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1373 Camelback Dr PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093277 Date Issued: 03/31/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1373 Camelback Dr Lot: 13 Block: 3 Addition: Fairway Hills PID:10-25600-130-03 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Sidin, Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: Owner: - Applicant - Charles Aluko 1373 Camelback Dr Eagan NIN 55123 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ` 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 1 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. I j'.i !(S-Ii P~i't ~i i't"}•• A 1 i I'• i Al`~i PI !I!'-1i; ~ I'll, r Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC J ELECTRIC ELECTRIC QQ / 642 pO Inspectlon Date Insp. Comments Footings I Foundation Framing yGt Roofing Rough Plbg. z Rough Htg. ' g [Sul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. I Deck Final 50VOO TV 77)6~ OAK l P ZNI u C~~~ 7Z7 (~j~ rn s r,~ l Wjf.~ AV-r alW as inr Ave, .4011. p - e (Urtiftrate of C0rrupaurij } citp of eagan This Ceritftcate 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 canstruction or use. For the following: Ilse Classification ,•ar » Bldg. Permit No -r 'R3 R1 Const Occupancy Type Zoning District Type }t .`-,.a taCUB iie 1; u- SAddress f k kiE4fixva~~L ~J y .U° x u. O Owner of Building W EMU BuildingAddn~ss 13 73 a Locality Sao FAT~WA1 mfr Date: Building OlFrial"j ' - POST IN A CONSPICUOUS PLACE 1 BLDG., PERMIT NO. s ~ ~ I r 01-3210 B]df g. Permit J 01-3422 Plan Check 01-3445 Surch./Adm.'s 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 1 20-2275 SAC J; 20-3865 Water Conn. r°'G 20-3868 Water Trmt. U' 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ✓?G~ f~' 11-3855 Park Ded. TOTAL"/ CITY OF EAGAN Permit No: 91;4 Date: 3830 Pilot Knob Road Meter No: Size: P.O. Qox . 119,9• Reader No: Date: Eagan, W14 55121 .'C`am .aI.d oast. Owner. Site Address: 1373 Cal,elback %.'riye L13 Plumber. . yium Lu ; - Conn. Chg: - - P Zoning: Acct De • 0-3pd P~ No. of Units: Permit Fee: 19• vt pol Surcharge: - "pd I agree to comply with the City of Eagan Tr. Plant 18t?.OJn~ Ordinances. Meter. C,7 sl~p~j Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: 10343 Date: € ) -30-87 3830 PJlot Knob Road B/P No: 77922 Date: _'i,7 P.O. t}ol X11 pp Eagan;lN 5121 Owner. ~Ioalc Coast. Site Address: 1373 Camciback Drive L13 1,13 Fairway - s Plumber: ~SM* VIt"abing 525.00) d ' . MWCC: 'A Zoning- City Chg: No. of Units Acct Dep: 15.t 0pUl 10-00pd I agree to comply with the City of Eagan Permit Fee: Surcharge: p Ordinances. Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for r i1f,:C /GAi, Est. Value ) 5, .JO I Date {)(:iU ii: is t 9 67 Site Address 1373 CAMELBACK DR OFFICE USE ONLY 1 ' i-J LLS On Site Sewage Occupancy l Lot Block Sec/Sub. ~ Parcel No. MWCC System Zoning On Site Well (Actual) Const 'Vn Name 1`ICDONALD CONS TkVG IOil City Water X (Allowable) Vn W 1212 BLLEBAY RD PRV Required # of Stories Z Address 514 o # WTI UV 31-~~7566 Booster Pump Length City Phone 4C1 Depth a Nalne SAME S.F. Total o a Address Footprint S.F. City Phone APPROVALS FEES Engr./Assess. Permit 576.50 W =W Name Planner Surcharge 62.50 za Address 289.25 a w city Phone Council _ Plan Review too . r JU Bldg. Off. SAC, City Variance SAC, MWCC 525.60 1 hereby acknowledge that I have read this application and state that the - -x information is correct and agree to comply with all applicable State of Water Conn. _ Minnesota Statutes and City of Eagan Ordinances. Water Meter i37.00 Signature of Permittee - - Road Unit 305.00' A Building Permit is issued to:__ 4,I)ONALD 0NSTI CUE-1«PY Treatment P1 160.00 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. $-Z- -.2 5 Building Official TOTAL i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est Value Date ,19 Site Address d;W OFFICE USE ONLY ' F w, I I, On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning f' t Parcel No. On Site Well (Actual) Const City Water (Allowable) Name W PRV Required # of Stories z Address o city Phone ` taco Booster Pump Length Y Depth Name S.F.Total o o a Address Footprint S.F. City Phone APPROVALS FEES t W Name Engr,/Assess. Permit W _ w E Address Planner Surcharge ¢z City Phone Council Plan Review 4W Y Bldg. Off. SAC, Clty 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 Ordinances. 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 Official- TOTAL Permit No. Permit Holder /Date Telephone # Plumbing Electric .'✓,~Jt'G.Jr ' ! ~_l /n/,~a: ~X~ Softener Inspection Date Insp. Comments Footings 1 J~7 Footings II Foundation °~.3 Ej dJl Framing Roofing Rough Plbg. - Rough Htg. 4P Isul. - Fireplace Final Htg. S~ Final Plbg. Bldg_ Final Cert.Occ. r Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # 2~ MECHANICAL PERMIT RECEIPT # 'L CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: P ONE: 454-8100 Site Address i 7 6 A }_y rs r~ t ' r BLDG. TYPE WORK DESCRIPTION Lot lop Sec/Sub Res. t' New Mult. Add-on Name Address ` I . t ' Comm. Repair ~,r r Other c City Phone w FEES Name" I RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW O City y Phone k CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT). 1.50 EA. - TYPE OF WORK. }1 COMM/IND FEE - 1% OF CONTRACT FEE Forced Air %L,,1 M BTU f APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 . Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20,00 STATE SURCHARGE PER PERMIT .50 Vent, CFM . $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other i FEE: _ SIC: SIGNATURE OF PERNAITTEE r TOTAL: FOR: CITY OF EAGAN Y.;. PERMIT # .,x MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PATE: ' CONTRACT PRICE: PHONE: 454-8100 Site Address e. el 9 r ,Z BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub a Res. New ?c.%~x c L a~ Mult. Add-on ;r. _ Name Address j ' Gl. 45, Comm. Repair 0-40 C City ~5;'f r• r, e Phone f- ev r..} Other r FEES i Name RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6:00 p City Phone s CONSTRUCTION) DES A/CON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT BLDGS. - COMM, RATE APPLIES ;i TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 R fr $ MINIMUM COMMERCIAL FEE - 20.00 Air Cond. M BTU Vent. - - -F:> STATE SURCHARGE PER PERMIT - .50 ti (ADD $.50 8/C-IF PERMIT-PRICE GOES - - - Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: YG R EE i TOTAL: FOR CI OF EAGAN CITY OF EAGAN Permit No: 1)4 Date: - 0"-30 -87 38301hot K;ob Road Meter No. 7 Size: P.O. Box 21199. Reader Date: Eagan, MN 55121 Owner. c:.:.1 ci ;oust . Site Address: 1373 ^xrelta~^.r. "rive L13 r,irway "i:L1s P Plumber. Star Conn. Chg: 52 S. UC;e;c: Acct Dep: -S QT 4 TII, N~p9 ts: 1 Permit Fee: L - LLLU I C - liN Surcharge: P,-s V~ii_o.r_n R~ comply with the City of Eagan Tr. Plant Ordinances Meter. 67 Stir' p ' Misc.: By WATER SERVICE PERMIT 001 0®960 170 i Req est D e Fire No Ro h-In Inapection Regmr Inspection Other Than Rough-In p o (You call nspecror whe 1 ❑ Ready Now ® Will Notify Inspector . ! /Ves - [~'NO Date Ree I licensed contractor ❑owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route No City /373 C~.~G/Gp~ 0~ c;7- 47n Sechon No Township Name or No. Range No County/~ J/4'01 Occupant (PRINT) Phone No o'k (f-;-o Power Supplier Address Electrical CO dor (Company Name) Contractor's Ucense No ~r! x C CIDcAe Melling Address (Contractor or Ow er Making talle[Ipn) ~(d 1 M a L J Authorized Si tore ntractorl er Me I tallahan) Phone Number MINNESO A STATE BOARD OF ELEC ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE 15 Phone (612) 642-0800 ENCLOSED 6~10a~ REQUEST FOR ELECTRICAL INSPECTION ~/Ea1 -0000- IIIP See Instructions for completing this form on back of yellow copy 36 Q 9 S "X" Below Work Covered by This Request • Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating A t. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner . Other(specify) Contractorrs~Remarks Compute Inspection Fee Below., D, # 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 -Am s Signs Inspectors use Only TOLT/AL ~Q Irrigation Booms % 0 ° CC) 7-~ Special Inspection Alarm/Communication THIS INSTALLATIO AY BE ORD DISCONNECTED IF T Other Fee COMPLETED WI 8 M I, the Electrical Inspector, hereby Rough-in Dare certify that the above Inspection has Final been made. Date aJ Q OFFICE USE ONLY (~'r This request void 18 months fmm This request Will O/ 780 18 months from ~9 7 D -115 Re Da to Fire No. R h-i R u Inspect ion ❑Reatly Now Q41111 Notify Insper 1 ❑N for When Ready es tensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed al: S1rBet ddre~x or le No. City ^ 17 7 elrgp 0. Tpwnship ame or No. ange No- County I/VS/ G/It a o{CUpanf IPRI Phone No. 1AV) Pow, ~I SppPN r Address Electrical Contractor (Company Namel Contractor's License No. 9 Mai n o m. g Installattonl TOCK LANE I, Bit( 11 AulhorAPP~E rgJ~p4trp cttq~l~twAa '51 lrlsti)I)B free) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY JJ1C+`S THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.- St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00/001-08 / _q/ , see instructions for completing this form on back of yellow copy. 4 1 5-95 "X" Below Work Covered by This Request dd fl Type of Building Appliances Wired Equipment Wned Home Range Temporary Service Duplex water Heater gh ti ng Fixtures Apt. Buildmg Dryer Electric Hearin Commercial Bldg. urna ce Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Cher Pec Jy Other ISpeniyl t or 79V_0_c_.FYT_ Other Other Compute Inspection Fee Below a Fee Service Entrance Sife H Fee FeedersrSubieaders K Fee Cvcurts 0 to 200 Am s Oto 30 Amps 0 LM/Y) Utn30 Am. s Above 2 0 gmlri 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100 Am Above 100-Amps Transformers Irrigation Booms Partial, Other Fee Signs Special Inspection S TOTAL flemarks Bough-in Date I, the Elects cal LCD u Inspector, hereby certify that the above I final Drns inspection has been made. This request void 18 months from This request void 5'~p~ JUO 1?139W ,Dntha 51247// OOO © ° Request Date Fi a No. Rough- Inspection S~$ Rein Ready Now Q Will Notify Inspec- ❑yes o tort When Ready OL.censed Electncal Contractor I hereby request ins Pectron of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 1373 c AM CC.RA" PR f vE f, 6,4 rv ection No. Township Name or No. Range No. Count, v ^ D44-07A Occupant lPRINTI~ Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractors IJCense No. GftAx,k ELI[(- Mailing Address (Contractor or Owner Making Installation) Y7 '3 Rrp~E wuvp i7°A~~ 6/1E✓~v mw SY -A, Author d S" tu e ( on[ or ner Making Installation) Phone Number sa -3'? 3 / MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 Um Var9lty Ave.. St. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS Ph- IR1gi RAJ mom ENCLOSED. 5/ao/88 R SOUEST FOR ELECTRI CALg INSPECTIIONgk m yengw copy. Es-00001-06 D " --51 2 4 7 "X` Below Work Covered by This Request Add Pep. ~ Tyne or Building 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 peci v other Isneofyl Other Speafy they Othur Compute--Inspection Fee Below e Fee Service Entrance Size fi Fee Feeders rSUbfeeders s Fee Cucmts 0to200Amps Oto30Ams to 30 Antos Above 200 Amts 31 to 100 AMDS 31 to 100 Am s H Swimming Pool Above 100-Amps Above 100-Amp, Transtormer5 Irrigation Booms Partial 'Oth Fee Stgns Special Inspection j~ Renwrks S Wr~~ TOTA Rough-m Date t I, the El trical Inapectoq y ertify that the above Final p. o i ~ ins pecuon lies been (%C-A J r~ a matle. This request Vold is months from PERMIT c9o CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 5 0 2 3 (612) 681-4675 Date Issued: 01/06/95 SITE ADDRESS: 1373 CAMELBACK DR LOT: 13 BLOCK: 3 FAIRWAY HILLS P.I.N.: 10-25600-130-03 DESCRIPTION: B'Ildi'64 Permit Type BASEMENT FINISH uild-i,ng. . Wiork Type ALTERATION g I ~r Ity REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - GOLD CORY 1373 CAMELBACK DR EAGAN MN 55123 (612)456-5876 u ; I hereby acknowledge that I- have, read this,a,p,plioation and state that the information 1% correct And,agroo to comply with all applicable State of Mrn.. Statutes and City of Eagan Or-clihances. 7 L APPLICANT/PERMITEE SIGNATURE ISSUED r. SI ATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025023 Eagan, Minnesota 55123 Date Issued: 01/06/95 (612) 681.4675 SITE ADDRESS: LOT: 13 BLOCK: 3 APPLICANT: 1373 CAMELBACK DR GOLD CORY FAIRWAY HILLS (612) 456-5876 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK 1 CITY OF EAGAN 16015 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements RemodeMepair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 1 tree preservation plan if lot platted after 7/1/93 required. _ Yes _ No DATE: - L~- 9Jr CONSTRUCTION COST: 7r-'~U DESCRIPTION OF WORK: ^r i ljrtj ~ i4 ) W STREET ADDRESS: 1373 ~ ~ L ~ LOT BLOCK SUBD. P.I.D. # PROPERTY Name: GcLd ` 3cX~ Phone ~j 6 OWNER ~'rJJ1 / Street Address 137 -2) City: r~A-4 All State: filt'J Zip:. CONTRACTOR Company: Phone Street Address: License City: ARCHITECT/ Company: sc if - Phone # ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies if address change or lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the info ation is correct and agr a to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Ir J =DD Certificates of Survey Received Yes No JAN 0 5 1995 Tree Preservation Plan Received Yes No ` CITY OF EAGAN No_ 14 2 3 5 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # / ~ -7 / ~ p To be used for SF DWG/GAR Est Value $125,000 Date OCTOBER 1 1987 Site Address 1373 CAMELBACK DR OFFICE USE ONLY Lot 13 Block 3 Sec/Sub. FAIRWAY HILLS on Site Sewage Occupancy R3 MWCC System 7X Zoning R1 Parcel No. On Site Well (Actual) Const Vn a Name MCDONALD CONSTRUCTION City Water X (Allowable) Vn Z Address 1212 BLUEBAY RD PRV Required _ n of Stories City B'VILLE phone 431-7566 Booster Pump - Length 454 0 Depth o Name SAME S.F.Total o a Address Footprint S.F. v i- City Phone APPROVALS FEES Engr./Assess. Permit $ 578.50 W w Name ti Planner Surcharge 62.50 un Address - 289.25 a W City Phone Council Plan Review 100.00 Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525.00 information is correct and to co ply wit all 3~plicable State of Water Conn. 525.00 Minnesota Statutes and Ci f aga rdin s. 67.00 /LL,~`",'i/"Q Water Meter Signature of Permdtee 305.00 Road Unit A Building Permit is issue to: MCDDNAi.D CQNSTRUP.TI.ON Treatment P1 180.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Mmtt SSt~a=t,ute~s'aa nY Of an Ordinances. 35 Building OfficiaL(/ TOTAL fl,-6 TT. S ~V 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 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 - RESIDENTIAL RENTAL UNITS FOR SALE 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, $2,000 LANDSCAPE BOND To Be Used For: S_ Qny~~ Valuation: Date: Site Address 1323 Ca wle(l acl< ~4 l a5, 000 OFFICE USE ONLY Lot Block On Site Sewage_ Occupancy R-3 ( MWCC System Zoning R-1 Parcel/Sub Vw -v L On Site Well Type of Const nn~~ rn City Water (Actual) V-N Owner (Allowable) V- P.) # of Stories Address Length 5,1,0 ff c~ - Depth q0.0 , City/Zip Code ~vyts Vi I1 e U - ~ S.F. Total r~ Footprint S.F. Phone -l - APPROVALS FEBS Contractor J1" e &1A 2 0)y1S c Assessments Permit S78.50 Water/Sewer Surcharge 62.50 Address ry, Police Plan Review '2 89, 2S _T Fire SAC, City IOD,00 City/Zip Code ~lakNSV . 5~33r/ Engr SAC, MWCC 525.00 Planner Water Conn 525-00 Phone 3~ Council Water Meter .00 Bldg Off °f0/j Road Unit 305.0 Arch./Engr. APC Treatment P1 100.00 Variance Parks Address Copies _ TOTAL S City/Zip Code Phone if GARAGE a-gX244 = 5r7rox 12_ 6y,Z FsMT j 1ST FtCOA Z$y~ 30 = 840 z X i6 = 37 18X /6= 2sl 11 (70 x 58 = 61280 2Nr., FLOOfZ 30)<28 = X540 18 X 16 = zc4B 8x~f= Iz II y0 xyy= SU16~ I Zy 35Z MCDONLD nose COHSULTIHD ENl31NEERS CONSTRLkMON ENGINECAING PLANNERS and LANG 3uAVEVOBS COMPANY, INC. 885.01 1000 EA37 1461h STREET, BURNSVILLE, UINNESOTA 5337 -PH 432-3000 C4CY-9Z CLZ~e o S -v-e cY j~a~ czl LkacrP~iorc: LOT. 13 BLOCK 3, FAIRWAY WILLS, IIAKOTA COUNTY, MINNE50TA { i oia'o) DENOTES EXISTING ELEVA ON ( 1o23.o) DENOTES PROPOSED ELEVATION ,ate INDICATES DIRECTION OF SURFACE DRAINAGE IM.33 = FINISHED GARAGE FLOOR ELEVAMON DRAINAGE AND LMLJTY .9 , i EASEMENT \o S 9 , S OT \ 'R21 O cp r~ 3v / / y PO '~o ray z.o~ / on) ll%hT 410 SCALE - 1 =30 / ~~:t, v, s~ .y' /~j ~qcp~; 40 0 t/p'a~ r\o 130 .o• bM ~ ~\i ~ \ 2Z.v Go ry \ O 23• 4a R; 2i •i~ 30' FRONT BUILDING \ SETBACK LINE c~l~ s S9 s O ~S Cie, , 0 r,0:, ao I hersby certify that this is a true and correct representation of a tract of land asshevn'and described hereon.. As prepared by me on this 2-167' day of 6'Ep7EM0&? j 19 87 . '-Minn. .Las. No. /GoBs r UITI OF _ BUILUINO VBPAIi 10 rllx- EX'i'E1tOPE AVERAGE I'UII C0IIPUTA (To be subd with building permit appI cation) One or Two Family Dwelling Owner All other Site Address Z. G Am.Et.`13Ac.Y~ 'D121 v~ Contractor LZ7K IL( C-)l pat-e Phone LIVEAL I OF EXPOSED VIALL ft, above grads Lot TOTAL EXP695 WALL AREA Sq. FT. OPAQUE WALL 0011STRU0TlOll I IIU'I Value x Area {q be tall IMF nun x Sq. FT. U117~tp)cA) retereuoe UJW flu+' x sq. FT, o , ! c (u)(A) 12 attached "U+~ x SQ. FT. shects null x sq. FT. U)(11) flue x SQ. FT.--- _ ( )(Ay. Wll]DoWSI '+U" Value (U)(A) x Area HnIto & Tyr fe /NSVL tq~,WlT flUn r SQ. FT. 2 01W. 147-10)- it - I (u)(A) It of U x eq. FT. (u)tA) fl ° flpn x BQ FT. = ' __(U) (A) D00118I 'lull Value x Area • Flake & Tyre f7d ,S fluff to - I t= X SQ. F. (u)(A) n It thin ^ x Sq. FTT.- L f Gib (MA) fl flu n If fluu x SQ. FT. U) (A) x Sq. FT. - tU)(A) TOTALS ~z17(o ?.4 Sq. F'T.- '~7Q , ~ (D IU) (A) TOTAL (U)(A) VALUES , . TOTALS_ RAc -9-1iUn, ~ DIVIDED BX TOTAL WALL AREA A`I AVERAGE 'full ~(DI r- .115,or lees for 1&2 family dwellings 110OF10EIL111a ~O TOTAL AMPA 1 I 7~ Detail raferenoe 'fu" oa~~ x sq. FT. G'3(Q from (Uj(A) attached aheets. flpfl x Sq. FT.-" (U)(Aj Describe openings nun x Sq. FT. - (U)M A) ill roof. --__Ilu x Sq. FT. - to x Sq. FrP. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 7orhL5 o gq 2~~pCu~ •'ro~rnL 11ooF/cEZLI~I 0 AREA I I (~O AVEIIA0E 'out ' p or ventilated roofs. ,~Z I •r?- re u;l^vatgP toy, -T 4x(48t-Ab+ 2.94 2o) = I4r2o,a8 ~3x { qg±4 tZ.S+ZS)=1347- ICa 17 cp 4- I'~ • b~ x 115z= 10164 ~3x 15Z= Izco,ICo I, I i 4 - zoXCoc)= 44-x I = 44,n G-j~o 111 .-!r x a ~~76,ti O - I' Z- zo~;~O = )q X I = 141 G s~ AwwF /01, 4 I!~ 3-ZoX4P~ = 27X 121,0 Izc,P,le Z - zoX(oo = 22 I - Z~•~o~ was X8,7 II ~ ZoX(~o = II ~(z= `Zz,o k I33, C-,~'~`' j 2oX~~ oor = :boo, -I V5 ;I!p ?s5 47tL pIZ , 1N /4,L 'La-0 ,a Ii 133~v ~~i *vrlr,tttr*,tFktir,t*~r+.f~rtata•#31,t##*aFikt*trtt# NOTE-: PAYMENT ' OF FEE AT TIME OF CITY OF E A G A N * APPLICATION DOES NOT C011i`TIT07E APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WATER * uymAr.rmiom WILL NDT BE SCH®- ,*F SEWER AND/OR WATER CONNECTION » Ulm UNTIL PERMIT HAS BEEN w APPROM. (Please Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: L Lot B ock Subdivision o'r Tax-Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year PRESENT ZONING/PROPOSED USE: COMMERCIA1./RFTAIL/OFFICE R-1 SINGLE FAMILY " rl INDUSTRIAL f-I R-2 DUPLEX (Too Units) INSTITUTI0NAL/GOVMU2, T R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTTENT/COND MINIUM ( Units) 2) NAME. C ADDRESS: CITY, STATE, zip: S^ PHONE: y 31 26_ (e 7 3) i; 5- For City Use NAME Q jD rti g Plumbers License: ADDRESS: ® i Active l Expired CITY. STATE, zip: A6tmi •k 41 0 Not recorded PHONE: MASTER LICENSE# ? a t Initial 4) •a • i~• NAME : ADDRESS: CITY, STATE, ZIP: PHONE: -5) u w • x• : o • a• De-CONNECTION TO CITY SEWER ga~-_CDNNECTION TO CITY WATER [3 OTHER 6) • • 2v PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIIpAPPROVED PERMIT TO 1, 2, 3, 4, ABOVE x (Circle one) 7) ® l~~' d 7 ngre7wrow ..'FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ~D- SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ Z S ' D~ $ WAC $ 2 - $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ %f3 . 5-1--o--D TOTAL - `7 9z z o s" RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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: DATE: L 13 BL CITY USE ONLY RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x _ Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory / 3.00 x = Kitchen Sink S 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x r = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under cont. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE 50. SS2 TOTAL a~ SITE ADDRESS: OWNER NAME: (2v INSTALLER NAME: STREET ADDRESS- CITY: _ komJ STATE: ZIP: ~5 Cs- PHONE (tell-) ~~6 7Co SIGNATL~R CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : cDRY GOLD ADDRESS:. 1173 rat ..BACK DRIVE HAGAN. MN 55123 LOCATION 1373 CAMELBACK DRIVE L13, B3:-FAIRWAY HILLS RECEIPTS/DATE 35904/01-06-95 REASON FOR REFUND HOMEOWNER HIRED ELECTRICIAN TO DO WIRING. TYPE OF REFUND ELECTRICAL PERMIT 410-100-q 51 3211-9001 $ 40.00 PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITYACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: $ TOTAL $ 40.00 1 declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. le~~Itelw A~ JANUARY 30, 1995 Sigaa 1 _ 3 U -c?3 Data 0-1 0®951 /s a3~ Re uest D e Fire No Rough-7[i, Inspection Requir Inspection Other Than ough-In mu r (You call mspector~ ready) Ready Now Will Nobly Inspector ( Yes No Date Reatl I ❑ licensed contractor owner hereby req st inspection of above electrical work at Job Address (Street ox or Route No City /~73 e c~ Section No Township Name or No nge o County Doc ant(PRINI) Phone No N Power Supple/` INX~ Electric ractor (Compen No Contractor's License No KaW Merlin tl ress (COntracm akin ns Ilabon) 011 1 Authorize Sign re ont car/Owner Maki t Ilabo Phone Number s& -6"876 MINNESOTA ARD ELECTRICRY THIS INSPECTION REQUEST WILL NOT Griggs-lal n. Roo 128 I III I III I III I II I I III BE ACCEPTED BY THE STATE BOARD 1821 Unlverslly Ave., St. P a -MN 55104 IAI JI 11 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ??E13-a00001-os 10, see instructions for completing this form on back of yellow copy o(~ / I/(B ( ! 5 "X" Below Wc.'k Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt, Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service trance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Amps Transformers Above 200-Amps Above 100 -Amps Signs Inspector's use Only - TOTAL SO Irrigation Booms !~L Special Inspection Alarm/Communication THIS INSTALLATIO AY B DEVI SCONNECTED IF NOT Other Fee COMPLETED WI B M I, the Electrical Inspector, hereby Rough-in f Data certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e G l ~ Is, See instructions for completing this farm on back of yellow copy s 9J W" Below 14io Covered by This Request Ne Add Rep. - Type of Building Appliances Wired Equipment Wired Heater Electric Heatin Load Management *Other *Contrhutof's e Temporary Service cel- Other (Specif Remarks1 Compute inspection F Below: # Other Fee Service Entran S e Fee # Circuits/Feeders Fee Swimming Pool ;4 0 to 20 Amps \ 0 to 100 Amps Transformers A ) Above 2 0 ps Above 100 -Amps Signs r Inspectors ua o / TOTA,L So Irrigation Booms i S ecial Ins ectio Alarm/CommuniCati'on. t'ITINSTALLATION MAY BE ~RDERFD-Of$ CONNECTED IF NOT Other Fees/ . ; COMPLETED WITHIN 18 MONTkS.`- l, the Electrical inspector, hereby fle--ugh.n Date certify that the above inspection has Final Date been made OFFICE USE ONd ' i This request void 18 months from - 0-1 0-951 95 //3, Request Dat~/~ Fire No Rough-In Inspection Requir Inspection Other The gh-In (You mu call mspeMOr w en ready) ❑ Reatly Now WJI Notify Inspector Vas No Osle Ready I ❑ licensed contractor owner hereby request inspection of above electrical work at. Job Address (Street Box or Route No ) City 13,73 C'ame16~ ~ Ic L~_ I =ship Township Name or No Range No County Occupa,ont,IlPRINT) Phone No. 70 Power Supplier Address rho ncaall Contractor (Company Name) Contractor's License No r 't)mP0wVt(~_ 1- McAln ddress (Contractor or Owner Making Installatian) 6DJ Authorized! Sig ureontractorlowner Mak Installam Phone Number ~Fs`~ -43"676 MINNESOTA BOARO ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roo -128 BE ACCEPTED BY THE STATE BOARD 1821 University Axe, St. P , MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED, INSTRUCTIONS At or before commencement of any new electrical -installation, the person respor'sibie to' making such installation shall submit to the Board a Request for Inspection in a form prescribed by the Board and the inspection fee for such installation. Fill in all information in detail with particular attention to address. If in the rural area, draw ;i map on the back of the white copy for the inspector. Also, fill in the section, township, ran9c. county and fire number. Complete information on amount of work to be done. Consult f+,c schedule for correct amount of inspection fee to be submitted. Now consult your power supplier on capacity or location of service equipment if such is to Iii, installed. Electrical wiring must be installed in accordance with the current adopted edition of 1114- National Electrical Code and the current adopted edition of the State Building Code who 1, applicable. Before insulating, sheetrocking or paneling, etc., filling trenches, pouring concrete, etc fhc inspector must be notified in reasonable time to complete a rough-in inspection prig concealment. exclusive of Saturdays. Sundays and Holidays. Inspectors take phone calls at their residence, Monday thru Friday, 7:00 to 8:30 a.m. (1111\ Make proper arrangements with the inspector so he may gain entrance to the installation make inspection. Send a key by mail to the inspector or leave a key with instructions on hc\\ to find it. The white and pink copies, together with fee, are to be sent to the State Board of Electricity (See A -B - C for proper distribution of all copies.) A. White and Pink Copy - Shall be sent to the State Board of Electricity. All fees ~I ;all accompany these copies in all cases and are to be made payable to the State Bc)+Iid of Electricity. If in a rural area, draw a map on the back of the white copy for tho inspector. B. Blue Copy - This is the certificate portion to be filed with the electrical rililit~ company supplying power when the electrical installation is ready to be connect(, 1 or reconnected for use. The signature will be a carbon copy, which may not satisfy the power company. If not, the responsible person must resign the blue copy boio? mailing it to the power company. PLEASE NOTE: Before this copy is filed with the utility company, the Ism requires that the white and pink copies must be on file with the State Board of Electricity. C. Yellow Copy - Retain the complete copy for your records. A Request for Inspection becomes void 18 months after the issuance date. It is t!", responsibility of the person doing the wiring (Electrical Contractor, Installer, Spc(,.ll Electrician, or Owner) to file with the State Board of Electricity a new Request for Inspection with the proper fee upon the expiration date of the original Request for Inspection fo a work not completed. STATE BOARD OF ELECTRICITY Griggs Midway Bldg., Room S-128 1821 University Avenue St. Paul, MN 55104 (612) 642-0800 OFFICE HOURS MON-FRI 8:00 A.M. - 4:30 PM. 142- --i5 $ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodeliRsoair Requirements • 3 registered sde surveys showing sq. ft. of lot, sq. R of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan slowing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate d home served by septic system for additions . 3 copies of Tree Preservation Plan If lot platted after 711193 • Rim Joist Detail Options selection sheet (hldgs with 3 or less units) DATE h2- AD 2- VALUATION l-D 1-I 5 O O SITE ADDRESS 12--1---) Carne i r,ne V_ _0f- MULTI-FAMILY BLDG _Y _N TYPE OF WORK _Ti FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ~r Y~enu ~c~o~tno STREET ADDRESS CITY STATEZIP TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER Cor c~c>> c-i TELEPHONE# 451p 54-1 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths FE3V Mechanical Contractor: Phone # 11,11 p Mechnical system includes: Air Conditioning e : Heat Recovery System Sewer/Water Contractor. Phone It - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican»~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102