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3770 Robin Lane Kertif Cate of CccupancC wits of Wagan Tgro M cut of exitwing 3x4ectiou 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: SF Bldg_ Permit No. 34228 Occupancy Type R3 Zow" Dssaia ' 1 Type Consi. UN Ownesot Building MIAT. AC;CSR F MES TN" Ammw6600 CAHHJ- AVE, INSI R GRM NTS MN' Building Ammss 3* ROBIN LANE L,odity 1.62 BIIAWK. AGU Date: /. / Slikling Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD ? OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I "I AN ItE Vjf 111 11 HY r l- A 1 14 ?dr,.???,:;• ; K i Ar 1 d1 to %) +, c? r b:, I ; APPLICANT: Permit Holder Date Telephoned SEWER/ WATER PLUMBING ?! 9 lff a95n, HVAC Inspection Date Insp. Comments FOOTINGS ?j FOUND ??ll FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL / GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L Address 3770 ROBIN LANE Zip 5512 2 Lot 062 Blk Sub BiAmAwK Ar: gs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: a? 9 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage ` Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?1 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: RU7l.01NG. Permit Number: 0 3 4 2 2 8 Date Issued: 12 / 1.7 / 9 8 SITE ADDRESS: 1770 RORIN LANE LO1`- 62 BLOCK: BLACKHAWK ACRES P.I.R!,, a 10--14300-062--00 DESCRIPTION: SF DWG NEW R-3 VN R-3 44 27 1. 101 11 - FAM. DETACH r _ 4 e fs ( },'If i t ?1! 7? L l:, t rLi REMARKS: PLAN RFVIEWFO BY CRAIG NOVPICZY'K. .S & W PLUMBER IS TSCHIDA PHONE 4488-2596. FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAG IJni'Ls Subtotal ^ut d np ermit Type= Biildinq Work Tvpe JAC Occupancy;y Construction T Zonino Building Lenoth t €tltildinq Width 8u?Jetinq.'sto rias ,CAA "s C:odo $862.25 $560.46 $48.00 $1.000,00 1.00 7. $2.470.7:1 $96..000 MISCa FEES Total Fee. '"4.063.21 CONTRACTOR: EQUAL ACCESS HOME'S 23j+7 78TH ST E IN.,,FR GROVE HTS MN (C,12) 450-6292 -- Applicant: - ST. LIC 14506292 0002816 55076 OWNER: EQUAL ACCESS HOMES INC. 6600 CAHILL AVENUE INVER GROVE HGTS MN 55076 1612)450-6292 I hereby acknowledge that I have read' this aDDiication and state that the intormation is correct and agree to comply with ail aoDLicabl:e St'ata of Mn. Statate5 and City o't Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE UED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 L` 0 7? I 0 681-4675 n (? New construction Requirements Remodel/Repair Requirements S- # 9 registered site surveys 3 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 7/1193 required: _ Yea _ No DATE: rz/ DESCRIPTION OF WORK: STREET ADDRESS: 0 (A F.0 LOT: ?26 BLOCK: # 2 copies of plan # 2 site surveys (exterior additions & decks) # t energy calculations for heated additions o CONSTRUCTION COST; ?.b 006 37 vx"'zs.? ?,/../ SUBD./P.I.D. #: 'DSO -6r?5? Name: `t 1 `g r?r S Phone #: PROPERTY Last First OWNER Street Address: ? ?' O O ,/Ca ?-/ 1( -e city v e G ov ?-/ /S State: /PrN nr Zip; SS 0-7l 0_ka i,- ,e \fa.ce 104,' Pr 6a/-8167 Company: 4: (q / X c c ess y? e_C -L c Phone : YSD ' ?"?S ?- CONTRACTOR I/ 6R37 y] 3131q Street Address: E' 9 r 1 JI V r License # City ? U e.? State: Zip: S S o 7 6 ARCHITECT/,,, ENGINEER Company: Gil?{SC Name: rlre \)Occ( X191- d'i6 7 Phone #: z/So_b?9a Registration #: Street Address: 66o o C`' 4 `? 4-v e city State: Zip: ?5 v 7 Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. °7s-cl, ling- -a.-t:- I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican OFFICE USE ONLY Certificates of Survey Received ?/ Yes No Tree Preservation Plan Received Yes /4'3U" OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish X02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE k31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 5 - ?/ Basement sq. - ft. / / 3 ?5 MCNVS System (Allowable) 5 - A7 Main level sq. ft. ( 28 e? City Water UBC Occupancy e' (3 aran*? sq. ft. "ti' Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. /0/ Depth 1,1 Footprint sq. ft. SAC Code 41 Census Bldg I Census Unit APPROVALS Planning Bu ilding Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies IcL-aa5 H,R 0 0 C) 4 Q- i0()U.00 Total: -5 4, O G -13. "a- I Valuation: $ V 6 L `L //33X 15' . /? 94? /z8 9 xSf ?- ?sSa- *?' 535x ?` = ?sG0 =`- ?L 0nvSc- ? LC3 % SAC SAC Units ENERGY CODE WORKSHEET FOR 1 81 FAMILY DWELLINGS l Ca R l SOE ADaRtss ) X O.B I N t^ R N t rxTY E'9 COfiIFTFPRr Ol C PROMES _ DATE I - IC tuaDlNC eusa+PlwncN: Q eattgory.l (mueetncws..eovu^*na v.MPMWn) a ealayory 2 (MtM.ro1 Feumatlon insvl.Apn.R16 4{.q.6 tAe $I46 er 5'.d.!nllVi.licn?gl0 - Bw WOM en nv{ne {At for {IIaw.Ob AM ft Aft NO lid pensMpeel Rexsd HIM P..' "v JrMAW1 IOAM4.Q2d Fard.tian Windom 112' IMul.l.d w!" . „re sr i W r. a oaer Am A. Total W Allow d Dow Are. In So. PW W NOOWS I"drq FOUMAthn WPX0"': MNDOw MANUPACTM NAMFtX"? ^-- VA000W .AANUCACTUAC TMetl: vawooW MANUFACTURE UPACTOR,_ • N R. O. D'^iMIOM 0A IF* Sq.1tAn{ 6o x y _ .. !......_ /X r rR Vdl ;y _ m OOORr x - -?-- x !.. MLI ArNT of ? . M-A,. A Dow, Ana A. -rnl.l wum m" In Saa Irt wri Tmu ?Mnr1m ?,I ` s' A• ?31.7 44A Atit RJaWNn RgIC wa a RS&W Raw$ j1J a cokow;stna.porters slwoo C. Frwn 8htp i,dWWO bm A (YHUdow & Door Amu) by box 8 (TOMI Woo Ana) tlmw 100 equals C (the window and deer ants pwoont w wvm we* e A a ?,7. ? ta4Y x1ma co is? . No Rrr STANDARDPMA1ANIJ. i4MS t1P e.C ADVAMMU PRAMIW wA" CAvnYIrK'iexatco g-21 WrAnwim' B]idw LESS THAN 4 N3 • (07 PA :OR MORE Fran uO wft (WOW slaty dw bw tw mmhtetnn pov wni window & door tat Rx vw design apdant *o*c d and inter `. eat % vabtt On 0 bWOw IWd on owtw/iRddw mPg. U4Ww. DE the /b vahu 6om the v6* on 0 epW be McUa) tO or W"M+r dwn the %In C et d WM{ °' /xd Sy" ** * 49 PIONEER * en®neer? Certificate of Survey for; 3770 LAND NOTE: EXISTING AND PROPOSED CONTOURS TAKEN FROM PLANS PROVIDED BY OTHERS. EXISTING HOUSE 838.7 836.5 EXISTING COyTOUR (TYPICAL) \ rr ' UTILITY FEE r'?--PER DEEEDD 839.0 \ 2 ? /, t?"$81 6 •t852.0 AD r4o r® .r 1 3 r_ ?- NOTE-. PROPOSED GRADES SHOWN PER GRADING PLAN BY. NOTE: BUIIDINO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR B FOUNDATION DIMENSICNS. NOTE: NO SPEGFIC SOILS INVESTIOAMON HAS BEEN SURVEYOR. THE SUITABILITY OF SOILS TO SU PROPOSED 15 NOT THE RESPON51BILITY OF 11 NOTE: THIS CERDRCATE DOES NOT PURPORT TO SHOW EASEMENTS THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM WE HEREBY CERTIFY TO EQUAL ACCESS HOMES THI SURVEY OF THE BOUNDARIES OF; THAT PART OF LOT 8, SLACKHAWK ACRES, LYING W LINE OF SAID LOT 6 A DISTANCE OF 128.60 FEET M CORNER OF SAID LOT 6; THENCE SOUTHERLY AND I EXTENSION A DISTANCE OF 100 FEET, MORE OR LES ENDING. SUBJECT TO A PERPETUAL EASEMENT FOR SAID LOT 6 IN FAVOR OF KNUTE 0. STALLANO AND if DOES NOT PURPORT TO S}IOW IMPROVEMENTS 01 UNDER MY DIRECT SUPERVISION THIS 21ST DAY OF REVISED 12/10/98 MOVE HOUSE ADD CONTOURS SCALE ; 1 INCH R 40 FEET S 4 CIVIL E LANDSCAPE 2422 Enterprise Drl Mendota Helghttl, MN 55120 (812) 881-11114 AX-881-8488 625 Highway 10 N,E,I Blaine, MN 354.14 (812) 783-113801FAX:783-1883 AL ACCESS HOMES BIN LANE Loto 000 ?s V BENCH MARK EREV%8 49P93 I 90'45'51" NTH LINE OF LOT NE CORNER OF LOT 6?-.,`? 865.0 8 -?? 854.5` 3 ?_. 128.62 - 865.6 860.0 859.1 =? ? ? ao? ?? a I a` LU 1 5 ?w z I L ?W I .J I a? iN ? „p _ 851!.8 PROP?TV4I ,0(NT UR +10 i? (TTIYPP?I LL)) G 857.3 -?? x857 --SOUTH LINE OF OT 853.3 855.6 856.6 862.5 BENCH MARK ,Top OF PIPE ELEV.=854.56 L LOCATION LOWEST FLOOR :LEVA AND TION: - L p TOP OF BLOCK ELEVA T ? TION: ZI(C 9 S HOLOT USEY HE GARAGE SLAB ELEVA - TION: ER THAN X000.00 DENOTES E105 NO ELEVATION . ( 000,00 ) DENOTEE PROP ELEVATION. DENOTE: CRAB AGE ANO UTILITY EASEMENT -?- 09NOTU DRM AGE FLOW DIRECTION ..-? DENOTET, MGN MENT ...-g.-_ DENCM. T HUB THIS IS A TRUE AND CORRECT REPRESEN DON OF A ST OF A LINE DESCRIBED AS BEGINNING AT A POINT ON THE NORTH 3TERLY MEASURED ALONG SAID NORTH LINE FROM THE NORTHEAST RALLEL WITH THE EAST LINE OF SAID -OT AND ITS SOUTHERLY TO A POINT ON THE SOUTH LINE OF SAID LOT 6 AND THERE TILITY PURPOSES OVER AND UPON THE NORTHERLY 5.00 FEET OF ATHINKA P. STALLAND THEIR HEIRS, SUCCESSORS AND ASSIGNS. ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR )CT., 1998. ////// SI; ONES ENGINES P.A. 9 - •- LOT SURVEY CHECKLIST FOR RESIDENTIAL N NG PERMIT A A _ L ? PROPE C? ? RTY LEGAL: ?y o DATE OF SURVEY: LATEST REVISION: Z ?/ C3 f y DOCUMENT STANDARDS V F a °z '_+ 2c+ / ? Z ' 13 Registered Land Surveyor signature and company ? /- Er ? ? Building Permit Applicant 0 111 13 • Legal description / 3 ? ? • Address ?? ? • North arrow and scale O/? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) el' ? ? • Directional drainage arrows with slope/gradient % 3"11 ? • Proposed/existing sewer and water services & invert elevation ? • Street name ? ? ? • Driveway ELEVATIONS Existina ? Sewer service (or Proposed) 11 o ? • Property corners d t th T f b i of ? ? veway e op o cur a r I?f' ? ? Elevations of any existing adjacent homes Proposed ?? ? Garage floor [[?? ? • First floor M''o ? Lowest exposed elevation (walkout)Wndow) ? ? • Property corners ?? ? Front and rear of home at the foundation PONDINGPONDING AREA?f applicable) applicable) ? ? Easement line ? Cd' ? • NWL ? ta-, ? HWL ? rte. ? Pond # designation ? Cr ? • Emergency Overflow Elevation DIMENSIONS p-? ? ? • Lot lines/Bearings & dimensions er, ? ? Right-of-way and street width (to back of curb) '6,11 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 2- ? ? Show all easements of record and any City utilities within those easements -ff- ? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ? Retaining wall requiremmajs, if any Reviewed: Name D to y January 19M CRAIG19W8L0GPRMT.FM RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmetlon Reautremerds • 3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan l lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE -5-,)" C) SITE ADDRESS 3?70 1 o6l • \, TYPE OF WORK II E W - q-APPLICANT STREET ADDRESS TELEPHONE # I MULTI-FAMILY BLDG -Y KIN FIREPLACE(S) X0_1_2 CELL PHONE # PROPERTYOWNER 13reA+ ri ? t STATE ZIP FAX # L ( '?q q q 3 a.z n ?A TELEPHONE 11 6S1 736 qj 7q dcfy COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor. Water Softener Water Heater No. of Baths ?v d ?o RemodelfReoair Reaufremerde • 2 copies of plan • l set of Energy Calculations for heated additions • Isite survey for exterior additions&docks • Indicate l home served by septic system for additions VALUATION Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System -------°°----------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Ord Signature of Applicant OFFICE USE ONLY Phone # Fee: $90.00 1 M 9? 5 L, 0 MAY 2 0 2002 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ?` 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bl dg only) - Give PCA handout to applicant Valuation L (? LAO Occupancy rz "uQ MC/ES System Census Code -f?-?-? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V J Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Y FinallNo C.O. _ Footings (addition) Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone Fireplace _ RI. - Air Test _ Final - Windows (new/replacement) Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC *20 City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , . * 2422 Enterprise Orly ?L Mendota Heightu. MIS ?ollesep LAND 20 VVW , aVX DTC (812) eat-11M4 Offs ire; I` to LAND ftAMO • OAK ARW=T5 625 Highway 10 ?E * Blaine, MN 85<4 (812) 78349x0 Certificote of Sur1 vey,,3foTr7:u . EQ. AL ACCESS HOMES GRIN LANE NOTE: EXISTING AND PROPOSED``CGNTOURS'''' TAKEN FROM PLANS PROVIDED BY OTHERS, I I d 1' V 4 4µ .s By - 1) • / HOt1sEG EA.GAN ENGINEEZ 838.7=' ?r? 4 836.5 I gENOi{ MARK {I TOP OF IP 839.0 Nll?ij I EXIS?TYP I AL TOUR 6. 6 •,852.0 ?T ELEV,e8$9.43 - 90'45'51 " NE CORNER 01 2 'O 880.0 0 _ :O CJ 859.1 = W ?W 14433 ;T '. RTH LINE \ dT ?? 848.3 NOTe. PROW m GRADES SNDTRI PER GRADING PLAN BY: NOTE: BIAIDINO DIMDiSONS SNONN ARE FOR HORZOiTAL AND .. we 'e.u"ce".m a AY! VAD D NOTE: gNoR? pTABWttAOFON?H?AgS PROPOSED Di HOgT 1HE RESPOHSIBIdTV PROP?pfW??I Ip (1YPIC1IL? 857.3 '857.%- SOUTH LINE OF OT L""A1°" LOWEST FLOOR AND TOP OF BLOCK LOT THE GARAGE SLAB BENCH. MARK I RVY80a NOTE: THIS CERTIFICATE DOES NOT FUMPORt to SHOW EAMeNTS THOSE "Vill ON THE RECORDED PLAT- NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: eEARNCB SOSN ARE DASD ON AN ASSUMED DATUM WE HEREBY CERTIFY TO EOUAL ACCESS HOMES THE SURVEY OF THE BOUNDARIES OF: THAT PART OF LOT 6. BLACKHAWK ACRES, LYING W LINE OF SAID. LOT 6 A DISTANCE OF 128.60 FEET V CORNER OF SAID LOT 6; THENCE SOUTHERLY AND I EXTENSION A DISTANCE OF 100 FEET, MORE OR LEE ENDING. SUBJECT TO A PERPETUAL EASEMENT FOR SAID LOT 6 IN FAVOR OF KNUTE 0, STALLAND AND j r DOES NOT PURPORT TO SHOW iMPROVEMENTS 01 UNDER MY DIRECT SUPERVISION THIS 21ST DAY OF REVISED 12/10148 MOVE. NOUSE'ADD'CONTOURS OP AI C . , INN Q. 46 FEET 1N THAN x onoo Doom 0W.40 )' _0E407E1 _ DENDmi 09NOTE£ DENDTE£• THIS IS A TRUE AND CORRECT REPREI 55120 ."m 783-1x83 DEPT. V) o I J W 863.3 I IUN: TION: ION: w c IO ELEVA110N so ELEVATION HIE AND uTluTY EASMENT V1e FLOW DIRECTION HUB TION OF A iT OF A LINE DESCRIBED AS BECINNINO AT A POINT ON THE NORTH STERLY MEASURED ALONG SAID NORTH LINE FROM THE NORTHEAST RALLEL NTH THE EAST LINE OF SAID _OT 11 AND ITS SOUTHERLY TO A POINT ON THE SOUTH LINE OF SAIO- LOT 8 AND THERE F SUCCESSORS AND ASSIGNS. ATH NKA RP.OSTALLAND THEIR UPON ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR K;T,. 1998. SI EDI WE ENGINE P.A. 01 CITY USE ONLY L _r BIL RECEIPT#: I0340<o3 SUBD. /,?? ?/??e r 4? r ?(AA RECEIPT DATE: 3 9 1999 PLUMBING PERMIT (RESIDENTIAL) / 2 CITY OF £AGAN . 5146(0 3630 PILOT KNOB KD EAGAN, MN 55122 (651) 661-4695 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system ----------------------------------------------------- Alterations to existing residence ------------------------ 30.00 -------------------------- = ------------- Water Turn Around 30.00 = Private Disposal System MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = FIXTURES EACH TOTAL Shower 3.00 _T _ x ? Water Closet 3.00 x _ 4/0? Bath Tub 3.00 x = Lavatory 3.00 x = Ioe Kitchen Sink 3.00 x = Lao Laundry Tray 3.00 x = vo Hot Tub/Spa 3.00 x = Water Heater 3.00 x = oc? Floor Drain 3.00 x = ?oo Gas Piping Outlet ' minimum -1 3.00 x 3.00 Rough Openings 1.50 x = Water Softener for dwellings under constructi on 5.00 x = U.G. Sprinkler for dwelling under const. 3.00 = " ?O O STATE SURCHARGE .50 Reminder: Call 681.4675 for Inspections of water heaters, water softeners, alterations, etc. TOTAL ----------------- i- ---- -- --- ---- ------------- -------- --------- --- ------- ----- -f-- - ---or---dina-----nce-- Ihereby acknovAedge that I have read this application, state that the information is wmect, and agree to comply with all applicable City o Eagan s. 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: OWNER NAME: INSTALLER NAME: TELEPHONE #: STREET ADDRESS: A ? 6 ??fG?7?7 CITY: STATE: ZIP: OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 L ©? 01 BL O CITY USE ONLY RECEIPT #: 1700 ?2 SUBD. RECEIPT DATE: S ?? / 9 PERMIT # 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF I. ALAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651)6$1-4675 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 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 iic. 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 = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = S Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ .50 Total --> > > ..--> $ Reminder: Call for inspections of alterations, Le. water heaters, water softeners, etc. ---------------------------------------------------------------------------------------------------------------------------- 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 activ?iitties to the facilities constructed under this permit within City property/right-of-way/easement. nSITE ADDRESS: 3 ?CB ld?l L J c . OWNER NAME: : INSTALLER NAME: STREET ADDRESS: 5Wf 0/+K TELEPHONE #: 6o?7 Mr 2L?-2- (AREA CODE) TELEPHONE #: c? l? ?- me` (AREA CODE) CITY: - STATE: ZIP: ?Mo SIGNATURE OF P MITTEE CITY USE ONLY L0101 ,'- BL RECEIPT #: ?0JI4 SUBD. RECEIPT DATE: -0':0/-F9 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NN 55122 Date: ?- /grI /?C! / (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied A?9q • HVAC: 0-100 M B T U $ 24.00 3a . 00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: • TOTAL: .50 5 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: OWNERNAME:/AL^??H? L?fSS 6/72 PHONE#: ?•S?/- ?SD'loaClo? INSTALLER NAME. T/LJ L PHONE #: STREET ADDRESS: CITY: STATE: M ZIP: 6 7 S --t[GNATYKE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL SUBD. RECEIPT* 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: CONTRACT PRICE: WORK TYPE: NEW CGNSTRUCTION INTERIOR .a?'RCVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: ($.50 per $1,000 of permit fee due on all permits.) OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: PHONE #: ADDRESS: PHONE #: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR -city of eagan MEMO MEMO TO: COMMUNITY DEVELOPMENT STAFF FROM: ERIK SLETTEDAHL, PLANNING INTERN DATE: MAY 10, 1995 SUBJECT: ZONING CORRECTION FOR BLACK HAWK ACRES: R-3 TO R-1 CORRECTION A call was received from a resident at 3733 Blackhawk Road inquireing about the zoning and allowable expansion of their property. The resident was told their property was curretly zoned R-3 (townhouse), although a single-family home now exists. Any expansion to the existing home would not be allowed due to the ordinance pertaining to non-conforming structures. The resident was very concerned because the home was on the market for sale and he claimed the zoning would effect the re-sale value of his home. The resident was told Staff would reseach the zoning history of this property for any possible errors. In 1971, the area to the south and west of Blackhawk Acres was rezoned from R-1 to R-4 (townhouse, now R-3 by current definition), however, the area of single family homes along the West side of Blackhawk Road was not included in this rezoning. It appears that a line error in the subsequent zoning map update caused this area of single-family homes to be rezoned R4 (townhouse, now R-3 by current definition). The following parcels should be designated as R-1 (single-family) on any future zoning map updates or descriptions: -Lot 1, Block 1 Blackhawk Acres -Lot 2, " -Lot 3, " -Lot 4, " -Lot 5, -062-00 Blackhawk Acres -061-00 Blackhawk Acres -10-01700-010-81 -? amity of ccage 3830 PILOT KNOB ROAD THOMAS EGAN EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 4548100 DAVID K. GUSTAFSON FAX: (612) 454-8363 RAVELA McUEA TIM PAWLENTY THEODORE WACHTER Council Members THOMAS HEDGES October 11, 1990 City Administrator EUGENE VAN OVERBEKE City 0k SUSAN DIETRICH 4826 LYNDALE AVE S MINNEAPOLIS MN 55409 Dear Ms. Dietrich: I want to take this opportunity to thank you for contacting the City regarding the special assessment obligations on Lot 6, Blackhawk Acres. As I explained to you during our telephone conversation of October 9, 1990, the staff of the City is agreeable to your deferring the payment of the amounts outstanding until the closing of the sale in December of 1990. In my letter to Ms. Castellano I did note that the amounts stated were good through October 15, 1990. In this letter I am presenting the amounts due as of December, 1990. The City has recorded a lot split on the property and allocated the assessments between these two parcels. The amounts due for the senior citizen deferral are: Total Street (Robin Lane) $4,331.49 Services Total 10-14300-061-00 $4,331.49- 2,728.92 $7,060.41 $4,331.49 10-14300-062-00 $2.728.92 $2,728.92 There is an additional installment of interest included in these amounts when compared to my correspondence with Ms. Castellano. Payment of the above referenced amount will relieve the parcels of the obligation related to the assessments that had senior citizen deferral status. THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer SUSAN DIETRICH OCTOBER 11, 1990 PAGE TWO For the vacant parcel there is an additional financial obligation that will need to be satisfied as that newly created parcel has not paid for its share of the City's utility infrastructure. The obligation is computed using the 1990 rates and consists of the following: Storm Sewer Trunk Charge $ 505.12 Sanitary Sewer Trunk Charge 690.00 Water Trunk Charge 695.00 Total $1,890.12 This amount need not be paid in cash at the present time, but it can be assessed to the property and collected over a 10 year period at an interest rate of 8.5% on the unpaid balance. Your execution of a waiver of assessment will accomplish this purpose. Please contact me to process the waiver. If you desire any additional information, please contact me at the City. Sincerely, Gerald R..Wobschall cc: 10-14600-061-00, 10-14600-062-00 Finance Director VanOverbeke GRW/jeh 7LD-c1tv Of 3830 PILOT KNOB ROAD FAGAN, MINNESOTA 55122-1897 PHONE: (612) 454-8100 FAX: (612) 454-8363 September 26, 1990 DIANE M. CASTELLANO 3745 BLACKHAWK ROAD EAGAN MN 55122 Dear Ms. Castellano: THOMAS EGAN Mayor DAVID K GUSTAFSON PAMELA mcCREA 00 TIM PA%UN Y p? THEODORE WACHTER G Council Members I q 3 U THOMAS HEDGES (01 City Administrate EUGENE VAN OVERBEKE City Clerk I am addressing this letter to you because of your representation to the City's utility billing department that you are the owner of the property at 3745 Blackhawk Road, Eagan, Minnesota. The City desires to call toyouur attention the existence of a transaction that has a financial impact upon the owner of the property. Kenneth Hassler, now deceased, petitioned for and was granted a senior citizen deferral of the payment of special assessments on his property at 3745 Blackhawk Road. A condition of the senior citizen deferral is that the property be homesteaded by the senior citizen. It is the understanding that this condition is not being fulfilled because of the demise of Mr. Hassler. A further condition of the ordinance is that after the property loses eligibility for senior citizen's deferral, amounts that have been deferred become payable. The payment amount has been computed to be $5,035.99. % This payment amount is good until October 15, 1990. After that payment is made, there will be a remaining obligation of $1,603.50 (principal only). Interest accrues on the unpaid portion of the assessments at the rate of 10.5% per year. I ask that you contact the City to agree to a payment plan no later than October 15, 1990. If you do not contact the City by that date, the City will certify $5,035.99 to the County Auditor for collection with the 1991 taxes. I am enclosing a copy of the appropriate section of the City Code as it relates to the senior citizen's deferral. Further, according to the records 'received from the County the property at 3745 Blackhawk Road has been split into two lots. Based on the records of the City there are additional assessment obligations related to the newly created parcel.. If you have an ownership interest in that newly created parcel, the City desires to inform you of that obligation as well. THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer DIANE CASTELLANO SEPTEMBER 26, 1990 PAGE TWO If you do not have an ownership interest in either .property please provide that information to the City. Sincerely,, Gerald R. Wobschall cc: Eugene VanOverbeke, Finance Director/City Clerk Parcel File 10-14300-061-00 and 10-14300-062-00 Enclosure GRW/jeh restrictions as the Council may deem proper to protect the City's interests, nor shall anything contained in this Sec- tion limit any right or power possessed by the City over existing franchises. SEC. 2.73. ABSENTEE BALLOT COUNTING BOARD. The Council hereby authorizes an Absentee Ballot Counting Board and further authorizes the election judges of such Board to receive, examine, and validate absentee ballots. The further duties of such board shall be those provided by :statute. SEC. 2.74. SPECIAL ASSESSMENT POLICY. The Council may, by resolution, adopt, from time-to-time amend, or repeal a special assessment policy. SEC. 2.75. DEPERMENT OF SPECIAL ASSESSMENTS. Subd. I. The Council may defer the payment of any special assessment on homestead property owned by a person who is 65 years of age or older, or who is retired by virtue of permanent and total disability, and the City Clerk- Treasurer is hereby authorized to record the deferment of special assessments where the following conditions are met: A. The applicant must apply for the defer- ment not later than ninety days after the assessment is adopted by the Council B. The applicant must be 65 years of age, or older, or retired by virtue of permanent and total disability. C. The applicant must be the owner of the property.. D. The applicant must occupy the property as his principal place of residence. E. The average annual payment for all assessments levied against the subject property exceeds 18 of the adjusted gross income of the applicant as evidenced by the applicant's most recent Federal income tax return. The average annual payment of an assessment shall be the total cost of the assessment divided by the number of years over which it is spread. Subd. 2. The deferment shall be granted for as long a period of time as the hardship exists and the condi- tions as aforementioned have been met. However, it shall be the duty of the applicant to notify the City Clerk-Treasurer of any change In his status that would affect eligibility for deferment. Subd. 3. The entire amount of deferred special assessments shall be due within sixty days after loss of eligibility by the applicant. If the special assessment is not paid within sixty days, the City Clerk-Treasurer shall add thereto interest at 8% per annum from the due date through December 21 of.the following year and the total amount of principal and interest shall be certified to the County Auditor for collection with taxes the following year. Should the applicant plead and prove, to the satisfaction of the Council, that full repayment of the deferred special assessment would cause the applicant particular undue finan- cial hardship, the Council may order that the applicant pay within sixty days a sum equal to the number of installments of deferred special assessments outstanding and unpaid to date (including principal and interest) with the balance thereafter paid according to the terms and conditions of the original special assessment. Subd. 4. The option to defer the payment of special assessments shall terminate and all amounts accumu- lated plus applicable interest shall become due upon the occurrence of any one of the following: A. The death of the owner when there is no spouse who is eligible for deferment. . B. The sale, transfer or subdivision of all or any part of the property. C. Loss of homestead status on the property. D. Determination by the Council for any reason that there would be no hardship to require immediate or partial payment. SEC. 2.76. PARTIAL PREPAYMENT OF SPECIAL ASSESSMENTS. Subd. 1. Scope. Partial prepayment of assess- ments in connection with any assessments adopted by the Council and certified to the County Auditor for collection may be made at any time., Subd. 2. '1'a'V*ent. The owner of a6 property so assessed may, within 30 days of adoption of the assessment roll by the Council, prepay.any or all of his assessment to the City. No interest will be charged on any portion of the assessment paid within said 30 days. The remaining unpaid balance of the assessment shall be spread at the same rate of interest and for the same term of years as the original assessment. SEC. 2.77. EMERGENCY PREPAREDNESS PLAN. The Council may, by resolution, adopt, from time-to-time amend, or repeal an emergency preparedness plan for the City. 24 (1-1-83) 1 25 WAIVER OF HEARING NO. 00353 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: West Half. Block 6. Blackhawk Acres 10-14300-062-00 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT NO. Senior Citizen Deferred Payments $ 1,946.47 TOTAL $ 1.946.47 to be spread over 4 years at an annual interest rate of 10.58 against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October 15th, the first year's installments cannot be prepaid and it includes interest from the date of signature to December 31st of the next year. The undersigned, for themselves, their heirs, successors and assigns, hereby consent to the levy ring s necessary, and waive further, hereby waive notice of any and all hea objections to any technical defects y pro assessments, and further waive th fight to o assessments made pursuant to th' agreement. // Dated: ?? (/ O V / 0 K-L, %-Fl?7s sf-! By: executors, administrators, of these assessments, and ceedin s related to these ct to or appeal from these Its: STATE OF Orl? ) ??flf1 )SS COUNTY OF e c)-r -7 ) On this Z D day ofAU?/z'-* t3C-Ag, 19?U efore me a Notary Public within and for said County, personally appeared ?((Sf3?v ?%E Tk/G14 to me personally known to be the person described in and who executed the foregoing _ instrument and acknowledged that S14 e- executed the ?same free act and deed. Public 99dPMPJIAOCTPCaPPPMPIM MAAIIYN L WUMEMEHNIG ie'A t,kh NOWY PUCU' - MINNESOTA D.41:OTA COUNTY 44 My Corn,iisslon UP F0 & IM Y :9OO0PSU1SvLJ: CPPP:. a.^^. ss. o )4-- ffl FOR CITY USE ONLY Reviewed: Eagan Public Works Department HILLCRF9T OEVEL-OPMCNT -FROY 1. A L-LJC.ILLG POMP P/O 0,0•,9 H111cnes7 Ocvt of B cuno? ? ? I ORGty ? 9(>I XIN OUflm c 1 2 !? 4 S 8 ZQ l 9Q. 1 2 3 5 6 ,? g, ^ J1 ? y bu*Lm I , ? ue? J 1 i 115213141 n q . .e df- 1. , ti i r% It 1C r 7 c I s, .-? P ?O0 .c ,s d( ?w 2 , iv 061-00 2 Z aO-21 BicOhsroy 6 rho/~ n t/tyor !J, Ac 4100 1 IF. 4 ?? - - 4 S 6 ' tot I ?BLK.21 b? ti` e ^ ? r \\?c e • 0 r rev;DTOi 7Denn ?ohnsorr L uLSe? M• f oYO.7 f c Aai,(?a O. d ,ful J O/•fe/s p bo -7f 3 >a//e /sd eu we ?srr,rr/nond K. ei Msr/s L • B re w rf 070-7f , i1 oyo-7f eV w , , , Parcel 10-14300-062-00 WAIVER OF HEARING NO. 00354 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: West Half. Block 6. Blackhawk Acres 10-14300-062-00 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT NO. Sanitary Sewer Trunk 1 Lot $690/Lot $ 690.00 49 Water Trunk 1 Lot $695/Lot $ 695.00 49 Storm Sewer Trunk 9,020 s.f. .056/s.f. $ 505.12 297 TOTAL $ 1.890.12 to be spread over 10 years at an annual interest rate of 8.58 against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 15th of the current year, interest will be charged from the signing date to December 31st of the current year. After October 15th, the first year's installments cannot be prepaid and it includes interest from the date of signature to December 31st of the next year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right' assessments made pursuant to this agx emen Dated: 1-70 N6V 10 heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these -to-object to or appeal from these V ?/e(?! p1r=7-PJC-& K L• HA- s?-?? By: Its: STATE OF///?NW UT/? ) ; COUNTY OF *)KOff SS On this 26 -7+ 19/ ? before me a Notary Public within and for said County, personally appeared gje,SellJ Ar- D/?F-7/ ICN to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that G executed the same a free act and deed. Not Public ----------------------------------------------------------------------------- FOR CITY USE ONLY Reviewed: .,?yorrreerrrsoe??rerrrrsrsrrsmr ••-::.w, M?RI! YH L WllCIIERPFENNiG 4 11,11 " qO-ARy pu'aj 1. - MINNESOTA Eagan Public Works Department ?°la DAKOTA COUNTY ?,?}}+ My Commi;,icn Exp F.u B. I-93j gppppgh::.0+'sAf`M:L."Jti.^CGOaPJJlffi' HILLCRFST pEVELOPM=NT .L'ROY 1. 4'LIJCILLG PpNp F?oOro-19 N Hlllctiest Ofvt o? ? K I??OlRo ? to cGV,LOT a q- /t1 !L lkx\,N 4.07 I 2 314 6 8 or a % o >+ 9Q Q? ?O Z ounm ? 114213141 1 a.• • ` J i h n • r 9 ' i c ' t i vi " • - 'era . Q?139 s riOC J O/9•s A • Psvbsn?6 Tpsnn ?ohn.aois ,Yt?(rr/ins _0 . y0•'r f • ' ? i/i? O. d ? I • u> O s/aJ bt /o re -Tmsf s 1 IFso ao-tl P,chaid 6 Thy/n+re ,Puo gar i r! Ac ON In ? 0 ,? ? 1 2 3 • ? 6 ? - LOT I n f 0' ?? ^ Q ? in 1e ? C??p J' O r e I' O f+ yi»ond K. 6 Mdri? L. B.•a wn 07e-7f I pop-7f &V A . lp ' 1 1 AA- t Ide f b: o61-po Parcel 10-14300-062-00 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: V �_ Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:/el 2.9/3 Site Address: 3770 Rj h6i (4 I ctsle, Unit #: Resident! Owner Type of Work Name: ,5£Rl9.L 6'f5 miy /1/ Oz" Phone: J Address / City / Zip: 377o Re ,46/41 4/9 g s /22 Applicant is: Owner x' Contractor Description of work: 7g - Construction g -Construction Cos /- co Multi -Family Building: (Yes / No ) Company: 4/07v^'4 Amee C®,vj a9Cr; C` Contact: PAR, 'G,i Address: 77 7 E 7/h 5T City: er ?,*52(/‘ State: 44 4/ Zip: -5570C Phone: 667- 70 7-5t' 72 License #: /36I, 3I_/a9 �p Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o. the information may classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. www.000herstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xPAR T? t9P Applicant's Printed Name A ;can s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169782 Date Issued:06/09/2021 Permit Category:ePermit Site Address: 3770 Robin Lane Lot:062 Block: 0 Addition: Blackhawk Acres PID:10-14300-00-062 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Olga & Serguei Gotsmanova 3770 Robin Ln Eagan MN 55122--113 (651) 329-8300 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature