691 Camberwell DrCITY OF EAGAN ???0.? ?? ?
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT '
Tn he ucari fnr SF d?/GAIR
Site Address Dy 1 GAllbiRfiL?1,i,
Lot 1 Block 1 Sec/Sub.
Parcel No,
=141,000
Name 16L[Y l LJl
W ?? 5924 D?A?R
? city t!IlIHETONKl1 KN Zp
ok,...,, 423--21 S5
Name
rifty
Zp
?C) I UC8r1S6 # wv a.' "
I hereby acknowlege that I have read Ihis application and state that lhe
iniormation is correct and agree to/ co ply with all applicable State of
Minnesota Statutes and City 41 EagandiAanc,6s.
Signature of Permitee
CEhTEX
A 8uilding Permit is issued to:
on the ezpress condition lhat all work shall be done in acCOrdance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ;
Receipt # OFFICE USE ONLY
R-3 ?1
Occu
anc FEES
y
p
Zoning PO 1t-1
eldg, Pemtit
783.00
(Actual) Const SircFarge 70.50
(Allowable) ?p 309
00
_ Plan Review .
«of StDr,es 5.00
Lengm
1?'? •
Depih SAC. Ciry
S.F.Total - SAC,MCWCC 7???
S.F.Footprints - 675.00
On Site Sewage _ Waler Conn
On Site well
X Water Meter 95.00
MWCC System ?'?
City water X p?t. Deposil
30.00
PRV Fiequired
B
P _ SNV Pertnit .50
ooster
ump - g/Vy Surcharge
3w' oo
Treatment PI
APPROVALS Road Unit 380.00
Planner - Park Ded.
Council ^
BIdg.Off. _ Cupies
3,678.00
Vanance - TOTAL
- Permk No. PermR Hader Dats Ttkphone #
S/W
PLiJMeInG
HvAC
ELEcrRic
ELECTR?
kwpmdo, ? ?nsp. Comnmft
Footings I
F«undafim . 2E 9
Framing 3- 23- Z ?
Roofing
Rough Plbg. _ lj
Rough Htg.
f-?Lll,w'? ,? ? q
Isul.
Fireplace ?
Fnal Htg.
Or„at Test '72_
?
Final Plbg.
- l[L
Plbg. Inspector - NoGly Plumber
Const. Meter
Engr./Pian
eldg. Final ??,?lff1
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
;- u -4A
, or ,., . .
M 'F ?
SEWER?WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE FEB 12, 1992
I OFFICE USE ONLY
METER #L/S / 7/ 6 .SI PERMIT DATE 02 /i 9/92
CHIP # 12 1?/ 16 5 3 PERMIT # 12546
METER SIZE e? f" s B.P. RECEIPT # ` ? ? 40
ISSUE DATE 'a ? B.P. RECEIPT OATE 02 12 92
_ PRV _ BOOSTER PUMP
SITE ADDRESS 691 CAMBEKWELL DR
LOT 1 BLOCK I SEC/SUB I{ILLS OF STONE$RIDGE 2NQ
APPLICANT;
ADDRESS: _
CITY, STATE
PHONE: _
ZIP
PERMIT REQUESTED
x SEWER X WATER - TAPS
COMM/IND X RESIDENTIAL
X NEW
EXISTING
PLUMBER: PLYMOUTH PLBG
ADDRESS: 9290 ZACHARY LN
CITY, STATE MApLE GROVE MN Zip 55369
PHONE: 493-2474
OWNER: CENTER
ADDRESS: 5929 BAKER
CITY, STATE MINNETOW ntrt ZIP
Lawn Sprinkler Meters are to be Installed
Ahead gL, Domestic Met rs on Water Line.
Credit.WICL NOT ber?iv?for Deduct Meters.
TO COMPILY WITH CITY OF
PHONE: 423-21 ' WcarrA i urct
PLEASE AZLOW TWO WORKING bAYS FOR PROCESSING. CALL 454-5220 FOR
SEWER PERMITS, CONTACT ENGINEERING dEPT.
METERISSUED
IN5PECTIONS. FOR STORM
i?
y
Ta#i#tr?te uf Orrupanry
Citp of (tagart
Deputrnna of WwIdi" 3wrrxina
This CudjCate tssued pursuant to the requirements of Section 306 ojAte Unifanrt Buildrng
Code certifying that ar the turre of issuaxce t11is structure wrrs in compliance with the uarioas
ordinances of the City regulaling building constructian or use- For the foUowing. -
uke a.nifinaoi
BW na ,,,? @) 1) 20102
Ooaipucy 7y'Pe . .. ZooW uiuria "' ` 'type Comt
Owoer af Bu?ldie? CRM Add= 5924 ? ? , MIKA
691 c.ArBERWa.L DRIVE Leo.,;ty Li, B, , HII.t,s cF smEMID(E
' S/!8/92
l! BUM" omdRI?
PQST lN A C04iSPICUOUS PIACE
,Addrexs: 691 CNOEFUII.i, DgIVE Lot I Blk I Sec/SubgEils OF STONEBRIDGE 2ND
These items were/were not complete at the time of the final inspection.
5/18/92
Date: Yes No
W ?
Tnqpector,
Final grade (6" from siding) (,
Permanent steps - garage L/
Permanent steps - main antry tlll?
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please veri£y with the builder the removal of roof test caps from tha plumbing
system and tha shut-off of watar supply to the outside lawn faucet before
freeze potential exists. ?
vecrcieoawx
White - City copy Yellow - Resident copy Pink - Contractor copy
Kl/ 6 /? HEATING TEST RECORD
ADDRESS ApT.
F OOR CITY SUBURB
OCCUPANT -
OWNER ?fd17 ?
HEAT LOSS ? DATE HTG. INST.
SOLD BY INSTALLED 8Y
Eleetrical Werk 8y Gas Line 8
y
TYPE OF HEI}.T GA _FA_HW STEAM SPACE HTR. -UNIT HTR. - OTHER
GAS DESIGN ' CONVERSION
MAKE ~4p 6"-I MAKE OF BURNER
: Model ';tar d Model
Serial I S ?OC7 Max. BTU Rating . ,.. ?t
?-
INPUT U ? MAKE OF FURNACE
Model
? CONTROLS
THERMOSTAT Heof plug Vent Size
Valve ??
Limit -?
Limit Seeting
Fan Setfin9 _
Pilot Type -
Pilot Make -
KiND OF L._?- SIZE NONE
DraFt Hood 2Regularor
FilTers Size Num6er
Chimney Location Inside qutside
Chimnay Construction
G/
Pilot Modal I $moke 8/o???y Wirin9
PilotTiming '?t?' Drafe ?./ ' TestTag-???
L.W. Cut Off Door Pressure Lighfing Inst.
Prossure?PercentCO??? ? teTesfed
Input CFHPar<ent O? ? Z mpony Testing
Stack Tamp. ?0o Percent CO A'? Name of Test«.
Form 235
-
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
? ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 4 651-675-5694
ar-7o 06
New Consfructlon Reauirements RemodeVFteoair ReauiremenGS Oflice Use Onlv
3 registered site suneys showirg sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey ReW _ Y_ N
(20% maximum lot coverege albwed) 1 set of Eneigy Calculations for heated addNOns Tree Pres PWn Recd _ Y_ N,
2 copies of plan showing beam & window sizes; pouretl found design, etc. 1 site survey for addiGons & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations AddiGon - indicateif onsiteseplicsystem On-siteSepGcSystem _Y _N
3 copies of Trea Preservation Plan'rf lot platted after 7/1193
Rim Joist Oetail Options selection sheet (bldgs with 3 or less uniLs
Date "5 / (3(-l Construction Cost
Site Address Unit/Ste #
Description of Work l??/??? 61q.5 f i6),?AfcL?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0C, _ 2
Property Owuer J/j Telephone #( 6S? )6?X,? 72 YL
Contractor ?? I?l.,? > t(J ?; ? T k (
Address Lj. HL?''f I_/ City L
State MAJ Zip S? 3 7 Telephone #( 9'Q) 07 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsuhmissiontype) Submitted Submitted
• Energy Envelope CalculaGons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
#6Y
I hereby apply for a Residential Bui]ding Permit and acknowledge that the tw-ima
that the work will be in conformance with the ordinances and codes of the i o
Statutes; I understand this is not a permit, but only an application for a pernut, and
permit; that the work will be in accordance with the approved plan in case of w
approval of plans.
v( ? I ?
( j
Applicant's Prin d Name Applic 's Signature
is complete and accurate;
State of MN
work is not to start without a
k which requires a review and
?
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when perxnits aze required for each unit
J? 7j0-
Date
Site Address Unit #
Praperty Owner ? ?ar(',,-} 't" Ec
4 ' t/tJ fl cf
Telephone # ( ?)
696
-7ZY' 2'
Contractor tf
Address City
State Zip Telephone It ( )
The Applicant is Owner _ Contractor Other
Septic System New _ Refurbished Suhmit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations ta existing dwelling $ 50.00
_ Add fxtures to lower levels or room additions, excluding water softe ner and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" meter if needed -$121.00)
?j Other. ?C,e rne nt Fiw i S h
?
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ .50
State Surcharge
? 8 LDQ3 ?'
O
?
Total $ •
I
?
I hereby apply for a Residential Plumbing Perxnit and aclmowledge that the accurate; that the work wlll
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, but only an applicaaon for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approva] of plans.
6 haron --F -o
Applicant's Printed Name Applicant's Signature -v
WflV ? RESIDENTIAL BUILDING
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
?7D?o
New ConsWCton Reauiremenk RemodeVFteoair ReauiremenLS Office Use Onlv
3 registered site surveys showing sq. ft af loi, sq. R o( house; and all roofed areas 2 mpies of plan Cert of Suney Recd Y N
(20% marimum fol coverage allowed) i set of Energy Calculations tor heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Energy Calculations Addition - indicate i(on-site sepGc system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan i( lol plafled aRer 717193
Rim Joist Deqil Optlons selection sheet (bldgs wBh 3 or less units
Dake 10 /173_ /1:1 3S Cons[ruction Cost
Site Address 69 l Ca m be r wc I 1 Z)r un;USCe #
E n
Description of Work
F1P\1S h .? D .,
Sas e m en ?
Multi-Family Bldg _ Y? N Fireplace(s) 1 0_ 1 _ 2
PropertyOwner Sh aran -r DwVzr Telephone # (GSI) iDS6-724Z
Contractoi
`• Address City
State Zip Telep6one # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1 _
• Residential Ventllatlon Category 1 Worksheel
(J submission type) Submitted
. Energy Envelope CalculafionsSubmitted
Have you previously constructed a itding ' with a similar plan? _ Y
fee applies. } ?I ??i
?
Licensed Plumber
Mechanical Contractor
SewedWater Contractor
v
A NEW Bl11LDING
Minnesota Rules 7672
• New Energy Code Warksheet
Submitted
N If so, 25% plan review
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 and the State of MN
Statutes; I understand this is not a permit, but only an application for a pemut, 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.
S hqro n a?. w y cr J ?-
ApplicanYs Printed Name ApplicanYs Signature
;
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ftf 79 Lower Level ? 24 Storm Damage
Y
? 06 04-plex ? 12 12-plex Plbga
or _ N ? 25 Miscellaneous
Work Types
? 31 New
O, 32 Addition
? 33 Alteration
? 34 Replacement
Valuation ?)'o ,9D
Census Code q 3 Li
SAC Units ?
Nbr. of Units o •
Nbr. of Bldgs
Type of Const
_ Foorings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Fraxning
? Fireplace _ R.I. _ Air Test _ Final
t? Insulation
Occupancy OZ3 MC/ES System
Zoning 19- 1 City Water
Stories Boaster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
? Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Fina!
_ Siding Stucco Stone
` Windows (new/replacement)
_ Retaining Wall
Approved By -iP fO?? ?" "' , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Totai
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Impravement ? 38 Demolish (Interior) 17 44 Siding
? 36 Move Bldg. . ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demoiish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
"OemaliGOn (ErMire 81dg) - Give PCA handout ta applicant
RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New CanauuclMn HeaulremeMa HemaleVlleueir NeauvemeMe
. 3 registered site surveys shaving aq. ft. of bt, sq. tt. ot house; and Ag roofed areas • 2 copies of plan
(20%maxanumbtooverageallowed) • lsetofEnergyCakulatbnsforheatedaatlAlons
. 2 copies of plan stwwing beam & window sizes; poured fouM desiqn, etcJ • 1 stle surrey br ex1erbr additbns & decks
. 7 set of Energy Cakulalbns • Intlicate if home served by septic sy5lem for add8bns
• 3 copies of Tree Preservetlon Plen B bt plabetl atter 7J7/93
• Rim Joist Deteil Optbns Selectian Sheet (bldgs wNh 3 or less unils)
DATE
SITE
NPE OF WORK ?AR-
APPLICANT
STREET ADDRESS // 4-ff/e-(!_ .rQJ ?
TELEPHONE #l -E`I-;CELL PHONE #
FIREPLACE(S?)t 0 _ 1 _ 2
.SY/6L5TATE ''ZIP,__e?S?
Fnx #
PROPERTYOWNER EL??'"S h WZ!1?`? ? W VOlt TELEPHONE#lc-SZ' (10SL
----------------------------- --------------- ------------------ -----------------°--------°----
COMPLETE THIS SECTION FOR ••NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Workshaet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor. _
Mechanical system includes:
Sewer/Water Confractor:
Air Conditioning
Heat Recovery System
VF-" MULTI-FAMILY BLDG _ Y _ N
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee:
$70.00
I hereby acknowledge that I have read this applicaflon, state that the Information is correct, and agree to comply
with all applicable StaTe of Minnesota Statutes and City of Eagan Ord/i a?/ es.
Signalureo}Applicant?<
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
No. of Baths
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
CITY OF EAGAN I1O2O 1 O'2
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHON E: 681-4675 ?
BUILDING PERMIT
7o be used for SF DWG/GAR Est
Site Address 691 CAMBERWELL DR
Lot 1 81ock 1 Sec/Sub. HILLS OF
Parcel No. STONEBRIDGE 2ND
Nymg (:ENTEX
Z qddmec 5929 BAKER
? Cj?y MINNETONKA MN ZP
Phone 423-2155
¢ Name SAME
? Address
C? ZIp
? Phone
S ucense # 0001333
I hereby acknowlege that I have read this applic i n and state that the
intormafion is corred and a to or?ply it I applicable State ot
Minnesota Statutes and C? o ag ? di nc
Signalure of Permitee ?' A Building Permit is issued to: CENTEX
on ihe express condition that all work shall be done in accordance with all
applicable Slate of Minnesota Statutes and Ci[y of Eagan Ordinances.
Builtling Official 1 I.lkJ?ld r
$141,000
Receipt # ?" ? I i 1 u
OFFICE USE ONLY
FEES
Occupancy R-3 M-1
zoning PD R-1 BIdg.Pertnh 793_0
?
(nctuap Const V-N Surcharge
D
70.5
(Allowahle) V-N py? A?N, 509. 00
x o1 stories
Li
5
00
Lenqtn 52' ce+se .
Depih 38 ? SAC, Ciry 100.00
S,F.Tatal - SAC,MCWCC 700.00
S.F. Footprints -
On Site Sewage _ Water Conn
0
675.0
On Sile well - Water Meter 95.00
MwcC System X
Acd. Deposit 30.00
Ciry Walar x_
PRV Required _ SlVJ Permit 30.00
Booster Pump - S/W Surcharge • 5o
Treatment PI 300.00
A7PHOVALS Road Unit 380.00
Planner - park Ded.
Council
BIdgAfl. _ Copies
Variance - TOTAL 3,678.00
,
1992 BUILDING PERMIT APPUCATION
CITY OF EAGAN
REQUIREMENTS: CIO 10 aq
e?? 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
Ml1LTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SEf OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE DB 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.
Lr ?, f
To Be Used For: •!• Valuation: Date:
Site Address?
OFFICE USE ONLY
?ot ? s?ock oo? ? FEES
Parcel/Sub??r'ZWe?ugancy R-3M-I Bidg Permit 83,a
Zonin PD Q•1 Surcharge ,
Actual Const v-N Plan Review So , o
Owner ?en lC Allowable V• N License Fee 5,00
5q# of stories SAC, Ciry oo, o
Address zq ? r Length SZ ? SAC, MWCC aa.oa
Depth g Water Conn. (095, o0
City/Zip m I)II/VErONA?/r S.F. Total Water Meter S.o
?l3 ?L? ?S Footprint S.F. Acct. Deposit 30,00
Phone S/W Permit 30,0,1
• On-site sewage S/W Surcharge •5?3
Contractor On-site well Treatment PI. 300,0D
MWCC System ? Road Unft 380, o0
Address City water -? Park Ded.
PRV Trail Ded.
City/Zip Booster Pump Copies
SUBTOTAL
Phone ucense IIGCII33 ' APPROVALS Penalry
Planner Lot Change
Council TOTAL ?] .
-9z ?
Arch./Engr. Bldg. Off. 2-10
Variance
Address
City/Zip Code ?ODEL ? 765-
Phone #
Sewer
for seN
Vm h '7
Processingtime
'%&? agrees that all work shall be done in accordance with
all appiicable State of Ailinnesota Statutes and City of Eagan Ordinances.
2422 Enterptise Diive
* PIC)NEEFt MenJota Ileigh?s, MN 55120
LI1N0lVNV[YONl.CIVII[NGIN[ERS_
*engOneerng.. I """N A„"""•I""""°`""`t it „"'' I612l681-1914
* M **
Certllicate of Survey lor: GENTEX
MoveL 2i6i
A
e't
J
s?
? ?-
0
N O 1
n
L ass•? -
-- - -
s?-
lr a4' ?
5.4,
I ? 36,g3
890.,? ? 2 y °
o' ?qb5
eo
A yl ?
Pjo y ?
lt-3?o os 3o,'Poat
0
rn
? ? ?ull gas?M,'°J
4.0 ?P? poied?
N ?Qr, I
z.b w° ;87 i9 a'\??
x
9q3,`I
NCORPD/eA_ _TED
2 _ ? ` ? ` ?+yJB NORTN
?,/loua?( ?;e G??,r ?,.
QRVr' RFP`(
.?
I s , 11? -
?(8b 4Z ?; /
I ras.5b _-
?
?b ?
$177,87
/
6 /
? _exg41•y j
/ e
ti
? il0
C
.?
\
r3y
EAGAN
DEPT
•? OC/70I!°S EX/S?/?l!Qr fYe•volior? ?37uPUSE'O lou € fGE?gL70N
• oo.o Utnde9P?_r,'.?gqd E/evcr/iot i lowes vorf.IrvcaTicx? B41. zo
-------- UnblesUhvfixy¢e?Ulil1.ly fasernPnf Iopo/"BlnckIlnvol;vn e?9,}Z
-- •-- •-- Denalrs DrtriixY.Qe Flotd"Orrerlion C,nrt?gt S/aG E/cv?r>ic?il 8_99, o
o fJp?Ia?tt Monu??ertl Bvuiir?s s1?owr? ai?e crssu?irErl o (?,b?es q e lijb
LOT 1,BL 4W___1 _, NrLLs oF 5roNE159106E PL AT 2
DAKoTt1 GoUN1Y MINNESOTA
1 hrlet+y cOr111Y dlN 1his nuveY, p4n nr ?ryport wai p?mPnrr•d bY me or unde. .aV di?ect wprtivisian em11bn1 1 sm ?Adv Ilepkie'ed 1 nnd SurveYo,
m.. le, the 4ws ol 11.0 Suta o1 Mnnaesma. neien UhH._?{ t1±. dav a?. .._ Felerr?y ? n. ?n _72? .
/
./`???? . ?• ? ? --
101?7,11 S1SC?!!e t s. neto r+o4mq
- ,?
-- - -7
/ !
00
?/ Art
a ?
?
?
/
\ Q? O
?
Q
04
?)
!=.ieanninc-i Desiyn Inc.
7.f..lJ. hlighway 10 N.E.
r•ii;,neapoiis, riN 53432
612-780-1920
CCll"t-1. N0. ?J'cr'J??
hl:innesc,ta Scate Energy L'ode Calculations
;3asecl on Chapter S of the Nlodel EnEri,7y Code
1NS.° Edition -- Adapted 1i1/84
r,w,,F_r: Monei_ a761 car;M. ivr:3?57?
:_i eo Ndd;--.::ss: BFhaw 6?D66? o9
??909? D,D? Pl?T ?
;c?r?, rt::c::t.c?r-. ? i:EIdFF_:P HUl?1EE? F'-?ane:
B:td,. t;iass: A:! Al +or Sinylw F'amily;i7uple::
F12, residential . 3 stories
(Je•er- 3 stories
L]'t h er
`_f-:!',IEFe'1L IPJFOP.F1r7TI0H,
ido4.e: The section cicaignatinns ("Section A", "5ection E+" etc.) are fur
conveniencr in ca,culstiuns enly, and are not related fram onra set of
cat.,-_.ulatioris bclc,w ta thc: nc::t..
1, L+ldg. Wz,,tls Perimeter }; Wall heights, = Area
ground to eave
SEG'F1Vf1 A . 156 19.83 - 309::,40
:iF_iLf..:il:fl k : 0 !'1 = l,i
iJ°1_'t I G(l C . V Ll = 0
c"_3C't 1 C]i'1 ?/ . V C1 =
? 0
Gross Wa; 1 F+rea = 3013. 48
2. Bt.iildiny dimensions Floczr or
Ceiling
Length >: Width = Area
Section A: 16 14 = 224
Sectian R : 32 28 _ 996
Section C: ii 0 = 0
5er_tion D : 0 0 _ C)
'futal flaor or ceilinG area = 1120
3. F.im Jaist P2rimetei^ = 156
Floor jcisc 2 by (S", 10", 12" or ib")>: iC>
F;im Joist Area = 130
4. Donrs
Hrea: 43.8 Tharkness linches>:
Perimeter (jeet): 0
Type of construction:
5. Total door's perime.ter: 0
b_ Wi.ndnws
ht::::-i ui,a c.i-. e.u- e r:
:_.`riCe ;:ipprovec_!:
f„pe.,
BSt'I'T, UNIT
Di;I.iC.I_F? I-IUtJGS
r'/ P `=
0. F'atia Drnr:
4'. Af:rium:
10. Fir-eplace rare_,
'.•:idth.
Toti_tl Sq FE
11. E;;po=ed Foundatiun
F{ei nht ar ea A:
Sq Ft area Fi =
E>;posed Foundati.an
Fleight arFa %
Sq Ft area Es =
12.
.r.;ro=s wcll area
minus
l+lindnw area
Fati? door area
Fltrium area
Rim joist area
?oor arFa
Pireplace area
c::uusecl Found.
? Framiny area
egual.s
Tist_aJ.s rnr rirL w;-yJ.1:
6JI:=ra THrF.SI-C[EL...P, l.l `zct„r: 0.4"7
`Il:::;
.
re?:?.c;hk r,
Lazngth
:; 1`iuun!_,e:r
- Icrla1
.ir'icties) (Inches) af ;;l:l;ass l-:yFt
uri i t. __..
1'} 2; 3 7.89
28 16 4 12.44
lb .cr} 4 10.67
ib xEi 2 6.22
28 28 li ;.3
?
+
S
l
???;4 .?YL 2 1
1
'l
li.?'tT
24 36 14 04
__ '6 4 32
ii 0 q ri
{:f !7 tl Q
0 0 G U
0 Q ri p
c1 C7 0 ii
r. I..JincEow glasv area (SqFt) = 230.'3Ea
Meight .. Lenqth >; Numh=r- _ 'fat.a1
Cfeet.) !feet) unzts SqFt:
0 Cl Ct U
tu. F3 i. Q 2 3i3. U8
5 HP_ll]h't: 7, .
30
0.67 F'e rimeter area A: iSb
104.52
O Fe rimeter area P; O
Q
SqFt U factor U:: A
3093.48
234.98 0.47 103.56
0 c,
38.08 0.47 17.9
. 130 0.035 4.55
43.8 0.14 6.13
30 0.17 s..t
, 104.52 0.14 14.63
309. 34° p. 0b9 <1 ..°>5
2 2C!6. ?-5 2
0.007 U1.65
,. .
.ro,..
. g.,.,,?::?, w?:?.l I
_..._
?x'P-c::;ti:
.
259.87
_ F=rariirq area is :10;: ef c;rosm 4ua11 area
0. G1'O55 44c:ll cii'e{,3 „ factor t,elc:w = IJ ., a pzr coc:le
Factor zs .11 fo;- R-: siriyle farni.ly °x r.luplc::
.=; Frnr- F;-2 and oCher- residentiai
.:c" for oL-her buildinys
.20 for over- 3 5torie,
Fartor- :Gn: 0.11
01,lJi1 = 340_2328 FIUST BE ; l7Ft = 2u9.07
(CctICL.IIN'f.:F.'I.J iciFJtJVC:)
i'{.
.. [p^oids c1?1. i:i nCI i:li'f?Eq
- ,-
1120
..::.. ?raRil f7C:J cll' ua i 1 i.) ; Df C2:1. Kng i:U'C-?ii/ 112
16 Joi st Area : in7;, of cei 1 zc-ig area %-= 112
17. Ne,t c::e:il:ing ar era ti 4roes ceil. area - Joist zrea> = 1008
13. U rtai 1 i ng: 0.021 >: Net ce:i 1, area = 21.168
W. !_l fram ing: 0,024 >; Joist area = 2.6E38
20^ Tota2 o-F iteni 13 >; i1_em 19 = 2'.P.?u
r=
21. Grcass
' CE-'1? I.RCj area x factor below = t! x A per cocle
f
acto; in .026 for A-1 sinale Farnily & duple?;
.035 for A-2 and vthFr resicie_ntzal
.tlU 6or otlier bu:i.idings
Fu:UC't OI" 1 =_i : 0.026
Uruia = 29.12 rfuS-r BE > oR _ 23.075
(calculated above)
r
` 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?(-O Is-o
3830 PILOT KNOB RD - 55122
651-681-4675 L( - --I - ? ?
New ConslrucNon Reaufremenfs
Remodel/Reoalr Reauirements
? 3 registered sMe surveys showing sq. ff. of lot, sq. N. of hovse 2 coples of plan
and all roofed areas (200% maximum lot coveraae allowed) 1 sef ot energy calculations For healed addRions
: 2 coples of plans (show beam S window sizes; poured fnd. design; ete.) i sMe survey for extertor addNions 6 decks
: 1 set of energy calculafions
: 3 copies of tree presenaflon plan H lot platted afler 7/7/93
DATE: 7-7-17 CONSTRUCTIONCOST: ?3,000•00
DESCRIPTION OF WORK: EeQr DC-'G? AJQ J1 on
STREETADDRESS: 109I CaYn,bc f- We-)) D rl vC-
LOT: ` BLOCK: k SUBD./P.I.D. #:
PROPERTY
OWNER
?--
Name: DW\) f-r- E4 W Q rd Phone #:
Last Flrst
Sfreet Address: loq1 C am b er W C-I) D ?
City G Qqa m State: ?j Zip:
CONTRACTOR
Streii
City
ARCHITECT/
ENGINEER Comi
Telephone #: area code (
Street
City
Sewer 8 water Iicensed plumber (reauired for new cons}ruction onlv):
State:
Penalty applies when address change and lot change is requested once permit Is issued.
Zip:
' I hereby acknowledge that I have read this appi(cation, state that The Information is cortect, and agree to comply with all applicable
_ State of Minnesofa Statutes and City o( Eagon Ordinances.
? Stgnature of Applicant: ?--
OFFICE USE ONLY
Certifcates of Survey Received _ Yes _ No
ne #:
(area code)
License # _
State: Zip:
Name:
)
Registration #:
Tree Preservation Plan Received - Yes - No - Not Required
.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )Z? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level G 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
1!?'31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft. Census Code 03,q
Main level sq. ft. SAC Code O/
sq. ft. No. of Units el
-
sq. ft. No. of Bidgs 69
sq. ft. MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinkiered
Building Engineering Variance
Valuation: $ / Z dd
.
i
% SAC
/
TENIPORARY 5LOPE EASEMENT
922967
?l This temporary slope easement, made this /77-JE4day of
V C% G131?- oC- , 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
By: , J?
1v ; ?
N \ Its:
? "?-
Z4
STATE OF MINNESOTA
By.
) ss.
couxTY oF -Jft )
On this 110?-'day of 1989, before me a
N?ry Publiq? w? in an for said County, personally appeared
,?t' (V {Jcl l ? t? and
to me persona y known, wh'.o` bin by m, uly ,wQrn,=eaah did
say that pem_`=-:-_- the -?1 N)
-end -
foregoing instrument, m,a ?a -that
+r i 1
__ ?.... ....rp.,i t.. .ai v1 naiu c.was signed=&nd-seeie= on behalf
its Board of Directors and said
--anEl
be the free act and deed of the
DENISE J KOENCK
lrr NBLtC. Ortau Caun,Y. U.
'auwo?an F+
o-m rw6 iYS1
APPROVED AS TO FORM:
?
C'#y ttorney's ffice
D t?e• 16 tG•4C
APPROVED AS TO CONTENT:_
?? .... ?L?
Public Works Department
Date: Iu • te • A9
of
ation named in
rporst-ie, and that said instrument
o said c a iQn by authority of
?ck ?h?? ?
acknowledged said instrument to
-2-
? ? * * 2427 E?terprise Drive
* PIONEER` Mendou Heights, MN 55120
LANO PlPV [YOM I CI V IL CNGINEEM
*en9 neerlM:J?y . L1?NGIlNlHFN6.UNESCIV[11RCMrtECif '6•1•1) 681-1914
1r T y * *
?
Certiticate of Survey for: v N? ??D moQ /aQ GG
?
r +ry?b? ???2
, ze 2
. ;' ??L?•r 5 ?r ,'...o o?u
"?
? ? o
/A ?i
-• ° '???4
" ? r ?• -'"` `L!? ??
i 7e ?ti?!h
CAM6ERyy?c?? ? .: , Q
:
h
..`sSca1e., 1 inc • 100ff&"-
rJ J C u 2/3
ra
0
v
,9 Tempor4ry 5'lope Easemenf over and across
fhe souffieos{cr/y 20. 00 t eef tr Lofs 1, S ond 6,
C3/ock 1 and L51 4 B/oc% 21 91*lls ' Sf onebrio'9'e
A/af 2 os plcrffed ond o?' record in T?e Or"i'ce o?
{he Coun/f Qecorderj Dqkofa Counfy, NlInnesofa.
To ?-f ;.e Dac 31 11 1999 02 r.f o? 16e Rcce. s
oF Po<(d OC oAb To R ag' w: DTN wl? ?c? <,lp accoK :
I Mreyy certlly thet thlg suroy, Dlan or reppq vw? p rM py r my direct mpervi?bnantl tlul l em Auly qepisteratl LeM Survryor
under the Iwn ol thc Stna ot Minnaaou. Usted thH ? pq
yol A.0.19s?.
l
ROBEFTB.SiNICNLS.REG.N0.1<!91
?
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
JPE/Kh
-3-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115138
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 691 Camberwell Dr
Lot:1 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 .
Chris Hilfer
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 -
Edward T Dwyer
691 Camberwell Dr
Eagan MN 55123
(651) 686-7242
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159248
Date Issued:12/04/2019
Permit Category:ePermit
Site Address: 691 Camberwell Dr
Lot:1 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-010
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 -
Mustafa Elfiki
691 Camberwell Dr
Eagan MN 55123
(608) 436-6997
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature