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727 Camberwell Dr s . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ! J Eagan, Minnesota 55123 Date Issued: + 1 (612) 681-4675 SITE ADDRESS: BI Of r APPLICANT: ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. _ I 1!! 3i1 .1! t,lia t, tl M Permit No. Permit Holder Date Telephone # S/W I' PLUMBING 3 8 HVAC ELECTRIC ~0~ 7 j fv ~1D ELECTRIC Q Inspection Date Insp. Comments Footings 1 3-//-)3 b Foundation 3 / I - tST~-S ON 6/!/OGi•✓G~ 6L.OCff~•.r~ Framing t - 9 3 f- /2 - 2.X1 1.e eraS - RAP 5,416e' Rooting Y/7 Rough Plbg. Rough Htg. Isul. Fireplace c/, 9 y Final Htg. r Orsat Test 5 Z7 Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. F S" 93 S 9 3 S o/ <<r o ~o s Deck Ftg. Deck Final well Pr. Disp. iz~ ~9e~artmeut ui ~uitbacg ' ZkdladWs This Certificate issued pursuant to the requirements of the Uniform Building Code certifyirq 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: use Classification: SF DWG Bldg- Peinnit No 20420 Occupancy Type R3/M1 zonin District PD /R 1 Type Cont. VN Owner of Building THE ROTTLUND C6 INC Address 5201 E RIER RD, FRIDLEY 127 1;A#~F1KWtLL VK1VE- L3, D2, HILLS OF IDGE 3RD B Address Locality 05/24M Daze: ~ Buifding Official POST IN A CONSPICUOUS PLACE Address 7 27 r MB RWELL DRIVE Zip 5512 3 Lot' 3 Blk 2 Sub HILLS OF STONEBRIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 05/24/93 Yes No Inspector: Final grade (6" from siding) ✓ v Permanent steps (garage) i / 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 6514645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 742, 3'&y ale Request Date O Fire No. Rogh-i s Lion TICE: You Must Call Electrical Inspector R u In Inspection eqir It required ~T it G No Is . I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Addrens (Street, B. or outs No.) City 7a7 `-i Section No. Township Name or No. Range No. County Ocrops RINfT) ,p Phone No. vi/ G S Power pplier Atltlress 0 r'4 Electrical Contractor (Company Name) Contraclm9 License No. Mailing Addrepr ~eLrermftl, CA00381 arST. W., FGTN., MN 55M Authodzetl S' ntracto wner Making In Phone Number MINNESOTA STATE BOARD OF ELECTRICITY -"d THIS INSPECTION REQUEST WILL NOT Griggs-Miaway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0600 ENCLOSED. ~y/(J' REQUEST FOR ELECTRICAL INSPECTION Ee-aooot-oe p~dd q 0 See instructions for completing this form on back of yellow copy / Q/~v ITI 7 + 67 "X" Below Work Qovered_bY This Request / ew Add- ep: Type of 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) Contractor's Remarks. Compute Inspection Fee Below. # Other Fee It 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 p Irrigation Booms Gfd~ d~~ Special Inspection Alarm/Communication THIS INSTALLATION _KAY BE O D DISCONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Rough-in pate certify that the above inspection has Finst o to been made. OFFlCE USE ONLY This repuest void 18 months from 60 Request Dete Fire No. ughin Inspection v Nobly uired? ❑ Ready Note, Iy Will When Re Inspecror _ sq Yes E, No Wh Ready? 1 license c ntr r net hereby uest pection of above electrical work at: Job Addr re B x or City Section No. Township Name or No. Range No. County p Occu ant IPRINTI Phone No. Power Supplier Atltlress Qom. ` Electrical Contractor (company Name) Contractors U nse No. ptd~o 0 1 Mailing Address (Contractor or Owner Making Installation) 13 AuthonSea gnalure I CoraradtouOwner Making Installation) Phone Nu ¢r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Odggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (ell) 642-0600 ENCLOSED. /~G 7 REQUEST FOR ELECTRICAL INSPECTION 1@ e4 EB- -08 p~ 0 7 4 5 • See instructions for completing this tom on beck of yellow cop l_! K "X" Below LNOrP'!Svered by This Request New Add Rep: :y pe of Building Appliances Wired Equipment Wired HomRange 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 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 ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-in Date certify that the above inspection has Final been made. at OFFICE USE ONLY This request wid 18 months from Re uest Date ire N0. Rough--in ecdon ^Z Required? 0 Ready Now i7J Witl Notify Inspector 3 - a ✓ 3 Yes 0 No / when Ready? I Z licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address istreet. Boy, r Route No 1 In city ?a7 Cs.~G~n, , Section No. Township Name or No. Range No. Cou 0. t (PRINT, Phone No. Power S~ier /t~ ~ Adtlress Electrica Ontr ctor~ Gom0a Namel Contractor's License No. CAoo 3V Mailmg a,5 I Conlractor or ner Making Installation, Authonzed Signature ICOntr or/ ner Making 1 milatiOnl Phone Number 3&() 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 55100 UNLESS PROPER INSPECTION FEE IS Phone (612)Sat-0800 ENCLOSED. !'J/~~ REQUEST FOR ELECTRICAL INSPECTION ES-00001-08 ► see instaltnons Tor iBmplering mis lorm on back of yellow copy. pp 10227 La "X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired EquipmantWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher4Specity) Comm./Industrial Furnace Farm Air Conditioner Omer (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 010 100 Amps S Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO NECTED IF NOT Other Fee COMPLETED WITHIN 18 MON r I, the Electrical Inspector, hereby Rough-in a -3 -4 certify that the above inspection has Final ate been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN L 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 - its-New Construction Requirements RemodelfRegair Requirements • 3 registered site surveys showing sq, ft. of lot, sq. It of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Ran if lot platted after 7/1193 • Rim Jost Detail Options selection sheet (bldgs with 3 or less units) DATE /ZI(O/D~ VALUATIONIIa,QDZ) SITE ADDRESS 72 MULTI-FAMILY BLDG _Y _kN TYPE OF WORK SI j one, FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT N QLN f_n ~k ° rIL~~ S 4AI _:~/i c- STREET ADDRESS Z Je r S Sit: I e 1 O CITY 5+ `Juw STATE M/t1 ZIPSS/p-7 TELEPHONE #CS 2 30-sf o3 CELL PHONE 6S( 23/- 353 FAX # PROPERTY OWNER IY ke--1 ~]a~ tl,n ~ly TELEPHONE l to&`/ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J 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 Heat Recovery System Sewer/Water Contractor: Phone # 2r" i. ~ I hereby acknowledge that I have read this application, state that the i to (afi/ n is c pct a- to Com ly with all applicable State of Minnesota Statutes and City of Eagan Or in Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 157 ]5 651-681-4675 ~1 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgss with 3 or less units) DATE O C VALUATION (EXCLUDING LAND) ::7 I vim' 6~ JOB SITE ADDRESS Z~ a vrn6Z,1~ (1LJP C l l IF MULTI-FAMILY BUILDING, HOW MANYY UNITS? J1lS U`cSLU1cg2~ PROPERTY OWNER TYPE OF WORK ~P~u oFF IL 16b~ ~ar4 FIREPLACE(S) _0 _1 _2 _3 APPLICANT 6EH1 ROOFING & REMOD&6ING tprr PHONE # FSEFZ3-9456L ADDRESS 4100 EXCELSIOR BLVD. ZIP CODE PAGER # CELflIpllpD11110 0 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 - (check one) Residential Ventilation Category 1 Worksheet Submih-~' ~N M Ir I~ Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 ~J! New Energy Code Worksheet Submitted gy~_ Plumbing Contractor: Phone If: Plumbing System Includes: _ Water Softener Lakin 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 i _ Heat Recovery System I Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. 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#Ree Signature of Applican Certificates of Survey Received _ Tree Preservation Pl_ Not Required _ Updated 1/01 1 ~C M2422 endotatHeights,DMN 55120 ,.1NEEI~ 1=9488 LAND SuRVEYDR9 . pNL ENIaMEER3 (612) 681-1914•Fox 68 ~Agltneering LAND PLANNERS • LANOSWE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * * (612) 783-1880•Fax 783-1883 Certificate of Survey for: THE ROTTLUND COMPANY. INC. House Address: CAMBERWELL DRIVE. EAGAN. MN. Model Name: ITASCA (MODIFIED) Customer ITASCA PRODUCTION MODEL ^ ~ 99. / B s / S fFC'~ ) sr~, 9a 5<\\ ®p~~`',~p~NG~Pt 5L 98 Sp OTr,9, \ 414 \ x F \ \ 8yy a 7 \ ~ ~ JR 4,1 0 P~rIrO ~•hA 9oa. 4\ \ ~i'yb 99.0/ / ; 13 'a \X C) as 3e 1 b.0 \ ~ Q j . r, ~ I t 1 tog /A,A. f G.+"' X NGIY`tURING C3}~:t T x 9oo.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION oD.a Denotes Proposed Elevation Lowest Floor ~Elevation: 894.76 _ Denotes Drainage & Utility Easement -Denotes Top of Block Elevation: 902.86 Denotes Drotnage Flow Direction ---c- Denotes Monument Garage Slab Elevation: 902.53 Denotes Offset Hub Bearings shown are assumed LOT 3 BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY. MINNEP aTA 140 1 hereby certify that this survey, Alen or report wrops~pl9Mar¢y me or at m d b d ..AD eTm N . Bred Land Surveyor under the taws of the State of Minnesota. Dated this day of , A.U. 18 SCCTIP,: 1lnch=.7nfeet 09ERTD.SIKIC.HI.C.Awn. Nn IAael 2007 RESIDENTIAL BUILDING PERMIT APPLICATION 1 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate Aon-site sep6'c system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System -Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date /O / / O 7 Construction Cost Site Address :2Z-7 Unit/Ste # Description of Work 45M6 Z5YI V7il~G d L2~71/L (7 ~Z lc /f3 57 ~ Multi-Family Bldg _ Y N Fireplace(s) 0 _ 1 - 2 Property Owner 4"'fe Telephone # ((PS) 7 Contractor Z-VIS /P;7 1A Address A/,-53_ e.~t% 04 30'--,30 7 City L.Yl~ rs• State IVAI Zip 5-371.4n Telephone # O-W) :755- '9t1/qe i s- f- 33-8 ' ZIZ- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber _ Telephone ) Mechanical Contractor "t I ~~I Telephone # Sewer/Water Contractor Ol.i 1-i 2007 Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 in the case of work which requires a review and approval of plans. /os11~_ Z~~40 > Ap icant's Printed Name ~ icant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck t9 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. r• ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 79 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation & M ,pp Occupancy .J- P C MCES System Plan Review 1100% or 25% Census Code 73 Zoning R. - 1 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length - Fire Sprinklered Type of Const Width f 6 REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _0 Footings (addition) ANa )'e1K Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof LO Ice & Water K Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector - Base Fee Surcharge ,x y SDa - f fV Plan Review U MC/ES SAC Dec k p'Or ,Fc e- ?j poc a City SAC Utility Connection Charge 1 Z / Z -D d S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: H u I L D T N r Eagan, Minnesota 55123 Permit Number: 4) 41 4 D (612) 681-4675 Date Issued: D 3 J U i J y' SITE ADDRESS: i , C..Airi8E. R A f LL DR L 0 f 3 HL0C.K: 2 %IIL.LS OF ' 1IUIN :N 7:DG5 3RD P.l.N 12-32392--000-0. DESCRIPTION: Buildi'jig F'ei-mi L Typta F D6JG Bu.iIdiIn 9 Wort; I v p e NEW UBC Oceupanc-%~ fa - B hi--1 Cons trruc i.mon Type V-H Zoning P1: R-'1 3uildi.;lg Length 75 Lluilding Width ?4 i i REMARKS: S & W PLHR - VALLE.' PLBC FEE SUMMARY' Vr1,UATIDr. $145,00 F: 97 00 M.LSr:ELLANEOUS flan Itoview ^t,,'513.(!5 l o cr.l. F:=c; R2.0F, ;nl.IrohargF, ri2.b69 SAC 5 .00 5AC `v 1m+~ sAC Uni i.s 3"pub antra m`$', ~~`5 4S CONTRACTOR: - A p p 1.1 ca n t S T- i 7 ^OWNER: 7hII- RO'ITLI)ND rr U CP{C; _L57 :1 .0 's(94 4P 10:1I HE POI 1 LUIVLI CO :LN 5201 E PTVCR R1) L,"0j E PIVER RD FRSOL#':Y MN 5 i!+''.i1 FRT1)LEY qld 55421. (61 j 571.-vJ3@1 (61'<)S71-0 SO 4 i hereby ~icknow1edge that S have read 'this ,&pp1ication sand steate, `h;at i:hs information is correct eia(i agreL, t0 comply with ,;L1. app 1icohl: Si -t.• ~'i IN, r.. St,ita.rtes and City of Iagan 0rdinc6°s- 7 APPLICANTl~bE SIGNATURE ISSUE BY. SI URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: H U T L. D T N G 3830 Pilot Knob Road Permit Number: 0 2 0 4." 0 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: D . s e,. D APPLICANT: 727 CAiMBERWEL.L OR THE ROTTLUND C0 I.NC I+.SLL`il OF STONFBF;IUGF eD (612) 5710 304 PERMIT SUBTYPE: TYPE OF WORK: F DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. i=OO=fIN F R A M I NG INSULATION FTNAL P1-RFPI-ACF R1:'!ARKS. S fi W P 1 0 k - ~IAI- L E e PLPG C REACTIVATE CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION ~,3 't t~ X04dku 681675 fG1A r~ 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 2 / 25 / 93 Valuation of work (~3~ccx~o Site Address: 727 ~mbelrW2l~ pvgVQ- STREET SUITE / Tenant Name: (commercial only) gjcr I-{\jyA (::6 LOT BLOCK 2 II D. P.I.D. M I` S ~i N e, Description of work: The applicant is: wner Contractor ❑ Other (Describe) Name -Tref_ (Z ++1'rxJ 6V• l vK. Phone 5-71 ^t) 3 Property LAST FIRST Owner Address 5201 E. 9\'Ver eA- ~p STREET STE N city fir, IP~f State Zip Company Sam Phone Contractor Address License # 13W Exp.5"31 City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber a Plumb, . Processing time for sewer & water permits is two days nce ar a 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: ~'?°1 OFFICE USE ONLY BUILDING PERMIT TYPE 6• . ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging © 16 Basement Finish fK02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. EJ 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 g 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) y-N Basement sq. ft. MWCC System YG5 (Allowable) ti-N 1st F1. sq. ft. City Water Y E _ UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning pD R.1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length- On-site well Census Code l~l Depth 34' On-site sewage SAC Code ai APPROVALS Planning Building Ijs,3 9 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation- $ 1 y5, D00 Surcharge GARAGE, 2 y x 30 4 T'720 , Plan Review 2 X to Z6 (z o) ZND R.oo,2, License MWCC SAC 5x '7= (3S) IL K IN = 2139 City SAC Water Conn. 61~5X16 = Iv e.4 ~yX19= 600 Water Meter Acct. Deposit 42 X zy = 1008 $1Kg x54 S/W Permit 4x Iq = % 44roS-L S/W Surcharge 14v I Sz: b o Treatment Pl. (0 X 9 = y Road Unit W Ali 2 DCI Park Ded. 9x'7 = Trails Ded. I23g'IS= 1$,y9S Copies Isr 1 Loon; Other Total: 9smr= 12.33 SAC % I xlo~ in SAC Units too 1543 K 54 = & 12'L 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER 612♦ 681-1914-Fox 681=4488 LAND suRYEYDR3 pHL EnfaNErns . * engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 ~c (612) 783-1880•Fox 783-1883 Certificate of Survey for: THE ROTTLUND COMPANY, INC. House Address: _CAMBERWELL DRIVE. EAGAN. MN. Model Name: ITASCA (MODIFIED) Customer : ITASCA PRODUQ3ON MODEL r 2 3 \ `Spas. O W'0. ts \ \ F lit yt, 0 *0 a'3 >t e~\ ep4 0 / 5irxi r PAW rod g gv9 5 / / fit' t RAGAM INGINEERING DEPT . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION Rc ooa~ Denotes Proposed Elevation Lowest Floor yElevation: 894.76 Denotes Drainage & Utility Easement -Denotes Drainage Flow Direction Top of Bloch Elevation: 902.85 --a-- Denotes Monument Garage Slab Elevation: 902.53 -Ei Denotes Offset Hub Bearings shown are assumed LOT 3 , BLOCK 2 HILLS OF AD STONEBRIDGE DAKOTA COUNTY, MINNESOTA ~ON i herdsY canefy tat h this Sur'", plan or report NMS Prepared by me or ' s eyed Land Surveyor under Ills Isea W Iho Stets Of Minnesota. Dated this-93Wday of A.b. 19 Scnle_ )L feet OBERT SiK r.~at.R. RFR N1 rnanf LOT EIIRYEY CEECELIST FOR RESIDENTIAL PER MIT APPL CA ON SIII77so s Z Date of surveys o2 ~ffiNT STAND pne u D Registered Land Surveyor signature and company D Building Permit Applicant D 1 Legal description Address D D North arrow and bar scale LSD 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) D'~D D Directional drainage arrows with slope/gradient 6. D 0 Proposed/existing sewer and water services D D Street name 6'D ❑ Driveway ELEVATIONS J/ Existinc to D D Sewer service Lot corners 0j D0 00 Top of curb at the driveway i7 Elevations of any existing adjacent homes / Proposed FJ D ❑ Garage floor @~ D 0 First floor m' D ❑ Lowest exposed elevation (walkout/window) 0"~ 0 D Property corners V13 D • Front and rear of home at the foundation PONDING AREA (if applicable) D L'l ❑ Easement line D 0' ❑ NWL D E" D HWL 0 6" D Pond # designation D E0 Emergency Overflow Elevation DIMENSIONS P1 0 0 Lot lines D/ D D Right-of-way and street width (to back of curb) ❑ 0 Proposed home dimensions including any 9 y proposed decks, overhangs greater than 210 porches, etc. (i.e. all structures requiring permanent footings) D D 13 Show all easements of record and any City utilities within D D those easements Setbacks of proposed structure and setback of adjacent existing homes D ❑ Retaining wa a one if any Reviewed: 2 Name / Da October 199 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS LOT 3r QLOCW- 2 I HI~ LS oG SryNESrt~a(,c` 3arn A tll - j CONTRACTOR RaTT L V ND - G L7 DATE PHONE Determine workingg~ square footage of each. / 'j 1. Total exposed wall area . L~ J3tP• 4 sq. ft. x 67, # _ /Z5 / r 2. Total roof/ceiling area . . 2 2 1 sq. £t. x 6'Q2(o = ~ ~7 3. Total floor/cant. area . . Gl sq. ft. -3e-a-0-5- = Total exposed wall area above floor = 17 3 U• T' a. Total wall window area . . . . b. Total door area . . . . . . . . . . .q ,-7 1 c. Total sliding glass door area . . . 3 d. Total fireplace wall area . . . . e. Total wall framing area (average 10%). . - 7P. 21 f. Total net well area above floor . 6 17 Z g. Total rim joist area . . . . . . . . S07- Total exposed foundation area = D•~ h: Total foundation window area . . . . . i. Total net foundation area above grade. Determine "U" value of each wall segment. a. 2'EI x ..U,. 0.40 - ///,L 7 Z- b. $2. jl x "U" O•~3S = .R9 x ..U.._ d. x "U" _ e. 181. LI x ..U.. f. Ir~3a. ^,Z x "U" a,oa~ 7 g. Z07. Z. x "U" c.OxH F91 4- R h. 4.1 L X "U" p. a~ = 1.41 i. X "U" 0.14 = ~5.4R SUBTOTAL = ) 4- TOTAL If item N4 is the same as, or less than item ,#1, you have met the intent of SBc 6oo6 (c) 2. Total exposed roof/ceiling area J. Total skylight area . . . . . . . . . . . . k. Total flat roof/ceiling framing area . . . . . . y"J-_8 5 1. Total net insulated flat roof/ceiling area fi. Cow m. Total vault"roof/ceiling framing area . . . . . Z . 91 n. Total net insulated vault roof/ceiling area . . 2 2 1i, 4-r Determine "U" value for each roof/ceiling segment J x "Ui, I _ - k. y7. R5 x "U" 0,0Z-7 1. $$c, ,'5r x "U" 0,D22. = 1997 M. 7-5, C) S x 11U„ n. 57. 45; x "U" 0.aZAP = 61bI p 5. . . . . . . . . . . . . . . . . . . . . . .Total= ` Z f . a Gam. If total of #5 is the same as, or less than #2, yoi1 have met the intent of BBC 6oo6(c)l. Total exposed floor/cant. area 0. Total floor/cant. framing area (average .10%) . . 4 p. Total net insulated floor/cant." area . . . . . . 5 Determine "U" value for each floor/cant. segment o. ~o.Ca x uU" c~.OSY = C, 3~ P. 4 x IV? 0.OZ Q = b 72- 6 U . . . . . . . . . . . . . . . . . . . . . . .Total= If total of #6 is the same as, or less than #3, you have met the inte t BBC 6oo6(c)3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the tot z, envelope system method, the values established by the sum of items A, #5, and 9'6 shall not be greater than the sum of items #l, #2, and #3- 1. 2. 3• h. 5. 6. _ opt-_-- 3 = 0, 02- I 2 + ~'Z_GEI.I.INhu _--0.4S bYP-. ~4 = O'o22 VAW. GAI,::,t.lLATION-:,l (GoNT). ~~Ml; jJ~tLL ~ I N5I..1 LATIoN I Q!- a_1.( M AI(- FILM 3 19.0 4 `s; :__.lyu b~P~ ea. 0.45 L 23.01 1 REAL . -rF-kMG WAU. ~ .6912 LoMPON6NTs - . : - F-vALUe: - I o_uT~ioE Rirz RLM. - _...._0.1"1•---._~.._ --ter, 2 ~Z~~h1~INb. 6.G2.:= 3 hHLA'(HIN6►, 2 IOU x rattan `7 = ra . of- 4 DV. - o a - - IF*IM MV- FILM.. -O=Go= VjeW. U 1 o.oa9. ~'~fAL r -elom f3. U = ~o,12 A o.0b9) t (o, Sb X 01043) = 0. L4-] TDwtPorfl~t {y -~Vf}LU' ~ 4 Q Htift'~I-i I Wv ~y~NDPc~oN ~ - I ~ / / YYYY Fc, UZZLI C Gib l'--lka d _~I I.H1-C~=c o SUMMARY REPORT Prepared For: Prepared By: Rottlund Company R. Thies Flare Htg & A/C MN Job Name: 2 Story (Itasca) 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 25 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Basement 17,154 240 2,446 124 Family Room 10,468 146 8,372 423 Dinnette 3,247 45 1,718 87 Kitchen 2,367 33 2,685 136 Dining Room 2,367 33 1,195 60 Foyer 2,863 40 990 50 Living Room 10,896 152 5,431 274 Master Bedroom 3,743 52 1,183+ 60 Bath/Wall; Way 1,802 25 754 38 Bedroom 1 2,966 41 1,374 69 Bedroom 2 2,557 36 1,263 64 Open Foyer Area 524 7 170 9 Open Living Rm 2,450 34 543 27 63,404 887 28,124 1,420 HEATING DELTA T 65.0 COOLING DELTA T 18.0 NOTE: Calculated Airflow i based upon load requirements. Verify that airflow calculated is compatible with selected equipment requirements. 11-15-89 _.1 DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Rottlund Company R. Thies Flare Htg & A/C MN Job Name: 2 Story ) EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ. TOTAL AREA 14: 79; 100; 196; 01 0: 01 389: COOLING 1 230; 1,928; 4,640; 9,094; 0: 0; 0: 15,89^c1 HEATING 1 619; 3,494; 4,423; 8,669; 01 0; 0; 17,206; BELOW WALLS NORTH SOUTH EAST WEST NE/NW SE/SW GRADE TOTAL AR,EA ; 900; 963; 1,374; 938; 0; 01 0: 4,1751 COOLING 974; 1,194; 1,570; 988; 0; 0; 01 4,7251 HEATING ; 4,0041 4,906; 6;453; 4,059; 0: 01 3,645; 23,0671 DOORS NORTH SOUTH EAST WEST NE/NW SE/SW TOTAL AREA ; 01 01 201 01 01 0: 1 20: COOLING 1 01 01 278; 0: 0: 01 1 2761 HEATING ; 0; 0: 1,1451 0: 0: 0; 1 1,1451, FLOOR AREA COOLING HEATING 3592 1 0 1 3,832 CEILING AREA COOLING HEATING 3738 : 1,185 : 2,613 MISCELLANEOUS COOLING LOADS People Sensible Load 2,025 Latent Load 6,696 Lights & Appl. Load 1,195 Latent Safety Btuh 335 Ventilation Load 0 Duct Heat Gain 0 Infiltration Load 1,485 Sensible Safety Btuh 1,339 TOTAL SENSIBLE LOAD 28,124 TOTAL LATENT LOAD 7,031 Summer ACH 0.09 Temp. Swing Mult. 1.00 Total Cooling Load 35,155 BTUH Or 2.93 Tons MISCELLANEOUS HEATING LOADS Infiltration Load 12,522 Ventilation Load 0 Duct Heat Loss 0 Safety Btuh 3,019 Winter ACH 0.00 * Total Heating Load 63,404 BTUH RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 00 3830 KNOB RD - 55122 651-681-0675 New Construction Reaulrements RemodelfReoair Reauiremerds • 3 registered site surveys slowing sq.1 of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION>O-S 000 JOB SITE ADDRESS Z ~MBw ELG N M SSA IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER 66j"")15- Of'YWIp TYPE OF WORK b I' Ck I Z X ~J W .31WlDE FIREPLACE(S) - 0 -1 -2 APPLICANT ~~SJ~j 6< PHONE# 651,6o'-3, -2 / ADDRESS 9 Z CA,4113FRw6 D2 , ~6A~ . n9 /J ZIP CODE S3/~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing Systcm 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 D) Heat Recovery System Sewer/Water Contractor. Phone # Y All above information must be submitted prior to processing of application. 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. Signature of Applicant w r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 "t1 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg d. ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex & 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy !~-3 MC/ES System Census Code V-7 Zoning City Water SAC Units L19 Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const s Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. 0 Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other - Framing _ Pool _ Ftgs _ A r/Gas Tests -Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacemeennt) Approved By 66 , Building Inspector - - - - - ^r_~ Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total i i o 1 1 L t ~ t k' T i rv'5M~~ 4~ A- ~n ..r~~ s ¢ ~ Ny Yy` ~}r.s~ x,°~ »'s~~~t~3 is la ;f3 ~ ~''vx r' '.~~°#t ~ Yk.^c t `s E3Y'L~cri w aY ~a~ k E M 3.i :aid 3c E 't?' ~d. c > 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 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) i. ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ~~1 CS~~S.~c\\ ~a OWNER NAME: TELEPHONE INSTALLER, ADDRESS: CITY: STATE: C.c-N ZIP CODE:f l TELEPHONE SIGNATURE OF PERMTITEE i ":.r<x a>t :£•r,R Ls»il*x- Y's.nyp~ si ' . a t4cr d: R P ) Ms of 9 t .fmt M. ~ $ L L b e s f'a'#`` a nSa R a• P`P} +a.`i ~~~a 'CF .2 r R Yfy V¢ R YiEisin n:x aa~~,: o~. tt > r ~f. a. . Y.Y~,z£.~.«€~~ ~>xE`,rr~..~a~~:a. ~>£i'~i~'~: ' :a`. ...:rs.3ea ~,~t>": 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 SHOWER 3.00 3- 3 WATER CLOSET 3.00 cl a BATH TUB 3.00 6 - 3 LAVATORY 3.00 u KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3 - HOT TUB/SPA 3.00 WATER HEATER 3.00 T FLOOR DRAIN 3.00 3 1 GAS PIPING OUTLET • minimum -1 3.00 1 ROUGH OPENINGS 1.50 tI• ' WATER SOFTENER 5.00 PRIVATE DISP. • Dak cty. iic. 15.00 U.G. SPRINKLER • dome under cont. 3.00 ALTERATIONS • to edsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 4 SITE ADDRESS: 1pp~1 C.Avn~oee ~cbl ale 5 OWNER NAME: 1\O~~ INSTALLER Co - f ,,J z e~~ lC C- ADDRESS: CITY: STATE: U'1-- ZIP CODE: s t PHONE l~G SIGNATURE F PERMITTEE LOT BLOCK '02- SUBD. fJoalwdfe2~ !o o~ RECEIPT # a79 PA & DATE 1994 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER r Date: C/cl.~c /4 *?f Commercial GPM Residential (boulevards) GPM Existing residential _ V r Area/address to be irrigated: Zal 7 (_d tX 6e IN G4 S C/ Z ivc Installer: co ,7 uLd 1411 t_ c5ize - Owner ❑ Plumber Street address: Pa City, state & zip code: Yk_Z Phone ryy Owner Name: loY~~e,r 1raiU v Street address: City, state & zip code: Phone rOP 9~! 7 Irrigation contractor, if different than installer: Aka > rc ° /y Telephone L & , 4flgz I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply w' all applicable City of Eagan ordinances. C S ture Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The property owner agrees to hold harmless the City of Eagan 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. Property Owner Date Approved by: ` +b ~14J Date: PRV ❑ Yes 5l No New service ❑ Yes R No Meter Size & Cost -------------------moo . Fees due: 20 Calculated by--:~r)~"---' i ~ PROCEDURE FOR IRRIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Department for review before installing an irrigation system. A permit to work within City property/public easement/right-of-way may be required. . . 2. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $25.5 ' 0 irrigation system permit to cover installation of backflow preventer. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. b. Residential nroiect: $ 20.50 irrigation system sprinkler: permit Ito cover installation of backflow preventer. $ 50.50 water permit fee if new service is, installed. $725.00 ner connection - WAC. $348.00 per connection -water treatment facility. c. Existing residence: $ 20.50 irrigation system permit to cover installation of,backflow preventer - (not required if backflow preventer prevjously installed),- however, plan and application must still be presented for approval. d. Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at'a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. Use BLUE or BLACK Ink Cfl o Ea p 1 Permit - / 76 Z5 I *y f I I Permit Fee: 3830 Pilot Knob Road RECEIVED i I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 NOV 19 2020 Staff: - - - - - - - - - - - - - - - - 2010 MECHANICAL PERMIT APPLICATION Date: f t Site Address: C - 7V~Y~~ r t ~ ~--~(1 d')(- Tenant: 7( _Q , Wit- 'aS~k -'C iI Suite M RESIDENT I OWNER Name:CC- U (~1; Phone: irl.-SIl_- I Address/ City/ Zip c 2 3 RNSVILLE HEATING & A/C, INC. CONTRACTOR Name: urnsvl License t--I 301 VV. B Parkway Address: Snit 120 City: State: 2 p1p rnsville, MN 55337 Phone: Contact: C-, Lt Email: TYPE OF WORK New -X- Replacement Additional Alteration Demolition Description of work: NOTE: Root mounted and ground mount rt echanfcei equlpmnenti 9 , r0ulred to tae=seftqned'by City Code: Please contact the mophanicel In 000tci'.tor lnforrhation nlti rrnMed scroetdng,t!r ethods. . PERMIT TYPE RESIDENTIAL COMMERCIAL _Y,-Fumace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire A Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) ~7 $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 55, C_ 0 TOTAL FEE COMMERCIAL FEES. $70.50 Underground tank installation/removal OR Contract Value $ x 1%u $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit 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 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.aopherstateonecall.oro 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 11, ~1, t t s'l x~ Applicant's Printed Name Appl cant's Signature FOR OFFICE USE 4viewed Sy: Date Required Inspections: Under Ground -Bough in Air Test Gas Servfco Test In-floor Heat -~Flnal Exterior HVAC Screoriing nspecdon Cit of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675; Fax: (651) 6755694 Use BLUE or BLACK Ink For Office Use' Permit It: 1 1 Permit Fee: 1 n S .0 5 Date Received: 1-1:ct113 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION. Date: ') 17 /3 Site Address: , 702-7 �f`.la.'zt- l�iZ-; : Unit a; RESIDENT / OWNER . e. Name: c c -f f f� 55, 4:14:j6. Phone: 6.2-ri 75-7-2 673f Address / Ci / Z( 7 Applicant Is: .Owner ,;,.Contractor • TYPE OF WORK CONTRACTOR Description of work: 64 c < Construction Cost: ?l6' 477 C Muhl Family B ilding: (Yes _ / No k) , • , Company 11�� 3 1"6i. Contact: S%E-1/E 374,-C444710.76 ° Address: 'P/ ,4J6 A1) Ci / 5. State: /fr2 J Zip: • 7 7dpaa' Phone /J I7 Mf r g5 -4"W Lead Cottlncate #: N '7' 713 71-- / If the project is exempt.from' lead certification, please explain why" (see Page 3.for additional information) License # 434,5*"a4oga,: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit fora 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,•yo.0 submit a.r c9.0,10ered. to'. be public Information. Portions of the Information be classlfl As Riib c,lfy0 ' may "'•corf�uil6t'tliat t3`�fa sc f?easons that would permit the city to . tti y arOltzidt seorets.'• CALL BEFORE YOU DIG. CaU Oopher State 0nv CaU et (461) 4W-0002 ror pto(ectIon against underground utility damage. Call 48 hours beton you Inland to dig to receive locates o(and erground uti lUes,• www gopberstate4eeoll,tira I hereby acknowledge that this information Is complete and accurate; that the work ,wiU 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 Isnot to start without a permit; that the work mil be in accordance with the approved plan In the'case of work which requires a review and approval o(,plans.. • Exterior work authortzed by a buliding permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. .57t. S‘r/Zar-AtiyaSX Applicant's Printed Name UO! ena13 I.UOJ- 0 N 0 pp V t n C p. C CD ( o WC�'K f 4.1 0 S6i'6'SSGIS9 4 Right Elevation scale: 1/4" = 1'-0" 5' fD 86f6•SSGTS9 dAl s4sodidgx9 • • rn 0 cn (n v vi EU. X a rt T O N CD 0, O d r 0 d rt.(D m 3 o . N n3 C 200 -x2o•o P, n -Aa3m V, N g • = lD O 01 01 X O 01 VI CD N o n 03 0. 0 O L 0 •dA s6uuooj aaaJouoo paa"od N N O r N 3M W uoilena13 110-1T = ..17/T :a12Ds 5 lD rw 's;q$TaH v4opuayg 86176'SSL IS9 0 0. 0 tD -11 00 1/1 wap moiaq d/q sisod id 9 x 11 01 4, X rt � N NN q0 rt o. N C o ••o 0i N rt rt 0 c -A a ..0 .T .OIeDS 5 x 5 CD NVni 's409H e;opuaw 8a6'SSGIS9 • co m 8 64 c 1 N O 2 x 10 Joists 16" 0. C. r N b rn 0 )- co l CZ in gig Irl 2 nil R XA � n ...s r 1!) 7U "4- PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135982 Date Issued:04/18/2016 Permit Category:ePermit Site Address: 727 Camberwell Dr Lot:3 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Scott S Bosshardt 727 Camberwell Dr Eagan MN 55123--392 (651) 757-8675 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature y 1 1 a r ® For Office Use �� ttr Permit r*: i 5.-1 gle-- CC^^ Permit Fee: a`ap�, GCE1I J 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 FAX(651)675-5694 JAN 1 3 2020 ��� buildinainspections(c cityofeadan.com Staff: i� t. BY: V772020 RESIDENTIAL BUILDING PERMIT APPLICATION l Date: 1/10/20 727 Camberwell Dr. "� Site Address: Unit#: Name: Scott & Laura Bosshardt Phone: 651-428-9076 Resident! 727 Camberwell Dr. owner Address/City 1 Zip: J Applicant is: Owner � Contractor W/ Litt)L ������ �� _/� CType of Work Description of work: KltChen Remodel c Construction Cost: Multi-Family Building:(Yes /No V ) Company: RussellRoom Remodelers Contact: Sharon Russell Contractor Address: 2357 Ventura Dr. #112 city: Woodbury State: MN Zip: 55125 Phone: 651-735-8367 Email: Sharon@RussellRoomRemodelers.com License#: BC008168 Lead Certificate#: If the project is exempt from lead certification, please explain why: Built in 1993 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: Fire Suppression 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 they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 , no to start without =rmit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval •tpl 5... eatsc-ei( i. ...iiff Applicant's Print d Name Appii„,✓7- Si. 1'e -76„„), DO NOT WRITE BELOW THIS LINE id-i �.v` �I ' SUB TYPES Foundation Fireplace Porch 3-Season Single Family Garage (3-Season) Exterior Alteration(Single Family) _ Parch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous ___ 01 of_ Plex Lower Level Pool Accessory Building WORK TYPES News Interior improvement Siding Addition — _ Demolish Building* 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 SIO S Occupancy J: Q -1 MCES System Plan Review Code Edition .2o/S M.A.) 2GS SAC Units (25% 100%X) Zoning A-'1.- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction — Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O.Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick EFIS ___X_ Insulation x Windows Sheathing Retaining Walt: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee IG AcL ('eAtc I / Rt,Lei- (✓cc r / .- Surcharge p Plan Review 1 pre.L. Doo r MCES SAC City SAC / Utility Connection Charge `i II SSW Permit&Surcharge / 7 P _, 2 53:7 Treatment Plant 1 , Radio Meter Read Copies TOTAL l 7 3 t /-7 S x 4,12).c t1 = # 56-7c Page 2 of 3 Smoke and CO detectors affidavit for Building permit final i loon NaWSow,ric/ have tested all the required smoke detectors and Carbon Monoxide detectors, At address"747 CA.4bee C l t �rivG,,on this date H,a4f They D They are correctly located as per the manufacturer's installation instructions and operating. There are working smoke detectors in every sleeping room,in every hallway leading to a sleeping room and on every level of the house. There are working Carbon Monoxide detectors outside of every sleeping room,within 10' Permit# EAH5/6/A 1, Signature dif. ,•,ce, / PERMIT City of Eagan Permit Type:Building Permit Number:EA164599 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 727 Camberwell Dr Lot:3 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-030 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 - Scott S & Laura J Bosshardt 727 Camberwell Dr Eagan MN 55123--392 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature