702 Camberwell Dr.
'? '? • ? \.??'`?.?'
? Tex#ifira#e of (Orrupattry
Citp of ?agart
Erpwftcrttt of Wui[dirig ittwriinn
T7ris Certifuawe &wMpursaani! lo ihe reqWr+emenls ojSeciean 306 ojthe Urrifonri BuildiRg
Code mrtrfyirtSlhat at 1he tinre of issumrae this slrucuere was in ovmpliaece wilh the various
ordiiranors of 1he City rrguJadirg buidding conmuction w use Far the fo!loWng.
c-a=T-Cwoo SF i'c,/t:AF. ews- %c xo. 1984_
0-*--iTYn- R.'i?-t 4 AlIRl rya coM, VN
o»nw of ewcum-QNM R?p" Aea= 5920 BAYFF RLlI1D, MA
Posr iN A conisPIaJous Puce
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 ?
DATE OCT 31. 1991
METER #
CHIP #
METER SIZE
ISSUE DATE
PERMITDATE 10/31191
PERMIT # 12369
B.P. RECEIPT # C 016034
B.P. RECEIPT DATE 10/31/91
? - PRV _ BOOSTER PUMP ?
SITE ADDRESS 702 CAMBERHELL DR PERMIT REt]UESTED
LOT 4 BLOCK 2 SEC/SUB HILLS OF STONESRIDGE 2NG
X SEWER X WATER _ TAPS
APPLICANT:
ADDRESS:_
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS: L /_
CITY, STATE MN Zlp 55068
PHONE: 423-1144
OWNER: CENTEX HOHES
ADDRESS: 5929 BAKER RD
CITY, STATE MIHNETONK1? i9N ZIP 55345
PHONE: 936-7$33
OFFICE USE ONLY
- COMM/IND x RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are e Installed
Ah? e tic e rWater Line.
Credit i O g' n' educt Meters.
I A REE TO COMPLY WI CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STaRM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
BUIL'DIyG FERMIT
To be used for c v rx
Site Address _-A
Lot ?p_ Block
Parcel No.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
;/f:AR Est. Value lk 1 SS nM nara M.T 1t I001
w Name ?'EMY 11[1M[!A
3 Address %929 gAKF'R gD
0
City !lTWtsTMxa Phone ?436-7813
,o Name gA
V q Address
¢ City Phone
WW Name
? ; Address
<W City Phone
I hereby acknowlegW that I have rea thi ap ca46ti and state that the
information is correct and agFQe to ly ith AI applicable State of
Minnesota Statules and City b ag di
Signature of Permitee '
A euildinq Permit is issu to: CENTE EiiOME$
all
Building OFficiai ?
OFFICE USE ONLY
Occupancy R-3 J&-1 FEES
Zoning pD E-1
(Actual) Const ?? Bldg. Permit _$31-00
(Albwable) N-"A
Surcharge 22.50
x ot Stories
Length -52! Ptan Review SA1-00
Depth -3112, SAC, Ciry im.OA
S.F. Total - SAC, MCWGC 6X•00
S.F. Footprints _
On Site Sewage _ Water Conn Mo• ?
On Site Well - Water Meter 93,
?
MWCC System --3L ?
?
Water
Ciry _? Acct. Deposit
•
PRVRequired _ S!W Permil 30,?
Boosler Pump - g/yy Surcharge
Treatmenl PI 17fi.?
APPHOVALS Road Unit .310*?
Planner - Park Ded.
Council ?
61dg. Off. _ CaPies 1• ?
Variance - TOTAL 3,663.
?
- Permit No. Permit Holder Date Telephone M
WATER
SEYVEJa
PLUMBING'
H.v.a.c. / /-? 1?/ ?5 -!08(07
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation l/ .
Framing
Roofing
Rough Plbg. cl ' l i ' G_' n y -7' ?Q l-3f
Rough Htg. 04 c
isui. S3 ?(
Freplace
Final Htg. _ G 4 l? ?? :? 9 z G i? c? ? N
orstat Test I/ Gu C
Final Pibg. rb--Q Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
8ldg. F,nal -G- ya l1
Dedc Ftg.
Dedc Fnal
Well
Pr. Disp.
S1
k
? ?I
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. It
Eagan, MN 55122-1897
DATE OCT 31. 1991
SITE ADDRESS 702 CAM$ERidELL DR '
LOT 4 BtOCK 2 SEC/SUB HILLS OF STONEBRIDGE 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
PLUMBER: &"'rMZ
ADDRESS: ?
CITY, STATE v MA1 Z1P 55068
PHONE: 423-1144
OWNER: GENTEX HOMES
ADORESS: 5929 BAKER RD
CITY, STATE MINNETONKA MN ZIP 5530
PHQNE: 936-7833
i OFFICE USE ONLY
METER #qqy qlO 8 7 PERMIT DATE 10/31/91
cH,P # 4L19 3 s?/l PERMIT # 12369
METER SIZE -I P? u B.P. RECEIPT # C 016034
ISSUE DAT B.P. RECEIPT DATE 10 31 91
_ PRV _ B005TEfl PUMP
PERMIT REQUESTED
X SEWER x WATER _ TAPS
_ COMMIIND ? RESIDENTIAL
ZIP X NEW
?
?
?
AN ORDI`ES
EA
SIGNATURE WHEH METER ISSUED I
EXISTING
Lawn Sprinkler Meters are o e Installed
Ahe tic e r Water Line.
Cr dit W7je
g' n r educt Meters.
?
I A. REE TO COMPLY Wlfii CITY OF
PIEASt'XLL&W TWb'WOF*IN-G IiAYS FOR PROCCSSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM '
SEWER PERMITS, CONTACT ENGINEERING DEPT.
I QCT 31, 1991
DATE:
RE: 70,, ?. CAM$&i1iELL DR (CENTER 80HES)
:a
x Your Sewer &dater Permit for the above property has been 'completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: %
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issuetl or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 702 CX4BFUaT DpjVE Lot Q Blk Z Sec/Sub HTrT.S pF SI'pNEBRIDGE 2Np
These items were/were not complete at the tiroe of.the final inspec io .
Date: q Yes No
Final grade (6" from siding) ? .
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
BasemenC finish V
Deck
Please veriPy vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet be£ore
freeze potantSal exists. ?
+a.am nrm
White - City copy Yellow - Resident copy Pink - Contractor copy
111,il /?3G5b'
p 72297 °°
RequAl Date Flre Na Raughin Inspeclion
Fequiretl'+ ^I Ready Now X WIII NotifS' Inspedor
10-30-9i -Xves r No wnen aeaay?
I=glicensed conhactor J owner hereby request inspection of above electrical work at:
Job 4tltlress tStree;. Boz or Route No.j Clry '
702 Camberwell Drive Ea an
Se?lion No. Township Name or Nc. Range No. County
OccupaniIPRINTI Phone No.
Centex Homes
POwnr SupAler Atltlress
Dakota Electric
Ei¢ctnwl Comrer.or iCOmpany Namei ConVacior's License No.
L?z?r?lectric?n . 041935-
Mailing Atltlress ?COnvactor or Owner Making inslailavoni
8383 Sunset Road N.E., Minneapolis, NIIV 55432
?AutM1anzetl
naw
re (COeVacbr:p
wn
er.
Making Installatonl
S
g Phone Number
?
,
-
?
,
?
n
?r? L.?fl1?1- - - - - -- - 784-3729
MINNESOTA STATE BOARD OP ELECTflICITV THIS INSPECTION qE4UEST`NILL NOT
Grlggs-Mitlway BIEg. - Room 5-113 .. 6E ACCEPTED BV THE STqTE BORRD
1821 Universily qve.. SL Paul. MN 551DE UNLESS PROPER INSPECTION FEE IS
Vhone(612)662-0800 ENCLOSED.
??/?/{?.?'? REOUEST FOR ELECTRICAL lNSPECTION
? See inslm? on5 lor rompleting Ihis form on Oeck of yellow copy.
R72?q 7 '"X" Below Work Covered by This Request
T"?^ EB-OWOt-OB
;'-?,??ycy..?:, `0.3lv?`'' ?
?'r?ie?.`.r?S.
ew Add Rep TypeofBuilding AppliancesWired EquiOmentWired
? - I
P e
Duplex Range
Water Heater Temporary Servic=
Elechic Hea[ing
Apt Building Dryer Other (Specity)
I Comm./Industrial Fumace
I +
Farm Air Conditioner
-?inel lsuecify? Gontmctor'S Remafics:
Compute Inspection Fee Below:
? Other Fee # ServiceEntranceSize Pee * Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 mp
Transformers Ahove 200 _ Amps Above t00 Amps
Signs ? - Inspecmr's Use Ony. TCL
Irrigation Booms ? (y
0 $86.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O MSNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ' HS. ?
I, ihe ElecVical Inspector, hereby
certif ihat the above ins ection has
Y p
been made. Ronyn,p -l
7
Final r Dai?7y
?
OFFICE USE ONLV
TnIS 2QpB6I v010 18 ln0ntM151Nm
Griggs-MiCway Bltlg. - Hoom S-173 - tlE NGGEPItU bY int SIAit [funnU
1821 Universtly Ave.. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Ghone(612), 642-0900 ENCLOSED.
Q REQUEST FOR ELECTRICAL INSPECTION ; :.'?o ee-ooom-oe
????/I? ? See Icstmcuons for comple?ing !his lor?n on baci oi yellow copy ^'K '?r /?! 8Z?+
i'
0 070 ? "X" Below Work Covered by This Request
ew' Rd?' Re¢. " TypeofBUildiny AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplea Water Hea[er Eleciric Hea[ing
Apt. Builtling Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Otherisyecily) Gonvactor's Remarks:
Compute lnspection Fee Below:
# Other ? Fee k Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 - Amps A6ove 100 _ Amps
SignS insoecror's Use Only: ? TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO f
I, the Electrical Inspector, hereby Rou9n-m o
certify that ihe above inspection has
been made. Firrai oaie
OFFICE USE ONLY
This request voitl 16 momhs hom
?? ( c? ? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675 ?x
New Construction Reauirements
. 7 registered sile surveys slwwing sq. X. of !ot. sq. ft. oF house; and all roofep areas
(20°k maximum lot coverage allowed)
• 2 wpies of plan showing beam 8 window ;izes; paured found Cesgn, etc.)
• 7 set of Eneyy Calculatiofa
• 3 copies oF Tree Preservatbn Plan if lot platted aker 7/7193
• Rim Joist DeWd OOtions selectqn sheet (bidgs wifh 3 or less unifs)
DATE I ??I /vZ
RemodeVRaoair Reauiremenb
• 2 co0ies of plan
• 1 set of Energy Cakulations for heated adtlitions
• i site survey for extenor additions & decks
• Indicate if home served by septlc system `or additans
VALUATION l 0? ?? J
SITE ADDRE55 7 J?2- C`Z MULTI-FAMILY BLDG _Y _N
TYPE OF WORK Ke ` Sl ?- FIREPLACE(5) _ 0_ 1_ 2
APPLICANT {uZ°G1 G?2 7-Q? 4
?
STREET ADDRESS C- CITY L'2'u STAT??ZIP LrL
V_
TELEPHONE # /nTZ-y3j-?ZZZ CELL PHONE # &(2 FAX #
PROPERTY OWNER TELEPHONE #
f?C?
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY ? OCT 1 1 2002 I U
Energy Code Category _ MIVNF:S01`\ 12UI.t:S 7670 CA'CEGORY I bII\\ESO"1'}?1?RVCI.L:S 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy?EOdeWorksheet
• Energy Envelope Calculations Submitted
Plumbing Contraetor:
Plumbing sys[cin includes:
Mechanical Contractor:
Mcctuvlic.il seslcm includcs:
Sewer/Water Contractor:
Phone #
Phone #
Pec: $i0.00
I hereby acknowledge that I have read fhis application, state that the info tion is c ?ct d agree to comply
with all applicable StaTe of Minnesota Statutes and City of Eagan Ordi ce .
i
Signature of Appllcant ?
----- "--------- _----------------- -°-------°------- _...___---....__-__.•_.---°-"---"^ -
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water Sof[ener _
_ Water Heater _
No. of Baths
_ Phone #
Iawn Sprinkler
No. oF R.I. Baths
Air Conditioning
Hcat Recovcry Systcm
Fee: 590.00
PERMIT # ??I SO
RECEIPT DATE: ? -o l
USIDEPML PLUM$INfi PElZMIT APPLICATION
crrY og EAs,ari
S$SO PILOT KPOB iiD
RAsafl, MN $Sias
651-681-4075
Please complete for: ? single famfly dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :_ /`?Clf{ftr h (??ar (yU v? e TELEPHONE #: 6.17 La?/ ?j C 7
, (AREA CODE)
INSTALLER NAME: 4,e6-1 61c,(,- ? TELEPHONE #: ?Kw????.S
STREETADDRESS: o O?-dr` dOe (AREACODE)
CITY: STATE: ZIP:
Place a check mark next to the nermk work tvoe
New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or afteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
. new installation/repair/rebuiM of RPZ
.? la`wn irri a ion sys em
- watertumaround SEp 14 COUI
Nature of work: 4L 6'Z? &v-?e-- (Ae
Septic System, new/refurt>ished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ •50
Total $06-
Remtnder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknowledge ttiat I have read this application, staie that the intormation is Correcl, and agree to cwith all a ble Cityof E?an ordinances. It
is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry ny dama es u e the City dunng its normal
operational and maintenance activitias to the facilities constructed under ihis permit within City o RyJright- ?! s ?
SIGNATURE OF PERMITTEE Updated 9/01
..,
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127
PHONE: 454-8100
Tobeusedfor SF DWG/GAR Est.value $155,000
Site Address 702 CAMRERWELL. DR
Lot 4. Block 2_ SeclSub. H7LLS OF
Parcel No. STONEBRIDGE 20
w IName CENTEX HOMES
o Address 5929 BAKER RD
City M7NNATONKA Phone 936-7833
?F Name SAME
ga Address
? Cily Phone
UQ
Ww Name
w
i? Address
?
<W City Phone
I hereby acknowlege thal I ha g rea Ihi?q ap ca)i and state that the
information is correcl and 'e to or?ty rt/V?S1 applicable State of
Minnesota Slatules and Cil o,3q ifdi nc ?
Signalure of Permitee ? 4?
A euilding Permit is issu to: CENTEX HOMES
on the express contlition that all work shall be done in accortlance with all
applicabla Sta1e of M(i?nnesota {SJtatules and Ciryol Eagan Ortlinances.
Building Official-jj?? 11? ?. f ?I.,[I
N2 19848
Receipt # U) I L(34
OFFICE USE ONLY
Occupancy R-3._M-
j. FEES
Zoning PD R-l.
(Actuaq Consl ?!-N Bldg. Permit 93200
(Allowable) v-N
Sumharge
77.50
X ol slories
52'
Plan Review
541.00
Lenglh ? .
Depth 38' SAGCity 100.00
S.F.TOIaI - SAC,MCWCC 6$0.00
S.F. Footprinis -
On Sile Sewage _ Waler Conn , 660.00
On Site Well water Meter 95.00
MWCC System X
30
00
Cly Waler x AcC. Deposil .
PRV Required _ ShV Permit 30.00
BaosterPump - S/WSurcharge .50
Treatment PI ? 76_ nn
APPROVALS qoad Unit 90
Plannar - Park Ded.
Council --
CoPies 1.00
010g.OH. _
Varianca - TOTAL 3.,663.0
n
I
l
t
I
l , .
1991 BUILDI
PLICATION
P
ERM
IT
AP
CZTY OF EAGAN
SI LE FAM LY DWELLINGS MULTIPLE DWELLINGS COMMERCZAL
2 LSETS OV)ELANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 .
ERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCIILATIONS (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 WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICN REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONGE 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: ?`• _ Valuation:
Site Address 70G- 6,4/?ggealaL
Lot ? Block L
N ? u.s or ??,4T 2,
Parcel/Sub
Owner
Address
City/Zip Code iv# -663u
Phone
Contra
Addres
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Date :
OFFICE USE ONLY
?
Occupancy M-I
Zoning pD R- 1
Actual Const V-N
Allowable .?- N
# of stories
Length 52 `
Depth 3O
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water y/
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. (/"i-z99/?S
Variance
FEES
Bldg. Permit 'Q.°- .
Surcharge ?
Plan Review
SAC, City JOO , 00
snc, rzwcc E ?,c<?
Water Conn. cn
Water Meter CS c?
Acct. Deposit ;0,0D
s/w Permit o co
S/W Surcharge ??;'
Treatment Pl. ?rJ(„ po
Road Unit ` O.v?
Park Ded.
Trail Ded.
Copies 1,00
SUBTOTAL
Penalty
Lot Change
TOTAL
3663.ab
Phone #
zet r agrees that all work shall be done in accordance with
ignature of Cont ctor)
R7•5t
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
$ 106<< H°wys-021(bi
3 - SeOaDn? ;?bkc.H
/917
,,997
6,7 zo
?
1 Sy,S/ ? oiP / SS ?O?
Pioh:er Ensin¢?rine 66199BB p.gz
1f P'ONE?? . 7427 Enterpriee Dr ve
* i?nowev??nm.cm" mpin?ors Mentlo[a HelgAis, MN 85120
*engineering. ?,,.o.•.,.,.??..?,.,?..?..?w?..?.?
(612) 681-1914
C00,;,;08te o,s„rysYfor: Centex, Incorporated
__._---
? --
'
.-
,-
?
• 000.0 Denotes
-4EO Denotes
-- Denotes
----- Denotes
---o- Denotas
--e- Denotes
Exlating Elevation
Proposed Elewtion
Drafnoge k Utllity Easemcnt
Drainage Flow Direction
Monument
Offset H b
r?
w?
M
69°50'54' W
18.71' `rj e ?
890501 S3"i W J?G $? ?N"?]
PROP05ED, HOUSE EL,?VA
Loweat Floor Elewtion:B80.88
Top of Bloek Elevation:89848
Goroge 51ab Elavation:898.36
N
u Bearings shown ore oasumed
LOT 4_, BLOCK._ 2._ _HILLS OF_STONEBRI_DGE
9AKOTA Cd1NTY, MINNESOTA P L A T 2
1 FaWV vnXy ?F?? iFb rvrver. ol?n e..qert wn o.? .?I hY m u Y N.ticllvOa(yf ?m
?
ien nq 1nn1 I dWy 1dgixnrM Untl Surwvw
aMH rl?p ?+?w o1 tM Strt10l Minry?ob. dlM Mb?MY ?I. ?C A 193L...
p.
?
Scale:... 1_iW^_30f-° ?
onen. n. siKic. I..E. REn. n0. 1?r91
90117A6
..
i_c,r-um. r,io. 8'702(07
I'.L anni;rg Iiesi.yn Inc-
1011 FI:4 CI hwc1'y 10 Pl . k: .
I•Li nn..aaF:io; i-:;. , I'•II`I ... 5 1:'i;::
612-72!?- 1.'=, 2(-)
- -•
'•?.ir?iica2.c:rt:, iiital-.e F_ne,r..rlv :?ucls:: L'cilc_u.laition=.
t:.iEtF:Eid oIl l'.t1.1F1[:F?I' J u•. . t..t?e.• •c=.l. E::r? :•
? I°or.:r:?r..c.?-?,' ,..r.ide
I."C?:- f=ditiun --- ildap1.ocl .l!I./ti:S•:.F
Uair?E,r e I•1[:[if-_'!_ 02161 i::17i•;t?l. fdC1. ?j / QZ?p /
F3ce?k z N,ciS ? ?(L`1V???pi?GE Pc-472_
f rpf.r.E. .Irlr:lr:c? ? ?'t?:;nc.•;
. , .
..O:•' ;o ;.in ._, .:l: .
fi ..:i r-? ,. ..t i'
,-ml ?
;;;J.c:? P'yrl:i.iF,t.e>;
02, r-er=.:ir:kerrti.aa1 . ._, =-.t.or..ieLl,
,1i .......i ... . ... ?_ .. .=..tor- i+;as.=..
l 1 F hr:•r?? ?
GEriERF,L r.riroF:riArlOiq
qnte:•: T'hn .:.oc::iic:n destqriatirune ;".ECC.tian A"., "SFCtaon Ft" r-,+[?i Nr..t= 'ror.
,_nrrven:ienr_ca i.n c<;lci_ilratinri= c,n1v, ar'i??.1 ??r'r:? riot r-i_?:l;:a?tr?eJ ?fr-ctm ane 5e't a?E
Cc3T..1-LII.F?..:C'P?•.j fJf..],CJI.?J CO ?'.??IE' !lB`1L . .
1. t_lldC]. !dal.l.'_i
Saciion A ,
sectzon u S°r.tien C .
.i:ii!LL'i...,.. f,} ..
:Ja.l t heic)ht=., = f,r-ei_+
qr-ounc1 t., ea,•e
i". 92 = 551.46
19.83 _ 2260.62
n = ;,
i ? _... .';
For : IbL LI_`I" ..
5. e). 5
i,<<
„
i?
Gro=E. Wali Area
_.. Bui lci:ri;a d.imen=.zons
Ser:tian A :
Sec'tiun B .
sE,ction r. :
Sectivn D .
- .'0 l::_.03
F7. oor or
Ce:i 1 i ny
I_ongth ,. 47i dth = Area
18 14.5 _ 261
3:l _._ = 960
18. E3' ... _ 37.66
11.16 :i = 22.72
l'otal +loor ur ceiling area = 1200.98
Rim JoisC. F'erirnetor _ 164,7,
f-loor joi=.t 2 by 18", lU", 12" or 16")>: 19
F:im .)oist Area = 137.0037,
4. Doors
ArPa: 46.8 ThicknFas !inr_he=i: +?
Fur i mp>t =,;. if etr1-. 7: ci
lyPr of canstructic:m:
`J. Tot_a.l dor,r's pe.,rimtter: ii
6. Ul"1.1"1dpvJF
r
' 'f;iZpnufcic_turc-r :
. :,±ate appr_=e=rll
?Typ,...
i_ii'•iJ T
l'tiAhi30P9
1 'r P f''
?.. P j{:L n [ipo( ,
, F1Q:r; uun:
10. (=.ir-c_,place ar-r_a
widtn:
Tctal Sq P'F.
11. ,:-;:POs:=cJ Fot.ic-idz:iti.c,ri
fi;"':l C1F'1L: lcii'ef:l F:;:
Sc.i F t area i? --
I%:po_:ei. f:ounclcat i. .r.r'i
p{=,igh1:. ar-Fea3 B:,
J q G't a1' F_+ci B '
12.
t3rnss wc? 1 area
m.i nuo
idindow area
Patie door area
ACrium v;.,.,i-j
Rim ;oisE area
Dnor zarea
Firep.lHCe area
E,:posed Found.
Framing area
equa7. s
Tatals far net wall:
61EA7HEF'SHIEl.17 !.1 factcxrs i7.47
,; _,-.
? t_;?
Ilei.c,Fit ; L.ength :; NL.irnbc-,r- hoi:al.
i:incliesi r:[nr_hes % of g.1:3=n c,qFt
uni. -I:..=..
1 ?4 _
2::G :?. ( ? , .. i:?':•
21 .;i:c? ,.. ...;rl
'>J 1..4 J..
32 t, . : ,
l;_, •l.r.) _ U. E1,.:7
i: 54 1 4.
?l i r t'1 r'?
'_i i.'t i) r,)
Ci (J f.) (7
'!
U !i i,1
l.1 Q
. Gii.rtioai qlras_.
7
area !Sql-t:i = 230.83
hie:iyliL ., Length ,, hJi_unLer = Total.
(feet) {feet) uni.t:s Sc{Ft
b_e 3 ;_a 40„0
i'; Ci 1 i .
b HEight: ;;
'.,i>
0.67 F'ir! Y'i.R1E•tE.?I' ::ii"F!l P1; -167:
+,. 1•;, . _' t
r.-, Pe rimeter area B: ?i
fj
SyFt ll factor UA
2812.09
_Z E.B? 0.47 112.:5
4V.? 0.42 17.14
137.[]03<3333 0.035 4.8
46. 8 0.14 6.55
3`) U.17 5.1
109.21 0.14 15.29
282.208 0,06Y 19.4
1928_1486667
0.0=7 71.04
W'
?.,
0 ! . s= s nu. , _ ,, ,, ?-?_.:,
•,
,. .
I. LI:'
.
. .:Alil i g -., ..'rea '
;..... ' . :
r f . c._ t_ w a]. l.
? - ' I.:il"o : :::oi I
. - ..
i'3C.t' ??f2il?i:•J = L) :: Fi 15L1-
or ib-2 Si rvc:l7.e fitif711I.'Y ?::: l)lA?:>.I.l:?•::
...,.,.. .
. .F o:'
: -._
•.•.
_.s i3.1'll? :.l'F .
F??i'_.:_ .. ; ..
?'lEl^ Y'Pep.:l1:JF.1?:._c1:
.23 ,fiGr iii".hF3Y' bl.ll7d'.I.fiC)"
.,
,.v... :.
.
.
...,.5 .? i'I•
-
C _
,
?7,1?.:_
.I3t3
- .._., _ tCI"S
Fci i:..'L Crl^. '7 !'-. :
0.11 . .. -.-?
_ _ .. ,..- ?
109.3288 f•I
UST I+E it! - ? , "
/ I :S.'
;, ?,G?.?.?i ?r? „ ,G??7•.-E?; ?
i: L?ci :(?:riL.? tllr? ?tf f!:_? '- i r ?J???!
i? .
x:;. [:;e:i).:irsg 'rra;i:.i.nq ?.tr
-
?- c,?> r.;lri.,'r . ur r._eiliriq cIf'E2.) = I2?"I.L>`:!E1
, .
t?_, Jc:x .,J ,.
t ?-;r'a.=.;a ((U% of . . '?
ce;ling ryrea) = 1..,?,..
?1.Ct93
77. i'Jet cei 1 irica ara_=a {
_ Lre_?s cei 7 .
.. area - Jn.i=t arvaa±
1152.80;
13. H c ui. 1 i. r-iya
,
0.021 .. IJ ?et c?_ ?i1. cr-trra
` _ - .
:?1.?'_.L,- ? ..
J.??
Is. H .ilrri(11:i.1'.(i;: fl,lj•%.r
.. 4 r, ;toi =::i ar r:a _
-?.G"1.?.>`g?
_,
,..
.:?`_?•
Total ati :i. tem :LS ;: i Le_+m 19 ==
27, ;`3-14(:J7
1 _.
,i.. .::n ;inc; ,:: ea
;; fac4.or be:: urod 1.1 :; r; per cod;-!
_ _.
'r=a,..l:or :.s .:.r::'.:, ic?r _
y:;-i sinc?le rami.ly °< di.i?:;.le::; '
,+J-y:.' fnr- (;--2 anv otlier rc=s:i.dential
c,llr2r biAi Idinq:
--^
i-2ir_-LOP- .. _. '.J.026 -?
y
E3llki -- 3. .':?.`_?4t3 P1UaT E?E iJF?
.
% = ( .,-T
, :'£j
48:'
)
?
(calci.ilatc:(I at.,c,ve} \
/
.
I
7 R G/ HIGH "R" SHE]1THING
WALL
uBCl'ZON
SPUD
SGGTZON
RIM
JOIST
u vnr,ur: cnr.cur.n•riaas
R VALUE U VALUE
Inside air LiLn .60
InL-erior wall .45 (wall) U = ]. _
Insulation 19.00 N
Sheathing 6.0
_037
Siding .G7
Outside ai[ PiLn; .17
R ZUTAL 26_97
Inside air film -GO
Interior wall .45
Stud - 6" 6.50, (ticawing) U= 1=
Sheal'hing 6.0 ?t
Siding .67 •
.069
OuL•side air film _17 '
R TOTAL 14,47
InL'erior ait film -60
Insulation 19.00
1 Z inch soL'C wood 1.3tk (Rim Joisl') U= I. _
Sheatlting • • 6.0 lt
Cxl-ecioc vall covering •671035
Cxterior air Lilm .17
R TOTAL 28.4
EDN.
Interior aic Eilm , .68
Insulation . 5.00 , .
Loundation (12 " Dlock) 1.20 (CoundaCion) U= 1=
It
Gxtecioc aic L•ilai .17
K TOT!?L 7.13 .14
CEILING WITH YFNPF.D ATTIC SPACE ABOYE
R YALUE R YALUE
FRAMING CEILING
0.61 Air Film 0.61
36.00 Insulation 44.00
4.38Joist
.56 Ceiling .56
0.61 Air FiLo 0.61
41.55 7bta1 R 45.78
.024 U = R _021
CATEBDRAL CEILING
R YALUE R YALUE
FRAMIIQG CEILII236
0.61 . Inside air film 0.61
56 C
ili 56
.
e
ng .
14.375 Joist(Spacer) -
Insulatia? 33_85
- Air Space .50
.67 Roof decking .67
06 F
lt 06
.
e .
94 Sh
iri
le 44
.
.
g .
0.17 Outside air film 0.17
16.88 Total It 36.86
.059 R = O .027
Windw i.nfiltration .5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot oc dooc and m;n;m+?+ code req,;rement
Non-residential door infiltration 11.0 cfm/lineal foot of ccack
Ob 12" concrete block no insulation =.781 R 1.28
double glass = .52
triple glass = .31
All exterior walls and ceilings mast have a vapor bacrier (0.10) perm max.).
Yapor barrier must be on the inside (heated side) of vall.
Yapor bariers of the polyethelene thin film hav•.• R value.
Qa?? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? I j?f a 3830 PILOT KNOB RD - 55122
651-681-4675
New Consfructbn R auirements Remodel/Reoafr Reauiremenfs
? 3 registered site surveys showing sq. tt. oF lot, sq. N. of house 2 coples of plon cnd all rooted areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated addNions
> 2 copies M plans (show 6eam & window sizes; poured fnd. design; e}cJ 1 sRe survey for exterior addNions 8 decks > 1 set of energy calculations -
> 3 coples ot tree preservaflon plan if IW platted afler 7/1/99
DATE: I D??-?T CONSiRUCiION COST: 4-7 ?;Z 70. 00
DESCRIPTION OF WORK: Cv^? Qtzc`[5r'??-
STREETADDRESS: -70 a
LOT: A- BLOCK: SUBD./P.I.D.
Name: 5??0??? Phone#: (05-1- (O8/ - V41(0-7
PROPERTY Pirst
OWNER _
Street
City
State:
Zip:
Company:???r? 6Pc?P?U?1 (Ssr-n S-\-?_ Phone#: la ?a0-g(3V1/
(area code)
CONTRACTOR
Street Addresr. <9q 7 Lvy-L `) A-L-c ??- License # 020 1003(0/ Exp. 3 3)?''Xi6
city K state: zip: S-,5
ARCHI7ECT/
ENGINEER Company:
Telephone #: orea code (
Street
City
Sewer & wafer Iicensed plumber (reauired for new construction onlv):
? Name:
Registration #: _
State: Zip:
Penalty applies when address change and lot change is requesfed once perm(f is fssued.
I hereby acknowledge that I have read th(s application, stote that the Informatlon fs cortect, and agree to campiy wRh all appilcable
State of Minnesota Statutes and Cky of Eagan Ordinances.
Signature of Applicant: ? ?2- ? ??LQ??-?-?' ?
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No OCT 12 1999
Tree Preservation Plan Received - Yes - No _ Not Required gy;
I-2-1(-9/
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACR UNIT.
----------------°-
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
I.,^,T:? BLOCK ? SLtBP
INSTALLER:
ADDRESS: !:7(0 ol / C_.aGGF7CX)
CITY:? ?J ZIP: ??11407
PHONE #: l1 ? J C i1o
FEES
ADD-ON MINIMUM $15.00 /
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00,-'
GAS OUTLETS - MINIMUM 3.00%
OF 1 PER PERMIT
SUBTOTAL: $?
STATE SURCNARGE: .SD
TOTAL'?'?r? $?Ca ?
?
SIGN RE OF PERMITTEE
PLEASE GOMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE YERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
I
STATE SURCHARGE $
?
TOTAL: I $
(SIGNATURE)
I
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
P?SBTt?G,,;??S?T
FOR CITY USE ONLY
PERMIT #
RECEIPT # /0 3lo
DATE: ?0 9
REgIDq1M PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
-
------
---------
WORK --------------- -----
DESCRIPTION --------------- ----------- ---°--------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00 ,3 ?_
REPAIR - ? WATER CLOSET 3.00 9 D
a- BATH TUB 3.00 ?r
LAVATORY 3.00 /
OWNER NAME: KITCHEN SINK 3.00 7T
LAUNDRY TRAY 3.00 ?
SITE ADDRES S: ?
7a HOT TOB/SPA 3.00
WATER HEATER 3.00 '
IAT:? BLOCK SUBD.
? FLOOR DRAIN 3.00 3
GAS PIPING OUT.
INSTALLER: ??_>170,? 1??//7 ? ??-^?-? ? (MINIMIJM - 1) 3.00
OPENINGS
ROUGH 1
.50
f `7l?iFS .]/?JY//!J
.C!/
ADDRESS: ?r7/if?7L _ OTHER
WATER SOFTENER 5.00
CITY:?rh ?Gs'/17ZIP: r?
?Sdt? o _ PRIVATE DISP. 15.00
?L? J l/ _//?
r
?? ? _ U.G. SPRINKLER 3.00
PHONE # :
7
/ ^
/ ?
09 SUBTOTAL `
$ /iS
? 1
j y ST. SURCHARGE .50
SIGNATURE • PERMITTEE ?S?
$ Y?S
TOTAL:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------------------------------------- _------- _____________
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
( S I GNAT[7RE )
CITY OF EAGAN
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 /
? Co 651-681-4675
New Constructian Reauirements
. 3 registered site surveys showirg sq. ft. of b; sq. ft. of house; and aif roofed areas
(20% maaimum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; pourad fountl design, etc.)
• i setof Energy Calalations
. 3 copies of Tree Preservation Plan i( lot pfatted after 7103
. Rim Joist Detail Options selection sheet (61dgs wiN 3 or less units)
RemodeVRenairReauirements .. n(I n-' _ 4 g_C) C?
. 2 copies of plan CsI,?J?.??J
. 1 set of Energy Calculations for heated additlons
. 1 site survey (or axterior additians & decks '1(l ?
CL- V\' S LA'Y?
DATE 7'I611 VALUATION (EXCLUDING LAND) _?' 11.S?O
JOB SITE ADDRESS 7M Dr
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? i4ff
PROPERTY OWNER MP-1 -F MASSAAJ dAF1?lTV-I
TYPE OF WORK $qfit?A48Vr f?IntIS}{ FIREPLACE(S),' 0 _1 _2 3
APPUCANT &Y C'.to`1 -- C'.ERA% 0-0N37- PHONE # -'
ADDRESS S61 ?9fD AUE So, -`'o• zsr. PAvc- /".J ZIPCODE -%t5;675
PAGER #
CELL PHONE #w ' zZ31-zz.74 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Coda Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilatlon Category 1 Worksheet Submitted ? I II
- Energy Envelope Calculations Submitted
U
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener I,awn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: A) /? Phone #
Niechaniril System Includes: _ Air Conditionuig
Heat Recovery System
Sewer/Water Contractor: Nft Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the iT
all applicable State of Minnesota Statutes and City of Eagan OrdinanSlgnature of Appltcanl
Certificates of Survey Received _ Tree Preservation Plan Received
is cq?r$ct, and agree to comply with
" /Not Required _
Updated 1l01
OFFICE USE ONLY
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex * 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
* 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlan (Entire Bldg only) - Give PCA handout to applicant
Valuation ao Occupancy MC/ES Sysfem
Census Code Zaning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs _L Length Fire Sprinklered
Type of Const 1(0 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) 7X FinallNo C.O.
, Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace ? R.I. ?' Air Test Final
Insulation ?
?LLI? f`
ti?T s Jt-?s T2?'v1 -?z
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Building Inspector
,a
f._Z,
?? ?, , ?
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
Permit #:
Permit Fee: l d5
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L -29 ` \ Site Address: Unit #:
Resident/'
Owner
Name: X C 'n Cc C e \\..) ()0'yr e Phone:
Address / City / Zip: —I O Z C Cl tyl tr' 1 0Fa.c n s1/4A �s csl2_2D
Owner Contractor
Applicant is:
Type of Work
Description of work: '? 1 A. i to
Construction Cost: 2 , Le
Contractor
Multi -Family Building: (Yes / No
Company: t,,Y0L1MtTG (001-9-PteCtk)C-k LLL Contact:lae-$C2TO
N.A t J
Address:`, 00 AMcRteA`J $ "i0 ISo U City: Z...00MIQCtTC)J
State: MQ Zip: J S 3 1 Phone:
License #: \C.6 5 J 2i3
(:)k 2-- 1M 00 -V.)
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145114
Date Issued:08/23/2017
Permit Category:ePermit
Site Address: 702 Camberwell Dr
Lot:4 Block: 2 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Anh Nguyet T Do
702 Camberwell Dr
Eagan MN 55123
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature