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4027 Camberwell Dr N INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ' • ! l1iTII.i f,I:al i ! I~;. ~ ~ fil'Ii~i?i d:J I ! i '•ii C ~~Pfl i; I lt~„ i't~ i i ';ric? PERMIT SUBTYPE: TYPE OF WORK: 1~1 C ! idt Ill INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTGl~l CFCK FINAL Ctp of (pagan ~P~t~bllPtl~ t1'~ ~ll~tlt~ ~ttl~tPl'~it11t i 77& Cemfwate Lrsued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building consmicdon or use. For the following. vsc a ufficaa~ SF DWG jmd& h wt N. 8 21 O-Paa97YPe R-3 M-1 ZoaivSDitM PD R-i TYIX V-N OW-MofBua&g THE ROTTLUND CO Add= 5201 E RIVER RD 4 IhnVing Ad&vu 4027 CAMBERWELL DR N LAWR1,~24, B2, RUJZ OF STOWMIDGE 3RD I SEP 15, 1992 &"ng 6" 1 W POST IN A CONSPICUOUS PLACE F~@ it!I~f179~ 4 04 ~~S9FYwr 0,663 INSPECTION RECORD Control No. ti CITY OF EAGAN PERMIT TYPE: suktalme 3830 Pilot Knob Road Permit Number: 0"02:1 Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: LOT4 24 64u,^tia 2 APPLICANT: 40127 CAN43FRUELL OR N THE nOTTLOO IN 14C HXils OF' 1110REGAIDOE 96D (512) 67%--0$04 PERMIT SUBTYPE: TYPE OF WORK: F DLd0 NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSIPTIR. Ft~0i1'iNV FRAMING a x• FwN a.~ .T,NSUTAII(IN FTNAI 191NEPt A+:F 01*APKS; S A W CONTRACTOR - VAL1,EY PLOD Permit No. Permit Holder Date Telephone M Sm PLUMBING (o z HVAC ELECTRIC ELECTRIC 7`1~~003 ~~aC O,SG¢-c~; ~~$y' ~(P7 Inspection Date Insp. Comments Footings I Foundation,p Framing 7 30y2- M SaJO NJ U .vim /I'~uu Y71/'i.v ;~T2 Rcotmg Rough Plbg. Rough Hig.. Isul. Fireplace 3 Z ("~f Final Mg., - fZ Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan. t, Bldg. Final N/s_4Z S Deck Fig. It v Deck Final Well Pr. Disp. K 11 f. 3,a A ?2 4 z Request Dale Fn No IRI nspection Inspector .S Re a Ready Now /"!AI Notify ' a ~ Z Ves r No When n Ready? I / licensed contractor D owner hereby request inspection of above electrical work at: Job Address(Stte"a Ed r Route Not City 40;t-7 X1, IF-, ction No, TownsNp Name or No Range No Coin Occupant RINT) Phone No. Power Supph /A, Address bK. Electrical Con Qr CoTpany Name Contraclorls License No Mailing Address (Contractor or Owger eking Installation) Authonzed Signature (Conlracton er M in Installatwnl Phone Number MINNESOTA STATE BOARD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 Univeralty Ave., St. Paul. IN 55106 UNLESS PROPER INSPECTION FEE IS Phrone (612) 802-01100 ENCLOSED. Sl11083 gz REQUEST FOR ELECTRICAL INSPECTION ` Ee-00am-0a Sea mstruohons 1yomp*k this form on back of yellow copy. /ri 7~ / n -"k' Below Work Covered by This Request k, U 6 2 ew Adtl Rep Type of Building Appliances Wired Equipment Wired Home Range 7 Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other(spealyl Comracforls Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cecuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 Amps Aoo 100 Amps Signs Inspectorls Use Only Q TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 jopqrHS. r I, the Electrical Inspector, hereby Ro„gh,n m y' certify that the above inspection has Final Date been made. OFFICE USE ONLY This request wid 18 months from Address: 4027 CAMBERWELL DR N Lot 24 Blk 2 Sec/Sub HILLS OF STONEBRIDGE 3RD These items were/were not complete at the time of the final inspection. Date: SEP 15, 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch LI/ 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. nnmw White - City copy Yellow - Resident copy Pink - Contractor copy • x(090 ~'~o,So 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 16 / G / CS Site Address '~-O 27 C/' l?e za. ~ k e t f Unit # Property Owner &!j Wtc,,t6, Telephone#(1.51 )(°9'3'681'7 Contractor (4Le.n_ (y)oP aruc Q Inc Street Address Ilve}ll _ 1`} StyJ&~ CityA t~ State /77n/ Zip 55 O Telephone# ( 763)1/3V -77Y-1 Bond Expires: The Applicant is Owner ✓ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ✓ furnace -Additional ✓Replacement air exchanger air conditioner -New _Replacement other State Surcharge $ .50 Total $ 3p"SO I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 p ans. D~QN1 i 5 e cjlgojt-S o.._ L 4-.e-- 1~ ' 2 ~n I~+ Applicant's Printed Name Applicant's Signature l pr T 1l 1 2005 ! Il I;7 b lip PLUMBING (RESIDENTIAL) S© Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address l t h(7 ,~c~ « t v Q 7 Unit # Property owner ~v J Af a /4 Telephone # (6s 1) 6 `b 3 -o `6 ( 7 i Contractor Address r,c-- k~%veAr(~( City (LSD 6 ` 3 ^ State Zip 5 (z~ Telephone # The Applicant is Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and'MPC license $ 100.00 includes County fee. Additional consultant fees may apply, AlteC~tions To Existing Dwelling Unit, Including $ 50.00 *X' Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 518" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener _ Water heater $ 15.00 replacement _ additional State Surcharge $ .50 Sc7 Total $ Si D, 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 with the Plumbing Codes; 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 wor ill be in accordance with the approved plan in the case work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature S~ 5~` 5 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reouirements RemodeiReoair Reauiterm Office Use Only 3 registered site surveys showing sq. R of lot, sq. it of house; and all roofed areas 2 copies of plan _ Cert of Survey Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pros Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition- indicate ifonsde septic system _On-site Septic System 3 copies of Tree Preservation Plan d lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units _ a Date Construction Cost Site Address t t ba /Q ~je D T t ve / / (oeT`2 Unit/Ste # r I ,r r Description of Work ~t n 5 V ` 5 `r e "f Multi-Family Bldg Ynn^__I~ N Fireplace(s) _ 0 ~ 1 _ 2 Property Owner A41`L~D , / "l ( 7 Telephone # (65'1 ) Contractor `5e rf Address t 1~~~ ~e ~2 we«r C~ ✓f6 City "S State ✓ Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (J submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone 7Te hone ) Mechanical Contractor fLL Sewer/water Contractor 4 2003T lp hone J By 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 cas of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair X 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 3 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) ~i Final/No C.O. - Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test -Final Windows (new/replacement) Insulation - Retaining Wall Approved By 2 Building Inspector - - - - - Base Fee Surcharge Plan Review Y„'.Y J ~t- MC/ES SAC City SAC ~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies so Other Total RESIDENTIAL S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodelfReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and an 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 saes, poured found design, etc.) • 1 site survey for exterior additions & decks • t set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Run Joist Detail Options selection sheet (bldgs with 3 or less units) DATE G-fabQ4'- I S~ 7©dZ VALUATION J / SITE ADDRESS " V ~~'e / ~/r of MULTI-FAMILY BLDG !'Y N TYPE OF WORK /I r ~0.9 FIREPLACE(S) -0 ~1 - 2 APPLICANT STREET ADDRESS CITY Sid- Pa STATE /y~ZIP 41'S/ ~~>ZZ - S3Lg TELEPHONE S~j d+G~ELL PHONE # e'2152-1 k26-535 FAX # PROPERTYOWNER TELEPHONE#6 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNF-SOTA RULES 7670 CA"rEGORY I _ NUN'.v~Sf~=t S (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New F neegy Codeshee u mitted • Energy Envelope Calculations Submitted 5 2002 Jj Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler n f -Fee:--3~0 60 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: 570.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is «e t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant - - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT Control No. 0663 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road BUILDING Eagan, Minnesota 55123 Permit Number: 000821 (612) 681-4675 Date Issued: 06/19/92 SITE ADDRESS: 4027 CAMBERWELL DR N LOT: 24 BLOCK: 2 HILLS OF STONEBRIDGE SRO DESCRIPTION: 'Build"ing Permit Type SF DWG Buildind``~Work Type NEW I~ UBC OCCAJpa cy R-3 M-1 f Gonstructibn,' pe V-N Toning PD R-1 Building Length t' 62 Building Width 38 1`1 1•I ~ imp ''^p:,` ,Y ~ ~ t+'sv ) "-REMARKS: S S W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $161,000 Base Fee $853.00 MISCELLANEOUS $1,610.50 Plan Review $554.45 Total Fee $3,798.45 Surcharge $700.00 SAC SAC % 100 SAC Units 1 Subtotal $2,187.95 CONTRACTOR: - Applicant - ST. L DOWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that;I have read this applicati-a•n and state that the information is correct and agree to comply with, all applicable State Of Mn. Statutes and City of Eagan Ordinances. ~rrtn R f APPL~T/PERMI 'E SIGNATURE ISSUED e SIGNATURE PERMIT N CITY OF FAGAN Z( 1992 BUILDING PERMIT APPLICATION 681-4675 JUN i 6 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uestG is made lot change is re guested once permit is issued. Date Valuation of work g CD l DOC) Site Address: go7-1 CciYVibPf well ~L>r~ ve--- p STREET ` STE f Tenant Name: T e~ ec,4+IUVIA C-0- 7!~:1C, LOT 2 BLDCK 2 BD P.1.0. f S K~ Descri tion of work: St The applicant is: Owner ilkContractor ❑ Other (oo=rtbe) Name Vn-wuyA c__c- var. Phone S 1'OSo Property LAST I- FIRST Owner Address-52-01 C•1??~P_f , ~B I STREET STE S City t State 114-i 1, Zip s~;-Yzl Company SAP- Phone Contractor Address License #~0oo133s ExpS~__,Vfe7l City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water.licensed plumber Processing time for sewer & water permits is two days nce arl a has been ap oved. 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 Applicant: `i~~ Urritot Ubr- UNLT BUILDING PERMIT TYPE ❑ OI Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish rV76bl Fac. 0 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool C7 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move - GENERAL INFORMATION Const. (Actual) v-N Basement sq. ft. MWCC System YEs (Allowable) v -m ist F1. sq. ft. City Water `F`CC UBC Occupancy R,3 M-1 2nd Fl. sq. ft. PRV Required Zoning i'D K_~ Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Z2 On-site well Census Code Depth On-site sewage SAC Code ~L APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee Vatuation: s 16 000- Surcharge Plan Review GAiQAGE License MWCC SAC Ry X z?_ 52a x I(, c gyy g City SAC ~~rn Water Conn. Water Meter 12_4 oX Acct. Deposit S/W Permit 1~T F4.00e, S/W Surcharge eA Treatment Pl. Sq x S3= ~4 V6 2 Road Unit Park Ded. ZNO Ft_ourt Trails Ded. Othpers&~4~'X53= Total: SAC % L /6a66/ SAC Units F l~ 2422 Enterprise Drive ~C Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIML ENGINEERS (612) 681-1914•Fax 681-9488 engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 1(612) 625 Highway 10 Northeast Blaine, MN 55434 783-1880•Fox 83-1883 Certificate of Survey for: The Rottlund Company, Inc. / House Address: Camberwell Drive, Eagan, MN Model Name: Madison WSW U W 2 h v w 0 / S/ I / I / I Gr 0, / I ~Q) Ory / / J h~ Ott / i to ry / I IV DD / " Cn ccn / I Iv .A / i - / I / I /20.25 N IJ'28' 11.1g ° OJ E / N 20. B7 _ `9DO.J ° h~ / m MADISON N 16.00 ~ T I PROPOgFD HOUSE 26.20 - - / r- \ 21.$O , 12.00 I 15 \ \ a / 20 a~ Jg PORCH 6.83 GARA I m 894.9 0 - CE \ o / _ 9.00 Pr I 'u 0 24.67 I \ \ 900.3 J5.39 I c \ \ \ _ ORIIEWAY 20@ \ ~ I \ _ O N C~ _ _ _ I4 89999.3- V \ \ zp2.78? NoR TH . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 892.85 Denotes Drainage & Utility Easement Top of Block Elevation: 900.96 Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 900.63 - i Denotes Offset Hub Bearings shown are assumed LOT 24, BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 3RD ADDITION I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of J U o F A.D. Inch _ feet > IrOh. Scale: 1 -30 ROBERT .51 H E.S. REG. NO. 14891 105 90301.37 FYTEMOR PIVE.I.OPE AVERAGE "u" cowirrATIMI OWNER SITE ADDRESS Lo_~ 13Lo~K?, ~1us 'a E: s7on.~R.6Ca~ 3RD Ab z) '/L/ CONTRACTOR P-0771 UNO CV • DATE. PHONE Determin working square footers of each. 1. Total exposed wall s_rea Z~oR ~•'L sq. ft. x 0.11 = 31a 4 2. Total roof/ceiling area sq. ft. x 6,026 = 3Z 15 0 Total exposed wail area above floor = 2 CJ 9 ✓ • Z a. Total wall window area 7. S~ b. Total door area C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10%) 224 . f. Total net wall area above floor Z p 3~ (t g• Total rim foist area 'LIe~J.'L Total exposed foundation area = f 0,* , h. Total foundation window area ! i. Total net foundation area above grade Z a . Determine "U" value of each wall segment. a. 3 0 7.5 x ..U,. o. Q-Z / 2 q. l b. x ,.U„ o,/3g = 8,33 e. x „U„ _ d. e. 2 Zoo, 4 x --u f. Zo 37 . co x „U,. 0.0 43 = 8 7• G s. ZG3~2- x .1,. D.p~l _ lD.Zq h. x full x 'lull 3. 'rat, If item 13 is the same as, or less than item H7, you have met the intent of SBC 60o6(02. if • Total exposed roof/ceiling area Total gross roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area..•.......••••• 2 ~ - 1. Total net insulated roof/ceiling area 4D. roli _ Determine "U" value for each roof/ceiling scF,mcnt. r X nUq N X „U„ O.pz7 = 3.42 k: L X O.0 2zr = Z o 4 . Total = . t/4 . If total of #4 is the same as, or less than N2, you have met the intent of sac 6oo6(c)l. To utilize the total envelope system method, the values establi-zhed by the sum of items N3 and B4 shall not be greater. than the sum of items Al and N2. 1. + 2. - - g, + 4. _ o . ► PERMIT Uzas(p to 07 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 3 4 (612) 681-4675 Date Issued: 05/14/96 SITE ADDRESS: 4027 CAMBERWELL DR N LOT: 24 BLOCK: 2 HILLS OF STONEBRIDGE 3RD P.I.N.: 10-32992-240-02 DESCRIPTION: Permit Type DECK s`k` .k Type NEW 434 ALT. RESIDENTIAL ~TM& i~ ~s sisoe "4) 3'?is g6 ~ jai x ~9 g s ~ rsrere r Rr c~ cm~~ ~i3 i~ C~ 3 @ T3®% ~4 v~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - MARTIN ANDREW 4027 CAMBERWELL DR N EAGAN MN 55123 (612)228-5349 ' 4 na~,gi~ g~~s s§P arzr:+`ei~'~a?a~s *$'sii~rn~pi e gig s;#"r ~t rt e~ s.'iakini~ ss c~ 34 ~x i u' a 3,. s:n~ v- A f4i `91 P111 tar '1_1ji°~s' ~ if 'a ~ 'i it, 00 ` 3~s;VlE' Gk iG ' ai it fl# -~'t!7 e r +n u( s s' u e a e r %aZ°S f s, R13" t s t 's4 x r i E i 3, j ipy+(i i eCar €(arc. i ~ Y. S i x' c s' {/(t gry 00022 3 ~ ~ F k4 EL d' ~L fy 't. .y }t! WiDa'~N3 '4LG4 .gI 3'S iR p_C,I~IMI r rsr5 a a g3 4 a mrs ei h rui x r aat tsa ate, t it i _s}g 7`€Ma2 k r 4s' ~u ~C ~n APPLICANT/PE MITEE SIGNATURE ISSUED B ' , E CITY OF EAGAN ~,,i~~~ 3830 PILOT KNOB RD - 55122 T 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) r,ga Q yr`~i d14M4 j .C~ eGtt~ r 681-4675 New Construction Reauiremerds RemodesReoair Reouhements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan 9 tot platted after 7/1193 required: _Yes _ No DATE; L,4~ 6 A!"126 CONSTRUCTION COST: DESCRIPTION OF WORK: t'P0 L STREET ADDRESS: 6a ,K 6 e w l i pr n LOT_ BLOCK SUBD./P.I.D. 9 tYa PROPERTY Name: rYLr} ~ - Phone 16 T, 3 OWNER WT ru:, Street Address ~1O 7 CQMI~n,~el~ e '~®r`F` 7 Ci ~b State: AI3 Zip. BSI z ty' -~/1. q p wariL Zz`S -s 34 c~ / CONTRACTOR Company: ~tId ! Phone Street Address: ~If aj DC- License ' ( Z City: If a Crg -t State: W PL) Zip: :L ARCHITECT/ Company: Phone M ENGINEER _ Name: - Registration Street Address- City: - State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLYRi E C E UM G D Certificates of Survey Received _ Yes No MAY 0 7 1996 Tree Preservation Plan Received Yes No 2422 Enterprise Drive * * Mendpto He Is. 55120 2) 14•Fo x 681-9488 * PIONEER LAND St1RyDRS • CIVIL ENGINEERS (61 681-11 yE 625 Highway 10 Northeast LAND PLANNERS • LANDSCAPE /,RCHIIECTS Blaine, MN 55434 * engineering (612) 783-1880•FDx 83-1883 * * * * an Inc. for: The Rottlund Com Certificate of Surveil House Address: ComberweN Drive Eoa M~ 2 Model Name: Ma_disan_ y 4. 4 O / i / i / i r / I -90 hD' Ory / I rn CNa co / 4- A r V V / ( N •P / I / I / I / I / 20.25 a I3'28.OJ• 00. i / 17.19 N 20.81 p - 1 ro / ArAOISON too ' ? 26.jp -i FULL PRO 6E SED HWSE - ^7 I 21.50 12.00 \ ~ I u PORCH N 0 6.8J GARAGE m ZOQ 9.00 I C V I h~`\ O 24.67 p \ -JS.Jg I ORryEWAY ZOOe \ N 202. 22 78 NORTH ` PROPOSED HOUSE ELEVATION . eoo.o Denotes Existing Elevation .(3653) Denotes Proposed Elevation Lowest Floor Eievation:892.85 Denotes Drainage & Utility Easement Top of Block Elevation: 900.96 900.63 -Denotes Drainage Flow Direction Garage Slab Elevation: Denotes Monument ~-Denotes Offset Hub( Bearings ShHILLS53OF STONEBRIDGE LOT 24, DBLOaCK MINES TA H IL 3RD ADDITION ared by me or under my direct supps"Isslon and that I am duly Registered Land Surveyor 1 hereby certify that this survey. Plan or report was prep under the lave o1 the State of Minnesota. Dated this day of J ~ Al F' A.D. 19 1 1 r•-o~. {8 ROGER . S Y(1 H L.S. REO NO IeB91 CITY USE ONLY sy , / L ~ BL o2- RECEIPT#: L~ ~J SUBD. ~~Jtri r1.YJSC~cL'r e~ d~ ✓ RECEIPT DATE: ~ &'619 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH yQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construction 5.00 x = Water Softener "forexistingdwelling 20.00 x = U.G. Sprinkler "fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = 26-00 Alterations 'to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System • oak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL a°.so I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable City of Eagan ordinances. it is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City properly/right-of-way/easement. SITE ADDRESS: il,9 cAmbE2 tJEce D4 OWNER NAME: X'un7 MAAr,n1 INSTALLER NAME: TEkay 0vkje4rj<6,z rs..J6TELEPHONE#: 5'1a-BbSb STREETADDRESS: 6537 CE--'TX,4t ,t u! dE CITY: F 9, b r, F% STATE: 't ZIP: S S N a r rt~~`Lk,NS 2,0_q SIGNA RE OF PERMITTEE I Use I I gao Of EatdR Permit (ri+ IV11 Ib~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: I L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION -/C Z/y ~Z7 ~/~~7ZLrl~2~ /fir Date' /Site Ad~dlrese: Tenant: 'T/A/ Suite ZJ~/° RESIDENT/OWNER Name: Phone: Address / City / Zip: L//✓ /-1 /1 License O ' CONTRACTOR Name: Address: & City: ,~'IfJ.L~ ryj~y'• State: 2226-1 Zip: Phone: ~fol -7®2l~~® Contact Person: V TYPE OF WORK - New 4 Replacement _ Repair _ Rebuild _ Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTALFEES$ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Sig ture Applicant's Printed Name Reviewed By: Date: FOR OFFICE USE Required Inspections: -Under Ground -Rough-In -Air Test _Gas Test -Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA088109 Eagan, MN 55122 . Date Issued: 02/03/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4027 Camberwell Dr N Lot: 24 Block: 2 Addition: Hills of Stonebridge 3rd PID 10-32992-240-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Twin Cities Siding Professionals Andrew P Martin 664 Transfer Road, Suite 22A 4027 Camberwell Dr N St. Paul MN 55114 Eagan MN 55123 (651) 255-2844 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 3830 Pilot Knob Rd Permit Number: EA088922 Eagan, MN 55122 . Date Issued: 04/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4027 Camberwell Dr N Lot: 24 Block: 2 Addition: Hills of Stonebridge 3rd PID 10-32992-240-02 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Twin Cities Siding Professionals Andrew P Martin 664 Transfer Road, Suite 22A 4027 Camberwell Dr N St. Paul MN 55114 Eagan MN 55123 (651) 255-2844 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:Mechanical Permit Number:EA140438 Date Issued:12/20/2016 Permit Category:ePermit Site Address: 4027 Camberwell Dr N Lot:24 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Andrew P Martin 4027 Camberwell Dr N Eagan MN 55123 (612) 385-8229 Owens Companies 930 E 80th St Bloomington MN 55420 (952) 854-3800 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174303 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 4027 Camberwell Dr N Lot:24 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-240 Use: Description: Sub Type:Water Heater 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 - Andrew P & Mary Beth Martin 4027 Camberwell Dr Saint Paul MN 55123--392 (651) 683-0817 Soderlin Plumbing, Heating & A/C 3612 Cedar Ave S Minneapolis MN 55407 (612) 721-4080 Applicant/Permitee: Signature Issued By: Signature