1374 Camelback Drf
titp of tagan
ap}twdtttPttf of ll#ilatitg IItFpPCtiiYtt
This Cerlificate issued pursuanl ta 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
ordirtances of the City regulaling buiTding construction or use. For the foJlowing.•
,
.. ....?.F{
/,? f o ;n -
41-3210 Bldg.F F&rufit-' COo`? E/
01-3422 Plan Check
01-3445 Surch./Adm, ?
01-3446 SAC/Adm.
01-2155 r Surcharge
iLD +-7-386Q
Road Unit i
20-2275 SAC
20-3865 Water Conn. mo '
20-3868 Water Trmt, ?
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Pezmit
20-3743 Sewer Permit
79-3$66 Sewer Conn.
14-3855 Park Ded.
,
a
TOTAL
?
- :?
{ , -' 7 ?`° . . . . . . . . . -
CIIYNOF EAGAN
3830 Pilot Knob Road
P.O. BLht 21'.i16
Eagan, MN 55121
Site
Conn. Chg: 5_50. r.oPd
Acct. Dep: 15. o4pd
Permit Fee: _ 1r'• oopd
Surcharge: • 5nP(l
Tr. Plant 2n4• 0upd
Meter r,7 fj1)j;j
PermitNo: 9,403
Meter No:
Reader No:
Date: L
Size:
Date:
Zoning:
No. of Units:
1 agree to compty with the Cify ol Eagan
Ordlnances.
WATER SERVICE PERMIT
CIT'Y OFiEAGAN
3830 Pi1ot Kr?ob Road
P.O. IIQx.?.,,i99
Eagan, MN 55121
Owner.
Site Address:
`? ..
Permit No: Date:
B/P No: Date: ?._ ?, ., . .
Zoning•
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
MWCC: 5 `'r;? . {!t.; ,„ ?
City Chg:
Acct. Dep: _
Permit Fee: _..•;? .
Surcharge: a . ? •TF ):: .
SEWER SERVICE PERMIT
?a
?CITYOF
3830 Pilot Knnb Road, P.Q. Bi
PHONE: 4
BUtLDtNG PE
To be used far =?'?'
137?'` ??S'?'?'" v`'
Site Address
OFFICE USE ONLY
+? Black '? t: Bec/Sub. FAIR????Y HIL?
Lot ? an Site Sewage x Occupancy ?
MtiVCC System Zoning
Parcel No. On 5ite Welf (Actual) Const
?-
Q Name ;r?±??;y,D ???. City Water ? (Allowable)
W Rddress 12?-2 B?E B?-LL ?Y R?? PRV Required # of Stories
? City Phane BoosterPump Lengfh
i Depth _36
p Name S.F. Total -,
z
og ~
Address
Fnot?'rint S.F.
? City Phane pppROVALS FEES
? f??D?
?
W W
Name Engr./Assess, Permii ,
'
??
_ -
Address- Planner Surcharge 5
?•?0
° Council Plan Review
a W
t Ci
y
Phone Bldg, Gff. - SAC, City 1?+00
I hereby acknowledge that I have read this appiication and state that the
Variance
SAC, NiWCC
__53
_?±??
information is correct and agree to complYwith all applicabte State of WaterConn. 550.po
Minnesoia Statuies and City of Eagan Ordinances. , Water Meter 3 _?'?
Si nature of Permiitee
g
Road Unit
3 2 5t '?
r
A;?7r?ilding Permit is issued to: 1)fi'1S`??,5"r ^'O???:'fi TreatmenE P1 2?`00
on the express condition that all work shall be done in accordance with all Parks
applica?le State of Minnesota 5tatutes and City of Eagan Ordinances. ?,? 7?.? o?
d
?' "
8uil
'rng Officia! TOTAL _
RMIT 04-F. ? V-
Est. Value '?.i??oo;:3
? ;. 3830 Ailot Knab Raad, F
)ING PEF§MI7 PHC
sed for ??EMENT Est. Value „ .
Site Address 1 37A CAM6L?? ??IVE :I
Lot 5 8loGk
FA?AWA7f HY L?S
A SeC/SUb OFFICE USE ONLY ,:j
'
? ?
. _
PafC2l NO.
Occupancy r
- FEES
? Zoning - ,?
W Na1112 BMIE nN (Actuaq Const Btdg. Permif ? 'f
? ?
p Address SME (Aliowable) =
Surcharge .50
:
City Phone # of stories - y
Plan Review
Length
Q Name L& LCONTRACTORS ' Depth - SAC
City
0. u,, Address 12643 EvELETH pATH S.F. 7otai .
--
4
?
City A•V• Phone 431"3239
S.F. Footprints SAC, MCwCC
_
F On $ite Sewage _ Water Conn
W w
? z Name on Siie weu
Water Meter
Address MWCC System
aw City PhOnE CityWater ? AccLDeposil ?
PRV Required ? S!W Permit
.
I here6y acknowiege that I have read this application and state that the eoosier Pump - SIW Surcharge `
i
information is correct and agree to comply with all appliCable Stale ol ?
Minnesota Statutes and City al Eagan OrdinanCas. Treatment PI
Signature of Permitee APPROVALS Road Unit ?c
A Building Permit is issued to: Pla""er - park Oed.
on the express condition that all work shall be done in accordance with all Council ? .50 a
atiplicable State of Minngsota Statutes and City of Eagan Ordinances. Bldg. ON. Copies ?
Building Officidl Variance ? TOTAL $36«00
Permlt No. Permit Holder Date Telephone #
WATER
SEUYER
PLUM8ING,
Y
H.v.n.e.
ELECTRiC ?
4JI
?oldih
Inspection Date Insp. Cpmments
Footings I
Foundation .
Framing
Roofing.
Rough Pibg.
Rough Htg.
Isul. - ?67
Fireplace
Final Htg.
Orstat Test
Finaf Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Rlan
Bldg. Final
Qeck Ftg,
Dedc'Final
Weil
Pr. aisp.
5/25/89 CITY OF EAGAN
Pilot Knob Road, P.O. Box 21-199; Ea,
PHON E: 454-8100
To be used for ' rnvnIoAR
Est.Value r'114'CM,
Site Address " ? '. ."1;Y+tJ:ty
Lot Block Sec/Sub. -
Parcel No,
ae Name . ?. '
w ? _. , s r, •, , :
3 Address? -• : '
0 City Phone
- Y?
, o Name
? Q Address
P City Phone
I hereby acknowledge that 1 have read this application and state that the
information is correCt and agree to comply with all applicable State of
Minnesota Statutes and Clty of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:_._-_ ' .
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesota Statutes and Glty of Eagan Ordinances.
euilding Official
Receipt
On Site Sewage accupancy
MWCC System Zonfng
On Site Well ? (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Revlew
Bldg. Off. SAC, City
Variance SAC, MWGC
Water Conn.
Water Meter
Road Unlt
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing
H.1I.A.C.
E lectric
Softener
lnspection Date Insp. Comments
Footings I -? -'/71 /
Footings II
Foundation ?
Framing
Roofing
r
Rough Pibg. 7
Rough Htg.
Isul.
Fireplace Z,-,- -Z??^-?-- v
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ?,??
Deck Final
Well
Pr. Disp.
i
"? :_ . . rS'. .v .. . n?iit Aa .!rrl SMT??Na. - . . . . . ? .. .c•`,k. . , ..
. . . ;,... ? .
PERMIT # 9-?-.
• ' ' . - PLUMBING PERMIT RECEIPT #
CITY OF EAGAN -
' 3830 PILOT KNOB RdAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE; 454-8100
SiteAddress 7?
Lot Block Seub
? Name
<
m x,f=
Address ._=.
?.
,r
t
City Phone
L Name
c- Address
?
??
p City '
?
' PhAne -
FEES ?
COMM/IND FEE - 1% OF GONTRACT 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 S1C IF PERMIT PRICE GOES
BEYOND $1,000.00)
..; ,
L.Je
SIGNATUR.E`OF PERMITTEE
BLDG. TYPE
? WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Clihar
n"o, r?ota. v149.1 - %,vm
NQ_ FIXTURI
'Water Gloset - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
=Shower - $3.00
1 Kitchen Sink - $3.00
Urinal/Bidet - S3.00
? Laundry Tray - $3.00
_I Floor Drains - $1.50
__?__Water Heater - $1.50
V niti:A .,,,,.i 01? nn
tnniNinnum - i r
Softener - $5.00
Well - $10.00
Private Disp. - $10
? Rough Openings -
SlC:
?TOTAL:
TOTAL
?-/ 7- 8"?'` ?.! - G ?ac . p? L?+-•- e?s??'?i ,
i - ..
t
Site Address ? • '
Lat -? Block
,
Name
c??v Addres?
c City L f.?
? Name
c Address
o city ?'-
TYPE OF WORK
.. ? , . . :.
PERMIT # .
MECHANICAL PERMIT RECEIPT #.
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 QATE: _
BLDG. TYPE
c
-
?
Res.
Mult
y . , Comm.
; r Other
WDRK DE5GRIPTION'
Vew
4dd-on
3epair
Forced Air ? s???' .'•?? M BTU
Boller M BTU
Unit Heater M BTU
Air Cond. = M BTU
Vent CFM
Gas Piping Outlets # -
Other
FEE:
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A!C ON NEW
CQNSTRUCTION)
GAS QUTLETS (MINIMUM - 1 PER PEFMI'n - 1.50 EA.
CQMMIIND FEE - 1% OF CONTRACT FEE
APT. $LDGS. -,COMA71. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
? 51GNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN Permit Na 0403 Date:
3830 Pllal lCnob Road Meter No:'Vo / 6-6 7 70 Size: wc-,PY °_ C?
P.O. ?ox 21 0 39 Reader No: f(oe q 7 0g Date: ?-?~??
Eagan, MN 55121
Qwner. '-icl`ona1_?' Cnnst , Tnr.
SiteAddress: 1-17" ca.rielhaclc rrite L- 1?4r,;.frway 7111:;
Plumber. Star P1ut2tiin-
Conn. Chg: 550, tl()pd zgFl ??1
Acct. Dep: 15 . i)Ond UGits: 1
Permit Fee: 10, ?7 ' z?catl Iae?I t'f
Surcharge: ry .5??_? r ? ,r` t6C?I with the Cify ol Eagan
Tr. Plant 00 cl '-°h6tU Etc,
Meter.
M i sa:
?'n, v-Lm PIA WATER SERVICE PERMIT
? CITY OF EAGAN Np ? 96y9
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE:454-8100
? /
S"La'?
BUILDING PEF(MIT Aeceipt #
To be used for BASEMENT Est. Value Date SEPTEMBER 18 19 91
Site Address 1374 CAMELBACK DRIVE i
Lot 5 Block 4 SeGSub FAIRWAY HILLS
. OFFICE USE ONLY
P8fC21 N0. Oaupancy - FEES
w
Name BERNIE ISAA^vSON Zoning
(AClual)Const
Bldg Permit
$35.00
? Address SAMF (Allowable) _
- • 50
Sumharge
City Phone s of Stones -
Plan Review
LengN
a
o L & L CONTRACTORS
Name
Depih
SAC
Gt
o?
Address 12643 EVELETH PATH
s.F.rmal -
y
.
V? City A•V • Phone 431-3239 S F. Footprints _ SAC, MCWCC
Wal
C
On Sde Sewage er
onn
_
Ww Name OnSneWell - W
t
M
t
a
er
e
er
?a AddfeS3 MWCCSyslem _
a W Cily Phone Cily Waler _ AccL Deposit
PHV Required - S/4V PermR
I hereby ackrrowlege ihat I have read this application and state thal the Booster Pump - SMf Surcharge
informelion is wrrect and agree to canply vnth all applicable Stale oi
Minrresota Statutes and City ol Eaga
n
Ordmances. 7reatmenl PI
/
I
Signature oi Permitee APPROVALS Road Unil
A Building Perrnit is iswed to: L& L CONTRAv^TORS Plannef - Park Ued.
on the express condition ihat all work shall be done in accordance with all Counal .50
applicable State of Minnesota S lutes and Cily of n?din nces, gldg, 011, _ Copies
$36.00
BuiWmg Oflicial . varia^ce - TOTAL
?
This ropuest void
18 months trom G+? i O ?i !1 ?r? {y
D 94091 ???.u, .?? ?
L[ILJ;Ised [ Date Fre o. pIn ction
Ae?ReaAY Nuw mJQq1Mlouty InsPer
?NO lor When Ready
Eleclrical Contractar
? Owner I here4y reouest insoection of ebove
electrical work instell d t
? gtiAress, z o te No.
Str¢e v
^) Z
e
u e a .
U,
c
on o. ownship Namo or No. anAe No. CounI
Y
0 odnylPHIN,T? ?
G ??a Phon No.
- 7S?O ?O
Po`Ner oplier Address
Electncal Contr ki
a t
KENDRIG?' `??tC
Cppvuct 's License No
M ?
ailinAlA`t.JYV ?? ^ k? 'lati n)
AO? a? rc wner Ma mg InstallaAmnl
u?. Phone Number
?. sinit tloAqO OF ELECTRICITY THIS INSPECTION pEQUEST WILL NOT
C+??9ea-Midwey Bldg• - flooln N.197 BE qCCEPTEO BV THE STqTE BOARD
1817 U^iversity Aye.. Sc. Peul, MN 56704 UNLESS PqOPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION }!?ee-.oooo/i)-os
°ry 1 See instructions for comoleUng this iorm an beck of vallow coFV-
~
D_. 94091 "X" Below Work Covered by This Requesf
NeAr H d Neo. Type ol Bwleinp AOOboncea WnaC EQUipment Wired
Home Range Temporary Service
Duplex Water Heater ic?hhny Fixtures
Apt. Bwiding Dryet Electrie Heaun
Commeroial Bldg.
Ie umace Silo Unluader
Industnal BIAg. _ Air Condrtioner Buik Milk Tenk
Farm otnni Peu V 0ihorl5nr.r.JV1
t er Sueu y ther Oth¢r
Comnute Insoection Fee Below
p Fea ServicaEnfienceSize A Fea Fexders/5ubieeders b Fea Cucwtg
0 to 200 qm s 0 to 30 qm s 0 m 30 Am >
Above 200 qmps 31 to 700 qinps 31 to 100 Am s
Swinming Pool Above 100_Am V Ahove 100_Am{s
Transiormers Irngation Boorris cma Fee
Signs SVecial Inspection
Nemarks T
Im
Rou9h-in / I. al
ft Inoecear„neraey
ertify thet the above
Fnal "
? D
^
l ??apecfion has been
mede.
ThbrepueslrolClBmomhslrom
/U3o?.5 /
I 44855 'L sfi p°°
Request ? Fne No Rou ?i Inspec?ion
Req tl?
? ReaOy Now ill Notdylnspedor
es C No When Reatly+
I censed conirador Ll owner hereby request inspection of above electncal work at:
Job Atltlress f reel Box R o ) Ciry
/ ?
Secuon N. Tvwnship Name or No Rang No Coumy
Ocmpa IIIT?
. • ? P one No?
Power upplier Atldress
Eiectnca ntrector(CO Dany Nem C vacbr5 Lkensa No
I ?
Maning e r s (GOnl or
ItS er Makmg Installauon)
AWhonze
tracio l,Maaing Installauon, Ppon m er
? Q 0 3_d.l 1 ?M
MINNES0174AW BOARD OF ELECTqICITY ? I . • '' THIS INSPECTION FEpUEST WILL NOT
Grigga-Mitlway BICg. - qoom 5-113 BE ACCEPTED BY THE STATE BOARO
1821 University Ave. SL Peul. MN SSIDd UNLESS PROPER INSPECTION FEE IS
Phone(612) 69t-0800 ENGLOSED
?Qe?t?+? REQUEST FOR ELECTRICAL INSPECTION
? See mslmciions for compleling tM1is lorrn on pack oi yellow copy
14 Q, t(i S 5 "X" Be/ow Work Covered by This Request
Ee-ooooi-oe
?.yy.a4
ew Adtl Rep 7ypeofBuildmg Applianceswved EquipmentWired
? Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apl Bwlding Dryer Other (Specdy)
Comm.llndusirial Furnace
Farm Air Conditloner
ONer (sl ConVactor's Femark?
?
LC
Compute InspecLan Fee Below: U
# Other Fee 8 ServiceEntrance5ize F Fee
Swimming Pool O l0 200 Amps
Transformers Above 200 _ Amps ps
Signs mspeciors use onry
trngahon 8ooms
Special Inspection
Alarm/CommunicaUOn TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Rouql
fil e
?
certdY that the above msPection has
been made Final ?ate
OFFICE USE ONLV
TM1is repuest voitl 18 months Imm
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
.? 3830 PILOT KNOB RD - 55122
651•681-4675
New ConshucTion ReaulremeMz
? 3 registered siFe suneys showing sq. k, of lot, sq. k, of house
and Qll roofed areas (20% maximum lot coveraae allowed)
D 4 coples of plana (show beam R window slzes; poured Ind. deslgn; etc.)
D 1 set of energy calculatlons
D 3 coples of hee presenalion plan H fo1 plalfed aHer 7/1/93
DATE: ( ?
DESCRIPTION OF WORK:
STREEf ADDRESS:
Y
LOT: `?% BLOCK: LA SUBD./P.I.D. #:
Name??/s/?? Phone 4k:
Last ftrst
PROPERTY
OWNER
Street
--C4
CHy /%-?Z State: Zip:
Compan'A %Phone#:
(area code)
CONTRACTOR /? ?7 / ^
Sheet Address: -( al-- ?%Ci??1%G? '564- License #S16 L Exp: °?0o6
City State: Zip:
ARCHITECT/
ENGINEER
Telephone #: area eode ( )
Name:
Street Address: Regishation #:
City
Sewer 8 water Ilcensed plumber (reautred for new conslrucfion onlvl:
State:
PenaNy applies when address change and loT change is requested once permM Is Issued.
I hereby acknowledge thaF I have read lhis applicaHon, stafe thart the Informafion is corteci,
State oi Mlnnesota Stafutes and CIFy of Eagan Ordlnances. j
Slgnafure ot Applicant: :? "
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservatian Plan Received _ Yes _ No _ Not RequIiet
Remodel/Reoair Reauiremenis
2 eopies of plan
7 set of energy calculaNOnz fa heoTed addHlons
t aHe suney for exterlor addMlons a decka
? ? dtn'a?
TION COST: 7SS?
Zip:
wNh all applieabl
,llL 7 i999
s Clal( OF EAGAN . N2 14 6 7 7
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
BUILDING PERMIT (W.F.) PHONE:454-8100 ? ? ? 3 ?
Receipt #
To be used for SF DWG/GAR Est. Value $114, 000 Date MARcx io 19 88
Site Address ""'
Lot 5 Block 4
Parcel No.
DR
Sec/Sub. FAIRWAY HILLS
w Name MCDONALD CONST
z Address 1212 BLUE BILL BAY RD
o City B'VILLE phone 431-7566
o Name 5AME
?a Address
? City PhOne
aw ICity Phone
I hereby acknowledge that I have read this application and s[ate that the
information is correct and agree o comply with all applica e State of
Minnesota Statutes andCiry ag1 O?, rdinances. ?
Signature of Permittee /?, c
A Bmldmg Permit is issued to:_MCDO$Aj,D._QON$'L--
on ihe express cond ition that all work shall be done in accordance with all
applicable State of Minnesota St utes and C/ij( ?of Eagan Oidinances.
Building Official
OFFICE USE ONLY R3
on site sewage occupancv -?-
MWCC Systam X Zoning yVTI
On Site Well (ACtual) Const
X _?-
City Water (Allowa6le)
PRV Required - # of Stories
Booster Pump _ Length 62
oeutn 36
S.F. Total
Footprint S.F.
APPROVALS FEES $ 620.00
Engr.JASSess. Permd
Planner Surcharge -?7?D0
Council Plan Review __- aLS2.110
Bldg. OH. SAC, City 100.00
Variance SAC,MWCC __?50 xD0
WaterConn. _5-59,Q0
Water Meter -o,_.?,? ?p
. Road Unrt --32-5_._00
7reatment P1 204.00
Parks
TOTAL S2r783.OC
r 19$$ BIIILDING PERMIT APPLICATION - CITY OF E9GAN
SINGLE FAM DWELLINGS / YL77
?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/Ii0ME0WNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CfiANGES WILL BE 9LLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOA SALE UNITS # OF UNITS
INCLUDE 2 SE'PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDGo DEPT.,
1 SET OF ENEftGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAOCTURAL PLANS,
1 SET OF SPECIFICATION S ND 1 SET OF ENERGY CALCULATIONS
. ?
r l?i/A ??
To Be Used For: ? ? Valuation: Date:'
Site Address
Lot .5' 61ock -2-1
ParCel/SUb
Owner
Address .Z/` LjVe
City/Zip Code '411
Phone
Contractor
Address
I/y Ooo
On Zte sewage_ Occupancy g-3
CC system ? Zoning R -?
? site well Actual Const %/-N.
City water Allowable V-N
PRV required # of stories
Booster Pwno Length G2 •
? Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit -ZL) dD
Planner Surcharge 7,00
Council ??-
5/10
`
' Plan Review
City
SAC ? 0.6u
00
Bldg. Off.
j
IKJ ,
Variance SAC, M41CC 3,54.00
City/Zip Code
Phone
Arch./Engr.
?
Address 4???/ ?
/l
City/Zip Code
Phone #
Water Conn S5,0, nu
Water Meter 617,00
Road Unit 32 .0''
Treatment P1 2O wd
Parks
Copies
TOTAL ???
.. yAl,up,'roN
rr' ?
32?
y x 1 ? y ('72)
t
"? (00 X14= 10& 40
L?S1`nT
IffX Iy ? ZSt
30.4 Z6
- 7k??
1032 x ?3% 13y1(o
( Sr r-,..dom
PSwlT Ib3L
/o4C )K 44= 51 2SN
00?1,
L r.D FL
3, ? ? g? n 4y; 3Y?
I 1353d
h ?
PI aosE
NGINEfR1NG
, COMPRNY, 1NC.
? 1000 GST 146nf S7REE7.
4?B
C?r?i?i ca?e Y40 Lo7 S, B[.oCK 4, FA/RLV/aY HILLS,
DAKO?A Covil/TY, M/NNESDTA
c3 ?
SC4tE : /"= 36" / .
n ?
/
1 o
?t`
? / ?•a1
/
/,T._
ti ?s \
¢3--
?v _
CONSULTIHO E}i611EE!!S - PiANHEAS nnd LAHD ivRVEYOQS
4UFiN5Y1LLE. YIHHESOT.1 55337 p41 432-3000
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s9a
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,?t'?Oaa ?0 323 33 ???
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islc &A/ALP CAwsr,
\ *i20b.a/
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30" FRONT gU1LD/N6
SET2vqCK L INE
04ZO?) DEN07?79 EX/STlNG
ELEI/.qT/oM
(joz7, a) DE/VOTES oR0110,2,6D
ELEYRTlON .
-..-? /NO/G4TES 01R25C770N
oF ,SUR,454CE OR91N06E
1027. 3 3 = F/N/SHED GARAGE
FLOOR eL4?FMT/ON
DR41n1A6E An/D
UT/L/TY Ek';EMEA/T
? --_ -.
I her:by eartify that thia ia a t:ue and correct rsQraQentatioa of a tract of
l+nd as eho+m"aad deacribed hernon. Aa praparsd by 7nn on this ?3?:'d=Y ot
/yJ,q,ecN , 19 88 . •
• ? a, k n. EeS. tto. /??c
CITY UF SUILDINQ DEPARThSEiVT 406 _ 1 Z4
, . EXTERIOR EtiV OPE AVEf?AQE l'U'l 0014PUTATION
(To be submitted tivith building permit application)
One or Two Family Dwelling Owner _4?A Ceo/l}? 0 0*1e
All other Bite Addrese _ I0694 CArricy *bR,
Contractor I11 _?? QJA 14,-T'•
Date Phone
LINEAL FEET OF
EXPOSED VIALL Lj1,4?7"?1'f
t•
above grade ? ? ? z ?5147 Z
TOTAL EXPOSED tiYALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTIONi "U" Value x Area
i
betail ? flllis •.(?,?' _ x
reference °U° . ?? x
from °U?? ? r? x
attaclted °u ?? _ x
sneete npu X
npn X
WINDOWSt "Ull Value X Area
Make & Type N6?LLLyyiiIpn 6?n x
u u nUn
n n
npa x
x
n n uUn
x
DoORSS "lllt Valua x Area
SQ. FT. Z. ZiI(O (U)(A)
SR. FT.c??= eltP (U)(A)
&@. FFT. T. ...I.?.P?---?-'`C_4U)(A)
- (u) (R)
SQ. FT, _ (0)(A)
BQ. FT. _ (U)(A)
SQ. FT. ZIIPiT= T (U)(A)
8Q. FT. (U)(A)
SQ. FT. - (U)(A)
3Q. FT. _ (U)(A)
1•talce & Type
u u x sQ,
u u r r x sR.
-X sQ.
_ x 3Q.
TOTALH L i &sQ,
AVERAaE "U"
TOTAI, (U)(A) VALUES (oft!?? ? - -
DIVIDED HY TOTAL NALL AREA l SZ';?)r j
? ,
AVERAQE ??U a,I 15 r lesa for 1&2 famil cve linge ,
RoOF/CEILINd ?,,"
TOTAL AREA: tI O-lc-v
Detail reference li0ll 102-4 x SQ,
from ilUto x SQ,
attached sheete. loUlt
x SQ.
Deacribe openinga ? 'IIUII X SQ.
in roof. IIUI; x SQ.
ToTAL (U)(A) VALUES DIVIDED BY zi I ? ^'j
TOTAL ROOF/CEILIN4 AREA 1 L ?
AVERAQE 1'Uj? 0 5 for ventilated roofa?
FT. L?o _ r,o (u) (A)
FT. FT.(u) (A)
= (u) (a)
FT. _ (U)(A)
F'T. I vR'f ? / ,q CO (U) (A)
FT. ?V *0 _ 7, 1 i 0)(A)
FT. : (U)(A)
FT. _ (U)(A)
FT. _ ?U)(A)
(U) (A)
OZ-I
L
_?-
IZ4
L ? vu?• ?x?s?'????
,q z
1! 54 X(4 8 t,4-?5+- z(4+710)= 1,411
v-83?C ? + z(o-Fzeo) = Ilz,o
lt?n,qz_
? ,$3x ??= Izz??4
rr.Jbow?i
ll? ' 2 -z-4 xI& = ZzI s,c -6 =
( ?x?xa = -7 x i = -71 o
?l / v X 34v = 5,Z5Xz = /o,S
mr. = 3,o K Z -co,o
'f ?-zoXcoo = ?XZ= 97510
I 3-?1??0 = oX? ; Z7,o Z?(n???
._ ? .
`Z $ ATY-t vWt
lo-f?'?o ?5 ?C, ?XP?s?'J 15z?9Z
?Of / a?v pqPuaF I ca
Mw? I z1? ?
wPkK--7 2l(ol5
J $o.4z
.--WALli SECTION--
, Determining "Ull valuee at Roofs Wall, Rim, and Conc. Block
.. I
/S(iL
ROOF/CUILINa
1.) Interior Air P'ilm
2.) 5/811 DYP. Bd.
3.) Inaulation
4.1
50 Exterior Air Film
(STILL)
R VALU
0.61
56
0
4.0
.61
u0a = 1/Ra 40Z I 'i'OT/lL (R)=44,5
YlALL
6.) Interior Air Film
7.) 1" oYp. Bd.
8.) Ineulation
10.) ??sonite? 9iding
11.) Exterior Air Film
R VALUE
0.68
.45
/9, oa
2,e¢
.67
.17
Iipn = 1/A= r 00 TOTAL (R)=Z'i0
fl
RI14 R VALUE
12.) Interior Air Film o.68
130 Tnaulation M,ao
14.) 2" Fir Rim Joiet 1,88
t 5. ) J3v II.T P-I-(S' 7-,d4-
16.) 14RE30hiE0 SidinE .67
17.) Exterior Air Film .17
l'U" _ 1/R= 4040 'TOTAL (R)=
Zi i-?H-
`
FOUi1DATI0l1 R VALU
189) Interior Air F'i1m o.68
19.) •
ZO. ) bD
ZI. ) '3`$? B7L5',i'BtB H?96?F ?i-srE?
Zz. ) Vz" pLY z?o4-
230 Exterior Air Film ' .17
npn 22 1/R= . CYC T TOTAL (R)-
0 ?N?r??1oN
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?a01?': PAYMEPTS' OF FEE AT TIME pg
ArMcAMCN noFS Wm cONsriiUM
tPrROVaL oF PrPruT.
IMrncriort oF sEVM ArID/CR MM
nSrUaATTON.s waa. Mm BE sCHED-
ULM vnrrII. PEP14IT EAs BM
p,rrxovEO.
-*.t*#.**,?****.*x***x*:*:*:*.**?****
, P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
I£ E7QSTING STRCGZURE, DATE OF ORIGINAL BLJILpING PERMIT ISSCANCE: '
PRESENP ZONING/PROPOSID L?SE: (Mon ear
q catirEacIAu./xErpsL/oFFIcE
Q IAIDLSTRIAL
[i INSTITUTIONAL/GOVERNMN'r
2) ?
ADDRESS;
CITYr STATE. 2IP:
PHONE:
3) • i: ?• <
tuAME:
ADDRFSS:_j
Ci1'x, S'rAZE, ziP:?
PHONE:
4)
•• • ?.J?171i
NAPIE:
ADDRESS:
C2TY. STATE, ZIP:
PHONE:
5) '? N• • m • ' aw Ms
M"ICONNECTION ZC) CITY SEWEM C:j,-dpNNfXTION RO CITY WATER
6) ?? • • r
C] R-1 SINGLE FAMILY
Q R-2 DLPLEX (7Uv tinits)
? R-3 70WNHOUSE (Three + Units)
? R-4 APARZM]'p/CONOMINIDNI
( Units)
( i]nits)
rltmz)ers 1,icense:
r,ctive
Expired
xot recoraefl
_MASTER LICENSE# StaFr`=nitjal
m
PLEASE $OID APPRpVID PIItNIIT FOR PICK-Up BY 0NE OF ABWE
PLF.ASEMAIL APPROVID PEE2MIT 1O 1, 2. 3, 4, AHC)VE
A / n • (Circle ane)
FOR -CITY USE ONLY .
.
PERMIT # TSSUED
.
J c/ c 3
Pd w/Bldg. Permit FEES:
$ $ S z' SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $
WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ 5 S"D - c' 0 $ wAc
$ sAc
$ $ TRONK WATER ASSESSMENT
$ $ TRIINK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TROIVK SEWER
$ $ LATERAL BENEFIT/TRBNK WATER
S ?1Ge/eDo $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ S
-- TOTAL
- ? ?''3
?
_ j2f /
RECEIPT #-- RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISI
ON. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, HN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # I S i '
DATE: /? 7
PLEASE COMPLETE UPYER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOB EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON lbl?
REPAIR _
OWNER NAME:
SITE ADDRESS:??7
LOT: ? BLOCK ? SUBD. J& cxx?
INSTALLER:
ADDRESS: la«Z/F2
CITY: ZIP:
PHONE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMtJM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TOTAL
i 5•
?
3
?
SUBTOTAL $
ST. SURCHARGE .50
?SIGNATURE OF PERM TT
TOTAL: $ 1 'rJ 50
PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1;000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
C16 1991BIIILDING ? APPLICATION
CITY OF EACAN
SINGLE FAMILY DWELLINGS MULTIPLE' DWELLINGS COTASERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST,WORKING DAY
OF ![ONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOHEOWNER ti[TST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: CLOZ? Valuat ion: Date: k 9
Site Address 13 71/ ClG au(AZd OFFICE IISE ONLY
Lot S- Block C FEES
?*
3 yp*
? Occupancy Bldg. Permit
Zoning Surcharge
Parcel/Sub Actual Const Ylan Review
Allowable SAC, City
Owner F71iSih/?L eC?G ?n? # of stories SAC, MWCC
I,ength Water Conn.
Address 13711 C D£a`e- Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ ? Treatment P1.
On site well Road Unit
Contractor n?'?? ?`
4?,r7.?.o MWCC System _ Park Ded.
City water Trail Ded.
Address /.2 6 t/3 Cr/r ?I.? PRV _ Copies r3?
?/ Booster Pump _
City/Zip Code ? ///,? ,
.?C?l _ SIIBTOTAL
APPROVALS Penalty
Phone -3z-3 5 Planner _ Lot Change
Council TOTAL 96.00
Arch./Engr. Bldg. Off.
Variance
Address
City/2ip Code
Phone #
Sewer/Water Licensed Contr.
o?d LZagreea that all wotk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?.
,
qoctSE LESS THAN
nNE ?/EA IZ r'LD
SINGLfi FAMILY DWELLIBGS
\?,,,,,an?c F p?
3 86GISTERED SITS 30HiEYS
1989 BITILDIAG YEAIlTT iPPLICAiION ke--
CTTY OF EIGAN ' kIG
14144
lAfLTIPLE DiIELLIN4S
2 SSPS OF PLAA3
BfiGIST66ED 32lS 3QR9ETS -
(CMM. Ib'I'FH BLDG DIV.)
t M OP' ?I CILC3.
C018'lERCIAL
2 SST5 OF IACSTIECTURAL
8 STRDCTQRAL PLANS
1 SET OF SPECIFIC9TIONS
1 SET OF E6EAGT CALCS.
1lULTIPLfi DWELLINGR 1ARf9L ONITS FOB 8&L& MIITS / OF DHIT3
90TEt ?DDRFS3E4 F08 CORNER LOTS - COATAICfOR/HOMEOWNEA M3T DESIGNATE YEICH iDDRFSS
IS D£SIitED. NO CHAtiGFS iiILL BE ALLOriED OdiCE HOILDIN(3 PER!!IT 18 I330ED..
3EflER 6 WATER PEHMIT FEES lqD ,CCOONT DEPa6CI'1' FS63 1iILL HE INCLDDED f1ITH THE SDILDINd
PEfglIT FEE. PSOCffiSIBG TIME FOR SEW£R AND W?TEA PE&lIT3 IS TNO DAYS ONCE A PERMIT HA3/
BEEN COMPLETED I1aDICATING A LICENSED PLiJMBSA.
PENALTY 9PPLIES WHENs PEAMIT IS NOT PAID FOR IN 59ME MONTH IT IS REQOEJTEll.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSDED.
To Be Used For: PEC. f- Valuation: A) °pO•B° Date:
SIEe Addresa 137y CAMELBAC,u,
Lot S Sloek 1'1
Pareel/sub FAIQWAy H!u-S
Otmer (3t{ZiJFRfD 1`'iW?50tJ
iddreas 1379 cqMELgAL1L
City/Zip Code EfI GAIJ 5 S I?-3
Phone (9 !R $ - (s S 3 ?
S% 22, g°l
Oceupancy
2oning
Aetual Const
Allowable
11 of atories
Length
Depth
S.F. Total
Footprint S.F.
On site aewage
On aite well _
MWCC System _
City vater _
PAV required _
Hooster Pump _
Contraotor
9ddress
City/Zip Code
Yhone
Areh./Engr.
Address
City/Zip Code
1PP90QALS
Planner _
Couneil
Bldg. Off. Z4
liariance
FF.ES
Bldg. Permit ?
Surcharge
Plan Aeview
SACO City
SAC, MWCC
Nater Conn
ilater Meter
9cet. DeposiL
S/il PermiL
S/W Surcharge
Treatment P1.
Aoad Unit
Park Ded.
Copies
SDBTOTAL
Penaltq
TOT,t.
?v
?
Phone #
aosE ?
ENGINEERlNG
COMPRNY, INC.
? IDCO G57 1461% SiREE7*
, ?Mc DavA[a CX4??
CONSUlTINO IHl31HEfA5 "
PIAHHEAS and IAHD 9t1RVEYO.QS
4LtAHSV1LLE, YIHHESOi,1 52337 pt1 +132-3000
C?r,?Z}`Z ccz?e Sx.Lrzr-e y . ?Qal -??cr?p?iarc • LoT S, BLOCK 4, FAiRW.4Y HiLLS,
DAKOTA CovNTY, Min/rVESOTA '
1362OERD iSAqC4onJ
i371-i CAmELaRCv,
(,, K i? - c? 533
SCA[E
rLzg, S1,
Coul-. o
?
q\ 8s?2' -?
r \? °o ?'B•? '?e2.
°i'? .
•?.?. r_ _ :-
,f?a va ?
o1?w
._k
? ?o n?ti {?fi
?
/ •/
/
?. c3..
?
.
? h-
?• - 02
? -
.?
c'
x
30' FRONr 90LDiN6
SETBACK L/NE
CI6f?%o> DEN07?'S EX/ST/NG
L EGEUqT/oN
(ioz7.o) pENOTES PR0P0.0ED
ELEYqT1ON
i? /NO/CATES O/F?ECT/oN
OF SURFACE ORq/tiG46E
/OZ7. 3 3 ; F%N/SHEO 6AR46E
FLOOR ECE {G9T/ON
ORA/NA6E AND
UT/LITY EASEME/VT
(iotS.9? ? I beriby eartify that thia in a t:ue and cflrrect rnprasentatiaa af a traat of
ltnd as sho+Ri and deacribed hernoa« Aa praparad by 1na on this 3? d:y ot
?AR.?K ? ? .19 8 S . . .
--
?u4?
3.?p?F?S :
n. l?es. .t[o. /?=
?_ - ?- p?, _. ., .s; ?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107216
Date Issued:10/02/2012
Permit Category:ePermit
Site Address: 1374 Camelback Dr
Lot:5 Block: 4 Addition: Fairway Hills
PID:10-25600-04-050
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Dayna Gardner
505 RANDOLPH AVE
ST PAUL, MN 55102
651-228-9071
Valuation: 959.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bernard A Isaacson
1374 Camelback Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138391
Date Issued:08/24/2016
Permit Category:ePermit
Site Address: 1374 Camelback Dr
Lot:5 Block: 4 Addition: Fairway Hills
PID:10-25600-04-050
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 -
Bernard A Isaacson
1374 Camelback Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature