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706 Camberwell Dr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ; f. (612) 681-4675 SITE ADDRESS: I1 ' I APPLICANT: oflfil 1,111 1 1 1ok f -lli PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL jS qi- ~y/1gS3 S' . f Ivor c.. ~z/ INSPECTION RECORD I Control No. 1066 CITY OF EAGAN PERMIT TYPE: RU I L U I NG 3830 Pilot Knob Road Permit Number: 0O1446 Eagan, Minnesota 55123 Date Issued: 09/16/92 (612) 681-4675 SITE ADDRESS: Lo r % 6 KL0Cr, APPLICANT: /Do CANBSl:AWF l1. OR 11IF NOTTLUND CO INC HILLS OF STONFBRIO(If .'Nli (612) 611-0304 i PERM~T ,gPTYPE: TYPE OF WORK: NF w INSPECT ION TYPE DATE INSPTR. INSPECTION TYPE DAI E INSPTR. 11111T TNT. Fl1ANINEi IW,UI ATION FINAL FIRF.111AcI HFNARf `i t Hf Cr IPT N SF.ta lulBit - VALLEY P1186. Permit No, Permit Holder Date Telephone # 5/W PLUMBING AD5' i, r HVAC ELECTRI ELECTRIC %ur~ y8R vo Inspection p. Date Map. Comments Footings l I Foundation Framing v 2Ja C~ ~S+ Roofing 7 Rough P19• ~ Q N Rough Htg. 3 C l~•2q g Fireplace Final Htg. Orsat Test Final Plbg. G 72 Pibg. Inspector - Notify Plumber Const. Meter EngrJPIan Bldg. Final f~ Deck Ftg. Deck Final Well Pr. Disp. L~ 6 14 0 1 Werti f icate of Cccupanc~ Wit4 of Wagan zevartu cut of 13xfibitg 3a6oectwx This Certificate issued pursuant to the requirements of the Uniform Building Code ff certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the followi*'g: ' Use Classification: SF DW Bldg. Permit No. 1"6 Occupancy TI pe Zoning District Type Const. UE WITUM OD DC 5201 E RIVER RD, F =ff Owner o(Buildin Address f s MUM SIUMORIUM 2ND Burg Address Locality y Hate: 11/24/14 Building Official POST IN A CONSPICUOUS PLACE `i .,Address: 706 CPMOUEI.L DRIVE Lot 5 Blk 2 Sec/Sub 2ND These items were/were not complete at the time of the final inspection. Date: 11/20/92 Yes No Tnqnprtnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ✓ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. u -3 ww. White - City copy Yellow - Resident copy Pink - Contractor copy ~ ~~771s J ~6 ~ 68 4 .22 ReguestOat Fire No. uyhan Inspection p C 2 equiretl?featly Now ❑ Will Nofily Inspector 12 8 I _Vas ❑ No When Ready? I,Zlcensed contractor p owner hereby request inspection of above electrical work at: ~ Job Addretreet. 994p, Route No) City Section No. Township Name or No. Range No. countrit Occupant ( NT) Phone No. Power Svppler tltlress LQ A Eleclncal Contrac C. ny Name' ~z n Contractor's License No. _(CX/J/Lei _ DO Tip/ Mailmg Atlmess ontractor or Owner Making mutilation) AuIDOnzetl BlgnaWre ICOntratl0r/Owne eking Ins Ile n) Phone Number - 4&,,? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 64241800 ENCLOSED. ,zl/y',~L- REQUEST FOR ELECTRICAL INSPECTION k}9 Ee-00001-08 _ ► See Insvuct,o,s for completing this form on back of yellow copy. 4 lit /D '77 ,5 J _6 4 84 X` Below Work Covered by This Request ew fdd Rop. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) _ Comm./Industrial Furnace Farm Air Conditioner Other tspecayl Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pcol 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Sign- Inspectorh Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oat ~q been made. OFFICE USE ONLY This regpest vaid 18 months from 5 517 9 A52sl /D 0192 -ter .2 n~ 101 -11 Request Date Fire No. Roughin Inspection Required? FD Ready N. ill Notify Inspector O ^ 2 es G No When Ready? 12ficensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. 7 D(o BoRou.No city Section No. Township Name or No. Range No. Cor Occupan PRINT( ',1{ Frame No. Power Sup Atltlress Electrical =n, (Company Namel Contractors License No. ~Qe Cno 38/ Mailing Address (Contractor or 0wne Making Installation) Authorized Signature l0ontraci caner me n hstallabonl Phone Number 3-3F/v MINNESOTA STATE BOARD OF ELE RICKY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55164 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-6606 ENCLOSED. '/~Q/~A REQUEST FOR ELECTRICAL INSPECTION y' EB-00001.087 See instruchons for completing this form on back of yellow copy, ~ ek 55179 "x'=Below York Covered by This Request w e Add Rep- Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks'. Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # 0I(de118/Feeders Fee Swimming Pool 0 to 200 Amps tc 100 Amps Transformers Above 200 Amps Above too Amps Signs Inspector's Use Only: TOTAL Irrigation Booms S~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH& I, the Electrical Inspector, hereby Rough-in -'^t / - oats certify that the above inspection has Final s/ o been made. 1 OFFICE USE ONLY This request mid 18 months from SD' 6-L 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan AIN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date / j a Site Address 70(v Unit # Property Owner ~iauAl.L£& /f.m_/l L_ Telephone #(I p5~) Contractor _ On► r OUR Iaamis AMICON IMM' Street Addre 1904 Vermillion Street City Hastings, MN 55033 State Telephone # y / , -01-77 Bond _ Ll ~Jf( y(p r Expires: S: -7 The Applicant is Owner ✓ Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional L, Replacement _ New _ air exchanger air conditioner heat pump other State Surcharge r $ .50 ~Q ~~L~udh Total MAY 3 1 2007 $ S-U I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 wit, e in accordance with the approved plan in the case of work which requires a review and approval of plans. Ap lcp Icp ant's Printed Name Apnt's Sig ture 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 5- l-)'7 / 6t7 / a/. Site Street Address70 c. [`./,[./rLf.K~'~Ylti/t I Unit # Property Owner K~a~ ( , eL l(C~?{!l (A, Telephone# g9vY6 ! acww' t Telephone# ((0.7) 37-y/'77 1904 Vermillion street City State Zip Hastings, MN 55033 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 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) -Other: _ Water Softener ✓ Water Heater $ 15.00 new ✓ replacement _ Lawn Irrigation _RPZ _PV13 -new -repair rebuild $ 30.00 State Surcharge D D $ .50 LAI Total _hAt I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accur the 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 require be reviewed d approved. /izal ~ Applicant' Printed Name Appli nt's nature ~ ~q, sa 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com' plete for modifications to existing residential dwellings. E:--:: ! ddress CA Yr 4 t K~ (D{ Unit # qq, Property Owner ~)'4Ln Telephone # (~J y e~ Telephone# Contractor n r ^4 ,Address 1. 2 Z ~-~L~dt 21 City Statel-i ZIP ii The Applicant is: _ Owner _ Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes $ 10untyfee .00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 $ 50.00 Alterations to existing dwelling _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only 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 Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ Water Softener _ Water Heater $ 15'00 _ new _ replacement Lawn Irrigation _2!~PZ _PVB -new -repair rel uild $ 30.00 $ .50 State Surcharge _ Total 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; thati I understand this is not a permit, but only an application for a permit, work is not to start withou pi t V IF P ccordance with the approved plan in the event a plan is required to be reviewed and approv /J JL 12~ r, JUN 12 2007 'cant's Printed game 'ppli is Signatur i' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 r S 651-681-4675 New Construction Reoulrements Remodel/Rebak Reoulrements • 3 registered she surveys showing sq. N. of lot, sq. ft. of house; and till roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate h home served by septic system for additions • 3 copies of Tree Preservation Plan h lot platted after 7!1193 • Rim JDist Detail Options selection sheet (bldgs with 3 or less units) DATE -L,,) -6 Z VALUATION COO G ~ V MULTI-FAMILY BLDG _Y _N SITE ADDRESS 2D/ TYPE OF WORK t10- -'lrV1-' FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT hV412-h AiWPe- &7z/1p STREET ADDRESS ! 3~~~~he rwr~ CITY 494er~ ATEo~ ZIP XP'j37 TELEPHONE # 7~Z-~I~~22 Z CELL PHONE # G/L 41e-0C-f FAX # PROPERTY OWNER /"5 eL 117'4?Y'" TELEPHONE # COMPLETE THIS SECTION FOR %%NEWN RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MILAN n n (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted W rgyti, a tVo qh'@I itted • Energy Envelope Calculations Submitted U 1J JUN 2 0 YUU Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler y- - FeeI(3Ft _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone If 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 Ordina S. Signature of Applicant i - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 PERMIT# q7/52 RECEIPT DATE: RUIDEPTIAL PLUMBING P"MIT APPLICATION CITY OF EAGAN 5680 PILOT KNOB RD EAGAN, MN 55122 651-661-4678 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventte/er for irrigation system SITE ADDRESS: K Cd/ni C e- r c~ OWNER NAME:: ae /0 cy /07 AM Z cl-r TELEPHONE (AREEA- CODE) INSTALLER NAME: _ /l eFi: 6e6:- TELEPHONE AR ! 7a ® STREET ADDRESS:- / Z 164.~y c / / /o oc- (AREA CODE) CITY: r/~/•,r STATE: 2j.w ZIP: Place a check mark next to the erfnit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installatio /re air/rebuild of RPZ • lawn irrigation system $E P i 2001 C w ter i5imnr Nature of work: Ek~44!~ta 014 . t+z _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license _ Water turnaround - existing dwelling unit, Including: $ 50.00 • 5/6" meter 115.00 $ 165.00 State Surcharge $ .50 Total $ Reminder. Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no ' ility for any a s caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit withi props g -w y asement. i.Ls~v SIGNATURE OF PERMITTEE Updated 9/01 CITY OF EAGAN PERMIT Control No. 1066 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 001446 (612) 681-4675 Date Issued: 09/16/92 SITE ADDRESS: 706 CAMBERWELL DR LOT: 5 BLOCK: 2 HILLS OF STONEBRIDGE 2ND DESCRIPTION: Building Permit Type SF DWG Building 'Work Type NEW UBC Occupancy R3 M-1 Construction Type VN Zoning PO R-1 Building Length 58 Building Width 34 r-- REMARKS: RECEIPT #~Cjb'W6S S&W PLBR - VALLEY PLBG. FEE SUMMARY: VALUATION $142,000 Base Fee $786.50 MISC FEES $1,610.50 Plan Review $511.23 COPY $.50 Surcharge $71.00 Total Fee $3,679.73 SAC $700.00 SAC 100 SAC Units 1 Subtotal $2,068.73 CONTRACTOR: - Applicant - ST. LI OWNER: THE ROTTLUND CO INC 15710304 000133 ROTTLUND CO THE 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE -ISSUED : S NATU E l INSPECTION RECORD Control No. 1066 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001446 Eagan, Minnesota 55123 Date Issued: 0 9 / 16 / 9 2 (612) 681-4675 SITE ADDRESS: LOT: 5 BLOCK: 2 APPLICANT: 706 CAMBERWELL DR THE ROTTLUND CO INC HILLS OF STONEBRIDGE 2ND (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE ,DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT # S&W PLBR - VALLEY PLBG. F L PERMIT, # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675! 7 5 73 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested,'but not picked up by last working day of month in which re guest is made or lot Chan a is re nested once ermit is issued. to 9 9 'L Valuation of work I Dc)rD Site Address: ^lb(Q Cgw,be w~\~r;V~ STREET STE / Tenant Name: --M2 Ro+AQyA Co, C. LOT BLOCK P.I.D. # S a S{onebP,~) a Description of work: The applicant is: Owner Contractor ❑ Other (Describe) Name t~ Qoi+1WA Co. Toc• Phone 9'l 1-o Property LAST FIRST Owner Address 52.01 E. rZi ed' I2c9_ So I t STREET STE S City 1 rld(!L! State LA Zip Ss~Z1 Company Saves Phone Contractor Address License # c9cx0133 r Exp. al 9 City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Ua(Le~/,Mb~ nu, Processing time for sewer & water permits is two days once arba 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. Signature of Applicant: Q c/ VrrIVC woo- VIVLT 06ILD~IN~ PEF~'M~ TYPE ❑ Ol Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ If riblIc Fac. JW 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ~ y1 A icuUural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch 1115 MiscelIanedus ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YES (Allowable) Ist Fl. sq. ft. City Water ~ess UBC Occupancy R~ 2nd F1. sq. ft. PRY Required Zoning PD R_ i Sq. Ft. total Booster Pump' / of Stories Footprint Sq. ft. Fire Sprinkler Length 58 On-site well Census Code 73 Depth Tq7 On-site sewage SAC Code oT APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Q Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: s y~,00a Surcharge Plan Review ~+g~€ 30KZt7 = ~a0 License Z )e l v z (ap) MWCC SAC City SAC jr x 16s `j600 Water Conn. ~ Water Meter a8 x Zr~= 84 Acct. Deposit 3oa S/W Permit S/W Surcharge Jolly X ISs 16, 260 Treatment Pl. Road Unit Park Ded. lo8y Trails Ded. ~vZX7; /O Copies Other Total: f639~f X /o6r ~15~$b!-1 SAC U% 100 nits I ~yl' 8z~1 SAC P_03 * • K .K 2422 W*prlse orWe * PIONEER Mendota Heights, t1N 58120 LW MVE. tars Exam ii (512) 881-1914#rox 881--9488 1f ~ hg D PLNJNM WroseaPe AR01°TECTS 825 Highway 10 Northeast * * * 81oins. MN 55434 (812) 783--1880+Fax 783-1883 Certificate of Survey for: The Rottlund Compgtye Inc. House Address: Camberwell Drive, Eaagn. MN Model Name: Hampton Prpduction Model / r GP R .F't t l Nt. Sg1.o~ y'j 6 84E. ~s \ / ro- / awe 96~\ Jl a yq \ Sao * ,z cP +se T~ \ Is. N~ QOB~ "~'Yl \ ~-J \ F AR r~ \ \ \ 5 \ 68.29 4{ Ai'cj :idts!1~1 RING PI711i' S 89'80'53' E . 9ooo Denotes Existing Elevation eROPOSED HQUSE ELEVAliON ,<@3> Denotes Proposed Elevation Lowest Floor Elevation: 892_9_5 Denotes Drainage & Utility Easement To of Block Elevation-901.06 Denotes Drainage Flow Direction p o --o-- Denotes Monument Garage Stab Elevotlon!900.73_ -e Denotes Offset Hub Bearings shown are assumed LOT 5 BLOCK 2 HILLS OF STONEBRID_GE DAKOTA COUNTY, MINNESOTA A T 2 I hereby aertlly that this turwy. plan or reportyp t PSSePnred by^ ar under my dirm t r orv~l n am that I m duly n+phgrM LeM $yewyar uft under the km of the state of Mlnnreow Dated this }r q day of -w+ EtTr A.D,19-T W Rtv. 1.11-ft; Add o6TICieds. Scale: ohm 151 ROBERt . I S. RfiO. NO. 1e691 % MICA 11 09-11-92 02: 22PM P003 1{06 . THE 1A-MPT01V . FX1'F.ItiCR t:NVrt,nrF. AVVkAGh: "U" CuMirr'ff,'I'I ~tl 0 "-N ER &_TE ADDRESS S i7 I L(.S o , CCIITPJ,CiOi IRD-7 LUIID G~ DATE. PHONE Deterain workini; square foot.-Wc of each. 1. Total exposed wall area sq. ft. x 0.11 = 'zcfs;. 2 2. Total roof/ceiling area ft. x a,026 = = Total exposed wail area above . floor = 26 7 S • L a. Total wall window area 2 7, 7 . Total door area ' C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOP) f. Total net wall area above floor • B• Total rim Waist area '-CJ~Ly` Total exposed foundation area h. Total foundation window area . Total net foundation area above ~grade , Determine value o; each wall nn'ment. b. ~ 7.-7 _ x x .,U„ 7a d. x f. /gZZ,D(p x „u„ 0,0¢3 = bz-~~ g. 243, Z x o,¢4 - q• q h. x 17.0 Z- 3 . To 1.:11 if item 93 Lt- is the same as, or les: 1.h:,n ilcm #1, you have met the intent of SBC 60o6(c)2.. r. Total exposed roof/ceiling area = I~ Total gross roof/ceiling, area = Total skylight Brea _ k. Total roof/ceiling framing area _TO I. Total net insulated roof/ceiling area Determine "U" value for each ruuf/cci l inp, sel,ment. X "Ulf k; X z -7 -7 1. ~Jy7,(~ X .,U.. p.a2Z = Zl,o<i 4 . Total - If total of H4 is the Swne as, or less than N2, ave met the inte^t of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items N3 and .94 shall not be Greater. than the sum of items Al wid 12. 1. + 2. _ 3 + 4. _ r. } V i 2 ' ~G1P_c±<i ~ .~1 rte-- ~ yr u~ 2J_l N lac-_ 2~ : -C~ . _ C'`io~? -ate- 0.02% O 2 4 ` = 0 022 v © Imo.:-nl~._r✓1~,~ ~ 13 F~~r 12 i; I - - i .1= = O. Dom: /All- IZ.i^ VA U~ GA1GI}L~ 1DN~ GoN } -~~~M~ },Jp~l-1- G~ 1N~l.ILA~IoN LoMPaN~N~, . - . ~-~IALUE - ot.T(~;im AIF- FILM D,f-7 t 1 2 J - 2: o~ - 3 INSULATlcti. l q . G 4 C %72 ~ p = -2 1 ~4-M5 ' IA L TUsr7 ~oMPoN~NlS - - ~~VALU~ o-u t -L 3' ~N~A ~111N/s. 2 .G 61 05 w C i NSi of A-if R t-M o= ~ 47, = - - ~L -~'M P~. I~ U~ - ~D,12 X o.oaq} ~-~0.8?~ X o•043> = O, o j _ CITY OF EAGAN PERMIT e Oomo A,~ 3830 Pilot Knob Road PERMIT TYPE: B I a LI NG Eagan, Minnesota 55122-1897 Permit Number: 025531 (612) 681-4675 Date Issued: 05/05/96 SITE ADDRESS: 706 CAMBERWELL OR LOT: 5 BLOCK: 2 HILLS OF STONEBRIDGE 2ND P.I.N.: 10-32991-050-02 DESCRIPTION: Building`Permit Type DECK Building Wo'rk.,Type NEW It X19 REMARKS: FEE SUMMARY- Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - INMAN KALVIN 706 CAMBERWELL OR EAGAN MN 55123 (612)688-9894 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 Mn.- L Statutes and City of Eagan Ordinances. Amid & I rn ERMITEE SIGNATURE ' ISSUED : SIGNATURE' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025531 Eagan, Minnesota 55122-1897 Date Issued: 05/05/95 (612) 681-4675 SITEADDRESS:P.I.N.: 10-32991-050-02 APPLICANT: LOT: 5 BLOCK: 2 706 CAMBERWELL OR INMAN KALVIN HILLS OF STONEBRIDGE 2ND (612) 688-9894 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FOOTINGS FINAL F- L CITY OF EAGAN 3830 PILOT KNOB RD - 551223 U moil 995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured find. design; eta) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies or tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: `t / 1 I~ S CONSTRUCTION COST: DESCRIPTION OF WORK: CK (Xl ba,-,k Gli~ haYl-'- STREET ADDRESS: b 6- 0 l3,,r , hprt z )P.l 1 rn d\l '515 /2 LOT_ BLOCK SUBD./P.I.D. #:/~lm+o~(;rAna, lu f) PROPERTY Name: f n ncL l V a~ V n Phone (2S -Clgc OWNER ^s iWIT Street Address- -70to LO-MbErLO-0',11 hi, i City: Q,r) State: 1 /f Zip: '05 5 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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: 9aA-,ffl i-~ n U MCI OFFICE USE ONLY W E C 2 G M `E' DD t ~I r IV L Certificates of Survey Received _ Yes _ No APR 1 2 1995 r tiu t Ln Tree Preservation Plan Received Yes No ~ P.03 * 2422 Enterprise Drive * PIONEIMR Mendota Neighta, MN 55120 * lap Wkvniaas a taw. MINIM$ (512) 881-1914#Fox 861--94BB • a glnAeet• a 1"'""`x' 9 LMW= Pe ARQ° ~ 825 tltgh9roy 10 Norlheaat ~C * * Blaine. MN 55434 (812) 783-te80•rmr 783-1883 Certificate of Survey for: The RO tlund CompanY Inc House Address: Camberwell Drive Eaggn MR' Model Name: Ha ton Prpduction Mode, / R / ~ ~x u F4 ~ti ' ~ ti~~ y 6 898, ~3s 93 Njefg, 104- LIN \ ggg9 a Oil \ \ t_J \ \ to \ \ to to \ \ F A \ \ \ ~r \ 5 ~ w _ 68.2-9 S 89696'93" E . 9ao.s Denotes Existing Elevation ~RDPOSED HOUSE ELEVAWN Denotes Proposed Elevation Lowest Floor Elevation: 892`95 Denotes Drainage do Utility Easement - - Denotes Drainage Flow Direction Top of Block Elevation: 901.06 --o- Denotes Monument Garage Slab Eleaotlon:900,73 --9 Denotes Offset Hub Bearings shown are assumed LOT 5 BLOCK 2 HILLS OF STONEBRID_GE DAKOTA COUNTY, MINNESOTA P L A I 2- I herohY eertify Met the turwV. Plan or rmwt~e r pttepered by or ender my direct " Qrl had that 1 em dYry Watered Land Surveyor and" the IoM of the stale of Minnalop, Doted thlt 7~ M dey Of 's+7~ A.D-19 kev. 9-II-qt: Add t-x;TIE-vs. Scale: 1occh_ 1W R9eEAT 41S.,Rro. NO 14491 R=94% Aalat ll 09-11-92 02:22PM P003 #06 L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUED. (612) 681-4675 RECEIPT # ~O 5 DATE <O 5 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON \ SHOWER 3.00 3- REPAIR WATER CLOSET 3.00 y- 9 BATH TUB 3.00 6- D 3 LAVATORY 3.00 4 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: 7UL r> UQ - £ HOT TUB/SPA 3.00 T WATER HEATER 3.00 FLOOR DRAIN 3.00 \ l I \ GAS PIPING OUT. INSTALLER: V A\`i., ~~6 \ co- ; c (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS:- OTHER _ CITY: ZIP: S~3 WATER SOFTENER 5.00 tt IIl c PRIVATE DISP. 15.00 PHONE: " l~'c~ I I U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 C®k-l STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S X17 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L ` i B J, `z2MECHANICAL PERMIT RECEIPT # /d 9'0? S'S SUBD. +t~4 (612) 6814675 DATE 92- 0o 41,3-Z RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS~WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER ADD-ON A/C ADD-ON FURNACE ❑ SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 ~JD J CONSTRUCTION ONLY) INSTALLER A OX ~ JW-r,5~ HVAC: 0.100 M BTU 24.00 PHONE ADDITIONAL 50 M BTU 6.00 ADDRFSS: 63 /Jrpv7e a~ .J GAS OUTLETS -MINIMUM 1 @ $3 EA. 3, ao CITY. O{~ Gn. E ZIP: .SS-Ya~ SURCHARGE: $ .50 SIGNATURE TOTAL $'p? 7. SD NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMH,Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER ADDRESS: CITY. ZIP: PHONE CITY SIGNATURE: SIGNATURE: L r BL Q~ CITY USE ONLY RECEIPT#: /D p~ SUBD.Z_LtXJ(o 02 /110] 1 OS RECEIPT DATE: J(2 A 9 A9978 PLUMBING-PERMIT.(RESI,DENTIAL) CITY OF EAGAN, -3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: • single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH 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 = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - f 3.00 x = Rough Openings 1.50 x = Water Softener *for dwellings under construction 5.00 x = e e a'n agn.'.^ c x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler "forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems • Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 7 0 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicard's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance ac ivfties to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: x4" i4"M (A- 1 A OWNER NAME: ~~/Ji✓ X - , INSTALLER NAME: TELEPHONE STREET ADDRESS: Zoe !5'-o CITY: STATE: &"VA" ZIP: C'/ SIGNATURE OF PERMITTEE CITY OF EAGAN CASHIER: JS TERMINAL NO- 764 DATE: 03/01/00 TIME: 05-22-54 ID- NAME- SAUNDRA INMAN 3210 9001.706 CAMDERWLL D 60.00 2155 3001. 706 CAMBERWLL D 0.50 r • Total Receipt Amount- 60.50 CR124196 USER ID- JAN . ~k~***~%c~k X~*~~k*k~~kC~k*~k%~*k~%ck~~k*#****%c*ic#~~K~k~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) J> ~p OF EAGAN 39 1 3830 PILIOT KNOB RD - 55122 851-881-4875 Now Construction Reaulrements Remodel/Repair Reaulremenla > 3 registered site surveys stowing sq. tL of tot, sq. it. of house 2 copies of plan and gll roofed areas (20;6 maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window sizes: poured Ind. design: etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of free preservation plan if lot plaited attar 7/1/93 DATE: I / X /a coc CONSTRUCTION COST: S} Gib DESCRIPTION OF WORK: rr &%I'% k 84,1e rn e-n7r STREET ADDRESS: r LOT: BLOCK: 2- SUBD./P.I.D. Name: ./hm4n Ka hi i vt Phone LG S a BS - S ~4L/ PROPERTY Last First OWNER 1 Sheet Address: 7010 6 l n.er t<1&ij .~P n A City State: M Yt Zip: Ssc a 3 Company. Phone (area code) CONTRACTOR Sheet Address LMense # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheet Address: Reglshatlon city State: Zip: Sevper/water licensed plumber (M installing sewer/waterPhone I hereby ocknowledge that 1 have read this application, state that the Infomgtion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. v' Signature of Applicant ^ ^ OFFICE USE ONLY Certificates of Survey Received Yes No FEB 2 2 Tree Preservation Plan Received Yes No Not Required i OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Mufti ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mind ❑ 04 02-plex ❑ 10 08-plex 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg _Yor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ . 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)" ❑ 44 Siding „ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS ~J Planning Building IA Engineering Variance Permit Fee Valuation: Surcharge Plan Review License 0, MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC tGRESS WINDOWS REQUIRED IN VAPOR BARRIER REQUIRED AGAINST SMOKE DL F.CPORS Ws ttwY8pei8W0-L) ALLSLEEPINGIIREAS. MASONRY/CONCRETE FOUNDATION. ARERggURMON LEVELSOFMMHOUSE 411N.5 $0. FT. NUCLEAR EXTEND FROM FLOOR TO AT LEAST T,m & SLEEPING ROOMS. ON LEVELS, OPENABLEAREA GRADE ELEVATION (CAN BE STAPLED AINING SLEEPING AREAS, CENTRALLY -111101. 24' NET CLEAR TO BACK OF WOOD STUD FURRING). WCA'M SMOKE DMSMRS IN HALLWAYS. OPERABLE HEIGHT DO NOT INSTALL ANY TYPE OF VAPOR -MIN. 20' NETW BARRIER ' (i.e. POLY) BETWEEM OPENABLE THE GNP. BD. S: FURRING (SWD$7' 6 OIM PORTION OF SILL 'NOME: NEWIT OR WIDTH (OR BOTH) WILL BE GREATEA TO M M MAIN 5.7 $Q. FT. N O N Den/Bedroom Family Room N ~ ENCLOSED USABLE SPACE UNDER STAIRSkWST.BE ® $ ~ ENTIRELY FANNED WITH O ® GYPSUM BOAAO 7 41" M O o Furnace Room r ge o Storage Bath Room 0 00 ENTILATION REQUIRED. ~ ® M EACIM ® Fire=MEffm WEDZ ~rnpl~ ~ye,{~~{zN BY DAT BUILDING INSPECTIONS DEPE fffi X A3~, v". F r ;~4n _ri Y. r Mao 1 CITY USE ONLY L ~ BL RECEIPT 9,3a (e 7 - / SUBD. W RECEIPT DATE: 4G / 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MIN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # 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 = Hot Tub/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 Softener `for dwellings under construction 5.00 x _ Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler `for dwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems 'Abandonment 20.00 = STATE SURCHARGE .50 TOTAL - - - - - 1 hereby acknowledge that 1 have read this application, state that the Information is correct, and agree to comply wit h all applicable City of Eagan ordinanoss. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenances activities to the facilities constructed under this permit wiitt~hin City property/rightof-of SITE ADDRESS: ~`l/)/~ OWNER NAME: /X 14, Z- INSTALLER NAME: L(5err rJ• TELEPHONE STREET A DRESS:/e,70/ nA RI CITY`S^.~ ~T + r STATE: ZIP: CAQ-r" 4,1,A A- SIGNATURE OF PERMI EE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 RESIDENTIAL 35 BUILDING PERMIT APPLICATION CITY OF EAGAN p 3830 PILOT KNOB RD, EAGAN MN 55122 I O S 651.681-4675 New Construction Requirements RemodettRe Lair Requirements • 3 registered site surveys showing sq. ft. of lat. sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 711193 • Rim Joist Detail O7ptions selection sheet (bldgs with 3 or less units) DATE / - dfZ VALUATION Zd y SITE ADDRESS MULTI-FAMILY BLDG -Y _ N TYPE OF WORK T2aZI e- FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT /744-/2G/ aA, STREET ADDRESS CITY STATE ZIP .S d 32 TELEPHONE # CELL PHONE If FAX # PROPERTYOWNER 14/ 2871 l 1.7 TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ NIINNESO'rA RT'LES 7672 (v submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: Water Softener Latin Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: S70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the in-'f n r `P)l t, 4~ o y with all applicable State of Minnesota Statutes and City of Eagan Or 4`1 n L, Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated al02 .APR/23/2012/MON 08:43 AM FAX No, P,003/003 Use BLUE or BLACK ink I For Office Use I Permit 1 City of Ealan Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 1 [late Received; ~ Phone: (651) 876-5675 I Staff: 1 Fax: (651) 675.5694 I I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Ito Address. &M be ~-VJ It (I I~14-i tie, Tenant: V ' Suite RESIDENT /OWNER Name: A-1 V I in I n man Phone: 4 Address-/ City /Zip: jm~ aTName; rea Iml 1.l yVtb"ti License YIL MALI is 14 CONTRACTOR Address: ttgeyi Ave city: State: ^ Zip: _ D f Phone: Contact LA Email' ) r ..COW TYPE OF WORK New _ Replacement _ Repair Rebuild _ Mortify Space Work in R.Q.W. Description of work: RESIDENTIAL G~bt I "L7 [ ~"~r/ -A _ Water Heater Lawn Irrigation RPZ / PVB) Water Softener PERMIT TYPE Septic System Add Plumbing Fixtures Main / _ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5,00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali Gopher State One Call at (851) 454.0002 for protection against underground utility damage. 11 48 hours before you intend to dig to receive locates of underground utilities. h onecall o 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 s rt-without a permit; that the work writ be in accordance with the appr ad plan In the case of work which requires a review and appro plans, .11&n V I x Applicant's P ted Name App! an s i$nature FOR OFFICE USE Reviewed By, Date: Required Inspections: -Under Ground Rough-in Air Test Gas Test -Final 0/4/LUiZ L:4U:00 t-'IVI /U.54 VJ Ul/Ul C O U N T Y ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: May 4, 2012 TO: Russ Matthys/John Eaton Fax (651) 675-5694 I RE: Well Permit 12-1-1301371 Well Type: Domestic Municipality: Eagan Environmental Specialist: Olsen The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that pen-nit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Bohn Well Drilling Date Application Received: 05/03/2012 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Eagan Economic Development Authority Well Owner: Eagan Economic Development Authority WELL LOCATION: PLS Coordinates: NW 1/4, SW 1/4, NW 1/4, NW 1/4, Sec 20 Town 27 Range 23 Street Address: 3850 Cedar Grove PKWY PIN Number: 104480001001 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: 89/8 r - - - - - - - r L-L I i III I~ l U,ge ca(mr lWrirkc~llu^C.ypnjLC lsi1tY»~~Yl3 _ f PERMIT City of Eagan Permit Type:Building Permit Number:EA167730 Date Issued:03/26/2021 Permit Category:ePermit Site Address: 706 Camberwell Dr Lot:5 Block: 2 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-02-050 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Amber M & David G Kocemba 706 Camberwell Dr Eagan MN 55123--392 Younger Exteriors 2340 Cavell Ave N Golden Valley MN 55427 (612) 360-0320 Applicant/Permitee: Signature Issued By: Signature