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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