730 Camberwell Dr? .. . . .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: J„ l
.? i 4,I'I1,1 1?1.ii I I
PERMIT SUBTYPE:
N RECORn
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
[ I ?t
TYPE OF WORK:
I?1 - I R t I• 1 1I rhi
II? ?,ItMi,
11 .i 1
1 KAhI 1 hlis
rt r w
f 1 NI t IIIlE..? !tf I !s. 1
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IF
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Permit No. PermR Holder Date Telephone ?
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
lospectlon Dete Insp. Comments
FOOtings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fnal
Oeck Ftg.
Deck Fnal
Well
Pr. Disp.
, - INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road PeRnit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lu t- 9 0 1_ 0 C K APPLICANT:
f_AMbF RWE L i. [!it i: f Nt I E k liOMg S
NILL9 QF StONf RRIDBE 3t21) (61.2) 926-7833
PERMIT SUBTYPE:
'; F l}Wri
TYPE OF 1NORK:
Control No. 0904
otl11 UlMfd
ao I I r?r
e6t/obf97
N F: W
INSPECTION .A •
i{AMiN(i ..
iNtiu1.A r tON F [N??
r• xaFpinr.r
RFMARK3 a5 6 44 fiUN1'fiAC 1'OR -- PL YM01ITH Pl EiO
.?
E ?c
PermR No. Permk Holder date 7Alephons N
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsetjon Diq Inap. Commwts
FoailnQs I
wundadon L
F?arrdng ?- 9• 92
Rao}Ing i
Rough ?. 211f? l?
Rough Mg' /`K/
l3ul.
FkqAace y z ?
Fhia! Htg.
Orset Test ( ( l/
Flnal Plbg. Plbg. Inspector - NotHy PlumDer
Cor?5t. Meter
EngrJPlan
81dp. Final . ? Z A ?
v
Dock Ptg.
peck Flnal
weli
Pr. oisp-
.'? &..r ?'/lo101 ;1-- !4w
a? , +
. _>;.
Wvttificate vf Cccupanc?
?? ? ??
?L iq V334"'U"tcom
This Certifecate issued prirserant to the requirements of the Uniform Building Cade
certifymg tiint at tlu tinee of issuance this structure was in compliance with the various
ordirearices of the Cety ngrrlating building construciion ar use. For the followircg:
Use Cl-" *oo: SF DWG 61dg. Perma No. 1167
Oocupsncy'lype Zoning Dishict Type Const.
OwaroFBuilding CENM HM Addre.ss 5W29 3M '', MMA
Huilding nam= 730 r,*MERWEl,L DRiVE LocaliryL9, B5, HILS CF SPQ+EEiRIDGE 3ED
21%WM 11/2/92
°
?o?+? '?- ? .x
POST IN A CONSPICUOUS PLACE
?AdldYe3s:730 !'.AT? DRIVE Lot 9 Blk 5 Sec/SubHIM5 OF SIONEBRIDGE 3RD
These items were/were not complete at the time of the final inspection.
Date: 11/2/92 Yes No
Inspector-
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry ?
Permanent drivaway
Permanent gas y./
Sod/seeded grass
Trail/curb damage
Parch
Basement finish
Deck
Please verify vith tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
fceeze potentlal exists. ?
arcxieoxnx
White - City copy Ye11ow - Resident copy Pink - Contractor copy
,C9, ,651, /?? ? ??/y
HOUSE HEATING TEST RECORD C
ADDRESS _73V ?'??1c'l L.•-? APT. -FLOOR CIT?YtG? b SUBURB
OCCUPANT OWNER ?$?r? .C?(?rnf_S
HEAT LOSS D TE NTG. INST.
SOLD BY ,_IA?L'T1X INSTALLED BY
Elachical Work By Gaa Lins By !v ?
TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. _UNIT HT ._OTHER
5 GASDESIGN CONVERSION
MAKE MAKE OF BURNER
Modal TL? 1, ? CX/ Model ?-?a-t-'.?-?i ??'{4?> ?`i?i ?? d?
Ssriol ?Z(?2 IMx. 6TU Raeinq . - . ikvw.
INPUT ? ? , u , ?? MAKE OF FURNACE ? ? ' ???
Model
CONTROLS
THERMOSTAT Haat Plug Vent Si:e ?f
Valva (,U' ? KIND OF LIN SIZE NONE?
Limit -7-3?xiqog: 1WS•r DroftHood RaqulamrfA.4VT"1A., --S)`
Limit SsHing 14716 ry Filtsn Si. umbs/
Fon Settiny AJ 16-5-0 Chimney Location Insid??0 tsids
Piloe Typs 7 ? [himnsy Conshuefion
Pilot Maks U
Pilof Model 7-/-1 1 Smoka Bomb Wiring -
Pilot Timing Draft ?"? Tesf Tap
L.W. Cut OfF Dow Prassurs_ Li9htiny Inst.
Prossurs J ?ocent CO? ba»`resfsd Input CFHPercent O? D D Company Teating \\ !
$mck Tsm Psrcant CO Nams oF Tsster
.
F«m 235
K 3 8
8 L
ReQUest Date Fire No. ugh-in
Inspection
e9uiretl9
? Featly Now LQWill Noely Inspecmr
8-12-9z Yes
7S ? No When Reatly?
I$I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AGdress ISlreet. Box or Rome No.) Ciry
730 Camberwell Drive North Eagen
Sec1ion No. Towns?ip Neme m No. Range No. County
Occupanf(PPINT) Phone No.
Centex Homes
Power SuppLer Atldress
Dakota Electric
ElecVical CoMratlor (COmpany Name) LonV9ctor's License No.
Lazer Electric, Inc. CA 01110
Mailing AtlCress ICoNraclor or Orvner Making Installation)
8383 Sunset Road N.E., Minneapolis, M 55432
Aulhoriietl SlgnaWrIe/ iCOnlractonOw er Making Installation) Phona Number
. ?„e (Pa. . 784-3729
MINNESOTA STATE BOAHO OF ELEGTRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-M{dway BIEg. - Room 5-173 8E ACCEPTED BV THE STATE 90ARD
10T1 UnivarHty Ave., SL Paul. MN 55106 UNLE55 PROPEP INSPECTION FEE IS
Vhane (612) 642-0800 ENCLOSED.
$?/j?Z/9c?, REQUEST FOR ELECTRICAL INSPECTION
3 5 4 3 8 , See instmctions lor completing this fortn on Oack of yellow copy.
K,, "X" Be/ow Work Covered by This Request
P?, =/o73a?
??sjj
e Add Rep. 7ypeotBuilding ~ AppliancesWired EquipmeniWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer O[her (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other(specifyl Conlractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service EniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SiJf1S InspecmrSUseOny'. '"1 TOTAL
Irrigation eooms ?????. $86.50
Special Inspeclion ?
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN IMNTH%
I, the Electrical Inspecror, hereby Rough-in o?/d_ Fi
<
certiry that the above inspection has
been made. Final oa:e6 7?
OFfICE USE ONLY
This repvest vui0 18 months from
?i?y
- !'°'t (? ? RESIDENTIAL
? l BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 7,
651•681-4675
New ConeW ction ReauiremeMs RemadeVReoair Reauirements
• 3 reqistered site wrveys showing sq. R of IoL sq. ft. of house; and all roofed a2as • 2 copies of plan
(20% mazimum lol caverage allaxed) . 7 sel ot Energy CalcWatiora for heated additions
. 2 copies of plan showing beam & windax saes; poured found design, elc.) • 1 site survey for eztenw additians 8 decks
• 7 set of Energy Calculatiore . InEicate'rf home served by septic system for addNons
• 3 copies o( Tree Preservation Plan if lot platted aher 711193
• Rim Jnist DetaB Oplions selecfion sheet (Wdgs with 3 or less units)
DATE j J" eG 0" OZ/
SITEADDRESS '130 CIi4fL.c.. OFl
VALUATION
MULTI-FAMILY BLDG Y N
TYPE OF WORK rS.412 oFF e RnoF FIREPLACE(S) _ 0_ 1_ 2
APPLICANT $jkLO."ti Q,o?..-ra?c.YU+RS
STREETADDRESS 1_1-1y"4 Nic01-i-ct- pv S CITY B%4rw?r- STATE Pti!J ZIP 5 S337
TELEPHONE # 95Z-?°?' b959 CELL PHONE # 952.- 29z-Scoq3 FAX # R52-1o?- 9925
PROPERTYOWNER Rootnr?e t- KlRC.a G2A?P
TELEPHONE# fusi-HSN - 3Z57
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNL:SO'1'A RCiLES 7670 CA1'EGORF 1 MINi `BSOTr1 RCILES 567?- ?
'I t
J submission • Ne 'Energy C6 l
de Workshee 5ut
( rype) . Residen0al Venlllation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted Iv?l n?0v 2 1 202
u
Plumbing Contraetor. Phone # ?
Plumbing system includcs: _ Water Softener _ Lawn Sprinkler Pee: $90.00
_ Water HeaCer No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Nlecluviical systeui iuclucles:
Sewer/Water Contractor:
Air Condiuoning
Heat Recovery 5ystem
Phone #
Phone #
P'cc: $70.00
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 Appltcanf
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon ReaulremeMe
• 3 repistereA sNe suneys shorring sq. tt. ol lot, sq. fl. of house; and gp roofed arees
(20% maximum bt coveraga albwed)
• 2 copies ot plen showing beem & windaw sizes; poured lound desgn, etc.)
• lseiofEnergyCalculetbns
• 3 copies of Tree Preservatbn Plan tl bt pletted aMer 7/1193
• RM ,bisl Detail Optbns selectbn sheet (bbgs wNh 3 or less wfls)
DATE `C>- 22- QZ
21 ?0 , 2S
RemoAeVReoalr Beaulremente
. 2 coples of plan
• 1setWEnergyCabulatbnsforheatedadGilbns
• 7 site survey for exterior addHions 8 decks
• IrWicete rf hane servetl by septlc system for addnions
VALUATION ? 1\ Z a cD - Z?
SITE ADDRESS 11?JO MULTI-FAMILY BLDG _ Y _?6N
NPE OF WORK Q_x__2-1Qk__4_ fIREPLACE(S) Y, 0_ 1_ 2
APPLICANT
STREETADDRESS 'L'??9 CZ??S? . Sv?? CITY?c.u\11? STAiESCI?LP?I
TELEPHONE # 16,?1-7T?*V9Y2ZCELL PHONE # FAX # ?? 1-4t(;S-3 '0Zl4
PROPERTYOWNER TELEPHONE# In-i1'4SLI- Z2L ??_
----------------------------------------------- -------- ---------- ------------------------------
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 Submittad • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor:
Plwnbing system includes:
Mechanical Confractor:
Mechanical system includes:
SewedWater Conhacfor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone fi
IJ ? I?
2002
I hereby acknowledge that I have read this appiication, state ihat me information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordlnanc c (
Signature of App c '
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
IT?'Y OF EAGAN
18agan, 30 Pilot Knob Road
Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
DECK)
SF PORCH
NEW
R-3
SITE ADDRESS:
P.I.N.: 10-32992-090-05
730 CAMBERWELL OR
LOT: 9 BIOCK: 5
HILLS OF STONEBRIDGE 3R0
DESCRIPTION:
(INCLUDES
B,w41ding).perrnit Type
Buildxng Work Type
jUBC Occupancjr\'
J' Building Length,,
/ Building Width L ?
L
?J
\l.. /
12
il
? 11 ?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$72.00
$2.50
$79.50
$5,000
CONTRACTOR: OWNER: - APPlicant -
CZARA ROGER
730 CAMBERWELL DR
EAGAN MN 55123
(612)348-1788
I hereby aoknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City uf Eagan Ordinances.
L ?
APPLICA` NT/PE ITEEr IGNATUR"S? E - ISSUEO B: SI ATU E I
_ ? _.
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLoiNG
3830 Pilot Knob Road Permit Number: 021993
Eagan, Minnesota 55123 Date Issued: 09 / 17 / 93
(612) 681-4675
SITEADDRESS: LoT: e BLOCK: 5 APPLICANT:
730 CAMBERWELL DR CZARA ROGER
HILLS OF STONEBRIDGE 3RD (612) 348-1788
PERMIT SUBTYPE:
SF PORCH
TYPE OF WORK:
DESCRIPTION
IFOOTING
IFINAL
F-
FRAMING
, /8'U?E$!NG
021993
@9/17/93
NEW
(INCIUDES DECK)
?
L -j
---------- --------
REACTIVATE __
PEWIIT_,S
1 2,104.3
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION t qQQ
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 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 '7/1393 / / Yaluation of work
Site Address: 130 CPyrj?&/WP-N PirUc. LaZrn
STREET SUtTE N
Tenant Name: (commercial only)
IAT ? BIACK ? 4-
SUBD. o P.I.D. N
?
.2
m?C
.?+-
Descri tion of work: CM 5f I' u r0112 Gteck SCVCe-t?!-d' 19WJ--
The applicant is: Owner ? Contractor ? Other (Deccribe)
Name Clzo,t' Phone '45`i
Property LAST FIR T wa46 31ViWk
Owner Address 73o ?eerGj C/l/ DOIvc?
STREET STE N
City ??ilclCt?l State Zip JS
Company --- Phone
Contractor Address License # Exp: _
City State Zip
Company - Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber ' Processing time for
sewer 8 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:
-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
p 04 SF Porch
0 05 SF Misc.
O 06 Duplex
? 07 4-Ptex
? 08 8-Plex
0 09 12-Plex
? 10 Mu1ti..Add'l.
WORK TYPE
JR 31 New
O 32 Addition
? 33 Alterations
? 34.Repair
GENERAL INFORMATION
? 11 Apt./Lodging . "
13 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
N of Stories Footprin t Sq. ft.
Length J x,, On-site well
Depth I?• On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site I,a footing
? Wallboard C? Final
Framing
Draintile
30
J
`o
? Insulation
? Fireplace
Permit Fee 72,0"
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
VatLatim: $
F7v _ -
w ?- =
1-r;ov
1-3z XZS=- 33?-'
/pcv
y5?,--?-
».
0.16 Bas&ment Fini'sh
? 17"$wim Pool
? 18 Comn./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
0 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
. *
* P10111EEFi
___"'
* eng?neeri
* * * *
'ORS • CINL ENGINEERS
• LANOSCAPE ARWIIE?
2422 Enterprise Drive
Mendoto Heiqhts, MN 55120
612) 681-1914-Fox 681-9488
625 Highwoy 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of Survey for: Cent@X, Incorporated
House Address: 730 Camberwell Drive, Eaaan, MN
Model Name: 765,
?
?
? • y$9,?o n,°? C99 ,
0
1 ?
? \ \
i ? 40
\
%P
"&.
?0 ?rs
,?D ? ..
1? 9 < x \
901:6:)
r
>
F
? i
? - o
. 900.0 Denotes Existing Elevation
¦ ?aq- Denotes Proposed Elevation
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
-o- Denotes Monument
-$-- Denotes Offset Hub Bearings shown
LOT 9 , BLOCK 5
DAKOTA COUNTV, MINNESOTA
/
/
/
/
/
/
(Cqa:7
PROPOSED_NOUSE ELEVATIDN.
Lowest Floor Elevation:894.65
Top of Block Elevation:902.76
903.0 Gorage Slab Elevation:902.43
are assumed
HILLS OF STONEBRIDGE
, 3RD ADDITiON
I hereby cert{fy (hel lhii survey, plan or report was prepered by e or under my direct supccqqWW?1 is?,ion and thet 1 em duly Reqislered Land Surveyor
under the lews of the Slete o( Minnesou. Daled this }T dey ol 4ULIf -A.D. 19?.?C. ?
?
SCdle: 1 Lnh_30te 1. rUIZ
ROBER 5? N L.S. nEG. NO. 14891
I>( CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
730 CAMBERWELL DR
LOT: 9 BLOCK: 5
HIILS OF STONEBRI06E 3RD
DESCRIPTION:
Building Permit Type SF DWG
?Building` Work Type NEW
UBC Occupancy R-3 M-1
Canstruction T.ype V-N
Zoning - PD
Building Length ? 54
Building Width 35
Building storiss;? 2
_-
?.
r. r
?
REMARKS: CDaQy15.f
S& W CONTRACTOR - PlYMOUTH PLBG
BUILDING
001167
06/05/92
FEE SUMMARY:
VALUATIOH
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
PERMIT
$793.50
$515.78
$72.00
$700.00
100
1
Z2,0@1.28
$144,000
MISCELLANEOUS
Total Fee
$1.610.50
$3,691.78
CONTRACTOR: - Applicant - sT. Lt
CENTEX HOMES 19367833 000133
5929 BAKER RD
MINNETONKA MN 55945
(612) 936-7633 pWNER:
CENTEX HOMES
5929 BAKER
MINNETONKA
(612)936-7833
RD
MN 55345
I heredy acknowledge thet i have read this application a nd state that the
intormation is cprrect and agree to comply w3th all appl icable State ot Mn.
Statutes and City of Eagan Ordinances.
?-
2 ?
_y
?
ao#
APPLICANT/PERMITEE SIGNATURE
ISSUED e:
S NATU E .
INSPECTION RECORD C°ntr°' "°. 0904
CITYOFEAGAN PERMITTYPE: BuzLoiNG
3830 Pilot Kno6 Road Permit Number: 001167
Eagan, Minnesota 55123 Date Issued: 0 B/ 0 5/ 9 2
(612) 681-4675
SITE ADDRESS:
APPLICANT:
LoT : 9 B L OC K: 5
730 CAMBERWELL DR CENTEX HOMES
HIIIS OF 3TONEBRIpGE 3RD (612) 936-7833
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOOTING .. .
FRAMING ..
IN3ULATION FINAL
FIREPLACE
REMARKS: S& W CONTRACTOR - PlYMOUTH PLBG
Control No. 0904
F 7
ItERMIT # , CITY OF EAGAN
? 1992 BUILDING PERMIT APPLICATION
681-4675
JUL 2 ?, REc
P?
SINGLE & MULTI-FAMILY 2 sets of 1 3 registered site surveys, 1 copy of energy
a cs.
COMMERCIAL 2 sets of architectural.& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date -7 2n / 92 Val uation of work ? 122, 140
Site Address: -7 =?c) na?".(}r ..xQ.P h5r; ve -Ntrbf11---
STREET STE M
Tenant Name: (commercial only)
LOT 2? BLOCK S SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner ? Contractor O Other (Deseribe)
Name Phone
Property uST P[RST
Owner
pddress
SiRE T STE /
City State ZiP
Company CENn-Fx Phone 9_V-) - 7Rs3
Contractor Address 5929 Rwlco,.- eoaaf _ License # ?? ga,-? Exp.
City Minnv?l-„nka State M1nnyan-?-,z Zip ?53?45
Company Phone 9 aln- 7Pj53
Architect/
Engineer Name I?Savi rA 10 W{LOT4411 Registration #
Address 5929 &u,r Sui+a 4-7o _
City VVl'i nne*b,,kq 5tate MrJ Zip 55--3,4-S:
Sewer 8 water licensed plumber ??vvHa r44.. 4N„ .bina_. . Processing time for
sewer & water permits is two days once area has been appro d.
I hereby acknowledge that I have read this appl' ation and state that the information is
correct and agree to comply with all a 1 a of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
'
? •
,.
BUILDING PERMIT TYPE
?
? D1 Foundation O 05 Apt. Bldg ? 09 Basement fin ish ? 13 Comm/Ind Hew
El 02 SF Dwg. O 06 Garage/Accessory ? 10 Swim Pool ? 14 ComnyInd Add
O 03 Two family ? 07 fireplace ? 11 Res. Add. [3 15 Comm/Ind Rem
O 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch El 16 Public Fac.
_ ? 17 Agricultural
WORK TYPE
p 31 New O 33 Alterations O 35 Nove
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INF ORMATION
Lonst. (Actual) ? Basement sq. ft. //P?' MWCC System
(A1Towable) y/Y lst F1. sq. ft. ,/f? City Mater ?
UBC Occupancy _
? i? I 2nd F1. sq. ft. //Or PRY Required
Zoning Sq. Ft. total Booster Pum p
i of Stories z footprint Sq. ft. ' fire Sprink ler
Length ? On-site weil Census Code
Depth 3S 1 On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTI ONS
O Site ID F ooting tT Framing El Insulation
? Wallboard 2"f inal ? Draintile ?. fireplace
Permit Fee v.iuac;m: s C-)°
Surcharge
Plan Review ?
License ?
MWCC SAC
City SAC ?s?. fi o 8
?/
,F/S- ?/Gza
?
Mater Conn.
Yater Meter /5 d- 1 I 3? ??3_. Z? o/oZ
Acct. Deposit '-
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
o F
Trails Ded.
Copies
Other
Total:
SAC % I
SAC Units
* * *
* PIONEEFI
---. ----? engineeri
* * * *
urvu suRVerorts • ahL c
LANO PWINERS • UNDSCAPE
Certificate of Survey for: C2nteX. Incorporated I
House Address: 730 Camberwell Drive. Eaaan. MN
Model Name: 765/
?
??.
/ / ? i ?09 y? h9 esa.
i St? oy> \ ?`s
?
y??,t ? \ ???•
.?O A <11
.. ? 60? ?'L A0 $09 ?
w? \ w?, y yeti ?
N \ \ ? .,
.
\ _? 901.6 \
?
1O
?
?
'If\
Ill ? ??
Do
. 900.0 Denotes
. aoo.o Denotes
-- Denotes
Denotes
--o- Denotes
---e- Denotes
LOT9 ,
Existing Elevation
Proposed Elevatibn
Drpinage & Utifity Easement
Drainage Flow Direction
Monument
Offset Hub Bearings shown
2422 Enterprise Orive 'I
Mendoto Heighis, MN 55120 I
612) 681-1914•Fax 681-94P
625 Highway 10 Northeast
Bloine, MN 55434
612) 783-1880•Fax 783-tS?l3
/
/
/
/
/
0?
L?
R ,rIRTGINEERIRIG DEPT
C7 . I
/ PROPOSED HOUSE ELEVATIO_N
Lowest Floor Elevation:894.65
Top of. Block Elevation:902.76
eoa.o Garage Slab Elevotion:902.43
are assumed
BLOCK 5 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N
I hereby cerUfy that tM1is survey, plan ar repart was prepared by e or under my direcl sup vision and thal I am duly Regislered Land Surveyorl
under tha lawi of the Stare of Minnesola. Dated this 25T day of _ A.D. 79
,
Scale: 1-inh=30,eet
"
HOBER A.5 H L.S. REG. NO. 14891
765
°ianninn Lesign Inc.
t!•f 1 Nighway 10 hJ_E.
Pli nneapol i s, rIra 55432
LS 1cs- I8L'I-i 420
Minnesota State Energy Code Calcuiakions
Based on Chapter S o{ the Model Energy C:ade
194' Edilicrz -- Adapted i/l/S<ti
?•r;ner:
5i1_;= AJerrss:
i;crrc; act.r..r-:
H1dg. C;ass:
=En[cF'F;L INFC!FiF1ATIt]R;
MOBEI_ #JGc:,
CEN'"ci; NOf•tE:=
caMM. rao. O8D579
CUMI`i. I+10: QJ' Fj-c '5 J l
Phocte:
:,2 R1 for Sing1:- Pamily.•'Uup!e::
:a2, residential •, r stvri_==
O•:er 3 stnries
Other
Nln{;(?; TFi@ >8CLi0[l designatians ("Section f1", "Sc=•cL-zon P" etc.) are 4cr
cenvenience in ca'culations cnl'y, and are not reIated fram une set oF
calc_ilatior.s i;e:r,w: co the riext,
i. Pldg. 41a.Lls Perimeter :: Wail fieights, = area
ground Eo eare
Sect±c:ri ;=i . iSS 19.4ZT = 7,i]9Z.48
.;eLUun F is n = O
S°CtlO^ fl . 0
Sf'C t1 Ckt1 C)
Gross l+lall FHrea = 3043.43
2. Pt.cilding dimensians Floor or
Ceiling
Length >: Width = Area
Section A : 16 14 = 224
Section P: Z72 28 = fl96
Section C: O U = 0
Section D : Q 0 _ 0
Total floor or cei 2ing area = 1120
a. P.im Joiat Perimeter = ISb .
Floor .icisc 2 6y (R", 10", 12" or I6")): IU
Fim Joist Area = 130
4. Doors
iyrea:
Ferimeter Sieet):
Type of cc+nstructian:
5. iotal door's perimeter:
6. Glindvws
43.8 ThicF:ness (inches): - S?
O
O
765
Manufaci ui-er:
:=ta"'e aav-ovEd:
.r,pe
E+Sh!'T. I.11+! I T
Z=C]L[BLE l-!JhlGS
r P e
8. Pdtie Baar;
4'. f?f.rium:
TO; <4I 3cT rt _
11. E:;pesed Fo!inc+ativn
Fleinht area A:
Sq Ft area A _
E>:posed Founctaticr.
Hzight arPa B:
Sq Ft area B =
12.
:tEATFIER4HIELD U factor: .49
vGs
i-Eam?:igiit „ LengtPz „ fd?_imber = Total
;:r,ches? (?nche=). of qlass ayFt
LllilfS
14 _, 2 5.25
<8 1 6 4 12.44
tb ?4 4 10.67
16 28 ? b_^2
i? 23 1- 6 3.-3
_3
-cn :2 2 12.44
: 4 :6 14 £34
,
_ ... ? C; 4
,
" t n 0
u 0 0 p
t] i) rJ ?l
?i 0 ij 0
t i Ci Sl [ 1
:. V:i ndowl gI ass areri (SqFt ) = 228.35
'-leiqrt ;; Lengt!-r ., hJumb=r- = Total
r?e=•t.: (feet) units SgFt
0 4 0 tl
6.$ 2.0 ? 38.08
7 Hei-ght: 5
=fi
0.67 Pe-imeter area R:
i 04. Ji
O Ferimeter area E+:
0
9qFt U factor
i5b
il
U :: A
8ro=a wal 1 area 30q3.48
mirtus
4tindow area - , 228,35 .49 111.89 -
Patio door area._.. q p 0 _
-f}trictm-area` -_--=---
- -'--M.-O$_.__..._. - -- - - -' - -- --`- - _
R,im joist area 134 .042 5.46
Door arva 43.8 11.14 6.13
F'ireplace area 30 4,17 5.1
Exposed Found. . 104.52 .133 13.90
-K- Frsming area 399.7543 ,103 31.87
equa2s
Totals for nec wall: 2206.752 .045 99.30
Add Egress Casement Window 6.00 ;49 2.94
765
Tofia1s +or gross wall crea: 294.49
•F" rtrnincj 3t^ea is 1G% e# Gross viall area -
". Gross avazi area r, tac=or belew = fJ x "+
per cc5d=
Factor is .IS fo- A-_ sinyle fainily& dt:pie::
-23 `or €1-2 and other r-esidential.
.23 for ather buildiny=
.2g ror n-ver 3 =_tories
Factor i=_: 0.11
13TUI-I = 340.2828 MLJST PE :> QFt = 294.49
!calcu.lai:erJ abuve5
c.:pj i i!1? area _ 112o
iS. Ceil:i:g Framinc, ar ea (10j. of czili.r.g aria) = 112
:S. Joist Area 00j:
?f -
cei' .' ?ng area? -
112
x.?. Net cezlinc area ( C;ro=_s cEil, area - Joist area) = I008
13. !J ceiling: 0_021 r. Plpt ceil, area = 21,168
19. Uiraning: 01,024 r. Joist area = 2.588
=0- Total oF itenl 18 >: item 19 = 23.355
21. Gross cei i i rtq area : f actar LIeI OV1 =U >; A per code
Factar is .026 for A-1 sinole family ,is duplea;
.03' for A-2 and other resive"E:ial
.06 fur ucher btiilJing=
Far.toris: 0.026
E.TUH = 24.12 "fUST $E ? OF'. _ 23.006
!calculated above}
.
CEILING WIZT3 VENPFD ATl'IC SPACE AHOYE
R YALDE R YALUE
FRAMIIQG CEILIHG
0_61 Air Film 0.61
36.00 Insulation 94.00
4_38 Joist
_56 Ceiling .56
0.61 Air Film 0.61
41.55 Total R '45.78
.024 U = R .021
CATEaMRAL CELLING
R YALUE R YALQE
FRPMING CEILIL7G
mommmmm 0.61 Inside air film 0.61
.56 Ceiling .56
14.375 Joist(^panox) -
- 7nsulation 33.85
- Air ,,S?dCQ .SQ -
.67 Roof dedt; ng .67
.06 Felt .06
.44 Shingle :44
. 0.17 dutside air film 0.17 .
16.88 Total R 36.86
.. : .059 R = II .027
Windov infiltratian _5 c& ;•,eat fooCOf crack .-
Resfdential doDt inf.iltratim 0.5 C.fiq/Squaze foot or door and minimin oode CeqUiremelt
Non-residential door infiltratian 11.0 c5o/lineal faot of crack
[Ab 12' ooncrete block m insulatian =.78I R 1_28
double glass = _52 -
triple glass = _31
All eaterioc valls aad ceiliogs zust have a vapor barrier (0.10) P?cm maa-)-
Yapor barriet mast be m the i.nside (heated side) of vall.
Yapoc bariers of the polyethelene t2iin film have no R value.
,
7 X G/ SIC?i •R' SHEAT?
WALL
SGCTICN
SJ.S1D
SDGTIpN
RTM
JOISP
u vnr,uc CAccucn•rtaus
Inside air film
Interioc vall
Insulation
SheatEiing
Siding
Outside ait fiLa
R 1OTAL
Tnside air film
Interioc vall
Stud - G `
She3tlu[g
Siding
outsi8e air film '
R 'r0T!!G
Interiac air filai
IIIS111dt10R
1 Z irsch soft r+ood
snparhj,py . .
Exterioc va11 ooverirxJ
ExteCior sir t3.lm
R TOTAL •
R YJILOE U YALUE
_68
Ai (Wa11) U = 1 ?
ig_00 K
1'2 .045
_G7 •
_17 •
22.17 '
.G8 •
.45 .
6.50. (Franun9) U = 1 =
1.2 x
•67 .101
_17 '
9.67
_6t3
?.00
1-$8 (R1G1 JO1St) U f+ a, z
K
1.2
'67 ? .042
.17
23.6
T BL cixY oY Encnx..
SUBD.?,uGr? m, fn o.Y I ??' PLUnING- PEBtiIT
(612) 681-4675
3tE8IDSNTIAL
PLEASE COMPLETE UppER p0RTI0N ONLY FOR SINGLE FAHILY DiJELLINGS
47HEN PIIiMITS ARE ItEQUIRRn FpR EACH tINIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR _
OWNER NAMg; CENTEX REAL ESTATE CORP
SITE ADDRESS:
INSTALLER: GENZ-RYAN PLUNIDING
ADDRESS: 14745 South Robert Trail
CITY: Rosemount Z=p; 55068
CITY USE ONLY
RECEIPT $ O P
DATE / 9 9?-
ALSO, FOR TaWNHOM[:S AND CONDOS
COMPLETE THE FOLIAWING:
N0. . FIXTURES FA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 3 ?I
WATHR CEASET 3.00 s
BATfi TUB
3,00 ?
?
? IAVATORY
KITCHEN SINK 3.00
3
00 (j
YZ
d
? IAUNDRY TRAY .
3.00 Q
. .700
HOT TUB/SPA 3.00
? WATER HEATER 3.00
F7AQR DRA>N 3.00 d
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 _2_0_0
ROUGH OPENINGS 1.50 je,> O
_ 01HER
_ WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: s
CO?Q3ERCIAL
YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE pERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OiJNER NAME:
SITE ApDRESS:
TENANT NAME:
SUITE #: _
INSTALi,ER:
!1DDRESS:
JIL1.
PHONE
?OR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SiTRCHARGE
TOTAL:
$
$
(SIGNATURE)
PHONE #; 423-1144
CITY OF EAGAN
L? B5 MECHANICAL PERMIT RECEIPT #/0
SUBD. (612) 681-4675 DATE ? ?? 9P-
RESIDENTIAI.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEl'E FOR
TOWNHOMES/CONDOS WHEN SEPARATE PIItMITS ARE REQUIRED FOR EACii DR'ELLING iTNIT.
OWNER: L,?[>jjJ?? FEES
STl'E ADDRESS: ADD ON/REMODEL (EX[STIIHG $ 15.00
p 7 ? CONSTRUCI'ION ONLI)
HVAC: 0.100 M BTU 24.00 ?
INSTALLER: FVAY A1, WELT, ER F{EI$Tlf4 ADDITIONAL 50 M BTU 6.00
ADDRESS: 9?9 1ie. GAS OU1'LETS - MINIlKUM 1@. $3 EA. ?i I-%
ZIP: 5URCHARGE $ .5TOTAL: $ ??COMMERCIAL
PLEASE COMPLEI'E THIS PORTTON FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLEPE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS wAEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
i, R'ORK DESCRIPTION:
OR'NER:
I SITE ADDRESS:
TENANT:
SUITE #:
INSTAI,LER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
ZIP:
CONTRACT PRICE:
l% OF CONTRACT FEE.
STATE SURCAARGE IS 5.50 FOR EACH
S1,000 OF PERMIT FEE.
PROCESSED PIPING - S25.00
MINIMUM FEE - $25.00
TOTAL:
CTI1' 3IGNATURE:
FEES
$
E
$
L 9 BL -CZ
sueo. o o 'e;
CITY USE ONLY ?y
RECEIPT #:
RECEIPT DATE: D' ?1o'6 d
PERMR# 7
2000 PLUNMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, DII1 55122
651-681-4675
Please oomplete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACN !t
J 0
,
TATAI
Alterations to existing dwelling - minimum fee
Describe: //?S777LL GLf1/,/,fJ-G.7',Sf?Dk/G? $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pi ing Outlet • minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory + 3.00 x $ p
Septic System newirefurmgned • requires MCC lic. 75.00 x = $
Septic S stem abandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 X = $
Rou h openin 1.50 x = $
Shower 3.00 x = $ op
Underground sprinkler irdweuing is under wnstruaion 3.00 x = $
Under roundsprinkler ifexistingdweninq 30.00 x = $
Water closet ? 3.00 x = $ UU
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if exlsting tlwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
Total _> ^, 0.561
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------•-----------•----------------------•---------•-•------------- ---------------- ---------=--------••---------------------------
I here6y adcnowledge that I have read this application, state thet the iMortnaGOn is wrred, and agree to comply with all appliwble Cily of Eagan ordinances.
tt is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during its
normal operational and maintenance adivities to the tacilities construcled under this permd wkhin City property/rightof-wayleasement.
SITEADDRESS: 730 Camberwell
OWNERNAME:: Roger CZaia TELEPHONE#: 651-454-3257
(AREA CODE) .
INSTALLERNAME: Dakota Plumbinq & Heatinq, InTELEPHONE#: 651-454-6645
(AREA CODE)
STREET ADDRESS: 3650 Kennebec Drive, Suite 102
CITY: Eaqan STAVE: MN Zip; 55122
SIGNATUf2E OF PERfuHTTEE
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cIn oF EAcani
? ?f l / 3830 PILOT KNOB RD - 55122 ? ?() . ( ?
y ?? 851481-4875 ( -1 / \
lJ? c)
D 3 replsleretl qle wneYf showlnp fq lt d bt. w4 fl. of houae
and g( rooletl areat t20% mmdmum lot eovemae albwaAl
D 2 eaplef of Pbru (etaw beam a wlntlow dus; Poured InA. defiprr etc.)
D 1 tet of aneryy cdcWntlona
D ] copks of hee Pr6WrvaHm plpn H bt plCllsd Nler 7/1 /93
DATE: oAll b 16Q?
DESCRIPnON OF WORK: f jwiStj (Opse w.e?f -??
STREEf ADDRESS: ? 3b
LOT: 9_ BLOCK: 5? SUBD./P.I.D. A:
PROPERTY
OWNER
COPrtRACTOR
ARCHftECT/
ENGINEER
?
?
jA?-cg- 1-1a 31A?-??2C)
Name: CZCUrn ?"c.v Phone i: 3a3 7
tast FFF$t
Sheef Address: ? 3p CQw.kvwct j Pv"vC
CIN ?CGO?a-v? state: AIaj Lp: 55/.L3
Company: r Phone A: _
(area code)
5lteet
citY
license l? Exp.
strna: zIP:
Name:
Telephone Y: ( )
Sfireef Addresa: RegishaBOn ?:
citY
Sfate:
Zip:
3cf c wn rF
Sewerhvater licensed plumber (if Installtna saweNwaterl: I/aUc- nv.vVI?r na Phone #: 6f 5 I 1 y S`
I hereby acknowledpe Mwt I have read Ihis applicalbn, sfate ttwf ihe Infortnatbn is eortecl, and agree b canply wNh a0 appACable State
of Minneata Statutes and Ciy of Eapan Ordinances.
? Signalure o( APPlkant /T `YJ-i A.
V
Certificates of Survey Received _ Yes
Tree Preservation Plan ReceNed Yes
2 cOptes d plan
1 wt a eneryr aacWan«,s ror nearea aatllEOns
1 qPe wrveY for exleAa addiNOns S dacks
CONSiRUCTION COST:
OFFICE U3E ONLY
FEB i 6
.??
No
_ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 OS-plex ? 13 18-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex O 09 07-piex ? 18 Deck O 23 Porch (screened)
O 04 02-plex O 10 08-plex ? 19 Lower Level O 24 Stortn Damage
O 05 03-plex ? 11 10-plex aibp Yor_N ? 25 Miscellaneous
? 06 04-Plex 0 12 12-piex ? 20 Pool O 30 Accessory Bkig.
O 31 Ext Alt - Multi
O 33 Ext. Alt - SF
O 36 Mutti
WORK TYPE
O 31 New O 36 Move Bidg. ? 43 Reroof
? 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories r'
-
- sq. ft.
No. of Units Length ' sq. ft.
No. of Buiidings
l
t
A
t
C ? Width
ent s
ft
B Footprint sq, ft. ?
Census Code
)
ons
. (
c
ua q.
.
asem
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy ? sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS i-
Planning Bui lding J ??? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
-?
?
(- U • ?1
Valuation:
?;? (9 °
SAC Units
R/o SAC
??7 = -?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTf.
;FEW CONSTRUCTION
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTU
ADD-ON A/C
ADD-ON FURNACF
FIRFP??'E ?NCFKT
DATE
FEES
$ 24.00
6.00
GAS OUTLETS (MIivnmuM i@ S3.oo EACH)
STATESURCHARGE
TOTAL
SIT'E
(EXISTING CONSTRUGTION)
$ 20.00
(1-1 AgSa
Q
OV.711TEv ,.rArE. • CT?a. `t 'A1, m:'rPl:c*tE, #:
?
INSTAI.LER: Rurnc"lllo He2ting & A/C, Inc
12481 Rhode Island Ave. So.
ADDRESS:_ ca"agp, p4N r5378.1199
894-0005
Cl?: STATE: ZIP CODE:
TELEPHONE #:
NA E OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 730 Camberwell Dr
Lot: 9 Block: 5 Addition: Hills of Stonebridge 3rd
PID:10- 32992 - 090 -05
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Quesetions regarding electrical permit
952- 445 -2840
Ashley Orman
130 Plymouth Ave N
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Roger 0 Czaia
730 Camberwell Dr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA091589
10/13/2009
ePermit
cal Inspector,
êë
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Use BLUE or BLACK Ink
For Office Use I
1
I Permit
City of Eanan 1; C
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-6694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 /6 -1066 Site Address: -23 ® C A frtj_~ kw 66 C ID AJL)c Unit
,..n. Name: I Vn ~'C CZ /mot 14 Phone:
Resident/ .l
Owner Address I City / Zip: ~JU ~~14C~~t~C r9 ~l Urc~~ t/
Applicant is: Owner Y Contractor
l
L~~1
Type of Work Description of work:
Construction Cost: z~k~ Multi-Family Building: (Yes / No lC )
Company:?"'u ct f/c~-:) eo4-r4Ac17aC ~~2+Jf c6Contact:
Address: l'/d) ~C5~ -CWtKT City:
Contractor
Stater Zip: 24 Phone:
License Lead Certificate #:/jo r-,6a QD -2-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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 approval
Exterior work authorized by a building permit issued in accordance with t innesota S uilding Code m t t e completed within 180
days of permit issuance.]
x
Applicant's Printed Name icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142762
Date Issued:05/17/2017
Permit Category:ePermit
Site Address: 730 Camberwell Dr
Lot:9 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Roger O Czaia
730 Camberwell Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
C Use BLUE or BLACK Ink
(11/2'C' / r For Office Use -��� I
Oilkjj � 7 ln-
c) 6 , :::ee
Cityof Ea411110/ aaf . . . Egg ,
3830 Pilot Knob Road
Yv
Eagan MN 55122 Date Received: �'a y'�7
Phone:(651)675-5675 I
Fax:(651)675-5694 Staff: I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 51- t'� \ i / Site Address: --&1 ,ti"`r�,\'-:< 't,�°„.i',1, �rr�- Unit#:
'J / 1
� #� '. Name:� { £) hG.i'-e:v\ � G.1 C� Phone:(o(0- c (.)--7 -3J to
b .� esident/
Owner - Address/City/Zip: - �,
3v ,„\l�.e;-C wt1\ I� .
r# Applicant is: Owner Contractor
�c,r�
� . Description of work:YY1•A;Si 2� c,.� 'r''�-3-,\03e
Type of {
Construction Cost ®Qc .o0 Multi-Family Building:(Yes /No )
: QJ � 7�1Q�'SI 5CompanyContact: ` hVS bi !)
rContra for Address: `tS'\\ L Y�;n Vv--Lc\ , • City: S+ i)60)
l c State., 4 Zip:S S\1`'N Phone:6c)"�11-7- aEimail: e. c,L-k«Ptv- 1 1 - QV4{ c-! ,earn,
i License#:' C.�P 3.\Ct�5 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
OTE Pla77,ns S /3 //i rh ® iia h @11 o1/SU"...; �. ' ® L eriAe Public inforl at'ion P: ;f ns Of
the information maybe classified a4 4 ® .-publI ' Q 6 de specific reasons thatwould , Y ity to
'•,. °°fi let are,traIr de cret .�, 4 4 al n
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.qooherstateonecall.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 fora 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.
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.
x \(-. ') 5o\\Q.-s 1 xQ.Q,. 1 *.,
Applicant's Printed Name Applicant's Signature
Page 1 of 3
l�//� n'l G , w'617 PDO NOT WRITE BELOW THIS LINE / V
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
71 Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation I a, Dt)o ,'- Occupancy L}z C^ t MCES System
Plan Review Code Edition08.4(1 .5", I� SAC Units
(25%_100%?0 ) Zoning F.-- ( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \) a Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) (40 Final/No C.O. Required
Foundation Foundation Before Backfill So HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final ( Pool: Footings _Air/Gas Tests _Final
10 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath Brick_EFIS
}° Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
20 Shower Pan Other:
Reviewed By: 'TO vv\ +M: x�yA_ , Building Inspector
RESIDENTIAL FEES
0 1 o ,, ,
Base Fee I) O k //
Surcharge
Plan Review
MCES SAC ")).1/4/1 1 Mw wl Pee
City SAC ` 2, coo . in
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151153
Date Issued:08/10/2018
Permit Category:ePermit
Site Address: 730 Camberwell Dr
Lot:9 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-090
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 -
Roger O Czaia
730 Camberwell Dr
Eagan MN 55123
(612) 207-3196
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175782
Date Issued:04/14/2022
Permit Category:ePermit
Site Address: 730 Camberwell Dr
Lot:9 Block: 5 Addition: Hills Of Stonebridge 3rd
PID:10-32992-05-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Roger O & Karen J Czaia
730 Camberwell Dr S
Saint Paul MN 55123--393
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature