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3956 Westbury Way ~ ; CITY OF EAGAN ~ P~~ 3$30 Pilot Knwb Road ' i P. Q. Box 21185 PERMIT NO.: 7::: Eagan, MN" 55121 i 7_W}_+~: L Owner: No, of Units: I L.37~: ' Addrcsa: j SJfM A[ldron: :n.Sti ~ PIw11blr; i :~t_ t ti MmM4 NiM~ !y Cll~r Oi /oMa ConrNCNan Charpe. 4 2 J• 0' > K't waft. Accou+t Gpom t: POn»k FN: ' BY Surolwrpe: -~c! ~ Misr- charom Dah of I rqp.: Totol: ' I~~~ D~h Pald: CITY OF EAGAN 3830 PilotKnpb Rwd , WATER SERVICE PlMn P. O. Bcx 21199 Y Eagan, MN• 55121 PERMIY NO.: D/1TE: Owner; r7ori-.i c_I' ,r •,j NO• of Untts: I : llddrass: Stte 1lddras~; ? 5 a-- ' plum-6@r 4 AAehr Wo.: - 11 Size; . 50~?.OO'x; Read~r No.: t.. 15.007i' Perm1t Fee: IO.O~;:xj a~~ ~N1 wNl~ dM Ciryr o/ ~a Surchorps: M+ac. Clwrps,: 1132, O(dij. ) c3 gY Taol: 6 3 p0. In(Z-tei. Dotr Poid: Dahe of Insp.: l1-S, g S . ~ CITY OF EAGAN • 3830 PNot Krab Rosd, P.O. Box 21-189. Esqsn, MN 55121 PNONE: 4548100 6UILDING rERMIT Rece+ve ~t To M wr/ hr Est. Volue pote Site Addraa Erect El Occupancy Lot i5 Blxk Sec/Sub. T:ii'F; Y 4 Remodel ? 2onin9 + Repalr ? Type of Conrt. ParcN No. qddition ? No. Stories rR . Move ? Lenqth Nar+e (,~i'A , ~ 3 E.. 1:F~~ Y i~. Demollsh ? Depth 4 L Add?ass Int Impr. ? Sq. Ft. CitY Phona ~ 5 4• U~±~ ~.3 Inatall ? t~ Name AoMoveb iMs O~ Addras Asstsunent Permit 3 2 2.~.i ~ Water 3 Sew. 3urche?ge 31 . 50 Cfty Phons Poliu Man Revlew 0 'T':1:LUO ~W Nsme _Ili Fin SAC W n Addras ` ` E,q. waeer Conn. , . . City Phone T 9 2 P40nrwr Water Meter E Q 0 Council iioad UnR = u i) . U ~ I hercby ocknowledpe thct I have reod this application ond state 11wt Bldp. Off. T?. PL 132 .00 tM in/ormotian is correct and ogree to comply with oll ap?IJ[cWt A~ 5tote of N~irursoto Statuta and Gt~r -Of Eaflon Ordf'roncss. Var. Dats 51qe,otua of Pem,in..- Copies ' '~r Tocal- ~l U J. 4 . 50 = !.•l I . A aWldinq /ennif is issued to: MIUWES`f , on tM *xpe~s condifion thot dl work shall pe donr In aooordonce with alt oppliaobb Sta1e of MinnAmM Statutes and Gty ot Eopan Ordinontei Suildinq OfflNal - ' i a Pwmit No. hrmit Nold~r Osb TNNPhoM ~ -x,f lr o 75 15 rsz,s K~AX- ~ r Electric sorewn.. Iroipocftn Dan Insp. Othw Footinps 1 Footlnps tl Foundatlon Fnminy ~ Roo(Ing Rough Plbp. n F s ' To ,BF S 7,7 pwph Hts. Q ~ ~•vLL~T t O -.i D.u ~ Inwl Firpla" Final HW Flnal Plbp. ~-Q Flnal C*rt/Ooo. WotK ONCribo Loption: WNI Swr~r Pr. DMp. Reaipt -MECHANICAL PERMIT Permit No. ' CITY OF EAGAN , FM , - ! - Ffll in numbsred Wacer SIC • ~ ~ ~ ~ TYPe w Prini /epldY Tat •-S ~ I 1. Date 2. Installation Cost " 3. Job Address--' ~ ~~-na~'•.~~h Lot iBlk. -f Tract , 4. Ownt? 5. Contractolk J`h phonm , 6. Addr.a 7. City - State Zip 8. Building Ty esidential El Commercial ? Institutional ? 9. Work Descripti0n: New ~ Add ? Alter O Repair ? 10. Dnaibs Fusl Type • ~ ~ ~ ~ 11, f1b. Equii~pt ~ BTU • M. Ea. No. Ecuiament CFM Force~Air Air Handliny: Mfg. Boilen Mech. Exhautt ~ Mfg. . r_ =1... ~ T : ) ; Unit Heater ~ Mfg. Other Air Cond. ' Mfy. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes goveming this type of work. Siyned : 2._ i' ~ - for Rouyh F inal Inspections: Date Inap. Date Insp. This is your psrmit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBINGPERMIT PermitNo. CITY OF EAGAN ' Fee Fill in numbered spaces S/C Type w Print fegrbly Tot. ~ - 1. Date y!: 2. Installation Cost 3. Job Address Lot Blk, Tract 4. Owner 5. Contractor Phone > 6. Address i, 7. City State 2iP 8. Building Type: Residential Gl Commercial O Institutional O 9. Work DescriPtion: New Add ? Alter ? Repair O ~ Q 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory $oftner 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. Signad : l.. tT c•'L for Rough F inal Inspections: Date Insp. Date Insp. . This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 •.---r---- CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagen, IM[14'55121 PHONE: 454-8100 j BUILDING PERMIT Receipt ~ To be used for Est Value Date ,19 ~ i Site Address ' OFFICE USE ONLY Lot BIoCk Sec/Sub. • On 3ite Sewage _ Occupancy MWCC Syatem _ Zoning PerCel No. On 5ite Well _ Type of Conat City Water - (Actuaq a Name (Allowable) W * of Storles z Address Length Cfty Phone Depth S.F_ Total g Name Footprint S.F. Address APPROVALS FEES City Phone Assessments _ Permit WateVSewer 5urcharye ~ Name Police Plan Review F W - ~ n Address Fire = SAC, City Engc SAC, MWCC ~ W City Phone Planner _ Water ConR Council _ Water Meter I hereby acknowledge that I have reed thls appUcation and state Bld9• Off• - Roed Unit that the information ia correct and ayree to comply with all applicable APC _ Treatment P1 Stete of Minnesota Statutes and City of Eagan Ordinances Variance _ Parks Copies Siqnature of Permittee TOTAL A Buildfng Permit is issued to: on the express condition that all work shall be done in accordence with all applicable State of Minnesota Statutes and City of Eaflan Ordinancea Buildiny Official PennH No. Pennit Molder Date TeIephone ~ Plumbing H.V.A.C. Electric Softener Inapectlon Date Inep. Commeeb Footings 1 Footings II Foundation Framing r/r f'-7plef s G• f- D..f, Roofin9 Rough Plbg Rough Htg. Isul. Fireplace Final HtA. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. J3 v Well , - y- o- ~ Pr. Disp. /u/tKs• J . ` CITY OF EAGAN N? 1 0 5 5 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT 2ecmv~ 7k ~J~U To be urd ier sf dwg/gar Est.value $63,000 Date JULY 11 19 S5 SiteAddrese 3956 WESTBURY WAY erect io o«uPancy R3 15 3 WESTBURY 4 Remodei ? Zoning Rl Lot Block Sec/Sub. Repair ? Type of Const. V Parcel No. Atltlition ? No. Stories FRONTIER MIDWEST HOMES ~1ove ? Lenyth 40 W Name Demolish ? Depth 46 = AOdress 3908 SIB MEM HWY #E Int.lmpr. ? Sy. Ft. ~ Citv EAGAN Phone 454-0433 Install ? o SAME AVVrorola Fees Name nddress Assesunent Feimit $ 322.00 ~ City Phone Woter 8 Sew. Surcharge 31 . 50 Polica Plan Review 161-00 tW RICHARD CHARLIER 525.00 ~Z Name 14103 GARDENVIEW CT Flro SAC x~ /address Enp. WeterConn 500.00 ~W City A.V. phone 432-5492 planner WeterMeter 63.00 Council RoadUnit 280.00 I hereby ackrowledge thot I have read fhis apDlicatian ond stote thaf BIdg.Off. 7I10/$5 Tr. PI. 132.00 fhe inlormofian is [orre[f an ogree to comDly withp ap ' ble APC Parks Smfa of Minnesoto Smtu ~pd-G aqOn Q[ ( nc Var. Date Go ies Sipnoture of Permift ~ Total $Z • 014 _ 50 A Building Cermir Is iuued to: FRONTIE'g 'MIDWEST HOMES on tha expren cordition tho, oll work sMll be done in accordance i1 11 pTplicable St~(, ~o,//'µi-n-n~esot~o $tatutes and City o1 Eopan Ordinances. 8uildirq Official x F--~~ w ~ CITY OF EAGAN No 13882 - ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# -lS ,4 c)("--) To be used for DECK Est. Value $1, 500 Date JIiLY 10 1987 Site Address 3956 WESTBURY WAY OFFICE USE ONLY Lot 15 Block 3 SeC/Sub. WESTBGRY 4TH OnSrteSewage _ Occupancy MWCC System _ Zoning Parcel No. On Site well _ Type of Const City Water _ (Actual) a Name pETER RENNEBERG (AVlowable) w # ol Stories 3 Address SAME Lengih 0 City phOflB 452-2628 Depth S.F. Total , o Name SAME Footprint S.F. ~4 Address qPPROVALS FEES r City Phone Assessments _ Permit 29 • 00 1-' Water/Sewer _ Surcharge 1.00 wu W Name Police , PlanReview ~ 2 Fire SAC, Ciry i - Address - u= En9c _ SAC,MWCC aW City Phone Planner _ WaterConn. Council _ WaterMeter I hereby acknowledge that I have read this application and state Bldg. Off _ Road Unit Ihattheinformationiscorrectan agreetoc0kn Plywithallapplicable APC _ TreatmentPl State of Minnesota Statutes an City of @e hn Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL $90.00 A Building Permit is issued to: PETER RENNE ERG on the express condition that all work shall be done in accordance with all applicable S e ol Minnesota~tut@s and City of Eagan Ordinances. Building Official d~l! ~ -CITV OF EAGAN Remarks Addition wFS'rBURY 4TH ADDN. Lo, 15 B,k 3 Parce,10 83653 150 03 ~ owner Street 3956 wEStbury way State Eagan, M 55123 Improvement Date Amount Annual Vears PaYment Receipt Date STREET SURF. STREET RESTOF. GRADING SANSEWTRUNK lf~~ 5 4.2 ~-7. 1 15 246.59 A016473 10/22/85 SEWER LATERAL watermain 1986 5.29 4.35 15 65.29 10 WATERMAIN og 19 51• 4 3.45 15 44.80 WATER LATERAL WATERAREA Q 19 139•1 9•27 15 120.53 water area 8 19 133• .92 15 133.74 STORM SEW TRK 91C~ 19 710.24 I42.05 5 710. 24 STORMSEWLAT ~ 1 83.5 15 •7Z S 783.56 CURB & GUTTER • SIDEWALK STFEET LIGHT WATER CONN. 11 1 11 900-00 BUILDING PER. It SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATIONJ. CITY OF EAGAN ~ r 5 f~ I G 3830 PILOT KNOB RD, EAGAN MN 55122 cJ ~ I 651-681-4675 New Construction Reouirements RemodeURepair Reuuirementa • 3 reg'stered site surveys showing sq. ft. of lot, sq. R of house, and all rooted areas • 2 wpies of plan (20% mzcimum lol coverage allowed) . 7 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 8 decks • 1 set of Energy Calculations • Indicate A home served by sepfic system for addihons • 3 copies of Tree Presemation Plan if lot platled aRer 7/1193 • Rim Joist Detail Options selechon sheet (bldgs with 3 or less units) DATE ~ ~ ~ ~ - 2 VALUATION I~ On SITEADDRESS 315~f We5421`_tj MULTI-FAMILYBLDG _Y rY N TYPE OF WORK :~2ti 0 FF ~T-C_ 460 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT c'- P!5'~IL~C~ STREET ADDRESS e f ~ CITY ST _N ZIP ID TELEPHONE # C L ONE # FAX # PROPERTYOWNER Qe-hn.9_" TELEPHONE# tP5)-95a-XA COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"CA RUL,LS 7670 CA"fLGORY I MI'VNI:SOTA RUL1;S 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculalions Submitted Plumbing Contractor: Phonc # Plutnbing system includes: VVatcr Soltencr I 1wri Sprinkler Pcc: $90.00 Watcr Heater No. of R.I. 13atlis No. of ]3aths Mechanical Contractor: Phone # Mechanical systcm includcs: _ Air Conditioning I'cc: $70.00 Hcat Rccovery Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnafureofApplicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Windows/Doors ? 34 Replacement 'Demolitlon (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 W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC 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/repiacement) _ Insulation _ Retaining Wall 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 RESIDENT9AL BUILDINC PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Constructian Reauirements RemodellReaav Reauirements • 3 registered sde surveys showing sq. fl. of lol, sq. fl. of house; and all roofed areas • 2 copies of plan (20°/, maximum lot coverage allowed) . 7 set of Ener9y Calculations for healed additions • 2 copies of plan showing beam 8 wintlow sizes, poured found design, etc ) . 1 srte survey for extedor addi[ions 8 decks • 7 se[ of Eneryy Calculations . Inoicate if home served hy septic system for additions • 7 coDies of Tree Preservation Plan it lot platted after 711193 . Rim Joist Detail Ophons selecbon sheet (bldgs with 3 or less units) DATE • Sls`c~.a ' VALUATION SITEADDRESS J9.34 U~VdUI l~a MULTI-FAMILYBLDG _Y XN TYPE OF WORRVLQ\ CSL FIREPLACE(S) _ 0_ 1_ 2 APPLICANT %VR- STREET ADDRESS .CITY~-nLa.y t~STATE~sA ZIP 3 TELEPHONE # lo~•S~IaSU.~IOCELL PHONE # FAX # LOsi • 4sa.a(oag PROPERTYOWNER~t`~~ f'~-r1~ rc.t~xn 3 TELEPHONE#AM COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ >[[NVLS()'C:A RULL•:5 7f'~70 C:A"I'P.GORY l YIIVNF:SO"I:A RGLLS 7672 (J submission type) . Residential VenhlaUOn Category 1 Worksheet Submdted • New Energy Code Worksheet Submitted • Energy Emelope Calculations Submitted Plumbing Contractor: _ Phonc # Plutnhing systcm includcs: VVatcr SoCtcucr I.ami Sprinklcr P'cc $90.00 W1tcr EIc.Ucr No. ol R.I. 13alhs No. ol Baths Mechanical Contractor: Phone # VlccLanical sVslcm includc:: _ tlir Conditiomnh Pcr. $70.00 - Hcat Rccoccry S}'slcIn 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 Eagan inanc . Signature ot Appli OFFICE USE ONLY CerUficates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _ Upda[ed 4f02 QFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Mlulti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext Alt - SF O 04 02-plex ? 10 08-plez ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-ptex ? 72 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 ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES 5ystem 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) _ Final/No C.O. _ Footings (addition) _ Plumbing Founda tion H V AC Drain Tile Other Roof Ice & Natzr Final Pool Fr_s AidGas Tests Final _ Framing _ Sidmg Stucco Srone _ Fireplace _ R.L _ Air Test _ Final _ R'indoiNs (new/replacement) _ Insulanon _ Retaining Wafl Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . , ~ i Installed ~ Siding andIVMMsPOWER OF ATTORNEY . . , - ~ OUNTY OF COBB . STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate,in orderto obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney aze limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30`, day of May, 2003, which date is one yeaz from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attomey is executed this 30"' day of MA'`f , 2002. David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 301h day of May, Notary blic in for the Stat of eorgia My Commission Expires: Januazy 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (600) 79-DEPOT . V ~ . 1985 BUILDZNG PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS on ('o3,GL.'o - ~ 7-$-85 To Be Used For: Single Family Valuation: 62e' Date: Site Address: 3956 WestbuLy Way OFFICE USE ONLY Lot: 15 Block 3 Sect/Sub Erect Y~ Occupancy ~-3 Remodel Zoning Parcel ll Westbury Fourth Addition Repair _ Type of Const 72-, Enlarge II of Stories Owner MBrk & Pamela Schulke Move _ Length 40 Demolish Depth Q-C, Address 448 Bidwell Grade Sq Ft City/Zip Code St. Paul, Mn 55107 Phone 224-7530 APPROVALS Contractor Frontier Midwest Homes Corp. Assessments Permit ~ 22 " Water/Sewer Surcharge Address 3908 Sibley Memorial Hwy. #E police Plan Review Fire SAC City/Zip Code Eagan, Mn 55122 Engr Water Conn Soo,~ Planner Water Meter (03. Phone 454-0433 Council~Road Unit 2gp.°° Bldg Off Parks Arch./Engr. Richard Charlier APC Treatment P1 13 z°-° Address 14103 Gardenview Ct. Variance TOTAL 0/ 5 Q City/Zip Code Apple Valley, Mn 55124 Phone ll 432-5492 SIGMA House SUAVEYING Certltlcate For: SEFtVICES Frontfer Midwest 3908 Sibley Memorial Highway 'Eagan, Minnesota 55722 CorpOratio~ Phone' (612) 452-3077 ModA - LAwnstek - ~ W E~~'-P U RY - W AY - N 8°I° 5~ iD" E 0 -N- 868 5 a O' 11 O x$6l 5 0 } 0 ~ n pl I'. o ' i ~ I p\ ~+°^O' r I I I~ -iCALE : I ~ =~1{J ~ ~ ~ ovz~ ~ a ot c. ~ ~ LO~ I~D l.4 ~ b ~ o~ 0 ~uTI uM'T4. e A r-~, I ~ z I ~ 96o.oa - - - - n869.o ~D Sr• ~ v 4%%1 10IIy~ /Ag . ti' WAYNE D. = CORDES = •~~~a~~'iY -LE6EN0- PROPOSED GARAGf FLOOR ELEVAlION= 869•S 0 Denotes Iron Yaiu+rent Pl70POSED 1op of 81ock ELEVAT ION= _jN69•8~1 ° Denotes N'ocd Ni.b Sef PROPOSED BASEWENT FLOOR ELEVAT/ON= gfo6. K 866q Denotes Existirg Spot Elevation NOTE: Venfy afl floor heights wiih Firia/ Nouse Plans. Denotes Proposed Spot flevation Denotes Orainage Direciion ~Ryty~ CERfIFIC,4TIQN-. _P~~ ~~r~'~ I hereby certify that lhrs sL.rvey, plan or report was prepared by rre or urrler my direct supervrsian LOi 15 gLaK 3 ani that I am a duly Registered Larti Surveyor ESTLUP,,? -q +t AAOITIOnI T rthe faos of the State of Mirvesota. accordirg to the recerded p/at thereol, h Date: ~~85 ~ _ Coi.nty, Minnesota Wayre D. Cordes, Minn. Reg. No. 14675 Page 1 of 4 , . . CX7CRIOrt EULLorLF nyI;anr,E "II" r.orirurnrIoN Lptj cASTeT. - - ~ti+cGwo~.~? oWNEa: ~ DnTr: SITE ADDRESS: PfIOP;[: CONTRl1CTOR: FNnAmr(r- Determine working square footoqe of each 1. Total exposed wall area..... ZCC4 m sq, Pt, .11 = zz 7CJ8 2. Total roof/ceiling area..... _10-7_1_SCa, ,<t. x 02E , Total exposed wall arca al)ovc floor= a. Total wall tiaindow area f ZO. ~ b. To±al door area ~4. ` Z c. Total sliding glass door area.................. a d. Total fireplace wall area 4 4 B e. Total wall framing area (average lOw).... . f. Total rim joist area ~ Zc~.A 9. net wall area above floor.Z%1,E} h• wall area above floor wall area above floor.......... j. frame wall area at founddtlG?7 Total exposed foundation area= k. Total foundation window area l. Total net foundation area above yrade Determine "u" value of each wall seyment (e.g. window, door, each separate wa)l section) a. Go.~' _ Y „U,-_. b.X, ,iuti re)7- 'I--,~-- C. a X sc d. X u I)-~ 17. e X r ~ x V o h. X ~1v 1. y- U„ _ _ u~,• 0 X uVu _ If item p3 is the sam X as, or less than item g~ 11 , you have met.,.ttie:: ~ intent of SBC.6006s`r,c• 3. Tot - I `~•~'T a 1 , I.xtj:rior rnvolonc wcrngc "U" ComputaC.ion Pagc 2 oP q , i: • ' . ToCal caponed root/cniling nren = f 4l' m. 7bta1 s};ylight area n. Total roof/cciling framing arca (avcrciye 102).... O, o. Total nct insulated roof/ccilin9 arc:a........... . Determine "U" value for each rooi/ceiling segr,ient ` M. ~ x .~U.. n_ ~cv61• ( ."J. .O 7.1 _ -Zs_Se-Z o. Ii!p (_41_,; „u„ ,d Z = lat - co 4 . . . . . . . . . . Total v 2.13~ If total of 119 is the seune as, or less than Ifz, you have met the intent of SriC 600b (c) 1. ' Alternatc Buildinq Enve).ooe Desiqn 'ib utilize the total envelope'systun metliod, the values established by tite s:im of i.tems 0 und i'rS shall not be greater than the stun of items Itl and 1,2. 1. 7..72, VS + 2. L_&T7 ° _Z5V.!q5 +4 . Z~•~~ = 15~~"~ - ~ ; •t~. 'Unr~ p~,iar~ w,~ll nrcA !ur ~F~~/~l~ cc.w.e r~ci lun t v,i i . _ ~ .---{i) i. q~~A4in - - . m.~dt43 . ---0 c~y P 1 X Zin~~i~.. ..ii~ ~ 7! cx-) ~66 I \I.I,' PIU. M] TOPVIFIJ OF FIWlli {QAL1. . ln(.rrl;~i' ;61 'llw f).GH , . . . - ~ . . . 3 • ~ i ~!~~-.r ~`f/& ~ ~i.~?O . AWm._ str,4~ . . .~.~t , ~ G. F.r,l.rIiui eii 1•~li.i q.l'/ FIC. 112 ----'-,I'ul.al----~~'~I ~ - ~ f Ll _ • A ~ 7nr f ~Li [ nir t~Llm i p 2. - ~ ~1I , - - 1 ~ul 4J ' }:xtorlor nir film---'-,-----~7~~-1. t, 1. In[rii•,c nfr fll~~.: D.f,n 2. - - - - _.131.V6tC 8tl. ~u • • ~ r 4 ` . . . . _ J~ n r G. 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I~'r~tTlO , , - - d' _ 34 , , ( ~ _ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Constmcflvn ReaulremeMS Remodel/Reoair Revulrem~ D 3 registeretl aMe svrveys showing sq. M. of lof, sq. N. of house 2 coples ol plan and QII rooted areos (207, maximum lot eoveraae allowed) 1 sei of energy calcvlaflons for heated addkions D 2 copies ol plans (show beam d window sizes; poured fnd. design; efc.) i sBe svrvey for exferlor addNions S decks ? 1 set of energy calculations ? 3 copies ol hee preservation plan R lot plalfed after 7/1 /93 DATE: 'i~ -L} -cL C~ CONSTRUCTION COST: DESCRIPTION OF WORK: I`~~JCJ ~l'It~Gt/ 00 STREET ADDRESS: YIS (o W L ST1e>1/~ YZ-y LOT: BLOCK: 2) SUBD./P.I.D. N: Name: REN/VElSOK& PE-)QZ- Phone#: &SJ~ 4So? PROPERTY Last First OWNER / Street Address: 3 CI S(o ~A) ES M~A 16--`e [i1) Pi Ci1y C- A-G pTr~ State: Y~A rv Zip: Company: ~6 (1-f, Phone #k: 1a- 707-L259 (area code) CONTRACTOR StreetAddress: Iaa4 -1 NticGIFT 14\)U_~_ So ucense#aGlb~ 393Ecp.3 aQ city '6U 2.NSV ti Ltt~~ state: ziP: 3 3 ~ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) StreeT Address: Registration City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new construction onlvl: Penalty appifes when address change and lot change is requested once permN Is issued. I hereby acknowledge iha} 1 have read this appllcafion, state thaf the informaflon Is conect, and agree to comply with all applicabl State ot Minnesota Statutes and GMy of Eagan Ordinances. ~ , Signafure of Applicant: - - OFFICE USE ONLY I~I~iL'- C~~ I • Certificates of Survey Received _ Yes _ No • . _ Tree Preservation Plan Receroed _ Yes _ No _ Not Required i; 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 Porch/Addn. (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 Misce!laneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair D 38 Demolish (Interior) X- 42 Reroof ` Give PCA handout 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. MClES 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 SNV Surcharge Treatment PI. Park Ded. . Trails Ded. Other Copies Total: SAC Units % SAC 1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IPCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CBLCQLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MUST DESIGHATE iiHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLO{dED ONCE BQILDING PERMIT IS ISSIIED. MOLTIPLE DiiELLINGS - RSSIDENTIAL RENTAL IIAZTS FOR SALE OHIRS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB iRTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONRERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, o $2,000 LANDSCAPE BOND To Be Used For: ' 1GGvz Valuation: Date: Site Address 34S(o UOESTBOKY l.V OFFICE DSS ONLY Lot --LS Bloek ~ On Site Sewage_ Occupaney MWCC System Zoning Parcel/Sub On Site Well _ Type of Const City Water (Actual) Owner ~E.T~~ {C,Gr..1rJFl•3 'Qra (Allowable) ll of Stories Address 5 q Mi5 Length Depth City/Zip Code fiAG/}tif 5~7k 23 S.F. Total Footprint S.F. Phone q,5Z^ 2f28' 9PPROVALS FEES Contractor Assessments Permit 2-C7, Water/Sewer Surcharge I. Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies ~ City/Zip Code TOT9L - Phone IF u : > I I - - -.I _ _ ~ ; ~ - - ; - ~ _I_- - - - - ~ - ~ ~ - - ~ - ~ , ~ ~ -1--- - - ( -I-- ~ _ ~ ~ i ~ . - - , - - - - - - ~---!---------j--~- . ~ i - - l- ~ - , - ' -i=-~_- ; - ~ ~ _ ~ . ~ i_~L---- - - - - ~ : t . ---.-----I-- - - - - - - , , - . ~--.^--N ~ ~ - - - ~--I- , ` - . _ . , - _ : - - - ~ - --1---~ . _ I - _I. _ I- ~ i- I-- ~ - ~ _ ~ - - -1-~ --1 ~ - ~ ! i ~ - I - -.1__ . . , , i ~ , ~ - . ---,--~---?---~-_1--f--~----- ~ ~ -I ~ - ! -J_ i- - ~ ~ ~ . , ~ ~ - ~ ! - - , , - --Y _l_---_-I _I-_~__1- -!---I--~~- , I ~ _ -_1---, - j- - - ~ - ~ - - ----..I ~ - - -i-------- ~I_-r I 1~. . - f - ( i - ~ ~ ~ ' ` ~ - - -----1_----1-- ~-I:_ u' ~ II ~ , . ~ - . - - - - ~ - - - -~5~ - - - - ~ - - , ~ . v,:,.,,,.. , . ~ U~ - - - - . . : ~ - - - - - - - - - - - - , - --1--1__ _ _i_ ! - --I i ~ . -I-- , . - - - ~ I li ' - ~ ~ , - - - - - ----1 - ~ -I-- 1--- - : , _ . - - ~ I-~- - - , - - - - - . - - : ~ . I- i___. _ 1• - -.I.----C-----~---?- ~ ~ _ - - ~ I - - . ` . _ _ ~ _ - - - - - - - - - - - - - i 1 _ - - ~ i I I I I yt. . , ~ - ! . ~ . . ° - -'h'~~~ --~i ~ - - - - - ' I - - r. -l -i - : ; '4; ~ ' : - l-- - _I - --~-----~--I--J , : , - - ~ - I - ~ - - - - - - - - - - ._l_.__._ i ~ . - - - - _ , - --------I- l . . ~ --;-a---;--_~ -I__~ IT' -r- -~l_.-~-.----- , I I- --1---i- - y:~ - , - - , ' . ! ~ I - - , - _ f- - . ' ~ 1---i- ~ l y _ I --I - - ~ - - _I. - - - ~ , - I I I ; I_. I_.i-~--- I--- i--;--' _ --~-----L--~----l - ~ - - - - - - - - - ~ ~ - --l = - 1 ~ , ~ 2/84 CITY Or EAGAN APPLICATIGN FOR PERti1IT SES^7ER A;1D/OR WATER CONNECTIODI (PLEASE PRINi) PRCD=- ~DRZS5: 3956 Westbury Way TFyAL p=-cCaT°TT-Cv, 15/3 Westbury Fourth Addition liot/Block/S,:rcuvisicn or Tat Parcei I.D. NL:.~Der) li S77=7,E. Da-v 0F Ci2T_G.^LIAi, uiI=L`:G e_, PP.-=.'?' PS: ~ R-1 SL:GL: ? f2-2 L:lYLl (Tr,i~ Lry:iTJ) ? ?-3 :Cf.•--LNErvrcr (?"'_n--. + L^]2T5) ( L1I2"S) 17 '-4 .',^r:.:~"rz-`;T/CC:DCi,tr~rrr-ti1 ~ CTPiI_S) ? CCi.n1E.2CL~L,/R..t'I~1II?~~'-`'?Cij ? L,'CCST~? S, - Q L`1STI;LTICJLU/G.."'~,,.' =~Z+c~;T - - 2) (PLEA5E PRliifJ Frontier Midwest Homes Corporation ArD?~=-SS: 3908 Siblev Memorial Hwy. Bldg. E CI'="-'. STAT`-'. ZIP: Eaqan, MN. 55122 PFO`E= 454-0433 L 3) FL=,!n=% (PL"cASE "flL4i) FOfl CITY USE 04LY Star Plumbinq PlUHBERS LILE.YSE: , ADCRESS: 1018 Mound Springs Ter. ~j accive CITY, STATE, ZIP; Bloomington, MN. 55420 C] Expired "~lcm n Not;/of Recard PHOVE: 884-4149 PLUf1BER LFCENSE N 3329 4) =uppD7T/Cr',~,l~t^~ (PLEASE PPi11l) NAME: Mark & Pamela Schulke AnDRESS: 448 eidwell CITY, STATE, ZIP: St. Paul, MN 55107 PFiONE: 224-7530 5) 1NDI(ZrT WiIZCH PER•LIT IS SEIr:G REQCJESTID: 0 CG.`NECrZON 'Io CITY SETr;rSt Please mail gold 'copy to ~ CONNaFCrZC:I Tp CITY t•7ATER Wenzel Mechanical ? Ui'[ER (PIS?SE DESC.I~SHE) 3600 Kennebec Dr. ~ Eaqan, MN. 55122 ~ 6) P::DICCAi:: C.it: • pr r~S£ F?OLLS APPRW D pERAIT FOR PICi:-L? BY 0:1E OF t1BCJE °T_E~ :•T'.-~I APP??OVID P&z.•IIT T`J 1, 2 3,, 4ACOJE (Cie one) 7) SIC.;-,=:.: J~~G~ DATE: R [\aLM?A ~ i tf l~.gfv ~ i /1 i~i.ii r ~ li ~si.i :a ~ ! I~lfl:f~~'!~ f~ ~ ~ t ~ ~ti.~ FOR C I T Y US E ON:,Y • pE?±qlm y rSSUED rr^S: S-::Gp Dr.v\7Ty (I`1CL~i : SIU°,^.:nRGc.) wATEa PEiUtlT (zNCLUnE SUaCzaRGL) W?TER METER/COPPE4HORN/OUTSID : R:i,D :7 5 WAT°R Tnp (INCLUDE CO3PORnTZON STO?) 5 SEivER T-~P $ ~S•'i'J = _..~'i:.i'P ~_=GcI^ _ a=..=3 $ AC.^.Oii::T DFPOSIT - :-i%,T_R `S jJnC $P.C - S - - T??UVK SlATER ASSZ SS2i_:IT _ S TBG?]K SEWER PISS?SS};E?im S LA:EP,IL BL1VLf ZT/?TR[jNj( SES9-= $ LaTERAL Bc.NcFZT/TP,U.:K ?•IAT°_:? WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TO;aL Ai`10L":T PAZJ;'4EC°_i?T 1 S3 )U n DOES UTZLITY CONCIECTION REQUIP,E EXCaVATZON IY ?USLIC RIGHT OF WAY? ~ YES IF YES, THEN n"PER67IT POR S+lORti WZTHZN PUBLIC ROADWAY" MUST BE ISSUED BY TY.E NO ENGINE£RING DIVZSION. LIST AS A CONDI- TION. SUEJEC': TO THE FOLLOLJING CONDITIONS: • / APPROVED SY: c. ° TI':LE: ~ . DATr: Me ~s~.. w Am WM , - : s~- MEMO ' city of eagan TO: TOM COLBERT, DIRECTOR OF PUBLIC WORKS RUSS MATTHYS, CITY ENGINEER FROM: JOHN GORDER, ASSISTANT CITY ENGINEER DATE: JiJNE 1, 2001 SUBJECT: 3956 WESTBURY WAY - JULY 2000 STORM The resident at the above address, Norma Renneberg, has requested that her area of Westbury Addition be placed on the list of future areas to be studied for possible mitigation improvements (see attached letter). Joel Rausch met with her earlier this week on the property, which is just south of the Westbury Way and Westbury Trail intersection. The intersection is a low point and Ms. Renneberg that it flooded and got into the garage and a little bit into the utility room on the 1 n floor. Joel says there appears to a relatively simple solution to protect the house. Minor grading along the property line to the east could provide an EOF for the low to drain south into the City parkland. The grading plan for the development does not depict an EOF at this location. Joel suggested to Ms. Renneberg that perhaps she could accomplish the work with the cooperation of her neighbors, but Joel got the sense that she wants the City to study the situation and do the possible grading. We have not received any information on additional flooding of structures in this area. I have placed this memo in the "Superstorm/ Fuhue 5tudy Requests" file in the Engineering drive for future reference. Please let me know if you need further information on this matter. } RECEIVED ~ MAY 2 4 2001 May 2, 2001 EAGAN ENGINEERING DEPARTMENT To: City of Eagan From: Norma Renneberg 3956 Westbury Way Eagan, Minnesota 55123 I have read in the Sun Current that a meeting was held recently regarding the flood victims and that the City was looking at having Engineers go out and look at the current drainage that is in the Eagan azea. I am concerned that we may be overlooked. I was wondering if the Westbury neighborhood is going to be considered in that study because as of today we have experienced flooding 3 times since we have been here and we moved in 1987. Our neighbors have experienced the same difficulties as we have and i feel that if you could come out and consider looking at the drainage system I would greatly appreciate it. If you would like to reach me with any additional questions, please feel free to give me a call at 651-452-2628. The neighbors and I have pictures and videos if you need any information on how the water flows azound the houses. Your response would be greatly appreciated. 651-452-2628 Norma Renneberg 3956 Westbury Way Eagan Minnesota \ ~ \ ~ j ~ ~ / ~ ~ ' 'tT. 1 - Qh ~ r , . /i - - , - ~ ~ . 14 t ~ OUTLO, )4.~, p . IA doo ' ~i ~ ~ ~ ~ i ~ \ \ ` \ , / / ~~~j ii_`\\ J\\\~\` - - ~ ^1..~ 1 `r~ ~ ; ~ ` j~~_....~)~~ / /r "41b \ \ / / `~J 1 PAIR K 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. 1 SIGMA House ~ SUFiVEY1NG CertifJcate For: 184 SEFtVICES Frontler Midwest 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Corporatlon Phone: (612) 452-3077 Mod~ - LANU,s~~t - 39s~ W E~~-~U RY ?^1 P~ - - - N bl° 5~ 101, E ~ _N_ _ C- .oo - ebe.a f A = Q . i \OOA\ io. o a I O N M e.p' fl / ~1~1 y O • %6QLE L{-0 ' I ~ ~ yF\\\\\~~\\\Y I 1~ l,d T b~w'~` ~ LO'f I lv zi 46060 , ~ O Lo'fl 15 I 7 ~j LI'f ~ LI?~ O °n EA5 M I ~ .r 96~.0~ I~ ~B68a CvS.oo ~ 55' 10"W - ; 14675 Q•...._......~~~~:; "~•oi 5 U `c:~" ~///Uqllll IIIIP9IP;. _LCGEND_ PROPOSED GARAGE fL00R ELEVATlON= 8FA• O Llpnotes IronMonunrrit PROPOSF.D Top of 81ock ELEVATI ON=_BCz9_a ~ Den01P,5 Mocd Nib Set I'ROPOSED AASfMENr e ~~ELfE-V`A~ON=B63~0 Lowe.r „e~o Lknotes Existirg Spvt ClevaJinn NpTE: Veri(y a!1 tloor heights +ifh Final Hwse Plans 0~Llenotes Proposed Spof Elevatron ° ~--Denotes Drarnage Direction ~~y0F?$ GE?7jIFIC~4TlI herebfy thet fhis survey, plan or report _PFCffRTM [,E$(RIPjIC1V- was prepared by rn° or urtier my di rert supervisi cn LOT IS gtaK 3 ani lhat 1 am a duly Registertd Lrrt1 Surveyor ihe Staf ~ e of Mirne 1s22.ota.18s ~~11 ~ Acc~dirg to ihe recorded plat thereo(, ~oL. Dafe: kAkk-a--County, winresofa Wayre D. Cordes, Ninn. Req. No. 14575 øúÿ ÿþ ýüü û ûúþ ùüüï÷ÿöü ö ó÷ûüô óó ó ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù Þûÿ ó îãÚ ó ÷ûü÷ ÿåãó áßóàßôô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü ÿþ þý ÿþþ ýüûúüúûû ùþþ ýøîþ î ÷ ü úóî åâ ÿþô üûúù ð ô üûúù ÷ õþ ù ô üô óóïüùþú ò ñüþ íù ä í î îí íþú ñü í þ íêôîí úëü íü ù ù þ þ ê ôþ íé þ ñü úþì þíúîí ê þ ð çæçååêåêóå óù ü îþ çêê èþüþýê òñ ôöð ùùþ þ ø àáêðþ â÷ ü ú÷þú ø ä ãáÿþ þãá ßâÞââ î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü eC `' For Office Use 8 6 l �� J( N/jJ g° r :::::e: [J t V0 pr ArieN r . f -/ fs 1 t RECEI V EO Date Received: O r ( / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 AUG 16 2018 I Staff: 17 - U buildinginspectionscitvofeagan.comL 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 8/16/18 Site Address: 3956 Westbury Way, Eagan, MN 55123 Tenant: Peter Renneberg Suite#: Resident/Owner Name: Peter Renneberg Phone: (651) 452-2628 Address/City/Zip: 3956 Westbury Way, Eagan, MN 55123 Name: Genz Ryan License#: PC643433 Contractor Address: 2200 W Highway 13 City: Burnsville State: MN Zip: 55337 Phone: 952-767-1811 3 ; Contac.: Cliff Telstad Email: permits@genzryan.com Type of Work New I_Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Start re-water pipe of entire home. Remove all gray polybutylene water pipes.Replace both main water shut off valves.Replace both sillcocks Description of work: RESIDENTIAL Water Heater Water Softener tLawn Irrigation( RPZ/ PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(included State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) `Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. Dlgkally signed by cilff Telstad Cliff Telstad C I I rr Telstad v=,US==Cfiliff@Telsptaad,oo=dGesengzncReynatne,rccoo m, X X Date 2018.08.18 14:34:57-05'00' Applicant's Printed Name Applicant's Signature FOR OFFICE USE eviewed By: Date: Required'Inspections: Under Ground Rough-In Air Test __Gas Test Final Meter Related Items: Mete-Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152386 Date Issued:10/15/2018 Permit Category:ePermit Site Address: 3956 Westbury Way Lot:015 Block: 003 Addition: Westbury 4th PID:10-83653-03-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter A Renneberg Tste 3956 Westbury Way Eagan MN 55123 (651) 452-2628 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature