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3686 Robin Lane W,QL`f irate of CccupancC WU4 of Wagan Tepartment ???; u rectioa 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 Classification: 30 Ex Bldg. Pemnil No. 33W7 Occupancy Type R-1 Zoning Disuxt Q3 Type Cont. IN owner of Building MSIY]TA MOWS TW, Address 91920 NALMYR E AVR- BQFM LMM Building Address 3686 RBIN Imo,} Locality T-1- A1, AMCRAIE AMS 5TR a M ilmng otr- POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: . t 114 1 APJ1 PERMIT SUBTYPE: TYPE OF WORK: ;!! 1 1 1! I hfl, tail ?, ?yiFt9i°?tr 3f H8 INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTFI. MAli K III rill NE VI1 WFO 13Y WAYW M 1 1 I 1 i'RV Rf 0111 14P (i F L? INSFEU I'ION KEU()KI) PERMIT TYPE: Permit Number: 7 Date Issued: 1 ,?, 1 . APPLICANT: Permit H Ider Date Telephone # PLUMBIN HVAC Inspection Date Insp. Com en s FOOTINGS q !?' Or f 7 FOUND FRAMING v IX AO ROOFING ROUGH PLUMBING a-i9 PLBG AIR TEST ROUGH HEATING g - GAS SVC TEST T T S ,c?v9y ?AAMW AY C e K GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG /NO T .IIIQ?C ORSAT TEST ?? BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG [DECK FINAL ro - i'a eammippmes Cj li • I'` rForOfilceUso _^ --^ '� 4 r J 1 1d E 9‘//7 r % axeN ::::ee i : :''I Date Received: Jam/t,C lq 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 fl' (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Slab: buildinginspections(6 cityofeagan.com 3 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION 1' Date: , ` • ° , Site Address: 14_ _ jr/a2a, 1. Tenant: Ito f f I ,.._.....-.________-....__.._._-_._• _ Suite#: l/ --- I. - Name: 1 . -Ilk' ne: 1 _ _ kesldenUOwnerr u !a- aG'-1 11 9 t _` r r�;{: Address/City/Zip' ._._.V _ ..__. • Name: MILBERT COMPANY dba CULLIGAN WATER 'Ie -- License//: WC641376 --- 1 l. " ' Address: 1801 50TH STREET EAST City:: INVER GROVE HEIGHTS :Cantr.actor ; - 1,II t1 State:..1,411 .Zip: _-5Z7 Phone:_ 651-451-2241 .:i• Contact: BILL MILBERT Email: gloria.abas@culligan4water.com k . Type of.VVotd< —New —Replacement —Repair Rebuild Modify Space Work in R.O.W. r j rI Description of work: `` Water Healer ijl lif Lawn Irrigation.-( RPZ/ PVB) y Water Softener DCS:CGLpt1:0:11' Add Plumbing Fixtures ( Main/_Lower Level). . . .__Septic System Description: - New . tAbandonment Connection to City Water from Well !° RESIDENTIAL FEES 1 $60.00 Water Heater,Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation`(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) i,, $60.00 Septic System Abandonment $190.00 New Residential (fee collected with Building Permit) f $11r.5.0.0 New Septic System (includes County fee and State Surcharge) : $60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read $540 j 0 f *Sewer &Water Permit also required for connection charges jI TOTAL FEES $ 60.00 i:11:, GALL BEFORE YOU DIG. Call Gophor State Ono Call at(551)454-0002 for protection against underground utility damage. Call 48 hours before you I miend to dig to receive locates of underground utilities. www.gopherstaleonecall.orq I. I You may subscribe to receive an electronic notification from tho City of proposed ordinances by signing up for an email update on-the City's website at www.cilyo(eagan.comisubscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wilt) the ordinances and codes of the City of I. �j 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 t ! acc rdance wi-ll ti approved plan In the case of work which req rires<lreview and approval of plans. _ ig,/y/ it . • I,Iii )1(Y\ .N‘\. \ -eA(L, ., x i' Applicant's Printed Name Applicant's Signature fI Page 1 of--2 ):, idil Wertif ica#e of Cccupanc? _ (itv of Cf agan ZOat I -cut of 18xi[bing 3n8ypectioa 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 Classification: Z"- Bldg. Permit No. '11139 O-r-Y Type - P3 Zoning District R3 IN Type Const. VN Owner of Building Building Address POST IN A CONSPICUOUS PLACE 1N SFEU ION REUOlKI) CI: Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: J cs ' ''' (612) 681-4675 SITE ADDRESS: : 1,-1 AN1 Irl f:+ F IIAIJr. F?+ !<1 ', h I N PERMIT SUBTYPE: TYPE OF WORK: r?r r1 INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. hl f rl+i ll) 1 Jill F Y I !? I i' 1 I, 1 J rk / 1 I RUMARK`': - r'I AN REVIEWED BY WAYNE MT 1 r 1 V VRV R1=0111 RFrt . 'ai 4 HI n C x; , APPLICANT: +1' I!: I, 111.j,; 1141 t 61 1 c,HH--h 14.1 Permit Hol er Date Telephone N PLUMBIN LLY.Q t3?` 0/S f IX., 7-76 HVAC z hl/ I? s' ? -?(o(p Inspection Date Insp. Com en s FOOTINGS u4e FOUND Af. FRAMING 3-,-7e ROOFING ROUGH PLUMBING PLBG AIR TEST 4 ROUGH HEATING fo(/l ? p ,/? (itfG ?? ?'9 cS `l y 1'1 a S LO !J GAS SVC TEST INSUL / 3 A),00 42r L l*4v GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG I ORSAT TEST BLDG FINAL -?' DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 46. F"1* CITY 0(.7 1_AG;AN CASWER S TERMINAL NCI". 809 DATE:: 09/04/99 TIME-, 1.4:45"43 IM NAME, ME:NAOTA HOMES T.NC. 2256 9001 3686 RODI.N LANE 3,46.96 2256 9001 3688 ROBIN LANE 3"846.96 Total. Receipt Amount; 7j693.92 CRO96954 USER l:Il: NANCY #X 4:RcvF,k 4k".?kyF?Y,t%?9?.n?>k??k`#%<7??k?k>k7KNc?K?kX?'>k?k X?Y>KW.>k?X?% `U i '_1JI?ul'_. p n PROPOSED. ELEVATIONS BENCHMARK, Top of Foundation Bzo.S Garage 'Floor = 820.1 Basement Floor =811.0 Aprox. Sewer Service= so5,1*_ SETBACK REQUIREMENTS MIN Proposed Elev. _ . Existing. Elev. _ Front-30 House Side -10 Drainage Directions _ SCALE: , 1 Inch = 30 feet Reor -30 Garage Side -10 Denotes Offset Stake = - - I HEREBY CERTIFY THAT - THIS IS A TRUE AND CORRECT..REPRESENTATION JOB NO: - OF THE BOUNDARIES OF THE ABOVE DE:SCRIBED.PROPERTYAS -SURVEYED - 98R-399 : HEDLUND BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE: - SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. PLANNING ENGINEERING SURVEYING - - ' 2005 Pin Oak Drive CAD FILE Eagan. MN 55122 DATE Y R " Phone: (612).405-6600 , O FF D. LINDGREN, L NDSURVE Misc98-2 - Fox :"(612) 405-6606 - MINNESOTA LICENSE NUMBER 14376 V ui U ? 6 Z M- ? Q?- ? Q2- ? 0,-"o M---a ? M- ? ? C5-- El 0 m N 13 13 13 PROPERTY LEGAL: Registered Land Surveyor signature and company Building Permit Applicant Legaldescription Address North arrow and scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient % Proposedlexisting sewer and water services & invert elevation Street name Driveway ELEVATIONS xistin Sewer service (or Proposed) Property corners Top of curb at the driveway Elevations of any existing adjacent homes Proposed ©-?? 0-?? L}/O • Garage floor • First floor , • Lowest exposed elevation (walkout/window) • Property corners • Front and rear of home at the foundation PONDING AREA (if aoplicabie ? tY ? ? 0'0 ? rcy ? El 0 t9-? ? ? ? ? ? ? M ? ? t3' ? ? ? O" ? January 1996 cRArD1gg•,BLDDPRMT FM DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot lineslBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyar setback of adjacent existing structures Retaining wall requirement! any Reviewed: ? ! Date LOT SURVEY CHECKLIST FOR RESIDENTIAL PERMIT -Cl* OF EAGAN 3830 pilot Knob Road Eagan, Minnesota 55122-1897 (6112) 681-4675 PERMIT TYPE: BUILDING Permit Number: 033137 Date Issued: 09/04/98 SITE ADDRESS: 3686 ROBIN LANE LOT: 3 BLOCK: 1 BLACKHAWK ACRES 5TH DESCRIPTION: OTHER 112 - 3688 Bu. `ldi-ng-.Permit Type DUPLEX Building Wbrk Type NEW UBC Occupancy`. R-3 Construction Type VN Zoning R-3 Building Length 24 z Building Width 58 w euildin5 stories -? 2 Ceh-s us `Code 102 1 - FAM. ATTACH REM#:REVIEWED BY WAYNE MILLER. PRV REQUIRED. S & W PLUMBER IS VALLEY PLUMBING PHONE #492-2121. FEE SUMMARY: VALUATION $76,000 Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal t4E17IITT'A'Tibl<tE'S INC 1822 MONET CT FQREST LAKE MN (612) 688-6342 $737.25 MISC FEES $479.21 Total Fee $38.00 $1,000.00 100 $2,254.46 - Applicant - ST. LIC. 16886342 0003165 55025 ____$ 1 . 59g 5,0 $3,846.96 OWNER: MENDOTA HOMES INC 23920 HAWTHORNE AVE FOREST LAKE MN 55025 (612)688-6342 ` 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. ?? ApPLI1PERMITEE SIGNATURE ?? ED BY: SRE 3 41 C- j 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL? ?? 3 ?JJ CITY OF EAGAN p 3830 PII.OT KNOB RD - 55122 (? _ l 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) • 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes _ No DATE: (0 - $ - GJ g ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for treated additions CONSTRUCTION COST; 4 9S Z)00 DESCRIPTION OF WORK: Wl--) CctL(?YU-Lfi aVL) - JI nh-w? STREET ADDRESS: _ 3? SC jC Zab I K- t L I a+ .A LOT: 3 BLOCK: SUBD./P.I.D. #: 516L k4(V-) L ikckcs Name: Mek p o*&- n ;A4-e -T-3ac - Phone #: (4038 - ? 42 PROPERTY Last ' Firsc t? OWNER Street Address:-W2-0 ? 2-0 Ha ?owt.. AtrL• i . rJ? 4I IP City ?V PS? ((jGQ? Stater Zip: Company: aY, c+> Zo - flyby. sf I ?l C . Phone #: (088-W42- CONTRACTOR /'_ ' ` ' J Street Address :KT l?? f LAA-?4 t?a?w. hf? PU VOX, 44 lp License # ?? I K city LiIL& State: Vlk Zip: ,95W-? ARCHITECT/ ENGINEER Company kd ?'Lw A - U & (Jz '- Phone #: 4o" " (O (D 0 L Name: U `-' Registration #: Street Address: 2zD5 Y I ? 94- Q V City EGUUi- r7 Stater Zip: L5E?`tL3 Sewer & water licensed plumber (new construction only):\fQj k Y 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 State of Minnesota Statutes and City of Eagan Ordinances. is correct and agree to comply with all applicabl Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No / Y " J-41" Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation )4 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 ,.fl, 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) ? ?) Basement sq. ft. -i3'$4 MC/WS System x (Allowable) tJ _ Main level sq. ft. S City Water UBC Occupancy A3 sq. ft. 3 3 6 Fire Sprinklered Zoning R3 sq. ft. PRV # of Stories 2- sq. ft. Booster Pump Length 2 1 sq. ft. Census Code. 10-2- Depth C Footprint sq. ft. 1 A,2. SAC Code o Z. Census Bldg Census Unit APPROVALS Planning Buildi ng Engineering Variance Permit Fee Valuation: $ 7 5 SZ ,/ Surcharge Plan Review l3 Q? rI 0 License - 5 t- MC/WS SAC L/ X 3 6 = 8 C 4 City SAC 14,16 Water Conn. 5 2- Z . 2t?0 Water Meter Acct. Deposit U?PE? S/W Permit S/W Surcharge 2-41Y 36 Treatment PI. s ?G ;z 44 Park Ded. N7 q5-? Trails Ded. Other Copies (??92 ' 7 374 - - 3 z Y2-5 36 Total: 5.15 8 % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 auilAi# tories J*r 2 a4 hSuYs bo , " 102 1 - FAM. ATTACH SITE ADDRESS: PERMIT TYPE: BUILDING Permit Number: 033139 Date Issued: 09/04/98 3688 ROBIN LANE LOT: 4 BLOCK: 1 BLACKHAWK ACRES 5TH DESCRIPTION: OTHER 112 - 3686 Bu?,?V-dI 4?Permit Type DUPLEX 8011 d3n4 dr?k Type NEW BC `t}ceupane$r7 R-3 Ctsnetruot.ion Tylp@ VN a. Zoning R-3 xr ' R(Alldinc3 t,e gth 24 ,' Aui3dInq Width , 58 e,k? A! st' ' & '$' 2 N . as rF vz& REM4W:REVIEWED BY WAYNE MILLER. PRV REQUIRED. S & W PLUMBER IS VALLEY PLUMBING PHONE *492-2121. FEE SUMMARY., Base Fee Plan Review Surcharge SAC SAC P6 SAC Units Subtotal VALUATION $737.25 $479.21 $38.00 $1,000.00 100 1 $2,254.46 $76,000 MISC FEES $1.592.50 Total Fee $3,846.96 NNTTRRQQ((??T{(? - Applicant - ST. LIC. OWNER: [(?[(?? M?N770TA f1T9 S INC 16886342 0003165 MENDOTA HOMES INC 822 MONET CT 23920 HAWTHORNE AVE FOREST LAKE MN 55025 FOREST LAKE MN 55025 (612) 688-6342 (612)688-6342 i' huP.el7 a kn wle,d e tbat. T haW* read this applioataon a`ad state tkt 't"Gh Lrlformatiort is,correot and agree to comp] with all appiioeble Mate of Mn. I _y tAtvtea ` d City of E`Ag'M Ordinances, ? APPLICANT/PERMITEE E?PNATURE IS D BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN a? ?j 3830 Pn OT KNOB RD - 55122 J q / J 681-4675 1 1? New Construction Reauirements RemodeVReoair Requirements ^? I1 I I L 1 ct ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan H lot platted after 711/93 required: _ Yes _ No DATE: L- 3- '25 DESCRIPTION OF WORK: ? 2 copies of plan ? 2 site surveys (e)terior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; '?Sv QDQ STREET ADDRESS: cS P b I A, L f("-CL LOT: T' BLOCK: I SUBD./P.I.D.#:l?U?? ?C { PS 15-ell V? Name: DLt-e" g?FNV`ttS , ({1 C Phone #: Ip?JU ' U3 L(L PROPERTY Last First OWNER ?A- / yJ Street Address:?'/)?Q GAD,-y, Atee • PO AS< 411 City State: kyj Zip: ?u"LS CONTRACTOR Company: 0 - S C. Phone #: &Oe " (3 42-- (// Street Address: 7' D ?1Yf L/lt Gi ? 7Y (yo License # & V,5- City 7>?T IA&! State: 94k Z tP: ARCHITECT/ JJ ENGINEER Company: ?d1Lt* ,l LA Q knq: Phone#: 4()5-(,2&0D Name: Registration #: Street Address:-7-005 -rt ?t 0&?-- .fiv• City ?Gl ?t? n State: /L{ Zip: 23 Sewer & water licensed plumber (new construction only): V, Penalty applies when address chang and lot change is requested once permit is issued. /l I hereby acknowledge that I have read this application and state that State of Minnesota Statutes and City of Eagan Ordinances. Signatureof OFFICE USE ONLY Certificates of Survey Received _ Yes - No is correct and agree to comply with all applicabl JUN', Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation P? 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 ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous VP Basement sq. ft. til Main level sq. ft. R 3 GAS. sq. ft. A 3 sq. ft. A sq. ft. 2,04 sq. ft. Fed Footprint sq. ft Planning Building Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 89'$ MC/WS System J-r City Water K 3 9 e- Fire Sprinklered PRV Booster Pump Census Code. /,07- 17, 2 SAC Code '02 Census Bldg Census Unit - Engineering Variance Valuation: $ 7S, 5 ;?:j? =mot sc r?r'? 36 i&v /dXG 2y uppxet 204 X36=$6 dl bfY 6 .?H .,arj?? x 5`y 16 ;.2,200 q"7,, qt ;Z S 3 7.6 % SAC SAC Units CITY USE ONLY LOT BL RECEIPT #: 7 I? SUBD.? RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IME RD EAGAN MN 55122 Cj (612) 681-4675 Date: Q Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24:00 ADDITIONAL 50 M BTU 0 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: J_zn?p Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install 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: OWNER NAME: INSTALLER NAME: PHONE #: PHONE #: STREET ADDRESS:/?!(/? 1 f' TJ??+G ?? / f? - CITY: STATE: Ak-) ZIP:i2-?L /Meld/pp.09 -) SIGN JS/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L - BL SUBD. RECEIPT #: RECEIPT DATE: 1998 MECHANICAL PERMIT (C02 CITY OF EAGAN 3830 PILOT XNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete 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 INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: ($.50 per $1,000 of permit fee due on all permits.) OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: PHONE #: ADDRESS: PHONE #: CITY: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR V /L CITY USE ONLY LOT 7 BL RECEIPT #: 9 SUBDLEe RECEIPT DATE: 1175W 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NN 55122 (612) 681-4675 Date: -7'-' Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U 24.00 ADDITIONAL 50 M BTU 00 • Gas outlets (minimum of one required @ $3.00 ea.) L v a • State Surcharge: .50 • TOTAL: t97. sy Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install 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: / P !1 )Pe^ ?,b x kd V OWNER NAME: 1 I l` J C?iY > PHONE #: INSTALLER NAME: STREET ADDRESS: PHONE #: W/ - ?7iS?/ dCDP CITY: STATE: A? . ZIP: &=a SIGNATURE OF ISIFORMS BLDIMECH PERMIT (RES) - 1998 CITY USE ONLY L BL SUBD. RECEIPT M. RECEIPT DATE: 1998 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 not required for each dwelling unit DATE: 7 CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: I% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: CITY SIGNATURE OF PERMITTEE ($SO per $1,000 of rmit fee due on all permits.) PHONE #: STATE: ZIP: CITY INSPECTOR 3 BL _ CITY USE ONLY RECEIPTq94,3 ? a RECEIPT DATE: /Q ? ,9/, 11 SUBD.( D s/p U 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are requir ed 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 = 00 Lavatory 3.00 x 00 Kitchen Sink 3.00 x ?_ = 3 00 Laundry Tray 3.00 x 3.00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 00 Floor Drain 3.00 x 1 00 Gas Piping Outlet ' minimum-1 3.00 x _ 7,00 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 cont. 3.00 = U.G. Sprinkler * for existing 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 33, - - - --- ----- - ----- --- - ------------- - ---- --- ----- read this application, state that the information Ls Emma, and agree to comply with all applicable City of Eagan ordinances. I hereby acknowledge that 1 have - 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. SITE ADDRESS: ?GT?iS Uin Zl OWNER NAME: ? &2zlz1a &neMl y/C INSTALLER NAME: STREET ADDRESS: TELEPHONE #: W-L 7M) CITY: ZnaUP(- STATE: MV zip: S53U?/ SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 / CITY USE ONLY L 7 8L RECEIPT #: 0 7(fLS SUBD, Y? p OY~ RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, W 55122 (612) 681-4675 Please complete for: ? 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 = G-o > Bath Tub 3.00 x ?. = Uo Lavatory 3.00 x 6100 Kitchen Sink 3.00 x 1 = 3.00 Laundry Tray 3.00 x = 3. 0 p Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3 00 Floor Drain 3.00 x _1 = s" ) Gas Piping Outlet * minimum -1 3.00 x = 3.0 0 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 cont. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC Iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL :?3 SDSD - --- -- --- ----- 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. SITEADDRESS: - 0/F L/V OWNER NAME: a44 4fi7ef T ?/L INSTALLER NAME: AAA 1pfk? L l"/ L TELEPHONE #: (02-276 STREETADDRESS:/s /6?nd L/l? I CITY: AA ye/ STATE: 114A ZIP: 5S3041 OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 Use BLUE or BLACK Ink r Ea Rail ForOfficeUse 4 City of Permit C Permit Fee: 1(�� C,' tom' 3830 Pilot Knob Road Eagan MN 55122 Date Received: C (k iC Phone: (651) 675 -5675 Staff: Fax: (651) 675 5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Cr Site Address: (7 Ak r l G? /,-r it Tenant: 41 c;. <Gi a t�/ J ,J l Suite RESIDENT OWNER Name: 1 /�_i'�'`A- 1 2 Phone: �'r Add /City /Zip: c eg r rr t2 Applicant is: Owner Contractor TYPE OF WORK Description of work: c? 7 0 7 1 Construction Cost: 4' G) c) c'✓ Multi Family Building: (Yes No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 accordan ce with the approved plan in the case of work which requires a review and approval of plans. �i r> Applicants Prin Name Applicant's Si ature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3686 Robin Lane Lot: 031 Block: 01 Addition: Blackhawk Acres 5th PID:10- 14304 - 031 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Fee Summary: Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835 -7777 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Comments: Questions regarding electrical perm 952- 445 -2840. Permit expired without required inspections. 1 -16 -09 CE - Applicant - $50.50 Owner: Murray Weiss 3686 Robin Lane Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 Mechanical EA083586 06/17/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA126797 Date Issued:09/10/2014 Permit Category:ePermit Site Address: 3686 Robin Lane Lot:031 Block: 01 Addition: Blackhawk Acres 5th PID:10-14304-01-031 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 . Quy Bui 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 - Murray Weiss 3686 Robin Lane Eagan MN 55121 Exteriors Plus Llc 12481 Rhode Island Avenue Savage MN 55378 (952) 345-3408 Applicant/Permitee: Signature Issued By: Signature