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3685 Robin Lane 1 r 1 ? Kerflocate of cccupanc? Witij of Wagan # o n , cut o f Sai[bing anlapection 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 clzssifica m: SF DWG Bag. P ., it No. 30732 O-pa-Y Type R-3 U-1 Zaiieg Disam R-1 Type Corsi. Vn MENDOTA HOMES 1NC AMP= 822 MONET CT., FOREST LAKE MN 55025 owner orBnilding LAN L1, B1, BL KHAWK ACRES 4TH 3685 ROBIN BuWing Addiat -- Locality C, Daue: Building O Trial POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: SITE ADDRESS: I V.f I APPLICANT: 141 A(:k1iA11V A1:kl.°i 41It• Et, 12) nHM--+•.14 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. id !. Rf'"ARKS: PRV - -j & W PI-fiR LANrpf pIBR Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBIN E b /? (1 1 HVAC7 ? ? ? Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING n GAS SVC TEST _G INSUL /? GYP BOARD FIREPLACE FIREPLACE AIR TEST J - FINAL PLBG auc FINAL HTG ORSAT TEST BLDG FINAL ki 96 A BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 3685 ROBIN LANE Zip 55122 Lot 1 Blk 1 Sub BLACKHA ORES 4TH THESE ITEMS WERE` WERE NOT COMPLETE AT THE TIME OF TI JE FINA? INSPECTION. Date: Q Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) t Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch I L Basement finish Deck I 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy $0.50 )Oy--1 c6 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / _3?_ 1 Site Street Address 3iyn Aob n 1v2 ?QQ ?(Yl Unit # Property Owner 61roeer- Telephone# (?M (081 Contractor Telephone # ( ) Address City State Zip The Applicant is: ?owner _ Contractor -Other Alterations to existing dwelling $ 50.00 _? Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If voy are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge .50 $ Total rr $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Mic.had ',x roeer Ki6 Applicant's Printed Name A plicant's Signature v: i a ,_651% CITY o1- EAGAN CASHIER" S' TE.R.MINAL NO., 355 DA'T'E" 09/09/97 TIME, 14"55"34 ID" NAME" MENDOTA HOMES INC 2256 9001. 3685 ROBIN LANE 47043.46 4 r ?y i I -iota:l. Receipt Amount" 41043.46 CRO80506 USER 1:D" NANCY I? ?X??c>KM??c?K?Xk??k%?;kk??k?X??;k;k>K>K>XX?;X?#??#?X>Xh?%?>k?F;kX?>k>«? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 0 7 3 2 Date Issued: 09/09/97 SITE ADDRESS: DESCRIPTION: 3685 ROBIN LANE LOT: 1 BLOCK: 1 BLACKHAWK ACRES 4TH Wttild 'n4,!; ermit Type SF DWG itding f3 }c Type NEW 4?G StcUli"fps 0-3 U-1 Cay ruG?t?n T?ye V-N ?15t$s1zU R-1 udng Lpttt4 50 udJc4} x . ?ixTd g ? riss 50 ;. 1 m ,Ye el 1,49@ Ce«as6 e 101 1 - FAM. DETACH on 16 i REMARKS: PRV S & W PLBR - LAMERE PLBG FEE SUMMARY- VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Lie. Search Fee Subtotal $2,503.96 $104,000 MISCELLANEOUS _ $1x539.50 Total Fee $4,043.46 CONTRACTOR: - Applicant - ST. LIC OWNER: MENOOTA HOMES INC 16886342 0003165 MENDOTA HOMES INC B22 MONET CT 822 MONET CT FOREST LAKE MN 55025 FOREST LAKE MN 55025 (612) 688-6342 (612)688-6342 E APPLICANDPERMIT SIGNATURE $907.25 $589.71 $52.00 $950.00 100 1 $5.00 -6x -kGNat I ISSUEG e: SI ATU 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)r CITY OF EAGAN n 6013401 ? 3830 PILOT KNOB RD 55122 CQY'b'(, 6811-41175 New Construction Requirements RemodelfReoatr Requirements ? 3 registered eke surveys e 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) e 2 afte surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions e 3 copies of tree preservation plan Slot platted after 7/1193 ?`((ll required: _Yes _ No ?t DATE: 2 ?8 --E! / CONSTRUCTION COST: ' ?kb k 0o c) DESCRIPTION OF WORK: -GAYY?a tL1 Y?flYY1 t? STREET ADDRESS: K-" U,ei ? L?h k LOT J BLOCK SUBD./P.I.D. #: 1 PROPERTY Name: I Y eanL-61_ JdMi / GYM • Phone #: (0S3-(0 a a- n? OWNER ftwx4 Street Addres City: ' annt(p, --? I ?) MA) Zip: ? ?? CONTRACTOR Company: (V%I Iyyl.? 6S m, P1/Py4?5, State: ?rr-' _ Phone #: Street Address: ?GCw License #: City: (2 State: Zip: ARCHITECT/ Comp L : 6V1 Phone #:?t'bd) ENGINEER ml yd "Ji-ld W t Name: a?.ff . r? oa-K vj-- Registration #: Street Address:-'r r City:, M?( State: MN Zip: Sewer & water licensed plumber (new construction only): LAI Y kVC f I?Ylt?i?l?. Penalty applies when address change and lot change are requested once permit is issued. n I hereby acknowledge that 1 have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Signature of Applic 4- Yes No Tree Preservation Plan Received - Yes No with all applicable IMCW Udi`t It 4- Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? ? 03 'SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 _-Alex ? 15 Deck WORK TYPE 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 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Ohl Basement sq. ft. MCNVS System M Main level sq. ft. City Water 3 1 R sq. ft. Fire Sprinklered -1 sq. ft. PRV J _ sq. ft. Booster Pump SO sq. ft. Census Code. Footprint sq. ft. SAC Code V I C(fl Census Bldg Census Unit Building 'h Engineering Variance Permit Fee Valuation: $ (M. 00 Surcharge Plan Review License MCNVS SAC City SAC I qb0, 00 Water Conn. Water Meter Acct. Deposit S/W Permit ?J7'I?/l/T ?JN?1N/5/1?D S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies S ? ?D?X /4o Total: % SAC SAC Units TOT?1Z- 1b3? ?`d? ,S'urveyor's Certificate SURVEY FOR ;MENDOTA HOMES DESCRIBED AS :lot 1, Block 1, BLACKHAWK ACRES 4TH ADDITION, City of Eagan, Dakota County Minnesota and reserving 'Tements of record. A LOT PROPOSED. ELEVATIONS Top of Foundation = g2re,e Garage Floor = SIB,6 Basement Floor = slg,g Aprox. Sewer Service = BOB` Proposed Elev. _ (:7D Existing Elev. Drainage Directions -- Denotes Offset Stake = SO. FOOTAGF = SCALE: 1 loch - 30 feet PO R, V, u-' 1Z 088 BENCHMARK, MIN. SETBACK REQUIREMENTS Front - "/A House Side - to Rear -- WA Garage Side -5 JOB NO: ? ??? I HEREBY CERTIFY THAT TH IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE E ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO PLANNING 6NCINERRING SURV6'YING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS S OWN. 2005 Pin Oak Drive DATE x 14-t Eagan, MN 55122 Phone: (612) 405-6600 J Y LINDGREN, LAND 5 VEYCI Fax: (612) 405-6606 ES LICENSE NUMBER 14779 47R• 1,59 mend 9l m a ° W-- 'E3 ? ? ? ? 0--'o ? I?? ? W00,? ? l3?? ? C9-- ? ? Ir'0 ? ff-'o ? Rd 'c ? ? 0-/? ELEVATIONS 6asstina • Sewer service (or Proposed) • Property corners • Top of curb at the driveway • Elevations of any existing adjacent homes Proposed 0"? ? ? • Garage floor IY' ? ? First floor I ? ? ? Lowest exposed elevation (walkout/window) - / ?Y ? ? • Property corners ta?? ? Front and rear of home at the foundation PONDING AREA (if applicable) ? W""? Easement line ? C,P NWL ? rd?J, • HWL ? IT Pond # designation ? ; ? • Emergency Overflow Elevation 19 0 ? • Lot lines/Bearings & dimensions ? ? ? • Right-of-way and street width (to back of curb) p-`? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2% / porches, etc. (.e. all structures requiring permanent footings) r' ? • Show all easements of record and any City utilities within those easements ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? Ca' 4- • Retaining wall requirements, if any Reviewed: LOT SURVEY CHECKLIST FOR PROPERTY LEGAL: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway 7 January 1996 CRAIG1 BBBBLDGPRMT.FM LATEST REVISION: EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET To Determine Ocnpliance with the Minnesota Energy Oode (Section 502 of the state Amended 1983 Model Energy Code) U WALL CALCULATIONS Opac;ue wan 1. Masonry/Concrete a. AREA x "a" C. 2. Fou at on Wa (Above Grade) a. I G.t}rltC l IL b. 3. Frame wa a. Insulated Area b. Framing Area (Ave. 15% at 16" C. Framing Area (Ave. 108 at 24" 4. Peripheral Floor Edge/Rim Joist a. 12" ?5'?r y b. Glazing 1. wina s a. +i ?Tttl.w. b. 2. Door$ Doors 1. wood a. solid b. With sto- In oor 2. Metal ''i'1nn! 3. Overhead 4. Other x p x x If 2.5(a x 4 x•75 X C lI o x.?G. m 54-, cc) ? I X I c? +? Oc) x c x a 17 9, . o_ x? ('`) $1 x _ ?x x a x - --- a -- -- -- - - x TOTAL WALL AREA, sq. ft.... .................. 1812 70ML of AM x "U" 117• %? ......... ...................... ... CALCULATIONS Rcof/Oeiling Insulated Area )3 5.2 x 0 2. so AOOI!Xeiling Framing (Ave. 15% at 16" cc) x Pmf/Ceiling Framing (Ave. 108 at 24" oc) 2.8 x -,a 2. ¦ 3, r" Skylight x e TOTAL 1WF/tEILING AREA sq. ft .............. ?1152,9> TOM OF ARFA x "U" ..... :............................ ................ 30. WING ENVELOPE REQUIREMENTS 410ML AREA REQUIRM "U" (Fran I.D & II.E) (From V.) P _ G _G ALLOWABLE (Area x "U") Exposed wa ll )hoof/Ceiling IY..; 10l?- X r +I . c + IIQIAL ALIAML.B BUILDING F.NVEWPE (Total of A & B above) ... 2 3 U )AL BUILDING I(N&OPE i i.1 } A Exposed Wall (FMO I.E) B. Roof/Ceiling (From II.F) ACTUAL (Area x "U") p ?5 c. TOTAL Acium BUILDING PNVEWPE (Total of A & B) ............ f-D7• 5 o '(fleets code requfreoents if less than 111.0 V. REQUIREU "U" VALUES CERTIFICA11ON I hereby certify that I have calpleted the above information " that it oonplies with the Minnesota State Energy code. d 4?LS.S FWF/OILING Detached one and t? family MlliNs .11 .026 * Multi-Family Residential Buildings .238 .033 (3 stories or less in height) * All Other Construction Zypes (3 stories or less) .238 .06 + All Other Construction 'types (More than 3 stories) .28 .06 ' Based on 6001 heating degree days (Mp1sI5t. Paul) Adjust 101 values accordingly for other locations RC`Rn 3-119 CITY USE ONLY B q g n //(/ ?J RECEIPT* SUED. rR04 l/?Ou rJ1l to uC. LO RECEIPT DATE: -11461y- 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, M 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x Water Softener ' for dwellings under construction 5.00 x - Water Softener ' for existing dwelling 20.00 x U:G.Sprinklef 'fordwelling Under coral. 3.00 U.G. Sprinkler `forexisting dwelling 20.00 - Alterations - to existing residence 20.00 - Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) _ Private Disposal Systems' Abandonment 20.00 RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL I hereby acknowledge that l.hava.readahie aoolicatianstate thetlhe_rrlformation is correct, and agree M comply wRh all applicable City of Eagan ordinances. It is the applicant's rear f Eagan assumes no liability for any damages caused by the City during its normal operational and SC 3685 5 ROBIN R081N , LANE MICHAEL ider this permit within City propertylrightof-way/easement. I EAGAN, MN 55122 SITE ADDRESS: _ (651) 681-1604 OWNER NAME INSTALLER NAME: _Nopur ,L w EL-UM F-"lmG TELEPHONE STREET ADDRESS: Z- / ? 601?K.FE-L y eyt So CITY: STATE: NLII,- ZIP:?0 8- . 1 OF PERMITTEE CD/PERMITFORMSIRPLBG PERMIT (RES) - 1998 CITY USE ONLY FA( BL / n RECEIPT#: 0 SUBD. L+CI/?t r?LS/na .. ?P (L 7 RECEIPT DATE: ?? 3 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 F C4/? ?/G? `l Please complete for: . single family dwellings 77 town omes an con os -when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH NO.. TOTAL Shower 3.00 x -41-' ' Water Closet 3.00 x x Bath Tub 3.00 x = C. Lavatory 3.00 x _ Kitchen Sink 3.00 x °- Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x -5. Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x _ Rough Openings 1.50 x Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * oak Cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL f I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. o SITE ADDRESS: -3 e, S ?`' ?? / /? t_ wig lr /? OWNER NAME: N/'eaw 'o TA ?/o iJ??S' Z/V INSTALLER NAME: L TELEPHONE STREET ADDRESS: 32s KEY7 A" S /Jo11E r'V- CITY: C S T L /< STATE: /1 /L- ZIP: 3--5-e') SIGNATURE OF P RMITTEE CITY USE ONLY LOT BL?? SUBD. 6???1 L??2YIA?LrlYL IQ o 7 RECEIPT #: 8j/00 RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U <1:24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: 3 0-5-b Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes. or condos. Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: ?j & 5es- 't `t G '.j OWNERNAME: 4 0 PHONE M & j (c, 3 Z- INSTALLER NAME: PHONE #: STREET ADDRESS: eEDA R VALLEY HEATING & AIR 9601 Jefferson Trail CITY: wyFR nROVE HEIGHTS, MN 55077 STATE: ZIP: . - -111??' 10 CEDAR VALLEY HEATING & AIR s ATURE OF PERMI 9601 Jefferson Trail ImVER GROVE HEIGHTS, MN 55077 CITY USE ONLY L BL RECEIPT #: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complet for ? all commercial/industrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE:. NEW CONSTRUCTION DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee or 1% of contract price, wt ? Processed piping - $25:1?0 ? State surcharge of $.50 p 7r$1,000 of permit fee CONTRACT PRICE x 10/6 / PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: INSTALLER: ADDRESS: CITY: PHONE LJ .. TELEPHONE #: D INTERIOR IMPROVEMENT rfs greater. all permits. STATE: ?! J ZIP: ? D I i SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 0059 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 00-L" Telephone # 651-675-5675 FAX # 651-675-5694 70.= Q#, 'RIv, New Construction Requirements RemodeUReoair Requirements eUse 064 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of $u?vey Rebd .-- (2096 maximum lot coverage allowed) 1 set of Energy Calculations for heated additions tree Presi?tatt,;Racd Y• _.t?( 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Aresi*uued t S i ti l .Y --N Y [J 1 set of Energy Calculations Adddion- indicate donsite septic system em c ys ii w 0 i _. . 3 copies of Tree Preservation Plan rf lot platted after 71153 Rim Joist Detail Options selection sheet (buildings with 3or less units) Date Construction Cost I r c)(2,C) Site Address ` 3 1-.1Y\ e . Unit/Ste # Ea s51a Description of Work SQ me v?? F\ y \i S1g 1'-?tM 06e Multi-Family Bldg _ Y _Y, N Fireplace(s) - 0 - 1 - 2 Property Owner J kc.\nG21 L Mo.r4 ?r1nV rl?Pir Telephone#( (,S9 (pp l - Ilnl??} Co r ,s E r? tC t uh Contractor -SD-6a Address 1`lGG F-y-OV -t 2N C? S 20 0 City Lrvt5Vi State M fj Zip Telephone # ( 1012) 3'6 COMPLETE THIS AREA ONLY IF C Minnesota Rules 7670 Cate¢on Energy Code Category . Residential Ventilation Category (J submission type) Submitted . Energy Envelope Calculations In the last 12 months, has the City of Eagan issued a permit for a sir - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor BUILDING .j $ Z?U' V'-'?New Energy Code Worksheet on a master plan? Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name Applicant's Signature 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ql? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_dYor_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation p 0 O Plan Review 100% or 25% Census Code SAC Units # of Units # of Bldgs 1 Type of Const Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 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. r Fin"o C.O. _d Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: 0' ?r0 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA116858 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 3685 Robin Lane Lot:1 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-010 Use: Description: Sub Type:Reroof & Siding 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. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Byron P Hawkins 3844 Nicollet Ave Apt 306 Mpls MN 55409 Jns Builders Llc 2325 Endicott Street St. Paul MN 55114 (651) 646-0221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158259 Date Issued:10/04/2019 Permit Category:ePermit Site Address: 3685 Robin Lane Lot:1 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Vu Pham 3685 Robin Lane Eagan MN 55122 (952) 380-7723 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175198 Date Issued:03/18/2022 Permit Category:ePermit Site Address: 3685 Robin Lane Lot:1 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Amy Johnson 3685 Robin Ln Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature