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4092 Camberwell Dr NCITY OF EAGAN N2 17657 ? 3830 Pilot Knob Road„P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ? ,?Q?l?, BUILDING PERMIT s Receipt # t[J Tobeusedfor SF DWG/GAR Est.Value $141,000 Date APR 2 Sde Address 4092 CAMBERWELL DR N Lot 15 Block 1 Sec/Sub. HILLS OF Parcel No. 5 Name THE ROTTLUND C0. INC Address 5201 E RIVER RD o City FRZDLEY Phone 571-0304 o Name S? . ?a Address ¢ City Phone . ww Name r _ ; Address V a W City Phone I hereby ackrrowlege that I have read ihis applicaUon and state that the intormahon is correcc and agrea to comply with all applicable State of Minnesota SWlutes and City of Eagan Ortlipances , Signature of Permnee / - t%' Jx.w A euilding Permit is issued toTHE ROTTLUND C0. INC on ihe express condiuon Ihat all work shall be done in accordance with a11 applicable S1ate of Mmnesota Stalutes and Ciry of Eagan Ordmances. Building Official OFFICE l1SE ONLY Occupancy R-3 M=1 FEFS Zoning PD R=1 (ACtuaI) Const V=N Bldg Permit 783.?0 (qllowable) V=N Sumharge 70•50 s ol stones ' 509 00 Langth ? j? ? Plan RevieW . oePm 36' sac, cny 100.00 S.FTOtaI - SAC,MCWCC 600•00 S F. Footpnnts - WaterConn 625.00 OnSneSewage _ On Sila Well _ Waler Maler 90. 0 MWCC System xx_ F+cct Oepost 30.00 City Water XX PRV Requued _ S/W Permit 30.00 Bpos[er Pump - Syy Surcharge • 50 TreatmentPl 252.00 APPROVAIS Road Unit 355, 00 Planner - park Ded. Council BIdg.Off _ Copies Variance - TOTAL 3,445. 00 ., ? . I , . ,,. . ?? - F"'I.'.'.9; y?'i,'r'?VFT', .??y?„?1: •:':".4=, . M DECK 08/05/91 ' . 'eH k•"L3 `'??o?'Y7 (1 ? _. ww .aV CITY OF EAGAN I 17657 , 3830 P'ilot Knqb Road, P.O. Box 21 -199, Eagan, MN 55121 ; '.? • PHONE: 454-8100 si BUILDING PERMIT Receipt # ` To be used for SF IDWG!GAR Est. Value $141r000 . Date APR 2 , 19 90 Site Address 4092 C?URWELL D? N LOt ? 5 BIOCk I SeGSub. HILI.S ar OFFICE USE ONLY R3 M-1 PdfCel N0. Occupancy FE E5 P D R-1 W Name THE R()TTLUidD C0, Il"IC Zoning (Actuaq Const V--N , Bldg. Permit ? 7$3'00 .a p Address '?281 E RIVER I2D (AUowable) ? 7U. S4 Surcharge City FRIDLEY Phone 571-0304 # otsiories ??, ? .; 529 Plan Review . a IV3f1lB _ SAM Langth Depth w SAC City 100'00 ? Z ?a AddreSS ` S.P.Total - , (1Q(?.? ' SAC, MCWCC , Clty FF)on2. S.F. Footprints - Water Conn 625.00 ? W W Name tin Site Sewage On Site Well _ water Meter ? 90.00 ? iZ Addr25S . MWCCSystem X ? ? 30 v? w Acct. Deposit . ? City Phone City Water - S/W P it 30.00 ; ~ PRV Required _ erm I hereby acknowlege tha} ! ha?e read this application and state ihat the ' Booster Pump - Srw Surcharge intormation is correct and :agreea: io comply with all applicabie State of Minnesota Statutes ano Gity df Eagan Ordinances t PI T t 252.00 ?j . rea men Signature of Permitea - APPROVALS Road Unit 355.00 ! A Building Permit ij THE RMLUND C(3, INC `issued'to: Planner - park Ded. ? on the express co" applicable Sta1e d? diiion that all work shall be done in accordance with all Mim)nqsota 5latutes and City of Eagan Ordinances. Council Bldg. Off, Copies 3, "5.00 ' BuildingOfficiat. Variance TOTAL .__....:.. .. _.,:,?.?._ _,_. ._... ....?. ,, . ._....,..._....u.-a?'.aa...ti.:.?..?_?....:aua. .:...?..., ..:,. :".:,...?.a.?.............:i..L 4' .,.w .-., ...? ,.- - r_ Permit No. Permit Holder Date Tefephone # iAIATER., SEWER PLUMBING ?ati, 77 H.V.A.C. ELECTRIC Inspection Date Insp. Comments FootingS 1 Foundation Freming bs Roofing Rough Plbg. Rough Htg. Isul. ,? ?/ .! f?f P'v !f/ Freplace 519190 !J ? Fnal Htg. _?- Final Plhg. . Cons1. Meter Pibg. Inspector - Notify Plumber Engr,IPlan 81dg. Final 1'P i tc f/ 'dhS Deck Ft9. 8's 9l dX , ha /h r?Y C p - Deck Final Wetl Pr. Disp. . . . . . . . . . ..,. . „a.? cr? -...?; a ?r . _.. . .. . ?r ? ? . .,,x_....-?. . . ? ` ? ? .......? • ?? ? f ?.. t a ?. (Irrtxfir?tit uf Orru?aury Citp at (eagan ?rpttrbttnt# uf iwIbirtg inapertimt This G'ertifteale issued pursuant to the requiremenis of Section 306 of the Uniform Building Code certifying thar at the time af issucrnce this struczure was in campliarrce with the various ordinances of the Cify regulating building construction or use. For the following.• Ust Ctessification SF DWGJGAR M4. Ntmi, xo. 17557 Ocrupancy Type AW Zrniing District Type Const. VN DBte: JUNE 2!. 1990 Butlding OffiW ?,Ll?,• POST IN A f,dNSPICU0U5 PLACE f 1, , CONTRAGT PRICE Site Ad?rpss Lot ? Name _ ? Address c City _ ` Name_ ? Addres s ? Gity - FEES COMM./IND. FEE - 1%OF!CONTRACT FEE APT. BLOGS. - COMM. RATE AtPLIES TOWNHOUSE & CONDO- RES?,RATE APLLIES MINIMUM - RESIDENTtAL--FEE MINIMUM - COMM.IND.IFEE STATE SURCHARGE PER PERMIT (AOD $.50 S/C PER EACH $1,000 OF PERMIT FI PLUMBINC PERMIT CITY OF EACAN 3830 PILOT KNOB RDAD, EAGAN, MN 55122 ?uw?e wrw ea atiw PERMIT # _ 4r S BLDG. TYV WoRK D.ESCRIP710N ? Res. New - Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO.. FIXTURES TOTAL 3 00 $ Water Closet - $ . ? 00 Bath Tubs - $3 . Lavatary - $3.00 ? - v ? tY Shower - $3.00 _? Kitchen Sink - $3.00 00 UrinaUBidet - $3 . Laundry Tray - $3,00 Z Floor Drains - $1.50 Water Heater - $1.50 ? Whirlpool - $3.00 Gas Piping Outlets - $1.50 00 - ?" (MINIMUM -1 PER PERIdIT) 50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ' PERMIT FEE: STATES 51C: -, , GRAND TOTAL: 14 Phone r , d t ` Y Phone .. s:...- . . • ti ; ._J m Name y Addre: c City _ ? Name c Addre ? C'ty - TYPE OF WORK Forced Air Bailer Unit Heater Air Cond. PERMIT # ' MECHANICAL PERMIT RECEIPT # GITY OF EAGAN ?" ? ' ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `? ' E: PHONE: 454-8100 For Office Use Only: ' WORK DESCRIPTION ock 5ec/Sub BLDG. TYPE Res New i . . A?; y; >• i ,y , Mult Add-on f r 6 rn, , _a•- Comm. Repair el. Other IS r , oti.,.,, 12' _ M BTU M BTU M BTU M BTU CFM Gas Piping Outiets # r ? Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDE3 A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI COMM/1ND FEE - 1% OF CONTRACT FEE APT eLDGS. - CQMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE ) MINIMUM RESIDENTIAL FEE - ALL ADD• REMODE ? MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT ? (AOD $.50 S/C IF PERMIT PRICE GOES . FEE S/C: ?;;•-- - - : SIGNATURE OF PERAAIT TOTAL: FOR: CITY C)F EAGAN - $24.00 - 6.00 ? - ? ' 1.50 EA. ? 12.00 - 20.00 - .50 ? ,.,r,.,;.? ?.:..:.e.......?.a ,w?..W...L,_....??.?.?-u CITY OF EAGAN 454-8100 ' DEPT. 4F BUILDING INSPECTIONS ' Correction Notice Lacated at --WZ C? ??"t"e// ? . I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ;A 14//,l y>1-P : • f When carrections have been made, please call 454-8100 for inspection. , Date Inspector City of Eagan DO NOT REMOVE THIS TAG SEWER & WATER PERMIT . CITY OF EAGAI4 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 h4ETER # ? ? ? ? 7Z3ta 0H1"?? r i METER SIZE 4-1 SF a` ISSUE DATE USE ONLM PERMIT DATE `'? ???? ??? WATER PERMIT # 11. B.P. RECEIPT # (??66 B. P. RECE I PT DATE?14 102/90 - PRV - BOOSTER PUMP SITE ADDRESS - irl`=+?- PERMIT REQUESTED LOT BLOCK SEC/SUB 7F.?,t: Y, SEWER X WATER - TAPS APPUCANT: ADDRESS: _C4MMlIND ?RESIQENTIAL ':. )f-x LiE-r s•-? r, ZIP CITY, STATE 12 PHONE: _ ( I X_ NEW E>(!ST!!VG PLUMBER: °i t?Zy.k )c--. ADDRESS: b? 4 ; E- 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: CITY, STATE ZIP PHONE: OWNEFi: C k.-?? ?e- ?-r L.t_:??? ?' C?-? ,?<' . ADDRESS: CITY, STATE i,,r ZIP PHQNE: _ iiV TWO WORKING DAYS FQPC'PROGESSING. FOR STORM S WER PERMITS, GONTACT DEP7. APPLlCAMT AND PLUMBER WILL BE NQTIFIED WHE MIT IS PROCESSED. ?:-. SEe1NER &'WATER PERMIT CITIf OF EAdAft 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ` METER # OFFICE USE ONLY CHIP # METER SIZE ISSUE DATE PERMITDATE 04?02P,!'='' WATER PERMIT # 111 ' B.P. FiECEIPT # L rt B.P. RECEIPT DATE000211- w - PRV - BOOSTER PUMP SITE ADDRESS , ?•• ?- _ * / ' - LOT BLOCK ` SEC/SUB - . ? ? APPLICANT: ' ADDRESS: ? - CITY, STATE = ZIP PHONE: PLUMBER: ? ?• °i k ?• ADDRESS: - CITY, STATE ZIP PHONE: ' PERMIT RE(]UESTED ? v __,a_ SEWER ? WATER - TAPS COMM/IND X NEW ? RESIDENTIAL EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ? ZIP PHONE: ' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT 15 PRQCESSED. tye' tj;.i r.I DATE: 04/02/40 RE:) 4092 CAMBERWELL UR N 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 eompleted for the following reasons: ? 'co-'1. 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 Gity Hall. Meter size must be confirmed by Bfll Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMEIdT DEPARTMENT FOR WATER TURN QN POLICY. Secretary, Building Inspections Dept. DATE: 04/o2I90 RE: 4092 CAMBERWELL DR N 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 WORICS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & UVater 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. COMTACT GOMMUNITY DEVELaPMENT DEPARTMENT FOR WATER TURN ON PC?LICY. 5ecretary, Building Inspections Dept. 7X25190 n 98070 -"R , _. Request Date Fire No R tn Inspaction ?/ ?J +?Q.S / ` /? rl? J(/ He wretl? ? ?Yes Batly Now ? Will Notrly Inspecror When Raetly7 l`J? licensed contractor C1 owner hereby request inspection of above electrical work at: Job AtldTss (Shee( Box or Route No ) 'r/o 4's2 Ca. Ar be? Cr¢dL .la.? . lUa. Cily ? 1.?t? SecboaNO Township Name or No Range No Counry ? D?4 Occupanl(PqINT) Phone Na. Lo /' b ? Power Suppher Atltlress N ? Elecmcai Contrectm (Company Name) ComracWr's Licensa No Mailing Atltlress (Conhaclor or Owner Making Instsllation) ? Amhonxed ignaWre IConVactor/Owner Meking I staliationi , Phone Number ?? 4 MINNESOTA STATE BORHD OF ELECTPILITY THIS INSPECTION REQUEST WIL NOT Grlggs-MlAway BIGg. - Foom 3-173 BE ACGEPTED BV THE STATE BOARD 18]1 Univeniry Ave., 56 Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone(61Y) 842-0800 ENCLOSED 7?00 C 60519' REOUEST FOR ELECTRICAL INSPECTIO? ? See Wstmctions lor com0letm9 this form on back of yellow copy. "X" Be/ow Work Covered by This Request ea00001-07 ? A OU7V ?. ew Adtl 9ep: + Typeo(BuAding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Haater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industnal Furnace Farm Air Conditioner Olher (gpecity) ConUactore Remarks Compute lnspecfion Fee Below. 8 Other Fee # ServiceEntrance Sze Fee # Ciroults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps hansiormers Above 200 _ Amps 100 _ Amps SiJf15 Inspxtar5 Use Only ?. TOTAL Irrigation Booms /-5 Special Inspechon Alarm/Communicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical InspeCtor, hereby Ro.qn-,n oare been madehe above inspection has F,,,,i ( Date ? '- 30-1/ OFFICE USE ONLY This reQUest Wid 18 monfis irom ?/a,s/4v S 9l0 8*0 G 37-?88 /5 / ' 6,oA?'" -1/ C4 Reques? Oate Frte No Inspemion ough-ln I epuiretl Y,?d Batly Now C Will Notity InsOeqw • ? ? No When Reatly? I.2flicensed contractor p owner hereby request mspection of above elecirical work at: Job Atltlress (Sireet. Bo r Poule No ) Q oa a AZA, Seclion No . Township Name or No RangB No Counry 'b Occu ? Phone No Po upp6er AtlOress V J Wi , ElecI 14onha?or(Company Name) ConVactor5 Ucense No Matlmg qOtlress ICOMrec? er Makmg Installation) Aumonze0 Signawre ?Camraq r ne Installallo _ _ Phone Number 3 3gla MINNESOTA STATE 80AHD OF ELECRiICRY ? THIS INSPECTION REQUEST WILL NOT Grlgqa-MlOway BIAg. - Noom S178 BE ACCEPTEO BY THE STATE BOAFD 1821 Unlvenity Ave., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS PMne (612) 662-0800 ENCLOSED 05/9o G 37988 REQUEST FOR ELECTRICAL INSPECTION 1? See msimdi0ns tor comple0ng this form on back of yellow mpy. "X" Be/ow Work Covered by This Request EB.00001-07 ?.,?. e Atl fiep. Typeof8uildmg AppliancesWired EqwpmeMWiretl Home Range Temporary Service Duplex Water Heater Electnc HeaOng Apt. Bwlding Oryer Other (Specify) Comm /lndustrial Furnace Farm Air Conddioner Other(speaty) Contractor5 RemerNs CompLte Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # CircuttslFeeders Fee Swimminq Pool 0 to 200 Amps 0 to i 0 Amps Trensformers Abave 200 _ AmpS Above 0_ Amps SignS Inspeclor5 Use onty TpTAL Irrigation Booms / r? S Special Inspection ?V Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT 01her Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby Rougn-m oete certify that the above inspection has been made F,nai ? oai - 2iy0 OFFICE USE ONLY ? TNS request voitl 18 months Irom m??{( go 9 ??-?-- G 37589? ,Y ReQuest Date ? ?re No h-?n In5pec0on uned'+ ? Aaady Now Ja'Will NMity Inspecwr ????^ D ? Ves ? No Wlien R8a0yl I I?'t'licensed contrector O owner hereby request inspection of above electrical work at Jop Atltlre ss (Simel. Ba r Raute No ) (? City O Section No 1ownshi0 Name or No Ranqa No. Co ill Occ ? Phone No ar SupO er Address ? , Electt al Contr?ctor (GOmpany Name) CoMractor$ LiGense No ?? T.2.i a 41d - MaAm Atlaress (Coniraclor or Owner Makmg Inslallalion) AWnonzetl Sgnawre (COnVad /Ow Making InsWllaLOn) - Phon Numbe. 3- ?Ia MINNESOTA SiATE BOARD OF EIERTRICITY ? I I THIS INSPECTION FEOUEST WILL NOT GrIp9pMlEway Bbg - Room S173 U BE ACCEPTEO BY THE STATE BOARD 1821 Universlly Ave, 5t. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(61P)842-0800 ENCLOSED G/.?/sa G 37989 REQUEST FOR ELECTRICAL INSPECTION fill Sae mstmqions lor comple0ng ihis form on back ol yellow copy "X" Below Work Covered by This Request f???•. ?„?,?'% E&OW01- 9 7,? ?-?- ?. e Adtl Rep. '.? TypeoBUildmg ApphancesWired EqwpmeniWnetl Home Range Temporary Servica Duplex Water Heater Electric Heating - Apt Building Dryer Other (Specify) 4 j Comm./Industnal Furnace Farm Av Condrtioner Other(speciN) Contrectorg Remerks' Compute Inspection Fee Belaw: # Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps ( 0 to 100 Amps ,o Transformars Above 200 _ Amps Abova 100 _ Amps Signs InspecNrS use Ony: ( TOTAL Irngation Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY ORDERE DISCONNECT D IF NOT Other Fee COMPLETED WITHIN }g NTH . ? I, the Eledrical Inspector, hereby ti th t th i b i Ao.9n,m t ?? oa??7 ? cer ry a ove e a nspect on has been made. ?z OFFICE USE ONLY Tnis request voitl 18 monMS irom RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conatruction Renuirements • 3 registered sde surveys showing sq R. of lot, sq. ft. ot Mwe; and all mofeC areas (20% maximum lol caverage allowad) • 2 copies of plan 5fwwing heam & wuMOw s¢es; poured found design, etc.) • 1 sat O( Energy Calculadoris • 3 wpies of Tree Preservation Plan A lot platted after 711f93 . Rim Joisl DeqA Optbns seleaion sheet (hldgs with 3 or less unils) DATE f I ?3 ? VALUATION? $ o`_?a RemodellReuair Reauiremenls • 2 cropies of plan • 7 sel of Errergy Calculations lor heated additbns . 1 sile survey for ezterior adddions 8 decks . Indicate if hame served by septic system for adEillons SITE ADDRESS YQ 9 Z Ca- la-e'wGt( I? if`?J MULTI-FAMILY BLDG _Y XN TYPE OF APPLICANT 1? FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS 2(-EU ( I,?il /- S"l ??k "CITY?STATEL(LZIP'55[0? TELEPHONE#& 51-7-30-5163 CELLPHONE# 4261"23r-395$ PAX# &S( -2-Z7'!K4-3y PROPERTYOWNER L'u-1 At"te-N2 H'bO,-4 -TELEPHONE#??SI^ - 7S9S_ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[NNLSOTA RiJLES 7670 CA'fEGORY I MIN\ESOTA RULES 7672 (J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Confractor: __ Plumbing system includes: Mechanical Contraetor: Mcchanical system includcs: Sewer/Water Contractor. _ Water Softener _ Water Heater ? No. of Baths Air Conditioning Hcat Rccovery System Phone # o? SEP 2 3 2002 I -- Fe-e: I hereby acknowledge thot 1 have read this application, state ihat the inf mation is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan OrdZt e s. Sfgnature of Appltcanf ? ?? OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PILOT KNOB RDN 55122 Z ?$ 651•681-4675 New ComlrucHon ReaulremeMs Remodel/Reoah Reautremenfs D 3 registered sRe suneys show(ng sq. M. of lot sq. R. of house 2 eoples W plan and Qll roofed areas (20% maximum bT coveraae allowed) 7 seT of energy calculations for healed addHions ? 2 coples of plans (show beam a window shes; poured fnd. design; etc.) 1 sHe survey for exlerior addHloro 3 decka D 1 sM of energy calculoHons D 3 copks oi hee preaervaiion plan tl lot platted aller 7/1 /93 DATE: ? 9cl CONSTRUCTION COST: DESCRIPTION Of WORK: -RrA1- h?LA--+ qat'aqC F STREEf ADDRESS: qUq 2 r?mbe-ru??l ? NLOT: BLOCK: ? SUBD./P.I.D. #: ? l T 1 u ? `Ckto- Name: ?b bQ r4t jOneAe. Phone #: N5-1 - 7 S65 PROPERTY Lart ry"t OWNER SheetAddress: Ma C,CtfY1rJP,t'We?ll N cny FTn srate: z,p: 551a3 Company: M??W?kTI(Y1?UD? Phone#: SOK- 1114 cl (area code) CONTRACTOR ` n Sheet Addreu: I?d ucense #1:2???. 3"2-CCO Ciy R( arRSv i I I e. State: ARCHITECT/ ENGINEER Company: Name: Telepharee n: ere3 cada ( Steeet Address: Registration #: Cffy State: Zip: Zip: Sewer 3 woter Iieensed plumber (reauired iw new conshuction onlv): PenaMy applies when address ehange and lot change Is requested once permk is Issued. I heieby acknowledge that 1 have read ihis application, sfate thaf the information Is eorrecf, and egree to compry wNh all appOcabl StaFe of Minnesota Statutes and Cfly of Eagan Ordtnances. Slgnature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 2 6 G99 I Tree Preservation Plan Received _ Yes _ No _ Not Required s7S"0 RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConstructionReauirements RemadeVReoairReaui2menls OfficeUseOnlv 3 regislered site surveys shaxirg sq. tl. of lol sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage albwed) 1 set of Eneqy Cakulatbns for healed additions _ Tree Pres Plan Recd 2 wpies of plan showing beam 8 window sims; poured found design, etc 7 site survey for additlons & decks _ Tree Pres Not Reqd 7 set of Eneigy Cakulations Add'rtron - iiMiceM i/onsite septic sysfem _ Onsite Septic System 3 copies of Tree Preservatirn Plan K lot platted after 711193 Rim Joist Dehail Optians selection sheet (bldgs with 3 or less unifs Date I 31 / 0?- Construction Cost ? ? SI 3?$ SiteAddress I (av&V+e?wW ? kf, UniUSte # " U a Y 0 ' Description of W _ r U6 _ I K ork O Property Owner ???wi Telep6one # ( ) Contractor y\ ri ? S Ak Address 2?0 JnQ? Zrtf^PO? City State Zip 55 I b'? Telephone # ((PS ( ) ? ?o Sl 0 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residenfial VenUlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope CalalaGons Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Pernut and aclrnowledge 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 ofplans. &51 n?erre? Applicant's Printed ame App icanYs Signature 1990 BUILDING PERMIT APPLICATION 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 5ALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQIIEST 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 ISSIIED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. dIAR 2 g RFCn To Be Used For: Valuation: ? Date: -;?-77 90 Site Address Lot tS Block 1_ Parcel/Sub Owner 'TL'*E PrITTLU/U/-) Go. IlvE. Address SZoi C, 12i.," 2cwo City/Zip Code Ffipx t Y ? -S4Z1 Phone S'I t-p3of Contractor ecwn,c Address N City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # li N l? l? 11 OFFICE US Occupancy Zoning R -1 Actual Const V-N Allowable 1l-A1 # of stories Length 52" Depth 3(0' 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 FEES B1dg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL /5 /V/ `7 g g, oo I . Q GAR ACaE' 12y xa2 =5Z8 X IS= 7940 gsmT I ti x 50 .'7 o n x 29 = 392 ? 1a92 X/?{- 15Zg$ t !`smT! 10 92, `? k7x 2= 5? roZ =I I?7 09 ?____ - - / 4a3oy • 4 ? ?????? ?• v i `-.' _ 991 SIII ING YERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MUI,TIPLE DWELLINGS CO11tERCIAL 2 SETS OF PLANS 2 SETS QF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECI'FICATIDNS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS , # OF FOR SALE UNITS PENALTY APPL2E5 WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WAICH REQUEST IS MADB. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE-WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT.HAS BEEN?COMPLETED. PERMIT MUST 5HOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: ite Address ?fa°rz PA-n ec??vc?c a? .v. Lot 15 fllock ? Parcel/Sub ?L ol" NE'?Pl?.'f?!FTZ ?p.Address City/Zip Code Phone $9 0 - G s $ -?- Contractor ?N=cC?M A57 L-? Address d56.sr C' c? GF IeO, lif- 3 c(o? City/Zip Code 1-rov Ssiaz Phone ?5'0 - 6 5-8 -?' Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Occupancy 2oning Actual Const Allowable # of stories Length 27l yt2o Depth 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 ES Bldg. P.ermib Surcharge ' P1an Review, SAC, City SAC, MWCC' Water Conn. . Water,Mete_-r Acct. Deposit S/w Permit 5/W Surcharge' Treatment P1. Rosd"Unit . Park Ded. Trai1 Dad. Copies :'o 0 SIIBTOTAL Yenalty Lot Change ' TOTAL Sewer/Water Licensed Contr. agrees that all wotk shall be done in accordance with 4'?ig o ra tor) OwneY Zov all applicable State of Minnesota Statutes and City of Eagan Ordinances. PION ? engiyn y ?T l'? L ?r SURVEYORS•CIVIL LANO PIHNNERS• LANp'.{0.PE ARCHITECTS / ' 882•4 ? ativ / \ 5 ? z , z ? s 'bo c;qe o ? \ ?L ?9 ? •o ? `o M ?,.. i? / i 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 ,V?? ? EAUAN ENGINEERING DEPT Poo.o Denofes extsfl? £Ievafion ?\ a PuovasEO NousE LEVArIoN . soo.o Denofes prop ed E/evatl'on Lowes Foor E eva ron e89. ? - Uw.nofes OrarnaUfiliy Easemenf rop <81ock Elevalio» 59s•Z == Denofes DrainciF7ow Qrrdws Garoe S/ob Elevation 895-.3 0 benofes monumenf d Deno es Ott sef Nub &ar;n?w shown are ossumed Su?"eci fio Easemerrf5 of Recard LOT 16 , BLOCII I, NfLLs at SroNEeRtvGE PtAT 2 DauorA COuNrY I here6y ceniFy that this Is d true and correct representation of a survey of the boundaries ol the above dr r,ribeA land, and of he locatian o/ all 6uilAings, thereon, and ell visible encroachments, if any. from or on said land. As surveyed by me thisAay o1A.D. 19-10- 5ca/e :1 Rh_ 400ee? act, If?v ROBERT S. SIKICH L.S. REG. NO. 141191 . --? ? / Certificate of Survey for: TNL 0 1 T LU!V D CL,L., WC ? NOR7H . . • ? ? *? , ' 2422 Enterprise Drive * PIONEER L.NOSURVEYORS•CiVILENGINEERS I Mendota Heights, MN 55120 *engineering.. LNNOPLANNERS- LANOSCAPERRCHITECT$ * * (612) 681-1914 Certificate of Survey for: Tr'1C 01TL UND C2, NOR7H / ` 882.4 ti ?09, y \• ? / \ ? 3g.rF ^ ?s \?t?• , - ? / / 843. ?o - % tim• ?? ? ° ? ?,?i ?Y ?t,s " • ?> .'3a,?an' r %i x?- ,ll ? ? ? ?• >qE, r ? - 6>?° '90 °EAGAN EATGIIVEERIIVG DEPT '?°.P p,P 8? Q? s i' g9? ?? ° M . .. 900.0 Dehotes PXisfitto ElQVQ}iOl? ? 93 S Paoa?oSED NOUSE LfiVAT10N ? ? 93•7 .,900.o Denotes propdYed E/evafion towest Floor E eva ron e81. c, - Denofes Orainaie (Utrli? Easemenf Top o; Block Elevafivn 895•G =--•- Denotes Draindie ?low ,4rrows Garoe S/ab flevation 89s 3 0 benofes mortumenf tl Deno es Otfr'sef Nu6 Bearins siiown ore assUmed Su?*ecF fo Easements of Recar?d Lor 1 S, Bcocu 1, 141tLs at SroNEeaIDGE PcAT 2 DAKOTA COUNTf' I he.eby certify that this ta a true and correct representation ot a survey of the boundaries ot the abore dajr.ribed land, and of he location of all buii?iinqs, thereon, and all visible encroathments, if any, from or on uid land. As surveyed by me this ~?day of t A.D. 19-LO-. Sca/e :1 iich, 40Pef 8904, .?? ROBERT B. SIKICM L.S. REG. NO. 14891 ,.? -. ?? t? ;;?r • ', EXTERIOR h.rvC:LOPE AVERAGE "0" COL,iPllTATION ' OWNER SZTE ADDRESS 1,,, -- ' S? ?' H)LL& ?jC?? ---- anRIfl6+G x2 CONTRACTOR ?A m-;E j DATE PHONE 57I" Determine working square footage of each. 1. Total exposed wall area ..... Z$O& sq. ft. x •1// 2. Total roof/ceiling area .... .//8D sq. ft. x #02 (? Total exposed wall area above floor =219 (a a. Total wall window area .............................: b. Total door area .................................... c. Total sliding glass door area ..................... ?- d. Total fireplace wall area .......................... ?- e. Total wall framing area (average 10%) .............. 2/-S- f. Total net wall axea above floor ................... ./ 0 g. Total rim joist area ................................ Total exposed foundation area = "7 ffi h. Total foundation window area ........................ ? i. Total net foundation area above grade ...............?- Determine "U" value of each wall segment. a. 2. 5 3 X"U" '5i _'.?o1iZ 5 b. 3V X $tUft . ,07 = ;2.66 C. 40 x„U„ ,? b = 27. 60 ; d. ? g °Un e. 2/5- g IfUll ? D0 7 = /gr71 f. 1930 x lfUll ?o`FZ = S1.06 g. 3/2 g "U" T h. 7 X flUff ' S5 _ 3a?'S-5' g lUn •/ / = 7°91 3 ......................................Tota1 ° 2! 0.7 ! If item If 3 is the same as, or less than item Ill, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area = ?d j. Total skylight area ........................ L/ k. Total roof/ceiling framing area ...........: ? l. Total net insulated roof/ceiling area ..... Determine "U" value j. G? X k. '7 / X i. 1109 X 4 ............................ for nUn „U„ loUll each roof/ceiling segment. .n2? _ /•92 2173 - ..... Total = If total of #4 is the same as, or less than 112, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items li3 and 4f4 shall not be greater than the sum of items #1 and #2. 1. -'V? 2o-3S + z. 30.68 = 3S/,63 s. 240. 79 + a. 2-5?.65- , . ., , OTILL JIiI...1j1111J 7uTE:USe 10% of opaque wall area for . izame construction • ' V[lYl: J OL 3 Construction 1. Interior air'film R-Value 0.68 2• 1?2 C-Yp 13 R D 0 4 S 3. .2x (? 5-TtiD S 9. 2 5/32 S. h'TC, 2..OC:7 5. 9?/a,fib rJflE/G FECT / a .7 ?o 6: Exterior air film • 0.17 Total %/, S v: ao$-7 l. Interior air film 0.68 2. VL"C>'r.'g-, t3oZ D o yg- 3. F!/L L u,,Ae-?. •?.vSUG / 9. bU 4. 2 5?32 5?'/TU 2 OG ' 5. ?/d/tiG- OVE.? FELT J eZ C 6. FSCterior air film 0,17 Total 2 3, 6 Z oo4f 2 1, Interior air film 0.68, 2. 3. '2 X _ 12'1 /l 9. : 2_ SA Z S t-1 rv- 2 aOC'o 5. Vts?iz F&2T 6. Exterior air film 0.17 - Total 2 $,O S . O 'f U 1. Interior air film 0.68 2• .. // UO g. 2A4 FuK 2i " G, 4• J 2 /3C0c (e-- 5. ' 6. Exterior air film 0.17 Total /3</3 e0'7?O i ' • ' rr? , . ?_ ` , ? Ir c , ? • ' • , ?,i . , , a . •, ? i?i = ?c? . ? • ' ' ? ? ? ? Fic. 04 k ; . c • . ? irt ? . I!f ? ..? •. p ? .• ! /" Y, J x ? ?/ . • ? r f -. l?r .? ?,? ? ? ?I_I?: Y ' •o ` c~ ', ' . . • ? ,_ • . ? •. .. ••ROOr•/cci%YNG - ? •,' . ? Jenced Heac flow up • FIG. $5 ? I • . I . . - - • ! • .. . • . ConstrucL•ion R_VillllC 1.Interior air film , . .0.61. 2. S/R^ vYp r3 Ro .s? 3. [3LOw'N 4. Exterior air fzlm (still 061 -'- motal 3?'-,?,g0 • ? ' V = .O2S . . •, • . . 1. Interior air film 0.61 2. S ,. vYl'? (??C?D >S'S 3. i.vStiL ovFiZ r?tuSS ?'-1,? 4., Exterior axL film still) ti . bI" • . Total 34,7f v = ?p7.7 i - He:.t f1ow, vp • ;•vented i . . ' . ? . :?.. . ,FIG. N6:..?.. ? '' ... .' . •- . .. ---?- -}- ? '- - • ? • , i, ,? ? • ? . 1. Inside ai.r filin 0.61 2. . :t . ' • 4. 5. Outside air film 0.17 Total ' i ,' . ?v ', .?` • : •' . • ' ' •. • • • . • H027-VEh'TEp?. .' ' Notc: Use addi.tional sheets •if more space is ?• ???• ' ?•? needed for deL-ails and calculatians. ? . ? Heat , , • Iflow ap . ' , . t ., • . . . , • . . fi,T.r,. 07 ? ? • , • ••• i` . ' -- --- -- -- ---' ---- - • 1,d ? (01 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 6,0 Date 1,4? I ,(? /?/bf? unit # site street Address ?/O Q? ? , Property Owner 4?e Telephone # ( ?s/) ??5?/- Contractor ? 9 + ?/ ??L Telephone # (/ ) ?2 Address City a,,z State /? V Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 ^ Add plumbing fixtures (excludes water softener and/or water heater-complete next section if installing these appliances). _Septic System Abandonment ,_WaterTurnaround (add $125.00 if a 5!8" meter is required) Other: Water Softener `Water Heater $ 15.00 _ new X, replacemeM Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Sureharge $ .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, an application for a permit, work is not to start without a permit and work will be in accp anc ith the approved plan in the event a plan is required to be reviewed and approved. ( ; rgj? 24 611`. ApplicanYs P(i ted N e ;' S r r? 2 2005 ? I?? ?? City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 6755694 ?-For-- Offic-e-Us-e ----------- ? I S z332, ' j Pertnit#: ? PermitFee: ? Date Received: I Staff: I i ? J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION dddtd /1-? Date: I 010,?/n_ Stte Atldress: `7 c),,?,q (?[ Wi ??e???G LJ'y ? Tenant: : RESIDENT / OWNER Name: ?O u i5 * J Q YflX.(x- I77 ' Phone: Address / City / Zip: QVV"t Applicant is: Owner ?CoMractor TYPE OF WORK Desaiptlon of work: .1/1 Se?ArYt lkn ' rt-f? % Conshuc[ion Cost: qJ"? ?/V Multi-Famil Buildin : (Yes No ? y g CONTRACTOR Name: CoVq&T (A Uk License #: -20(`?100 LID-4- Address: 101410 dJV?--- City: State: vm Zip: O Phone: -M '3 00 Contact Person: YlV1l (L CiflGvhCJ.P-' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIIdG Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672 Enel'gy COde . Residential Ventilation Categary 7 Worksheet • New Energy Code Worlcsheet C8t@gOry Suhmined Submitted (^? SubmiSSion type) • Energy Envelopa Calculations Submitted In the last 72 months, has the City of Eagan issued a permit tor a similar plan based on a master planT _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contrectw: Phone: NOTE: Plans and supporNng documents that you submit are consldered to be publlc lnformation. Portlons of the lnformaNon may be dassiiied as non-publtc H you provlde spedfic reasons that would permft the City to concluda that the are frade secrets. 1 hereby adcraxAedge that this iMormation is camplete arW accurate; that the work will be in coniortnence with the ardinarices and cades of the GYry of Eagan; that I untlerstand Nis is not a permit, but only an applicetion for a permk, and woAc is rwt M start without a partnB; that tlie vrork will be in accordance with the approved plan in the cese of work which requires a review and approval of plans. x Lil?i '?1-U1VPq' D ? V? I"l X? esslg?tureApplicaM's PriMed Name Page 1 of 3 Nov 0 6 2008 ,. . SUB TYPE5 ? FourWation ? Single Family ? 01 of _ Plex ? 02-Plex ? 0&Plex ? 04PIex WORK TYPES ? New ? AddRion ? Alteration ? ReplacemeM DO NOT WRITE BELOW THIS LINE ? 05-plex ? lfrplex ? Accessory Building ? 06-plex ? Flreplece ? Poroh (3-aeason) ? 071plex ? Garege ? Porch (4-season) ? 081plelc ? Ded( ? POroh (screeNgazebolpergola) ? 10-piex ?I Lower Level ? Stwm Damage ? 12-plex ? Misoellaneous )i Intedor Improvement ? Move BuiWing ? Fire Repeir DESCRIPTION: Valuation Plan Review (25%_ 100% Census Code # of Units # of Bulldings Type of Const. ? Pool ? Ext. Alt. - Multl O Ext. Alt. - SF ? Muld Misc. ? Siding ? Demolish Bullding' ? Reroof ? Demolish Interior ? Wimlows O Demolish Foundatlon ? Egress Wfndow ? Weter Damage ' DemolNOn (errore building) - give PCA handout to applicant Occupancy _Z7-C - ? MCES System Code EdKlon an 200-1 SAC Units Zoning City Water Storles Booster Pump Square Feet PRV Length _ Fire SpNnklers Width Footings (new bldg) Footings (deck) Footings (addltion) Foundatlon Drafn Tlle Roof: Ice & Water Final -?^, Framing - Fireplace:_R.I. _Air Test _Final ? Insulation ? Reviewed By: AIV RESIDENTIAL FEES: Base Fee Sureharge Wan Revlew MClES SAC City SAC Utility ConneCdon Cherge S&W Permit 8 Surcharge Treatment Plant Copies Total Sheetrock FinaUC.O. ? FInaIMO C.O. ? HVAC Other: Pool: _FOOtings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector Page 2 of 3 94 of Ealan 3830 Pilot Knob Roed Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675b694 oate: ?2'r sna 2008 MECHANICAL Tenant: i Sufte #: RESIDENT / OWNER Narne: ?? Address / City / Ztp: CONTRACTOR Na1T1e? LA Licerrusse #: Address: i CrtY: State: ?. Zip: ] Phone:???? l/1'L4 UV' ?I ""6MacMPersorc 51/lsm& 61?V v`. F?• TYPE OF WORK -Ne`^' - RePlacement Addtfional T Alteretion _ Demolitlon Dea«ipNon m wak• 3,,T %_ r NOTE: Both roo/ momMed growrd mounted mechankaf equfpmenr !s requHed to be scneened by qty Code_ P/ease conwct the 1Miechanical Mspector w one of the I'fa?mers for in/omreSon on pemifted screenl metl?odL PERMITTYPE RESlDEM1AL COMMERCWL Fumaoe _ New Constnxtion _ Irrterlor ImpmverrreM Air CaMitlorrer _ Install Pipirg _ Processed Alr Exchsnger - Gas Exteriw HVAC Urrit - HVAC unils musi be screened UrMer / Above ground Tank (_ Ir?atall /_ Remove) ' When imlallin lremovin tenk(s c ll ( i d b F g g ), a or nspec pn y ra Marshal and Plmnbi I or RESIDENiJA1 FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire rep3ir (replace bumed out appliances, ducrvvoric, etc.) (inGudes $.50 State Surcharge) ? $ TOTALFEE COMMERC/AL FEES: $70.50 Underground tank installation/removal OR Conhact value $ x 1% $50.50 Mlnimum (includes State Surcharge) - It Pertnlt E@g is lase tlian t1,000. wicher9e is 5.50. ° $ - PermitFee- - - • If Pemiit Fgg is > 57.000, suroherge increasas by $.50 br each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,ODt-$2,000 PertnN Fee requires a$1.00 surcharge). $_ . . TOTAL FEE I nereoy aacrawletlge mffi tliis InformaM1On's mnplete eM aaura[e; tti9t tlle vork r i urMerstand mis is nn a penmit, wrt onry an appaiealbn ra a oemiM, and work is nm plen "n e case of xq ? whjch repn' a reWew and appoysl of pens. X VICI'f/IIL?QVI APPlka4t's PAnted Name FOR OFf7CE USE -----------------, ? For Otfice Use I s?7?Fg9 ' ; Pennit?: ? ? PermnFee: s2) ? i ; Dare ???--- ? I Slatf: the wu"Pf in Baoltlarc:e xitll ft approved or- Re4IIIirad InePecHon's: _Urider Giourd _ Rough In Air Test _Gas Service Test _In-tbor Heat _Final PERMIT City of Eagan Permit Type:Building Permit Number:EA164219 Date Issued:09/22/2020 Permit Category:ePermit Site Address: 4092 Camberwell Dr N Lot:15 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Louis D Hibbard 4092 Camberwell Dr N Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178402 Date Issued:08/16/2022 Permit Category:ePermit Site Address: 4092 Camberwell Dr N Lot:15 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Louis D & Janelle M Hibbard 4092 Camberwell Dr N Saint Paul MN 55123--391 (612) 247-1817 Complete Construction And Repair Llc 1426 Portland Ave St Paul MN 55104 (651) 302-9128 Applicant/Permitee: Signature Issued By: Signature