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726 Camberwell Dr Use BLUE or BLACK Ink For Office Use I I #:1~p~_ I 1i t of Eai,(,11 Permit I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: I's Lo Phone: (651) 675-55675 1 I Fax: (651) 675-5694 I Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Z Y, n6 Vto~ bl h • 1551121 Tenant: Suite RESIDENT / OWNER Name: OnA G~1A b ~N S1 dn, Phone: to 12-- Z 3 ' ~ 3110 l ~i NYl ti~ 1 ( ~YD V ~s r Address/ City /Zip: Applicant is: Owner V Contractor TYPE OF WORK Description of work: 1'I h I GJ~!~ Construction Cost i Q y ® Mutti-Family Building: (Yes 1 No } CONTRACTOR Name: l 1. I.. V UMMaA"\ ~TbU License O L- ZO It f 101 Address: 1-6 7 G+ City: L110A/!•fdl I I State: i l\Zip: r b 6 0 44 Phone: q61 - 46 1 - 2)2-62- Contact: 3OV'L Email: N I A 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 (rased 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 classed as non-public if you provide specific reasons than would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 p it, 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 approval of plans. Applicanrs Printed Name Ap icanrs Si na Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex -X Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES T New Interior Improvement _ Siding _ Demolish Building" _ Addition Move Building _ Reroof _ Demolish Interior ( Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window - Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: _Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test - Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: 4 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: i Eagan, Minnesota 55123 Date Issued: ^ (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. rl ,li1 r , i,I14 Permit No. Permit Molder Date Telephone A S/W PLUMBING HVAC 93 G ELECTRIC ~7 9j O~ ELECTRIC .fI Inspection Date Insp. Comments Footings 1 - Z5 Foundation Framing o , - Q Roofing Rough Plbg. Rough Htg. Isul. v7A, , 'oo Fireplace Z 3 Final Htg. Orsat Test rr y Final Plbg. h ~3 Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final S ~7 _g 3 S Deck Fig. Deck Final Well Pr. Disp y-s 93 ~ic~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: , 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. F L - - - - - - - - - - - - - I 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 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG / J DECK FINAL g/2 Wertit.cate of Cccuoanc~ W" of Wassm 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 ordinances of the City regulating building construction or use. For the following: SF DWG/GAR 20421 Use ©asaification Bldg. Permit No. R- M- z - r Type THE ROT D COQ 5201 TA V . . FRIDLEY 55421 owaaofBanding Addnm L8, B5, HILLS Or SLONM 1DGE 3 726 CMBERWELL DR Building Addnss - lorality ~C MAY 27, 1993 Doe: Building POST IN A CONSPICUOUS PLACE t Address 726 CAMBERWELL DR Zip 5512 Lot $ Blk 5 Sub HILLS OF STONEBRIDGE THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 5/27/93 Yes No Inspector: Final grade (6" from siding) i Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 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 K- 70743 /v/0 ? Request Date Fit No. gh-in Inspection 3 - l 3 quiretl? ❑ Ready Now Will Notify Inspe w Yes ❑ No When Reed/? I licensed contract ] o er hereby re oast i pection of above electrical work at: Job Atlore ( ox R City Section No. Township Name or No. Range No. County Q Oc upan1(PRINT) Phone No. *4\ Power Supplier dch ss A CAC\ c- Ele<(ncal Contractor (Company Name) Contractors License No. C%~: -'r ~ L Cflao381 Mailing Address (Central or Owner Making Installation) Authorixeo nature lContractorrOwner Making Installation) Phone Number 3-38 D 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 r Ea-0oool-0e 70743 Ill See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request I / t ew rJd Re Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner other hspecity) Contractors 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 Inspectors use only: TOTAL Cam. p Irrigation Booms CJlf'X~ 1 S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final 1. Date been made. OFFICE USE ONLY This request writ 10 months from C7 Request Date Fire No, R~gh-in Inspection Re uiretl? a Ready Now FWill Notify Inspector Ves ❑ No When Ready? I /licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Bo or Route,NO) qn City Section No. Township Name or No. Range No. coyop Occupa tPRINT) Phone No. Power $gpplier Address \1I/N/^T - Q0, Electricl Tr/aCtor (Compannyy Name) Con,rectort License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature IConlr mooOwn Making Inslallati ) Phonee/ Number 7'IP~' d MINNESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REOLIEST FOR ELECTRICAL INSPECTION Ili., EaD00m-08 q ► See instructions for complefing this form on back of yellow copy., S//Q y 10234 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 Other-(Specify) Comm./Industrial Furnace Farm - Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below, # Other Fee # Service Entrance Size Fee # CircuNs/Feeders Fee Swimming Pool 0 to 200 Amps 13 1 a 0 to 100 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NT r I, the Electrical Inspector, hereby Rough-in Date /T-( certify that the above inspection has Final Date /Z i been made. OFFICE USE ONLY This request void 18 months from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 4 C+ City Of Eagan 'g`~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Can of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy calculators for heated additions Tree Pres Plan Recd _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N l set of Energy Calculations Addibn- indicate ifonske septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units ~dyi Date Construction Cost "ti ZLOD Site Address 7Zco C4X&-V JL'`LC Unit/Ste # Description of Work PbTft-UL V Multi-Family Bldg - ( Y _ N Fireplace(s) _ 0 _ 2 Property Owner S. ilEebil~(] Telephone #6'V) ~~~'t47c`9 a Contractor l 1 (JL~ if Address 3e~D /LJ, HLJ 13 City Uicc State /rte Zip ~ X37 Telephone # ( f? Z) 9ld` a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone Lo `~~'i n Sewer/Water Contractor Telephone ~ullq I hereby apply for a Residential Building Permit and acknowledge that the info _Y~t~'.. ~ccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 'n the case ork which requires a review and approval of plan. fto~f1 L Applicant's Pn 1 ed Name Appli an Vs ignature a PERMIT C~2110~~D CITY OF EAGAN PERMIT TYPE: -61j~03i 3830 Pilot Knob Road Permit Number: BUILDING Eagan, Minnesota 55122-1897 0 2 5 4 9 9 (612) 681-4675 Date Issued: 05/02/95 SITE ADDRESS: 726 CAMBERWELL DR LOT: 8 BLOCK: 5 HILLS OF STONEBRIDGE 3RD P.I.N.: 10-32992-080-05 DESCRIPTION: BwildingkP,ermit Type DECK 4ilding Wtx?rk( Type NEW gY 9 }3 if. i arise s ii'w 'mss `-h" <._&/.d '~-Aro tGq os-~t`3 c-y kC REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - LAFRANCE PAUL 726 CAMBERWELL DR EAGAN MN 55123 (612)456-0627 I hereb acknowledge that I h=aue=read this application ° ind %ta°te- th4ti t'he nformatlpn is correct and` agrge:.`tocomply with 411,;Apixl c 01-4.S't4'tE3°xs'F;,AMytt ` Statute$ and City'of Eagan prdihances'a _ _j A1!(n ~P a~' ~f t s V APPLICANT/PERMITEE SIGNATURE ISSUED B IG URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025499 Eagan, Minnesota 55122-1897 Date Issued: 05/02/95 (612) 681-4675 SITEADDRESS:P.I-N.: 10-32992--080-05 APPLICANT: LOT: 8 BLOCK: 5 726 CAMBERWELL DR LAFRANCE PAUL HILLS OF STONEBRIDGE 3RD (612) 456-0627 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTIONTYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTH. FOOTINGS FINAL cz 'j r; a y; 499 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 V 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & 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 _ No DATE: IgiCONSTRUCTION COST: Sao- DESCRIPTION OF WORK: 40 1EX I S" 704 Si iGU c /Z+R C~ STREET ADDRESS: 1 Z to e A ~EX4,j CZ't- 1)(LOT BLOCK i SUBD./P.I.D. /JfW aP JSay ge,&Ag lel ApD►7PoA PROPERTY Name: LA-F*4a c.C PA-► L_ Phone OWNER iW° Street Address '74 CrFvn hm~tw r-rry D -f- City: iZAC^AA) State: MAJ Zip: S' i 23 CONTRACTOR Company: S CZ' Phone Street Address: License City: State: Zip, ARCHITECT/ Company: S CZf Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 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: w~J OFFICE USE ONLY ~P F Certificates of Survey Received _ Yes _ No 1~' Pry 9 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex ~C 15 Deck WORK TYPE cf- 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. e/_~, Depth Footprint sq. ft. SAC Code GL Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 12oo Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units d e, R5~ \ ~d %sl *Po 'IX Irop DRIVEWAY \ \ Iro 3•>6 ,a j~~ / 49 91 V 22.33 ia2 .6X99, GARAGE oN soy z 5~.V/+ 30 \ \ cons SAY N6t=W ~ _ i } Jam 0 115.83 9po, t7, \ \ ~,2 03,6 \ EACLEYON \ PROP03ED HOUSE a \ 12 COURSE BASE.MPAT 275 , 32.79 NA S BT48'f r E yc 4 40' / fj~` \ y >2 2 / AO o, xz 6;9- f 5 a\X' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~3\ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauhemems RemodelfReaalr Reaulrements • 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and g_II rooted areas • 2 copies of plan (20N/ maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, at.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate r home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE h - 25 -02- VALUATION `99 `}Z_ la~ SITE ADDRESS ''kZ1o C~ Max t MULTI FAMILY BLDG _Y N TYPE OF WORK lic xc~ I E YeXQQ k KeERfCLD FIREPLACE(S) k-0 -2 Catastrophe Restoration Services Inc. APPLICANT 551 TT_ STREET ADDRESS Ice tit we CITY evirRe, STATE ZIP TELEPHONE # 651-734-9433 CELL PHONE # FAX # e!~1-4$3-0219 PROPERTYOWNERR c3• . O TELEPHONE# Lo LLJCiL- nZ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Woter Contractor: Phone # I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, c Signature of Appli can OFFICE USE ONLY t~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required- Updated 4/02' PERMIT CITY OF EAGAN ? _ .s- 3830 Pilot Knob Road PERMIT TYPE: Bull-, Eagan, Minnesota 55123 Permit Number: 0 2 0 4; 1 (612) 6814675 Date Issued: 0 3 0 5 9:3 SITE ADDRESS: 726 ;AMOERWELL OR LOT, B Bt_OCK: 5 HILLS OF SJti NEBRIDGE 3RP DESCRIPTION: Building Fermi t Tyo;e 3F DWG Building `Q k Typ'' NQJ USC Occupancy R-3 N-1 Construction Typo V - N Zoning O R 1. Building Length 56 Building Width 52 REMARKS: S & W PI BR VAI LET PL%i FEE SUMMARY VALUATION `IS2,000 Rase Fe t82t.52 MISr_SLLANEOU ` l a" R i u $55, qu To Lai Fe F i ; 25 q8 Surcharge 176.00 SA(: T1 0.r,70 SAC nc~ SAC JnLU, Subtotal 'll CONTRACTOR: - AppJ.,rani: - sT- I_:tcOWNER: THE ROTTI_UND CO INC 1.5720304 0101335 THE ROTTLUND CO INC 5201 E RIVER; R❑ ::.p01. P RIVER RO FRIDL.EY NN Erd 21.. FR70LEY MN 55121 (6.12) 571.-0nm (612)671-0301 Y hereby acknowledge that I have read this application and stuLe thzt the information is correct and agree to comply with all applicable Stol,r P! Mn_ Statutes and City of Eegan Ordinances. L w APPLICANT/PERMI E SIGNATURE ISSUED B : SIGNA INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U r t_ D I N 0 3830 Not Knob Road Permit Number: 0 2 0 4 r :1 Eagan, Minnesota 55123 Date Issued: 03/OS/93 (612)681-4675 SITE ADDRESS: L7-I- D c L, : APPLICANT: 726 CAMBERWELL OR TIME ROTTLUND CO INC HiILS OF 3TONEHRIDGE 30) (ul2) 71-03M4 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. i"001"1'I'fG FRAMING INSULATION FINAL i-IRFPIAVI_ RRMARKSn & W PtOR - VALLEY PLBG F I ~I J REACTIVATE CITY OIL EAGAN $S ~Lr ~Y PERMIT # 1993 BUILDING PERMIT APPLICATION Y 681-4675 ca 3_r~ 2R 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 Valuation of work Site Address: 2(¢ Cav hers ~1~ V-0, STREET SUITE X Tenant Name: (commercial only) 'Tt-~ V` ~rWUflJ IhC• LOT BLOCK S l). ~ a P.I.D. # Description of work: SiAo\~e The applicant is: Owner ontractor ❑ Other (Describe) Name_ `NIUK 6. T~Vl( Phone 51 I ^o~o Property LAST FIRST Owner Address Slot Vv-r 2d . STREET STE M City Eco!LN1 State Mvl Zip srgr-l Company Phone 5~1--w'-- Contractor Address 5o-.j f License # I33S- Expa:2 City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Ct F U c . Processing time for sewer & water permits is two days o ce ared has been roved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging - 'U*Z6 Basement Finish Z02 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. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 131 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System ES (Allowable) V- N 1st F1. sq. ft. City Water YE S UBC Occupancy &I __,~~,i 2nd F1. sq. ft. PRV Required Zoning P, ii Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length _.!Tro~ On-site well Census Code Depth s 2, On-site sewage SAC Code (1m~.s hide. ~ APPROVALS Gmskb .t -1--- Planning Building IL Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: $ 152, ocw- P1anhReveiew GA`RA&E-I 22, x22 = y$y 416= r7,7L/N License E'>Si~tT~ .307fA3 zc 8yo MWCC SAC 13 x 2- = ('2G) City SAC Water Conn. [ O X N = 4 Water Meter Acct. Deposit 'YnAis 850XiS= 10j"X S/W Permit 85r., ; 85K S/W Surcharge 6x3o : r= Treatment P1. Road Unit 163yx5y = g923 Park Ded. ~D Lam, Trails Ded. Copies 30 x2&= 780 Other x Total: SAC /DO 991 ,1 '4 2~. LI SAC Units I ~5[I SAN C r~ 2422 Enterprise Drive Mendota Heights. MN 55120 * (612) 681-1914•Fax 681-9488 PIONEER LAND SURVEYORS a awL DIMEERS * S{1 If1~C1'aing LAND PLAMOM - LMOSCAM ARMTECTS 625 Highway 10 rlorthadst g Bloine. MN 55434 * * (812) 783--1880•Fax 783-1883 Certificate of Survey for. The Rottlund Company. Inc. House Address: Camberwell Drive, aIn M Model Nome: Eagl_eton. Lam ~✓~ce ,X-,♦ lb/b 4j ~~9 d ova 1Z ~ ~ o 'P / j5 30 DRIVEWAY OO F ,yam f° "20 `b N~ /+o.Bty 22.31 ~:g 9- ~ -'T ta\ qvi~) / ® \ GARAGE ofJ $n/ ~ 30 \ A . LM SW a DAY e1NaCW \ i \ 4.0 0 \ ~~P \ 10.83 0 1 B.93 9pp S. \ \ \ EACLeTON N \ PROPOSED HOUSE i \ 12 COURSE BASEMENT \ yT 1275 S8.0 io z nyt a, 5275 S 87'48'tS' E q~y" yD2 F 20 to \ No ~~o a (1 x ~hk tt<AfT fA~t.J hl~ Y~ot7Drr o6 Sr~iP~- tis~j ~ y \ tt j- 11 6V N•J~ '/_~.a t, f i / \ e iii IN IZAERIMIG DEPT r9~;~p X soo.o Denotes Existing Elevation PROPOSED HOUSE E VATION +C~d` Denotes Proposed Elevation Lowest Floor Elevation: 894.55 Denotes Drainage & Utility Easement Top of Block Elevation: 902.66 Denotes Drainage Flow Direction -•o-- Denotes Monument Garage Slab Elevation: 902.33 -a-- Denotes Offset Hub Bearings shown ore assumed LOT 8 BLOCK 5 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION 1 hereby certify that this survey, plan or report was prepared by me or and my direct supervision and that I am duly Registered Land Surveyor under the lawn of the State of Minnesota. Dated thb-0- day of Cr\ 1 A _l 7 /\.__1 LOT •QRVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICA ON PRDPERTY •te~~.= bate of Surveps " =NT STAND nna 0 0 Registered Land Surveyor signature and company iY U ❑ Building Permit Applicant D/b ❑ Legal description D D Address 2'n 0 North arrow and bar scale 8 D D House type (rambler, walkout, split w/o, split entry, lookout, etc.) t_ /0 Directional drainage arrows with slope/gradient s. B Proposed/existing sewer and water services 0 0 Street name D'D 0 Driveway ELEVATIONS Existina D GAD Sewer service 13 D Lot corners 0~~E1 ❑ Top of curb at the driveway D D D Elevations of any existing adjacent homes proposed D'D 0 Garage floor 0l D ❑ First floor 'r~ D 0 Lowest exposed elevation (walkout/window) V- 0 0 Property corners P~0 D Front and rear of home at the foundation PONDING AREAS (if applicable) D 3"13 Easement line WL 0 0„ D H HWL 0 _~J" Pond { designation ❑ w o Emergency Overflow Elevation DI2(ENS IONS 0 D Lot lines 0 D Right-of-way and street width (to back of curb) 0~ 0 ❑ Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0 D Show all easements of record and any City utilities within L~0 0 those easements Setbacks of proposed cture and setback of adjacent 0 / existing homes B 0 Retaining r Lqu ments, if any Reviewed: Namol- Date October 1992 FCTF1iTOR 1:NVF.I,OI'I. AVIihACT: "U" C!)MiU'fh'1'I IN F, P' OWNER SITE ADDRESS Lo-r- & , 9Lor-K 5 , HILLS o1=S7C.SXRVD&1C 3RD ADnw CONTRACTOR f-V TL V &[D GO • DATE PHONE Determin working square footare of each. 1. Total exposed wall area 7n sq. ft. x 0.11 = -z--, pe 2. Total roof /ceiling area I~03I sq. ft. x 6..026 = 42 4,. Total exposed wail area above floor = Z 4'Da' 8 a. Total wall window area . b. Total door area C. Total sliding glass door area Total fireplace vall area ~r e. Total wall framing area (average f. Total net wall area above floor 1 D O ' g. Total rim joist area Total exposed foundation area = 7z, h. Total foundation window area i. Total net foundation area above grade Fj(/, Determine "U" value of each wall segment. a. Z x -u- O~ 4'L - 8 7.41+ b. 38.21 x "u" d• 138 - 5,34 C. 79.94- x ..u„ Z~ S~ d. x .•u.l o, t e. f. 17 z,o d~- x ••u•. a 04 3 _ 73.9 4 g. x h. 1577f x .,u,. 0-G (o = -7.2 tf 7.43 3. T~Lni 23Z If item #3 is the same as, or less Uum iLcm 1/1, you nave met the intent of sac 6oo6(c)2. f Total exposed roof/ceiling area Total gross roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area q 1. Total net insulated roof/ceiling area O Determine "U" value for each ruaf/ecilint. segmcnt. X Un 2 1, l~lvl~5S X .,U„ D,0Z 4 . Total = Z~ If total of #4 is the same as, or less than q2, you have met the intent of sBc 6oo6(c)l. 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 dl and A2. 1• + 2. 0 VPcI,U~ GAIGULATIDN~ (60NT). ~IyAM~ WkU. @ I N~.I LATiol~l LoMPONf,N~ . R-~lAl UE 12 3 \J --5~j, INSU~ATIcti I q . o 4 %yu Gip. ev. o, 45 5 L I $I~is w- nw, - - Fpm= at, 6~ = or ~i t~ U= F" L' .-ff-ftM6 W4L 9,6,11V LoMPONLHTS - -VAI,U~ o-UT-!:,IDE AIP PIUU. 3 Il'L U x lzzv+r~ O. Caz'L _ 4 U ~XU h1UD(F~~) - ~ -1g.---- 5 ~ ~2-~~~(t? P~D• 0;45 - PL-m- view- I .G~INP~. ICU+= 0.12 X o.0~9~ t~o,8b X o•043> = O, off- _ ►-Tarim.- (moo - Q _h~ AIM ~lolh . I • a~ DINS - - - -o; UIL. 5 - 2 29 0 _ -4D. i l_ Al- = 0.f /t'~ 12, r 3 . -tr~Lt~f i I 2 s a!z 1L 7N. tc -2cl ...Co 3 4 5 ---1 _ _ R -3 5.-8 3 ~ . 0, 027 u ,5.83 I 2 P;L ® LAG= ~ :rim 01-03-90 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 622 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/Bed 15,1''33 212 40129 209 Dining Room 2,643 37 1,260 64 Kitchen 7,319 102 2,412 122 Dinnette 2,983 42 2,3.12 117 Foyer 3,933 55 1,996 101 Living Room 8,047 11ti~ 5,799 29. Master Bath 1,909 27 1,042 53 Master Bedroom 4,090 57 1,897 96 Bedroom 1 2,180 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 r NOTE: Calculated Airflow is based upon load requirements. Verify that airflow calculated is compatible with selected equipment requirements. 01-03-90 3.1 DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Rottlund R. Thies Flare Htg &< A/C MIV Job Name: Eagleton A g:WB:W.*%#*#~%*:k%%~>r%K:%>k>F:8:7k*#ffi>k***W*>K>K7Y#**%'M*>K*A:W~~W~>E:~~*>k~~~##*%**#*#~:~W~~~*7Y EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ. TOTAL AREA 70: 141 100; 1331 241 241 01 3651 COOLING ; 1,140: 3421 4,640; 6,1711 754; 946; 0: 14,000; HEATING 3,0961 619; 4,4231 5,5831 1,062; 1,0621 01 16,1451 BELOW WALLS NORTH SOUTH EAST WEST NE/NW SE/SW GRADE TOTAL AREA ; 885; 515; 8981 909; 12: 121 01 3,231; COOLING 1 8131 4731 825; 835: 11: 11; 0; 2,967; HEATING ; 3,3401 1,944; 3,389: 1,431: 451 45; 6,076: 18,2711 DOORS NORTH SOUTH EAST WEST NE/NW SE/SW TOTAL AREA ; 0: 0: 381 421 01 01 ; 801 COOLING 0: 0; 529: 555; 0: 0; : 1,114: HEATING 1 0: 01 2,175: 2,404: 01 0: 1 4,578: FLOOR AREA COOLING HEATING =313 7 : 4,527 CEILING AREA COOLING HEATING 3297 1 1,586 : 35496 MISCELLANEOUS COOLING LOADS People Sensible Load 1,575 Latent Load 6,347, Lights & Appl. Load U Latent Safety Btuh 317 Ventilation Load 1,265 Duct Heat Gain 0 Infiltration Load 97^e Sensible Safety Btuh 1,175 TOTAL. SENSIBLE LOAD 24,667 TOTAL LATENT LOAD 65660 Summer ACH 0.07 Temp. Swing Mult. 1.00 #K* Total Cooling Load 31,327 BTUH Or 2.61 Tons** MISCELLANEOUS HEATING LOADS Infiltration Load 8,252 Ventilation Load 5,135 Duct Heat Loss it Safety Btuh 3,0'0 Winter ACH 0.13 * Total Heating Load 63,634 BTUHY • ix ~i ~ L t L L r >xa a e . 1993 PLUMBING 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. NO. FIXTURES EACH TOTAL I SHOWER 3.00 3- 2 WATER CLOSET 3.00 g - a BATH TUB 3.00 (e LAVATORY 3.00 g i KITCHEN SINK 3.00 3 - f LAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3.00 f WATER HEATER 3.00 a- T FLOOR DRAIN 3.00 5 GAS PIPING OUTLET • minimum -1 3.00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. tic. 15.00 U.G. SPRINKLER • home under coast. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: y . S v . SITE ADDRESS: -1 air C m oLw,_0 OF- OWNER NAME:_ s • (1 INSTALLER: ~I ta1~~ M\ Co 1. c ADDRESS: U10 c- L kC L CITY: J rc1 _ STATE: Vn ZIP CODE: S 3 35 PHONE SIGNATURE OF PERMITTEE f k ~M w S k i.. ~ ~ •F Y: a .5'Yi~~ ~ °YFFZ ~.<w;.... ~f?.c Y.: i~i5 -k` 3E' ~d:fi~ ~ by i. f~ A~.:..w 9.-..u...,-xww. < ^ e. . .wow ~A'~i .F..A.,.~YX~¢'P.ki 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 OJ-~-'~J ~~J 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 CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE lgs INSTALLER: ~~e ADDRESS: CITY: STATE!~;M~ ZIP CODE: - 1 TELEPHONE G`~-~.~ \~a\n SIGNATURE OF PERMITTEE L BL CITY USE ONLY I I j 2 RECEIPT t d~ Jq SUED. RECEIPT DATE: PERMIT # 31q 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EmAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 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 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 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 ( _ $ CJ 0n 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 > > > $ o Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - ~I hereby acknowledgethat f have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and mainrte~nance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: / Z OWNER NAME:: clki p.~ TELEPHONE / (AREA CODE) INSTALLER NAME: 4Cc1!pOle`kW n (I"JL,rISiE TELEPHONE#:6f Sy-409 r~ ° In (AREA CODE) STREET ADDRESS:/ yy~~p ~ a w'J I-I ~ CITY: ~a I~ P !,;'+~p r-4::2- STATE: mog ZIP: SIGNATURE OF PERMITTEE