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4052 Camberwell Dr N? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 TION RECORD PERMIT TYPE: SITE ADDRESS: f 11 t I I c 1 1, , ? i1l 1 1`? ai? ? f t?i4t lSf? kld€i! °?T?ii SUBTYPE: I NfF ; APPLICANT: I 9 f h 11 TYPE OF WORK: r rH Aii ? Permit No. Permit Halder Date Telephone # SNV PLUMBING HVAC ELEC7RIC ELECTRIC Inspection Uate Insp. Camments Footings I Foundation Framing Roofing Rough Pi6g. Rough Htg. Isul. Fireplace Final Htg. brsat Test Final Plbg. Plk,g. Inspector - Natfij Plumber Const. Meter I Engr./Pian Bldg. Final Deck Ftg. ELaC Deck Final ! ?? r well Pr. Oisp. . ?? .. `? . ? • ?l titp of Cagan lgpparftPtit pf WU0itt#JtlWptftDtt Tlris Certifrcate issued pursuant to !he requirements of Seclion 306 of the Uniform Building Code cerrifying that at the ti»ve of issuance this structure was in comp7iance witk the varrous ordinances of the City regulating building conctruction ar use. For the following: Use Ciassifiration SF QW,GR &dg 19297 . Ftrmit No. OccuABncY TYPe 3 2ooong Distria ? T Convt. ?---- -r ^--?.._ (?X HCIES . .. 5q24 BAt?[t?OAD, MTflMCOWA B.0119 AM? -. _ .? ..?.??,.?...?.? ..?,..... ? ?uryL., ...., ... .. POST IN A CONSPICUOUS PLACE Y, . ., ' .._.. ? CIl 3830 Pilot Knob Road PF BUILDING PERMIT ? To be used for Slr DWGI('rAR Est. Value Site Address 4052 CAMHSRii6LL DR N Lot 1 Block 3 Sec/Sub. ?IL_ i Parcel No. S??O? ` W Name CEN'CR7[ '?[3?tES 3 Rddress SQ?? ??R RD 0 1..,.. .e?r...,._....?,..... ..1_ wwrt - ? I City Phone - I hereby acknowlege that I have reao this applicatio information is correet and agree" to Xomply with all Minnesota 5tatutes and,City of Eaga lh Ordinances. i Signature of Permitee ^ ? A 8uilding Permit is issued to: CFt3 '1'1?Y nn tha AYnrP..ac rnnriitinn thal all wnrl r chnli ho ritino ir r, f : state DF EAGAN v - ? ? ? ?:•?, ^.? 7. Box 21-199, Eagan, MN 55121 IE:454-$10Q Raceipt # , j ?32 OO Qi Date JM 21 , i OFFICE U5E ONLY i Occupancy ? 3 ]?-- 1 FE ES ? - PD Rr1 Zoning 5 (Actual) Const Bidg. Permit 732,00 ,i (Allowable) Y? Surcharge 3 # 01 Stories - ] ? Plan Review "8•00 9 Length Depth 35' SAC, City 100.00 S.F. To1a1 - 650 00 ? SAC, MCWCC - i S.F. footprints Water Conn 66d• ? On Site Sewage _ J On Site Well Water Meter ? Q5+00 ? MWCC Sysiem x j 0 3 City Water ?x Acct. Deposit 0.0 PRV Required _ S/W Permit 30•00 :j [hat the Baoster Pum P _ SM Surcharge ? •50 Yi itate of Treatment PI 276•00 ,j ,?, ,•,.. APPROVALS RoadUnit 370•00 ? Planner - Park Ded. '' with all Council ' gldg. pff. Copies ? Variance - TOTAL 3y517•? 1 Permit No. Permit Holder Date Telephone # WATER ?`D()v? ? `?1I SEWEFi PLUMBING e&d.,. H.v.ac. $ 7/9/ G fG 7 ELECTRIC Inspection Date Insp. Comrnents Fooiings I 61? 2 Foundation 9_ 3 Framing ,lJs' Roofing Rough Plbg. Rough Htg. ?G Isul. Fireplace Final Htg. Orstat Test Final PWg. Plbg_ Inspector- NoG(y Plumber Gonst_ Meter Engr./Plan Bidg. Final ? r Deck Ftg. De`ck Fnal Well Pr. Disp. SEWER BeWATER PERMIT ?i C1TY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1E$7 I DATE -;I."' 1?"",ri. I SITE ADDRESS 14059 Cat IF ? LOT - BLOCK 3 SECISUB APPLICANT: ADDRESS:_ CITY. STATE ?OF/? F CE USE ONLY METER #-? '-' ? PERMIT DATE 96/21/ 91 CHIP # 4 PERMIT # 3 2ti32 METER SfZE B.P. RECEIPT # C 111-102, 1SSUE DATE B.P. RECEIPT DATE i% 1! 21 ? ZIP PHONE: ' ? ? .? PLUMBER: ADDRESS: CITY, STATE ?`??''i.,?--G?'?i;1?-??• ZIP RHONE: 423--11F9+ _ PRV - BOOSTER PUMP PERMIT REQUESTED %?- SEWER _ COMMlIND NEW X WATER TAPS _ RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit Uafltt NOT be given tor Deduct Meters_ .- i ,I i , tY Y. r i'c_:'a ' ,.F ?- _ ?.?o I ta `?y -r" •'t. ' I AGREE TO ` LY'W H CITY F OWNER: ??NTFX BUMGS --• EAG PkORDIN N ES ADDRESS: 5929 BALtER kD CITY,STATE 'f=1NNE'I'(:NT<F1 ;ZIP 55345 RHONE: SIGNFA URE WHEN METER ISSUED _.:,?;,? PLEASE ALLOW TWO WORKINd dAYS FOR PROC?SSING. CALL 454-5220 SEWER PERMITS, CONTACT ENGINEERING DEPT. FOR INSPECTIONS. FOR STORM SEVyER & lVATER PERAtIET OFFICE USE aMLY CITY OF EAGAN 90 METER # ' PERMIT DATE , 3830 Pilat Knob Rd. Eagan, MN 55122-1 CHIP # P.ERMIT # ??????? METER SIZE B.P. RECEIPT # C 14102 1ULd -21 19;1 ISSUE DATE B.P_ RECEIPT DATE (1 12 1191 : . DATE - PRV - BOOSTER PUMP SITE ADQRESS 1L05-2 CAMBERWE„L L DR 1 PERMIT REQUESTER LOT-I BLOCK ? SEClSUB HJ T fS CF V?ONEBRtPIGE 3,Eti) „ . ? SEWER WATER TAPS APPLICANT: . : ADDRESS: COMM/IND N, RESIDENTIAL CITY, STATE ZIP X _ NEW - EXISTING J PHONE -' , '7z - Lawn Sprinkler Meters are to be Installed ', PLUMBER: Ahead of Domestic Meters on Water Line. ' ADDRESS: 929o-°-???wa-4, m a??????az w. Credit :WILL NOT be given foT Deduet Meters. `.` CITY, STATE PHONE: ?:•93,-:.2??7.?a• ?.,.??,,? ZIP r°`:?F;r?'fc•,.?n.:,`'?? ?+?--111?4 y , ,r ti ??..., - r l AGREE TO GQ PLY/WITH CITY OF " OWNER_ C::NTFX f143MES EAGAN ORDINANCE S AdDRESS: 5929 BAV:,ft R't} CITY, STATE ?IN1+iETCsNi';A UN ZIP 5534t5 PHQNE: 036--7833 SIGNATURE WHEN METER ISSUEU PLEASE ALLOW TWO WORKING QAYS FOR PROCESSING. Cl4LL 454-5220 FOR INSPECTIONS. FOR STORM , SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 4052 !'.???T DRIVE N. Lot 1 Blk 3 Sec/Sub HILLS pF S?'RRTm,F' 3RD These items„were/weie not complete at the time of the final inspection. 11/13/91 Yes No Fina1 grade (6" from siding) 7 ? Permanent steps - garage ? Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/cutb damage Porch Basement finish E? Deck Please verify with the builder the removal of roof tast caps from the plumbing system and tha shut-off of water supply to the outside lawn faucet before freeze potential exists. i? x[c.aeonnn 4lhite - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN Np 19297 3830 Pilot Knob Raad, P.O. Box 27- 199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor SF DWG/GAR Est. Value $132, 000 Date JUN 21 , 7991 Site Address 4052 CAMBERWELL DR N Lot 1 elock 3 SeGSub. HILLS OF OFFICE U5E ONLY Parcel No. occupancy R-3 -M-1 FEES PD R-1 Zoning W Name CENTEX HOMES (Ac(ual) Const V-N Bldg. Permit 752.00 o Address 5929 BAKER RD (Allowable) V=N 66 00 surcnarge . City MTNNFTONUe phone 936-7833 xoisiodes 56, Plan Review 488.00 Lenglh F Name SAMR Daplh 35 ? SA0. Ciry 100.00 i Address s F. Totai 00 ?50 u SAC,MCWCG . - ? City Phone S.F.FoolpriNS _ Waler Conn 660.00 On Site Sewage _ ?u Name On Site Well Water Meler 95.00 s? AddreSS MWCCSystem X ? Aa?.DeP°Sd 30-00 a City PhOne Cirywater _x 30 00 PRV Reqwred _ ShY Permit . I hereby ackirowlege that I have this applicaUon nd state that the Booster Pump - SNJ Surcharga .50 inlormation is correct and a to omply wit all pplice6le Sta1e oi Minnesota Statutes a, iry of Eag Ordinan s. Treatmenl PI 276.00 Signature of Permitee APPROYALS Road Unit 370.00 A Building Permil is is5ued to: Planner - park Ded. on the express condition that all work s he d ne in accordance with all Council applicable State of Mi nnesota Statutes Cit af Eagan Ordinances. g?, pn. _ Copies ? Building Ofliaai T,( Q? I1 (?.Pll1, H _, ? Vanance - TOTAL ,nai u, 1991 DATE: ? -- re 4052 "CAl1BEHiiELL DB N (CENTEX HOMES) RE: . 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 following reasons _ Your Sewer & Water Permd for the above properry 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) before issuance WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURNON POLICY. Secretary, Building Inspections Dept. 5 9 7/ 1 986 / 3 • Fequest Date Fire No Rougn-m Inspec[ion 62 mretl7 ? Ready Now ?1 W?II NoOfy Inspeaor 5-$-9?- ? yes ?= No B When Ready? I% licensetl contractor D owner hereby request inspection ot above electrical work at: Job Address (SVeet. Box or Route No ) Pay 4052 Camberwell Drive Eagan SecLOn No Townsnip Neme or No qange No, COVnry Occupam IPRMTi Pnone No Centex Homes Corp Power5up0iler Atlqress Dakota Electric Eleclrrcal CoMractor [COmpany Name) Gonirectors 4cense No Lazer Electric, Inc. 041935-8 MaiLng ntltlrass iConrcacmr or Owner Making Invtallation7 83,83 $}ipgQt Roar3 N Avibon2etl Signature (Conpaclor?Owner Making Installationi PM1One Numbar n _ J )= /1& 784-3729 I MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPECTION REpUEST WIIL NOT Grigge-MiGway Bldg. - Room 5473 BE HCCEPTED BV THE STATE BOARD 1821 Umvers0y Ave., 51. Paul. MN 55106 . UNLESS PROPER INSPECTION FEE IS vhone 1612) 641 ENCLOSED S'/C?`/9/ REQUEST FOR ELECTRICAL INSPECTION ? See insimctions lor comple?ing this form an back o( yellow copy j n-('j i "X" 8elow Work Covered by This Request t o EB-00001-Oe I / /O/ J ! d ew *Adtl' Rep. TypeofBmlding App6ancesWiretl EquipmentWiretl ]{ Home Range Temporary Service Duplex Water Heater Electric Heating ApL Bwlding Dryer Other (Specity) CommJlndustrial Furnace Farm Air Condrtioner Other(syecity) Contracmr§ Remarks Compute Inspechan Fee Below: # Other Fee # ServiceEntranceSrze Fee # CircutlslFeetlers Fee Swimming Poal 0 ro 200 Amps 0 to 100 Amps Transtormers Above 200 - Amps Above 700 _ Amps Sgns ini use oniy TOTAL Irrigation Booms ?6• 86.50 Special Inspecllon Alarm/Communication THIS INSTALLATION MAY 8E O RED IS NyECTED IF NOT Other Fee COMPIETED WITHIN 18 MO ? I, the Electncal Inspector, hereby certify that ihe above inspection has been made. ? OFFICE USE 3NLY ThR reQUesl voitl 18 months Imm .. x / S/ in -5 // 3- e ?31?027 / ,? - ?o°? Requesl Date ? Fire No Rout h-in Inspection Re +ired+ _Yes L No ?/1 ? ReaOy Now y"EWill Notdy Inspector [ ?yJhen Peatly+ I licensed contractor ? ow r hereby request inspection of above electncal work at: o? AOtlress (Sheet Bpx or Roule No Qry ^ G Semm? N. Townsnip Name o qange No. Counry OccupantlP ? Phone No Pawer SuDPli2? ? % V Atltl?055 Eixmcai Co a m ?COmpany -nn¢? Comractor5 Lsenu No. Matlmg A tlre omracror er Making Nsuillaliont /" Amnon_LL-C+ red Si j e ,I?Con4actov/pw,nq?Maein/g?Installalionl --_Ll? ?id?? Phone Number --- L MINNESOTA STATE BOAPO OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Gnggs-MlEway 8109. - pwm 5473 , BE PCCEPTED BY THE STATE BOARD , 1821 llnlversity Ave.. St Paul. MN 55100 UNLE55 PFOPER INSPECTION FEE IS Phone (611) 6EE-O800 ENGLOSED 7/8'q? REOUEST FOR ELECTRICAL INSPECTION ?? ? See?nshmctionsJOr compleLng IDis form on back ol Vellow coOY i ?i "X" Below Work Covered by This Request '•y.?m E6-OOO01-08 0. 301?'? *?` ew %dd' Rep TypeofBmlding ApphancesWved EquipmentWiratl Home Range Temporary Service Duplez Water Heater Electric Hea[ing Apt Builtlmg Dryer Other (Specdy) Comm.llndustnal Furnace Farm Air Conditioner Olnerlsuealy) Conrcaclors Remarks Compute Inspedion Fee Below q Other Fee # ServiceEniranceSize Fee # Circwts/Feeders Fee Swimming Pool 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abo _ Amps SiSOS InSpedars Use Onty. Irngahon Booms Speaal Inspection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, here6y Rough-in oate certify that the above mspec6on has been made Final oate OFFICE USE ONLY ? Ths request voitl t8 monib5lrom , ?qto ,.. 5 ti 1 RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsVUdbn ReautremeMa • 3 reglslered sile 9urveys showing eq. ft ol ht, sq. fl. of house; an0 gU roofed areas (20% mapmum bt coverage elbwetl) . 2 capies of plan showing beam & wintlax slzes; poured found tlesign, etc.) • lsetofEnergyCalculalbns • 3 copie& ot Tree Pre6Brvetbn Plan il bt pletted alter 7/1l93 . Rim,bist Depil Oplbns selectlon aheet (Dklgs wXh 3 or less unAS) DATE 6' 11 ' ? pamodeVRaoair Reaulremenle . a wples of plan • 7setotEnergyCelculatbnSfOrneetededAftims • 7 sae survey Mr exterbr atldMbns 8 deGcs . Indk;ate tl hane served by septlc syslem for additions VALUATION T / ?J7DO Yo S 2?'?+7n/S&Ywc l/ /?r)ve _ MULTI-FAMILY BLDG _Y ?N FIREPLACE(S) ?0 _ 1 _ 2 APPLICANT eY» nRililIrC Con f>9cto rs ?? SiREET ADDRESS 12 ;2 `l'T Nico/% f4v e, !9o . CITY&r.a?ffvi/Ie STATEM,t/ ZIp 653 37 TELEPHONE # 99Z-7o749s"9 CELL PHONE # 6'P?ti?Lt?(1?Aa' FAX #_ PROPERiY OWNER 401 Morn 1! Fli ZA?-A TELEPHONE #?s 1.29 COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submisslon typa) • Residentiel Ventiladon Category 1 Worksheet Submltted • New Energy Code Worksheet SubmiHed • Energy Envelope Calculationa Submitted Ptumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhacfor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge That I have read ihis appiication, state that the Information Is correct, and agree to comply with all applicable State of Minnesota StatuTes and City of Eagan Or ances. Signahire of ApplicaM OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 44 ,jps .? (-I eL ? RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF encAri 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlon Reaulremente • 3 regislered stte smveys showhg sq.1t. ot bt, sq. R of house; an0 gp roo1eA arees (20% mexMum bt crnerage albwetl) • 2 oopies oi plen showtrV beam & window sizes; poured lountl design, etc.) • laetofEnergyCakulations • 3 copies W Tree Preservatlon PWn tl bt platted after 7/1/93 . Rim Joisl Detail Optbns selectlon sheet (bqgs wiN 3 ar less untts) DATE a' 1 I ' . 2 coples of plen • 1 set ol Energy Celnilatlons Wr heated additlons . 1 stte survey for Merbr addllbns 8 decks . IMicetB if hane aened hy aeptic system for e0ditions VALUATION 't '' SITE ADDRESS 5H05 a. Cq&2,6erure /I & vi ve- MULTI-FAMILY BLDG _ Y ?N NPE OF WORK 19eA)c Ce S; c?r'rr?, A.? {-? g?- FIREPLACE(S) ?0 _ 1_ 2 APPUCANT 47I7GV'ican ?ik??? ?? ?ori ftrlCfo rs ??1 STREET ADDRESS I iV7 N1Go /1Ef Ave, So, CINBorn.svi& STATE,A4A/ ZIP S3 7 TELEPHONE # 95?•707-695S CELL PHONE # FAX #957- ?? PROPERTYOWNERra-n-n arP//.0 WW,q?„gilf G,1jz4lao1-h TELEPHONE# lW-1-L88-41.19 COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submiasion lype) . Residentiel Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalcuMons Submiried Plumbing Conhactor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone A Phone li Fee: $90.00 Fee: $70.00 --------------------------------------------°----------------°------------------------------------- I hereby acknowledge that I have read ihls application, state That the information is correct, and agree to comply wHh all applicable State of Minnesota Statutes and Cify of Eagan Ordinances Signafure of ApplicaM OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # L.awn Sprinkler No. of R.I. Baths Certlfiptes of 5urvey Received - Tree Preservation Plan Received _ Not Required _ Updeted 4102 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32992-010-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 4052 CAMBERWELL pR N LOT: 1 BLOCK: 3 HILL3 OF STONEBRIDfiE 3RD DESCRIPTION: Bufldilr`gLPermit Type DECK ?'vilding 4io4k Type NEW r-' 1\ `e.?alJ?V o? acogun REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: ? UYLOING 021924 09/10/93 - ^pPitc:ariL - G9WNE HNAIt?LLI WILLIAM 4052 CAMBERWELL DR N EAGAN MN 55123 (612)688-6129 I hereby acknowledge that I have read this application and state that the infarmation is cerrect and aqree to comply with all epplicable State of Mn. SCaCutes and City o7Eagan nrdinanoes. fi.??111a AP LI ANT/PERMI7EE SIGNATURE hSS ED B: SI NATURE? INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 1 4052 CAMBERWELI OR N HILLS OF STONEBRIDGE 3RD PEqFfl SUBTYPE: I F- IL PERMITTYPE: BurLoxNG PermitNumber: 021924 0 9/ 10 f 9 3 Date Issued: BLOCK: 3 APPLICANT: GENNARELLI WILLIAM (612) 688-6129 TYPE OF WORK: NEw ;. -- REAL; ?'lATi _ G-' L?, ?? ? ?N I? DD CITY OF EAGAN QEwMiT t FP 0 7 1993 993 BUILDING PERMIT APPLICATION ?? .5 fl 1 7 ' 881-4675 1 ------ ---- Q a? SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. ; COFMIERLIAL 2 sets of architectural E structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: i) when Permit is typed, but not picked up by last working day of month. d or 3) lot change is requested once permit h dd i ange s c ress in which request is made, Z) a is issued. Date q 9 _?k Yaluation of work Site Address: LIa5A Ambe,rWe-LL nr ? - iiREEi fU1TE 1 Tenant Name: (commercial only) I,pT BIACK 3 snsu. N;1,LS ? I.D. M ' R q Descri tion of work: ecl<_ The appl icant i s: IM Owner ? Contractor ? Other co..o?ibe>. i ARLILL: WiLL; qm -r? Phone Ge rvn Name Property L•ST fIRST Ly Owner Address y05a c-Arv\becweLL nR STREET :TE r City ?fl6RiJ _ State 'IY1'(J Zip ? << Company Phone Contra ctor Address License d Exp. City State ZiP Company Phone ArchitecU Registration M Eng(neer Name Address Lity 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 f Minnesota Statutes and City of correct and agree to comply with all applicable e o Eagan Ordinances. Signature of Applicant: ?-? en g ?r L11N0 M.I1HN[IIy • Certificate o( Survey for: CeNTEx ,? pA R K OoRTNV'G d_ ?°z?' o?•' c: r,q.ss 2422 Fnlrrptise Drive Mrndota i tcigbls, MN 55120 -(612) 681-191 No,? e s . ? lJORt N RoAt? ? a ? ? R:7zl•69 _ .? ^ -1? ? e° t 2 I I I /s 873.0 ro ? I. 17- co 40.j3 o - ?o $78•y' N M M ' 15 v? I l`w" PQoP a No"SEEn ? 195.1 .A N m O 15oL ?.3i ?o e7' SaItO 'F 0. ? 4,1 .r c.o-r 1 bsz. . I? - 979.57 S ? ?QB, t'p I? _? ?_ ? • ? M .? ? SlJ"Cf Q. a: 15•f3'a6" t_ 2?7ar 88?___. g 6.7 -B)Lq ?. ??,,\,flfLVLA-. CAMBERWE?? 1-10sa GnM6erweUL Qr rv ?L Io 6 Ail 5-Yl ?-3 ., ??.. ; n.. ..? . ?, • ? '• .?' ? ..? CITY OF EAGAN 3830 PILOT &NOB ROAD EAGAN, 1+IId 55122 PHONE: (612) 454-8100 ... .: ??? FOR CITY USE ONLY PERMIT # RECEIPT # DATE: -S ? PLEASE COMPLETE UPpER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN pE&MITS ARE REQIIIRED FOR EACH DNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: ax.rL 46j e-A-? SITE ADDRESS: LOT_:_./- BLOCK La SU3D. ? -? INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. nDDRESS: 14745 South Robert Trail cITy; Rosemount, MN zIP: 55068 T::oNE (612) 423-1144 ,-, /, n S PERMITTEE COMPLETE THE FOISAWING: N0. FIRTURES EA, TOTAL ADD-ON MINIMUM 15.00 I SHOWER 3.00 3 WATER CIASET 3.00 u? BATH TUB 3.00 ? LP.VATORY 3.00 ? / KITCHEN SINK 3.00 ? ? IAUNDRY TRAY 3.00 L HOT TUB/5PA 3.00 ? WATER HEATIIt 3.00 ? ? FLOOR DRAIN 3.00 GAS PZPING OUT. ? (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 Sb oTHER _ WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 C SUBTOTAL S S,S s ST. SURCHARGE .50 d1? TOTAL: S PLEASE COMPLETE THIS PORTION FOR ALL CONl1SERCIAL/INDUSTRIAL BIIILDINGS AND MULTI-FAMILY 80ILDINGS 6THEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK SUBD. INSTALLER: ADDRESS:_ CITY: ZIP: PHONE #: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMOM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ $ FOR: CZTY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 7 31-91 3830 PILOT KNOB flOAD EAGAN, 1SN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D .3 ,...:.....,, . , ... W9DATE : / PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST x ADD ON _ REPAIR _ OWNER NAME: CENTEX HOMES. FEES SITE ADDRESS: 4052 Camberwell Drive LOT:1_ BLOCK 3 SUBD. H3l1s of Stonebridge 3?d INSTALLER: RAY N. WELTER HEATING C0. ADDRESS: 4637 Chicago Ave, So. CITY: Mpls „ MN. zzr: 55407 PxorrE #: 825-6869 ZIP: T,NPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $-222-00 STATE SURCHARGE: .50 TOTAL: $ 33.50 / / SIGNATURE OF PE SITTEE FEES 1$ OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR EACH $1,000 OF PERMIT FEE. FkOCESScu FIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ $ CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PIANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS 1991 BIIIJ? NG P?ICATION CITY OF EAGAN M[TLTIPLE DWELLINGS er R COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (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: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS „a,??.. _ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: ?.ajZ?Cx?UFT Date .? . Site Address Lot / Block ? H1 L.LS o1= Parcel/Sub ? Owner Address City/Zip Code /?'??,/? /f'//(s' JJJy Phone ?FS5L- 7933 Contractor Address City/Zip Code JUN I 71991 USE ONLY Occupancy L-3 /V-/ Zoning PD i2 -/ Actual Const //_ti/ Allowable ?-? # of stories Length _T Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water ? PRV Booster Pump _ APPROVALS Phone Planner Council Arch./EnQr. &f2SP zle-i? Bldg. Off. iVariance Address City/2ip Code Phone # ? (Signatur all applicabl, FEES q C'a 00 Bldg. Permit V 7 Surcharge 61g,? Plan Review ,Ce- SAC, City Jr?c,co snc, riwcc FBo.I - Water Conn. &Ed.o O Water Meter 9S.6,% Acct. Deposit :Ro,c?; S/w Permit S/W Surcharge 15C Treatment Pl. Road Unit 370,42 Park Ded. Trail Ded. Copies SUSTOTAL Penalty Lot Change _ TOTAL that all work shall be done in accordance with Stati of Minnesota Statutes and City of Eagan Ordinances. ** *it * * Certiticate oi Survey fo?: CeN,-EX 2422 Enterprise Drive Mendota Ileights, MN 55120 If 1612? 681.1914 NaNAEs PA?K RaPo? ?,JoRTH v?EvJ a ? . ? R:9z1•69 - ? ?'?? o f ? ; eye ? i1 ?l ?, y'? 1 a I I b ? N O I ? y ..i 4 0 '46 /?/ S 7;. D Q uottrN $7 . ?2dz T 56.0 _ ? co 3opij a -T 2e, M ' f5 ? ? PQovosen ? I,k N ko.rSE ? 19.6? ! ? ? ? 9no.oo ' Denofes fxistin¢ f/cvafions ? _ oo.oo Dena¢es Pronosed Elevotions -?-'- Dmofcs Orolno e f?UIdN?y fasemen{ - - Dtno%s Drtirino?t Flow xJrraws o pinofrs Monument Beolinls shown ort agumad ? ? M N O \ t?;? ? ? ?. ? ?GiN?E.?I DEpT &PoSED Nous£ E[EVq_r70N5 Lowest f?OOr flevofion B757, o ??p q^e/ock Elevolron 883. o[o Gor*S/ab Elevafinn 9582..73 o DFnolcs o ,f'sef Nub LOT BLOCW 3, lIILLS OF STONEBRIDGE 3RD ADD. DAKOTA CIX/NTY, MlNNESOTA I hereby tertlly thot (his survey, plnn Or rppprt q?s?pr??f nred by me pg? unAer my dhetl suprtrviNnn an?1 Umr I nm duly Reqisrored Lnnd Surveyor under the Isws ol thx Stete of Minnesotn. Dated thB w/ G!G{ day nf -;-- Nt/ A.D. 19 ??. . %T01•0 . cale. fn,:'•' 4OULP R(?RFNI P SIKi II 1.5. (?.. Nf/. I?F91 , . ... L? ? ? ?? 149 ?A,s ?? ?TaN?ICG?' ?RD ? cr)rrl. 1,10.8,7O447 P1 =111"1l1g Uf?'-vlgfk .[f1C. 161! l-h.uht,.iiy 11 N.E. h1irn:edpo.li.=.. l°IN 55432 ::12-780-1N^C) Minnesotra Stare Energy Code Cn.lculatiuns 1!a=ed on Ghapter .:, ?f the Nnr.Jel. Ciirrr,.ay Code 198Z Edxticn -- AdapterJ 1!1/84 O::ner: VOAEL #750; CCthfM. NQ; ` - :.ii;_e c=7dur-ess: ''nr% f•'I ?cnt?: ??rr{r.tr+,r_ CENTEX !_I-7'• ??1ES ? D!;Jr;. Class: rll A1 for S:inqle Fami.ly:Guplea;: F;<'_, re.=.idEntial . _ s1.csrie.=_. Uver ._ stur.i es Other 3EN'-'[;:f-rL INi=UF:N:=tiTION PJoEe: The sectiun clcsiGnatiens ("5ection A", "Seciion B" etc.) cre far convenience in calculations only, and are nvt,related frcrn one set o; ca; c;_il c1L7 L!l'= L'C'I C3Mt to the ne>;t. l, Bldg. Watls f'erimeter >: Glall heignts, = Area ground to eave Section A . 44 10.67 = 169.4::3 :3ectic,n e ? 94 19.5[3 = l040.52 Section C. 0 0 = n S:'rt;.0Y1 Ii _ t lY 0 = „ 0 Gross Wall Area = 2310 2. Bui3.ding dimensions Floor or Ceilinq Length >: Width = Area JE'Ct1 Ofl 1-3 : L 710 _ 90 Section H . _ 11 = 28 5ec+_ i on C. 3E 28 = 1003 Section II : 0 !_! _ =' Tota1 fluor• or ceil ing arc>z - 1126 3. Fi.im JGist F'erimeter = 130 Fluor jaist 2 bf (8", 14", li" or lb")): lU P.im Joist Rrea = 115 4. Doors • Arca: 53.4 ThicE:ness linchea): 0 Perimeter (feet): Type of constt^uc'tion: .°,. Total door's perlmster: 0 r,. i:2;.r.d<,ws ? I"I; : rt I:a "c LuU' F- Y' : ,, c: ai: e t>. r p r cr: :_ d: vF r. hsrrr. Urazr I.'•!11IBI_:c H(_il`in'c; R.,UNvT0F' T, R?-' S. Fat:e Duor-: ?. Arri.um: 10, F=i. rec;.t ar_e arPa Gl:i dt h : 7QLc:l Sri F't ?- ? F:posed f=oundation Flei ght area h: Sq Ft area F', _ E::posed FuuncEation Height area R: Sq f=t area P = 12. Vress w<il.l ar'esi ncz nus Wiridow area Patio door are.-a Rtrium area Ftim joist at^=a Door area Firep2ace arec, [.;pased FGund. ? F'raminy area er,ua1= Tct.als for nc-:c wrall: _. rHi V? •.,_.!;'f h-i?.i,: .._ri ! a?;ii.:'l'c,r?: , , . . ...?6'. ! E:a h'.e,_1!i't . L..enyth „ IJi.imber - Tt?trl Vin.r.licsi !Tnt_he.,i cac ql.a,s aqF:i- Llfll i.m 14 27 3 7. [?:3 <?? t? 11? 1 T J ?.?. ?l?) 24 is a 10.67 24 24 4 l C 20 20 4 II..JO ?^ES ^cJ 3t^. 174.22 13 13 1 .L . 71i1 %, „ c; C, o 0 ?•, c, C) C) n <) U 4 U ') CI 0 ii 7. Uiiridnw qlas= area {SqFk) = 234.7g Heiqnt „ Length >; Number = ?'otat 'seu'c) (feet) lanits ScaFt ' ? 0 0 6.6 i.p V { 1 'l y.fl.04 O He:iGhc: n 0.67 Perimeter area p: 134 89.?g U Perimeter area P: u p SqFt U f actor U:; A 2310 234.73 0.47 110.35 0 0 C) 19.04 0.47 8.95 115 0.035 4. 0' 53.4 0.14 7.43 0 0 0 89.78 0.14 12.57 231 0.064 15.y4 1:iG7 0,037 ;?. 98 , :,:_l, i : . ._, Qrog._ ,,, , l1 ?; . ._,: i- . . rr a:n;!-:c, ar .=..a .i s Icl% ot :;ruu•_ wat t ar'eA 13. firo•ss, ..::I1 ,:t;-ei., , f<tCtnr bslew = L( >: A pa.r r'ride P.:-!.ui? .G= .:11 far A-i single family '< c.lup.la:: .23 fcr r-7-2 ar,d other resid;anti;.?i .20 fo;- crl_her bui 1 c;i r7ys . .'<':'< .cor o•.er- . s±or; es S actur i ;: it.: J L: i LH = 234.1 MUST PE :> JR = ? 'l;._ (calctilatcati kLove} ? 14 `',ro"- .-„-i:t;ng onrea -= Q. O;..it:nr? -??-ami" ,??d ar ? r•a ?.SE?;. cr ce? ?? ` i 1 ir??? ar•re: -,. _ 112.6 16. Lcisl.. r:r-:sa (t!?I u-F r_ei T;nq ar-wd) - 112.6 [', Ne'._ rF_•: t i nq er'e<i ( Gr oE= ca; 1. r.r-ea - Joi:;l• aY'EEi) = 1013.4 .... U ce:.ling: 0.021 ., hlet ce:!. arF:a _ 21.2014 1q. I_i 6rauninqc 0.024 ,. Joi.=.t ai°eri - 2.7024 20. Totai of i c=m :18 ., i LNm 19 =- 21.980.3 21. C;ross ceiling arEa ;, pact.or 6eluw - U:: A per code P'aci_nr i.s .026 for A-1 single #ami2y ?< dr.iple:; fcr F1-2 7nd other i^e=idential .vb For nther buildinRs Fcac t?,r' i s. 0.026 - D TJL? - 29.276 FIUST FG > OH = ?'•?7.? (calculated above) t . J X G/ HIGH "R" SHEATHING W1lLL SGCTION SRVD SGCTION 2LM . aorsr EDN_ u vnr.ur•. cnr,cuLn•rlavS R VAGIIG u vncur: (Wall) U=).= lt _037 Inside air tilm .GO Interior wall _45 InsulaCion 19.00 Sheathing 6.0 Siding .G7 Outside air L-iLn .17 R 'NTF?L 26.97 Inside air film Intecior wall Stud - G " Stteathing Sicting OuL'side ait L'iLo R Trmnr" Snterior air film Insulation 1 Z inGi soEt yood , Sheattting . . Cxterior vall covecicig GxCerioc air film R 1?OTAG .G(3 . .45 6.50 (PCaming) 6.0 .67 .17 ' 1447 U = 1 = Lt .069 .6F1 19.00 1.80 (itiw JoisC) U = 7. _ 6_0 lt 6/ .035 .17 28.4 Interior air film . .68 Insulation 5.00 • roiuiaation (12 - I3locx), l.zu (roandatiai) u= 1= Gxterior air Pilai .17 K R TOPAG 7_13 .14 CEILING WiTH VQJPED ARTIC SPACE ABOVE R YALUE R VALUE FRAMING CEILING i ).61 Air Film 0_61 36.00 Insulation 94.00 4.38 Joist , .56 Ceiling .56 0.61 Aic Film 0.61 41.55 Zbtal. R 45.78 .024 U = R .021 CATEMERAL CEILING R VALUE R YALUE F'RAMIING CE7S.IZiG 61 0 Inside air film 0 61 . . 56 Ceilin 56 . g • 14.375 Joist(Spaoer) - 85 33 7nsulation _ . - Air Space .50 .67 Roof declting .67 .06 Felt .06 .44 Shingle .44 0.17 Outside air film 0.17 16_88 Total R 36-86 .059 R = O .027 windw infiltration .5 cfm,/line?i foot of cracY Residential door infiltration 0.5 cfm/sq um foot or door and m;n;m= code r«q,;rement Non-rasidential door infiltration 11.0 cfm/lineal foot of CLdCk [b 12` ooncrete block no insulatian =.781 R 1.28 double glass = .52 triple glass = .31 All exterior rralls and oeilings mast have a vapor basier (0.10) perm max.?. vapor barrier must be on the inside (heated side) of vall. Yapor bariers of the polyethelene thin film have no R value. CITY U3E ONLY /? L ? BL ? RECEIPT#: 7 r? //g?p . SUBD. /,1? ? ? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH N2. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drein 3.00 x = Gas Piping Outlet • minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under wnstruction 5.00 x = Water Softener ' for existing dwelling 20.00 x = __U..Csr$ fTRikl f " for dwelling under const. 3.00 - U. flnkl2r ` for existing dwelling 20.00 C? Alterations ' to exfsting residenCe 20.00 = Water Tum Around 20.00 = Private Disposal System • oak cy iic. 75.00 = (new and refurbishad systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 20 s0 1 hereby adcnowledge that I have read this applzation, state thet the infortnation is cortect, and egree to comply with ell epplicable City M Eagan ordinances. ft is the applicaM's responsibilily to notify the property owner that the City M Eagan essumea no liabiliry for any damages caused by the City during its nortnal operational end maintenance adivkles to the facilities wnsW Ged urWer Miis pertnit within City property/rightof-wayleasertront. SITE ADDRESS: OWNER NAME: INSTALLER NAME: c/ ?1uAv4/)q'j f STREET ADDRESS: i (o D tu cmr: Zet, kP U'l1 C y--517 cJa S lo 0 ?'/w Dv- 19, w( /??P STATE: zIP: SIGNATURE OF PERMITTEE IN o? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1' I CITY OF EACAN ?,{ ?'? 3830 PILOT KNOB RD - 55122 - ? 851-881-4875 40,50 Caued -3/3o1hlh New ConsfiucXOn ReailremeMs Remodel/Raualr Reauiremenh D 3 roylafered sIte wrveYS ahowinp tq. K of loT, s4 fl. d houae 2 Copi6s d pIM and gff rooled areas CiQ7. mmdmum bl covemae allowacit 1 set of energy cdwlaHOns for heafed additlons > 2 copiea d Warn (show beam & wlntlow sizes: poureC 1nd. dotign; eta) 1 aite wrvey Wr exte add?flons a dec W ?opie s o h?ae P?? ? Plan If lot P?d uRer 7/1/9J j-??p?qa Cv > J ?CoN sr: ? onrE: a 3- c1- ? ? l o wer ( c,F?9 i r?srnucri # 1 a,? ? ?l'? DESCRIPTION OF WORK: ?oUG ?N7er'or Gq'u's G¢ , STREEf ADDRESS: ?? SC? ?'A?, berwe LC. D r?? A/,-?PJ LOT: ? BLOCK: ? SUBD./P.I.D. i: 14 IlI S 0 T \kY1P 6V I a A 4 i ? r PROPERTY OWNER CONTRACTOR ARCH(iECT/ ENGINEER Name: t 7 e 1JN A(LL" L L; "L?"At^ Phone t: ?O Jr 1?(n g?- 6l a ?f l.ust Firat She.tAddress: LIQSa GA*,b Y- W e-LL 0 r- ciy (z A Crp r) state: mVJ Zip: 55 /a3 Company: Phone Y: (area code) Sheet Address: Ucense # Exp• ? Ciy State: Company: Name: Telephone tl: ( Shee1 Address: Reglshation t: CNy State: Sewedwater licensed plumber (if installirw sewerlwaterl: Pho^e #: Zip: Zip: I hereby aeknowledpe that i have read 1hk appllcaHon, state lhaf Ihe infomrolbn is cortect. and agrea fo comply wNh ap I le StafE of, Minneaota Statules and CHy of Eagan OrdMances. r Signature ot AppOcant r-- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ??R\ p 2n 17' a r Tree Preservation Plan Received _ Yes _ No _ Not Required ? ?w OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling p 08 06-plex ? 03 01 of _ plex ? 09 07-piex ? 04 02-plex ? 10 08-plex ? 05 03-plex O 11 10-plex ? 06 04-plex ? 12 12-piex WORK TYPE ? 31 New ? 32 Addition A 33 Alteration ? 34 Repair O 13 16-plex ? 21 Porch (3-sea.) ? O 17 Garage ? 22 Porch/Addn. (4-sea.) ? O 18 Deck ? 23 Porch (screened) ? ? 19 Lower Level O 24 Storm Damage Plbg _Y w_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. 0 43 Reroof ? 37 Demolish (Bldg)' 0 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning " AQ- # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building T&?u Engineering . ? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 31 Ext Alt - Muki 33 Ext. AR - SF 36 MuRi Permit Fee Suroharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposft SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $_Z7='=_ F.rn,t?"r?G?°? SAC Units % SAC g- 'I 01 pLI1 2 CITY USE ONLY BL SUBD. fl'1 ns ot JIDhP LM'IUJqe 3rd 2000 PLt7MING PERMIT (RF CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, hII7 55122 651-681-4675 RECEIPT#: ?a§4s: RECEIPTDATE: PERMIT # Please complete for. ? single family dwellings ? townhomes and condos when pertnits are required for each unR ? backflow preventer for underground sprinkler system FIYTIIRES EACFi !1 t3"Q 60 ?. ?. i rTOT%?L Alterations to gxisting dw Iling -r9inimum fee Describe: I01I?? tr ?(:Vl°-I ? • k $: 30.00 rz• • Bath tub $ 3.00 x Floor drain 3.00 x Gas piping outlet ' minimum -1 3.00 x =. $ Hot tub/s a 3.00 x Kitchen sink 3.00 z Laund tra 3.00 x Lavato 3.00 . x Se tic System newireturbished • requlres MPC Ilc. 75.00 x. ;S''' ` S8 tIC S Stef1'1 abendonment 30.00 ? ' •'X = ; ?Y$'' , . RPZ new instellation/repairlrebuiid 30.00 x.' Rou h openin 1.50 x Shower 3.00 x Underground sprinkler iF dwelling is under construdion 3.00 x Under round s rinkler if existing dwelling 30.00 x. _ $?':. - Water closet 3.00 x Water heater 3.00 z' Water softener if dwelling under oonstruction 5.00 x Water softener itextano9 dwemn9 30.00 x Water tumaround 30.00 x "$ State Surcharge .50 Total Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. •---------••• - •-- . ------- --• ------•-•••-------•°-----•------------------------•-------------------...•----•- --- I hereby adcnowledge that I have readthis epplicstlon, sfete that the infortnation is oortect, and agree to; com---py-----•-----------••--••-- - with all applicable City;of,Eegen ordinance§. It is the applipnYs responsibility to notiy the property owner that the City of Eagan essumes no 1ia611iry fir any?tlamages'%eaused by-the City,during its nortnal operedonal and maintenance activkles to the faGlities constructed under this pertnk within City property/rigFibof-weyl'easement. SITEADDRESS: lvUSa C)9 x.berr..; e..LL D r ? CAG,qr? OWNERNAME:: 6?051?NAMLL; 4/i4-L%Jn^ TELEPHONE#:, U/?? a,Cl (AREA CODE) . , INSTALLER NAME: TELEPHONE #: (AREA.CODE) STREET ADDRESS: SAAA P H S Al? e vP cirv: STATE: ZIP` - F SIGNATURE PERMITTEE . 7373 % 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compkte for: single family dwdlings & townhomes/condos when pennits are required for each unit 36.5b Date (a / C) 6 Site Address IInit# PropertyOwner Telephooe#( ?? Contractor , -.. . 12253 Nlcollet Avenue Soutlt • Street Address '""< Rumaulll???T ? City TeIB?D8:952-746-52(?0 ??a e?n? ?p ea? TelePhane# ( ) State ?1%3 _ _ ?? ??_ • •- .--- ires: S? 7 Ex Bond #: p The Applicant is _ Owner U? (;ontractor _ Other Add-on or alreration to exis[ing dwelling unit $ 30.00 furnace_ _Additional _Replacement _ New air exchanger air conditioner ?heat pump otFter $ .50 State Surcharge $ 30. Sc? Tocei I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 work which requires a review and approval of plans. ?lil?4 -?-, A ? ---?_ Applicant's Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116811 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 4052 Camberwell Dr N Lot:1 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-010 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 . Edward Wilkinson 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 - William Gennarelli 4052 Camberwell Dr N Eagan MN 55123 Liberty Exteriors Llc 640 Main St N Cambridge MN 55008 (763) 689-5997 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170168 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 4052 Camberwell Dr N Lot:1 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-010 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - William & Elizabeth Gennarelli 4052 Camberwell Dr N Saint Paul MN 55123--391 (651) 334-9700 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178513 Date Issued:08/22/2022 Permit Category:ePermit Site Address: 4052 Camberwell Dr N Lot:1 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-010 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Derek Parker 4052 Camberwell Dr N Eagan MN 55123 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature