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4047 Camberwell Dr N.M ? '? . * ? _•a??.?i?? +I' 1 ? . . 4 ,. . f r'?/ ??.. 4 ti? ?.. ? , . , .??? J ? ? Citp of &ffan ? 3gepwftrtt# uf Ww[Ctg,3ttwrr#tmt ? , , This Certifrurle issued' pursucutt ta 1he reguirehtenu of $eclion 306 of the Urrifarm BuiTding ? C'.ode cenifying that at the lime of issuanee rhisstsuclure wxrs in comp[ia?ice with the warious ? ordinaneer nl the Cit?' regula&g buifdirtg cortsd r[ction or usi-, For Ihe following. ' ? czse a,ssuiaoion 5F DWG/GAR sias.Pamwrm. ' 18697 ? 0-p„x,: T,,PI R3/MUk1M l zm;« PD LRi- ryl, c«,? VN owner Of Bua(fiag THE ROTTLUND C0. Ad&, g501 E. RIVER RD., FRrbT,EY , -? ?? 4047:---? MRWELL, I]R{? L26, B2, HILI,S OF STONFBRIDGE 3RD ? ?'??? ? Daw, 5/3/91 opte-w 6uh? ?v : ? Posr nN n coHSPicuous PuAre ` ? . . . . . . . ' ... .? ? . , . ? '? . . .. '.' ? . . . R ? ? ? . `4_._ . . ? r? . . . , . r i?-?'?-' • ? _ , - . . . ,. . ? - ., .. .: . ... ' "'_'_ , . . . ?'kdi..... ...... . ?l_4TM FC.t IBX Q6/26/91 - NW ArLERSON 688-9143 . ? .y ? CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1869+T ? ' Y PHONE:454-8100 BUILDING PERMIT Receipt # 5F MG1W ?145, 000 I"E$ 3 91 .? To be uSed for Est. Value Date , 19 , Site Ad?rss ?7 C`?E??'?' DR N OFFICE USE ONLY -?? ?h Lot Block Sec(Sub. MI-3 M-t Parce1 No. Occupancy -?1 PD FEES A W Name Tu RO???p ?I ? Zoning . (Actual) Const Bldg. Permit "7• 00 '`x '? ; AddfeSS r 3 (Allowable) - Surcharge ?2' ? p 04 RiBLET Phone 571-0 Clty I # oi Stories ?$ i Plan Review ? 318.00 p Name ??? Length Depth / SAC, City ???? ? 00 ua Address ?:Ity Phane S.F.Total S.F. Footprinl5 ? SAC, MCWCC b??? O Water Conn n Site Sewage _ i? 90'00 ?w w ? Name On Site Well st m MWCC S ?- Water Meter 1 00 ? 30 x AddfBSS y e Acct. Deposit . i W City Phone City Water - ?.? ? ' PRV Required - S?VV Permil .? *50 I hereby acknow{ege that I have read this application and state thaf the Booster Pump - 51W Surcharge ? inforrnation is correct and agree to comply with all applicable State of 276w00 '1 Minnesota Statutes and City ot Eagan Ordinances. ? Treatment PI 370.00 Signature of Permitee APPROYALS Road Unit .y ? RO?.`1?NY? CO IPQC: A Building Permit is issued to: TH P?anner - Park Ded. ? on the express condition thal all work shall be done in accordance with all applicable State of Minnesota Statutes and City o( Eagan Ordinances Cauncil gki pff -_ Copies ? -? . + Building Olficial ? , j, . Variance .. . _ - TOTAI ? ? ????? Permlt No. Permit Holder Date Telephone # WATER f f v ? ?f ? SEWEFI PLUMeiRVj `P? .J.SCI • ? 'rj CFO` '70 H.V.A.C. p?+] ?J Ybf '?? ELECTRIC 03-3;5q1 /1?'j .70 Inspection Date Insp. Comments Footings i Foundation Framing Floo(ing Rough Plbg. Rough Htg. 2(} ? Isul. ? ze ;/ C]S Freplace ? Final Htg. ? FnaJ Plbg. Ccrost. Meter Plbg. Inspector- Notify Plumber EngrJPlan Bldg. Final S, / 3 (,(l Deck Fig. n 2k %/ 65 Deck Final Pr. Disp. -?S 9 .?a SEWER & WATER PERMIT CITY OF EAGAN ? 3830 Pilot Knob Rd. Eagan, MN 55122`-1897 DATE SITE ADDRESS _ LOT ?`- BLOCK OFFICE USE ONLY METER *?'?" pERMIT DATE 02/07/91 CHIP # n ? 4 3 47 ? 3 PERMIT # 11800 METER SIZE B_P. RECEIPT # r1201 U ISSUE DATE B.P. REGEIPT DATE 021061)l _ PRV - BOOSTER PUMP APPLICANT: The Rc't'fT vnr' C'n Tnr ADDRESS: - 5201 E. Ril,ig?r RcFc; CITY, STATE ?'rjd? eY, M+' . PHONE: 5)' 030 4 PLUMBER: ? V'aI 1 y P 11 -imb ;n? • ADDRESS: `ilEl ['rnrk i a??e CITY, STATE PHONE: 1a?^dar, t1n ZIP F,-? 4'92-2? 21 OWNER: Cc I?' ADDRESS: 5201 r IRa ? X-- uczzi CITY, STATE ^ri d1 e;r ZIP PHONE:,4. 571 -•03J4 PERMIT REQUESTED X SEWER <k WATER _ TAPS COMM/IND ? RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDI ANCES ? SIGNATURE WHEN METER I UED PLEASE ALLOW TWO WORKING DAYS FOR PROCE551NG. CALL 454-5220 FOR INSPfCT10NS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. p SEWER-& WATEf(PE?MIT aFFICE USE ONLY CITY OF EAGAN, `?, . METER #'"` PERMIT DATE 0e f' U 7?? `i 1 3830 Pilat Knob R?,?;? ? N = CHIP # PERMIT # f i?? Eagan, M 5512L 1897 , METER SIZE B.P. RECEIPT # L1LQ1? ISSUE DATE i~ t B.P. RECEIPT DATE 021061 QATE _ PRV _ BOOSTER PUMP SITE ADDRESS 4047 ?ambet yell Dr 11 PERMIT REQUESTED LOT ?6_BLOCK h SECISUB J?J3_1:g o-_ ?tr,'Par-.;.6g X SEWER X WATER - TAPS APPLICANT 't?c . - COMM/IND -X_ RESIDENTIAL ADDRESS: 52(3Z F Rf v ?+r Rr,c CITY,STATE Fz'3dlgy1 Mn - ZIP,55023 X NEW -EKISTING PHONE: 571-0304 F Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: r,3 0 Cre*k "' ariia Credit WILL NOT be given for Deduct Meters. STATE _7rjr6dn, Mr:. CITY ZIP , PHONE: 492"2121 I AGREE TO COMPLY WITH CITY OF OWNER: '{' ?G Cc. EAGAN QRDINANCES .. 7 R'f 411 1 1, J I 1'1 1 C " F. y I , , 4911 ! 1. I . _ ?.? . . _ .... - PHONE SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. _.__ . ._?..._:,_. ._ . .. :.._.._.,, .,.. _.. ,: __.::... ,_ _...___..?_.._?. - ` CITY OF EAGAN Ng ?$69? , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /p i.? r' ^ BUILDING PERMIT Receipt # ??- ?1? To6eusedfor SF DWG/GAR Est.Value $145,000 Date FEB 5 , 1991 Sile Address 4047 CAMBERWELL DR N Lot 26 Btock Z SeGSub. HILLS OF Parcel No. STONEBRIDGE RD w Name THE ROTTLUND CO INC o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 o Name SAME , Address City Phone ? `- Q Name w ? ; Address <w City Phone I hereby acknovAeqe thal I hpp ve read Ihis application and state that the inlormation is correct andee to comply wit all applicable Slate ot MinnesoW Statutes and City Eagan Ord'nan Signature 0f Permitee ?^' " ? A euidm9 Permit is issued to: THE ROTTLIJND CO INC on the express wndition that all work shall be done in accordance with all applicable State of Minnesota Staptutes and Ciry o?f/Eaqan Ordinances. 8uilding Oificial ?[,___f `Qd?„!J11.CJ OFFICE USE ONLY Occupancy R-3 M-1 2oning PD R_1 (Actuap Consl _-V--N Bldg. Permn (Allowable) V-N Surcharge R olstories Length DepU S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System Cily Water PRV Required Baosler Pump APPROVALS Planner Council BIOg. Off. vsriance 58' X ? FEES 797.00 79_50 518.00 Plan Review n snc,ciry 100_0 SAC.MCWCC 650.00 WaterConn 660.00 WaterMeler Acct.Depostl 30-00 S/W Permit 30.00 0 S/VJ Surcharga .5 Trealment PI 2 76• nn Roadunit 370.00 Park Ded. Copies TOTAL 3,594.00 Addresa : 4041 C91BE%JIIL IEtIVE N Lot 26 Blk 2 Sec/Sub HILLS pF STDNEB_RIDGE 3RD These 1t6ms were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) Permanent steps - garage V_-? Pexmanent steps - main entry v/ Permanent driveway y__" Permanent gas ? Sod/seeded grass Trail/curb damage ? ltg)vtk, Porch Basement finish v Deck Please verify with the builder the removal of roof test caps from the plumbing systam and the shut-off of water supply to the outslde lavn faucet befora freeze patential exists. ? .??.a?a..o.. White - City copy Yellow - Resident copy Pink - Contractor copy I ? £ DATE: FEB 7, 1991 RC !241 CAliBBRHELL PR N (TAE BOTTLUND CO INC) t x Your Sewer & Water Permit for the-above property has been completed. It will be held at the Public Works Garage (3501 Coac?vman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be compfeted for the following reasons: Your Sewer & Water Permit for the a6ove property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. PleaseTSUbmNitNIaYeopy oOf youiD?stei?plumberaAlicenseNforPOLICY. 1991 licensing vith the City of Eagan. Secretary, Buiiding Inspections Dept. i ? 1 ?s? ?2357 - Sr-d is Reques oate ? F No. g-in InepMan eqwretl? ?/ W ReaOy Non ? WAI NoOy InspeEmr R E ? / 1 Wh J G Ves XNo en ee Y I licensed conVactor O owner hereby iequest inspection ot above eleclrical work at: Job Adtlress (Sheet. Bor or Route No.) Ciry (7AP7,8EEU1a L ,P FiCI G A .V Sec4on No Township Nama or No. Range No Coumy BARI) T Occupant (PRIM) Phore No. MAR ND E SO N Poww Supplier A. Adtlress FA len7 1N6 1-0 N Elecmcal ConVactor (Company Name) DHLE FRFJNKE E?EG. CqnVaclor§ Licenrs4 N. MaLng AOtlress 1COntroctor or Owner Making InstallaLOn) D FLo?210 Lr?NC A,!/ Authorue0 g Nre ICOnVactorlpvner Making Ins Lon) Phona umbar - ` g MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgys-MMwey Bltlq. - Paom S173 BE ACCEPTED BY THE STATE BOAPD 1831 Universiy Ave., SI. Pnul, MN 551W UNLES$ PROPER INSPECTION FEE IS Plpne(612t 86P-0800 ENCLOSED r*7/9??- 17 7 J 2535 REQUEST FOR ELECTRICAL INSPECTION ? See insVUIXrons for completng ihis fortn on back ot yelbw Copy. "X" Below Wollc Covered by This Request ?6TMe ?EB-00001-08 /OSGS{?' e Ad'd Rep ' TypeofBuiltling AppliancesWiretl EquipmentWrtetl Home Renge Temporary Service Duplex Wafer Heater Elecinc Heatinq Apt. Building Oryer Other (Spealy) Comm./Indusirial Fumace Farm Air Conditioner OMer (syecity) ConvaCtorS Remarka Compute Inspection Fee 8ebw: 4OFr EAn A. U i # ' Other Fee # SerwceEnirerrceSze Fee # Cirouds/Feedere Fee Swimming Pool 0 to 200 Amps 0 l0 100 Amps Tr2nSfoRnefs AboVe 200 _ AmpS Above'100 _ Amps Signs inapect«5 Use Ony. TQTAL sO Irngation Booms /J- cV Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE OR EU?DI CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTFi3. I, the Electrical Inspectoc hereby f Rough-in oaW certi y that the above inspection has been made. rinal77 oa?e - OFFlCE USE DNIV Thw request vob 18 monHis iro. ? 3 3 5 91 ,L ? ?03Z /•5 00 Request Date ?~l ?q Fre No ugh-in Inspec6on eqwrz / ? Ves ? No ? U HeaOy Now ? Will NoLfy Inspector When Reatly'I I21'licensed contractor p owner here6y request inspection of above electrical work at: Job Atltlres? Street. Box ar ule No.) ? Ciry SecOOn No Township Name or No Range No Counry Oxupan FINT?? Phom No. Power Su _ ^ //_ ' (J0.2.? Atldress Elech¢al C;o ct^r Company Name CoMractor5 LiCensa No ?3 Mailmg Pdoress (COnVador or Owner Makin9 Installation) Aulhonze0 $ignature IConVac r10wn Makmg InstailaLO R Phon e Num0e' MINNESOTA STATE BOAPD OF LECTRICITY iH15 INSPECTION REQUEST WILL NOT Grigga-MWwey BIEg. - Poom 3-173 BE ACCEPTEO 9YTHE STPTE BOARD 1821 Universlry Ave., $t Paul, NN 55106 UNLESS PROPER INSPECTION FEE IS Phane(812)80]-0800 ENCLOSED ??/9? REQUEST FOR ELECTRICAL INSPECTION 0, Sge msimclipis for completmg WS form on back of yellow capy N 33591 "X° Below Work Covered by This Request °'? Ee-0oooi.oe I ew Atld Rep " TypeolBwlding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elec[ric Heating Apt. BuAding Dryer Other (SpecAy) Comm./Industnal ' Fumace Farm Air Contlitioner Other(specity) Conhactor5 FemaBS. Compute Inspechon Fee Below: # Othar Fee # ServiceEniranceSrze Fee # Circuils/Feetlers Fee Swimming Pool O l0 200 Amps 0 to 100 Amps Transtormers AbOVe 200 _ Amps 100 _ Amps Signs mwecrorg use Oniy TO7A`L ? Irngation Booms lJ ' fj 5 Special Inspectwn Alarm/Communicauon THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certiy that the above inspection has been made. Finel ? oet, OFFICE USE ONLY • This requesf voM 18 monihs from ? 3594 • ?? ,? ??? Repuest Oate Fire Na gh??n Inspechon mretl, ? ReeOy Now ,BSNII NobN Inwecror ^s? p?">'V ? I B'?'ea ? No When ReaM's I;?Ticensed contractor ? owner hereby request inspecfion of above electrical work at: Job Atldress (SVeet, Bar or ovte No ) Gry 40 ? Secuon N. Townshp Name or No Range No Counry Occupant ( INT) Phona No. Power Sup0lier AOtlress ^ r ?GI , Eleclncal C Vector (COmpany Name) ConVactor5 License No ? • V121. 4.;L4);'--3 Maibng Aatlress (COnlractor or Owner Making Installanon) AuffwriEeO SignaWre ICoMract /Ow Making Insl aLOn) Phone Number 4 3- 3Si 0 MINNESOTk $TATE BOAPD OF EACTRICITY ` O THIS INSPECTION REOUEST WILL NOT Grlgga-MWway Bitlg. - Hoom S-173 BE ACCEPTED 8V THE STATE BOARD 1821 Unlvenlty Rve., St Paul, MN 55109 UNLE55 PFOPER INSPECTION FEE IS Phone (612) 642A800 ENCLOSED 311/9/ H 335,94 REQHEST.FOR ELECTRICAL INSPECTION ? See inshuctions br complebng this form on back of yeilow copy. `X" Below Work Covered by This Requesf I eb?~?$'.?? EB-00001-08 ? ew Atld Rap. TypeolBwltling AppliancesWUed EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt Bmlding Dryer Other (Specity) Comm./lndusirial Furnace Farm Air Condmoner O[her (spenly) CoMractor5 Ramarks Campute Inspection Fee Selow: 8 Olher Fee # ServiceEntrence Size Fee # Circmis/Feeders Fea Swimming Pool ( 0 to 200 Amps to 100 Amps ¢ hansformers Above 200 _ Amps v'700 _ Amps Slgns Inspector's use Onty. OTAL Sa Irngation Booms ?- ?2 Special Inspection Alarm/Communiwtion THIS INSTALLATION MAY B ,OfIDERED DI CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. f I, the Electrical Inspector, hereby Rouyn-on 7 [ certify that the above inspection has been made. F?nal oa?gT ? ?,! ? ? OFFICE USE ONp ? This request voitl 18 months irom Cl ?C 199 BUILDING PERMIT APP ATION . ? F ? ?. • - SINGLE FAMILY DWEL INGS TI .E DWELLIN? COMAfERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2',SETS'OF"AR°C;HITBCTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SIIRVEYS - s '& STRUCTURAL:-PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) L,SET OF SP,EC'I.FICATIONS. '. 1 SET OF ENERGY CALCUiATvIONS1 S&T;ORrENERGY''GALGS # OF RENTAL UNITS ° _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY,'ISAST;'WORKING'.DAY OF MONTH IN WHICH REQUEST IS MADE. ' LOT CHANGE IS REQUESTED ONCE PERMIT I$ IS`SUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE'WHICHrADDRESS,IS . DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS-I.S§UED' " y' ' PROCESSING TIME FOR SEWER & WATER PERMITS.IS TWO DAYS ONCE A PERMIT:HAS=,B&EN`'GOMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Dates ,?` ZSite Address Y?y7 Lot ? b Block ? Parcel/Sub HtuIS --9 3vD QD OwneY AAVk 5` MRp"I Xder$dh Address y7 (at 4P'u`l DY, /V City/Zip Code ca?9L < w 5V23 Phone W11J Contractor 5e- 11Z? LOti /^ c leY Address City/Zip Code Phone Arch./Engr. _ Address OFFICE USE' ONLY Occupancy Zoning jActual Const Allowable # of stories Length Depth (- ? S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV Booster Pump _ APPROVAIS Planner _ Council Bldg..'Off. Variance E_ . FEES°_ ..'. ; BYdg: Permi;t'+;4'? ?--SuYcharge PlanReview''`ti-:'' SAC, City`"'' '- SAC, MWCC Wa,ter Gonn Water' Meter?'Acct. °Depo's S/w Permit , S/W Surcharge?-"`_ ` Treatment, P:1... . Road Unit Park D'ed. ,Trail-Ded. ? r " Copies ' SIIBTOTAL Perialty ?Lot Change TOTAL City/Zip Code Phone # agrees that all work shall.be done in accord'ancs. with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,:,: ? PION *@? ?** 2422, Fnterprise Drive Mr.ndola Ileights, MN 55120 (612) 681-1914 of Survey,or: TN1 aoTTL UNa Co- INC.,?? uoRrN ?.t° vilv )V'_ C ? a /R 'J? N ar 8'sa? E Ss,o ?._ _._-- 0,-r ?e 3•S•00 SENlCE ?o ? ?89./ ??SS ?zpl?b Q l ' 893• ? 4 ? Il' ? ? ' p ,4o e F .869•4? \ \ ? ti \=?.o z3.• a M.S °. II.s t?:.5 M I ? ?ti?'111 `•? w GAR• 1? PRoPost^ .'?•, .? I dt ? ? It.s NW?E M ? ? ? o 205 ? Q i a 3ae • 15?'A1 _ , ?r ? ?b? \ ?,•? BsS?i s o ` 0 \ I a ? H ±. \ IS ? J ? f ? o `M ?- ? .-i z ? ? t t , .., ?? ? ?' r ?• ... _._ _. ... _ ? '?- _ ?????l,+?i'??? L1.6•_.:.x.:....«li??i??.ii?t/A.i??. ???? II O L td CO . .9oo.ou Denofes £xisfing fltvations ? oo•oo Denafes Pi-oposed Elevatrons Otnofts Drotna e U1;lif?yEasenrenf Otnoftt Omina?t ?low 7Jrrows . o Dtnofrs Manument gCCTI'lns Shown ort aeJUned A0PoS£4P-NUUSE ELEEqTfONS P Lowest Flocr !:levotrnn 886,16 ?p of 8/ock Elevofron 893.8b Goraje S/ab Elevafion 89 3.53 o Ocno%s Nub fi. LOTzi , BLOCI! z, NI L L S OF STONEBRI DGE 3aD AGD D4 KoTA CIX/MTY , M 1 NNESOTA I berebY terUty Ihet thh smvrV. Plnn or reporl wsf pr araA bY fi]fi]''hllor under mv d4ect mneiw ? nn nnd U,ni I vn duly Reqisrcred Lerd SurveVOr under the lavn ol IAe Suie ol ALnnreom. Dated thle dav o}< I?d?.d_. A.D. 19 ?l . / •',? / r7{ r-- -` /1?(II1F.R 1 R :11!i ?? i.s. r[?. rva ??ee? 90,0? Q? CQ e? ??u1 - 40{2d -V?? ? RESIDENTIAL BUILDING PERMIT APPLICATION ?'?2j • CITY OF EAGAN 3830 PiLOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWCtion Reauirementa • 3 regislared site surveys showing sq. N. ot Icl sq. N. ol house, an0 all roofe0 areas (20% maximum lot coverage allowed) • 2 wpies of plan showng Oeam 8 window s¢es, poured lound desgn, etc.) • 1 set of Energy CakulaUOns • 3 copies of Tree Preservahon Plan d lot platted atler 7/1193 . Rim Jomt DeWd Optans selection sheel (bldgs with 7 or less units) DATE I///g /0OZ SITE ADDRESS TYPE OF WORI RamadallReoair Reauirements . 2 wpies of plan • 1 set of Energy Cakulations fa hmted additions • 1 site survey lor ezterwr adOAions 8 decks . InCicale if home served by septit system for additions VALUATION APPLICANT ?Y?f(,DOf /Ff e-- STREET ADDRESS -3 (5-5 o?-? yLW`P? CITYZ TELEPHONE GWCELI PHONE # PROPERTYOWNER/ )/?? 3 ?7 ??5 ??Y? TELEPHONE# ?1??o - Q1?3 COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNF:SO'C.\ RCI.k;S 7670 C:1"fEGORI' 1 bIINTVE50"C1 RL'LES 7672 (v submission type) • Resitlential VentllaGon Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittetl Plumbing Contractor: ___ Plum6ing systcm includes: Mechanical Contraetor: Mcdi:uiic.il ,"'tcm includcs: Sewer/Water Conhactor: Air Conditioniitg -- Hcat Rccovcry• Systcm I hereby acknowledge that I have read this application, state that the in with all applicable Sfate of Minnesota Statutes and City of Ea9an Ordir Signature of Phone q is to comply OFFICE USt OXtY Phone # Water Softener Iawn Sprinkle ?V Q??? J90.00 ater Heater _ No. of R ? ? No. of Bat}is ??O? 2 p 2002 Ph ? # . LLTI-FAMILY BLDG _Y en FIREPLACE(S) _ 0 _ 1 _ 2 ZIr FAX # Certificates oF Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT # '55 I Z) 8 RECEIPT DATE: 2002 fiESIDENTIBcI. PLUM$INfi PERM1T APf'LICATION crrY oF EAsArt S$SO fILOT I{NOB RD gneM, 6uv 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME; : INSTALLER NAME: STREET ADDRESS: cirv: single family dwellings, townhomes and condos when permits are required for each unit, hankflnw nravanfwr fnr irrlnafinn cvs}pm ANDERSON,MARK 4047 CAMBERWELL DRIVE NORTH EAGAN, MN 55123 (651) 688-9143 TELEPHONE #: (AREA CODE) IJOrbIoYYI TELEPHONE#: IDIZ'92-7- 4033 - 201o5 Caccrf e.td A?,hTae. So wI-h (AREA CODE) I5. STATE: MQ Zlp; 55L409 SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00 inciudes $40.00 County fee Note: Additionai consultant fees may apply I • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING _ Adding fixtures to lower levels or room additions, excluding water sokeners and water heaters. $ 50.00 _ Abandonment of septic system. _ W ater iurnaround - exisUng dwelling unit (+ 5/8" meter if needed -$118) T _ Other: ; i - ? SEp 0 4?" RPZ: new installation/repaidrebuild 30.00 _ _ lawn irrigation system =--- ? ? ReplacemenUadditional: _ water softener X water heater $ 15.00 State Surcharge $ .50 Total g 15.50 I hereby acknowledge that i have read this applicalion, stata that the information is conect, and agree to complywith all applicable City of Eagan ordinances. Il is the applicanYs responsibility to noGfy the properly owner ihat the Clly of Eagan assumes no Iiabilily for any damagea caused by lha City during ils normal opereUonal and maintenance activlGes to the fadlities consWcted under this pertnit within C' ro e/rlghMOf-way/easement. Y?yfil SIGNAT E OF PERMITTEE 1102 I? CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, ISN 55122 PHONE: (612) 454-8100 ?momom FOR CITY USE ONLY PERMIT # Y.-C/ RECEIPT # DATE: ^ o?D 4/ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: LOT:Ao BIACK 4 SUBD. FEES INSTALLER: Ef-ARE {1TP S A/PIMoi ADDRESS: 9303 PlymaA Ava No, CITY PHONE # ZIP: 5Na-Ilc?? ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ a-1• ba STATE SURCHARGE: .50 TOTAL: / I , SIGNATURYOF PERMVCTEE iTST1LTA'L.. PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACA DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: ( S IGNAIITRE ) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 44- FOR CITY USE ONLY YERMIT # 11711Y,9 RECEIPT # O DATE: 497119191 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WFiEN PERMZTS ARE REQIIIRED FO& EACH IINIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: y04-1 CW.h6ewt1% _09- N/ r LOT: o??P BIACK ? SUBD./?! ?4 INSTALLER: ADDRES S: Co l o C t?ec. IL ?? CITY: ?vrc1 q? M.i ZIP: 5-1 jS a PHONE #: 4 rA a" a- vat OF PERMI & TOTAL 3- - 3 ?- 3- v. ,-? SUBTOTAL ST. SURCHP,RGE .50 TOTAL: SU - PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND MULTI-FAMILY BUILDINGS WfiEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS- CITY: ZIP: PHONE FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: ---° -------------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. ADD-ON MINIMUM 15.00 t SHOWER 3.00 3 WATER CIASET 3.00 3, BATH T[IS 3.00 4 LAVATORY 3.00 i KITCHEN SINK 3.00 ? IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 l FLOOR DRAIN 3.00 GAS PIPING OUT. 1 (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ( S I GNATITRE ) FOR: CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY IISE ONLY PERMIT RECEIPT # 0/%`5 $S?,'T DATE: YLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: ?/? CaMB??/Ed? ?n•/?, ? /???Q? LOT: oZ?? BLOCK ?' SUBD. 4+ti'-'?' 3 ?vJ 0 INSTALLER: ADDRESS: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER 74 WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ ST. SURCHARGE .50 TQTAL: O ?(jMMEI?CI'P;L?IIIIIIIS.?'&T?lI:'s; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY SUILDZNGS WNEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE s $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CIT)?. L , J l ` /?Jq Lc I ZIP: 1991 B?LDING61PLICATION T CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PIANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULP # OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT Pi OF MONTH IN WHICH REQUEST IS MADE. LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSi 0•* 797•00+ 72•50+ 51f3•00+ 21200•50+ 3, 594•OU* 797•D0+ 72•50+ 518•00+ 2,206•50+ 3t594•00* 3 Y NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE"WHIun nuu........ .. DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ? ?V ??- I -`7 J To Be Used For: ?,r Valuation: ? Date: ??T371'9? i Site Address qpq? dff Y1,,jm? pp Lot 2(o Block 'Z Parcel/Sub Owner 7NE 2o"t'TLt114L:> Go. IA1G. Address Qcn&::? City/Zip Code ?g? t?y.71 Phone car:'-4. Contractor c,d&f'= Addres City/Z Phone Arch./ Addres City/Z Phone / ?S Ooa•- Occupancy Zoning Actual Const Allowable te of stories Length Depth S.F. Total Footprint S.F. OFFICE US: F-3 M-1 PD R-1 V-N V-N 58' 38' On site sewage_ On site well MWCC System ? City water f/ PRV Booster Pump _ AYPROVALS Planner Council Bldg. Off. S Z-?f-91 Variance ONLY FEES Bldg. Permit ')97,Ot7 Surcharge T2, Plan Review 5l9,Ov SAC, City 00e00 snc, riwcc o ou Water Conn. O DO Water Meter 00 Acct. Deposit 30,J0 S/w Permit 3a, w S/W Surcharge Treatment P1. 2-76, 0O Road Unit po Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 4 = ???' - agrees that all work shall be done in accordance with ignature of Contractor) , all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA Lu,A 1 o; i+??'? ?. 10 CJI H(?N V ZZX22= ys3?Fxi5= 7ZG? r?.st?r 3 Z x 36 .= I l SZ _--- IiNe K i?r= I ?o?z I5 r ---?--_'^"? Fo 5v'!'i? = 11 t-Ib ) ` li 9a X 51 = Gob?jo Z n -p 'FLO,?YL 3?K32 = 11SZ Z?LK)I 11(6?XS1? (io1STo / y LI Zv-z__ 0 vc I 4s, Ooo r c A * * ** 2422 Fnterprise Drive # PIONEER_ W.owavnae•civavOrarmies Mr.ndotaHeights,MN55120 *eng*eering.. L•NOP«N•9115.LANDSCIIP[wIfCMITECT! .I612I681-I914 Certi(icata of Survey for: l!7(„ POT77 VN(/ l, O• 1JORtN t A(' ss ? ? fv 8l? O / 3?. I.° 3? a 5ER?l-e ?° 8) 6 9'S - c ?.88941 . :a.• Ilk; .s ? u,s s':•y „ , M w CtiAR. , PRaPost? M ? ? Z?rO p?WSE M I ? , Y4Jas? ' g?, IA s d- - - ? ToP se6. I g66\ 640y1 s s o 0 \ I ° ? H J ? R By ZAGAtix _ -9m.on Dtnofes fxisting E/rvativns ? _ on.eo Denefes Dropased Flevofmns ' " -- Otndts Drorno e ?y Easemenf - - - Ocnofts Oroino?t Flow Zlrrows . o Dtnnles Monument Bevlml.9 Shown ore aeluned PaocnsE?Nc?vs£ ELEVarroros Loevrst f loor Elevo tron 80fe,1 b -p af 8/QCk ElPVOlran 893.Sfo .?iortzje S/ob ElFVation 89 3.53 ? Dennlrs n?i <ef llub LOTz6 , BLOCAIz, 91115 OF 5T01V180DGE 3/?D AUD D4KOT,9 COC/NTY, MlNN£SOTA 1 hefebY cer[Ily thst thfa fmwY. Plan 0r teport waf pl arrd bY ?}ffYr under my direct « ipei ?a nn Ond that I am duly qa.qistered La?+d 8urreyor undn tha Iewe ol lhe Stste ot 111innefoa. Dated thieday o(/? A.D. 19 . / / - / ? 9nsol. ol CQ e: md?' ?`F?? U -- no?-??'_?? nrn t r, -w, i4i.5, nrn, r+o. iaeei ? ? C ? \ ?I ? It R__ 0 M 0 2 s a71 s9, /.f ° w , FY7'F.1iiOii F:NVF.1Al•t: nvr:rnr,E "u" cuMr(Yrn•rin:+ ' ouN ER ? SITE aDDSESS CONTRACTOR P-OT7L UNT,) G?. DATF. PHONE NO9Mf}NDY Vt7C-YC Deterain vork3nr; squnre footai;e of cach_ 1. Total exposed wall area .. 2r7 / ;? •L sq. ft. x 0.11 _ rL87?2 • 2. Total roof/ceiling area .. r1-7 9•V' sq. ft. x 0N0.'.6 _ 30 ,G(1 • • ., Total exposed wall area nbovc flocir = 2?? ?' Z s. Total vall window area . ........................ ???•2 . ? . b. Totel door area ................................... 10.42 c. Total sliding glnss door area ..................... -- d. Total iireplace wall area ......................... e. Total wall frazning area (averaee lOP) ............. O. ?77 f. Total net wall area above floor .................. /897.0/ . B• Total rim joist area ................ ........... .,2201'0?0 , Total exposed fat:ndntion arca h. Total foundetion vindov area ...................... /!5? -7 5 , i. Total net foundation area above grade ............. , . . Determine "U" value o: each wall :,eFment. .? 8. r a 4. 2 X,.U., o, ?2 = 77. 3 c, b. 260. 4.2 X..U„ 0.134S - 7.76 C. - X ?lU„ -.?-? _ - d. x„u„ e. 2ta. ?''I xA,u„ O.o89 - ?8.'75 r. l? 97,D! x,oU,. , g. 2 20 n. 1 S.7y x„U„ 7. Zt ;. X 3. . ............................... 'rot.::] = 2??•?7' p?` ., .. If item'M3 is the same as, or les^• !tian zten d1, yoli nave met the intent oZ SBC 6006(c)2. , 0 ? Total exposed roof/c'eilina area = I•I ?+? ? . ? .. . . . Total gross roof/ceilinp. are:i = . . ' ?.? J. Total skylight area .......................... 7. ? X. Total roof/ceiling framing arey •••••-•• """ C ?• 5 S_ 1. Total net insulated roof/ceiling area ........ Determine "U" value for clcli ruof/cei 1 ini; scf,RCCnt. . ??• X uUn ,. . ' • Il7. x„U„ O,cz7 = 3•_-. k: Z. Z = 2 1. .....:. Total _ ZG.53 k . ............ . ........... ?G(? , Ii total of #4 is the same as,. or less than N2, You have met the intent of sac 6oo6(c)i. - • To utilize the total envelope system method, the values establiahed by the stm of iterls N3 and Bb shall not be 6Teater. thxn the sum of iten:s 81 end N2. 1. + 2. ?+ 4. . , .. :., . ? o , _ . ... O a ????-?uu???-- _- , ? )I r?I?-?tcNt• I (D ??fi F--- Flu; µ : ? -IS-?- IN?; u n ,_. -a,??--- _Zq,-_? _ --- r"-?'?---- - - - - o- ? -- --- I ?R= 3S?g-3-----? 02-j -- _ o. 45 c?,U 3 .-VAI.U5 6AI.G"'("lOW-,7 (GoN'(). lui .L1 ?. -rFAMt?- WAu. @ IN?t.I?A?loN t oMPo H?r??i ? 0_043. -fFFtMO' WRU. C 47PD LoM PaN?NTh - pl,rN. vieW. oAT[;?IDE AIP Fi t.M -?u hIDINc.. . - - _..-t{V,AVIN6r . ? ?--- % yu G`( R CaD ? t?51D? WfL ?I?M, C C C Cf - C L o_uT,!;,?0E Aifz Rl.?u. -?Z??hI?INfr. .2NvA1H I N O . ? ?xc, h1Uv(??+?) ? ir*iM P+ilz RLM. . - . R - vA?.u ? (q.o • -_----p;Co'o - 23.oI - : F--VALUL 2.OV _ .---- __. - ?T?fi?. -- u = i ? D. 069 . Fit%L ? ? ? , Sb X o.04'?> _? =G?JNP?. ??U = 0,12 X o.ot?9 "f'(o. = O• 04' - ? ? ? ? ? 0 ??A714 _. ?1??_ J ??6ul.. ?xT -???.-?I?M • -2.-Co o ". . - -- I•Ss -- -o, c.,2 ?? ? z9 327 TmNpc"TdN I -. caMFbN5N',G (D O 03 C ?1' ? _ ??•. -?? --???? ---- - ? _tt?.3 ~ o• r, ob< RESIDENTIALBUILDINGm City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauiremenk 3 reg'stered site surveys showing sq. ft of lof, sq. ft M house; and all roofid areas (20% marzimum lot coverage allowed) 2 copies of plan showing 6eam 6windowsizes; poured found desgn, etc. 1 set of Energy Calalations 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joist Detail Opbons selection sheet (buildings with 3 or Iess unKs) Minnegasco mechancal veMdation iwm RemodeVFteoair ReauiremenLs 2 copies of plan showing tootings, beams, josls 7 set of Energy Cakula6ons for heafed additions 1 sRe survey for additions 6 decks Addif'ron - indicafe 'rf on-site septic system ?? . z.s' w 1{+0V Office Use OnN CertofSurveyReW - _Y _N TreePreSPlanRecd - _Y _N_ Tree Pres Required _Y _N On"i[e5epticSystem _Y _N lil IG .. S 9 9 V'lht Date r / D_ ?, / ?d 62 struction Cost /?[ 00 v C o n Site Address Y ' / 7 7 C_G?/J7 / /? , ? t?"/"' CA/C?// ? zU/' / I/ Unit/Ste # M ? ss/ Descriptioo of Work Multi-Fsmily Bldg _ Y V N Fireplace(s) _ 0_ 1 _ 2 t O /' P (Q? 51) a a 6' ?6 7 ? /7p derSG? Telephoue # (6 wner roper y i? . , Contractor >?A c Address CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted In the last 12 on , as the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in confonnance 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 pernut, 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. Mark 1?- l , rJl) Applicant's Printed Name `A? / Applicant's Signature DO NOT WRITE BELOW THIS LINE 0? . ? Sub Tvpes ? 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 ;K 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding )11- 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •DemoliGon (Entlre Bidg) - Give PCA handout to applicaM D@SCrIpt10I1: Water Damage _ Yes Valuation (J l7 Occupancy MCES System - Plan Review 1000a or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) _ Footings(addipon) ? Foundarion Dmin Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED IN5PECTIONS _ Sheetrock FinaVC.O. ? FinaUNo C.O. _ HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: , 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 V". /? ? vJ1?dJ• 30<6- x1? _ ?9?? . .. I RO?3E `Oa'iw?Ne"RS?a ?n suRVEYMs VGtNEERING COMPRNY, INC. MARK ANDERSON ? PROJECT NQ. 13432.00 BOOK PAGE l1000 EAST 148th 9iREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000? CERTIFICATE OF SURVEY Legal Description: LoT Zs, BLOCK 2, HILLS OF STONEBRIDGE 3RD ADDITION DENOTES EXISTING ELEVATION = FlNISHED GARAGE FLOOR ELEVATION SCALE : 1" AS-BUILT SURVEY LOT AREA: 18,858 SQ.FT. HOUSE AREA: 1,671 SQ,FT. ADDRESS: 4047 CAMBERWELL DRIVE 30' _ ?RIVE NJ H ? cAMBERWEIIzoA'.°7 ? 5t v bCIR 11 DRAINAGE AND UTILITY EASEMENT ` N89'59'14"E I hereby certify thot this is a true and correct representation of a tract as shown and described hereon. As prepared by me this 6+?` day of 7-^Q , 2006. _,1e1.,anR /.Ie/sirM-Qe- Minn. Reg. No. 49086 Use BLUE or BLACK Ink r-----------------+ I For Office Use � ' � Permit#: �a/ I�vS� � Clty of �� ras�� Permit Fee: 3830 Pilot Knob Road � r7 � Eagan MN 55122 � Date Received: � � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �, r,��G� �'�� Name: ,�+i' fi�� Phone:��/"-.��lo "�� ReSidE;ntl ,//� OWn�r ' Address/City/Zip:,'`��/iJ�/L�v✓�// �fe�� .� ' Applicant is: Owner �Contractor Description of work: �� 2�G�' � T � Of Wc?rk Yp �j �� ', Construction Cost: ?/�G�� Multi-Family Building: (Yes /No`� � � �` ., � �` /� >,S� •,:�- C�d• � � .. � Company: cr� __ , T�. cvsoC:�''<.�." C�tact: ��i�"��.�'d<s.!-��/� � : Address: `�L� �/� ,t� City: � �� G.Otl�t'1G�Ql" ' State:j��ZipS�� Phone: Email: License#:�L�l�! d d3 � Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �s l�'� �. 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: � NC}�'E;Pfan��arii�sup��rt�r��dc��ur►��ts'��yvu subtrii�:are�cvns�tle��d ta-b��pr��lr�c int'orrna�iar�. Fartio�rs c�f ths tnform�tior�,�nay i��ss��'��r�vn public�!.��'��ou�rn�ride specrfi�rea��ts t�r�t w+�uld��it the Gity#cr �� .�. _�.: �� 4..�'. ��,�r�ci�rd�:t��ta �xh�._'�i�e�r�de se�r�e�s. ��: i � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .,�`.i Exterior work authorized by a building permit issued in accordance with the Minnesota State ai(ding C�de must b ompleted within 180 days of permit issuance. � ` r' �,,�� :9 .�'' ,.. ,.''' �` � � ��t�; �7.s f��"�G� x ,^"�...�-,J/y,,�. ��i Applicant's Printed Name Appl ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160509 Date Issued:03/13/2020 Permit Category:ePermit Site Address: 4047 Camberwell Dr N Lot:26 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark G Anderson 4047 Camberwell Dr N Eagan MN 55123 (651) 206-4672 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164886 Date Issued:10/09/2020 Permit Category:ePermit Site Address: 4047 Camberwell Dr N Lot:26 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-260 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 - Mark G & Mary E Anderson 4047 Camberwell Dr N Saint Paul MN 55123--392 (651) 206-4672 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature