4079 Camberwell Dr N?? : . . .. T INSPEC
CtiTlf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?., :.:, ? ?:???.a f,?,.?:, x? i??; ?
--
, APPLICANT:
rvPE oF woRK:
![rr`?tH k l?Et? p;;?r?tt?i@i ? h•C l} ?,!;?;
?
!"i f! LYi !(; ? '-J 4.'. i'? F?1 Y'= ?{i 7??: I'f !?fl? Mt J 7?) l?S 1"? f.?
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f?
fq N`i t•,' 6 1.,t h7 I, l 14 6 i) !,, F EI`C 1 F,, 't t' A t W ("a R
?
J
Permit No. Permit Holder Date Telephone #
S/W
PLUMBiNG
HVAC
ELECTR
ELECTRfC
Inspection oate Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
o`
Rough Htg.
ISUI.
Firaplace
?-
Finai Htg.
Orsai Test
Finai Plbg. a??.?1lI
Y Plbg. Inspector- Notify Plumber
Const. Meter
Engr.,'Plan
Bidg. Final ? ? • z
oeck Ftg.
Deck Final
WeII
Pr, Disp.
?
? I
1
il 'q ?_J
GITY OF EAGAN
- 3830 Pilot Knob Road
; Eagan, Minnesata 55123
? (612) 681-4675
SITE ADDRESS:
{{ i! I?, +? t ?a t???°??E- 4tl+ 1 i+4t? ,'nlt?
' SUBTYPE:
TYPE OF WORK:
::? i! t ??= t??Pa
INSPECTION DA i D+
t
).i;., A#tf V 1 t;1 ka91 i I 01; rit;f`I' f'i IIk}iI?'I,[?l.f:i F?1I( F. i1t 1.{0 v h
TIO
PERMIT TYPE:
Permit Number:
Date Issued:
!iII i ? (r S F??
r:?, ,. .' <; •r ' ?
APPLICANT;
? i: ?.? 1 i?? .J ?... •a Ps r'? fi?9!
Permit No. Permit Hoider Date Telephone #
S/W
PLUMBING
HVAC
ELECTR IC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ,-
Fireplace
Final Htg.
C
Orsat Test
.v L Lr
Final Plbg. Pibg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Finai
Deck Ftg.
Deck Final
Well
Pr. Disp_
k$ACTIVATB FOR ABCK OS/ 13/43
FROBER BIZ02'HERS 447--5412
(grrttftrate of Mrrupaury
titp of Cagan
IDrprWww of luniag inwrtimt
This CerfifiQate issuedpursuant to 1he requirernents of Seetion 306 of the Uniform Building
Code certrfying lhat at the am of lssuance t11is stru.clure ?tiru in compliance wrili the tKrrious
ordrnances of the Ci1y regutaung butlding constructian ar use Far the fallowing:
use ckwfic,;ft SF TJWG BUs. pamit No. 820
OMW,-rIYFC R3/M1 zoning DW,;a PD/R1 TyPC CAMM VN
owworswift M EMJRID CMME Aanw 5241 F tZrM RD,Fgmrxv
Am. 4079 CANW64ELT. DRIVE NLj;,, L 11. N3. fIlTIS OF SICFEBFJDGF, PLAI 2
711- ;DM 9/ 11 /q2
&Uunr offkid
IN A CON5PICUOUS PLACE
4 .. ?
. INSPECTION RECORD I Control No. 0661
•CITY OF EAGAN -T?' Ar;' A E19r@R E3K 0 3/Q?3+ pERMIT TYPE:
3830 Pilot Knob Road R.... - '- H?FrR 4 9-_4 2 Permit Number. ~920
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: 40Ta 11: S1,pCKi 8 APPLICANT:
4419 CRNSlRWL'Li DiE M THE RDii"3.idMlP tp !MC
Mli.1.5 OF S101iE9AIUSY Pl,A1' z (617) ?71-li"$'4
PERMIFT pµBTYPE: ? K TYPE OF WORK:
.
f'QOTIN?
? .. P .
09RAMIF191 . .•
.
?•p
? IMRU?ATipfil
fINA! ? ?.
FIFV?LACE -•
RFiIARK3, S i N C9MTRACT09 - VALt.EY plllG
PermR No. Permft Holtler Date 7elephona #
SN/
PLUM8ING,
'
v
HVAC
ELECTRIC I?O70 ? (/J,?'?1 • 8?/701 ???
ELECTRIC
/
Inspection Dele
Inep.
Commenis
Foo[ings I ;
Foundefion ? i
Framing •,
!-
Roofing 3 Q
Rough PI6g'.:
Rough Hig.. '2 ^9z
isui. 3 7-3/- ce1Q?
Fireplace
Final Ht9. , ?1Z D $
Orset Tes[
FInalPlbg. ? Plbg.lnspector - NatiyPlumber
Const. Meler
EngrJPtan. '
Bldg. Final
V
oedk Ft9. 3 ?
Deck Final
Well
Pr. Disp. "
f ?'7
Address: 4079 CgeERWELL DRIVE NLot I I Blk 3 Sec/Sukalg pg SlaEMIDGE PfAT z
These items were/were not completa at the time of the fia inapectlon.
Date: 9/I1/92 Yas No
Final grade (6" from siding)
Parmanent stepa - garage
Permanent stepa - main entry
Pecmanent driveway
Permanent gas
Sod/seaded gzass
Trail/curb demage
Yorch
Basemant finiah
Deck
Please varify vith the builder the removal of rooP test eapa from the plumbing
system and the ahuY-off of vatar supply to the outside lawn faucet bafore
freeze potantial aziats. m
s.nm.w?
White - City copy Yellow - Residant copy Pink - Contractor copy
?M?2?157
?/y???
d
Requesl Date va No Ro n Inspeclron
Req ed9 qpTICE: Vou Musl Call Elecfncal Inspeclor
If A Fov9h-In IrsPectmn
< « s ? No Is Haqmretl.
I licensed contractor ? owner hereby request inspedion of above electrical work at:
Job AOAress (Sireet, Bpv or Raule No.) Ciry
0 ? e?i.,&
Seclion No. Towns ip Neme or No. Range No Counry
OccupsM (PRIPIT) L jl
r
Phone N
4r
-
e?
3 6
PowerSuppLer AOGress
Elechical Contracl (COmpa ame) Contra or5
No.
? ??
Y
r
Madmg Atldress (CO 7r or Owner Ma In nsWll tw
4
o? ??
Aulhodzetl SigneWre (Conba I wM Making alla n) hone Number
y
MINNESOTA $TATE BOARD OF ELECTNICIN THIS INSPECTION REQUEST WILL NOT
Grgg?MlCway Bltlg. - qoom S113 BE ACCEPTED BY THE STATE BOARD
1821 UniversNy Rva., St. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
PM1One (612) 892-0800 ENCLOSED
?? p REQUEST FOR ELECTRICAL INSPECTION eaooooi oe
? See instmdionp(x completing this brm on back of yelbw copy 00% / o ,?,/, q
M ^ W d *5 7 _ - ?,: , ,..? _ ,
'X" Below Wark Covered by This Request
e tl Rep Typeofeuilding AppliancesWiretl EquipmentWired
Home Range iemporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Speciry)
Farm Air Conditioner
Olher (specily) Contr or§ Remarlcs:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Circuits?Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 - Amps
SIgfIS Inspedork llae Only. TpTAL
Irrigation Booms D ?a
Special Inspection t
Alarm/Communication THIS INSTALLATIO BE i?,Q1?C?PINECTED IF NOT
Other Fee COMPLETED WIT O
I, the Electrical Inspector, here6y Rough-In oatea,1
sf?
certify that the a6ove inspection has
been made. Fnal s oate
OFFlCE USE ONLY
This request witl 18 months irom
K 11081 /o?1 to L
S 2
Fequest Date Fire No RougM1-in Inspectron
Re uireG'+
? ReaOy Now j7fWill Nobly Inapec10r
?p ??q -'j- ' Yes E. No When Reatly'
It licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Adtlress IStreet Box or Raute No ?
D C"
4 07 ,1 -
Section No Township Name or No Rarg9 No- Co
Occu ? Phona No.
Power Supplier AtlEre95
I.\ n '
RJ? ?
F?
Elecm I G?n racmr ICOmpany Name)
? v CaMractor5 L¢ense No
r.- C-/3-D0391
Maibng ACtlress (COnhactor or Owner Making Inslallation)
Autnonzetl Signawre ICanttapo a ing Installalion? _. P?one Numbar
3- 38 e
MINNESOTA STATE BOAqD OF E ECTRICITY THIS INSPECTION REOUEST WILL NOT
Grig9aNiCway Bidg. - Paam S-173 BE ACCEPTEO BV THE STATE BOARD
1821 Unlvenlh Ave.. 5t Paul. MN %1W UNLESS PROPER INSPECTION FEE I$
VhoM (612) 603-0800 ENCLOSEO
1110 REQUEST FOR ELECTRICAL INSPECTION °=1"`?eea i s
2- See insvuuona'yo-canploJ fg tNS form on back of yellow copy '/
81 r"X" Below Work Covered by This Request ?? ` O? ?
e Adtl Rep. TypeoBUildmg ApphanceSWiretl EquipmentWiretl
Homa Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildmg Dryer OMer (Specfi/)
Comm./lntlustnal Fwnace
Farm Air Conditioner
Olhar (syecify) Conlractor§ RemeB3
Compute Inspection Fee Below:
# Other Fee # ServiceEnirenceSize Fee # CircuM5/Faetlers Fee
Swimmmg Pool 0 to 200 Amps 0 ro 100 AQips Y
Trensformers Above 200 _ Amps Abov 0` Amps
SignS In5peclwB Use OnyJ TOTAL
Irrigation Booms
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ONT
I, the Electncal Inspector, hereby Aough?in oare ?17
F
certify that the above inspection has
been made. Finet
OFFICE USE ONLY
TNs reQUest voi0 18 months Imm
/ ??7
0
j 012 2
Requesl DatB ' Fne No Roug?-in Inspecbon
ReqwreC, ? Reetly Now ?Nill NoLiy Inspector
- es G N
o
When Reatly?
IXicensed contractor D owner hereby request inspection of above electncal work ai:
Joe Aatlress IStreeI B r qoute No I
o (
? Ciry
? y
)
G?/?y'? /WU-h
Secoon No Township Name or N. Ranga No Coup(y
G?
OccupantlPRINT) Phone No
Powe, SUp ? Atltlrp55
- 9-,U-
Elecincal Go
any Na
me, Conhedor5 L¢ense No
^
?
MaJmg Atltlress iConVaqor or Ovner Makmg I nstallavon)
Auinonzetl ignaWre IContractor: wner M ng Installatrom Phone Number
" 44?3-38?0
MINNESOTR STATE BOAflD OF ELECT4ICITY f THIS INSPECTION REOUEST WILL NOT
Grigge-Mitlway Bltlg - Hoom S-113 8E ACGEPTED BV THE STATE BOARD
1821 Umversiy Ave., 5[ Veul. MN 55100 ? UNLES$ PROPER INSPECTION FEE IS
Phone(61]) 6424)800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °'-"`•?`'?. ea-ooam-oe
/A
? See inslmaions for complenng mis form on bac. ol yellow copy s'?r'?
i n 1?2n _"X" Below Work Covered by This Request
ew Atltl Rep , TypeofBwltlmg ApphancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Other (Specify)
Comm./Industnal Furnace
Farm Air CondiUOner
Olherlspanfy? Contractor§ Remarks
Compute Inspectron Fee Below:
B Other Fee # ServiceEntranceSae Fee # Cimmis/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs mspacm.s Usa Onry TOTAL
Irrigation Booms
Special Inspec0on
q
AlarmlCommunicahon TMIS INSTALLATION MAY BE O ERED SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS. ?
I, the Electrical Inspector, hereby Rou9n-in
certify that the a6ove inspecti0n ha5
6een made. F,,,ai oai
OFFICE li$E JNLY
This requast vaiE 18 monlhs trom
`
K11 8 ' ?°716z
S R2
Repuesl Da?e Fire No Rough-in Inspedwn
ReQwrad'+ ,,JJ
RBedY Now ? WIII Notlty InsPWor
I
{p ??? ? R Z ? Ves C N. When ReaOyl
I ilicensed contrector p owner hereby request inspection of above electrical work at:
Job Adtlress (Sneai. Box or ute No ) City
0
Semon No TOwnship Name or No.
I
Range No
Co?
Occupant 1 FINTI Phone No.
Power$up er AtlEress
? ?
Electncal C ramorlCompany Neme) Contracror9 Ucense No
v-2?1 c ?-o0 3 ? J
Maihng Atlaress ICOnVatlor or Own r Makinq Installatiani
Aulhonietl SignaWre ICOntractor w Making Installatio ) Phone NumDer
? " ¢ 3-5klo
MINNESOTA STATE BOARD Oi ECTRICITV THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway 91dp. - Room 173 BE ACCEPTEO 9V THE STATE BOARD
1821 Unlvdsity AW.. SI Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phane (612) e43-0800 ENCLOSED
S'`Sf ?Z RE?UEST FOR ELECTRICAL INSPECTION ?'? Eeaoooi-oe
tT ' ?
? ,?s insimcuons for Completing ihis lorm on back oi yellow copy.
?
K 110 7 8- "X" Below Work Covered by This Request ??*•? ??? `?' ?
ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range x 7emporary Service
Duplex Water Heater Eledric Heahng
Apt.Building Dryer Other.(Spacify)
Comm./Industnal Fumace
Farm Av Conditioner
O1her(syeaty) Convaaor9 Remarks
Campute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs lnspeaǤ use onN: TO7AL
IrrigaUOn eooms J? v ?,SSo
Special Inspection
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fce COMPLETED WITHIN 18 MONTNS.
I, the Electncal Inspector, hereby Rough-in oaie
certify that the above inspection has
been made. F,nei
f oem
.la' lv'Y
OFFICE USE ONLY •
This requeat voM 18 monttls Irom
RESIDENTIAL
? ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•881•0875
NewConsWCdon Reauiremenn
• 3 registered site surveys showirig sq %. of lot, sq. IL of hause; and atl roofed areas
(20°h mazimum bt coverage allowed)
. 2 copies af plan showirg 6eam & window sizes; poured kuM design, etc.)
. 1 sat of Energy CalculaGOns
• 3 copies of Tree Preservatlon Plan'rf lot platted after 717193
• Rim Jo'st DeWd Options selectian sheet (bid9s wiM 3 or less uniGa)
DATE - (0' I 9- 01
SITE ADDRESS
YBLDG _Y _N
TYPE OF WORK IZr)nF + S (1)i9 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS (?7IS I a't Ao 1.1 CITY-4Ttf. ?STATEJm?I ZIP
TELEPHONE #
CELL PHONE #
FAX #
PROPERTYOWNER?? ?'PrCU?CC TELEPHONE#
------------------------------------------------------------------°°-----°------------------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLES 7670 CATGGORY 1 MINN? (y ?LY?S ?67Y "
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New y??N4Vprl?hMeb
• Energy Envelope Calwlations Submitted ??
Plumbing Contractor: _
Plumbing systcm includes:
Mechanical Coniractor.
Mcchanical systcm includes:
Sewer/Water Contraetor.
_ Air Conditioning
_ Hcat Rccovcry Systcm
Phone #
Phone #
Fee: $90.00
Fee: $70.00
°---------°--------------------------
I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Signafure of Applicanf
OFFICF. USF. ONI.Y
Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
RemodeVReoair Reauiremanri
. 2 caples of pan
• 1 set of Erreagy Calculatbns fw hea[etl additions
. 1 site survey tor eztenm additions A decks
• Indicate H hame served by septb system tor additions
yS7,LS
VALUATION ? C) , DO o
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
?CITY QF. EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT '
PEFtMIT TYPE:
Permit Number:
Date issued:
9UZLOIMG
000820
06/19/92
SITE ADDRESS:
4079 CApIBERWELL OR N
LQT: 11 BLOCK: 3
HILLS OP STONE6RIDGE PLAT 2
DESCRIPTION:
'1?
REMARKS:
f'j?ui,ld?C?g Permit Type
1 BuL1dinglW,ork Type
Us,C Ocaupatiiq.Y
Ccnst,rnction';Ty
Zoni•n9 '_.
Building I.encjCh
` 8uf,kci,iag liatd#h
.. ?, .,., .
`Y Y §+n,r==-"
t
Pe
SF DWG
NEW
R-3 M-1
V-N
PD R-1
68
52
'?? ti."? ?'?? ? ?;+
S& W CONTRACTOR - VALLEY PLBG
FEE SUMMARY:
vnLuarroa
Base Pee
Plan Review
Surcharge
SAC
SAC $
SAC Units
sutrtotal
$930.00
;604.50
$91.50
=700.00
100
1
=2.326.08
$183,000
MISCELLANEOUS $1,610.50
COPIES $1.80
Total Fee $3,937.50
CONTRACTOR: - Applicant - sT. L
THE ROTTLUND CO INC 15710304 00013
5201 E RZVER RD
FRIDLEV MM 55421
(612) 571-0304
PERMITTYPE: auzLozwG
Permit Number: 000820
Date Issued 0 6/ 19 / 9 2
L
i hereby acknowled•ge Ghat L h,aue road this ap.pfioat.fatt artd stats tkfat the
informatian is oarreet and agree tc vamp1Y with aY1;.mWPlfcable State of Mrt.
StaLuCes and City of Ea+gan Ortltnaaces« t ;
?? ?OUQ Rrv? I 1H,11
APPLICANT/P6A ITEE SIGNATURE ISSUED Y 5 GNATU E
INSPECTION RECORD C°nt`°' N°. 0661
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITEADDRESS: LoT: si BLOCK: 3
4079 CAMBERWELL DR N
HIILS OF STONEBRIDGE PLAT 2
PERMIT SUBTYPE:
SF 0WG
APPLICANT:
THE ROTTIUND CO INC
5201 E RIVER RD
FRIDLEY PIN 55421
(612)571-0304
THE ROTTLUND CO INC
(612) 571-0384
TYPE OF WORK:
Cantrol No. 0661
NEW
INSPECTION
FOOTING D, .
FRAMINO .,
INSULATION FINAL
FIREPLACE
:'„av,.,REPIARK3: S& W CONTRACTOR - VALIEY PLBa
r-- .
? . ..
L
,
PERMIT # CITY OF EAGAN
• " ' X,0 1992 BUILDING PERMIT APPLICATION
681-4675
$31G37..?p •
JJh 1 fi RECO
e"_?I°//e
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 eriergy 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 nce ermit is issued.
Date (0 /5/ cl 2 Valuation of nork
Site Address: LIa??I Cct"IoP-YU/P_Il / o `>'C20 6
BTREET STE t
Tenant Name.-d,.e-- ern4ILmd COr .-LAC,
LOT ? BLOCK ?
??? ?
1
i.I.D. !
S o ?one?'
Descri tion of work:
The applicant is: , Owner Contractor ? Other (oescr+ee)
Name -rik q CD. :tAc' Phone ^0 30
Property uST FIRST
Owner pddress Szol ?? ?; Kr
STREET ETE 0
City IEal f/lww- State /Llrn- Zip
Company Phone
Contractor Address License #00 O?33T Ex , 31 G
City State Zip
Company Phone
Archftect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber ilat M'n . Processing time for
sewer & water permits is two days nce ea has been proved.
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:
urrit;t uat unLr
BUILDING PERMIT TYPE
? 01 Foundation O 05 Apt. Bldg ? 09 Basement Finish
0,02 Sf Dwg. 413 Ofi Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace .0 11 Res. Add./Porch
? 04 Multi-fam. T.H. O 08 Deck O 12 Comn./Ind.
WORK TYPE
1341 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant finish
? 36 Move
GENERAL INFORMATION
0 37 Demolish
O 99 Undefined
? .? ?Fac.
0''13,PI`5u l? 14 Agricultural
? 15 Miscellaneous
Const. (Actual
;
?/
-N Basement sq. ft. MWCC System
(A1Towable ? lst F1. sq. ft. City Water
UBC Occupancy R-3 bn-j 2nd F1. sq. ft. PRV Required
Zoning pp R_1 Sq. Ft. tntal Booster Pump
i of Stories
Length
? Footprint Sq. ft.
On-site well fire Sprinkler
Census Code
Depth S On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REtaUIRED INSPECTIONS
? Site ? Footing
?•Wallboard ? Final
? Framing
O Draintile
?Ie;_
YC-l
a/
? Insulation
13 Fireplace
Permit Fee wi,.cia,: s 18T
Surcharge
Plan Review 6.t4
License ' -
MWCC SAC Z2 X 2Z= YYy '
C i ty SAC
Mater Conn yo x??_ z y o
.
Mater Meter - !f 58u
'72?I ? J? `
Acct. Depasit 92a`
S/M Permit 3yx 3 jD.TL(
S/W Surcharge ?
Treatment Pl.
Road Unit 8 X/N = I 12
Park Ded.
Trails Ded. 18 Xzo-36o?
Copies .v? j51$ x 15= Z2??7a
Other
Total : IS'r i.ours.
sac % 53: cdb
SAC Units
-4-
z N D f LJOYL
_ 1526-2?2=J2?4x53=6?5?2
I ?2?S`I
* PIONEEA
* ---?'--
*
tnno suRVErrnes •
ro awnuens . urr
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-7914•Fax 681-9488
625 Highway 10 Nartheast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of survey for: The Rottiund Company, (C1C.
House Address: Camberwell Drive. Eagan. MN
Model Name: Augusta
\ \
? c
,
B91.5 \ ) b932 ? ?`
?
Oq? '
^ / o?B> 892.a ?
~J(?k ? ry ?tR4 ? ??, \ ?
lb .??[??Y?
A? ?Y- ' 0 8g39 \ ? ^i
7'?3 70 p m ?
(D
r.
1 L
7 ?
?n
?
VL 9
?ry
?
s 637353
O? 5,e y \? l 5 ?
J naie
F \ EAGAN
/ ? \ as ?RS?e ti?
/ ?, So aseM?'
/ k? ` .ooot ?° °?so
?
?
?
r
DEFT
x 900.1) Denotes Existing Elevation \ pROP05ED HOUSE ELEVATION
x 9ao Denotes Proposed Elevation
---- Denotes Drainage & Utility Easement Lowest Floor Elevation:886.85
Denotes Drainage Flow Direction Top of Block Elevation:894.96
-o-- Denotes Monument Garage Siab Elevation:894.63
-F3-- Denotes Offset Hub Bearings shown are assumed
LOT 11 , BLOCK 3 HILLS OF STONEBRIDGE
DAKOTA COUNTY, MINNES07A P L A T 2
I hereby certify that this survey, plan or reportWspreperad by e or under my direct supetvision and that 1 em duly Registared Land Surveyor
under the laws of the Stata of Minnesota. Datetl thisq] -'nTN = dey o/ 301-IF A.D. 19qLZ .
Scal e: Vnch=30fee}
ffo-51 89194.17
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' Deterain vorkinr; square t'ootni;c ot cach.
1. Total exposed vall area scl. ft. x 0.11
2• Total roor/ceiling area .. 13D27 Sq, ft. x 6.,026 _ 3 g
? . -
Total exposed wall arez nbovc floor = 7i!e 3716i ?
a. Total vall vindov area . ..................
b. Total door area ? ...................... Z,. ? ?
.............
c. Total slidinb glass door area .....................
d. Total fireplece wall nrea .......... ....
e. Total wall framing area (average lOP) ............. Z! O,q
f. Total net wall area above floor ..................
. g. Total rim joist area ................ ........... 2 71 ,[,
Total exposed foundntion arca
c
h. Total foundet?on vindcv a:ee .......... . pt
i. Total net foundation a-ea hbove grade . ............
•
. .
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value
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.^,FC;ment.
. 8. ?? R. o r,," 0,¢2 - 9=-31
b. -71 x ..U„ Sgq .
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If item N3 is the same as, or less :.h:in .iteia pl, you nave met the intent
or ssc 60o6(c)2.
n
Total exposed rooC/ceiling aren
? . .. ,
Total gross roof/ceiling are:t
J. Total skylight area ..........................
k. Total roaf/ceiling framing area ..............
1. Total net fnsulated roof/ceilinF area ........ / D .
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i. 117D X ,.U.. 0,0 2z . ...............................:. Total . Z
If total oP #4 is the seme as,'or less than N2, you have met the intent of
ssc 6oo6(c)1.
, To utilize the total envelope system method, the values establi<hed by the sum of items N3 and 94 shall not be greater.thr.n the suro of items dl and N2.
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. '
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
pllciingP-Permit Type
uilding Wk Type
1079 CAMBEkWELL DR N
LOT: 11 BLOCK: 3
HILLS OF STONEBRTDGE 2ND
P.I.N.: 10-32991-110-03
DESCRIPTION:
Y
?
PERMIT Clk 19057 PERMITTYPE: suzLoING
Permit Number: 9 2 2 8 6 9
Date Issued: 0 2/ 0 7 J 9 4
Q??p W a .
REMARKS:
SEPARATE PERMITS ARE REQUIRED IzOR flNY PLUMBING OR ELECI"RICAL WORK
FEE SUMMARY:
Base Fee
Plan Review
SurcMargs
Lic. Search Fee
Total Fee
VALUHTION
SP (MISC.)
HLTERflTSON $23,000
$234.0Vi
$152.10
$11.50
$5.00
$402.60
CONTRACTOR: - APplicanT. - ST. LIC. OWNER:
LUNDGREN BROS CONST TNC 14739640 0001413 FARBER ROBERT
800 E WAYZATA BLVD 4079 CflMBERWELL DR N
WAYZATA MN 55391 EAGAN MN 55123
(612) 473-9640 (612)688-8641
1 Hereby acknowledge that I have read Lhie applicatian 6nd state thaY. i?he `
information is correct and aqree to comply with all appl3,cable State of Mn,.
Statutes and Gity ofi Eagan OrdiRances.
'k?'? --
APPLICANT/P MITEE SIGNATURE SUED BY: SIG AT11RE
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LQ r: 11
4679 CAMBERWELL pR N
HTLLS OF STONEBRIDGE 2ND
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
AL7ERATION
INSPECTION
FRRMING ., .
ROUGH IN PLBG .•
ROUGH IN HT6 FINFIL
REMARKS: SEPARflTE PERMZTS HRE h'EQUIRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
F - -
i
RECORD
PERMITTYPE: BuzLozNG
Permit Number. 022869
Date Issued: 0 2 f 0 7/ 9 4
B L 0 C K: 3 APPLICANT:
LUNOGREN BROS CONST INC
(612) 473-9640
IL
) I • -.
Z . ? ?.}}?? ??
V
, '49§k-BUILDING PERMIT APPLICATION " '-;i'"
:1140 lqq CITY OF EAGAN ' 3p,N 19 1994
,
,? ----------- _r? I-.2D
SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS L
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.
IAT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED 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:
Site Address
Lot I t Block '
?/
Valuation?-?j?= Date: ?/I SS?
Parcel/Sub
Owner
Address
City/Zip Code ?qu G v? rnr J`S? ?-?J
Phone ? 1&: '
Contractor
Address ?,DU a . L?w??zc,?cc
City/Zip Code -39 1
Phone L( -7 3 - ? LLl 6
Arch./Engr.
Address
City/Zip Code
Phone #
rv
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
OFFICE USE ONLY
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off,
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUSTOTAL
Penalty
Lot Change
TOTAL
??'c? ? agrees that all work shall be done in accordance with
(S' atur of Contractor)
. -. .. •
all'applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
1994 BUILOING PERMIT APPLICATION
681-0675
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 af
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but nat picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE k
Tenant Name: (commercial only)
LOT BIACR SIIBD. 7 P.I.D. #
Descri tion of mork:
The applicant is: ? Owner ? Contractor ? OtI121" (Deacribe)
Name Phone
Property LAST F[RST
Owner
Address
STREET STE #
City State Zip
Company Phone
C011t1'aCt01' Address License # Exp.
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 information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si9nature of Applicant:
_, ?-
R -L?
OFFICE USE ONLY
BUILDING PERMIT TYPE
11 01 Foundation
? 02 SF Dwg.
0 03 SF Addition
? 04 SF Porch
)Z 05 SF Misc.
WORK TYPE
0 31 New
O 32 Addition
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
,0 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual
(Allowable?
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
,&J final
0 Framing
? Draintlle
-73 _Y
p/
T
_0
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
1 ?
'
v,tu.cim: g 23 006
1
, ` •
1
. . i
El 16 Basement Finish
O 17 Swim Pool
? 18 Cortqn./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
LBL CITY OF EAGAN
±&Lj"-. ? PLUMBING PERMIT
SUBI? (612) 681-4675
R88IDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: kntt1jr4f
SITE ADDRESS: LIU"lCN C,, c( i 'D? nJ
INSTALLER: ?l d1I`e.F
ADDRESS:
CITY: ?? u , A a. ZIP: S -) -s 'S?
PHONE #: \?1c) l d I ak
SIGNATURE OF PERMITTEE
STATE SURCHARGE .50
TOTAL: S k?? ?
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING i]NIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR: _
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONIRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY USE ONLY
RECEIPT # 6 3
DATE o7
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
r REPAIR/ADD ON 15.00
SHOWER 3.00 J=
? WATER CIASET 3.00
7- BATH T[TB 3.00 G -
? IAVATORY 3.00
? KITCHEN SINK 3.00
I IAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ? -
T FLOOR DRAIN 3.00 :3
GAS PIPING OUT.
1 (MINIMUM - 1) 3.00 ? -
? ROUGH OPENINGS 1.50 y•
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
CITY OF EAGAN
L1L B? ??? MECHAHICAL PERMIT xECE?r #/a o?
SUBD. E (612) 6814675 DATE 9?-
A?;Z °2 70 RESIDENTIAL - -- --
PLEASE COMPLEfE UPpER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPLETE FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PIItMITS ARE REQUIItID FOR EACH DWELLING UNTf.
owxm: ? Ef FEEs
STl'E ADDRFSS:
VL1747
GJ ? , ADD ON/REMODEL (E7IISTING
CONS1'RUCTION 011) $ 15.00
INSTALLER C, HVAC: 9-100 M BTU 24.00
PHONE #: ?_ (o ADDITIONAi. 50 M BTU 6.00
ADDRFSS: gL,14A,,1L1771 4- GA3 OU1'LEfS - MINIl1iUM 1@ $3 EA. 3_o d
?' Er ZIP:.rS ) SURCAARGE: $ .50
SIGNATURE TOTAL: $? 7. SU
- pv _ ,
COMMERCIAL
PLEASE COMPLEI'E TIiIS PORTION FOR ALL COMMERCWJINDU51'RiAL BUII.DINGS. ALSO COMPIETE FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMII Y BUII,DINGS WHEN SEPARATE PERhII15 ARE NOT REQUIRID FOR
EACH DWELLING i7PIIT.
I WORK DESCRIP7zON: I CONTRACf PRICE: I FEFS
196 OF CONTRACf FEE.
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE a
PROCESSED YIPING - $25.00 Fs
MnNnHUM ? . $is.oo
IEAG!1YAIt ???En?p??
AERM a v
.
MAY 0 7 1993
a V
--------------
{,rl l T- Vr GNL7N1v
1893 BUILDING PERMIT
6s1-as7s
APPLICATIONy
A/
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, i 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 Valuation of work
Si te Address: "(_u
SiREEi SUITE M
Tenant Name: (commercial only)
IAT ? BLOC& 3 SUBD. ? L_?" P k
Descri tion of work: Xak
The applicant is: ? Owner ? Contractor ? Other coes«tne>
Name AnxluR?nt' Phone
Property LAST FIRST
Owner
Address
STREET STE N
City State Zip
Company Phone %17-
Contractor Address /D "4 License # 5E% 5 Exp.
City &pZL State Zip 5-5- y?--5
Company Phane
ArchitecU
Englneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I here6y 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:
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 OI Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
O ? 31 New
32 Addition
? 06 Dupiex
? 07 4-Plex
0 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging .
? 12 Multi. Misc.
O 13 6arage/Accessory
? 14 Fireptace
F:15 Deck
? 35 Tenant Finish
? 36 Move
.
"? 16 Basement Finish
0 17 Swim Pool
O 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Misceltaneous
? 37 Demolish
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length 1)%z On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
O Site Footing
? Wallboard ? Final
MWCC System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
awsus blc?? ?-
i r wvt
Assessments
? Framing 0 Insulation
O Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
tity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vstuetian: $
SAC %
SAC Units
?. ?
?
\ e \? ?
? ..
?
?
mry ? ? ? ? ?
?ry? ? •?? \ \ ? ?
S?
2422 Enterprise Drive
Mendata Heights, MN 55120
612) 681-1914•Fax 681-9488
Wineering ?u runncrcs • unuscnrc nnunmcia 625 Highwoy 10 Northe09t
Blaine, MN 55434
7? * 1(612) 783-1880•Fax 783-1883
ificate of survey far: The Rottlunci Company, (C1C.
House Address: Camberweli Drive. Eagan. MN
Model Name: Augusta
c?,ao.,.er Ma,,..e ; Fa.Le.-
6??
?
10
jsJ9 ? ? 77 00,0
? ? 7S S? h?
?:o
?
?
?
?
D
?
S, s ijS BY
F J EAGAN BNGINEERING DEPT
¦ 0000 Dbnotes Lzi"sting Elevatton \ pROP05ED JiOUSE ELEVATION
x e?• Dbho{dg praposed Elovdt(on Lowest Floor Elevation:886.85
---- Dt-notb's Droinage Ae Utflity Easemen{ -
` benotd's DYainage FIoJv Direction Top of Block Elevatton:894.96
-?o- D"enbEbill MonuMent Garage Slab Elevotion:894.63
--E}- D"enbt(Bg Offset Hub Bearings shoWn are assumed
LOT 11 , BLOCK 3 HILL> OF STONEBRIDGE
DAKOTA COUN7Y, MINNESOtA P L A T 2
I here6y cerUfy ihal thle iurvey, plen ur ieport ?a?!,-p,?repared byT e or under my direct euparvieton amd th§t I em duly Registered land Surveyor
under tM1e lew! uf thi Sute ol Minr?ewti, Deted thie _I ?+'+ dey ot J?? A.D. 1g? L,
Scal e: 1 nph=
o1? esigd.ii
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WI-EN PERMITS ARE REQUIRED FOR EACH UNTf.
----------- - -------
. T?O. FIXTIJRES EACH TOTAL
? SHOWER 3.00
/
- WATER CLOSET 3.00
? BAT'H TUB 3.00
? LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
-t_ GAS PIPING OIJTLET •mwmum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • net.ay. uG 20.00
U.G. SPRINKL,ER • no? ?aa ?t. 3.00
ALTERATIONS • to coossting 20.00 ',j,(lnd
WATER TURN AROLJND 20.00
STATE SURCHARGE ?0.50
TOTAL: 10,60
STI'E ADDRESS: ?O 77 Ca wt?er q1e 1( QnOWNER NAME:
ADDRESS: 1900 ?aGC? /ol-Y X?-- CTTY: /,--X'ce 1 sF?r STATE: A +v ZIP CODE: s-S 33 1
PHONE #: (
Y7d -IZog
A .Le????
SIGNATURE OF PERMITTEE
ILY" rLUmnuvu rticmrr (xESiur:r-rint.)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124001
Date Issued:06/18/2014
Permit Category:ePermit
Site Address: 4079 Camberwell Dr N
Lot:11 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-110
Use:
Description:
Sub Type:Reroof & Siding
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Kim L Farber
4079 Camberwell Dr N
Eagan MN 55123
(952) 888-4889
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138735
Date Issued:09/19/2016
Permit Category:ePermit
Site Address: 4079 Camberwell Dr N
Lot:11 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Aaron Swanson
4079 Camberwell Dr N
Eagan MN 55123
(702) 610-9698
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146859
Date Issued:11/17/2017
Permit Category:ePermit
Site Address: 4079 Camberwell Dr N
Lot:11 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-110
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Aaron Swanson
4079 Camberwell Dr N
Eagan MN 55123
(612) 382-9261
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168283
Date Issued:04/15/2021
Permit Category:ePermit
Site Address: 4079 Camberwell Dr N
Lot:11 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-110
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.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Aaron & Heather Swanson
4079 Camberwell Dr N
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170520
Date Issued:07/07/2021
Permit Category:ePermit
Site Address: 4079 Camberwell Dr N
Lot:11 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-110
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 -
Aaron & Heather Swanson
4079 Camberwell Dr N
Eagan MN 55123
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature