~2 (PI.G^-S~ DFSCP?Ec) Eaaan, MN. 55122 -
6) ~~IC,.:: C:~.: •
? PI-:ti~.E E?OLD APPRGV'D PER.yLLT Fl7R PI~C1:-L'r BY O:IE OF r1HC4'E
~°IE=,.Sc :~r12 APP??Wp Pt~:~tIT '^'J L,Y[2/ 3, 4 ABQJE
(Ci~~le one)
7) SI~r,TL~r.: DATZ:
A. .
~ R a1:~lMll~e f~ a l~:af~a s~ r7 o saa a~ ~~~saa :a a~e ~a ~la:a ~s~ ~ s s 4vary~a .
F 0 R C I T Y U S E O N L Y PEDHIT " ?SSUED
F°ES: $ %,/0'SU o nr.R"~t"_T^~ i
/ SL:'(L.. I I_t~.........^ JU.......:...vLJ
$ PL'.'`ITT (Ii:CLUD~. .c..U: C:::IRG:.%
$ Wr1T°R METER/COPPE4i?ORiv/QUTSID°_ REAGEf2
s WAT°R TAP (ZNCLUDE COR?ORATZON STOP)
$ SEWcR Ti°
$
$ 0 o ACCOu?:T DEPOSTT _ rqA_m_R
$ SJU.a-o WnC
$ SAC
$ ' TRUVK L'IAT°R ASJLSS~=-.:T
$ TBCi:•IK S=-i.EF. ~SSESS:eF_ciT
$ L`nTEP,2,L Br„vc,:IT/TnUNK SE'.:'Fc
$ LATERAi, BE\c,7ZT/TP.U:•1F :•lATz'R
$ • WATER TREATrENT PLANT SURCHARGE
$ OTHER:
$ TOTaL
$ o~o611rc~ P`lOL":T PAI'J/REC°i?T ;
DOES UTZLITY COi P7ECTZON REQUZRE EXCAVATION IN PUBLIC RIGi-IT OF WAy?
~ YES IF YES, THEN A "PETr]IT FOR 'AORti 'AZT?iIV
PUBLIC ROADWAY" MUST BE ISSUED BY THE
I~~NO ENGZNEERIT]G DIVISZON. LIST AS A CONDI-
T TZON.
SliEJECT. TO THE FOLLOL•IING CONDITIONS:
APPROVED BY: •
TZ.LE: •
DAT°_ :
mm.i wo:+ R+ 9+40 r~ ~~pm mom
CITY USE ONLY
tiOT ~ BL 3 ~ PERMIT#: l I 0~~
s U S D. WP.L16,YLA ~ y a E C e? rT s: . 1Z? '1 `1G)
. RECEIPT DAT'E: -7'~() U ~l
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQ70B RD
EAGAN M4i 55122
651-681-4675
Date.1 -O C'~)
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge .50
Total $
Complete this section onlv if you aze remodeline, adding to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New ~ Alteration _ Repair _ Other
~ Furnace ~ A'v conditioning
_ Airexchanger _ Other
11e11i1 ~c~ ' Fee $ 30.00
~ ~¢+j ~ OOO State Surcharge .50
~ Total $ 30.50
Reminder: Cal/for inspections .6-rU ts
t
SITEADDRESS: ~ ~ e`~'~~JUr ~
OWNER NAME: PHONE
INSTALLER NAME: -~nC . PHO (AREi CODE1 . -l I `7 ~ ~ ~ _5 ~
ACOD )
STREETA RESS: Iq~ 7~, S ~ W
CITY:~~ ~ STATE: I~ L~ 1 ZIP:==F~~
S[GNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113331
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 3952 Westbury Way
Lot:016 Block: 003 Addition: Westbury 4th
PID:10-83653-03-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kim Moore
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Raymond L Bloom
3952 Westbury Way
Eagan MN 55123
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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For Office Use I
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06-/ \City Ol Vi ��
3830 Pilot Knob Road
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Eagan MN 55122 , ,,, • Date Received: " I'(1
Phone:(651)675-5675 `� I
Fax:(651)675-5694 Staff: Il
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(' 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
7
Date: '' 17 Site Address: I ' !v,: b✓' Unit#:
Name: fi' AN* L�/9N� 7L.�M Phone:
Resident/
Owner Address/City/Zip: SA/11-
Applicant is: Owner g Contractor
Type 'of Work Description of work: tcv# :1/.57446 PGe.11 / /'Y57 // iV1 Le UFc,L(
Construction Cost: /Y/ "S 7 S Multi-Family Building: (Yes /No X )
Company:;VIL.91/46r jCiiS RNp ea—iew D Contact: 4sei 5 O
Contractor
Address:7€ 7i177, kyr '?._City: f�i4J77/V(!5
Staten/ Zip: S5'033 Phone: ,0S/ zio`LinEksv/LD1nbpreKSq„lbsc'yorto jj_c C0
bo
License#:3c 63 I C7 9 Lead Certificate#: /497 '77730 –2 'iL,Go4
If the project is exempt from lead certification, please explain why:
P/Z-
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 X No If yes,date and address of master plan:
Licensed Plumber: /v/a Phone:
Mechanical Contractor: ,Vilt Phone:
Sewer&Water Contractor: /1//,se Phone:
Fire Suppression Contractor:— 4Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
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.qopherstateonecall,orq
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 Sta =•' •ing Code must be completed within 180
days of permit issuance.
x - JASQN W f7oI- S7'AL _A._,,,Air...•
Applicant's Printed Nameail nt's Signa
Page 1 of 3
IPP"'
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Ste/ , "O NOT WRITE BELOW THIS LINE /#1V66
SUB TYPES
— Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi leDeck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement ____ Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows — Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
r
Valuation GG�%O'''L'— Occupancy QG -/ MCES System —
Plan ReviewCode Edition oZp/a SAC Units —
(25%_100% X' Zoning P D City Water
Census Code 1l 3 41 Stories Booster Pump
#of Units / Square Feet V 29- PRV
#of Buildings I Length /G Fire Suppression Required
Type of Construction Width I.9
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) cpkeFinal/No C.O.Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick—EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES '3 ?S.d'�t e Q J51 ���, 00
Base Fee /.3 2, ?5 6 dqq./
Surcharge
Plan Review £%G 2�
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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SURVEYING Certificate Far :
(1444741
3908sEMemSIbley orCEial ay Frontier Midwest
Eagan, Minnesota 55122 Corporation
Phone: (6121 452.3077 6
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REVI1=WED
BY: flfil/ ,
DATE: . 4//B/„
BUILDING ...CTIONS DIVISION
y LEGEND PROPOSED GARAGE FLOOR ELEVATION= 069,5-
o Denotes Iron Morxxrrnt PROPOSED lop of Block ELEVATION= ?Cyct.9
m Denotes Woad Hth Set PROPOSED BASEMENT FLOOR ELEVATION= 8((. ,$
x B63.o Denotes Existirxi Spot Elevation Wi4
,,,t NOTE Verify alI floor heights with Final House Plans.
(r S ..) Denotes Proposed Spot Elevatioo
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I hereby certify tt& this survey, plan or report
-PROPERTY/ DESCRIPTION- was prepared by irae or under my direct supervision
LOT
t ,BUCK 3 • ani that 1 am a duly Registered Carni Surveyor
w T( UR i' '-114-‘ A0011-10 uoie the laws of the State of Minnesota.
according to the recorded plat thereof. a (7/1116-C
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Date: it(
"- County, Wimesota Wayne D. Cordes, Minn. Reg. No. /4575
4-3e.'..1.1;sect 1/Z`t 6. New I4 fuse
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