3664 Robin Lane
r,
weifificate of cccuvancv
(MV of pagan
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 Co regulating building construction or use. For the following:
Use CjaWfKwim- P DW Bldg. Penn i No. 25ggg
omqm,y Type R3/U I Zan DWWO R1 Type Const. VN
Owoa of Building SJEPH-AN IUFS Amm 4130 ACKRAUK ID. FAGAN
B,ildin6.A&hn 3664 RAIN LANE Locw;tyi.10, E2, ACKHM FCR Sr
A?,
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITTOF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , It.( (.6 APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
I - ?rr?i r r...
trr P1A11F it t'1 I i I
F 'f
L
J
Permit No. Permit Holder Date Telephone s
ELECTRIC
PLUMBING
Inspection Date Insp. Comments
FOOTINGS
FOUND
? iRe oclL reow
FRAMING
ROOFING
ROUGH
PLUMBING
- ja
/U
PLBG
AIR TEST
ROUGH
ATING
HE
GAS
TEST VC
INSUL •/G j 1iG -/?C. - f+ll !y
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
ll ?e ,e e
FINAL HTG y??
Q
SAT
TEST
TEST
v
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG S( s ??
DECK FINAL
6
Address 3664 ROBIN LANE Zip 5512 3
Lot to Blk 2 Sub UADUAW FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 l ft Yes No Inspector:
Final grade (6" from siding) t/
Permanent steps (garage) r/
Permanent steps (main entry) r//
Permanent driveway
Permanent gas
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 - Cily Copy Yellow - Resident Copy Pink - Contractor Copy
/' f1 rQ? ? ? 1 Q? ai y.
O _ r ? ? ?/? D ?:J ? ?t43aC ?t?l / ??
Reque 1 ate Fira Na_ Rou h-In In"n'ti , RcwrG d InRs ection On, Than Rough In
7 26 95 (YOU anust call Inspector xhen ready)
? LJ Reed, Now :&AII Notify Inspector
No
KI Yes Date Read
I [Alicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No) City
3664 Robin Lane Eagan
Section No. Township Name or No. Range No. County
Dakota
o«updnt(PRINT) Phone N.
Steph An Homes 681-9777
Power Supplier I, Address
DakotaiiElectric 4300 220th St. W., Farmington
Electrical Contractor (Company Name) Contractors U.um,o Nn.
Joos Electric Co. CA 00961
Mailing Address (Contractor or Owner Making Installation)
3980 Beau DI Rue D ' e, EA an, MN 55122
Authoned Signature (Contractor/Owner Making tame n) Phone Numher
688-6180
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECIION REoUEST WILL NOT
Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE S1 ATE BOARD
1821 University Ave., St. Paul, MN 55164 UNLESS PROPER INSPECTION FEE IS
Phone 16121642-0866 FNCInsFn
REQUEST FOR ELECTRICAL INSPECTION _,oz., E?B-00001-09
/ , See instructions for completing this form on back of yakow copy. 9
"X" Below Work Covered by This Request
Ne Add Rep. Type of Building -Appliances Wired Equipment Wired
X Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial X Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 1 mps
Transformers Above 200_ Amps bave 300 _ Amps
Signs lospeclor s Use Only: T TAL
Irrigation Booms 73. w $93.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE 'RD ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT_
I, the Electrical Inspector, hereby
tif
t th
th
b
i
ti
h Roig"o I" L_ ? not ?_ - Yf
cer
y
a
e a
ove
nspec
on
as
been made.
Flnel7
Dale
J..?.
OFFICE USE ONLY
This request void 18 months from
/?'1Z
?_ ot CIT
L BL Y USE ONLY RECEIPT #: 'Y
SUBD. K2&4" Q stVq/j(' DATE: 5701 y?
1995 MECHANICAL 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
_X New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
kizod, 3
Date: -I-Z7-95
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 2 9 ?
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) Z. - 6-CO
State Surcharge .50
TOTAL
nayU GUDOgOX50 Fir?wwr2, 3%z Ton ()maw. RCBLIZ. Ga" 6Lna.p?nC2
.yw + CRY'. - v
veyubir9 kibj%ul
SITE ADDRESS: 3(oUj Robin L._W rt .
OWNER
INSTALLER
PHONE #:
STREET ADDRESS:
CITY: ?a(, en Pra tru, STATE, V ZIP:
PHONE #: ( W Z
CITY USE ONLY
L _ BL RECEIPT #:
SUBD. DATE:
1995 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 = required
for each dwelling unit.
DATE:
CON i RACT FRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee Qr 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 ADDRE=SS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:.
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:.
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL a?' RECEIPT* SUBD. JOn&d DATE:-_q'1_1?//0'5
1995 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
FIXTURES EACH NO. TOTAL
Shower 3.00 x 3.00
Water Closet 3.00 x 3 = 7,00
Bath Tub 3.00 x o2. _
Lavatory 3.00 x S = 5.00
Kitchen Sink 3.00 x = .Oo
Laundry Tray 3.00 x = 3.00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 3,00
Floor Drain 3.00 x = 3 . n O
Gas Piping Outlet * minimum -1 3.00 x 91-00
Rough Openings 1.50 x -3 _ 5115-0
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 = .3-00
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL IoS.OD
SITE ADDRESS: 3 (° ?' y?/? ?Q/IZPi
OWNER NAME: ?fi? h ?Q/!y??/
INSTALLER NAME: AA A 1
STREET AD??DtRESS: ly.S9 ?l?lA/r9'I1?2 /L/9 cP/L?
CITY: STATE: RAI ZIP: PHONE #:
(lj/a) S?Sd2 -15??
b"TZ3
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 PLUMBING 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 D_Qt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 11% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmi fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE M
STE. #
SIGNATURE:
APPLICANT
STATE: ZIP:
CITY OF EAGAN
Al
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 2 5 9 9 8
Date Issued: 0 7 / 11 / 9 5
SITE ADDRESS:
DESCRIPTION:
PERMI'T'
3664 ROBIN LANE
LOT: 10 BLOCK: 2
BLACKHAWK FOREST
Buildind,Permit Type SF DWG
Building Work Type NEW
,'UBC Occupancy R-3 U-1
Construction Type V-N
Zoning R-1
Buillding, Length 63
Building Width 50
Builiding stories 2
" '-"Dare Feet 2,188
i
REMARKS:
S & W PLBR -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$1,302.25
$455.79
$91.50
$850.00
100
$2,699.54
$183,000
MISCELLANEOUS $1,892.50
Total Fee $4,592.04
CONTRACTOR: - Applicant - ST. LIC. OWNER:
STEPH-AN HOMES 16819777 0001457 STEPH-AN HOMES
4130 BLACKHAWK RD 114 4130 BLACKHAWK RD
EAGAN MN 55122 EAGAN MN
(612) 681-9777 (612)681-9777
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes nd City of Eagan Ordinances.
L_
J?)Z& zle
AAPPffCANT/tRAW
E SIGNATURE
application and state that the
with all applicable State of Mn.
ISSUED BV:3IGN UTRE r-?
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r,r /9
681-4675
New Construction Reouirements Remodel/Repair Recuirements
? 3 registered aite surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan H lot platted after 711/93
required: _Yes _ No
DATE: t'95 CONSTRUCTION COST: ?aO,uuo
DESCRIPTION OF WORI
STREET ADDRESS:
LOT _L BLOCK ?2- SUBD./P.I.D. #:
PROPERTY Name:
OWNER
rmu
Phone #:
Street Address*
City:
State: Zip:
CONTRACTOR Company: a?;- .?` 164" GS Phone #: e?-I- f222
Street Address: ?/;o 1"ZA+ rF -,? License #• /YS2
City: /"'We"'z- State:
ARCHITECT/ Company:
ENGINEER
Name:
Zip-
Phone #-
Registration #'
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 a V I? I?
Certificates of Survey Received Zes _ o IV 9Q
Tree Preservation Plan Received - Yes 20
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
A02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex 0 15 Deck
WORK TYPE
X31 New 0 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Basement sq. ft. MC/WS System
rV Main level sq. ft. G `lee City Water
wtIz sq. ft. z99 Fire Sprinklered
/ sq. ft. PRV
a ?Z- of sq. ft. Booster Pump
40:7 sq. ft. Census Code.
so Footprint sq. ft. SAC Code di
v' ff?, a /,? Census Bldg
C r
ensus Unit /
Building
Engineering
Variance
Valuation: $ ,43 000
H x 11 = YY
y--!
Z y Yz = /Dots IYIq,v If 0CL- /so
s,is - r? fax?? "' ? Iv 7
zs
Zx Iz-i '
rs
5'F 15 = /oS yz ' /? ZrSFy?
t X to
Y&O Xs?/' J7/? l
10
Z,17> , ?rsxis> = Iz
lx7.5-1, --
1,1,13, 2 7-
It .S KI( - G
= its' ?plagX//O ° 4,688
.83x 12.5r
6•bJ x $-Y a> /-/(0
Ala xy ? `.?f%ryr 7?,
SURVEY FOR: STEPH-AN-HOMES, INC.
?p Jcaf,
a0
? 805.
T
raYc - 7_ (_ .J
This drawing has bqn checked and
reviewed this to - day of /
3olo 199!?,
by D . i-e-?
hereby certify that this survey was /
prepared under my supervision and that
l am a Licensed Land Surveyor under the
laws /n(ofthe State of Minne ota.
N.l.
Theodore D. Kemna
Date: JULY 6, 1995 License No. 17006
5
40 0 40 80 120
1. • - Denotes iron monument set.
2. X890.0 - Denotes existing spot elevation.
3. x(890.0) - Denotes proposed spot elevation.
4. f- - Denotes direction of surface drainage.
5. Proposed garage floor elevation = 810.0
6. Proposed basement floor elevation = 805.2
7. Proposed first floor elevation = 815.0
8. Proposed top of block elevation = 810.33
9. Proposed house is a split entry.
o r-718.5
\
% (80889
? $0.9
to
?`'0 q
(69-43)
SCHOELL & MADSON, INC.
I ENGINEERS . SwVVfORS . PLANNERS
SOIL IESRNG . ENINOMRENT& SERwCES
10566 WAYZATA BOULEVARD. SUI 1
EMETONUA W 55305
POND I (612) 546-7601 Egf:546-9066
/ P-27
Np ?pJcf / I HWL_8p5 00
8,20
0) FT
?9tia o
10
B -71
EAGAN G g1NG DEFT-
81 9
Z.,g
(81 v \?
8092
rP / JSF,
?O
1 S ?O
DESCRIPTION:
Lot 10, Block 2, BLACKHAWK FOREST
BENCHMARK:
Top of iron monument as shown
Elevation = 809.96 (NGVD-1929)
GENERAL NOTES
NV 797.74
85)WATER SERVICE
BS---SAN. SEWER SERVICE
4
\?\CURB
12.00
809.1
(809.8)
WT SURVEY CHECKLIST POR RESIDENTIAL
ffi BUILDING PERMIZ2LP LI CATION
PROPERTY LEGAr.•? ?
y Date of Survey: A-0
?? TT
DOCUMENT STANDARDS
D Registered Land Surveyor signature and company
a Building Permit Applicant
D Legal description
D? D Address
D North arrow and bar scale
D D House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
13'-?D D Directional drainage arrows with slope/gradient t.
D Proposed/existing sewer and water services
D D Street name
?D D Driveway
ELEVATIONS
=thing Sewer service
on D D Lot corners
HAD Top of curb at the driveway
D o Elevations of any existing adjacent homes
Proposed
0/D ? Garage floor
[? D D First floor
9/ D D Lowest exposed elevation (walkout/window)
1?? 0 Property corners
LY D D Front and rear of home at the foundation
PONDING AREAS (i apvllcable)
" .? D Easement line
l a NWL
ae5 ? HWL
? Pond 9 designation
D D Emergency overflow Elevation
DIMENSIOliB
? Lot lines
D Right-of-way and street width (to back of curb)
Fro D Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, ate. (i.e. all
Y13 structures requiring permanent footings)
? show all easements of record and any city utilities within
those easements
D Setbacks of proposed structure and setback of adjacent
existing homes
8? D Retaining re ire ants, if any
Reviewed-
Na e / ate
October 1992
v W, r.. .
GATE VALVE
WYE
? " 9w \.
R
MH 21
STA 0+00
5-,H-54
799.52
V?O
t
WYE
U79.5.72 Tn? ! r 07 t.:..:r.,WeI ,
I HE AN01LIRACY OF UTI'.I'i't
AND/ONN ELEVATIONS. TF IS Dg w- :5 ?`OR
\ M 0 MATION PURPO cS C;:L'r Ai`.'C
ERSONS USING IT S ULD V= Y °. ec
lMATION ON THE TE.
? I
CONSTRUCT MM 21 OVER
EXISTING 9" VCP SAN. SWR.
EX. INV. 792.50 (VERIFY PRIOR \ \
\
TO CONSTRUCTION)
EXISTING BITUMINOUS AWFACE
DISTURBED BY CONSWTION
SHALL BE RESTORED TO ORIGINAL
OR BETTER CONDITION
P\
N
...........
N '
N '
)rf :
O
m
F..........
EX MH _
SERVICES
If - SEE STD.
EX HYD
9 V.C
SANITARY SEWER AND WATERMAIN
SERVICES SHALL BE INSTALLED 15'
INTO PROPERTY IN ACCORDANCE
WITH CITY STANDARD DETAILS IN m
SPECIFICATIONS.
N O
.... .......... V ...........................................:.........:
0 3
? ? y
fr. t q
1 & 2 Family Residential "Cookbook" Melhon 1} 4 y,jCZ
9UILDER
c,ty
M IC
Minimum Criteria:
Rim Joist: R-19 insulation Founclaton V endows: Insula¢d glass, IR- airspace, uood or vinyl flame
Envy doors: M inch solid wood with storm or better
STEP I Window & Door Area 11 STEP 2 Calculate area as a percent of wall I
Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total
WINDOWS (including foundation windows): wall area) times 100 egt:als the window and door area
Dimen6ons Qnty. Area as a percent of wall area (Box ?.
t " X
x 4 t7 IfII
X 3 l-a, r
x c?
31? x!bN i. >
-bv X t eb ?T' 1 1 l •)
('9-0 X
X
X
X
DOORS:
(03
/g
lp X q0
X (yo'
X Z'10 ?J
1 7 n
'
Total Area of
Window & Doors G Zj5 A.
BoxA x 100= /71 / C
Box B STEP 3 Design Features
ASSEMBLY OPTIO`I
FRAME NVAI-L:
STA HOARD FUA1.MIQ
ADVANCED HAMMG
CP.VIl-YINSUI11lON R-
SI fEAT11TNG:
LESS THAI I R-5
R-5 Oft 1.101E
WINDOWS (except foundation window ):
lJ-I-ACTOR TI- •C-?
(From the table, determine the maximum lxrccnt window
& door area for the design options selected and enter the
value in box D below:
IT7 n
Box C must be lus than or equal to Box 11
Total Wall Area in Sq. Ft_
Wall Total Perimeter Height Area
P. The building must not exceed [lie nlaximunl window and door area as a
a_ percentage of overall exposed wall area listed below for the combination
of framing technique, IZ-value of insulation within the insulated cavity,
sheathing R-vahie, and window 11-factor. Other components mist meet
the requirements of this subpart.
MAX1t+111M WMDOW ACID 1700R AREA
AS A PI:I tCEhI"t'OP OVERAH. EXPOSED WALL
Cavity lNinclow U-Factor
-Framing (nsulation Shealhing__ __019 636 t131 __ - (1.27
STANDARD R-13 >-11-7 134% 17.60% 21.3% 21.30„
STANDARD R-15 2R-5 12.99'. 17.1% 20.191 23.4.;,
STANDARD R-18 <R-5 :. 11.1% 16.0;'. .18.8'. 210;'.
STANDARD R-18 21'-5 13.50. 18.69. 21.89. 25.3':;,
ADVANCED R-)S <1,-5 11.1% `17.1% 20.1'!'. 23.=1'1'.
ADVANCED R-18 ::111.5 13.59'. 19.2% 22.5% 26.1'11
STANDARD 111-21 <1:5 11.8% ; 17.09'. 19.9';1 "2:1.19..
STANDARD It-21 Jt-5 1 LO';'. 193",L 22 596
ADVANCED R-21 ':R-5 1I.8% 18.1% 21.2;1, 21
ADVANCED R-21 _I11-5 11.0°,'. 19.99'. 212':6 26.9",1
Subp. 3. Performance criteria. The combined Iliermai transmittance (110)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than nr ..
equal to:
A. 0.110 Bh1/h ft2 °F for walls;
13. 0.026 Tifu/h ft2 °P for roof/ccilinls; and
C. .0.04 11h1/h 0 °P for floors.
STATAl1TH: MS § 216C.19
KIST: 18 SR 2361
7670.0984 Repealed, 18 SR 2361
7/07/1995 10:22
6819779
PAGE 02
NOTES
1. MAXIMUM WALL LENGTH
WITHOUT A CONTROL
JOINT = 50'-0"
2.FLOOR SYSTEM AND FLOOR
SLAB TO BE IN PLACE OR
WALL BRACED BEFORE
BACKFILLING.
3. SPECIAL REVIEW REQ. FOR
HIGHER WALLS.
4. WALLS WITH EQUAL BACK
FILL ON BOTH SIDES REQUIRE
NO REINFORCING FOR WALL
LENGTHS LESS THAN 25'
LONG AND HORIZONTAL
REINFORCING ONLY FOR
WALLS LONGER THAN 25'
MATERIALS
CONCRETE= 3000 PSI 8 28 DAYS
AGGREG*TE: FTG - I W MAX
WALLS - 3Vi" MAX
REINFORCING: ASTM A615 GRADE 60
SOIL: 100 X GRANULAR -
(E,Q UIV ALESNTPFLUID PRESSURE
GRANULAR 6 LIGHTCLAY -
EQUIVALENT FLUID PRESSURE
C7e f) R 45 PCF
HEAVYCLAY -
EQUI ALENT FLUID PRESSURE
(Yet) w 5 Per
6919779
FLOOR DIAPHRAGM FLOOR JOINT
TO BE NAILED FOR BY OTHERS
DIAPHRAGM SHEAR,
(CAUSED BY HORIZ.
SHEAR "V") TO BE
DETERMINED BY
OTHERS.
2 x 6 TREATED SIMPSON A34
WOOD PLATE W/ a ANCHOR W/4
MIN (2) A.B. WITH 8D NAILS
ONE WITHIN 12" EACH LEG
EACH END N.S. & F.S.
OF JOIST
9
, 1 ! 16" O.C.
3
W3/(1) NUT a WASHER '
B 21. O.C.
OR SIMPSON
1
MA6 ANCHOR 2 32" O.C.
SLOPE
V I
-
GRADE AWAY
FROM FDN. --? 8 "
C3) •4
HORIZ.
H x 8'- 0" HIGH WALL
t e 8 10 10 8 10
TO 35 49 35 45 65 65
VERT' NONE NONE NONE a .2 04.Fi
? VF 267 E3444 267 344 497 497
H a 9'-- 0" HIG H WALL
t
CIN) 8 8 10 10 8 t0
7e 35 45 35 45 65 65
V TRT. M4 is K4 ONE NONE " ..2 # i19
PV) 352 452 352 452 752 752
OSTERTAG CEMENT INC.
1090 121st STREET WEST
ROSEMOUNT MN, 55068
STEPH AN HOMES
•4 x V-0" DOWEL 2" CLR =
6'-.o" aC.
,
OR
t
FLOOR
t/2 t/2 SLAB
4 4"rolm
?u of
TYP. Per ?41 Ve 65 peV
F 3'I
h
ONLY L DRAIN
FTG TO BE SIZED TILE
BASED ON SOIL
CONDITIONS R EACH SITE
& DETERMINED BY OTHERS.
8" MIN. FTG. THICKNESS.
WALL SECTION
J. H. Dahlmeter
Engineering Inc. S - 1
2805 Commerce Boulevard 619.479-4746 $/4/94
Mound. MN BUN Fax 819-479-6108
6819779
87./07/1995 10:22 6819779
STEPH AN HOMES
PAGE 03
NOTES
FLOOR DIAPHRAGM
BY OTHERS
FLOOR JOIST
BY OTHERS
1. MAXIMUM WALL LENGTH
WITH OUT A CONTROL
JOINT 0 30'-0"
2.FLOOR SYSTEM AND FLOOR
SLAB TO BE IN PLACE OR
WALL BRACED BEFORE
BACKFILLING.
4. WALLS REQUIRE NO
REIW13RCING FOR WALL
LENGTHS LESS THAN 25'
LONG AND HORIZONTAL
REINFORCING ONLY FOR
WALLS LONGER THAN 25
MATERIALS
CONCRETE: 3000 PSI it 28 DAYS
AGGREGATE: FTC - l VI MAX
WALL - 3/4 ' MAX
REINFORCING[ ASTM A615 GRADE 60
2 x 6 TREATED
WOOD PLATE W/
MIN (2) A.B. WITH
ONE WITHIN
EACH END 9„ 3„
ve " 0 x 12" A.B.
W/(1) NUT a WASHER
8 48" O.C. OR SIMPSON
MA6 ANCHOR Q 48" O.C.
V
SLOPE
GRADE AWAY
FROM FDN.
5 - 10d NWS
C8) •4
TO NAIL
JOIST TO
PLATE
1
1
04 x 2'-0" DOWEL
a 61-0" O.C. ---\
OR
,
we t/8
JA-1 mg
FTG TO BE SIZE
BASED ON SOIL
CONDITIONS R EACH SITE
6 DETERMINED BY OTHERS
8" MIN. FTG. THICKNESS,
HORIZ.
COMPACTED
BACKFILL
4"min,
0
DRAIN
TILE
WALL SECTION
OSTERTAG CEMENT INC. J. H. Dablmeier
1090 121st STREET WEST 9 Engineering Inc. S - 2
ROSEMOUNT MN, 5506$ JHD M??n , UN?SU N ajaYUdPax 612-44792AI0 5/x/94
67,/0'7/1995 10:22 6819779
6819779
STEPH AN HOMES
PAGE 04
CONCRETE WALL 9 REINFORCEMENT
SEE S-i r WIDE MINIMUM DEPTH 24")
2.4 AT BOTTOM
EXTEND 1'-0" ?QF GRADE BEAM
7 INTO NIGH MALL
CONCRETE FOOTING
CDICRETE F00TING
C COMPACTED FILL
/ I1
i
MAXIMUM SPAN 4'-0"
SEE 3-1 & S-P FOR
FOOTING AND WALL
CONSTRUCTION,
COMPACTED FILL
GRADE BEAM / STEP FOOTING
OSTERTAG CEMENT INC. 1=4HIDD - 6 J. H. vah1meler
1090 121st STREET WEST L Engineering Inc. S - 3
4806 rammara. Bavlavard 6u.479-4746
ROSEMOUNT MN, 55069 lllaaaa- MN 66864 Fax 619478-6108 5/4/94
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 C
New Construction Requirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platled after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Y/ Z !
Site Address /J Construction Cost ?UcD
?Z eolSl o J Z/sw ! Unit/Ste #
Description of Work
Multi-Family Bldg - Y t,N Fireplace(s) _ 0 _ 1 - 2
PropertyOwner
/?'-N V q
Z)0 /VN /'r- 5?/ ?Llt r Telephone #(1-5-1) 40-?S ?
/
Contractor UtT I? c^- Lh
C ?t L
Address
State ! T7 /3tG
Zip r7 Sl a City ?qL`v Oise
?55? / "?? 3 32 J?
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
S`10,D-??
Office Use Onfd
Ceri of SurveyRegtl ?...Y .,_N
Tree Preis Flan Recd _Y ?N
Tree Res ftepuued -. y N
Dn-site SapGcSystem _Y _N.
N If so, 25% plan review
l F U V 5 N
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete
that the work will be in conformance with the ordinances and codes of the City of Eagan and t
Statutes; I understand this is not a permit, but only an application for a permit, and work is n to
permit; that the work will be in accordance with the approved plan in the casss4f worl, rich eq>
approval of plans.
?o?/ ? vn//JCr'(/t ST
Applicant's Printed Name
and accurate;
State of NfN
start without a
s a review and
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 'gP 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
?031 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
_
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered
Type of Const
Width _
_ Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice& Water _ Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.0-
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
Siding _ Stucco _ Stone - Brick
Windows
Retaining Wall
Approved By:-' J&L67-f4 Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pennit & Surcharge
Treatment Plant
License Search -?
Copies - t'
Other
Total
04-1 ree
? 30 Accessory Bldg
? 31 Ext.Alt-Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
i
i
J
r
n
T
ti
m
v
m
0
0
0
01
u?
Q
c?
0
0
n
e
r
w
Q
U
w
RVEY FOR: STEPH-AN-HOMES, INC.
805,
tEVFE'frr
This drawing has been checked and
reviewed this IO +S day of /
3.5 19 3;? ,
by D
I hereby certify that this survey was
prepared under my supervision and that
I am a Licensed Land Surveyor under the
laws of the State of Minnesota.
?1?dY/? ??X=?3"rznts
Theodore D. Kemna
Date: JULY 6, 1995 License No. 17006
NoUSf,
?O
y71
N0
L? c
$O8.
1.
J`0 \
6 p 0
Po?2 GsF
C9
8pg 2
OJ
Z5:71
6C? INV 797.74
-S WATER SERVICE
O. -SAN. SEWER SERVICE
\ \rC 4
\ CURB
62459-001 532/1
(69-42
X9 1 [:::SCHOELL g6ati TE611NG . rJrypaMyaRA1. 6ERNCES
1O5p0 IIAYUTA BOIAEVATN. 61111E 1
r -711 w+ 557x5
1118 rAx SK-9065
POND (612) 5
T
I `9'Lp
n
D vi
lAfSPECTIONS
40 0 40 80 120
No?56 / ? I
NO
?2 / aRpvN?SE.?'E?
82p 0
57- 0) S
10
00
T?
?? / ?81 ? 97 9
14L=
kt1L,805 00
DESCRIPTION:
Lot 10, Block 2, BLACKHAWK FOREST
BENCHMARK:
Top of iron monument as shown.
Elevation = 809.96 (NGVD-1929)
GENERAL NOTES
1. • - Denotes iron monument set.
2, x89D.0 - Denotes existing spot elevotion.
3. x(890.0) - Denotes proposed spot elevation.
4. ? - Denotes direction of surface drainage.
5. ?
Proposed garage floor elevation = 810.0
6. Proposed basement floor elevation = 805.2
7. Proposed first floor elevation = 815.0
8. Proposed top of block elevation = 810.33
9. Proposed house is a split entry.
-- -----------
fxor(Nhce„Use
Permit#: I j
I I
I Permit Fee: l r c.!
I
Date Received: j
I I
I Staff: I
-----------------
20yy08 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / D Site Address:
Tenant:
Suite M
RESIDENT / OWNER Name: Sc , Y ?r 'n n/k Phone: 105 / - L6 - 3 3c?q
Address / City / Zip: At -
Applicant is: _ Owner Contractor
ke
TYPE OF WORK `
Description of wo
cc
Construction Cost: Multi-Family Building: (Yes _ / No
CONTRACTOR r? Inc
Name: (- ?_ l?r ?? ?c r w. c ?s License #: r??n
Address:
S 3 ?5?
City: fir V,r State: tr\- Zip: S
(
Phone: S?)- Contact Person: f t ?s C-h
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Fagan 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:
NOTE: Plans and supporting documents that you submit are considered to be public information.'; Portions of
the information May be classified as non-public if you provide"specific reasons that would peim t,the City to=?;:
conclude that the are trade secrets.. "t
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 pp/rov'ed plain in the case of work which requires a review and approval of plans.
x f O'd>'l C' ' e s y a c? z Pyl.
Applicant's Printed Name pplicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
F _F - - , _ce U - s- e _ _ _ _ _ - _ _
I or O ffise + 1
- Permit J
`
City of Ea I Permit Fee: 7 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
2013, RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O( 25/ Site Address: 31 Unit
Name: Phone:
Resident/ -
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:` - A /
-04 0
Construction Cost: 2_00 Multi-Family Building: (Yes /No
y )
Company: ~ ec-:rz L4V,' Contact:Zle-
I
Contractor Address: 30 1/0 City:
State: Zip: s --lz? Phone: -7- G f ~ /
i License Lead Certificate y-7
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
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:
L Sewer & Water Contractor: Phone:
E NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
3
the information may be classified as non-public if you provide specific reasons that would permit the City to
F
conclude that they are trade secrets.
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co must be completed within 180
days of permit issuance.
X_ ~~G lea;5~11\~''~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r-------------------.
I For Office Use
City of Ea~an I Permit I
J I -5 I
Permit Fee: J
3830 Pilot Knob Road I ( j I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I Site Address: 3 b b 1 t~ b i L YN Unit
Name: bo_g S le, y z V Phone: 53cfResident/ ~~11 t
Owner Address / City / Zip: 6 -1 o b y~
i
Applicant is: Owner _,X Contractor
Type of Work Description of work: + q
Construction Cost: O d Multi-Family Building: (Yes / No
i E
Company: Contact: tA
k~- t
I f,
Address: 7630 I~fSf~` 5+ SK~~ ISO City:
Contractor I
State: Zip: SS la Phone: 15)-07-q777 Email:
i
i License 13 3S °I 4 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets,
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.oopherstateonecall.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 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.
x
Applicant's Printed Name Applica is Signature
Page 1 of 3
NP"
LISI `�
CITY OF SAINT PAULNo
. Department of Safety & Inspections
HEATING SYSTEM TEST REPORT
(Use a separate form for each appliance)
;..�Safety
�M�
P Fire Inspection Division
Make of Burner: I
Make:
375 Jackson Street Suite 220
Model: 7 ' ,s kain-,1
Model:
Saint Paul, MN 55101-1806
Revised 07/2014
Max BTU Rating:
(P) 651-266-8989 (F) 651-266-8951
Input: `f7ic •
ADDRESS: 3E):: & '�
OWNER: Se.',
Type of Heat:
❑ Gravity Air
n Steam
orced Air
it Heater
❑ Gravity Hot Water
Space Heater
DATE: / (p—/&
❑ Forced Hot Water
n Other:
Type of Fuel: Q'Oas ❑ Oil ❑ Other:
Visual Inspection
Gas Design
Conversion
Stack Temperature
Make of Burner: I
Make:
Fuel Piping System — Okay?
Model: 7 ' ,s kain-,1
Model:
Oxygen
Serial: X314 ' i• 7
Max BTU Rating:
Vent Systems: Draft hood, Connector,
Chimney—Okay?
Input: `f7ic •
Make Furnace:
Carbon Dioxide
Equipment Venting Type: ❑ Atmospheric
nduced Fan
❑ Other:
Total BTU input of all vented gas appliances per chimney: il Pettify►
Type of Chimney: ❑ Masonry ❑ Class B E] Other: pet
Type of Liner: ❑ None ❑ Metal ❑ Clay Tile
Vent Connector Material: ❑ Typ ❑ Type -
Combustion
e -
Combustion Air Supply Required? es ❑ No Installed? es ❑ No
Safety & Operating Control Tests:
Pilot/Flame Safeguard Operating Properly
Limit(s) Operating Properly
Operator(s) Operating Properly
Low Water Cut-off Operating Properly
All Controls Operating Properly
No
N
4'‘V
Fuel Analysis/Flue Gas Analysis:
Vents properly without spillage
Flame stays inside/Doesn't roll out
Burner lights smoothly
Yes/ No
7
Combustion Analysis
Visual Inspection
Ye§/'No
Stack Temperature
°F/Net
Fuel Piping System — Okay?
�1,
Oxygen
43..2.
%
Vent Systems: Draft hood, Connector,
Chimney—Okay?
I/Vent
Carbon Dioxide
7.3
%
Heating Unit — Okay?
✓
Carbon Monoxide
1 1,,,
PPM
Look At The Total Heating System Before You Leave:
Ye"
No
Does the system operate safely and properly?
COMMENTS:
Name of Licensed
Contractor
G
Person Doing the Test (Print) `: D _ fivii�
Certificate of Competency from the City of Saint Paul for Appropriate Fuel:
Addressl9_04 41 /
Signature:,
THIS TEST IS VALID FOR ONE (1) YEAR
Phone 29,5e_
e
.?(X7;i9evecW
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135656
Date Issued:03/29/2016
Permit Category:ePermit
Site Address: 3664 Robin Lane
Lot:10 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
David Seivert
3664 Robin Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
,..
Use BLUE or BLACK Ink
of Eapii City For Office Use i i 44
')- -
Permit Fe
3830 Pilot Knob Road ,..,;, ',.' ? '- e:
:7
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildingins.ectionsScit'cfe_upn,ctri Staff: ,...._
u- 1,11V'N
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
-A-°
.. „
Date: Site Address: Unit#: 1'c6
Name:
I i David Seivert Phone: 651 .249.7424 '
t
,
Resident/ I
Address/City/Zip: 3664 Robin Lane, Eagan, MN 55122
1 Owner I
I 1
k 1 .
i Applicant is: Owner X Contractor
.. Stucco and window Repairs -See attached Scope of work
;
Type of Work . Description of work: ..
$8 .0 . . .
,
construction Cost: 5700
' Multl-FamilY BuIldln :.c.Y.:_es ---.--1N9x -J
Company:
Smith Cole Stucco & Stone LLC Perry Dotson
Address: City:
3916 Dight Avenue South Contact:
Minneapolis ..-.-
1 Contractor .
I )1
State: MN Zip: 55406 Phone: 612.709Email:.4980 smithcolestucco@gmail.com
t g SC693563 NAT-154701-1
i License#: Lead Certificate#:
1 If the project is exempt from lead certification, please explain why:
1
..,..—_,.........—
[..
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
Iin the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
I 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
i are fi•acie secrets. , ,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvoteag_an.cornisunscribe.
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.
CALL BEFORE YOU DIG, Call Gopher State One Call at(651)454-0002 for protection against underground utilit ma e. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aopherstatemecaii.oro _
----
I hereby acknowledge that this information is complete and accurate;that the work wy6e-in conforman—ceNith t ordinances and "des 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 stat witlpou a permit: th the work will be in
accordance with the approved plan in the case of work which requires a review and pproval of plans. ,_ .. , ,,' ,
Perry Dotson
______,/
x 4.,„,,
- 041.11111ffillt
Applicant's Printed Name Applicant's Signet e
Page 1 of 3
SMITH
MN LIC#BC—693563
STUCCO &STONE
SCOPE OF WORK
zroposal Submitted to: Phone: I Date:
David Seivert 651.249.7424 11 08.14.2017
kddress: Job Name:
3664 Robin Lane CMT Moisture Report Repairs
:ity,State And Zip Code: Job Location:
Eagan,MN,55122 Same
Estimated Project Start: Estimated Project Completion:
4SAP SEPTEMBER 14TH,Z017
All References are based on the CMT Report Dated August 7, 2017:
o Mobilize Scaffolding as required, Protect adjacent materials, Pull required Permits
o Remove Stucco in the following locations:
• Page 2 test#3-7(Around Window)
o Inspect areas of Removed Stucco, Report findings to Owner
o Based on findings Remove and Repair a#1 Damaged Framing/Sheathing and Insulation
o NOTE:IF STRUCTURAL REPAIRS ARE REQUIRED,CONTRACTOR SHALL APPLY FOR A SECOND BUILDING
PERMIT
o Reinstall 1 Window- Install Proper Flashing details at Window Per Code
o Reinstall Existing Interior Trim where Removed
o Install Weep Screed at Bay Termination Per Code
o Apply D Type Weather Barrier, Galvanized Metal Lath to removed areas Only
o Apply New Portland Cement Coat to removed areas Only
o Install Decorative Stucco Trim where removed to match original detail
o Apply New Acrylic Sand Float Finish (Corner to Corner) on Bay Only
o Match Color and Texture as close as possible to existing -
o Conduct thorough cleanup,close out permits and exit site
Work Excluded: Any Painting/Staining Interior or Exterior, Any Mold Remediation, Any Landscaping, Any New
Windows,Any Caulking,Any Heat and Cover,Any Sheetrock Repairs, Any Flashing at Front Stoop,Any Work NOT Listed
"Building The Future—Restoring The Past"
3916 Dight Avenue South Minneapolis, MN 55406 612/09.4980
•
I Li ci 9/
Amy Griffin
From: Smith Cole Stucco and Stone <smithcolestucco@gmail.com>
Sent: Friday, August 25, 2017 11:10 AM
To: Building Inspections; Smith and Cole Stucco and Stone
Subject: Building Permit Application
Attachments: Permit App Eagan Seivert Res.pdf
Hello:
We have attached our Application for stucco repairs and window flashing repairs.
We understand that we are to pull a second permit if sheathing or other structural repairs are uncovered. We
would stop work, apply for the Permit and request an immediate site visit if so required.
When approved we will pick up the Permit at City Hall.
Thank you.
Perry Dotson
Smith Cole Stucco & Stone
763.280.0382 (Cell)
1
6 SMITH COLE R7, CE1V D
MN LIC#BC—693563 STUCCO &STO N E
DEC 0 8 2017
SCOPE OF WORK
Proposal Submitted to: Phone: Date:
12/08/2017
Address: Job Name:
3664 Robin Lane CMT Moisture Report Repairs
City,State And Zip Code: Job Location:
Eagan,MN,55122 Same
Estimated Project Start: Estimated Project Completion:
ASAP TBD
All References are based on the CMT Report Dated August 7, 2017:
Framing and Insulation Repairs-
• Remove all damaged material.
• Install new framing to replace existing where removed or modified
• Refasten drywall where required
• Replace existing subfloor underneath new 2 x 6 wall plate to a point 2-1/2 inches back from
exterior-mechanically fasten to new wall plate with GRK framing screws
• Fill void at existing rim insulation at north end of rim area with new complementary foam
• Insulate repaired wall cavities with new R-19 fiberglass batts— existing vapor barrier to remain
intact
• Furnish and install new Timberstrand rim joist—fasten to TJI top and bottom chords as required
• Install new%" CDX plywood sheathing over repair areas
• Fabricate and install new 24 Gauge Firestone UnaClad Flashing and Soffit panel retention
channel and install at bottom of bay cantilever—repair existing sheathing as required
Proceed with stucco and window work per Scope of Work document previously submitted.
"Building The Future—Restoring The Past"
3916 Dight Avenue South Minneapolis, MN 55406 612.709.4980
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