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1365 Camelback DrCITY OF EAGAN Permit No: 9071 Date: 9--16-87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date Eagan; MN 55121 r Owner. Al Hermann. Const. Site Address: 1365 Camelback Drive 1,11 1,B3 t?airmy 17-ills Plumber. PTY-mouth Plumbing Conn. Chg: 515.00pd Zoning: n1 Acct Dep: 15. 00pa No. of Units: Permit Fee: jNd Surcharge: ,r. I agree to comply with the City of Eagan Tr. Plant ! N. 00pd Ordinances. Meter. 67.00nd Misc.: By WATER SERVICE PERMIT CITY OF EA AN SEWER SERVICE PERMIT 3630 Pilot Knob Road 10221 P.O. Box 211991 1 PERMIT NO.: Eagan; MN 55121 = ?? DATE: Zoning: ?l - No. of Units: 1 Al Owner: Hermann Coast. Address: Site Address: 1365 Carelbaack Drive 111 B3 Fair-way Hills Plumber: -Plymouth PlumbiuS 8-20-37 7665" 100. Oapd I agree to comply with the City of Eagan Connection Charge: nap: Ordinances. Account Deposit: 1 5 _ fS.,.t Permit Fee: 1 t1- i7f'nry Surcharge: St?i By Misc. Charges: Date of Inso.: Total: Insp.: Date Paid: PERMIT NO. 1Y6 01-3210 Bldg. Permit _ 01-3422 . Plan Check 01-3445 Surch./Adm. - 01-3446 SAC/Adm. 01-2155 Surcharge _ 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 11-3855 Park Ded. TOTAL 15-1 41 . i'n' CITY OF EAGAN r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value i i' i' r oou Date Site Address OFFICE USE ONLY [k"-Ay Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System _ Zonin g Parcel No. On Site Well City Water Type of Const (Actual) is :sE R &•'aN GUIV;C°i. (Allowable) Name W # of Stories 3 Address Length O City Phone Depth c.y F Total S . . p Name Footprint S.F. o Address APPROVALS FEES u ?°C- City Phone Assessments Permit . J " Ow W Name Water/Sewer Police _ Surcharge Plan Review O .1 o Address Fire SAC, City CZ City Phone Engr. Planner SAC, MWCC _ Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances Variance Parks . Signature of Permittee Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. ??? /, uv 9?3'!Sr Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg_ _ 2 _A01 Rough Htg. Isul. Js, 1, -7 Fireplace Final Htg. Final Plbg. p r Bldg. Final Cert. Occ. 7 - f1 (-g (260/z Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. 3830 PILOT CONTRACT PRICE Site Address I 4a! e44a2i j ar, Name -a??e•.=..?,?. ro Address j3l - igut" SF? c City `?k1.4 % = Phon Name _ C Address O City _ Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 BEYOND $1,000.00) PERMIT # Y iii (o ` IG IT RECEIPT # . F EAGAN 9/ 2 "S'7 a . )AD, EAGAN, MN 55122 DATE: 454-8100 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Water Closet - $3.00 I Bath Tubs - $3.00 3 Lavatory - $3.00 I Shower - $3.00 I Kitchen Sink - $3.00 Urinal/Bidet - $3.00 1 Laundry Tray - $3.00 .._!-Floor Drains - $1.50 I?. Water Heater - $1.50 I - Whirlpool - $3.00 { Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: N STATE S/C: SCU GRAND TOTAL: 3830 PILOT Site Address I A& 5 L:&iJ kka e I. U Lot f f Block Sec/Sub Name &a X; k W moor e (94x 1 Jot AAw e City; n,r La Phone 44 Name t_t4_vr&Attj N :.. 3 Address 6 '1 $4. - Al p City f t?3"a1 Phone 68. TYPE OF WORK Forced Air 100 M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other ?- FEE: S/C: TOTAL: PERMIT # ERMIT RECEIPT # AN q .. g? AGAN, MN 55122 DATE: 100 )G. TYPE WORK DESCRIPTION New X t. Add-on nm. Repair er FEES .. HVAC 0-100 M BTU - $24.00 )ITIONAL 50 M BTU - 6.00 3. HVAC INCLUDES A/C ON NEW JSTRUCTION) 3 OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. hIM/IND FEE - 1% OF CONTRACT FEE BLDGS. - COMM. RATE APPLIES VNHOUSE & CONDOS - RES. RATE APPLIES IMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 IMUM COMMERCIAL FEE - 20.00 TE SURCHARGE PER PERMIT - .50 t,U. I'.JlYL/ IV I ,vvvj =OR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # 71J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: r, - PHONE: 454-8100 Name Addre: City! Name 3 Addre: 0 City_ MITTEE FEE: STATE S/C: EAGAN GRAND TOTAL: A BLDG. TYPE WORK DESCRIPTION - Block Sec/Sub Res. New ± .. &LZZJj ?l Mult. Add-on i ??-- Comm. Repair Other (Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: f NO. FIXTURES TOTAL . i fi+r .- ? r r:• F " ? Water Closet - $3.00 $ , ,. . i;: ..a r_ . , _ y . Bath Tubs - $3.00 L tor 00 $3 ?a - Phone " .'-; l= •f ' . ava y - Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 - COMM RATE APPLIES Floor Drains - $1.50 E & CONDO - RES. RATE APPLIES Water Heater - $1.50 RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 CHARGE PER PERMIT .50 (MINIMUM - 1 PER PERMIT) p'(PERMIT PRICE GOES Softener - $5.00 000.00) Well - $10.00 Private Disp. - $10-00 Rough Openings - $1.50 CITY OF EAGAN Permit No: 9071 Data 9-16-87 3830 Pilot Knob Road Meter No: ? 1Z 4'2 9 7/ Size: ?? oc k O. Box 21199 Reader No: b o f 774ds' Data /O t7 - ?7 Eagan, MN 55121 Owner. Al Hermann Const. site Address: 1365 Camelback Drive L11 B3 Fairway Hills 'lumber Plymouth Plumbing 'onn. Chg: DYO. UU pd Zoning: R1 kcct Dep:_ 15.00 pd No. of Units: 1 'ermit Fee: 10.00p d surcharge: .50p d I agree to comply with the City of Eagan "r. Plant lf? 180-00 p d Ordinances. Aster. 67 d Aisc.: By - 1 lti WATER SERVICEPERMIT This request void 9//C/ l 18 months from / O O / D 285$2 1 i. r 77-5-oi I nequest vale Fire No. Ro h- Inspection Re ed' ?Ready Now iIl Notify Inspec- Yes f No for When Ready M Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Strey t Adress z or Route No /13 S ?0 m e//x e _ Oriat City - .. 4 Section No. Township Name or No. Range o. County Occupant (PRINT) 1 41 Phone No. 6 7 Power Supplier Address Elect cal Contractor (Company Name) Contractor's License No. i° C%'r°7`/ltG hc. C15GDSs" r Making I stailation) Mailing Address (Contractor or OwX-ne ' , L'f /" S?I?7 7O A nz ed i to rector/ woe a ng Installati onl hone Number ?? 598 MINNESOTA STATE B.g%NO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BId Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 9//REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 T 1 See instructions for completing this form on beck of yellow copy. D 2 "X" Be/ow Work Covered by This Request r" Addl Rep.I Type of Building Appliances Wired Equipment Wired I Duplex Water Heater I Lightinu Fixtures El I Industrial Bldo. Air Conditioner I Bulk Milk Tank I p Fee Service Entrance Site F Fee Feeders/Subfeeders N Fee Circuits 0 to 200 Amps 0 to 3 A m s 9 27 a0 0 to 30 Amos Above 200 Amps _ 5 31 to 10 Amps 31 to 100 AMPS Swimming Pool Above 100Am s Above 100_Amps Transtormers Irrigation Booms Partia I, Other Fee I_ Signs (Special Inspection --is? y 3 L F Reny rks " - ,???, I. the EiecvmjT Inspector, hereby certify that the above Final inspection, has been / made. This request void 1B 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY SAAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulrements 4i / 7 Remodel/Recak Reaulrements Ili1Jv 3 registered site surveys showing sq. H. of lot, sq. H. of house 2 copies of plan and roofed areas (2046 maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations 3 copies of tree preservation plan II lot platted after 7/1/93 DATE: 8 I IR!I CONSTRUCTION COST: Ss 40D -00 DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: 3 SUBD./P.LD. #: fi lai f L& Ci- Name: l ? l l?n G rI C Phone #: LCth %(O' o& (.00 PROPERTY lost ?+ First OWNER 13(05 arr%e-1 ba,c c_ Street Address: ,,,_ City ?Q+n State: , r _' Zip: 1551 Company: r;c4. u \4i# l Phone#: (La. " fO7-(o95 (area code) CONTRACTOR A /? - Street Address: 1 yr- I a I 41 iV % Cb 11e+ Ae S License # a uo4 34'3 ExpY .b -Or) City IburAU')tit State: ___ zip: 55331 ARCHITECT/ ENGINEER Company Name: Telephone #: area code It ) Street Address: Registration #: City State: Zip: Sewer 8 water licensed plumber (required for new construction only): Penally applies when address change and lot change is requested once permit Is Issued. 1 hereby acknowledge that I have read this application, state that the Information Is coneet, nd agree to comply with all applicabi state of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No AUG L Tree Preservation Plan Received _ Yes _ No _ NotRequired??,=.-- +NO PRt REQUIRED CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_ 14060 BUILDING PERMIT PHONE: 454-8100 Receipt a CDCOI:,_)_11? # To be used for SF DWG/GAR Est. Value $108,000 Date AUGUST 17 19 87 Site Address 1365 CAMELBACK DR Lot 11 Block 3 Sec/Sub. FAIRWAY HILLS Parcel No. a Name AL HERRMANN CONST Address 8723 HIGHWOOD WAY City A.V. Phone 688-0696 p Name SAME 0 Address P City Phone Name Address City Phone OFFICE USE ONLY R3 On Site Sewage Occupancy ?1- X MWCC System _ Zoning On Site Well Type of Const V City Water X (Actuaq $ (Allowable) of Stories Length Depth 31 S.F. Total Footprint SF. APPROVALS FEES $ 527.50 Assessments _ Permit Water/Sewer _ Surcharge X00 Police Plan Review 263.7 5 Fire - SAC, City 1n0_n0 Engr. _ SAC,MWCC 5750n Planner Water Conn. 525.00 Council Water Meter 67 0 I hereby acknowledge that I have read this application and state I thatthe information Is correctanda tee to comply with all applicable State of Minnesota Statutes d C Eagan Ordinances. Bldg. Off. APC Variance _ Road Unit 305.00 0 - Treatment PI 1R0_f) Parks Signature of Permitt ee r Copies TOTAL $ AL RRMANN CONST A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable Statg5of Minnesota Statutes and City of Eagan Ordinances. Building Official 6 0 1987 BUILDING PE APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUSTI'.DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND a To Be Used For: 2 Valuation: 1K ? Site Address OFF Lot ( Block 3 On Site Sewage_ ` MWCC System _ Parcel/Sub Qu4ln „ [6`L,-, On Site Well City Water _ Owner Address City/Zip Code Phone Contractor Address City/Zip Code Phone (p k K -?X9 Arch./Engr. ndtp Address _? ppc } _ ?,tf(o?$? City/Zip Code ?L0rnS6tl(,e 55337 Phone # APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 4 APC Variance UNITS DEPT., $ - i3-8 7 Occupancy Zoning R- I Type of Const (Actual) $ (Allowable) # of Stories Length 60.00 Depth J•e)o S.F.' Total Footprint S.F. FEES Permit 52?.50 Surcharge Plan Review 26 .?S SAC, City /00,00 SAC, MWCC s ,00 Water Conn ,525,00 Water Meter 61.00 Road Unit 305.00 Treatment P1 ig 0.00 J GA121 E - '; aacq S2?xr2 633 IST (. )( se = 9" X S8 = 57 3oq Znd zx?o- ZO 442 2 10 0% < L g 35 /09 99- K aOSE ENGINEERING COMPANY, INC. 1000 LAST I461A VET, ' AL COHSULIIHO EH01HEERS HERRMAN PLANNERS and LARD DRVEYOl1S CON ST. 75Ca01 4URH,ZVILLE. MINNESOTA 53337 PH 432-`3000 Cer?z}i cci?e -?- zr'e cJ 7_,sgcl .Oe.TCrLp2icn: Lot II, BLOCK 3, FAIRWAY MILLS, DAKOTA COUNTY, MIuNESOTA S LOT 11 _ ^ O G / (a ??o) 7D' FRONT BUILDING •o) Sfr&4CK UNG 1 /\ N pRpa p .0 (rozsb) S/ ..?-? 8a Zq) ,C?i4 F 1 C DRAINAGE 4N0 VnLrre E;4SEMENT hay- ?D v fn. J 10 S- "`_,arTC I hereby certify that this is a t:.uz•and correct land as shove and described hereon.. As prepared /»gecIl , 1997 REtnSED 8/13J87 G-i4N(.£ of HAGSt' C/ z7. o) CENOTES E YSTING ELEVATION (laze.0 )DENOTES FFOFCGED ELe ATION ?5 - - iNCICATES DIRECTION 01= "VRr4ct h 1 O r z F/NEST t GARAGE FLGCR EL,E?A'TIa..) ' I O M ON3 <,,? D ) ryl r{4.61 l'L3o' representation of Atract f of by me on this Hinn• Eea• !.^6 CITY OF EXTERIOR ENVELOPE (To be submitted with One or Two Family Dwelling All Other JJ?? Contractor f L f BUILDING DEPARTMENT -1-? 0-9- 51 La AVERAGE ""U "" C014PUTATION building permit application) Owner Site Address X36 f Cc., it a( h ,a-1 Date Phone LINEAL FEET OF EXPOSED WALL . " y?/d?7 ?/ :1 fte above grade = 'j 703- O TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTIONS 'full Value x Area Detail ? __.flun io4' x Detail -- - Sq. FT.' _ 94-(u) (A U° i .. 4? x " c Sq. FT. ; " = (U)(A) from U v attached u - x u u x shoot a SQ. SQ. FT. = U)($) FT. = U ( )(A) nUn x SQ. FT. _ (U) (A) WINDOWS: "U" Value x Area Halle & Type ? AI C cp1 ` u" t Ll x Sq. FT. 2 (O a 0141(U) (A) IOU I nUn x Sq. FT. (U)(A) If oUn Q (U)(A) x S . it. _ --(U) (A) DOORSM 'tu" Value it Aron Hake & Type p00 'S nUn ° ?.? y'+?f1A-'-'nUn it cL7 S Q Q FT. 1D (A) X n f n It s , . FTC (U MA) u ? n Un q' (U) (A) x ??-^---- SQ. FT. _ (U) (A) TOTALS Z-2-0-72,0 SQ. FT. L LA t,I (U)(A) TOTAL (U)(A) VALUES AVERAGE IOU" 4W I a DIVIDED BY TOTAL WALL AREAZ?tj3 t d AVERAGE nUn .1t3 or lase for 1&2 family dwe Tinge ROOF/CEILINGS TOTAL AREA, 4t, "1 Detail reference null 1GZ 1 __ ` f q. _ ?? ? FT rom . (U)(A) attached sheets. nun x Sq. (U)(A) Describe openings nUn x SQ. FT. a (U)(A) in roof. SQ. FT. _ (U)(A) x TOTAL (U)(A) VALUES DIVIDED Bx 2t017r. = Sq. EST. _ (U)(A) ]0714??j t']!i_li" iP ) 'TOTAL ROOF/CEILING AREA 9 Ci r1 P AVERAGE It .02$ - entilated roofs. t ©? 'ED (W+ z(,4z(9+ S)-- 1,77115-,co... ZC6,oA (S) -- 98F T 270 3 s a x (3s i-3s +z4+zc,*)_ 875 ,'(o S3 X( $54 Zcn47-tp' = 7 ,cg(, X( ) = (07-0-0.5 137.78 ? I w5 .4q z n/ 3 = Iz, z.s --- -- cvJ 4-w4- = 'ig, z5' G\-K/ 3W6 = 3? ,7S X2 = I S TWIN= to cwIX3 c2 I2x4- = zz,sx 4-= go GW Zx3 = I t c,C 2 = ?S 2L0117G' nods 3" S7L ? -w/SL = '3E&_ 2 - STI_ SIc? , Z 1 ._. (?e Pra-na x z = 64 Cw,o clvv,s 5XY'OP WM.L Z?a2„o ? ;4 cvti`, gS,?lc H j /V"1 (3178 'I WpvJ 2&ii7s .? Cy _U. 2.) Bd. ilm 3.) Insulation 4.1 . 5.) Exterior Air Film (STILL) "U@) a i/Ra IOZ/ R VALU 0.61 •56 44.00.? .61 TOTAL (R)a 4S-7g WALL 6.)-Interior Air Film Dd. 8.) Insulation '9•) t?urtx 10•) Exterior AiriFilm R VALU 0.68 •45 19.00- ? 1.67, .17 nUu a 1/Ra. . .T > TOTAL (R)a 255 . o '12.) Interior Air Film U 13.) 14.) Insulation 2c Fir Ri 0.68 q 1 6 ) m joist y r 1.88 . 1 17;) nite s ding ?.6 Exterior Air Film .17 nuu a 1/Ra Q/o TOTAL (R)a FOUl1_ pA?p? 18.) Interior Air Film R VALU 19.) 0.68 20.) 21 -!I 5 1Pl D " //po •) 22.) 12 Concrete Block 1.28 '-3.) Exterior Air Film "17 lull . I/no • Orb TOTAL (R)a/3 re14ee at Roof, Wall, Rim and Conc. Block ROOF CEl I I.) Interior Air F GOLD COPY PERMIT RELEASE FORM PERMIT # c>-1 I ADDRESS PICKED Uf CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: i, PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR FIRM INETALIATrONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. - _*tr+t**,t,t*t*it*,e,r*,e,r*,t**t*,r****t***, (Please Print) 1) PROPERTY ADDRESS: 13 '5 G6MQ4Ir,4CA i-, LEGAL DESCRIPTION: // L'6'+ 7 F S IF EXISTING STRUCIVRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Ca IAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) (] INSTITUTIONAL/GOVERNMENT' o R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINILTI Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: i 3) NAME: ADDRESS: an, STATE, ZIP: PHONE: 4) •• • ial - NAME: ADDRESS: CITY, STATE, ZIP: PHONE: LICENSE# Z _` 6 I, S Active Expired Not recorded Staff Initial 5) • : r •:? :a •a• ?: CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER OTHER-' 6) ': • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE C3 PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE /? o (Circle one) 7) (! -??(-P/// V u, ,a - ' °/` - / L - FOR -CITY USE ONLY PERMIT # ISSUED 9o 7? Pd w/Bldg. Permit FEES: $ $ /n- l5r? SEWER PERMIT (INCLUDE SURCHARGE) $ $ /O WATER PERMIT (INCLUDE SURCHARGE) $ 6.2 7'0-7) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ 16 ACCOUNT DEPOSIT - WATER $ Z $ WAC $ // Iv L 7l? $ S AC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Irz) ,cr _U $ ER WAT TREATMENT PLANT SURCHARGE $ $ OTHER: $ C/ / 0 0 $ -5 TOTAL Z .773f0 RECEIPT RECEIPT DOES UTILITY CONNE CTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? E3 YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS . A CONDITION. SUBJECT TO THE FOL LOWING CONDITIONS: APPROVED BY: / j c-? / e_ TITLE: DATE: PERMIT City of Eagan Permit Type:Building Permit Number:EA117409 Date Issued:10/18/2013 Permit Category:ePermit Site Address: 1365 Camelback Dr Lot:11 Block: 3 Addition: Fairway Hills PID:10-25600-03-110 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 . Gina Delmedico 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 - Eric J Wilson 1365 Camelback Dr Eagan MN 55123 (651) 785-8038 Abelard Construction 6200 Shingle Creek Parkway, #545 Brooklyn Center MN 55430 (763) 503-6610 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121505 Date Issued:04/04/2014 Permit Category:ePermit Site Address: 1365 Camelback Dr Lot:11 Block: 3 Addition: Fairway Hills PID:10-25600-03-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Eric J Wilson 1365 Camelback Dr Eagan MN 55123 (651) 785-8038 Abelard Construction 150 Eaton St St Paul MN 55107 (763) 797-4043 Applicant/Permitee: Signature Issued By: Signature City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 11 LG Permit Fee: °'v Date Received: Staff: )»-/ 2014 RESIDENTIIA�L BUILDI/NG PERMIT APPLICATION Date: ')lll Site Address: 1365— 71/247i�1A.' t Resident/ Owner Type of Work Contractor W Name: EV; C.. Address / City / Zip: Applicant is: Description of work: JAI OA. Unit #: Phone: (OJ ! 7S- roSP Owner Contractor Construction Cost: 3DOD, ' Company: Address: State: /5b G4" 577-e-0-1- Zip: Th e-e1 Zip: SSP-) License #: 351 3d( . rl Phone: Multi -Family Building: (Yes / No ) e- �mJ�. Contact: ?U1a�.. City: e;57- 797- 4/ /3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.qopherstateonecall.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 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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X 1 - I/X.� lin gid k Applicants Printed Name 6.01); Applicants Signature Page 1 of 3 *City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 1 0 2016 Use BLUE or BLACK Ink For Office Use 1 3-C11 Permit #: S Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 3/8/2016 Site Address: 1365 CAMELBACK DRIVE Tenant: ERIC AND BETH WILSON Suite #: Name: ERIC AND BETH WILSON Phone: 651-785-8038 Address / City / Zip: 1365 CAMELBACK DRIVE Name: SOUTHSIDE HEATING AND AIR CONDITIONING License #: Address: 10808 NORMANDALE BLVD City: BLOOMINGTON State: MN Zip: 55437 Phone: 952-884-2453 Contact: Email: SOUTHSIDE@SOUTHSIDEHEATING.COM New / Replacement Additional Alteration Demolition' Description of work: FURNACE AND AIR REPLACEMENT -e ,�Y rrwmtViz o/l-/' NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL 1 Fumace ✓ Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement _ Install Piping _ Processed Gas _ Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$60.00 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 _$ _$ _$ Permit Fee Surcharge TOTAL FEE 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 plans. x ROBERT R SIEFERT Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Oily of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB u 4 2016 Use BLUE or BLACK Ink For Office Use Permit #: /:�:7/ I Permit Fee: G Date Received: Staff: -c� 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2/ 4 // Site Address:3n -. ` c.kTs-C f Unit #: Name: Address / City / Zip:3(c F j J Phone:LIZ 14 7 I C_. CT. Erse )nni 55123 Applicant is: Owner V Contractor Description of work: Swimming Pool Construction Cost: $23,000.00 Multi -Family Building: (Yes / No ) Company: Performance Pool & Spa Contact: Ken Ronsberg Address: 2405 Annapolis Lanecity: Plymouth State: MN zip: 55441 Phone: (651)775-3940 Email: Kenronsberg@Comcast.net License #: City/Specialty Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Phone: Phone: Fire Suppression Contractor: Phone: Mechanical Contractor: Sewer & Water Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.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 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 plans. Exterior work authorized by a building permit issued in accordance with the Min - Building Code must be completed within 180 days of permit issuance. .Ken Ronsberg Applicant's Printed Name x pp icant's Signature Page 1 of 3 q .,ik DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES )(, New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction )0 _ Fireplace Garage Deck Lower Level Interior Improvement _ Move. Building Fire Repair Repair V6 REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) _ Miscellaneous Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows _ Egress Window Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: _ Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: v Footings y Air/Gas Tests V Final Drain 1`ile j" Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL pot, 2,000 Page 2 of 3 /36-6/ 3 POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: & % f( rtb l GENERAL INFORMATION o z -d �' ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property ❑ ❑ North arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. ❑ ❑ Location and name of all streets adjacent to property ,J;1' ❑ ❑ Directional drainage arrows (existing and proposed) ❑ ❑ Lot Square Footage ❑ ❑ Lot Coverage ELEVATIONS Existing ❑ ❑ House corners f❑ ❑ Property corners ,2 ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines )4' ❑ ❑ All Easements on the property Proposed ❑ ❑ Pool 21' ❑ ❑ Pool plus integrated deck/patio ❑ ❑ Shortest distance from outside edge of pool Reviewed: G:FORMS/Pool Permit Checklist/11-20-12 lot lines and house Name Date TRI—LAND CO.r\,c SITE PLAN FOR:/33SURVEYING SERVICES HUTTNER CONSTRUCTION � 1280 YANKEE DOODLE ROAD �q �,�ECr2Es'4- EAGAN, MINNESOTA 55126 LEGAL DESCRIPTION: LUT 8. ,BLOCK 1 , PINECREST 88051 ACC THE GRG. LOT 7:884.9 DING TO TIE RECORDED .PLAT OF DAKO COUNTY, MINNESOTA jr875.21 ry7 11 L=50.83► !?= 60,00' PINECREST COURT 67" 49168 9. .3F t1 GARAGE ELEV. 878.91 fj* FISH &WAN~~- ELEV. 843.0 LEGEND o DENOTES IRON MONUMENT O DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION .�- DENOTES DRAINAGE DIRECT ION PROPOSED FULL BASEMENT W/O INVERT ELEVATION AT SERVICE EXTENSION= — PROPOSED GARAGE FLOOR ELEVATION at 880.9 PROPOSED FIRST FLOOR ELEVATION = 881.4 PROPOSED BASEMENT FLOOR = 872.5 ELEVATION NOTE : VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 om a duly Registered Land Surveyor under the Laws of the State at Minnesota Bradley Dote yen son, Mn. Req. No. I235 //Nine City of aaa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2016 OCT 272016 Use BLUE or BLACK Ink 1 For Office Use . - i Permit #: Permit Fee: o 1.°-?‘ / }. 0 o Date Received: (u'aZ 7-� 4 Staff: PERMIT APPLICATION ❑ Please b submit two (2) sets of plans with` all commercial applications. Date: C© `mac k a O i b Site Address: f 3 (-a wi el bac Tenant: Suite #: Name: C. JJ415 04 Address / City / Zip: 5cc w -w Phone: 4) frl C '- `1 03 O Name: —r -Li ! E +e rio�r'r; S'e S 114 G10 License #: ] / I Address: '13 (13 He _14 ►1 Lt / T : city: Vc cot%1 Ci 5 d4� l'�,i �l 1c5 Phone: ;S / — 7 d 7 - Ob 3j 0 r/ j Email: , w1.T)'Veldt .f 9\i� ,5e(S ci) wLet6 /-Colo Additional Alteration Demolition -1' 6.5 floc: 1-Sf�r New Replacement Description of work: NOTE: Roof mounted and ground meunt�e+ Code. Please contact the Mechanical Inst Permit TyF RESIDENTIAL Furnace Air Conditioner _ Air Exchanger Heat Pump / Other __ELW 4 C� f Y .�In,5eG New Construction Install Piping Gas by City ni ng met ods. COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $1 00.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank Installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge / o. TOTAL FEE Contract Value $ x .01 = $ Permit Fee Surcharge TOTAL FEE =$ _$ 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 withoyt 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 plans, Applicant's Prnted Name J Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Ser Reviewed By: ice Test In -floor Heat Date: HVAC Screening