710 Camberwell DrINSPECTIDN RECURD I Contral No. 1290
CIT1f OF EAGAN PERMIT TYPE: ot'ltoYma
3830 Pilot Knob Road Permit Number: 001782
Eagan, Minne5ota 55123 Date Issued: 11 / 1?. / 32
(612) 681-4675
SITE ADDRESS: LpT, 1 ht,,, i, I APPLICANT:
I10 C.AMt3FRW.CLl. pR 11fE' ROTTl.UNEI f.A IMIG
HTII y OF STCENEF+R]'O(iF 3ft0 (612) 671-0304
FERMIT SUBTYPE: TYPE OF WORK:
4a t' ! tWl:i N F. W
INSPECTION
i???3?l?lti .A .
t F;#?W 4 r?ci .•
I !l?.. A't 3 fsN FINpl
FI44f Pt.ACE ?
I
I
RFNARlCS: >& W l"OPI1'itpCTOR - V4L1.f„Y P1..00
Permk No. Psrmk Haldsr Dsie TBIoIhOM Y
S/V11
PLUMBWG
HVAC
ELECTRIC
ELECTRIC
Inapectfon Date Insp. Comrrterns
Footinga I
Foundation fJ"
Fra„ing ?p
Roofing
Rough Plbg.
r
Rough Htg. f Aa,
FireplaCe
r
Final Htg. -?scJ
Orsat Test ?. ?
F"inal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrlPlan
Bldg. Final Z?25 $ 3 ? S
Deck Ftg.
geck Flnal
weu
Pr. Disp.
?/,e-l?-
? • ,''_
Trr#tfiratt of (Orrupanry
Citp of Cagan
laptttuen# of NUldircg JWrc#iua
Thfs Cerdfuate issrWprasuvnl to lJre requiremenls ojSertion 306 of 1Jie Uniform Brdlding
Code cemfyMg that at Ilre 1ime of rssuance rhis strurture ms in rninpliaraae wkh !he mrious
adinaxm of rhe Crry nega/a!i?eg brdlding cosstrircq'on or use For the followtng.
POST IN A
u.o aard6oooa SF DWG ews. Fami xo. 1782
O-Jv--Y 7a R3/A41 Zoang Dhbiet PD/R 1 Tym cMU VN
Address 710 CAamEaaFrr nRIVE Zip 5512 3
I.dt '' - I Blk i Sub HILT.s oF smrEsRJDGE 31n
THESE ITEMS WHRE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 02/25 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) LIA,
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish
Deck .?-, .
Please verify with the builder the removal of roof test caps from the plu bing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of•way or installiag underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraaor Copy
K 70727
-,
6
i a3 9 a.iu, 2?
aaqu st Date ' FireAo. Rough-in Inspection
Aaquire tl?
? Reatly Now 4 Wili NotiTy Ins?Bt;tet
Z Ves ? No ? Wn?n?Reatly2?
"o T ??
I Z( licensed contractor p owner hereby request inspection of a6ove ele¢trical work
Jo0 AOtlress (Street, or Rou?e Na.? /?
T j City
l ??
?
U
S2CIion No. Township Name or No. Pange No. Cou n-
Occup t(PRINT) Phone No.
Power S liern Atltlress
pa
ElttVica Con tracbr5 License No.
?
? C?D03?1
Mailing Address (COntractor or Owne Making Installationi
Autho etl SignaWre IGOnVaCtor wne 'ng Installalion) ^ Phone Number
-
o
MINNESOTA STATE BDARD OF E(ECTRICITV ? THIS INSPECTION REOUEST WILL NOT
GriggoMiEway Bltlg. - Room S173 BE ACCEPTED BY THE STATE BOARO
1811 University /ve.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Plqna (614) 662-0800 ENCLQSED.
ya--
K 70727
REQUESrtFOR ELECTRICAL INSPECTION
? See insimdions for campleling ihis larm on back ot yellow copy.
+"X" Belaw Work Covered by This Request
e Add' Rep. "- Typeaf Building AppliancesWired Equipmenl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olheo_(Specify)
Comm.llndushial Purnace
Farm Air Conditioner
Otner(speciry) Convactor5 Remarks.
Compute Inspectian Fee Below:
# Othar Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 100 Amps ,S'2
Transtormars Above 200 _ Amps - Amps
Sig/1S Inspactor5 Use Ony: ? OTAL
Irrigation Booms pp
? ? 7 ?
Special InspeCtion ?(/a l- 1 z?f
Alarm/Communication THIS INSTALLATION MAY B RDE REiD DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 HS.
I, the Electrical Inspector, hereby Rough-in
certity that the above inspection has
6een made. F;nei oare
OFFlCE USE'JNLY
This request voitl 18 montlu trom
EB-0p001-08
? cb=, 08
?,?,?,
5'§?\ '\
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 regislereo site surveys showing sq. Y. cf;ot, sq. 5. of house; and all roofed areas
i20°% maxlmum lot coverage allowed)
• 2 copies of plan shcwmg beam 3window sizes; poured found design, elc.)
• t set of -neryy Calculations
. J copies of Tree Preserva[ion Pian if lot platted aNer 711r53
• Rim Joist Detail pptions selection sheet (61dgs wtth 3 of less units)
DATE (r /11?_
RamodeUReoairRecuiremenls ?O
. 2 copies of plan ?
• 1 set of Eneryy Calculations lor heated adCitions
• 1 5de Survey (or?xterior adtlition5 & decks
• Indicate il home ServeG 6y septic system for addi6ons
VALUATION 2, y, d_??
SITE ADDRE55 7/0 Ceun b.fl-G/,011 N MULTLFAMILY BLDG _
)
Y L N/
iYPE OF WORK SQACe- 1P oo-P ot- J-i 0
FIREPLACE(5) _ 1 - 2
a ^
APPLICANT IC?vt4;SJ'q'nGP r )CR,Y'fGbrP
STREET ADDRESS ;LJ'.?4 Hwy I Q CITY//r I/,'t«,1 STATE MNZIP
TELEPHONE # ?00-7p ^?ftELL PHONE # FAX # 71(2 - 7i'° - ;?430 ?
1"?-
PROPERTYOWNER J'C qY'/ mett`l2/ TELEPHONE# 6
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ?1IV'VI:90T:A RCLES 757q C:A"I"1:GORY 1 MISNLS "n L
(d submission type) • Residential Ventilation Category i Worksheet Submitted ? Ne ?rk e t[
• Energy Envelope Calwlations Submitted
AUG 0 6 2002
Plumbing Controctor: ___ - -- Phone
----- --------------
Plumbina system includcs: _ Water Softener L.aw2t Sprinkler BY ? cm--s??r
Water Hrucr No. of R.I. Baths
No. of Balhs
Mechanical Contractor: Phone Ik
N[ech:ulical system includes: _ r\ir Condiliouing Fee: S70.00
Hcat Rccovcn Svstciii
Sewer/Water Contractor: Phone #
---------- ---------- ° °---- • - ° ----... ---------------------°----------------------°-------------°-- ° -------°---------
I nereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Applicanf
--------------------------•---------------°------------------------------------'------°--'--___--°--°-----------------°--------°------------•--'-----
OFFICE USE OtiLY
Certificates of Survey Received Tree Preservation Plan Received Not Required _
Updated 4l02
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnespta 55123
(612° 681-4(i75
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
i10 CFIMBER6JELL DR
LQTe 1 FLOCK: 1
MII.L.S OF STONEBI4ZL70E 39.D
; -$Uilclzrl.q i'errriit 7ype 5'r' DWG
r BiFi_lriin6-`Work Type NEI.J
U9C occu.parrc.y R-3 M-1
CransY,ruceian?`Cype V--N
2oning P[l R-1
Building Lenqth , (57
8u1141 a.ng Wid1::h 35
i !
, C ?.... '. ? '' ... D
.
eurLn[Nr
001702
11I1.2J9?
REMARKS: c C) a Ilj,-,3k1
S& W CON'i"RACl'OR - VFlLt.E Y PLE1G
FEE SUMMARY:
vALuAT rON $96,000
Base Fee $621-50 M75CELLANEOUS $1.610.50
Plan Review $4 0 3e9 8 1'oc;al Fee $3,383.98
5i.irr.,harge $48,00
SAC $700.047
SflC ? 108
SNC WniT„s 1
.__...?_....
?1 -7'i3 4 8
SubL"n-ta1
CONTRACTOR: - mpp).3.cent -- ST. -z cOWNER:
THE ROT7LUNp CO INC 15710304 O001.33 5 'iME RUT"i"LUNq GO INC
6201 F.: RIVER RC] 5201 E RTVER RD
FRTCJLEV MN ",,5q21 FRIp4.EY MN 65421
(812) 571--8304 (612)571--0304
I hereby acknowledge that I have read Chis applicatiQn and sCatc tMat Chp-
inl=or et an is cqrrect and agree to cesm qJ;y with all appi zcable State of P9o,
4t.a wte and C ty dt Eagan Ordan ances.
?` 'C aLf ? ?i I
APPLICANT/PERMITEE SIGNATUFE VSSUED PV?. . IGNATU
INSPECTION RECORD ControlNo- 1290
CITYOFEAGAN PERMITTYPE: BuILaaNG
3830 Pilot Knob fioad Permit Number: 001782
Eagan, Minnesota 55123 Date Issued: 11112192
(612) 681-4675
SITE ADDRESS: APPLICANT:
Lo r: 1 Bi_ o c K: 1.
710 cnmeErzwEu oR rHE Ror7i..uNn rn r.ivr..
H7LLS OF S7ONFBFTDGE 3RD (612) 571--0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
t=(JfJTING .. .
FftAMING DA
tN'%ULflTION F:CNAL
FIi2EPI.ACE
REMARK5: S F W CONTRACTOR -VALLEY pLBG
F-
L
Control No. 1290
?
J
PERMIT # REACTIYATE _
.
CITY OF EAGAN 13'',`.1q
1992 BUILDING PERMIT APPLICATMN----_\
681-4675 '99v :,; ;? lwu?
n,;1f_.) ii ?n
------------- I 't
SINGLE 8 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, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of manth in which re uest is made or lot chan e is re uested once ermit is lssued.
Uate Valuation of work $ (E;7,000
Site Address: I1Q C?bzfwe_\k 7D(;Q'fd
STREET SUITE 0
Tenant Name: (commercial only) ?E? RO}?Vjvj ?, T-()C-.
IAT BIACR ? SII `#(' P.I.D. M
Descri tion of work:
The applicant is: Owner Contractor ? Other coesortee>
Name -I_V-e_ v'j-?Iuytk C0-::r_/IC. Phorie 5?1-o?p
Property LAST FIRST
Owner Address ?;Zo 1E, K;VerRJ, 3o I
STREET SiE R
City State MN1 Zip 49y2 ?
Company Phone
COntf8Ct0r
i
Address License N 133S__ ExP•3 3
.
City State Zip
Architect/ Company Phone
Engtneer Name Registration k
Address
City State Zip
Sewer 6 water licensed plumber Uotfe\[ U ?0k'vt . Processing time for
sewer 8 water permits is two days once area 1'a een appr ed.
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.
0?
Si
t
f A
li
gna
ure o
pp
cant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
IR 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
3g GRo x 16 = /0,,2y0
0 11 Apt./lodging
D 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
? 16 Baspinerit'Finish
? 17 Swim Pool
? IS Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
?9 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YES
(Allowable) v-nr lst Fl. sq. ft. City Water YEs
UBC Occupancy 1j-3 M-I 2nd F1. sq. ft. PRY Required
Zoning pv R_i Sq. Ft. total Booster Pum p
N of Stories Footprint Sq. ft. Fire Sprink ler
Length 7 On-site well Census Code ioi
Depth 36' On-site sewage SAC Code ?i
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
O Wallboard O Final O Draintile O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % bD
SAC Units _L
v,imt;on: g 56, ooo-
GAaAVE; 3G x 22 = (o(oa.
2 x r o = (2c)
--_-?---
.??-
15?T'??oo4?
BsN+i =
) ??;r
Ptix7 =
)t 29c 1064
1Zkrq_ fbs
N4 X IJ =
161460
12yy .
?
I I - GG, S8G
? 26 53 - .
?5,??b
** '?' 4(
* PIOMELq
Certificate of Survey for; Thg Rott(und Com CJ!'1
? Nouse Address: f f ? C'
'mberwQ ( Drive Ea ?n MN
Madel Name: Madiso?
l /
?
?
r
lkf
?
,
z soan Der--- - .,,,y Eleyat,urr
490 Qenotes Proposed Elevotion
Denotes Drainnge & Utility Easement
Denates Drcinage F'Iow Direction --o- Denotes Manument
-a- Denotes Offset Hub $earings shown
LoT 1, BLOCK 1 HI
PROPdSED HOl1SE El.EVATION
Lowest Floor Elevation:894,75
Top of Block Elevation:902.86
Gnrage Slab Eievation:902.53
are assumed ?
_LS OF STONFRRfII(-
i hma DAKOTA COUNiY, IdINNESOTA 3 R1
br cartifv uat this wrvav, v?n o. reliori ,Nas P,ep,,,? by m¢ r under my direct
undar thf iav1q Of the Snte of Mlnnewq, pytiy tAk??y f L
Aw• l1=S9a. ?op???PUSr.aG E+?EdA'?ro A.D.
?
.S-Qale: ?a30?f ?
R[1RF
2412 gnterpriae oriW
Mendota Netghta, MN 55720
;512) 687-7814•Fox 681-9488
825 Hlghwoy 10 Nartheast
Elaine, MN 55434
612) 783-1880•Fax 783-1883
am duly Reqistered tand yy?Mya•
??
?
TG UKD G9 • DATE
41%
E ?D
PHONE
Determin vorkinr: square 1'ootv;e o1' ench.
1. Total exposed ve,ll erea sq. ft. x 0.11
2. Total roof/ceiling area sq. ft. x 8•026 = 32,1• .
c
oWN ER
crTE ADDSESS
CONTR4CT05
Totzl exposed vail arca nbovc floor
a. Total wall 4indov area ..................... 3'0 7. Sb
b. Total door area .......
............................ ??D. ¢ 'L ?
c. Total sliding glrss door area .....................
d. Total fireplece vall area .... ..--
e. Total vyll frarning area (average lOP) ....... .....
f. Total net vall erea above floor ..,...... 2240.
. ... . . .. . ZO 37. !o
B• Total rim Joist e-es ................. ........... .'Lrv
Total exoosed tni:ndation arca
h. Total foundetion vindov z:ea .....•. ??
................
i. Total net foundatgon a-ea iibove grade ............. .......
. • Detersnine "U" valce o; each vall .ec;ment.
. a. 30?.5$ Yo.q.Z - IZ 9. l8
b. G?. gZ X„U„ o,/3a _ 8,33
. .• c. -? X 'lU„
i
d. r_ X nuu
e., 2 2lp. 4= x-??U??
.
- r. ?0 37. Co X.,U.. o, 0 43 = 8 7• G(
. a. 2co 3, 2- X°?,°
h. ? o X„U„ a,
X .,U„
3 . .. . .. ...... .. ..... ... :. .. .. .. .... . . •r??.?, = 2 77 /
, ,.
If item 13 is the same as, or less !.ti:Ln iCera Ml, you nave met the intent
or ssc 6oo6(c)2.
• ? . - - .
FJC7'F.tiiOR }:NVF.I,f11•t: AvI•:t(nCi; "u" CnMT'fPPATIOr1
177t-
Totnl exposed roof/ceilinG nren
'1 . . - . . . . -_
Total gross roof/ceilinr, are:i % ?. Totel skylight area ..........................
k. Tota? roof/ceiling frz?ning erea.. - • • - • • • • • • • • / 2. ?• 7
1. Total net insulated roof/ceilinF area ........ // ??. ? Cs _ •
- Deterciine "U" value for clcti ruof/cci 1 inj; seF,?ncnt.
?•
. J. ?- x ?lUn x; X,.u,l o.pz7 = 3.4Z '
1, X„U., O. p 2L = 2?? a ?f . ............ ................:. Total
If total oP N4 is the same rs, or less than N2, you have met the intent of
sac 6oo6(c)1. . ,
To utilize the total envelope syste-- method, the values establi:hed by the
sum of items H3 and $b shall not be greater.thxn the sur., of iten:s N1 and N2.
1. + 2.
•3•, +L.
w ?
•:, .
0
?
_ . ... O . ° .
=?/kl.U? GA(-GUI-ATID? ?GaNT?.
LoMPaN ?r??
11= Rr?@? o-oc3
-TFAM5 WAu. G ?Tt,!D
c11
;J
.u
?
?
?
01,{TIE4M AIP f9ubt
- AjNINL .
??%z lNsu?A?l?rl•
CaQ
toM PaN ?NTS
- pWNN. view.
- ODs.
C
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C
C
C
C
152N5AT4-1 IN!, .
'L X D h1ij D (F7-pM
-: _ R - \IALU E
----- D,J? ._.- -
Iq.o •
-_---- p;Cc b -
FT,,? 23.oC =
- -- F?-VALU5
2,aU _
- ?,-?g-.----
°.
?--
_ ?' ?D p. ---- -
1, I cL?-
?AL
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?
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0
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?-??-?-? ? ? .
?ibINU-- -
?? j • -r?i?: ?;?M •
o --
?•Z:G
=._I?•_? .
? -?-f
2G ;T ?
??'?NP?T?N • .
,?zMf27 N?5- N?,7 ---
--
--?- - ?
`:'
,
c -- - ,
-__ ?. Lc_------ ,
,
? ?- i i : (?z,?,I
?
o.
'- ? o, ob:
.-
I-????'? ?-
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,
?%---
(D ---
c
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M..
? LLj.?Yi?FI?M=--
-?? 11- ..-
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--- F ? a ---
_..._=-c.-?'
_ ---o,?; -- -.
3-5-?-3----
U_? 5.?3 ? 0, 0 27
--
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-? ?? -?-- -----
-._44.g-
--?=45 - -
?_-
???-5:?_3____
? ,? = 0-022
?U 3
L? BL / p CITY OF EAGAN
.??/.1f,0)1kX17'?(?' PLUMBING PERMIT
SUBD
(612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT # ?O 8 '
DATE ?-
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: , o ?Ly" t( - -
SITE ADDRESS: l(V L a?bi:2.-..-c?l a2. ?
INSTAIL-ER: o r,-
nnDRESS: ED 1 v C 2,_,_ LL L--
CITY: ? U f e.? R• ZIP: ? S 3)?
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
t SHOWER 3.00 ?
3 WATER CIASET 3.00
a BATH TUB 3.00 G-
3 IAVATORY 3.00 5
? KITCHEN SIHK 3.00
? IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00
? FLOOk .^.4AIN 3.00
GAS PIPING OUT.
1 (MINIMOM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROVND 15.00
STATE SURCHARGE .50
TOTAL: S (?l
PLEASE COHPLETE 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:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
twD85SS :
CITY:
PHONE
FOR:
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. . .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
PAONE #: -t 4*)- 12 )
? a 930
CTI'Y OF EAGAN
L B
,?1?IECHANICAL PERMIT RECIIPT #
SUBD. ?J.f,ci 3 (612) 6814675 DATE // 3 3
RESIDEIVTIAL PLFi+SE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMIIY DWE[.i.IIdGS AL40, COMPLLtI'E FOR
TOWNHOMES/CONDOS R'HEN SEPARAI'E pERmIITS ARE RF,(QUIItID F'pR FACH DWII.LIIdG iTNIT.
OR'NER: FEES
STPE ADD ADD ON/AEMODII, (EIC[STIIVG
CONSTRUC170N ONLI) $ 15.00
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE ADDTfIONAL SO M BTU 6.00
ADDRESS: GAS OUTI.EfS - hffiVIMUM 1@ $3 EA.
Cn'Y. ZIP: SURCHARG& $ 50
SIGNATURE TOTAL: Sq??, ; jQ
l
l.
?..'OAUMCUT,
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIIINDUSfRU?L BUII.DINGS. AISO COMPI,EfE FOR
APARTMIIVT BUILDINGS OR OTHEItt MUI,TI-FAMII Y BUII,DINGS N'HIIV SEPARATE PERMITS ARE NOT REQUIItID FOR
FACH DR'ELLING UPiIT.
WORK DESCRIPI'ION:
f
CONTRACf PRICE:
1% OF CONTRACI' FEE.
STATE SURCAARGE IS $.50 FOR EACA
S1,000 OF PERMIT FEE.
PROCESSID PIPING - $25.00
MIxIIH[TM FEE - S25.00
OWNER:
STfE ADDRFSS:
7'ENANT:
SUI1'E #t:
INSTALLER:
ADDRFSS:
CITY:
PHONE #:
SIGNATURE
TOTAL•
FEES
S
S "
S
ZIP:
CITY SIGNATURE.
LOT BIIRVEY CBECRLIBT FOR RESIDENTIAL
? BIIILDIN PERMIT 71PPLICA IO
PROPERTY LBGALS
/
/
Date of Survey:
DOCDMENT BTANDARDB
?" 0 0 • Reqistered Land Surveyor signature and company
,0 ? • Building Permit Applicant
B/? . 0 Legal description
: Address
V North arrow and bar scale
13 ? • House type (rambler, walkout, split w/o, split entry,
'? lookout, etc.)
0
9 0 • Directional drainaqe arrows with slope/qradient 8.
V0
V0 0
0 • Proposed/exiating sewer and water services
• Street name
D/0 ? • Driveway
ELEVATIONS
Existinq
? ff/
rr"13 ?
? • Sewer service
• Lot corners
V '0 ? • Top of curb at the driveway
0 0 • Elevations of any existing adjacent homes
Proposed
H?? ? • Garage floor
• First floor
0' ?
0''0 ?
0 • Lowest exposed elevation (walkout/window)
• Property corners
Ci' 0 0 • Front and rear of home at the foundation
PONDING AREAB (if aDplicable)
? O'? ? • Easement line
o r a • - L
0 0 • Pond # desiqnation
0 C? ? • Emergency Overflow Elevation
DIMENSIONB
?0
" ? • Lot lines
H
? ? • Right-of-way and street width (to back of curb)
S' 0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (f.e. all
? structures requiring permanent footings)
0 ? • Show all easements of record and any City utilities within
, those easements
?0? ? • Setbacks of proposed structure and setback of adjacent
/ existing homes
? Q 0 • Retaining r iremen s, if any
- Rev iewed•
Name / 'Date
October 1992
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
I For Office Use I
? Permit#:
I Pertnit Fee:
I I
? Date Received: ?
I I
I Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I I3°1 q)tl SiteAddress: -7 1 " C?r.,,ji
Tenant:
Suite #:
RESIDENT 1 OWNER Name: V, ar: M.? ll e a Phone: (orI - 432 - 7 8
Address/CitylZip: '11u Ca? bvy?t\ c,
Applicant is: Owner k Contractor
TYPE OF WORK Description of work: S•?a? ?? I 1e
Construction Cost: Multi-Family Building: (Yes _! No X
CONTRACTOR Name: ?I2 e 0-. C ti?e r2 1 License #: Z a S`$ 3 2 Z?
Address: 3-6 S`a l3 t2 (-?-.
City: %'nv_ e ro?¢ 1,? c.ts State: t%A,0 Zip: STd '! fn
Phone: bC' 1- (s S d- (a 3 i° 9 Contact Person: ,v . C ???,-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cdt¢gOfy Submitted Submitted
(4 submission type) • Enerqy Envelope Calculations Submitted
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 Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents fhat you submit are considered to be public information. Portio»s of
fhe information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secreis.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or ' an and codes of the City of
Eagan; that I understand this is not a percnit, but only an application for a permit, and work is not to start witho a per it; that the work will be in
accortlance with the approved plan in ihe case of work which requires a review and approv s. X ? ??2 ? ,?1 \ 2 l?? x
ApplicanYs Printed Name ApplicaP t ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114955
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 710 Camberwell Dr
Lot:1 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-010
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 .
Ashley Harrington
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 -
Steven L Mueller
710 Camberwell Dr
Eagan MN 55123
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
411'
City of Eta
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Use I' 4(`l
Permit Fee: 11/ e ` 0
Date Received: to f c
Staff: /)
2016 MECHANICAL PERMIT APPLICATION
0 Plea e ubmlt two (2) sets of plans with all commercial
applications.
Data: 'f i'{' Site Address: '110 cQIM f/ -e r w atf
Tenant: i Suite 0:
Resident/Owner
Name: g\ LQ „P12— Phone: Ii_ ikqg `�'3
Address / City /Zip: 1 :I.,.IIt .._a.0 l �F , ..t.>i L, .► I".2
Contractor
Name: `AV< 1010/4, License #:
Address: b9* 1. , 0, City: Lgtl,.. Of11Ar►.
�1 b
State: Zip: 114I 11 Phone: -i
0 � Q
Contact rirli I Email �^^ ((�� ��
Type of Work
New R 1 cement Additional. Alteration Demolition
,
Description of wo : fla r NtC Si ��- C , 1.SK Q vNk2 KI-4—
NOTE: Roof mounted and ground mounted mechanical equ ment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
Futmace
COMMERCIAL
New Construction Interior Improvement
"r Conditioner
_
Install Piping Processed
_ Air Exchanger
— _
Gas Exterior HVAC Unit
_ Heat Pump
Under/Above ground Tank L Install /_ Remove)
Other
_
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State
includes State Surcharge
Surcharje 40,$100.00
= $ 00 TOTAL FEE
Residential New,
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
$75,00 Underground tank Installation/removal, includes State Surcharge
Surcharge = Contract Value x $0,0005
If the project valuetlon is over $1 million, please cap for Surcharge
= $ Surcharge
= $ TOTAL FEE
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 or work which requires a review and approval of plan
Applicant's ' rinted Name
Applicant'
Signature
FOR OFFIC USE
Required inspections: Reviewed 8y: _ Date:
Underground Rough In Air Teat Gaa Service Teat In floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168318
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 710 Camberwell Dr
Lot:1 Block: 1 Addition: Hills Of Stonebridge 3rd
PID:10-32992-01-010
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 -
Steven L & Kari L Mueller
710 Camberwell Dr
Eagan MN 55123--392
Snap Construction
8200 Humboldt Ave S, Suite 120
Bloomington MN 55431
(612) 333-7627
Applicant/Permitee: Signature Issued By: Signature