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767 Camberwell Dr
CITY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681--4675 ? SITE ADDRESS APPUCANT: f -?l,'i PERMIT SUBTYPE: TYPE OF WORK: .! ? ?. 1 14 1;<, T. N A L ? ?: t r7 nV Y f ,, i ri N aa F' V I f:k, r: r, fA Y ri F I t A tr A M °?; . Permit Hoider Date Teiephone # PLUMBING HVAC Inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR 7EST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTfC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG O O Ve r DECK FINAL )? ? l ?? y- fu ?G? I? e ?„C??- b? / (? / Y?& -,v I f, ? ? ? (gtrttf traft nf (Orr??sury Citp of (tagan 3lf lltdbwg JttS,pPtxtm T 9res Cernfuale issued pursualu to the requiremenls of Sectrtan 306 vf the Unifarne Building Cnde cerrifying that at the tlme of issuance this smicture wxrs tn compliance with the various or+diaaRCes of the City regulating building construction or use For the jollowing. ux clam;rmum SF TlWGf GAL?t ma& Fan,n M. 20019 OW40-7 7Y1- R3/Ml zminc omn;a PD/RI Tnx cOm VN owaw 0( BUM= 7M RD'TTLd1ND DO IIE Ad&= 5201 E:RIVE?.' RD, FRIDM 3RD ?? 5/21/92 } s,ma? offii;.i POST IN A COMSPICUOUS PLkCE ? . . ^S830 Pilat Knob W Address 5201 E RxvER RD uy FRIDLEY t,N Zp Phone 571-4304 .. aaam zp Signature o1 A Buiiding P on the expre applicable S Building Ofii lhat I have read this application and state and_ a'gree to cDmPJy with all applicable d to: _ in pt? II'T?IM+An..ti•yP`YrM 1 '!T' A . . ,.. . ? EAGA N !ox 21-199, Eagan, MN 55121 . : ja+?i ?? 0 19 681-4fi75 Receipt # ? >!? Date JAN 8 , 1992 ? f - ;Z 2 ' OFFICE USE ONLY R-3 o F??. FE@S ? ccupancy 850 00 FD in Z R"1 Bldg. Pertnlt . g on ? (Actual) Const v? $urchargg '? • ? V`? (Allowable) Plan Review 552•00 " - # of Slories Len th ?' umm ? 5.00 g 52i i 100 00 Depth SAC,Ciiy . •:,i S.F. Total - ? 5 i? - SAC. MCWCC . S.F. Footprints - ? J b'5 - On Site Sewa e Water Conn + ;S g On Site Well - Water Meter 95`00 ? stem MWCC S 00 30 _ y X Acct. Deposil . Cily Water 3a+00 - PRV Re uir d S/W Permit the q e Booster Pump _ - 5!W 5urcharge ?? ? e of ????. ? Treatment PI l ; _ APPROVALS Road Unit 3E?a.OO ? Planner park Ded. ? h all Council BIdg.Off. _ Copies , 3,797.50 Variance - TOTAL Permit No. Permit Holder Date Telephone # Stf PLUMBING HVAC ELEC,RIC 739? G ? s `° ELEC,RIC Inspection Date Insp. Comments Footings I /,41?'j? kf,d Foundation /A y/fg Framing Roofing Rough Plbg. Rough Htg. Isul. 7- 7 L Fireplace Final Htg. Orsat Test 4A Finai Pibg. - ?l Plbg. Inspector - No 4y Plumber Const. Meter Engr./Plan Btdg. Fnal g-?_ P2 bL5 Dedt Ftg. Dedc Fnal Well Pr. Disp. PERMiT CITY QF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55.,1,22-1897 aATE JAN 8. 1992 METER 7 Z 9 CHIP # ?j ? /Z 3:Z 71 MEfER SIZE ISSUE OATE USE PERMIT DATE 01/31 f g2 PERMIT # 12522 B.P. RECEIPT # C 016868 B.P.RECEIPTOATE 01/14/'92 ? PRV -_ BOOSTER PUMP SITEAQDRESS 767 CAMBERWELL DR So, LOT 15 BLOCK 2 SEC/SUB HILLS OF STQNEBRIDGE 3RD APPLIGANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: VALLEY PLUMBING ADDRESS: 610 CREEK LN CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-2121 OWNEFi: THE ROTTLUNiI CO INC ADDFiESS: 5201 E RIVER RD CITY, STATE FR7 DL.F.Y mN _ ZIP 5542 1 PHONE: 571-0304 PERMIT RE4UESTED X SEWER X WATER - TAPS - _ COMM/IND ? RESIDENTIA x NEW _ EXISTING Lawn Sprinkier Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. y kM? - I AGREE TO COMPL ITH CITY OF EAGAN ORDINANCES SI"ATURE WHEN METEi4 ISSUED ?r PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTI4NS. FUR STORM SEWER P ITS, CONTACT ENGINEERiNG DEPT. P?1?-ec-1 SEWEP,&~ %%ATER PERM9T OFFICE USE ONLY CITYOF F-A(aAN ?•. METER # PERMIT DATE 01/31/92 3830 Pilot Knob R12$22 Eagan, MN 55?;22-f$97 CHIP ? PERMIT # METER SIZE B.P. RECEIPT # c 016868 ?- ISSUE DATE B.P_ RECEIPT DATE 01f14f 9Z DATE JAtd $. 1992 _ PRV - BOOSTER PUMP SITE ADDRESS 767 CAMBERWELL DR PERMIT REOUESTED LOT 15 BLOCK 2 SECfSUB_HILLS aF STONEBRIDGE 3RU X SEWER X WATER - TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL ; CITY, STATE ZIP X NEW - EXISTING ? PLUMBER: YALLEY PT.UA1BTPdG ADDRESS: 610 CREEK LN CITY, STATE .IQRDAN MN Zlp 55352 PHONE: $92'"2121 OWNER: THE ROTTLUND CO INC ADDRESS: 5201 E RZVER RD GITY STATE FRIDL.FY Mia ZIP 55427 Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meiers on Water Line. Credit WILL NOT be given for Deduct Meters. ' _..r-• : ;?•..wt I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES PHONE: 571-0304 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWU WaRKING SEWER PERMITS, CONTACT ENGI CALL 454-5220 FQR INSPECTIONS. FOR STORM ,. , .....,.... ??:. .. e DATE: JAN 31, 1992 RE: 767 'CAMBERWELL DR (THE ROTTLUND CO INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at 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 tor the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy 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 (Plum6ing Inspectors - 454-8700) 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. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M2001 9 PHONE:681-4675 ?I ?,/ BUILDING PERMIT O 0 I(U Receipt # ? i70 t Tobeusedfor SF DWG/GAR EsLValue $160,000 Date JAtd S , 7922_ Site Address 767 CAMBERWELL DR Lot 15 Block Z Sec/Sub. HILLS OF OFFICE USE ONLY FEES Parcel No. STONE RI G occupancy R-3 11-1 PD R-1 Bldg. PermR 850.00 Zoning N2R10 THE ROTTLUND CO INC (AauapConst V-N Surtlwge 80.00 w pdd? 5201 E RIVER RD (Allowa6la) `!-N Plan Review 0 557.0 ? ? FRIDLEY I?Rd jP 55421 htories 66 L Loanse 5.0 ? eng Phone_ 571-0304 oaPm 52' snc,aiy 10171_0 o ? Name SAME S.F.7ota1 - SAC, MCWCC 700. nn S.F. Foolpnnls V Address On Sile Sewa e water Conn 675_ nn _ g cfty ZJP On Srte Well - Waler Meter 95.00 ? Phone MWCC Syslem x- ncct. oaPosu 30.00 ? City waler ?' _ Vcefts2 # PRV Reqmred _ S/W PermR 30.00 I hereby acknowlege thal I ha re Ihis app' ation and state that Ihe Booster Pump - SMl Surcharqe .50 informatwn is conect and ree I nh all apphcable Stale of Minnesota StaWtes and y o E ances. Treatment PI 300.00 Siqnature ol Permitee APPHOVALS Roatl Unit 350.00 THF. ROTTi. IND O TN A Building Permit is issued to: Plwner - park Ded. on Ihe express conGition that all work shall be done in accordance wRh all CouncA applicable State of Mm nesota Statul s and Cit e y of Eagan Ortlinances. gldy. pff, _ Copies ? ? I . f 8uilding Offipal ./,11?,(??QIG6e l Vanance - TOTAL 3,797.5 0 Address: 767 CLAMBE34FIL DRIVE Lot js Blk z Sec/SubHUIs OF SIONEBRIDGE 3RD These items were/were not complate at the time of the fina inapection. • Yes No Tnspector, Final grade (6" from siding) Permanent steps - garage ? 6 Permanent steps - main entry Pecmanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Pleasa varify vith tha builder the removal of roof tast caps from the plumbing system and the shut-off of vatar supply to the outsida lawn faucet beFore freeze potential exists. & W.cuo wa White - City copy Yellow - Resident copy Pink - Cont=actor copy Request Oate Fire No. h-in Inspaciron e9uired? y LV,Reatly M. ? Will Notity InspeIXar ? Vas K? No When ReeGy? J?licensed contractor ? owner hereby request mspection of above electrical work at Jo0 AtlOress (SVeeL 6ox or Route No 1 b 76 ? 10 r Qry /? 7 G w... erwp. ??? Section No Township Name or N. Range No County Omupant (PRINT) 5 w.n-l'l1 Ph(o 9?_ 7) 7 3 Power Supplrer Atltlress Eiectncal Contreclor (COmpany Name) w?nze.l Nv'lc Ya Comracbr5 License No c?t/,3it o8.9 Maiimq qtldress (ConVactor or Owner Making Installation) 1'?s5 5-/201?P---L C ave ly)N SS/2Z Amhonied Signalure IGOmractor'Owner Mak?n Installalion? ? Phona JNu?mbar?y J ? / m l G.?' <M'u T S MINNESOTA STATE BOARD OF ELECfRICITV THIS INSPECTION REpUEST WILL NOT Grigga-Midway Bltlg. - Room S113 / BE ACCEPTEO BYTHE STATE BOARD 1821 Universily Ave., 51. Paul. MN 55100 ?%? UNLE55 PFOPER INSPECTION FEE IS Plwne (612) 642-OBW ? ENGLOSEO ?? ((e?'s/9?' REQUESaT FOR ELECTRICAL INSPECTION 9 0?L +-_og. ? ^ ?? ?? e inSVUClions iw compleang Mis form on back af yellow wpy ?s' ? $ IY X" Below Work Covered by This Request ?:? e Atltl Rep. Typeol8mlding AppliancasWired EquipmemWired " Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm.llntlustnal Fumace Farm Air Conditioner Other (sNecily) Comraqory RemaYKs ? Compute Inspection Fee Be/ow: # Ofher Fee # ServiceEntranceSae Fee # CirouNs/Feetlers Fee Swimming Pool 0 l0 200 Amps ' 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps SignS Inspecbr's Use Only; L /? Irr igation Booms e ?j. S(7 r? Special Inspection Aiarm/COmmunication THIS INSTALLATION MAY BE ORDEREU DISCONNECTED IF NOT Other Fee CpMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby Rou9h-in oace certiy that the above mspection has been made. F,nai f oaie OFFICE USE ONLY This reQUesl voi0 18 months irom ? 0y M -`. " J 2 5 5? , o ? Request Oate Fire . Rough-In In clion ReQUired (Vou must C ins0eclor en raatly) ? n aclbn 01herThen Rouqh-In Ready Now 0 WIII NoHty Inspector ? Vas NO 0 t Reetl I;Klicensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlress (5lreel Box or Route No ) Ciy -76`7 .+cwn r, - G SecUOn No TowreMp Name or No Range No C ounry ? ^ Occupanl(PRINT) Phone No Sr.•? \ Power SupPller AOtlress Elecmwl Camraclor (Camvany Name) Conirecmis Lmense No. E C.R ?Fa Meling AGdress (antracror or Owner Making Installeuon) ? O• /? " / N SS AutOO y Signature (ConGactor/Owner Mpklng Installatlon) ? Phone Numb¢r tia3-?r3? MINNESOTA STA7E B011RD TRICRY THIS INSPECTION REOUES7 WILL NOT Grigge•Mitlway Bltlg. - Roo f28 BE ACCEPTED BV THE STATE BOARD OPEF INSPECTION FEE IS 1851 Univewlry Ave., St. Gaul, MN 551 04 ?.? 3 EUNLE8S NCLOSED Phone(672)692-0800 yo2? 9 REQUEST FOR ELECTRICAL INSPECTION O 2 5 5? eee inciruypns br completinq lhis form on beck of yellow capy. 'X" Below Work Covered by This Aequest EB-00001-09 Ne Add Rep. Type of Building Appliances Wirad Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner OMer (specily) Comraaors RemaMs Compute Inspecfian Fee Belaw: `-' FF PGRV, # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Am s Am s Transformers Above 200-Amps -Am s Abov eM00 SI I1S t ; inspectors Use Only TOTAL Irrigatlon Booms ?, Sv Special Ins ection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby RoegRin ? oate certity that the above inspection has been made. 7 oa l OFFICE USE ONLY This repuesl voitl 18 monNS From ofG y8-- Id 5,9* o 0 g 7 966 rd 3 ,L ,2 . - Request Dale • ? . Flre No. Rough-in InspecLOn '+ ? SHeatly Now ? Will Noely Inspector -? a Reqmred ? es C No l When Ready, I;Acensed contractor ? owner hereby request inspection of above electncal work at: Job Adtlress ISVeeI Bo ? Route No 1 Jn)^ Ciry Seclion N. Township Neme or Na Fange No Cou y C( u I ( I ) /%-'N Occupant(ENT) Phone N. PowerSuppl qtltlress ^ O.J? ' f4geC? I 9? Eiectncal tract iCompanyNe e? ConVactor' censeN /? // Y!/n _ / CiCJ?C ? =? / Z MaJing A?Cress ICOnVacbr ol Owner Makmg Inslalla0onl AulM1Onietl 9qnaWre (ConVacto ? ner '[i Insta?lationl . Phone Number ? -- - - 6,3-3 Ve) MINNESOTA $TATE BOAqD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Gnggs-Mitlwey Bldg - Foom S173 ? BE ACCEPTED 9V THE STATE BOARO 18E1 UnlverSNy Ave.. St. Paul. MN 55100 _ UNLESS PROPER MSPEGTION FEE IS Vhone (612) 663-0800 ENCLOSED /?? REQUEST FOR ELECTRICAL INSPECTION ?J ? See inslrudions lor compleliny Ihis form on Oack oi yellow copy I 7'I't} RF; .--?X" 8elow Work Covered by This Request se"74"?, EB-00001-08 t,?'? ?,wa ew Atld Rep Typeof6uildmg AppliancesWired EqmpmeniWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Bwlding Dryer Other (Specify) Comm /Indusirial Furnace Farm Air Conditioner OthertsyeciM Convanor's Remarks Compute Inspectian Fee 8elow # Other Fee # Service Entrance5ize Fee # Clrcmts/Feetlers Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Transbrmers Above 200 _ Amps Above 100 _ Amps SigpS I^spector§ Use Only TOTAL p S Irrigation Booms ? '/.6 I) ?S Speaallnspec6on ? Aiarm/Communicanon THIS INSTALLATION MAY BE OR ERED NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I ihe Electrical Inspector, hereby R0°qn-'" r Date certify that the above inspection ha5 been made Final ? ? p ? OFFICE USE JNLY Th15 lBqll¢6t VOId 18 T011[IIS INT g 3969 ,C/.? ? ? Request Date Fvg No Rough-in Inspeclion Requ??ed'+ C Reatly Now ?d?ll NMity I?pSCtor ?_ Z - s C N. When Reatly' I licensed contractor ] owner hereby request inspection of above electrical work aT Jo0 Htltlress (StreeL Box or oute Na I ' - - City 7 to 7 Section N. TownsM1ip Name or No Ranqe No Goun?? Owupen RMT) Phone No Po vier SuppwK Adtlress ? - %?_, Eleclncal C vatlor (Company Name) Gontrac?or5 License No Mailing Atlaress LOntraclor or Ownar Making Installauon) AWhonzetl &gnaWre IGOnt2clovOwn Makm Inpallatron) Phone Numbar 3-3LO MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MiEway 81dg - Foom 5473 BE HGGEPTED BY THE STATE BOHRD 1821 Omversiry Ave.. St Paul. MN 55104, UNLESS PROPER INSPEGTION FEE IS Phone (612? 642-0800 ENGLOSED REQUEST FOR,FLECTRICAL INSPECTION G Ee-ooooi-oe ? Sea msvuony ?o?=pleLng this (orm an beck ol yellow aopy ?`?"?.5? /C/? O? ? 7?r -r?. 9 Cj ? "x?? ?elow Work Covered by This Aequest ew ktltl Rep TypeofBmlding AppliancesWired EquipmemWired Home Range Temporary Service DUplex Wdter Heater EleCtric Heating Apt. Builtling Dryer Other (Specify) Comm /Industnal Furnace Farm Air Conddioner Other(suecdy) Comraciors Femarks Cofipute Inspecrion Fee 8elow. 8 Other Fee # ServiceEnlrenteSize Fee # GrcukslFeeders Fee I Swimming Pool 0 to 200 Amps j 0 ta 100 Amps ,j 1- Translormers Above 200 _ Amps Above 100 _ Amps Signs Inspedors Use Oniy. TOTAL?1 ? Irrigation Booms C70 ,ad) / ? Special Inspection ' Alarm/Communication THIS INSTALLATION MAYElEr ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITFIIN 2fMN . ? I, the Electrical Inspector, hereby Rou9h-in Date e? certify ihat the above inspection has been made F,,,ai ? Dete OFFICE USE ONLY TM1iS rppuest voitl 18 m00ths IfOm ?35q2? zoos RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. f15,5u Date 6 I??)_ I V (0 ? _ ' - • Site Street Address bj2r (,()e,U F) { 1& ? Unit # Property Owner Telephone # ( ) Contractor? [J(?S Telephone# (.?1)?'1F?-??-{0 Address L10I I/ P-d ? City "EC-LGIa State Zip Jl'13 Th A li t i O ?C Oth e pp can s: _ wner ontractor _ er Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softe ner and/or water heater at the same time. If you are installing anl a water soften er and/oi water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. [E [E oW _Septic System Abandonment ? _Water Turnaround (add $130.00 if a 5/8" meter is required) MQY 3 1 200 Other: ? Water Softener Water Heater $ 15.00 _ new ?replacement Lawn Irrigation _RPZ _PVB _new _repalr _re6uild $ 30.00 State Surcharge $ 50 T l $ ?55b ota I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is noP t art wi permit and work will be in accordance with the approved plan in the event a plan is required to levieyoe? d approved. ? () (e?? A , ? Applicant's Printed Name Applic n s ignature D #P RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 New Constructian Reauirements • 3 regislered site surveys showng sq R. of lot, sq. ft. of house; and all roofed areas (20% moviman bt coverage allowed) • 2 copies of plan showing 6eam & wiridow sizes; poured found design, etc.) • t set of Eneigy Calculatbns • 3 copies of Tree Preservation Plan d bt platted after 711193 • Rim Jaisl Detail Optlons seled'wn sheet (61dgs witlh 3 or less uni5) DATE `& - 49 - O a- RemodeVReoair Reauiremams . 2 copies of plan • t set M Energy Calalatbre for heated additions . isitesuneyforexteriaradditions8decks • Indicate d home served by septic system for additions VALUATION ? ,D ,600 . 213 SITE ADDRESS C atv??gQW4.3..? ?? MULTI-FAMILY BLDG _Y ?kN TYPE OF WORK?, O5;? '2?6 S'1vwVL'E FIREPLACE(S) _ 0 Z( 1 _ 2 APPLICANT "AR'QAW STREET ADDRESS W?`.,GO"M\"°c, '(,VF. CITY G&?XS%k STATEWWZIP?t'?c1 TELEPHONE#"?-.?'JAVFSO CELLPHONEFAX#°?b3-a1??-??oO? PROPERTYOWNER"?\1% St?i C LX TELEPHONE# ?u'??• (M-r11113 COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CA7'EGORY I MIN?I?S?'1?'q?R?1L?S ?? (J submission type) • Residential Vendlation Category 1 Worksheet Submitted •?1New Energy Code Workshe I • EnergyEnvelopeCalculationsSubmitted k A?? ?? 2??2 'IJU Plumbing Contractor: _ Phone # I?`? Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Confractor: Phone # Mechanical system includes: _ Air Conditioning _ Heat Recovery System Sewer/Wafer Contractor. Phone # ree: $70.00 ---°-------------------------•--------------------------------------°------------------------------------°-°--------° I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf \-NS1\'4.w. ?'\ OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT C17Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuILDING Permit Number: 0 3 3 4 5 2 Date Issued: 1@/ 01 / 9 8 SITE ADDRESS: P.I.N.: 10-32992-150-02 OR 3RD 767 CAMBERWELL LOT: 15 BIOCK: 2 HILLS pF STONEBRIDGE DESCRIPTION: ? By11ding?,Permit Type Boildfng 4cr?rk Type ?Census Gode ?ry fY ' ? •'_??5•? ?l J ? j. ln i ?. ? ? i•?ta .? ? R?? I" L r_ - DECK NEW 434 ALT. RESIpENTIAL ..s' REMARKS:REVZewEO BY BILI ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: LAKEW000 CONST 4M LAYMAN LN BLOOMINGTON MN (6,12) 881-6952 - Applicant - ST. LIC. QN/NER: 18816452 20037759 SMITH OAVE 767 CAMBERWFLL DR 55420 EAGAN MN 55122 (651)688-7173 IL I hereby acknowledge that I heve read this infarmatian is, ocsrrect and,ag=r.e'&:,jtb -cornply Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ap,pl3.cation and state that the iuith:'(,eld applita!bls State af Mn. , SUED BV: SIGNAT RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EA(3AN 3830 PII.OT KNOB RD - 55122 ? ? . S?) d-" 681-4675 I? -k -OK New Constmction Reouiremenls RemodellReoair Reauirements ? 3 registered sde surveys ? 2 copies af plan • 2 copies of plans (inGude Oeam S window sizes; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions & deeks) ? 1 energy calwlatians ? 1 energy calculations far heated addi[ioni ? 3 copies of Vee preservffiion plan d lot platted after 7/1/93 required: _ Yes _ No c?? DATE: ?- Z 3-°l CONSTRUCTION COST; 3j50? ? DESCRIPTION OF WORK: 2E? 1e- STREET ADDRESS: 6-7 Gfk??l iz_? l LOT: I5 BLOCK: ? SUBD./P.I.D. #: V-\q, ? ? S "? t? r? Name: ? ?? ?k? 7112-1v C. Phone #: 7 / PROPERTY Last First O WNER SteetAddress: 7Co?J G.?V"<<'?eVt?^-c?'"? j7P_ City C? State: Zip: Company:LP1Y--?wCx?D Phone CoNTRACTOR 33? y9 Street Address: ? D ? 1??1 MAN G.ANE Lic nse # Zd n71? -1 S? City State: Mf-j Zip: S _5?4(Zb ARCHITECT/ ENGINEER Company: Phone #: ` Name: Registration #: Street Address: City State: Sewer 8 water ticensed plumber (new construction onty): and lot change is requested once permit is issued. Zip: Penalty applies when address chan( I hereby acknowledge that I have read this applicatian and state that the infortnation is correct and agree to'comply with all applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicanL OFFICE USE ON?Y Certificates of Survey Received v es _ No Tree Preservation Plan Received - Yes - No - ! BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweliing ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE )A 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq.ft. sq. ft. Footprint sq. ft. Building -4L ^% 'b 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census.Bldg Census Unit Engineering Variance ? ? O Permit Fee Surcharge Pian Review License MCM/S SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. O ? 13 Garage/Accessory ? ? 14 Fireplace ? 915 Deck Valuation: $ ? % SAC SAC Units ? * * ?. + PIONEEA * engineering ? * 4t ** 2422 Fnlerprise Drive Mendota Heights, MN 55120 (612) 681 1914 Ce.tirica<g o, SurveY for: THE ROTTL UN D__._COMPAN ?\ uoRrN 1 r" iv , ? 0 D ?P( k? M y N 46e r9, ?a ?- ??a ;? o ? i / i ,%, / I 5 \ ? 696.6 p?/ fi ,Q . oor- '•O'ry ? ? a??\ ? •9 c'?; \ ?c r , 90 ? ?? ?$ -S « 0, 1 ? •S 0 . / M. ??J o Se M"? ?s. 9z 907,37 `'r_ `j 1VE r / X? ?D\ y o giSs V+;' r 900.00 Denofes fxisfrnl flevafions : oo.oa Denofes Pr'oposed Elevofinns '--= Otnolcs Oroma e (?U/r/ify fasemenf Deno}ts Ornino?r FJow xlrrows o ptnofes Monument gEQPtRls Shown ort oilumrd ti>j 0 2B? ?\ 7, y.. t V., 'f i L?£i ?' •,,J ?? ?i f' :?"' ?'w?U i 3a!,? . .....?._.??.7? p? __.. _...... PQOPo?ED NC?USf ELFVAT ONS Lowest Floar flevation 908,00 ??p o?'elpck flevolran R I 6. 13 Garqe 5/ob Elevofron q I 5. 8 o Dennlrs oF?sef llub LOT I 5, BLOCI! 2, I-IIL L S OF STONEBRIDGE 3RD AL-V DAKOTA CIXINTY, M INNESOTA . 1 herWY tNtlly thnl this surveY. Olan nr rrprnf was rrparrA bY mt or unAer my Aiter.t superv?5i?n and Ihat I am dutV R^qnlenwl LanA 5urveYOr UnAlf IhR IAWf nf ShP StBI! OI MinnlSOIP. OflllA Ihif ?? day nf q p 19 R" 11-3,9it -AcIA E7Fii E?PVS./? ^ %? l.l? - ?°i - ?. -r ?/J.ld??e.? 1. 11flCh- /I0 [e rerinriii Fli cnrr, tan lnevt .? qo301. IZ(O ??Cq e • ..-.:_.. E . 1992 BUtLDING PERMIT APPUCATION CI7Y OF EAGAN R£GUIREMENTS: S10019 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 ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QB 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: ?,.ALF ?,?.,,,iLy_ Valuation: ??g.0 Date: j'?s(R 2 Site Address o?ajrs. 14c0.000' Lot 1? Block 2_ , Occupancy R-3 M-I Bldg Permit reea $SD.oo Parcel/Sub ? . Zoning aR- I Surcharge $o1oa Actual Const Y-17 Plan Review 552. Owner Allowable -? License Fee ` .ae? # of stories SAC, City no. Address zo i ? ge ^o Length SAC, MWCC ;'7'oo,00 Depth Sz, Water Conn. 695.oa City/Zip S.F. Total Wffier Meter S.op Footprint S.F. Acct. Deposit 30.00 Phone s 1- v3? S/W Permit a 30.0 On-site sewage S/W Surcharge .5 Coritractor ?• On-site well Treatmerit PI. OO,oo MWCC System ? Road Unit .a? Address ? City water -T Park Ded. ? PRV Trail Ded. City/Zip Booster Pump Copies SUBTOTAL Phone UcenseGd 0! 3 3 S APPROVALS Penatry - Pianner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance ?s, ? Address City/Zip Code Phone # Sewer/WaterLicensedContr. ? JmLvx ?t?y?pJf. Processingtime for sewer/water permits is two a ays once area as en approve . il-l 'M? z ` agrees that all work shall be done in accordance with i atue o#,pe m" e all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ? . ? VA ? uaTl c??l ? ao xZ 2= yLi o I0KZO= aoa (a,L10 X 'l S = 7600 .gSAfiC' 30 x .26 = `)c60 3z>x2s; sL4o Z ? ? 11 (Z "? ` I 5?1 ? x I?1 ? z Z 35s Low?2 Lev6L '7 $b x ?3? y;3yn U PPG12 Lev el_ gsm '\ = I5 9 7 ?F 11?Z x7 = ?'ca 1 x?i _ ? 1 --=?---- I6Zg x 53? s6? 2,sy ?Sq 5 SZ ,?,?Q Bso•oo} 80•OOt , 5;2•uo+ 2, 315•50r s, 791's0:< 850'OOr t30•p0r >5z•oo1- z,si5•so:- 3,'79'7•ti0F s+ uJ no?- si9 n.eL{ 16 o,ovo'" * * * 4 ? 2422 Enterprise Drive ? PIONEER Lu+oeurtveroreS •CIVILENGINEERS MenAota Heighfs, MN 55120 ? en9ineering UNpPlANNEiR.lRNp5Cl1PEARCHRECT4 ---_ - '_- -U'612, 6p1.1^14 ???T II O DI Certificateo(Surveyfor:-r"6 ROTTLvNO-C'O'_(i ryAI/ \ ? ?JORtFI ti 1 / 0? ?b 0. 4 i°•oX ` . i . 4?1 Od6• ) FBo r9? 'r'O -• \9d ? ?i I CJ \\ 8966 /? o •o ° A- 0 O SC' M^7 ?S ? 907,37 9?S 41y,S r ?ryM . p?rz A/ ?y ,?o• / oo?a? ?j O s ? 1`?Q f 9,?, 33 ti `?? _ j ?pR?VE o a• , ?:09 ` ? o 500.00 Denofts fxisfing flevafions - oo.oa Denofes Praposed Elevafr'ons `--' -- lJtnof[s Droina e U?1li!y Easernenf Dtno/ts Orrino?t klow xJrraws o ptnofes Manument BmrinS S{rown ort oelumto( QIZ.77 k,? PROPoSfD NOUSf ELEVAT(ONS Lowest Floorflevation 90 e,00 Tp o"elockf/evalian 9tb.13 Caarale 5'lq5 Elevof ron 6115,6 o Deaoles eF?^sef llub LoT15, BzOCW z, W115 oF STONEBRlDGE 30 ADD 04xOTA COUNTYI M(NN£SOTA 1 hereby certlly that [hia survey, pinn or roport was repnrM by me or unAer my direct ?uprsrvisimi nnd Ihat 1 am duly Regislered lenA Surveyor under the lews ol tbe Srote of Minneeotn. Onted Na 1'14iN day ol DeCtr..btr Ap. 1991_ _ Rt. i2'3°-91 ?EIPJt_,??•???'i- . ?I. L? CV1 e. 17?cr'a /lO?,? nnnen i n. I..o. ncr., wn. ?ae9t 'T O 0 \f If tK / Date o.l7,L, ]KAC1API ENGYNEERIIdG DEPT ' FcTF.RiOR }:NVff,ni•r: nvr:r,n(',i: ^u" coMru•rrrrinrr oun Ea Is ' SITE ADD?tESS LoT •?{-?CI.S c7F-S7Z) M - E CONTRICTOR ?ZVi 'rL!/AID iD • DATF. PNt)NE -5/ZT14isu', Determin workint; squnre footzi;c of cach. 1. Total exposed vall area sR. ft. x 0.11 _ 2(pQ.08 - 2. Total roof/ceiling area sq. ft. x g..026 = rTZ4. Total exposed wall area nbovc floor = 24vp' n0 s. Total vall vindov are2 . ............ , .. Z?F'i• 2- b. Total door area .......... ............. ............ ? c. Total sliding glnss door area ......... ............ ? d. Total fireplace wall nrea ............. L ............ e. Total wall frarning area (average 10%) . ............ f. Total net wall area above £loor ..,•••• •••-•..•••. , 1 Zv .O . B. Total rim joist area ..... ........... ........... , Total exposed foundati on araa = 7z, ? h. Total foundetion vindov a:ea .......... ........... i. Total net foundation area above grade ............. F,(>,(e dL . . • Deterrr.ine "U" value o: each wall sFgment. ? a ,.u„ 2a 8, z o- 42 - 8-7, 4+ . . x b ,.Ull 3 8, ? I d• I 38 - 5,3q- . x - C „Ul, 7 a?.sY . . X a „??, 2T . X e .IlUlt Q. oA q = 17 r G . X f 1 .,U,. 7 Z0. d4- o, 04- 3 9 4- . X 0r04-1 e?.lo . s. n 15-75 p,q.(o = ?7.2 . X ; X 7-R3 . 3. . ...... .................... ..... . rot.,1 = 23Z. -??' ., , ?. IS item B3 is the same as, or le sr: Lti:.n itcm Nl, et the intent ot' sac 6oo6( c)2. . c rP,al?"' ?? I ? ?? ? osed roof/ceiling arel = Total ex ! p ? ? . -. . . ross roof/ceiling are:i = Total g - J. Total skylight area ...................... . .... .--- k. Total roof/ceiling framing area........... .... 1. Total net insulated roof/ceilinF area ........ O . • Determine "U" value for cach rucl f/ccilint; seF,?nent. x "Ulf ?" - 'r-- ' ,• ' „ „ o, oz7 q 7 1 i? = 3;? ' U X : , k: „U„ p, flzZ 1o?1 ? 5S = 23,. 1. X = Z'? L . ...............................:. Total • , ? .? If total oP N4 is the seme as, or less than N2, have ttte intent of SBC 6oo6(c)1. . . To utilize the total envelope system method, the values establiahed by the sum of itens N3 snd 94 shall not be greater.thKn the sum of iten:s N1 and N2. ' - g•, + L. _ _ . ::1 , r. 0 _ .. O e ._(;? -V?tI•U? GAI,G?k-ATIDN? ?GoN'(?, - rFAMt? Wku. @ I N?I ?A?IoH IoMpoN?N?i u .U ?. ? ? 041?iM Aliz FiLM h? ?J1D?N!!. . - - `xf?kTF11NL . =5% lNSULA-?Ct4- ev, -- . ?-?lAU.J6 ----.-- D,I? -- - 0.45 - 23,oI = u- l = O.o43 , ?'?'v'(AL -ff-AMC W4. G 6Ti9!D - pl.r?N• view. C L C C C C LdMPoN?NTh o_u'r-t,1oE Rig- F9l.M. ?H?A'j1-1 ? N!, • DD. INh05 MP FiLAI. . - - F--VALU5 -?- -0,?'1?---- - -- 2,oV _ - 7.-I$.---- _ --_ 0;4h ---_ - a.-- • u ?L =G.?1KP?. ??U?= ?0,l2 X o.0?9? -t-?o,Sb x o.043? = 0. 04- - 0 ? 0 G) ? 0 ? ? 30 C LMAFQIt?-?'t?Ts : ?IDINCi: --- '? j : pcl ?: ?j LM • ? -- ?"• ? ---(?'O ? I ??-- -??• ?? L ' L --°=--- ? ---- .__ 'Z?---- ! -o.o.?- i''`' -iz.1: _?"??? = o• j? _- j ' --- _29. C? --- 5 , o----- - J - . -- --o,?`' -_ IR= 36.-8 3 ----- (D C C. C C, ?-??T?G?i -r- - I?T?I(? -F?GM • U ?5.83 0. 027 .Q - f??t ?5N14 _ _ . 7F-?Wt_ClE15? .1 _: - O -o,???__- _:_ 0,022 ?{,? ? ?itn? CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 m"xqN;9 FOR CITY USE ONLY PERMIT # RECEIPT #- AQ, 2/ DATE: a2 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNROMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS FEES LOT:-4- BLACK at SUBD,? INSTALLER: fIAR HT . & A?C. IN ADDRESS: 09/17p7umm.thEvn Nn Golden Yafley, MN2R427 CITY: PHONE #: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT ? SUBTOTAL: $?/ L STATE SURCHARGE: .50 TOTAL: $? SIGNATU OF PERMIT EE ( L-P Gc's) „ , ?i4MkfER?';Y11L??N??TSTKTi4L? PLEASE COMPLETE._THIS PORTION FOR'ALL COMMERCIAI:/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRBSS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: DWELLINGS & $ $ (SIGNATURE)' ' - CITY OF EAGAN y t CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 VAgoo FOR CITY USE ONLY PERMIT RECEIPT # # O G DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: 1\dNI?-,/ SITE ADDRESS: IAT:15 BLACK j- SUBD?,? ? INSTALLER: ?ADDRESS: " ? v ??Zti`IC ( CITY: A p. ZIP: 5?J y? PHONE #: y?-a1a ? PERMITTEE COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 7 SHOWER 3.00 u- ? WATER CLASET 3.00 `+- 3 BATH TUB 3.00 3 LAVATORY 3.00 5 ' ? KITCHEN SINK 3.00 3- 1 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ! FIAOR DRAIN 3.00 n= GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ 'JS ' ST. SURCHARGE .50 TOTAL: S ?1S. Su CphAfBRGiAT;??1biTSTA???.:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND >.,..,_ :..,:......,,.....,...:,:..,....._ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. ATE`]V CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 4j ///gl FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6•00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ADD-ON/REMODEL (EXIS'['[NG CONSTaUCTION) $ I570 0 STATE SURCHARGE •5 TOTAL SdTE A.DBRESS: 7d7 n-r OWNER NAME: /1?/iL ,far, d7? TELEPHONE #: X,*e-217 T df J2.o!r'6 1147 qt,a1c INSTALLER: a ADDRESS: 1ba.41.yAo!r_ '<a CITY: ??•?`? STATE: -eW ZIP CODE: S TELEPHONE #: -15-Z - 2-6dt 9l?' 3193 A-a'J.wl 3 OW A? a? / %GIA R F PERMITTE iris mr:a:naivitAiL rr.xmii txcaamrr,q auwy CITY OF EAGAN 3830 PILOT KNOB RD Er1GAN MN 55122 (612) 681-4675 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681•4875 1 ? New Conshuetbn Reaulremenh RemodeUReoak Reauiremenh? ? 3 regbfered sHe surveys showing sq. N. d lot, sq. R. of house and QII rooled areas (20%maximum loi coveraae allowed) ? 2 copies of plans (show beam 6 window sizes; poured fnd. design; etc.) D 7 aef of energy catculalbro * 3 coples of heg preservaNon plan M lot plaHed affer 7/1/93 DATE: DESCRIPTION OF WORK: STREEf ADDRESS: 71 LOT: h_ BLOCK: a' SUBD./P.I.D. #: 4 copies of plan 1 sei of energy caltulaHons for heafed addNbns 1 sMe suney fa exlerlor addlHons 3 decW CONSTRUCTION COST: 0 5 /7J - ? Name: ?// ? ?t 1? Y I??? l.t_,f? ??/\ Phone #: 171 PROPERTY FId ? c OWNER SheetAddress: ?tt,.-,_„o/I?I l?? lVI.?J vC.r.,?. •esr v Ci}y State: ' ? ?/ l Zip: Company:?d,?, i" rvvoj 0 ? Phone #: b?j? ? 2 - ?? I" (area code) CONTRACTOR Street Address: '?A ?? ? f I ( ? ta ? r? Ucense # ??Exp• ? ARCHITECT/ ENGINEER CNy ii"\? State: 10?A ,a Zip: Compcny:, Telephor.e M: area cede ( Name: Streel Address: Regishafion #: Clty Siltwer &water Iicensed plumber (reauired for new conshucHon onN): State: Zip: Panolly applies when addreu change and lot ehange is requeafed once permit is issued. I hereby acknowledge thaf I have read this applicaHon, state fhat the IMo on Is cortect, and agree t comply with all applicabl State of Minneaota Stafutes and Cly of Eagan Ordinancea. ? Signafure of Applicant: AoA OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required ? ?D?o 2006 RESIDENTIAL PLUMBING PeRnniTaPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwel{ings. 115 !3,1 Date 6:?_ I _(C?) 1 0 (.:=, Site Street Address (1 5PA'A Df Unit # Property Owner I' ) Telephone # ((o5 () (4 S)O - /J !-3 Ccitractor t'? Y -?? Telephone #((-f'jo 3?lJ` (?Jt ? , ??YI f,I ? AddressS?(? I)C f2d City Stateydnl. Zip 5? Q The Applicant is: _ Owner ?_ ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumhing fixtures. This fee includes installation of a water softener andlor water heater at the same time. ff you are insta!ling on/v a water sofrener and/or waier heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment ? JUI,? ? 6 _Water Turnaround (add $130.00 if a 5/8" meter is required) Oiher. Water Softener ?ater Heaier $ 15.00 _ new ieplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 1550 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity of Eagan and the plumbing codes; that I understand this is not a permit, but only an ap{ilication for a permit, work is noY to sta a permit and work wili be in accordance with the approved plan in the event a plan is required to ?;evie,N+e d approved. C?r.S ? ApplicanPs Printed Name Applican s gna , 1,5- 50 /& PERMIT Permit Type: Building City of Eagan Permit Number: EA105089 Date Issued: 06/25/2012 Permit Category: ePermit Site Address: 767 Camberwell Dr Lot: 15 Block: 2 Addition: Hills of Stonebridge 3rd PID: 10-32992-02-150 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Tim Schenk Comments: Elder-Jones Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 BL - Base Fee $500 $40.00 0801.4085 Fee Summary: Surcharge - Based on Valuation $500 $0.50 9001.2195 Valuation: 500.00 Total: $40.50 Contractor: Owner: - Applicant - Home Depot At Home Services Jagdish L Agrawal 656 Mendelssohn Ave. N 767 Camberwell Dr Golden Valley MN 55427 Eagan MN 55123--393 (763) 542-8826 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature COI N4EAY'4ERS ®C 1 9 2017 „s CRITERIUM-SCHIMNOWSKI ENGINEERS 161 DUNBAR WAY MAHTOMEDI,MN 55115 TEL 651 779-7700 FAX 651779-7114 www.criterium-schimnowski.com September 1, 2017 (Revised October 18, 2017) Molly Duncan Craftmasters Remodeling 2495 Maplewood Drive#314 Maplewood, MN 55109 RE: Proposed Revisions to Existing Structure Project Location: 767 Camberwell Drive, Eagan MN Criterium Project Number: 17-2876 Dear Ms. Duncan: This letter is being sent to discuss the proposed revisions to the existing house at the above address as related to: the proposed removal of the basement support post. Revisions in this report include clarifications of recommendations and conclusions. The scope of my work included the following: 1. An interview of you regarding a history of the property and performance of the structure 2. Requesting from you any other information relevant to the evaluation of the structure 3. Visual observations during a physical walk-through on August 29, 2017 4. Observe factors influencing the performance of the structure. 5. Provide a written report containing the following: a. Scope of services b. Observations, site characteristics, and data deemed pertinent by me c. Discussion of major factors influencing structural performance and rationale in reaching conclusions concerning the subject residence d. Preliminary conclusions and recommendations for proposed renovations. e. Engineered design for the proposed basement post and beam replacement. CONCLUSIONS The existing basement beam with its support posts is a primary load bearing structure. Removal of the south post will need to be supported with a new structural beam and post system such as a laminated veneer lumber(LVL) beam structural system. The size of the beam has been determined based on the set of plans that you provided. Refer to the Recommendations section of this letter for further information. Please note that the beam and post sizes listed are considered preliminary due to concealed conditions. If new information or conditions are found at time of remodel project, contact me to determine if any changes to beam and post sizes are required. BACKGROUND INFORMATION On the date documented above, I met you at the house to discuss the project. You provided me with a set of plans which include proposed design and existing floor plans. During my walk-through, numerous photos were taken for documentation some of which are included in this report. LICENSED PROFESSIONAL ENGINEERS HOME&BUILDING INSPECTIONS STRUCTURAL EVALUATIONS ASSOCIATION RESERVE/TRANSITION STUDIES RESIDENTIAL/COMMERCIAL RETAINING WALL DESIGN&EVALUATIONS 767 Camberwell Drive, Eagan MN September 1,2017(Rev.October 18,2017) Page 2 of 3 OBSERVATIONS: There is a steel support post approximately 10 feet from the south end of the basement which is proposed to be removed. The non-structural wall which is framed around the existing beam and south post is to be removed as well. The length of the new span will be about 20 feet. The width of the tributary area of the contributing joists is approximately 14 feet. The south concrete masonry unit(CMU)foundation wall is in good condition at the location which will support the new beam. The existing beam which is not visible will be replaced to support the new span. The south steel post will be removed. The remaining steel post is not adequate to support the new LVL beam and needs to be replaced or supplemented. Based on the additional information about the house you provided, the first level wall above the beam is not a primary load-bearing wall for the roof trusses. However, to provide a more conservative design, some roof snow loads have been included for analysis of the proposed beam. RECOMMENDATIONS The opening should be spanned with a new beam consisting of(4) 1.75-inch wide x 16-inch deep laminated 2.0E veneer lumber(LVL). The bearing at each end of the new beam must be at a minimum of 4.5". Each end of the beam should bear on either a wood post consisting of four 2x6s or a 4.5" diameter structural steel post. The existing (2) 2x12 wood beam will need to be supported on a minimum of 3 inches as well. The north post(s)will rest on the existing concrete footing. The existing footing will need to be verified that it is a minimum of 36- inches by 36-inches by 12-inches deep. The south post will rest on the perimeter CMU foundation wall. The foundation wall cores under the exterior support should be reinforced with#4 rebar and 4000 psi concrete grout. Compared with similar size sections, the 2.0E Microllam LVL beams that I am recommending can support heavier loads than conventional lumber though in this case, both LVL and wood will require essentially the same size beam. Failure to follow good procedures for storage, handling and installation of the LVL beam can result in unsatisfactory performance and unsafe structures. Understanding and following manufacturer specifications and requirements, including connection detailing, is critically important. Generally, the schedule of work will include the construction of temporary support wall for the first floor joists; removal of the existing beam and support post; and installation of the new beam and posts; and removal of the temporary support. CLOSING Opinions and recommendations in this report are limited to the scope of work. If project conditions or other parameters vary from that assumed or stated, a revised analysis may be needed. Thank you for the opportunity to be of assistance to you. Sincerely, Paul Schimnowski, PE MN PE#40126 x I CRITERIUM-SCHIMNOWSKI ENGINEERS TEL 651 779-7700 i F 0 R T E ® MEMBER REPORT Level,Basement Drop Beam PASSED 4 piece(s) 1 3/4" x 16" 2.0E Microllam0 LVL Overall Length:20'9" �.��x OC11 19 2017 k 20 CCI All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. System:Floor �eSt�il,F tS ir? ©e44.4'13388 w , ltesul# ,LPF h inti fc"" '.. .s.,r Ys Member Reaction(lbs) 10908 @ 3" 13388(4.50") Passed(81%) 1.0 D+0.75 L+0.75 Lr(All Spans) Member Type:Drop Beam Shear(lbs) 9219 @ 1'8 1/2" 26600 Passed(35%) 1.25 1.0 D+0.75 L+0.75 Lr(All Spans) Building use:Residential Moment(Ft-lbs) 55451 @ 9' 77785 Passed(71%) 1.25 1.0 D+0.75 L+0.75 Lr((Al!Spans) Building Code•:IBC 2015 Live Load Defl.(in) 0.691 @ 10'7/8" 0.675 Passed(L1352) 1.0 D+0.75 L+0.75 Lr( ll Spans) Design Methodology:ASD Total Load Deft.(in) 0.860 @ 10'1 9/16" 1.013 Passed(L/282) 1.0 D+0.75 L+0.75 Lr All Spans) • Deflection criteria:LL(L/360)and TL(1/240). •Top Edge Bracing(Lu):Top compression edge must be braced at 9'2"o/c unless detailed otherwise. • Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 20'9"o/c unless detailed otherwise. • Member should be side-loaded from both sides of the member to prevent rotation. ring Length Loads to Supports(lbs) 1 3.67" 2082 5810 1-Stud wall-SPF 4.50" 4.50" 5957 13849 Blocking 2-Stud wall-SPF 4.50" •4.50" 2.87" 2082 5810 2809 10701 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. is,' Tributary ; IZ" 1oor Live ' '9{• ;Uve Loads , .h;: Coca ° e) tlllka? ' .. w �, 'ow: 25) 0-Self Weight(PLF) 0 to 20'9" N/A 32.7 1-Uniform(PSF) 0 to 20'9"(Front) 14' 12.0 40.0 Residential-Living Areas 2-Uniform(PSF) 0 to 9'(Front) 14' 35.0 3-Point(Ib) 9'(Front) N/A - - 4356 7..'.: ,,, n gy{ Replacement support beam at basement W@ rhaeus as . '.: . , �: " .. '''' �a' ' .', . ' , ' � 'eu ,, .w .:... `..'.„�., SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. 111 Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this softwareis not intended tol circumvent the need fora design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Beard,:Blocking Panels and Squash Blocks)arenot designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in accordancewith applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by Client Forte Software Operator Job Notes 10/18/2017 8:50:27 PM Paul Schimnowski 17-2876 Forte v5.3,Design Engine:V7.0.0.5 Criterium-Schimnowski Engineers 767 Camberwell 17-2876 767 Camberwell.4te (651)779-7700 Eagan,MN pschimno@criterium-schimnowski.com Page 1 of 1 } Use BLUE or BLACK Ink For Office Use / Citllli Uf EPermit#: -(i lU1 Permit Fee: 4 10, 4 3830 Pilot Knob Road V / Eagan MN 55122 RECEIVED Date Received: --, �� Phone:(651)675-5675 lig buildinuinspectionsec'ttvofeagan.com AUG 1 o zona Staff. {� J 2017 RESIDENTIAL �+BUILDING PERMIT APPLICATION Date: g -.An�,� Site Address: n �i�th i ( r. Y1'I2. *Unit#: Name: ��-(Ji�1 c �0.t�lC� D -VraLt.,1ck Phone: (0St- a(o- Ci ! Ic L Resident/ Owner Address/City/Zp:110-7 4 r tie•t l (lde_ ,. Y�-1#J `Sl a 3 Applicant is: Owner X Contractor Pii Type of Work Description of work: S�%� 1('t t j xL4 Construction Cost q 1 \01(J .' 0 Multi-Family Building:(Yes /No ) Company: c rSmc o f )NC-Contact. dd ( r G0i Contractor Address: C$J 1"t& d �Y N 3\ - City. Mo I.A.V Stater Zip: 4.,71 Ci Phone: tact - Email: GfC'\ Gv�t7 lvr M �E��� (. License#:�W)v 04-4.S Lead Certificate#: get 15-6b$44-42- If c'(b,4tIf the project is exempt from lead certification, please explain why: /3 v% r /,si 9 - 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 nonpublic if you provide specific reasons that would permit the City to conclude that they 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_citvofeaaan.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.00aherstateonecall.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, - d =. • start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and a• rove • • Applicant's Printed NameP .plica . `"ature Page 1 of 3 DO NOT WRITE BELOW/ THIS LINE ( ' 56 7 SUB TYPES -7G 7 C'- i) (1 ti(z- 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 f 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 ye: Valuation //j 060 Occupancy 7,4 -/ MCES System Plan ReviewCode Edition 31.0[0- SAC Units (25% 100% Y , Zoning 12-/ City Water Census Code !/3I/ Stories Booster Pump #of Units I Square Feet PRV — #of Buildings Length Fire Suppression Required Type of Construction n Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required '$" Footings(Addition) i Final/No C.O.Required Foundation Foundation Before Backfill f 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: 4E-Rough In 4(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: , ,Building Inspector RESIDENTIAL FEE ce/ Base Fee Af 771 7 / 5/0 Surcharge Plan Review /0 ot MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 36 X . 'D-S TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161605 Date Issued:06/04/2020 Permit Category:ePermit Site Address: 767 Camberwell Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-150 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 - Kai Ostrand 767 Camberwell Dr Eagan MN 55123 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168271 Date Issued:04/15/2021 Permit Category:ePermit Site Address: 767 Camberwell Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-150 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Kai & Jana Ostrand 767 Camberwell Dr Eagan MN 55123 Kremer Brothers Construction Co. 516 Second Street, Suite 202 Hudson WI 54016 (715) 554-2600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171152 Date Issued:08/03/2021 Permit Category:ePermit Site Address: 767 Camberwell Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kai & Jana Ostrand 767 Camberwell Dr Eagan MN 55123 Kremer Brothers Construction Co. 516 Second Street, Suite 202 Hudson WI 54016 (715) 554-2600 Applicant/Permitee: Signature Issued By: Signature