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775 Camberwell Dr? . IN5PECTION RECORD '?CIt'Y OF EAGAN ' ?,c?r?vQ?,.nx oEC[c?c,?i/n??/s?v PERMIT TYPE: 3830 Pilot Knob Road y?'?'?` ??' Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: tpT, ??;:< ptor,K, <^ .' APPLICANT: 775 cAMl9E11taEll Or,EMTEx lFONE$ TNF H[Ll+ Of BrOMCBRIPdSC 3110 (612) 906-l4't2 PERMIT SUBTYPE: s r owre TYPE OF WORK: CoMrol No. 0076 M1f??r??? NWV INSPECTION sIsc .. . faozrraO .. ? FRAMINO IIiSUT ATIObt WAiL80AR0 ftMRl t flitlPL AC[ ? Permit No. Permft Holder Dete Telephone i S/W PLUMBING J v , HVAC ?00n L. 10y/Yd" (PS(v?I ELECTRIC( ELECTRIC InspecHOn Date Insp. Comments _ FooLngsl _.i Foundation Framing J_OQ4;2 b5 Roofing Rough Plbg. _2 -,? • Rough Htg / Isul S Rreplace Final Htg. . ' Orsat Tes[ Final Pibg. ? 9?,?2 L Plbg. Inspector- Natify Plumber Const. Meter EngrJPlan Bltlg. Pinal Deck Ftg. Deck Final /J WBII Pr Dlsp. ? O 77us Cerrifrcare Wued Code cerhf'ying that at wdinances of rhe Ciiy ?' i use a.wific.uoa S -? OC-aa-r T1PM CENM ahvou or BuMag 16 ojthe Uniform Building Dmnliance wiih the mrtous a mai. ? rr?. $ 1 R1 ? Vl? S??? 5$24 AAKF:R R l? eMPliA ''=-'' c.-.-'! , . ?---- mce: 6/24/92 offidar ? POST IN A COI+?SPICUOU9 PIACE , ,., i .. . . . . - '- . ..j ...' .. 31RD . , SEWER & W/kTER PERMIT CITY OF EAIGAN - 3830 Pildt Knob Rd. Eagan, MN 55122-1897 DATE MAR '23, 1992 OFFICE USE ONLY METER aV?-_ ? PERMIT DATE 03/24/92 CHiP * v -3i ? ? ? 71- PERMI7 # 12628 METER SIZE B.P. RECEIPT # C 017894 15SUE DATE B.P. RECEIPT DATE 03 23 92 _ PRV - BOOSTER PUMP ` SITE ADORESS 775 CAMBERWELI. DR f LQT 16 BLOCK 2 SECISUB HILLS OF STONEBRIAGE 3RD APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PLUMBER: PI,YMOUTH PLBG ADDRESS: 9290 ZACHARY LN N CITY, STATE M&PLE GROVE MN ZIP 55369 PHONE• 493-2474 PERMIT REOUESTED •,I x SEWER ? WATER - TAPS ^ _ CQMMlIND X RESIDENTIAL ` X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead oF Dofnestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPIY WITH CITY OF OWNER: CENTEX HOMES EAGAN flRDINANCES ? ADQRESS: 5929 BAKER RD CITY, STATE MINNETONKA M13 ZfP 55345 ? PHONE: 936-7833 , SIGNATURE WHEN METER ISS Q ?; , ?? ? /r., PL?'?(5?? ALLOW ?O GYOR? KING D?(?, FOR ?PROCESSING. CALL 454-5220 F4R INSRECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP i SEWER & WATER PERMIT I CITIPOFE01,GAN 3830 Pilot Knob.Rd. Eagan, MN 55122-19897 ? .? DATE MAx 23, 1492 SITE ADDRESS 775 CAMBERWELL DR LOT 16 BLOCK 2 SEC/SUB HILI.S Ok APPLICANT: ADDRESS: CITY, STATE PHONE PLUMBER: _ ADDRESS: _ CITY, STATE OWNER: vYINr AQDRESS: 5929 CITY, STATE M;NN PHONE: 936- OFFICE USE ONLY METER # PERMIT DATE 03/24/92 CHIP # PERMIT # 120525 METER SIZE B.P. RECEIPT # C 017894 ISSUE DATE B.P. RECEIPT DATE 03 23 g2 _ PRV - BOOSTER PUMP ZIP ZIP 55345 . PERMIT REQUESTEO ' 3RD ? SEWER X WATER TAPS ' _ COMM/IND X RESIDENTIAL • x NEW - EXISTING Lawn Sprinkler Meters are to be Installed . Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGIfVEERING DEPT. OFFlCE USE ONLY This reyuesl void 10 monffis from mlidation dore pnmed in IFis 6ox 4-14-9 ?GINI1II11III??I) I?IIIIII IIIII III I IIII ?/rv,l?2' ?.?? G?m?? 3? ? ? 4 5 4 4 4 3 ??r PLEASE PRINT OR rPE b'D Ra,uesi Dale Roogh+n in?punm reqmred4 ? Vas ? N. Inspecnon aher Than xaugMn $1 Reody N. 0 Will Coll 6/25/97 ra?mur?an???,?,,,.??,?ay? ooe Read, 6 97 I, ? licensed confmclor ? owner here6y request inspecfion of ihe above eleclrical work at: Job Address (5neet, eox, o. Roure No.) Gry Z?p Code 775 Camberwell Drive Eagan Secnon No. Townahip Nama or No. Ronga No. Fire No. Couny Dakota Occupanl Phane No Cindy Liedman 452-9248 Pmver Suppliar Address NSP Elern¢ol Commcror lCompvrry Nome) Comracror licmze No MnaLr Lc No Mhm Elecr. Only) Joos Electric Co. CA 00961 AMiling Address (Cmmxior or Owner Peiforming Irubllarion) 3980 Beau D' Rue Drive Ea n MN 55122 Amhorized Signonire (Comracbr or Owner Performng Incmllofian Phore Na 688-6180 E&OOOOIA-1 1 8/916 5fATE BOARD COPY - S NSiRU ONS ON BACK OF YELLOW COPY eel." -2 454-443 [3 ? a REQUEST FOR ELECTRICAL INSPECTION 70 Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apf. Bldg. Olher: New nddn Commercial Industrial Form Remod Re ir Air Cond. Ht . E ui . Woter Hh. Laud Mgml. plher: Dryer Ran e Elec. Heat Temp. $ervice °X° obove the work covered by this request. Entar remorks in this space and on the back of the whire copy only. connect / a/c Calculate (nspecfion Fee - This Inspeclion Requesl wi0 naf be accepted wilhovf Ilie correct (ee: Olher Fee # Service Entrance Size Fee # Circuifs/Feeders fee Mobile Home Park Stall 0 ro 200 Am s 0 t0 100 Amps Sfreet Ltg./Traffic Sig. Above 200_Am s 0_Amps Tronsformer/Generofor INSPECTOA'S USE ONLY TOTAL styo/oorlfoe Ltg. xfmr. ? 20.50 Alarm/Remote Conhal L $wimming Pool I?y ?at I i„m dhe d . dmu?6ad harein o? tha dmg mied Irrigofion Boom R«gM ome $peciallnspecfion Z Invesfiga?ive Fee F?I r D THIS INSTALLATION 11 Y BE OR ED ISCONNECTED IF NOT CddPLETFO WRHIN 1 MONTHS. DATE: mAR 24, 1992 RE: 775 CAMBERWELL DR (CENTEX HOMES) s x- Your Sewer & Water Permit for the above property has been completed. It will be held at the Pu61ic 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 & 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 tor meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) 6efore issuance. WARNING: BEFORE DIGGING, CALL IOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 775 GAMEINELJ, DrutJE Lot 16 Blk 2 Sec/Sub 1HE HIIS,S OF SP0WRIDGE 3RD These items were/wexe not complete at the time of the f1na1 inspection. Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ? Permanent dziveway vo? Permanent gas ` Sod/seeded grass y Trail/curb damage Porch Sasement finish L/ Deck Please verlfy vlth the buildar the removal of roof tast caps from tha plwnbing system and the shut-off of water supply to the autside Lawn faucet before freeza potential exists. RCXLFOMFFP White - City copy Ye11ow - Rasident copy Pink - Contractox copy HOUSE HEATING TEST RECORO -7 ? ADDRE55 7<i ( °+?'+?b<??wttr APT.._FLOOR CITY SUBURB OCCUPANT OWNER HEAT LO55 DATE MTG. INST. SOLD BY INSTALLED BY Elschicol Wo.k 8y Ges Lin. BY - ' HW -STEAM -SPACE HTR. _U T TYPE OF HEAT GA - FA _'? HTR. -OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER ?- Model Model ? - Sarial Max. BTU Ratinq INPUT ? V MAKE OF FURNACE Modal CONTROLS 4 /0 -5 ? TNERMOST . Hsat PIup Vent Sizs Valr? KIND OF LIN SIZE NONE Limit dn ? Drak Hood Rpulamr LimilSstting FiNsr: Size, Nu?r?-• J Fan Sst}ing Chlmney Lotation I id? ' Oufside Pibt Typs Ghimroy Consfrudion ? O Pilor Maks Pilot Model Smoke B? Wirin9 Pilot Timing 0.afr - ?? -t Tsat Taq L.W. Cuf Off ?- Dow Prasaurs Liqhtinq Inst. , 77 •7 :3 CW <' , v- - d 74 T Z Pncsnt Prsasure < CO P CF » este C T i f ercmt Irryut H ast ompany ng 5 k T 3l212 Pares t CO 4p ? Nam? of Tsst n 1oc emp. F«m 235 ???"? " " ' RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWCtlonReauiremenls RemadeVReoairReauirements OfficeUseOnN 3 regislered site surveys showing sq. R of IoL sq. ft of house; and all roofed areas 2 copies of plan _ Cert ofSurvey ReaJ ,. (20% mazimum lot coverege allowad) t set of Energy Cakula6ons far heated additlons Tree Pres Plen Recd 2 copies of plan stawing beam & window sizes: poured found design, etc. 1 site survey for additions 8 decks _ Tree Pres Not Reqd1 set af Energy Cakulafions Additiort • indicate if on•site septic sysfem _ On•site Septlc System 3 mpies of Trce Pmservation PWn 'rf lot platted after 711f93 Rim Joist Detad Oplions selectiai sheet (bldgs wiN 3 or less unib Date Constructlon Cost 00c) Site Address / 75 UoitlSte # Description of Work k0/1'1'IA1/a. ( ,vld t-h?/L(?(,Q? rool, Multi-Family Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ( /Yj Telephone # (w) ld T"y 0F AW,P Contractor Rer0 -41C& q Address q50d I/??l Q 0 y11/-e- I? City k?( U?„1l r1 State Zip Telep6one COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventllation Category 1 WoAcsheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envebpe Calculations Submitted Licensed Plumber FI n ?I i Telephone #( I1I? ?? 1?? 'J IJ Mechanical Contractor n•)nni IIII Telephone #( Sewer/Water Coniractor ItJL I Teiephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wili 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 plan in t of work which requires a review and approval of plans. ? JLIS'Gn 66res Applicant's Printed Name Applicant's Signature JI rs• SD 5? ? 0(4 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX #-651-675-5674 Please complete for: Single Fatnily Dwellings Townhomes and Condos when pemvts are required for each unit p LIEDMAN, RONALD Dat¢ 0 775 CAMBERWELL DRIVE EAGAN, MN 55123 Slte Addr¢55 (651) 452-9248 URit # Property Owner Telephone # ( ) Contractor NORBLOM PLUMBING CO. (612) 827-4033 Address ctt Y State MINN APQLt$- MN s't5dP?3 Tetephone# ( ) The Applicant is _ Owner AL Contractot _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Eaisting Dwelling Unit, Including _ Adding fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild LS $ 30.00 _ Lawn trrigatlon system 5 2003 FJANl _ Water softener ? Water heater g -- Y .- $ 75.00 ? replacement _ addiGOnal State Surcharge $ .50 Total $ i nereny appiy tor a xesiaennai Ylumbing Pernvt and aclrnowledge that the info:mation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a pernut; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. J? ? ?o-(- b6Y,, Applicant's Printed Name cant's Signature PERMIT # RECEIPT DATE: (="Q ? I EOOE RUID$RTIAL PLUM$IRfi PMbI1T Aff"LIClkTtOA ? crrY oF EtsM 3$30 MAT KAOB RD I ElkBkR, !!A 55122 j 651-681-4673 I fA Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: (,vP_ OWNERNAME:: Porf I G-iQC(tr?,,N'" TELEPHONE#:"G5? (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CODE) STREET ADDRESS: ciTV: 6? STATE: ?? ZIP: ? i _ SEPTIC SYSTEM, new/refurbished (requires rivo sets of plans and MPC license) $ 100 00 includes $40.00 County fee . Note: Additional consultant fees may appty i? ? • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: f ? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $" 50.00 i _ Abandonment of septic system. Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118) _ Other: iw?c"A q wu. -IR in ? . _ RPZ: new installation/repair/rebuild $ i 30.00 _ lawn irrigation system F Replacementladditional: water softener water heater $ •? ? 15.00 State Surcharge ? $ .50 Total $ 0 -Sd 1 I herebyacknowledge that I have 2ad this appliption, state thatthe in?fo`rmation is cortect, and agree W complywith all applica6le Cityof E? oNinances. It is the appllcanPS responsibility W notify the property owner Mat the City of Eagan assumes n?o Ii?abl?l any ages c ed by ity ring Its normal operational and maintenance activities b fhe faGlities consWCted under thls pertnit withi /A -o men SIGNATURE OF PERMITfEE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681•4675 NewConstruction Reauirements . 3 registered site surveys showing sq. k. of lot sq. ft of house; and all roofed areas (20% manunum lot coverage allowed) . 2 copies of plan shmving beam & windux s¢es; poured found design, elc.) • 1 set W Energy Calculatione • 3 copies of Tree P2servation Plan it lot platted a%er 7/1/93 • Pom Joist Detail Optiom selection shcet (bldgs wilh 3 or less unRs) S'?? o.v0 RemodellReoairReauirements . 2 copies of qan . 1 set of Eneagy Calcidations for heated additbns • 1 site survey for ezterior eddi6ons & decks • Indicale iF home served by seplic system for addillons DATE VALUATION JOB SITE ADDRESS 7 75 C A(Y1 h 94 we.Lk Or IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ PROPERTYOWNER Ra-00.A W L-Ie.4 .n^0?.+^J TYPE Of WORK kQw P.U k,e?t-ex, E(1 i_ FIREPLACE(S) _ 0_>? 1_ 2 APPLICANT ??on L le A YY1 tA,-) PHONE# 6S! qSvZ 9aqg ADDRESS 275 CA?? b_9-iu_)-_uC b" ZIP CODE S?Q ?Q PAGER # Cva'tk.O"PHONE #??-662-d7/01 fAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: Mechanical Confractor: _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Fee: $90.00 Phone # ree: ??? Phone ..nn n st_)nn7 I hereby acknowledge that I have read this application, state that the information is co 7 t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 C_ vv'_ c) d- S-C MINNESOTA RULLS 7670 CATEGORY i - Residential VeMilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Waker Softener _ Lawn Sprinkler Water Heatcr _ No. of R.I. Baths No. of Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y orx N ? 25 Miscellaneous ? 31 New * 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Daors ? 34 Replacement *Demolitian (Entire Bidg only) - Give PCA handout to applicant Yaluation 2, p -cyj Occupancy -?_ MC/ES System Census Code Zoning City Water SAC Units " Stories Booster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs " Length Fire Sprinklered Type of Const ?/") Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) ? FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile Other / Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final Framing X ? Fireplace X' R.I. g Air Test X Final _ Siding Stucco S[onz Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?? !?? ? Building Inspector PERMIT CJTY_ OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PEFiMIT TYPE: Pernlit Number: Date Issued: BUILpING 000081 03/23/92 SITE ADDRESS: 775 CAMBERWELL OR LO7: 16 BLOCK: 2 THE HILLS OF STOPIEBRIDGE 3RD DESCRIPTION: Biaildiirg Permit Type SF DWG ,8uilding (Fprk Type NEW y UBC pccupancjfi.; R-3 M-1 r` Gonstruction T'ype VN Zoning VN ' Building Lsngth ? 66 r'BufYding Wfdth 35 a ? ,„ , .. k r??rY" . 13 j'i`.'i ,?,?`"'.`ti•.'?iv;;ili;??t'"'?'?t?.'.1 REMARKS: ea??0./ FEE SUMMARY: VALUATI014 Base Fee Plan Review 3urcharge 3AC sac % SAC Units Subtotal #800.60 $520.33 $7J.00 $700.00 100 $2,093.83 $146,000 14I3C FEE3 $1.610.60 Total Fee $3,704.33 Control No. 0076 CONTRACTOR: - Applicant - OWNER: 1333 CENTEX NOMES 19367633 CENTEX HOMES 5929 BAKER RD 5929 BAKER MINNETONKA MN 55345 MfINNETQNKA MN 55345 (612) 936-7833 (612)936-7833 L CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 I hereby acknowledge that I nave read this ap(rlicatian and sCa'te that the infnrmation is correcz and tlgrea to comply ar#th al1 appliceble 5tate of Mn. Statutes and Cit af Eagan Dwdinances. APPLICANT/PERMIT E SIGNATURE ISSUE SIGNATURE INSPECTION RECORD Contro'"°- 0076 ? PERMITTYPE: BuILDIN6 Permit Number: 0 0 8 0 B 1 Date Issued: 0 3 J 2 3/ 9 2 SITEADDRESS: Lor: 16 sLoCK: z 776 CAMBERWELL OR THE HILLS OF STONEBRIDGE 3RD PERMIT SUBTYPE: 3F OWG APPLICANT: CENTEX HOMES (612) 936-7833 TYPE OF WORK: NEW INSPECTION SITE D. . F007ING ., FRAMING INSULATION WALL80ARD FINAL FIREPLACE ? ?? L PERMIT N<?CITY OF EAGAN ? 1992 BUILDING PERMIT APPLICATION . 681-4675 ?ECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested on ermit is issued. Da Yaluation of work ;?? site ?ocation: 77S ?r0 O???? D? I Ve STREET STE # Tenant Name: LDT BLOCK ` SUBD. I P.I.D. M Descri tion of work: The applicant is: Owner Contractor ? OtIi81' (Descri6e) 'ff Name Phone Property LaST F? ST ? owner pddress ?9Z9 ?' ST ET ^- S?s XA/ Zi ?/I ??St Cit t p y a e Company _ne ? Co1ltraCtOt' Address cense #1 Ex . City State Zip Company _ Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ? l"x ?Y . Processing time for sewer & water permits is two days once rea has been approve . I hereby acknowledge that I hav re th' a i ion and state that the information is correct and agree to comply w' h ic tate of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE . ? ? 01 Foundation ? 06 Garage/Accessory 0 ll Res. Add./Porch 0 lb Agricultural M 02 SF Dwg. ? 01 Fireplace O 12 Coaan./Ind. New O 17 Building Mave O 03 Two family ? 08 Deck ? 13 Coiren./Ind. Add 0 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish O 14 Comm./Ind. Rem. ? 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool O 15 Public Fac. WOR K TYPE 0 31 New ? 34 Remodel O 37 Move O 32 Addition ? 35 Repair ? 38 Demolish O 33 Alterations ? 36 Tenant Finish 13 99 Undefined GENERAL INFORMATION Occupancy R-3 l Basement sq. ft. 1I 0oo MWCC System Zoning ist F1. sq. ft. /135/ City Water Const. (Actual) ? 2nd F1. sq. ft. i/ og PRV Required (Allowable) ?:?/ Sq. Ft. total Booster, Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site we11 Census Code o Depth ? On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REG1UlRED INSPECTIONS 93 Site J3 Wallboard 0 Footing .O Final 49 framing ? Draintile JR Insulation 0 Fireplace Permit Fee P00.3' vswesron: : O a0 Surcharge 93 Plan Review License 52v.33 ///4y MWCC SAC Do ?l?.rlG = /S ? ? J C i ty SAC / o0 Water Conn. b ? 15fi Water Meter Acct. Oeposit 38 S y,A- G o 102 ? S/W Permit so S/W Surcharge , _?-o Treatment P1. 300 Road Unit ago l? Bo ?,?__ S8 9ay Park Ded. ? Trails Ded Copies . J ???yZ Other Total: SAC % SAC Units , * * PIONEER * engineering * k IK * IAMD 5UIiVlYURS • GI19L LIIbINtlliS IAND I'IANN[RS • IANUSCAPF M1Rp11IUC15 -- -_."" - - -- - - --- - Ceriificate of Survey for: Centex, If1C01"pOI t7ted I louse Addr ess: 775 L'umberwell Dr ive, E.pyqn, MN Model Nanie: 765 N 04'57'D4" E 92.72 ? ? ? , ? ? ? ? \ 2h22 k.nleiprise lhive ldendoln Ileiyhis, IdN 56120 (612) 681-1914•Fax 681_ 9468 625 Ifighwuy 10 tloilhcosl Bi????ie. rnri 5s431 (siz) 183-1860•rax 783-1883 s Xo •pOs: ,•s s b a_ 77O ? ?4 o QP?G, Jy< \ ,,9 u i 1?. ,s \ \ ; ?9126'1 E i, FIVG DEPT saoo penotes Existing Elevation I'llOf'OSED FIOUSE ELEVAFION 9?? Denotes Proposed Elevation I owesl Floor Elevatiori:908.55 - Denotes Drainage & Utility Easement -- - Denotes Drainage Flow Direclion ToP of 81ock Elevation:916.66 -o-- Denotes Monument Gorage Slab Elevation:916.33 -R-- Denoles O(fset Hub Bearings shown are assurried LOT 16, BLOCK 2 HILLS OF STUNEBRIDGE DAKOIA COUNIY. MINNESOTA 3R D A D p I TI 0 N 1 helr.hy emlify Ihat this survey, ylan or repuit was pirpaioJ Ly ma oi undri my Jbeq sopwvision nnJ tlm1 I nm July PeyisleieJ LanJ Surveyo, unJri the laws ol ILe Siate ul Minnesots. Daled t6rsA I Tk_ JaY nl A.D. _IFl_? t.s . ? (eet i?oti I s ki ?? s 14891 Sca?: 1? - incli_30- f. ?, ?o) ? A. ? u ? ?.? • >> . ?•? (9?40? „ ?,`L ?- ? j% ? ? ? 0 ?-' L ? ? ?. <> Pianninn Dezign Inc. 1'•ll 1-Izyhway 10 N.E. t-ti nneapo1 i s, MN 55432 612-780-1910 COMM. h!(J.B?'J?? Minnesata S-late Energy Code Calculatiorts Based on Chapter 5 of the Model Energy Coc3e 1983 Ediiion -- Adapted 1!1/34 4wner: Sil:-- Addrtss: r aL.tur: MOBEL #i;.r5 CENTEi: H(JMES CCIMPt . Ntl : 0,9 5? ? Phorre: B1G'ly'. !..i3SS: =ENcF,e1L IMrQRMATIt7h: AS A1 for 9inglu Familyllluple:: A2, residential <; 3 stories t7ver 3 stories Otfier P.ote; T}:e sectiun desigr.ations ("Sectiort A", "Section S" et[.) are Fcr convenience in cr;culations cnly, and are not related fram vne set of calculations helrw to the iicxt. 1. Pldg. 4tclls Perimeter >; Wall heights, = Area greund to eave Sectic:n A ; 156 19.83 _ 3093.43 SU.-tion » : o c, _ cr S_O1: t1 O(7 C . I 1 Q = C?J Se?C t i Ofl D : 0 Ci r = C. Gross Wall Area = 3043.43 2, gttilding dimensions Floor or Ceiling Length r. Width = Area Section A: 16 14 = 2=4 Section P: 32 28 - 896 3ect i on C: 0 0 _ 0 Section D : Cl 0 Tatal floor or ceilinq area = 5120 3. Rim Joist Perimeter = 156 Floor jcsisc 2 6y (8", iCl", 12" or 1611)>: id Rim 3oist Area = 130 4. Doors Ftirea: 43.8 Thi.ckness (inches): O Perimeter (feet) : 0 T,pe ofi construction: ,i. Total daor's perimeter; U 6. Wl fICii7W5 !`?anufact.urer: WEAFI-IERf-iHfEL_P. U factor: i>_-4'7 :_taLe appru•:cd: YcS T'Y;-'e H..l.r,t7t „ Lcnyttl ., iJumbe-r = Total i i nc;tes) ( Inche=_) of ;,.1 ass SyF± Ulll t5 BSh1T. UhJIT 14 27 3 7.88 DOL{PLE IiUh165 28 lb 4 12.44 ia z4 a i?.?.67 L iV s:8 L 6.22 iR sa4 IG 65.313 =II :32 2 12.44 24 :;u 14 £34 3? ?6 4 !1 i, !'t ,i CI Ci rl fj 0 0 U 0 O O U O n o 0 i) 7. tlinclow gla5s area (SGFt) = 230. V8 rYP? Height >: Length x 1Vum5er = Tntal {fUet% (feet) urtits SyFt S. Patie Aoar: 0 0 rry q 9. Atrium: 6.8 3.8 2 35.08 10. Fireplace area 'rrid?he b HPi-ght: 5 Catal _1; Ft = 'E, , li. E;:posed Foundation Height area R: 0.67 Pe rimeter area A: 156 Sq Ft area A = 104.52 ` Euposed Foundation Height area B: O Perimeter area P: 0 Sq Ft area B= t) 12• SqFt U factor U x A Gra=s wail area 3093,48 minus 4linc'ow area 230.98 0.47 108.56 Fatio door area U p p FStrium area 38.08 0.47 17.9 Rim joist area 130 0.035 4.55 Doar arra 43.8 0.14 6.13 Fireplace area 30 0.17 5.1 cxposed Found. . 104.52 0.14 , 14.63 -? Framing area 309.348 0.069 31.35 egual s Tutal s ror net wai l: 22N)6.752 Q. c.li,3 E31. 65 . ?c7Ca:; fni^ gYo55 i-la.II dned: 259.87 - F rcun:ny area is t•J;'_ c# gruss wall area 13. Gross caa11 area ;; fector L}elo,i =!J ;: A per code retctor is .11 for A-1 sirty3e family &< duple>: •23 `^r- fl-2 and olher residentia? .::3 for o:her buildings .29 far over L stories Factar is: 0,11 [i7U( f= 340.232$ N[UST bE ; OF = 259.67 (celculai.ed abe,ve) 14- nY'U35 ceS S 1 fid rl'e'!?8 - t 120 10- Lei1;"cJ iramirt; ar ea ;fO.Y, of c2ili.ng areai = 112 :6. Jai sf Area : in;: v# cei ; i; rg aren'r = 112 17. M1let cezlang area ( Gross ceil. area - Joist area) = 100$ 13. U ceiling: 0.021 x Net ccil. area = 21.16$ 19. U framircg: 0,024 y, ,]Qist area = 2.688 20• Total of item 18 >: item i° _ 23,$35 21. Grvss cei? inq area :; factor trelor: = U r, A per code Factor x3 .026 for r=i-; sinole family a< dupie.; .033 for A-2 and ottier resideii{:ial .06 far oc;ler tUildinGs t-actor is: 0.026 L:F[iH = 29.12 t'IUST EtE } OF, = 23,0.^y6 fcalculated aboveJ r 2 x.G / HIGH "R' SHEATBIlYG WALG SGCTION STUD SL•GTION - RIC7 ? JOIST .6O • .45 6.50 : (Pranung) U = 1 = 6.0 R .67 .069 .17 ' 1447 •Interior air film .60 Tnaulation 19.00 1 Z lE1Ch SOEt, WOOd 1.88 (N1N .70151:) U = I _ Sheatlting . . 6_0 [t Exhecior vall coveriuig .67 _ .035 Bxterioc air film .17 R TOrPAL 28.4 FDIY. u vnr,or: cnccvw?iiavs Inside air PiLa Interior wall Insulation SheaFfiirg Siding Outside air film R TUPAL R YALUC U VALUG . Gfl , .45 (Wall) U = 1 = 19.00 K 6.0 _O3_7__ .G7 .17 • 26.9? Inside air film InCecior vall Stud - G ' . 5heathung. Siding " outside aic film R T8TAL Interioc aic film Insulatian . . FoluldaCiOn (12 " B1oCk) Exteciot air film R TUlAL .68 5.00 . , 1.20 (Foundatiai) U = 1 .17 • N 7.13 .19 Pianning Design Inc. 1611 Highway 14 N.E. Minneapoli=, MM 55432 612-780-1920 coMM. Na. i•;innasota State En=rgy Code Calculations Based un C.hapter 5 uf the Model Er,trgy Code 1°S' Edi±ion -- Adapted 1111I84 Oyrn er : gi.±n kddr•ess: Cun ti-actor: 19ODEL #?SrJ CEFJTEi NDN'!ES CrMM. No: Fldg. Class: GER7ERRL IhiFOF{hlATIQN Fhor,s: F+? A1 for Sinyle FamilyllTuple: A2, residential C 3 stories 0ver 3 stories Other hteEe: The sectian desiqnations ("5ection R", "Sectian P" etC.) are for cnnvenience iri calculations only, and ere not related from one set of calculat;r'±ns belaai ta the ne;:t_ 1• Lildg. Walls P=rimeter >; Wall heights,, = 13rea ground to ea- • Sect i on A: 66 10 = 660 5cction B ; 70 13,67 = 956.9 Section C: 58 18.58 = 1077.64 Section L: U 4 = L Gross 4la11 Area 2694.:1'1 2. C+t;ilding dimen-?icns Floar ur Ceiling Length x 43idt'h = Area Sectiort A: 15 2 = 30 Section B: 11 S = 65 Section C; 22 22 = 484 Section D : 42 27 = 1134 Tota2 floo r or cei ling area = 1713 3. P.im Joist Perimeter = 194 Flonr .inist 2 by (8", 10", 12" or 16")l: 10 F,im Joist Area = 161.6666 4. Doars Area: 43.8 Th ickness (inches): 0 Ferimeter lfeet?: p • Tvpe af constructiun: • 5. Total door's perimeter: U b. Wzndows !•1.-ti7?:facturer: WEATHEFSHIELD U factor: 0.47 Statie appi^oved: YES Height r; Lerigtl'o }; -Plumber = Total . i;ncFies? (Inches? of glass SqFt units r'8Mr. uH 27 ±q 27 4 10.5 DOL'BLE HUfd6S 16 20 11 :3.89 28 `?', 7.1. 1 1 28 24 4 ia.b7 2« ?S - Z 7.78 2E 28 24 130.67 28 Z,2 b 37.3?• FIr,ED 30 20 - 4 Ei.3-, 30 2$ .l J. S?• %4 48 ? P P.OLlrlIiTCF 22.5 '22. J I 3. 52 GJ.,F'TER ROl!!`-!D -Ci 30 2 11-7.51 i.? 0 U O 7. Window glass area (SqFt) = 283.13 Type Hezght .. Length x Number = 7'otal (fe=t) (#eet) units SqFt 8. Patio Doer: 0 p t} p ?'f. {?itf 311m: fi.a 2.8 i 3V.0$ 14. Firepiace area Width: Q Height: tl Total Sq Ft = 0 21. E;;pesecf Fvundation Heiqht area A: 0.67 Fe rimeter area R: 352 gy F` r•-ea F1,= I!i1.84 E>:posed rour+cJation Heiqht area Et: tl Ferimeter area E+: p Sq Ft area R= 0 12• SqFt U 4actor U x A Gross wall area 2694.54 minu3 4:indow area 283.13 4.47 133.07 Patio r1oor area O 0 p Fltrium area 38:t]8 0.47 17.9 P,im joist erea 161.66666667 0.035 5.66 Door area 43.8 0,14 8.13 Fireplace area cl ?,? p E;:posed Fot:nd. 101.84 0.14 14.26 Fre,ming area 269.454 0.069 18.59 equal s Toials for net wa1F: I796.5693333 0.037 66.47 e r;3'.aI5 +OP rrlSS 4d811 area: 262.J:: . F"raming area is .luX cs: ?ross wall .:rea Z. Cress wail area x tactor beiow = U>: A per code Pactor is .11 ior R-1 sinyle family ,< dup2tr. .23 for R-2 and other residentiel .:';; for oiher buildi«gs .48 fcr aver 3 stories Fe.ctor is: 0.11 i; i UH = 29$.3944 MUST RE i QR = 202.02 (calculated above) 14. Gre.ss coi t ing area = 1717, 1`i. Ceilinq hr aminq area ti1O;: cf ceiling areai - 171.3 16. Joist Area i10% es reilinG area) = 171.3 17. Net ceiiin g area (Gross ceil. area - Jaist area) = 1541.7 38, U cei.liny: C?.021 >; Plet ceil. area _ .'2.3757 lY. U firaming: 0.024 >: Joist area = 4.1112 20• TOtal of item 18 :: item 19 = 36.4869 21. Ciruss cc-i 1 i r:G area x ;actur 6e1 ow = U:: !3 p=r code Factor is .026 ror Fs-1 singie family & duplex .033 =or A-^ and other residential .06 for other buildings . Facfiar is: 0.026 EtTUH = 44.538 MUST HE > OR = 36.4869 (calculated above) . 2 R !'i /' BIGH "R" GwcenmFrnr_ WALG uGCTION S141D SCCTION RM JOIST FDN. U YALI16 GILCUGJITlON i R VALUG Inside aitr Pilm .6E3 Interior va]1 .45 (Wall) U = 1 = I(LSUlatiaai 19.00 N SheaUiin4 6.0 .037 Sir]ing _G7 Outside air Pilm _17 R TOTAL 26.97 ' Inside aitr film .68 • Interior wall .45 Stud - G" 6.50 -: (Fraoiing) U= 1= Sheathing 6_0 K Siding .. .67 • .069 Oul-.sicle aic film ' .17 ' R TOrAG 14.47 Interioc air film -60 Tnculation 19.00 1h inch soft vood 1.88 (Ruu JoisL') U=]. Sheaduing • 6.0 tt Lxterior vall coveririg .67 .035 Bxterior air film -17 R TDmAL 28.4 InteCiot air film , _68 r.,s.,lar;.,., . " §_pp . Fouaxkition (lz - 61ock)_ 1.28 (FOUCdati«i) u= 1= Lxtecior air fiLa _17 iE R TDTAL 7.13 .14 ' U YALUC , CEILING WITH YFNM ATPIC SPAM AHOYS R YALUE R YN,OB FRAMING CEILIIIG 0.61 Air Film 0.61 36.00 Iasul.atian 44.00 4.38 Joist .56 Ceiling .56 0.61 Air Film , 0.61 41.55 7bta1 R '45.78 .024 U = R .021 R YALOE FRAMING R VALUE rrrrcnr_ 0.61 Inside air film _ 0.61 .56 Ceili[g .56 14.375 Joiat(Spaoer) - T - Insulatian 33.85 - Ait Spaae .50 .67 ILoof declciug .67 .06 Felt .06 .44 Shingle .44 0_17 Outside air film 0.17 . 16.? 1bta1 R 36.86 .059 « R = O _027 winaa, infilerati i _s ch,r;•,?, foot of crack Residential daor infilrrar;•,•, 0.5 c5q/aquare foot oc door and m;••;mm aode requiremmt Non-residential door infiltratim 11.0 c5o/3Linea3. foot of crack tb 12' aoncrete block m iasulation =.781 R 1.28 double gla.ss = .52 triple glass = .31 All ezterior wralls and aeilings must have a vapor barcier (0.10) petm max.). Yapor barrier must be m the 3nside (heated side) of vall. Vapor bariers of the polyethelene thin film have no R value. PERMIT f REACtIYRTN K CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATIONLI I ? nn `ia(I_ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COhP1ERCIAL 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 ade r lot chan e is re uested once ermit is issued. Date -E / 19 / gr?, Valuation of work 6J (T Q Sfte Addre s: c-7 ?S_ Cr) ?.,., [,._QP STREET gUITE * 7enant Name: (commercial only) • LOT IL SIACR L . SUBD. 'I'? U .UJI o Descri tion of work: The applicant is: tY Owner l?Contractor ? Other (neserme) Name L i nc`ed yy.A4 Phone !Z';;a- Ga S4 Property LAS , FIRST Owner pddress _ 7 7,.? yy1 Gerr r,v .Py STREET STE A City State t, Zip Company LQ c_r,r= 4_ ??.. ?? Phone Contractor Address 3a Gd 1?5 .. License # _ Exp. T City State _M9 n-, Zip <S?"'tJ? ? Architect/ Company Vhone Engtneer Name Registration # Address City State iip Sewer & water licensed plumber . Processing time for sewer 3 water permits is two days once area as been approved. 1 hereby acknowledge that I bave read this aPPlication and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: T k ?1 ' BUIL'DI Q?' PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 5F Addition ? 04 SF Porch ? 05 SF Misc. woR+c rrPE 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex O 08 8-Plex O 09 12-Plex ? 10 Multi. Add'7. ? 33 Alterations ? 34 Repair GENERAL INFORMATtON ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 6arage/Accessory ? 14 Fireplace ;W,.15 Deck ? 35 Tenant Finish O 36 Move ? 16 Basement finish O 17 Swim: Poal O 18 Comm.JInd. El 19 Corten./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous C7 37 Demolish I Const. (Actual) Basement sq. ft. MWCC System 6A1Towable) lst F1. sq. ft. City Water UBC ccupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster,Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ?g . _ On-site well Census Code Depth ?2• On-site sewage SAC Code APPROVALS Planning Building ?)S Assessments Engineerinq _ Yariance 4 REQUIRED INSPECTIONS ? Site ? Footing ? wallboard O Final ? Framing [3 Draintile -W3--q " ? Insulation O fireplace Permit Fee Yaluatim: Surcharge Plan Review Ltcense MWCC SAC City SAC Water Conn. Water Meter . Actt. Depasit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: S SAC X SAC Units ;{','YS.? :5'a4,i.a,,.rv.x` ...c,Cnw, .'d' S ' } ' k. . • # - 65 l 'U4 - µ'H. {?w . -. • r W ?r?,ifte ;a?urvey fb[ ,;??;E%?? y ae'. T%`W A?u 'Y ({#'?R rFs' '4a r" Q ,. r?ct Y? ? ?' "3P"E? c: r k es b ? z M g!'tWe!l?o;vr?Ye? ? T ?? M<???. , i+ ?`°'t?iriW,rSe?msv?vat < Fz.$. 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[2 ?} "? ?vr"3^' Jy i J y e` ??r? ?,? ? t qwr? fiy `r ro',y?ro-?'?sr s'9 n?' 1 h>r L T a ?7yvT ,p?p ?y ^F .l' f Y 3' `e'? S..F? i? ^.v.? .7'??a1`Ri')' I \? 'R ??).4X4" i?4e? ??? ??"•c n?4? t r t ! s It?F ?ti 1"k sevl h aR W e ?i 5 r ? F' tV ?' Y`? }A'?{9h'.? 'Y?"py *.f? ?' S" i y >C t 4 •1 {G?' k'- rS ?' '? t V i s? W E? s 15`?`? x r w e ? 6 4 (].p?,?ti? ? ?? Y.h ra, i t i ?L?'(? TI"/. 7q'.ia.3 ' i. N 6\ 5 fi4^ ? p • ? tf T!? ? 1? M1ff+T, '?) f i °S?{ u'? ee.> s v ? £. 1 ¢ ?.,? , H• lmk?,+ r t r s. ! L y 4 i R 'wt "§„?? 'n5? x??'° r . ? mA,??fr"y'"i ' ' 4 ?+ 9 ` R.`Y, . ??i , 'Y'kY ?? ?. {g ?'?54? $; •y-o .•' s t'„ "4`-? vxh- 12 'k t? rm :t,i . ..5 1?' ?j +f?S a '? y x t s _ } n?"`y? dt `S i x? w , t , . ? ?. r?, . ? ?'?? -, t < ' . ? , ? ?*K x.R ?a? ?t> :.\ ? oJ ? i,? S• «? t„ a° ? ,r ? , a ' a z i 5 s r? 'v t .a' ? t c lp a e 3 ? ? ?e?x? ? q?k? 8 . ?r.A s,?.•, , a r /,?Y ? s ? / ?'' n '[f .?. r r5? ?,. s3 _ t1% U./F 914? t?? t4 « ? a ? a????? ?' a? q'.? ? v.? ?,. p'I . ?_ e ? • ? ly ?? ??,.' ,y? '? "F ?o'?' ?n ] 4s '`?a w t9°?n 4r- h? s w^ R j , r y > s? ? s N x . t 7 _ 4'C?" f ' Y`h :e°".q qr 1 ?.. w t e Z? ?"y, K f z '?t \ ?? a y§' p?{?t ??,?tr r,x ld' rc". a T ? AA` B?lfYii? u ) ' ?,? y, I ' . 4 , 'J'1E4 '???{? 2 . ' e -,$ Y S? 6 , '? \ ??,. . J .., q? vw ?9 rk•a P??!'i??i `'E.( '?.p'??]i f A , r3? . ? ? ix? • ? ? ?R'19 N tA 1+v??F?, 4??,?*? '?? ??1 r? l ?? , v iL n , 3 S `?# ,? ? ? g YA (? , r2 t.a.? ? ' V ? T '`k , ' ?"? • ' axy??'r• y Nt ?2 '?e - T "b ? ; ?t",?Q 4f d ?? r xs t ,+i? . . O .Y, .N_ u?!- r f Y I s (] ?N. ?7' fl , ? x/?J {? "?,3w ? t*^? ,. L J? E Iv?? F (9136?)' "` ` Fnt x ? i h 4 u.` ? ,? y?Qv Fv p ,? (f ?Y 1 _^ ii 'tY'? '?a-1?^%??nr x; '? ? °:•..?:? ' _ ' ?? ? ??.' ° I )) S 4'Kr ?/ ?(.s . u ?r W j . 's ? ?3y l Y S • _. -' ? . . ? ?j `Z " . $Y., 4 ?r r e A? ? t j. t} L4 T C 3b' X1?' A? j ,'Y Y f T1 4(1 b 1 §S , L'i' .j?? ?iy- ?A 4F - b. t. ;,??? s * ?3 M ? 6 s }` @ 7 ' i ?i1 '?'? A. ctia DEPT, y Ysuu.o Deriole??Exlsting Ele?aiion PI20F?OSE1?_t?(7USE ?EVATl?? °? Propo5ed?, _?-? `? Dsni?t'gs sl3rain4ge, ?? `? °g r, 'm?!,-QBC?0?,4,'S QfQlil0f,?8i F?OW? DIfCCtIOfl ' Garoge?+Slab ?leyati'pn .916 33. ; r : notes Monu[nent K Pelic?le??0f(sgk?Hub?'"8earings sfiown are assurned ?'` 6 B;L"OCK 2? H1LLS[]' OF,eST?1`C??-?'jJ?`?RIL ?x's DAK6TA COUN7Y MINNESOTA ? < tiF • .# . .1?he!eby tmulY thal Ui?s,¢urveY f+iun`or mpw;[ wes N[iParqd bY? me'ur'uudar my Jiroci supuvismnnu?l 1114K?ami?luiy{iuy+sleYaJ?La??d Su?veyor ' ' ?uuJoi {I?q lawa ol tl?e$?atn ul Mhme;a?a Da(a i ?I?is??: f1aY.ffl r?? ?P q ? .{ ?i ? N'.'?.?,4<' .Y S - . t L• ! 4 - . ? A ?r` 1 ? Cf1?r3?1?H?'.??'J ?<T y : ? x ¢ 1 ???Hc'?,L?IHI#?#r(i'? ? ?,_•W???f#?6;?iJR ??l9As# ,_ '? ?.. 04, ?,.rv .s a ^?n• ??p.x?-0v?,t. "? -".?r a? `"?:=' STATE RESIDENTIAL CONTRACfOR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license to the Department of Commerce. Date of Application _ Residential Building Contractor . Remodeler Signature Date 2. I am exempt ause I am a ggg specialry remodeler. ? C?_ Signature DaW 3. I am exempt because my annual gross receipts are less than $15,000. Signature ate 4. I am exempt because contracts on individual projects in aggregate do not exceed $2,50 . Signature Dat Questions regarding the licensing law should be directed to the Deparunent of Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). CITY OF EAGAN L-20 B? MECHAIIICAL PERMIT SUBD. ? ? (612) 681-4675 3tRESIDENT7AI, gECEIpl' # DATE q8:! 9?- PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEI'E FOR TOWNHOMES/CONDOS K'IIEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNIT. ???V6??2 oVVNER. FEES STl'E ADDRESS: ADD ON/REMODEL (E7CIS7'ING CONSTRUCTION ONLl) $ 15.00 HVAC: 0.100 M BTU Z 24.00,,-' INSTALLER: n 7 ? ? ADDITIONAL 50 M BTU 6.00 ADDRESS: ? e/le!i 'L.? GAS OUTLETS - MINIMUM 1@ $3 4, `'? CITY: ZIP: SNIZ SURCIiARGE $ .50 SIGNATURE: TOTAL: ? $ 1 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRW, BUILDINGS. ALSO COMPLETE FOB APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'AEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNTT. . WORK DESCRIPTION: CONTRACT PRICE 19(o OF CONTRACT FEE. FEES STATE SURCAARGE IS $.50 FOR EACH $1,000 OF PERMTI' FEE. $ PROCESSED PIPING • $25.00 MININIUM FEE - $25.00 $ OWNER: TOTAL: $ SITE ADDRESS: 1'ENAIVT: . SUTfE #: INSTALLER: _ ADDRFSS: CI1'P: ZIP: PHONE #: CTl'Y SIGNATURE: SIGNATURE: J L? sL Z cixY oF EncnN PLUMBING PERMIT SUBD ?? ? (612) 681-4675 FLEASE COMPLETE UPPER PORTION ONLY FOR SIPGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: r-?INSTALLER: ADDRESS: .? CITY: PHONE #: NO ? ? Z. ? ? ? ? CITY USE ONLY RECEIPT ? 14 .3ol, 3.2- DATE 3/-a 2?z 9 AL50, FOR TOWNHOMES AND CONDOS ---'-------------- - --' COMPLETE THE FOLIAWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 ??U U WATER CIASET 3.00 O BATH TUB 3.00 47 O O 1AVATORY 3.00 /- KITCHEN SINK 3.00 ,?QQ LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 ,3 0 O FLOOR DRAIN 3.00 . •3? v GAS PIPING OUT. (MINIMUM - 1) 3.00 ?7 v v ROUGH OPENINGS 1.50 ?A OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: $ J-40•4w COMMERCIAL PT.FASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRZCE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.5D FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SiIRCHARGE TOTAL: $ (SIGNATURE) ?j?- v '?T? p?G. 7O CITY USE ONLY L ? BL d RECEIPT#: 7Y 3-70 SUBD. / 44 a ?? RECEIPTDATE: T 9 9 _ eliw 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3850 PILOT KNOB RD EAGAN, MN 55122 (612) 681a4675 Please complete for. . single family dwellings - townhomes and condos when pertnits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: / `o2"- 7/ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) 20.00 21 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge ? TOTAL p??G SITE ADDRESS: OWNERNAME: PHONE#: INSTALLER NAME: WEN2EL HENTING AND M1IR CONOiiWNMG PHONE #. STREET ADDRESS (6148949898 CITY: STATE: ZIP: ?Ntft HFATING ANO AIR CMM=B 113101d Wey WmrW?Rr)c +1? ?__? I" ? LL EW,Mry 55122 SI RE F ITTEE . (fit2) 89490 ? ??? q 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) f ;7 s CITY OF EACAN ? 3830 PILOT NNOB RD - 55122 851-887-4875 > a reyi.rored rre suryev. r,otw+q aa R ot M. •a. n. a nane G-15. oD 2 copies a paan and ga rooleC arew f7074. maadmum lof coveraae adbwedl 1 set of eneryy cdculaHOns for heafad addlMau v s coplea of plans tahww bean a whnaow $114% aoured md. dealar etc.> t site awver ror exronor adcnnons a decRs ? 1 set of wwryy C[ACWaHOnE a S copies of tree prewrvaHon plan H bf plalted aRar 7/1193 ? DATE: 6L12,00 CONSTRUCf10N C05f: O O ! DESCRIPTION OF WORK: I STREET ADDRESS: 995 `GvYh.Qf/2.LtXCU. l..N ! LOT: BLOCK: ? SUBD./P.I.D. #: r. Name: JL/un +?',y7'1#11?& h-??/YllLrv Pt,one e: 6 57•- 4/52 ` qQ W PROPERTY taat Flrst OWNER SfreetAddreBS: ? ?S ?r?1?1?(.(.iP.?. Q'/I"!u-L_ Ciiy Stafe: IK/ll Zip: . Compcny. ?'?' W4 & on i 0. Phone t: 1-2 (area code) cowrwacroa sh«t adctrew. 9?c?- ucar,se # 2o/ / oExp. 3/ d1 City State: mu 2ip: 5'?-?O ARCHITECT/ Name: ENGINEER Company.% ' ' Telephone ri: ( ) ? Skeet Address: ? Regishation i: Clty State: Zip: Sewerhvater licensed plumber (If installlno aewerhvaterl: Pho^8 #: I hereby acknowledye Maf 1 have read Ihis applicafion, afate MoR Ihe inlomwlion . a agree to comPh? wilh oB applicable State of Minnesola Stahitea and dy of Eagan Ordinanees. $iprwfure of ApplicaM: OFFICE USE ONLY Certificates of Survey Received _ Tree PreservaUon Plsn Recelved _ Yes _ No Yes _ No - Not Required JUN I 4 , B R A IJ N SM Deuription: I N T E E C ?1e?t No: By: 'J ? t - ceT_ i ? 4 , i I, 4°c`"C ~.6 , ¢ -ry1 ' -- ? ?- -- ? , -- - - ? _- t?-.-?j?--{? -- ; ?- . ?- ?--? ? +?+??`? 4 ? {To 4*14 tf? I -- + ,-- - -i - , . 4 -,- t 7 r:rC,-4 , , ? I r L.77-,? j j- ? ? ? -i - - , -r- ,- ? ? ? - -? ? -- ? , -- - , ? : ? -- t --' ? t r ? --;- ? , ? ' . ? . i ?? _I` ? ? _ i _ i? I _ '_-•-•. _ "? I , -+- } -- ,-- ; , --, {- , -;- ?- -,-- ? --- - ? - '--?`- - - - -- t ' = 1--- I-`- ?--?- , ? ; - -i -?- ? -r- ---?- --r- ? I --G---; - _ -?--t? _ _ ! =- ? . .. ?- , ? 1 f a? ?- ? - - --{ - ?-- ? ? • ?- - ? . - -?--? ? ? ,-- 'r ? - , ? - ?--. , i ? - - - ' ._?? ' - --? - - - -- ?--- , , ? . -- - - --- F --?- - - ? ; , - -- -? -? ? ? ' _?- ? ' ' -- A -- - - - I - ___ --? - ? - - - - .-. ? ? .? ? ? I _.- '_ _- -- ? -- --- - --- E : _ -_I _- . ? __ - - - - - - - - ? ?-- ; ? --? ? ? - -?- _- ?- - - - -- ; - - - , -? , ; - r ? -, - - - , j ?L ? -- -? - - --- -- -a -- , -- - ---- -- -- T , ? -- - ? -- - ? --I-a , ,-- -? ?- ? - - -- ' PERMIT City of Eagan Permit Type:Building Permit Number:EA120465 Date Issued:02/13/2014 Permit Category:ePermit Site Address: 775 Camberwell Dr Lot:16 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Ronald W Liedman 775 Camberwell Dr Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165868 Date Issued:11/24/2020 Permit Category:ePermit Site Address: 775 Camberwell Dr Lot:16 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-160 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: 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 - Ronald W & Cynthia G Liedman 775 Camberwell Dr Saint Paul MN 55123--393 Kremer Brothers Construction Co. 516 Second Street, Suite 202 Hudson WI 54016 (715) 554-2600 Applicant/Permitee: Signature Issued By: Signature