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4063 Camberwell Dr N
Use BLUE or BLACK Ink j - - (vr Cffic U 'i V__ City of Eayn ? ~ ,,1 I Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 12010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: WX /10 Site Address: 40a ?a Cc4,1_y1be'-(-,,je 1 j)(-' Tenant: Suite RESIDENT / OWNER Name: /kIle.r\ G o re-II Phone: Address / City / Zip: Applicant is: - Owner Contractor TYPE OF WORK Description of work: Re, , rtl(ll p Construction Cost: _ 7 g '300 Multi-Family Building: (Yes _ /No ) CONTRACTOR Name: SeAec ~~r~reare(.r\ CCyX54- License#: aC""6 4'7a(cs0 Address: Ia00 e.e.+vkre ~1~'c i n~e_ Cvrv d-City: S4_ ?.,V State: M IJ Zip: I ~RQ Phone: (S-1 c;Z 7 '3 13 0 Contact: Pp`-r% M m mail: c A-r , c)~'-e" e- ecAevt?re' r 4'(?✓1 f. 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One 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.q )pherstateonecall,orcl I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ut v, x Applicant's Printed Name Applicant's Signature Page 1 of 2 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: fit I [ t4 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. ;,a I i t,l a: ; Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing 1 Rough Plbg. I Rough Htg. Isul. Fireplace (O~ - Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Citp of (eagan jor rtat w of Wmlbmg . MW]Prtimt This Cenuficate issued pursuant to the requirements of Section 306 of the Uniform Building Cade aerdffying that at the lime of issuance thirsiructure was in complian with the swious ordinances of the City regulating building construction or use. For the following. u, cw,wntion SF M MAR Bldg. Pump No. 1814D .,~m ROM Zoning Dahl PD&I TyPI, VN Owstrnr BMI&OC THE RDT UJND CO. , MC. Am= 5201 ISM RD., EM FY 4063 CNEMUL DRIVE ND. L,,,.u y L 15, B3, HILLS CF SMZMUM 22D Duc N MM R 19o - POST IN A CONSPICUOUS PLACE r CITY OF EAGAN~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SIP DWQIQR Est. Value $172,0t Date -JULY 24 19 90 ~ 4063 CANWXKLL DDRIVZ 11110 Site Arc ess Lot Block Sec/Sub. OFFICE USE ONLY s Parcel No. Occupancy P"-i FEES FtML UN D OD INC Zoning I~t1r $ 092.00 W Name (Actual) Const Bldg. Permit Address- (Allowable) Surcharge f ~r00 City Phone # of Stories SAM Length 70 Plan Review 00 p Name Depth SAC, City 00 0Q a Address S.F. Total SAC, MCWCC • City Phone S.F. Footprints 200 On Site Sewage - Water Conn F~ 90. 00 v w Name On Site Well Water Meter w 1 =a Address MWCC System u~ X- Acct. Deposit Z City Phone City Water 30,-00 a u+ PRV Required SM Permit • I hereby acknowlege that I have read this application and state that the Booster Pump SMI Surcharge information is correct and agree to comply with all applicable State of i Minnesota Statutes and City of Eagan Ordinances. Treatment P1 Signature of Permitee APPROVALS Road Unit TFIX A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable Stale of Minnesota ptutes and City of Eagan Ordinances. Bldg. Off, Copies Variance TOTAL Building Official 1 Permit No. Permit Holder Date Telephone # WATEf3 p2 '7 $ SEWER ~My PLUMBING ~Q~Q ~q 7V saj, HN.A.C. del SO ELECTRIC 7 d Inspection Date Insp. Comments Footings l n/ Af Foundation y hp ,wK/ Framing 02 0 Z O Roofing Rough Plbg. le-1-94,14k YIYa/( Rough Htg. .9^ Isul. & Fireplace 6 Final Mg. 1/1-740 Final Pibg. - Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final .9 Deck Fig. Deck Final Well. Pr. Disp. - - - - s PLUMBING PERMIT For Offic Use CITY OF AGAN_, PERMITS CONTRACT 3530 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ? r 5~ DA E: PRICE PHONE 4548100 Site Adess 40113 < < 1 ^j BLDG. E WORK DESCRIPTION Lot Bloc 'Sec/ Res: ~ New Mult. Add-on , Name c b Comm. Repair Address to 4Z < c _ Other a d A Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: City NO. FIXTURES TOTAL _ Water Closet - $3.00 $ °I . Name_ I- Bath Tubs -$3.00 3~ t a Lavatory 33 Address ~u 1` - c -$3.00 O ) r U3~ t Shower - $3.00 Cit y ~C Phone I Kitchen Sink - $3.00 3 Urinal/Bidet - $3.00 FEES I Laundry Tray - $3.00 COMMAND. FEE - 1% OF CONTRACT FEE I Floor Drains - $1.50 t• S APT. BLDGS. - COMM. RATE APPLIES I Water Heater - $1.50 1. yo TOWNHOUSE & CONDO - RES. RATE APLLIES I Whirlpool - $3.00 3 - MINIMUM - RESIDENTIAL FEE $12.00 1- Gas Piping Outlets - $1.50 ' U MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 l ~tig 4 Rough Openings - $1.50 " U_ G. Sprinkler System - $12.00 SIGNATURE 0EPERMITTEE PERMIT FEE: STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: y For Office Use Only: I'' E-': ? r PERMIT # r , I MECHANICAL PERMIT • 1 1 :n r~ / CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: = C > PHONE: 454-6100 DATE: Site Address BLDG. TYP WORK DESCRIPTION Lot Block / J Sec/Sub Res. New Mult. Add-on Name / f = Comm. Repair Address Other C City f V. , Phone FEES Name -r RES. HVAC 0-100 M BTU - $24.00 C Address ` ADDITIONAL 50 M BTU - 6.00 p City Phone : If (RES. HVAC INCLUDES A/C ON NEW s CONSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMMAND FEE -1 % OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler _ M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON A REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - 50 Gas Piping Outlets # (ADD $.50 S/C PER, EACH $1000.00 OF PERMIT FEE) Other r PERMIT FEE: SIGNATURE OF PERMITTEE SIC: TOTAL: FOR: CITY OF EAGAN i SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAG'AN a METER # YJ 7 L6 4 PERMIT DATE G7/25j9(: 3830 Pilot Knbb Rd. 11.552 Eagan, MN 55122-1897 CHIP # PERMIT # METER SIZE o B.P. RECEIPT # C 9088' ISSUE DATE - B.P. RECEIPT DATE 07/2-5/91-', v DATE PRV .BOOSTER PUMP SITEADDRESS 402.3 Carol:)arwoll Dr. No. PERMIT REQUESTED LOT 15 BLOCK SEC/SUB Hills of 2 l X SEWER X WATER TAPS APPLICANT: ` hc- Rod-t unc1 Co- Tnr. ADDRESS: 3201 E. River goad - COMM/1ND ~ RESIDENTIAL CITY, STATE n 5-d1ey, i4'.121. ZIP 35421 X NEW - EXISTING PHONE: S71-0302 Lawn Sprinkler Meters are to be Installed PLUMBER: Valley Plunbinc Ahead of Domestic Meters on Water Line. ADDRESS: 610 Cr ='ek T•a ne Credit WILL NOT be given for Deduct Meters. j L I a t CITY, STATE Jardnc., k4yi. -zip 55352 ~-2121 PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: '+'he Rottlunr} Co Tnc EAGAN ORDINANCES ADDRESS: F-101 E. River Road CITY, STATE k'riJley, Mn. -zip- 55,1 zi PHONE: NATURE WHEN ME R ISSUED PLEAtt"ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER $r WATER PERMIT OFFICE USE ONLY CITY. F-EAGAN METER # PERMIT DATE ° I2-'r1 Y 3839 Pilol -KnDb Rd. t Eagan, MN 55122-1897 CHIP # PERMIT # 2 METER SIZE B,P. RECEIPT # C DATE 7- J..<-~ ISSUE DATE B.P. RECEIPT DATE 07 J 2 f ` PRV -BOOSTER PUMP SITE ADDRESS 4061 3 - "ji1 PERMIT REQUESTED c 9-r~~taF~?-i r~C±P i' LOT 15 BLOCK ; SEC/SUB =-f i ]A S' of T SEWER WATER TAPS APPLICANT: The T~rittluad CO- In.- ADDFWSS: >201 E.- Rz vpr Rnad COMM/IND f. RESIDENTIAL CITY,bTATE Fridlev. mii, ZIP ``.'1~4 f X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: 'alley Piuiabiz.cr Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ADDRESS: r -i it f`rPelr T.r►n r~ !j CITY, STATE JorClna, MM, zip - 55352 PHONE: 492--2121 i AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES OWNER: °1'b.2 ?"~cat~--1 La r.r~ Cn . Ta c, . ADDRESS: 203 CITY, STATE Fridley, Mn. ZIP PHONE: E 7 0, 3 L 'SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: JULY 25, 1990 RE' 4063 CAMBERWELL DR N (TAE ROTTLUND CO, INC) S 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: `i 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. Address: 4063 CMBEFUELL DRIVE NOLot 15 Blk 3 Sec/SubHILLS OF SIUNEBRIDGE 2ND These items were/were not complete at the time of the final inspection. DATE: NOVEMBER 8, 1990 Yes No INSPECTOR: Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch f 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. White - City copy Yellow - Resident copy Pink - Contractor copy 9/is/9v 9 s~8v l~la °D G 38119/-/d"69. Reques"te - : Fire No ug -rn Inspection ty yr( qD epyired~ ❑ Ready Now 2? Vsl Notify Inspector O /'T -I files ❑No When Ready' I 12licensed contractor D owner hereby request inspection of above electrical work at Job Address ISneel, x or Route No City 400 Section No Township Name or No gauge No' Coynty Occupa (PRINT) Phone No Power Sup ter- n- Adtlress d~ Electncal C 'tractor (Company Name) Contractors License No as -3 Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Conlrac r/Owne eking Insl honj Phone Number 3-9810 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg, - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Pouf, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED 1114, g~S0 REQUEST FOR ELECTRICAL INSPECTION au Ee-oooot-o~ ► Sell-ra uchons for completing this form on tack 0 yellow copy 98 8'9 8119 X" Below Work Covered by This Request eie Add Rep. Type of Building AppluncesWired Equipment Wired Home Range Temporary Service Duplex Water Neater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speciry) Cantractor§ Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ( 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors use Only TOTAL Irrigation Booms / (pb Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTKS. I, the Electrical Inspector, hereby Rough-in card 9:) A certify that the above Inspect ....has Final Dare been made. OFFICE USE ONLY This request void 18 months from 9/~'?150 ~ ~y82o Y G 38124/3 Request Date Fire No ough-in Inspection Q Repmretln featly Now ❑ Will Notity Inspector g^ 3 8 ❑ Yes ❑ No When Ready I jd lirrsed Contractor ❑ owner hereby request inspection of above electrical work at. Job Address ( (reel, Box Rcute No I ^ City D ~ 3 IYb, Section No Township Na" or No Range No County Occupan (PRINT) Phone No Power saQ~1~\~\Ier((jj//~~ Atltlress ✓VtLv. Electrical ontractor (Company Name) Contraclor's License No agiz-3 Meiling Ad ass (Conhactor or Owne Making Installation) Authorized Signature Contractor) ner M rig Installation) Phone Number 16 3-3F14 ;ck MINNESOTA STATE BOARD OF ELEC RICKY THIS INSPECTION REQUEST WILL NOT Orlggs-M divay Bldi - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Plains (612) 802-0800 ENCLOSED 9/18,/90 REQUEST FOR ELECTRICAL INSPECTION °T , , Ee.ooo01--07 ► See fistrudwnsfor completing this form on back of yellow copg { V V G _38 12 4 .X„ Below Work Covered by This Request ew Add Rep. Type of Building AppliancesWlred EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating ` I. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (sr") Contrackirle Remarks. Compute Inspection Fee Below. # Other Fee # Service 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 So Irrigation Booms r.~' S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou" in Date certify that the above inspection has Final Oa+e been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF 3830 PILOT KNOB RDN 55122 651-681-4675 ` NowConstruction Reauirements Remodelliteoairiteauirements . 3 registered site surveys showing sq. H. of lot sq. ft of house; an II roofed areas . 2 copies of plan - i J r (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions 1 . 2 copies of plan showing beam & window sizes; poured found design. etc.) . 1 site survey for exterior additions & decks . I set of Energy Calculations . Indicate 9 home served by septic system for additions 3 copes of Tree Preservation Plan if lot platted after 7/1193 . Rim Jost Detail options selection sheet (bklgs with 3 or less units) DATE a /e u In er 11601 VALUXION 1 O1 OO O JOB SITE ADDRESS `f L iu ~nPs l~ r N~r-'Clo QM IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Alp- /l (lj r_ TYPE OF WORK rd ct/ FIREPLACE(S) - 0 _ 1 _ 2 APPLICANT +A J ~ y?vt ( / PHONE# ADDRESS _,~1663 ~ or°r l~ i~ r 7~ ~ol tits o~ ZIP CODE 55 J D,_i PAGER # CELL PHONE # e.,51- 77 %5977 FAX # 4~S/-7~.~ 900 j NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 1 (check one) Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 l~ ~0 ! New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 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 # All above information must be submitted prior to processing of application. 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 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ❑ 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 X17 Garage ❑ 22 Poroh/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding x 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 only) - Give PCA handout to applicant Valuation X00 Occupancy 1 I MC/ES System Census Code 3 Zoning P- D City Water SAC Units Stories t Booster Pump Nbr. of Units Sq. Ft. 25 2 PRV Nbr. of Bldgs Length 2 / Fire Sprinklered Type of Const V - /y Width J 2 r REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) = Plumbing Foundation HVAC Drain Tile X Roof _ Ice & Water X Final _ Other A Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By i~ Building Inspector Base Fee Surcharge Plan Review S2 P X / f7 . yQ 32.. MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD I Control No. Ma- CITY OF EAGAN PERMIT TYPE: Ot" 3830 Pilot Knob Road • Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOTS It #10CKr 9 APPLICANT: 4069 CAMOERiiIELL ON k SORELL MILLS OF 9T41i0481 ME 2ND (612) 404^-6"6 ~f PERMIT SUBTYPE: TYPE OF WORK: fo INSPECTION TYPE DATE INSPTA. INSPECTION TYPE DATE INSPTR. F®DTIMS FINAL REMARKS: RECEIPT 1F to Permit No. Permit Holder [late Telephone i S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul Fireplace Final Htg. Orsat Test Final Plbg. Plbg. inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. 4//Az AP Deck Final a/ L /D L'II.Q Welt Pr. Disp. I Certificate of Survey for: THL 2010-I 'f `--H \ NORTH ro h q^ b q t7r' / \ Q •T~ ~c r q e• ~ Iq~ 1 / L• j e - ~i.. 8~ nY` l3 ~,J -6 - ~ Y r 1w t 1Ft•is to Q .W ' dydl~d~ 6d5a / uA J ZQY Sat t .900.0 Denotes exislirr E(evafrvn PgoPosEp Noy Ezvarlorl e ~ao.o Dente;•p , ed Flevahbri Lowest Rooa ron 979.7 Denoles Drarno q Easement ~p vt Block Elevation asc. 7 Denotes DrWn ale MW Pr-rows Garae Slab Elevation ss~. denofes monument D Deno es• Oti set Hub Becrrin~s Shown are assumed Su Jecf to E-crsemenfs of Record LOT 15 , BLOV u 3 1141 LLS OF 9TQNEBR1 D(3t PLAT 2 DAKOTA COVNTY" I hereby certify that this is a true and correct representation of a survey of the boundaries of the above pd~es/pyibed tan :n ¢ of the location o~fsalt • buildings, thereon. and +II visible enuoachments, if any, from or on said land. As surveyed by me [his_L-C][-oay of • A.D. 19.J3[_. t / ( A ' r i Scale J ' ~RC/J: /(O ROBE a. S KICK L.s. REG. NO. 14691 r ~i s2o ( /-f- - 1 - - - - - - - - - - - - - - Fsterpriae O Nan Cato Ha gHta. Nrv 33120 Description Sketch for: ALL & JEAN GORELL * riw PIOIYGiA uc •.wne , ea aumn (2422 651) 681-1114 FAXBBI-8488 CAMBERWELL DRIVE, EAGAN * u e n+ee.. or. a no.mns engineering 625 H MN 4 10 N.F. Proposed legal description to vacate a portion of a drainage and utility easement * iF Blaine, urv I5+54 * # * lin 783-1880 FAX-783--1883 All that part of the drainage and utility easement lying over, under and across the southerly 10.00 feet of Lot 15, Block S 3, HILLS OF STONEBRIDGE PLAT 2, according to the recorded plat thereof, Dakota County, Minnesota, as delineated and dedicated on said HILLS OF STONEBRIDGE PLAT 2, described as follows: i DETAIL k9- r q-4 NO SCALE \ _ • O I Commencing at the intersection of the south line of said Lot 15 and the westerly right of way line of Camberwell Drive /y UV as delineated and dedicated an said HILLS OF STONEBRIDGE PLAT 2; thence on an assumed bearing of South 81 Pc~Op POti; t \ degrees 48 minutes 03 seconds West, along said south line of Lot 15, a distance of 49.37 feet; thence North 08 degrees f GMt- 11 minutes 57 seconds West, a distance of 10.00 feet, to the point of beginning of the land to be described; thence Le `1,4.7233.04E South 81 degrees 48 minutes 03 seconds West. a distance of 4.78 feet; thence South 17 degrees 26 minutes 56 seconds I f N7Y \ East, a distance of 0.77 feet: thence North 72 degrees 33 minutes 04 seconds East, a distance of 4.72 feet, to the point O6eE~`. v~ EASEMENT 13 of beginning. S77 26'5 ~pROpOSED TO BE VACATED n Proposed legal description to vacate a portion of a ingress and egress easement 'y per Document Number 922865. /^r 4800 \ O '0- All ~t that port of a ingress and egress easement per Document Number 922865, lying over, under and across Y / / \ ¢ w t the southerly 10.00 f Yt of Lot 15, Block 3, HILLS OF STONEBRIDGE PLAT 2, according to the recorded plot " % / \\2~ v a\ thereof, Dakota County. Minnesota, described as follows: v c / / 230 'n (71 Commencing at the intersection of the south line of said Lot 15 and the westerly right of way line of Camberwell Drive \Or • as delineated and dedicated on said HILLS OF STONEBRIDGE PLAT 2; thence on an assumed bearing of South 81 t~. / .mow 5 \n degrees 48 minutes 03 seconds West, along said south fine of Lot 15, a distance of 49.37 feet; thence North 08 degrees / /-ty v i \ 11 minutes 57 seconds West, a distance of 10.00 feet. to the point of beginning of the land to be described; thence \ ?-A- LA /Q~ 21 O t South 81 degrees 48 minutes 03 seconds West, a distance of 4.78 feet; thence South 17 degrees 26 minutes 56 seconds ca ON 5 P = East, a distance of 0.77 feet; thence North 72 degrees 33 minutes 04 seconds East, a distance of 4.72 feet, to the point 'Vi of beginning. 66A~ ` ~0~~ 1Q D 2 OC tt \ 7;3/ 1 > , fT • THIS SKETCH DOES NOT PURPORT TO SHOW THE EXISTENCE OR NON-EXISTENCE OF ANY ENCROACHMENTS FROM OR ONTO THE HEREON DESCRIBED LAND, EASEMENTS OF RECORD OR UNRECORDED EASEMENTS WHIGH AFFECT SAID LAND OR ANY IMPROVEMENTS TO SAID LAND. ` v / SB . o/y 1 Io15 il ' C ` pea F~ 22.3 1O WE HEREBY CERTIFY TO ALLEN AND JEAN GORELL THAT THIS SURVEY, PLAN OR REPORT WAS , J> B 1 PREPARED BY ME, OR UNDER MY DIRECT SUPERVISION, AND THAT I AM A DULY LICENSED LAND I / h fz~Op o J ~ SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA, DATED THIS 3RD DAY OF DECEMBER, 2001. S17' 26 0.'•77 - _ 6 - n 3 / AIN PER 1P AT v 44 E SEE ~ ll NOSO11'S7"Wo N N EASEMENT N72'33'0 _ 49.37 72 SI VEDOarsNEER ENGINEERING, P.O ^ 30 M ~ Z1-].32 on, Professional Land Surveyor C n nesota License No. 19828 6 S81•~•0 O WRESS r , r I`r EXtpuSE EASEMENT PER DOC- N0. 922865 n N ~L gOUTH LINE OF LOT 15 ^ SCALE 1 INCH = 30 FEET 89194501.DWG 89194 01 - 182 105 CITY OF EAGAN 8 90 BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'` SHONE: 454-8100 Receipt # lll!lIJJJ To be used for SF DWG/GAR Est. Value $172,000 Date JULY 24 t9 90 Site Address 4063 CAMBERWELL DRIVE NO Lot 15 Block 3 Sec/Sub. HILLS OF STONE- Parcel No. OFFICE USE ONLY BRIDGE 2ND Occupancy R=3,M-1 FEES Zoning PD R-1 $ 892.00 w Name THE ROTTLUND CO INC (Actual) Const VY~ Bldg. Permit 3 Address 5201 E RIVER ROAD (Allowable) via___ 86.00 ° FRIDLEY 571-0304 #of Stories Surcharge City Phone Plan Review 579.00 Length 70- o Name SAME Depth 3-2- SAC, City 100.00 0,<u Address S.F.Total 600.00 °a SAC, MCWCC City Phone S.F Footprints 625.00 On Site Sewage Water Conn 8 W Name On Site Well Water Meter 90.00 w t= 'a Mwccsystem XX 30.00 ° u ACpI. Deposit aW City Phone city water XX_ PRV Required SAW 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 agr to comply with II applicable State of 252.00 Minnesota Statutes and Cit'4011-M adin~nce V A Treatment PI Signature of Permitee ~ ji, ➢ APPROVALS Road Road Unit t 355.00 A Building Permit is issued to: THE ROTTLUND CO INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota 1 teA s and City dinances. Bldg, Ou. Copies o"`.t Variance TOTAL $3,639.50 Building Official Eagan L/ -IS 1990 B LDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS',- & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS' PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT 'IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: !j4yqiP CcLy,;j Valuation: Date: V Site Address _ Z, OW OFFICE USE ONLY a I? Lot %S Block 3 FEES Occupancy R-3 IM-1 Zoning PD 'R-1 Parcel/Sub f4& La, pF ST0&xjM4!tUG,=_ -jr Actual Const V-N/ Bldg. Permit 2.00 Allowable Surcharge R~,0O Owner :2!2 EE # of stories Plan Review' al-L-0-0 Length -T SAC, City 10010 Address G261 E. 21UL-lZ ~opi0 Depth 32 SAC, MWCC (700 A~ S,F, Total Water Conn (OZ610 City/Zip Code FhPu---T Cr~qz( Footprint S.F. Water Meter 90,Qc~ Acct. Deposit 3x,00 Phone 5-11 coo On site sewage- S/W Permit 30, D0 On site well S/W Surcharge Contractor MWCC System ✓ Treatment P1.25'2,Oo City water ✓ Road Unit 35$, 00 Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL U Council Arch./Engr. Bldg. Off. ~jL7/Z¢ Variance Address City/Zip Code Phone # V Ll- u A-n 0 GARAc, r Z2 xzAZ,. - 48y X !5= r72(W o f3SMT- 32 x 3` ! rat 12~Lo = 2Ho 1364 X 114= 1 931(. I ST FLoorzR rz ~.r%- ' 1 s1 l~ezx Z ND ~~oo ~ -%L)e 34,- !/SL Z~~i x ll~ Zf~l t' V y'4 x s ► _ 13`Li q f 9 19E>Z * * 2422 Enterprise drive PIONEER "NOSUNVEYORS.CIVIL ENGINEER$ Mendota Heights, MN 55120 *engineering.. I-•N=PLANNEICI,LANIMA.EARC„IYEC,~ F(6612i) 681-1914 Certificate of Survey for.ME K D I / l ONO r, jNr ~J / m NoRTN ro ~9 & tai V% r,, v ay0 / 3LAI, s s \ 'tti x " o.c \ w oa :n ulp6 y J g 70 o' L \ ip.o r I-A' C o ~ 8d fi f .y <y ~2t.1~ N •6 l r c~ 9'P ~a J ' ' df A~ ~ I ti.iSN X19 •W dydf~ 4a r ~ ° ~ ~ a 8s4.t iv i U Zr1.32 ~ s y .~at~ z_ EAGAN EN INEERING DEPT > 900.0 Denofes existn Eevalion PPOPOSED MOUSE EvA goo-o` Demotes propmed Elevat-6ri lowest oar E eva von s». 7 L*nofeg Drarnq&f bltili~ Easernenl- Top of Blork Elevation Of.7 Denotes Drairle now Arrows Garae Slab elevation in. o Denotes mornumenf - a Deno es Ousel Nub Bearinjs shown are assumed Su Jed to Easements/ of Record LOT 15, 8Loer" 3 ,14I LL5 OF STONEBRI DGE PLAT 2 DAKOTA CovNrK I hereby certify that this is a "e and correct representation of a survey of the boundaties of the above ~de~sy~ lbed Ian and of the location of all buildings, thereon, and all vlslble encroachments, if any, from or on said land. As surveyed by me this /X/~Stey of f A-D. 19~-t[.. Scale ~rtch. 40,Cet } A IZO RceE T a. s wcN L.S. nEG-Nola-897 E,C MOR ENVFMPY. Avr:,;A,',t: "u" CoKpirrATION NO(?MANDY . OWNER SITE ADDRESS XT I, i S gtocK 3 H ~ ~tS n ~ S~crvc~~ ilx•~ ~ ~r 2_ CONTRACTOR _90rr/_ "ID G t9. DATF• PHONE Determin workini: square footarle of each. 1. Total exposed wall area 257-b. L sq. ft. x 0.11 = 2a .2 • 2. Total roof/ceiling area 1179.5 sq. ft. x 6-.026 = 30 .G4 • Total exposed wall area above floor = 715q y1 Z a. Total wall window area a 2 b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10%) 2I f. Total net wall area above floor lb q 7,O / g• Total rim foist area 'Lp,jg Total exposed foundation area = h. Total foundation window area ~1 5-`.-75r i. Total net foundation area hbove grade .L Determine "U" value of each wall segment. a. 1 S 4.2 x fruit O, ¢2 for 77.3 4 b. 7.7$ C. x .,u„ _ .r d. 2 ¢ x „U„ p. / - 2 y e.. aa+~~~../ ~ 2/4 of / x .,.U„ 0.08p ( a • 45.15 f. 18 97:471 x „U" p, o ,*-5 • 8.1.57 g• 2 ZO . g x °u" o. -64 I 9.0 5 h. l e;,o7.T x ,.U,. 4ff,4 (0 = 7. Zt i. 94 . G 7 x ,.u„ 0'+ 5r 3 . Tot-n] = 217.4 c~ If item'/3 is the same as, or less 1.11:.n item Ml, you nave met the intent of SBc 6oW 0 2. • o Total exposed roof/ceiling area = 7 ft, N Total gross roof/ceilini; area = Total skylight area k. Total roof/ceiling framing area.... 717, 1. Total net insulated roof/ceiling area Determine "U" value for each ruof/ceiling; sebment. ' . x nun k: 117. 95" x -lull L+y 27 = 3; 1. /D(0/.5S x full 4.a2Z 23..3b 4. . Total = ZG.~✓3; • O F~ If total of 84 is the same as,'or less than #2, you have met the intent of sBc 6oo6(c)3.. To utilize the total envelope system method, the values established by the sum of items N3 and 14 shall not be greater.than the sum of items N1 and 12. 1. + 2. - i 3. + 4. _ 0 --a~11----- C - - 0, 027 u 383 rte? ` Q3 ~ Z~Fi'~•- ►~jR-- - 0.45..-_ _ C4 ' ~ ~ ~ p•02~ LOMPoNtiN~i . F-V-AWE 041e(DE A lz FILM 3 V =-`-~{~kT{•IINfi _ 2; Olt " _ 5%t lNsu~A'(Ic~ I q . a • 4 ~2u 6'(P+ 0.45 • R?bnq~.a Z 3 . o Rte,, 7FAW WAl L c. AvTuD Z0MPaN6NTS F--VAL)A5 all T6►oE Alt ML M. I 0. to *L 3 3 rWCA'(1-IINV. 2.OU 4 04- -Z h1O(0-Amw) - 7: IFS CDz ~fp Do. o,4s - ILII,L- View Us J- ob9. ~ -G.~~IP~. I~U~= (0,l2 X o.ob9~ 1"(o.Sb X o.043> = O, O~ O Q ~Z-l~sul.. -_=1.9•._0 . 3Q ~":h~ (AIM ,aol I • as • 2~ I - 3 / - ~ ~ Suz3~ _ 5. cam- -f p.~ 30 1.13 ~r2J~ I X1.3 °•14 ~o.v8~ 92286 5 HILLS OF STONEBRIDGE PLAT 2 INGRESS AND EGRESS EASEMENT IN CONNECTION WITH PRIVATE PROJECT #89-FF This easement, made this day of a'~.Tu GC=~~, 1989, between UNITED MORTGAGE CORPORATION, a Minnesota corporation, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "CITY". W I T N E S S E T H: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its employees, agents or contractors, permanent easements for ingress and egress purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: Permanent easements for maintenance, inspection and operation purposes over, under and across Lots 14 and 15, block 3, HILLS OF STONEBRIDGE PLAT 2, according to the recorded plat thereof, said easements described as follows: A 20.00 foot wide easement for access purposes over the southerly 10.00 feet of Lot 15 and the northerly 10.00 feet of Lot 14, Block 3, Hills of Stonebridge Plat 2 as platted and of record in the office of the County Recorder, Dakota County, Minnesota. See also Exhibit "A" attached hereto and incorporated herein. This permanent easement for ingress and egress purposes is to permit City personnel and equipment to use this easement for the purpose of utility maintenance, inspection and operation. No obstructions such as trees, shrubs, fences, buildings, gardens, etc. will be permitted to occupy this easement. Any costs incurred for removal of any obstructions for access usage by the City will be the financial responsibility of the individual lot owner. The Landowner, its heirs and assigns, does covenant with the City, its successors and assigns, that it is the owner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. UNITED MORTGAGE CORPORATION ByT- n Its: O By. Its: STATE OF MINNESOTA COUNTY OF \ ~►tq-(A ss. On this !k) day of 1989, before me a No ary Public wi hin and for said County, personally appeared DAI l~-2 enel to me perso ally known, who being y me my sworn, eae}3 did say that the L/10-t- 5,1-S'eAj 2;1d of the Corporation named in the foregoing instrument, _..,,a __t_ument is the eerperate sea! ef said , and that said instrument was signed and-apel=~ on behalf of said ration by authority of its Board of Directors and said _V(t L NIC SI(1&-VT and acknowledged said instrument to be the free act and deed of the corporation. DENISE =K:3 otary Publi APPROVED AS TO FORM: Ci Attorney' 114te: / f HILLS OF STONEBRIDGE PLAT 2 ~•i '1 r0 •Q'o• 7L 801 1 rl'30~` ~ ' ~ • ~>g~ac M•1e.,sPoT per z7s+4J ~-s7 l•I 4 ~ EE Stio.i ss. V N•IiNF M I r3~ ••D,Y wl 2a i ! 1s 4 AL 1_ '`iv/ ~o f lC• 131 4. i 1 l it M 1.7 wY! I'~~» C'\y 'Fbs'. i3~7~ ~'iC,~rJ 44ei ,11V+, t~ 64 mie r v : , J , , d . • R, . C p a .n+ c~ t\, Lss,~ ry. •Y4 57•1 l17+ _ } L~ f'~~ } •NL a, ~`j ( e ` jy. 3~•~.M• 4' fY llJ~..rf.{ go, 1 e. i F ew r ' ~s7'I ye .l .t y ' {•~a•7!'% • i k o Y71 ae fi I 1D to F a► o1 h'i u~ri• r 4 l• aa; h`r'. ~:YaL 8 i°R ~6 cao 3s~ ~aD•ofi/~ s~~s~~y ~~f ~l•~ `<e 1 y1N.3d 14 •_•F' 1 0, L Mg, I{aq.4 .,i :3 \ vy \ ` rr <0• ..f 0 kt Ifi,:~ iSY 1 ! t $.f. 9~~ .F, I tib i ~.J / .p. ~A7 1; •3; L 6. e i " N j sz fa• 1µ~4 M SSF is , 5 a ,C/!I's ✓i,'{ 113 c C sr C~,•". 4• • Sze .Is d n /x~'.••,° i + R ra X71/`• • r m ~ $ tiNf, Y tl65.D Y l134: - \\\e ,;lam a*7f•~;•I ?s +s .e••r,'cr'e ~•:fli`a a• ~ Yrs 'c'~rw'rt~. i~'"+ q~ s~d'Q ~ ~{v~~:~ KI, J, ' 9,1x1.1 } '~y, 1 !a. ~ . n ..r ~It j, • ,lIA r ~x~1~-Ik A APPROVED AS TO CONTENT: , k.- Pubrks Department Date: (p- R -71 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 MGD/kL 32-3136 PERMIT r Y ~•S \Y CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021114 (612) 681-4675 Date Issued: 06/03/93 SITE ADDRESS: 4063 CAMBERWELL DR N LOT: 15 BLOCK: 3 HILLS OF STONEBRIDGE 2ND P.I.N.: 10-32991-150-03 DESCRIPTION: r- Balldingl,.Permit Type FIREPLACE Building Work Type NEW Zti _ t 4 alp (ngag REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - GORELL ALLEN 4063 CAMBERWELL DR N EAGAN MN 55123 (612)454-6506 I hereby acknowledge that I have read this application and state that ttte information is correct and agree to comply with all applicable state of Mn. Statutes and City of Eagan Ordinances. L = _J APPLICANT/ PERMITEE SIGNA7U E ISSUED : SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021114 Eagan, Minnesota 55123 Date Issued: 06/03/93 (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 3 APPLICANT: .4063 CAMBERWELL OR N GORELL ALLEN HILLS OF STONEBRIDGE 2ND (612) 454-6506 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL I- - - - - - 0 RLACI IVAIt VI IT yr rm%xm v PFRMIT'N 1993 BUILDING PERMIT APPLICATION 681-4675 ~ as S® r1 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 calcs. Penalty applies: I) 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 SK vi P / 7R_ Valuation of work 30 ° Site Address: STREET SUITE M •ienant Name: (commercial only) LOT BLOCK 3 SUBD. Id S I.D. M Description of work: F:'- e dace A, Qo ~:o~ a uw tO The applicant is: 1!I Owner ❑ Contractor ❑ Other (Describe) Name Goy e l ( Al (-e V%, Phone SAS S~-G~~ r3roperty LAST FIRST n f Owner Address '70(03 LGA/ w e l/ / 0. STREET STE / City LW Q, State Zip SS/a Company C I Phone Contractor Address License / Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: PERMIT Control No. 0538 CITY OF EAGAN 3831 Pilot16obRoad PERMIT TYPE:- BUILDING Eagan, Minnesota 55123 Permit Number: 000676 (612) 681-4675 Date Issued: 05/29/92 SITE ADDRESS: 4063 CAMBERWELL OR N LOT: 15 BLOCK: 3 HILLS OF STONEBRIDGE 2ND. DESCRIPTION: -Building Permit Type DECK Building'Work Type NEW f» Building.Length 26 Building Width,- 16 ,f ~i REMARKS: RECEIPT # FEE SUMMARY Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - GORELL ALLEN 4063 CAMBERWELL DR N EAGAN MN (612)454-6606 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L- APLNPERMITEE SIGNATURE ISSU Y: SIGNATURE INSPECTION RECORD Control No. 0538 CITY OF EAGAN PERMIT TYPE: BUILDING . 3830 Pilot Knob Road Permit Number: 000676 Eagan, Minnesota 55123 Date Issued: 05/29/92 (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 3 APPLICANT: 4063 CAMBERWELL DR N GORELL ALLEN HILLS OF STONEBRIDGE 2ND (612) 454-6506 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL REMARKS: RECEIPT # PERMIT IF CITY OF EAGAN / 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, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is requested once ermit is issued. Date S / _S / 5? mZt-_ Valuation of work 166© • '4-6 Site Address: 11043 (29mNERCur[L Dir. /Vo. ~A4A.N STREET STE i Tenant.~~NNa''me: (commercial only) LOT 1= BLOCK SL®D. /~scG S ~F ~]'raNEgl~i C P.I.D. 0 pCAr a Description of work: 06cx ADD2rtonl The applicant is: Iff Owner ❑ Contractor ❑ Other cooscribe> Name GORED.. «0n! Phone 11'.15' 7 CS66~ Property LAST FIRST Owner Address yp(A3 C_.. ~rAMSERWELG DR No STREET STE M City "EA4AN State /17/V Zip 55/.g3 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration t Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have read this appplication 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:. o O~ OFFICE USE ONLY BUILDING PERMIT TYPE i O 01 Foundation ❑ 05 Apt. Bldg O 09 Basement Finish O 13 Comm/Ind New O 02 SF Dwg. ❑ O6 Garage/Accessory ❑ 10 Swim Pool ❑ 14-Comm/Ind Add ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add. ❑ 15 Comm/Ind Rem O 04 Multi-fam. T.H. )K 08 Deck ❑ 12 Res. Porch O 16 Public Fac. ❑ 17 Agricultural WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Move 32 Addition O 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1, sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq; ft. Fire Sprinkler Lengthy On-site well"' Census Code Depth! On-site sewage SAC Code APPROVALS Planning Building Rs ~.zf-72 Assessments Engineerinif Variance „ REQUIRED INSPECTIONS ❑ Site ,Footing ❑ Framing Q Insulation ❑ WallboardFinal ❑ Draintile ❑ Fireplace Permit Fee 6t00 valuation: s Surcharge , cD Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pg. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units TuE 9pjTL l A1[2 ('n AC Certificate of Survey for: \ NORTH n~ +g 4 1 *%A T X r • h° 3 q d•s ~ a \ w I ~D1e lr A ti 1 s, Y r I 0 d~k / t r _ w~'4 994 NB/'4d'03.E m >t ~S aM ~.=-"s zn.iz ~ '8r ~ -s ej 3 . 900.0 Denotes exis><in¢ Elevalion o sFD OUSE ELEV4T100 900.0 Denotes eof Elevat`i orl Lowes Floor E eva ton °~s. -ODenotes prop r! a~ef Utifl y Easemenf Top of Block Elevalion me.7 Denotes Drain de flow , Irrows Gara e Slab Elevation PS(" a Denofes monumenf o Oeno~s 04trsel Nub BearinIs shown are assumed Sub ed to Easements of Redd LOT 15 , BLOCkl 3 , HILLS OF STONEBRI DCE PLAT Z DAKOTA COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the abovepd~as(~.ribed Ian and of the location OOf~sall me this / fql Aay of A.O. 19-10-. buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by J cafe inch, 4o re ROBE T e. 5 KICH L.S. REG. NO. 14891 PERMIT City of Eagan Permit Type:Building Permit Number:EA164413 Date Issued:09/28/2020 Permit Category:ePermit Site Address: 4063 Camberwell Dr N Lot:15 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Allen W Gorell 4063 Camberwell Dr N Eagan MN 55123 (651) 324-3968 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169950 Date Issued:06/15/2021 Permit Category:ePermit Site Address: 4063 Camberwell Dr N Lot:15 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-150 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 - Allen W Tste Gorell 4063 Camberwell Dr N Eagan MN 55123--392 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature