762 Camberwell DrCITY OF EAGAN PERMIT TYPE: ?' ???- ????? '
3830 Pilot Knob Road Permit Number: •'-' "' `'
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• ' ' ", . , `? ? •, , i . r, ?`, APPLICANT?
• ? € •
[; 1j
PERMIT SUBTYPE:
TYPE OF WQRK: _
IIr? F' A I fe
1?Q ?1,4, 1. A a_ i.? ?. ;: ?? 0 ?r N f;
??????.?'??;???•
?
?
Permit Nolder Date Telephone #
PLUMB4{VG
HVAC
Inspection Date Insp. Comments
FOOTlNGS
FOUND
FRAMING
RODF(NG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
IMSUL
GYP BOARD
FIREPLACE
FIREPLACE
AI R TEST
FI NAL PLBG
FINAL HTG
aRSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
IiYDROSTATIC
TEST
BSMT R.I.
BSMT FI IVAL
DECK FTG
DECK FINAL
I
??? &MOP, = 222-6177 CITY OF EAGAN ?*•?
- ? e 3830 Pilo# Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-810
B 0
UILDING PER11141T /Receipt # C C'"
Tobeusedfor 9F Dwfwm Est.Value $140+OW D a t e JULY 19 19 91
Site Address 762 G:At+1UM16LL DRIVB ;
t 2
L
Bl
II1LW 4! STOW-
4 OFFICE U SE ONLY ?
_
o
ock
Sec/Sub.
Parcel Na. ?Ei??144? 3?A vccupancy ?'"?• ?"'? FEE5
PO R 1
Zoning
W Name TN1t RATTLti1Q1] CO INC (Actuaq Const Y1!_ Bldg, Permit r 3 180•00
o Address 52C11 it giH'Bff ? (Allowable) ?- Surcharge 70'? '
City i?RtDtZ1P Phone # ot stories
??#? ?
Length ? Plan Review
? Name 571?? Depth +
?3- SAC. City 100,00
?? Address
C11y Phone S.F.Total
S.F. Footprints -
-
SAC, MCWCC ????
6
?
WF
°ucci -
Na1172 Site Sewage
On
pn$iteWell
Water Conn
?•
9Sr00
w
?;
Address
Mwcc system -
E? Water Meter
30.00
a W City Phone ciry water XjL- Acct. Deposit
????
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the
iniormation i
t
d Booster Pump - S/w Surcharge '?
s correc
an
agree to;comply with all applicable State of
Minnesota Statutes 1!iiqd City of Eagon Ordinan-
ce
, 276.00
, Treatment PI
? '•
Signature of Permitee.---.a'??? ? 1" ! :" _,
? APPROVALS Road Unit 370-00
??D C* xlia
A Building Permit is is?ued to: ?? Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
rf. ,
Building Official,_?-?'? ?.L_?;? .e: ?;^`t''"-,c""' •?
Variance
-
TOTAL y` ??,s6s.3a
v . ... ?
Permit No. Permit Holder Oate Telephone #
WATER 91n1791
SENfER
PLUMBING ' 42 "?1 g1 011-2?l
H.V.AC.
ELECTRIC Q?a ?v aO
Irtspettlon Date Insp. Comments
Faolings I 7/4 S
Foundation ti L ?? Q $
Framing ?. Z Z- ? : ?• ?
Roofing
Rough Plbg. 71
Rough Htg. O
Isul.
Fireplace
Final Htg. ??~ p
Orstat Test
Fnal Plbg. 4 ? l Ping. Ins or - Notify Plum
Const. Meter
Engr./Plan
Bldg. Final f?-lp 05
DeCk Ft9• 611 w-
Deck Final r ,? 6
Well I?vrS?f !? ^!?-'?4 ? S G?? U C/Q'/L
Pr. Disp. 94
1 7 -3p Q •-
? ....... ...... ..ry . _.,.?- .:,?+.',?^.,:+n'?.ti+.o'. +^. _?"`v` ?.:r..,.?'f_.i .??''I,'?.:?15.. i? . Rr. :?.^ ? ta. ?.1?z,•"++.'?. .__
p? ? . ? . . ' , .... ??.... ? . , ..
? ???..? .. ?•.
' ? . " . ? ? . . ' . ?' . '. . , .
. . ?w . . : ., ?
? • . , ' ??.: . , '.
'?_--
?r?- ;..,
Citp of eagan
iptpwrtmrmt a# Noemg -jnwnttmt
This Certificate issued pursuant l01he requirements oJSeclion 306 oJlhe Urdjorm Building .
Cvde rertifyinglhal at tlrelime of issuance this srluclure ms in compllancae with the various .
ordinanoer of rlre CYt}' regulaiin8 bui7ding oans7iucion or use For 1heloUowing:
M.- aWmrKa;,, SF DWG/(;AR mag,Pcmk N,,
oowwmqTM. R-3 M-1 7Ajas ohuict PD B-1 Type coo
PERMIT REQUESTED
X SEWER X WATER _ TAPS
- COMM/IND RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
?'? ???? p-?•????C Ahead of Domestic Meters on Vllater Line.
610 Cre-t?k E,anF Credit WILL NOT be given for Deduct Meters.
E ZIP
,. ..;.
41!?2-2l. 2i
I AGREE TO COMOLIf WITH CITY OF
?r},e Rdtt_iurjr; Cn ,; n., EAGAN ORDINANCES
C:I I Y, J I H l t cir .•_. -.- -
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLQW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER-& WATER PERMIT
CITY OF EAGAN
3830 Pilat Knob Rd.
Eaqan, MN 55122-1897
.: _ , . .: .... .' y, .;,.< <r?.. , .
OFFICE USE ONLY
w
METER#PERMITDATE 001r17}91
CHIP # S" . 3 PERMIT # 11292
METER SIZE A? 3B.P. RECEIPT # C 14615
15SUE DfiTE B.P_ RECEIPT DATE 07/23?91
_ PRV - BOOSTER PUMP
SITE ADDRESS '762 C`,arrbery,rr7 "l LOT BLOCK SEC/SUB ?Hi.,-I,:,I g. r)g c-?-??£;, ;??_•. ?APPLICANT: The RGj' F 1 izid c''n
ADDRESS: `20? F'.s 'r2iaerc^r Rr,.-•r;
CITY, STATE V?:ac':-Levs P71l. ZIP
PHONE: 511-03r%A
PLUMBER: Ya]_.i.ey P?U,°r.W.DIC;
ADDRESS: 610 Cr°ela Gane
CITY
STATE rip° ZIP
,
PHONE:
492-?121_
OWNER: ?: ..,.
i'. Ca Ro?'?. :_L
..;?ir- c.ca,
ADDRESS: E. R:i.ver k'r&C,
CITY, STATE 61 eV ? M.ri^ ZIP
PHQNE: ;r
.
.
'
;. .? , ., .
RLEASE' ALLOIIV TWO WQRI[ING DAYSr Fl7R'PRf??
SEWER PERMITS, CQNTACT ENGINEERING DEPT.
3?I2
PERMIT REQUESTED
X SEWER X 1NATER TAPS
_ COMMIIfVQ "RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Instafled
Ahead of Domestic Meters on Water Line.
Credit WILL INQT_,he?given for Deduct Meiers.
\.
TD
SIGtIATURE WHEN METER ISSUED
;SING. CALL 454-5220 FOR INSPECTfONS. FOR S70RM
??,..
,
CITY OF EAGAN ND ? g446
3830 Pilat Knob Road, P.O. Bax 21-199, Eagan, MN 55121
. PHONE: 454-8100
BUILDIN
n
, ?/<? f?
1
G PERMIT Receipt # / <
Tobeusedfor SF DWG/GAR Est.Value $140,000 Date JIILY 19 19 91
Site Address 752 :,AMBERWELL DRIVE
Lot 2 Block 4 Sec/Sub. HILLS OF STONE- OFFICE U5E ONLY
ParCel No. BRIDGE 3RD Occupanq R=3 , M -1 FEES
PD R-1
Zoning
w Neme THE ROTTLUND CO INC (AClual) Const Vn Permit
Wdg ? ?80.00
? Address 5201 E RIVER RD (alowehle) Yn- . 70.00
Surcharge
(?.Ify F$TDT.F.}? phone - # olStaries 5?7
00
5 Plan Review .
Length ?
? SAME 571-0304
Name D¢pih 36 SAC
CiI 100•00
iF
$: Address s.F.rocai _
- ,
y 00
650
? SAC, MCWCC .
Cliy Phone S.F. Fomprinls _ W
C 660.00
On Site Sewega ater
onn
, W Name On Site Well W
M 95.00
- aler
aler
?z Addf855 MWCCSyslem x? 00
30
49 City Phone CiyWater X7L_ A? p?ogf .
30• ??
PRV Required _ SNJ Permit
I hereby acknowlege thal I have read this application and state that the
' Boosler Pump - SnN Surcharge .50
information is corc ct and a ree t? '^ernpith all a
f ble Stale of
Mmnesota Sfatutes 1 y oi ag OrUinan s.
7reatment PI 276.00
Siqnature ol Permile APPpOVALs Road Unit ??? ?0
A Building Permit is i ue o: THE R LUND CO INC Planner - park Ded.
on the express condilion that all work shall be done in accordance wdh all Courcil
applicable State of Minnesota Sta es and City of E n Ordinances.
F gidg, pry_ _ Copies
Building Oflicial
variance
-
70Tn1
?3,568.50
r
Addr s: 762 CAMBERWELL DR Lot Z Blk4 Sec/Sub HILLS OF STONEBRIDGE 3RD
These items were/were not complete at the time of the final inspection.
• Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent drivaway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish LI/
Deck L/I
Please varify vith the builder the removal of roof test caps from the plumbing
system and the shut-o£f of water supply to the outside lawn faucet hefora
freeze potential exists. ?
eecrcuor?n
White - City copy Yellow - Resident copy Pink - Contractor copy
DATE
SEP 17, 1991
RE: 76t CAMBERNBLL DR ('INE ROTTLUND CO INC)
•
% ?
- Your Sewer & Water Permit for the above properry has been completed. It will be held a[ the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer-& Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or accupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
y'/ eol v i
I 01 47 /oaI
Repues? Oate
7- 3- 9 I Fire No ougtl-in Inspedion
Re mretl?
_? Yes C No /
L Reedy Now 'CI will Nonry Inspector
When Reai
I?Yficensed contractor ] owner hereby request inspection of above electrical work at:
Job Atltlress ISVeet r ar qoule No )
6a /?
F 1
VA,'
r Gry
SectiOn No Township Name or No Pange No CoynV
V \
G?/
Occup tIPRINT? Phone N.
Power pher ^1
&" Adtlress
Electri Coplrac[y IConpa mel Cuniractor's Lwensa No
a a-3
Mailing Adtlress ICOnrtaclor or Ow r Making Inslallalton,
Autho rzetl Signawre tCOnhaclor w king InSpillaM1< Phone Number
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MiOway BIEg. - Room 5473 BE ACCEPTED BY THE STATE BDARD
1821 Ilnlverelty Ave., St Paul. MN 55109 UNLE55 PFOPEF INSPECTION FEE IS
Ghone (612) 6C24,800 ENCLOSED
es-ooom-os
y/(P/?i REQUESTFOR ELECTRICAL INSPECTION ,
? See mstmtli¢ns lur comoleong ihis lorm on back oi yellow copy
• ' ? 8 /'?0t ? R c1
' "X" Below Work Covered by This Request
ew Atld Rep' - TypeoBmldmg ApphancesWired EquipmantWired
Home Range Temporary Service
Duplez Water Heater Electric Heallng
Apt Buildinq Dryer O[her (Specity)
Comm /lndustrial Furnace
Farm Art Condilloner
Oner (syemry) Conlractors Ramarks
Compute InspecGon Fee Below:
# Other Fee # ServweEntrance Sae Fee # Circuds/Feeders Fee
Swimming Pool 1 0[0 200 Amps ( O to 100 Amps
Transformers Above 200 _ Amps _ Amps
SiqnS Inspecror's Use Only TOTAL S?
Irnga6on Booms ?
p2?? ?
Special InSpection
Alarm/Communicanon THIS INSTALLATION MAY 8E ORDERED DISCONNECTED Ik NOT
Other Fee COMPLETED WITHIN 18 MONTHS. "J
I, ihe Electncal Inspector, hereby Rou9min Dare
certi that the above ins ection has
ry P
been made.
Final r
Date
OFFICE USE JNLV
This request wia 18 monihs Irom
i(
PERMIT
CIT? QF EAGAN
38?30 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 033299
Date Issued: 0 9/ 18 / 9 8
SITE ADDRESS:
762 CAMBERWELL DR
LOT: 2 BLOCK: 4
HILLS QF STONEBRIDGE 3RD
P.I.N.: 10-32992-020-04
DESCRIPTION:
REPLACE
&u''ildi,ng.,-Permit Type
flua.lding ?I`brk 7ype
?-..
f Census Code -k,
,
f !
SIDING
STORM pAMAGE
aEPAxR
434 ALT. RESIDENTIAI
1i
b
?u.':.-: E..i
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC. OWNER:
RONCOR CONST CO 188$5578 0002337 QUINN MARY
10740 LYNDALE AVE S 762 CAMBERWELL pR
BLOOMINGTON MN 55420 EAGAN MN 55122
(612) 888-5578 (651)688-0796
?
I
1 hereby ackriowl:edge tha't' I-hyaw,m re?sd Ch`is-applica?Gion and rstate ttp?at C?he
information is correct and agree to comply wi.th all applicable State o# Mn.
Statutes_ and, City of £agian ?9r,di,naneas. -
APPLICAN7/PERMITEE SIGNATURE
?qW l?
UED: SIGNATUR
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ? " CITY OF EAGAN
3830 PII.OT HNOB RD - 55122
? 681-4675
New Construction Requirements
? 3 rogistered sda surveys
? 2 copias of pians (inGude beam 8 window sizes; poured fnd. design; etc.)
? t energy ealculations
• 3 wpies oi tree Oreservation plan if bt platted after 711193
required: _ Yes _ Na
DATE: G - I?q 'c1 q(
DESCRIPTION Of-WORK: ge
STREET ADDRESS:
3YkJ
LOT: ? BLOCK: SUBD./P.I.D. #: ? ?tS ? S??CN-??
Name: c,A I t v\ -? hi 6-1 ,4?-t Phone #: ? J?-()7 q (0
PROPERTY Last First
OWNER ????-e;° ??/? Y?IP.
Street Address:?7(1, W
ciri F6.? a P,\ state: Gv\ w- zip:
ComPanY: ?d w Co IP `---? W 5? Phooe 235 - 5 S2 o
CONTRACTOR '
Street Address: ? 6?J L/c] L?' v? c? al-e '?? S?• License # ;L 3 '3 `)
City / ? Lo c) State: /7? /^- , Zip: < fg ci
ARCHITECT/
ENGINEER
Company:
Street
City
Sewer 8 water lioensed plumber (new construction ony):
and lot change i5 requested once permit is issued.
Penalty applies when address chanc
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with ail applicat
State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signature af Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No -
RamodeVReoair Reauirements
? 2 wpies of plan
? 2 site eurveys (exterior additions & decks)
? 1 energy ealculations for heated additlons
CONSTRUCTION COST; ? , 3 Ou
W,-.,
1!J
Phone #:
Registration #: _
State: Zip:
PERh1IT i
RFAC'iIVATE
I 9??! Co
CITY OF EAGAN
1992 BUILDING PERMIT
681-0675 ut+n.?
iUN ? 8 RECQ
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 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 r lot chan e is re uested once ermit is issued.
Date J V Vc- / 0 ,7 / c( Valuation of work
Site Address: _ 7z; Z r1e) !'n SC-
STRFET , SV17E ?M
Tenant Name: (commercial only)
IAT < BIACR SUBD./IA 06 3 p,Z.D. N
Descri tion of work: 7xC
The applicant is: ? Owner (11,Contractor ? Other (Deacribe)
Name Phone ?V?/- b 7 Ie-
Property LA5T FIRST
Owner ?
x 2 c
Address
,
STREET S1E N
City State Zip SS?a
Company Phone 2
COntf8Ct0r Address J 7,2 OWzO S7 License # 000SVS2Exp.?
City 'T/. State i? Zip -S5S/U7
ArChItECt/ Company Phone
Englneer Name Registration N
Address
City State Z{p
Se?ver 6 water licensed plumber Processing time for
sewer & water permits is two days once area as been approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
11-?
c!6!Y
Signature of Applicant:
?
((// o/y .1-
2422 Enterprise Drive
40NEER LANDlUFVEYORS•CIVILENGINEE1i5 -J' Menclola 4leights, MN 55120
* ** -II-----
eng??neering,. LANOPLANNERS•lRNd3CTFEARQHITECT3 (612) 681'1914
?
C:ertificate of Survey (or:. ?ry_?_' _D??U/VO _c:?
1JoRtN
V
?
7 7 9/ ?f: 341.19
? 4
? 0 22.67 ? 912.; -
lC'e4R. ' z7.3; Qp?-
? ? M ? T r9:q I
? - -j
?. o
z4.19
O I /4
h ? ?a
0
-Z
5I _ IIg
L - - ?J ?z2•o
(.?1~ O fuAbry k#.."L. ? yga.,.t ?
Y A A ? -
'L ,11 - W.? -1h-9[ I S g9° ?0 ?S4'?6" Uz• s?? q;? ?._ ? f= ?`
?.
? soo.oo Denofts fxrsfinf flevafians Pq0M5_£D NOUSf ELEV,4TlON5
? oo.oo Denofes Proposed Elevafions Loivest Flaor flevofion qo¢. 8?0
?-- D[noles Qrrnno e {_UOr/il fasemen{ rp o1eloe? Elevofinn q iz •9 b
- -- Denvles Draina?e l low rraws Gorv?e S/a6 Elevaf ron q I Z. 6-a,
a Dtno{es Monument
BeqPmls shown ore asfiumed o DFnolts of "5ef Ilub
LOT,?_, BLOCW q- , NIL L S OF STONIBRIDGE 3RD AGD.
oQKOTa caUrTY, MtNNESaTA
I hereby certifY that this survey, plan or rPport was pr pnrrA by me r un?er my Aiter.l <??pr?v?sinn nnd lhni I mv didy Rrqrslned LenA Suratyor
unAer the laws ol the Slate ot Mlnnesotn. DnieA tbis -.. day ol A.O. 19? .?
CalQ : inc?h : 40f `L --- L
1, ?03??,17 nnFOai n?nuui ? s. nro rJO. tae i
? * - II 2422 Enterprise Drive
it Mendota Fleights, MN 55120
„
JIONEER LAND9UHVEYORS.CIVIL[NGINEEHS -----
% ------ ---- -
j' engineering? LArvOPIANNEA3.UN09CRPEl1RGH1lECT5 II (612) 681-1914
? * * **
Certiiicate of Survey for:. NG ????UAII?--- W-- ------ ?
?I ?oRtN
0
V' c9?B
"Z--Z<
7 7•9/ A?= 397-/9
A°? ", m o
r? •Q, 8
d
9 iz
y 22'67 •?
e
? T
.i I M
??a.
_ o-
? ?8.81 Ne?PoSEa p?p „?f, ?
r ?•o
1q
'
? B
`
' f ?II•
I ,tlM.
a
5?- -- -- - - -?J5 tiz2•o
S99° J"o'5-4" E
/
? *YA
JIONEER L.NDSURVEYf
? engineerihg• LANOPLMNNEA3•
* * *T
• CIVIL ENGiN£Ef15
t;ertificate of Survey for.. ?C ROTTL141VI2 6/,
1 2422 Enterprise Orive
Mendota Heights, MN 55120
(612) 681-1914
II
?
uoarN
0
V CH?IB
vz_-LL
\
lz°sl--
$ Z - 7 7•9/ if= 347-i9
• ? ? 4
,
22.67 a '
? rti ' rn _64R. ' 27.33 VJ
o-
? E,QoPoS
? J8.81 FJeusF ° N
5o.a
t4.19
.AV I o
0
h ?
` ----- J ?iy2•o
?
O
q ?nY'i ? ' •7 ? ? ? .? M . ?a.
S 99° t0
jt _i...:.,id ?i-7?Li i
,t1?e:k:i1!TJCa L)EvP
t ?
1991 BUILDING PERMIT AP ICA1lON(O
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATI
PENALTY APPLIES WHEN
OF :
IAT
NOTE; ADDRESSES FOR CORNER
DESIRED. NO CHANGES
PROCESSING TIME FOR S
PERMIT MUST SHOW A LI
?
To Be Used For:
Site Address
Lot 2_ Block ?-
MULTIPLE DWELLINGS
I ? p
COPIIlERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAI: PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
OF PERMIT IS REQUESTED, BUT NOT PICKED IIP BY IAST WORKING DAY
H IN WHICH REQUEST IS MADE.
NGE IS REQUESTED ONCE PERMIT IS ISSUED.
- CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
& WATER PERMITS IS TWO DAYS ONCE A PERNiTT HAS BEEN COMPLETED.
D PLUMBER. ?
Valuation: ? Date: -7/jZ/9./
/y0 OFFICE ITSE ONLY
Parcel/Sub {4jt,4.g ,.,:Ftr77pk)&-piry? ? p
Owner ? '(2or-ri.rs?? co. rf-IG.
Address
City/Zip Code _?L-EY, z;X?- N21
Phone 571- oa?
Contractor L,emE'
Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone #
Occupancy R- _3_ M-?-
Zoning _p 'R-I .
Actual Const V-N
Allowable V,N
# of stories
Length ??-
Depth 6
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Sldg. Permit .?sD-O()
Surcharge (UOD
Plan Raview- TO-17100
SAC, City 00' 0,0
SAC, M47CC ' .? Dd
Water Conn. ?tJ,.pa
Water Meter 9 Di?
Acct. Deposit D'CO
S/w Permit 30,00
S/W Surcharge 15D
Treatment P1. o"t Oo
Road Unit 70.00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TDTAL A6Q
agrees that all work shall be done in accordance with
Signatu e of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
V.? ?A?f1 O ?j
GRRab'E
z2 xz?? y84 x ??'- ?1z6o
zg k z.? _ 78 4
z2 x /Y = 3a?
?r
lOq2 u?y, 15,28?
._..?-
F,snrT
2?Gx?%z= !.b
?.
? r;?. : -- _ , , r ? 3 ? g q (a o ?2. ? yo, ?? ? ?
r
> ,
? * *
? * 2422 Enterprise Drive
? PIONEERIANDSVHVEYOip•CIVIL[NGINEERS Mendota Heights, MN 55120
* eeering_ LANOPUINNER3•UNg4CnVEAwCHiTfRS ll (612) 681.1914
*** I
Certificate of Survey for: / nE ' ROTTL UND
fJORtH
v°
C9?'IBE?lv-
? «< D•?iU?
?
z7„
0 Z= 77.9/ i(= 347•19
o
? a
Q,
9 12.1
21.67 e ?
1 z7.3j ry.ill o?
T
a - _j
h /8.6? Ne Po F o 7tio
?Q
u.yq tu
, yn.a `A
,, I I o
,
5I _ II g
Q CU /I?•'„r' jJ?
?--
>_ ?
ENcTNEER:ivG DEPT
= soo. oo Denofis fxistinj Efevofions P
- 90_PoSED NOYISE fLfVATlONS
? oo.oo Denofes Proposed Elevafions Locvest Flaor Elevatran qo ¢. 8l0
---'- -- Omofes Oraino?e U?i/i!y Eosem¢n? rp o^e/oek E/evo/ian qiZ. qb
Dtrta/es Draino tklow ZJrrows 6orole S/ob Elevafion qi z,
o Dtnofes Monument
Beol'ins Shown ort oaiumed o Denolcs o t''sef llub
LOT 2, BLOCU 4, yIL L S OF STONEBRIOGE 3RD ALU.
DAKOT/a COl`/NTYl MINNfSOTA
I hereby CAtlly thal thii smvPy, plen or roport wAS pr xrM bV me(((???r un r my di.ecl supeivrsinn and Ihai I nm duly FlrqisterM LenA Survrym
unAer the lewf ol the Stste oi Minnmms, onleA thisday of A.D. 19-W - .
zo,
iaeh : ie n -- __? -
Cq/e•?O{ /AO OIII f?f1FR1 A.IIJfI?I S.RFC Nq.l46 1
-! 3 ?
. ? - _ - -_- -
, y •,• •, , " -=_'1=¢r=ri??s????
EXTERIORh.ivKLOPE AVERAGE "U" COh(PUTATION
` OWNER T/ta ?.K.L"-.v».-iSL' ?'C -J9 ? •
SITE ADDRESS L,_?S?N???•?-?-.?r2?
CONTRACTOR ZA jYt•'_ DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ..... 2.Sp(?5 sq. ft. x
2. Total roof/ceiling area .... .//80 sq. ft. xlr?2(7
Total exposed wall area above floor =21fl? (a
a. Total wall window area ............................. = Z
b. Total door area ....................................
c. Total sliding glass door area ......................
d. Total fireplace wall area ........................... ?
e. Total wall framing area (average 10%) ................ ?
f. Total net wall area above floor ...................../ G>
g. Total rim joist area ............................... 3 4Z '
Total exposed foundation area = `] ffi
h. Total foundation window area ........................ -7
L. Total net foundation area above grade ...............?-
Determine "U" value of each wall segment.
a. 2 5 3 X"U"
b. 3 qa X ?fU"
c. 40 X "U"
d. t/ X aUu
e. 2/ S g IlUll
f. 193o x°u°
312 X „U,l
B•
h. ? X "U"
i. X "U"
, 54t ° 13?, 6 2
IQ7 _ ;2.66
a S? 6 = 27. 6a
? ?V I = ??I O (
?o`f2 = $1•06
e 0T0 = 12v4O
•/ ? = 7e?1
?
3 ......................................Tota1 2. ?.7g
If item Il 3 is the same as, or less than item 111, u met the intent
of SBC 6006(c)2.
.,
Total exposed roof/ceiling area = // 8O _
Total gross roof/ceiling area =
C?
j. Total skylight area ........................ f
k. Total roof/ceiling framing area ............
1. Total net insulated roof/ceiling area .....
Determine "U" value for each roof/ceiling segment.
5 cri x "U?. 4"-- = f/ s 923 ? `?. r' 3
4 ..................................... Total =
k. / 1 X "U"
1. / ia 9 X „U„
If total of #4 is the same as, or less than 112, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items ll3 and l14 sha11 not be greater than the sum of items #l and i12.
1. 32o.3S + 2. 30.68 = 3S7.63
3. 290• 79 + 4. 2,6S = 320.q-`'
WnLL
lU1'E:•Use 102 of opaque wall area for
frame construction
kuyn .i Ot 4
Construction , . R-Value
1. Interior air'film 0.66
2. Cz'T P f3 R D <r S
3. 2x(?, sTV6S (oo$$ -
9. 25_/32 Shre,- 2„OC?
5. S?Oi.ti?.. UVC-7c FECr l o? ro
6. Exterior air film 0.17
Total
1. Interior air film 0.68
2. YL'C? ,YP (3Gy D o S'$S.
3. FULL u/?C.[,'/AiSLG /%?JU
4. z 5/32- z 06
5. S/D?tiG- OVE.? FELT ! 02 6
6. ESCterior air film 0.17
Total 2 3, 6 Z'
oo?t 2
Interior air film 0.66'
2. ' JNSV L / yPOo
3. ' 2 X_ la'i r it tS
9. 2 5-/3 Z S F-1't-C,_ Z aOCo
5. S/10/4/6_ C517 VE?/Z ?E"27
- ?e'2
o
6. Exterior air film 0 .17
- Total 2 $.O 5-
.
.
0 7LO
1. Interior air film 0.68
2. 2-// J?iSVC. // UO
3. 2,r4 FUR Rt N C>
4. 12 #1GO?c 13 COC f? ??l FS
5.
6. Exterior air film 0.17
Total /30/
. •. ? _- l/-_ ,n•-7 t?
6 . ?
:---
??? ?
?
, ??i . •' .
?zc.. Itn ??i k ? ? ? : •,
• ? / 4
• ??6 ? ? ? f
6 '. •, ' ? iri =
.. _
_ ? ' ?' ??i •
1 _ /?l
• tr /l ?? ? ?
? r??
,.. --
. 93 '.
r-
-_.I?: . ? .p r .
. o . ? ti .
. .• . ?. .
, ROOr/CEILING
i
I
ConstrucLion R=Valuc
1.Tnterior air film
2. e,Y ?'?3
$. BLbu.,N Qi'
4. Exterior air film (still 0,
'- Total 35, 8O
• ? ' V = .025?
. . , • .
lenCed
?
HeaC flow
up
FIG. #{5
' I
I '
I
. ,
. . , '
1. Interior air fzlm 0.61
2. C?YT? S 8
3. O!/E/t_ Tf: USS
4., Eaterior aii film stillr
. Total• 74F
v = .o?-7
Uj L-L?-J .
? `-QJ `--LJ `i
? , .
1 Ee:.L FZO47 up • i_ •vented
FIC. #k6'..i... • , ;.? , , ., .
.. -?--? . •- - -
?Z
, , • f1oW up
?. .
F7r,. A7 1 • . •••
, .
.? ?
1. Insi.de ai.r film O.G1
7..
3. ' . .
4.
' S. Oukside air film 0.17
Tota1
Notc: Use additional sheets•if more space a.s
needeQ for details and calculatians.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ?
.<,.??: : :;. :• ?'?,« _,.., _;? -
DATE : 7 /
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
.....:.:: e f.c.,.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
°---------
------------------------ --°----------------------
WORK DESCRIPTION ---- ---------°-----
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00 3
REPAIR WATER CLOSET 3.00
a BATH TUB 3.00 j.
LAVATORY 3.00 jD_
OWNEK NAME: KITCHEN SINK 3.00 -3
J LAUNDRY TRAY 3.00 3
SITE ADDRESS: _ HOT TUB/SPA 3.00
/ee
r?
?
I ? WATER HEATER 3.00 3
3
.?U?/ .?
LOT: oZ BLOCK
SUHD. ? FIAOR DRAIN 3.00
GAS PIPING OUT.
`
INSTALLER: L (MINIMUM - 1) 3.00 ,?_
-1 ROUGH OPENINGS 1.50
ADDRESS: Ce LcU C2cc F L _ OTHER
? WATER SOFTENER 5.00
CITY: J o 2? a_ ZIP: S? _
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #: yr1?- ?-1a I
SUBTOTAL $ `I ti• S?
ST. SURCHARGE .50
SIGNATURE 0 PERMITTEE o„
TOTAL: $ vc1 -
?i)F?SERGIAI::IFiDl7$?&?A'ji`: PLEASE COMPLETE THIS PORTION FOR ALL CODII4ERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQ UIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
Gw'NEA NhME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
is OE` CGidTFvAi.T FEn.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
?
_ ,.,.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 5
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED POR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR
FEES
OWNER NAME : _?Q ?!(/I7lL ?',? •
SITE ADDRESS:?oI ?G46r7KJ?Y'We?I /?% .?
/ rJ
LOT: ? BLOCK ? SUBD.? d^ .?
- -?
INSTALLER:
FLARE HTG, & A/ . •
ADDRESS: eIro Nn
cITY: Uolden Valley, MN. 5Z4P7
PHONE #: P-o -II !o Fi
FEES
??HME&?Tt?:%l!I?IVSTRTAPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
h,,.,.m... .. ,... . _._.,...
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FOR:
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: /
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $W100
STATE SURCHARGE: .50
TOTAL: $27,50
?
SIGNA RE OF PERMITTEE
$
( SIGNAT[JRE)
CITY OF EAGAN
1C 23r U?
? RESIDENTIAL,
BUILDING PERMIT APPLICATION
cirv oF eacaN ,,
3830 PILOT KNOB RD, EACAN MN 56122
857-881-4675 ' ?
NewConstrucibn BeaulromeMs
• 3 replstered site surveya gwwing sq. k. of bt, sq. fl. al house; and ?II roofed areas
(20%meximumbtcoveragealbwed)
. 2 copies of plen slwwNg beem & window sizes; poure0 Pountl design, etc.)
• 1 sei cd Energy CalCUlatlons
• 3 copies of Tree Preservatbn Plen tl bt platled atter 711193
. liim.bist Detail Optbns aelec[ion aheat (pWgs wBh 3 or less untls)
DATE u`. 3 ?`- ° 2
RemadeUReoelr ReaulremeMe
. 2 copias of plan
• tSetotEnergyCakuletionsforheetedetld'dbns
. isNesurveytoraxleYroratldttions8decks
• Indkate if home serveU by septic system for etltlNbns
VALUATION ? i ? QpO
SITEADDRESS 7(-z MULTI-FAMILYBLDG _Y _N
TYPE OF WORK 2?ti-e>e,rz ?- ?-g 7 n f FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS CITY STATE '-?ZIP ?-5?-`lvZ
TELEPHONE # 4?3 ffV'°Oy3 CELL PHONE # FAX #
PROPERTYOWNER I (5-'j - ^""'
TELEPHONE #
° -------------------- ---------------------- -------------- ------------ ------ -------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiTI,ES 7670 CATEGORY 1 1 MINNESOTA RULES 7672
(4 su6mission type) • Residential Ventilation Category 1 Worksheet Submittad • New Energy Code Worksheat Submitted
• Energy Envelope Calculations Submitted
Mumbing Conhactor. _
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No: of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
ugzi
Phone #
PhOn6 #
Fee: $90.00
Fee: $70.00
-------------------------------------------- r---------------------°---------------------------°--------°--°-----------
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 STaiutes and Ctry of Eagan Or nces.
Signalure of Applica
?r ?
._°--------------------------------°-------°--------'-'?----'_'.?' ? _... ...r.?...?---°_
OFFICE USE ONLY ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UPdated M02
2005 RESIDENTIAL BUILTitNG PERMIT APPLICATION (!4-7p pb
U City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reouirements RemodeVReoeirReauiremenGa Office Use Onlr
3 2giste2d site surveys showing sq. t4 ot lot, sq. ft. of house; end aIl roofed areas 2 wpies of plan CeA of Survey Recd Y N
(20°h maximian lot coverage allowed) 1 set of Eneigy CaLulaGau for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site suNey for additlom & decks Tree Pres Required _ Y_ N
1 set of Eneigy Calculations AddiYion - indicate 'rf on-site septk syatem Dn•sffe Septlc System _Y _ N
3 copies of Tree Preservation Plan'rf lot platled after 711/93
Rim Joist DetaB Options selection sheet (buildings w(ith 3 or less unlts)
on Cost V --
Date ?/ nW)= Constructi
Site Address 4 CA_Q Uuit/Ste #
Description of Wark
4
i
'
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Ow
er
P
t (1 V 1A Tele
hooe i6j ) ?CJ p p" 029
n
roper
y p
i - ---
I RENEWAL BY ANDERSEN I
Contracror 1920 COiJNTY RD "C" WEST
Address ROSEVILLE, MN 55113 City
State 651-264-4777 Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateeoN 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code WoAcsheet
(Jsubmissiontype) Su6mitted Submitted
. Energy Envelope Calculations Submitted
in the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl in the case of work which requires a review and
approXa& plans. I n
46licanYs Printed Name KpplicanYs Signature
??.?..s?•,? ?uv is.vo raa roa ?t ` .
? •4fl60 ?ry?SdkL 131°ktYfJRt4YtSff ..
? • wVU
?e ?,? ?.?,. . . . = .
. runb ?, zao? - - _ .
3836 BiItrt S.ttob Roai • '
Eagfln. MN 55122 . - - ,,. .
. T° whom It May concern: " .
E[der7ones is anthorized topm bWLEngPwmitsforRc,tecyal bY,??sen. Pteasa snow
ffidcr Jones to provide this
datc bcyond 616101; scrvice fnr us in HVan. 'titjs amhpr#zazinn is
to the'Ctty vaiid fpr ary
. untit a ?? hy, ??n ? ? revokes it !n wifting
o?? this antIiodzatioa be accqted'?@onsly. as W not deIay in the ?? of
coritacbed at'f63 Sp2.,¢(?-?' Plcaac caIl mc If thcx? aoe nay qneu(ons.. I can ba
r _ •
. ,,
Y'ouL itnuOioe alletiori to tis m8ttci' i4 .-
s??y> , . . ' .
X.
7tau usca[IationMauuagcr '
Renowal by Andascn CorPoratitaII
?c: Knrn-F.Tder T?nes - . -
??'?.?..??. ?•??..zR,p
. G - ?-?, . . . ? y Off 0. !.• r ' rrowy q,p?o??AL
Received Time Jan. 7. 1:o1P}d--
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126867
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 762 Camberwell Dr
Lot:2 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick J Quinn
762 Camberwell Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139008
Date Issued:10/04/2016
Permit Category:ePermit
Site Address: 762 Camberwell Dr
Lot:2 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Patrick J Quinn
762 Camberwell Dr
Eagan MN 55123
(612) 406-7450
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:EA151306
Date Issued:08/17/2018
Permit Category:ePermit
Site Address: 762 Camberwell Dr
Lot:2 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-020
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Patrick J Quinn
762 Camberwell Dr
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172816
Date Issued:10/18/2021
Permit Category:ePermit
Site Address: 762 Camberwell Dr
Lot:2 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Patrick J & Mary K Quinn
762 Camberwell Dr
Saint Paul MN 55123--393
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature