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690 Camberwell Dr í þ üüü ÿÿþ ÿÿ þýýü ûþþÿÿò ù ÿø ý ù÷é á ýüûú ù üûúù÷é ø÷éóúÿô úý áýáííñýúÿû Û Üýÿ ì ôú âôääô Üý ô ÿ ôæ ÿ ÷÷úþÿ ÿô ÿ úæáÿ ÿúÿ ÿÿæ áÿ ôã ÿ Üý ûÿ÷ ÿôûäôæ ÿìçòçååæîåæíåî ÷û ý äÿ ÿÚÿýÿçòçæîæî Úÿýÿþæ öô øóù úúÿ úã û ýÞÿô î ýä âùðáÿô ÷ ý âöøîîð ÿÿöøîî ëðîèðååï ä ûÿ÷äÿäÿâ ÿäÿúúÿÿÿäÿä ôÿ ÿÿ ôúû÷äÿÿúúÿ ÿ öÿ ÿýÿáû ÿÿñ ÿæ úúÿé ô ÿý ýû ÿý INSPECTION REC4RD CITY OF EAGAN PERMITTYPE: \,,--3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ? Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ,MA N 1•! ? fIW . i . l'.'O ? ? ? . ??; ? ?:?ff:ItRifir;E !`1 E1? : I .•? ?iby--655W PERMIT SUBTYPE: TYPE OF WORK: nnaI rson f -tRU 'il AI. l. ) 0 h',I:f+iF'til1N V001 [ M+s FtNAI FI:AMIMl; F ? ? L Permit No. Permk Holdar Date Talsphona M ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FDOTINGS FOUND FRAMINO ROOFiNG ROUGH PLUMBING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 6SMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: „ . . i! i PERMIT SUBTYPE: APPLICANT: i?i; ? • .,,. . ? . i?.??. TYPE OF WORK: ? . h -- r , o4 INSPECTION D, . ., ? •,,? ? • .,? t fIr?t+11la 1'I;j•:M! 1' Ai;i t11?1I c I:Ilf ilH A NY ill ilMIS1N6 Ot+ t l t, fti+lEAl 1•I01, 1 . • . _..?.??' _+ F ? L . ? ?-?- ON Date Issued: , ?;.a,.>, - •-- PermR No. Permk Holder Date Telephone ?t S14V PLUMBING HVAC ELECTRJJB? ELECTRIC Inspection Date Insp. Comments Footings I Foundatlon Framing ! Roofing Rough Plbg. ???..pi, ?`( Rough Hig. Isul. Flreplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notliy Plumber Const. Meter Engr./Plan Bidg. Final i Deck Ftg. Deck Ffnal , Well i Pr. Oisp. INSPECTION RE-------- -- ---- -- CORD iControl Na 0439 CITY OF EAGAN PERMIT TYPE: tili IL p j xU ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ? (612) 681-4675 ?- SITE ADDRESS: Le t: 1 BLaC K 1 x APPLICANT: ? 690 t.AMBERWELL DR WALLER QAN M2 !.l S OF STOMF8RIl18G 2ND (612) 290-5934 ? I PER'tiMJTC?UBTYPE: TYPE OF WORK: NEN QESCRIPT'ION 20' X)6` 6' x y Permit N0. Porn11t HoldYr bate Tilaphoae Y SNH PLUMBING HVAC ELECTRIC ELECTRIC Mspeeifon DeLe htsp. Commsr?ts FoaUngsl Founclation FrarNng Roofing ROUgh Plbg. R°uph Ht9- Isut. Rreptace Final Htg. Orsat Test Rnal Plbg. Plbg. Inspecta-Natify Plum6er ConaL Meter EngrJPlan Bidg. Flnal DeCk Ftg. ? oeck Fna? weli Pr. Disp. ?. ? (Itr#i#irate uf (IDrrupttrcry titp of (Eagan Dppal'unPYif Ld llidd[ttg JwPtf111tt This Certificate issued pursuant to the reqairements of Secrion 306 of the Urriform Buildrng Code certifying that at the time of issuance this strurture was in compliance with the various ordinances of ihe City regulating building construction or use. For the followirrg: u.cw.?i6.a. SF IXX"j('aAR Bwg. m ,,,;, No. 17516 i o-w-y rra R3/1'll z?ing nuu= PD/Rl Tya cow. VN owm ac Waing IlM P07.'IIltV 00. , QC. Add.. 5201 E. RiVE[t RD., FRIIM j 7 690 C D[tIVB LMhtyLl, ffi, HIIIS CF 5'PrNKRID(E 2!D ;Bu ? f ' n.k: MAY 2. 1990 - s?im? or?? POST IN A CONSPICUOUS PLACE h BUILDING PERMIT To be used tor SF I CITY OF EAGQN Ao 17516 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ., Receipt # _ ?AR Est. vaiue $138,000 oate FSD 16 , 1990 Site Address 690 ??RWELL UR Lot 1 Block 2 Sec/Sub. HILL3 OF Parcel No. W Name rHE ROT['LUNp C0. INC 0 Address 5201 E RIVEEt RD City FR1DI.EY Phone 571-0304 _$ Name SAME 0a Address ? City Phone Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and ag??22ee to comply with all applicabie State oi Minnesota Statutes and City o(lE?gan Ordiqancesr 1 ? SignaWre of Permitee '`..V I l ?? b 3 A Building Permit is issued to: IAM on the express condition that all work shall be done in accor ance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OHicial 6 OFFIC E USE ONLY Occupancy R-3 M=J- FEES zoning PD R-L (Acfual) Const V'N Bldg. Permit 773.00 (auowabie) V-N Surcharge 69. QO N oi Stories 52' Plan Review Wxo Length Dea+h 36' sac, city 100.00 S.F. Total - SAC. MCWCC 600•00 S.F. Footprints On Site Sewage - _ water Conn 625.00 On Site Well Water Meter 90000 MwCC System ? 30.00 City Water ? acct. Deposit PRV Required - S!W Permit 30.00 Booster Pump - S/ry Surcharga • 50 252.00 Trealment PI APPROVALS qoad Unit 355.00 Planner - Park Ded. Councit BIdg.Off. _ Copies Variance - TOTAI ? 3,426. Permit No. Permtt Holder Date Telephone # WATEFi ? ' / % • ? ? SEWER ?- PLUMBING ? ?. H.V.A.C. ELECTRIC ??y7 W99 D Inspeclion Oate Insp. Comments Foolings I I Foundation 2 M90 F??ing Roofing Rough Plbg. Rough Htg. is,l. 3 Fireplace Za ? Fnal Htg. 4,12 L-fd . Final Pibg - - Const. Meter Plbg. Inspector - Notity Plumber Ergr.lPlan Bldy. Final ,S 2 Deck Ftg. Deck Fnal weli Pr. Disp. I? SEWER& WATER PERMIT , CITY OF EAGAN ' 3830 Pilot Kno6 Rd. P.O. Box 21199 Eagan, MN 55121 690 CAMBERWEi.L DRIVE OFFICE USE ONLY PERMIT DATE L WATER PERMIT # 1 1' SEWER PERMIT # METER # B.P. RECEIPT # ^ b".7 5 f#Er4BEfB.P. RECEIPT DATE 2 11 0 METER SIZE ISSUE DATE ??--?lJ _ PRV _ BOOSTER PUMP SITE ADDRESS n2 C_f . -- LOT ?BLOCK SE ! $PB r - `?• - - '' ?;?. o APPLICANT: ?-? t i '_ -'- ?? ? i : ?_r•_+ ti? :t;.. ADDRESS: CITY, STATE ZIP r PHONE : PERMfT REOUESTED X SEWER -X WATER _ TAPS - COMM/IND -9 RESIDENTIAL ,- NEW - EXlSTING PLUMBER: 1'f ADDRESS: ? ?_?c ?= IL c_sJt ?` I AGREE TO COMPLY WITH CITY OF ZIP F??GAN ORDINANCES: CITY, STATE _ _y ? ?? ? ' ?' • ? `r %:? ?' PHONE: ' ?. OWNER: c.:R,0 -- ADDRESS: CITY, STATE ZIP PHONE: A ? ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIIA SEWER PERMtTS, CONTACT ENGINEERING DEPT. io?i??9 ?a Yd 7 Repuest Date ' Flre No. Rough-In Inpsection R oirea (YOU must call inspector whan reedy) Ins ection atne. Tnan Rougn-In ? ReeOy NowO.?.M511 Notity InspMOr ? Ves o Date Ready LE44censed contrector ? owner hereby request inspection of above electrical work at: Jo0 AOdress ISireel 6ov ar Poute No.I ?? ? 7 Cit?? l4W Seciion No. Township Name or No. Range No. County (? -? /?ll (Ar Occ ant(PRINT) Phone No. L O Pawer Supplier Atltlres5 ? Elec I Gonhactor iComOany Namei ?(?crR?? Conlrectors License No. Zoz-? onv e y Owner Mak?nqInsmn Mr??d Wre (C,crado•ner Maxing Inslal!ati n? Pho e? _ MINNESOTnpTATE BOAflD OF ELECTPICIT ?? ? THIS INSPECTION REOUEST WILL hOT Grlgga?MlE (ay 61dg. - Hoom 5473 ? BE ACCEPTEO BV THE STATE BOARD 1851 Univerolty Ave.. 51. Paul, MN 55104 UNLESS PFOPEF INSPECTION FEE IS Phone(612)643-0800 ENCLOSED. ?D/j?/!J(? REQUEST FOR ELECTRICAL INSPECTION Ee-oo???o{{{mss-o??IIe / W See inslmcLOns lor cnmpleAng this lorm on pack ol yellow copy. M Z? 9y 7?R Q5 ? -? I\ " X' Rcln.i IA/n.L C nvcrerl hv Thie Gen ucef V ew Atld Rep. 7ypeofeuilding AppliencesWired EquipmenlWired 04, Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer LDad Manegement Comm./Indusirial Furnace Other (Specify) Farm Air Conditioner Olherlsuecdy) Contractor's Remarks: ??nrT ,?'n?sh Compute Mspection Fee Below.' # Olher Fee # ServiceEntranceSize Fee # Cfrcuits/Feetlers Fee Swimming Pool 0 10 200 Amps 0 to 100 Amps yp 7ransformers Above 200 _ Amps ov 00 _ Amps SignS . Inspecmr's Use Omy. ? TOTAL Irrigation 80oms ( i? O Special Inspection ?? Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTIJS. I, the Elecirical Inspector, hereby tif th t th b i Roughin Date D?( cer y a e a ove nspection has been made. F;,,ai ? oate r_ OFFlCE USE ONLY This requesl voitl 18 montns irom ?? c* 4+'e7 3 RESIDENTIAL ?'p5r"1S BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MIV 55722 Lz- 651-681-4675 New Constructlon Reauiremenk • 3 registered site surveys showlig sq. ft. o( lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured taund design, elc.) • 1 set of Energy CalcWatlons • 3 copies of Tree Preservation Plan if lot plafled after 711193 • Rim Joist Detail Optlons seleclian sheet;6ldgs with 3 or less uniis) DATE ?- !?-?7 ' (9a' 51TE ADC TYPE OF APPLICANT RemodeVReaair Reauiremenls . 2 cropies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for extenoraddfions & decks • Indicate if home served by septic system for additions VALUATION STREET ADDRESS _ 17nc T,.t`,. r1«:?O Weg CITY. TELEPHONE# 11 _ GELLpHONEArwT ccai7 IULTI-FAMILY BLDG _Y ?C N FIREPLACE(S) _ 0/? 1 _ 2 'c-. -4- L2o(p) 0711 ATE _ ZIP PROPERTYOWNER TELEPHONE# ----------------------------------------------°------------------°--------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJI,ES 7670 CATEGORY 1 MINNESOTA RULN:S 7672 (4 su6mission type) . ResidenGal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Enargy Envelope Calculations Submitted Plumbing Contractor: Pltunbing system uicludes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Condiaoning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 --------------°-------------------------- °---------°------------------° °--°---------° °----°----------------°---- 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 Ordinaoces.JJ Signature of Appltcant 01`? X1 ___---- ..------ ----------- ---_------- -- ................. ----- ._..---------......-------.------------ -------- -------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Water Softener _ Water Heater _ _ No, of Baths _ Phonc # Lawn Sprinlder No. of R.I. Baths PERIVIIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B u zLo z N G Permit Number: 0 2 9 0 5 0 Date Issued: 10 / 15 J 9 6 SITE ADDRESS: P.I.N.: 10-32991-010-02 690 CAMBERWELL LOT: 1 BLOCK: 2 HILLS OF STONEBRIDGE DR PLA7 2 DESCRIPTION: Census Cnde `? !r si iS x? (3RD STALL) ..,_ Btuilding,.,Permit Type GARAGE/ACCES50RY Bui3ding Work Type ADDITION 438 ALT. GARAGE REMARKS: FEE SUMMARY: VALUA7ION Base Fee Surcharge Lic. Search Subtotal $99.15 $2.50 Fee ,,$5.00 $107.25 $5,000 COPY ?.50 Total Fee $107.75 CONTRACTOR: ADELMANN CONST. DAN 23772 HZ6HVIEW LAKEVILLE MN (612) 469-5650 - Applicant - S7. LIC 14695650 0004115 AVE 55044 OWNER: WALLER qAN 690 CAMBERWELL DR EAGAN MN 55123 (612)688-6281 ? - . . - - .._ t - . ... ;, „ . . . ? • I hereby acknow2edge that:.S have read this ap,plication and state that the informati-on.is correct and eqr,ee ta compSywith all?appiicable State o'f MYt'. Statutes and City of Eageri Ordinences.` L . . . „ ? ? wc\APPLICANTlPERMITEESIGNATURE ? IU D?Y:? N?ATUR ob CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copfes of plan ? 2 copies o/ plans (include beam 8 window sizes; poured tM, desi9n; ete.) ? 2 site surveys (exterior addkions d decks) ? 1 anergy calculations ? t energy calculetions for heated additions ? 3 wpies ot tree preservation plan if lot platled after 7/7l93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: $X??? STREET ADDRESS: J?? V'\\ LOT BLOCK SUBD.lP.I.D.#: 0S PROPERTY Name: \N 1?) Atd Phone #: '?p OWNER """ StreetAddress: Q1°",4 GAm?ocrw¢?? ?c?ve '31? State: mh. Zip:551C-13 City: Eo,L coNTwacTOR Company: OM AOkL'l'n'ANN C,0`Ns`C Phone #: k6l\"S650 Street Address:a3??a License #: M15 City:?,,A?cv?t State: t%h, Zip:S5 0A4? ARCHITECT/ Company: Phone #- ENGINEER Name: Registration #: - Street Address• City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 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. Signature of Applicant: OFFICE USE ONIY Certificates of Survey Received _ Yes No OCT 0 8 1996 Tree Preservation Pian Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling o 07 4-plex ? 03 SF Addition ? OB 8-plex a 04 SF Porch o 09 12-plex o 05 SF Misc. 0 10 _-plex WORK TYPE ? 31 New o 33 Alterations ,0'32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning it of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Muiti Repair/Rem. ? O'13 Garage/Accessory o ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building ?LA43 ?t 4k%?1 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System 11 City Water r" Fire Sprinklered PRV Booster Pump Census Code. u3 SAC Code I Census Bldg i Census Unit o Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Raad Unit Park Ded. Trails Ded. Other Copies ? Total: Valuation: $ 5,0104, ? c i? -- z-7 s44ilo _ q ydo % SAC SAC Units A * enginee T ll1ND g.. 1AN0 ILANNERS J 2422 Enterprise Drive Mendota Heigh[s, MN 5512a 1 (612) 68,-,9,4 Certificate of Survey for: Tn 1 901/ L VAL/ •. L- 2, IAC I FSr7411D F'o p D Ce?y3ER?,E<< ? J ?39.is r- ? ? 89s. I.p 9Z ./ n + $y,,?l o . ?. C I /6 . . , 0 ?..? .?.. , ? ? AXCHITECTS ? NORTN ? 10-04-96 04woodi located and se .C=the 40 foot setback lin from Dodd Road and opp- osite?the exis,t;}pr,g qara , f s9./8'-? carriers ?:? . _ e o3r-a 'mq 94e ? Z t ? Gd'- ? 4"e?ll'Ai??r?, i ZDe1marHHi,3iv? :Labd Survey ?co•3S ???d''•?ic8b?: ?l?A-1769 . gor. ?`? ? ? r S2 .13.> ?? ?r?B @ j25 I M 89a.7 . i .? /? I • • U 10 7 901,2 95 . goo.o DenoEes exrsfin¢.._Etev.afian ..._ ,,900.o Derlofe5 propdVed E/evafiort - Denofes Dromafe ( Ufili? Easemenf i? Denofes OrarncY¢e Flaw ,4rrows 0 Denofes monumenf Bearin?s shown are assumed , ua ?V,E u 54W yD3?iG.Iki~1 E'_yGI&ELI'.I2rG DEPT ,: - ..... . v S? usE Ec:EvarlaN towes Floor E eva fion a 9f. S Top oF 8/ock Elevalion 399.3 Garq e Slab flevafion 89s, s o Denas Ot't"'sef Nub ' Su?'ecl to Easemen/i5 of'Reco?rd BLOCkl LOT ' l`- 2 NItLS 0P ST4NLEBa1DGE PLAT 2 , , DAUOrA CouNrY 1 hemby eatily thet Ihis 7s a true and correct represenfation of e swvey ot the boundariee of the above sudbed lor+ anJ of ihe Iocation of •?1I . b0di a n h li i i l h d iI f l 2 L ng ereo , an , l v e encroac me a s b Revise/: movcd NevSQ any, ms, rom or on said land. VL.D u,ICs+. /-26-90 Ae surveyed bv me this day ol ' A.D. 19 , i ! ca/e : 5' 1 inch, 40,eef ,?? J?,/?? A(?' q).0 1 7f fl O? BEP.T S. SIKICN L.S. REG. NO. 141191 -?( CI`TY,QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CR3M9 BUILDING 024680 10/07/94 SITE ADDRESS: P.I.N.: 10-32991-010-02 690 CAMBERWELL DR LOT: 1 BLOCK: 2 HTLLS OF S70NEBRIDGE 2ND DESCRIPTION: Building'-Permit Type Building Work Type ? F / \ \, ? ? •. V?t BASEMENT FINISH ALTERATION ? ? rJ REMARKS: SEPARATE PERMI75 ARE REQUIRED FOR ANY PLUMBING UR ELECTRICAI WORK FEE SUMMARY: Base Fee Surcharge Lic. Search Fee 7oCa1 Fee $35.00 $.50 $5.00 $40.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: ApELMANN CONST, DAN 14695650 0004115 WALLER DAN 23772 HIGHVIEW AVE 690 CAMBERWELL DR LAKEVILLE MN 55044 EAGAN MN (612) 469-5650 (612)688-6281 I hereby acknowledge thaC I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. - ? C I?.PMY. 1?, `?..?.._ ??11.?. ?31.1?.????L- APP ICANT/PERMITEE SIG ATURE ISSUED B SI TUFiEI ? INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLDiNG 3830 Pilot Knob Road Permit Number: 0 2 4 6 8 0 Eagan, Minnesota 55123 Date Issued: 10 / 0 7 J 94 (612) 681-4675 SITEADDRESS: LoT: i BLOCK: 2 APPLICANT: 690 CAMBERWELL DR ADELMANN CONST, DAN HILLS OF STONEBRIDGE 2ND (612) 469-5650 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: ALTERA7ION INSPECTION FRAMING ., . INSULATION ., ROUGH IN pLBG FINRL REMARKS: SEPARATE PERMITS ARE REQUIRED FpR ANY PLUMBING OR ELEC7RICAL WORK F- 7 L I 24-tiO CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ,681-4675 uuL SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site urveys, c p nergy calcs. ? j?u4 COMMERCIAL 2 sets of architectural & structur - 1_ans.,_1 set of _ specifications, 1 copy of energy calcs. -"-- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date G?. Valuation of work `530d0?00 Site Address: G o'\6 Ca?cr??pe???,?? f, STREET SU3TE ?f Tenant Name: (commercial only) LOT I BLOCK ? SUBD. , ` A % ii P.I.D. # _ ? ? C GQ - Descri tion of work: 5l `(\ 0?? D0, S9, `C1\WA The applicant is: ? Owner 11? Contractor ? Other (Describe) Name?.,?Vc`r Z?flN * NZGOLE PhoneV%_%" ?aS? Property LAST FIRST OWnEY pddress `o'\d C.0.m&3-"v- Wm\\ Qv?\Ve STREET STE p City State %1l\+ ZipSs Company Phone Atb0\-SGSd Contractor Address QL?>T\a License #M\5 Exp. CiState Y\\ Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: OFFICE USE ONLY BUILDING PERMIT TYP E f ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging 0 16 .. Basement Finish ? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 13 31 New J2? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual (Allowable? UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Basement sq. ft. lst F1. sq. ft. 2nd F7, sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ?.Site O Footing ? Wallboard 0 Final 0 Framing ? Draintile MWCC System City Water PRV Required Boaster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 121 ?'7' °L i ? ZW Insulat9on Fireplace Permit Fee vea„t;,,,: Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: S SAC % SAC Units PERMIT ? CITrY G? EAGAN 383C?Pifot Knob Road Eagan, Minnesota 55123 (612) 681-4675 I CoMrol No. 0439 ? PERMIT TYPE: Permit Number: Date Issued: BUILOZNG 000545 05/14/92 SITE ADDRESS: 690 CAMBERWELI DR L07: 1 BLOCK: 2 HILLS OF STOPIEBRIOOE 2MD DESCRIPTION: ze' x 16' 6' x 7' 8ui41d'ing Permit Type DECK 9uilding.Work Type NEW UBG Occupancy R-3 ? ?REMARKS: FEE SUMMARY: Base Fee ;25.00 Surcharge $.50 Total Fee f25.50 CONTRACTOR: OWNER: - APPYicant - WALLER OAN 690 CAMBERWELL OR EAGAN PfN 55123 (612)298-6934 I hereby ae&nqwkedge Lh-at Z havs read this applfcaCion and state that the infarmation is correct and agf^$e to c:omply with a.El applieable State af Mn. Statutes and City of Eagan Ordinances, I- J ? Rt? sK _ ?o I 1?? y?_ r APPLICANT/PERMIT EE SIGNATl1RE , DY: 195UE IG NAT UR INSPECTIQN RECORD C°ntr°' "°. - 0439 CITY OF EAGAN PERMIT TYPE: BuiLDiNG 3830 Pilot Knob Road Permit Number: 080545 Eagan, Minnesota 55123 Date Issued: 05 /14 /92 (612) 681-4675 SITEADDRESS: Lor: i eLocK: z APPLICANT: 690 CAMBERWEIL DR WALLER DAN HZLLS OF S70NEBRTDGE 2ND (612) 290-6934 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW DE5CRIPTIOH 20' X 16' 6' X 7 F -1 L i PERMIT M .? ? cmr oF eac,AN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE R MUL.TI-FAMILY 2 spts of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of erlergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ?S__ / 10 _ / g Yaluation of-?er? Ne a-;u.aC-t- Site Address: h9v CamBv..2oELG 114, 0. ,s4savf MN _!r5_123 STREET STE 9 Tenant Name: OaN -,+ nl i ce c waG? f 2 l0T BLOCK SUBD. P.I.D. # ' Descri tion of work: uS7-QU y-mAJ The applicant is: jp Owner ? Contractor ? Other (oes«iee) NJ 6s8-c2sr Name ?uAu jOAn1 4- N i (!z)`? Phone u n a-6ss Property LAST FIRST Lwj "?) bvs- 6vs3 Owner Address h1?o eArtBvzwFci_ eQ . s. STREET STE i City ,caGanJ State /tiln/ Zip S s/z3 Company Phone COf1tf8Ct0r Address 112 /4 License # Exp. I City State Zip ? Company Phone Architect/ Engineer Name Registration ?Y ?/ / V /4 Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. Si t f A li ?? A6Z9 d gna ure o pp cant: , , ? ?e - 11 urriur- uae unLT BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 02 5F Dwg. ? 06 Garage/Accessory O 10 Swim Pool O 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. 15 08 Deck O 12 Comn./Ind. WORK TYPE ,Q 31 New O 34 Repair ? 37 Demolish ? 32 Addition ? 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move - GENERAL INFORMATION Const. (Actual) (Alrowable) JBC OccuFs.^.cy R- Zoning # of Stories Length aU Jh Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site, ? Mallboard Basement sq. ft. lst F7. sq. ft. ?nd Cl. s^y. ft. . Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Li>'Sz Variance P footing Ep Final ? Framing ? Draintile :4E? ? Insulation ? Fireplace Permit Fee ?26,0o v.a.cia,: Surcharge Plan Review License MWCC SAC . City SAC Waier i;onn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total : SAC % SAC Units s ?-- ? I I 7'. -; * • ?,,13'RiISI i?ac. i ?Agricultural ? 15 Miscellaneous MWCC System City Water DRV DEYu{n`d Booster Pump Fire Sprinkler Census Code SAC Code Assessments 'C * engiyn 1 ?T 1? 4 T LFNOSURVEYORS•CIVIIENGINEERS 1. L0.NOVLANNERS•LANDSCAPEIIRCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 ,612f 601-IJ14 CertificateofSurveyfor. T14E 901I V!V(./ l-O,,M ? NORTH 3?•&D Fo {'c D CGM?3E,PW f?L ? QfO LE v ? Sq?.s'? I 24 82 ? 898 ? g96.i1 6 I ? 4= 3j . s3 0>? ? °s > 0 / ?h /! ? ?al ? l` 89g,7 ? fJ ? _/ //0 - - - - D- qo?,2 95.6/ Ney°?rp'S4'W y . goo.o D¢nofes exisfin4 Elevalion • 900.o Derrofes propd?ed f/evotion - dpnotes Orainaje (Utiliy Easemenf -? Denofes Dr4incY '?e Pow Arraws ? Denofes monumenf o Bearinjms shown are assumed Su JF ? ? ? / ?qe.m a9?' z \ ?'0.35 ? O ti Q 9or. (+4 ? G ?'' L) DEPT ~ SE N u _E LEVATIDN ? towes Floor E eva iort a9 f.S Top o,?Block Elevafion 899.s Gara e Slab flevation s99 s Deno?s Ott sef f?lub 'c? fo Easerrmenlig oi fl-3 Recard LOT 1BLOCkl 2, NI LLS l7P STONEBRI DGE PLAT 2 DauorA CouNrY I hereby certify that this is a t.ue and rorrect represenlation of a survey oi the boondaries of theabove saiberf lan and of ihe location of au buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this day of ? A.D. 79?_. Rev?sed: r„ooed No„ye rL.o• w,es+. /-26-q0 Sca/e : 1 rnch, 4? eef 0'' n/i 1 I: 1.. A . nBERT B.SEKICH L.S. AEG.1,10.14891 F'. a * • • CITY OF EAGAN N0 17516 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHON E: 454-87 00 Receipt # 1Z?1? S ('21? To be used tor SF DWG/GAR Est. Value $138,000 pate FEB 14 , 1990 Site Address 690 CAMBERWELL DR Lot 1 Block Z SeclSub. HILLS OF Parcel No. STONEBRiD( wlName THE ROTTLUND CO INC z 3; Address 5201 E RIVER RD 0 City FRIDLEY Phone 571-0304 zF Name SAMF. I Address '¢- City Phone ? ww Name ? ; Address aw City Phone I hereby acknowlege ihat I have read ihis application and state ihat Ihe inlormation is correcl and ag ro comply with all applicable State ot Minnesota S[aWtes and Ciry ot gan Ordi ances{1?? ?? ? SignaWre of Permitee C al , ?'• ?9, A Building Permit is issued to: on the express condition that all work shall he done in accor ance with all applicable State of Minnesot,,a StaWtes and Cit of Eagan Ordinances. Building Official ?j-Q1VI-11 OFFICE USE ONLV Occupancy R-3 K-1 FEES Zoninq PD R-1_ (AcNal) Const V-N Bldg. Permit 773.00 (Allowa6le) V-N Surcharge 69.00 # ofStories 52 ' Plan Review 502.00 Length Depth 36' sn0. cay 100.00 S.F.Total - SAC,MCWCC 600.00 S.F. Footprinis - OnSiteSewage _ WaterConn 625.00 On Site Well - Water Meler 90.00 MWCCSystem XX 30 00 Ciry Water ?_ Aca. Deposit . PRV Required _ S/W Permit 30.00 Booster Pump - SiW Surcharge • $0 Treatment PI 252.00 APPROVALS Foad Unit 355.00 Planner - park Ded. Council BIdg.Off. _ Copies Variance - TOTAL 3 .426.50 , . .,. , . ? ifX _ I 1990 BUILDING PERMIT APPLICATION • CITY OE EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 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 SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, SUT 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 CORNER 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 COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: jY1f1T. T;olcl.._ Valuation: Date: D-?-90 ? 0- te Address Lot ? Biock -?Z H Parcel/Sub Owner Rrr'rc..OLy? Go, IOG, Address 'e?j k?g City/Zip Code 'ciIp&.EZ. tSc{Z( Phone r?-T t -0?,,04 Contractor Address i ) City/Zip Code 14 Phone it Arch./Engr. 4p dress City/Zip Code Phone # i( l? 1\ ll OFFICE USE ONLY 1381000- Occupancy R-3 M-I Zoning pD R-1 Actual Const V-N Allowable ? # of stories Length 52 Depth 3Ce S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump _ APPROVALS Planner Council aiag. off. 73E:2/q Variance `?Fe o p 11000 FEES Sldg. Permit r773.0o Surcharge ?O Plan Review Q .p0 SAC, City ID0,00 SAC, MWCC aO Wate r Conn O0 Water Meter q0,c"70 Acct. Deposit 3C7,00 S/W Permit .3a.? S/W Surcharge _?rB2Y Treatment P1. Z$2,? t70 Road Unit 35$1 Park Ded. Copies SUBTOTAL Penalty TOTAL 314I?.?0 .50 VAL ua-rljt4 - GAQAC?.? 02 X22 = y84 k?5= 7Z60 ?sm-T-- z ?6 x 3c? ? ?s?-L o ZOx Iy ? Z?D ?- 1 I Z-o x i 4= I 5 G? c? ? ST ?L?O(Z g5m T'= I I 2 0 -7r2: I y 3y-XS'b= s?'7oa 3"-''?1T = 11 2a 7xZ,:. ly z?rz = y ? 1?SSx5D= 5r1,:500 ?--- I 3'15L10 ? , • ,, t- a 0 • 11 ?* Pion * engir * ? ** ENGINEERS ?LANOPLANNERS•LANDSCAPEARCHITECTS 3R&o FORD ? °?,?F Certificate of Survey for. Tn1- RO IT UND CQ.? jX? -"? NoRTH CaM/3ERr,t,E<< ? ? r - - _ e.'?? I 89e.a 89 ? 14,81 ?\` ?992 / 596. n n ? 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1974 e>\ ??- _Jd ? ? gqe Hp ???f i vSR ?sp,? ? ? ? > I / e sz' 73 ? / 441, M Q? ?9 g. (a a9-Z4 N Poti h?Mti yvo.35 / I : Q x -V 89g-7 . i ? .? , - - - f?!_ -j /;o, 901.2 99°5o'sa"W y ?' . 900.0 Denotes exisfino E(evafion • ,900.o Dertofe5 propd.4ed E/evafiort - benofes Oraina ef Ufr/i? E'asemenf --•- Denofes Orain?e now Arrows 0 Denafes monumenf BearinJs shown ore assumed I7EPT qo ?, _PRQeOSED NOUSf ELEVATION Lowest Floor Elevation as/.g Top o; BlaclG Elevation sv9-S Gara e Slab flevatian 899. 5 o Denos pt "sef Nub Su Jecl fo Easemenlig oi t Record LOT I`-, BLOCU 2,14 ILLS OP STONEBaIDCE PLAT 2 DAKOTA CouNT y I hereby cenify that Ihis is a bue and cormct represenlation af a survey of the boundaries of [he above saibed lan and of ?he locatio?n yo?f a11 huildings, [hereon, and all visible encroachmenls, ff any, (rnm or pn said IanA. At survcyed by rne 1hisday of r a A.D. 1y?r?, Qeviscd: r„o?ed r+e.,ye n.,o' wez+. /-Z6-90 Scale :1,ch= 401wl n(] I 6 1 .. !1 140BERT 6. SIKIO1 L.S. REG. NO. 34891 . - . _ - - . . . " .i . ? .4. ? ? EXTERIOR?. k..rvliLUPE AVERAGE "U" COLdPUTATION ?' ? . . . . . . . . . , . . • owivsa T./& ?m "" ?' 'r•CsD ?,''^ ? b sirEann2Ess ?ic-r_-.?`?;r+?3????? 2- -? --r------ .?1 CONTRACTOR ?j A MDATE PHONE Determine working square footage.of each. 1. Total exposed wall area ...... 2 sq. ft. x a11/ ° .? 2. Total roof/ceiling area ...... sq. ft. x *0269 _ Q•6 Total exposed wall area above floor =? . a. Total wall window area ........................... .?. b. Total door area .................... ............. c. Total sliding glass door area ..... ,....... d. Total fireplace wall area ....... :.................. e. Total wall framing area (average 10Y,) .............. f. Total net wall area above floor..................... g. To ta l rim j o i s t a r e a ..... , ....................... Total exposed foundation area h. ToCal foundation window area ...:.......... .....••,• . i. Total net foundation area above grade .,........ Determine "Uvalue of each wall se{;ment. Z J? 3 g„U„ a. " 5S? _•?l.3?, 6 2 ' t.3? X,rU„ ,07 ;2.(o? ;. .,: c . X „U„ . a. ,/ . X loult e. x lovt, D8 = /$.7t f. 1430 X.,,,,it ?oLfZ = 1? .06. ; g. 3/2 x„U„ ?05?0 h. 7 X nUn i. -71 - X nUa. 7*81 ' . .. 3 .......................... .........Total ?- • If item (! 3 is the same as, or less than item 01, you have met the intenC of SBC 6006(c)2. ,, . - • r Total exposed roof/ceiling area Total gross roof/ceiling area j. Total skylight area ...........:............ ?k. Total roof/ceiling framing area ......:::::: Determine "U" value for each roof/ceiling segment. 1. Total net insulated roof/ceiling area ? i X ?lUil ? _ ? 1. X,,,,lt = 2-7.73 k. / 1 g -v, ? C12? _ 1•9 2 4 ..................................... Total - _ If total of Il4 is the same as, or less than #2, you have met the intent of SaC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 113 and 1f4 sha11 not be greater than the sum of items l{1 and #2 i. 32o.3S + z. 3?.68 - 3S/•U3 s. 290. 79 + 4. 2?.65 =??? 5e`? CITY USE ONLY r/ L I BL _? RECEIPT#: / 997 SUBD./'Jao, 01Q&A ? RECEIPTDATE: $h 9 91 _v 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single famiiy dwellings ? townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH NO? TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Water Sokener `for dwellings under construction 5.00 x = Water Softener ` for existing dxrelling 20.00 x = U.G. Sprinkler ' for dwelling under wnst. 3.00 = U.G.Sprinkler "forexistingdwelling .,?20e00 4w,-,• 7?h Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cty iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATESURCHARGE .50 6D TOTAL I hereby acknowledge that I have read this application, stale that the infortnation is conect, and agree to wmply with all applicable City of Eagan ordinances. It is the applicant's 2sponsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance activities to the facilities construded under this permit within City propertyhighFOf-wayleasement. SITEADDRESS: (pq D CQ?lk-e? OWNER NAME: INSTALLER NAh7E: STREET ADDRESS: CITY: Q,o G 9-z y 5 7 720-1? PYW, 16 ? TELEPHONE #: STATE: ZIP: ! L.dt?l VV G4-,"? SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT `(RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWN.FiOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH SHOW'ER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SWK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3:00 WATER HEATER 3.00 FLOOR DRAIN , 3.00 GAS PIPING OUTLET • minimum - t 3.00 ROUGH OPENTNGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry. lic. 20.00 U.G. SPRINKLER • nome uneer consi. 3.00 ALTERATIONS • to odsting LO,OO WATER TURN AROUND 20.00 STATESURCHARGE TOTAL: TOTAL ? a.av .50 b"M SITE ADDRESS: OWIVER INSTALLER:_!?''t.E.???/J y' OvA3 6 v? 6 ADDRESS:_ CITY: ST.ATE: ZIP CODE: PHONE #: ( (/A)_e Sy - 76 w SIGNA RE OF PERMI EE ? 92?867 TEMPORARY SLOPE EASEMENT This temporary slope easement, made this /7r/Vday of 6(:? jGe?? ' -, 1989, between UNITED MORTGAGE CORPORATION, a Minnesota corporation, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "City". W I T N E S S E T H: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a temporary easement for slope purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: A temporary slope easement over and across the southeasterly 20.00 feet of Lots 1, 5 and 6, Block 1 and Lot 1, Block 2, Hills of Stonebridge Plat 2 as platted and of record in the Office of the County Recorder, Dakota County, Minnesota. Said easement to expire December 31, 1999 or upon the reconstruction of Dodd Road to a 44' width, whichever occurs first. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing temporary easement shall be restricted to slope purposes, but includes the right of the City, its contractors, agents and servants to enter upon the Easement Premises at all reasonable times to construct, reconstruct, inspect, and repair slopes and the further right to remove trees, brush, undergrowth and other obstructions within the Easement Area. After completion of such construction, maintenance, repair or removal, the City at its sole cost shall restore the Easement Premises to the condition in which it is found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other natural obstructions. IN TESTIMONY WHEREOF, the Landowner has caused this Easement to be executed as of the day and year first above written. UNITED MORTGAGE CORPORATION U gp; ? ?• ItS: % i ?? By. STATE OF MINNESOTA ) ) ss. couxTY oF "R ) On this ?h day of 1%f?i , 1989, before me a Nptary Pubq' in'?an? fors?aid County, personally appeared l Y?1 L to me personal.?ly known, who bein by m uly wQrn.?sash did say that ??o' `-°=---------?-- the 1C1: .1-51?N 1 'etnd of the Corporation named in the foreaoina instrument_ was signed-&n+--.r_..'_='_ on behalf its Board of Directors and said -and be the free act and deed of the and that said instrument pgxatiQn by authority of to -„?. _ ?Ao?j. y OENISE J. KOENCK MOTIUM1 PIRUL. DMOta Cwinr. Ym W Ce?n+xwen E,ym sw S fq7 APPROVED AS TO FORM: ? n Cy ?Attorney's f? fice D _ e: lii APPROVED AS TO CONTENT:. A, Public Works Department Date: lo, . 18 - 85 -2- ?**?I • ' 12A22E-terpriseDrive Mendola Heights, MN 55120 w?oa?c?ew.n?nww?ccas ---777 PIONEER + .P?PIgnePrrIIIgr• LANOVLANNCRl?LANOLCAVlMCMIiCCtS I 16121681-1914 T? y ?7, I T C8,,;,;cat,o,survey ,a,: UNlTE'D MORTGAG'E , !;Y ? / ???, ? ,i-•- / ? o"?' o ? h ti 2 1 ? ?7 C ? r 5 , ,......; p ? ( ?? ?t^ y /A •00 h??'?l ? ? r ? S ? •', „'? ?p ? .(1r)l4" A' pP , 1 cr 1; Mti `? ? !? /? te )• CAMBERwc? f ? . 2i'. ? Sca/e: 1,^n ? IOOf? <, , . A 1?emporary Pope fpsemeaf over and acros5 fhe soufheosf cr/y 20. oo t eet g?' Lofs l, S ond 6, Bloc(! 1 and Lal 1, B/oc% 21 fli lls ?' S?o?ebrio'y'e ,o%f 2 os ?l4ffed ond o?'record in T?e 0g'ice or Ihe Counf,y Qecvrderi Oqkofa Coun y, 1141nnPSofa. To E..f i .c, Da? 31 /459 OR o+ -1A e IZcCe - 5 4.,.L.e1, OF Ao.Id roAD To R 4¢? w:D7N wd:o4 *-? vte-Ks r' ` 1 f• 1 he.aby nrlilr tbt thM survey, plm or reporl vm p red by r my di.eclropervitien?nd Ihet I am AuIY RaBisined l?d + Sorvayar urNn tbt leve of the Suu al Minnnov. UnM Ihb?y ol .19 8?.. _! /k, FOS / x?y?., ?? NOBERI B. SIKICH L.S. MEG. NO. 1a1191 ?..? ; TFiIS INSTRUMENT WAS DRAE'TED BY: SEVERSON, WILCOX & SHELDON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, NIId 55124 (612) 432-3136 JPE f F? -3- -:? ?g,5a 2006 RESIDENTIAL PLUMBING PeRmiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifcations to existing residential dwellings. ?IS.so Date 5 I :) a- I v L-i' u SiteStreetAddress (cRc;0ao)bervvel( Dr. Unit# ,` _` I PropertyOwner VI?'?? ?1 ?l?U? 1 I fT Y? Telephone# keM UO16'9013 ? Contractor 1-{ 1' ?)I 012 1tii0 ? IGS Telephone #(V] I) 3?v5 ?3?I0 I Address -ah(i OL? - City -Gl ' r,\ State )A /J Zip 951 'g"3 The Applicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 i _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time, if you are installing onlv a water softener and/or wafer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. ? _Septic System Abandonment 3 _Water Turnaround (add $130.00 if a 518" meter is required) Other: ..+ - Water Softener ?Water Heater ' $ 15.00 _ new ?replacement Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00 ! State Surcharge $ 50 ? Total I I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate; tnat me work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to b revieWed and approvesl. Apps Printed Name Appli a Ys ignature I6-sd 40 üûû ÿ ÿþþ ýùýü úþþ ñÿ òêþüö ää ÿþö þýüûúùôöêñöýûúù øöûúùôù öùòýÝ ö ñýñíýùú ð þïýöî êöùöùùööêÿööóýóùö ÷öêüöë þ ýööùüýêùë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýäÿåë ôó öòñ ùù öñööÿ òó èüýö õöáäñóüö ö ãõ àÞáß öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö