1366 Camelback Dr01-2155 Surcharge _
75-3860 Road Unit _
20-2275 SAG
20-3865 Water Conn. _
20-3868 Water Trmt. ?
20-3716 Water Meter ?
•
20-2252
Acet. Dep. 1
20-3713 Water Permit ?
20-3743 Sewer Permit
79-3866 Sewer Conn. 1?' C
28-3855 Park Ded.
TOTAL ?
p x , A: .s
Tnti#iratri jof (Orruvttury
Citp of (tagan
Eppmtateri# of lutiaitag As.ptrtimt
Tftrs Certificate issued pursuant to the requirements af Section 306 of the Urrifornz Building
Code certifying that at the time of rssuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
tz9e cWssiscaaon 5F Ixd['/CAR
ODr,upency1YPe R3 /M I 7nningDiatrict
Owner of Building MMUN= OWST• TW-•
Bulding Addrm I? CRELB" WD
ig?
Buildiog O a
atag. armit rvo. 16111
Rl TYpe C- VN
_Addrem 1212 BL1EW.L aRMYnAU, a'vlL
_ 1=iflity L7, P4, FALWAY HIM
_ Date: APR1T. ?fi, 1989
POST IN A CONSPICUOUS PLACE
?C? _ __ . .....__..,..?..?._. _ ?... _? ....., . ,,.. ? ,
:,,__..i..Jii6•?i?=:? . . . '. i ? ? ?e: .Fi?eo..;>»,.? ?.?.?L.ie
N .f fV ?i
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Sox 21-199, Eagan, MPI 55121
PHONE: 454-8100
BUILDING PERMIT
Ta be used for t'? ????ICAP Est. Value °?1401,OW
Site Address 1366 04rN'?.BA(,W; uy;
Lot f Block 4 Sec/5ub. r'AV ULL"
Parcel No.
W Name :i??????LD CONS'!'RUCT) t7N,
o Address 1212 LI'??? r-ILI. tsAY IR°u
City ILLs, Phone $-75ft
?
W W Name
u ; Address
a W Citv Phone
I hereby aCknowlege that I have read this application and state that ihe
inforrnation is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Drdinances.
Signature of Permitee '
A Building Permit is issued to: ?^???``??'?•?.?A? ?t'?`??-ft=Y''????.*? ?.?.'k?
on the express condition that all work shali be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
-?
.:. ? '.
Receipt #
Date , 198A
OFFICE USE ONLY
Occupancy P'"3 -h"I FEES
Zoning R-1
fActuaiJ Const ?'? Bidg. Permit 4 -6 0 •OC'
(Allowable) ?L--N
Surcharge 70.130
# of Stories
th
5i?'
Plan Review
???"?'??
Leng
Depth 38' SAC, City too • (ic
S.F. Total - SAC, MCWCC !'7 5• 0 0
S.F. Footprinis _
48c.
?? ??
On Site Sewage _ Water Conn
On Site Well Water Meter ??"` •'??'
MWCC System v
,
`
Acct. Deposit
Ciiy Water -
PRV Required 5/W Permit
Booster Pump xx SIW Surcharge
TreatmentPl
APPROVAIS Road Unit
Planner - Park Ded.
Council ?
BIdg.Otf.
Variance _ Copies
TOTAL
71, 2 04"oi C?
-
? Permit No. Permft Holder Date Telephone #
WATER
SEINER
PLUM8ING
?
H.V.A.C.
ELECTRIC 310
Inspeciion Date Insp. Comments
Footings 1
Foundation
Framing 3-1-SA D
Roofing
Rough Plbg.
r
Raugh Hig.
Isul.
Freplace
Final Hig. ,Yoy
Final Plbg. .? -
Const. Meter Plhg. Inspector - Notity Plumber
Engr./Plan
81dg. Final
Deck Ftg. ' ,2
Deck Fnal
WBll
Pr. Disp.
CONTRACT PRICE:
3830
Site Address
Lot _ Block ° -i Sec/Sub
?
? Name
? Address
r- City Phone
L Name
'
? Address r f
Q Ciry (Phone
FEE5
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - CQMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00}
,
SIGNATURE OF PERMITTEE t
FOR: CITY OF EAGAN
PERMIT # AG? ID2 5
RECEIPT #
4, MN 55122 DATE:
J
BLDG. TYPE _ WORK DESCRIPTION
Res. i", New v Y
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL w
??_Water Closet - $3.00
?--Bath T:ubs - $3A0 `i
l.avatory - $3.04
=i:._Shower -_$3.00 - ?-
7 : Kitchen Sink - $3.00 .?J
UrinallBidet - $3.00
-1-Laundry Tray - $3.00 '
_1_Floor Drains - $1.50
_L._Water Heater - $1.50
Whirlpool - $3.00 `.,
: Gas Piping Qutlets - $1.50
(MINIMUM - 1 PER PERMIT) 3
Softener - $5.00
VVell - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
FEE:
?
'
STATE S1C: - ?
!_QAIJfI TATA1
PERM
MECHANICAL PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
m Name (.Zx)trr_jjed }!s cZ.
Address PG•
c CilyTVIsYi;i4?V=Ly "0• Phone; -(E)C-*?
L Name
Address S°? k_--? _Bf uebit t
? C?ty?u? c:`i 11 e, MhS. Phone A?1-'
TYPE OF WORK
Forced Air M BTU
Boiler M BTU $-
Unit Heater M BTU
a
T
Afr Cond. •
M BTU $.?
Vent CFM $_
Gas Pipmg Outlets #
Other $_
FEE
S/C: • ?
TOTAL•
i=
BLDG. TYPE WORK DESCRIPTION
Res. x New A
Mult Add-on
Comm. Repair
Other ,
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CQNSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERiYIIT) - 1.50 EA. ,
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
OF PERMITTEE
- .5u
SEWER & WATER PERMIT
CITY OF EAGAN
3630 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
f.,..
aFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # ?? 9' ?U- B.P. RECEIPT# 2 101?
READER,MQ(oS B.P.RECEIPTDATE 218r:;L)
METER SIZE / R ecA _
ISSUE DATE
- PRV ?rw BOQSTER PUMP
SITE ADDRESS 1?166 L: ??- !•„art N". PERMIT REQUESTED
LOT BLOGK SEC/SUB
?'?'WATER TAPS
?SEWER
APPLICA?+i?: -
ADDRESS: CQMM/IND _RESIDENTIAL
CITY, ST*TE ZIP - - .?
,
PHONE: f? :ai kl?"
hIEW , EXISTING
PIUMBER:
ADDRESS: i?d i-x: aE.•??n., ???c{S ?''_. - ?,.,,.,.'•??, ?`P/'?''r,?,+,, I AGREETO COMPLY WiTH CITY G1F
CITY, STATE ZIP ?? 112.C) EAGAN ORDINANCES:
J
PHONE: L ` l`j(-?
OWNER:
4
3
?
ADDRESS: SIGNATURE HE
N METER 18SUED
_
CITY, STATE ZIP
PHONE: ?
EASE ALLQW TWO WORKING DAYS FOR PROCESSING. FOR STaRM SEWER.PERMITS, G4NTACT
'aINEEFIING DEPT.
.-
,, . ,
.i a..
,. .
: : -
SEWER &VATER PERMIT
C1TY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121 ?
OFFICE U5E ONLY
PERMITDATE 2f 13/8c
WATER PERMIT # 12211 SEWER PERMIT #
METER # B.P. RECEIPT # 914I1
READER # B.P. RECEIPT DATE 2 s Scl
METER SIZE
ISSUE DATE - PRV IUL BOOSTER PUMP
SITE ADDRESS
LOT_?_BLOCK SEC/SUB i
APPWANA`:_
ADDRESS'.'1^ 1- `C.V hi
' CITY, ST/#TE .r: Y_.???llF ? ?„ • .. ZIP
PHONE: ..7 56.?__
PLUMBER:
ADDRESS: .,? 4 -°•: :`.,•??;, . ,c:1° 77-t-
CITY, STATE s 4-1
PHONE: t.,:= .rC:,
? ?
OWNER: ? '
•. ! ??
'
i
-
3 , i ?? ? -r ,?
-
ADDRESS:
CITY. STATE ZIP
PERMIT REQUESTED
'--"SEWER 'WATER - TAPS
- COMM/IND r"'AESIDENTIAL
NEW - EXISTING
I AGREE TQ COMPLY WITH CITY OF
EAGAN ORDINANCES:
,
ri'kt"uw+iC!
SIGNATURE WHEN METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN .,?... ? ??.?..?.
, „
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
P HON E: 454-8100
BUILDING PERMIT Receipt #
To be used for 's1' ???/cA` Est. Value 00C Date
Site Address 1366 CM4B"ACK DR
LOt 7 BlOCk 4 Sec/Sub. F+°IPClr?'r irTL+?•+S OFFICEUSEONLY
ParCel NO. Occupancy ?'""? ?'""? FEES
1
?
Zoning -
W
ONSTRUCT IGI+` v:ti'
Name r%
(Actuap Const
Bldg. Permit
78U• ??0
o Address 121i B^+???4BILL BAY i?j: (Allowable) Surchar
e 70.00
City BURNSVIrfLE Phone 4j1•-7566 #ofStories g 390
00
?
'` Pian Review .
Length
p Name SAME Depth 3 ? SAC, City 100•00
,
o
a Address S.F.Total - 575•00
u
? City Phone S.F. Footpr'"tS - SAC,MCWCG
?
??
?
S Water Conn v
'
•
On Site
ewage _
?
W W
Name
On Site Well
-
Water Meter
?•?
AdCll'BSS MwCC System ? 30
00
:iJi Accl. Deposit .
c W CitY Phone ciry water
i SM+ Permit 20.00
PRV Requ
red
I hereby acknowlege that I have read this application and state that ihe Booster Pump ?`? SMf Surcharge 1•0
inlohnation is correct and agree ta comply with all applicable Stafe of ??????
Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI
Signature of Permitee APPROVALS Road Unit 340.00
A Building Permit is issued lo: Z'.,'GDU:'z?=?D 4':.??d"= ???tL"i 3.;;'43 P?anner - park Ded.
on the express condition that all work shall be done in accordance with all Gouncil _
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff. _ Copies -
BUilding Official Variance - TOTAL 3,2C4. QCJ
DATE:
a/is/sv
`: 1366 CA!lELBACR DR.. L7, B49 FAIHWAY ftILL3 iSY
RE
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Goachman Road) until the meter is picked up. BE SUHE TO
tAIL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
dr, ? 4- 1
_,YOUr Sewer & Water Permit for the above property cannot be completed for the following
1, reasons:
Your Sewer & Wafer Permit for the above property has been completed, 6ut the meter cannot
be issued ar occupancy allowed uMil further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILRIES - TELEPHONE, ELF?CTRIC, GAS, ETC.
- REQUIRED BY LAW. j
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
/ DATE: .2/13/89
RE: 3901 DANBUBY SR., LS, Bl, DAtiBURY PLACE
xx 1366 CAMELBACR DR., L7, B4, FAIBWAY HILLS 1ST
Your Sewer & Water Permit for the above property has been completed. It will be held at t¢e
Public Works Garage (3501 Coachman Road) urrtil the meter is picked up. BE SURE t0
? ?.CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
? reasons:
5 --
_ 1'ehi Sewer & Water Permit tor the above property has been completed, but the;meter cannot
boiIssued or occupancy Qllowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
Secretary, Building Inspections Dept.
3/?Y7/6 y
E 85672 9?/ 7is
Req ale
? Fire No. Raugh-In I ' n
Requi
? Ready Now I Notify Irepeclor
When Ready7
I ' nsed contractor ? owner Aereby request inspeclion of above electrical work at:
Job AGtlrese ( t, of R. J City ?? ? A/
Section No lbwnship Name or No Renge No. CouMy
7 t D (PRINn
/P I 0 *L 1 Pho No.
Power $uppll AEdress
El f??Y,?:CTRIC
KENDR ?"°? L ?58 "°
D
Melling AMTe??rflor i
1 n tl
Autha i a tre r ner Me ng Inetellalion) Pharre Number
MINNESOTA STA7E BOARD OF ELECTRICT' THIS INSPECTION REQUEST WILL NOT
GriggaMMwey blag.-- Room S773 BE ACCEPTED BY THE STATE BOARD
1821 Univanlry qve., SY. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
PMm (812) 692-0800 ENCLOSEO
9 REQUEST FOR ELECTRICAL INSPECTION ea00001-07
p ? See instrucGOna br complehng Ihis form on beck of yetlow copy 5'1-?7115
E O 5 6 7 2 X„ Below Work Covered by This Request
Me% Ayltl Rep. TypeofBuilding AppllancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building
D Other (Specify)
Comm./Indus
trial urnace
Fartn ' Air Condilioner
Other (apeary) CqmrectoYS Remerk?:?
? •?vc.v?f?f
\
Compute Inspection Fee Below:
# Other Fae # SenriceEntrenceSiie Fee # Cimuits/Feetlew F e
Swimming Pool 0 to 200 Amps to 100 Amps
Trans(ormers Above 200 _ AmpS Above-100,_ Amps
Signs triepecmr§ uee Ony 7p7AL
Inigation Booms (p,? • vU , ?/
Special Inspectlon
AIarMCOmmunication
Other Fee
I, the Electrical Inspector, hereby
cenify that the above inspectlon has
been made. Aough-in
F,wi
a
OFFICE USE ONLY "-
This requesl vaE 18 months from
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122 1 e, 2008
LI u
Phone: (651) 675-5675 ?UN
Fax: (651) 6755694
2008 RESIDENTIAL
G
?-----------------
? ..., ?
? Permit#: 9f/ E I j
I Permd Fee: ? J? D ?
I ?
? Date Received: ? j
I I
? StaB: I
I I
APPLICATION ?AJkc-:? J
`l,,/?/4?,-
?.L ? n ? Site Address: I ?(Y ?- I r?e? t d? k '?
Date: ?QJ,
?
Tenant: ?V\ nngK? I \ Suite
RESIDENT/OWNER Name: -bDl'? cin Goe PhA
c-?551_?03-4 08
Address / Citv / Zip:
Applicant is: 4 Owner _ Contractor
TYPE OF WORK Description of work: 4dQi N dAA
Construction Cost Multi-Famity Building: (Yes _ I No ?
CONTRACTOR Name: `R I,OgS1Ue-11 License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
E118fgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Woricsheet
Category Submitted Submitted
(4 submission lype) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppoting,documents that'yodsubmit are'considered to.be pubiic information., Portions'of
,:, s ?:
the mformation may be class?fied as non # ublic ?f you provide'specifc reasons thai would permit the City to'
. ?
. _
?.a „" . 1ih!a = conclude`,fhat"the; aie tFade'seereis. W,
I hereby acknowledge that this infortnation is complete and accurate; that the woAc will be in
Eagan; that I underst2nd this is not a permit, but only an application for a permit, and w
accordance Hrith the approvetl plan in the case of work which reqwres a review and approv xald I3.CpC=Sw? i 1 X
Applicant's Printed Name A plica
ov
and codes of the City of
that the work will be in
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
- suB rrPes
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3aeason) ? Ext. Alt - Multi
? 01 of _ Plex ? 07-plex g' Garage ? Porch (4-season) ? Ext Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 70-plex 0 Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
V? Addition ? Move Bu ilding ? Reroof ? Demolish Interior
? Alteration O Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' DemolRion (entire building) - give PCA handout to appliwnt
DESCRIPTION:
Valuation 13,e CaDO : Occupancy ?C.="f C/i l MCES System
Plan Review Code Edition 2,00 Iri. SAC Units
(25%_ 700% ? Zoning ;2 ' f City Water
Census Code ?{3 ?( Stories Booster Pump
# of Units ?
Square Feet J Op4j PRV
# of Buildings i?
Length Z J'L(
Fire Sprinklers
Type af Const. Width ?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
X? Footings (addition)
? Foundation
Drain Tile
?p Roof: _,W Ice & Water 't° Final
? Framing
Fireplace:_R.I. _AirTest _Final
1WO7 Insulation 'd ?
Reviewed By: _
RESIDENTlAL FEFS:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Pertnit 8 Surcharge
Treatment Plant
Copies
Total
Sheetrock Meter Size:
Final/C.O.
? FinallNo C.O.
HVAC
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
wndows
_ Retaining Wall
Building Inspector
??3•?2i??t"x33.6o
IZ933.t-L
Page 2 of 3
s_??? ' .,_ ? ??' ......... . . ....... ,... _ .,. _ , _,.
m.__..Ms:.•._. r.Y ,. ? ., .. ....,....., \
?
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b L
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FiNISNED GARAG
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?
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6
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FA
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tv I
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?Q 24.3;
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(N+
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E1"1 SE
? 73%) i d Z8 ? D'Z.g?7
nl bQp24' 43'?w i N 800 Y2-*1.2 "? C?oLQ•s?
t h..rwhv aartlfY iihnt Ihls {s e tcu'e and ovttect teQreaentatlvn oi a 1rac
`I ..-8 .01 J
INDICATES DiREC
tiv ?0 / O
i 1
? v K
M?.
O ?a O
1999 BUILDING
New Construetion Reauirements
PERMIT APPLICATION (RE3IDENTIAL)
CITY OF EACiAN
3830 PILOT KNOB RD - 55122 ,
(651) 681-4675
RemodeUReoair Reauirements
? 3 registered ske surveys
? 2 wpies of plans (include beam & window sizes; poured fnd. dasign; eM.)
? 1 energy caiculations
? 3 copies ot trea preservetion plan if lot platted aRer 7/1l93
required: Yes No
DATE: ?` / dr
DESCRIPTION OF W
STREET ADDRESS:
? 2 coPies ofplan
? 1 sde surveys (exterior addltiona 8 decks)
? t energy calcuietions for heated addkions
CONSTRUCTION COST:
LOT: ? BLOCK: L4_ SUBD./P.I.D. #: a;r L&'Jah
PROPERTY
OWNER
Name: ? C! y .f Gti /)rff a /d Phone #: g???
L-Kast First
Street Address: 4( (( e!??e; /E) d c
City d K State:
Zip: ,?rl o2 -7
-I? 1 T / ll C?l,l? 3?'? ? Iq,(^/I// G ?i
Company: ?l e? U Il CI Q G! `[ .TrA. Phone #: ?7 ?/ /-o? /
CONIRACTOR G r-
?_Jy/_?j'd
Street Address: 6 0? License #- ? Exp ? 1
City ed 0- p ! ' /^ d h o State: ??d! Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration k:
Street
Ciry
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once pertnit is issued.
State:
I hereby acknowledge that I have read this application, state that the information is correct, and
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
f
Zip:
Penalty applies when address
to
with aii applicabie
101999
Tree Preservation Plan Received _ Yes _ No - Not
OFFICE USE ONLY
•?? 1
BUILDING PERMIT TYPE
? 01 Foundation ?
)( 02 SF Dwelling ?
? 03 SF Addition ?
4 SF Porch ?
05 SF Misc. O
WORK TYPE
? 31 New ?
? 32 Addition ?
06
07
08
09
10
,33
34
Duplex
4-plex
8-plex
12-plex
_-plex
Alterations
Repair
? 11 Apt./Lodging ? 16
? 12 Multi Repair/Rem. ? 17
? 13 Garage/Accessory 20
14 Fireplace a21
15 Deck
O 36 Move
O' 37 Demolition
Basement Finish
Swim Pool
Public Facility
Miscellaneous
GENERAL INFORMATION
?
Const. (Actual) s•
Basement sq. ft. Census Code
(Allowable) 5•NI Main level sq. ft. SAC Code
UBC Occupancy R'3 sq. ft. Census Units
Zoning ? sq. ft. Census Bidg
# of Stories - sq. ft. MC/ES System
Length - sq. ft. City Water
Width - Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee 8? 3 ? Valuation:
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
D
_?
.
,
?
? rin°riiiEiis a ?a"111f1U 5?1111Vr.
,???AING
98.01
,,L \432-3000
?OMPANY, INC.
???ID00 EAST 1461h STfIEET, BUIlNSVILIE, MIIilIESOiA 653jCertificafie of Survey
Legat Description : LoT `7 . BLOCx 4, FA1RWqY HILL
QAKOTA COc1NTY, MINNESUTA
Cl?z'?.?) DENOTES EXISTING ELEYATION
Gr- S
z--? -a9
?
a?H ?h
?a \a.
h
SGALE:f130 I
? ? ry a
:, r
? i• ? I
v / 4
( ieZ9.s-) DENOTES PROPOSED ELEYATION
. INDICATES DIRECTION OF SURFACE DRAINAGE
io?.83 = FiNISi1ED GARAGE FLOOR ELEVATION
?Z7
cq
, Me, ,
.' ° Q,qC
?-
i ?
296? `?.
s?,??? ?4R4
yo; f eo 1.e
T
/ o03e-S,J
l
J ?or
? "t.
0r
I-,
„• ?`,?? )-
';
? ?-
.-
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30' FRPNT BUILD/NG
- -_7 ??OIJSi?
DRAINAGE Ar`
fASFJMEN7- ? 7So %.28
60°24'43'tW N e00/2'/y"w
iscaby osrtlfy {hoi ihls Is a true and oarreot reprasentatlon ol n lract of land ue shown ond dascrlbed hereon, ,
, preperod by me onthb ?'? ddy of F??•?a , 19?. .
, IAlnn. flsy.ilo. /6a8.f
?
??\?/ ? ? ?
Hrye? ?,??
i
/
?
CITY OF EAGAN N? 16111
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8100 D
BUILDING PERMIT ` Receipt # ?/ a
To be used for SF DWG/GAR Est Value $140, 000 Date r-D- ? 79 89
Site Address 1366 CAMELBACK DR
Lot 7 Block 4 Sec/Su6. FAIRWAY HILLS
Parcel No.
w Name MCDONALD CONSTRIICTION.INC
a Address 1212 BLUEBILL BAY RD
City BURNSVILLE phone 431-7566
a Name S?
?? Address
City Phone
1?061 Name
3; Address
N. CityPhone
I hereby acknowlege that I have read this application and state that the
inlorma0on is conect and agree?mply with all applicable State of
Minnesota Statutes and CM ofEaa£n Ortlinanres. I
Signalure of Permitee
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R=1
InccuaqConsc V=N Bldg Permit 780.00
(Allowable) V-N ]O nn
# of Stories
Lengih
Deplh
S.F. Total
S F. Faolprinls
On Site Sewage
On Site Well
MWCC System
City Waler
PRV Required
Booster Pump
APPROVALS
A Building Permit is issued to: MEfiONAT.I'j CONSTRIICTTON Planner
on lhe express condition that all work shall be done in accordance with all Cumcil
applicable State of Minnesoia Statutes and Ciry of Eagan Ominances. gidg pK.
BuildingONicial lb,(l,?? Vanance
Surcharge -
52, Plan Review 390.00
-3AL' SAC, ary 100.00
- SAC,MCWCC 575.00
WaterConn 580.00
water Meter 90.00
?
7C7{ Acct. oeposit 30.00
S!W Permil 20.00
XX S/W Sumharge 1.00
TreaMent PI 228.00
RoadUnit 340.00
- Park Ded.
_ CoPies
- TOTAL 3,204.00
0
1989 HDILDING PS&!IT APPLIC6TION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS I 4 I I I
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYp 1 SET OF ENERGY CALCULATIONS
NOTS: ADDRF.4SFS FOB CORNER LOTS - CONT@ACTOR/HOMEOHNSR MUST DE4IGNATE W9ICH 9DDRFSS
I3 DESIRED. NO CH9NGFS WILL BE ALLOWED ONCE HIIILDING PERlSIT I3 I33DED.
MOLTIPLE DWELLING3 HENT9L ONITS F09 SALE U9ITS t OF ONIT3
INCLUDE 2 SETS OF PLANSo CERTIFIC9TE OF S[TROEY - CHECg WIT$ BLDG. DEPT.9 t SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- FEB 0 "' 1989_
Si xnls Fw+i 1?
To Be Used For: New Ce..,s+ruc6.ojQ Valuation" '"?voer- Dates 2-2-89
Site Address 1366 CwftllncqClC Dr.
Lot -7 Bloek y
Parcel/Sub Z
Owner Mcl?t'uwla CnNSlvuetio..i T,je
Address 1212 Bluebill 13a54 Rd .
'-
CitylZip Code B,,,rasville , 5533T
Phone 451- 756 b
Contraetor &?„?jpjd C?s?rc.c{-iarv Tue
Address Sw?++e Fts wloeve
City/Zip Code " '1
Phone Arch./Engr. _
Address
City/Zip Code
Phone #
I I
oaD ^
1140 OFFICE OSE ONLY
1
Oecupaney R 3 M_I Ffifi$
Zoning
Actual Const
?-
Bldg.
Permit
7801 OL)
Allowable V?nl Sureharge ?D,00
A of stories Plan Review
0
89010
Length
- SAC, City I 00, 00
Depth 77ZT?
7 S9C, MWCC 5?75,00
S.F. Total Water Conn 580•OC)
Footprint S.F . Water Meter 90•cn
On site seciage_
On site well
MWCC Syatem V
City uater
PRV required
Booater Pump ?
Acet. Deposit p 00
5/W Permit 20,00
S/W Sureharge IoO
Treatment Pl. zZS?, o?
Road Unit 340,?
Park Ded.
Copies
TOTAL d
APPROVAL3
Planner
Council
Bldg. Off.
variance
Council
NOTS: Sewer & Water Permit fees aad aacount depoait fees rtill be inaluded in the building
permit fee. Prooessing time for aexer aad xater permits is two days once a liaensed
plumber has applied for a permit at City Hall.
vALuA~r i o N
?
ZZx?2 ti?lo
r-
Y3z x15- ?4?0
t?SM T
l(?x yg = ??a
?Zx3o ? 3?0
?
I13? X 14 = 159vy
? ST ?i?otL
?
's3 Sm"f' = i I 3 ?
zx? = ?`-(
l?Sb X So= 5r15-oO
Z Nl.'7 ?l.O?l2
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cc X 3?= Z?p
?--
iz oo x 50 = (00000
I 39 s?ti?{
I
,
i
/AOt3E ?..
ENGINCEAING
COMpflNM, ltVC.
IOQO EAST I46111 STflEET,
MG DONA1.p
? rinaiiEiis a?d iiiiu sfunv(vons C'DNST
I 9 98.01
BUIINSYILLE, MINIIESOtA 66337 PII 432-3000
Certificafie of SLirvey
Legal Description : LoT -7. BLOCx 4, FAIjqWAY N1LL
QAK07A COUN7Y, MtNhiESOT.A
oz9.s) DENOTES EXISTING ELEYATION
?•? 4" C; ??r? 1 r?n \V;? f^ ,`?,? --
GFS ? ?OL4•r? DENOTES PROPOSED ELEYATION
By INDICATES DIRECTION OF SURFACE DRAINAGE
Data
La°; ?..:"?!'.?"
?a \o.
?
SCAi:E:1 "=30
?
/?• Dl'Do Dt '?•o
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,
s
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V ? / H ?S? F L
l ?
`
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?, `
? r rI i
/ ????? Pump
? •,A?QUlf?ED
--7_ /o„ Y
? 30' FRGWT BU/LDING
ZE75AL'I'l L?NC
R EV I E!N E1)___. _
"\
BY ? - ?.__...
DATE a
? DRAINAGE UTILf7y
EASEMEN1"
' 7So 95. 2g L" ?
N60°24'43??W N8O?12'/y„??,
1 hareby aertlfy Lhat thls Is a true and oorroct reprasentation ol a Lract of lund oe ahown und desctlbed hereon,
As prepsrod by ma on th?s G? ddy af 19g9, IAinn. Reqdlo. ?a8,f
FiNISHED GARAGE FLOOR ELEYATION
? .
4M
c
4Ck ??z4,??
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VE ?
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. ExiEuioR EiivE,vP? nvEnuL' IIuII ooiAruTnTzotI
•• ('lo bo dubntl;bted tivitlt buildlug permib apylioation)
ie or Tvo Faiully bwo111ug _____ •?? _, oro??er
.i otiIax : eite naaragg .t?LoXK LL,
?utrnotor _?'I"' ?X?{,d,l ? G(?l??"•• llato Yl?ot?e
IIIF;AL E'EE:'1 Vil \? ,• • ' .
xAIUSEU vnLL ct4 aUove grsae
'1'U'lAL F;XE'U9EU {YALL AItF:A Bq, E"1.
iPAqUE YlALL Uot19TltUU'rioll t "Ull Value x Aren
Uetall. e, npn , p ?j x BQ,t•eCorouae °u° d x Hct.
Irom upu X 8(j.
attaclied liull X 6t2,
slwetn uuo x sq•
, liplt x f3Q.
Y7IIIUOYISt ?lUll VaIlue x At?ea •
1lnlcs lk Tylia ?NWl" &?lYlT 'lUll .3(p x gq.
Ii u 111111- x 6Q.
u n . npu x Hq6
n n uu u x 6q.
Yeluo x nrea . .
Ilttlce & TYPe S n??n e?'-T x 9R6
u u ?o P2? upn .`] x 8t ,
u n upv . x &((.
?? u npu x eq.
BG?.
nv?:?ina?s ...?s
Toxni, (u)(n) vnt.uElj
UJ.VIUEU llY 'IOTAL 1'IAL4 ALlE:A Z7jZ IZ+ I ?e)
hVE1lA(JE itUoi ,115 or leee tor 1&2 iawily dwe iuge
11ooE'/UELLIIIU 1 J,? I
To'PAL AIiEAI h,?f
I `f ?'? .. 4.
A"C?zZ A I tU) (A)
I"r. - u)tn?
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A)
V&
?-7?,
2'??a ?w ,
(
??\A)
e?r. n (ul(n?
p".C. ? lU)(A)
FT, .?5P,75, 9a.Z7 (U)tn)
F'1'. = lU)tA)
F"1'. ? ?U)t A)
F"1. _ (U) (A)
F'1'? io)(A)
F'1.,_
E^P. , a (U)(A)
Fm. - (U)(A)
r1. zZl r39 tu)tn)
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' nUn ?OL? '!' x sR. F'r. I ZI? " (u)(A)
Irom
nttaclted slteste. upu x
liUll x Bq.
8Q. f"C.
F'r, . (U)(A)
e (U) (A)
Uescribe opeuliigs
i 'liUlt x gq. F"p* a (U)(A)
n root, itUit
x
BQ.
Frl.
'S (U) (A)
To'l'A(. (U)(A) VALUE9 llxY1llGU DY -L-L-LxSq.r(z5l,
To'lAL liOOF/CEILIIIU AIiEA IL?? • ...
AVEIIAUE IIU"
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.?
ID !
qS9-xCqB+qgt z???) = ( ??o??
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,0-1?, I sz '= I o ?, 84
/
J
I I l z- ? x?? ??z?sx3 =?,s
If ?X3i? = 7xz= 14,o
I 33,75x1= 3305
f I 2?(3 a:?" = 5,o X z=/D, o
II ZoXr?o? II,aX z= ZzIo
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I?- ZoX?v = 2?,v ?c I= Z1?o
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t'?s
3= S?jL? ? , z?, o
z? sn-? 5?, l???. ZI ?o
(Z!? ?
? ?) ce,,.-?p
?Ex p?wvf? jol, 84?
" ?I??f? ?,ZS
E4? vA, L, s
*Z,j 1z,.+
- 5t?2,7y
2zzl ,ll
--YlALL SECTION--
r
Uetermining "U'l valuea at Rooft Wall, Rimt and Conc. $loclc
. ..' -------- ?
I ROOF/CEILINQ R VALUE
? 1.) Intorior Air k'i1m 0.61
2.) 5/81, aYn. Bd. .56
3.) Insulation t?-rj,o0
b.J
5.) Exterior Air Film .61
(STILL)
1/R- ?pZ I '1'OTAL (R)
YlALL R VALU
6.) Interior Air Film 0,68
• 7.) P GYp. Ba. .45
8.) Insulation /9,00
9.) 1501t.T-g-17e 2,a4
10.) hiEisonite Siding .67
11.) Exterior Air Film ,17
upu _ 1/R= r of3 TOTAL (R)=Z'3?D I
Rn-i n
a vaLuE
12.) Interior Air rilm o.68
13.) Inculation 0141b
140 2" Fir Rim Joiet 1,$$
15.) 5vvT y,04-
16.) P7asonite Siding .67
170 Exterior Air Film .17
,lUll = 1/R= ,C?10 TOTAL (R)= Z,?,,?+
FOUfaDAT10N R VALUE
18.) Interior Air Film 0.68
19.)
20. ) t? I R-,? 4?ql_h(?S i`t, bo
21.) iP?^rete 8lee4E-? -?i=E&
22.) 112-1) pLY - z104-
23.) Exterior Air Film .17
??pn = 1/R- TOTAL (R)= z I,g I
M LL
y???1-I?Z- woap
?--o uNk::) 16?ndN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAI*
^ CITY OF EAGAN U
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshuction Reauirements RemodeUReoair Reauirements
? 3 registered stte surveys ahowing sq. tt of l04 s9• R of house ? 2 copies of plan
and ?!7 rooted areas (20°h maxlmum lot eoveraae allowad) ? t set oT energy wlculations for heated additions
? 2 wpies of plans (show beem 8 window sizes; poureC fnd, design; etc.) ? t site survey Tor eMerior additions & decks
? 1 set of errergy calculations
? 3 copies of tree preservation plan if lot platteC aRer 7; 7193
DATE: CONSTRUCTION COST: S? S? d
DESCRIPTION OF WORK: ?? Y?. F- J'I 9?- ?
STREET ADDRESS: / ,!?E G? ? m?? ? .n?l? ?? ?
IOT: ! BLOCK: 4-1- SUBD./P.I.D.
Name:Ca94Jj/"4l Phone tf: ttr,7 t -io g-7" g?66
PROPERTY Lait Fvst
OWAiER
StrcetAddress:? 161zr CL?m e4l? llpc-A L'J ?`
Ciry _ 4- c{?? Srate: ZiP: SS 7 2 ?
ComPanr g?4 G Phone #:
COh"I'RACI'OR
Street Address: ?0-7 ef- Z/ 5' Lcense Ji 7XV0
aty stme: _127 /1 zp: S 5 yt 7
ARCHITECT/
ENGINEER Company. Phone A:
Nazne: Registrauon N:
City
State:
Zip:
Sewer & water licensed plumber (reauired for new construction onlvl:
Penalty applies when address change and lot change is requested once permit is issued.
I heoeby acknowledge that I have read this application, state that the information is correct, and agree to comply with atl applicable
StatB of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: <2
9/I ? `-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' uGI
Tree Preservation Plan Received _ Yes _ No _ Not Required . ?
L -
Date: 6/f
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651)681-4675
6-19-1?
, ,• .
/.v5 qLG G q 3
Description of Work: _X Qonelpwt new fireplace
_ Install gas insert ontv
Other
' Job address: ?
Lot: ?1
_ Alteraddons to existing
? Install gas line aily
Block: -T Subdivision/P.I.D. #: T_?Q i Y US
Applicant (circle one only): Owner ontractor Permrt Fee: $60.50
Name: Phone #:
PROPERTY Last First
OWNER ?j
JCv?
cam
Street Address:
l [?
City ? v?-LLt.Y/?'li State: /&0 - Zip:
Company: Phone #:
FIREPLACE foi4t p1A1N AVE.
1NSTALLER Street Address: LAKE MN 66STp
1 .
C(ty State: Zip:
Company: Phone #:
GAS LINE 18151 MAIN 7AVE
TALLER
INS ,
Street Address: PRiON LAKE. MR
_•...c_.._._ "'
City State: Zip:
, I hereby acknowledge that I have read this application and state that the information is correct
; and agree to
Ordinances. comply with all applicable ta e of Minnesota tutes and- City_af -Eagan
PERMIT
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034669
Date Issued: 03/30/1999
Site Address:
1366 CAMELBACK DR
L,ot: 0007 Block: 0004 Addition: FAIRWAY HILLS
10-256-00-07-004
DescripHon: ?
Sub Type: Single Family UBC Occapancy:
W ork Type: Alteration Construction Type:
DescripUon: EYEBROW/& REROOF Zoning:
Cenaus Code: 434 Squgrre Feat:,
b 4
ti
d'?µ
n}?.
Remarks2 PLAN REVIEWED BY CRAIG NOVACZYK
EYE BROW BACK OF HOUSE, ROOF DECK AND FIREWALL.
Fee Summary: State Surcharge
Base Fee
Valua6on: $3,000.00
iso
83.25
$84.75
Contractor: - npr??cant - Owner:
JOHNSON, JACK St. Lic.: DONALD COGSWELL
8525 EDEN PRAIRIE RD 1366 CAMELBACK DR
tEDEN PRAIRIE, MN 553470000
6129491209 EAGAN. MN 551230001
I hereby acknowledge that I have read tlvs application and state that the information is waect and agree to comply with all
applicable State of MinnAsota Stamtes and City of Eagan Ordinances.
?
Signature
?`(?'
ssuedBy: Signature
Use BLUE or BLACK Ink
For Office Use v I
E C o I Permit
Permit Fee:
3830 Pilot.Knob Road 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I staff: j
Fax: (651) 675-5694 L---------------
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: -,941 -122 Site Address: J ~~1 K r
Tenant: Suite
e
Resident/Owner Name: n(~ 1(1 ~~~V~L~rL I Phone: Lt51- U2a-q Q(B(P
Address/ City/ Zip: L'~Wf! 12. 0! P1 a-55-03-
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type Add Plumbing Fixtures Main / _ Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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 to dig to receive locates of underground utilities. www.gopherstateonecall.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 pla
x Carl Michels x ~~'a~feggn~n&
Applicant's Printed Name Appli ant's Si nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
Use BLUE or BLACK Ink
r
For Office Use
City of Eagan Permit#:
Permit Fee: 70
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: 11/T /L A. Co SC-L1&7 ( Phone: 6;3', --7-‘,<S) -va,
Resident! /
Owner Address/City/Zip: /3f, C A/fAZ ,4"C.K
Applicant is: Owner Contractor
(
Type of Work Description of work: A E. c 0 —
Construction Cost: Multi-Family Building:(Yes /No )
Company:1111171-/(..- CL2(Ststl C' L - Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:.Plans and supporting documents that you submit are:considered to be public information,,Portions;of
the information maybe classified as non-public if you provide specific.reasons.that would permit the City to
. 'conclude that they are trade secretsa
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 forprotection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
(1"6
'i0-beil /le 7
x
Ap icantPrinted Name Ap"/ Ap icant "Signature
�/ }�L / ( 6S�Q) Z Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151598
Date Issued:09/04/2018
Permit Category:ePermit
Site Address: 1366 Camelback Dr
Lot:7 Block: 4 Addition: Fairway Hills
PID:10-25600-04-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Donald B Cogswell Jr
1366 Camelback Dr
Eagan MN 55122
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:Building
Permit Number:EA152299
Date Issued:10/09/2018
Permit Category:ePermit
Site Address: 1366 Camelback Dr
Lot:7 Block: 4 Addition: Fairway Hills
PID:10-25600-04-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Donald B Cogswell Jr
1366 Camelback Dr
Eagan MN 55122
(651) 687-9666
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177815
Date Issued:07/19/2022
Permit Category:ePermit
Site Address: 1366 Camelback Dr
Lot:7 Block: 4 Addition: Fairway Hills
PID:10-25600-04-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Karyl K Cogswell
1366 Camelback Dr
Eagan MN 55123
(651) 687-9666
Capital Construction Llc
501 W Travelers Trail
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature