4048 Camberwell Dr N,- ' ?INSPECTION RECORD I Control No. 0972
CITI'( OF E?4GAN r.?De,az?os/zo/?3?? pERMIT TYPE:
r?ut? cK?aor?s? ? ?r
3830 Pilot Kriob Road _ 52-9s32
. ,. S Permit Number
Eagan, Minnesota 55123 • Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT: ryr iox% Y BtOCK: 9
?*419 CYIN#D$AWL°Cl DR N f.?Nl'8R NiNVfi
f1I1t3 SiF'.97S114E8RIDtlE 3Rf! (6I2)
sas-?esy "
TYPE OF WORK: PERMIfTSI?BT.I(PE:.,,
`R.
. .. . ., -
.
_. .?. ... .? . ..m._ ,..
IQ6TINU FFtAM7Nt? ? b?'
-*
?„
? ,.at.
ib
.
:
ifrt
..?--{Y,-•, q?
?
IltSditA'ilUW RIAiAI ,?
FYREP) AG1=
V
n `e??L? !RMi'
qENARK9s 8 i id C0*7RAt1'0* - PLYidOt1TN Pttq
- > ,
?? ?.
PermO No. Permit Moltler Dffia Telephoire #
SNJ
PLUMBING
/ " 'a
?
HVAC ( '?"17 / /• P.?-C('IY% ??????"' ??S'I/?,
ELECTRIC I fi%O L
ELECTFIC
Inspectlon Oete Insp. Comments ?
Footings I ?le??gz liJB
Fountlation G ?
/
Framing
!
a,
Roofing
Rough Plbg. 0 / -10 '7Z U
Rough Htg. ,
IsuL
Fireplace
/
Fnal Htg. ?
OrsatTest 12 y"7Z
Y
FlnaiPlb9. 11'9 PlEg.lnspector - NOtlfyPlumber
Const. Meter
Engr./Plen
Bltl9 Final `2•1/.fs ?,Q
Deck Ftg.
Deck Final
Well
Pr. Disp.
/O
.
r"
? -?
?
_ ... .
r
T/iis Certificate issued pursuant ta the requirements of the Uniform Building Cod'e
' certifying that at rhe time of issuance rhis structure was in compliaucce wtth the varrous
orrlinances of the Gity negulating building constiuction or use. For the following:
SF l7WG 1303
Use Glassification: - Bldg. P1esroit No.
Occu anc RUMI 8??? ?
p y Type 2oning District '[ype Coacl.
rIMrrrnr.ivw,aae cenn nerrcn-m, Wrrxre . .,,
.... _.?.. . .."+v.
d
qddr@as: 404$ {•pMOwErt Dg N Lot Z Blk 3 Sec/Sub HILLS OF S1C7NEBRID(E 3RD
These items were/were not complete at the time of the final inspection.
pate: 12 11/92 Yes No
Final grade (6" from siding)
Parmanent steps - garage ?
Parmanent eteps - main entry
Permanent driveway ?
Parmanent gas
Sod/seedad grass
Trail/curb damage
Porch
Basemant finish ?
Deck ?
Pleasa verify with tha builder the removal of roof test capa from the plumbing
system and the ahut-off of vater supply to the outaide lavn faucet before
freeze potential exists. oa
White - City copy Yellow • Reaident copy Plnk • Contractor copy
4
9
K o s
? a
?a
- a- ???
Raquast Date
, ire No h-in Inspachon
9 uired?
? Reaoy Now N WAI Notdy InsP?tar
8'1?_9
a ?
2SVes ? No When Reatly'
I[Z licensed contractor rJ owner hereby request mspection of above electrical work at:
Job AtlNess ISVeet Box or Route No ) dry
404E3 Camberwell Drive Eagan
Seqion No TownSNO Name or No Range No CouMy
OccupentJPFINT) Phone No.
Centex Homes
Povrer Supp6er AAtlress
Dakota Electric
Elecincal ConVactor Company Name) CaMtacbr5 Li?nsa No.
Lazer Electric, Inc. CA 01110
Mailing Atltlress ICOmracror or Owner Mabng Installatwn)
8383 Sunset Road N.E., Minnea lis, MN 55432
Authorized SgnaWre (COnhactonOwner Making Installatron) Phvne Number
784-3729
MINNESOTR STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grfggs-Mltlway BIEg - pnpm S173 BE ACCEPTEO BV THE STATE BOARO
10Y1 Universtty Pve, $L Paul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
PhOne (612) 64P4800 ENGLOSEO
REQUEST FOR ELECTRICAL INSPECTION
K35459 • See inscructions for Mmpeung ihis form on back of yeliow topy
- X" Betow Work Covered by This Request
?69??'#A, EBOOOO1oe
ew Add Rep. Type of Building AppliancesWired EquipmeniWired
X Home Range Temporary Service
Duplez Water Heater Electnc Heatmg
Apt Bwiding Dryer Othec(Specify)
Comm./Industnal Furnace
Farm Air Conditioner
Other (syetlN) ContracNrS RemeMS'
Compute lnspection Fee 8ebw:
# 01her Fee # ServiceEntranceSize Fee S CrtcuAs/Feetlars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps - Amps
SignS mspectork use Onry: /
mG TOTAL
Irrigation Booms •
?Q $86.50
SpeCial Inspaciion
Alarm/Communication TFIIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONW.
I, the Electrical Inspector, hereby
certity that the above inspectron has
been made. Rough-in °
Final Date ?
oare _
OFFICE USE ONLY
TM1rs reauesl vnM 1P monms imm
Repuest Oate
?o r Z" ire No
ell
R -in nspecYion
1es ? Na
? Reatly Now WNI NotM Inspactor
VJM1en ReedY'
I? ¢censed contractor p owner hereby request inspechon of above electrical work at:
J Atltlress (5 reeL Box or Route
/n /? ??J//
(,fw UlLS'(,.(„i P /
/?
SecUOn No" Township Name or No Rarga No Counry
OccupentlPRIN& PhonB No
Power SupPlier ? Pdtlress
Elecvrtal Co r r Company ) (onV a5 L¢ense No
MeAm Car ss Iractor or Qvner ng Installatron)
?L
AuthonxeG re ICO vactoriOw er Makmg InstallaLOn) Phane N m r
?
MINNESOTA S RTE BOARD OF ELECTIiICRY THIS INSPECTION FEQUEST WILL NOT
Gripga-MlOwey BMg. - Hoom 5-173 BE ACCEPTEO BY THE STATE BOARD
1821 Unlvaraity Av@., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne (613) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?yy`°g'?ee-ooooi-0e
? ,?°.?'/a?39S
3 5 4 4?? See+nslrucMions for complating [his lorm on Cack ol Yellow copy. "?sT?ARE'X" Below Work Covered by This Request
ew Atld Rep. Typeo(6mldmg AppliancesWired EquipmeniWired
Home Range Temporary Serwce
Duplex Water Heater Eledric Heating
Apt. Builtling Oryer Othec-(Specify)
Comm./Industrial Furnace
Ferm Air Contliuoner
Other (specity) Conrcector§ RemeRcs
Compute Inspection Fee Below:
# 01her Fee # ServiceEniranCeSile Fee # Circuita/Feeders Fee
Swimming Pool 0 to 200 Amps O l0 100 Amps
Translarmers Above 200 _ Amps Abonie 100 _ Amps
Signs Inspector§ use onty?y Tp7AL ?
Irrigation Booms
P'
Special Inspechon
Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certiy that the above inspedion has
been made. Rouen,n
F?nei oaW
OFFICE USE ONLY
This request voitl 18 monlMS irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsW ction Reauirementa
• 3 registered sile surveys showing sq. ft o( lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allaxed)
. 2 copies of plan showing beam 6 wirMax sizes; poured found design, elc.)
• 1 set of Energy Calculafiorre
• 3 copes of Tree Preservation Plan if lot platted afier 711193
• Run Joist Delail Options selectian sheet (bldgs with 3 or less unifs)
DATE J I Q ' 0-??
SITE ADD
TYPE OF
LTI-FAMILY BLDG _ Y _ N
°IREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C? ???Y EXiledOfB' Im'
PUL
STREET ADDRESS ?n RaPidB, MN 55493 Clfl STATE_ZIPg.? /,
TELEPHONE #71a3 "?fi • r?a) CELL PHONE # fAX # ?IO3'IJSS" ?CJ9U
PROPERTY OWNER TELEPHONE #?D??
-------------------------------------------°-------°--°-------------°---°--------------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNrSOTA RULFS 7670 CATF.GORY 1 MINNES01'A RULFS 7672
(J submission type) • Residential Ventilation CaOegory 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submltted
Plumbing Confractor: __
Plumbing system includes:
Mechanical Contractor:
Mcchanical system includes:
Sewer/Water Contwctor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
ree: $90.00
Pee: $70.00
I hereby acknowledge that I have read this application, state tha X$"=
with all applicable State of Minnesota Statutes and City of Eaga SignaFure of Applicant
OFFICE USE ONLY
_ Watcr Softencr
_ Watcr Hcater
_ No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
a4U.a8?
RemodeVRaoalr Reauiremenfs
. 2 copiea of plan
• 1 set of Energy Calculations for heated additions
• 1 sile survey for exterlor additions 8 decks
• IMicale if hane served by septic syslem Por edditions
VALUATION I ? 411 B LJ
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT#
RECEIPT DATE:
EOOE MIDERTIAL PLUM$INfi PERM1T APPLICATIOft
crrY og EAsm
3830 Paor Kxoa gn
£A6AA, MIY 55122
851-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: lO? D CO,YY?I[?r??, ? Qr ? v?i
OWNER NAME: : -T Y? TELEPHONE #: (01?A bo?
(AREA COAE)
INSTALLER NAME: TEL[PHONE #: l7&\
^?,? ,? R p
STREETADDRESS: (AREA CODE)
«-
CITY: EUKyn STATE: i'IN ZIP: JJ?,rL?J
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00.
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unk (+ 5!8" meter if needed -$7 78)
Other:
_ RPZ: new installation/repaidrebuild JUN 0 4 ZOUZ 30.00
_ lawn irrigation system
By
Replacementladditional: _ water softener ? water heater $ 15.00
State Surcharge ° $ .50
Total $
I hereby adcnowledge that I have read this application, state fhatihe informalion is cortect, and
is the applicanfs responsibility to notlfy the property owner that the City of Eagan assumes no
operational and maintenance adiNUes to the facilities constructed under this permit within Cjt
OF PERMITTEE ;,
of Eagan ordinances. It
a Gity during iLS normal
S-
1/02
PERMIT Control No. 0972
? CI?'Y OF EAGAN ?
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001303
(612) 681-4675 Date Issued: 0 8/ 2 4/ 9 2
SITE ADDRESS:
4048 CAMBERWELL OR N
LOT: 2 BLOCK: 3
HILLS OF STONEBRIDGE 3R0
DESCRIPTION:
'Building Permit Type SF OWG
? Build3n4°`Work Type NEW
UBC Occupanc,y R-3 M-1
Construction`Type V-N
2oning PD R-1
' Building Length \ 57
? Building Width ? 34
?L???
? C-
?-' ?J ?} ?l
C??1C??s?! ?J
%
REMARKS: '? b ZC? ?j 2 (P
S& W CONTRACTOR - PLYMOUTH PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$713.00
$463.45
$60.50
$700.00
100
$1,936.95
$121,069
MISCELLANEOUS $1.610.50
Total Fee $3,547.45
CONTRACTOR: - Applicent - sT. LI
CENTEX HOME3 19367833 000133
5929 BAKER RD
MINNETONKA MN 55345
(612) 936-7833 OWNER:
CENTEX HOMES
5929 BAKER
MINNETONKA
(612)936-7833
RD 470
MN 55345
I hereby acknowledge tha h ve read this application a nd state that the
information is correc d ag ee to camply with all appl icable State of Mn.
Statutes and Ci o a n Or inances.
APPLICAN RMITEE SI TURE -ISSUED B : SI NATU E
IN5PECTION RECORD C°ntr°l "°. 0972
CITYOFEAGAN PERMITTYPE: euzLoxNG
3830 Pilot Knob Road Permit Number: 001303
Eagan, Minnesota 55123 Date Issued: 0 8/ 2 4/ 9 2
(612) 681-4675
APPLICANT:
SITE ADDRESS:
Lo r: z B L 0 C K: 3
4048 CAMBERWELL DR N CENTEX HOMES
HILLS OF STONEBRIDGE 3RD (612) 936-7833
PERMIT SUBTYPE:
SF DW6
TYPE OF WORK:
NEW
INSPECTION
FOOTING .. .
FRAMING .•
INSULATION PINAL
FIREPLACE
REMARKS: S& W CONTRACTOR - PLYMQUTH PLBG
F- - - -
-
L
PERMIT I?, ?
REIiCTI1rATE ,?OCITY OF EAGAN
dupVtolm
1992 BUILDING PERMIT APPLICATION
9D ' `t ft=681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans 3 registered site surveys, 1 copy of energy
ca . oN F=I L-E
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typdnQ of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date CC-) 12- /97_ Valuation of work ? tZo, oon
3ite Address:fi &Z4„&.,,u1D b.-;v, ]1
57REET SUITE N
Tenant Name: (comnercial only)
IAT ?
BIAC& _5?o' NaL Us v'F
SUBD. 5-kasu?dq?
P.I.D. ie
3? r? A?$ i i10 j
?
Descri tion of work:
The applicant is: O Owner 'OContractor ? Other (Deeeribe)
Name 4-i-m.co Phone 934,-??s33
Property IAST F,pST
Owner 9
4
pddress - n9z9 Rn ,ke,r- h
,S i ,;+e 4)L-7 n
e)ei id
STREET S7E N
City M i nne;l-n,t.ka State AA ! nneoe-I-Q_ Zip 5a:_
Company ?Sa.»,.e ao a/hcj,.e -.? Phone
Contractor Address License iYt7on1333 xp.
City State Zip
Company Phone 93h --24 3,21
Architect/
Engineer Name Registration #
Address 592q ?O'a! 5v;fe 470
C i ty ?M i n n e-1a-n.tca St ate IM 1J Z i p S'J 3A1-C
Sewer 8 water licensed plumber _hIvrreIr-Yk. ??21 uh;n . Processing time for
sewer 5 water permits is two days on e area as been approve?.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a11 applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
.
BUILDING PERMIT TYPE
? 01 Foundation
p 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
-6 31 New
13 32 Addition
OFFICE USE ONLY
O 06 Duplex
? 01 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'7
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
/i
?Y 'YV . M
11 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
D 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) v-y Basement sq. ft. MWCC System
(Allowable) v,? Ist F1. sq. ft. City Nater
UBC Occupancy 12-3 t-A q 2nd F1. sq. ft. PRV Required
o
n P?1 Sq. ft. total Booster Pump
1'
of
Stories Footprint Sq. ft. Fire Sprinkler
Length S17
_
- On-site well Census Code 1ci
Depth 77 On-site sewage SAC Code r;/
APPROVALS
Planning Building S E•19Sz Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site ? Footing ? Framing ? Insulation
0 Mallboard p Final ' ? Draintile ? Fireplace
! Permi t Fee v,iuocson_ g 12,11 000
Surcharge
Plan Review
Ljcense D c?7C17
MWCC SAC ?
Lity 5AC
Mater Conn. ,
Water Meter ,
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sAC % l ? ? SAC Units ?
? ?( * 2422 Enterprise Drive
* Mendota Hetghts, MN 55120
* PIONEER uNO suRvEra+s dNL ENqNEERS (612) 681-1914•Fax 681-9488
'* '------'-" ? UND PLAMNEMS • LANOSCAPE A3 fhC75 625 Htgbway 10 Northeast
* eng?neehing
* Bloine, MN 55434
* * * (612) 783-1880•fax 783-18H3
Certificate of Survey for: C@C1t8X, IncorDorated
House Address: 4048 Camberwell prive Eagan. MN
Model Name: 747
R = 921.69 „
p = 05'18 20 -
L=85.35??-, - - - f
a
_------`?1
? - - - ? 5
i ?
i ?
t ?
1 ?
z 1 1
w ?' 14 II
°= a'
, N 81.26Sg" E - -?14.00
M 19.00 m ?
6.87 Y ui 16.00 ,
1100 l o
m 12 GOllRSE BASf.MENT 1
' 15.33 pltoppSFp HWSE m
WAlKOki c? I
?
N
1 O
? W
J p
N,
m
1 N GARAGE + n 6.5 14,00
? 2287
tA.?
20 BPY'M DOM ' W
5 + pRtVE`NAY
q,o
a, ]
Yd?ER l?t?' DEP
'??{?1 ?e L--17.16
_ 67 4 „ p = ?3'32'20,?
_ N a?•Zg'58 E R ? 277.89 _-----
a - .'
gERWELL DRIVE NORTH
C AM
. 900.0 Denotes Existing Elevation pROpOSED HOUSE ELEVATION
• 9?o Denotes Proposed Elevation Lowest Floor Elevation:880.65
-- Denotes Drainage & Utility Easement Top of Block Elevatfon:888.76
- Denotes Drainoge Flow Direction
-o- Denotes Monument Garage Siab Elevation:888.43
-9- Denotes Offset Hub Bearings shown are assumed
LOT 2, BLOCK 3 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3 R D ^?y??ja}er¢d land Surveyo?
1 hereby certHy that this swvey, Vlen or Iepw% was1 ?p.?epered bV me m unWern+rdireena9emfi
under the laws of the Stale o/ Minnesou. Oated this I--iLl3- daY of AUCq. A.D. 19-41;1- ?
IfICM= ?jnfBBt ?' ROBERTB.`SIKt CNL?S?REG.
?? l/
1 9/336.24
EXTERIOR ENYELOPE AVERAGE "U" LOMFUTA'fION
ntNER: Lc j?, 3?-cuc 3 ?.{-- nnTr: z=?2
57ZV???mGc
i1TE ADDRESS• All SFD @ DF,EF.HE.HII.HR.ST ?eD Aob`/-',
IIIUNC:
160NTRACTOR:,?_s?-1'fsX :?4-^Ntcem PLAN f +I47
Determine working square footage of each
1. Total exposed wall area..... ZC/ sq. ft. x.11 = m7,4.p
2. Total roofJceiling area..... sq. ft. x.026 = 'C175• ob
' Total exposed wall area above floor=_0316
a. Total wall window area ...........................................
h. Total door area ..................................................
c. Total sliding glass door area ....................................
d. Total fireplace xall area ....................................... -
e. Total walt framing area (averagel0:) ............................
f. Total rim 3oist area .............................................
g. net wall area a6ove floor ..................................... 143-NP
h. wall area abave floor .....................................
i, wall area above fioor ....................................
j, frame wall area at fourriation ...................................
Total exposed foundation area=
? .
k. Total foundation window area...... . ................. t?
1. Total•net foundation area above grade .............. 4_eO
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. 92?99? X nVn
n. x °u^
C• X ? V 1,H ` 3 -l •
d. ? X
e. aLv/ X
X
X
wuw
"U" .10 ° 26.10
•U" .042 = 11.21
wUw . .045 = 82.17
h. X sU" ? • ,:-.. - - ,
?. X MUr a •
3• X Nuw a
,. If item #3 is the same
k, er _ x.U. as. or less than item
f-- 11, you have net tlie
Xnp. .133 ? 7.98 intent of 56C 6006 (c)
.................................Total = 251.76
---?
' 747'
4. TOTA! EXPQSED ROOF/CElLINC CALCULATI0t15:
Tota) exposed
rooF/eeiling area........ sq ft
?
J) Total skyliaht area....... sq fc x"U"
k) Total roof/ceiltnq framingM A ?
area (Averace InX)...... sq ft x"U" t:? ? 0?.35
1) Toial net insulated
. roof/eeilinq area.......? sq ft x"U" IV
q, TOTAI j) thru 1)
If total of 'G is the same as, or less than R2, you have met the lntent of
2 ?IG1It 1.16008 A ard O.
ALTERtIATE BUILDIHf, EIIVELOPE DESIGN
To utilize the total enveloPe system method, the values established by thS sum
of items €3 and 04 sha11 not be nreater than the sum of items 11 and B2.
i. 199 + 2. ?. 5? Q 3l3. o I _
s 271.83
3 251.76 +?. D-7
747• ' 1 . * L1NEAL r'EVf EXPUSEU WALL
1
BLOCK: ?5•33` (L?S•?'1+ (`?? ?•33'' 4.33 s 11 ? 3•?7;'1' 14+ 11•-54- Zj- L!•
KNEE: -
WA[.KOUT: -
FU[.L 1: X.i3 i 1L1 vv+3'i+ ?•33? lt.& 301-?4.r iT.l' l•a'i+ 3?'f?r?.- 3.? {.?1.
ZrcP•S'? ? ?'13 ? l 4
E'u[.[. 2:X.x5 33•• IL} 5,?1'' 1`?x 3L-E 11•ci k t-?- 1?.5 '- ?L?P
FIREPLACE: -
RIM: Jfi7
? SQUARE FEET ERPOSED WALL AREA
BLOCK: X .$ a (,?q
KNEE: 5
WALKOUT: - x 8
EULL 1: x aly= f?q
FULL 2: x 8
FIREPLAC E: ? x ? -
RIM• 4?4!-7 L
TOTAL
SQUARE FEET EICPOSED 'CEILING tIfiSdi ?
WINDOWS: DOOdS:
. Zg -? }ktv ltt $7 . L?' L* ^ t
04
?
?
M
lt( - (
3 ? PATIO DOORS:
*?
?
t'?Z:- n ? Z . v
I l? '
1? BA??r
?S -
+c 3L s II y
- l
?
Z4? t C.
SKYLI6HTS: - _ - -
- - -- --=- •- --
•
. Iv = ? 5
•. Iv - lt /Z
4Y
ZDc? .
:Lt ?? 1!65 Of opaqUe t?b l l or" f•_?r
fYamC CC]?:trrNG6 ?w.
n3iC
NaLL
E=6. 1?1
w. #'i
PFZAO,v Mw ti
R- VAL,Up
CON,SIfitJCZ'ICN - FRAMIN[. - ?
1. INfERIOR A.[P. FILN 0.68
2. 1/2 ,
3.
4. 1/2" SHEAIHM 1.2
S. SIDI ' b4
6.
TOTAL = 9.99
V= .10
NLT
r-
1. INTLRIOR
2. Ti'Tr77,I
3. 7'1N$UC
a. i/zT. flU
s. .,?t? i?u'
6. r-?PF.TtT6R
1.2
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lIG. 07
F'fAT FLAW t!P VENPID
REACTIVATE ? RECENED CITY OF EAGAN
PEttMIt' # 1993 BUILDING PERMIT APPLICATION
MAY 18 1993 681-4675
VBIA - ------------
SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 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 _2//T `; / / Valuation of work 12 X 1 N
5ite Address: GfG?f?. ? . ?. ?,???• ?:..e- ?l ?sl??ic?.??, „ ?,.ac,?ir .? S l7 ?
STREET SU1TE 1
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD.rl
Descri tion of work:
The applicant is: ? Owner ;m?Contractor ? Other coes«ix>
?
Name ;v?a?:,- .?"1eo,d, Phone
Property
Owner LAST FIRSt
?
pddress ,?sf,,,.,W'! lJ
? ,-??,T
SiREET ' STE k
City State ZiP
Company 11r,? Phone 4152_ _2
#tX
j
- E
lt
'
Contractor c-?.:•?_ License
•
!xp.
?>
7C i???•J_f?.
Address 0
n
i f
44'd
a v
a
4,
City State Zip ? <?
Company Phone
Architect/
Engineer Name Registration B
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 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
of
ta Statutes and Cit
f Mi
ll
li
bl
St
t
•
y
nneso
e o
app
ca
e
a
correct and agree to compl
y, ith a
'
Eagan Ordinances. I ` h
Signature of Appl icant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Qwg.
? 03 SF Addition
? 04 SF Porch
0 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
0 32 Addition
? 33 Alterations
O 34 Repair
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
V 15 Deck
? 35 Tenant Finish
? 36 Move
? ? `? 16 Baspg,pt Fj.nas,hQI
IR
? 17 Swim Pool
0 18 Comn./Ind.
? 19 Comn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length T? On-site well Census Code 37L
Depth ,2• On-site sewage
Cod,e
SAC&-
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS '
? Site IZ Faoting ? Framing O Insulation
? Wallboard P Final O Draintile ? Fireplace
Permi t Fee v.iuacsa,: g
Surcharge
Plan Review
License
MWCC SAC City SAC Y
Water Lonn. _
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,.?
Other
Total:
SAC % -
4AC Units
P w 14
CITY OF EAGAN
L ? B MECHAIVICAL PERNIIT
SUBD. (612) 681-4675
RESIDENTIAL
RECEIPT #_ a g / ,
DATE /0 7 9
PLFASE COMPLEfE UPPER PORTTON ONLY FOR SINGLE FAMILY DWELLING3. AISO, COMPLEfE FOR
TOWNHO? /CONDOS R'HEN SEPARATE PERMTIS ARE REQUIRID FOR EACH DWELLING UNIT.
/G/?
OR'NER: ADD-ON A/C ADD-ON FU?tNACE?
STfE ADDRFSS:
J ADD ON/REMODEL (E7IISTIIHG $ 15.00
? CONS1'RUCI'ION ONLI)
INSTALLER: HVAC: 0-100 M BTU ?ea) 24.00
PHONE af: ADDTfiONAL SO M BTU 6.00
!,?n?s: cAs OtrTt.M - MsxnMurwr i @ $a En. (?rV?
C111': ZIP:Cjs SURCHARGE $ .SO
SIGNATUR& TOTAL: S ?
? NO PERMIT REQUIBED FOR DUCTWORK ONLY!
COMbfIIiCIAL
PI.F.ASE COMPLEI'E TAIS PORTION FOR ALL COMMERCIAIIIrTDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DWGS WHEN SEPARATE PERMITS ARE NOT REQUIRID FOR
EACH DWELLING UNIT.
VYORK DESCRIPTION:
, CONTRACT PRICE ?S
196 OF CONTRACP FEE.
STATE SURCAARGE IS $.50 FOR EACH
S1,000 OF PERMTf FEE. S
PROCESSED PIPING • $25•00
r
i+4"iiYIlV1"•7A5 ir'"'E. • $i3.i?C I a
/??,????? 3 .a
?4 / HOUSE HEATING TEST RECORD
T ??
ADDRESS APT._FLOOR CITY SUBURB ??
OCCUPANT • OqNER. C????? ???`-'??
HEAT 1055 DA'T?{ HT?G.?
SOLD BY V-IOAA ?+ INSTALLED BY ?
Elecfrical Work By Gos Lins By ?
TYPE OF HEAT GA _ FA _&f_-`HW _STEAM _SPACE HTR. _UNIT HTR. -OTHER
(?Jp.?, GAS DESIGN CONVERSION
MAKE '-^'° ?" MAKE OF BURNER
Modsl ? Modsl UM HEA
Ssrial - Mex. BTU RaHny ? k$ti"?0.
INPUT ? MAKE OF FURNACE
Mod•I
CONTROLS ?[I ?j \ ,?-j !!
THERMOSTAT Hsat Plup Vent Si:e
Volvs KiND OF LINER SIZE NONE
Limit T 1 Drah Hood FIWI Requlamr
Limit Sening
N Filters Size Num
Fan Ssffiny ? 4iim"r Locotion Insj??
Pilot Type
o
Cbimnsy Construefion `
?
Pilot Make w7
Pilot Model 47 i Smoko Bomb Wiring _
Pilot.Timing 6 ? Draft TestTay-
L.W, Cut Off Door Presaur1- Liqhtinp Inst.
Preesure Psresnt CO ` ' ? 9 Date Tes»d
Input CFH ?t+ • Percent 0?---Y--`V- Company Teating •
Stock TemP Paresnt CO Nams oF T?:ter
Fwm 235
L ?C sL ? CITY OF EAGAN
PLUMBING PERMIT
SUBD?.IlX?!/ (612) 661-4675
R88IDSDITIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR _
CITY USE ONLY
RECEIPT # /egfLri
DATE
ALSO, FOR TOWNHOMES AND CONDOS
OWNER NAME: &Ay"ci?p
SITE ADDRESS: 'V6941y a!/k
INSTALLER:
ADDRESS
CITY
5'J?nG o
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 ?
WATER CIASET 3.00 0 C)
QZ BATH TOB 3.00 CO
LAVATORY 3.00 /Tv
? KITCHEN SINK 3.00 1? 00
IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?d
? FLOCR DRAIN 3.00 L-9,42b
GAS PIPING OUT.
MINIMUM - 1)
00
3
? ( .
ROUGH OPENINGS 1.50 -17-500
_ OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
? U d d
TOTAL: S
COMMERCIAL
PLEASE COMPLETE THIS POATION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
nnnxEss:
CITT:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
lY OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
PHONE #:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107637
Date Issued:10/19/2012
Permit Category:ePermit
Site Address: 4048 Camberwell Dr N
Lot:2 Block: 3 Addition: Hills of Stonebridge 3rd
PID:10-32992-03-020
Use:
Description:
Sub Type:e-Siding
Work Type:Siding
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Naften R Sadoff
4048 Camberwell Dr N
Eagan MN 55123
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149647
Date Issued:06/04/2018
Permit Category:ePermit
Site Address: 4048 Camberwell Dr N
Lot:2 Block: 3 Addition: Hills Of Stonebridge 3rd
PID:10-32992-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Naften R Sadoff
4048 Camberwell Dr N
Eagan MN 55123
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature
RECEIVED
Jeffrey Wheeler JUL 13 2018
From: Bloomington Heating <info@bloomingtonheating.com>
Sent: Friday,July 13, 2018 11:13 AM
To: Jeffrey Wheeler
Subject: Re:Information for Permit EA 149647
Attachments: 59MN7A-10SI.pdf
Jeffrey,
Attached is the manual for the 59MN7 that was installed at 4048 Camberwell Dr. N.
Janis
On Fri, Jul 13, 2018 at 10:44 AM, Jeffrey Wheeler<JWheeler@cityofeagan.com>wrote:
Janis:
Thanks for providing this.
Could you please provide the full manual and verify that this is the furnace tah was installed at this address(4048
Camberwell Dr N.
Thanks,
Jeff Wheeler
/,1/44 a o Jeffrey Wheeler
'*TZ Building Inspector
". `'x 0 3830 Pilot Knob Rd I Eagan, MN 55122
'. Office:651-675-5680
14gtsN*os https://www.cityofeagan.com
1
From: Bloomington Heating [mailto:infoObloomingtonheating.com]
Sent: Friday, July 13, 2018 10:15 AM
To: Jeffrey Wheeler
Subject: Information for Permit EA 149647
Jeff Wheeler,
Attached is a page from the installation manual for a Carrier 59MN7A furnace which shows a "T" installation.
If you have any further questions, please give us a call.
Thank you,
Janis
Bloomington Heating & Air
952-884-3552
2
•
_.
EXAMPLE FOR RECEIVED
UPFLOW INSTALLATIONS.
MAY BE APPLIED TO JUL11
OTHER CONFIGURATIONS. . ;moi 13 2018
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Fig.56—Sample Inlet Air Pipe Connection for Polypropylene Venting Systems
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Representative drawing only,some models may vary in appearance.
A170122A
Fig.57—Recommended Combustion Air Inlet Moisture Trap
65