782 Camberwell DrINSP
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: f
,. ; i}?+IHI i?l•Jt 1 ! ftl,?,? ? : :? aF- 1101 r,C, r,«I I
( PERMIT: SUBTYPE:
V 1 raW.
N REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
???? I 4 I'l i.
p
TYPE OF WORK: }rF.F,? ). Q
,,3 , : F- ;? i t fIN E J4 +C1A
.?.
?
?
Permit No. - Permlt Haider Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Dete Inap. CommeMs
FOOTINGS
FQUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA77NG
GAS SVG
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
aRSAT
TEST
BL6G FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
7 ??.J
M
iraft jaf COrrupttnry
titp of eagatt
Erpwbmd n# 360ituo jttwrtimt
T7ris Cerlifiaale issuerl pursuanl w 1he requinenten& of Sectfon 306 af the Unijorm Birflding
Code certi; jying tluel at 1he time of inuance lhrs structure was in com,pl'rance wilh the various
ordindxces of the City rreguladng building consductlon or usse- For tfie follaxRng.
ume C?amBaaoo SP EMYOR R 1 ?- ?it xo. ' VN
? e??TiEX HC.S ? ? ? Sq29 BF?I.t,raMiKA
?Addnw 782 '' J, DztIVE EAxdty L! 1, B4, FIlI,LS CJF Sl.CEM= 3RD
6l24lA2
_._??- n.?
? ?POST IN A CONSPICUOUS PLACE
?i,.,??.....,,.?.... W,. _
SEWER & WATER PERMi7 ,
CfTY'OF EAGAN METER # ?
3830 Pilot Knob Rd.
?
CHiP ? ?
Eagan, MN 55122-1897
METER SIZE
USE ONLY
PERMIT DATE 03 / 18 f 92
PERMIT # 12611
B.P. RECEIPT # C 017784
I ISSUE DATE B.P. REGEIPTDATE 03/16/92
DATE MAR 18. 1992
PRV TBOOSTER PUMP
SITE ADDRESS 782 CAMBERWELL DR PERMIT REGIUESTED
LOT li BLOCK 4 SEC/SUB HILLS OF STONESRIDGE 3RD
X SEWER X WATER - TAPS `
APPLICANT:
_ COMM/IND
X RESIDENTIAL
ADDRESS:
CITY, STATE ? ZIP
PHONE
PIUMBER: PLYMOUTH FLBG
ADDRESS: 9290 ZACHARY LN N
CITY, STATE MApLE GROVL MN Zip 5530
PH4NE: 493-2474
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.
I AGREE O COMPLY WITH CITY OF
OWNER: CENTEX EAGA aINANCES
ADQRESS: 5924 BAKER ?
CITY, STATE MI231VETOIdKA MN _ ZIP 5514fiS
PHONE: 640-7260 SIG ATURE WHEN METER ISSUED
:; /?. / /
PL?S?? ALLO TWO KIG DAY5 FOR AOCESSING. CALL 454-5220 FOR INSPEGTIOMS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
-?
OFFtCE USE ONLY
TE PERMiTDATE p3/1819?`
ME R #
CHIP #
METER SIZE
ISSUE DATE
PERMIT # 12611
B.P. RECEIPT # C 017784
B.P. RECEIPT DATE 03/16f 92
I _ PRV -. BOQSTER PUMP
SITE ADDRESS ??? ???RWELL DR PERMIT REaUESTED
LOT 11 BLOCK A SEC/SUB ??LLS VF ST4NEBRII'7GE' 3RD
X SEWER
APPLICANT:
ADaRESS: COMMlIND
CITY, STATE ZIP „ X NEW
PHONE:
x WATER _ TAPS
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: ???? ?L? Ahead of Damestic Meters on Water Line. '
ADDRESS: 9290 ZAeHAxY LN N Credit WILL NOT be given for Deduct Meters. '
CITY, STATE MAPLE GROVE MN
Zlp 55369
493-2474
PHONE:
1 AGREE TO COMPLY WITH CITY QF
OWNER: CENTEX EAGAN ORDINANCES
ADDRESS: 5929 BAKER
STATE
CITY MINNETONKA MN ZIP 55145
,
PHONE: 640'7260 SIGMATURE WHEN METER ISSUED
FOR INSPECTIONS. FOR STORM
DATE: MAR 18. 1992
RE: 782 CAMBERWELL DR (CENTEX)
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 (4545220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or 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 (Piumbing Inspectors - 454-8100) 6efore issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVEI.OPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Addresa: ? D?? Lot 11 Blk 4 Sec/SubH]:Ii? pg g'ppNEgR'IDGE 3RD
These items wara/were not complete at the time of the final inapection. ,
Date: 6 24 9 Yes No Tnqppctor,
Final grade (6" from slding)
Permanent steps - garage
Permanent steps - main entry '??
Permanent driveway
Permanent gas V`
Sod/seeded grass
Trail/curb damage ti?
Porch
Basement finish
Dack ? ? tw y64"
Please verify with the builder tha 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. ?
MMI[owt?
White - City copy Yellow - Resident copy Pink - Contractor copy
,
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
INSPECTION RECORD ` j Control No. 0041
PERMIT TYPE: "tkOFNn
Permit Number: #!'!!lf '
Date Issued: 93 f Y6/!3
SITEADDRESS: toT, ix
782 CJIMSERLilLt bll
HIL1 h OF STQPit'R11IDRt 8R0
PERMIT SUBTYPE:
sf nw?
??OCK s 4 APPLICANT:
CEPIfE%
(612) 640-7264
TYPE OF WORK:
HI&VI
INSPECTION
sYYe .. .
FQaT xrae D.
rtAaMrwa rWSui.nrr.aN
a???.deo?ar, FIWAL
fiREr4ACF
Permit No. Permtt Holder Date Telephorre B
S/W ?0013P.
PLUMBING 16
HVAC . Ll
ELECTRIC<
950A t-W
ELECTRIG, 2
958? ??[U ?
Inspectlon Date -
Insp. v
. Comments
FooUngslY LJ1S
.n? .
Fountlation
Ffaming
Roofing
Rough Pibg.
i
Rou9h H[g.
Isul.
Fireplace '
Finsl Hig.
/
Orsat Test
Final Plhg.
L
v Plbg. lnspector- Notiy Plumber
Const. Meter -
Engr./Plan
Bidg Final • Z u?
l!G f1f.- I
Deck Ftg.
Deck Final
Well
Pr. Disp.
?EATI G TEST RECORD
/''q2 ???hE? L,?? i a.6
ADDRESS APT._FLO ?y CITY SUBURB
OCCUPANT OWNER
MEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY?- 71-?
Elschical Wxk By Gos Lins By /, L'?? -- -
TYPE OF HEAT _ GA _ FA HW -STEAM -SPACE HTR. ?T HTR. _OTHER
GAS DESIGN
CONVERSION
MAKFJ MAKE OF BURNER
Model ? U Abdal
Sxial ? S Mex. BTU Rotiny
INPUT v ? MAKE OF FURNACE liAn
Abdel vhmwlh? im wwi-?bfiw
CONTROLS
? ?r
THERMOST Heat Pluy Vent Si:a
Valve Y? KIND OF LIN SIZE NONE
Limit Drok Hood Rsyularor
Limit yHing ? Filbrs Si:e Num
Fan Settinq ?? S `? ? 4himn?y Location Outside
1'd? '
Pilot Type ??Gfi?n h Chimney Construdion `
nn_
fJ
Pilot Make
Pilot Model Smeke Bo Wirinq -
Pilot Timing ^7
?!- f t(• Dru(t ?e T*sf Toy?
L.W. Cut Off ? Doa Pressurs Liqhtin9 Insf.
P T
d
•.aD
rossura
Input CFH Psrcenf 0 `a ar•
•s»
6Company Tasting
$tock T?mp. ? P?resnt CO 6 Nams, of Test
Form 235
u/orv yo+--- /Osd73
J39 83 4 ?e 3% yopo °"
Request oere Fire W RouBh-in Inspeqon
??? i,.n'
? Reedy Now yp v?ill Notdy Inspectar
'? J L s ? N. /?•Vlhen ReatlY7
7
1 licensed contractor O ow r hereby requast inspection of above electrical work at:
b Atltlress??Box or RaNe No
Z Pty
yr? cJ
Sacbon No Tawnship Name or No
? Ferge No. Coumy
Occupant (PqINT) Phone No
Prnver Suppber lWtlress
Elecmcal Ca or COmpany ) Contrector's LicensB No
M g p tlre on[ractorarOwn r aking Instellat.on?
?
c
??3 N.Sr3? /J .SS3
,9Z
nu[honzeC Siq (Convacton ner king Inst Ilation) Phone N
I ?
MINNESOTA STATE BOAqp Oi ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mipway Bldg. - Rpom 5173 8E ACCEPTED BY THE $TATE BOARD
1821 Unlverslty Ave.. St. Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Plwne (612) 642-0800 ENCL0.SED
4F19a- REOUEST FOR ELECTRICAL INSPECTION
Iii, S6e msVUCeons for rnmple?ng Mis iorm on badc ol yellow copy
`X° Below Work Covered by This fiequest
J 39583
'osa 73
ew Atltl Rep. TypeolBmlding AppliancesWired EquipmentWired
Home Range T-emporary Service
Duplex Water Heater Electric Heahng
Apt 8vilding Dryer Other (Specity)
2 mm./Industrial Furnace
rm Air Contlitioner
Olher(specity) Conhacbr9 Remaeka'
Compufe Inspec6on Fee Below:
# ' Olher Fee # ServiceEniranceSize Fee # Cirouds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
hansformers Above 200 _ Amps A Amps
SignS Inspector5 Uss OnN. TOTAL
Irngation BoOms
Special Inspechon
nlarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTMS.
I, the Electncal Inspector, hereby
i Rough-m oem
cert
ty that the above inspection has
been made. F, oete
OFFICE USE ONLV
This request witl 18 months Irom
-J
Reques? Oate -in
Inspecli0n
Fire No ough
3-4-92 ireE
'+
Pe,Qu
T DReatlyNow f?WillNoblylnspector
NTen Reedy?
7jVas G No
I'M licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlGress (SVeel. BoK or Rouie No ) Pty
782 Camberwell Drive Eagan
Section No Township Name or No Range No. Caunty
Occupant (PRINT7 PhOne No
Centex Homes
Power SupPlrer Atltlress
Dakota Electric `
Elecincal Convacbr cOmpany Name) Conhactor5 License No
Lazer Electric, Inc. CA 01110
Maning Aetlress (ConVactor or Owner Meking Installatan)
8383 Sunset Road N.E., Minnea lis, MN 55432
ANhor2ed Signalure (COntra/c?ro?r?/Owner Making InstaliaUOn)
WH?1A, Phone Number
MINNESOTA STATE BOANp OF ELECTRICITV 1HI5INSPECTION REOUEST WILL NOT
Grigga-MiOway Bltlg. - Room S-173 8E ACCEPTED BY THE STATE 00ARD
1821 University Ave.. St Peul. MN 55104 UNLE$$ PROPEfl INSPECTION FEE IS
Phone (614) e42-0800 ENCLOSEO
-31519 .2- REQUEST FOR ELECTRICAL INSPECTION ?°Eeooom-oe
e mstmcnons lor wmplenng tnis form on back of yelbw copy
??.?
?
39502 ??.? ,
"X" Below Work Covered by This Request ?.,c..?
ew AGtl Rep. . Typeofeuilding AppliancesWired EqmpmentWired
X Home Range Temporery Service
Duplex Water Heater Electric Heatinq
Apt Builtling Dryer Other (Speafy)
Comm./Induslriai Furnace
Farm Air Condrtioner
Olher(syecity) Conhetlor5 HemarkS
Compute /nspechan Fee Below:
# Othar Fee d serviceEntranceSize Fee # Cimwis/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si9fIS lnsPector5 Use Onty 70TAL
Irriqation eooms ??.0 $86.50
Special Inspecuon
Alarm/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Elechical Inspector, hereby
if Rough-in
cert
y that the above inspection has
been made. F?nai re? j? y
OFFICE USE DNLY This request voM 1e manins Irom
?
55/0-7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 .
Naw Canstructipn Reouuamanls
. 7 registered site surveys showing sq k. of bt sq. fl. of house, and a,II mofed areas
(20% martimum lot caverage allowed)
• 2 comes ot plan strowing beam S wmAow sues, poured Found design, etc )
• 1 set of Energy Calculalions
. 3 coDies of Tree Preservatbn Plan d lol platted after 711N3
. Rim Jorst OelaA OpUOns sNeC6an sheet (bldgs wAh 3 or less units)
DATE O???JbZ
_ Water Softener
Water Heater
N0. of Baths
SITE ADDRESS 70 a2?_m_ hPruieJI hY. MULTI-FAMILY BLDG _Y N
TYPE OF
FIREPLACE(S) _ 0 4/1 _ 2
APPLICANT PT-/;;P'frl°/CA'+'I 'A"il4f'nq ' m4Gt6eS
STREETADDRESS 1.2OLy7 hliCalle_?/Qye, S', CITYpIur i/Ir STATE?ZIP5S;337
iEIEPHONE # y's 2 - 707- 695-9 CELL PHONE # ?jl?FAX # S'-?x?_,LS-??
PROPERTY OWNER 1011'77 /J It S S C?7QQG ?I TELEPHONE # GS/- Yr6 ' 9'7/1/
------------------------------------------------------------- -.................................
COMPLETE THfS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ y(INNESO'1'.1 RULES 7670 C:\"CI:GOItY' I N[INVCSO'1'A RCLLS 7672
(v submission rype) • Residential VentiiaGOn Category 1 Worksheet Suhmdted • New Energy Code WarksheetSUhmitted
• Energy Envelope Calculations Submitted Plumbing Contractor: __
Plumbing systcm includes:
Mechanicai Contractor:
Mcch:uiic:il s?:stcm inclu(ies:
Sewer/Water Contractor:
Air Conditioning
Heu Rccovcry Systcm
Phone 1k
Phone #
Y??? WrO I
SEP 0 4 7002
Fcc: y70.00
-----------°----------°-------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with al1 applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
._._-------___----------'--°.__..._.......- ._- ___---------- ------------------------ ------°'
OFFICE U5E OtiLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4l02
RemodellReoair Reauiremants ? C) Ol
. 2 coDies of pWn
• 1 sef ot Eneigy Calculations Por heated adArtions
. 1 site survey for extenor addrtions & decks
. IMicate d home served by sepGc system for additrom
VALUATION S 4`) g 1
_ Phone #
_ Iawn Sprinkier
_ No. of R.I. Baths
PERMIT
CITY, OF•EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDIN6
000019
03/16(92
SITE ADDRESS:
782 CAMBERWELL DR
LOT: 11 BLOCK: 4
NILLS OF STONEBRZOGE 3RD
DESCRIPTION:
Building_,Permit Type SF DWG
r8u31ding Work Type NEW
UBC Occupancy_, R-3 M-1
Construction Type VN
Zoning - PD
Building Length 58
Building Width 38
.
. ,._
REMARKS:
CoI 178?
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$818.00
$531.70
$75.50
$700.00
100
1
$2,125.20
;1si,eee
MISC FEES $1,610.50
COPIES $1.00
Total Fee $3,736.70
CONTRACTOR: - Appl3cant - ST. r7laNNER:
CEN7EX 16407260 0001 33 CENTEX
5929 BAKER 5929 BAKER
MINNETONKA MN 55345 MINNETONKA MN 55345
(612) 640-7260 (612)640-7260
I hereby acknowledge that I have read this
St, ute jnr, ?Eagan Ordinances.
infor tion te liff41-
?
APPLICANT/PERMITEE ct and aqree to comply
SI NATURE
INSPECTION R
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LoT : 11
782 CAMBERWELL DR
HILLS OF STONEBRIDGE 3RD
PERMIT SUBTYPE:
SF OWG
TYPE OF WORK:
Control No. 0041
NEW
INSPECTION
SITE D. .
FOOTING DA
FRAMING INSULATION
WALLBOARD FINAL
FIREPLACE
F
application and state that the
with all applicable State of Mn.
[1kw
SSUED Y IGNA UR
E!'+Oi?1171 Control No. 0041
?. L
PERMITTYPE: BuiLozNG
Permit Number: 000019
Date Issued: 0 3/ 16 / 9 2
BLOCK: q APPLICANT:
CEN7EX
(612) 640-7260
L
v1 1 1 vr rryaanll
1992 BUILDING PERMIT APPLICATION
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 calcs.
Penalty applies when typing of permit is requested, but not picked up by laSt working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date 2?2 / S /U, Valuation of work ?qrg eLg ooa
Site Location: 7?? CXAtiF0ayELL bQ
STREET STE /
Tenant Name: CG/v%
LOT ? BLOCK SUBD. yT P.I.D. #
Descri tion of work: ?, Zl ? l ?ocP #
The applicant is: Owner )zQcontractor ? Other (oeg«tbe)
Name C/-ENTC X Phone
Property u5T F,RST /? i
I?
Owner S?Z?1 Uu/?l??2 .
Address .
STREET STE Y
City State /719
S3 S
Zi
p
Company Phone
Contractor Address Licens e #
City State Zip
Company , Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber plwtwe?Z Processing time for
sewer & water permits is two days once rea.has been approved.
I hereby acknowledge that I have re his applicat'on and state that the information is
correct and agree to comply with a pp ic,abl e of Minnesota Statu tes and City of
Eagan Ordinances. /
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
,W02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
/1? 90 hew
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Camm./Ind. Rem
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
T
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy 9-3 p9-? Basement sq. ft. I ZS ? MWCC System '_?,
Zoning _FFU_ lst F1. sq. ft. 1zS City Water -777?-
Const. (Actual
i 2nd F1. sq. ft. oSO PRY Required
(Allowable ? Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth
3 3 Z
On-site sewage ?
SAC Code
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
A( site
Wallboard
Building
Variance
eFooting
,R Final
Assessments
fg Framing 9 Insulation
? Oraintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Road Unit
T-reatment-Pl
Read-?
-Park-?.c_
TYSitr-Bed .?}e
Copies
Other
Total:
?/1?
7- 5?5`0
53?.7d
900
3:7 3 .90
vatuc;on: $ lrl ) G"?'JO
1 Z50
!5* l?-59 k S1 ?
?h0 iosa k ?' =
309,L
SOo
G6J) D z9
9 S(?
?S
?
v ,
SAC %
SAC Units
**
* PIONEER 111NO5URVEYORS•CtVIL
*engineering.• LAND PLpNNERS- IAN?qP
* *?
?
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey for: C2C1teX Incorporated
House Address: 782 Camberwell North. Eaaan. MN
Model Name: 2161
-'----------_" ??'/ ?
CAMBERWELL DRIVE NOR?N
,-
_-
'------R = 304.06' °
p = 14030'03'
L=7695
905.3 ? pkIVEH'AY
r - _____ 1 ?
I 910.3 ?
1- - - - - a 26.67 13.51
13.51 °
, 31.?z p , ?A?AN
I CARAGE ?
?._.
m? w ? 8. `Iw REVIEWED
00
? I pROPOSED HWSC
12 COVRSE BASEMENi
13.16 36.83 18.58? ?.zs3...
18.38 _ o
m (pN
6) s
CO
Z
? ,?
?7
i\J ? i i lf \4 I ? c
n r
I ? i ?. - _ . . -... . ..
5 ?
L - - C,
^E 'ERING DLP a
118.63
N 00°00'02" E
? 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• 900.o Denotes Proposed Elevatfon Lowest Floor Elevation:902.85
- Denotes Drainage & Utility Easement Top of Block Elevation:910.96
- Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation:910.63
-8-- Denotes Offset Hub gearings shown are assumed
LOT 11 , BLOCK 4 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3 R D A D D I TI 0 N
I hereby certlfy that thls survey, plan or reDOn wae prepered by me or under my direct superNsion end tha11 am duly Registered Land Surveyor
under tha laws of the Stale ot Minneso[a. Deted this5 T" day of MAR L/./ A.D. 19qZ ,
1 --m ch_ feet- %•!? ' ?. `
S?QI?• `?0 ROBERTB. IKIC EG.N0.14B91
"31 91336.09
corim. rio. 8'?02(07
Flanniny Design Inr_.
1611 HiyFiway 10 N.E.
hf.i nnaapo: i - . hlPl 57-472
61 _'.ji-''.t-T?2(t
Ninnesaca StaF,e F_nergv Cude Calculatznn=
Baseci nn ChapLer ;, ?t the Moccl Ener-yy Code
1981 Editiun -- NdaptecJ iJlI34
FtCL?EL ?i2161 COf?IM. NO:?j902?p?
3e Lta fitldre;f,;
Cc,ri'•.r.;r_.or: CEP•iTE% NCIMFS Yhone:
_'.Ga. Lici55: :iS Ai ror Single F'amilytDup?.e:;
02, resi denti al .Z stor iFs
Over 3 :,toriF_s
t)ther
GChiERt;i. I hlf-t7R^;f,T? ON
Nri_t: T;;e section dasignatiars i°Sec:.i ion Fl", "Sectzon H" etc.i are foi-
:_onvenience in cr.:cuiativ ns ontv, ancl are not i-elated from one set of
L"ici.i7at'_un a bElcw ta the nF;:t.
.. B:dq- 91a i:ss Periirteccr .. :Jal1 heighta, = iarea
qrei.ind to eave
Section A : JV.J 10.92 = 551.46
;^eeLion u . il<4 19.83 _ 2260.62
Section C „ r; t) = Ci
L 7. [?:: . . :i Q ? C,
Gress Wal.l Area = 2512.o8
_.. E.uiid',ny dim2nsians F7.oor o;
, Ceiling
Llngth :: l+lidtPi = Rrea
Section A: 1`d 14.5 = 261
Section E+ . dCl _ = 460
Sec t E on C, 18.83 2 _ 37.66
Section D . 11.16 2 = 22.32
Total floor ur cei ling are a = 1280.98
3, Rim •TOist F'erimeter = 164.5
Floar Jolst 2 hy (S", 10", 12" or lb")i; lU
Rim Joist Area = 137.0833
4. Daors
arPa: 46.8 ThicFcne=s (inches): C>
Perim°ter :feetl: tl
lyRc at canstructian:
5. Total doer's parimeter: 0
6. 4Ji ndor+s
Mc,nuf acturer:
St.„Ee a(,provud:
TyF, ca
,..=C•! i . UNT T
?c;UPLF HUNrs
TRANSOtt
Tipp
o_ Patio .Doa-:
?. Atrium:
110. Fireplacs ai-ea
Wl G'th:
Tetal Sq Ft =
? l. Er,pc?sed ;??oundatian
r;C-i Ght eu-2a A:
Sq Ft arpa t, _
* 'E::ROSef3 FeUftdc7tiQR
ileight: ?ir•ea L+:
Sq Ft area B =
i?.
Grass waZl area
minu3
;dindow area
Patie door area
Firium cir&-?a
F?im jaist area
Dour area
Fireplzce area
E>:posed Faursd.
?- Framing area
equals
Totals for net wall:
4lEATHEP,SHIELD U factar: 0.47
,sES
Flezyht Length :: Numbpr = 'fotal
(inclies) {Inches } oE qlass SqFt
llfl l f' S
i 4 ?''.i v . . 03
1o 24 '} 1!_?.1]7
2-T 4' /?
'r'C?
L ^
i:l=
2tl -8 '6 1•31.5?
32 28 6 3rt.3Z
16 40 ? 8.E39
12 54 1 4.:,
0 Ci . Ct
Ci
?) (1 Q ?!
J l} CI r i
.-. Giindovi glass ai^ea (SqFt) _ 230.t33
height x Lenqth x NumSer = Total
(4eet) (feet) units SGFt
6.9 3 2 40.8
0 Q b 0
6 Height: 5
,T,,r]
0.67 .°e rimeter area Ac 16'
1 JO . : !
0 f'e rimeter area B: U
0
5qFt U factor U x A
2812. 08
238. 83 0.47 112_ 25
40.8 0.42 17.14
0 +J 0
137. G033333._. 0.035 4.8
40.8 0.14 6.55
JO 0.17 5.1
109.21 0.14 15.29
281 . 208 0.069 19.4
1928.1436667
0.037 71 . 34
?o±.,!= tor- ,._= w :s? . _.. ..._. , 1,3 •'
.. r:-a;tri i;G e..rea -- o f , ros_. wal l area
I'_ . :_r-oss u•::: t l area .. F:3Ct0.` iJ<<' L Cl4V = U.. Fi per• code
Factnr i=. .11 for Fi-1 sinqle family « LIUpIF'i:
.22 fo!- F`:-2 Cnd Other- :'e52CIEf7tiei:
. = far otlier bLiiltlinys
• _c fer ov?- _ =_tnries
f'aLtur i<..: 0.11
EST'''4{ - 309.3233 MUST BE > LR = 251.27
iralculdteti abqveJ
:4
;;?^ut35 _:gtlt:n:
rar•e?.
-
W00.90
15. C:eiling fraa:in g rir ta 00% uf ceiling area) = I28.0S8
16. Juist Ar•ea (10 Y. nf cc;.ing area) = 128.098
17. l+1et rei 1 i ng ar ea ! C-rc=_= cei I, area - Joi st areaJ = 1 35.''.. 8£32
13. !J cYiiAny: 0.021 >; Net ceil. area =24.21052
1.9. Ll Fr.dR1i^.y: 0.021{ n; Jui=t area = 3.074352
2"0• TuCa.l of itom 13 ;: it:t+m 19 = 27.28407
<I. 5r'C:fv c.=ii2f7G area ,. faC'tU:" (]BiOW = U i: (y (]ef COCjE.'
i'aC:pt- 15 .026 tOY' Fi-.L Sl!lq1E r"amily $! dLt4]12"Y.
-03Z for r;-2 and otlier residential
.06 ror a±her 6uildings
I'ci1=t01^ ..s. 0.026
BTUH ;73.30548 MUST EE = OFi = 27.28481
tcaiculated a6ovei
.
7 x G? dIQi -R- SHEAT9INC
wnt,c
SGCTION
STEJD
SL•CPION
[tlPi
JOIST
u vnr,ue cnr,cur,nltoris
Inside air PiLo
InCecior wall
TnculaC.ion
Sheathing
Siding
Outside air EiLo
R TOTAL
Tnaide air film
IfIt2C10r Vdll
StUC3 - G "
Shearh;ng
Siding
ou1-side air film R 7VPAL
InL-erioc air filro _68
insulation 19.00
1 Z inch sofC wood 1.84 (Rim JoisC) U=]. _
Sheatliirg • . 6.0 tt
CxCerioc vall coverux3 -67- .035
CxCerior air fi.lm .17
R VALUL'
.GO
.45
19.00
6.0
.G7
..17
26.97
(Wall)
U VALUE
U = 1 =
K
.037
.60 •
6.50 (F[aiuing) U = 1 =
6_O a
.67 .069
.17 .
14.47
R TOTAL 28.4
Wv;ip
interior air film
Insulation . Coundation (12 ' Block)
Exterior air Pi]m
R 7OrAL
.68
5.00 , .
1.28 (Founc7atiai) U = 1 =
_17 K
7_13 .14
CEILIIiG WIT9 YFN1'ID A1TIC SPACE ABOYE
. R YALUE R YALUE
F'RAMIIM CEILING
0.61 Air Film
36.00 Insulation
4.38 Joist
.56 Ceiling
0.61 Air Film
41.55 7ota1 R
.024 U = 1
R
R YALDE
FRADmM
0.61
94.00
.56
0.61
45.78
.021
R VALi)E
C:EILING
0
61 I
id
ir fiI 0
61
.
. ns
e a
m .
56 ilin
C 56
. g
e .
14.375 Joist(Spacer) -
Insulation 33.85
- Ait' Space .50
.67 Roof decking .67
06 Felt 06
. .
.44 Shingle .44
0.17 Outside air film 0.17
16.88 Total R 36.86
.059 = II .027
Windov infiltratian _5 ?/l+?+l foot of crack a
R251dE[ltldl a00C 1/lflltidtl0[1 O.$ Cfm/SCjOaC2 fOOt Ot a00C Bfld minimvn ppde YagArpmwnt
Non-residential door infiltratiai 11.0 cfm/lineal foot of crack
W 12" ooncrete block no insulatiat =.781 R 1.28
double glass = .52
triple glass = .31
All eaterior rralls and cp3l+ngs must have a vapor barrier (0.10) perm max.).
Vapor harriet must be on the inside (ha;ted side) of vall.
Yapor hariers of the polyethelene thin film have no R value.
, PERMIT
CITY'OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 030088
0 5 I 2 ? I 9?
(612) 681-4675 Datelssued:
SITE ADDRESS:
782 CAMBERWELL DR
LQT: 11 BLOCK: 4
HILLS OF S70NEBRIDGE 3ftD
R.I.N.: 10-32992-110-0A
DESCRIPTION:
Base Fee
Surcharge
7ota1 Fee
? FASCIA
?'"8ui?d?,ng Permit Type
?(3LC?3cfi'?%,,Work Type
'? Censue C6?8
?
- ?
?I r,+
r
'ALi??
C'
REMARKS:
FEE SUMMARY:
SF (MISC.)
REPAIft
434 ALT. RESIDENTIAL
$sem
VALUATION
$21.00
$21.50
CONTRACTOR: - App].icant - ST. L pWNER:
PANELCRAFT OF MN INC 17216628 00021 9 BLISSENBACN JOHN
3118 SNELLING AVE S 782 CAMBERWELL DR
"MINNEAPOLIS MN 55406 EAGAN MN
(612) 721-6628 (612)456-9914
?
I
Z herekty atAndu1e4r?? tjjo,t I`=Wave t?*j6d; t.ttl.s a.nd 4t:i3te thaC th.#,
infarmation is oarrect and aoree to nnnio7.Y °wfth al'3 aPRl,icable ?Jta-tw: of Mn-.
Statutes and City of Eagan Orda.nann?es,
a
,
? J
APPLICANT/PERMITEE SIGNATURE ISSUED . SIGNATURE
3 Q"d kd CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ??• S?
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construetion ReaWrements Romnnwimanair Reauirements
? 3 registered aite surveys ? 2 copies M plan
? 2 copies ot plans (InGude beam & window sizes; poumd ftM. design; etc.) ? 2 site surveys (ezterior addkions & decks)
? t energy calalations ? 1 energy calculationa for heated additions
? 3 copies of tree preservation plan H lot pladed efter 7/7/93
,equired _Yes _ No ?4200
DATE: v C v?` n CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT -J?- BLOCK ?
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
SUBD./P.I.D. #:
Name:r'??(.?/f7?Gl',I . V4ffft/ W ha e #
? : r?J ???-
Street Address*
City: State:
?Q Gt 12 State: A6V zip: ?s?Z3
ciry:
Company: CJ G?? ? Phone #:
Street Address: gl C/License #•
Company:
Name:
State:
Street Address:?
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowiedge that I have read this appfication and state that the
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
5ignature of Appliqnt:
OFFICE USE ONLY
Zip:
Phone #-
Registration #,
Zip:
?, Penalty applies when address change and lot
is coRect and agree/"mply with all
ar.?-o
Gertificates of Sunrey Received _ Yes _ No MAY 2 7
Tree Preservation Plan Received _ Yes - No B
crrY oF EaGarr
MECHANICAL PERMIT RECIIPT
SUBD. .?? (612) 6814675 DATE ? ?+ ??--
RESIDENTIAL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEI'E FOR
TOWNHOMESICONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING iTNIT.
J-,/, 3-?f?
owxEx: SC Jl'?IG?l FEES
S1TE ADDRESS: f?? J ?
?Z4J C ??Z. CONSTRIICTION ON?LI?NG $ 15.00
?7 HVAC: 0.100 M BTU 24.00
INSTALLER: ADDITTONAL 50 M BTU 6.00 ?
ADDRESS: GAS OLTTLECS -'.l4L*?IMLT!4S 3 @ $3 E4. 4?11-
CI1'Y: ZIP: /7 SURCHARGE: $ .3?
SIGNATU : TOTAL:
S?
S
?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLWINDUSTRW. BUILDINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMII Y BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FAR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRIC&
19(o OF CONTRACT FEE. FEES
STATE SURCAARGE I5 $.50 FOR EACH
$1,000 OF PERMTI' FEE.
$
' R PROCESSED PIPING - S25.00
MR41MuM r-EE - s25.00
a
OWNER: TOTAL: $
SI1'E ADDRESS:
1'ENANT:
surrE #:
uJSTnia.ER:
ADDRFSS:
CI1'Y: ZIP:
PAONE #: CITY 3IGNATURE:
SIGNATURE:
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
? .
4U??IN6`?: .? .,..:....
WORK DESCRIPTION
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST?_
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
LOT: BIACK ? SUBD. ?/G??'??t?GL- J(??x?
INSTALLER: //.?7'?S
A11i1RF.SS. ? G 7??7 AG`?) ?,
75_SCJG 9?
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
/ ADD-ON MINIMUM 15.00
G SHOWER 3.00
? WATER CIASET 3.00 ?a
BATH TUB 3.00 G° a,
? LAVATORY 3.00 / LO v
? KITCHEN SINK 3.00 100
LAUNDRY TRAY 3.00 3 0 C)
HOT TUB/SPA 3.00
? WATER HEATER 3.00 -?
FLCOR TJRAIN 3.00 GAS PIPING OUT.
? (MINIMIJM - 1) 3.00 aC,)&
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S ? ?o e)
ST. SURCHARGE .50
TOTAL: S Y$ J U
Cf1`I4fEitGTl?ZfIFIDUSTAxATiC 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:
OWNER NAME:
SITE ADDRESS:_
LOT: BLOCK .
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 9
FEES
18 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)
SUBD.
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
G I ?j
?t Oo?Id? 3830 651PILOT-681KNOB RD-4875 • 55122
? ? O lo - ? d C)
New Cons_hucMan ReailrameMa h RemodeUReoalr RearlremeMs -
> a regisrorea ane wryevs u,owmy ay. n. a rot. Eq. k. ol houEe
antl gfl roofed areaa 12096 maximurn lol covemae allowed7
> 2 coples of plmu (show beam & wintlow aises; pouretl MC. design; efcJ
> 1 sei ol enerpy CpICWaHons
* a coplas of hea preaervaflon Plan il lof Plalfed aller 7/t/99
DATE: -57-- I Z` CJ O
DESCRIPTION OF WORK: / r-"s' C7`Vz?'
STREET ADDRESS: 7'?- 2- Cz?6 ev-
LOT: BLOCK: H SUBD./P.I.D. If:
PROPERTY
OWNER
r
Name: v "Ah I Phone M:
Iqsl First
T?Q
Z/-S6 - 1'i9/y
Sheet Address: 7D ,Z er-6`''e ff +0/--,
City ?a2-?C ,, State: ?L?- Lp: 5--5-/ z,3
. Company: Phone #: ?6 3 5 / ? - G'?j?
(area code)
CoNTRACToR Sk"fAdc[row Licanse #
Clly ll??Y,?I2?`? L`- 5tate:..,;?h. Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephona C ( )
Streef Address: I RegWfrarion C
cY
State:
Zip:
Sewerlwater licensed plumber (ff installirm sewerlwatarl: PhOne #: ?-)
I
1 heretsy xknowledge Nwf I hava reW this applicaHon, stats ftrot fhe infortnafion is agree to all apPAcabla State
of Minnesota Staiutea and Giy of Eagan Ordinances.
SignWure of ARPlicanY.
OFFICE USE ONLY
Certificates of Survey Raceived _ Yes
Tree Preservation Plan Received _ Yes
_ No
_ No
2 coplea of plan
1 set of energy coICUIaHons br h9afed oddlHOro
1 site wrvey ror extedor adtlitl?ans R decks
CONSiRUCTiON COST:
42 Y2?
/ 2
- Not Required
mw 12
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatlon O 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dweling D 0$ 06-piex O 77 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 Ot of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OS-plex ? 19 Lower Levei ? 24 Storm Damage
? 05 03-plex O 11 10-piex aibg Yor_N 0 25 Miscellaneous
? 06 04-plex O 12 12-plex O 20 Pool 0 30 Accessory Bid9•
? 31 Ext. Alt - Mufti
O 33 Ext. AR - SF
0 36 MuRi
WORK TYPE ? ?
? 31 New ? 36 Move Bldg. B' 43 Reroof
? 32 Addition O 37 Demolish (Bidg)• ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (FoundaUon) ? 46 WindowslDoors
" Give PCA handout to appl ieant for demolition permit
GENERAI. INFORMA110N
SAC Code # of Stories S9• ft•
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
_ Engineering Variance
ValuaNon:
' J
SAC Units
% SAC
ùî
ýüü ÿ û û ÿ
úüü î
óý
ó õ
ù þò
òäååä ó
ýüø
ÿþýüû ø ù
ø ýüû ÷ö
ø ù
â Ûâ ýüûâÿù ÿ ÷ÿíþúí ÷ÿíþ Û
áüç
ü
òä æ
î íüã
÷ îùâ÷
óó ò
í
àø Ýì øõßè ë æ ëó æ
÷ú
ÿî
êèë å ëäå
öùùõ
ø ôó
ûû
ÿíþÞ îú
þî
òä æ
æäôíþö
÷ îùâ÷ â÷äò
à ßóó ò
îþü ö î îã î
ûû
î îù í
íûüö îûûþ
ùâ
ÿ
ô ü ùï
ë
ûû ìí ÿ
ÿü ÿ
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119872
Date Issued:12/30/2013
Permit Category:ePermit
Site Address: 782 Camberwell Dr
Lot:11 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-110
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.
Crystal Cochran
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
John R Blissenbach
782 Camberwell Dr
Eagan MN 55123
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
City of bp] RECENEo
JUN 16'L016
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
Use BLUE or BLACK Ink
For Office Use
I
Permit# /3 7!
l
Permit Fee: / /q �• „2O
Date Received: (0 _N( ( W
Staff:
/ ,2/016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 .3h4-, Site Address: / (/IiIIfd4=ekik C- !?,' )a 3 Unit #:
Resident/
Otnmer
Name: J /1 i(tJ 3„. f Seldf;g4C'Ef Phone: �a / -e2 + ^ 9/
,
Address /city /��Ziip: 7q.2 C1:1/116 Q c� tc O , r_ 4 G ell// 'Sia 3
Applicant is: /" Owner - Contractor
Type of Work
Description of work: C JE'G As 04,11
Construction Cost: 3 t '
Multi -Family guiding: (Yes No
Contractor
,1
Company: 40. Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
in the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
if yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
GALL 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.aoPherstateonecailorq
I hereby acknowledge that this information is and accurate; that the work veil 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.
x i)L4 .&/ 64/ SeN% /4CGft
Applicant's P inted Name
xQ ✓ ���� Cdr
Ap icant's Signature
Page 1 of 3
%`fir 2(��
tin 1��' WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Fireplace
Garage
} Deck
Lower Level
WORK TYPES
ya New _ Interior Improvement
Addition Move Building
Fire Repair
Repair
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation ` 11S- S. oz�
Plan Review
(25%_ 100% X))
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
)Q Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: r/ /Yl IM , k 1%1
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy .1 -P -C R
Code Edition inn 2,0 t C
Zoning
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final I C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings _Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings ! Backfill — Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Ile( ,x (5, 2fl sq.r
/S. e0 59./r
.S Arg 3 ' xs-' -� f_5
Page 2 of 3
efirnbevo Dry.
L-7695
0
ccS
13
1
1
r)f
f
18.36
0 it
P
CO Ir.
z
1
A0
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158833
Date Issued:11/04/2019
Permit Category:ePermit
Site Address: 782 Camberwell Dr
Lot:11 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
John R Blissenbach
782 Camberwell Dr
Eagan MN 55123
(651) 285-9198
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163417
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 782 Camberwell Dr
Lot:11 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-110
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 house wrap and leave on site.
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.
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 -
John R Blissenbach
782 Camberwell Dr
Eagan MN 55123
(651) 285-9198
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature