1385 Camelback Dr
Use BLUE or BLACK ink
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of Ea
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38X Pilot Knob Road Permlt Fee:
;
Eagan MN 56122 ' Date Received:
Phone: (651) 6754675
Fax: (651) 675-5694 start '
INFLOW & INFILTRATION PERMIT APPLICATION
V`~ Plumbing I Sewer & Water
Date: f I Site Address: m a ck- r've,.
Tenant:
Suite
e. ~G i, t!'/+/ Y'{ claPhone: -la /a 150 ~ /c~ f
RESIDENT / OWNER E
res
s / City 1 zip: /3$576r".- 1601
Name: ,lac i/ ,P&imbI ~m, ;rflC j ZS I _
license Pr's
CONTRACTOR Address: 399--~~(~ 1 U'Gtt"1't , i ' City: A-7a4 "1
yy~~~
State: - _IVA) Zip: !55/23 Phone: ~a I r g// ~p
Contact: _ t GLt r r:~ Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK -Z Sump Pump Repair Repair
Other. Other:
DESCRIPTION Des iption fwork: " slim
FEES
$55.00! Each (includes $5,co state Surcharge) TOTAL FEES ~50 D
*Permit fees wiii NOT be Mirrtbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors mustaccompany this application, A list of contractors
can be found by visiting MM.cityafeag_an cowinfow, or City Hail at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you Intend G dig to receive locates of underground utilities. www.aooherstateo 2call org
I hereby acknowledge that this information is complete and accurate; that the work will be In Conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
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INSPECTION RECORD I Control No. 1332
CITY OFEAGAN PERMIT TYPE: "Ital"
3830 Pilot Knob Road Permit Number: 001946
Eagan, Minnesota 55123 Date Issued: 14dr81</~~
(612) 681-4675
SITE ADDRESS: rQT, 16 8t tiCK : 3 APPLICANT:
1356 CANCLOACK an t italtlErt00pRdCe 1LOAS IN*
FAIRWAY HILLS (617) 696-"Il
PERMaIAT SUBT
YPE: NISH TYPE OF WORK: Att~e~Iaa
x-I
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
y FRAMING ZMSIILAT74N
FINAL '
Rt19ARx%- RECEIPT
$
Permit No. Permit Molder Date Telephone Y
SAN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Foohngsi
Foundation
Framing l
Roofing
Fbugh Plbg. l~~M/~ 7I/C> I'~GGt
Rough Htg. l~ Z L v
Isul.
Fireplace
Final Hg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
Tra ftratt of (Orrupaury
Citp of (Eagan
~rpartmnd of Nutld mg AWPruan
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification SL{ I74rG/GAR Bldg, Permit No. 16694
O-p-Y Type R3/M1 Zoning District Rl Type Cone. VN
Owner of Building AL 19901M OO ' Address 8723 HIQ•1W1 M W*Y, APPLE VALLEY
Bui 7' Address 1385 ruA EL MM DFaW [ ocalitY L16, B3, FAMAY RM S
AUGUST 25, 1989
Brn ding Odr&
POST IN A CONSPICUOUS PLACE
ARMZ DEM 04125/90 . ' 1
688-7972 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 t ' 74' jI Est. Value Date N 0llz 7.r 1 g f~ S
Site Address + =r C:: i .s+.~G Di
Lot Block ' Sec/Sub. ''=1i y AY 41LI.OFFICE USE ONLY
Parcel No. Occupancy - 0- FEES
Zoning R-1
CON
W Name 'wT (Actual) Const T~""xd Bldg. Permit
AddreSS r"i~HW11'.r11, tut`s' (Allowable) Surchar ~ DO
9e
•
0 City "L: : ii;.£'£*=_Y Phone # of Stories
441 Plan Review 30Z#00
Length
o Name tc Depth 4,,1 SAC. City 100. uD
00a Address S.F. Total SAC, MCWCC $75.00
City Phone S.F. Footprints 80.00
On Site Sewage Water Conn
W W Name On Site Well Water Meter ~r •a
00 3 Address MWCC System Acct. Deposit 01.00
R
a W City Phone City Water k
PRV Required S/W Permit 20'
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI A" 714 • ~Q
Signature of Permitee APPROVALS Road Unit 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 -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL a ~7 ci " s }`t
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC C~~~
Inspection //Date Insp. Comments
Footings I
Foundation L J f
Framing !Z(o
Roofing
Rough Plbg. _
Rough Htg. ]
Isul.
Fireplace I'V0,40
Final Htg. G
Final Plbg•
Const. Meter Plbg. Inspector - Notify Plumii r
Engr.lPlan
Bldg. Final ~/2 S~rQ
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
PERMIT #
MECHANICAL PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: IMO PHONE:'454-8100 For Office Use Only:
Site Address 1 3ASL Q a r ' BLDG. TYPE WORK DESCRIPTION
Lotf Block = Sec/Sub Res New
Name lk' t'r j.. ` i Mult Add-on
T Comm. Repair
Address Y#DB ('r►is ~aa.,a: ^k
c City Phone Other i
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address J;as ' ADDITIONAL 50 M BTU - 8.00
3 city Phone (RES. HVAC INCLUDES A/C ON NEW
O - CONSTRUCTION) is
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES i
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 # ! 1 BEYOND $1,000)
Other r _
FEE: r
s tl • SIGNATURE OF PERMITTEE i
S/C:
dfi ~I
TOTAL:b FOR: CITY OF EAGAN
PLUMBING PERMIT For Office Uw O ly
CITY OF EAGAN PERMIT # o ~Ca 7
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# " I L
PRICE PHONE 454-8100 DATE:
Site Ad ess 23 N !A A c it BLDG. TY_R - WORK DESCEUPTION
At Block Sec/Sub Res. New <Y
Mult. Add-on
L Name Comm. Repair
Other
Addr, s Go fiw.- C.~.:
c City~i Phone ' - 3 RES. PLBG. ONLY -COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
r~ ~ a Water Closet - $3.00 $
Name akr -7- Bath Tubs - $3.00
c Address - Lavatory - $3.00
City 'Phone Shower - $3.00
Kitchen Sink - $3.00
- Urinal/Bidet - $3.00
r' FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE T- Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES -7- Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 T- Gas Piping Outlets - $1.50
MINIMUM - COMM.IND.1FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD . SIC PER EACH $1,00 PERMIT FEE) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIG ATURE OF pV-RMrrrEE PERMIT FEE:
STATES SIC:
FOR: CITY OF EAGAN GRAND TOTAL- "C~' U
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # g91t 3 Sd d ~ PERMIT DATE 7/21/89
3830 Pilot Knob Rd. CHIP # 5 `l Z WATER PERMIT # 1067`i
Eagan, MN 55122-1897
METER SIZE ~o B.P. RECEIPT # 2646
ISSUE DATE' B.P. RECEIPT DATE 6/23189
PRV - BOOSTER PUMP
SITE ADDRESS ` ti ; ' PERMIT REQUESjED
LOT. i BLOCK SEC/SUB ws~J,R a 1 -
SEWER
tit 4 e , a %,WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND RESIDENTIAL
CITY, STATE ' 4 ! k + ZIPS
PHONE: NEW - EXISTING
PLUMBER:
ADDRESS: - r. I AGREE TO COMPLY WITH CITY OF
iS EAGAN ORDINANCES:
CITY, STATE + Zip
PHONE:
i l\ 1
OWNER: 4 _ .
ADDRESS: SIGN URE WHEN METER UED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR ST RM SEW PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE
8830 Pilot Knob Rd.
~ Eagan, MN 55122-1$97 CHIP # WATER PERMIT # 10673
METER SIZE B.P. RECEIPT # t 2646
ISSUE DATE B.P. RECEIPT DATE 6/23/89
- PRV -BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB
APPLICANT: i "'SEWER _ WATER TAPS
~i
ADDRESS:- COMM/IND RESIDENTIAL
CITY, STATE ZIP
PHONE: NEW EXISTING
4
PLUMBER:
ADDRESS: ' f' I AGREE TO COMPLY WITH CITY OF !YEW CITY, STATE ZIP EAGAN ORDINANCES:
PHONE: ti. 4 _I : t
OWNER: .
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP ?
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
BLDG. PERMIT NO. I P ` t
-o I Lk o K- 3 1 r^c +a NI i lS
01-3210 Bldg. Permit
01-3422 Plan Check q
t 01-3445 Surch./Adm.
01-3446 SAC/Adm. 7
01-2155 Surcharge 0-10
75-3860 Road Unit
20-2275 SAC
~J 20-3865 Water Conn. 00
20.3868 Water Trmt. ~a 60
20-3716 Water Meter q) 00 _
20-2252 Acct. Dep. 0 00
203713 Water Permit /d 06
rf) 20-3743 Sewer Permit ~G~ DO
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL 2
K 42507
R ue51 Dete.__ Fire No. Rough-m I an
ire09 ❑ Ready NowWill Nolity Inspector
5 G No Whan Ready?
I ~"sed contractor ❑ owner hereby request inspection of above electrical work at:
.100 Address (Sheet Boa or Route No City
Section W Township Name or No Range No. Count'
OcwpemlP, PRINT ^ Phone NoP/ _
f//vK~J) /yrJ`✓ 1`/D e
Power Supplier Moran
Electra Contractor ICOmpany Name) Comractiorb Ucense No
ww" - Le .
Mailing Andrew (Contractor or Owner Maki Installation)
30s lku-A-~ U~-4 01" SS/2
Authorize nature IContrWoriOwner akiN Installaton) Phone Number
4h =ZWdf
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Orlggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 CI 1. f ~p UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 Y/~ ENCLOSED-
REQUEST FOR ELECTRICAL INSPECTION 4° / Esoooot os
4-?507 il see instructions for completing this form on back of yellow copy 6 //Oa M~~
"X" Below Work Covered by This Request
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater ;L Electric Heating
Apt. Building Dryer Other(Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other ispecityl Contractors Remarks LV I tL.L X00 rI.X I k~
Compute Inspection Fee Below. Pic
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps _ Amps
Signs Inspectors Use Only; TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough-m ata -v~G Y~l
certify that the above inspection has Final Date
been made. 6 y
OFFICE USE ONLY r
This request wo! 18 months from
7/ay t~~' 93aS~7
F02917///,'/23-
217 3
Request Data Fig -No.' RougMn 1 bn
O RequiyaA'+ ❑ Ready Now [ ill No I Inspector
a / ~'es ❑ No When Reedy?
I Rlicensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route N ) coy
Secson No. Township Name w No. Range No. County
Occupant PRINT) Phone No.
,1 17~XI77 W D 9
Power Supplier Address
ILL&
ntractor (Company Name) i A Co rls Liwr,se No.
Malhng Address (Contractor or Owner Malang Ina[allation)
0.
LY,tJ[Z : Yhl~ ~~'37d'
m (Con ner M ng Irmta ) Phciw Numbqer
8 -
MINNESOTA STATE BO OF ELECTRICrrY THIS INSPECTION REQUEST WILL NOT
Grlggs~d IW y Bltlg. Room S•173 BE ACCEPTED BY THE STATE BOARD
1821 Univera6y Ava., SL Paul, MN 66106 UNLESS PROPER INSPECTION FEE IS
Phew (612) 6624600 ENCLOSED.
g/a ~/~9 REQUEST FOR ELECTRICAL INSPECTION Ee-ooom-/o7.~1
► See e1SWCbons for completing this form on beck of yelbw copy.
F 02917 X" Below Work Covered by This Request
Adtl Rep. Typecf Building Appliances Wired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (speafy) Comrra~ctor§ Remarks:I-,~ 1 ~ ~,~y
Compute Inspection Fee Below: r gF rCP t'om'"
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool If 0 to 200 Amps 0 to 100 Amps 36
Transformers Above 200 -Amps Above 100 Amps
Signs Inspector' Use Only. TOTAL rC~
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in Dstr7 ;V
certify that the above inspection has Final D l
been made. .
OFFICE USE ONLY
This request void 1a months from
O& FS / C' -5&CX'
9 5 2 Requ Date p Ire No 1 Rough-in InaP an
Repuired'+ eady Now ❑ Will Nohfy Inspeelw
V p yes When Ready? PIC I .licensed contractor ❑ owner hereby request inspection of above electrical work at.
J0AAddresS (Street, Box or Route No) City Fv 64
Secoon No. Township Name or No Range No County;yN f~EZ o
Owup (PRINT) Phone No.
5~~ i N0
ih,III
Power Sonnh- DK ito f-4- Address
Eleclriwl I Y~ r ( I pony Name) / -'4,7a•!/_J" Con7{ac7 Lice yo
Mail! Address (Con mMrr or ner Mc ng V~afallatbn)
Lb 4-1-.-
Aut 'z B re (ComractarKlwner n) Phone umber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggadAMway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ara., SL Paul, MN SM09 UNLESS PROPER INSPECTION FEE IS
Phone (812) 892-0880 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION e?Doom-o
► 9ee imanx Lions for completing this form on back of yellow Copy X70V
59952 "X" Below Work Covered by This Request
e Add Red' Type of Building Appliances Wired EquipmntWired
Home Range Temporary Service
21 1 Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (speofy) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am
Transformers Above 200 _ Amps 100 Amps
Signs inspectors Use Only: TOTAL .SC7
Irrigation Booms LL/ 0
Special Inspection t
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in Date
cerfify that the above inspection has Final D p
been made.
OFFICE USE ONLY
This request void 18 months from
7(~1?q ~s",5n
2006 RESIDENTIAL 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 1 l 1
Site Street Address ( ~s71 ~C~/?~~ Unit #
Property Owner Telephone # OY-) S - 3s-5//
Contractor C f Telephone # &,;t) ova/''/l rpm
Address City Stateg4/- Zip MT
The Applicant is: - Owner Contractor -Other
Septic System - New - Refurbished Submit 2 sets of plans and MPG license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
- new 4C replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
1 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 th ity of Eagan an the plumbing codes; that I
understand this is not a ermi but only an application for a permit, r not to st I out a permit and work will be in
a rdance with the a r ve plan in the event a plan is re ' ed eviewed roved.
Applicant Printed Name plicanY ignature
PERMIT Control No, 1332
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 0 018 4 5
(612) 681-4675 Dale Issued: 11 / 2 5 / 9
SITE ADDRESS:
1385 CAMELBACK OR
LOT: 16 BLOCK: 3
FAIRWAY HILLS
DESCRIPTION:
,'BuildiTn,q PerrniI lype BASEMENT FINISH
Buildin'-'yWork 'Type ALTERATION
i
% t
J
t ~t
1..5:' j, L7 ~LJ' Q J REMARKS:
RECEIPI` Coa~7~l
FEE SUMMARY:
Base Fee $35.00
Surcharge - Q_50
Total Fee $35,50
CONTRACTOR: - Applicant ST. L LOWNER:
TIMBERWORKS BLDRS INC 16860911 0006362 BECKER WILLIAM
B29 TROTTERS RIDGE RD 1385 CAMELBACK
EAGAN MN 55123 EAGAN MN 55123
(612) 686-0911 (612)681-0184
I hereby acknowledge that I have read thi% application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIG AT ~ - ISSUED : S-NATU E - - - -
INSPECTION RECORD Control No. 1332
CITY OF EAGAN PERMIT TYPE: B U I L O 1 N G
3830 Pilot Knob Road Permit Number: 001 845
Eagan, Minnesota 55123 Date Issued: 11 / 2 5 / 9 2
(612) 681-4675
SITE ADDRESS: LOT: 16 BLOCK : 3 APPLICANT:
1385 CAMELBACK DR TIMBERWORKS BLDRS INC
FAIRWAY HILLS (612) 686-0911
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR.
FRAMING INSULATION
FINAL
REMARKS: RECEIPT #
r
PERMIT # _ CITY OF EAGAN $32r,.6 p
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
681-4675 NOV 2 _
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re Lest is made or lot change is re guested once permit is issued.
Date 11 / _L / 4 2 Valuation of work
Site Address: 1385 ( Ay-AE c;44.c)C F,4&AV VMsJ S5717.3
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK SUBD. J _II gyp, P.I.D. k
Description of work: orrid~ ~iwiss4 or .~+~++r• r~++Ms
The applicant is: ❑ Owner fl7ki[Sntractor ❑ Other (Describe)
Name BEc.i-E~c,... Wf►wtA.-A t E]:kiLiis Phone 6 81 - O I D
Property LIST FIRST
Owner Address i 38s CA~Ae.Lap~e-icz
STREET STE R
City . O,&Aa.) State (Vitj Zip 5-'s1-'3
Company l l3G~tuJ are/eS /,3to/a1 -Z-A-e- Phone A86-011t
Contractor Address 0?2q Ti0,9g; ,eat AD License # 63:5-2 Exp. 93
City ~~loA/✓ State Zip 55/Z~
Company /✓~J4 Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber 1~1)+ Processing time for
sewer & water permits is two days once area as been approved.
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. -T
Signature of Applicant:
CITY OF EAGAN NQ 16694
f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121/~ '
BUILDING PERMIT PHONE: 454-8100 Receipt # ~
To be used for SF DWG/GAR Est. Value $92,000 Date JUNE -22t, 19 89
Site Address 1385 CAMELBACK DR
Lot 16 Block 3 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY
Parcel No. occupancy R-3 M_1 Fees
Zoning=1
w Name AL HERRMANN CONST (Actual) Const V ~1 Bldg. Permit 604.00
o Address 8723 HIGHWOOD WAY (Allowable) Surcharge 46.00
City APPLE VALLEY Phone 688-0696 # of Stories Plan Review 302.00
Length --4Q
io Name SAME Depth 48' SAC, City 100.00
Q,< Address S.F.Total SAC. MCWCC 575.00
City Phone S.F. Footprints
On Site Sewage Water Conn 580.00
r
$w Name On Site Well Water Meter 90.00
i? Address MWCC System _1X
30.00
aw City Phone City water A=t. Deposit
PRV Required Srw Permit 20.00
1 hereby acknowlege that I have read this application and slate that the Booster Pump SAN Surcharge 1.00
information is correct and agree t comply with all applicable State of
Minnesota Statutes and Ci Eag 'nances. Treatment PI 228.00
Signature of Permitee APPROVALS Road Unit 340.00
A Budding Permit is issued to AL RRMANN CONS Planner Park Ded.
on the express condition that all work Wwg be done in accordance with all Counal -
applicable State of Minnesota ,Statutes and City of Eagan Ordinances. Bldg Off. Copies
Building Official Variance TOTAL 2,916.00
, T
+ 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1 (0 (0 4 L/
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 DE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS i OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JUN 2 0 1989
To Be Used For:/y(6LCJ T, Valuation: Date:
Site Address /9~~ ~K. q Zt000' OFFICE USE ONLY
Lot A~- Block 1 Occupancy R-3 M-1 FEES
Zoning
Parcel/Su Z Actual Const V- N Bldg. Permit OD
Allowable V-N Surcharge 4F„00
Owner a of stories Plan Review 2.0o
Length SAC, City 10010
Address Depth U F3, SAC, MWCC -r? ,OD
S.F. Total Water Conn 900,00
City/Zip Code Footprint S.F. Water Meter c1D,c~
Acct. Deposit ,OD
Phone On site sewage S/W Permit 0.0
,~/j/• /J On site well S/W Surcharge ILO
Contractor MWCC System Treatment Pl. 22 ,00
City water JL Road Unit 3440.0?
Address 70~~ PRV required Park Ded.
Booster Pump Copies
City/Zip Code / TOTAL
APPROVALS
Phone tIOO -~~7(p Planner
Council
Arch./Engr. Bldg. Off. ~ZE4fZL
Variance
Address
City/Zip Code
Phone 0
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days onoe a licensed
plumber has applied for a permit at City Hall.
VA U A7-n ors
~A~AGE i r
z2X Z3 . sob Xis= '1590
13SMT
Z8 u 4~- I zsa x r~r_ 1t3o3Z.
1.5T FLooR-
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i~x-X 23= 35
I ~ Z 3 X 5C.:-
91'112
tataaa7a~t•
` 4L ATRRMQAIN.-
p NG IVEEflING ~ONSUII,TT pN0 iND NEERS HST.
PIRNN~fls and ~RND l~URY6YORS JV 2302 0/'
CC)MPFlNM, INC.
,1000 EAST 140M BTREET, BURNSVILLE, MINNESOTA 3333T PH 432.3900
Certificate Of survey
Leyul Descrilflluji: torts ,BZOCK•-3, FZIRWA HILLS
D0KOf!4 COUNTY, M/N/VESOTtl
DENOTES EXISTING ELEVATION '
C /o/G.o) DENOTES' PROPOSED ELEVATION
INDICATES UIREC'f'ION OF SURFACE VRAINAQE
/wL33 a FINISHED GARAGE FLOOR ELEVATION
/oat3.GZ = BASEMENT FLOOR ELEVATION
1016.66 = TOP OF BLOCK ELEVATION
Q !nl 93~oZI/4E
0, I~t M ,n /o _4
Scala : I"= 3O~ 1Q' to 76 /¢9'I
' J
IQ ~L O T\10
I
~j ~ Iva oW
~J J of ~o~ '%ois o,` I 4-1
O 0 lu 46.ee /6p 3
~m M m PROPOSED r, 1 tl•
• 01/se I
Q• ~ ~ /S+ X365 r i
3030 7. wad 0 46 I
RONT fOb 0. v
I -a~'~ zZ.oo Iq. o
jU1~4 to GSETBACTSIIVE~NG
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e1 s - H
INit
.00
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Data E 41
EAC~AN FT3 -EEfl~~:_ i)EPT
I beteby oetlity Thal this is a lous and ootieal teptesenlaUott of a local of land as shown
and desatibed ha,son. As poepated by tote all this S day of .1090
<< 1411111, neg. No. 16o8s
QE nom-.-~ -rte
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: DECK Valuation: 45c.- 2? Date:
F1?1RwAY HIUS CC0:PP F/-0r L1D ~C~9(ANMN
Site Address 13 g5 C6MEW CK DR. OFFICE USE ONLY
Lot 16 Block FEES
Occupancy
r / Zoning
Parcel/Sub r ^1 RN1L-S D3do, Actual Const Bldg. Permit N L
Allowable Surcharge
Owner Pif i LwP J. SPRmw6 # of stories Plan Review
DA Length 12 SAC, City
Address 1.3555 CO-Mof DAIOF Depth SAC, MWCC.
r S.F. Total Water Conn
City/Zip Code rJl &I}N. MN 5503 Footprint S.F. Water Meter
Acct. Deposit
Phone Lv1d, - Co g 797 On site sewage- S/W Permit
On site well S/W Surcharge
Contractor S E~ rv MWCC System _ Treatment P1.
City water Road Unit
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL In1 C
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
4L IIERRMQA~N..
Rose
G NCEflING CONfU~TINNQ SNO NttAS NS-T. -
FLOW 5 and LAND gUAVSYOA9 23O2,p/'
LN
COMPANY, INC.
IUUU LA3i 1461h 6TREET, 6URNSVILLE, MINNESOTA 3aafT PH 433-3000
Certificate of Survey
Legal Desert I lon: LOT IC ,BLOCK'3, Fd//PWQY N/LLS
Dd KOf4 COUNTY. M1 NNESO TL1
(ic2j~) DENOTES EXISTING ELEVATION
C mvc..o) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
FINISHED GARAGE FLUOR ELEVATION
6005.5-z a BASEMENT FLOOR ELEVATION
1016.66 a TOP OF BLOCK ELEVATION
~ b' B6.O
'/4E
Q~ ~(a 93.07
of INo M N /0 _q
Spalc: I"=30' Q y 1D '~S I¢,ql
IQ~ LOT/G I
IWW z
Ivy oW
y. ~ 1Q o~ p 7
Om m PROPOSED I Z n I d
'UOUSC
Q' 1 N W N A, /385 r :
, ,
30ge I,, 2700d ^I Q ~~I
UJ' Coln ~ n
I j
7-2.00 14. 0
10/6.33 b/6
Po I ii Q~ 'rRONT BUILDING
1 Ic f I BGCT LINE
i
GO)
g Cd MELBA Ck L 4
EA ;A V
I dalaby oa1111y I1101 tills to a dun slid oonsat 1apr6061110 llou of a tonal of land as allows
Slid desoolbad hsnsn. As plapslad by tole on tills S day of •~~s ,T9fft5t.
Minn, nay. No. 16065
ILI/Y
MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
j~ Adoptii/onLEffecctive 1/1/
Owner ~OT l rJ BLOwc3 FA/B~C4!~J / GJCC5 Phone -4 l Date
Site Address_lif J
Contractor Phone Zlfff
Building Classification: Type Al (Single Family E Duplex) _Type A2(Residential)
(3 stories or less
NOTE: Complete pages 3 and 4 first. ;
(Other) (Over 3 stories)
GENERAL INFORMATION
1. 3uilding Perimeter 14 ft.
2. Wall height (ground to eave) ~l ft.
~
3• 1, x 2. (above) gross wall area ? jl ~J ft2
.
4. Building dimensions (L) X (W) _ ft.2 roof E floor area
5. Square foot area of rim joist - Floor joist size (2 x , O 7 ) 3
~b ? X Perimeter = Rim joist area Z ft2
12 Jcr O
6. Doors - Area
Thickness in. U factor/ L4 4~4 7
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
8. Windows: Manufacturer. ~State approved
U factor
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2
EACH UNITS
~ .U a fG girl
9. Total ft.2 Glass 21~
10. Fireplace area: Width X height = X Ft.2
11. Exposed foundation: Height X Perimeter ( X
CFt. OMPLETION OF THIS FORM IS REQUIRED FOR ALL N~ ONSTRUC 17 ON, MAJOR REMODELING AND BUILDINGSZE
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
12.- F.•uming area ■ To% of gross wall area,
13. Grass, wall area 4,4Ce57 ft•2
Nlndow area A 7 j L 2
ft, U windows U x 'A G
Rim Joist area A ft. 2 U rim Joist 0 + U x A -
2 11 S'0
Door area A ft, U door area - , l U x A • o
_F+~area A ft,2 .
. U fireplace U x A ■
Exposed foundation- A_ / 0 (p ft.2 U foundation ■ U x A
Framing area A 2
ZIP I'l,"? ft. U framing area ■ . ' . U x A • Za
Net wall area A QQ ft, U wall D~f zj U x A (00,
(138) TOTAL . . . . . . . U x A •'L32, `
14, Gross wall area x 0.11 (A=l single family b duplex allowable U x A/Code
(13. above)
x 0.13 (A-2 other residential)
x .23 (Other buildings)
X .28 Over 3 stories)
BTUII Must be larger
x U o'dP. 1 j :
-',1-~ ° 130 above
15. Gelling framing area (Af) equals.lo% of ceiling area- ( or tile, same as)
Gross ceiling area ■ ' ~L) x d•V • 2
15B -Joist area (A ■ ft.
f) 10% calling area • _ / C~
ft,1
15C. flat calling area (Ac) (15A - 150)
ft.2
U ceiling x A c■ x If )r' •
U framing x A f- ,p 2 3 x
150. TOTAL U x A
16. Calling area (15A) x 0.026 (A=1 single family 3•duplex - code allowable U x A
X 0.033 (A-2 other residential)
x 0,06 (other)
(15A) 4;7 x i BaUil Must be larger than 150 (abov
~Q F (or the same+as)
• , C1G•cy'~ ,
NOTE.: Use U and A values obtained from nps 1, 3 and 4.
~7 3zlo
boss wA~c
I4-,57 X (zfs~) Z,
1464--s
CUrMOows, ~o
~wZx~ 3 k = 5/
G~cZN~ II Z
Gw 3N 3 / l k Z~ = Z/
~w 2x4 1 ~ k Za = ~
.6w 3w4
GGuZN~- ~l 2 ~ l(o - 3
~9
Z$o~ Z1
a
G PQ 4
8 `f
"G~ ~~r'~' 1AlUE ' U VALUE
Inside air film .68
• WALL
tdtertor wall (Wall) U
i
SECTION
Insulation (q,~
I) Sheathing
- ~F>
1 Siding (oj
! Outside air film .17
R TOTAL_Z3,a3
Inside•atr film .68
STUD
Interior Wall
SECTION Ih scud
• CEO l R' '6'd'3'~o.50(Ftaming) U . B
Sheathing
Siding 1(07 •d~5
Outside air film .17
R TOTAL 1615
Inside air film Ra .68
211D WALL Interior vall
SECTION
Insulation (Wall) U . H .
Shia 2.
Exterior wall ring
Exterior air film' R
R TOTAL \
- Interior air film Ra .68
RIH
Insulation
JOIST 11i Inch. soft wood R2
F- 1.88 (Rim U a a
'
Sheathing 2,64, Joist)
Exterior wall covering ,f67`
Exterior air film Ra •17
R TOTAL Sf 4'40
Intertor air film Ra .68
Insulation 5C
Foundation I Zg 1
' (Fdn.) U a .
Exterior air film Ra .17
C~ g TOTAL `].(3
Exposed Block ~
CE11-Mr,'WITH VENTEn ATTIC SPACE ABOVE
R 'l:. Uc VALUE
FRAMING CEILING
0.61 Air Film 0.61
3~Oib0 Insulation.
4,3 8 Joist
Ceiling
i .
1' 0.61 Air Film O.til
Total R
• 1
U ■ if b~
FL. 4T ROOF OR CATIIE0RA1. CEILING
uT e R VALUE
• FRd111MG CEILING
r 0.61 Inside air film 0.61
1.~ . Collin
Joist ?Stu
niulation
Ir space
Roof docking
Insulation
Built-up roof
0.17 Outside air film 0.17
Total R
I.U
p -
lindow infiltration .5 cfm/lineal foot of crack
residential door infiltration 0.5 cfm/square foot or door and minimum code requirement
Icn-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concrete block no Insulation - .47•R 2.1
Jb 12" concrete black insulated cores .26 R 3.8
Jb 12" lightweight black - .32 R 3.1
Jb 12" lightweight block insulated cores = .12 R 8.3
'J single glass • 1.13; with storm window .54
J double glass = :55
1 triple glass . .41
All exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
vapor barrier must be an the inside (heated side) of wall.
iapor barriers of the polyethelene thin film have no R value.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117388
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1385 Camelback Dr
Lot:16 Block: 3 Addition: Fairway Hills
PID:10-25600-03-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jayme Meyers
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 -
Lawrence Clardy
1385 Camelback Dr
St Paul MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140965
Date Issued:02/03/2017
Permit Category:ePermit
Site Address: 1385 Camelback Dr
Lot:16 Block: 3 Addition: Fairway Hills
PID:10-25600-03-160
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 -
Lawrence Clardy
1385 Camelback Dr
St Paul MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153471
Date Issued:12/20/2018
Permit Category:ePermit
Site Address: 1385 Camelback Dr
Lot:16 Block: 3 Addition: Fairway Hills
PID:10-25600-03-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Lawrence Clardy
1385 Camelback Dr
St Paul MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156989
Date Issued:07/29/2019
Permit Category:ePermit
Site Address: 1385 Camelback Dr
Lot:16 Block: 3 Addition: Fairway Hills
PID:10-25600-03-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Lawrence Clardy
1385 Camelback Dr
St Paul MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178856
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 1385 Camelback Dr
Lot:16 Block: 3 Addition: Fairway Hills
PID:10-25600-03-160
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Lawrence & Lemetric Clardy
1385 Camelback Dr
Saint Paul MN 55123--214
(651) 405-3841
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature