4091 Camberwell Dr N
7
itp of Cagan
jurvatu rt of Wwwato 3werti,m
47ris Certificate issued pursuant to the requirements of Swdon 306 of the Uniform Building
Code aerz &tg that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building consbucdon or use. For the following:
use GaziSc uon SF UaGIGAR Bldg, Fcrzwt Na 18346
PA VN
a ~ aTi'EIC HM _ 5929 BEAM-100, MUNMRA
, HILLS CF 2ND
4091 CAMMML M-W 1.3, B3 i.~cy SMWMMM
NMMM 27, 1990 i
evadwg tfYaal
I
POST 'IN A CONSPICUOUS-PLACE
d
J'
.
44
CITY OF EAGAN t. +
L ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # t
To be used for SF DWG/GAR Est. Value $141,000 Date SEP 5 19
Site Address 4091 CA"ERWELL DR N
OFFICE USE ONLY
Lot 3 Block 3 Sec/Sub.~~►F
Par& No. Occupancy R-3 H-1 FEES
D R--1
2onin
9
M Name CEt+TEX HOMES (Actual) Const ' --N Bldg. Permit 7831,00
o Address 5929 ER (Allowable) 1N Surcharge 70-50
City HINNETOA P 930-7833 # of Stories Plan Review .OD
Length
Name SAME Depth 35' SAC, City 100000,
UOV ¢ Address # S.F. Total
SAC, MCWCC
City Phone S.F. Footprints.f9}
On Site Sewage Water Conn
Fw Name On Site Well Water Meter 90
_al Address MWCC System 30.00
a W City Phone City Water K Acct. Deposit 30»
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge .50
information is correct and agree,to' coynply with all applicable State of »
Minnesota Statutes and City-O Eagan Ordinances. Treatment PI
L4--'APPROVALS Road Unit
I Signature of Permitee 5s00
r
A Building Permit is issued to: CE EX 1Cf MES Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Variance TOTAL 3, 5,. 00
Building Official
Permit No_ Permit Holder Date Telephone #
WATER Ybzoc)
SEWER
PLUMBING Dt?/~ Q
H.V.A.C. ?
ELECTRIC y
Inspection Date Insp. Comments
Footings tfa
Foundation
Framing
Rooting
Rough Plbg. 3-CQ
Rough Htg.
ISUL
Fireplace `1 I
t
Final Htg.
Final Plbg. fjlJ
Const. Meter Plbg. Inspector- Notify Plumber
EngrJPlan }f
Bldg. Final ~~a,~yEi l10 -
Deck Ftg.
Deck Final
Well
Pr. Disp.
rt PLII,MBING PERMIT` For Office Use O ty
CITY OF EAGAN PERMIT # 57
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE
PRONE 454.8100 DATE-
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ISub Res. _fole NeW'r
Mult. Add-on
Camm Repair
Name.,.. - f
• Y5" r f r ether' Addre s RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
City toy + ~c~tlit/' +t~l(I Phone42- -Il !
FIXTURES DOTAL 3
~Water Closet - $3.00 $ d
Name - Bath Tabs - $3.00 C~ a U
_ 3c Address 61)jcA:e W ~ '5j" 'e. Lavatory - $3.00
O City Phone 9.3 - Shower - $3.00 ?
P Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50
Watec Hater - $.1.5D / S: c1
APT. BCDGS. --COMM. RATE APPLIES
TOWNHOUSE & GONDrJ RES. RATE APLUES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets- $1.50 I .J
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT _50 Softener - $5.00
(ADD $.5o SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00
7 , Private Disp. - $10.00
T- Rough Openings - $1.50 lu
~i~ ' - U. G. Sprinkler System - $12.00
SIGNATURE OF PERMITTEE
PERMIT FEE:
STATES SIC:
FOR. CITY OF CAN
GRAND TOTAL:
PERMIT # '
MECHANICAL PERMIT RECEIPT # k
• CITY OF EAGAN - ; 5, "
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address w1 BLDG. TYPE WORK DESCRIPT*N
Lot Block; `y Sec/Sub `
Res. New
Name Mult Add-on
m Comm. Repair
Address , s . Other
c City 'Z_4" Phone L
• , , FEES
Name Y
RES. HVAC 0-100 MBTU -$24.00 c Address' u c ADDITIONAL 50 M BTU 6.00 4
p City Phone % y (RES. HVAC INCLUDES A/C ON NEW 4
CONSTRUCTION)
' GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air MBTU' APT. BLDGS. - COMM. RATE APPLIES s
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
s MINIMUM COMMERCIAL FEE - 20.00
Air Cond. M BTU $
Vent CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000) w
Other_
FEE t
SIGNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN
SEWER &'WATER PERMIT OFFICE USE ONLY
c~*tLG;~~f
CITY OF EAiaAN METER #3
Z.!~_ L PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 551.22-187 CHIP # 0 / 52 PERMIT # 1. 1•6~• S
METER SIZE 0C B.P. RECEIPT # C 9831
i DATE ISSUE DATE , ~ B.P. RECEIPT DATE 0~ 06 /
i _ PRV -BOOSTER PUMP
SITE ADDRESS M D¢ A PERMIT REQUESTED
LOT BLOCK 3 SEC/SUB ?;7i-: ~ D ` STt7.n]
SEWER X WATER TAPS
APPLICANT:
ADDRESS: - COMM/IND RESIDENTIAL
CITY, STATE ZIP } NEW EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER:` F 'Ft Ahead of Domestic Meters on. Water Line.
ADDRESS: 147 45 i Credi#-WiLL-NOT be given for educt Meters.
CITY, STATE 4O3E~7t~Ta t% 55068 ZIP
PHQIdE
I AGREE TO COMPLY W H CITY F
OWNER: EAGAN RDINANCES %
ADDRESS: `e LI r1I. RD
CITY, STATE 11I N NET'ONKA a '1,J4 ZIP 53
PHONE: 91i6-71633 jR S GNATURE WHEN METER ISS
r ✓
PLEASE AlLOW T1fV0 V4`ORK NO DAYS' Ft6
iR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEW- ATER PERMIT OFFICE USE ONLY
CITY OF AGAN METER # PERMIT DATE 05'~Ut J~
3830 Pilot Knob Rd.
Eagan, MN 55 1 22-1 897 CHIP # PERMIT # 1162")
METER SIZE B.P. RECEIPT # G 983 i
DATE SEE' S 4 1990 ISSUE DATE B.P. RECEIPT DATE 091061 U
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4091 CAMBERWELL.1?=% ;a PERMIT REQUESTED
LOT BLOCK r SEC/SUB 'IIt.I S OF STON :t9I;i.DG
-N SEWER X WATER TAPS
ADDR .S: COMMAND X RESIDENTIAL
CITY, TATE ZIP NEW EXISTING
PHON
Lawn Sprinkler Meters are to be Installed
PLUMBER:' _I r'~ r 6+_ Ahead of Domestic Meters on. Water Line.
ADDRESS: 14745 Se" 0BER T TR r CrIedit.WILL'~ OT be given for Deduct Meters.
CITY, STATE POS2rMOUP T, t'3.3 5506E. ZIP _ !
PHONE: 423-1144
I AGREE TO COM LY WIiH CITY OF
OWNER: CENTI& Hokics EAGAN ORDINANCES f
ADDRESS: 5925 BZF RD f,
CITY, STATE '1117,NETQNKA, NA ZIP 5_5345
PHONE: (,3(;---7z;'33 CR h38-7i77 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address: 4091 C.4w wars DRIVE NOLot 3 Blk 3 Sec/SuMILLS OF SIONEBRIDCE 2ND
These items were/were not complete at the time of the final inspection.
DATE: NOVEMBER 27, 1990 Yes No INSPECTOR:
Final grade (6" from siding)
Permanent steps - garage /
Permanent steps - main entry V
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
. DATE: SEP 6, 1990
RE: 4091 CAMBERWELL DE N (CENTEX HOMES)
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.
-d COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
d 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.
7/&/Yc) ® veep 55-
H 18324 w?f" 0V
Request Date Fire No, h-in Inspection
,l wired? ❑ Ready Now NII Notify Inspector
V Yes ❑ No when Ready?
1 9licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No ) City
Section No Township Name or No Range No County
Occupant (PRINT) Phone No
<.Yl ~ ~ omO/y
power leer Address
~p~c, ~"IeC~riC,
Electrical Contractor (Company Name) Contractor9 tIDense No.
LA w ZlecAri ►~c 19"i i
Mais 393 ss (Contractor or Owner Making I stalWbon
uh a~ Ntr K- (Y)o 65LIS
Authorized Sgna ,(Contrector/Owner Making Installation) Phone Number
.I~ I N -31201
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GNgge-Midway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1621 Unlverslty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Prone (612) 642-0006 ENCLOSED -
REQUEST FOR ELECTRICAL INSPECTION 0---Ax EBa0001-0e
1. See instructions fur completing this tom on back of yellow copy. 9j,4,C(~
H18324 - 'XNBelow Work Covered by This Request Y~.~ ` /r
Add Rep. TypeofBwlding Appliances Wired Equipment Wired
- Rome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial 'Furnace
Farm
M Air Condltloner
Other (specify) Contractors Femarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Amps
Signs inspectors use Only / J TOTAL r~
Irrigation Booms ~(Q ' ~`~1P
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Bough-In Da
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
Thus request vad 18 months from
ay~1 39 8
3 dj
Request Dale Fire No Ro m nspectao
❑ Ready Non II. fy Inspector
0NO hen Ready?
I licensed c ntractor O owner hereby request inspection of above electrical work at:
Jab Address ( or R N~j) City
(/SAC lP~cW
Sec n No. Township Name or No Range No County
Occupant (P J! T) Phone No.
Power Supplier Address
Electncal Contract omPany Name) Contractors License No.
Mailing Morass ( or or Owner Making Installation) /ow
Authors re ( nhactor/Owner Makin Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD
1821 Unlverahy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (6121642-0800 ENCLOSED
(31 Si //9 REOUEST FOR ELECTRICAL INSPECTION ~ QEoS.oeolxh-0s
o, ► See ipatrucuonsior completing this form on back of yellow copy. I'- / 0 0
H18398 "X" Below Work Covered by This Request
Ne% Adcl Rep Typeof Building Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater leclric Heating
Apt. Building Dryer Other (Specify)
CommAndustrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below.,
# Other Fee # Sam is Enuance Size Fee # CimuitsfFeeders Fee
Swimming Pool 0 to 200 Amps 0 to too Amps
Transformers Above 200 _ Amps Ab 100 Amps
Signs Inspector's Use Only: TOTAL So
Irrigation Booms
Special Inspection VVV
Alarm/Communication THIS INSTALLATION MAY BE ORDEfl ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby Rough-in Dare
certify that the above inspection has Final Date Y~
been made.
71
OFFICE USE ONLY
This request void 18 months from
City of Eapn ; Pernit#
I sa
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Re
Phone: (651) 675-5675 I D ICI
Fax: (651) 675-5694 I Staff: D
008 RESIDENTIAL PLUMBING PERMIT APPLIC NP 5 2008
Date: Site Address: (1N B
Tenant: Suite(( M
RESIDENT I OWNER Name: Phone:( ) 'lY 6 l ' 0 0
Address /City/Zip:
CONTRACTOR Name: ftskfr- Appipance Address: 1313 Danita Cr
City: ShB opw MN ~ e79 zip:
Phone: • ;ontact Person:
TYPE OF WORK _ New _ Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater i/ Water Softener
_ Lawn Irrigation -Add Plumbing Fixtures
L RPZ / _ PVB) L Main _ Lower Level)
_ Septic System -Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System AbandAband Tnment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State y urcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) / V60
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start w1 hout a permit; that the work will be in
accordant with the approved p n in the case of work which requires a review and approva f plans. (
r it
x x
Applicant's rinted ame I/IV App Y S IJ& ture
FOR OFFICE USE Reviewed By':" ' Date:'
EA t
Required ,lnspecttons -Under Ground =Rough In - AIr Test" Gas Test Final_
RESIDENTIAL ~S~ aJ
S S 6 b BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
• 3 registered site surveys showing sq, ft. of lot. sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum of coverage aflowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes: poured found design, etc.) • t site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicated home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/V93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE VALUATION
SITE ADDRESS t cJ S1 c v n wFr W C I t' MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~1 n ti C FIREPLACE(S) -0-1 -2
APPLICANT ~l br~~er.^ ~X~ ipJ S MN. 1~C-
STREET ADDRESS Z y0 C \,V_S~,, SL CITY i5;~ Rl.A I STATE-MA/ZIP 5;7 n 7
TELEPHONE # 65-1-Z30 --5- 10 CELL PHONE # FAX # 65- L2Z7- 9? 3 ~J
PROPERTYOWNER TELEPHONE# d C4 2`S-
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category - MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) Residential ventilation Category i Worksheet Submitted New Energy C worklieei, itred
~I~
• Energy Envelope Calculations Submitted
In
SS
EP 2. 3 2002
Plumbing Contractor: Phone # _ U
Plumbing system includes: _ Water Softener Lawn Sprinkler LEFT-e: $90.00
_ Water Heater No. of R.I. Baths -
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: 570.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
yfliances.
with all applicable State of Minnesota Statutes and City of Eagan Ord'
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY OF EAGAN ' NO 18346
3830 Pilot Knob Road, P.0' Box 21-199, Eagan, MN 55121
q0
BUILDING PERMIT PHONE: 454-8100 Receipt # "1 q
To be used for SF DWG/GAR Est. Value $141,000 Date SEP 6 )g-9Q-Site Address 4091 CAMBERWELL DR N
Lot 3 Block 3 Sec/Sub. HILLS OF OFFICE USE ONLY
Parcel No. Occupancy R-3 K--L FIEFS
Zoning PD R-1
w Name CENTEX HOMES (Actual)Cons( Y-A Bldg Permit 783.00
o Address5929 RAKER RD (Allowable) VN Surcharge 70-50
City MINNETONKA Phone 936-7833 # of stories
Length 64' Plan Review 509 _ 00
n
z~ Name SAME Depth 35' sac, city 100-0
Address S.F. Total SAC, MCWCC 600.00
VQ
City Phone S.F. Footprints _
On Site Sewage Water Conn 625.00
r
ww Name On Site Well Water Meter 9n-n0
ima Address MWCC System ..X...
w City Phone City Water Acct. Deposit In _ nn
PRV Required SM/ Permit 30.00
1 hereby acknowlege that I have read this application nd state that the Booster Pump SrW Surcharge .5
0
information is correct and agr c mply with all pplicable State of
Minnesota Statutes and CI Eaga rdmanc Treatment PI 252.00 ~r 11 Signature of Permilee _ _ i-- APPROVALS Road Unit 355-0
0
A Building Permit is issued to* CEN X MES Planner Park Dad.
on the express condition that all works II bed a in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off, Copies
0
Building Official ,81NNx,q variance TOTAL 3,445.0
~ ➢11~.
V
►~3~1,
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 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.
AU 6 2 7 RECD
To Be Used For: SFD bA_A-21 / Valuation: N)~ Date:
Site Address y~9f / ~1C17~~ OFFICE USE ONLY
Lot yL Block FEES
Occupancy R3 M
Zoning PD R- t
Parcel/Sub ~Toat~Be yc Actual Const V-h~ Bldg. Permit 83,0
Allowable V-rl Surcharge 1? O,So
Owner (~~icC~~dC 9s✓Ie5 # of stories Plan Review 51,D9, 00
®®~Q~ Length- SAC, City oo, a 0
Address Depth SAC, MWCC 400,0n
S.F. Total Water Conn 25" oD
City/Zip Code Footprint S.F. Water Meter C.oc,
g Acct. Deposit 30.00
Phone (_~!J -745-1-5 On site sewage- S/W Permit 31,00
On site well S/W Surcharge ,.y o
Contractor MWCC System E/ Treatment Pl. c352 V0
City water i/ Road Unit' 355.0-'
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
/ Council}
Arch./Engr.6.V/L C L Bldg. Off. pd)$r~}
Variance 77T"~~~
Address ~r
City/Z,ip Code /y( ~Qq t~Ei4f(S h/~O~Z 7ES
Phone # 91- /
*iC 2422 Enterprise Drive
* PIONEEF~ I Mendota Heights, MN 55120
y LAND SURVEYOR9•CIVIL ENGINEERS
engineering- LAND PLANNERS- LANDSCAPE ARCHITECTS (612) 681-1914
Certificate of Survey for: C64 Tux r omen
\ NoR7N
rl
tell
1 q- 3•~ `^C
sa
0
spa
yq v" \ t s g
/ ~40~33 i43j ljay('h
/ X Q94j 4.~ ~Fp /
/ 6'R 9e•o F mM /
a /o /M
A's
a EAGAN EAtC,INEEP.Ii1T
DEPT
c
000.0 Denotes ex4lln Elevalion gsss- ,e sED6 LEVar1014
. s00.o peaoles proped Elevalrori owes Foor Veva ion 68a.(b
Uhnoles Drama el Ufiliy F_asemenl Top o, Block Elevation s9ssG
Denotes Orainc Jye NOW &rows Garaft 5lah Elevation M67y
O Denoles monumeof o Deno es Orflsel Nub
Beomrins shown are ossunfed Su Jec'l- to Ecrser»erlls of 'Rpcvrd
LOT 3 , BLOU 3 p DILLS OF STONEBa1DCE PLAT 2
04907-A CLV14TY
I hereby certify that this Is a title alld Correct tepresentntl011 of a stnvey of the botmda, Ir[ of the above~. /dessr.~ iheri Ian. , nnrl nl the Inrntinnpof 1II
huildinRs, therroll, and all visible. enetoachments, if any, from or nn sniff land. As surveyed by nle this GIF1.iay
tgca/e : I ,?rkt 40, erl
gill f. Ld HnRFHT n. SMICtl t.:. P F". III). 119^1
COMM. NO.
Planning Design inc.
1611 Highway 10 N.F.
Minneapolis, MN 55432
612-780-1920
Minnesota State Energy Code Calculations
}lased on Chapter 5 of the Model Energy Code
1903 Edition Adapted 1/1/84
i7wner: CENTEX HOMES COMM. NO: 880579
Site Address: MODEL 765
Contractor: CENTEX HOMES Phone:
Bldg. Class: Al Al for Single Family/Duplex
A2, residential << 3 stories
Over 3 stories
Other
GENERAL INFORMATION
Note: The section designations {"Section A", "Section H"
etc.) are for
convenience in calculations only, and are not related from one set of
calculations below to the next.
1. Bldg. Wall's Perimeter x Mall heights, - Area
ground to eave
Section A . 152 19.33 - 3014.16
Section B 0 0 _ 0
Section C 0 0 C1
Section D : 0 0 = 0
Gross Wall Area 3014.16
Building dimensions, Floor or
Ceiling
Length x Width = Area
Section A 16 14 - 224
28 896
=
Section l
S.) C) ti
bectlon D ( = 0
Total floor or- cei l i oq area - 1120
Rim Joist Perimeter 152
Floor joist:'2 by CB", 1C)", 12" or 16")): 10
Rim Joist Area = 126.6666
4. Doors
Area. 43.8 Thickness (inches): 0
Perimeter (feet); it
Type of cunotruction:
5.. Tot._l door's perimeter: 0
W, i nd,,w!7,
Manufacturers WEATHERSH.IEL..D U factor: 0.47
State approved: YES
Type Height x Length x Number = Total
(inches) (Inches) of glass SgFt
units
BASEMENT SASH 14 27 3 7.BB
DOUBLE HUNG 28 16 4 12.44
DOUBLE HUNG 16 24 4 10.67
DOUBLE HUNG 16 28 2 6.22
DOUBLE HUNG 28 28 10 54.44
DOUBLE {-LUNG 28 32 1 6.22
DOUBLE HUNG 32 36 4 32
DOUBLE HUNG 24 36 14 84
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
7. Window glass area (SgFt) = 213.87
Type Height Length x Number = Total
feet) (fr:et:) units SgFt
8. Patio Door: > r) 0 0
9. Atrium: 6.195 2.67 2 36.579
10. Fireplace area
Width: 6 Height: 5
Total Sq Ft = 30
11. Exposed Foundation
Height area As
0.67 Perimeter area As 156
Sg !=t area A = 104.5::
Exposed Foundation
Height area B: 0 Perimeter area B: 0
S'q Ft area B = 0
SgFt U factor U x A
Gross wall area 3014.16
minus
Window area 213.87 0.47 100.52
Patio door- area 0 0 0
Atrium area 36.579 0.44 16.09
Rim joist area 126.666666667 0,035 4..43
Door area 43.£3 0.14 6.13
Fireplace area 30 0.17 5.1
Exposed Found. 104.52 0.14 14.63
Framing area 301.416 0.069 20.8
equals
Tu t ni n ± nr not wp;!: 2157. 308
Totals for gross wall area: 247.52
h Framing area in 10% of gross wall area
13. Grows wall area x factor below = U x A per code
Factor is .11 for A-1 single family & duplex
.23 for A-2 and other- residential
.23 for other buildings
.28 for over v stories
Factor is; 0.11
BTUH 331.5576 MUST BE ''!R = n
(calculat.above) 24
14. Gross ceiling area = 1120
15. Ceiling framing area (10% of ceiling area) = 112
16. Joist Area (10% of ceiling area) = 112
17. Net ceding area (Gross r_eil, area - Joist area) = 1008
18. U ceiling: 0.023 r, Net cei1, area = 23.184
19. U framing: 0.026 x Joist area = 2.912
20. Total of item 18 x item 19 = 26.096
21. Gro=ss ceiling area r, factor below = U x A per code
Factor is .026 for A-1 single family & duplex
.033 for A-2 and other residential
.06 for other buildings
Factor- is: 0.026
BTUH = 29.12 MUST BE OR _ 0
~7?3,
(calculated above)
U VALUE
Inside air film ,68
HALL Interior wall ,45
SECTION I (Nall) U R
[naulation 19.00
Sheathing
Siding .67
Outside air film .17
R TOTAL
Inside air film .68
STUD I Interior wall .45
SECTION XW scud- 61, R 6.50(Framing) U . R
Sheathing (o d
1 Siding .67 Oloq
Outside air film .17
R TOTAL__ IL~,<} I
Inside air film R= .68
2ND HALL Interior wall
SECTION
Insulation (Nall ? U . H .
Sheathing
Exterior wall covering
Exterior iir film R -.17
R TOTAL
Interior air film R= .68
RIM
Insulation 19.00
JOIST 1Li inch soft wood R=1.88 (Rim 1
l U 'a ■
.1O15L)
Sheathing (o,~ •~JCj
Exterior wall covering .67
Exterior air fLlm R= •17
R .TOTAL ~ZB .40`
Interior air film R= .68
Insulation 5.00
Foundation 1.28 ' (Fdt1.) p . e
Exterior air film R= .17
•.1%3 •14
C R TOTAL %''7
xposed 3lock
n HLI - C. K '/hLUL
FR•MING CEILING
0.6i Air Film '0.61
Insulation 4p
4.38 Joist
.56 Ceiling •56
{ jf 3
0.61 Air Film 0.61•
~8-*Total R
FLAT ROOF OR CATHEDRAL CEILING
7R -V ue R VALUE
FRAIMING CEILING
0.61 Inside air film 0.61
Ceiiing
Joist (stud
Insulation
Air space
1 Roof decking
Insulation
' Built-up roof
0.17 Outside air film 0.17
Total R
1 U
R~
in ow infiltration .5 cfm/lineal foot of crack
tesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement
,cn-residential door infiltration 11.0 cfm/lineal foot of crack
lb 12" concrete block no insulation =..47 R 2.1
Jb 12" concrete block insulated cares = .26 R 3.8
1b 12" Tight-weight block - .32 R 3.1
:b 12" lightweight block insulated cores = .12 R 8.3
1 s'ngle glass = 1.13; with storm window .54
1 d uble glass = .55
1 L iple glass - .41
Ail exterior walls and ceilings must have a "vapor barrier (0.10 perm max.).
;ap r barrier must be on the inside (heated side) of wall.
rap r barriers of the polyethelene:thin film have no R value.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
q I 3830 PILOT KNOB RD - 55122
651-681.4675
New Construction Requirements Remodel/Repair Requirements
> 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sixes; poured fnd. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
> 3 copies of tree preservation plan R lot platted after 7/1/93
DATE: 5- 1-4 -13c) CONSTRUCTION COST: C~
DESCRIPTION OF WORK: IearbR7~- " h6L45e.. + 92racae.
STREET ADDRESS: 14a C(5?rY) D fV
LOT: BLOCK: SUBD./P.I.D.
Name: ~~Oe'i bcIV)d Phone#: 691- 61125
PROPERTY L First
OWNER Street Address:-14691 CornberWff-h Ord
city F_aaar, state: zip: 55723
Company. Phone 6/a g9~ `~nl DO
(area code)
CONTRACTOR 1333 Iarc Industrial Blvd.
Street Address: License#v~o'149J`-Exp.
urnsv e, IVIN 55337
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( j
Street Address: Registration
City State: Zip:
Sewer & water licensed plumber (required for new construction onlvl:
Penalty applies when address change and lot change is requested once permit is Issued.
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:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
-7-D
Use BLUE or BLACK Ink
For.Otfice j,
I I
Permit
City of Eapn I Gs- C
I Permit Fee: I
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Rec i ed:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
I
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: qA (offibetMU F90('441
Tenant: Suite
RESIDENT / OWNER Name: en In K NDel Phone: _N ~6
Address / City / Zip: 9 r~'Lmb'P~Mll tive
CONTRACTOR Name: one t 1wr Rca fin q I r License
Address: qD yc E r , llI 1:e+cit((y~~: tiQSflncAS
Phone: lff ,~,L~SI._ `"-I
State: Zip: T
Contact: U1.1 mI e ~ Il.,l 1 1 a 1 Email: ',M 4. h"o 1 Ill ar t
TYPE OF WORK New „/1 Replacement Additional Alteration Demolition
T
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE -Furnace New Construction Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas ` Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%u
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 tortithout a permit; that the work will be in accordance
with the app ed plan i the /case of work which requires a review and approval of plans.
x v 1n x c
Applic t' ri ed am I Applicant's n re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
~n OC?
_
Use BLUE or BLACK Ink
1 ! 1 For Office Use j
3 VVVCCC I - C
City of llakali i Permit --T
3830 Pilot Knob Road RECEI~,IC i Permit Fee: ( ~
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 MAY 2 9 2~~~ I 1
Fax: (651) 675-5694 1 Staff: 1
2012 M AN CAL PERMIT PPLIC~J-Dv N
D ate: Site Address:
Tenant:
Suite
Name: r
RESIDENT) OWNER P o
Address-/ `(JYJ1
City / Zip:
,
I
l /
p~ v
Name: LicNp-
CONTRACTOR Address: ..City:
State: Zip: Phoge-
Contact: Email: Q D
New a la a ent Add't onal
AI ration Demolition
TYPE OF WORK Description of work:
*::7
NOTE:; Roof mounted an gro nd mounted mechan cal equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL I COMMERCIAL
Furnace
New Construction
Interior
Improvement
PERMIT TYPE Air Conditioner Install Piping - Processed
- Air Exchanger - Gas _ Exterior HVAC Unit
- Heat Pump -Under ! Above ground Tank Install Remove)
Other
1
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00,State Surcharge) j
$100.00 Fire repair ;replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) ' OR
~ Contract Value $ x 1%,
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less th $ Permit Fee
i an $10,010, surcharge is $ 5.00
- If the Permit Fee is > -
_ $10,01 0, surcharge increases by $.50 for each $1,000 Permit Fee I - $ Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agai0st underground utility damage. Cart 48 hours before
you intend to dig to receive locates of underground utilities. www.cionherstateonecalt oW
I hereby acknowledge that this information is complete and accurate; that the work will be ' o formance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application fora permit, and work is ot. o rt without a e mit; that the work will be in accordance
with ed Ian in a ca o work ich requires a review and approval of plans.
x
Appli ant' ted Na e x
Applica ature
FOR OFFICE USE
Required Inspections: 'Reviewed
Y Date:
Underground Rough In Air Test Gas Service Test _ In- oor Heat Final HVAC Screening
4,111
City of Eakall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: ID (`42,3
Permit Fee: /72-, 3(a
Date Received: C
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
6 _r " l i-- Site Address:
ea.ti 6d 4r. d dr. Lt ,v
Unit #:
scX
�^�v
RESIDENT 1
OWNER .
Name: iia„,^d ,/c( Phone: (
Address / City / Zip: 1)10 Ty e.„,L,,,,,, Lt/ jrA.,. „e...-
vApplicant
Applicantis: Owner V Contractor
TYPE OF; WORK
Description of work: 1's k //.,L -Nu,, o P Cc)) less e5 1 �k ' wn,#/z,.s ...,,.f /efirei)
Construction Cost: 3, )O • GJ Multi -Family Building: (Yes / N5C )
CONTRACTOR
d
Company: crdntr- (0"Sites rifr..\ ,fin (' Contact: S r
Address: /'// g 3 54.U5.,a.,cL rip/ City: Prra' tc/&
State: /11 49 Zip: j'')`3) )-- Phone: GP. rY Y/'
License #: tlC o 9C g-31' ead Certificate #:
If the project is exempt
from lead certification, please exin why: (see Page 3 r additional information)
lieZ
a I/ 171 /q/)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they are trade secrets. ; .
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Stfr(4rac4/,
Applicant's Printed Name
's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /l / hQftre-li Dr )1/
+
- SUBTYPES
Foundation
ingle Family ,k
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration.
I Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25°/0 )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
vaS kit -h./0
Interior Improvement Siding
Move Building
Fire Repair
Repair
O
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
_ Foundation
Drain Tile
Roof: _Ice & Water _Final
), Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
hrys t .k
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
`y. Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _
Siding: Stucco Lath _Stone Lath _
X, Windows
Retaining Wall: — Footings ^ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3 1/\71, 1AJ
.(5 c>611,,S4
/14
Page 2 of 3
2013-07-17 07:01 SWANSON PLUMBING INC 9524673708» 651975 5694
4111 City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
'JUL 1 7 2[313
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee: (aC f
']
Dale Received: / - 17 13
Staff:
2013 RESIDENTIAL /PLUMBING PERMIT APPLICATION
Date: -1-1 -13 She Address: /91 / CALYK �[ n (. -,e. JI D/t 1\ a
Tenant; Suite*:
ResideiWOwner
Contractor
Type of Work
Name: 014VQ. 4- ��t e 6/pe./ Phone:
Address /City / Zip: 5 ^---'- /. `,, �/ L/ �^
Name: c.l t.4.-14 +"Saw P/Pot list y Elie License #: — t� 7 3 / 5 3
Address: /fry?/ ,? '/ �4V/T
Lot / /7 City: AC�"'-6�/rg/
State: %�/✓ Zip: 5533 / Phone: (�[ C -- 510P 9 y/7V
Contact: 5o4M1"✓1°A" Email: S'--""ny 3709 0rt-st:b.,4, , I•e.�t--�
New _ Replacement _ Repair _ Rebuild 1_ Modify Space _ Work in R.O,W.
Permit Type
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (Includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 If a 5/8" meter Is required)
$105.00 Septic System New ($10.00 per as built) (Includes County fee and $5.00 State Surcharge)
TOTAL FEES $
Description of work: )s L` L-a'—eA `.e 41
RESIDENTIAL
Water Heater
Lawn Irrigation ( RP? / _ PVB)
Septic System
New
Abandonment
Water Softener
' dd Plumbing Fixtures ( Main 17 Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecali.ory
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codas of the City or
Eagan: that 1 understand this le not a permit, but only an application for a permit, end work is not to start without a permit; that the work vile be in
accordance with the approved plan In the case of worts which requires a review and approval of pi
DIPNA/ $coli MOAN
Applicant's nted Name
X
Applicants Sl • urs
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test _Gas Test Final
P1/1
City of Bain
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.-5675
Fax: (651)675-5694
I' z
U i:7
2013 RESIDENTIAL BUILDING PER\„,,„
Date: t f) t {' ( Site Address:
Name ;f`rA (}') .,,
Address I City (Zip:
Applicant is: Owner
Description of work:
Construction Cost:
Company: = ( ,9 .,, { 1 ;)Contact:
Contractor Address:
State: j I t;`, Zip: , ., Phone:
License #: "� 3 m.) t " s Lead Certificate ##:
If the project is exempt from lead certification, please explain why: {see Page 3 for additional information)
Use BLUE or BLACK Ink
For Office Use 17 ,
Permit #: l "
Permit Fee:
Date Received:
Staff:
IT APPLICATION
l Unit #:
V1A- (6)7
v9, 0
Phane:
Con rector
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for 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:
ifti�, Plans Arad suppor rig documents tr ee you star ra?t are consideroed to be public inform t%a. Por't`ions of
rhe inforrratation may be Cu ed as i�ara lic if y€au protride spec reasons that wmtrid perrrlit fhe Gity to
conclude Heart' tine arse trade sec
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall•orq
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,, rk 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,3pproval f plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota
days of permit issuance.
plated within 180
x
Applican
Page 1 of 3
L/c I Ca /wtMDr
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
__ 01 of Plex
_ Accessory Building
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
_ New _ _ Interior Improvement
_ Addition _ Move Building
AlterationT Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% Y )
Census Code
# of Units
# of Buildings
Type of Construction
Ili are
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water ._,_.Final
Framing
_bt.Fireplace: Rough In lir Test *Final
At insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies LJQ T'#
TOTAL
/4,1 •r --
Siding
Reroof
Windows
Egress Window
1 M1
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
Vc.-
A.6.0
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: ,A Footings _ Backfill _ Final
Radon Control
Erosion Control
Building Inspector
WO
O
/ 9 400
Page 2 of 3
r
c 444,3 0/ A/ P 7?4/ Jo- /;4J
W 14
IT` 1,A0
(Coloao
Po"-rr L -004.6D
fa :
a
•
•
FiLt- Cage; kfi (T14 Cowell -off
Co1240vc Pig ee-ry 1-1 'Dee
Beiwk 44j.4 L -rge-9 owir
1.-o#441 Is Di semi $1) -MP TD
94)11/4.(A:x-rr rtdoe.tts r3y pl4-r_
ri AIN11.40-4. -3 Go
tAti
C30.4•ke Siokeit,/&
•
WO1
LarsonL
LarsonLarson Specialty Structures, Inc
5931 Hobe Lane
White Bear Lake, Minnesota 55110
851 429 5143 Fax: 851 2078148
internetengineering comcasLnet
I hereby certify that this plan, specification
or report was prepared by me or under my
direct supervision and that I am a duly
Licensed Professional Engineer under the
laws of tate of Minnesota.
Wayne taf41)
Ds* ,514.2(.) License* 7831
4 o/c? I e.,7,44ASE-0,4 11. O&
,eiS,;•; ; VA74 •
hrn? Agar g
Spew -4=, eta L,$&/
Comm. No, ci ,f3 9
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140614
Date Issued:01/06/2017
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David R Krypel
4091 Camberwell Dr N
Eagan MN 55123
(651) 295-2256
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148660
Date Issued:04/12/2018
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David R Krypel
4091 Camberwell Dr N
Eagan MN 55123
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152718
Date Issued:10/29/2018
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
David R Krypel
4091 Camberwell Dr N
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158734
Date Issued:10/29/2019
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
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 -
David R Krypel
4091 Camberwell Dr N
Eagan MN 55123
(651) 442-3695
The Roof Guys
7630 145th Street, Suite 110
Apple Valley MN 55124
(952) 997-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161433
Date Issued:05/26/2020
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David R Krypel
4091 Camberwell Dr N
Eagan MN 55123
(651) 295-2256
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165965
Date Issued:12/02/2020
Permit Category:ePermit
Site Address: 4091 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-030
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 -
Daivd R & Jeanne M Krypel
4091 Camberwell Dr
Saint Paul MN 55123--392
(651) 295-2256
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature