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3800 Riverton Ave CITY OF EAGAN Remarks r~?~,~.~ /.m Addition _ RT.ACKHA47K OAKS DDTTTON Lot 2 Rlk Parcel 10 14387 020 01 Owner street _3800 Riverton Avenue state- Eagan, MN 55122 Improvement Date Amourtt Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 2,r s` D ' -I - 192 96-12 3.84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 19]] 141.87 9.45 15 - STORM SEW TRK 2, 1983 458.71 30.58 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Urut . WATER CONN. 500.00 BUILDING PER. 1536 sac 575.00 PARK CITY OF EAGAN Y 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE 454-8100 BUILDiNG P,ERMIT Receipt # Tobeusedfor SI' uti'4V/GiU4 Est.Value ~7b •UuU Date `rEBftU.',:tY 2$ ,19 66 Site Address 3800 R I V I•;RTON AV i: Erect Ox Occupancy i{ s Lot 1 Block 1 Sec/Sub. BLACKi:AWK 0t1K5 Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. ~ Addition ? No. Stories (?ZY E1Ei2l~Y HOMES Move ? l.ength ad s A Name Z ~f.i 50 TOLi'ER DR Demolish ? Depth =i o Address , Int Impr. ? Sq. F? C~ty itiUODB[GF~one 459-1163 ~ Install ? o Name Approvala Fees Address Assessment Permit ~ 3 G 7. Ci ti City Phone Water 8 Sew. Surcharge 39.00 183.50 ~°C Y:.L`1'ON FIUTLFR Police Plan Review F W Name Fire SAC 57 5. 00 = Z Address Bd?C 157 500.00 c, d Eng. Water Conn. <W c;ty iSF~vSf;Tp~anelOW.'~ 515/845-2201 planner WaterMeter 63.5U Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the gldg. Off. 2/25/Tr. PI. 15 6. 0{i information is correcl and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks / - Var. Date Copies Signature of Permittee _ Total $2=17 4. U G Y EN : tGY ftor•~c::~ A Building Permit is issued to: x02 on the express condition that all work shall be done in accordence with all ~pplicable State of Minnesota Slatutes and City oi Eagan Ordinances. Building Official f ' PKmB No. ParmM liddar CNe, Tekphone M a~~me++~ ~ ` 3 H.VJ1.C. Ekctrk $oft*r.. Impsetfon Di" Irop. Comm~nb FooHngs l ~ - • ,7~ ~ r- ~ ' [ ~ 7 ~ - L . - _ % Footlnys 11 Foundatfon ~ 4] Framiny RooHng 11 Rouyh Plbp. Rouqh Htp. Insul. Fireplae• FinN Mty. Final Plby. Bldy. FMaI GA. oce. ?q. ' o ~ a Dock Fty. Doek Frmp. iweii Pr. Disp. PEFiMIT # PLUMBING PERMfT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EACa/1N, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addr BLDG. TYPE WORK DESCRIPTION Lot~Biock Sec/Sub ~k L ~ k Res. ~ New ~ Name Mult Add-on ~ Address N Comm. Repair c City Phone Other FIXTURES TOTAL ~ Name Water Closet - $3.00 S , 3 Address J._Bath Tubs - $3.00 " p City Phone 9 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 ' COMM/IND FEE - 1% OF FEESRACT FEE I Urinal/Bidet -$3.00 L.aundry Tray ~ MINIMi1M - RESIDENTIAL FEE _$10,00 - $3.00 - COMM/IND FEE _ 20 pp ~Floor Drains -$7.50 MINIMUM STATE SURCHARGE PER PERMIT _ ~ ~ater Heater - $1.50 (ADD $.50 S/C IF PERMIT PRICE GOES ~Nhirlpool -$3.00 / Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ' Private Disp. - $10.00 Rough Openings - $1.50 SIGfVATURE OF PERMITTEE FEE STATE S/C: GRAND TOTAL ~ FOR CITY OF EAGAN CITY OF EAGAN NWER SERYICE 3830 Pifot Knob Road PER~A1r P. O.'3ox 21199 PERMIT NO.: Eagan. MN 55121 DATE: ~ Zonlnp; • r f Na of Units: Owrwr L: AddrQSS: SItQ ACdfE3S: ~ri(}() Pimimr ~N.~r ,Ym 1w ~ ~ so"w C011?N~.YIOfI CJfpf~; 7 r 0{?n~~ AccowM DePOsif: ' . hrmk Fw: ' BY Sureharpr Dats of 1 Mlsc. Cho~ nsp" Totnl: '?up.: DcM P1oid: CITY OF EAGAN WA~ ~MCE PERM 3830 Pilot Knob Road P. 0..6ox 21198 PERMIT NO.: Figan, MN 55121 DATE: ZO"ing' Na of Units: Owner; Add?sss: Sltr /tddress: Plurnber: MeFer No.: Connection Chow: 'Size: Account Deposit. Reoder No.: Pennit Fae: I NrN to awty *16 ew Ctry of lqMn gurcFwrgs: OnbNaow. Misc. CMrpa: Total: BY Daft Paid: Dote of Irap.: Insp.: ~ CITY OF EA(iAN WATER SERyICE PERIYIIT 383U pilot Knob posd P. O. Box 21199 PERMIT NO.: 71 7:_`, ~ Eagan, MN 55121 DATE: 3-4-9f, ZOning: -1 No. of Untts: 1 awr,er: ~nergv Homes I Mdr,aa: Ske Ilddresa; 3500 Riverton L2 B1 Blackhawk Oaks pl,x„ber; !T iltner Plumbin ' ti+e.er o.: 3 500. oona - Slze: ' r a,anp.: , 15.0Q d r No.: ~ (0 56 ~AaFW1 00 d , i.'m. ft ea.ni, wbb eh. c*,J%%W&991 n Ch TT) ~ n t'. BY Pnld: ~ Oote of Irap.: . J! 1/ -7o I~. arY oF E?GaN N_ 115 3 6 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7o6eusedfor SF DWG/GAR Est.Value $75.000 Date FEBRUARY 28 19 86 SiteAddress 3800 RIVERTON AVE Erect C~ Occupancy R3 Lot Z Block 1 Sec/Sub. BLACKHAWK OAKS Remodel ? Zoning Rl Parcel No. Repalr ? 7ype of Const. V Addition ? No. Stories a Name xOZY ENERGY AOMES Move ? Length 44 ~ 5850 TOWER DR Demoiish ? Depth 52 o Address Int. Impr. ? Sq. Ft cjtyWOODBUR}dhone 459-1163 Instau ? Name SAME 452-3692 APProvals Feea s i o ,j < Address Assessment Permit ~ City Phone Water & Sew. Surcharge ~ O ~ Police Plan Review wW Name ELTON BUTLER ~00 BOX 157 Fire SAC 500.00 ~ ~ nddress Eng. Water Conn. a`w ciry KENSETWKOn~OWA 515 845-2201 planner Watern4eter 63.50 Council Road Unit 290.00 IherebyacknowledgethatlhavereadthisapplicationandstateMatthe gldg.Off. 2/25/8 rr. Pi. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City oF Eagan Ordina ces. APC Parks Signature of Permitte~~~0~ Var. Date Copies Total $2.174.00 N~GY HOMES A Building Permit is issued to: KOZY E on the ezpress condition that all work shall 6e done in accordance II ' pplicable St te o M nesofa Statutes and Ciry ot Eagan Ordinances. &iilding Official ~ ee instructions for 1 campletirp this form on beck ot yellow copy, C 3341 7o-14"'X'" Belvw Work Covered by This Request Add Nap. Tyoe ol Building AOOliancea Wirad Home R-3n9e EQViUmenf WireO Duplex Water Heater 7emporar=ce Aptr~uildinfl Dr er Liyhtin, Fixtures ' Commercial Bldg. Fumace Electric Heatui InduStrial BIA Silo Unloader 9Air Condi[ioner Bulk Milk Tank Farm fnr, or.:, v I . SyCC'1 y •~M1(`! I$Il~af.l}YI t Or ompute lnspectian Fee Below M Fee SarvlceEnhenceSize M Fae U to 200 qm 5 FeeJers/SUbfeeders n Foa 0 to 30 Am s Above 200 qmi)y, 31 to 700 ~ to 30 A~~. S Amps 31 to 100 q Swimming Pool Above 700_Amps Transformers Irrigation Booius Anove 700_Amps emarks S,gnS SUecial Inspection Partial.'Other Fee 5c, T07 F NougM1-in N Oate - r 1. the ~ Final 1-soector, hereby Lqqy~~/@@@ certify Mei ihe above spection has baen TI~ISrepueslvoltll8monihafrom ~ '"°de. This request voitl i~ _ Iq-~~ 18 months iwm ~ ~ l!/ C 33417 I J~ G - Raques[ ~ate Fire No. RouPh-in InsVer,tion ~J P WreA? pQfleady Nuw Q Will Notify, Insper '~Yes ?No T` lor When Ready Licensed Eleclrical Contractor I hereb r y epuasl ins0eetion of ebova Own¢r alachical work instelled at: Stree[ Adtlress, Box or Route No. GtY O 1 vEb?T7~) V 10 ecuon o. Township Name or No. ange No. Counly LIV~OT-A Occuu t (PHINT) , Phone No. rn~s Po er Sup ier Address 7-fl- tLEC r [ N @,-Ta lJ Elec[rical Contractor ICOmpany Nema) Contrdr.to,'s Liccnse No. M 1 L)LAAU p ~L,~,GT)21C lLo U-Z Mailfng AdJress (Contractor or Owner Makinp Instetlation) 3 (v P, I /CJ Authorize Sip^ature ICo acto Owner Makine Installationl Phone Number ~ ysa -s~ 20 MINNESOTA STATE BOAflD OF ELEC RICITY TMIS INSVECTION FEQUEST WILL NOT C+riBes•Midwey 91dg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND 1821 -UNLESS PFOPEN INSPECTION FEE IS Univarsity Ave.. St. Paul, MN 55106 Phnne 18121 2972111 ENCIOSED. This repuesl wid ~ 7 yG J , menth. 2391 a- Request Daie Fire No. Rouph-in Insuec[ion ~ Re uired? ~Reatly Now IYI Will Nntify.lnspec^3 -9 Ves ?No T~ or When Ready Licensed Electrical Contrac[or 1 hereby repuest inspection oi ebove Owner elacnicel work installad aC Sveet Address, Box or Routa No. Ciry I 2. Y 'L_ ecbon o. Townshi0 Name or No. flange No. Cou~t~ly Ua4-o7la., Occup'ntIPPINTI Phone No. O Pa r $up ier Atldress Ara-rfivn ribn Elect icel Contract r ICompanY Nama) Contr cnor's I.icense No. /t/~,a'lctnc E/ec-re~ /o Mailing Atldress ICOntractor or Owner Making Ins 'lationl. Gy ev ~dce_ ~2 av~ Authori d Signxture I hactor/0 er Making Installalion - Phone Number ? ~Sd-S~~ MIN ESOTA STATE BOAND OF ELE T ICITY THIS INSPECTION NEQUEST WILL NOT Griyes-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BDAHD 1821 Universilv Ave., St. Paul, MN 65704 UNLESS PROPEH INSPECTION FEE IS Plwne (612) 297-2111 ENCLOSED. ~..7 44 REQUEST FOR ELECTRICAL INSPECTION Ee-00007-04 ~ See inatructiens far campletine this larm on beck ol Vellow cooY. `L~"' 391 ?f" Below Wak Covered by lhrs Request AAd Xap• ' TVVe of Builtling Aoolionma Wired Eauiyment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixturas Apt. BuilAing Dryer Electric Neahn Silo Unloader, Commercial Bldy. Furnace InAustrial Bidg. Afr Conditioner Bulk Milk Tank Farm Ocne, per,i y Tther 15nec~N1 t ar Vecify ther 01hur ompute lnspection Fee Be/ow N Feo ServiceEntrenceSixe tl Fee Fexders/5ubfeeders N Fae Circuits /0-1 w a;' 0 to 200 Am s 0 to 30 Am s 70•OD 0 tn 30 Am s Ahove 200 qmps 31 to 100 qinps 31 [0 100 Am s Swinming Pool Above 100_Am s Above 100-Am s Transiormers Irngation Booms Partial-'Oth e Signs Speciallnspection $ ' ~ p 7 TOTAL F emarks C 2 Roueh-in 1 the ElectnK~J ' Insoectoq hereby certi}y [het the above Final ~ ~ ( inspeetion has been me ~ da. thbreQueatvoltll8monltnirom N.' ' ' YILLAQE OF EAGAN WATER SERVICE PERMIT 3795 Vilot Nnob Road - ' PERMIT NO.: 1307 Eagan. MN 55122 DATE: 9/17/73 Zoning: No_ of Units: 1 Owner:-1)&vi~ CC''CiCg Addrese: 7l9 no ~O (7r-)6 Site Address: 4 BiYer_-Aic19e Plumber. Gretsfeld Plumbing Meter No.: $2882156 Connection Charge: 320.00 pd 9 17 giye. 5/R_Rprilcwnt t Account Deposit• 15.00_pd Reader No.:.468868 Permit Fee: 1Q.-00 pd_ 1 agree f comply wifh tha Village oi Eagan Surchazge: • 5 ~ Ordinon . Misa Charges: 8..50._pd- ~ Total: gy Date Paid: ce of 1 IneP.; r 0N`l5- 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & rownhomes/condos when permits are required for each unit Date -2-/ .-an_ Site Address 3p 00 1'C ~OjER-E)lU lrT vE U nit # Property Owner K~ v t,tD Telephone # ( lr¢.i 1, W 7 7 Contractor r~- Street Address Quo _ST City R~~ (ICQO- State f1 L GJ Zip ~.5~t/o ($-;r Telephone #(IOSt ~~_a Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ~ airconditioner _New ~Replacement other State Surcharge $ .50 Total •30 I hereby apply for a Residential Mechanical 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 with the Mechanical Codes, 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 Hcork will be in accordance with the approved plan in the case of work which requires a review and approval of plans. p . ApplicanYs Printed Name Ap, ~'canYs Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/indusvial buildings mul&-family buildings when separate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telep6one # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove'*see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *"When installing/removing underground lank, call for inspection by Fire Marshal and Plumbing Inspector Permit F¢¢S: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surchflrge) or Contract Value $ x 1% Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge Tf pe rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical Pertnit 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: RESIDENTIAL BUILDING PERMIT APPLICQTION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4875 NewConavuctknReaulremsnte HemodeUNepalrHeaulrements • 9 registeretl srte surveys showing sq. fL ot bt, sq. fl. ottwuse; arid aii roofad areas • 2 cnpies 0 plan (20% maximum bt coverage albweG) . 1 set of Energy Calculetbns for heated addttbns . 2 copies ol plan showing heam 8 window sizes; paure0 found tlesign, atc.) . 1 stte survey Mr ezletlor additions 8 decks • 1 set of Energy CaNwletbns • IndiCate il hane served by septic system for addllions . 9 copies of Tree Preservatbn PI2n if lot platted afler 711/99 . Rhn Jolffi Detall Opibns selection sheet (Dklgs wilh 3 or less untts) DATE VALUATION ~_~G;~[ JLJ ~ J SITE ADDRE 3F500 i verimr-n A'u-o-- MULTI-FAMILY BLDG _ YN TYPE^W re - roo-~ 02M5, FIREPLACE(S) _ 0_ 1_ 2 APPLICANT AOW ircn ~uilG~'r:1~ 647~a C.~/_S -Alpt44 Sj-,1? i/tti/ STREETADDRESS ~~V-1 /l/CdA~A,-- Se GTY 41n,Wi/It S1'qTEAAIZip5533~ TELEPHONE# "/.~d -I~26tVCELLPHONE# FAX#95~211~`W ~ PROPERTYOWNER K~~jr\. S4QnSr,.,d TELEPHONE# 1vSf -(9fr3.b55'J COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cude Category _ MINNESOTA RULES 7670 CATEGORY I M J submission e • N ner Catle Workaheet ~ itted ( typ ) Residential VenUlation Category 1 Worksheet Submitted • g~~~S~ • Energy Emelope Calculations Submitled if (1Q 2002 Plumbing Conhactor: Phone # 8Y Plumbing system includes: Water Softener Iawn Sprinkler Fee: $90.00 _ Water Heater ~ iVo. of R.I. Baths _ No. of Baths Mechanical Confractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Hea[ Recovery System Sewer/Wafer Conhactor. Phone # I hereby acknowledge that I hwe read ihis applicatlon, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appliccnf _.----°-°°--_........._......°°----_._----._..._._...~......~..~.~_-__..._..~._.r.~..~..._ OFFICE USE ONLY CertiBcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY . , ? 01 Foundation ? 07 05-plex O 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 O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plax ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mrna Bidg. ? 42 Demolish (FOUndafion) ? 45 Fire Repair ? 33 Alteretion ? 37 Demalish (Bldg)' 0 43 Reroof ? 46 Wlndows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units _ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ rtir/Gas Tesu _ 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 City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT# RECEIPTDATE: RWIDWNTIAL PLUM$1Nfi PERMiT APPLICATIbN crrY oF KAeMx 3$80 4ILOT I{PIOB RD F-ASAIe, MN 5512E 65I-691-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: 3pOD RIv"Vl kl"vici OWNERNAME: ; Vl ?1 S+WSV'lAd TELEPHONE#: I63- vSq 7 (AREA CODE) INSTALLERNAME: f6UW\ WoYlbl0 TELEPHONE#: IZ. S 2_7 " r033 / / (AREA CODE) STREETADDRESS: Z~JOS ~G~d t"I2/o' SO • CITY: lrlrJfS STATE: Mir1 ZIP: SSLID? Place a check mark next to the ermit work t e New residential dwelling unit under consVuction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/reBuild of RPZ • lawn irrigation system • waterturnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ 5-0•5-0 Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state lhat the information is cortect, and agree W complywith ail applipble City of Eagan ordinances, It is the applicanYs responsi6ility to notiTy the property owner that the City of Eagan assumes no liability for any damages raused by the City during its normal operational and maintenance activities to the Naclllties construded under this permil within City propedy/righhof-way/easement. SIGNATIlR P RMITTEE Updated 1101 1985 BUILDING PERMIT APPLICATION - CIiY OF EAGAN NOTE; ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMQIERCIAI. SINGLE FANILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OP SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND To Be Used For: S.ff.DW(a, Valuation: OCO Date: Site Address ~.~Q[} y'QlVEiZ?2~~/ QVE OFFICE USE ONLY Lot ~ Block _j~ Erect X Occupancy 3 Remodel Zoning (Z- Parcel/Sub (3&QXj4q N,zk 06= Repair p Type of Const tZ Addition # of Stories Owner 9o"z..( .H`2ra.~ /,jo,,,,gr Move ~ Length q- Demolish Depth 52 Address -7-p W&x:j= QR. Int.Impr. ~ Sq Ft Install City/Zip Code v~/v a < .w? i op 4~- c._ Phone APPROVALS FEES Contractor Assessments Permit (07 T 7 Water/Sewer ~ Sureharge , , Address Too.+¢e= U/C_ - Police Plan Review 3 so Fire SAC 5"IS. City/Zip Code o a ufL~ M.~~. Engr Water Conn Soo. "~7-- Planner Water Meter 73 _ Phone Council Road Unit 290 Bldg OffjAZ~KA Treatment P1 15(0, Arch./Engr. Q--i7Og Lc! TLE /L 9PC Parks Varianee Copies Address lao,2c TOT9L City/Zip Code /~Er/5r££_~ lOLJA S'Qt(tf~ Phone 1! CS/,S ) , t co~ f ~r7H ~ R. Z, R~ L. ~ 2~ ~~4 L~ 2 3z K s~ a s~ . . 400 K 2.e7 ~'i 21(~ ~ o•* 357 = JO + 3'3°00+ 183=50+ ~75ap0+ sc3 =:,o+ 63=50+ 290 ^ '0 + 156a00+ 2r774-.;0* ~soMA ouse ert cate or: E ( ~~.JRVEYi9ilO SEFlVICES 908 Sibley Memorial Highway ' - EIOfERGY HUMES, PNC. 3 Eagan, Minnesota 55122 Phone: (612) 452•3077 i _i / I N 89°59' 48" E / 50 105,40 a Droinaqe UIiNfY Eosement u \ i 10 i 5 LOT 2 -N- I m Z ° I ~ Im y ~ ~ q I X~~O I~ O D A ; I o R ~ = 44,If~ ~p ~~~=30' a W • ~OVS~ ~ .yy ~ ~ !1 ~ ? 1n C3 1 (~AK. N x984,0 0) I N~ 0,\ 74. L.~ _ ~ . I 1, Po~ ! I 50 to ~ 1` o Draina0s 6 UNI ty EoremeM o~ ~ b~3s o ` ' - S 89059'48'+ N' 98.82 I' o 0gZ'~ ¢ - 7~ - RlVERTON AVENUE ` T............. ; WAYNE CORDES = - 14675 -LEGEND_~ PROPOSED GARAG~ FL~R ELEV~ATIOM= g83•~ 0 laenotes Iron Marx.menf ~a$++~';~tit PROPOSEO PROPOSED ~ m Denotes Wad Hub Set BASfMENTo F~R fLpEVATlON= 001•3 „ e54.0 Dpnotes Existirg Spof Elevation NpTE Verify all floor heights wifih Final House P1ans. („SN~ LL~notes Propased Spot Elevatia~ _,----Aenotes Drainao Directian (,~~~FlCAT1QV- 1 lBreby certify that this survey, pian or nport -PFiDPERfY DESCRIPrfC7d- was prepwred by me a' L?der mY direct supervisim LOT Z,&LC'KI aM thsl f am a duly Reqisternd Lerd SurveYor 91-RUtHAwK OAKS Apd'RtON aider 1he laws of the State of Yirnesota. acLT--Z.' the recarded pfat thereof, ~te: zJ17 Cawrty, Alimesota Wayr~e D. Cordes, Nlnn. Reg• No. 14575 . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: Rozy Energy Homes Inc. SITE ADDRESS : 3800 Riverton Ave. Eagan Minn. 55122 CONTRACTOR: Rozy Energy Homes Inc. DATE:2-15-86 TEL. 452-3692 Determine working square footage of each 1. Total exposed wa21 area 1788 X .11 = 196.68 2. Total roof/ceiling area 1232 X .026 = 32.032 a. Total wall window area . . . . . . . . . . 67.56 b. Total door area . . . . . . . . . . . . 20 c. Total sliding glass area . . . . . . . . . 31.43 d. Total firepla.ce wall area . 0 e. Total wall framing area (average108) 19.668 f. Total net wall area above floor 791.342 g. Total rim joist area . . . . . . . . 103.33 Total exposed foundation area = 754.67 h. Total foundation window area 70.54 i. Total net foundation area above grade 684.13 Determine "U" value of each wall segment. a. 67.56 X "U" .2 = 13.512 b. 20 X "U" .13 = 2.6 c. 31.43 X "U" .2 = 6.286 d. 0 X "U" .035 = 0 e. 19.668 X "U" .04 = .78672 f. 791.342 X "U" .035 = 27.69697 q. 103.33 X "U" .04 = 4.1332 h. 70.54 X "U" .2 = 14.108 i. 684,13 X "U" .045 = 30.78585 g, , , , , , , , , , . . . . .TOTAL 99.90874 If item.#3 is the same as, or•less thanb item#1 you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 1232 j. Total skylight area . . . . . . . . . . • . . . . . 0 k. Total roof/ceiling framinq area (average108) 123.2 1. Total net insulated roof/ceiling area 1108.8 Determine "U" value for each roof/ceiling segment. j. 0 X "U° .34 = 0 k. 123.2 X "U" .03 = 3.696 1. 1108.8 X "U" .02 = 22.176 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TOTAL 25.872 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 &#4 shall not be greater than the sum of #1 &$2 1. 196.68 + 2. 32.032 = 228.712 3. 99.90874 + 4. 25.872 = 125.7807 ~ ~ ~ • i ~ • u r i s •a~ ~ • a ~ ~i ~ • • i ~ CITY OF EAGAN APPLICATION FOR PII2MiT SESaEE2 AND/OR WATEE2 CONNECTION (Please Print) 1) PROPII2TY ADDRES$: 2 yjOV ~~e€i4 ?6/~ LFGAL DESQ2IPTION: (Lot Block Suhdivision or Tax Parcel I.D. Number) IF EXISTING STRC'C'IiJRE, DATE OF ORIGINAL B[JILDZNG PERMIT ISSL'PNCE: (Nbn ear) PRESENT ZONING/PROPOSED USE: R-1 SINGLE FAMILY R-2 DL~PLEX (Two C'nits) R-3 TOWPII30L'SE (Three + Lnits) ( Onits) R-4 APARThENP/COAIDOMINIL'M ( L'nits) CANMERCIAL/RETAIL/OFFICE IDIDCSTRIAL INSTI2L'TIONAL/GOVEFtNMENT z) ~ N71ME: / ~ - P,DnRESS: S8 r d i o c~) ~ CITY, STATE. ZIP: cPHONE: 3) • r.a~• For City Lse NarE: Pltmbers Licenst ADDRESS: 1= Active CITY, STATE, ZIP: CI Expired . PHONE: ~5'~`fi - o So G MASTEF2 LICENSE #z. i~ O m~ O Not Recor Staff Imtial ` 4) ~ • ~tvAME: ADDxEss: CITY, STATE, ZIP: PH0NE: 5) i~ •a~ a~ ~ COiVNECTION 'PO CITY SB4ER ~ CONNE';CTION 'PO CITY WIIITER OTI-III2 (Please Describe) 6) u ~ ~ ~ PLEASE HOLD APPROVID PERMZT FOR PICK-L'P BY ONE OF AHOVE . CI PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE ~ (Circle one) 7) - : ~ FOR C I T Y U S E ON:,Y PERMIT ISSUED FEES: $ SE'.':LR T_'ER?1IT (I`ICL-=DE SUAC!z?RGn) $ WATE2 PERN1IT (INCL'uDE SliRCHARGE) $WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:v£R TAP $ $ ls- d--o ACCOUNT DF.PpSIT - S9ATER $ cS~p ° C~b WAC $ 0-tJ SP.C $ TRV.1K WATER ASSESS'.?E:IT $ TRliiQK SESdER ASSESSML:iT $ LATE?,AL BEDIEFIT/TRUNK SE:•.=,_R _ $ LATERrlL BENEFIT/TRU:IK WAT°R $ ~ a-e WATER T1tEATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ Futi1OL'NT PAID/REC°IPT ~ ,ol3DO 5f- 6/-D lr o/s C.~ DOES UTZLITY CONNECTIOIV REQUIRE EXCAVATION IN PUBLIC RIG'rIT OF WAY? r ~ YES IF YES, THEN A"PERMIT FOR Tr10R?C WZTHIN PUSLIC ROADWAY" MUST S£ ZSSUED BY THE ~ NO ENGINEERING DIV:SION, LIST AS A CONDI- TION. SUBJECT TO THE FOI•LOS4ING CONDITIONS: APPROVED BY: TSTLE: DATr: ~ R - I B,P ~~S(s MEMO TO: CAPTAIN KEN ASZMANN, POLICE DEPT OPERATIONS FROM: THOMAS A COLBERT, DIRECTOR OF PUBLIC WORKS DATE: MARCH 3, 1986 SUBJECT: BLACKHAWK ROAD - OVERSIZE LOAD MOVING PERMIT - MARCH 6, 1986 We have received information that a premanufactured modular home will be moved into the City of Eagan along Blackhawk Road during the early morning hours of Thursday, March 6, 1986. Attached to this memo is a letter from the manufacturer and mover providing details pertaining to the move. Please be informed that this move meets with all Public Works Department requirements and has been authorized subject to compliance with all jurisdictional traffic laws. I would appreciate it if you would inform all personnel who might be involved and to have them address any specific concerns directly to the attent on of Kensett Homes due to the short time frame involved. Di ector of Public Works TAC/jj cc: LDale Peterson, Chief Building Official Amy Wendt,-Housemoving Coordinator/XensettHOmes Attachment I f 2006 RESIDENTIAL BLTILDING PERMIT APPLICATION '1 p uo City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reouiremenis RemodeVReoair Reouiremenfs Office4~se bn9v 3 regisfered srte suneys shwring sq. R of lot sq. ft of house; and all roofed areas 2 copies of plan shmvmg footings, beams, joists C.ertn~SurreyyT~e~ (20% maximum lot coverage albwed) 1 sel oi Energy Calcu6tions (or heated additions TieePresPWrc~ 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 sile survey for addNons & decks fat P2sRequ~ 1 set of Energy Calailalions Add'dion - rndicafe i(on-sife sepfic sysfem 0n sde Sey4c:System~ Y ,N 3 copies ofTree Preservation Plan'rf lot platted affer7l1/93 Rim Joisl DetaD Options selec6on sheet (buildmgs with 3 w less units) Minnegasco mechankal ventilation tam la~ • Date r"7 1pP3 /o I p l ConstructionCost SiteAddress 9 00 ~ f UniVSte # Description of Work ~J U Multi-Family Bldg _ Y _ N Fireptace(s) _ 0_ 1 _ 2 Property Owner ' Telephone # m R r Contractor Address Cih' State Zip Telephone # ( ) COMPLETE THIS AREA OPILY IF CONSTRUCTING A 6dEW BUILDING - Minnesou Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlat Ventilation Category 1 Worksheel • New Energy Code WoAcsheet (J submission type) Submitled Submitted ' • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address oF inaster plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # { ) Sewer/Water Conhactor Telephone # ( ) I hereby apply for a Residential Building.Permit and aclaiowledge 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 pemut, 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 app ed plan in the case work which requires a review and approval of plans. ~~l l~i pp icant's Pnnted N~ame~- pplicanYs DO NOT WRITE BELOW TffiS LINE Sub Tvpes ? 01 Fwndalion 07 OS-plex ? 13 15-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling O OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E>3. Alt - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext Alt - SF ? 04 02-plex ? 10 08-plex X 16 Deck ? 23 Porch (screenlgazebo) ? 36 Muld Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage . ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvues ? 31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding Ix 32 Addition O 36 Move Building ? 42 DemoGsh FoundaBon ? 45 Fira Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (EnBre Bldg) - GNe PCA handou[ to applicant DesCriptf011: WaterDamage_Yes Valuation ~ Occupancy r` MCES System Plan Review 100% or _25°k ~ Census Code Zoning A'~-l_ City Water SAC Units Stories ~ Booster Pump ~ # of Units - Sq. Ft PRV ~ # of Bidgs ~ Length Fire Sprinklered ~ Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ~ Footings (deck) FinaUC.O. _ Footings(addition) 4C FinaUNo C.O. _ Foundarion FIVAC _ Drnin Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stoae I,ath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By. Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W PeRnit & Surcharge Treatrnent Plant License Search Copies Other Total . . . . , ~lo~f~? House ert cate Fo'r. ~ U ~VEYI NO ~EFSVIC~ti 3908 Sibley Memorial Highway ~ -E~IgR('s~' $/Ol~Esi, BR~C. Eaqan. Minnesota 55122 Phone(612)452•3077 ~ I .i / N 890 59' 48° £ / So 105,40 - N Droinape UfiNty Eosement U i Ia r_ - - ~~Z~X., 5 1~ 1 I 0 a I ~ . m a -N- I a z; ~ LOT 2 I~ n N m 4 N y X a R II r\? ,D~~V G I p I"=3o' \y) N (O (T ~ I \ - ~ Ql GaR~N I 30 _ I I I I ~ 56 ~ • I I 10 ~ ~ n D~oin, oqe E/ Utll ty: Eosemen~ p ~~pYi O - S 89°I59'48'IVV 98.82 o . Cancr e~ ~ 6g2~ - -x - Ri vERronr avENuE :~`~,~~tm ~ : " 'eVAYF:E D,` ; (;ONDE:5 ~'.14675 ENO-•:~', •~ri~';~~ PROPOSED GARAGE FLODR ELEVATION= 883•7 Fou~, T ..i O lknotes Iron Manuirent .,yPR7POSfD Top Wooof ?L~°VATION= ff4•0 k''14411 I;I ,~~~~1" PROPOSED BASEYENT FLOOR ELEVAl10Nm 001.3 m (knotes Wocd Hub Set x Sb4.o penotes Existing Spot Elevaticn Verify all floor heights with Final House Plans. (X aSN OowT Llenotes ProP°sed Spot Elevation ~ _,--Denotes Drarnage Directim g!~ ~~JFICAfI~I- f hereby certify thet this survey, plen or report _ppOPER7Y DESCRf Pf f GNf - was prepered by me or urder my d i rect superv is i on LOT z,BLGrK I ard thet I am a duly Registertd LeM Surveyor QLRUv_NAwK OAKS Apdr1(ON under ihe laws of the State of 1linnesota. accordirg to the reca-ded plat thereof, Date: Zl!'] Camty, Minnesota Wayre D. Cordes, binn. Reg. No. 14675          ñ þ  ý þýý  üû ÿû ú     ùýý ÿëë   öì  ðä ÿ  þý÷  üûúùø ñ ôûùø  ÷ôùø ÷ö õô ó öõò ø    û ñ  û ñ ððìûø ù ï üîû ô í   øôë    ô îûô     ô  ú ô êé  ôööø  ý éôéô   ý  ø êñ éôé  ø  é ô   ê ñ ôú è   ô  ô ô îûô úù ö  é ù ê  í æääêäêðä öù  üûô ô  æê ê  ç û ýê  õô ÷ óò øø  ø èþ þ ôñô     üûô ôë ÷ äòë ôë ûô ë þ  ãó ÝßÜßää  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô M µ 1f y.S` ' P: G' R ',1, + ry e k t`t fi +r ry # s�' 'd -' _ ' `' i °- • t Y —it a- ` -ls ,t om y t ; PERMIT City of Eagan Permit Type:Building Permit Number:EA116619 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 3800 Riverton Ave Lot:2 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-020 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 . Jason Berrey 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 - Earl Christianson 3800 Riverton Ave Eagan MN 55122 Northern Exteriors Minnesota Inc 6677 Timber Ridge Lane South Cottage Grove MN 55016 (651) 230-5103 Applicant/Permitee: Signature Issued By: Signature Tel Q)# 6, f5 H O u 3 111 eE anon VWTH MINIMUM (2) 3/8" X 4" LAG SCREWS WITII WASHERS EVERY 16" 1 r-. V r-- ovwet �. if� H use,, TREATED WOOD MAV REQUIRE SPECIAL, HARDWARE (FASTEN EFS, HANGERS, AND FLAS;-( -\;C). CONTACT YOUR LUMBER ;J SUPPLIER FOR MORE INFORMATION. APPROVED PLANS ex t • • ':.". AIN CN JCB SITE '. DATE BUILDING INSPECTIONS COMMON • Floc hinuji iN D.XtD. STAIRS SHALL BE PROVIDED WITH ILLUMINATION IN THE IMMEDIATE VICINITY OF THE TOP LANDING. 3 fa WAAL THAN REQUIRE G''.^RDRAILS WNW 96" IN 1 'T METE SUCH THAT SPFNRE MAY NOT PHS THROUGH Stairs s ,LXi,2Q amen 6// ORI STAIRS OF FOUR OR MORE RISERS, A +::3IPABLE HANDRAIL EQUIVALENT TO 1 /2" TO 2 Diana AND MOUNTED 6r FWEEN 34 To sr movE TREAD NSOSING WE OF is i Li�16T ONE L� C dost Cad 6 x 6 Gr (( "M sN Primo pbnni PERMIT City of Eagan Permit Type:Building Permit Number:EA129004 Date Issued:12/24/2014 Permit Category:ePermit Site Address: 3800 Riverton Ave Lot:2 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Earl Christianson 3800 Riverton Ave Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140274 Date Issued:12/06/2016 Permit Category:ePermit Site Address: 3800 Riverton Ave Lot:2 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Earl Christianson 3800 Riverton Ave Eagan MN 55122 Overhead Door Company of the Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165226 Date Issued:10/23/2020 Permit Category:ePermit Site Address: 3800 Riverton Ave Lot:2 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Nicholas Zubulake 3800 Riverton Ave Eagan MN 55122 (651) 276-1192 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173384 Date Issued:11/09/2021 Permit Category:ePermit Site Address: 3800 Riverton Ave Lot:2 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas Zubulake 3800 Riverton Ave Eagan MN 55122 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature