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