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786 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: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: j INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ~ -J Penn it No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings Foundation Framing Roofing Rough Plbg. 4 Rough Htg. lsul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - No* Plumber Const. Meter Engr./Plan Bldg. Final L q Deck Ftg.~7/S3 1201 Q Deck Final C Well I Pr_ Disp. f K' (nfif iratt of (Orrupaury cite of (Eagan Reprbaw Vt Want" jMWI' an This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: U. Classification SF arz"R rah,I Bldg. Fermit No. IgOR O-Panty Type R3/Ml Zoning l7iserici M AI Cont. VN Owner of BuildingM RVITLUND OD r Addnxs 1901 E RIVER RDa Fr-My Building Address 786 DRM Locality L 12. B14, HU IS OF . 3RD Date: 10/2,91 ~ Boifding Off POST IN A CONSPICUOUS PLACE CITY OF EAGAN r,~ 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121' PHONE: 454-8100 ; f BUILDING PERMIT Receipt # To be used for SF DJG/GAIL Est. Value $145,000 Date_JUL 24 19-91_ - 4r- Site Address 786 CAM ILVELL D$ Lot 12 Block _4 Sec/Sub. OFFICE USE ONLY BILLS or Parcel No. Occupancy R,-3-A--1 FEES Zoning PDR~ 1 J cc Name THE gttxrrt >rIND Op ING W (Actual) Const = Bldg. Permit ~f17_~[1 Address - 5201 E RIVER RD o (Albwabt~ 74 _ Sn_ City FRIDLBY Phone 571•.0304 # of Stories Surcharge Length Plan Review S1B:tt~ "o Name - z~ Depth ' sac, city 1CIO_~ ':j U< Address S.F.Total SAC, MCWCC 630.00 City Phone S.F. Footprints 660, On Site Sewage Water Conn U W Name on Site Well Lu W Water Meter 9'3-tom z Address Mwcc System a W City Phone City Water Acct. Deposit 30_ O(f PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to Comply with all applicable State of Minnesota Statutes and City of Egga Ordinances. ~ Treatment PI 276.00 Signature of Permitee r - APPROVALS -~~~#~~-t Road Unit 370. --}},~T^f A Building Permit is issued to: THE > TITL O CO Planner INC 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 Ordinances. Bldg. Off. Copies Building Official 'i Variance TOTAL 3, 399. Permit No. Permit Holder Date Telephone # WATER 5I/ SEWER PLUMBING H.V.A.C. ELECTWC I 9 9 CI/Or Inspeetlon Date Insp. Comments Footings I i Lv~ Foundation D~ Framing 911-11911 Roofing Rough Plbg. _ 6 -71 Rough Htg. _ Isul. % Gl Fireplace Final Htg. f9' Orstat Test Final Ping. Pibg.Inspector -Notify lumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. - S /1 ct- S7 EWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # LIC a" 9G~- PERMIT DATE 091/17/91 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # D a $ a PERMIT # 12295 METER SIZE 5 exl u B.P. RECEIPT # C 1476(? ISSUE DATE 161-17- ¢ L B.P. RECEIPT DATE 07/31/ 1 DATE i--24-91 PRV -BOOSTER PUMP SITE ADDRESS 186 Cam :L1-1 vk V PERMIT REQUESTED LOT-LL-BLOCK 4 SEC/SUB h=il 5 of Stone'v= _-Ld-ge R SEWER X WATER TAPS APPLICANT: '=de ! ott1uraz1 Co. Inc. ADDRESS: 5201-E. Riyc_x ad COMM/IND RESIDENTIAL CITY, STATE Pridley, jMn. Z1P55421 X NEW EXISTING 5%1-'~ 804 - PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ve1leY 21.01. Qir~ Ahead of Domestic Meters on Water Line. ADDRESS: 610 Creek Lane Credit WILL NOT-b6-given for Deduct Meters. CITY, STATE rd'afl i4 n. ZIP -3 l PHONE: 492-2121. (I AGREE TO COMPLY WITH CITY OF ' OWNER: The Rott t in6 Co. Tic. EAGAN ORDINANCES ADDRESS: 5201. F ~;i.ve1 Rc~_,.d CITY, STATE ridley, i'nv • ZIP J L. d_ PHONE: GNATURE WHEN MET06 ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r' SEWEP $c A!tR PE MIT OFFICE USE ONLY CITY OF E~GQN r 1 METER # PERMIT DATE 09/17/9:1 3830 Pilot Knob Rd'. 114 , CHIP # PERMIT # 112q5 Eagan, MN 55122-1 METER SIZE B.P. RECEIPT # C 1475 DATE ISSUE DATE B.P. RECEIPT DATE 07 31 91 PRV -BOOSTER PUMP SITE ADDRESS 12,6 Camberwo-11 I wive h3. PERMIT REQUESTED LOT a. BLOCK SEC/SUB ~E71-11 S._OnPsr.? S SEWER WATER TAPS APPLICANT: ~~~`l' ' Iric=• COMM/IND RESIDENTIAL ADDRESS: -x201 E. River Road CITY, STATE Pridley. `0. zip, NEW EXISTING PHONE: 571-0304 Lawn Sprinkler Meters are to be Installed PLUMBER: Valley P3z~i.na Ahead of Domestic Meters on Water Line. ADDRESS: x:'10 Czeek Lana Credit WILL NOT be given for Deduct Meters. CITY, STATE Jordan, M. ZIP3335;'. 492-21.21 PHONE: 1 AGREE TO COMPLY WITH CITY OF OWNER: `'`,v% Rntt-jv n« CPS Tri EAGAN ORDINANCES ADDRESS: 52 01 E 6 f vi2r 20a CITY, STATE :'°''JCIW'V, %l&!- ZIP :35ZeJ- PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. y 4/9//Da 00 125 a Request Date F. No g -in Inspection ~~quwn ❑ Ready Now ~OGill Notify Inspector Tres r No When Ready? I,711'censed contractor '7 owner hereby request inspection of above electrical work at: Job Address (Street Bo or Route No I Pty © Section No Township Name or No Range No County Occupant (PRINT) Phone No Power Sup tier ns~~ Morass ivf.~. VsssC.~ Electrical Co actor (Company Name) Oontractork License No 4,2 1-2 - Mailing Address (Contracts, or Owner Making mstallabrom Authorized Signature (Com actonOw r Makng stallauoN Phone Number 4~ - 3 /0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-1T3 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 64241800 ENCLOSED y/G/5+~ REQUEST FW ELECTRICAL INSPECTION ee-ooool-oa ► See instructions for completing this loan on back of yellow copy n.1 2.9o "X" Below Work Covered by This Request New Add Re Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Other (Specify) Comm/Industrial Furnace Farm Air Conditioner Other ispeayl Contractors Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 20D Amps 0 to 100 Amps 47 Transformers Above 200 _ IS ova Amps Signs Inspectors Use Only T TAIL Irrigation Booms i Lfiii Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONjdi /q p I, the Electrical Inspector, hereby Rough-in Data certify that the above inspection has Final / ~f been made. OFFICE USE ONLY r This request void 18 months from CITY OF EAGAN N2 19498 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # L`0-760 To be used for SF D4G/GAR Est. Value $145,000 Date JUL 29 , 1g 91 Site Address 786 CAMBERWELL DR OFFICE USE ONLY Lot 12 Block 4 SeGSub. HILLS OF Parcel No. Occupancy R-3 M-1 FEES Zoning PD-f-1 w Name THE ROTTLUND CO INC (Actual) Const V-N Bldg. Permit 797-n n Address 5201 E RIVER RD (Amwable) V-N n o City FRIDLEY Phone 571-0304 p of Stories Surcharge 79-5 O Length 601 Plan Review _ 518.0 f Name SAME Depth 361 SAC, City 100_00 g Address S.F.Total City Phone S.F. Footprints SAC, MCWCC 650.00 On Site Sewage Water Conn 660.00 n 10 Name on site well ~"w X Water Meier 95-0 uo Address MWCC System <W City Phone City water AccLDepos 30.00 PRV Required S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump SiW Surcharge .5 0 information is corn9% and agree to oyypt with all applicable State of Minnesota Statutes a Cl g. rrdma ces. Treatment PI 276.00 Signature of Permi APPROVALS Road Unit 370-00 A Building Permit is i to: THE R TTLUND CO INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes andyyCity , of Eagan Ordinances. Bldg. Off. Copies Building Official ~'1,Z(Jt]~L1 M I I LlI Variance TOTAL S, 599. UV ,A'ddre3s: 786 rAMRb'RELL DRIVE Lot 12 Blk 4 Sec/Sub HILLS OF SPONEBpl= 3RD These items were/were not complete at the time of the final inspection. 10/22/91 Yes No Lt/ Final grade (6" from siding) Permanent steps - garage ✓ Permanent steps - main entry vl~ Permanent driveway ✓ Permanent gas Sod/seeded grass 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, R i MRR White - City copy Yellow - Resident copy Pink - Contractor copy 1 DATE: SEP 17, 1991 RE: 785 CAERWELL DR N (THE ROTTLUND CO INC) 'I i % r Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit 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 Hail. 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. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 a) ~j _ as 651-681-4675 New Construction Reauirements RemodegReoair Reauirements • 3 registered site surveys shownng sq. ft. of lot, sq. ft of house; and A roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • i she survey for exterior additions & decks 1 set of Energy Calculations • Indicated horse served by septic system for additions • 3 copies of Tree Preservation Plan if lot patted after VIM • Rim Joist Detail options selection street (bldgs with 3 or less units) DATE 62 1? -'5 I O L VALUATION 1 o SITE ADDRESS 78'(p Co, v,ber,ureXQ C& ` MULTI-FAMILY BLDG _Y _N TYPE OF WORK t;-~o o ' 5 i o~ r q FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT S I rr a 5 ✓1 c STREET ADDRESS 1300 Ea.o-t- 131 vt'4 S* CITY 9OLV'09u'r(kc STATEUI ZIPS5337 TELEPHONE # (o 12 Z26 Z°/1 CELL PHONE # FAX # ! Z 4 5 2 2.1 -7 S PROPERTY OWNER C-" (1 e- TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ 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 R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning D Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the into ion is a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina s. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT CITY OF EAGAN y/~ 3830 Pilot Knob Road PERMIT TYPE: Bu/aING Eagan, Minnesota 55123 Permit Number: 020812 (612) 681-4675 Date Issued: 04/29/93 SITE ADDRESS: 786 CAMBERWELL OR LOT: 12 BLOCK: 4 HILLS OF STONEBRIDGE 3 P.I.N.: 10-32992-120-04 DESCRIPTION: Building-_.Permit Type DECK Building W6.rk Type NEW jBuilding Length 16 Building Width 15 _i t REMARKS: FEE SUMMARY- Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - CHRISTOPHER COLLETTE 786 CAMBERWELL OR EAGAN MN (612)686-0495 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED : SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 020812 Eagan, Minnesota 55123 Date Issued: 04/29/93 (612) 681-4675 SITE ADDRESS: LOT: 12 BLOCK: 4 APPLICANT: 786 CAMBERWELL DR CHRISTOPHER COLLETTE HILLS OF STONEBRIDGE 3 (612) 686-0495 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL REACTIVATqU-0- HECIEUVIELU L;iiT Vr =Ac-Am PERMIT f 1993 BUILDING PERMIT APPLICATION APR 28 1993-- 681-4675 2 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ff" Site Address: ('auberWell 'ole - STREET SUITE 0 Tenant Name: (commercial only) P.I.D. M LOT BLACK 4E SUBD ~~//S / L~ 1 /0 _S079,za 1,20 Description of work: /i~ /T a The applicant is: 51-11,owner E3 Contractor 0 Other (oecaribe) Name eo fie a ac &abrL Phone 6JQ,60495 Property LUST FIRST _ Owner Address 7M L'&W era/e& D,rl STREET STE / City aJRA/ State _Alai zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 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. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑❑~4 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. Cr7 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 030"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) Ist F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster P # of Stories Footprint Sq. ft. Fire Spriump nkler Length ~6 r On-site well Census Code y~ Depth ~y On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ SiteEf ooting ❑ Framing ❑ Insulation ❑ Wallboard Z Final ❑ Draintile ❑ Fireplace [Permit Fee j vJ vslust;m: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 2422 Enterprise Drive PIC)NEER LAND SURVEYORS. CIVILENGINEER$ Mendota fleights,MN55120 engineering.. LAND 9* 9•• II i612i 681 -1914 r Certificate of Survey for: T4`- 2o7TL (A q D Cc . NoRtFI N86°DIr09"f•✓ l7S•83 Iaa- EMERCiEN O o CV DV FLOW gb•33 ~0 ° H i.V 37.is . 20 r a 01 P 1 N say _ ro Q , S4 i~ M , v 3 I " e,S s ° ~9 Ng $ I a 1 ~ ~ - ff a~ Ze •cl f4.0 If N z.e DyIV(~ I If -1~ O L 0 ti h _a _ -z°.33~ LQ r - v CQ Qo 36.11; z~ s 0 7 0 M o• a Q v oh• s G6° d/ 09"E 161 7f c 71Z~ a 300.00 Denotes Exisfinj Elevations -8??1O5ED MOUSE ELEVATIONS 00.00 Denotes Proposed Elevations Lowesl Floor Vevabitn 898.81° - O(nofes Drama e Utrlif~yy Easemed 7~"p ofn8/ock Elevofion goG.q& _ DmO/es Drainoge tow 7Jrrows riorale !Nb Elevof r''m q * G.6r, o Dmofe4 Monument Bearinjs shown are assumed o DFnoles oFi!ke{ Nub LOT1 z , BLOCI! 4 , Y111 S OF STONI BR` 6C 3PO AGb DAKOTA COUNTY t MINNESOTA I hereby certify that this survey, plan or repnrt was~ /P~ru~P/p wd by me unjler my direct vmnrykinn arld thnl I am (filly nPgieMrM Land Surveyor Under the laws of the State 01 Minnesota. Dated this ~-r day nl A,n,'go ~~CQrIe ,neh: a nun I R 111'i i! 11 a. n N(i. IAa91 ~1o3o1.ig : ~OE-f L BL I CITY USE ONLY , 3U5C~~ -Li c ,J RECEIPT p SUBD. -LA RECEIPT DATE:~ PERMIT # 8000 PLUMBING PEOH (MIDENTIW CITY OF EAGAN 3830 PEL(Fr KNOB RD EAGAN, MN 5512E 651-681-4695 Please complete for: > single family dwellings D townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: Leu.-R- - Lcue C / s _ $ 30.00 Sin, e5D s, zK Bath tub $ 3.00 x = $ Floor drain 3.00 x - $ Gas piping outlet ` minimum . t 3.00 x - $ Hot tubls a 3.00 x - $ Kitchen sink 3.00 x - $ Laundry tray 3.00 x - $ Lavatory 3.00 x - $ Septic System new/refurbished *requires MPC lic. 75.00 x - $ Septic System abandonment 30.00 x - $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x - $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x - $ Water heater 3.00 x - $ Water softener if dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water tumaround 30.00 x - - $ State Surcharge 50 > > $ .50 Total $ 're r vr11 Reminder.- Call for inspections of alterations, Le. water heaters, water softeners, etc. -t-hi-s- - - -'a-11- - - - ------gan-- Ihereby admowledge that I have read application,-•state that the information is correct. and agree to comply with applicable City of Ea ordinances. It is the applicants responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activitifes~ to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: _7~` f_ LQ/7~6e✓dtJeGC .)f /!/oe OWNER NAME:: rJ Lt TELEPHONE (AREA CODE) INSTALLER NAME: S. 1~ iA7 n ~1[~tt vt ce C TELEPHONE (AREA CODE) STREET ADDRESS: IleC 67 tic n 9 74'--c'l - - CITY: / tri-da-1 J STATE: ZIP: SIGNATURE OF PERMITTEE r CITY USE ONLY p r LOT f II BL L c ` PERMIT SUBD. d 5 D' ~ k RECEIPT I; 05)1. / RECEIPT DATE: 5 I l ~C 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN HN 55122 ry~~ 651-681-4675 Date: d elling, townhome or condo under Complete this section on if you are installing HV/sinfau constructio an not o er/occu • HVAC: 0-1 O M B T U $ 30.00 AD TIONAL 50 M BTU 6OU • Gas outlets (minimum of one uired ® $3.00 ea..50 $ el' adding to, or m irin an existing. single-family dwelling, Complete this section on if you are rem townhome, or condo. Please indicate if it is a n item, alteration, or repair. New XAlt tion _ Repair _ Other _ Furnace Air conditioning Air exchanger Other 3 - 2e 4. -r Fee $ 30.00 State Surcharge 50 tal 30.50 Reminder: Call for i ections / SITE ADDRESS: r ~zz OWNERNAM PH { l yy~ f~5~0 / Q-luGetz PHO (ARE DE) INSTALLS AME: ~ 4b r~ >9 v C (AREA CODE) STREET DRESS: S LQn CITY: STATE: ZIP: SS3S~ f~ - 1 SIGNAXITRE OF P ITTEE 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) b~ r0 CITY OF EAGAN n ~ JaJ ~ J 3830 PILOT KNOB RD - 55122 ~t 651-681-4675 m' New construction ReaWrements 5-75,00 Remodel/Repair ReaulremeMs > 3 registered site Surveys ahowlng sq. ft. of lot, sq. it. d house 2 copies of plan and go roofed areas (20% maximum of coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam d window sixes: poured Ind. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of free preservation plan Slot platted after 7/1/93 DATE: G - 2-5 Z Qzc) CONSTRUCTION COST: --11~ 3d • mn~ DESCRIPTION OF WORK: STREET ADDRESS: -70(o LOT: BLOCK: y SUBD./P.I.D.#: D Name: (f--a--r'r Ctfwstb'Plf~ ' ~ Phone#((0 PROPERTY Lost First OWNER Sheet Address: 71a(~ Dv--- City a ~ State: Zip: Company ~ 9 SC E. (etc tt Cott.ISj _ out Phone G 1"t t-t 69 -3 Z2 Z (area code) CONTRACTOR Sheet Address: 2 (c. Ar,..sF-~ License # 3G-07 Exp. O2 City State: t--t Iip: SS64~ l ARCHITECT/ ENGINEER Company Name: Telephone ( ) Sheet Address: Registration C city State: Zip: Sewerlwater licensed plumber (if Installing sewertmterl: Phone M ( I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with aft applicable Stab of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFE USE ONLY Certificates of Survey Received Yes No 999x' 2 8 Tree Preservation Plan Received Yes No v Not Required / ) OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 ExL Aft - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex Ii 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg XYor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE K 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings I Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Soo Surcharge Plan Review -7-70 License MC/ES SAC ??0 spo City SAC 5 O x /O Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC MRS 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 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. AL L 2 5 .REED To Be Used For: -SqHGLE gherie_N Valuation: Date: -7/2!11 Site Address -lgCo GAwAy2~~wi L1v { OFFICE USE ONLY Lot Block / ys 0~0~ .4- FEES Occupancy RT Jr1-s~ Bldg. Permit, 00 Zoning PID `P,-( Surcharge. 2,Sb Parcel/Sub xA c. 6 Actual Const V-'tj Plan Review S/ S, 00 Allowable y- N SAC, City o Owner -7},5 ~or7css✓~ cn 1W. # of stories SAC, MWCC CO Length GO? Water Conn. 6,(,0,0 o Address vyo/ 5. VILgoe Koaj-) Depth Water Meter - ' S,0 S.F. Total Acct. Deposit Anoo City/Zip Code _rjkjpxg . c~y2~ Footprint S.F. S/w Permit .3 D, 00 S/W Surcharge 4SC Phone c771-6sey On site sewage_ Treatment P'li 2 ,d0 On site well _ Road Unit 0,D0 Contractor MwdC System L/ 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. 7-a9 9/ s Variance h/ Address City/Zip Code Phone # -$y 2~:, agrees that all work shall be done in accordance with (Signat re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. t r v ~ • &A12AGL 32u2L=~1au Z Y- (Zo) 68µ x is = ib2Go $SrVIT, 22y, iq 797.00+ I 09Z )Cly= Is 280 72.50~ 513.00+ ~s t FLnoR I 2,21 1 • 50+ 3,599•oo* ~5>11T3 I ~0y'- 797•00+ I z,r7-1 72.50+ I 51B•oo+ ~3~J3i S^~Gf~cf 21211-5()- 3, 599.00* ~'w aJ pLe~ir ~Ss f~~- ~ r1r3 1 yy~ or2 I y~r o00 * * 2422 Enterprise Drive * PIONEER LANG wRVEYORS•CIVIL ENGINEERS Mendota Heights, MN 55120 *en~g neeriing• LAND PLANNERS- LANDSCAPE ARCHITECTS II If)fZi 681-1914 I1 Certificate of Survey for: T41-- o-TrL" D Cd - NoRtN N84golro9"w !7S•83 fx ' 0 MCRCTENCY O✓ RF ow/ Q•I' of N / O o '3433 37.15 V _ 20 of a fD"_ N 3b.5 m ~8 I ro Q P4 M o o D S I o J . S I 0~ N f - 0` d I d.e LQ Ov go +.e I Vr 7.0 pYIV(l IJ I ° ° 1 ^s/ Zo.33 _A - C J - e - V '!1l 36.43 z~.57 0 11 0, o Q ,S o LJ S Npol'Of"e 161 7f 4 ti EAG.W ENGINEERING DEPT r -900.00 Denotes Exisfin j Elevations PAOWS£D N(fL59 ELEVATIONS 00.00 Denafes proposed Elevations Lowest floor Elevation - Dtnotcs Drafna e Ulrlif~yr casement 1~p 0fBlack E/rva/ion e{o(o.9eo Denoles Drainote 1/0W farrows i5orale Slab Elevation -1 o G,65 o Denotes Monument Bearings shown are aelurned o Denotes 0 {!ael flub L,.d1.0,t.h z , BLOCW 4 , 911 L S OF STON[BR C 3QO ADD DAKOTA COUNTY, MINNE4OTA certify that this survey, plan or repnrl was pr. arM by me unjler my direct <unnlvisi,n and that I nm duly flrgisterad lend Surveytlr of the Stale of Minnesota.Dated this-LKdav of A.D. 19~l r; No. 14a91 tale'nen_ 40 f ,5 to f n1fRI R 'll'i it S. IT t • r EXTERIOR E.rvrLOPE//JJAVERA~GJE "U" COMPUTATION OWNER T JLC l~L~~r'(~C9 C~L/►1~ b SITE ADDRESS I OT 1 2a k 4 H~«~ o2s}3ic aye AtN' )n0 CONTRACTOR ZA m E DATE _ _ PHONE S 7I y Determine working square footage of each. 1. Total exposed wall area 2'88& sq. ft. x r111 = 32-4• 5- 2. Total roof/ceiling area sq. ft. x X026, = O•~o Total exposed wall area above floor = 21f 9 ~47 a. Total wall window area zs _ b. Total door area Total sliding glass door area d. Total fireplace wall area V- _ e. Total wall framing area (average 10%) 2--1'~ f. Total net wall area above floor g. Total rim joist area 3 12 Total exposed foundation area = ~7` ffi h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall segment. a. 253 X "U" a541 = 1.36.62 b. 31 X „u„ , 07 = 2- G G c. 60 X „D„ a 1/6 = 7.6/0 d. X „U" ~ = y e. ~I S X „u„ 007 = ~$r7~ f. 1430 x „u„ ~04f2 = t$ •06 g 3/2 X „u„ o ay = 12-48 h. 7 X „D„ S§ = 3095- i. 7/ X „u„ = 7*91 3 ......................................Total = Z 0.77 If item # 3 is the same as, or less than item #1, a met the intent of SHC 6006(c)2. Total exposed root/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 "D" jf..ol-o~ _ k. -71 X hull n2~ /,q 2 1. / /0 9 x lull so2S = 2-74.7-3 4 Total = If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items #3 and X14 shall not be greater than the sum of items #1 and #2. 1. 32 D.3 S + 2. 30, 6 8 = 3S/,Q3 3. 290.79 + 4. ' .WALL J of 4 'UTE: Use 10% of opaque wall area for frame construction Construction R-Value 1. Interior air film 0.68 .2. P 13 R D o y_ 57 3 3. -2x4~, 5-rcP5 (oo$S t 4 ~q~ 9. 2S/32 S/~T~ AS IC I4ALL S./O/~iL+ OVE/G FECT / a ? (o 6: Exterior air film 0 17 Total //15-,- FIG. {I1 TOPVIE14 OF / : eOS-7 FRAHE WALL I/ 1. Interior air film 0.69 2. VL"C~r P (34Z D o YS 3. P(/L L !C/Ll t 4 ' /~tiS~G / r/. G5U 4. 2 S 32 5K7(r 2 .OCR FIG. #2 s. 4/gie-- OVo5R PG(--r- / ez 6 6. Exterior air film 0.17 Total 2 3, 6 L - ~jji I U 1, Interior air film ?ha al 1~-----'Q 2. /~vSVL /y~UO 'RP 1 12 P2 f, A } 4. 2532 SN r Cr 2vOCo 5, S/O/•yv C2 VC-71z F&-ZT / b Z 6 It o , 6. Exterior air film 0.17 i~~~~_ Total 25.05- 'i 10Tv II •r C\ J 1. Interior air film 0.68 3. 2A PURRtNG~ 4. 120 13~OCfe-- 402FS • 5. 6. Exterior air film 0.17 Total /30/3 f T, {I3 r FIG. 114 /(I ~ - t. /it % /11 In ROOF/CEILING i Construction R_Valuc 33 (i 1. Interior air film . 0.61, ' >rL! 3. C3cau,N i~5ur.~0~ 4. Exterior air film (still) 0.61 • VL.IT Total 1I /134. ®D • • 1 4 • • • • . V. ozS • 1 Dented Heat flow' up FIG. #5 - 1. Interior air film 0.61 ,a r;...• u.sn.lr.~`-Lnn• s .c n 2. S/Yi. C~YI~ 1> - S S '_'_-r---•- rj~~r-'.`-Y• 3. 1,ySriL 0yE2 -rlzus-5 ~ T- 4., Exterior air film (Still') V ► _ In Total 'C7 ~f v k1( 0 UPH L t--02 L'1103 1 Feat flow up .vented FIG. #6 3 5 U 1. Inside air filcn 0.G1 2. 4. S. Outside air film 0.17 ItTotal H027-GZ'IvTED Note: Use additional sheets ,if more space is needed, for details and calculations. Heat flow up PIG. A7 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE: (612) 4544100 RECEIPT # O p&..._.... DATE: 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY' DWELLINGS i TOWNHOMES/CONDOS WHEN PERMITS ARE'REQUIRED FOR EACH UNIT. WORK DESCRTPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAI _ NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00_ REPAIR WATER CLOSET 3,.00 BATH TUB 3.00 L_ - LAVATORY 3.00 la- OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3,00 SITE ADDRESS: `1 HOT TUB/SPA, 3.00 _ r J~ J_ WATER HEATER 3.00 LOT: Al BLACK SUBD. vv d FLOOR DRAIN 3.00 3= \ Ij c~ GAS PIPING .OUT'. _ (MINIMUM - 1) 3.00INSTALLER: ROUGH OPENINGS 1.50_x° ADDRESS: I o C 2 « L . OTHER WATER SOFTENER, 5.00 _ CITY: 1 2c~ n ZIP: s- PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ PHONE a a l a p SUBTOTAL S C--~ Iti • ST. SURCHARGE. .5C SIGNATURE OF'PERMITTEE ,e TOTAL: S Su ~ TI1If("r1~~1R?A'T4 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS ANI MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR'EACI 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. INSTAL.LER:CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN W3 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT MPCkjT~+' DATE: Il S A 37 Z 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 ILA r OF 1 PER PERMIT OWNER NAME: / L SUBTOTAL: $ 2 wo SITE ADDRESS: 7 S~ ~~h'+ f~~fK a /l p~/ • / STATE SURCHARGE: .50 LOT: 42- BLOCK 4/ SUBD.~ ~AJ~A~ TOTAL: $2_7 f-0 INSTALLER: FLARE • , s ADDRESS: 9303 Plymouth Ave. No. SIGNATURE OF PERMITTEE ,o en Valley, CITY: r ZIP: PHONE S L~ 2 -//6 6 PpMMERC,IATfINAU_SSRTAI 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: 16 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~iT ~rlq /v'sd 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date -2~z I ~ cI Site Street Address C4 fY*~C-(L t 1~_4L Unit # Property Owner l~ f u l lS l 1(~~ 1~~t e r7 Telephone # (V51) LA10 Contractor Cl~ v~~ l `E - ~ C 't ey L ~t~ Telephone # 1~ i1 Q Address T?) f) M City State Zip - r. The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling I $ 50.00; Add fixtures: This fee includes installation of plumbing a' water softener.andlor, water' heater at the same time. If you are installing only a water softener and/or water. heater, do not complete this section; move to the next section and check-the - - appliance(s) you are installing. -Septic System Abandonment I i ^ 3 1-1"g -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $11 .50 Total $15 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes;Ahat I understand this 'is not'a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is require be review d-sand approved. V~, L tv 1 r rLQL rz / Applicant's Printed Name pplicanl's Signature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements RemodellReoaif Reoulrements oe Use On 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and an roofed areas 2 copies of plan(( showing footings, beams, joists Ceri of Survey Recd -Y -N (20% maximum lop coverage allowed) d f=ey"lor - Utt & dercksa~ additions Soils Tree PPlan Recd -N_ I Soils Report if proposed building is to be placed on disturbed soil D E s 2 copies of plan slowing beam&window sizes; poured found design, etc. Addition - mdicafe if o septic system Tree Pies Required . _Y _N I set of Energy Calculations On-site Septle Sgstam _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 AUG 2007 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the ar trade secret and the reaso Date - 2- //3 I c p h Construction Cost 4O() 00 Site Address i Rb c~l t 1N1 wt Unit/Ste # Description of Work CKU S 0 l~-~ Multi-Family Bldg _ Y -~CN Fireplace(s) X 0 - 1 _ 2 ~rl l C Property Owner G ] 1LA w Telephone # (O nL0 - Contractor! JL W Q iL~1U` V ~ ST / Address ~ I q . ~ A-~ City State r y Zip !S S0 qTelephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone qnotto Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informatiocurate; that the work will be in conformance with the ordinances and codes of the City of f MN Statutes; I understand this is not a permit, but only an application for a permit, and who t a permit; that the work will be in accordance with the approv d Ian in the case of wor w an approval of plans. Applicant's Printed Name Ap icant's Signature DO NOT WRITE BELOW THIS LINE Sub Types 1 ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage * 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ' t/C ~r~ ❑ 25 Miscellaneous Work Types ~ol/6 6 ft/1v,.j ❑ 31 New / ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 10 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation CcSil Occupancy MCES System Plan Review 9100% or _ 25% Code Edition Census Code _ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. ~C Footings (addition) Final/No C.O. Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick _ Fireplace _ M. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge (~!p rf~~J Plan Review MC/ES SAC 9 City SAC t< Utility Connection Charge S&W Permit & Surcharge _ C Treatment Plant u~LL J ` ~~f r License Search Copies f'~ "~~~tl[~k F 2 lJ~C7L71~ Other 011.Ca Total Permit # 1 Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Second Story Room Addition Report Date: 0723107 Data filename: UntNed.rck Energy Code: 2000 Minnesota Energy Code Location: Dakota County, Minnesota Construcbon Type: Single Family Glazing Area Percentage: 11% Construction Site: Owner/Agent: Designer/Contractor: 786 Camberwell Dr Chris & Becky Collette Bart likens Eagan, MN 55123 786 Camberwell Dr David Schweich Construction Inc Eagan, MN 55123 21716 Kenrick Ave 651-686-0495 Lakeville, MN 55044 952769-3222 bart@davklschwemhconsbuction.com r Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss: 279 44.0 0-0 8 Wall 1: Wood Frame, 16" o.c.: 280 19.0 0.0 15 Window 1: Above-Grade:Wocd Frame:Double Pane with Low-E. 31 0.300 9 Floor 1: All-Wood JoisVTruss:Over Unconditioned Space: 279 30.0 0.0 9 Compliance Statement The proposed building design described here is consistent with the building plans, specifications, and other calculations submdled with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ZxUt~hu~Pt',ti Co(Tsc, -7-13 Builderbosigne-r -a7 Company Name Date Second Story Room Addition Page 1 of 3 J : IST SAVE DETAIL I NMIE - JWA , - aoe amr. STATE .lOIiT ems: JOINr,e": Wel~ow - iowvxm. N+s MAAOEDdoISTS: ~~SCo Cam 2r- 1 12 i f W MIN. , 11WT.R?IDAT IC QV ' saver TwPIATA SNIPSOM iTI10Nfi'TiE 1 16ti NUA ATC R 2 PLY 1Y4' X SW JJl;I WUAM1 LVL NAILER f ' 1 T T go Mr: eTwe w►,rel~w, ~~c~►TUII~sonr. acwqx PIONS: ,0o•14a► ; • ' o~ae purer PAGE: a a1IlAalltl.l 1A0 Wtl6ti 8 LOOT 'WOOS ssP 21 2007 at429M ILp~ei;Stb ysyerh'ssuser. 8SS88Bi1~7 P•2 I , • ! t=wee er.m At oovner e C eepe,s hW* : O 0 13w a 1171 ° 1.~ a~ LVL irms T MEETS OR 7'N CONTROLq THE APPLOATON A*a UO cos L V"O I INor a Neawr (Fwen saes? 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Pdnnry Load GiouR ~ 9eww QMY eaA LMe at 11611 dorueon,lB.D pad v.Now ~ omn UM Dad LMOM APpMadad PL 001 Aam Awh Dwa ~IaenNr pwa" eeaw(I.18) ON tom r !11lmRi6; Tfod1h ~ 1lrrtloel Raawlerw pb.) Dalee °o"' input 1 ftwwell &W a.W 2WI1MaeloOU71' M:-'mq-g MPW13Wx11Wr1.eEM1Mm1 OWL 2 Badwm7 Mr 2.71' 4MMSIGIM2 M;aleao~n 1P1yM314'3(117W1.UMbdwn0WL $N TJ epow4en I aUILMM GME %r dhow. R1 f BIOaI - Delelall C~DYTIIDLaL• i mm" m Dagn oneeel C low Lomas= rrao 2M - =I reaed ('3111) U. WSW ood _ Wdffwlead„e V~ 06) 3m 57E2 am paced 0%) BMW w mi lo MomWd (R4J ) alas arcs r/aM paned (15%) MID oven f 1 undw mmwev *4 Wo Lad Deft on) 0.1" LM PMW MW) WB 6W1 a~&W ~ Table La.d Dad on) 0=1 1.10 PaMed (LAa7J -0erewbnplt«la:9rANMM(LL'IIWTLL MW 46wnw alWflNrdwee laoleeeed Ur owdRo noenOn awa. mMmmM load bdMW v o- Ala. r r bled adw , d W r ok ~ ddjbd mMrM e. 1'tapee deaeWW aced .D..Ien aeu.n.. rdaqueta aanenaa twNei eepPeK ae rice eomparoa adra. Qwbb R.ak«io. aaM bye Tee c.mewwd Ddra Eno. MN OM23 4m W. 7711. owd eWta iM GOO Nal am Paon.:(ee6ale-H1s Fa 111T ~si7ma%.~.~.~%+aW DA"awmta ..d N6tN1NWpMIL..lh v\NMI~m ..nwaa.tlmg0..a.. Nfl.e.M lint\1vH1 nnn wwnp•n Inn? •b7'nxC aaeeaaaaa. Bap El 8007 814MRM It_svsl DW Wtuerhaeussr• firs. R6er Beern l i° Olen e.w 7 3W X 1 71S" 1.96 Mloroll PIN* u ruee e~S THE WT DEMON wrrwymrwur PRODUCT marm OR DX~ rwa ml THIS CON I La MR THE APPLICATION AID LOADS LISTED mORIRlIB gig= k a hem edeee1 &WdO edqy TM jowl (Tj). "oMWS.0rMd►rot vewee sIWWI Wk, u►1pdtT/u The eased PW „roe.. T.i enSVMW iO war rerMed en MOM&• The k0o beds IN soord.ee. war eurntrd Ta nr & , err eodespolp!a!a ^ eed mart be wmMa MM "W a W ID 1118 aerrrrlaee trare been poMded M!1 etlrew epresw rrpvm"w by the dwl/r pr~+rrrrri,- ` T at voos THIS ~rsis. -TM F1 y now IBC aneom so TJ CMMbu W po" abo - -"Go: SWTJ )(bo~lrAr dx~ IAbnmadknobf(ould 1.M+710M CaOMe Reeaaa ewdrwr Moubm 700 CemWrtvd a" Rawl by 1AlMye11 nww Emom. MN 06120 4070 W. "ft obw adis 100 EdW^ MN MMU Phone: foxm117e Fix : 0.1)~0.1117 .aon► r i rr ~:.~e~wl.aewFAai WASISOM ~ N e i. `w iw.► ai ~oeeswar w /~lrM~~+~MLCONMn6«e sar.ee~etrenu+~ 1a[ar.w a 'e acno•ou 111101Vi ion wbno:o Inn7 b7•d8R For Office Usi l j Permit ~l City of Evan DEC 42009 1 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694. j Staff: I L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION L Date: t Site Address: Chris Collette Tenant: 786 Camberwell Drive Suite Eagan, MN 55123 RESIDENT / OWNER Name: 6516860495 me: Address / City / Zip: I ©(P CONTRACTOR Name: NORRLOhA PI IMgtNG rO. License Address: (612) 827-4033 2905 GARFIELD AVE. SO City: State. Zip. . MINNEAPOLIS, MN 55408 Phone: 1 Contact Person: TYPE OF WORK - New X Replacement Repair _Rebuild - Modify Space - Work in R.O.W. ter - Description of work: V y ew p 1a rmPERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / - PVB) Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, ;etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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. x~Drl arnr x Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground P.cugi; In. _Air Test Gas Test Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118574 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 786 Camberwell Dr Lot:12 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-120 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 - Christophe R Collette 786 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA129359 Date Issued:02/03/2015 Permit Category:ePermit Site Address: 786 Camberwell Dr Lot:12 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-120 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Christophe R Collette 786 Camberwell Dr Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131731 Date Issued:07/06/2015 Permit Category:ePermit Site Address: 786 Camberwell Dr Lot:12 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-120 Use: Description: Sub Type:Residential Work Type:Alteration Description:NOTE: Needs shower pan liner inspection 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 - Christophe R Collette 786 Camberwell Dr Eagan MN 55123 John Myers Plumbing Inc. 3565 75th Street N. Stillwater MN 55082 (612) 723-6930 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink r-------'---------� ``G I For Office use � �� � � I I ' �i� � Permit#: I���o�.? j Clty of ���a� � ; . � ; /C � Permit Fee: � � 3830 Pilot Knob Road U / � Eagan MN 55122 � Date Received: �` ���-� � Phone: (651)675-5675 ��������� I I Fax: (651)675-5694 I Staff: � �,,_ I i �K�� .��� ,�,�, � ���� ------------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:_7 g� GA.v'!/3�4JiLG L /,�/�L Unit#: � ' ame: �L'j�����-� � Phone: � �� : � , ������ Address/City/Zip: z � +� S� � �� � ' M Applicant is: Owner Contractor � . 4� 1= .. 4.n��s. ,^-'�. � �, O Description of work: � � r��.� �t ur �����G" �-���t., � �� ��� � �, �,,,_ ���` Construction Cost: 3 �U Multi-Family Building: (Yes I No� � � �F',�� • , .; � � ' Company:_�E'��.t_�e�t'�.�.��".•� �,�.. Contact: �/G�f- �� 3 Address: ��� �.-e. � � v�-.=. City: ����� ��i�l`�C��` - �`� � ;� State: ��Zip: � f � Phone: y �7�maiL• � �icense#: C/2 G 3 R/9� Lead Certificate#: If the project is exempt from lead certification, please explain why: � j3v�wT jN 9! 1Z-I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: ' Licensed Plumber: Phone: ,, , Mechanical Contractor: � Phone: Sewer 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: J�1�3�'� �'�S��l���r�o�������f �'���a���n�r���r�'��r���� P��c� ` t�a��orr�r��t��r�e��s�s�'� i�f.��'a�1� r���h Y ��� ,�� � . ;z. ,..,...,-:,a . ;. -�. uu 3., :v�tt,r,... , a.�. f. ,�.����'� Q��4�G„ � =3':+'�,���RAf�l�a'�., , � � � : � � . , ... ... < .. : . .. .�. . . ,..� , w m,J.v,,., . � .,,,.. 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.poaherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, 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 ��,�c.1�\�r� ���.�.�� ��._ � Applicant's Printed Name Applicant's Signature a Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES � Foundation , � . � " Fireplace Porch(3Season) _ Exterior Alteration(Single Famify) � Si�igle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi � Deck Porch(Screen/Gazebo/Pergola) _ 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 _ Eg�ess Windov►r _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 3� � Occupancy MCES System Plan Review Code Edition 4 SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ° Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) Final/No C.O.Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing '` Drain Tile Fireplace:_Rough tn _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control , � Other: SNoGyRl1, n,�N l..lH�IL Reviewed By: , Building Inspector RESIDENTIAL FEES � � � � C� 'ZO L ��� � Base Fee g'� Surcharge Plan Review J�7^— MCES SAC City SAC Utility Connection Charge S�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169556 Date Issued:06/01/2021 Permit Category:ePermit Site Address: 786 Camberwell Dr Lot:12 Block: 4 Addition: Hills Of Stonebridge 3rd PID:10-32992-04-120 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Benjamin Todd Reiss 786 Camberwell Dr Eagan MN 55123--393 Sandstrom Windows Llc 888 Burke Avenue Roseville MN 55113 (651) 330-8911 Applicant/Permitee: Signature Issued By: Signature