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795 Camberwell Dr Use BLUE or BLACK Ink ~ Fart?~~ise I I City olq~n i Permit ~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: \O n Site Address:-1q5 Tenant:,,)X0 Y A ~~car c~C,.~1 Suite RESIDENT / OWNER Name: ,-L~-F > d A ~~(1 °~t~9J'1 Phone: IO 1-~~ I 1- 2 k't1 Address/ City/ Zip: CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License 3451 W. Burnsville Parkway City: Address: suite 120 State: z~yrnsyille, MN 55337 Phone: "l ~Z ~-C CJ Contact: ( Lk ~ Email: TYPE OF WORK New -K- Repiacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and round mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for Information on permitted Screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) i ' When installing/removing tank(s), call for inspection by Fire Other M _fZ~d Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.1kMinimum Add-on or alteration to an existing unit (includesW State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ t/ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.ora 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 wit he approved plan in the case of work which requires a review and approval of plans. x 1.~.~ 1 x Applicant's Printe ame App cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In _ Air Test Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: I { ati t (612) 681-4675 SITE ADDRESS: + ! R , F ; APPLICANT: i ~ ltltl ~<1:11' I I Lti; 1 FIlol~f'; i IlE-t .I l 9 ii 1 9 f f .1 ! ! ! ~t; i ttltl lr~; 1 (+t,l ~I; t' i , i ~ t ~ r t, n!I~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. r t ctrl n i i'd•r'• ;•,I:~ ! 5, f Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC 7-v ELECTRIC li Inspection Date Insp. Comments Footings I Cr- 3 Foundation Framing L " Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final r C"! Deck Ftg. ~O wow Deck Final /va I I Well J Pr."Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: tf 111° 1 i,; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ? > 1 f (612) 681-4675 SITE ADDRESS: APPLICANT: , ;j.s c i~'~f;1 €~i:,l~: f 3 ~;6Et tilt r,.l t~ilj'r', ~•~'yi.1-.; ER" i i i ! ; ! ii1.1f (i~ t I~lA sftit 1 1 .f f .'81; i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. fl.}f.3 f (j'.11.., i rt r'! i i r:' i Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. i Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngOPlan Bldg. Final Deck Fig. C/ / 7 Deck Ffnaf Well Pr. Disp. (9rdiftratr of Mrrupaury Citp of Cagan Etprbnnd of waling 3ttapprtion This Certificate issued pursuant to the requirements of Sec don 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the carious ordinances of the City regulating building construction or use For the following. Usc cumilic,600 SF H~W 3[W Pcrmk NQ ! 4637 0MR-cy Type R3/141 7me g Dacia PD/P.1 Type Corot YN Ow= of smuiag E= HMS AM= 5429 RD, MA BmWav Address 795 CWERWELL DRIVE harry, Imo, B2, HILLS OF SIMM= 31RD D ec 12/09/91 BuildiagrO~idat` POST IN A CONSPICUOUS PLACE i i r Y q1319/ CITY OF EAGAN • /Qo?9S w } 3'830 Pilot Knob Road, P.O. Box 21-199,'Eagan, MN 55121 ' PHONE: 454-8100 ~f BUILDING PERMIT - Receipt # ql_)- To be used for SF 1314/GAR Est. Value $145,000 Date SRP 4 199-1- Site Address ` - 795 CAMBERWELL DR Lot 20 Block 2 Sec/Sub. HILM OF OFFICE USE ONLY Parcel No. STONEBIRIDGL RD Occupancy R-3 ~-1 FEES Zoning PD -R.1-A W Name CENTEX f3tB$ (Actual) Const Bldg. Permit 797.00 Address 9929 BAKER RD (Allowable) ytN Surcharge 72.50 City 0INNETONKA Phone . 136-7833 # of Stories 00 Length 340 Plan Review 518, o Nam& SAM Depth -31 SAC, City 100.00 OV Address S.F. Total ~F SAC, MCWCC 690.00 city Phone S.F. Footprints On Site Sewage Water Conn 660.00 W Name On Site Well 12 w Water Meter 95.00 iii CM 3 Addre,4 MWCC System X aW 'City Phone City Water ) Acct. Deposit 30.00 PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this applica on and state that the Booster Pump S/W Surcharge s information is correct and agr to comply with all applicable State of Minnesota Statutes and-Eify ofagan Ordinance Treatment PI 276.00 Signature of Permitee • ' , APPROVALS Road Unit 370.00 A Building Permit is issued to: e lE HO S Planner Park Ded. on the express condition that all wgrf shall b done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ,t Variance - 3,599. Building Official TOTAL tf t 4 t~~ Permit No. Permit Holder Date Telephone # WATER yCd f`~ - J 9 11 SEWER PLUMBING y T H.V.A.C. f J G fC Ocl (PD L~ ELECTRIC inspection Date Insp. Comments Footings 1 _ /'3-19/ 05 Foundation z3- f~i e Framing ~Q "q/ Roofing Rough Plbg. l `J J'/qr~ / s Rough Htg. Isul. (d "2I ~ ~ iJ $ eve /[S -A y G E /n~ ~ C/ ~s^c7d.c c Fireplace A/ fJ~ Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 1 Z -,q- Deck Ftg. Deck Final Well Pr. Disp. SEWER WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER 9 c,7o 2-c-) PERMIT DATE -0c'/1 X91. 3830 Pilot Knob Rd. CHIP # a o2a ,3 god PERMIT # 12291 Eagan, MN 55122-1897 ~ 3' B.P. RECEIPT # • METER SIZE r ISSUE DATE B.P. RECEIPT DATE DATE 4.. 1.99j, PRV -BOOSTER PUMP SITE ADDRESS 71;'; UA, L_Ilu i`!.,L Lsr, PERMIT REQUESTED LOT 2BLOCK 2: SEC/SUB %!a l,LIS Of TOtl P t' 7 i7; 5 Y SEWER WATER -TAPS APPLICANT: ADDRESS: - COMM/IND RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ,l!=' 1= ('L~I'~T: Ahead of Domestic Meters on Water Line. ADDRESS: )'-?()0 Z'AC H ~LRY LN Credit-MLL NOT be given for Deduct Meters. CITY, STATE OAPLE COVE ,"Ir ZIP 55'309 PHONE: 493-2474 I AGREE TO COMPLY WITH CITY OF OWNER: C:ENTEX Ku ES EAGAN O'RDINANCES ADDRESS: 5929 BtY_71~ CITY, STATE MITNNETO@:V __-ZIP 936-7 ":4SIGTURE METER ISSUED PHONE: PLEASE ALA-OW TWO WORKING DAYS FOR ROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r' SEYVER44VATER )PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 09/17191 3830 Pilot Knob Rd. 12291 Eagan, MN 55122-189 ~r CHIP # PERMIT # a METER SIZE B.P. RECEIPT # DATE SEF 4, 91 ISSUE DATE B.P. RECEIPT DATE PRV BOOSTER PUMP SITE ADDRESS 795 CAIMERWELL' DR PERMIT REQUESTED LOT k-G BLOCK 2 SEC/SUB f :I1LS OF "T0NE0P1DrxL 3R'P- SEWER WATER _ TAPS APPLICANT:- ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PLY~4±t~t%lxl d'L~i';P7:'T:y LAC Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHARY L[, Credit W~L NOT be liven for Deduct Meters. MAPLE GROVE ~N "369 ~CITY, STATE ZIP 493-247.4 V 4- PHONE: AGREE T COMPLY WITH CITY OF I OWNER: CI'NTEX H014ES EAGAN O,0b1NANCES i ADDRESS: 5924 BAKER END CITY, STATE MINNETONK N11 ZIP 5 345 PHONE: 937i; 3' SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 795 C4,1BERWFfi DRIVE Lot 20 Blk 2 Sec/Sub EMIS OF STONEBRID(E 3RD These items were/were not complete at the time of he final inspection. 12/09/91 ✓ Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Sh Oe,u 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. 4 White - City copy Yellow - Resident copy Pink - Contractor copy T>= DATE: SEP •17, 1991 RE: 795 CAMHERVELL DR (CENTEX HOMES) % Your Sewer & Wr Permit for the above property has been completed. It will be held at the Public Works G rage (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. 6794~8~ao~$ao,~,~o~„% Requ t Dal Fire No, Rough-M Inspection on I _ Zr R retl9 ❑ Reatly Nov ell Nobly J v'eS G No When Ready' VX, licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No City N CJ 42 r Q. T/r Settmn No Township Name or No Range No County Occupant(PRINTI Phone No New Eimaii 11 Power Suppher Address Electrical Contractor (Company Name) Contractor`s License No W ; EQar « . ©HO 953 Mailing Ao ess (Contractor or Owner Making Installation) Autny^onzhetl Swig DaNre IContractonOwner Making Installation) Phone Number el `w n O MINNESOTA STATE BOARD OF ELECTRICIT THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.113 l / / (Y~• r/~ BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION a~a9 Ee oloo/pt-0e 9 I► See instructions lot completing this form on hack of yellow copy ~ 67548 "X" Below Work Colosred by This Request New Adtl Refs Typeoi Building AppllancesWlred EqulpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (Speotyl Contractors Remarks Compute Inspection Fee Below. -y`^""`sR Jill 96 " "~lr,,~ 8 Other Fee 8 Service Entrance Size Fee 8 Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspedors Use Only TOTAL 30 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough.,n Daret-~-3'-I3 certify that the above inspection has F;nal We been made OFFICE USE ONLY This request void 18 months from i /9/ 110.19VII 61439 av ljd~)' 0, lft~ Reooest Date Fre No Roug Inspettion AAA/// e o Ready Now Will Notify Inspector AV ❑ No When Ready? . licensed contractor D wner hereby request inspection of above electrical work at: Joo Address (Street Box or Rout t /'ate 5 Y7'~~YGic L City Seitfion No Township Name or No Range No County Occupant lP TI Phone No Power Supplier 4 Address LId~~/'sy{/~r~ Elegncal Con racl IC ~mpany Name ~j Contrattor5 Lmense No OLZ6 I Me-im dtlre s tC ctor or Owner Making Irnelellahon, E-30 odq~ Authpnzeo Signature nlradorr wner Making Installation, Phone Number A rfW-` MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 RE ACCEPTED BY THE STATE BOARD 1621 University Ave, St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS _ Phone t612I 6/2-0600 ENCLOSED ' REQUEST FOR ELECTRICAL INSPECTION 4 EB-00001-0e 17 9/4"1 li~ See instructions for completing Ihis form on back of yellow copy " 4. X" Below Work Covered by This Request e ew ddRep' Typeol Bmlding Appliances Wired Equipment Wired Home Range Temporary Service Duplex water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspecmrs Use Only OTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 1a months from Boa lar /4:1 45" 44, Request Date File No gR-m Inspection 8-28-91 $ irse L No ❑ Ready Now %I Will Notify Inspector When Ready? licensed contractor 7 owner hereby request inspection of above electrical work at Jab Address (Street Bce or Rduas No ) Qty 795 Camberwell Drive South Eagan Section No Township Name or No Range No County Occupdot(PRINT) Phone No Centex Homes Power Supplier Address Dakota Electric Electrical Contractor (Company Name) Contractors License No Lazer Electric, Inc. 041935-8 Mailing Address Contractor or Owner Making Inetallationl 8383 Sunset Road N.E., Minneapolis, MN 55432 Authat zed Signature fContractonOwner Making Installation) Phone Number t omaal 784-3729 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga-Midway Bldg - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Paul MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED B/P/4/ REQUEST FOR ELECTRICAL INSPECTION EB OVOm-0e See instruclions for completing this form on back of yellow copy -08 141945 "X" Below Work Covered by This Request ewg Rep ` Type of Bulltling AppllancesWlred EqulpmentWired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Cher (Specify) Contractcr5 Remarks ConSpute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # ClrcunsrFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps _ Amps Signs inspector's use only r~ TOTAL Irrigation Booms $86.50 Special Inspection Alarm/CommunlCallon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dare been made. U' 3 OFFICE USE ONLY This request void 18 months from CITY OF EAGAN Ng .19637 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ¢ / q 6 ( / BUILDING PERMIT PHONE: 454-8100 Receipt # 1s2& `y To be used for SF DJG/GAR Est. Value $145,000 Date SEP 4 1991 Site Address 795 CAMBERWELL DR Lot 20 Block 2 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. STONEBRIDGE 3RD occupancy R-3 M--1 FEES Zoning PD R_7 ic Name CENTEX HOMES (Actual) Const V-N Bldg Permit 797.00 s Address 5929 BAKER RD (Allowable) V-N o City MINNETONKA Surcharge 72.50 Phone 936-7833 Sol Stories Length 541 Plan Review 518.00 tp Name SAME Depth -3-2 SAC, City 100.00 Address s.F.rotal uF SAC, MCWCC 50.0 City Phone S.F. Footprints - Water Conn 660.00 On Site Sewage S W Name On site Well ~w Water Meter 95.00 Address MWCC System R Acct Deposit 30.00 <w City Phone City Water PRV Required SAN Permit 30.00 1 hereby acknowlege that I have read this applic ion and state that the Booster Pump SM Surcharge .5 0 informaaon is correct a e to comp) iwi all applicable State of Minnesota Statute City of agan Or ante . Treatment PI 276.00 Signature of Permitee APPROVALS Road Unit 370 _ nn A Building Permit is issued to, Planner Park Ded. NTa HOMES on the express condition that all w k shall a done in accordance with all Council applicable State of Minnesota Sta tes and City of Eagan Ordinances. Bldg, Op, Copies Building Official ~~Iq-AJAIJ ~ Variance TOTAL 3, 799.(~ 1 6 RESIDENTIAL '7 BUILDING PERMIT APPLICATION ~~sc aS CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq ft. of lot. sq. ft. of house; and ad roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes, poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 711,53 • Rim Joist Detail Option selection sheet (bldgs with 3 or less units) DATE 9 /Z q /O 2-- VALUATION 957-5-00 SITE ADDRESS -7_95 C6M6e-rU-_d DY S . MULTI-FAMILY BLDG _Y N TYPE OF WORK Z_CiAe_ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT .oas~-r STREETADDRESS SWA7 (j6mor-'al /4t&. !tJ. CITYSM- wa.4% STATE X/JZIP &S-OT-2- TELEPHONE # (&$I_gjj_ 20 CELL PHONE # ,FAX # (PSI-351-2076 PROPERTY OWNER Sadh¢9 -STELEPHONE# (oSl- ~ISZ -S~7$ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \IINN ESOrl A RULES 7670 CGYCEGORY I _ M (J submission type) • Residential ventilation Category 1 Worksheet Submitted tN ~e gy a shee submitted • Energy Envelope Calculations Submitted I SED 2 5 2002 Plumbing Contractor: Phonc # Plumbing system includes: _ Water Softener _ Lawn Sprinkler -Fee: ` QUO Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # McClumic:d system inclu(es: Air Conditioning Fee: $70.00 Hcat Recovery System Sewer/Water Contractor: Phone # 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 ``Orddinances. Signature of Applicant '(yG~^ - - - - - - - - - - - - - - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ST-70.06 Telephone # 651-675-5675 FAX # 651-675-5694 J~F'ceU,90o`1t'y New Construction Requirements RemodeVReoair Requirements 3 registered site surveys showing sq. ft of lot, s9. it of house; and all roofed areas 2 copies of plan (20 WIN (20°h maximum lot coverage allowed) t set of Energy Calculations for healed addltions Tre. fix are 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks - Tr wPies Rep m q -M1... 1 set of Energy Calculations Addiffon - indicate ff ona8e septic system Qt, SPPli „gys1 ._11 3 copies of Tree Preservation Plan t lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address :795- Unit/Ste # Description of Work L b yfm 6o/ez, Fi Ni siW Multi-Family Bldg - Y 4 N Fireplace(s) - 0 Y 1 _ 2 Property Owner ~ J A M-er~- J DQ b 4-l \,1 Telephone # (6 7) ~{J b 7 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 - Minnesota Rules 7672 Energy Code Category Residential ventilation Category 7 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephon LS qR U 8 2004 Sewer/Water Contractor TelePhon A' 1 By I hereby apply for a Residential Building Permit and acknowledge that the info k n i 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 pen-nit, 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. JAMS S, J b I J Applicant's Printed Name licant's S ature OFFICE USE ONLY 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-plea ❑ 12 12-plex Plbg4Y or N ❑ 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 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant I Valuation ~~Cl Occupancy R-3 MCES System Census Code Zoning R- / City Water - SAC Units Stories Booster Pump - # of Units J Sq. Ft. PRV # of Bldgs - Length Fire Sprinklered Type of Const/ Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) Plumbing Foundation I-IVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco - Stone _ Brick Fireplace W- R.I. A Air Test W Final - Windows Insulation Retaining Wall Approved By: ;W/,7 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 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / / Site Street Address -715- Ca wt b eru/c ! ( ~Pr . 'S. unit # Property Owner LA M ! S -YraLa Telephone # q s2 ( ) Contractor Telephone # Address City State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. awl e s S . RD A-YU Applicant's Printed Name A icant's Sig ture lJl J~ 0 Z 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan f~ 00 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeirReoair ReQuIremenfs 3 registered site surveys showing sq. ft of lot sq. it. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations AddMon-Indicate 9on-site septic system n - . 3 copies of Tree Presentation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / flLl Construction Cost Site Ad ress Unit/Ste # Description of Work G tJ Multi-Family Bldg _ Y N Fireplace(s) 0_ 1 - 2 Property Owner Telephone # ( ) Contractor Address city R MFORT Ty L State SYSTEMS, INC. Telephone # ( ) 122 Third St. W., Hastings, MN 55033 651-437-0338 Fireplaces FREE ESTIMATES • 24 HOUR SERVICE cc VISIT OUR SHOWROOMS INSTRUCTING',A NEW BUILDING www.haleycomfort.com = 1y[tnnesotaxutesibiutiateeorvl' _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (+1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ y - N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Telephone # ( f J EEC- Sewer/Water Contractor Telephone --T I hereby apply for a Residential Building Permit and acknowledge that the informatioon- is cornplete-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 eview and approval of plans. Applicant's Printed Name Z Applic 's Si e CITY 60 EAGAN PERMIT c R -m q I q 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 024381 (612) 681-4675 Date Issued: 08/15/94 SITE ADDRESS: 795 CAMBERWELL DR LOT: 20 BLOCK: 2 HILLS OF STONEBRIDGE 3RD P.I.N.: 10-32992-200-02 DESCRIPTION: B'lding~-Permit Type DECK Building "r_k Type NEW 1 Y / REMARKS: FEE SUMMARY: Base Fee $30.00 COPY $.50 Surcharge $.50 Total Fee $36.00 Lic. Search Fee $5.00 Subtotal $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: NEW ROOMS & SPACES 15442817 0002264 JORDAN JIM 636 MENDELSSOHN AVE N 795 CAMBERWELL DR GOLDEN VALLEY MN 55427 EAGAN MN 55123 (612) 544-2817 (612)452-8575 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. - - APPLI NTlPERMITEE SIGNATURE - ISSUED B SIGN URE URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024381 Eagan, Minnesota 55123 Date Issued: 08/15/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 20 BLOCK: 2 795 CAMBERWELL DR NEW ROOMS & SPACES HILLS OF STONEBRIDGE 3RO (612) 544-2817 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE •DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL F- L - CITY OF EAGAN $3~ .Oa 1 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si eALr~ f energy calcs. COMMERCIAL 2 sets of architectural & struct ralA~Palls? 19944 specifications, 1 copy of energy calcs............ Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date A / I / I f Valuation of work S`f oa' cq d Site Address: 79S LrAK 10,pr 6vo4c& bAt,G - STREET SUITE # Tenant Name: (commercial only) 1 LOT BLOCK SUBD.,NII/yn (J,~7~y Description of work: The applicant is: ❑ Owner PO Contractor ❑ Other (Describe) Name -7-b X440 S/ !-c dL 9,95 Phone YS-7 - 8-~ Property LAST FIRST Owner Address 79S C4Nif Prwgr.L Pie ILie- Jo -Lh STREET STE # City E04(-Orsy State L(nJ Zip SS1.;~_2 Company __dJPw jio*Ats .d-- 570'f]a6s Phone b ~fS° aBJ? Contractor Address 6L3 6 /i~n•pPL ss a 4~✓ yam, ca) License #,&;494 Exp. L; A-C city 1r0A) !Y~ State At,"L/ Zip S-S't k ew~ry ~ Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appl' le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 2422 Enterprise Drive 43NEER LAND aunvcyorta.EVIL CNWNKILM Mendota Ileights, MN 55120 Ang nneer ng . LAND KaNN[Ra.LANDSCAPE ARCHITECT! - - 16121681 1814 Certificate of Survey for: Wf~[ DIP_ ICE 0 ~4 6.4o'Ol•• B/. q/ R= 6!!•60 0 K ~ r.Ny a 11i 03.9 0 11 ~ 01M i Q 32.h~ 35.33 .3 y9C. N N M PerArse a ~ 14.0 t N HoNSfi ~ ~ L't p~7od°t I v ~ w ~l 110 N I N f N V / / f bWif ~ I ff / w aa EAGAN EN 'IL E MNG . 1zi.~s soo.oo Denotes Exisfing Elevations i2•s3'~~~'~/ p$aR75ED AWSE ELEVAT(ONyS_ 00.00 Derides Qioposed Elevations lowest Floor Revahi n 836.4-4, - Denotes Drama, e 0li/Ny fasemenl r40 oP8100 Vevolion 90¢, s 6 Deno%s Drnino~e low 7Jn-ows Gorale Slab flevalion 9o¢, z3 o Lknofis ,4lonunr33mt 8wrials shown ore agmneod o Denotes i set Nub LOT20, BLOCW Z; //[I IS OF STOIVEBRIDGE 3RD ADD. DauoTa CainTY, MINNESOTA I hereby certify that this movey, plan Or report was prepared by m Or dy di Pet suiretw~u and Ihal I vn duly nellistNed Land Surveyor under the Ism of the State of Minnesom Dated this _~(pJ/day or uner m A.D. 1g__ l~✓ t'JjC/ /t'(~Ne..r~ /IStt C11'aJpe~~ ' //Q ~13i6.O1 ---u,ncri 5n<7rtt'1 s.nrn N~.I~eat CQe' 1nr 40i2el CITY OF EAGAN PERMIT - 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022459 (612) 681-4675 Date Issued: 11/03/93 SITE ADDRESS: 795 CAMBERWELL DR ~tp3 LOT: 20 BLOCK: 2 I HILLS OF STONEBRIDGE 3RD 1113I9'~ P.T.N.: 10-32992-200-02 DESCRIPTION: (SHELL ONLY) B,u`ildin''gi Permit Type SF PORCH Building-lh1rk Type NEW %UBC Occupancy R-3 Building Lengt 18 Building Width , 10 J~ r~ REMARKS: FEE SUMMARY VALUATION $7,000 Base Fee $90.00 COPIES $2.00 Surcharge $3.50 Total Fee $95.50 Subtotal $93.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: ENDURA CONST SPECIALTIES 15935275 0002264 JORDAN JAMES 636 MENDELSSOHN AVE N 795 CAMBERWELL DR GOLDEN VALLEY MN 55427 EAGAN MN 55123 (612) 593-5275 (612)452-8575 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 MM. Statutes and City of Eagan Ordinances. JJ J 1 _ 1 1 J~N APP CAM/PERMITEE SIGNATURE ISSUED Mt. IG ATURE' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 2 4 5 9 Eagan, Minnesota 55123 Date Issued: 11/03/93 (612) 681-4675 SITE ADDRESS: LOT: 20 BLOCK: 2 APPLICANT: 795 CAMBERWELL DR ENDURA CONST SPECIALTIES HILLS OF STONEBRIDGE 3RD (612) 593-5275 PERMIT SUBTYPE: TYPE OF WORK: NEW DESCRIPTION (SHELL ONLY) INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL . ,c - - - - - REACTIVATE CITY OF EAGAN PERI'IT " 8 1993 BUILDI75 PERMIT APPLICATION 03 681- [Dat INGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. alty applies: 1) when permit is typed, but not picked up by last working day of month. which request is made, 2) address is changed or 3) lot change is requested once permit issued. e 0,1~ l l Lam. Valuation of work g0c10~ Site Address: 795 /a h,-v- pr/~ STREET SUITE / Tenant Name: (commercial only) Ni ((S $'Fav~, I~r Ids LOT 2 _ BLOCK SUBD. 3rd P.I.D. M Oescri tion of work: The applicant is: ❑ Owner icontractor ❑ Other (oescrine) Name ~`do ti ~o w.og Phone 75- Property LAST FIRST - Owner Address 79 S" l ~a STREET STE M City a~ State AZ ZiD 5s_)2-3 Company z,n~~ Phone S 9 Aey, License N 2-Z6 Exp.3-)( Contractor Address iRnehd~s,~~v~ City L'-al p ooj/..„ State dLdZ Zip 5g2_7 Company Phone Engineer iteName Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Replica OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 'rY,16.8aWonent-Ptnish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 B-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE F 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy _V__5 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length !8 On-site well Census Code Depth !o On-site sewage SAC Code T APPROVALS o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 'SHELL or%&.1 tssrr_ ANI7 y,v1~?ia¢ of ftk'ckf ❑ Site Footing eff Framing ❑ Insulation ❑ Wallboard inal ❑ Draintile ❑ Fireplace Permit Fee ,OO valmtion: $ ?4_w Surcharge }5}S`am`, Plan-Review I 70C SAC 1~Xio=!°u0 City SAC zx 4_.- / Water Conn. 17Z 5-.ooY (olDza Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Bed. Trails Ded. Copies .010 Other Total: SAC % 100 SAC Units * * it 2422 a I Ie ris O MN 551T0 * PIONEER LMO WRViC/0 -CIVIL SHOWERS Men_ _dot 9ht *engineeerng•• t11MOMAWAINS.L11NDSC11PENt10aIECT! - (612) 681-1814 CeftifIcate of Survey for: C--f°z~n6i/f -ko s I) 903.9 Q F' 1 i ~ Q 3z.6'1 n - V ' M 3D.D3 yqf. a to M M V&I7ezD ft.•o en 1 m Ficwsv r I ~ A 'pASed~ I .If V t'v1 I N uuw~ppa oLjJ ~ a 0 I N W I10 N IN I 14 8 N Z, ! z f r / I / I f~ L W ate - A1G rj1 P'L'. EAGAPI EN INE ,z~• 73 ! 900.00 Denotes fxisfing Awations 11. o -"VOA/ 890-PORED llAUSE ELE✓QT(ONS Denotes Proposed Elevations lowest floor F/evation 826.+iC, - Denotes Orannaja Wlifilyy Easement * o"eloek f/evo/ion 4704• sb Derales Draino e now Zlrrows Gor+ Slab Elevalion 9o¢, z3 o Denotes Moms ent &arinls shown are a. mmof o Denotes a lrset //ub LOT20, BLOC! z ,'HILLS OF STON[8RID6E 3RD ADD. 04KOr,9 CO(INTY, MINNESOTA I hereby certify that this survey, pion or report was Prepared by an or under y diiect 5npeiw'ilsinn anti that I am duly Rlrytistered Lend Surveyor under, the laws of the State of Minnesota. Dated this_~day of A.D. 113 pav -A)' /q/ r>.,4 )fu" Cq P: '"`h' 40tUL 11336• oL n nFrt :9i1'. Flt .S. nFr,. NA 111191 1991 BUILD UPIPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE; ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. O CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT I w( PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A 0 P- D. PERMIT MUST SHOW A LICENSED PLUMBER. so& on To Be Used For; Valuation: I4SoAav r Dat Site Address r OFFICE USE ONLY Lot 2 Block HILLS pF FEES Occupancy Bldg. Permit MoDo 2 p Zoning PD R-1 Surcharge .77,StU Parcel/Sub ~~j~ clE~~/d~E Actual Const V- N Plan Review . ,S18.Ot7 / / Allowable V- N SAC, City 0 O Owner ~E/C/TEK /~/KeFS # of stories SAC, MWCC: ='4450.0O q nn Length Water Conn. 4iPG0' Address Depth S Water Meter',;"N - 0~ S.F. Total Acct. Deposit 3b1~00 City/Zip Code .t/A,~ ootprint S.F. S/w Permit - 30600 S/W Surcharge- y Phone ~3(o r7~33 On site sewage- Treatment Pl. 0G.oa On site well _ Road Unit S'70,oa Contractor A*Y7 E MWCC System Park Ded. City water ✓ Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change f ~ Council TOTAL 3 Arch./Engr. ~ille~/G x(66 Bldg. Off. Z? bS Variance Address /r[!/bDT~ ~(d`IG City/Zip Code 1 M01PEL *r r]~S Phone # 41 agrees that all work shall be done in accordance with (Signat of ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. r- * # 2422 Enterprise Drive * PIONEER LAND SURVtyoro•CIVIL LNGINTERS _ Mendota t1eights, MN 55120 - eng neering-. LAMPLAN-esm- LAN&SAPe AaUmTecT9 >F* * (612) 681-1914 4t * Certificate of Survey for: C,q d:~•4o.oj,. L,Bi.q/ R- 699.60 • T I 903.9 8 4z et(h i 4 32.f.7 7 I M 35.53 Cp4e. N N M `n VPnt~rSE~ I 16.p t eNa Hoalsv' ~ I `S 3o.p I~ 891. ~{'y • I of u Z w I rj ~ 0 I ~ a w 110 N N I g r V ' / / II f E70'0 I / 1 i f ~ w ate 'RING ~I:P C EAGAN ENGINE ~Zl.l3 100.00 Denotes fxisfin Elevations '5 ,00/ N a *53 oP17sED NOVSE ELEVATfONS Denoifes Proposed Elevations est Floor Ff¢vation 8 y 6 .4~ - Denotes Drorna,in a t V ilfl,J~ Easemed l l 4oowesi floc Eleva ion _ 90¢, Sb Denotes Drtaino~e Ilow Nrrows r 0 oraje S/p'S Elevofion 90¢, z3 Drnofis Monu~~nn~33333"'''e Beorinls shown are assumed ❑ Denols e 'set flub L0Tz0, BL0CW Z , HILLS OF 9TONEBRID6E 30 ALX7. D4korl COUNTY I MINNESOTA I hereby certify that this survey, plan or report wag prepared by m or under my direct sup /ervision and that 1 am duly nPgisuned land Surveyor 91 -f under the laws of the State of Minnesota. Dated this & day of A.D. 19-f/ . -5ca/e: hn~±- 400e n nFn :IL (111..5 RF. r:. Nll. ]4Ea1 Ai33/,Oz- . 7 ~S- C~•yrg~~c c COMM. NO. ~JCivS~~ Pi_ann.ir~n L•e•=iyn Inc. 1.'..11 Highway i0 N.E. Ni nnuapol i s, NN 5':7432.% 612-730-1 w0 Minnesota State Energy Code Calculations ;used on Chapter 5 of the Model Energy Code 1133 Edition Adapted 1/1/34 Clwnsr-: MUDEL IZ65~ COMM. NO: 43 Site Address: LOT 20 2 Lor is acf-rrr - r EfJKF_';~ flf]! E Fs ~ e 3Qn 40pj• Phone: Bldg. Class: Al Al for Single Family/Duple>: A2, residential , 3 stories over 3 stories Other GENERAL INFORMO f ION1 Mote: The Section designotivns ("Section A", "Section B" etc.) are fur convenience, in calculations only, and are not related from one set of calculations below to the next. 1. Bldg. Walls Perimeter x Wall heights, = Area ground to eave Section A 156 19.83 = 3092.46 Suction B : 0 0 = 0 Section C : C, C) _ 0 Section D 0 0 . 0 Gross Wall Area, 3093.40 2. Building dimensions Floor or Ceiling Length x Width = Area Section A : 16 14 = 224 Section B 32 23 = 896 Section C : 0 0 = 0 Section D 0 0 = 0 Total floor or ceiling area - 1120 3. Rim Joist Perimeter = 156 Floor joist 2 by (8", 10", 12" or 16")): 10 Rim Joist Area = 130 4. Doors Area: 43.8 Thickness (inches): 0 Perimeter (feet): 0 Type of construction: 5. Total door's perimeter: 0 6. Wi ridows r Manutackurei WEAIIIRSHIELD U factor: 0.47 State appr" Edy M-5 Type Haight Lonut:h n Number Total !inches) (Inches) of :;.iris SyFt unit BSNT. UNIT 27 3 7.88 DOUBLE HUNGS `8 16 4 12.44 16 24 4 10.67 16 28 2 6.22 28 28 12 65.37% 28 32 2 12.44 24 36 14 04 3_ ::6 4 72 0 0 0 0 t! 0 0 0 0 n 0 0 Ci 0 0 0 0 0 0 f 7. Winslow glass area (SgFt) = :230.98 Type Height X Length r Number- - Total (fept.) (feet) units SgFt 8. Patio Door: G 0 0 0 9. Atrium: 6,8 2.8 2 18.08 10. Fireplace area Width: 6 Height: Total 3q Ft '.rl 5 11. Exposed Foundation Height area A: 0.67 Perimeter area A: 156 Sq Ft area A 104.52 Emposed Foundation Height area B: 0 Perimeter area P: O Sq Ft area H = 0 12' SgFt U factor U x A GrosB wail area 3093.48 minus Window area 230.98 0.47 108.56 Patio door area 0 0 0 Atrium area 38.08 0.47 17.9 Y Rim joist area 130 0.035 4.55 Door aria 43.8 0.14 6.13 FireplacT area 30 0.17 5.1 Exposed Found. 104.52 0.14 14.63 * Framing area 309.348 0.069 21.35 equals Totals for nQt wall.: 2206.752 0,037 01.6; %tol s 'FOG lip. Qs 0011 6FOM. Framing mrsa in 10% of grusc wall area 13 Gross wall area „ factor below = U Factor is .11 for A-1 Per code single family & duple:: .2 for' A-2 and other residential .23 for other buildings .28 for over .3 stories Factor- is: 0.11 'STUII 3%.2823 MUST LC OR _ Lid I] 7 (calculated :alneve) t4. fir Ut.*,. coiling area = 11.12 13. llla_I rr-aim.Enr. area (10% 16. Joist Area 50% of ceiling aarcea. e:) area) 11 17. Net ceiling area {cross r_eil. area - Joist area) = 1008 10. U ceiling: 0.021 Net cell. area = 21.168 1 20. 9.-U •franinq: 0.024 „ Joist area 2.688 Total of item 13 x item 19 = 0.856 21. Gross ceilinq area x factor below = U x A per code Factor- is .026 for A-1 single family « duple;: for A-2 and other residential .06 for usher buildings Factor UTUH - 29.12 MUST ICE ON _ 2.:.3.3:1 (calculated above) r r U VALUE CALCULNYIONS 1. X 6 / HIGH "R" SHFATHnC R VALUE U VALUE - - Inside air film .60 WALL Interior wall .45 (wall) U = 1 = SECTION Insulation 19.00 N Sheathing 6.0 .037 ~fc • Siding .67 - Outside air film _17 -n R TOTAL 26.97 Inside air film .60 STUD Interior wall .45 SGCfIOC! Stud - 6 6.50 (Framing) U = 1 = Sheathing 6.0 ►t Siding .67 .069 Outside air film .17 ' R TOTAL 107 Interior air film .60 RIM Insulation 19.00 JOIST M 1 : inch soft wood 1.88 (Rim Joist) U = 1 = Sheathing 6.0 ► Exterior wall covering .67 .035 --n - E Exterior air film .17 R TOTAL 28.4 Interior air film t`C - .68 ' FDN. Insulation . 5.00 roundation (12 " Block) 1.2a (roundati«i) U = 1 = 07 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 36.00 Insulation 44,00 j ~ 4-38 Joist / .56 Ceiling .56 / 0.61 Air Film 0.61 41.55 Total R 45.78 .024 U = 1 R .021 CATBEURAL CEILING R VALUE R VALUE FRAMING CEILING 0.61 Inside air film 0.61 -56 Ceiling 56 14.375 Joist(Spacer) t - Insulation 33.85 - Air Space .50 .67 Roof docking .67 •06 Felt .06 .44 Shingle ,44 0.17 Outside air film 0.17 16.88 Total R 36.86 Window infiltration .5 /l .059 1 = U ineal foot of crack R .027 Residential door infiltration 0.5 cfm/square foot or door and minimum code Non-residential door infiltratiai 11.0 cfRaineal foot of crack requirement Ub 12• concrete block no insulation = .781 R 1.28 double glass = .52 triple glass ,31 All exterior malls and ceilings must have a vapor barrier (0.10) perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor bariers of the polyethelene thin film have no R value. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # No 1IC31 DATE : /D / 13 N{ 's, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST X 10-7-91 _ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 CENTEX HOMES OF 1 PER PERMIT OWNER NAME: 795 Camberwell Drive SUBTOTAL: $ 33.00 SITE ADDRESS: STATE SURCHARGE: .50 ooff~,, J LOT: CAU BLOCK 02' SUBD. S N"ZBOYIDGE 3r.~ TOTAL: $.33.50 INSTALLER: RAY N. WELTER HEATING CO. ADDRESS: 4637 Chicago Ave. SIGNATURE OF PERMIT E CITY: Minneapolis ZIP: 55407 PHONE 825-6867 OIEXtYAY frN$1tTA1:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.OG MINI1•I M FEE. .INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # &Jt A PHONE: (612) 454-8100 RECEIPT # I'.tk.tG' DATE: 9 MAIM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ~C ADD-ON MINIMUM 15.00 ADD ON L SHOWER 3.001J0 REPAIR WATER CLOSET 3.00 G)c~d BATH TUB 3.00 &4)0 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 &e e2 LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT:`-O BLOCK o2 SUBD. FLOOR DRAIN 3.00 / GAS PIPING OUT. INSTALLER: lE~ - /r~~~rr✓ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: Se Z. ~ k_- OTHER _ WATER SOFTENER 5.00 CITY:`Kr~Se-,,ne ~ A4 ZIP: 67-5060 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE cS SUBTOTAL $ 50 eeeCCC///~~~~~' /-1 -42 ZST. SURCHARGE 50 S G ATURE F PERMITTEFu;,~ TOTAL: $ Una OMMERCTi~iTiTIDUSTRIAL,. 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 r~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT l ~G1;C. '~'ltl'1T'~ DATE AEidTA,[: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 yJ Z ~r OWNER NAME: OF 1 PER PERMIT T'y .T~o$13,gG✓ SUBTOTAL: $/won SITE ADDRESS: 79~ G~A~ `~~/ticG✓O~J~ . STATE SURCHARGE: .50 LOT: 10 BLOCK' SUBD. 3 TOTAL: $a INSTALLER: L✓/=y✓zl G 1117 ~A7G ADDRESS: /4.rj- S NATUR^ OF •RMITTEE CITY: /w~ ZIP: r,1~12_J PHONE YJ~L- gtj7_f-" ~~1. „~RSAI;fINDUSI'RIAI:`~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE'. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 7-753 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I / t:9!9T,/ Site Street Address / 90~ L~ heap/,de~ o9.C/1,)e unit # Property Owner U;,PI7Q~S SLY f~ ~i~ Telephone # ((o~~} - Contractor !N epO- Ce,5 Telephone # Address ity state zip The Applicant is: - Owner Contractor -Other Septic System - New - Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. ff you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment Of)) -Water Turnaround (add $130.00 if a 5/8" meter is required) I ~Utr j 006 Other: /f Awator Softener _ Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accord nce with the appro plan in the event a plan is required t e reviewed and approved. A plicant's Printed Name A lic nt's Signature ?ODO J co 2007 RESIDENTIAL BUILDING PERMIT APPLICATION 2~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodebRe air Requirements Office Use OnN 3 registered site surveys showing sq. fL of lot, sq. it. of house; and all roofed areas 2 co Ing footings, beams, joists Can of Survey Reod _Y _ N (20% maximum lot coverage allowed) r~ att a tions for heated additions Soils Report _Y _N 1 Soils Report if proposed building is to be placed on disturbed soil d' silNey ns & decks Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window sizes: poured found design, etc. d Non - in a ite septic system Tree Pres Required _Y _ N IsetofEnegyCalculations O 5 ad`la` OnsiteSepticSystem . _-Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 QC~ Rim Jost Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation forth Plans are considered ublic information you state the are trade secret and the reason. 4 3 Date )-a-/ 7/ d (3,g-s. Construction Cost j Z Site Address + R,r CL Lb ~ V Lj ( EAR a-„ 1s-p 23 Unit/Ste # r Description of Work T -eF.t-(r a 'p Multi-Family Bldg _ Y )~-N Fireplace(s) _ 0 - 1 _ 2 Property Owner J)L :~~S T(7 P- J) !,q- Al Telephone # (61rI 1/.-Z- e5 Contractor iC.,e 12-0 U F Are rC A (;Q /C Q (7 Qj~ 7 ~d P1 J Address 10 -7 S( U C y yf_r (~Gt ~e 'T_j~- S ~--re ZoE city R l o yz, r n clTO-~. State /VIN Zip SS-11 1 V Telephone # (cr yM &?jT- 8 y o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category , Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) 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. Ge Ej 8z (J6,L Applicant's Printed Name Applicant's Signature 90. 0 0 Use BLUE or BLACK Ink r—___________ I For Office Use I �-- �... C' � Permit#: ���tY � ' I lty of �a�a� � Permit Fee: �`�� � 3830 Pilot Knob Road � �� � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i tv� . - 2015 RESIDENTIAL BUILDING PEIRMIT APPLICATION Date: ✓ � ��a�� Site Address: ����������� ��' Unit#: ,z��.������ ;� Name: d /� ���.cicl� Phone��/'��� ��// �,���Res dec�t� w � �Qyy.�g � ' Address/City/Zip: ��/�'� � ����/i� �� �� �� � _ '� ����,�� Appiicant is: Owner �Contractor ,.���<� _�� ��� �,�� � `` � � Description of work: ���/,,�p �/JlI�J�11�.-5 �`�4�—�� �� /f� �e��/�- ' �'�Type�of�Worl� < �f9.�rli �? � ��� Construction Cost: � � a��' Multi-Famil Buildin Yes !No ..���_ _�!�,� Y 9�( �) � � � < �,�o �� � ���� Company:,�'T a"-�li! �Yl� C)/!� � ���Con�tac�����-,��.��/������ � ��� � �� �� �����: � � / g � ���,�� .;� ���: ° Address: ��/ " �/�'�i :`�.�� � �� City: �� �l` � �� �bn�racto � • �' � ���� �� � ��� State. i --,� �- �����'p: 'J~� / Phone:�i�.2•��l-��£mail: � � �. ���� � � �� ,��� . License#: �G��ff��� Lead Certificaite#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ��/�'� /f!�!'J'lt� ' COMPLETE THIS AREA ONLY IF CONSTRUC'TING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plaii 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: � NOTE :P/ans and su[�portin �►ocuments�fha�jis�u scibm�t are consrcie,real to b��iub/�c�nformat�on,�';F'ot#lons o�' �; ::.� ��''��` � r�i:-a �,'#�� a �p " e T',�``.. � �" # �'�4 a��*:..�� � ,, E�„' ,. ��,L'' C�.`: � � r� �.'..� •, a� . } °the�nforr�tafian may be c)ass�fiea(as on. ,u�itic�if,yoy pro,��tle spec��c' �asa,�s�hat:woufd p����#;�e�C�t,� o �..`���x �,�. .."����,���.., &�N. `� ��'....� ��`Conc��`de thaftLie�ar�ra��e�s��c�ets �� � �� : �� ,���� � � �.� �� � . r .. . ... ., ._,_. _., �r. . � .�. . .. .. . ... � � =� �;� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protectiion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be iri 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 wark is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesotai State Building Code must be completed within 180 days of permit issuance. x��d� ��'l�l��/'S x_�'� � 2G2��,�''��1��2�a ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130745 Date Issued:05/12/2015 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 - James Jordan 795 Camberwell Dr Eagan MN 55123 (651) 341-8899 All Around Roofing & Renovations 701 Decatur Ave N Suite 201 Golden Valley MN 55427 (763) 447-3944 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink 1 For Office Use Permit#: LISP`i, City of Eaafl S Permit Fee: (00 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: buildinginspectionsta'").citvofeagan.com 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /17 Site Address: / Tenant: 1 '-ti (LC Suite#: ResideritiCer' Name: ` t• I Phone: Address/City/Zip: Name: t•SCo :efLfr! C itAt S License#: • Address: 17S SeN� City: � i Contractor (! State:lvx.,1 Zip: Sr5 I 9-D- Phone: 657-75-.11,37S- Contact: ? e11 .s Contact: � b Email: 3 oO F Type Work . _New —• Replacement _Repair _Rebjild _Modify Space _Work in R.O.W. Description of work: 4 [' �'1Tv, t_ `' � C n'Ie (`� RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main I_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.gocherstateonecall.orq 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.citvofeaaan.com/subscribe. 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. Applicant's Printed Name Applican 's Signature FOR OFFICE USE Reviewed By: Required Inspections: Under'Ground Rough-in Air Test Ftl' Meter Related Items: Meter Size Radio Read Manometer : -4:-;:tr.' A PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147995 Date Issued:02/26/2018 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 795 Camberwell Dr Eagan MN 55123 (651) 341-8899 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160362 Date Issued:03/05/2020 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 795 Camberwell Dr Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161449 Date Issued:05/27/2020 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - James Jordan 795 Camberwell Dr Eagan MN 55123 (651) 341-8899 Twin Cities Siding Professionals 664 Transfer Road St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161966 Date Issued:06/19/2020 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 795 Camberwell Dr Eagan MN 55123 (651) 341-8899 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161966 Date Issued:06/19/2020 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Jordan 795 Camberwell Dr Eagan MN 55123 (651) 341-8899 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166580 Date Issued:01/21/2021 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James S & Marie B Jordan 795 Camberwell Dr S Saint Paul MN 55123--393 (651) 341-8899 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167149 Date Issued:02/25/2021 Permit Category:ePermit Site Address: 795 Camberwell Dr Lot:20 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-200 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James S & Marie B Jordan 795 Camberwell Dr S Saint Paul MN 55123--393 All Around Roofing & Renovations 701 Decatur Ave N Suite 201 Golden Valley MN 55427 (763) 447-3944 Applicant/Permitee: Signature Issued By: Signature