1370 Camelback DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1370 Camelback Dr
Lot: 6 Block: 4 Addition: Fairway Hills
PID:10- 25600- 060 -04
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
PERMIT
City of Eaan
e- Fireplace Construction Type:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
Kevin R Noreen
1370 Camelback Dr
Eagan MN 55123 -2146
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA084694
07/28/2008
ePermit
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.
4 0 . fe
I :d
T?rfiftratr of lOrrupaury
tttp of (eagan
EPvar#ttpttt rrf l1T[Ibt" JnapPtttQ11
f ' ?T
This Certificate issued pursuant to the requirements of Seciion 306 of the Urriform Building
Cade certifying that at the time of issunnce this structure was in cornpliance widft the various
ordinances of the City reguluting 6uilding construction or use. For the following:
Use C9suificadon SF MIGAR Bldg. Permit No. 16 146
OccupancY TyPe R3/M1 Zooing District Ri. TYPa Const. VN
QwnerofBuildiag M"I'D OGNSR• '• pmrm 1212 RIk3h31TT. $Y RMs $'V=
e.Aai nna- 1370__ " I)RIIIE M. B4. FAMAY ET3S
Date: APRIL 26, 1989
r ewiaine affic; , •
PpST IN A CANSPICUOUS PLACE
PERMIT #
PWMBING PERMIT
RECEIPT #
CITY OF EAGAN ?
? 3030 PILOT NOB ROAD, EAGAN, MN 55122 DATE: -'- -f?" ?' ?
? CUNTRACT PAICE: PHaNE: 454-8100 6,1
! Site Address BLD . TYPF. WORK DESCRIPTION
t Lat ??? ,`"? Sec u s. ??f? New 'f
. Add-on
, Ne ,.? f. 1^', ' mm. Repair
$Other
. i ddre 0 ? C ? City Phone RES. PLBG. OMLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTA.L
J-- j ?-Water Closet - $3.00 ?i _.-
f ath T
.,; ubs - $3.00 - `• ?
Cddres ; L i 7 _ ? Ph ne Lavatory - $3.00
W ty ? Shower - $3.00 ?• ?
itchen Sink - $3.00
?
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1?k OF CONTRA T F ? Laundry Tray -$3.00 ??-?
; APT. BLDGS - GOMM RATE APPLI ? Floor Drains -$1.50
j TOWNHOUSE & CONDO - RES. RA APPLI L Water Heater -$1.50 ?`?0
' MINIMUM - RESIDENTIAL FEE - 2 Whirlpool -$3.00
? MINIMUM - COMM/IND FEE - .l0 Gas Piping Outlets - $1.50
? STATE SURCHARGE PER PERMI7 . (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GO Softener -$5.00
BEYONd $1,Op0A0) Well - $10.00
? -;.,-Private Disp. - $10.00
,.?_.,.., _ ?? ,r ?:• ??? ' '.? Rough Openings - $1-50
, }•_.-
SIGNATURE OF PERMITTEE FEE:
STATE S/C: ?c
r -. . . ' r,'?
? FOR: CITY OF EAGAN GRAND TOTAL: -'
?.? : , . . , . ?.
, PERMIT #
PWMIJlNG PERIIAIT
R
IPT
C
E
E
#
? CITY QF EAGAN
3830 PILOT' KNOB FiOAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE PHOME: 454-6100 "
. Site Address BLD.G: T1fP.E WORK DESCRIPTION
?Lot ?Block Secl? u??,
? _ +,?Re`s. ','` New i
,?
•,: `,, '?u?t.' Add-on
? Name Repair -?
? ;Address 40ther ?
c .• City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
j ?'. , '?' ' •. ? ... NO. FIXTURES TOTAL e?
L
lVame l '
' _,=Water Closet - $3.00
Y
c 77
Addre" -
"._
7- -Bath Tubs - $3.00
'
?
,.
ciry. ,41 Phone? Lavatary - $3.00
A?
" .r .
'''? Shower - $3.00
'
L._ ,.
r
J ? 4Citchen Sink - $3.00 -
-?-?-
FEES I ,`? Urinal/Bidet - $3.00
? COMM/IND FEE -146 OF CONTRAaT F.EE' ',,1' Laundry Tray -$3.00
r:
$
`
APT. BLDGS - COMM RATE APPLIE$
TOWNHOUSE & CONDO - RES
RATE APPLIE
S j ? 1.50 -
Floor Drains -
{ Water Heater -$1.5a
;
.
i MINIMUM - RESIDENTIAL FEE $1 2,bff ? " Whir4paol - $3.00
MINIMUM - COMM/IND FEE Gas Piping Outlets - $1.50 -- „
' STATE SURCHARGE PER PERMIT ,58' (MINIMUM -1 PER PERMI'1)
It ''•',
'(ADD $.50 S/C IF PERMIT PRICE GOES ? Softener -$5.00
- $10
00
W
ll ?
BEYOhID $1,000.00) e
. ;
Private Disp. - $10.00
?-Rough Openings - $1.50 - ?
StGNAT4SRE 4F PERMfTfEE ? FEE
STATE 5/C:
'
FOR: CITY OF EAGAN GRAND TOTAL -
y,
? ,.
BUILDING PERMIT
To be used for ::- t' DWG/Ce:
Est. Value
Site Address 3 370 CA"•fFLB.Ac;K DR
Lot ` Block 4 Sec/Sub. ?`????'??•_' i-11LL4°
Parcel No.
W Name ":C1X>NALD COivSiRiJGTTO'+, INC
o Address 12? " t?i.i.ft.:Bi?..??. BzY 't?
City BiiReJS+TII,Lr: Phone ?i3's,,'j 'A6
?? Address
? City 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.
5ignature of Permitee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-$100
Receipt #
190 '
aFFICE USE ONLY
Occupancy R"1 p';l- I FEES
Zoning
(Actual) Const Y-N Bidg. Permit
(Aliowable) "i-N Surcharge .?2' lj,''
# of Staries
541
Plan Review
327• C?,'
Length
Depth 4' 1 SAC, City 100 ' `' C
S.F. Total - SAC, MCWCC 5 -, 5`("? o
S.F. Footprinis - ?-180• 00
On Sife Sewage _ Water Conn
On Site Well Water Meter 90•00
MWCC System
Acct
De
osit 30.0;,;
Ciiy Water X?L p
. 2 0.
1???
PRV Required _ SIW Permit
Booster Pump - S/W Surcharge 1 "0F'
226'0C
Treatmem PI
APPROVALS Road Unit 3 40 '?'?'?
Planner - Park Ded.
Council -
BIdg.01f. _ Copies
V
i Z rv9 7.'CICz
'
ar
ance - TOTAL
Permit No. Permit Hulder Date Telephone #
WATER
L
SEWER
PLUMBING ?3;.? ? ? i?? Q.?,? . ?? ?
H.V.A.C. jC*?I ? c r? ? CC!?
EL£CTRIC G?7,7,,17 % % ''Gc C.
Inspection Date Insp. Commerns
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ;- - : i •? %?
_
A f?,= 1 r . ? ??' •
lsul. I
Firepiace ay?Q
Final Htg. ba
Final PI6g. -
Const. Meter Plbg. Inspeclor - NoGfy Plumber
Engr./Pian
Bldg. Finai
Deck Ftg,
deck Final 2.? ? PO /?6 c j i NCr ?,Lo L? f ?yo ? ir
Well ?T rL40- TC,?Oc vO
Pr. Disp.
P R T"
CONTRACT PRICE
E Mt
PLUM8ING PERMIT RECEIP'
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-8100
Site Address
Lot Block Sec/Sub `
? Name
Address
c City - t Phone
Name
,
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
SIGNATURE OF PERMITTEE
..?
BLDG. TYPE , WaRK DESCRIPTION {
Res. New v"
Mult. Add-on
Comm. Repai r
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Nq. FIXTURES TOTAL
_4-Water Goset - $3A0 ?
a
_i:k_Bath Tubs - $3.00 ?
-1 -Lavatory - $3.00
41 Shower - $3.00
d Kitchen Sink - $3.00
'x
UrinaVBidet - $3.00 `
00
Laundry Tray - $3
/
.
-
-
Floor Drains - $1.50
L_Water Heater - $1.50 ?
Whirlpool - $3.00
Z Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough 4penings - $1.50
FEE:
7
STATE SIC:
CITY
r ? ? •
Site Address
Lot 12) Block
? Name
?c Addre
c Ciry ?
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
S-
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
G
. TYPE
BLD WORK DESCRIPTION
?
Fies. New
Mutt Add-on
?
.Q„ Comm. Repair
Phone
? Name
c Address
p Ciry ,44h? , Phone
TYPE OF WORK
Fvrced Air M STU OE
Boiler M BTU $_
Unit Heater M BTU $-
Air Cond. M BTU $_
Vent CFM $
G8S Piping Out18fS # ?j-
Other
FEE:
$/C. L' I
TOTAL• • ? ; ?? •
_--_.Other
FEES
RES. HVAC 0-100 M BTU -$24.00
AUUIIIVIVAL 5V M tilU -
(RES. HYAC INCLUOES A/C ON NEW b.UU
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiIAIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTFiACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 5/C IF PERMIT PRICE GOES
BEYOND $1,000) '
. ?
l ;
?
51GNATURE OF PERMITTEE ?
FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMITDATE 2 3 /3 9 -
WATER PER IT #SEWER PERMIT #
METER # 4-113 2 3 ? B.P. RECEIPT # 91306
READER # ? (;Z'9 B.P. RECEIPT DATE 2122f 89
METER SIZE
15SUE DATE -PRV - BOOSTER PUMP
SITE ADDRESS
LOT ? BLOCK `# SEClSUB
APPLICANT:
ADDRESS: ??f ?... Pj L,, -f ',s I t, ?-:t?A. ?116
CITY,ST,ATE P':.frrzz:vl (e , 'V1r'P ZIP
PHONE: 14-Z I - -7564??
PLUMBER' S? A-1' -PItan'i &.xl
ADDRESS: 1012 LI ! ?, • .., _.
CITY, STATE T?'? C'{?r.3 ?,??,?:;??•?7 ?J ``J ZIP =?6'`42?
PHONE: ?_-BH- L4Y I-IP
OWNER:
PERMIT REG1UE57EU
? SEWER t?WATER - TAPS
- COMM/WD
NEW
L-RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGA4.'ORDINANCES:
'i'°a`?' ??'y~J.?. ?.:? ?'"+.'yS?r,r?y,'< -?-""'? f
J??.i'? f:1.
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE: ? (;? ?.?
V P14W ??
PLEASE ALLOW TWO WORKING DAYS FQR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
? 3$30 Pllpt KIIOb Rd. pERMIT C
P.O. BOK 21199 WATER PERMIT #
Eagan, MN 55121 METER #
READER #
METER SI2E
ISSUE DATE
?
SITE ADDRESS
LOT - BLQCK ,..? SEC/SUB ::`.?.r";
- ?,
APPLIGANT: ...
ADDRESS: - ? ; ' <? k :? •..
GITY, STATE ' ZIP -
i,
PHONE:
PLUMBER:
ADDREBS:
CITY, STATE .' ZIP -
owNER: ,? -
ADDRESS:
CITY, STATE ZIP
PHON E:
ONLY
SEWER PERMIT #
B.P. RECEIPT # 1417,06
B,P. RECEIPT DATE 21' 2t ' 1 "'
PRV - BOOSTER PUMP
PERMIT REOUESTED
SEWER WATER _ TAPS
_ COMM/IND ° RESIDENTIAL
?- NEW - EXISTING
I AGREE TO CaMPLY WITH CITY OF
EAGAN,ORDINANCES:
--,,{
;
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CUNTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-61 QO
BUILQING PERMIT Receipt # ,
To be used for Est. Value $101' , =) Date F3iB i' 1'
Site AddreSS 1370 CM`'?LikACK PH
Lot 6 Block 4 Sec/Sub. FAjRY'tA1' HTLLB OFFICE USE ONLY
ParCel No. Occupancy R-3 11-1 FEES
&-i
Zoning
W Name ?CDON+A?L.T) CONSTRUCTTOP?. T.:X (Actual) Const BIdg.Permit 654+00
? Address 1212 BLifEB1LL BAlf [IL' (Allowable)
-
Surcharge 52.?4
o ,
Clty BU1tN5YILLk', Phone 431-7566 #of5tories
327
00
5t?0 Plan Review .
Length
? Name a?'?E Depth ? ? City
SAC 100.00
Z
?? Address S.F.Total - ,
SAC,MCWCC 575•0
`?
r CIty Phone S.F.Footprints -
Water Conn 580,00
dn 3ite Sewage _
? W Name On Site Well - Water Meter 90.00
?? Address MWCC System ?
xx Accl. Deposit 3G.00
? W City Phone City water
5/W Permit 2?? a?
PRV Required _
?
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge 1-00
inforrnation is correct and agree to comply with all applicable State of 2?g
??
Minnesota Statutes and City of Eagan Ordinances. Treatment PI .
Signature af Permitee • APPROVALS Road Unit 340.00
A Building Permit is issued to: Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicabls State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies
Building Official Variance - TOTAL 2,997.00
• . . . PERMIT #
" PLUMBING PERMIT RECEIPT #
CITY OF EAGAN A
3830 PILOT KMOB ROAD, EAGAN, MN 55122 DATE:
t GONTRACT PRICE: i?'=•,??: r4 % PHDNE: 454-8100 =3
V.
Site Address S 7
Lot Block ec/Sub
Name - - •?
m Address
».. ...?:
,?.
c City Phone
? Name MlNffE } W.
? Address 1461 94th LANE N.E.
p City BLAINE. MRbn55434
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $2U.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYO.ND $1,000.00)
?
. . 1
? ?
l?
'- _
SIGNATURE OF PERMITTEE .? -BLDG. TYPE WORK DESCRIPTION
Res. New r Mult. Add-on +I
Comm. Repair ._ ?
(llhcr
FOR: CITY OF EAGAN
NO. FIXTURES TOTAL '
Water Closet - $3.00 $ I
Bath Tubs - $3.00 I
Lavatory - $3.00 ,
Shower - $3.00 - '
Kitchen Sink - $3.00 '
Urinal/Bidet - S3.00
Laundry Tray - $3.00 i
Floor Drains - $1.50
Water Heater - $1.50 i
Whiripool - $3.00 I
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
J ,
-Softener - $5.00
-
well - $10.00 i
Private Disp. - $10.00 I
Rough Openings - $1.50
FEE: '
STATE S/C:
GRAND TOTAL:
DATE: 2/23/89
- - RE; 1370 CAMELHACK DR., L6, B4, FA7.RWAY fl1LLS IST
-X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Raad) until the meter is picked up. BE SURE TO
CALL PUBLIC WQRKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
tYour Sewer & Water Permit for the above property cannot be completed for the following
; reasons:
f} r
?
4w1
_ Your Sewer 8 Water Permit for the abave property has been completed, but the meter cannot
be issuled or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter sixe must be
confirmed by Bill Adams ar Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFOR,E DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETG.
• - RE?l11RED BY LAW.
•GONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspectians Dept.
DATE:
2/23/89
1370 WAMSLBACK DR., I.6, B4, FAIRWAY HILL3 1ST
X Your Sewer & Water Permit for the above property has besn completed. It will be held at th9
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
? Your Sewer & Water Permit for the above property cannot be completed for the fallowing
reasons: ,
m
d•
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until furiher notice.
.? COMMERCIAL PROJECTS QNLY: Please pay far meter at City Hall. Meter size must be
confirmed by Bill Adams or Diric Hause (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
I - REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON PaLICY.
Secretary, Building Inspections Dept.
BLDG. PERMIT NO.
?ce 610 CfZ Ll
01-3210 Bldg. Permit
01-3422 PlanCheck
?
C? 01-3445 Surch./Adm. 1 oC.n
? 01-3446 SAC/Adm. 5 -75
i? 01-2155 Surcharge
? 75-3860 Road Unit ()o
20-2275 SAC J cP CI Q 15
20-3865 Water Conn. C) C)
20-M8 Water Trmt. oo
20-3716 Water Meter ? ao?
? 20-2252 Axt. Dep. 0 0
? 20-3713
20-3743 Water Permit
Sewer Permit
79-3866
28-3855 Sewer Conn.
Park Ded. ? 00 ,
TOTAL ?? q rl 1 a
??
s/ai/e y
F 04 "729,C? s:
Requ t oala
? Pire No fio -i Imspectlon
I qy ' p
I R
? No
Reatly Now
oLfy Inspeclor
When Re9tly?
I censad contractor ? owner hereby request inspection of above electrical work at:
JobAd Sireet o aWeN Ciry 4-
$ecbon No. Township NamB or No RargB No. Caunly
O t7INT) PZo 6
Prnva Supplrer ' AdErex
71
Elecirical Contraclor (COmpeny Name)
KENDRICK ELFCTRIC ciar5 "ceirse No.
MaiLneP4T4(JYV rZV41V0eM ii 1Y
AuCio' r g io Phone Number
MINNESOTA STATE BOMD OF ELECiIi1CRY TF11S INSPECTION REOUEST WILL NOT
ary99s-Midway BIAg. - Noom S1]3 ' 8E ACCEPTFD BV THE STATE BOARO
1821 Univerairy pw., $t. Peui, MN SS10C UNLESS PROPEfl MSPECTION FEE IS
Plwne (812) 642-0800 ENCLOSED.
3?v7// tS `j REQUEST FOR ELECTRICAL INSPECTION
- ?- " ? See inslmctions Iw compleeng this lorm on back ol yellow copy
F 04729 'X" Below Work Covered by This Request
E&00001-0]
" 'i
ew A Rep. TypeatBuilding AppliancesWired EquipmentWired
Home Range Temporery Service r
Duplex Water He r Elearic Heating
Apt. Building ?ry Other (Specify)
Comm./Intlustrial mace •
Farm Air Conditioner
ONer (apenly) ConlraQOrk Remarlca'
Compute lnspection Fee 8elow:
# Other Fee # SerriceEntranceSiza Fee Circuits/Feeders
Swimming Pool 0 to 200 Amps o 100 Amps
Transiormers Above 200 _ Amps A6ove 100 _ Amps
$igI15 lnspacbrS Use Only:
Irrigation Booms Q
?
Speciat InSpection 1 /J,S
•
?
AIarMCommunication G
`
O[her Fee '
I, the Electrical Inspector, hereby gn-?n , _??
c0rtify that the abovC inSpBCtion has
been made. ?Fmid
OFFlCE USE ONLY
TNS request wtl 18 months Gum
&-ma
2005 RE5IDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Qn ! 4 ! 057
Site Street Address 1 -/5-10 CamelbGIC? DP, Unit#
Propeity Owner RUbo-t 0b;-@p r) Teiephone #( (oSI) 696 0,319
Contractor r I peWO}'t?s Telephone# (.bSI) ?Jb S I
Address,30U niAd Rd City ?Q Gi 0l1'-) State_L/ N Zip S5 123
The Applicant is: _ Owner x Contrector _Other
Alterations to existing dweliing $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater-complete next
_
section if instaliing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
? Water Softener Water Heater $ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
[Total $ 15 -5 0
i hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. ?
T«m +tu
ApplicanYs Printed Name
JAN 1 9 2005
? CITY OF EAGAN N? 16146
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINGPERMIT Receipt#
Tobeusedfor SF DWG/GAR Est.Value $104,000 Date FF.R 79 , 1982.-
Site Address 1370 CAMELBACK DR
LOt 6 BIOCk 4 SeClSub. FAIRWAY HILLS OFFICE USE ONLY
Parcel No. Occupancy R-3 M=1 FEES
R
1
Zoning =
w Name MCDONALD CONSTRUCTION, INC (AC(ual)Const V-N Bltl9 Permit 654.00
Address 1212 BLUEBILL BAY RD (Allowable) V-N
S
h 52.00
o
City BURNSVILLE phone 431-7566
xof Stones
54' arge
urc
PlanReview
327.00
Len9th
o Name SAME oeptn 48' snc, cy 100.00
.
a
o Address SF.TO1al - 575.00
u
? City Phone S F. Foolprinis - SAC,MCWCC
580
00
Wa1er Conn .
On Srte Sewage _
?
ww
Neme
On Sde Well
-
Wa[er Meter
90.00
i? AddfBSS MWCCSystem IDL
30
00
A? ??°S° .
¢w City PhOne Ciry Water Sf'N Permit 20.00
PRV Required _
I hereby ackno
wZK that I have read this applicahon and state thai [he
Boostar Pump
-
SNJ Surcharqe
1.00
informa[ion is co ec and agree to comply with all applicable State of
Mmnesota StaWtes iry of Ea an O mances. Treatmem PI 228.00
Signature of Pertnitee Xe APPROVALS Road Une 340.00
A Bmlding Permit is is to: CDONALD ONSTRUCTION %a^"ef - Park Ded.
on the express condiho at all work shall be done in accordance wdh all Council -
innesota Statutes and Ciy ol Eagan Ordinances.
applicable State of
M gi?, pry _ Copies
,
/{
I 1:N 01A, fn
.A
Bmlding Olficial
Variance
-
TOTAL
2,997.00
-
1989 BOII.DING PEHMIT APPLIC9TION - CTTY OF EAGAN
SINGLE FAMILY DWELLINGS
I G 14?
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
AiOTEs ADDRESSE4 FOH CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WfiICH ADDRFSS
IS DFSIRED. NO CHANGES WILL Bfi ALLOHED ONCE SLTILDING PEAMIT I3 I3SOED.
MOLTIPLE DWELLINGS RENT9L ONIT3 FOR 3ALS ONIT3 0 OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT.v 1 SET OF ENERGY
CALCULATIONS
COl4IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: S' e''" ,va ? Valuation: Date: a - i-7 - a9
A `
Site Address 137p ('.n1nA6- kc-t5,(- OFFICE 03fi ONLY
Lot (,p_ Block _L4
Parcel/Sub =
Owner Mcl?,.x,?ci Con1E1 [UCf i o,.j 1n?r
Address LZIZ $?u? i II *Ra.5 *PIC'I
City/Zip Code $,iMrVjjje?Wia) 5533:7
Phone H31-'7564o
Contractor 04? y;b-ale
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Oecupancy
Zoning
Actual Const u///
Allowable
# of stories
Length
Depth Y fL_
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System r/
City water i/
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
Bldg. Off. ? 2?ZJ
Varianee
Couneil
F'TC3
Bldg. Permit ? 5 y
Sureharge Sz
Plan Review 327
SAC, City COa
SACt MWCC 5'95"
Water Conn Sd?D
Water Meter ?O
Aeet. Deposit 30
S/W Permit aD
5/W Surcharge /
Treatment P1. zz p
Road Unit 34/0
Park Ded.
Copies
TOT9L '1.Gq?i•00
NOTE: Sewer & Water Permit fees and account deposit fees irill be ineluded in the building
permit fee. Processing time for aexer and siater permita ia tvo days once a licenaed
plumber has applied for a permit at City Hall.
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AOBE CONSllLTiH6 ENt31HE£!i5,
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ENGiNE£SING ptAHHE9S nnd IAHD Si1RYE'IO!!S COM[?f?NV, INC. 1000 E7?5T 14f'.S SiRf-', BURH=VSLLE, Y1NH£=CTA SS337 PH 4Z2-300Cer?z?i c?z?e o? ?SuT'v',e y
?e?c1 ?7t.scr?p2icr_: LOT 6, 9[-o61;? 4, FA/RWAy 14/LL15,
. 1114K07A COUN7Y, M/NNESoTA E A G A N
R E V I E W E D
BY
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?-'7-?j
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? MF
r? Co?s'S'31 Ca'9 .
?oas\ C'?"
30' FRO/JT BUILD//JE
E
9SETBAClC LINE
a
M es °a 2B ??Ozj.
M ^'
? ro a
.,
E vi '?-- ??''
GFS
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?i te Z?z1-g? ,
. _ -?.
EAGAN EIV NEERINCa I7Ep7'
? C 26 O
. ? / ? ?Rs8 Qo °
02 \ ?
C%??7.-8? DENOTES EX15T/N6
CLEV47-16N
DS/OTES PROPOSEIJ
? ZZ 6? 5/ / ? 28• ) / ?? n??' ?\ EGEY/1 T/OA!
11091CAT5.5 D/RECT/O&! OF
\
SuRFACE DR9/N.4GE
F,GOOK .EC.EY,qT/oN
DILQIn/qGE AND
?''•• ? ?02 t/FlL1TY ?5E'MENT
? rO
?
I hereby cariif that thia is a t:ue and carreet rapraesntitioa of a tract of
land asahown'and described hernon.• Aa preparad by me on this /6"W 'd:y ot
?EBKuA.?Y s 19 84 . - .:
_ .?.,.?._Hinn. ?RsE.?Ko. 160B s
. uxix ve ilUI1,UIl1U UEPAIi'll•Illll'r
• ?:X'lEliluli E:l1V?:l,OYFJ AY?:IiAUE-IfUll p01'IYU'rA'rI011
• '.' ('fa be suLm3,bted ivith 6uildlug perwlti appliaaEion)
ne or Two Faiaily Uwelling oNner
11 other naareen 13 '?D C? ?/6??F '.
fovtreotor Uate Ylione
LIIIBAL FEE'C Ok' /I??q . U ' . '
EX{?OSEV YlAI,L jE, g}?oYe grade Z-?
, • 'LYJ'lAL EXF'08F:b WALL AliEll 6q. F'1'O
oPAqUE VIA[.L CotlsTilUU'PXollt "Ull Ya].ue x Area
UBfail ' IIU11 „qd ?? 7C..gQ:,F?r: IIV3r
_L
re[erenoe F ?????--r1Y o?'Ir? x 8fj, F'r, 7-1 r = , (U)(A)
Iroro ? TZ-I wn u?u lo.:}O x gq B"C o n ,D ?U) (A)
attacliea x NQ. I'T. ? MA)
sheete npn x 8Q. FT. v (U)(n)
. qpn x pQ. FT. _ 0)(A)
V71?IUOp181 "U" Val.ue x Area & mype Jt?c.? ?I J )t ?
?? „ ?wrrs liull 13co x sn. ??r. (u n
it x eq. eT. - tu)(n) ?? „ upu x aQ. F"r. ? ?U)(A)
npl? x 6q. H"P.
WUligt "U" Valua x Area .
4lnlce & TYPa ,?7g--S u n . .•
u n _ l`ct'KIUy?.? u? ii x 9Q. F'P. , ???) (n)
n n - 1j"I x 9?2. F1'.
n ti npn . x 8t(. F'f, a (U) (p) .
. ? liull X sq. Fm. _ (u)(n)
7OTnr.s?.4?.?,Z?v sq. r°r. ZD'?iZ1 '? (u)(e)
• nvEIinuN-liuii
'roTnt, (u) (n) vnt,uES •`???'? .4 , .
UIVIUEU IlY TpTAI, 11ALT, A12EA
? Z4 /t4?zc3 I'
AVEIiAQE ItUll 115, ok leee tor 1&2 tamily dwellinge ,
IiooF/OEILIIIU 1 '
TO'CAL AIIEAI u L. , ., ,. . .
Uetail reierenae ' liUll
Iram n LOZ,? ? • x 8t?. F'r.I?DG? ?On(U)(A)
' ?ii 8 •• ??1??1
attaclied slleete. Illlll 8q. P'f.
X 8q. F'P. W (U)(A)
Uaecribe opeulugs 'nUn R gQ. (r'p. _ (U)(A)
ill roor. Ilu 11 x sR. M.?= tU)(n)
??QTAL (U)(A) YALUES UIYillCll DY ?J7J ? .nw7??hL511aa;),;?.rr `UYA>'
1'O'lAL 11DOF/OEILIIIU-AIiEA . •'r
I cv4? :,,,.
AVENAUE l'Uti .025 to? veuEilaCed roote. / Q"?? ? . ?/, . • r- "
_..?? . . ??
4e.o -Ic,- 5
5qA 4?5,-"
11?l
llt
I
l I
.s9-xC?-???-?-s+?-s)= ?? ?,,z?
kwwFt(o"Lx I8? ? ? `?l
? ,?3X ?v2 = 1?1?Uc?
3- zox3z = 1?X1 = I?.?
a GrdcPf2= )-w- rz??
Z' ZPX3cU = ,C I = I4/o
Zvxcoo = i l )?+: 44?n
Z- Z4Xq'°o ` ZZ, 6 x 3 ? (p-l , .";
Z?z,+x3cv = 1,71sX z = ?5? o
v,75'
3-zox3c,a ? 21Z='4 z?,
,,-?-..-?
-?4 I,zS
31? ?, Wl = ZS- v
SEj? vj? ? zl, o 19
smuw1 =42.to
91,0
,? _ h?6
1 r,Odo
649?-?
?55
ti
N
t?en awAt?G
WAk, eMv? ?e} 7/v, zv
Awaf / ZI , 9`f
'lV,, (5fAv
Wp+/? 5 ??Ir ZS
p(Z.Lj ? ? ? O
° (?oS. ZS
1g71,o 3
--V7AI,L SECTION--
Determining "U!l values at Roof, Wall, Rimo and Conc. Block
/'S L-L
R00
1.)
2.)
3.)
4.1
5.)
F/CEILIYdCi
Interior Air N'31m
5/811 ayp. ad.
Insulation
Esterior Air Film
(STILL)
R VALUE
0.61
.56
?5o0
.61
nUn _ 1/R= a D 2 I 'TOTAL (R) = 4"75
WALL
6.) Interior Air Filar
7.) 1" cyp. sa.
80) Insulation
9.) 10,) Ma:,onite 5lding
11.) Exterior Air Film
R VALUE
0.68
.45
/9. oa
Z, oq.
. 67
.17
l'Ull _ I/R= ,04-; TOTAL (R)=Z??o ?
RIM fl
R VALUE
12.) Interior Air Film 0.68
13.) Insulation /914,b
14.) 2" Fir Rtm Joist t,$$
15.) 13UILT 7_•o4-
16.) MAsonite Siding .67
17.) Exterior Air Film .17
IIUII = 1/R= , C?10 TOTAL (R)= Z,4 i-d(+
?
FOUt7DATI014 R VALL1E
18.) Interior Air Film 0.68
19.)
20. ) tzl R•?E?- ??_k?? ?q? bb
a
Zz. ) V2.11 pLY z?a4-
23.) Exterior Air F11m ,17
TOTAL (R)= 2 1iQ7I
1(?WMeP- VVoap
?vNt-->
?1??N
CLAIM VOUCHER - REF'UND REQUEST
CITY OF EAGAN
CLAIMANT7.n1RR PT.i114RTNG TNCt _
ADDRESS1408 NORTHLAND DR V$
MENDOTA HEIC;ATq- MN 55120
Loca[ion 1370 CAMELBACK DRIVE
L6. B4. FAIRWAY HILLS
Receipt No./Date 9 47R-3/fi/89
Reason for Refund DUPi.rrpTF. P. M7T
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 36.00
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 $
Utility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $, 36.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
?
MLRCH 7. 1989
„Signature Date ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138272
Date Issued:08/17/2016
Permit Category:ePermit
Site Address: 1370 Camelback Dr
Lot:6 Block: 4 Addition: Fairway Hills
PID:10-25600-04-060
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 -
Kevin R Noreen
1370 Camelback Dr
Eagan MN 55123--214
(651) 262-8433
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176245
Date Issued:05/09/2022
Permit Category:ePermit
Site Address: 1370 Camelback Dr
Lot:6 Block: 4 Addition: Fairway Hills
PID:10-25600-04-060
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Kevin R Noreen
1370 Camelback Dr
Saint Paul MN 55123--214
(651) 262-8433
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature