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4021 Camberwell Dr N
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4! { ,t 04 Eagan, Minnesota 55123 Date Issued: 10t►~ t,Ei (612) 681-4675 SITE ADDRESS: 1!` r I APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: „ . INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR, t I rl:~ r r;r',; - - - - - - - - - - - - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments FootingsI Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final O 9 Well Pr. Disp. RLACMAIE 1 I)1 M-RM FEVI 4/ 10/g2 y J. HAMM .)R.-6Wy-6255 ~ y j itp of tfagan Wpwbmd of Wunwo .fit lrrtim M Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure wars in compliance with the various ordinances of the City regulating building construction or use, For the following: uw Ogsirimtk. SE DGX IG& BW4. R mk No. 514 owup-ITAM R3I111 zoning Mli, PDIR1 Type Cane VN Owm of Budding nE Rf)T17 ~tlt~l 00 INr' A",= 5201 E RnrF'Ft M. 11M E r ng Address 4021 r,.,A JELL DRM 91 L.„f, L13, B2R HT US OF MEW= 3RD DlIC: O/ 10/72 / Bui7dinsJORW t POST IN A CONSPICUOUS PLACE j I INSPECTION RECORD Control No. 0423 CITY OF EAGAN '._ifiav~ {J %QQ,21,PERMIT TYPE: 3830 Pilot Knob Road _ 5 -sm JR.~'',~~86 2,. Permit Number: Eagan, Minnesota 55123 Date Issued: i€6591~t (612) 681-4675 / p Cr(j&I < SITE ADDRESS: LOT& 23 HCOCKC 2 APPLICANT: +4621 CAMOkk4,iELL Dk N f418 tiOTTLIN9ti1 $Ci T19C HILLS OF STONt£19kTtt@E 3kO (612) 671-0364 PERM~T §yBTYPE: TYPE OF WORK: WSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING 1111SULA'tION FINAL FTkt!flLALF 1 t t PINAlttcS r S 4 N CONTNACT0k - VAIJ E Y PLI 4 t permit No. permit Holder Date Telephone t S/W PLUMBING HVAC f/ IS b° V S`e! "A, ELECTRIC ELECTRIC` 01* ! O,JC~.(. ~ l 41O Inspection Date Insp. Commends Footings I 1//q. Foundation S/Z 4L- Framing ~,~3 pZ Roofing Rough Plbg. .I)1~1~Ls~ Rough Htg. rug 3 0~4~IUfre 1( Isul. Fireplace 77 Fine Htg. Orsat Test O J t0 Q~ Final Plbg. Plbg. Inspector- N tlfy Plumber Coral. Meter EngrJPlan Bldg. Final PIS Deck Fig. Deck Final Y/G~r- PG9/t/T C~a:t YC9C. oc.a Well Pr. Disp. ' Address: 4021 CANBEENEU DR N Lot 23 Blk 2 Sec/Sub HILLS OF SICNEBRIDGE 3RD These items were/were not complete at the time of the fine inspection. Date: 8/10/92 Yes No 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 T ;F 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. wEncuo peen White - City copy Yellow - Resident copy Pink - Contractor copy ,143b~~1~4~a3 ~r, l" D?l~2 Request Date ire No ini Inspection n R u p ❑ Ready Now ill Natty Inspector as [7 No Whad Ready? 1 IlCensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street Box oryy~~ute No) ~ Qty Section No Township Name or No Range No G Occupa (PRINT) Plena No FJQAA Power Sup M1er _ Address Electrical Tractor (Company Name Contractors License No. C/400 I Maifing Addr s (Contractor or Owner Making Installation) Authorized Signature (Contractors ?Ml ,on g Tkgfjstlle tron) Phone Number b 3 -3 MINNESOTA STATE BOARD OF ELECT CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS Pha ne (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 3°` EeeH01-oe ,plating this form on back of yellow copy k J43074 See instructions for corn " B€low Wo}k Covered by This Request ~C ew Add Rep. Type of Building Appliances Wired EquipmenlWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (speofyi contractor's Remarks. Compute Inspection Fee Below- Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f,j 0 to 100 Amps 1. Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only TOTAL Irrigation Booms 7 7 SO Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 , ONTHS. t I, the Electrical Inspector, hereby Rough-in , eta r/rf ! certify that the above inspection has Final oat Ori been made. ♦ - ~9y OFFICE USE ONLY This request void 18 months from li 4 3 0 6 e.a ,/U& - 3 t;6m Request Date F,-,e No Rough-In Ins an 2 Z Regwretl? ?'-dy Now. ❑ Will Noh y Inspector ?%a G No When Ready? Olicensed contractor ❑ owner hereby request inspection of above electrical work at: Jab Address (Street. Box r Route No I Pty 4o i t Section No Township Name or No Flange No. County Oocupenl [PRINTI Phone No. Power Supplier Adtlress ElectncalC raclpr lCOlnpany Name Contractors License No. C 00 3 I Mailing Address (Contractor or Owner Making Installation) Authorized Signature ICOnVadoO w r Mdkmg Instal and Phone Number j- 3410 MINNESOTA STATE BOARD OF ELECTRICII THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)6112-0800 ENCLOSED & Z, REQUEST FOR ELECTRICAL INSPECTION °P ' a4 EB-000Ot.e8 OwF`6 ► See instrucLOns for completing this form on back of yellow copy X" Beow Worms Covered by This Request Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (sexily) Cootramorls Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Clmurts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to t00 Amps Transformers Above 200 Amps Amps Signs Inspectors Use Only. TOTAL Irrigation Booms Special inspection l V Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oa ~~y been made. OFFICE USE ONLY This request Witl 1e months from I 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 (09 'bo Telephone # 651-675-5675 p o it, g Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address VV U I l ov Unit # Property Owner ~rJ//~li/// Telephone # ( ) Contractor Street Address Ciy State D lUl ~W" (~i Zip Tele ne# (?:63 ) S/r} ~~O t7 Bond Expires: The Applicant is Owner _ Contractor Other Add- n or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement L~ air exchanger II _ air conditioner r 1 New -Replacement JAN 2 0 2005 U other ^ L X 1 0a J U2 B - State Surcharge $ .50(( Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. 1v /2t ~fP~GGr 04 Applicant's Printed Name ~pp~cant's Signature Ss~S 1 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use OnM 3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pies Not Recd l set of Energy Calculations Addition - indicate don-site septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Dated Options selection sheet (bldgs with 3 or less units Date 7 / .2- / o _3 Construction Cost `f J o e Site Address $40 ";k/ C-0M Prw !Or N Unit/Ste # Description of Work Multi-Family Bldg _ Y - N Fireplace(s) 1 _ 2 Property Owner a { Py_, y Telephone #(G ! ) Contractor c/ ~/_11 -P / Address [ 60 7 . U A + Ll Cr; { y. p/k city State Zip SS o k Telephone #(6sl ) 6YC 7- 6 > 7 * <r ul c? 1(6,1-1 ) GS 5-38)'~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) f~" ~ ~ ~ pr r~ r' ) Mechanical Contractor II ~1 ry f Telephone # ( I Sewer/Water Contractor APR 0 2 Lo", I Telephone ) •uu BY. I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / rr~ a n 9 p P'1 /(a FF 4 Applica'nt's Printed Name Ap icant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage V 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or- N ❑ 25 Miscellaneous Work Types 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ! 00 17 Occupancy 2-3 MC/ES System Census Code 3 T Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const n Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plying Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (n_ew/replacement) Insulation - Retaining Wall Approved By -7'0" Building Inspector Base Fee y0 Surcharge I SX ~y 13 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f ~ Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lc Data filename: I:\Energy Calcs\MEC\Mn\03-203.cck TITLE: #03-203 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 03/11/03 PROJECT INFORMATION: CHET & KATHLEEN HARRISON COMPLIANCE: Passes Maximum UA = 617 Your Home = 586 5.0% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1779 44.0 0.0 48 Wall 1: Wood Frame, 16" o.c. 4654 19.0 2.0 218 Window 1: Above Grade, Vinyl Frame, Double Pane 640 0.350 224 Door 1: Solid 36 0.230 8 Door 2: Solid 40 0.350 14 Door 3: Glass 40 0.350 14 Basement Wall 1: Solid Concrete or Masonry, 8.2' ht/7.7' bg/8.2' insul 726 11.0 0.0 41 Basement Wall 2: Solid Concrete or Masonry, 3.5' ht/3.0' bg/3.5' insul 163 11.0 0.0 12 Floor 2: All-Wood Joist/Truss, Over Outside Air 259 38.0 0.0 7 Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.350 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. Take-Off Worksheet BUWWNWO 1 air-_+aW Doe +0~ BuklaAd&M BuidrgAO&m aiwmw By Phone Number Ce l Drq% Skylights, mid Moms Over Outside Air Dampdon Area R- LLVRY~e CeRVq - Foor Weer OuWde Sir R' Walls, Windows, and Doors krculayon GlaxnprDOa Desa4za'+ Area R•Vake LLV" vaa WiKbw Door R - (3mss Door - Floors and FoundOons Area a mcu~on DeaaipiOn pvin ar R-vmju4 DW M Fax ow Unoardrivrod spwe , P ananerd ww UnhOMW Slab R Heeled Siab - R Gad *we WAR A EgUipMent Eff kjenoy M" Reckon may be felt b4* it no ovd~ wRl be Wm for Vr~ ew0+wkl meaft AFUEMSPF C*Wft SEER B kWW Make AL MOW Numper VeRanLer Go,cOa i Nf /Ul.Opot IgaiY ~riR ue.now.epowr MI wewnaso0a'ru+h. D~wapaett W. Pir.ol E+aQ//Prib IbrAvwlMa4W lam/ ~r+1~T# 6A. 3~Zo3 R.O. Dimensions Quantity Sq. Ft. i, 1 N ' x L04 22 x u x I. w 1 ( 6 x I x I -114 21~ I N ,2N X JJ 1 „ X taw- N x 2 1 h 1 N 31 h 8 tb x l~ Z`-lo" X 14 II 1 ax 1 „ l~ I ~x 1 h 2 x I X lY 1 h 1 M X 1 x JO✓ X X X I, J~ _ O X fY Z° x o ~o x Total Wall Perimeter Height Area l~ dL,5 S-5 5 1• o c~J, c~v T ~+C 4•? 0;~ ~11 2422 Enterprise Drive Mendota Heights, MN 55120 ~F * PIONEER (612) 681-i914-Fox 681-9488 y LAND SURVEYORS • CIVIL ENGINEERS T LAND PLANNERS • IJWDSCAPE ARCHITECTS 625 Highway 10 Northeast engineering Blaine, MN 55434 * * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: The Rottlund Company, Inc. House Address: Camberwell Drive North Eagan MN Model Name: Hazeltine Customer: Harrison S 08.0516„ E39,36 CI=A AN 11wwl 1 \ Ln - 1`G INSPECTION PEP7 ~ 0 w I Z , I 11 N N, `.A o I C.A •A o I 1 ' I \ I r1 I / l 0 895.90 r) A I ~1 r 'Q19 S1 .01 893.18 s~~~ 0160 25. Z; ^A 10 15.50 ` p 1 i - PP•OP055198µNTt ' IQ-As 1 ~A asl op, 'c r - a 1y OARAG£ 0 u 9.16 1 J m ~Z 69 ~ 19019"~ X ~ °11.16 m N 9.6~ ~5.1i 9 ~.7eV 20.g6 '0 1 14.53 0 19DZ,Y CoNOioap 902 SwPy ISO y ~ oa+ $ p03. J soz.1 40011 r o 9oZ,4 i p le e oL~~'J ~~'9k o ® lie i E~20.26 0 0 278 ~7- - r0\111~M1-~ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 l~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodebReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _Y _N (20%mumnum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _Y _N l set of Energy Calculations Addition - indicate H on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/11M Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost ksgo Site Address 4orl ~h Am/ a_ bojvf_N Unit/Ste # Description of Work jlW,4taW& WAVDVLd/7-940,4 4,4r,4)e O;-STLrco R, ~mO A&-7 &~G?n~eiToffrawr~. Multi-Family Bldg - Y'/ ✓IN Fireplace(s) - 0 - 1 - 2 Property Owner L~(£T 6{fill,,l/ Telephone # ( ) Contractor KoTauMD We"L65 Address 3*5 cz-v71f p, ~ 4w44*- City State /t'(4/ Zip S'Sii3 Telephone # ((0/ ) 63V-- 06'60 Joe aa- - 61Z- 363-CW1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. FF. Licensed Plumber l7 LI Telephone ) 3 Mechanical Contractor Telephone # ( ) By Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 18f dt`t y'e~ ~ Applicant's Printed Name A licant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg X02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types 'E5TUC44C) ALE--TA Q._- ~ Er~-,PLArGr::%Lte$.IT- tr- DA-94kGelz_-, 'Fa*0 t Itl3i"I ~NS~1U~fbtJ ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair x 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ba 07 Occupancy 92 MC/ES System Census Code_ Zoning R City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const FS Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) - Plumbing Foundation HVAC _ Drain Tile ✓ Other L-A-774r-- j PA-.DE.- Roof _ Ice & Water _ Final - Pool _ Ftgs - Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By t(o~ Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT # I O RECEIPT DATE: 2002 RnIDENTI141 PLUMBING i'EMIT APPLICATION CITY OF EAGAN 3830 PEAT KNOB RD KA11AN, MN 5532E 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflOW Dreventer for iminatinn svctpm HARRISON, CHESTER SITE ADDRESS: 4021 CAMBERWELL DRIVE NORTH EAGAN. MN 55123 OWNER NAME:: (651) 686-6255 _ TELEPHONE M t (AREACODE) INSTALLERNAME: tyOrblom t?4kM61*AA TELEPHONE (0t2Z"$2-7 _ 4f0 33 t 1le.td Ayy""G SC) LA--V41 (AREA CODE) STREETADDRES~S: 20106 CAV4 CITY: AApt5. STATE: MIJ ZIP: 5540$ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: 7 RPZ: new installation/repair/rebuild IJ $ 30.00 _ lawn irrigation system OCT 0 8 2002 1 By $ 15.00 Replacement/additional: _ water softener X water heater State Surcharge $ .50 Total $ l5 •50 I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its normal operational and maintenance activities to the facilities constructed under this permit wi~6ity property/right-of-wayleasement./301CL SIGN E OF PERMITTEE 1/02 PERMIT I Control No. 0423 C£~ITY.GF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000514 (612) 681-4675 Date Issued: 05113/92 SITE ADDRESS: 4021 CAMBERWELL OR N LOT: 23 BLOCK: 2 HILLS OF STONEBRIDGE 3RD DESCRIPTION: , Buildln-g Permit Type SF DWG Building-,Work Type NEW UBC Occupancy R-3 M-1 Construction~Type V-N r' Zoning L_ PD R-1 Building Length r' 65 Building Width 50 Ic, 1 REMARKS: e, O 87~Lo S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $169,800 Base Fee $881.00 MISCELLANEOUS $1,610.50 Plan Review $572.65 Total Fee $3,848.65 Surcharge $84.50 SAC $700.00 SAC 8 100 SAC Units 1 Subtotal $2,238.15 CONTRACTOR: - Applicant - ST. LI OWNER: THE ROTTLUND CO INC 15710304 000133 THE ROTTLUND CO INC 6201 E RIVER RD 4201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55112 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances.; L- I Re ~l7hX APPLICANT/PE ,YMITEE SIGNATURE ISSUED SIGNATkURE URE INSPECTION RECORD Control No. 0423 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000514 Eagan, Minnesota 55123 Date Issued: 05/13/92 (612) 681-4675 SITE ADDRESS: LOT: 23 BLOCK: 2 APPLICANT: 4021 CAMBERWELL OR N THE ROTTLUND CO INC HILLS OF STONEBRIDGE 3RD (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG F L - PERMIT_ #I CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION WAY 6 RECD 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made o lot change is re guested once ermit is issued. Date 72 Valuation of work 0 0 Site Address:4021 c~w~berw$« 1~ STREET STE t Tenant Name: LOT • y BLOCK SUBD.~O P.I.D. ! Description of work: S ' H P Y-_ ' The applicant is: Owner Contractor E3 Other cDecrtx) Name'TT9- &+'_0%3WJ C0-'rthe. Phones 1003 ° Property LAST FIRST Owner Address 5Z0I C k RiMt RA. ~a I STREET STE ! City rtCl~a/ State M K Zip SS(1'L Company 5mv--L Phone Contractor Address License #_°011 s Exp. City State Zip Company Phone Architect/ Engineer Name Registration 8 Address City State Zip Sewer & water licensed plumber a uv`~ bi'K Processing time for sewer & water permits is two days once a tea has been oved. 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. Signature of Applicant: Vrrllit uat VNLT BUILDING PERMIT TYPE . ' A ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish D~ P llac. '9 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 0 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move _ GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System Yes (Allowable) V~t~ 1st F1. sq. ft. City Water UBC Occupancy R-3 M.1 2nd F1. sq. ft. PRV Required Zoning rD R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth o On-site sewage SAC Code 01 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 881.00 v.lwtion: $1600 Surcharge Sq.So - ZNp Plan Review 5 4A'RA4R' 30X22 Fqpo4: = (,6p License City SAC 100. 13SMT! 6140 x 76 = 10, Zy o x ~b syy Water Conn. P75.00 /Z)'14 = /6$ Water Meter 95.00 3r;X 134/2= y86 4X6 = (3`~ Acct. Deposit 30100 S/W Permit 30.00 .?5%z x 19 ` S Sp x/6- 20 S/W Surcharge so ?'1 V2 y 16 ; H40 Treatment Pl. , oo 45 853)(S-3 Road Unit 'Rga00 10)( 02.z = Park Ded. 12 X la I~ 56 yS2~ Trails Ded. 1632 K 15a .24,y80 Copies 1S7 Other Total : _q 1 e3SMT= I(0 3 2 sac % loo ( xs = a UPS 969 Ix]r 7 SAC Units T 1'~j. X16= 214 Gx(4/z= ea 3; g9,oya 2422 Enterprise Drive Mendota Heights, MN 55120 y* PIONEER LAND SURVEYDRS CIVIL ENGINEERS (612) 681-1914•FDx 681-9488 ?a eng'n r'ng LAND PLANNERS . LANDSCAPE ARCHITECTS 625 Highway 10 Northeast T * Blaine. MN 55434 * * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: The Rottlund Company, Inc. House Address: Camberwell Drive North Eagan. MN Model Name: Hazeltine Customer: Harrison S 0e•o5"'o" E3 g.36 a u N 0 m l to SI l N~1 z I ~l on LA DD IV I l N N, to tD P I l~ ~o I l ' I l m I ~ I ~ ~ l I v./ 5 1 0 89S.9o 74 E ' ~ X0.19 S1 2'3 s0 i ~)J S 1 4 O>, m 16.0 0 696 l 893.7; I-r ro b b zssa l ^A 9a 1 Is ' 10 13 g0 a. PR agVID ~ 'ACH1 'fly m 13 VpUSTEB ep, 5 MEN 10 t6o by I u WAL ~ 4 t aAR J OIL 6c1 819019 x ° m 11.18 ~ N 9.6~ 1 AT I~Tae) g 2p 66 ° {4.33 ° 9DL.4 omyc. Sloop 902,5 w I y OR{vEWAY ' 2~.0~ gp3.6 J 902.1 Q00,1 I I o g02,4 ml ~ Pole ae9. S {~19 1.~4 (1 r~ 7,," lie L= gp 26 i5 05'43'28e D AN , _ - - - - - - - R _ 202.78 _ i ~,%~y .ZrCz DEPT . 900.0 Denotes Existing Elevation CAMBER PROPOSED HOUSE ELEVATION . 900. Denotes Proposed Elevation Lowest Floor Elevation: 895.45 Denotes Drainage & Utility Easement Top of Block Elevation: 904.26 - Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 903.93 --a - Denotes Offset Hub Bearings shown are assumed LOT 23, BLOCK 2 HILLS OF STONEBRIDCE DAKOTA COUNTY. MINNESOTA 3RD A D D I TI O N I hereby certify that this survey, plan or re port m, prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this Bil~' day of ftl'k A.D. 19~t . Rw. A,dd EYS~ E PVS Rev y _y~ ; r Mor:. s' No. ! G (ero* 9BO.3gt~z) I /(r Scale: 1 n 1=30fee ROSE04 S. MPH L.S. REG. NO. 14S91 HO~.il 90301.35 FCTF.RiOR FNVEU)PF. AVENAGE "U" CtlhRil'C!'I'I1N ~WJL- ` SITE ADDRESS 1 oT Z 3 i $cocK Z~ SFoneloedt4a .arc AUK 4i&% CONTRACTOR RV7TLu14tJ. C-c7, DATE. PHONE Determin working square footai,c of each. 1. Total exposed wall area 17 3(P Lq sq. ft. x 0.11 = 310.2(. 2. Total roof/ceiling area 3 [ sq. ft. x 0.,026 = 4 Z.LI Total exposed wall area above floor = ~J 3 to (-P a. Total wall window area 2 9 b, o b b. Total door area +72 .'7/ C. Total sliding glass door area 39,87 d. Total fireplace wall area e. Total wall framing area (average 10%) 2 C, -717 f. Total net wall area above floor z ~/l.(0 8 g• Total rim foist area .?job. Total exposed foundation area h. Total foundation window area i. Total net foundation area above grade lrjy_2 r7- Determine "U" value of each wall serment. a. 'Z997.a g X ..U.. p q,~j = l Z b. f2,-71 x ..U.. C. 7 X ..U,. 7S d. x 'lull e., 2(0 7,'l TO x --.U., 9- X h. / f> . Zj cJ X ..t,.. 0, i 1~9, Zy x ,.U.. aI = ZZ.Z~ 3. .rot.a.1 = 3~~. 'J !t If item N3 is the same as, or less: Lh:.n it'cra //l, you have met the intent of SBC 6oo6(c)2. r. Total exposed roof/ceiling area = Total gross roof/ceiling area = al skylight area eiling framing area (G al roof/c rk 1. Total net insulated roof/ceiling area , i'. Determine "U" value for each roof/eeilini. sc;,'ment. J. X uUn _ , k., X 11U11 OZJ 1. 1¢754 x „u„ 010 2Z = 2044 4 . Total 3 OIL . If total of #4 is the same as, or less than N2, you have met the intent of ssc 6oo6(c)l. To utilize the total envelope system method, the values established by the sum of items k3 and d4 shall not be greater. than the sum of items kl and k2. 1. + 2. 3% + 4. _ ' I v _ VAW, 6Al,4,U -f lON-;7 (GONT). . LOMPOhIt:N~i . ~-~IALUE (,U 04T-/--4M AlF- FiW - _ I 5%y lNsul.A~i~l 19'a 4 ly" GYP W. n.45 R' L l - 0.043. U- Rat, -fFAM; WAUL c. S;TVP GoMPaN~NTg F--VALUL - r o_uT~loE Alfa FILlN. -_o•1"i..-----~ - t 9 3 hNliA'(HINb. 2 •OU 4 4- X i hw (PFA>til>ut} - 1• i 8 - Da. -'Y C' iNyiv~ pig FILM.. o ~o P fofpi=~-11.1 C~ PL-m- view. -N P~. = 0.12 X o.o~•q (o, Ur ) tSb x ~ ~'__FII? AIM ~a~h . _ I • as 4 1 /5-Ht A'ff-►IWo'. 2.oG 5 - - ~ - 3 ~ ~T_kt~=-FILM. _--o,►~.-:.. ~ u ~ ~i~ OrC1~t 12. 30 1,13 ~tZ,ll . I_Ar i2.►3 - ~qlo`.- - i ' I 2 02- 3 ~ = 0, 027 u -~`a3 I 2 r 0 ~ FILM:" -©%i1`:----- : l'Z GlLI:=1N.hu~<- - =._44.4 O -z Y i ~ ~ g5,~3- 0.022 t - PERMIT ~CIYY O~ EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B L e( Eagan, Minnesota 55123 Permit Number: 02312 (612) 681-4675 Date issued: 04/05/94 SITE ADDRESS: 4021 CAMBERWELL DR N LOT: 23 BLOCK: 2 HILLS OF STONEBRIDGE 3RD P.I.N.: 10-32992-230-02 DESCRIPTION: Buil id n'g Permit Type DECK Building Work Type NEW i REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - ARRISON CHESTER 021 CAMBERWELL DR N EAGAN MN 55123 (612)374-4740 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 Mn. Statutes and City of Eagan Ordinances. t IDBS':Y.I~OL APPLICANT/PERMITEE SIGNATURE ISSUED B SI ATUR INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023120 Eagan, Minnesota 55123 Date Issued: 04/05/94 (612)681.4675 SITE ADDRESS: LOT: 23 BLOCK: 2 APPLICANT: 4021 CAMBERWELL DR N HARRISON CHESTER HILLS OF STONEBRIDGE 3RD (612) 374-4740 PEMV SUBTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL L - CITY OF EAGAN 1X01994 BUILDING PERMIT APPLICATION a%' ,L 681-4675 MAR 15 1994 W A -5 -U 13 0..50 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 talcs. 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 Site Address: STREET 1TE Tenant Name: (commercial only) LOT L~ 3 BLOC& SUBD. P)I. D. #/p- ~2 X99 z Z3C3o 0 Description of work: The applicant is: lb-Owner ❑ Contractor ❑ Other (Describe) Nametll ,h,o~_ -r/-4 ~ V' Phory~ - Z Property LAST FIRST ,r,~-f2 3~6J-~j7~fr`~ Owner Address --KOz/ STREET STE # City 7~- State _ Zip 252 Z:;w Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant J~ 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER LAND St1RVEYMS • aVIL ENGINEERS (612) 681-1914•Fox 681-9488 * eng Weer ng wfa FMNERS , LANDSCAPE ARa3TECTS 625 Highway 10 Northeast eloinc, MN 55434 * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: The Rottlund Company, Inc. House Address: Camberwell Drive North. Eagan, MN Model Name: Hazeltin a Customer: Harrison S °B'o5'1s" E39,36 I± 0 1 1 T- I 1 N 0,21 Z I 11 w coN I 1 NrT, ltoii O I 1 f O I 11 ~ I 1 m I 1 rT 1 I 1 I 1 '9 I V•~ 5 _ 0 B95.9~ ` t t9 S+'% 1 I E 1 093.,?5)Nq g74 eD o 16~ 3 lrA rA ' is ,3.50 SE I Q I ~ I ~pp05~ t1WµENT -f-1 I y T3 c°v"1~~e~sEMT"~ - " tio.~6NO~ 4, WA` u, N, U u 9.16 ~ 1 GPir~' J~ .~69 iRlgbt9 Y, °~ie a 96T 1I.tiT .1v I (toe) ~ . 9-20.56 '0 1 ,4.33 0 y32.Y c~c. SToor 902.5 Ay 1 b pR1y(.W 18 00 103. ~ 902 droo,1 I I o 9~4~ m l V pale o L - t•r9 '6 ~Ir s 8~ 90t.z at, e, c to e ~~90.26 a s ~z36°I _.~NCR~N N ~ I , I~ R = 202; x 900.0 Denotes Existing Elevation J CAM PROPOSED HOUSE ELEVATION ` a 00. Denotes Proposed Elevation , Lowest Floor Elevation: 895.45 Denotes Drainage & Utility Easement Top of Block Elevation: 904.26 Denotes Drainage Flow Direction --o-- Denotes Monument Garage Slab Elevation: 903.93 -a Denotes Offset Hub Bearings shown are assumed LOT 23, BLOCK 2 HILLS OF STONEBRIDGE DAKOTA COUNTY. MINNESOTA 3RD ADDITION I hereby certify that this survey, plan or report war prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laver of the State of Minnesota. Dated this day of ~ •I A.O. 19.~Z Rw. 4 14-9t. Ada C-.,S4 E A,s Rev `1 °3o _yz; Move t'l, S~ oc,. O (sloe tao-?tgzr,) I~ /ti Scale: 1in;h=30feet ROBE L.S. REG. NO. 14391 G~,as 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5 R a CITY OF B RD - l 3830 PILOT KNOB RD 55122 ]cam 651-681-4675 New construction Reaulremenh V a~ g 6 C7 C> > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of pion and gg roofed areas (90% nxndmum 1011 cOveraae allowe d) 1 set of energy cal u for heated additions > 2 copies of Wang (show beam d window sizes: poured W- design: etc.) 1 site survey for exterior or a ddHlons & decks > 1 set of energy calculations ' < p J 9 > 3 copies of ivee preservation plan bt Waried after 7/l/93 DATE: ' - CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: o ` l l V ('I LOT: ~t BLOCK: Q SUBD./P.I.D. I~ S d rnD Y Name: ~ i «1 Svc G n Phone C PROPERTY Lost First OWNER Sheet Address: qty state: up- Company Phone (area code) CONTRACTOR D h V Sheet Address:- U2- License # 2o-t Exp• qty 1•.Gl,, ~Gi~'C ( State: Zip: V ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration C City State: Zip: Sewer/water licensed plumber (N Installing sewertvoterPhone ( I hereby acknowledge that I have read this application, state that the info is correct, and agree with all applicable Stag of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 7 OFFICE USE ONLY Certificates of Survey Received Yes - No Tree Preservation Plan Received Yes - No Not Required L ac+ ? 8L CITY USE ONLY RECEIPT#: D F ~ ~ • _ ? 9& 0 pay SUBD. ! ~o t2(J GJ rg RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow, preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 U G Sprinkler 'for existlna rhvelling 20.00 Alterations ' to existing residence 26.ou _ Water Turn Around 20.00 = Private Disposal System ' MPC tic. 75.00 (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 STATE SURCHARGE .50 hh TOTAL S V - the - ----9.--------- I hereby acknowledge Mat I have read this application, state that kVt;i°-adon is - correct, and - agree - to - comply • with - all - a licable C' of - Ea an ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 2 j T CR ry~~tr wAI1 r' N' OWNER NAME: C~ S 1 e r J Q a r r, l S 0 >J q INSTALLER NAME: fQ T c e-- -r q- A 1 T~ a ` I U' rn~ / N g TELEPHONE ~ ( 2-6 ~ 0 T~ s .Sri 1 1 11 a STREET ADDRESS: CITY: 110- U r I I STATE: ZIP: ~O SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #1_ 2 0141 ` DATE: $ 7 ua A l PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: -[O HOT TUB/SPA 3.00 ~l rJ WATER HEATER 3.00 LOT: CK SUBD.~ J FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: 1W"/g (MINIMUM - 1) 3.00 ROUGH ADDRESS: IIGC~( OTHER OPENINGS 1.50 5.00 WATER CITY: T/ UJI~ ZIP: PRIVATE DISPER 15.00 33 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL L ST. SURCHARGE .50 SIGNATURE OF PERMITTEE s~ TOTAL: $ 54 CJ ~tit~(ERGIAItX~Ni)TTS~R~Alio' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PEPW T CITY OF EAGAN REACTIVAT 1992 BUILDING PERMIT APPLICATION 681-0675 151//9.2 Ir)411FCl d4rn C0 horneownc , _-SEP 1 0 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typingg of permit is requested, but not picked up by last working day of month in which request is made r lot change is re guested once permit is issued. Date :2 / ~ / ~ Valuation of work `-e ° a Site Address: z / '0' STREET SUITE # Tenant Name: (commercial only) LOT 2 v3 BLOCK 2 S D P.I.D. N Description of work: BrcJ o~ The applicant is: AOwner ❑ Contractor ❑ Other (Describe) Name rr~sd es Phone ~S~ ~zSS Property LAST FIRST Owner Address 0 0,1 /U r STREET STE # City State Zip Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. _ 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 Minneso Statutes and City of Eagan Ordinances. Signature of Applicant: * 2422 Enterprise Drive 4. Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS 9 ors ENGINEERS (612) 681-1914•Fox 681-9488 * engineering wlo PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast * plolne, MN 55434 * 7~ (612) 783-i896•Fax 763-1683 Certificate of'Survey far: The Rottlund Company. Inc. House Address: Camberwell Drive North. Eagan. MN Model Name: Hazeltine Customer: Harrison S 08'0516" E39.36 0 I \ N s1 \ Z 1 w 00 W N I \ N Na t0 to U1 O \ to to n ` I \ I \ I Vii sl 7 1 1 11 \I 895.9 Y I ` Acog 1 s 1Z. 7 ad ;D~~y \ 1 893.7y y~ m 16.0 10 135a \Q I ~&os~ ro'SO R1 (1~ I 13 GOER (E9A4M£Htr ! r 106 Vj WALy.OU 1 a 9-1 GARhG4 C1 09 ip tjOt9 x °1.1s N 9.a7 1 .17 9DL ICV°~ 14.33° g.zo.ee 1 1 90¢.4 Cho. 5100° 902.5WAy \ I ~ f ORi~ \ g 2fao ~ J QtTO,I 1 0 ' r l o ~ - f - ~~9<Fk pale 1. 2 sar. z 9or. e ~ ale d Tee 9 x_20.26 g 9 1H _ D *4378. - V NOR _ - ~EL~ ORS E R ~ 202- x 900.0 Denotes Existing Elevation- CAMBER PROPOSED HOUSE ELEVATION _ • Denotes Proposed Elevation Lowest Floor Elevation: 895.45 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation:904.26 -o-- Denotes Monument Garage Slab Elevation: 903.93' a Denotes Offset Hub Bearings shown are assumed LOT 23, BLOCK ri HILLS OF STONEBRIDGE DAKOTA MINNESOTA 3RD ADDITION 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the larva of the State of Minnesota. Dated this day of A.D. 19 4 ?Z Rw. y-\4-9E, Asa Ev:s4 E °115 Rev `I=3o -92: Mave t, sa S~ A)o, Scale: 1 30 96°•39L,s) Jnc = fee ROSEJW Lt. L.S. REG. NO. 14091 ® 90301.35 Ldi BL _,Of, ej CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD.~.Lrn A lJffy rGC~ (612) 681-4675 RECEIPT # DATE Co RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON 1 SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 6 f I LAVATORY 3.00 p L OWNER NAME: Igo ~Y~~ c 1 KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 SITE ADDRESS: I-Iua,l ~q, L,~ I1 QZ HOT TUB/SPA 3.00 WATEP.,HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 / /y / ,-f 3 ROUGH OPENINGS 1.50 ADDRESS: L/ V~ 7 OTHER ~J WATER SOFTENER 5.00 CITY: ✓U/'~~~+~ )ON ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 G~ STATE SURCHARGE ~5/0~f SI NATURE O~F P ITTEEO TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD / EAGAN, MN 55122 PERMIT # a rf PHONE: (612) 454-8100 RECEIPT # FIA- ARAmu DATE: CO /S PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $aT 00 SITE ADDRESS: O°t~ 1 .A✓. STATE SURCHARGE: LOT:C--t'e3 BLOCK oG SUBD/"k& TOTAL: $ 7'S FLARE HTG. A/C, INC. INSTALLER: 9398 Plymouth Ave__ ADDRESS : GeldeH Vgey, MN. 5542 NA E OF PERMITTCITY: ZIP: PHONE K1Ct,Tl1IfITa51K1# PLEASE 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: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA121775 Date Issued:04/14/2014 Permit Category:ePermit Site Address: 4021 Camberwell Dr N Lot:23 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Chester J Harrison 4021 Camberwell Dr N Eagan MN 55123 (651) 216-4755 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use j Permit; ~o L My Eajan ? 22 vH I RECEIVED I Permit Pee: MO Pilot Knob Road Eagan MN S5122 Date ReceNed: Phone: (651) Ii'r rs APR 3 ~ 201 ~ Fax: (651) 6TS- +4 I Staff. t i I 20'14 RESIDENTIAL BUILDING PERMIT APPUCATION Date: Site Address' l eaY`Yt vT tt,!f 01 Q-t 1 Unit # Name: Phone: a t - ~F > Resident/ Owner Address 1 City/ Zip: 4o t Y by AJ - t f7i lvt Applicant Is: Owner -A Contractor Type of Work Description of work: # t C f it ct t n -t, It. ' , ~ 0I Construction Cost, Mu1 -Family Building: {Y I No Company: La rfnl,,nf'` a ynConwpl ~1 Y- C r". C, Jo Address: 541 f- i r Vt I- City f)0 + k Contractor 50-1 S tare: M trip: 5 L Phone: ' ` ~ Email: t tt t~ C _ ' . tai ` License * - lead Certificate M At n T - iC'&C)1-1-- If trie project is exempt from lead certification, please explain why. {see Page 3 for additional Information} C f2-- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? ,Yes ^No If yye, date and address of master plan. Licensed Plumber. PPhone. Mechanical Contractotr, Phone: Sewer $ Water Contractor: Phbnet 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454.0002 for protect on against onder~Vtind utility haulage. Cau 48 noors before you intend to dig to receive locates of underground utilities. www.gopherstateonecaiLorg 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, E*erlor work authorized by at building pertttlt issued in accordance with the Mint+e late Building Coft roust be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 11 of 3 YV DO NOT WRITE BELOW THIS LINE ~ Zvi G~ SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family Garage _ Porch (4-Season) Exterior Alteration (Multi) Multi _ Deck _ Porch (ScreenlGazeboiPergola) _ Miscellaneous _ 01 of _ Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES JVIP _ New _ Interior Improvement _ Siding Demolish Building" Addition Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall ;Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition r,: T SAC Units (25% 100%__) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIQNS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests rFinal a Framing Drain Tile At' Fireplace: -Rough In Air Test -Final Siding: _,Stucco Lath -Stone Lath =Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC 1 Y` s Utility Connection Charge S&W Permit & Surcharge }~f a Treatment Plant Copies TOTAL Page 2 of 3 CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: ( / 7 Permit Fee: g 014 l Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/29/2016 Site Address: 4021 Camberwell Dr. N. Eagan, MN 55123 unit #: Chet and Kathleen Harrison 651-686-6255 Name: Phone: Address city zip: 4021 Camberwell Drive N. Eagan, MN 55123 Applicant is: Owner i Contractor -� Description of work: In-place kitchen remodel, incl. 1 window Construction Cost: $12,000. Multi -Family Building: (Yes / No / ) Company: New Spaces Contact: Sara Laurent 2105 W. 143rd Street Burnsville Address: City: MN 55306 952-898-5300 sara@newspaces.com State: Zip: Phone: Email: License #: BC 001586 Lead Certificate #: NAT -F150060-1 If the project is exempt from lead certification, please explain why: Not built before 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a 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: Fire Suppression Contractor: Phone: x _ ,t. .,, .. .z � .._. . ` [ £:-�'�&�• a r. h +„y.e.. µ ..: ,:_ ..aeit�nx: r t .w.'�i%r�',._,. , r ' §e 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. 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. r x New Spaces by Sara Laurent Applicant's Printed Name xJez c e Applicant's Signaitire Page 1 of 3 4 7 I C1 t7ih&i2O) DO NOT WRITE BELOW THIS LINE /S, SUB TYPES Foundation ,Single Family Multi 01 of Plex WORK TYPES New Addition st, Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code Ili #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final (' Framing r Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required Final / No C.O. Required y/ HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final _ Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final _ Radon Control Fire Suppression: _Rough In _Final _ Erosion Control Other: Reviewed By: \ V , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 05/09/2016 20:41 6519948701 JANECKYPLUMBING &St qS—if Pqr7 City °Man a ifueit Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 PAGE 01 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 371 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION 5— 16 ' I& Site Address: ,4 i 101 nib -tor we.4 6r- - Tenant: • gn# 0(iVlAer Name: kri �Y:✓ ' ` Phone: Address/City/Zip: l'• Ua COAirBCL'�DT. Na l( ex • / i L,. - i ..et. License #: G 5 C41 gl ii Address: c)0 ,II ` 1A- City: �� % 0 '` S 4 l()S1 ' State: Zip:.....4 Phone `' S Contact ig Email: e d (dCJ S4 'L 6"f V Tim-` T�Cif .. •Description _ New `"Replace ent Repair Rebuild Modify Space Work In R.O.W. _ _ _ of work: • POtfTHt<�' (YB" RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) �dd Plumbing Fixtures (_ Lower Level) Septic System New Water Tumaround Abandonment j RESIDENTIAL FEES: $60.00 Water Heater, 360.00 Lawn Irrigation 360.00 Add Plumbing 'Water Tumaround 3115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge Fixtures, Septic System Abandonment, Water (includes State Surcharge) Turnaround' (includes State Surcharge) /�ttj TOTAL FEES $ V V (add $280.00 If a 3/4- meter is required) New (includes County fele and State Surcharge) 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 locfltes of underground utilities. www.aopherstateonecall.org I hereby acknowledge that thls information is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of Eagan; that I understand this is not a permit, but only ah 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 pia )1I-14` Ale -did, Applicant's Printed Name Icant's ature s SM Your dream.Our team. November 9, 2016 Jeff Wheeler City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 jwheeler@cityofeagan.com Re Permit# EA135877 I certify that I installed 2 (two) galvanized metal straps, 16 gauge, 11/2" wide, and 24" long across the heat run to the upstairs of the home during the kitchen remodel at 4021 Camberwell Drive, Eagan, MN. 55123. The straps were nailed with 16d nails on each side. Ed Finneseth Lead Carpenter 0 ii ,' www.newspaces.com BBB N 4,--x, BUILDERS �i .41, INTEGRITY 4J f1..ILL'IN_ON Phone(952)898-5300 • Fax(952)898-7198 • 2105 West 143rd Street,Burnsville,MN 55306 I ._••.�•-..,.,....,.�,'., Lic:BC001586 r r . {\h ' e Your dream.Our team. November 9, 2016 Jeff Wheeler City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 iwheeler@citvofeagan.com Re Permit#EA135877 I certify that I installed 2 (two) galvanized metal straps, 16 gauge, 1%"wide, and 24" long across the heat run to the upstairs of the home during the kitchen remodel at 4021 Camberwell Drive, Eagan, MN. 55123. The straps were nailed with 16d nails on each side. Ed Finneseth Lead Carpenter .75. /. www.newspaces.comBU LDEAS /Lrmra/fir 1NTB6RITY ll� a ASSOMAN Phone(952)898-5300 • Fax(952)898.7198 • 2105 West 143rd Street,Burnsville,MN 55306 "OA". ;_ Uc:50001586 PERMIT City of Eagan Permit Type:Building Permit Number:EA148651 Date Issued:04/12/2018 Permit Category:ePermit Site Address: 4021 Camberwell Dr N Lot:23 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-230 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: 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 - Chester J Harrison 4021 Camberwell Dr N Eagan MN 55123 Millersberg Construction Llc P.O. Box 155 Dundas MN 55019 (507) 301-3626 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166789 Date Issued:02/04/2021 Permit Category:ePermit Site Address: 4021 Camberwell Dr N Lot:23 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Chester J & Kathleen Harrison 4021 Camberwell Dr N Saint Paul MN 55123--392 (651) 216-4755 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169128 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 4021 Camberwell Dr N Lot:23 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Chester J & Kathleen Harrison 4021 Camberwell Dr N Saint Paul MN 55123--392 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature