679 Campton CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 679 Campton Ct
Lot: 10 Block: 5 Addition: Hills of Stonebridge
PID:10- 32990 - 100 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Jeffre 0 Stout
679 Campton Ct
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA079976
09/24/2007
ePermit
?.. . ??
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 'il I tt? r
3830 P'ilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
- s I ' ',: ??; t t?iJi• #iN.ilt(i# i . i , ?st, ;,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •• • DA
w ;.{
`?, 1 iN A F? K`> _ A'=. F: P A 17 fi t f V F t? M'f T 7:M1 RF?} t a f I? ?? ?i f fl R f3 A# Y i' ! kJ NH.t' f4f"s f:i R?? wr., RK
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING AP-A-07
ROOFING
RQUGH
PLUMBING
PLBG
AIR TEST
FiOUGH
HEATING
GAS SVC
TEST ? 'J??t1. •
INSUL `_
!
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL6G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
WtMficate of cccupanc?
WR4 of c????
ecoa-tweett tq ex?? anqptttim
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that ai the time of issuance this structure was in compliance with the various
ordenances of the City regulating building corrstruction or use. For the following:
Use Classification: S F D W G Bmg Pcrffdt NQ 15qq
Occupancy Type ?/LiI v ?g Distrid ??l "lype Ca?st
Owner of Euilding Addie.ss I?E1F '
679 OMPTUN rJOUlif I.ocaliry L10, B5, HMS CB MEN=
Buil ng Address
?r
% U-• ? ._,fi-- 12/ 10/92
POST IN A CONSPICUOUS PLACE
'A9diess: 679 Ckd'M CAURT Lot lp Blk 5 Sec/SubHIUS OF S10NBESRIDGE ZIP: 3
These items were/were not complate at the tlme of the f1na1 inapection.
Date: 12 10 92 Yes No
Final grade (6" from slding) ?
Permanent steps - garaga
Permanent ateps - main entry ?
Permanent dziveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement flnish
Deck
Pleasa vsrify with tha builder the removal of roof test caps from tha plum6ing
system and the shut-ofE of water supply to the outaide lavn faucet before
freeza potential exiata. m
White - City copy Yellow • Reaident copy Pink - Contractor copy
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K 2 4 18
oyo?? Fe??i
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a ?a-,??o 3 - ? v °°
R uest ate `?-"
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?? Flre No o h-in Inspection
iratl9
Ra80y Now
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?II NoLly Insp'?or?
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n d c ntractor hereb requestin ection of above el
I al work aY d?
JoL ar e o)
n ciry
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SeG t? T bip Name No RanBe No ?
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OccupantlPRINT? P
Power Supolier
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Eleclr?c CoNrad r ?COmpany Name) , ?..
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Mailin Atltlress lCOntraclor or Owner aWna Ins? lalionl
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Autnonze0 SFmr ICO?Vaclor:Owner ng In IlaFOn? ?ry
- c,c•«!/ Phon um?ar
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SOTA STA BOAND F ELEGTRICITY THIS INSPECTION REOUEST WILL NOT
Grlgps-Mitlway Bldg. - Paom S113 BE ACCEPTED BV THE STATE BOARD
1811 UnlvenHy AvB., 31. Vaul. MN SSiOC UNLESS PROPER INSPECTION FEE IS
Phone(61Y)BCP-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? •See instrucMians Nr complebng ihis form on back af yellow copy.
N 4 718 _! 'X'Below Work Covered by This Request
EB-00001-08
2^`? ?,. /
/Q9o7 ?
AdA Rep 7ypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.Bwlding Dryer Other-(Specity)
CommJlndustnal Fumace
Farm Air Conditioner `
Otner(sueciN) Convaclor's Femarks
Compute Inspechon Fee Below:
# Other Fee # ServiceEnlranceSae Fee # Cirouds/Feeders Fee
Swimming Poal D to 200 Amps 0 to 700 Amps
Transformers ADOVe 200 _ Amps 0_ Amps
$igns Inspector5 use Ony TOTA ?
Irrigation Booms .- 4
S eciai ins ection ? ? '?' ?p uJ
A arm/Gommuniranon THIS INSTALLATION M E OR RiU dISCONJJECT?D1F NOT
Other Fee COMPLETED WITHIN NT
I, the Electncal Inspector, hereby Rougn-in • oa'9? ? y ?
/
certify that ihe above inspection has
been made. F,nv
,ar.. • oa?g
OFFICE USE ONLY
This requast va0 18 monRis irom
INSPECTION RECORD
CITY'OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LOq= It 8'0cx ) 6 APPLICANT:
679 raNl41?T"ON Z1 GioMIRVRN CON$$
N7Lcs aV Sr0*1%Rxa*f (612) Taa?620
PERMIT SUBTYPE:
S F' ipuF
TYPE OF WORK:
Control No. 1267
01a4
...?:';
INSPFCTION
F00P.[ N10 .. .
I?? niN.T,bI? .A
114SBkA'1'IaM
i"TACEL't Arp
r
RE?{NRPES. S!G 61 ColtTRACI'4PR -- OEMiP-P'YrtM 8?L&O
Permlt No. Permk Holder Date Telephone M
S/W
PLUMBING -KN21a? 'J* t-' - 'YN
Hdo,o
ELECTRIC
ELECTRIC
Inspectlon Date Insp. CommeMs
Foonngs 1 /0// 3AA S'
Fountlatlon
Framirg 2z D
Roofing
'ROUgh Plbg. UJ?
Rou9h Hig.
ISUI.
Firepiace 10342 RO?lfED i.v P
Final Hig z. r" z
Orsat Test 2 IDS
Final Plbg. 1 /Q_c,Z PIOg. Inspeciw- Notily PlumOer
Const Meter
EngrJPlan
Bldg. Fnal •? /''Z V?• C 1?'is ? ?`
DeckFtg.
O
Deck Final
Well
Pr, Disp.
?v?- ' ! ? ??'?-
RESIDEIVTIAL
? ? • BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
/-41 651•681-4675
NewConstrudion RenuiremeMs
• 3 regatered site surveys showing sq. ft of IW, sq. ft. o( house; and ?II roofed areas
(20% maximum lol coverege allawed)
• 2 copies of plan showing 6eam 8 window saes; poured tound desgn, elc.)
• t set of Energy Calculatlons
• 3 capies of Tree Preservation Plan if lol platted affer 711/93
. Rim Joist Oetail Options selectbn sheet (bldgs with 3 or less units)
?-
-- VALUATION q DV- 60
DATE ^f'?r ?_-Z
JOB SITE ADDRESS 672 -e- -j
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF
' 0 1 2
APPLICANTLtYer-L ST.^tT? PHONE#7&3-S33-iS?
ADDRESS &Z ig- L4745L4+?b A-t/F AJ ZIP CODE S3?ZS'
PAGER #
A3 T-? n •? ?
fAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Systcm Includcs:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Condilioning
_ Heat Recovcry System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Or<
Slgnature of Applicant
CELL PHONE #
_ Waler Softener
_ Water Heater
No. of Batlis
?
EAo ('k-OOn.,f
rtemoaeurtavart neamremanw
• 2 copies of plan
• 1 set of Energy Calculal'wns for healed addilions
• lsitesurveyfarexlerioradditionsddecks
• Indicale it hane sened by septic syslem for additions
Phone #:
I.awn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
Phone # ??
Certificates of Survey Received - Tree Preservation Plan Ri-dceived _ Not Required _
Updated 2002
OFFICE USE ONLY
• ? `,
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
`4' 32 Addi6on
?
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - MuIG
? 33 Ext. Alt - SF
? 36 Multi
O 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 9lg1? Occupancy iz MC1ES System _
Census Code Zoning City Water
SAC Units
Stories =
Booster Pump
Nbr. of Units Sq. Ft. " PRV _
Nbr. of Bldgs ? Length Fire Sprinklered _
Type of Const Width
REQUIRED IN SPECTIONS
Footings (new bldg) FinaUC.O.
?C Footings (deck) ? FinaUNo C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundadon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ pool _ Ftgs _ Air/Gas Tests Final
? FrammB _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By T_ Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
O 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex X 8 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
\I
2422 Enterprise Drive
; ? • ,' Mendota Heights, MN 55120
(812)
HO sun?voRe • aML Ensm?as 681-1914•Fox 681-9488
?EEI?
u
, ne?r ng ?D ?NERS • w+oscAre utai?cTS 625 Highway 10 Northeoet
Bloine, MN 55434
. * * (612) 783-1880•Fax 783-1883
. rtificate of Survey for: GOI"CTlan Construction_, If1C.
? House Address: Campton Court Eagan.• MN
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" REVIEW
/ \ \ S\,1? OR'? 4y l o
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? ? ??ATD e,3.xu \ Data Lf- qy
kiC1AN ING NE&RIr
? ?T \ \
DEH -
PERMIT ?
? CITY OF EAGAN
3830 Pilot Knnb Road
Eagan, Minnes ta 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031266
12/16/97
SITE ADDRESS:
679 CAMPTON CT
LOT: 10 BLOGK: 5
HILLS OF 5TONEBRIDGE
P.I.N.: 10-32990-100-05
DESCRIPTION:
s(ONE BEDROOM)
B?i3lding-,PermiC Type BA9EMENT FINISH
iB-L3lding f?`bCk Type ALTERATION
?r,"'Censua Cmde
? ? . H ? _ •'°°Yr?
.4£
v( ?
m?l??.P?.^? . .. t?r•sa"u}? .?`U"?'
434 liLT. RESIDENTTAL
?'`,«. ?5 y`
?1' ?'ak.? ?? '.`? j 'o-i.? ?
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR RNY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
BEVERLEY DAVID
' 679 CAMPTON CT
EA6AN MN 55123
; (612)686-0355
3
p
E herekry ?acrkrcowledge th`at 2 have're'atY thft 4 pp"I'ca taaY1 ari''tl stat-lo "titai Ebe'
in£brma-ti?ors_ zs corr.ect art.d ac?k^?? A¢li aorrtply ofi.?Rn.,?
St,,RtU?'r&,s ?8f1:d L'it,a! 4f
A ...,.,__...,_, ,,.?.:..,. .. ...,... .. _ ._.. ?_ _.._ -, ........
17
t, o" rn?
I APPLIC /PE I EE IG A RE --ISS E YYIG E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 1 itt CITY OF EAGAN ??p???/ p?
3830 PILOT KNOB RD - 55122 l?f(.C.?.CGt
681-4675
New Construction Reauirements RemodeYRepair ReaWirements
? 3 ngistered site surveys • 2 copies of I
? 2 copies of plans (InUude beam 6 window saes; poumd inA. ddign; eM.) ? ibeucv?xtert8redddions 8 Cecks)
? 1 onergy calculations ? . eatetl adtlitions
? 3 copies ot tree prexrvation plan if lot platted after 7/11/93
required: _Yes _ No /
p /
DATE J? •? y/ 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: _ F /N /S N T
STREET ADDRESS:
LOT ?--?-??BLOCK'-f--- SUBD./P.I.D. #: '
PROPERTY Name: QAJ j ,61 Phone #:
OWNER
Street Address: ? 7 G' /
City: ??ly state: /vw_ Zip: 3
,
CONTRACTOR Company: Phone #: ?
Street Address: ?- License
_- - _?
City: State: ? Zip:
ARCHITECT! Company: Phone #:
ENGINEER ?- "
Name: ? Registration #:
Street Address:
City: State: Zip:
Sewer & water licer•eted plumber (new construction only):
and lot change arc , equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. (1 ,, e I,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes _ No
CITY OF,EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT Control No. 1267
PERMIT-T-YPE: Bur.LorNr.,
Permit Number: 001599
Date Issued: 1 0/0g/ g2
SITE ADDRESS:
679 CAMPTON CT
LOT: 10 BLqCKa 5
H:CLLS OF STONFBR'LDGF
DESCRIPTION:
REMARKS:
C-1 0C3-11X3 0
S& W CONTRFlCTOR - GEN2-RYAN PL66
FEE SUMMARY:
VALUA'iIUN
Base Fee
Plan Review
Surcharge
sAr,
SAC %
SAC Units
SubtoCal
$762.00
$495.3m
$67.50
??00.m0
100
1
$2,0 24.80
$135.000
MISCELLANEOUS 1.1.610.50
Total Fee $3.635.30
CONTRACTOR: - A p p 1 i c a n t- s T. LIcOWNER:
GORMAN CONST 17313240 00033 1 60RMAN CONST
2217 BONNSE LN 2217 BONNIE LN
ST PAUL MN 5517.9 ST PAUL MN 55119
(612) 731-3240 (612)731-3240
I hereby acknowledge Chst I have read T.his application and state that the
informatian is carract and agree to comply wi.th a],1 appJ,9,cable 5tate of Mn.
ST.eTutes and City of Eagan Ordinances.
L -
APPLICANT/PERMITEE SIGNATURE ISSU DlA EJY : S G ATiRE ?
INSPECTION RECORD C°"t`°' "° 1267
CITY OF EAGAN PERMIT TYPE: e u r. Lo r. N r
3830 Pilot Knob Road Permit Number: 001599
Eagan, Minnesota 55123 Date Issued: 19 /08 / 92
(612) 681-4675
SITE ADDRESS: L 0 7 : 10 B L O C K : 5 APPLICANT:
679 CAMPTON CT GORMHN CONST
HILLS OF STONEBRIDGE (612) 731-3240
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOOTTNG .A .
FRNMTNG .A
IN5ULA7ION FINFlL
FIREPLACE
REMARKS: 5& W CONTRACTOR - GENZ-ftYAN PL6G
I F
SF DWG
NEW
F2-3 M-1
V--N
PD R-1
70
28
, i ??•?"?t ,+'?
f?Build3in.g Perrri.it Type
f Buildin6?W,or1c Type
' UBC Occupancy
l% Construction 7ype
Zoning ?. ?
, Building Lenyth ?
' Bui.l.ding Width ;
i
L ---- ---
PERMIT i
REACTIYATE _
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION $3PL55,30
, SEP 3 0 REco
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of archltectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies vrhen typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made or lot chan e is re uested once ermit is issued.
Date CfZ Valuation of work 400. 6(Do,x00
.
Site Address: ?? ?r? x I 1" 67
STREET ' SUITE N
Tenant Name: (commercial only)
LOT ) C) BIACR SUBD. P.I.D. A
a„ e ?d
Descri tian of work:
The applicant is: ? Owner ? Contractor ? Other (oeecribe)
Name Phoi-ae
Property u:T FIRST
Owner
pddress
STREET STE t
City State Zip
Company _C=? a r w. aLX Gok, . Phone 7 3(°3a?b
Contractor Address Q vvn ?2. License S:333 1_ Exp.
City >f PQAJ State Y?l l/l Zip S5 ? r9
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber -? . Processing time far
sewer 3 water permits is two days once ea has en approved.
I hereby acknowledge.that I have read this application and state that the information is
correct and agree to comply with all applic ble S ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: _
OFFICE USE ONLY
BUILDtNG PERMIT TYPE
? 01 Foundation
X 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
i?
,? `? ' • .
F
? 16'8asement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 11 Apt./Lodging ?
O 12 Multi. Misc.
? 13 Garage/Accessory
[3 14 Fireplace
O 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) V- N Basement sq. ft.
(Allowable) V-N Ist F1. sq. ft.
UBC bccupancy -?"-? 2nd F1. sq. ft.
2oning '?D R-l Sq. Ft. total
t of Stories Footprint Sq. ft.
ni
h On-site well
h
DeP ? On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
O Framing
? Draintile
? 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:
v.tut;o,: g 13 S, oao ^
GARA6E; 2L4 X2L=576.4 16=`7Z/6
6st?r; aS
xag = ?gq
? "c 3'lz = (31)
S =
3
5
(g)
,
?c
X
??zX 12/2XZ2 = 13(a-
(
oyZ
IsrFioo a', I ox? X(S: 153go
13SYn7 IU'?6 /
1o38?[S3=5Sb??( -
ZrjL)
SAC % 0 p lsr ?on= 1o3% k S3 = SS?? ?(
SAC Units ?
13 y, 63?r
O 37 Demolish
MWCC System YES
City Nater res
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code o ?
Assessments
* PIONEER
* eng?neeri
* ,* * *
.
Certificate of Survey for. GOI'fYl(iCl Construction. If1C.
House Address: 679 Campton Court. Eagan.? MN
/ 3D /
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919.0
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1°ti
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-7914•Fax 881-9488
625 Highway 10 Northeast
Blaine. MN 55434
612) 783-1880•Fox 783-1883
? SS
70O?r j?b
? 06
F
?
REVI E
D
? c"
? O??T \ \ "?
\ ryh \
?
x 900.0 Denotes Existing Elevotton ? pROPOSED HOUSE ELEVATION
• 9? Denotes Proposed Elevation Lbwest Floor Elevation:909.95
- Denotes Drainage & Utility Easement Top of Block Elevation:918.06
- Denotes Drainage Flow Direction ?- Denotes Monument Garage Slab Elevation:917.73
.-$- Denotes Offset Hub Bearings shown are assumed
LOT 10 , BLOCK 5 HILLS OF STONEBRIDGE
DAKOTA COUNIY, MINNESOTA
I herebV mrtify thet this survsy, plen or repat was prepered by me or under my diract+upervMlon anM thet I em duly Replslmed Land 8urvayw
/J
undar tha laws of the State ot Minnesota. Deted this F'T? dey ol A.D. ?19
ReViS<,) .?p/'I?qL ?OOQO ???STrIJG ?l?'11. • ? . w //
Scale: 1ln-cb=30fB8t ? RO6E0. .$K L.S.AEO.N0.14891
w 92447.00
047NER:
SITE ADDRESS
CONTR9CTOR:
5 e/=
R?NC??z?oEr?
(0 a Y DATE: 0a-1 2- PHONE: 7 3/-'S 2 Yo
Determine vorking square Pootage of each:
1. Total exposed wall area .. a sq. ft. x.11 = a? S• 9
2. Total roof/ceiling area ... 14 LI sq. ft. x.026 = 07 5 , 04?l
Total ezposed wall area above floor = 3)? 9 p
a. Total wall window area ............................ ?_
b. Total door area ................................... ? 7?5
c. Total sliding glass area ..........................
d. Total fireplace wall area ......... .•............. w
e. Total xall framing area (averagel0%) ............. ?7
f. Total net wall area above floor ................... ?4a/
g. Total rim joist area .............................. !09
Total ezposed foundation area c Q-0 v 5F
h. Total foundation window area ....................... -?
i. Total net foundation area above grade .............. Z o5l SF
Determine 'U' value of each wall segment:
a. 2() Z, )- 3 x fUl
b. , ?- x 'U'
c. 7 q, 4'%-- x ' U'
d. x ' U'
e, a65 x 'U'
f. 4a1 x ,ug
g l,Q X IpI
h. -- x 'U'
f. 'Zoy x 'Ul
3 . ................................................... ToLal = a $ .
If item 03 is the same as or less than item 01, you have met the f SBC
6006(c)2.
p oz?
?otal exposed roof/ceiliag area =„ 1 b?1
•• ' b-
3. Total skylight area ...............................
k. Total roof/ceiling framing area (average 10%) ... wo
1. Total net insulated roof/ceiling area .............. 4 6=
OVER
CITY OF EAGAN
ERTERIOR ElNELOPE AVERAGE 'U' COMPUTATION
Determine IU' value for each roof/ceiling segment: T ' ' ?
?? •- U- X IUI _
.
k. rlx IUI
Xlut R-U??ua3 -, 4,
4 . ...................................................... Total
If total of q4 is the same as or less than 92, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items l13 and 64 shall not be greater than the sum of Items 07 and 92.
1. + 2.
3. + 4. -
2
. , • ' . SINGLE & DOUBLE FAMILY HOMES
' 1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
' should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
GUIDCIIIlE TO (R) rAqORS fC011 lSllRi,( 111:IUAL
OF TTPIUdLY USCD PRO[N1CT5
Interior Air iilm (%iz lls) (R)
O.EB
Gypsw+ or Dlaster 6oard ;/B" (R)
0
32
Caterfor pir Film (valis)
l 0.17 Cypsum or ylaste/ boar0 1/2" .
0
45
mtcrior hir Film (Ven[ed C<ilinq ) O.GI Gypsum or n1.,ster bwrd S/B" .
0
56
Eatcri,.r Air Film (Vcntcd Ccilin9 ) 0.61 Ply-oaA 3/8" .
0
47
Inlcrlor Alr Filn (II[n VenieA) 0.61 PlYwood 1/2" .
62
0
faterior Air Film !uon Venced) 0.17 Ply.moE 3/4" .
0.93
RiumtnuM sietoo
0
61 Shnathinp, reg, density 1/I" 1,37
Aluminum .,ith Backer .
1
82 Sneaminn, rea. eensitr 25/3211
•' 2.06
At.minvn with Batkci L Foiled .
2.96 Nyil-Eai< zhe:thinq I/2 1,14
1/2 x B loo Sidinn (uooa) 0.81 Built-up Roofs 0.33
7/16 x 12 IlardboarE Sidinq 0.67 Asbestof-ceent shinpl(s 0.21
l.s4cstes SiAinns 1/4 tapDed 0.21 AspNaIS roil roofing 0.15
Stucco (On.m and Iinlsh Coat) AsPahlt Sningies 0.44
I'4" vood SuEfloor or Shea[ning
" 0.94 Insulrtion: 2-2 3/4" iiberqlass 7.00
1/3
Plyr.ootl _I.nathinq
" 0.67 Insu4tion: ) 1/2° flEerglass 1F.00
1/2
Particla tlw.rd 0.66 Insulation: 6" Fiberglass 19.00
WODS• BLOVI11f. NOOLS
Fir, plne 6 simitar soft 4oods I 1/2" 1.89 Appras. j' • 9.00
2 IR•' 3.12 Avvro.. 4 1/3" 13.00
3 1/3" 4.35 Apvro:. 6 I/4" 19.00
5 I/1" 6.8) Approx. I 1/4" 24.00
? APProx. 14" • 70.00
RpOrox. IB" 40.U0
A11 other insule[ion mat<rials must ba
Filled verifieE (R factor)
(R) Vermiculitc
8^ Concrete 81ock (5 L G Reg.) 111 1.93
12" CenGrete ¢lock (5 b G Re9.) I.IA 3.1$ '
8^ li5ht ucignt 2.18 5.07
12'• Liot t:eignt 2.48 5.81
•f!l.A?R?ln???CC3Gfi?PC f.A
No7E: (U) • Ar¢a Spusre iect
'4p) LL
AII VInAONS
(r/Sterns I" m 4" Space) .54
Rnroval DouEle Lla:ing (ROL) .55
Tnermo or welde0 3/16" ai? spate .69 I/4" air cpatc .65
1/2" air svace .58
(Other win0ows specifiully tesced csn vse better' ntingz) .
I )/L SoliE core tloor ,46 •
r/scorm, wnoe .31
w/storm, fttal ,26 hase SocelDoor Insl/r7/pL ),ygp ,1;
Slldinq Gloss Door, WocE .65 .
Metal .715
. . ? ' . r
. v? r.nvnrv -
i? PIZNITNii "U" VALUE Ai\D R-FACTOR AT ROOF, IdALL, RITI Ai\D CO::CRETE BLOCI:
! . • ,
? ROOF j C?IL?N?
(Y) Vf
iQ 1t?TE?IoI? P.tR f101 . 61
. O S?su G?P ZD, • , s? ? :
Q INSULA j?oN R 4y •
C4J . ,
O
. EXj6R;oi AtR FILM 6 ?
(ST1LL) -
?
7bTAL (R)=ys7u
? -?
InALL - .
?'-
(R) ?!AL
QQ {Illc[=101'- AlM FILM 161
G) '12` CaN(P.- BD.' : . . , 4If
(D ?„-? Ip1SULATlaN 5 %Zlr / 9, o n
ED ???Ir g?1-_7-?iTc
? . 6, o 0
;o M? ?oNtTc StDlr'(x ? 6 ?
u Ex;E;Io" F+iX FILNI
itv= To7RL (ic) = 2 6.9?
iziM - ?
• ' ? (R) VAt1
?z lt1TEl'?lor: l??C• FIu1 , 6?'?. .
o-
? 'Z FIR-
' ?s ?f ?z gvt:? ?iTG . ? . • . ? ; o a
. C' f ?F;sor?l'C?. 5?olNG '. G7?? -
0 . E)?j'cSL1OfL JaIR flLC1 .1
7'.•-
?????
. To1P? (?t)=a?, y
-,:_._. .
? faJNDATtoO . ?
? CR) VALV
QQ IN LEt?lZ Aut F1LI-i
• C
2 '
121146I.IG. 3LK . 1• ?. ?
O I`? 4r,YP-??'?t?,'`'?R•5-v,?
r> eX7jEP.to2 Afrc FltM .1-7
aUll _ ??IZ= •;, ToTaL (R)= 7?3
/r
Floors oee: unhezted spaces must have minimum R-fae[or of R-20 (tuck-under garages).
Floors oc.-.r ou[door air (overhangs) ause liave a nininum P.-factor of R-33.
. , . . .
o
? LOT SIIRVEY CHSCBLIST FOR R88ID8NTIAL
u7 u9
? so BUILDIN4 PBRMIT APPLICATION
"
HI L L D F 570t4F 99)D6E
eGo GK S
PROPSRTY LE(iALS Lo+ /O
w ,
LU
< Date of Surveys /99z
DOCIIMENT STAHDARDB
6' ??F1 • Reqistered Land Surveyor signature and company
?- /CY ? • Building Permit Applicant
9? ? 0 : I,egal description .
[-il?/0 0 • Address •
[?' 0?? ? • North arrow and bar scale
? Q' 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
ff?t??? ? • Directional drainage arrows with slope/qradient 8.
GY O? • Proposed/existinq sewer and water services
0/? 0 • street name
9-'? ? ? • - Driveway
8L8nATiONB
Egistina
2' 0. 0 • Sewer service
B?-0 ? • Lot corners
LY ?? • Top of curb at the driveway
?? q/• Elevations of any existing adjacent horaes
Proposed
0"10 ? • Garage floor
[?
? ? • First floor
-
f? a ? • Lowest exposed elevation (walkout/window)
IYCI ? • Property corners
[YO 0 • Front and rear of home at the foundation
DIMEN8ION8
?-/? • Lot lines
?[?' ? • Riqht-of-way and street width (to back of curb)
(Y? ? • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
O' ? 0 • Show.all easements of record and any City utilities within
those easements
? ? • Setbacks of proposed structure and setback of adjacent
existing homes
August 1992
C1TY OF EAGAN CITY USE ONLY
MECHANICAL PERMIT RECEIPT # e o a ?-? ??
SUBD. (612) 6514675 DATE L-z?c--9Z
RESIDE1V17AL
PI.EASE COMPLEPE UPPER PORTION ONLY FOR SINGLE FAMILY DR'II.I.IIHGS. ALSO, COMPLEfE FOR
TOR'NHOMES/CONDOS R'HIIV SEPARATE PERMII'S ARE REQUIRID FOR EACH DWELIdNG UNff.
OWNER: GpfLm?tN Co"S`TizUL'F"t 0'"l ADD-ON A/C ADD-ON FURNACE?
SITE ADDAESS: ?7 ? e4m p'?'on J ADD ON/REMODII. (E7IISTiNG
CONSCRUCI'ION ONLI) $ 13.00
INSTALLER s <• HVAC 0-100 M BTU ?
PHONE #F: ' 33 _S pZ ADDTfIONAL SO M BTU 6.00
ADDRFSS: 4 YYI P• fc'I S ? aL/J . GAS OUTI.EP3 -11IINIMUM 1 Q S3 EA. ( 21? O
CITi': (z, n)e Co S-j• K'.0 nl• ZIP: ?b N2 SURCHARGE: $ .50
SIGNATURE TOTAL:
u v V Q
NO PERMIT REQUIRED FOR DUCTWO?tK ONLYI
COMMERCIAL
PLEASE COMPLEfE TIiIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUII.DINGS. ALSO COMPLEfE FOR
ApARTMENT BUILDINGS OR OTHER MUI.TI•FAMILY BUII.DIIVGS R'HEN SEPARATE PERHIITS ARE NOT REQUIRED FOR
EACH DWELLING iTNIT.
L 10 eL 5 cxxY oF sncnN
f /n PLUMBING PERMIT
SUBD./dLKJL? (612) 681-4675
R88IDBNTIAL
PLEASE COHPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT #
DATE /O ,30 Y?
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
N0.
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS:
INSTALLER
(n 7 9
? ?.
? -4-
?
?
COHPLETE THE FOLIAWING:
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00 ' 0
BATH TUB 3.00 i
La
IAVATORY 3.00 !?(JD
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00 ?D O
HOT TUB/SPA 3.00
WATER HEATER 3.00 =O
r WUk llRAIN 3. 50 &00
GAS PIPING OUT.
(MINIMUH - 1) 3.00
< 3D v
ROUGH OPENINGS 1.50 ?
OTHER
WATER SOETENER 5.00
PRIVATE DISP. 15.00
U.G. SPRZNKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S ^L_`U?
' COLMRCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTZON:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: ,
SUITE #: _
INSTALLER:
ADDRESS
CITSC: ZIP:
PHONE #:
CONTRACT YRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF YERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $ _
STATE SURCHARGE $
TOTAL: \
(SIGNATURE)
CITY OF EAGAN
CITY:?.???%?Y7Z-O^u/?Z.f ZIP: c5 ?U60
PHONE #: _1l9'K
?? BL 5 cirr use oNLr
sueo.
RECEIPT #: 96/ T, 0 Yo
RECEIPT DATE: 1"10
1997 PLUM$INfi P£gMIT (i;£SID£MfIAL)
crrY oF ensntv
3830 PaoT xtaoa Ru
ensax. Mx ssizE
(61 E)'6$1-4675
Please complete for: ? single famiy dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet • minimum - I
Rough Openings
Water Softener ' Por dwellings under construction
Water Softener ' for existing dwelling
U.G. Sprinkler ` for dwelling under const.
U.G. Sprinkler "forexistingtlwelling
AliefBtlOnS 'toexistingresidence
Water Turn Around
Private Disposal System ` Dak Cty lic.
(new and refurbished systems)
Private Disposal Systems' Abandonmenl
STATE SURCHARGE .50
TOTAL ? •
--------------------------------------•----------•---------••----------•-----------------•-------------•------------•------ =-----•-•--•----
1 hereby acknowiadge thet I have read this application, sfete that the iMortnation is cortect, end agree ro compty with all applicable City of Eagan,ordinances.
It is the applicanPs responsiblllty to notity the proparty owner that the City ot Eagan assumes no liebiliry for any damagea caused by the City duritg rts
normal operational and maintenance adivRies to the facilities construded under this permk within Cily property/rightof-way/easement.
SITE ADDRESS T
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS:
CITY: ZaL/ * _ STATE: / / /t/ ZIP:
SIGNATURE OF
EACH 0 TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 x =
3.00 =
20.00 =
20.00
20.00 =
75.00 =
20.00
CD/FORMSIPLBG PERMR (RESIDENTIAL) 1997
RESIDENTIALBUILDING
W Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshud'wn Reauiremenls RemodeVReoair Reauiremenis Office Use OnN
3 regisie2d site surveys showing sq. R G lot sq. fL M house; and all roofetl areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum bt coverage allowed) 1 sel of Eneigy Calculafions fa heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney for addifions & decks Tree P2s Reqd _ Y_ N
15etofEneryyCalculatlans Atldifion - indicatei/on-siTeseptksystem On-siteSeptlcSystem _ Y _N
3 copies of Tree Preservatlan Plan'rf lot platted after 711l93
Rim Jo'st Detail Optlons seledion sheet (bldgs with 3 or less units
Date o q /?/ )-v ° 3 Construction Cost Y/ 5? p o u, 0,3
SiteAddress G-t UnidSte #
Description of Work _ T4?? o«??vv ? GjovS¢ d" ol a z
Multl-Family Bldg _ Y? N Bireplace(s) _ 0 _ 1 _ 2
Properfy Owner -Te 7ZY ? f o tJ f Telephone
Contractar L ct t(f S-'u ?C' /r ¢ M v d 2 le o/ 5
Address City /?rwoklYh
State M A/ Zip ?' 1? W Lk Telephone #(7L 3) 3 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy COde CBtegOry , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber_ Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acimowledge that the information is comptete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
Jer7 Po
FIP4
ApplicanYs Printed Name canYs Signature
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Use BLUE or BLACK Ink
I For Office Use I
I ~ I
r ~ I
1 t'~ I
j Permit*
City of Eajan
Permit Fee: 3 7/ ` P
3830 Pilot Knob Road RECEIVED I I
Eagan MN 55122 , Date Received: 1
Phone: (651) 675-5675 APR 18 2Q1 1
Fax: (651) 675-5694 1 Staff:
I
! ply 4 "R-I,y
014
41Z~/,~ ~t RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Co7 9 C&m MN ~_Gtc r_T' L419-11* Unit
Name: 7E~ F a' ~ u Io I Tl4 S- Lzr Phone: 6, S/ - 9 7 - 3
Resident/
Owner Address / City / Zip: ~ 9 Cf m IpTD N au rr~ r L d} ~-V Tw
Applicant is: Owner Contractor
Type of Work Description of work: LliY► a D ~ Kf -s Hsi ) ~AIA R O P)q ~ 19~T►j
Construction Cost: Ja, 0-0y - Multi-Family Building: (Yes / No
Company: I ~7•tJ SP {}c e7s Contact: S ftR YA d,10ru asvr
Contractor Address: 0_10 5 W , N3SV_&e7- city: Vu P-H Sur uss
State: _MN Zip: Z5530(p Phone:
1`I1--- 9 6 3 1
License Lead Certificate*
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
NOT 3u i t-r'3J~. 87~E' (c?
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 consldered to be publicc information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the Pity to
conclude that the. are.,tM 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.gooherstateonecall.oro
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.
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. ~n c~A
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
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 _ 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 a
GIOt"J '
Valuation f~ Occupancy C - MCES System
Plan Review Code Edition 477 SAC Units
(25%_ 100%-,/-) Zoning / City Water
Census Code Stories Booster Pump
# of Units ! Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector _ /0 RESIDENTIAL FEES xog 324Pv ..d= G?a~ ~
Base Fee gel iti-
do
Surcharge S~yyrr ,M j~
Plan Review f 1-It 41--
MCESSAC AC 18,0
City SAC Oxe& IF
Utility Connection Charge 5Q7
S&W Permit & Surcharge ~✓`~rA~w
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
Y Permit I
- Cit of Ea
I I
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 ' I
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 I
I Staff:
L -----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address: 677 C a- k + d P-\ C
Tenant: Suite
Resident/Owner Name: k Phone:
Address / City / Zip: ~J 0. t~ttit~
Name: VCS h 2 C...(G~ p G License
Address: -14-0 Paa--- City:
Contractor A
State: V Zip: ~-L) Phone: rcc`"(i 1-5?1
Contact: ~-2-- Email: dpt vi~ &I q,'OL g. C K-t s . Cdh"
New 251- Replacement Additional Alteration Demolition
E
Type of Work Description of work: DuL 4~ V041 Eujeace,
NOTE: Roof mounted and ground mounted mechanical eq ipment is required to be screened by City {
Code. Please contact the Mechanical Inspector for information on permitted screening methods. !
RESIDENTIAL COMMERCIAL
X Furnace New Construction /1 Interior Improvement
Permit Type i -Air Conditioner Install Piping Processed
- Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under/Above ground Tank Install Remove)
Other L 6
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal = $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
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 PAvib TAwec.p x
Applicant's Printed Name Applicant Si nature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
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I For Office Use
I Permit
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City of Evan
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I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 i Staff: I
Fax: (651) 675-5694 L
PERMIT APPLICATION
2014 RESIDENTIAL pPLUMBING
Date: 1r l Site Address: (
Tenant: Suite
Resident/Owner Name: _ s 4C4t, c -f -f Phone: 4~ 7
Address / City / Zip: cf G~1.t~tQ_
¢ Name: Ian e ge--`1 !rr"' C' 4'S License Oq l Q( C~ Contractor Address: P h,--t'-t u.c-_ City: v Kv- ►~c..c~4,r- `1 `f
State: 4 Zip: L G Phone: y Lot--
Contact: ,1~`~ ( - Email: C ~ ✓ Gt - t4 I" Type of Work - New Replacement _ Repair _ Rebuild X Modify Space _ Work in R.O.W.
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Description of work: p(~ lie ti'.b %'t. .r ml
RESIDENTIAL
1 Water Heater
Lawn Irrigation RPZ / _ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures Main Lower Level)
I _ New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic SVstem New ($10.00 per as built) (includes County fee and $5.00 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.gopherstateonecall.org
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 1✓~yt ci Tu k- C. C6 x
Applicant's Printed Name Applicant's Sig e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
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3830 Pilot Knob Road ��� � � 2Q�� � �
Eagan MN 55122 � Dafe Received: i
Phone: (651)675-5675 � i
I Staff:
Fax: (651)675-5694 �_________________
2t114 RESIDENtIAL PLUMBING PERMIT APPLICATI4N
Date: �`'� Site Address: �f)�� � �,�(�� ���� �� �
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Tenant: � 'T Suite#:
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Name: ���L� �...-�� L�.�� Phone.�,�_ 1��,�:�
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� ` New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. �
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Description ofwork: �r� �-�� ,��
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� Water Heater � �
�Water Softener �
� ' ° �Lawm trr�gation(_RPZ/�PV8) � �
�''`���� Add Plumbing Fixtures�Main/_Lower Level) �
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� Septic System w
� _New Water Turnaround �
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Abandonment �
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� RESIDENTIAL FEES:
� $60.00 Water Heater, Water Softener, or Water Heater and $oftener(includes$5.00 State Surcharge) �
� $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) w
�
� $60.00 Add Plumbing�ixtures,Sep�ic Svstem�dandonmeni,V�iaier Turr��roun�*(�ncludes$5.��S�a►e�u�cha��E) �
� 'hlVater Turnaround(add$200.00 if a 5!8"meter is required) �
� $115.00 SeRtiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �j� �
� TOTAL FEES$ � � �
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CALL BEFORE YDU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work wiN be in conformar�e with the ordinances and codes af the City of
Eagan; that 1 understand this is no#a permit, but only an application for a permiF, 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.
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Applicanfs Prioted Name; App ic Ys ` ature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153301
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 679 Campton Ct
Lot:10 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-100
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey O Stout
679 Campton Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169718
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 679 Campton Ct
Lot:10 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Jeffrey O Stout
679 Campton Ct
Saint Paul MN 55123--165
(612) 749-5435
Archer Exteriors
820 N Concord St Ste 106
South St. Paul MN 55075
(651) 493-4156
Applicant/Permitee: Signature Issued By: Signature