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4056 Camberwell Dr N INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I yr Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 4 I APPLICANT: '!'L''1.1. i nhi .l ;-.iil 4 a isit i'I 1'..I; i 1 i I iy i!!li i 11i ~iII 14 I ii i1{ili iii PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Roofing Rough Pibg. Rough Htg. [Sul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. ~ Q M C Deck Final' Well Pr. Disp. Citp of cagart Dew of j94,t tt* .3"p riff vtt This Certifrcate issued pursuant to the requirements of Section 306 of the Umform Building Code certifying that at th t- w of issuance this structure Ims in compliance with the various ` ordinances of the G# regulating building construction or use For the following. lase Chad adim - SF DOW - Bldg. [omit No. 19153 TEX I /YT11 Disuid 1D/1 Type Carat raeroEBuddag Ira ROM= OD INS 5201 E RIVER V-40, FRIDLEY 4056 q&ffMML DRO E N. ~ L2, B4,''HM S CF SI TDW 2ND LhtG 8/30/q I 8iu7diag i POST IN A CONSPICUOUS LACE re*~ NEW, r CITY OF EAGAN h 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7 BUILDING PERMIT Receipt To be used for Sir DWG/C" Est. Value $1839007 Date JUN 3 1941_ Site Address 4056 CAMAFMI-1. DR N OFFICE USE ONLY Lot 2 Block Sec/Sub. Sg~ Parcel No. 10" -2N occupancy PO3 * FEES f Zoning. W Name THE RO'1'1C3AIND CO INC (Actual) Const Bldg. Permit 930.00 C Address 5201 R RIVER RD (Allowable) Y N Surcharge 91.50 City FRIDLEY Phone 571-030$ # of Stories Length Plan Review 1605, to Name SAME Depth SQi SAC, city 100.00 .3 Address S.F. Total ' City Phone S.F. Footprints SAC, MCWCC 630.dd On Site Sewage Water Conn 660,~ W Name On Site Well 95.00 L w Water Meter Address MWCC System R*~ a Z City Phone City Water Acct. Deposit PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump SIW Surcharge +34 information is correct and agree to comply with all applicable State of Minnesota Statutes anq City of Eagan .'Or ces.- A^ Treatment PI 276*00 r Signature of Permitee ~ H APPROVALS Road Unit 37040 a A Building Permit is issued to''- THE 1 1,M 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 ;j Variance TOTAL 3$$38.00 Building Official I Permit No. Permit Holder Date Telephone # WATER q SE,}NER PLUMBING 91 49J Val H.VA.C. `r/s 9 X07 -//G ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 7/2 ? ! Roofing Rough Plbg. Rough Htg.llzw_ Isul. ~lafr Fireplace Final Htg. Orstat Test L~G,U~ Gt~C 3 " l/ Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan /n+ Bldg. Final ~•f ~g Q5 Deck Ftg. Deck Final Well Pr. Disp. f SEWER & WATER PERMIT OFP1CE USE ONLY CITY OF EAGAN METER #y/~ ~Q PERMIT DATE 60/91 3830 Prot Knob Rd. Eagan, MN X55122-1897 CHIP # PERMIT # 11L1G~3 METER SIZE B.P. RECEIPT # -13801 ISSUE DATEI B.P. RECEIPT DATE 6/51('-] DATE PRV - BOOSTER PUMP SITE ADDRESS ' PERMIT REQUESTED LOT BLOCK SEC/SUB ' - _ "SEWER X WATER TAPS COMM/IND R RESIDENTIAL APPLICANT: ADDRESS: ..'1 CITY, STATE ZIP " NEW -EXISTING PHONE: Lawn Sprinkler Meters are to be Installed: PLUMBER: L y 1==•`~%'if Ahead of Domestic Meters on Water Line. ADDRESS: Credit WlLL'NOT be giVgn for Deduct Meters.' n CITY, STATE ZIP PHONE: r . .t I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: :{?l S. CITY, STATE T Z i.r -C_'~ r (`i : s ZIP::. 2s IGNA UR r N A iif SSUED PHONE: a PLEASErALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 8~ MATER PERMIT OFFICE USE ONLY +r f 1 CITY OF EAGAjV METER # PERMIT DATE 3830 Pilot,Knob Rd. . ' CHIP # PERMIT # ? Eagan, MN 55122-1897 29 METER SIZEL B.P. RECEIPT # "13501 ISSUE DATE, B.P. RECEIPT DATE* 6/51'91 DATE 2141 . _ _ PRV _ BOOSTER.PUMP SITE ADDRESS - ,..~?1t ri^i 11 PERMIT REQUESTED LOT BLOCK SEC/SUB 1-ti1:1y S,L ' 1tYt1 x u K SEWER WATER TAPS APPLICANT: R04-t1 ° Ab Q, Dr. ADDRESS: 'Wil S. Riv..i : ` COMM/IND RESIDENTIAL CITY, STATE -~..i.c71't i"fn ZIP4Sf "f NEW EXISTING I PHONE: (Q Lawn Sprinkler Meters are to be Installed. PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: ~tl-J CL-S& i ;r3 Credit WILL NOT be given for Deduct Meters: CITY, STATE taCC'arn, Vn. PHONE: 1 AGREE TO C MPLY WITH CITY OF OWNER: "n lotthr" 0-.). ix . -EAGAN ORDINANCES ADDRESS: :'~l r• '.2iy~?r: 1~rz CITY, STATE; r ~ ZIP'~ PHONE:''' kSIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 'Address: 4056 S'.AMRFRWFLL DRIVE N. Lot 2 Blk 4 Sec/Sub HIUS OF STMEBRIDGE 2ND These items were/were not complete at the time of the final inspection. 8/30/91 Yes No Final grade (6" from siding) 1/ 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. PEL~IIFD MRP White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ND 19153 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUIl01NP PERMIT PHONE: 454-8100 Receipt # C ~''6-~(D 1 To be used for SF DWG/GAR Est.Value $183,000 Date JUN 3 1991 Site Address 4056 CAMBERWELL DR N Lot 2 Block 4 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning FD R-1 M Name THE ROTTLUND CO INC (Actual) coml V-N Bldg. Permit 930.00 0 Address 5201 E RIVER RD (Allowable) V-N ° City FRIDLEY Phone 571-0304 # of Stories Surcharge 91.50 Length 681 Plan Review 605.00 tg Name S4P1E Depth 501 SAC, City 100-00 Address S.F.Total SAC, MCWCC 65o-nn City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 W Name On Site well water Meter 95.00 =3 Address MWCCsystem X ' W City Phone city water M Acct. Deposit 30.00 PRV Required SAN Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump Siw Surcharge .5 0 information is correct and a me I ly with all applicable State of Minnesota Statutes a C' a Or Treatment PI 276.00 Signature of Permife APPROVALS Read Unit 370.0 0 A Bulding Permit is i ed TH 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. Off. Copies Building Official S t,f I 1 I t~ Variance TOTAL 3,838.00 67174 Request Date Fire No. ghin Inspection 6~I equire0? ❑ Ready Now A6 W11 ReatlYnspector -~O^~ Yes ❑No 1 picensed contractor ❑ owner hereby request inspection of above electrical work at: Joo Address IStieeL Box or Route No) City Sao ion No Township Name or No Range No. County Occu ni (PRINT) Phone No P er uppherrr Address Or/V Electin Contractor nn any Name) Cont -cWr5 Ucense No. r1.Qec ca 9! z -3 Mailing AWress (CoMmOor or er Maing Installation) Authonzed Signature IContrad wner Installation) Phone NumCer Arag&k- 14 6; -3V/v MINNESOTA STATE BOARD OF EL micrrr THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1621 Unlvera ty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plum 16121642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 6a, E"0001 06 N / 5/9/ h ► See instructions for completing this form on pack of yellow copy. H67174 X" Below Work Covered by This Request Ne%j 7Re0ther TypeofBwlding Appliances Wired Equipment Wired Home - RangTemporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner (specify) Contrsctors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs 1nsilectorY Use Only TOTAL Irrigation Booms ~ le-S-0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Flnai De been made r( Y OFFICE USE ONLY This request mb 18 months from o?-23W lv~- Raquesl Oale Fre Nc r oughn Inspection Regwretl~ ❑ Ready Now ;Ail Nobly Inspector dyes C No When Ready' I lensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street Box or ute No I Glty o Sb 57 - Serhon No Township Name or No Range Na Courtpr 0i Phone No x Power S leer [ ~I - Address Electncal tractor ICOmpany Namal GonVectwS License No e ¢2Q/Z- 3 Meiling Address (Contractor .10 wn r Makmg In' allahonl Aumonzetl Signature ICOnhaclo wner M n Installation) Phone umber 4 -3S/D MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT G eggs-Midea y Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED / REQUEST FOR ELECTRICAL INSPECTION ;°"1C~''yy EB-00001-0e i See instructions for completing this form on back or yellow copy 1 1.. _ ~ "X" Below Work Covered by This Request ew Add Rep Type of Building Appliances Wired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Othee (syeafy) Comraaor's Remarks Compute Inspechon Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectorb Use Only OTAL Irrigation Booms S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Foui Date certify that the above inspection has Final e O been made OFFICE USE ONLY This request void 18 months from (o(o57D 70 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Ofrlce lkeonty 3 registered site surveys showing sq ft of lot, sq. ft. of house, and all roofed areas 2 copies of plan Cedof s4myRecd . -Y :-N (20%maximum lotcoverage allowed) 1set of EnergyCalculations for heated additions Tram Pres:Pleaflew _ :.Y N_ 2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additions & decks Tree Pi'ks Awred.,,, Y -N 1 set of Energy Calculations Addition- indicate ifonsite septic system f3trEeSeptioSysleni•:: :_Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 7 / ZZ- / O IV Cost t7 .3~ Site Address 4105-L2 r ~ lA&1 &)aL2 IX- NV Unit/Ste # Description of Work 1^j Multi-Family Bldg - Y ~N Fireplace(s) _ 0 - 2 -928 Property Owner (emu( 1=>~ J Telephone # ((pJ~ ) Contractor ✓ /J Address L0, I-F `I 13 City U ~l G State t4 J zip '3P 37 Telephone # ( 9Y2-) 6~1) '0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 - 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 Mechanical Contractor l 004 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 MN 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 in th ase of w which requires a review and approval of plans. Applicant's Printed Name Applican Signature PERMIT CITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ~dtSfL(o~ /G Eagan, Minnesota 55123 Permit Number: 024035 (612) 681-4675 Date Issued: 07/18/94 SITE ADDRESS: 4056 CAMBERWELL DR N LOT: 2 BLOCK: 4 HILLS OF STONEBRIDGE 2ND P.I.N.: 10-32991-020-04 DESCRIPTION: Building-.Permit Type DECK ;building "r_k Type NEW V, uc~ n REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - POLITIS CAROL 4056 CAMBERWELL DR N EAGAN MN 55123 (612)454-952B h I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L L PPLICANT/PE AITEE SIGNATURE IS EDB . GNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 0 3 5 Eagan, Minnesota 55123 Date Issued: 07/18/94 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: 4 APPLICANT: 4056 CAMBERWELL DR N POLITIS CAROL HILLS OF STONEBRIDGE 2ND (612) 454-9528 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL CITY OF EAGAN ~1994 BUILDING PERMIT APPLICATION 0 681-4675 C(L~C2G( ~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 register e site surveys, py of energy talcs. JUN 2 9 1994 COMMERCIAL 2 sets of architectural & s ~ctura]Ills'_I_ et of specifications, I copy of energy F alty applies: I) when ermit is typed, but not picked up by last working day of month which request is made, address is changed or 3) lot change is requested once permit issued. Date Valuation AA of work ©9 0", Site Address: OS(o IQ~YIL~3Qi p ,dam~ CCIqa4'J,/U STREET SUITE # Tenant Name: (commercial only) LOT oZ BLOCK SUBD. 9~//S O P.I.D. Description of work: -e The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name _P0 /I -fiS \'c re Phone Property LAST FIRST Owner Address //O% STREET STE p City _ ~G) C/6L-n State ~A) Zip Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: C~. t 2422 Etiterpdne Olive * PIONEER - v Mendota Heights, MN 55120 Ong * et3ring.. * sh (612) 681-1914 Certificate of Survey for: 00NIr".?g4jy, /vC. S NaPTN 1 \ I 12, , 7 v h J , 230 _ b~ k" ~~ti,5 rYo ~ tk V o n Se k r`t4 ^ / 4 o/ Msc7 11ourC- T i / it ^ t14 o4Q. l~ ?It vN q i tvc 8~y•~, 30.8f/ by C,4~I~E/~ ~Bt~ti11i1~) Ft1`4t 17k#'~1 816.! 900.0 Denotes exisfin4 Elevation ' PR9P0SE0 NousE Q var r 900.0 Denotes prop ed Revafborf / Lowe5f 806rEevoi tan Zz,si7 Denotes Oraina e ' Utili~ Easemer~>L Eop of Flock Elevafion 8eo•z Denotes Drain J¢e Flow ,4rrows Garo e Slab f(evcrti00 879.9 Denotes monumeof o 0enof es Ott set Nub [S /nq Beari0 Js shown are assumed Su Ject~ to F.semen Oi _Cord LOTS-, BLOCIl-f -,MILLS OF STONEBRIDGE PLAT 2 OglCorxi Co(mrr 1 hereby certify that this su(vey, plan or report was 5epared by me or under my direct supervision and that I em duly Registered Land Surveyor under the laws Of the $tate of Minnesota. Dated this day of "4 Y A,,D, 19 9 1 , /i y 69)9V. 0-3 _ ---r• 0 L-C+n OQfiFT 0. SIK H L.S. REU'. NO 1J891 MAY 2 4 1991 BUI1 ~JMPLICATION 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 CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: 5&u/ l Site Address 4c- /S 3,ODD .QFFICE USE ONLY Lot Block 6/ FEES p Occupancy R'3 hl -I Bldg. Permit DO Zoning F'D R-•1 Surcharge Parcel/Sub ~~~,i~{aT e 2 Actual Const _V,N Plan Review D Old c7 Allowable V-AI SAC, City ~00,0 Owner _-7p/E OrrfYCV~Jn G~_ i//G # of stories SAC, MWCC 6~,DJ Length ~ Water Conn. 6 o,OD Address 5Zo/ E. ,PZuey P0,40 Depth 50 Water Meter 95,00 S.F. Total Acct. Deposit 3 0, DD City/Zip Code Fai pu--r Footprint S.F. S/w Permit 3o'O D / S/W Surcharge -'b Phone On site sewage- Treatment Pl. Pr?(,1 0 On site well Road Unit 3 010 Contractor hf1I71E MWCC System ✓ Park Ded. City water Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. !~3 Variance Address City/Zip Code Phon % e # ✓G~ ' agrees that all work shall be done in accordance with (Signatur of C ractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. UT Ar -.0 VAt_l.~4TiOrJ 94, zx lz . (zLo W4 X ,s = ~qg~o RS,,n T' aox is=~ 366 151 X 14= 21 25'2. or MTI = r5 9 1Yz-ai /539 x53= SIS6r!j 3l x3q x 19 -1 0tic> , 32 t "7K3 a•J = 130& X 53' 6 on, ; I S 3 `J~ * 2422 Enterprise Nive * PIONEER _ Mendota Heights, MN 55120 n it eering„ - (612) 681-1914 Certificate of Survey for: `IL/C amwo COMI NYC /,VIC. s NOIITW ~ ~ N ; - r•f.4 ~ o D pz~ °p s c,,3 rI cf~ II G AQ. v r~.33 ro v~ A b7 o e 1z,a q„ a 22.G7~ o !O.O m = R77, po ,~y~ Get ✓ ` N ~Q = 5i "C- 0 ~ 4 q ~y/ C/1 oaf_~R m a S74 1 . soo.o Denotes exisfin Ilevalilon %eol SED ia E 4LEVAfjQN e 900.0 Denotes propled Revaf%on Loves Foeve ion 7zs~ Denotes Ordinafee Utili y Ease765p of Block Elevation Sso.Z , ------v- Denotes Drainccle Flow ,4rrows GargWe Slab Elevation 679'9 o Denofes monument n Deno es Qty set Nub Bearins shown are assumed Su§ed to Easements o'yRecord LoT~, Bcocu14ILLS OF STOIVEBRCD~C;E PLAT Z D.4tloTA COVNrr I hereby certify that this survey, plan or report M''a$ prepared by me or under my direct supervision and that I em duly Registered Und Surveyor under the laws of the State of Minnesota. Dated this 41 S day of A.D. 19 q I . ,Q L.$. REG- NO. 14891 ^ Stale: IL,? 40,egf 69 i 9V. Z3 IOBERT B. SIK N L.S. F..(TF.ItiOR 1•:NVFI.OPF. AVENAGE "U" rOKMITATION OWN ER SITE ADDRESS _L7T 2 Rt r~~ 1~(~ Cl'1~/[ 7IT( CONTRACTOR go77ZvNO Go, DATE. PHONE Determin working square footn,,c of each. 1. Total exposed wall area ~J 9 41 sq. ft. x 0.11 = 4 9 3 2. Total roof/ceiling area sq. ft. x e~026 = • Total exposed wail area above floor = 3~jr( 4r L`, a. Total wall window area ~4fJ<D 3 b. Total door area 9 C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10%) , f. Total net wall area above floor g• Total rim foist area Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall segment. a. 48(0. ej x ,;u„ 2041 Zc~ o -7I 1 b. 7 0. x ,.U„ 3 °0 8~ e. 39,4 x „U„ ~f y = f(/,7 9 d. x ,.u„ e.. x 0-061 f. Zq3~ 87 _ x „U„ 0.0 ~f3 = I'2 U,-~i h. 3. rnt.al = °o If item N3 is the same as, or lest. Lh:,n .it.em M1, you have met the intent of sac 6oo6(c)2. Total exposed root/ceiling area = ✓ ` 4A Total gross roof/c6ilinp' area = r Total skylight area R. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area _ Determine "U" value for each rucof/ecillnlt sepmcnt. X nUn = k: /✓r % l z- X nUn 1. X "U" 0 G 4 . Total = 5. If total of B4 is the same as,'or less than N2, you ave met the intent of ssc 6oo6(c)l. To utilize the total envelope system method, the values establizhed by the sum of items A3 and B4 shall not be greater.than the sum of items B1 and 12. 3. + 4. _ 0 . u VPc ~U~ GAl GUt A`~ID N~ (GaNT). -?FAME HAW, @ -INhgLA jaH 2 ;J _ha hID1F~c.. D.~2 - 3 =5%s lNSU~A~li• i . o l70 GYP 50. 0.45 `G Eltjl0f- Alm FILM. - O Co'o _ L - 23,oC = u= R= ~ O_o43 , jb'(A SAM; WAU. ~Ti ID GOMPONLNTg - F-VALUL 1 O-UT.!7I0E Nit FgLm. - o ~'I - - t ti 3 hNEA(HIN(i. 2.OU _ v C' - p N view u . r o.089. ~AL 0.12A0.0m)t(o.SbXo.o43~ = O.o~ 75:~7E L"Fil? AIM avlh , I • SS 1/ .7 O'ne GoMEbNENJ~, 30 C4. - f 1, 13 CI Z.►, 1- _ e I I I ~ ► 2 . O2, - - - u_~5.83~O.o27 I 2 ® Lam(-~s1 F1~M=_-- -ca t--- 3 " -5. 3- 4 i CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ME PHONE: (612) 454-8100 RECEIPT DATE: A' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 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 i SHOWER 3.00 REPAIR 3 WATER CLOSET 3.00 1_ _P BATH TUB 3.00 _ l~ LAVATORY 3.00 1p_ OWNER NAME: ~b'~y 1_ KITCHEN SINK 3.00 3 1 LAUNDRY TRAY 3.00 3 SITE ADDRESS: H US ~s C~~, e r ~cU _1Q'~ a HOT TUB/SPA 3.00 i_ WATER HEATER 3.00 1 LOT: BLACK `i SUBD! O Q ad 1 FLOOR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: LJ A~~< y b ( 1~ (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 ADDRESS: CnI U 12 L OTHER _ WATER SOFTENER 5.00 CITY: 02~ ~t ZIP: S S 3 S a PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE L4 SUBTOTAL S L49 ST. SURCHARGE ~ , .50 S ATURE OF PERMITTEE TOTAL: S S i) bIMEICGAZ717Tf$T&TAT 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: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. 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 KAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # o a PHONE: (612) 454-8100 RECEIPT # q 'cim DATE: S AE.k7 Ai 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 ll OWNER NAME f2) OF 1 PER PERMIT ll'' SUBTOTAL: $ SITE ADDRESS :`1~~C0 (Yl L~ ~)J1 STATE SURCHARGE: .50, LOT: BLOCK SUBD. A-~ TOTAL: INSTALLER: \ INC. ADDRESS: 9303 PIym ' RE l A/C. No; SIGNATURE OF PERMITTEE "B CITY: Goldpn Valley, MN. 554 p: PHONE MMEI;YAIj1~$T1~TA3 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 UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Permit # Date Receipt # C 5 a as Commercial: $25.50 + water tap if required. (City installs all taps up to P'). If adding new service, a water permit will be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing ermit, WAC, and water treatment plant fees. 0 "4 wO 'a od n(Address to be spri//nklered) Homeo r/Plumber: , A C r~ l~~lx Phone Aa 2 - 2 y7l Street Address: '~-fg8 AtOad f., City, State, Zip: 415'' 1#A1 `J3~l~9 Owner Name: Street Address: Phone Irrigation Contractor: ~l~±wGC2n a -z ' Phone 19 5-3 I hereby acknowledge that I have read this application and state that the information is correct and agree o comply with all applicable City of Eagan Ordinances :?/4 cc: Engineering Department ~~A PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089719 Eagan, MN 55122 . Date Issued: 06/16/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4056 Camberwell Dr N Lot: 2 Block: 4 Addition: Hills of Stonebridge 2nd PID 10-32991-020-04 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Permit closed without required inspection(s). Letter sent to applicant on 2-3-10. (pf) Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Hearth and Home Technologies Theodore P Politis 2700 N. Fairview Ave 4056 Camberwell Dr N Roseville MN 55113 Eagan MN 55123 (651) 633-2561 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA092157 Eagan, MN 55122 . Date Issued: 11/25/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4076 Camberwell Dr N Lot: 24 Block: 1 Addition: Hills of Stonebridge 2nd PID 10-32991-240-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Paul M Bjorklund 1920 County Road C West 4076 Camberwell Dr N Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168050 Date Issued:04/07/2021 Permit Category:ePermit Site Address: 4056 Camberwell Dr N Lot:2 Block: 4 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-04-020 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 - Theodore P & Carol J Politis 4056 Camberwell Dr Saint Paul MN 55123--391 (612) 239-1440 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature