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1369 Camelback DrINSPECTION REC-RD .. CITY OF EAGAN PERMITTYPE: 3830 Pilat Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• ?'••-`??_4.'?'0 ' ?l ¢? $ APPLICANT: ' T: 3. x' Et t_ 0i.' ::s :tl?i C t-(6Ai:lf 1°iR ! P4! AY ? I 't l_ I. .`;> ? .s,ii. ;?.' } ?;1 ? > ^? -'r.' 4•3? tR ? .: PERMIT SUBTYPE: TYPE OF WORK: r ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RaUGH HEATING I GAS SVC TEST I N SUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ?f?3 r y Gl?l DOMESTIC METER IRRiGATION MEfER ' FLUSH MAINS , CONDUCTIVITY TEST HYDROSTATIC TEST BSiVtT R.I. BSMT FINAL DECK FTG DECf{ FINAL INSPECTI4N RECORD ? /393TO Y OF EAGAN PERMIT TYPE: Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , . . ?L. . . ,:, SITE ADDRES5: APPLICANT: 14 e 1.0 A i: r: D ia I ; If; HAY 4 PERMIT,.SI)BTY,PE:,; 14 TYPE OF WORK: :;1 ik'R61t1l) N INSPECTION D, . D. I . . vS A i7 t' ? . Pi AN Ri: VIFW f= !1 t3 5' MT P' F wf ft Ir t: ?;: C-di1 d. 4411 2A40 F!1:6RftUlN6 f-l£:t fiill'A1_ WlT. I, 1 1? ht i r T.; PFt:! 1!°F f,. `. 0 1 f't Q 2 Ah4'a` I' tl R Lkt9T !T; iJ ti 1 H`:if'E' ('TTr?N's P 4 1 E0 Ff 1N k,s M:! F'? f z I.. Pertnit Holder Date Telephone # PLUMB < HVAC Inspection Uate Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL rv °V GYP BOARD FIREPLACE ?d FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DaMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road I Eagan, Minnesota 55122-1897 (612) 681-4675 f , SITE ADDRESS: I I ::hli 1 I't{;? ?' ill•: a r`Atlti.l; PERMIT SUBTYPE: CTI4N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ?I!s?l? t l:.tri i it t N it1I 1 ! !+.l. tlti 41::€ 0 ::1 ;' 4? a 7 tmty 144 7 TYPE QF WORK: INSPECTION D• • DA ( I i;, I i Farmit No. - Pennlt Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS '`Ir-q7 AO FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST iNsuL 7 6 ao?' GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CiTY OF E74GAN Permit No: 106-74 Date: 4`29'°88 3830 Pilat Knob Road B/P No: 82399 Date: 3--3?--„ P.O. Box 21199 Eagan, MN 55121 A nwna? ? 1 `-2L'rT16anII {.'Oi19t. -? Site Plumbsr: plvmnut't°. P1•.zmbin2 ssa.o a MWCC_ ? Zoning• City Chg: _i, . pi: Aln .,f I Ini+c• Acct Dep: 15. ilrbd Permit Fee: 1' . 9 ') r d Surcharge: • 50ad 1 agree to comply with the Cify of Eagan Ordinances. By SEWER SERVICE PERMIT r o.+ "r„rM ? (Ser#tf trafie nf (Orrupttttry Citp of eagan Eppartmpnt n# NuiIding Jnsppriion This Certif:eate issued pursuant Po the requirements of Section 306 af the Uniform Building Code certifying that at the time of issuance this siructure was in compliance with the variaus ordinances of the C!ty regulating building construction or use. For the fo!lowing.• Usc Clasuficavon Bld¢. Permit No. 1``'Y-? ? occupancy 7ype RJ zoning visuia TZ 1 T?w Const '6`T! . Owner of Budding AL MEWV{At+Ii+T GOr;;: ' , aadm $; 2. 1IICHWi)I) RA:.', APf'£E Huilding Address 1369 iW1?' -a': LoNaity M2, pu g g'MMM HIaG, ? Dete: JRY,1 22 tfs??.j , ?Building Official , POST IN A CONSPICUOUS PLACE ? - : i ?' •" ' ','r ? _: ?`- . .? .. . ?. . . . . . ..? - I??, _ , . . . _ . _ . t:. ?. ' . '- _--- .. - . . _ . . . ? .. . ? . . ? t ? .., .?...,...Y i .r.,., r k.itr REIACTI,v?r?'FED FOR DECK 6f 21/89 CITY OF EAGAN:. ?{ICH E 0fl1L.7M,ANGAN03830 Pilot Knoh Road, P.O. Box 21-199, Ea9an, MN 55121 456-- ° PH ONE: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Valus ?' ? ??' • ?`t?R ` Date Site Address . OFFIC E USE ONLY Lot Block Sec/Sub On Ske Sewage dccupancy . MWCC System ' Zoning . Parcel No. _ Qn Site Well (Actual) Const City Water ? (Allowable) Q Name W z Address PRV Required # of Stories . ° City Phone Booster Pump Length - - Depth , a Name S.F. Total o L) AddreSS Footprint S.F. P City. Phone APPRdVALS FEES F W Name Engr./Assess_ Permit ? z Address Planner Surcharge W Z W City Phone Council Plan Review Q Bldg. Off. SAC, City 1 hereby acknowledge that I have read this application and state that the Varlance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit .. A Building Permit is issued to: ' Treatment P1 on the express condition that all work shall be done in accordance with all i applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Parks , Building Official TUTAL ?- - - - - - Permit No. Permit Holder Date Telephone # Plumbing C,,,C` n ? H.1/.AC. Electric 9 Softener Inspectfon Date Insp. Comments Footings I Footings II Foundation Framing 1/' Roofing ? Rough Plbg. r ROUgh Htg. 1/? ???f ?t h?? ??l?a T? Fr?.? _ / •B - ? Isul. Fireplace Final Htg. 4 2 y,? Final Plbg. Bldg. Final Cert. Occ. ? Temp. LP Deck Ftg. Deck Final r? ?) Well Pr. Disp. 4 CITY OF EAGAN Permil No: `5 3830 Pijpt Knob Road Meter No: 7? ? P.O. BYox 21199 Reader No: Eagan, MN 55121. Owner. ?? N Date: 4-2 9-2-8 Size: 0 C < Date: Site Address: ilAa ?,MbZ ??afi'!`I`rJ ve T 1.?-?? Plumber.- P1 Ly,mt, •"r?4 _ Conn. Chg: Zoning: - 71 Acct D ep : ,,? No. of Units: - ? { PermiYf?2?:a0 1?giq? ? ? . Surch!4-P-t10'? ?„- ? ?. ? I agree io comply with the CNy oi Eagan Tr. Plaqtr ??•?.?.V? 1,(??? Meter f C-??? ? ,• Ordinanc s. . , ; Misc.: „ 8Y r WATER SERVICE PERMIT lar-17 / 7aas-5 Yd30345?/-;2,*3, l? $ap? Request 0 te ? Fire No. Pough?ln Inspectlon Reqwretl (VOU musl cell inspector en reetly) Inspection Oiher Than Roughln ? qeatly No I? Notity Inspeclor ? Vas No Da1e Reetl V 1 7 licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sheet Box or Rou1e No.) / 69 le?-rha'GBACx DC. Qty 'e?-A6i9N Sedion No, Township Name or No Renge No. Counry L),9 ro Occu ant(PRINT) ?,?e ?A n/ EA NO Poone No. ysG Power Supplier Atltlress i Elt Eleelrwal ontraclor (COmpany Name) ConVacto/e Licenee No. . Maihng Atl resa (COnvacbr or Owmr Meking Insiallahon) , ZO? GST ?F -141 Authonzed Sig ra (C ncracto ner aking Inslallation) Phone Number MINNESOTA STA7E BOAFD OF EL ICITY THIS INSPECTION REOUEST WILL NOT Gtlggs-Midway Bltlg. - Raam 5-128 8E ACCEPTED BY THE STPTE BOARD 1821 Univarslry Ave., St. Paul, MN 55700 UNLESS PROPER INSPECTION FEE IS Phom 16141 612-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ?a?°""-?? O?? O?4? See insimctions for campleting lhis lorm on back o1 yellow copy. „X" Below Work Covered by This Request ?•ra? e Add Rep. Type of Building -' - Appliances Wirad Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating A t. Building Dryer Load Mana ement Comm./Industnal Furnace Other (S ec' ) Farm Air Conditioner plhar (speclly) ConVaclois Remarks' f.FC .12ESo/e %v,?le- N,o Compute Mspection Fee 8elow: N Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 m Transformers Above 200 Amps Ab e 100 - m s Signs inspeaors usa oniy- Q? TO L Irrigation Booms 41 Special Ins ection G7 - ?f?'? AIarMCommunication THIS INSTALLATION M Y BE O DISCONNECTEDIFNOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby Rough-in oate ' certliy that the above inspechon has been made. Final oaias OFFICE USE ONLY ' This request vob 18 months Irom ' ? ? 2006 RESIDENTIAL BUILDING rERrur nrPLicnnox • - '?- ?42? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nw.SdfnsWdbn Reauhemenis RmmddRaaB Reauhm? Ofl?e Uae Ordr 3 regkfered sle sarveYb ?A 59. iL otlo4 s4. R M Muse: end a?l mofed areas 2 aP?es M P? s?w6?9 ??AS. 6eams, p?(s Ced ot SiweY RerrJ _ Y_M (ZO%mmdnnmblmvarageaGawed) 7aetofiFiieRyCa?atim?sforlreafedadddbns TreePresPlanReod _Y _N. 2 oopiea ot Pian slpwb9 bean & xmMow s¢es; Poured IauM design, e1c. tsle survep for add'dbns& dedrs Tree Pres ReQuked _Y _N tse[oTEnergyCalaAatido Add?lon•6MkafeBans1esep6csyatem O?rsaBSeD?sY? 3 aples ol Trea Premalion Plan d fo1 platled afler 711193 Rhn,rost petap pptias selection sheet (bupoings wNA 3 or less unAs) Minnegasco mechanicel ventilation fortn Date I/?_I c, L'" Canstruction Cost OS ? Cl Co° L6 Site Address Unit/Ste # ? G 1 {' 1 I 11 tlon of Work Descri ?- p Mu1H-Famity Bldg _ Y _ N Firepiaee(s) _ 4 _ I-2 r1 F1U Telephone #(bS 1) u rJ ?-c1l) 15 Property Owner Contrsctor City ?? ???I C-) 0"-\J Y • Address State _ Zip Swlb Telephone#( SCi) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residendal Ventilation Category 1 Worksheet • New Energy Code Worksheet (JsubrtissionHPe) Submitted Submitted . Energy Envebpe Calculatinos Submilled ' In the lost 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and addreu of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractw Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN Statutes; I understand this is not a permit, but only an appiication 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. ? ? ? ? v s MCh-1A?\C u) L-ct C? d l 9 Z0N A p plicant's Printed Name ??s ?AN °,_I Applicant's Signature ?? r RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF eacan 3830 PILOT KNOB RD, EAGAN MN 55122 I 851-881-4875 Naw Comtructbn Beaulremente • 3 registered sRe surveys ffirowNg sq. R of bt, sq. A. of house; and II roofed areas (20X maximum bt coverage atlowetl) . 2 coples of plan shaxing Deam 8 whMOw sixes; poure0 fourid Oeslgn, etc.) • 1setMEnergyCakulatbns • 3 coples ol Tree Preservetbn Plen tl bt platted atter 711/93 • Rim Joist Deteil Optians seledbn sheet (UIOps wiM 3 or less unks) DATE M- 12-02- SITE ADDRESS TYPE OF APPLICANT SiREET ADDRESS ?S. TELEPHONE # 1nS1- -13494I2(cCELL PHONE # L\.?r,STATE M?-,AP ? PAX? nL?- DZ? PROPERN OWNER tl%l-L_ 1v ?,ano, at?.? TELEPH ONE #.1051-iis„-`)0\ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 _ MINNESOTA RUI.ES 7672 (4 submisaion type) • Residentlal Ventilation Category 1 Worksheet Submltted • New Energy Code Worksheet Submitted • Eneigy Envelope CalculaNons Submitted Plumbing Confractor: _- Plumbing system includes: Mechankal Contractor. Mechanical system includes: Sewer/Water Conhactor. _ Water Softener _ Water Heater _ No. of Baths Air Conditioninro Heat Recovery System Phone N Fee: $90.00 ?? q T I hereby acknowledge mat I have read this applicatlon, state that ihe information Is correct, and agree to comply uA4h nll nnnlfcnhla Stnta nf Minnaantn Stnfi i}as nnri Citv nf Fnnnn OfdinanC93. l 5? ? 25 pemodeVHeoalr NeoulremenM • 2 capies of Plen ' . 1 set M Energy Cakulatbns for heatetl adAaions • 1sle survey ror ex1erior atltlitions 8 decks . Intlkate N home served tiy sepNC syslem for atltlttions VALUATION ? ?:?'?D - V'?J''e-?MULTI-FAMILY BLDG _Y ?v- s?? FIREP LJ1CE(S) ?-0 _ 1_ 2 _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT Ci'TY OF EAGAN 3830 Pilot Knob Road pERMITTYPE: BuzLoxNG Eagan, Min nesota 55122-1897 Permit Number: 0 3 0 3 7 9 (612) 681-4675 . Date Issued: 0 7 J 0 919 7 SITE ADDRESS: 1369 CAMELBACK DR LOT: 12"BLOCK: 3 FAIRWAY HIl.LS P.I.N.: 10-25600-120-03 DESCRIPTION: rLAUNDRY Bai3lding4,Permit Type RuLldjng W?&l,k 7ype <'°`Censu`s Cade '`?`ti r ??"e-v....i?&? ??q%f?L? ' .s ?. ? ??: ":?l ?? • Rm floozrzoN SF ADDITION NEW 434 ALT. RESIDENTIAL ^g.*. 7 iJ 1 i t(="lai ? 4' REMARKS: FEE SUMMARY: VALUATTOgN $7,000 Base Fee $124.75 COPY $•25 3urcharge $3.50 Total Fee $133.50 Lic. Search Fee $5.00 3ubtotal $133.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: DALE COLE CONSTRUCTION 15592045 6907 MANGANO MICHAEL 6W52 BLUEBIRD CIR 1369 CAMELBACK OR MAPLE GRtlVE MN 55369 EAGP,N MN (612) 559-2045 (612)546-9017 I hereby aaknowl.edg? Chat, Zhave read ,t hi,, applic,?t3tYn pnd state,that Ghe iiiformation is corrett'ind s`gree tci` coinply` w:th aj1 a?ppje'abie Sta'toof 'h1n. ' Statutes and City of Eag,an Ordin.ances.. APPLICANT/PERMITEE SIGNATURE ISSUEO BY: S ATURE , 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 687-4675 New Conshuction ReauiremerMS RemedeVReoair ReauiremeMs ? 3 registered site surveys ? 2 coples of plans (indude beam 8 window stzes; poured fid. design: eM.) ? 1 energy celculationa • 9 eopies of tree preeervation plan M bt plalted aRer 7/1/93 required: _Yes _ No DATE: ; - J? o" J 7 C4 DESCRIPTION OF WORK: y 4? / y STREET ADDRESS: 13? y (/ LOT f ? BLOCK NS SUBD./P.I.D. #: /33- 0 70 ? 2 copies of Ptan , ? 2 aite suneys (eoderfor CHbns 8 tledcs) • 1 enerpy eelculati0na tof heetetl etldttlons COST: I?'i 0 PROPERTY Name: ANd phone #: OWNER StreetAddress:.1 City: /V State: I? Zip: coNTw?Crott Company: 1??1?? G6?? caNS?, ?Phone#: ? Street Address: ???? ??.? y? ?i?v? G i?'- License #:f ? as City:?/ f?? ??oV,E State: l' Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Riegistration #: Street Address: City: State: i Zip: Sewer & water licer•ged plumber (new construcdon ony): . Pei alty applies when address change and lot change arc oequested once pertnit is issued. I hereby acknowledge that I have read this appliption and state that fhe infortnation is correct and lagree to comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JUN Tree Preservation Plan Received - Yes _ No _ Not Required Iax :? ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex a 11 Apt./Lodging ? 0 02 SF Dwelling a 07 4plex o 12 MuIU RepaidRem. a X 03 SF Addition o 08 8-plex n 13 GaragelAcoessory o 0 04 SF Porch o 09 12-plex o 14 Fireplace n 0 05 SF Misc. n 10 _-plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move K32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq.fl. sq. ft. sq. ft. Footprint sq. ft. Building ? r-,-. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump ? Census Code. SAC Code ?L Census Bldg ? Census Unit Engineering Variance Permit Fee Valuation: $ 70r)D - 00 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: 96 SAC SAC Units '4? /?EZZ..?u"i CoNSr fl0 B E - ? ,?°. ENGiNEfi?ING ?CHiilLTiHO EH61HEf9S. PLANHE9S nnd LAND SUAVEYOf15 COMPANY, INC. ? f000 E+l?T 1462A STAE=.-, HLIAHSJILL=. 4IHH£:GU :=?7 P!i ?:24?bOG C?rZz}'z cLZze v? ?f'?r'e y Zegcl .12e.rcrl-o2zcr: Lp; 12 3, FAIR'NA`r' NILL,S, CArCOT,?^_ C0JN7`(`, MiNNE..0?,= . OPA:,\j,4GE Atii, i.i'L ; r' Q'u.. 1) t.:-'?SCMc1\7 r , i . ? .` ?'• ^ ? ? / i 0 ra2 sQ- . y? ;•az , ? oe ? 8j???d b So\ + ? / .S / 620 3 'PS B . / l`p?se? ?6) 9 ^ a; ??, ? ,?j ' SCQL.E :I"'30 ?qra? a ?O ? \ ?Zg?:o? a"•'2g??,"'??/` ? '??•' 30' FRONT 6UILDfNC- ° 0 SE7F.4CK LJNE ?" '? 0 33 /aOO \ n11 ? o 02¢\•0 `SS90S:0C ) DENOTES EXISTING Et11//aT10N o'S f?ozs, o) DENOT'ES PRo?SED ELEVFlMcN , iND1Cq; E5 (7IRF.C-5I01\1 OF SURFA[E OkA: NqGE GrQ?? ?o2s. as _ FINISHED GARAGE FLOOR E LEVATioN I her:by eartify that thia a a t:ue and carract rapz'aaentat3on of? Of ljnd as aho+m'and described herson.• Aa preparad by me an this /? dkY Of fJJqzcs' , 19 88 . - -. Hinn. EEp o^. F3ra p/? . :-- ? ? . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BurLozrve Permit Number: 032412 Date Issued: 0 7/ 01 / 9 8 SITE ADDRESS: 1369 CAMELBACK OR LOT: 12 BLOCK: 3 FAIRWNY HILLS P.I.N.: 10-25600-120-03 DESCRIPTION: ;-. RESIDE B?ldiri? g'_,Permit Type SF (MISC.) Bti4ldinq Wb? - rk Type REPAIR ?Census Gode? 439 ALT. RESIDEN7ZAL ?" - : ,-12, - . , . ,. ? PE"" ? ?y G Jfr„?^'"?'»" 7 £-? .??E?'--,. ?.?`. ?._..'?.t? ?.:_?.l-:?V?- `??.•}"_ €7 REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: DALE COLE CONSTRUCTION 15592045 6907 MANGFlNO MIKE 6*452 BLUEBIRD CIR 1369 CAMELBACK DR MAPLE GROVE MN 55369 EAGAN MN (,612) 559-2045 (612)456-9017 I hereby acknowledge that I have read this application '?nd state that the infcrrma.t,ion i& co rrec:t and:.;agrge. tQ complly aw?;Ch all a.ppiliaable-.5tate ofi._Mn. Sta'CuCes and City- of Eagan'Ordi'nances. L APPL ANT/PEFMIT SIGNATURE Din f?j ISSU BY: IG AT oe?Z / - -j / 98 BUILDING PERMIT APPLICATION (RESIDENTIAI.) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construction ReauiremeMs ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window saea; pouretl (nd. desipn; etc.) • 7 energy caiwletiona ? 3 wpies of tree preservation plan iF lot platted aRer 711/93 required: _ Yes _ No DATE: 7 - / I RemodeVReoair ReaulremeMs • 2 copies of plan ? 2 site aurveys (exterior additions & decks) ? 1 energy calalatlons fir heated addRions CONSTRUCTION COST; J?,- 0 a ° DESCRIPTION OF WORK: STREET ADDRESS: ? 3, LOT: BLOCK: /- SUBD./P.I.D. #: Ra'!WI U F h I K J Name: MfINYAIV(? Phone#: IF6 17 PROPERTY Last First OWNER StreetAddress: J _Iii ? ,,6?r ,?/? City _JE '49'ell State: *A?' Zip: Company: .???f /fZ (f 6/?.f7 Phone #: CONTRACTOR f/ StreetAddress: 9) Licensei! city srase: lJva/, z;p: J?f ARCHIT'ECT/ ENGINEER Company: Phone #: Registratlon #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penatty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applipbl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required PERMIT CITY OF EAGAN 383p Pilot Knob Road E1qanl,nnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-25600-120-03 1369 CAMELBACK DR LOT: 12 BLOCK: 3 FAIRWAY HILLS DESCRIPTION: Bu-1ldSr'T,g,Permit Type Buiiding Wor .,k Type ?6ensus Cqde" ? ?• ?? a' a?...- ?"\,<.??? BASEMENT FSNISH ALTERATION 434 AL7. RESIDENTSAL L ?- REM?R?(S:REViEwEO BY MIKE BARCK CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPEC7IONS SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING WORK FEE SUMMARY: Base Fee $50.09 Surcherge $.50 Total Fee $50.50 PERMITTYPE: auzLozNs Permit Number: 0 3 2 3 5 9 Datelssued: 06J25/98 CONTRACTOR: OWNER: - Applicant - MANGANO MIKE 1369 CAMELBACK OR EA6AN MN 55123 (612)456-9017 I-Nereby ackpQwledge that T have read tih3s`App'linat3dn andstate that tHe information is correct and agreelto comply'witfi aSl appl?.cable 5tate of Mn. Statiutes and C3ty of"Eagan Or°dinances. IL APPLICANT/PERMITEE SIGNATURE A41S&ED ?4NATURE ` S236 1998 BUILDING / . ? New Conatruction Reauiiements PERMIT APPLICATION CITY OF EAQAN 8830 PII.OT KNOB RD - S5122 681-467b ? 3 registered site surveys • 2 copies of plens (include beam & window saes; pouretl fid. design; etc.) ? 7 energy Calwletions ? 3 copies W tree preservatlon plan H bl platted afler 7/1193 required: _ Yes _, No (RE3IDENTIAL) tlr??o GO RemodeVReoair Reauirertients ? 2 eopies of plan ? 2 site surveys (ex[erior edditions B dedcs) ? 1 energy ealcuWtions,for heated additions DATE: 4,L/5L 21 CONSTRUCTIONCOST; DESCRIPTION OF WORK: Z? ?"j oOu STREETADDRESS: / 3b? 67,wP/??yc k /J/i,e ?T: ? Z BLOCK: 3 suso./P.I.D. #: P r D- l oZS?ab ?z o03 ? . ,..,, PROPERTY OWNER Name: Mfk/I/64A/U /?Ii?ffi9-EL Phone#: I.sst Fust ?{S 6'S'o/7 StreetAddress: /36 / L4,f/?4G4 D/'/vL City e9-?'iC,n State: It'lA/ zip: S?/z3 Company: b114 Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT! ENGINEER Company: y ,4 Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ No CITYOFEAGAN N2 14731 3830 Pilot Knoh Road, P.O. Box 27-199, Eagan, MN 55121 ? BUILDING PERMIT PHONE:454•8100 Receipt # s Tobeusedfor EF DWG/GAR Est.Value $130,000 Date MARCH 28 ,1988 SiteAddress 1369 CAMELBACK DRIVE Lot 12 elock 3 Sec(Sub. FAIRWAY HILLS Parcel No, a Name AL HERRMANN CONST. = Address 8723 HIGHWOOD WAY ° City A'PLE VALLEKhone 688-0696 , o Name SAME z. ? Address ? City Phone f-, ww Name f _z Address aw City Phone I hereby acknowledge that I have read this application and state that the information is correct antl agree to comply with all applicable State of MmnesotaStaWtesandCi(yo EaganOr na c s Signature of Permdtee A Building Permit is issued to: AL HERRMANN CONST. on ihe express conditwn that all work shall be tlone in accordance with all applicable State of Minnesota Stat(yte??J and City of Eagan Ordinances Bwlding Offiaal_?? ??LC ? I/cl OFFICE USE ONLY On Site Sewage - Occupancy R-3 MWCC System X Zoning R-1 On Site Well (ACtuap Conat V-n City Water X (Allowable) V-ri PRV Required _ # of Stories Booster Pump _ Length 62' Depth 371 S.F. Totel Footprint S.F. APPROVALS FEES Engr./Assess. Permit 672.00 Planner Surcharge 65.00 Council Plan Rewew 336 00 Bldg Off. SAC, City 100.00 Variance SAC,MWCC 550"00 Water Conn. 5 Sfl _ 00_ waterMeter 67-nn Road Unit -W$.,qa- Treatment P7 Parks TOTAL 2;869_nn ,, . 1988 BIIILDING PgRMIT APPLICATION - CITY OF EAGAN?. SINGLE FAMILY DWELLINGS 14731 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR S9LE UNITS M47CC_ system ? On site well City water ? PRV required _ Booster Pump _ INCLUDE 2 SETS,OF PLANS,. CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.; - 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLUDE 2 SETS OF ARCHIT6CTURAL & STRDCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used r^or: 9GValuation: Ce? OFFIi Site Address ? Lot _1A Bloc ? I On site sewage_ Pareel/SubG? Owner r Address City/Zip Code 'UGG? Phone lpd? Contractor Address City/Zip Code Phone Arch. /Engr ?v-C(?? - Addcess City/Zip Code Phone lk Y.S -D2 J'f? APPROVALS IF OF ONZTS Date: 19111-ILi If Occupaney 3 Zoning R-1 Actual Const V-N Allowable V S of stories -?+- Length_. Ca? - ' I Depth S.F. Total Footprint S.F. FEES "tngr-./Assess Permit 6921 00 Planner Surcharge D 695,10 Couneil Plan Review 3 D Bldg. Off. 7?3/2SSAC, City 00, 00 Variance SAC, MWCC 1560,00 Water Conn . OIb Water Meter 67,? Road Unit 3 Z51OC7 Treatment Pl O , O Parks Copies TOTAL b o0 VA L.uA-cto rJ ..? .GqP,A? a r R--? ?? a ...w zyXZ2=S2g K 14? r7 39Z 85mT ?' is? ?'??orz 3s x28- io6w .. ?Xq= r7 2 ?_---- II3?X ?Z= ?q43,z ZND F?.?? ?38,r z8= tu6y u?{9 ; SZ?36 IZ?q6o ? '. P E flOBE - NG1NEfRING COMPRNY, INt. ? 1000 EJLT 1461n S7RE:., AL yERP119VAI CONST S ib /Z60.0/ CCNSUL7IN6 EH(31NEf45, PLANHE9S and IAHD SURVEYOES BtlAkSYILLE, NIHHE_DU SS_37 p!i 432°ZtlqC Z&` c7 d2e.1c CF4i&i4GE [:,aE i-7 MENT AND, t1'i°^fJ'T'r I_OT 12 6lSJC,< 3, FAIR'NiaY N?LI.S, DAKOT,C COUNT`,", MiNNE..?T,4 clou,> rlozz?? S? ? S S9 ? ? .._;. , ,? \ \\ 8 , ? Af . ?. ?• 0? ?; ? \ , ?a2 .o? i? ooo i3 0 ??• ? a e / ?02 C 2 ? c...?olJ ? i *-N \ / J 0 \ ?/ at , 5 / tg 3a 9V ; / .S / Lo Z4.>, rioz;F. z, scaLF- =1"=3a' 30' FRONT BtJ/LDINC- SETRqCK urvF N, C SSyBS? ¢?? {/ozg,-o ) DENOTES EXI$rING ELL-VATION J,9M< o S • \06 (/ozs, o ) DENOTES PROPOSED ELEUFlTfON ? (NDICATE,S. DIRELTION OF SUAFA.CE CRA;NAGc Iozs.3s _ FINISHED GARAGE FLOOR ELEVqTION I her:by cariit that this s a t:ue and eOrrzct nprzaentitian ot at U'Act Of land asshoxn'and deacribed herson.• Aa preparnd by me on this /77?/ 'dgY Of ?JA.?r.s? , 19 88 . • -. 100, ` Vxii vr EXTE12J,011 ItE VF:LOPf] BUT.LllIHU bFPAIt11•IPIIT AYE1sA4E "Ull COIIPUmATION • . (To be submibted wiEli building permit applioatioa?). One or Ttvo Family llw(j111ng Owner All otltor 81Ee Addreee Coutraotor v Uate ? J Lzueu, eEcT oF f;XI'oSED YIA1,L G?'A ft. above grade ? 61ly JZ10 • TOTAI, EXFO5ED WALL AnE1? 6q,. FT. OPAqUG WALL COIIS'l1IUtlTIO111 ItUto Vaiue x Ares Ue tail "u "_C 3 x 8?. reteteuoe ? 11U" • trom x 8R. attaclted ?iUn R x 8q. I slteots . ?tUft x sQ. , upn X 9Q. Y1111WtiY8e "U" Value x Aroa llnlce & Type ? a n ' upu R• ? x 8g. n up n X 8Q u i1pII . x SQ. WoltBi i!Uil Yalue x Aren . 4lalce & Type liUll 8Q. n 11 ._L?S?1,0 CXL i npn x 6Q. u n opu x 8q. - npu x SR. Toznt, (u)(n 7bTnt.s nvERnc?E "ute FT.213?? FT (U) cnr . j U) (A) U) (A) ? FT. - U)(4) FT... _ fT. _ (U)(n). FT. '?G?? ?j?t77 (U)(A) FT. = (U)(n) FT. = (U) (A) FT. = (?)(A) F'P. - ?r? (U) (A) FT. ' -_=?ll)(A) FT. ?U) (A) = FT. f•m. ZZZ? (u)(n) ) vu,uES 2.Z•L? UIVIDEll BY TOTN, 1'fALL AI1EA 2, 0 -3 Z AVk;IiAUE IIU11 ? ? 15 or lane tor 1&2 iamily di7ellinge It00F/CEILINO! • TOTAL AIiEAt ?Q(p0 = lletail reiereiice icam fiu II IOUii R v(¢D ZZr?4(U)(A) nttached sheete. 11Un x 3 . Q R FT. (U)(A) Uencribe oirauiugu upn x sR• FT. = (U)(A) in root. • x sR• ? ?'T. (U) (A) 7'oTAL (U)(A) VALUEB DIYIllliD BY 'z,212(Q 3Q. vT. - 7?1AVj.?9qy ZZj (U) (A) ZUj U 'ToTAL ,ioot J ? CEILIIIU A1tEA /06?0 AVE13A4D °U° •025 tor venkilflEed roote. iQ C?A ?? + ? II N ?j54 X?l? ?4? ? 2co-Nzc?> = I 37?, ?? c07 ?c I ?4 = 1&,48 I44- 5z- ??? 13175 X 75 ?f?c 32u24 Ofl= 11i25-A+1 9S,o 'W 'Aa -- 9r7;5 Y 1= 81 75' 2' ZAMP> = Z2, 5? I=' z2 i -?'j I ? 4-Zoubo = ?4?, 1= 44jo I=xc?. ? s Z? ?L? ??? ??? r?" 21 Io 442 40 96?a ?.: I? 'i ?? ? 2 ?vb?SLL ?? CP?r Zc? 32 ?? Gv--? a+ ?lw? ? I I? ,52 21???? 1999 BUILDINC PERMIT APPLICATION (RESIpENTIAL) CIYY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConshueNon ReauiremeMs Remodel/Renalr ReauiremeMt D 3 regMered sMe surveya ihowfng sq. H. M lot, aq. H. of house and gU roofed aroaa (20%maxtmum lof covemae albwed) D 2 copies d plans (show beam i wlndow ahes; poured Ind. design; etc.) D 1 aet of energy eakulafbns D 9 coples ot kea preservatbn plan tl loT plaHed afFer 7/1 /9S DATE: ? ' /J ? ! f DESCRIPTION OF WORK: 2 copies of plan 1 set of energy takulaNons for healed addHlons 1 sMe aurvey for exfeda addilions i decks CONSTRUCTION COST: f,9i "? bri STREET ADDRESS: 23 G/ LIrn44FJ A e x Po?, LOT: I I BLOCK: a SUBD./P.I.D. #: v Name: /W r YE MA N 9 A N6 Phone #: /1 .J 1- ?96 PROPERTY Last pn? owNeR SheetAddress: / 3C/ CA?I?C,C .CjAC 'V Ci1y .t A ?U I/ State: 1?'/?V. zip: Company: ??Z? CG,L t C?N,SI? Pnone #: (area code) CONTRACTOR `-, ???J /'? Sheet Address:? ?,?c? ?i? u?,dIIP ? G i ;4, license ?k _(Q_/ Exp. -.Z ?`e,, city ?YAI??.? ('?XJ6r? store:122?/_ ziP: ARCHITECT/ ENGINEER Company:. Telephone #: area eode ( ) Name: SheeT Address: Regiahation #: Cify 3ewer i wafer Iicensed plumber (reauhed for new conshuellon onlvl: State: Zip: psnaHy applies when address change and lot change b requesfed once permM is issued. ' ,1 hereby aeknowledge that I have reod lhis appllcaNon, sfafe thal the fnlormafion is eorrect, and agree to comply wRh all applicabl Slafe of Minnesota Siatutes and CHy W Eagan Ordinances. Signalwe M ApplkoM: f OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No _ No SEP 8 Not Required I ? x 4 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4plex ? 11 10-plex O 16 Fireplace X 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage 0 22 Porch/Addn. (4.sea. ? 03 1 of _ plex ? 08 6-piex 13 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 O 32 Addition ? 36 A 33 Alteration ? 37 O 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) ? • ?--? (Aliowabie) ei UBC Occupancy 2- 3 Zoning 2 • 1 # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Sofflts/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair Demoiish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building Census Code SAC Code ti I No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Valuation: $ -1,oGo ?- Surcharge Plan Review License r2 ?' C? •2i3 MC/ES SAC •. City SAC Water Conn. ?----°----Y?"--- Water Meter i Acct. Deposit S/W Permit 'CEYV QF ERSfiM FERC7YT S/W Surcharge 3830 PILOT XhGB RD Treatment PI. EAGrU, t`rN 55122 Park Ded. 651-681-4675 Trails Ded. i NEW X2 Other ;-p{{-S p,q4f-T Copies ? i 7?53?"a'S ?Jirwx.?I Total: Gt?: rA? W r,D utea SAC Units Ts TYR: F:,7nH % 5AC I 1!;1: 3T1'?4 N+TE: SEP 17, 99 07:42:51 Yi.??L 4fl 72.25 F::ST: ?0ZA',u71Li4'?? N: CK9 rMT CF E"..S i.".':tY' TO PcTf!„ji F:;1H EY 1}? S F?1 l?Ila VIF4 d32c? = Ac Nexr.vyCi 0 ?E • _ A. iz6o E?1E?GINE?RING COHSULTiH6 EH61NEf9S, . S PLANHE95 end LAHD SUAVEYOBS COMPANY, INC. 1000 EJI--j 146IIt STRE_:, BtIRNn/ILLE, YIHHE:Cia E=.37 P!i 4.'.2".°.tlOC CerZ z}'Z cLZze o? Ye ti LffgLc1 ._Ue.scrlsp2icr_: LpT 12 6LDCX 3 FAIRWPI' HILLS QA'r<OM'- , CO;JIv'T/ , , Mi,\INE:1 rl:=, OIZA.!r\?,AGC F-ASiZM1EJVt- ??l?L2 .-. ? \ / F'7 ^ ?? ? ?y o / / ` , ?%? •\-? -• ,,??v ? ? ., . . ? ?Itp 0 ., __ ? .?02 3, .a`99 ?a Q ? )? ' 33 . ? ?1 0\? I 4e ? IK ! `\\ Lez4?? ; ` •o,`? ? \ o . ? O ScaL.E :I'=3o" 30' FRONT 8(JILDWC- 5ET8,qCK LJNE `SSyeS:0 DENOTES EXISIlNG GLL•VATIOr: • ' S C/ozs, o) M'lOTES P!'?FOSED EL.`rUfl?1GJ•; ^ ? %?r3s WDIC,qTES DIRZG7701\1 OF SURF,?c=_ CFANuqGE ? FINISHE; GARAGE FLOOR Kz3.? ELEVATION heT:by cartii,y_ that _this _ s. a.t.ru=-and-e^^"'ctrzpr=aentition ai "isct_ Of- ._.-- nd a: ahavn'and described hereon.• Aa praparad by me an this /? ?7"„'dYY Qf ?r?"*? . /6cBS ti Hinn..R?g. .. ._ .s. ..?:r:: . r ? #??? ?( 3 2000 BUILDINC PERMIT APPLICATION (RE! CITY OF BACAN 3830 PILOT Ia106 RD - 55122 , 851-881-4875 NewGanshucHonReaulremenh ^CO?-1S30-sI Ramodel/R? n J regiabred sIro wrveYa ahoxAny tq. fl. 01 bl, e4. H. ot house 7"3-W 2 ccPtes ol and gfi roofed areos Q% maximian bf coveraae allowadl 1 sel W ene ? 2 copies of plam (show beam & window sizes; pourod (nd. deaiyn: efc.) t sNe wrve! > 1 59T O/ eneryy CqICUWMOns > 3 coples of tree preservaMOn plan H lot plotteA after 7/1/93 ppTE: (r - 2- D 0 CONSTRUCTION COE DESCRIPTION OF WORK: STREET ADDRESS: LOT: 14 BLOCK: _ZD SUBD./P.I.D. A: PROPERTY OWNER CONiRACTOR ARCHITECT/ ENGINEER np: s?( 7,3 PuYl s - L? I , Name: 1L4AW6t7V0 M i c- t4fF6 ? Phone c I?5 ?- La.r flnr ? Sheet ? Ciav, EL ciy state: MN Company. A--/A Phone #: Sheet Address: CitY State: Cofnp?y; N( /A Name: Telephone It: ( ) Cdculallons lor heufed Cd<9tlOnt extedor pdWHOns 3 decks Sr 3, 000 Code) ? - -Zip'- Sheet Address: Regishaflon 9: City State: uP: Sewer/water licensed plumber (If Irsfallina sewerlwatarl: Phone #: I hereby acknowledpe ihat I have read Mb aPPUoaNon, state NwF Ihe irdOmwfiop* conect, and agree to o} Minnesota Sfalutes and CHy W Eagan Ordinances. e// ? ,' / Signaiure of AppNcanh OFFICE USE ONLY Certiflcates of Survey ReCeived ? Yes No Tree Preservation Plan ReCeived _ Yes _ No Not Required t IN7•75 Caned 6112/00 16 ?o - S?qZZ 6 -`jD/7 wilh a6 appUcable Stafe JUN 7 ' , ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundatlon O 07 05-plex ?? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muki ? 02 SF Dweiling O OS 06-piex ? 17 Garege ? 22 Porch/Addn. (4-sea.) O 33 ExL AR - SF ? 03 01 of _ piex 0 09 07-plex ? 18 Deck ;El? 23 Poroh (1?1) O 36 Mum ? 04 02-plex 0 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex 0 11 10-plex Plbg _Yot_N 0 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool 0 30 Accessory Bldg. WORK TYPE 0 31 New 0 36 Move Bldg. ? 43 Reroof 32 AddiGon 19 O 37 Demolish (Bldg)" ? 44 Siding / ? 33 Aiteration ? 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATIDN SAC Code 1 19 # of Stories sq. ft. No. of Units _ 1 Length s9• ft• No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code y 3y (Allowable) Maln level sq. ft. MC/ES System UBC Occupancy Vansq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building l l?f2le-? Engineering Variance Permit Fee Valuation: • Surcharge ? Plan Review License q -30 MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ? Other Copies Total: SAC Units % SAC . `? :NG[NEEfi1NG ??HSl1lTiH6 ?HdINEf9S, . PLANHEAS ond LAHD SitRYEYOflS COMPANY, INC. 1000 L13T 146C1 STRE_', BURNSIlILLE, YIHHE:GT.1 51_37 p4 4:2.-lnp0 C?r?z}'z cLZ?e o? ?5'Z?rYe c? Z?` cl ?iea???o??cr • Lp; 14 - 61.,`JLr< 3, FAIRWf`-' Flf! Lc,., w , ?•- , ; ; / O ? (!er.4> l t _`zl, w . . ? ._. 0 2 ^30 b; / (1eZs I. ?? j I9 Gj / P4o, ? ,t, A 3'FC ? N' i.ao 4' '(p °a lar `a, - ?G ? . ? ??? ?? ? So} ? / •: y ._' . _ _ " '_..' , rJl'ALF- :1o o ? C-7 Reo °? //? °O? _'•, • a ?? \ ?R3? -,-=?- ?oN,- BUILDfNC ? s'33 ,e,a ?SETEACK LJNE s e a2% •o C?n? `S9?SOC ??' (/cz4,o ) DENOTES EXt$TING GI..L-VAT1or: ? a, '''/<?A?2 • . \? 'S Ciozs, o ) DEiV07E5 P!'?FOSE6 ElDJFl77G1•, INOICATFS nIR:r-,,O'\, oF soj.,uF?c-c CRA;?VqGE ? /oZs. 33 FiNISHED GAP4GE FLOOR ?? - ELEVqTJON ereby cartity_. Lhat this a_ a. +_sua-and-carrectrzprasntitioa oi a??ot.. Gf_ d:s ahown• aad dencribed herson.- Ae prapared by tne on thia 'day rrf .:Fi'a? /6n&s Hinn. 1f9 .... ..? ; d. ....t?7"Y- .. CITY USE ONLY L RECEIPT#: `Y 7 SUBD. RECEIPT DATE: I 1998 PLUbMING PERMIT (RESIDENTIAI,) CITY OF EAGAN i? 3830 PILOT KNOS RD EAGPN, I+A7 55122 (612) 681-4675 Please complete for: ? single family dwellings ' ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system --------------------------------------------- FIXTURES --------? EACH --- - --------- - - --- - - - ---- # TOTAL Shower 3.00 x I Water Closet 3.00 x _ Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x i = Floor Drain 3.00 x Gas Piping Outiet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x Water Softener ' for existing dwelling 20.00 x = U.G.Spfinklef *fordwellingunderconst. 3.00 = U.G. Spfinklef ' for existing dweliing 20.00 = AlterationS ' to existing residence 20.00 Water Tum Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private DispoSal Systems "nbandonment 20.00 RPZ (new installation only) 20.00 = STATE SURCkIARGE 50 TOTAL ? ` ? i Y 9 PP • --'-"_'--__'-------"'---'-----'-'_"--------'------'-----" I hereb acknrnvled e thet I have read this a?lication, state thet the information is wrrect, and agree to comply wRh all applicable City of Eagan ordinances. It is the applipnPs responsibility to notify the property owner that the City of Eagan assumes no liabilily for any damages caused by the City dunng its normal operational and maintenance activities to the facitities construded under this pertnit within Cdy property/right-of-way/easement. C // 7? ` 11 SITE ADDRESS: /3?0 j ?? /??``-? (J, / ?e I OWNER NAME: INSTALLER NAME: STREETADDRESS: CITY: EL}LA-,I/ STATE: ZIP: aJ I2-zl SIGNATURE OF PERMITTEE I CDlPERMIT FORMSIRPLBG PERMIT (RES) - 1998 ? SINGLE F6MILY DWELLIHGS 2 3ETS OF PLAN3 3 REGIST6AED SITE SQRYEY3 1 SET OF ENERGY CALCS. 1989 HI1I1-DING YEAMTT APPLICATIOH CITY OF EAGAN 1 ?'?31 lAILTIPLE DiIELLINGS CO!'MRCIAL 2 38TS OF PLlN3 6EGISTBHED 3ITfi 3QAVE28 - (CHEC[ flZ1'H BLDG DIV. ) 1 SET OF EFERGY CALC3. 2 SET3 OF IRCHTYECTUAAL 6 STHUCTORiL PLANS 1 SET OF SPECIFICATIONS 1 SET OF EBENG2 CALC3. @tUI.TIPLfi DtiELLING3 AENTAL ONITS FOA 3ALE DBTTS / OF OBITS BOTEt IDDRES3&S FOfl COANEd LOTS - COATAlCS08/SOMEDidiEA M03T DF.RIGN9SE iiBICS 1DDRESS IS DFSIRED. AO C8d2iCE4 YIf.L BE iLLOfIKD CHCE HOII.DING PEAMTT 13 ISSOED.. 3EYlER 3 N9TEA PEIRfI'! FBES ?BD ACCOIINT DEP03IT FSES 1iII.L Bfi INCLUDED iTTfB THE BOILDINd PEIMIT FEE. PAOCES3ING TIME FOA SEWER lAA 1iATEA YEAHITS IS !WO DAYS ONCE A PEAMIT H?S BEEA COMPLETED INDICATING A LICENSED PLINBER. PENALTY APPLIFS iiEENx PERMIT IS NOT PAID FOR 1N S9Mr: MONTH IT 1S REQUESTEll. LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED. To Be Used For: D(f c K- valuation: nete: Site Address i?(o9 L^^7EL&r-K- D2 Lot IZ- Block 3 fo-zO-F19 Occupaney Zoning Actual Const Allowable f of stories Length I V Depth IZ' S.F. Total Footprint S.F. Parcel/Sub i4j9waY5 ?ic-t-5 Owner N( icN,q-et T LAR.s'rrH A,/raq+?o Address I 3&C Cqm?6A?-e? l7rZ City/Zip Code 551 a3 Phone qS& -490f7 Contraetor SE'4-!= Address Citq/Zip Code Yhone lrch./Engr. - Address City/Zip Code On site sewage On site well _ MWCC System _ City vater _ PRV required Hooster Pamp - apraoveLs Planner _ Council Bldg. Off. tft?/20 Varianee FEES I u?G Bldg. Permit 3urcharge Plan Reniew SAC, City SAC, MWCC Aater Conn Nater Meter ncet. Deposii S/W fermit S/W 3ureharge Treatment fl. Aoad Unit Park Ded. Copies SIIBTOTAL Penalty TOTAi. j Phone 9 .$L /C/ERC/A9A a,o?E COHSUl71H6 EH61Hff9S. ?NGiNEfR1NG PLRNNElLS nnd LAHD St1RVE90flS COMPANY, INt. `??10C0 E?T 1463A S7RE: , HIJANNtIl= , YIHHESGTa 1=:!!1 PH 4az-ynoo C4E TZ ZZ CtZ?e O? 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I ? i r ?f , PERMIT City of Eagan Permit Type:Building Permit Number:EA117146 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 1369 Camelback Dr Lot:12 Block: 3 Addition: Fairway Hills PID:10-25600-03-120 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 . Amanda Hanson 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 - Michael W Brask 1369 Camelback Dr Eagan MN 55123 (651) 247-8567 Prominent Construction LLC 5100 Edina Industrial Blvd Suite 207 Minneapolis MN 55439 (763) 486-6003 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158454 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 1369 Camelback Dr Lot:12 Block: 3 Addition: Fairway Hills PID:10-25600-03-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Michael W Brask 1369 Camelback Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature