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734 Camberwell DrCITY OF EAGAN 3830 Pilot Knob Road ! Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: a... ?...-._.;? INSPECTIQN RECORD PERMIT TYPE: Permit Number: Date Issued: 1 11 1 1 0 ??????? ?1 ?! ?•, i?t I??r?? il1? f Is+,t l.I? . ? PERMI7 SUBTYPE: 111 0141 1 1' Nfle, il1 TNF11 ?a?t r f r? [ ME? 09 a APPLICANT: , . , - F t;t I <?. I , ) 4 1,4 ...;4 0 TYPE OF WORK: ter i t, 1 t { I i+tl (Y t. W t Itt 1'1 f N?. 1 11111 I? t I I (1Pt 1 Nr! I fZF MpRk .: A'd }•AI!l111- I'4 i•taI I I I?, 1•t t1i+1l?E1? f ul? AN'! t I I?.IRt? !11 ll?llrl ? i. ? .. .. . . . .. Permit No. Permtt Holder Date Telephone # SNV PLUMBING HVAC ELECTRI WAII/ Q ? ELECTRIC inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isui. Fireplace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrlPtan Bldg. Final Deck Ftg. -7 / O Deck Final Well Pr. Disp. ? INSPEC7 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , ;, j , 1;112 I i f?l< ii ! t t, rii ; ?iWFfirt IC1f;F ',t? D PERMIT SUBTYPE: IN RECORD PERMIT TYPE: Permit Number: Date Issued: fsl.1 I I Ci F Nf; 0 : ?lot: 0 r 0 4 IHf;/fi3 ? APPLICANT: ? I; ;. 1; 1 I! ?10 ?; r;i , ( r, ! :' Y `) J J N :< 41 4 ; TYPE OF 1NORK: N 1 E.1 INSPECTtON .. . .. I i1'•f11 t\ f! 1??t S???ti'.! I : ! K ;: RI'f.i 11`1 # i,? W i,:pNT'F'A CT()i* - VAi ! F. Y PI_liG ?J Permit No. Permit Holder Date Telephone k S/W PLUMBING HVAC ELECTRIC °'° ELECTRIC Inspaetfon Date Inap. Comments Footings I Foundetion ? ?fD l Freming ? S/ 3 p w Roofing Rough Pibg. Rough Htg. Isul. ? Flreplace FGnal Ht9. Z P? Orsat Test ? Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final f Deck Ftg. Deck Fnal weu Pr. Disp. 'P •y +Z-••. i Wel?'ttfiCQte nf cCCIIpQIiC4 Witv of Cfagan _ ZcOartmcxt of louilbing 3x40ccti+» This Certificate issued pursuant to the requirentents of the Uniforin Building Code certifying tltat at the time of issuance this structure was in compliance with the various ordinances of the Ciry regulating building construction or use. For the followirtg: use ctawficadm: SF DWG gW Pamir tim 20607 ?a?r Trve zo,? n;sai? T VN ? ow? or s?w? naa? ' Building Addcess Localiry ? ? -A Date: ? /22/ Q3 i ? Building Officiai POST IN A CONSPICUOUS PLACE Address 734 CAmEAaEtt. DRiVE Zip 5512 3 ,Lot lo Blk 5 Sub tIILt.s oF SmNEBRIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06 Zz q3 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway V Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch V Basement finish V/' Deck LI Please verify with the builder the removal o£ roof test caps from the plumbing system and the shuboff of water supply to the outside lawn fauce[ before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. Whire - City Copy Yellow - Resident Copy Pink - Contractor Copy w 5 0 41 =? . 3,? ?s,? Raquest Latin ?} 1 - \ Fire No. Roughi Inspeclion RequireC? ?'es ? No v ? Featly N. ¢? Will Notily Inspector ?? When ReatlYP IX licensad contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (Streal Box ar Route No.) I e Clfy Secbon No. Township Name or No. qange N0. Co nry 44 Occupani(PRINT) Ppone No. Power $uppLer D Qi ZA? fWtlress ElacVicai ConVa[tor COmpany Nam, ? ('qntracior's Lkense No. 003 8 Meiling Atldress (ConVactor Or Owner Making Installa[ion) Authorize Si ture IConVaclonOwn Making Installallon) PM1One Number MINNESOTA STATE BOARD OF ELECTPICITY ? THIS INSPECTION REOUEST WILL NOT Griggn-Midway Bltlg. - Poom S-173 BE ACCEPTED BV TME STATE BOARD 1821 Universlty qve.. St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(B12) 642-W00 ENCLOSED. ? z/9-?-- 1Q?41 REQUEST FOR ELECTRICAL INSPECTION jl? See Insimctibns tor completing this form on back ol yellow copy "X" Below Work Covered by This Request ?"@,EB-00001-08 e Add Rep.. TypeolBuilding AppliancesWired EquipmentWired Home e Temporary Service Duplex r Heater Eleciric Heating Apt. Building r l Other-(Specity) Comm.llndustrial ace Farm onditioner Air Othe r(syeciy) Comractors RemaBS: Compute Inspeclion Fee Below: # Other Fee # ServicaEntranceSize Fee # Cimuits/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Mspector§ Use Only: TOTAL 5 0 Irrigation 8ooms l Special Inspection ? Alarm/Communication THIS INSTqLLATION MAV BE O CER ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°°9ni oata certity that the above inspection has been made. Fnai oaie OFiICE USE ONLV This request voitl 1B months imm ,a arw ? 042155 D J"- z " ReQUesl Date L/Q 7- / Fire N. I Ro ?In Inpsecfipn RepvireC (YOU must cail inspecbr whan reatly) Ves ? No Inspedion Other Th n RaugM1- n EJ peaCy Now Will Notity Inspector Deta ReaE Icensed contractor p owner hereby request i spection of above electrical work al: JoD Atltlress Etreei, or Rauta No.) 73 .e. Clty L~ Sed?on No. Township Nane or No. Range No. Coh4W4 Oc a IPfi(NT) Phona No. sY-?p Power SuppM1er /Wtlress Electrj nvactor (Company Na Co?nta'aor§ License No MaringndtlresslCOmr rOw mginslellatmn) ? Autnorixe SI n oniractorrOwner M Inst ion) Pnone Nomber _/. 776-`?'77 MINNESOTA SfATE f6TN1?Yr GiIBB%-MiCway BIEg. - fi om 5-1]3 1821 Univerairy Ave., St. paul. MN 55100 vhone (611) 642-0800 THIS MSPECTION REQUEST WILL NOT BE ACGEPiED BY THE STATE BOARD UNLES$ PROPER INSPECTION FEE IS ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION C W See insVUCtions for campieling Ihis form on back oi yellow copy. C1 42 5.J °'X` fialow Work Covered by This Request E?B W 5 6'?:: OCT? ? ew A' . 7ypeotBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric He9ting Apt Building . Dryer Load Manegemerrt Comm./Industrial Furnace Other (SpeciTy) Farm Air Conditioner 42 Olher (speciry) ConVac r R arks' ?Aa/ Compute Inspection Fee Belaw: # Other Fee # ServiceEntranceSize Fee # Cireuits/Feetlers Fee Swimming Pool 0 to 200 Amps o to 700 A' s Transtormers Above 200 _ Amps 100 Amps Signs , Inspector§ Use Only, TOTAL Irrigation Booms ? ? Special Inspection Alarm/Communication THIS INSTALLATI AV R ONNE ED IF NOT Other Fee COMPLETED W I M I, ihe Electrical Inspector, hereby certify ihat the above inspection has been made. Rough-in ? F;,,ai ? oare /^/?? oate y OFFICE USE ONLV This request va0 18 monlhs iwm 4 o ReQU st ?et Fire No. " Rough-in Inspection Requiretl7 O Reatly NowKWill Notity Inepe?r? -' - Ve9 - No When a yy I li d r o o e - - 09 • •? cense contrector p owner hereby request inspeclion - f ab v eledrica ork e Job Atltlress ISlreet.Ej or Route eNo ? (J?\ City --- -?'? ? '?W""?/`???"""" Section No. Townshi0 Nama or No. Range No. Cou Occup tIPRINT Phone Power S liern 1`-'1}'? • ''^-C/ Atltlrass Eiectnc CaNractor ICOmpgny Namal Conlrectors License No. c?oo38f Meiling Atltlress (Contractm or ner Making Inslallation) Aulhonzetl $ignawre ICOnV vOwn enq Installationl P?one Number _ ' .. ._ . g So '.30?D MINNESOTA STATE BOAPO OF EI./CTflICITY ? U THIS INSPECTION REQUEST WILL NOT GrlBge-Ml Bltlg. - floom 3473 BE FCCEPTED BV THE STATE BOARO 1811 Universlly Ave.. St. Geul. MN 55104 UNLESS PROPEP INSPECTION FEE IS Phone(611]f 6a2-0800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ee-00001-08 q n q Sea inaVUCtionslot completing ihis form on hack ot yellow ropy ? ?_L?l',2'?4 5 .'X'?efow Work Covered by 7his Request ??0 II&II11111111111""r ew Ado7 R2p. f' TypeoBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt.Builtling Dryer Other-(Specity) Comm./Indusirial Furnace Farm Air CondiUoner piher?syectlY) Contractor's Remarks: ? Compute Inspecfion Fee Below: # Dther Fee # ServiceEniranceSize Fe # Cimuits/Feetlers ? Fee Swimming Pool 0 to 200 Amps 4 0 to t00 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs . inspector5 Use Onry: TOTAL J Irrigation Booms (y G ?' ? ? ? Special Inspection 3 AlarmiCommunication NOT THIS INSTALLATION MAY B DERED DISCONN Other Fee COMPLETED WITHIN 18 MON S. -J? I, the Electrical Inspector, hereby certify that the above inspection has been made. Ri F;,,ai oa?y_ rv a OFFICE USE ONLY This requesl voitl 18 monNS irom RESIDENTIAL BUILDIMG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conatructian ReauiremeMs • 3 replstared sfle suNeys showUig sq. M. of bt, sq. R. ol house; and II rooletl areas (20°/< maxinium bt coverage albwed) • 2 copies of plan showmg beam & wintlow saes; poured found design, etc.) • lsetofEnergyCekulfltlons • 3 copies of Tree Presarvatbn Plen tt lot plettetl aNai 7/1/93 • Rim,blslDetailOptionssalectbnsheet(bldgswitti3orlessunMS) DATE 1?0" ? ?- CSZ S?§-, 7 T RemodeVReoalr Heaulremems . 2 wpies of plan • 1 set of Energy Cakulations lor heatatl additions • 1 s0e survey tor extenor adARbns & Oecks • Indicete'rfhomeservedbyseptksyslemforedd'Aions VALUATION SITE ADDRESS _?J? MULTI-FAMILY BLDG _ Y AN NPE OF FIREPLACE(S) u 0_ 1_ 2 APPLICANT ( STREETADDRESS 2U2',9 --t6 CITYRt?s?vl??? STATENZIP \\ TELEPHONE # tos\-_h314-9qj3CELL PHONE # FAX # PROPERN OWNER TEIEPHONE # -° ---------------- °----------------------°-------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitled • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhacfor: _- Plumbing system includes: Mechanlcal Conhacfor: Mechazrical system includes: Sewer/Water Conhactor: Phone M Phone # Fee: $90.00 Fee: $70.00 -------------------------------------------°--------°-------------°---------°°-----------°----------------°-------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Clty of an Ordi es?. Signature of Applic ? c ? (? ?? n OFFICE USE ONLY EI nl ,JUN ?' r v`"• `; ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required I :?" _---::7 - --- -Updated 4l02 Water Softener Water Heater No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths Air Condiaoning _ Heat Recovery System PERMIT # RECEIPT OATE: ?o I. MSIDENTUL PLUM$INfi PF"iT ?PPLICATION crrY oF F-AsM 3$30 PA.OT KAOB RD EA&Aft,MN551E8 651-6$1-4675 Please complete for SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system 1 3-LP >I ., TELEPHONE #: (AREA CODE) ?d _ 9 y y? TELEPHONE #: 1 1 1 (AREACODE) 1 CITY?y? ?/Pr CJ?^I"n ?? /i° - STATE: Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not owner/occupied $ 90.00 I Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work:,e-` 4 '6a is ? dU ??o d r!m Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees . requires MPC license state surcnarge OCT 0 3 ?001 $ .so Total u ? $ ,_? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge that I have read this application, state that the intormati0n is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanCS responsibility to notify [he property owner fhat the City of Ea9an assumes no lia6ility for any damages raused hy the City during its normal operational and mainlenance activities [o the (acililies constructed under ihis pertnit within Ci propertylright-of-way?ment. -•?-P' SIGNATURE OF PERMITTEE Updated 1/01 ?-j ?-1 ul-4 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 38E0 PILOT KNOB RD - 55122 651-681•4675 New Construction Reauirements • 3 registered site suneys showirg sq. ft of b4 sq. fl. of house; and all roofed areas (20% mazimum lot average allowed) • 2 copies o( plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calalations • 3 copies of 7ree Preservation Plan'rf lot platted after 711H3 • Rim Joist Detail Op6ons selecGan sheet (bldgs vnth 3 ar less unifs) -A`] o -U 0 --?'-?-?_ RemodeUReoair Reauirements 1 CD - I 1 - U ( • 2 copies of plan • 1 sel of Energy Calculations (or heated addiGons . 1 site survey fw ezteriw addifions & decks DATE / 0/ 3/p I VALUATION (EXCLUDING LAND) 3? ?d"71 4 JOB SITE ADD ESS 73 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER /A+?C-- G?/L E?i4-n/S TYPE OP WORK L0W'g/L /??P.4-, ?'i/ILSN FIREPLACE(S) _? _t _2 _3 APPLICANT 77H3ev?o2LcS 154,DyC,S Si'vC . PHONE # 65-1- bfd -091? ADDRESS 4629 7,r.n77C2S' 064-?- /Zh. PCODE PAGER # 612-410 -064-'3 CELL PHONE # - 8 "Oo' Q -* fAX # Us? 7}?t S 0? S? >one) EW RESIDENTIAL BUILD OUT COMPLETELY En_ MINNESOTA RULES 7670 CATEGOR (c- Residential Ventilation Category 1 Wo eet Submitted - Energy Envelope Calculations itted _ MINNESOTA R 7672 New En Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: System Includes: Sewer/Water Contractor: Water SoFCenc Water Heater No. of Baths Phone #: _ I.awn Sprinkler \ No. of R.I. Baths Air Conditioning Heat Recovery System # Phone # Fee: $90.00 Fee: $70.00 \-? ?1-rrT?l All above infortnation 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 ?omplywith all applicable State of Minnesota Statutes and City of Eagan Ordinances. --Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Re uired _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ??e?/// 32 Addition AY? 33 Alteration / ? 34 Replacement /?-.3 oe L) Valuation 304W Occupancy Census Code 1-13y Zoning SAC Units 0/ Stories Nbr. of Units ml Sq. Ft. Nbr. of Bldgs ol Length Type of Const Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundarion Drain Tile Roof Ice & Water Final 4z/ Framing Fueplace _ R.I. _ Air Test _ Final ? Insulation ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windaws/Doors "Demolition (Entire Bldg only) - Give PCA handout to applicant ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 MuIG REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC MC/ES System City Water Boaster Pump PRV Fire Sprinklered _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Pertnit License Search Copies Other Total Building Inspector / ? ? ' CITY OF EAGAN ? It 1994 BUILDING PERMIT APPLICATION Vf ?.;'r, ? 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registe eR-40FxMM, 1 copy of energy calcs. ,} UN 22 I;tJk COMMERCIAL 2 sets of architectural & tructural plans, 1 set of specifications, 1 copy of 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? 2z / /Val uatian af work e/d 8? Site Address: 73-'l . STREET SUITE # Tenant Name: (commercial only) LOT fD BLOCK S S[TBD. P.I.D. # Descri tion of work: ?? tLsrc? ,i pa? pa? The applicant is: ? Owner Contractor ? Other (Destribe) Name FlJAn/S Phone Sfs-,/ Property LAST FIRST Owner Address %?? STREET STE # City State PI,? Zjp SS/2? d?f -'v a Company e 14 L'yiCST?o w 4ui4vllS ?ic Phone lo gS 7Z7I Contractor Address 4? Zd F*le em°'T' License # 332 z Exp. y-? City '?Ki9.lr41/ State '41X'/ Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?--. OFFICE USE ONLY d ,s*„ '?•:? ? ? BUILDING PERMIT TYPE ?•- ` I' /Y ? 01 Foundation ? 06 Duplex ? 11 Apt./Ladging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Additian ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. El 04 SF Porch p 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 M9scellaneous WORK TYPE `Jo t 6, ? °? ? ??? ?- U'31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Qccupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprin t Sq. ft. Fire Sprinkler Length On-site well Census Code '? 3?/ Depth On-site sewage 5AC Code bi Und C ? APPROVALS ensus t Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ? Site l? Footing 13 Framing El' Insul ati on ? Wallboard Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC 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: vawac;on: $ i,'^fO SAC 96 SAC Units ,\ CITYOF tAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32992-100-05 PERMIT PERMIT TYPE: Permit Number: Date Issued: 734 CAMBERWELL DR LOT: 10 BLOCK: 5 HILLS OF STONEBRIDGE 3RD t& Zq c14 B?IL I G 023976 ? ? 06J27/94 DESCRIPTION: (DECK TNCLUDED) Building.Permit Type SF PORCW Building Wo-rk Type NEW Square Fest ? 216 r \ v ? ), ? a ?'? ? ??( ? 5?F ?.?)J REMARKS: H SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $9,000 Base Fee $108.00 Surcharge $4.50 Total Fee $112.50 CONTRACTOR: - Applicant - ST. IIC. OWNER: KRECH CUSTOM BLORS INC 14543036 0003322 EVANS GARY 620 ERIE CT 734 CAMBERWELI OR EAGAN MN 55123 EAGAN MN 55123 (612) 454-3036 (612)454-8919 I hereby acknowledge that T have read this application and state that the information is correct and agree to comply with ell applicable State ofi Mn, - Statutes and City at Eagan (lydinences. J n./?u?C APPLICANT/?TEE SIGNATURE (SSUED B : SIGNATURE? INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suiLoINe 3830 Pilot Knob Road Permit Number: 023976 Eagan, Minnesota 55123 Date Issued: 0 6/ 2 7/ 9 4 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 734 CAMBERWELI DR WILLS OF STONEBRIDGE 3RD PERMIT SUBTYPE: SF PORCH KRECH CUSTOM BLDRS INC (612) 454-3036 TYPE OF WORK: NEW DESCRIPYION (DECK INCLUDED) - ? - J APPLICANT: 5 REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK Pi0eyruER ? LA1?f SUNVCIU++9 , * eng neer ng LAND PUWNERS - UN 2422 Enterpriu Drivc : Mcndoto Nctghts, MN 55120 812) 881-1974•F'ox 881-9458 625 Highway 10 Northeast @loin9, MN 55434 • 612) 783-1880•Fex 783--1883 Certificate of Survey {or: The Rottlund Comgany, Inc. House Address: 734 Camberweii Drive. Eagan, MN Model Name: itasca ? O V r' ? ?1 ?o a9p 9R, I v+ ?y? 0 $49'4 `?? ft?y? ? ? ^ i i ? i q,u. s 7 i G? OR I?. , p?c..• c??'?" ? ., _'? 1 .9 yoG H 9b1.3y 1 ? e? 2 ? ? ? Lo ? l A• ? ? ? i 9f ful.i4 \ ? ? ypz. o N ? 1or,6 FL,?p 9 ?e` r Q`? ? 401• L 6? if : 9gcl? \ `o ??6's \\ t^ r ILI ? ? r f J l ~ 10 121.36 5 89'50'54' E NOTE CONTRACTOR MUST VfRiFY ALL plMENSION5 ¦ 000.0 Denotes Existing Elevatlon _<@EO Denotes Proposed Elevatton Denotes brainago dc Utllity Easement benotas Drainage Flow Dlrectlon -o-- Denotes Monument ---a- Denotes Offset Hub gearings shown PROPOSEp NQUSE-ELEVA170N Lowesf Floor Elevation:895.05 Top of Block FJevotlon:903.t6 Goroge Slab Elovot(on:902.83 ore assumad LOT 10 , BLOCK 5 HILLS OF STONEBRIDGE. DAKOTA COUNTY, MiwNESOra 3 R D A D D I O 1 hBtBby CMlfy thet ihlf lUNty, pbn or teport wcs prepa'ed by u my direCt fUpwOv._?iiiron and th7t 1 om duty Rpisl«a?1 t,and Surveyor under the Iswi of Ne Snm of Minnbote. DeKd thk? dyy o! A.D. 18..L.L. ' REACTIVATE PERMIT f ' CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 7. /S APPLICATION MAR 2 6 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. te ? Valuation of wo ? F e Address:-1'7? STREET SUfTE / Tenant Name: (cormnercial only)-tW-go9AWAd. CO-l-?1c, IAT ? BIACK 5 II D. - A P.I.D. N S? ft ? . 0 Descri tion of work: S! e ?1 The applicant is: Owner Contractor ? Other (Deseribe) Name 4-6- 12a-Wuwld CO.znC. _ Phone S71'r,3aq Property LAST FIRST Owner Address SZdI E 2(luer " , STREET STE M City State /upi Company So.lM-Q- Phone Contractor Address License # I33? Exp:3 City State Zip Company Phone Archltect/ Engtneer Name Registration # Address City State Zip ?1? Processing time for Sewer & water licensed plumber sewer & water permits is two days once 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 5tate of Minnesota Statutes and City of Eagan Ordinances. ? ? C Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish Ef02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Cortm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'1. 0 15 Deck ? 20 Public facility ? 21 Miscellaneous woRK nrPE - 031 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION tonst. (Actual) v- N Basement sq. ft. MWCC System YES (Allowable) lst F1. sq. ft. City Water YGS UBC Occupancy -3?-I 2nd fl. sq. ft. PRY Required Zoning r-a R - I Sq. Ft. total Booster Pump #? of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code /D/ Depth 3 y._ On-site sewage SAC Code ' l? ? C o arsus b ? ! - APPROVALS Planning Building Assessments Engineering Yariance REOUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee 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 % I od SAC Units I_ vatLecia,: 8 I ?i l? Oo O r? ' "-e zND F_L.0t72?- Sx ? = C3S? /6,7SX/8- 3a1 asr?-r? awx 6418 24xZ?Yz= 68y 1,12n9= ly Z3x19= 53i ?srn i = ? 26S 5?2= lo 7X2 = 1LA_ 601? 128ei x514- + . 9y9xs4-:7 51?246 /N8/ yV3 ?- . EXTEFt20R EIdVEI,OPE AVERAGE "U" COMPUTATION SITE ADDRESS L.o'T` I D / t,l CONTR4CTOR RoTTLurAc>. co , DpTE Determine working square footaqe of each. 1. Total exoosed vall area 2. Total roof/ceilinR area . 3• Total floor/cant. area . . 2 334?,?4 5a. . I 2 2 ? Sq. . Cn fv 5q. PHONE ft, x of // _ Z57 rt. X6,02(e = 31.?5 ft.x0.05 = 3.? Total exposed vzll area above floor T a. Total vall Windov area . . . . . . b. Total door area . . . . . . . . . . . • ?-? --71 c. Total sliding glass door erea .... . d. Tota2 fireplece uall area . . . . e. Total wall framing area (everage 10%). . , 21 f. Total net w211 area above floor ... b?. Z g. Total rim joist area . . . . . . . . . Total exoosed foundztion rsea = ?? ?•? h: Total foundation tirindow area . . . . . i. Total net foundation area sbove grade. . ( ,1* Determine "U" value of each vall segment. • a. 2?(-I .31J X ,lUll p.4?o - !ll,02 b. R-Z . "11 -x IlUll. -0.-13 8 - 51 A p c. X "Ull d. ..r. X IlUn e. 181. :.I x "U" p,Og? 7c.IZ g. 2 a'1, z x "u" G. o 1?), 4- R h. 41IG X flUll p.av = l•4/ i. 114. 24 x "U" O, /¢ _ 154 9 SUBTOTAL 4. , TOTA2, If item#4 is the se-me es, or less than item nl, you have met the intent or ssc 6006 (c) 2. 0 Total exnosed roof/ceiling area J. Total skylight area k. Total £lat roof/ceiling framing area ...... 9 1. Total net insu2ated flat roof/ceiling area ... ?r^?D. Cos m. Total vault'roof/ceiling framing area ...... 2 5• ? 7 n. Total net insulated vault roof/ceiling area ... Determine "U" vylue for eech roof/ceiling segment . i • - X nUn -- k. _ 47. $5 x lfUll 0.0 Z7 - Z.fo¢ 1• _SSPJ, tis x "U" 0.D22 = l9.37 m• ZS.flS x "U" t3,{.°55 = 1, 37 n. Z 2 5. 45 x "U" O, Z) 2.? = G1 3! 5. . . . . . . . . . . . . . . . : . . . . . .Tota1= If totaZ of #5 is the same as, or less than #2, you have met the intent o= S3C 6oo6(c)i. Total exnosed floor/cant. area (o (?, 0. Total floor/cant. fra.ming e.rea (averaqe .10%) . . (? • ? p. Total net insulated floor/cant.' area ...... S q. Determine "U" value for each Floor/cant. segment . a. ?n.C? X nU,y C?.G??( = fi'? ?J5' p. ?- x"U" 0.02 q 6 . . . . . . . . . . . . . . . . . . . . . . . . .Tota1= If totaZ of #6 is the same as, or less than #3, you have met the inteni of SBC 6oo6(c)3• ALTFRNSTE BUZLDING EiWELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items A, °5, ar_d R6 shz11 nct be greater than the sum of items #1, 9-2, znd #3. 1. 2. 3. _ 4. - - 5' 6'= - _- ? ZJ ?Lfl N-`?UL -_ nG IFi-T Pcl(?-PILM.- ? -a? 1"1-- =29: _.C? . --o-?----- I _ -- o?t-_-- ? ?R = .-3 5.-g 3 ---- ---I 0, 027 -441RTP,IZ5,91i 4 _ _ , ? VPsWE,?.' - - 0 =2?6YP' ??-.-.. -- _. O-4- -o: ?,1 = 0?022 C?,cr o __? ?v?l,u? ?A?.?ut-AT?or? (?o?r). -rFAMr-- WkU. @ IN?I l-A?IoN , LoMPoNL*-NR. I?IJ? ?. ? ? a-L1"`?M AIF- Fiuu V hlDlhlli. . - - 6{OiATNI N(e lN6ULAj1ct1- :-_ I y' 611R 13D [?51?7E Aify rIL.N}, 12- VAu.a E ? --?-- ? - -----._. , (q.o ? n? 45 - N? R??? o-oa3 --FFAM;r wAu. cr. IvTuP _ I'I.l?N• vlew. C c C fc- C C LoM PoN LNTS a_u1'-t7loE Ai? F1LM. -TTZ° hNV,A"(H I N!s . h11) D (P epMu?) ?Nh?? R?R F1LM. . F--v,aLu5 -?-_._0,11.--._? _ 2 ,OLr _ - -7.-?g-.?--- -- -_-_ G;4'V ------- -o:??--- . p?----- - ?- 1 - U= M ? =G?J41P?. ??U =?o,IZ X o.0?9> t?o,Sb X o.043> = 4. o?-? _ a --. -- -o, U2 ? ? ? ? ? ? Lo?ttPo?f? 4? -_ ?"?2?_Jti?G?UI.. /o-H5FATH ? ? . ?C?INY?.---- ?j;-k1?: ??M• u.f - o.n?t (D G) 30 C _-- /T ? . "' • .-?. IS - -?fl•. ;?,? --n ?=1---- -..-5.-0 --- ? ? ---- _?J_Ce.o_ 0 Z.13 I 0•'?. ? =0,08? /A'? /2. '3 11-15-84 _.i DETFILED REFORT FOF ENTIFE HOUSE F'repared For: Prepared Ry: Rottlund Company R. Thies Flare Htg F< A/C , MIV Job Name: 2 Story **???:??#*#*K:?W**#?*?*#*#?#???A*#?*???*##?*##?*?#*??#??k:##?W.?*?*#?#*#?*?#?#** EXFDSUFtE GLASS NCRTH ------------------- SOUTH EA5T -- WEST NE/NW SE/SW HOFZ. TOTAL ------------- - -- FREA ? 141 -------------- 79 : 1 04 I ------------------- --- 1961 U I i)I -- oI 389: COOLING I 27,0I 1,9^<8l 4,640; 9,094; C>I 0? 01 15,8?21 HEATIhJ6 I 619: ------------------- 3,4F41 4,4231 --------- 8,6691 C>i t>l ------ --- 0: 17a2061 --------------- ------- --------------- - RELOW WALLS PJORTH --------------- SOUTH EA5T WEST NE/NW SE/SW GRADE TOTAL ---- C+FFA 1 900: ---------------- 463: 1,:74 1 ------------------------- 338 i C)I i: ; --------------- () i 4, 175 1 COOLIPJG ? 9:4: 1,1941 1,570; " 982; 01 01 0: 4,725: HEATING I 4,004: ------------------- 4,906; 6;45=: --- 4,059: 0I 01 3,6451 2:,067: ---- ------ DOOF:S NORTH ------------------- ------------- SOUTH EAST ------------------------- WEST NE/IVW SE/SW ---- - ?OTAL AFiEA { 0; ---------------- U: 20f ------------------------- oI U1 Cl: --------------- ? 20: COOLIN6 ? <l; 0; 278: Oi oi Ol ? 2781 HEATING 1 C>I ------------------- 0: 1,145: --- C) ; 0{ bl ? 1,145w FLOOR ------------------- ------------- AREA ---------------- ------------------------- COOLINC HEATIhJG ------------------ - --------------- --------------- ------------- 3592 ---- -- U ; ?-,,8:2 ------ . CEILIP•l.u ------------------- ---------------- AREA ---------- -------------------------- COOLING HEATING -- ---------- -------------- -------------- ------------------- ------ 373a . ---------------- ------------- - i,ias : 2,613 -------------------------- -------------- MISCELLANELI US COOLING LOADS Feople Sen=_.i61e Lc,a ----------- d 2,025 ---------------- Lntent Load 6,696 Lights F: Fppl. Load 1,195 LatEnt Safety Ftuh Z, 3 S Ventilation Load p Duct Hect Gairr C> Infiitrrtion Lond 1,485 SensiGle Safety Ptu h 1,'=9 TOTAL SEPJSIPLE LOAP 28,124 TOTAL LATENT LDAD 7,031 Surrimer ACH 0.09 Temp. Swing Mult. 1.0C> Total Co oling Load 35,1 55 FTUH Or 2.9= Tons #*# MISCELLANEO US FfEATING LOADS Infiltrntion Load ----------- 12,522 ---------------- 'JEntilation Load C> Duct Heat Loss u Safety Rtuh " 919 Winter ACH p.0ui ??:* Total Heatin g Load 6=,404 PTUH #?? ,. . y'k PIONEER -. LAND SURVEYORS • CML * engineering UND PLANNERS • * * * * 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: The ROttlUnd ComDany, lC1C. / House Address: 734 Camberwell Drive. Eagan, MN IkAnriol Nnma• Itnacn ruSTnM=?z: rvent 121.3s Gr NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS S 89*54'54" E . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . soo.o Denotes Proposed Elevation Lowest Floor Elevation:895.05 --- Denotes Drainage & Utility Easement Top of Black Elevation:903.16 Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 902.83 -e- Denotes Offset Hub Bearings shown are assumed LOT 10 , BLOCK 5 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N 1 hereby certify that this survey, plan or re0ort was prepared by m?e,,o?r unde/r my dirett supe?rvi%s?ion and that 1 am duly Registered Land Surveyor under the laws of ihe State of Minnesota. Dated this? day of ?Cl? A.D. 19_/__2, zzi?// h = 3 O feet '`// L C/`? ROHERT B. SIKICH L.S. s NO. 4991 S e a I e: 1 `n c Q 13030.05 LCT /DRvLY CaLCxi.IlT 703t RiiIDLWTIAL ? iIIILDXNQ nRxIT JLP?L2 N ? PROPERTY f.*n++ ?J' Z/I 2, ? n ? ? ato of sustep ??rrr eT? e?? ? ?0 @' 0 ? D • • Reqistered SenC 8urv*yor siQaature and oompany ? 0 0 • Building Permit Applieant L 0 0 • aqal descziption ' 1ld dress ,0' 0 9" 0 0 0 • • North anow saa bar acala • i iouse type (zamblas, valkout, split v/o, split aritry, lookout, otc.) ' , ?0 IV 0 0 0 • • Directional drainaqe arsovs rith •lops/qradient •. p • ropoaed/existinq s*ver anC wates ssrvicas Street name A/0 0 • DrivQVay zzsvaTioxe D ? • LYiotinv Sewer service ? D 0 D 0 • • Loi corners Top of eurb at the drivsway D 0 • Elevations ot any existinq adjaeent homes ? preDesee D D • Gazaqe iloor ? 0 0 0 • First floor • Lowest exposed elovation (valkout/windcw) ? D : Pzoperty eorners Front and rear o! Aome at the Zoundation D 'r) C tf?/ D ,D p PO!MING KRLaB fif apelieabltt • Enaement line _ • NWL • HWL • Pond 0 ftsigr,etion • fterqeney Ovezilow Zlwatioa tf n a • ?0 0 • ?0 ? • ?a n • D ?. rot iines RigAt-of-vay and street vidth (to bsek ei Curb) Proposed Aome dimeasions including any proposa0 dscks, overhnnqs qreetez tAan 21, porches, stc. (i.e. all struetures requirinq permanent tootinqr) Show ali •asements of secord and any City vtilitiss vithin those ensements Setbncka of sad tzucture and setbeck of aCjaeent exicting s Retai emonts, it any : • Revieve9: ^-`-?- ---- ' ? ^H PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIFtED FOR EACH UNIT. NO. ?,IX'TURES _L SHOWER WATER CLOSET BATH TUB 3_ LAVATORY ? KTI'CHEN SINK 1 LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER FLOOR DRAIN ? GAS PIPING OUTLET • minimum • _3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. - DaLCry. lic. U.G. SPRINKI.,ER • Gome under const. ALTERATIONS • to eosting WATER TURN AROUND STATE SURCHARGE TOTAL: FA..4`ti T'OTAL 3.00 'Z 3.00 9 3.00 I , 3.00 a 3.00 3 3.00 1 3.00 3.00 3 3.00 ? 3.00 -3 1.50 3.00 15.00 3.00 15.00 15.00 .50 y, - SITE ADDRESS:... -) 3?'I z?4e...` o OWNER NAME: R3 N ? ADDRESS:(,0111 Ccz.cl' L ? CITY: Sfj e :1.%- . STATE: r) .- ZIP CODE: 5" s_ ?>> PHONE #: ( cl_?An . S1GNA RE OF PERMITTEE 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 UNTf. ? 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 OLTI'LETS (MINIMUM 1@ S3.00 EACH) ADD-ON/REMODEL (ExISTINC CoNS7RUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL a`?? SITE ADDRESS: OWNER NAME:TELEPHONE 'ec-; ADDRESS: . CITY: STAT'E?.?? ZIP CODE:?a'1 TELEPHONE #: 1993 MECHAIVICAL PERMIT (RESIDIIVITAL) CTl1' OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 LAT /0 BLOCK SUBD./J RECEIPT #?C( 0' g & DATE CITY OF EAGAN UNDERGROUND SPRINHI.ER SYSTEM PERMIT 1993 Application Date: 1- /1- 93 - Commercial project Gallons per minute/commercial only _ Residenrial project (sprinkler systems for development projects) _'/- Existing residence Area/address to be sprinklered: _73'/ LX41V13e,4a16'GG viQ Installer. Street address: ?,?/r(o ? Z&J r? S/ City, state & zip: /2i&i`/r,P lA/rP /%C/ Telephone #: Owner name: -,Lv,?Wy ??i9Ns Street address: City, state & zip: -? Phone #: a-)/ HZI- 1'/6161 Irrigation contractor, if different: Phone #: /l4D I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. Sign re of Permittee New service required l0D Fee due: $ /J`. 5-60 Calculated 4 aA ? CITY OF EAGAN UNDERGROUND SPRINI? SYSTEM PROCEDURE 1993 1. A plan must be submitted to the Gyty's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is apprrned, it will be presented to the City's Plumbing Inspector for sizing of the meter. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial 12roiect: $ 25.50 underground sprinkler pernut. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City will only instal] taps up to 1"). b. Residential proiect: $ 15.50 underground sprinkler permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existiniz residence: $15.50 underground sprinkler permit -(fee not required if backf7ow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility Billing Clerk for cost and notify installer of all costs associated with project. If new service ]ines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded ta 20-3716 (meter portion only) with pink capy forwarded to Utility Billing Clerk. 5. The utstaller is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. GZA,6 kN??oN 1, 2. Nature of 'TO VORK VITHIN 3. Indicate below items to be Curb 6 Gutter Trail/Sidewalk Pond/Wetlande Traffic Conttol Devi Drainage Struotuxas/Buildings 4. Method of Installatf,on nr 5. Wark to start on ar afr.ex: extension granted to:? l.Till detouring:o£ traffic be ne describe suggested route: DETOURS: The DirecCor of F hours in advanoa o NAMEpFAPPLICANT Aniia C ADDRESS NAME OF PAttTY OR ORGA[IIZATION CONTACT PERSON: Gane Rr pai ADDRfiSS Vn99 u;,..,ii-+ n,,., I CITY OF LTAOAN FERMIT [ PROpERTY/BICHT-OF-WAY/EASEMENTS ted and include a sketch or plan of Stzeet 5ur Trees: Public igns Private Ut111tigs. Othei lawnin mtv xnd shall be oomplcted by:igj', STAFF/DATE ?? NO . If necessary to ic Works ahall be Da ry detour being estahl ion Inc Page 1 of 5 to be done. (oA unless an tour traffic, chaczged o discontinued. _ PHONE $22-1100 11 5541! STATE ZIP DAY PFIONE I fl22- STREET CI I STATE ZIP The undersigned herewith accepts the e?ms a?td conditiona of this permit by t City of Eagan as herein contained gnd a6ree to ful ;comply therewith to the saCfsfaction of the City of Eagan. ? i Signed: ??? Tftl ? 5,4LFS DATE: ?----------- ?-----------------------•F----------------------- " '•-------'-- - -----•---- FOR CTTY USE ONLY FINANCIAL SECURITY; Fee: S Receipt Tn consideration of agreement to comp Eagan covering sucb opera[ions, and Eagan; permissian is herehy granted application, said work to be done in )TtIZATION OF PERMIT AMOTINT : TYPE : (Cash,bond,lAC,etc.) rerwlt No. in s11 respects with the regulations of the City of suant to authorization duly given b eaid City of r the work Co be done as describe in the above cordariCe with Special previsions as ezeby stated: . APPROVED BY: DEPT. r PUBLIG WORKS $Y: /unia ALI, LEGAL REQllIREMENTS SHOWN ON REVER EISIDE AND ON ALL "SPECIAL PROVISIpNS" 0 SE GOMPLIED WITH1 THE DATE WHEN WORIC TS COMPLETE?'MUST 8E REPORTFD TO THE EAGAN CJ7CY ENr:INEER. ?? ? ? CITY OF.EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.T.M.: 10-32992-100 05 PERMIT PERMIT TYPE: Permit Number Date Issued: r?" v 1% LQT: 10 BLUCK: 5 HTL'_'3 Of Si(lN E'13fZTUC,I 3RQ ? ea/ss/s3 iwi C 7ypc SF DWG i 1 tJ 1 1'1 (3 W-% i! i yf) ? h-l F W . UBC Qc cupaAcyg? R-3 M-1 VN ? L'Gtllilg FlU R-1 ??. E3tJj LdiJ1g I. 5 9 Bui. Lding Width 34 Ci? ?F la+C1C,??11r1 REMARKS: FEE SUMMARY: Hose I' I a t i H c: v i_ e?.? Surcharge SAf: SAC % Sf1C Un i ts Subtotal ?r? ?. ? $74.! I -qy, /7tiu CONTRACTOR: OWNER• I NC T H E •, ?:? ?` F RIUCI? Rn :301 ,. ? ` FRTnI FY i!; f f)Lf"Y ^iN rSI1. 1.edge that= T have read tti iG applzcation .inci trre rifarm;_ Qrr?rt arid agree to c;orrply witli .al.l. appli.cab.Ie inn. - t_ , Eaga'n Ord,inances. ? - APPLICANT'PERMITEE SIGNATURE ISSUED Y: IGNAT REk INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: l. UR , c'{lil:, U: ,Il;i?!.,,.I ,iif. 3RO 4.?i01 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. RFM,,, It F- ..? 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