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719 Camberwell Dr 07/02/2010 FRI 10:43 FAX 6514378831 IM003/003 55,00 Use BLUE or BLACK ink - - - - - - - - - - - - - - - - - - I CRY of Eap ; Permit iv ~-t I 1 Permit Fee: 3830 Pilot Knob Road I I i Date Received: Eagan MN 55122 Phone: 651 675-5675 i I Staff: Fax: (651) 675.5694 t 2010 RESIDENTIAL PLUMBING }PERMIT APPLICATION Date: Site Address: -1I i (Q f UJ y" e- LK Tenant: R( &C rw 5- { a C/ Suite RESIDENT !OWNER Name: rmativu Phone: t pc J l `c 5q - 37 6 Address/ City / Zip: 1 2,- CONTRACTOR Name: ,D cA4' of A llw hI l I T C AP •:,'ILicense Address: 19 D~#V_. 'I i i7T City: State: -M JOL- - Zip: 65~2 S?? -Phone: ~511 Contact: eta.. to Gt Email: TYPE OF WORK New Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE LESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System ^ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or WaterHeater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali 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.gopherstateonecall_org 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./ x on x /GG/~ Applicant's Prin ed Name App rcant's Si ure r FOR Q)Gz;{~vf 4 e ~~R~s7°~~r zfbltip ~ c s ;ss t $ ~rzt ~ ^ .t. r ~ rw 1~aY _ ,Ci a rc ~'Y' 3 ,i! } y~ ~ ~1 S,• ~ Requfredrsspct,©rfs~ tfl~ per}+ct ~k~ i~ri ktl ry , t a~.s udU 07/02/2010 FRI 10:43 FAX 6514378831 Q002/003 Use BLUE or SLACK ink Permit # 1 <~p i City of non 1 I EaV I Permit Fee: i 3830 Pilot Knob Road i I l Eagan MN 55122 l Date Received: Phone: (651) 675-5675 I E Pax: (651) 675-5694 Statf E 2010 MECHANICAL. PERMIT APPLICATION Date: 12] 10 Site Address: I II I 0- &M GeV w e f I DY Tenant: ~ (-van vi -t 5~n&l f-I 1J Suite rc.a~ RESIDENT 1 OWNER Name: ~ouawn ne 510"n- !Q Phone:SI " Q S q Vrl 1 Address city zip:Y &LIC CONTRACTOR Name: 0!(011nOV PU&.12IZ~i 'se •W~{~5-H H Address: Ekh31(lin Aity: State: PU~ Zip: G~ Phone: Contact: Email: TYPE OF WORK New K Replacement Additional Alteration Demolition Description of work: I; V on t. , ^r Nil PERMIT TYPE RESIDENTIAL COMMERCIAL >I ' Furnace New Construction Interior Improvement / /Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under J Above ground 'l'ank C_ Install / Remove) -Other When installingfremoving tank(s), call for inspection by Fire Marshal and Plumbing Ins for RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL. FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Perml Fee is less than $1,000, surcharge is $.50. - - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1,00 surcharge). $ TOTAL. FEE CALL BEFORE OU DIG, Call Gopher State One Cali 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.aonherstateonecall.ora 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 ap roved plan in the case of work which requires a review and approval of plans. 4 x x Applicant's Printed Name Applicant's Sign t e y .c.N F~ ~ h,3 ~ ~yf rt. 2V~i1`.xt wY' f' yr .ire `'x''~li's. ~t7~`7 T r= ^ rrtrs~~t`~ M' ~'Fa, .P S 6 r>'', r - r. 4.f r q i ' ~ 1 s i; r t,( +Y ;a a c•.ai f 2e s:. .{•r-'`a'id ,,,,i~~ ~"`r~~~r'~„sa~ sy~ gia 4, x,~#,t~' Fs ~ x ~ 4~~ as f.s 4 ~ruR ~E Y.a.~~ ~fx' ~ ~d ~z`*"u r 1;` ~ ?.M "w~ • f 'k5} ! i"r" ; , -vn i sr ~`r + 7, INSPECTION RECORD -CITY CF EAGAN 1FaCT-TvtM FM_ DEM-07/12/03 PERMIT TYPE: r r 3830 Pilot Knob Road FURST LANCKkRK SLDRS. LIC#1992 I Permit Number: Eagan, Minnesota 55123 649-3135 Date Issued: -c (612) 681-4675 SITE ADDRESS: • „ , „ O) 1;14)11, 00,1 APPLICANT: r r i~f4ti1 i~ili f ! i~f:' ff~~ i I:rr ( 1 1 ffhi!~ r, rr I ilr !I f 4 1 ffl 'I rIP~F !ii? t 1)1tl ?i%1+ V~ r I r, i ~ S') :f•IR PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. f!' I! i rr i ;4A I i >:t M•', I.h F f it' I k ~i ,1 itl~ 'Ai l i t~ t't~ ' Permit No. Permit Holder Date Telephone • S/W/ PLUMBING HVAC ELECTRIC ~00 ~c ~C J J~ 9~ ~J ELECTRIC Inspection Dots Insp. Comments Footings I A ~g Foundation Z 7 Framing 1 Roofing n Rough P'bg. aZ' 3 -`D .4 1,C Rough Mg. Isul. ?-2 Fireplace Final Hig. ` Orsat Test _ 3 Final Plbg. Ping. inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final /O Deck Ftg. V Deck Final y Well Pr. Disp. L ` CITY OF EAGAN PERMIT TYPE: 10 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: 1 i I 1 f.l i : Iq F11 RldF l l f lr ! , + I ~ . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSIPTR. F L Permit Helder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Commsmts 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 Z? sip ~/~4 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I~ l RI ACMA38 FOR EIM-07/ 13/03 FUW LMU4= RM. LId 1442 694-3135 %efti f icate of cccu.p"M WU4 of Wagan Wevat+tacent of ZVOWS and otttiwn This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various k, ordinances of the City regulating building construction or use. For the following: Use Classification: SF ' ` Bldg- Pe7mt No. 2=3 R3/)4 PD VN Occupancy Type 1 Zoning District TV= COUSL UE RO owner of Buad;n MM 00 Il~ Address 5201 E RD, L > > F= Lit SIMMIKIDEZ -3W Bng Address Locality Date: 04/15/q3 Building Official POST IN A CONSPICUOUS PLACE 1 I Address 719 cM>{-raaeta. DRIVE Zip 5512 3 Lot • . T.1 Blk B2 Sub HILLS FO SIONEBRIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE ME OF THE FINAL INSPECTION. Date: Yes No Inspector: 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 L/ 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. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 01200/ 14 s Request Date Fire It o/ Inspectid squiretl? ❑ Ready Now pwill Re Inspector Ves [ No ( When en Reatly4 I'picensed contractor Downer hereby request inspection of above electrical work at: Job Address ISireet. Box or Route No.l City '1 \9 Sector, No. T wnshti Name m No. Range No. County Occupant IPRINTI Phone No. op ~a Power Suppler Atloress D o EIscV1 at Contractor compdny Name) Contractors License No. ` % -l1 _ 00.3 Mailing Aporess IContracror or owner 1a1mg Installation) Autnurizeb Sig :hre COmractonOwner Making Installation( Phone Number ' 3-3410 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlOway Bldg. - Room S-173 BE ACCEPTED BV THE STATE BOARD 1121 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (61216424800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION a Ee-00001 -oe ► See Insvaaons for completing this loan on hack of yellow copy. P "X" Below Work Covered by This Request ew-..Add Rep. Type of Euilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditions One, lsyecryi Contractors Remarks. Compute Inspection Fee Below: 0 s Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 1 Transformers Above 200 Amps Above 100mps Amps Signs Inspectors Use Only OTAL 5 Irrigation Booms V 5 ~ Special Inspection 'Alarm/Communication THIS INSTALLATION MAY BE ORDERED CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Data certify that the above inspection has Final Date g p been made. ¢ 3-7~ OFFICE USE ONLY The request void IS months from "I £ /tea v , 116 ' " 02 `S - ~ / 2 '91r Request Date Fire No. Rou in Inspection O Required? D Ready Now X' Wtll otity Inspect&19 e o ~es ENO C'j9rA -V IX licensed contractor ❑ owner hereby request inspection of above el trical w 4"0 =TownshipNa~'e ) Ci o. Range No. ry Phone No. Pow er Sup Address N . U-1 Electric.( C rector (Company Name) Contractors License No. zkt-~ Co 3 & Mailing Address (Contractor or Owner Taking Installation) - A.morbed S'.9moure IC.,tmcto,1Gw er Makin In allaoonl - Phone Number 1o3-3Fla MINNESOTA STATE BOARD OF ELECTRIC 6 THIS INSPECTION REOUEST WILL NOT Griggs-Mldw, Bldg. - Room S~173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION A, E"0001.08 See inaruglions for completing this form on back of yellow copy. li~ 0 J K 37 "X" Below Work Covered by This Request 1,, New Add Rep.11 - Typeof Building Appliances Wired Equipme Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace ' Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps D to 100 Amps S~ Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use only: TOTAL Irrigation Booms r y~` (gyp J'~ Q/)'i '1 7 Special Inspection /l7/ 1J ( (J j ~tl J Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNNOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in 0etW2 , certify that the above inspection has Final 0a1e~ 3/3 been made. _ OFFICE USE ONLY This request void 18 months from PERMIT CITYCIF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 0 2 4 3 (612) 681-4675 Date Issued: 01. / 2 0 / 9 3 SITE ADDRESS: 719 C.ArlHERWELL DR LOT: 0001 BLOCK: 0002 HILLS OF STONEBRIDGE 3RD P.T.N.: 10-32992-010-02 DESCRIPTION: Build.i.ng Permit: l`ype SF DWG Building t•.ioi k Type NEW UBC Occuparl y- R-3 11-.1. Construction 1--ype V-N Zoning PO Building Lungt.h 46 Building Width GZ Building -stories " REMARKS: RLCE1:11I # Ga~31~j s I.e w I'I-ISiL - VA I- EY P1_BC. FEE SUMMARY: VALUAI1.ON :i:I.A9,000 Bake Fee 1;Gj 1 .00 SCE1 LAPJEOl15 $a. x744-50 111,au Revluk) 5 1!:, fuial Feu $3,907 1.5 Slarchlarge :{:7!.50 SAC ;;760,00 SAC L00 SAC Urli.i.%, i uhtoL. al. 1.67.x;5 CONTRACTOR: ~llll.carli. - 5T. I 'COWNER: THE ROTTI..UND CO THC 15710304 00013:35 THE ROTTLUND CO INC 5201 L R1:VL:R RD 5201 E RIVER RD FRI1) LEY Nhl 55421 FRT0LEY NN 55821. (512) 571-0'04 (612)571-0304 1 hereby acknowledge that I have read thls application and state that the information is correct and agree to comply with all applicable State of, I*tll. Statuts and City of Eagan Ordinances. I /.u~ cv ~lnrle R,,~d ~ rnxl APPLICANT/PE ITEE SIGNATURE ISSUED BY. SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: RU :r. L D I N G 3830 Pilot Knob Road Permit Number: 0 2 0 2 4 3 Eagan, Minnesota 55123 Date Issued: 01 / 2 0 / 9 3 (612) 681-4675 SITE ADDRESS: I_OT. 0001 BLOCK: GUGAPPLICANT- 71.9 CAMBERWELL OR 1-11E ROTTLUNO CO INC H:I'I.I_S OF STONEHRIDGE 3RD (1,12) 571.--0'04 PERMIT SUBTYPE: TYPE OF WORK: SF 0 W G NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. F00T1:NG FRAMING INSULATION FINAL FI RFPI.AC,F RFNARKS: RECEIPT # & W PLIm - VAL1.1-,Y PLBG F ~I L PERMIT # CITY OF EAGAN $AWA6 REACTIVXTE' 1992 BUILDING PERMIT APPLICATION MW I9 ~ 681-4675 J A N 1 2 RECD MV93 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I 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 reested, but not picked up by last working day of month in which re uest is made or lot chquap a is re nested once ermit is issued. Date i~ / Valuation of work c5f O Site Address: -1 t4 Cr~v,~2rL~P1\ (~v'N'Ue-- STREET SUITE / Tenant Name: (commercial only) Faf+IU"d CO. 241G, LOT 1 BLOCK SUBD.H015.P P.I.D. N e Descri tion of work: The applicant is: Owner Contractor O Other (Describe) Name _me_ (Z~ ill v wnl Cv ,6cf Phone-57/r,63 09 Property LAST FIRST Owner Address _!~-2o1 Ce [Z\Ve(- PA ~"d STREET STE R City ~lflr0~~~~/ State J AA Zip S 2 Company _ c"V Q- Phone Contractor Address License # 133._ Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 4 Processing time for sewer & water permits is two days ce a has been proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE► ❑ 01 Foundation 1 06 Duplex ❑ 11 Apt./Lodging' Eft6 B'a eii I; Finish P-02 SF Dwg. ❑ 07 4-Plex 1 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 1 04 SF Porch 1109 12-Plex ❑ 14 Fireplace 1 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility 1 21 Miscellaneous WORK TYPE 4- 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual)' kIV Basement sq. ft. 8 z 6 MWCC System (Allowable) VAI 1st F1. sq. ft. -775-/- City Water UBC Occupancy R-_7,/.p-/ 2nd F1. sq. ft. /S 99 PRY Required Zoning Pp Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Q Depth s3 On-site sewage SAC Code ~L APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ,U Site Footing Framing OInsulation ❑ Wallboard ['Final ❑ Draintile ❑ Fireplace Permit Fee valmti~r,: s v~ C+~a Surcharge Loy Plan Review 2 (yak 3f1 ' License °r' SAC CWty SAC l ~X 2 J 37 3G 3,Y 20.3 , ~/54,~ Water Conn. Water Meter ' /Z~39o zp ~ Acct. Deposit ~-2 9, (e? I-53 ~3-G ~f3X~~ S/W Permit S/W Surcharge d OZ, Treatment Pl . Cpe lS Road Unit Park Ded. Trails Ded. z 3 0 Copies ~ 3) Other Total: 2 Z~},~ - X94 /Z SAC x lS 2+~zX~3,~61~3,z~ SAC Units S{gab * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 .K LAND SAWYdes - OVL f3Wmwm (612) 881-1914-Fox 681-9488 * ens nearing LAM I-Miierg • LMOSC+PE ARCW O 625 Highwaoy 10 Northeast Bloine, MN 55434 'K (612) 783-1880-Fox 783-1883 Certificate of Survey for: The Rottlund Company InC House Address: Camberwell Drive Eagan MN Model Name: Ea eton y~ r \ r r \ lit + Lb y~M \ 329° 8y SyK , t .4 f~b v (3 ~0 CA C~ 4t, 4# \ \ ; o~ cly~dr / ! X31 \ ,V 30 d% 0/ E A G e1~ / hq' 4P f '0 R V t W oP' so`bs ' 4J~ A.) C) sO . soo,o Denotes Existing Elevation PROPOSED HOUSE ELEVATION a o11.o Denotes Proposed Elevation Lowest Floor Elevation: 894.75 Denotes Drainage & Utility Easement Top of Block Elevation: 902.86 Denotes Drainage Flow Direction ---o-- Denotes Monument Garage Slob Elevation: 902.53 - a Denotes Offset Hub Bearings shown are assumed LOT 1 BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY. MINNESOTA 3RD ADDITION I hareby certify that this sur y plan or report me prepared by o or ntler my direct su lalon and that 1 am duly Registered Lard Surveyor under the laws of the Sum of Minnesota. Dattd ebb WIN day of A ' A.D. 19 SCaflC. li =3ofeet ROaEarik IRS[ 1,0 c. NO. 14991 LOT SURVEY CHECKLIST FOR RESIDENTIAL 21DILDING ~ / PERMIT APPLICATION PROPERTY .*M: 7 -s Date of survey: DOC NT STANDARDS F1~0 0 Registered Land Surveyor signature and company [dam D 0 Building Permit Applicant 0' 0 0 Legal description 0 0" D Address 0" D 0 North arrow and bar scale 0' 0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) D' 0 0 Directional drainage arrows with slope/gradient t. Proposed/existing sewer and water services H' D 0 Street name @'0 0 Driveway ELEVATIONS Existing ffi°`D~0 Sewer service 0 0 Lot corners w, 0 0 Top of curb at the driveway 0 0 0 Elevations of any existing adjacent homes Proposed D~0 ❑ Garage floor Br~ 0 0 First floor 0 0 Lowest exposed elevation (walkout/window) Q~ D D Property corners ~0 ❑ Front and rear of home at the foundation PONDING AREAS (i applicable) D 0,13 Easement line 0 Cr 0 NWL D 6" 0 HwL 0 0 Pond N designation D E) Emergency Overflow Elevation DIMENSIONS D' 0 0 Lot lines 0~ 0 0 Right-of-way and street width (to back of curb) E( 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) If' 0 ❑ Show all easements of record and any City utilities within those easements I) 0 0 Setbacks of proposed structure and setback of adjacent existing homes 0 0% Retaini ll r irements, if any Reviewed: N e / Darte! October 1992 FTE.itiOR ENVELOPE AVENAGE "U" comriI'ml*10H ~A-6, N QNNER SITE ADDRESS CONTRACTOR f TLC//tID l.O. DATE. PHONE Determin workini, square footage of each. 1. Total exposed wall area 24-00. sq. ft. x 0.11 = 2(p d,j~8 2. Total roof/ceiling area sq. ft. x 8,026 = Total exposed wall area above flocs = Z4~7~• ^o a. Total wall window area b. Total door area C. Total sliding glass door area 9r'l4' d. Total fireplace wall area z 4- e. Total wall framing area (average 101) / f. Total net wall area above floor ! Z 0.O g. Total rim foist area 3 Total exposed foundation area = 7z, h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall segment. a. Za8, z x „U„ or q-2 _ 87,4+ b. 3 S- Z I x "vll 4 13~ 5,34 C. -7 f, x lull a,-3 2-- Z 5-e x I-uyl d. 4- !9!-!l x..,U„ 0.oB k = 17,0 f. 17 Z,O, b¢ x ,.U,. o, 04- 3 _ 73, 5 g• /3~,.8 x "tr~ 4-041 = ~.(c~ h. 5, x .,U„ Q. L} to = -7. Z x lull -7, q3 3. .rot.rd = 23Z.5d o„ If item #3 is the same as, or less Lhan iLeca N1, you have met the intent of SBC 6006(c)2. r. Total exposed roof/ceiling area = l~ / ` ~J Total gross roof/ceiling area = Total skylight area q k. Total roof/ceiling framing area / 1. Total net insulated roof/ceiling area O 40 Determine "U" value for each roof/ecilint; se6ment. k., II7A5r X "U" ' O, a27 = 3r1$ 1, 5S X „U„ o, azZ 23,.35 • 4. Total = Z~`'• fi /y-- If total of #4 is the sane as, or less than N2, you have met the intent of ssc 6oo6(c)1. To utilize the total envelope system method, the values established by the sum of items N3 and 14 shall not be greater.than the sum of items B1 and N2. g• + L. _ 0 GAVUJ ICI ~GcNT~. f~AMr- WAU. O INht-II-AJICH LOM~ONt;r4~i . R-~IALU~ U -'b } e,~X bJC~ rc~ fn 2- - 3 ~4. - %l (N5ULA71cr1 19 . o 4 : - lyu &YP. ea. 0.45 . L Fp- -,P,_ at, = u ~ ~ ~ Or W Rr~L y -FF-AM5 WAUL C, ~'(UD LoMPONSNTg F- -VALUS C au 7105 Aid F9Ldl. - I 2 ~ _ n 3 3 ~~2 b x lxz.~ 0 2_ 4 QQ xuhlllD(F~AM) ~.-Ig.--- 57 Co' - p!-~N view U r o. I D (0.12AO.Obl)tl'o,SbXo.o43~ = O. 0¢7 ~ ~'':FI~ AIM ~IUIh. I•Ss O• ro Z 5 =i 2 O DIN~i- - - -0;.U2 . . . 04 30 I _ ' -0.o~7 I 2 1~~CCC -a)`"l.---- Os a!m- 63 k( r 0.027 u 5.83 I Q ,.0 - pPs1-Lid-__ f C4 :0,022 C>1-03-9C~ i SUMMARY REPORT Prepared For: Prepared By: Rottlund R. Thies Flare Htg & A/C MN Job Name: Eagleton A DESIGN CONDITIONS for OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 -25 72 72 Wet Bulb 75 67 Daily Range 20 Daily Swing 3.0 Latitude 44 Elevation 822 Safety Factor 5 Latent Factor 27 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Basement 13,606 190 1,586 80 Future Fam/Red 15,13 212 4,129 209 Dining Room 2,643 37 1,260 64 Kitchen 7,319 102 2,412 122 Dinnette 2,983 42 2,312 117 Foyer 3,933 55 1,996 101 Living Room 8,047 117, 5,799 29:• Master Bath 1,909 27 1,042 53 Master Bedroom 4,090 57 1,897 96 Bedroom 1 2,120 30 1,168 59 Bedroom 2 1,791 25 1,066 54 63,6~4 890 24,667 1,246 - HEATING DELTA T 65.0 COOLING DELTA T 18.0 t NOTE: Calculated Airflow is based upon load requirements. Verify that airflow calculated is compatible with selected equipment requirements. 01-U=-90 3.1 SUMMARY REPORT Prepared For: Prepared By: Rottlund R. Thies Flare Htg & A/C MN Job Name: Eagleton A DESIGN CONDITIONS for OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 -25 72 72 Wet Bulb 75 67 Daily Range 20 Daily Swing 3.0 Latitude 44 Elevation 822 Safety Factor 5 Latent Factor 27 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Basement 1:,606 190 1,586 80 Future Fam/Bed 15,133 212 4,129 209 Dining Room 2,643 37 1,260 64 Kitchen 7,'19 102 2,412 122 Dinnette 2,983 42 2,312 117 Foyer 0,933 55 1,996 101 Living Room 8,047 113 5,799 293 Master Bath 1,909 27 1,042 53 Master Bedroom 4,090 57 1,597 96 Bedroom 1 2,1220 30 1,168 59 Bedroom 2 1,791 25 1,066 54 63,634 690 24,667 1,246 HEATING DELTA T 65.0 COOLING DELTA T 18.0 NOTE: Calculated Airflow is based upon load requirements. Verify that airflow calculated is compatible with selected equipment requirements. PERMIT "r CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a U I L n I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 5 0 3 (651) 681-4675 Date Issued: @ 2 ' 1 @ . 9 9 SITE ADDRESS: 719 CAMBERWELL DR I-OT: i F.;1.0CK. 2 HIILS OF STONEPRTDGE 3RD P.I.N.: 10-3299:-@10-02 DESCRIPTION: REPLACE SIDING(FASCI 8yr'i1dina:_Perfl it 'ivIn e Si0R11 0A171A2 GuiIdinq 146H,'. TvDe R'r.PATR enSI 'ode 1134 Ai-'f RESTDI'IqT1AL -is REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant:. - sr. I_Ic. OWNER: CAPITAL SIDING & WINDOWS 15759205 2@053636 S1'A8B GORY 9673 WYNSTONE DR 719 CAMBERWELL OR WOODBURY MN 55128 E0,GAPI IvIN 56123 (61.52) 578-9205 (r1214S4-3704 her'abv ackncjwledge that I hive read this application and state that the iri0rm-'ti On i,; correct and aoroc to compiv with i1.1 ippli.cabic St,~te of Mn. Statute> and Citv of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE - ISSUED BY: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PH.OT KNOB RD - 55122 3 ®3 (651) 681-4675 New Construction Requirements RemodeVReoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured Md. design; etc.) ♦ 1 site surveys (exterior additions 6 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _q Nock y- ~ DATE: k CONSTRUCTION COST: ~ot e DESCRIPTION OF WORK: ,i Re 7EO -5'c -t o J'a S m U rIa e STREETADDRESS: -217 Cn ,berWe/J l ~b 1^Iy-e- pp r LOT: BLOCK: o~ SUBD./P.I.D.#: xQQi~ o oh ~VlnC V Name: _(~ta b I (1 rN go y # In -2 Phone 3 7 7 PROPERTY Last f First OWNER Street Address: ,:Zi 9 C 0 t,., b 1Pr r,l e 1 r0V City ECA State: m A) Zip: ' Company: C~Of1 'I na ¢ lnOf/a'15 Phone#: S( S-70- oS CONTRACTOR 1 31311/51 Street Address: 1f - WuNl t~n e 3rf u-2 License # ~~S36Expp " City Oo D State: M/1/ Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the informati correct, a a re comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: RECEIVED OFFICE USE ONLY FEB 0 9 1999 Certificates of Survey Received Yes No BY: Tree Preservation Plan Received Yes No Not Required j CITY USE ONLY / ISO q-0 L 1 BL ~ J RECEIPT#: 1.~/(G'c~gbr~ SUED. {-fll( of S+orie6nGll~C, ~yd RECEIPTOATE: J PERMIT # I 7 2000 PLUM$IN6 PERMrr (RESIDENTMAL) CITY OF EAGAN 3830 PILOT KNOB RD BACiAN, MN 55122 651-681-4675 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 Alterations to existing dwelling -minimum fee ~~k~e _ c r k I l0wCr $ 30.00 Describe: iA Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC Iic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 > > - > $ .50 Total > > - > > $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - read 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 applicants 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 activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS:X / / C l1 V e~ w~ OWNER NAME::( k40 S Sr4,p 6 S TELEPHONE (AREA CODE) INSTALLER NAME: fwd TELEPHONE Ps- S~5 S- n STREET`ADDRESS / S-Z `7 &;1-;5-7- (AREA CODE) CITY: y ~✓J t/1/! N(' 1~. ST~ IP: /o` d ~Zllo IGNATURE OF PERMITTEE 3lfflF'iw4 au*`Y.w`.3~~ ~i;'~ ~9sxQa "a fb id y`~3``~r<3'e~'t ¢~s ky~.h'AL~k. .'~y s43Qar af~'~<~sx' kyki r z.¢ y 'k 4 ea"y .ck>.. i{:GZ 9U Q~ k .A `a 3 3 Y+.t t k k b baA< 9v t~. °.~t 2 >T:: .~:d'.6-.:. a 3Q' k ~ Lk' 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIRTURES FACE. TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum • t 3.00 ROUGH OPENINGS `t'P.TER SOFTENER 15.00 PRIVATE DISP. • Daixty. lic. U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to costing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: / d SITE ADDRESS:_ _-7/ 9 C~ °'7 "o- 41'a(~ ~fiyL~ ' ' 1r OWNER NAME: INSTALLER: ADDRESS: Ion n? ,on, i "l S o CITY: 4~O . STATE: A221 A117lr ZIP CODE: s a PHONE (ys 22 q / SIGNATURE OF ERMITTEE REACTIVATE _L RECEIVED CITY OF EAGAN PEP,MIT 1993 BUILDING PERMIT APPLICATION J U L 0 7 1993 681-4675 SINGLE & MULTI-FAMILY 2.sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l.set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 2 / _'7 / '73 Valuation of work ~K) n Site Address: -7 l`I - ~lJNr G6 J n PPi D zc'O STREET SUITE # Tenant Name: (commercial only) nxQ h9 zr S%rFFf6_ LOT BLOCK SUBD.~~ 34 1 P.I.D. # Description of work: Lo.,) S t(&u be /6 Ix 2 ' C ax The applicant is: ❑ Owner ❑ Contractor ❑ Other (oaccrlbe) Name 5-J41;4 '6>C'g Hl nl c5- Phone Property LAST FIRST Owner Address l STREET STE # City clrrlinJ State zip Company F~~ rI-A1,11d?/lIg1/t1 Phone 1n~9- 3/35 Contractor Address [ol/- -51V.,~Lei4 l4a~Sa License # )V%'Z Exp. City State M11 I A Zip S ' Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this-aulication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc.- ❑ 10 Multi. Add11. 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE td 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length A0; On-site well Census Code 3c/ Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site .,Footing ❑ Framing ❑ Insulation ❑ Wallboard J9 Final ❑ Draintile ❑ Fireplace Permit Fee G valuation: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 2422 Enterprise Drive Mendota Heights, MN 55120 PIONEER LAND a , aVL tNOMMts (612) 681-1914•Fcx 681-9488 eng neQring w+0sc, ~rta9t[c15 825 Nighrioy 10 Nortneoat * * * * Blaine. MN 55434 (612) 783-1880•Fox 783-1883 Certificate of Survey for: The Rottlund Company, Inc House Address: Camberwell Drive Eagap MN Model Name: a on IK~~'~jy / \ o S y- < Qo, \ N 0.3' ~l3,, A^. F~1j~J l,+hl(„ 5\ o fie 0r~~~S' / 6> ~ IV 'o; \:o\ ~•ir 4ti ~ / / Ott ~a / , 2 7R \ \ W 30 1a6 ' P% G R E t E W g D NV /f 'y 9- DAB / ~ GPI . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION xFN~ Denotes Proposed Elevation Lowest Floor Elevation: 894.75 Denotes Drainage & utility Easement Top of Block Elevation: 902.86 Denotes Drainage Flow Direction P --o Denotes Monument Garage Slab Elevation: 902.53 Denotes Offset Hub Bearings shown are assumed LOT 1 BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY. MINNESOTA 3RD ADDITION 1 hereby certify that this survey, plan or r"art w~aay ~pnr~apered i, a or ceder my direct m rv9lon and that I am dui under the lawn of the Stan at Minnesota. Dated this 6-1 dry of A n Y Registered te^dSurveyor A.D. 1912. Scale: 1- inch- feet zR009AT 8, IKI G. NO. 1a991 ++1~yy~t A u s1. ,+,r, ^an ,s~&~.:'u?.~"'y aCa¢ yK,..~6 - w §Y` ' . aa~rA~x'? F.: 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN SS122 (612) 68IA675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - - - - - - - - NO. FIXTURES EACH TOTAL l SHOWER 3.00 WATER CLOSET 3.00 I ~ BATH TUB 3.00 2 LAVATORY 3.00 KITCHEN SINK 3.00 3- LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 1 FLOOR DRAIN 3.00 - i GAS PIPING OUTLET • minimum • 1 3.00 3 - _ ROUGH OPENINGS 1.50 - WATER SOFTENER 5.00 PRIVATE DISP. • Uak.cty. tic. 15.00 U.G. SPRINKLER • home under cons,. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: -41-00 SITE ADDRESS: -I m t ✓ c 0'2, S OWNER NAME: C-f INSTALLER: Va 1(c , C. '17- ADDRESS: C o l t7 0 t~ lC L CITY: STATE: V`1 ZIP CODE: PHONE ( ) _a ~a SIGNATUR F PERMIITEE ..M x3 ;&dx''' et ~ 3x.,~q, Nd^z) ~ »aTxZ° n ~z"zp'3~'nx. ~ s ~ c i~ ~,a e : x`+^ t 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE _ 0~\l FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONsTRucriON) $ 15.00 STATE SURCHARGE SD TOTAL SITE ADDRESS: OWNER NAME•`~~l~~\A TELEPHONE INSTALLER `°e 1nw a &M 111!! ADDRESS: 9303 Am NL CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMI TTEE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT B . 55122 651-681-4675 New Construction Reaulrements Remodel/Repair R uir `r ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and gll roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam d window sizes; poured fnd. design; etc.) 1 site survey for exterior additions L decks ➢ 1 set of energy calculations D 3 copies of free preservation plan I lot platted after 7/1/93 DATE: -7-L`t- clI CONSTRUCTION COST: 3d~ m~ DESCRIPTION OF WORK: "'OM4 2~c ~0$wPQ_ odd e-2~0v~i Vt,9 c>•c¢a STREET ADDRESS: L~ CCLwu C~ DnLpI n n ~A -4A, W.1&p) d 2 LOT: / BLOCK: SUBD./P.I.D. J Name; F"awui-, S&L&h Phone PROPERTY Last First OWNER Street Address '7 V9 0-4-.,A6A-1-f-f i City m y' State: t4k) Zip: Company: 7wn1i' O-4 CCa Phone 619 - 535' q,57,5- (area code) CONTRACTOR 2~, ~,,~ll aN/ Street Address: PU I~ x K••) 5Z3 License # Exp. City PU A41OL44 State: MA] Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer R water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of,Eogan Ordinances. / Signature of Applicant: rZaa ' l l~ OFFICE USE ONLY Certificates of Survey Received r Yes - No Tree Preservation Plan Received- t. Yes - No Not Required IONEER 2422 Enterprise Drive Mendota Heights, MN 55120 ^9 ns~er>tng °"st,,a~ ~0"R°rs (612) 881-1914•Fox 681-9488 CSWE AROa7[C1S * * 825 Hlgh-cty 10 Nertheaet Blaine, MN 55434 Certifico#e of Survey for. (612) 783-1880•Fox 783-1883 11 O tl u n d Inc. House Address: Company, w I Dr' Model Name: a on JK. 4-4 Cb v/ X, C t1\~~ M r 6, 1 6CQ to `rycP_~ ti t'3 .4r - .30 Jj 5'1 Vol / AGAR, D a^ \ / h~ a F, It 000.0 Denotes Existing Elevation / x<lftaj Denotes Proposed Elevation PROPOSED HOUSE ELEVATION - - - Denotes Drainage & Utility Easement Lowest Floor Elevation:894.75 Denotes Drainage Flow Direction Top of Block Elevation: 902.86 -o-- Denotes Monument Garage Slob Elevation:902.53 -I Denotes Offset Hub Bearings shown are assumed LOT 1 BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 1 Mraby Crv that this WreY. oleo oRport 3RD ADD I TI Q N w"tt Prtpend by • ar nder my A.D. dirett su19 - I IslOn end that I !m dui under iM I*m of the stet of Mihnalota, Dated this st;pdeli of A Y, Y flegisp I Land &Tveyer , Jf sale: ih ee ROBERT B, IKIC L?!-;"G. NO. laalll 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAN 3830 PILOT KNOB RD - 55122 ~U 14 v O ~ Lzs 851-881-4875 New construction Reaulremenh Remodel/Reoair Reaulfe"W 3 ~3 3 registered site surveys showing sq. R. of lot, sq. lt. of house 2 copies of plan and gi) rooted areas (20% maximum lot coveroas allowed) 1 set of energy calculations for healed additions D 2 copies of plans (show beam A window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks D t set of energy calculations 3 copies of tree preservation plan If lot platted offer 7/1/93 7 DATE: CONSTRUCTION COST: Z 7~LJOOgg DESCRIPTION OF WORK: ///gym h.T t iiv r 1( ( f STREET ADDRESS: -/o /ht3 .~LIv~~J/ e/ L LOT: i BLOCK: SUBD./P.I.D. C Q k~ C7 ( ~'1ClY~R_V -J A--3 x 3 Name: SLR Phone A: PROPERTY Last Flfst-j OWNER f Street Address:--7/(? City ~e✓ State: If l r J Zip: 37 ~~7 D Company: 16yee l ,141 I GP 7' ~f~37 t~ Phone S-/ (area code) CONTRACTOR Sheet Ad/dress: 17S'-0c ~ (tom H f°nit< License 11 -3 z E.P. .3 2/ - Of City g11-1W5state: Nth zip: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Sheet Address: Registration City State: Zip: Sewerlwater licensed plumber (N installina sewer/water): Phone M I Hereby acknowledge that I have read this application, state that the infomwlbn is cor and to comply with all appAcable State of Minnesota Statutes and City of Eagan Ordinances. ' Signature of pp cant. OFFICE USE ONLY Certificates of Survey Received _ Yes No N 22'- Tree Preservation Plan Received Yes No Not Required A OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 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 Mufti ❑ 04 02-plex ❑ 10 08-plex pjr~ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg K-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 0 k # of Stories sq. ft. No. of Units 0 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 Planning Building G Engineering Variance Permit Fee 0.5 d Valuation: $ Z s o a Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: 6 G . S 0 SAC Units % SAC PERMIT City of Eagan Permit Type:Building Permit Number:EA114600 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 719 Camberwell Dr Lot:1 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-010 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 - Gary J Staab 719 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA140766 Date Issued:01/19/2017 Permit Category:ePermit Site Address: 719 Camberwell Dr Lot:1 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Gary J Staab 719 Camberwell Dr Eagan MN 55123 (952) 567-1959 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature 60,00 Use BLUE or BLACK Ink 1 For Office Use,,// Permit#: /4073-5-7 Cityof Eaau RFCr71VED Permit Fee: (.0® ' 3830 Pilot Knob Road JAN 1 b 2017 Date Received: v3 (047 Eagan MN 55122 Phone: (651)675-5675 Staff: Fax: (651) 675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1/19/2017 Site Address: 719 Camberwell Drive Tenant: Suite#: Reside Owne Name: Roxanne and Gary Staab Phone: 952-567-1959 Address/City/Zip: 719 Camberwell Dr, Eagan, MN, 55123 Name: Window Concepts of Minnesota License#: PC64471 I 291 Eva StreetCity: Saint Paul Co tractor Address: State: MN Zip: 55107 Phone: 651-604-8267 contact: Tim Andrew Email: tim.andrew@windowconceptsmn.com New Replacement —Repair —Rebuild —Modify Space _Work in R.O.W. TyPeptWgrk —Description of work: Replacing Shower pan,wall surround and existing shower fixtures,no plumbing changes neccesary. RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/—PVB) Perm tl<T ✓ Add Plumbin Septic System 9 Fixtures(1 Main/—Lower Level) —New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gooherstateonecall.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. XTim Andrewx % _ Applicant's Printed Name Applicant's Signature :, t ll a 11, Ia AGI 1° abi � f� �1; 1 �9 E y c mI, It t { , it ,1K ti € ��II !�I mo ) -. ough— t.,11trel a i l tr f �as T st. _ r +.. : n _ -! r i s �([3s Elra 4 t Ef a o )lI �t�I�as �r I' '', i .. ,[r �$ oolilt Ip 1,t 1 qil �jo G7 _la 1#�,."€ '�. } kt 2-5 � P ..: F �*`G]3a 1 ._3'1 iz �t IriiiilG._ . .�,�:3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164107 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 719 Camberwell Dr Lot:1 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Gary J Staab 719 Camberwell Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature