3672 Robin Lane
wemf icate of ccc"anc4
WAtV of W""
wait of 0101" 3c"ation
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 chssifiadion_ W UYr Bag. Permit No. 60M
Orapr ocy Type R31q I Zoning Diarid R1 Type comt. VN
Owner of Building ASSIG DMGN HUCS Amens, 1630 MY 10 NE.SMIM
R-W- AM- 3672 FMTN I? L?ocaittrl . B2. HIAac- AwK F7=
/ G. , V; , , C/ le 05
POST IN A CONSPICUOUS PLACE
r?
INSPECTION RECORD
Mr-OF EAGAN PERMIT TYPE: 1:1I 1 1 n 1 MG
3830 Pilot Knob Road Permit Number:
c) .'rEY6f.'
Eagan, Minnesota 55122-1897 Date Issued:
it
(612) 681-4675
SITE ADDRESS: APPLICANT: s'T
I:[ F+.! Ilt{-11 { x,1.1 I. { (, I I > ;,
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE fNSPTR. INSPECT)ON TYPE DATE INSPTR.
f?I KAP ?; : r; k id 0 t Rk PI VMott$ I If F,I Ht,
Permit No. Permit Holder Date Telephone M
ELECTRIC r 9 M
PLUMBING 1633-
HVAC
qn?
S??tL.
S / 95
Inspection Date Insp. Comments
FOOTINGS
FOUND T?? 9
FRAMING n, 9? r ?? 9v
ROOFING AP
d AT=f
ROUGH
PLUMBING
3f
?? (sts? 7 a
PLBG
AIR TEST
-
ROUGH
HEATING
GAS SVC
TEST
INSUL ej-liLfr?
GYPBOARD
ale
FIREPLACE
OO
/!
FIREPLACE
AIR TEST
FINAL PLBG
«
FINAL HTG 6 ?
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 3672 ROBIN IRE Zip 5512 _
Lot' 8 Blk 2 Sub Bl.AQUTAWK FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /1 9?, Yes No Inspector:
Final grade (6" from siding) j?
Permanent steps (garage)
Permanent steps (main entry) VI/
Permanent driveway ?
Permanent gas if
Sod/Seeded grass t/
Trail/curb damage
Porch 1,7
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
ja m
'Z 8 5378 L "J
ig
Req st Date
?t ^^? Q?
y Fire N Rough-ln hspa jion Required
ll inspector when ready)
(You K Ion Other Than Rough-In
Ready Now Will Notify Inspector
` off,
\ s ? No
y. Dete Read
I `s licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Boa or Houle No) '
`
b City-
t ri
Y?-a Y\ le - A a
Section No. Township Name or No. Range No. County
!;Z) pik-IN oZ A
Occu enl (PRINT) Phone No.
Power Supplier .? /i
-VA
AV
kk
, ess ? !
Soo akaA
1.
, L
t C Wo
.0
P C Gr t
rical Contractor (Company Name) Con acto(s License No.
k
? CYlit
C7G?
??
vr VC
r
v
r
,
Ma Ihg Address IConlratlor or Owner Making Installation)
?t (? ?o1S X30
- t r.
Authorized Signature (Contractor/Owner Maki Ins xajon) Phone Number
MI NESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway aldg. - Roam 5-128
11
1111
1
1 1?1
111 BE ACCEPTED-BY THE STATE BOARD
11
1821 University Ave., St. Paul, MN 55180
Phone (6121602-0888 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
C) 6 I-/ 7 (j REQUEST FOR ELECTRICAL INSPECTION
CS / D See instructions for completing this form on hack of yellow copy.
"X" Below Work Covered by This Request
EB-00001-09
.?Cq'i?lo
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial ' Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps d G9 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only. TOTAL
Irrigation Booms t J a
Special Inspection
Alarm/Communication THIS INSTALLATION MAY / DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby Roughin D
r
the above inspection has
certify made-
been
Final / ??
Date
OFFICE USE ONLY c
OFFICE
This request vom 18 months from
RESIDENTIAL
l BUILDING PERMIT APPLICATION
G?t7 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reoultements
• 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design. etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan ti lot platted after 711193
• - Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE II?o% Z
SITE ADC
TYPE OF
APPLICANT
AlPjr
4ULTI-FAMILY BLDG _ Y ZC N
FIREPLACE(S) _ 0 A 1 _ 2
f
STREET ADDRESS /uY7 /vx'[e?-f Ay"- CITY u S? STATE AP, ZIP 339
TELEPHONE #k2_Zfr-i6-0 CELL PHONE # q?i ?o? -6g?9 FAX # 00C?3
PROPERTYOWNER ?ZtrR?d A/rvjL TELEPHONE# 4oS -6946
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
---------------------------------------------------------
I hereby acknowledge that I have read this application, 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 o ?Y
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodeUlteoeh ReoufremeMe 7? Q . -
• 2 Copies Of Plan U
• 1 set of Energy Calculations for heated additions
• l site survey for exterior addalons&decks
• Indicate it home served by septic system for additions
VALUATION # ????• o
_ Phone #
lawn Sprinkler
No. of R.I. Baths
Phone If
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bkigs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding
Stucco _ Stone
- Fireplace _ R.I. -Air Test -Final _ _
Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
PERMIT
I,Il,OF EAGAN
ot Knob Road
Ea'an, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
mo ll-s-q4-?
BUILDING
026002
07/12/95
SITE ADDRESS:
3672 ROBIN LANE
LOT: 8 BLOCK: 2
BLACKHAWK FOREST
DESCRIPTION:
Building Permit Type SF DWG
building Work.Type NEW
USC Occupancy ,. R-3 U-1
Construction Type V-N
Zoning ` R-1
Building Length 68
Building Width 48
Building stories 1 2
Sq`ua'ye Feet -? 2,301
REMARKS:
S & W PLBR - PLYMOUTH PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Lic. Search Fee
Subtotal
$1,167.25
$408.54
$78.00
$850.00
100
1
$5.00
$2,508.79
$156,000
MISCELLANEOUS $1,892.50
Total Fee $4,401.29
CONTRACTOR: - Applicant - ST. LIC. OWNER:
CLASSIC HOME DESIGN 17839866 0005867 CLASSIC HOME DESIGN
1630 HWY 10 NE 1630 HWY 10 NE
SPRING LAKE PARK MN 55432 SPRING LAKE PARK MN 55432
(612) 783-9866 (612)783-9866
I hereby acknowledge that I have read this
Information is correct and agree to comply
Statutes and City of Eagan Ordinances.
APPLICANT/PEFIMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
Las-(? I ???
ISSUED 8Y: fNRTIJ
CITY OF EAGAN 4 ?l 7 Z?
3830 PILOT KNOB RD - 55122
003.995 BUILDING PERMIT APPLICATION (RESIDENTIAL) f _
681-4675
? 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 8 decks)
? 1 energy calculations ? i energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _Yes _ No
DATE: (P .4 Z CONSTRUCTION COST: B2r2
DESCRIPTION OF WORI
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D. #: ? itrcc? Q+-, /C g? 2. s
PROPERTY Name: 19Z4:66;j!. flD?,? P.S icon Phone #: '2 72? - 79'6 r
OWNER
Street Address-./,/- --'O Z4J4z'<)
City: A,0;u.5c /, !c State: btt 4-t_ Zip: r5'612
CONTRACTOR Company: S A-Gvl 1; Phone
Street Address: License #: O
City: State: Zip,
ARCHITECT/ Company: n Lo-,-7-,n tf,, ?L Phone # y?7 - ?`f 5
ENGINEER
Name: ct s o -r / Registration #
Street Address-
City: S lA,l0,1L,cce State: Atu Zip:s??7?
Sewer & water licensed plumber: ? 1 AZY-7-L ?6" f i Penalty applies when address change and lot
change are requested once permit is Issufid.
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 ??%?`^ *??f ??-
OFFICE USE ONLY / REC EO E®
Certificates of Survey Received t! Yes _ No J U N 2 B 1995
Tree Preservation Plan Received Yes ? No ---------------
OFFICE USE ONLY
?a
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
d02 SF Dvjalling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
dir- 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair .? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0-14 Basement sq. ft. $Z MCNVS System aL
'P ff Main level sq. ft. t (aoK City Water C>-<,
R 3(?a Z Ks sq. ft. 6 yo Fire Sprinklered
sq. ft. PRV
z sq. ft. Booster Pump
&B sq. ft. Census Code. o I
I-18 Footprint sq. ft. 2-1 0 SAC Code of
Census Bldg i
s*'e Census Unit /
_ Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS 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:
% SAC
SAC Units
Valuation: $ 15-61000,
5x iG = So /y K iG ?r
Ix 7-7 = Z7 zx3ts -7 lO
z x 3s = 7 [o /g st = 4 -?&
laxSz ?3Cn I„X 3V 3&0
/oF 3& ?lao YK /e-.r - /o(o
7x 1, s ° /l y x Iz °/?
yF /ro.s = G? ?-
y>r [ Z = ys /, s8 z is
oyxs-rr= Sly ?r? y3,73o
?arcs- y? 20x32 . (a '(0
K Sr = Zz p3x/!e
It 5?
yo K? = Z6 ?D
3
o ,33><a ???
r3 600
9y -/SS 1090 /o,7?Y
SURVEY FOR: CLASSIC HOME DESIGN
8}}
O
OS
\01
8p2.0
S
(8778) 5" a61 Js
O
0; O
7' tO
O ro°,
t\
D aj
o
DESCRIPTION:
Lot 8, Block 2, BLACKHAWK FOREST
BENCHMARK:
Top of iron monument as shown.
Elevation = 811.89 (NGVD-1929)
GENERAL NOTES
°o fl'A 1 d
?d DRAINAGE & UTIL-- /
EASEMENT
?ir II
e6 0'` ? /1_
,9. 2?
0's 01 ( /
62458-001 532/2
(69-42)x'
SCHOELL & MADSON, INC.
ENONEERS . SURVEYORS PWINERS
SOIL TESMW • ENMONMEW& SERVCES
10580 WAYUTA 00JUDA 80. SURE 1
WNNETONKA, MN 55305
(612) 516-7601 rAx316-065
7
N
1w
Q
b?`\O 012.0
BM
(877.9)
W 799.8
A \
,9q O2
NWL=803.0 ?
HWL=805.2
i
WATER SERVICE 0
9SAN SEWER SERVICE
s, t6?
\
r?
oL \ AGAN EN'NG
?m
_AGAN.
\ (R?VIEWE D
8Y
1. 0 - Denotes iron monument set.
2. x890.0 - Denotes existing spot elevation.
3. x(890.0) - Denotes proposed spot elevation.
4. ?? - Denotes direction of surface drainage.
5. Proposed garage floor elevation = 812.0
6. Proposed first floor elevation = 815.0
7-. Proposed basement floor elevation = 805.2
8. Proposed house is a split entry.
ED
T
This drawing has been checked and
reviewed this \O+*? day of
,
S.f 1901S
by g . wit .ter 6e
I hereby certify that this survey was
prepared under my supervision and that
I am a Licensed Land Surveyor under the
laws JJ of the State of Minnesota.
IH -C I- L
Theodore D. Kemna
Dote: July 7, 1995 License No. 17006
I
40 0 40 80 120
' U
?W
LOT SURVEY CHECKLIST FOR RESIDENTIAL
PERMIT APPLICATION
PROPERTY LEGAL:
Date of Survey: 7 /?Z / G
DOCUMENT STANDARDS
DAD
2,0 ?
0 Registered Land Surveyor signature and company
0D
0 Building Permit Applicant
Legal description
D' 0
A D Address
D
D
A 0 North arrow and bar scale
D
D D House type (rambler, walkout, split w/o, split entry,
?0
D lookout, etc.)
g Directional drainage arrows with slope/gradient ?.
? D Proposed/existing sewer and water services
5r
O
fl D D
D Street name
Driveway
ELEVATIONS
Ef'0
D Existinc
Sewer service
? ? Lot corners
0' 0 ? - Top of curb at the driveway
D [? D Elevations of any existing adjacent homes
Proposed
9?D 0 Garage floor
D! ? ? First floor
fY ? D Lowest exposed elevation (walkout/window)
D' O
DAD 0 Property corners
? Front and rear of home at the foundation
PONDING AREAS (if applicable)
DAD 0 Easement line
? ? NWL
0?'? D HWL
0-0 ? Pond (f designation
D P/ ? Emergency Overflow Elevation
0?0
0 DIMENSIONS
Lot lines
11?
?D ? Right-of-way and street width (to back of curb)
0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
o D D Show all easements of record and any City utilities within
0'13
D those easements
Setbacks of proposed structure and setback of adjacent
-' existing homes
D 0 13 Retaining w re irements, if any
Reviewed:
Nam / ate
October 1992
y
N13
\ I
` Ex MH
1AIN
.ED 15'
ICE
5 IN
CIO
SERVICES
SEE STD.
?-- EX HTD i
Cl T Y OF EAGAN CO -S t0o7f C<[!t
ACCURACY OF TILITY LOCATIO?\
FLEVATIOAIS. THIS D;Yfj? 1 ;=0
P ;iATiOK PURPO SES A
LIKING IT S iOULL?
`RAiM ,TION ON THE C ITE.
350TRENCH?
AT
....r y _ _
Mum
_ ?q?vc.P sRN swR
EXISTING BITUMINOUS STM
CONC. CURB a GUTTER
r
r
r r SIM,
X ? N .C.P•
r E
r ?S E6r w t r
s?
2
3
i
JUN -JkT 95)FRI) 15:40 CLASSIC HOME DESIGN X839902 7839902 P.005
Planning Design Inc. COMM. NO. 86138
1611 Highway 10 NE
---- Minneapolis, MN. 55432
612-780-1920
Minnesota State Energy Code Calucatioas
Based on Chapter 5 of the Model Energy Code
1983 Edition -- Adapted 1/1/84
Owner:
Site Address: Comm. No: 86138
Contractor: -CLASSIC HOME DESIGN, INC. Phone: 783-9866
Bldg. Class: Al Al for Single Family/Duplex
A2 Residential 3 Stories
Over 3 Stories
GENERAL INFORMATION: Other
Note: The section designations ("Section A", "Section B" etc) are for
convenience in calculations only, and are not related from one set of
calculations below to the next.
1. Bldg. walls
perimeter
Area
Section A: 62
Section B: 104
Section C: 0
Section D: 0
Gross Wall Area:
2- Building Dimensions
Wall Lengths
Ground to Eave
14.24
9.54
0
0
1875.04
Length Width
Section A: 26 18
Section B: 16 18
Section C: 30 12
Section D: 0 0
Total floor or ceiling Area:
3- Rim Joist Perimeter: 166
Floor joist 2 by (81,, 10", 1211, or 16")
Rim Joist Area: 166
4. Doors
Area:
Perimeter (feet):
Type of Construction:
5. Total door's perimeter:
882.88
992.16
0
0
Floor to Ceiling
Area
468
288
360
0
1116
47.8 Thickness (inches):
0
New
0
0
JUN-30'95(FRI1 15:39 CLASSIC HOME DESIGN 7839902 7839902 P,004
6
Windows
CEILING WITH VENTED ATTIC SPACE ABOVE
VALUE R VALUE
FRAMING CEILING
61 Air Film 0,61
00 Insulation 44.00
38 Joist
56 Ceiling 56
.
61 Air Film 0.61
44.55
Total R
45.78
024 U R .021
FLAT ROOF OR CATHEDRAL CEILING
R VALUE R VALUE
FRAMING CEILING
0.61 Inside Air Film 0.61
Ceiling `
Joist stud
it Space
oof Decking
nsulation
wilt-up Roof
utside Air F11m 0.17
Total
Window infiltration .5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot/door & minimum code
requirement. Non-residential door infiltration 11.0 cfm/lineal foot of
crack
121. concrete block no insulation -
" .47 R 1
2
12
concrete block insulated cores
12" lightwei
ht bl
k .26 R .
3.8
g
oc
=
12" lightweight block insulated cores = .32
.12 R
R 3.1
8.3
Single glass = 1.13; with storm window 54
Double Glass = .55 .
Triple Glass - ,41
All exterior walls and ceilings must have a vapor barrier (0.10 per max.)
Vapor barrier must be on the inside (heated side) of wall.
vapor barriers of the polyethelene thin film have no R value.
7839962
JUN730'95(FRI) 15:39 CLASSIC HOME DESIGN
78399D2
P. 002
l
Manufacturer:
State Approved: YES
Type Height Length
Doublehung (124hes) (inches)
Doublehung
24 2
8
32
Doublehung 20 32
Doublehung 30 28
Casement 60 20
Casement 36
7.
20
0 0
0 0
Window Glass area (square feet) =
U Factor: 0.52
Number
of glass units
8
2
4
8
2
3
0
0
144.12
Type Height Length Number
8. Patio Door (feet) (feet) (units)
9. Atrium 0 0
6.85 3 1
10. Fireplace Area
Width 6 Height 4
Total Sq Ft- 0
11. Exposed Foundation
Height area A: 0.71 Perimeter area A: 164
Sq Ft Area A= 116.44
Exposed Foundation
Height area B: 0 Perimeter area B: 0
Sq Ft Area B= 0
12. Sq Ft U Factor
Gross Wall Area 1875.04
Minus:
Window Area 144.12 0.52
Patio Door Area 0 0
Atrium Door 20.55 0.44
Rim Joist Area 166 0.041
Door Area 47.8 0.14
Fireplace Area 0 0.14
Exposed Foundation 116.44 0.14
*Framing Area 187.504 0.095
Equals:
Totals for net wall= 1192.626 0.043
Totals for Gross Wall Area: 182.87
* Framing area is 10% of gross wall area
13. Gross wall area factor below = U A per code
Factor is .11 for A-1 single family s duplex
.23 for A-2 and other residential
-23 for all other buildings
.28 for over 3 stories
Factor is 0.11
BTUM 206.2544 Must be > or = 182.87
(calculated above)
= Total
(sq. ft)
37.33
10.67
17.78
46.67
16.67
15
0
0
Total
sq. ft.
0
20.55
U x A
74.94
0
9.04
6.81
6.69
0
16.3
17.81
51.28
4UN-30195(FR1) 15:39 CLASSIC HOME DESIGN
7839902
7839902
14. Gross ceiling are= 1116
15. Ceiling framing area (10$ of ceiling area) 111.6
16. Joist Area ( 10% of ceiling area) 111.6
17. Net ceiling area (Gross ceil. area - joist area) 1004.4
18. U Ceiling: 0.021 Net Ceiling area 21.0924
19. U Framing: 0.024 Joist area 2.6784
20. Total of item 18 item 17 23.7708
21. Gross ceiling area facto below U x A per code
Factor is .026 for A-1 single family and duplex
.033 for A-2 and other residential
.06 for other buildings
Factor is: 0.026
BTUM= 29.016 Must be > or = 23.7708
(Calculated above)
P. 001
******************************4F-iF i?xx x--
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 761
DATE: 04/17/00 TIME: 14:02:39
ID.
NAME: GERALD & JILL BALTRUSCH
3210 9001 3672 ROBIN LANE 60.00
2155 9001 3672 ROBIN LANE 0.50
Total Receipt Amount: 60.50
CR126528
USER ID: JAN
***************************************
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ZA .a 1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
> 3 registered site surveys showing 5% ft. of lot, sq. ft. of house
and 91 rooted areas (20% maximum lot coveroae anowem
> 2 copies of plans (stow bean k window sizes; poured fnd. design; etc.)
> 1 set of energy calculations
> 3 copies of two preservation plan If lot platted after 711/93
DATE: - U
DESCRIPTION OF WORK: 4
STREET ADDRESS: 3&7Z ?U. (A
LOT. U BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions R decks
CONSTRUCTION COST: I / --:?O / 6y?)
Name: ` /y7-usCA V//l 0"'d GC"al?'/ Phone#:
Last First
86-y?99
Sheet Address: 36-7Z ROblki L.11.
city >?QG?f f 1 state: MAI Zip: 55 / Z 2
Phone #: _
(area code)
CONTRACTOR
Street
city
ARCHITECT/
ENGINEER COM04
State:
Name:
Zip:
Telephone #: ( )
Street Address: Registration #:
City State: Zip:
Sewertwater licensed plumber (N installing sewer/water): ??- Phone #: (?
I hereby acknowledge that I have rood this application, state that the Information is correct, and agree to comply with oil applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
/OFFICE USE ONLY
Certificates of Survey Received Yes r! No
/ i7
Tree Preservation Plan Received Yes No __/Not Required
?p
License # Exp.
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-plea
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ?
? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 18 Deck ? 23 Porch (screened) ?
? 19 Lower Level ? 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
? 20 Pool ? 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. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
31 Ext. Aft - Mufti
33 Ext. Aft - SF
36 Mufti
Variance
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
Ut.'r _-
G?C HOME DESIGN
SURVEY FOR' p,SSI
MADSON.INC.
as
SCHOELL
I E,..EeS • &"; SERIaS
W4
.'0OWA
®- YN 53705+
FAX-.546-906,
6t61R1 36'760
I
A
_ e020 9q0ti
I \ NWL-803.0 fs
\La8p5.2/ V.
%V A
IV RPtNpOE MENT IL, 02.0
D EASE \
(811.8)
COD _
X
o s e e 01 , 812.0
lb (0
ti
°? e3 hh l`
s?1,10
?.?/13 1
at0
O
08 01 11,00- X811, 9)
d O O W 799.8
(810.5)
810.5
ry r?pN SEWER SERVICE
X
DESCRY CKHAWK FOREST
Lot 8. Block 2, gam'
BENCH ent as shown.
Top of iron monum N?D_1929)
Elevation = 811.89
7
E[
chec
bee
n
drawing has IC-
reviewed this
by
1 hereby certify- that thiserv
prepared under my sup Sul
1 am 0 Licensed LOP,
lows of the stoke SyIK/
Theodore D.
Dote: July 7, 1995 L
proposed firs elev
7 ation
6_ 120
proposed b0sement floorl5t entry 80
proposed house is a sp 40
8. 0
40
GENE
- Denotes iron monument set.
elevation-
spot
en otes existing t
2 x890.0 _ Denotes proposed spo elevation.
drainage
3 x(890.0) - 812.0
Deno tes direction of surface
4. sed 9 e floor elevation 0
5 prop ?r4 floor elevation -- - 815_ 805.2
EAGAN
\ PAGAN
IREwIEW
CITY USE ONLY ?/
L ?_ BL -? RECEIPT #: ?Ma0
SUED. c y?bpTk DATE: 7?? 95
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 1 = 3 U0
Water Closet 3.00 x 3 = cl •ao
Bath Tub 3.00 x = 3 . U0
Lavatory 3.00 x = 12.60
Kitchen Sink 3.00 x I = 3 M
Laundry Tray 3.00 x I = 3 DID
Hot Tub/Spa 3.00 x 3 • uo
Water Heater 3.00 x ?_ = 3 Do
Floor Drain 3.00 x 3.60
Gas Piping Outlet " minimum - 1 3.00 x I = 3 DD
Rough Openings 1.50 x 5D
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 3u?-5L Rt)bLYA LYI
OWNER NAME: C1asGiC' /-t m-aj
INSTALLER NAME: 1-2
STREET
o9 WLrLn.P-- 0-
Ly
CITY: 9-t4-m IL? t nn ?' STATE: ImN ZIP: 55qQ?g
PHONE #: ((al'4-) S 33-?f 35?
PERMITTEE
OFFICE USE ONLY
L BL
SUED.
RECEIPT #:
DA
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: P all commercialtindustrial buildings.
multi-family buildings when separate permits are = required for each dwelling
unit
DATE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADD ON REPAIR
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:
OFFICE USE ONLY
METER SIZE: DATE:
STE. #
STATE: ZIP:
APPLICANT
_ INSPECTOR:
L 8 BL Q ?J?D CITY USE ONLY RECEIPT #: '
SUBD.<!?K.t=Y??C C DATE:
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
New construction Add-on furnace
r
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 0-1-9
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU ?2 k 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) k S = 115_14°
? State Surcharge
TOTAL
.50
145, So
SITE ADDRESS:-? (,72 LIZ`, L ek '^ P - -
OWNER
PHONE A 864
INSTALLER NAME: C»
STREE•
CITY:
PHONE
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
multi-family buildings when separate permits are DQt required
for each dwelling unit.
DATE: CONTRACT PRICE:
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 Rennit 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 #:
SIGNATURE:
TELEPHONE #:
STATE: ZIP
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121721
Date Issued:04/14/2014
Permit Category:ePermit
Site Address: 3672 Robin Lane
Lot:8 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Trevor Foss
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald Baltrusch
3672 Robin Lane
Eagan MN 55122
(651) 308-8302
Foss Exteriors
1891 Sandbar Circle
Waconia MN 55387
(612) 229-8617
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123003
Date Issued:05/27/2014
Permit Category:ePermit
Site Address: 3672 Robin Lane
Lot:8 Block: 2 Addition: Blackhawk Forest
PID:10-14325-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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 $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald Baltrusch
3672 Robin Lane
Eagan MN 55122
(651) 308-8302
Foss Exteriors
1891 Sandbar Circle
Waconia MN 55387
(612) 229-8617
Applicant/Permitee: Signature Issued By: Signature