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3971 Westbury WayPERMIT City of Eagan Permit Type:Building Permit Number:EA128088 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 3971 Westbury Way Lot:010 Block: 003 Addition: Westbury 4th PID:10-83653-03-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. 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 - Michael T Wagner 3971 Westbury Way Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature CITY OF EA(3AN ~ ~v~ P~~ 3830 Pilot Knob Road P. O. Bax 21199 PERMIT NO.: _ Eagan, MN 55121 p,ATE: Zond. R 1 No. of UNts: ~ Owrnr: Address: Sr» Ilddrrm 141~~burv Wav L10 Bi Wec;l tuL-y 4 - Plumber: 8r ~ , • !1. C~ p( I Mre• te r.w* wM Mu C#y .i f.«,n Corn,.ctton c3mwo; 42S.0t? p:,, ""nON' Acaouro 0.pow: 1`i OOrxi Pemdt Fw: - i0.00 By Sureiw~'Or Mia. Chorgm Doh of Irop.: Tatai: InW: Doft Pbld: CITY OF EAGAN ryATER SERVICE PERMfT 3830 PiIot Knop Road P. O. Box 21199 PERMIT NO.: Eapan, MN 557~211 D11TE: ZO^i^g' No. of Units: pM,nw: Fi'orttier ~?i,iwwc~t . l,ddi+pt: Sft Add?a, 3~71' defathurv `4ev 1 i'estbyr 4 Rumbsr. Mehr No : Qnnection Chow' 5 0 pC I slze: Aooourwt oepoWt. . I Reod.r No.: A_-~J't--1~/''7 prri,it F.e: ~ I NIN ti ~pllJ M" Iw C*y of V"¦ SylCflpw; ~Xl Miw. Charom 132.00 pd , Totol: 63. {10 21 rie er gy ~ %~J:.~,kT DoN Pbtd: DoM of Irop.-. - i - , ~ CITY OF EAGAN 17736 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING'PERMIT Receipt # tTo be used fdi'' LASICHENT Est. Value = t15W Date APa 19 19 90 Site Addrbss 3471 WES'CnURY 1dAY OFFICE USE ONLY Lot 10 Block 3 SecJSub. W33TSURY 4?ti PBfC@I NO. Occupancy _ FEES Zoning W Name TOM 6 VEitONICA 1.AST IActuaq Const _ eldy. Permit 35•00 ~ Address 3971 WESTHUitY iTAY (Allo,,,ayie) _ S+rchar9e 1.00 0 CitY LWAN Phone 452-4561 # ot Slories _ Length _ Plan Review Name 8AM Depth _ SAC. Cily ~Q Address S.F. ToW - SAc, Mcwcc r CIty Phone S.F. Foolprints - On Site Sewage Water Conn Name on sne weli - water Mecer 63 Address Mwcc syslem _ g W City PhOne Ciy water _ Acd" DepO$1t PRV Required _ S/W Permif I hereby acknowlege that I have read this application and state that the Booster Pump - gryy Surcharge information is correct and agree to comply with all applicable Stale of Minnesota Statutes and City of EApac?.Ordinances. , Treatment PI Signature of Pertnitee ' . . ~ - ~ ' ` ~ APPROVALS Road Und A Building Permit is issued to: TM O$ ~RONICA UST Planner - pa,k ped, on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies Variance - 7pTqL 36.00 Building Official i Pr?mlt No. Permk HoldK Dsfe Telspfwne At ~ WATEF • SEWER PLLAASING ,~s 3 y So H.VAC. ELECTRIC So G7C/ Mp-tion DatA Insp. Commants FootingsI FauxWation Framing FiOOkg Ro+9h Plb9• Fiaigh Hlg. Isul. Freptace Fnal Htg. Final PDg. Corut. Meter Plbg. Mspector - Notify Plumber EngrlPlan Bidg. Final Dedc Ftg. pedc Fnal wea p~ CA'~ /VIO er/YT/Z Pr. a4. ~ ~ PLUMBINC PERMIT:.~~~,;.~s---- ~.-.,..n.. , v~. . For ONIce Use Onty ~ ~'y~ CITY OF EAGAN PERMIT # CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ~ L PRICE . PHONE 454-8700 DATE: Site Address esT107 7 10,4 BLDG. TYPE WORK DESCRIPTION Res. ~ New Lot Bbck Sec/Sub muft Name e 1'Y1 C A IV 1 Comm. Repsir ~ GG Other ~ Address c City A PhOne RES. PLBG. ONLI( - COYPLETE THE FOLLOWING: - NO. FIXTURES TOTAL S Water Closet - $3.00 a Name Beth Tubs - Z3.00 ~ Address e r ~ ower ~ - $3.00 p Gity R IAAI Phone Sh lGbotmn Sink - $3.00 UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIE3 Waber Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Oullets - $1 •50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUWI -1 PER PERIAIT) STATE SURCHARGE PER PERMIT .50 So(Dener - $5.00 (ADD $.50 S/C PER EACH;1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1.50 jIlIGNATURE OF PER U. G. Sprinkler System - $12-00 PERNpT FEE: STATES SlC: FOR: CITY OF EAGAN GRAND TOTAL: .11q 1 ~ . For omce us. only: . MEdiAMICAI PERIYIIT PERMIT ~ ~/5' '7- Z CtTY OF EAGAN RECEIPT # 3630 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRfCE PHONE: 454-a100 DATE: Site Address ~ V BLDG. TYPE WORK DESCRIpT10N Lot Block __~.t„_$Rec/Sub ~ Res. New ~ Name Mult Add-on ~ Address . • . ^ ; _ , . Comm. Repeir _~c' Ciy Phone ottw - FEES NSme RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 p Ciy Phone (RES. HVAC INCLUDES AIC ON NEW CONSTRUCT10N) TYPE OF WORK ~ OUTLETS (MIMIMUM -1 PER PERMIn - 1.50 EA. COMM/IND FEE -1°K OF CONTRACT FEE FOrced Air M BTU APT. BLDGS. - COMM. RATE APPUES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPIIES Unit Heater M BTU MIMMUM RESIDENTIAL FEE - ALL ADD-ON A REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piplng Outlels ii (ADD $.50 Sl.C PER EACH s1000.00 OF PERMR FEE) Oa1er PERYIT FEE: ~ ) ` .y . . SIGNATURE~OF PERMITTEE S/C: _ TOTAL: i=' FOR CITY OF EAGAN Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN FN i • • ~ Fill in numbered speces S/C ~ ~ TYPe or Print /egib/y Tot. j 1. Date 2. Installation Cost 3. Job Address LotBlk. Tract'_ ~ 4. Owner , 5. Contractor Phone 6. Address ~ ' ~ • i " 7. CitY State ; iZip ~ 8. Building Type: Residential O Commercial O Institutional D 9. Work Description: New ? Add 0 Alter Repair ? 10. Describe 11. No, Fixtures No. Fixtures ~ Water Closet Cesspool /Drai nf iel d Bath tubs $eptic Tank Lavatory k- Softner Shower Well Kitchen Sink 9 Urinal/Bidet Other ~ Laundry Tray Floor Drains , Drinking Ftn. Slop Sink Gas Piping Outlets ~ 12. I hereby certify that the above information is true and correct, and I agree to ~ comply with all ordinances and codes governing this type of work. ; Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 4548100 . evILoiNa PERMIT R•ceia * TO M wnd hr - Est. Value Date 19.~~ Site Addra~e Erect 4: Occup~r+cV Lot 1 Block ~/Sub. t~'; Remodel ? Zoniny Repair ? Typa of Const. Pe?cN No. Additbn ? No. Storia Name ? l.anqth , ~ ~i~':'C'f.i~ r•~i )INIa.ti. , Move r ~ ~ Addross • C~; P~-'~'ii _`i1`;1. i. DCmrolish O DeptF flP?• Sq. t. City P~e -~•1 - U 4 3 3 Inatell ? APMe..h F«s ~ Name Assessment Permit ` -i ` . "U Addrep ~ Ci Phone Woter & Stw. Surcharpe , 3~ 7.5 U ~ Poliu Plan Review i a c. .'.1 L` r°C Name i'lC!~'UI) CiiART.,1ER F1n SAC 525.~ 0 z~j Address - 10~ ("1' ~ `i'JI'3 .i Water Conn. ' City T. . V. Phone 3 1- ~ 4(^ ? Pla+?Mr Water Meter 6 3. i; <W Council Road Unft ~ . I hereby ocknowledge Nhot I how reod this opplicotion ond stora thcf Bldg. Otf. Tr. PL 132 ' fhe iniormotion is tortect a??d a9ree to Ply.wlth alf~pppli~ A~ State of Minnesow Statutes and G~itY brdiponcs~ .01 Pa'k° Ver. Date Copies Sipnoh" Of Plrnwttii t.~J; ,Ct`'L.r: ,-R 1 ~ , ~ Total 00 A Buildinp Pertnit Is isswd fo: ~~~~u conchtion thav dl vark shdl be done in ocooedana wilh all oppliaoble Sto1e cf Mfnnaolo Stotutes a+d Gty of Eapan Ordlnoncy. Buildinp Officiol Pnnbit No. tirndt Holda Deb TekOAone ~ Plumbin0 ~ C n ~ 1 - S H.VJ1.C. ENetri° 1/,) /U c,)7 )3 444~~ 3q sofun.. leppeetion Oa" Imp. OthM Footlngs I FooUngs ll Foundstion Framinp RooAng Rou9h Plbp. ~ Ro"h Mtp. Inwl ap (V Finplap Finsl Htg. ~Final FNbp. ~ 'S l7, ~ F ~TbQ ,0/ NOT 1y~1~ Final Cart/Oec. DNe~ibe L . r FSevvew Pr. Dls p. << Rnipt ~MECHANICAL PERMIT Mnnit No. CITY OF EAGAN ~ ~ FM Flll Jn numbwned *rcu S/C TYPe ar PHni hplDly ;I i~ Tot ; 1. Oat~ 8/6/85 2. Installation Cost . 4.iC1.+.iU aJobAddress 3911 Westbury wUt W glk. 3 Tract 4. Owner FrontiEr Compauic- S. Contracta WENZEL MECHAIVICAi. Phona 45.,~-.t565 g, qddms 3600 Keiuieaec Lri7e 7. Gty Lug8n State - ih ZIp 55 2 8. Buildiny Type: Residential LKX Commercial O In:titutionsl ? 8. Work Osscxiption: New UX Add ? Altrr ? Rapair ? 10. Desaibe he;:tiiig sybtem FuelType '•i,~•.ur31 ;as - ~ 11. N~,t Equjppltni BTU - M. Ea. No, Eouinment CFM XX ry Forad Air Air Handlinp: ! Mfg. i Boilars IHech. Exhaust Mfy. )LX b-Ltr L-«oi:: Unit Hester Mfy. Other Afr Cand. Mfy. Gss, Piping Outlets 12. I hereby oertify that the above information is true and correct, end I agree to oomply with all ordinanoes and codes governing thia type of work. ~ Signed : ior ~ Ronqh Final tnspections: Date Insp. Date Insp. This is your permit when numbered and approved. ( APProved CITY OF EAGAN 464-8100 ! Reaeipt ~~d , PLUMBING PERMIT Permit No. CITY OF EAGAN ~ FN 4"- J fi!l in numbered spaces S/C , ~ . Type or Prrni /egib/y Tot ~ ~ s 1. Date 2. Installation Cost 3. Job Addres ~ I LotBlk. Tract f ~ 4. Owner r -~~TC~,~ J 5. Contractor ~6.1,z7 ~ Phone • % . ti ~ 6. Address r 7. City State Zip . 8. Building Type: Fiesidential Commercial ? Institutional ? 9. Work Description: New Add O Alter ? Repair ? ~ . ~ 10. Describe 11. No, Fixtures No. Fixtures ~ % Water Closet Cesspoul/Drainfield ~ ~ Bath tubs $eptic Tank ~ > Lavatory Softner ~ Shower Well Kitchen Sink i Urinal/Bidet Other ~ Laundry Tray . { ~ Floor Drains Drinking Ftn. E Slop Sink Gas Piping Outlets ; i 12. 1 hereby certify that the above information is true and correct, and I agree to a~ oomply with all ordinances and codes governing this type of work. ! ~ Signed : for J Rough Final 1 Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 f _ . INSPECTION RECORD y -7 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: 1111. 10 ~~l 4, ; APPLICANT: 1JA Y iiti IJ N I i { i H:, . . 1 II 1 i ~1~' ~ 1 t li ~ h 1 ' e ' f +f PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ ~ - - - - - - - - - - - - - - - - - - - - I Permit No. Permk Holdsr Date Telaphona M I ELECTRIC I PWMBING II HVAC Inspectlon dm Insp. Commems FOOTINOS FOUND FRAMING ROOFING ROUGH PLUMBING PLHG AIR TEST ~HOUGH HEATING GAS SVC TEST ~ IVSUL , _,YP BOARD 'riREPLACE ;IREPLACE R TEST VAL PLBG WAL HTG RSAT ' t-:ST :SLOG FINAL ~MT R.I. ' ,MT FINAL FCK FfG ECK FINAI - - - I - - CITY OF EAGAN N° 10-4 3 0 3830 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:4548100 ? ~ BUILDING PERMIT R«<;pr # To be uwd fer SF DWG/GAR Ese. Value $61. 000 Date JONE 20 SiteAddresa 3971 WESTBURY WAY Erect I$ Occupancy R3 Lot 10 BI«k 3 Sec/Sub. WESTBURY TH Remodel ? 2oning Rl Parcel Na. ReDair ? Type of Conat. V Adtlition ? No.Stories ~ Nerrme FRONTIER MIDWEST HOMES Move ? Length 40 Z 390$ SIBLEY MEM HWY E Demolisn ? Depth 48 9 Address Int Impr. ? Sq. Ft. City EAGAN phane 454-0433 Install ? O Name SAME AVOrorab qes qddress Asussmenf Permit $ 316.00 ~ City Phone Water L Sew. Surcharge 30.50 Polica Plan Review 158.00 GW Neme RICHARD CHARLIER Fira sqC 525.00 Add,au; 14103 GARDENVIEW CT 10 Enp. weterconn. 500.00 Z. City A.V. Phone 432-5492 plonmr waterrneter 63,00 Council RoadUnit 280.00 I hercby ocknawledge tFat I hove read this epDlicatian onotote tFwf Bldg. Off, 6 Z O 8 7r. PI. 1 3 2 0 0 the inlormation is corrM on ogree to comply with 97f cDPii Sfuta of Minnesolo S{e end itq56gon ~dinon s. qpC Parke Slpnafurc o4 Permitise Var. Date Copies A Buildinq Permit Is issuad to: FRONTIER-MIDWEST HOMES t $ ~ ryhe ai~press condinon 1h Q ot5 all work tholl be done in ocmrd w all a lim s St inneaota Slatutes and City of Eopon Ordirqntes. Buildfnp OHiciol CITY OF EAGAN N2 17511 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 PHONE: 454-8100 ~ 0 S2 BUIL^'NG PERMIT Receipt x Tobe]U for FIREPLACE Est.Value $1,000 pyte FEB 12 , 1990 Site Address 3971 WESTBURY WAY Lat 10 Block 3 Sec/Sub. WESTBURY 4TH OFFICE USE ONLv P8fC81 NO. Occupancy - FEFS TOM LAST Zoning - w Name (ACtuap Consl _ Bldg Permit 25.00 o Address 3971 WESTBURY WAY (Allowable) _ Su¢harga -SO City Phone 452-4561 k ol Slories _ y Lengih _ Plan Review o Name HEAT-N-GLO DepN - SAQ City °a Address 3850 W HWY 13 S.F.iotal U~ City BURNSVILLE phOne $90-0758 S.F.FOOlprinls _ SAC,MCWCC On Sile Sewage _ ~Naler Conn ~Q W W Name On SdC Well _ Waler Meter Addr2SS MWCCSysiem _ Accl. DeOOSit ~W City Phone QtyWater _ PRV Required - S1W Permit I hereby acknowlege that I have read this apphcauon and state that the Booster Pump - SiW Surcharge information i5 correct and agree to comply wnh all apphcable tate of Minnesota Staluies and Cit~an rtlmances 7reatment PI SignaWre of Permitee i i APPROVALS Road Unn A Building Permn is issuetl to: HEAT-N-GLO Planner - park Detl. on the ezpress condnion that all work shall be dOne in accortlance wnh all Ca,ncil _ applicable Slate ot Mmnesola Statutes and Ciryof Eagan Ordmances. Bldg. Ofl Copies Building Official Vanance - TOTAL 25.50 ~ . . . . , . - . : ~ r . : _ ~ . . . _ . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , PHONE: 454-8100 BUILDING PERMIT Receipt # u' TobezS zd(or , pI~PLACE estvalue 01,000 Date pEB 12 .1990 Site Address 3971 WSTBUIlY FlASt Lot 10 Biock 3 Secisub. FIESPBURY 4Ytt OFFICE USE ONLV PefC01 NO. Occupanty _ PEFS i Zaning t~7 LAST w Name (Aclual) Const _ Bltlg Permn 25•00 o Address 3991 kPSYf}pRY HpY (Allowabie) - Surcharge .50 City PAGM Phone 452-4561 aolSiones _ Length Plan Review o Name ~T-~~ Depih - SAC. City Address 3850 F7 41HY fl3 SF.Total U~ Cit ~~s~d~ phone 890-0958 SF.Foolpnnts _ SAC,MCWCC Y r On Sue Sewage _ Water Conn ` Na'me Fw On Site Well - Water Meter Address nnwcc sysiem _ a W City Phone City Waler _ Acct. Deposil PRV Required _ 5; W Permit I hereby acknowlege Ihal I have read this application antl state ihat Ihe Boosler Pump - SiW Surcharge inlormation is corred antl agree to comply with all appllcable Slate of Minnesola Slatutes and City of Eagan Ordinances. ireatment PI SignaturB 0f Permilee APPROVALS Roatl Unil A Butlding Permrt is issued to: ti~Y-j~~GY.O Planner - park Ded. on the express condition that all work shall be done in accordance wnh all Councd applicable Stare of Minnesota Statutes and City of Eagan Ordinances. Bidg Ofl _ Copies Building ONicial ' Variance _ 7p7qL 25.50 k Pcrmit No. Pcrmit Moldcr Date Telephone # WATER SEWER PLUMBING N.V.A.C. ELECTRIC Inspection Date Insp. Comments Footinqsl Foundation Framing Roohng ROUgh Pibg. Rough Hig. Iwl. Fireplace Final Htg. Final Plbg. Consl Motcr Plbg Inspeclor- Notity Plumber ErgUPlan Bldq. Final Deck Ftg. Detk Final well Pr. Disp. CITY OF EAGAN NO 1773 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Feceipt # To be used for BASEMENT Est Value $1,500 Date APR 19 , 1990 Site Address 3971 WESTBURY WAY 10 Block 3 SeGSub. WESTBURY 4TH OFFICE USE ONLY Lot Parcel No. acuuancy - Fees Zomng _ x Name TOM 8~ VERONICA LAST (ACluap Const - Bldg. Permn 35.00 ; Address 3971 WESTBURY WAY (A)lowable) - 1.00 p Surcharge City EAGAN Phone 452-4561 M ol Stones - Lengtb _ Plan Revuew iF Name $AME Daplh - SAQCity 0, a AddreSS S.F.7otal - SAC. MCwCC ~ Ciry Phone S.F. Foolpnnts - On Sne Sewage _ Waler Conn J~Ulj NamO On Srta Well - Water Meler Addf25S MWCCSyslem _ <W Cit Phone CiryWafer _ Acn Deposit Y PRV Requiretl _ SM/ Permit I hereby acknowlege ihat I have read this apphcauon and state that Ihe Boster Pump - S~'W Surcharga inlorma6on is correct and agree to comply wuh ail applicable S te of Minnesota StaWtes and Ciry oirdinances./ Treatmenl PI Signature of Permrtee APPROVALS Road Umt 0 A Bwiding Permrt is issued to: TOM OR VERONICA LAST Pianner - park Ded, on ihe express condition thal all work shall be done in accordance wtlh all Counnl applicable State of Minn~esota Stqatutes and Ciry of Eagan Ordmances gld9, pp CoOies BuildmgONiaai ( ~.l, lq ~l Olti, a rn.~ Variance - 7p7A1 36.00 CITY OF EAGAN Remarks Addition WFSTBTJRY LTH QnPN. Lot 10 Bik 3 Parcel 1o 83653 1oo o3 Owner Sveet 3971 Westburv Way State Eagan, M 55123 Improvement Date h26 nt Annual Vears Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEWTRUNK q 1985 20 1. 61 1 246.59 A016473 10 22 85 SEWER LATERAL wa erniain 9ff 1$ 655.29 4.35 1 5.29 WATERMAIN ng 1$ 1.6 .4 15 44.80 WATEF LATEpAL WATER AREA O 18 1 . g .2 15 120 .53 water area q .79 STORM SEW TRK 994 710. 24 STORMSEWLAT 97 1986 8.6 156.71 783.56 CURB & GUTTER • SIDEWALK STREET LIGHT R WATER CONN. 11 11 00.00 BUILDING PER. SAC PARK PERMIT ~a5~~dy ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 4 5 (612) 681-4675 Date Issued: 0 6/ 18 / 9 6 SITE ADDRESS: 3971 WESTBURY WAY ' LOT: 10 BLOCK: 3 WESTBURY 4TH P.I.N.: 10-83653-100-03 ' DESCRIPTION: Building Permit Type DECK Building Work Type NEW ' Census Code 434 ALT. RESIDENTIAL . . i REMARKS: FEE SUMMARY: Base Fee $45.00 COPY $.50 Surcharge $.50 Total Fee $46.00 Subtotal $45.50 CONTRACTOR: - Applicant - ST. Lzc.OWNER: JOHNSTON CONTRACTING, GARY 17512955 0009122 WAGNER MIKE 29190 SUNSET TR 3971 WESTBURY WAY CANNON FALLS MN 55009 EAGAN MN 55123 (612) 751-2955 (612)683-9027 I hereby acknowledge that Z have read this application and staYe that the information is correct and agree to comply with all applicable State of Mn. L Statutes and City of Eagan Ordinances. J AP CANT RMITEE SIGNATURE ISSUED B: SICa ~T URE' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 DO l•~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construc[ion Reauirements RemodeVReoair Reauirements ? 3 registered site svrveys ? 2 copies of plan ? 2 copies ot plans (includa beam 8 window sizes; poured ind. design; ete.) ? 2 site surveys (exterlor add'Aions 8 decks) ? 1 energy calculations ? 1 energy wlculations tor heated additions ? 3 eopies of tree preservation plan H lot platted after 7/1/93 required: Yes No DATE: CONSTRUCTION COST: 3~' ~ DESCRIPTION OF WORK: STREET ADDRESS: Y ~ ~ C- LOT BLOCK ~ SUBDJP.I.D. PROPERTY Name: `a t,- 'J ~ Yz-_ Phone OWNER Street Address: -3 9 -2 / w Q LL A y" r City: State:'r^ N---) Zip: 5-5- /'z CoN7RACTOR Company: Phone 9 )"3/ Street Address:2 9 1 9D 5~. - C T}, License 9~ 2 Z s City: VL " - ~ - - f- -\l S State: N-Z~ • Zip: SS ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowtedge 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 Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY =EB Certifcates of Survey Received Yes No Tree Preservation Pian Received Yes No OFFICE USE ONLY . ~ P ~ ' ~ a • ' 1 ~ 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 Pooi 0 03 SF Addition ? OB 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex 00~5 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. eK-751' Depth Footprint sq. ft. SAC Code 0/ Census Bldg Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Waler Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units .wr: ~ SIOMA House SURVEYINO Cerllficale For: . SEFtVICE8 FP~~tler Midw~st 3908 Sibley Memorial Nighway ~ Eagan. Minnesota 55122 Corporotlon Phone: (612) 452-3077 7 / f o R LOT 2 ~ R ~ ~ ~>GA~E ~ I=40 ?p I ~ / LD"f tJ ~ \ _ C 9 I W ~ ~ 3 - - - - I T~i \ 3 ~ N \ r LO"j 10 ' x Sco.o~ R p p I n~~~X ~ ~ 7Z • ,i i 0 pY ~ 110 ~ ~ I 661.0 « oj li~_ we \ X049a ~ X~ Prope~ Q 8~pz c a ~ ONU I ~ Y 1 rJ V 69i !•y~l•`.~.T i~~ f~ox r<! \\0~~~r~7g~R ..w I - Y waYNE WAY CORDES -LEGE ND`• : PROPOSEI) CARAGE FLOOR ELEVATlON= 510. 0 CL-nufes IrcriYa~nrnl ':.~Y'••...,_,,,_,,.:~`-1PROPOSf'!1 lop of 81ock fLfVATION- ~C1~1.0 ° Qenutes Mad Hub Sef ~p~S1~Vi~RYROPOSED BASfYENi fLODR fLfVA110N- 5U3,0 ke" Lknotes Existirg Spot £levaticn L'`) 7o -9,e ' NoT ' I~qTE' Veri(y all f/oar herghis vrfh Firal Hct,¢e Plans. Ckenotes ProFwsa9 Spol Elevaiion _------Lenotes Draiiwge Direciiai ~~'F'GN'OW I hereGy certi(y 11at this survey, plan or reporf -P~~ ~~~PT"" Nas Frepared by me or tnder my direct supervisim LOT 10 ,9LLCK 3 ard thef I am a dulyIRegisfered LaM Surveyor ~ -rk ~.nder tl~e laws vi tht Stalte o/ Yinnesota. WE~`~f3vR~~ ~ ot0 ~Tlo~ according to the reccrdad pIdf Ihereol. ( ~ ~ `U?tJ~'-i- Date: 5/3/l8S Da"t2- Counf Yinnesota , Y. M'ayne D. Cordes, Uim. Reg. No. I46I5 ~ ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFIGATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORIQER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COffPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. NAR 2 E REC To Be Used For: 1-10t?c-i leve ~~4aluation: Date: 3~G 5'a Site Address S~r;/ CiVC{ /~cr OFFICE USE ONLY Lot 10 Block _j FEES Occupancy Zoning Parcel/Sub Actual Const Bldg. Permit 35,00 / Allowable Surcharge /,O J Ocaner Lq,~ # of stories Plan Review Length SAC, City Address Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit ~Se On site well S/W Surcharge Gontractor ~ MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL 3l,.pf) Council Arch./Engr. Bldg. Off. ~ ~3/b Variance Address City/Zip Code Phone # 1989 BJILDING PERMIT APPLICATION CITY OF EAGAN ' ~ SINGLE FAMILY DWELLINGS MQLTIPLE DiiELLINGS COMR4ERCIAL 2 SElS OF PLANS 2 SETS OF PLANS 2 SETS OF 9RCHIiECTURAL 3 HEGISTERED SITE SIIRVEYS HEGISTERED SITE SIIRVEYS - 6 STRDCTQRAL PLANS 1 SEf OF ENERGY CALCS. (CHECE iPITH BLDG DIV.) 1 SET OF SPECIFIC9TIONS 1 SEf OF ENERGY CALCS. 1 SET OF ENEAGY CALCS. MULTIPLE DWELLINGS RENT6L ONTTS FOA SALE DNTTS I OF UNITS 80TEs ADDRESSFS FOE CORNER LOTS - CONTRACfOR/HOMEOYiNER M[1ST DFSIGN9iE WHICH lDDRFSS IS DFSIRED. NO CfIANGES AII.L BE ALLOHED ONCE BDILDING PERMIT IS ISSQED.. SEWER 6 iiATER PERMIT FEES AND ACCOIINT DEP0.STT FEES iiILL BE INCLIIDED KITH THE BOILDINf3 PERMIT FEE. PAOCESSING TIME FOR SEWER AND W9TEA PERHIIS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDIC9TING 6 LICENSED PLOFIDER. PEN9LTY APPLIFS HHENs PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQIIESTED. LOT CH9NGE IS REQIIESTED ONCE PERMIT IS ISSDED. Vi To Be Used For: a~ UbValuation: Date: - 1D Site Address An OFFICE OSE ONLY Lot 10 Hlock Oceupancy FEF.S ~I Zoning Parcel/Sub ~(,l)uA~ut'~d `fA) Actual Const Bldg. Permit ~'J.6'0 Allowable Surcharge .sc Owner ll of stories Plan Aeview Length SAC, City Address~~/ Depth SAC, MWCC ' S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acet. Deposit Phone .So2 - 75~ ~ On site sewage S/W Permit On site well S/W Surcharge Contractor ff")( E lL e MWCC System _ Treatment P1. City vater Road Unit Address mSU PAV required _ Park Ded. Booster Pump _ Copies City/Zip Code / SIIBTOTAL APPROVALS Penalty Phone Planner _ TOTAL .'0 Council Arch./Engr. Hldg. Off. Variance Address City/Zip Code Phone U 2/84 CITY Ot EAGAN •~~~i~ APPLICATION FOR PE:2:~SIT SEWER AND/OR WATER CONNECTIOri (PLEASE PRIfli) 1) P'POPERPY pDDP,=55: 3971 Westbury Way rcraL, DF.SC_~SP'PZCV: 10/3 Westbury Fourth Addition (Lot/Block/S,visicn or :a:c rarcei I.D. NL:.-ner) ST=.C=%. DAT-- OF CiZTG=i. uiII.DL:G ===1': =c~~~-~•;C.: PR=SL'?' --'::~TiF;/7?OPCSZD C•S: ~ r';-1 Si:GL.: ? R-2 CL?T=.i (T.:'J L'NI=S) ? r-'.- 3 L':IITS ) ~ Ui ? i;-4 UivITS) ? CCiT!-=1CLAL,/RE.'_^.'iIL?Oi r Z CE- Q 1=Si. T:~ L ? L`15TI=~7IC%IAI./GvJEP~= Z) t??r~~;~ IPlEFSE PR1t1fJ ~~•jD: Frontier Midwest Homes Corporation 3908 Sibley Memorial Hwy. Bldg. E C'TY, S--E~=-ZIP: Eaqan, MN. 55122 - 454-0433 3) C=?zp, (PLEASE PR1tii) Star Plumbinq FOR CITY IJSE O.4LY , FDD?ESS: 1018 Mound Springs Ter. PLU"9`-Rs LIC,ssE: ccive CIT', STATE, ZIP: gloomin ton, MN. 55420 Ezpi~red PHOV;: Mwb'c° 0 ~NoVof Record 884-4149 PLU.yBER LFCEVSE p 3329 ~ . ~ ! ar Jtr:;tal 4) ?;Ppprp/Cr,;irm (PLEASE PR19I) Thomas and loann ni xon ADDRESS: 8070 12th Ave.S /t212 CI?"l, ST,a.Tr,, ZIP: Bloomington, MN 55420 PHONE: 854-6746 5) IINDIC:.it. :I1{ICH PERh12T IS BEIr:C FtFCUc^S'I'ID: ~ Co:+NECTICN TU cIT! SL,,:ER Please mail gold copy to x~ QO:•T1ECfIC:1 TO CITY WATIR Wenzel Mechanical 3600 Kennebec Dr. El amER (PLE~-?F D-SCT),IBE) Eaqan MN. 55122 ~6) rQiC, C:.c: . • ? Pl--`~.c_ L, f?OID r1PP.,a('iUFD PEP: ~ST FOR PZCK-L? BY C,NE OF ABCZ,T PLr'ySc-.;-T.aI /-A~PP°CNID P..~"r_•LIT- T`J 1, 2 3, 4-ItE(7~'E- ~o~ ~ I (Cir _e one) 7) DATE: ~ A AiaAOA.f~ r Ol~af!'~! ~?tt'aa.a~~ i s s~~~:~a! ~!l~;~y1~ ~~`~iti:~at~~ F 0 R C I T Y U S E O N L Y ' T_SSUED : VE5: Dr.7~7T'^ 1/I_ ~IC.T ~ y JL1.. cl."--) ~ D~.~..:. rvL WAT°_R PEiUlT_T {Ii:CLuDE SliRC:::,RGLi $ 4+AT_`'R M°TER/COPPERHOP.N/OUTS:D° R:nGc.R $ WAT°.°. TAP (INCLUDE COR?ORATIO?] STOP ) $ SEWcB T~p $ / --..~'i:-•- - $ ACCGu?'T DE?OSIT $ ,S Uo, ~w waC . $ SaC S TRG?IK FInT°_R ASjESS:i_=::T S TRi:::?C SE:•iER ASS :SS>:°ciT S LAiER=+L BL'.'.'G[ T_T/'?TRU°-1K SE:'iE= $ L'nTERai, BE\c: ZT/TRU:•:ri I•:nT?'R 'S WATER TREAT*fENT PL01T SURCHARGE S /3,.)_ o U OTHER: $ TOT.-`,L $ 46_4__r°C Ad,IOCi\T PAID;'RECEi?T o~GSS~j U D0E5 UTILIT'i CONCIECTZON REQUZP.E EXCAVATION IN PUBLIC RIG'rIT OF WAY? ~ YES IF YES, THEN n"PER•SIT FOR :+70R5 WZTNZi7 PUBLIC ROADWAY" MUST BE ISSUED BY TF'.E ~ O ENGINEERZAIG DIVISION. LIST AS A COC]DZ- TION. SULJL.CT TO THE FOLLOL9ING CONDITIO\S: 'APPROVED BY: TS::,c: DAT_° : m_mmt ws~ w=pq w.~ ~wmfts~ s. - RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsWClion Reouiremenis Remodel/Reoair Roauiremenb 9( • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20%maximum lot coverage allowed) • 1 set of Energy Calcula6ons lor heated addi6ons 2 copies ot plan showing beam 8 vnndow sizes; poured found design, etc.) . 1 site survey for eAenor additions & decks • 1 set of Energy Calculat'rons . Indicate if home senetl by septic system for additions • 3 copies of Tree Preservation Plan if lot Olatted after 711193 ~ • Rim Joist DetaB Options selection sheet (61dgs with 3 or less units) DATE VALUATION O,1/ SITE ADDRESS 3 9'7l Cl~P~ . LJ MULTI-FAMILY BLDG Y N TYPE OF WORK Ld J ^4-ow +dQ.pV r °rC'tlujur FIREPLACE(S) _ 0_ 1_ 2 APPUCANT !]~&2,, tt)y- J%d/44 STREET ADDRESS ~C~,~nk J`~1~37 CITY_;P0;4Q`k,- STATE,Li JI,~ZIP 4 3 TELEPHONE # 507~6343 CELL PHONE # ~ FAX # 5'07-367-"66 PROPERTYOWNER NlntvaC //Z~,e /eltf nWr TELEPFiONE#6$A COM?LETE FOR "NEW" RESIDENTIAL BUILDINvS ONLY Energy Code Category _ MINNFS01'A RULtiS 7670 CATCGORP l MINNCSOTA RULL,S 7672 (4 submission type) . Residen0al Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submilted • Energy Envelope Calculabons Submitted Plumbing Contractor: Plionc # PlumUing system includes: _ Water Sottcncr _ Iawn Sprinklcr- Fee: $90.00 WaLer Heatcr No. of R.I. ]3atlis No. oF I3al}is Mechanical Contractor: Phone # ~ Mechanicil systan includes: _ Air Conditioning ree: $70.00 _ Hcat Recovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Btdg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. 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 ? OS 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 Alteralion ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width • REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Fon!iags (sddition) _ Plumhine Founda[ion 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/replacemer.t) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN HAMpTON INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY t SET OF ENERGY CALCULATIONS ~i,ooo. m To Be Used For: Sinale Familv Valuation: 62,-986 Date: 6-11-85 Site Address: 3971 Westburv Wav OFFICE USE ONLY Lot: In_ Block 3 Sect/Sub Erect X Occupancy ~-3 Remodel Zoning (2-~ Parcel !1 Westburv Fourth Addition Repair _ Type of Const a Enlarge !I of Stories Owner Tom & Joanne Dixon Move _ Length 4c~ Demolish Depth 48 Address 8070 12th Ave. S#212 Grade _ Sq Ft City/Zip Code Bloominaton, MN 55420 Contractor Frontier MIdwest Homes APPROVALS Address 3908 Siblev Memorial Hwy. #E ~ Assessments Permit 31(0 i Water/Sewer Surcharge -_~o,$O City/Zip Code Eaqan, MN 55122 Police Plan Review is 8. Fire SAC S25 ~ Phone fl 454-0433 Engr Water Conn Soo Planner Water Meter C0 3. Arch./Engr Richard Charlier Council Road Unit 2 gp.•° Bldg Offy•lQ- Parks Address 14103 Gardenview Ct. Apple Valley ppC Treatment P1 132•=° Variance Phone 0 432-5492 TOTAL 20 s V - (040 x SG-" S~ I ~o Z~,..22 = 4 9 0 Yi( ff2 looU SIGM~? House SURVEYINO Certlficote For: ssoaSbERV~IrCESay P-PonI~e~ IY~O1~'.~71 Eagan, Minnesota 55122 . ~~rporcplon Phone: (612) 4523077 7 / 0 IL oT 2 r~ SGALE ~ 1~~=40~ 20 I L T <17\ / \ o I+u-y- - - 9 I w ~ S3 1J ~ N LoT °I ~ LO7 I c) cn I ` 9 O I ~ ~ p o ~ O qP ~ ~ Z I o~e oy; _ ~!y7 -°oy e 9o \ ~ I 861.0 . xB49A X M o-~ q i' 3 g'IO i . ~ ~ rI_4' Prapci ~O ~ I ~rJu \ ~ bp/ ' \ N \ • Dnv~~\ ~ ~ 4 , I ~Ra,?;a v a 8° s160 oA'~",, ~ o ~ \x ~ WEST~~RY WAYNE W~ = CORDES : END~P`,, PROPOSED GARAGE f-LOOR ELEVATION= 810,-1 o r O Genotes I?ad N~b~Set PROPOSEDnBASEYENT eFLDAR EEL£VAI~ONa ft;3,0 *g6i.o Lenotes Cxisfing Spot Elevation L'', U sHa,..J Denotes Propo5ul Spof Elevaticn ~TE: Veri(y all f/oor iLights with Final HoJse Plarts. - Lenotes Drainaye Direction suuWEYORs cEtriFrcariav-, I hereby certi/y ihef this survey, plan or report -P~~ ~~~~ION- ras prepared by Ne or ur/er my drrect supervisim ~L~O/l 0 .&GCK 3 40 aM fhal I am a Auly RegisterEd LaM Surveyor ~'KES`Cf3VR`~ yT~ 101T10~J Ly-der tF-e laws nf ihe State ol Mirnesofa. accordi to the reccrded lat fhereol, 1nJ P a ~y~ Dafe: 5/31 l8S D9~.OL2_County, Yimesora Weyne D. Cordes, Yirn. Reg. No. 14675 2006 RESIDENTIAL PLUM'BING PERMIT APPLICATION CITY OF EAGAfV 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please'complete for modifications to existing residential dweliings. if5e Date ~ IIA I -71 Site Street Address ~ ~ Unik # Property Owner h2ll(le f ~e2 Telephone # Contractor 1 Ulb W1 ~~C vJ Telephone #q4jR)q?6' -Mo ' Address City 1hHowly'l State-va_ Zip55201 The Applicant is: _ Owner XContractor _Other Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. lf you are fnstalling o_ n/v a water sottener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: ~ Water Softener ~X- Water Heater $ 15.00 _ new ~ repizcement _ Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan antl the plumbing codes; that I understand this is not a perrnit, but only an application for a permit, work is not to start without a permit and work will be in • accorda with the appro plan in the event a plan is required to be viewed and proved. App ca t's Printed Name App ica Ys Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3971 Westbury Way Lot: 10 Block: 3 Addition: Westbury 4th PID:10- 83653- 100 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Ryan Windows & Siding 3750 NW 85th St Oronoco MN 55960 (800) 367 -2606 PERMIT City of Eaan 4/30/08 Notification letter sent regarding expired perm BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: pf Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final Owner: Michael T Wagner 3971 Westbury Way Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA080782 10/30/2007 ePermit Smoke detectors are PERMIT City of Eagan Permit Type:Building Permit Number:EA116230 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 3971 Westbury Way Lot:010 Block: 003 Addition: Westbury 4th PID:10-83653-03-100 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kim Moore 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 - Michael T Wagner 3971 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 Replacing Deck with 14' 6" x 16' 3 season porch and 16' x 12' deck REVIEWED FOR CODE COMPLIANCE 05/04/2022 2:23:46 PM DQualle BUILDING INSPECTIONS SYP Grade No 1 per EngineerSee attachment for fasteningschedule.Provide manufacturer'sengineering if using something else.2 per post permanufacturerREVIEWED FORCODE COMPLIANCE05/06/2022 11:58:45 AMDQualleBUILDING INSPECTIONS PERMIT City of Eagan Permit Type:Building Permit Number:EA176679 Date Issued:05/26/2022 Permit Category:ePermit Site Address: 3971 Westbury Way Lot:010 Block: 003 Addition: Westbury 4th PID:10-83653-03-100 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David A Krueger 3971 Westbury Way Eagan MN 55123 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature