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4083 Camberwell Dr NCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4083 Camberwell Dr N Lot: 10 Block: 3 Addition: Hills of Stonebridge 2nd PID:10- 32991 - 100 -03 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner PERMIT City of Eaan Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Michael D Anderson 4083 Camberwell Dr N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA090871 08/26/2009 ePermit CITY OF EAGAN PERMIT TYPE: "E' i f r`' t4' 3830 Pilat Knob Road Permit Number; `' °°' +4 "' i{_ g Eagan, Minnesota 55122-1897 ?,Ag Date Issued: (612) 681-4675 SITE ADDRESS: 1011; . 10 i; ., . ,, ?:iJE l L i)14 r1 ?t11'lf i;{,- 1 oe;! 'h{(l APPLICANT: _ M r t M1111 r ; P,4,,: ?;- SUBTYPE: !;,I . f, TYPE OF W(7RK: III I-i` 1 111N 41 I..F (I°'riI:f:tI IMI.:i.) INSPECTION ., • DA ! ;trt . P I MNf#F '• . fi EaE• r'A14 l1'i 4 {>f fP 14 'd l 1:i fiF' f}i+ l k F.0 1''y?i?. 1314 'r' a 1;::1; l R 1t:;A I Q I? f"f.1.lEW141 N lt 140 P i} ? ? Permit Mo. Rermit Holder Date Telephone N ELECTRIC g 95q /f (? ?? PLUMBING ' HVAC Inspectfon Date Inep. Comments FOOTINGS FOUND FRAMING 74) ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL l GYP BOARD FIREPLACE : FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 2 ? BSMT R.I. Q tI4'avL? ,? y.??? BSMT FINAL DECK FTG ? DECK FINAL ? P--.61 i ano St1?PS ?s ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ' SITE ADDRESS: PERMIT SUBTYPE: r i ra,i I., oN REcoRD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: f I N :, I 4l:.":Sr..,,3!? 0',10,i /??q 1v1 f i F iA I. I , ? , ? Permft No. Permit Holder date Telephone # 5Ml PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isui. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Oeck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT CITY O? tAGi?A ?? 3830 Pilot Knob Rd. Eagan, MN 55122-1897 I DATE 9._2•;'._ METEF CHIP Y. FNETEf ISSUE I SITEADDRESS 'j033 Cambez"wal-? Di_?'ve N, . LOT '_?LBLOCK 3SEClSUB rij. 13 g sf 2 I APPLICANT: l"ne RntL'3.1-m4,Cc n nnn?co. r-^.Ill _ { PHONE: ? `0n?2 _ PERMITDATE 1 ?f `????1 77s 0- ' PERMIT # 1233 a B.P. RECEIPT # (, ?- `B.P. RECEIPT DATE 10/04/ 1 _ PRV - BOOSTER PUMP PERMIT REQUESTED ?`i_ SEWER X_ WATER - TAPS - COMM/IND X RESIDENTIAL ? NEW - EXISTING . Lawn PLUMBER: .Vg.11w? gi?i?q Ahead PHONE: 21 Meters are to be Installed ADDRESS: ?? r?-?? I pnp Credit CITY, STATE D21 ZIP551='?.?_ ?i stic Mprers o Water Line. be,qpGen for Dduct Meters, Y WITH CITY OF OWNER: Tne RnttitynrH C'ri. Tnc-_ tP??,rv vrsu1rvArv%,r_a i• ADDRESS: 5201 F Rlver Faad , CITY, STATE "r1Cl.f.evr L?I'i:?. ZIPd5L' PHONE: '?71°"0304 _ GWHEN MET ISSUED ' PLEAS?-1?'L?OW fi?IV?WbRKI?G DAYS FOXt PROCESSING. GALL 454-5220 FOR INSPECTIONS. FOR STORM , SEWER PERMI7S, CONTACT ENGINEERING DEPT. ? ;,t To be used fo Site Addres: Lot .10 Parcel No.F _ Name Addre: i y I Building _ Phone on and state that the U-applicable State of ? ?? INC in accordance with all agan Ordinances. 99, Eagan, MN 55121 S 7?" ? o Receipt # Date OCs2. ' , 1491 , 19 s: • OFFICE USE ONLY ? Occupancy $r-3 )!L--l { FEES ? Zoning PD R'i ? (Actual) Const V-N Bldg. Permit ? (Allowabie) ? 57 Surcharge • # of Stories i Length ? # Plan Revisw ?.? _ D h 321 100 ? ept SAC. City * ? S.F. Total - SAC, MCWCC 650t00 S.F. Fooiprints - ; "0 ? pn Site Sewage - 0 Water Conn On Site well - water Meter 45•00 MWCC System X x 3Q.? ACCt. Deposit Gity Water _ PRV Required _. S/W Permit ?Q+? Booster Pump - S/W Surcharge 150, Treatment PI 276?0 APPROVALS Road Unit 370•00 Planner --- park Ded. Councii BIdg.Off. _ Copies Variance - TOTAL 3940A'50 ? Permit No. Permit Hatder Date Telephane # WATER SOWER PLUMSING, 10a H.VA.C. ??c? ?f 7"0! • I ? EIECTRIC Inspectlon Date Insp. Comments Footings 1 ----?- Foundation - Framing Roofing Fough Plhg. Rough Htg. lsul. Fireplace j _ Final Htg. Orstat Test Final Plbg. cP?f Plbg. Insor Notify Plumber ? Const. Meter Engr./Plan Bldg. Finai ?23f-9 2 DeGc Ftg. , n t Deck Final ...? f Well Pr. Disp. _ . . ?, . (grr#tftr?tr of CO.rr??aury Citp of Cagan arpahmc# o# wedbittg 3t"nu?n This Certifuate isrued pursuani ta 1he requiremenls of Seclion 306 of 1he Ilniform Building Code cerlijying [hat at the ti,ne of issuunce lhisstructure x+crs in compliance with the various ardixances oj[he Ci1y regulatixg bur7ft cortstrucxion or usc For the fotlowing. crsc clonifi"doo SE L1G?'G1? B+oa-?x?. 107?G ?a-7 ?'Ae R I/Sii 7m*Rstric4 ?{ su Type f'amt IIN Owaer d BwldM TTW HMMQ1ID mTW Addcua S?ll l'?? NUMEY H„u;t Addom 4()83 ?'.AT4=L1F.f T, 11RTVR N_ . ,ty. T.III? RZ, iaTT7 S(1E MrNRRR=. 20 - -• .171, f-? Datc?L'2yC3..jy.... t POST tN A CUHSPICUOUS ?LACE SEWER & WAjER PERMIT CITY OFE&AW ? ' OFFICE USE ONLY 10/CJ7f $X 3830 Pilot Knob Rd. METER # PERMIT DA7E Eagan, MN 55122-1897 cHIP # PERMIT # 12.331 METER SIZE B.P. RECEIPT #? ' ISSUE dATE B.P. RECEIPT DATE _?L?l # DATE ?-- 7-+ - PRV - BOOSTER PUMP SITE ADDRESS 40$-1 C+te*'+a3 I D' i v'p N PERMIT RE(IUESTED LOT 10_BLOCK '2-SEC/SUB r_ 1? .. .?F ?? T' -? - .-.-.?.?.?.s .?....- ? -R ` ?-?'' ?' _X__ SEWER X WATER .- TAPS I_pC_/ APPIICANT: ?e Rr???IGnel Co , , ADDRESS: 5201 E var R!)ad R9 _ COMN9lIND RESIDENTIAL , , CITY, STATE ?'id1e}?r Mn.. ZIPr%5a] _X-NEW - EXISTING PHONE: .571-03Q4 Lawn Sprinkler Meters arqet?o be Installed PLUMBER: Ahead of Domestic Met6rs o Water Line_ AQDRESS: 6?n ?.??.k ?„? Credit WILL?NOT be.. yven for D?duct Meters. . CITY, STATE jor-tJori - ? ? ZIP SF"? PHONE: 1 AGREE Ta MPLY WITH CITY OF R OWNER: In^ EAGAN OR INANCES ADDRESS: 5201 E_ River Ranc3 f ? CITY, STATE Edc:7.ly, Mii. PHONE: _ ZIPS 5A 21 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS F4R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STURM SEWER PERMITS, CONTACT ENGINEERING QEPT. . ... . .. . .... ... _ .. , . ,. .. . . .,... .. . .... _ ... . .... _,_. ._ .. ... .... ,. ??a..,.. ..... .... W _... _"_ ?L.__?_....?- . ? . f ??-•. ?'!? y. - \4083 CAMBERWELL DR N RE: DATE: IDCT 7+ 1991 (THE BOTTLUND CO INC) X Your Sewer & Water Permit for the above properry has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS QNLY: Please pay for meter at City Hall. Meter size must be confirmed by 8ill Adams or Dirk House (Plumbing Inspectors - 454-8100) before.issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RE4UIRED BY LAW. CONTACT COMMUMITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspectians Dept. ? Adai?ess: 4083,GAMEMELL DRM N. 10 Blk 3 Sec/Sub}7I7.T.S pF $IONEBRIDGE 2Np These iCems were/were not complete at the time of the final inspection. 12 31 91 Yes No S Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage ? Porch Basement finish ? Deck Please verify vith the builder tha removal of roof test caps £rom the plumbing system and tha shut-off of water supply to the outside lawn faucet before freeze potential exists. ? RFCKlEUIUfII White - City copy Yellow - Resident copy Pink - Contractor copy , CITY OF EAGAN N2 19764 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PFIONE: 454-8100 BUILDING PER?IAIT To be used tor SF DWG/GAR $114,000 Site Address 4083 CAMBERWELL DR N Lot 10 Block 3 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE 2N1 w Name THE ROTTLUND CO INC ? I Address 5201 E RIVER RD ° city FRIDLEY Phone 571-0304 o Name SAME R Address ? City Phone Name N Address g City Phone I hereby acknowlege ihat 1 have ad this application and state that the iniortnation is correct and agre o comp wilh dLaoplicable State of Minnesota StaWtes and Crty o g O an s. Signature of Permitee ?7 A Builtlmg Perma is issu o: E ROTTLUND CO INC on the ezpress conditio at all vrork shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Builtling OXicial kln,TR,v_.? I y'P11? Receipt # C I 5k? OFFICE USE ONLY Occupancy R-3 X-1 FEES zoning PD R-1 (Actual) Const V=N Bldq. Permit 689.00 (Allowable) V=N Surcharge $7.00 Y ol Sbries Lerigth 54' PlanReviaw 44$.00 DepN 32 ? SAQ City 100.00 S.P. Total - SAC, MCWCC 650.00 S.F. Footprinls - On Site sewege _ water Cann 660.00 On Sne well Water Meter 95.00 MWCC System X A??? Deposil 30.00 Ciry Water PRV Required _ S/W Permit 30.00 Boosier Pump - Syy Surcharge .50 Treatmem PI 276.00 APPROVALS RoadUnit 370-00 Planner - Park Oed. Council BIdg.Ofl. _ Copies Variance - 70TAL 3,405.50 ? $ ? 5 9 ? `? ? 5 ' • ar? ? v ou Pequ st Dat / ? G/? FrB N. Roughin InspecU Reqmred pection OMer Than ouqh-In (VOU st call ins cror when re ady) ? qeady Now WAI Nobly Inspector ? 5 s ? Na De?e Reatl I? licensed contractor Agwner here6y request inspection of above electrical work at: Jo0 Atltlress (SVaeq Bo Route o) ?d?? ???-W?lI 'UC Na? Qy Sec4on No Township Name or No RangB No Counly Occupant(PRIM) Phone No C on k / V e- Power Supplier Adtlress Eledrical Conlracbr (Company Name) CoMreclors Llcense No eo w Maling ress (COntrador or Owner Makng Installfltbn) V Au[honz Signa ure (COn [olowner Mekl Inst IaUOn) Phane Number (e 86-7a3a B 'CIry I S B ? I II I I I I I I ( I III I I I I I III II I NF R III 5104 821 ?BUly MN ? ry A?. Un I I I EE S UNLESS PRDPER INSPECTIO ? ; P ? 1 EN C ?.xy7REQUEST FOR ELECTRICAL INSPECTION ""=x' ee-ooooi-os bi? See msVUCtions tor compleVng mis form on back oF yellow copy ,4g6 Yy "X" Be/ow Work Eovared by This Request ??;,. u Ne% Add Rep. Type of Building Appliances Wiretl Equipment Wired Home Range Temporary Service Duplez Water Heater Electnc Heating Apt. Building Dryer Load Management Comm /Industrial Furnace Other (Specify Farm Air Condihoner Otherpspecily) ContraclorsRemarks' n d . Qn , n Kr?vi?? l / `Y Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 700-Amps SIgf15 Inspectors Use Ony. -NI TOTAL 'SQ Irri9ation Booms L?/ /(/,{ W Special Ins eqion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M I, the Electrical Inspector, hereby certiry that the above inspection has been made. Raugh-in ? Final Y Date oa?e OFFICE USE ONLY This request voitl 18 months trom bb? a RESIDENTIAL ? BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstruction ReauiremeMs • 3 registered site surveys showing sq. fi. af lot, sq. ft. of houae; and all rooted areas (20% maximum lol coverage allowed) • 2 copies of qan showing hearn & windax sizes; poured found design, elc.) • 1 set of Energy CalculaUore • 3 wpies af Tree Preservation Plan if lot plaHed after 711l93 • Rim Jaist Detail Optiom selecUon sheet (bldgs with 3 ar less unrts) DATE lU' 3 / - D 2 RemodeOReoairReaufremeMS 3-3 l, as- . 2 capies of plan . 1 set of Eneqy Calculations lor heated addiGons • isilesurveyforezterioraddilions&decks . Indicate if hane served 6y sepUc system for additbns VALUATION ZO! SITE ADDRESS 7 U rS?' j ?iL?C?? ?MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK -4- S/Di? s FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ? 7?? r N GCJ,?te/ STREET ADDRESS )7715/2 /j CITY ? a??i STATE_ZIP TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER / ?6 TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RCJI,ES 7670 CA'1'ECORY l MINNF.SO'CA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heal Recovery Systetn Fee: $90.00 Phone_#?- - ?, f1 ??. I ; JFcc:? ?701.00 '_ 22;.' Phone ? ------?-_ I hereby acknowledge that I have read this application, state that the information is correct, and agree t comply with all applicable State of Minnesota STatutes and City of Eagan 03diqances,._., ? Signafure of Applicant OFFICE USE ? Water Softener _ Water Hea[er ? _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -A "'C3 .C) C New Conslruction ReaulremenGS RemodeVReoair Reaui2men4s 3 regiscered srte surveys shrnving sq. ft of lot, sq. ft of howe; and aU roofed areas 2 copies of plan lmm (20% r.iaximum bt coverege allowed) 1 set o(Energy Cakulatlons forheated additions 2 oopi_s of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi?ions & dedc5 t set o` Eneryy CalcuWtiOns Add'dron - indicffie i(onsife SEpUc systCm 3 capies c`. i ree Pteservatbn Plan H lot plalled a(ler 7/1193 RimJoistCaailOptionsseleclionsheet (bldgswith3orlessunAs Datc 7 / ? l ? I ConstrucGon Cost Sitc:\dJress UnitlSte # De.crii)iinn nf W ork ?N ?)7 Mulii4amily131dg _ y_ N Fireplace(s) _ 0 01_ 2 PropertyOwner ?(5 Telephone#((DS1) 6A JGJL Contrador ?Ly?,'?J b?Jl. ``{2 Addres, 3t3? t,J, city lveazl' Shtc Zip '617 Telephone#il COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672 Enerry Code Category Residential Ventltation Cate o 1 Worksheet • (J <uyn,ission rype) ? 9 ry New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculadons Submitted Have you ;xeviously consiructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applics. Licensed Plumber Mechanical Contractor Sewer/W;:ler Contractor Telephone # ( ) Telephone Telephone #II D I herehN ::pply for a Residential Building Pernut and acknowledge that the info that thc Nvurlc will be in conformance with the ordinances and codes of the Ci Statutcs; 1 understand this is not a permit, but only an application for a pernut, and permit; tliat the work will be in accordance with the approved planin the ase of wo? apnrova] ofpl s. ApplicanCs PnntedName ApplicanYs ignature is complete and m? of MN is not to start without a ;h requires a review and < PERMIT cR zg4 G 4 ?CITY`OF EAGAN l414q ? 3830 Pilot Ynob Road PERMITTYPE: B U I L D I N G EagBn,Minnesota55123 PermitNumber: 023535 (612) 681-4675 Date Issued: g 5/ 0 9/ 9 4 SITE ADDRESS: 4083 CAMBERWELL ?R N LOT: 10 BLOCK: 3 HILLS OF STONEBRIDGE 2N0 DESCRIPTION: DECK NEW f --? '\? ?I? {? 'j uo ZIt mLl ?"t_:=?.v_"?,?\?\? Lf REMARKS: FEE SUMMARY: Base Fee $30.00 COPIES $1.50 5urcharge $.50 Total Fee $32.00 3ubtotal $30.50 CONTRACTOR: OWNER: - Applicant - ANDERSON MICHAEL 4083 CAMBERWELL DR N EAGAN MN 55123 (612)686-7232 I hereby acknowledge that I have read this application and state that the infiormation is correcC and agres ta comply with all applicabie 5tate of Mn. L Statutes and City of Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE -5? BTT` : SIG ATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euILozNG 3830 Pilot Knob Road Permit Number: 0 2 3 5 3 5 Eagan, Minnesota 55123 Date Issued: 0 5/ 0 9/ 9 4 (612) 681-4675 SITEADDRESS: Lor: se BLOCK: 3 APPLICANT: 4083 CAMBERWELL DR N ANDER50N MYCHAEL HILLS OF STONEBRIDGE 2ND (612) 686-7232 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW r- -1 I Building'-Permit Type Building Wb'r \Type ? _1 - ' CITY OF EAGAN 4 . I RECEN(E? J? 1994 BUILDING PERMIT APPLICATION 3"1 681-4675 1_5z. o0 MAl' 0 2 1994 --------------- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ? o a - Site Address: 316 F3 Caat bww2lI Dv, a STREET SUITE B Tenant Name: (commercial only) IAT ? BLOC& ? SIIBD. 1-?nt77.Q, P.I.D. iF Pla+ z Descri tion of work: Qc.L c7C CSv?. The applicant is: t=Y-Owner ? Contractor 0 Other (Deseribe) Name _ l-rNoE'2Soa 114104A r"L !?. Phone (o86--7a3D_ Property LasT FIRST Owner Address ?o,,F?3 Ca,r,¢k 9 wuL_ r n! STREET STE M City State M/? ZiP S,fiL3 Company Phone Contractor Address License # Exp. City State Zip Company Phone Arch itect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applic ble State of Minnesota Statutes and City of Eagan Ordinances. 0 Signature of Applicant: * PIONI * engini * * ** #466 ; L'n„p0W1A. I . 111H0 I'111NNCM. 111NIW11I'EAAf.lIllff}S 2477 Fwripricn ptivC Mrn(Iola I I?ighit, MN 55120 (612) 6R1 1914 Certiiicate o( Survey ior.! "L-kQTJ L V 1 VD_ Ca._Al.._ 81 b ? 'V 9) e ? A11.e? 3•y1 sO9 ` ? ? a• ? "A H? , ,?? , ? F.y ? " • •H " ? ? ? - 20'A!4 6j 7??r/-7,' '6 b o .I. 69s.na ??., ?iy .•? ? '? • r 3V.iJ ? iY l3' •'y?A ? / ? K A9 Y p Oa' ? ?1 ? 8?(\ zn'° ,/ b `1 Not2tN .\ t? el,? s.d •. n n _„`?_- %, - ._ ? ? . 900.o DQnolPS exisfin IteVp)inr) P??S _usE? 1EVAtIc7N ? .?o o pe?toles F_levaf;n,t . Lowe? l7oor ?PVVliot1 987,14 - f?hnr?loa (hvind Ulilr/? C?rse?nel?l 1t?,) o,''E?/oc/, ElPva/ion 99 eL -- ? Ue?roles t7rv?rr?f? rIAW /?rrdWS G(YrnoP SIabflevafion m 3s; ? 1)errolR5 monumertl n neno&s Ott scf flub 6?arin5 sltvw?1 vf-e 055(Inird fo C"cxSen)pr?1s n/'qpcOXY , LoT lo , BLOCI! 3, N?LLS OF? SToNE6a?dGE PLA7? 2 DAUOrA CeuNry 1 hrroby rerllly Ihet Ihl[ {t R Irue rnd fmrn[I rnproennlalinn nl a<wv?y nl Ihr hounrla?ir- nl tl?r nl?nqV^?}d?•-?rih•d li?vl 1 1 Ihn leralinn OI PII Mdldin0a, thr,nnn, And all visihb rerrnnrhmrnn, il nnV. fmm m on Sni.l laad. Ae wuveyrd I v m ihie _ G'if'{ dav nf j.n n. 1n.g/ . {?...1. 9 P$ -°II- /1da t?r?yj E?rv R.,i- -,•fry. , l ?`?'?r SI.IA/e _r II1f?1, ?,-- - •f v .n-nri?i;i"n ^n<tr11 -. nfnn. ineol ' ,MY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: 40$3 CAMBERWELL DR N LOT: 10 BLOCK: 3 HILLS pF S?ONEBRIDGE 2ND (PORCH INCL) 34d''Sldin-qw Permit 7ype ?ui7.ding [aDrk Type . ? ?._. i e ?e c;m I SF ADDITION NEW BUILDING 026436 ia/0s/95 REMARKS: A 5EPARATE PERMIT IS REQUIRED FOR ANY ELECTRYCHI. OR PLUMBTNG WORK FEE SUMMARY: VALUATTON $29,000 Base Fee $385.75 Plan Review $135.01 Surcharge $14.50 Total Fee $535.26 CONTRACTOR: OWNER: - Appllcanz - ANOERSON hiICHAEL 4083 CAMBERWELL DR N EAGAN MN 55123 (612)686-7232 I Z hereby aclsnawledge Chet I have read this applicatiofi and sCate that the infiormation ie corroCt ani9 agroe` ttr camply w:ith d11a(5piitlable SCaCe o'F ilnG StaCutes and City of Eagan tlrtiinances-. . t ?.??'.?.?? f?i?•'?? APPLICANT/PERMITEE SIGNATURE? IS D BV IG A7URE INSPECTION RECORD CITY OF EAGAN . PERMIT TYPE: BuIL°1"G 3830 Pilot Knob Road Permit Number: 026436 Eagan, Minnesota 55122-1897 Date Issued: 10 / 0 3/ 9 5 (612) 681-4675 ? SITEADDRESS: LoT: se BLUCK: 4083 CAM6ERWELL DR N HILLS OF STQNEBRIOGE 2ND PERMIT SUBTYPE: SF ApDITION 3 APPLICANT: ANOER50N (612) 656-7232 TYPE OF WORK: pESCRIPTION Mo1001 MSCHAEL NEW (PORCH INCL) INSPECTION FOOTINGS .. • FRAMING .• INSULATION FIREPLRCE FINflL REMARKS: Fl SEPARHTE PERMIT IS REQUIREW FOR ANY ELECTRICAL OR PLUMBIN6 WpRK L PERMIT _ r. _..1 X4,mx cinr oF EaaaN Nmr ConsWCion ReauNwmenrts ? S iepateiad sile wrveya ? 2 copies of Plan ? 2 eoPies m Pbns ('cidude beam 8 window aaes; pouisd ind. design; etc.) ? 2 site surveys (eztmbr ufditions 8 dedcs) ? 1 enarpY caiailations ? 7 energY celculaGwns for AestM additions ? 3 oopbs ot tree DrossNetion Plan if bt plaketl after 711/93 raquired: _ Yes No DATE: / /2Z-?r CONSTRUCTION COST: ??? Od0 DESCRIPTION OF WORK: STREET ADDRESS: rf0 ?'3 C" "? b ev- /\J LOT r0 BLOCK 3 SUBD./P.I.D. #: ?,: ?%'/?3 0? S'fenP.?7ri•?yC o?nd ?c??i-!i'ow ? PROPERTY OWNER CONTRACTOR License #, ? Street Address: ? City: ARCHITECTI Company: ENGINEER Name: 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Wb,d, q- z 681 -4675 Street Name: ?v?l d?? ? o rt 01 i G),cLQ.( u., .... C?a Phone #: & 96' ?a 3 -?- 1/ D r /V- City: ?asa it State: MW Zip• S?/ Z 3 Company: S2?t Phone #: 4-Q,6. 1? Zip. Phone #- Registration #• Street Address• City: Sewer 8 water licensed plumber. ehange are requested once permit is issued. State: State: Zip: Penalty applies when address change and lot I hereby acknowledge Mat I have read this applica4on and stste that the inforrnation is conect and agree to comply wfth all appiicable State of Minnesota Statutes and City of Eagan Ordinances. ? Ji? „? /? ??,? ? ? ??/J ? ? ?? ? ? ? i i Signature ot Applicant tLf ???L ? -, OFFICE USE ONLY R cC L VV E p Certificates of Survey Received _ Yes _ No g 1995 Tree Preservation Plan Received _ Yes _ No BUILDING PERMIT TYPE OFFICE U3E QNLY .. x.? ? ? . n 01 Foundation o 06 Duplex o 11 AptJLodging o 16 Basement Finish 0 02 5F Dweliing a 07 4plex o 12 Multi RepaidRem. ? 17 Swim Pool JO 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pu61ic Faciliiy 0 04 SF Porch ? 09 12-plex o 14 Fireplace a 21 Miscellaneous X 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ,X 31 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuat) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. ? Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump LengHi sq.ft. Census Code. ? Depth Footprint sq. ft. SAC Code Census Bldg ? Census Unit D APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter ACCt. Deposit S/W Pertnit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % sAc SAC Units _ Engineering Variance Valuation: $ f?fi??ryD ?Dinnnr (L°,c u = 3l00 Lr ?/ = zZ' --? 1672o s 3(oD ?i?- S,`lv' _.?----- S-x 30 _ Z 77101 bs' ?? ?-_-----?°° . I( #4e$ 7477 Fntrtpricn Drivr Mriidota I I?igh1t, MN 55120 ' _ * engineer ng.. L„»n.L .,..,c"„Ac.,. ,«,. 16121 681 .1914 * * ** Certiiicate oi Survey tor.! !4L-kO-rTL UN(J ..CO_•.1 lVl._ _? cqM NoartN '4E x??.<j ?ECC 84x.Vr D??v - e -. g R °a A1l.?? •? ??`? ? e?y \ ? s,° S 2, n:y ? / ? ? i 967 ? /'r??.? •w., ? ? o 3y.t3 r A ? I q,??' 1 • ? ° ?. spt / / / 1?ti°P? P? 763 ? ? ? ; . , " • . "o• Sd . n % s t5•4. r '•???? /r? Je_ . 900.0 DenolPS W-orl LEVAI7ON pertoles prY?p .,ed F_/evo(ic?,l wer ee7 -- IJhnr?l va (h-vma e? Ulilil? frt???r?e??l ToJ? n.; E?/vcl? flPValion 89 e` -- ?- Uenvles L?roincSie ?low /lrrows C;cMn¢p 5/n11 flevnfipn m ?sa 0 Ve?lvtes monv?neil? ry neno,es Ott scf Nub 6ear,n5 5/10w?1 or•e v55unrFci / !U L-CY,SP.1)1P11/s nf / 'Reoca- d ? LOT lD , BLOClC 3, 141LLS UF STONEBa1 bGE PtA-r Z DAKOTA COVNT}' 1 hr?M?y Cnrlily ih?l this it q Mna and fmrnr.t r?(nienqlelino nf n auv?y nl Ihr hnnmlmi,: nf rbr ihnv?A.?Jn.?rq?rd I?o.l an.lT 1 thn I??q11no 01 rll ? Mdldinqs, Ihn?Pnn, f?nd all vi1ih1n rn?rai?hmrmt, il rnv. Imrn n, nn iaid lervl. M1e u?rvnyrrl I V m, iI,ie _ Z')f{ dov nl ^ A.D. 19 A .Jf _ P..v_ 9 33 °11- /?d4 Er;y? Elrv . a..?_ ro-?-?? •rn.,.,. ??;. -,•F•r? /?/ ' , -- ,? n-„nPn, n^.wv?? a nf•: ?in leenl ? ENERGY CODE WORKSHEET FOR ]. & 2 FAMTLY DWELLINGS SITB ADpRESS &P01,5 N CITY nuii.nlNa CLASSIgICATION: ? eF 1 (atandard) or ? DATE BINIHUt{ CRITSRIA Foundation Ineulation-Rlo Slab on Grade Ineulation-R10 Floor over unheated epaces-R24 Foundation Windowe 1/2" ina4lated Glase, -Woodor Vinyl Frame Walla 4 Wiodown (See tahle on reveree eide for allowa6le percentages) 1 (must ipcludo ventilati RooE Attia lnauletion, R49-With Attic No 1(eel R3e-With Attic Raised Fleel R38 6 R5-Solid Rafte're BTHP 1 Window G Door Araa ST6P 2 Calculate area ae a parcent of wall A. Total Window 4 Door Area in Sq. Peet " • ' WINDOWS (Including Foundation Windowe): WINDOW MAIiUFACTt7R8 NAM6: C. Crom Step 1 divide box A(Window & poor NZNDOW MAN[TFACT[iR6 TYpgy • Area) by box D(total wall area) Limeo l00 equals tlie window and door area as a WINDOW MANUFACTUR6 U FACTOR: percent of wa11 area (6ox C). R. O. QuantiCy aq.fl:.Area BOX AX 100 = Dimenaions Box 13 C 4OZ4 Xd? ) ?L(I ??I STEP 3 Deoign Featureq x,?? a II/ _.? P.SSGPI6LY x PRAMIIiG TYPE: X' STANOARD FRAMING x etude 16° o,c, X ADVANCED FRN-0ING Dtude 24" o,c. X CAVITY INSULATION R_Z/ X 9N6ATF;Tifa TYpHt X LE53 TIfAIJ e R-5 ' I 1 ? X R-5 > OR h1ORL' X U-FACTOR ? _ DOORS; From tlie ta61e, (reveree side) determine the ---?_ maximum percent window & door area for the ?o X/ 8 daslgn optione eolected and enter tho t value ?p ? 4 O in Box D below Uaoed on the window mEg. U- ? fac[or: X ? II-?r-1 D 9'utal Area of ? ?---? ? uq.Et. Windowe 6 Doore ' - S. Total Wall Area in Sq. Ft, The t value from Che Cable in Uox p shall 6e eyual to or greater tLan the };n IIox C Wall Total Ileiglit Area Perimeter 7bta1 Area of Nalls _ ???f??'uq.f[ I ,. , ? . , ., yi?i..'? ; • , i? i ' ' .. . . .??i:'?.? ? ?? ' ? •' • . 1? :??;?;? .?;, i'nle ?iI?II?II??R p111e? nn? i:xcr.a?? ?Il? ?un>:Imupl win?lnn? ???d ?Inni? ?i?e? ??? ri pGrcGninisR nf nvpi???l F*p05???.ival? qfC? (I51C?? ??r.inw (or ilu: cnnil?inallnn ,I ?;?,I:? ? nf fra?nln?j Is?l?lllqna, ?t-va?n4 n? ?n???lalln? lvilhln Ihe In:aii+,w?i cuvli%r. ??j? ?? bI1Gp?INIIII I?-V?II??? ??1?? ?Y?fl??nty 1) faclnf. QIhr.Y r.n?1???on?:nls pl??sl n??ai:l ;. , U?a ?•er?u?rcnl??ls nf Ihls snl,l,nrl. . + r1?xlhl?lli ll1'INpn%Ynlin1lnnpAtt r:? • AS A r1sl1r.1:l l 'I' nF (1aI:u A I I . I?x1171511) l YAl i. ? ? . .? , , Cd1'i I' , .? ? 1Ylndmr II . U aTnNPnnn I1."I14 17 11 L 2I j1e 1 1 ?j1. OrAI'IPAIIP I?-15 41t•5. 12.g;L 17 M 11l1 ;c . ; : ) •1:? I, Pr^IPAi+ I) , •11,?!? ?? ?,???5 .. Il.l;c ??1G(1:? lu1l;c. . . •,,q,? `IPAIIII SrA AUVA ICI?(? It-?0 1?- ? ?:R•5 ; 5 , 1.1.5:6 ' 10 1i4: ., ' 21 2;. ? ?'?;. . APVA 'ICI:Il I Il•Iq •:I i:IFS I I.1 1Y I/ I.Y 115 ?? ?9 2?: , >II I,.. 2•! 5? 21 I;,. I I II OIL ,. 1?? Ilt 26 : I I t S??I•IPnitl? It•z? ?:I:•5 • i I n•:? ?'? a•:: ?? ?,;:. ? . ?e, i•;, nlIvnNc(:p ur". in 101c •21i . rIaVOiC11) 11.21 5 199:: S?ib??. ?. ??erformanac cr?U :?la. 'fhr, cnu d?ln??l Ihcrmal ?rnn:??uiu,? nru (I I } (neEnro fQr wall s, Fan(/eullll,iljy, ul %,l flnnts nvr.r nnhr.nled npnci:a wii:,i 1ll: ?, lu:;:? lluin nr fqllal lo; . n. n.?ln piiint ril °i1- r,i, ,,.,in:,; D. (1 f12b Iliii/It W V frn inn(/rr.ilin?;?; itnll I r_- nnl nill/ii n2 T r,li- 11„411:,. ST•1TA1n'IL• plsgu6c.19 IIIST; 111 Slt 1f,;l (6706111q I?elidnlga, in s« 21rl ., .. Y CITY OF EAGAN 3830? P.I,TLOT?K?NO$ ReOAD p l:?[iGfil\ , y L'LL? SSLZL PHONE: (612) 454-8100 AmdN FOR CITY USE ONLY PERMIT # RECEIPT DATE: ,. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE I ?....r„ . .. .... .... .. .. TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. --°--------°------ WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: I 'LJ1TIl )i^C ] l?. SITE ADDRESS:^I??C7? l fnl?l?rl I pr. n, LOT:? Bf.OCK j SUEu. pr% INSTALLER: p ARR FITe f•/A A ADDRES S : .?9=_ftftft AvL NL_ CITY ZIP: PHONE tt: .5"70[ - / I eo & FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: iOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $ill f .50 $? ? IGNATURE OF PERM TTEE PORREpC14 f7?!7?_tISTPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE A'JDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR E.SC!-? $1,000 QF PFR.MIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHP.RGE $ TOTAL: ( S IGNAT[JRE ) CITY OF EAGAN CITY OF EAGAN ` • 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 womt,?"M FOR CITY USE ONLY PERMIT # RECEIPT # DATE : /all 7 / ?$???NT?IIX:?`: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. WORK DESCRIPTION NEW CONST x ADD ON REPAIR _ OWNER NAME: J SITE ADDRESS: L10?"' ?j LOT:1Q BLOCK -4 SUBD/k& !2 cXn!± INSTALLER: ?/'-?'w`f NO ?a \ u C e> '1?z • ADDRESS: ? t0 CiZ«?C L ? CITY: ZIP: S S 3 S' ? PHONE #; ) I S PERMITTEE COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 k SHOWER 3.00 3_ ? WATER CIASET 3.00 -i - ? BATH TUB 3.00 l. - ? LAVATORY 3.00 ? - ? KITCHEN SINK 3.00 3_ ? LAUNDRY TRAY 3.00 -3 ' HOT TUS/SPA 3.00 ? WATER HEATER 3.00 1 FLOOR DRAIN 3.00 3GAS PIPING OUT. ? (MINIMUM - 1) 3.00 ? - ? ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 ? TOTAL: S y 1 ? ?OMMBkGZAj;?f?ipYSTB2AI::; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND M[TLTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: _ 0"vINER NAME: SITE ADDRESS:_ LOT: BLOCK , INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN (SIGNATURE) SUBD. 18 OF CONTP.ACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: ZIP: FEES W'3 . # 1991 BUI P (&CATION CIT1C OF EACAN :': , ,SINGLE FAM?LY?'DAELLING1r- ' MULTIPLE DWELLINGS COMERCIAL - . _•?,..> S, _ '.. 2-SSTS OFFLAN 2 SETS OF PIANS 2 SETS OF ARCHITECTURP.L , ? ' 3-•`REGISTERED*Sd _TE .SIJRVSYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS ENERGY"t-QAL=CUTATI'ONS-:, OFa 1 SET (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS ; : ?', ?? 'i:; ,; ' " 1', "-:" • ?? ':'t?` ; 1 . SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS `st, t:; .•. . . # OF FOR SAL.E UNITS - :? , ; PENAI:TY*.,I:FES'WHEN: `'TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ::'ADDRESjSES FOR CORNER IATS - NO TE CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS . , ' DESIREp];: GHANG S ILL E ALW-WED ONC BUILDING -NO ??l1l12 '"rFR4CES§2eNG TIME FOR'..SEWER & WATER PERMITS IS TWO DAYS ON PERMIT HAS BEEN LETED. PERMIjTt•aMITST SHOW A LICENSED PLUMSER. SEP 3 O I9? To Be Usedx Si'te Addr,e3 Valuation: MWERiw-r? iock H4LL& a ?? . .. . Owner j?Addr-.ess: QZip?+,Cqde?, ? :.". 'Phone' ,'Ad'diess .' ,_ tI,. .:City`r%Zi?p;; C04e4;_ T. , :Yhorie -Enei'. ;.'?.;?:. . ? Address•? a :"... ? 'Ciiy/.ZYp +C,o:de? x .-?.. Phone. # F• '?i? ??; ; ed Contr OFFICE OSE ONL 1/N)000? EM Occupancy k"3 M-1 Bldg. Permit G8 9, oQ Zoning M -R-1 Surcharge 57.Oa Actual Const Y-N Plan Review SidO Allowable Y-N SAC, City 100,60 # of stories SAC, MWCC ,00 Length Water Conn. (Q60r60 Depth 32r Water Meter ',00 S.F. Total Acct. Deposit ibb Footprint S.F. S/w Permit 30,00 S/W Surcharge 1SD On site sewage_ Treatment Pl. 206,00 On site well Road Unit 390,00 MWCC System ? Park Ded. City water V Trail Ded. PRV _ Copies Booster Pump _ SIIBTOTAL APYROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. /?'!/ Variance agrees that all wtrk shall be done in accordance with i all applicable':Seate of Minnesota Statutes and City of Eagan Ordinances. ? I F? ? VA?--?irl 9 . ` :. , ? G ARAGE ..?- ? ? X 20 (400 X 1 S? GD4)n •-. i, --------.- 3y,'x3Z = /OSa 3y? 8?2K S? ;•. ,.C C?6 , ; g 3,0,,x 114 3'Z, ? `;L IsT Fc _. .. „. _ . .._ . ??ti 3y x 2y .y sl ? . L ?l yl62(. ? l13,?y?12,? orz ?Ily?;aao!- o? d??•~ a.??S ? . i ? o • ;: 689•OOF 57°00? 44a • oo+ zo zii•5oE 3, 405 •50? 6U9•p0+ yv•oo+ 44B•00+ ?_,211•50+ 31 405 •50:? SIvw ElDS 3 nMQNMw.. is ? * * * 7422 Fnlriprise Drive * PIONEER IANOSVFV[YO/O• CIVIL [NGINEERS ? MrndotT 1lnighi5, MN 55120 *engineering.. L•N°•L•N"E'°.'^~"QC^°E^"°'"II(s12) setts14 * * ** CertificateofSurveyfor:! n1?0_T_Tl..VlVV.._Ca..l_AIC_._ ? 04Mg . oaTN F N \A? 842.'?' QiP/V? 81 b 9 N e ?46 ?e' /? ? ? s?y• R?3, ?.t c? °do'9 ? A1)?eo °? ? j? • m F,s t . , Tg •N ? ? zeA; ? e ,? 1 S o i7,, ? ' ?av?;r ?3• ,?.?1 ' ?13?' ? S•? 993 ot- ??.o ` o /f, /•^7r,/ r / 3yf? +?vsr,/ ' S•9 ? ' /P / k?,p ` P? h? t 1 '?... ?.\ l^ . 900.0 Denof¢s exisfin Eleval?ort .['kvpvs !2`,? u,sF_ :rEvart N: .?o.o-- Denofes prY?p?ed F_/evalio>> ./.owe? l7oor Eevcrlron ea? Uhnvlas U??rina.?e( U/ili l? <<?sPme?)/ 8/vcl/ EJevqlivn 9. 6` -- ? Ueno%eS Drc7iruF7ow'/1 rraws C;arqke SIoG rievafion ?mss 0 l:erro%s monument n nenoYes 4J,17'scf flub Beoriris s/tvwn a?•e assunrFcI Sulye% fo CaSeme+rls nf "RPccxrd LoT 10 , Bcocu 3, NIcLs or SroNEeaidG E PcAr-2 DAUOrA CouNrY 1 hrrMbY corli/y thet thie ix n truv nnd enrrrr,t rmrrennlatinn nf n smvey of ihr honndroir: nl Ihr ahavr dyTrrilmd I.?nd, an.l/qf thn loqation Of AII ynildinOt. Ihrnon, and oll vnihie Cnrrnaehmnnn, i! Arry, Imm n1 nn siirl land. Ae su.veyM I V m4 thie_ ZQH r1.,v nf.j?,Olt_A.D. 19X. ,Q1.v: _9 ss -a1i- Add Iffr; s Elr" r- tiKav. 1 ?Pet - - ? ? ?- -- - / Sca/e : 401 p?II7?•Ib ' n?In rttn.:t KV- ii s.?tr_.Hri 14 nai, . 0'.P,1 LR '. ' ? . SITE ADDS£SS LC77 IOr BLDC.k 3, NI Ct5 e, COYTRICTO:, P'a-M-CJND GO. BATF. PfiQNE Dete-=in voricint; squnre footai;e of ench. l. latal exposed vr11 erea .. rGZg? sq. ft. x 0'11 - ? 2. Total roof/ceilin3 area .. 3?•g sq. ft. x a%0•.6 = 2G 94. • - Total exposed ua!1 area nbovc floor = Z Z8C ? s. Total v211 cindov erea . ........................ b. Tote1 door aree ................................... - %,-J% c. Tota2 slidir.g glnss door area ..................... d. Total fireplece vail crea ....,.... ............. e. Total vall framing a-es (average 10%) ............. /d- f. Total net uell area above floor ................... /fo . '' . B. Total rim Joist area .:.............. ........... .2 On Total exposed fm:ndotion arca h. Total foundet?on vindov.a:ea ...................... i. To:al net foundstion a:ea above grade ............. Ar Detercine "U" value o: eech vall :,rgment. ? e. ? 54. S Z x?:u^ G 5. 0 2 " D. ?3.-71 x G•0 3. C. 97 X,.u„ D.3z = lZ.7y . d. X t1ult e. ??`?? X.1,un r. 1G35,-75 X „U,. . g. zo a X..11^ o-a41 h. I5 -7?' x..U,l . ?. . q?'r- l0 5 X,.U„ 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ro t.::] = 2 o 1,7 s o If ite:n'M3 is the 52me xs, or les: :.h:.n ite:? N1, ou nave lnient / or ssc 6oo6(02. . ? .? `138.8 G Totnl exposed roof/ceilin qren . . ? .•??.. .. .. ' . ? Total gross roof/ceilinr, arc:t = ?. Totel skylieht area ...................... ... _ g?l'8 R k. Total roof/ceiling framind area.•••-•-•••• ... area i • . •- .... ?4 4 Gr 17.. . ng 1. Total net insulated roof/ceil ' Dete:^mine "U" value for eacti ruc)f/cei 1 inj; seb'ment. X ',Uli J. ?- "„ll k: X O,OZZ , = ?? •? ( ................:. Total k . ............ , If total oP N4 is the same es, or less than N2, you have met ttte intent of sac 6oo6(01. - • To utilize the total envelope systex method, the values establi:hed by the f iten,s Bl a-id 12. sum of items M3 and B4 shall not be 6reater. thrun the sun o 1 _? ± 2. - - - ' - 3. + 4. _ - ' . ? C. O ? _ . ... O e Use BLUE or BLACK Ink r----------------� I For Office Use � � /�'�?I� � C�+ O� nn n n j Permit#: I I � � 6 1JQ Qll I Permit Fee: � 3830 Pilot Knob Road i , G i Eagan MN 55122 i Date Received: d � Phone: (651) 675-5675 � I Fax: (651) 675-5694 L Staff: _____ ________� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � �l�'�G� Site Address: !��� ��� lf��/� ��ll �'� �(/ Tenant: Suite#: �ReSlc�etl�1QVl►rler , Name: i'�'�f�G'l �`�'Sc� �• Phone: ,�r�; Address/City/Zip: �ti��� ���. p �: Name: />r t./C S p"��.�.�i.b f � License#: Y ��y���n Z G�'f1tY1C�OC Address: `��T � Z/' S'� d��.. r�vt� city: �����' ': State: �L Zip: ��e�r� Phone: ��' ��-�r ���S � ' Contact: �'S�'Gl� Email: ! Typ�of Wc�rk —New �[Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. ' Description ofwork: �L �� ��� 7"�?c '' RESIDENTIAL Water Heater Lawn Irrigation (�RPZ/_PVB) Water Softener � ���������� �Add Plumbing Fixtures(�Main/_Lower Level) Septic System New Water Turnaround Abandonment 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) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.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. x �"�t� `.,–�I/ x Applicant's Printe ame Applicant's ' nature �C}F��FFICE USE F��viewed��r.; Cl�fe: ' Required Inspections. Under G.ri�ur�d Ft�ugh-lr� Rir Tes� i �� x Gas T�st Final Meter Related tt�msR ,�Me't�r�iz� � . ��. �tadi�"R�a�i�� : Manc�met�r' :``�#�f�: � �°�� �.. PERMIT City of Eagan Permit Type:Building Permit Number:EA163697 Date Issued:09/10/2020 Permit Category:ePermit Site Address: 4083 Camberwell Dr N Lot:10 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-100 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 - Michael D Anderson 4083 Camberwell Dr N Eagan MN 55123 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature