The URL can be used to link to this page

787 Camberwell Dr INSPECTION RECORD CoritrolNo. 0042 CITY OF EAGANccsrriwnx~~R >,o9do/.~z~a PERMIT TYPE: ~t~snt~a 3830 Pirot Knob Road ATaA~IpEdEBRETSON 635 50'Yiv Permit Number: 00m0 Eagan, Minnesota 55123 Date Issued: 0ie~as,e0>: (612) 681-4675 SITE ADDRESS: APPLICANT: LaTII #LfCk: z 767 CANSERUELI CENTEX HILLS OF BTOW[#RTp#E (612) 440-7240 PERMIT SUBTYPE: ~0 ~ TYPE OF WORK: S fit emu INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. V001 Lff" It4ANIN4 INSULATION WALLSOAR0 FINAL FIitES+LACE Permit No. Permit Holder Date "Telephone a PLUMBING HVAC ELECTRIC s/9 Clc.O °'P ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Z d Roofing / r, Rough Plbg. Rough Hig. -,57-72 Isul. Fireplace Final Htg. z'Z Orsat Test Final Plbg. Plbg. Inspector-Notify Plumber Corral Meter - EngrJPlan n Bldg. Final L- 2L i 1s^ Deck Ftg. H~ / /9z v Deck Final 7 / O n.o o tic ~ ~ ®co ,.ti s.>fD 17Jc G/NHG C'A'LL" Z-,6 /L - Well Pr. Disp. -Tel -7z (9rdift'rat a of (Y rru aury r Citp of (eagan Depwammt of %taing 3wrdinn This Cerdflcate issued pursuant to the requirements of Section 306 of the Uniform Building Y Code certifying that at the time of issuance this structure mw in compliance with the various ordinances of the City regulating building construction or use For the following: Un amiuad.= SF I WGIGAR R aft. Pazit Na V0 ar'~Yas HUES 5629 BAICER.,~MIKA owna ~Wdm oc awwina L , I MM OF S'i~0 3-RD 787 MMO Lnality • Address ~ f:. M aW 6/24/92 POST IN A CONSPICUOUS PUKE y SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN MEYER # f ;Z0 0 PERMIT DATE 03I18l92 3830 Pilot Knob Rd. 126x`(?' Eagan, MN 55122-1897 , CHIP # PERMIT# - METER SIZE B.P.RECEIPT# C 0177$4 f~. 03/16/92 MAR 18, 1992 ISSUE DATE B.P. RECEIPT DATE k DATE I _ PRV BOOSTER PUMP SITE ADDRESS 787 CAMBERWELL DR PERMIT REQUESTED LOT 18 BLOCK 2 SEC/SUB HILLS OF STONEBRIDGE 3RD !j X SEWER X WATER -TAPS APPLICANT: ADDRESS: COMMJIND X RESIDENTIAL ;;r CITY, STATE ZIP X NEW EXISTING PHONE: J Lawn Sprinkler Meters are to be Installed PLUMBER: PLYMOUTH PLBG Ahead of Domestic Meters on Water Line_ ADDRESS: 9290 ZACHARY LN N " Credit WILL NOT be given for Deduct Meters. CITY, STATE MAPLE GROVE MN ZIP 55369 PHONE: 493-2474 I AGREE TO COMPLY WITH CITY OF OWNER: CENTEX 7EN ORDINANCES ADDRESS: 5929 BAKER CITY, STATE MINNETONKA MM ZIP 55345 ,i PHONE- 640-7260 SIGNATURE WHEN METER ISSUED PL A5ELLOWT O WORKING A S FOR PRDCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . s"^4~: K11''~eY4.. .1;. G. 1v s. •t. V'. r 7 ~ SEWER8vWATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 03/ 18/92 3830 Pilot Knob Rd. 12610 Eagan, MN 55122-1897 CHIP ~ PERMIT # r METER SIZE B.P. RECEIPT # C 017784 DATE MAR 1$, 1992 ISSUE DATE B.P. RECEIPT DATE 03/16192 _ PRV - BOOSTER PUMP SITE ADDRESS 787 CAMBERWELL DR PERMIT REQUESTED LOT 1$BLOCK 2 SEC/SUB RILLS OF STONEBRIDGE 3RD -SEWER -X WATER ~ TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL .i CITY, STATE ZIP X NEW - EXISTING PHONE: PLYMOUTH iPLBG Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHARY LN N Credit WILL NOT be given for Deduct Meters. CITY, STATE ;MAPLE GROVE MN ZIP 55369 PHONE: 493-2474 1 AGREE TO COMPLY WITH CITY OF OWNER: CENTEX EAGAN ORDINANCES ADDRESS: 5929 BAKER CITY, STATE MINNETONKA ZIP 55345 PHONE: 640-7260 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. J P/ dim) 3 5 3y 3- ~ Request Date Fire N RougRin Inspects 3-4-92 R-~9wretl ❑ Ready Now tXvAll Nobty Impactor xYes ❑ No When Ready? r I X licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No) City 787 Camberwell Drive Eagan Section No Township Name or No Range No County Occupant (PRINT) Phone No Centex Homes Power Supplier Address Dakota Electric Electrical Contractor (Company Name) Contractors License No Lazer Electric, Inc. CA 01110 Mailing Address (Contractor or Owner Making Installation) 8383 Sunset Road N.E., Minneapolis, MN 55432 Authorized Signature (Contr`ac'tor/Owner Making Installation) Phone Number I u WA~[6 784-3729 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-6110way Bldg - Room S-M BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plrone(512)642-0800 ENCLOSED may, E&00301 08 REQUEST FOR ELECTRICAL INSPECTION J 39503 • See instructions for completing this form on back or yellow copyI ' 'X" Below Work Covered by This Request ~•g°~ " New Add ep. _ Typeof Building Appliances Wired Equipment Wired x Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner other (spemy) Contradort Remarks Compute Inspection Fee Below., # Other Fee # Service Entmnoe Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above Amps Signs Inspectors Use Only: TOTAL Irrigation Booms ^'V $86.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Rinal . fe ffzkz~ been made. 7r r 2 -f' OFFICE USE ONLY This request void 18 months from DATE: MAR 18, 1992 RE: 787 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 (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. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 787 CAMBEREL DRIVE Lot 18 Blk 2 Sec/Sub HILLS OF STONE MIDGE 3RD These items were/were not complete at the time of the fina ins~p+ection. Date: 6/24/92 Yes No J-, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry 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. x¢reuo w White - City copy Yellow - Resident copy Pink - Contractor copy /n HOUSE HEATING TEST RECORD ADDRESS1" 4t/t, It APT._F OOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY j 7. I Electrical Work By Gas Lina By TYPE OF HEAT GA _ FA _HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE Cil 7 MAKE OF BURNER Mode ®t / _ Model Serial - Max. BTU Rating Q; INPUT MAKE OF FURNACE 7 08541,09w - n Model ! CONTROLS /f / THERM05TA 111 / Heat Plug Vent Si me ,~7 19 Valve (N KIND OF LIN SIZE NONE Limit ~S Draft Hood Regulamr Limit Setting - Filters Size NUy~ r Fan Setting - Chimney Location ide f/ Outside Pilot Type Chimney Construction{ [1 eS01 Pilot Make Pilot Model Smoke Bo Wiring Pilot Timing - S Draft ; yC 'e Test Tag L.W. Cut Off ' Door Pressure Lighting Inst. r t/ Pressure 'S 6^✓ Percent CO~o Data Tested Input CFH ! Percent OZ " company Testing ' Name of To-ter 4--s, Stock Temp. 7y Psreent CO 4-9 0 Form '135 2907 RESIDENTIAL BUILDING PERMIT APPLICATION e' City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 7l~' iS Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Reoak Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house, and all rooted areas 2 doilies of plan stowing footings, beams, joists Cart of Survey Reed _Y _N 120% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soils Report _Y _ N 1 Soils Report it proposed buidng a to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Read _Y _ N_ 2 copies of plan showing beam & window sizes; poured found design, etc. Addion - indicate ifon-sde septic system Tree Pres Required _Y _ N l set of Energy Calculations Onsite Septic System _Y _N 3 copies of Tree Preservation Plan ff lot platted after 71 M Rim Joist Detail Options selection sheet (buildings with 3 or less uri II L p, / Mfnnegasoo mechanical verm atop form ^ / GL CC7C7~~~1~ (~J 6 - a p Plans are considered public information unless you state the are trade secret and the reason. Date _~p / / a Construction Cost 121000,00 Site Address ~]kT _ _ _ 2 Unit/Ste # Description of Work In-Ground Pool Mii i-Family Bldg - Y N Fireplace(s) - 0 - t _ 2 Property Owner LTC-C- + ~L ~ _ ]ySG~ Telephone # ((W ) 4&6---B , Contractor Performance Pool & Spa _ Address 1890 Wooddale Drive Suite 800 City. Woodbury State MN Zip 55125 Telephone # ( 651 )775 - 3940 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet New Energy Code Worksheet (v 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 X N if yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone # ( 1 Sewer/Water Contractor Telephone I hereby apply for a Residential Building 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 State of rvN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approv d plan in the case of work which requires a review and approval of plans. Ken Ronsberg fx( D_ i K CA, 0 Lay-Out Engineer PPS Applicant's Printed Name App cant's Sigitature 1 ) DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex 10 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex O 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Poroh/Addn. (4-sea.) ❑ 33 Ext. All - 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 ❑ 25 Miscellaneous Work Types 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior O• 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ '43 Reroof 1 ❑ `46 WindowslDoors ❑ 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Description: Water Damage _ Yes Valuation ZJ aC0• Occupancy S~~ r I MCES System Plan Review 100% or _ 25% Code Edition 2o0 7 Census Code q3 -1- Zoning :'City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bkigs Length Fire Sprinklered Type of Const Width ,1_ REQUIRED INSPECTIONS _ Footings(neu bldg) - Sheetrock Footings (deck) _ Fina1/C.O. _ Footings (addition) _ FinalNo C.O. _ Foundation _ HVAC _ Dram Tile Other Roof _ Ice & Water _ Final 30 Pool `P FtgsO Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _ Air'rest _ Final _ Windows Insulation _ Retaining Wall Approved IE1 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: 1';9~ &411 1" wl// & Applicant Name: -44ce- E AL faF?-~y GENERAL INFORMATION r U x o z a ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property ❑ ❑ North arrow, scale (1" = 30' or 40') PI ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing .Z ❑ ❑ House corners A ❑ ❑ Property corners ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ,~d ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ,d' ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property Proposed `A ❑ ❑ Pool ~l ❑ ❑ Pool plus integrated deck/patio ~Q ❑ ❑ Shortest distance from outside edge of pool qe" lot lines and house Reviewed: Na Date GTORMS/Pool Permit Checklisu02-13-07 * M ndotatHeights, MN 55120 * PIONEER LAND BURVEVORS•CivIL ENG~NEEgS _ l •9/~ eingineering,. LAND PLANNERS- LANDSCAPEARCHITFCTS II 612) 681"I9~14 Certificate of Survey for: Centex,_ Incorporated House Address: 787 Camberwell_ Drive North. Eagan. MN Model Name: 2190 s 1 •2R33,s 1 1 1 o i Iryi 3 ~ ^ l 3 [t O t") DE I tM N '1 9Dp6 9t I a, N ( ~,9exel °°d I N w 2 f a IDsd e Ij sloe i z R Well 1 TOW 8066 ~aO9aoyt BOW 8~.0 ~9DT.1~ Tn I PR .T2 6]` I O 1r3 r i I E A 4P A 9 9 OROSED SE ® I_ 1 T ccur HDU a~i 1 V4 C. ~ N C t7ASCUENt ^ i t n i 1 0 7. 1 5 _ II-I_9_.65 16.54 -i 0 N GARAGE :a in p'.ES ~~~,~.~G... - 10 .SJ ° 1 v' 26 33 - m J C 907.I\ _ T2.D0_ I Ilwmby pry Met Mh ale outpepbeday" rv 1_ > I - awa9r~rdAd and lylsaenh / Ye IV 1 . lu En nr~ _ _ ~03_3~ I Nenis o ` I Slprelue DNe __~m OftIyT WAY r7 62. 906.1 _ ~a ~~,g S ____-L _ 45.08 a gam;, R = . _ FNGRQEMCj Dzr . L L ~ Rl VE v Y F. r~l , x. T NORTH - 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION eoo. Denotes Proposed Elevation Lo est - Denotes Drainage & Utility Easement Lowest Floor Elevation: 799.65 Denotes Drainage Flow Direction Top of Block Elevation:9O7.76 -o-- Denotes Monument Garage Slab Elevation:9O7.43 Denotes Offset Hub Bearings shown are assumed LOT 18 , BLOCK ___2 HILLS_OF STON-EBRIDGE DAKOTA COUNTY. MINNESOTA 3RD A D D I TI O N I hereby certify that this survey, plan or report Was prepared by me or under my Wert supervision and that I am duty Registered Land Surveyor under the laws of the Slate of Minnesota. oetM Ihis ~ day of lyt Q(t-! N A,p, tg I • Scale: 1,N~h=30fget r> BE • . lr - _ _ ROBE RT B. g~K}Ctl, .S. REG. NO. 16891 , t PERMIT Control No. 0042 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000020 (612) 681-4675 Date Issued: 03/16/92 SITE ADDRESS: 787 CAMBERWELL DR LOT: 18 BLOCK: 2 HILLS OF STONEBRIDGE,3RD. DESCRIPTION: Permit Type SF DWG & x tith t« rk Type NEW T€igjza R-3 ndC#t1ritXtifre VN -rtK'r i 5vir ° sp ~I PD 60 38 . zll, .ex x(14 t 9 ~y Y fia REMARKS: Itp) `77 $ FEE SUMMARY: f 413, D b Base Fee $790.00 MISC FEES $1,610.50 Plan Review $6:k3.50 COPIES $1.00 Surcharge $71.50 Total Fee $3,686.50 SAC $700.08 SAC % 100 SAC Units .1 Subtotal $2,075.00 CONTRACTOR: - Applicant - ST. OWNER: CENTEX 16407260 0@01333 CENTEX 5929 BAKER 5929 BAKER MINNETONKA MN 55345 MINNETONKA MN 55345 (612) 640-7268 (612)640-7260 A Yy. { `.yA +Y.{> 0ia:. 4 #,iZ # £k r'4°$ d #-0i yF~ e 44 1 K~x.'ryc _ 4 d - 4 x.} hehODajc3cejjxox r"b3spa y }p47 k" µt!{~y@l j3 X a"tApunt +E~ x ;t rt 5T # NP%ld.~ Y YP+ MFR ^*'+1 .p _ elA~x +Fj ~'•y . ` KK t# yy~+fiN-G n # 4 yXryYyi{{{{}y( -l5yd 1y 4'f• yq{y~.yp. ''~'y,i d 'Y ~5 5 . Y 4"a ~W 8 ~ 4 y f !q#9Aq ~1Y1~'~l"i4 + 4 b ♦y# Ai ~ { a {{.9 ^r Z S{ _ { ' II k # f- Ax{Sa5 i .d i - AR ry p #edt~. twm i APPLICANT ERMITE SIGNATURE ISSUED Y'SIGNATTU~R - - - - - - - - - - - INSPECTION RECORD Control No. 0042 CITY OF EAGAN PERMIT TYPE: BUILDING. 3830 Pilot Knob Road Permit Number: 000020 Eagan, Minnesota 55123 Date Issued: 03/16192 (612) 681-4675 SITE ADDRESS: LOT: 18 BLOCK: 2 APPLICANT: 787 CAMBERWELL DR CENTEX HILLS OF STONEBRIDGE 3RD (612) 640-7260 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION WALLBOARD FINAL FIREPLACE ` ~ ' 4?:x dA Y tl ti ~ Il A t rye.{#A # d 'r.. t L ~ ~y „,A~,E~`~ 5 n.. M1 rs..u.. .4 t revA x..-. As 4 . X ~3 M1 A CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION CJ 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 lot Chan a is re uested once ermit is issued. Date _3 Z Valuation of work y_7615k-) Site Location: 7e7 C/9~1gEr~~v~G~ D TREET STE # Tenant Name: ZEX LOT BLOCK SUBD_. ~Tonz* .I.D. # Descri tion of work: I The applicant is: 0-owner Contractor ❑ Other (Describe) Name Phone ~9 AM - 6D Property LAST F1R T Ft /J) uo/ce) Owner Address 5f2_1 ~J TREE STE Y City ~~~/Ict~~ • State! Zip Company Phone Contractor Address License # •Afellkouk & City State Zip Company Phone Arch Weer Name Registration # Address city State Zip Sewer & water licensed plumber r- -1 0 1, Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have re his a plic on and state that the information is correct and agree to comply with a plic 1 e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' I OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add. /Porch ❑ 16 Agricultural Pr02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 0 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy P-3 Basement sq. ft. )/Y(, MWCC System ✓ Zoning 7-T- 1st F1. sq. ft. 11,16 City Water -`i;~ Const. (Actual _yx 2nd Fl. sq. ft. /o &z PRV Required (Allowable Vnj Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length To- On-site well Census Code Depth 3 .3 y On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS f Site ,9 Footing Framing [Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Q Permit Fee vatmcim: $ Z/ 3 d o 0 0 Surcharge S/3 sj ~a~a0~ S yNk l~' ~~0~,8y Plan Review MWCt SAC Tao Bsrr&y(y6 X 66^ = ?l~ p2~ City SAC /00 _214 _ /0~Z X53 3(~Z86 Water Conn. d~_S Water Meter 9.S-- Road Unit 380 ~~~z~9z/,Py Trees atme it Pl . 1 s o Park -wa. ` 30 /wSVY t'0 COeffs ~:I,i~ ZQ Otgies Total: 3 6 SAC % SAC Units * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 LAND SURVEYORS- CIVIL ENGINEERS _ * engineering.. LAND PLANNERS • LANDSCAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: Centex, Incorporated House Address: 787 Camberwell Drive North. Eagan, MN Model Wne: 2190 ti R 1 ~ ss 1 F r 1 ~ ~h 3 1 I 3 1 I o r 0D iron 07 1V 1 I ~ iV yr3 l~ ~ tb ~ 1 I r` a nN / I NGo z t I z I I 1 I L 902., / 1817 32 6 7 0 130 _ I 16.37 E A IL A N ~ I „^I r M 12P 000RS~ BA WM r n 1 A Y 6 Yd n r ~1 1 Wr 1 1 14.33 N s~.1;•;, A...._. r . n 7.0 0 1 I ~,~yIssv~ L/ 19.65 7634 ,v GARAGE n DA16 _ 10.33 0 rv I . 1 26.33 / 907,1 22.00 r^vL _ ~ I 9173.3 ~ I _Jm 0 ORIYFWAY - rv n 908.1 62.oo s 11000-59. =45.0 - CAMBERWELL4 I1 DRIVE NORTH G DpT • 900.0 Denotes Existing Elevation - PROPOSED HOUSE ELEVATION 900- Denotes Proposed Elevation Lowest Floor Elevation: 799.65 Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 907.76 ---o- Denotes Monument Garage Slab Elevation: 907.43 - e- Denotes Offset Hub Bearings shown are assumed LOT 18, BLOCK 2 H11 LS-OF STONEBRIDGE DAKOTA COUNTY. MINNESOTA 3RD ADDITION 1 hereby certify that this survey, plan or report was prepared by me or under my Irect supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this S TV- day of M pRt 14 A.D. lgqZ~ inet / ~~4 1 ' fO~L•' Scale: 1 I-ch _ -3 O fe - RORER ICY Ct4,.S. REG. NO, 14891 105 91336.12 CONN. Hu. Planninri Deign Inc. '1.,;:11 fli.~)Itw.ty 1~I`LL. nri~ap ci lMN 55432 Minnesota State Energy Code Calculations Pa--^d on Chapter _ uIr the Model Energy C:::de 1'987. EdLtio Adapted 1i1f04 MODEL. 421`,O COMM. NO: Oddreszlz _:~c,tractor: CEhl~E=i: !ii?!!Eti I'F;~ne: At Al for Single Family/r)uple;: A2, residential . 3 stories Over v stories dither GENERA!_ i.NFORMATION Note: The section designations, ("Section A", "Section B" etc.) are for Lonven.ience in calculations only, and are not related from one set of ce.l(_e.tlatio),s belr,w to the next. I. Bldg. Walis Peri:,teter x Wall heights, = Area ground to eave S=ic t i un it . 10. 4 ctrl B 1 18.50 _ 2526. flu 3ectlon C r") 0 c +_I s4= t. i on' L) : 0 = 0 Gross Wall Area = 2755.68 Building dimensions Floor or Ceiling Length x Width = Area Section A . i0.3 2 = 21.6 Section u . 13 = 26 Section C : 19.8 32 = 633.6 Suction D . 22 31 = 682 Total floor or ceiling area = 1363.2 3. Rim Joist Perimeter = 158 Floor joist 2 by (8", 10", 12" or 16")): 10 Rim Joist Area = 131.6666 4. Doors Area, 43.8 Thickness (inches): 0 Perimeter (Feet): 0 Type of construction: Total door's perimeter: 0 _ _ 'vfe.nrinws !!arr, :c;_.c: -r: !lf=f)T"K -~HrELD U r~~ctnr: x-).47 approveri: `!ES i_enuClt i•i..;Rber = Tatnl _nahL, s; EInches1 of 4i.yss SgFt units BSMT. UNIT 14 27 4 10.5 DOUBLE !FUTAL~S 28 16 4 12.44 16 20 4 8.89 24 20 4 1:.:33 23 10 5 ~i.11 22 I: S 4 17. 1. 1. 28 28 24 1 ii.67 12.44 24 .36 4 24 F-iMiNr TOP 15 15 2 3.13 O 0 0 0 O 0 0 0 0 0 !l 0 7. Window glass area (SgFC} = 2631.62 Tvpr- Height x Length Number = Total (feet) (feet) units SgFt 8. Patio Door: 0 0 0 0 5. !atrium: 6.8 2.8 2 -.8.08 ,rea 1:12 i, i'r C H'a z U_ h L: C) TQ:Ial Sq F;'. = ti r r It. Exposed Foundation Height area A: 0.67 Perimeter area A:' 154 Sq Ft area A = 10:1.18 F_;;posed Foundation Height area B; 0 Perimeter area P: 0 Sq Ft area B = 0 12. SgFt U factor U x A Gross wall area 2755.68 minus Window area 263.62 0.47 12:3.9 Patio door area 0 O O Atrium area 38.08 0.47 17.9 Rim joist area 131.66666667 0.035 4.61 Door area 4-,.8 0.14 6.13 Fireplace area 0 0 0 Exposed Found. 103.16 0.14 14.45 Framing, area 275.568 0.069 19.01 equal s , of al s f 'r not. ti l : 1899.765'333 U. (-)Z7 70.21 i"c~"._tl ur' .3rus_ wall area. ~56.2; F-r,:ru n.y area is 3o% of gross wall area 1". Gross wall area factor below = " „ A per :nde Factor is .11 for A-1 single family o duplex .2Z for A-2 and other residential for ether- buildings .23 .23 fo- o%ter _ stories F cLor in- 0.11 1 i isH = 30 1240 RUST HE OR = :.56..7'-7 ?calculated abov:_''I 1^'. Bross cr_i 1 ii „ area = IZ63. : 15. Ceiling framing area %10% ) - u n ce. > ng area) 116. . 7a. 16. joist Area t iO% of ceiling area) = 56.317. Net cei 1 i ny area (Gross cei 1 . area - Joist area) _ Q26.88 19. U cel l i ng . 0.021 x Not coil. area =25.76448 1y. 0 sraminge 0.024 x joist area = 3.27168 0. Total of item 18 x item 14 29.0:3616 21. Gross ceiling area x factor below = U x A per code Factor is .026 for A-1 single family & duplex .033 for A and other residential .06 for other buildings Factor is. 0.026 DTUH = 33.4422 MUST BE > OR = 29.03616 (calculated above) U VALUE CALCULATIONS 2 x 6 / HIGH "R" SHEATHING R YALUB U YALUL' - - Inside air film .60 WALL Interior wall _45 (Wall) U = 1 = SWTION Insulation 19.00 R Sheathing 6.0 _037 Siding .67 Outside air filin _17 R TOTAL 26.97 - - - Inside air film .60 STUD Interior wall .45 SECTION Stud - 6 6.50 (Praaung) U = 1 = Sheathing 6.0 R Siding .67 .069 Outside air film .17 ' R TOTAL 1447 Interior air film .60 RIM PR.j Insulation 19.00- JOIST 1 i inch soft wood 1.88 (Rim Joist( U = 1. _ ( Sheathing 6.0 li Exterior wall covering .67 .035 Exterior air film .17 R TOTAL 28.4 Interior air film _68 t~ - EDN Insulation 5.00 _ roundation (12 " Block). 1.20 (Foundation) U = l = Exterior air film .17 R R TOTAL 7.13 .14 CEILING WITH VENTED ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING 0.61 Air Film 0.61 !j 36.00 Insulation 44.00 / 4.38 Joist / - .56 Ceiling .56 i 0.61 Air Film 0.61 lf\ 41.55 Total R 45.78 .024 U = R .021 CATHEDRAL CEILING R VALUE R VALUE FRAMING CEILING Aga 11LW 111H1111 11 MA 0.61 Inside air film 0.61 .56 Ceiling 14.375 Joist(Spacer) - - Insulation 33.85 - Air 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 R = U. .027 Window infiltration .5 cfm,41inea foot of crack Residential door infiltration 0_5 cfm/square foot or door and minim m code requirement Non-residential door infiltration 11.0 cfWlineal foot of crack Ub 12° concrete block no insulation = .781 R 1.28 double glass = .52 triple glass = .31 All exterior walls and ceilings mast have a vapor barrier (0.10) perm max.). Vapor barrier mast be on the inside (heated side) of wall. Vapor bariers of the polyethelene thin film have no R value. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 851-881.4675 • New Construction Reautrementa > S registered site surveys showing sq. R of M. sq. R. of house 2 codes of plan and gp roofed areas (20% mmdmum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of pons (show beam & window sixes: poured fnd design etc.) 1 site survey for exterior oddtibns a decks > 1 set of energy colc)Aations > 3 coples of tree preservation plan If lot platted offer 7/1/97 DATE: /a zz & CONSTRUCTION COST: 35 DESCRIPTION OF WORK: GE ✓b~ f= N~S1{ STREET ADDRESS: &7 r~/E 1~ P/t/ v~ ~q Cpo LOT: I~ ~ BLOCK: a~ SUBD./P.I.D. A,J Name: GE2b 2EJS~.J ,4.e14 G Phone l SC - S 6 -'7 912 PROPERTY Last First OWNER Sheet Address: 7S7 &_Awd D'191 VIE City z~_-w GAA✓ State: Zip: SS~Z~ Company. ~T/3t~/No Phone ! s/ 09// (area code) CONTRACTOR O Sheet Address: le-" License # 6 ~a Exp. 6a city zEA6A,-1 State: Zip: /2 3 ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheet Address: Registration # City State: Zip: Sewerlwater licensed plumber (ff Installing sawertwater): Phone ( W- acknowledge that I have read this application, slate that Bte Infonnallon Is cortecl, and agree to comply with 01 applcable State of Nnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 06-piex ❑ 13 16-piax ❑ 21 Porch (3-sea.) ❑ 31 FxLAlt-Mull ❑ 02 SF Dwelling ❑ 08 06-plea ❑ 17 Garage ❑ 22 Pomh/Addn. (4-sea.) ❑ 33 Ext. Ak-SF ❑ 03 01 of _ plex ❑ 09 07-plex ~❑1/8~- Deck ❑ 23 Porch (screened) E3 36 Multi 13 04 02-plex ❑ 10 08-plex Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg ZYor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding 1a'~33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair or ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o l # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings 0 Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code L-/ 3 q (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV MISCELLANEOUS INSPECTIONS Fire Sprinklered ❑ Stucco/Stone APPROVALS Planning Building G G Engineering Variance Permit Fee t6_6 -S V Valuation: $ ao, 00") Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: h 6 6.S 6 SAC Units % SAC #3533 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN -j / / c , 3830 PILOT 651.681 46 5 55122 New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. k. of lot, sq. N. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sixes; poured Ind. design: etc.) 1 site survey for wdedor additions a decks 1 set of energy calculations > 3 copies of tree preservation plan Slot platted after 711/93 DATE: -2~ /-q5 CONSTRUCTION COST: DESCRIPTION OF WORK: Ybem 2r464y~P. l%"- WrLAga&/1 STREET ADDRESS: 7g':;, Cctmb-el-,41~ Dl LOT: O BLOCK: SUBD./P.LD. N; kLS Name: ~tJg2~ySOnl ~`i U ? R L Phone PROPERTY Last First OWNER Street Address: -7 7 C A M h2rw e (I Dr. city ta-n1 State: Zip:. S 51 'L3 Company: NWTU" DINT W" Phone (alt- "Z0~ 6959 1 0 11 rr (area code) CONTRACTOR Street Address:_I 11-YZ N (GC I `E✓r ~nVQ License # o b 9 3 83 Exp. 'Vzaaa' City aV-~ fJS ~i (l2 State: ev'- iJ Zip: 5 S 3 3 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (reaulred for new construction only Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, 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: s / OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required CITY USE ONLY / L ~ i BL 1 2 RECEIPT SUf3D. 1IIt aY Snt'~h ~~Qi 3f~ RECEIPT DATE: 3 --n3r0V PERMIT YIT~_ 8000 PLUMING PEM1T (MMENTIW. CITY OF EAGM f 3830 PRAT KHOO ftD FF.AGM. MN 551 EP r est-e8t-a6~s , Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backtlow preventer for underground sprinkler system FIXTURES EACH # `TOTAL:' ~r> Alterations to existing dwelling - minimum fee Describe: / r' • . S~ LDG/r2 Ls~ e~ $ 30.00 ~ J ofo-V `s Bafl t tDb rl .r'e~f'L $ 3.00 x q z $ Floor drain 3.00 x Gas i in outlet • minimum - 1 3.00 x Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x q 3.00 x Lavatory 3.00 x f = Septic System new/refurbished • requires MPc lic. 75.00 x = ' n'$ Septic Stem 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 = f i Underground srinkler if eAstin dwelling 30.00 x = Water closet 3.00 x = $t Water heater 3.00 x Water softener if dwellin under construction 5.00 x = $ . Water softener If existing dwelling 30.00 x = . $ Water tumaround 30.00 x - _ $ State Surchar a 50 - >t .50 Total Reminder. Call for inspections of alterations, i.e. water heaters, water softeners; etc. I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City''of'Esgan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused,by the City'dudng its normal , operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 0 C !01% !del Qi OWNERNAME:: h C6bL J TELEPHONE#: (AREA CODE) INSTALLER NAME: TELEPHONE (alit y9~ o~l a~~ (AREA CODE) STREET ADDRESS: 6 ~ID'2nt /~7 CITY: ~CJ~I Il\ iKg ~ S ? f 14~'•"/ I iil~l STATE: ZIP: S~ i SIGNATURE OF PER* TTEE PERMIT # CITY OF EAGAN REACTIVATE C-20) 1 1992 BUILDING PERMIT APPLICATION 681-4675 A U 6 2 ' RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made o lot change is requested once permit is issued. Date _ (I / a7 / k valuation of work /SOO.' Site Address:. 787 C4M&-_)2WE4_L bg STREET SUITE Tenant Name: (commercial only) $D LOT ~ BLOCS ~ SUBD.IIlus O~ S7GNtLQ2N~6~ P.I.D. Description of work: OECK 1 The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name t-_NCiEQ✓'F'f~N r ,4-AN Phone M6-'79io2 Property LAST FIRST Owner K 1~35-~5'f Address 787 Ce9~Q~rzpc/EzG ble STREET STE A City ~~A-/ State /J/// zip Company Phone, Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I hav read this application and state that the information is correct and agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. l Signature of Applicant: y- ~i7 * 2422 Enterprise Drive * PIONEER LAND SURVEYORS-CIVIL ENGINEERS Mendota Heights, MN 55120 * eng * eering.. LANDPLANNERS- LANDSCAPE ARCHITECTS (612) 681-1914 * C Certificate of Survey for: Centex, Incorporated House Address: 787 Camberwell Drive North, Eagan. MN Model Nai'T1e: 2190 F g0- s, r 2Ir I ~ I 1 ~.h ~u s3 ! I 3 r I - 0n ~Lo b) C'V 0~ N I I o ti-1 n N I x gDZ.N CV CO z 1 9~~,2 I Z 1 ~ ~ ,1~1 K I oJpz 8~ X 18.17 ~1_t 902.1 1 / 11.5 3267 0 - _ I $ PROPOSED HOU 13.0 902 . I6.37i x[102 h r n 12 COURSE BASEMEN, ~l M I t4.33 ! S r 9nsyl 905.00 X65 '6 16.39 7'0 N GARAGE I n 10.33 ° rv 26.33 2200 1 '5 '61 H L ~D`' _ ~ 9os, I x . ~ 903.3 9D3 (7 0 _ - ~ ~ I l~ DRIVEWAY - - ~ 62.00 sos~ - _ 900.9 S 11°0p 91 9oy29 =45.08 },'y: W --_f 905.99 _ A = 10°33'53" R = 244.49 D R~VE NORTH • 900.0 Denotes Existing Elevation - PROPOSED HOUSE ELEVATION 9oo3D Denotes Proposed Elevation Lowest Floor ElevoUon:8_99.65 Denotes Drainage & Utility Easement Top of Block Elevation: 907.76 Denotes Drainage Flow Direction -o- Denotes Monument Garage Slab Elevation: 907.43 - l Denotes Offset Hub Bearings shown are assumed LOT 18, BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION L5Sc y certify that this survey, plan or report Was prepared by me or under my direct supervision and that 1 am duly Registered Land Surveyor aws of the State of Minnesota. Dated this 5 TN day of M a e t A.D. 191G~. Rev 3-9 7~ : AAA Er Ela7s. y inch_ feetV I e 1 . I -30-- ROBERT B.tIrie Co .S. REG. NO. 14891 LEI 91336.12 CITY OF EAGAN L-~8' B j MECHANICAL PERMIT RECEIPT # 05 5 SUBD. / c .m -l!i (612) 651-4675 DATE 3 _ 9a RESIDENTUL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) HVAC: 0-100 M BTU 2400 INSTALLER: LfifovlY ADDITIONAL 50 M BTU 6.00 JIEWL4 ADDRESS: e - GAS OUTLETS - MINIMUM 1 @ $3 ' CITY: ZIP: SURCHARGE: $ 50 SIGNATURE: TOTAL' $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $ $1,000 OF PERMIT FEE PROCESSED PIPING - $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE' SIGNATURE: CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #--0~~ OV4 tlNG°.ET DATE: 9~- $1Zjjx PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCEPTION COMPLETE THE FOLLOWING: v/ NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 D REPAIR WATER CLOSET 3.00 V BATH TUB 3.00 G0 LAVATORY 3.00 ` ZO C) OWNER NAME: KITCHEN SINK 3.00 ~ 19 ~y LAUNDRY TRAY 3.00 30 0 SITE ADDRESS: HOT TUB/SPA 3.00 / WATER HEATER 3.00 LOT: 1r BLOCK SUBD. FLOOR DRAIN 3.00 ,3gl 61 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 c3D d ROUGH OPENINGS 1.50 ADDRESS: OTHER _ WATER PRIVATE DISPER 5.00 CITY: ZIP: 15.00 F-~C/^/%'~L✓~/' PHONE U.G. SPRINKLER 3.00 SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE S TOTAL: OMMEItGIA77~It~DUSPRZEL; 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 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 2006 RESIDENTIAL BUILDING PERMIT APPLICATION A 113 i5 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelrReoair Requirements Office Use Only 3 registered site surveys showing sq. n. of lot, sq. ft, of house; and all roofed areas 2 copies of plan showing footings, beams, joists -"`Ij Car( of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ! Drree Pres Plan Recd _Y _N , 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ^I C) Tree Pres Required _Y _14 1 set of Energy Calculations Addition - indicate iI on-site septic sys4e_m On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Dead Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form %Y 0 Date 06, Construction Cost Site Address 0_o4.w_4A-e ~ p2i ✓0- Unit/Ste # G An/ 14..j . 5'S Z Description of Work _ Y/577.41 Co . /Z_ 7'y 527e J e_Z- N!o L • /L 7V ,3 Multi-Family Bldg _ Y A N Fireplace(s) Y 0 _ 1 - 2 Property Owner /JL,= t ~C_ Fn/GEu/LF-TSo ✓ Telephone#(6S-I) &®6 7W2_ Contractor ]'jM63E2rcyo2L[SFnroJ9~7cuS =.GL . / Address -ez6c City ~7¢AJ State Zip _575_/Z3 Telephone # (6,S7 '3 X 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy ode Works tleel (J submission type) Submitted Sub d \Vll D • 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 ? FEB 1 0 2006 - Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 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) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair, ~Q 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: water Damage Yes Y Valuation O.h 00 Occupancy &-3 MCES System Plan Review _100%or_25% Census Code ~/3y Zoning l~ I 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. Footings (addition) Final/No C.O. Foundation I-IVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace - R.I. -Air Test -Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total For Office Use City Permit 7 of El Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I - Fax: (651) 675-5694 Staff 2008 MECHANICAL PERMIT APPLICATION Date: CUe \14 "ot6U`1 Site Address: ('av~nb~e e ` ` ~L ~2iy e_ Tenant: 'A Suite RESIDENT / OWNER Name:` M i c ~q z' r-at:i0n Phone: LOS` 791 Address/ City / Zip: -I% 6er w -e k twive - a N CONTRACTOR Name: CENTERPOINT ENERGY license Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS State: MN zip: 55433 Phone: 763-757-6202 Contact Person: JOANN ZINKEN TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: \AC'e Qcrt I e i r NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace - New Construction _ Interior Improvement Air Conditioner e Install Piping ` Processed Air Exchanger _ Gas Exterior HVAC Unit HVAC units must be screened Heat Pump _ Under / Above ground Tank Install / Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ S b 's TOTAL FEE 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 = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 witho it a permit; that the work will be in accorda ce with the approved plan in the case of work which requires a review and approval of plans. x JOANN ZINKEN x Applicant's-Printed Name A iicant's Signature 7 7 FOR OFFICE USE !Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test _In-floor Heat -Final PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA090587 Eagan, MN 55122 . Date Issued: 08/11/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 787 Camberwell Dr Lot: 18 Block: 2 Addition: Hills of Stonebridge 3rd PID 10-32992-180-02 Use Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Permit closed without required inspection(s). Letter sent to applicant on 2-5-10. (pf) Dan Clough Fee Summary: PL - Permit Fee (Res Modifications) $30.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: 530.50 Contractor: - Applicant - Owner: Preferred Plumbing Alan R Engebretson 6400 High Point Trail 787 Camberwell Dr Prior Lake MN 55372 Eagan MN 55123 (952) 447-5761 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113203 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 787 Camberwell Dr Lot:18 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Alan R Engebretson 787 Camberwell Dr Eagan MN 55123 (651) 233-3515 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature m m cG z z N G) 4* *.4( * PIONEER * • engineering .4( * * LAND SURVEYORS • CIVIL ENGINEERS LAND PLANNERS • LANDSCAPE ARCHITECTS Certificate of Survey 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 for: Centex, Incorporated House Address: 787 Camberwell Drive North,_Eagan, MN Model NaMe: 2190 (7) cv 03 z ed Ratak* Wan 32.67 3 0 PROpo•sE0 House 12 COUR s, L S(&I0N1. _ /19.65 0 GARAGE 10.33 14 •TAii11.4e414." DATe Sep 16 2002 8:43RM FORT WAYNE POOLS MN p rq a� '14 P5 qg pni gr'4 tIO.J> Aub g!A 111, F P r! iFF � S Jg4 51 og ° III 0p 7634252625 p.2 X .ts 0 0: x w rJ r-� A x !'L) V N 0 0 r rn iv C OS iv a w 0` N 03 0 as C) as e o C^. fT1 az L _ i q .8/S 8—,tb17 w 0` Ci N r� 4.0 ?L W w i 1 � t ro 0' • .8/E. 9--,62 1 to 1-x--11=11=11=11=11=11=11=11 it It 11.IL _l-n-n-II -II -ll-I p Co 1 1 1 Q 3. W �cn tstn 0 � •, 0(0glaa -�0 a 0 su 3 fp tD A • 0 CO CO SU Ftr r -ca xhri �� cam0 � ' (DR°cOV 0 nu 0 to Pumps MODEL NO. HP VOLTAGE AMPS PIPE SIZE CARTON WEIGHT DIMENSIONS A 0 PHP.75 .75 115/230 6.0/12.0 2" 42 Ibs. 208" 261/2" PHP1.0 1.0 115/230 7.2/14.4 2" 441bs. 261" 27" PHP1.5 1.5 115/230 9.2/18.4 2-21/2" 49 lbs. 271/4" 281/4" PHP2.0 2.0 230 10.5 2-21/2" 50 lbs. 285'8" 27'4 ••••••• `\ PHPU1.0 1.0 115/230 6.0/12.0 2" 42 Ibs. 261re" 261/2" PHPUI.5 1.5 115/230 7.2/14.4 2" 441bs . 26/" 27" PHPU2.0 2.0 115/230 9.2/18.4 2-21/2" 491bs. 271/4" 281/4" PHPU2.5 2.5 230 10.5 2-21/2" 52 lbs. 285." 273/4" PHPU2.0-2 2.0 230 2 Speed 8.9/3.1 2-21/4" 56 lbs. 281/2" 273/4" PHPU2.5-2 2.5 230 2 Speed 10.6/3.2 2-21/2" 63 lbs. 295,8" 281/4" When installing pump, leave a minimum of 2 ft. of clearance above the pump for removal of strainer basket. 12 Front Edge of Union to Center of Bolt Holes Feet of Head 100 90 80 70 60 50 40 30 20 10 0 93/16. -► Jandy PIusHP Series High Head Pumps Full Rated (PHP) and Up -Rated (PHPU) ---=� '••••,.• '`.♦ �\• �` ••••••• `\ - ..• •• \ N. N. ` PHP2.0/ PHPU2.5 •• • • `. • • • •, :``N P P1.51 \. i PHP75/ PHPU1.0 ‘ PHPU2.0 PHP.01 PHPUI.5 0 0 20 30 40 50 60 70 80 90 100 110 120 130 140 Flow (GPM) Bolt Holes, Center to Center P s 40 35 30 25 20 15 10 5 0 2004 Pool and Spa Products Catalog jgcly -13 c 3 N Filters For unsurpassed water clarity, choose Jandy D Series Diatomaceous Earth filters. Easy -grip handles on the tank lid make installation and cleaning a snap. The extra large capacity extends cleaning cycles. Our signature Clean/Dirty indicator on the pressure gauge allows you to conveniently assess filter condition. High impact, UV and corrosion resistant thermoplastic tank construction provides long lasting durability. The rigid, heavy duty tank clamp ensures safe operation. They accommodate three types of valves: multiport valves, slide valves and the Jandy NeverLube Backwash Valve. We offer a choice of 48 and 60 square foot models. ons C r 'D filters MODEL NO. DEL48 DEL60 Filter Area 48 ft2 60 ft2 Design Flow Rate 2.00 gpm/ft2 2.00 gpm/ft2 Maximum Flow 96 gpm 120 gpm Six Hour Capacity 34,560 gals. 43,200 gals. Eight Hour Capacity 46,080 gals. 57,600 gals. Maximum Working Pressure 50 psi 50 psi D.E. Required 5.0 lbs. 6.0 lbs. Shipping Weight 95 lbs. 101 lbs. Height ("A") 41 inches 47 inches Footprint 25" circle 25" circle Distance Between Inlet and Outlet 8 inches 8 inches 2004 Pool and Spa Products Catalog Jdy � � Introducing the first pooUspa heater {• so advanced it's simple. Technology. Reliability. LX/LT Heaters Our exclusive digital controls provide more precision and less hassle. And inside the incredibly reliable LX/LT heaters you'll find plenty of features to warm up to: • Fan assisted controlled combustion for consistent efficiency - 83% • Corrosion resistant polymer headers for improved circulation * Contemporary design to blend into any backyard landscape * Capable of automating pool/spa The LX control and user-friendly graphical interface is a key element in your RS- controlled pool/spa environment. The LT has a simplified dual electronic thermostat. • LX Graphical User Interface (GUI) Both the LX and LT models include automation -ready features to provide convenient pool -to -spa switching. LT Temperature Controls HOW TO CHOOSE A POOL HEATER SIZE First, determine the desired temperature difference by subtracting the coldest average air temperature when the pool will be in use from the desired pool water temperature. [Example: 85°F (desired pool water temperature) - 60°F (air temperature when pool is opened) = 25°F difference.] Then, using the Pool Heater Sizing chart to the right, select the appropriate heater 0 MODEL WIDTH HEIGHT DEPTH VENT SHIPPING HEATER WEIGHT WEIGHT 250 281/4" 307/8" 271/8" 7.0" 206 Ibs. 172 lbs. 400 341/4" 307/8" 271/8" 9.0" 318 Ibs. 216 lbs. model number. (Sizing chart based on 3-1/2 mph average 400 wind and average pool depth of 5-1/2 feet. Blue figures 600 based on zero wind.) 800 1000 HOW TO CHOOSE A SPA HEATER SIZE Identify the number of gallons your spa holds. Decide the heat -up time desired, and note on the chart which Laars LX/LT model is recommended. The chart indicates the approximate time required to raise the spa temperature 30°F. A model number 250 heater on a 600 gallon spa will take approximately 45 minutes to raise temperature approximately 30°F (depending on wind, insulation, etc). Please see your area sales rep for more information. 30 45 60 75 9 19 28 37 47 Pumps • Filters • Laars Heaters • Controls Valves • Water Features • Cleaners • Accessories Mat #0622 Rev C USA: 800.227.1442 • CANADA & INTERNATIONAL: 905.844.3400 www.`and .com • info@'and .com • 02002 Water Pik Technolo•ies, Inc. 27118• A —1y I 81/4• I <— 81/4• ( 8714' OM AM 118��11 ■ l� 11. �_� IM= :11 — �i�1 n f �III 307/8• mmo 203/8• 11 233/4• ,g• 4b8• —s 4 1 51/2• .-87/8' 41/4• model number. (Sizing chart based on 3-1/2 mph average 400 wind and average pool depth of 5-1/2 feet. Blue figures 600 based on zero wind.) 800 1000 HOW TO CHOOSE A SPA HEATER SIZE Identify the number of gallons your spa holds. Decide the heat -up time desired, and note on the chart which Laars LX/LT model is recommended. The chart indicates the approximate time required to raise the spa temperature 30°F. A model number 250 heater on a 600 gallon spa will take approximately 45 minutes to raise temperature approximately 30°F (depending on wind, insulation, etc). Please see your area sales rep for more information. 30 45 60 75 9 19 28 37 47 Pumps • Filters • Laars Heaters • Controls Valves • Water Features • Cleaners • Accessories Mat #0622 Rev C USA: 800.227.1442 • CANADA & INTERNATIONAL: 905.844.3400 www.`and .com • info@'and .com • 02002 Water Pik Technolo•ies, Inc. POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: 78.7 rellr - &- Applicant Name: Ai ce- ,4i F AJG E-riv GENERAL INFORMATION • Q O Z Q ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name .C( ❑ D Address of property ,1 ❑ ❑ North arrow, scale (1" = 30' or 40') 2! ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. 21 0 0 Location and name of all streets adjacent to property -ES ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing ❑ ❑ House corners ❑ ❑ Property corners 0 0 If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ ' Finished pool deck corners )21 0 0 Top of proposed retaining walls (if any) and at each different elevation (if it changes) ,rd' 0 0 Pool bottom (or max. depth) Existing O All property/lot lines O All Easements on the property DIMENSIONS Proposed ,.l� ❑ ❑ Pool ❑ 0 Pool plus integrated deck/patio 0 ❑ Shortest distance from outside edge of pool Reviewed: G:FORMS/Pool Permit Checklist/02-13-07 lot lines and house Oct. 3.2016 8:21AM Silver Tree Plumbing & Heating *City of6aQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675.5694 No, se1es%UE or SLACK Ink For Office Use Pe►mit #: Permit Fee: Date Received: Staff; L 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: / O/31/�p Slte Address: 787 Coe,71 kriz LJ/ Pr Tenant: Suite #: R8.stder'i!t/Owner` Name: 6re..3 Phone: Address / City / Zip: q>ntraetor' ,,,','• .'•,; ; yrs, ;; Name: ($i JUtf -pee, License #: .POSB7113 Address: MY: Earn • 3685" 1",twninal Dr l*rDa State: p: Al A J Zi 7( Phone: &S f 319 4/ Z 0 Contact Email: rl "ta• Fr %0siit .°/'r7/f�C cept '1 `t r�D/t�!' ... ('' ' i, Type of Wotk''` `Y A• New Replacement Y. Additional Alteration !Demolition Description of work: £> J10e. 'J -o ieane✓ •N,OT•E l• R,. oof ..".ou ted. !a.e.#!00g,0 l:e4iPne ta�'.re'A,ilre:ao`b0.:...0#00.4Y%. . •:Go•:,,P:ase,cohta•.e;.^e,tia6lealiispcoo'infp1.4,0?,.ipe�td„sceeiing,*eiost,Y ti9 M;N �t,n z.1E.� •<"E•d . ' ''' i;, ”' •,c ,> J RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner _ _ Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit — Heat Pump Under/Above ground Tank ( Install / Remove) . RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ 620 TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee 175.00 Underground tank Installation/removal, Includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge =6 Surcharge = $ TOTAL FEE 1 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 1 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 G't Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA142753 Date Issued:05/17/2017 Permit Category:ePermit Site Address: 787 Camberwell Dr Lot:18 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory Nessler 787 Camberwell Dr Eagan MN 55123 Tyther Contracting 10159 James Ave NE Otsego MN 55362 (763) 295-3000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165482 Date Issued:11/03/2020 Permit Category:ePermit Site Address: 787 Camberwell Dr Lot:18 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory & Brekka Nessler 787 Camberwell Dr Eagan MN 55123 (970) 689-4658 Elite Restoration Pro 1120 E 80th St, Suite 201 Bloomington MN 55420 (952) 322-7773 Applicant/Permitee: Signature Issued By: Signature