723 Camberwell Dr
t. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ► ► ra~~
3830 Pilot Knob Road Permit Number: 7 ►
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
tit I 1 I'!' I I tl!
PERMIT SUBTYPE: TYPE OF WORK:
It It
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i;~ '~t f11 I~'►i ~ lld;il
i
- - - - - - - - -
Permit No. Permit Holder Date Tekphone N
S/W
4 PLUMBING
HVAC
ELECTRI V11911! 6
ELECT W.10'?Ar'
Inspection Date Insp. Comments
Footings I
Foundation 6 . q3
Framing ! (lL+~ G/J .I-✓~F SsW'L'r 7xv3t~
8 S (~v uPP= =!l 3'
Roofing
Rough Plbg.
7 a/
Rough Htg. dj~
Isul. ~O
Fireplace
3
Final Htg.
Orsat Test
Final PIbg. + if Plbg. Inspector - Notify Plumber
Const. Meter,
~
Engr./Plan
Bldg. Final ~O-Z 3
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: JAI } t I- I (--Is.
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: }
(612) 681-4675
SITE ADDRESS: r t 14 t" 0 0 APPLICANT:
:~rtt;t t:t,r> r t tE,: s} t i i .,r,t ~ r~+t t t
Ii t ! t . nl , i i~hJt ttir t t~t,t ct?IE ? E, L .i fi'~ 1 1'E r t9
PERMIT SUBTYPE: TYPE OF WORK:
li I } 1:r I( Iqt , fhi t i[;'. r 1llr~ i
INSPECTION INSPECTION TYPE DATE INSPTR.
7- Elflf,}i ~ r1 i } it15}
I
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
AIR TESTCE~
FINAL PLBG
FINAL HTG
ORSAT
I TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: tt r•t
3830 Pilot Knob Road Permit Number: t'' I
Eagan, Minnesota 55123 Date Issued: c► r '
(612) 681-4675
SITE ADDRESS: APPLICANT:
r fait
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
F
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Mg.
Orsat Test
Final Ptbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 1
Deck Final r7
Well /J
Pr. Disp.
W fica#e of cccupanc~
4R1 of 'M
Teparlmold of S~ 311010tefin
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
A
ordinances of the City regulating building construction or use. For the following:
uSC Classifkafion- SF DWG ate. 21571
r~ic No.
R3/141 PD VN
Oc-pa-y Type o at a IM >mIZLM 60 DC 5201 E RIVER ED, ERB= Addmu - 3M
sillWmg Addma 723 L DRIVE [MIS OF S1MBRIDGE
Dae:
POST IN A CONSPK X)US PLACE
Address 723 CRIE94ELL DRIVE Zip 5512 3
Lot 2. Blk 2 Sub HILLS oP SIMBRIDCE 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) b1
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 shutoff 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 installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
- 5 00
~~rs019 66 6
Request mDate Fi No. Rou in Inspection TICE: You Must Call Electrical Inspector
V ^ b Re - etl? It A Rough-lb Inspection
Yes ❑ No Is Required.
I Ikeensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box r Route No.) City
R. 3 IVY \1/1
Seth n No. Township Name or No. Range No. Go%44&
Occup t(PRINT Phone No.
ZPower $applier ' Address
Electrical lL`\/1 ntractor Company Name) Contractors License No.
oDfBJ
Mailing A dress (Contractor or ner Making Installation)
Authorized Signature (COON for/Owne ing Installation) Phone Number
♦
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 ~q BE ACCEPTED BY THE STATE BOARD
1621 Unlyersi y Ave., St. Paul, MN 55100 ~f/~%Q //C[ • UNLESS PROPER INSPECTION FEE IS
Phone (612)"2-0800 ENCLOSED.
Cf f~/CQ REQUEST FOR ELECTRICAL INSPECTION lF EB-ooaol-oe
; ~7C G
/~/qd(~ c Ii See instructions for completing this Tom on hack of yellow copy.
,r~?e7 6 6 "X" Below Work Covered by This Request p(V ..J
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
up
Dlex Water Heater Electric Heating
Ap[. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/ Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspector's Use Only TOTAL
Irrigation Booms
Special Inspection J •G
Alarm/Communication THIS INSTALLATION MA B •ADERE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, the Electrical Inspector, hereby Roagh-.n oat.
certify that the above inspection has Final oat.
been made.
OFFICE USE ONLY
This request void 18 months tram
a ro yrd °o
Request Date Fire No. R 4n Inspection NOTICE: You Must Ce ctrcector
Re fired? is A Roughln o
Ves ❑ No s Require I if CW-V
I licensed contractor ❑ owner hereby request inspection of above ele cal work
Job Address (Street, E~j or Route No.) city
a
Section No. Township Name or No. Range No. C My
Occu Phone No.
1tPRlp~
Power Su I Address
Electrical{{{//,Contractor (Company Name) 7tredo7nse Nc.
Mailing Address (Comtr.{yYSlr~(jynaSCIftt%lyi.n)IN0. 4 w~'
1 ~ -22 C ST. w.,TN. MN 55M*
Authorized Signature ( ctor/Owner ing Installatio Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 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 JEe-00W1 C08
p~ ► See instructions for completing this form on back of yellow copy. J3a5 5
M 02078 ='X" Below Work Covered by This Request
ew'Add Rep. Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
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 sr, O 0 to 100 Amps D
Transformers Above 200Amps Above 100Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms y,~l ~ (pQ
Special Inspection r6 H ~ d T -'J ( / C.~
Alarm/Communication THIS INSTALLATION MAYBE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, the Electrical Inspector, hereby Rough-in ate
certify that the above inspection has final IZOI
Dat% ~T
been made.
OFFICE USE ONLY
This request void 18 months from
CITY OF EAGAN L6 3830 PILOT KNOB RD - 55122 NO Q4r
1996 FIREPLACE PERMIT APPLICATION v
r, 681-4675
DATE:
DESCRIPTION OF WORK: _ INSTALL NEW FIREPLACE: - WOOD BURNING _ GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER: ins fw(I Ga s Snssv-t vw o Fi, ~ir~plwc2
AREA TO BE INSTALLED IN:
STREET ADDRESS: C t , 6e w j- K
LOT BLOCK L SUBD./P.I.D. '
APPLICANT: (circle one only) OWNER CONTRACTOR
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.
PROPERTY Name: JA ~i E 6 loan IPif- Phone W-LD703
OWNER MT
Signature:
StreetAddress•7a sn ~f k) L
City: Ft.G c State: & Zip:
FIREPLACE Company: ACG Phone* '/-5/' 197/2
INSTALLER
Signature: A, J
l
Street Address: 1200 q+-x -.S License 2-q
City: State: J4- Zip. S 50
GAS LINE Company: sc~rrc Phone
INSTALLER
Name:
Signature:
Street Address-
City: State: Zip:
PERMIT c- 15
4 -11 CITY OF EAGAN Lj - a 9 Lk
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023451
(612) 681-4675 Date Issued: 04/28/94
SITE ADDRESS:
723 CAMBERWELL OR
LOT: 2 BLOCK: 2
HILLS OF STONEBRIDGE 3RD
P.I.N.: 10-32992-020-02
DESCRIPTION:
Bu,ildingLPermit Type DECK
Building Work Type NEW
i
L~JP
v
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
JOYCE MICHAEL
723 CAMBERWELL DR
EAGAN MN 55123
(612)681-9422
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/PERMIT E SIGNATURE ISSUED B NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 023451
Eagan, Minnesota 55123 Date Issued: 04/28/94
(612) 681-4675
SITE ADDRESS: LOT: 2 BLOCK: 2 APPLICANT:
723 CAMBERWELL DR JOYCE MICHAEL
HILLS OF STONEBRIDGE 3RD (612) 681-9422
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FINAL
F-
L
CITY OF EAGAN f~CsC~uM J)
1994 BUILDING PERMIT APPLICATION
234-51 681-4675 2
. -I- ~f~ o o
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, 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 `j / : Valuation of work /YI14T~XII4&5 OAILV
site Address% 2,23 ~A/YIF3E WEB 1D/Q/VE-1 6_19(;;i Al, M/%), S5/~?3
STREET SUITE #
Tenant Name: (commercial only)
LOT a BLOCK a UBD. f~lLLS 69 P.I.D. # /0_ 3a 99 -oa0-oa
5°' N I CE 3
Description of work: DEC'-
The applicant is: Owner ❑ Contractor ❑ Other (Describe)
Name ._D ~Z Cge, %YI/C°HHEZ- C. 41nk?/R!ZZ- Phone 461-9Vaa
Property LAST I FIRST i
Owner Address 9073 a1j-/ 0e,?WELl- DR/I/E
STREET STE #
City State Al Zip 5f-1073
Company Phone
Contractor Address License # Exp.
City State Zip
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 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:
• 2422 Enterprise Drive
Mendcto Heights, M14 55120
P,®NMER _ Liu wNVI,(0R CIVIL ENU Ea~N= (612) 681-1914•Fax 681-9488_-
x, _ - Y. _ :.._.x LAND PLANNERS • LANDSCAPE ARCHITECTS ~.-~~s_v - - 2
E:r~glne~ir>tng 625 Highway 10 Northeast
' Bloine, MN 55434
* * (612) 783-1880•Fox 783-1883
Certificate of Survey for: The Rottlund Company, Inc.
House Address: _ Camberwell Drive. Eagan, MN
Model Name: Hampshire
Customer: Joyce
/
qo'
1/ ~GS.Qi 1
SS
OX
!
9d.1 ~yo .3
00 ~ /
~O4 \ 2 F +S\ / / /
C, LIP ~A/
10
9:
\ 3G'JtG / V
C 99 ~ r\ V ~ / O~
q V`
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS Attu DRIVEWAY DESIGN
THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS /
T ~t OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. E niAbl j:fl (3 NEE IN(
i
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
.'9~J Denotes Proposed Elevation Lowest Floor Elevation: 894.45
_ Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevatian:902.56
-o- Denotes Monument Garage Slab Elevation: 902.23
-e Denotes Offset Hub Bearings shown are assumed
LOT 2 , BLOCK 2 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3RD A D D I TI O N
1 hereby certify that this survey, 'plan or report as"~p~ Bled Lyn or under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this-tl Aj day of A.D. 19 1
Scale: l!nCh=30feet OBERT B. SIKICH L.S. RE !N0.14891
PERMIT
CITY OF EAGAN u
3830 Pilot Knob Road PERMIT TYPE: BI DING
Eagan, Minnesota 55123 Permit Number: 021571
(612) 681-4675 Date Issued: 07/27/93
SITE ADDRESS:
723 CAMBERWELL OR
LOT: 2 BLOCK: 2
HILLS OF STONEBRIDGE 3RD
P.I.N.: 10-32992-020-02
DESCRIPTION:
Building-Permit Type SF DWG
,Building Work Type NEW
I-'UBC Occupanc R-3 M-1
ConstructionyType V-N
/ Boning - PO
/ Building Length ) 54
Building Width 36
Building stories 2
~`t n
REMARKS:
S & W PLBR - VALLEY PLBG
FEE SUMMARY-
VALUATION $148,000
Base Fee $807.50 MISCELLANEOUS $1.744.50
Plan Review $524.88 Total Fee $3,900.88
Surcharge $74.00
SAC $750.00
SAC % 100
SAC Units 1
Subtotal $2,156.38
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ROTTLUND CO INC, THE 15710304 0001335 THE ROTTLUND CO INC
5201 E RIVER RD 723 CAMBERWELL DR
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.
L
APPLICANTIPERMIT E SIGNATURE ISSUED BY. SIGNATURE ~
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021571
Eagan, Minnesota 55123 Date Issued: 07/27/93
(612) 681-4675
SITE ADDRESS: LOT: 2 B L O C K : 2 APPLICANT:
723 CAMBERWELL DR ROTTLUND CO INC, THE
HILLS OF STONEBRIDGE 3RD (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION TYPE ,DATE INSPTR. INSPECTION DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR - VALLEY PLBG
I~ ~II
IL J
REACTIVATE _ E~~ c_ CITY OF EAGAN oY~
P!7f # 1993 BUILDING PERMIT APPLICATION 3 ~Q~ I - 2 U 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 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 Z / l Ca / 9 "2 Valuation of work 3 5 0U
Site Address: 723 (fLv ber'we~~ ~r'iv~o_
STREET SUITE R
Tenant Name: (commercial only) -71\e-?.o-1-4AtjF%<, Co. nL•
LOT BLOCK 2 SUBD. P.I.D. N
i Its aP Slw.ebn• ~3
Description of work: Stn l~ iw~
The applicant is: wner Contractor ❑ Other (Describe)
Name '-T-1A g_ 2 o +-~-tyx j C.;O. Phone 5? f -o 1ro,~
Property . LAST FIRST
Owner Address J~2oi 4E • ~~ye~ Q~• 3°I
STREET STE r
City State MA Zip q,54V
Company fie- Phone
Contractor Address License # I335_ Exp.
City State Zip
Architect/ Company LhL= Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber 6 ' Processing time for
sewer & water permits is two days once ar a has bee n-- 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:
OFFICE USE ONLY
BUILDING PERMIT TYPE ,
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 14 Bale' *ish
,U 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
U 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) W Basement sq. ft. 109z MWCC System
(Allowable) I e _ 1st F1. sq. ft. City Water
UBC Occupancy K-3 Ai_ 2nd F1. sq. ft. 3/ PRY Required
Zoning b Sq. Ft. total Booster PUN
# of Stories z_ Footprint Sq. ft. Fire Sprinkler
Length 55~_ On-site well Census Code
Depth 34,33 On-site sewage SAC Code dL
APPROVALS %
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
ID Site E0 Footing ® Framing 0 insulation
❑ Wallboard ® Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: ~O
Surcharge 3se.*
Plan Review Z d )k Z
License
MWCC SAC _
z Z e /5/
City SAC
Water Conn. l~9 2r1 / 164780
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit 2¢'L /apz : 031,rl0?~
Park Ded.
Trails Ded. z b Z
Copies x~6 =/Sz
Other 1--
Total:
y> 6 80
SAC %
SAC Units
2422 Enterprise Drive
Mendota Heights, MN 55120
PIONEEF! LAND SURVEYORS'- CIVIL ENGINEERS (612) 681-1914•Fox 681-9488
engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast
Blaine, MN 55434
* * (612) 783-1880•Fox 783-1883
Certificate of Survey for: The Rottlund Company, Inc.
House Address: Camberwell Drive, Eagan, MN
Model Name: Hampshire'
Customer: Joyce
/
AO 1-Y
os.0
s / \y
04
\ ~Sl RS"
2(P^ \ \ 9ol.OG
IOD'
\ oo N
~mD\\ 899.4
N3. \ 'F \ GPI 01 > J ~4
I 'P¢i \ ~ 4J aly~ \ ryb / A
3 ~pte q~.{- QQ~oayQ~.Q~ s~ ~,a° / ~y.09 /
24 O Y J
s6" O \ -
. 99.8 \ / ~ ~ n' y a O\
g
19
B9& a
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS AND DRIVEWAY DESIGN
THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS
OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. / EAGAN b;jyA;EE• IRTG
A 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
= 9oo.n Denotes Proposed Elevation Lowest Floor Elevation: 894.45
Denotes Drainage & Utility Easement LTopowes8loor Elevation' 902.56
Denotes Drainage Flow Direction
--a- Denotes Monument Garage Slab Elevation: 902.23
--E-T- Denotes Offset Hub Bearings shown are assumed
LOT21, BLOCK 2 HILLS OF STONEBRIDCE
DAKOTA COUNTY, MINNESOTA 3RD ADDITION
I hereby certify that this iurvey,'plan or report was to a,ed by or under my direct supervision and that I am duty Registered Land Surveyor
under the laws of the State of Minnesota. Dated this -L4* day of u der
A.D.-19 _ , '
Scale: I a n ch=30feet
OBERT 8. SIKICH L.S. RE . NO. 34891
Q LOT SURVEY CHECKLIST FOR RESIDE:.I.AL
BUILDING PERMIT APPLICATI
PROPERTY LEGAL: /
W
Da a of Survey:
DOCUMENT STANDARDS
YO ❑ Registered Land Surveyor signature and company
3~Q ❑ Building Permit Applicant
30~0 0 Legal description
30-7?~Q . Address
Y 0 0 North arrow and bar scale split entry,
❑ [1 House type (rambler, walkout split w/o, y,
lookout, etc.)
C3~ 0 0 Directional drainage arrows with slope/gradient
0-~u ❑ Proposed/existing sewer and water services
0e~ 0 ❑ Street name
Q/Q ❑ Driveway
ELEVATIONS
Existing
0 ell Sewer service
6' 0 0 Lot corners
Er 0 0 Top of curb at the driveway
Q p/❑ Elevations of any existing adjacent homes
Proposed
fr 0 0 Garage floor
0' 0 0 First floor
p~ ❑ ❑ Lowest exposed elevation (walkout/window)
C} 0 0 Property corners
❑ 0 Front and rear of home at the foundation
PONDING AREAS (if applicable)
0 6~ 0 Easement line
❑ 0' 0 NWL
Q EY 0 HWL
Q Cr ❑ Pond I designation
0 9- p Emergency overflow Elevation
DIMENSIONS
0 0 Lot lines
JV ❑ 0 Right-of-way and street width (to back of curb)
Q ❑ Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc.' (i.e., all
structures requiring permanent footings)
9r Q ❑ Show all easements.of record and any city utilities within
those easements
;1~ 0 Q Setbacks of proposed structure and setback of adjacent
existing homes
0 CK 0 Retaining wall me if any
Reviewed-
Name / Dat
October 1992
- LvrG AVLAAGE "U" CORPUTATION
OWNER T P- C?L C C) ~-jG 5
SITE ADDRESS
CONTRACTOR
DATE - PHONE S 7I-.(
Determine working square footage of each.
1. Total exposed wall area 2
- sq. ft. x = 32cd. ~r
2. Total roof/ceiling area
- sq. ft. x ,02&
Total exposed wall area above floor =
a. 'total wall window area 3
b. Total door area •
c. Total sliding glass door area d• Total fireplace wall area
e. Total wall framin area ✓
g (average 10%)
f. Total net wall area above floor
g. 't'otal rim joist area ~93d
-ilk
Total exposed foundation area = `7
h. Total foundation window area
1. Total net foundation area above grade
Determine "U" value of each wall segment.
a. 253 _ X full + 5~ _ e•462
b. 31 X „D, ,p7 = 2.663
G ® X pup . S<(~ _ ..27.60
d. / X fluff
e. 216- X fluff o137 = X8.7(
. At
f. _/930 x. lull 04f 2- = .06
g. 3/2 X fluff = 12.49
h. 7 X fluff S] = 3*55`
i. 7/ X fluff = 7~~~
3 ......................................'Dotal 2 79
O.
If item Il 3 is the same as, or less than item Ill, you have met the intent
of SBC 6006(c)2.
- • to IfY kFwCrcf$~ v6 § I6 Eu Fjan £
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1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH
1 SHOWER 3.00 3-
2 WATER CLOSET 3.00
a BATH TUB 3.00
LAVATORY 3.00 s
T- KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00 3
FLOOR DRAIN 3.00 3
GAS PIPING OUTLET • minimum - 1 3.00 s-
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dae.Cy, tic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to existing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: 1a3 ~.a ctl Dc S
OWNER NAME: 1\cw~-e f
INSTALLER: V A\\ ` c
ADDRESS: b f v c R ~u
CITY: 'Tc f A A- STATE: - ZIP CODE: S S S a
PHONE (C,i 4 ~a -a r
SIGNATURE PERMITTEE
i
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Gam- £ § ''x> ES'~.z ~y cC s .s~£~sgp es K ~ ~II §~3~~ ~D ' . w. : s ,.,.,~ea~j, x, sv:.a§~>?~.~&e.;~~5~•ig~a~~`ro~~u~~.'~^'"~,.,sw'~~~i»x~,t,.r
.
1993 MECHANICAL 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.
- -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) 3-'3
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL a 1.SO
SITE ADDRESS: LSD M~9e5~ ~C J
OWNER NAME:Ikx 1 TELEPHONE
INSTALLER: RAN RN. Ok N%
ADDRESS: 9303 Plymouth Ava No.
CITY: STATE: ZIP CODE:
TELEPHONE S~~pb
SIGNATURE OF PERMITTEE
PERMIT 00 5
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 6 5
(612) 681-4675 Date Issued: 02/16/96
SITE ADDRESS:
723 CAMBERWELL DR
LOT: 2 BLOCK: 2
HILLS OF STONEBRIDGE 3RD
P.I.N.: 10-32992-020-02
DESCRIPTION:
AIM (GAS INSERT)
8'1441d Permit Type FIREPLACE
€~4~7 iJ3Lxt,ark Type ALTERATION
Gr15u Oo,d0 434 ALT. RESIDENTIAL
le mi i ~ i y
i'~`zt ip x e H
Cd 3a' fri k
L 6j'_ 2 . : t a
m w~t f 4 3 @' tt G Ip L q iL HI
. a e r .~cests~d,
.aFQ s vm `??z reT~ eta a 5~i a v+i s * a ts.
f 'Sm ms's Y @ m Sn!a ~ ~w i l
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - ST. LICOWNER:
FIREPLACE SPECIALIST 14511970 0003924 WHELEHAN MARIE
1200 9TH AVE 7236 CAMBERWELL OR
S ST PAUL MN 55075 EAGAN MN
(612) 451-1970 (612)405-0703
a B
e w a.
Tli
If herby a ka~otlss t1 t 'h vsgrveed` tFtis appi#Cdtipt7°`atttl s1a>e t t tote a1
ina°rtn~t:tq»-sere itc1 alita to cl9ttrp3.y wt(T`ali app'~,acabla 8t~t"e Mr.
statutes afi Cry oddg C~riLt~at~ers
~ I nut
APPLICANT/PERMITEE SIGNATURE -RUED BY SIG ATUR UR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 027065
Eagan, Minnesota 55122-1897 Date Issued: 02/16/96
(612) 681-4675
SITE ADDRESS: P . I . N . : 10-32992-020-02 APPLICANT:
LOT: 2 BLOCK: 2
723 CAMBERWELL OR FIREPLACE SPECIALIST
HILLS OF STONEBRIDGE 3RD (612) 451-1970
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE ALTERATION
DESCRIPTION (GAS INSERT)
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
ROUGH-IN FINAL
x r ,r ' i t F -r„'. e +
df, a Sk d y a ei
S 5
6..n M i P"
n a n ..d.. txd _ u 4. r.xa.u v~t.ac.. 'r.. t.. M.. { . d. a.e. w .Yz x *
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA097111
Date Issued: 11/22/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 723 Camberwell Dr
Lot: 2 Block: 2 Addition: Hills of Stonebridge 3rd
PID: 10-32992-020-02
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy-:
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Property- Claim Solutions LLC Marie E Whelehan
4655 Nicols Rd Suite 202 723 Camberwell Dr
Eagan NIN 55122 Eagan NIN 55123
(61)994-2028
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA097111
Date Issued: 11/22/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 723 Camberwell Dr
Lot: 2 Block: 2 Addition: Hills of Stonebridge 3rd
PID: 10-32992-020-02
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy-:
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Property- Claim Solutions LLC Marie E Whelehan
4655 Nicols Rd Suite 202 723 Camberwell Dr
Eagan NIN 55122 Eagan NIN 55123
(61)994-2028
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
R Use BLUE of BLACK Ink
I _ I
41 k el 1 Fcr O;~fce 'tJse I
City j Permit ~Nof Eap
n() ° I Permit Fee: I
3630 Pilot Knob Road
Eagan MN 55122 Q t Date Received': r f j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: S
1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: l ~3 L~M~E~2L✓GC ~2
Tenant:
Suite :
RESIDENT /OWNER Name: Jh,~2~E Wa EG~,/g~(/ PhoneCL.S'/ ) 410y--0703
Address / City / Tip:
Applicant is: Owner a Contractor
TYPE OF WORK V sS T~
Description of work:
Construction Cost ~sf Multi-Family Building: (Yes I N6__ ?
CONTRACTOR Name: kkj1,A-1!f)0'&4) 4JOV06415 License
rv
410 Address: 3 9J , `,gapl~tJB,COA~ .!°.d <
City: ~l i V/..f' R.01_11-
State: IVA Zip: $S41a-G Phonefgw D~ Y-Cyoe'
Contact: T~V Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:,
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the city to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 appro
va of pl
x__1410' V (N ~.~/-N/ X
-;Iican °s Printed Name Appl' ant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA099369
Date Issued: 06/02/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 723 Camberwell Dr
Lot: 2 Block: 2 Addition: Hills of Stonebridge 3rd
PID: 10-32992-02-020
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House & Garage
Census Code: 434- Occupancy-:
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Property- Claim Solutions LLC Marie E Whelehan
4655 Nicols Rd Suite 202 723 Camberwell Dr
Eagan NIN 55122 Eagan NIN 55123
(61)994-2028
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141014
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 723 Camberwell Dr
Lot:2 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:Using existing gas line. Just need a RI & final
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marie E Whelehan
723 Camberwell Dr
Eagan MN 55123
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146365
Date Issued:10/23/2017
Permit Category:ePermit
Site Address: 723 Camberwell Dr
Lot:2 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marie E Whelehan
723 Camberwell Dr
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157444
Date Issued:08/20/2019
Permit Category:ePermit
Site Address: 723 Camberwell Dr
Lot:2 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marie E Whelehan
723 Camberwell Dr
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169969
Date Issued:06/16/2021
Permit Category:ePermit
Site Address: 723 Camberwell Dr
Lot:2 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-020
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Marie E Tste Whelehan
723 Camberwell Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature