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778 Camberwell Dr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1 11; 1 0 I i I f i J , APPLICANT: 110111 I""Hi I I Ilt' Nt II Jill I III t oIfl tltr.l fffl'P PERMIT SUBTYPE: TYPE OF WORK: w ~t INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 1:11 t h.l: t I _ Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. P1bg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck•Ftg. Deck Final L 3~ N f Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: t t ► f " (612) 681-4675 SITE ADDRESS: 1 Cr A APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # SNU PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace /a mpg/Nl eta ~/a~'1►! Final Htg. Orsat Test t~ Final Plbg. Pibg. Inspector - Notifyr Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pc Disp. 7 (9rdifiratt of (Orrupaur Citp of Cagan nuCertrfuaam issued pursuant to the rVuw&-mnts ofSechon 306 of the Uniform BuUm.- Code certifying that at the time of issuance this structure 'wrrs in comp&mce with the. m*w ! ordinances of the City regulating building construction or use For the following, j I USet tloa Bldg.FbnnitNo. OctuP"cy Type :_R 44--- Zmicg D4Wa PDARj Type Cast IN Cl*- of Su'ld'°g Ad&- 201E RPAR 1-2a, M - &uidim Adl= orv-:'ei L - L-JRY L 10, B4, I 7 C CE S' tt"A7RARl71C~ 3RD i 3 3/42 Ewldieg0lfiaia[ I n POST IN ACONSPICUOUS PLACE 1 CITY OF EAGAN r k 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $142,OW Date OCT 15 t Site Address 778 CAMIREMLL DR OFFICE USE ONLY Lot -10 _ Block 4_ Sec/Sub. HIL Parcel No. STO BR D" Occupancy R-3 161 FEES Zoning PD 14 W Name XHR ROTTIJINp U4 INC (Actual) Const W Bldg. Permit 787•DD Address %2ni F. II7VFR Rn (Allowable) Surcharge 71.00 City F1111131XV Phone %71-4--404 # of Stories 00 y Plan Review Sli• Length Y t° Name SAME Depth 3' SAC, City 100•i1Q O" Address S.F. Total SAC, MCWCC 630.00 City Phone S.F. Footprints On Site Sewage Water Conn 860.00 Name On On Site Well _ Water Meter 95.04 Z' Address MWCC System 0a 00 a W City Phone City Water X Acct. Deposit 30• PRV Required S/W Permit 3©• + I hereby acknowlege that I have read this application and state hat the Booster Pump S/W Surcharge • information is correct and agree to comply with all applicable ltate of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee APPROVALS 370.00 Road Unit f =a+ A Building Permit is issued to:. THE imnm Co I Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinanc S. Bldg. Off. Copies Building Official Variance TOTAL 3• M4.30 Permit No. Permit Holder Date Telephone # WATER SEWER'' PWM"BINNG ~ pF oce'~I ~y,~ce4, .3 ! 1/ 3 4/',3' `t'om H.VA.C. 9 ELECTRIC Inspection Date Insp. Comments Footings I 3 Foundation Framing Rooting Rough Pibg. ~3 r I Rough Htg. [Sul. 43 Fireplace Final Htg. -f Orstat Test V -12- 22 Final Plbg. )-17, fZ Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg_ Final 1-23 - -Z ,S Deck Ftg. Deck Final Well F •j Pr. Disp. ; SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER PERMIT DATE 10118/91 3830 Pilot Krfbb Rd. - CHIP #Q/~~ PERMIT # 12351 Eagan, MN 551 22-1 897 METER SIZE B.P. RECEIPT # C 15872 DATE ©-9- 91 ISSUE DATE f {l 9 z B.P. RECEIPT DATE 10/171 91 PRV -BOOSTER PUMP SITE ADDRESS 778 D~cive PERMIT REQUESTED LOT 1C BLOCK 4 SEC/SUB Bills Of StonebridirIc: 3 X SEWER X WATER TAPS APPLICANT: The go, t l m i Tn(- - ADDRESS: _ 5201 E. gi-yer Road CITY, STATE Fridley, Mn. ZIP 554,21 - NEW EXISTING U PRONE: 5'71-0304 f , ~ , Lawn SprPKkJer Meters are to be Installed PLUMBER: Valley P1urtIbZ;ZCI Ahead of Domestic Meters on Water Liner ADDRESS: 610 Creek Lane Credit WILL NOT be given for Deduct Meters. CITY, STATE Jorcdan, Mn. zip 55352 PHONE: 492°2121 ~ TC ITY OF AGREE TO CO~yl C OWNER: The Rottlund Co. Tn.c. EAGAN ORDINAN ADDRESS: 5201 E. River Roach CITY, STATE Frzaley' Mn- ZIP J5421, PHONE: 571-0304 TU WHEN METER ISSUED PCEA~SMAELOW-TWO WORk'ING DAYS"FOR PROCESSING. CAL 5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r-, SEWER A JVATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 113/18/91 3830 Pilot Krbb Rd. " CHIP # PERMIT # 12951 Eagan, MN 55122-1897p X . - METER SIZE B.P. RECEIPT # C 15872 DATE 113-9-Q1 ISSUE DATE B.P. RECEIPT DATE 10/17/ 1 - PRV - BOOSTER PUMP SITE ADDRESS 1°78 Ca°''We. 1 Dr iue PERMIT REQUESTED LOT Li BLOCK SEC/SUB 11j• 11s Of Stonebr ..dge 3 SEWER X WATER - TAPS APPLICANT: Tho Rnt+tlt►nH Co- Ins ADDRESS: 5201 E. Riyar Rr~B - COMMIIND RESIDENTIAL CITY, STATE ' F9: idle, Mn. ZIP 55421 X NEW _ EXISTING PHONE: 571-0304 Lawn Sprinkler Meters are to be Installed PLUMBER: Valley Pt.t t~~l Ahead of Domestic Meters on Water Line. ADDRESS: 610 Creek Lane Credit WILL NOT be given for Deduct Meters. CITY, STATE Jordan, Fin ° ZIP 55352 492-2122 PHONE: I AGREE TO COM Y WITH CITY OF OWNER: The Rottlzmd Co. Inc:. EAGAN ORDINANCES ADDRESS: 5201 E. Riven Rc o..1 CITY, STATE friClleyr Mr" ZIP r'.5-A 21 PHONE: 571-030SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 778 r92MJELL DRIVE Lot 10 Blk 4 Sec/SubHILIS OF STONERBRID(E 3RD These items were/were not complete at the time of the final inspection. 1 23 A2 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass L~ Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RFCttl[O YIVER White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN No 19802 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # a 15V7 To be used for SF DWG/GAR Est. Value $142,000 Date OCT 15 1991 Site Address 778 CAMBERWELL DR Lot 10 Block 4 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. Occupancy R-3 MM-1 FEES Zoning PD RR1 w Name THE ROTTLUND CO INC (Actual) Const -K--N Bldg Permit 787.00 z Address 5201 E RIVER RD (Allowable) VV_N City FRIDLEY surcharge 71.00 Phone 571-0304 x of stories Length 52', Plan Review 511.00 ffi Name SAME Depth 36, , SAC, City 100.00 0¢ Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints Site Sewage Water Conn 660.0 On 0 Gw Name On Site well ww water Meter 95.00 s~ Address MWCCS System X ¢i y Acct. Deposit 30.00 aW City Phone City Water X PRV Required S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .5 0 information is coned and agree to comply with all applicable Slate of Minnesota Statutes and City off'Eagan 7Ordinances. Treatment PI 276.00 Signature of Permitee Ma APPROVALS Road Unit 370.00 A Building Permit is issued to: THE OTTLUND CO INC Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 0 Building Official fIDf R girt! { Variance TOTAL 3,580.5 DATE: OCT 18, 1991 RE: 778 CrERWELL DR (THE ROTTLUND CO INC) At R Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Worls"arage (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 for meter at City Hall Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors-454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. t CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. i~~is/9i io3~a4 01225 D t90 Request Date Fse No Rough-m Inspection Rsqwred> ❑ Ready Now la'Ndl Notify Inspector eYes ~❑No When Ready' I Xicensed contractor ] owner hereby request inspection of above electrical work at Job Address IStreat B or Route NO) city Sermon No Township Name or No Range No Co Ocmp IPRINTI Phone No Power SLI%PIJr-erh1J. Atltlress VaW Elenve Qmraotor (Company Namal Contractors Ucense No 4a4li -3 Mailing Address iConrraclor or Owner Making Installation) Authorized Signature (Cunt ctorr r Makng Instal ionl Phone Number /Q MINNESOTA STATE BOARD 0 ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OSOD ENCLOSED REOLIEST FOR ELECTRICAL INSPECTION ES-0000108 08 k - - ~ so See instructions for completi ng this form on back of yellow copy l0~C) ~i _ V '4--x l,.. "X" Below Work Covered by This Request ' .w' ewiAdd Rep. Type of Building 6pplianceswired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Otl-i (speafy) Contractors Remarks Compute Inspection Fee Below: # Other Fee # service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 13 0 to 100 Amps Z Transtormers Above 200 Amps Above 100 Amps Signs inspectors use only T TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DISC NECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT or il I, the Electrical Inspector, hereby Rough-,n o' /I/ I certify that the above inspection has Final ,n are been made. OFFICE USE ONLY This request void 18 months Irom ~~/re/si ~o38a~ I 73951 io i 0 5 'aii Reguesl Date Fre No 4ough-ln hspecbon RegpirPd7 - aB'♦Seedy Now ❑ Will Nobly Inspector 10-30- q as When Readyv 17Ticensed contractor owner hereby request inspection of above electrical work at: Job Address( I treeSo r Rome No I Z/2' City 140, Section No Townslvp burns or No Range No. County 1 Occupani(PRINT) Phone No, r Power Sup Address Elecmcal C n,ctor lGOmpany Na et' Contrac'" Lli No 2 L- Mailing Address IDpntractor or Owner Making Installation) Ambonzed 9gnature (COmractornOw king Installation) Phone Number MINNESOTA STATE BOARD OF EL CTRICrrV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)642-MO ENCLOSED REQUEST FOR ELECTRICAL INSPECTION "JJ q. ee ooom.os ► See instructions for completing this form on hack of yellow copy i ' 'X" Below Work Covered by This Request ` New Add, Rep Type of Building Appliances Wired Equipment Wired Home rRange Temporary Service Duplex Water Healer Electric Heating Apt Build Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify, Contractors Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only. TOTAL Irrigation Booms \1 Special inspection ofel S c Alarm/Communication THIS INSTALLATION M" BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. Date I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Frei o / been made. . W OFFICE USE ONLY This request void 18 months from -)bbtl~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 0 651-681-4675 New oonWuctW Reauiremente RemodelfReoalr ReauhamaMs • 3 registered alts surveys slowing sq. It of lot, sq. it. of house; and pit roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • t set of Energy Calculations for heated additions • 2 copies of plan shaving beam & window sizes; poured found design, etc.) • 1 site survey for exterlor additions & decks • 1 set of Energy Calculations • Indicate Mme served by septic system for add'd'ans • 3 copies of Tree Preservation Plan r lot platted after 711W • Rim Joist Detail options selection sheet (bldg with 3 or less units) DATE VALUATION I b~ 7 cv SITE ADDRESS _728 C'?,n t-Je/ MULTI-FAMILY BLDG _Y /N TYPE OF WORK S i Ge,Y n~`Z~~• FIREPLACE(S) _ 0 Z 1 _ 2 APPLICANT Ny [l i cci n c 'l L4 C-Oeo r'--fo12S 41' UL STREET ADDRESS 12-24-7 /1~«ollc l ` ~ u~ CITY STATEA) ZIP.SS/23 TELEPHONE# 95_1`707--4f59 CELLPHONE# Sa.~ FAX# 95-2- 707-992S- PROPERTYOWNER/`/ BSc Flc~r,~~!5 TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of MI. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: MPY vi I hereby acknowledge that I have read this application, state that the inf a n Is r t, an _ comply with all applicable State of Minnesota Statutes and City of Eagan Ordi a Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN t,4 (0 3830 PILOT KNOB RD, EAGAN MN 55122 1 S . J 651.681-4675 New construction Reoulrements RemodeNteoalr Rmukemems • 3 registered site surveys showing sq. ft. of lot, sq. N. of house; and 10 roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • l set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 side surrey for exterior additions & decks • 1 set of Energy Calculations Indicate If home served by septic system for additions • 3 coples of Tree Preservation Plan ti lot planed after 7/1/93 • Rim Joist Deta00ptions selectionsl shoot (bldgs with 3 or less units) DATE 5/C~Z VALUATION 1U~()D SI ADDRE 7g 64m er 0~' MULTI-FAMILY BLDG _ Y Z N TYP K Qf Qon F i~q .9SL~, FIREPLACE(S) _ 0 L 1 _ 2 APPLICANT U ✓ 'NL STREET ADDRESS 2Z ? el2ft 40*1_ ou4l, CITY STATEZIP 42573 TELEPHONE # ~~i Z'?~7- b9SYi CELL PHONE # 54m c -FAX # 95-2 --707- 992 PROPERTY OWNER rILt V- 2P 012- ic.,_Lh TELEPHONE# 65-1-GILVE20 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the I ati c rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord es. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 - ° PERMIT CITY OF EAGAN 830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 5 0 4 (612) 681-4675 Date Issued: 11 / 0 9 / 9 3 SITE ADDRESS: `5~0'~ 778 CAMBERWELL DR LOT: 10 BLOCK: 4 G ~ HILLS OF STONEBRIDGE 3RD 1A( P.I.N.: 10-32992-100-04 DESCRIPTION: (0 CLEARANCE) B,Lj$1cE .Perrrit Type FIREPLACE uIld1riq °f*,,rk Type NEW Loa gan REMARKS: FEE SUMMARY- Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: DAHM CONST CO INC, K W 14570113 0002536 FREDRICKS MICHAEL 2217 ROGERS CT 778 CAMBERWELL DR MENDOTA HTS MN 55120 EAGAN MN (612) 457-0113 (612)686-8820 i hereby atknow,kedge that I: have, read this °app; isati&M .afid *ta~e, t,h,at..tkre . information is correct and agree to eomp'J.Y vi t', all' apAiioabFe date.. of'-,1tiTr.1s Statutes And, City of Eagan ~rd~ti~noe~, fl 4ii n ~,`rl l MY APPLICANT/PERMIT E SIGNA ISSUED BY. SIGNATURE 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 022504 Eagan, Minnesota 55123 Date Issued: 11/09/93 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 4 APPLICANT: 778 CAMBERWELL DR DAHM CONST CO INC, K W HILLS OF STONEBRIDGE 3RD (612) 457-0113 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (0 CLEARANCE) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. ROUGH-IN FINAL r. OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging"` ❑-1#,B„kemenj Finish [3 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑17 Swim Pool ❑ 03 SF Addition ❑ OB B-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex M4 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units REACTIVATE CITY OF EAGAN PERMIT i 1993 BUILDING PERMIT APPLICATION,, 5 v I" o4 681-4675 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 talcs. Penalty applies: 1) when ppermit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 7 Valuation of work Site Address: 77 q C a rn Le iLdve Z L_ 't X STREET SUITE 1 Tenant Name: (commercial only) LOT f) BLACK SUBD. M Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name X12 e OZi hs ~)`GhQ{ L Phone686 9'91AO Property LAST FIRST Owner Address g L STREET STE Y City t~~ ✓ State V" Zip Company 7 ( m ✓yt✓ vrr~7 Co, S~ yvC Phone Contractor Address 1n7 R 9 Q RS Co v e 7- License IF a 53~ Exp. City ~le.vJot`u 1 1 ~[.t7`S State M yt-~/ _ ZiPS~ Architect/ Company Phone Engineer Name Registration M Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all'lpplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: F PERMIT C°/ke'no q~lJ CITY CAF EAGAN 7117 PERMIT TYPE: BUILDING 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 020971 (612) 681-4675 Date issued: 05/21/93 SITE ADDRESS: 778 CAMBERWELL DR LOT: 10 BLOCK: 4 HILLS OF STONEBRIDGE 3 P.I.N.: 10-32992-100-04 DESCRIPTION: FTG FOR FUTURE PORCH Buildng.Permit Type DECK Building 4R! k Type NEW 9uilding clth 17 B uilding Widt~°Z 14 ti _ ~Ly C vagan REMARKS: FEE SUMMARY Base Fee $25.00 COPIES $2.00 Surcharge $.50 Total Fee $27.50 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - FREDERICKS MICHAEL 778 CAMBERWELL DR EAGAN MN (612)942-4183 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 Mh.-' Statutes and Ci f aga Ordinances. L_ I"AlThA AP ICAN ERNy EESIGNATURE S~~Y: ONATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020971 Eagan, Minnesota 55123 Date Issued: 06/21/93 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK: 4 APPLICANT: 778 CAMBERWELL DR FREDERICKS MICHAEL HILLS OF STONEBRIDGE 3 (612) 942-4183 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW DESCRIPTION FTG FOR FUTURE PORCH INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FINAL F REACTIVATE _ G 3' L V Lm 0 GI TY OF EAUAIV PEWIT # . 1993 BUILDING PERMIT APPLICATION i'; t\ t 14 1993 681-4675 ' a ~ SZV ,~'Oq -7 ;LL'ilu-0 ~W SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. ate S" / / g a Valuation of work Site Address: 77X STREET SUITE 0 Tenant Name: (commercial only) ~7 p D. N LOT BLOCK SUBD i% G P.1 Description of work: rv T VVCK The applicant is: Owner ❑ Contractor ❑ 0 her (Describe) Name Pr S e. Phone 4~_ 6-Ngaa Property LAST FIRST - 0 y/8' Owner Address STREET STE ! City E eLX /U State Zip J ~rxly Company Phone Contractor Address License iY Exp. VpNe- City State Zip Architect/ Company Phone Engineer Name Registration ii Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. c.. I hereby acknowledge that I have r ad thi Ali ion a j5tate that the information is correct and agree to comply w 1 a ica T to esota Statutes and City of Eagan Ordinances. / Signature of Applican OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. O 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch"-. 13 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. PC 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump r of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y3 Depth 1y On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS F~rnio-suu,~ ~z<< F,r, e7~2E X/VIPoRcN ❑ Site Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee 2 , D0 vdastion: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units F 2422 Enterprise Drive ~PI IV~ER uWOarwvEYgaH•e1viLEhcanFEms MenQgteHeighu,MN5Bi2Q *eng*eering.. tnNGnANnEhS.unrmC/VEARCNr,ltT9 t652)fi81-5814 Certificate of Survey far: THe RoMuN P Co. 'LN E_ - NORTF4 b { 7N 0.54 Ao^^ 3 M 1R 32.4A ` M C ~ ►';a o c~mr•, ~ 55 • 3+ a -o r ~ A o 4if,43 ~ h - °'ty° 4 'yY LL lion ~b S c99°.s9`S8'"E ~$s EI3caAti E.NUiN Cti U ~YT R spa.oo Denoles fxi5fing Elevations o~ Ef n t&ac- jUEZATIO Ns S~ Dendo Proposed Revalions Lowest Floor FJW466n -1 06. - Ucnofts pro e Ulllif Ea4emenf 7 o~"Block f(eve an 11 A. t. ' - Deml s :4e rlow Ai7aws Gorge A6 El"l on a r ~ .3a o !know Afflw mf &Wir# shown are aut"d o Denies d"'Psi Nub LOT Q, BLOCW,+ , WILLS OF STONE13RIDGE 3RD ALD pauora COUMY, MINW-VOTR I hereby eenify that thin varvey. blw or report v ureper4P by rrroun/rptr my dlrm avpervillon and that i Mn duly H*"er*d Land $wrrym under thf Ism of the Stale of Minne9o19. DOW thla-X& day ofA.D. Is y~JC4~f• mch- 402V g03pt,Z4 ? nI8.e1KICHl.S. eGNO.I4A97 IOS CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /v 3 ~9tTG;:.ECT DATE: /'922/ ISb1W12 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 1_ REPAIR WATER CLOSET 3.00 `f _ BATH TUB 3.00 G LAVATORY 3.00 1D OWNER NAME: ~n 1 el KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 "5 SITE ADDRESS: l1 c_A bz,•wo~ yln QJ HOT TUB/SPA 3.00 1 WATER HEATER 3.00 3 LOT: /0 BLOCK SUBD. ( 3d k FLOOR DRAIN 3.00 3 ` I \ GAS PIPING OUT. INSTALLER: ~ 1 c $ (MINIMUM - 1) 3.00 3 u _2L ROUGH OPENINGS 1.50 4. ADDRESS : ( 0 C ~Zt~C L_. OTHER _ _ WATER SOFTENER 5.00 CITY: ZIP: 535 PRIVATE DISP. 15.00 ' U.G. SPRINKLER 3.00 PHONE C n f SUBTOTAL S ST. SURCHARGE .50 SIGNATURE -PERMITTEE TOTAL: $ S^U - CbiII1ERGIAI-INIl1JST8Ii~I1s PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT D CkSGE,:'C DATE: R S D A1•xAi:,` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: im ilk , 1 co OF 1 PER PERMIT °f~ i SUBTOTAL: 7 SITE ADDRESS: r I STATE SURCHARGE: .50 LOT:_/D BLOCK -Z SUBD/ 3 ' TOTAL: INSTALLER: FLARE 14113 1 AC. NC. 8303 Plymouth Ave. No. ° ADDRESS : Golden Valley, MN. 55427 SIGNATURE 0( PERMI TEE CITY: • ZIP: PHONE OMF4RItC2*L/INNDUSTRIAI.` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 1991 BUILPE IT APPLICATION CITY-OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS o 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. 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 PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: a~~kie_~~jC5.r Valuation: S§jgr . Date: jpbjq i Site Address ~^Jg iiiA u t KJi2. /y2/Q00~ OFFICE USE ONLY Lot 10 Block FEES Occupancy R-,3 M-1 Bldg. Permit Zoning PD R' 1 Surcharge r7j'00 Parcel/Sub gl u ~7pN~13QJCYq~3 Actual Const V- M Plan Review ! 1 , ou Allowable SAC, City 100,00 Owner # of stories SAC, MWCC Sb Oo Length $ Water Conn. 6O,UJ Address moo/ F. m 21(_)Ek Depth 36~ Water Meter 95,00 S.F. Total Acct. Deposit 0,o.7 City/Zip Code fRir_> ( 1 9;:6421 Footprint S.F. S/w Permit 30,00 S/W Surcharge 50 Phone !*a On site sewage- Treatment Pl. :2'76,00 On site well Road Unit 370.00 Contractor MWCC System Park Ded. City water ✓ Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with f (Signat re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V L(lA !N GARAfrE a~IK22= 52.Sxr5=79Zo SSMT, .r ~~S~ZBr ~Sy = 308 - - Y,)4 JI - I n92 x ty. /S;28g ~ST ~LuolZ I 'TrJ7.00r gstin-rs 1092 511•oa I''lzn-7 i0 2 21 1.5-0 50.1-)0. I III X S3= 58,83 TaT•oo Sii•oo+ Z NO F-L. Z 2 21 1 .5u F 35(s0.5Uk 13's m r 092; 241E x i f 2 ~d , ,i w n ~igr, L 13~ x53= 55890 141,98 ~~e 1y2)wD'~ * *.yc Z422 Enterprise Drive * Poi0NEE1 tarpwnverpa• ctvll ehraratPns _ Mendota Heights, MN 55124 *eng*eering.. Ado.cAM.E1s•uNmCA IARCFIf,1C19 (e12) fi81-1914 Certificate of Surrey fnr: T46 RD'-LUN P CO. T-N G_ NoRTN 1 0.56 v- Z A° 3 tr A 3z~ o-G ? rr ~ l'-A ~ ,G7 i4 W, 91 e " 41643 i~ ~ ' 91,b. v+ T 1 ~ Iat~~ ' y~r t 11 16% S r9A°.S~JrS®'rE ~1$3 Dite -PT 50.0 Dendes Existin j fltvafions PAi?MW MOMC ELGIOVONS r® Dee' s Proposed Elevations Lowest Floor E/evahm 906.5r - Denotes Dm e 'U1ili! Fusemenf r anBlock 6eve one V,3.4L' Dena}es Drains e low Jorrows Gorc je Staff Elrvafion a f 3 -3a e Awlts Ak?c rof 9earr# shown ore assumed o Denotes o tsef Ab LOTIO ? BLOCU+ ,14105 OF STONEBRDGE 3PO AD pdxDTA CO xTY, MINNESOTA I hanlby certify that this rvrvey. p1w or report vsas prepered by me r rrrv direct eupervtsign anti that 1 em duly RegWered tend 9usveyrn under the lave Of the State Of MtnrxyatP. Oatsd this day A.O. 19A. sr~/+~y1e" - I Vcal• Lhh 40 E E 010718{.7-?1-a'I B. SiKICH 6.5. G•NO-14A97 tys EXTERIOR, 1'.'tIv LOPE AVERAGE ".U" COMPUTATION j OWNER ~/i fG CGC9 ICX//~C, b SITE ADDRESS L . ~T 10L -St-c ~44c t4, H i LLs aF• S bw ~ 2m6'E 39A 4MI&3. CONTRACTOR 9A mg DATE PHONE S7I Determine working square footage of each. 1. Total exposed wall area Z B~C~ sq. ft. x = 0. = O. (o 2. Total roof/ceiling area sq. ft. x 426, Total exposed wall area above floor = lt9` (a a. Total wall window area b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10%) 2- f. Total net wall area above floor 4 g. Total rim joist area ?51Z- Total exposed foundation area = -75 h. Total foundation window area i. Total net foundation area above grade 7 7- Determine "U" value of each wall segment. a. 253 X ..U.. .ST = /36,62 b. 31 X "u". ,07 = C. 60 X flu,, . 446 = 27.660 . d. ✓ X "U" y = e. 216- X .iUft p a97 = X6,71 f. 1930 X."D" `ozf2 = S .06 g 3/2 X nun .0440 = j2.4$ h. 7 X "D" S3! = 3,85' i. 7/ X loull = 7#81 3 ......................................Total 2 0.79 If item # 3 is the same as, or less than item U1, you have met the intent of SBC 6006(c)2. 1 Total exposed roof/ceiling area Total gross roof/ceiling area j. Total skylight area ✓ k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ceiling segment. j. X "U" ✓ _ k. ~p g full n27 /,9 1. J /0 / % "D" s9?~ _ 2.173 4 Total = If total of 114 is the same as, or less than 112, you have met the intent of SSC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 113 and 114 shall not be greater than the sum of items 111 and $2. i. 32.0.35 + 2. 3a. 68 = 3S/.a3 3. 290. *7 + 4. 2-g.Eis = ?lam ~ wHLL uL'C'1'lv..., Yuyc J of 4 IUTE. Use 102 of-opaque wall area for frame construction T A I Construction R-Value 1. Interior air film 0.68 i ~J 2. _yL"[~rP f3Rb oeA S 3 3. 1 X ~-TVG S ~o o irS 9. 2 S/32 S /YTC~ ASIC 2 OCR WALL 5. $/Cd~fiL+ DVC/G FELT /a 2 (o 6. Exterior air film 0.17 Total FIG. #1 TOPVIEW OF v eOg~ MUM VALL 1. Interior air film 0.68 2. Be r> e ys • 3. PULL ---~z) FIG. 42 2 5/ 3L 5/YT(r 2 OCR -~f ---Q 5. S/Gv~fiG- DVEe GEL7 ) e1 6. Exterior air film 0.17 - _Total 23,4.2-' 2- Trv?-= 1~ I U 1, Interior air film 0.68' ?Seral ky~ 2. /NSV L /!~f UO 3. 2 X 121 ( A tS8 4. 25 Z S 1-1-r?~, 6'O~c 6. Exterior air film 0.17 I u,•• i\TlCiv Total 2 .O i _ 3 f S 5 .0- IL 0 1. Interior air film •r P ~•~~.,6 0.68 ' 2x1 FuR RI N v 3. 4. /Z `1CO.ti<, 13 • 5. 6. Exterior air film 0.17 Total /3e/3 % 4 Y v ~ a ' 111 I 113 h rid. 114 !!f / y ` r- !!l t~ o 1 lit ROOF/CEILING I ~ L Construction R=VCilkte r 3 (4 1. Interior air film 0.61. A. Exterior air film MIT (still 0. Total 3~f.0Q 1 ~ " ` ~ V = .025 ented Heat flow up i FIG. #5 1. Interior air film 0.61 2. S/~i C~Y1~ I~C~O SS 3. !//5uL ov~IL Tl!U55 rC~ y'T . 4., Exterior air film sti 1T`Q-br Total UUMM v=.o-L - I Feat flog up • "vented ' FIG. #6.:..1.. u 1. Inside air film 0.61 } ~ .gal .9. °t+•`~• 3. 5. Outside air film 0.17 r~ Total HOit-bL'IrTED Note: Use additional sheets -if more space is needed for details and calculations. Heat floe up F..r.G. #7 r Use BLUE or BLACK Ink For Office Use„ I Ny of Eajan Permit I X15 I CiV 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122V j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: 2009 MECHANICAL PERMIT APPLICATION Date: r)(J Site Address: w b c t' I I Dr, Tenant: pp / ~/G Suite RESIDENT/OWNER Name: ~IKt iFrl-!daice's Phone: 461-1I b-89~0 Address / City / Zip: O 0-61 l he e I I fa6ari +~I ' ~ 6 CONTRACTOR NamelWfYY Cj O IL(( 4 f -60 License Address: 1010 6 11 cffl o f L p M City: '~W!Ai nlr y- State: MM 1 M Zip: Phone: [05 - H 3G' 6-7? V Contact Person: 6 f o y v 11 a` 16 h j q S6 11 TYPE OF WORK New Replacement Additional Alteration Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction ` Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) Q TOTAL FEE $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 1 Olt COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE 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.aopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no start without a er it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App ' ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140554 Date Issued:01/03/2017 Permit Category:ePermit Site Address: 778 Camberwell Dr Lot:10 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Fredericks 778 Camberwell Dr Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144419 Date Issued:07/25/2017 Permit Category:ePermit Site Address: 778 Camberwell Dr Lot:10 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Fredericks 778 Camberwell Dr Eagan MN 55123 (651) 626-2280 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature use SLUE or BLACK Ink - r***V01- . r I For Office Use 1/A,„ e ,,,,,.. . . vz.r. , 4 * co 1 ty of Eaau --- c_ 3830 Pilot Knob Road I Eagan MN 55122 Date Received; Phone:(651)675-5675 trj Fax: (651)675-5694 Staff: .., 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: -— — - Name. S ... Phone: 6.•,5 Resident/ Owner Address/City/Zip: .3 g C 6t_ANk\-trAr (Ai Applicant is: Owner "Contractor 1 1 Type of Work Description of work: CY\cA,:G.A-k./..,./1/4-- [ i Construction Cost: ii? e'l; ''''''') CI) Multi-Family Building:(Yes /No vf) Company: I Site Development dba HBRE Contact: Robbie Hyland Address: 1143 South Shore Dr City: Plymouth . Contractor State: MN Zip: 55441 Phone: 763-337-35/35 Email: robbie@hbre-mn.com BC675372 F-150909-1 License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: - ..,...,\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _____Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: i Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: --AleiiTiiiall-8—andsuppOitiog documents that you submit are considered tO71)O13UbliO—TUforrrlUiroU: PortionSf the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that theyare trade secrets. 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 ggphemtateontt'Al org 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, and work Is not to 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 approval of plans. 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. / ),,,„ Robbie Hyland x ,. Applicant's Printed Name Applicant's Signature ,t- Page 1 of 3 DO NOT WRITE BELOW THIS LINE /025q/ SUB TYPES ? 7' C/ rribe,etoi ( D ie_ — Foundation _ Fireplace __ Porch(3-Season) — Exterior Alteration(Single Family) la Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi ____ Deck _ Porch(Screen/GazebolPergola) _ Miscellaneous _ 01 of_Plex — 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 • jj Valuation 2j bOO.,- Occupancy ,,'( C- \ MCES System Plan Review Code Edition(f l n 101 c SAC Units (25%`100%?O) Zoning 1.r City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \J (3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings(Deck) Final I C.O. Required Footings(Addition) lo Final 1 No C.O.Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick EFIS 10 Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower PanOther: _ Reviewed By: ©Y1/\- IP, c-t yip- , Building Inspector RESIDENTIAL FEES rcA ) Al le t Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150463 Date Issued:07/10/2018 Permit Category:ePermit Site Address: 778 Camberwell Dr Lot:10 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Fredericks 778 Camberwell Dr Eagan MN 55123 M & M Plumbing Llc 2905 Hanson Ct Faribault MN 55021 (507) 581-0336 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167567 Date Issued:03/22/2021 Permit Category:ePermit Site Address: 778 Camberwell Dr Lot:10 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-100 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. 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 or when weather warms up. 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 - Michael D & Susan M Fredericks 778 Camberwell Dr Saint Paul MN 55123--393 All Around Roofing & Renovations 701 Decatur Ave N Suite 201 Golden Valley MN 55427 (763) 447-3944 Applicant/Permitee: Signature Issued By: Signature