The URL can be used to link to this page

4095 Camberwell Dr NCITY OF EAGAN ? 3830 Pilot Ifnob Road Eagan, Minnesota 55123 (612) 681-4675 PERM17 TYPE• g+!? ).I Permit Number: ? j?i :' '?;'?? Date Issued: .r !., Jo S1TE ADDRESS: ; o; i: , ;{ j i+s 1 f? 1??. :-, I,1? '_, j?'??41t_t,l?; 1 I?Ivi? :•?.a!? PERMIT SUBTYPE: C 10 ii:1 APPLICANT: ( e, ? .. j :I'.,,t•, ??_'?:? TYPE OF 1NORK: r4 d ?„? tI N F}i i ? Permit Na. Permit Holder Date Telaphone # S/UV PLUMBtiVG HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Fountlation Framing Roofing Rough Plbg_ Raugh Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. ? ?,?r•`,, 7 ???/ b Deck Final / , VYelI P'f. Disp. INSPECTION RECORD ,j CITY C1F EAGAN PERMIT TYPE: f? 3830 Pilot Knob Road Permit Number: - f 1 ? Eagan, Minnesota 55122-1897 Date Issued: ' (651) 6$1-4675 ; tt i :? •, c};?ut ;.; SITE ADDRESS: APPLICANT: P1 A)"F' '' ? r s ,• ?. , t..l _ ? ?a;,;? PERMIT SUBTYPE: TYPE OF WORK: 0 111"1 i'd4fr' I 10 H A1 `i P' kA'1 t IrN tR4I. S t.fC1k .r: f i I+f- E'I fl INSPECTION .A • .A i i 14 A P h'' ? H 1' i d« it! 1't F, v T !" WC?` Cl cty (' iv' f+ :1 I-i 14 t;11„r d', t. Y•. . ti i'd y f' 1 1! WR k 0 ("1 A ! i { F, i F ' Y 4 4 r., .... :' H 4 0 V I i a„ i; tj"i c; a 1t ' f: t? t 1.,.i i ! RK , E'f 44 1 I !`,hl!'"r 4 rif;F r I( t) N ? ? Permif Hotder Date Telephone ? SEWER/ WATER PLUM6ING HVAC Inspectlon Date Insp. Commeiris FOOTINGS FpUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TE5T ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIFEPLACE FIREPLACE AI R TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAI IVS CONDUCTIVIM TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL UECK FTG DECK FIIVAL c C" 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• aN RECURD PERMIT TYPE: 4- MM iWR Permit Number: >''' • Date Issued: 0 ' / I 'F 4 • , f, r ? . ?.s ? , t ? ? APPLICANT: ?r, ,? .;',rlf?f S,?If t ? ??s: ?,4 i;? s?? r?( 4YI+Eh'i 1-;i? fW?? ,. . • ?is-•?,? -?i? i?,,, „ d ' 1 ?''. ? b'V?.SG?? L? PERMIT SUBTYPE: TYP,E O?(,SIVOAK: ? n 2 '? ?1.?.1J INSPECTION . . • ? I .'?, DA • , ?,i'1 (''ti? D• . 1 I R.F. PI A R V`; .?& 1.,1 }' t H 1+ V A i i f: 'i' f, i H i., . ? :• 7"": 6 + _ , .. . s' i ._ . . , , ? ? ? .. . .. . ?? a , - .. ? - r - ?? . . . . . . .. . . - . . . . _ . . . . . . . ? . J .. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC /03 ELECTRIC ELECTRIC slf? 1? ''f ?? ? Inspectton Date Insp. CommeMs Footings I ? Foundation Framing Roofing Fough Plbg. Rough Htg. IsuL Fireplace 3 I V Fnal Htg. ? Orsat Test Final Plbg. ? Plbg. Inspector - Notity Plumber Const. Meter EngrlPlan Bldg, Final s /9 f r Deck Ftg. Dedc Final Well Pr. Disp. ?? ?3 ? _ wn*ftcate nf cccu.panc? This Certificate issried pursuant to the requirements of the U?cifnrnc Building Code certifying that at the time of issuance this structune was in compliance with the various ordirwnces of the City regulating building colrsiructian or use. For the following: Use ClassiFcauon: SF DW /?,? /? 81dg. Permit No. ?395 ??P?Y ?'Pe ?11t1 Zoning Distria ?, RI Type Const. VN ownff ?B?aa? Il?E ?III? 00 ING' A? 5201 E RIVF?t ItD, Ff?II?'Y " 4095 r'?i . M- I/VE N I.2, B3, RII.TL OF STQVEMMM 71 Byifding Address Lacality osri9lAs ag Officia, ; P05T IN A CONSPICUOUS PLACE 7 Address 4095 CA*+EEFUELT D1uvE N Zip 5512 3 L.oe - • 2 Blk 3 Sub mLLS OF ?MIDGE 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: OS 19 93 Yes No Inspector: Final grade (6" ftom siding) P-1, Permanent steps (gazage) Permanent steps (main entry) ? Pecmanent driveway Permanent gas ? Sod/Seeded gass ? I TraiUcurb damage ? Porch V/ Basement finish Deck Please vetify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to lhe outside Iawn faucet before freeze potential exisis. Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy K 7 0 7 4 8 ?r'016O 1F ///Oy a? s?'7,Z°-c, R uest Date 1 Fire No Rough-in Inspeqro qeGUireO? ? Ready Now AWill NoLty In spe?r - $1 Wh tl - 3 Yes ?NO f en a y Ilicensed contractor E) owner hereby request inspection of above electrica ork J Atltlress (S1reeL Box or Route No ) 4 oq5 City $ection No. wnthip Name or No To Range No Coun QV- ? Occupant (PRINT) Phone Na. Power Supplier lWtlrew Elettncal Contractor ICOmpany Namal ContrectaS Ucenae No M1 MaiLng AOOress ICOnhattor or Owner Making Insiallatqn) 1 AulMnzeC $gnaWre COMractodOw r Making Inslsllationl PM1Orie Num?er ?3-3?to NINNESOTR STATE BOAqD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigqs-Mbwey BIEg. - Paom St]3 8E ACCEPTED BYTHE STATE BOAFD 18]t UnlwnMy Ave., $L Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS PIwM (613) 642-O800 ENClOSED REQUEST FOH ELECTRICAL INSPECTION °""? EB-00001-08 O? w^? See mstmtlwns for rompletrtg ihis lorm on Cack W yelbw copy ? ?, 4 r. _ ?? , X' Belbw Work Covered by Thrs Request ??`? 9 ew Atld Rep7 '- TypeofBmlding AppliancesWiretl EquipmemWired Home Range Temporery Service Duplex Water Heater Efectric Heating Apt. Building Dryer # ther-(Specify) Comm./Industrial Furnace Farm Air Conditioner qher (syeaN) ConVeclor5 RemaMa. Compufe Mspechon Fee Be/ow: # Other Pee # ServiceEntranceSrze Fee # CrtcunsiFeeders Fee Swimming Pool 0 to 200 Amps - 1 14 0 to 100 Amps (o Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector§ Use Only. ?-\ TOTAL V trrigation Booms -/"/'%- Special Inspection ? Alarm/Communication THIS INSTALLATON MAY BE ORDERED DISCONNECTED IF NOT Other Fea COMPLETED WITHIN 18 MO ? I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in F„ui % • `? oeie .f ?.?93 OFFICE USE ONq ' TNS request ww 18 months hom ?-- 0 4 ReQU 1 Dale ? Fire No. I Fough-In InspecM1On Reqmretl (VOU must call mspecbr wh r rea0y) Inseciw Iher TM1an Fough-ln Ejloady Now E] W A1 No1Ry Inspeclor ? Yas .?? No Date Reatl I icensed contractor ?owner hereby request inspection of above electrical work at: Job Atl?eSS(SVee1, Boor Rom .) Qry ? ? ? Secuon No Township Name or No- Range No. Cnunry Occupan IN ` Phonejb, ? ? / P er Supplier Atltlress Elxln nVac om ny Name) Co rac r's L7cense No. /? .? ? !? Mailing AOtlress (COnVa ? r Owner Makm n all aon?) L ^ utl Sig aNr (COnVac[or/Ownar Ma ing Installation) ? ?ci c e - Ph be NNESOSTqTE eOARD OF ELECTHICrtY THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway Bitlg. - Room 5128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55109 V UNLESS PROPER INSPEGTION FEE IS Phone (612) 641-0800 ENCLOSED ?IGQS `S REQUEST FOR ELECTRICAL INSPECTION -?e,"?"°i'? • ,EB-00001-09 011124 lo, See instmctians far comple0ng ihis fonn an bflck of yellow copy "X" Below Work Covered by This Request Ne A{id , p. Type of Building Appliances Wired Equipment Wired Home ge Temporary Service Duplex er Heater Electric Heating Apt. Building r i Load Management Comm./Industnal Fumace Other (Spec?fy) Farm onddioner Other(specJy) ConVactar's Remarks Campute Inspection Fee 8elow: # Other Fee # Service Entrance Size Fee # CvcuRS/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A6ov 0-Amps Signs insvenors uw onry. TOTAL Irngation Booms Special Inspection Alartn/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby RO°qn'" Date certify ihat ihe above inspection has been made. Fmai p l r OFFICE USE ONLV This request voitl 18 monihs from K5 25 ' c?2 ? ."0 ??vo Reque5T0ate 3?a-3 Frte No gh-in Inspeclwn °?e', ? ? s XReaM Now o WAI ?? ln.?,a, YJhen ReaCy? I1?e licensed contractor p owner here6y request inspection ol above electrical work ffi: .loo raaress Istmet. Bw aoute Na 1, ciry SBttion No Township Neme or No Range No. Cou ? Ocap t IPRINTI Phom N. Pow r $ lier A??ggg Eletlncal n(ra q tCOm m CIL CqnlrecMOr4 License No C?od3? Mailing tlress ( COnvador or r Makmg In5ta11aLOn) Auttwnietl SignaWr 1 nvattor ner aking InstellaLOn) Phone Number MINNESMA STATE 60ARD OF ELECTRICRV TMIS INSPECTION REOUEST WILL NOT Grlqge-MfCwey BIGg. - Room 5773 ? BE ACCEPTED BY iHE STATF BOARO 1841 Unlversity 11ve., SL Paul. MN 55106 UNLES$ PROPER INSPECTION FEE IS Vhone (612) 642d800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION °°"•"'a eaoooo, oe K 5 5 2 2 5 • See insVUCtions for compleong this form on back of yellow copy. 8 'X' Below Work Covered by This Request ew Add Rep. Typeof8uilding AppliancesWired EquipmeniWlred Home Ranqe Temporary Service Duplez Water Heater Electnc Heating Apt. Bwlding Dryer Olher (Specify) Comm./Industnal Furnace Farm Air Conditioner Otner (syeciry) ConhacWrS FBmaks' Compute Inspection Fee Below: # Olher Fee # ServiceEniranceSze Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Translormers Above 200 _ Amps A6ove 100 _ Amps SgnS Inspector§ Use Oniy TOTAL Sa Ircigalion Booms Special Inspection Alarm/Communicahon THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the EledriCal InSpBCtor, hereby Rouqh-in Dace certdy thauhe above inspection has been made. F,,,ai 777 oa`?, _ rl? J OFFICE USE'JNLY Tprs request voM 10 monihs trom ?ITY'OF EAGAN 383o Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32991-020-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 4095 CAMBERWELI. OR N LO7: 2 BLOCK: 3 HSLLS OF STONEBRIDGE 2ND cft z31r3 5(9l9q BUILDIN6 023522 05/06/94 DESCRIPTION: r"? '_i_, ?ldng.-p?ermit 7ype pECK euilding Wo`r-k Type NEW r ? ,??. • ? , ? _?? ? ??t v ?? ??.????J? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - GEHLEN DIANNA 095 CAMBERWELL DR N FlGAN MN 55123 612)454-4257 ? t r :.. I hereby acknowkedge that I have read thit aRRlicati6nFaiid st4te that t:he Lnformatidn ?.s cc?rrec?t and a•,c?ree to ebmp].sj w;tGit al'1 ap0llGab,le:.3ta:te nf Mn,. 5tatutes and City of Eagan••9rda',namees., L .. _ 1 . . _ . _ _ ._.: . APPLIC NT E SIG AT R (SSUED 8 SI NATUR INSPECTION RECORD CITY OF EAGAN PERMITTYPE: aurLozNG 3530 Pilot Knob Road Permit Number: 0 2 3 5 2 2 Eagan, Minnesota 55123 Date Issued: 05 /06 J9A (612) 681-4675 SITEADDRESS: LoT: 2 BLOCK: 3 p`PPLICANT: 4095 CAMBERWELL pR N GEHLEN DIANNA HTLLS OF STONEBRIDGE 2ND (612) 454-4257 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW I 7. _ _ . . . ... . ,_ ?'_ ._ _ C .. .._. ._ ? _ _ ?. ? L505 it 994 CITY OF EAGAN BUILDING PERMIT APPLICATION 681-4675 4-? REONIED MAY 0 3 1994 --------------- SINGLE"&`MULTI-FAMIL 2 sets of plans, t registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work & ?jx p95 ? ` ? ` ?d(pf/?uF l Site Address: f ) Il T ? SiREEi V SUITE If Tenant Name: (commercial only) LOT Z BLOCK 3 SUBD..?v]?'•A4, ,c?? , V7t, P.I.D. # Descri tion of work: E'C- The applicant is: Owner ? Contractor ? Other coesortbe> Name 6e. / anna Phone S' Zv Property LAST r,RST Owner n? ?0 QS C ?ae j ? b am ru r /U ?G Address STREET SiE p 5-5 12-3 City State !Y(N Zip Campany Phone Contractor 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 ance area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply yl?th all applic le St?ate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ° BUILDING PERMIT TYPE ? 01 Foundation 0 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 5F Misc. WORK TYPE E] 31 New ? 32 Addition OFFICE USE ONLY 0 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations O 34 Repair GENERAL INFORMATION 0 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck O 35 Tenant Finish O 36 Move ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 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 Depth On-site sewage SAC Code ? ? APPROVALS eensus Undt Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site ? Wallboard Footing Final ? Framing O Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: vatuat;m: SAC % 5AC Units ? i 1 ? i Rs? srs ? ? eas. /Vl ^ \ 2422 Enterprise Orive ? Plkk?NE,?R Mendoto Heights, MN 55120: uxo suav¢YOrss • avi? ENpNEERS (612) 681-1914•Fax 681-9d$8 YOR ?eng?n?erirtg L^140 "-"RN°is - ?s'CAPE ^?IlEc73 625 Highway 10 kortheast Bloine, MN 55434 1(812) 783-1880•Fox 783-7883 Certiflcate of 5urvey for: THE RQTTLU_ND COMPANY INC. House Address: C B WEL DRiVE EAGAiV MN Model Name: NAMpTON MODIFIEp), ? . _. ? ? \??\ s f192.G \\\ ?/,? . 92 . . • ??? ?/ ?? - ? ?? . S0 .QOQ \ ?ySI \ \ , r ? ??? ti i- ? ??• \ . \ . \ 1. ? "j°? a? ? ?is-d o°G •D ? ?'??9 asr-a o \ ou •e ?? + 0°? 4. / 2 / ? ' ?h •,? / 4 / ? avs : ? / ? ?C gy?. z l c?X y \ 8vr,y ?° ? ?? 7?7G/7 2007 RESIDENTIAL PLUMBING PeRnnir aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existina residential dweliinqs. ?d.so Date U 1 /-3 1 P? / Site Street Address ?O 9? a6'?l Gt?'G?;Pi??i? Unit # Property Owner v ¢"tA Crs t V? (11 Telephone #(?/2) - ' - Contractor / cJGJd Telephorte #(4 4 682-0o0o Address -7/m AJ• City "54 . Ak Statefhh-- Zips?-,°y The Applicant is: _ Owner & Occupant xLicensed Plumbing Contractor Septic System New Refurbfshed Submit Z sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling ? This fee includes r level w l l ?A bi f i l \ $ 50.00 . o e dd plum ng xtures to ? ma n eve installation of a water soRener and/or water heater at the same time. !f you are insta!ling onlv a water sofrener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other. Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge 50 Total ? 53 Do O I3 S` Y/7 6-0 . s? I hereby apply for a Residential Plum6ing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accor ance with th?pr ?1? in the event a plan is requi=In Qc? 0 ? ? ApplicanYs Printed Name Ap anYs Sign ure `._.._.._ PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: r u:r I. o L? Eagan, Minnesota 55123 Permd Number: m" 0 3 9 y (612) 681-4675 Date Issued: 03/0? /g ; SITE ADDRESS: S>.I.IV.: Sf-32S91-t420-03 DESCRIPTION: 4'vFSS CFti1 t3{"ftWZLI p12 id IOTe 2 BLOCK: ., H1"LLS ul' 5'I'pl'dE B RSI1Paf_ 2Mr1 ?Bui7.di'ziq Nerni:i Y: TYPe f k3uildirig`Uorb: Ty UBC Or.cupanh:? % Constructl.an l-; pe iZonLng -? ' 13uil.ding lenaLh <t ? Building Width ? \ f ,, \\ \+ v '`'r 1 1' 1 >F DSJCi t'! L- W ft-3 M--7. V-Pd F'Cl R-1 -?j J? JV V REMARKS: 5!: bJ RLHt2 - VALLE`( PI_80 FEE SUMMARY: Fa?e Fet. !> I an S??vi e?d Sur.r.ha rgc SNC sac "l, SAC Units 9ubT.ota1 VALUATION '$PFru.!S.Ip .,$; L,C, 0 L f? ?U 1 ?•2.11[3.7 Y •rI nz,Q 0 0 ML9i,:ELLNIVI<<0 UG T'o I;a1 F 6ez ---,7,7Q4. °Gi $3,85';.23 ? CONTRACTOR: - Appticanr - s1'. I_:t'OWNER: 7HE ROITI(J Np C(1 TNC 15710304 800133i THF ROl'7LUNU Cp TIVC ,2C1 C' RTV[R RD 5701 E RTVER ft4) 3?)1 PRTDLEY MN 55A21 1=RIClLEY MN 5542 1 (612) 571-0304 (61.2)671.-0304 J hereby acknowledge that S have read ti-iis applioation and staCe thiat rh? in'Por'matioil is correct and a9ree to cnmply wiCh a11 app]icabie BtaCe of Mr. L StututF, and CiLy oy' Eagan Ordinances. J I "/- 1,?a 111%? R [?Id r m?l APPLICAN7/PE TEE SIGNATURE 'ISSUED EfY. 91GNATURE'- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: R u Tt o T. na s 3830 Pilot Knob Road Permit Number: Gt 7 H 3 S s Eagan, Minnesota 55123 Date Issued: 0;/02/ 93 (612) 681-4675 SITE ADDRESS: APPLICANT: LO'i: 2 6'LOCK: J A0?95 CF1nIEERWELI OR IV TIIE ROl"TLUIVI] CO TP!C it.ll LS UF SI"UPIENftll)C?F 2P!I.) (612) 671-ei 30 11 PERMIT SUBTYPE: 9F qWG TYPE OF WORK: NEW INSPECTION Ffll)TTNG D. . FRAhIING .• '1 PdfiflLAT7:0N! FTUHL FI1:E_I, IPo[.F REMARK5e S& W PLBR - VALtFY WI_gR F- REACTIVATE PERMIT CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION 13AQ" 2j B 2 6 RECo SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 7 0 5ite Address: qO9' S CowhfPlNef( IK 4 STREET SUITE # lz-f-qu - Tenant Name: (commercial only) IAT C-- BIACK ? UBD. ?Q ?? MW ?'lore?f,'d e P.Z.D. N Descri tion of work: sr'n ke v?f k The applicant is: Owner Contractor 0 Other coes«;ee> Name uvt/j Phone_S24° 30 ? Property LAST FIRST Owner Address (?;V6 -30( STREET STE I City State AA_._. Zip Company S'atUe Phone Contractor Address License #?/ 3-s- Exp.7- i City State ZiP Company Phone ArchitecU Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber Q U.b`K Processing time for sewer & water permits is two days nc rea has been 9 roved. I hereby acknowledge that I have read this application and state that the information is licable State of Minnesota Statutes and City of ll l ith a app y w correct and agree to comp Eagan Ordinances. ` Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation p 02 SF Dwg. ? 03 SF Addition ? 04 Sf Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE 0 31 New O 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION * ?k ? 11 Apt./Lodging „ ?,16_BasemdiCt Finish O 12 Multi. Misc. ? O 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) V-N Basement sq. ft. MWCC System YEs (Allowable) V-N lst F1. sq. ft. City Water YE S OBC Occupancy R"3 M_I 2nd fl. sq. ft. PRV Required Zoning pp R_1 Sq. Ft. total Booster Pump ?' of Stories Footprint Sq. ft. F1re Sprinkler Length 57' On-site well Census Code /oi Depth ? On-site sewage SAC Code or ,?, owstic APPROVALS Planning Building Assessments Engineering Variance REGIUIRED IN SPECTION S ? Site ? Footing ? Framing O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: sac x I oo SAC Units _L vatwcim: g I qZ,o Do - GoaAC,E; 3o x a(4 = 72a x/to = I I 5 ZL'-) 6S ;MT Zs k2% = '18 y / .20x iy = Z80 Isr F?oo R ' ? y x 15= ISq(oo -• g5M-t: Ivby Gkf!z= 9 N? F?,?,z 10 73 ? 53 ? 56$6 7 q jO'13*X 53 -Z g 6? g b ?1 ? y ?, 218 * pIon?iEER * an9°in- amri * * ?, * 2422 Enterprise Orive Mandoto Hetghts, MN 55120: ;612) 681-1914•Fax 687-9498 625 Hiqhnay 10 Nortl18o9t Biaine. MN 55434 ' 812) 783-18e0•Fox 783-1e83 Certificate of Survey for: THE ROTTLUND COMPANY.,_ (NC Nouse Address: C B YVE L DRi E EAG MN Model iVame: HAMpTON(MODIFIEb) ?e?l-eN . . . . . . ? 41 \` \\r ? i `-3..... ? \ \ x'C 8vr.y •°/` ? •a ? /I. B4u2 ,?? \ ? \ y,[? O ?/?q'? \ •QO?? sga.3 ? /';Z'a .• t,? ? / \ ?, `°' sy sl /> 8qz.21 ! B9s:! / ?l i g? 1 ¢ \ / p1 ? 4, ?s?.i9Xs ?\\ / Bi' 6yQ?? ? \ ? x sao.o benotes Y(l? Denotes Denotes Denotes -o- Denotes ---t-t- Denotes Existing Elevation Proposed Eievqtion Drainoge & Utilfty Easement Drainage F1ow Direction Monument . ,? / ?o \ 89S,L9 Pf20P05ED HOUSE ELEVATIOi1 L.owest Floor Elevation:888.76 Top of B1xk Elevation:896.86 Garage Slob Elevatton:896.53 OfFset Hub Bearings shown are ossumed LOT 2, BL4CK 3 HILLS OF STONEBRlDGE DAKOI'A COUNIY, YINNES07A P L T 2 I hersbY qnify that tMS eurvey. Plan w repOrt was pra red yy me under my direet uty RapistNed Land SulVOyw wnder the Ia" of eho Steta of Minnewta. DatW thpd.y p1 A.D. 19 Scale; 1inch-30foi . ROBfiRT B. SIKICF{ L.i RfiG. NO. 14891 LOT iIIRVEY CSLCIILIBT !OR AEBIDl.DiTII1L ? sLILDZNG pERKIT APPLi TION 4ROPLRTY LGaL•i ? nate o! Burvap: 8??0 0 • Registered Lnnd surveyor signature anQ aompany 6'?1 0 • 8uilding Permit llpplicant e 8'.V1313 • I?egal description 7lddress • North arrow and bar scala •? D 0 • House type (rambler, valkout, split w/o, sp11L entry, lookout, etc.) ' D? 0 • Directioaal draiaage arrows with slope/qradient =. D?0 • Pzoposed/existing sewer and vatez services 0 • Street name D 0 • Driveway LLEVATIONS Zxistina D [7' 0 • Sewer aervice B?D D • Lot corners D? 0 • Top of eurb at the driveway 0 • Elevations of any axisting aCjacent homes prooosed Li?O 0 • Garaqe iloor , C? 0 0 • First floor 0 • Lowest exposed elevation (valkout/vindow) 0 D • Property corners n 0 D • Front and rear of home at the loundation F D ? p 13 ? Easement liae NWL -, 0 0' 0 • HwL 0 ?/ D • Pond # desiqnation LI D 0 • Emerqeacy Overflow Elevation DIKEHBIONB D? 0 0 • Lot lines 0 0? 0 0 • Riqht-of-way and street width (to back of curb) Q • Propoaed home dimensiona iacluQing any proposad decks, overAanqs greater than 21, porches, stc. (i.s. all / structures requiring permanent lootinqs) D Il p • Show all easements of record and any City utilities within those easements IY D D • Setbacks of pr.oposed structure and setbnck of adjacent Dep existing homes • • Retainin amersts, if any ? - Revi?ea• OCteba? -ioo-3 • • 7NE HfFMPToN . F.?(l'F.I;iOR Ftavr•.r,rn•F nvt•:i;nr;t: ^u" r.urrrn•rr,•riOri o1-;J FR . 5=".'E A?DR?5S LoT 2? ELO:8. 14ILLS oC S7"RjDGE AeT- Z CGI1T?L1Ci03 ;RDrTLCJ/VTJ GC'.7 , pATF. PHQNE Deterain varkini; square footai;c of ench. 1. io:al er.pcsed wall arel sq. rt. x 0.11 = 2q4,2 -77 2. Total roof/ceiling area ? .. /0 (Oa+_ cq. ft. X 8-.0:6 iotel exposed vall aren nbovc flocir = 26 7 S• L a. b. Total Total vall vindov area ........................ Z 17.7 d • i oor area .... ...... ............. ... c. d. Total To?al sliding glnse fireplece v?l ......... door area ........ . . .... ? ---?? orea ? .......... . ..... .--- e. Total vall framing a :ea (averaGe lOS) . ............ 'L ?, f. • g• Total Total net vell area rim joist nbove floor ...,....., zZ,p • aren ..... ........... .......... Total exposed fo undnti on Arca h. Toial foundc:fon vin dov a:ce .......... ? .............. ' i. Total net fo:indation a-ea nbove gr.ade ? ............. ? • Dettrmine "U" valve o; each vall .r.c;ment. ? 8. 2 r 7, 7 u„ x , . . : b. 3e15.-71 - ? C. 3`t.91 X,1„.. o,¢L = I1? 7? ? , d. X ?lull -? 2??7. JrCo e. xAlu„ O.OBq ?q ?CJ _ = , r. ( 9ZZ,oCa X s• 243, Z X..1,,, p,0+ - ?•97 . h. X 'ull j. JZI. (,A X 3 . ........ ........... ........... .. 'iot,?7 If .. : : item N3 1s the same as, or lerc :.lian .iLcra pl, o? you navc mei the intent or ssc 6006(c)?. 11 Totnl exposed roof/ceilinG wren = ? V? • \ . .. , Total gross roof/ccilinf, aren ?. Totel skylieht area .......................... k. Total roof/ceiling framing area............... 1. Total net insulated roof/ceiling area ........ . Determine "U" vnlue for urtcli ruuf/cci 13nt; sci,ment. J• X k. I o r?, ¢ X„u„ p. d 2-7 = 2; ? 7' i. X„U,. p.p2Z - Zl,o a . ...............................:. ToLal • o„ Zf total oP N4 is the same as, or less than N2, you have met ttie intent of SBC 6o06(c)1. To utilize the total envelope system method, the values establi=hed by the sua of itens N3 and 94 shall not be sreater.thnn the sum of iten:s A1 and 12. 1. + 2. - 3•. ' ?+ L . . . - •? , .. 0 o ° 6AI-GU1-ATtO W?7 (GoNT?. -rFkML WkU. G? ?IN?.ILATI?N . , LoMPoN?N'j? ? ;u .? ? ? 014([;EADE AIfz Ai-+u -.?{???H?N? . -5%z INSU?ATIct?l? GlP. 1z-. [??ir7? pd? ?ILNI, ? ---- D,I'1 - - - - 0,102 - fq o ' 0.4? - -_-- --- p; Co b - 23.oI - u- ???'L O.Oa3 ' .FkMV Wft1.1. &Iv'PD _ pL-lN• view. C L C L C C L4M PON 6`I"'g ?N?A'(H ? N ? . ? xc, hran (FPAM gk) ? iNhtM MP F3L-M- . - O:G2::?-• .--- ? -p,-?,?--- . o?---- ? ?-fofP?=--? ?' } ? s -!?_MP?. ??U+= (0,12 X o.oa9? t(o,Sb Xa.o43? = ?o`? - ???--?OIh' ------ - m,ttPa?f?.jh :- I?L(--???--?II.M ?Ht?kTH I H(e . ?j•?ki?: ?(LM• -- -._f?_G . ? . I.ss . ? ?f - p, pGr NP? ? IGN • -? coMFbN?N-? .--- ==1?7-Uk! O ? 0 ? ? ? 0 ? 30 C- --?1.-.- : ? ??- ? , ? ? (tz,ts? _tr;: ? ? = o • I ? --- (DI Vc_ I -=- ;I )I t?I??rcM •. I ..- "2?.? --? - - --- F'a --- -..._- --''- - c a?----- _ ? =-3?-g-3--- u ?5.83 0, 027 0 2'bYP.'-I?D=--- ? L?j?i?Fl?M=; _- -G ? i1------- - ? ?,? ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: 6 u.[ 1- o r N c Eagan, Minnesota 55122-1897 Permit Number: vr 3 4 5 71 (651) 681-4675 Date Issued: 0 2/= 4/9 9 SITE ADDRESS: N.z.iv.: 10-329 91 -020-@3 4095 cA ri atRW t- i 1_ nR N JOT: r BLacK: ? Fi?L i.s aF sroNer,iztr)Ge Pi_r;r z DESCRIPTION: 7NL,LULIES FIRFPLFlCE 8u?d1n P car•mir_ Tyn? BFf?FP1t::iVi" F1fdSSH OpY.ldirtq Wlb-a;k Type A Ll'"EfdHTION :+sus C o d e --111 43 4 AL't. <<i<<tIUEf4r7A1_ J f REM,P?RICS1;?"lcw;n Bv caAre NJvar,zVK. s?D (7 riA rc ?FR M riaee) ulR eo roR fiN v p?_uraaC?vG woR .:. Cri LL (512i 445-2840 REC;ARUIWB FI.?-C'I"t2ICAL F'ERriIT AND 7hISf'cCTI"ONS. FEE SUMMARY: Base Fpn °?y4?.PVi t,rr.hat'yF'- °' 6G1 ------ ---?=-- 1"ot,?l F?e ?Er?,Sy CONTRACTOR: - R P Pii c; rir.- '--"T. i_r c. OWNER: 7iANCOR COtd57 ING 1861?930 00083234 GFHLEN PRUL 'fiN1 i_ "lgl"i-{ S7 4v 95 t:;AP1GEF2WF_LI. pR iV RICHFSELp NIN 55423 i'it1(7A7V MI'J 55123 i612) 861-293O (651)464--4257 I ?iereby acknuwSedge tYtat I tlav? Yead thi5 aPolication and sCate that the infoMmatian i?s corr^scL and a9Y"ee t,n cotnralv iaith a11 apnJica1r1e State oi' Mn_ - 5tatutv5 and Cftu o7 £aqan Ordinrsnce>. L f APPLICANT/PERMITE SIGNATURE SUED BV: SIGNAT RE -j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNOB RD - 56122 -> 4 ? ( (651) 681-4675 ??o ts-0 New Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam & window sizes; poured fid. deslgn; etc.) ? 1 energy calculaGons ? 3 copiea of tree preservation lan if lot platted after 7/1/93 required: _ Yes No DATE: DESCRIPTION OF WORK: RemodeURecair Reauirements a -?r H, '99 ? 2 copies of pWn ? 1 aite surveya (exterior addiUons 6 decks) ? 1 energy calculations tor heated additions CONSTRUCTION COST: 1'1 , S`A(Q ?- av\ C STREETADDRESS: Lli qS CaVIA6ey-"U2l( ?r. ?jo • LOT: .a' BLOCK: ? SUBDJP.I.D. #: Name: l?C??``u? PAuL- Phone#: ?ps(- q5t-(-4Z-5-7 PROPERTY Last Fiat OWNER Street Address: 'r "?QIs "er,vel l -OL - Qo - City (/ ?vrt'v State: '' L f'j Zip: S s(z 3 Company: l I Y?-C0'V- C6 N?1"?.CCT O IN Phone #: 'S? (' 2-(i3 6 CONTRACTOR ? Street Address: ? ( T License #?j Z3 `- Exp. City '\?, cw?e State: Zip: ARCHITECT/ ENGINEER Company: Phone k: Name: Registration #: Street City Sewer & water licensed plumber (new construction only): change and lot change is requested once permit is issue( I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No State: Zip: Penalry applies when.address is correct, and agree to comply with all applicable Not Required FEB 2 41999 L ?- BL CITY USt ONi.Y RECEIPT #: SUBD. c?o a? DATE: ? 9? 1895 MECHANICAL 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 New construction Add-on fumace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? 0 ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU Additionai 50 M BTU ? Gas Outiets (minimum of 1 required @ $3.00 each) ? State Surcharge TOTAL SITE OWNER Preferred Mechanical Services, Inc. 7643 Logan Avenue South Richfield, Mn 55423 Bus:866-7611 Fax:866-0125 24.00 6.00 .50 PHONE #: 7 ZIP: 5-9-9s,dl ? _4 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. i0. FIXTURES ? SHOWER WATER CLOSET BATH TUB 3 LAVATORY i KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER i FLOOR DRAIN ? GAS PIPING OiTTLET • m+o+mum - 3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DeiLay. uc. U.G. SPRINKI.ER ' 6ome under const. ALTERATIONS • w aostlng WATER TURN AROUND STATESURCHARGE TOTAL: 3.00 3- 3.00 9 - 3.00 L - 3.00 3.00 s - 3.00 s _ 3.00 3.00 ? - 3.00 ' ? 3.00 S _ 1.50 5.00 15.00 3.00 15.00 15.00 .50 4l - STTE ADDRESS: `?O`ts CpMb??? e?? 0r- '-) OWNER NAME: INSTALLER: V a\V,,l TADDRESS: n i v CTl'Y: SU wda? STATE: ZIP CODE: 53 1-1 PHONE #: ( H`to- 1 t a , ? {??= ?- SIGNA ? E OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND COND05 WFEN PERMTTS ARE REQUII2ED FOR EACH UNIT. ?I NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTfIONAL 50 M BTU 6.00 GAS OUTLETS (MU;nvtuM i@ S3.oo EwcH) 3.?a ADDAN/REMODEL (ExtsTnNG coNSrRUCr[or) $ 15.00 STAT'E SURCHARGE .50 TOTAL a, so sTTE ADDRESS:`-\,;W5 OWNER NAME: TELEPHONE #:?\\-S?EtA INSTALLER: \'? ADDRESS: CTI'Y: STATE:?? ZIP CODE?? TELEPHONE #: SIGNATURE OF PERMITTEE MECHANICAL PERMTT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 .? L ol- BL V CITYUSEONLY RECEIPT#: SUBD. ? GGt1 io. ? RECEIPT DATE: 1999 PLUM$INfi PEiMTI' (ft£SIDENTIAL) C17'Y OF f AfilkN 3$30 PILOT KA08 RD El18AN,1NN 55122 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under consVUCtion 5.00 X = Water Softener ' for existing dwellinp 30.00 x = U.G. Sprinkler ' for dwelling under tonst. 3.00 = U.G. Spfinklef ' for existing dwelling 30.00 = Alterations ' to existing residence 30.00 = ? O Q Water Turn Around 30.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished systems) Private Disposai Systems ' Abanaonmem 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 6814675 for inspections of water heaters, water softeners, alterations, etc. TOTAL ----- •-• •----------------------- ---------------- •--...... _ ------------ • ---------....------------------------• ------------•-• •--------...--- I hereby acknowledge that I have read this applicatlon, slate that the information is cortect, and agree to comply witlhall applipble Ciry of Eagan ordinances. It is ihe applianfs responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages pused by the City tluring its nortnal operetlonal and maintenance activities to the facilities conSW ded under this permit within City property/right-of-way/easement. SITEADDRESS: _ `/0 /S ??YH_f1-IiS?urGGC kL/1. //. OWNER NAME: INSTALLER NAME: STREET ADDRESS cirY: 9? =r.q ?-0• TELEPHONE#: J0 . STATE: cJ ZIP: 3 CD/PERMIT FORMS/RPLBG PERMIT (RES) -'1999 SIGNATURE OF PERMITTEE 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) anr oF Rac,va $? $830 PILOT KNOB RD - 55122 851-881-4875 New ConsMucMm RaaWremanh Remodel/Raoair ReaWremeMs D S ropidered fNe wrveYS showlrg sq. fl. W bt. tq. R. ol house antl g( roofed areos (4076 mmdmum lot ooveraae Wlowedl ? 2 coplea o1 Wau (show beam! whdow simA PWred M. Cealpn: efC.) D 190 W araryy cdcWaHons D 3 oopies of hee Pre" a6on plan N bl plaAled afbr 7/1/93 /) v oA,E: _7 7 DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? BLOCK: 3 SUBD./P.I.D. t: f?--' Name: V+.°W cAa1?? ?4 o C Phone 11: pROpERT/ Lotf FIM OWNER ?/??? SkestAddress: L A?+a c`cL -P(? - ciry ( l? A A) swta: .y, fll zip: . Company: Jo? ?/ ? u?l IKaoFr^r? Phone#: (area code) COMRACTOR Sheet Address: ?D/ °? ?A.?.?ss?/ ?e?c= ucense g:2,0? ?.?a , Exp.3I3/ 6!J cny ?0Cv E2S state:rt nl zrp: 6T-5371-? ARCHITECT/ Name: ENGINEER Company: Telephone i: ( Sheet Address: Re9lshction #: CNy 2 copies of plan 1 aeT Of en6ryy cdcu90HOns tor heahd atkBHOns t stte survey tor exteAOr adtliHOns 8 daclu 6 ") CONSiRUCTION COST: State: Sewer(water licensed plumber (H instalflna sewer/waterl: Pho^e #: Zip: I,hereby xkrawledpe tthof I have reod thh apPlicalbn, afate that Ihe b conecf? and aWea to eomPN wNh a6 apPScable Stde ot Minnesota StahiFes and C8y of Eagan Ordinances. ? Signafure of Applic77;&-- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118001 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 4095 Camberwell Dr N Lot:2 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jack D Goin 4095 Camberwell Dr N Eagan MN 55123--392 (651) 307-7680 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147561 Date Issued:01/18/2018 Permit Category:ePermit Site Address: 4095 Camberwell Dr N Lot:2 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-020 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 - Terry & Nicole Jung 4095 Camberwell Dr N Eagan MN 55123 (651) 307-7680 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164111 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 4095 Camberwell Dr N Lot:2 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Terry & Nicole Jung 4095 Camberwell Dr N Eagan MN 55123 (651) 336-5945 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174141 Date Issued:12/29/2021 Permit Category:ePermit Site Address: 4095 Camberwell Dr N Lot:2 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-020 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Terry A & Nicole L Jung 4095 Camberwell Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174612 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 4095 Camberwell Dr N Lot:2 Block: 3 Addition: Hills Of Stonebridge Plat 2 PID:10-32991-03-020 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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 - Terry A & Nicole L Jung 4095 Camberwell Dr Eagan MN 55123 Haferman Water Conditioning Inc 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature