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763 Camberwell DrINSPECTI CITY QF EAGAN 3830 Pilot Knab Road I Eagan, Minnesota 55123 ? (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: t 1? 1 Ns, v????t fi,s•, ? SITE ADDRESS: 14 rl, ?, te? I r,<rk;, ;Aii I i .I.iFt ? PERMIT SUBTYPE: ?It rit 1 tlN f:, APPLICANT: TYPE- OF WORK: 1-1Ne{I COA I I. Permk No. Permit Holder Date Teiephone # S!W PLUMBING HVAC ELECTRIG ELECTRIC Inspectfon Date insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Hlg. Orsat Test Final Plbg. Plbg. Inspector- Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Oeck Final 4 5 X'20 Well Pr. Disp. ?? uktrfifi.ra#t ,af Orrupaury titp of (tagan Erparhnmx o# wuildino 3wgrtinn ? This Cerlificate issued pursuant to the requirements of SectioR 306 of dce Uniforin Briifding Code certffying tJrut at the time of issuance thir struclure was in rnmpliasce wilh 1he various ordinancer of 1he City regulatfirg building constnuction or use. For the following: use amw=SM SE nwr;/cAR eWa. Ptrem;t xo. 156 J O-V,tt,, TYM Bffi!Ml Zoo* Dhbic, PD/R-I T,pe Coft Vn r-TNIER H(MES Add.5924 RAM Ri], MIKA &.u* Add. 763 L"EC,L D VE L;yL14, B2, HILIS OF SIMEBRIIXE : ,-% ?( ?? ---- - - ??: 7/16/92 PUST IN A CONSPICUOUS PUCE ? ? ' I I ..v.?. . ._-_ . .....,._....'__ ..... .. .. .. . . .... . . . .. . . ... '... . o .. . '.. . . ._,,:.. ," " ' _'..: . ..... _ L,_.1 _r_tt_ . ? .-._??_?_...___,.... -_ . jl i Address: 763 r,MOEFIqT DgIVE Lot 14 Blk 2 Sec/Sub Hns 3_RD These 3tems were/were not complate at the time of the final inspection. pate: 7/16/92 Yes No Tnqpprtnr: Final grade (6" from siding) v Permanent steps - garage ? Permanent steps - main entry Permanent driveway ? Permanent gas Sad/seeded grass Trail/curb damage Porch VL Basement finish / Deck vl- Please verify vith the builder the ramoval of roof test caps £zom the plumbing system and the shut-off of watar supply to the outside lawn £auoet befora freeze potentlal exists. ? MCYRfONRII White - City copy Yellow - Resident copy Pink - Contractor copy 7u,3j? HOUSE HEATING TEST RECORD ADORESS ? e"? ?e.--LAli J l( APT. -FL OR CITY ??SUBURB OCCUPANT HEAT LOSS DATE HTG. INST OWNER SOLD BY INSTALLED BY Elacfrical Werk &. Gas Lin. gy TYPE OF HEAT GA - FA _HW -STEAM _SPACE HTR. -UNI TR. -OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modal ? Model ? Sxial Max. BTU Rarirp INPUT /?E?d1'J ,? ?(? ?• MAKE OF fURNACE i Mod•I 7 / rnurrzrn s TNERMOST T " - Valva L imi t Limit Ssning Fan Settin9? Pilot Type Pilot Maks Vont Size KIND OF LINE SIZE NONE ? Droh Hood ? C Reyularor Ffltsrs Siza Nu 6 Chimrny loeation I ids j o0,utsida Chimnsy Conshucfion - Pilot Model r Smoke Bom?b+ ??? Wiring Pilot Timing 7c ? f L Droh '?rFP ?C'e Tast Tap L.W. Cut Off ? Doar Presaura - ? Lightinp Insi. Prsssuro Porcent CO ?" `? ' ?te Tested Input CFH 1W Pmcent Z ? ??mpany Taa+' o?? ? t Stock Tamp. Psresnt CO 6 Name of Tsst Fwm 235 C?r i 413 a., ?Z? ? -s 2E' HOUS/E HEATING TEST RECORD ADDRESS "76-3 C/a-m.?Te4(.E,IQ/G/ APT._FIOOR CITY4;r,4- SUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Elechieol Wwk By Ges LirN By TYPE OF HEAT GA _ FA HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE ?4^5- MAKE OF BURNER _ Modal TI/C.1Ll`?B 9e? Modsl Ssriel Abx. BTU Ratiny- INPUT L001 4k'2Q MAKE OF FURNACE Mod.l CONTROLS THERMOSTAT S Msoe Pluy Volve ?y limif r' a Limf/ SsMiny 0149-6 Fan Settinq ? Pilot Typs s Pilot Maks J'Al Pilof Modal Pilof Timing Vant Size - KIND OF LINER iC CONVERSION SIZE NONE Drah Hood iCepularor FilHrs Si:• Numbsr Ohimney Loeafion Ins? Outsida Chimnsy Construdi Smoka Bomb Draft _ Wirinq - Tsst Taq L.W. Cut Off Dow Praasurs Liqhtiny Inst. ?- Prsssuro 3° ? We Pocam C02 7r Dah Tested InPut CFH Parcent O? Compony Testing ? Stoek T?mp. ??? Percent CO 0/• Nams of T' sHr Fam 235 -y/ao y d--- /os-is 7? ? 4 815 Repuesl Date ./? ? ? Fre No ugh-in Inepection tl7 e ire ? Reatly Now ?Will NotNy Inspecror ' ? T ? es ? No When Reatly + I licensed contractor ? ner hereby request inspection ot above electrical work at: JoD Adtlress (Street. Box or Foui Ciry S?rnon No Township Name or No Range No. Counry GccupantlP T Phone No i Power SupPlrer / ?r Atltlress Eledncal CqnV (COmpany N9pRr+ lf G%w CoMraclor§ L¢ense No Maili A ress Vactor or Owner Makin Installalion) ANM1Orrzetl $igna?u onfrec or/Owner Makinq I) 1 Phorie Number I 16 6- MINNESOTp STATE BOAflD OF ELECTqIGITV TMIS INSPECTION REOUEST WILL NOT GHggn-MiCway Bltlg - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 Unlvemty Ave., 51. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone(6/2)602-0800 ENCLOSED REDUEST FOR ELECTRICAL INSPECTION eaooomq-oa lf? ?e inslmclions tor mmpieM1ng ihis form on back ol yellow copy 'X" Be/ow Work Covered by This Request 4781 5 J " ew Adtl Rep 7ypeoleuiltling AppliancesWiretl EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bmlding Dryer Other (SpeClty) Comm./Industnal Furnace Farm Av Conditioner Olher(syecity) CoMractor§ Remarks. Compute lnspecbon Fee Below: k - Other Fee 7k SemceEMrenceSize Fee # Cirouits/Feetlers Fee Swimming Pool 0 to 200 Amps D M 1Q0 Amps Transformers Above 200 _ Amps ? Above 100!, Amps Slgns Inspecmr5 Uae Only: ' p7p? - Irnqation Booms ' o ,O? ? ? Special Inspection Aiarm/Communicahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby d Rough-in oate cert y that the above inspection has been made. Final oa e ?? OFFlCE USE DNLY This request voi0 1B monlhs irom ?os??? r .?,? ,?a, .1a DO & - ? ?`?? °? Request oat? ?' ?' i ^ , Fire No Li' ougn-in Inspection R¢?uiretl' ? Reatly Now ? Will Notily 1?50ectar 1?9 ? "- ?}Ves = No Whan ReeCy7 Ig licensed coniractor p owner hereby request inspection of above electncal work at: Job AEtlress SlreeL 8oc or Route No ) Gty 763 Camberwell Drive Ea an Section No Township Name or No. Range No CouMy Occupanl(PFINT) Phore No Centex Homes PowerSvpplier amress Dakota Electric Fjecv¢ai Convacmr (Company Name) ConVacrork L¢ense N. Lazer Electric, Inc. CA 01110 Matlmg Aptlress (Conlractor or Owner MaWng Installalion) 8383 Sunset Road N.E., Minnea lis rIN 55432 AmM1OnzeO Signalare ICanVactq iOwner-Making Installalion) Phone Number , -1416 6 784-3729 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION flE0UE5T WILL NOT Grlggs'Mitlway Bldg. - Haom S173 BE AGCEPTED BV tHE STATE BOAflD 1821 Univenity Ave.. St. Paul. MN 55104 VNLESS PROPER INSPECTION FEE IS Phone(B1Y) 642-0800 ENCLOSED 'J47852 REQUEST FOR ELECTRICAL INSPECTION ? See ins[mcimns br completing thrs brm on Oeck oi yellav cJpy "X" Below Work Covered by This Request E13,00DO//,_? d??`? ?' ?10.57e?/ ?V e Add Rep. 7ypeofBUilding AppliancesWired EquiDmenlWired X Home Range Temporery Service Duplex Water Heater - Electric HeaOng Apt. Building Dryer Other (Specify) Comm./Industnal Fumace Farm Air Conditioner Other(syeciyl Convector§ qemerks. Compute Inspechon Fee Be/ow:' R ' ONer Fee # ServiceEniranceSize Fea # CircuiGS/Feetlers Fee Swimming Pool 0 to 200 Amps O to 100 Amps hansformers Above 200 _ Amps ? A6oJe 100 _ Amps Signs hspectw5 Use onry. Tp7pL *• Irrigation Booms $86.50 Speaal Inspection Alarm/CommunicaUOn THIS INSTALLATION MAY BE OR fiRED'DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, ihe Electrical Inspector, hereby ROOg"-'" ?Z1 ?cr certify that the above inspection has been made. F,nai oe?g_ .i OFFIGE USE ONW Tpis request vuitl 18 mmths irpm f39554 Fequest Date Fre No. R -in Inspechon R ??? ? Reatly Now f?Will Notily I pMw 3-18-92 ?? ? When Rea '! I fX licensed contractor O owner hereby request inspection of above electrical work at: Jo0 Atltlress (Street. Box or Raute Na I Cily 775 Camberwell Eagan Section No Township Name or No Range No CouMy OccupanllPRINTI Phane NO Centex Homes Power SuDDlier Adaress Dakota Electric Elenncal ConVactOr (Campany Name) Conheclor} Lwense No Lazer Electric, Inc. CA 01110 Mailing Atltlress (Contraclor or Owner Making Inslallauon) 8383 Sunset Road N.E., Minnea 1's HuIDanzeO Signalure ICanVactori wner Making Inslallation) Phone Number /0 1 6 (Ud-QA . 784-3729 MINNESOTA STATE BOAFD OF ELECTfiIqTV THIS INSPEGTION REOUEST WILL NOT Griggs-Midway Bldg. - Noom S1]3 BE ACCEPTEO BY THE $TA?E BOARD 1621 Unlvereity /.ve., 31 Paul. MN 55106 UNLE55 PROPER INSPECTION FEE IS Phone(612)6C2-0B00 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ??°"-?? ea.ooom-oa ?., _ ? See insiruttions for complellng ihis form on back ol yellow copy. J 3 9 5 5 4 "X" Below Work Covered by This Request ew Atld ep. -TypeofBUilding AppliancesWired EquipmeMWiretl X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specily) Comm./Indusirial Furnace Farm Air Conditioner Offier (specity) Contractar5 Remarks Compute Inspeclron Fee 8e/ow: # Other Fee # ServiceEntranceSrze Fee # CircuASiFaetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers A6ove 200 _ Amps Amps $iJ05 Inspector5 Use Only OVLWTAL trrigation Booms ?? ' $$6.50 Special Inspec[ion Aiarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTNS.;, ? I, the Electrical Inspector, hereby Roupn-m ??,;,7? /{b .9 oale' certify that ihe above inspection has been made. F„?ai ? Date OFFICE USE ONLY This repuest wiE 18 moMns from ? INSPECTION RECORD I C°nt °l "°. 0161 ,. . ' ?dITY OF EAGAN PERMIT TYPE: 54"LpINg (3830 Pilot Knob Road Permit Number: '0"4" Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: toY, 14 BLUCK 1 2 APPLICANT: 169 CAifBEllWCLi LtR C@NTEX MQMe9 illll5 tlF STfIt1EPRISlOt 300 (A12) 986-1088 PE?MIuJ%UBTYPE: TYPE OF WORK: oew INSPECTION FOaT2I1S D. fRAMIMB .A .?.__. _ IpSUtA720N PINAL P IRtPtAf,E .. ` MI'NARKRe 3 b WCSkN{TRACT'OR - PLIFMOU`f14 P3.80 •. PermR.NO. Permi[ Holtler Dale Telepho're # SNf PLUMBING ? - 7177 ?ZL HVRC ELECTPo ` • jyJ.. ' °v ELECTRIC v/?7g?? ?iO? 'CO?B_e . !/??p?e?• ??o° v Inspection Date Insp. - ? Comments Footings l Foundation r 6AA6"'7 o L+Oi Frammg Roohng Rough P16g. Rough Htg. IsN ?O/ya Fireplace v, , Final H1g. ' 4(11/ Z Orsat Test . RnalPlbg. S!.92- oolY Plbg.lnspedor - NOtityPWmber Const. Meter Engr./Plan Bidg. Final 7 ?L Deck Rg. Deck Final Well Pr. Disp. > CITY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 769 CAMBERWELL DR LOT: 14 BLOCK: 2 HIILS OF STONEBRIDBE 3R0 BUILDZNG 000156 04/02/92 SITE ADDRESS: DESCRIPTION: Bu3ldirlg Permit Type SF OWO Buildin Glqrk Type NEW ,-'UBC Occuparicy? R-3 M-1 Construction T`yp'e V-N 2oning PD R-1 Building Length % 54 ' Building WidCh 35 \ f ti n L ? ? ? r-? l? J ?- " REMARKS: 01011?I33 S& W CONTRACTOR - PLYMOUTH PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC 3AC 8 SAC Units Subtotal PERMIT PERMIT TYPE: Permit Number: Date Issued: VALUATION $144,060 $793.50 ;515.78 E72.00 $700.00 100 1 $2,081.28 CO_-CENTEXONDMES - nppli 5929 BAKER RD MINNETONKA MN 55345 (612) 936-7833 MISCEILANEOUS $1,610.50 COPIES $1.00 Total Fee $3,692.78 cant - sr. NER 19367833 0001 3 WCER'fiX HOMES 6929 BAKER MINWETONKA MN 56346 (612)936-7833 I L I hereby scknowledge that I have read this application and state that the information is cor ct and agree to comply with all applicable State of Mn. Statutes andit it Eagan Ordinances. fi.?r?l I rn ?f APPLICANT/PERMITEE GNATURE ISSUED V:?IGNAfUR? INSPECTION REC4RD Control No. 01 61 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lor : 14 763 CAMBERWELL DR HILLS OF STONEBRID6E 3RD PER1AIaWS?UBTYPE: TYPE OF WORK: NEW D. . D. INSPECTION FOOTING FRAMZNCa INSULATION FINAL FIREPLACE REIOARK3: S S W CONTRACTOR - DLYMOUTH PIBG F PERMITTYPE: suiLoinG Permit Number: 000156 Date Issued: 0 4/ 0 2/ 9 2 BLocK: 2 APPLICANT: CENTEX NOMES (612) 936-7833 Control No. 0161 L PERMIT N CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION ` 681-4675 *36 9a, ) r tiAR 3 Q REcO, 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 lot chan e is re uested onc ermit is issued. Date Valuation of work ? -74?3 6 , Site Location: STREET STE # Tenant Name: LOT / BLOCK ? SUBD. I P.I.D. N Descri tion of work: The applicant is: Owner Contractor ? Other (Desoribe) Name Phone Property F ST Owner ? Address L?Zf STREET STE # te Zi p 46e St a C i ty / Phone 93tal- J'3 Company Contractor Address License # Z l33 Exp. City State /01? A/ ZiP Company Phone Architect/ Engineer Name Registration # lfgl Address ff City State ZiP Sewer & water licensed plumber 0/? U? • . Processing time for sewer & water permits is two days once ar has been approved. I hereby acknowledge that I have re t s application nd state that the information is correct and agree to comply with a li a S f Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: BUILDING PERMIT TYPE ? 01 foundation 4 02 Sf Dwg. O 03 Two family O 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE ? 31 New 32 Addition ? 33 Alteratians OFFICE USE ONLY ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Ftnish ? 10 Swim Pool ? 34 Remodel E3 35 Repair ? 36 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Porch ? 12 Corten./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. C) 15 Public Fac. O 37 Move ? 38 Demolish O 99 Undefined Occupancy R 3 M-I Basement sq. ft. Zoning p p R-I lst F1. sq. ft. Const. (Actual ; y_ N 2nd F1. sq. ft. (Allowable Y- N Sq. Ft. total B of Stories Footprint Sq. ft. Length 5 y, On-site well Depth 35' On-site sewage APPROVALS Planning Building DS' Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final O Framing ? Draintile ? Insulation O Fireplace Permit Fee '793.50 Surcharge 92.00 Plan Review sls. '70 License MWCC SAC 7 oD. o a City SAC 100.00 Water Conn. 6q5,oo Water Meter 95, o0 Acct. Deposit 30.00 5/W Permit 30.00 S/N Surcharge . Sn Treatment Pl . 300 , o0 Road Unit 38o.oa Park Ded. Trails Ded. Cop i es ?, pp Other Total : ?; ;z a • _ SAC % ioo SAC Units t v.Lusc;an: s 14 4, e vo MoDEZ -A r2 65' = ly 3, . ?+ . ? ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System Yes City Water YEs PRV Required Booster Pump Fire Sprinkler Census Code ioi SAC Code bL Assessments 't p10NEEA * ? unu 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 engineer ng uND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 ic * ? * 11(612) 783-1880-Fax 783-1883 Certificate of Survey for: C@C1teX, Incorporate , s 89•03'24" w 59.37 ----- ? ---------- / 1 A 1, / ILr ? ? sos_ ? N ? '3'9$57. W I ? M pR? 4e.. W h°?I ^6.0 ~ ?2 COUqS?g Spu'T ?82-? ? vl / u GAR ? 1 1547 N A? \ Bj D ^+ ry O \ \ \ 971.5 ?b'< ? 9J$p i4,d3 i ? ? ?-J-`s`? ? ? ` ? ?00 \ OR/VEW y I Ca?1 6•20 ---- ? 4 R v 28 23•11'0 4- A ? 1 717 ? rA'V`c u ? ?LJ ?? ? -- , (? B; -? _ ? . ._._.? , -- DR1V E.?. GAN ENGT Pd'is:r?I:: ; G D: r-'•1, . 900.0 Denotes x 900.0 Denotes - Denotes - Denotes ---o-- Denotes -g- Denotes House Address: 763 Camberwell Drive Eagan, MN Model Name: 765 Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown PROPOSED HOUSE_ELEVATION Lowest Floor Elevation:905.55 Top of Block Elevatfon:913.66 Garage Slab Elevation:913.33 are assumed LOT 14 , BLOCK HILLRD ADD? 10 BRIDGE D MINNESOTA 3 I hereby certlty that this survey, plen or report wes praparwl by me or under my direcl supqerv?fsion end thal I am duly Registered Land Surveyor under Nhe laws ol the State ot Minnesota. Dated this?Q? day of M?? 19_L?. IflCfl _ ROBERT 6. SIKIQH L.S. AEG. NO. 05 91336.15 .'?- . LoT ly, gL-ocK ZI HIL-LS oP S7DNs821ci6,c .3RD AaDInoN Fianning Cesign Inc. ?. F, l 1 Fli ghway 10 N. E. hlinneapolis, hfN 55412 n 12-780-1920 corM. ru0. v9?0579 Flinnesota State Energy Code Calculatians Pased on Chapter 5 of the Model Energy Code 19°3 Edition -- Adapted 1l1f84 4wner: S1t_C` AdGCY55: Cv;,f_r act.er: CiQDEI_ #7UJ GEh1TE',. H0I'!ES COMPt. NO: QJ[i?5? / BIdy. Class: OFt•IEP.r1L INFORF1h'tTION Pfiane: A± A1 #or Single Fami.lyrDuple;: A2, residential ! 3 stories Over- 3 stories Other Plotn: Tt;e 3ection dasignations ("Section A", "Section B" etc.) are for r_onvenienca in ca2culacions enly, and are not r2lated from one set vF cai.culatiorzs Lelaw to tlie ii2xt. 1. Pldg. Walls Perimeter >: Wall heights, = Area greund to eave Sectiuri A : 156 19.83 = Z093.48 ScLtzun A : <) G - 0 Section C : 0 n - 0 Section D . 41 U `' Gross Wall Rrea = 3093.43 2. E<uilding dimensions Floar ar Ceiling Length >: Width = Area Section A: 16 14 = 224 Section P: 32 28 = 896 Section C : 0 V - 0 Section D : 0 4 - 0 Total floor or ceiling area = 1120 .;. F.im .Ioist Perimeter = 156 Flovr joist 2 by (L", 1411, 12" ar 16")): 30 Rim Joist Area = 130 4. Door s Area: 43.8 TFiickness (inches): • U Ferimet4r (feet): v Type uf construction: 5. Total door's perimeter: 0 b. GJincivws Mt , Mant.if act.un-er: :3ta1•e apprcived: .r, pp OSt•IT. UP1IT DQllBLE 1AJh1G5 ?YPP S. Patie Door: °. Atrium: ?C). Firepla[e area Ws d±h: Total 5q Ft = M 11. E::posed Faumdatiun Height arez A: Sq Ft area A = E>:posed Foundatzan HeighE area B: Sq Ft area B = 12. Gross viall area minus l+lindow area Fatio door area Rtrium area R.im jaist area Doar arra FireplacA area Er.pused Found. Framing area equal s Tutal.s rnr net wall: 4JEFrlIERSNIE1_D U factor: 0.47 vEti H?%!iqht „ Lvny_th ,. f•li_imbEr = Total ;incties) (Inches) of gtass SyFt lllll±5 14 ^c! J 7.88 28 16 4 12.44 16 24 4 1!).67 16 213 2 6.2? 2$ 29 12 65.33 20 •??'+L i 1i.44 7_,i 36 14 84 72 36 h 31 {) Ct Ll Ci t] U 0 0 O o 0 0 p U 6 6 ti Cl 0 0 7. Window glass area (SqFt) _ ^<rU.38 Heiqht x Length >: Number = To+Al rfeeti (feet) units SyFt 0 0 4 v 618 2.8 2 38.08 6 Hei-cht: 5 Ttl 0.67 Pe rimeter area A: 156 204.52 ' O Pe rimeter area B: tl 4 SqFt U factor U:: A 3093. 48 230.98 0.47 108.56 O Cl U 38.08 0.47 17.9 ? 130 0.035 4.55 43.8 0.14 6.13 ZNG 0.17 5.1 , 104.52 0.14 , 14.63 309.348 0.069 21.35 2206. ?52 rJ. 0,37 E31. 65 'inc??! s fnr :?res? t?al I area: ?:?W. ;?.+ .. Frciminy ai-ea ic. 10' . of fy'fr,53 4JC1I; area '_7. Gross wali -i; ea >; factor belew = U 7; A per cade Factor is .il ;or A-? siny?e tamily & duplex .23 `or A-2 and other residentia] .23 for other 6uzldings .28 f nr over 3 stories FaCtO!^ i 5: U. 11 Ii7'Ui l= 340.232$ MIJST EE > QFt = =9. fl7 fcelcula'Ecd abuvei :4. riru3•= rei 1 i na area = 1120 1Z:,. L'eilai:cj Framing ar 'a !10;? uf ceiling areas = I12 16. Joist Area :101 , of ceiliny -Areai = 112 17. P1et eei.ling area ( Gross ceil. 2rea - Joist area) = IC148 13. U ceiling: :1.021 >: Net ceil. area = 21.168 1°. U framinq: 0.024 y, Joist area = 2.68$ 20. Tota2 of item 18 x item 1° = 23.856 21. Grq55 ceiiinq area x factor below = U r. A pei- code Factor i:, .025 for A-2 sinale famil/ u duple;: .433 for A-2 and other resideiiz.ial .46 for oElier 5uildings Factor is: <<,026 E:TUH = 29.1i f•tUST PE i OF = 23.856 (calculated above) r 2 %' G / HIC$ "R' SFIFATHIIIG W11LL SCGTION 5141D SDCPION RIM JOIST EON. u vnr.ue cnr.cu[,n•riavs R VAG[7L Inside air Lilm .GD InCerioc wall .45 Insulation 19.00 SheaChiR9 6.0 Siding .67 outside air film .17 R RVPAG 26.97 u vnr.ur: (wall) U = 1 = R Z037 Inside air film -60 • Interior wall .45 Stud - G" 6.50: (P[amin4) U= 1= Sheathirg . 6.0 tt Siding .67 • .069 ouL•side air film ' .17 ' R TDPAG 14.47 -Intecior air film -60 Insulation 19.00 1 2 iF?ch soft xoal 1_88 (itim Joisl•) U= 1= Sheatlung • • 6.0 lt Gxterior vall coveri.rg .67 - .035 Exterior air film .17 R TOM 28_4 Intecior air film . .68 insulation . 5.00 - • . Famdation (12 ' elock) 1.28 (Founeatiai) U= 1= Extetioc air film' .17 K .14 R 1OP1\L 7.13 ? CIT* OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55723 (612) 681-4675 PERMIT ' PERMIT TYPE Permit Number: Datelssued: o?e- /c j a C; 71-'?-/?? BUI DING 021489 07/21/93 SITE ADDRESS: 763 CAMBERWELL DR LOT: 14 BLOCK: 2 HILLS OF 3TONEBRIDGE 3Rp P.I.N.: 10-32992-140-02 DESCRIPTION: BG'ild 1Building Permit Type DECK 4York Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 GOPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - NEUDAHL GRAIG 763 CAMBERWELL DR EAGAM MN (612)681-9260 I hereby acknowledge that I ha3e read this application and state that the information is correct and agree Co comply with ell applicable State of Mn. 3tatutes and City of Eagan O?dinances. L A?I? ISSUED Bk"SIGINIRMIRE IT SIGNATURE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euiLoiNe 3830 Pilot Knob Road Permit Number: 021489 Eagan, Minnesota 55123 Date Issued: 0 7/ 21( 9 3 (612) 681-4675 SITEADDRESS: LoT: sa BLOCK: 2 APPLICANT: 963 CAMBERWELL DR NEUDAHL CRAIG HILLS OF STQNEBRIDGE 3R0 (612) 681-9260 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW - - ? - - -., .. . ' r . _ ?;. ? ... - IL REACTIVATE HECENED PEtir+rr ,I U l 0 2 1993 (5? --------------- :? cmr oF eac,AN 1993 BUILDING PERMIT APPLICATION 681-4675? ??i vpl- ?C:p 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: 1) when permit is typed, but not picked up by last working day of month. in which request is made, Z) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of workc?qd0 •?-? Site Addr ss: ?? 9 CAi,ll l-CweM c{r S7REET SUITE M enant Name: (commercial only) IAT SIAC& ,2- SIISD. o Sfo nP ? P. .D. N Descri tion of work: l The applicant is: Owner O Contractor ? Other coes«ie.> Name C i'ai' Phone l291 9c,2 ?a b Property L.sT FIRST Owner qddress ?7?0 3 Ca STREET SiE M City ? State ? M?v?? Zip .SS1 2_3 Company Contractor Address License N City State Zip C Phone Architect/ Englneer Name egistration M Address City State Sewer & water licensed plumber . Processing time for 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 applicable Stat o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` e9•03'24's w 59:37 - - ? -- - Ga SPl-e. T V -=- E lect;-I... "N ? ? QT T?e.sv ti??1,,A Akivwny HbPfQ Sl?ewa1k? / I lk)4k&v V0.NVf- I_ -1 ^ I?r ? ? ° I ' bv x °' ? ? ? I , a C9 o? . (O . 00 ? ? 911 S ?? "t PROp ? d' 12 p "S 13A 'ENT ?1 CqRA??, 1 r??i ? ?0 y 8 g r9? ? O _ ? ??67 a 4'33 N + ?.07 o ?! o . oCID ? • ?. ??` ^ 13. ? ?4?J3 \4 ?? n I n \\ 1L` ;?b'? ?\ ?.? O ? ? ti ,. ? ` ?• 0@ 9111 y war 16,2? ? zq 908tg CA V908, o 4 rV? ?- ` ? ----?.._ ? -- ??`. h??, ,? ? C1TY OF EAGAN L? B1?_ ?,? MECHANICAL PERMIT RECEIPT # C 8 a7 SUBD. ? (612) 681-4675 DATE RESIDENTIAL PLFr1SE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR TOR`NHOMES/CONDOS R'AEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELIdNG iTNIT. j . ?, ?",-7 - io• owxEx: ? c?qJ 2? G? FEEs SITE ADDRFSS: ADD ON/RE1?40DEL (E7IISTING $ 15.00 41`? jd h CONSTRUGTION ONM ;.. •. :• . ...:: .. :. . .. .... . . . i AVAC: 0-100 M BTU 24'00 INSTALLER: ADDITIONAL 50 M BTU 6.00 ADDRESS: GttS CTJ':LETS -.MINWIIM 1@ $3 CTIT: ZIP: ??L1 SURCHARGE: $ .SO SIGNATURE:, ? TOTAL: 11 $ ? COMMERCIAL PLEVSE COMPLETE THIS PORTTON FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR ApARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. WORK DESCRIP170N: CONTRAGT PRICE: I FEFS 196 OF CONTRACP FEE• ? STATE SURCAARGE IS $.50 FOR EACH $ $1,000 OF PFRMTf FEE. PROCESSED PIPING - $25.00 Fs ;.si`??-, ? - ?.? uiwi ur rrtiqj" rvic ?iai uaa vnLi • 3830 PIIAT RNOB ROAD EACAN, MN 55122 PERMIT 1f PHONE: (612) 454-8100 RECEIPT k 05 5 O ?BXWG ?'Ei??? DATE: &ZZ sp YLEASE COMPLETE ?: IIPPER YORTSON ONLY FOR SINGLE FAMILY DWELLINGS 6 ,.,. ,.<.,.w.?.,..:. ... TOWNHOMES/CONDOS WIIEN PERMITS ARE REQUIRED FOR EACH IINIT. _ _-_-_ _-__-_ __-___-___-------------- L10RK DESCRIPTION ----- ---------__--___-____ __-_ __--___-___-___ COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEU CONST ? ADD-ON MINIMUM 15.00 ADD ON ? SHOWER 3.00 REPAIR WATER CIASET 3.00 ? -R BATH TUB 3.00 6' IAVATORY 3.00 707 OWNER NAME: ? KITCHEN SINK 3.00 ? ? ]AUNDRY TRAY 3.00 SITE ADDRES HOT TUB/SPA 3.00 3 ? ! WATER HEATER 3.00 LOT:? ? FIAOR DRAIN 3.00 3°ro GAS PIPING OUT. 3 ? INSTAI.LER: (MINIMUM - 1) 3.00 - ROUGH OPENINGS 1.50 /?J ° ADDRESS: 14745 South Robert Trail _ OTHER _ WATER SOFTENER 5.00 CITY: Rosemount ZIP: 55068 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE TOTAL: .50 S sd ? ??IM&IEG?ALjI?;7AUSTRYAI.;.' PLEASE COMPLETE THIS PORTION FOR ALL COMAfERCIAL/INDUSTRIAL BVILDINCS ANT af' W 'MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACF DWELLINC UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: YHONE fOR: CITY OF EAGAN ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARuE - $.50 FOH EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) ?3b? 1 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 ?--? Naw Construclion ReauiremeMs • 3 regislered si[e surveys shovnng sq. il of lol, sq. ft. of house: and ell raafed areas (20%maximwn lot coverege albwed) • 2 copies ol plan showing beam & window s¢es; poured found design, ek.) • i set of Eneyy Calculations • 3 copies of Tree Preservalion Plan if lot platted aNer 711193 • Rim Joist Detatl Opfions selecfion sheeY (bldgs wAh 3 or less umts) DATE ? IO I? SITE ADDRESS IVJ ) l TYPE OF WORKIM APPLICAf NT? STREET ADDRESS ? TELEPHONE ? PROPERTY OWNEr& --------------------- ULTI-FAMILY BLDG _Y ZN FIREPLACE(S) _ 0 _ 1 _ 2 TELEPHONE# - -5+D- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"1'A RULES 7670 CATEGORY 1 MIN (J submission typa) . Residential Ventilation Category 1 Worksheet Submitted • N o? rl }ie? . Energy Envelope Calculations Submitted ff,'r JUI_ 0 9 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mech:uiical systein includes: Sewer/Water Confractor: Air Conditioning _ Heat Recovery System Phone # Phone # Fec: $70.00 -----------------------------------°---°------------------°-----°---°---------------°---------------°-------°----- I hereby acknowledge that I have read ihis application, state that the information is correct, a agree to comply ,?djnancej. A? ? with all applicable State of Minnesota Statutes and City of Eal P Signature of OFFICE USE ONLY Water Softener _ Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths R.modeuReoair 2eauiremema • 2 wpies of plan . 7 set of Energy CalcWations for heated addNOns • 1 site survey for exterior addilions 8 decks . IMirate if home served by septic system for add'Aions VALUATION I'TWlJ Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Uptlated 4/02 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 763 Camberwell Dr Lot: 14 Block: 2 Addition: Hills of Stonebridge 3rd PID:10- 32992 - 140 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Craig R Neudahl 763 Camberwell Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA087125 10/27/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Use BLUE or BLACK In r For Office Use vi, /c/6 , SY�City ol Laau Permit#: yy��,, Permit Fee: 2.�` n CC- ,.,„ •,' ' ,. ' 3830 Pilot Knob Road cf.: .. 1 Eagan MN 55122 -'' Date Received: e?-?-(. ' r") Phone: (651)675-5675 /jL buildinciinspections cni cityofeagan.com Staff: /"f`7 �1 /J /0-177 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/2-6 Site Address: --2(,z A pc vk,< !I Unit#: Name: 1/'4�3 / ''a'Zcf d `j/ Phone: �5 i �/S'z —S767 Resident! Owner Address/City/Zip: X63 (',,,--+ k'-i.jc// ..(7,-< Applicant is: x Owner Contractor Y !; T Y e f Work vel Description of work: 1610k,1 s �C•v cl ,h5 / i'r i z Construction Cost: /63®U^ Multi-Family Building: (Yes /No '1 ) 414i4 Company: Ps, ,F19'!t'(ft C,04sr Z.,C , Contact: 4 /cis 574./../.1:1.P, .-5 . _ Contractor Address: 9 / /Z �� wn City: C�/�iv�art C/4 StaterNZip: 5-5-005 Phone:6/Z-72.Z.,-i 1'V..Email: 0JSl .rtrC)C/ f-/,i✓1 �c. f? -"6- License#: C. y 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: 7/ �T[/' j f l 41-4,-,... Of mkt5 -r' ( ICf�K. -...1 ho /24./14 t C6.1 ce.- 7 ! ..s_.../\ 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 X 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 Fotnside e to . „ . rmatio 'tions of the . information may be classified as nonpublic if You provide specificreasons that ould permit the City to conclude they x re • 'de secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances antooeies 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 permi• .. the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � x frifL ES -T(4 dot,A U 6 SDN) x � �.s Applicant's Printed Name Applic.;,tPSign•iiiipir Page 1 of 3 CA1,4,660,4,0t, DO NOT WRITE BELOW THIS LINE 76-75'96 SUB TYPES _ Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex r Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation .Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) --)4, Final/No C.O. Required Foundation Foundation Before Backfill / HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: !'E.E. ,, Building Inspector RESIDENTIAL FEES Base Fee if f'kSurcharge a � Plan Review , ,1"` MCES SAC City SAC {,. 130 51-. uy ,,,3 Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148521 Date Issued:04/04/2018 Permit Category:ePermit Site Address: 763 Camberwell Dr Lot:14 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Craig R Neudahl 763 Camberwell Dr Eagan MN 55123 (651) 452-5182 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use i,�.�� k 0 Permit#: Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst cityofeagan.com L Date: 4018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � a �� Site Address: R ,3 CadVAlti 0N.,- , Unit#: i Name: CtoIUuJ ` Phone: • Resident/ • `l-to� �� u� . owner I Address/City/Zip: Applicant is. Owner Contractor Description of work: d Type of Work Construction Cost: 114W. Multi-Family Building. (Yes /No ) Company: cb.<0 Bahr- l.orNS'k+fu.( Contact: ,>,, I' ii1,1k 1911 1 Contractor Address: �17-1 1a City: �� )- 7 l � r e.)+1► k-.11 State: Zip: Phone: mail: r 1 License#. 541Lead 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 public information. Portions of the information may be classified as nor:public ifou rovide s ecific reasons that would permit the Cit to conclude that ttley are trade secrets You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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, k is not to start without a per it; that the work will be in accordance wit the approved plan in he case of work which requires a review and .pproval o ,,lan e ___ x V ~--� x /^ .at Applicants Printed Name 1 Appli. nt's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171471 Date Issued:08/18/2021 Permit Category:ePermit Site Address: 763 Camberwell Dr Lot:14 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-140 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 - Craig R Neudahl 763 Camberwell Dr Saint Paul MN 55123--393 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature