1378 Camelback Dr[NSPECTION RECORD
? CITY OF EAGAN
3830 Pilot ICnab Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I 1 i`:111 I!i:'il t.
i PERMIT SUBTYPE:
i I 3 ; ; ( .1.+ ;
III. f f; I:' PI. +$ i' [,,
PERMIT TYPE•
? +; t r?
Permit Number: `? •' ?
Date Issued:
APPLICANT:
!?I ti? ;. 1 ,•F r,l t? { 9 ?'t 1'! l?? t`?
-? ? r• I . : .>??r?r i?l9:;]t
TYPE OF WORK:
Id l t?l
. ? .: ? . . . ? . , " - i ' '.?.. .. . . ? .
Permk No. Permlt Holder Date Tetephone #
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace No%
Final Htg.
Orsat Test
Finai Pibg. Pibg. inspector- Notify Plumber
Const. Meter
O a6 ..k?s
Engr./Plan O r ?? 1
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
T
- ?..., . _ -, .t?v?: . .. ..
?
.-:xs? ?
- -` ;
(Urtiftrate nf Mrrupttnry
Cf tp of (Eagan
Eppor#mpnt af Birrlbing Inqrrfion
This Certificate issued pursuant to the requirements of Section 306 of the Flniform Suilding
Code certifying that at the time of issuance this structure was in eompliance with the various
ordinances of the City regulating building canstruciron or use. For the following:
Use Classifiation SF DW/?R B1dg. I'ermit No. 16403 -_-?
/?,? ?? .
Occupancy Type ??1?11 Zoning District Ri Type Co ? 'VN -
owner of euua?ng MMCNAI D ORS1fi[.1GTION naaras 1212 BLUESII L BAY RD, B' V]ZLE
Buitding Address 1378 CAREL,R" DR.lVE Locality I!+> B4, FAIl2WAY HILLS
f' . (
??,,, :?f.C. •i" (? : ?l ?3 t' ? ? Da1e: 7(M 27, 1989
T BUainjoffcial: '
POST IN A CONSPICUOUS PLACE
?
. ,.a,. -_. ?.. . ,. ,. ..
,.? ... .
REACTIVATE FOR DECK - 6/90 CITY OF EAGAN
! MARk ?t?'L'?9USSEN - 853-1881 ?W)
452-3180 (ii) . ?3$30 Pilat nab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date
Site Address
Lot
o Address
CIty -
Name
Phone
I hereby acknowlege that I have read this application and state that the
intormatian is correct and agree to compiy with all applicable State ai
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: co+J5,T
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan drdinances.
I Building OHiciai
164
, 19 ?v
?
QFFICE US E 'ONLY ,
Occupancy R'°3 FE ES
Zonin
g
'q
Y
7
' 4• 00
(Actual) Const =: Bldg. Permit ^
(Allowable) V""F4
Surcharge ?y?. ?
# of Stories -?
5T'
Plan Review ?,? ???
Length -
Depth 36' SAC, City 1('N') . 00
S.F. Total - SAC, MCWCC 57 .5 - OC
S.F. Footprints -
540
ou
OnSiteSewage _ WaterConn «
On 5ite Well Water Meter ? io•W,
MWCC System ? ?? ? ??,
Cityr water fwr Acct. Deposit
PRV Required _ S/W Permit '? ?'? • ????
Booster Pump - SNJ Surcharge 1.00
Treatment PI
APPROVALS Road Unit ??'? ° r •`'
PlBnner - Park Ded.
Council -
BIdg.Off. _ Copies
"
Variance - TOTAL
Permlt No. Permit Holder
19 Uate Telephone #
WATER 1??? e1.? g
SEWER
PLUMpING ? ? •? ? ? r??? , `5. ? ??
H.V,AiC. ?O?? l.-FJ"1'Z?/? J? ??/e?
ELECTRIC f rJ r ?
Inspection Uate Ins . Comments
Footings I
CJ'/ /C _;F-;w?7' ' ? J / AC u
Foundation
Framing ?ff
Roofing
Rough Plbg.
Rough Htg. C!d f ;?9' oz'
Isul. ;; p ?i ? ? ?"?? a ? ?? • ?/?
Firepiace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Fnal Z? D,$
Deck Ftg. G f ay
Deck Final
Well "4V
Pr_ Disp. b
. PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
` 3830 PILOT KNOB RDAD, EAGAN, MN 55122 DATE: _
?
CONTRAGT PRICE: „ PHONE: 454-8100
site Ad sess
? .1f
WO
K
ti ,
.
Lot Block
S
/S
b BLDG. TYPE
R
DESCRJ.PTION
?
ec
u New
Res.
.-..?
F.:' . I:LC_JL.'.L'..'L:I..a_ ' ?,E
? Name ?'(7? rOt ? ` ir Mult. Add-on ?
1
Addr?s ?? ? ,? Comm. Repair
1 v Ciiy ?'? ?f-tY21F'11?,J`?a MA? + Phone Other
_
Name ??-
? " 4"?? ?'• ? i
i?~? '= FEES
RES, HVAC 0-100 M BTU - $24.00
Addres? f - . ?: ` 4 ? ! ?--, ?? , r ? ? '??? ADOITIONAL 50 M BTU - 6.00
p City ?'"? 3 • Phone (RES. HVAC INCLUDES A/C ON NEW
GONSTRUGTION)
GAS OUTLETS (MINIMUM - 1 PER PERiIAI'i) - 1.50 EA.
TYPE OF WORK COMM/INQ FEE - 7% OF CdNTRACT FEE
Forced Air M BTU
l??-• `?•-`-'
. APTBLDGS. - GOMM.RATEAPPLIES
TOWNHaUSE & CdNDaS - RES. RATE APPUES
Boiler ? BT? ? MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond.
` 5. M gTU
,'=x•
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $?- (ADD $.50 SIC IF PERMIT PRICE GOES ?
- Gas Piping Outlets BEYOND $1,000)
Other
EE:
•, .,
- ?
f ,
•
£
?
( w
?
•
{
' ,^
'
,
?
? ?,? f ., ?
.
.
,,. _
_ .
,?.
{ ? '.
F, S/C: ?-
SIGNATURE OF PERMITTEE
-
,
?, ..
- TOTAL: f
77777
.
. ?
C? FOR: CITY OF EAGAN
? - ,
_ ,w...,.?..,..,.._?.-.?.xr..,?,?._.w.F::,.x_,?..:...„.. . .:::_ . _:.,., .. . _ . ._._ ...._ . ._....?,
..: . ._.......... ...::...,. -. .?
PLUMBING
CITY OF EAGAN
CONTRACT i$30 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site
Lot.
?
?
N
C
Z5 Add
? Gity
Block
FEES
COMM./IND. FEE -1°h OF GONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM,IND.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR:
For Office Use Only
PERMIT # ? ? ;?j/-/
RECEIPT #
DATE:
BLDG. TYPE WORK
Res. t? New_
Mult. Add-an
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FDLLOWING:
NO, FiXTURES TOTAL
? Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory
- $3.d4
Shawer - $3.00
Kitchen Sink - $3.00 n
Urinal/gidet - $3.00
Laundry Tray - $3,00
Floar Orains - $1.50
? Water Heater - $1.50
? Whirlpool - $3.00
Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5_00
Well - $10.00
Private Disp. - $10.60
Rough Openings - $1.50 ?rL
PERMIT FEE:
STATES S1C:
GRAND TOTAL: ?£! . 5 U
SEWER & WATER PERMIT
CITY OF EAGAPI
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
WATER
OFFICE USE ONLY
PERMIT DATE 5/41,f E
SEWER PERMIT #
B.P. RECEIPT # "• ? 7*45,
B.P. RECEIPT DATE §1049
AAETER SIZE
ISSUE DATE
- PRV - BOQSTER PUMP
SITE ADDRESS ` `Y7 8 c +°, me I ?, D,-
LO7 `j, BLOCK '-?SEClSUB ? 1r ? -1,
APPLICANT: ??-1c ':?ro??a1cl ??,?.,s- I-r?.?c? {?r_?
ADDRESS: t Zcl
CITY, STATE ZIP 55
PHOhiE: " 7
PLUMBER: t± e.r PkA
ADDRESS: ? ?3 ?' o"
CITY, STATE C -LL = `' '" > >'? .? ZIP -K- '4_2(']
PHONE ?` --f" L4 1
''
OWNER: `V°- ?
??.,,•_??ct (",
c
.)s -f-rurf?
ADDRESS: I21Z , B,A.
vej•
CITY, S7ATE T
ZJP
PHONE: '4 _?Z' I • '7,5 Pt:l.p
PERMIT REQUESTED
?' SEWER ?"? WATER - TAPS
- COMM/IND
...•..
'- RESIDENTIAL
_"EVIf
_ EXISTlNG
I AGREE TO COMPLY WITH CITY OF
PLEASE ALLOW TWU WORKING DAYS FOR PROCESSING. FOR S7ORM SE1MtVt PERMITS, CONTACT ENGINEERING pEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
' P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ", "
WATER PERMIT # lr`0`? SEWER PERMIT #
METER # B.P. RECEIPT # 2`i `
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
I SITE ADQRESS ' A •"?? ? ?AC<. 1?->+'"` PERMIT REQUESTEQ
I LOT BLOCK --' SEG/SUB
SEWER 4WATER _ TAPS
APPUCANT:
ADDRESS r.?-.,
: - COMM/IND - RESIDENTIAL
CITY,, 9TATE i? :_t,-
PHONE: ?l -?i ' `7 7 (.h NEW - EXISTING
.
R
PLUMBER:
?
`
' `4 _ -- 1 AGREE TO COMPLY WITH CITY OF
ADDRESS: ?:? t+
? r•'+^, i
. ; :
- ? i:_
CITY, STATE 2' ZIP EAGAN ORDINANCES:
PHONE: ,,.j ; q'c.j :
OWNER:
ADDRESS: % i ? F , . .. ,.. ± 1
' i •...?, . ;:: o'
SIGNATURE WHEN METER ISSUED
CITY, STATE fa, k-" ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
RESIDENTIAL
BUILDING PERMIT APPLICATION'
LA CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-687-4675 3
NewConsWction Reaulremenls RemodellReoairReaulremenls
• 3 2gistered site suneys showing sq. R of lof, sq, fl. M house; anxiill moTed ereas . 2 copies ot plen
(20%manimum bt caverage albwed) . 1 set o( Energy Cakulatians for heated additions
. 2 copies of plen showing beam & wlndow sizes; poured found design, etc.) . 1 alte survey for exterior edditlorvs & dedcs
• 1 set of Energy Cakulations . Indirate'rf hane served by septic system for addNOns
• 3 copies of Tree Preservatbn PWn'rf lot platted after 717/93
• Rim Joist Detail Optlons selecdon sheet (Mdgs with 3 or less unBs) ,
DATE LUAfION 7SS0. ?----
VA
JOB SITE ADDRESS f 3 7 ? - C1 ffvr? e / .
yll`/? 7l ?' ,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK / f,e ep<oo ,-C- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 29- I6!'-ii C)^ SD//f APp04?7 PMONE#Zra? -M/-22S/
ADDRESS_Z19,;Z- ?/ -, ZIPCODE
PAGER # C E L L PHONE #Xlg;?'- FAX # 2159 a70-E
NFW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 7 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 '
- New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Waker Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
15,rlrr;m
Phone# ?j pU
Aii aoove inrormauon must be submittea pnor to processing of appiication.
L'
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina
Sfgnature of Applicant ? -?
c
Phone
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
II Updated 1I01
BLDG. PERMIT NO. ?cip 4 o3
?ot-H Pjloc.aZ4 ?ca?nW°
U?I?S
' 01-3210 Bldg. Permit -7 C)o
, 01-3422 Plan Check 00
? 01-3445 Surch./Adm. ?
? 013446 SAC/Adm. JJ
? 01-2155 Surcharge U3 a 1
75-3860 Road Unit ? C) cr-)
? 20-2275 SAC 5 Ldc) 25
? 20-3865 Water Conn. 5060
,J 20-3868 Water Trmt. ? ? hC)
CJ 20-3716 Water Meter G C d
20-2252 Acct. Dep.
? 20-3713 Water Permit 10
m 20-3743 Sewer Permit ? O oU
79-3866 SewerConn. 1 0
28-3855 Park Ded.
TOTAL ??
DATE: ' S/4/89
1378 CAMELBACK D$1YE, L4, 84, PAIRSIAY HILL3
-Itx Your Sewer & Wa[er Permd fbr the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLiC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
j!
f
?
C2
?
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the a6ove property has been completed, bu[ the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE OIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. ?
DATE: 5/4/89
1378 CANBLBACK QR1VE, L4, H4. FALRWAY H1LLS ?
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
? Your Sewer & Water Permit for the above property cannot be completed for the following
•? reasons:
t?
a. Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
1 be issued or occupancy allowed until further notice.
di?
- COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirtned by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.'
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?
01467 ?V 5 ???
ReQuest ? Flre No: Rough-in In
Required7
?YBS tlon
No NOTICE: You Must Call Elecmcel Inspeaot
If A Rough?ln Inspection
IsFequlred.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Sireeq Box or R e No.) r
'V ?,?
V 4 V'l Ciry ^e_ ?,
C/l- V?'V '
Sectron No Township Name or No Renge No Couny
L'C
Lo
Occuparn (PRINn
MCAVIL U 0VI Phone No.
?I S`L -3 18?
Power Supplier Ftltlresb
Electri I Caniraqor (COmpany Name
t(4
e?fC" L7 f,
o, Cortlractork Licensa No.
o a?
Meihrg Adtlress (COnpactor or Owner Making Installation)
5+,
at) 1 ? a
ANhonzetl igneNre ont tor/Owrier Makng InstallaLOn)
? Phonre Number
7i? - 3 3
MINNESOTA STATE BOARD OF ELECTFICI THIS INSPECTION REQUEST WILI NOT
GrlggaMiEway eldg. - Room 54]3 (,?jiPQ C(,-? ?q V? gE ACCEPTED BYTHE STATE BOARD
7821 Unlverstty Ave., St. Paul, MN 55100 ? UNIESS PROPEfl INSPECTION FEE IS
Phone (612) 692-0800 4CC e 6{ ? (h/V? ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See insvuctions far complenng this torm on back of yellow mpy
M 01467 --X"Below Work Covered by This Request
? 5
C&L 0001 -OB
e Ada ep. ' TypeofBuilding AppliancesWVed EquipmeniWired
Home Range Temporary Service
Duplex Waler Heater Electric Hea6n
Apt. Buildmg Dryer Load Managemem
Comm./Induslrial Furnace Olher (Specity)
Farm Air Conditioner
Other (speay) Caniredor? Remarks: /'
Compute Inspection Fee Below: ? I ?' ?-^? a?, F V t a be.
# Other Fee # ServiceEntrence5ize Fee # CircuiGSiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr§ Use Onry: TOTAL
Ircigauon Booms V ?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough,in oate
certify that the above inspection has
been made. F,,,a? Data
OFFICE USE ONLY
This requeet witl 18 momhs irom
? 15084 5115W 3aC"
Reqra ?? .
y
f Fire No. Roughin In 'on
Requi
s ? No
YN.w
? Will Notily Inspador
NTen Reatlyl
7
1 ' nsed contrador ? owner hereby request inspection of above electrical work at:
Job Atltl R .)
/ City
E
` g N _ /
Seclion No. Townshp Nama or No. Fanga No. Caunry
Oeeu (PRI ? PMne _ / S /
?O
Powar su? fuuress
Electncel Gontrecror (GOmpany Name) Co9?rs '
?x e5e M.
14540 PE?iNOMK?LANE
ta / PhorreNUmber
MINNESOTA STqiE BOAiiD OF ELECiqICITY THIS INSPECfION REOUEST WILL NOT
GriggrMitlwey BMg - Hoom S173 BE ACCEPTED 8Y THE STATE BOARD
1821 UnNerslly Ace., 34. Peul, MN 55100 UNLESS PROPER WSPEC710N FEE IS
PhoM (812) 692-0800 ENCLOSED.
REQUES7 FOR ELECTRICAL INSPECTION
? See inslructwna tor compleeig ihrs brm on back oi yelbw copy.
F 15084 X' Below Work Covered by This Request
EB-00001-0]
~ 9c? aa<?a
e TypaofBuilding ApPliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heatmg
Apt. Building D er Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
Ollrer (epecily) Contrectar9 Remerks
Compute Inspechon Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Amps
Slgns Inspactor§ Use OnN / i TOT
,
IniqationBooms Lf ?
Special Inspection ?S?
AIamJCommunicaUOn
Other Fee ?
4
I, Ne Electrical Inspector, hereby
i
h
R°qyn-m
1
71. oaIa
?J
cert
y t
atthe above inspec[ion has
been made. F,nw oa"2_ 1'y
OFFICE USE ONLY
This reQUest wd 18 mOnNS hom
?CITY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITE ADDRESS:
P.I.N.: 10-25600-040-04
PERMIT I'
PERMIT TYPE:
Permft Number:
Datelssued:
1378 CAMELBACK OR
LOT: 4 BLOCK: 4
FAIRWAY HILLS
OC /33Pe
1BUIL'US1QG
021994
09/17/93
DESCRIPTION:
(6AS)
i d ni glPermit Type
ilding~"lJo, rk Type
FIREPLACE
NEW
Q? (onenn
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
HEAT-N-6LQ FIREPLACES 18900758 0002968 RASMUSStlN MARK
3850 W HWY 13 1378 CAMEI.BACK DR
BURNSVILLE MN 55337 EAGAN MN
(612) 890-0755
I hereby acknowledge that I have read this applicaEion and state that the
infiormatiqn is correct and agree to camply'with all applicable State of Mrt.
Statutes and City of Eagan OrdinanqQS.. ,
L
? `R?1l,l,?
APPLICANT/PERMITEESIGNATURE ?ISSUED SI AT RE
INSPECTION RECORD
CITY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r:
1378 CAMELBACK DR
FAIRWAY HILLS
PERMITTYPE: surLoiNG
Permit Number: 021994
Date Issued: 0 9/ 17 / 9 3
9 B L 0 C K: q APPLICANT:
HEAT-N-GLO FIREPLACES
(612) 890-0758
F _ . .. _ _ ; . _
L -- _-----------?__
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DE3CRIPTION (GAS)
REACTIVATE _
PERMt r,r
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGI.E 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural S 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) tot change is requested once permit
is issued.
Date /A4-Yaluation of work /D l2•?
Site Address: MP
SiREET Su17E y
Tenant Name: (commercial only)
JAT ?_ SLOCK SIIBD. Y.I.D. M
Descri tion of work: lii(?l? &0 dP/Ll CL
The applicant is: ? Owner O Cantractor O Other (oescribe)
Name n'YZ C? ?"1 Phone
Property LAST F[R5T
Owner pddress 13_7g
STREET STE /
City 5tate ZiP
Company tLlij - k z? Phone l0 7Zri
C011tfeCtOr Address 3? Le) ?Urz+ l? License #? Exp.
City' GUW?.0cr,Lls State h"l "t1 Zip a3
Company Phone
Architect/
Engineer Name Registration N
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 information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
/
CITY OF EAGAN NQ 16403
3830 Pilot Knob Road, P.O. Box 27•799, Eagan, MN 55121
• PHONE: 454-8100 n -? ?
l.i
BUILDING PERMIT Receipt # I ?7
To be used for SF DWG/GAR Est. Value $127,000 Date MAY 3 , is 89
SiteAddress 1378 CAMELBACK DR
Lot 4 Block 4 Sec/Sub. FAIRWAY HILLS
Parcel No
.
W Name MCDONALD CONSTRUCTION, INC
o Address 1212 BLUEBILL BAY RD
City BURNSVILLE phone 431-7566
a Name S?
,
ga Address
? City Phone
ww Name
Address
aw City Phone
I here6y ackndwl e that I have read this application and state thal the
informahon is c?Qrr t antl 2pree to comply wi}h all applicable State of
Signature of Permit N ^
A Building Permrt is s ed to: N
on the express condi "o ihat all work shall be done in accordance with all
applica6le State of Mi sota Statutes and Ciry of Eagan Ordinances
Bwlding Oflicial
OFFICE USE ONLY
Occupancy R-3--IL-1 FEES
Zoning R-1
(ACtuaqConst V-N Bltlg Permit 734.00
(Allowable) V-N Surcharge 63.50
s or Srories 367
00
Leiglh $Z' Plan Remew .
Depth -16.1 SAQ Ciry 100.00
S F. Tolal - SAQ MCWCC 579.00
S F Footprints _
OnSAeSewage - 'NaterConn 580•00
On Site Well - Water Meter 90. nn
Mwcc sysiem xx
Acct Deposn
30.00
Qty Water
PRV Requued _ SiW Permil 20.00
BoosterPump - S/W Sumharge 1 -00
rreatment PI 7 9 R_ 00
APPROVALS RoatlUnit 34(1_0(1
Planner - perk Ded.
CAUnCI -
BIdg.ON. _ CoPies
Varience - TOTAL 3,128.50
? . ?
1989 SIIILDIRG PE&!IT APPLICATION - CITY OF EAG6N
Aqft• SINGLE EAPIILY DWELLINGS o 5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEBGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNSR MU3T DESIGNATE WHICH ADDRESS
IS DESIRED. NO CEANGES NILL BE ALI.OiIED ONCE BIIII.DIAIG PERMIT IS I3SIIED.
MOLTIPLS DWELLINGS RSNTAL ONIT3 FOR SALS ONITS i OF ONIT3
INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECS WITH BLDG. DEPT.0 1 SET OF ENERGY
CALCULATIONS
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - ?-z.) 000 NAY 0 1 1989
-)kele k.diNS leb,
To Be IIsed For: Sir,fajc F?w«,; ?.. Valuation: .?BO;Opo•. Date: s- r-8q
Site Address
Lot L4_ Bloek i
Pareel/Sub :f7,?tw qS6 ?ct
Owner Ce,.,sEl'ucj-[orJ -rA.-G
Address t2t2-'8luchj11 BA,,, Rel.
City/Zip Code
Phone q 31-7566
Contractor SAnn as hboVc
Address
City/Zip Code
Phone
Arch. /Engr. _
Address
City/Zip Code
Phone #
.. v
..
n
occupancy 3 M-
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV required _
Booster Pump _
APPHOVAI.S
Planner _
Couneil
Bldg. Off. tEL5/1
Variance
Council
FSG3
Bldg. Permit
Sureharge -?.50
Plan Review 362,
SAC p City /OD
SAC, MWCC 39S
Water Conn S80
Water Meter 90
Aect. Deposit 30
S/W Permit zo
5/W Surcharge
Treatment Pl. 2z?
Road Unit 3 y0
Park Ded.
Copies
TOTAL
NOTE: 3ewer & Water Permit fees and acoount deposit fees rrill be ineluded in the building
permit fee. ProQessing time for sexer and water permits is txo days onoe a licensed
plumber has applied for a permit at City Hall.
VI,
-1 oe
?---
?? zzfi 3'0 _ s/ ?6 0
LI
?v,t, `/e
1 Z,r 3 0 = ?
zoa
/ o ?y X sb ? ?-31
?l
.?.
I2Lj d6 ?),35
pF aose
NGiNEEt?1NG COMPANY, ING.
L 1000 EAS7 1461h STREET.
< `e?uVAC17 ?'arvST.
-41" 2/SJ.O/
CONSllLTlHO Eti(i1HEfA5
pIANHEAS nnd LAHD ?UAVEYOQS
quRNSVILLE. YtNHE50TA 55337 P4i 472-5000
C4erzi}z cczze Ye v
Zdqa? .Dk.tcr4,E2iorz: LoT 4, BLOCK 4, FA/KWLJY
. 494KO7-4 C4uN7Y M/NNF?OTA
?
(azo,o?
iozo; o ?
? e (b'
?v?p`?? ?D? ? ro2
r
e
?Or
4) IN (f^
^
5Z
?
\
-7
c
?
416?,608 ?
Q v
22../ ?v
?
? ??? •? ??
F, ?i?py v ?
?.r?Q? c DEPT
s cAr_E : /" = 30'
?
I.
?
,
f
??ioL3, z?
IAIJ
' " ND
?SETP4CK L AE " '
BY -?-
DA?E
?/D?3_o) DENdTES EX??? N
(/az*o) DENOTES PROP05ED ELEY.9T/01V
...? lND/CATES' D/RECT/ON aF
9619FACE D?/AIA6E
/oz4:33 = F/N%SqEO 64R•46E FL.WR
EcE?.qT/on/
1D16. 6 2 = M.s'EMENT FL4?.e E4EtG471orV
?- G4PRlNA6E fJND /az4,66 = ToP oF ,gGOC.e EcEYA7/o?/
UTlLI7Y EASEMENT
I her:by eartify thnt this is a t:ue and eorrtct
land as shoxri and deacribed hereon.• Ae prspared
.19 89 . • :
?'o?? d T'" :Gr:?n
a . .`•e
. ?
\ ?SO 2'2B , `.°z2 .
? \6)
.Q
?
•2
repraaentation ot a traet of
by me on this i?' day o!
? ? ?hJl, . ?7If1. ?eS. rNo. /3600
?
. u TX Vr ' i
BUI4Ui11U bF;nnRTitNirr -? ? ?- ZSIo
• NxMuzuu nv?;unun-11? „
_ .? (To be suLnll:bted tvikh buildln ?n G014YUrAlloll
. . . g permit apyiinatiou)
ine or Two Family llr?elliug Uriner LW?I-j?
Il.l Uther
;outXaoEor
. ' lla6e Plto?ie
L111BAL FEF:T UF . •, , .
EXI'vSEU YlALL
fr* above srade n
' . .' TU7.'lIL EXPU9EU {YALL AIIF:A 8q. E'T.
oYA(lUN YInLL 00118•1IlUUT1olI1 IIU" Yatue x Area
betall 40 a 8c?.' !'T. Z??,??¦. i0T (p)(A) '
retoreuoe °u u x NQ. F"C.`?e 1
trom upn_"`=-•=-----x e<(. P'1'. Lb n_.S,o I (U???)
atte?cl?ed ? .--?_.x
sl?eeta i 64. F"P. ? ????A)
?UIIx gR. E"f. n ?U) A)
, x pq. !°x.? ? (U) (A)
Y1111UOVISt "U" Yal.ue x Area •
Ilnlca & TYi' 0 )_?iU(?, a4?1K'lYlT upi1 n I x HQ• Pr. n
• LP 710Z(u)(n)
.
U??-----?_x ecZ. E?P )
o " n ? •
. ? l ?)(A
. .
sQ. F"P.? (A)
boUllgl "p" yalue x Arep ,
Ilttlce. & TYPa
u It ?O LJ gluti ?
x
gq. ..
E"P
U
nUu ?-x
8c2? . (
)(n)
F'C? (U) t A)
n • npn-------x 8cj. F"c. ? el tI?1(A)
, • x Hq. F"P. ? IUIIA)
. , xolnt.a
i sq. r-r.__ ? r?'i? tuttn)
ToTlll, (U)(A) V11[,UEy AVEI2AUF1 l
Uii ,
blVibEU llY 'fU 1'AL SIAL L AIiF.A I OJ
0773
01 '
nv?;nnuN tiuis
.
115 ox ,
=..?
f0
leee r 1&2 tawily d?velliuge
? , .
I1ov F/U BILI IIU ?
ToTnL enEnI
/r7c?4
6 ,
'
_
,. ,.
llatall retereuoe '
from ' Ilullb p?l ++ •
x
9a. F"P. aT ZZ 3
1/
attaclied sl?eel?, flu it
it?i1 -
-----.
R ?r
_. sR. . tU)(n1
? (U)(A)
-?
Ue?crlbe okieuluGe
? •l?pu- --"----- -x 8Q. F'x.? n (U) I A)
?? roar. x sR. er. ? (UltnJ
x'U'lAL M(A) VALUE,g b1,Y1llEll
DY (u)(n)
-
TV'PAI, Iloop/OEIL111U AIIEA
?p? '
• ??''
AYEiIAtI? ??il?? ,'pp5 toi' veubilated
• . .. .
roois.
. lf77i • . , .. ;",.
.
??j- z5co
? V?Ic?K S?'Tu
?? ?• ?Z???
+Z7,??-z7,s?? /333,33
Z773,87
ir ?
<<?
499G' 151 = j0ti11
QV` ,g3xl51 = Iz5,33
ls
?vJWp111
z?=
z4xrvd =
?0(p ^
?I?- 2c?X?3-?,oX7= 1P31o
Il ?fD?3(D=J'?i25XZ= Or
ZCP?1?5?
(D,0- Alt?
1?1 ,o
???, cANc.r ?nlrl7
`, ?Irn I2?? ??
'^ 1+v?s Zla9? S
"
il, zsx 7 = 70, -/,5'
13/ 75x 7=9(r, r-?
7rdX?c' ;?,.,I r0
?QV 1`4?
Sg?, o
zl aco, v?
--YlALL SECTION--
Determining "ll" valuee at Roof, Wallo Rimp and Conc. Block
ROOF/CEILINa R VALUE
1.) Interior Air N'ilm 0.61
2.) 5/8 1, aYP. Bd. .56
3•) Insulation ?O
4.1
5.) Exterior Air Film .61
(STILL)
'lOTAL (R)=4017&
N7ALL (R VALUE
6.) Interior Air Film 0.68
? 7.) 1" GYP. sa. .45
I 8.) nsulation 19/00
9. ) ILT -RT? Z,o+
? 10.) Masonite Siding .67
11.)
I Exterior A3r Film .17
uUn = 1/R= i OG} ?j TOTAL (R)= Z-3, 0I ?
I RIM R VALU
12.) Interior Air Film 0.68
13.) Insulation 1116'o
14.) 211 Fir Rim Joiat 1.88
15.) ?Vlc?-P?('(? Z,o?'
16.) asonite Siding .67
17.) Exterior Air Film .17
IIUII : 1/R-??fl TOTAL (R)= Z.4 tj+
?FOUTIDATION (R) VALUE
18.) Interior Air Film 0,68
19.)
zo.>
?-!I 41-P?i PPFL?
11,00
21.) 12" Concrete Block 1.28
22.)
23.) Exterior Air Film .17
, I npn _ 1/R= TOTAL (R)= I3i ?3
-- _=
l SUBD. 7 8L ? o CITY USE ONLY RECEIPT #: 7,aa 75
RECEIPT DATE: 0? °llv
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOBRD
EAGAN, tM7 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
----' ----------
FIXTURES ---------------
EACH -----------------------------------------
- # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 , . x =
Water Softener ' for dwellings under construUion 5.00 x =
WaterSoftener "forexistingdwelling 20.00 ' x =
U.G. Sprinklef "fordwellingunderconst. 3.00 =
• U.G. SprinklBr '(or existing dwelling 20.00
Alterdtions " to existing residence 20.00 =
Water Turn Around 20.00
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `.abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE
TOTAL
------ ------ - • --- ----------------------=--lice-t--ion--,-s-W-te--that----the---- ---information------------------- agree------ta----comp----ty-wRh-----all------- °applicable---C--rty--of--Eagan-- ° ----ordinances--------.-
I hereby acknowledge that I have read this app is corteG, end
It is the applicanYs responsibility to notify the property owner that tha City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities ta the f ciliGes coasWCted under this permfl within City property/right-of-way/easement.
SI7E ADDRESS: 13 7 0 • Qle_
OWNER NAME: v I ? L- S'e-"
INSTAILER NAME: TELEPHONE #:
STREETADDRESS: qL (,16,),
CITY: STATE: ZIP: ,S??
SIGNA OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
- '.
C11.1to)
1990 BUILDING YERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCUTATIONS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST 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 HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
17F-cK - j1111 14 itO
To Be Used For: i=, Valuation: Date: 5' 12' 9C7
Site Address 1?b-Ib rAMR.(-FbACIV-
Lot 4'1 Block q
Parcel/Sub & I Rw ATn 1"1 Lc.t?.
Owner P'tAe.K- VSSoN
Address 1-2,7%
City/Zip Code F-Q,(nE\Nj (M1J
'J f Wii
Phone '7172' ?j{?CJ l la ? 553' 18$I
Contractor Wo--
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length c't (c
'i Depth 4(d_
S.F. Total
IFootprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
? e aL-n v '_-c-6:
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
NIL
APPROVALS
Planner
Council
Bldg. Off. GlIS
Variance
. ??
.
)RO BE
ENGiNEERING .
,- COMhANY, tNC.
tooo usT 14e1? rraEEz,
Z?s?al ?e.?cr?a?iorL: Lo7" 4, B[-orJC 4, FA/RWAY N/?1s,
• U4KO7-,9 COUN7Y, M/NNE.?oTA
?
ro
?? •,
??\ Dc^?? ?? ?1
v e ?'
\?? '?? ?? ? ror
r .0 \
y \/
?? \
?
?
, ev??zP, CONST.
0 ZIs7.o1
CCHSULTlHO EH6IHEEAS
pLAH21EA5 nnd LAHD ?URVEYOQS
Q(u{}ISVILLE. 111NHESOiJ1 5t337 pH 132-3000
.
? e ?
?° °e ,$
V
,"
3CAcE :
30' FRoNT BU/LD//V6
SE?Z9CK L INE
(AMMO) DENOTES EX1ST11V6 F1EY.9710A
?Ri nj'lr <+? {/org.o) j?NOTES PRAPOSED EC?IT/On.
/ 5\?,; ?oz4. 33 = F/N%SHED 6ARA6E Ft.aoy?
F1.EWAT/ON
;%
. ?
c
416pB
S`622 y St,3•? ? ?
?
'. her:by
,and as
AYK 'C.
/aIb.62 = gqSEMENT FGxie E4EtGI714^/
- l•YPR/1JA6E A/VO Iaz4, bL = TpP oF B"C.e EeeYf171,0N
UT![ I7Y EASEMENT
cartify that this ia a t:ue
ahovn'and describe$ hersoa.
, .19 89 . ' .
and cflrrect
Aa preparad
reprnseatatiaa ot a trsc! of
by me on this z,,, s=' djy ot