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1385 Camelback Dr Use BLUE or BLACK ink i of Ea I ~,d I 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. x ~~.Cll e 1ter~~,ce-l Aca /e-1` pplinre Pnted Name x pp cantStu lWFi: u Ile, Fev{eviry.~ y k kind" ~R15 S f~iC z 95ed 09 T 2889 T S9 -133nwmofid9xUj 13rd3Sd1 dH Wd60 : T T 1102 91 q8d 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- MT = 12 i5`< 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 15 e1 s - H INit .00 S@447168$ ' _ 10r6o14' ~'®MEL 84 Cky - 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