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3964 Westbury Way CITY OF EAGAN §rwm SnVICE PERMR ' 3830 Pilot Knob Rwd ~~,~Y ~ P. O. Box 15199 PERMIT NO.: Eapan, MN 55121 pATE; " Zorin0: It1 No. of Units: Owner Froutier Mi eest lldd?esx Stir. Addnn: 396WeaC ury ay eat ury Plurnber. 6-13-85 52714 1 OU. ~ OFF- I to «wWly wMM 1M Clep oI ioow CorrNC.tlon CJwrpr. 425.00 pd I p,dhwoom Aooount p,.pow; 15.0(Jpt: Pemdt Fw: 10- 00p-i ; Su.dhorpe; .507.x: , By Misc. Charom 1 Dah of Irop.: Totol: Ir"qL: DoM Pold: ' I ~ ! CITY OF EAGAN WATER SERViCE PERl1A1T k 3830 Pilot Knob Rosd , P. O. Box, 21199 P£RMIT NO.: Epan, MN 55121 D/?TE: - Zonlnp: RI No. of Units: 1 pM„wr; Frontie_ `didwe:st , llddrpt: Sft /lddnn: _il,i . F,:LLurv 1-1 1 ',r ` - Pltrr*er, r, Mdrr NO,: C011f1lCflOf1 QIOI{r: I l,. . ulgellig '41.. a rA"~~(.e~QOsff: No.. /7'! C ~ , , i ~SFelt "d Totoi: #7 • • 7) hti metel BY Dote Potd: 1 ' pote--r of Insp.: lerp.. ~ REACTIVATED FaVIONOW ~ ~ ~IM.•NORDBY - CI'N OF EAGAN ~~45 4- 0 613 (H) '3830 PHa Knob Road, P.O. Box 21-199, Esg.n, MN 55121 ~A.- PHONE: 4648100 ~ 4 ~ul~~ ~EItMIT R~ipt ~t T40 M wod hr ,~•,"u2 Est. Voiue 3, 0 0 0 pyte 85 SiteAddrea 3964. ..4, 1'hUi2Y WAY _ Erect Qk Oxuponcy ~ Lot Blxk s Sec/Sub. w''~ S': E:U.t k 4"'R _ Remodel ? Zoning Repair ? Type of Congt. ' Parcel No. AddRion ? No. Stories 71 i',.LIN' TIFY. r2lDeti;,ST I?0^:L:S LORP Mova ? L.rqtn ~ Nx^e „ Demoliah ? pspth Addra~s ~ 0 L~ I rs MEI~2 Pt+iY. Int Impr. ? Sq. Ft. citv p u g a n Pnor,e 4 5 9- 0 4 3 3 instan O f~es ~%a:~'; PKa.ah Nb'f1Q A Addren Auesunent Permit • ! ~ City Phone Water b 5ew. Surcharpe L.jo CF3ARL F k Poliu Plan Review ~ 1.(1 T 5.0 W Name 5:. Fln 3AC = 1, ~ O. I1 Q Addna Enq. Water Conrt ~ W City V AL Phone 43 2- 5 49? Pta+ner water Meter ~ 3•(~ i1 Council Road Unit L t3 . U C I hercby acknowlodqe that i hovo reod this opplicotion ond stote tF+af Bldg. Off. 1 "Tr. PI. 1-~ the iniwmotion is corrcct ond ogree to comply with all opplicable A~ Stob of Minnesoto Statut*s and Gty oF,E~pon. Ordinanu:. Parics • ' ~r . •1RK. D!t! GpplAs Slpnotun of Pemwtt« 5 ta A Buildiny Pennit Is isswd to: on the expnm conditbn fho+ oll work sholl be donw in acaorda+ce with a"ppUaoble Stal~ of Mle?nnoro Stotucts ond City o} Eopon Ordi.wercn. duildinp Offldol • t - I I Pwmit No. hrmlt Holder Doq ToMphone it Kva?.c. EkmMe aoh«~.. Inapeetion Date Insp. Other Footlnqs 1 7 Footlnqs 11 tz2 Foundaqon A Framtnq Rooflno aough wbo, Rouqh Htp. InwL g ~ Flnplaw I ~cc ~ 3 ir.f 7 P=4X Fin,i Fft. Final iMbq. , Flnsl ~ CWt/Occ. t LAA w.e« °""ib' Loe.tl°^. WMI 8wwr Pr: DNp. Reoeipt PWMBING PERMIT Pwnk No. CITY OF EAGAN FN fill Jn numbered spacet S/C Type or Print lsgidy Tot • 1. Date r' -2C 2. Installation Cost 3. Job Addreu=' e ' , ~bt Bik. Tract T~ 4. Owner 5. Contractor Phone 6. Address ~ !2S 7. City T•Vm;State ~*i"'i• Zip 8. Building Type: Residential 40 Commercial ? Institutional ? 9. Work Description: New ? Add O Alter O Repair ? 10. Descxibe 11. No. Fixtures No. Fixtures ^ Water Goset Cesspool/Drainfield ~ Bath tubs $eptic Tank ~ Lavatory Softner . ShO1"e' Well Kitchen Sink Urinal/Bidet Other , Laundry Tray % Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with #It ordinances and codes governing this type of work. Signed : j,' : ~ tor / Rouph final ~ Inspectiona: Data Insp. Date Insp, J! This is your permit when num6ered and approved. F' Approvad CITY OF EAGAN 4544100 R"ipt MECHANICAL PERMIT Pennit No. cInr oF EacnN FM , fFl! !n numbwrd t,pacet g/C ~ 5 0 Typs or Prlnr /eyib/y Tot i. Dau 2. Instailnion Cost C 0• C~ C 3. JobAddrKt Blk. Tract P~7_ l 4. OWIMt i ~ 5. Conuactor Phone 8. Addrois 7. City Siate ZiP -S- 5l /.2. oL. r J 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New ~ Add 0 Alter 0 Repair ? 10. Describe = -d~ • Fuel Type C • ~a_t._~ 11. No• PqyjpcpflaL 8TU - M. Ea. No' Eauiament CFM Forced Air Air Handlinp: f1Afy, -x--'~--- Boilers ~ Mech. Exhaust J Mfp. Untt Fleater Mf9- Othar Air Cond. Mfy. Gat. P'ipiny Outlets 12. 1 hereby certify tfiat the above information is true and correct, and I apree to oomply with alt ardinences and oodes governing this type of work. Signed : ~ ' ) e- :;4", I , " for ~ Rouyh F Insl I Inspections: Date Insp. Date Insp. This is your permit when numberod and approved. I Approved CITY OF EAQAN 464-8100 I ~ INSPECTI4N REC4RD ~ CITY OF EAGAN PERMIT TYPE: . ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ~ SITE ADDRESS:' ' " ' I 1 "0 0 . APPLICANT: i (1I - i , (i1 ~ •1NUftY ltil'~• ' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . " i F L ~I ~ Permk Holdsr Dtb TsMphorw 1t I WATER I PLUMBING I I HVAC I I wwscaon o.a msP. com,n.na ~ I FOOTINGS I I FOUND I I FRAMINO I I I ROOFINQ l I ROUC3H PLUMBIN(3 I PLBG I AIR TEST ROUGH I HEATING I I GAS SVC I I TEST I INSUI I I OYPBOARD I FlREPLACE FlREPLACE I AIR TEST FINAL PLBQ I FlNAL Fff(i ORSAT I TEST I BLD(3 FINAL I I ooMesnc I METEH I I IRRIGATION I I MEfER I FLUSH I MAINS I I oowucrnrmr I I rESr I HYDROSTATIC I TEST I I BSMT R.I. I BSMT FlNAL I I I I DECK FTG I I DECK FINAL ~ - - - - - - - - - - - - - ~ INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 I SITEADDRESS: APPLICANT: ~ ti1 ,~t~iif;V tii~'~ f'l N%ta'i A14111 tr':t N i it • i~,+?: : 1 ii1 9.30... l l5F, PERMIT SUBTYPE: TYPE OF WORK: n I 'rF P nirr?N (t: I~ 1-1 I'! ;ii , i fS flll,1{1 INSPECTiON TYPE DA • DA I i 1 I ~ ~ ~ P*rmk No. Mrmk Holdar Dab TeIephone # ELECTRIC PLUMBING HVAC Inspsedon Wh Insp. Commmnb F0071N(3S FOUND FRAMING ROOFING ROUGH PLUMBING PLBCi AIR TEST ROUGFi HEATINO GAS SVC TEST INSUL OYPBOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBG FlNAL HT(3 ORSAT 7EST BLD(3 FINAL BSMT R.I. 65MT FlNAL DECK FTG DECK FlNAL ~ g , CITY OF EAGAN N° 10 3 9 5 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:4548100 BUILDING PERMIT e«eiw # To ye esed SF DWG/GAR Est. Val.e $63,000 pate JUNE 13 ~q SS SiteAddreas 3964 WESTBURY WAY Erecc W Occur,ency R3 Lot1..3_ elock 3 cM/Sub. WESTBURY 4TH Remodel ? Zoninq R1 Percel No. Repair ? Type of Conrt. V Atldition ? No. Stories FRONTIER MIDWEST HOMES CORP Move ? Lanqtn ~ ~ Name ~ 3908 SIB MEM HWY Demolish ? Depth 48 Address Int Impc ? $q. Ft. citv eaqan rnone 454-0433 I„staii ? S~E AOOrorals Fees O Nane fu Addresa Asxssment Permit 322.0( ~ City Phone ~Nater 6 Sew. Surcherge 31 . S( Police PlenReview 161.0C Name RICHARD CHARLIER Firo SAC 525.0( ~ z~ ? Addresa 14103 GARDENVIEW CT Erq. weterCOnn. 500.0C ~W City APPLE VAL phone 432-5492 planner WaterMeter 63 OC Council RoedUnit 280.0( I hereby aCkrawledge fhof I how reod fhis opplicobon ond s ro fha emy. ott. 6/13/85 Tr. PI, 1 32. O C iM inlormation is correcf and ogree to wm ly 'aKo a lie e A~ parka Stnta of Minrosota $totutas a .di n Var. Date Coples Siqnoture of Permiltae ~ i~ FRONTIER MIDWEST HOMES CORP Tote~ ' A Building Dermil Is issued to: on the axpmY Gondiflon Ifw+ all work shall be dona in xmrdance with o pplicobla SfSfi~qf Minnewto Statules ord Cily o7 EoOan Ordinonce~. Bufldinp Officlal e~~-~_- CITY OF EAGAN Remarks Addi!ion WFSTEiL1RY )iTH AI71I11 Lot 73 eik ? Parcel]„Q A3E153 b~C~O? Owner street 3964 Westbury W3y State NN 55123 Improvement Date Amount Annual Years Paymen[ Receipt Date STREET SURF. STREET R ESTOR. GRADING SANSEWTRUNK 246.59 l101 73 --fO SEWER LATERAL w terniain 1 65.29 WATERMAIN L+ 5• la. 3•ly 44.80 " WATER LATERAL WATEF AREA % 120. 53 w er r d 19 1 8.92 1 133.79 STORMSEWTRK 19g 710. 142.05 710.24 STORMSEWLAT l 19g 783.5 156.71 5 783.5 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. 11 500.00 BUILDINGPER. SAC S2S. O PARK qa•~ ~ 2006 RESIDENTIAL BUILDING PExMnT ArrLicnTtoN 2 33-11 City Of Eagan 3830 Pilot ICnob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion ReouiremeMS RemodeVReoair RaCUiremenis Ofioe U'se OoN 3 re9istered site survays sho++ing sp. R of lot sq. R of house; and all mofed areas 2 mpies of plan showing footings, beams, Joists (20% maximum lot torersge allowed) 7 set of Energy Calculations for heated additions So1s 7 Soiis RepoA 9 Droposed building Is to be placed on disNrbed soil 1 stte survey for additions & decks Treg'?ces`?lan`Recd="~~~~="1('`-'=N. 2 copas ot plan showMg beam & window saes; poured found design, etc. Addifion - indicate il on-sde septic sysiem Tree Pies;Required;-? ~ti=Y `_fJ 1 setol Energy CalcuWtions 0'n-5it'e"$eptic System 3 mpies of Tree Preservation Plan if bt DWtted afler 717/93 Rim Joist Detag Opfims selection sheet (buildings with 3 or less units) , Minnegasa,-1echankalventiWtianfortn Date 10 /2 -1 / 0-1 ~ Construction Cost S b Site Address ~1~ S r pxr1 W~ UniUSte # DescriptionotWork "tS' ~le Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 13't ~4 kaeh .A-..JLrS'ek- Telephone#((oSI) N9 2'9°7 9(1 Contractor N zAzei' 9agbG? Address .h 117 Wpiri4?2',a1 1~2! il7 . . . . city State In Al Zip Q:K6?I D'~2 Telephone #(//57) 5~ 3~1- y:3 o-G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted In the last 12 months, has the CiTy of Eagon issued a permii for o similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( } Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Pemut and aclmowledge that the informarion is complete and accurate; that the,work will be in conformance with the ordinances and codes of the City of Eagan and the State of MIv' Statutes; I understand this is not a pemut, but only an application for a pernut, 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. ' P d V h A ApplicanYs Printed Name Applicant ~ Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 \ 651-681-4675 NawConatructionReauirements RemodeUReoairReauiremants • 3 registered site suneys showirg sq. ft. af lot, sq. ft. of house; and all rooled areas • 2 copies of plan (20% maimum lot coverage allaxed) . i set of Enerqy Calculations for heated additions • 2 copies of plan showing beam 8 window s¢es; Poured founE desgn, etc.) . 7 site survey for ezterior addNons & decks • 1 set of Emryy Calculations . Indkate if home served by septic system for addi6ons • 3 copies of Tree Preservation Plan A lot platted after 711193 • Rim Joist Detail OpUons selection sheel (bldgs wilh 3 orless units) DATE ~l a[ 0 ~ VALUATION19rOLP~' y! SITEADDRESS 3~~70 kveSt~i~~^°V. ~vG,~ MULTI-FAMILYBLDG_Y >ON TYPE OF WORK ~2ti o ti d, ~~~P ~ FIREPLACE(S)~p~l _ 2 S ~ APPLICANT United Construction QC. ~ STREET ADDRESS 1725 Lake Drive eSt CITY STATE ZIP TELEPHONE # Chanha:5W*HBK 55317 FAX # 15 6-1) 31,~~- PROPERTYOWNER AC~ U,SI COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'PA ItUI.LS 7670 CATLGORY 1 MMENNESOTARULLS (J submission rype) • Residential Ventilation Category 1Worksheet Submitted mitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc # Plmnbing systcm iiicludes: Walcr Softcncr L,a~~i Sprinkl Walcr I-Icatcr No. of R.I. 13No. oC 13aLhs Mechanical Contractor: Phone # Mcch:uiical systcin includcs: _ Air Conditioning P'ce: $70.00 _ Hcat Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofAppllcant l:,.. r' "-•------°------------------°'--°'-L - T7Z'~/ ?t. 1I Z OFFICE USE ONLY ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi . ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolit(on (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foo[ings (deck) _ FinaUNo C.O. _ Foo[ings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ F[gs _ Air/Gas Tests _ Fina] _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) [nsulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC Ciry SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total 1985 SUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MOST BE LICENSED 1/ITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (o 3.oe:,O, ~ To Be Used For: ~JnQlq Valuation: r2~;~Ba Date: 6-11-85 3~ Site Address: Pst6i y Way OFFICE USE ONLY Lot: 13 Block 3 Sect/Sub Erect )C Occupancy Remodel Zoning R-l Parcel !I lAiPSthury Four}h Addition Repair _ Type of Const -V-_ Enlarge /1 of Stories Owner jimmv F Kathy Noi'dbv Move _ Length 40 Demolish Depth 48 Address .1957 E. 145 h St. Grade _ Sq Ft City/Zip Code Rurnsville. MN 55337 Contractor Frontier Midwest Homes Corp APPROVALS Address 3908 Siblev Memorial hwy. 4kE Assessments Permit ~J2.2.~tl Water/Sewer Surcharge 3t 50 City/Zip Code Eaqan, MN 55122 Police Plan Review (C9(,°= Fire SAC 525. Phone fl 454-0433 Engr Water Conn 5 0D. Planner Water Meter (fl3, Arch./Engr Richard Charlier Council Road Unit 2 bp.~ Bldg Off ig Parks Address 14103 GARDENVIEW Ct. Apple Va11(A)pC Treatment P1 Variance Phone fl 432-5492 TOiAL ~ 2C~ x~d - I c~ 4 0 ~ S~F- ~ sc~ f c.0 c~ . . X (I ` 440 ZD K 2-2- ~ , • f 2 ~ X-85039 April 19, 1985 Excavation depths, elevations, and fill requirements are as follows: EXCAVATION EXCAVATION FILL NEED TO REACH LQ'£ NQ. BLK.NB. DEPTH (ft) ELEVATION DESZGV SUBGRADE (ft) 10 1 1-2 882-884.0' 0- 3 11 1 1-2 877-881.0' 1- 5 12 1 1 876-378.0' 1- 3 1 3 1-6 853-864.0' 15 - 20 2 3 1 864-874.0' S- 12 3 3 1-2 870-881.0' (d - 8 4 3 1 877-881.0' (G - 5 5 3 1-2 872-875.0' S- 8 6 3 1-2 868-874.0' 6- 8 7 3 1-3 864-871.0' 4- 7 8 3 1-5 861-871.0' 0- 10 ~ 9 3 1-3 853-860.0' 7- 18 10 3 2-9 841-852.0' 20 - 24 11 3 2-10 840-853.0' 19 - 25 - 12 3 1-3 854-860.0' 12 - 18 _ 13 3 1-3 860-865.0' 9- 7 14 ~ 3 1-2 866-870.0' 1- 4 15 3 1 865-869.0' 0 (Cut to grade) , ~ P C~"• SIIBTERRANEAN ENGINEERING CORP. n x MINNEAPOLIS, nnINNESOTA s I¢' M A Nous e SURVEY11VG Certlflcate For: sERvi c e s ~~.0~~~~P ~1d0~/~Sf 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone. (612) 452-3077 Corporat0vn MoAel - CAr46a,(3ve - WEST~UI~Y W AY -N- gGALE ~ -40~ o I LcrT' 13 Q 0 I L/~ ~ ~ 4/i6A_ _ 20.0 1 I V -V 1- I4- T ~2 ~ W I - Fwe° E 'd' P,~ ~ ~ ao zw ~r p 5 y' ~ vo'a ~ ~ DRAIiJAGEgoe.o 0 5 U71L1'f'f ER6,M"1, ~ ~~j) ~iPJ`~0~751 10"W 110.04 - GFND- PROPOSED GARAGE FLOOR ELEVAIION= ~JII.S 0 Lenotes /ran lloixrrent Pk77PpSE0 Top cf Block fLfVAlION- 8~1.8 m lknoles doal Hub Sef FROPOSF_D BASEYENT FL04OR ELEVAIION= f'i(~ 8. „s7o.z (enotes Existirg Spot Elevation WTC) NaT SHawN AbTE: Verify af! (loor lerqhts rilh Final Hause Plans 1 Llenotes Proposed Spol Elevafimi -lknotes Drainage Directicn RVEyORS ~~1FlCQTlQ~Y-, _P~~ ~S~~~I~ 1 hereby cerii(y that ihis survey, plan or reporf was prepared by me or isrler my direel supervisiai LOr 13 BLocK 3 ani thai 1 am a duly Registered LaM Surveyor WEST3URY ~T~~ AOpmlON urY!r the laws of the Sfate ol dinnesota. accordiry to flp recorded p/al thereot, Dal~o+a w ne+e: l5.5- Counly, Alimesota Wayne D. Cordes, 11inn. lteq. No. 14675 :0`'`~ I ~'S 1~ . ••,9 . • ' WAYPJE = CORDES = ~ ~ 946YS - ' = Page' 1 of 4 ~ . ~ ~ EX7ERIOR ENVELOPE nv-rRnrr. "U^ COMPUTr1TI0N CAIVNrsCSP3 L , ~ OwNER: 0nlr: 45 - - SITE ADDRESS: PfIONE: CONTRACTOR:_ FePNJi'(M, Determine working square footage of each 1. Total exposed wall area..... z z,j~%$,(o& sq. ft. x .11 = 2,45f, 7 5 2. Total roof/ceiling area..... _ Isq, ft. ,026 Total expesed wall area above flnoi a. Total wall window area ( Z 5=~ b. Total door area 4 c. Total sliding glass door area d. Total f9replace wall area e. Total wall framing area (averaye 10„) - g~~ f. Total rim foist area 9. net wall area above floor... 2. h. wall area above floor i. wall area abpve floor j. trame wall area at foundation.............................. - Total exposed foundation area=_1,_~~ k. Total foundation window area 1. Total net foundation area above grade Determine "u" value of each wall segnie,iC (e.g. window, door, each separate ~qail section) a. ~ LS. 3 X „u.,-~- b.___V (pZ X U"_- C. 4.Z _x „u„ ,45 = 18.17 , d. 46 Y, ~lu„-3--__ 17 zcs e. z 28. a~ x.~~~~_.~ ~s gg.A- f. ~ qti x "u" 9.-_1~~•~ x ~,u~~ , v ~ 44~ ,1o n. x ',ul, _ i. K 'lu„ j_ X k If item I13 is the'sam as, or less than•'item ~ 1. 775, Y X„u„--~~ N1, You have met~.the;; . 11~ intent of SBC,.600~, G a 3. t . . . . . . . . . . . . . . . . . . . . . . . . . . . . TO ta l j'w~ ~.e~vriOt Lnvolopo nveL;igc °U" C01111r.il-uCion Pagc 2 of 9 . ' '1bCa1 exyoucd root/ceiling nrca m. 7bta1 s}:yli.qht area n. Total roof/ccilin, framing arca (:rvcragc 102)... LCZ~_Z- . o. Total net insulated roof/cciling iirea........... . Determine "U" value for cacli roof/ceilijl9 seqment ` M. x "U" ~ a „U„ pZ _ ~o o. Z a,~~,, ~ Z Y, S S 9 Tbtal If total oE ;t9 is the same as, or less t:haii 42, you have met the inCenC of snC 6006 (c) 1. Alternatc Buildin EnveJ.ope Desiqa 1b uTilize the total envelope'systen method, tiie values established by the s:im of i.Cems 113 und I!9 shcill not bc greatcr Lhan Lhe sum of items IFl and i12. 1. ZSJ, 75 + z. 7~3•Z$ = Z~O.O 3. + 9. G. . = Z03~ . j : ~ . r~czoz~%cezLZ:~c , . Construction R-Valu^ ~ 1. Intcrior air filn 0.61 ~ 3. IA) SUL. 44•Oa ~ ~~I Il •I^~~~I~~'lllllll(~I~~Illf~ 4. £xtcriorair filn (still) 2 S Q Total ~ p -r O C)_ .oZ . • ' F~eNr~ mced Hea[ flow 1. Intcrlor nir Cilm 0.61 2 up ~.r~~-~-- - • 3- ~ ~ ~ ~~,(Sul~ 38. 3S ' • 4. f:xt.ec'in: ,,ir !:iln (sti • , . . - Total- 2 = ~J p. ! S - . oz~.. • - -.y~~~(~~ - c oA. *j.,,Z v c r. m y~ , Snsidc a1.r film 0.61 % • 2- 3_ 4. n ~ r S. Outsidc air fil:? 0.17 ~ zotal i. Insidc air Yilin 0.61 • C • • . . _ . d I:GLL Ilov up • •v~nted 3- ' j . 4_ • . ' ' . ~ 5. Outsidc air filin 0.17 Total -3 ~ . I 0 1_ Ynsidc air film 0.61 2- 3- ~ •s•__~L=~"~~ . w~;'~f'1..i;,~,. . 5. Cutsidr oir filirt 0.17 ~~j' / • Tota1 . • . • . . gQ;l_VT2.=. Y:otc: Uso additional sheet, if morc cpaca i: , ' • peeded for detaiZs and calcu?ations. ' . ~ Heat ' • . ' - ; . - fZav up - • ~ ~ • . • . ' YI ~P7 . . . t' HAI.1, I'.f.f:'I'Ihlt!1 ku! u,I,11 ntcn I~r /v\ {r rwr.i lUO IV:1 lu~l ' qle A1-M _ .R'~ _ . . ..g s . ' $ ~ g~~• 7. tx~ ~ • G. ,ot,~i 1 L, ~ ~ (A H . TUYVI1.14 OF FIC. tl] FILm1E I4N1.71 . InCrrlnr ;11:' 'J lm q.(,!4 . ~ Y- ;I ~ ~ • 3. a- _rWi@.~w..-- 5. E~1W0'.1._ ~l?74!~. _ . _~.~ot lili.i (J.17 FIG. 02 Inl~~riii: film . . z. ~_~tn'? ~.~+~8 ~ ; - I----O 3 • _~r_r~~._._ . .v~~. _ _ t_!~.oc~ iYf A LSA ,l , _ . . ~r•,u ~ }:xCCrlo~ rtir I i im O.IY ,l~ ~'•`l.'~ ~ I • o ~ r--- _ u - . a ~ __"_.__~_Q 1. fnii•ii~~[ nlr (:l~~.i 11.f~(1 aas. y ~ o . n • . _3ry mo . . . 5-.r).....---- • • ~ • • o' _ O . P~wr~a_x-w~. 6At~~tap..... - , ~y 'r', r G. i'.:<i~•~~~,~ o.ti ~ ' • 'ru~.il ~ ~ SI.AIi (1N (;INI)h: ~ . ` ~ ~i~ 7ir ~ ' • ~ ~ ~ ~-L R~ J 1!! . . ' • ~ ~ . , . _ ' ~ _ ~ /il ~r~ x . ~ ' ~f~ rl~ o • _ . , < ~ ~ ei~:. na rr~ a . 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OflAr i V • , ~'-~,'~r ~P^~~~µ1:;.._ s7 t ~ ~i ~ , . _ A ' ' . • +~•1 -r ~ . , . ~'fi.~ydv.e,l~.Pf.~~~~••'l~Fu•"4 ( /~r ~ ~ . . f . • j b.~(.<:(.c,ji:li~?j.iul ' i, _ f4.. }:•:ntr,~~'!:'r." 1(I ~w.. ~.f ~ ' • . ~ . _ :~'~e~~,:'Pi'9~"4~1~~" ..L4 . a • C( I+ ' !i ',•:~•...,,.::i.~:~~;,~i,~~~i~ °1 , . ~p• . pC 4 . +'~.1.'l~ ~ Iln•I';:: lndicat~: L}'~,_, voliid, dCnL11 ,'nnd ~ 1,'{.'r~~C,.it'~ ~ ' ~ - p!.~•:rna~.i: of~ iniol..,ion. .,•r:~',,~":...P:i;`'.. PLAN~ Ltr.lEr4L FT, EXposED Wr4LL - i!::. (oCA T &0 ~ a z- afltI4 + 5z.Grv m rco ra, cro . ~ qU L L I ~ 140 r1.0 i I '7 r - ~ 1 iZ.Et~LACE, cs p v~. t~r w-~ TzIM:;4ca4 4; Z+~~ = 14?-~' , . SK.i~ooSEa WA LL AZEA t3LocK_', f so." K , S = 7 S. 3 3 . EE; .Ilo4..le~o X S = 83;• 3 f:v LL I ; ( 4a SC, g 1 ~1! '7~ti 14& 146 ToTAL _ Z ii SC~„~t ~ ~K~oS~D GEI LIIJC~ tu~~ ' - ,.i I W DWI5 L~] D oo~s L~j ~i ' Z41 4q = 4 a Zc9• 3 ~ I '?~~6v~ '3? = Z S. - ' Zo(3~s Z= i~ ?ATf O_ D2S ~ 'C. S • 3 ~ caTv oF EAGArv PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 3 9 0 (612) 681-4675 Date Issued: 0 ~ I~$ l 9 ~ SITE ADDRESS: 3964 WESTBURY WAY LOT: 13 BLOCK: 3 WESTBURY 4TH P.I.N.: 10-83653-130-03 DESCRIPTIOfd: ' REPLACE WINDOWS/DOOR Building,Permit Type SF (MISC.) 6uilding lJb,rk Type ALTERflTION !'Census Code 434 ALT. RESIDENTIAL , ~ ' ~ - . , . . . i i . . . REMARKS: FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 CONTRACTOR: - Applicant - ST. LIC OWNER: RENEWAL BY ANDERSEN 15717816 2004063 ANDERSON BRENT 1700 BUERKLE 3964 WESTBURY WAY WHITE BEAR LAKE MM 55119 EAGAN MN (912) 430-7255 (612)683-0537 I hereby acknowledge that I have read this application and state that the information is corrsct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. 1 APPLICANTlPERMITEE SIGNATURE ISS BV: SIGNATURE 21997 BUILDING PERMIT APPLICATION (RESIDENTIAL)I S C~~ J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Conatruetion Reauiromerrta RemadaVReoeir Reauiremenh ? 3 regiatered aRe surveys ? 2 copies of plan ? 2 copies of Dlana (Indude beam 8 window saea: powed fid. design; ete.) - ? 2 site suneys (erterior addiUons 8 Aedce) ? t energy calwlaUons ' ? 1 energy calalatlons for heated addRions ? 3 copiea M tree preaervetian plan if lot platled after 717/93 , required: _ Yes _ No ' DATE: b1 • C) 3•C11 CONSTRUCTION COST: DESCRIPTION OF WORK: Rff LtC~C- 4 ~J k1JQ,ul, lN -coVAE v.S\Z~h CAMP1~-CC W 1f~lDpvs ~ PTNID a PVt'f 10 Doof-s W~TF}ZN1 E-( kS"C ~ NC-) o'PErvi NC-aS . STREETADDRESS: y~-~- LOT BLOCK SUBD./P.I.D. 411- PROPERTY Name: psNtE-9,50N .1 Qf-sNT 1)1:--(3 Phone co i a• co R5 • OS 37 OWNER Street Address: 39loL-~ W C~'r'~ P~ W Ry Ciry: eP' G Pr\N State: l A N ziP: 5~ ~ a 3 coNTu?croR Company: ~NE.w~ 0~( l~n~ OC^25~ Phone ~~a •5 ~ i•~ a ~t~ Street Address: -7 31~-OPr\1E •NF- License ~~`{OCo 30 City:'FR l DLE-( State: MN zip: 55~3a artcHirECT/ Company: _ NIA Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortna 'on is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ~k /L", OFFICE USE ONLY - Certficates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscelianeous ' ? 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE ? 31 New ? 33 Aiterations ? 36 Move_ • ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ' Eagan, Minnesota 55122-1897 Permit Number: 0 3 4056 N c (651) 681-4675 Date Issued: 11 / 18 / 9 8 SITE ADDRESS: 3964 WESTBURY WAY LOT: 13 BLOCK: 3 WESI"BURY 4TH P.T.N.: 10-83653-130-03 DESCRIPTION: T.O. & REROOF Buildinq Permit Type STORM DAMAGE Buildinu Work,Type REPAIR Census Code 434 AIT. RESIDENTIAI REMARKS: FEE SUMMARY: CONTRACTOR: - qppl.icant - ST. Lrc. OWNER: GRE6 FAULKNER REMODELZNG 14894103 21038108 ANDERSON BRENT 1005 HUBBARD ST 3964 WESTBURY WAY ST. PAUL MN 55104 EqGAN MN 55122 (612) 989-4103 (651) I herebV acknowledqe that 7 have read this aoolication nnd stot.e that the intormation is correct and aqree to complv with ali aooiicable Statr ot I•in. L Statutes and Citv ot Eaqan Ordinances. J APPLICANT/PERMITEE SIGNATURE I SUED BV: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) J 14 CITY OF EAGAN ~ 13830 PII.OT KNOB RD - 55122 681-4675 / ( ' I6 o New Construction Reauirements RemodeVReoaii Reauirements • 3 rcgistered sRe surveys ? 2 copros of plan ? 2 copies of plans (inUude beam 8 window saes; poureC fid. design; etc.) ? 2 site surveys (extenor additions 6 tlecks) ? 1 energy wlwlations ? 7 energy calwlations for heated add'Rions • 3 copies of tree prcservation plan if lot platted aRer 711/93 ~ required: _ Yes _ No ~ DATE: 7Z 9~ CONSTRUCTION COST; ~ 3 00 DESCRIPTION OF WORK: V, ?1/\, ~ VV~-~ STREET ADDRESS: -~`-9---~,L ~ P 5 f~'? C4 r~/ ~ a~ i LOT: ~ BLOCK: f SUBD./P.I.D. W t'S~ b U Name: 141V~1Ph So,,Z/ /J 2'"'-P r?~ Phoneft: PROPERTY 1-aci Pusc OWNER / Street Address: 5 City ~or a /Z/ State: Zip: Company: ~ py 9 ~a ti 1114r-~~ lAfr ov v~~ /Phone CONTRACTOR ~j~ ~ Street Address:_ S/D K bar Licenise v;~ City Stare: A/ti Zip: 5-5-1 0 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No ~ I Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 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 O 05 SF Misc. ? 10 _-plex 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: Description of Work: /Conshuct new fireplace _ Alterntions to existine V Ins[all gas iusert onlv _ Install :as line ou1e _ Other Job address: 3q L_ Lot Block: Subdivision/P.I.D. 1N t',AAVJ~kVq Applicant (circle one only): Owner Contractor Pennit Fee: $60.50 Name: kz/76~3 PROPERTY Last ~ First OWNER Street Address'- I City ate: v Zip: ~O Company: Ph l~ U l V O 7~/I F[REPLACE U INSTALLER Street Address ~ City, lp~ Stare: ~ Z;P: SS33, Company:Phone GAS LINE INSTALLER Street Address: City State: Zip: ~ I hereby acknowledge that I have read this application and st hat the information is correct and a-ree to comply with all appl calZ State of ii esota S tutes and City of Ea~an Ordinances. ~c~zvE~ 144& ~A ~qj OCT 2 6 1999 BY: : OFFICE USE ONLY I3UILDIKC PF.RiN1[T TYPE ? 1=1 Fireplace WORI+ TYPE ? 31 New ? 33 Alrerations ' ? 32 Addition ? 34 Repair GE\ERAL INFORMATIOY Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ~ 2/84 ~ ~ 1 CITY OF EAGAN i~ ~ AP?LICATI^vN FOR PERh1IT SES4ER AND/OR WATER CONNECTIODi (PLEASE Pf7INi) p,DpPZSs= 3964 Westbruy Way 13/3 Westbury Fourth Addition (Lot/Block/S:::divisicn or Ta:c Parcel I.D. Drl_^-. O_° CRIGs^.AL : UI7.:;L':G -.=-'S. T_SS~~-~eG;: X ?-1 SD;GI.E F=LtSr,y ? R-2 L'LYI-Zl (T:~ ? a-3 ~rr.•.:..~,~F (T!TW + L~rzTs) ! u~~:s) ? R-4 I7NI=5i p CCi+l'L~..?CL-1I./RE_"<^,II?Ot=I~ ? L$~T]S, ? L`;STi.~'?'I.^,~IAI./G:ivE=~tiT='~T (PLEdS-E PRliii) K'~•~: Frontier Midwest Homes Corporation \ ~CRE`S: 3908 Sibley Memorial Hwy. Bldg. E CI71, ST,:T~,', ZI?: Eaqan, MN. 55122 • ~ PfiGN-E: 454-0433- - - - - - - - 3) FL~.:.!z'? N;'1%!E= Star Plumbinq (PL"c:,Jc Pfll:ii) FOF CITY US NlY iPDD?:SS: 1018 Mound Springs Ter. PLU"sEa CESSE: Attive CIT:, STa:r', ZIP• Bloomington, MN. 55420 ~ e:pi ed H~ic^ oi R [ord PHOVc: 884-4149 PLII,NBEF LILEASE N 3329 , ' / df,- tnl:Idl 4) a=-.'pp,D1T/Cry~•?ER (PLEASE PR1Ni) NA'"[E: Jimmv and Kathy Nordby ADDRESS: 857 W. 145th St. CIT^!, STAT'E, ZIP: Bumsville, MN 55337 P~,TE= 431-2318 5) I\'DICl,TE :;'fiZCH PER•lIT IS SEZtiC RF~'JUESTED; ~ IR CL.'NEC.TION T17 CITY SEI~:ER Please mail gold copy to 2C CON,%=ICN 'Ib CZTY GTATER Wenzel Mechanical 3600 Kennebec Dr. D Eaqan, MN. 55122 6) P..T'iICA~"'... C:::. . • ? PT.: -~SE F?OLD r1PP:-,W D P&T?MST fl7R PZCi:-CP BY (DNE OF ABCVE LE'-iSE :*?S rIPP°lJV"Z) P~_-:•LLT 1CJ 1. 2 3; 4 AFOVE 1 (Cir _e one) 7) $ZGTL:~.: C~L/ DAT~.': ~ w A+La/Ilo~o i r e~ ~~aau a r r.7 a~a saa r~~~~ s:a :a a~ r~l~:aysn ~ s t c,~ FOR C I T Y US E ON:,Y PcP.%tI'_' - ISSUrD r°ES: $ SEi'Eo DrD%7T1f (Z~1CLJD'~ JI)P.(`C1~GL) • WA''ER nF- i.~CiuDE = v ii_.... / (I ..7!"ti. :~.3G~~ $ (~~.ri-v WiiT°R METEc2ICOPPE4riORNI0UTS_TD: iZEAD:? $ WpmEo Thp (IyCLUDE C03POR:yTI0N STpP) $ S: ~7cR ~ T.~ _ $ _ _..~i::.`_^ ~•SI- _ i $ AC^OJNT DEDOSIT, - Wi?'^7 , $ WhC $ <!~z~w s~lc $ TRliNK S4p,T°_R ASS?SS::E:iT $ TBli?:{ SETvIcR ~ISS°SS:iSciT S LnTSRaL Bc.ivc,c IT/T.°,UNiC S?:• S Li,. E:2.aL BLNLr IT/T:?U.'ir :'InT_R $ WATER TREATMEA`T PL4NT SURCHARGE $ 4-,r) oTHEx: $ TOTaL ~ $ P?'.7L":T °AITJjREr'E1PT DOES UTI:..ZTY CONNECTION REQUIRE EXCAVATIOA7 IN ?UBLIC RZGiiT OF WAy? YES ZF YES, THETI n"PERilIT FOR :90?2:: WIT?iIN PUBLIC ROADWAY" MUST BE ISSUED HY THE ~ NO ENGINcERING DIVISION. LIST AS A CONDI- ~r- TION. SliEjECT TO TH: FOLLOWING CONDITIO::S: • APP??OVED BY: • , J T S': :,E : D;.T_°: 0%41"ww}1 mw~!s !mwa mfm BtWlmmA m Jq MwMwRwp! wil My7 R'r I4 wf! WpA A~ Roo14 wA onO ~ ~ FoCOfficeaU I ~ I Clty of Eap j Permit# I I Permit Fee: ~ 3830 Pilot Knob Road ~ .7`O I Eagan MN 55122 ~ Date Recerved. ~ Phone:(651)675-5675 Fax: (651) 675-5694 i Statt: ~ 2009 RESIDENTIAL' BUILDING PERMIT APPLICATION Date: S ('X_7`Uc1 Site Address: 6.JAd Tenant: Suite RESIDENT I OWNER Name rF)1'2`WT ~NCX•~'IJpN.1 Phone.6,5I "2(-O-0T9 Address 1 City ! Zip. Apphcant is: L Owner ~ Contractor TYPE OF WORK Description ofwork: C>EjCwV~ Construction Cost: 27Doo Multi-Family BuAding(Yes No -,10) CONTRACTOR Name. /V1hC.At.C.hk_') INZLicense# ;~ON$7303 Address: [o5oCo 1 L{J• - C-l1R- t`) Ciry k~~J State. mIU Zip: '575CF3I Phone:l97n-A,ContactPerson:41~`M. M1W(I.o~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilahon Category t Worksheet • New Energy Code Worksheet Cdt¢yOfy Su6mifled Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan9 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contrector: Phone: NOTE:,P,lans and'supporting;documenYs, ffiat you.sabmit,arr',considereii to be public intorination:, Portions of - the mfoimetron may,be classified as noir-Pub,l'ic;if yooprovide speafic reasons fhai wou/d,permrt.fhe City'to w , concliide.that ttie are-tiade.'secrets I hereby acknowledge ihat this infortnalion is complete and accurate, that the work vnll be in conformance with the orainances and codes of Ihe Cily of Eagan; that I understantl this is not a permit, but only an application tor a permit, antl work is not to start without a permit, that Ihe work will be in accordance v,ath the approved plan in the case of work which requires a rewew and approval of plans. ,cM NbJiM1e-- f fLSSloe~l' p A4K t W_?1' App canYs Printed Name j~pWcant's Signature Page 1 of 3 ~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteretion (Single Family) _ Multi ~ Deck _ Porch (Screen/GazebolPergola) _ Exterior Atteration (Multi) 07 of Plex lower Level Pool Miscellaneous 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 entira building - give PCA handout to applican[ DESCRIPTION . Valuation 3~ Oo, r Occupancy SR C' I MCES System Plan Review Code Edition pAn zoo SAC Units (25% 100°/a__) Zoning City Water Census Code ~ Stories Booster Pump # of Units Square Feet PRV # of Buildings Length ~ Z Fire Sprinklers Type of Construction Width 2 Q REQUIRED INSPECTIONS Footings (New Building) Sheetrock ' ~ Footings (Deck) _ Final ! C.O. Required . _ Footings (Addition) ~o Final ! No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: _Footings _AirlGas Tests _Final Freming Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air 7est _Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: ~"Building Inspector RESIDENTIAL FEES Base Fee ~ ~RT -e ~ Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies . . , . TOTAL Page 2 of 3 Cities Di i._~ tal Qualitv 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. ~ es~F}ocE ~ ~ 31~D S0GMA House L ~~~vEY'N~' Certlficate For: s~F~l~ICES ~~°~~~~~r M6dweSf 3908 Sibley Memorial Highway Eagan, Minnesota 55722 Fhone (612) 452-3077 CoP~oration Mode~ - CAmt3RUnve - ~ U -N- ~ ~ \ Q ~ m SGAI.E '1~~~40~ 2/ 0 1F~ ~p \ x ~,.L_ [ ' P•~{~ ~ ~ O V ;xs1, 0 2a.o°.. L0T 14 \\\\t~~~o~ b ~ l1~ \ O ~ D1 I zw / 40`0\\\\~ 8.0 ` I L i 7- { E AS M"r, J) h 0 x g°~s x •7 n i h' li~~n I.-1 I10. D1 .e.~.~_ Pf20POSE0 GARAGF fl.OOR ELEVA I+ON= 'FM_S_ 0 Llenoles Iron kcnierent !'RDPOSEU 7np r,f Plock ELEVAT IOldx Llenctes Woai Nub Sei FROPOSFD EA$f_MEN, fLG1DH ELEVAilONr 8~~•P xg'0'Z Clnetes Exisfirq Spoi Flevatinn roo~ s~a~a NOTE Verily all (7qor herqhlti with f irkjl Hqt;e Flans ) Denotes Pr'oposed Sr,ot Elevatiori ~..--Lenoles Drainage Directia~ -&R L1R5 CEl7T1flCfITlC1V-. I h=rety cerfily thdt this survey, plan ur report P~~ ~~~~~1~ ~ras prepnred by me rr urrier my Girect SuFrrvrsicn LOf ~3_,BLCCKarxf thai / am a duly RegisterErl LaM Surveyor WC-ST-GU2 (~pn~Ti ,v « er the laws of fhe State vf Ninrrsota_ L _-~-i accordirg to the rn.corded plat~fhereof, --~iV`=------- Da1~o~a .__County, 1linne50ta IYayne D Cordes, Minn. ftey. No 1b75 , •..,;ti ?~!!u ~ ~ uiui~ rq1. . ••i . ° EMEWED VUe~~ .,Y•C,~ ~ ' j ..-.Y„\`i``~\ ' BUILDING 11`1SPECYIOWS UMSUUb City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: l % 1 3 Permit Fee: COGf> Date Received: 2 - 1 7� 12- 2012 RESIDENTIAL PLUMBINPERMIT APPLICATION Date: P-.rr / �� (� a Site Address: LcA. U r Tenant: Suite #: Name: -� �4\ o -a Phone: Address / City / Zip: '3 kC. License #: State: <''tr-A Zip: Phone: Contact +-J\ �o 1--1 Q r Replacement _ Repair _ Rebuild Modify Space Description of work: Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. CaII 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.org I hereby acknowledge that this information is complete and accurate; that the work 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 . s not to start without a permit; that the work will be in ac with the approved in the case of work which requires a review and approval of pl \ x -.� r Applicant's Printed Name x Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107132 Date Issued:09/26/2012 Permit Category:ePermit Site Address: 3964 Westbury Way Lot:013 Block: 003 Addition: Westbury 4th PID:10-83653-03-130 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage 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 . Valuation: 4,000.00 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 - Brent T Anderson 3964 Westbury Way Eagan MN 55123 Royalty Remodelers 4411 Slater Rd Eagan MN 55122 (612) 414-8199 Applicant/Permitee: Signature Issued By: Signature 3 0 sv CD CO -03 SC• IA CIO — G Q 1:1 'c o _. a • CP 5o n w o,, ' at IZ '1' It nFrwr R14 1 WVT SRF C'ILEVERED I -JOIST HOUSE FRAMING 1 iiOUT SPECIFIC ENGINEERING. fi tia5 d BE A11ACHED wrn (2) 3/8" X 4" LAG SCREW, WITH WASHERS gym 1r 6 r, 12' r STAIR TREADS AND T % MAXIp . sr MINWUM TREAD DEPTH NOTES: ALL JOISTS AND BEAMS TO BE 2X8 TREATED SYP JOIST SPACING 16" O.0 FOOTINGS TO BE 12" DIAMETER UNLESS OTHERWISE NOTED STAIRS TO HAVE MAX RISE OF 7.75" STAIR TREADS TO BE 11" CLOSED RISERS SUSPENDED RAIL STAIR TO HAVE GRIPPABLE HANDRAIL TO CODE HURRICANE CLIPS TO ATTACH POSTS TO BEAMS e" n^ 8' MAX /I lulmumpul WALKING SURFA I+ S GREATER THEN 30" ABOVE AREA BELO "QUIRE GUARDRAILS MINIMUM 36" IN HEIGHT AND DESIGNED SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH cF\AN VIEUWED t3Y:— -S/2-, //� DATE: BUILDING INSPECTIt� NS DN�#SIgN 'Ara CO 8" rt I T