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  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
ùýýÿëë
öì
ðä
ÿ
þý÷
üûúùø
ñôûùø
÷ôùø
÷öõôó
öõò
ø
û
ñ
ûñ
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
üûôôë
÷
äòë
ôë
ûôë
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