3660 Robin Lane
wbo%_._:
W'"lif irate of CccupancC
CM4 of Wagan
McVartmext of IftifthtS an4pectiun
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:
31191
Use classification: Bldg. Permit No.
?P?r TYve R- U-1 zummg Drsux1 R-1 T Con
VIAI?LDRS 1NC Add?eatTH A E H., UTH, MN
Owner of Building st. Vn
ST
L11-9 s BIACKRAWK
Building Address Locality Due:
su"ag Official
S F DWG
POST IN A CONSPICUOUS PLACE
-1 INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
_ 38;30 pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
J-11
PERMIT SUBTYPE:
H1. Or f APPLICANT:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Rf-Ml VVI.Rt 5 & W F'LHR --
F
L
I
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC S dv0
Inspection Date In Comments
FOOTINGS
FOUND
FRAMING
ROOFING
j,
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST "1
INSUL /r G /
l/ v
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG !( ??
ORSAT
TEST
BLDG FINAL
!
(/?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 3660 ROBIN LANE
Lot 11 Blk
Sub BLACKHAWK FOREST
Zip 5512
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) V
Permanent steps (garage) V?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas L/
Sod/Seeded grass ?
Trail/curb damage
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
City of Eagar
Cash Receipt
Receipt Date 10/6160
Time Printed
Receipt Number
ELVIEW CONSTRUCTION !NC
3660 ROBIN LANE
9001.219S
BP 43136
9061.4@05
BP 43136
iB9`_C:21
1161
.S0
60.00
Total Receipt Amount
User NNCGRAW
60.50
I
$a`;)Y.)k??W?)Y>'hw.y(:%??A?'rei >rx'. {,?FV.?k>'. ?X?:: ? ?f>kw ? h:'**:?.>r.r'.;'-.'
CITY OF WK!
•• {.r""'.. u`-'' r... L401226
jqTEw T r:::
N.?HF!; EL.VTEN CON`:3T ?.rNt.
ms ':?O% 3660 ROBIN !._N r tV W.
qIDt: Amount: Wi .........c.21
Tn'Ital R::'(:2:i.
CROC14 2
r"
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
q3156 3830 PILOT KNOB RD - 55122 651-681-4675 ?J
New Construction Reaulrements Remodel/Reoalr Reaulremenh dI r Id 10-4-00
> 3 registered site surveys showing sq. H. of lot, sq. R. of house 2 copies of plan and gQ roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for healed additions
> 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
> 3 copies of tree preservation plan if lot platted after 7/1/93
DATE: September 19, 2000
CONSTRUCTION COST: $20,000
DESCRIPTION OF WORK: Finish Basement Install plumbing fixtures rough in complete
STREET ADDRESS: 3660 Robin Tan
LOT: 11 BLOCK: 2 SUBD./P.I.D. #: B I GG k. k A w K N T G &
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Kubalak Tony Phone#: 651-459-9021
Last Rrst
Street Address: 3660 Rnhi n r -np
City Eagan State: MN Zip: 55112
Company: Vintage Builders Inc. Phone#: 763-559-4815
(area code)
SMeetAddress: 13005 55th Ave. N. License# 2275 Exp.3 31 O1
City Plymouth State: MN Zip: 55442
Company: none Name:
Telephone #: ( )
Street Address: Registration C
City
State:
Sewer/water licensed plumber (If installing sewerlwater): Phone M
I hereby acknowledge that I have read this application, state that the information is
of Minnesota Statutes and City of Eagan Ordinances. Signature of
OFFICE USE ONLY
Certificates of Survey Received Yes - No
Tree Preservation Plan Received Yes - No Not Required
Zip:
with aR applicable State
RECFIVED
OCT 0 2 2000
BY:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
P 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
? 18 Deck ?
19 Lower Level ?
Plbg _Y or_ N ?
? 20 Pool ?
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. Buildings
Const st. (Actual)
(Allowable)
UBC Occupancy -?=3
Zoning -1
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 64 Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext.Alt-Multi
? 33 Ext. Aft - SF
? 36 Mufti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
SAC Units
% SAC
A CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 031191
Date Issued: 12 / 01 / 9 7
3660 ROBIN LANE
LOT.- 11 BLOCK: 2
BLACKHAWK FOREST
DESCRIPTION:
i?uildingmPermit Type
Suilding Work Type
"",Usc Occupancy
C?ons,truction Type
Zoning-
BUild3ng Length
B,uiXtling Width
Bui7 ding s_o,ri.es
C
SF DWG
NEW
R-3 U-1
V-N
R-1
76
42
2
2,419
101 1 - FAM. DETACH
P3
i JI
REMARKS:
S & W PLBR -
FEE SUMMARY-
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC'S
SAC Units
Lic. Search Fee
r Subtotal
$1,292.25
$839.96
$90.50
$950.00
100
1
$5.00
$3,177.71
$181,000
MISCELLANEOUS $1539.50
Total Fee $4,717.21
CONTRACTOR: - Applicant - ST. LIC OWNER:
VINTAGE BUILDERS INC 15594815 0002275 VINTAGE BUILDERS INC
13005 55TH AVE N 13005 55TH AVE N
PLYMOUTH MN 55442 PLYMOUTH MN 55442
(612) 559-4,815 (612)559-4815
S et a acRnowle,dge that I F
ix?fb,ra t on correct and ac
't tdOt iCy"of Eagan Or
o'tt
this,
antes.
`rlw ino fi b
UED : SIG TUFE1
5?19?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL),s
CITY OF EAGAN ) ' I
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reouiremen
3 registered site surveys
• 2 copies of plans (include beam & window saes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan it lot platted after 711193
required: _Yes _ No
Remodel/Repair Reouirements
• 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
DATE: Nov. 25, 1997 CONSTRUCTION COST: $265,500.00
DESCRIPTION OF WORK: New Home
STREET ADDRESS: In,
LOT 11 BLOCK 2 SUBD./P.I.D. * Blackhawk Forest
1 Wm7 -X10-02
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: -Tony Kubalak & Barbara Slagg Phone#:861-8813
1KT RRST
Street Address: 5821 Park Avenue South
city: Minneapolis State: MN Zip: 55417
Company: Vintage Builders, Inc.
Street Address: 13005 55th Ave. N.
City: Plymouth State:
Company: Home Planning Associates,
Name: Steve
MN
Street Address: 11476 Martin Street
Phone # 559-4815
License #: 2275
55442
Zip:
Phone #: 757-2890
Registration #:
City: Coon Rapids, State: MN
Sewer & water licer.Ped plumber (new construction only):
and lot change are equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Zip: 55433
Penalty applies when address change
and,"e to comply wAh all applicable
V---Yes No
- Yes No _L Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) V14 Basement sq. ft. 1 2jq3 MC/WS System
(Allowable) vN Main level sq. ft. I% M3 City Water
UBC Occupancy 12-3.0-/ ?-Ij sq. ft. I zoo Fire Sprinklered
Zoning R-1 c sq. ft. u-7y PRV
# of Stories Z sq. ft. Booster Pump
Length 9S' 8" sq. ft. Census Code. )0 1
Depth 42 Footprint sq. ft. zT SAC Code _ G !
Census Bldg /
Census Unit
APPROVALS
Planning Building 443 Engineering Variance
Permit Fee Valuation: $ ova. -
Surcharge
Plan Review
License vox 30
a o 0
MCNVS SAC 7. 4.e- x xy _
City SAC 12 13 lb g +S = -7, c,4 s-_
Water Conn. t Sfi
Water Meter
Acct. Deposit `?^?? 7zv?? ?k+sv G 7 `z. s.
S/W Permit Z
SAN Surcharge r-J
Treatment PI. 4v X $ v 1 Z? 0 19 s-t ?y gcv, -
Road Unit
Park Ded. e)
Trails Ded. -g-
Other z4 K vz 11-71, th trm = 8 z7tS..
Copies
T04 lI V
{=
AFFL
, /
Total:', e-
°A SAC
a ?y S 11
bT?° i
I
ko x rq
1 15 =
4a
t --?
SAC Units -- '
L-(
(( CITY USE ONLY {}
L ? BLUf RECEIPT #: G _ :i-I ?J ?-
SUED. ?/oJX?C?1?C ? crW?Z J?^ RECEIPT DATE: C - q
1999 Puumaimi Pf.Rm T (RESIDENTtAQ
CITY JW EAGAN
3630 PILOT KNOB RD
EAEiffiN, MN 55122
(651) 661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
---------- ----------------------------------------------------------------------------------------------------------
Alterations to gxi._stlna residence :?) 30.00 = -? 6_,"'
Wzter-T 30.00 =
Private Disposal System MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
FIXTURES EACH # TOTAL
Shower 100 x =
Water Closet 3.00 x: _
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Dui Tubi5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener for dwellings under construction 5.00 x =
U.G. Sprinkler for dwelling under const. 3.00
STATE SURCHARGE .50
Reminder: Call 681-0675 for inspections of water heaters,
water softeners, alterations, etc.
S?e
3 O
TOTAL
,
-
-
-- --
--------------------------re --------------- -- ------------- ----------
- s.
- able-City-of Eagan -ordinance-
-correct, -and agree to comply -with -all applic-
hereby ac-knowledge that I have ad this a-lop state that the -information is-
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: 'S (L (a 6 Il t1 L i,u L o
OWNER NAME:
INSTALLER NAME: '? ?? ?t,n 2cL? tlxm e ?ucp TELEPHONE #: 3 oZ D STS 7 - 7 3 D
a
STREET ADDRESS: 3 ?0 ?.??, t? b r w 5 7
CITY:
STATE: M !J ZIP: SS 35t)
SIGNATURE OF
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
C f?-u,`.
CITY USE ONLY
LOT ?L BL
SUBD..
RECEIPT #: V60 7F'
jY
RECEIPT DATE: '5/-Fu
1998 MECHANICAL PERMIT (RESIDENTIAL)
Date: Z z m °r /18
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) 3 "
• State Surcharge: .50
0
• TOTAL: 33 5
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: 3 G G a
OWNERNAME: PHONE #:
INSTALLER NAME: A(',67 PHONE #: V -? V - 60 O 6
STREET ADDRESS: val O L GJC / N
CITY:-/-/'-r yh L/f ?ic rn . J STATE: r? ZIP: SS2 0
JS/FORMS eLDmocx esxnnr (sES) - 1998 SIGNATURE OF PERNI I M
CITY OF EAGAN -
3830 PILOT KNOB RD
EAGAN IdT 55122
(612) 681-4675
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT D,
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
KAGAN, 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: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
($30 per $1,000 ofoermit fee due on all permits.)
PHONE #:
TENANT NAME (uaROvEmENTs ONLY):
INSTALLER:
ADDRESS: PHONE 4:
CITY:
SIGNATURE OF PERMITTEE
STATE:
ZIP:
CITY INSPECTOR
,Z . I i} CITY USE ONLY
L BL ?t
SUED:
RECEIPT #: F6 / G p /
RECEIPT DATE: d5 / 0
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIN 55122
(612) 681-4675
Please complete for: D single family dwellings
townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
- - -_-------------------------------- -
FIXTURES -
J EACH
#
TOTAL
Shower 3.00 x I _ ?A
Water Closet 3.00 x 0
Bath Tub 3.00 x _ (e 60
Lavatory 3.00 x g o o
Kitchen Sink 3.00 x ?_ = o L1
Laundry Tray 100 x I = 3 00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x I = 3 0000
Gas Piping Outlet * minimum - 1 3.00 x L_ _ 6
Rough Openings 1.50 x 3 = y
Water Softener * for dwellings under construction 5.00 x = S c?0
Water Softener * for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling 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 * MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL S 0 6
- ---- --- -- - --- ---- - ----- --- ----- - ------ --- -- --- --- ------ ---- --- -----
t herr;by acknowledge that I have read this application, state that the information is correct, 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 facilitigs constructed under this permit within City property/right-of-way/easement.
( 1b t
L A k) IQ-
ITE ADDRESS: lQ n t A3
S
OWNER NAME:
INSTALLER NAME: TELEPHONE #: I S1- 1 SZn?
STREET ADDRESS: I g S9 Aa LJ X) 22 R rX
CITY: -F -f\ S A rJ ?_ STATE: AA k ZIP: YS-1 a a,
SIGNATURE OF
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
Established in 1982
LOT SURVEYS COMPANY, INC.
LAND SURVEYORS
REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA
7601 73rd Avenue North 612-680-3093
Fax No. 580-3522
Minneapolis, Minnesota 56428
Ourvrgurs Tertifirate
VINTAGE BUILDERS
Property located in Section
17, Township 27, Range 23,
Dakota County, Minnesota
Address : 1852 Deer Pond Circle
Sanitary sewer service invert elevation = 795.72
?O?Ao
INVOICE NO. 48299
F.B.NO. 778-74
SCALE: 1 " = 30'
0 Denotes Iron Monument
? Denotes Wood Hub Set '
for excavation only
x000.0 Denotes Existing Elevation
000.0 Denotes Proposed Elevation
Denotes Surface Drainage
NOTE: Proposed grades are subject
to results of soil tests.
Proposed building information
must be checked with approved
building pion and development or
grading plan before excavation
and construction.
gl? Proposed Top of Block
9710. q Proposed Garage Floor
Bol Proposed Lowest Floor
Type of Building
<ULL,'64sF HliaJ T'
Garage dropped 1. course
RFoR??FOp`
qy
\s
v.
X& a
\Ol+0?r' G
Lot 11, Block 2, BLACKHAHK FOREST
The only easements shown are from plats of record or information
provided by client.
We hereby certify that this is a true and correct representation of
a survey of the boundaries of the above described land and the
location of all buildings and visible encroachments, if any, from )r on
said land. ?
Surveyed by us this 6th day of November ?
J.
L ?2 tY--'I-? (n
Signed _
a Charles F. Anderson, Minn. Reg. No-21753
o -
L'UI-DING INSPECTION.
LOT SURVEY CHECKLIST FOR RESIDENT
ILDING PERMIT APPLICATION
PROPERTY LEGAL I Z
DAT OF SURVEY:
> LATEST REVISION:
F DOCUMENT STANDARDS
?? ? • Registered Land Surveyor signature and company
? • Building Permit Applicant
l113 ? • Legaldescription
?? ? • Address
GY ? ? • North arrow and scale
Cr7?/ 13
-
Y • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
O
0 • Directional drainage arrows with slope/gradient %
? • Proposed/existing sewer and water services & invert elevation
? street name
? ? • Driveway
ELEVATIONS
Existina
?? ? • Sewer service (or Proposed)
?? ? • Property corners
?? ? • Top of curb at the driveway
Ja?? ? Elevations of any existing adjacent homes
Proposed
? ? Garage floor
)2'" ? ? • First floor
? ? • Lowest exposed elevation (walkoutWndow)
2-'11 ? Property corners
??? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? Z ? Easement line
? er- ? • NWL
? Ja, ? HWL
? ?0 • Pond # designation
? C? ? • Emergency Overflow Elevation
DIMENSIONS
?? ?
/ • Lot lines/Bearings & dimensions
E
? ? • Right-of-way and street width (to back of curb)
>a/? ? • 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 requirements, if any i
Reviewed:
January 1996
CRAIG90MLDGPRMT.FM
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER s __ ?-- 3 &A / S L- ^ r
SITE ADDRESSz_'_ -= C('? Z-')-]
CONTRACTORS `/'*" (cE ? pfLS DATEz 10/Z °r1PHONEi
DETERMINE WORKING SQUARE FOOTAGE OF EACHI
1. TOTAL EXPOSED WALL AREAL Z? sq. ft. x 'lull 11 N
2. TOTAL ROOF/CEILING AREPs L}?j
sq. ft. z "U" 9026 ¦
3. TOTAL EXPOSED WALL AREA CALCULATIONSs
Total exposed wall
area above floorzC?r?•46%q. ft.
a) Total wall window areas
Insulated Glass glazed 359• H sq. ft. x "U" .51 ¦ ?°??, ?}
Low E Glass glazed sq. ft. x 'lull .31
b) Total door area 4, SCO sq. ft. x "U" .12 ¦ 7-74-
0 Total sliding glass door areas ,
Insulated glass glazed sq. ft. I --u-- .51
Low E Glass glazed sq. ft. x 'lull .31 W
d) Total Fireplace wall area -7,S sq. ft. x 'out, .09
e) Total Wall Framing area
(Average 10%) 7-S0,94 sq. ft. x "U" .091 ¦ Z °
f) Total Met wall area above c^
floor (insulated)Y &•- esq. ft. x "U" .04.1
¦ 9?,1
g) Total Rim joist area ?ZZ.SZsq. ft. x "U" „pis ¦ 13,ZZ
Total Foundation area
(exposed) 4 Sz sq. ft.
h) Total Foundation
window area sq. ft. x "U" .51 ¦
i) Total Met Foundation
area above grade 104• SZ- sq. ft. x "U" .06
TOTAL a) thru 1) ¦ 3 ?$
If items 13 is the some as, or less than item N1, you have met
the intent of S.B.C. Section 6006 (c) 21
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/ceiling area J?4 sq ft
j) Total skylight area sq ft x "U"
k) Total roof/ceiling fra in
area (average 10%) ( q ft x "U" .025 = Q .? 7i
1) Total net insulated ,p
roof/ceiing area sq ft x "U" .022
TOTAL j) thru 1)= 2i [
If total of #4 is the same as, or less than #2, you have met
the intent of S.B.C.•Section 6006 (c) 1.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values
established by the sum of items #3 and #4 shall not be greater
than the sum of items #1 and #2.
c
3. ? Q'I.Z? +4. ?I,(04 _ g *6O,C:]Zi
C E R T I F I C A T I O N
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the building here described meets or
exceeds the State of Minnesota Energy Conservation Act.
(Date)
1 _
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149381
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 3660 Robin Lane
Lot:11 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Anothy P Kubalak
3660 Robin Lane
Eagan MN 55122
(651) 442-9651
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature