1390 Camelback Dr
W • * "t b
c
(Irr#ittiratt o# (Orrupttury
Citp of (tagart
apparttltPttt Df N1tildtltg jitB.}1PtfU1ri
This Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifyrng lhat at the time of issuance this structure wus in compliance with the variou.s
ordinances of the City regulating building constructtan or use. For the following:
Use Cbssification 9F rWW BEdB. IRrmit xo. 16412
o-P-r Trre R?/Ml zAn;,,g o.a;« R1 TYve const VA1
Owner of Buldingql,_EERAT.M._;,1f.'=ELf1V ndan= 8721 HfGgM WAY, APPf 8 V TJ.?
Bmlding Addrea 1.3W QM
Z-A-M T-w- ].-M localityl+ l _ B43 "EMMY MIS
?-! Date: JUI.Y L! o lyS7
POST IN A CONSPICUOU3 PLACE
... . . ._. . _ . _. . . ,.. ;,_..?.; ? .r 's?: . .-.. . --a?, , .. _
CItY OF EAGAN
3830 Pilot Knob Rvad, P.O. Bux 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for b ?I' GAR' Est. Value $ 12 7,0010 Date MY 4 , 19 J4
5ite Address
Lot t Block r Sec/Sub. 'n •A? RWAY 4ILLS
Parcel No.
W Name AEitR9?L&11.4 C;;;,.,,"'TRt1fCTIQN
z
3. Address -?7113!?Mf'[? ,;r:v
° City Phone 6?:'a'SW0696
, Q Name
?¢ Address
1-- r'i+„
Phone
WW Name
?
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued ro: A, IW? X"O'A'o?} ????NIST
on ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy FEES
Zoning
(Actual) Const --1iL--N Bldg. Permit 7 314G-0
(Allowable)
Suroharge ?i3.SQ
# of Stories
? i
Plan Review
367.00
Length
Depth 36' SAC, City
S.F.Total - SAC,MCWCC 575•00
S.F. Footprints
On Site Sewage _ water Conn 58 C`, G?
On Siie Well Wafer Meter 90•00
MWCCSystem
Ci
W ?
?
Acct. Deposit 30.M
ry
ater , ?? •?
PRV Required _ S/W Permit
Booster Pump - S!W Surcharge 1.
TreatmentPl 2 2 F, '(K)
APPROVALS Road Unit 340.00
Planner - park Ded.
Council -
Btdg.Off. _ Copies
Variance - TOTAL 3, ? ?''' 50
r7
7 Perm:t Mo. Permit Hoider 'fate Telephone
WA'fER fJf?/ I ? Z///?/ ?
SEWER
PLUMBING
H.V.A.C. 9 ?t,jr,
ELECT^n1C t'Vd 7 ? ? id-
lr.speeiion Ga'e ' Insp. Cvmments
Faotings ?
?---°°-- ----^---
t
I Feunda;?r... y
1 ',? ,Z Q I - -
.?..?
? -.-
Framinc
Roaiing ! ?
_.
Rough Pli;,? -
?___.?_
+
? ?l ?"'..r..,
?_... -. ? •
__..?.._?_ ........... .. ..
_.__.
Rough .
?_
Fireplace
..w _
? Fr.al Htg.
--..?._-____-------------
i Final PI6!7-- .72S??+ ?? a
? ------ ---?--
r
PIbg. Inspex:tor- Notify Plumbe,
' PLUMBING PERMIT
' " - CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE ' PHONE 454$104
Site Address 1-3 90
Lot ?- ; Block
m
?
a
c
a?
c
?
Phone
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM, RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
-4L- Lavatory - $3.00 Shower - $3.00
Kitchen Sink - $3.40 -T
Urinal/Bidet - $3.00
Laundry Tray - $3.00 T_
Floor Drains - $1.50 ?-
Water Heater - $1.50
Whiripool - $3.00
? Gas Piping Outiets - $1.50 ? .?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10_DO
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
Name
For Office Use Only
PERMIT #
RECEIPT# ??. -'?`•?U?
DATE: MS
Sec/Sub Res. ?Xf New
Mult. Add-on
. Comm. Repair
, Other
City ?r' ,.rzi, Z/1n_ Phone
I I STATES SlG:
FOR: CITY OF EAGAN GRAND TOTAL: ? IG()
CONTRACT
' Site Address
Block
4;
PERMIT #
• MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHQNE: 454-8100 For Office Use Only:
?
c Name t?.. f 14..9f 7't :
Add ress
City ?j hL_
Phone _
Name
3 AddreSS
'
I p City Phone _
-
' TYPE OF WORK
Forced Air M BTU
Bailer M BTU
; Unit Heater M BTU
! Air Cond. M BTU
i Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL•
P6- St
. )p
BLDG. TYPE ' WQRK DESCRIPTION r?
Res. New
Mult. Add-on
Comm. Repair
RES. HVAC 0-100 M BTU? ? -$24.04
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
rr, COMM/IND FEE - 1% dF CONTRACT FEE ?
APT BLDGS. - COMM. RATE APPLIES ?
TOWNHOUSE & CONDOS - RES. RATE APPUES j
MINIMUM RE5IDENTIAL FEE - ALL ADD-ON 8 ?
REMODEL5 - 12.00 '
MINIMUM COMMERCIAL FEE - 20.00 `
STATE SURCHARGE PER PERMIT - .50 ?
(ADD $.50 S/G IF PERMIT PRICE GOES
BEYOND $1.000) i
,
IGNATURE OF PERMITTEE
'OR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY QF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITEADDRESS I :D I (-) `-(
LOT I IBLOCK -q_SEC/SUB
APPLICANT:.
ADDRES?: _
CITY, STATE
PHONE: '.•% 2
OFFfI,C?E USE ONLY
METER#, _7°24 7 IAO I-3 PERMITDATE 6f1/$9
CHIP #?9 y? y?, WATER PERMIT A0471
_
METER SIZE ...1?.?B.P. RECEIPT #C 1842
ISSUE DATE - B.P. RECEIPT DATE 2/8"/$9
_ PRV - 8005TER PUMP
0A..--. iJ Ir PERMIT REQUFySTED
_VSEWER _L-f? WATER/ - TAPS
'`' S'?•r
?
____?iOMM/IND ??"'? RESIDENTIAL
ZijP ? 2 '•+
1,4' / NEW - EXISTING
n
PLUMBER: T? o?? ?c e ts ?
ADDRESS:
ZIP ?rJ ! ?.?
CITY, STATE Y >. ? 1 . _ ??µ ?A
PHQNE:
OWNER:
I AGREE TO COMPLY WITH CITY OF
EA OR INANCES:
'?
Y
ADORESS: 1? SIGNA URE WH TER ISSUED
I CITY, STATE ZIP
? PHONE:
, PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM ?EWER PERMITS, CONTACT
' ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT tS PROCESSED.
SEWER.& WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITE ADDRESS I ° `"? ?- ?-
LOT.BLOCK _q__SEClSUB
ADDRESS:_
CITY, ST?TE
USE ONLY
METER #
CHIP # -
ISSUE
PERMIT DATE 611?82
WATER PERMIT #IQAT 4
6.P. RECEIPT#L 1?41".
B.P. RECEIPT DATE 5 / ' ? 6?_
PRV - BOOSTER PUMP
; PERMIT RE(]UESTED
r'' SEWER L"WATER ?'- TAPS
MM/IND -' RESIDENTIAL
r
T NEW - EXISTING
PLUMBER:
ADDRES$:
CITY, STATE ZIP
PHONE:
OWNER: a ^ ',?I)
ADDRESS: 1
CITY; STATE ZIP
PHONE:
I AGREE TO COMPLY WITH CITY OF
EAGAN ORQINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
01-3210 Bidg. Permit
Y 01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 SewerPermit
79-3866 SewerConn.
28-3855 Park Ded.
cc
?
TOTAL
CITY OF EAGAN N? 16412
3830 Pilqt Knob'Road, P.O. Box 21-159, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT
, Receipt #
To be used for SF DWG/GAR Est. Value $127, 000 oate MAY 4 , 1961
Srte Address 1390 CAMELBACK DR
Lot 1 Block 4 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY
Parcel No. oceupancy R-3 M-1 FEES
R-1
Zoning ,
w Name AL HERRMANN CONSTRUCTION (ACtuapConst v-N BIdg.Permtl 734.00
; Address 8723 HIGHWDOD WAY (aiowabie) V-N
h
S 63.50
o
City APPL.R VAI.T.F.Y Phone 688-0696
#orsmries
501 urc
arge
Plan Raview
367.00
Lengih
o Name S? Depth 3' snc, City 100.00
.
g¢ Address s F. Tota+ - 57 5
(In
snc, ancwcc _
? City PhOt1B S F. Faolprinls -
Weter Conn 580.00
On Site Sewage _
?w Name On Site Well - Water Meler 90 • ot)
z? Address Mwccsystem ?2C
30
00
o?
cw City Phone arywater -XX Acct. Deposit .
S/W Permit 20.00
PRV Required -
I hereby acknowlege that 1 have read thts application and state that the Booater Pump - SM1 Surcharge 1.00
mformauon is correct and agree to comply wrth all applicable Slate of
228
00
Minnesota Statutes antl City Eaga rdin ces TreafineM PI .
Signature oi PermRee APPROVpLg Road llmt 340 _ 00
A Building Permit is issued to. Planner - park Detl
on the express condition ihat all work shall ne m accordance with all Councn -
apphcable State of Mmnesota Statutes antl City of Eagan Ordmances. gidy pff _ Copies
?fyj?y `(?A?'ji I
Buildmg 6fficial ,?m_f?_? ? Vanance - TOTAL 3+128.50
DATE: 6(1/89
RE: 1390 CAMELBACR DR1V$. L1, B4, FAIRWAY H1LLS 1
-AR Your Sewer & Water Permit for the above property has been completed. It will be held at the
Rgblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
#ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATEH TUHN ON.
,
-flour Sewer & Water Permit for the above property cannot be completed for the following
reasons:
u Sewer 8 Water Permit for the above property has been completed, but ihe meter cannot
issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meier at City Hall. Meter size must he
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEYELOPMENT DEPAHTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 6/1/89
RE• 130n CAMp? AACK nRtYE, ??? , B4, FAIRWAY H1LLS I
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
PUblic Works Garage (3501 Coachman Road) untd the meter is picked up. BE SURE TO
,tALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
-$(our Sewer & Water Permit for the above property cannot be crompleted for the following
reasons:
ur Sewer & Water Permit for the above property has been completed, bul the meter cannot
t ?
Issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk Hpuse (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REUUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
??-
`
? 02899,Ci v
Repuest ?ate Fire No Ro -i pecAOn
qequ ?
? ReaOy Now ill NoHly InspBdor
s ? No When Reatly'+
I Bk6
d
ense
contractor ? owner hereby request inspection ot above electrical work at:
Job AGdrees (SVee , Box or fl e No.) ? _ ?
?{ J) /?J /
Ol (? „ltLC JC`J CTy
SecLOn No. Towrehip Name or No • Raripe Np, Counry
OavpaM (PRIPlT) phana No.
PvwerSu phar lWtlress
?•Q//++
Elecinwl Coniractor (Company Name) Contreclor5 L&Kse No.
M mrectw or o«ner MaWrg In
steliatbn) )
???
AUlharizep S ne (COntraclor elti Inetal ene Num r L y?yy'?
MINNESMA SfATE BOM EIECiHICffY iHIS INSPECTION REQUEST WILL NOT
OMggs-fdltlwey Bldg. oom S1T3 BE ACCEPrED BV THE STAiE BOFRO
1831 Unlveraily Aw., SL Paul, MN 551M UNlE55 PROPER INSPECTION FEE IS
Vlio.re (872) 6624)800 ENCLASED.
(E,_2/8''? REQUEST FOR ELECTRICAL INSPECTION
? See msyuclions for completing thm lorm an beck ol yelbw copy
F n2R q q X" Below Work Covered by This Request
&Vft 9? ? ??
e Rep. _ TypeofBUildirg AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Elecvic Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm Air Condihoner
Other (speciy) Coniracbrk Remarka:
Compute InspeGian Fee Below:
# Othar Fee # ServiceEntrenceSize Fee # CircuiWFeeders Fee
Swimming Pool 0 to 200 Amps I CO 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ AmOs
Slgns Irepettar5 Use Only: TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication
O[her Fee
I, the Electncal Inspector, hereby Rwgh-in ae ????
certify that the above inspection has
been made.
- =-'•
OFFICE USE ONLY
Thm request void 18 rzwntha irom
?9i?4
".6" 1 aaag-
2007 RESIDENTIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5615
Please complek for: single family dwellings & townhomes/condos when pertnits are requ'ved for each unit
11
Date 7 / 3J / 6 7
Site Address Q,( A L04 . Uoit #
Proper[y Owner Telephone #( )
Contractor ?/C, .
?
3treet Address City
7
.
State 7'Yj?J Zip Tetephone #( 657 )4 Vi! `id'?Fp
Bond #: Expires:
The Applicant is _ Owner ? Contractor ` Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existiog dwelling unit $ 50.00
? fumace _Additional _Replacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
Total $So AV/
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and ac
be in wnformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that
permit, but only an application for a permit, and work is not to start without a permit; thaz the work will F
ap ved plan in the case of work which requires a review and approv of plans.
?oGEa. ' Taorn .
MT,'W? ?
AUG k.? 2007
ApplicanYs Printed Name Applicanft Signature
PERMIT # q ( 19 :)_
RECEIPTDATE: II -.? -0 ?
MIDENTLAL PLUM$IRfi PEfiMiT APPLICATiOft
crrY oF EAsAv
3830 Pu.oT xxoa sn
fnsnx, aNssisz
651-681-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNERNAME:: ?yyf / /20?{9?O?I TELEPHONE#: 6S / 660ell_t?-
(AREA CODE)
INSTALLER NAME: // ?R vc/?'.? ? ?Q?+, ?2Gbor. [ .[/ TELEPHONE #: 7 S?7v
STREETADDRESS: (AREACODE)
CITY: 5ezL,?? STATE: ZIP: S 3 7
Place a check mark next to the permit work tvpe
New residential dwelling unit under construction and not owner/occupied $ 90.00
a Add-on, modification or alteration to existina dwelling unit, inciuding: $ 50.00
? • ahandonment of septic system
• new installation/repair/rebuild of RPZ
• iawn irrigation system
• waterturnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes Counry & Consuiting Inspector fees
• requires MPC license
State Surcharge $ 50
l
T
t $
?D --
o
a .
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read lhis appliCation, state thal the informa0on is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicant's responsibility to nolify the property owner fhal lhe City of Eagan assumes no liability for any damages caused by the City dunng its normal
operational and maintenance activdies to the facilities conslructed under this permit wi ity ropertylright-o y/eas ent ,
, - -+?-
SIGNATURE OF PERMITTEE
Updated 1/01
? q? yE??tNU C?o.vsr.
abBE
CaHSUL71H6 EltBIHE[9S. .
PICENGINCERING PLRNHE9S nnd LAHD SUAVEYOf15
COMPANY, INt.
? 1000 EJLST 146in S7RFE.-, 8t1RH-"LLP, Y3HHE=6Ta 5-'337 pH 4:2-3060
C+e7'wZ Z
itZ CtZze AC ??"'7rS [?
I
1&,SZct .Ce.3cr1p2ic7--: l,..C3T' E BLOCK 4-, FA1RW?1`f WILLS,
DAKOTA COt1N7Y, M 1 NNESOTA
/Lro: zo,
CAMELBACK EAGAN
DRJVE R E V I E W E D
/L`oia,?7 S 84e?7,16,? o Bv l? z
?
a 90,00 M DATE 5 z. O?
q
--
? io (- - ' - A ? ??•-s; ??
30' FRUN7" BtJlLDtAIC-
?
? ?L/b:oi SCALE:l=3D'
(D ?°/7,0 o Zo.33 ?o.x
co 30.0o Z9.6) ? c0 m
3 ? ozoFVS? j ^? oi ?? (lo%ro} DENCJTES EXISTING EI,F-w-n0N
L_? Z.m
? fl 087-373 n I (/0.7, o? DENo?? ?MEJ) E+.Evar,or?'
.?.
N? ? 4B.oo m ? ,?S IIV01CA7Fq DiREC7TOn/ DF $URFqC;
7,0? O ?}. !t? f?R41NAC-E
° ? ?
tl?
LLI .,,,, r cz_ia ?,?
?'?? ??;Y? ;Fi.?z aR
?,???,, ? ' ? ?? _
? ? ?3 ? ??!??- ?,x ..?.
~ S .? P
cr? I I - Date ----?..
, LDT 1 I nEPT
o?
ro (` G?1sEMErv7
-1o J?
- ?
30.0 ,?oT6.s` 90.04 ADOR-F55: /346 CgmEc89c"?e o.eivE
o
(aib.s? S 84C°47'16
?`?
I her:by cartify that thia is a t:ue and carreci rapraaentitian of a tract of
land as sho+m'and deacribed herson.• Aa prspared by me on thim /, 771'ot
4AACf1 ? 19 89
.Hfnn..Ie
.a... _..
CITY OF BUILDZN6 llEPARTtQEHT 37 ?5r
1:,XTERTOR ENVMOPE AVEI2AGE "Ull COf4PUTATION
be submitted with building permit applicatioxt)
. /? ;, ;3?.'+''?• ,
lling ? Owner
Si te Addre as
IL'r? n,.n i. ,. ) r. t
L" I .. I
\nln•rvu 'w<<• G,'
WpLL COP75TRUCTZOJd:
Dtxte -? - ? Phone
Above grade = Z."].?iln:
TOTAI, I;XPOSED WALL ARrJ1 ,qQ, ?»FT.
; .. .
?lUll
uUu
SG?.
II?J?? SQ.
nUn
X
S`Z.
uUn x S2,
nUA x SQ.
11?I"?fI/ . ?Shh?' rru,l , t+`Q x
iiUii 'SQ•
nUu X 9R.
iipn x S?.
x S2.
(A) VALUES
`
Y_TOTAL 6'lAI,L AR
J1.1''' 15 r less
[Na :
TOTAI,S 2.?,'_; •- S?.
AVERAGE ItUff
r._.,:t r,zr. " --...?....c liUll
I": tan':??Iq",., - -07-t
11°1; x SR.
k?neet$. ----
SR.
AyFribe ononings ._ „U,1 x 52.
:3boY. '----- x So,
?_nUu
'TOFAI, (U)(p) VALUES DIVIDI:D BY x S2•
'TOTAI, ROOF/CEILItt(3 pRFa ??,-(n.?-`-''/,.
? AVERA(3E SlUis 25 for
ventil.-Lted roofs.
FT._ d ILd7 • ?'S (?` "?(U
FT. r, _.?n' o .•, -??U
FT. IZv. it?, a' s u
FT. =?U
FT. _ (U
FT. _ (u
FT._-r7?,-'r=
FT. _
FT. _ (U) (A)
rT. _ (u)(A)
FT. ?k?.t? _- (n.?f(o ?U)
FT. 1`L(U)(A)
FT. _ (U)(A)
- (U)(A)
FT. (0) (A)
U)?A)
FT.,_ ? (U)(A)
FT. _ ( U) ?•A)'.
FT. 0U)(A)
FT.- (U)(A)
`?tL?j
?t"c`"w' .: .
i1.1;,; V , :
?.
-- ?_.
.,
- ? ? > • C ..,? ;>??t.,
,
W l N po?nl?
2w-Z,:?x?{s7= 27_5x'??
U
5
L-Lq
0' U n ? ^
r vNG_
? -
i
?3 '1, tSY = 1CO
'4z-
. ?.
tJc-=?' E? ?-rh? V?1?c ? • ?;'rsac.?v..S
?2c?69 W/5-U-- . Z7'SC.?? 7z
Lc35 ::??? iot. S`!
2 i r?1 (ZCa ,t?o ZZ1
WP7J 5 o.$
n?? ?1.? s95.`
zztl-9v
?:? ?:
--WILLL SEY;i'ION--
DeteTmill{ng u1J" veluom at Roof, Wnll, Rimo and Conc. Hloclc
ROOF/CEILINU . , R VALU
1.) Interior Air r'ilm 0661
2.) 5/81, ayp. Bd. .56 .
3:1 )
k Ineulation
4T,1
.?
50 Exterior Air Film
(BTILL)
' r
np" ° 1?R= 002-1 iOTAL (R)a 7
• S.
??
, ?.
WALL 8 1?ALU
_
nt
ir Fileq
r
,.. •
,
?,
. j
7
$. ) }
pyp?
Bd
Inau
tio y
?
9
.) P 1 T
rF
Z
10•
)
Masonite Siding
?
67?
11.) Exterior Air Film
.17 ,;^,, ..
----=-?_
u?n a 1/R? 004?, TOTAL (R)*2.:
?:O?
RIIi R VALUE
12.) Interior Air Film 0.68
130 Ineu2ation 19.oO
14.) 211 Fir Rim Jois6 1.88
150 KwILT- P) Tc 2?
16.)
Ftaeonite Siding
?
67
17.) Exterior Air Film .17
nUtt a 1/R? ,Lxf.p TOTAL (R)a Z¢gq.
--
FOUt7phTlpN $ VALU
18.) Interior Air Film p.($
19.)
zo .) R'-l/ 5 Tk?Pr?D ll, rx?
21•) 12" Ooncrete Bloclc 1.28
22.)
23.) Exterior Air Film ?•17?
11u11 107(o ?1T+W (R)a??. eiFV'"tid", .
?
I.? ,.
198 BOII.DIBG PEffiMIT 9PPLICdTION - CITY OP' EAGAN
SIHGLE FAHILY DWELLffiG5 I (o (4 ' It.
INCLIIDE 2 SETS OF PLANS, 3 CSRTIFIC9TES OF SURVEY, 1 SET OF ENERGY CALCUL9TION5
80T&s ADDBffiS&4 FOH COR9SR LOTS - COAT&AClOR/SOMEOWNF.B lgST D&SIGNATB iiSICH ADDHESS
IS DFSIAED. HO CHANG&S i1ILL BE 9LLOIiED ONCE BIIILDING PSRMTT I3 I33UED.
MQLTIPLE DiiEI.LING3 BEAT6L DAITS F06 SdLB D9IT3 • OF i16ITS
INCLODE 2 SETS OE PLANS, CERTIFICATS OF SIIBVEY - CHfiCg iiITH BLDG. DEP?.r 1 3ET OF ENERGY
CALCULATIONS
COtRMERCIAI.
INCLUDE 2 SETS OF ARCHZTECTORAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENE GY CALCUL9TIONS
Z')OOo
To Se Used For: ValuaDate: ,, 07 471
Site 6ddress /21W OFFICE OS& ONLY
Lot L Block ? Oecupancy
Zoning
Parcel/Su ?GCL eAetual Const Il?t<
Allowa6le 1//?/
Ormer
Address
City/Zip Code _
Phone
Contractor am A
Address
City/Zip Code C.
Phone ( f -
Areh./Engr.
Addresa
City/Zip Code _
Phone 0
Length 3'p
Depth ?
S.F. Total
Footprint S.F.
T 4 of stories
On site sewage
On site well
MWCC System
City water ?
V required _
'L eyeeaovac.s
Planner _
Couneil
Bldg. Off.
Yarianee
Booster Pump
-'?-14
Bldg. Permit ?>'?v
Sureharge ?O
Plan Review fn ?
SAC, City /00
SAC, MWCC S2S
Water Conn SB67
Water Meter fo
Aect. Deposit 30
S/W Permit z0
5/W Sureharge /
Treatment P1. zz
Road Unit 779
Park Ded.
Copies
TOTAL
HOTS: 3ewer 8 Nater Permit fees and aQeount deposit Peea will be included in the building
permit fee. ProQessing time for aerter end srater permits is tvo days onoe a liceased
plumber has applied for a permit at City Hall.
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r 1
RESIDENTIAL
?
BUILDING PERMIT
CITY OF EA
3830 PILOT KNOB
New Canstruetlon Reauiremenla
• 3 registered site surveys showing sq, ft, of lot, sq. fl. ol house; and ell mafed areas
(20% mazimum lol caverage allowed)
• 2 copies of plan showing beam & whWow sizes; poured found dasign, etc.)
• 1 set of Energy Calculations • 3 copies of T2e Presenadon Plan if lot platted after 7/1/93
• Rim Joist Detail Optlons selection sheet (bldgs wilh 3 or less units)
DATE 7I«I 0
JOB SITE ADDRESS Y-YIO Oeft&?,
?O1ri(C
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Ia-r'l '(( c5'QX
TYPE OF WORK
APPLICANT .LJURb'_ ¢ C>//-AfS
ADDRESS SGa DL^ZZWe0`J d,7aW
PAGER # ? CELL PHONE #
NEW RESIDENTIAL BUILDING ONLY -
Energy Code Category _ MINNFSOTA RULES
(check one) - Residential Ventilation ?
- Energy Envelope Caicu
Plumbing Contractor:
Plumbing System Includes: _
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
MINNESOTA RULES
PLICATION
? 55122
2copiesofplan??•1?•••m•w ? - ??>O ? d ?
1 set of Energy CalcWations for heated additeoice t
1 site survey foi extejior additions & decks
Indicate if Iwme served by seplic system for addidons
TION I7?OZ?0 . ?
_ FIREPLACE(S) A 0 _ 1 _ 2
'NZ.- PHONE# 9j_2°41ye'764Z-
M'tj ZIPCODE 6'cT918'
769 - FAX # /0 ' ,06 L
L OUT COMPLETELY
CATEGOF°'
v 1 Workshee
New Energy Code Worksheet Submitted
I
? Phone
Water Softener ? I.awn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths !
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing af application.
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the inAf r tion is correct, ree to comply
with all applicable State of Minnesota Statutes and City of EaganlOr ifi ' s.
Signature of AppllcaM '
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
? Updated 1I01
?
I
I
OFFICE USE ONLY
1.
? Ot Foundation
? 02 SF Dwelling
O 03 01 of _ piex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 08-plex O 18 Deck
? 11 10-plex V 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
pp 25 Miscellaneous
? 30 AccessoryBlde
? 31 Ext. Alt - Multi ?
? 33 Ext. Alt - SF
? 36 Multi
F9 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition O 36 Move Bldg. O 42 Demolish (Foundaflon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish {Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolltion (Entire Bldg only) • Giva PCA handout ta applicant
Valuation 49?
Occupancy
? MC/ES System
Census Code ? Zoning ?L City Water
SAC Units LVI Stories Booster Pump ,
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const S--,r) Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ FinaUC.O.
Footings (deck) FinaUNo C.O.
_ Footings(addirion) Plumbing
Foundation
Drain Tile
Roof Ice& Water Final
? Framing -
Fireplace _ R.I. _ Air Test _ Final
?j Insulation
Approved By? Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
7.60
?
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu '_ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
?oy?,? -GC-vEL
G. o ra>?!? Z. L-d?L
GV? DOa 19-01
'
J /IG ?/E?eK1qqNN C?aNST.
.----
' adsE . ?'Z/0
.
? ENGiMEEi?ING ?DNSi1LT1H6 EH61NEf9S.URVEYOQS
pLAHHE9S ond LAH? S
COMnANV, INC.
? 1000 EAS7 I46E1 STREE'. BItR4ZVILLE, YIHHE!GTA 5M337 PH 4Z2-Zppp
Ce7"Z z}z crzZe JE? qs-rY4e c?
1?4c1 .?7e.1?L?,?T' • L.OT E ELCCK 4-, FAIRW:?! Hlt_1.S ,
DAKDTA CCUNTY, M INNESOTA
/iom.-zo,
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,?(,0%9-
CQN?? - - ?/ai¢.57; !_'
LEq??? pR VI E - -
(ioio.? S 84e4.7' 0 - --'?-C ---
7 /b?t
? o Q0.00 ? D;, T;_
?
? I O?
J a" 30, FP(?N1' EU(L.DtEvi -
/b 1, ?
O/Z 33 ioi7,a ???
v L..?? VL SCALE :)'= 1O
O o Zo. 33
m
30.0o Z9.67 3 a PzoPoSep j\ (1-0/6_o) DENC1fF5 DCISTING F..L.EVA710N
? o Harr? c$ • -
? o J'87-373 L 2.
1I (0/7,0 ) DENOTES FROFGZED E1.FVATOh
N° C?xd.fvR?"rc-° ¢s. oo M ?? ?
o?,bR G"'?'(u?" 7 o) 0 :? INGlCA"E: DIREC770lV OF SuRF?_:
Ol 0f3AINAC-E
? ? ? lLib:o? t N
4 ANISHI:Q' ; Ca4F??G6
VATtoN -
I v?
Cf'
7
10L_ ?t ?? G?1SL?MFM"
.? --J?
30.p ,?0%6.5` ? ADD2E55: /346 ??E«xK D.eiVE
(aib.s S 844790.00 16"E Lil:773;
I heriby eartify that this i., a t:ue and correct rapr=eentation of a tract of
Ijnd as ahevn'and deacribed herton.- Aa prapnred Ly me oa this /7:"'day o!
/?1A?eCFf , 19 89 . -
?iinn. 1tn6? ;Ho.,?baBS
.,. .?._ =.
RESIDENTIAL
523bI ? BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KPIO6 RD, EACAN MN 55122
651-681-4675
New CanaWCtion Reouiremenb
. 3 registered site surveys showiig sq. H of bt. sq. N. of nouse; and all ronfed areas
(20% mazimum lot coverege allowed)
. 2 copies of plan showing beam & window s¢es; poured found design, etc )
• 1 set of Energy Calculations
• 3 cqpies of T2e Preservalion Plan if lot plalled aflet 711193
• Rim Joist Detail Opdore selection sheet (61dgs with 3 or less uNts)
DATE &-/ "r- O ?
I S-1.2s-
i RemodeURewir Reauirements
? . 2 copies af plan
.• 1 set of Ener9y CalculaAOns lor heated aadilions
'i. 1 site survey for ezterwr addilions & decks
?• Indicate'rf hane servetl by septic system for addNOns
?I
VAL'UATION
SITE ADDRESS 13g0 o.4M2L 8,4ck _Q r MULTI-FAMILY BLDG _Y _N
TYPE Of WORK 1?o aFIREPLACE(S) _ 0_ 2
;
APPUCANT
STREET ADDRESS
TELEPHONE # 96a -97y `J"odS' CELL PHONE #
t ocN PF'ir?E i E$TATE M N ZI P0?_3 5' !o
FAX #?"$`a -1 7A/ - 16 -? ?-/
PROPERTYOWNER ?.91ie - %iq to'tJ ? TELEPHONE# LvS?/ -??5lv -?5-k-/?
--------------------- ---------'----------'-°--°----- ------------------------'----°----------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
I
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l MIVNES(YI'A RULES 7672
(J submission type) • Residential VentilaBOn Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envalope Calculations SuDmitted ;
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contraetor:
Mcchanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Rccovery System Phone #
Phone #
Fce: $90.00
P'ee: $70.00
--------°°--------°---------------------------------------------------°•---------------------------------
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance!,
Signature of Applicant
OPFICE USE ONI.Y Vp? JUN 1 8 2??2
i f!1,
?.
Water SoFtener _
J Water Heater ,
_ No. of Baths
' Phone #
?Lawn Sprinkler
?No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not ReqUfrdd _
?^ v ?-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115725
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 1390 Camelback Dr
Lot:1 Block: 4 Addition: Fairway Hills
PID:10-25600-04-010
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Thomas J Thompson
1390 Camelback Dr
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153204
Date Issued:11/30/2018
Permit Category:ePermit
Site Address: 1390 Camelback Dr
Lot:1 Block: 4 Addition: Fairway Hills
PID:10-25600-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas J Thompson
1390 Camelback Dr
Eagan MN 55123
(651) 269-2828
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168945
Date Issued:05/10/2021
Permit Category:ePermit
Site Address: 1390 Camelback Dr
Lot:1 Block: 4 Addition: Fairway Hills
PID:10-25600-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas J Thompson
1390 Camelback Dr
Saint Paul MN 55123--214
(651) 492-2381
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature