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4072 Camberwell Dr N
Use BLUE or BLACK Ink For Office Us City of E~ Permit#: I I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION a Date: Jr 3 C~ U Site Address: Y0'2"~" or /V Tenant: d~, kyLe.11 Suite RESIDENT / OWNER Name: tU6 Phone: ~S/-Sa2,yy~ Address / City / Zip: VD.2,2 I Applicant is: L Owner Contractor TYPE OF WORK Description of work: d1 J u Construction Cost: -rro' Multi-Family Building: (Yes /No CONTRACTOR Name: License Address: zl~' Cp-W (>w N City: tlyzc V State: M/L,/ Zip: 3-3'D3 -e Phone: Z --S'J - 2,31-9 0-Z Contact: v Email{ C~'*~ l Gest-~R COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes KNo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w is n to start thout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap al of p1 s. X x App'licant's Printed Name Afp~lnt's Signature Page 1 of 2 Use BLUE or BLACK Ink For Office Use 1 City Of F s _iq* IS 2010 Permit e I I rmit Fee: 3830 Pilot Knob R ad } ~1 ! S i 3-~~ to R Eagan MN hone: (651)675- 5 P F~- Fax: (651) 675-5694 ~o 0- i ElY1 ! ~--t 1 I 2010 RE ENTI14L B ILDI'NG PERMIT PLICATION Date: 2_T_M,2 cL 20to Site Address: J r've N f y`~ Q',` Tenant: Suite RESIDENT /OWNER Name: / " lQ- Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: becConstruction Cost: '1770,90 ~ Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: 01 Yav,~.t.r~r~~ C ,1 City: aa5ko_ Stater Zip: Phone: 612- 2_7 Contact: 9r l a r\ To,i; f"E t Email: LY , n c c +&J 6 cc, v+~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: MOTE' Plans and supporting documents that you submit are considered to be public information. portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-)002 for protection against unde round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of s x Applicant's Printed Name Applicant's ature Page 1 of 2 q c)-7;2-, Au c THIS LINE DO NOT WRITE BELOW SUB TYPES - Foundation - Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage y Porch (4-Season) - Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of - Plex Lower Level Pool Miscellaneous - Accessory Building - - WORK TYPES New - Interior Improvement _ Siding - Demolish Building* Addition - Move Building _ Reroof - Demolish Interior - Alteration - Fire Repair _ Windows - Demolish Foundation - Replace - Repair _ Egress Window - Water Damage Retaining Wall Vemolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition 7 SAC Units (25%100% Zoning City Water Census Code ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings ` Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 2422 Enterprise Drive c.`G~7- Mendota Heh3hta. 1dN 55120 ~r ~~i ~lE~ 612) e81-1914-Fux say-~ 8 iNaD sff%VMRS • eve E++aHms etlg ne ring 525 tiightray 10 Horthvmt 810istG MN 55~ ,k * * ~saz) 783-1a8o•Fax 7133--1853 Certificate of Survey for: The R0 nd COmp©l House Andress: i=amb~e argil! Drive North. Eagan, MN Model Name: St. Andrews i i ty {9.39' ~7~ w i f ~ ,5 N All 1 1 r' rol S r? s I 0 car) C ILA ~ r rti ~ l i 0-1 r 1 r - ;_tl l r. n 9MV Denotes Existing Elevation PROPOSED HOUSE ELEVATION Y Denotes Proposed Hevctfon Lowest Floor Elevation:864.85 Denotes Drainage & Wility Easement Top of Block Elevatton:892.96 Denotes Drainage Flow Direction -O- Denotes Monument Garage Slab Elevation:892.63 --a Denotes Offset Hub . Bearings shorn are assumed LOT 25, BLOCK 1 HILLS OF STONEBRIDGE DMOTA COUNTY, ONNE5OTA PLAT 2 i ?Wr by CWttfy dW this Iwrvry. than or rsvor: teas prepared by moor tsrttlar wW direct nW~tr.v~iston arxf thttt I tun duly F q;i*ttrad Lsrte Surwyor under the laws ofthtState o Wnncsott.Duadtl•.is'T d6y6f IlkI?-r A.A.i9_Is S C l e : 1 ,f{t - 3 O- t Roesc K t_.S. Rea. NO_ 14tH F~~ C~nb c l l Q~ GJ s qS Diamond n www.diamondpiers.com MAY 14 2010 253 858-8809 ph Local Building Official Report Review Assistance - ESR Report 1895, DP-50 Diamond Piers We appreciate your taking the time in your schedule to review this newly recognized foundation product for residential porches, decks, walkways and stairs. The Diamond Pier foundation has been used successfully for public works projects across the country since 1996. The DP-50 model, geared specifically for residential use, has many environmental advantages for the homeowner, and many scheduling and time advantages for the deck builder. The packet has been presented to you by a current or future permit applicant to make sure you concur with the Evaluation Service's thorough review of this product under the code requirements of the IRC. The simple intention of the test criteria devised by the Code Council to evaluate the Diamond Pier centers on the table for generic soil bearing values (IRC Table R401.4.1), which may be used "in lieu of a complete geotechnical evaluation" for your local soil conditions, just as you would for any conventional deck. As you can see from the excerpt page of the Third Parry Test Report, the load tests conducted on the piers, were done in soils with strengths matching the two lowest bearing categories of this table: 1500 psf silts and clays, and 2000 psf sands and gravels. These tests confirmed that the DP-50 system performs just like an ordinary, flat bottom, pad or cylinder footing, having a bearing area of 1.8 square feet. (Section 4.1 of the ESR Report) This capacity is equivalent to an 18" cylinder or 16" square concrete footing. We know the Diamond Pier looks unique, and that it would seem to involve complicated Pile theory to analyze its performance. The reality though is that with very short stiff piles, locked in the concrete head, the entire system pushes against the soil as one unit, gaining bearing strength from the soils engaged beneath the rigid, 4-way Pin frame. This Pin frame not only does all the bearing work, but it's deep spread configuration also functions like a bell shaped footing, providing an alternate to conventional heave protection, resisting the forces of frost or expansive material, while upper soils cleave around and past the bottom of the diamond shaped head. In these soil zones, as indicated in the Manufacturer's Instructions, Pin length is based on providing sufficient resistance to heave pressures rather than reaching a specific vertical depth. With these features, the Diamond Pier can be used for porches, decks, or stairways attached to the primary dwelling (Section 5.3 of the ESR Report), and can be inspected at any time during construction to check for proper Pin length, and the installation of level, intact piers. If you have any questions about this report, please call David Pereg or Nick Stoklia at the ICC, 1-562-699-0543, extensions 3275 & 3283 respectively, or call Pin Foundations at 1-253-858-3844. Thank you. PIN FOUNDATIONS INC 8607 5811 Ave NW Gig Harbor, WA 98332 / shipping: 2105 34* Ave NW Unit 30 Gig Harbor, WA 98335 + 1 Extreme frost heave acting on the Pins 9 r of the Diamond Pier system may result in minor movement of the Pin out of - the concrete "diamond" head. This can be seen on the right side of the head in this photo. % z _ The multiple directions of the embedded Pins however, ensure that any eccentric movement is inhibited. If one or more Pins is slid slightly along its length by frost heave, the concrete base and supported post a s will still remain stable and always be centered at the apex of the pin cluster. The "low-impact" nature of the Diamond Pier installation also helps to minimize the effects of frost on this new type of foundation system. By eliminating excavation, the Diamond Pier avoids disrupting in-place soils, minimizing drainage problems and protecting the insulating properties of deeper soil layers. This "surgical" approach to foundation installation, capitalizes on the strength of the in-place soil structure, and limits problems with the supported structure due to heave. For decks, porches, walkways and stairs attached to dwellings, (see IRC 403.1.4.1, exception 3, and ESR-1895), the Diamond Pier is able to both resist low to moderate heave pressures, and minimize the negative effects of severe heave on the integrity of these structures. This has led to a successful track record in a wide range of frost zone applications, in multiple soils types across the country. I HEREBY CERTIFY THAT THIS PLAN, SPECIFICATION, OR A REPORT WAS PREPARED BY ME OR UNDER MY DIRECT p1F~ r~ l SUPERVISION AND THAT 1 AM A DULY LICENSED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE x STATE OF MINNESOTA PRINT NAME: STEVEN A. SCHMIDT JXw~ SIGNATURE. DATE: 1021/09 LICENSE: 40502 fD/Zo~O~ Z-16 -7 N( f ' Diamond www.diamondpiers.com 253 858-8809 ph Pier O 858-8607f x r CAPACITY COMPARISON: Concrete Cylinder or Cube Footing to DP-50 Diamond Pier A.ll DP-50 Concrete Cylinder Concrete Cube 18"dia. = 255 sq. in. =1.77 SF 16"sq. = 256 sq. in. =1.78 SF RESIDENTIAL SOIL TYPES CAPACITIES IRC 2006/2009, Table R401.4.1 CYLINDER CUBE Diamond Pier® 18" dia. 16" sq. DP-50 2000 psf soil 3540 # 3560 # 3600 # Sands, silty sand, clayey sand, gravels clayey gravels, silty gravels 1500 psf soil 2655 # 2670 # 2700 # Clays, silts, clayey silts, silty clays sandy clays, sandy silts (1.77 SF) (1.78 SF) (1.8 SF Equiv. Bearing) NOTES: 1. Cylinder and Cube capacity are based on 12 inch depth into natural grade, or deeper cylinders, 2 to 4 feet down, formed in waxed or plastic forms to the full depth of the hole. 2. Allowable loads utilize 4 Pins per Pier. Pin length includes that portion of the Pin embedded within the Pier. 3. Tested settlement at design load is less than ''/z". See full report at www.diamondpiers.com. 4. Where the building official determines that in-place soils with an allowable bearing pressure of less than 1500 psf are likely to be present at the site, the allowable bearing capacity shall be determined by a site specific investigation. DP5000-3/8/10 PIN FOUNDATIONS INC 8607 58" Ave 1VW Gig Harbor, WA 98332 / shipping: 2105 34`' Ave NW Unit 30 Gig Harbor, WA 98-335 Ordifirotr of (Orrupaury Citp of eagan •oP}tOYband Of 3OS}itmm , M Ceruftcwe issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure wx in compliance WA the mucous ordinances of the GSty reguta6ng building conwwcdon or use For the following: SF DWG/GAR ma& ax" Na 212 O~+m~r'tYa R3 I z~a om;a PD/RI Type Cmn VN' O~or 10 EMIU N6 00 INC Addwo.5201 E RIVER ED, FRIIM 72 CAtTEW LT, DRIVEN L25, B1, Hr[T OF S11FIIMM 2ND 7/17/92 &Afflw g POST IN A CONSPICUOUS PUCE i~ INSPECTION RECORD Control " 019 5 " 'CITY OF EAGAN 1>,iwnrEn..r-ox DECK 09:/,W/e2 PERMIT TYPE: 3836 Pilot Knob Road '6741, TH©[E 282-8526 Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOTS 26 eLOcst 1 APPLICANT- 4#721 CAOSE*OILL OR N TN8' ■OTTf."..& CO 1*C HiL19 Of 8TONtF4RZDRE 290 (612) 671-411'Ft411 PER .,MIT&UBTYPE: TYPE OF WORK: new; INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING I~RanrNO INSULATION FINAL FIREPLACE ItENARKSs S N W CONTRACTOA - VALLEY PLOD Permit No. Permit Holder Date Telephone # S/W PLUMBING (J v HVAC/ 6~ yg Sfl~ (10 ELECTRIC ~,3°O ELECTRIC v Inspection Data Insp. Comments Footings I (7 /-yr/np /tG.v4GTF' G~a~~ G/~. ar1C Foundation Framing r' ;V /G 9s Rooting Rough Pibg.n /J~h /ry Rough Htg. f-✓/ '7f f' U P5/- _ Isul...2 92 ~.S Fireplace Final Htg. '/0 Orsat Test Final Plbg Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. q 6 2 Deck Final ! 9 y O Well Pc Disp. nddret : 4072 0AMONELL DRIVE N Lot 25 Blk Sec/Sub EMTg OF STONmRip(E 2ND These items were/were not complete at the time of the final inspection. Date: 7/17/92 Yes No jaspPetor, pip Final grade (61r from siding) Permanent steps - garage Permanent steps - main entry ✓ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ✓1 Deck j~ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. .pM va¢tw~orun White - City copy Yellow - Resident copy Pink - Contractor copy J ~ 6 1 >3 s ~o~ ~ eO Request Date Fire No. Rough-in Inspeglon c _ l Required? ready Now CIWill Nasty Inspector V G Yea ❑ No When Ready? I L?Tiicensed contractor ❑ owner hereby request inspection of above electrical work at: Joo Address (Street. ao Route No.) Gry D7~- b', Section No Township Name or No Rarge No County Occu nt (PRIN~~ Phone No Power Sir / ~"W Addre65 E(ecmc Contractor (Company Name) Contractors License No 3 Marling Address (Contractor or Ow r Making Installation) Authorized Signature (Contractor wne qfurg Visionation Phone Number 41, 3' 8/d MINNESOTA STATE BOARD OF ELECTRICITY' THIS INSPECTION REOUEST WILL NOT Griggs-Mldway Bldg - Room S173 BE ACCEPTED BY THE STATE BOARD 1921 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0900 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION 'y"`" + Eso ,-0a ► See instructions for romplehng this form on pack of yellow copy F sl /D,~ Q J'43061. X ~ " Below Work Covered by This Request ~t e Adtl Rep. Typeof Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Co./Industrial Furnace Farmmm Air Conditioner Other (specdyl Comradors Remarks' Compute Inspection Fee Below: # Omer Fee # Service Entrance Size Fee # CecurNiFeeders Fee Swimming Pool D to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use only T AL Irrigation Booms Special Inspection Vv Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. 'Y OFFICE USE ONLY This rx est void 18 months from - A 66~3 /OSSO7 Reluest Date Ire No ug rn Inspechon p e~pu/lretl? ❑ Reedy Now Will Noety Inspector - / 7/ lAr¢9 O No When Ready' I icensed contractor Downer hereby request inspection of above electrical work at: Job Address Ismset. Box Route No) City D7a ' . Section No Townslnp Name or No Range I Cou occupan PRINT) Phone No WE Power liar 0_ AOtlress Electrical motor ICgmpany Na ) ConVactor5 License No Y/(~/iCY- c 3~ Mailing A dress (Contractor or Purer Making Installatlon) Authorized Signature (Contract nOw r Making Ins Ilabon) Phone Number b 3- 3 e MINNESOTA STATE BOARD OF ELECTRIC) THIS INSPECTION REQUEST WILL NOT Grlggs.lAidway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Univerelty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION °"`tea Ee.oaoot-os le, j 43063 See instructions for completing this form on beck of yellow copy Q i is , "X"-Below Work Covered by This Request r•,~• ew Add Rep., Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (spealy) Contraclar9 Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circubs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps Signs Inspectors Use Only TOTAL Irrigation Booms C/ '73 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 Ill I, the Electrical Inspector, hereby Rough-in Dam certify that the above inspection has Fnal 9 Date rJ been made. „ OFFICE USE ONLY This request vmd 18 months from PERMIT Control No. 019 5 CITY OFEAbAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING 0021 Eagan, Minnesota 55123 Permit Number: 040/082/92 (612) 681-4675 Date Issued: SITE ADDRESS: 4072 CAMBERWELL DR N LOT: 25 BLOCK: 1 HILLS OF STONEBRIDGE 2ND DESCRIPTION: Building Permit Type SF DWG 8uilding'Work Type NEW UBC Occupancy, R-3 M-1 ' Construction Type V-N Zoning PD R-1 Building Length 56 Building Width, ` 50 . r i J REMARKS: S & W CONTRACTOR - VALLEY PLBO 7- FEE SUMMARY: VALUATION $171.000 Base Fee $888.00 MISrELLANEOUS $1,610.60 Plan Review $577.20 Tots. Fee $3,861.20 Surcharge $85.50 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $2,250.70 CONTAaQUNO Applicant CO INC 15710304 0001 3 7HERkOTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. I 1A'4 4 oil ! 11tH AP LICAN / RMITEE SIGNATURE ISSUE : SIG AT RE INSPECTION RECORD Control No. 0195 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000212 Eagan, Minnesota 55123 Date Issued: 04/08/92 (612) 681-4675 SITE ADDRESS: LOT: 25 BLOCK: 1 APPLICANT: 4072 CAMBERWELL OR N THE ROTTLUND CO INC HILLS OF STONEBRIDGE 2ND (612) 571-0304 PEUVIaj%UBTYPE: TYPE OF WORK: NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG _0A ' PERMIT # CITY OF EAGAN 0"41 1 ' 1992 BUILDING PERMIT APPLICATION 681-4675 f -9 ~ Rrca q & 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 when typing of permit is requested, but not picked up by last working day of month in which request Ts made or lot change is re nested once permit is issued. Date 'A / I_ / a2 Valuation of work Site Location: llc~'t2- ~0.w.Vln~ws-ll Dr;V'Q_ TI STREET STE # Tenant Name. ?0}-~1%+woA, CO. :p Ac_. LOT z~ BLOCK SURD. PLAT Z P.I.D. # 441115 oc S~aA rrd Carr Description of work: i!2!51 Q F v-.,r The applicant is: §toWner ❑ ntractor ❑ Other (Describe) Name 9 ok wt Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone Contractor Address License # 00013557 Exp.'S City State Zip Architect/ Company Phone Engineer Name Registration # Address City 11 State Zip Sewer & water licensed plumber VOfffq Q VMthan Processing time for sewer & water permits is two days once area has bee 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: o OFFICE USE ONLY DING PERMIT TYPE 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural .W02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE J~r31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R-3 M-I Basement sq. ft. MWCC System YES Zoning Pp-1 1st F1. sq. ft. City Water Es Const. (Actual) V~ 2nd Fl. sq. ft. PRY Required (Allowable) V- n1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code al Depth 0 On-site sewage SAC Code Of APPROVALS Planning Building D S Y 8 91 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee $88,00 vaiustim: s 1171,000' Surcharge 85. .50 Plan Review 5771 20 ! lASAG ZZX zZ= 484 x 46 =7144 License P,SnIT'. 33%Z MWCC SAC K 31 ; 1038 City SAC ~ap,0o 14%zx zo = a9 0 Water Conn. x'15 a~ K N = I I Z Water Meter gs,ao Acct. Deposit ~,0fl S/W Permit 3o,vo 1ST ~~ooQ ~y4OXl5~ boo S/W Surchargge Sb BSn+T= 14Yo Treatment Pl. 3 00,~~ Road Unit _33o,ac 3xex2= Park Ded. Trails Ded. IL4 x53= 7 , Copies ZNn ~~oa Other - Total: g I 31x34 _ SAC % 10a 1 q x 20 = ado SAC Units J_ 10)()`I=C1 .5 2$? t ~~l S3 I r7 * * _ uarft atMe*tts' Ma 55120 *PIONEER aans,9ns . OVL.19MMIles eiz) eat-1914•Fnx ties-94m eng naO ng "L° aMeaeS • ""O^r`1$ 825 High ray TO M9rthnaet ebbs UN 35434 * * * - (012) 7e3-tae0•Faif 783-1803 Certificate of Survey for. The d Compa- ~~C House Andress: amberwel! Drive North, Lg~an. MN.. Model Name: St. Andrews / / ty 09'39'17w w / ~ 49.1 ~ U r ~ r r ~r Yt Si ~ Y 1 ~ XV9 .01 / I / 0.0 `WELL OR R PMg~ By D ]KAGAN ENGINEERING DEPT; . OMP Demotes Existing Elevation PROPOSED HOUSE ELEVATION x< V90 Donates Proposed Elevation Lowest Floor Elevation: 884.85 _ Denotes Drainage & Utility Easement Top of Black Elevation: 892.98 - Denotes Drainage Flow Direction - - -a Denotes Monument Garage Scab Elevation: 892.63 -a- Denotes Offset Hub Bearings shown are assumed LOT 25, BLOCKS HILLS OF STONEBRIDGE DAKOTA COUNTY, )M4hW90TA 1 hor*Y OWWIP we Uw Vr W. corn s rwv: wp wwww by on s vWr.p dir.et U*4w" sM! tM I w Oeh fi~4Tr r~tl Lab Svgs ~ads/M Msd MISbN et ►trnafen. Dtted et.U31'.:'r OWOf In P'R43) A.D. 19`12- S c 1ksh-30 Rr K Ls 11lO.NG.LOIeL MnaOR F.uvEmj'F. AVERAGE "U" coKpirrATION ow"i ER, t SITE ADDRESS LZS, Vic, aF ~jrDtrrcaa,~a }~i 4T 2 CONTRACTOR Fo ILuNO GO, DATE. PRONE Determin working square foota,.c of each. 1. Total exposed wall area ft.. 0.11 2. Total roof/ceiling area sq. ft. x e .,026 = c~1 • Total exposed wall area above floor 1 a. Total wall window area 4F77(0.3 b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 1000) f. Total net call area above floor . L g. Total rim foist area J Total exposed fotmdation area = 1 y~ h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall segment. a. 4a( q- ~J x ,.U„ D.42 = 2.04, b. 50. 1 x ,.U„ Ott: ° - 8.(0 c. 39,9 x „U„ d. x „u„ e. 3 z<P,S x.,,U„ Z9.0 4 f. 3,?, 7 8x „U„ 0,0 3 = 1'2 J1.'J~ h. x ..U., 21o. 7;;, 3. Tot.a7 j ,I. p \1 If item N3 is the same as, or less :.hen .item #1 you nave-menthe intent of SBC 6o06(02. f Total exposed roof/ceiling aren = / ✓ Total . gross roof/ceiling area Total skylight area ~r k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area _ Determine "U" value for Inch ruuf/ceiling scEpucnt'. J. x nun _ 4 . Total = J If total of N4 is the same as,'or less than N2, you have met the intent of ssc 6oo6(c)1. To utilize the total envelope system method, the values established by the sum of items #3 and 64 shall not be greater•than the sum of items B1 and 12. 1. + 2. _ 3. + 4. _ r v :-UPcI.U~ GAI.GUI.ATIDt~ ~GoNT~, ~jzAM~ Witt-~. C~ •(N~I-II-ATIoN LoMI'ONf%N~i . R-~lALUE - QJ 04-T!~IM AIFL faW 01P t 0.45 IS10E~ Pd(L 1=1~M, :Co'O G Fr,%= 2 3 . a I = U~ R~aI, CMG W4L C. 6; VV LOMFONrlNTg F--VAW5 1 'J 3 C31' 67H~ATHJNeO. 12 IOU 4 of xc• hran(PPpM o) -7 .-iS - " Co' INSIP5 MIZ HLM.. - 0- ~c _ p N. view I =L~J►dP>. IIU = 0,12 X o.0~9~ t(o.Sb X o•043> = off- I.M 2Q O ~~:FI~? (AIM aCllh . _ 1.85 i 6 2 O5 DING-- - -o; /U / ~ e ~if . O•D~t . ~~IND~`(1dN ~ . ' 3 R;P: C Cam' -~a:_~ M a - ~ , 13 12.1;1 i I x.13 /r'L /2.l3 I 2 012- a a o::: Rk. 3 4 s R =~~-8.3 - - - - = 0.027 u ~583 I 2 O~c1E==FI~dV -0il: f1=--- O ~ Y- 41 x{5,0 a I L CP5 BL / CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD/JA ~l 07~ (612) 681-4675 RECEIPT DATE 15111 91..7- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON t SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 fo OWNER NAME: LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY SITE ADDRESS: U y1a c-AV.1a.2 1 1 10 TRAY 3.00 w z n .J HOT OT TUB/SPA TUB/SPA 3.00 WATER HEATER 3.00 L FLOOR DRAIN 3.00 INSTALLER: i1~ t'l GAS PIPING OUT. _ /y (MINIMUM - 1) 3.00 3 ADDRESS: ~zd l%A~eP~1C ROUGH OPENINGS 1.50 _ OTHER _ CITY. WATER SOFTENER 5.00 ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE / W. TURNAROUND 15.00 / STATE SURCHARGE .50 IGNATURE OF PERMITTEE TOTAL: S 7 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 4o? ClipL'1y7lt DATE: S STTfiT' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION :a FEES NEW CONST l~ ADD-ON MINIMUM $15 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM .00 OF 1 PER PERMIT OWNER NAME: /U /y SUBTOTAL: SITE ADDRESS: y(/ 702- C26JV. STATE SURCHARGE: .50 LOT: BLOCK SUBD./ tZU/ - TOTAL: $ 0? SC5 INSTALLER: FLARE HTG. & A/C, INC. ADDRESS: 9303 Plymouth An No S TORE OF PERMI Golden Valley AN, 55427 CITY: / PHONE SYo2 ' ~OAxt4ELi.I.AZjNbiTSTtAT`: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT # CITY OF EAGAN REACTIVATE _ 1992 BUILDING PERMIT APPLICATION SEP I RECD 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typingg of perm it is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date Valuation of work Site Address: 07.2 ,GA-/YIN /Z 3 STREET SUITE N Tenant Name: (commercial only) LOT OL. BLOCK SUBD. P.I.D. M i[tS a tr dctQ•?/ Description of work: n ELI< The applicant is: -R DWner ❑ Contractor ❑ Other (oescrlbe) Name _ 77r 7& ,J,, ~ Phone Q P- RZ - a Property LAST FIRST (s $G-loaa°) N Owner Address C)?a /J STREET STE « City C;o4.o~ State Zip ssrao~ Company SFL~ Phone Contractor Address License N Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approve g. I hereby acknowledge that I have read this application d state that the information is correct and agree to compl3wi all applicable St f Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Pioneer Env ~ne¢r ins 6ea44ss P.04 _ . - 2422 Entft'00" Orlve =t Mendvto Heights, MH 55120 * PIQNEEIXI w+o sixtc.ans • ovti orcNEds (612) 681-1914•Fax 661-9466 * f~T eT, ww gywus. uamac+ee: txaxxriEm 625 Highs )r to NeAheast * Maim MN 55634 * # * (612) 783-1860•FM 783-1803 Certificate of Survey for. The ottlund Q= aD_y House Address: Camberwell Drive North. Eaaan. MN„ Model Name: St. Andrews i i N pg'39~t7" W f 49.5 sl l \ t \ s 4 n e) r^- I ' V ~ \ std v~_ W J 9~aaa ryty u l \S o~ ~a 1b~ P / 'Ps R c - 7`~ohe- . ew,o Denotes Existing Elevation PROPOSED HOUSE ELEVATION •410 Denotes Proposed Elevation Lowest Floor Oevotfon:884.85 - Denotes Drainage & Utility Easement Top of Black 0evatlon:B92.96 -Denotes Drainoge Flaw Direction - C,- Denotes Monument Garage Slab Eievafiion:892.63 -i9- Denotes Offset Hub Bearings shown are assumed LOT 25, BLOCK 1 HILLS OF STONEBE DGE DAKOTA COUNTY. MINNESOTA -PLAT 11 y .0fY diet thO turvry. DI.. ar r.f> m.PW !Y ~..r a u rary4i tup~~erv,,ymn uftl tmt 1 am QW V R.VMNd Lmtl burpynr uMw atl>.ra of lNeSlats Mlxnnnoea. Wted U:hrv'l~ Jwof yy.. A.D. 7M FLir Scale: 1ies-h=30 et eDYE g DREG. ND.tYft ® 69194.26 -70 00 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVRepair Requirements i imbeonly 3 registered site surveys showing sq. N of lot, sq fl. of house, and all roofed areas 2 copies of plan GeROf stwvey°R'add" (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres=Plan Recd ;-_:Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres-Required % I set of Energy Calculations Addition- indicate donsde septic system Desile septic System .'.-•_Y ,..:N 3 copies of Tree Preservation Plan if lot platted after 7/W3 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date l / Construction Cost t5 1 15co- ~ Site Address II 0 1(A(CUY-\CleY 1ot,I D\/ • Q - Unit/Ste # Description of Work JCeCw l~ 1/2 VD Multi-Family Bldg \ - Y NN Fireplace(s) - 0 - 1 - 2 Property Owner J UCH A WJ t It T1 1 Y oyY Telephone # (&15t ) (e:R C, - (p oZoZ~► Contractor e W ty- Address a' o i 7 / ~~rC S City I rr-t-- State \ K) Zip G3-~ylp Telephone#(6l,Z) S31 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeo1y 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the ON of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which re tires a review and l L~ approve of plans. 8 r- C) Appli is Printed Name Applicant's Signature I PERMIT City of Eagan Permit Type:Building Permit Number:EA117188 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 4072 Camberwell Dr N Lot:25 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-250 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Angie Olson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael R Auel 4072 Camberwell Dr N Eagan MN 55123--391 (651) 760-3828 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117196 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 4072 Camberwell Dr N Lot:25 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-250 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael R Auel 4072 Camberwell Dr N Eagan MN 55123--391 (651) 760-3828 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162223 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 4072 Camberwell Dr N Lot:25 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael R Auel 4072 Camberwell Dr N Eagan MN 55123--391 (907) 315-4497 New Windows For America 2123 Old Hwy 8 NW St. Paul MN 55112 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162223 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 4072 Camberwell Dr N Lot:25 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael R Auel 4072 Camberwell Dr N Eagan MN 55123--391 (907) 315-4497 New Windows For America 2123 Old Hwy 8 NW St. Paul MN 55112 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166096 Date Issued:12/11/2020 Permit Category:ePermit Site Address: 4072 Camberwell Dr N Lot:25 Block: 1 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-01-250 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Robert Auel 4072 Camberwell Dr N Eagan MN 55123--391 (651) 604-8276 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature