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4100 Camberwell Dr N t (Urtiftra#r of (Orr paury Citp of Cagan Joppmtow of 1wM . 3wipprum D& Certtfwate issued pursuant w the raquWn=& of Suction 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the. various ordinances of the City regulaA'wtg building construction or use- For the following, Lim a.~ SF LXe1r4QAR' M4 P=nk Na 18645 0wV.aL7 Type R4.& 1 74aing Did= PT). I TYe co„„ V Ow-a of soldig THE Rn-r-rr I= CO IX _ 5XI I E RIB RD-, ERIESTY > Addrm 4100- OAMER[d, 1. MIVF. N,, Hty .13. R 1, NTT 7 S ( R ~ERR 7tY 2ND i na/c 5 f 1l~ f 4 t s~aa~~ oaosr - . - POST IN A CONSPICUOUS PLACE CITY- OF EAGAN ,d 1 8645 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 J "A PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SP Dw/ca Est. Value $144,000 Date JAN 9 19 91 Site Address 4100 CAMBERWELL Dit N Lot 13 Block Sec/Sub. HILLS OR OFFICE USE ONLY - -J- SIONERK 20 Parcel No. Occupancy R-3 H-1 FEES Zoning FD R-I THE Rt7fi'yii.U CO INC 1+~ 794*00 Ua Name (Actual) Const Bldg. Permit z O2 E RIVR RA 72.00 o AddreSS-- (Allowable) Surcharge City RI1DLEY Phone 571-030.4 # of Stories ~r 516•00 Length Plan Review c Name SAME Depth - SAC, City 1•~ ' a Address S.F. Total - SAC, MCWCC 650.00 City Phone S.F. Footprints "0•00 On Site Sewage Water Conn 900 °1116 Name On Site well Water Meter 0, 30.00 c 3 Address MWCC System Acct. Deposit s6 City Phone city water - S1W Permit PRV Required - I hereby acknowlege that I h ve read this application and state that the Booster Pump S/W Surcharge • SQ information is correct and a ee to comply witth, all applicable State of 276.00 Minnesota Statutes and City Eaga~nfr tnances.i , r Treatment Pt Signature of Permitee = ' `:J` ~I ET APPROVALS Road Unit 370.00 A Building Permit is issued to: THE Rt}'nLUND CO INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 3,589.50 Building Official ,I Permit No. Permit Holder Date Telephone # WATER SEWFR PLUMBING Q o~ sl/r, - "`H.VA.C. ~2i 3 Jd/ ~Il ~0 ELECTRIC Cf.J y ~i Z Inspection Date Insp. Comments Footings I G Foundation 3 - j I Framing 9 Roofing Rough Plbg. Rough Htg• Isul.~, lg Fireplace Final Htg. l6'C Final Plbg. S~/O- Const. Meter Plbg. Inspector- Notify Plumber EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 1, -N M4rr'. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER V' 9 J PERMIT DATE f~l 114!91 3830 Pilot Knob Rd. CHIP # 01 r / 'f! Sb Eagan, MI~F.55122-1897 PERMIT # 11771 METER SIZE :519 -5 B.P. RECEIPT # C 1161.3 DATE - -2_q~I ISSUE DATE S 7, ,rL~ B.P. RECEIPT DATE _01JI-L t PRV - BOOSTER PUMP SITE ADDRESS A.1 00 PERMIT REQUESTED LOT _13_BLOCK __j___SEC/SUB jj4 ] `I cg of Stj=1eh'11acfP r, X SEWER X WATER TAPS" APPLICANT: =-wn T3nt_,t1 i1M CO. TnciADDRESS: 5201 F. R:ii7nr Rnar1 COMMAND RESIDENTIAL CITY, STATE Ftid3ley, fti• ZIP 55421 _ CX NEW - EXISTING PHONE: 571-0304 Lawn Sprinkler Meters are-to be Installed PLUMBER: Va2igyy Pltbinq Ahead of Domestic Meters on Water Line. ADDRESS: 610 Crwk Lana Credit WI L NOT be given for Deduct Meters. CITY, STATE ~lordari- Mn zip 55352 PHONE: 492--21-23- " I AGREE TO COMPLY WITH CITY OF OWNER: ThS ?~nttlin-yl Ch, Ti-ri. EAGAN ORDINANCES ADDRESS: 5-7 07 E. Rive' Tbad ~tris9~1l~ CITY, STATE Fr ' 1 v, Mn. Zip 55421 PHONE: "7 '1_NATURE WHEN M ER.ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER SifATER PERMIT OFFICE USE ONLY CITY 00 E, ~QA y; METER%~" PERMIT DATE 01 /14 91. 3830 Pilot Knol`r Rd. Eagan, MN 551 22-1 897 CHIP# ' PERMIT# 1177 METER SIZE B.P_ RECEIPT # - I., 11 ~7 ~ ISSUE'DATE B.P. RECEIPT DATES 9 I 1 1 DATE )-k\ PRV BOOSTER PUMP SITE ADDRESS 111 RC1 ~Ynml L rri~)€' N. PERMIT REQUESTED LOT 71 BLOCK `_SEC/SUB FJ,J.3 3-jo Cd! r-i4ae SEWER "N WATER TpF''T APPLICANT: 'pp"1t~tx1 dYi. Tt*" ADDRESS: SIM '13- RIVP-r ROnd ~ COMM/IND X RESIDENTIAL CITY, STATE 1'ridDn Alta ZIP55 ' NEW EXISTING PHONE: 571-0304, Lawn Sprinkler Meters are to be Installed ` PLUMBER: F,~l1 1gmartc'~ Ahead of Domestic Meters on Water Line. ADDRESS: Q 0 C3k-1ri{a Credit WILL NOT be given for Deduct Meters. `i CITY, STATE .7 rrlan - Imo. ZIP 55 _ I PHONE: - 492-212;1 AGREE TO COMPLY WITH CITY OF, OWNER: ''lim- Votf-FiZ:e, CCU T.m"A. EAGAN ORDINANCES ADDRESS: 5"-~1~ T Sic` CITY, STATE 1`Ca~1F'r ' zip '154121 PHONE. ;7 t SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address; 4100 GaffiEnfi fi, DRIVE N. Lot 13 Blk I Sec/Sub HILLS OF S MMRIDGE 2ND These items were/were not complete at the time of the final inspection. Date: 5/14/91 Yes No Tnspectnr, Final grade (6" from siding) Permanent steps - garage ✓ Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ,pa •tmEOnrtn White - City copy Yellow - Resident copy Pink - Contractor copy s DATE: JAN 14, 1991 ems. RE E ' 4%0 CAMBERWELL DR N (THE ROTTLUND CO INC) : X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following ~ti..J.reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Please submit a copy of your 1991 master plumber license. Secretary, Building Inspections Dept. H X33623 . _ ~ ~ oosy / ad ea Request Date Fire No. Rough-In Inwwion Re0uiretl4 C1 Ready Now ~WhI nNity Ind mReWy7ectOr s ❑ No I JZ licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address sireat. Box or Route N01 City 41 ba 15/1 Sechon No Township Name or No Range No. County Occupa (PRINT) Phone No. Power Supplier ('/J Atldre% Electrical /CAntrto a'c}'r (Company +Name) Commetora Licenee No ' o /.e4c_ . 2 Mailing Address (Contractor or Ow er Making Installation) Authorized Signature IContraotor ner m Installation) Phne Number 41!- TAA MINNESOTA STATE BOARD OF E CTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1521 University Ave, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424500 ENCLOSED REQUEST Fe ELECTRICAL INSPECTION Ea-Doom-oe I y a s~ r tLFl ► See insiruchons In, completing this (arm on back of yellow copy w 3 3 6 2 3 "X" Below Work Covered by This Request's e Ad a Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) CommAndustrial 'Furnace Farm AN Conditioner other (specify) Contractors Remarks Compute Inspection Fee Below: If Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs inspectors Use Only. TOTAL Irrigation Booms 00 ,S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in bate certify that the above inspection has Finei 0 l been made. %i OFFICE USE ONLY This request void 18 months from 0/i/9/ i003/a- H 33595 - Request Date Fire No Rough-in Inspect Re0uired4 ❑ Ready Now Bwll Nobly Inspector ~f3Yes G No When Ready? I C3'fcensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. an or Route No.) City 00 Section No Township Name or No Range No Co Occupa t(PRINT) Phone No. Power a Oyp liar Address Elecmoal Contractor (Company Name) Contractors License No L,l~, 4z¢~z-3 Mailing Address conoai or Owner Making Installation) Authorized Signature contr rlOwne akmg Instal lati ) Phone Number 9b 3- ffa MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlgge-Mitlway Bldg. - Room S-170 BE ACCEPTED BY THE STATE BOARD 1821 Unlveraity Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE Is Phone (612) 862-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Ee-coon ► Seefnstrudion°s ror complenng this lonn on back of yellowwpy . 3 5 9 5 "X" Below Work Covered by This Request.,a gti K-3.3595 "X" Below Work Covered by This Request ew Add RI Typeol Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) r Comm./Industrial Furnace Farm Air Conditioner Other (specdy) Contractarb Remarks Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee W Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 Amps "100 _ Amps Signs Inweclor> use only 7) l TOTTAL Irrigation Booms y0~'v `p q7 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in Date 1r certify that the above inspection has Final r been made. OFFICE USE ONLY Tins request wkt is months from RECORD OF COMPLAINT Date Complaint taken by Type of bbuui}lding Sr Name ( ~a ~p~~11?aa~~ Address N/00 Legal description. LIS Q Phone number yU5" X075 Complaint tA) - Action taken r J Comments 2t4 ignature BUILDING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. . CITY OF EAGAN NO 18645 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512/1 I n~ 5 PHONE: 454-8100 Receipt # l~ 1' 111 BUILDING PERMIT p ` To be used for SF DWG/GAR Est. Value $144,000 Date JAN 9 , 1911- Site Address 4100 CAMBERWELL DR N Lot 13 Block I Sec/Sub. HILLS OF OFFICE USE ONLY STONEBRIDGE 2N Occupancy R-3 M-1 FEES Parcel No. Zoning PD R-1 w Name THE ROTTLUND CO INC (Actual) Const -V--N Bldg. Permit 794.00 Address 5201 E RIVER RD (Allowable) -V--N Surcharge 72.00 ° Cj FRIDLEY Phone 571-0304 ;e of stories 0 581 Plan Review 516-0 Length o Name SAME Depth 36r SAC. City Inn-nn g1 Address S.F.Total - SAC. MCWCC 650.00 City Phone S.F. Footprints 650.00 On Site Sewage Water Conn Name On Site well Water meter 90.00 i3 Address MWCc System 'o Acct, Deposit 30.00 <W City Phone City water . ~L PRV Required SNO Permit 30.00 I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge - 90 information is correct and albree to comply wit all applicable State of Minnesota Statutes and City f EaganN~_tl1A r finance 7 Treatment PI ~ ' APPROVALS Road Unit 370-nn Signature of Permitee 0 ~ 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 Statutes and City of Eagan Ordinances. Bldg. Oft. Copies bN q Oif~.~ Variance TOTAL 3,588.Sn Building Ottlrual 1991 BUILDING 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. JAN 04REN To Be Used For: Valuation: Date: I-2-qy Site Address qop . ,i,Wj- . Fl g444 ~ OFFICE USE ONLY Lot J1 Block FEES Occupancy :g-3 M-1 Zoning Pb R-1 Parcel/Sub «iLug, R= p~6r Actual Const Y-'/Y Bldg. Permit 9 ,00 Allowable V=N Surcharge 2.0D Owner Tbd~ ecr uetJO I wc,. # of stories Plan Review S/ ,O Length SB' SAC, City 00, Address -szoi F, Q11)ce P.-..Lo Depth 3r' SAC, MWCC , S.F. Total Water Conn ( GO,Ol7 City/Zip Code F~2,mLA-Y Footprint S.F. Water Meter 010 O Acct. Deposit o,oi3 0 Phone '~l i- On site sewage- S/W Permit 30.0 On site well S/W Surcharge I Contractor MWCC System ✓ Treatment Pl. z71'a,Do City water r/ Road Unit 3 0,00 Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. I~a v1 Variance J5 Address City/Zip Code Phone # agrees that all work 'shall be done in accordance with (Signature of Contractor) 11 applicable State of Minnesota Statutes and City of Eagan'Ordinances. VALVA"T'IDN' t„ . w GAtLgGE ~3XZZ=50(o x15=`759D $sm-r, 3Z x3~ = 11Sz I4V Xl11 16O~ IST- FLOOR 6SMT' = I LIZx'7xr'1Z= ZI 1169 xsl= s96r~ 1~ 52-C U, 1 1,3 2, /10X51= 6,oryo 1y3y61 2422 Enterprise Drive PIONEER LAND SURVEYORS. CIVIL ENGINEERS Mendota Heights, MN 55120 * engineering.. LAND PLANNERS. LANDSCAPE ARCHITECTS 1}. * {612) 681-1914 Certificate of Survey for: 1 f C ROM UA a Cn A/C a°~p NORTH Sit .S 1 y r \ i 895.83 p m N sl1' 'ta 1 049 o \ V~ 1,46 tP, -1. d3 VV a -i • . 900.0 Denofes ezisfin4 Elevalion sE tIOUSEr Eva ' 9eo.o Denotes prop ed Elevatron tOZ9 Foor eva ion 8At.zG1 ~-.0mofes Draana ' Uflli~ Easemenf fop of Block Elevalion 89a.4% Denotes Draind Flow Arrows Gara e Slab Elevation 8•Z3 0 Denotes monumenf n Deno`t'es Ousel #ub gwrir js shown are assumed Su Decd to Easements of Record LOT 13 , SLOCU I HILLS 0-'F'u STONEBRIDGE PLAT 2 ft o-rA CouNry I hereby certify that this is a true and correct representation of a survey of the boundaries of the above d cribed land and of the location of all buildings, thereon((J:all visible encroachments, If any, from or on said. land. As surveyed by me this. day of A.D. 19~. IEr 5ca/e : finch, 4Ot eef !g .v 1 ROBERT B. SIKICH L.S. REG. N .19891 EXTERIOR' h..vZOPE AVERAGE "U" COMPUTATION OWNER T,/& ~Ga cXiYIG a SITE ADDRESS 10 1 _ZLOCK~ ~LQ~ STaN~$~lp6fi PLAT Z- CONTRACTOR 4dA ► DATE PHONE Determine working square footage of each. 1. Total exposed wall area Z 2i8& sq. ft. x •~1~ = d . 2. Total roof/ceiling area //60 sq. ft. x 102(0 = 3O.Fo Total exposed wall area above floor = 2lp 9 (0_ a. Total wall window area 2.53 b. Total door area c. Total sliding glass door area d. Total fireplace wall area _ e. Total wall framing area (average 10%) 2 f. Total net wall area above floor O g. Total rim joist area l Total exposed foundation area = 7 1&- h. Total foundation window area i. Total net foundation area above grade 7- Determine "U" value of each wall segment. a. 2 53 X "U" .ST_ _ 136,62 b. 3 1~ X „U„ ,07 = 2-66 C. X „13° ,1/6 = - 27.60 d. X "U" = t/ e. X „U„ 087 = /6r7( f. 1930 X „U„ oif2 = 1,06 g 3/2 X „U„ a 0*0 _ 2r~F p h. 7 X „U„ S~' = 3~ffS i. -71 X „U„ 3 ......................................Total Z O.7 / If item # 3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = / /8© Total gross roof/ceiling area = Cd j. Total skylight area y/ k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ceiling segment. j x uUu k. -71 x ,u-- -OZ7 LL 1. / io 9 x " , s o2S = z~.73 4 Total = If total of X14 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items 111 and #2. 1. 32 0.3 s + 2. 3a. 6 8 = 3S/.Q3 3. 294.79 + 4. 2g,6S 32Ga5~5c • •WIViL' SL•'c'rl♦,.., i•aye a of 9 IUTE: Use 102 of opaque wall area for fzame construction Construction R-Value 1. Interior air' film 0.68 ~J 2. G -r- P 13 R 17 0 ~r S 3 3. 2x(~ 5-rciP5 tocSSS 9. 25/32 SNTC, :ASIC 2 OCR WALL 5. $/d/tiC+ OVE/< FEGT %a? 6. Exterior air film 0.17 Total FIG. 41 TOPVIEUV OF FRAUM WALL eOS ' 1. Interior air film 0.68 ♦ 2. I/1' Cyrr~ 13e E> y , S. . l Le 3. ~7/G~ lr/9rC iys~t /9:bU FIG. 02 -~j 5. ~/d/fiG OV~~ FEL7 J e1 II _40 6. Exterior air film 0.17 Total 23,62 •~~.~~.-.-,--....~.-.ter. r-..-._ I ' -ICI I U~4~ 1, Interior air film 0.68* ~.i•? Vr \ral.~_: 0-1 3. 'Z - Ja'r r n I' er7Co. A --~67Z7- 6. =2+ _Q Exterior air film 0.17 7.1TI0 Ivi h Total 2$.O5 1. Interior air film n 'y : 0.68 ' 2x4 Fc~R 2l N v 3. 4. 1211 Ot, C 5. 6. Exterior air film 0.17 Total /30/ rs- ( r-. 6 I11 V3 FIG. IQ I4 Y ` r• I!l tf : Q• Y, X • J~/ "ROOF/CEILING L Construction 11-value 3 1. Interior air film 0.61. 'y J 2. a /p;" G 1- '13 fz0 ! n oS8 I I,; 4. Exterior air film (still 0.61 VMIT II I;1,lll Total 3 00. U 025 Vented Seat flow up FIG. #I5 1. Interior air film 0.61 a_.r.._ e~.~.ti~ .Mti-(s ^.e en~ea~ 2. _5~. C~YT~ I~~O o58 3. i ~SUL oyF2 r/eU5.> 4. Exterior air film(stilli 7 . r Total o 1-7 to Lo i 3 1-6 1 Heat floe up• -vented I G. $6'.J.. 3 5 v 1. Inside air film 0.61 . 0.17 5. Outside air. film r~ Total _ HOi7-iiVM-rM Note: Use additioi)al sheets -if more space is needed for details and calculations. Heat 'flow up " D44Cfl all RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 7 ~IJtC~ 3830 PILOT KNOB RD, EAGAN MN 55122 0 651-681-4675 New Construction Reauirements RemodelfReoair Reouiraments • 3 registered site surveys showing sq ft of lot, sq. R of house; and all roofed areas • 2 copies of plan (20% maximum M coverage allowed) • 1 set of Energy Calculations for treated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for extedor additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE I ~ d y ~ VALUATION SITE ADDRESS t'~100 C.kK!&CP,wCL-L_ DR tN MULTI-FAMILY BLDG _Y _N TYPE OF WOR1 `r R S iD1Iy 6 FIREPLACE(S) _ 0 _ 1 , 2 APPLICANT Ann~~tcn At \i x%t oew1, bwrRa eZD6LS STREETADDRESS 12-1-r4`I N%cojtL i Ads CITYBu&45-~~f STATE tiA0 ZIP 5533-7 TELEPHONE #615Z--70-7- (eels CELL PHONE #95-1 - 2-12- 569 3 FAX # °152-10-7- 9 9 Z 5 PROPERTYOWNER C»srAV M 11r.~t Z1 TELEPHONE# lo(Z-201° RbO:3 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIN " (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • N E gy("Code rk ed[ISu of j ~ • Energy Envelope Calculations Submitted NOV 11 21002 Plumbing Contractor: _ Phone # _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler By Water Heater _ No, of R.I, Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant °.w... - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ , Updated 4102 PX) 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required fbr each unit b 2001 Date A_ ~A, ,J /Ty~ Site Address A I 0V (F M o//~ /1 / l ye_i Unit # Property Owner Telephone # (6 Jr/) % ~7 - i Contractor Street Address vv Cit~B~ywjV State J ~ I Zip Telephone# (9Uj ) Bond Expires: The Applicant is Owner Contractor Other.,. Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add- n or alteration to existing dwelling unit $ 50.00 furnace -Additional -,Replacement _ New air exchanger air conditioner heat pu other.1 kW State Surcharge $ .50 Total $ J I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the w k will be in accordance with the app} oved plan in the case of work which requires a review and approval of pans. jppl c nt's Printed ame Applicant's Signature CITY USE ONLY t g L ~ BL C IIn^~, RECEIPT - SUBD. qI l` CJ SeL,4 RECEIPT DATE: 7-/U' O 01. ` pl I \ PERMIT# a 20001 PLUMBING PERMIT (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD KAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterationst exitingdwellinay,, ,.m.inimum fee, $ 30.00 Describe: Z 0 jaee. tA)aw h Bath tub $ 3.00 x Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x Laundry tray 3.00 x = Lavatory 3.00 x = $ Septic System nowirefurbished ' requires MPC lie. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ - Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total $ 30 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that 1 have read this appiication, state that the information is corned and agree to idmpy with if, applicable City of,Eagahordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by'the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.. SITEADDRESS: y100 l,Ctfi ber-oed! OWNER NAME:: GLLs Y 0 TELEPHONE#: lD6 4U5 075 (AREA CODE) r . INSTALLER NAME: Mar.11oI1RE 1t ef1MC TELEPHONE qNJa 3~-'~107 lO 60512th Avenue-South - (AREA CODE) STREET ADDRESS: . _ CITY: STATE ZIP: AL _ SI A URE OF ERMITTEE CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / ® Z-c~L- DATE: _209 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: ILA-lid lI-.TtIQ-• SUBTOTAL: $ 07 00 SITE ADDRESS: l~rn"~CrWe1~ ~Yp.)v STATE SURCHARGE: .50 LOT: 1e BLOCK / SUBD. /3A + tGG~uy~ cPn~ TOTAL: 64-11 50 INSTALLER: FLARE HTQ. & N INM• t-l 930 mo Ave. in NO- ADDRESS:- al&.MN.5W7 SIGNA E OF PE ITTEE CITY: Y[ ZIP: PHONE gMI4ERA%117~aT1A PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK , SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # Z41 9,Z PHONE: (612) 454-8100 RECEIPT # O O HIBiGp P DATE : gff( ~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON 1 SHOWER 3.00 3- REPAIR 3 WATER CLOSET 3.00 3- 1) BATH TUB 3.00 L'" LAVATORY 3.00 a OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY _ 3.00 SITE ADDRESS : L4\00 C_ avh bef _j L 1 ~J e nJ HOT TUB/SPA 3.00 c WATER HEATER 3.00 LOT: _ BLOCK SUBD. A &I l!l FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: Al\cv ~~~o i (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS : _(a t o C.yp_'t oL L ✓ OTHER _ _ WATER SOFTENER 5.00 CITY: $QIAA a ZIP: ~5~l Y-a PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE awa I SUBTOTAL S ST. SURCHARGE .50 SIGNATURE OF PERMITTEE S U - TOTAL: $ OMt4ERiAhz!INt3U5TItIAI PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 2005 RESIDENTIAL BUILDING PERMIT APPLICATION lllp~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodellReoair Requirements Office use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Can of Survey Real _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Phan Recd -Y _t( 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - hdlcals IFonsfle sep#c system On wle Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Data] Options selection sheet (buildings with 3 or less units) Date Construction Cost 1Q5~ Site Address Cambecu-y-i i iOr. Unit/Ste # Description of Work I Q~1' 0 amp- Y t use 4U2tCP Multi-Family Bldg / - Y ~ `N``" Fireplace(s) - 0 _ 1 _ 2 Property Owner eu,5~Qu b W( jb Telephone # (f t}05 AQ-15 Contractor Amertccy) . QgLk r ` ir- - ~f~Lt(UL Address lV)C) i GIG- SIL{ Q ct) !city State {~(J Zip Telephone# COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? , Y _ N If so. 25% plan review fee applies. ) Licensed Plumber Telephone #I Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature I v Permit#: I I City of Eap I I Permit Fee: 6D -,I) I 3830 Pilot Knob Road Eagan MN 55122 1 Date Rece~do~ 'D 0 I I [t/l'l/ I Phone: (651) 675-5675 Fax: (651) 675-5694 i Stan: 2008 MECHANICAL P MIT APPLICATIO Date: Site Address: Tenant: ( Suite RESIDENT / OWNER Na ~1 Phone: Address / City / Zip: V V Arl CONTRACTOR Name: License ST Address: 410 WEST LAKE STREET MINNEAPOLIS, MN 55408.2909 City: $112-894-2656 State, Zip: C~ Phone Contact Person: TYPE OF WORK -New -Replacement -Additional Alteration Demolition Description of work rC(N 1) 5 C{ E T~1 n 't8 POMP PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger -Gas Exterior HVAC Unit W HVAC units must be screened Heat Pum _ Under / Above ground Tank Install! _ Remove) Other " When installingtremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ~J _S TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinan d co 0f the Cily of Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start wnt mi that the wpK be in rdance mth the approved plan in the cos f work which requires a revi approval of plans. x ~TS41,E-V RM~cJ ~ Applicant's Printed Name Applicant's Sig u e K3FLCSE~ <i t ~a t n re P 00 7 x f tt 'n , , i a+ fi §u "r , ti ° , n L`~Y-E Spdta : ' ' w u __s. For Office Use t 0, Permit#: /`7 �(� E AG A N Permit Fee: c FEB 2 6 2018 Date Received: - d 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(c�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: te,�e�i �� Site Address: 9il C�,z• /e/"L,rt// to /1/ Tenant: Suite#: Name: 6//1/1/C G (`/f i4 4 r.9 Phone-) / r✓� d �Y RBST eptiOwner Address/City/Zip: Li C.O' (..;';44 f rip ,# Name: t'ei �1Wu11Jt4. ft/1L License#: ['�- 6 . V°'5 -t21 (G, 1track01' Address: c�t+� { /� City: �CG� ^A State: 0// Zip: j U Phone: .cc-7--"- ? Contact:_cL I r'.l 4( Email: Of Work New —Replacement —Repair Rebuild Modify Space Work in R.O.W. ,„TypeDescription of work: IA/ ; h buøi,zi1 (1 Zr At RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) Permit Type Add Plumbing Fixtures(—Main/ wer Level) Septic System New Water Turnaround ,to Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 Applicant's Printed Name A pp Signature Si nature AOR OFFICE USE Reviewed By: , l� Date h` 'at� : Required Ins ectio � p e� Ur ��rourid ifgh In � : ir T t,,,„,„:„„, Gas$T� t ester Related Items Meter Size Radio Read ,Man®::... .- sr start; f EB 2;1 2018 For Office Use 1 ®q % i +ra Permit#: ww ‘,. E AG N Permit Fee: �1 Date Received: ' I i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinqinspectionscityofeaqan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - " f ' Site Address:C-"C3 �� -� '(� rr ' I ( Unit#: Name: J^ 3 Phone: r f3 01601iiAddress/City/Zip: (C> > �.y.� � '�!�Z f ( Doi 6,. (, r� Applicant is: Owner Contractor sick; Description of work• �y�.S�'�u^�-^- (irk. <.�Q Construction Cost: Multi-Family Building:(Yes /No ) company:PO L �c7 TC-(r 0 rS ,Tr.(', Contact: t'£ fr ►` C Contractor Address: S Z f/rr-1 /_ c Z c` Rd . City: ( ''t1t-.) State:tdtiZip:: -- J f -- Phone: /� ` 76; r (GLICkk) , ` �1 License#: 'BC?( 1 0 7 Lead Ce i"fi irate#: If the project is exempt from lead certification, please explain why: r 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: Fire Suppression Contractor: Phone: NOTE:Plans anafsnliportingdocuments that you,sutare considered :, ft:madam Por s.f =a ff 1r ` classified ss blic if you;provide :a°"' at would permit the: . .41.-cdtviude thattheeyare trash secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ‘1/00 Ci1o&co -1 ( Die, N , / ' Oq SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex X Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation /6, -7 ' Occupancy 1-12.4 - 1 MCES System Plan Review Code Edition W11) Z.t S SAC Units (25%_100% O) Zoning 2 -I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction J' Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 'ys Final/No C.O. Required Foundation Foundation Before Backfill IA HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final e Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS t' Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control X0 Shower Pan Other: Reviewed By: 1-D 4'2 J2)41--/y,9- , Building Inspector RESIDENTIAL FEES Base Fee 3 c.) s " ,-r 46 2-0- Fc Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA160273 Date Issued:02/27/2020 Permit Category:ePermit Site Address: 4100 Camberwell Dr N Lot:13 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-130 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 - Carlton V Howard Iii 4100 Camberwell Dr N Eagan MN 55123 (612) 325-6277 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164345 Date Issued:09/25/2020 Permit Category:ePermit Site Address: 4100 Camberwell Dr N Lot:13 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Carlton V Howard Iii 4100 Camberwell Dr N Eagan MN 55123 (612) 325-6277 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166488 Date Issued:01/13/2021 Permit Category:ePermit Site Address: 4100 Camberwell Dr N Lot:13 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-130 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 - Carlton V Iii Howard 4100 Camberwell Dr N Eagan MN 55123 (612) 414-0334 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168394 Date Issued:04/20/2021 Permit Category:ePermit Site Address: 4100 Camberwell Dr N Lot:13 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-130 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 - Carlton V Iii Howard 4100 Camberwell Dr N Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature