758 Camberwell Dr
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Cttp of eagan
W}raruumt ,a# 11unwg 3wrrtinn
M Ceruflcate issued pursuanl to the requeremeerls of Seclion 306 of Jhe Unlform Bullding
Code certifying tleat at the lime ojtssuance this structure wrrs fre eompliance with the Harious
ardixances oj lhe City regulating building cansvucdore ar use- For the following.
ux a.udficifiou SF t7WG/GAR ed& Anak N& 20056
O-P--y,? ? 1 ZOWt Dwxicg PD/R-1 Type CnnK VN
Ownec af Bm7ft awm Addrras $Q? ? ?, MIKA
RuMmAdd= 758 C&MOaaF.r J. DR'[VE L-aft L i, B4, EIITLS OF SIUMM= :
5/ 18/92
?
d'e1?k'?1ttt! POST IN A
SEWER & 1N.ATER PERMiT
CITY OF EA(aAN ?
3830 Pilot Knob Rd.
Eagan, MN 55122-1857
DATE JA.N 27, 1991
..r... s _.. .
,.
. . . . . , . . . ..
. :. ...
; r.. e .7• ..
. . . , , ., i .
R OFFICE USE ONLY
7/ (- I ff
ME7ER #4/52 PERMIT DATE 01/29/92
/
CHIP #4A,4? C? ?P -2 e_
S PERMIT # 12,511
I
?1-7 O
'- u S
METER SIZE U
B.P. RECEIPT #
ISSUE DATE x B.P. RECEtPT DATE 01J28/92
` PRV - BOOSTER PUMP
SITE ADDRES:i 758 CAMBERWELL DR' ' LOT 1 BLOCK 4 SEC/SUB HILLS OF STONEBkIDGE 3I2D
APPLICANT:
ADDRESS„_
CITY, STATE
PHONE: _
ZIP
PLUMBER: _ pLYMOUTH PLUMBING INC
ADDRESS: 9290 ZACHARY LN
CITY, STATE MAPLE GROVE MRB Zip 55369
PHONE: 493-2474
OWNER: CENTEX
ADDRESS: - 5929 BAKER
CITY, STATE MINNETONKA MMT ZIP
PERMIT REQUESTED
x SEINER x WATER _ TAPS
COMM/IND
s- X NEW
X RESIDENTIAL ,;
_ EXISTING
Lawn Sprinkler Meters are to !ae Installed
Ahead/lq Domestic Mg? rs on Water Line.
CrediYVYILLXlQ? n for Deduct Meters.
? l--f/iE11 f
I GREE TO
AGAN OR[
PHO E:_ 423-2155 (REID) 51GNMI
p , ?? ?lp ?/ I?
PLEASE'/ALLOW?TWO WORKING DAYS FOR PROCESSING. CALL 454-5220
SEWER PERMII'S, CONTACT ENGINEERING DEPT.
Y WITH CITY OF
NF41F_-N METER ISSUED
1NS1P6tT1QNS. FOR STORM
( ?..
OFFICE USE ONLY
?,, . O1/'29/92
"•• ' "• ?^`"^•• IN
' METER # PERMlT DATE
Y °.
3830 Pilot Knob Rd.
12511
Eagan, MN 55122-18$7 CHIP #
METER SIZE PERMIT #
B_P. RECEIPT #
ISSUE DATE B
P. RECEIPT DATE 01128192
DATE ?AN 27, 1991 .
- PRV - SOOSTER PUMP
f
SITE ADDRESS 758 CAPIBER'WELL DR PERMIT REQUESTED
LOT 1 BLOCK 4 SEC/SUB HILLS tiF STONEBTtIDGE 3RD
X SEWER X WATER _ TAPS :
APPLICANT: f
_ COMM/IND x RESIDENTIAL ;
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING y
PHONE:
Lawn Sprinkler Meters are to be Installed si
PLUMBER: pLYMbUTH PLUMBING INC Mptdrs on Water Line. -',
Ahead o Domestic
ADDRESS: 9294 ZACHARY LN „
Cred,it V}ILL( aiy4n for Deduct Meters. ;
CITY, STATE MAPLE GROVE MN ZIP 55369
?
493-2474
PHONE .
:
I GREE TO COM LY WITH CITY OF
0WNER• CENTEX AGAN ORQINANCES
ADDFiESS: 5929 BAKER
GlTY, STATE MTNNF.TnNKA 1Wta ZIP
PHONE: 423-2155 (REI.D)
?naau??cnmaa vcr ?.
SIGNATURE WHEN METER ISSUED
454-5220 FOR INSPECTIONS. FOR S
. :
u L..,......?,..,.?w..W?:,....,:?;.r.?.?...s.::,.,d:. .._, . , .: :..
I *
?:;k n1,? f
/,6 l,AP1rir.KWL1LL llK ?I;C.N"11.XJ
er & Water Permit for the above property has been completed. It will be held at the
rrks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
BLIC WQRKS (454-5220) FOR YOUR PERMAMENT WATER TURN ON.
er & Water Permit for the above property cannot be completed for the following
IROJECTS ONLY:
Adams or Dirk Hous
CONTACT COMMUNITY DEVELOP
Secretary, Building Inspections Dept.
property has been completed, but the meter cannot
urther notice.
)se pay for meter at City Hall. Meter size must be
lumbing Inspectors - 454-5100) before issuance.
ITILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
RTMENT FOR WATER TURN ON POLICY.
' CITY OF EAGAN
?. 3Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 LO???;
PHONE: 681-4675
ei
t #
BUILDING PERMIT R
p
ec
To be used for SF( ?/GAR Esl. Value $122,000 Date JAN 27 , 19 92
.?
Site Address 75$ ??R?IEI'L nR
'
OFFlC
E USE ONLY n
HILLS 0IF
Lat I Block 4 SeclSub. FEES "
Parcel No. oecupancy R-3 M--1
Pl? R"'- 1
9klg. PermR
717.00
?
Naf116 CENTgY Zoning
(Actuaq Const v"N
N
? 5urohaW bI°+?
- w Address ?? 29 BIlwKI£8 (Allowable) ? Plar, Review 466•00
;r
?
(`,?
y MIN1N??'ONKA l4?1 ? ZP htories
Len G
5 ?
?
S.
OQ 's
Phone 423-2155 (PJEIT9) q
Depth sae.city too.0?0
? Name SA!'IE S.F. Total - SAC, MCWCC 700.44
! i S.F. Footprinls _
675•00
? Addr2SS On Site Sewage _ Water Conn 3
r
(;'? ?'jp
On site Weu Water Meter
45• M
MwcCSystem ? pp
3p
Phone X Acct. Deposit ,
cg O0C'tX331
L 1(enSB # cicywatar _
rtnit
S/W P
?' ?
PRV Required - e
lication and state that ihe
I hereb
acknowle
e Rhat I have read this a 6ooster Pump - •??
g
pp
y
ith
bli
t
l
i
f
ti
i
t
d
t
l
l
l
li
St S/W Surcharge ?
orma
on
a correc
an
agree
o comp
y w
a
.
app
ca
a
a
e o
n
Minnesota Statutes and City o! Eagan OrFiinances. Treatment PI 3?•00 -?
Signature of Permitee ?. ` APPROYAIS
Road Unit 380. J
A Building Permil is issued to: CENT$X Planner - park Ded.
on the express candition that all work shall 6e done in accordance with all Council
applicable State of Minnesota StatWes and City ol Eagan Ordinances. gldy, pry. _ Copies
3,560.00
Building Official
Variance
-
TOTAL
Permit No. Permit Holder Date Telephone #
S/W
pL11MBING
f-iv,ac
ELEcrR;C
ELECTR
?
?? ?' a?
,n• Q
Inspection Date Insp. CommeMs
Footings I
Foundation
Framing ..2?? ?
Raviing
Rough Plbg_
Rough Htg. ?
isul. uJ
Fireplace
Final Htg. Zz t,&A
Orsat Test
Final Plbg. Plbg. Inspectw - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg,
Deck Final
Well
Pr. Disp.
^? ? ilJY O ? ? ?
CITY• OF EAGAN I •
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N920056
PHONE: 681-4675 C O ? A
BUILDING PERMIT j Receipt # (:](Z
7obeusedfor SF DWG/GAR Est.value $122,000 oate JAN 27 ,1992
Site Address 758 CAMBERWELL DR
Lot 1 Block 4 Sec/Sub. HILLS OF
Parcel No. STONEBRIDGE 3RD
Name CENTEX
? Address 5929 BAKER
o City MINNETONKA MN Zp
x Name SarfE
0
Address
?a Cftl ZP
L Phone
8 License # 0001333
I hereby acknowlege thal I have read Ihis applicati nd state that the
informaiion is correct and agree lo mp?y w' i pplicable Slate of
Minnesota Statutes end Ci aga fQiih e
Signature of Permitee
A euilding Permit is issued to: CENTEX
on lhe express condition Ihat all work shall be done in accordance with all
applicable SWte of M-inna?IlHs?o"ta S?tatutes and CJity of Eagan Ordinances.
Builtling Ofliaal (? 1 lfl i?p ?LI? C?
l ?
OFFICE USE ONLV
FEES
Occupancy R-3 11-1
Zoning PD R-1 BWg. Permit 717.00
(nctuaq Const V-N Surcheg7e
0
61.0
(Allowable) V-N pm Roview 466.00
Y olSloneS
lengm 46' uca^osi 5.00
Depth -5w SAQCity 100.00
S.F.Total - SAC,MCWCC 700.00
S F. Foolprinls -
00
675
OnSiteSewage _ WaterConn .
On Sta Well - Waler Meter 95.00
MWCCSys[em X
Acct. Deposit
30.00
Ciry water x
PRV Requirad _ S/W Permit 30.00
BoosterPump _
S/W Surcharge
.
50
Trealment PI
O
300.0
APPROVALS Road Unn 3A(1_f10
Pla"ftr - Park Ded.
Council
&a9 Qff. _ Copies
Vanance - 70TAL 3,560.00
Addtess: 758 rXaERAIy pgM Lot I Blk4 Sec/Sub=S pg gP(NEgRipGE 2Np
These ltems were/were not complete at the time of the final inspection.
5/I8/92
Date: Yes No '
Fina1 grade (6" from siding) l?
Pexmanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement flnish
Deck
Please verify with the builder tha zemoval of roof test capa from the plumbing
system and tha shut-off of water supply to the outside lawn faucat bafore
freeze potential exists. ?
.?.o.?
White - City copy Yellow - Resident copy Pink - Contractor copy
AoW ?9s
J 281 30 ?
&/
11ma
?i" - ?av °`'
Request pate Fire No Rough-in Inspeclion
Re rtetl'! qX,•,
? HeetlY ?'rP•?il NoVty Inspeclar
? Wh
P
E
?
? Yes G No en
ee
y
IA licensed contrector ? owner hereby request inspection of above electrical work aC
Job AtlOress street. Box or Route No.I
7.57 LI
OA66z
&3£4c- Gty
4;?A' EA41/
Seclion No TovmsNp Name or No Range No. Couny
Occupam (P I Pfiwie No
Power SvpOlier Atltlress
ElecVical Contrompany Name) Coniractor5 Lirenae Np
? Q(A/F35?,F
MaAing MOress ( ac[or or Ow"r Mabng InsWlla?ron? J /
A I
O 3 ? /C?
ZJ Z
Aulhonrea $gna?u?re ynVaM r/Owner Ma mg Installalion) Phone Number
///?,
MINNESOTA STATE BOAND OF ELECTRICITY TNIS INSPECTION REOUEST WILL NOT
Grlggs-MiCway 817g. - poom 5-173 BE ACCEPTED BV THE STATE 00AP0
1831 Univerelly Ave.. St Paul. MN 55104 UNlESS PROPER INSPECTION FEE IS
Phone(612) 8434)800 ENGLOSED
J 28130
REQUEST FOR ELECTRICAL INSPECTION
? Sea mslrucWns for completing Mis form on Eack W yellow coq
'X" Below Work Covered by Triis Request
EB-00001,08
14eW lAdd Rep TypeofBuilding ApplianceSWvetl EquipmeMWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apc BuAdmg Dryer Other (Specity)
Comm./Industnal Furnace
Farm Av Condi4oner
Olher(spenyl Contractor5 Remarks
Compute Inspechon Fee Below:
# Other Fee k ServiceEnlrenceSize Fee # Cirouas/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
Signs mapecmrg Use oniy. TOTpL §-o
IrrigaUOn Booms ? ?(?
Special Inspection ?
?
Alarm/Communication THIS INSTALlAT10N MAY BE ORD ED D NECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTH3.
I, the Electrical Inspector, hereby R°'9n-" oam
certify that the above inspection has
been made. oa
OFFICE USE JNLY
Tins request wM 18 monNS irom
f,J 281 63/
°o
Request Dete Fue No Fough-in Inapeclbn
flequiretl9
? Reatly Now `,XWill NoM1y Insp¢clw
i-so-9a ?,e= oNO W??ReW
109 licensed contractor ? owner hereby request mspection of above electrical work at:
Job AOtlress (Sireel. Box or ROUie No ) Lity
758 Camberwell Eagan
Seclwn No. Township Name w No Fange No. Caunly
Occupanl (PRINT) PhWi¢ No
Centex Homes
Power$uOWter Adtlre55
Dakota Electric
EIeCIrKdI CAntractor (Company NamE) COnha4YOr§ LuCBnSB NO
Lazer Electric, Inc. 041935-8
MaiOig Atltlress ICOnrcad« or Ovmar Makrtg Inslalla0on)
55432
Authonzea Signature (COnVactorlpsner Makmg Installation) Phone Number
- -m! Ki Wakhn 784-3729
MINNESOTA STATE BOARO OF ELECTRIGITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway 810q. - Noom 5-113 BE ACCEPTED BV iHE STATE BOFRD
1821 Univenity qve., 51. Paul, MN 55100 UNLESS PROPEP INSPECTION FEE IS
Phonro (612) 662?0800 ENCLOSEO
J 2816 3
REQUEST FOR ELECTRICAL INSPECTION
? See mstmctmns for completing this torm on back of yallow mQy
'X" Be/ow Work Covered by This Request
EB -OB
d.yyn?
ew Adtl Rep. TypeofBuildinq AppliancasWired EquipmeniWired
X Home Range Temporary Service
Duplex Water Heater Electric Heahng
Apt Building Dryer Other (Speciry)
Comm./Industrial Fumace
Farm Air Conditioner
Other Isyeayl Comraaor§ Remarks
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSiza Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Abov 00 _ Amps
Signs lnapectw5 Use Onty:
? TpTAL
Irngation Booms Y6' $$6.50
Special Inspechon
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
• Other Fee COMPLETED WITNIN 18 M S.
I, the Electrical Inspector, here6y
certifythattheaboveinspectionhas
been made. ROUgh-in oere
/ 6-Y
y"'p f!
OFPICE USE ONLY
Tnis request voiG 18 monms irom
a G
? V?,
Request ale Pire No flougM1-m Inspectw '
7 Requirea7 / Lpegg; ?wlllNmd/InePW«
] Y29 10.M6 'Nhan Needy7
1 censed contractor p owner hereby request inspection of above electrical work st: ?
Job AOGress (Street Box or e No,I Ciry
$acvon No TawnShip Nama or No. Ranga No COUnry
i?..?
Occupanl(PR T) .. Phone o 73/
•
Power ppliBr Atltlress
?
Elecmc nvacl
Oan me) Con[rector5 Licenae No.,
.
M mng Atlaress onlracforor ner ing stallabon)
Authonzetl Siqnawre cmr;OLfwyer Maxing Insieliatmn)
? Phone Number -
MINNESOTA SNfE BOARO OF ELECTRICITV THIS INSPECTION FEOUEST WILL NOT
OrlggrMMway Bltlg. - Room S-173 BE nCCEPTED BV THE STnTE BOARD
18P1 Univanlly Ave., St Peul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
V1rona (614) 642.06pO ENCLOSED .
(//??y'[ tREQUEST FOR ELECTRICAL INSPECTION ea/oyoooi.n/n
? See msVUClions for campleting ihis lorm on beGk ol yellow cOpy. ?°'y???
? a G' T
L 084 13
: ? X?Befow Work Covereo' by This Request '?•,?:+.;'
ew Atlc- R : TypeofBmltlmg AppliancasWired EquipmantWiretl
Homa t Range Temporary Service
Duplex'_ WaterHeater ElectncHeating
Apt Buildinq Dryer Otheo-(Specity)
Comm./Industnal Furnace -
Farm , ir Conditioner "
Other (ap6nryl oMratlor§ RemeMSry
? 3ryT .
\ \\y •'?y •.
Compute lnspection Fee Below:
# Other Fee # ServlceEniranceSize Fee N CircuMs/Feetlera Fee
Swimming Pool ' 0 to 200 Amps 0 to IDO Ami I ill
Trenstormers ? Above 200 _ Ampy Above -1oO=Amps
SignS j. Inepettork Use Onty T
OTAL
Irrigation Booms
?O I
Speciallnspection;
Aierm/Communication TNIS INSTALLATIO ORD E DI
SCONNECTED IF NOT
Other Fee ' ?
COMPLETED WITHIN WTH .
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rough.in ,
F,nai oare
ate 1? ?
OFFICE USE ONLY ,
This raquest vmtl 18 mantbs iro.
06/11/2007 13:30 19528820267 CHAMPION WATER
2007 RESIDEIIITIAL PLUMBING PERMIT APPLICA7'ION
" CITY OF EAGAN
3830 PILpt KNOB ROAD, EAGAN MN 55122
651-575-5675
Please .complete for modiflcaEions to exisfing residantial dwelNngs.
PAGE 03
!??
?V -
- - l, (??'1,JQ.?W?.i l UY •
??
DaEe ? l L? 1
?
-. .
? ?
g
Sile Sfreet Addrees
l7 Unle ?
P?oper4roxmer TelephoneA ?I)?•11?'/
CantrrcMr Tllephone # ?
Add?9&8 CIRy ta+??akStm! 2ip„ -
The Apaiant ts: _ Owner a Oecupam zucenscd PlunmWng Contracmr
Septic System _ New _ Refutbished submit 2 sets of ptans and MPC license Irtc9udes Cnunry fee
; 1D0.00
Per as-built $ 10_00
Flre Repalr (replace bumed outflxbu+es, etc.) $ 90.00
7his tee a lies when extensivie lumbin ' are made to a build'm .
AlOeratioru to exlsqng duiNling g 50.00
? Add plum4ing frxtures to _ Main level _ lower level. This fce indudes
instsllation of a water sotheher and/or xrater heata at the same tme. H yeu are
i?lsta?ling gsly a water sasloner and+w watar Aestgi; do nct complete this section;
move to the next secdon and plece a chedcmark next to the appliance(s) you are
installing.
,_._,Septic System Abandonmetrt
u
_WBter Tumaround add $138_00 if a 518" meter ig r
( eQuired) I fll
_other. JUN 1 4 201 17
IMaEer Sottener Watx Neater g 15.00
_ new replacernerA
Lawn Irrlga,don _RPZ _,,_pVB --,mw _repalr _rebulld $ 36.00
stam surcharge $ .50
Total
i^emof' apPiY ior a ResMeMisi Plum6ing Permik and adcnowledge thffi tha iMOrtneflon is carnpbte and eccurete: tbat fie wdk will be
im mnbrtnpnce wilh Me artlinanceg and eoAas M the Cily ot Eagan and the dumbing codes; tlrst I understand Shie is nat a permk, 6u1
anly an epplicalmrt for a pertnik wpk is not ta stsK wftout e pemm't and work wiR be'?p ?rdance w?1h fhe approvetl plsn in the event
a plan is re,yuirq{i to be (?@? ? eAq'o'?- /1 f. l Y1 . n
AppliceM's Priryted Neme 11 - Applc7afif"ignaltire
4 & R'Jv
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNiT.
NEW CONSTRUCTION
? ADD-ON A/C
ADD-ON FIJWdACE
FIREP E INS RT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EmsnuvG coNSTxucr[oN) $ 20.00
STAT'E SURCHARGE .50
TOTAL ? ?5 v
SIT'E ADDRESS: ? t-_ . I (,f_J ? er- OWNER NAME: • 154GZCiI 'V-C/'/ LEPHONE #: 'SC> '`r`- /CO? ? ?
INSTALLER: --4
AnDxESS: 7/,-? G[J < ???? ? ?
CTTY: e/ a i"1.A ?/n/ STATE: /tl6N ZIP CODE:
TELEPHONE #:
--???-9? ? ( . • -
SIGNA OF ?T?-?
PERM
1r4 Mhq.;nariUw rExnur (xEDIMrariuw)
C1TY OF EAGAN . . .
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY OF EAGAN
? 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
r, =1:.,.....:.
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
--------°-------°-------------------------------°------°---°-----
NEW CONST -j,
ADD ON _
REPAIR _
OWNER NAME: P?
SITE ADDRESS:7SP?
LOT:-i-- BLACK ? SUBD.
6
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
L SHOWER 3.00 D
3 WATER CLASET 3.00 ,0
,L BATH TUB 3.00 c3 0Z)
? LAVATORY 3.00 6 O U
KITCHEN SINK 3.00
LAUNDRY TRAY.;- 3.00 ?O
HOT TUB/SPA 3.00
? WATER HEATER 3.00 <? D d
FIAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.Q0 .3ak)
" ROUGH OPENINGS 1.56
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL $ -'j'o U
ST. SURCHARGE .50
TOTAL: $ ? Z• S D
,ijMMETfGZt??i??NI1ITST&Ii4L;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WfiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
O'tJNnR NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
INSTALLER: -j?o42f/3 - 5</J^W
ADDRESS : ?Y eT ? 7'? 4? L
?
CITY: ct5?/l"roJW-7--?11?ZIP: Mr10;?
C1TY OF EAGAN
L/ B c rJ MECHANICAL PERMTT
SUBD. (612) 681-4675
RESIDENTIAL
RECEIPT # /P Sa7 S
DATE 9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEfE FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWF.LIING UNTf.
OR'NER: ?iv 7 FEES
STl'E ADDRESS: ?J ADD ON/REMODEL (EXiS1'IIVG $ I5.00
L?l? OJ CONS'fRUCPION ONLM
Avac: atoo M sTv -/ 4?Z,? 24.00
LZL
INSTALLER: ? ADDITTONAL 50 M BTU 6.00
v
ADDRESS: GAS OUTI.EfS - MINIMUM 1@ $3 ??
C11'y: rng ZIP: SSyv 7 SURCAARGE: $ .50
SIGNATURE: TOTAL: $16
?
COMMERCIAL
PLEASE COMPLETE TfIIS PORTION FOR ALL COMMERCIALINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUII,DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
R'ORK DESCRIPTION:
CONTRACT PRICE: I FEES
196 OF CONTRACI' FEE. ?
STATE SURCAARGE IS $•? FOR EACH s
$1,000 OF PERMIT FEE. •
PROCFSSED PIPING - $25.00 F
MINIMUM FEE - $25.00
ir 4
, 1992 BUILDING PERMIT APPLICATION
' CITY OF EAGAN IWqN 21 RECn
REQUIREMENTS: 01005(0
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTlJRAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SEf OF ENFRGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: Valuation: _? Date: z-
Site Address
I urrwt usr un?T
Lot ! Block ? NILLS bF I z2) cco- FEES
Occupancy R-3 ?-I Bidg Permit '71'7, uo
??TL''?U???l?l-? 6 Zoning • ? CR-?) Surcharge 61:00
Parcel/Sub r:
?Actual Const -V-N Plan Review 466.oc
Owner Allowable V-N License Fee S.ao
# of stories SAC, City / p o, c o
Address Length = SAC, MWCC vo.cc
.
Depth 5o Water Conn. 675,00
City/Zip S.F. Total Water Meter qs,on
Footprint S.F. Acct. Deposft so, o0
Phone S/W Permit .3v,Cc
/ On-site sewage S/W Surcharge .se
Contractor On-site well Treatment PI. 3 00, o0
MWCC System -7- Road Unit 38o.oc
Address City water ? Park Ded.
PRV Trail Ded.
Ciry/Zip Booster Pump Copies . So
SUBTOTAL
Phone License000/3 ? APPROVALS Penalty
• Planner Lot Change
Council TOTAL l, ,0
Arch./Engr. Bidg. Off. ?- ?3-? Z DS
Variance
Address
Ciry/Zip Code
Phone #
Sewer/Water ' nsedCon A ?-?/? Processingtime
ays ce area as een ap ove .
o
for sewerZ-7z
agrees that all work shall be done in acxordance with
?gnatur? o rmittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
* * * _W 2422 Enterprise Drive
* PIONEER Mendota Heights, MN 55120
LANO SURVEYORS- CIVIL ENGINEEi14
* eng* eer ng,•• LI1NDPlwNNE113•LANDSCI1PfARCH1lECT9 (6121681-1914
* ?c *
Certificate of Survey for. C@C1teX,_ In._corporated
House Address: 758_Camberwell__Drive,_Ea_gan,_MN
Modei Name: 745
I I I
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------------- ---- --
? EAGAtd
I??ide I
° CAMBERWELL G'-E- ? REViEWEp
? i aY J D?'?1 _
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------- - - -- -- ?-- -?-.23-92
-- --
? DATE -
?
R = 347.19
---- ----- - _---- -?.._
0105 19" N 89003'24" E 0 .? I
75.00 0• p
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EAGAN ENGI?EEHING bEP?
• e00.0 Denotes Exfsting Elevation PROPOSED HOUSE ELEVATION
• oo._o) Denotes Proposed Elevation Lowest Floor Elevotion:903.16
- Denotes Drainage & Utility Easement Top of Block Elevation:911.12
- Denotes Drainage Flow Direction
---o- Denotes Monument ?. - Garaqe Slab, Elewtion: 910.93
-e- Denotes Offset Hub,„ Bearings shown are assumed t4b
LOT 1 , BLOCK4___ _HILLS_ OF__STONEBRIDGE_
DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N
1 hPrPby cnrtily thst thb h e Ime enA cerrrcl rep,esrntntien ol p smvey al Ihe lwundnries of the ebove dn r bevllnnA and o11he locatlan ol o11
6uildings, 1hmean, Bnd all vislbl0 enCr'piKhmeatf; il any, Irom or on iaid Innd. As stirveYPd bV me this z deY e .D, 19Li 7
V
Scale. 1?nche30feet r' ? ?.•ROBEpt B. SIKICH 1..5. RE . NO. 1489!
ftosl 91336.08
F'l.jiming Desiqn .[nr.
l::,l! HicihG!a; I.ii I^LC.
cc.mirt. ru ?. Oj?02S ?
hlinnesr,ta Jtcltf? E_nErryy Codv C:alcu.tal..iuns
F3aserl nn C:±rE,:.er 5 oF the t".od(?l Enei-yY Code
1a8_ E=;Jit.iun --- A±!apCc??J li.l/2q
?J??n:sr c f10!iE! 11745 COh;h1. fJO: O
?-C.T I '1'?' t cc !c y NuLi OF?jrn;E7?i?8C+G 4S:%a?1AT70.U,
f`r•nkr.u_tor: ? ('EcPlt'F-.i. IILt!-1La Fhnne:
;ildq. f:.lasti: AS A1 for Sinqlt P'ami.lyil)up12::
A?, re=identzal .i =..toricas
!Jver- ' stories
Ot.her
Gi=;7i:fir=,1_ ZPIFORI•1ATIOhJ
flGi t,f,- : Thf: se,r,.tic,n i1e5i,yri?,Ztinns (".ic:ctaon A", "Secti,can R" etr..) 1ra +car
convAnience in r:alculal'ion= only, and are net relat.ed fram one snt ef
(zztru1,.iti.enG below tu i:.he ne;;i.
1. Bldg. EJa11 s Perimeter s: 4Ja11 heiqhts, = Area
ground te eave
5er_tion «l . 5Yi: tn.,=,? - 5:-7.5
on S . 110 iB.?5g = <"4'.E?
t_ioii C . 0
t x ::ii I U
6I'U55 Wcil l A1^Pei = .i:.?i .I.'
2. fduilding dimensiun= Floc-ir or
Geiliny
Lengtti :: 4lidth = Area
5ectiuii A: 16.5 20.6 = 339.9
Sectzon E+ ; 26 27 = 756
:^YC t 1 Gfl C : {I C) = L)
Sect.ion D: l) 0 = Q
Total flnor or ceil ing area = 1043.9
._. Rim Jnz sF I'erimeter = lbCl
Floer jni=.t .^_ by (B", 10"• 12" or lu"!!: 10
P.im JvistArea = 133.=3
n. Door=
Arez: N77.8 T'hiclcness (inches): O
Ferimeter (feec): 0
lype af rnn=truc.tion:
5. Total decr's perim?ter: t?
t,. Nindc'vrcc I
r
I•Isiniifar lt;;-er' : b1F_'A'iHl7.F.f.3f1IF'L!i U fartor:
Ql.,:,i:u „pproverJ: 'rkS
r:pF_? iit,i yh: . Lt,nnr_n . r??.?mt?P,-
,, -- r??t??i.
(inc!-?c-s) (Lrz?_lies) uf q1asq i=it.IF'h.
uni.±.s
eCAPIT. ItiVil- J } 77 1 7.0:3
DO1.1PL.E FIUI'!GS 16 16 4 7.11
"0 16 2 4.44
: .1 16 _ 6. 22
^4 24 b ?4
211 6 213
t
??
27
.. ., .
..
. ,
r?., -
^4 23 14 61.77.
i!j 28 10 54.411
".-: 28 4 24.89
t,° -:. 2 i1
t r;(=1h:5Qhl 1.<^ 3: 1 .
S{'..yI..L TF=:3 40 ?4 L ib
7. :'I l IILIOW CII d.<_..:s cil'Pi.i (::qrt ) = 2S5" c3
1'ypr HeighF „ Length .. PJumber -- Tutal
r{eetl {fet:t) unit.=. 3yF't
:3. F"ai:io Uoor: 0 0 rl 0
9. Fltrium: 6.8 3 1 20.4
10. F.i r-ep 1 ace area
P!iclP.h: 6 Neaght: 5
ToFal :_it; F+: `. 30
' .
11. F?xposed F'oundation
flEriqhi c+rea A. 0.67 Ferimeter area A: 145
Sq f"t ar•ea '(1 97.15
E>;pesed Foundation
hleiyht area E+: O Ferimeter area R: u
Sq Ft area P= U
12. Sqf=t U factor U>: A
Gross wail area 2577.3
mi nus
1,lindow area 255.5Z 0.17 120,1
Patio door area O t? 0
Fltrzum area 20.4 0.47 9.59
Rim ]oist area 13=.3333::337 0.035 4.67
D"or- ttrea 37.4 0.14 5.29
Krep!ace area 30 0.17 5.1
F'xuosed round. 97.15 0.14 13.6
? Fr arni ng area 257.73 0.069 17.78
eyua J z
Tata1.a fur net WF:lI: 1745.0366667 0.037 64.50
?
,:_'_:,is I'or groscs wal! .a; ea: 740.; t
. Fr ami nn orem i s ]:!% rrt urnE=.`.+ W7cl.I J. wI-F?8
t'. Ill"qS5 tyF.il t idl'"I?fil .. P„CFDY' iJ?IU:y ^ U .. S'i pFnY' CUdn
F8(:t'.OM' 15 :J 'FGtr A"1 F±Iigte fdfil7,l`i & d1.1pjE':7
..., 4RI' A".' lfl(i pth'2!' Y"E's[dBl;tldL
.7-3 irlr other t,i.iz 1 di ni_F=,
,23 fur r3:-.=r ' stnries
I""[.f.fli' Ir: 0.11
zsruF; - 20:=-503 t•nU::r a±r :; ur-:
(caleu.lated at+ove)
14. t.J:°r:c: r cr.'i 2'i n{7 area - 1095.9
11. Gc+;.li.nr !'r';fn.i.lt Ur
? 9 ??a (i!Y:( ? -
?f cei.l'ar??? arr??ti) t?i ?'?
i)...,?
:6. .loisf F'1r•er flti% eF r_ei.ling erea1 =• 1.0'a.59
17. Net cfail?rig area ( Grn=s ceil. area - Jvist drea) - 986.31
Q. IJ t_E'l1Anq: 0.:l21 :. NPf: Gp.ll. Ell'Fa
19. (I framiny: n.024 x: 1O15t cll^?El = 2.630 16
20. Tnta.l nf item l9 .. ltem 19 = 23.3426;
21. (;ro>s ceiJ.ing area r, facter beloo-+ = U:; A per code
Factur i_=_ .026 for H-1 single family 3< duF+le::
.03' for A--t' and uther rr.idential
.06 for ather buildings
F ezc:tor i.=.,z p.026
9711i-f = 28.4934 MlJST F..:l: :: OFt = -• 34zu i
!r_alcu.lated abavel .
2 X G/ HIGH W SHFATEIING
WALL
SECrION
S1T)D
SL•GTION
[tIM
JOIST,
EDN.
u vnr.ur: cnr,cuLnxtaas
R YALUB U VAGUf:
Inside air L'ilm .GO .
InCe[io[ vall .9.`'i (Wall) U = ]. _
InsulaCion 19-00 ?
Siieathing 6-0 .037
-
Sidfng .67
Outside ai[ film -17 '
R 70rAG 26.97
Tnaide air film -6II '
Interior vall -45
SCud - G' 6.50: (iraming) U= 1=
Slieath.ing 6.0 !t
Siding " .67 .069
outsic]e aic L•ilm .17 .
R 1oT1?G 19,47
InCerior ait fiJni •60
Insulation 19-00 -
1= inch soPt wood? 1.80 (ltim Joisl-) U= 7. _
Sheattutg I • 6.0 lt
Cxterior vall coveritg -67 , .035
ExCerior air film -17
R 1VT31L 28.4
Interior air film .69
Insulation 5.00 , •
F«mdation (12 • 91ock) 1.20 (FOUnaatiai) u= 1=
Gxterior air film .17 ?
R TDTAG 7.13 .14
CEILING WITEI YENrED A1TIC SPACE ABOVE
R VALqE R VAL[lE
EPJU1IIM CEILING
)_61 Air Film 0.61
36.00 Insulation 44.00
4_38 Joist
_56 Ceiling .56
0.61 Air Film . 0.61
41.55 7.bta1 R 45.78
.024 U = R .021
C71TEMDRAL CEILING
R VALOE R VALUE
FRAKM C1:ILIIIG
0
61 Inside air fiLo 0.61
.
.56 Ceiling .56
14
375 r
Joi
st(S
acer) -
. .
p
l
i 33
85
- at
on
Insu .
- Air Space .50
67 Roof deckinq .67
.
.06 Felt -Ub
.44 Shirgle .44
0.17 Outside air film 0.17
16.88 Total R 36-86
.059 = II .027
wiiubv infiltratian .5 cfm/lineai foot of ccack R
Residential GboC 31Ifi1tCdt30n 0.5 efio/squ3[e foot or dOOr 0nd minimun cocle requiCemec?t
Narresidential door infiltration 11.0 cfm/lineal foot of crack
[b 12" concrete blocic no i.nsulation _.781 R 1.28
double glass = .52
triple glass = .31
All exterior valls and oeilings must have a vapor barrier (0.10) pecm nnx.).
Yapoc barrier must be on the inside (heated side) of xall.
Yapae bariers of the polyetheler?e thin tilm have no R velue.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119367
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 758 Camberwell Dr
Lot:1 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Amber Beard
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 -
Bradley J Hagen
758 Camberwell Dr
Eagan MN 55123
(651) 454-1638
Craftsmans Choice Inc
26219 Fremont Drive
Zimmerman MN 55398
(763) 633-1390
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120753
Date Issued:02/28/2014
Permit Category:ePermit
Site Address: 758 Camberwell Dr
Lot:1 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Bradley J Hagen
758 Camberwell Dr
Eagan MN 55123
(651) 454-1638
Craftsmans Choice Inc
26219 Fremont Drive
Zimmerman MN 55398
(763) 633-1390
Applicant/Permitee: Signature Issued By: Signature