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3689 Robin Lane(Ftr if icate of rccuvanc? Wtv of pagan ` Te4lartaieat of issi[bing 3m3pection 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 el=ifical;on$F ? elag. patn;l Na. 31969 O-P-CY Type *-3, U Zoning District R-1 Type c., V Owner or Building Address 822 mONE T CT FOREST LAKE, M 55025 Building Aeeress36$9 RaBTN LAhW Locality L 2, B- RT "?71°"' "MES 4TH Date: r Building POST IN A CONSPICUOUS PLACE A INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t t 13 f F1rt X830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: r fi.,i.t r%t FGE i 4f1i 614? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. +NAt PF 14APKS t S .E, W I'll OR • VAt t t Y 4 IAM Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC I S 9 5p Inspection Date Insp. Com ents FOOTINGS 5?2 FOUND FRAMING a ?y 8 a i -s ROOFING ROUGH PLUMBING , PLBG AIR TEST /( U ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE d shr 0 0j FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?OUQ q 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft at house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report ff proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan if lot Marled after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy calculations for heated additions 1 site survey for additions 8 decks Addition - indicate non-site septic system ?b.00 office Use Only Car( of Survey Redd. _Y _N Soils Report - Y -N Tree Pres Plan Recd Y - N. Tree Pres Required. _ Y _ N Omsite Septic System _Y. _N Mains are nnneirlarnrl nuhlir- informatinn unlass you state they are trade secret and the reason. _ 07 Date /?z ? l ? pp 1 Site Address 3 (Lin l d&" /,Alk& L Construction Cost VP 100 Unit/Ste # Description of Work d- kes-m' 1-141 I& Z`SS? Aduse N Multi-Family Bldg _ Y _ - Fireplace(s) _ 0 - 1 _ 2 /7 / / N Property Owner Ve&441 t:14aq?¢ QU Telephone#(6YI y52 Z2Os$' Contractor (-(% LeST rCeo1?1},e l? L?% 1LtS -LMCr - Address State v City rLrshlp01?7 Zip SS.31Telephone # (763) 1/27 96 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeor?1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted . 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? - y - N If yes, date and address of master plan: Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and me maw ur irIN 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 DO NOT WRITE BELOW THIS LINE Sub Types ? 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. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn" (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 11) 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 . 'Demolish Building* X- 43 Reroof .? .46 Wndows/Doors ? 34 Replacement -Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation Occupancy MCES System Plan Review _ 100% or - 25% Census Code Zoning City Water SAC Units Stories Boaster Purlip # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered . Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Sheetrock _ Footings (deck) - FinaUC.O. Footings (addition) - Final/No C.O. Foundation _ I-IVAC _ Drain Tile Other _ Roof Ice & Water Fi nal Pool _ Ftgs Air/Gas Tests _ Final _ Framing - Siding _ Stucco Lath - Stone Lath -Brick Fireplace _ R.I. _ Ai r Test -Final _ Windows _ Insulation _ Retaining Wall _ Approved By: 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 ?W?5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 7/ ^^-7n- nn (c4 New Construction Reauirements RemodebReoair Reauirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas r j2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pass Required -Y _ N I set of Energy Calculations Addition- indicate ffon-ske septic system On-side Septic System _Y _N 3 copies of Tree Preservation Plan'd lot platted after 715193 Rim Joist Detall Options selection sheet (bindings with 3 or less units) Date D 5 / 01 / 05- Construction Cost Site Address 1Z o \o t Lti Unit/Ste # 5 h A) 5512- Description of Work 1?? sltia'?e '91 It,, 6^"e Multi-Family Bldg _ Y N Fireplace(s) 0- t- 2 Property Owner V Q K V- Q? C? a ? y C' / a c A ?y Telephone # (651 ) ?I SL 2 2-0?? Contractor Or-. rr-?-7 ( we ,,2 C?f _ i s -*?- 13e- 2oyGC-a 3 `f ?k l Ca cl0 f; S Address IS l v l F ca ( c- City /'t -A State /-I l Zip .S-S3 `15 Telephone # ( -752) 9'3 `/ 3 3 9 f/ ?a??/' S a •. e cam/ Gsi 23_s 897 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted M 1 bI III 1? R U Have you previously constructed a building in Eagan with a similar plan? _ Y N If so, 25% plan review fee applies. hi t, AY 0 2 2005 ?I Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 se of work which requires a review and approval of plans. 717 Applicant's Printed Name OFFICE USE ONLY Sub Types ? 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. AR - 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Dp'D Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs /n1 Length Fire Sprinklered Type of Const rF 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. ?c Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: ZL , 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 Lt, 747 ?AJ4 ?? nq 0 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 09 !6r l V-!5- Site Street Address 3 f.'?ahf-+ Ly_ _ Unit # c v Property Owner Ve e i ?? crd+ ?? F?- ?/ Telephone # (6S-1) `I--2 -22 a Sr Contractor ( ) Telephone # Address city State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 X Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). -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 $ S? 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 Vin, ,?? ?I? ?)l Applicant's Printed Nam Applic"t's Ignature S4 CC? tts, D? rl? "-,? Wfl??t l «S Cam' we,. ??? Ssz A 1 l CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: BUILDING 031969 Date Issued: 0 5 / 15 / 9 8 SITE ADDRESS: P.I.N.: 10-14303-020-01 DESCRIPTION: 3689 ROBIN LANE LOT: 2 BLOCK: 1 BLACKHAWK ACRES 4TH ermit Type )%,k Type SF DWG NEW R-3 Y-1 VN R-1 43 38 ' 2 1,684 101 1 - FAM. DETACH c_ REMARKS: S & W PLBR - VALLEY PLBG PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Lie. Search Fee Subtotal $1,012.25 $657.96 $62.50 $1,000.00 100 1 .15.00 $2,737.71 $125,000 MISCELLANEOUS $1,592.50 Total Fee $4,330.21 CONTRACTOR: - Applicant - ST. LIC OWNER: MENDOTA HOMES INC 16886342 0003165 MENDOTA HOMES INC 822 MONET CT P 0 BOX 416 FOREST LAKE MN 55025 FOREST LAKE MN 55025 (612) 688=6342 (612)688-6342 I ED tir. sIGNAT E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 41330. 11 319C9 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 6814676 ? 3 registered site surveys • 2 copies of plan • 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? t energy calculations fir heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/83 required: _ Yes DATE: -3 fop` I CONSTRUCTION COST: ?DDa DESCRIPTION OF WORK: STREET ADDRESS: /--?wo "( 7M.6J/ti LOT _C21 BLOCK SUBD./P.I.D. #: PROPERTY Name: Z)I,?Vd? l'T/C/// a -i>L Phone #: OWNER ... ?C3 /J? Y'l O ,?.. Street Address: City: % C?c1 A??7?tf?-c State: 142117 Zip: !27 CONTRACTOR Company: AK-Phone #: Street Address: tte)x 449/ Adj ? License M City: State: R2 Zip: ARCHITECT/ Company: Phone #: ?l^- ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): 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 informati (nis:co ct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / B /,/ i _ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received k`Yes No Tree Preservation Plan Received Yes No ?t Require" 10 BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? X02 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 _-plex ? 15 Deck WORK TYPE ?d- 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 ^1 Basement sq. ft. Al _ Main Iejvel sq. ft. 7 " sq, ft. 72-? Citi. a- sq. ft. 2- ?i 3'- sq. ft. sq. ft. 38 Footprint sq. ft. Building ILn s a k r 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous - MC/WS System ? City Water -Z 0) Fire Sprinklered s w PRV Booster Pump Census Code. 10) 8 SAC Code Si Census Bldg i Census Unit I Engineering Variance Permit Fee Surcharge Plan Review License MCM/S 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 - Valuation: $ S o cc, i3u seW,B„q-- ? '> x 3z -7 -7 4-4 rb !! i• isd sv ?1 s / ?e? zJ ,e l1 zN ft) 31 S/ _ ?0? svx? 3$ e7"n .41e, Total: --! 2?xzg %SAC SAC Units 7 jyP I -7 i+0 S y ? Zi I r? 31 S</ . cl3? zSc/ , 5 (.0 r6 4 ?(? = -9y`0, r 1zy, x-70,-- Surveyor's Certificate SURVEY FOR - :MENDOTA HOMES DESCRIBED AS :lot 2, Block 1, BLACKHAWK ACRES 4TH ADDITION, City of=ogan, Dakota County Minnesota and reserving easements of record. EAGAN, eV DATE 6- 7-43 BUILDING INSPECTIO (ZET WAW -rap of u pT 933,0 ± I. !.LJ LOT SQ FOOTAGE = 12,067 ?i V Ii PROPOSED ELEVATIONS Top of Foundation = $24.2 Garage Floor = 824• fo Basement Floor =621.8 Aprox. Sewer Service = 815.9± Proposed Elev. _ Existing Elev. _ Drainage Directions = Denotes Offset Stoke = HED?LUND PLANNING ENGINEERING SURVEYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (612) 405-6600 Fox: (612) 405-6606 SCALE: 1 Inch = 30 feat BENCHMARK, MIN. SETBACK REQUIREMENTS Front - E-y-tHouse Side - 20 Rear -Is Garage Side-la I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PJRPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT SHONTJ. DATE 3_i31,98 - fl. FR D. LINDGREN. L 0O SURVEYOR INN OTA LICENSE NUMI3ER 14376 NO: 97R-160 BOOK: I LE: MEND97 LOT SURVEY CHECKLIST FOR RESIDENTIAL PROPERTY LEGAL: C-"\ -!- DATE OF SURVEY: !I LATEST REVISION: w DOCUMENT STANDARDS z ®?? ? • Registered Land Surveyor signature and company ®?? ? • Building Permit Applicant e--'[3 ? • Legal description ? Address 19-- -C] ? • North arrow and scale M-- ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) B--? ? • Directional drainage arrows with slope/gradient % ? • Proposed/existing sewer and water services & Invert elevation M-'? ? Street name 0-?b ? Driveway ELEVATIONS Existina t? ? ? • Sewer service (or Proposed) 12? ? ? Property comers - ? Top of curb at the driveway rl ? ? • Elevations of any existing adjacent homes Proposed [`? ? • Garage floor 0,11 ? • First floor tl-? ? ? Lowest exposed elevation (walkoutWndow) [,? ? Property comers ?? ? • Front and rear of home at the foundation PONDING AREA fif applicable) ? [N-'? Easement line ? O?' ? • NWL ? ? • HWL ? Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS ? ? • Lot lines/Bearings & dimensions ? ? • Right-of-way and street width (to back of curb) tT? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) la' ? ? • Show all easements of record and any City utilities within those easements ??? • Setbacks of proposed structure and sideyard tback of adjacent existing structures ? of ? • Retaining wall requirements mil ? Reviewed: January 1996 CRA1D19M13LDGMMUM UXTURIOR ENYEI,OPE ENERGY CODECOMPUTATION WORKSHRET 11o Determine Cbnpliance with the Minnesota Mergy Code (Section 502 of the State Amended 1983 McAe-I Energy Code) roject t to rkki EXPOSED WALL CALCULATIONS AP.FA "U" VAIM AM x "U" A. Opaque Wall. 1. Masonry/w Crete µ x C. x 2. Fo aEcn Ka N a.? G.<e a1G' .?.?K:t_-?.--_-__ .. •! G'?S . 634 X h. x 3. Wco FYi n??1 a. InsulaW Area t7 o. cox x c-A4P _ 3c,•v6 _ b. Framing AreA (Ave. 1.51 at 16" CC) 30'7,jt?- x 105__ 32 - C. Framing Area (Ave. 10% at 24 oc) x 4. Peripheral Floor F,3jelRim Joist a. 2ere X1"7 27 ? x a? ° J•.rj6 x ----- Il. (;lazing 1. Win9ows A. }t(?t}l?u.r1 225 x ZPa °' Co3 b. X - p _ 2. Doors ? X C. .__ DOM 1. W:KA a. 5O1id x b. With x 2. Met1aL"lam x 13 ° _-I?-°- 3. Overhead x x 4. other_ _ D. ILWAL WAIL ARFA, sq. £t ..................... __163f E. 'IV'I'AI, of AMA x "U" ......................... ........... .. ............. ROOM EMING CALCULATIONS A. Roof/C c iling Insulated Area x -- o•Z- B. Tmoi'./l:eiling Framing (Ave. 15% at 16" cc) x C. wo£/t eil.ing Framing (Ave. 1.08 at 24" oc) I (a0 x oZ # 3 •?? D. Skylight x R. TMAL YCOFXEILI S ARFA sq. [t .............. _ F. TOM CF ARFA x "U" .................................................. .3z - Ill.. IJUIIXINt7 ENVELOPE 1114QUIRRMENTS A. Exposed Wall.: 1). Roof/Ceiang: IUT1U, AREA RUDUIRM "U" ALLOWABLIi (From I.D & LI.E) (From V.) (Area x "U") x 1? _ 'l`JQ.IU I _ x C. WML ALLMMLEE WILDING F3IVEIAPE: ('rota). of A & 13 above)... IV. ACTUAL BUILDING Ii'NVI3LOPE A. EVWed WaU. (Ft?a)t I.E) A. Roof/Ceiling (Frat4i II.F) ACTUAL, (Area x "U") 2vJr?, C. 'DOTAL ACMAL BUILt)ING ENVKWM ('total of A & B)............ z? 9 *(Wets code r"uireo?nts if less than ili.c) V. REQUIRED "U" VALUES WALAS kt7l7E'/?IT.IN? Detached one turd two family dwellings .11 .026 * Multi-Family residential Buildings .238 .033 (3 stories cc less in height) * All Other C rotruction Types (3 stories or less) .238 .06 * AU Other Construction Types (More than 3 stories) .28 .06 ° Based on 8007 heating degree days (Hals/St. Paul) Adjust "U• values accordingly for other locations CERTIFICATION I hereby certify that I have couplebed the above information and that it omplies with the Minnesota Stabs Energy code. 3 M'SD 3-89 CC/SAI/6574 CITY USE ONLY (? I L 8L RECEIPT #: I _I SUED. Acrt s 4 - RECEIPT DATE: TTY" PERMIT # 1999 PLUM$INra PE MPP (RESMENTIAL) crrYoF eAeAN 3830 PILOT KNOB RD F14GM, MN 551 EE (651) 681-4678 Please complete for: > single family dwellings townhomes and condos when permits are required for each unit (Jy backflow preventer for underground sprinkler system FIXTURES EACH p TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished *requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under rounds r' kler if dwelling is under construction 3.00 x = $ U er rounds rinkler if existing dwelling 30.00 x = $ Water close 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- State Surcharge .50 > ----> -> $ .50 Total --> > ----> ----> $ 0 Reminder. Call for inspections of alterations, La. water heaters, water softeners, etc- ---------------------- 1 ty of Eagan ordinances. hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Ci 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: 13 C2 2 Z C. rj 1.1 -/ OWNER NAME:: Min/R 4 W P? TELEPHONE #: (AREA CODE) INSTALLER NAME: au% -- I STREET ADDRESS: CITY: STATE: / Y IP: 5y 3 ( 7 TELEPHONE#: l0(?)- `?33-031 (AREA CODE) SIGNAT RE OF PERMITTEE ?L q BL /AA CITY USE ONLY RECEIPT #: C) 9 SUBD. t a t ?rrL ?" RECEIPT DATE: 0 f 1998 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 ? backflow, preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x -4- Water Closet 3.00 x_ = a' Bath Tub 3.00 x 1 = 3- Lavatory 3.00 x 3 = ?- Kitchen Sink 3.00 x ?_ = 3 Laundry Tray 3.00 x -11- = 1- Hot Tub/Spa 3.00 x = Water Heater 3.00 x t = "- Floor Drain 3.00 x 3- Gas Piping Outlet " minimum -1 3.00 x 1 = 7- 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 "fordwelling 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 " MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL °----- -------------- av-- - ----------------------------------- - 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. SITE ADDRESS: IL.?°1 ( f - OWNER NAME: t l k- INSTALLER NAME: U,t4./ PIS v 1 TELEPHONE#: yol???/ STREET ADDRESS: Q L! U Q f, A -' CITY: ) prC (w STATE: SIGNATURE OF PERMITTEE ZIP: SEIf? CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY LOT BL SUBD. RECEIPT #: ! 7P/5,3 RECEIPT DATE: g/g `5 9X 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-6675 Date: 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 $(24.0 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: 3 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 f imace 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: -3? 0, 2 n1 yJ0in L n r D OWNER NAME: ? ,IBS PHONE #: C_Loq-- 9t?SS INSTALLER NAME: 69-da ( UPil-06 96"b PHONE M STREET ADDRESS: `1LD o l -J2 4W S;V) T- 6.j CITY: rLVi(t°/ ?y/D?LD ?I STATE: h'Il\-J ZIP: 5 5-212 /7 5 0(&'4 SIGNATURE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL SUED. iaya MECHANICAL PERMIT (COMMERCIAL) CITY OF RAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for all commercial1industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: RECEIPT #: RECEIPT DATE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (DaROvEMENTs ONLY): INSTALLER: ADDRESS: PHONE #: CITY: SIGNATURE OF PERMITTEE ($.50 per $1,000 of permit fee due on all permits.) PHONE #: STATE: ZIP: CITY INSPECTOR 2004 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 _/'/ / -'2, < I Site Street Address -61'- z--9 1"ej V Unit # Property Owner l 1-1 ?fZ-10L19 Telephone# Contractor Telephone #} S!i X24 Address Zgd_, r7 /,&Z j CityT/?7.,!gAG5!/4 State Zip ?3 The Applicant is: - Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other; X Water Softener _ Water Heater $ 15.00 X replacement _ additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge • lip F` i? (1 `??? zr-? r $ .50 ? J ' h Total 3 a L00 ? NOV I U $ /S? ' I hereby apply for a Residential Plumbing Permit and acknowledge--that=the info n 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 requirefl to be reviewed and approved,-, i ?)? nz/ P Y 11C Apph6ant's Printed Name plicant's Si ature PERMIT City of Eagan Permit Type:Building Permit Number:EA119397 Date Issued:11/26/2013 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 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 house wrap 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 - Venkateswa Gangavarapu 9617 Apple Mill Dr Elk Grove CA 95624 (916) 242-5330 Intelligent Design Corp 4009 103rd Ave N Brooklyn Park MN 55443 (612) 919-2596 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120346 Date Issued:02/04/2014 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 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. 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 - . 780 Sun Bonnet Ct Rocklin CA 95765 (916) 242-5330 Intelligent Design Corp 4009 103rd Ave N Brooklyn Park MN 55443 (612) 919-2596 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156994 Date Issued:07/29/2019 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Kayla Shute 3689 Robin Lane Eagan MN 55122 (352) 283-3988 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157044 Date Issued:07/31/2019 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kayla Shute 3689 Robin Lane Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157604 Date Issued:08/28/2019 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Kayla Shute 3689 Robin Lane Eagan MN 55122 Ed Brown Plumbing Llc 328 County Road E Houlton WI 54082 (612) 328-0827 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166247 Date Issued:12/22/2020 Permit Category:ePermit Site Address: 3689 Robin Lane Lot:2 Block: 1 Addition: Blackhawk Acres 4th PID:10-14303-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kayla Shute 3689 Robin Ln Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature