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3644 Robin Lane02/15/2011 TUE 14:07 FAX 6514378831 City of Eatau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 X1002/002 Use BLUE or BLACK Ink `i )i`Jse Permit#: i 1 Permit Fee: Date Received: Staff: 2011 MECHANIC ;. PER IT APPLICATION Sit dre s:, Date I�/ / � W 1Atra- Tenant: Suite #: RESIDENT / OWNER Name:I'�,,� 0( 4v(LC Phone: " Address / City / Zip: 07 Y obi /j 411�c. CG!%t6%..- CONTRACTOR Name: Alt P' License #: Yfrl Address: /90 tem i ateN, City: ?e. %t s,L ys State: ! Ai Zip: 5—V3 ✓ 3 Phone: 3 7."- 4/ 7 7 Contact: C4 #4 4...- Email :/ /, / '4 ahih6f4 o liet.• TYPE OF WORK New Replacement Additional — Alteration Demolition _ Description of work: /4CI Cot. NO iE Roof mounted and ground moun ° 0'0 610 equipment is req tis to be screen d by City„ Cade 4.14§V,.# :„:"eMechanicaI IflspectoI f r1nformpt)pn ed sc3 Taiggmethods PERMIT TYPE RESIDENTIAL mace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump_ Under / Above ground Tank (_ _ Install / Remove) _ Other "When installing/removing tank(s), calf for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $"' TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% $ Permit Fee - If the Permit Fee is fess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit $ TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against undergrou before you intend to dig to receive locates of underground utilities. www.aeoherstateoneca0.orq I hereby acknowledge that this information is complete and accurate; that the work will bn conformance with Eagan; t t I understand this is not a permit, but only n application for a permit, and wo of to start without a with roved plan in the oar a f99rk which r ires a review and approval of pia Applic Printed Name utility damage, Cali 48 hours d codes of the City of ork will be In accord plicant's Signature 1NNFEU ION KLUOKlll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' APPLICANT: r ri t? (It+„ r t+t Hi Y" Nr?t1t t ++F:f ?+t (n t ,' 1 4 r3 'ti/A PERMIT SUBTYPE: TYPE OF WORK: fill I 1 1? 1 "b A',14 69i 10/16/46 F P1 MAIfV?- s CH IMNI 1`Jt l 1.11 MIP%T HI IN.P[CTF1) HrvoRf CONCt AI IH1 Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL .. . INSPECTION RECORD CKY OF EAGAN -_ , PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 fJ t SITE ADDRESS: r 4, ;tf; fN I ANF PERMIT SUBTYPE: 1i„ 141111lttNI.# ?1!r, 1?H /RR APPLICANT: F<I 111 I , t la+ 1 .1 1 4-44 TYPE OF WORK: N1 II INSPECTION !I• DATE INSPTR. INSPECTION TYPE ? it!ii .. i 1 DATE INSPTR. ;' M-1 I N" 1;11111 I NO t 11 Atl A l 111N 1 1 :.I ! +111,13 1 N 1 1 I ! ?? ?? II I f•1 11 1 + !f?+! I'I 1t 1, I ! Nett kE14AVKt; t -:3 J? 0 1`I NF F e Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING ?JQD- 909 HVAC /T 9lQ -OS?I Inspection W he Insp. Comments FOOTINGS ;?x u4, h FOUND S FRAMING /Cs ROOFING ROUGH PLUMBING G PLBG AIR TEST ROUGH HEATING GAS SVC TEST -6 INSUL GYP BOARD FIREPLACE " L FIREPLACE AIR TEST FINAL PLBG `(/ J_ FINAL HTG ORSAT TEST BLDG FINAL e,-Y-q? ,Kg 1'15 jlD 94 BSMT R.I. BSMT FINAL p/?61??p- --- - ?C DECK FTG DECK FINAL .# s rk TA %tMf icate of cccuvanc? 4FU4 of Wagan 2*0artment of Sun* 3x4ectiou This Certificate issued pursuant to the requirements 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, SF DWG/GAR Bldg. Permit No. 9757a Occupancy Type $3 /1] 1 Zoning District R I Type Const. n. OWwr of Building xR-T Con Address 17654 RA iS7 AVE u MILE GM BuuWmg l.ocalityL.1,0 B2, RAQM FORM 'z Due: Building Official i POST IN A CONSPICl10US PLACE l ZOIlli'tMl2xxt of Zx"* 3xirectiex This Certificate issued pursuant to the requirements 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: SF DWG/GAR Bid& Permit No. 27579 o.r. „ y Type R-3 U-1 zoning District R-1 Type Cons. VII ownero(BwIding K R J 11SIC Addtcas 17654 88TH AVE N.. MAPLE GROVE MN Buiwing Ad,i 3644 ROB1H LANE amity L19. B2. BLACKHAWK FOREST Doe: BWding Official ?. POST IN A CONSPICUOUS PLACE • _ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `' tPlO?H`` Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: M] N V AP ct,lJ1 ?sqf. f04.'9 HIA(.AHAWk tIlk E5IF PERMIT SUBTYPE: TYPE OF WORK: r, u F?? Permit No. Permit Holder Date Telephone s ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG L DECK FINAL 41117- !?>? 11ci f f? Address 3644 ROBIN LANE Lot 19 Blk Sub BLACKHAWK FOREST Zip 5512 THESE ITEMS WERE 1 WERE NOT COMPLETE-AT THE TIME OF THE FINAL INSPECTION. Date: 7 S(a Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas k1 Sod/Seeded grass Trail/curb damage t? o C a 1.-Ll.? l? Cw? Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 703 71 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas (2o%mmimum lot coverage allowed) 1 Soils Report if proposed building Is to be placed on disturbed sod 2 copies of plan shaving beam & window saes; poured found design, at. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) M rmegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate (!oa4le septic system 4a. CT) Office Use Only Cert of Survey Recd -Y _N Spala Report _Y -N Tree Pres Plan Recd Y _ N. Tree Pres Required Y N Onsitd s, eptic System Y: - N Plans are considered public information unlPCC vnn ctatp thpv nrp tramp copra* and the rn.cr . Date l V l Site Address _Qb1 Construction Cost 40 1?1 Unit/Ste # Description of Work r r' - Multi-Family Bldg _ Y _ Fireplace(s) 0 - 1 _ 2 1 Property Owner ( pz- Telephone Contractor [ r Address State Zip SS/!? City `q /? Telephone#(? )?j /f6(y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation category 1 Worksheet New Energy Code Worksheet (? submission type) Submitted Submitted • Energy Emnalope Calculations Submitted In the last 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 address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby Building Permit and is complete :; 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 application fc permit; that the work will be in accordance with the app ved plan in approval of plans. ? ?ru4 `-??.?KJS Applican s ranted Name ?- Applicant S. Telephone #( Telephone #( Telephone #( permit, and work is not to start without a ,Case of work which requires a review and L 0 SUBD. BL CITY USE ONLY 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 561,22 (612) 681-4675 RECEIPT #: j b .50? DATE: h3 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x - is Lavatory 3.00 x = ]a,, To Kitchen Sink 3.00 x / 3•6z> Laundry Tray 3.00 x Hot Tub/Spa 3.00 :t = Water Heater 3.00 x 3 4st> Floor Drain 3.00 x ! = 3. M Gas Piping Outlet * minimum -1 3.00 x I = 3.6D Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 3?,q J ?6b,n ? ?M ? OWNER INSTALL STREET CITY: 1) ?? ?4 STATE: M/( ZIP: PHONE OFFICE USE ONLY L BL RECEIPT #: SUBD. 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: w all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: _ CITY: PHONE #: SIGNATURE: STATE: ZIP: APPLICANT OFFICE USE ONLY DATE: STE. # METER SIZE: DATE: INSPECTOR: L 1 9 SL ?CITY USE ONLY RECEIPT #: J_9/ w SUBD. DATE: &// 7IR 6, 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 66122 (612) 681-4676 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) 3. d-0 ? State Surcharge .50 TOTAL 5J ---7---7- INSTALLER NAME: STREET ADDRESS: ?3 CITY: /? H C` STATE: ?_,'I ZIP: PHONE #: ( ) ?? Z O Cy`. G SIGNATURE OF PEKIVII N,!IL: OWNER NAME: // // Sf=? PHONE #: CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. DATE: . CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: • $25.00 minimum fee pr 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE M SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE M STATE: ZIP: CITY INSPECTOR atiYYFaXaXYdXC%X1k?i N:aX$CYFXCYFMf{a'(1RY,CY,CXCXCaCkY'it$Cak%C&Yti XoX$C 1rY?RCaKXC CITY OF EAGAN CASNIEM S TERMINAL NO- 786 PATE;; 10/16/98 TIME. 15:47!33 ID: NAME. KIDD PLUMBING, INC. ?210 9001 3644 ROBIN LANE 50.00 205 9001 3644 ROBIN LANE: 0.50 Total Receipt Amount:: 50.50 CR098482 USER IDK NANCY >kY,cY,?aXakaXaXaX?aXk?m>XanakakaXx;?C??;>:ca;<atiaXakaX?'ak?::?iaX aX:?a%?aXaXak PERMIT CITY OF EAGAN 383D Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 3 6 9 7 Date Issued: 10/16/98 SITE ADDRESS: 3644 ROBIN LANE LOT: 19 BLOCK: 2 BLACKHAWK FOREST P.T.N.: 10-14325-190-02 DESCRIPTION: f°^,.._ INSTALL Buildin?',Permit Type Building a6rk Type rCensus Code i` f. f" GAS LINE FIREPLACE ALTERATION 434 ALT. RESIDENTIAL ' r REMARKS: CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING. FEE SUMMARY- Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: KIDD PLUMBING 14937878 CLAUSEN BRUCE 1F18 89TH AVENUE NORTH 3644 ROBIN LANE BROOKLYN PARK MN 55444 EAGAN MN 55122 (612) 493-7878 I hereby acknowledge that .I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. > 11, 4& r -0 ISSUE BY: SIG ATU 3 (::,"q r-7 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERNUT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: - Construct new fireplace Install pas insert only Other PERMIT FEE: $50.50 Alterations to existing Install gas line only JOB ADDRESS: _ -lo 4`1" !fin Ln Ln LOT: BLOCK: SUBDMSION/P.LD. #: e? L; APPLICANT (circle one only): OWNER TRACTO 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. PROPERTY OWNER FIREPLACE INSTALLER Name: C ((a LLS of 6Y-CLL -<,, Phone #: Last First Street Address: City State: Company: Zip: 55 I D-,;)- Phone #: Signature: Street Address: License # City State: Zip: Phone M GAS LINE INSTALLER Street Address: /-, 1 9 13-A "/(). S ??G OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. CITE( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (r12) 681-4675 SITE ADDRESS: P.I.N.: 10-14325-190-02 PERMIT 3644 ROBIN LANE LOT: 19 BLOCK: 2 BLACKHAWK FOREST PERMIT TYPE: Permit Number: Date Issued: C2A57.701 BUILDING 027579 05/20/96 DESCRIPTION: Buildingr,k Type UBC Occupancy,,,-_ GonstYUCtlon 7jPe Zoning Building Length Building W:ydttt "i ld,ing stories J" +?ikdin?.Permit Type j@r0 Feet CCs ?Ssioae fl Si Oil SF DWG NEW R-3 U-1 V-N R-1 66 50 1 2,412 1 - FAM DETACH V t rf f /- REMARKS: S & W PLBR - FEE SUMMARY: VALUATION *Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $1,027.25 $513.63 $64.00 $900.00 100 1 $5.00 $2,509.88 101 $128,000 MISCELLANEOUS $1,923.50 COPY $.50 Total Fee $4,433.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: K R J INC 14943216.2006042 K R J INC 17654 88TH AVE N 17654 88TH AVE N MAPLE GROVE MN 55311 MAPLE GROVE MN 55311 (612) 494-3216 (612)494-3216 I hereby acknowledge that I have read this application and state that the information;is cor'r~eot and agree to comply with all applicable State of Mn,_ L_ Statutes and City of Eagan ordinances. _ AN Rc?r?l?l? / P ICANT/PERM E SIGNATURE ISSUED B : SIGNATURE CITY OF EAGAN 3830 PILOT KNOB B RD 14619 RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4111111111111.- 681-4675 RemodeVReoair Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation ple If lot platted after 7/1193 required: _ Yes No DATE: VIh/G(0 CONSTRUCTION COST: DESCRIPTION OF WORK: /"cu/ 116>lur.v"r"`1 STREET ADDRESS: A G44 tAr -Lb LOT -l BLOCK SUBD./P.I.D. #: l?l?(C eGS? PROPERTY Name:-KL v Phone #: W -3 6 OWNER Street Address* City: L 1? I? State: Zip: 1(1- 3a/lam CONTRACTOR Company: 1? I v , 717 ' Phone #: _ v a73y Street Address: 1 71PS 11 so k aa-1- 140 ?License #:,aC?O Le 0 4?p City: /' &ple?Grotre State: zip: ARCHITECT[ Company: I/ 0? U-e- ?CS(5s_ Phone #:j ?? °yay ENGINEER Name: Registration #' ca.?eC(?i-I I? Street Address: City: State: Zip: Sewer & water licensed plumber. change are requested once permit Is Issued. Penalty applies when address change and lot 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. Signature of Applicant. OFFICE USE ONLY REcENEDD i Certificates of Survey Received ZYes No 6 its f Tree Preservation Plan Received No ---------------- Yes Tree ti BUILDING PERMIT TYPE OFFICE USE ONLY p . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 62 SF Dwelling ? 07 4-plex Li 12 Multi Repair/Rem. ? 17 Swim Pool /? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ;i/o7S MC/WS System (Allowable) -rr Main level sq. ft. City Water C7, UBC Occupancy -J / sq. ft. Fire Sprinklered Zoning 2-1 sq. ft. PRV # of Stories I / Y dLW- sq. ft. Booster Pump Length 06 sq. ft. Census Code. Depth 50 Footprint sq. ft. Z, yiz SAC Code D/ ? Census Bldg / s v r l 1 3 Census Unit APPROVALS yx 1 . 4S Planning Building Engineering Variance Permit Fee Valuation: $ ??600 Surcharge Plan Review 7-- License MCMS SAC ?N? Zn /4 Z ?r 6SS City SAC yX /Z `rte / Water Conn. (Z??o? < Z, ? Water Meter Z`/ x zss Acct. Deposit eos it ct p 7-r?` ?y _ zs / 6 75Jx (S sx;?33 S izs S/W Surcharge Treatment PI. / Road Unit Park Ded. ?? S3 Trails Ded. Other Copies .SD ?r/a b r?3Z /??o Total: % SAC s SAC Units ?? l Z 7, 7?7 Sx / .0;z? Y672- LOT SURVEY CHECKLIST FOR RESIDENTIAL BU ING PERMIT APPLICATION c PROPERTYLEGAL: DATE OF SURVEY: 6 LATEST REVISION: a zz H DOCUMENT STANDARDS -11'0 ta ? • Registered Land Surveyor signature and company o/? ? Building Permit Applicant 00<3 ? • Legal description p'10 ? • Address tff"' ? ? • North arrow and scale 0-'0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ?? ? • Directional drainage arrows with slope/gradient % ?? ? Proposed/existing sewer and water services & invert elevation B?9 ? • Street name ? ? • Driveway ELEVATIONS 'stin / ? ? P • Sewer service (or roposed) 16'13 ? • Property comers r3-'13 ? • Top of curb at the driveway ? 2'01? • Elevations of any existing adjacent homes Proposed 2-0110 ? • Garage floor er' ? ? • First floor 0'-'? ? • Lowest exposed elevation (walkouNwindow) t, ? ? • Property comers e!' ? ? Front and rear of home at the foundation PONDING AREA ('d applicable) t'? ? • Easement line P' ? ? NWL er, ? ? • HWL ?? ? • Pond # designation ? . 0--'0 Emergency Overflow Elevation e? ? .IT ? ? ? ? 0 ? ? Gr' ? ? El 0'? '0 January 1996 CRAIGI99a13LCGPRMT.FM Lot IinesBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requirementsA any Reviewed: *//Jd/9?c .. . • VV A \? TES INSTALL 4!' PVC SANITAR SERVICE AND 1.° TYPE K COPPER SERVICE FROM EXISTING UTILITIES TO LOTS 7, 8, 9,10, 17, 18,19 SERVICES IN COM ON TRENCH SEE STD. PLAT 350 r - - ' EX MH Vk w' c.. x '-EX HYD NO WET TAP CONNECTIOr? 8°x e' SPLIT TEE G° GATE VALVE WYE C P 795 61 ? FX \ ?9 1'CA ?`? .C Abe ? ? N swA ? qNF RESTORE ROBIN LANE TO EXISTING STREET SECTION 2331 TYPE 41 MIX ITUMINOUS WEARING COURSE 22 I TYPE 31 MIX BIT INOUS BASE COURSE 8 JCL. 5( DIFIED) 100% CRUSHE QUARRY STONE 50 100 150 IN FEET 'i i C' T Y CF EA2S IV DOES R'() T C`.Uoi*1AiI H THE [.M, i^ Y C UTILITY LOW-10,1113i AN `!0; I EL EA;".TIOIJ;.,. Th11S DrITA 1S F Purl Ai'D MH 21 STA 0+00 CONSTRUCT M!- EXISTING 9" VC' EX. INV. 792.50 TO CONSTRUCT![ EXISTING BITUMi DISTURBED BY C SHALL BE REST OR BETTER C? 3 2 v V?pzoooo Y x p J e 3 0+ k"E e Na, _ rIJY} '?%. L . o0 400 ? tw . \? 10, ,,i1O1? PURPOSES J?IP:G IT SFIOUL I ?iIOiJ N THE SITE Ce 12 ST 0+41 20' \/'An MENT \ : ,- y 100 x1RSE 4SE . IE 22 21 23 NURP 9" r NWL 792 1 \ / HWL 79Q.8 , lop A Cr T V 792. CONNECT INV 7 TO EXISTING gg \ 91.9Q (VERIFY PRIOR T'NO AT CONSTRUCTION) 4 G gip. r ... TRA3H Gy~AO? 1 ? 24 2' AH 8 ssuni -lD V792.0 RL?Mq?r? 1. ? R S R UQHREE10NNe 24" 1 "? 18 i i -'95\ 12 "RCP F . --}- 'f9'-12" RCP ? 0 '2.66 04 RCP O :... ® 2.6696 2.86'1: ......?.... INV 795.00 INV.I96AO : . & I INV 7942T RY t ?. is C }' y'r?,(? t• ............ • ..• • • • . • . . . . . • . • . . . . • . . . • r, , 1 ??6?dSEd GRA' r i24--.RCP 2*-.00% j .......... I 257 '-2R P 1:5I9'. 2r"APRON ° INV 797.12: INV 792:00 ;.•. , INV 792.0 I : a??r=il.• . . . . . . . . . . . . . . . (y ONb OUTLET SKIMMER 4 .............'I CLASS M CLASS Y M ?; ?...... ........... 1 ..... j jF . FWW.^CY OP UT" .1 f , r ?. °, '?' I II t ?l ???Jil `t 'i.IIVICt) 11:? • 0? .: 2* t ,J ..? S• ilr_ . • • Y Il'. l??lV .?\•INV1 IT SHOULD ii ?OSIT . BTHE . . ............................. : P B2 CITY OF EAGAM. SITERIOR ENVELOPE AYERAOE 'U' COMPUTATION OWNER: SITE ADDRESS: CONTRACTOR: UTE2 2,?? PMOIIEt Determine working square footage of eachl •1. Total exposed wall area ??3r sq. ft. z .11 a 9??• 94 2. Total roof/ceiling area ... 3 4.?7 sq. ft. zz .026 a 7k!5.'V/_ Total exposed-wall area above floor a IA34 a. Total wall window area ............................ b. Total deer area • ....................... ........... c. Total sliding 91033 area j d. Total fireplace wall area ......................... ?S e. Total wall framing area (average IOf) ............. f. Total net well area above floor ................... g. Total rim foist area .............................. Total exposed foundation area a h. Total foundation window area ....................... S 1. Total net foundation area above grade.............. Determine 'U' value of each wall segment: a. b. c. do e. to 6. h. 1. X 'u z 'Ut ' % ' • X 'U' XA = x 'U' i) _ x ,ut x ' U' _ at z 'U' ri • x ' u' 3 . .................................................... Total s_. If item 03 is the-same as or less than item I1o you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area s .1 34 n ?. y 1. Total skylight `area ............................... k. Total roof/ceiling framing area (average 10%) ..... J !S(F 1. Total net insulated roof/ceiling ares .............. ?rI4fiZ OVER P 01 Determine 'u' value for each roof/0e111n9 segments J. x Out ' u k. ? x 'u1 IS 1. 116- : 'u' bLS . ?L..._ 4. ... ¦ 32 ........... ........................................ Total if total of 14 is the same as or less than 42. you have met the intent of BBC 6006(01. Alternate Building Envelope Design greater method, than the sum values of Item! 01 and. sum utilize tt8e of be System of Items 03 and 04 shall 1. 17? ? A ?. 2. SS•y! . 21 .37 3. 17 J3. 4. 0 A 2 PERMIT OITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030005 05/28/97 SITE ADDRESS: P.I.N.: 10-14325-190-02 3644 ROBIN LANE LOT: 19 BLOCK: 2 BLACKHAWK FOREST DESCRIPTION: ui,ll'ing Permit Type f BuiIdiA Work Type t Census Cady., v It DECK NEW 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - .? CLAUSEN BRUCE 3644 ROBIN LN EAGAN PIN 55122 ` (612)546-0424 I hereby acknowledge that Y have read this application and state that the information s coy and agree to comply with all, applicable Mate of Mn. S °tutes City of Eagan Ondiraanses.. APPLICANT/PERMITEE SIGNATURE SSUEDB . IGNAL RE CITY OF EAGAN CASHIER: S TERMINAL NO: 40 DATE: 05/28/97 TIME: 15:52:50 ID: NAME: BRUCE A C:LAUSEN 300 9001 3644 ROBIN LN 50.00 205 9001 3644 ROBIN LM 0.50 Total Receipt Amount: 50.50 CRO74353 USER ID: NANCY 3000T 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) $, D,SD CITY OF EAGAN ????? 3830 PILOT KNOB RD - 55122 w rte. J-)o 681-4675 New Construction Reouirements Remodel/Repair Reculrements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; air-) • 2 site surveys (exterior additions & decks) e 1 energy calculations ? 1 energy calculations for heated additions e 3 copies of tree preservation plan it lot platted after 711/93 required: _Yes _ No ' DATE: CONSTRUCTION COST: X66 DESCRIPTION OF WORK: - STREETADDRESS: LOT _jL_ BLOCK ( _ SUBD./P.I.D.#: -PhTAMIA, -?Ma.-r PROPERTY OWNER CONTRACTOR Name: CLK! "? -v? ?r?-? Phone #: ?fSZ' 'R'342- ?k sae. ! N W tc Sy (a - o y Z Street Address: City: ERGRn? Stater Zip: 55/ZZ Company: S'e l ? Phone #: Street Address: City: State: Zip: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration M Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): / Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the informatiT"7' ct artd agte to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ? ?? Signature of Applicant OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No IMAY 1$ 1997 Tree Preservation Plan Received - Yes - No Not Required BY: License #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 -Alex WORK TYPE All, 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? p' 15 Deck ? 36 Move ? 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. ft. sq. ft. sq. ft. Footprint sq. ft. Building nt?- Engineering Variance Permit Fee Surcharge Plan Review License MCIWS 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: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water ?- Fire Sprinklered PRV Booster Pump Census Code. y 3N SAC Code 01 Census Bldg a Census Unit D % SAC SAC Units. /J I 1 g 1 i 0 r?V SURVEY FOR: Mr. Jeff Jaglo aim -WYW &7 -41sociaEes, Jna DESCRIPTION: Lot 19, Block 2, BLACKHAWK FOREST, PROFESSIONAL LAND SURVEVORS ` City of Eagan, Dakota County, AND "NO OEVELOPNIENT CON5ULTANTS - Minnesota (612) 421-9126 13621 VINEWOOD LANE DAYTON. MN 56327 PROPOSED TOP FOUNDATION ELEVATION B124O" PROPOSED GARAGE FLOOR ELEVATION B03•(? PROPOSED LOWER FLOOR ELEVATION 79P t NOTE: Verity all ith the ac r xxx.x Denotes Existing Ground Elevations. . LP (xx.x] Denotes Proposed Final Grades. o Denotes Iron Monuments s ? 1 ?( Denotes Spike Set t0! 61dq, Control B.M. Control monument as set by others and marked 801.05, \ E ^d'' \ ??3 Monument near S.W.ly corner <<# ? le?'R?`.f W 7 to ?? L/ y '?.. lac ??1 4 r, 1 ?J L I 7 - 'It 1 IJ- J + 11 7 - -A B _ l la J ' r" Iv l 3 ° I o M? I ?U ' o - 3uZ v - - - .t /g ! Z J' I to. o- ? ?? 1 y go 1 .3123. 5 --? •.1 ?` I?? ??, N U? n o` te 75 r- 42 7 jxAN WE VIE-WED 3Y EAGAN ;ac/0/ED gVG-DM- C+?? '3-i It ^r 9 v j I hereby certify that this survey us Orepared by 96 Or 2408 my direct supervision and that I as a duly Me4islarel Professional Land Surveyor under the laws of the Stets o Minnesota. / 194 bete tbis -day of 'eev S-/o ^ 9(. By Mi44eaoti-License M. 12201 .form. f- i y ? L - ?S (iI /lip//``Y?' ?C/ /a/ / / SURVEY FOR: Mr. Jeff Jalo s airn -Wyw & -aaociates, AIC. DESCRIPTION: Lot 14, Block 2, BLACKHAWK FOREST, RiOFES510NAL LAND SURVEYORS Citv of Eagan, Dakota County, AND LAND DEVLLO ENT CONSULTANTS Minnesota (612) 421.9126 13621 VINEWOOD LANE DAYTON. MN 55327 OWN I PROPOSED TOP FOUNDATION ELEVATION 0-7•- PROPOSED GARAGE FLOOR ELEVATION $ud,4 PROPOSED LOWER FLOOR ELEVATION 79Pt NOTE: Verif All gggged °radea IYith the do ua house elene, N xxx.x Denotes Existing Ground Elevations. ? fxx,x] Denotes Proposed Final Grades. g UO o Denotes Iron Monuments p'1` iL • Denotes Spike set to: Elog. Control 0 :i`"' 0 MiVI B.M. Control monument as se[ by others S• 01 arked 801 05 and 70 . , m 1 Monument near S.W.ly co rner \2UP I d v i i Y v tfi l i o; >1 o a`? 1 ?y s d ?,?,-S °„? ?\ M lIt 1 x'44 4r rl / •9' -' R r- - /- /o o ? V, U a / , ri O a o. 02 ? o 12, 1 0 h? J• ?e t ? ?i I ? - --. j I ;'1 !, o I N ?• ,raj, p•, / 1 ?,,b EQr P, air 7H? :/ge .s) P E^,:" \\ a .fil ate' ?. ?y a'3/ 3 ?> rr 5s l? ov ?t?'" ?7 -7 fi° J' -- A:N 1 RiEVIE.WED E? ?Cee7/ ?,G 2 r?3 CIS _=??S P i my direct supervision and that I o e duly Registered Minnesota DEPT I hereby certify that this survey was prepared by Iro or under Professional Land Surveyor undo the tare of tde State of . / 194/ Date thisP4-Aey yf _ r'' ??,_S /0-96 _ City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA112854 Date Issued: 08/26/2013 Permit Category: ePermit Site Address: 3644 Robin Lane Lot: 19 Block: 2 Addition. Blackhawk Forest PID: 10-14325-02-190 Use: Description: Sub Type: Reroof & Siding Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary: BL - Base Fee $8K $162.25 Surcharge - Based on Valuation $8K $4.00 0801.4085 9001.2195 Total: $166.25 Contractor: Edgell Construction, Michael T 14141 15th St S Afton MN 55001 (612) 490-2851 - Applicant - Owner: Derek H Rabe 3644 Robin Lane Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA131821 Date Issued: 07/09/2015 Permit Category: ePermit Site Address: 3664 Robin Lane Lot: 10 Block: 2 Addition: Blackhawk Forest PID: 10-14325-02-100 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & 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 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 - Applicant - Owner: David Seivert 3664 Robin Lane Eagan MN 55122 (651) 249-7424 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. Applicant/Permitee: Signature Issued By: Signature