4071 Camberwell Dr NCITY QF E/lGAN PERMlT TYPE: , "? ? I p I N(i
3830 Pilot Knob Road Permit Number: v; :' ;?+ ' 1R
Eagan, Minnesota 55123 ?? Date Issued:
_ (612) 681-4675 )'
rEaaoRESS: t I , ,-
PERMIT SUBTYPE:
APPLICANT:
,; ,, i .• y ;;<j? ,,_,??,?;?,
TYPE OF WORK:
141 Y,::1
€ 1 ?l o i I
Permit Na. Permit Holdar Date Telephone #
$1VIf
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectian Date Insp. Commetrts
Footings I
Foundation
Framing
Raofing
Rough Plhg.
Raugh Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
i
Final Plbg. Plbg. Inspector - Notify Piumber
Canst. Meter
Engr.lPlan
Bltlg. Finai
Deck Ftg.
77
fleck Fina{
/
Well
Pr. Disp.
L 1
.? . y..,
Ttrtiftrate of (Orr??aury
Citp af (eagan
Ervartutent af Iuitding Jnprrfintt
This Certicate issued pursuant to ihe requirements of Secrian 306 af the Uniform Building
Code certifying thar at the time of issuance this structure was in compliance with the various
ordinances of tlte City reguladng building construetion or use. For the following.•
Use Qassifialion ' ? DWGM Hldg. PErroit Na 17748
OocuDaMY Type 10r/?,,? jli Zaaing DisUici PD' "'I Typc Canst. VN
ND. ._- L13, B3. HZIJS (&' SICNEBRIDGE 2NID
Date: .J[1LY 30, 1990
POST IN A CDNSPICUOUS PLACE
I:,
, • - °??'k???M?"?'?e;;*??. r . . . , , ??`'°?z:x .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551:
P H O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for SF I3WGf G/1R Est. Value 037,0QQ Date-"
n:._ e4[L71 C'.AMIiI?@LTidi_1. IlZ?TVk^_' M
Parcel No.
ffNam
dr
Ad ...
..?
Phone 571?304
Phone
8W Name
Address
I hereby acknowlege ihat I have read this application and slate that the
information is correct and agr?e ro compiy witF? all applicable State of
Minnesota 5tatutes and City of;Eagan 3rdinancesr
.
.
d al1 work shall 6e done in accordance wiih all
a Statutes and City of Eagan Ordinances,
.?
Occupancy a -' 11"f+
Zoning PD 11- 1
(Actual) Const M-N
(Allowabie) v'N
# of 5tories $ ?
Length
Depth 52. ?
S.F. Total -
S.F. Footprints _
On Site Sewage -
On Site Well -
MWCC System ?
City Water xx
PRV Required
Booster Pump
APPRQVALS
Planner -
Council
Aa 17748 ?
FEFS
Bldg. Permit $3$o? .,I
Surcharge 78.
Pian Review 545•? ti
SAC. City 100•00 :
SAC, MCWCC 6W•00 ^
Water Conn 625•00 '
Water Meter 90,00 °
Acct. Deposit 3o+oo '
S/W Permit 30.00 '
S/W Surcharge •50 '
Trealment PI 252.00 '
Road Unit 355•00
Park Ded.
Copies '
3,545'00
TOTAL
I I Permit No. I Permit Holder I Date I Tefephone # I
I SEWER
PLUMBING
I I H.VA.C.
im
I Inspection Oate I Insp. I Comments I
I I Foundalion
19.
CON'
PF
Site I
L.ot _
q1R11
.? _
PLUMBING PERMIT
CITY OF EAGAN
kCT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
E PHONE 4548100
roe. ? ? t 1 ?A IM C f W C? 1 113,Ar?A OLOG. TYPE _
ASS ky ?(J C.,v ctX %.. -j
or1J'A,.j Phone
c Addres S a uN fL tL;./ti V. LI
6 City Phone
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWMHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
(vtif-?.
FOR:
For
wvr
. New
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N3. FIXTURES TOTAL
Water Closet - $3.00 $ ?
? Bath Tubs - $3.00 ?
? Lavatory - $3:00 1 ?
?- Shower - $3.00
1 Kitchen Sink - $3.00 ?
UrinaVBidet - $3.00
-
T
Laundry Tray - $3.00 ?
? Floor Drains - $1.50 ' 'T-
? Water Heater - $1.50 ' • ' `
T- Whiripool - $3.00
>
I_ Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Sokener - $5.00
Well - $10.04
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE: '13'
STATES S/C:
GRANO TOTAL: `?'? "
• . .
•.._. • ? . ' Y .
CONTRACT PRICE:
I Site Address I ( ;
i Lat Block
? Name
? Address
,I
c City
? Name
3 Address ,
I p City
, TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
' Vent.
Gas Piping Outlets #
Other
PERMIT #
i ---7
j ? MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KNOB tiOAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
B
DG
TYPE WORK DESCRIPTION `
.
L
Sec/Sub Res. New
V
Mult. Add-on
,
Comm. Repair '
Phone Other -t
FEES
HVAC
0-700 M BTU
RES -$24
00 •
:
.
ADDITIONAL 50 M BTU .
- 6.00
Phone ?ES A/C ON NEW
'
I N)
CONSTRUCI
GAS OUTLETS (MINIMUM - 1 PER PERMI'n 50 EA
- 1
.
.
COMM/IND FEE - 14/a OF GONTRACT FEE
'- M BTU ' APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
_ M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYaND $1,000)
. :.
FEE . w
SIGNATURE OF PERMITTEE
I
S/C: '
TOTAL: FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFIGE USE ONLY
PERMIT QATE 0A I 2G / 9G
WATER PERMIT I' SEWER PERMIT # i
METER # ? 226 -7 a -??,A- -9-P. RECEIPT # C, 7_J74?
?- ?-?
` r?.,aw-? ?L9"o 3,R k? B. P. RECEIPT DATE ., ?'', s, r'' 0
METER SIZE ?? 1?-cJr
ISSUE aATE Co "V'" 9A - PRV - BOOSTER PUMP
SITE ADDRESS -`-k= L c-A,?i l'Pl-, 2 v: ? t c.--
LOT ,. •BLOCK `' SECJSUB _'•-1k L_-:?
APPLICPINT: _ ? `-"- •'?`?'7i ,c?;u f? ?-r-I I?G .
ADDRE?8:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
X SEWER `- WATER -TAPS
- COMMlIND - RESIDENTIAL
X NEW
EXISTING
PLUMBER: \r k+c--cJ:E: "; )c:., .
ADDRE5S: -?? 10 C--V-EkV-' (--66 ?E7 t AGREE TO COMPLY WITH CITY OF
CITY, STATE ?,7. ZIP EAGAN ORDINANCES:
? ?,.
PHONE: 4`17_ - l .I F_ {
OWNER: "T C-cz-. ; i? :i: :. .
ADDRESS: ? ( ?-- 2t'tl!-.J12 Ak „yr:
CITY, STATE F'CZ tL,? - Y t-? 1 c? . ZIP
PHONE: ?
PLEASE ALLQW TWO WORKING bAYS FOR`PROCESSING. FOR
ENGINEERING DEPT.
SIGN?4T,l?RE_WHEI?dG1?TER I$SUED ?
., ; .-.
?? ? /` ' ?/• ,%.
STORM SEWER PERMITS, CONTACT
?? ? i
SEWER 81A1ATER PERMIT
CITY QF EAGAN
3830 Pilat Knab Rd.
P.O. Box 21199
Eagan, MN 55121
' SITE-ADDRESS ' , + <--'1; i
LOt -BLOCK -' SEC/SUB
APPUCANT:
ADDRI?SS: CITY, STATE
PLUMBER:
ADQRESS:
OFFICE
PERnnir oaTE f''
WATER PERMIT
?. : METER #
READE?R# °
i?f [.•'
1 METER SIZE
?i ISSUE DATE
CITY, STATE ZIP
PHONE:
ONLY
SEWER PERMIT # 19 IS?
15.P. RECEIPT # 2 7379
0
B.P. RECEIPT DATE (2412 3/ 9
_ PRV - BOOSTER PUMP
PERMIT REQUESTED
C'..
X SEWER -I WATER _ TAPS
- COMM/INd
X NEW
Yi RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER:
ADDRESS: - '' ? k' '% ?•'?-?? ?" ?*`F- SIGNATURE WHEN METER IS5UED
CITY, STATE ZI P
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
DATE: 04/26/90
RE: 4071 CAHBERWELL DR N
R Vaur 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 fo`r the above property eannot be completed for the following
_ reasons:
f?Your Sewer & Water Permi# r the above p• perty has been completed, but the meter cannnt
be issued or occupancy Iwed until further notice. -
COMMERCIAL PR4JECTS ONLY: Please pay for meter at City Hall, Meter size must be
confirmed by Bill Adams or Dirk HouSe (Plumbing InspectOrs - 454-5100) before issuance.
WARNING: BEFaRE DIGGING, CALL L4CAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
Cf)NTACT COMMUNITY DEVELOPMENT QEPARTMENT FOR WATER TURN ON POLICY.
f I.
Secretary, Building Inspectians Dept.
DATE: 04/26/90
RE: 4071 CAkiBERWELL DR N
X Your Sewer & Water Permit for the above properry has been completed. It will be heid 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 for tfie above property cannot be completed far the following
reasons:
p'Your Sewer & Water Permit for the abave property has been completed, but the meter cannot
4be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
014'e/so 9 ?? X.;r-
G 3799?? ?' 2L 4(!o°°
L.
Repuest oate ire o Rou9h-in
Re
Qmretl qron
0 Rea y Now ?JAI NoOty Inspector
S -O 0 J
IG*BS G No When Ri
I Q'licensed cnntractor p owner hereby request inspec[ion of atwve elecirical work at:
Jo? Adtlress ( SVeet, Bo r Route No )
b
' ' Pry
b 1 )2p.
Secuon No 1ownshi0 Name or No Range No Cpy[iry?
r
OccuOa (PRMT) Phone No-
Power Suppber Aedre9s
Electncal onVedor (COmpany Neme) Contrector5 License N.
1 z-3
Mailing Atltlress (COntraclor or Owner Making Inslallation)
?
AmnonxeE Signawre (COnirec lOwne aking Installabon, P?one Number
it_ " 6
- 00(?
MINNESOTA STATE BOARU OF EL CTf11CRY THIS INSPECTION REOUEST WILL NOT
Griggs-M10wey eldg - Room 5173 BE nCCEPTEO 6V THE STATE BOAFD
1821 UNVeolty Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 842-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ``"?°?? Ee-ooom-o7
(o ?/S4 ?a,
6y e in,yructions for com0leting this form on back ol yellow copy g
10- St???3?
3799Z "X" Below Work Covered by This Request
ew Add Rep. - TypeofBuiltlmg ApphancasWired EqmpmantWiretl
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Bwldinq Dryer Other (Specrfy)
Comm./Indusirial Furnace
Farm Air Conditioner
Other (specity) Convactar5 Remarks
Compute Inspechon Fee Below.
# Other Fee # ServiceEnirance Sae Fee # Circw[s/Feedere Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab Amps
Signs Inspecror§USeOnry. TOTA
Irrigation Booms 65-0
Special Inspec[ion
Alarm/COmmunicanon THIS INSTALLATION M Y BE ORDE ED DISCONNECTED IF NOT
Other Fee CAMPLETED WITH O
I, the Electrical Inspector, heie6y
certiry that the above inspection has
been made. Rouyn-in
F,nei oai
oa
2Q?1?
OFFICE USE ONLV
ThiS repuest void 18 months imm
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
New ConsWedon ReauiremeMs
• 3 registered site surveys showirg sq. IL of lot, sq. R of house; and aU roofed areaz
(ZO% mmimum lot coverage albwed)
• 2 copies of plan showirg 6eem 8 window sizes; poured found design, eta)
• 1 set of Energy Cakulationa
• 3 copies of Tree Preservation Plan H Id platted aftca' 711193
• Rim Joist Dalatl ODtbna sdeclion sheet (hldgs with 3 w less unils)
DATE R'??- dZ-
LIL s7 asl
RemodellReoafr Reouiremenb
• 2 copies of plan
• t set o( Energy Catculations for heated addilam
• 1 site survey (ar exterbr addiUOns 8 decks
• Indicate d home served by sepUc syslem for additions
VALUATION `? ??? SO-0` ?
SITE ADDRESS 'T0-7I bry- K MULTI-PAMILY BLDG _Y _N
TYPE OP W(
APPLICANT
gELp, RQOFING & REMOOELIn
4700 EXCELSIOR BLVD.
-,), 1L FIREPLACE(S _ 0_ 1_ 2
STREET ADDRESS ID N0007050 CITY STATE
TELEPHONE #CaIZ `6ZS-R??(., CELL PHONE # FAX #
PROPERTY OWNER _?NO ?211- h?-rG TELEPHONE #???? S? 7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.ES 7672
(J submisslon lype) • Residential VentllaGOn Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envebpe CalculaHons Submitted
Plumbing CoMractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Ai . /
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. oF Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
ZIP
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4ro2
RESIDENTIAL
BUILDtNG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4875
NewConstruction Reauirements RemodellReoairReauirements
• 3 registered site surveys showing sq. ft. of bt, sq. R M house; anr6tl roofed areas . 2 capies of Wan
(20% maximum lot coverage abwed) . 1 set M Energy Calalations for heffied additlons
. 2 copies of plan shaxing beam & wlndow sizes; poured found desgn, etc.) . 1 sfte survey for erterior additions 8 decks
• lsetofEnergyCalalgons . lidicate'rfhomeservedbysepUcsystemforadditions
• 3 copies W Tree Preservation PWn if lot platted afler 711193
• Rim Jo'st Detail Options selection sheet (bldgs wiTh 3 or less units)
DATE ?/ - /S -0
VALUAION -1 ?.aoa
JOB SITE ADDRESS Llv7I C4r,berv'eAI D? N
IF MULTI-FAMIIY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Irr" y- Fr.cc12K- P?
TYPE OF
APPUCAI
ADDRESS
PAGER # CELL PHONE # 4?' a-`Y 3 3-! b' (0°1 FAX #
- ? 1 Y _
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(S) _ a _ 1 _
Phone #
Phone #
NE#
ZIP CODE $ S 3 7`/
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the inforrnation is corzect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ces.
Signafure of Applicant y` ` 12-n
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Iawn Spruikler
Water Heater _ No. of R.I. Baths
_ No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?'-+? 3?? 1-n 8 ?0-94-
PERMITTYPE: BuzLDxNG
Permit Number: 023824
Date Issued: 0 8/ 19 / 9 4
SITE ADDRESS:
P.I.N.: 10-32991-130-03
DESCRIPTION:
4071 CAMBERWELL DR N
IQT: 13 BLQCKe 3
HILLS OF STONE9RIQ6E 2ND
i:idingt-Permit Type
ilding Wii?r,Jc, 7ype
v
. x
pECK
NEW
REMARKS:
FEE SUMMARV:
6ase Fee $30.00 COPY $.50
Surcharge $.50 Total Fee. $31.00
Subtotal $30.50
CONTRACTOR: - Rpplicant - Sr. L2C. OWNER:
VICTORY BUILpER5 18914543 0009331 FREEBURG BOB
14194 GARLAND AVE 4071 CAMBERWELI DR N
APPLE VALLEY MN 55129 EA6AN MN 55122
(612) 891-4543 (612)688-7517
f , . . . z . , . - .
1 P
T herehy acknowledge that T have raad this,a.ppllvotxan;:antk $?tate;.that the
infiormation fs correctand agreg Co amacply witri ail apPjitahLe state-of fil.n:
5te'Cwtes aRd City ofi Eagdn Oydfnari•Ces. ?
?- - ... _ii._.. ? . :. ._ _.
Thd
?
PPLICANT/PEFMITEE SIGNATURE ISSUED B. SIG ATU E
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: auzLoiNG
3830 Pilot Knob Road Permit Number: 023824
Eagan, Minnesota 55123 Date Issued: 0 8/ 19 / 9 4
(612) 681-4675
SITEADDRESS: LoT: ss BLOCK: 3'4PPLICANT:
4071 CAMBERWELL OR N VTCTpRY BUTLDERS
HILLS OF STONEBRIOGE 2N0 (612) 891-4543
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
F-
I. _.. . . _ -'--._.._ ..'- '. ..a. ._. .. r....
NEW
_?
,
tsi i4
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
$31.00
ra .(l"L !_A
SINGLE & MULTI-FAMILY 2 sets af plans, 3 registered si VAQ,rVFQ f energy
calcs. JUN 0 2 1994
COMMERCIAL 2 sets of architectural & struct al plans, 1 set o
specifications, 1 copy of energy -airgr -----------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 0/ Valuati?n of wark
Site Address:
4-07I C4n&,6Rj.1,ojU. AQ ?f,?f.?, ?..?. ?-----
-
STREET
? SUITE A`
Tenant Name: (commercial only)
IAT BLOC& 3 SUBD. AI15 0
?ye P.I.D. #
Descri tion of work: A16i? A/&oP Ec?
The appl i cant i s: ? Owner Contractor ? Other coescribe>
Name FR"BuR4 1304 -t- 6.4Ii- Phone 65?9-7.9'17
Property LAST PIRST
Owner
qddress Ly0o? , cA.yeE.?c,ACcL. 02_
STREET STE #
City ?lsA? State MW• Zip-5-5-12L
Company Phone '?Y- 5'S4'3
Contractor Address 14119Y G#k4-4WjD ^6, License # 933/ Exp.g -5-
City AtPte- VAe.t-4VY State hN. Z i p _615-12Y
Company Phone
Architect/
Engineer Name Registration #
Address '
Ctty State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and Gity of
Eagan Ordinances.
>?,1 ,,^?-?E8C0
U p
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
P'31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
0 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireptace
fia`15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual
(A7lowable;
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
11 Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site welt
On-site sewage
Building
Variance
PI Footing
,a Final
? Framing
? Draintile
?
a/
d
? Insulation
? Fireplace
Permit Fee vei,wc;,,,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
? ? ? .. .
4r
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water -
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
3
LANOlURVEYORS•CIVIL[NGINEERS
LANO PLIINNERS • IANOSCAPE FRCHITECTS
/
f
.fieate of Survey
? ?.
o?
?
, ??-:1?
?
? 0E
?/
?
c-
}° \
m o ??•.
.y \
? 2 P?sP ?
I N89°a9?5o"ESx ? ?
/50.42 ci w.
NORTH
sz
? 4r 4
0
?9 ? •
?--
e o y O ?
?cH?? s ' ry~ O ?? o ¢`y \ ? ?
q1=
0' /
/?
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681•1914
. ? .1
h
.
aS
?
9 °y r? ?, b
? ._ _
EA? AiV !'41 R` •,`, -i...
. 900.0 Denofes exisf;ns? Elevalian
• ,900.o pertofes propd?ed E/evofiorl
Uwnofes Uraina??e ? G'filr? Easemenf
-? Denofes OroincYe Pow Orrows
0 benales monumenf
Bearins sftown are ossumed
.[?g,oPOSED llpY
SE EtEVAr1vN
Lowest Floor-6wa ion 8a57. /
7"?p o;'Block Elevafion 895.1
Garo eS/ab flevation 89z•s
o Oenos Ort"sef Nub
Su§ed fo Easements oi 11'Record
LOT 13 , BLOCt! 3, NItLS OF STDNEBRIXF PLAT 2
DAKOTA COVNTY
I hereby eertity thet thia is a true and carrect reprasentation of a survey of the boundaries of the above d cribed lan , and of the Ixation ot all
buiidings, fhereon, and all visible eneroachmenn, if any, fram or on said land. As surveyed by me thisday of A.D. glddl?fl 19-M.
l1?nch, /? ? eef
Sca/e?
. ?
,Qq194„ ? R ROBERT B. SIKICH L5. REG. NO. 1 91
tt
BUILDING PERMIT
CiTY OF EAGAN
3830 Pilot KnA Road,'P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
7obeusedfor SF DWG/GAR Est.Value $157,000
N2 17748
Receipt # C?
Date APR 20 , 7g 90
Site Address 4071 CAMBERWELL DRIVE N
Lat 13 Block 3 SeGSub. HILLS OF
Parcel No. STO
w Name THE ROTTLIJND C0. INC
o Address 5201 E RIVER RD
City FRIDLEY Phone 571-0304
o Name SAME
?¢ Address
• City Phone
?W Name
Address
City Phone
I hereby acknowlege that I have read Ihis application and state that the
inlormalion is correct and ag to comply wit all apphca6le Siale of
Minnesota Statules antl Gity ot agan rdi ances
SignaWre of PermRee
A Building Permit is issued to: THE ROTTLUND CO INC
on ihe express condition that all work shall be dona in accortlance with all
applicable Slate of Minnesota Stalutes and City of Eagan Ordinances.
Building Ofliaal
OFFICE USE ONLY
Otcupancy R-3 M-1 FEFS
Zonmg PD R=1
(Actual) Const V-N Bitlg Permit 839.00
(Allowahle) V=N
Sumharge
78-50
# of s[ories
Length 68 ' Plan Review --545-A20
Depth 521 SAG aty 100.00
5 F Total - SAC, MCWCC 600.00
S F. Footpnnts -
Water Conn
625.00
On Sne Sewage -
on Site weii - W ater teneter 90.0
?
MWCC Sysiem XX_ qat DepOSn 30.00
CdY Water xx
PRV Required _ SIVJ Permq 30.00
Booster Pump - S/VJ Surcharge .50
Trealmenl PI 7 57 _ OQ
APPROVALS Road Unit 3 55 _ 00
Planner - park'Ded.
Counctl
Bldg Olf _ Copies
90
3
545
Varience - TOTAL ,
.
1990 BUILDING PERHIT,APPLICATZON
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
MpR 17 RECD
To Be Used For: Valuation: w;aFiv6pm? CIP Date: 4-Ito-`?O
Site Address
Lot 13 Block :71_
Parcel/Sub Nt?S Crt 2
Owner `4?? pl=c..viuo !r?• UI.fG.
Address 52p1 E piv? 63942.
City/Zip Code F7¢jpL-E-T yN(u. ?'.?f•FZ,?
Phone S-[ l-cp=?
Contractor lboq(nE
Addres
City/Z
Phone
Arch./
Addree
City/i
Phone #
OFFICE U51
occupancy R-3 M -1
Zoning PD 12-1
Actual Const v-H
Allowable V_N
# of stories
Length
Depth 5 2'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
ONLY
FEES
Bldg. Permit S37,ou
Surcharge so
Plan Review $4J.00
SAC, City IOfl,00
SAC, MWCC , 40
Water Conn 25 OC)
Water Meter 90,00
Acct. Deposit 30,00
S/W Permit 30,00
S/W Surcharge •50
Treatment P1. 252,09
Road Unit 35$' Do
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
? s? ?
V ,4 ? l;l ?4Ti C? $ ?-? • ?
? . .1.a.?. ? ' u3 . .
? . .. W e.. g a3
GARA VE
,;-'OX12= .240
4 Ll C)
6,50 x ?S= 10 Zoo
as rnr
3-? x Xe = B?B
ZX12= 2y
3 X 2%2= g
qooxI LI= fz6oo
ponc+{
12'04 = 16'd X Ko ?(o? Zp
JST t'?ocYZ
.?
ZND T'wor)?
T3Sm7 -1 500
Isr F"ot -nJ
1kl/ -? II
BA? Jy
?'?o5X5?"Sb?r
15??2Ss
* Pion
? engin
? ? **
LANOSURVEYORS•CIVILENGINEERS
2422 Enterprise Drive
Mendota Heights, MN 55120
IANOPLANNERS•LANp9.CAP( ARCHITECTS
Certificate of Survey for
(612) 681-1914
_4?
NOR7N
. 900.0 Denofes ex
• soo.o Denotes pr
- Uanofes prar'na?e ? L'tili? EUSen
--?- Denofes Drainc?e ?7ow l?rrows
0 Denafes mortumenf
sftown are assumed
p o+ eimcK tievarron b93.1
rrae Slab E"levdtron ?
no es Ott sef l/ub
fa Easem en f s ""
ot t?ecard
LOT 13 , BLOCw 3,1IItLS 4F STOWBa1DCE PLAT 2
DAKOrA CouNry
1 hereby certify that this is a true and correct representation of a survey af the boundaries of ihe above d crihed lan , and of the location of all
buildings, thereon, and all visl4le encrmchments, ii any, from or on said land. As surveyed by me thisdaY of A.D. AiAtAl 19'70 .
? ?
Seale :_1 rneh, 40,ee
e n 1 n ? ? il ---- ------ ----- ROBERT B. SIKICH L.S. REG. NO. 91
?7?Frt?on r:r+vr•.r,rn•r: nvr:r,nc:t: "u" c.ogru•rnTinu
oWxER ? .
sTmE aDnsESS 7=- Sr?UFDR I p6,s
CONTR4CTOF 'rL!/A/D DATF. PFiONE
Determin workinr; squnre footar,.e of ench.
1. Total exposed vall area .. 2?? sq. ft. x 0.11 _ 2(p6,p8
• 2. Total roof/ceiling area sq. ft. x 8,026
• .
Total exposed wall area nbove floc+r =Z4-v27'b
c
a.
b.
c.
d.
e.
f. Total
Total
Total
Total
Total
Total vall vindow area . ........................ Zof'i. 2- .
door area ................................... ?
sliding glass door area .....................
fireplace va22 urea .........................
i..' 4
wall framing area (average lOP) ............. /(,/(
net wall area above £loor ..,. .. . 1 Z0.0
. 8. Total rim joist area ...........................? 3
Tatal exposed frnmdntion araa = 7Z, +
h.
i. Total
TotaZ foundetion vindov area ...........
net foundation area ubove grade . ............
............ 5(,e CL
.
. Detercnine "U" value o: each wall se.gment.
a. 2.o8. z x?.U??
b. 3 8, I f z..Ut, d• ? 3? = 5,34
C. 79-q4- X„U„ z5, 5e
d. 2;- X„V„
e.. l9141-- x.,,U,, 0.k = ?7,v
f. 1 7 zv, a4.. x„U,. o, oA+
. a• /3? . S x °lr"
O-OsF-?
h. ! .1, 7S' X „U„
. i. 5ro,?? X.,U„
3. ....... ....................... .... rot.at = 2 3 Z.? oX-
"
If item N3 i
of SBC 6oo6( r.
s the same as, or lesr,
c)2.
'-tian itc:a
pt, yoti navc met the intent
,
11
' Total exposed ioot/ceilinG aren
? - _
Total gross roof/ceilinf; are:t =
?. Total skylight area ..........................
k. Total roof/ceiling framing area••••••••••••••
1. Total net insulated roof/ceiling area ..... 0
Determine "U" value for eZCIi ruc?f/cci I int: ac?,?mcnt.
!
.
J. X Un
k: Ii7 5r X„u„ o, oZ7 = 3;? . .
,q
............ . ................:. Tocai = Z.?O•y .
c ?-
If total oP #G is the same as, or less than N2, you have met ttie intent of
SBC 6oo6(c)1. . •
To utilize the total envelope system method, the values establi;hed by the
sum of iteas N3 and 14 shall not be greater.thxn the sum of iten:s N1 and N2.
.
1. + 2. -
• 3•. ?+
. , r.
o ?
_. .. o °
.? -VPcW5 GAI-GUI-ATIDW.,7 (GoNr).
-?FAML WAu. ? I N?.I ?A?oN
, LoMPoN?N?i
t?
:J
'u
?4.
?
?
o4f;eiM AIF- f9u4l
_ ?%y INSUGA'??l•
: lyu P. r. p P.
[E?Ir?? A1fL ?II.NI.
- ". R _ YALU E
----?-- p,?? - -
- o.co2 -
2; ocr - -
0.45 -
-: --p:Cob -
Ftbfpr,-- 2 3. o I -
-FFAMV W4. @. 6PD
_ pI,?N- vlew.
GoMPaN?NTS
_ur?ioE a+lz M.A.
hNer-P'jH?N!s •
h1Un (O*Mm?
?oir?im k?lz R?M. .
C
cl?
C
C
C
C
" . F-,VAI,U5
-- --o.l? ? --?- -
2.oU _
/
-----
a---
. d-?O'--- ?
? ('oTwt.=--I ?• I Cr-
r?
U^ ? o.o8q.
?L
4
=l?J?1P?. ??U?= ?O,IZ X o.ot?q} t?o,Sb X o•043> = ?. o?- -
(D
?
?
0
0
0
02AP?(OJ712i;? -
-I.I.M
??.? ti15U1..
I N(o
?(DI NCi-- ---
?T -??:_r??M •
?• ?o G - " -
- -o:ce2
? 27
?J?NDPC?(IoN • -
0
C
C
C
lr4' .?k?._?II.M
--n ?-"1?-----
_-5.-0_
- ,
--??2? ---- -
?-_
1.i3
iz.??
i ,
-?-?_-
O
C
C.
C
C
?z?_ ?_-???-r??n.
?
o a2 c??.-?N?u?:-
Q --
?
_? vA- uL4E --
T -a1\-l -- 1
_2q C?
-- 5,?------
-
-- --o-?- ---
I _ _-- o,?t---- I
I R = 3 5.-05-3 ---:---I
U 35.b3
?"?L, - o+oZ L
q4,03
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124047
Date Issued:06/19/2014
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J Freeberg
4071 Camberwell Dr N
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124109
Date Issued:06/23/2014
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Joan Ciesler
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J Freeberg
4071 Camberwell Dr N
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145712
Date Issued:09/21/2017
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J Freeberg
4071 Camberwell Dr N
Eagan MN 55123
(651) 688-7517
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148281
Date Issued:03/19/2018
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Robert J Freeberg
4071 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165824
Date Issued:11/20/2020
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J & Gail M Freeberg
4071 Camberwell Dr N
Saint Paul MN 55123--392
(651) 688-7517
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170437
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 4071 Camberwell Dr N
Lot:13 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J & Gail M Freeberg
4071 Camberwell Dr N
Saint Paul MN 55123--392
(651) 688-7517
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature