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4075 Camberwell Dr N Use BLUE or BLACK Ink For Office Use I I of Ea~an l Permit City I , l Permit Fee. 3830 Pilot Knob Road i , Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: I 2010 MECHANICAL) (.~PERMIT APPLICATION Date: Site Address:t j✓5 cam bcr we t'i or W Tenant: Crg 0l KI l beer Suite RESIDENT / OWNER Name:"l !J ) [ w_ Phone: K L~C1J1~J /7C L1 97 1 l' f ✓t.- I ~r~~f-/ Y l ! 5r j Address /City /Zip: CONTRACTOR Name: Ron's Mechanical License Address: 12010 Old Brick Yard Road City: Shakopee State: MN Zip: 5 5 3 7 9 phone: 952-445-8585 Linda Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement ✓Air Conditioner Install Piping Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installingtremoving tank(s), call for inspection by Fire Other 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) $ 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 = $ Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 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.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in nformance 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 start without a mit; that the work will be in accordance with the ap oved plan} in Icase of work which rrequires a review and approval of plans. x I i If ~ ch req x Applicants Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Clete: Required Inspections: Under Ground - Rough In -Air Test Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection INSPEO 0N-"R-'-E--C-bRD' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 6t, r :r6 8'F1"1-!t: ! 1 1 t; i'# s;ai !rl lafls:!P f."0M1,AH 44 PERMIT SUBTYPE: TYPE OF WORK: a . } rj; ~J INSPECTION DATE INSPTR. INSPECTION Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG t DECK FINAL ~L `u INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: E 3830 Pilot Knob Road Permit Number: .0 90 4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: €tff f ,it i?rk~46 f~ii~ 4~'~tr€' ~`f old s F',.,t 9;9ri-' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. • TYPE DATE INSPTR. l~isPka,4, ih' lilhl s i Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ! &6 FIREPLACE i AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R_L BSMT FINAL DECK FTG J- DECK FINAL t I (grrtif 'Irate of 01hrupaury Citp of Cagan Jur rculd of Buiwacg 3w ertimt This CertPfuWe issued pursuant to the requirements of Section 306 of the Umforrra: Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use For the follawing. Use aasif=s , SP UX/GAR Oki& Pantie Na 18052 ckxup+dr Type MMA4 Zoning District I?D/ R l Type ctp-f VN Owmctflu"ng ~ Haws Address 5929 BAIL FRM, Ida IC7Nf{A, 4075 CaMqUELL DRIVE N.L.ocanty L12, B3, fLL IS OF, S WTE 20 SUMM 14, 1990 Building OHidat POST IN A CONSPICUOUS PLACE ' CITY OF EAGAN 18052 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To 6e usea'for SF DWG/GAR Est. Value ¢121,#000 JUNE 25 Pate- 19 00 Site Address 4075 CAb=Ri>ZU DR N Lot 12 Block 3 Sec/Sub. BILLS OF OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning PD R-1 W Name CEMX 1 $ (Actual) Const Bldg. Permit 719'00 Q Address 34 $ 'XD (Allowable) 60,90 I!I I NETONKA 36-7$33 # of Stories Surcharge City Phone Plan Review "3*~ Length c Name SAM Depth SAC, City 100.00 fl Address S.F. Total SAC, MCWCC 6" 00 City Phone S.F. Footprints 62500 On Site Sewage Water Conn ,00 90 w W Name On Site Well Water Meter z= Address MWCC system 30900 o= X Acct. Deposit a W City Phone City Water - 00, PRV Required S/W Permit 0. o I hereby acknowlege that I have read this application and state that the Booster Pump SIW Surcharge information is correct and agr comply with all afolicabie State of 252.00 Minnesota Statutes and CitytSt Ea n Ordinances. Treatment PI APPROVALS 355*00 Signature of Permitee Road Unit A Building Permit is issued to: Calix Itdws Planner Park Ded, ~ on the express condition that all work shad'be done in accordance with all Council applicable State of Minnesota Statutes acid City of Eagan Ordinances. Bldg. Off. Copies 3o3l#.Od. Building Official I ti Variance TOTAL y Permit No. Permit Holder Date Telephone # WATER ~~r!/ 9D SEWER PLUMBING H.V.A.C. ELECTRIC i/ rJ SD '~p ~J Inspection Date Insp. Comments Footings I ~j L(JQ Foundation/mod Framing Rooting 7/2 to Rough,Plbg: d ~d~ UCs^T t.1sir~- Rough Htg. Isul. Fireplace Final Htg. Final Plbg. -Cf -Qi Const. Meter Plbg. Inspeclor - Notify Plumber Engr.lPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGiAN METER # 607-f-41 L PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # $ PERMIT # ].1.47 METER SIZE as B.P. RECEIPT # -,8556 ISSUE DATE B.P. RECEIPT DATE f~ f -s1 9'0 . ~ itft t igg0 DATE PRV -BOOSTER PUMP j SITE ADDRESS 407 5 CAMBERtIE T I td IN PERMIT REQUESTED LOT 12 BLACK I 11ILLS S OF STONt::IiRIDGL I X SEWER X WATER TAPS . APPLICANT: COMM/IND RESIDENTIAL f ADDRESS: CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: CENZ--tRYAN I'I U14BINC Ahead of Domestic Meters on Water Line. ADDRESS: 14745 S 'ROBERT `Ii. Credit WILL NOT be given for,Deduct Meters. CITY, STATE PaS;.mrJumL, Yv ZIP 55066 PHONE: 23-114 1 AGREE TO COOPLY WITH CITY OF OWNER: CEN T EN Houj'S EAGAN ORDINANCES.." ADDRESS: 5929 BAKER RD f ~ z. CITY, STATE 14INNEFTONKA, MN ZIP 5534 PHONE:. X536 7AI~ SIGNATURE VH ZITE6i I SPLEASE ALLb"W t'" WOhkING DAYS R f(RV-CEtS51NG. CALL. 454-5220 INSS. OR STORM SEWER PERMITS, CONTAC`f ENGINEERING DEPT. • ~UL Q RECtD 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cws*Wucdfion Reguirements R modellReoair Requirements Office Use.OnN - Carl site s ies oti shovang N Of S~ 3 registered d site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas et of E ergy Calculators faeaatted additions Soils Reporvay rt Racd =_Y Y - _N ( marimum lot coverage allowed) d) 1 site survey additions & decks Tree Pries Plan Read -_,Y _ N. 1 Soils oils Report proposed building is to be placed disturbed sad e1 2 copies of plan showing beam 8 window sizes; poured found design, etc. Addition - indicate it on-site sep6'c system O ~iteeSSep6c Syst m Y- _N 1 set o of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less unds) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade 4:0 a t e reason. -1 10 Date 1/~-~~%/L~ Construction Cast 29 .4(775 l ISM ls~ r L DR \ r 1 Unit/Ste # Site Add ress Description of Work Yl c3~ 1' C, Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 COX& Telephone # (14vv -C -Lads-, Property Owner Contractor Address City D State Zip 5 5 ~ ~ Telephone # *n ) 772 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Cateeorv I - New Energy Code worksheet Energy Code Category Residengal Ventilation Category1 Worksheet Submitted (J submission type) Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: , ) Licensed Plumber Telephone Mechanical Contractor Telephone 1------- 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 a plication for a permit, and work is not to start without a permit; that the work will be in accordance with the ap ved Ian in the case of work which requires a review and approval of plans. ~Jer, ~Cnh Applicant's Printed Name Applicant's Signatu DO NOT WRITE BELOW THIS LINE • . Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex 10 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ed. Alt- Mufti ❑ 03 01 of-plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt -SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types e 31 New, ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 WindowslDoors ❑ 34 Replacement `pemolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation 290 D00. - Occupancy MCES System Plan Review _ 100% or _ 25% Census Code y 3 L4 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (dock) _ Final/C.O. - Footings (addition) _ Final/No C.O. Foundation _ HVAC - Drain Tile Other Roof _ Ice & Water _ Final Pool LO Ftgs _L0 Air/Gas Tests Final - Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace - R.I. - Air Test - Final - Windows _ Insulation _ Retaining Wall Approved By: Building Inspector - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: ~DD,< C~Mnb~> Applicant Name: N(i r1 ~bQC m GENERAL INFORMATION s U x c o z a Ld ❑ ❑ Applicant name and contact information l~ ❑ ❑ Property owner name ❑ ❑ Address of property p ❑ ❑ North arrow, scale (I" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ❑ ❑ Location and name of all streets adjacent to property .0 ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing ❑ ❑ House corners ,Ld ❑ ,O ❑ Property corners ❑ A ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed JX ❑ ❑ Finished pool deck comers 0 ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) jd ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing fd ❑ ❑ All property/lot lines 0 ❑ ❑ All Easements on the property Proposed ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio ❑ ❑ Shortest distance from outside edge of pool k to lot lines and house Reviewed: 3 Nam Date G:FORMS/Pool Permit Checklist/02-13-07 I ' 1 Prepared B : Driveway 1 5 PERFORMANCE 5I 11 sae I 1 GARA E 1 m Performance Pool & Spa I 1890 Wooddale Drive set! I 1 s`~ Woodbury, MN 55125 or~9; I HOUSE 11~~ (651) 731 - 3440 (651) 731 - 8372 Fax 1 Feb 1 •~c Attn: Ken Ronsberg 1 @ yi Home Owner : 1 f xistin x 6 3.52 Qie\ 1 Craig & Terri Kilber I Concrete e 1 4075 Camberwell Drive N. I Patio yS~a 11 Eagan, MN 55123 Future 1 (651 ) 790 - 6708 I 1 Lot - 12 Block - 3 I 1 1 Subdivision - I 20 1 Hills of Stonebridge Platt 2 I 33 I 339 1 Pool Dimensions I 891.64 width x Length l 1 Pool ( 18 X 38 5 Deck(tion 1 36 X 52Scale - 1 Inch = 20 Feet 891.56 X 5 1 City Codes I Setbacks I / Principal - V- I'Water 'Tall Decorative Aluminum Fence / / Side - 5' Concrete I Rear - 5 ' Concrete / I ~iVool Equipment Equipment Not in Easement Fence - 4' Tall I / / Septic -10' Water 51 Well - 20 ' Water I / rainfield -20' Water / I / MGM - - T r7 Jt 2422 Enterprise Drive QNEER 4r'o 7.S Mendota Heights, MN 55120 ngineering•. (612) 681.1914 t Certificate of Survey for: cENTIK - NOmES A * A '11~z NOPTH lz~ 77 D BY - - s P PAGAN F:N 11NftK"NU urr G ~c o Er"aC1, ,/rte ~ P \ 9. REVIEW t(D lY) 614 F6 f:j, VxM ~ t) ~ q r N ION 5 ~s Yr MAO ~~yyidt3 INSPECTION J • o C'•, x. y J pp \ 199,e-6 N99'40'9 '50"E . 500.o Denofes exis n4 Elevation PROPossp NousE LEVATION _ yoo.o Denofes pro ed E/evation Lowest Floor Elevation s87.07 Denofes DrainageeUfili~ Easemenf Top of Block E/evalion 949,40 Denotes Drain Je row Arrows Garae Slab Elevation 814,z3 o Denofes monument a Deno es 01'rsel Nub BearinJs shown are assumed Su Jed to Easements or'Recard i C.OT 12 , BLOG!! 3 , IJILLS OFTONEBRIXE PLAT Z OAKOTA COUNTY I hereby certify that this survey, plan or rspoft was pr ared by me or under my direct supervision and that I am duty Registered Lard Surveyor under the few, of the State of Minnasom. Dated thb1 day of - ]~l r/sr,K- A. D. 19 1011-1 ;kZ 2 ~w1 rw ac Scale • 1 i! ,4 L 11011Ep f B. SIKICH L.5. AEC. Mr. 14991 RESIDENTIAL BUILDING PERMIT APPLICATION o2 CITY OF EAGAN ! . 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodallRawir Requirements • 3 registered site surveys showing sq. ft of lot. sq. ft. of house; and all mated areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 cop*$ of Tree Preservation Plan if lot platted after VV93 • Rim Joist Detail Options selection sheet (bIdgs with 3 or less units) DATE VALUATION Q n l N3.6J SITE A11DDRES MULTI-FAMILY BLDG _Y '!N TYPE'OF WO hcz' Qeo+ FIREPLACE(S) - 0 - 1 _ 2 APPLICANT ~d « {rct ~RY CTra aTvrS STREET ADDRESS/a;Y/ STATE"') ZIP S-V3 9~z 7a~ 95a~ TELEPHONE #959 ,~i9-G~ss CELL PHONE # -FAX # PROPERTY OWNER f~t 1e14--V- TELEPHONE COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RTJLES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: - Phone # Plumbing system includes: _ Water Softener - Latter Sprinkler .ee:-$9Q 9Q Water Heater No. of R.I. Baths n t1 I. No. of Baths L r P , r r 4D27? I, J Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning By Fee: X70.0 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 /t I A t~ C} ut u'/ c ` OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required - Updated 4/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ) 3830 PILOT KNOB RD, EAGAN MN 55122 I ~C "I 651.681-4675 New Construction Requirements RemodelfRegair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations far healed additions • 2 copies of plan showing beam 8 window saes; poured found design, etc.) 1 site survey for exterior 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 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) p I I, tp DATE VALUATION SITEADDRESS (f4whe/blwr 6ey N MULTI-FAMILY BLDG _Y TYPE OF WORK 4VG' SSdI2:~K FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 4htQ^fGa'ft" ~rdc(d~f'~sot~IlrS STREET ADDRESS(O"' V7 CITY~urtdl~i//~ STATO ZIP Sr,33 TELEPHONE # 9 6¢s`t CELL PHONE FAX # 95a Zx✓~✓~f PROPERTYOWNERTELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential ventilation category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # , Plumbing system includes: Water Softener _ Lawn Sprinkler , Fee: 00.00 Water Heater _ No. of R.I. Baths V" 9 5?--? No. of Baths L, Mechanical Contractor. Phone # v 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 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RESIDENTIAL 910 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 1 \ New . Construction Requirements RemodellReoair Requirements 3 registered ads surveys showing sq it of lot, sq. R of house; and till roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for addibons • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Flail Options selection sheet (bldgs with 3 or less units) DATE 0 C)a - VALUATION $ Za OGCU SITE ADDRESS yU-I S CAw I~rwQQf~f. fJ • MULTI-FAMILY BLDG -q ✓N TYPE OF WORK G ae s { clA o Qr 1 f~7 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREETADDRESS 40-75 »ase~u red l~ ' CITY STATE Md ZIP TELEPHONE # CELL PHONE # 0-51) a3S-Vf-'- FAX # (Sy) 76-1-?6"71) PROPERTYOWNER Cr0.cc) K'.~(3e✓ TELEPHONE# psi) ~~~-670 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ Iii F-~~7i 778 (d submission type) . Residential ventilation Category 1 Worksheet Submitted Energy Ce11ri orksF~eer t ubmitted . Energy Envelope Calculations Submitted II GuT 3 1 2CC2 Plumbing Contractor: Phone # !u Plumbing system includes: _ Water Softener _ Lawn Sprinkler- - Fee: 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, a d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin es. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoW41 g ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft- Multi ❑ 03 01 of _ plex ❑ 09 07-plex it, 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding *11 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation v Occupancy t4,d- MC/ES 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 INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ RVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation - Retaining Wall Approved By f L Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Waters Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total am= * * 2422 Enterprise Drive MN 55120 1010NEER er 7S * engineering.. (612) 661.1914 * fir. CENTEX - HOMES Certificate of Survey for: NOa7H % 69/, I ar Q r 1,10 1 b r„ a 9 Ile .01 i \ /83.46. NS9'09'5o"E 900.0 Denotes existin Elevation PROPOSED Dust ELEVATION yoc.o_ Demotes proped Elevation Lower Floor Elevation 837, 07 Denotes Draina& f utilily Easemenf Tap of Block Elevation 894,4o Denotes Drainzi~e Flow Arrows Gara e Slab Elevation sm, 23 Denotes monument o Deno`es Ot''rsel Nub Bearin~s Aown are assumed $u Jed to Easements o''Recard LOT 12 , BLOCU , SILLS OF STONEBRIXE PLAT Z D4goTA COUNTY 1 hereby certify that this survey, pinto or report was pr red by me or under my direct supervision and that I em duly Registered Land Surveyor ,pa under the taws of the State of MtnnesCw. Voted this day of V A.D. 19 _ . i!q s4a * !T > 1Qi/7.Gs Sl. ttOFlER t B. StKK4t 1.5. REf;. NA. 1ee91 _ 3 CITY USE ONLY L ~ BL of I,, 1 RECEIPT SUBO. MI's o Ellin( htli ~ RECEIPT DATE:: J PERMIT# 41; ~ 7)? -8000 PLUMBING PERMIT (fiEMMENTIAL) crrYof EALfim 5830 PILOT KNOB RD F.AeAN, UN 551 YE 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 Alterations to existing dwelling - minimum fee Describe: t g^ $ 30.00 3Q' Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i 'n outlet *minimum - f 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem now/refurbished *-requires MPC Ik. 75.00 x. - Se tic S stem abandonment 30.00 x = $ - RPZ new installatioNrepair/rebuild 30.00 X' . . Rou ho enin 1-50 x Shower 3.00 x ' Under rounds rinkler if dwellin is underconswction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ 3.00 x = $ Water heater 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 Reminder.- Call for inspections of alterations, i.e. water heaters, water softeners, etc. licabl I hereby acknowledge that I have read this application, stale that the information is correct, and agree to comply with ali applicable City of Eagan ordinances. 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. SITE ADDRESS: 1e7-j k cAjezt err OWNER NAME:: TELEPHONE M (AREA CODE) - INSTALLER NAME: .TELEPHONE#: (AREA-CODE). S'' S STREET ADDRESS: CITY: F 1 1F TE: -ZIP: T "14 2000 BY: SIGNATURE OF PERMITTEE 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 . 651-681-4675 C 9_~ 4 c1 > 3 registered site surveys showing sq. ft of got, s% it of house 2 copies of pion and gp rooted areas 42076 mrndmum lot coverage allowedl 1 set of energy calculations; for heated additions > 2 copies of play (show bean & window sizes; poured Ind design; etc.) 1 site survey for exterior additions 4 decks > 1 set of energy calculations > 3 copies of bee preservation plan If lot platted after 7/1/93 dJ~ DATE: 7 DU CONSTRUCTION COST: ~ DESCRIPTION OF WORK: /N~3 P STREET ADDRESS: 0 L rA)C6 c LOT: i BLOCK: SUED./P.I.D. Name:~~ L l7 C4A) 6 Phone vs/ 6 - G7 ap PROPERTY Last First L r-JE OWNER Sheet Address:- ti y -J C1'41-1415'r city State: Zip: ~i CSC l~I r vrK l~ L" Phone Company. / /o< (area code) CONTRACTOR Street Address: ~2) 7 ~ 4 11t-- -s license if ~~2 Exp. 131 city ~A r~~i/1GL e!~ State: A/W ZIP: S ~'b y~ ARCHITECT/ Name: ENGINEER Company Telephone ( ) Street Address: Registration City State: Zip: Sewer/water licensed plumber (H retailing sewertwster): Phone M I hereby acknowledge that I have read this application, state that the intomwtbn b correct, and agree to comply with all plicable State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No CE4 IV ED SEP 7 • 2000 Tree Preservation Plan Received _ Yes No Not Required BY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES :3 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF 1 03 01 of _ plea ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti 04 02-plex ❑ 10 08-piex 19 Lower Level ❑ 24 Storrs Damage "7 05 03-plex ❑ 11 10-plex Plbg _Yor_N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE 6- 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)` ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0 # of Stories sq. ft. No. of Units Length sq• ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) N Basement sq. ft. Census Code (Allowable) .-=A/ Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Lf~~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ss~ PERMIT ~I CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 027904 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4075 CAMBERWELL DR N LOT: 12 BLOCK: 3 HILLS OF STONEBRIDGE PLAT 2 P.I.N.: 10-32991-120-03 DESCRIPTION: (GAS INSERT) ,Building-,Permit Type FIREPLACE fBuildingylq k Type ALTERATION Census Coda' 434 ALT. RESIDENTIAL f j( A +I}t 1 -I A-Z REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: FIRESIDE CORNER INC 16331042 0001068 KILBER CRAIG, 2700 N FAIRVIEW AVE 4075 CAMBERWELL OR N ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)686-6708 I hereby acknowlidge that I have'read this •afpplication a-nd state that the information is correct and, agrse_rto _gomp,)y,,,witlr all applicable State of Mn. Statutes nd City of Eagan Ordinances. A LICANT/PER TEE IGNA7URE ISSUED BY. IGNA RE IREPLACITY OF EAGAN 3830 PILOT KNOB - 56122 a~ 1996 F CE PERM TD APPLICATION q 681-4675 DATE: Z1711 DESCRIPTION OF WORK: INSTALL NFM FIR C - WOOD BURNING X GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE - INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTAL AD IN: P5L' 4;4j=o I 6AS D/2ct(.'/ 17 `A1 Sc~YC 7 ib /LI A So-,,t 9-t /C,' Fl-AC~ 6'~3t~ Zf-otFL 4014- Y cd~ l~ DJ2 , /U a . STREET ADDRESS: 6 75CA A113 0e LOT BLOCK _ SUBD./P.I.D. D^ APPLICANT: (circle one only) OWNER CONTRACSOg~ 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. PROPERTY Name: l` t L IS Et2 ~ 9 A►F ~ Phone 6 ?d 8 OWNER Signature: Street Address 7 C4 xg,6czkr~ ac, /J a City: E1 4 4 ~J State: Zip: 5-3l Z 3 A 6.33-2,S i61 FIREPLACE Company: Phone 00 INSTALLER Signature. S t Address:36Yo -U - ~!3 License City OZMSVlu.-C State: N a~ zip. . 3 GAS LINE Company: Phone INSTALLER Name: Signature: Street Address City: State: Zip: PERMIT M049~A/ .14 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 6 8 (612) 681-4675 Date Issued: 10/17/95 SITE ADDRESS: 4075 CAMBERWELL OR N LOT: 12 BLOCK: 3 HILLS OF STONEBRIDGE 2ND P.I.N.: 10-32991-120-03 DESCRIPTION: r BU'1lding1,,Permit Type DECK 8 ui'ldang 4,rk Type NEW ,i t ~ w F,i ..te: i : :t c•Wea,: M•f° .4~Lr ~ aL~ r IZ- REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge Total Fee $30.50 CONTRACTOR: - Applicant - ST. LIc. OWNER: THE DECK & DOOR COMPANY 14513192 0005457 KILBER CRAIG 11632 AKRON AVE E 4075 CAMBERWELL DR N INVER GROVE HTS MN 55075 EAGAN MN 55123 (612) 451-3192 (612)686-6708 { I hereby acknowledge that I have read this, applic~s~ion and, state that,, the information is correct and agree to comply with al applicable State of Mn. Statutes and City of Eagan Ordinances. UR APPLICANT/PERMITEE SIGNATURE ISSUED SIG TUR " CITY OF EAGAN 1J 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construtlion Reouireme is ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (holude beam & window sizes; poured fid. design; etc.) ♦ 2 site surveys (exterlor additions & decks) ♦ 1 energy calculations ♦ 1 energy catculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: /0-/ 7 - '5 S CONSTRUCTION COST: ~~SOy DESCRIPTION OF WORK: 1pax- 1 STREET ADDRESS: yd 7 S ~A ArO~ ,J LOT = BLOCK U PROPERTY Name: Phone L OWNER 11 Street Address' S/o 7S ~Ary/ i yy~~ City: State-/W Zip: /2-5 CONTRACTOR Company: Phone Street Address: License ~UUSf~ City: State: Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY x. BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex x l5 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV 4 of Stories sq. ft. Booster Pump Length sq. ft. Census Code. J Depth Footprint sq. ft. SAC Code o Census Bldg i Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /Za' V Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units z-1s 'r 75- / wmQ ~yl t ~~G~ 0 2422 Enterprise Dtive PIONEER hlJ`+ t ~r fit/ Mendota Heights, MN 55120 * engine ering.. 1612) 681-1914 ' Certificate of Survey for: CENTEK HOME9 / r LbDCL l 9 It NORT14 sO /1oa~ °9, 1 / itt V_ 1RQ a %X . / / fan , 6g0•D y''~ \ ~ B ` AN EN II?EEA__~TG D£,2 /83.46 NB9'09'So"E 9oo.o Denotes existino Elevation e&QE!DSED NOtuf LEVATION r 500.o Denotes prop ed Elevafron Loves Foor E eva ron 9'87,07 Denotes Draina (Ulili y Easemenf Tip o, Block Elevation 894,40 - Denofes Orainc e Flow Arrows Gars a Slab Elevation 8~1 . z3 o Denotes monumenf r) DenoTes Ottrsef Nub &arin~s shown are assumed Sued fo Easemen1S o''Record LOT 12 , BLOW 3 , MILLS OF STONEBRIDCE PLAT 2 04gorA Cowr), I hereby certify that this survey, plan or report was pr red by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dosed this day of. V .Ya~e A.D. 19 _ 10//7-05' Scale' 11^6-40 •40 L- RORERr B. SIKIC11~5. REn. NO.10891 CITY OF EAGAN NO 8052 3830 Pilot KUob ROM, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 GG BUILDING PERMIT Receipt # 'OS To be used for SF DWG/GAR Est. Value $121,000 pate JUNE 25 19-a-0- Site Address 4075 CAMBERWELL DR N OFFICE USE ONLY Lot 12 Block 3 Sec/Sub. HILLS OF STONEBRIDGE 2N Occupancy R-3 MM=1 FEES Parcel No. Zoning PD RR=1 w Name CENTEX HOMES (Actual) Const Bldg. Permit 713.00 Address 5929 BAKER RD (Allowable) V-N 60.50 c Surcharge City MINNETONKA Phone'- 936-7833 #ofStones - 463.00 Length ,451 Plan Review o Name SAME Depth 44, SAG City too- 00 Address S.F. Total SAC, MCWCC 600.00 City Phone S.F Footprints - On Site Sewage Water Conn -69S no Name On Site Well Water Meter 90.00 z: Address MWCC System X DO Acct. Deposit 30.00 a W City Phone City Water X 30.00 PRV Required - SfW Permit I hereby acknowlege that I have read this application d state that the Booster Pump Sna Surcharge .50 information is correct and agr comply wdh aN' plirable State of Minnesota Statutes and C" Ea n Ordinanc Treatment PI 252.00 Signature of Permilee APPROVALS Road Unit 355.00 A Building Permit is issued to: CEN' X 11 Planner MES Park Ded. on the express condition that all work sh be do a in accordance with all Council applicable State of Minnesota Statutes a d City of Eagan Ordinances. Bldg" Ott" Copies Building Official _,f11Nq Variance TOTAL 3,319.00 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITEC-iRAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL Pil_':S 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY C.;J'cS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY tk 0Zjec(~- OF MONTH IN WHICH REQUEST IS MADE. o 4o LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS TS 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 CO::LETED. PERMIT MUST SHOW A LICENSED PLUMBER. / 0 To Be Used For: 5FD L At2 Valuation: 121,00'0- Date: ~ -'2D -90 Site Address ~[J OFFICE USE ONLY Lot ( Z Block 3 FEES SLAT Z Occupancy 3 M'1 H 11-1-5 o F Zoning Pt7 R- I Parcel/Sub,7oeclEQQ(E Actual Const v- t,4 Bldg. Permit rJ~3,00 / Allowable V - N Surcharge Lc). So Owner 0EA1-r0.k- [TO/Y~L~S # of stories Plan Review 00 Zcl L Length SAC, City 100,0 Address Depth SAC, MWCC (400, oD S.F. Total Water Conn 25, 00 City/Zip Code &4 Footprint S.F. Water Meter 1O,c~ / r7~y Acct. Deposit , ,O D Phone s (c - (a 3 ~ On site sewage- S/W Permit 30,0 On site well _ S/W Surcharge ,$O Contractor MWCC System J-/ Treatment Pl. 2,15 S,Ct7 City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. /OAl67 ~l Bldg. Off. Variance Address 4- City/Zip Code X~D'G~I El~N7`S Phone # 7n ~~`y 2422 Enterprise I Drive PIONEER Mendota a Heights, MN 55120 * engineering- (612) 661-1914 * ~r >f Certificate of Survey for: CENTEX HOMES ~ /n.aac~ 19 NOPT14 N c43 .Sa D J) 2 4 ?r v' \ / "Z8 \ yZ. 21\ M,~w $~0 D B W.46 891'01'50"E . 900.0 Denofes exisfin Elevation P sED N WE 4LEVAT ION •600.0 Denotes propoed Elevation Lowe; floor Elevation 687,07 Denotes Draina ef Ufily Eaement op ;Block Elevation 894,40 Denotes Draihc~e ROW Arrows GargOe Slab Elevation m4- Z3 o Denofes monument o Deno es Ottrset Nub Bearin~s shown are assumed Su Jed to Easements o ,gecord LOT 12 1 BL0CW., 9ILLS OF TTONEBa1DCE PLAT 2 DAKOTA C&mrk, i hereby certify that this survey, plan or report was pr pared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this. day of )3' ILA A.D. 19 RORER r B. SIK . . ICH L.S. REGNO_ 14691 90/7.0 Scale: I92.40 ! R I I 6 I I C 1 I D I I E I I F I I G I I H I 11 21 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 0 31 410WNER________ SISITE ADDRESS 61CONTRACTOR____---_CENTEX.1940 DRTE 7-25-85 PHONE 71 81 DETERMINE WORKING SQUARE FOOTAGE 91 1011. Total exposed wall area 2514.957sq.ft. x .11 276.6452 1112. Total roof/ceiling area 1451.375sq.ft. x .026 37.73575 1213. Total floor cant.area 262.5sq.ft. x .08 21 131 (over unheated enclosed areas) 1414. Total floor cant. area 58sq.ft. x .026 1.508 151 over unheated exposed areas) 161 1715. Total exposed wall area above the floor. 2149.83 181 191 a. Total wall window area 270.0195 201 b. Total door area 37.6956 ti31 o a lass door area.. 36.63 cd: Total Mri Waca area.... 231 e. Total wall framing area (ave. 10X)........ 14.983 241 f. Total net wall area above the floor....... 1590.502 251 g. Total rim joist area 265.98 261 271 TOTAL EXPOSED FOUNDATION AREA 99.1466 281 291 h. Total foundation window area 21.28 301 i. Total net foundation area 77.8666 311 321 Determine "U" value of each wall segment 331 a. 270.0195x "U" .42= 113.4082 341 b. 37.6956x "U" .06= 2.261736 351 c. 36.63x "U" .39= 14.2857 361 d. 0x "U" 0= 0 371 e. 214.983x "U" .0s7 ,qv~= r9'. s22,#r7 Zgpogn* 381 f. 1590.502x "U" .err J~~= -71,579-ri 110MOOM 391 g. 265.98x "U" 42 .a8E 8= I1 . r? PT 401 h. 21.28x "U" .42= 8.9376 411 i. 77.8666x "U" ?-T 77„~}rE9JQ~ 421 4316.... . Total 'Z®, 30- 441If item #6•is the same as or less than item #1 you have met the current 451energy code. 2 MCAR 1.16008 A AND 0. 471 481 491 P 501 3s1 ! 52!5 a1 00 531 ~J I 541 Z C~~I 551 561 } Go 571 %0 581 591 TOTAL EXPOSED ROOF/CEILING AREA 1451.375 i`14C ij Total skylight area k. Total flat roof/ceiling framing area...... 145.1375 1. Total net flat roof/ceiling area.......... 1306.238 / Determine ,.U value for each roof/clg. segment J- 0x "U" 0= 0 k. 145.1375x "U" .0238834= 3.466384 {I 1. 1306.238x "U" .0238834= 31.19746 Al ,751 761 771 78i7 - ..Total 34.66384 791 8011f item #7 is the same as or less than item #2 you have met the 811energy code 2 MCAR 1.16008 A AND 0. 821 831 TOTAL FLOOR CANT. AREA (enclosed) 262.5 841 851 o. Total floor cant. framing area (ave. 10X). 26.25 861 p. Total net insulated floor/cant. area...... 236.25 871 881 Determine "U" value for each floor/cant. segment 891 0. 26.25x "U" .0476644= 1.251192 901 P- 236.25x "U" .0253678= 5.993151 911 9218 ...................................Total 7.244342 931 941If item #e is the same as or less than item #3 you have met the 95lenergy code 2 MCAR 1.16008 A AND 0. 961 971 TOTAL FLOOR/CANT. AREA (exposed) 58 981 991 q. Total floor/cant. framing area (ave. 10X). 5.8 1001 r. Total net insulated floor/cant. area...... 52.2 1011 1021 Determine "U" value for each floor/cant. segment 1031 q. 5.8x "U" .0489476= .2838962 1041 r. 52.2x "U" .0257268= 1.342938 1051 10619 ...................................Total 1.626834 1071 1081If item #9 is the same as or less than item #4 you have met the 109lenergy code. 2 MCAR 1.16008 A AND 0. 1101 1111 11211 HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R" 1131VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OF EXCEEDS 1141THE STATE OF MN ENERGY CONSERVATION ACT. 1151 1161 1171 (signature) 1181 1191 1201 1211 (date) /y~9o 1940 I BA II BB II BC 11 HD I li "DETERMINE "U" VALUES" 21THRU STUD WITH SIDING & S.R. 31 41Interior Air .68 51Sheet Rock .45 61Thermo-Break 0 71Stud x,88 81Sheathing............ s ~i s 3 91Siding............. .61 101Exterior Air .17 111Total "R" Value............ 4M;-~ /p,3 2- 1211/R = "U" Value ............o q 7 131 141 151THRU INSULATION WITH SIDING & S.R. 161 171Interior Air .68 181Sheet Rock .45 191Thermo-Break 9) 201Insulation Ivp 211Sheathing 5=4-- 1.6J3 221Siding..................... .61 231ExteriorAir .17 241 251Total "R" Value............ - Z 7-,4-4 2611/R = "U" Value . 8 o4 s 271 281 291THRU CEILING MEMBER 301 311Interior Air .68 321Sheet Rock .58 331Ceiling Member 4.35 341Insulation 35.65 351Still Air .61 361 371Total "R" Value............ 41.87 3811/R = "U" .0238834 391 401 411 421THRU CEILING INSULATION 431 441Interior Air .68 451Sheet Rock .58 461Insulation 40 471Still Air........ .61 481 491Total "R" Value............. 41.87 5011/R = "U....... .0238834 511 521 531 541THRU CONCRETE BLOCK 551 561Interior Air .66 571Conc. Blk 1.28 581 Ins.ilat ion t:o= G, o al "R" Value............ 8 , (3 "946 R = U . 1. OS~i&L ~I 661THRU RIM JOIST 671 681Interior Air .68 691Insulation -aft 701Rim Joist 1.8ki 711Sheathing -&F- l~ti 3 721Siding.................... .67• 731ExteriorAir .17 741 751Total "R" Value............ 7611/R = "U•• .B- O kZ 771 781 791"U" value for window....... .42 801"U" value for doors........ .06 811"U" value for Patio Drs.... .39 821 831 841THRU CANT. @ MEMBER (Enclosed) 851 861Interior Air .68 871Finish Flooring............ 1.23 881Underlayment 5.4 891Plywood .92 901Joist...................... 11.56 911Sheet Rock .58 921Still Air .61 931 941Total "R" Value............ 20.98 9511/R = "U" .0476644 961 971 981THRU CANT. @ INSULATION (Enclosed) 991 1001Interior Air .68 1011Finish Flooring............ 1.23 1021Underlayment 5.4 1031Plywood .92 1041Insulation 30 1051Sheet Rock .58 1061Still Air .61 1071 1081Tota1 "R" Value............ 39.42 10911/R = "U" .0253678 1101 1111. 1121THRU CANT. @ MEMBER (Exposed) 1131 1141Interior Air .68 1151Finish Flooring...:........ 1.23 1161Underlayment 0 1171Plywood .92 1181Joist 11.56 1191Sheathing 5.4 1201Soffit .47 1211Exterior Air .17 1221Tota1 "R" Value............ 20.43 1311/R = "U" .0489476 1241 ~V~~i. v a~...~~ri~ aV~• •~n t6'ITLT ~ erior Air .68 anish Flooring............ 1.23 Underlayment 0 ,IPlywood .92 321Insulation 30 1331Sheathing 5.4 1341Soffit..................... .47 1351ExteriorAir .17 1361 1371Total "R" Value............ 38.87 13811/R = "U" .0257268 1391 5 L 81- / CITY USE ONLY RECEIPT 7 / 0 SUBD. /111b l RECEIPT DATE: ~~a7 9 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, Doi 55122 (612) 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 Shower 3.00 x = Water Closet 3.00 X = Bath Tub 3.00 X = Lavatory ' 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater- 3.00 x _ Floor Drain 3.00 X = Gas Piping Outlet ' minimum - 1 3.00 X = Rough Openings 1.50 X = Water Softener ' for dwellings under construction 5.00 X = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems "Abandonment 20.00 = STATE SURCHARGE 50 TOTAL '2L'~ I hereby acknowledge that t nave read this application, state that the 'infomiatlon is correct, and agree to comply with ail applicable City of Eagan ordinances It is the applicants 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. SITE ADDRESS: Ole. iot/ o r - OWNER NAME: t'- ^ K I f INSTALLER NAME: TELEPHONE STREETADDRESS: GAVIC & SONS PLUMBING 12725 Nightingale Street NW CITY: COON RAPIDS. MINNESOTA 55448 STATE: ZIP: (612) 755-64W SIGNAT /14E O PERMI EE JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998 7634252625 KU; 1 AN(il E 6"RADIUS SPECIFICATIONS f n:11 a 6' RADIUS CURNL-R INSERT PANEL PA 117 --I H i_, _j —1 H: -- PANLL 1 1/2' x 1 1/2' SQUARE CORNER ANGLE INSERT PANEL. 3/8 NUT -7Gb5 3/8 x 3/4 HOLT B" . RADIUS CORNER DETAILS 4 K POOL SIZE A B C D E F G ti J K L NSPI TYPE 12' x 24' 12' 24' 8' 7'-6' 6' 2'-6' 6' 2'-6' 7' 3'-4' 26'-10=� p 14' x 26' 14' 26' 10' 7'-6 . 14" 6' 2'-6' 6' 2'_6' 9' 3'-4' 29'--6 3/8' ❑ 16' x 32' 16' 32' 8' 6' 4' 8' 4' 8' 3'-4' 35'-9 1/4' II 16' x 36' 16' 36' 12' 14' 6' 4' 8' 4' 8' 3'- 4' 39'-4 3/4' II 18' x 36' 18' 36' 12' 14' 6' 4' 8' 4' 10' 3`-4' 40'-3' II 20' x 40' 20' 40' 14' 14' 8' 4 ` 8' 4' 12' 3'-4' 44`-8 5/8' II MOTES? L vas 7 A PYP[ A mai PUL a Amon= VTOI ANC 1 7 t-3 WITT smarm 7O11NEs]IR1rOAi. DOS K Vq7. AS. ?LECA .DDE > - avian 01-4243. L DWIOWE IW.L If Womb VUW A MORD If 1 RAD CLL rt 0 LUI�OETL 1. NEN 7lVR16 LNEL7 376.7. IC MTN= /ARM THE :AMAIN R9 cr. TIC PTO. N ALC611.ND 771177 1)E LINER IltearACTUNcs RI DIRICI 1Ra. EXCAVATION NOTES' L MAD ME1114 SHALL TAMMY 1KVEEA 70074 / IC 17 0 rim P31.`71 I7 07 UDR R E1..LYATIII. Al LEAST 6 1434-111.012 TNC 3. OSAVAT79/ slat 770. i 711 Lams Two THE POR. PTR7AE1pl Vann Doss 7TIEi !ASE N THE P. PNEls 1170716 ac Duro AD DILL EDOVIC 4 MCWI I Scholl. ; N!-LMPA,6IVE WORM. NR1ON. i1losO0 IDE 7991 1107 Mu 1041 0. EX1WIII L111W P[aa0tul CF 1}C 7701. THIS DOQ*4ENT IS FIR ILLUSTRATIVE PURPOSES INLY. TFC IWMTACTIMt !7004 711.7 L1; IRPME3t3ITATO14 1ARi1 Al1E STATED..)1 ITS VWT OE7I VAWW/TK3. ANY DRIER REPRESENTATIONS. STATEMENT!. OR CIORRACTt HAM IT THE DEM IVDRITRACTOR TO ATN OTHER PERSON IR MITI REMISS IMTER1N.S PR19DL1! BY FORT VATIC MEL; __DC ME ATT141U1gl*. TF TO C 1FALEWSINIM9t CT OLT. 7707 OALIAICQ TRAETBF WO SELLS IR IN[TN.LS 7Ntt MR. 1$ AN TNIEPOUEST CMIIMCTIR. Mi IS NOT All AG[RT OR TDADTEE OF FIRT VAYM POOLS DC TFC L461ROC7104 14[171713 ILLUIIRATm ASE sufficsnea, Mt AMPLY ONLY 1U ACCVTAILE MILO= tERITIR PS. ANY =TRAM:DIARY 6707.11731 manna DETAII ATO14 EF I=rook. MC TIE R@K E*POTLITY 6 TkC THE MOL 1EFlH 11E91LRIEiIs A)O, (703 7)LT ARE DerTATE1 )Y TIE 70177144. SPA AND KIEL 170171Uf[ Flt RESTDENTLM. MAX IF DIVING WADS DR WOES ARE TO IC USED VON THIS POD., PLEASE 0471,.1 THE RAMFAG1HREt7i N6TRIXTi11i ALSO. CONTACT TIE: 114770101. SIA AND PDL I10T1TIfE PRIOR TO 1141ALLM* ENDO ROWS DR SLIDES TOR 1NORRAIR I CONC1.00116 10P1 7®11RN sTANMHDT. NATIONAL SPA AND POR 1N�t.RTOTE, DSU EISEMaIJt AVEIRE. ALE11A79RTA, VA 717717 -. 703.030 *003 PART RARE. ESP RECT -6R SPEC DRAW Ari KH MTE• 02-24-02 PART M sP DRAVTNG 0. 1 ---- FAX MEMORY. G£SP Pm.. PRDMATALOG LAYOU O'.kECT-4 BM. 060j 450-4100 VAx7 (260) 454-1294 ESP POOL COMPONENTS (Ain r;rrrYCRt:RCI 1111(F FT WAYNV In► ARRn4 --)q015 1 - Filter & Pump 2 - Plumbing 3 - Threaded Rod A -Frame Bracing 4 - Concrete Footer 5 - Auto Surface Skimmer 6 - Turn Buckle A -Frame Bracing 7 - Deck Supports 8 - Steel, Wall Panel 9 - 3 Step Ladder 10 - Standard A -Frame Bracing 11 - Inpool Light 12 - Diving Board 13 - Main Drain 14 - Return Fittings 15 - Safety Rope & Floats 16 - Concrete Receptor Coping 17 Vinyl Liner 18 - Walk-in Stairs Pumps 1n1 n: 66i lot n+ u MODEL NO. HP VOLTAGE AMPS PIPE SIZE CARTON WEIGHT DIMFT`SIONS A B PHP.75 .75 115/230 6.0/12.0 2" 42 lbs. 26'""" 261/2" PHP1.0 1.0 115/230 7.2/14.4 2" 44 lbs. 261/2" 27" PHP1.5 1.5 115/230 9.2/18.4 2-21/2" 49 lbs. 271/4" 281/4" PHP2.0 2.0 230 10.5 2-21/2" 50 lbs. 285"" 273/4" PHPUI.0 1.0 115/230 6.0/12.0 2" 42 Ibs. 261 "" 261/2" PHPU1.5 1.5 115/230 7.2/14.4 2" 44 Ibs . 261/2" 27" PHPU2.0 2.0 115/230 9.2/18.4 2-2'12" 49 lbs. 271/4" 281/4" PHPU2.5 2.5 230 10.5 2-21/2" 52 lbs. 285j"" 27'4" PHPU2.0-2 2.0 230 2 Speed 8.9/3.1 2-21/2" 56 lbs. 281/2" 271/4" PHPU2.5-2 2.5 230 2 Speed 10.6/3.2 2-21/2" 63 lbs. 295" 281/4" When installing pump, leave a minimum of 2 ft. of clearance above the pump for removal of strainer basket. A 13W 93/w —► 7'/16"11 �• 125/8' • 12 Front Edge of Union to Center of Bolt Holes Feet of Head 100 90 80 70 60 50 40 30 20 10 0 0 PHPU 'u' Jandy PIusHP Series High Head Pumps Full Rated (PHP) and Up -Rated (PHPU) — — -,...::••••••••... -�. — �• ♦ •\ ` PHP2.0/ `PHPU25 `. N � , •` N. ` •., ` PHPI.5I t \ PHP75/ 1 \ PHPU2.0 "Pt'. PHPUf 5 10 20 30 40 50 60 70 80 90 100 110 120 Flow (GPM) Bolt Holes, Center to Center P s 40 35 30 25 20 15 10 5 0 130 140 -13 3 N 2004 Pool and Spa Products Catalog Jdy J Filters For unsurpassed water clarity, choose Jandy DEL Series Diatomaceous Earth filters. Easy -grip handles on the tank lid make installation and cleaning a snap. The extra large capacity extends cleaning cycles. Our signature Clean/Dirty indicator on the pressure gauge allows you to conveniently assess filter condition. High impact, UV and corrosion resistant thermoplastic tank construction provides long lasting durability. The rigid, heavy duty tank clamp ensures safe operation. They accommodate three types of valves: multiport valves, slide valves and the Jandy NeverLube Backwash Valve. We offer a choice of 48 and 60 square foot models. eci ons and Dimensions fl 60 Fi ters MODEL NO. DEL48 DEL60 Filter Area 48 ft2 60 ft2 Design Flow Rate 2.00 gpm/ft2 2.00 gpm/ft2 Maximum Flow 96 gpm 120 gpm Six Hour Capacity 34,560 gals. 43,200 gals. Eight Hour Capacity 46,080 gals. 57,600 gals. Maximum Working Pressure 50 psi 50 psi D.E. Required 5.0 lbs. 6.0 lbs. Shipping Weight 95 lbs. 101 lbs. Height ("A") 41 inches 47 inches Footprint 25" circle 25" circle Distance Between Inlet and Outlet 8 inches 8 inches N 2004 Pool and Spa Products Catalog andy, J Introducing. the first pool/spa heater so advanced it's simple. Technology. Reliability. LX/LT Heaters Our exclusive digital controls provide more precision and less hassle. And inside the incredibly reliable LX/LT heaters you'll find plenty of features to warm up to: e Fan assisted controlled combustion for consistent efficiency - 83% • Corrosion resistant polymer headers for improved circulation • Contemporary design to blend into any backyard landscape a Capable of automating pool/spa The LX control and user-friendly graphical interface is a key element in your RS'" controlled pool/spa environment. The LT has a simplified dual electronic thermostat. • LX Graphical User Interface (GUI) Both the LX and LT models include automation -ready features to provide convenient pool -to -spa switching. LT Temperature Controls HOW TO CHOOSE A POOL HEATER SIZE First, determine the desired temperature difference by subtracting the coldest average air temperature when the pool will be in use from the desired pool water temperature. [Example: 85°F (desired pool water temperature) - 60°F (air temperature when pool is opened) = 25°F difference.] Then, using the Pool Heater Sizing chart to the right, select the appropriate heater model number. (Sizing chart based on 3-1/2 mph average wind and average pool depth of 5-1/2 feet. Blue figures based on zero wind.) HOW TO CHOOSE A SPA HEATER SIZE Identify the number of gallons your spa holds. Decide the heat -up time desired, and note on the chart which Laars LX/LT model is recommended. The chart indicates the approximate time required to raise the spa temperature 30°F. A model number 250 heater on a 600 gallon spa will take approximately 45 minutes to raise temperature approximately 30°F (depending on wind, insulation, etc). Please see your area sales rep for more information. MODEL WIDTH HEIGHT DEPTH VENT SHIPPING HEATER WEIGHT WEIGHT 250 281/4" 307/8" 271/8" 7.0" 206 Ibs. 172 Ibs. 400 341/4" 307/8" 271/8" 9.0" 318 Ibs. 216 Ibs. FRONT S D .4--- A , 81/4• > 4- 8114• < 271/8• /8• I 8711 AR ii II III o re, 1. _�I N. 3o7re 11! o ,u�i�.. 11 233/4•18• 11,0 IIQIII 45/8• --► 4-87/8• 51/T 41/4• 200 15 Minutes) 9 400 30 19 600 800 1000 45 60 75 28 37 47 Pumps • Filters • Laars Heaters • Controls Valves • Water Features • Cleaners • Accessories Mat #0622 Rev C USA: 800.227.1442 • CANADA & INTERNATIONAL: 905.844.3400 www.jandy.com • info@jandy.com • ©2002 Water Pik Technologies, Inc. 06/25/2004 FRI 15:56 FAX 801 373 5095 Coverstar COVERSMR 0.4W�D R002i002. A�`. MEMO Date: January 8, 2001 To: To Whom it May Concern From: Harold Rogers, V.P. Sales Re: Coverstar safety covers: UL and ASTM standard F 134691 for safety covers for swimming pools AH Coverstar covers fully certified by UL and meet the ASTM standard for safety covers as specified in ASTM standard F 1346-91 when they are installed and maintained properly according to the installation and homeowner instructions which have been provided by Coverstar. On several different occasions, the Coverstar covers, both automatic and manual have been tested by independent testing laboratories and have always been found to be in compliance with all the ASTM requirements for safety covers. Our cover is also listed by UL (File E164833) and classified by Ut.. as a power safety cover in accordance with ASTM F 1346-91 If you wish to verify either of the UL certifications, take the following steps: Go to www ul_ccoin Once there click on Search UL.com Click on 90.iic,( crt lat;ttiPtitI faiI:Agyt); Under General Search click on Ut. File Number Type in E164833 and hit enter You should now see Coverstafs listings. If you have problems, you can also search by company or by Automatic Pool Covers If more information is required about ASTM and its standards, you can go to their website at www_ast morel. Shown below is the UL authorized label that is attached to the automatic cover system that we ship. • Amperes 11 .: If you have any further questions about our covers, the UL certifications or the ASTM standards, please calf or Email me. L0127 3-00-04 COVERSTAR INC. 1795 West, 200 North, Lindon, UT 84042 phone 800617.7283 fax 8013735095 Email hr@ooverstar.com ccr For Office Use l , • :::t:ee: MAR 2 5 209 : C;/I.- Date Received: a ) 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 4-5 buildinoinspectionsacitvofeagan.com i 041 2019 RESIDENTIAL BUILDING PERMIT APPLICATION i, PA Date: Site Address: Unit#: Name: ( eP Q ,re, i '0,4-4-4.5 KL` vJ ry 2 Phone: 6 /2 - 79G -d8/5/. Resident! /n /1) l2 Owner Address/City/Zip: 4(1?5 ( i41/1A/ee9e c ,, ,U 7 l I ,e , , , j/ /14 x 4i , Applicant is: Owner X Contractor Type of WorkDescription of work: Sce'c�a./,CSP<� ÷- C3[X -a J,2✓r-rs✓L) O✓� Construction Cost: ?)?()C30 Multi-Family Building: (Yes /No X ) Company: ALMA-6 i'skl e- 60i--(ow 5 pO 4(S ,C,< Contact: 1e d 3�'\ -,2 V Contractor Address: 1'0-2f.---)6A-4R-s".5-4' - c''..4- city: 1.------A--.S f - State: Aim Zip: X512 2. Phone: /.JZ' I /e/-5-‘ Email: / 5.L 4,r e/62 mftk.f N,r ,«#1 License#: &.DGo 25'5 3 Lead Certificate#: • • If the project is exempt from lead certification, please explain why: i4 7 /6 /,•✓ /190 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: w Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe classifiee►as non-eublic if you provide specific reasons that wQ Id.ermit the Ci to conclude that the are trade 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.uopherstateonecall.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 wi hout 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 pla s. . /e)6,en SS em.) Applicant's Printed Name Applicant's Signature < Lic,--i, a.,.. 6,,,,....,e_ (i. Al • DO NOT WRITE BELOW THIS LINE I 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* t" 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 /02060 Occupancy .2''G --/ MCES System — Plan Review / Code Edition /ad' SAC Units -- (25%_100% ) Zoning n / City Water — Census Code 1{311 Stories I Booster Pump — #of Units I Square Feet /$ 1 PRV #of Buildings / Length `"Ori Fire Suppression Required ....- Type .,Type of Construction ZI Width W-44 " REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required ejt Footings (Addition) � Final I No C.O. Required Foundation Foun ation Before Backfill HVAC_Service Test Gas Line Air Test_Hood _,,VRoof:.Ice 8},Water Final Pool:_Footings _Air/Gas Tests _Final Framing K 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows . Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES /qti , .CM4d4•? MU,/g e'170 °/A0 Base Fee AP • 91 $494e a I64Ø Aged Surcharge Plan Review Jh,. Jai / P /.6re -•� MCES SAC City SAC .1a a61 Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read 1 Copies "7'3 3% TOTAL Page 2 of 3 i% 12422 Enterprise Drive ONEER 75 _ Brc �,� /l_ �� 1 Mendota (Heights,MN 55120 ��ru�� ,ng*taertng.. (612) 681.1914 1 CEN TER ` HOMcc Certificate of Survey for: Allir N NOt2YN • . '1 \ M\A!FD .4. -sr42., if . , . .,.., ,z v. --.4 <ttcl, By .i_ ry p�... ...3b11-01,._.�` - yam'\ v;;.sc<:(-- EAGAN E:NGLv KLvJ urrG fridw plAwelik tam i ,\ .N., c .,, EN►�-+r�� (.�:E,G'..0 reg?t� • -�`Z°oma 43 BY: '�• . �r ; 9l - ;;;A t N6t3{I+ISPEC • no 7 R. ' �� 4 <, T-1. M e � ! WILDING ♦ R. 4 a `�� if S S `� I, , V ( �p �—� �� �.,_ -, , > / ,, ,\ �e�� �s t� © ,e �� I '� .S 4.11 / KIK 'V(C \cc . /, ALO �7 \ ySNP v iiintri EAGAN \ 00. i‘. 5�� \REV EWA • - -7 - '' , . ITsiilor,E A A0o.o Denoles exista Elevation ".• 'a SE. 1 . E _ EVAT1ON r �oo.v Denofes ro ced Elevafiort Lowes Floor evaion987,07 -..:-.=-Cerrofes Dra na (Utility Easement To of Block Elevtafion 8 4,4o ----+4- Denotes Droinc Row Arrows Gar ar e Slab Elevation 8 4. o o � enofes monurraen o Denoref Ott sef flub Bearinjs shown are assumed 5'u je to Easements or R�eord LOTJ ,z &OCi<' 3 I-/ILLS of STONEBRIDGE PLAT 2 D 4i orA CouNTY I hereby certify that thh survey,pian or report was!lowed by me or under my direct supervision and that 1 em duty Registered Lend Surveyor under the ties of the State of MtnnauOta.Dated this /IAA day of A.D. 19 O ItA l rw we Scele: + ,1 v 81011ER I B.SIKICH L.S.REC.ren. 14591 PERMIT City of Eagan Permit Type:Building Permit Number:EA164637 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 4075 Camberwell Dr N Lot:12 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-120 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 - Craig L Kilber 4075 Camberwell Dr N Saint Paul MN 55123--392 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:EA165265 Date Issued:10/26/2020 Permit Category:ePermit Site Address: 4075 Camberwell Dr N Lot:12 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-120 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Craig L Kilber 4075 Camberwell Dr N Saint Paul MN 55123--392 (612) 246-0345 Weather Tite 5200 Willson Rd Edina MN 55424 (612) 321-8483 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167664 Date Issued:03/25/2021 Permit Category:ePermit Site Address: 4075 Camberwell Dr N Lot:12 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-120 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 - Craig L Kilber 4075 Camberwell Dr N Saint Paul MN 55123--392 (612) 246-0345 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174754 Date Issued:02/17/2022 Permit Category:ePermit Site Address: 4075 Camberwell Dr N Lot:12 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-120 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Craig L Kilber 4075 Camberwell Dr N Saint Paul MN 55123--392 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178373 Date Issued:08/15/2022 Permit Category:ePermit Site Address: 4075 Camberwell Dr N Lot:12 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-120 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 - Craig L Kilber 4075 Camberwell Dr N Saint Paul MN 55123--392 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature