The URL can be used to link to this page

742 Camberwell Dr INSPECTION RECORD control " 082 1 CITY OF EAGAN PERMIT TYPE: {1 t i tT [ w13 3830 Pilot Knob Road Permit Number: 001 Ab6 07/ib/9? Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: i o T t 1? 131. (1L' r, : APPLICANT: 74~-" CAMBERWELL DR THE ROTTLUND CO 1NC P H[I.LS OF STONEk1l;IDOF 3 ~~22) 611--0304 PERP41T §MPTYPE: TYPE OF WORK: NF I INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. t'j"I'INR FRAH 1046 1 N SUL AT ION E 1KAL F1.14FPi ACE iI Pf"ARY`.. RrCrIPI 0 5414 I'll H14 WAIIEY N180. NWO r Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC f ELECTRIC f Inspection Date Insp. Comments Footings I Foundation Y Framing Roofing Rough Plbg.' Rough Htg. [Sul. by Fireplace Final Fig. _ZS ~2 ` Orsat Test I Final Plbg. 9 Pibg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final 1 U 1-17, (219 Deck Fig. Deck Final f L Well Pc Disp. t This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ' ordinances of the City regulating building construction or use. For the following: Use aassirrocation: SF DWG Bldg. Permit No. 1066 FA/Mi 7 Type zming Dismiq Type Cont. VN Owner of BWI&M ROIMM OD IAJC Addn ss 5201 E RIM RD, FFMM s nay 742 CWHOMI DRIVE Iowtity L 12, B5, HMS OF SD ID( 3RD ~y vate: 10/892 ~ Boildo~Otficial POST IN A CONSPICUOUS PLACE 4 Address: 742 CAMBERWELL DRIVE Lot 12 Blk5 Sec/Sub HILLS OF STONEB.RIDC,E 3RD These items were/were not complete at the time of the final inspection. at : 10/8/92 Yes No Tnsllprtor, 99 Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry v Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists.] na+cuo nm White - City copy Yellow - Resident copy Pink.- Contractor copy 10 2 le all if/o 8 is/yam/~ ~G~' 3 00 Request Date Fire No. Ough-in Inspection p Req ire01 0 Ready Now C~148fNOtity In or 3 7. Ves G No w atly9 I licensed contractor :1 owner hereby request inspection f above elec al work Job Address (Street. Bo or Route No.) r~ City / b4 I Section No, Township Name or No. Range No. C n Occupant RINTI Phone No. Power Su ;D,, Address Elxlricai r1ractog(DOmpan ame) ContracTtors License N0. C/! Oo38 Mailing Ad ss (Contractor or Owner M ing Installation) Authorized SignaWre contract wn M Ing Instailalic 1 Phone Number 3-36/0 MINNESOTA STATE BOARD OF EL CTRICITV THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 9-173 BE ACCEPTED BY THE STATE BOARD 1821 Unleerslty Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. S/REQUEST FOR ELECTRICAL INSPECTION its`-A esoooot-o/e K I See instruHioM for completing this form on back of yellow copy q p2 n J 1 O9 "X" Below Work Covered by This Request` New Add Rep. Typeot Building Appliances Wired EquipmentWited Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner_ Other(specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: _ LCJ TOTAL? Irrigation Booms 7-A 7"? - Special Inspection iO L ~ -J-o Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby R°agh-m at -Ael certify that the above inspection has Final ate been made. i OFFICE USE ONLY y C-, -OF This request void Is months from - K1 093 8 r 9~ d s Request Oats Fire No. ough-in Inspection 7 Required? j7Ready Now ❑ Will Notify Inspector L ❑ Yes ❑ No When Ready? I Xcenseo contractor D owner hereby request inspection of above electrical work at: . Job Address (Street. Box o outer No., City Senion No. Township Name or No. Range No. Co Occupa PRINT( Phone No. Power Su Morass Electrical tg r IGompany ~pmet Contractors License No. G too 3b Malting Address Iconva"n" or Owner eking Installation, Y Authprizep Signawre ICOntractorr err Ma g stanauonl Phone Number MINNESOTA STATE BOARO OF ELEC ICI TV THIS INSPECTION REQUEST WILL NOT Griggs-Mldwey BIEg. -Room 5-t13 BE ACCEPTED BV THE STATE BOARD 1821 university Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. "~q EB Oe 01-08 REQUEST FOR ELECTRICAL INSPECTION li~ See instructions for completing this form an back of yellow copy 11093 °X" BeSkv Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speoify) contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only: - > TOTAL Irrigation Booms ~ Special inspection l✓ r Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roagh.,n Date certify that the above inspection has Final oat L been made. OFFlCE USE ONLY This request vpW is months from PIP RESIDENTIAL ~T, BUILDING PERMIT APPLICATION X13 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions . • 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE I O1; o lua VALUATION ISO SITE ADDRESS1 I6 N" f Udl MULTI-FAMILY BLDG -Y _VIN TYPE OF WORK t 11- :jACI I on hou -i -li- QP1 r~S4P . FIREPLACE(S) _ 0 _ 1 _ 2 p~~ ~ _ APPLICANT no 2t~ STREETADDRESS CI [A Id / ~STATEE W`-'ZZIP ` b CELL PHONE # FAX #651 (OJ L~o TELEPHONE #Idla l 6 PROPERTY OWNER&b+ Q:W-f' aMWSh1 (Q_, TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CiCCEGORY I _ MINNESOTA RULES 7672 (•i submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worlksheet Submitted • Energy Envelope Calculations Submitted J ~ LJ Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener - Lawn Sprinkler _Fee: =S90.000~ _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Pee: 570.00 Hcat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag rdi anc s. signature of Applica OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY OF EAGAN PERMIT R Control No. 0821 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 001066 (612) 681-4675 Date Issued: 07/16/92 SITE ADDRESS: 742 CAMBERWELL DR LOT: 12 BLOCK: 5 HILLS OF STONEBRIDGE 3.... DESCRIPTION: ,fluiid`i';ng Permit Type SF DWG Buildin§,,Work Type NEW UBC O-ccupancy R-3 M-1 r Construction`-Type VN Zoning PD Building Length 63 Building Width 50 4J ~'v REMARKS: RECEIPT N CC) AC151 S&W PLBR - VALLEY PLBG. FEE SUMMARY: VALUATION $165,000 Base Fee $867.00 MISC FEES $1,610.50 Plan Review $563.55 Total Fee $3,823.55 Surcharge $82.50 SAC $700.00 SAC 8 100 SAC Units 1 Subtotal $2,213.05 CONTRACTOR: - Applicant - ST. LICOWNER: THE ROTTLUND CO INC 15710304 0001335 ROTTLUNO CO THE 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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 Mn. Statutes City of Eagan Ordinances, APPLICANT/PERMITEE SIGNATURE ISSUED BY' IGN E INSPECTION RECORD Control No. 0821 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001066 Eagan, Minnesota 55123 Date Issued: 07/16/92 (612) 681-4675 SITE ADDRESS: LOT: 12 BLOCK: 5 APPLICANT: 742 CAMBERWELL OR THE ROTTLUND CO INC HILLS OF STONEBRIDGE 3 (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT M SSW PLBR - VALLEY PLBG. F- - L PERMIT # CITY OF EAGAN REACTIVATE _ D 1992 BUILDING PERMIT APPLICATION f ss1-asps ^JUL I 'I.RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I 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 Quest is made or lot change is re guested once permit is issued. Date Valuation of work IO0.000 Site Address: VOL '1C~v~nl4elwGll 'bP(Ve- STREET SUITE M Tenant Name: (commercial only) "MILAMA Zy~ LOT BLOCK S SUBD, P.I.D. g Hgls elor Description of work: S) (to The applicant is: Owner Contractor ❑ Other (Describe) Name 7'~ie, 9&4+1undco. -r-A& Phone 5'1 I - 0 30 Property LAST ' FIRST Owner Address 52,o1 6, R'tger RA. 3o STREET STE N City Er-Aley State MA Zip 5'rA Company Sw.Y►lC Phone Contractor Address License #Urol33S Exp3 3) 9 City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber C 'rt Processing time for sewer & water permits is two days once rea as been proved. 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. 011 Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ' ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,E) 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace 0 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 0 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) VIV Basement sq. ft. YZ?, 7 MWCC System ~ (Allowable) yy 1st F1. sq. ft. vat, City Water UBC occupancy 2nd F1. sq. ft. /p e2 PRV Required Zoning Sq. Ft, total Booster Pump / of Stories Footprint Sq:.ft. Fire Sprinkler Length G3,~ On-site well Census Code of Depth 70,33 On-site sewage SAC Code o/ APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site 10 Footing Framing C$ Insulation ❑ Wallboard ® Final ❑ Draintile ❑ Fireplace Permit Fee veiuatim: $ S bo 0 Surcharge IS aL ms~-f Plan Review 3,5~ License MWCC SAC l3~ _ /3 20~ 30 _ = y~ CityrSACConn. 80 Water Meter Acct. Deposit Tlh 33~ S/W Permit 290 S/W Surcharge Treatment Pl . yZ2, ~~X ~B : 9G ?~//sG Road Unit J Park Ded. Trails Ded. z=J 1/ 23, s-~ Copies Other /p &zk S~ 5-) 3yL Total: SAC % SAC Units M'FHiOR FNVFL PF. AVENACE "U" cwril'fATPHI CQN1 ER SITE ADDRESS CONTRACTOR 207" UA10 Go, DATF. PRONE Determin working square footar•,c of each. 1. Total exposed wall area ~J 9 1 4r sq. ft. x 0.11 = 4 3 2. Total roof/ceiling area sq. ft. x e~026 = I • Total exposed wail area nbove floor r f a. Total wall window area C Total door area . C. Total sliding glass door area sc~,q d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor Z g• Total rim foist area Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall sf,.gment. a. ~FJCO• ~J x ..U.. 204, b. x ..U.. 0r 1306 C. 39.RI? x d. x ..u.. e. x...U.. 0.08j Z9.0Cr f. Zq3~-87 x "U., 0.0+F) g• x ••ii•, 0104-( h. x ..Ii.. 4 x 'lull 3. If item N3 is the same as, or less Lh:.n ilern dl, you have met the intent of SBC 6006(c)2. M1 Total exposed roof/ceiling area = ✓57 Total gross roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area L 1. Total net insulated roof/ceiling area 14!:a2 Ale_ Determine "U" value for ench roc,f/ceiling; sc;,~ment. J x nun , k: I59! Z x nun 0 27 _ +t 'Z q 1. 3 z X nun p 2Z = !P ,.S Z 4 . Total = If total of d4 is the same as,'or less than N2, you have met the intent of ssc 6oo6(c)l. To utilize the total envelope system method, the values establizhed by the sum of items N3 and 14 shall not be greater. than the sum of items dl and Y2. 1. + 2. _ 3'. + 4. - 0 . GAVU J-10N~7 (GoNT~. AMA WPcU. 6 ' N LA IpN LoMPONf%N~ . R-VAW5 2 IN6ULATict4. 19.0 ¢ u 77, G~(P 13D 0.45 ~ I~ylols AID- I✓ILNI, -_-----o:cab - L U= ~ 0.043 -F-ftMS WAUL ~-rUD ~oMPaN~NTS -VALUE c l, U-r-!7I0E Paiz FgL.A. - - - o ,17 - r - 3 C3 ~7H5A-NiN6o. 12 loci 4 f~ xc. h1~lD (FPAMiur) -1.-i 2-- - C' ~Nh~Dt; PAP- REM. , p. to PI,P~N. yir-W. U- 0.089. ~fAL r 4 I =G.~1~1 P~. u U = 0,12 X o.0~9~ t(o, Sb X o.043> = o. o ~-7 ~P~~ft~4 Ih -~=VkLU~ 0 ~'__Fil? AIM aofh , _ I. Ss HIW d'2 30 7.L t _ p. JA I 17 I 2 3 4 5 ---I - 3-8-.3-- = 0.027 I 2 - 4 0 022 46k i L BL CITY OF KAGAN CITY USE ONLY _ PLUMBING PERMIT SUBD. 2i ,t ~j~u p~ t 3~ 612) 681-4675 RECEIPT O 7f U DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 3 - REPAIR 3 WATER CLOSET 3.00 1 --a- BATH TUB 3.00 p ~l S LAVATORY 3.00 1 OWNER NAME: \\OI'~\J-L~ KITCHEN SINK 3.00 3 `I 1 LAUNDRY TRAY 3.00 SITE ADDRESS: la ~.~w~<2 .icy d2 S HOT TUB/SPA 3.00 1 WATER HEATER 3.00 3- FLOOR DRAIN 3.00 Z_ \ l GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 u.c ADDRESS : o I U C - tc L _ OTHER _ _ WATER SOFTENER 5.00 CITY: ,S ot'SA_ ZIP: ? PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE 5~ 1 W..TURNAROUND 15.00 STATE SURCHARGE ' 1.50 SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE 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: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L-ZL B / 3WCHANICAL PERMIT RECEIPT # /O 7 SUBD. Z (612) 681-4675 DATE S /8 9,~-'- ~0 y13 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: ADD-ON A/C ADD-ON FURNACE[--] SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 Q - , J , CONSTRUCTION ONLY) INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE s d ADDITIONAL 50 M BTU 6.00 ADDRESS: f303 Ac GAS OUTLETS - MINIMUM 1 @ $3 EA. 3 -0 o CITY: ZIP fyat) SURCHARGE: $ .50 SIGNA TOTAL: $ t!57 d low NO PERMIT REQUIRED FOR DUCTWORLONLY1 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING $25.00 $ M[IN lUM FEE - $25.00 OWNER TOTAL• $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: * * * 2422 Enterprise Drive * Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914'FOx 681-9488 e LAK PLANNERS • LANDSCAPE ARCHITECTS engineering 625 Highway 10 Northeast * * Blaine, MN 55434 *4 * (612) 783-1880•Fox 783-1883 Certificate of Survey for: The ROttlund Company House Address: Camberwell Drive. Eagan, MN Model Name: St, Andrews C s~°~ er GeV°~st~'tre CAMBERWELL R 1 889.68 „ 07'50'49 l~= L= 0.76 900.4 _ o w 1 WAY N I E G 5 i pRIVE - -~jp.67 W rl I rJ 20.33 iY~+.1 1 f3 E V 1 E W E Q 10.17 10.0 ° g 1 _ N 33.31 1 GARAGE 1 0 8Y I Si. ANDRE`NS u 15.07 --J ° 1m Z - u No i 12 COUP SE BAHEMEN1 1 N DATE '/;2 ~ I e 1aROPOSEO HOUSE } f / a l In I I 'r 12.50 1 21.50 m 1 Cn fT 411. g 1 14.12 0'~ I 1 DECK W I - - _ 1 4 U .P 14.12 ~ E 12:(14 1 fh t0 I!N 02'00 31 m I 11 X 1 I 903.6 1 I 1 i I r~ ~11 I I~ aDEPT 103.54 N 89'50'54„ W . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 5%;65 - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 904.76 -o- Denotes Monument Garage Slab Elevation: 904.43 a Denotes Offset Hub Bearings shown are assumed LOT 12, BLOCK 5 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION I hereby certify that this survey, plan or report was prepared by rRje or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 134- day of A.D. 19~ Z. I--VI- IZ GOUYSQ Inn SP MPr"X SCale: 1 inah_30fee, ROBERT "SIKI L .REG. NO. 14891 a Ftir Office-Use / j Permit / j City of Eajan ; c Permit Fee. V., v 3830 Pilot Knob Road I r Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 'staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION `/~'t~e Date: -0 9 Site Address: Tenant: Suite RESIDENT/OWNER Name: Aar Icty/"-r ) Phone`. 651-6297-`I5SO Address / City / Zip: 7`/02 C~Ml~cr ,✓~JI a n : ~?il/ 522 Applicant is: Owner Contractor TYPE OF WORK Description of work: 9- Ti'r Jdu ""A",.¢ U,1/ Construction Cost: 3S Lim Multi-Family Building: (Yes No CONTRACTOR Name: Am-P ► s ~~e )6V% License Address: gws: -,Vol" S~ City. State: W Zip: Ss y~l Phone: &la"y32-'07`17 Contact Person: ~1(A`itrl / IG~ L 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 ( 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: j Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: MOTE. 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 the 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. nature Applicant's Printed Name 45 f El" c~c. ~t,.n~ ~ E.J Page 1 of 3 pJUN-1 9`-Z009 I 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 _ Lower Level Pool _ Miscellaneous 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 O V Occupancy MCES System Plan Review Code Edition SAC Units (25%^ 100%ji Zoning City Water Census Code 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: rIce & Water Final Pool: -Footings Air/Gas Tests !Final Framing Siding: Stucco Lath -Stone Lath ^Brick Fireplace: !Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant lo Copies TOTAL Page 2 of 3 LOT SURVEY CHECKLIST FOR RETAINING WALL ` BUILDING PERMIT APPLICATION Lam, Address: / LFZ C.,vh Le., , w o-~ Applicant Name: DATE OF SURVEY: y G LATEST REVISION: m . c **Permits required for Retaining Walls 4 feet high or greater. U Ya ~ O z Q DOCUMENT STANDARDS ❑ ❑ • Registered Engineer signature and company ❑ ❑ • Building Permit Applicant ❑ ❑ • Address X ❑ ❑ Legal description ❑ ❑ Lot lines/Bearings & dimensions ❑ ❑ North arrow and scale ❑ ❑ Street name ❑ ❑ Show all easements of record and any City utilities within those easements ❑ ❑ Setbacks of proposed structure and side yard setback of adjacent existing structures ELEVATIONS X ❑ ❑ Property corners ❑ -)K ❑ • Top of curb at the driveway and property line extensions (only if wall is within 30 ft. of curb) ❑ ❑ . Elevations of any existing adjacent homes ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways (pond, stream, etc.) ❑ ❑ • At the foundation of the building and/or nearest structure PONDING AREA (if applicable) ❑ ❑ • Easement line ❑ ~R( ❑ • NWL ❑ ❑ • HWL ❑ ❑ • Pond # designation ❑ ❑ • Emergency Overflow Elevation ❑ ❑ • Pond/Wetland buffer delineation Y N • Shoreland Zoning Overlay District Y N Conservation Easements RETAINING WALL INFORMATION ❑ ❑ Location of Retaining Wall on property ❑ ❑ Top & bottom elevation at each end of wall and any change in elevation in between ❑ ❑ Type of material (i.e. modular block, boulder, etc.) ❑ ❑ Directional drainage arrows with slope/gradient % Reviewed By: Date GFORMS/Building Permit Application-Retaining Walls Rev. 5-4-09 1.-.,..... 1 1 1 .:f 422 Enterprise Drive 2 Mendota Heights, MN 55120 y PIONEER LAIJD SURVEYORS • CIVIL ENGINEERS (612) 681-1914•Fax 681-9488 engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * 11F * (612) 783-1860•Fax 783-1883 Certificate of Survey for: The R Ottl U n d Company House Address: Camberwell Drive, Eagan, MN Model Name: St, Andrews G,1 9r UevC".sL.,re- RWELL ~ cAMBE - - - R 589,68 07'50w49 0.7 6 s0oD.4 i o 90L 7k') Q w ~ - 0 1 mI I .1 1 6t EA GA N 3 , V I E W n~ 20.3 p4 1o.' 7 10.0 O 9 vY 33.34 I GARAGE 1t1~ ST. ANDREWS 1 o e3 S 15.61 BASEMENT w t DATE, o I 12 COURSE I PROPOSED HOUSE - ~ I 12.50 Q 21.50 mo 0 14.12 P cn ► 1 rn 014.0 41. O 7-11 I DECK _ ` R 00. A U1 -P 14.12 j- E } 2X14 , x 903 6 a Zr- 10 DFPT 103.54 N 89'50'54" W X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x<__ so_o_.o - Denotes Proposed Elevation Lowest Floor Elevation: 5'%,65 Denotes Drainage & Utility Easement Top lof Block Elevation: 904.76 Denotes Drainage Flow Direction - -oa- Denotes Monument Garage Slab Elevation: 904.43' --a-- Denotes Offset Hub Bearings shown are assumed DoT 2 , BLOCK 5 HILLS OF STONEBRLDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 8 N'' day of - -V } A.D. 19 9Z-. I2. G+w~$e ~c asP_t. pr Z ~ Scale: inch.3Ofeet /r -~2 ROBERT . SIKI - L . REG. NO. 14891 LIUDI PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082813 Eagan, MN 55122 . Date Issued: 05/01/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 742 Camberwell Dr Lot: 12 Block: 5 Addition: Hills of Stonebridge 3rd PID 10-32992-120-05 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: New Life Contracting Inc. Keith A Creech 2478 Hillwood Dr E 742 Camberwell Dr Maplewood MN 55119 Eagan MN 55123 (651) 274-6943 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. Applicant/Permitee: Signature Issued By: Signature 1-7 Use BLUE or BLACK Ink ^ I ----------------i V rt For Office Use 1 yh Permit City of Eajan ,J I Permit Fee: &0- 06 I 3830 Pilot Knob Road I 1 Eagan MN 55122 REr-'EIVE j I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 FEB 2 4 2012 1 staff----------------- 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION r2 (q (nnhe ('1 n~~ Date. Site Address: 4MI -I-- Tenant: / p/ Suite M , Name: f A V k Phone. / RESIDENT / OWNER Address / City / Zip: G I~r'7 AW&1 icense 'F V Name: L CONTRACTOR Address: Y l~V City: *4 )ij (ICA 5 State: Zip: .'~2 Phone: Contact: Email: TYPE OF WORK -New 4FReplacement -Repair _Rebuild _ Modify Space Work in R.O.W. Description of work: 1 RESIDENTIAL Water Heater 1 Water Softener PERMIT TYPE Lawn Irrigation L- RPZ PVB) Septic System Add Plumbing Fixtures L- Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) `Water Turnaround (add $189.00 if a 5/8" meter is required) $ $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) e TOTAL FEES $ 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. o herstateonecall.or 1 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 accSarkslPriteb he app oved plan in the case of work which requires a review and approv o I s. x YN (I awy n x NAA"AA Apn ame Appl n Signature I I FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink ,i For Office Use ~ I itgr~, - ~ l I Permit of a Permit Fee: City 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: 1 Phone: (651) 675-5675 FEB 141011 1 Staff: j Fax: (651) 675-5694 2eflH 012 MECHANICAL PERMIT APPLICATION Date: Site Address: r r I 1 W Tenant: Suite M Name: Ph e: 5 k RESIDENT /OWNER . Address / City / Zip: II&VO I LA at v_ . e Name: LieenS> CONTRACTOR Address: City: State: p: Phone: i Contact: Email: New \1- Replace ent Additional Alteration Demolition Uhl TYPE OF WORK Description of work: NOTE: Roof mounted and grou mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. I RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed - _ Air Exchanger Gas Exterior HVAC Unit -Heat Pump _ Under/ Above ground Tank (_Install/_ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee $ Surcharge (i.e. a $10,010 $11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with th a r e plan in he se of work which requires a review and approval of plans. 11.1 X x Appl can 's Printed N m Appl a t Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening SCA~2 * ')G'%1 22'Z Use BLUE or BLACK Ink For Office Use I f i (039 City of Earn I Permit I ~3 I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: s' I Fax: (661)675-5694 I I Staff: f - 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. 1 f Date: Site Address: q1 1 1~-P`' ~xl/ p e' Tenant: Ala - J 0 u 1-t ov Suite 9 C) Resident/Owner Name: 1410 y y_ y Phon~ Pc2 Address / City / Zip: ~ [ 1 L' A A✓ t U 1 I - Name: (i)n0 dou_y htt_GLhno- K License 2-2-0 o CS-1~ Contractor Address: 1904 U f,Um I 1 na City: SIG 6 nn State:l,A Zip: Phone: (..Q S 1 43~1-~9 2~1 .`,~1 Y n Contact: Email ~C~IY .VY~ }~r fr5(f~~ t Y16,b u;wou Y-. COW New Replacement _ Additional Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods... RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) Ar. $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee *If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge* TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 of plans. x f fr`V y)c 4e- aSUYI x 1,114 Applicant's P nted Name Applicant's ig ature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA139219 Date Issued:10/13/2016 Permit Category:ePermit Site Address: 742 Camberwell Dr Lot:12 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Mark J Taylor 742 Camberwell Dr Eagan MN 55123 (612) 991-7220 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168474 Date Issued:04/22/2021 Permit Category:ePermit Site Address: 742 Camberwell Dr Lot:12 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Mark J & Jody L Taylor 742 Camberwell Dr S Eagan MN 55123--393 (612) 991-7220 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature