4044 Camberwell Dr N
j
J J
(9trfiftraf• of (rrupaury
Citp of eallan
Mrpwbnna d 1 rrtintc
T7ifs Certificate issued pursuant to the requirements of Section 306 of the Uniform Budding
Code certifying that at the time of issuance this structure wlas in compliance with the various
ordinances of the City regulating building consmuction or use For the following:
SF DWG/GAR 20199 Ms. hnwt No. R- M PD Vn
0-W-7 Type
d-"49dI RD., FRIDLEY, MN
L3, B3, HILLS OF STONEBRIDGE 3
v Lonu~
k0diq JUNE 11, 1992
Deter
o~.I
POST IN A CONSPICUOUS PLACE
dG,.qVAT[ Wio, bECiC 08/14/92 'CITY OIL EAGAN,
DEM SPF. ULIST e 450--oQ,40 , w
f 3830 Pilot Knob Road, P..C . Bo* 21-199, Eagan; M14 55121 ~
PHONE. 681-4676 p
BUILAG PERMIT Recei t,4 01.71
To be used for Est_ Value $135,WO Date MAC{ 110 18~~
Site Address 40 44 CAMBERWELL DR N
Lot 3 Block 3 Sec/Sub. HILLS OF OFFICE USE ONLY
TONE R-3 M-1 FEES
Parcel No. occupancy 762*[
Zoning Bldg. permit
Name THE ROTTLUND CO INC (Actual) Const V"N Surcharge 67.50
LU Address 5201 E RIVER RD (Allowable) Plan Review 495.00
# of stories
o City FRIDLEY Zip 55431 Length 48~ license
Phone 571-0304 Depth 34 ' SAC, City 100.00
Name BAIL S.F. Total SAC, MCWCC 1-00 -22
cc _
S.F. Footprints 67-5.00
Address On Site Sewage Water Conn
C' Zip On Site Well Water Meter 95.00
MWCC System W.00 Ir
Phone ~ Acct. Deposit
Q city Water
U License # PRV Required &W Permit 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge , 50
;
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 300, 00
1
Signature of Permitee APPROVALS Road Unit IsO. Q
1
A Building Permit is issued to: 'M ROTTLDND CO INC Planner - Park Ded,
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies f
Variance TOTAL 3,635.00
Building Official i ,
i
Permit No. Permit Holder Date Telephone #
'snrv Y 9 ~ !v q/~~
PLUMBING/>~ ,~~-a?fo2f
HVAC a7-0-
ELECTRIC WSJ` ) CP/f~/°"
ELECTRIC
i
Inspection Date Insp. Comments
Footings I/ !rte`
Foundation
Framing T 2
Rooting 7f3 ,,I-
Rough Plbg.
Rough Htg. 23 4d-- Z~
Isul.-
Fireplace It .
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final Y/gyp 3
Well
Pr. Disp. /Q
J o-2 G~~7 3S
,tei6r.~te~ - 71
L
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # ?5 / PERMIT DATE d3/10/92
12599
3830 Pilot Knob Rd. CHIP # 31 a U & PERMIT #
Eagan, MN 55122-1897 METER SIZE t'1'S B.P. RECEIPT # C 017718
3-3-92 ISSUE DATE B.P. RECEIPT DATE 43/10/92
DATE
PRV _ BOOSTER PUMP
SITE ADDRESS 4044 Camberwell Drive N PERMIT REQUESTED
LOT 3 BLOCK 3 SEC/SUB Hills, of StanPhr-idgA
X SEWER R WATER -TAPS
APPLICANT: The Rottlund Ca Inc
ADDRESS: 5201E River Road COMM/IND X- RESIDENTIAL
CITY, STATE Fridley, Mn. Zip 55421 X NEW - EXISTING
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Valley Pli ng Ahead of Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane Credit WILL NOT be given for Deduct Meters.
CITY, STATE Jordan, mn, Zip -55352- f(
PHONE: 492-2121
GREE TO COM LY WITH CITY OF
IA
OWNER: Th Rottl Ind ro Tnc/ EAGAN ORDINANCES
ADDRESS: 5201 E River Road
CITY, STATE Fridley, Mn. ZIP 55421
PHONE: 571-0304 IGNATURE WHEN ~TERISSUE6
PLEASE ALLOW TW`O WOKING AYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER &_YVATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 03/10/92
3830 Pilot Knob Rd. 12599
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C 017718
ISSUE DATE B.P. RECEIPT DATE 03/10/92
DATE 3--3-92 f
PRV -BOOSTER PUMP
SITE ADDRESS 4041 Camb,2m,911 Drive N PERMIT REQUESTED
LOT 3 BLOCK 3 SEC/SUB Hills, of 5t rie 'f + 9
X SEWER X WATER - TAPS
APPLICANT: The Rottlund Co Inc
ADDRESS: 5201 E. River Road COMM/IND __X_ RESIDENTIAL
CITY, STATE Frld.! ey', Nn • ZIP 55421• NEW EXISTING
PHONE: 571--0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Valley Plumbing Ahead of Domestic Meters on Water Line.
ADDRESS: 610 Creek Lade Credit WILL NOT be given for Deduct Meters.
CITY, STATE Jordan a mn, ZIP 55352
PHONE: 492-2121,J1
I AGREE TO COMbLY WITH CITY OF
OWNER: The Rottlund Co Inc/ EAGAN ORDINANCES
ADDRESS: 5201 E River Road
CITY, STATE Fridley, Mn. ZIP 55421
PHONE 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r
Address: 4044 CAMBERWELL N Lot 3 Blk 3 Sec/Sub HILLS OF STONEBRIDGE 3
These items were/were not complete at the time of the final inspection.
Date: 6/11/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry Ll~
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. Qj
R![~'LI FwOMRR
White - City copy Yellow - Resident copy Pink - Contractor copy
y/( J/9,,;L REQUEST FOR ELECTRICAL INSPECTION '07"?y4 1:8.00001-08`/f
f1i See msVUCLOns Ito completing his form on back of yellow copy f. 10 C 2
_
J 3 5 8 8 8 X" Below Work Covered by This Request
New Add Rep Typeot Building Appliances Wired EgwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 -Amps Above 100 -Amps
Signs inspectors Use Only TOTAL
Irrigation Booms J /
Special Inspection (P v~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
_
I, the Electrical Inspector, hereby Rough-m we
certify that the above inspection has F,na1 ale 117yc" 14A ) ;k
been made. t J n s'~
OFFICE USE ONLY VV
This request voz 18 months from v
DATE: NAR 10, 1992
RE: 4044 CAMBERWELL DR N (THE ROTTLUND CO INC)
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
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.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
y/1/yam
J 3 5 8 8 5 ,
Request Date Fire No Rough-in InsperionLI
3- / 6 Required'' ❑ Ready Now ~wlll Notify Inspector
o ~Ves ❑ No When Ready?
I,Jaficensed contractor D owner hereby request inspection of above electrical work at:
Address (Street. Box r A 0 Na) City
D44 fl~ . xa-
Section No Township Name or No Range No. County Occup t (PRINT) Phone No.
Power Sandier
Eleclnca onlractor (Company Name) Contractors License No.
'k )-41z 3
Mailing Address IConbactor or Owner Making Installation)
Authored Signature IConh Ion r Making Insult uon) Phone Number
b T 3P,
MINNESOTA STATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-113 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE is
Phone (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION E13-00001-08
►
O[~
885 See instru-0ons for gompleting this form on beck of yellow coW.. /t%n,53
~c,,,"'..# o T
J 3 "X" Below Work Covered by This Request
ew ~tu'Rep Type of Building AppllancesWired Equipment Weed
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below.
# Other Fee # Serwce Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 -Amps Above 100 Amps
Signs Inspector's Use Only ' TOTAL O
Irrigation Booms S4
Special Inspection J
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Date 7.
been made. /0 A'
Ih
OFFICE USE ONLY
This request void 18 months from
Request Date Fire No Rough-in Inspection
o I, 'red, ❑ Ready Now L}Will Nobly Inspector
3 ' 1 Z. -9'Yes L3 No When Reatly?
I ;4~ricensed contractor ❑ owner hereby request inspection of above electrical work at.
Job Address (Street. Box Route No 1 ~ City
Section No Township Name or No Range No COLMY
Occupan RINT) Phone No.
Power SU er Address
Eletlric on(r for (company Name) Contractor§ )sense No
a 2_-
Mailing Address (Contractor or Owner Making Installation)
Autbon ed Signature (ConlractoUO na M n Installation) 14L 3 Phone Number
- 3e1z)
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5.113 BE ACCEPTED BY THE STATE BOARD
1821 Un irerelty Aye.. St. Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS
Phone(612)602-0888 ENCLOSED.
qS~ 6D
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date \ / 6 /0-1
Site Address L1CLA4 tJ Unit #
Property Owner Sh2-k\~ Telephone # ((61 ) L♦ 67-L o i
Contractor \~t7v~Y+r ~,S ~1~~Y1~ILlt't~ tW~t"hll~ Cnv'-6 -souiek r xy-
Street Address S~5 i_QMlj\QV\ City 4~1
State \U Zipl~\D~ Telephone# (6Sk )Z"Z.i6AR11
Bond LA (~A(a Expires: pQ(-% - W,
The Applicant is Owner Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
V furnace -Additional ✓Replacement _ New
air exchanger
air conditioner
heat pump
other
OUFP
-'J
State Surcharge $ .50
JAN I ;Tli!
Total $
i
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
I
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. n p ~I
XY1\..Q_. ~.~,D on& o NY-_ Y "Q kY.KJCl.~t1 tt~
Applicant's Printed Name Applicant's Signature
5-~q 3S PLUMBING (RESIDENTIAL) 1,5D
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 0.;)- ! G 5 / O 3
Site Address '/0 'lq (a l-7 Aei' w(f Unit #
Property Owner _-S!7 e /4,/ u )n Telephone # ( )
Contractor
Address L G2 City /i<'/i' si ✓1
State In 14Z Zip Telephone # (7G~) ~//C* " rJS1L/
The Applicant is Owner C tractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
/Adding fixtures to lower levels or room additions, excluding water softener and water heater
- Abandonment of septic system
- Water turnaround 5/8" meter if needed - $121.00)
Other:
- RPZ _ new installation _ repair _ rebuild $ 30.00
- Lawn irrigation system 12~
Water softener _ Water heater $ 15.00
replacement _ additional D ~'8 5 2p03
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing 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 Plumbing 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..
Aelooke"
Applicant's Printed Name Applicant's Signature
5'? 7 `1 y P70.00
RESIDENTIAL BUILDING -rr Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 G }cocoa c
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Recuirements RemodeVReoair Reouirements Office Use Only
3 registered site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pros Not Reqd
1 set of Energy Calculations Addition - indicate if onsifa septic system _ On-site Septic System
3 copies of Tree Preservation Plan If lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date I / Za / 03 Construction Cost _ oqe&x 1606
Site Address 1 Ot4 4 C 4 rflbc r we~) (r V f Unit/Ste #
Description of Work f) 1A, n5 &SE m n l
Multi-Family Bldg _ Y _j N Fireplace(s) _ 0 - 1 - 2
Property Owner 5~eit Tc (1Q~S~n Telephone # ( 651
) 45 Z u l6
Contractor Pon k Cod Tink
Address M31 Qc sS City //ovy
State Mt,\f\eSotj\ Zip S530y Telephone#(-~63) 65Z-6585
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone 6 E-1 °J
I hereby apply for a Residential Building Permit and acknowledge that the info tion is com -and- ccurate;
that the work will be in conformance with the ordinances and codes of the City c an 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.
mtir 5'eaS~nre S
Applicant's Printed Name Applicant'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 ❑ 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 )V 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 Occupancy 3 MC/ES System
Census Code L 3 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const_ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck) Final/NO C.O.
- Footings (addition) _ Plumbing
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 (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
L dverz Jet, e l ~ o. o 0
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL 3 0aa'
rf BUILDING PERMIT APPLICATION
5 I a.3 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681.4675
New Construction Requirements RemodeUReoair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addition
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior adddion & decks
• 1 set of Energy Calculations indicate if home served by septic system for addition
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units) Q / ~J
DATE GZ VALUATIOItI' ( 7,, 0 7 / 7
TE ADD MS / 041-111 r Cryl~+~c// D1-' ~ MULTI-FAMILY BLDG _Y 'kfi
O RK & 5d0% Ao ors„ 120mali, FIREPLACE(S) - 0 _ 1 _ 2
APPLICANT
STREET ADDRESS / LZ-V~ /t/46&WCl1- /Rv STATE A/ZIPSS 3 V
TELEPHONE #70-' -0151 CELL PHONE #jt jFAX # 742-7- 921-5
PROPERTYOWNER, 9-e(l / W"-oSo TELEPHONE #G3/-~54- cJl(02
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNE
(J submission type) • Residential Ventilation category 1 Worksheet Submitted • ~e~( cis mitted
• Energy Envelope calculations Submitted lL':' U
JUN 0 4 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler By
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ON
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY OF EAGAN No 20199
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681.4675
BUILDING PERMIT Receipt # C 017718
Tobeusedfor SF DWG/GAR Est. Value $135,000 Date MAR 10 , 1992
Site Address 4044 CAMBERWELL DR N
Lot - 3 Block 3_ Sec/Sub. HILLS OF OFFICE USE ONLY
FEES
D R-3 M -L
Parcel No. STONEBRIDGE 3R Occupancy
Zoning PD Bldg. PortnR 762.00
Name THE ROTTLUND CO INC (Actual) Const V-N Surcharge 67.50
w Address 5201 E RIVER RD (Allowable) V N Plan Review 495.00
O # of City FRIDLEY MN Zp 55421 Length 481 License
Phone 571-0304 Depth 541 SAC, City 1 DO- n0
Name SAME S F. Total SAC, MCWCC 700.00
S.F. Footprints
17- Address On Site Sewage Water Conn 675.00
City Zlp On Site well water Meter 95.00
System Acct. Deposit 30.00
Phone c y X
Cry
8 License # PRV Required SAN Permit 30.00
1 hereby acknowlege that I have read this application and state that the Booster Pump SAW Surcharge .50
information is correct and agree to comply with all applicable Slate of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 100-00
Signature of Permitee APPROVALS Road Unit 380 00
A Building Permit is issued to: THE ROTTLUND CO TNC Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances Bldg. Off. Copies
Building Official '9611q q,D d ! meL1 Variance TOTAL 3,635.00
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
14 681-4675
S- I = sets of plans, 3 registered site surveys, I copy of energy
D L a calcs.
CO rtCIJL1992 2 sets of architectural & structural plans, I set of
wwtt specifications, i copy of energy calcs.
Pen tr be of permit is requested, but not picked up by last working day
of i1ro n-wKi`ch re nest is made r lot chan a is re nested once permit is issued.
Date C W- Valuation of work jcc?-n":>
Site Location: 4ock4 .ti, a PO 'I •d1
STREET STE #
Tenant Name: - K,- Vc,Nl~ .;1 C )Pic
LOT BLOCK SUED. 94 P.I.D. #
Description of work: e 1
The applicant is: Owner P~kContrractor ❑ Other (Describe)
Name -TA e Pod//r.,. ~ /he. Phone
Property LAST FIRST
Owner Address G-Zc7/ E. Lave., .--J-
STREET STE f
City Fr,:J-1~ , State &n. Zip g~n;421
Company -The #1L,-.L -e~ /nc. Phone t11-03~~
Contractor Address Cam/ C. f2iv P License # c i3~S ,t
city Fr'yL~i State /~lri• Zip X121
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber QQ~v h~ndM• 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.
_p;~~~
Signature of Applicant: PY4
OFFICE USE ONLY
FUILDING PERMIT TYPE tg
x Y
❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch +16 Agricultural
A 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move
❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition
❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous
❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac.
WORK TYPE
90 New ❑ 93 Remodel ❑ 96 Move
91 Addition ❑ 94 Repair ❑ 97 Demolish ~d
❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined
GENERAL INFORMATION
Occupancy P-S le- / Basement sq. ft. /061/ MWCC System
Zoning P.D. 1st Fl. sq. ft. /0(0,/ City Water ?T
Const. (Actual) -44 2nd F1. sq. ft. 10lo v PRV Required
(Allowable) y 1p, Sq. Ft. total Booster Pump
8 of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth 33 On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
vstiat;m: $
Permit Fee 3S- 0
Surcharge yg~,,5o Q ~ISt -2
Plan Review
License ziA- 28 = 4)8Y Y ~O'r2°'r/G
M
City WCC SAC Do 20,f l y - 0 /06 X913
Water SConn. ~b Yk~
Water Meter (o)c/e o
Road Unit go z9; S639z
en ) J
RaAd_Unt>- 9/. °
-Parrl)Lsd. Sv., _ So
Trails De .
Copies 13 4~O
Other
J
Total:
SAC %
SAC Units
/ * * 2422 Enterprise Drive
* PIONEER LANDSURVEVOM- VVILENGINEERS Mendota Heights, MN 55120
engineering- LAND PLANNERS- LANDAPEARCHITECT
1689 11
Certificate of Survey for: The Rottlund Company, Inc.
House Address: Camberwell Drive North. Eagan. MN
Model Name: Hampton
R = 921.69
= 05°22'23"
L=86.43
n
T---------- --I
15
I 1
(.n
(n 1 1 to
Co O II I j
1 0
A N CP y fn
m I ~
1 003.3
22.00
44BB 0() NOSE
V.a.. N 1 W
tl PROP BASEMENT m >
FULL u i u
WALKOUT w
u ~I w ' 27 33
GARAGE m Zp,00 I-
20.67 ° _ -
75.00
- ` 091.3 , o
X11 - _ _ ~g 886.6 _
o L DRIVEWAY
889.8
5.8008" W °
S 81 2
C AMBERWE'' -
ate
_ _ - - - l EAGAN EN INEERING DEPT
900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
900.0 Denotes Proposed Elevation Lowest Floor Elevation: 883.85
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: 891.96
-o- Denotes Monument Garage Slab Elevation: 891.63
B Denotes Offset Hub Bearings shown are assumed
LOT 3 BLOCK 3 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3RD A D D I TI O N
I hereby certify that this survey, plan or report was prepared by me or un er my irect supervlslon and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated thls78711 day of FORA-1 A.O. 19 ')-2-
.
Scale: mch= feet
ROBERT SIKIr:H .S/REG. NO. 14991
y
0® 90301.29
THE HfFMPToN .
1 FX1'FRIOR ErrVEMPF AVENAGE "u" CuMPUTATIO!j
0.-
S-. En
SSTL ADDFE'ss LOT ~LOCK3 HILLS 45# 4bb,A~)
CONTRACTOR P29 71-1-ul o :-D
• DATE PHONE
Determin workini; square footai;e of each.
1. To' al exposed wall area . • 2(P-75r. -Z sn. ft. x o.11 = 2g4,Z
2. Total roof/ceiling area /0 ft. x 6 026 = 27~ G
•
Total exposed wall area above floor = 2 6 75 L
a. Total wall window area v7-7
7.7
c Total door area
C. Total sliding glass door area
d. Total fireplace wall area
e. Total wall framing area (average 10%)
2
f. Total net well area above floor ZZ,C7
_I 'I g. Total rim foist area ?
Total exposed foundation area = f Z(, (e
h. Total foundation window area
i. Total net foundation area above grade
~D7ete~rJmiin7e "U" value of each wall ;rrment. 1
b. 3b,-7 _ x ..U., 0,13 _ 5.
C. 39.91 x IV. 0,4-L 1;' .
d. X IVI _
e. Z13. Jr(o X Ili" 0.~~ I - ~grOCJ
r. / 9 ZZ,o(o x ,.U,• O, o¢3
g. 243, Z x ..u" p IO+
h. X ..i1„ _
x ..U. 0.1~" 17.07,
3 . for.a] = 2~F 7,,/S
ale--
If item k3 is the same as, or less: Uu,n iLcm rl, you have met the intent
of sBc 6oo6(c)a..
J, .
Total exposed roof/ceiling area = ~D
Total gross roof/ceiling area =
Total skylight area _
k. Total roof/ceiling framing area.
cf 7, e4 Total net insulated roof/ceiling area
Determine °U" value for cacti ruaf/ccilins; scgmcnt.
x lull _
k.* X lull -7
1. gy 7, 4. x "U.. p, a 2 Z = Z 1,.0~
4 . Total
If total of N4 is the same as, or less than N2, you have met tt.e intent of
SBc 6oo6(c)l.
To utilize the total envelope system method, the values established by the
sun of items N3 and 14 shall not be greater.thnn the sum of items S1 and 12.
1. + 2.
3". + 4. _
U
J °
VPc I.>a~ GA l ,UJ-jo W5;r (GcN-().
HA G~ "IN~ILA~IoN
LoMPONfiN~i . ~-~lALIaE
_ I
~J
~1 2
4 ~5, Oyu GYP, IUD n.45
-FFAM; WAUL C. ~Ti ID
IoMPoN~N j5 F--VALUe:
ti
3 hHE~AjHINIs. IIOU _
PAD...
" C INh~Dtr Abp FILM.
~Tofai;-
_ Pl,1,N View.
f-
~ =G~J41 P~. ICU = (0,12 X o.0~9~ t(o.Sb X o.043> ~ D. off-
L"=Fib? AIM ao~hi. - I•ss
q O 5Hi:,>-A'rHIWc.
dF-7)
12
03 IZL
i
I
/lL
l.?
Os H!aa -I
0.027
2
~.-44-.4 -
41
= 0.022
Chi ~U 3
L Z =-A 3 CITY OF EAGAN CITY USE ONLY
ry PLUMBING PERMIT
SUBD.~kYEt (612) 681-4675 RECEIPT # 161-210
DATE 31ol3l ;~L-
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:
~j NO. FIXTURES EA. TOTAL
NEW CONST X REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 3
REPAIR WATER CLOSET 3.00
BATH TUB 3.00 -
LAVATORY 3.00 -
OWNER NAME: ~b~{ I KITCHEN SINK 3.00 3 -
r 1 LAUNDRY TRAY 3.00
SITE ADDRESS: y~ l r5 .~•.t~ ~1 ( ~'Z v HOT TUB/SPA 3.00
WATER HEATER 3.00 3 -
I FLOOR DRAIN 3.00
f -r-
INSTALLER: \I\1C~~ Cc~ GAS PIPING OUT.
(MINIMUM - 1) 3.00 3-
rrA ROUGH OPENINGS 1.50
ADDRESS: l~ O E'_CC C OTHER _
WATER SOFTENER 5.00
CITY: ).~J^S n ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE fed W. TURNAROUND 15.00
STATE SURCHARGE .50
SIG A~OF P ITTEE TOTAL: 14.
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 #
PHONE: (612) 454-8100 RECEIPT # o
GCti7Rt;T DATE: 9 (o
5 ? NS AI< 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 6.00
GAS OUTLETS - MINIMUM 3.00
l 1
OWNER OF 1 PER PERMIT
NAME : 1 °\C_~ ,t t1111I 'UY/Y~~) Oc/
SITE ADDRESS: l_.rir-nl7!Y-l X -j L 1 N SUBTOTAL:
? STATE SURCHARGE: ~.50
LOT:J BLOCK 3 SUBD.~ d TOTAL: $ /2'50
INSTALLER: A A-RE HTG I A/CsING,
9303 Plymouth Ave. No.
ADDRESS: Wn MIL 55427 SIGNATURE PERM TTEE
CITY: y ZIP:
PHONE
t24ERGliLjllVT1S`TRIA7i ` 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 SUED. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
PERM,.IT it CITY OF EAGAN
REACTIVATE 1992 BUILDING PERMIT APPLICATION
IL01441 681-0675
AU G. 1 2 RECO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot change is re guested once permit is issued.
Date A / _4L- / _.Q, Valuation of work
Site Address: YQ L f CAmb u~R Baca ` LQ. 1l
STREET 1 SUI7E
Tenant Name: (commercial only) G o uN'1 Q41
i L
LOT BLocx -3 I SUBD. HILLS Of P.I.D.
STrWESPIr-)ec- 3RD
Description of work: bxzk~
The applicant is: O Owner id'Contractor O Other (Describe)
Name -RD~trt~ M R 1,1 Phone GRR 82 S
Property LAST FIRST
Owner Address ~4~
STREET STE N
City (-ora44n State VI/1/1 Zip
Company ~dN _ SIDdce/4 Q ~.CI' Phone 4SO -1910
CAlkrti 'Pa,,ar 64 j- 2142.
Contractor Address 1a3g lta4 ccl.tcr ~USC-. Licensedoco Exp..j 3_
City JState Mh Zip ST 1i
Architect/ Company Phone
Engineer Name Registration A
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:
I--t'.I 14
fi * * 2422 Enterprise Drive
* PIONEER Mendota Heights, MN 55120
LAND SURVEYORS. CIVIL ENGINEERS
engineering- LAND PLANNERS•LANDSC APE ARCHItECTS
(612) 681-1914
an_y, Inc._
Certificate of Survey for: The ROttIUndComp
House Address: Camberwell Drive North, Eagan, MN_
Model Name: Hampton
R = 921.69
= 05°22'23"
L=86.43
n
5
1
I I
1 I U1
I O 7
Ln I I to C
P. LA
CD ~ I 11 LA o
I I 0)
N_
W DO
A aLn I _ I r" EAGA.N
`r a I
rn I 15 II REVIEWED
I BB3.3 ,f 2' BY
I pc 22.00 Il
4W)0
SE I
HOU
1" PROP05E0 N I i DATE
BASEMENT L
PUEE w
_ wALxout w I a
I U I
1 GARAGE 27.33 2200 II_
rn
I 20.67 b 1
15.00 891.3
1 ~g
DRl`1E`NAY
Begs)
.0
l _
CAMgERWE .r..
ate 3
EACaAN EN INEERING DEPT
900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
900. Denotes Proposed Elevation Lowest Floor Elevation: 883.85
Denotes Drainage & Utility Easement Top of Block Elevation: 891.96
Denotes Drainage Flow Direction
-o-- Denotes Monument Garage Slab Elevation: 891.63
-E- Denotes Offset Hub Bearings shown are assumed
LOT 3 BLOCK 3 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNESOTA 3RD A D D I T I O N
I hereby certify that this survey, plan or report was prepared by me or under my 0rrecTsupewwswn an *jh s I em duly Registered Lend Surveyor
under the laws of the State of Minnesota. Dated thlsTe 74 day of F61512Un2Y A.D. 199 - ,
Scale: 1 Inch _30'-Bet tzlrz
R09ERT . sIKICH .s/nEO. No. 14991
-031 90301.29
99
2007 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 Only
3 registered site surveys shoring sq. R of lot sq. it of house, and all roofed areas 2 copies of plan showing footings, beams, joists Celt of Survey Recd _Y -N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions sods Report
i Sots Report K proposed building is to be placed on disturbed sad 1 she survey for additions & decks Tree pre; Plan Recd _Y -N.
2 copies of plan showing beam & window sizes, poured found design, etc. MAW - indicate it or-site septic system Tree Required System -_Y -N
I set of Energy Calculations
3 copies of Tree Preservation Plan K lot platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Wrinegasco mechanical venbdation form
Plans are considered public information unless you state the are trade secret and the reason.
Date 9T l 30 , d 7 Construction Cost 47
Site Address ~(J~ &2 eLI4/ Unit/Ste #
Description of Work I /ws-11
Multi-Family Bldg _ Y - N T Fireplace(s) _ 0 _ 1 - 2
Property Owner Safi ~ 0 - Telephone # 3 d 7 3 Z 3
Contractor NK V LI orf
Address Z N 7 vp • • ' City -Af~7v
y"'~'a '
State Zip X s// 4i Telephone # (or
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
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has 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 Telephone )
Mechanical Contractor Telephone )
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.
~a.~tolil. - r
Applicant 's Printed Name Ap icant's tgnature
For Office Use
i I
I
I Permit
City of Evan
Permit Fee:
3830 Pilot Knob Road 2
Eagan MN 55122 Date Recei n i~
Phone: (651) 675-5675 staff:
Fax: (651) 675-5694 I-_---
2008 RESIDENTIAL PLUMBING PERMIT APPLICA BON
Date: I Site Address: t tz4LI CA)kMW)r-W-eAi
N
Tenant: Suite
RESIDENT / OWNER Name: Gy- 1y l7 Phone: (psi- 452 - L{~~
Address / City / Zip: Lkic q rn M
F2's ~ivav~b~-oti tc~
CONTRACTOR Name:
Address:
City: ~t M` t7~A State: ZIP: t1+ 1~ S
Phone: J(j 1 & Contact Person:
TYPE OF WORK -New -kReplacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater -Water Softener
_ Lawn Irrigation -Add Plumbing Fixtures
RPZ PVB) Main _ Lower Level)
Septic system -Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 it a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTALFEE
$ B
hereby acknowledge that this information is complete and accurate; that the work mll be m 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
a cordance with jhe approved plan in the case of wo which requires a review and appr al of plans. c
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In _Air Test -Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118400
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 4044 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge 3rd
PID:10-32992-03-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Shelly A Tollefson
4044 Camberwell Dr N
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137408
Date Issued:07/01/2016
Permit Category:ePermit
Site Address: 4044 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge 3rd
PID:10-32992-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Shelly A Tollefson
4044 Camberwell Dr N
Eagan MN 55123
(612) 309-3278
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150864
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 4044 Camberwell Dr N
Lot:3 Block: 3 Addition: Hills Of Stonebridge 3rd
PID:10-32992-03-030
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 -
Shelly A Tollefson
4044 Camberwell Dr N
Eagan MN 55123
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature