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4017 Camberwell Dr N.• '?• ? of 1C?rrupariry Citp ot (Eagan ?irpormumt n# IuOintg Jtt"prtirnt This Certtffnate issued pursuant 1o the requuenrents of Secllon 306 of the Uniform Bulldixg Code cem; jyrng that a1 rhe lune of rssuance this sductune mvs in compliance witli tlu wariacs ordinmtces of Ihe Clty regulating building construction ar use For the following: UX Cb=irKlf= SF M/GA-R M4 PtnWc No. 20177 ., _ - .. .,.? ._ PD l ?-- ^--? VN ...:., ? awxr ot ma;og A4d= B ELL DR N l.awliry L22, $2, HIIdS OF STCIl?SRID(?. 3RD isld"cg Addreae ; •' 6/22, 92 PdST IN A CONSPICUOUS PLACE ?rr?? - , . . ?+? • - : ??, ? . , • ? ?> ? ? ;, CITY OF EAGAN ?-. 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 U4- ' PHONE: 681-46 75 BUILDING PERMIT Receipt # ? t ? To be used for w? DW/(;Aft' Est. Value $145,011W Date MAR 4 Site Address ???? ????????L DR IN ? LLS QF ? 2'2 2 OFFIGE USE DNLY ; 81ock SeciSub: tot ? - Fet:s 57R Parcel No. STQNEBRI?'E occupancy R-3 M"1 Bld P k ???:?? Zoning PD ??. g. ertn N8fY12 ?ENTEX ?OMES (Actual) Const V-N Surcharge 72.50 I W Address 4929 BAKER (Allowable) V'N Plan Review 5}&+05 . ;? ? Cj{y '?I NNE'??1?G14 ? ?jp $5311'? # ot Stories ?lf??' Ucense ?,C?[9 ' Lengtn Phone 640-72b0 (IdE3,tf) Depth 381. SAC,City 100•04 '-? Name SA,E S.F. Toial - SAC, MCWCC 700•00 ? ' ? ? Addrm S.F. Foatprints OnSiteSewage _ WaterConn 675*00 (;fty Zip on Site Well Water Meter 95?. *? ? ? MWCG System ? 30.()0 Q ? lOtlB 0?1 333 Cily Water x - Acct. Deposil ?? ? ? ? VCenSB # PRV Required _ SM! Permit I hereby acknowlege that 1 h?w e?sar?? thi ?ipplication and state that the ? ' Boostar Pump - 5/W Surcharge 150 information is correct and agkeY'to;co ? with all applicable State of I ` r ? 3?.? Minnesota Statutes anc# ? it 4 r iipances. g h O ? Treatment PI ? ? ,.? ? Signature ofPermitee ? APPROYALS Road Unit 380r00 t? CENTEX HWZS Plann6r - '4 A Building P9rmit i5 is§ued lo: il C park Oed. 'I on the express condition that all work shall 6e done in accordance with all a licable Stata ol Min ota Statute and Cit of Ea an Q es di ounc COP1OS ?? . ? pp . nes s y g r nano Bldg. Off. _ ? 9uilding Qificial ' Varianre - TOTAL 3y7(?4.175 Permit No. Permit Hoider date Telephone # PLUMBING HVAC Ce- ELECTFkIC ?3958. ELEc-rRic AI'78 -47 tnspection Date Insp. CommeMs Footings I Foundation Framing 2 Raofing Rough Pibg- 1y-/n ?? Rough Htg. IsuL Fireplace Final Htg. Orsat Test Final Plbg_ - ? ? ?} • ?? Plbg. Inspector- NoliFy Plumber Consk, Meter Engr,lPlan 8idg. Final Deck Ftg. DeCk Final Welt Pr. Disp. SEWER & WATER PERMiT CITY OF EAGAN *3830 Pilot Knob Rd. Eagan, MN 55122=1897 DATE ?R 4• 1942 ! OFF CE USE ONLY METI.R # q?" -? PERMIT DATE 03/05/92 CHIR # ? 6 5qq PEfiMIT # 12592 ME7ER StZE 5?? iU- B.P. RECEIPT # lSSUE DATE -V?E /q ?, B-P- REGEIPT pATE PRV - BOOSTER PUMP SITE ADDRESS ' 4017 CAMBERWELL DR N LOT 2213LOCK 2 SEC/SUB HYLLS OF STONEBRIbGE 3RD APPLICANT: ADDRESS: _ CITY, STATE PHONE: - PERMIT REaUESTEQ X SEWER X WATER - TAPS COMM/INQ X NEW x RESIDENTIAL EXISTING Lawn S rinkler Meter are to be Installed sters on Water Line. PLUMBER: PLYMOUTH PLBG I?IC Ahe f f ADDRESS: 9290 ZACHARY LN Cre it I e en for Deduct Meters. CITY, STATE ?1PLE GROVE MN ZIP 55369 - PHONE: 493-2474 ? ? I GREE TO COMPLY WITH CITY QF OWNER: CENTEX H4MES EAGAN ORaINANCES ADDRESS: 4929 BAKER CITY, STATE MINNETONKA MN Z1P 55345 PN NlE: 540-72 0(REYD) SIGNATUR HEN METER ISSUED ,? PL A ?ALL 1 O WORKING DAYS FOR" PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Ap ,,;.,. ..' • i r :. r ... . ".. 4,:'` .. .. . . . .. . . . . :'X•,.t.?(' l. . ' C.: _ . . ,£" i., ?F?u . 9 . 1 . SEWER & WATER PERMiT, OFFICE USE ONl.Y . CITYO,F ERQAN A"?y METER # .? PERt+AIT DATE 03fo5I g2 3830 Pilot Knob Rdo " 1.2592 Eagan, MN 55122? 189f CHiP # i'ERMIT # METER SIZE B.P. RECEIPT # 1??? ?? ? ISSUE DATE B.P. RECEIPT DATE , ?AT? RRV - BOOSTER PUMP SITEADDRESS" '4017 CAMBERWELL DR N Pt:;imtl"REQUESTED LOT 22 BLOCK 2 SEC/SUB Hfi.LS OF STUPdEBRI1JGE 3RI? " K SEWER X WATER - TAPS ? APPLICANT: - COMM!{Nb X RESIDENTIAL = ADDRESS: GITY, STATE ZIP X NEW EXISTtNG ` PHONE: Lawn Sprinkler tJl2ter are to be fnstafled PLlJMBER: PLYMOUTH PLBG INC Ahead?f a s?c ,?ters on Water Line. ? Q ADDRESS: ???o ZACHARY LN b? Ven for Deduct Meters. ;. Cr4?41 ? STATE MAP[.,E GRd)1lE Mt+] CITY ZIP 55369 , 493--24-74 ? -- ? - - ? ; PHONE: - 1 GREE TO CE3lVSPLY W{T4i CSTY OF ; OWNER: CEEiTEX H4MES EAGAN tJRDdl?ANCES t AQDFiESS: 4929 BAKER i STATE H'XNNET'ONKA MN ZIP 55345 CfTY, PHONE: 640-7260 (IZL-iD) SIGNATURIEWHEfW METER 155UEd PLEASE ALLOW 7W0 WORKING DAYS FOR PROCES5ING. CALL 454-5220 FOR IINSF'ECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERiNG DEpT. CITY OF EAGAN M0201 7 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55721 - PHONE: 681 •4675 l01F' BUILDING PERMIT ' Receipt # 0 ?? ` 7 Tobeusedfor SF DWG/GAR Est.Value $145,000 Date MAR 4 , is9? Site Address 4017 CAMBERWELL DR N Lot ZZ Block 2 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE 3R1 Name CENTEX HOMES ? p,dd? 4929 BAKER ? Cjty MINNETDNKA MN ZjP cc Name SAME ? Address p? citY ZP ? Phone License # 0001333 I here6y acknowlege t t ha e r ihi plication and state that the information is corcecl a to I with all applicable State of Minnewta StaWtes en Rya E g? Or i ances. Signatme of Permitee A Building Permit is is ued to: f'RNTFX N(1MF.S on tha express conditi n that all work shall be tlone in accortlance with all applicable State ol Minnesota Statutes antl City of Eagan Ortlmances. BuildingOtticial-'?WR1 OFFICE USE ONI:Y FEES Oaupancy R-3 I1-1 Zoning PD ?l ?9' P? 797.00 (ACtuap Consl NL?T` Surdwga 72.50 (anowable) V=N Plan Revev 518.05 F ol $lories Lerglh 66' Loanse 5 _ nn Depth 38' SAG City 100.00 S.F.7ofal - SAC,MCWCC 700.00 S.F. Faolprinis _ On Sne Sewage _ water Conn 675.00 On Ste well water Meter 95.00 MWCC Sysrem X 30.00 X /+ccc Daposil Ciry Water 30.00 PFV Required s(W Pamii Booster Pump - S/VJ Suroharge • 50 Treatmem PI 300.00 APPROVALS Raad Unil 380.00 Planner - Park Ded. Counal -- 1 0? BIdg.0f1. _ Copies . Variance - TO7AL 3 ,704.05 Addzess' 4017 CAteE%QZ DRIVE NLot Zz Blk 2 Sec/SubHILLS pg sTONEBRTDM gTtp These items wgre/were not complete at the time of the final inspection. Date: 6 22 92 Yas No ? Tnqpertor, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Parmanent gas Sod/seeded grass L? Trail/curb damage ? Porch Basement finish Deck Pleasa verify vith the builder the ramoval of roof test caps from the plumbing system and the shut-off of water supply to the outsida Lawn faucet before freeze potential axists. ? .a?neowa White - City copy Yellow - Resident copy Pink - Contractor copy DATE: MAR 5, 1992 RE: 4017 CAMBERWELL DR N(CENTEX HOMES) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit (or the above property cannot be completed for the following reasons: Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) 6efore issuance. WARNING: BEFORE pIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIpED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATEH TURN ON POLICY. Secretary, Building Inspections Dep[. I?r B a? ? HOU E ATING TEST RECORD ??7 r/ Jr?WL( el/N" ` ADORESS i ApT.-FLOOR dTYSUBURB OCCUPANT OWNER HEAT LOSS OATE HTG. INST. SOLD BY INSTALLED BY Elscfrical Werk &. Got Lino B y TYPE OF HEAT GA _ FA HW _STE AM -SPACE HTR. -UNIT N .-OTHER GAS DESiGN CONVERSION MAKE ??' I MAKE OF BURNER / Moda /!Vig 17 Model Sxial 2 =5-3 I Mex. BTU Ratinq 1• 0 a?• ? INPUT MAKE OF FURNACE ? '± ?- Mod•I ? ".S-+<Fl ? / CONTROLS TNERMO$.TAj Msat Pl Vent Siz• ?? ? up Volva 1??? KIND OF L R ' SIZE NONE Limit 2. 1 f f Drafr Heo Rapulo LimiT SaMinq Zq o Filtms Si:e ber Fan Setting ? g Chimney Loeafioo In da Outaids Pilot Type G vDyl/ L ?imnsy Construcfion ? OS ?i Pilot Make Pilot Model $moke B 6 Wiring Pilm Timing SCc Draft ?? Tssf Tap L.W. Cut Off r poor Prosawe Liphtiny Inat. ?rj? Pressuro < <'? ?• Pereant G Y' "Dab Tesfsd Input CFM Parcent, 0 ?ompeny Tasting Stack Tsmp. Psreant CO ? tio Nams of Tssfer F«m 235 1?5 ? ,?4 I8 5 9 opl=p / 07 J 3% ReQuest Date rrms No gh-m Inspeclion i u? Ready NOw RWIII Noh(y Inspector 4-1-92 Ves C No When fiaatly? I[X hcensed contractor ? owner hereby request mspection of above electrical work at Job Mtlress (Slrcel Box or Rou[e No ) Ciry 4017 Camberwell Ea9an 4cl ion Nn Townslip Name or No Renge No LouMy / OccupantlPRlNp Phone W. Centex HOmes Power Supplier AAtlress Dakota Electric Elecincal CoMractor (COmpany Name) Contrector5 Ucensa No Tkazer Electric, Inc. CA 01110 MaiOng Atltlress IConVatlor or Owner Making Installatwnj 8383 S se Road N.E. Minnea lis P'IIM 55432 Authometl Sgnature IConVact uOwner Making InstallaUOn1 ' Pnone Nomoer 6 wai-4k- 1 784-3729 MINNESOTA STATE BORHD OF EIECTRIGITY THIS INSPECTIDN qEOUEST WILL NOT Grlggs-Mitlwey BIOg. - qoom S113 BE ACCEPTED BYTHE STATE BOARD 1821 Univeniry Ave., SL Paul, MN 55104 UNLESS PROPEP INSPECTION FEE IS Fhone (612) &124800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION °°•e?'t EB-000-01-0e , ?_ 4785 g See nslruceons !or complehng Nis form on back of yellow mpy. &_. ? ???/7`? 'X" Below Work Covered 6y This Request ew Add Rep: ,- 7ypeolBuilding AppliancesWired EqmDmen[Wired 7( Home Fange Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer O[her (Specity) Comm./Industrial Fumace Farm Air Conditioner pher (speciy) Conirector's RemaAS: Compute Inspection Fee Below: ?t ' 01her Fee # Service EntrenceSize Fee # Circuils/FeedeB fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Signs Inspector§ use Ony. _/ TOTAL Irrigation Booms °JO? $86.50 Speciallnspection ?? nlarm/Communication THIS INSTALLATYON MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPLETED WITHIN 78 M HS. I, the Electrical Inspector, hereby cemfy that the above inspection has been made. R°"yh-'" oate !o oata ? ^ OFFICE USE DNLY This repuest wiG 18 months irom y - cS/a& 5a- /0.3077.3 J 3 9 8 2 0ao °° Requesl Oete Fne No ?'`?p RougRm Inapection e wretl? G No ? ReadY No. ill Nahly InSpecip hen ReaEY' I licensed contractor p owner hereby request inspeclion of above elechical work at: Jo0 Atltlress L(S/ir^eel. Box or Rouce 'N/ Cily //?°? V N-J Seclion No Townsm0 Name or No Range No CouMy OccupantlPRl Phone No. Power Supplier I I7 Appress Elech,cal Conva o(COmpany N CqnVacrorS L¢dnu N0. MMan tl ss 1 Vaclor or aking Installalion? ?'E.X9/ ? hothorixetl S ure COnVaclonOwner Making Installai 'zz Plqne Number MINNESOTA STATE BOARD OF ELECTAICITY TMIS INSPECTION REOUEST WILL NOT Grlgga-Mitlway BWg. - floom S173 BE ACGEPTED BYTHE STATE BOARD 1821 University Ave., SC Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone(61Y)802-0BDO ENCLOSED 3?? qa, - REQUEST FOR ELECTRICAL INSPECTION ? See inshuctions br compleung this brm on Dack ai yeilow copg °?^"=? eeaoooi oe ?'' J 9?82 'X " Below Work Covered by This Request ew Add Rep. Typeofeuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric HeaNnq Apt. Buildmq Dryer O[her (Speci}y) Comm./Industrial Furnace Farm Air Conditioner Other syeciy) Conlraclw5 Fem9rks Compute Inspec6on Fee Belaw: #' Olher Fee # ServlceEntranceSize Fee # Ciromis/Feeders Fee Swimming Paol 0 to 200 Amps a to 700 Amps Transformers Above 200 _ Amps Abo Amps Signs inspector5useonry ?yr TAL ? Irn9ation Booms ? OD Special Inspeceon Alarm/Communication TNIS INSTALLATION MAY 6E OR ISCONNECTED IF NOT Other Fee COMPIETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby i Rough-in oata cert ty ihat the above inspection has been made. Finai ? oa?e 'y OFFICE USE ONIY TTis r¢quest wM IB monfis Imm RESIDENTIAL 7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConcWdion ReauiremeMs • 3 registered site surveys showing sq. ft of lot, sq. ft. of lause; and all roofed areas (20°k maximum lol coverage allawed) • 2 copies of plan showing 6eam & window s¢es; poured found design, etc.) • 1 set of Energy Calculalions • 3 copies of Tree Preservation Plan H lot platted after 111193 . Rim Joisl Delail OpBons seledion sheet (bldgs wiUi 3 or less units) I D__F5_- a? RemodeVRaoair Reauirements • 2 copies of plan . 1 setof Energy Calculatbns Mr heated addiUons • i sile survey tor exlenor additiorts & decks . Indicate A home sened by septic system for additwns DATE (D I 2:S I CS1- VALUATION s8co. e?> SITE ADDRESS 410j1 Cc1b ?1911 GAf Ole I V MULTI-FAMILY BLDG _Y \/N TYPE OF WORK9-25'1121°' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 1 STREET ADDRESS 5'0 TELEPHONE # ?'/sL -`f69- 7J1? CELL PHONE # PROPERTYOWNER SAmer TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA R171,ES 7670 CATEGORY 1 MINNNS01'A RUI.ES 7672 (J submission type) . Residential Ventilaflon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: ____ P1umUing syslem uicludes: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor: Air Conditioning Heat Recovcry Systcm I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant Fee: $90.00 ; CCT 2 4 2002 ?'? is agree to comply OFFICE USE ONLY _ Watsr Softener _ Water Heatcr No. of Baths Phonc # _ Lawn Sprinkler _ No. of R.I.13aths CITY ?i`4- STATE /k,- ZIP r5Z'4CK F,vc # 957- - y69 V 7 z r Phone # Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 L OU BL - 0L ' CITY OF EAGAN 0 r/ PLUMBING PERMIT SUSD.?? 1 (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQlIIRED FOR EACH UNIT. ---------------°_--____T -__-----°----------°°---- WORK DESCRIPTION I NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: --5/'eqI/;7 INSTALLER: ADDRESS: 7'Z`-S v9-o • ?? ??? CITY: ??? -;? . zIP: S"&UG 8 PHONE jj: '6Z-6 - SIGNATURE OF PERMITTEE NO 1 ? ? / 1 3 CITY USE ONLY ?$n 3a RfiCEIPT # Eo DATE 3- 30-4 2 AL50, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCNEN SINK 3.00 TAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKI.ER 3.00 W. TURNAROUND 15.00 STATE SURCHt1RGE .50 TOTAL o? p lacs0 D ? s 8 300 TOTAL: S 0 ? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE $: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CTTY OF EAGAN L o202 B11- v MECHANICAL PERMIT SUBD. ?J' (612) 6814675 RECEIPT # /0 5 SL/-f DATE y RESIDENTWL -?-?a PLEASE COMPLETE UPPER PORITON ONLY FOR SINGLE FAMIIY DWELLINGS. ALSO, COMPLEfE FOR TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNTf. OR'NER: &02?1C 1 Weff? FEES STPE ADDRESS: J 6 Q ? I ADD ONJREMODEL (EXISTIIVG CONSTRUCI'ION ONLI) $ 15.00 ? HVAC: 0.100 M BTU 24.00 ,-? INSTALLER: ADDITIONAL 50 M BTO 6.00 / ADDRESS: GA§-OL i I.Et3 - Mi1vIMiTii 1@ $3 •C? ? CI7'Y: SURCHARGE $ -50 SIGNATURE: L TOTAL: $ ? / COMMERCIAL PLEASE COMPLETE THIS PORTiON FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNTl'. WORK DFSCRIPTION: CONTRACf PRICE I FEES 1'k OF CONTRACf FEE ? STATE SURCHARGE IS $.50 FOR EACH s $1,000 OF PERMIT FEE. PROCESSED PIPING - $25•00 r MINIMUM FEE - $23.00 la , cirr oF eac,aN ? 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE ff MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of manth in which re uest is made or lot chan e is re uested once ermit is issued. Date .3 / Z / 9z Yaluation of xark Site Location: STREET STE f ? ? - U Tenant Name• LOT 2- I BLOCK ? SUBD.? L? ° ta P.I.D. # Descri tion of work: 5. ? Al. The applicant is: PKOwner Contractor ? Other co Name Ew T?X PE1D Phone Property usT FIRST VDlLEP6,2 Owner JOAP e2? ??? Address STREET , STE Y AN Zi St t i P e a C ty Company Phone Contractor Address License # DDO/33?3 City State Zip ' Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days nce area has been approved. I hereby acknowledge that I have r thi a pli i and state that the information is app i 1 S e of Minnesota Statutes and City of correct and agree to comply with ! Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE O 01 foundation ? 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE )E(90 New ? 91 Addition ? 92 Alterations OFFICE USE ONLY ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL INFORMATIDN Occupancy R 3 M-) Zoning Const. (Actual) v _ N (A1Towable) v _ N # of Stories Length ? Depth ?g APPROVALS ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem 13 15 Public Fac. ? 96 Move O 97 Demolish ? 99 Undefined Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building 3:3L ns Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing O Wallboard ? Final ? Draintile Permit Fee '7`j7.oo Surcharge 72,50 Plan Review 516. 05 License riwCC SAC '260, o0 City SAC 100.00 Water Conn. bqs, o0 Water Meter 95,00 Road Unit 390,C) 0 Treatment Pl. 3 0 0, uo RD3&-Uflit'14ct.T De.p. 30 , u a P3PIt-9Cd.5*w Pw.c6 3n, o0 Tr3iJs--?.stm s/c s-o Copi es 1.00 Other Total: SAC % SAC Units veiuatid,: $ l y S0 ovo - BASi<- rADpZ = 114 I1 ZS--I I XD`?CR?Qs61PGMt4bl'c.x/s = - 2,<- go --- /qg,?31/ . ? '7J7•U0? 72 •>Qh 5l0•0J? 1•00? ? li>'>•?o? ? 3>7?J.•p`"- 737-00t 7z • so+ 518•u5? 2315,p+ 1•00r >>704•Oix ? 16 Agricultural 0 17 Building Move O 18 Demolition ? 20 Miscellaneous MWCC System YEs City Water e-S PRV Required Booster Pump Fire Sprinkler Census Code to+ SAC Code 0( Assessments ? Insulation ? Fireplace L_ -#- 2i4o ? ** ** ? * PIONEER LANowe..crom•CIVILENGINEERS * engineering.. LANOPLANNEAS- LAND".CI1PE11RCHITEfi3 *?** Certificote of Survey for: CeClteX ___I11_COf?701'C]t2Cj 2422 Enterprise Drfve Mendota HeigMs, MN 55120 (612) 681-1914 Model Name: 2190 ? CAMBRIDGE DR1V? N, - _ - 699.80 S 1203608 E K - - -- - - - l p ? 05'S9 327? 5-91 - - ? ?K ?.• ? K 22.?i? b 1 o w 1POe.5i O p 10p W sed 1 ? lae? 4.oeo w 'p? s? s,Foll6s;L.bY l' 1 I ? 1 1 I 1 1 1 1 z ? tp0,? J ? A ? , ? 1 1 1 1 1 1 ?n ? NN 1 f 1 \ ? ?n;fMtN1-?? 9 ? INA E ?Ill?ttt K ,. ntm \ y oHn _.?a ?i? SXV°t'. S 08q616' E • 900.0 Denotes Existing Elevation PRUPOSED_HOUSE ELEVATION. oo. o Denotes Proposed Elevation Lowest Floor Elevation:896.35 - Denotes Droinage & Utility Easement Top of Block Elevation:904.46 - Denotes Drainage Fiow Direction - - -- -O- Denotes Monument Garage Slab Elevation:904.13 -? Denotes Offset Hub Bearings shown are assumed LOT 22, BLOCK_2 _H_ILLS OF_STONEBRIDGE_ DAKOTA COUNTY, MINNESOTA _3 R D__. A D D I TI O N 1 her'by eertlly Ihet this turvey, plen or report was prepared 6y me er under my direr,t supervisloa end lhet I em duly Registrred lend Surveyor under rhe Inws nf Ihe 51a1e nl Minneaote. Dated thls ZCrP day of TL?R?? A.b. 19?-. i ? SCdle. 11nch_4 feet ? r?L' ?.. {tORFP?B. 1 ?nEG.N0.14l91 P05] 91336.10 ti rlAnnin!] Cw,siqn Irc. i.._.11 Flitthvi?ty .ti) H.C. ?riri 55'152 i ic-_'`.?ir"i 9,^!1 C;{?i•IPi. i`•!U. t"innasota Stata Energy Code Ca1cu3ations Nased cn Chauter 5 u^ tl;e Model Energy CocJc 1?83 Ed i t:on - t:dop'L-ad 1 i 1 i 84 '-i-nn_•r: I"4LEL. 42190 CC1MP1. tJO: :_.(t<: QddrPs•_.= LoT 2Z1 Soc-k -7- 1? H jus oi ?aen Ab-p'N . L::t:':ractorn CEP!?r_;; iQ! ;;='S Phor.e: ,.;c!u. C1K50; H!. A1 for S.'tng1N F'ami?y;nuple;: R2, residential <. 3 stories Qver _ staries Other GGPdC=RAi_ .i.h•1FJ'iMATIOr.t clcate: The s:=ction designations :"Section F5", "Section P" etc.) ar-e sor cor:ver.ience in calculaticns onl;. and are nrrt related frcm onp =et of cal::t.tlatzcn= belca: tc the r:e>:t. 1. r<1rJg, Wal :s F'e:^tiweter >: Wali neights, = Area g.-aund to eave 3ection r-`i . _:. 10.4 = 223. ; 3c.'C i' 2 GPi B . ], 7f3 .13. Ji:S - 2526. 8J se[I:ion r 5wr t i an' 6. 'J i> = C? Gross Wall Area 2755.68 2. Builditrg di.rnensians Fioar or Ceiliny Length >: 4lidth = Area Sectir.,n r-: . 10.t3 2 = 21.6 9ection ts ; 13 < = 26 5EC_tiun C. 1?.8 32 = 67,3.6 SLCy LT o() D i Lt 31 ? 681 Tota2 rloor or ceiliny area = 1363.2 _. Fiim Joist Fer'imeter = 158 rloor joist 2 6y f8", 16", 12" or 16">): 10 Rim Joist flrea = 131.E.666 4. Loors Area: 43.8 Thiclcness (:inr_hes): Cl Perimeter ('fPf3t): Type of coris.ruction: Z. Toc,al donr's perimel-cr: 0 . . 'vJi. n(inwf> :':ail'.:i ;Ci.ll:'?I^; ::.lUcl??2 lll[71^O'ied: Bsrir. urdIT UOiJE:LE lillfJCI5 i•,CJ',i_Nt;7QF T,fpe s. F'ario Doar: V. iatrium: 1. - FAi^p!..7'_._ drF l l.ocai Sy Fi. _ i:l. E>;posed Foundation Flei ght area p: Sq F± area A = F_::posecf Foundation hlei ght area P: Sq Ft area R = ? 1<. Grcass w311 area rai. izus 4Ji ndow area Patio door area Atriuin area Fim ioist area Door area Fireplace area E>:pnsed Found. ? Eraning area cqual s Srq•. IICk 11 i ciL' tvi . ).47 `fES Flet?i•`':'_ ., Lc:riUi_li . iJumbcr - 'T'utn? :?nch??=1 ;Ir,che3 , of r-.i'Iss SGEt Un i. + 5 14 27 4 10.5 28 11-L 4 12.44 is 20 4 8.39 i? 20 4 t._•. 33 22 ?l 8 31.11 2_ 29 4 17.11 28 24 17-0. J 7 2 12.44 ?4 36 4 2<l iJ 15 i 3.13 V U O Cl u o 0 u 0 C) o ?. Windoai r_,lass area fSqFCi = 263.62 1-l2ight .. Length ., tJumt+er = Total ifeecJ (Feet) units SyFt 0 0 U U 6.8 2.8 2 ?S.U(3 Q HL-iqh't: 0 i) r C+.6: Pe rimeter area A:' 154 143.18 0 Ferimeter area P: O 0 SyFt U factor U>: A 2755.68 263.62 0.47 123.9 v 4 0 38.08 0_ 4 7 17.9 131.66666667 0.035 4.61 43.8 0.14 6,13 C) O p 103.10 4.14 14.45 • 275.568 0.069 19.01 1 Q99. ?v?7:J== 0. iL_7 irc, .iR i'ot:?lc= ;?,t• ??ro?=_ wall _re•; _:'r?.:?:'i _ Frc::ninii area is ]!Ji o+ Urr=_s aiall area 13. Gross sca11 area .. fact Qr oe1o+,: = IS .. Fl per c_oc1N Fact:r.r iv ,il far A-1 sinyle +arnilr & dup].e;; .2= Eor A-2 and other re>id2ntial .23 ?or c•ther bt.i:lding= • 23 Fcr over ._ stcries ; accar is: =:.11 - BTUH = 30_:. 1240 IHIJST NE : OR lCalLl.lle1'f.m(J clb(JVV tA. l,ross ceiJ:I r;; are? = 1"b.T.7 15, Cr.=iT.irrrj franilfig ar ea ...% uF ce+,ting .xrea) = 1W.:r: IS- Jcsis!_ Firea ?lU'f, oi cei!inq area5 = 136_32 17. 1•Jet ceiliny area ! Gro5== ceil. arca -:loist area7 = !226.88 18. U ceiling: 0.021 .. NL-t r_oil. area =25,76448 J.`i', 1! sraminge .y.024 r. Joist cire-A = 3.27268 20- Total af item 18 s: item iy = 2",.03636 21. Gross ceiling area r. factor below = U r. A per codP Frctor i=_ .026 for A-I single family .'_< Cuple>: .033 fvr A-2 and other residpntial .06 for othar bui:lditigs FdCtUl^ ? 5: 0..1<<u -- - PTUH = ? : ?3 +3432 MUST EE r t7R = -_?~ ' 29 ? 03616 . . . ? (calculated abov __-_-- U YALUC CAi,CUGATIONS 2 X G/ HIGH `R" SHEATHING Inside air film InCetior wall Insulation Sheattun9 Siding Outside aic PiLu R 1OTAL Inside air film interior vall Stud - 6 ' Sheathi[tig Siding Out-side air film R 1DrAL R YAL[A: U VALUF. (Wall) U = 1 = K _037 WALL JEMK\ Sl[ID SL•GTION [tiM JOIST .G8 .45 19.00 6.0 .G7 .17 26.97 .GO . .45 6.50: (Framing) U = 1 = 6_a R .67 .069 .17 . 1447 Interior air film -60 Insulation 19.00- 1= inch 3oft voa] 1.II0 (Itiw JoisLj U= 1= Sheatiuay • • 6.0 N Exterior wall oovering -67 .035 ExCerior air'L•ilm .17 _ R TOPAG 28.4 EDN. interioc aic film , Insul.atior? . Eoundation (12 ' Block) Exterioc air Eilm R 1OrAL _68 5.00 , 1.28 (Fmadati(xi) U = 1 .17 K 7.13 .14 ;. •CEILING WTl'fI VIIJM A'1TIC SPACE ABOVE ' R YALUE R YALUE FRAMING CEILING 0.61 Ait Film 0.61 36.00 Insulation 44.00 4.38 Soist .56 Ceiling .56 0.61 Air Film , 0.61 41.55 1bta1 R 45.78 .024 U = R .021 CATHEDRAL CEILZNG R VALUE FRAMIIVG R YALUE CEILM 0.61 Inside air film 0.61 .56 Ceiling .56 14.375 Joist(Spacer) - - Insulation 33.85 - Ai.s' Space .50 .67 Roof dec.ki?l9 _61 _06 Felt .06 .94 ShuMle .94 0.17 Outaide air film 0.17 . 16.88 1bta1 R 36-86 .059 R = D .027 windov i.nfiltration .5 cfm/li*+ml foot of ccack Residential dooc infiltration 0.5 cfm/g;oure foot or door and m;n;m•,m oode requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack tb 12" concrete black rto insulatian =.781 R 1.28 double glass = .52 triple glass = .31 All exterior valls and ceilirgs n.st have a vapor bacrier (0.10) perm max.). vapor bacrier must be on the inside (neated side) of rall. Yapor bariers of the polyethelene thin fiLo have no R value. RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD - 55722 ? • "I J??"1 651-681-4675 670"00 l- Naw Construction Reauiremants RemodeVReoair ReaWremeMs • 3 regislered sile surveys showing sq. R ot lot, sq. fl. of house: and all roofed areas • 2 co ies M lan A, (20% maximum lot coveiage allowed) . 1 setot Energy Cakulations for heated additions ? al ?? '? r v I • 2 capies of plan showing beam 8 window s¢es; paured found design, etc.) • 1 sRe survey for ezterior additions & decks • i set o( Energy Calculetiore • Indicate H Irome served by sepdc system kr addiUoris • 3 copies of Tree Presenatbn Plan'rf lat platled after 711193 • Rim Joisl Defail Optbns selectan sheet (bldgs wilh 3 or less units) DATE "ab -QI n VALUATION JOB SITE ADDRESS `-lO R OGLWI OOiI L(Je C( c N IF MULTI•FAMILY BUILDING, HOW MANY UNITfS? PROPERTY OWNER {? Q- ?C' ? G1 1 l.l TYPE OF REPLACE(S) _ 0_ 1Z2 APPLICA PHONE# CaS?I -CP&9UQ 001 ADDRESS SWmc_ el&o CllOv? ZIPCODE --I'3 PAGER # CELL PHONE # r01 a-QqQ- 90 9'0 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNFSOTA RULFS 7672 New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanicai Conhactor: _ Mechanical System Includes: Sewer/Water Confractor. _ Air Conditioning _ Heat Recovery System All above information must be submitted prfor to processing of application. Fee: $90.00 Fee: $70.00 ?P? ? 0 lJ ? I hereby acknowledge that I have read ihis application, state that the informatio? is correct, and agree to comply with all applicable Siate of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applitant Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _ Updated 1I01 _ Water Softener _ ? Water Heater ^ _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 , 01 of _ plex O 04 02-plex ? 05 03-plex O 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex kb 18 Deck ? 11 10.plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Poal ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous i4ill ? 30 Accessory Bldg ? 31 Ext. Alt • Multi O 33 Ect. Alt - SF ? 36 Multi ? 31 New O 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation -240O ` Occupancy i1?3 MC/ES System Census Code X/? Zoning ? City Water SAC Units C#--/ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ( Length Fire Sprinklered -? - Type of Const W idth Footings (new bldg) ?'J Footings(deck) _ Footings(addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing- - _ Fireplace _ R.I. _ Air Test _ Final Insularion Other Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone Windows (new/replacement) Approved By t(X , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Suroherge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS FinallC.O. eL) FioaUNo C.O. _ Plumbing HVAC * ?*4, *PIONEER ? eiigineering.. * *? ? fEr15 2422 Entorprise Drive Mendola I leiglils, MN 55120 (612) 681.1914 Certificate or survey for: Centex,_ Incorporated Modei Nome: 2190 CAMBRIDGE 111ND SVN VEYOR! • CIVII ENGIN[EIfS --_`?- • 900.o benotes Existing Elevation • 9oa_3j Denotes Proposed Elevatton --- Denotes Drainage dc Utility Easement --- Denotes Drainage Flow Dfrection -o- Denotes Monument r 5 1236o8 E x 5 I , 110.97 5 0g"p5'16' E PROPOSED HOUSE EIEVATION Lowest Floor Elevation:896.35 Top of Block Elevation:904.46 Garage Slob Elevation:904.13 -R- Denotes Offset Hub Bearings shown are assumed LOT 22, BLOCK__.2.___. _HIL_LS _OF_ STONEBR.i_DGE_ DAKOTA COUNIY, MINNESOTA 3 RD A D D I TI 0 N 1 hrreby tErlily Ihet thh turvey, plen ar reporl wns prrpeip(l by mu ar undcr my dlirr.t sapneivision snd thel 1 em dvly Regktpred LenA Swveyoy undor ihe Mws nl Ibe Slate of MlnnesMo. Datcd tlds? 6? d»v al F?1SFV?ICY A.D. 19 J.Z_ . S L Q I e. 1 Inch 'O(eeii L i ? ? f(<, ^AI?? B.5 KI . .,nE(3. 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I.ANOM.ANNERS•�,�Hosc�rc`�nc►��tt��s _.�._ �$12I $�1�191+� � �c � Certificate of Survey for: Centex, _ Incorporoted_ � Model Name: 2i 90��� ,�� N• . C�M�.� �R . - " - ___ ._ _ _ • •-•- ""R � 699.60 , S tix'36.�* E � , . � d�'se�� _'_ . j��,�:.._-----•�` $.�1 , � - " �:72• s ,�� — �r• 1K _ __. .. - ' " O .- Z �s) t .. ... .��� " �, �� '"l t J� /3�..(� ll SU/Y��d/� �` �Or a �$ '�U.�1 1 1 � �/✓ /a K�JT l�✓� �(f�3��+5 �.�'!<< lJlZG7� �. Z2.33 b N �po 6.33 P� �,0� b � a � ' C�e.. l preqostd N 'yd �+'� �s yo.3i �—� H�`�S��w}"� 1 ,� '� �.�vti�b°ssi i1 l't�'� J N i 3�.v�' � � � ,�s.o� l �► �H � ''"� �,s; !� ti + ��. � '►.: � ► ,. t� � .L�''� � � � � , ,, + � I��ti ,� , 1 � � �,^ E 1 N �. � i � � � �� 4 1 x l `� �N, �i�i t � �E . �� � i , � � R� � ��.. - . . . .� ,�`,- •• -- '_ _ 1"� . R E���l,�VED � �`� �, ��:_ � � :�._, ._ 9.1���� ._, ,,t r 4,.i , . ;{7#0(�S DiV1510N ty�.- • �A.F \ � MC nN�t ti1H��{ w ----��— � pl�An�Ar,E .Yd'�a �a �i '•++M �R �+�4 � � �; �..N,,•n ^.� r�� f � . ,�� �.. a r�� � .� � . � � - � _.� .•. � ... . -- <� ��' � � � .s • ' �}'' - " � � ;�.i���;��7'� ` i1�9�6' � . S ��� • go�.o penotes Existing ElevaEion PRUPOSED .HOUSE,ECEVATIDM • a?.aj Denotes Praposed Elevation �.owest Fioo� El�evotion:896.35 Deno#es Drainage dc Utitity Ec�seme�t � �� ' --� Denotes Dratnage Flvw Direction �ap of Block Elevation:904.4fi --o— Denotes Monurnent Gnrage Slab El�vatton:904.13 —�— Denotes Offset Hub 8eorings shown ore vssumed L�T. 22, BLOCK ._ _2---_ .NILL� ._C�F_---STONEBRID�E_ bAK�TA COUNTY, MiIyNFSOTA ��� ,q p��T10� 1 fitreby cerlify ihat this swvey,plert or te{iort wea prey�e��d!+y md or u+�der my dtrrr.t s�n►er+vialon snd thal 1 am du�y R�gytrreil'�e�n!ServeYo+ , tt1NIP1 III/!I71Wf O�IIIE SIi1tP,O�MMIIRSOI�.D�ted thk x��di►y ot�1��A.h. 19�Z- i � �C�)�. 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