Loading...
750 Camberwell DrINSPECTION RECURD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 C- ? SITE ADDRESS: '•?? ? l1MH1 f?IJI ? ( l?If II I? 7 . r?{ I i?Nl H1; i 1/11i il'f? PERMIT SUBTYPE: +?i 4 t PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ? .rl ;, . ? +Ft9 J TYPE OF WORK: HuJ1 t?tMrI 0 .1 ;sKw i NE: /Ab f <.?4 INSPECTION . . .A ? I r .. ..v PermR No. Permit Holder Date Telephone # S/11V PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. CommeMa Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Rnal Htg. Orsat Test Fn31 Plhg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 7 Deck Fnal y Weli Pr. Disp. I _ I L 7 i - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ' Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I Oj= 14 Ifi• c t?M111.I44JElL DR Nil,tS dF STt)NFHitIDtliE 3?tp PERMIT SUBTYPE: 1, F-' Dl.l li Control No. 0036 01011 ?+ t Nii MYOf1: H 03113142 APPLICANT: rNe RorrLuND ca tNr ( r, 1 : 1 671-?4?84 ? TYPE OF WORK: NEW , . .w INSPECTION TYPE •11i D• F00l.}Nvi ? f'RRA iN1:1 iN.''+ULATIOp WALI.HQAft(3 F1NAL f IRFF'1 Ar F ! F L . PermR No. Permit Molder Data Telephone N 5/W PLUM8ING HVAC 3 s ELECTRI . °p ELECT ,8q 00 Inspectlon Dsto Insp. Commenb Footings { 3-2? 1Z O c Fourdat'°" - ?a9z Framing Rooflng I Rough Plbg. Rough Hty. I Isul. Freplace Flnel t1tg. 5!? Orsat Test Final Plbp. Plbg. Inspector-Notify Plumber Const. Meier EnprJPlen Bldg. Fina! Dedc Ftg. Dedc Fnai Well Pc Disp. q1 ?V . •• ?`` +? ? / , (gtrfi#iratt a# (Orrupanry titp of e4gan ]Rqmrtnrnt a# Tu"iag.3mpPrtion This Certif+aale issued pursuant m 1he requirenrents of Section 306 of the Unijorm Building Code cerlifYinB that a1 the time of issuance this s[ructure wias in compliance with the ?+arious ondinaxces of the City regulatug buiJding construction or use. For the foUowueg. use clesiti=d= SF DWG/GAR B4 Famh Nm 28 O«„w,cr'ryve B- 3, M-1 ZmW DWriet R-1 rra csm VII • ROTTLUND CO 1N:; Add= 5201 E R1VER RD., FRIDLEI, MN 750 CAMBERWELL DR Locift L14, B6, HILLS OF STONEBRIDGE 3RD ? ,rusY ii, 1992 LAM= POST IN A GOMSPICUOUS PLACE Addiess: 750 CAMBERWELL DR Lot 14 Blk 6 Sec/Sub HILLS OF STONEBRIDGE 3 These items were/were not complete at the time of the final inspection. Date: JUNE 11, 1992 yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent dtiveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify vith the builder the removal of roof test caps from the plvmbing system and the shut-off of watar supply to the outside lawn faucet before freeze potential exists. t? acrnEOruEn White - City copy Yellow - Resident copy Pink - Contractor copy ? f3 ?6 B 7 Reques? Da?e r . 3-23-? ? Fi o. Rough-n InspecM1On Ra u > q ?aatly Now ? Will Notity Inspector Wh R l ? Ves ? Na en eet y I i icensed coniracror ? owner hereby request inspection of above electrical work at Job Atltlress ISlreet, E)q. or Route No.) - ^ J Ciq 7 5D t,(F-C'iu ^ C - ' Sedion No. TownsM1ip Neme or No. qange No unry Occup 1 (PRIM) Phone No. ' n '-j &??t.Q PowerSupp(21 <J? %I- Adtlress Elecin Con raclor ?COm an Name? (7pnVadwS Llcense No. ? 4.2 4ia-3 Maiiing Atldres5lConvactor or ner Making Installalionl Autnoriietl SignaWre (COnhaol r0 er Mahlnq Ins I tion) P?ona Num?er MINNESOTA STATE BOAPU OF ElEC7NICITV THIS WSPECTION REQUEST WILL NOT Grigge-MlAwey Bltlg. - Room S173 8E AGGEPTED BY THE STATE 60AR0 1821 Universily Ave., 51. Paul, MN 55100 UNLESS PROPER MSPECTION FEE IS Phone(613)6E2-0B00 ENCLOSED. `J33?887 REQUEST FOR ELECTRICAL INSPECTION ? See instructions lor rompleting this lorm on back oi yellow copy, ,.?Belojv Work Covered by This Requesi "Y ?,`?•??; EB-D0001-OB w R'dQ Rep. TypeolBuilding ? AppliancesWired EquipmentWired Home Range emporary Service Duplex Water Heater Elec[ric Heating Apt. Builtling Dryer Other (Specity) Comm.llndustrial Fumace Farm Air Conditioner Other (syecity) Gontwcto"s Remalks'. Compute lnspection Fee BelOw: # -. Other Fee # ServiceEniranceSize Fae M Circuits/Peadars Fee Swimming Pool 0 to 200 Amps 0 m 100 Amps Transformers AboVe 200 _ Amps A6ove 100 _ Amps Sig-S Inspecrorg Use Onty: TOTAL Irzigation Booms Special Inspection ? Alarm/Communication THIS INSTAILATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. I, the Electrical Inspector, hereby Aouqn-m oare cenify that the above inspection has been made. Final t oe?e OFFICE USE ONLY ? Thi3 request voitl 18 montM1S trom /O S Sa7 J 3 897 3`J RaQUest Date _? `? L FraNO. ugh-in Inspeclbn equiretl? G es No ? Reatly Now ?Nill Notity Inspectw When Reatly? 12''i licensed coniractor O owner hereby request inspeaion oT above electrical work at: .bb Atlareu (Sireet. Box o Roule No.) 7 50 Ciry SMion No. Township Name or No. qenge No. Coun ? Occupant RINT) Plrone No. Power SuppLer Mtlress Elecmcal Co acim (COmpany Namel ' SP?, Conlrector5 License No. c 00 3 g Mailing Atltlress IConlraoor or Ownar Making InstallatiOn) Authonzetl Srgnamre(Gontraclon0 er inginstallabon? Phone NumDer 3- g/b MINNESOTA STATE BOAqD Of ELd"TRICITY THIS INSPEGTION REQUEST WILL NOT GriggrMiCway BIEg. - qoom S-173 V BE NGCEPTED 9Y TNE STATE BOAFD 1821 University Ave., SL Paul, MN SStpd UNLESS PROPER INSPECTION FEE IS Phane (611) 642-O800 ENCLOSED- REQUEST FOR ELECTRICAL INSPECTION I,° a ea-ooom-ae V .J ? See insUdions tor mmplefing ih?s Iwm on ?ack ol yellow copY. • ?'I 3 5 S 9? X„ Below W9rtr Covered by This Request ?g?? ? ew Atltl Fep. - TypeotBUilding AppliancesWired EquipmeniWired Home Range Temporary Service ?uplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Alr Condi?ioner Ot?ar (syeciy) ConVaclwS Hemarks: Compute Inspection Fee Be/ow: # . Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 W 200 Amps il 0 to 700 Amps Transformers Above 200 _ Amps Above 100 Amps igns S I?oecrors use OnIY: TOTAL O I rrigationBooms 5O . ` / 1 S ?p ?c Special Inspection O AlarmlCommunicalion THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspec[or, hereby Rouqn;n oare ' O? certiFy that the above inspection has been made. o OFFICE lISE ONLY This request voi0 18 months Irom -n --------- i' y? ? Permit C; D? / ?/D I ' i I Permit Fee: '67D.,50 ? I r? ? ? Date Received: o`- aG) , ? ? I I Staff: ? L - - - - - - - - - -------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ?iA Site Address: --? 6 o 6y-sL . Tenant: Suite #: RESIDENTIOWNER Name: n(. G?? Phone: Address / City / Zip: 0-,-SD . ? 2517i.? CONTRACTOR Name: License #: 5-n'1 ZCv / -P/11 - Address: r-i Cnrc r?lllYa'sv?:"? r' ,_...?.. :i?i =Y?@ c`i. NW ? City: State: Zip: - i;V :: 3?rYJ ?9 Phone:7/n3;-7S-i-LS?(oS? ContactPerson: CJ" (o A"VSL TYPE OF WORK _ New x Replacement _ Repair Rebuild Modify Space _ Work in R.O.W. Description ofwork: ICCC -1;6 ? PERMITTYPE RESIDENTIAL 1>5?- Water Heater _ Water Softener Lawn Irriga6on Add Plumbing FiMures C__ RPZ /_ PVB) C_ Main _ Lower Level) Septic System _ Water Tumaround New Abandonment RESIDENT/AL 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 $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (inGudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharcge) r- ?D ?? • TOTAL FEES $ I hereby acknowledge that this information is complete and acwrate; that the work will 6e in confortnance with the ordi ' Eagan; Ihat I understand this is not a permit, but only an applicalion for a permit, and work is not to start without a t 'qL]p, ?II i accordance wi[h the approved plan in the case of work which requires a review and approval of plans. C FEB 2 9 2008 ? , X X ApplicanYs Printed Name ApplicanYs Signature OY' FOR OFFICE USE Reuiewed h ?'??a? 4 P . ? . H i1k '1 6 t L ? $ ?.C t ? ' r ! + ?? 4 5 { ? +i , ,'f' . ,A 1 (.W nC Requirgtllqspectlohs l? hderGrounp???Fa ?( ' as7'`5Y ? ? ?Fa?al? f`"tjghl[f,<????1?yTestz ?-G ? ? ? p p ? { q y yi.Sn'H2rnA!c?ryPV.S w:ll.?YLiN4s..WHm..'VP'S?&S v9Fa?'r3:rYd,?F°v??'{ttl??ftiTm 4'Rh".in C?akV?tv''•i.+t?..P'u?x$RA)6rt..»Y..?v?r S"3333 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Constmction fteaoirements • l:egistereo sde surveys showing sq. R. ef lol, sq. fl. of houw ard all roofed areas j2006 max;mum lot :overage allcwed) • ? Cacics oi ;lan ;nowmg beam 3 wintlow s¢es; poured found design, ztc.) • i szl of Enefgy CalculaUOns . 7 aopies of Tree Preservaticn Plan if lot platted atter 711193 . Rim Joisi DeWil Gptians selectian sheet (61dgs with 3 orless units) DAiE ?cl ?? ?D ?, RemodeVReoairReouirements • 2copes af clar. • 1 se[ of Energy Calculations fcr heatea addifions • 1 slte survey for zztenar adtlitions S decks • ini home served hy septic syslem for addiiions VALUAiION 9 ((?'t6' SITE ADDRESS MULTt-FAMILY BLDG _ Y? N TYPE OP WORK (-? -rn ? fIREPLACE(5) _ 0 _ 1_ 2 APPLICANi STREET ADDR TELEPHONE # CELL PHONE # PROPERTYOWNER ' `1 k M(IAA? fl TELEPHONE# !oD -6?I-}2 -------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ l[I\YE;S01':A RCLL'S 7670 C.1'CEGOR?' I NIIVAESO"1'_A R['11:5 7672 (: submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Ener9y Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: P(umbing systcm includes: Mechanical Contractor: N[cch<mic>d sv,tan inclu(ies: Sewer/Water Contractor: _ Air CondiUoning Fcr. 570.00 _ Heal Rccovcry Systcin Phone #. ------------............ ;--------------- '----_=--=------ ------------------------------------------------------------- ----- .._ I hereby acknowledge that I Have read this appiication, state that the information is correcf, and agree to ccmply with'all appiicable State of Minnesota Statutes and City of Eagan Ordi n esJ. Signature of Applicant LYC OFFICE USE ONLY _ Ndatcr Softencr Water Heater No. oF Baths CITtLdOL_h?4STATE M k) ZIP':,?b))"? FAX #`t'64 tl0 Z _ Phone # Iawn Spnnkler No. of R.I. Baths Phone # Pee: $9Q00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ?o.sv Clty 0? ?apIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 MECHANICAL PERMIT APPLICA' Date: /G O p Site Address: Tenant: -----------------, ; FD?:?ffCC_?USe ? ? Permit tt: CJ7. .. I. ? Permit Fee: I ? ? Date Received: , ?? ? ? Stzrf: ? ------------------' N V, T I.l 1!1 ? < RESIDENT/OWNER Name:_C WEC PRTNOqE Phone. 5t--9rv-? Address / Ciry / Zip: ISo CONTRACTOR Name:,/??% Address: /?0 C{ L"';?2 ill ;cl i v/J ST City: YTffSTiN? 5 State: /"//U Zip: ??5ze_?? Phonks-?f.57-W77 ContactPerson: v;P'/- TYPE OF WORK - New _X Replacement _ Additional _ Alteration _ Demolition Description of work: ' NOTF Both,roofmouafedandgraunditrountedmecharriealequ?pmentis;tequlred'tb °`6e screened by CityGode. Plgase contact tfie'Mechanical Inspecfor.or:one,of ?he Planrters7orinformatian on ermitted=screenin ;methods. '., . ° -? PERMIT TYPE FPESIDENTlAL COMMERCIAL ? Fumace _ New Construction _ Interior Improvement AirConditioner _InstallPiping _Processed _ Air Exchanger - Gas _ Exterior HVAC Unit ' HVAC units must be screened _ He2tPump Under / Above ground Tank (_ Install /_ Remove) Other " When installing/removing tank(s), call for inspection hy Fire Marshal and Plumbin Ins ctor RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FirB !B(JBir (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SO -.?v TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x t°h $50.50 Minimum (includes Siate Surcharge) _$ PertnitFee • If PermR Fee is less than $7,000, surcharge is $.50. - If Permit Fee is >$7,000, surcharge increases by $.50 for each =$ State Surchalge $1,000 Fermit Fee (i =. a 51.001-52,000 Pertnit Fee requires a$7.00 surcharge). $ TOTAL FEE I hereby acknowiedge that this inicrmation is ccmplete antl accurate: ihat the work wiil be in coniormance with the ordintr.ces anC codes of the City ol Eagan; that I understantl this is not a pertnit, but only an application for a permi[, and work is not to stah without a permit; ihat the work wili be in accordance wiN the approved plan in the c se of work which requires a rev(ew and approval of plans. X 4'2L,?Xw - Z:) X ApplicanYs Printed Name xj;7- ,,r;t4sW,kApplicanYs Signature ? CITY OF'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32992-140-05 . DESCRIPTION: PERMIT 64???9-3 4' PERMIT TYPE: 6-(0-9q BUILDING Permit Number: 923803 Date Issued: 0 6/ 0 6/ 9 4 750 CAMBERWELL DR Lnr: ia BLOCK: 5 HILLS OF STDNEBRIDGE 3RD B-uiXdial-?Permit Type DECK Building W[a,rk Type NEW J? ? ? ?'m`? GJ7, (F REMARKS: FEE SUMMARY: Base Fee $80.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - TOWER TOM 750 CAMBERWELL DR EAGAN MN (612)687-9264 I 'I Z hereby acknowledge Chat I have read this applioatian and stats that tMe infarmation is carrect and agree ta cornplp w3tH all applicable State o# Mn. Statutes and' CiYy qf Eagan Ordirrances. ? C N c? c?t o s? APP ICANT/PER E E SIGNATUflE INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (672) 681-4675 51TEADDRESS: LoT: 14 BLOCK: 750 CAMBERWELL DR HILLS OF 570NEBRIDGE 3RD PERMIT SUBTYPE: DECK g,11,'?.' ISSUED 61151ONAT R.& iW CO1W PERMITTYPE: BuiLoiNc Permit Number: 023803 Date Issued: 9 6/ 0 6/ 9 4 5 APPLICANT: TOWER TOM (612) 687-9264 TYPE OF WORK: NEW INSPECTIONTYPE .. . .A FOOTINGS FINAL i 1- L ? ? ? 05 CITY OF EAGAN 1994 BUILDING PERMITAPPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s ergy calcs. = COMMERCIAL 2 sets of architectural & structural ,se specifications, 1 copy of energy cal 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 ance permit is issued. Date 6(V Valuation of wark /,5_O ? Site Addres: STREET SUITE # Tenant Name: (commercial only) LOT ? SLOCK I SUBD. 5 c^ P. I. D. # S en r U3 'd Descri tion of work: ? 16 1) c- ( The applicant is: Ik Owner 0 Contractor ? Other (Descri6e) Name 7-0 fvi d- /lr? ?) ? ?.?.? &- Phone /nZ? Property _ LAST FIRST ?? 3 3 9P7 Owner ? ' Address _ 7?CD k-v? (?P w ? STREET STE q / City ? a4 Otl 5tate idt 6 Zip Compa y-? P Co ntractor Address License # Exp. Cit State i C?rtpa Phone Architect/ Engineer Name Re ; Address 5tate Zip Sewer & water licensed plumber Processing ' or 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 applica6le State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: ?_,?? J `C c • y V *>PIOE11?ER ? et7?tf'Ae?l"1 ?""?+ >w?k?W r" • GML C Lµ(l pCANHEFy • LN'OSCA/'E 2422 Cnlerj>risn Drivr: Adcndoia Hcighta, MN 55120 ;612) 681-1914-Fax 681-8488 625 Hiyhwoy 10 Norlheost BlaFnc, MH 55434 612) 7t13-i880-Fox 783-19t73 Ceriifjcate of Survay for: Tr1G' Rottlund Com C7Y1y_ Nouse Address: Copberwell Drive Eogan iMN Model Name: Madison I ~ I l\ - i ` CAMBERINELL DRIVE ? i ? -----??--- - ?____ --__------------- -------- I N 89*03'24" E 1 ? I ? I I 1 Y 4 :;-E li C) 1 Ci l ` , , - _ _ - _ _ _ _ -- 9 26 OuIVEwA'I o ? Io -- ------- o c? a p °'= o 0 ? C" 0 ? ? ? - ?_-- ?oa.o 1 - -- 32..'? w fi.ESP i.? 72.00 ? GARM.F S I? ? f I 9_00 pROPOSEII NOUS[ - I ? iULL snsEU[117 U I 29 -4i0 10110 ? ` 903.5 4 R ?-? Ia I 4 rn ? S J ?` ...-.???. . ? ? ? GJ rn ?,, N 1 . c G .. ..... ? .... -• ? l u'a..... _..;.- 1. ? . ..?". ? 1 ao I ? 1 a?? W ? ?'.i i4 .. . T 'r \ \ • , J I ? I ?? y ?'? , 1S ? S. ' . , 9.5 ? . ? ? ? :.i!.i ... J ' ^. ......:.. Y( .. 71.43 5 89°50'54" E - 9G0.0 Uenotes Fxisting Efevaiion -? Denotes Propo$ed Elevation - - - Denates Drainage & Utility Easement ---Qenotes Droinage F1ow Uircction -o- Denotes Monument --a- Denotes Offset Huh Bearinys shown are PfZOPOSED HUUSE EI.EVATIqN Lowest Floor Elevation:901.55 Top of Block Elevation_909.66 Gorage Slob Elewtion:909.33 assumed LOT 14, BLOCK5_ NILLS OF STONEBRIDGE pAKOTA CoUNn yINNESOTA 3Rp D f Tl ON i nureby cer[Sly ihel Ihu s?y, plan ur nport w8l prep+rcd 6y rtq or vrdn rnV-dTntct-jop?i; yplrihyjriyqd Larcl SuneyCr unOt ttii yws PI thi Sta1C O4 MinµyOtl. LAted this O Tµ dey of A.D. 193.A-- . n \ 1 y" 5 c a 1 e: 11r' 3 lJfdet pOB6R e. vI LS. YEG. NO- 14891 9030i53Z PERMIT CITY OF, EACAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILOING 000028 03/13/92 SITE ADDRESS: 750 CAMBERWELI DR LOT: 14 BLOCK: 5 NILLS OF STONEBRIDGE 3RD DESCRIPTION: Building Permit Type Building Work Type UBC Occupancy Constructinn Ty:pe 2onin9 Building Length Building Width SF OWG NEW R-3 M-1 VN R-1 60 36 ?. . , _ . _ .?'?._ ??'.... .. REMARKS: FEE 8ase Fee Plan Review 3urcharge SAC SAC 8 SAC Units Su6total / ?O VAIUATYON $853.@0 $55;4.45 $80.50 $700.00 100 1 $2.187.95 $161,000 MISC FEES $1,610.50 Total Fee $3,798.45 CONTRACTOR: - Applicant - S7. ni.WNER: THE ROTTLUND CO INC 15710304 0001 35 ROTTLUND CO 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 infiarmation is correct and agree to camp]y w3th all applicable State of Mn. Statutes and City of Eagan Ordinances. L ? APPLICANT/P MITEE SIGNA7URE ISSUED Y: SIGNATUR IN5PECTION RECORD ? Control No. 0036 L CITY OF EAGAN PERMITTYPE: suil.ozNG 3830 Pilot Knob Road Permit Number: 000028 Eagan, Minnesota 55123 Date Issued: 03 / 13 / 92 (612) 681-4675 SITEADDRESS: Lor: ia BLOCK: 5 APPLICANT: 750 CAMBERWELL DR THE ROTTLUND CO INC HILLS OF STONEBRIDGE 3R0 (612) 571--0304 PERMIT SUBTYPE: TYPE OF WORK: SF OWG NEW INSPECTION SI7E .. • FOOTING .. FRAMING IN3ULATION WALLBOARD FINAL FIREPLACE r- ? Control No. 0036 7 I CITY OF EAGAN . 1992 BUILDING PERMIT APPUCATION ?3 7?? .?S ' 681-4675 YAR REW 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 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 3 / t1 / C' 2 Yaluation of work ?E? ? LO 65 Site Location: -'75n STREET STE # Tenant Name: `The P?H/(-.( c::;, 117 or LOT 14 BLOCK G" SUBD. /AA5 o-E e?kPcbr' d'?e p, j.0. # Descri tion of work: l? •/ . The applicant is: Owner Contractor ? Other (Deseribe) Name Tli,e t//? /./a. Phone Property Lasr FIRSi Owner Address -z?i F zve4 ? STREET STE # City CL'?L? . State il• Zip 5?-121 Company Phone Contractor Address License # zz?/fs?-?- City State 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 are has been ap roved. 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: 'P'U_??O oo? r?4'z OFFICE USE ONLY . BUfLDiNG PERMIT TYPE ? 01 foundation '$'02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool El 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 16 Agricultural ? 19 Buitding Move ? 18 Demolition ? 20 Miscellaneous WORK TYPE gf 90 New ? 91 Addition ? 92 Alterations ? 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL INFORMATION ? 96.Move ? 97 Demolish ? 99 Undefined Occupancy Basement sq. ft. /_2P2 MWCC System ? Zoning lst F1. sq. ft. )a-)z City Water Const. (Actual) 2nd F1. sq. ft. iz PRY Required (Allowable) 1/y Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ?10 On-site well Census Code Depth 360.3 y On-site sewage SAC Code ? APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS Site ,Z Footi ng ?Framing Insulation Wallboard R Final O Draintile O Fireplace ? veiLat;on: S J(? 1 000 Permit Fee S3 Surcharge C?,,?o 3g,r zB - IoGy Plan Review ?y License MWCC SAC 9p0 City SAC /oo f Z ?z xd`> = ??ZZ y Water Conn. 495' Water Meter 15 Road Unit 30 z8x3Q = %&% Treatment Pl. so Road Unit Park Ded. S o 300 /-s ? ? ?93 Trails Ded. 3go IZ??xS 3- ? Copies Other Total : 37 C18' G a?' SAC % SAC Units rioneer tn9lneargn3 * PIONEEFI * engirecera 'k * * '*' z 2422 Cnterprise Dri? Adandota Heichta, MN 55120 (612) 681-5914•FoX 681-8468 625 Highwoy 70 NarLheost BlaFne- MN 55434 (672) 7R7-7880-FOx 7133-1883 Certificate of Survey for: The Rottlund Company House Address: Camberwell Drive. Eagan. MN Model Nome: Madison 1 t ? ---?r ? ???--------r----------------__-._ I ? CAMBERWELL DR{VE x ? ------------------- -_--____ _?_ ? ti 89°03'24" E J b 9 26 ? ? ? ? 1 i ?! 1 I m ? t !?/ 1 ? 1 1 ? ? o \ , ? -------- ,.? 0 0 rn W U : ? w+o stnvEmres • emL wo?oss 1N10 PLNNERS ? LN?OSfAPE A4QnTECl9 ?. ------ ? or?vEw,?r a 9oaz ? ? p Q o ' ? . ? 1 l ? ??'fle J ? 1 Zg ? \ \1 o ,o r-- - -- - - - - - 10 1 - y 32,16 ~ 2].87 m Two.oD I O 8.5 J I ? fi_;.5a in 72W 1 CMAGF 1 ? S ? 8.00 _? maposm HoLtsz V I^ ? NLL 8A9tHENT ? I W 20.49 52. 10. 1 00 W 4?- y` ?oe.s ??-? R e y! EtiV ? Za ? .:,?..?.? , ? l ,3y_ N 4- e'krj.. ? th A;; ? ? \ ? _ t:' :i r•. y .- ? U ?;tr?r.. 7i .43 S 89°5054? E tn ? O w? cn ? m n- ?.; - eco_o penotes Existi[tg Elevation pROPOSED NOUSE E4EYAl1qN A90 Denotes Proposed Elevation Lawest Floor Elevation.901.55 Denotes Drainage & Utiliky Eosement Oenvtes Drainaqa Fiow DirecYion 7ap af 81ock Elevation_909.66 -? Denotes Monument Gonoge Siob EFewtion:909_33 s- Denotes Offset Huh Bearings shown are assumed LOT 14 , BLOCK 5 HILLS OF STONEBRIDGE AAKOTA MUNTY, AIICiNESOTA 3 D /y??? ?,J I V i lYr?Y aertSlY t119t Ihis seavey. pl4n ar rWpft wa+ preq'!d 6y ?+'+B vr u?d?f tvepeevl- ip tl017'fto+terN Lend Su"RYW unetr the 4ws ei the Smte ot M m?eaov. LA?ed ?n?s d Zµ dw ol A.D. 193'1-_ . • (v Sc`ryi p? 11NCha.?nfoet ROBB B.SI { LS.REO.NO-I?E71 Y om 903D753Z ' F7'eEior+ f:ravrr,rnPr. nvi:Nnr,t•: "u° c:uraru•rn•riON otirr+FR ' - _ ? . SITE ADDRLSS . .. CONT?LACTOR ??-v?r[, U/?/? GD . D:1TF. PHqNE Determin workini; squnre footv;e of ench. l. lotal exposed v?l a-rea sq. ft_ x o.i'- • 2. Total roof/ceiling area sq. ft_ x 8.026 _-3Z er • c Total erposed vail area nbove flocir = Z?q?, 2- a. Total w211 vindov area ..................... 3a 7, 5?J b. Totel door area .... ...................... _(.o?.¢? ' c. Tota1 slidine glass door area d. Total Sireplece va11 area ............. .--- e. Total vall fra-aing a:ea (average lOP) ..... ..... ZZ /r , P. Total net vell aree nbove floor ... ........:..... Z o ? . Cr . 8• Totzl rim joist area ................ ...........? 2re 3? Z Total exnosed foundrstion area h. Total foundetion vindow a:ea ...... /-0 ........... i. Total net foundatio n area above grade ..... .... Z fJ, Dete^.ine "U" c alue o: each 4•a 11 ;FF;ment. . 8. 3o?.5S X ,.?„ o.¢Z _ lZ q.18 b. G0. ?-Z X „U„ C. - x „U„ d. X 'lull , ??- _ ,?.?. • e., x .1lu,l 0,C) ?? = 20 .14- r. ?? 37 . Co X "U,. . D, 0 43 = 8 7• G 1 . g. 2(O 3,?- X •.u„ O-O-gl /o.71 h. ? c; X ^Un 001i`?2 LI-, Z i. ?W.? X ..ull -??1 4- _ AP.b '1r , Total exposed roof/ceiling nrel ? . . ? .. .. . Total gross roof/ceilinfl..are;i . . s- ?. Total skylignt erea .......................... k. Tota1 roof(ceiling frzming area ............... / 2?? 7?- _ 1. Total net insulated roof/ceilinF area ........ ?I 660 Dete-mine "U" veLlue for etich ruc,f/cei I i nt; sep,•ment. , X x; iZrv,7? X„U„ o.b27 840. GG z,?U„ O.p2Zr = Z?,O°?. . 4 . ............ ................:. Total , J c % . If total of N4 is the same rs , or less than N2, you have met tYie intent of sac 6oo6(c)i. . , To utilize the total envelope system method, the values establi_hed by the stmm of items d3 and 14 shall not be greater. thKn the sum of iten:s 91 and A2. 1. + 2. . 3 '+ L • _ ? . • , ?. :-, o ' . _ . ... a . ° ? -=I? ?VPcI.U? GAI.Gl.?1-ATIDN? ?GoHr?. -rFAMr- WAU, e I N? ?A?I?N . LoMPoN?NF? c11 ? ? ? o1.TI'E-G5 AIfz Fil.M -hB hIPN(i - - - IN6UI.ATIct4• t?5?r7? pdfL ?I?M, ----- O,("i - - - Iq,o • -_-----p;Co'v - Fj?7%= 23.01 - U= RT?? 0.043 -FFAMr WAu. 9,.6?jI.!D - pl.l+N• Ulew. C ci? Ci cf- ? C LoMPaNJ?,N Gg o_uT,f?,IoE Aiiz RLru. ?..u hN5A11-{ 1 N!s . -z X c. hT.Ic (FAM .?y-''(F, P?D• ?FL?705 hil?- ALM. . _ -' F--vALu5 2.oCi - - -?.-?g ,---- : `0=i?a•__._ .. ?T?(P?.=--? ?• ? C? ? ?. -??P?. ??U =?D,12X o.0b9} t(o,SbXo.o43> = O. 04- ?_ ?1N1 =?Io?hT .:_--- t?Po?(?1 i? -- IUG--wp--._f9 ?-H;-AV 1 N./v - ?(D1NG.-- - ?j:"pr1?: ?iGM• :_- ?-? G -- =_I9•_? . _ I.ss ? i , =. ,_ ? ?f„ ? D•.(?4t ? ? ? 0 0 ? (D 0 03 C' ??- -- ??•- ?? tN??_?t1?=?i?M TI tr ? ?-?' 1 o I ?- ' ? o, ob: /2 1 3 1 , '• , ( i ? , (D c C C C _ i _ ?E?'r??o?p.- +f- -- -a? y`I-- -_Zq.? --? ._ -- F ' ? --- _ .,_ ... ---o--?----- _ ---o,? -. R 3?-8-.3---- =- I = 0, 0 27 U ?5.83 i (D -- O ? 0.022 ? Z. L? eL ' J CITY OF EAGAN SUBD ( 75 ./? ? ? cCXJ? o ?.J? PL6) N 681-E46 RESIDEDiTIAI. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: f\_r? tt??, '!? SITE ADDRESS : :].,Cl 0 'n f-> S INSTALLER: ADDRESS: r ue,? CITY USE ONLY RECEIPT # IaS vlrzG' DATE_ 7 9?- ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: N0. FIXTUI2ES EA. TOTAL REPAIR/ADD ON 15.00 ? SHOWER 3.00 3=_ ? WATER CIASET 3.00 ? BATH TUB 3.00 (Q_ ? IAVATORY 3.00 6k - KITCHEN SINK 3.00 3 _ k LAUNDRY TRAY 3.00 ? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 3 - GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3 ' ? ROUGH OPENINGS 1.50 ?•l? _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S 9-1 - 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: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT.FEE. $25.00 MINIM[JM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) $ CITY: ?Ut ? A ti ZIP: 1; S3 S? PHONE a` `a \ _4?)qal , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-5100 ?mwxCA? MMIT FOR CITY USE ONLY PERMIT # RECEIPT # /d S S aa DATE: 4r=(3' °/? PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: 1 "\( )'??l )nc? SITE ADDRESS: I? l (?1?11 7?l'Li?L? l,? Jr , c7_ LOT:? BIACK s? SUBD. y? f? U INSTALLER: ?I?rc_- ADDRESS:q.ps R? 4{?fY?1__?'?h Ave n _ CITY: 2IP: 1 PHONE FEES ADD-ON MINIMUM $15.00 ? HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT =cy SUSTOTAL: $ STATE SURCHARGE: .50 3 ? TOTAL: SSY_Ls_)J ?r-?rY-,r?d SIGNATURE PERMI EE C4F4MERGI!#?'ZN1?ASTATAL;'; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: 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 18 STATE SURCHARGE TOTAL: $ ( S IGNAT[JRE) CITY OF EAGAN PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112141 Date Issued:07/30/2013 Permit Category:ePermit Site Address: 750 Camberwell Dr Lot:14 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-140 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. Ashley Orman 130 Plymouth Ave N 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 - John P Kenley 750 Camberwell Dr S Eagan MN 55123 (612) 325-6602 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115463 Date Issued:09/26/2013 Permit Category:ePermit Site Address: 750 Camberwell Dr Lot:14 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-140 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Patrick Swanson 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 - John P Kenley 750 Camberwell Dr S Eagan MN 55123 Trinity Exteriors Inc 4204 Park Glen Rd Minneapolis MN 55416 (952) 920-9520 Applicant/Permitee: Signature Issued By: Signature May 1915 03:25p Craftmasters Remodeling 6517574106 p.2 � �se BLUE or BLACK Ink �. . � For Office Use---------� ^S...�C a'!. :..c-�: � � I �V V 4 ���. ���� �1 L���� � Permit#:� �(�'' p` I iPermit Feer^� � I 3830 Pilot Knob Road Eagan MN 55722 � Date Received: j Phone:(651)675-5675 I I Fax:�651�675-5694 I StaN: I I I L����������������J 2015 RESID�NTIAL BUILDING PERIVIIT APPLICATI4N Date: �' � 1 - �� Site Address:r��JL-' �'�l����''��'�', `-"��J�' Unit#: . ._.._.,....._... ..,..a ....,.w_.....�__,.__.�..........a� ...�....��_...__._..:..:.....__.._,._....---•._..__�.�._......._.... ._._._.r.__.,._.....�._._....,�.,,�»_,._..�.�_..._,.. � Name: ��L. � 1� -►� . /����"� h`�i--n��---� Phone: Resident/ �j ' Own@�. ' E+ddress!Ciiy i Zip: ��U ���u����. v"� � ' ; Applicant is: Owner � � _ Contractor � ..,� .a ��-: o... ,,.�_ .�,�.,,�......._., ..__ ._...r, ._..... . � De ription Iof�work: {G..� ��� y h,�,�'1Z'.o. ._......_.`n_.. .._._._�.,._ ,�V..�i�___�(��},,,,�•� �/ ;: . '�� Cl•'�� ��►"1��.�-- �`-i Type of Wor3c � � OC..'i�UG/?d'j (,f)��(�(-�.� G�/�-�� �'�s°� �-��'Y�.: �/��!1'l:C 4 iE��s E Construction Co�'C• /� M�Iti-Family�uilding: (Yes_!No /� ) ._.. . .. _-.,: ,..�-_..._..,,.��....... G.�...�..,..r..r._�,...._..e.___. ..... �.o.-,_.,.�..,,..,.�.,.�, .,..:�. .�_.. ..,,,...... Company:� `,�-�.5��� ��r' ^ il� ntact: v�� � Address:���"t�� 3 'L ��a.�i�1 �f�. .� ���'�. � � 'L►�.�iC�OL Contractor. �� . ����iS��� ; State� Zip r�1 7 Phone:'"i����-�1 O� Email: l u G1rl� tCZ�,TO..I�. . .�.�'�"►' Lioense#: 1��11�.�Z�`-�� Lead Certificate#: I 1 � 3 ' ���--��� ` � " `; IF the project i exernpt trorn lead certification,please explain why: ��.�..��- ,�r� "�aF'�� �.::��,..�.�.....�.�..� ....._. .�.._,_.�....�......ti....�..,.,....._._..._ �._�..... ...,r�:...�....,.�.. ._.,,.._.�. ��..__...,.,,_._.^.._...�....�.._.� � 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: sLicensed Plumber: Phone: � fi Mecha�ical Cantractor: Phone: tSewer&Water Contractor: Phone: ' Flre Suppression Contractor. Phone: :.�: . w,..,.. ...,.,..._.r..... . x,..,..,.�.....�K..,w.... ...._.. _ �_.�..._,.,....�,.,.��.,..<P,..e,_-�.,..-..,_,_:..w..�,�.o.::;_.,....,�._.��...:.....�.-....�-.--..�......, .. .,-.,._..._ ; /ifO.TE. Plarrs and.suppqrting documents that you submit are cons/dered.to b�p�blic informafian.:Por#ior�s of - the:.in.fiormatiorr maybe class�ed as non pub�ic iFyou provide specilic.reasons fhat rVould permit flre.City to : . ,<. _._.._._.._.y._.......�. ..�..._.�m_,.�_ _W.....�...,_concJude thaf they ere trade secrets.__y�� �,�q�:� ..�..,_�, _ ,.�, �. CALL BEFORE YOU DIG. Call Gopher State One Call ai(651)454•�0021or prolection againsl underground uUlity damage. Ca1148 hours Eeforeyou intend to dig to receive locates ol underground ulllilies, v���;:.:�:;;,;€��rs�uteon�CF3II.7'i1 I hereby acknowledge that this information is complete and accurate;thal the work will be in canformance with the or�inances and codes oF the City af Eagan; lhal I understand this is not a permit, bul only an application for a permit,and work is not to slart without a permit;that the work will be in accordance with the approved plan in the case ot a�ork which requires a review and approval ef plans. Exteriorwork authorized bya buiiding permit issued in accordanee with the Min�esota 5tale Building Code musl be compleled within 160 days of permit issuanee. x ��--�{���� +��:�l��,s� X! � 1��5 � Applicant's Printed Name App— I���t s Signature Page 1 of 3 May 19 15 03:25p Craftmasters Remodeling 6517574106 p.3 � ....- `� 5 ,�'��� / �� �� �� . 1� � � � � .� � � � � --, /:`�. c,� R Ia �t`l n/ t \ ' � �'�� U v� ��C/ �.; � -R-� �.G`� �,T'� � �_� �. . I ; � I '� ,�,� � U � ��. ; ,� � .. %�` `� / -�_ - �� ,- � M.%� � • �--d� ��. � �(R,��i�� (�c l��,�� � �i(,�l��v�"UL/ ��� � � � . � City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 262016 Use BLUE or BLACK Ink For Office Use I ^n Permit #: /367 SCA Permit Fee: / q7. 6 Date Received: I Staff:1 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/23/2016 Site Address: 750 Camberwell Drive Unit #: N/A Name: John Kelly Kenley Address / City / Zip: 750 Camberwell Drive Applicant is: 14 Owner Contractor Phone: 612-325-6602 Description of work: Replacing deck railing and stair Construction Cost: 2449 Multi -Family Building: (Yes Company: Contact: Address: City: State: Zip: Phone: Email: / No License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: I Fire Suppression Contractor: Phone: NNOTE: Plans and supporting documents that you-iiimii are considered to be public information. Portions o1 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. CALL BEFORE YOU DIG. Call Gopher State One CaIIat (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.dooherstateonecall.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 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 bya building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x John Kelly Kenley Applicant's Printed Name John signed by John Kelly John KOIIy Kenley Kenley Date: 2016.05.2320:35:16-05'00' X Applicant's Signature Page 1 of 3 -760` Catylig-uDe 11 ' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation — Fireplace Single Family Garage Multi # Deck 01 of Plex Lower Level Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES New Interior Improvement Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%1% ) Census Code # of Units # of Buildings Type of Construction Move Building Fire Repair " Repair 3 (Pa/ 1.34 1 f 23 Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy Code Edition®�y Zoning A-) Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: T_Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Final TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Final , Building Inspector Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 67 buiidinoi nspectionsacityofeaoan,com Date: Residentl Owner ECEIVE AUG 0 2020 FPermit #:or 131 j� 3 -D/ V n1� Office Permit F__. I Date Received: Staff: 7,. �' I a, I 2020 RESIDENTIAL BUIL13I1VG-PERMIT APPLICATION Site Address: Unit #: Name: d rl Address / City / Zip: Applicant is: Owner Description of work: Contractor Construction Cost /5;000 Multi -Family Building: (Yes / No )( Company: )fy dels41 is fo + t �r Contact: 011 rry Address: A i b 4/f i1 #li City: kJ) State: M.Zip: 5 )/k Phone: (y'/ 209 '"email: cis Firi" License #: # ( Lead Certificate #: If the>project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor Phone: NOTE: Plans and supporting documents that you submit are considered to be ubllc information. Portions of #fie to de that the are d classified as non- a ublic If You may subscribe to receive an electronic notiflcatian from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeavancomlaubscrlbe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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 plat x J �i.Sc f f y Applicant's Printed Namsf Applic 's Signature 'Cc DO NOT WRITE BELOW THIS LINE 'SUB TYPES Foundation Single Family Multi — 01 of Plex WORK TYPES New Interior Improvement Move Building Fire Repair Fireplace Garage Deck Lower Level �5a Cv2_, /63a-Jo Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction _ Repair 7-(-09 REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Roof: Ice & Water _ Framing 30 Minutes Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test Porch (3-Season) _ Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Backfill Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings _Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: 1 / , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 'f f 251, Page 2 of 3 * PIONEER * engine+ ei to 2422 Enterprise nrIvo Mandato Heights, MN 55120 times stitv�wts a vowxxs (512) 681-1914•Fax 681-9488 wta KAMM ` «"OAP AgTV13 _-- 625 Highway 10 Northeast Blahte, PAN 55434 (512} 783-1880•Fax 783-1883 Certificate of Survey for: The Rottlund Company House Address: Camberwell Drive, Eagan_ MN Model Name: Madison 1 1\7 0 tfrallb01 Oa JO/. "/° • 000.O Denotes -clitDri Denotes Denotes ------Denotes �— Denotes Denotes CAMBERWELL DRIVE Cg 10 r._.....- 8 1 tie } Zee I aoe.s SY_ eATE 1 1 N 89°03'24" E pwVEw,tr 26 a 1$ ss rao,o a0 0.5 i- 1 1 sr -le u 22.00 a.ao Je... ecuog Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings ro is shown 71.43 5 89'50'54' E PROPOSED HOUSE ELEVATION Lowest Floor ©evation:901.55 'fop of 6iock Elevation:909.66 Garage Slob Elevation:909.33 are assumed LOT. 14, BLOCK. 5 HILLS OF STONEBRIDGE 3RD , 012I TlI9 1 } hereby artily that thin %MY. din ar report `m`g impend Myr * er under r•n Jk..�t .apes.. ♦ .,.j 1 t t . � s ,�nan�d 1.00d Sureryor under ,h* Nwt Or the Sties Of Mlanboe. Meted thin lath, div of `w (14 ►.o. 19 . DAKOTA OXIUNTY, MINNESOTA Scale: 903ai532 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167088 Date Issued:02/23/2021 Permit Category:ePermit Site Address: 750 Camberwell Dr Lot:14 Block: 5 Addition: Hills Of Stonebridge 3rd PID:10-32992-05-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John P Kelly Kenley 750 Camberwell Dr S Eagan MN 55123 (612) 963-7591 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature