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1362 Camelback DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1362 Camelback Dr Lot: 8 Block: 4 Addition: Fairway Hills PID:10- 25600- 080 -04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Christophe R Hubbs 1362 Camelback Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA081207 11/21/2007 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1362 Camelback Dr Lot: 8 Block: 4 Addition: Fairway Hills PID:10- 25600- 080 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Rybak Brothers Construction LLC 2206 East 117th Street Burnsville MN 55337 (952) 405 -8871 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Christophe R Hubbs 1362 Camelback Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA086613 10/03/2008 ePermit û þýýüûú ú ÿ ùüüýýÿðû éþ íîë÷ü á í î þý ÿþýüû ù ùýüûø÷ ûù ò Úòýüûòÿåÿ øÿõþêõøÿõþ Ú ý æúÿó î òÝ÷ê òø õëñù ßàùïé è í èî íã öù ÿó ëçé è ð èð õôóô òñ ûû ååþ ÿõþúóûóêÿþþ î áúõþ òø òø ñáïî î óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ .. . , 0 (Irr#tfirate of COrr??aury Cttp ot (Eagan Oppttrtmm# of lWbing JWeriion This Cerlificate issued pursuant to 1he requirements of Section 306 of the Unifonn Building Code certifying titat at the time of issuance this structure was in compliance with the various nrdinances of the Crty regulating building construction or use. For the following.• Use ClassiCxation g' LWIM Bldg. Pbrmit No. 17970 Occupancy Type ?I.Aftl 7noing Distria R I Typt Canst. VN Owner of BuldinB= CCMS33WC= Address4600-F'AIRWAY.NMTS_ER. - F?'-bN Buuding Address 1362 !'.OO$ACK DRIVE tor8liry 1,R,. Bla, F TRW FM.T-lq i ? f 1 /. Dau: 199(1 - ? Bulding POST IN A CONSPICUOUS PLACE s - .,. , . . , .. - . -- . - "i r. . .. r- ;?i„?'.... CITY OF EAG 3830 Pilot Knob Rnad, P.O. Box 21 PHONE: 454-81 BUILDING PERMIT To be used for s'F DWIAR Est. Value ?? ?? ,0130 ° Block ~ 'ol nln Cc W Z 0 Name Phone Phone Address i W City Phone I hereby acknawlege that 1 have read this applicatian and state that the in(ormation is correct and agree to, comply with all applicable State of Minnesota Statutes and City of Eagan; .Ordinances. Signature of Permitee A Building Permit is issued to: 3Qli,yi WMZ on the express condition that all work shall be done in accordance with all applicable Slate of Minnasota Stalt?tes and City of Eapan Ordi+aances. ? OFFIC E USE ONLY Occupancy ?r FEES Zoning ?- $ (Aotual) Const V? Bldg. Parmit _ (Allowable) Surcharge - # of Stories 41 s? Plan Review Length - Depth SAC, Cily _ S.F_ Total - SAC, MCWCC - S.F. FuotpriMs _ On Site Sewage _ Water Conn _ On Sile Well ? Water Meter - MWCC System xX Acct. Deposit _ City Water - PRV Required Xx_ S/W Permit _ Booster Pump - S/yy Surcharge _ Treatment PI - APPROVALS Road Unit _ Planner - Park Ded. _ Council Bldg. Oif. _ Capies ? Variance - TOTAL _ 90 r Permit No. PermR Holder Uate Telephone # WATER SEWER PLUMBING p° ? v H.VA.C. p/prl? ? 0 ELEGTRIC Inspeciion Date Insp. Comments Footingsl ? ? ? W Foundation ? Framing ? "?G - D ? ?fi? ? Rough Plb,g• ]?,4 Rough Htg. lsui_ ?/i o - - - a- c Freplace Final Htg. Final Plbg. -?? Const Meter Plbg. Inspector - Notify Plumber Engr:/Plan Bldg. Final ? Deck Ftg. Deck Final ?' [) weu Pr, disp. qPW ?; ? . . _ ? . . A 3330 PILOT CONTRACT PRIC19; Site Add ress , Lot r Block Sec/Sub - ? ? Nam9 ? Address -'f ?? % 1 `' a.... ? • - - c City - y Phone Name -" - - ? c Address 4 rr'? .;i 0 City Phone %`" ? ' TYPE OF WORK Forced Air M BTU $._ Boiler M BTU $_ Unit Heater M BTU $? Air Cond. M BTU ? Vent CFM ? ? Gas Piping Outlets # ? Other $? ? PERMIT FEE: _ SIC: f .. , ;. j..r TOTAI: ' f s _ ._ , . _. _ . OB ROAD, EAt3AN, MN 55121 HONE:4b4-8100 DATE: BLDG. TYPE WORK DESCRIPTION Res. "? New Mult Add-on Comm. Repair ? Other ? ? FEES ? RES. HVAC 0-100 M BTU -$24.00 ? ADDITIONAL 50 M BTU - 6.00 1 ?..(RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS (MIMIMUM -1 PER PERMIT) - 1.50 EA. ? CQMMlIND FEE -1Rb OF CONTRACT FEE " APT. BLDGS. - COMM. RATE APPLIES ? TQWNHOUSE & CONDOS - RES. RATE APPLIES `J MINIMUM RESIDENTIAL FEE -- ALL ADD-ON & j REMODELS - 12A0 ? MINIMUM COMMERCIAL FEE - 20.00 , STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE) ? ` - l S?GNATURE QF PERMITTEE ? i FOR: CITY OF EAGAN ? ? , PWMBING PERMIT For Offfce Use Only . . ' CITY OF EAGAN PERMIT # 1&,/t? CONTRACT 3830 PILOT KNOB ROl1Dl EAGAN, MN 55122 RECEIPT# PRICE PHONE 4548100 DATE: ? Site Address Block $ BLDG. TYPE WORK Res. X New_ Mult. Add-on Comm. Repair Other ,. NaFne A l: .F'1LUMDln ? Addreg? 5910 Ghester ?iVe c City ?or le Phone461..209 ? Name = Address 4600 Fgi ? City Eagan. Phone45-2'_d72? FEES COMM./IMD. FEE -1°k OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES iTQWNHDUSE & CONDO - RES. RATE APLLIES ' ?1MINIMUM - RESIDENTIAL FEE $12.00 . MINIMUM - COMM.IND./FEE $20.00 STATE SURGHARGE PER PERMIT .50 (ADD $.SD S/G PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF EAGAN .' RES. PLBG. ONLY - CQMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 3 Water Closet - $3.00 $ __J-_ Bath Tubs - $3.00 ? _#--- Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 ? . - UrinaUBidet - $3.00 Laundry Tray - $3.00 3. - I_ Floor drains - $1.50 ? . S'ZL- 1 , Water Heater - $1.50 ? • ? Whirlpool - $3.00 ?S. - f Gas Piping OuUets - $1.50 T 4 -? (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 <_ Rough Openings - $1.50 ?•S?- ? PERMIT FEE: 0'7 STATES SlC: ' . ?) 7) GRANQ TOTAL: ? '? SEINER & WATER PERMIT CITY OF EAGAN 3830 Pilat Knob Rd. Eagan, MN 55122-1897 dATE - OFFICE USE ONLY PERMIT DATE `' ? ? } Q? ETER # ? 2? `° PERMIT # 9CHIP METER SIZE B_P. RECEIPT # ?8 2 2 4 ISSUE DATE g D B.P. RECEIPT DATE 6/8/90 _ PRV ?`x BOOSTER PUMP Y SITE ADQRESS ? `'''`' ,r?;t DR3.Vk; LOT `-___'BLOCK _'. SEC/SUB FATRWAY H?IJs;' A,'7U. I APPUCAfVT: '?N? ?af1''?LCIION ADDREBS: 46(}0 FA7&MA-? :3II.LS L7R CITY, STrATE ZIP r ? 123 ; , ;. !? •_ ?'j? ?3 PHONE: PLUMBER: ''•n pLUi'il3I13G ADORESS: '??;, ?-:1 CHL;STER AUE CITY, STATE '. I-XI'IIEFZ?D tv2q ZIP 5`--«5 7 PHONE: L -''-"` ) 652"293 3 461-2096 PERMIT REDUESTED jL SEWER - COMM/IND _X-NEW ? WATER - TAPS %:. RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE T OMPLY WITH CITY OF OWNER: "`CX?S "'i'R=11_ N EAGAN NAN ADDRESS: ';cOQ ?'"A'fRWAY HTI.,L:i TiF; ._ ? c- , CITY, STATE k:AGAN MN - ZIP ?23 PHONE: $IGN#URE W EN METER ISSUED '.' t.? i.e:., .. _- PLEASE 14LLOW TVYD WQRKING DAYS FQRPROCESSING'. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER& WATER PERMIT CITY OF EAGAN 3$30 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 5'"30"'90 13U cA14ELBA,cct nxtvE , ,I LOT BLOCK `SEC/SUB APP121CANT: AODRESS: ?``??7??7nF?ALTR?i?Y f3IL?sS .? L'11`I :•.?..L..;` CITY, S?'ATE _afiVliJ. ZIP - PHONE: '2" -5`' 5 tE ONLY PERMIT DATE PERMIT # ?j- 4.146 B.P. RECEIPT # B.P. RECEIPT DATE - PRV ? BOOSTER PUMP PLUMBER: ::?L PLUP'1B'.cW AQORESS: `910 C:iT,>TF..R A51E CITY,STA?EYI''£?'?!?'.TJ MI? ZIP'.3`iti,+`?J X PHONE: 7U?,''OWNER: ?-' '-?"' CXN5T2L}t"TIQI ADDRE5S: CITY, STATE F'rG,AC Nii\ ZIP.'''.' PHONE:"' METER # - GHIP # - METER SIZE PERMIT REQUESTED -LSEWER Z--,-WATER - TAPS _ COMM/IND K RESIDENTIAL -2, NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NQT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDIMANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORICING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ? PLUMBING PERMIT Far Office Use Only CITY OF EAGAN 1' , PERMIT # CoNTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# 2/?7z.'?j";) PRICE PHONE 4548100 DATE: Gi ?s ci(? 7 Site Addrass BLDG. TYPE WORK DESCRIPTION Lot Block ?- SeclSub ?- . , Mult. Add-on Comm. Repair ? ? Nams ~ Other Addre s ? c Phone ???s C? RES. PLBG. ONLY - COMPLETE THE FOLLOWING: .. . Ma FIXTURES TOTAL Water Closet - $3.00 $ ? Nam Badh Tubs - $3.00 ? Address r Lavatory - $3.00 ? City Phone - Shower - $3.00 Kitchen 5ink - $3.00 00 UrinaUBidet - $3 . FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRAGT FEE Fioor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHQUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12,00 Gas Piping Dudets -$1.5o MINIMUM - COMM.IND_/FEE $20.00 STATE SURCHARGE PER PERMIT .50 (MINIMUM -1 PER PERMIT) ? Sohener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.60 Private Disp. - $10.00 ? Rough Openings - $1.50 SIGNATURE OF PERMITTEE PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: ? 5`? i DATE: 6/8/90 1362 CAMSLBAC[C DRIVE, L8, B4, FA7.RWAY HILI.S iST RE: xX Your Sewer.& Water Permit for the a6ove 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 EALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ?- - ' i4Your Sewer & Water Permit for the above property cannot be completed for the following -?+ i reaso-ns: Your Sewer & Water Permit for the above properry has been completed, but the meter cannot be issued ar occupancy allowed until further notice. COMMERGIAL 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, CALL LOCAL UTILtTIES - TELEPHONE, ELECTRIG, GAS, ETC. - REQUIRED BY LAW. . CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLIGY. Secretary, Building Inspections Dept. SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 ADDRESS d" ?`2'L( qTV OCCUPANT OWN SOLDBY vKA , INSL MAKE SERIALNO. THER VALVI LIMIT LIMIT FAN : IGNI710N MODEL PILOT TIMING _ PRESSURE INPUT CFH STACK TEMP. ? FORM 235 (REV. 11/89) 0 PERCENTCOz HEATING JOB NO. ?? 12- ? TEST RECOHD MODEL LI w Ci _V `''(, I ? l INPUT VENT SIZE TYPE OF LINER ? LINER SIZE (??? `.i FILTERS: SIZE NUMBER WIRING TEST TAG - LIGHTING INST. ? DATETESTED_ COMPANY TESTING PERCENT CO ? NAME OF TESTER FORM OISTRI8Uj1UN WHITE COPY-JOB FILE 1'ELLOW COGV - CfTY G 36797??' ' ???°° Request Dale rte No Roughan s ron J v 6/ 2 6/ 9 0 Reqmred ? ReaOy Now A All NoOty InsOKtor ? ' s rJ No When Featly? Xlicensed contractor ? owner hereby request inspection of above electncal work at: Job Aatlress Sveet, Box or qovte No ) 136?1 Camelback Drive Qry Eagan SecLOn No. Township Name or No Renge No County Dakota Occu anl(PFINT) ?ons Construction Phone No. 452-4355 Power Sapplier Adtlress Dakota Electric Farmington, MN 55024 Electncal Conhacto, (LOmpany Name) COntractor3 License No Midland Electric Inc. 041610 Meihng Atltlress (GOnvacmr or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville MN 55337 Aut?or (GOnnactor/Ownar Making In/stall?Jp n) l?C • ???/' _ _ Phong Nvmber 82 - 6 6 8,9 MINNESOTA STATE BOARD OF ELECTPICM ` THIS INSPECTION REOUEST WILL NOT Grlggs-Mltlway BIEg. - Poom &173 eE ACCEPTED BV THE STATE BOARO 1621 Unlvenlly Ave., $t Paul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phane (612) 6C2-0800 ENCLOSED, '??, E/e?-0/oo?oi-0? REQUEST FOR ELFyTRICAL INSPECTION ??°=" ? Sae insVUCtions M17F complehnq [his lorm on Ca<k oi yellow mpy ') G-7d7 '.. r?:' I _------ a. -u' ? w J V I.J 1 ? oci?w vvwn i..vcnou ?y rnro nvy?rw? -ia•- .r.•W? ew Adg Re b TypeofBuilding AppliancesWvetl EquipmentWiretl Home qange Temporary Servwe Duplex Water Heater Electric Heafing Apt. 8uilding Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner Otner (specy) ConVazlorS Remarkr Compute Inspection Fee Below: # Olher Fee # ServiceEntranceS¢e Fee # Circuits/Feeders Fea Swimming POOI ? 0 to 200 Amps VIr TO to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Si9n5 Inspector5 Use Only: O? TCTAL Irrigation Booms ?g Speaal Inspeaion AlarmlCommunica4on THIS INSTAILATION MAY 8E O ER IS INECTED IF NOT Other Fee COMPLETED WITHIN 18 M I, the Electncal Inspector, here6y Rougni ^ 7 G certi that the above ins ection has ? P been made. Finai Data f.,??ge) d OFFICE USE ONLY This request voi0 18 months from RESIDENTIAL ? o.2 7? BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConnWCtion ReauiremeMe . 3 registered sile surveys shmving sq. ft. of lot, sq. R. W house; and ell roofed areas (20% marimum lol coverage allowed) . 2 copies M pWn slrowing 6eam &wiMax sizes; poured found design, etc.) • 1 sef of Ecergy Calculadons • 3 copies of Tree Preservatian Plan N lot platted aRer 711193 • Rim Joist Detail OpBons seledion sheet (Mdgs wNh 3 or less unBs) DATE 5 f l S- X ? _ Water Softener Water Heatcr No. of Baths SITE ADDRESS /3 C9 d- Cce-.-?l6k?k MULTI-FAMILY BLDG _ Y ?N TYPE OF WORK lee / ZvoF FIREPLACE(S) _ 0 _ 2 APPLICANT STREETADDRESS & ?PS Z cL- (?yLe 4J&'L 413' cirr f- P?G-?•? STATE A"'-• ZIP S3- 3y(- TELEPHONE # 452"'"y"5`31 CELL PHONE # FAX # g sa • 971/- Ir 7 y PROPERTY OWNER TELEPHONE # --------------------------------- ---------------------------------------- ---------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NUNNFSOTA RLJLES 7670 CA'I'EGORY 1 ? (+lsubmission type) • Residential Ventilatlon Category 1 Worksheet Submitted Submitted • EneTgy Envelope Calwlations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor. _ Air Condiboning _ Heat Recovery 5ystem Phone # Phone # Fee: $70.00 -----------------------•°------------°-----••°-------------------------------------- °------------------------------- I hereby acknowledge that I have read this application, state ihat ihe informa ' n is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina s SlgnaFure of ApplicaM OFFICE USE ONLY Phone # RemodaVReoair ReauiremeMs r . 2 copies at plen 1 5 7.? J • 1 set of Eneyy Calculations for heated additions ) . 1 si[e survey for exterior addifions 8 decks . Indicale'rf home served by septic system toradditlons VALUATION 7: ? 7 S. _ Iawn Sprinkler _ No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY OF EAGAN ? Np. ? 7970 BUILDING PEFtAi11T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? J PHONE:454-8100 Receipt # ??.. To6eusedfor SF DWG/GAR Est.Value $143,000 Date JiTNE 6 , 19-9R- Site Address 1362 CAMELBACK DRIVE Lat g Block 4 SeclSub. FAIRWAY HILLS Parcel No. W IName SONS CONST o Address 4600 FAIRWAY HILLS DR City EAGAN Phone 452-5355 ,o Name S? ?? Address • City Phone ?W Name ? ? ; Address aW City Phone I hereby acknowlege that I have read ihis application antl state Ihat the iniormalion is correc[ and agree y comply with all applicable State of Minnesota Stamtes an ity ot Eag inances. Signature ot Permltee 1 1! A Building Permil is issued toSONS CONST on the express contlition thal all work shall he done in accordance with all app6cable State al Mmnesota Sta tes and Ciry ol gan Ord? ances. ? ?Lc? Bwlding Olficial i -? Otcupancy Zoning (ACluaq Const (Allowable) M ofStories Langlh Depth S.F. Total S.F. Footpnnts On Sile Sewa9e On Sile Well MWCC System Ciry Water PRV Require0 Booster Pump APPROYALS PlannBr Council Bldgvariance OFFICE USE ONLY R-3, M-1 FEES R-1 Vn_ eldg. Permit $ 790.00 Vn- Surcharge 71.$0 514.00 49-d Plan Review 42.5 SAC, aly 100.00 - SAC,MCWCC 600•00 waterconn 625.00 water Meter 90.00 XX XX ?cl. Deposit 30.00 sAq aemn 30.00 XX 5/VJ Surcharge - 50 2$2.00 Trealment PI 355.00 Road Unil - Park Ded. Copies $3,458.00 - TO7AL c ? _ 1 76 1990 BUILDING PERMIT AYPLICATION CITY OF EAGAN SINGLE FAMZLY DWELLINGS /2 SETS OF PLANS ? 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARGHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI 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 REQllEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. C]OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. n0 CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: $112.r99O Date: 5-30-90 Site Address 1362 CAMELBACK /tYl, Lot 8 Block 4 Paicel/Sub FAIRWAY HILLS 1ST ADD; O,::ner SONS CONSTRUCTION Address 4600 FAIRWAY HILLS DR City/Zip Code EAGAN M 55123 Phone 452-5355 Contractor SONS CONSTRUCTION Address 4600 FAIRWAY HILLS DR City/Zip Code EAGpN pN 55123 Phone 452-5355 Arch./Engr. BRIAN AUSTING Address 4600 FAIRWAY HILLS DR City/Zip Code EpGAN MN 55123 Phone it 452-5355 OFFICE USE ONLY I y3, oc?'' FEES Occupancy R?3 M^I Zoning Q-? Actual Const N Bldg. Permit 71010D Allowable V-N Surcharge I1I5D # of stories Plan Review sry,oo Length I SAC, City Depth q2'/7- SAC, MWCC (zu0, 00 S.F. Total Water Conn 2.5,00 Footprint S.F. Water Meter 90,0 o Acct. Deposit 301 ? On site sewage_ S/W Permit p.p;) On site well S/W Surcharge ? MWCC System ? Treatment P1. Z52?00 City water ? Road Unit 355,00 PRV Park Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner TOTAL ?• Council Bldg. Off. Variance ? VA LL),,A:c'?Z)? ? ? . GA R .A(JS ??- Iq%Zx z4 = y6IS x ?,; =r7 oz c? S_. 15 x? o%z -r. 1 S']'/2 3 z >, 96c)- I 11 a x!4 t ls?ys Isr ??002 ? B-Sy?'4T=I!! 4, Z ?JI??XS-?= 5??3? Z N D r-?UN, l3 X??i'?z ? J I 2 i u X51 P 616e8 s lu 2??? r : ? ? .:.... ? .; , . , . . ... ?:.. ... . w_ - - IRoa iirue n?? . . . .. ..? + : . . ... tssucfates; ,. o*m mo" ..__..i.<u,:> CERTIFICATE `?.:.... ?.?.? ..n.: ti:4?.t ?(?F.?.i ?_9.?L1?' ?.. . ?1 ?' ??? ... ?.wl'??S?06Y:'lu W : • bi?wW.Y?. +3uaowmlaceaoao ?... ?. .. .•.. ? O? ?_...c` ?-.Edgineeiing-•-.... .. >. an Pi ..ue. M,n ?esola553N ? Y?fr?/?'i.. .. • ?...: SURVEY •..'?..c.,__.. , . _.. ...:.lanOSCape-ArehitecWre?. 012) BN-4241 ? V? . .... . ...'il_' 5urvey lor. SOWS `D/1/ST/QuL'x/?l?/ Job No. 9/53 I Bk• -P9• - I ?- ---- - - --? I ? EAGAfd REVIEWfD „o .,r ..?.D f?A ? ME_ LgAGK O/ZI VE DATE -- ?_ ?n ? SCAL,e r rn 30' ,ru ; %\I i ? , -7* Z3Z1NN8S0400 90?1e191•1 23,q¢ -?--- ?- - -? ; b a la - 4 pRopoSED 6AR ?t NouS& 1 W ? ? t tc 00 O ` M q ? 1 ? ? i I 7 N0.. t1r f/ ? h • ?' . ?I \ I .84 `?6.0 30.0 , ,?`--- /- - ?---- --1-- ? 8 1o-14• I S? __S4 TQ I 4c??NES I . ' ? ?. n ? PFCPOSFDELEVATIONS LoMfF.STfiS]OR-, /01_q.:73 GARAGE FLOOR- i o 31 . y OF FOUNDATION- ? ? ? , iZo 43 , ?7-9° i5 45 X)OC - DENOlES DQSTUVG FlEVATIOPF ()00() - DFTIOTESPROPOSEDElEVATION i? - DENOlESDFiECT10NOFR17WOF SURFACEDRAJNAGE ? , ? ? 2 ? 30 , J ? ? Q 3 ? lk 30 TOP iu}s• c+ Q IHEREBYCEHTIFYTHATT I IS ATRUEANDCORRECT REPRESENTATION OF THE BOUNDARIESOF L0T Bi vGOC?4, FA/RWAY ?IQKOTA CpUNTY,MINNESOTA SURVEYEO BY ME THIS DAY OF 79 - - RONALD L CR E ER bTAIE PE6151PATION NO. 14374 S?h s D17- [1a.a NEEFIANi? ?AGAN ?? BOOSTER 6'IJMP REQUIRED , : i ? oPaque Wa1t 1. Ma,onry/Concrete a* b. c. 2. Fauidaticn Wa Grade) a. b. 3. Vi6a Frame Win a. Insulated Area b. F?aing Area (Ave. 158 at 16' oc) c. Framing Area (Ave. 108 at 24" x) 4. Peripheral Floor F,dje/Rim Joist a. b. • G].azinq , l. Windows a. b. 2. DDOCS Doots 1. Wood a. Solid b. With stoYm door 2. M2td1 3. Overhead 4. Other f EXTERIOR.SNVIILOP$ 8N8R(3Y CODE COMPUTATION WORKSH$ET Zb Determine QoaQliance with the Minnesota Fnergy Wde (Sectian 502 oE the State Amended 1983 Model Energy Code) pLOjECt Z'1t1E- Erankl i n rorrial fnr Narai na SPwnersauA Site Address 1362 Camelback Dr. Eacaan'Mn 55123 - I. EXPOSED WALL CALCULATiON3 ARFA "IJ" VAITJE ARFA x "Q" A. B. C. D. E. , x i . x = x = (?,?'I- ZS x . o'i ? 4.11 x ? - ? ? ?40 • ? x .it) Y ? gg? 22o x x = ??P,t? x •_ ' 14(e . (a8 4p x .47 X ° '7Q x (o = 1•Z x = X' a x 3 x = TOT]?L ViAII. ARFA, sq* ft ..................... Z1 1 ei Z+OTAL of ARFI? x"U" ................................................... Z(o2 .! O II. BOOF/CEILIN(3 CALCULA71ON3 A. Roof/Ceiling Insulatecl Area 11614A. x ? OZ- = Z• Z B. Roof/Ceiling Framing (Ave. 15$ dt 16n OC) •? '?,1..58 C. Roof/Ceili? Frami? (Ave. 10% at 24 oc) 1"9 .4 X Z D. Skylight x • ° E. TOTAL IdSF/iCEILImARF1i sq. ft .............. ?.? F. TOw cF r,M x ro• .................................................. 36? 87 . - III. BUILDING ENVBLOPB ABQUIREMENTS • T0'l41L AREA RMI1IFtID "U• ALLOWABLS (Fmm I.D & II.E) (FYm V.) • (Area x °U") A. Expos-'A Wau: Z? 18 x . f 1 ? 2e>: 8 B. Roof/Ce ilin9 = 0q4 x O Zco = C. TOMi, ar.rciaanr.F BUu,p= MMppg (Tptal of A& B abwe) ... :345 .(nZ IV. ACTUAL BUILDING BNVSLOPB ACTUAL (ACea x "U") A. Exposed Wa11 (Ft4n I.E) 8. Roof/Ceiling (Fram II.F) ZLoZ.Ib ?1S. ik",S"1 c. mM ncituw sua,nnac avvEoEE (Totai of A a s) ............ ZR`1.9? '(Mests wde raquiraments if less than III.C) V. REQUIRED "U" VALUES Detached one and two faiaily dwellings * Multi-Family Residential Buildings (3 staries or less in height) * All Other Oonstruction Zypes (3 stories or leas) * All Other Caistructian Types (MOre than 3 stories) ' Based on 8007 heating degree days (Ipls/St. Paul) Adfust 'U• ralues aeeoedinyly for oiher locations CERI7FICATION WALLS FOX/CEII.ING .11 .026 .238 .033 .238 .06 .28. .06 . I hereby certify that I have cxeQlebed the above inEorniation and that it ornplies with th Mimesota State Energy Code. , _3p,,. 7o BCSD 3-89 CC/SA1/6574 q? I qc?? X:7o ." 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNCtion Reauiremen5 RemodeVReoair Reaulremen5 (NfiCe Use DnN 3 registered sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan showing IooQngs, beams, jasts Certof 5urvey Recd _Y _ N (20%mazimumlotcoverageallowed) 15etofEnergyCalculafionsforheatedaddNOns TreePresPlan Recd. _Y _N, 2 coples of pWn showing 6eam & window sizes; pared found design, etc. 1 site survey for addi6ons & decks Tree Pres Requitetl _Y _N 1 set of Energy Calculations AddiBar - mdreate iloo-srte septic system Onsite Septic System _Y _N 3 copies of Tree Preservahan Pian'rf lot plaped after 711193 Rim Jois[ Detail Ophons selecGon sheet (buJdings wiU 3 or less units) Minnegasco mechanical ventilation form Date p /_? 1 / 0b Construcrioo Cost &15 oO SiteAddress 11(0:? caMGJ loQG?? D? UniUSte# DescriptionoiWork Multi-Family Bldg _ Y_X N Fireplace(s) 1 _ 2 PropertyOwner Chf?? 4v1065 Telephone#(65l ) O0Lf' 3QdL( Contractor ? 1?• ?`10? c- Address V30'lio S Ja ? s? State M!J Zip 553( 5 City C4I'Vt/' Telephone k(PpI?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential VeMilatlon Category 1 Worksheet • New Energy Code Worksheet (d su6mission lype) Submitted Submitted • Errergy Envelope Calculations Submilled In The IasT 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber MechaniCal Contractor Sewerlwater Contractor )0116 Telephone #( Telephone #( Telephone #( •,.? __v-w,---__..? I hereby apply for a Residential $uilding`Peimif and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. TQw \Z''a d tLY Applicant's Printed Name li Ys Signat e DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 18-plex O 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) q 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? 05 03-plez ? 91 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition '? 36 Move Building ? 42 Oemolish Faunda6on ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof , ? 46 Windows/Doors ? 34 Replacement •Demolitfon (Entire 81dg) • Give PCA handout to applicant DBSCfIDfIOO: WaterDamage_Yes Valuation Oxupancy iz'3 MCES System Plan Review •, 100,°kjor 25°k Censusbode ?` 3 T Zoning ?-? City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Y)3 Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final -10 Framing _ Fireplace _ R.I. _ pir Test _ Final Insula[ion REQUIItED INSPECTIONS _ Sheetrock Final/C.O. -?O FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Watl Appraved By: guilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 12/13/2013 FRI 13:17 FAX 651 437 9745 HALEY COMFORT SYSTEMS C!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: L 0001/001 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: qp°' 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date I� I �) I ( Site Address: \ )(U (�j `-cwf.I V)N,K- Nl\, e v) Unit #: Name: VW) iJ��s Phone: (0(-5 353— O Address / City / Zip: \ �, C.N0A' 'x c k Applicant is: _ Owner Description of work: Contractor �j ve 1 61 l\AN c g.3 __ KaGI cti c��S {��e�Icce, Vi,./j(8 Construction Cost: �[j) r3 Multi -Family Building: (Yes / NoX Company: kka (L� C ovviZW-i, Address:\ - W -so sA State: J\ S Zip:cS0.?:1-) Contact: City: .t- tql f\Uj.j Phone131 03 License #: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of the information may. be classified as non-public if you provide specific reasons that would permit the;City to conclude that thy 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 utilitieswww.gonherstateonecall orq 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 L IC / (;�I \ x l 1�� Applicants Printed Name Applicant signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138263 Date Issued:08/17/2016 Permit Category:ePermit Site Address: 1362 Camelback Dr Lot:8 Block: 4 Addition: Fairway Hills PID:10-25600-04-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Christophe R Hubbs 1362 Camelback Dr Eagan MN 55123 (651) 204-3904 Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166693 Date Issued:01/28/2021 Permit Category:ePermit Site Address: 1362 Camelback Dr Lot:8 Block: 4 Addition: Fairway Hills PID:10-25600-04-080 Use: Description: Sub Type:Residential 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 - Christopher D Hubbs 1362 Camelback Dr Saint Paul MN 55123--214 (651) 204-3904 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature