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3656 Robin LaneINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 1 r" N" 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' .? t, !+ fit tai APPLICANT: t i1 f „6.1.N L.ANf t + • i??:Nf t 1 N? i0 i 14A;0 i tllt ST ' l t'•! } .. •< ?'g+Fi1 PERMIT SUBTYPE: TYPE OF WORK: I1 F Permit No. Permit Holder Date Telephone N 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 A6 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD arl OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: t ! (612) 681-4675 SITE ADDRESS: ,,, .'V ib HLOCE APPLICANT: i...t 1 iF i l•NP: ";1:, ,14-1, 't'C+N?3'Y i-.!J('KHAW Y I+!;.''!' i : ) 4'"i2 -0SR'! PERMIT SUBTYPE: TYPE OF WORK: HF,N INSPECTION TYPE f . ,. ,'• l iv .DATE INSPTR. INSPECTION TYPE r w' i DATE INSPTR. RA14IN : wt OFING 1 N M tt 1.;0' !, N }'? ?t1i:H 1 tJ 1't }ti To 0144 { b! FI'1 i•'INAL PLD(. F'[NAh REHARKSs S & to PLBRt VALLEY PL.BG F L 7 Pennft No. Permit Holder Date Telephone I ELECTRIC &C-21 PLUMBING HVAC 3 Inspection Date Insp. Com ents FOOTINGS ?U Q 7 „?( ? FOUND ???9 7 7 97 lt! FRAMING Ck utvvre ROOFING 6 ~?? ROUGH PLUMBING AIR TEST ROUGH HEATING I$ 12 GAS SVC TEST INSUL GYP BOAR D FIREPLACE FIREPLACE AIR TEST (p FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL or 7- • jo _-& so Wtr if irate of CCCU.pancV IMM of Wagan ZO-10 6 cut of lUmi cg 3ni3pection 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 awsifinaim S DWG Bldg. Permit No. 24705 Occnpaoey Type R3/U I Zoning Muria R1 Type conc. VN OwrcrofBuilding t 'x Oa=rnQN Aadn 4877 C[FARarnit_ MAX Building Add><ss 36% RMIN 1ANF. Locality T.16, R2, 1ff AArIMANK FYIFM X?. Dar. Building Ofr=W POST IN A CONSPICUOUS PLACE Address 3656 ROBIN LANE Zip 5512 2 Lot 16 Blk 2 Sub N Lrig"E FORESr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ba Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ` Deck t/ 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 11as/?7 457-2,74 ® , REQUEST FOR ELECTRICAL INSPECTION "'Z Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 \Z Home Duplex Apt. Bldg. Other. New Addn 9 C2Lmenc'01 Industrial Farm Remod Repair Air Cond. H . Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "Xr above the work covered by this raqu t. Enter remarks in this space and on the back of the white copy only. Calculate Inspectio Fee - Inspection Request will not be accepted without the correct fee: Other Fee It Service Entrance Size Fee s Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps i3 Street Ug./Troffic Sig. Above 200 Am s Amps Transformer/Generator INSPECTOR'S USE ONLY ^ OTA Sign/Outline Ug. Xfmr. [ Alarm/Remote Control Swimming Pool I Mre6 ceM thol Lnpec mm " d hn on the date, s Irrigotion Boom Ro Wn pm, S ecial Ins ection / -' p p Investigative Fee e.l THIS INSTALLATION MAY BE ORDE IS NNECTED T COMPLETED WITHIN S M THS. ?/?9 r7 Fr r/5'? ? II illi?il?llllliillllllilllilllli?Ililll * 4 5 7 2 7 4 9 FILLED APR 2 2 9997 PLEASE PRINT OR TYPE " 'O J Rag6 Data e '? Rough!n inspection mcfare& Yes ? No Iaspeaion Other Than RoughAn: ? Ready/ p `I?yH Call d ? 'p ll h h d p Von must ca t e inspocmr w en rea y ) _ eo ? I, licensed contractor ? owner hereby request inspection o! t e above el al w x•- D ?' Job Address (Street, Box, or Route No.) City J L 6- - "- l Z6 'f- C Section No. Township Nome or No. Range No. Fire No. County Occupant `At (7 ? Phone No. lC 0 ?SL£ n UG 49J Pawer Supplier Address ;Dv Electrical Contactor lCompony Nome) Contractor Uumeo No. Hasler U, No. (Plant Elect. Only) SlE/L {r LE'c`(zIL l11'9' a MaiAng Address )Contractor or Owner Performing Installation) iaY6-7 ?A_ S se, v Autlwdzed Signature Cr or ner Performing Installation) ```` Phone ©?J 8900001M 1 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY // h G? OFFlCE?EOtjltY` This rFgy?st void 1 onth om wlid lio?N{yin inil?4- IIIIIIIIIII IIIIIIIIIII II II III rv III II FILLED APR 2 21997 y '' ?9 IIII ? / * 0 4 5 7 2 7 4 9* q Qr PLEASE PRINT OR TYPE Req P Oota C' q? Roughin inspection required? Yes ? No Inspecfion Ocher Than RougMn: ? Ready N - Y(yll Coll O? ' p IYOO muxt call the inspoclor when ready) I, licensed contractor ? owner hereby request inspection of K e above elec al w : r D f Job Address (Shoe, Box, or Roue No.) Cny Section No. Township Nome or No. Ranee No. Fire No. County O¢upont -f Phone No. / 15Scjr n UC P. Supplier Address L Z) iZ Eleadcal Connector (Company Nome) Conhador license No. Masser Lic. No. (Plant Elod. Only( s r arc ?c ?c?iz! I /'/9r a Mailirg Address (Contractor or Owner Performing Installation) /;?y6-7 M Authodmd Sgrwlure (CoQtmm r or Owner Performing Installation) Phone No. EBOOOOIA-11 8/96 S. ATE BOARD COPY - SEE INSTRaCTIONS ON BACK OF YELLOW COPY PERMIT CITY QF EAGAN "3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: BUILDING Permit Number: 029705 Date Issued: 04/09/97 3656 ROBIN LANE LOT: 16 BLOCK: 2 BLACKHAWK FOREST DESCRIPTION: SF DWG NEW R3/U1 VN R1 68 55 2 2,945 101 1 - FAM. DETACH t !- s \v / )I r Building Permit Type Buildng,,Work Type UBC Occupancy Construction Type Zoning Building Length, Building Width Building stories L._ ^. 4\s_?\Square Feet''" = Census Code ?' ,? cart REMARKS S & W PLBR: VALLEY PLBG FEE SUMMARY- VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,287.25 $836.71 $90.00 $950.00 100 1 $3,163.96 $180,000 MISCELLANEOUS $1.539.50 Total Fee $4,703.46 CONTRACTOR: - Applicant - ST. OMNER: WESLEY CONST 14520587 000 386 WESLEY CONSTRUCTION 6966 KENMARE DR 4877 CLEARWATER ` BLOOMINGTON MN 55438 SAVAGE MN 55378 (612) 452-0587 (612)452-0587 I hereby acknowledge that I have read tli's appl. information is correct and agree to compiy with Statutes and City of Eagan Ordinances:!''I E1 C APPLICANT/PE MITEE SIGNATURE and state that the licable State of MI op?%5- 1997 BUILDING PERMITAPPLIC?ATION (RESIDENTIAL)CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681-1675 New Construction Reouirements Rainodel/Reoair Reouiiemerds • 9 registered she surveys • 2 copies Mpwn • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 2 site surveys (exterior additions & decks) • 1 energy calculations • i 1 energy caiculatiohs for heated additions ? 3 copies of tree preservation plan If lot platted after 711193 required: _Yea _ No L/ c i DATE: CONSTRUCTION COST: ^;" I DESCRIPTION OF WORK: ! it STREET ADDRESS: O t7 r n ?G vie :i LOT I BLOCK SUBD./P.t.D.#: 1??°? a r ' c-tz-, PROPERTY Name: 1 OWNER u. Street Address: City: ; State:. e i CONTRACTOR Company: 1V ' G'. 1 Street Address: 177 '? L City: St p ARCHITECT/ Company:?7P2-e ENGINEER i 1 Street Address: City: Sewer & water licensed plumber (new construction only): and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes 4- Tree Preservation Plan Received Yes _ is I No ((&I, if?, No Not I Zip: 64 z - 7 3 4 ?1 1 i Phone #: '7 $d OS?7 License #: `Y,&I) Zip: 5 S3 7.? Phone #: I Registration #: Zip: r Pena applies when address change i and agree to comply with all applicable APR 0 2 1997 OFFICE USE ONLY BUILDING PERMIT TYPE ? 1 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 ,0-'31 New 0 32 Addition ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? n 13 Garage/Accessory ? ? 14 Fireplace 0 ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous t3a+e : Eye 4;.. be UN?•Nl,a(.P? ? 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) !4- (Allowable) _N UBC Occupancy R-3. o -/ Zoning 2-I # of Stories a Length e r r. Depth Sy c APPROVALS Basement sq. ft. tzv-/ MC/WS System Main level sq. ft. 12041 City Water 2sq. ft. 1204 Fire Sprinklered - sq. ft. 917s- PRV sq. ft. 8c(_ Booster Pump sq. ft. Census Code. co r Footprint sq. ft. 24 US SAC Code 01 Census Bldg i Census Unit i Planning Building A4,1'? Engineering Variance Permit Fee Valuation: $ IBo cew. Surcharge r3as c.n.wf Plan Review License yg s z`. 5- MC/WS SAC City SAC 3 Water Conn. Water Meter 164- Acct. Deposit S/W Permit SaN^R S/W Surcharge Treatment PI. ?NJ Road Unit Park Ded. Trails Ded. Other Copies -- - - V' g y z9 . s Total: Sox 20 % SAC. ?a d e? SAC Units -~ zsx 3 s S 2, 7 5- 30 • as'- ?? u 1204.©!S /2-04.0 t 6f 0 z bs, die., - j _20 Y. v Sy_ 2GS.S b oD . "" E75- ? )4 ly coo - 179, YOZ.- MRR-31-7597 12 31 SHL SHRKOPEE - SALES 612 496 5512 P.02/74 a. a 6. Ctloll fig. R- V8}.vo TOT nRn /5 .,U„ _ _,02# ..vn _I Cens t.TSetien ..-ig. „-- R- cg?ve 8.90 I „• C:.1:. „a„ .35:03 ROOF/CEILING CONST:?UC??gN Fix. E MAR-31-1997 1231 ;PL H;4k(-iPFF )exterior Envelope Thermal 11'ansmittante Worksheet SITSADORESS a" go;(-r,::?6 Y } w l- NAMEOF PERSON COMP! 2TINC RORM Assembly InSulated Area--~ Framing Area Skylights c Other G U Totals Average U-Factor; s7, 3 ,4eouired U-Factor (frorn Energy Cade; 2- DATE '-- ? ?~- Area (Sq Ft} ^ ?Upactor L U-ractor x Area -- -- - - srv _ . 02 y z?, g3 Ile, 71 T60 Z Z ® ,dZCa Energy Cnd e "" " 8i°acer man y, revue design As necessary to meet the envelope criteria or the I li U•iaCidt ioryt4118hl and wlndea. musl be dclerminod by the National P:nmrailan RIt"M6 CdYndl SiaMdard 100.91 or ASHRAE'993 Mandbook of Pund.rmahtals. Chapte. 27, table S. +1 Yhormal Trnneinurance of opague components (including imegrally in5ulnled masonry ano metal stud framing; - use par? 7670.0150. subpan 4 E12 49e 5512 P.Al/04 CITY MGR-31-199? 12:32 WALL C.?N5T'RTJC'*^'ON 591_ SHAKnPEE - Swl_ES 612 496 5512 P.03/04 C?nst,uct,cn Fig.-,' Vgl? e 7. . s. " fl. ton "U„ Va'La G- C.t 4 . y ayS "v„7.+, ?1?p 10.7 1, *1GR-31-1597 !2:32 :381_ SHgKIIPEF - Sgl_ES 692 496 5512 P.04,'04 I f..? 1 fl .s, ".R" Value a ' nn 1',I I _ V •a l?-'-? 1 f ? 1 NS?IL??T ` Use this ?rension w'? a J. ?•? e* basaner.ti w-,..dcws are below q_ra(-d wj.y araawalls_ ,?? r- ?LQ 1 LITHE P.04 C cG * * L] Cl ? ?I U L 0 U ? LLl 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER BY 114 (612) 681-1914 FAX:681-9488 eng neer n A E _q-q7 LAND PLANNERS. LANDSCAPE ARCHITECTS 625 Highway 10 N. E. * * ,?* BUILDING INSPECTIONS DEPT. Bloine, MN 55434 (612) 783-1880 FAX-783-1883 Certificate of Survey for: WESLEY HOMES 3656 ROBIN LANE(c6o1,0) JS?Q? P 801.9 G? y1Q?(i ENt??j56 806. 804.1 806.5 ? ? \\ '?-?pphi ?' A ? \ ?aa 806.9 _--- 65 $? 806.6 link 806.4 \ 0 0 / 15.00 806 3 sLf- 25.00 la 1 / -?s m 804.6 g0< 34 0,0 807.4 ow 15 803.9 ?6 \ Aw QQ a? 25.00 \ 807.4 mZ mco) O 6/ It (n N =A b 1({j \ W \ {0 1 C:-v F 1 t1 \ 5.1 812.0 w \ 25.00 / mo \ / T `804.2 y0 1808.0 r c o / 00 \\ \ _v o - w _ 810`3 .r `_- ?? \ i 809.3 20.00 00 809.6 % 2\4.28 _ 1 9.50 24.74 BENCH MARK DECK \ TOP OF PIPE ELEV.=811.10 0- \ m`\ j \ \\ f? \ `BENCH MARK q 6' \ TOP OF PIPE 1 ?\ \ ELEV.=806.69 \ / ?? 808.8 807.4 p?a16s38 21L58 00 BY 0 -\\A??? SN y1E 6p6 806.0 aCP ?. 31.42 s20 00w ---- 804.5 ! ova OR- 'S 3A /SEER P `?-?' NOTE: PROPOSED GRADES SHOWN PER GRADING PLAR BY: SCHOELL k 4AOS?ON PROPOSED HOUSE ELE?VVA,,T,II??ON,?}} NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HOR12 AL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: OF STRUCTURES ONLY. SEE ARCHITECTUAL PLAN UILDING AND FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE - CJ 9 Z SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PUT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - - NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM ? DENOTES MONUMENT E3 DENOTES OFFSET HUB WE HEREBY CERTIFY TO WESLEY HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 16, BLOCK 2, BLACKHAWK FOREST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF MARCH, 1997. SCALE : 1 INCH = 30 FEET ENGINERMINI11;, P.A. C W-13 19--?? a-- W- i;r'? Q? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL ° BUILDING PERMIT-APPLICATION . / PROPERTYLEGAL: m ? 13 13 13 DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • 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 • Street name • Driveway ELEVATIONS Ex islina III ? ? • Sewer service (or Proposed) M-? ? ? • Property comers [r-,? ? • Top of curb at the driveway 13"?13 ? • Elevations of any existing adjacent homes Proposed e ? ? • Garage floor @-'13 ? • First floor C?? ? • Lowest exposed elevation(walkoutMrindow) E?9 ? • Property comers ? ? Front and rear of home at the foundation PONDING AREA ff applicable) ? 8"? ? Easement line ? 13 • NWL P" ? / 9" ? 13 HWL ? f?? • Pond # designation ? 4,--'C3 • Emergency Overflow Elevation 0-' ? ? Lot IinesBearings & dimensions t' ? ? • Right-of-way and street width (to back of curb) 3-'13 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) (2r' ? ? • Show all easements of record and any City utilities within those easements Wr- ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? Qr' ? • Retaining wall requirements, if any G? Reviewed: ?r/ /`? 1,491 January 1996 CRM199d BLWPRW.FM IVC SANITAR' 1 TYPE K ICE FROM CITIES TO X0,17, 18,19 . 1_: . . WYE S- 6 +'47 EL. 789.14 SERVICES IN SEE STD. P ra pl MH K? WYE S-74-49 ON TRENCH EL.789. 350 -EX HYD ti.? ?h E 0? WYE 1+50 S-H SI 1 EL 799.12 ,l WET T" CONNECTION ;, a SPLIT TEE 6" GATE VALVE M t `?!? f WYE : S- 0+6 \ \ C /.p EL 795.61 \ V 1 9 R N,F RESTORE ROBIN LANE TO EXISTING STREET 2331 TYPE 41 MIX ITUMINOUS WEARING COURSE 22 1 TYPE 31 MIX BIT INOUS BASE COURSE CL.5 DIFIED) 100% CRUSHE QUARRY STONE To ?wr ;, . 1150 UT1LG P THIS FEET " L DEER 0 N°` 1+59 y? 7101 zi 70. CONSTRUCT MH 21 OVER EXISTING 9" VCP SAN. SWR. EX. INV. 792.50 ( VERIFY PRIOR TO CONSTRUCTION) EXISTING BITUMINOUS SURFACE DISTURBED BY CONSTRICTION SHALL BE RESTORED TO ORIGINA OR BETTER CONDITION CLE N S ....................... 0 h O V . ' S U :.. ..... r .. ........... ....... . . . . . . I . . . . . . . . . . . . ........820..... .......810....... .......800..... I EXISTING GRADE : PROPOSED /GRADE : I ............•,•,:•. 75'101IN. A9°!e • • IINV.-799?b9. .1 : g5 : 1 797.62 : SCR : NV=^?792.17E 6?? OIP CL. 52 WATERMAIN : ........................... . .......... : . ........7.90......INV.T92.5. NBL S ....... .... THIS PLAN, SPECIFICATION, OR By ME OR UNDER MY DIRECT AM A DULY REGISTERED PROFESSIONAL -WS OF THE STATE OF MINNESOTA. SCHOELL ENGINEERS SOIL TESTING & MADSO s SURVEYORS s s ENVIRONMENTA ?_ D® 1 1 4 nQan MIAV7ATA onl it EVARn tl 7i??rD 0u7' fJK.+P 4-' uwne„?S? All! a- eVu ;5 rir?a:.,rd. Ga irs u, s ? /P.?d/ nr G$/- X1677 ??/c Aid. OTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3656 ROBIN LANE LOT: 16 BLOCK: 2 BLACKHAWK FOREST P.I.N.: 10-14325-160-02 DESCRIPTION: Building--Permit Type ,iuilding WUrk Type Census Code t ?«I I .? `"ig tz FIREPLACE NEW 434 ALT. RESIDENTIAL ?1 1. L T BUILDING 030505 07/23/97 REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER INC 16332561 2009091 HUM KEVIN 2,700 N FAIRVIEW AVE 3656 ROBIN LN ROSEVILLE MN 55113-0847 EAGAN MN (612) 633-2561 I hereby acknowledge that I:have read tha,sla?pplicat;€lon an'd state that the information is correct and agree to comply With all:applycable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE -fiyi a p, a I pj1 ISSUED : SIGNATURE 450969 DATE: Te;?;k-Off DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY -OTHER: Lc? STREET ADDRESS. 3 P3 lf LOT BLOCK _j- SUBDJRLD. #i ,f APPLICANT: (circle one only) - OWNER ONTRA'I?I?: O$/'' re c?1 a ? 4 _ ? r?`?a 1 f - 1-?P crl- I? - la l r7 ?. Ca.(a! I hereby acknowledge that I have read this application and state thaf the infor all applicable State of Minnesota Statutes and City of Eagan Ordina Ihces. PROPERTY OWNER CITY OF EAGAN 1 3830 PILOT KNOB RD$ 55 1997 FIREPLACE PERMIT APPI 681-4675 T 6 FIREPLACE INSTALLER GAS LINE INSTALLER ??i_)O 66 Name: l Signature: _ Street Address: City: Company: Signature: Street Address: _ City: Company: Name: Signature: _ Street Address: City: s,n- U) PERMIT FEE: 50.50 [IONS TO EXISTING a is correct and agree to comply with I I Phone #: I ,ate: #: 1a3-Q!5 J AR License #: State: Zip: Phone #: SUBD ?' ? ?? NEW RECEIPT # 4 7 ?\ RECEIPT DATE $ I?9 7 DATE 7 /,9- JOB 36 9? /LOO?it ?r1iy? OWNER Py CU/ts//'L/COIv PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ 7 REMARKS 7- 0 - 30 AMP CIRCUITS Z 31 - 100 AMP CIRCUITS = 0 - 100 AMP SERVICE 101 - 200 AMP SERVICE _ Ze:71, TOTAL FEE DUE _ / 5-? - LESS FEE RECEIVED TOTAL FEE SHORTAGE DUE = 7 ARMIT # ?`? ` Z 7y O12IG RECEIPT # 7 8 ?3 flllED JUL 2 1997 y z PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. RECEIPT DATE THANK YOU CITY USI L_ BLQ?n /nJ n SUBD. (yQQ??Aur?L 1997 MECHANICAL PERMIT CITY OF EAGAN; 3830 PILOT KNOB i EAGAN, MN 5512; (612) 68 1 Y , I 7 I' I Please complete for: . single family dwellings town homes and condos when permits are required for each unit New construction Add-on furnace IM, Add-on air conditioning Add-on air exchanger} i.e. Vanee system, etc. --? __--- _ _ _ -------- -_--_____------ Date: y f 7 FEES i ? Minimum Fee: Add-on/Remodel (existing residence only)',," $42-9-W ? HVAC: 0-100 M BTU 24;00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) { 3,Iao ? State Surcharge f 1.50 Pe4 33.iso TOTAL I SITE ADDRESS: OWNER NAME: INSTALLER NAM STREET ADDRESS: CITY: SIG p1 I Sr- ?l? aP?? /cf e it I S?F 7 PHONE#: 4152-0 PHONE #: Y(oU -?O.?2 STATE: !v ZIP: - '?6_3,7 CITY USE ONLY L ??? BL RECEIPT* ZSz/ a° SUBD.?_ ?'S A jgu!L RECEIPT DATE: a? l7? 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 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 NQ TOTAL Shower 3.00 x = 3_ Water Closet 3.00 x Bath Tub 3.00 x l = Lavatory 3.00 x Kitchen Sink 3.00 x I _ Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = f Floor Drain 3.00 x I = Gas Piping Outlet 'minimum -1 3.00 x I = 3 . Rough Openings 1.50 x Water Softener "for dwellings under construction 5.00 x Water Softener ' for existing dwelling 20.00 X _ U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler 'for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 - Private Disposal System `Dak Cry lie. 75.00 _ (new and refurbished,systems) Private Disposal Systems "Abandonment 20.00 STATE SURCHARGE TOTAL .50 L4q- (hereby acknowledge thatI have read this application; state that the information Is coned, and agree to comply with all applicable City of Eagan ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its. normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ZLS L. R,; 1_: _ l OWNER NAME: I% s f, .. C INSTALLER NAME: ,Oat ( . " Ply TELEPHONE* t-i4a_a,? STREET ADDRESS: FL1Iv CITY: ?U • C? - STATE: W . ZIP: r`•' z` SIGNATURE OF PERMITTEE %R 6128925283 WESLEY-HOMES 04/08/97 18:10 Pei CERTIFICATION OF PURPOSE OF SECONDARY KITCKEN FACILITIES WITHIN SINGLE-FAMILY DWELLING 1 J W! duly sworn and under oath, certify that (Property Owners Name) 1. I am the owner b?f the one-family detached dwell' g, as defined in Section 11.03 of the Eagan City Code, located at -3 f2o b i h C , n d (tip i n ... (3treat Addresal ?y and legally described as Cie of Property) 2. A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. 3. The secondary kitchen facilities to be installed under the building permit is for the sole purpose of providing cooking and food service facilities for_ private entertainment of guests by the property owner at the dwelling. 4. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: ?/` vl9 7 1996. del (Signature quired) Subsqqbed and to efore 19 pATIVA ANN R0.LEY this `? day of 19 HOTARYPu uo-rc-!Pa'?O A THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 ?r t cri x cr. (.? JAMES N DOLAN Rc gistrar of Titles D;.kota Co. Govt Center listings, Minn. 55033 Use BLUE or BLACK Ink . � . r________________� I For Office Use � C' � Permit#: /��(U � � I 14� Ol ����11 I Permit Fee: ����� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I 1 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � ;�� �� � �� �� �� , Name:�Q.\I1� �'�.� � SV��� Phone: � . �� - a ��� Address/City/Zip: �f�(p ��,1 1� i,...�}�. !--%li�f�� �/�� S„���� � . ?°� �� � ` Applicant is: Owner �Contractor ,.:: � �� � �`` ���� �� ` Description of work: �� �r l �Yp °��,���� �� -� �� , ��\�F, �� Construction Cost: Multi-Family Building: (Yes /No� �� � � � �f , p�� �� �� �� Company:�jl� ('r �,�1'D�11'L� �cSl7GGi � l+'l(.Contact: �t� 1/Ll,_ `=���� � � � Address: ���(� �Jl)JZ�Gf �A�,fdQ ��2 City: l.(����I� ��� d f Ci?I'!'��1�� � ` ��� ���`� State/yl 1� Zip:���� Phone:�a Sl ���c�mail: UV�f�2f�fTlJ7r1- �v �oTi�'L,��- �"'� . �'C.a : ����\ r ,� ��� ; ` License#: bC- ��.-� 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: �. E��l�r�� �� t �. �r�� � #�r ��ubm���'�+c� s��e�� ���e �,��"��ra�or � �rr��f��� , . �r�t'o��r�"�� �la�;��"��Q ���� ���������"�s�+���"i� , � �����`c���at��� ,�'l#y� '�'� � < � � � ���� z.; � �` , � � � .:: . �... a., , , ,..��.��'... ,,,.Y ,�� :�:.. �',� �°�T�. ���.Q����. .s �� �, ..._.. . . , x:., 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.orq 1 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 Stat Building Code must be completed within 180 days of permit issuance. X L.c� i�t� X Applicant's Printed Name Applicant's Signa re Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151821 Date Issued:09/13/2018 Permit Category:ePermit Site Address: 3656 Robin Lane Lot:16 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin H Tan 3656 Robin Lane Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature