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4055 Camberwell Dr NINSP'EC CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: C, . Q : ?: , r rtitt#t; t;94 ?. PERM17 SUBTYPE: ,. ti k S-_k4 s<, E 4 N RECORD PERMIT TYPE: Permit Number: Date Issued: } I TYPE UF WURK: 4 I. ? r f°+ t .IW: EJCt AJW'r 106) !i, 1 14 da?I t 'sj 1 N I I i tI'fi1ai Permit No. Permit Hnlder Uate Telephone # EiECrRIc PLUMBfNG HVAC Inspection Date insp. Comments FOOTINGS FQUNd . FRAMING ROOFIfWG ROUGH PLUMBING PLBG AIR TE$T ROUGH NEATING GAS SVC TEST INSUL GYPBOARd FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG Dr_GK FiNAL . .._ .?? :INSPEC , CITY OF EAGAN 3830 Pilot Knob Raad Eagan, Minnesota 55122-1897 (612) 681-4675 , , SITEADDRESS: PERMIT S:U:B.TYPE:;, ,ION RECORD ? PERMIT TYPE: Permit Number: , Date 15sued: . • APPLICANT: • t I ?.' ? ? f,.'; , }i .? ?; ? t TYPE OF WORK: i? r - • ? ,. ,0t A I rr:r??Il FiN 0 F ?? T C. f i I r t;i t. ? s. rs1 i ??1 ty .0;8 4 0 1 f:lF, f, 1, F. _< f ia'! i_ a?t E f:i-;H i I ,vt,#k? 111 "al'f:t: ?10 t9'? Permit No. Permlt Holder Date Telephpne # ELECTRIC I PLUMBING l7C? 953 HVAC Inspection Date Insp. Comments F04T1NGS FOUND FRAMING RQOFING ROUGH PLUMBING P77,ff PLBG AIR TEST FiQUGH HEATING GRS SVC TEST INSUL ' GYPBOARD ? FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ??? ?[ • BSMT R.I. BSMT FINAL DECK FTG f3ECK FINAt , ,. _ •. _ ei ? ¦ y ?? ? ? i ` ? • _ ?R •?'? ,5;?' ; t ? ? ? '_? ? " u?~??'! ?, ? • , ?•' ,', ? i.. ? ,. . _+ , ._ { ?. ?..? ;. - . ? -, Citp of (Eagan Frvartmnf af lu't[Aing jmwPr#imt This Certificate issued pursuarrt to the requirements of Sectian 306 of the- Uniform Building Code certifying ihal at the time of issuanee this structure was in compliance with the vanous ordinances of the City regulating building construction or use. For the jollowing.• Ux Classiiicauon SF DW/CiAR Bldg. IRrmit No. 18646 oaop-cy rype R3fMl zonmg ocu? ??i rra c?n. ? Owner of Bw7ding _ ? EDrEWM OD IM• Add?? 5201 E R= RD, F?= awia?? Acc? 55 MMM. DRTVE N. IDM[ity *L28, B2, HII?T.S ? S1?VE? 3Ap i' '! 3/15/91 P03T IN A CONSPICUOUS PLACE W t ,,n;: , Eagan, MN 55121 18646 -'-? CIty ? A Building Perrr on the express applicable State Building Official Phone Phone I ?aue read this application and stale that the ej,q?ee to comply with;,all pplica6le State o ry O?Eagan Ordinances ?? ? ?'t? ?tt?^1°'.i1NA CO II+?C to: iat all work shall be done in accordance with &I ota Statutes and City of Eagan Ordinances. ?; . Receipt # Date JAN 9 , 19 $ 1 OFFICE U SE ONLY Occupancy R?3 M-# PD 9 --1 FEES - Zoning u?'N ?? ? ? (Actual) Const u N Bldg. Permit (Allowable) Surcharge 65.50 # ot Stories -?ff' Plan Review 486'00 Length 52 f 100`00 Depth SAC, City S.F. Total - SAC, MCWCC 650'00 S.F. Footprints - 660» ? On Site Sewaga _ Water Conn On Site Well ? Water Metar 90.00 MWCC System Acc1_ Deposit 30„00 Cily Water 30' ?Q PRV Required _ S!W Permit Boosler Pump - S1W Surcharge .50 276.00 TreatmentPl APPROVALS Road Unit 370.00 Planner - Park Ded, Councit ^ Bidg.Off. _ Copies 3,506.00 Variance - TaTAL r ' Permit Na. Permit Holder Date Telephone # YIfATER 9E44Q. PLUMBING ?f • ?I?? ? ?'a??• I ?-Y1?.C.{ ' ? dj`/ ?l ? ? o?-? H.V.A.C. ELECTRIC Inapecfion Date Insp. Comments FooGngsl !/5? L( Foundation J ? (,Q.? Framing Roofing Rough Plbg. Rough Htg. -`• g? Isul. - ?- Fireplace Fnal Htg- ? Final Plbg. -7 Consti. Nleter Plbg. Inspector - Noiity Plumber Engr./Plan Bldg. Fnal 0 %?vfl r'- i"C) J =CT : Deck Ftg. - ; --? "r--/467 oeck Finai l _ /' A' Welpl Pf. Disp. 'i SEWER & WATER PERMR I CITY OF EAGAN ` 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE SITE ADDRESS = LOT 2" BLOGK OFFICE USE ONLY METER #q y-,PERMIT DA"fE {;1 f f: "/' n l_ CHIP #Q.?? PERMIT # 1 9 7.49 METER SIZE B.P. RECEIPT # L 11673 ISSUE DA-!t" B.P. REGEIPT DATE Q'll/ I _ PRV _ BOOSTER PUMP APPLICANT: TI-k- Rottli-mrl Cb. 1= ADDRESS: 22N q. n7 r.. R3.trp_r pDd CITY, STATE F'r'zd7-ey, i+?r. ZIP '"^rd7'] PERMiT REQUESTEO h SEWER X VYATER TAPS _ COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: VaLj= P- bk&2j= Ahead of Domestic Meters on Water Line. ADDRESS: cl 0 C1'eek Tari-n Cre WILL NOT be given for Deduct Meters. CITY; STATE JQr?r 1"`S.- ZIPS535? ' I 4 ' PHONE: 492-21? 1 ?,i? 1 AGREE TO COMPLY WITH CITY OF OWNER: 'rh? R7i't'ltynrl CI-s_ Tr(-_ EAGAN ORDINANCES ADDRESS: ????. L, • ?iver 31)ad ? CITY, STATE ?idleYo Mn . ZIP55421 PHONE: ?7?-:$-.• SIGNATURE WHEN MET ISSUED PLEASE'ALLOW TWO;NGbRKfNG DAYS"06R OROCESSING.?CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 4055 CAMBMiETT IKtiVE N. Lot 28 Blk 2 Sec/Sub EIIL1S OF ,;TpNEBRIDM 3RD Thesa items were/were not completa at the time of the final inspection. DATE: 3/ 15/9 ] Yes No INSPE,.?OR: S Final grade (6" from siding) Permanent ateps - garage r/ Parmanent steps - main entry Permanent driveway ? Permanent gas I,/ Sod/seeded grass ? Trail/curb damage Porch Basement finish ? Deck Please verify wlth the builder the removal of roo£ test caps from tha plumbing system and tha shut-off of water supply to tha outsida iawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy K 0 6? 9 G 0 !n ? Reques? Da?e F No Rou -in Inspectron Reqmretl'+ ? Ready Now ?lPfi I Notity In9peclor %s C. ? When ReatlY7 I'ensed contractor ? owner hereby request inspection of above electrical work at: Job[A,dtlress (Sireet Box or Route No I T'0 s- -r Qryj/ Seclion No TownsNp Name or No Range No. Counry?. OccuOant(PRINi) Phone N. efie-r /I ?J Power $upplier ivl0- Address Elecmcal ComractorlCompany Name) ConVaclor3 4cense No ?z6 8 Maibnq n00ress (COnvacror or Owner Maki ng installauon) Amhonzeo SignaWre rC clorrOwner Making Inslallatmn P?on9MU??`? ? MINNESOTA STATE 60AflU OF ELECTPICITV TNIS INSPECTION REQUEST WILL NOT Gnggs-Mltlway Bltlg. - Room S113 BE ACCEPTED 9V TME STATE BOARD 1821 University pva., St Peul, MN 55104 UNLESS PROPEF INSPECTION FEE I$ Gnona (812) 642-0800 ENCLOSED ? 7 ??.REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 0 ? See ms?mdions lor complgting iMS torm on Oack o1 yellow capy 5 5 9 "X" 8 le ow Work Covered by This Request ?•d? ew Atld p. TypeofBUilding ApphancesWrted EqmpmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bmlding Dryer Other (Specify) Commllndusirial Furnace Farm Air Contlmoner pther(sue<iy) ConVaclor's Femarks Compufe Inspection Fee 8elow: # Olher Fee # ServiceEnirance5ize Pee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers A6ove 200 _ Amps Above 100 _ Amps Signs Inspecmr§ use Only. -? TOTAL Irngation Booms ? ot7 ? O Special inspecaon - Alarm/Communication ' THIS INSTALLATION MAV BE ORDEWED DISCONNECTED IF NOT Other Fee COMPLETED WITFIIN 78 MONTHS. I, the Electrical Inspecror, hereby certifythattheaboveinspectionhas been made. Rou9h'in ' F,nai , TA Deteq^? ? 1 oa I - OFFICE USE ONW TM1is reQvest witl 18 mOnMS imm 2004 RE5IDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pemvts are requireA for each unit nate ??? 1 k\j \ .-e_- Site Address v?v 55 g?lmf Unit # Property Owner ?Aupyy-\?'/?(1l it.Wt ? Telephone # ( ) Contractor ? O'Connor Street Address ? Plumbing, Heating BL Cooling ? CitY I 7904 Vermillion St. St t , Telephone# a e i Hastings, MN 55033 Bond #• The Applicant is _ Owner _ Contnctor _ Other Add-on or alteration to existing dwe?ling unit $ 30.00 ? furnace _Additional Y Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ .50 $ ? 50 Totat I hereby apply for a Residential Mechanical Pemvt and aclmowledge that the informarion is complete and accurate; tUat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechazrical Codes; that I understand this is not a pernut, but only an application for a perntit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of Applican rinted Name RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN ?03830 PILOT KNOB RD, EAGAN MN 55122 v 851-681-4675 New Construction ReauiremeMs . 3 registered sile surveys showing sq. ft. of lot, sq. ft. W lause; and all roofed areas (20°h manimum lot covenge allowed) • 2 copies M plan showirg 6eam B wiMow sizes; poured found design, etc.) • 7 set of Energy Calalalions • 3 copies of Tree Preservaiion Plan if lot platted after 711/93 • Rim Jaist Detail Options selectan sheet (bldgs with 3 ar less units) _ Water Softener Water Heater _ No. of Saths DATE 5-10- oa. VALUATION 6 1d, too SITEADDRESS HoS.S 'V MU LTI-FAMILY BLDG _Y _N TYPE OF WORK aF--2?i;? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ??MASte,z rarjcriVNrrnn rtit, $TREET ADDRESS li2,., r,Y1TEw4J lSLJ U CITY t3ou-NSU?wG STATEr4i-' ZIP_$c33-7 TELEPHONE # ?jsa-no-7 -CELL PHONE # FAX# A.?a--rn7-tz??$ PROPERTYOWNER 4l.scuvi.r2 TELEPHONE# ------------------------------------------ ---------------------°------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RilI,ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calala0ons Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical CoMractor. Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 -------------------------------°-------------°------°•----------------°-------------------•--------------------------- I hereby acknowledge that I have read this opplication, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 9Tn Mq Slgnature of Applicant 73?+ ?? L/ 0 2002 --------------- __--------------------- -------------------- -___-------_______.----------- OFFICE USE ONLY BY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 4/02 RemodellReoairReaulremenls -?j- • 2 copies of plan • 1 set of Ener9y Calculatbns for heated add'rtbns z? • 1 sile survey foi exlerior additiorts 8 decks • Indicate'rf hame served by septic system for addilions _ Phone # . I,awn Sprunkler No. of R.I. Baths Fee: $90.00 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: e,ws5.z1'7 BUILDING 027280 04/12J96 SITE ADDRESS: P.I.N.: 10-32992-280-02 DESCRIPTION: 4055 CAMBERWELI DR N L07: 28 BLOCK: 2 HILLS OF STONEBRIDGE 3RD (INSERT/GAS LOG) 6uildpi.ng? Permit Type FIREPLACE Build:fng ?'nr„k Type ALTERATION C@nsus Cpde434 ALT. RESIDENTIAL - - _ REMARKS: w j - E 4 a.p.- = af ` ? ti.,''1 t" 'I \-.v ?.a t.?: l?j 3_ 1-; - r FEE SUMMARY: Base Fee $25.00 Surcharge $.50 7ota1 Fee $25.50 CONTRACTOR: - Applicant - sT. LIC.OWNER: AUTOMATIC GARAGE DOOR 15712525 0001990 SCHULTZ ALAN 220 77TH AVE NE 4055 CAMBERWELL DR N FRIDLEY MN 55432 EAGAN MN (612) 571-2525 i T, . , . . _ . . ? t „ ? I here_by acknowipd%e that Z h,arve reatl tFiis a,ppTicatian and stete that the information 'is corriot ?-6 n? ag°'i?'e'eo comply iiait?€''ai3 a{splicatrle Steto af Mn- = Stetut,es and°City oP Eagan OrhAinances. , APPLICANT/PERMITEE SIGNATUI7E -1??"?N T?I rrrn r ' CITY OF EAGAN xq140 1995 F REPLACE PERMIT APPLICAT{ON 681-4675 DATE: i ? ?'n;sep7` DESCRIPTION OF WORK: ?O INSTALL NEW FIREPLACE: _ WOOD BURNING -4 INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: -W GAS AREA TO BE INSTALLED IN: STREETADDRESS: qosl N - LOT al BLOCK p _ APPLICANT: (circle one only) SUBD./P.I.D. ?!I nlm?An1 nuT OWNER ? CONTRACTOR f hereby acknowledge that 1 have read this applicafion and state that the information is correct and agree to comply.vrith all.applicabie State of Minnesota 5tatutes and City of Eagan Ordinances. PROPERTY Name:? Phone #: OWNER Signature: Street Address• City: FIREPLACE Company: INSTALLER State: Zip: ? Ft"_ Phone #: E71'7-52 S? Signature: Street Address: claD 77? +ue License #: 0000?0 City ? -L Li C-- GAS LINE Company: INSTALLER Name: Signature: Phone M Street Address, City; State: Zip: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? PERMITTYPE: gy?iffiyO Permit Numher: Date Issued: 0 5/2' /9$ SITE ADDRESS: P.I.N.: 10-32992-280-02 DESCRIPTION: ; ? 4055 CAMBERWELL DR N IOT: 28 BLOCK: 2 HILLS OF STONEBRIDGE 3RD 111, ? OFFICE - LOWER LEVEL u-?ldrrtg Permit Type BASEMENT FINISN u3,ldiitg 'Work Type ALTERATION ensus Code?? 434 ALT. RESIDEN7ZAL n>'?,. { n = " .: '?? : ?§. o 7 r ? tJ ? REMARKS: SEPRA7E PERMITS ARE REQUIRED FOR ANY PLUMBING WORK CALL 445-2840 FOR ELECTRICAL PERMI.T AND INSPECTIONS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Rppllcant - sr. Lic OWNER: ELVES7AD CONST,,J C 14634748 0007559 SCHULTZ ALAN 20534 BISCAYNE 4055 CAMBERWELL DRIVE N FARMINGTpN MN 55024 EAGAN MN 55123 (612) 463-4748 (612)688-2344 f _ I h9?;r.eby, acknqwwledgq. thiatqS,.' znformation is correcC•and`ag Ststurxep a-nd C.ity, o??Ej?,ganf Qet ?APPLI? T/PERMITEE SIGNATURE en reaY?ay? a?pl=tqa.?ioC1 a4d sta? Yhat tFte s to"cdfitp,1'?ta-?? a?plic 4?ii ?t?°?e"??bf `M ni" 4ej IS6UED BY? SIG?N? RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) crrx oF Fnaax asao PU.ar srros xn - 55122 681-4676 I -eft ?rne?Sa? New Construdion Reoufremente RemodeUReoaG ReauirertreMa 112 ? 3 registered site aurveys ? 2 copies oT plana (inGude beam 8 window sizea; poureC fiW, design; etc.) ? 1 energy calwlstions ? 3 wpiea Mtree preservetion plan 'rf lot ptaHed aRer 711193 requ'ved: _ Yes _ No ? 2 copbs of plan - ? 2 stte surveys (exterior adtlitbne& decks),- ? t energy calculations for heated addkiona . DATE: S = d 11 --9 9 CONSTRUCTION COST; ?i ?5 to , De DESCRIPTION OF WORK: WlS!{ P 14Yo $1?0C avT U?jCjCE 1N STREET ADDRESS: W yl/ - LOT: 2-?A BLOCK: ? SUBd./P.I.D. #: H?Yl S i'I- Qy?e, rd",Y )4/JG 3 ? - ? Namr. 5'C[?'UL-? ?it{?AJ ,g, (?j?/?}C'E Phane#: i$g- 073?/.4{' PROPERTY last First ` OWNER Sueet Address: y0 55- Llq/p I,UELL 'OQl vE IV? ciry _4?; A GA N state: fy1 iNN zip: S S/d 3 Company: Tc? G= L&?57M Phone #: V6 3 - 11741, CONTRACTOR Street Address: a ? S 3? Ul /Ql C+4Ve(1 L::! AI/??; Licrnse # 7?? Q Ciry r6iQA? 1tV6ZQs+J ? State: 41N/U • Zip: r3b,;, ARCHII'ECT/ ENGINEER Company: Phone Name: RegiMrstion #: Sheet Address: - City State: Zip:. Sewer & water licensed plumber (new conshuction ony): . Penalty applies.when'address chang and lot change is requested once permit is issued. I hereby adcnowledge that I have read this application and state that the infortnation is carrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applic2nt: L ?f 3S - 65'7?" (? . ? 4 OFFICE USE ONLY ?? Certificates of Survey Received _ Yes _ No f wiwr Tree Preservation Plan Received _, Yes _ No ? Not Required CITYOFEAGAN ' Np 1 $s46 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ? , -?> ? To be used for SF ?WG/GAR Est. Value $131, 000 Date JAN 9 ,1g 91 Site Address 4055 CAMBERWELL DR N Lot 28 Block Z Sec/Sub. H5 0 Parcel No. ? w Name THE ROTTLUND CO INC ? Address 5201 E RIVER RD City FRIDLEY phone 571-0304 o Name SAME i? ga Address ? City Phone ?w Name 1.? Address ' a w City Phone I hereby acknowlege that 1,ve read ths application and state thal the iniormaUOn is correct and e to comply wit all applicable State ot Minnesota Statutes and CdEagan Or nance i Signature of Permitee - A euilding Permit is issued to: THE ROTTLUND CO INC on the express condition that all work shall be done in accordance with all ipplicable State of M/i?nnesaa Statules and Cily of Eagan Ordinances. 'ding OBicial OFFICE l1SE ONI.Y Occupancy R-3 M-1 Zoning PD R-1 (Actuaq Consl V-N BId9. Permil (Allowabla) , V-N Surcharge 8 of Stones ' Length Deplh S.F. Total S.F. Footprims On Site Sewage on site wan MWCC System Ciry Wa1er PRV ReqWretl' Booster Pump APPHOVALS Planner CouMd Bldg. Off. variance GEES 748.00 65_50 4afi_on 0 100.0 -72, Plan Review 32, sac, ary - snc. Mcwcc 650_ nn Waler Conn 660 _ nn fl Waler Meter 0f1 - () X Accl. Deposit 30 _ 00 S/W Permit 10-0 n - SMlSurcharge - Sn 0 Trealment PI 276.0 RoadUml 170-0 n - Park Ded. Copies 0 - TaTaL 3,506.0 . 1991 BUILID NG Y %7A,LICATZON CZTY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SSTRVEYS 1 SET OF ENERGY CALCUTATIONS M[TLTIPLE DWELLINGS PENALTY AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKIN6 DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. To Be Used For: --„?,? p C4MKi(-Y Valuation: ? Date: 1-?ytl Site Address t4. 1 311 oa? OFFICE USE ONLY Lot 2? Block -Z_ Parcel/Sub 141u?, „4F Owner '774E 1 uc. Address City/Zip Code p-(N ?qzl Phone Contractor c?q?q,F Addres City/Z Phone Arch./ Addres City/Z Phone .r (Signature of Contractor) FEES Occupancy R 3 M-1 z i PD R-I 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED STTE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 5ET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS on ng Actual Const V- N Bldg. Permit 74800 Allowable Surcharge U? S(D # of stories Plan Review Oo Length 72 SAC, City 1001 O Depth 52 5AC, MWCC 6so100 S.F. Total Water Conn /cbD,oD Footprint S.F. Water Meter 90.00 On site sewage_ On site well MWCC System ? , City water ? PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance COlSMERCIAL Acct. Deposit O,Oa S/W Permit 3p,oa S/W Surcharge _ IS"y Treatment P1. 2 ,O Road Unit 390,OL? Park Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL ? ? . agrees that all work shall be done in accordance with &?.1 applicable State of Minnesota Statutes and City of Eagan Ordinances. VA L U AT l 0 hl ? GRRq? ? .? ? ? ? u ' ' ?Z-XZz. 1ZX2Dc Z4? -- Ia x .?-- - i? = ?- `15?1 X 15 .?. 11 31 p 3s X 11 = 3rj y 3 7o X/ 4= SDLf 13x31= `l 03 14Y- 3r1 51`6 U ? 6 < <z 3 X ?0 = 3? ??- 1 805 x ly= ZS,?r?c? Isr FLooP, 6snnT- ? I 8 05 I L) C6X2- ?.----?-- I ? 3ns?3 . , ** * PION *B? T 866.5?h ( ? $11i1 ? ? 3 0 M Q 2 ? S 8?°4B'o3''id x soo.oa Denofes Exrstrnj f/evations av.oo Dendes ProposeqI flevations ' --- -- Otno}ts Dral n e f'Ul4lify fasemen{ Drnojes Drnina?r Flow Alrrows o [knoftg M017umenf Beal•irrs shown ore mvumed fa•Ad ?PO?o Fl?x,sF EcEV_4rrorvs Lowest flpnr Elevafion 3-79.6fo 7"p ? ?sloe?? E/PVOlron 8 Gor e S/ab Elevafivn 8 43 o Denn. lrs oE ;^.Gef Nub LOTzB, BL4CUz , yIL L S OF ST41VEF3Rl DGE 3RD A-M DAKOTA CGY/NTY, M1NN1S0TA 1 hereby eerHfy that thh vurvey, plnn or raport wes pr nred by me r Under my dlrECt Supetviy/inn nllA tFnt 1 mn duly Reqisternd Lerd Surveyor ueder the lev+e of the 3tele o1 Minnefotn. Dnied tAisAay ol A.D. 19 V- ? 2 fb3o/.c3 ?CC? f : ?ncli : 40i Ce ? IlfIie R 771fl+ 1. S. hF" NO.\? LANO FLANN[M • LANpSCAPE 2422 Fnrerprise Drire Mendola fleights, MN 55120 (612) 681-1914 Certifir.ate of Survey for: f?7(, J?(OTTL VND ?O• fl1Jc,<?> NoRtN p?Ql1/E N? --?__ 40.00 ?Q = 2O'/1;?•• L = 76.78 ? _ CAwgWIZZ N 8f° 1d 58E ba----? 2/7, a o' ss?. ? N 9 ?A ? :a.a3 88¢.3 ? z5,3?i ?RBo•2g c. c,qR. e a 1 ! 2.0 --- ?Tw ? o N ?o.?-} ?, I m ?.o PRroseo M F?OV1rQ r - - ? 71?e v sl.o 14.91 iR-? 1 F '?J w T , 1 t a ? q ki 0 7(? '\M"k . '1 :. m k7 '? :7 ' tr ' ?lA ?H ? .. ? ? ?g_$ ? ?.fd ????i?Zii=??e:'•?'?l?: : ? , - ?' c . F?crFRiOR 1•:NVF.I,nt't. nvr:r;nr,1: ^u" cur.murrn•riom ' our+FR ' - ST_TE ADDSxSS LGTZSe 5LOC.kZ,, ? p? CONTRACTOR DATF. Determin vorkini; square footar;e oJ' euc 1. lotal exposed vall area .. ?i0oI sq. ft. x - 2. Total roof/ceiling area .. j?I 3 ef sq_ ft. x e ( NF, W?!?( ) N PHOhE °1 ; 11 = 220.9 4% 025 = 5'0.41 Total exposed 4a11 arc3 nbnve flonr = ?i00 a. Total vall cindou area . ..... ....... ..... .. .. I 4• ... b. Totel door area ................................ ? Z. ..........? 2 C. Total sliding glass door area ......... d. Total fireplece va11 area . ...... .......... . e. Total vall frazning a:ea (average lOP) ••••...., ..I?+ f. Total net vell area nbove Sloor .................F .3 . g. Total rim joist area .............................I. •/(/ L?.. Total exposed fm:ndntion arca h. Totsl foundetion vindov area .................... P0 ? i. Total net foundation area above grade .............. . Detennine "U" value o; each vall :+egment. . 8. 2 c b. 71 X c. 3 Z X . „U., '.Ull ,,,,,, O- ?F2- 0,?3n _ ? 4• ??r ? . = 5,-8 `I - ? d. x e,, x f. X . 8. /?? X n. /O X X ".0° -PlUl, .,u,. •.t," „U„ „U„ ('Ji d,a?f3 ?,a¢l O,¢2 _ ? 7 `? = . ?,?1.8z = (P! ?Z _ ?i,2 -z0.77 ? 3. . ...................... ....... .. . ror.s] _ ?18• G3 O/L If item 13 is the same as, o or sac 6006(0)2. r les^ :.tian itcra N1, yoii have m?et the intent - 3Rc Ateiu. f) . Total exposed roof/ceilinG Rren = ? . Total gross roof/ceilinf, are:3 = ?. Totel skylight area ...................... k. Total roof/ceiling frzmin3 arey ••--•••••• 1. Total net insulated roof/ceiling area .... Determine "U" value for cnch ronf/ccilint; sctmcnt. .? J x nUn = ` . 0?027 5•Z? k: / 9 3. 9 XglU" - . 1. .,U„ 4 . ............ ...........:....:. Totai = 3 . aK- If total of N4 is the same as, or less than N2, you have met ttie intent of sac 6oo6(c)i. . • To utilize the total envelope system method, the values establi_hed by the sum of items N3 and NL shall not be greater.thnn the sum of iten:s R1 and k'2. 1, + 2. - - •3•, • +L. _ - ' O ' _ . ... "a ? f. .'.'? s . /?, a LI?T o? ? BLOCK ? SUBD. l?o 2 RECEII'T # a6(a53 & DATE (%/w ' 1994 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMWRCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: ja ' 3- 9 ?' Area/address to be irrigated: Commercial Residential (boulevards) Existing residential pri /?, GPM GPM Installer: PLnYLO C? ?L UM 1/?6T Owner ? Plumber 19 Street address: ? ? ? ? ? t?Aue , 5' City, state & zip code: .s, /v _?-s? Phone #: 7 5 3 j Owner Name: B??TO N Co?U A) Street address- `tb .5-') CLt.Y?1 kruE.'l I Dr, /v ? City, state & zip code: G Phone #: ?(a UlD'? QIS73 Irrigation contractor, if different than installer: I//vI.) r?K-%.7,CVVrvkj vuii iwUti, Telephone #: 9 /J °nu to I hereby acknowledge that I have read comply with all applicable City of Eagan ?v Si re ttris application, state that the informadon is correct, and agree to ordinances. Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The property owner agrees to hold harmless the City of Eagan for any dunages 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. Property Owner Date Approved by Date: PRV Yes ff-N?o New service ? Yes ff'lq?o ----------------------------------------------• Fees due: q_2v-qll uJTE k"os 720-,'1" Meter Size & Cost Calculated by: /:?'y,G ,S.4 PROCEDURE FOR IRRIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Deparfinent for review before installing an irrigation system. A permit to work within City property/public easemendright-of-way may be required. 2. Jerry Wobschall, Pinance Deparnment, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 irrigation systetn permit to cover installation of backflow preventer. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. b. Residential proiect: $ 20.50 irrigation system sprinkier permit to cover installation of backflow preventer. $ 50.50 water pemut fee if new service is installed. $725.00 ner connection - WAC. $348.00 ner connection - water treatinent facility. c. Existine residence: $ 20.50 irrigadon system permit to cover installation of backflow preventer -(not required if backflow preventer previously installed), however, plan and application must still be presented for approval. d. Meter charee: If gallons per minute are less than 25, a 1" meter will be required at a cost of $165.00. If gallons per murute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sotd before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Public Works Departrnent may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the precaling work day. Requests for PM inspections will be accepted until 12:00 noon. REACTIYATE t- PERMIT B (&44 CITY OF EAGAN 1893 BUILDING PERMIT APPLICATION 681-4675 -$.6Z p ;?;?y u.Z_ RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date q Valuation of work Site Address: I-Ib 5Y CAIY! 6 Ek WE?L( ?721U? XIo STREET SU1TE • Tenant Name: (commercial only) IAT BLOC& SUBD. ?3"f01VC, RI?'fGe' P.I.D. M Descri tion af work: !V Sf4 41 L o6JK //v 134S9)*4 t&-l- ?yn 3v The applicant is: ? Owner ? Contractor Other (oeacrtne) WbgK FoR 0 aNT,2A C'T'bi$ Name 00?(?U` ?GieT-d?`? Phone ??? " `3 Property LA51 FIRST Owner qddress ?d 55 C' J4 iyt6 C-9 wCZ4- STREET STE Y City 946, L) State /"A-1 Zip Company Je Et UE S"T- 140 0 a vST Phone 4?63 -V75`? Contractor Address ?DS 3I3j5C4'? License # 4ao?SS9EXP,3a//S S.5'D City' ?'14 m f?&"fbw State !1! 11) xv Z i p Company Phone ArchitecU 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. ??e ji Si f l • gnature o App icant: / r C14LL 45 ??Auz $o?N /t5 ?ht";srl 6'?E o v e on+ IoLL?Tc CITY USE ONLY L ? BL _? RECEIPT#: C? SIIBD. l?jol RECEIPT DATE: 1998 PLUMIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT HINOS RD EAGP,N, LR7 55122 (612) 681-6675 Please complete for: ? single family dwellings , D 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 Plping 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.Sprinkfer 'fordwellingunderconst. 3.00 = U.G. Spfinkler "forexlstingdwelling 20.00 = Alterations ' to existing residence 20.00 = 20 , v0 Water Turn Around 20.00 = Private Disposal System ' MPC iic 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL 2 6•S? _..---------------• •-- that - ---•-ave - -------------------------------- ••---------....--------------- ------- ---------------------- ----- ------------ ha I reby acknowledge I h read- this application, state that the infortnation is corted, and agree ta comply with all applicable City of Eegan ordinances. It is the applicanYS responsibility to notiry the praperty owner thet the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance adivkies to the tacilities wnstructed under this parmd wR 'n Ciry property/righFOf-way/easement. - SITE ADDRESS: __- OWNER NAME INSTALLER NAME: ? . TELEPHONE #: ? STREET ADDRESS: U' Z`P CITY: (/ n STATE: ZIp; S?S?v ? 3 SIGNATURE OF PERMITTEE -. ? CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1998 4 0.4 ' C? tl Va ...?.?rv K ? ?.. J J NoOV4C' ?64 v N --?+NN??nr. q40 Y ?6'ec c ? eu?e2ao ? W?ia4 M -?R]SN fG * OA.?GN 4 ys ? Gcvam ? J ?:VCIR? 1 y n ? ? a ? s ? ? `"? ? •? Y' ?q x N ? . . ? o W ? c1 i n ? y ntl n cto?? a, ' nM ? .--?K ?` '{ tt 4 00isa?i Gta?V?( L PC?C+? VNNry pq<? ? ?a ? . m.M ? 5 w? ? E C e ~a0??p ?iY??a??[ ?. . £0 'd ? rso IM ? 4 $ I .. ?= 6 9 ? Y / Y 1 R ? C f- a Q 1 ,--. ? ? yo? ^ n p n O " ? p I I L Q p 6, m u ? I p Vi ? w ? N a ?.??_•a ? ? ? ? ? F p ? 2 ? La? g 3 ?? z ? LL. W 0 J V E e? ? wa I L.? Ob:Ot M I6-1 -8h 09/02/2014 13:20 FAY 651 451 7740 CULLIGAN I�0001/0002 ��,�,,� �,�.P� �� Q- �� a � � �a -- Use BLUE or BLACK Ink ' � .`/— y5/ r�� ;—Fo►�ifice usa _-_.______i v` � �a�,�9� � Clt of Ea a� ' Y � � Permit#:_ � I �� ", � Permit Fee� �• � I 3830 Pilot Knob Road � i �� I_ ��L i Eagan MN 55122 �E� � ry 20�4 I Date Received: 4f 7 Phone: (651)675-5675 + '� i i Fax:(651)675-5694 � � Staff�__^---_ � �Y:._ _ ------� 2014 RE�$�DENTIAL PLUM�ING PERMIT APPUCATION Date: Site Address: Tenant: Suite#: :- y - � - � \ 1�-� : .� �� ; � ,�� j� Phone'��/TJ� / ��, Name: G')'12.1 �S �k Re�icientlOwner�� — '- c '��5�='� � �� Address/Cit /Zi � • I"v d � ��'i� � K/ �:'� �, ,�� Y P� � !�3 4� g<� � � �Y 3 Milbert Company Inc dba Cullign Water WC643176 , �., � �''� �x� �' � F�XC"`� � � Name: �.�cense#: .� .� ,��:�. , �� '� '�'� �� 180150`h Street East �� Y�cv�tra�'tor� ;` Aad�ess: cty: Inver Grove Hgts. J 'i �} 55077 651-451-2•241 ' '� � State: M N " zip: Pn��ne: ,,$ s � � ��`.�'t�� =a� �,-��; �� co�ca�: William R Milbert ;,n� • ,<,s: Email: : � � � - :� } ti z �: � �`' ;.� ��t ��+�� _New Repfacement _Repair _Rebuild _Modity Space Wor1c in R.O.W. � �YP�`of�ilo�R�� — .� y a y,,, ,� ac ;''` �>,�,�=}F, *�G�i;�.�.��; Description of work: � �tr`'-'�"�`°� °^''�j -�� RESIDENTIAL � `a�`, � e..-�� 4 `' "' Yy �� ? _Water Heater , � � �,�' t, � . , �' ,�,Water Softener ° F �a �. �x�t' Lawn Irrigation(^RPZ!_PVB) FPe�rttit�t' P;�- <�' � ;,, �y r � Add Plumbing Fixtures(_Main/_Lower Level) +;r �,�� _Septic System — ,. . � h �{A ,"�� t � .. ... . - . . >'� Water Turnaround : � ,`�'�„� ,�',�� ae� • —New — � �p,�-i .s � : '� Abandonment YE ��''', ��- ''.�Fsv RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes$5.00 State Surcharge) �60.00 Cawn frrigation(includes$5.00 minimum State Surcharge) �60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Waler Turnaround"(includes$5.00 State Surcharge) "Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00:Septic SYStem New($10.00 per as buili)(includes County fee and$5.00 State Surcharge) p� TOTAL FEES$� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 houis beforeyo0 intend to dig to receive locates of underground utilities. www.noAherstateonecall.orq I hereby acknowtedge that this information is complete and accura;e;that the work will be in wnformance with the ordinances and codes of the City of Eagan;thaY I`understand this is not a permit, but only an application for a permR, and work is not to starl without a pertnit;that the work will be in accordance with the approyed plan in the case of work which requ+res a review and approval of plans. x�ll��: I�►i�4�i� z �pplicant's Rrinted:Name App icant's Signature � �.'°,fil '�4av`}��^-*,1�'��7�F��aR�r e'E�..�,.q- ,�5 �;-�c'�Kx Tyc�'-_ a �G: �^'° .._y'� 'r _,.�''"i° 3'C`-r C3 -:,, x^n�:�w'�Erir'^- -.; � � �i 4 d'iv Y {� 'k 4y` e�5-. f ' ♦1 ' �O.R�flFFIG,�E�� tnrR�k4'�'y�iN-�'I�?��+y�"�-f�h��"`'a ��e��l T�'�.t'�� aW.a � .y w 'S,. t �let � � �.:v� : �s�Fa'�*ku� '4 3}�''��y a R „�' �Y��5�'��.�� Y "'°=.4 �,a�''�n, k'�.:,,.+; `S �.er� �, yxt .. 'r� �.i . 2 � � � �.i�r � vi� �F ; p M. � . �'ak S L VL -� �i3equired ln�ectron� � �,lJn��.a�t d,� � �Roi� fi kn ��" `�c1r�Te�t ��a�Te"s�`� n � �„�na� 5 �� a 3��Y a�'� '�� r��?� f'! fg`e�,"7 ��ft"� °+�7�`r�v,., �f J,}u� y" yr�+�,a,�' �"h'��.,�� e t� '' '-� �� e'�R � � � � gf r� a� �s •:�"`fi k i'y ° ,�" �. 'A a'fag ` �t�{F dJ�fw�' ,.°�r,�s. '',�f'r, '-�. s.��y'Y T'S' :� �.,� , r . :Me�teraRe{afe. s fke. �= eter�ize�ti��`t��iio R� �-„�.� ��,�.�r��x �, : ° J: x ^ � :., - ..,s.. :.. ror.�..:,. . 3-. , :,: ,.... , ....:.._. .r.�.s a. .. - .a^ _. .-�� .. �.,... . . -�- PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171373 Date Issued:08/13/2021 Permit Category:ePermit Site Address: 4055 Camberwell Dr N Lot:28 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Boris & Yuliya Makhlin 4055 Camberwell Dr N Saint Paul MN 55123--392 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature