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738 Camberwell Dr'CIT`i aF'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 101111 i1 I s+3 i AMBEkuElt. qk HII.lS Oh S1(iNVHRiDQF ;iFt(l PERMIT SUBTYPE: " r r4,c: ? L ftlr?? APPLICANT: 1 Nk ROT T LtiMp i ti 1 Ni (612) 671--e3A4 TYPE OF WORK: weu ItJSPECTION SI TF .. . Fl10°fING FRAM1Mi. iMSUI.Ai lGN .4M! t 130A?7Q FIIiAI FIkFE'i.A?t= f RFMIlttY.S! RECFIPi • VARtEY PIUMffiIMl3 1 3 1?jr'. •`?2 ??s??l? y? f _ ? ' . 7 , , s . . .r ?' ? a' ? af`-`? E ?. ? . r x,{• _ ?.?r' . ?'_',w Y ? ?, a'` ? - ? ? . ..- - . .? - ?? - r? .t^?=y_••??. .'? .. . . ? . . . .. ? . . .. . •.. - - . '- INSPECTIDN RECORD I ?°n tr°' "°.- 0135 PERMIT TYPE: riu r t p t wR Permit Number: 0601 %O _ Date Issued: 03 / 3 O/ 9 2 PsrmR No. Permlt Noldar Da1e TiNphone S/W PIUMBING HVAC ? - ELECTRI J,Z3 ELECTRI Inspact{on Daft Inap. Commer?to Foofings I a II Foundation (?? 2 Framing ROOflng Rough Plbg. RwoHq 5=J -g2 bS law. s- l-9z 5 Fi?eplace FnM Htg. Oiset Test Flnel P1bg. Plbg. Inspector - Noti(y Plumber Corist. Meter EnyrlPlan Bldg, Fi?,W l'742 &,V 7- 2 Do& ng- Deck Flnal Well Pr. Disp. s ? .,z I A Y •?.,?' a (Itr#i#tra#t of (Orrupanry Citp of Cagan iorprbnrstt o# sua'aig imprrtwt nis CerttfuaQte lssued pursuant ro dte r+equinements oJ%crfon 306 of !he Uxljorm Building Code cerWf*8 that at the Jlme of issuance dds struclure xns in compliance wiili du vnrious or&nawrs of 1he G7y regrrlating building cansdraxion or u.se For llie fo!lowing: use V4 PaN& 120 _ _ . VN Dm 6/25/92 POST IN A CONSPICUOUS PLACE ?. :?,. Address:73g rpMBFRWF1,t,DgIVE Lot ]j Blk 5 Sec/Sub gI77C pF glbNEgRIp(? 3gp These items were/were not complete a[ the time of the final inspection. Dat : 6 IS 92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Pleasa verify vith the builder the removal of rooP test caps from the plwttbing system and tha shut-off of vater supply to the outside lawn faucet before freeze potentlal exists. ? urnxmwnn White - City copy Yellow - Resident copy Pink.- Contractor copy w ? ? J ??96 3 ?/ 31' s Requesl Da1e L'Ire No. ugRin InspecMbn quired? Reatly Naw ? Will No1M Inspector _?! ? Z G Ves ? No When Reatly? I,ell'Gensed contractor ? owner hereby request inspection of above electrical work at: doe nehres B s veet. eox qome rvo.) - ? Ciry 738 SeMion No. iownship Name or No. Range N. COUI? ? vpIq?" Occupant (P PYNT) ? J7 n ?Q Ti?,w Phone No. Power Supplier AOtlress ^J- A Elecvical Co actor ICOmpany Name) Conirector5 License No. Mailing qtlOress (GOnVeolor or Ownec Making Inglallalion; Amnorizeo SrgnaWre iCOnvactor.'O er Maki g I Vallation) P?one NumDer 4 MINNESOTA STqTE BOAPp OF ELEC1PiICITY THIS INSPECTION REQUEST WILL NOT Grigga-Mltlway BWg. - poom S173 BE ACCEPTED 0Y THE STATE BOAFO 1821 University Ave.. 5t. Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)6d2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,f s??0., EB-00001-08 ? l See instmctions lor completing Ihis lorm on back of yellaw copy. ? ?_/QS SD 7 3,.'r? $ 96 "X" Below.W-&k Covered by This Request ? V ew A- qep. ? TypeolBUiltling AppliancesWired EquipmentWired i-lome Range Temporary Service Duplex Water Heater Electric Heating Apt. Builtling Dryer Other (Specify) Comm./Industrial Purnace Farm Air Conditioner Other (syecily) Conttactor's Remarks' Compute /nspection Fee Below: # . Other Fee # ServiceEniranceSize Pee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Translormers Above 200 _ Amps Above 700 _ Amps Signs Inspeaork Use Only: TOTAL Irrigation Booms ? ? SS? Special Inspection U Alarm/Communication THIS INSTALLATION MAY 8E ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. Rovgh-in Final ? oate oate ?. 'o -f' OFFICE USE ONLY '? . Tbis request witl 1B monihs fmm _.??/// S?- 43053 JO550 7 ? 3 ReQUest Date ^ Fire No. Foughin InspeRion RepuireG? ?/ ? Ready Now p will Notily Inspec[or ?_ 2 es J No V1hen Ready? I_zficensed coniractor ? owner hereby request inspedion of a6ove electriral work at Jeb AOOress (Slraet Bo r Roure 138 ? City ?X. Section No. Township Name or No. Range No. CounM ?.? (nJ? Occupant PRINT) Phone No. ?\ PowerS p`'W Atltlress , 1/`? ' ? Eleclrical ntrector (Compan Name) CaMractor's license No. c o?s, Mailing qtltl ss IConiractor or Owner akmq Ins[allation) aulhonzetl SignaWre (Comracror/ ner Mak? g i taltation) - Pnone Num ber Q '7 MINNESOTA STATE BOAflO OF ELECiRICITY ? THIS INSPEGTION REOUEST WILL NOT Grlggs-MlEway BICg. - floom S113 BE ACCEPTED BV THE STATE 80ARD 1821 Univeni[y 0.ve., SL PauL MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(613) 602-0600 ENCLOSEO. ?/ REQUEST FOR ELECTRICAL INSPECTION ?R EB-00001-08 ? 4 3 0 5? • See instmcM1Ons for completing this torm on back of yeilow ropY ' ' ? Work Covered by This Requesi X =Be/ow fi ArJd Rep. Typeof8uiltling AppliancesWired EquipmentWired " Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Builtling Dryer O[her (Specity) Comm.llnduslrial Furnace Farm Air.COnditioner Other (speciy) ConVaclor's Remads: Compute /nspection Fee 8elow: # . Omer Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ` 0 to 100 Amps TransFOrmers Above 200 _ Amps A _ Amps SignS inspector's Use Onry: OTAL Irrigation Booms '0 Special Inspaction Aiarm/Communicaiion THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPLETED WITHIN 18 M . S. _ I, the Electrical Inspeaor, hereby ti h h Rouyn;n ,-•? , - ,''?, r oe+e C t a?? ` , ? l cer ry t at [ e above inspection has been made. Final ! Date OFFICE USE ONLY This repuest voitl 18 months from J 676??g? Request Date o 7-1 Fve No. Rough-in lnsp on Re uiretl? Reetly Now C) Will Notify Inspector Wh n R d ? . - G Ves No e ee y IJlicensed contractor ? owner hereby request inspection of above electrical work at: Jab AaGress (Street. B. on oule No.) ? Ciry? ? Seclion No. Township Name or No. Range No. County Omupanl (PRWT) Phone No. ev? Lz. . Power Suppiier AatlresS A Elecmca onVaaarlCOmOany Name) CqnUactor§ License No. MaiLng Atldress (COnlratlor or Qvner Making Installation) AuIDOriie SignaWre tCOnvectoriOwner Makin Insiella?ion? - Phone NumOer . MINNESOTA STATE BOApD OF ELECTFICITY THIS INSPECTION REOUEST ILL NOT Griggs-MiEway Bldg. - Room 5-113 BE ACCEPTED BY THE SL BOAqO 1821 Univarsiry Ave., St. Vaul. MN 55104 VNLE55 PROPER INSPECTION FEE IS Phone(fil2)6C2-O800 ENCLOSED. 7171l.?L REQUEST FOR ELECTRICAL INSPECTION J 6701 8 •$ee intmcimns br completinq this torm on back oi yellow copy. X" Below Work Covered by This Request E&OOppt-OB -7? ew Atl Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building , Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (syecdy) Conttactor's Remarks'. Compute Inspectian Fee 8elow: # '. Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Amps Signs Inspector5 Use Only: TAL ? Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th i Rouyn-m Date cer y a e above nspection has been made. Finai oaie OFFICE USE ONLV TM1is requesl witl 18 months Irom RESIDENTIAL BIIII.DING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConsW ctlon Reauiremenfs RemodeVReoair Reauirements 3 regisle2d site surveys showing sq, ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20 % mauimum lot coverage allowed) 7 set of Energy Calculetions for heated addNOns 2 copies of plan showirg beam & window sizes; pourzd Found design, etc. i site survey for addiM1Ons & decks 1 set of Energy Calalalions Add'rt'ron - indicate i/on-sife sepfic system 3 copies of Tree Preservation Plan if laf platted af[er 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs 53 , -z)" ONice Use OnN Cert of Survey Recd _ Y_ N Tree Pres Plan Rerd _ Y_ N Tree Pres Reqd _Y _ N On-site Septic System _ Y_ N Date /0 l& l,700 Construction Cost r O Site Address 739 C020&?'&/ e/l /'Y/ Ve. Unit/Ste # • Description of Work TeUA' ()f? t ll`ic, i9CI./(7/IQ QXIG? I?E'I? k0[li" Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 PropertyOwner m? Kp hPIQ o?l Telephone # ((_,S i ) L}(1F? -n91'1h' Contractor r?j"n r1i,lQX (-l-t.nllb eX co• Address 10I1-4I L&Ayilor'eS{ ' (jYi`jG City CIk)?I 1? I,Q A-C State YY\V'? Zip ?`-_L?_ Telephone #( 7d?`J 5?(Gi.l - 1300 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilalion Category 1 Worksheet • New Energy Code Workshaet (J submission type) Submitted Submitted • Energy Envelope CalCUlatiOns Submitted Nave ycL, oreviowly ccns'ructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ,,- N If so, 25% plan review Y< Telephone #( Telephone # ( Telephone #( I 11 ) u V-P, I hereby apply for a Residential Building Permit and acknowledge that the informatieu4*s-eamplete-a?-aicurate; 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. (,?n A,,$ ApplicanYs Printed Name t?plicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? ? 32 Addition ? ? 33 Altera6on ? uy 34 Replacement ?? Valuation (v, l8. I Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings(new hldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion W idth REQUIRED INSPECTIONS _ FinaUC.O. _ FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By oase ree Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total „ ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demotish (interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)' ?43 Reroof ? 46 Windows/Doors 'Damolition (Entire Bl dg) - Give PCA handout to applicant Occuoancy MGES 8ysiam Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Building Inspector RESIDENITAL BUILDING Permit ApplicaNon City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 #1 r3?s 6AGC,LQ wke(/a3 New ConsWction Reauirements RemaleVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. ft o( house; and all roafed a2as 2 wpies oi plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allowed) 1 set of Eneqy CalculaUons for heated additions Tree Pres Plan ReaJ _Y _ N 2 copies of plan showing beam & window sizes; poured found design, eOc. i sRe survey for addNOns & decks Tiee Pres Not Reqd _Y _ N isetofEnergyCalculations AddiGon - indicetei(on-sitesepficsystem On-siteSepticSystem _Y _N 3 copies of Tree P2serva6on Plan'rf lot platted aRer7/1193 Rim Joist Detail Options selection sheel(61dgs with 3 or less uniLa Date ?_ / 1r )3'f-' 03 Construction Cost 12J , Oa-iJ Site Address _j3 i5 UniUSte # Description of Work 4 a AT-p l'n,"j ? Z X Z z. A-r? , Multi-Family Bldg _ Y>0 N Fireplace(s) ? 0 _ 1 _ 2 Property Owner Mtk.r .- Gt1lAV_M. [?,t3W`p-%` Telephone #(4u, )??-I OS v°1 ? 8 Contractor ? ? S LI.ti1w (??'r81-'1 Address Z. ? 1 d'?--' City N• ??- State M Zip ? v?L Telephone #(oS1 )?,!Ej P> 3 Z f't COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (V submission type) ? Submitled Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eag fee applies. Licensed Plumber Mechanical Contractor' Sewer/Water Contractor in.wit a similar planZ _ Y _ y \ Telephone #( Telephone #( ? Telephone #( N If so, 25% plan review 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 ofplans. ImSllvrr-- C?.L-?l,?s?i-s4? ?1n-?- ?ti•-? 1?? pplicanYs Printed Name licanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex X, 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneOUS Work Types ? 31 New K 32 Addition 13 33 Alteration ? 34 Replacement Valuation 880 census code C/3 8 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const U Y1 _ Footings (new bldg) Footings (deck) ? Footings(addirion) Foundation _ Drain Tile RooF Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Width . .. ? ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors A handout to applicant MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. y? FinallNo C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) _ Retaining Wall Approved By /? , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)' ? 43 `Demolition (Entire Bldg) - Give PC Occupancy Zoning Stories Sq. Ft. Length 12xZr'y" X/b + P ? ' 2927 Enterprize flrive McndoEu He;jhls, MN !iSt20 612 681-1914•FQX 681-94E? p uno suaveYfjrcS - anL aw:pcfes ---? ? ?--- . . --. - e?reng un0 iLAt+Neas • uNOSCUf Ae?scrs I 6325 Highway 10 NorthPost 6lalne, MFI 55434 ,(612) 763--113HO-Fax 783-1883 of Survey far_ Th2 Rottlund_CompnnY_ fiouse Addfe55: Ctzroberwell Dri?e, Fn c:n?Ml`1 Madel Name: Hampton _ , ,.. ?g - A C "" ¢ _-} L=?Q? 6 q ?? hY ? -_ `oo.n ?` {! ? tA?? w`y" ? • !..-^;1.?i ?% 1 ? sE ?r 4 l O? e? , ?? ? .$__EVO.???aE ._ 1. - j x ^ M? Y `Y ? ? y1.5 ? ? AP l ^ \ cr ? , ?,- 1 ? 1 \ ` Pp'NP t"?S . 109.82 iv tsy'JU':irt" Vi - 900.0 Denotes Existing Elevotion PRaPOSE? HOUSE EI.EVATIDN • ?co. Denotes Proposad Elevation Lowest Floor Elevation:895.45 - Denotes Drainage & Utility Easement To? Qf 91btk Elevation_ 903.56 flenotes Droinage Flaw Directlan ' • -? ' -o- Denotes Monumeni Garage SICb Elevation_903. 23 -Eg-- Denotes Offset Hub 13earing5 shown are assumed LOT 411 , BLQCK 5 HILLS OF Sfi0NEt3RlGGE_ pAKOTA COUNTY. IAINNESOTA 3 R D A D D 1 TI Q N I hxebv c1r[ifY thaf this anrvey, plan o• rtpwt war prtvema bY mu or under mv direcr np?a}rN ?.io?n srttl tliet I em duly ReOiswh1 la^d SuheYp under ihn yws o1 the StMe of Mlnneeota. Dated thb? dnY .f M??--? 6 O, 1g:1J??, ' REG. NO. um 90301.33 PERMIT CITY OF EAGAN 3830 Pdlot Knc3b Road Eagan, Minnesota 55123 (612) 681-4675 51TE ADDRESS: DESCRIPTION: , B=uildir5g Permit Type guilding Work Type 'UBG Qccupaney Constructiart Fype Zoning Building Length Building W3dth PERMIT TYPE Permit Number: Date Issued: SF DW6 NEW R-3 M-1 VN PD R-3 5 0- 36 euzLozroe 000120 03/30/92 t `? z J REMARKS: RECEIP7 N G018033 ?30192 VAILEY PLUMBING _ FEE SUMMARY: VALUATZON Base Fee Plan Review Surcharge 3AC 5 A C $ ... SAC Units Subtotal 738 CAMBERWELL OR LO7: 11 BLOCK: 5 HILLS OF 5TONEBRIDGE 3R0 $769.00 $499.85 $68.58 $706.00 100 $2,037.35 $137,000 MSSC FEES $1,610.50 7ota1 Fee $3,647.85 CONTRACTOR: - Applicant - sT. IU.1NNER: THE RQTTLUNO CO INC 15710304 0001 35 R0T7LUN0 GO THE 5201 E RIVER RD 5201 E RTVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this appliGation antl stats that Che information is carrect and agree to comply with all appiieable 5tate of Mn. 5tatutes and City of Eagan Qrdinances. L APPLICANUVRMITEE SIGNATURE ISSUE IN5PECTION REC4RD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: ii BLOCK: 5 738 CAMBERWEIL DR HILLS QF STONEBRIDGE 3RD PERMIT SIJBTYPE: SF DWG BY:SIGNATURE Control No. 0135 BUILDIN6 000120 03/30/92 APPLICANT: THE ROTTLUND CO TNC (612) 571-0304 TYPE OF WORK: NEW INSPECTION 3ITE „ . FOOTING .A FRAMING INSULATION WAlLBOARD FINAL FIREPLACE REhIARKS: RECEIPT iF F- L VALLEY PLUMBING Control No. 0135 ? I ?* j 2U CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 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 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 C/ 7- Valuation of work Site Location: -7?iFp STREE7 STE # Tenant Name: :::ae ?1?/(?-?1 /• ?ia-. . LOT ? BLOCK 9 SUBD. P.I.D. # Descri tion of work: The applicant is: R Owner Contractor ? Other (Describe) Name ?7iP 6Z /rie. Phone S71-o?? Property LAST F1RST Owner Address STREET STE # City State ?Yi_ Zip sa?E&f Company Phone Contractor Address License City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 4,1114-0 Processing time for sewer & water permits is two days once a' reTa has been a proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: . V_-)? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch S 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New 0 03 Two-family ? 08 Deck ? 13 Comn./Ind. Add ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE , t , ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous ,% 90 New O 93 Remodel ? 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alteration s 0 95 Tenant Finish ? 99 Undefined GENERAL INFORMATIDN Occupancy PI-3 M-I Basement sq. ft . MWCC System Y?5 Zoning PD R-3 lst F1. sq. ft. City Water ?ES IActual) Const . v-N 2nd F1. sq. ft. PRY Required A 1 ( owable) V-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 5v' On-site well Census Code 1af Depth 36' On-site sewage SAC Code ? APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Footing ? Framing • ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace MICC SAC Fces: Permit Fee r76`],00 sac x Surcharge bg, Pl an Review 499 ?? /6 D x . Ht-ense mwccsac -700, oO City SAC 100•00 sac un;cs Water Conn. 6-7s,00 Water Meter 9s,oo 1 Road Unit 380.00 Treatment P1. 3oe,oo R88d-ttRatA?-TNP• 30.00 Parxk-Bed .6w15? 150 _ COpi2S SW Pe'w.f 30.00 Other Total: 36?7?s vaLuac;av $137, ooo - RAC,&: 2 zxzz'7,ri 44 RsMt: zxxza= ??y sox 14= Z ?134) ln6y X ?5= 15',96v N n'?sc 135mr = l oby K 1{No ? I f Z'78y r?'ry 6X???9xs3= 44 D7 / 136! 9b5 P i oneer En? i neer i ne 681?-488 Y.1V PIoOlFrirr7 llkA SURVETGRS • cSNL ? iengincereng ?W PLMHLRS . uNBSCAF ? 2422 Enterprise Dr7ve MandoEu Hei5hks, MN f?i512p ;Btx) 681-+914•Fax 681-9485 625 Highway 10 Northeasl 91atne, MN 55434 fi12) 783-1880•Fax 783-9883 Certificofie of SL-rvey far_ TFIe ROftIur3d Compan Hvu5e Addtess: Camberwe41 Drive, Eat?r?n MN Modet Name: Hampton ? ^ 1 \I a ? a? L-S4- 6 ? r f ? , t 7 1 5 1 1 f ?. 0 ?-? ?'' t ? ?a tr`?' hRfl(y ? lP l ? N l ? \ ? CP fn ? x f , Sfl ?n 1 ? C? L_ 1 J ? b a s'i? ?.;.. 1 .?, 5 ...r?.'.?r'?#?i L - _ - _ - NJ 10J.82 N 89°50'S4° 'N • sco.n Denotes Existing Elevation - eco. Oenotes Propased Elevation Danates Drainage 8c Utility Eosement - Denotes Droinage Flow Directian ' o- Denotes Monument g- Denates 4ffset Hub Qearings shown T..,..`'Y i•l .? ??`•^::? :.d-.:..?d ?.?p T- PROPOSEO !-IO115E EL£VAl1aN Lowest Fioor Elevatian:895.45 Too of 9lo[k Elevation- 903.56 Garage SEcb Elevotion_ 903.23 are assumed LQT i 1, BLOCK 5 HILLS OF STONEE3RlGGE_ pA{(OTA CAUNiY. MfNNESOTA 3 R D A D D 1 T1 Q N. 1 hxabv esrrifv thac dha m.oey, piart of rtport .v?a?a p.?.,?e?perad bY rtre a* u?Uer mY direct np.a}rN??io_n snd ehet I am dury Repilte?ed La?+d SVrveyd under the La?.s O} ihe StMe of Mlnnesate_ Oeted thte stla day of Ml-A.D. 19_1?_. ' C'!iP' in-h .711feet ' ' Aose ?K ?s.aec.?o.?aevt ? fiODO 'r ?yl FY q?. ffm so3o1.aa - • 7NE /??4Mf'jDN ecI'Fr,!an V11vi•;1,nt'F: AVI•:Nnr,r; "u° curmu•rrrrij,fj o;."i E; SI?'E ADD??5S LOT ?? ?jLbc S I?? o , ? SIbNC '?fDCst??RD qDA /J. cctrT!v,c^.o:, F0T1-LIJNo ?a . Q:1TE _ PHONE Dete:min workini; square foot:v;c of cach. 1. iollal er.pcsed vall erea ., 2(y-75, Z sR. ft. x 0.11 2. Total reof/ceiling area .. lD0•¢ s .;. rt. X 8 0.5 = 2 ? G ? • . Yotel exposed wnll arca nbovc flonr = Z( 7S • L? -' a. Total vall vindov area .. ... . Z ?'7• 7 . b. Totzl door a:ea . ........ .... ..... • .: c. Total sliding glaes door ....... area : ....... : ---7? d. : Total fireplece vall orea ........ . . ' e. TotaZ ua22 .raming area ( average 100) .. ........ `. r• • B• Total Total net vell are¢ nbove rim Joist area . floor .......... .. .......... .o • Z Z ' .... ......... = Total exposed fnundat ion arca ZI? ?j h. Total foundet< _on vindov a :ea . . •' • To'lal net foundation area thDove grade ._. .......... ?/? - , • D=te,ine "U" value o; eech vall :ec;ment. a. 2r7, -7 C? u?? 42 ? q ? ?3 . , = . b. 71 _ X,.U„ O,? 3 b = 5. 3?. . - c. X 7?57 ' d. X - ---?. .I.u„ e. ?.?gq ?0 r- . x = f. f. / 9 ZZ,o? X,,,,., . 9. 243, Z x „U,. h, i. X .,u„ 3. ... r? . ?---? . ... .. .................... ..... 'inf.r:] = Z _ If item N3 i of ssc 60o6( s the szme as, or le c)2. sa ;.h:,n iLcca Nl, you nnve met the intent ' ?, Totnl exposed roof/ceilinG nren ? ? . .. , Total gross raof/ccilinG eren J. Totel skylifnt area .......................... ?-- k. Total roof/ceiling framing area ............... l. Total net ?nsulated roof/ceilinti area ........ . Detcrmine "U" vnlue for cncli ruuf/cet I ini; nsc?;ment. ? -- X "Un , k: X 'lUll l?• d ?, 7 = ?? pr -7 • ? i. X„U„ p,aZZ- = Zl,o? . u . ...............................:. Total Z 3 .9 > ?_-? • a ? If total of k4 is Lhe same as, or less than N2, you have met the intent of SBC 6oo6(c)1. To utilize the total envelope systec method, the values establirhed by the sua af items N3 and NL ehall not be 6reaLer.thnn the swn ot iten:s kl and X2. 1. + 2. - 3'. ?+ 4. _ ? o , GAI.GI?k.?+T1DW ?GcNT?. ?Mr- WftL{- e IN,?QLA71oN LoMPo N ?r4? l IJ ? ? ? ol(r?DE AF E9l.M =-?%s lNSU?ATIcrl? I?51?? f?IfL ?I?M, F- VAU.i E -_-- --- p: Co "v - ??,= 23.oC = U= = = o-o?; 3 --FFAM9 WftU. (&-!?,TL!D _ PI.I?N. vir, w . C ci C C C5 C GO,?IPoN?N 15 ouT?,oE ?? ??. 1?7N-E?A'(',-11 N ?i . 'T, X v hIl.lD (F? Kir jt>z;,im MR- RLM. . - F--VALU5 --_. _ _ o , ti'? . __._- _ 2.oCr _ - -?,-?g ,---- -- ?--- ?--- - 0=1?0•__._ ? I ?L Xo.04?) ??r=???-._F??M ? ?-H :?'fH ? ?? . -?^-? G -- _ _-??._G . I.s? _. rG.GL ... ==?-V, . 0 0 0 ? ? ? O ? C? C ; -- - ? ---- - ?.- i ? =o,a? i : C) c C C C I?==f?1(?- FCGM •. r O -?cM ?-- -P?- -- F ' ? ---- _ - ., _ ---o,-?- -. R =-3-5-g-3---- u i o22 ?'? J O' 4-7 d/ 27 t sL_CITY OF EAGAN -???^Qp PLUMBING PERMIT SUBD._ (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # s6 U v DATE ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: llo Ct l_ i SITE a4DDRESS: -1 .)g C.A^.h<rt.,?cI I O2 S INSTALLER: .)4l`t, f??\ L`c? 1-c - ADDRESS:_ _( n ( .? C CITY: 1 c?+ J F+ ? ZIP: ?1 J? S COMPLETE THE FOLIAWING: N0. FIXTURES EA. REPAIR/ADD ON 15.00 I' SHOWER 3.00 ? WRTER CIASET 3.00 2 BATH TUB 3.00 ? LAVATORY 3.00 I KITCHEN SINK 3.00 ? LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 1 WATER HEATER 3.00 f FLOOR DRAIN 3.00 GAS PIPING OUT. t (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. 5PRINKLER 3.00 _ W. TURNAROUND 15.00 TOTAL ? C? ?- ?- J ' J ? 3- V. , STATE SITRCHARGE .50 O J TOTAL: S LA-1 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MIILTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN WNTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. COLCTRACT PRICE x 17: $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) YHONE #: LI r1 A " a 1 2 ? CITY OF EAGAN ' 3830 PIIAT KNOB ROAD EP.GAN MN 55122 PHONE: (612) 454 8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: 17 " °'17L PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME :?? t t? l i YId SITE ADDRESS :I--_Zg (llh i. 1P?1 cl JI'• ?. LOT: BLOC/K ? SliBD. INSTALLER: U'0 fLARE G. & A/C, 9NC. ,,. ADDRESS: 930901...wnm N& _ GoCITY: lden VBIIC}l, N{N.?27 PHONE #: ? )'?/?'IJ?pS„ FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT ? SUBTOTAL: $S?I_ STATE SURCHARGE: .50 TOTAL: SS? SIGNATU E OF PERMIT EE ?QpiMERL'3AI./TNDASTiLTAT:": PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ...:.....:..._.........._.:_ ,...:.._ APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) FOR: CITY OF EAGAN ? C?•1,(p3 CITY OF EAGAN 3830 PIIAT &NOB ROAD EAGAN, 1SN 55122 PHONE: (612) 454-8100 IN FOR CITY IISE ONLY PERMIT N RECEIPT 1f /U DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS VNEN YERMITS ARE BEQIIIRED FOR EACN iTNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ FEES OWNER NAME: S'7ffwo, LA^'G SITE ADDRESS: 739 IAT:? BIACK ? SUBD.l • ri vi- INSTALLER: 1'/L/-Vm€ /??A>Nd ?/{?L ADDRESS: 93?3 eG/i4ou76??v,A/• 2uLO'N ??AtCO)'- ZIP: ?S4> 7 CITY: (' PHONE # : _?;-yz ' //6 6 ADD-ON MINIMUM 15.0 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: Sl,J'00 STATE SURCHARGE: TOTAL: / $ /S SD VL%' AmAY._". PLEASE COMPLETE THIS PORTZON FOR ALL COHIMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND HULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING ONIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS:_ IAT: BLACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN 2IP: FEES 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ ( S I GNAIITRE ) 1fi ~ For Otfice Use - - _ I C Permit <)< ltoajai LI AR 10 2409 , 4i_ Permit Fee: _ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: ------------/7 J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C " r l cE Date: Y 0 L Site Address: 7 _ _ t,;,7 b el- LA/-e I' Tenant: Suite RESIDENT / OWNER Name: J~ I ke 13 c' Phone: 76)_7-_S ~ 5' 5- Address / City / Zip: 739 -qji J f"we1/_ th /1IV 7 71 2IV Applicant is: Owner Contractor r TYPE OF WORK Description of work: l1 f 7 f3 c 'P _ 'F 0 Construction Cost: q c /of) Multi-Family Building: (Yes / No `J f CONTRACTOR Name: pC L c) kr o, 'e /11 fJ4 6o~y _ -h6 License ®S 3 2 Address: 733 J i4 1(t j Jq JIe Th / C 7/t~~ - City: Lc 9 G h_ it °P State: l r I V Zip: o 1 Phone: 6S (-27/ q0 7 C Contact Person: o d" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _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. 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_ PL'v 9 I S /pI 111' x Applica s Printed Name Applicant's Signature Page 1 of 3 oz- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace - Porch (3-Season) - Storm Damage _ Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ower Level _ Pool - Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof - Demolish Interior 40- Alteration _ Fire Repair Windows - Demolish Foundation _ Replace _ Repair Egress Window - Water Damage *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (C>~ ® Occupancy MCES System Plan Review Code Edition 0c SAC Units (25%_ 100%__) Zoning City Water Census Code q Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings Air/Gas Tests Final Framing Siding: Stucco Lath -Stone Lath -Brick Fireplace:~p Rough In Air TestSC) Final _ Windows _ Insulation Retaining Wall Meter Size: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee QI e iev& l 3, o O Surcharge Plan Review ! id 5 v e3 . MCES SAC City SAC e : Utility Connection Charge / S&W Permit & Surcharge Treatment Plant Copies TOTAL For Office Use Permit non City of Ea (j 6-v" V 9r, 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 9-'3"-0 Site Address: 73 ~-u•~.t ~ f~t/~1~ ~r . ~ ~t-- ~j~'.c. Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: (.'cwt -z. Lv t~~ r- L't~ CCc1 CONTRACTOR Name: v w e " " License 0"S'? 5 _ = yl/\ Address: City: t/ S te: Zip: Phone: (J Contact Person: TYPE OF WORK New Replacement Repair _ Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing RAures ( RPZ / _ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 ance with the1approved plan in the case of work which requires a review and val of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office Us~ SCI I 7-1 I j Permit City _ I of Eap I Permit Fee: 0 , 3830 Pilot Knob Road j I Eagan MN 55122 I Date Received: 1 Phone: (651)676-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 26 Site Address: Unit Name: /"/A T4-61"410 bAdOX)'4_5 Phone: Resident/ Owner Address / City / Zip: C4 Applicant is: Owner l` Contractor Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes No ) Company: ~cvly CIT/Q CLt S~ Ulm Contact: a`ZIAV lm~~ Contractor Address: /~fu City: 495Z! Ca-zlvC!17" State: IXA) Zip: 'y2C% Phone: ! ~Z ~f License 6SS C Lead Certificate NRT Ill egn7- 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.oooherstateonecall.orci 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. 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 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA125956 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 738 Camberwell Dr Lot:11 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-110 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 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 - Matthew R Dauphinais 738 Camberwell Dr Eagan MN 55123 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125984 Date Issued:08/11/2014 Permit Category:ePermit Site Address: 738 Camberwell Dr Lot:11 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Matthew R Dauphinais 738 Camberwell Dr Eagan MN 55123 (323) 630-8926 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131574 Date Issued:06/25/2015 Permit Category:ePermit Site Address: 738 Camberwell Dr Lot:11 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew R Dauphinais 738 Camberwell Dr Eagan MN 55123 (323) 630-8926 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()'*+*, -./$%'"&0-1P3$2>$,+ -./$%'53/4-.16789:9: <*%-'!==3->1?;@?9@;?7A -./$%'#*%-+(.&1--./$% B$%-'6>>.-==1''L8M''#*/4-.J-22'<.'' 33"#$% &&7())**+ &&B*##9&YD&:+/<.*)G/&\[.) 012 345\['UU'5475334& 89/ <-=E.$0%$(,1 :;<&=>?/ A*+)P9S2.9M+9.;$*+&=>?/ A.%&=>?/ @/?#-$/ 2/9$.*?*+ =P&.&,./&A*+)P9S2.9 M/+9;9&M)/ !\[!&5&Y$$;?-+$> a+*+G :O;-./&Q// 4 1F?.W/F/+9&&K/&KF/&./O;*./&9F%/&)//$.9&*+&-##&</).F9L&1D&-#/.*+G&P*+)P&?/+*+G9&.&*+9-##*+G&"->&.&"P& #(//-,%=1 P*+)P9\\&$-##&D.&D.-F*+G&*+9?/$*+L&M-##&D.&D*+-#&*+9?/$*+&-D/.&*+9-##-*+L M-.<+&F+N*)/&)//$.9&-./&./O;*./)&P*K*+&34&D//&D&-##&9#//?*+G&.F&?/+*+G9&*+&./9*)/+*-#&KF/9&H,*++/9-&:-/& "&5&"-9/&Q//&T!ZT34\[L'7&4V43L!4V7 F--'B3//*.&1 :;.$K-.G/&5&"-9/)&+&b-#;-*+&T!ZT'L44&U443L'3U7 b-#;-*+ &&!\\444L44 "(%*21G7?CH;C' #(,%.*E%(.1IJ,-.1 5&&(??#*$-+&&5 @/+/P-#&(+)/.9/+,-K/P&@&2-;?K*+-*9 3U'4&M;+>&@-)&M&A/96\[V&M-F</.P/##&2. @9/W*##/&,E&&7733\[X-G-+&,E&&773'\[ HI73J&'I!5!666 1&K/./<>&-$%+P#/)G/&K-&1&K-W/&./-)&K*9&-??#*$-*+&-+)&9-/&K-&K/&*+D.F-*+&*9&$../$&-+)&-G.//&&$F?#>&P*K&-##&-??#*$-<#/&:-/& D&,*++/9-&:-;/9&-+)&M*>&D&X-G-+&Y.)*+-+$/9L (??#*$-+S0/.F*// &:*G+-;./199;/)&"> &:*G+-;./ PERMIT City of Eagan Permit Type:Building Permit Number:EA137430 Date Issued:07/05/2016 Permit Category:ePermit Site Address: 738 Camberwell Dr Lot:11 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Matthew R Dauphinais 738 Camberwell Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature r Use BLUE or BLACK Ink For Office Use ( !// ::::e: ?/ C7 l gq"I_ City of Eaali �f"a I q7 a `bc 3830 Pilot Knob Road / Eagan MN 55122 Date Received: '/ Phone: (651)675-5675 RECEIVED _____________4RF_ buildinginspections(acitvofeagan.com Staff: AUG 1 8 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: til 4 � � �i 1'1 LV Phone: L' �� d -1. ,. v.,-,..-,-,v Res end � ,e,r V ';97 y2 ' '/y'f Ni!pVfiAddress/City/Zip: 41. Applicant is: Owner y Contractor g---- ) TYPe Description of work: Construction Cost: 1,�c Multi-Family Building:(Yes /No Company: l �Z'" Y $/1K et'a -3d -- Contact: w ILL- ��s i i ' I ` 10 t� lv1�� wCity: t Address: r (,�Y)7,45 Contrr or r= `' State: P'IAA,1 Zip: I ( ! Phone: 9,CO2 $(r41 /1�E7ail: 1'�.�)and Llii a. uAoo ce* v License#: ✓ Lead Certificate#: !V 4/ i °,63 2-- 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: NOTE:�� s and s p rt, cu 'at y ' s d I� • consid bli ,• ® ' ;® ions d info nation may�'bec ss d ' public' u prov r --Tic e o n , .tt oul• o e to f• r that they aretradeecrets , ,, p ... ,w. ...tx�.., c• �b ...rah+ # ,{� n: �:f*.�,.:. 'sir,"4,v.. 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(65.1)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 is not to startwithout 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 slans. I Ct6 Applicant's Printed Name Appl an 4 ;natur Page 1 of 3 O 7_ 0 014114761 tik--I� DO NOT WRITE BELOW THIS LINE /7--�:/6 SUB TYPES ` Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi i 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 IS `i.2,i V. Occupancy .-Y-}2G w-) MCES System Plan Review Code Edition OA-A2 ( .. SAC Units (25% 100%f ) Zoning TZ--t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length /1' Fire Suppression Required Type of Construction VDP Width 2)0 REQUIRED INSPECTIONS Footings (New Building) Meter Size: Cl Footings (Deck) Final/C.O. Required Footings (Addition) r6 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings Air/Gas Tests _Final ,,0 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 Shower Pan Other: Reviewed By: " / '‘-.` v V" IL 1 , Building Inspector RESIDENTIAL FEES Base Fee z eo 5 fT Surcharge g) # /5 ac, 5-- ,- /-7- Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 / u 161'`�h--YX C & bg, ( LI'2/ '�" 2422 Enterprise Drive • Mandot,u Heights, Mbi 551.W.C1 * PIONEER (612) 66t-1914-Fax 681-9488 l LANK) SURVE'fUZ • at&ENG RS mngineerang LAND PLIWHERS • LANDSCAPE ARCHI7Ecrs 625 Highway 10 Northeast or Bletne, heN 55434 Ar * * (612) 783-,1860-Fdk 783-1883 Certificate of Survey for: The Rottlund Company House Address; CQrnberwei Drive, EactonMid Model Name: Hampton ' y '" -' 1� -' Ifit. y-- CQr 8 '� r r — -- r f r a 01 -- - r lrte" l� ! Ly ■ II _ — ' r9(1Q t C^`�"r9� � w 2'7'b� � � \,... __ JC' - }' r 11 96 n7.31 ?-° ,1 --.."Pa Orir\r itl--51 II^LGl < s 1 „ 1, 01 46 ' � n 13il- Cbe - &/t 1 t�;: 41 , , 6 ,�a t.ia - e c j ,,...__ 6 ON n't K 2_,_ 26-43 il \2— iitcZ I J .t.. 4. fy , ,�i i` .b -,1.:.' i ,� R. ,tom °f t;,h` : 109.82 N 89`50'54" W - 9CO0 Denotes Existing Etevatibrl PROPOSED HOUSE ELY fl ON - .moo. Denotes Proposed Elevation Lowest Floor Elevation;895.45 _ — _ Denotes Drainage & Utility Easement TOD of Pock Elevation-9b3.56 Denotes Drainage Flow Direction Geroge Slob Elewation:903.�'_3 —o— Denotes Monument —�- a Denotes Offset Hub Hearings shown ore assumed LOT ii BL K HILLS FST NEBRID _ DAKOTA COUNTY. MINNESOTA 3RD ADDITION I Nerebv carrife that fids von y,plait or report was predated by nig or under my direct stgelle��n ern!that I sm duty Red Ladd SuI revo• w under the tas tO the State of Minnesota_Dated 0111 to I TA day of IA&C A.D.19:9-1—f. ! ' Scale: 1 tSCf7— feet . , 448Eg4K„'� L5.REG.NO.]49 „_........._ ,n. -.U315] 90301.33 PERMIT City of Eagan Permit Type:Building Permit Number:EA156610 Date Issued:07/09/2019 Permit Category:ePermit Site Address: 738 Camberwell Dr Lot:11 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-110 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 - Matthew R Dauphinais 738 Camberwell Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature