4080 Camberwell Dr N. . = ? INSPECTION RECORD ?
CiTY OF EAGAN e,m??ns?rr?cox;, 452-9a96 PERMIT TYPE:
3830 Pilot Knob Road iRF.AC.w"DRVATEDi+FORDEGK?07i/0A/93, Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LQ Tf 23 D{ aCK 6 i APPLICANT:
4001 CAMdEPlLIEi.#. 00 N 7!{E RflT'fi.090 00 INC
#'fILi.S OR '$TOIMEORIR6Fk $NA (G'Ai) ST2?w4?t?
PERMIT SUBTYPE:
s I o4re
TYPE OF WORK:
Control No. 00 5 5
sW??Dwe `
iEMY1?t Y
f1'1F"
INSPECTION
f4OTYWA „ .
PiiAMYN@ .•
A!1 SIi t A't y aJ ti P 3: NA L
FrR???.nr,e
?
'
A
.
Permtt No. Permit Holder Date Telephone #
siw
PLUM8ING
HVAC
ELECTRIC 3?C?o rJ ?
Lid.
ELECTRIC
`
Inspection
U Date Insp. Commente
Footings I
FourMation
!
Framing D
?
Roofing -
Rough Plbg., _? ? ' •
Rough Htg.
?-
Isul.
C?
Fireplace
Final Hig.
/J Gyy?
Orsat Test ?
FnalPlbg. 14
! Plbg Inspector -NotifyPlumber
Const. Meter . '
Engr./Plan
BIGg. final
DeCk Fig.
7
oedc Flnal - - j F3 - ?
Well
Pr. Disp.
641
?
? ? .
? (terttf'ira#e of Mrr?paury
, Citp of Cagan
jur}arbnw of wu[ditg jmwtrtwru
This Cem'ficate issued pursrurnt ta !he requuemenis of Sectian 306 of the Uniforra &rfldin8
Cade cer#fying that at the lime of rssuance rltis strucrure x:as In corarpliaece wiih !he variorrs
ordinances af the City regukiirsg buMng constructian or use P'ar the falfowing.
Ux {bsd6atioa SF M/GAR BIdB. Ptrmh No. 56
Om+paocY 7Yat ....... ....? __- za"inq nistria PD--- - - ---Typ` `_°°x ?
???? ?HCY U3, B ?, HILLS QF SMORTME 2ND
,
6I19I1)2
POST IN A CQN$PICUOUS PLACE
SEWER & WATER PERMIT OFFICE USE ONLY
CITY (7F EAC;AN METER #-YPERMIT DATE 03/20I92
3830 Pilot Knob Rd. -? p,3 /,?0 S? 7 PERMIT # 1
Eagan, MN 55122?1897 cHiP #
METER 81ZE ?19 B.P. RECEIPI' # ? t-7 x 7
DATE MAft 18. 1992 ISSUE DATE B.P_ RECEIPT DATE Q??19/92
_ PRV -BOOSTER PUMP
SITE ADDRESS 4080 CAMBERWELL DR N RERMIT REQUESTED
LOT 23BLQCK 1 SEC/SUB HILLS OF STONEBRIDGE 2ND
x SEWER X WATER _ TAPS
APPLICANT:
ADDRESS:_
CITY. STATE
- C(]MM11ND
X RESIDENTIAL :
ZIP ? NEW
PHONE: -
PLUMBER: VALLEY PLBG
ADDRESS: 610 CREEK
CITY, STATE 10? ? ZiP 55352
PHONE: 492-2121
OWhfER: THE R()TTLUND CO INC
ADORESS: 5201 E ItIVER RD
CITY, STATE FRIDLEY MN Zip 55421
PM9NE: 571-0304
?-
_ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters an Water Line. ;
Credit WILL NOT be given for Deduct Meters.
T
I AGREE TO COMPL WITH GITY OF ,
EAGAN ORQINANCES
MATURE WHEfV MEYftF3 ISSUED
PCEASt ALLU TWO WCSRKING DAYS FOR PRUCESSING. CALL 454-5220 FOR INSPECTIONS. FQR STORM
SEWER PERMITS, CaMTACT ENGINEERING DEPT.
- , . - r. .. . . .
SEWER & MIqTER PERMIT
CITY`OFtEtGAN
3830 Pilot Knob Rd.
Eagan, MN 5512,2-1897
?.
DATE MAR 18+ 1992
OFFICE USE ONLY
METER # PERMIT DATE 03/20/92
CHIP # PERMIT # 1?618
METER SIZE B.P. REGEIPT # 7
ISSUE DATE B.P. RECEIPT DATE 03/19/92
_ PRV - BOOSTER PUMP
SITE AQDRESS 40$0 CAMBERiJELL DR Ai
LOT 236LOCK 1 SEC/SUB HILLS OF 5Ti3NE$RIDGE 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: _
ADDRESS:_
CITY, STATE
PHONE: -
OWNER: "rttt acuT°i
ADDRESS: 5201 E R
CITY, STATE gKIDLEY
PHONE: 571-0304
PLEASE ALLOW TWO WORI
SEWER PERMITS, CONTACT
ZIP
1
ZIP 55352
) Cfl IA3C
Z RD
ZIP 55421
PERMIT REQUESTED
X SEWER X WATER - TAPS ;
?
_ COMM/IND x RESIDENTIAL
-K NEW - EXISTIMG ?
Lawn Sprinkler Meters are to be Installed ?
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Oeduct Meters. -;
I AGREE TO COMPL?f WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
il DATE: MAR 20, 1992
RE: 40P0 CAMBERWELL ?R N(THE ROTTLUND CO INC)
X Your Sawer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until ihe 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 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Piease pay for meter at City Hall. Meler 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.
Address:4080,r,pMpRWE,r DgIW N Lot 23 Blk I Sec/Sub Mi? pF sTONEMUM 2Np
These items were/were not complete at the t3me of the fin 1 inspection.
t: 6 19 92 Yes No lngpprtor,
Final grade (6" from siding)
Permanent stepa - garage Ll?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch VIO,
Sasement finish
Deck
Pleasa varify vith the builder the removal o£ roof tast caps from the plumbing
system and the shut-off of watar supply to the outaide lavn faucet before
freeze potential exiats. loi?,
White - City copy Yellow - Resident copy Pink - Contractor copy
? o0
RequBSt Date Fire No h-in Inspection
u?retl>
?'Keatly Now ? Will NotiM1/ Inspec[or
? f2Fl0 When ReadY7
I?icensed contractor O owner hereby request inspection of above electrical work at:
JaD Atltlrehss (SireeL Box or Route N?a M Qly
Secimn N. Townsnip Name or No Renge No. Co ry
Occupant IPRINT) Poone No
?
PowerS Ler AEUress
^
QX •
Eleclncal onhaclqr (COm anp y Name? CoMractor$ License No
4 a 412 - 3
Malmg Atltlress ICOnVactor or Owner Making InStallalion)
Aumorrzetl SgnaWre IGOmrector n Making Installalio ? Phone Number
-- 4b3-3g/o
MINNESOTA STATE BOARO OF E ECTRICITY THIS INSPECTION qE0UE5T WILL NOT
Grigga-MlCway Bltlg. - Room 5-173 BE AGCEPTED BYTME $TATE BOARD
1821 Univerolty Ave., $L Peul, MN 55100 l1NLE$5 PROPER INSPECTION FEE IS
Phona (612) 84340800 ENCLOSED
J 1 35890
REQUEST FOR ELECTRICAL INSPECTION
? See ms¢udioAr compleunB this lorm on back oi yellow cnpy
? X" Be/ow Work Covered by This Request
¢ •??9
?M? '? EB-0OD07-08 ?
/053$
ew Atltl Rep Typeof0wlding ApphancesWired EqmpmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Other (Specity)
Comm./Indusfrial Furnace
Farm Air Condifioner
Other(syecityi Cqntractor§ RemeMs
Compute Inspec6on Fee Belaw:
# . Other Fee # ServiceEntranceSiie Fee # Circwis/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Translormers Above 200 _ Amps Abo o_ Amps
Signs Inspector5 Use Only TOTAL
' Irrigatwn Booms r60 ff,j `30
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE OR E CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Elecirical Inspector, hereby
if Rough-in oeta
cert
y that the above mspection has
been made. F;nei oere
OFPICE USE 3NLV
This request vatl 18 monIDS fmm F
J 43062 ?d
'3 0-0
Fequesl Date =' Fire-?o ugh•in Inspedwn
s
??' ? N.
? Reatly Now7'WIII Not?y Inspector
When Ready9
IY "licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atlrbess (SVeet. Ba? Route No 1 Ciry
Secoon No Township Name or No Ranga No Coypry"
?? 1
?
Occupa t (PRINT) Phpne No
Power u ier /? AtltlreSs
79nt` ICom?
7
ConVaaor§ Ucense W.
er??o3?1
Ma,bng AdOresr tCOnlramor or Ow?r Mek?ng InstaNalron7
Autnonze0 SgnaWre fCOnhdc, 0 er Making Instal Lon)
- , Phone NumOer
3- 38ia
MINNESOTA STATE 80ARD OF ELECTRICITY THIS INSPECTION REOl1EST WlLL NOT
Gnggg.Madway Bltlg. - ROam S173 U 0E FCCEPTED BV THE STATE BOARO
1821 Umversity Ave, 51 Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Fhon246/2)6J2-0B00 ENCLOSED
-511r1f?--
? J43062
REQUEST FOR ELECTRICAL INSPECTION
? See mstmc0ons br compleLng this brm on back oi yellow copy
"X" Be/ow Work Covered by This Request
1,10550 Ea-?,.?
? N 7 tl Rep. 7ypeofBwltling ApphancesWrtetl EquipmentWired
Home Range '7 Temporary Serwce
Duplex Water Heater Elearic Heating
Apt Bwldinq Dryer Other (Specity)
Commllndustnal Furnace
Farm Av Conditioner
Otner(syecdy) ConUaclar5 Remarks
Compute Inspection Fee Belaw:
M Other Fee # ServiCeEntrenceSize Fee # CirCUits/Feeder5 Fee
Swimming Pool 0 to 200 Amps /f to 100 Amps
Transformers Above 200 _ Amps 00 Amps
Si9n5 Inspector's Use Onry. OTAL
Irrigation Booms ?3 ?
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLE7ED WITHIN 78 S.
I, the Electrical Inspector, hereby
td
ih
t
b Rough-m te
cer
y
a
the a
ove mspection has
been made. Final oa? r_, /,,?
irs
OFFICE OSE ONLY
Tins request witl 18 moMhs Iram
PERMIT Control No. 0055
CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000056
03J18/92
4080 CAMBERWELL OR N
LOT: 23 BIOCK: 1
HILLS OF STONEBRIDGE 2ND
DESCRIPTION:
.. ?_
?6"ulldin4Permit Type SF DW&
'Building ?ibrk Type NEW
,. ' UBC Dccupanay; R-3 Ft-1
t
Construction T"y?pe v-N
Zaning , PD
` Buildfng Length 60
8u€ldinca Wfdth., 50
REMARKS:
0, o r7??7
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surcharge
SAC
3AC 8
SAC Units
Subtotal
$958.00
$622.70
$96.50
$700.00
iee
i
$2,376.20
$191,000
MZSCELLANEOUS $1r610.50
Total Fee $3,986.70
CONTRACTOR: - Applicant - ST. 12WNER:
7HE RQTTLUND CO INC 15710304 0001 35 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RZVER RD
FRIDLEY MN 55421 FRIDLEY MN 55421
(622) 571-0304 (612)571-0304
I here6y acknowledge tha.t I hawe Pead this,appliaaticsn erid statie that the
information is oorrect and aqres Co aompiy w.ith ali npplicatrie StatQ o# hkn.
Statutes and City of Eagan Ard3rtanees. ±
? -
T?? Yln?,? ?
A ICANT/ MITEE SIGNATURE ISSU-Y IGNA UR
INSPECTION RECORD ControlNo. 0055
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: BuzLoztiG
Permit Number: 000056
Date Issued: 0 3/ 18 j 9 2
SITE ADDRESS:
LO7: 23 BLOCK: 1
4080 CAMBERWEIC OR N
HILLS OF STONEBRIDGE 2ND
PERMIT SUBTYPE:
SF DWG
APPLICANT:
THE ROTTLUND CO INC
(612) 571-0304
TYPE OF WORK:
NEW
INSPECTION
F007ING .. .
FRAMING DA
IN3ULRTION FINAL
FIREPLACE
F
L
ciTir oF EacaN
' 1992 BUILDING PERMIT APPLICATION
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 uest is made r lot chan e is re uested once ermit is issued.
Date Yal uati on of work ?g? ??^ l ?°% DoD
Site Location: GU-61'0 7j
SiREET STE f
Tenant Name: e Aell/r"?,c?? 6.
LOT ? BLOCK SU6D./-/i/- #
Descri tion of wark:
The appl i cant i s: Owner Contractor ? Other (oes«;be)
Name _ 'hP &11161.d G;. /rie. Phone 5?/-o
Praperty LAST FtRST
Owner
Adaress s2or E gue?f !??D.
STREEi STE fl
City r;c??_ State Zip C;?421
Company Phone
0?
C011tC8CtOP Address License #
City State Zip
Company Phone
Architect/
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 infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: 7??-j
??? ?f• ?E'?
OFFICE U5E ONLY
BUILDING PERMIT TYPE
IJ 01 Foundation
? 02 Single Family
? 03 Two-family
? 04 MuTti-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
P190 New
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
? 01 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
O 95 Tenant Finish
GENERAL INFORMATION
veiuas;«n: moo
QS14--
.
? 16 Ag?riculYtural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy R-3 /Ul-/ Basement sq. ft. /S_pP' MWCC System
Ioning
?
]st F1. sq. ft. 77od ?
City Water
Const
.
JActual) 2nd F1. sq. ft. /S2 6 PRV Required
A
1
( owable) ? Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length y, (. On-site well Census Code
Depth s'o On-site sewage SAC Code ?
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
)0 Site
0 Wallboard
Building
Variance
EI'Footing
P Final
-?b sr
3.? 3' 242
1 ykd-
q,h /9, ?')
Permit Fee 9?$
Surcharge ?
Plan Review Gz2,?
License
MWCC SAC 7Dp
City SAC Ipo
Water Conn. foI)S
Water Meter 9r
Road Unit 3go
Treatment P1. soo
'R03d'U11"1'tAcc? ? 30
4&r"ed. 3 O
9° w
.rur S?
Cop9es
Other
Total:
SAC %
SAC Units
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
Assessments
P Framing 0 Insulation
? Draintile ? Fireplace
= 3?y0G
!b/) as% S'S'
z?
3yk 3/ ? /osy
?yX 8 - I!z
I ? k zv = 3_G?
l..r2 G ?5-3 - 'PD g?g
G?r
p o/1/ 92
)
* piONI
* oR1S11'1'
2422 Entrrprlse Drive
MendOta Helghta, MN 65129
872) 689-1914•Fax 881-9488
825 Hlghway 10 Northeas!
Blvine. MN 55434
'672} 763-1880-Fax 753-1883
Certificate of Survey for: _The Rottlund Company. IC1G.
House Address: Ca?nberwell Drive Narth. Eagan. MN
Model Name: Augusta
?
:
,h O
?a
Cli
/
1
?
?
77
• • <<
., S 7r??6? 1
I^1 ` 70?44
/ - ?
?
r ?
?
°1 66`? !
r ?l 1 ?9,2H?0q` N ?
`0a
L??? 'z? .Tp•?H?? ?
`x`P4ck /
89Z8 A`?
Existing Etevatian
Propased Elevation
Drainage dc Utility Easemenk
Qrainage Flow Direction •
Monum en t
` J>?
?
S1-1
Q'? J
0 ? @9) N r? /I I
?' - ? f C=15? ? . !
1
,1?j
>
? ? .. D ? ? ?•^..^C ; _, 1'?• .? i ? " \? ?/' h?: a 1 ` ?
\N L t ? /lo
.?li1GiIV?ERI1VG
]7EFT ?
`
• 900.0 penotes
•?a. Oenotes
DenQtes
Denotes
--0- Denotes
-e- Dena'tes
I ? 2s
I ?
t I
! f
a (
1
?
? O ?N/ \1 !
Q /
?r h IIV o~7? ? i
Q4-I ?
r f ? i
?• ? ? ?
PROPOSEP HOUSE ELFVAT10N
Lowest Floor Elemtion_885.75
Top of Block Elevaiion:$94_86
Garage Slab Elewtion:894.53
Offset Hub gearings shown nre assumed
LOT 23, BLQCK i HiLLS OF STr?ON_EBRIDGE
DAKOTA CQUN?Y. 41tNNE50TA , P L A T L
I Mfteby ?rtlty that this :urvly, 01*n Or "pOrt w?e?! ?pIrey?piretl by rre or urder my dinel w0cwy..,rsion and that I em OulY A?Re?ed L'und $vnrpyar
under Ihs law, nf dhe Stsie ot Min?osa, Dand this1.1.1C day of aL?c H A.D. 18 ?-
SCalB: l°'-`h-30fmt
/
t
R09ERT B. IKIC G. 110. 34991
ffm asrs4.z7
F:c??F?s?on i;r+vr•.tnr?. nvr:i;nri: ^u" C.UMPII'fh'Pinu
oWi+ex
grmg ,qDDRESS
CONTRACTOR
r
90777-uNO Go, DATF.
PHQNE
Determin vorkini; squnre tootn;;c o!' each.
1. Total exposed vall area .. 'Z>'7 141sn. ft. x ?•11 ? 1rG?.3
2. Total roof/ceiling area sq. tt. x e,.p`'6
c
Total expased wail arca nbova floor = 3??jQ?rL?-•
a.
b Total
T
t'
l va11 vindow ar
..
ea .. ...............
,
.......„
4F?(o•3
. a
o door area .... ...................... .......
c.
d.
Total
Total
sliding glnss
fireplace vall
door area ............
area ..
......... s,q,Q
.......... .... .......
e. Total vall framing a rea (average lOP) .... .........
f. Total net vall areu nbove floor .......... % -7
......... -L cf V
. 6• Total rim joist area ................ .. .
.........
Total exposed tolmdution arca = I 4-b
h.
Total
foundation vin
dov a:ca ............... y?
.........
i. Total net foundation a-ea nbove grade .... .........
?
. Deterrt:ine "U" ti•alue o; each vall .,FF;ment.
. 8. 4869 .? x o.u„ D,42 = 204,?
b. X.lUl, 0? 130 ( o .
- 8
,
' ? • ?. 39.R8 X „u„
d. - X ?lull . -- _ - ?
e., -2-) xAIU,I Q_D8? = 7i9.0 (;oo
. s• X.,u^ o•og( - G?.c1
h. x 'I1V. _-
?. X ..u„ _ o,/? = 2o.7z
3. ...... .............. ........... .r??.::i = ?{-?/ • 1 °a
..
If item N3 is the same as, or le5^. ;.h:in .itcm kl, yoii nave met the intent
of sac 6006( c)2.
11
'
' Totnl exposed roof/ceilinr, nren = I? fZ?,
N ? . .. .
Total gross roof/ceilinp are:+ _ J. Total skylight erea ..........................
k. Total roof/ceiling framing area . .............. .
l. Total net insulated roof/ceilinfi area ........ I _ ?.
Determine "U" vnlue for cnch ruof/ccilinl; sclgment.
J. X nUn
•
k: /59 ? Z X,,,,,, v. 0 2 7 =4, ' ZI_ •
?. t4 3 Z e xllu„ p, p
k . ...............................:. Totgl = 5. ?
If total of N4 is the same es, or less than N2, you have met tYie intent of
SsC 6oo6(c)1.
To utilize the total envelope system method, the values establi:hed by the
sum of iteas #3 and B4 shall not be greater,thnn the swo of iten:s Bl and Y2.
1.
. 3%
?
, n
+ 2. _
?+ 4. _
u
_ .. a ? •
.-? _=VfkI.U? GAl.GU1-ATIDh}? (GoNT).
-rr-AMr-- WkL4-
. LoMPoN?N-F
?
?.
?
l?
04,?-Am AIF-
"h? hI DI Nli. . - -
_._ ?yt ??P f?D
I?SID? Al? ?I?Nti,
R-VAt.UE
? - --- 0111 _. -
Iq o •
23.oC =
LI= R=- = 0_063 ,
j?'(AL
_f9ZAW WAu. (, ?TL!D
- p1.M4- vIeW.
C
Ci
C
C
C
C
LoM PoN ?N"C5
QuT,t?IoE A+g- auu.
z IoiHw. .
Da
Mg- FiLM. .
: - JZ-VALUL
_. _- .-- o , t'? ? ----- -
2.oLr _
_ `1•-i$.----
--
-p.-?,°---
. ??-?--- ?
?-t?ra:==-I I• ? c? -
U ? ' o, oaq .
=G??iP?. ??u+= ?0,12 X o.0?9? t(o,Sb X Q.o43? = 4, o? _
,
?
?
?
?
0
0
r?Po?t?4 ES -
9LoM
?? ?tilyUL,
?'?=FI? ?IM aa?h.
?-??TH i??.
?j--f?i?.-?{LM•
--?vA .u? ;_-
__D• ? G -
--- ?-q ?-°
?
- ,
. ?=?4;??.
.?
?- r - o.o?t
NDKTI oN - .
O
C_rr • ??.
?
?
[2LG?o-?.??.-. t'ti? •
fN,?? _?t?? _???M
--- -? ,,
?
_?? ---- - '
---------- --. ?
? ?-- 1,1? ?f2,i;l
tl_??? ? o•I?`,
'- =0.08:
i'`' ' -i2. 1 3
?
?
c
)? ?I?- FIGN1.- ?
=
_Zq?-? -
--- 5 . o --_
_ ? . ---
R --
u r35.83 0, 0 27
O ?
? ?rt-?i?1cM ?_---
I o%t1_=_-_-- I
- ? ? 4'?-?- - - ---
?
? _? = 0.022
?i?U 3
REACTIVATE ? UM", ???? CITY OF EAGAN
PERMIT S993 BUILDING PERMIT APPLICATION
?5 1993 681-0675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 93 Valuation of work
Site Address: `!°8o Grr?g?,?cr??L p,Q. Itf•
SiREET SU(TE M
Tenant Name: (commercial only)
IAT SIAC& ? SUBD.OI'-LS uF StvAES.?'1?f P.I.D. M
ifft »"r 2
Descri tion of work:
The applicant is: Owner ? Contractor ? Other coe.«tbe>
Name Mc-C% Td•N,as Phone
Property LASi FIRST
Owner qddress I1096 Cataa8,?w.Z«
DR, r?
STREET StE Y
City crp4G,*'? State ? Zip 55/23
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration k
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 ail applicable State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?'-? ?
61
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L,
?J CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
• ' EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
DATE:
MU?1`IaC: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
r TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------
------------------------ -------------------------
WORK DESCRIPTION ---------
FEES
NEW CONST
Z ADD-ON MINIMUM $15.00
-7
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME : ?Q 77?iZ - /J N ?
SUBTOTAL
L
f
?
? :
50
ARG
SITE ADDRESS: J
.?
-
- E: .
STATE SURCH
S?
z ?
LOT:aj BLOCK ? SUBD. -
TGTAL: $°
FLARE HTG. 8t A/Ce C.
INSTALLER:
J ?
A?DRESS: ?l?n V2IP8J/, MN. ?3OZ7
SIGNATURE 0 PERMITTEE
CITY: ZIP:
? °Z ' ??
J
PHONE #: . (?
/
!o
p4mk,CYA-JvT?ilSTktPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SI:E ADD.°.ESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONIRACT 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 IGNA7IJRE )
L a 3 a I CITY OF EAGAN
1?? ?/ PLUMBING PERMIT
SUBD. °? (612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAHILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
?
SITE ADDRE55:
INSTALLER: v cJ
ADDRESS:
CITY: Q' 2IP: 553-3?Z-
CITY USE ONL!Y'
RECEIPT # /v SS o1, Q
DATE ^ 2-
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ABD ON 15.00
l SHOWER 3.00 3 -
? WATER CIASET 3.00 ?
'a BATH TOB 3.00
?
LAVATORY
3.00 ?
KITCHEN SINK 3.00
? IAiTNDRY TRAY 3.00 ?
HOT TUS/SPA 3.00
? WATER HEATER 3.00 ?
? FLOOR DRAIN 3.00 3 °
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 =63
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROSTND 15.00
STATE SURCHARGE .50
TOTAL: s y?7 d d
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COlIIiERCIAL/INDUSTRIAL BUILDINGS. ALSO FOA MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARG6 $
TOTAL:
$
(SIGNATURE)
53? a fS
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
Naw Construction Reauiremenb
• 3 registere0 site surveys showing sq. ft. af lol, sq. ft. of house; and all roolea areas
(20°b maximum lot coverage alloweE)
• 2 coDies ol plan showmg beam S wmdow saes; paured found desgn,?ic )
• 1 set of Energy Calculauons
. 3 copies of Tree Preservatron Plan J lol platted aRer 711193
• Rim Jaisl DeWI OpUOns selec6on sheel (61dgs wAh 3 or le5s umis)
DATE
?
RemodeVReoair Recuirements
. 2 co0es of plan
• 1 set of Eneryy Calculapons fcr heated addmons
• 1 sile survey `or axtenor aaditions 3 decks
• Indicate d home serveQ oy sep[ic system `or addihons
0?9 375r ?a
VALUATION i
SITEADDRESS 4en!te ge.? MULTI-FAMILYBLDG _Y _N
? n - . •
TYPE OF WORK
APPLICANT
fi
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS I77/S jZ7-`*t,*_ rJ CITY STATE_ZIP
TELEPHONE # CELL PHONE # FAX #
.e222 TELEPHONE#
PROPERTYOWNER2
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ y[I\NF.SO"1':112UI.ES 7670 C.CI'1((:O12Y 1 NtI\\CSC)"C:\ Rf'I.LS 7672
(v submisswn type)
Plumbing Contractor: _
Plumbing system includes:
Mechanical Confractor:
NIcchMiril ,Vstcm includrs:
_ Water Sokener Lawn Sprinl:ler Fee: $90.00
Water Hea[er No. of R.I. Baths
No. of Baths
Phone #
-- Air Candiuouin; Pcr. 570.00
-- Hcat Rccovcny Systrm
U > ? L
Sewer/Water Contractor. Phon
....---- °------------ °-----° ° ............ ...... .................... .... ..........t - --------
I hereby acknowledge that I have read this application, state that the informatiis CnrrPr}
with all applicable State of Minnesota Sfotutes and City of Eagan Ordi?an?qes.
Signature oF
L LI LS
OFFICE US,L fKLY
• ResidenGal VentllaGOn Category 1 Worksheet Submitted • New Energy CoCe Worksheet Submittetl
• Energy Envelope Calculations Submitted
Phone :'*
Certificates of Survey Received - Tree Preservation Plan Recerved _ Not Reqwred _
Upda[ed 4102
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125731
Date Issued:08/01/2014
Permit Category:ePermit
Site Address: 4080 Camberwell Dr N
Lot:23 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-230
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Thomas J Mccoy
4080 Camberwell Dr N
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170217
Date Issued:06/23/2021
Permit Category:ePermit
Site Address: 4080 Camberwell Dr N
Lot:23 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-230
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Thomas J & Lori J Mccoy
4080 Camberwell Dr N
Saint Paul MN 55123--391
Advantage Construction Inc
18750 Buchanan St NE
Wyoming MN 55011
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171230
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 4080 Camberwell Dr N
Lot:23 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-230
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas J & Lori J Mccoy
4080 Camberwell Dr N
Saint Paul MN 55123--391
Advantage Construction Inc
18750 Buchanan St NE
Wyoming MN 55011
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature