EA182380 - Building - Single Fam - Issued Date 04/26/2023 PERMIT
City of Eagan , m Permit"':
Building
3830 Pilot Knob Rd °°® + S °.' Permit Number: EA182380
°®°• -e-s
Eagan,MN 55122 ��•• ®--•
EAGAN
(651)675-5675
111111111111 IN 1111111111111111111111111
www.cityofeagan.com * E R 1 8 2 3 8 0
Date Issued: 4/26/2023
Site Address: 750 Camberwell Dr
Lot: 14 Block: 5 Addition: Hills of Stonebridge 3rd
PID:10-32992-05-140
Use: * 10 - 32992 - 0S - 140 *
Description:
Sub Type: Single Fain Construction Type: V-B
Work Type: Alteration
Description: kitchen and bathrooms remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $133.15 0801.4085
Valuation: 5,000.00 BL-Plan Review 65% $86.55 0720.4222
Surcharge-Based on Valuation $2.50 9001.2195
Total: $222.20
Contractor: - Applicant - Owner:
Shaeffer Contracting Services John P Kelly Kenley
23225 Woodland Ridge Dr 750 Camberwell Dr S
Lakeville MN 55044 Eagan MN 55123
(651)436-7359 X4
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sZed B : Signature
ECEIVE
APR 2 0 U6
-------------�
I For Office Use 0 1
I Building Permit#: 1
S&W Permit#7EAGAN 1
I
1 �L I
Permit Fee: !�2 �, 0 I
I Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 1 I
I Date Issued: j
buildincainsaections(aD-citvofeaoan.com l________________-----
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: [ Ur IZ� Site Address: � Q-- Unit#:
Applicant is: ❑ Owner 'Contractor
Name:�rc'1�ir�1 c lVL1. 1 k` `
t
Homeowner Address: 50 e,�tiy 1
.->;� ( O/� City: C3,4C_,4,-r .J
State: M Zip: !ZZPhone: 19�-_3 Email:
Description of work: Y--vt—\arr-A .;.cam {�,�-t� & 1Y,c cfJ�j (?.gC ,C�N174
Type of —1 ) I I I's 0 9
Work Construction Cost: LV Eoc�y — (�l
Type of building: IRSingle Family ❑Townhome, of units ❑ Twin Home
Company:_`, �v�^p(l �r�C. Contact:
Building Address: j Z-ZS 0A_ City:
Contractor \ t r 1
State:�Q Zip:�Phone: , —35Gt¢Email: _1���s h b�G�fo ec�
License#: L Cr �-e Z Expiration Date: Z 4'
Sewer& Company: lam*" Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
01 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the
Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00r)herstateonecall.om for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
x &IJ`LZYyt-c^-U x
Applicant's Printed Name Appli 's Signature
FOR OFFICE USE ONLY
Site Address: lc)o ca m vvel ) 01z Permit#: IEbO
SUB TYPES
Single Family _ Fireplace _ Lower Level
01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
_ Addition _ Fire Repair _ Reroof _ Move Building
✓Alteratlon _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar •Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Saco Occupancy T't?c MCES System
Plan Review 025%,J2400% Code Edition MNQc-moo SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction V3 Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
✓ Framing: 1 Hour w---Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing(prior to house wrap) Pool:_Footings Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation ,/ Windows
Radon Control Other:
Drain Tile
Grading ✓ Final/No C.O.Required
Final/C.O.Required
Reviewed By: 7�Ale, So-% , Building Inspector
FEES =�c�.. -
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00