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4020 Camberwell Dr N?- - - --- ? __._ ? CITY GF EAGAN PERMIT TYPE: 3830 Pilot Knob Road . Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: k!! ;? t I E I` 1 1 s r r:l ? t1? t.? ?"l ?fi l l#d'?.l INSPECTION DA • D• P!EAAlth.S,: Pi.AN RFvf-t40 fttr ,101' tirM. I ;. . ? ; . ? ; 16 ? ?.x5\`??° ? .. ?.,.,?.. ,,..,.. , ,rt ...,... .?.., ? ?? ? Permit Holder Date Telephone # PLUMBING HVAC . Inspection Date Insp. Cpmments FOOTWGS ?ej FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIU TEST BSMT R.I. BSMT FINAL DECK FiG ?FCK FIN/i[_ CITY OF EAGAN PERMIT TYPE: ?I r+I t? t. 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE AaDRESS:i APPLICANT: ??. i:•.i?!i:, ? ldi 1 I 11;, ;y •; I IIA`_' I li PERMIT SUBTYPE: TYPE aF WORK: ?;,. < << INSPECTION .. . D• ; , ? F ? ?? •.: ? ? ? ? t --,. Permtt No. Permit Hoider Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTI NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I_ BSMT FINAL DECK FfG DECK FINAL z ?J6 ? d-e7? /? G ? ? ,?. ., ? _ ? ,..?. ..; 4L:._ ,..., ., This Cernfuare issued pursuant w lite teqairemenls of Section 306 of the Unifonri Building Code certijying rhat at the time of issuance this structure was in campliance with the various ordiirnnces of the City regulaling building conwuclion or uv- For tite following. Uft ckumQuim SF DWG/GAR %%.ramlit No. 24026 OC-PA-7 TYM R-3, M-l. zoming Dwlict PD R-1 TYPVn I??--? .,, APR1L 17, 1992 , affiew P03T IN A CaNSPICUOU5 PWCE k ; 3 ?' . . . . . . . , . ., . . - . . . ... , . , ; CITY OF EAGAN ?? ?-, r•?,?;.? ?• ?'+ ?: ? 3630 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:681-4875 BUILDING`PEi3MIT Receipt # To be use for ? SP D47C./GAt?' Est. Value $141!000 Date JAN 10 , 1992._ Site Address 4020 ??EItWELL UR N Lat I 1 BIaGk 3 Sec/Sub. NIL? OF OFFICE USE ONLY * Parcel Na. STONEBRIDGE RD Occupancy R-3 M-1 FEES zoning PD R1 eldg. Permit 783.00 Nartle CENTEX 8dliES (Actuaq Const V"'N Surcharge 700 ? z Addl'esS 5929 1l?AICER SY'E 47+C? (Allowable) vN Plan Revlew 509?0[) # ol5tories .;i ?(;jty HdIN!'?ET(,12??A ?1 Zip 353lF5 Length 6??1 ucer?se '?.00 ,.? Phone 423-2155 bepih 38' sAC,city 100.? Name S1AME S.F. Total - SAC, nncwcc 71110•09 ? 0 S.F. Footprints r ?Addrm On Site Sewage _ Water Conn 675•oo ?jp On Site well water Meler 95•? ? ? MWCCSystem x Phone ? Acct. Deposit City Watar ???? ? - 3 ? Licenss # 0001333 PRV Required S/W Permit 30•00 I hereby aCknawlege that I have read Ihis applicatipn and state that the Boosler Pump - SMI Surcharge •50 y in(ormation is correct and agres,to oomply,with ali applicable State of 30QM?0 .? Minnesota Statutes and City of Eagan`Ordmances. Treatment PI , Signature o( Permitee APPROVALS Road Unit 380•00 ? A Building Permit is issued to: ?ENTCx s Plenner - park Ded. ? on the express condition that all work shail be done in accordance with all Council applicable State of Minnesota Statutas and City of Eagan Ordmances, Bldg. Off. _ CoPies x Building Official ' - Variance - TOTAL 3,678`00 ' ,` Permit No. Permit Holder Date Telephone # S/q f ? PLUkiBING HVAC rJ * ELECTRIC °° ELECTRI ? c-I ? f?[ 0 av Inspection Date Insp. Comments Footings I %', Foundation 23- Z Framing 2 - _ Z Rooling Rough Plbg. 171 _ y Rough Htg. . ?J Isui. Fireplace Final Htg. 40 14/ Orsat Test Rnal Pibg. Plbg. Inspector - Notify Plumber Const_ Meter EngrJPlan Bldg. Finai Y ? ? Dedt Ftg. Deck Fnal Weli Pr. Disp. Po- "I ' SEWER & WATER PE?MIT pFFICE USE ONLY , CITY`OF EAGAN 3830 Pilot Knob Rd. MErER # ?` ?{z'l PERMiT DATE _o1 / 15 /92 ; ? Eagan, MN 55122-1897 CHIP # ?fg6 ?Rl ?-? PERMIT # 12499 METER SIZE B.P. RECEIPT ' DATE JAN 10. 1992 15SUE DATE B.P. RECEIPT DATE 01 13 92 ? ? PRV - BOOSTER PUMP ' ? SITE ADDRESS 4020 CAMBERWELL DR N : PERMIT REGIUESTED LOT11_BLOGK 3 SEC/SUB HYLLS OF STONEBRIDGE 3RD X SEWER X WATER _ TAPS APPLICANT: ? ADDRESS:_ CITY, STATE I PHONE: _ ZIP - X NEW _ EXISTING N I PLUMBER: PLYMOt1TH PLUMBING INC ADDRESS: 9290 ZACHARY LN I, GITY, STATE MAPLE GROVE MN zIP 55369 ? PHONE: _ 493--_2474 _ prin ? ?er? be Instailed of o sf M n Water Line. L N T ae Deduct Meters. F Y WIYH CITY OF I OWNER: CENTEX HOMES tAtGAN W ,1 ? ADDRESS: 5929 BAKER 5TE 470 CITY, STATE MINNETONKA MN ZIP _55345 ? PHONE: 423-2155 SIGNA WHEN METER ISSUED ??/-?-? W1 ?? i PL A E??LOW ' WO WORKIN??F?C A(]CA4NG. GALL 454-5220 FOR INSPECTIONS. FOR STORM ; SEWER PERMITS, CDNTACT ENGINEERING DEPT. ' - CaMM71ND x RESIDENTIAL _ ? . ,: . ._ . _ ? . : . . : ?, QFFICE USE ONLY ETER# PERMITDATE 01/15I92 ?a iIP # PERMIT # 12495 ETER SI2E B.P. RECEIPT # L. t'?_;. SUE DATE B.P. RECEIPT DATE 01 13/92 ? - PRV - e00STER PUMP .;? APPLICANT: ADDRESS: CITY, STATE PHONE: PLUMBER: _ ADDRESS:_ CITY, STATE PHONE: _ OWNER: ULnTEx n ADDRESS: 5929 BAK CITY, STATE MINNET(7N PHONE: 423-2155 PLEASE ALLOW TWO WORI SEWER PERMITS, CONTACT KwGUL Ux N PERMIT REGIUESTEO HILLS OF STONEBRTDCE 31iD x SEWER X WATER - TAPS COMM/IND X RESIDENTIAL ZIP X NEW _ EXISTING Lawn?n r Meters are be Installed L?BZNG 1NC Ahead of o s M? on Water Line. ? RY LN Cred't L N T? gi4e ,? Deduct Meters. + E MN ZIP 5.5369 ? "? , .,? I AGREE TO COMPLY WI H CITY OF E. S EAGAN ORDINANCES ; S7"E 470 ? MN ZIP 55345 ' SIGNATURE WHEN METER ISSUED G DAYS FOR PROCES5ING. CALL 454-5220 FOR (NSPECTIONS. FOR STaRM ? IGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121 Q0026 BUILDING PEiiM1T PHONE: 681-4675 Receipt # SF Est. Value Site Address 4020 CAMBERWELL DR N Lot 11._ Block _3 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE 3RD N2ff10 CENTEX HOMES Z AddresS 5929 BAKER STE 470 o City MINNETONKA MN Z.ip 0: Name SnnF 0 Address ? citY ZP ? Ph«,e License # 0001333 I here6y acknowlege thal I have read Ihis ap ica' and state that che information is correct end agre o rpoly it / applicable State of Minnesota Statutes and Ciry of an ? Ln c. Signature ol Permitee 6 A Bmlding Permit is issued to: CENTEX OMES on the express condition that all work shall be done in accordance with all applicable State of Minnesota SteWtes and Cny of Eagan Ordinances. Building OfFicial OFFICE USE ONLY Oaupancy R-3 M-1 Zoning PD R-1 BIUg Pertntt (Actual) Const V-N $=rxxge (Allowable) ?N Plan Review a oi stones length Depth S.F. Total S F FaolDrints On Site Sewage On Site well MWGC System Ciry Waler PRV Required . Baosler Pump APPROVALS Planner Council Bldg. Off. 4ariance S2QI 38' Licerse -, ts92_ FEES 7n1_nn 70_50 509.00 5_00 snc, aty 10(1 _ nn SAC, MCWCC 700_ 00 (1 _ WaterConn 675_0 Water Metar 95- 00 X 0 x Acd. DeposR 30.0 _ S/W Permit 30-0 ? - S/W Surcharge .50 Treatmant PI 300_ nn Road Unil 780.00 - Park DeO. Copies 0 - TOTAL 3,678.0 Address: 4020 CAMBERWELL DR fbt llglk 3 Sec/Sub RILLS OF STONEBRIDGE 3 These items were/were not complete at the time of the final inapection. Date: es No InspPrfor- Final grade (6" from siding) F Pexmanent steps - garage Permanent steps - main entry r Permanent driveway ? Permanent gas Sod /seeded grass ? Trail/curb damage Porch ? Basement finish Deck Please varlfy vith tha builder tha removal of roof test caps from the plumbing system and tha shut-off of watar supply to tha outside lawn faucat befora freeze potential exists. ?anwim White - City copy Yellow - Resident copy Pink - Contractor copy ,r c DATE: JAN 15. 1992 RE: 4020 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 70 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 musl be confirmed by Biil Adams or Dirk House (Plumbing Inspectors - 454-5100) before issuance. WARNINCa: 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. ? ? 129 s°" Reque Jet? " C Flr No- Rough-i epw nspecUOn Rre ? azdYNaw Inspector en ea ? ? G yBy I ensed contractor ? owner hereby request inspection of a6ove e e k at• Job PqOress (SireH. Box or Raute N 0 ? Ci m rwe c0on No. Township Nama or No. Ranga No. Cau ?/ ? +/.??- ? W ?"'__ Oc nt IP NT) } ?";?vM? PMne No I Z/ M c., ?? S er5upplier Addrass Elec rcal Conhacmr (COmpany e) CorMa 5 L?ce NO /_ ? l M ACtlre s Con actw or Owner Making Installatron) L uthorrz Signa re ICOnvactor er M ing In5lellaoon) _ ?` PhO?nJe/?NufmOBr / 1/L127/ MI NES TA STATE BOAqD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT Gtlggs ICwsy BWp. - Hoom S1T3 BE ACCEPTED 9Y THE STnTE BOAFD 1821 Un 'eraity Ave., St. Vaul. MN 55100 UNLESS PHOPER INSPEGTION FEE IS P1wne (612) 662-OB00 ENCLOSED 7 7 REUUEST FOR ELECTRICAL INSPECTION `?.,^,yy. 'EqB-0OOOb08 /• ? See nshuchore for compleung this brm on back ol yellow copy J 21 297 "X" 8elow Work Covered by This Requesf ew AStl Rp. Typeof8uildmg AppliancesWVed EqmpmeMWirad Home Range Temporary Service Duplez Water Heater Electric Heffiing Apt. Bwlding Dr r Other (Specity) Comm /Intlustrial urn Farm ir Contlitioner Other (sueciry) o emarka Compute Inspection Fee Belaw. # Other Pee # ServiceEntrance5ae Fee # Ciraiis/Feeders Fee Swimming Pool 0 t0 200 Amps O to 100 Amps - Transformers Above 200 _ Amps Above 100 _ Amps SlgfiS InspeCtor's Use Onry TOTAL 1 5 ' Irrigation BoomS l?, OD Special Inspechon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. R°uyn-in 14 oe?e F,,,ai , e ?,? OFFICE USE DNIY ? This request vad 18 monihs lrom ?s d ,?1 F2 3 ?./i ?e?, ? ? ,? ? Hequest Dale Fim No 9ni-inTinspection 1-22-92 1 4 u,retl? ? ReatlY Now N Wily>eclor hen eaC ves p ? ICE licensed conhactor ? owner hereby request inspection of above electriCal work at: JoU Atltlress (Streat. Box or Routa No.) Qry 4020 Cambexwell Eagan Sec?on No. Townsn?p Name a No. ftarge No County Ocwpent (PRINT) Plrone No. ,Centex Homes PowerSupdier Atldress Dakota Electric Eiecvcal Comractor (GOmOairy Name) Convacmrq License No Lazer Electric, Inc. 041935-8 Mailing Atltlress (COnhactor or OwnerMaking IrrslallaLOn) 8383 Sunset Road N.E., Minneapolis, MN 55432 RotM1Or¢etl $gnature (COnnact /Owner Making Installatwn) Pno" Number 784-3729 MINNESOT115TA7E 60AN0 OF ELEClA1CITY THIS INSPECTION FEOUEST WILL NOT GrlggrMidway BMg. - Noom &tl3 BE ACCEPTED BY THE STATE BOAFD 1821 Unlversily Ave., SY. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS VMne (612) 664-0800 ENCLOSED /7? REQUEST FOR ELECTRICAL INSPECTION ? See msimcbons 1w compleling ihis lotm on back oi yellow mpy. ? `?, E"? i J 8 5 2 3 "X" Beloev Work Covered by This Request ew p'tld Rep: - Typeot6wldirg AppliancesWired' EquipmeniWired X Home Range Temporary Service Duplex water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Av Conditioner Ofher (syecilyl ConVector§ RemaMa: Compute Inspecfion Fee Below: y '. Other Fee # ServiceEMranceSize Fee A" QrcudsiFaeders Fee Swimming Pool 0 to 200 Amps o 100 Amps Trensformers Above 200 _ Amps _ Amps Ab&jjLIOO SignS e Inspec?r4 use OnN TOTA Irrigatron Booms $86.50 Special InSpection Alarm/Communica0on THIS INSTALLATION MAY BE ORO CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M NTHS. I, the Elechical Inspector, bereby Rouqn,un ? ? oale.^ certi that the above ins ection has N a been made. Fa,ai oata OFFlCE USE DNp This requesl voM 18 monihs irom E&OOOpI-08 ? 0 45-7/-,s oyr5?/y? ios? ??s J281 3I 3rJ ?_.yv a?a P" Request Date - _? Flre No Rough-in InSpeclio ??do ? Reatly Now Will No?y Inspeclor R 9 tl 2 ? ? ves G No en ea Y Acensed contractor D owner hereby request inspection of above electrical work at: Job AtltlrBSS (SireeL Bm or Route No ) ll?AcieW 1.1gL Crly Seqion No Township Name or No Range No County OccupanllPRl Phoire No. PowerSupdier r4 AtlGress FlMncal Comrad ompeny Name, ContractorS 4cense No MaAing A ress ICAno q or Qvner Making Installation) 'g f 4<? G1 S?f?3 'z-- Aumonzee Si9naWre ICon orr wner MakIry?tallalion --- / ?fJ? Pnona Number NINNESOTA STAiE BOAHD OF ELECTRIGITY THIS INSPECTION REOUEST WILL NOT Grlgge-MlUway BICg - flaom S113 BE ACCEPTEO BV THE STATE BOARO 1821 Univnelty Ave., St Peul, MN 55104 l1NLESS PROPER INSPECTION FEE IS Phom (612) 642-0800 ENCLOSEO d/r J 28131 REQUEST FOR ELECTRICAL INSPECTION jli? See inghuclmn3 br completing ibis larm on b9ck of yBlbw mp/ X" Below Work Covered by This Request Ea-DO001-08 ew Add Rep. _- TypeofBmltling AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Electric HeaGnq Apt. Bmlding Dryer Other (Specity) Comm./Industrial Furnace Farm An CAndihoner Olher (sVecify) CoMracbr8 Remarke Compute Inspection Fee Bebw: # - Other Fee A ServiceEnlranceSrze Fee # Cirourtsffeeders Fea Swimming Pool 0 to 20D Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs insvecmrs use oniy. TOTAL ?l Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical InspeCtor, hereby certify ihat the above mspection has been made. Rouyn.n Final .. oare oa? ?1j 5 OFFICE USE ONIY TM1is reque3t vaitl 1B rtwnths Irom 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Consiruc6on Reauirements 3 registered sfle surveys showing sq. fl. of lot, sq. tt. of house; and all mofed areas (20°k maximum lot coverage allowed) 2 wpies of plan showing beam & window saes; poured found design, etc. i set otEneigy Calculatbns 3 copies of Tree Preservatbn Plan if lot platted after7lll93 Rim Jmst Detail Options selection sheet (build'mgs with 3 orless units) Minnegasco mechanical venhlation form Remodelhteoair Reouirements 2 copies of plan showing footirzgs, beams, pists 1 set oi Energy Calculations for heated additions 1 site survey ior addi6ons & decks Addfion - mdicafe ilon-sde septic system ? Office Use Oniv Cert ofSurveyRecd _Y _N Tree Pres Plan Recd _ Y' _ N. Tree Pres Required _ Y__ N On-site Seplic Systam _ Y_ N Date_?/ ;a /? ConstructionCost Site Address f1,Q) l.? ('/Q "'1 ")t k-LL N_[ ? r N UniUSte # Description of Work Multi-Family Bldg _ YX N Fireplace(s) _ 0 ? 1 _ 2 Property Owner ???? ?-yy?-? ?R? ..?t q?<r //1? D/7 (/CS t ?" Telephone # ( ) c.s6 l: L Contractor MaarM18F1om OL Address UoMW mtsm City ? State ib"pft 4M! 1fi Zip Telephone #( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submifled In the last 12 monihs, 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 masier plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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 pe 't, and work is not to start without a permit; that the work will be in accordance with the appro plan the cas f work which requires a review and approval of plans. ? Applicant's Printed Name Applic Ys Signature F EAGAN 3 ilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT SITE ADDRESS: P.I.N.: 10-32992-110-03 4020 CAMBERWELL DR N LOT: 11 BLpCK: 3 HILLS OF STONEBRIDGE 3RD DESCRIPTION: "-,, INGROUND 9°Giidi`n?q Permit Type SWIM POOL IBuilding '41ork Type NEW 'Gensus Code--"? 329 NONBLDG STRUCT. . ?, e. „ -.:.,.. ?, . ;=":`; ? t=:7`r?a ra?. :'!?? s,ah;w-;v0 ?..::':1 ?'?U3?1 '`.Ti?}*±?L.:?.:.' ? REMARKS: PLAN REVEWED BY JOE VOELS FEE SUMMARY: VALUATION PERMITTYPE: aurLorne Permit Number: 032217 Date Issued: 0 6/ 11 / 9 8 $12,000 Base Fee $187.25 Surcharge $6.08 7ota1 Fee $193.25 CONTRACTOR: - Applicant - OWNER: PRESTIGE POOLS 14901399 SEIDEL DAVE 3 E I.ITTIE CANApA RD 4020 CAMBERWELL DR N S? PAUL MN 55117 EFGAN MN 55123 (612) 490-1399 (612)681-1561 I I hereby acknowledge that I hava read tha.s ep.p7.icati.on and state Chat th.e ingu"cmation is correct a6ef agr'ee ta'complY wi•t"lh 'ali 'applicab];,e 5tate ofAin. Statutes and City of Eagan Ordinances. ' A ICANT/P ii ITEE SIG URE ISSUED B: IGNATUR " • ' ? 4 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ?? `?•ZC' ? ?? CITY OF EA(}AM y? 3830 PII.OT KNOB RD - 65122 681-4675 New Conshuction Reauirements RemodeVReoair Reauirements ? 3 registered afte surveys ? 2 wpies of pWn ? 2 wpies of plans (inGude beam & window saes; poured fid. design; etc.) • 2 sRe surveys (exterior eddftiona & decks) ? 1 energy celalations ? 1 onergy calculations for healed addktons - ? 3 copies of tree preservaGon plan fl tot pWtted aRer 7N/93 required: _ Yes _ No - DATE: 6 - 3 -9?l DESCRIPTION OF WORK: STREET ADDRESS: CONSTRUCTION COST; 1621 G?C'l0 LOT: BLOCK: 't) SUBD./P.I.D. #: AjI? ?VW jr+a?? Name: SG /QEL D40!5- Phone #: PROPERTY Lazt First owNER yo 20 C',?-n/F,eul?? D/? .cJ . Street Address: Ciry C F? 6 10,-, State: Zip: J S /2-3 Company: PA,997-1LSe /?L S Phone #: `7 9D /.3 ? / CONTRACTOR ARCHI7'ECT/ ENGINEER Street Address: J `_ ? GI 7-7-ez 647`4WA-100 License,N _ City ST??L State: zip: Company: State: Registration #: City Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. ssLr'1 Zip: Penalty appiiestwhen;address chang I hereby acknowledge that I have read this application and sfate that the infortnation is coRect`and agree to comply with ali applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Phone #: - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex O 04 SF Porch ? 09 12-piex ? 05 SF Misc. 0 10 = plex WORK TYPE ,,19131 New ? 32 Addition ? 33 Alterations ? 34 Repair ??? ? • ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Mufti RepaidRem,,Gl'-17 Swim Pool O 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies ' '719taI:V ? . ; % SA SAC l7nits? ; Engineering Variance 23-1 oi ?- Valuation: MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit $ Z, 6(no Lv 9 ,i. . ? . LANO PLANNENS - LIINOSGME 11NUIIIGOl> neer ng 625 Highway 10 Northeas * Bloine, MN 55434 ?. I(B12) 783-1880•Fax 783-1883 ificate of survey far: The Rottluncf Comp(inv, If1C. House Address: Camberwell Driye, Eagan, MN Mode1l Name: Augusta1 cQsio.v.er K1aw.e : IFn.rlee.- .? .\ ,o \ ? ^ \ , , 4? ?? ? a R\ z8 ?R? Ve ?? ?\ ?bs?? 6' ? '?~???• •?? \\ \ ? ? ^ /A/ ? ??V , ?? a i i s?s / 2422 Enterprlse Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 io ? ? ?Q??° ? f 'lw <// A, -- ? S/ i / pqI ? _ ? 4} Q,,R7 04? ?z ^oURSE?B y? N.. ? I X `Td l 11 S s3• j;5.? S8, F XAG.AN ENGINEF.A DEP1. . 900.0 Denotes Existing Elevation \ pROPOSED HOUSE ELEVATION •.9 ?? Denotes Proposed Elevation Lowest Floor Elevation: 886.85 ---- Denotes Drainage & Ut(Ilty Easement ---- - Denates Drainage Flow Directfon Top of Block Elevation:894.96 -o- Denotes Monument Garoge Slab Elevation:894.63 -E3-- Denotes OfFset Hub Bearings shown are assumed LOT 11 , BLOCK 3 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA P LA T 2 I hereby carUly thet this furvey, D?an or report as preparad byT e or under my direct supa vi9oo end that 1 em duiy Registered lsnA Surveyar under tl?e levn of the Stale of Mlnnesote. Daled thlm T? dey ol _ JV??F A.D. 19, . / S C d le. 1 lnch _ 3 O teet \ \ ? ()) ?O K- REO. NO. 14891 * Pion ? engin *4t ** LI1ND PLANNERS CIVIL ENGINEERS ARCHITECTS Certificate of Survey for: CEnteX, Incorporated 90o z3 iv House Address: 4020 Camberwell Drive North Eagan. MN Model Name: 2190 ' N 87°19'47" E 154.39 yoa °?'__,. U 7?+ 4oi I r - ----------- I . 1 u w I ... o $ S N I 1? 2.0 ,. ? 00 N Coo I 141 1 ? z I ?---- ? x voo, h ;, 51 _ ?c L_-------------? w C> A F o z m - Nm ? i = m I B9B.7 IRb 90.'l, A I Ao 5oo,ro ? '` N y 1 1 1 ? 1 1 ?-- a '- '.iP 169.25 S 87°i9'47" W I I Il ?7 - 900.0 Denotes • eoo.o Denotes Denotes Denotes -o-- Denotes Existing Elevation Proposed Elevation Drainage & Utility Easement Drvinage Flow Direction Monument 2422 Enterprise Dr(ve Mendota Heights, MN 55720 (612) 681-7914 I ? ao I ? I 30 I ? n I b9a?3 II p ? ? I 11 ?? ? a ? 1 o N ? N I ? T 1 1 ,,n ?w 1 r y 1 ? Q ? ? 0 1 C rp ? 1 Z ? ? O qoo,aa 1 = ? 1 ? 1 1 ? ? PROPOSED HOUSE ELEVATION Lowest Floor Elevation:902.92 Top of Block Elevatlon:910.96 Garage Slab Elevation:910.63 -$-- Denotes Offset Hub Bearings shown are assumed LOT 11 , BLOCK 3 HILLS OF STONEBRIDGE DAKOTA COIJNTY, MINNESOTA 3 R D A D D I TI 0 N 1 hereby cerdfy chet thiz survey, plan or report w.?as pr!epared by me or under my direct zupervlsion end thet 1 em duiy Registered Lend Surveyor under tha lews of the Slete vf Mlnnnote. Dated lhls ?d le?? dey of A.D. 19.??' . Rev I-G-qz: Add Ex?c{. Ele,s. / Scale. 1??Ch°?OfeO{ nOBERTB.SIKI L.S.REG.NO.]ae91 105 91336.06 1\ ,Q ? CITY- 6F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: (?,I?O*3051 [%71195 BUILDINfi 025828 06/16/95 SITE ADDRESS: P.I.N.: 10-32992-110-03 DESCRIPTION: 4020 CAMBERWELL LOT: 11 BLOCK: 3 HILLS OF STONEBRIDGE f--,, Building--permit Type J6uilding Wo.r.k Type ;c \,?'-.OR N J? i \L. _ 3RD DECK NEW ;:.M',?{.j REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - SEIDEI DAVID 4020 CAMBERWELL DR N EAGAN MN 55123 (612)223-4396 I hereby acknowledge that I have read this application and state that the information is correct and agree tn comply with all applicable State of Mn. Statutes and City afi Eagan OrcYinanaes. APPLICANT/PERMITEE SIGNATURE ISSUED B. IG URET 1 _ . . _--?--- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ?ozo ? 3 regiatered aite aurvap ? 2 wpies of plen ? 2 copbs ot plana (include beam 8 wirnlow aizee; poured fnd. design; etc.) ? 2 site surveys (exlarior additions 8 dacks) ? 1 ernrgy eelwlationa ? 7 enerpy ealwlatbns tor Mated additions ? 3 copies ot Uee prpervation plan d lot pletted aftar 711193 required: _ Yes _ No DATE: 3.V195 CONSTRUCTION COST: 04o DESCRIPTION OF WORK: STREET ADDRESS: '?rrv,A? BLOCK I 1 LOT 3 lP #: SUBD I D VV °'k 3r? AVL&"jkOn _ _ . . . . _ (,9x -%9.•% Qst\ PROPERTY Name: !52- Phone #: '27-23-41910 U"'N OWNER StreetAddress• G?.-.b?.u??,? L1.r? ?o City: ? State: Zip; SS2'3 CONTRACTOR Company: N k Phone #: Street Address: License #* Ciry: State: ARCHITECTI Company: Nk ENGINEER Name: Zip• Phone #• Registration #0 Street Address, City: State: Zip: Sewer & water licensed plumber: P4 'P'S . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state Mat the infortnation is correct and agree to wmply with ail applicable State of Minnesota Statutes and City of Eagan OMinances. ^? `? (1 ?C Signature of Applicant: OFFICE USE ONLY RILCI?tVED) Certificates of Survey Received _ Yes _ No JUN 0IP 1995 Tree Preservation Plan Received _ Yes _ No --------------- OFFICE USE ONLY BUILDING PERMIT TYPE o 01 Foundation o 06 Duplex 0 02 SF Dwelling a 07 4-plex 0 03 SF Addition o OS 8-plex o 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 _ plex WORK TYPE G"1 New o 33 Afterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 11 Apt./Lodging o 0 12 Multi RepaidRem. ? 0 13 GaragelAccessory o ? 14 Firepiace o G6-15 Deck 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: w Valuation: $ / y00 ...,-?. - 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinkiered PRV Booster Pump -7-17 Census Code. SAC Code o/ Census Bldg Census Unit O % SAC 5AC Units ? CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE:y+(??6y/1k2?!p)y? 45ry4?1-p8100 r:.:'"i; :??{.?l'4,Y!lT;::k',a,'.?A.!k?.kaC. 3?d PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH DNIT. ----- ----------------------------------------------------- WORK DESCRIPTION NEW CONST !K ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: IAT:-/--/ BIACK 3 SUBD. INSTALLER: ADDRESS CITY:A ?ZIP: .SrSO65 gg PHONE #: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL L ADD-ON MINIMUM 15.00 SHOWER 3.00 ? d Q ? WATER CLOSET 3.00 '901?, ? BATH TUB 3.00 6100 ? IAVATORY 3.00 )9,eQO KITCHEN SINK 3.00 ?Q¢ IAUNDRY TRAY 3.00 ?d0 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 FLOOR DRAIN 3.00 -,500 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 510-0 ROUGH OPENINGS 1.50 ?Q OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 T? `J U SUBTOTAL $ ST. SURCHARGE .50 TOTAL: $ ?D •D d ?(7MI?fERC.?A?fXNAQSTBTALi; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING UNZT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FOR CITY USE ONLY PERMIT # RECEIPT DATE: z( FEES 18 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) . 2-5-9z 016 CZTY OF EAGAN 3830 PZIAT KNOB BOAD EAGAN, MN 55122 PHONE: (612) 45#l8t00 .. ..... Wq??????:?.:.w.. y475 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: PLEA5E COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 ? ??._.:....,:.... , > ....._? < TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------------------------------------------------- WORK DESCRIPTION NEW CONST x ADD ON REPAIR OWNER NAME: CENTEX HOMES SITE ADDRESS: 4020 Camberwell Drive IAT: 11 BLOCK 3 SUBD. StonebAdee 3a- INSTALLER: _RAY N. WELTER HEATING C0. ADDRESS: 4637 Chicag o Ave. So, CITY: MPls. zIP: 55407-3592 PHONE #: 825-6867 FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS DUTLETS - MINIMUM (2) 3.00 °Furnace & OF 1 PER PERMIT Gas Log. SUBTOTAL: $ 33.00 STATE SURCHARGE: 33.50 TOTAL: $ 33.50 ? SIGNATURE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS:_ LOT: BLOCK _ INSTALLER: ADDRESS: CITY: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SIIRCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. PROCESSEI3 PIPING = $25.00 SUBD. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE ZIP: TOTAL: $ ( S I GNATiTRE ) CITY OF EAGAN CTI'Y OF EAGAN L ?i B 3 CHANICAL PERMIT RECEIPT #/U SUBD. ? (612) 681-4675 DATE RESIDEIVTIAL PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLEl'E FOR TOWNHOMES/CONDOS R'HEN SEPARATE PERMII'S ARE REQUIRED FOR EACH DWELLING iJTTIT. owxae: Dq„e S"AA FEEs SITE ADDRFSS: No. ?n?nbet.-.e1` ADD ON/REMODEL (E7IISTING CONSTRUCfION ONL1) $ 15•00 INSTALI,ER: \1ea?,., HVAC: 0-100 M BT[J 24.00 PHONE ?k: G? - ?3\ ` ADDITTONAL 50 M BTU 6.00 ADDRESS: \`f123 S,?aa\ 1`1 N GAS OU1'L?T3 - MINIIKiUM 1@ $3 EA. ZIP: .55?o SURCHARGE $ ? L71G:NATURF- TOTAL: S? 4. 5a /q I a V ! /I?.Ll.tinmlX.O'1 t/.OV PLEASE COMPLETE THIS PORTION FOR ALY, COMMERCIALlINDUSTRLIL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UIQIT. R'ORK DFSCRIPTION: CONTRACf PRICE FEES 196 OF CONTRAGT FE& STATE,SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. PROCFSSED PIPING -, $25.00 ?IIIQIMUM FEE - $25.00 ; ? . . loo?? . ? 91 BIIILDING PERMIT AP CATION .. ?,? CZTY OF EAGAN SINGLE FAMILY DWELL GS M[TLTIPLE DWELLINGS CUHIiER'CIAL SETS OF PIANS 2 SETS OF PIANS 2rSETS OFiARCHITEGTURtI'L 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL?#P-IANS; 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1'SET OF SEBGIF$ICATIONS 1 SET OF ENERGY CALGITIATIONS '1 :SET,OF'rENERGY iCALCS _# OF RENTAL UNITS # OF fOR SAI.E UNITS M'. ? _ 6r F a5?.i PENALTY APPLIES RHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT''P:ICKED'.UP''BY;°IASTt?WORKIHG DAY OF MONTH IN WHICH REQUEST IS MADE. C'-?? .+ ?.. IAT CHANGE IS REQUESTED ONCE PERMIT IS TSSUED: NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNAT '' 'CHYADDRESS;:IS., DESIRED. G S WILL B AL WED C IN I+T•:, , PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWO DAYS ONCE:A,P 'HAS"'BEENO'GQMPI:ETE,? ? ,lait PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: /ykY+' 40^6?7--_ Valuation: Sit Addxess LI?JZa Cf1/YIIe&,feW?GL f? 3 -BrR. Lot -W siock--? H tu, s oF &rcel/SubJ?'U 4DD Owner Address Ci'ty/Zip Code IrIi Phone Contractor Addres City/2 Phone Arch./ Addres City/Z Phone # 5ewe /Wat i n tSienature of /yl, oao ? Occupancy Zoning Actual Const Allowable # of storiea Length Depth S.F. Total •Footorint S.F. USE-ONLY .?'r' ? LA-?-,?; Q- ?- { ";B:1dg. Peimitr PD -(R-l 4Surcharge', 'Pl;an Revlew,;, V+x/ ; -SAC, Cify.; , SAC, t4WCC 4990!' :4Jater Coiui ° ?., .36, ?f;.,:. Water- Me£e . On site seaoage / On site well L MWCC System 1e:f City watar E? PRV _ Booster Pump _ APPROOAIS _ Planner _ Council Bldg. Off. Variance _ Sjw Peimit:`i?_w iS/W, Swrcharge'.+.: " "b'o ?. Treatment ;P,1:'? Road Uni,t', ; ?; $ark Ded. Trail. Dad. : ?Copie's", SOBTOTAI.:. =Yenalty t , ? ,L•ot" Change ; A' ,TOTAL `. , 9 agrees that alI aotk shall be sloneiriFacc'oXdance _with all applicable State of Minnesota Statutes and City of Eagan Ordinances * * * i( . 2422 Enterprise Drive 't PIONEER Mendota Heights, MN 55120 LRNp SURV EYORS • CI V ll ENGINEERS *eng*eeringr• LANDPLANNEHS- LANOSCAPEPRCHITECTS Cop1'1^1• ? ? ? ? * ?c # Certificate of Survey for: CBfltex, Incorporated House Address: 4020 Camberwell Drive North Eagan MN Model Name: 2190 iv I ? I I ? 30 1 30 ? C) ? ? N 87°19'47" E 9e.? I II ? I ? 154.39 J D ? ? Q3 I r --"' I 1 J w c m p ? 10 ? ?- I p w ? ? • ?.7 ` ? ? w?76Y m ?? CP ` 1r ? 5 0 r- w ° Z° o I ? I F o 2° 1 ?°' ` t J1 ? OO Lri °°o Nrn 32.64 ? L ---------------` 38.e2 (9:0i.o 169.25 1 1 ? S 87°19'47" W I 1 ? I i I J ? RE E $y Date EAGAN ENGIIdEERIIdG DE]PT • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • soo.o Denotes Proposed Elevation Lowest Floor Elevation:902.92 Denotes Drainage & Utility Eosement Top of Block Elevation: 910.96 - Denotes Drainage Flow Direction --- Denotes Monument Garage Slab Elevation:910.63 -a- Denotes Offset Hub Bearings shown are assumed LOT 11 , BLOCK _ 3 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION I here6y certify that thlf nurvey, Olan or report was prepered by me or under my direct supervision and that 1 am duly Registered Lend Surveyor under the lewe of the State at Mlnnnote. Ueted thist4l day of ? A.1). ? // • L•/t"d^? Scale. l??Ch°30fBBf ROBERTB.SiKI L.S.REG.N014991 IT1 05 91336.06 e r i'.l,annxnp ?io::i.gn Lrv_. I i:1 i 1ILV"i'j' I ':J 11 .4... N1llflf:..lpr7.l].S, MN 55132 C:, i v _'.0f. _. 1920 cr<i°tl. r.sO_ r.tinirosota StaL':= Erergy Cc,de Calculal:ion=_ };tae:vr,' on Chapto;- 5 u+ the Ptcdel Energy Coc!e• 1493 Edit.iun -•- r':d4p1ted 'li.l/31 .. no;': hIOTiE.I. 4040 r.l?ht^i. fdO; .-. ;_,: F1,;ti,-e_;-_;: I.,aj ti ja&?!>K 3 H I u.s o?-sr?=?,1c,E 3?? Ana?? ,_??it'•:r.-;C:!.;nr-? / rF:r,1iF.'; I1i1111tLi I-'i,?It,: '.d,;. ci-+''=' F+t A1 Fc,r- i;inr71;= Farnily;nup:e.?; R2, resideritial . _ st:.nrins C]ver ._ stories f!ther GENCcR611_ iPd!=LP:N;r-TSOr.! Nc.,t.e: 'f'hct r4-`CtlOfi ijESlqllLitJ.G71"1? ;"kiECtllUfl A,', "5ect.icm F.t" etc.Y arF fnr- :_urr;rar._ence in ca:Lc:;_i1aL-ions ority, and a.-e noL relakcci rram e.nn set ?+ c:=:].,.ulak.zc:nnc_ 1,c=1ui.: kr: khe ne.:t. J. Bldg., Wa:ll.s F'nrimeter .; Wall Fieights, = Flrea greund to ea•:e :iiszr_t;on r-1 . _.. tO.ra = 2'2 0 .,3 S<ri t.i .in ii . 1_"5 1£S. S:i = 252P,. _r_c;:.ian C . i rr `nction' D . .. Ci Gr-oss Wa11 Area 2755.68 _. t3uildinn c1i.mensicins Fluer or L"ei 1 i nt3 Lc>rtqth :. 41idi:h = F1i-ea Sc•CtlQn Fl , l'_',8 s.' _ 'c'l.f f3er_tion a . 1' ^ _ 26 +e .r_ t i un C. 19. 9 ;:L: = fa:;.; . F•, SecL-ir.in C: . 22 31 = 682 7'oCa1 'lour or ceiliny area = 1563.:: .. . Ri rn 3ei st -'`e!• i irieter = 153 'rlaor _7oist. 2 by 18", 10", 12" or 16")): lC) C:im Joist Area = 131.6666 v. Loors 6rca: 43.8 Thic:4:nESS !:i.nchesi: C+ Ferimater (fPf:rt): :) 1',pe cr5 r_onytructic:nc :;. To't.ai dqnr's perimc:l_er: 0 Wj nrirn•i=> r l ? .ll"''Y'. I:J;:1.111I???-L_.i? 11 '?cIC._ _ -Y i-r. 0.4: ;.,., _ .... , ;p;ar-r,,;;ad: Yf',^. tIt1C,;h- , I..u Ul,ii.li idt:trdbur- ... iri'La1 ..nCl'1ti=s1. (.ln:_hr:sn af ri.::r35 aqFt i.irr i. ts ,_t;:MT. uri 1 r 14 ^z a io.s UJLJLtL.:' ( IIl!J(.;S ;'Zi 16 4 12.44 10 20 4 8.09 2-1 ? 2i 4 1:,.-.. ., 'r4J ^ ? t! ? L { ?ij.1y •..u. i, r,41 /' 'Y 17.11 20 GH 24 1=67 2f3 _._ .:_ 1:.44 .'"a 36 +3 ''?r} i+f?iJiL', i fJt' - lS 7.5 2 .1.' ?i O <, 0 O 0 ! + Q t.i r) ,. W:ni;Uv.J (.ylAS°: aY'EcY (SqFI .) _ ;?b.:.f.:i: r•,'i-;, I-Ieight . l..ength ., fJumber = 1"ota.l ('t'BE•l) !f'BE3f.) I..1f71't'2. JqFt S. Pal;,l'J DL7Cy^L i) .1 0 U V. iltr: urn: 6.8 2.8 2 10. h=Ur>P!."•:et ,_nr'te?t . "%:. rI't: i 1: 0 ' I'I oS CI h'F. : I i IO i1.81 Sq f' i. = t"j r 'r"<posed F'oundatiori Fleight area A: 0.67 Pe rimeter ar ea A:' 154 Sq Pr area A= I0I. tP f-=„pozec! Fnuridation Fleiqht area Bc O Fe rimeter ar ea P: p Sq t=t area R = L) 12' SyFt U factor U:: A G? OSB vaal l area 2755.68 rn.i. itus Wir:doaa area 263.62 0.47 123.9 PnC.iu doer ai-ea 0 0 0 Atriuum area 38.08 0.47 17.9 t;:im joist area 131.66666667 0.033 4.61 Luor area 43.8 0.14 6.13 1=irepl<ice arr=a G n 0 F>:posed Found. 103.10 0.14 14.4 ri k Nraraing area • 275.562 0.069 14.01 cquals vt...._ fca nr•t ria11: 1E399_7653033 0.037 70.:9 T f - o!' g1`uS>Li 4J<i1?.1. :;I'f'?d.. .I p ? f:r 21!'Lii l^ O¢' ,I`'n_m Wi:ll l Li("N.4i 10. (JI'U:>':i r-._1 il iiY"ec. ., t'r1C'f:pi" tlF?j 0:'! -- U ., , A pf3r '_nd4'.? Par1.nr as .;ifar A-.l sinyle +amilV . duplc?:; .?Z for A-< nnd otfic=z- rEs.irJentia: .23 for i.,'.hE=.r- hiuldings .:"J for over _ sLOries. toccor ?4: 0.11 DT;iH 1240' I•1CJ51' LtL. :: ?R = \ j 206.29 ?ca.lc:i.ilar.etd abuv:=; J 14. I:il^rJ:d3 LF.':i', iI i;l WLr.i - ' L ..5". .' 0. rP.' i 1 i tt :._) Friqi11'ig i'iY' C•" ,. ., of 1.:4'j : i 17(. alY'E'c.) ... I 'b. _. 16. OO.L u+_ i-Y'Bci ( j'.li 4'4 lE'1 lli:q cii'Bci) - j .'.,b ..'... 17. ME`t Ce 2lAft_j c:Y'k'd ( BC"Ut°0_'. CC?11. e:l'C:N " Jp1-t cif'<•8y =. I226.813 ls, iJ cei l inc.l: t!.021 ,. Ne'!_ c;ii I.. ar-ea -=21.7644EI J'-r. IJ fram ing. ti,!'t::,'•t >; Jciist cirea = _.2716i.3 20• fotal of icem :l8 >: item iy = 2•.>.03516 :1. Gr•us- c_ei.liny ar-ea ;; t=actor below = U;: Aper codca raccor .i= ,026 for R-1 single fami.ly & dLIF7lp?;: ,033 for A-2 anc: other residential .Cyb for othf,r ou.ildinns FdcCllor :.G: 0.026 EI7'UH =- 35.4432 MUST H6 :> OF = ;":?, i?r,:,; (c?lci.ilateh abuve) . ' 2 X G? bIQH ftR" SHE.ATtiINCs WALL .riCGTION STUD SL'.CPION ItZM JOISP CDN_ u vnr,uc cnr,cur.n•riaNS Inside aic Pilm Inl•erior wall InsulaCion Sheathing Siding Outside air EiLo R 1OTAG R YALUI•: .613 .45 19.00 6.0 .G7 _17 26.97 (Wall) u vnr,ur•, U = l. _ H .037 Inside air film -60 • Interioc vall .45 SCud - 6" 6.50: (L'rauung) u= 1= Sheathing 6.0 ?s Siding ' .67 • .069 Oul-side air L'ilm .17 ' R TOTA[. 107 InL-erior air film .68 Insulation 19.00 1 Z inch 3oLC vood 1.80 {Etiu Joisl?j U= l. _ Sheatlung • • 6.0 tt CxCerior wall covering -67 .035 GxCerior air Li.Ln .17 R TOTAL 28.4 Interior air film Insulation . LOUndaL'iOR (12 " IIlock) Extecior air fiLu R TOT11L .68 5.00 • 1.23 (Coundatioti) [I = 1 .17 !t 7.13 -14 CEZLING WITd YFNPID A7TIC SPACE ABOVE R YAL[IE R VALUE FIi1+MIIVG CEILING 0.61 Air Film 0.61 36.00 Insulation 44.00 4.38 Joist .56 Ceiling .56 0.61 Air Film 0.61 41.55 Zbtal R 45.78 .oz4 U = R .021 CATEMDRAL CEILING R VALUE R YALQE E'RAMING CEILIL9G 0.61 Inside air film 0.61 .56 Ceiling .56 14.375 Joist(Spacer) - - Insulation 33.85 - Air spaoe .50 .67 Roof decking .67 .06 Felt .06 .44 Shingle .94 0.17 Outside air film 0.17 16.88 lbtal R 36.86 .059 R = U .027 Windw i.nfiltration .5 cfm/lineal foot of crack Residential door infiltratirn 0.5 cfm/square foot or door and ????m= code req,;rement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub lZ" concrete blocic no insulation =.781 R 1.28 double qlass = .52 triple glass = .31 All ezterior walls and ceilings must have a vapor Garrier (0.10) perm max.). Yapoc barrier must be on the inside (heated side) of vall. Vapor bariers of the polyethelene thin film have no R value. PERMIT # t' ,Z?r 7 D "J RECEIPTDATE: 41 - ;_9 DI USIDENTIAL PLUM$INfi MMTf APP11CATIOR crrY oF EAsm saso Paor icivos xn EAsa?x, agr 55is2 651-881-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : TELEPHONE #: G?A(5Q7--1SzS? INSTALLER NAME: WeoA ?rJBI.\ TELEPHONE #: (AREA CODE) STREETADDRESS: nSo? a-U.1Y?,'f?w1 CITY: STATE: AN),) ZIP: OZz Place a check mark next to the oermit work tvue New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new instailation/repair/rebuild of RPZ • lawn irrigation system • water tupQround e ) c ? ? ? leJV? 1` Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license (? ?pp\ l State Surcharge ,g ; `? ' ? ,l+? 1 ' $ .50 7 V?? ?UN 2 l ' ?? Total $ Reminder. Be sure to sehedule inspections of alterations, i.e. water heat?,-aivater softeners, etc. BY--_` I here6y acknowledge that I have read this application, state lhat fhe information is correct, and agree to complywith all applirable Ciry of Eagan ordinances. It is the applicanCs responsibility to nolify ihe property owner that the City of Eagan assumes no 0111abilityfor d a caused y the Ciry during its normal operatlonal and mainlenance actiwlies to the facilities consWcted under ihis permil within Cito t. SIGNAERMITTEE Updated 1I01 t? RESIDENTIAL BUILDING PERMIT APPLICATION ? yJ?-UV q cin oF e,acnN 3830 PILOT KNOB RD • 55122 657-681-4675 ,.'r New ConalrucUon Reauiremenb • 3 registered site surveys efrowing sa. R. ot lot, sq. IC of haise; and a0 roofed areas (20% maxuniun bt coverage allowed) . 2 copies of pian ahaxing beam & wirMow sizes; poured fouM design, etcJ • isetofEnergyCalculations • 3 copies of Tree Preservatbn Plan'rf lot platled afier 717/93 . Rim Joist Deta9 Opfb's selection sheet (Wdgs with 3 or less unils) DATE ? - 2 1- O ( JOB SITE ADDRESS ?0 ;?-(7 COy{'l4g:e%it/Lc IF MULTI-fAMILY BUILDING, HOW c PROPERTY OWNER3FW "4) TYPE OF UNITS? ? l a 1C), 35 Cold 5'1;'01 RemodaUReoair ReautremeMa ? . 2 caples of plan . 7 set M Energy Catculatans for heated additlons • 1 site wney for exWia addiUore 8 dedcs . hdicele if home served by septic syslem for additions N (P0 , 0 CPO '._ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT v? ? , !,,V??5???i? ?n)Si • PHONE#lSl-- Z12 l ADDRESS J??S C u;=;r- jf.O H-D ZIP CODE SS a3 PAGER # CELL PHONE # FaX # 657/- VSy J y3 S- NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RUI.FS 7670 CA'I'EGORY 1 (check one) - ResidenUal VentilaUon Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Conhactor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Water Softener _ _ Water Heater ? No. of Baths Air Conditioning Heat Rccovery System All above informaUon must be submitted prior to processing of application. Phone # Fee: $70.00 I hereby acknowledge that I have read this appiication, state that t nfib mation is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eaga Ordi ei ces. Signature of Applica Certificates of Survey Received _ Tree Preservation Plan L-W _ Not Required _ upeated 1101 (r ? fl '?+I ?F U Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # OFFICE USE ONLY 0 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03•plex 0 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 08-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex O 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 72-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) w 22 PorchlAddn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous r ? !? y O 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding ? 32 Additlon ? 36 Move Bldg. O 42 Demolish (FoundaUon) ? 45 Fire Repair ? 33 Alteradon ? 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Glva PCA handout to applicant Valuation 0C2? Occupancy 3 MC/ES System Census Code Zoning 10^ 7) Ciry Water SAC Units ? Stories .2. Booster Pump Nbr. of Units ? Sq. Ft. 2- PRV 2 .9- Nbr. of Bldgs Length ? Fire Sprinklered Type of Const ? s: W idth ? REQUIRED INSPECTIONS _ Footings (new bldg) Footings(deck) FinaUNo C.O. ? Footings (addition) Plumbing ? Foundation HVAC Drain Tile Roof Ice & Water Final t Framing- - Fireplace _ RI. _ Air Test _ Final ?j Insulation Approved By Z?z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Final/C.O. ? Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) ikk (?tRguq C_, Si°fi?- Gb ,?a a? x 6? ?., 3 s a? )-xs a ? ?,? = ? Ks?= tq 6s? c? aooo ?-? ?? S? G74- 5ew- _---_ ? o?I2? Form for use with Minnesota Rules part 7670.0475, Subp. 2 1& 2 Family Residential "Cookbook" Method SiTE ADDRE55 _ City 25;1611-d BUILDER *tv1 l4J??CM?•fTS Gc9?tyT?T16N Dah GJ?I9Im Minimum Criteria: Rim Joisc: R-19 insulation Foundawn Vrindows: lnsulated glass, 1/2" air space, wood or vinyt frame Encry doocs: I3/a inch solid wood wi[h storm or better I STEP 1 Window & Door Area I Total Window & Door Area in Sq. Feet WINDOWS (including foundation windows): Dimensions Qnty. Area ,t x GJLbi" (i9,f) vDN x .56„ ? ?" X 2?" 2 ? v Z'-0 X ( ?o ?fj'pN x 9/LrsN ?1'?D x x % X X x DOORS: 6'a x 6-v" I 480 X x Total Area of Window & Doors 1667-6 A Total Wall Area in Sq. Ft. Wall Total Perimeter Height Area llpi0 D 19b5,0 Total Area nf wall MD B STEP 2 Calculate area as a percent of wall Box A(window & door area) divided by Box B(total wall area) times 100 equals the window and door area as a pereent of wall area (Box C). BoxA 11;b, D x 100= sox B RO?D (A??%C STEP 3 Design Features ASSEMBLY OPTION FRAME WALL: STANDARD FRAMING ? ADVANCED FRAMING CAVITY 1NSilLATION R- p SHEATNING: LF-SS THAN R-5 ? R-5 OR MORE WINDOWS (except foundation windows): U-FACi'OR From the table, determine the maximum percent window & door area for the design options selected and enter the value in box D below: Box C must be less than or equal to Box D V 2422 EnterprIse Drive Mendota Helghts, MN 55120 E? LAND SVRYEY0115 • qNL ENCNEERS (612) 681-1914•fO% 681-9488 neer ng w+o vuwNens • w+oscnve uianhcis 825 Htghway 10 Northeost * Blalne, MN 55434 7f (812) 783-1880•fax 783-1883 of survey for: The Rottlunci Company, Inc. House Address: Camberwell Driye. Eagan. MN Model Name: Augusta cvs?o...er NI(,w.e ; Fa.Iaer \ ?. ?. , 41 D _ Rl s?_ ?,\ ? bs3? ? _ VE 0ry ? \ S? ^ i ? , C7 ? v I L ? / nAht)"4} C4'?1 ar, \ \ ? "?df ?? ? 1 1-70 / u - °f \ vf, 7a / 63. SB..f ?J . 900.0 Denotes Existing Elevation •Ika Denotes Proposed Elevation -- Denotes Drainage k Utliity Easement Denotes Drafnage Flow Directlon • -o- Denotes Monument a- Denotes Offset Hub Bearfngs shown ? ? JJ1a -. I ? \ ?ry ? ? ? W16r ? I yN ? /? ?' ^ry By RAGAN EN, DEP1. \ PROP05ED HOUSE EIEVATION Lowest Ffoor Elevation:886.85 Top of Block Elevation:894.96 Garage Slab Elevat(on: -894- -.63- - - are assumed LOT 11 , BLOCK 3 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA P L A T 2 I herelry cuUly that thlf survey, plan or report? s p?repared by e or under my ?lirect mpe vitlon end thet 1 em duly qephtered LenA Surveyor unAer tlie lews ol the State ol Mlnnesote. Oated thli-.I 2+? dey ol ONF A.D. 19 L, ? ?. SCdle: 11nc11,30fee1 K- ROBER IA l.5.PE6.fJO.14891 \` \ 'a(2.1 VdM 2005 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. 1?? So Date I P.S Site Street Address '??vZd - C4??,.- ?d// ?r-. N• Unit # Property Owner Telephone # ( ) Contractor ?.t/Crvz4? i^'lvan6e.?n Telephone # (4?5 ) z/st;z - /5 C5 Address /7ld #4?a,VO%l 6{°./ City gG=--- State ?'/ ?..? , ZiP,mzv The Applicant is: - Owner ktontractor _Other Septic System - New Refurbished Submit 2 sets of plans and MPC license - Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 ? Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If vou are insta!linsr onlv a water softener attd/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ a) . 50 I hereby apply for a Residential Plumbing Permit and acknow{edge that the information is complete and accurate; that ine 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. ?klCC L?zCW.w- ^ lc?c ApplicanYs Printed Name ApplicanYs Signature ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Rewiremenis 3 regislered site surveys showing sq fl. of lot, sq ft of house, and ?II roofed areas (2(P6 maximum lot coverege allowed) , 2 copies of plan showing beam & vnndow sizes; poured found design, etc 7 set of Energy Calculafans 3 copies of Tree Preservalion Plan if lol platled afler 711193 Rim Joisl DeWil Optians selection sheet (6uikfmgs with 3 or less umts) RemadeURepair Reamrements 2 copies of plan 1 set otEnergy Calculahons for heafed additans 1 sde survcy for adcilions & decks Adddron - indicafe 'rf on-sAe septic sysfem $-lo°° i9ffice•kJSe o cedorsuw?rffeca x:-;?N TreEPres:hlanRecd ?• ?_Y _N, Tf B B. Plie5?8,q oo-lile3epticSysl6in.:... ct Iiu- Date $ite Address ? ?'l o C Construction Cost 40, onn 4yyj 13 6,9= A/ l1 0?2 i/ f jL_ UniUSte # Description of Work kOL4)` P_ Z_&a&L 4fi rJ / S tf Mu?ti-Family Bldg _ Y 7,K N Fireplace(s) _ 0 _? _ 2 PropeHy Owner r) Pl) -e-? m f? e,\) S,F l0& ? Telephone #( ) Contractor L1ELLKj Z N IJ65-Try\?_iY1 S Address ^ q!5 S ? State 'd Lqi6La !-? L i)1_1' Y?_ 2 t, A-0 Zip ?, ?L/ a= 3- City Telephone # 4?, S y -S[ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mianesota Rules 7670 Cateeorv 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? `z?C,\???? _ Y _ N If yes, date and address of master plan: -. ?7 . ? ?.. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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. Ji rn 4)11h6-Yv.s Applicant's Printed Name ? Applicant's Signature OFFICE USE ONLY Sub Types 0 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgdYor_ N ? 25 Miscellanaous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 9 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ari Plan Review 100% or _ 25% Census Code 4-13Y SAC Units - # of Units - # of Bldgs T Type of Const Occupancy n'3 MCES System Zoning R -1 City Water Stories - Booster Pump Sq. Ft. " PRV Length ? Fire Sprinklered Width _ Footings(new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice& Water Final Framing ? Fireplace -,e- RI. ± AirTest YFinal ? Insulation `_. Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnft & Surcharge Treatment Plant License Search Copies Other Total .9 z ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding ` Fire Repair Windows/Doars REQUIRED INSPECTIONS FinallC.O. ?f FinallNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ENiS u MA " o 04, SrRU??\ In Busineu Since 1970 MN Lic M4247 Jim Williams 855 Cliff Road I Eagan, Minnesota 55123 ? Te1.651-454-5191 Fax 651-4543435 ? .. Date: 11/16/2005 PermFRes.rpt Permit H Type Sub Type / Descripfion EA045905 PL Residential Kitchen Remodel EA045409 BL Porch/Addition (4 season) EA032217 BL - ?? ?00 ? - INGROUND CU/L/j/Z41-a-' EA025828 BL Lodging 2-ao `? City of Eagan Page PERMIT FIND RESULT5 Work Type / Valuation Issued Final Address Remodel 06/28/2001 4020 Camberwell Dr N $ 0.00 New 05/23/2001 4020 Camberwell Dr N $ 46,000.00 New 06/11/1998 4020 CAMBERWELL DR N S 12,000.00 New 06/16/1995 08/21/1996 4020 CAMBERWELL DR N $ 0.00 1 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4020 Camberwell Dr N Lot: 11 Block: 3 Addition: Hills of Stonebridge 3rd PID:10- 32992 - 110 -03 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Comments: Fee Summary: Jenny Hanson 1710 Alexander Road Eagan , MN 55121 Contractor: Wenzel - Plymouth Plumbing & Heating 1710 Alexander Rd Eagan MN 55121 (651) 452 -1565 Manufacturer PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $50.50 Owner: David A Seidel 4020 Camberwell Dr N Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA091880 11/03/2009 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT Permit Type: Building City of Eagan Permit Number: EA105044 Date Issued: 06/22/2012 Permit Category: ePermit Site Address: 4020 Camberwell Dr N Lot: 11 Block: 3 Addition: Hills of Stonebridge 3rd PID: 10-32992-03-110 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Sela Roofing Remodeling Mary E Seidel 4100 Excelsior Blvd 4020 Camberwell Dr N St. Louis Park MN 55416 Eagan MN 55123 (612) 823-8046 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127836 Date Issued:10/16/2014 Permit Category:ePermit Site Address: 4020 Camberwell Dr N Lot:11 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-110 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Mary E Seidel 4020 Camberwell Dr N Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160697 Date Issued:04/06/2020 Permit Category:ePermit Site Address: 4020 Camberwell Dr N Lot:11 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - Mary E Seidel 4020 Camberwell Dr N Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature