1400 Camelback Dr.-
INSPECTIDN
CITY OF EAGAN_ '.
3830 Pilot Knob Road - '
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: [`++ I I
Permit Number: C{ • ? `? "''
Date Issued:
SITE ADDRESS: k. ,? r? ?. a ri G ??? ?? : ? APPLICANT:
. l ' .
PERMIT SUBTYPE: TYPE OF INORK: - ?
.
;
INSPECTION .. . .A
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-- - - - - - - - - - - - - -
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Permit No. Permit Holder Date Telephone #
S!W ,
PLUMBING
HVRC I
ELECTRIC
ELECTRIC
Inspectlon Date Insp.
Footings I
7 ?
I
Foundation !
Framing
I
Raofiing I
Rough Pibg.
Rough H1g.
Isul. 7Z5
Fireplace
Final Htg.
Orsat rest
Final Plbg_ Plbg. Inspector - Notify Plumber
Const. Meter
EngclPlan
Bldg. Final
Deck Ftg.
Deck Final 4 G ?(J "? ? ? fL? a
Well
Pr. Disp. ? ??
?
?
1'? '? ??.
??
16,.i-
(grrtt#ira#e uf (O.rr??aury
- Citp of Cagari
-mrprwm u# Nuaing itweniou
Thls Ceriifurrle irsued pursuant da the requirerxeats of Serlion 306 a}'lhe Uniform Buildiag
Corfe cerAif.yinS 1hat al the time of issuarrce this axucture wu in compliance wilh 1he various
ordinrrnces of the City regulaling building consuuction or use. For 1he foUowing:
0-wancy irre
CAMELBAQC DitIVE L 14m S5. FAIRWAY HII,LS
noc bl?lg?
POST IN A CONSPlCUOUS PtACE
CITY,OF EAGAN
454=e`IO0
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
W?ln ?r%jvv' / W corrections have been made, ?
call 454-8100 far inspection.
Date
fnspector City of Eagan
DO NOT REMOVE THIS TAG
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' . CITY OF EAGAN 19 O 3 2
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 '
PHONE: 454-810
? • BUILQING PERMIT 0
Receipt #
To be used for SF I?IIGAR EsL Value $105•004 Date N&Y 7
Site Address 1400 CAMBLSAC& DR ?
;
Lot 14 Block _-5 Sec/Sub. FAIB'ifAY HILI.S OFFICE USE QNLY -;
Par.Cel No. Occupancy R-3-21 FEES ?
Zoning
W Name CO 1•g.r.v_ CITY COALfiTRUCT ON
(Actual) Const
Bldg. Permit ?
657900
9
° Address 6470 1325T ST (Allowable) V-?1
5urcharge
_.?s?
City APPI.1s VALI.EY
Phone 431-1211 # of Stories ??4 nn
p
Name SAl4E
Length
th
D
Plan Review
360 ?
.
IOC)
?
Z
o? _
Address ep
S.F. Total SAC, City
- sac
MCwcc .
•
_
?
650.OC+
CItY PhOf1@ S.F. Foolprints ,
-
660
00
?
r
0
W Name On Site sewage _ Water Coon .
95
1 On Site weu - water Meter .00
x ?
? z Address MWCC System x
Acct. Deposit !
30.00
a W Ciry Phone city watar ?
`PRV Required. ' - S!W Permit 30.
I hereby acknowlege that I have read this application and state that the
information is correct a
d
t
l
i
ll
l Booster Purrrp ' - S/yy Surcharge •?
n
- agree
o eomp
y w
th a
applicab
e State ol > .
Minnesota Statutes and Ciry`Q?Fagan O?+ffances,
,,,.
`
~
• Treatment PI 276•00
?.?...._._.
Signature of Permitee -- J./
i--7.•?? :,•'??'?^?? APPROVALS Road Unit 370•00
A Building Permit;i',4ued to: COLLEGE CxTY CON$T Planner - park Ded.
on the express condilion that all work shall be done in accordance with all Council
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copies
?
Building Official
1
Variance -
TOTAL ????.00
. . . ._. ..___. .. : . . . .._:q _ _ .
? Permii No. Permit Hald er Date Telephone #
WATEA /CJ?CP I, ? , ?o J
SEVVER
PLUMBING
N.VA.C. a'? 8 ??7/?? SID"7d!/I
EIECTRIC ? oQ ? ? ?!I (JOf ?
Inspection Oate Insp. Comments
Footings I
Foundation
Framing S ' Z ? s? !J?' ?PO "' i v.-. - [? ?SiC/'?•o?o 'S' * t ? ?'4irY.' ??'
Roofing
Rough Plbg.
Rough Htg.
i5ui. .?a L?,1 9 g/ ?S
Fireplace
Final Htg.
Orstat Test
Final Pibg.
EX
Plbg. Inspector -Notify Plumber
Const. Meter
Engr.IPlan
Bldg. Final
Deck Ftg.
Oedc Fina1
Well
Pr. Disp,
. . ? .
- p
SEWER & WATER PERMIT OFFICE U5E ONLY
CITY OF EAGAN .''41 '0
3830 P i l o t K n o b R d. MErER # ?V'9?'-7a'06PEnM?r oATE
Eagan,MN55122-1$97 CMIP# ?Q??3 ?9 PERMIT# 1'?`•?76
METER SIZE? ? S?1uJ B.P. RECEIPT # C 1-?29'
DATE ISSLIEaATE B.P.RECEIPTDATE 05/07di
- PRV _ BOOSTER PUMP
14 i;.it ?_'m?_-1 backc ? :???r . 3??.P?
SITE ADDRESS ? ' PERMIT REQUESTED
LOT BLQCK - SEC/SUB
-' SEWER WATER _ TAPS
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHQNE:
>
PLUMBER:
ADDRESS: hJ.6 i,'!u,?nd
CITY, STATE ZIP
r
PHONE:
OWNER: (;it y?c?!??
AQDRESS: '1'7t) ?.`??:lG S?e ,
CITY. STATE_4il?? Vw1 ;.°?'$ :;?Y Z I P PHONE: ;.1
___ L
- COMM/INa
X NEW
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit W1LL NdT be given for beduct Meters.
-
:..
r ?
.--
I AGREE TO CO LY WITH CITY OF
--EAGAN QRDfIMAS
IGNATURE WHENWETER ISSUED
X RESIDENTIAL
EXISTING
PLEASE ALLOW TWQ WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEP,TI.
i .?, i . .... 'i
: . • . .I • r
I ^ i , I'f.'. . • 1_ . . . ?? t : , _ , I n'J.. .
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SEWER & WATER PERMIT
CITY QF EAGAN
3830fPilot Knob Rd.
Eagan, MN 55122-1897
DATE il 29 199?
_^` 1
SITE ADDRESS 11i E?'.il?l JaCtZ I3R ,
LOT -'' ` BLOCK ' SEC/SUB Fa..! r41ay i:x1 ?.ti
;
APPLICANT:
ADDRESS:
CITY, STATE ZIp
PHONE:
x
X
:itar Lawn
PLUMBER: Ahea
ADDRESS: CfBdI
CITY, STATE ZIP `
PHONE
PERMIT REQUESTED
:R _ WATER _ TAPS
A/IND RESIDENTIAL
- EXISTING
ikler Meters are to be Installed
)omestic Meters on Water Line.
. NOT be given for Deduct Meters.
t.rr..•??ti?
I AGREE TO COMpLY WITH CITY OF
OWNER: `-`'11e?;e City EAGAN ORDINANCES
ADDRESS:
CITY, STATE. 4,'-?? :_: 2 ZI P ..
PFiONE: "' ?? '"'' T SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
vFFicE
METER #
CHIP #
METER 51ZE
ISSUE DATE
ONLY
DATE 05/08/91
# 11976
'EIPT # C 13293
-EIPT DATE e? `/t)7 j'91
- PRV - BOOSTER PUMP
Address: 1400 CAMFfRAC'fC DRIVE Lot 14 Blk 5 Sec/Sub FAMAY HIILS
These items were/were not complete at the time of the final inspection.
Date: 6 25/91 Yes No
Final grade (6" from siding)
Permanent steps - garaga
Permanent steps - main antry ?
Permanant driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Pleasa verify with tha builder the removal of roof test caps from the plumbing
system and the shut-off of vatar supply to the outsida lawn faucet before
freeze potential exists. Iq4j
White - City copy Yellow - Rasident copy Pink - Contractor copy
. , . .. . -
DATE: MAY 8, 1991
RE: 1400 CA!lMBACK DR (COLLSGE CITY CONSTBUCTION)
X Your Sewer & Water Permit tor the above properry has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4045220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Pe}mit for ihe above property cannot be completed for the following
reasons:
Your Sewer & Water Permit tor lhe above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confvmed by Bill Adams or Dirk House (Plumbing Inspeciors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
1-"-/CWViV AVISW
H 52300/
RequestDate Fire No Rough-i nspecLOn
Feq ir
teady Now ? Will Nohy Inspector
s? Q? es ? No When Reatly'+
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AOOress (Street, Box or Ro N. ) Ciry
'v
Section No Township Name or No Range No Coun
Occupanl (PRINT)
^. Phone N.
?
` ?
Power Sup er /^? / AEtlress
Electncal Contractor (Company Name) oMraotork License No
6-
Matling Adtlress (ConVador or Owner aking Installa?ion)
Authorrzetl Sign u Gon r Making Insvllation) Phone Num?er
ill m
MINNESO A STATE BOARD OF EIECTFICITV TMIS INSPECTION REQUEST WILL NOT
GNgge-MlOway BIOg. - Poom 3-173 BE AGGEPTED 8V THE STATE 80AR0
1821 Unlverslty Ave, SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Plrone (612) fi6241600 ENCLOSED
a REQUEST FOR ELECTRICAL INSPECTION
1?
?1e2 ? // ? See instmctions for completmg this lorm on back of yenow copy
g?1 ? Q -'JC" Below Work Covered by This Request
EB.00001'.08
r;'??`_ /o/Sf?/
?.
Add Rep. TypeofBUdding AppliancesWired EquipmentWired
Home Range Temporary Service '
Duplex Water Heater Eledric Heating
Apt. Builtling Dryer Other (Specify)
Comm./Intlustnal ' FUrnace
Farm Av Conditioner
OIhBr (specM) Con raMorS Remark3.
Campute /nspectron Fee Below:
# Other Fee # Serv¢eEntranceS2e Fee # Circuils/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps 00 Amps
Signs Inspectars Use Only. OTAL 5,
O
Irriga6on 8ooms ?a (rj
Special Inspection
Aiarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, here6y
certify that the above inspection has
been made. ROUgh-in ?
F,nai oata
OFFIGE USE ONIV
TMS reauest mid 18 manihs from OLn
RESIDENTIAL
ofio'_-o BUILDING PERMIT APPLICATION
CITY OF EACAN
3530 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Construction Reauirements
. 3 registered sile surveys showirg sq. ft. of lot, sq. ft of house, and all raafed aieaa
(20% mazimum lot coverage allowed)
• 2 copies o( plan showinp 6eam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculatbns
• 3 copies of Tree Preservation Plan if bt platted after 711193
• Rim Joist Detail Optiais seledion sheel (bidgs wBh 3 or less uniLa)
DATE ?' 2.9 -lJ L-
SITE ADC
TYPE OF
APPLICANT Ce? ??? ?? Inc'
ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Rsplds. MN 85433 CITY STATE_ZIP
TELEPHONE #?? ?vl"lICELL PHONE # FAX # I ??" ?S`,? ?'?`7U
PROPERTYOWNER I?LA/ TELEPHONE# i(?)ANAIU
-------------------------------------- ------------ ----°--°--°°----°---------°--°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA Ri7LES 7672
(J submissian type)
Plumbing Contractor: _
Plumbing system includes:
Mechanical Coniractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
SignaTure of Applfcant
OFFICE USE ONLY
• ResidenBal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Phone #
I (4 ?- --1 S
RemodellReoair Raaulrements
• 2 cop(es of plan
• 1 set o( Energy Calculations for heated additions
.' 1 sitesurveyfore#eriaaddilions8decks
• Indicale'rfhortie servedbysepticsystemforadd'Aions
C)D
VALUATION (n2= -4'
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT
-? CITY OF tAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Pertnit Number:
Date Issued:
SITE ADDRESS:
1400 CAMEIBACK DR
LOT: 14 BLOCK: 5
FAIRWAY WILLS
P.I.N.: 10-25600-140-05
DESCRIPTION:
18'x 16
ldin Permit Type
uilding prk Type
BC Occupanc?
t
?
11'x 12'
DECK
NEW
R-3
-t
vi?i?-irroG
021436
07/13/93
dkv W (a
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $1.00
Surcharge $.50 Total Fee $26.50
Subtotal $25.50
CONTRACTOR:
OWNER: - Rppllcanc -
TUPY ALLEN
1400 CAMELBACK DR
EAOAN MN 55123
(612)623-5680
I hereby acknowledge that I have read this applYcation and staCe that the
information is correct and agree to oomply with all applicable State of Mn.
Statutes and C3ty of Eagan Ordi;nanaes.
L - - - - - - - --- - -- -- - - - -
APPLICAM/PERMITEE SIGN U?- ISSUED B: S A R?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: eurLorNG
3830 Pilot Knob ROad Permit Number: 021436
Eagan, Minnesota 55123 Date Issued: 07 /13 J93
(612) 681-4675
I SITE ADDRESS: Lo r: 14 B L 0 C K: 5 APPLICANT:
1400 CAMELBACK OR TUPY ALLEN
FAIRWAY HIILS (612) 623-5680
?? -
?? -- - -
PERMIT SUBTYPE: TYPE OF WORK:
OECK NEW
DESCRIPTION 16'x 16' il'x 12'
REACTIVATE ,r RiECEQ
PERMIT M • ` 0 2 ?93
i ? - -
cinr oF EAGaN
1993 BUILDING PERMIT
681-4675
APPLICATION It LSO
SINGLE MULTI-FAMILY sets of?l?ap?s 3 registered site surveys, 1 copy of energy
ca cs.
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
Site Address: 'D b G,ame_l b HcIS +C)n
STREET SUITE /
Tenani Name: (commercial oniy)
IAT BLOCK ? SOBD.Ff'I? P.I.D. M
Descri tion of work: jo?'-c k
The applicant is: Owner ? Contractor ? Other coescr;be>
Name 7`u S?j e- Phone 186-64S3
Property LAST FIRST ? dz3-S68d
Owner pddressCornidi ACk fl/'
STREET STE M
City ? A/? 5tate Zip SS/J3
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
'
Eagan Ordinances.
?l
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
0 03 SF Addition ? OS 8-Plex
D 04 SF Porch ? 09 12-Plex
O 05 SF Misc. ? 10 Multi. Add'l.
WORK TYPE
0 31 New ? 33 Alterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
SAllowable)
UBC ccupancy ?
Zoning
# of Stories
Length
Depth /oV-L x
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
R( 15 Deck
? 35 Tenant Finish
O 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?
4E 1611asjoenf Finish
17^°5wim 'Poo`'?1 °
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pub11c Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water -
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
L13 cl
j
0
? Site Footing ? framing E3 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee 25 ,oo ww.sia,:
Surcharge , S-v r
Plan Review
license
PiHCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies / 'Zra
Other
Total:
SAC %
SAC Units
rI onaai uI ei„c- . ,.,. --
, ? * * * 2422 Enterpriee Drf•+e
E Mendota Helghts', MN 55120
U1N0 SVNV[YORS • CI Vll LNW N[LNS
?,eng*eerng'• LI?ND?IIWNPM•111N0lCAKANMIlECT9 1612 ClrHiicste of Survey tor: `-•? t-?'?"`?'F L fTl -- ' ??
NORTH
n
d
QC
?!1
?
?
?
0
?
?
dp
? k
?.
* 9va.o Denoles
• Eo bum/eq
- Dtrx?tes
;4 1
4p
L'7EFT
E/eVafion Ffilopa.F?
r1 E&V0f?on Low-- esf Flaor Elrva ?0?7 ? a. 4L
e i Ufil??ly Easement Top o''B/o £levoJi an
de F/oW pireclidn Gar?t Slo f/evativn "Tw 7. s3
iQnf Bearin?s shawn are ssu?d o1A?iaa s o? e f?ib
LOT 14 BLOCAI A57 , . FAiRIMAY I-114-1-g?
p,OjbT,q C'ptlNT}+, MIN1TSorA
otitffY t14t thlt +urvay, Dti? o+ reDOrt w,a.s ?D???dsy ? olbV me? Or u?der my dirtCt NpeBrv,ldon erd thst 1 em duly Aeplstered Lend Survevar
1 hwnbv
3?-/wAr? •? ,r-?
' / A.D. 19
u?dM th! 4wt OI tFp 8!!to of MIrMMN. QDfed thq-s 1? l • ?•
S rr+? v
.-
. _, C/?/yID '??! Gfi./ f•_• ROOC4? BSWIC L.A. . NO. 1091
14371 _ 04-29-91 02:55PM P02
CITY OF EAGAN 19 0 2?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT C / 5 ? 5
3
Receipt # '
Tobeusedfor SF DWG/GAR Est.Value $105,000 Dale MAY 7 , 1991
Site Address 1400 CAMELBACK DR
Lot 14 Block 5 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY
Parcel No. pecupancy R-3 M-1 FEES
Zoning -B_L
W Name COLLEGE CITY CONSTRUCTION (aauap consc ?N BIEg. Parmit 657.00
o Address 6970 1515T ST (qllowabte) _
-?N ?0
surcnarge
City APPLE VALLEY Phone 431-1211 e m swries
64' Plan Rewevr 427.00
???
Name SAME Dapth 36' 100.00
snc
cn
Address S.F. rocai _ ,
y
650
00
? .
s?c, Mcwcc
City Phone g,F F?tp,;,,? _
660.00
r Con
Wat
Site sewage
On _ e
n
?
` Name onsiiewan
-
95
0
0
w
t
M
l
s? Address MWCC System X .
er
e
er
a
a W
Ciry Phone
ary water
x 30.00
Acd. Deposil
30
00
PRV Required - .
SN? Permit
I here6y acknowlege that I have raad this application and state ihat ihe Booster Pump - S+W Surcharge - Sn
iniormation is corr gn to comply-wfth all applicable State of
Minnesote Sta[u s and City ? an nances.
0
Treatment PI 276.0
Signalure of Permitee AVVHOVALS Road Unit 370.00
A Building Perm ' ssued ?o: GDT i. C T y ONST P1e"^ef - Park Oed.
on ihe express condlUOn that all work shall be done in accordance with all Caunal -
applicable Slate of M
i
n
nesola Stalutes and City of Eagan Ordinances. Bldg. 01(. _ Copies
?
.
/
Building Oflicial ? 18uq R Qi'ri. 1 1?9 Vanance - TOTAL 3 ? 3 48
. ??
?
1991 BUILDI9o29o
PERMIT APPLICATION
CZTY OF EA6AN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
, 4
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - S STRUCTURAL PL4NS
(CHECK WITH BLDG.'DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
7i OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED; BUT NOT PICKED UP BY I.AST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER Mi1ST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
IPR 3 rl' RECO
To Be Used For:singie family
Site Address 1400 Camelback -gx? ,,D(,
Lot 14 Rlock 5
Parcel/Sub ?A?QwQa?A ?l?L?
Owner
Address
City/Zip Code
Phone
Contractor College City Construction
Address
6970 151st Street
Gity/Zip Code Apple Valley 55124
Phone 431-1211
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 rn-1
R-l
V-N
V-N
(04 ?
36'
On aite sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. 5 t-9/ ps
Variance
FEES
Bldg. Permit 657,00
Surcharge .S O
Plan Review 2 ?00
SAC, City l00000
sAC, riwcc GS ,oa
Water Conn. (a60'00
Water Meter S DO
Acct. Deposit 50,00
S/w Permit 30,0o
S/W Surcharge ?SD
Treatment P1. 2 %,GO
Road Unit $10100
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone #
(Dv-? , +?'1 agrees that all work shall be done in accordance with
(Signature of Contractor)
Valuation: / 06j pOJ ? Date: April 19, 1991
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GA Rq??
Z2XIZ = Z&°?
Zo)c2y i„tea
37s?c iy ? ?SZ?
._------?
b 9 ?, x Is"= I p 3?tc?
BSM-r
3?Jxly= S2.
3x 3? s = ?'4>
9 Y y = (2-:0
Qyx3z: 768
f b ? g6= ?
1572 X ?`F= 1920?
I sT ???ot2
f'?z ?r o = i s
.
/oX2°
.?e
foyt59
orZ I o5/ouc -
, ', •
Pioneer Eneineerins
?* **
* P10
* eng *
f.`I VIL ENGINEEl6
oaiywa? •---
2422 Enterpriae Drive
Mendota Heights. MN 55120
1612) 681-1914
. '
Certifieate of Survey for: -
NORTH
n
d
?
aI
0
Z
?V_
I?•
?
?
?
•.9oa.o Derrates
• Qo.o benodes
- Ueraotes
.-?--.. Denoles
o DAna}es
0
E A t:AN :I?1i?'-;•Iy?:I?:??d
s
'•? °?° tc
PFavno Eo aou ??#'y?It?dL
wes oarElevaiion ? 9 o•44,
Top o?'B/ockflevoiron
Ga?? Slab ?'/evatJo? q?3
0Own are ssun??J o Dei,n es of f se f?ib
LOT14-,BL ocAI s , - ,a1RrvAY 1-114.1.s
D4,YeTr9 COl1NTy, MlNNfSOTA
! herebv artifY tMt thk survay, own a reVa[ w,a,f ?Dr? epa"ed bV ? a' %?r my direCt WpaBr?'lifon end tf?et I Bm duly RepiStarM Lend SurveVOr
undKUalOwtOlthe StstsofMinneWp.paledthis._?daYOf,?--A,D.1B3?/?VO"/I?^'
. Np. }aB9)
Scale :1 ? 44t?? ROBERT B. B?K1CM L•5..........
it n ¢ ` ? - -----
oe 6.?, ? ?ack
04-29-91 02:55PM P02
. .? ? .. ? _
? EXTERIOR ENYELOPE AVERAGE "U" CW1PUiNi10N.
04lNER } t>u
S1TE ADDRESS 001/n -,?
CONTRACTOR ,?^? ? ?*? ?'??'=? - DATE '9 Z9-9f- PHONE -
Determine working square foota9e of each.
1. Total exposed wall
Z019
area ......
sq. ft. x_?_
° Zz2
2. Total roof/ceiling arca ...... sq. ft. x.OZ(-7
Total exposed wall area above floor ="Z o?
a. Totai wall window area ..............:............ ... 2, ?__
b. Total door area ................................• 1 40 -
c. Total sliding glass door area ...................
d. 7ota1 fireplace wall area.....••. •• •;••••••
e. Total wall framing area (averagel0%)............ r,JaZ
f. Total net wall area above floor ...............:.
g. Total.rim 3oist area ............................ _
Total'ekposed foundation area = °(O
' "• o
...
1 .........
ne foundation ?areaaabove?grade?
. Toal l t
Determine "U" value of each wall segment.
a. 2 5'1 X "U" ----
b. ?H X NU° Li Z'0 °• b'
c: wu» ,3A-b . ? ?...
,
d. - x „p.
X "u" .092 R ?-
llp .O?F ?
f• 1 .7 (Z A MY
9 I 3I xPuo °^ ?
.
h ? X "u" - °
.
x MuN .0101 n ?---
3 ' .Total
....................................
If item 03 is the same as, or less than item 11. you have met the intent
of SBC 6006(c)2.
Total..exposed roof/ceiling area n (
J. 7ota1 skylight area ............................. _?-
k. Total roof/ceiling framing area (average lOx).,,-•?•?,,
1. 7ota1 net insulaced roof/ceiling area,..,,,,,,,,_ G
Determine •U" value for each roof/ceiling segment.
x NVu
• /, 1
k. X MUN
x pUN ,0 2Z.. s Zfo.'rt?
4 ..................................Tota1 ?
lf total of 14 is the same as, or less than :2, you have met the intent of
50C.6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope.system method, the values established by the
swa af items 13 and i4 shall not be greater than the sum of items O1 and 01.
1• 'f 2• , p
-------
3. + 4. b
.
K /II?O u • ??.Ll? ? I???? 51'.J..??; .w???i???..? y . ?,:Y.htL?i? '' n ?.rs ?+.
. ?
'YYI NDOW AREA :
TYPli or W)Naaw:
6/B";NSUL C,.ASs
jWt W/NOPOJ UYITS NAVi 8K1'4 TiaraP Ro¢ "R??VA?-???? t4tY A'ti +ka 446190
qboJc qyo w4y dt .fssir,yfo .?A O 4 CaArt7 VA+.&4.4. o! R-+
I?o?uA?uS a?R ?+?MS ?.-
11??
FouNAA71oN wINDoW ARXA: TYPE ot V^''i'?oow ?
TNE- VvjNOO W th?An N40E. BtW Tts*cD Poa'a' V'y'«s? TNLY ARt Ai u•js.3 AeOvO* wuc
M4r if A611JNL0 A dG,i1`i4(AARQ VAWt O? ?gM1t .r._.- ?wc?wvlNy
AIY hL-MS
l48s I/?? • (? +4..r.a !°oar??i? ? Foofw4G ? ?--
SLIDIN?'y GLASS DvoR ARLp' TYPL aP DooRt
5/g /NSvL?&-L"•
54lOi?I?j C?L?190 OOoRB N?Yt i?.R01 7LiTt0 FoR"R= YA&-K?y 'rNLY ?'?S .?a*sP
/+AO?I ANO MAy 8• A0iiyNlLq A DAi?i1NGt?r1) yAI.KL OFrRu? .Z69 ,uc?uer...
Al0 i141451
' Fp?T?4L'=
ugs . v% : ll
DOGR ?REA : TYP6 pR VwRI
"rj+ez?.A^ T2u
QGCQ UNI'Y3 HAYG dRCN TLSrtO ?NO ?eu?1p To NAY& 0464
'R7-1/AYN4 O? 7,i B??,-?Q4Nfj Ai¦ 01 MMi ,
1
; IIRI, L
./Z
5R«AL5 : rYpx :
?
Fmrwte cr•s. -
- p4rc•.?-s?yr?c?.._--
wR„ c•8 ,•A,MIL
. . : • . \ ?11vv \Ib YI ?N1 ;/1'N'evL: t:.+•- vr „jpT „Cr"•;iw?5taq.`??.r._o?
- ? -
RiM s6 15-r qRc? :
"R' - VALuE
•b' _I Ni&R109. AIIL tJL M
_130_ ?1 vsuLAT?oN CR•/9 )
., 2.06 2-OL sH9 A r w4 ¢I -?
.?7 LnP g?D??•? 4 _ l?
.,.? • -
? • l, B 8 ? Vi,« SoF rwoop
, y
• ?; ? ? i_fifTER lo R q IR. fn-Ml
':. 24.39 TorA 1.•ir..?' VA14LLL
??.? . ?/? ? ? 24 ? o?
Tarn? ?or?q?
FouNpqT IoN WALi- AREr. CAWve c49.wpjL.3
.R•• VALu6
• .toI jWTERlOR AfR he-?1
.85 .?S ? L'ONCR1'?'t QLOCK ,???
11.0 ? z,c 4 Is wa.??+?, (R• )
=w=6 EXTg.R,IOR, AIiC IILM
12.b3 TornL. !}a# VALwI-
yg. 1!04, • ?/ 1 Zv3 .,
roTAL IMrtic,t.
JBAn 9•1 i46yw/0 Wit ti 91408p ?
fj -?i'vd' U• `PO S.vc. AffKt.:r ?4?i• vr ,rv A•4j.?. .
?
S1'uD / FRAM iNq
/{ R. L M% :
"i;". V?o.WL
•_LtTNrmoR ?UR' fi&.ri
Gvv.setin w?&&. aonRa•
?
?. 97,5? $oI r M/owo
...---
.?b7 LAP S?a?ut? yi
- ? vAPbe bARRlM
R AIK. /t1.H
0.83 pTA1.' R.Xj VA1.uL
w1 r 1/?"1 • ?/ 0.9ta5 i?
To fA1. rmiA4 C
?...?.? ..?.?r?w+. ¦ .,, . , , .
.J-NSILl.ATLo AiCgA- B,cTWvaN 'STyOS
"R"• vAWu. L
- . b =ureeioa AIR ali."
. . 45 "
Clyplwm yJALLdOAep
"11?I3141AT ION '(R.,19 )
_Z.O(o ?SNb?TMiH4-AVILM-m
YAPO*. /.fA"694.
- 'I'l qlR• ML-M.
11.:2?1"Of A 4 Wws, VAL4?C-
&%.UL,r, I 122.96 . ?
. roTA&o roorA44L
ha-4 IMVM.Rs I)AI'!t ?Kuao_.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, M4 55122
PHONE: (612) 454-8100
ftfp Vw q?,
?t?,A?ieY':^F.«?;:a.x....:.x
w
FOR CITY USE ONLY
PERMIT # a=?
RECEIPT # O
DATE: 5 r;,/
PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE ]
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iINIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR _
Ow'NER NAME: Lollg( G?a- ? G owS*.
SITE ADDRESS:?'1UD Guun,G? UkC k Rf/l
L
//
/ V4
BIACK
?
IAT:
7 SUBD.
_
_
INSTALLER: liirL
0-
ADDRESS: :?/II U)
? 12
CITY: M Iv ZIP: !??i79 -
PHONE #: JJgo-'113b 1
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLZNGS &
$15.00
24.00
6.00
3.00
$--2'7. pv
.50
TOTAL:
t?eNATURE 0 PERMITTEE
°?.E2SE COuar..:T£ T::I£ °O°TIL'N .A-R AL:. COY.LSE1tCS;:.JF:7DL•STRIa:. BIJILCIN3S,
:..<.:::: .......::.:...:.F.,::?,::, . ...,.::...::. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
AI)DRES 5 :
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
S`IAlE SURCHnRGE
TOTAL:
( S I GNATITRE )
CITY OF EAGAN
3830 PILOT RNOB ROAD
EE+GAN, llN 55122
PBONE: (612) 454-5100
,.. . . ........
. ...
B??t?'?
ZIP:
PLEASE COMPLETE IIYPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNKOMES/CONDOS RfiEN PERMITS ARE REQIIIRED FOR EACH DNIT.
WORK DESCRIPTION
NEW CONST V"'
ADD ON
REPAIR _
OWNER NAME:
SITE ADDRESS: I y? ??eV
LOT:N BIACK ,5_ SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATI C0.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount, MN ZIP: 55068
T:oNE #: (612) 423-1144
.
COMPLETE THE FOLIAWING:
N0. FI3CTUkES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 3 "
WATER CIA5ET 3.00 1,`
BATH TUB 3.00 ?
? IAVATORY 3.00
KITCHEN SINK 3.00 3 -
I IAUNDRY TRAY 3.00 3-
HOT TUB/SPA 3.00
? WATER AEATER 3.00 ?
/ FLOOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 9 ?
_ ROUGH OPENZNGS 1.50
_ OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
?
SUBTOTAL S fvS
ST. SURCHARGE .SO
0
?
TOTAL: S y7 '
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS AND
M[JI.TI-FAMILY BIIILDINGS AHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONIRACT PRICE:
OWNER NAME
SITE ADDRESS:
LOT: BLOCK _ 5UBD.
IINSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
FOR CITY USE ONLY
PERMIT #
RECEIPT # O 6P
DATE: 0
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25:00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ?
CITY OF EAGAN
'(fl I 'J 3830 PILOT KNOB RD - 55122
651-681-4675
? 2 coplea ol plan
CONSTRU O¢OST: ???• ??
DATE:
.L'1b
DESCRIP'fION OF WORK: ?Qp if mu1H-famiry bidg., how many un(ts?
INDICATE THE FOLLOWING EAU?EM TO BE REPLACED AND BY WHOM: S p
?( Plumbing Homeowner gd Confractor Name
_ Mechanlcal _ Homeowner gs Coniractor Name
"Note: If somebody oTher man the homeowner Is performing plumbing or mechanical work, they must applyfor appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
SfREET ADDRESS: /!& C) ? a:j/1?L/
LOT: -iq- BLOCK: _5 SUBD./P.I.D. C
Name:?l.? I! // l ( L° /? i Phone #: ?'qlf ' 7 1T7
PROPERTY LaW Flrot
OWNER Sheet Address: (_- ' +'"4 l JJa (2- (-L '-?
City ? Sfate: - Zip:
Company: Phone #:
(area code)
lp?
CONTRACTOR
Sfreef Address: License # Exp.
Cly
Sfate:
21p:
I hereby acknowledge that 1 hwe read fhis application, state that the iMortnation is cortecf, and agree to compry wilh all app6cable State
of Minnesota Stalutea and CiFy of Eagan Ordinances.
Signature of Applicanh
JUL2$
?
?Y
Pior- er EnaI naerInv oo+">+°-
2422 Enterpriae Dnve
* PIONE Mendota Haighes, MN 55120
uno wwvcvows • crvIL cr?cirucas
wno?LwMMna•Lwwe?eA'cAnomccn ?612)681-1914
*englneern9•• LL
otc.c.= F ?-rY • .???
Certilieate of Survey Tor: C ?-? -
NOR7H
Q
?
?
?
?
1-?
0
?
0
oprfa,J
Si .o t
• 900.0 Deno/es
- oo.o _ ber?es.
- Denotes
Dendes
o pena*s
oF
%
1 oNTN
PROrorco 0VV,<<n461
P??????? ??,???
A7 OcJtLor?
„ . .. . . ._
do •
.
41P
Elevation IP,Pp• ra ? d E/evafian Lowes loorElrva ion q `10. 41-
e F Ulili?ly £asement Top o,?'8/ockE/evalion ??1 B• '?
k Ffora''Ulrrcfion Gar+as?? Slab £/evation 83
' r e n f 8 e o rings s h own are ?ssu? o Denip es of se fkb
LOT14-,BL4CWS , * F',A1.RINAY 1-114L5
p4,12IT/j [O(JNTY? MINNfSOTA
1 haAV eartilY iMt thls surveY. P1an c' r000« w.a.s DreWmd bV ?^° or ?nder my direct supt+vlslon sn0 thst 1 sm Ouly Reqlstered LOnd SurvOvor
? .?
undn the lawn o1 [he State of Min-swu. Osted Mb-?u ? dsY of ??. A.D. --19
Ai? 1 ?t "r v? a4 ICH L.S. . NO. 1a89)
?'cale :
?i111 4 -
n1 .-.n_uI
n 1 '5PM
F???
'/
O¦
3830 DILOT KNOB ROAD
EAGAN, MINNE$OTA 55144-1897
PHONE: (614) 454-8700
FAX:(614) 454-8363
July 29, 1991
PROPERTY OWNER
1400 CAMELBACR ROAD
EAGANo, MN. 55123
RE: LOT 141 BLOCR 5t FAIRWAY HILLS 1ST ADDITION
FINAL LOT GRADING
Dear Homeowner:
THOMAS EGAIJ
Meya
DAVID K GUSTAF50N
PAMELA McQtEP,
TIM DAWLEMY
THEODOAE WACHIER
c«,ndi members
TFIQUA; HEDGES
Crty Atlmmctreta
EU('?ENE VAN OVERBEKE
City Ckrk
The purpose of this letter is to inform you of your need to
incorporate an overland drainage swale into the final grading of
your yard. The intent of the swale is'to provide adequate
protection of your basement walkout in the event of an extremely
heavy rainfall by allowing excess runoff into the street if the
storm sewer in your backyard becomes plugged.
The original proposal by the developer indicated the best alignment
for a swale would be around the north side of your home and out to
the intersection of Pilot Knob Frontage Road and Camelback Drive.
However, since the driveway was built to access Camelback Drive, it
may be preferable to utilize the drainage and utility easement
along the south property line as indicated in the attached
Certificate of Survey.
Please contact me at 454-8100 if I can be of further assistance or
if you have any questions.
sincere
?
el, raig E. Knudsen
Engineering Technician
cc: College City Construction
CEK/jf
THE LONE OAK TREE...THE SYMBOL Of STRENGTH AND GRONRH IN OUR COMMUNITY
Equal Opportunity/Attirmaflve Action Employer
995720
RIGHT-OF-WAY EABEMENT
IN CONNECTION WITH PRIVATE PROJECT 86-W
This easement, made this ?t day of hAA , 1991,
between TAE MIDWAY NATIONAL BANK OF ST. PAUL a national banking
association, herein referred to as "Landowner" and the CITY OF EAGAN,
a Minnesota municipal corporation, organized under the laws of the
State of Minnesota, hereinafter referred to as "City".
W I T N E S S E T H:
That the Landowner, in consideration of the sum of One Dollar and
other good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, does hereby grant and convey unto the
City, its successors and assigns, forever, the following easement:
A right-of-way easement over, under and across Lot 14, Block
5, FAIRWAY HILLS, according to the recorded plat thereof,
Dakota County, Minnesota, and described as follows:
That part of said Lot 14 which lies northerly of
the following described line:
Commencing at the southwest corner of said Lot 14;
thence on an assumed bearing of North 00 degrees
51 minutes 14 seconds West, along the west line of
said Lot 14, a distance of 75.33 feet to the
beginning of said line to be described; thence
northeasterly a distance of 31.83 feet along a
tangential curve concave to the southeast having a
radius of 30.00 feet and a central angle of 60
degrees 47 minutes 44 seconds; thence easterly a
distance of 78.56 feet along a compound curve
concave to the south having a radius of 67.50 feet
and a central angle of 66 degrees 40 minutes 50
secoads to a point in the northeast line of said
Lot 14, a distance of 51.81 feet northwest of the
northeast corner of said Lot 14, as measured along
said northeast line and there terminating.
See also Exhibit "A" attached hereto and incorporated herein.
The grant of the foregoing permanent easement for right-of-way
purposes includes the right of the City, its contractors, agents and
servants to construct, reconstruct, inspect, repair and maintain a
roadway and appurtenances over, under, across and through the
premises, to erect and maintain signs in conjunction with the
public's use of said roadway and appurtenances and any signs erected
in conjunction with the use of the roadway and appurtenances.
And the Landowner, for itself and its
does covenant with the City, its successors
well seized in fee of the lands and premise,
right to grant, convey the easements herein to
IN TFSTIMONY WHEREOF, the Landowner has
be executed as of the day and year first above
successors and assigns,
and assigns, that it is
s aforesaid and has good
the City.
caused this easement to
written.
THE MIDWAY NATIONAL BANK
OF ST. PAUL,
a national banking association
?
Sy:
Its:
?
By:
Its: V?u LS??
STATE OF MINNESOTA
) ss.
COUNTY OF yn e )
On this day of 1991, before me a Notary
Public within and for said County, personally
appeared ? ?•Q [1 G.oss and So,.? ?. ?• W??i't r t to me
personally known, who being each by me duly sworn, each did say that
they are respectively the Sr. Uze A.esr?.t and U17cc Qerr". z?
of TIiE MIDWAY NATIONAL B??.NK OF ST. kAUL, the national banking
association named in the foregoing instrument, and that said
instrument was signed on behalf of said national banking association.
?vlt 4n,1u64Z -
Notary Public
' BETH A. MAHqLLq
; ltBURY PUBLIC-MINNE60TA
RAMSIT CGUI[TY
' ,.;yMY Coean. ['Vra,
i
c ? ?M[aai?96
?i. .` • cb:f ?'.C .V V
. ?? _
APPROVED AS TO FORM:
City Attorney's Office
Dated:
APPROVED AS TO CONTENT:
Public Works Department
Dated:
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD/DAJ
14ansfer Enteeed Tuie
day cf ??' 19?
C6 t? n aiwr. skot?ucg.
, ?:=G??
.- .. ? Cc .-tificate of Surti :y
Lega; nescriigion: LoT gi-oCK 5, FA/RGt/qY N/[LS,
A9K074 CD(/N?Y, MINNE.SOTA
?
SCAL? ? /" = 20' /
\
1
'AA\J
?
Q
NoR7N94S7' LoRniER
o< LoT /4
N a° -52 ' 26" /V
v r-
.
.-
o Q
N ? N
RA/nM6E A.vD
?
U7%07V E45EMEN7'
Gl l / lt"
1L?i LO T l ? I
?
I
GoT IMC45
/ oR?G/NqL : 13, 748 . 0 9 S. F I
I _vr?colTEO : i, i24._ ao s_F I
NEW,QREi9 ? /2,6z4. 09 s E I
l
0 03' ?? 3
i \ lo
I°
t :? o
c
I 5
- J
a
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--- ivO,sr u.uE 40 [or i4
le
i
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00
? a
?
?
N o° si, /4"W
PO/,vr OG &-6/,VN1N6 PO/NT OF CCEnjE,VT
FiC'oNT/I6 E 204D
Exhibit A
sroby narllly lhot'ihls I• 0 true ond ou?tout raprosentallon ul 0 lrnut uf IunJ na ahvr(n nnd desni{bad herovn,
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132481
Date Issued:08/18/2015
Permit Category:ePermit
Site Address: 1400 Camelback Dr
Lot:14 Block: 5 Addition: Fairway Hills
PID:10-25600-05-140
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 -
Allen C Tupy
1400 Camelback Dr
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174747
Date Issued:02/17/2022
Permit Category:ePermit
Site Address: 1400 Camelback Dr
Lot:14 Block: 5 Addition: Fairway Hills
PID:10-25600-05-140
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Michelle Hatch
1400 Camelback Dr
Eagan MN 55123
(651) 434-7767
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174748
Date Issued:02/17/2022
Permit Category:ePermit
Site Address: 1400 Camelback Dr
Lot:14 Block: 5 Addition: Fairway Hills
PID:10-25600-05-140
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michelle Hatch
1400 Camelback Dr
Eagan MN 55123
(651) 434-7767
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178959
Date Issued:09/13/2022
Permit Category:ePermit
Site Address: 1400 Camelback Dr
Lot:14 Block: 5 Addition: Fairway Hills
PID:10-25600-05-140
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Michelle Hatch
1400 Camelback Dr
Eagan MN 55123
(651) 434-7767
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature