1393 Camelback Dr
ti
t
(Urttfiratr of (itrr~t tt cr
A
titp of (eagan
4.
arvartlumt of 311dIbirrrg n rrr trnt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in Compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification 3 f~/ ~x~t Bldg. Permit No. '4637
zo • District Type coon.
Occupancy Type i
Al~ 1~!s i t 1S JC I iii 8723 T laW 4lAY, A J ; VIU-Z 3
Owner of Building Address ~j+y
3 D V , .1,1 B2, la,AMAY ~M-T S
Building Address Locality
bate: r VAY 2-1,i a 1985
Building Official
POST IN A CONSPICUOUS PLACE
BLDG.1 PERMIT' N0. /~16J'7 O/,6
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ~Ty g ~r'
'rfL3 860 Road Unit
20-2275 SAC
20-3865 Water Conn.Q
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. /C/f~ fi~✓'
-3855 Park Ded.
TOTAL (o %
?n_ c
CITY OF EAGAN Permit No: 004
Date:
3831 Pilot Knob Rod Meter No: Size:
P.O: Box 211 i9 Reader No: Date:
Eagan, MN 55121
Owner
"r 1.Y :r =;iJ.ls
Site Address: 1293 Ca lbacb. give 1.1.4
Plumber. r1wout'sa 'lu butt'
Conn.Chg: 75 S0.irOrr1 Zoning:
Acct. Dep: Z 5. ~.')Opsl No. of Units: 1
Permit Fee: 11 •00pa
Surcharge: 5Cpd I agree to comply with the City of Eagan
Tr. Plant 204.;')0p Ordinances.
Meter rZ Iopg
Misc.: By
WATER SERVICE PERMIT
t
CITY OFEAGAN Permit-No: 1 Date
383 Pilot Knob Roar B/P No. Date: 3- 1 - t-
P.d: Box 21199
Eagan, MN 55121
Owner. _%.th
Site Address:, 1393 a me.lbacl T, )rive L14 B2 Fairway Rills
Plumber: P? ymo"it:b Plumber„
MWCC: 550. Zoning,
City Chg: l `til • No. of Units:
Acct. Dep: 1.5 ..111IN]
I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge: s•
Misc.: By
SEWER SERVICE PERMIT
CITY OF EAGAN ; r;
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for STS DWGIcAlk Est. Value V 48,0W Date Ag('W 1. 119 'e
Site Address '1393 CAkiELBA CK rin.lifE OFFICE USE ONLY
t e On Site Sewage Occupancy t(• 3
Lot 1 4 Block ~ Sec/Sub. I'=~LS AJ'
MWCG System Zoning R-•1
Parcel No. On Site Well (Actual)Const Val
A G' i8 > G i 1';,t~ City Water X (Allowable) Vn
m Name
W PRV Required * of Stories
z Address 14 HIGHWOOP 63A.I*
r
Booster Pump Length a City Af''wPZ VALE'01hone 481
Depth
=p .lame :~c?S.F.Total
0 a Address Footprint S.F.
P City, Phone APPROVALS FEES
f Engr./Assess. Permit 5_ 6.6,00
LOU W Name
Address Planner Surcharge
z
d W City Phone Council Plan Review 283.00
Bldg. Off. SAG, City 110G..00
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 550,00
information is correct and agree to comply with all applicable State of Water Conn. "550.00
Minnesota Statutes and City of Eagan Ordinances. Water Meter OAR)
Signdture of Perrryttee - - Road Unit
A Building Permit is issued to: Treatment P1 4.04.00
on the express condition that all work shall be done in accordance with all Parks
appllgable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official- a" _ _ • ~ °~`~1
CITY OF EAGAN
i X38$0 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
PHONE: 454.5100
BUILDING PERMIT Receipt#
To be used for - Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
cc Name City Water (Allowable)
W
3 Address PRV Required # of Stories
C City Phone Booster Pump Length
Depth
o Name S.F. Total
v a Address Footprint S.F.
a City Phone APPROVALS FEES
t W Name Engr./Assess. Permit
F W
-1 E Address Planner Surcharge
0 Cit Phone Council Plan Review
aW y
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Or nances.
• Water Meter
Signature of Permittee _ Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Off lcial TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing 3&,~
H.V.A.C.
Electric/
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
F]oundan
F
RRR~fg Is
Fireplace
Final Htg.
Final Plbg.
&=v Ago.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pc Disp..
PERMIT w
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # , R
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: % cal -l
CONTRACT PRICE: PHONE: 454-8100
Site Ad re S 173
BLDG. TYPE WORK ESCRIPTION
L-t Block 2c!Sub Res. New P A
f ! i
Mult. Add-on
Name Comm. Repair
Address 33 Other
C City _;Aa A Phone RES. PLBG. ONLY -COMPLETE THE FOLLOWING: j
NO. FIXTURES OTAL
r~/'L . / rtla c xJ F Water Closet - $3.00 $ ` c o
Name t Bath Tubs - $3.00 ca M
3 Address c
Lavatory - $3.00
O City Phone Shower - $3.00 •ti
Kitchen Sink - $3.00 _TC'U -
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 ''f O
APT. BLDGS - COMM RATE APPLIES / Floor Drains - $1.50 ' s
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 1 Gas Piping Outlets - $1.50
i STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGN UR O P +1`TEE FEE: j
STATE S/C: f
FOR: CITY OF EAGAN GRAND TOTAL:
PERMIT #
MECHANICAL PERMIT r
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 334--
CONTRACT PRICE: PHONE: 454-8100
Site Addre§s I ~ Era, 5 r e.
BLDG. TYPE WORK DESCRIPTION
Lot dock SWSub Res. - New
Name &J Q lUlult. Add-on /xku ; Comm. Re air
l y ~ i IAY iYei N i~ p Z
ro Addres
S City/ Phone t,/' Other
Name '7t,-r r q ,u.v Irv FEES
Lr f h ,ft~ RES. HVAC 0-100 M BTU -$24.00
i
Address 970 3 ADDITIONAL 50 M BTU - 6.00
p City f"'~ tY ' Phone gg `-73 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. ?
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE w
APT BLDGS. - COMM. RA APPLIES
Forced Air 11 M BTU 4. T
TOWNHOUSE & CONDOS TE ES. RATE APPLIES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & a
.Unit Heater M BTU $ REMODELS - 12.00 1
MINIMUM COMMERCIAL FEE - 20.00 {
Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - I'R
50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # t $ BEYOND $1,000)
Other $
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN Permit No: Date:
3836 Pilot Knob RoacP Meter No: Ada la0 a Size:
RW Box 21199 Reader Na. Date:
Eagan, MN 55121
Owner. Cnrst.
Site Address: 1 Y" 3 Canielhac_ r-rive "a J, rv a,r ill s
Plumber. "lvmouth Plinni-,3n-
Conn. Chg: (TrMIA oning:
Acct. Dep: 1 r aFA~`` ,p 1
Permit Fee: ig ,~~R~(Rlej its:
Surcharge: - l' 1 ~J;eNo comply with the City of Eagan
Plant 2RGMI D E D Q V 1AW '
Meter. ' -7
Misc.: By
WATER SERVIC PERMIT
L 51293 cle~3D)
C~D/V. - n.-c~LUr f- _rk P / S
Request Dale Fire No Rough-in Inspe n
'&e 5-19-93 Reclun", y 3 atly Now ❑ Will NoLly Inspector
Yes o When Ready?
I DXcensed contractor _7 owner hereby request inspection of above electrical work at:
Job Morass (Street Box or Route No) City
1393 Camelback Dr Eagan
Section No Township Name or No I Range No County
Dakota
Occupant (PRINT) Phone No
Gordon M. Jones
Power Supplier Adore.
Dakota Electric Farmington
Electrical Contractor (Company Name) Contractor? License No
Roehning Electric CAO 1557
Mailing Address (Contractor or Owner Making Installation,
14811 Endicott Way Apple Valley, Mn. 55124
Aulhorize lure IConlracloNOwne aking Installation) Phone Number
423-4328
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Univeralty Ave., St. Paul. MN 5SUM UNLESS PROPER INSPECTION FEE IS
Phone (612) 601-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB.wom-08
11ee instruction, for completing this form on bark of yellaa copy
4
L 51293 -•X" Selbw Work Covered by This Request 5 °2 53
NOW
New Add Rep. Type of Building AppliancesiWlreo Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer then S ecAy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor9 Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs inspectors use Only
r TOTAL 0
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby Rough,m Date
certify that the above inspection has Final
been made.
OFFICE USE ONLY
This request void 18 months from
This request void
18 months from
D 9Z L/- /W
Request Date Fve o. Ro uBh-i In peclion
flequi Will Nol rtv Inspec-
3-30-8.9 tl 7 nReady Nuw
Yes ❑Nn ~ for When Readv
Licensed Electr¢al Contractor I hereby request inspection of above
0 Owner electrical work installed at:
Street Address. Box co Route No. City
1393 Camelback
ectron o. Township Name or No. Range No. CounTt y^
Da
Occupant (PRINT) Phone No.
Herrmann Construction
Power Supplier Address
Dakota Elec.
Electrical Contractor (Company Name) Contractor's License No.
B & L Electric, Inc. 040855
Mailing Address (Contractor or Owner Making Installation)
55378
13874 Utica tve. So. Savage
A [homed g to Cont ct r Owne mg Installaton) 1 Phone Number
894-5198
MINNESOTA STATE RD OF ELECTRI THIS INSPECTION REQUEST WILL NOT
QO om N-191 BE ACCEPTED BY THE STATE BOARD
MTA . -Ro
ggs- Y eld UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave-. St. Paul. MN 65104
Phnno 16121 S42-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E -0000/0/1-Os
See instructions for completing this form on beck of yellow copy.
D 92"J' -X Below Work Covered by This Request
evil'Add Rap Type of Budding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peu Y Other (Spo,;,tv)
t er Sueo y Other Other
ompute Inspection Fee Below
a Fee Service Entrance Size ft Fee e!
0 to 200 Amps 0 to 30 An ")S ].7 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100-Am s Above 100_Amin
Transformers Irrigation Booms 0 ParLal-"Other Fee
Signs Special Inspection
em rks S 1 Sp TO F
O
r
Rough-m Dme I, [ EI . I
5 Insps ereby
certify that the above
F mat n Date inspection has been
7 made.
This request void l8 months from V '
'1~Itp)
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-6755675
Please complete for modifications to existing residential dwellings.
Date/ /-Qk
Site Street Address 139 3 Ci w bLXCJ~l r Unit #
Property Owner _ BuZ 2 ?e-n Telephone # (~SO 99S-6L77
Contractor Y-C, YV1 ~ f -Telephone # oZ) t
Address D~ S J ao 9 ill C _ SJ tj IX State MW- Zip 64
The Applicant is: _ Owner Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing only 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 Water Heater $ 15.00
new replacement
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 a he plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start wit out permit and work will be in
accordance with the approved plan in the event a plan is red t e review nd appr ed.
Applicant's Pfd Name Applican s Si n ture
CITY OF EAGAN N2 14 6 3 7
3836 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
61--rz.h
BUILDING PERMIT PHONE: 454-8100
Receipt# L7
Tobeusedfor- SF DWG/GAR Est.Value $98,000 Date MARCH 1, ,19$b-
Site Address 1393 CAMELBACK DRIVE OFFICE USE ONLY
Lot 14 Block 2 Sec/Sub. FAIRWAY HILLS AD On Site Sewage Occupancy R-3
MWCC System X Zoning R-1
Parcel No. On Site Well (Actual) Const Vn
a Name AL HERRMAN CONSTRUCTION City Water X (Allowable) Vn
W PRV Required # of Stories
Address 8723 HIGHWOOD WAY
Booster Pump Length 48'
0 City APPLE VALLEWhone Depth 50,
p Name SAME S.F. Total
ci a Address Footprint S-F.
City Phone APPROVALS FEES
W w Name Engr./Assess. Permit 566.00
~i Planner Surcharge -49.00
Address
am City Phone Council Plan Review 181-00
Bldg. Off. _ SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC r,5()-()()
information is correct and agree to comply with all applicable State of Water Conn. 550-00
Minnesota Statutes and C' f Ea an rdinances. Water Meter 67 nn
Signature of Permittee Road Unit _325.00
A Bud -
AL %R=N- ONST._
Building Permit is issued to _ _ _ Treatment P1 2Q4 QQ
on the express conditi that all worksh a done in accordance with all Parks
applicable State of (Minnesota Statutes and City of Eagan Ordinances.
Building Official / _ _ TOTAL 2;694.00
7
r r ,
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS / ~LO I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET of SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS J(~/
To Be Used For: F Valuation: 0 00~Date: v
Site Address / 3 q3 (,a#,,,, a- '0 OFFICE USE ONLY
Lot I q Block Z On site sewage Occupancy R- 3
MWCC system Zoning R -1
Parcel/Sub TA1Rw 7I:LlS On site well Actual Const V-N
City water Allowable V-N
Owner PRV required # of stories
Booster Pump Length
Address Depth Sal
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor AIL NExXM,A&a GoAr6r. Engr/Assess Permit 5fo 00
Planner Surcharge If cf. 0
GG 1 O
Address O~aj /d~ t/Ie.nrat~ 1 Council Plan Review 800
Bldg. Off. Zj=j17-5 SAC, City "'o
Am~ City/Zip Code Sao Variance SAC, MWCC O.O
V 01 Water Conn 5 a Ob
Phone Water Meter
Road Unit 325,00
Arch./Engr. Treatment Pl L1, 00
Parks
Address Copies
TOTAL 6 6
City/Zip Code
Phone #
VALWCT►ON
s s t
GA~a
ZOx 22- yqo x iy=
~ASEME~.1j"
ZgX`I2= 1176x13, 152~~
I .6T, Fioo p,
f3SmTc In(,
Z~4s l~,
d1
119ZX`I9=5`a~10X
2 ni D Sao ~~2
/~XZn = 3~aK~l~t: 176y~
g~41
,IL 11EAxmA.UAf CnVSY,
ROBE
PLAHEAS and LARD ~UAVEYO6S
ENGINEERING COHSUHf.AS and
COMPRNY1 INC.
1000 EAST I461A STREET, BURNSVILLE, 11INNESOTA 55337 PH •432-3000
C4"zz}'z ccz~`e ~Szc~-y'e c~
Z&g
a~ F7es =4xE Crt: LOT'14 BLOCK 2, FAIRWAY WILLS,
DAKO-IA COUNTY , MINNESOTA
9, 1,
DEN07 ES E)(I577NG ELEVATION
(/Op~•o ) DENS II LS PROPOSED ELEVATION
20 ~ •
INI✓ICATF-5 DIREC-nON OF SURFACE
\ DRAINAGE
%
\ u~o-=r, /003.33. FINISIaLU GARAGE F -OOR ELEVATION
C ~ \
w I `lox/ \
"OD
o I ~s,e~ 5
10
Fd ~5
W O ~ I.
I s-z . 0 696.e
$ ~'Ropo ° , DRAINAGE AND U'111-I7Y
I 4 Mo~S o , f EASEMENT
ee .0,
0995 5 0 6.o O
( 5, 5,
20 I o I d;n
/ o.ooN I ~N.
R `309 \ oo X333 F°p3.o - , i
30' FRONT BUILDING
/ SC75ACK ' iJNE
I'=3o
o SCALE'
CZ'
-o~
I hereby certify that this is a true and correct representation of a tract of
land as ahoxn'and described hereon.. As prepared by me on this 22wD day of
/ w'eu'gRY , 1986
.
~ Minn. lea. Ho. ~6oes
OI'L'Y OF BUILDING DEPAnTwrNT
AXE'NIOR ENVELOPE AVERAGE "Un COMPUTATION
(`Po be submitted with building permit application)
One or Two Family Dwolling nt-l-6 -
All OL•her Ovmor rte... ((EL~Wc~
Site Addx?r.3 ~,4o cry gAfA,_ pe,
Contractor %
Lt ~L° 2 f~A1Rw~t/ Hr~~
aLDate w !Y(`7`rS~Phona '
LINEAL FEET OF -
EXPOSED WALL ft. above grade = Z
TOTAL EXPOSED WALL AREA Sq. FT.
OPAQUE WALL C011STRUCTIONS nun Value X Area
Detail -r>1Z/~N1E nun
reference C G r' nuns . ' X SQL FT. y~ ' .75'/E' (U)(A)
from r ,A "-ttutt b U' Q• FT. U)( AA
x _ ~.o. 33 R:" 3 U
attached uutt SQ. )
shoots nue x sq. FT. = U)(4)
nun x Sq. FT. _ (U)(A)
x Sq. FT. _ (U)(A)
YJINDOWSI nUtt Value x Aron
Plaice & Typo eoc6rs'
7-
it /t7~ rzyjZGlDCt
It x SQ. FT. 9/_. . ? 3.27(U) (A)
n t t U t'
It tt nun x SQ.'FT. _ (u)(A)
It, nUn x sq. FT. - (U)(A)
x Sq. FT. _ (U)(A)
DOORS s . t!Ut( Value x Aron .
Make &"Typs rp nUn _ Y7
+t n a/LS ituu x SQ. FT. 2,9 U) (A)
tt tt •rtun` x SQ. FT. S~Z = $ir(U)(A)
nun x Sq. FT. _ (U)(A)
x Sq. FT. _ (U) (A)
TOTALS LZ Sq. FT._P...' 41-3 /
TOTAL (U)(A).VALUES AVERAGE ttUtt (U)(A)
DIVIDED By TOTAL WALL AREA,-776'-11 cD.
AVEIIAGE.ttUtt ,i15 or loos for 182 family dwvllingo
ROOF/CEILINGS
TOTAL AREAS
)etail roferenco - stun -
trom uun x SQ. FT."-1=-`=`(U)(A)
lttached sheets. ttun x SQ. FT._
)eacribe. openilsgs tt tt x SQ. FT. K (U) (A)
.n root.-' -----nUn x SQ. FT. _=-(U)(A)
Sq. FT. (U) (A)
TO'T'AL (U)(A) VALUES DIVIDED By - r (U)(A)
TOTAL 110'
AVERAGE IU.;t 029 t Z~-
fix'-' ontilatod roofs,
/!o~ I2-38 k .vat _3~
- - 5.5-z
i
~ ~19z.L
e
9'~, Rem
,i
i , ~~n~ /~t7.IBt5 ~J96$fIZS, 6S Zo~S_ 33
i
i'
/ 23 i5X3i lr z~ = 6, ilk sIGF
2 kA.) /-;r lSkS S 4
~ ~y_LY ~5xY3/Xz~ - zy,~sm
1!S• `J~/ lc~fc~rjrr^ra',q-SS
/ -,~~aGS v~4~k "7h = za SJ~sj„~ ~ /s! 4`7~~{~ ~9.yY
aN~ ALI
1'lUil--
orlnittittLr I1U11 valued at Roort Wall# Rimp and Cona. 1310 Olt
ROOF/OEILINC N VALUE
10 Interior Air Film 0.61
2.) 51811:.oyn. Da. .56
3.) Insulation
11. l `1 00
_ 5.) Exterior Air Film
-Z 3 WILL) .61
null 1/R= TOTAL (R)a
0 oz/ `r> 07g
80 WALL
R VALUE
----0 6.) Interior Air Film 0.68
7.) CYp. Dd. .115
8.) Ipnsulation
°9.) d-otLT {'17-_ r o
10.) Maconito siding 6
11.) Exterior Air Film .17
t1()1t TOTAL (R)a.0f
IZ RIht R VALUE
Interior Air Film 0.68
o-__ II 13.) Insulation
111.) 211 Fir Rim Joist 1lQt~
8
y~ 15.) .88
15 16.) Mooni orT~ 0)
Siding .6
170") Exterior Air Film •17
c
U' 11pn n 1/11=. i 010 TOTAL (R)= Z
FOUNDATIO11 R VALUE
21 Ig 18.) Interior Air Film 0.68
19.)
21.) 1211 ~Co nore to Block 1.28
13- A 10 22.)
23.) Exterior Air Film 0-17
n>`
11011 ° 1/R6 t77~ TOTAL, (11)
11'1'1 \11~
C-7:>
1 "1,sX C3af Z(.4zb d- 8) l,-7 PS ,cz-,)
Zt~,oX (5E2,) 9f3~ T
.83 x( 38-1 Z(- 4zua r_7
137,7f3
w ~ E~ b=ows
~yV 2N3 = tz,zi57
G~Al ¢ W ¢
G~x/3w5 = z~S,7SX2= ~l,s"
~wlN 1 Cc
(:~w x3 ~ 7s~.
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D~7 7 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY of EAGAN !
4I1 q u q 3830 PILOT KNOB RD - 55122 I cI a s
_l 651-681-4675
New Conshuc#on Reaulrements ( 1J 7 ,1 c7 G ! Remodel/Repair ReaWrements
> 3 registered site surveys slowing sq. ti. of rot, sq. R. of house 1 ~1 2 copies of plan
and go roofed areas (Wmo)dmurn lot coverage allowed) ~ ~ t ' U~1 set of energy calculations for heated additions
> 2 copies of plans (show beam & whWow, sizes; poured Ind. design; etc.) 1 site survey for extedw additions & decks
> 1 set of energy calculations
> 3 copies of tree preservation plan If lot platted otter 7/1/93
DATE: ~~a7? pp CONSTRUCTION COST: 7DSf'
DESCRIPTION OF WORK:
STREET ADDRESS: /✓~7 ' G91nt°LBHC~ Mae - 6AI
LOT: ~~j 1'I BLOCK: SUBD./P.I.D. #:Qirwau NiIIc
Name: Phone#: 6S~'~g/ Dl~~o
PROPERTY Last First
OWNER
Street Address: !3 93
City State: Zip: S$/3
Company: AzeC~/N~ Phone
(area code)
CONTRACTOR
Sheet Address: license#;?of39lVe Exp.
city state: Zip: SS33..~
ARCHITECT/ Name:
ENGINEER Company:
Telephone ( )
Sheet Address: Registration
City Stale:, Zip:
Sewer/water licensed plumber (if installing sewerMrater Phone
I hereby acknowledge Ihat I have read this application, state that the Information Is conned, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant.
OFFICE USE ONLY
Certificates of Survey Received Yes No JUL 2 6
Tree Preservation Plan Received Yes No Not Required
APPLICATION FOR PERMIT :NDM: PA]T1M OF FEE AT TIME OF
APPLICATim DOES NOT CON-
SrrM E APPROVAL OF PERKT.
SEWER AND/OR WATER CONNECTION :INSPam- ON OF'sEIER AND/OR wATER
C ; INSTALLATIONS K LL NOr BE SC®OI.ED ;
MM PERMIT HAS HEEN APPROVED.
~ rrrrrrrrrxxxxrrrrrrxxxxxrrrrrrrrrrrxrr
ItV of eag an
(PLEASE PRINT
1) PROPERTY ADDRESS: I?j~~ CAY11E~13(~C~ be
LEGAL DESCRIPTION; _ (~jT I l~L L Z FA t 2 L,3Aq ~I 111 S A oo T ti4 .
Lot Block/Subdivision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Non Year
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDUSTRIAL R-2 DUPLEX (Two Units)
a INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 AP ARTMENI/CONDOMINIUM ( Units)
2) NAME: (PlL`Iwo fr}I PL_UVYIB lQ(-
ADDRESS: 9Zgo ZALFIAR / L11- rio
CITY, STATE, ZIP: Ml-)PLE (DQOJE_ W(u_ 5.53tDR
PHONE: L Iq
t
For City Use
3) NAME: PL_ \1 yyiUU~~1 P~ uvn$i J Plumbers License:
ADDRESS: gZgo ZAC~-IAeq Lis_ NO Active
Expired
CITY, STATE, ZIP: Alp C?L(( e_ojE VVIhJ. 6'53(,eq Not recorded
PHONE: &A C{ 3- ZL( MASTER LICENSE # 20(o;5T St r=nit
4) Fe Mm
NAME: AL PE-4P-m(-N( l CONS-cey~tc)"
ADDRESS: Ft-7 Z3 4 tD w00 tr~A i
CITY, STATE, ZIP: -LAa -C W YVI r\(. 5_5 I^Zq
PHONE: (p r6 FS ' O (oq (,p
5) s a t e a~
CONNECTION TO CITY SEWER rVI CONNECTION TO CITY WATER O OTHER
6) f~~ C- 3 - Z 8 - 8
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. '
*t PLEASE ALLOW TWO WORKING DAYS FCR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE *k
* ARE ANY PROBLEMS.
.FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ ID -J~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ 70-2 $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ jJ- rD 0 ACCOUNT DEPOSIT - SEWER
$ $ / J Q ACCOUNT DEPOSIT - WATER
$ S.S b ' rr'D $ WAC
$ ~n50 OD $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ °0 c'd D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ -7 / f o y $ ~s-l , D-e TOTAL
IS Z3 f.)- /S~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: /
°l /
DATE: -3-12-
RESIDENTIAL BUILDING
Permit Application 4p, V 6a
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122 , e 1t1~5/0~'
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Rood _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pros Plan Rood _Y _ N
2 copies of plan showing beam & vAndow sizes; poured found design, etc. 1 she survey for additions & decks Tree Pros Reqd _Y _ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date Z o / 03 Construction Cost tP o do
Site Address 13 9 CAY,1e L_ ~BAc-k 7]= Unit/Ste #
Description of Work __E>y t t_ CC)
Multi-Family Bldg Y !~N Fireplace(s) - 0 _ 1 - 2
i Cki 04
Property Owner V'Z "Z-. VE~`c Telephone # (LS- t) a`~~ OS
Contractor _ _SV 1 (S i aT-F C oi-,.(LF P r S
!^t
Address 13`3 3 CR/✓trvL 1~3 A-4Y-_ 3~Ztvt~ City 1w114rr6v4
State Zip ~(S l Z3 Telephone # (t;S tD 3 S r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 - Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar'.plan? _ Y _ N 'If so, 25%u plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone Q 2
Sewer/Water Contractor Telephone ) OV 2 1 12003
I hereby apply for a Residential Building Permit and acknowledge that the inform .y com ete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
6 ~
Applicant's Printed Name pplicant's Signature
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex X 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation a O Occupancy MC/ES System
Census Code L Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of ConstWidth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) Y Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone
Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Z- Building Inspector
Base Fee
Surcharge
Plan Review ~vt~fL ~,ir G~ '
MC/ES SAC
City SAC f 0
Utility Connection Charge f~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/k NERKM.9NN Cavrr.
ROSE //83.0/
ENGINEERING 11NSlllTIH6 EN01}}EEAS
pUANNEAS and LAND il=(YORS
COMPANY, INC.
l 1000 EAST I461A STREET, BUANSVILLE, MINNESOTA 5337 PN 432-3000
C4erzz}'z ecx~e o ~iu~-zr'e
a crLs~2icn• LOT'14 BLOCK 2, FAIRWAY WILLS,
DAKOTA COUNTY , MINNESOTA
~9b6.o~
~966.0~
(/ooi'- ) DENOTE ; EX1577NO ELEVATION
C /003, o) DLNO-! LS PROPOSED ELEVAPION
20
INDICATES DIRECTION OF SURFACE
\ DRAINAGP
< \ \ v` /003.33 FINISI ILL GARAGE (="I. on
~ r`te'
, O
ot,
1 9
o DRAINAGE AND U111-17Y
EASEMENT
s
,95,5
~55~ I o° s.o I 0'\0
r~
20 o I ov)
/ °°cv I
3 LO i
R ~Ot ' ~Q 1
30' FRONT BUILDING
SS )o I SETBACK ' I-jrvE
,o
,oP SCALE
I hereby certify that this is a true and correct representation of a tract of
land as shown'and described hereon.. As prepared by me on this 22,vo day of
'C:' ~y , 14 88 .
" Minn. lea. Ho.-5-
Use BLUE or BLACK Ink
For Office Use
s
j Permit % j
City of Eap I
r" Permit Fee:
1
R hs
3830 Pilot ~
Knob Road
Eagan MN 55122 Date Received: Z ~r
Phone: (651) 675-5675 I Staff:7 I
Fax: (651) 675-5694 I 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1~-
Date: s l?.^ Site Address: k393 C0 W,t 1 "))r Unit
i
Name: R-t&aV~ °C k3h t y,►n Phone:
RESIDENT/
t
OWNER Address / City / Zip: 3 G4
Applicant is: Owner Contractor
Description of work: 4 a°dE' .Y1 l(~iL~w► f fLt 62"7. S 1344,y t
TYPE OF WORK .
Construction Cost: Multi-Family Building: (Yes /No
Company: -ZIJ2~kn Contact:
API
Address: r vi et, City: ri
CONTRACTOR -
State: Zip: 65 a I Phone:
License C ad Lead Certificate 47r-/0y2-JS--/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at 651 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Min a State 'Iding Code must be completed within 180
days of permit issuance.
x ~65gn r L`C
Applicant's Printed Nam Applica ignature
Page 1 of 3
/~l J
1 ! m1r',iiyci-' Did DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family)
- Multi - Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
- 01 of _ Plex. Lower Level - Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
- New - Interior Improvement _ Siding - Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration - Fire Repair Windows - Demolish Foundation
Replace Repair Windows
Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 1 aGd Occupancy Z MCES System
Plan Review Code Edition Aw? SAC Units -
(25%_ 100%-ef< Zoning R City Water
Census Code !~3 y Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction -ea Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/ C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings -Air/Gas Tests -Final
Jt Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In ,Air Test -Finald Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES ot0
Base Fee
a
Surcharge 1Vw,10 U/$ y
Plan Review /,Ltd
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA104928
Date Issued: 06/18/2012
of ROR Permit Category: ePermit
Site Address: 1393 Camelback Dr
Lot: 14 Block: 2 Addition: Fairway Hills
PID: 10-25600-02-140
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments: JOANNE OLEARY
15001 MINNETONKA INDUSTRIAL ROAD
MINNETONKA, MN 55345
952-933-7717
Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087
Valuation: 895.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Thompson Plumbing Corporation Richard A Reno Jr
15001 Minnetonka Industrial Rd 1393 Camelback Dr
Minnetonka MN 55345 Eagan MN 55123
(952) 933-7717
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128038
Date Issued:10/23/2014
Permit Category:ePermit
Site Address: 1393 Camelback Dr
Lot:14 Block: 2 Addition: Fairway Hills
PID:10-25600-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Richard A Renn Jr
1393 Camelback Dr
Eagan MN 55123
(952) 270-3212
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142581
Date Issued:05/09/2017
Permit Category:ePermit
Site Address: 1393 Camelback Dr
Lot:14 Block: 2 Addition: Fairway Hills
PID:10-25600-02-140
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 -
Richard A Renn Jr
1393 Camelback Dr
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176017
Date Issued:04/27/2022
Permit Category:ePermit
Site Address: 1393 Camelback Dr
Lot:14 Block: 2 Addition: Fairway Hills
PID:10-25600-02-140
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
Joseph Mitchell
1393 Camelback Dr
Eagan MN 55123
(651) 492-3987
Twin Cities Siding Professionals
664 Transfer Road
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176878
Date Issued:06/06/2022
Permit Category:ePermit
Site Address: 1393 Camelback Dr
Lot:14 Block: 2 Addition: Fairway Hills
PID:10-25600-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Joseph Mitchell
1393 Camelback Dr
Eagan MN 55123
(612) 720-8344
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature