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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