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4051 Camberwell Dr N "As y.' ,4;. I Urftfiratr of f"rrupaur citp of ealiairi 3911rmulw of abing jwWr>tim n& Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code cer fying that at the Brice ofcssuanae this slrucutre was in compliance with the various ordinances of the City regulating building construction or use. For the following; UxCb=T>atioa SF pp/GAR Bw& N, 1S726 O_Rpanc7 Type R' 1 Zaaicg District PD/R12 Typo Coact TAN Owna of aaOdicg CRSM HM Address 5929 RAKER ROAD, M DWICWA DRIVE N U7, B2, MU S OF SMMMRIDGE 3RD ~ Aaa 4051 GMMRV~ 1, 4t f Darc 5/23/91 era ~ oar / POST IN A CONSPICUOUS PLACE r ..P 9 „•';~~+,'iF5 , 7,,. 'Yyn.. a~ ,K;,.4,`., x. c.:,-rF '.w,..,. Elm- RF, rt AV-D DFC c 06/25/91 DECKMAMR 890-6582 CITY OF EAGAN ' 1 18726 ~ 3830 Pilot Knob Road, P.O, Box 21,-199, Eagan, MN 551-21 PHONE: 454-8100 BUILDING PERMIT. Receipt # V To be used for SF DWI "R Est. Value $14~3'lt 09 Date S 14 19 91 4059 CAMBERWELL I N Site Ad i.. it ss x. OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning V__R 811.00 Name CIENTZX Bons (Actual) Const Bldg. Permit TXR RD 7450 (Allowable) ' x 3 Addre,, Surcharge o City MINNETONKA Phone 936-7533 # of stories 527, Length Plan Review p Name ' Depth SAC, City 100.00 z~ °v4 AddreSS S.F. Total SAC, MCWCC City -Phone; S.F. Footprints Water Gann 660 On Site Sewage l)0' 0 uw Name On Site Well Water Meter s'= Address .a MWCC System 30r00 ❑0 . Acct. Deposit q a W City Phone City water 30.00 PRV Required S/W Permit hereby acknowlege that I,have"r d this application ~jn state that the' Booster Pump S/W Surcharge s information is correct anti agree comply with all plicable State of 276:00 III Minnesota Statutesrand City of E an Ordinances, Treatment PI Signature of Permitee r "t s 1' el PPROVALS Road Unit 370.00 CE14° ax s Planner A Building Permit is issued to: i Park Ded. on the express condition that all work skull be done in accordance with all Council applicable State of Minnesota Statutes acid City of Eagan Ordinances.', Bldg. Off. Copies. r60 Variance TOTAL Building Official - Permit No. Permit Holder Date Telephone # WATER p?15 0? 5 3 SEWER PLUMBING H.V.A.C. of ¢jQ 2U`5~ 01119?S -4,0110 ELECTRIC .4510 Inspection Date Insp. Comments Footings l jr~ Foundation ~s /g( Framing' 1JS Roofing 7 p L Rough Plbg. Rough Htg. Isul. Y= S Fireplace t~-~ -~~~!?d f a^PSJ - fJ~ 0 Final Htg. Final Plbg. -/y Const. Meter Plbg. Inspector- Notify Plumber Engr.lPlan Bldg. Final 391 Deck Ftg. Deck Final y ~y/gyC!/ Well Pr. Disp_ -9 47 77- SEWER & WATER PERMIT , OFFICE USE ONLY j CITY OF EAGAN METER # rP a PERMIT DATE 02/25/131. 3830 Pilot Knob Rd. CHIP # _J~ Q 6(5-// PERMIT # 11815 .I Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # ISSUE DATE - B.P. RECEIPT DATE 02/21/ f 1 DATE FEB 19, 1991 PRV - BOOSTER PUMP i s SITE ADDRESS 4051 CAdvIBERWELL BR N PERMIT REQUESTED LOT 27 BLOCK 2 SEC/SUB HILLS CAF' ST'CNEBRIDGl 3 R19 Y- SEWER X WATER TAPS APPLICANT: COMMlLND RESIDENTIAL ADDRESS: CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters an Water Line. ADDRESS: X14745 S ROBE ft TR Credit-WILCM. OT be given far Deduct Meters.. f CITY, STATE At~tt/~.,F'"`7"= ZIP 55068 E 42-1-114 PHONE: AGREE TO COAAkY VATH CITY. OF OWNER: CENTER HOMES EAGAN ORDINAPCES' ..ADDRESS: 5929 BAKER Iii) CITY, STATE 1~1 N~tE CCrIYKA i ZIP _ 5534:5 C-1 PHONE: 936-7833 AT E WHEN METER ISSUED PLEASE ALLOINITWC WORKINGJDAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I~' SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWE VTER PERMIT OFFICE USE ONLY CITY~~ ~~li&~~N METER # PERMIT DATE 02/25/91 3830 Pilot Knob Rd. 111825 Eagan, MN 551 22-1 897 CHIP # PERMIT # -2, 2 METER SIZE B.P. RECEIPT a DATE FES 19, 1991 ISSUE DATE B.P. RECEIPT DATE 02121191 PRV BOOSTER PUMP i. SITE ADDRESS 4051 C6ti14..>dERVELL DR N PERMIT REQUESTED LOT 27 BLOCK 2 SEC/SUB HILLS OF Sal-ONEBRIDIGE 3RD SEWER X _ WATER TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL-;'; CITY, STATE ZIP X ~a NEW _ EXISTING PHONE: .J Lawn Sprinkler Meters are to be Installed PLUMBER;' Ahead of Domestic Meters on Water Line. ADDRESS: 14745 S ROBERT TR - Credit-WILL NOT be given f9r Deduct Meters. . CITY; STATE ZIP 55068 PHONE: 423-1144 I AGREE TO COMPLY OITH'CITY OF OWNER: CENTEX HOMES EAGAN ORDINANCES,' ADDRESS: 5929 BA;&RR. CITY, STATE KINNla'! CdY[C.A ZIP 55345 PHONE: 9'36-7833 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 4051 C94B>:RwFr7 DRIVE N Lot 27 Blk 2 sac/sub HILIMF SIONEBRI" 3RD These items were/were not complete at the time of the final inspection. Date: 5/23/91 Yes No s Final grade (6" from siding) tl~ Permanent steps - garage t~ Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish V 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. RfC4FO M4tR White - City copy Yellow - Resident copy Pink - Contractor copy 2 f DATE: FEB 25, 1991 4t 4051 CAMBE&WELL DR N (CENTEX HOMES) RE: X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. i~17 417 to/GSA Request Date Fire NO Rgh-m Inspection 5/30/91 Vesit? o EkReady Now ❑WAINdliylnspe for - Wherp RBedy7 I 'K licensed contractor 7D owner hereby request inspection of above electrical work at: Job Address (Sheet Box or Route No) City 4051 Q(amberwell Dr N, Eagan Section NO Township Name or No Range No County Dakota Occupant(PRINT) Phone No Mr. Berg Power Suppler Address Dakota Electric Co. 4300 220th St. Farmington, MN Electrical Contractor (Company Name) Contractors License No. Total Electric, Inc. 039842 4 Mailing Address (Contractor or Owner Making Installation) 1537 92nd Lane N.E. Blaine, MN 55434 Authorized Signature ConlractonOwner Making Installation) Phone Number 786-8484 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ae-cooot-oe~ tT;' tl~ See instructions for complELng this form on back of yellow copy 10165 ' ` .74. 7 X" Below Work Covered by This Request New Add Rep Type of Building AppliancesWlred Equipment Wired g Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below, # Other Fee # Service Entrance Size Fee # Orcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspector's Use Only TOTAL Irrigation Booms lJ , QJ 15.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in t bare certify that the above inspection has Final e1y! r~ been made Q7 OFFICE USE ONLY This request void 18 months from .//`f/7/ - /00S1~zY H 51049~a7 ,Cefr 't'j GC Request Date Fire No ough-in Inspection (O @qcared? D Ready Now txWili Notify Inspector 3-13-91 R ~3Y it D No When Ready? I X licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No) City 4051 Camberwell Drive Eagan Sedron No Township Name or No Range No County Omupant(PRINT) Phone No. Centex Homes Co Parer Supplier Address Dakota Electric Electrical Contractor (Company Name) CoMrador§ Ucense No Lazar Electric, Inc. 041935-8 Mailing Address (Contractor or Owner Making Installation) 383 Sunset Road N.E., Minneapolis, MN 55432 Authonxetl Signature (COnlradorlOwner Making Installation) Phone Number 784-3729 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Boom 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED J11V171 REQUEST FOR ELECTRICAL INSPECTION °M e ooaatae ► See instructions for completing this form on back of yellow copy I /DO 51049 "X" Below Work Covered by This Request New Add Rep. Typeot Building AppllancesWired Equipment Wired ome Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial 'Furnace Farm Air Conditioner Other (spec,y) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrances ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 i.-100 Amps Transformers Above 200 _ Amps Above Amps Signs lnspectors Use Only: `-j Irrigation Booms / ` $ TOTAL86.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale `O certify that the above inspection has F,nel Data (r been made. OFFICE USE ONLY This request void IS months from °ybwn/ 9/ /Digs d'5 H 510411 -7 a ' ey s~*p pig Request Dale Fire NO ugh-m Inspection I ^ _ imyo ❑ Reatly Now AI en Re Inspector O_'/' C Yes ❑ No When Ready? I licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street, Box or Roul City I S /X~Pk° r~ Sedwn No. Township Name or No. Range No County Occupant (P I Phone No G Power Supplier p Adtlress Eledncal Conh Company Name ConlradorS License No. Malin ress ( actor or Omer Making Installeaon v.JSF~ Z- Authonzed Signatu ntradOrlOwn king Inetallatmn) Phone Number L MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GHggs-Mldaay Bl6g. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS P11one (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION °'Mq Ee-000001-0e -WAI I► See instrue4onS for co"plehng this form on beck of yellow copy ! 1QQpe (ys H,51041 .X„ Below Work Covered by This Request New Adtl Rep Typeot Building Appliances Wired EquipmeniWved Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial 'Furnace Farm Air Conditioner Other(specdy) Contreaore Remarks, Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feedem Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 0 _ Amps Signs Inspectors Use Only TOTAL Irrigation Booms U1`/) ' ` Special Inspection ~(J Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oats certify that the above inspection has Final oat been made. .4 1111 OFFICE USE ONLY This request void 18 months from C jj!p ~ 1991 BU ILDING PP ATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: w~ Z Site Address OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit N oning Surcharge Parcel/Sub ctual Const Plan Review Allowable SAC, City Owner ~/o-dL SEy✓E+ L # of stories SAC, MWCC Length Water Conn. Address 'f US 1 L'AwiF}~ ✓EZC 17/x• Al, Depth Water Meter S.F. Total Acct. Deposit City/Zip Code dr iQ+✓ Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage- Treatment P1. On site well Road Unit Contractor ,~rZIC N1 /f57 EY~ MWCC System Park Ded. City water Trail Ded.. Address (t-(({( E: - H-1- 4 13 PRV Copies Booster Pump _ City/Zip Code ~dBa Slii2 LC SS33~ SUBTOTAL APPROVALS Penalty Phone Og0Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with igna ract all applicable State of Minnesota Statutes and City of Eagan Ordinances. ° * 2422 Enterprise Drive PIONEEIa unoaavtrxee•etwateNwNaRS _ MendotaHelghts,MN5512D * eng neer ng . CaNO et aNNCas • 1 aNRlC VC AecNlrecas (612) 681-1914 :n Certificate of Survey for, . CENTEX HOMES uoRrN ER ~ L pRl tl~ N C~" ' ~ 8S•o~ 0-1 W t; MOW M ~1 IJAa - _ X41 " 1 1J X0.00. ,.JO' n '''CELT` . 3 i i o t ~ a1 t Z 1 I 1 1 4 1 r •`l ~ Q , Ile. t t t t bb.e . sao. oo Denotes fxislin flevah6n,5 5 81' ea2B 5f0 Ah5f &EW rraNS one opostd EJevatrons Lowest /floor fleva&n IQ Denotes Drama¢e 1i/y rasemed ~q o^B/ork Elemllon , -aft t 10 Denotes Drain t Jow Arrows tale glob Elevali n 0 g D Dmoleq Moms 01l &arvrjs shown are ossumed ❑ Denotes i sef pub LOTZ71BLOCIYz "AI5 OF STONEBRID613PD ADD 04KOrg CWNTY, MINNESOTA 1 hereby certify that this survey, plan Or report wet prepared by Rte or under my direct supervision and that I am duly Registered Lend Surveyor under the tare of the State of Minnesota. Doted thls-ALJEAday of A.D. 19 Cl/ 11, LOZ 50l ` fn TO{--rL ROPER t q, 5 IC'l l L5. RE(i. NO. 14891 CITY OF EAGAN NO 18726 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 C IT11 f/S BUILDING PERMIT PHONE: 454-8100 Receipt # l~ Y"I To be used for SF DWG/GAR Est. Value $149,000 Date FAR 19 , 19-9j-- Site Address 4051 CAMBERWELL DR N Lot 27 Block 2 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. STONEBRIDGE R Occupancy R-3 M1 FEES Zoning PD RR1 X Name CENTEX HOMES (Actual)Const V-N Bldg. Permit 811.00 i Address 5929 BAKER RD (Allowable) V N Surcharge 74.50 o City MINNETONKA Phone 936-7833 # of Stones Length S1o-' Plan Review 527.00 c Name SAME Depth 38 r SAC, City 100.00 S.F. Total 8< Address - SAC, Mcwcc 650.00 City Phone ST, Footprints - Water Conn 660-00 On Site Sswags ww Name On Site Well Water Meter 90.00 Address MWCC System -X-- 30.00 Acct Deposit osit City Phone City Water -X__ w PRV Required SAW Permit 30.00 i I hereby acknowlege that 1 In ad this application" nd stale that the Booster Pump SNV Surcharge .50 information is correct agree 1 comply with li plicable State of - Minnesota Statute Clty of E an Ordinan r Treatment PI 276.00 /111 PROVALS Road Unit 370.00 Signature of Permitee CE EX OMES Planner Park Ded. A Building Permit is issued to: on the express condition that all work s be do a in accordance with all Council applicable State of Minnesota Statute dC,itty/ if Eagan Ordinances. Bldg. Off. Copies Building Official Lmq ts]yy 1 Variance TOTAL 3 , 619.00 1991 BUILDING PERMIT AP CATION CITY OF EAGAN ~l /=D SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. p To Be Used For: SFD UAW- Valuation: )q 00a Date: Site Address (~y/gkJEG~.U2 OFFICE USE ONLY Lot iaz Block dC Al FEES 11'' Occupancy ~-3 NI~I Bldg. Permit Sf1,00 nlt op nn Zoning PD' R-1 Surcharge Qy.Sa Parcel/Sub ~To ergel✓ -ZRD AbAy,, Actual Const N Plan Review 52 00 Allowable V-X-1 SAC, City 00,00 Owner ~Ei✓~ECB/f/ES # of stories SAC, MWCC 50,00 Length Water Conn. 0,00 Address ~ .CIJ Depth 3 8 ' Water Meter 1q0' 00 S.F. Total Acct. Deposit 30,00 City/Zip Code ~TY/9 5 S5 Footprint S.F. S/w Permit D,00 S/W Surcharge ,50 Phone /C?jcP ~f~y On site sewage- Treatment P1. 176,U On site well Road Unit 31010 o Contractor MWCC System r/ Park Ded. City water r/ Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. /O c`E~2 l~l~LCO Bldg. Off. 17 2,/9•$/ Variance Address City/Zip Code f~/~,L(/,0/~ E16~ Phone # el'gl- / grees that all work shall be done in accordance with (Signatu of ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Mor~tZ 9 l5c - 13 2sZ.- Gn rt p~,-E ~xm rrlp,~- I K to a go KiS = c~ kuw5c ij,rnfl Tl w! 55rhT A 15r ROO L0 X32 = l2Y %6S. 7jzo 14 Z N D ~-o vl~.. ~txi~~ ~Nx51= 3Z6 * * 2422 Enterprise Orive * MONEEA uNOSURVay=EVILtaeatr~as MendotaHeights,MN55120 *Ongneering,. LANOrLANN[RSLANOW4r teeNly[CTa (Ff2Ii)81.19f4 Certificate of Survey for: CENTEJt, HOWS ^ i uoRM AMBERWic L RI(l vie E W df S. 884• ~/a6.0► att f e t~ T r - J f*opptpie p M ` Ha04e h I lot. I t z % b rr ~ a ~te Ti,, GAIN ENGIZ LEtING DEPT t i I 1 bb:o &Ts¢.o r In. oo Denotes Existin Elevations s 81 a On 0a Denoto aaposed flevotlbns PRO AD HWE EL y TIOW ® Lowest /floor Elrvolion b , lQ Denotes Drainaq~ge (Jti/ripp Easemmf 79-0 o"'Block Elevolion 89 1 r 10 Denotes Oroino~e -low ~Jirows raje flab Elevation of 21 3 o Drnofef Monunm3mt Bearin~s shown are ossomed o Denoles 01 el quh LOTz7, BLOCk`z , //ILLS OF STONEBRIDGE 3RD ADD D orl CWlv7f', MINNESOTA I hereby Cattily that this survey. Plan or report vves prepered by or under my direct mmrvisian m,d thnt I am duly Registered Land Surveyor under the levn of the Stets of Minnesota. Dated thk.l~lr' ~ day of q,p• Ig 9/ or .R1~01•OZ 5ca/e:1 meh r'i'd/;U RORER t e. s 1C'b, L.S. REfi. NO. 14a91 i'1 .~r'rn 1 1 ri C;;=-; GC!ili•i. I'dL.1. t r,;)1't T r, c . I; .I !il. ljl l4'11~ . L.L. i t.u lrY._3ot Ly State Energy Code Ca.lcl_;1<alion=_ %5"d on Chapur ca- LI'7e I`loc.le.l C=na;•r_r;' Cod, 1993 EdLttQn Adaptud 11L104 -n -'r MODEL 42J90 _KPI110,11 Phone. t11U- .rcns; At for ::ir.cl~.- i=amily:q1.1N r T F.?>. A<^, residential , stories Over stories Other GEE RAK 1NF0HMr1T10t•! Noie: The action designati.onn .cr __tinn H", "Section B" etc.) ar-F_• fr,i- :_unvon:once in calc-:ulal_'iow only, and are not related from one set of 001nulal fors holr_V- Lo the e%t. 1- Bldg. Wr_3.1!.; Perimeter !=fall heights, = Area ground to ea`,re Section iii 22 10.4 229.:-3 SOLUnn I 18.5C 7526. 8S Section C i) ry = fl Gross W a 1 1 Area _ 2755.68 Building dimensions Floor or Ceiling Length n Width = Area Section A . to. C3 A = 21. & Section u . 1.' _ 26 Section C . 'Q.8 -Tl~ 6 _ 'E Suction Li - 22 1-5 1 68. Total !!Dar or ceiling area = 116 3-2 5. Rim Joist Frar'i meter = 158 Floor joist by (8", 10", 12" or 169): 10 Rim Joist Area 1. 1 .6 66:3 4. Doors Area., 4Z.8 Thickness (inches); 0 Perimeter (feet): ;j Type of const:rur_t.inn: a. Total door's Purlmf ter-: 0 A. windows U :actor:: 0.47 Mato approvud; I M, unIt=_= BSNT. UNIT 14 27 10.11 16 2f.) 4 0,7 0 4 L._ B 4 1-'.1,1 '28 24 IM67 Sol ~2 2 12.44 "a '6 4 24 TiUi4JOTOP 15 .°r 2 I:. li j [7 i) 0 7. Wi nduw ❑l ass area (QF 1:) - 263.o2 r' pe Height Length Number 'T'otal (teet? (feet) units BqFt S. Patio Door: 0 f") 9. Atrium, 6.8 2.9 2 B. , ToLoi Sq FL rj I L. E.4posed FY,,.u'dmtion ' Might area A: 0.67 Perimeter area A:' 154 Sq Ff area A = 1))3.113 F;;posed Foundation Height area B. 0 Perimeter area B: 0 Sq Ft area B i 12, SgFt U factor U x A Gross wall area 2755.68 m,a.nuS Window area 263,62 0.47 123.9 Patio door area 0 0 0 Atrium area 38.08 0.47 17.9 Rim joist area 131.66666667 0.035 4.61 Uuor area 43.8 0.14 6.1 7. Fireplace area n r} Exposed Found. 103.10 0.14 14.45 Framing area 275.560 0.069 19.01 equals ='i = for net. W.11: 1099. 7c =3 ' 7U, x., - 1 r'nui7 ,,.l arec, i c 1 u% 01 Urc weal l or ea Grva , Y,ai L area it tq.' iYaI G:V U rt per ::lL1 i., "aci:,, .11 for A-1 sinyl.e family, cc"pWx .1 For A and oth-r re>id2ntia! .23 Tor other huLlding~: .20 for over = storiems. I :actor i=. 0.11 1 DrUH MUST BE 2 OR - 256.V9 tcalc:ulai:W abnvcc•; 1'!. ,._:-na c1 1i1 1 f r..lr'1:ct 1363. 1,:-•";lliifj 1'r'e0i7. i',.J or w" 1Q". CJi ceiling ::re-•'' _ 116.1" joist Area (10% of ceilli,l__ ar'fevi) 136. 3 17. NeC rei 1 inU aree !Jr•os_. cv ] . area Joi sL area) = 1 26. 8>'8 18. U cetAinr.l: 0.021 Not ._._il, area =23.76448 JY. U framing; 0.024 Joist area 3.27168 20, fatal of item IS ` item 14 = 29.0361s 21. Gros- ceiling area facto- below = U v A per code Factor- is ,026 for A-1 Single family duple;, .033 for 0-2 and other residential .06 for other buildings Fncitor - 'i.i.r. ~6 BTUH 73.44°;2 MUST BE ? UR _ 25.01616 (calculated above) U VALUE CALCULATIONS 2 x 6 / HIGH "R" SHEATHING R VALUE U VALUE - Inside air film .68 WALL Interior wall .45 (wall) U = 1. _ SECTION ~ Insulation 19.00 K Sheathing 6.0 037 Siding .67 - - Outside air film .17 R TOTAL 26.97 Inside air film .68 STUD Interior wall .45 SECTION Stud - 6 6.50 (rraming) U = 1 = Sheathing 6.0 tt Siding .67 _069 .ffOutside air film .17 R TOTAL 14447 Interior air film .60 RIM Insulation 19.00 JOIST 1 i inch soft wood 1.80 (Rim JoisLI U = J. Sheathing 6.0 It Exterior wall covering .67 .035 i Exterior air film .17 R TOTAL 28.4 C?` Interior air film .68 CDd. Insulation 5.00 Foundation (12 Block) 1.28 (COUndation) U = 1 = Exterioc air film .17 ti R TOTAL 7.13 .14 CEILING WITH VEN= ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING j 0.61 Air Film 0.61 !i 36.00 Insulation 44.00 4.38 Joist .56 Ceiling .56 i 0.61 Air Film 0.61 41.55 Total R 45.78 .024 U = R .021 CATHEDRAL CEILING R VALUE R VALUE FRAMING CEILING 0.61 Inside air film 0.61 Y .56 Ceiling .56 14.375 Joist(Spacer) - - Insulation 33.85 - Air space .50 .67 Roof decking .67 .06 Felt .06 .44 Shingle .44 0.17 Outside air film 0.17 16.88 Total R 36-86 Window infiltration .5 cfm/lineal foot of crack 059 R = II .027 Residential door infiltration 0.5 cf3A/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .781 R 1.28 double glass = .52 triple glass = .31 All exterior walls and ceilings must have a vapor barrier (0.10) perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor bariers of the polyethelene thin film have no R value. (v In 1 /5-50 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date'? 1~3)_1 611 Site Street Address W S1 C i 4~ln.Q,e tcl eQQ a, C12• Unit # Property Owner j Telephone # Ue51 ) J/D6 - ~1a5P Contractor c~-i g~~ Qa rJa t~td~ Telephone # (!61)•365 3 410 Address ~1, 96 City State bv►n, Zip o23 The Applicant is: _ Owner ✓Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: -Water Softener V water Heater $ 15.00 replacement - additional Lawn Irrigation System RP new _ repair -rebuild $ 30.00 State Surcharge ] 004 $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. MA4' / &)t ye 1116 7 S&V&4 ~ Applicant's Printed Name Applicant's S nature Si~'~a RESIDENTIAL BUILDING Permit Application City Of Eagan ':~7,4 O. 6 3830 Pilot Knob Road, Eagan MN 55122 p Telephone # 651-675-5675 FAX # 651-675-5694 C u.Xx ~J 9 3~'d3 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. R of lot sq. R of house; and all rooted areas 2 copies of plan Can of Survey Recd _Y _ N (20% ma)bnum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pros Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pres Reqd _ Y N iset of Energy Calculations Addition - indicate if on-site septic system OnsdeSeptic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date 9 195- / 60 Construction Cost 311 K Site Address q0_5-1 C d &-N%ye,, hi Unit/Ste # Description of Work V'., TC Yt~Y\ RQVy\oReA Multi-Family Bldg Y'~ X N1' Fireplace(s) _ D _ 1 - 2 / Property Owner o Aa + See \ rnC.'" lS Telephone # (6Jh yOC'! - 9o~S~S ~Ij Contractor - y e- 5 Address ay 9B 7% 51- City O B8/ -~iJ - StateZip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateRoKy I _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eaga a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor c5g Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. f~ Applicant's Printed Name Applicants Signa ure OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg X 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Adds. (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 PTlbgg-_Yoorr_fN [3 25 Miscellaneous Work Types n efG"O i-•) y' I GfT'y1~v ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation l' Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUERED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) /K Final/No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ RI. _ Air Test -Final _ Windows (new/replacement) 7X Insulation _ Retaining Wall Approved By 7 Building Inspector Base Fee Surcharge (Q - C) C7 Plan Review 2 O $ . 6, ~rJ Lo 0 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 0 .0 6,2/2S 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 and Condos when permits are required for each unit Date 3 1 f'V r Site Address y0:5 DPf( ~1~1 3X Unit # ( ) Property Owner" Telephone Contractor di:^^~~j l~lT/\~t<~J(H-~'^SZ~ 1 Street Address a l g` x U C City ( r J d G o o State U^xy-,s Zip 5S 3 Sc~ Telephone # Bond # l 1~ I S 7 Expires: The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit 30.00 furnace replacement air exchanger _ air conditioner New Replacement other ~[7c~n-cr~~ 4 Gtf~de i Livt~° State Surcharge $ .50 Total $ 3Q I hereby apply for a Residential Mechanical Permit and acknowledge that the ' formation is complete and accurate;ithat the work will be in conformance with the ordinances and codes of the City of Eagan and the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start withou permit; that the work will'be in accordance with the a roved plan in the case of work which requires a review and approval of pl Yl.~ 1 S ~ `I IMF Applicant's Printed Name A licant's Signatur RESIDENTIAL PLUMBING 4 SD SD Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date JD , a,A7 / 03 n Site Address jj unit # Property Owner Telephone # ( ) Contractor bL(Gor1 ~l l~ f i i'lC dl ~Ij 1-i Address a 1 l D t X~O City ®f~Q State V j zip 47S35~Telephone # 0 "V 'ate 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. Alterations to existing dwelling $ 50.00 Add fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system _ Water turnaround 5/8" meter if needed - $121.00) Other: 5 -rn 'L Wtr~G' S RPZ _ new _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener - Water heater ((~~~l 15.00 - replacement _ addlOonal D LSUe ~ o ~~(7 t!J KqU State Surcharge Total I here by 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 Eaganan 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 with t a p ork will be in accordance with the approved plan in the case of work which requires a review and approval of Applicant's Printed Nat A icant's Signatttre J~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 a 651-681.4673 New Construction Requirements RemodelfRegair Requirements • 3 registered site surveys showlrg sq. ft. of lot, sq. R of house; and till 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 • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detad Options selection sheet (bidgs with 33 or less units) ` y O o DATE Q,LLa-U,n~ l~)f (AC OA VALUATION$Q 1 f]8 1 Lj~) 4~.1QaS Id" ) SITE ADDRESS L•IQ'51 6_f'(t`)(_l01,10-2 O0 C' , MULTI-FAMILY BLDG _Y _N TYPE OF WORK_-_. _TCr.~ L -r- rem o~ F ~cro0~ FIREPLACE(S) _ 0 _ 1 -2 Tecr o.C-P h m S1d`4_ APPLICANT STREET ADDRESS 6O L&) 1 CITY l *,STATEKAO ZIP SSC TELEPHONE # $Fsl LOSS CELL PHONE # Shur - Ivl Z 32Fr-&SL91 FAX # $$l V-1 PROPERTY OWNERT'odA n- V I~ CL i i AAA TELEPHONE # 051-LIU V cla5 r COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ S~I'. RIf~ I(~S I 11-1 (J submission type) • Residentlal Ventilation Category 1 Worksheet Submitted nergy rkIn bmitted • Energy Envelope Calculations Submitted AUG 1 3 2001Plumbing Contractor: Phone # E Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant oa O ~Ls r l't Ra"` OFFICE USE ONLY M` Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY USE ONLY U ~ g RECEIPT 13\51 a SUED. RECEIPT DATE. L~g^O-fib PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, HN 55122 651-681-6675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC Iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x Shower 3.00 x Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x $ Water softener if dwelling under concoction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ -Water -turnaround 30.00 x $ -3 C) State Surcharge .50 $ .50 Total 9 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wfth all applicable City of Eagan o mantes. It is the applicant's 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 property/right-of-way/easement. ~ ~O SITE ADDRESS: ~ OWNERNAME:: TELEPHONE#v~5/ /4 10'-d (AREA CODE) INSTALLER NAME: TELEPHONE Y S7~/ (ARFJ1 CODE) STREET ADDRESS: 0?3 CITY: STATE, ZIP: 3SD7~ SIGNATURE OF PERMITTEE CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /003 m DATE: 3 Wag..- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST il/ NO. FIXTURES EA. TOTAL ADD ON ADD-ON MINIMUM 15.00 REPAIR 3 SHOWER , 3.00 -7,0 0 WATER CLOSET 3.00 190 O BATH TUB 3.00 =0 OWNER NAME: C O~ eon Q G a e~ LAVATORY : 3.00 1,~4a o KITCHEN SINK 3.00 r ^ 1 Z LAUNDRY TRAY 3.00 ,ICJ SITE ADDRESS: HOT TUB/SPA 3.00 LOT._ n_OCv 42:f-SUBD A L Ja WATER HEATER 3.00 eLyh~? P TILOOR DRAIN 3.00 :?60 GAS PIPING OUT. INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: 14745 South Robert Trail OTHER _ _ WATER SOFTENER 5.00 CITY: Rosemount, MN ZIP: 55068 PRIVATE DISP. 15.00 PH U.G. SPRINKLER 3.00 ONE 612 423-1144 SUBTOTAL .a ST. SURCHARGE 50 -SIGNATURE F P E TOTAL: S PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # /W k6 O PHONE: (612) 454-8100 RECEIPT # 114VO~5_10 "91 :.£Y DATE: S ao / PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ✓ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: SITE ADDRESS: '40 1 ky7lSek STATE SURCHARGE: .50 / - rr a.' LOT: 47 "e- BLOCK SUB TOTAL: $[y{~ INSTALLER': ww' s J~ ADDRESS: r % SIGNATURE OF PERMI, Et CITY: h ZIP: J PHONE pog1I RPTALjTNDUS~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 y C Q (p 651-681-4675 O -L c.m s~ Q~ 3. a.o 0 c~ > 3 registered site surveys showing sq. fL of lot, sq. R. of house 2 copies of plan and gp roofed areas (20% maximum lot coverage allowedl I set Of energy caloulallons for heated additions > 2 copies of pans (slow bearn t window sixes; poured Md. design; eta) I the survey for exterior additm a decks n I set of energy calculations > 3 copies of free preservation plan If lot plaited after 7/1/93 DATE: ~-15- w CONSTRUCTION COST: DESCRIPTION OF WORK:11 I L II STREET ADDRESS: '051 C~ YVIY~In~k°~L~ I~l FAA fir n LOT: BLOCK: a SUBD./P.I.D. } 1~ ~ ~ 5 cd CN -~Y ~ Name: an Phone PROPERTY Lot J1,1 ( / A , 1h ry'~t'~ Rrd 1r 1 1 OWNER Street Address: ` Vll/P 0 Ctiy G~rx fi l State: Zip: (Z3 Company. Phone (area code) CONTRACTOR Sheet Address License # Exp. City State: Zip: ARCHITECT/ Name: ENGINEER Company Telephone C ( ) Sheet Address: Registration City State: Zip: Sewedwater licensed plumber (N Installing sewer/waterl: Phone I hereby acknowledge that I have read this application, state that the Information b corect, and ogres to comply with all app80011131e Sfafe of Minnesota Statutes and City of Eagan Ordinances. m fly- ll~~ Signature of Applicant: 1 ~r~ l ~'O 2 OFFICE USE ONLY Certificates of Survey Received Yes No 5 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plea P1b9 Y or _ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)` ❑ 44 Siding K 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code_ # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) if Al Basement sq. ft. Census Code LPZ-L7- (Allowable) ifrJ Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building ~t Engineering Variance Permit Fee Valuation: $ Surcharge ' Plan Review License l F~~G~H MC/ES SAC City SAC 11 I Water Conn. rl ~~an mat e 1 r^, r4 Yewrej- Water Meter Acct. Deposit ~/"n / . n7 T SAN Permit Ie Jt^ 1 SAN Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC I For Office Use j Permit C j Ila City of Ear I Permit Fee: r~ l 3830 Pilot Knob Road I I Eagan MN 55122 j Date Receivedill IL $i 4~~ j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Sta . I I I 2 009 RESIDENTIAL BUILDING PERMIT APPLICATION LC Date: c l Site Address: Tenant: P t~[ Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor r° TYPE OF WORK Description of work: PPVAo'.,e c.L-ee_1 Construction Cost: ~ ! o~00 Multi-Family Building: (Yes / No & - a os- 1~1~565 CONTRACTOR Name: .-3 j at" e5 1 Aj~ License Address: 4,,e .5, city: APL g State: 4m), zip: S-9-y6 7 Phone: '7_4~ 5933 Contact Person: ',Tos-/t ~lr® COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 s rt 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 e to l1 INi. 'Kf x Applicant's Printed Name Appli t' Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINES SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi -/Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building f7 WORK TYPES' New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: ^Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath Brick Fireplace: -Rough In -Air Test `Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: - , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ` Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 2422 Enterprise Drive k PIONEER LAND tL a,q:v0rM. ctviLrW.,Nrcrrs Mendota Heights, MN 55120 n I~~e1•+~~ LAND PLANP+Lst • LAN05CAPw NNCIL41TECTS - 9* 16121681-1914 Certificate of Survey for: CENTEX HOMES i NoRtN ~L~ DRW CM WI ~ 8r ° z Sb E W ff - 00 s. ~ o~ A w {1 rn ~ I p ~ 1 M r • 4,Ij3 _ _ _ J i~Oop~C M I C New f/'.. 0.4 a . I ~ 1 I Z 1 I 1 I ~ l (06-0 St.4. o no. oo Denoks Exis finj Elevations s 81 ° on.oo Denotes proposed £/evaffons P pnsEO "WE E~EVartoNs Lowest Floor E/evafion _ y$ 4 t 10 - " Omofes Drama de y Easemed ~'elocr% EkvaLion _ $q f 5i q i t 10 - Denvtis Orrrinaje F/ow Prows 79'0 Goraol a S/at5 Eltvatiarr p o Dente; Monument 9 3 Mr'inls shown are asoamed o Deno lef o Pe f Nub LOTV,BLOCW Z "ILLS OF or TONIBRIDGE 30 A-Do . , 04 KOTA CO M y, M t NNESOTA i hereby certify that this survey, plan or report was Prepared pared by me or under my direct supervision and that I and duly Registered Lend Surveyor under the laws of the State of Minnesota. Dated this day of A.D. 19 ~~10~ ~1ca/C linLe-C 4 M-[. nOSERt II.! ICIIL.S.REQ.NO.14891 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA080252 Eagan, MN 55122 . Date Issued: 10/04/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4051 Camberwell Dr N Lot: 27 Block: 2 Addition: Hills of Stonebridge 3rd PID 10-32992-270-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Lofgren Heating & Air William E Zwicky 5708 Upper 147th St W 4051 Camberwell Dr N Suite 102 Eagan MN 55123 Apple Valley MN 55124 952 431-5811 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:EA131495 Date Issued:06/22/2015 Permit Category:ePermit Site Address: 4051 Camberwell Dr N Lot:27 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-270 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William E Zwicky 4051 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:EA131848 Date Issued:07/10/2015 Permit Category:ePermit Site Address: 4051 Camberwell Dr N Lot:27 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-270 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - William E Zwicky 4051 Camberwell Dr N Eagan MN 55123 (651) 334-1107 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature