3677 Robin LaneINSPECTION RECORD
• CIT`! OF EAGAN PERMIT TYPE: I { I1 I r+1
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: N+J / t e / •+
(612) 681-4675
SITE ADDRESS:
. . ,r +rlJt
PERMIT SUBTYPE:
I :.
APPLICANT:
t?I f.
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i f rti•t rir r,+14 1 tJ{,
1 !?I Ii1 ,: I j tlld I I i?+ ?1 1`?1 I
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kUHAFZY.:t. ±i $ W Pt HR PI If 11011 It f11+
:I kv
Permit No. Permit Ho lder Date Telephone #
ELECTRIC Of
PLUMBING C7// 9 se 9
HVAC
Inspection Date Inap. Comments
FOOTINGS b / 5- &g
FOUND /Z
FRAMING
ROOFING
ROUGH
PLLUM13ING
PI BG
AIR TEST I/
ROUGH
HEATING o?b
GAS SVC
TEST
INSUL /??3lP
`
GYPBOARD
FIREPLACE R ?* t
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
,L() Vb //*/-
`,W,14
ORSAT
TEST
BLDG FINAL f`l lC•!O
BSMT R.i_
BSMT FINAL
DECK FTG p
DECK FINAL < !/k
hill
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: -1432f>-'' 30 A
L01'1 23 Bt ocr
I?TN 1 AHF
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
rTVI
W III ;t list'
OR fIF VIft IIAl IH'AllCIIflN!?
H11fI PIHit
N t I f.I,M
0 11016 Isom
Pt,AH RfVYFIJ1':f1 by M114. HAIRI
h
Permit No. Permit Holder Date Telephone 4
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
EAIR ST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?b v • ?
wertif icate of cccoa=4
CAM Of "
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 Classifi.6.. SF D W Bldg. Permit No. 262M
Oonpsecy Type R3 M I Zoning Diwia R1 - Type Const. VN
o-mofBuilding SEr.ASM&- ELMS RE Adarm 4580 800?IT MAIL, EMM
Building Aeatas 3677 WBIN LANE I ocsliryL+23.. 53. BL hGK6W FUTM
'air
J;
4* Building
POST IN A CONSPWAMS PLACE
Address 3677 ROBIN I RE Zip 5512 2
Lot 23 BIk 3 Sub HLAC1Qmw FORESr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 11411F, Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) r?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish I/
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
0- 0 70?1a°o
847
5
i
Reque ate Fire No. Hough-In Inspection Required Inspection Olher ThQn Fjpugh-In
I? (You call inspector when ready)
? ? Ready Now "?? Will Nobly Impactor
No Date Reatl
I licensed contractor Downer hereby request inspection of above electrical work at:
Job Add
ress (Street, "' or &No)
m
b
City \
.^ ^
{ P'3 1•?
Ziil !V
Section No. Township Name or No. Range No. Count
a3 j4c? ? V- k?
ant (P IrrTJ L4-^ V' Phone N411
O -/ A
Power Supplier Address
m N
1E;1??tdcal ?C`ontrtrayctor omppany Na )
r 1
?y Contractor's License No
-N
O
0
r( 1 rml V r-te 1
-
MailirOb Address (Cobtr r or Owner Making Installation)
L
on
Authonz S nature (Contra or wrier Maki Installation) Phone Number
cl? 3-,)- -So3?
MINNE TA STATE BO D of ELEOTRICITV THIS INSPECTION REQUEST WILL NOT
Grig -Midway Bldg. -Room B- 28
I I BE ACCEPTED BY THE STATE BOARD
182 UPlversity Ave., SL Paul, 5 UNLESS PROPER INSPECTION FEE IS
PFnnn Ifi191 fd9J10.M1 FNCI ngpn
REQUEST FOR ELECTRICAL INSPECTION
(0 o T 10- see instructions for completing this form on back of yellow copy.
r/?//S5 "X" Below Work Covered by This Request
0 a.EB-00001-09
15-17,4 00
Ne Add Rep. Type of Building h iarices, Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial mace Other (Specify)
Farm Air Conditioner
Other (specity) Contractors Remarks:
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspectors Use Only: TOTAL _
Irrigation Booms 7? ?lJ , Ss
Special Inspection /
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t
h
b
i Rough*io oat /
l
cer
y
a
t
e a
ove
nspection has
been made. Final / oat
OFFICE USE ONLY
This request void 18 months from
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
HERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031550
03/06/98
SITE ADDRESS:
3677 ROBIN LANE
LOT: 23 BLOCK: 3
BLACKHAWK FOREST
P.I.N.: 10-14325-230-03
DESCRIPTION:
rmit Type BASEMENT FINISH
9=,k Type ALTERATION
?.M. 434 ALT. RESIDENTIAL
Y a
}. P
S l.c v _ aciwga ..
01
REMARKS: No b<d.vow 3
- FOR ELECTRICAL INSPECTIONS
CALL 445-2840. PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
SALL KIRK
3677
3677 ROBIN LANE
EAGAN MN 55122
(612)681-9417
f
r,
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN C V
3 J 3830 PII OT KNOB RD - 55122 ()00
681-4675
New Construction Requirements Remodel/Repair Requirements
• 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 & decks)
• I energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan ff lot platted after 711/93
required: _ Yes _ No
DATE: 313 Z49 CONSTRUCTION COST;
DESCRIPTION OF WORK
STREET ADDRESS: 3ro'? 3 RO&A/ [O+A.16 -FA64AV r &U Al 9-S'12Z
LOT: Z 3 BLOCK: 3 SUBD./P.I.D. #: 6eACK IFj W (C NEST
y Pi»,r.E
Name: 5AI,L. PRK PhoneM 612- • 68/-NIP
PROPERTY Last First
OWNER
Street Address: 3? ?? RUd/N L*rVIE
city 4444ltJ State: AIAI Zip: Swore 2
CONTRACTOR
ARCHITECT/
ENGINEER
Company: Phone #:
_
License #
State: Zip:
Phone #:
Street
City
Name: Registration #:
Street
city
State:
Zip:
Sewer 8 water licensed plumber (new construction only): NIA Penalty applies when address chang
and lot change is requested once permit is issued. _
I hereby acknowledge that I have read this application and state that the information is correct and ag D
State of Minnesota Statutes and City of Eagan Ordinances.
M'?R 3 WS
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Yes No too*
Tree Preservation Plan Received Yes No Not Required 1 9--_-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
?' 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New 1!? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging 4K 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building ME?)
MC/WS System /
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. 4 3?/
SAC Code 01
Census Bldg I
Census Unit t7
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchart
Valuation: $
Park`Dedj
Trails Ded.
Other
(?? gf CITY USE ONLY RECEIPT #: 8041
L 4e BL
SUED.( ,?Y1Cxur? DATE: 911 99u
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
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet "minimum - 1
Rough Openings
Water Softener
Private Disposal * Dakota Cry. license
U.G. Sprinkler " home under const.
Alterations * to existing
Water Turn Around
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
SITE ADDRESS]T
OWNER
INSTALLER
STREET ADDRESS: ?
CI T-fL.? STATE:
PHONE #: (kz) U
X
X
X
X
X
X
X
X
X
X
X
X
NO.
I
3
TOTAL
l(1
3
3
.50
s3' S-0
ZIP: S? :Sb
L BL
SUBD.
OFFICE USE ONLY
CONTRACT PI
ADD
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 permit are nW required for each dwelling
DATE
WORK TYPE: NEW C NSTRUC
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES
WATER FLOW: GPM. A
FAILURE TO PROVIDE THIS INFORMA
_ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
E FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
ION 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, whit
PHONE #: $1,000 of ?r tj fee due on all permits.
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
`STE. #
STATE: ZIP:
SIGNATURE: '
APPLICANT
OFFICE USE ONLY
is greater. State surcharge of $.50 per
RECEIPT #:
DATE-
REPAIR
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L ?.3 BL _ RECEIPT #: SUBD.? aul Jam DATE: ZI 9-T
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
Add-on air conditioning Add-on air exchanger, i.e. Varfee system, etc.
Date: "1 `II -"q S?
C 4 *1
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 610 24.00
Additional 50 M BTU ???I 6.00
Gas Outlets (minimum of 1 required @ $3.00 each) AIR Z_
J- Auu-tJ face. l rto rt
State Surcharge .50 tA7. 5D
TOTAL
A
SITE
OWNER NAME:
1/?_" U? PHONE
INSTALLER NAME (
STREET ADDRESS:v ( 1 UUAVU,)ZA It
CITY: &Sfj2=0j' 7STATE_:,T1e_ ZIP:
PHONE #: 17 ,?_
I/
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 commercial/industrial buildings.
multi-family buildings when separate permits are OQS required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? $25.00 minimum fee Q 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 ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE M
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
•CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
3677 ROBIN LANE
LOT: 23 BLOCK: 3
BLACKHAWK FOREST
?K 41 4
PERMIT TYPE: BUILDING
Permit Number: 0 2 6 2 0 8
Date Issued: 08/10/95
DESCRIPTION:
Building"Permit Type
Building W6rkc Type
!UBC Occupancy-,
Construction Type
Zoning -
Building Length
Building Width
Building stories
S"!q,re Feet ,.
SF DWG
NEW
R-3 U-1
V-N
R-1
68
44
2
2,407
u'
REMARKS:
S & W PLBR - PLUMRITE INC
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,417.25
$496.04
$103.00
$850.00
100
$2,866.29
$206,000
MISCELLANEOUS $1,892.50
Total Fee $4,758.79
CONTRACTOR: - Applicant - ST. LIC. OWNER:
SEASONAL BLORS INC 14545971 0001652 SEASONAL BLDRS INC
4580 SCOTT TR 210 4580 SCOTT TR 210
EAGAN MN 55122 EAGAN NN 55122
(612) 454-5971 (612)454-5971
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
`
RUATUR
ISSUED BB : SI UR
J
CITY OF EAGAN /
101 3830 PILOT KNOB RD - 55122 11'f °
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Repair Requirements
? 3 registered site Surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations - ? 1 energy calculations for heated additions
? 3 copies of Use aton plan if lot platted after 7/1/93
required: Yes _ No
DATE: 7`a5-/ "l 5- CONSTRUCTION COST: ??' ??
DESCRIPTION OF WORK: WO
STREET ADDRESS:
LOT c) ?) BLOCK
(o7
Name: Phone #:
yam} fP6T
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address,
City:
Company:
State:
Zip:
Phone #: 4)-45971
Street Address: UW b License #: I (C5 °1
City: EqQ2Ln State: m o zip. 155Pa
Company: Ql ?d U L?/'1C Phone #- X53 j V7d
Name:
Street
Registration #•
CiD k- A)-e-# 1 cub
City: State: zip: 5y
Sewer 8 water licensed plumber. c`?a a Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information i correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:461 M
`
OFFICE USE ONLY
Certificates of Survey Received zit s
Tree Preservation Plan Received _ Yes
u 1995
oo 1U1. 2 5
_ No - f.=f
(<,- *u3 f-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
X31 New ? 33 Alterations
? 32 Addition ? 34 Repair
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?/? Basement sq. ft.
(Allowable) A( Main level sq. ft.
UBC Occupancy 2 3/u? Z sq. ft.
Zoning i sq. ft.
# of Stories ZW rs5o,r sq. ft.
Length (07. r ? sq. ft.
Depth 3. Footprint sq. ft.
APPROVALS
Planning
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
Building
Total:
% SAC
SAC Units
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Sys MC/WS System
i City Water ?-
Fire Sprinklered
PRV
Booster Pump
Census Code. _421
2,1107 SAC Code o/
y Census Bldg /
Census Unit /
Yx?O `
Engineering
Variance
Valuation: $
yx/- ?y
/Bx 3 Y = /o/Z
2 NUJ
04P6,fa(=-
SF?B xSf?
fj'S? 7f Z
YX /& = G Y
/7. s x f7 = 9S,?r
/6.sx 3y SZ/
/,sssnsy=
?'3? q7a
Z 3, ?zo
?.zy.
7T0'
ro.e? = Y
2x Z /• !?? /3
z
2pG ?oo(e
SURVEY FOR: SEASONAL BUILDERS
eeeeeeee
C
C` \
06/
(69-78)
SCHOELL d[ MADSON, INC.
[MdNEEN3 . sUmC1005 . RAl10CN5
S 7ESTw1, . FNMRONYEMN. SEMIL?S
Ifg00 MYGTII BOlxfwlM, StInE I
xwllEromsr 101 03705
(el5) 510-7w1 r?x:3?s-sow
\ s%
?B
EDGE OF WETLAND UTILITY
EASEMENT PER
DOC NO 114613
EAGAN
?O
1 \
WETLAND 6 1
rn
NV&=806.5 ' I BM IRON M HWL=807.0 \
F1
,DRAINAGE k UTILITY
EASEMENT 6b+ I"
?O?ry+ ld,? ? sFl
23 <0'' .yt? \
b
148.10 ? 0 1
101p \ `?9
s \
I f- ti
o e4l
I ?Q4q
!8 C ??
P4 i
(833.6) j L--? - - - - - - - - ---/
833.Bx
DESCRIPTION: 148.19
Lot 23, Block 3, BLACKHAWK FOREST
(823.8)
24
DEFT.
CURB
\
iy? .p VVV\\\
r ??y?Fhn
.9
EAGAN
REVIEWED
This drewin9 has been checked and
BENCHMARK: reviewed this 20i-ti day of
Top of iron mon ument as shown. W _ , 19 cL. ,
Elevation - 814.72 (NGVD-1929) bv1Z\C 1 Q a
GEN ERAL NOTES:
I hereby certify that this survey was
1. • - Denotes iron monument set. prepared under my supervision and thot
2. x890.0 - Denotes existing spot elevation. I am a Licensed Land Surveyor under the
3. x(890.0) - Denotes proposed spot elevation. laws of the State of Minnesota.
4. ?? - Denotes direction of surface drainage.
5. Proposed top of foundation elevation - 816.1
5. Proposed garage floor elevation . 814.3 (dropped two courses) ichord J. Williams, r.
6. Proposed basement floor elevation - 808.0 Date: 17 JULY 1995 License No. 9840
7. Proposed home is o lookout. 40 0 40
pamzw 80 120 Feet
?. LOT SURVEY CHECKLIST FOR RESIDENTIAL
W BUILDING PERMIT APPLICATION
m
6
?
PROPERTY LEGAL:
W U
J y.i
s a W
S'
W
DA OF SURVEY: /Az
d C m
N
LATEST REVISION:
4 Z Z
DOCUMENT STANDARDS
M? ?
Registered Land Surveyor signature and company
? • Building Permit Applicant
? ? • Legaldescription
m"'? ? • Address
me-1S ? • North arrow and scale
p ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
D Proposed/existing sewer and water services & invert elevation
? • Street name
? ? Driveway
ELEVATIONS
Existing
w ?
?
??
? Sewer service
??
? • Property comers
? Wo?'? Top of curb at the driveway
• Elevations of any existing adjacent homes
Proposed
? • Garage floor
? ? First floor
? • Lowest exposed elevation (walkoutWndow)
?
[t 0 ? • Property comers
? • Front and rear of home at the foundation
PONDING AREA Of applicable)
l2r"?13 ? Easement line
Q,-"O ? • NWL
? HWL
? 9 • Pond # designation
C3 ? Emergency Overflow Elevation
DIMENSIONS
? • Lot lines/Bearings & dimensions
?
"? ? Right-of-way and street width (to back of curb)
0
13 ? • Proposed home dimensions including any proposed decks, overhangs greater than T
.
porches, etc. Q.e. all structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within those easements
? Setbacks of proposed structure and sideya
rd
setback of adjacent existing structures
? ? • /
?
Retaining wall requirements_ /
Reviewed:
July 1995
TEL:
EXTERIOR ENVELOPE AVERAGE qP COMPUTATION
Plan # ? Date _ -? r km
Owner
Contractor
Site Address
1) Total Exposed Wall Area sq. ft. ii =
2) Total Fxposed Roof/Ceiling ft. .026 = 43•g
Wall Calculation
Total Window Area ft
3tg sq.
f 35 = lv•
07 = 'j-
Total Door Area
Total Glass Door Area t.
38 sq.
sq. ft. .
.35 - -•S • a
Total Fireplace Area sq• ft.
z?? sq. ft. 36 ? Z -
.09
Net Wall Framing Area
Net Insulated Wall Area _
_ x41 __ sq. H• •043 = J
Total Rim Joist Area
Total Foundation Area _ 3t o _ sq. ft.
19(v_ sq. ft. .04 = i
.14 = z-7& -
Total Foundation Window f4tur sq. ft.
33 Total 35 =
7/o'l •8
P. 01
If item 3 is the same as, or less than item 1, you have met the intent of 2
MCAR 1.16008 A and 0-
Roof/ceiling Calculation
Total Skylight Area _ ?yw Sq. ft. 35
Total Roof/Ceiling Framing sq, ft. .026
Net Insulated Roof Area t`yy l sq. ft. 022
4) Total S
If item 4 is the same as, or less than item 2, you have met the intent of 2
MCAR 1.16008 A and O.
Alternate Building Envelope Design
To uuilize the total envelope system method the sum of items 1 and 2 shall be
greater than the sum of items 3 and 4.
1) +2) =
3) +4) =
1 hereby certify that the building here described meets or exceeds the state of
Minnesota Energy Conservation Act.
Signed ? ' --
XtXt:X 5$ki:;iN>K+8N?kyFX<vFXtKX<X?%tX<M X'Y(XC*ti} *XC'>K?K?e kkc?*w.WMX?
CITY OF E.AOAN
CA13MIER: S TERMINAL. NO: 76"?
DATE: 03/06!98 T'.I:ME.: L4:4E:1 58
ID:
NAME. KIRK B SALA.
MO 9001 3677 ROBIN LANE 50.00
205 5300^ 3677 ROBIN L..ANE. 0.50
Total. Receipt Pilei7i nt! 50.50
CR087080
USER ID: NANCY
:''r:i?*'?Xi?X:'?h%k>k:8Y6%:%tX:#?>k>KX;NSI?Y„ ?X;aY?k:R?X<Ak?iy:atiit?Y;l?
CITY OF EAGAN
3830 PILOT KNOB B RD
RD - 55122
"4)9 96 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements Remodel/Repair Reouirements
? 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 krt platted after 7/1/93
required: _Yes _ No
DATE: U- C)- I-q ('0 CONSTRUCTION COST: 500
DESCRIPTION OF WORK:
STREET ADDRESS: co 1-1 t V? ?-,)'
4LOT BLOCK :3 SUBD./P.I.D. M
PROPERTY Name: Phone
OWNER Fl°°.
Street Address:
City: State: Zip:
CONTRACTOR Company: Se0LS01 LOC?2.t"S -rV Phone #: 44 }--E 7 ?
Street Address: qS'6U SCOif T-. -lk Dq L) License #: LIM R O "zl
City: F?ll C Lt 1 State: Zip. I L a
71jGKr? 'j3 fPhone#: r?53'9(07d
t
(6C[1(C
ARCHITECT/ Company: .-.
-
ENGINEER _
Name: JOI1 Y? ??1
Q ALQ Registration #*
Street Address ?? ?i° rn blZl??
City: i mot c?? State: M n . Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
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.
?s?
Signature of Applicant:
h r; uk
Penalty applies when address change and lot
OFFICE USE ONLY
Certificates of Survey Received
Yes
No
No
Tree Preservation Plan Received Yes
f
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
X15 Deck
? 36 Move
? 37 Demolition
1!
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code O/
Census Bldg i
Census Unit D
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
SURVEY FOR: SEASONAL BUILDERS
aX,? \
X? 'A
X
-UU 1 532/6
(69-78)
MADSON, INC.
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EDGE OF Y+ETUIND umin
-I rASEMENT PER /
I DOC NO 114813
WETLAND 6 I \
NWL=806.5 1 I BM IRON
HWL=807.0 / Ig
,DRAINAGE dt UTIUTY?
EASEMENT
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(8.
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DESCRIPTION:
' 48
9
x823.8 -
e (823.8)
Lot 23, Block 3, BIACKHAWK FOREST
This drawing has been checked and
BENCHMARK: reviewed this 20}11 day of
Top of iron monument as shown. Ju 1 19 as ,
Elevation - 814.72 •(NGVD-1929) bykAgQLwJ ?
GENERAL NOTES:
1. • - Denotes iron monument set. I hereby certify that this survey was
prepared under my supervision and that
2. x890.0 - Denotes existing spot elavation. I am a Licensed Land Surveyor under the
3. x(890.0) - Denotes proposed spot elevation. laws of the State of Minnesota.
4. - - Denotes direction of surface drainage.
S. Proposed top of foundation elevation - 816.1
5. Proposed garage floor elevation - 814.3 (dropped two courses) ichard J. Williams, r.
6. Proposed basement floor elevation - 808.0 Date: 17 JULY 1995 License No. 9840
7. Proposed home is o lookout.
40 0 40 SO 120 Feet
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax: (651) 675-5694
------------------
Permit #: I Permit Fee:
3 C? -
? Date Received:
I Staff:
----------- ----'
2009 RESIDENTIAL BUILDING PERMIT APPLICATION OA&tzJ S-19
Date: Site Address: ?E ?7 1?c:3i:y AvG-
Tenant: 01 iL to-*-'L. ',o /&$E Suite #:
RESIDENT / OWNER Name: {1? /L t: t1 t-,-L YCj) Phone: E1??1 !G° - y 735
Address/ City /Zip: 3&,1% RfiAw L Rd%C
Applicant is: ,\ owner - Contractor
TYPE OF WORK Description of work: rV,2,i l exis,r%G- /X"L 7J r?LYl tCG =)tan'izo 3+11LS
Construction Cost: '?JCCG Multi-Family Building: (Yes _ J No '
CONTRACTOR Name: 1'111L1/iki=L YVPCI?_ License #:
Address: 3677 RC,'3iN LA.,&
City: t_;at. 'V State: it1,1 ' Zip: 1
Phone: 60 - 7C:S Contact Person: 011C-HNI7_ yo,>c -
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
(d submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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.
x J 11&11\ -L oun_ x
Applicant's Printed Name Applicant's Signature'
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation
_ Single Family
_ Multi
_ 01 of _ Plex
Accessory Building
WORK TYPES
_ New
_ Addition
_ Alteration
Replace
Retaining Wall
Valuation
Plan Review
(25%_100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace _ Porch (3-Season) _ Storm Damage
Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
?jj%- Width
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
_ Foundation
Drain Tile
_ Roof: -Ice & Water -Final
Framing
Fireplace: -Rough In -Air Test -Final
_ Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Siding _ Demolish Building*
Reroof _ Demolish Interior
Windows _ Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire buildi ng - give PCA handout to applicant
3 ? MCES System
7 SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
_ Final / C.O. Required
Final / No C.O. Required
_ HVAC
Other:
_ Pool: -Footings -Air/Gas Tests -Final
_ Siding: -Stucco Lath -Stone Lath -Brick
Windows
_ Retaining Wall
Erosion Control
Building Inspector
Base Fee
S
h
Y
1jVt >
urc
arge (
V
Plan Review
MCES SAC
Cit
SAC y?
tJ
y
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant 11 /?
Copies
TOTAL I V
Page 2 of 3
"
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• DESCRIPTION: l I ! i ti, 1 ~ ; I ''S 9 f r
\ J ~ I ,t f ,r' i Lot 23, Block 3, BLACKHAWK FOREST NK FOREST
\ ' j ; ' EAGAN FORESTRY DIVI510N
't ~ \ ~ ti r ~
~ REVIEW TREE LEGEND
\ f' / / 1
~f ~ II _ EY Number preceding abbreviation denotes ion denotes estimated
1Q EL TW I diameter In inches, thret feet above gn .et above ground level.
~ ` N r followin abbreviation denotes tl 8 f ~ c``C-' umbe g • ~ DATE g i . >n denotes the number
i i of trunks at that location. / ~
, ` ~ r ~ ` ° enotes deciduous tree. 1 ~o / ~ ~ D
l ~h 1, rl I~ ~e1 ~~I..II~WgN/III~YI 10~. I .
' O Denotes coniferous tree. ~s" o \ ~ ~ ~
• " ~ ~ r14 PO ~
\ A Denotes Ash
• ! AV Denotes Arbor Vitae r
G t BA Denotes Basswood \ 5 ~ 01 ~ r 5 61 Denotes Birch
" BE .Denotes Box Ede
. NWL-8Q6 5 BU .Denotes Bush ~ , _ _
- - - - _ - ~ _ - - r ~ , - - . - _ - ~ - ~,.1 _ --,-`GA- L~~.noiv$....VJ.~i~if HWL==807.0 t
~ ~ ~ R Denotes Cedar w., ~ ~ C
~ `ti CH Denotes Che r rry ~ ! ilr ~ ~ ~ CN Denotes Cottonwood
N~ ~ ~ ~ i ~ ` DG Denotes Dogwood
- J ~ EL Denotes Elm \
~ DRAINAGE & UTILITY i j r` ~ ~ FR Denotes Fruit
H Denotes Hackberry \ EASEMENT f ~
'j ~ ~ IR Denotes Ironwood ' ~4' ~;y J ni er \ j t / \ JU Denotes u p ~ r f ~ ~
\ ~ / ~ KC Denotes Kentuck Coffee
. i I I O, p l ~ .~ti / ~ Y • ! ~ ~ / LI Denotes Lilac
.ter. r ...f,,...... f , V • I EL is ` / L0 Denotes Locust I, / 'gyp I ~ /
•30 0 L B, C ~ '1 / ~ M Denotes Maple 8
~ 4 - , ti ~ 0 Denotes Oak ~ ~ i PI Denotes Pine
" 12" PO TW i~ t R 0 1 PO Denotes Poplar \ `~16 H .,~G ~
RO Denotes Russian Olive •12 A ~ r'1 6 PO
_~e,,..---~ ~0~ SM Denotes Silver Maple ~
R ~ SP Denotes Spruce
N ° ~ ' TR Denotes Tree I 12 A ~ 8' ~ Q.~ ~ ~ WA Denotes Walnut
~ 0 % WI Denotes Willow
z " FO TW o • 12 A .f , 812._ v , r
J
! 8
~ " g ~ ~ 14 0 ~ \ \
~ 12" PO 2 i I ~
„ ~ L. Z
" ~ 14 PO 2 816 /
X20' PO 16" PO • ~ I i
• ~ 8 ° " ~ ~ ~ ~ he ked and ind
" " 2 p , 1` ~ This drawin has been c c --~..1.~ -P4~ 8 f--~~ ,,r 1 d+ reviewed. this 2 5~' day of of
- ~~0 12 PO PO TW 1 ~ ~ ~ ~ u 1 19 f
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I NT TITLE
° REVISIONS CERTIFICATION CL E ° i ~ ~ was I SCNO~LL tlt IrlaI~SON, INC. n DiA1E ~ u wand chat • g~~ppg • p
- tO CK'D under the O~INEERS
c~ir BY I am a Uoeneed Surveyor 901E 1ESieNi ~ QiVAlONM01TIL SEANCES P SvA E th. ~ _ _ RS LDE NAL SEASO ~ ~ ,oleo eou~v~n, ~ , RESVATION PLAN
W MINNEia1M~A, ws r
et ~e-~eoi ~x~ea~i I I I ,ia,,., ~ ~ s ~ r i ~
oatx Issas uaerae
.M.I. PROJECT S 0 PROJECT NO. 62467-001
u, . .
T
9//�I/�c��/
3677 p?ic,(,/v
':.._.. 3677 Rct4-
Pteaw 6s/ 991/ 75 -SO
4-4// i_ �i 6 �4 �i-i 01,v 5-5"/A
$95-
Weber i
F' herby acknowledge
Eagan: that t understand this is T
accordance with the approved plan ur.
PrOtediall iatdamage.
www.gopherstateonecaliorg
t : confons ance with the OrdirfatiCet mid code" of the City of
tc i not to start without a point 'that the waxk will be in
of RFae
ill tCR-14Et -Y0 17 en27.
Applicants
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108838
Date Issued:01/16/2013
Permit Category:ePermit
Site Address: 3677 Robin Lane
Lot:23 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-230
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
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 -
Michael B Yoder
3677 Robin Lane
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
Use B�UE or BLACK Ink
r————————————————�
I For Office Use �
' I Permit#: � �'���� j
City of �a��� � ;
i Permit Fee:��,Q ' � �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received:���"-1��
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff�� I
I I
' -----------------�
2015 RESIDENTIAL BUI DING P RMIT APPLICATION
�
Date: � J d Site Address: �P� "�/ Unit#:
��,�
����: � �
_;�. �::
����' Name: ���t �--��S�_ o�c.� Phone:��Y� ,�� �
�� .�v �� -�"
�t�
���i� .; ,; � �� ��I� a-,
(��g��� f Address/City/Zip:___ dt-�Q.✓-� .
� �, , = Applicant is: Owner Contractor
I '
,s� �\��� ; � /�
� ' ���` � Description of work: .,�1�/� (p h d�/`—.�
��#3 �+D
���' � , c�. _ Construction Cost;� D D� ''� Multi-Family Building: (Yes /No�
Y ���°� . p y �e cY ` r �d � �^ r �
� �, Com an : /'' �!>�- S` f !N c h�' Contact: / � ��
� ���� �� �
� ���F ��� U �� �..� �r Ci �,
'���� ��" Address� :�F-�11 v,rr'�' ��_ �f�--r
�Qr'1'�1`�C'��t��
\��,��� ��� ( c
� ��: State��Zip:� Phone: J maiL @dC �'��` ��/k � �
4 \ \ � F��� : .
, `�� ;: License#� � Lead Certificate#: "�
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 'I
Yes No If yes,date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
� �'�� �la��� �r� s��!`�rtg , � ���,,t� �s�Z�n °��r�r���de�r�d��� �\� �x� �'t� ,;�,�� �t� � :�f'F
��'���+�!r�►forrraar� �a.��r"�e�1, r�� e� `:�Sp��it"�c�� ; ��r»�#�+� �r°
� �, r� ��� ., �. �,� �sA�. :\ �i. � - %�i p� �� � ��C..,
\ �' ,. ��, �����C� „ ��i �Fr�r��E, � �� ,�'�Ai�b� �\�����C .@ y a�: .
..... ,,,: ,...,..; ,,,v:i� z..�. .,,,-- ,,, . ... . .-. . ., ,;,,,,,, , ,, ,,, ,,,�'.,
. .,, . . �., i .,..i'.a . .....-� .,,,,,,,'�. �,r��,,,
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. wvuw.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 '
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 S te de m t be complet it ' 180
days o ermit issuance. ,
X � ����r�., �
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175881
Date Issued:04/20/2022
Permit Category:ePermit
Site Address: 3677 Robin Lane
Lot:23 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-230
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael B & Leslee A Yoder
3677 Robin Ln
Eagan MN 55122--119
(612) 708-4735
Binder Heating & Air Conditioning
222 Hardman Ave N
South St Paul MN 55075
(651) 457-8781
Applicant/Permitee: Signature Issued By: Signature