791 Camberwell DrINSPECTI4N RECORD
CITY OF EAGAN PERIUIIT TYPE
/3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
lFti11 FR1-dF7r,
. v? .. . , ? l
SITE ADDRESS:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION D, . ..
FtA P K :, : t7I. A N F? t???F W1-c1 FtY CV w t.r; WOVA 1:1 Yt
[=; f.!!'* r f," A t' i?. 1' r, F' Nf fi' Nt? 1=' t1 v
n 1l'Y 1? rsh 14`f !q i 1m
l " A ! . I tF 4!? - , : ' ;s q G) kri, FV #mi IW r f G' 1 F ! CFi : C A I
1-
L
? ?;•r ?---
i
Permit Holder Date Tetephone #
SEWER/
WATER
PLUIviBING - 8
HVAC
Inspection Date Insp. Camments
FOOTI NGS
F4UND
FRAMING Y! ? ?:C?'% : 1A
?
I ROOFING
ROUGH
PLUMBING ?
FLBG
A!R TEST
ROUGH
HEATING
? ?-
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
GONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?. ?
.?
. ?
Ter#t?ir?ft ofOrrupaury
C, itp of Cagan
lo,?partmm uf a?g jn,?p?imu
l?
?.
; .
: This Cer,[ificate issued pursua»t to the requiremeatr of Seation 306 of the Unijarm Buidding
. Code cerxifying lhal a11he time of issucnce tIrisstructum ucrs ix campliauwe with the various
ordinaxcer of the City reguWting building oonsh:cr.tion or use For the foUowing.
Use ChstiGag6ou rc+ r,r.r. rn n+e H{dg. RYmic No.
a
O-UPMZY Tra •???_ ymag potnct rmin t 7YPe ?Cnnst *???-
? .
BUIL[
To be u
Address
City _
CITY OF EA
i Pilot Knob Road, P.O. Box :
PHONE: 454-
Est. Value $1k4yq0
I?LL LiR
Sub. -,? g???F
iD CO I mC
R RD
Phone 571 -•0306
Phone I
- Phane _
ition and state that the
all applicable State of
Signature of Permitee
A Buildinq Permit is is
one in accordance with ail
of Eagan Ordinances.
383
ERMIT
SF DWG/CAR
..... ----_--
?z
t
OFFICE USf ONLY ?
j
OcCUpancy R-3 A.4 . FEES '
Zoning Pb ?? r, y
(Actual) Const V? ?Bldg. Permit 794•00
(Allowable) Surcharge 72+00 ?
# of Stories
!@
Plan Review ?
si$+Q0
Length '
Depth 34 SAC, City 100r?Q ?
S.F. Total - SA'G, MCWCC 650,? '
S.F. Footprints
wate?-CoA
'
660.00
on Site Sewage _ ;y
On Site Well Water Meter 95+00 _
MwCC System X
?
Acct. Deposit
30•?'
City Wa1er :
PRV Required _ S/lN Permit 3n-?
Booster Pump - S/W Surcharge - ?
Treatment PI 176-0?
APPRDVALS Road Unit 320-flt] '
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
VarianCe - TOTAL 3* 593• ?
?- Permk No. Permft Holder Date Telephone #
WATER ?Q fd l? /
?
SEW R:
PLUMBING
g Nr
H.v.n.c.
ELECTRIC
Inspectfon Date Insp_ Comments
Footings I -?3 5
Foundation
Framing t?
Roofing
Rough Plbg. -,,L ?'
Rough Htg. - .?L' ! ? ,
IsuL I- ' • ? ? ?
Fireplace
Final Htg.
Orstat Test
Final PI
bg.
Plbg. Inspector - Noti(y Plumber
Consl. Meter
EngrJPlan
Bldg. Final i
?,?$
Deck Ftg.
dedc Final
Well
Pr. Disp.
?I
We^
,'
SEWER & WATER PERMIT
CITY OF EAGAhF . METER #
3834 Pilot Knob Rd.
Eagan, MN 55122-189?7 CHIP # 0/7.?,
. METER SIZE ?
OCT lt3-, 1991 ISSUE DATE ?
? oA-rE
SITE ADDRESS /y? ????t b
LOT 19 BLOCI( 2 SEClSUB
APPLICANT:
ADDRESS:
CITY, STATE
PNONE:
C1TY, STATE
PHONE: ?
OWNER; -
STATE r ?
1G- 57
roNEsRiDcE
i
ZIP
m ziP
a e. n ? v ?,tc ?ct?
D??Y MN ZIP _
-a3a4
: /
WOF?KtNfn? DAYS FOR ¢ROGE
ITACT ENGINEERING DEPT.
U3E ONLY ` .
PERMITQATE 10?18/91-
PERMIT # 12350
B.P.RECEIPT# C 15$72
? B.P. RECEIPT DATE 1 Q l 7 91
PERMIT REOUESTED
X SEN/ER X WAT S
_ COMM/IND RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Instalied
Ahead of Damestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
?Lr
I AGREE Ta GOMPLY VVJTH CITY OF
?-> --- ?
55421
SI f ReVYHEN METER ISSUED
.? .
:SII?G. CA?L 54-5220 FOR INSPEGTIQNS. FOR STORM
??
,r°,,?._,... . . . . , _
I . .
I SEY1(ER _&VA7ER PERMIT OFFICE USE ONLY
I GITY OF EAGAk METER # PERMIT DATE
3830 -Pilot.Kiiob Rtl. -
12350
Eagan, MN 56122-1$97 CHIP # PERMIT #
METER SIZE B
P
RECEIPT #!? 1
5872
,i ..
?
OCT I8
1991 _
,
.
ISSUE DATE B.P. RECEIPT DATE 10 17 91
.
DATE
- PRV _ BOOSTER PUMP
SITE ADDRESS ??? CAMBgR WELL DF PERMIT REQUESTED
LOT L9 BLOCK ? SEC/SUB HI?? OF ???EBRIDGR R
X SEWER __XWATER - TAPS
APPLICANT:
ADDRESS: _
COMM/1ND __ RESIDENTIAL
:
CITY, STATE ZIP X NEW - EXISTING
PHONE:
,
I_awn Snrinkler Meters are to he Installed
CITY OF EAGAN Np 1980 1
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-8100
BUILDINGPERMIT
?k 7
?
Receipt # i
n I
--
To be used for SF DWG/GAR Est. Value $144,000 Date OCT 15
, 1991
Site Address 791 CAMBERWELL DR
LOt 19 Block Z SeGSUb. HILLS OF OfFICE USE ONLY
PefCBl N0. Occupancy R-3 1i-1 FEES
PD
Zoning R=1
w Name THE ROTTLITND CO INC (Actual) Const V=N eldg
Permit 794.00
.
AddreSS 5201 E RIVER RD (Allowebla) V=N 72
00
0 Cily FRIDLEY phone 571-0304 t ol stones Surcharge •
64, Plan R
i $16.00
Length ev
ew
F Name SANE Depih 34? snc
ci 100
00
? ,
ry .
g Address s.F.rocai _
? SAC,MCWCC 65?.0?
OIlY Phone S.F.FOOtpnnls _
660.00
On Sile Sewaga water Conn
?W Name onsitewen 95
00
?w X water Melar .
x? Address MWCC System
?
Aect
De
osit 30.00
a City PhOne Qty Water X p
.
PRV Requiretl _ S/W Pertnit 30_ 0n
I hereby acknowlege Nat I have read this application and state that the Booster Pump - SM! Surcharge . Sn
information is correct and agree lo comply wilh all applicable State of
Minnesota Stalutes and Cit of Eaga rdinances. 7reatment PI ?7A _ nn
SignaWre of Permitee ? AVPpOVALS Road Unit 370 Qg
A Buildinq Permit is issued to: THE ROT LIIND CO INC Plannar - park oed.
on the express condilion Ihat all work ghall be done in accordance with all Camll --
applicable State of M
inn
eso
ta
S
tatute?s an
d
City of Eagan Ordinances. Bldg. Off. CoGies
.(?
?
?
(
?
-y
?
BuildingOHicial ? t?x(?1 I?,PIIx,,,l Lfl?
TT Variance - TOTAL 3,593.50
Address:7gl C94BEFUELL D?W Lot ]g Blk Z Sec/Sub HILLS OF STONEBRD)GE 3RD
These itams were/were not complete at the time of the final inspection.
I 28/92 Yes No
Final grade (6" from siding)
Pexmanent steps - garage ?
Permanent steps - main entry
Peimanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please vaxify with the builder the removal of roof test caps from the plumbing
system and tha shut-off of water supply to the outside lawtt faucet before
freeze potential exists. ?*
ve?onrtn
White - City copy Yellow - Resident copy Pink - Contractor copy
DATE: OCT 18, 1991
' RE: 791 CAHBEHWE6L DR (THE ROTTLUND CO INC)
. p
X Your Sewer_'&'Water Permit for the above property has been completed. It will be held at the
Public W*ks Garage (3501 Coachman Road) until ihe 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 Tor the following
reasons:
Your Sewer & Wa[er Permit for the above property has been completed, but the meter cannot
6e 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 W1W <
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
I 01224
?, /03Llo?9
•? ?e 5 °°
Request Dale
` ? ? ?? Fire No Rougli InsOecLOn
Fequrt ? ?q
- Ves o
Veatly Now ? Wtll Notity Inspector
When Raetly9
r
I?-licensed contracror ? owner hereby request inspection of above electrical work at.
Jnb HOtlress (Slreel, ox or qouce No )
b Qry
Secuon N. Townsnip Name or No Ran9e No Counry
?
Occupant PRINTI Phone No
Power S??/Q ?lier q
L/l.VRi. n `-6i • Atltlress
Eleancal nrcactor 4COmpany ame, Gontracmr§ License No
4a4r?--
MaJing Atldress iCOnVactor or Owner Making Installation,
Aothorrzetl SignaWre ICOmraao na ing Installauon
? PM14L One Num3?er
- 38/0
MINNESOTA STATE BOAFD OF ELECTRICITY THIS MSPECtION FEQUEST WILL NOT
Griggs-MlEwey Bltlg. - Poom 5-173 BE ACCEPTED BY THE STATE BOFFD
1821 Univenlty Ave., 51. Paul. MN 55106 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
//??/9? :EQUESToFORoE?LECTR1?CnA?L?NSPECTION
pn1??Q, "X" Below Work Covered 6y This Request
?°J2
? 31 ?yq 0 -0?
?gR
ew Atld; Rep Type of Bmltling I Applian7tsWiretl EquipmemWved
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Buildmg Dryer Other (Speciy)
Commllndusirial Furnace
Farm Air Condi4oner
Olher(syeaty) ConVactorY FemaBs
Campute Inspection Fee Below:
# Other Fee # SarviceEntrance5rze Fee # Circwis/Feeders Fee
Swimming Pool 01o200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 00 _ Amps
SignS Insvector's Use only TOTAL
Irrigahon 8ooms l? OlJ JSSD
Special Inspeclion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, here by Rouyn-io Date
certify that the a6ove mspec4on has
been made. F,,,,i ? Da[e
?
OFFICE USE JNLV
This requesl voitl 18 monlhs imm
////8/9/ 1038-P ?;
1 012 2'c-
flequest Date Frte No oighin Inspecbon
Req
u
rtetl'+
? Reatly Now y}9Vill Notdy Inspecbr
p
Io - ^
a?" 1 ? .
/
f'°s n No
Wnen ReatlY?
I,21hcensed contracror ? owner hereby request inspection ot above electrical work aC
Job Atltlress
(S
treet Bov Roure No Qiy
?
/
"1 I 4/
Section No Townsnip Name or No Range No, ' C
Occupanl INT) Phone No
Powar Suppye? Atltlress
?
Y14 -
Elecincal Co ador IGOmpany Namel ConVacror's license No
' 4-? q/2 -3
Mailing Aatlress (GOnnactor or Owner Making Installalion)
Au:honzetl Signature IConlracror ne? M, in --
Insta1191i0nd
Phone Nomber
MINNESOTA STATE BOAPD OF ELp TPIQTV S THI$ INSPEGTION REOUEST WILL NOT
Gnggs-Mitlway Bbg - floom 5173 BE ACCEPTED BY THE STATE 80ARD
1011 Ilniversity Ave, SL Vaul MN 55104 UNLE55 PROPER INSPECTION FEE IS
VMne (812) 842-0900 ENCLOSED '
// ?8/?/ ;EQUESToFORoEPECTRI?CA?LbINSPECTION
/
o n.1 ?22 "X" Below, Work Covered by This Request
ds ? 4? EB-00001-08
a
?
ew dd Rep TypeotBUildmg AppliancesWiretl EqmpmenlWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Building Dryer Other (Specity)
Comm./Intlustrial Fumace
Farm Air Condiuoner
? Olher syealy) Contraqor's Remarks
Compute lnspechon Fee Below.
#+ Other Fee # SerwceEntrance5ize Fee # Circuits/Feetlers Fee
Swimmmg Pool 0 to 200 Amps d 0 to 100 Amps L?
Transformers Above 200 _ Amps 700 _ Amps
Signs Inspector's use only TOTAL
IrngaM1On 8ooms gq=
Speaal Inspection
Alarm/Commumcauon THIS INSTALLATION MAV BE ORDERED DISCQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. ??
I, the Electncal Inspector, hereby poogh"n
? f
~
certify that the above inspection has
been made. Final
? oare
OFFICE USE ONLY `
This repuesc witl 16 montM1S irom -? ???
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55112
651•681-4675
NawConaWCtlon ReauinmeMa
• 3 registered site surveys showing sq. R. ol lot, sq. ft. of house: and all roofed areas
(20% maximum lot coverage allowed)
. 2 cnpies of plan showing beam 8 vAndow sizes: poured faurM design, etc.)
• 1 ut of Energy Calculatiore
• 3 copies of Tree Preaervation Plan if lot platted after 717/93
. Rim Jaisl OetaJ OPtions selection sheel (61dgs xith 3 w less wils)
DATE ??I -7--QD'?
SITE ADDRE55 I qI
TYPE OF WORK YP"_
APPLICANT ?-f
STREET ADDRESS
TELEPHONE #
PHONE #
ISY11Ies7'ATEMZIPOCZ57
Fax # 9v?-7o7-825
PROPERTYOWNER 1?TELEPHONE#
-----^--------- ---°---------------- --------°-°------ ---------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY 1 MINNESOT9 RULFS 7672
(J submission type) • Residen6al VenUlatlon Category 1 Worksheet Submitted • New En e'N.o 'et Submi
• Energy Envelope Calalations Submitted ? ?n ?h?I ? ?
SEP 17 2002
Plumbing Conhactor:
Plumbing sys[em includes:
Mechanlcal Conhactor.
Mechaniril system includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
Y BLDG _Y V- N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone i
Fee: $70.00
-°--------------------------------°-------.....---------------°----°---------------...---°-....°-----------°-------
I hereby acknowledge ihat I have read this application, state that the information is cortect, and ag e to comply
with all applicable State of Minnesota Statutes and City of Eagan ' ances.
Signature of Applicant
OFFICE USE ONLY
? Water Softener _
_ Water Heater _
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
/ !?- --7•-??
RemodallRemir ReauiremeMs
. 2 copies of plan
. t set of Ene(9Y Cakulaliais tar heated addiUore
. 1 site surrey ta exterior adaitbia 8 decks
• Indicate il tame urred by septic system for additiorts
2 7
VALUATION rt/ I ; 8
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT
CITYOF-?,AGAN , PERaniT?vPE:
3830 PilotdKno Road
Eagan, Minnesota 55122-1897 , Permit Number:
(651) 681-4675 Date Issued: SITE ADDRESS: -
791 ' CflhIBERWELL Oft LQTs 19 BLOCK: 2 '
NTLLS QF :iTqNEBRIDGE 3F2D
P.I.N.: 10-32992-190-02 ' DESCRIPTION:
ermit Type
k,Type
BASEiHFNT FINISH
AI.TEF2ATI0N
434 HIT. RESIDENTTAL
BUSLDING
034256
12/23/98
m . „ czagan
REMARKS:
PLAN REVIEWED BY CRAIG NOVACZYK.
SEPERFITE PERmIT NEEpED FOR ANV PLUMBZNG WORK.
CALL 445-2840 REGARDING ELECTRICAL PERMIT AiVD INSf'ECT20NS...
FEE SUMMARY:
6ase Fee $50,100
Surcharge $.50
?
7ota1 Fee $50.50
CONTRACTOR: - Applicant - s7. Lzc. OWNER: .
PETERSON CONST, CARL 16886664 0004275 PE1"ERSON JEFF
1554 LAKEVIEW CURVE I 791 CAMBERWEII DR
ER6AN MN 55122 EAGAN MN 55123
(8j.2) 688-6564 ,- (551)686-0950' N
APP CANT/PERMITEE SIpNATURE ISS BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
Ca?? ? a-a?
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered sde surveys
? 2 copiea aT plans (include beam S windaw s¢es; poured fnd. design; etc.)
? 1 energy calwWtions
• 3 wpies of tree preseNation plan A IM plalted after 7/1/93
required: _ Yes _ No
DATE: 1°2' le- I,r
? 2 copies of plan
? 2 site surveys (exteriar additions 8 decks)
? 1 energy calculations for heated addNOns
CONSTRUCTION COST;
DESCRIPTION OF WORK: F'» ?s4 ?9Se rveh f
STREETADDRESS: 79/ CQ„„(, e, -we/I
LOT: BLOCK: a SUBD./P.I.D. #:
Name: r-,0--hGrS0., Phone#: (ooooo- ?9s0
PROPERTY Lan First
OWNER Street Address: 7e / CrR rn Le,wL
c;ty ?R99? State: Zip:
-?
Company: C? P< f"«so,j Co?S?n.cAy-) Phane#: loe e - (of& y
CONTRACTOR .
StreetAddress: /S-7y L9??v?co? (??? License#
City Ca 9 q I State:
A7'/ /?
ARCHITECT/
ENGINEER Campany: Phone #:
Regisaation #:
Street Address:
City
Sewer & water licensed piumber (new construc6on onty):
and lot change is requested once permit is issued.
C/a 7 s
zip: ST/ Z ?,
Zip:
Penalry applies when address chan
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicat
State of Minnesota Statutes and City of Eagan Ordinances. ?, _/
Signature of ApplicanL !
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservatron Plan Received _ Yes ^ No
Ce
?
?
_ Not Required
State:
ORRICB UGH ONLY
BUILDING PERMIT'rYPH
0 01 Foundation G OQ Dupllx
O 02 SF Dwallln9 O 07 4-plwt
C] 03 SF Additian O 08 8-plex
O 04 3F Porch O 09 12-plex
O OS SF Misc, G 10 ?-plox
VYORK TYPE
0 91 New ? 39 Alhra#lons
a 92 Addttion 34 Repafr
OBNBRA,L INFORMATfON
Conel. (Actuaq
(Allowablo)
uec accupancy
ZoninQ
# oi 8torlK
lenpth
Depth
APPROVAL8
G 11 Apt,l6odging ? 16 Bs"nSnt Fkftf4
G 12 Muill Ropeir/Rom. 17 SvtAm Pod
G 18 aaropo/Acceesory 0 20 Public Fsdity
G 14 Firoplace C3 21 MiscolforAmus;
O 18 Dook
G 80 Move
G 87 Demolltlon
5_ S Basemont tq, R, MCNVB Systsm _
Main Iewl sq. R, C(ty Wetsr
iq, R, Firs SpdnkfarW
aq, f1. PRV
- lq, n, Booeer Pump
- eq, R. Gruui Code, ?
-" RoolpAnt sq. R. SAC Cads
Gniul Bldg
Gnsus Unit
Planninp Buildinp
Enplnudnp Varlsncs ,
Permit Fao
Surcharoe
Plan Rwtow
Llcenes
MCNV8 8AC
City SAC
WaNr Conn,
Wabr MNer
Acct. Oepotit
SIVN PermR
8M18uroharp
TreatmeM PI.
Park Qad.
Tnila Dsd,
Othar
Copi"
Toal:
ValusMon; S ?2-;? o-e
96 SAC
SAC Unita
1991 BUILDING T LICATZON CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS • C02RIER$I°AL ,
2 SETS OF PLANS 2 SETS OF PIANS 2.SET5'OF-ARCHITECTURAL '
3 REGISTERED SITE Si]RVEYS REGISTERED SITE SURVEYS - & STRUCTURAL,P-LANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1'SET OF.SPECLETCATI'ONS
1 SET OF ENERGY CALCUTAT30N5 ' 1 SET;,`OF;'ENERGY CALCS .
# OF RENTAL UNITS
_# OF FOR SALE UNITS „
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE. IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.' NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DE5IGNATE WHICH;ADDRES'S''?,IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT I'S:I'SSUED.
t
PROCESSING TIME FOR SEWER & WATER PERMIT& IS TWO DAYS ONCE'A PERMIT HAS?'BSEN CQMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ?? Date:
Site Address -191om- T?R,
Lot 101 Block 2
Parcel/Sub H/L?5, ?F :::s
Owner QrrLVlyn- Lo-
Address G?'7D/ F, QjL, _T
City/Zip Code FWDLEY? GG4Z!
Phone
Contractor 44?_
Addres
City/2
Phone
Arch./
Addres
City/2
Phone ,.
OFFICE US$ ONLY '
l ?l'-1, Dae7 "
F ES ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-1 .Bldg..,
Po R-1 $urcliarge` ,°
V-N Plan ?R6view?;?$7,, ,oo,' _
V-N SAC, City.,;..A7,0.0,a0
SAC, MWGC", ;??Ej.?.S'.D?;O?`? '
? Water Conn:;-5; (e,(a0„DOv
??. k?;
3'H^? Water' Meter?':p?a:;S pr7'',. .
I Acct. Depns'si't1. Or:d'e?
S/w,Permit
,. 5/W Sur,cHarge.
On site sewage_ Treatment. Pl:.;a;p ,Rb
On site well Road Unit; : r$'rI ? ,6i%. -
MWCC System ? ParkDed.; ???.:
City water ? T'rail Ded:'.:-
PRV CoPies
Booster Pump _
` SIIBTOTAL
APPROVALS Fenalty. ,
Planner Lot Change ; .
Council TOTAL A
Bldg. Off. 10-15',(?
Variance
agrees that all work shall b'e done'invaccor.8ance:with
Signatu e of Contractor)
y.
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
P
114
,:,
? U,4 A-rr
GARAGE
xIJ4 = 59??, ,
S? r7 ? (35,,
541 X 15= $1?5
USMT, ._:,
It3XZg-Spy
2YI2X '79 ?.•0 0 +
?$ '/ 2 - ooi-
sis•0o+
SX7 -3 t;'- 2) 21 i•tio?
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2422 Enterprise Driv!
Mendota Naighn, MN 55120
(672) 681-1914
a
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EXTERIOR ENVELOPE A'VERAGIE "U" COMPUTATION
OWNER
Fl-i"4? '' -
?•
SITE ADDRESS LU7"" 19 . SLOo{Z , IJIC.C.e_, 6/2- ?NE?21Di.F -ECD A-0Y0 •
?r---?
CONTRACTOR RaTTI- UNL> - G? • DATE PHONE
Determine working square footaqe of each.
1. Total exoosed vall area . . ez 3, 3(0.4 sq. ft. x Q0 # =
2. Total roof/ceilinR area . . ? 2 2"? sq. ft. x•D oz(0 =
3. Total floor/cant. area . . 6F& sq. ft. x? _
Total exoosed *aall area above floor =
Z
7i3
v
a. Total wall xindow area . . . . . . . . . Iz 4? 11.6 C/
b. Total door area . . . . . . . . . . . -
c. Total sliding glass door area .... . 3 3
d. Total fireplace wall area . . . . --
e. Total wall framing area (averape 10;6). . . 21
f. Total net vall area above floor ... 6,9. 'Z-
g. Total rim joist area . . . . . . . . . 20
Total exoosed foundation area = t? ?•?
h. Total foundation window area .....
i. Total net foundation area above grade. . ( .24
Determine "U" value of each wall segment
a. 24-1 .'SU X loU^ 0.4ro - !ll,aZ
b. +2.'1f x "U" t7•?38 = ,
-
c. 3 ? X „Utt U
d. --- x "U" -- _ ??
e. lBf, ZI x "U" •?- •12
f. lre3a. ?Z x flvit 0,C7eL?j - ZG.I Z.
g. 2a9, 2 x "u" 0.041 - ,?A.4?R
h- 4.1 L x StUll O. ¢S. _ • 4!
i. I1?F. 24 x "U" O, 14 = 154 q
SUSTOTAL
4.
V5 7
3t.as
?
1-7?
TOTAL = 'Z- 4' 4 AO 2. b /4-
If item M4 is the same as, or less than item N1,'you have met the intent
of ssc 6006 (c) 2.
J ,
? .
/
J. Total skylight area
k. Total flat roof/ceiling framing area ...... 9 7-.8
1. Total net insulated flat roof/ceiling area ... D. GS
m. Total vault'roof/ceiling framing area ...... 2• 42
n. Total net insulated vault roof/ceiling area ... 2 Z 5, ¢r'
Determine "U" value for each roof/ceiling segment .
J. - X ?fUll
k. 97. fT5 x "U" 0.027 - 2.fo
1. $SO. !is x "U" 0.D2Z - ? 3
m. Z5. o S x ltUtt
n. 225.45 x "u" O,aZB = (?, 31
Total exposed roof/ceiling area '/ S-Z I....
5
. . . . . .Tota1= z q • & I ar-
If total of #5 is the same as, or less than N2, yoiY have met the intent of SBC
60o6(c)i.
Total exoosed floor/cant. area (o (?'
0. Total floor/cant. framing area (averaqe .10%) .. (X, 4
v. Total net insulated floor/cant.' area ...... 5.
Determine "U" value for each floor/cant. segment
o. 6.4.0 X .'Un I?,OS? _ ?? ?Jg
p. --37T,-4- x"Un 0. OZ Q
6
. . . . . . . . . . . . . . . . . . . . . . . .Tota1= Z '/ a O/L.
If total of #6 is the same as, or less than #3, Yau have met the intent of SBC
6oo6(c)3. .
ALTERNATE BUILDING FNVELOPE DESIGN
To utilize the total enveloue system method, the values established by the sum
of items d4, k5, and R6 shall not be greater than the sum of items #1, n2, end
fi3.
1. 95'"1 2. 31, gs - 3. 0 z = 02 90,6"7
4 . aL1y,62 s. at6c7 6. z,/o =
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?
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A -17L?lfz-MA. i
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--- "r-'-' p ---
- -
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R = 36.-g- 3 ---
u --
.1 = 0, 027
-% 5.83
- =
-0_??1.. ---- -
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' ?0.08?
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #?
"":..::....?`??TT
$??<: .. ,. .. . .... DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
--°
-----
---°--------------
WORK DESCRIPTION ----- ---------°---------------- ---- -----------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 i
REPAIR WATER CIASET 3.00 9_
0 BATH TUB 3.00 4
LAVATORY 3.00 5
OWNER NAME: KITCHEN SINK 3.00 }
? LAUNDRY TRAY 3.00 ?
SITE ADDRESS: 11 tor S HOT TUB/SPA 3.00
q ? WATER HEATER 3.00 $_
LOT:?L BIACK o? SUBD. FIAOR DRAIN 3.00 3
`
I GAS PIPING OUT.
v
INSTALLER: 'P1b, C. ??c • ? (MINIMUM - 1) 3.00 s
-? 3 ROUGH OPENINGS 1.50 u•?'
ADDRESS: ? ?o C 9-c;K OTHER
WATER SOFfENER 5.00
CITY: o a.1,3. ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL S ''4l. S ?
C ? - ? Vr ST. SURCHARGE .50
SIGNATUR OF PERMITTEE
TOTAL: 5
?023MERCI?i?;fTT1IlFISTRIAL : PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDI NGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
____-
-___--
___---
------------------
CONTRACT PRICE: ---------------°_____--_____°- ---- ____-_____
FEES
OWNER 23AetE:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
18 Or CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
??,5„???E. .
?'?:„
:s,.<...
CITY OF EAGAN
3830 PIIAT &NOB ROAD
EAGAN, MN 55122
PHyO?N/E?`p: ??(ryy6y1ty2) p454-8/1?00
FC!N?.t'A:FR?lli4t#?r???k.??k
. . . .a-..:?.t
FOR CITY USE ONLY
PERMIT #
RECEIPT #'199J Z?Z
DATE: / S
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: n ?
LOT:9 BLUCK og SUBD/4,
INSTALLER: NC.
9303 Plymouth Ave. Na
ADDRESS: WQeii Vall....r uNG5A27
CITY
ZIP:
PHONE #; i'5470 -IIC0 tiz
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $0/ OC/
STATE SURCHARGE: .50
TOT_AL: $ 'QJ' J
?
SIGNATURE 0r PERMI TEE
??MM?YtCItiY:??IDTlSTit?AT.,; YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS,
Y"TAPARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
- - - - - - - - - - - --
CONTRACT PRICE:
OWNER NAME:
SiTE fiDDFEuCi•
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #;
FOR:
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
rerg $1,000 OF PERMST FBE.
PROCESSED PIPING - $25.00
$25.00 MINIM[JM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
Ix CITY USE ONLY ,/
L ? BL 1 RECEIPT #: ? `7? ?
d
SUBD. RECEIPT DATE: l ? OCI"
1998 PLUMBING PLRMIT (RESIDENTIAL)
CITY OF EAC+AN
3830 PILOT IINOB RD
EAC,AN, LMi 55122
(612) 661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
Y backflow preveMer for underground sprinkler system
FIXTURES EACH TOTAL
Shower 3.00 x ?
=
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under constmdion 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler 'fordwellingunderconst. 3.00 =
U.G.Sprinkler * for existing dwelling 20.00 =
Alterati0ns ' ia existing residence 20.00 = DQ
Water Turn Around 20.00 =
Private Disposal System ' MPC iic 75.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL a b ,Z?b
- - - -
- - ---- - - -- - -
-
I here6y adcnowledge that I havs read this application, atate that the information is correct, and sgree to comply with all applicable City of Eagan ordinances
It is the applicanPS responsibility to notify the property owner that the City of Eagan pssumes no liability for any damages caused by the City during its
normal operational and maintenance adivfies to the facilities wnstructed under this pertnit within CRy propertylright-of-way/easement. ,
SITE ADDRESS: 791 L/,q
OWNERNAME: J_@f -? ? INSTALLERNAME: P- Q6t ?Gi"PrSo., TELEPHONE#: ?8-?2 ,P 837
STREETADDRESS: HC- -? y R°X -270
CITY: /-/RCI4 enSRC.k STATE:
M/1,/
ZIP: _? 6 lvSv2
SIGNATURE OF PERMITfEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105095
Date Issued: 06/26/2012
Permit Category: ePermit
Site Address: 791 Camberwell Dr
Lot: 19 Block: 2 Addition: Hills of Stonebridge 3rd
PID: 10-32992-02-190
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
Renae Freinwald
2200 Hwy 13 W
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Genz Ryan Plumbing & Heating Jeffrey L Peterson
2200 West Highway 13 791 Camberwell Dr
Burnsville MN 55337 Eagan MN 55123
(952) 767-1000
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:EA109878
Date Issued:04/11/2013
Permit Category:ePermit
Site Address: 791 Camberwell Dr
Lot:19 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-190
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 -
Jeffrey L Peterson
791 Camberwell Dr
Eagan MN 55123
(651) 767-2578
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127459
Date Issued:10/02/2014
Permit Category:ePermit
Site Address: 791 Camberwell Dr
Lot:19 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Wade Sedgwick
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 -
Jeffrey L Peterson
791 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
3.'1I
_,0/I
For Office Use
; /5709
--
+► � � � Permit#:
E AGA N
Permit Fee: /47
ECEIVE
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ®
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ZiCr 0 9 2019 Staff:
buildinginspectionscityofeagan.com
2019 RESIDENTIAL BUILDIN I#F APPLICATION
Date: 9/5/2019 Site Address: 791 Camberwell Dr Unit#:
Name: Robertson Bayer Phone: 952-465-4997
Resident/ 791 CamberwellDr Eagan, MN 55123
owner Address/City/Zip: g
Applicant is: ✓ Owner Contractor I'D k-L �� n'fA;' [oma
y �
Type of Work
Description of work: Replace deck surface, guardrails, stair stringers
Construction Cost: $8374 Mul Family B ildi : (Y s /No )
11 fotc
Company: none / //171.‘" Contact: /C
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If`yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
• Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that
you submit are considered to bePublic inforrraat`it►n. Portions of the information may be
classified as non-public If you provide specific reasons that would permit the Citi to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
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.nooherstateonecall.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.
x Robertson Bayer x
Applicant's Printed Name Applicant's Signature
---/c / C #bo1/ OW . 7 -7 --•
DO NOT WRITE BELOW THIS LINE
' SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi j.i ..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 _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation --Y
aluationOccupancy ,,,- / MCES System 7-- --61--0
Plan Review Code Edition ,iW ,3 11, SAC Units
(25% 100%' ) Zoning I'LL City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \(-6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: l, , Building Inspector
RESIDENTIAL FEES
Base Fee
�itt,-- ,,tric / 1 '! 9Ci'
Surcharge / GaJ
Plan Review 0-'44 rMCES SAC
06 {t,61/40,/W,
S
City SAC r 0 �` c
Utility Connection Charge E
S&W Permit&Surchargeifrt
r
Treatment Plant
Radio Meter Read /5-C i)--(9 d
Copies3 7 4 r, Y
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168966
Date Issued:05/11/2021
Permit Category:ePermit
Site Address: 791 Camberwell Dr 1
Lot:19 Block: 2 Addition: Hills Of Stonebridge 3rd
PID:10-32992-02-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Robertson Bayer
791 Camberwell Dr
Eagan MN 55123
(952) 465-4997
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature