1377 Camelback Dr. ... .
BLDG.
PERMIT N0.,I'101-
"?'?
r
?
?
v ?? • ?"" -l ??
[? /
_
f F
-[.?i.
._./
' .
;
0I-3210 Bldg. Permit
.
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 5AG/Adm.
01-2155 Surcharge
17-P60 Road Unit ?f
20-2275 SAC
t
S7
20-3865 Water Conn. ?
20-3868 Water Trmt.
20-3716 G:ater Meter ?
` 20-2252 Aect. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Cvnn.
11-3855 Park Ded.
5-U
TOTAL 7rv L4
t/
CITY OF EAGAN Permit No: 9061 Date: 9'16-87
3830 Pilot Knob Road Meter No: Size:
? P.O. Box 21198 - Reader No: Date:
i Eagan#hI551`21
`•'?1L1rE?lt1Y.'S£ DE;.'V.
Owner.
Site Address: 1?77 ?r?lback Drive 1,14 B3 Fairway ?-'ills
j Plumber. Lake Sitie PluvabiTla
II Conn. Chg: :?`p? Zoning:
' Acct. Dep: p Na. of Units: ?-
' Permit Fee: '0' t?P'
' Surcharge: ' pd I agree to comply with the Clty af Eagan
Tr. Plant "O' oop`? Ordinances.
Meter. 67. oOna
Misc.: By
WATER SERVICE PERMIT
--?
CITY OF EAGAN
3830 Pllot Knob Road
P.O. Box 21199 ..
Eagan, MAl.515?f2??
Zonin6:
Owner: `"hit
Address:
SEWER SERVICE PERMIT
PERMIT NO.: 10211
DATE; 9 - 1b •-: 7
No. of Ubits: 1
? I agree fa comply wRh ihe CHy of Eagan
Ordlnances.
By
Date of Insp.:
Insp.:
ve Li ? B> ?'airwa Hills
1CO.OJpd
Gonnection Charge: 525 00pd
Account Deposit: '15 ?10Fd
Permit Fee: 10 capi
Surchar; ge: SQ{??
Misa Charges:
Total: -
Date PaOd:
y
ordinances of the City
(gitr#if trttte uf Orrupttrixy
Citp of (Eagan
iopparirnrtt of louilbixig Awperuan
This Certifieate issued pursuant ta the requirements of Sectton 306 of rhe Uniform Building
Code certifYinR that at ihe lime af issuance this structure was in compliance wath the various
Usc ClsssiCcition
Occupancy Type L?
Owner of Building %? r L, ?I
6Wlding Addrm
?lating building construetian or use. Fi
%'R Btdg.
CITY OF EA GAN 63, 2?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for 3-S':A,:70i4 FO`iw f' Est. Value Date APR 2 0
SiteAddress 1377 CAW-LStkCK 3zN.
???+ ? `?? ?• ?+?? 17I?•1.w
Lot ? ?+a Block 5 Sec/Sub OFFICE USE ONLY
.
Parcel No. occupancy FEES
Zoning
? Name IQU ? NAN/C1" (Actual) Const - Bldg. Permit 16?D•?
W
Address 1277 '"t?=h: t.?,?4?='.'•? I 't;
(Ailowabie)
-
g
h
50 ?
Q urc
arge
City Phane #ofstories - 63+00 ;
18, Plan Review :?.
Lengih
p Name Depth 141 SAC
Cily
, ,
O
84 Address S.F. rotai -
U sAC, nncwcc
? City Phone S.F. Footprints -
SNaier Conn
On Site Sewage _
? W Name On Site Well - Water Meter
?
Address MWCC S stem
y -
0?y Acct. oeposit
¢ W City Phone City Water -
S!W Permit
PRV Required _
I hereby acknowiege that I have read this application and state that the gooster Pump - SfW Surcharge
iniormation is Correct and agree to compiy with all applicable State of ?/ j•
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: TODU '??' NA1F=' Y MLTF=L'+k Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council - 1.50
applicable Stale of Minnesota Statutes and City of Eagan drdinances. Bldg. Off. _ ?p?es
6
"?`?
BuildingOfficial Variance TOTAL
Permit No. Permlt Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.AC.
ELECTRIC
fnspection Date Insp. Commeqts
FUOtings I
Foundation
Framing S 3 ?
Roofing
Rough Plbg.
Rough Htg. -
Isul.
Fireplace
Fnal Htg.
Final Pibg.
Canst. Meter Pibg. Inspector - Notify Plum6er
Engr./Plan
Bidg. Final // F S
Deck Ftg.
Deck Final
Well
Pc Disp.
??:.?. . _ . ... .. . n . ' . . . M.
1PERMIT #
RECEIPT # '4
a
!2 DATE: --; - 7 Gi
WORK DESCRIPTION
New
Add-on ?
? c Ciry ,
?
Name _
? Address
O City
-
I
1M/IND FEE - 1a/o
BLDGS - COMM
fNHOUSE & COND
$.50
;,ITY OF EAGAN
Phane
DNTRACT FEE
APPIIES
ES. RATE APPLIES
_E - $12.
• - $20.
RMIT '` -
ather ,.° .... , . ..
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 R i
Bath Tubs - $3.00 ?
Lavatory - $3.00 ?
Shower - $3.00
Kitchen Sink - $3.00 !
Urinal/Bidet - $3.00 ?
Laundry Tray - $3.00 ?
Floor Orains - $1.50
i
Water Heater - $1.50
Gas Piping Outiets - $1.50 '(MINIMUM - 1 PER PERMIT) ,
Softener - $5.00 i,
Well - $10.00 I
Private Disp. - $10.00 I
Rough Openings - $1.50 I
FEE: i . t_:Ca i
STATE S/C:
GRAND TOTAL:
?m
BUILDING PERMIT
To be used for • ' ?4???'?#??
Site Address
LUt BIOCk 5
Parcel No.
I W Name
3 Rddre:
0 C;itv
CITY 4F EAGAN
Road, P.O. Box 21-199, Eagan, MN 55121
PHQNE: 454-8100 Receipt # d{,
?4 1,?L 41' 000 Est. Value ? date
b ,?" 11+1 %:' OFFICE
FA e:??.?•??"?'x' l:L;: On Site Sewage ?
MWGC System
On Site Well City Water _
?
,o :?,a.
Name s•? ?.:
? 4 Address APPROVALS
? City Phone Assessments
U Q Water/Sewer
W W
W Name Police
F
_ ? Address Fire
Q W City Phone PEngr.
lanner
Council
I hereby acknowledge that I have read this application and state Bldg. Off.
thattheinformationiscorrectandagreetoeomplywithailapplicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Variance
Signature of Permittee
A Buiiding Permit is issued to: d`°?'?'?f ? '. x? ?'' ? ?? `''? ?-? • ` ", ' ?" ' # r ?
all work shall be done in accprdance with a11 applicable State<of M ionesota Statu
8uilding Official
E ONIY
?
upancy
ing
: af Canst _
:tual) ,
lowable) Storias
gth
th
Totaf
FEES
? 50
_ Permit
_ Surcharge - -• 00
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ Water Conn.
_ Water Meter ? 7 . ?;?-•
_ Road Unit
_ Treatment P1
Parks
Gopies
TOTAL
on the express condition that
` Permit No. Permit Holder Date Te{aphane #
PYumbing y`•? L?? . c?!/?=?-c,?J ? i /J ? c?'?
?.
H.V.A.C.
Electric O-D
Softener
Inspection Oate Insp. Comments
Footings I
Foatings II
Foundatian
Framing
Roafing
Rough Plbg. 4 ?.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. ?
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
? . , MECHANICAL PERMIT RECEIPT # n,? i
-' i
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
'. CONTRACT PRICE: PHONE: 454-8100
; Site Address
BLDG. TYPE WORK DESCRIPTION
Lot Block -? ec/Sub ,
Res. 2<
New X
_
-
?
? Name ' ' -; j f •-. , ' , Mult Add-on
Address ,
, F Camm. Repair
c City
Phone Other
?
Name
?J') ?!
F. `y FEES :
RES. HVAC 0-100 M 8TU -$24.00
? 3
O Address
City ? >• N° ? r=•
?
Phon + r ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INGLUDES A/C QN NEW
-
e v4GANSTRUCTI.ON)k. . ? • - _ _ -
S OUT
NIM
`
"
S
"
P
k
?
A
!G
LET
(NfI
UM - 1
P
R
ERMIT) - 1.50 EA.
TYPE OF WORK ' '.COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air _L L?L? BTU i APT. BLDGS. - COMM. RATE APPLIES
Boiler TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
t
V STATE SURCHARGE PER PERMIT - .50
en CFM $
GOES
PERMIT PRICE
Gas Piping Outlets # BEYOND $1 000)
Other
FEE: r , , --- ? •
.?
- S/C: ? SIGNATUgE OF OERMITTEE
I
' TOTAL• F c: l
l
.
FOR: CITY OF EAGAN
)ck -1_
Address 1.245 :3 ? ?•?J A
City 4.1.14 , Phone
Name -iW41
Address
City Phone
CQMM/IND FEE - 19'o OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20,00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GQES
BEYOND $1,000.00)
,?,aa
51GNAT RE OF PERMITTEE ?
PERMIT # _
RECEIPT # _
, MN 55122 DATE:
. TYPE WORK DESCRIPTI
? New Af-
Add-on
i. Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: '
NO. FIXTURES TOTAL y
? Water Cioset - $3.00 $
Bath Tubs - $3.00 '
Lavatory - $3.00 ? t?j
Shower - $3.00 ? •> ?
_LKitchen Sink - $3.00
Urinal/Bidet - $3.00
_LLaundry Tray - $3.00
i
-1_Floor Drains - $1.50
jO Water Heater - $1.50
-At_Whirlpool - $3.00
_,/-Gas Piping Outlets - $1.50 ?a
! ?L
. (MINIMUM - 1 PER PERMII) ;
Softener - $5.00
7
Well - $10.00 i
Private Disp. - $10.00 ,
?
Rough Openings - $1.50 '?•?"`
? a
7
FEE: ^: ?l
STATE S/C:
GRAND TOTAL: .S? •
?---_-??
?
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS "-
? ?
Correction Notice
Located at ? 3 7
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
llDt„?? v7-? i? - (?- /;"-/z
When corrections have been made, please
call 454-8100 for inspection.
Date L? ? /P
Inspector City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN. Permit No: 9061 Datec 9-16-87
3830 Pllot ICnob°ROad Mete, No: 3 99 53 ? gIZe; 5i?" /2nc
P.O:Box'21199 - : _ ReaderNo: n ?R;? Z6?o Datz /O- 36_97
Eagan, MN,55121
_ FThitehorse Dev.
Site
525.00 VT Mn+••••-
Conn. Chg: pd 2 ipn : 1,14 leg ?
Acct. Dep: .OOP f 9 iI1Q Cj ?1g??nb?.s 1
PermitFea ?0 '?up +'p - LECTKI -
. ..
Surcharge: ' p ?.? ?gg?§rtowith the Ctty of Eagan
Tr. Plant - 180.00p ??fbIn
Meter. 67, no; a
Misc,
WATER SERWE PERMIT /
?
°5/g9
E 95 914
Request Data Fire Na. Rougn-in Ins "on
1 HequireE7
? Vea ? No
? Reatly Now )(WII Notlty Inepaclor
WMn ReatlY?
10 licensed coMractor J?I owner hereby request inspection of above electrical work at:
Job? ress (Sireat ? or Houte
1 Na )
^??
C Q/?? ?
/7v?"r7V
Sectbn W. Ta?maNp Name o? No Renge No. CauMy
Occupanl(PRINn
ToD? A, MN Pnona No.
qsD
Powar 3upplier Mtlreu
Eleclrlcel Cpip¢ctor (COmpany Name) Comractor§ ucanse No.
Mailing AOtlreas (COntrector ar Ownar Maklnp Instellation)
A?? - S4g a r Making Inetallauon) Plpm Nwiber
Ysz-q
MINNESOTA STA E BOA U OF ELECIAICT' 7HIS INSPECfION flEQUEST WILL NOT
Grigpe-Midwey Bldg. - Noom &173 BE ACCEPTED BV THE STATE BOARD
1821 Universiry pve., St. Peul, MN 55101 UNLESS PROPER INSPEGTIOIJ FEE IS
Plwm (612) 642-0800 ENCLOSEO.
5'/8/? REQUEST FOR ELECTRICAL INSPECTION
? See insbuctions for complatirg Rns iortn an back of yellow copy
E ?7 J 5914 X" Below Work Covered by This Request
Ci
ew Add Rep. 7ypeof8uilding AppliancesWiretl EquipmentWiretl
Home 7j ?5C f Range TempOrary Sennce
-
Duplex Water Heater Eledric Heeting
Apt. Building Dryer Olher (Specify) Lt 5
Comm.lindustrial Furnace L?
Farm ' Air Conditioner
Olher (specdy) ConVactor5 RemaMS'
Compute Inspection Fee Bebw:
# Other Fee # ServiceEnfranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A4ave 4VQ0 _ Amps
Signs Inapeclor§ use ony: _f) TOTAL 5 A
IrrigaHOn Booms
Special Inspection
Alertn/COmmunication
O[her Fee ?
I, the Electriral Inspector, hereby
tif
h Rough-in oam .,?
cer
yt
attheahoveinspectionhas
been made. F„si ,
? ,
8
OFfICE USE ONLV
TMs requast wM 10 months hom
This repaest voitl
18 mon[hs fmm
D41878
?085'
Nex,uest Oate ---
ire No. -- -
RouP - n Inspemion
N , ?
e i dl ?Reatly NowWdl Nmify Inspec-
??
ves ?No ?or When fleady
y uv"Nev uectncai i,onvactor 1 hereby rBquest inspectwn of above
? Owner electrical wm4 inatnllod a
Sireet Adtlress, Box or Rome No. City
7 ' CQh?f 13 !^r'v? ?3'?.tJ
ect?on o Township Name or No. Range No. C?????y
OccuGnnt IPliINTI
3ve2lz -
T ph.n. No
.
oa- 75? ?ir7
Powe? Supplier Atldress
Elecvical Coniractw lCompany Name) C mractor's license No.
N d _ ? ? ?c :???.? - 2
Mailing Address (COntractor or Owner MakinB Irlstailatmnl
?S
?
`
73ur?vi ?/E. •?,?..
ov ,. r.., 2 d 4l D-
/G o
i
?
.?.uM nz¢d Siena e (C nvactor Owner Maki np Installationl Phone Number
mlryryE50Tp STATE BOp1D?F ELECTpICITY THIS INSPECTION NEQUEST WIIL NpT
Griqps.Midwey BIdB• - ko N-091 BE qCCEPTED BY THE STqTE BOAHD
7821 Universilv Ave., St. aul, MN 55704 UNLESS PNOPEN INSPECTION FEE IS
Phone1612) 642-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-as
II, See instructiens Ior campleling this torm on beck o1 Yellow copy.
/? / / ? `>
D ?# 1 8 7 8 "X" Be/ow Work Covered by This Request .
Ndd BeOr 'rope ol 8m10mB Appliancas Wired Equipmam Wired
Home Ranye Temporary Service
Duplex Water Heater Lighnny Pixtures
Apt. BuilAmg Dryer Etectnc Heatin
Commercial 81dg. Furnace Silo Unlonder
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Farm otner oau v otnor 15ocnivl
ther Sueu y ther Othi_r "
Compute laspectron fee Below
N Fee SarviceEniranceSize fl Fee Faetlers/SUbieeders N Fea Cvcwtg
f` 0 to 200 qm s 0 to 30 qm s $ D 0 tn 30 Am
Above 200 qmF?y 37 to 100 qmps 31 to 1 UO qm ?
Swimming Pool Ahove 100_Am s Ahove 100_Am s
Transiormers Irngatwn Booms , SO Partial. Other Fee
Signs Specialinspecuon g
Pemarks
?.Sa TOTAL FE
,
r
flough-in - e? I, the Ele
? P Inspecbq ha?e6y
ce.tify xhel the above
Final 1e? inspection has baen
•
mea.
¦his reauest voltl 18 monlfre Irom
zoos RESIDENTIAL PLUMBING PeRnnir aPPLicaTio0
I ? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date la- / 1( tOb DEC 15 2006
Site Street Address 1-671
a'YnzJ k1G_Fk- r• Unit #,
_
Property Owner 7NYYI6S ??? YVIr ,Y? J Telephone #(A
Contractor r S Telephone #(6,) 36 I34o
Address Akl-lp City
Lnl
Statejo&
?
Zip 55101-2)
The Applicant is: _ Owner ?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Counry fee
$ 100.00
Per asbuilt $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water sokener and/or water
heater at the same time. !f you are insfaNing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener ? v Water Heater
new replacement $ 15.00
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is require to be reviewed and approved.
Ap li anYs Print d Name Appli ant's ignature
-op
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
l U CITY OF EAGAN
3830 PILOT I4VOB RD, EAGAN MN 65122
851•681-4675
New Construcdon BaoulremaMe
• 3 regisiered sAe surveys shaxing sq. R. N bt, sq.8. of house; arM all roofe0 areas
(20% maximum bi coverage albwed)
• 2 coples of plan shaxing beam & winGOw sizes; poureG fountl tlesign, etc.)
• 1 set of Energy Calwlatbns
• 3 copies of Tree Preservatbn Plan N bt platted atler 7/1/93
• Rim JoW Detatl Optbns selectbn sheet (bulgs wilh 3 or less wiis)
DATE ( n - \ ,' Q2-
_ Water Softener
Water Heater
No. of Baths
51TE ADDRES5 ??_V -t MULTI-FAMILY BLDG _ Y kN
TYPE OF WORK 01 2
FIREPLACE(
,
APPLICANT
STREET ADDRESS
TELEPHONE # luSl-?--9?13? CELL PHONE #
QbScNNIV_- STATEkO LP
FAX # lot;;l- U P?-DZ I Q
PROPERN OWNER-?m iELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CAT'EGORY 1 MINNESOTA RULES 7672
(J su6misaion type) • Residential Ventilation Category 1 Worksheet Submitled • New Energy Code Workshaet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor.
Plumbing system includes:
Mechanlcal Coniracfor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge That I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signalure
OFFICE USE
RemodeNieoeh Heauiremama
. 2 coples of plan
. 1 setMEnerpyCaloulationsforhesteAatlGrtbns
• 1 sAesurveybre#eriwaddMbns&tlecb
. Intlkete N Frome seNetl by saptic system for addilbns
VALUATION ?D - 0 l g
Phone #
? Lawn Sprinkler
? No. of R.I. Baths
Phone #
Fee: $90.00
Fe • , 7Q.00
-------------
1 --?-- ?
I
? ----------------5---
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 41o2
I/
NO BOOSTER PU"MP REQUIRED CITY OF EAGAN No
383L6 PilotKnob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8700 n/ (y? 1
BUILDINGPERMIT Receipt# /Lod J
7o be used for SF DWG/GAR Est Value $120,000 Date ?j O-4 /
14091
SiteAddress 1377 CAMELBACK DRIVE
Lot 14 Block 3 Sec/Sub. FAIRWAY HILLS
Parcel No.
w Name W1'IITEHORSE DEVELDPMENT CORP
= Addreas 11473 GOLDENROD ST
? Ciry COON RAPIDSphone 452-2906
alName SAME
0
?? Address
,
i- City Phone
rc
W
? Name
W
Address
az CityPhone
aw
OFFICE USE ONLY f
R3
On Site 3ewage Occupancy
-
-
MWCCSystem RT
? Zoning
On Site Well Type of Const Vn
Ciry Water X (ACtuaq V
t
t
(Allowa6le)
_
# of Stories -
67
Length
Depth 3]
S.F. Total
Footprint SF.
APPROVALS FEES
$ 563.50
Assessments - Permit
water/Sewer _ Surcharge 60.00
Pallce _ PlanReWew 7R1-7$
Fire _SAC, City I nn - np
Engr. _ SAC,MWCC 595.00
Planner WaterConn. 9.5-00
Coumil WaterMeter ro 7 n0
I hereby aCknowledge that I heve read this application and state Bldg. Off. _ Road Unlt ??p
tbattheintormationiscorrectandagreetocomplywithallapplica6lel APC _ TreatmentPl t?en n0
State of Minnesota Statutes nd Ciry of Eegan Ordinances. Variance _ Parks
T Copies
Signature af Permittee 7` ? TOTAL $2., 607 • 25
A Building Permit is issue o: ti111ITEH E DEVELOPMENT CORP on the expresa condition that
all work shall be done in accordence with all licable St?t f Minnesota Sta tes and City of Eagan Ordinancea
) a
Building Official
?
' ? -
1987 BDILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLQDE 2 SEfS OF PLANS, 3 CSRTIFICATSS OF S1iRVEY, 1 SBT OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR CORHER LOTS - CONTRACTOR/HOMEO4iNER MUST DESIGBSTE WHICB ADDHESS
IS DFSIRED, NO CHANGES WILL BE ALLOWSD ONCE BIIILDING PERMTT IS ISSIIfiD.
MULTIPLE DWELLINGS - R&SIDSNTIAL RENTAL D]NIT3 FOR SALE Q9ITS
INCLUDE 2 SETS OF PLANS, CfiRTIFICATB OF S[1RYSY - CHSCB AITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAI6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: s':1, fai,tly Valuation: 9e?- Date: 8/25/87
Site Address 1377 Camel6ack Drive ) a o 000 OFF.
Lot 14 Bloek 3 On Site Sewage=
MWCC System
Pareel/Sub Fairway Hills On Site Well
City Water
owner Whitehorse Develooment Corooration
Address 11473 Goldenrod St.
City/Zip Code _Coon Rapids, Mn. 55433
Phone 452-2906 ' APPR09ALS
Contractor Sdme
Address
City/Zip Code `
Phone
Arch./Engr. Russell Plan Design
Address 4940 Viking Drive
City/Zip Code Edina, Mn.
Phone u 835-5970
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy R- 3
Zoning R-t
Type of Const
(Actual) y-Iv
(Allowable) V-N
# of Stories
Length 62.0
Depth 37, v
S.F. Total
Footprint S.F.
FSFS
Permit 56 3•50
Surcharge 60.00
Plan Review ZS .7S
SAC, City /00.00
SAC, MWCC 5251 00
Water Conn 525, Oo
Water Meter brl, OD
Road Unit ,00
Treatment P1 I 0, 00
Parks
Copies
TOTAL Z (00"1. ?5
w ,
,.,
a?X 2y= S?6X r2=
ISsrnr - -
38XZFf= 166vX ly= /yfr96
1ST ?
3Kx29 =
?Xl3_ 9i
its-sx vy= so8zo
z„?
3eex zg e!06 v x uy= U b5sl6 ,
119yyy
,
flOBE -
ENGiNEERING
COMPRNY, 1MC.
? 1000 E11ST 1461it 5'+REr
Cp,? C?K^T,?`-, C4'JN ?"'{, MlNt.IESC?ti
6
/
66
C
! ?Q\?
T ?
;--_ ?D 0 I
O
' WN1TEH0R55:
cnHSULTIHa EH61Hf£.°.S. ?EVELOPt
PLAHNEAS and LAH? SURVEYOftS
779.4!
SUAHSJILLE, YINHE::'x '==37 PF1 1:2'3000
C4er.f z}Z criZe c ?zv'Ye [.
L9T 14 BLOCK 3, FAIRWAY H'L! S,
? -
?S
?
aa`y
(o?y
/
.?
?
- ;
?
?
yo?
Cl) ? r r?? ?
vJ l ?O ) fa,y ?
C).?
rz
? Use
KQ(1o ry \
0zp.C?
? , ?ati0
9.pJ , G4&1 ?
6
a
?oZO e o . , ;
l o 0? Q za.o h 3C' FRO/v7 BUILDIIVG
rIO?o.-?
? 33
73
a=J3093?83? o
M,?-,?Q
SETBACK LlNE
;.
?I
:
I;
?
;'.
I +;
;
I ?
i
?
SGALE : I "= 30•
(iol9,o_ )DENOTES IXI577NG ELEVATlON
0070.0 ) ptNOTEs PRQADSED Ec.EvaTroN '
1NDfCATGS
DRAINAGE
1020.33 _ FINISHER
OiREC7IpN br 5URFACE
GARAGE FLAOR ELEUR'f'1oN
I her:by eartify that thia is a t:-j= and ear:^_ct npraeentition of a triLct of
ljnd as Rhovn' and deacribed hernon. Aa pTapa==d by mn on this ZlF 'diy oP
??6T • 19,21,,• • : :
// Hina.:lles.?No. /G_ss
ARAINAGE AND
.1TtLtT'r =,??EMENT
---
?p
I? .. . . ~ • ? 379?d947
, ? .. Lc esat+cletoe' Inc.
1 npl?"erchllnl dae1qnorv ol a?
EiLTi'sAIOR ENVELOPE AVF3t/?GG "U" COMPUTATION Id _? 76
OIdNER PLAN N0. WKL
SYTE ADDRESS 13"1 '1 `.0.r?'1 Q-l 6G.(iL nUj? UATE CD?S k_40
CONTitACTOR $C7?.?7? D?}(L?j jju?1?.?.12'S PHOPIB ? JJ'a? IT'to?
Detarmine working square footaga of each
1. Total oxposed wall ares...... ??? sq.ft. x.??
2. Total •roof/ceiling area...... ,S'7je ----sq.ft. xRZ?i=
3. Total floor/cant. area....... sq.ft. x__,_ = J-?-_J
Total axposed wall area ahove floor I Sr7 I
8• TOt.&1 W81l WiI1dOW-$,rQB*, ...e......... r......•
r • .y?
b. Total door gz'oa .............................. C• Total 311ding glass d003` APOFi ? ? ? ? ? ? ? ? r ? ? ? ? • ?
d. Total firoplaca w&11 area ....................
o. Total wall fraating area (average 109i)........ ==?
f. Total net wall aroa abovo floor .............. Z
g• Total rim joist ATOOe ...r........????r??????• ?-&-gy '
Total exposed founclation area 51
h. Total fowtdutlon windvw aroa................•
I. Total not foutxiation area above grada........
Dotermine "U" value of each wall segment
II e_d-4,4j,e R "Utt j
+1 , ((?
U ?S? R "U" LCm ?
o.? x "U" - 122.ca
d. x "D"
e. x "U"
p X
?????
g•
x
?
?le
7C "Ull x
?
I? `?1! x
IIUII ?'?
1`9'
4, ................................... Total °
If item #4 is the sume asp or loss than itom #1f you have met
the intent of SBC 6006(a)2.
?
?
I
?
Tota1 o.xposed roof/co113ng arem
k. Total r 'oof/ce ?i11ng 8fr •?.ming •arsa • (aver. • (.10016"o/c).....-.-?-?----
(.062?24'l0/0)... t?f?l
?l 15 ----
1. Total not insulated roof/ce111i1g area .................. _
Doterm3.r+a "U11 value for each roof/ceiling segment
j • X ??U?? .??
-?°-?---?°- _
I x ??U??
' ic._,?P _-
m W' _ C') ° . /
5
0 ... Totai = lq? o
. •?•???•?????????????????ee?a????????????????•
If total of #5 is the same as, or less than #29 you have met the
intent of SSC 6006(cll.
Tot+ill oxposoa floor/cant. aroa
framiexP 6T611 (avorage •??pij ? ? ? ? ? ? ? ? ? •
m. To1:n1 floor/cant.
A s TOtAl I16t ITlSlll.fif3a flOOY',OSIlte &T86 o e *e ooo9'*6.0oq'oo9• ?•
Dotoruilne 10U" yalna for oaoh floor/cant. segmant
r•.,•:., .m
• x "0" _
m. -
n.. CM
- ?
6. ....o ............................................ Total =
If total of $6 is tho eame as9 or loss than 09 You have met the
intent of SBC 6006(0)).
ALTLRNA'tE BUYLDTNG PNIEIAPE DESIGN
To utilize the totsl enva7.opa system methocl, tho values astablishecl
by the sum of '.ltams #?4a u`5 8nd $6 sha11 ? ba graater than the 3um
of items §19 f2 ancl f3•
I2. 3.
i•
-
v. 5• C? 6. = I6Z9 . I25
Propurod by
Dato ? ?J?-- ?
s
t?.
+
;
. ' i.
`
.,
j
' 1
.
+
, ?.
i
;
i
?
; y . ---- -----------
I/ THftU STUD
S.R. & SIDTDIU
I 1
?
?.
-?..-?-
,? :
F !
TFiRU RfM
aozsm
int. Air .68
1/2n S.R. .4S
Stud (e,t?s,5
25132" g11r1. 2.06
s3aing , co'I
Lxt. Air
_•17
Total "P." 1/A : wun
,Tnt. A1Y •6a
a
Opt• St.ys'O•
i 1/20 1.89
25/p, Ei7d. zmoG
SidY,b ILNI
ECt• A'll' ' •17
Opt. Hriok -
Totnl "fl"
1 ?R = "1r° _ la el
E-ET
TffRU CLt3.
klotoga
, l
I ?
I 1 ??
I y_
?
Int. Air .G1
SOR• ( ") 'P'PC°"
C1S. Memb.
Tns. C ");
uti.l.l Air .61_
Totinl "Rn
1/Ii = up" = OL?
7i3tiv itIs. Y7eId. Int. Air .68 ,
w/ 3Ft. tE SIAING 1/2" S.R. .45
" Ine. M I o ,
25132" siia. 2.06
?S
?-
S,d,ng
.(P?I
0-1
C
E1Ct.
s ?'`
???j
?L.?. .
. Total "R" = 2,31 .03
1/A _ „? a IO ?
THEtU COtiC HL4CIS Int. Air .68
C.B. (1Lro) IL7.?
Opt. Tna. S, O
Ext.
• Air
.17
a. .
opt,
? EE-
g.fl.
ppt. 5ir1. _- "
??
Totol
0 "R"
1/R = „Ou a ? .
TfiRu M. xnt. Air .61
ItiSUlATZOrt S.R. (, ") •li?fo
xns. A.6o
Sti11 Air
??? Totnl "R"
---
r l/R p
? Y?
BUILDING PERMIT
To be used for 3-SE?
CITY OF EAGAN
3830 Pilot•Knob Vtoad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
11.000
19$9--
Site Address 1377 CAMELBACK DR
OFFICE USE ONLY
Lot 14 Block 3_ SeclSub. FhIRWAY HILLS
Parcel No. Occupancy R-3 FEES
Zoning -
w Name TOnD & NANCV MIiF.i.T.ER (Actual) Const - Bldg. Permit 126.00
Address 1377 CAMRT.RACK 11R (Allowable) - S
h $.50
o urc
arge
Clly RA(:AN PhOne 459_9458 xotStories - 63.00
18
' Plan Rewew
944-6480 Lenglh ,
o Name oepm ?' snc. ary
.
??
ga
Address S.F. TOtaI
-
?
CI?y Phone
S F Footprinis
- sac,nncwcc
Water Cann
On Site Sewage _
?w Name On Srte Well - Water Meter
W
? Addr@SS MWCCSystem -
?
aw
City Phone
Cmy water
i
d
_ qatDa n
?
SJVJ Permit
PRV Requ
re _
I hereby acknowlege that I have read this applicalion and state ihat the Booster Pump - SNJ Surcharge
information is cortect and agree to comply with all applicable State of
Minnesota Statutes and City ot E ga nOrd'nances. (\?l(?
??
????
APPROVALS Treatment PI
Siqnature of PermRee
' Road Unit
A Building Permit is issued to: TODD & NANCY M[IELLER Pla°0Qf - Park Ded
on Ihe express condition that all work shall be done in accordance with all Council -- 1
50
applicable Sta[e olMinnesota
Statutes and Qry of Eagan Ordinances. gyy. pry, _ Copies .
, p
l1fuA?1 1\.0(?, ?°m?
Building ONicial
r
Varance
-
TOTAL
196.00
N° 16328
c, / c??fliv
1989 BOII.DffiG PHRMIIT APPLICATIOA - CI?Y OF EAG6N
3IRGLE FAMILY DWELLING3 I ?
INCLODE 2 SEfS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SEf OF ENERGY CALCULATIONS
HO'!Es ADDRE4SE4 FOB COIiNEB LOTS - CONTHAClOa/HOMBOWNSR l1QST DESIGN9TE iiHICH 1lDDR8SS
I3 DFSIRED. AO CH9NG&S idII.L BE ALLOiiSD ONCE HOILDIdG PSRMIT I3 I3SOED.
MQi.TIPLE DflELLING3 HBNLlL D9ITS FOE SALE OHITS • OF 08I?3
INCLODE 2 SETS OF PLANS, CERTIFICATE OF 30RilEY - CHECg WITH HLDG. D&PT., 1 SET OF ENERGY
CALCULATIONS
COHMRCIAL
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS9
1 SEf OF SPECEFICATIONS AND 1 SET OF fiNERGY CALCULATIONS
To Be Used For s_?- ?Plr.,e-ern? IzJUluation: Date:
3ite Address 1377 C'clmo16.rI[ 4- OFFICE QSE
Lot I H Bloek 3
Pareel/Sub ?
owner To?? ?Na.+1cy ?Yl u-elke i
Address 13
City/Zip Code c
4-
Phone 145,?L'"-945g w-qv4- 6ya'
Contraetor
Address
City/2ip Code
Phone
Areh./Engr.
dddress
City/Zip Code
Phone #
Decupaney
Zoning
Aetual Const
Allowable
8 of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3
f e
?
On site sewage
On site well _
MWCC 3ystem _
City vater _
PRn required ?
Hooster Pump _
APPHOVALS
Planner
Couneil
Bldg. OfP.
Variance
FsES
Bldg. Permit 196.CC'
Surcharge S,So
Plan Review 63"00
SAC, City
SAC, M41CC
Water Conn
Water Meter
AeQt. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road Dnit
Park Ded.
Copies
TOT6L /9Co
NOTS: Sewer & Water Permit fees and account deposit fees will be ineluded in the building
permit fee. Processing time for sever and water permits is tiro days once a liceased
plumber Las applied for a permit at Citq Hall.
VAI.UTA`nON
/yXi K?= 252 " x _
1 b 0sro
r
flOBE
GNGINEEii1NG
COMi'ANY, INC.
1000 EJ1c-7 1461h SiRE°_':,
WNITEHORS`.
CCHSUL
pIAHliE9S nndaLAHD SvAVEYOQS DEVELCF?'IEt?
BURHS,ALLE. LIINHE__:x S=237 Pti '!=2'5000
Ct_TZZ?ZCt3zE !i ?
?? c,? .,LJC•?C7"?.P?ZCr_: LpT 14 BLOc.x 3. FA.IRWr1?' !'-?IL!
caKI?-rA
0o,.
,
Coi? gJ
.° 5 6S?C .
,
?
r ,oO
?
,
i QD ?
,
,
,
?
1
1 °
o?
f f??
_y,aJ
ra,,
'I I
?-
? ?
1 ? / /
%
1 Go', _ /
?
rH?PoS
NafD
(fO/7.4? O ?
ro
ry , ?7 .
?-,? ra2o-o h ,
\ o; ?f pc?;p',
,
0O? z4. 3C' FRONr BUILG1rv'G
. /rOZp.33, °ET6AGK LINz
9?836 0
Cq,?E<F.aC? ?
5CAi-E - ? - 30
(ioie:o_ )DENoTES EXIS?7NG E! FVATION
(rozo,o ) DcNO`rES PROP'7SED ELEVAT10AJ
INDICATGS
'?? DRAINAGE
ip20-33: FIfVISNED
01aEC7ION OP- SURFACE
GARAGE FWOR E-P1/XTIC
-; 'ABe) `
t ?P?etntition of a dalcof
I hersby cartify that thia is a t:?= and cflr:?= ??
land as eha+m' and deacribed hereon, Ae prspa"'d by fie on thi= - y
i4t?c)67- • 19 gL• - .
Hinn. 1leS. No. /? s
DR,gIN.4GE
'j1-ILIr'r
CITY OF EAGA
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTfON
k******#********f#**?3******#**t
*A1':':, PAYMFTTP OF FEE AT Tg1E C
aPrzzcA=orr noFS WT corSTzzvTE-
APPROM OF PE2Fff'P.
nNSPEMorr oF sEWmz nrm/CP RTAM?
nSnUT.amr027 i WIIS. Nt7P BF'. S=-
[rrM oivra. PERM2 HA.s smN
APPRL3VID. .. .__..:_.__ ._
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: - - - °' -' --• " -
_ Lot Block Subdlvision or Tax Parcel ID )
IF EXISTING STRL'CiLTRE, DATE (
PRESENP 7ANING/PROFOSID LTSE:
Q CCL%R,ERCIAL/RETAII,/OF'FIC:E
Q IAIDC'STRIAL
? INSTI7S.'TIONAL/GOVERDfiENP
)F ORIGINAL B[.'ILDIir, PE.4MiT ZSSf.'P,NCE: . . -
' (Mbri Yeai`)
R-1 SINGLE FPMTLY
? R-2 DCPLEX (TrA Pnits)
R-3 1GWNHOUSE (Three + Units) ( tlnits)
? x-4 aPAxTmENT/comcNUrrz[,m.. ( onits)
2) .,p d. > .
NAt?.E: LfT ? S r S?t....a-?- •?? ? c
ADDRESS: A??1?
CITY, STATE, ZIP: cSGrvs?s.e , m?? . ???c37? PAONE: ??jLi'-76 oa
3) ? ru
NAME:
ADDRFSS:
CITY, STATE, ZTP:
MASTER LICEVSE,ur
? Active
EScpired
Not recordec
St 7lutial
4) taru• • s , ??•NAnE: ?.? r? D,? ? Rl?.-•-- . -
_ r.?DRESs: ZZZ-143
czTY, srATE, zzP:efe'e/-)_
PHONE: ?SyJ - /.Pf/ d
•5} i;:ncd• ?- ?•??r• •?•i :in?e -io.u:.ti-v???
?(U\NVEC.TION 1V CITY S21WEER ?CONNFCrICN TC) CITY WATER Q OTHEt
'-
6) c mi e+ ?- s i- ? PLE'1ti5E HQI,D APPROVID PEftL?ffT FCR PICK-L?P BY ONE OF HBJVE
RLEASE MAIL APPROVID PERMIT TU 1, 2, n 4, ABJVE
Circe)
7) -rFr,r?_4uLj' .. s°.< )ff. . v- ?J-
PHONE:
e;
FOR -Cli°Y 11SE ONLY
PERMST # ISSLED
Pd w/Sldg. Permit FEES:
$ $ /D ° S--D
$ S /6 -?-U
$ $
$ $
S S
$
/r•?sL?
?j z (? cYd $
$_ $
$ S
$
$
$ $
$ ?k0 UZ) $
$ $
761 , ?3 3 ?73s`7
RECEIPT ' RECEIPT T-
SEWER PERMIT (INCL[JDE SURCHARGE)
WATER PERMIT (INCLC'DE SIIRCHARGE)
WATER METER/COPPERHORN/OC'TSIDE Rr:ADER
WATER TAP (INCLC'DE CORPORATION STOP)
SEWER TAP
ACCOL'NT DEPOSIT - SEWER
ACCODNT DEPOSIT - WATER
WAC
SAC
TRC'NK WATER ASSESSMENT
TRL'NK SE6JER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRC!NK WATER
WATER TREATMENT PLANT SDRCHARGc
OTHER:
TOTAL
DOc.S C'TILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR 690RK FdITHIN PC'BLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITIQN.
>GBJECT TO THi FOLLOWIVG CO:VDITIONS:
'?ROVED BY: p
TITLE:
DATc; _? ??
L.: C EIVED I-- .14/
For Office Use
a
- JUL 2 9 2019 Permit#: /I: 'Ø
`.... ......
Permit Fee: 3 /
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a�cityofeagan.com J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Ear 7/e(0/1 7 Site Address: /37 7 C.?r+e b 2 c. De• Gr r.. /'''t11)ArinUnit
Name: J 1 + Cop t?^CY2r Phone: 71 9- 973-/d 3 3
Resident/ `
Owner Address/City/Zip: 13 7 7 C,1rt e 1 bxk-Di• £7 3•. ii"it1 c'S 1 Z b
Applicant is: Owner pc. Contractor
dc
Description of work: tA1�•r�ev15 1?I clo C 1 S4;r t 5+f 0.fc?fee- f j,00r, eAl-r f1,,r�es 1
Type of Work g' �3 ,
34"..F.toik.
Construction Cost:4 Co 5,31 Sr Multi-Family Building: (Yes /No Y. ) .:
•IJe /kAar�rner Zeaftaati
Company: S Contact: C t r K oW u1,
Contractor Address: 23 o( 01:ye Ale. City: 0 fo A 0
State-A#.1 Zip:j' 391 Phone: G i Z'25 t-,77Email: c Lr:Se,4r-tot-Ca 1`41
License#: 17C—7 5 y79G Lead Certificate#:
If the project is exempt from lead certification, please explain why:
k\
A71/e t3 1S 6.14 +r` VI %I1 da lea
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:
Fire Suppression 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 C&to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 sta out 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 p-
x 0---'1r• 1 /4"04,..A>1\ x
Applicant's Printed Name : • • cant's Signature
DO NOT WRITE BELOW THIS LINE / 7 7 ( ib - k g - /5.7 -S-k,
'SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Y\Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation /2/ ZO 0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction f Width
REQUIRED INSPECTIONS
Footings
Footings (New Building) Meter Size:
Footings (Deck) 0°6() Final/C.O. Required
___S Footings(Addition)'' �c Final/No C.O. Required
Foundation Foundation Before Backfill /- HVAC Service Test Gas Line Air Test Hood
Roof: IF? &Water Final Pool: Footings Air/Gas Tests Final
* Framing 1 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation C Windows
Sheathing i Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: / , Building Inspector
RESIDENTIAL FEES
Base Fee it MO 36
Surcharge
Plan Review A /°/° (9 V
MCES SAC ax
City SAC r4
0-.6)
Utility Connection Charge (110
D
S&W Permit& Surcharge Treatment Plant Yrog
Radio Meter Read
Copies
TOTAL
Page 2 of 3
j-i
S.
CONSULTING EN01111 »S. - DEVELOPM
ENGiNEERING PLANNERS and LAND suavevaas
il013COMPANY INC. 779.0 i
t................1300 EAST 14841 S?RE suamri1LLE, ULHHZS:'+= gam pH 422-1000
Cer-le zctz Vie ! .
lagsZ—Nralszic4giert: WT I4. BLOCK 3, FAIRWAY 14W 4
1
Co, AK DTA COUnrry, MIN�NEZOT,
• �0
o $ 6(9°Sr-- • I
! L0
i • / — ria
/
1
t I7II � _ 0,97)
i
-` ' I_ i• ..... . �
•
\
4, .
it` .
,__ .,,, Q 1 ..... ,.t
1
t
- y .�
` :6 ;'I- - .rrrr EASEMENT 1DRAINAGE AND
23
-�. �$020.0)
H
/ .
/
/, - .60-21°) /•!,
J a ,
0
: '' -4'- r-7/<645;SC; / (Yie;ji ''
Il
•
1141i.
f
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159522
Date Issued:12/26/2019
Permit Category:ePermit
Site Address: 1377 Camelback Dr
Lot:14 Block: 3 Addition: Fairway Hills
PID:10-25600-03-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cody Manitz
1377 Camelback Dr
Eagan MN 55123
(719) 433-1833
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature