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4096 Camberwell Dr NCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4096 Camberwell Dr N Lot: 14 Block: 1 Addition: Hills of Stonebridge 2nd PID:10- 32991 - 140 -01 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Cedar Valley Exteriors LP 9145 Springbrook Drive, Suite 105 Coon Rapids MN 55433 (763) 755 -2221 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Marilyn B Boros 4096 Camberwell Dr N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA083091 05/16/2008 ePermit CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RWCORD I C°n6°f "°. 0343 PERMIT TYPE: Permit Number. Date Issued: SITEADDRESS: 10re 14 BG€tcKf s 4096 C1W8lMNd.l DR ?d N3.LL8 QJ' *s70NEaR3RSE 2NLt PEe MIl SUBTYPE: APPLICANT: BnnmK Rssa"M (612) b'MS-lyVw TYPE OF WORK: *ZW Permit No. Permlt HolAer Date, 7elephona 7 SlW " PLUMBING - " HVAC ' ELECTRIC • ELECTFIC Inspection Deta Insp. Comments Footings I Foundation Freming Haofing Rough Plbg. ., Fough Ht9. q, . Isul. Fireplace Final Htg. ' Orsat Test Fnal Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Finel Deck Ftg. 41-IC/92 r ? -"7 a-P DeckFinal ! ?V Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L,pTe 14 at acKt x APPLICANT: 4456 CAMS[Dti&tLt Qi[ N ARO S{L2LT C*#*T ii7lLS Qf SFOtW'!litTpilt 2Nt? E6123 Tl3-llFdit PERMIT SUBTYPE: al1SEMEN7 FTNISN TYPE OF WORK: I Control?No. 1238 ?'" INSPECTION ??t;ntairis D. • ?xna? DA : z: , ... .. , ,s ? ? , PermltNO. PermltHolder Dale TelephoneR SNV PLUMBING HVAC ELECTRIC yxj ELECTRIC ' Inspeetion Uale Insp. CommeMs Footings I Foundation Praming v Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnel Htg. Orset Test FinalPl6g. Ping.lnspector - Nofl(yPlumber Const. Meter EngrJPlan Bldg. Fnal o 6GG 4/J' ? e?w G?JGG n-T/Z Deck Ftg. / / Deck Final Well Pc Dwp. Citp af Olagari Mpm? of Afdbtltg -3wi.jXFt#ID1t r Thrs CeriFficale issued pursuant to 1he requiremextr of Seciion 306 ojlhe Uniform Building Code certifying that at 1he time of issuance this srructure Ksas in compliauzm wilh the various ordutmttYS of 1he City regulating buildMg construction or use- For the following. c,a.,w,m?, sF nwr;/c6R Z mk?g, nwk ro. 18073 00??7ype R3/Ml z.,i,,g n&;a PD/Ri ryp.: c. Vn OF SIUMRIDGE 7M D,w SxvI-FMt3IIt 27, I990 - - RWA . .,, Moei,lu'Iki,liil!r;' POSTINACOI¢SPICUOUSPLACE SEWER-& WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE .ii3D'.E 29, 1990 SITE ADDRESS 4096 CAM13E8.WELL DP. P? LOT ^1 µ BLOCK I- SEC/SUB HTLLS UE?' ST.OIvEBRILGE APPUCANT: ADD@ESS: _ CITY. STATE PHONE: METER #`'f3/ 5? g 6 g CHIP # NIETER SIZE ISSUE DATE aG - fp - PRV - BOOSTER PUMP USE ONLY PERMITDATE 07/03I90 PERMIT # 11496 B_P. RECEIPT # B.P. RECEIPT DATE 06/29 /9? PERMIT REQUESTED c^,ND X SEWER X WATER TAPS ____ COMM/IND X RESIDENTIAL ZIP X NEW EKISTING Lawn Sprinkler Meters are to be fnsialled PLUMBER: CENZ-RXAN PLMMI? IN(; Ahead of Domes#ic Metets on Water Line. ADDRESS: 34745 ???BEkT Tk Credit WlLL NOT be giverf far Deduct Meters. C1TY, STATE TZ,C)SE110UN7', rLd ZIP 5`,-•068 ; l PHONE: 42 3-1144 __-- OWNER: CENrEX Fit}i,q]'sS CACSAIV ADDRESS: 5929 bl1KEtt CITY, STATE =OJtdPvZTONKA, ?IV ZIP -553't5 PHONE: 936--7 E3'1 SIG1JAl 7 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 TO GOMPLY( WITH CITY OF WHEN ME7ER ISSUED FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ` Pi ?r?.,..'Fl+'+il? .......:.;.e,- ,._e:..wrr.. F,....._..:.M1 .•.... ... .. .?N': - AN'2': -. . , . ?_T`,.?.t . in.._ nf.y...y.ar` ..v'Y. 'N'9 SEW.ER 8rWATER PERM17 OFFICE USE ONLY CITY 01115tAdAN: ' METER # PERMIT DATE 07 i05/90 3830 Pilot Knob Rd. ? Eagan, MN 55122-;1$97 CHIP # PERMIT # ? x??? .:._ ? f ...? ,. F METER SIZE B.P. RECEIPT # T ISSUE DATE B.P. RECEIPTDATE DATE; - ???' ??s ???? , PRV - BQOSTER PUMP ? SITEADDRESS 4096 ??'YBER?LL OR N PERMIT REQUESTED LOT BLaCK ?- SEClSUB f'tlLLs O?' aTCJNEBRIDG78 2ND ? X SEWER WATER _ TAPS ? APPLI AN7: ,. ? ?- _ COMM/IND X RESIDENTIAL ADDFV-SS: CITY, STATE ZIP Y, NEW EXISTING FHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ?EK'X?--RY?,a? PLUMBiNG 74 ? S RQBERT TR 1` Ahead of Domestic Meters on Water Line. iven'for Deduct Meters Credit WILL NOT be ADDRESS: ? - g . CITY, STATE Rf!5?MOi.bNT, inIN ZIP 55068 ? 42:3-1144 PHONE ' f; f : ' . I AGREE TO CaMPL;Y WITH CITY 4F EAGAN ORDINANCES ° eiES OWNER: CEN??? HC ADDRESS: 5929 8AKER ?v?) GITY, STATE ??NNETfJNXA9 ;`Y94 ZIP 55345 PHONE: 936_78.33 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWU WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTAC7 ENGINEERING DEPT. CITY OF ?.., 3830 Pilot Knob Road, P.O. I PHONE: BUILDiNG PERMIT $T ?/ 14 $ GAR To be used for ' Est. Value Sife Ad?r?ss ?S6 CAMH?R1rlELL DR 1Q Lot Block SeclSub. STO Parcel No. Name CBiiT E3C ?1?5 W - - City Phone ,o Name SAME oU Address U? City Phone ,I Address W. W Ciry Phoni I hereby acknowlege thal I haya- ad this ap information is oorrect arld-agee o comply ) Minnesota Statutes and`City of E gan Ordinan Signature of Permitee A Building Permil Is issued to; ? on the express condition that all work shall be applica6le Siate of Minnesota Statutes and Cit i and state that the applicable State of accordance with all an Ordinances. Occupancy Zoning (Actual) Const (Allowable) # oi Stories Length Depth S.F. Total S.F. Faotprints On Site Sewag On Site Well MWCC Syste Ciry water PRV Required Booster Pump APPROVALS Pianner Council Bldg. Off. Variance adalm? OFFICE USE ONLY S-3 I?- Pl??i ?+N FEES , 804.00 ' Bldg. Permit 73*?1 3 - Surcharge i 52j+? ?? Plan Review ?.OQrQO 's - SAC, City ? ^ ??? ? - SAC, MCWCC d?3.0o ? Q _ Water Conn : Qo ? --j?-, Water Meter . a ? b ?+ - - Acct. Deposil O 30* 30 00 : S/W Permit . • 50 - S/W Surcharge Treatment PI • ?-?- ? Road Unit a77•?} i ? - Park ded, 5 -- Copies 0 m 3.483.0 - ? Permit No. PertnB Nolder Date Telephone # WATER SEWeAI PLUMBMG ?? ;? ? ". /cl fJ ? ? H.?.a,.c. I?. N? o y v E?C?IC ;5'909 Inspeciion Uate Insp. Comments Faotings, l ![? Faundat+on Framing* Roofing Rogn Pirg. Rou9h:+lt9•. Isul. R'! dJ Freplace Final Htg. Final Pitig. Const. Meter Plbg. Inspecta - Notify Piumber Engr./Plan Bldg. Final ? Z Deck Ftg. Deck Fnal Well Pr. Disp. ? . . ,y, ?NTRACT 3830 PILOT I PRICE , cay_ ROAd, EAGAN, MN 55122 NE 4548100 ? Address _ ? City ?fiA?AV'Vt?7W1't-'4 Phone .9- -•-? ' FEES ,- COMM./IND. FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. fiATE APLLIES MINIMUM - RESIdENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PEfiMIT .50 (ADD $.50 S(G PER EACH $1,000 OF PERMIT FEE) CITY OF ? Mult. Add-on ? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: A ? NQ. FIXTUFiES TOTAL ; Water Closet - $3.00 $ ?J ; 09C Bath Tubs - $3.00 ? Lavatory - $3.00 U 0 0 Shower - $3.00 - -??- ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 -7-Laundry Tray - $3.00 - T Floor Drains - $1.50 ? Water Heater - $1.50 ? . Whirlpool - $3.00 ? Gas Piping Qutlets - $1,50 ? (MINIMUM -1 PER PERMIT) •`'i Softener - $5.00 ? Well - $10.00 00 Priv te Dis $10 p. - . a ? Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: RAND TOTA L: ? `.;; G ` - _ MECHANIGAL PERMIT For City se Oniy • ' CITY OF EAGAN PERMIT # ?a 3834 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# DATE , &' PHONE 4548100 QATE: ite Address BLDG• TYPfi 1NORK DESCRIPTJ,QN ot Biock ?- Sec/Sub Res. New Const. ?! a r Muk. Add-0n Name ? „ Comm. Repair ? . . Ottier City Phone FEES " TYPE OF WORK Forced Air ; Boiler Unit Heater Air Cond. . Vent Gas Piping Outlets # ? M BTU $ M BTU $ M BTU $ .? M BTU $ CFM $ .?- $ d! 'Y CommJlnd. Contract Price x 1% 9 ? PERMIT FEE: S/C: RES. HVAC 0-100 M BTU -$24•00 AOOITIONAL 50 M BTU - 6•00 (RES. HVAC INCLUDES NC ON NEW CONSTRUCTION) ? TOWNHOUSE 8 CONDOS - RES. RATE APPLtES MIMIMUM RESlDENTIAL FEE - ALL ADD-ON & ? REMODELS (INCLUDES GAS PIPING) - 12.00 GAS OUTLETS (MINIMUM - 1 PER PERMFT- ? NEW CONST.) - 1.50 EA. COMMfINO FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) 4i G 9.? FOR: GI OF AGAN DATE: JULY 3, 1990 RE: 4096 CMIDERWELL D& N(CENTER HOMES) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the tollowing reasons: N ? Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) 6efore issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ?/?/s° 98ooa G S5866 - / ° ' ,,rd $'CW °o Fequeg Date _/ Fire No. g-in lnspedan mred? ?Ves ? No ? Ready Now ? WAI Nobty Inspector W?en FeadyP P I p licensed comractor ? owner hereby request inspection of above electrical work ah Job AOtlress ?5 eet Box or Raut .) I-a ivm ?SG zd?rv? Ciry /? 4% hx) SecLOn No Township Name or No Range No Couny OccuOant(PRI / Phone No. Power Supplier AtlCress EIBCV¢al ontr {Company Neme Conlrador's L¢Bnse No Ma g Atl ress I cror or Owner Makmg InsWllanon? s 4w -,§sK3Z Autnorizee Signaw onVacm ner Makmg Instailation) Phone Number ? • i L ? MINNESOTA $TATE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT Gdggs-MlOway Bltlg. - Noom S-173 BE ACGEPTED BV THE STATE BOARD 1821 Univenlty pve., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Plwne (612) 642-0800 ENGLOSEO 0oAo 'um 65866 REQUEST FOR ELECTRICAL INSPECTION ? See inslrytli0fl51orjiPm0letmg Nrs form on back of yellow tnpy. )C" Below Work Covered by This Request Ia-oooo,-o, "` ? 8000 ? ew Adtl Ra? TypeolBwldinq ApphencesWired EqwpmentWired Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Parm Air Condinoner Olher?spenry) GonVactor§ Remarks Compute Inspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # CucuRS/Feetlers Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 100 _ Amps SignS Inspedw5 Use Only TOTAL Irngativn Booms .1K') • ? 240 Speaal Inspecnon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, here6y if h h Rough-in oam y t cert at t e above inspection has been made. F,?ai a?a ? OFFICE USE ONLY . This repuest voW 18 montps from ?sz? Repv t Date Fre No Rough-in InapecLOn qg I? ?] Reedy Now ill NoOty InSpeMw R h tl ? ea u No en ea y I p licensed contractor d-owner hereby request inspection of above electrical work at: Job mss I treet B oWe N n l?e n I? ?yC Ciry Senion No township Neme or No Range No. CouMy '`IPR?NTI d PhoneNO. r ? Ci{ IC.[ Power Supplier AdOress Eiecmcal o Vecior ?Company Neme) Contrada9 Licensa No oNtEawnq e Maning Aaaress ??lrecbr or Owner Making Installatronj v Aulha??zetlJ?ip?$weyCOnlrec?o /w9prMak Ins?ell n) ? i?C!/ _ ._ ?v) PhonaNUm63 ' i? ber F7 MINNESOTA STATE BOARD OF ELECTf11CRV THIS INSPECTION REQUEST WILL NOT Grlggs-MlCway BIU9. - Room S173 BE ACCEPTEO BY THE STATE BOARO 1827 Ilnivenfly Aw., SL Poul. MN 55104 UNLESS PROPEP INSPECTION FEE IS Phona(B1P) 862-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es-oo/ooi-os ? See Instmctions lor compleung this lorm on beck of yelbw copg L 3 g$. 7 ?'X" Below Work Covered by This Request ?•?,?? ew Add Rep. Typeoiemlding AppliancesWired EqulpmeMWiratl Home Range Temporary Service Duplex Water Heater Electric Heating ApL Bullding Dryer Othec{Specity) Comm./Induslrial Furnace Farm Av Conditioner Other(syecityt Conbector)s Remarka '/ Campufe Inspectian Fee Below: ? t n c Y''? Gra?. I? on ? ?" 7J`'/ ?.' o? ? # Other Fee # Serwc EnirancaSize ee # Cimuits/Feetlers Fce Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensiormers Above 200 _ Amps Above 700 _ Amps Si9nS Inapector5 Uea Only TOTAL Irrigation Booms / ?? a Special Inspection `? Alarm/Communication ISCONNECTEO IF NOT THIS INSTALLATION MAY BE OR Other Fee COMPLETED WRHIN 78 MONTHS. 1, the Electrical Inspector, hereby cendy that the above inspection has been made. Rouqn,n oMe F,nai oa?e OFFICE USE ONLV ITIms repuast voitl 18 months fmm 1?27/9 0 ` 9 9loG ? °° r ' G 65909 /? 1 ,/-(l? ?r'L ? 8(0 Request Date 'ao'9 ve N. Ro ?m Inspection R netl7 ? Refltly Now 0%11 Noiiy Inspector Wh R d 0 an i ea Yes ?NO Ipicensed contractor ? owner hereby request inspection of above electrical work at: JoC AUdreu Shee1. Bow or Route No ) ?09i; CAm1,vYLJe-II Clty F Setlion No TownShp Name or No Range No COUnry OccuDaM (PRINi) ?___ ^ , ?h?? ? ?I?'?/v Phone No Power Suppliar r? 11k?t? ??ec?ric. AdOress Elec(ncal Comracbr (Company Name) e?r ?lcchnc, 1hc. Conttatlor5 Lsense No bNI?13S-8 Mailing Atltl ss IConneclor or Owne? Makmg Insta118LOn) 3'?3 _Sun?? SSu3?- Authonxetl SignaWre + ?9 Q(ConireqoNOwner Makmg Installation) ??. Phone Numtbe? ^^Q ??l ? ? 1 O 1 MINNESOTA STATE BOAPD OF ELECTIiItITV THIS INSPECTION REOUEST WII.L NOT GOB9s-Mltlway Bldg - qoom S413 BE ACCEPTED BY THE STATE BOARD 1021 Universrly Ave. SL PeW, MN $5100 UNLESS PflOPEF INSPECTION FEE IS Plqne (812) 642-0800 ENCLOSED G 65909 REQUEST POR ELECTRICAL INSPECTION ? See instn?Rions I^`r completing ihis form an back of yellow copy. "X" Below Work Covered by This Request sTM':sa -, '3$ E&00001-07 e Adg Rep. TypeolBmlding ApphancesWrtetl EqwpmentWired Home Range Temporery Serwce Duplez Water Heater Electric Heating Apt 8uiltling Dryer Other (Specity) CommJlndustrial Fumace Farm Air Conddioner ONer (s,i CoMractor5 Femarke Compute Inspection Fee Below: # Other Fee # ServiceEMranceSize Fee # Gircuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformere Above 200 _ Amps 700 _ Amps SIJOS Inspector's Use Only. / ? ? T?TAL Imgation sooms g1? ?, I?jo Speaal Inspection ' Alarm/Commumcanon THIS INSTALLATION MAY 6E ORDER If4CONNECTED IF NOT Other Fee COMPLETED WITHIN 181AdONT u I, the Electrical Inspector, hereby td th t h b Rou9min ^? oa l y7? ? cer y a t e a ove mspection has been made. F,nei OFFICE USE ONLY " TTis request wia 18 monihs Irom 1 3 D ?p ? / ? ` p ,? l ? Aequesl Date / ? / 9 Q ? V? Fire No ugh-,n Inspachon W uiretl? ? Reatly Now ill Nority Inspectw Fi tl o Yea C No an ea y I] licensed contractor owner hereby request inspection of above electrical work at: Job Pdtlress Slreet. Box or Roule No ) 096 C"&E;wec.c_ , a/L .N? Cily E?tc??J SecLOn No Townsnip Name or No 79e No. Counry acuaamWc-'eT• 1 " ep? y ,. ano? O? -7 L O C7 Power Supoller AoOress Elecmcal Conhacmr ?Company Name) CoMrflclw§ Licenee No vrngo o wnq Y Mailin 0 nva[ror or Owner Mabng Installation) J? 4 _ AWho e ?COmr orr ner M mg Installauon) Abr? Phone Numbe?? /? ?J J?O O A x / \ MINNESOTA STRTE BOAHO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlEway BItlB -Room S1'!3 BE ACCEPTEO 6Y THE STATE BOARD 1821 UnlvaraNy Ave, 51. Paul. NN S5100 UNLESS PROPER INSPECTION FEE IS Phone(61Y)BC2-0800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe ? See instmctione lor co?mpleting iNS brm on back of yellow copy : K 45133 ` '.X,. Below Work Covered by This Request ??:?:• ` e A ep., TypeoiBuddmg AppliancesWued EqwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bmlding Dryer Other (Specify) Comm.llndustrial Fumace Farm Air Conditioner Olher kpecdy) CoMractor5 Remarks Compute Inspection Fee 8elow: x Other Fea 8 ServiceEntranceSae Fee # Circults/Feeders Fee Swimming Pool 0 to 200 Amps o ta 700 Amps Transformers A6ove 200 _ Amps Above 700 _ Amps Signs Inspector5 Use Ony: TpT AL_V4:?, Irngation Booms ? Special Inspection Alarm/COmmunicauon TMIS INSTALLATION MAY BE ORDEflED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOfITHS. i, the ElecVical Inspector, hereby Rougn-in oa+e certify that the above mspection has been made. Finai _, oec _??/ OFFItE USE DNLY - ?• Tnis request witl 18 monOts irom • ????,?r ^r?0 2006 RESIDENTIAL PLUMBING PERMiTaPPLicArioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. ?I?'FiO 05Z306 D ate I_ gOROS, MARILYN Site Street Address 4096 CAMBERWELL DRIVE NORTH Ulil! # ' EqGAN, MN 55123 (651) 686-9743 Property Owner Telephone # ( ) Contractor Norblcyn 1`-'(,{,(,rn b( IZ G} Telephone# ((pjy) $2'7-1IO;Y3 Address 2qp5 eiar-aed trv. sa ctty rnats StateM Il! Zip'?EqQg The Applicant is: _ Owner V Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 ? Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfalfing only a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) _Other: . ?, , Water Softener YWater Heater ?.?A? 2 ? ???)h $ 15.00 _ ? _ new replacement Lawn Irrigation _RPZ _pVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 T l , b 5?i ota . $ I here6y apply for a Residential Plumbing 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' o# gan and the plum6ing codes; that I understand this is not a permit, but only an application for a permit, k is n to tart without a permit and work will be in accordance with the approved plan in the event a plan is required t be vi and ap oved. Jeffrev L_ Nor,hlorn, Applicant's Prin d Name Applican Signature ? ??? ? -)-0 3-0 RESIDENTIAL UILDIMG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 33122 851-681-4875 New Conslructbn ReaukemeMe • 3 registered sle surveys showing sq. M. of bt, sq. ft ol housa; antl Ig roofed areas (20%mazimum bt Coverage albwed) . 2 coples ot plen showing beam 8 wlntlow slzes; poured found design, etc.) . tsetWEnergyCakulatbns • 3 coples ot Tree Preservetbn Plan'rf Wt platled atter 711/93 . Rim ,blsl Deiail Optlons seledbn sheat (6klgs wHh 3 or less unNS) DATE g/?ID '2' SITE ADDRESS _ TYPE OF WORK_ APPLICANT P STREET ADDRESS TELEPHONE # L AULTI-FAMILY BLDG FIREPLACE(S) _ 0 _ 1 _ 2 PROPERTY OWNER c.riv 0uy?wv TELEPHONE # ? -------°----------------°°------°------------------------°----------------°-------------- COMPLETE THIS SECTION FOR "NEWM RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUL,FS 7670 CATEGORY 1 MINNFSOTA RULES 7672 (J submission typa) • Residential Ventilation Catepory 1 Worksheet Submitted • New Energy Code Workshest Submitted • Energy Envelope Calculatlons Submkted PlumWng Conhacfor. Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor. _ Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System _ Phone # I.awn Sprinkler No. of R.I. Baths I hereby acknowledge that I have read ihis application, state mat the with all applicable State of Minnesota Statutes and City of Eagan Ord Signalure of ApplicaM Phone # 6leSTATE A/&ZIP # q5d 4?? - oo (//!Z Fee: $90.00 Fee: $70.00 , P,ona # o ? ? win) ?-- ------------ --------°----------° p`iation is co r?gct, and a r_ saeer?ply OFFICE USE ONLY 4 196. as pemotleVNaoeU BeauUemenb • 2 copies of plan + 7setotEnergyCakulalbnsforheatedaddnbns . 7 si[e survey ror eAerior adtldbns & decks • IndMste H home served by aeptk sys[em tor aAdtlbns sldrna - ?/o, ooa VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 PERMIT CITYtOF dAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT.7'YPE: Permit Number: Date Issued: BUILDING 000412 04/29/92 SITE ADDRESS: 4096 CAMBERWELL DR N LOT: 14 BLOCK: 1 HILLS OF S70NEBRIDGE 2ND DESCRIPTION: Bu'ilding_ Permit Type DECK Bui2ding Work 7ype NEW r' UBC Occupancy^„ R-3 . ? Building Length,-., 20 Building Width --? 16 i (- .? .lb _ -f .? ? . J ?-?-, REMARKS: C, o ! gSta FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - BROOK RICHARD 9096 CANBERWELL DR N EAGAN MN 55123 (612)683-9788 I hereby aeknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Pin. Statutec and City of Eagan Ordinances. L - - /'??"'44I IlA?A R.ui r? 7?t1..1? APPLICANT/PERMITEE SIGNATURE UED V: IGNATURE1 INSPECTION RECORD ControlNo. 0343 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 14 4096 CAPIBERWELL DR N HIILS OF STONEBRIDGE 2N0 PERMIT SUBTYPE: DECK 1- PERMITTYPE: euiLoina . Permit Number: 000412 Date Issued: 0 4/2 9/ 9 2 BLOCK: 1 APPLICANT; BROOK RICHARD (612) 683-9788 TYPE OF WORK: NEW Control No. 0343 L PERMIT #4 ' CITY OF EAGAN 'APR 2 4 REcD' 1992 BUILDING PERMIT APPLICATION 681-4675 LC111 S-. S d ,Cat- q (Zz SINGLE 8 MULTI-FAMIIY 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 eriergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date S?? 2 3• / 9?- / Val uation of work :1.0X1/o fJ¢el<' Site Address: STREET STE ! Tenant Name• LOT 1-7/ I BLOCK SLIBDkILLS OF S'TDNE'BRI I P.I.D. i c. AT 2 Descri tion of work: The applicant is: d Owner ? Contractor ? Other (oe.«+x) Name Vle_? E"A22 A Phone (ocr53 -978?P Property LAST FIRST Owner pddress 40 96 CAM?62iVE-?c.L ne- r(- STREET STE i M? Zi p City State Company Phone CoMractor Address License # Exp. City State Zip Company Phone. Architect/ Engineer Name Registration # • Address City State Zip Sewer & water licensed plumber : Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: * PIONEER * engi* eering.. ' Certificate ot Survey for: C EN TFK Mou?? 4 -780 S- ?f? \ M1 . ?VS yR ?i C \N ic t, ti \ y { , i? i \o ? @' o p4s , ? . \ \ 9) \ 14 ?,4,P ? ? ? 1 , . a ? o/ 8 4 9 , 'PjL6 \ $ . 900.0 Denofes exi5fi?4 fevafion ?d . .x?o.o Denofes propMed E/evalion Dpno!-es Orama?eeUtrliY Easemenf -•- Denotes Draincle F7ow Arrows 0 Denofes monumenf BeprinJs sftown are o55umed LOT J4 , BLOCU 1, NI LLS OF ST4NEBRIDGE PLAT 2 DqKOTA CouNrY 1 hereby certlly that this survey, plan or report wes pr red by me under my direcl eupervlsion and Ihet 1 em duly Reglslered Land Surveyar under Iha Ism of ths Steta ot Minnasota, Delad thlsey o( A.D. 19??? . / Scale: l ?n `40 Lf ? ^ 900/ ? 0? ROBEA7 8. SIKICH 1.5. REC. N. 1489? 2422 Enterprise Drive Mendota Heiglrts, MN 55120 (612) 681-1914 NOMES ? ? 3y)? / . ? r? . NoaYN ? ` o ? m ZV IPROADSED NovSE ELEVqTION Lowesf ?oor eVp !O/? s9/.11 Top of Block Elevafion 8.zo Gara eS/ ob f/evdfion 89zs3 o Deno?s Otf'sef llub Su?*ed fio Edsemenfs or'Record PERMIT Control No. 1238 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u.r. Lo T N s Eagan, Minnesota 55123 Permit Nurriber: 0 016 5 7. (612) 681-4675 Date Issued: 7 0/2 g /g 2 SITE ADDRESS: 4096 CAMBERWELL DR N LOT: 14 BLOCK: 1 HII.I.S OF STQNEBR7:DfyE 2NL1 DESCRIPTION: ,-- "Buildilin,g Permit T,ype - Building\Work Type uBC Occuparic.y j 1 i i ? v ! ?= ? . =yl?',.- l?. BASEMENT FINTSH ALTERATTON R-3 W? 0?6CDLL` ? ? ,. REMARKS: + o I yq 3 FEE SUMMARY: Bass Fee $35.00 COPY $.59 Surcharge .50 Total Fee $36.00 Subtotal $35.50 CONTRACTOR: - Flpplicant - sT. LzCOWNER: PRO BU:CLT CONST 17229551 0006602 PRO Bl1ILT CONST 3736 40TH AVE S 3736 40TH AVG 5 MINNEAPOI.IS MN 55406 MINNEAPOLIS MN 55406 (612) 722-9561 (612)722-9551 I hereby acknowledge that S heve read this application and state that the in<fiormation is correct and agree ta oomply with all applicable State o'f Mn., L Statutes and City ofi Eagan Ordinancas. r APPLICANT/PERMITEE SIGNATURE ISSUED e SI NATURE I INSPECTION RECORD C°ntr°' "°. 1238 CITY OF EAGAN PERMIT TYPE: Bu i Lo z NG 3830 Pilot Knob Road Permit Number: 0 0 t? Eagan, Minnesota 55123 Date Issued: 10 / 2 8/ 9 2 (612) 681-4675 SITE ADDRESS: Lo r: 14 BLo c K: 1 APPLICANT: 4096 CAMBERWELL C1R N PRO BUIL7 CQNST Hlll_S OF STONEBRIDGE 2ND (612) 722-9551 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: ALTERATION I PERMIT # REACTIVAtE ? CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 $5?.00 APPLICATION pCT 1 5 RECO /0/33"?.P? )viza SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 40-AO- /c? Valuation of work Site Address:_L o?l'.? C`i9i,n,e6.C'tvE[_c_ 1?1?• It?- STREET SUITE ! Tenant Name: (commercial only) IAT 1,4 BIACR SUBD:41 ?Ij IS U LL P.I.D. M XY ? ? Descri tion of work: The applicant is: 0 Owner 91-1Co-ntractor ? Other coeecrtee> Name Phoree Property usT FIRST Owner pddress SiREET STE # City State Zip Company f (a o`cJS' T Phone 7aa ' 9S5 / COI1tf8Ct01' Address 3`7 3 1,, y0 License #ra5b660a Exp.,3-:SL-2 City 4?grP/ S State /W? Zip 5??0(0 Company Phone Architect/ Engineer Name Registration # Address City State 2ip SeNer 5 water licensed plumber . Processing time for sewer & water permits is two days once area as een approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?1'ej n W v OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. O 03 SF Addition ? 04 SF Porch ? 05 Sf Misc. WORK TYPE -P?31 New ? 32 Addition GENERAL INFORMATION -•+ r ? '?sement Finish 'El 1$7 Swim Pool ? 18 Cow./Ind. O 19 Comm./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Deptn On-site sewage SAC Code APPROVALS cans"s ?/a/ds• ?.-- G40 01f ry .c.t? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing - W Framing El Insulation ? Wallboard &:Final ? Draintile ? F9replace ? 06 Duplex ? 07 4-Plex ? 08 8-Plex O 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging O 12 Multi. Misc. 0 13 Garage/Accessory ? 14 ftreplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Permit Fee Surcharge Pl a?,.Be.v.ie ,OQ , Sb wtLocian: City SAC Mater Conn. Water Meter Acct. Deposit S/M Permit S/M Surcharge Treatment P1. Road Unit Fark Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY OF EAGAN NO ?$O?3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # OU/ To be used for SF DWG/GAR Est. Value $147,000 Date 1UNE 29 1990 Site Address 4096 CAMBERWELL DR N Lot 14 Block 1 Sec/Sub. HILLS OF Parcel No. w Name CENTEX HOMES ? Address 5929 BAKER RD City MINNETONKA Phone 936-7833 o Name S? ga Address ? City Phone Na me Address W City Phone 1101 I hereby acknowlege that I have read this applic ion and stale that the inlormabon is correct an ree to comply wit all applicable State ol Minnesola Statutes a ty of E gan Ordi afic . Signature of Permitee A Building Permil is issued to* T? C HOMES on Ihe express condition that all wo shall be done in accordance with all applicaWe State of Minnesota Statutes and Ciry of Eagan Ordinances. Bmlding Oflicial OFFICE USE ONLY cc;uPancy R-3 M-i FEES Zoning PD R-1 (AClual) Consl V-N gldg. Permil 8041Q0 (Allowable) V-N Surcharqe 73-50 Y olSlories _ 64' PlanReview 597-0 0 Lenglh _ Deplh 32' SAC, Cdy I nn _ np S,F.TOtal - SAC,MCWCC b00_00 S.F. Footprints - On Sile Sawage _ Water Conn h ??- n0 On Sita Well Water Meler 90 _ 00 MWCCSystem X X Acd. Deposil 3n_n0 Ciry Water PRV Required - SNV Permit 3n _ no Booster Pump - S!W Surcharga - 50 Treatment PI 252.00 APPROVALS Road Unit 355.00 Planner - Park Ded. Councd BWg.ON. _ CaPies veriance - ToTAL 0 3,483.0 . . 11013 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAHILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS ? 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE QL?-? 7So ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:C-?FD/G A Site Address`tU7/0 01 Lot / 4 Block / Valuation: L4I 4C)C) - Date: HI?LS OF Parcel/Sub BLq[2 Owner ant?.tC Address S?2 City/Zip Code Phone ?26 ' / &a Contractor _S'414E Address City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Sooster Pwnp AUf! 1 9 RECD OFFICE USE ONLY R-3 M•f ??? nlZ ' APPROVALS Phone Planner Council Arch./Engr. /pj';iFz- cw& Sldg. Off. Variance Address , FEES Bldg. Permit OdLf.DO Surcharge .2 3, 1p Plan Review O zS 3.0 SAC, City 0 100,0 SAC, MWCC &OD,OD Water Conn &25,00 Water Meter O,UO Acct. Deposit ,30,C0 S/W Permit 30.&-0 S/W Surcharge 150 Treatment P1. 252.00 Road Unit SS cc> Park Ded. Copies SUBTOTAL Penalty TOTAL 3l? S, ? v? City/Zip Code ??(?Nc.bTi? ?yE!(et/T? Phone # 6 e /- ( 9 l ? * PIO * engi * ?c ?F , Certificate af Survey for: MOUbL 4 -780 cENTEx NOMES 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 i i btika\b i ? / . ? ? ?•o / ??'ro o •y ° o cy -2 \ ti. ?'s SF titi . \ - ? ? Not2YN 1 \s6 ? ? 1 J ? ? a ' o ) J? 1 m , ? k y ;:GAN ENtxIhEERIIdG DEPT . 900.0 Denofes exisfin Ervafrorl ' ??L . ,to Denofes proped E/eval'%on Denofes Orama ? Utili? Fasemenf ----? Denofes Dr4incSe F7nw ,qrraws ? Denofes monumenf BearinJs shown are assUmed PRCJPOSEU NOUSf EtEV4T10N I Lowest Floor Eleva ivrl g9i.ir 7"?p o; 8/ock flevcrfion 8•z, Garv e S/ab f/eval`ion 89753 o Deno?s Ottrsef Nub Su?'ed fo Easemerifs or',qPcor'd LOT14 , BLOC.u l, I-IILLS 4F STONEBRIDCE PLAT 2 Dq K oTA CoUNT y 1 hareby cer[Ify that Ihfs survey, Olen or report was pr red by me r under my direcl suparvision and thal t am duly Registerpd Lend Surveyar under the laws o( tha State of Minnesota. Oeted this day of ??w D A,D. 19.. O .03 Scale: 1,?rh ? 4pe-/ 39?3 .? ` . ROBER f B. SIKICH C.S. F C \A \\ \ 9> \j?ry5 , j?Y,P \ / / // \ 1 r-XT-FRiOR E°ivE! OPE aVERAGE "U" COMP+JTA1ir,ri i:ENTEX HOP1ES CCRPORATiOtJ ? ? ? fo9 ? ?? ?cc? 13?/Ly i2 .j !`tOGEL?? SQ. FT. U. ALLO`NABIc" 1. TGTALEXP05ED WALL ARfA 3056.879 0.110 336.257 ?. TOTAL ROQF/CEILINGAREA 1753.000 0.026 45.'"t 8 3. TOTAL EXPOSED WALL CALC. Total Fxposed wa}1 area above f!oor 2740.000 ACTUAL a. Total wal? window area 279.920 0.420 117.356 b. Total doar area 37.700 0.080 Z ZbZ c. Total sliding giass door area 40.020 0.390 15.608 d. Total fireplace wall ares 0.000 0.006 0.000 Total expvsedwait less a,t,,c,d 2382.360 e. Total wail framing area 238.286 0.097 23.090 t. Total nrr wali area above fiour 2144.574 0.095 95,469 g. Total rim )oist area 215.195 0.042 9.02ti Totaifoundation area(ExposEd) 101.384 h. Total foundation window area 8.010 0.420 3.369 i. Total net fourid area atrove 9rade 93.374 0.123 11 .485 TOTAL 277.759 4. TO?.aL t;KPOSEv RGOF!CE!L CAiC Total EXpOsed raof/ceiling ares a. 1713.000 b. 40.000 ;. Total skylight area 0.000 0.000 0.000 k. Total roof/ceiting framing area a. 171.300 0.025 4.280 b. 4.000 0.023 0.093 l. Total net insul. roof/ceii area a. 1541.700 0.024 36.998 b. 36 0.025208 0.907 , TOTAL 42.279 ALLOWABIE ! + 2 = ACTUAL 3 + 4 = DIFFERENCE 38 0 3 61.797 Signature e. hIODEI #780 32 x28/28 20x28/28 29x16/16 Z8x20/20 zax2aizs I/4 round !/Z raund 2Ux3U fixed 28x30 fixed 4Sx24 fixed 14" sidelites TOTAL Total wali above floor Vault Kneewalls 4'-10 112' high walis 12' high walls 8' high wails Total rim joist 2x10 Total exposed faundation (S') # of sq. ft. total 3 12.4 37.2 4 7.8 31.2 1 5.3 5.3 1 7.8 7.8 14 10.9 152.6 2 5.93 }1.86 1 3.5's 3.57 2 4.16 8.32 1 5.83 5.$3 i 8 $ i 7.?s 7.7s 279.42 1in ft height !o!a': u 6 4.875 0 72 12 864 234.5 8 1876 2740 279.5 0.771 215.4945 152 0.667 101.384 r..` e. aoll tramtno 1. inte.^ior air tilm 2. 1r-' drywall _ 3. 5 1/:' soft vood 4. 1/6' 7ftermoplr Sheoihinq 5. Alum. aiding 6. Exterior oir film Total t. Net vall area 1. interior air tilrn 2. f t2" tlrywall S. msuie!ion 4. 1 J8' ThermopiY Sheathinq 5. Alum Siding ? 6. Exterior air film Sotal !. ?nte-ior air'i?m iic+n ?. i '. _' acft raod Thermopl?- :Reathing 5. ?+ium. aiding :. E,terior air fi,^^; . Totci :. r.t- !cun;q!:nr. atc. ve ?roor - .. ..,....?: ai.^ fi:m ,ra- 1Rt^:tj.xiQiG-F 1C0e1: ?' k 1 "> .. ?: '•.t?tC?? @lt :Sim Tc+.nl 'R' U. 0.68 0.45 , 6.88 1.53 0.61 0.17 - ? 10.32 0.0968492 . 0.fi8 0.45 i? 1.53 ? 0.61 0.17 ",44 0.0445633 ?,ge ??c3 0.17 :3.86 6.041M .. ? .•+,a?;'. . - .F?„s`-,- --'iG?. i..?. b .. 1 . ? t^ G',17 .oq7 .o4S . o?l Z ^ w .?:•. ;?? . rz3 ?/??8 ? k. root/cciling tromino C-mous> 1. interior air tilm 2. a.Bloan inaulction/4.Insulation 3. 5!8' drykali 4. a.'a frf-' sft ad/b.11 1/4' aft vd 5. Er,terior air film(atiii ) . ?otot Iir W&. i, net ?oafictilin; arto 1. :n!e^ior air fii:n 2. a.E'lawn msulation!b. Insulctian 3. 5!R- aryrali . 4. Exterior air tilm(still ) Totci : .. ? . . .?, ? 4V u.? b. VA-A-T a-ZB 0.61 0.61 34 2? 0.45 0.45 4.35 14.175 0.61 _ 0.61 _ 40.02 42.845 0.0249875 0.0233399 • o:s . os'S ... D. 0.61 . 40 38 0.45 4.45 0.61 0.61 41.Ei :4.67 0.02:998, 0.925208 .oLd - flZSt . _l;r ?i °0lA) _ ,? 2:co , k. rooflccilina iraming. a. b. t. lnterior oir tilm 0.61 0.61 2. a.BloKn ineulation/b.lnsulation 34 0 3. Si6' dryvcll 0.45 0.45 4. a.3 1 /2' ei1 wd?G.11 1/4' aft xd 4.35 14.175 5. :::ttrior oir tilm(atill) 0..61 0.61 Totol 40.02 15.845 4.0249875 0.0631114 .ei3 o v3 _ 1. nrt raof!cailing arca a. D. 1. I^!t^ior oir film 0.61 0.81 :. 'c.Eickr.inau!ation!G. Inauiation 40 38 Cryyali 0.45 4.45 4. Er.lerier air film{still} 0.S1 0.61 7otal 41.57 39.67 . ? 0.0239931 . 0.335308 • 0'1? • o'LSZ ;:;?' . . • : , » t ?GE "U" COrtPUTAT i0ri „?. 0. 110 0.026 k. rooilceilino iraming . Z%ttZ OZAPTER f . lnterior oir film ?. a.Eluwn insulatian/b.insulation 3. 5i6" drywali 4. a.: 1/2" aft wdiG.11 119" sft wd 5. Extericr air filmistili? Total . 1. net ^r,af?ceslina a!•ea ?. c. Elr.-,,,r, ms.uloiion%G. in:uiatwn 3. . i E" drra?l i 4. Er.tarior air iilrn;aiill i Tvtal A LLUW AEIE 336.25? 45.578 ACTUAL 117.356 'L.262 ?.608 •Vn p, b. 0.61 0.61 34 0 0.45 0.45 i,35 14.175 0.61 0.61 40.02 15.845 0.0244675 0.0631114 .esfa .o a3 q, b. G.61 Q.61 sn 3?a 0.?5 0.45 0.61 0.61 41.e? 35.67 i."?34931 J.U25208 • a's 4 • oz5 Z. LOT IY BLOCK ? SUBD. /Jc& RECEIPT # Sglli DATE 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVEiVTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Area/addre'ss to be Installer: Street City, state & zip code: Owner Street (9 Commercial GPM Residential (boulevards) GPM ? Existing residential ? ?. Owner ? Plumber 9]---? Phone ? City, state & zip code: Phone 1 1 fe P Z s-L f v?3 ?x-? Irrigation-c?on?r, if different than installer. (V -? Telephone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable City of Eagan ordinances. It is the applicanYs responsibility to notify «!:s propsr!y owner tha± the G!ty of Fagan assumes no liability for any damaaes caused by the City during its' normal operatlonal and maintenance activities to the facilities coastructed under this permit within City pro perty/rig ht-of-way/easem ent. ApplicanYs signature Title Approved by: Date: PRV 0 Yes ? No New service ? Yes ? No Meter Size & Cost Fees due: Calculated by: if /0 Z ??? PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee oniv if new service is instailed. $300.00 per tap if installed by City. Residential proJect: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 par connection - W.aC. $372.00 qer connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously instailed). Meter charge: If gallons per minute are less than 25, a 1" meter wiil be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer wiil be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter will be sold 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. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water.line and backflow preventer. The Public Works Department 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. inspectioiis shoulo be made on ihe precedirg work day. Requests for PM inspections will be accepted until 12:00 noon. rIAI 77 9 zoos RESIDENTIAL PLUMBING aERnmT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAPI MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. ? 10 6 DatdV 8 o 8 . BOROS, MARILYN Site Street Address 4096 CAMBERWELL DRIVE NORTH (JnIf # , EAGAN, MN 55123 (651) 686-9743 PropertyOwner Telephone# ( ) Contractor Norbtoyn P(,(,(,{'n lo( f't Gj Telephone# ((pIZ) g2"7'N0?,3 Address 2q05 5o, C,t„ rn aIs State MA1 Zip rC6q(?g The Appiicant is: _ Owner V Contrector _Other Septic SysYem New _ Refurtished Submit 2 sets of plans and MPC license includes County fee $ 100.00 f Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inciudes instaliation of a water softener andlor water heater at the same time. !f you are installing anly a water softener and/or water heater, do not complete this section; move to the next sectrotran'd che-c"'fc"-tfie7 appliance(s) you are instailing. _Septic System Abandonment _ Water Tumaround (add $130.00 if a 5/8" meter is required) _Other. X , _ Water Softener ? eater W?H $ 15.00 / V ` _ new re?eAme _ Lawn Irrigation ZRPZ _PVB _new _repair _rebuild _ $ 30.00 State Surcharge $ 50 Total g i neredy appiy tor a Residential Plumbing Permit and acknowledge that the Informatfon Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I understand this is not a percnit, hut only an appiication for a permit, work is n t to start without a permit and work will be in accordance with the approved pian in the event a plan is required"tq be vi ed ar approved. jeffrev L. N a rtlory, ?_.a% ; i,tr.", ApplicanPs Prin d Name AppliCanYs Signature ? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153296 Date Issued:12/07/2018 Permit Category:ePermit Site Address: 4096 Camberwell Dr N Lot:14 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - John C Homan 4096 Camberwell Dr N Eagan MN 55123 (612) 723-3225 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170500 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 4096 Camberwell Dr N Lot:14 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-140 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - John Charles Homan 4096 Camberwell Dr N Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171594 Date Issued:08/23/2021 Permit Category:ePermit Site Address: 4096 Camberwell Dr N Lot:14 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-140 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Charles Homan 4096 Camberwell Dr N Eagan MN 55123 (612) 723-3225 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature