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3804 Riverton Ave . . - , y: . . . . . . . _ . . . . - _ . . . . • PERMIT # PLUMBING PERMIT RECEIPT # . CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: . 1/o 'a 4 CONTRACT PRICE: PHONE: 454-8100 Site Address 0~ r?c ~ T~ BLDG. TYPE WORK DESCRIPTION Lot 3 81ock ~ fSeclSub Res. Y New , i rc %_~)6,u . ' ( MuIL Add-on 2 Name > Comm. Repair 'ia Address V r D ^ dther c City F Phone ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ---LWater Closet - $3.00 $ ` Bath Tubs - $3.00 3 Address / Lavatory - $3.00 p City Phone _LShowEr - $3.00 f(itchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPGIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STA7E SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'T) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SI AT04 OF PERMITTEE ,r FEE: STATE S/C: ' S FOR: CITY OF EAGAN GRAND TOTAL: ~ 53 Reaipe MECHANICAL PERMIT Permit No. . CITY OF EAGAN n~ ^Fm Fill in numbered sFaces S/C S! Type or Print lepibly ~ v Tot ^ r'. f. Deta 2. Inatallation Cost 3. Job ._.Lut --3 Blk. Tract~r) s,~ 4. Owner 4 : 5. Conuactor r i I . 1, . Phone 6. Address _ ,7-~<. 7. City State Zip 8. Building Type: Residential Z Commercial 0 Institutional O 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe - Fuel TYPe !11, No. F.quipmeni 8TU - M. Ea. No. EQUiament CFM ~ Forced Air Air Handling: Mfg, Boilers Mech. Exhaust Mfg, Unit Heater Mfg. Other Air Cond. Mfg. Gaa, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed ' for ~ Rough F inal 4 Inspections: Date Insp. Date Insp. ~ fi This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt ' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Psint legibly Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential Q Commercial ? Institutional O 9. Work Description: New C3. Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks 4- / v4' 4.2 Zc~, ' ~ Addition _ RLACKHAWK 0 KS AnDTTTnN Lot 3 elk 1 Parcel 10 14387 030 01 Owner Street 3904 Rivprtnn Avenue State-- Eagana MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 3.84 25 (rr -16) SEWERLATERAL WATERMAIN WRTFR LATERAL WATER AREA ZVT 19 7 7 ;r /T 9.45 15 - IU STORMSEW TRK 1983 .71 30.58 15 -/Q s1 p r STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Rck3.C1 Uriit . WATER CONN. . SUILDING PER. 10143 SAC PARK i 6K • , , _ : CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE:454-8100 BUILDING PFRMIT Receipt # To be used for 8,,i$r1iLST Est. Value F i+500 Date '3/~ Site Address 3604 RivLRTas: l1wa Lat ~ Block Z SeGSub.B~CK"~~~ ~+F~ OFFlCE USE ONLY Parcel No. occuPancy - FEes Zoning W wame ~3Ei P CUSTA~~SL!N (Actual) Const _ Bldg. Permit 3b.t~v o Address 38~? SIYLxTt3iv AY~' (Albwable) - ~ Surcharge City E'?W Phone 452-W63 #orscories - Length _ Plan Review Zp Name gAME Depih - SAC, City ou q AddfesS S.F. Total - SAC, MCWCC ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ W W Name On Site Well - Water Meter Address MWCCSystem - pccl Deposit a W Clty PhOn@ City Water _ PRV Required - S'W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee _ APPROVALS Road Unit A Building Permit is issued to: yEFF c Ll S TAVSON Planner - park Ded. on ehe express condition that all work shail be done in accordance with all ~unril c. ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies • Building OffiCial Vanance - TOTAL ~ gt~ Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBiNG H.V.A.C. ELECTRIC ,d 9~ 92 f ~ Inspection Date Insp. Comments Footings i Foundation Framing Roofing Rou9h Pibg. Rough Htg. Isul. Freplace Fnal Hig. Fnal Plbg. Const. Meter Pfbg. Inspector - Notify Plumber Etigr./Plan Bldg. Final.) Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. 8ox 21 •199, Eagan, MN 55121 PHON E: 454-8100 , BUILDING PERMIT Receipt ~ To'be used for , Est. Value Date ,19 Site Address ';VF OFFICE USE ONLY Lot Block A Sec/Sub. ~1'~"'r`~?~i9: .)~i On S8e Sewage dccupancy MWCC System Zoning Parcel No. On Site well (Actual) Const • L~LS i A~. 5Uw City Water (Allowable) W Neme PRV Required # of Stories 3 Address ~ City PhOnB Ba~er Pump Length Depth , o Name i S.F. Total o u Address Footprint S.F. V?°C- City Phone ~,~`~4 ~ APPROVALS FEES . . 5:. ~ a Engr./Assess. Permit ~ W Name - uj W Planner Surcharge ~ ~ Address ~ Council Plan Review City Phone W Bidg. Off. SAC, City I hereby acknowtedge that I have read fhis application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permft is issued to: Ab`;t'1 (''(*S7 Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL ~Building Official ' Permlt No. Permlt Holdsr Date Telephone Plumhing ' H.V.A.C. Electric Softener Inspoction Date Insp. Commsnts Footings I °Footings II ` Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final 61,nA l Well Pr. Oisp. , CITY OF EAGAN 3't 3) • 3830 Pilot Knob Road, P.O. Box 21-199, Eagae, MN 55121 PH ON E: 454-8100 gT RUILDING rERMIT ~ rteceivt ~t To M rW fw Est. Value Dare Sits Address Erect Q- Occupsncy Remodel ? 2oning Lot - 91ock Sec/Sub. Repair ? Type of Conrt. Paroel No. Addition ? No. Stories Move ? Length 4 ~ Name ~~i~ ~ Demolish ? Depth Addreaa ~ Int Impr. ? Sq. Ft. City Phone 1'- Install D Aop.ovo b F•.• ~ Neme O1 Address Assesunent Permit u1- City Phone Water a Sew. Surcharge Poliu Plan Review A ~uW Name - Fin SAC 0 0 Addresa Erq. Water Conn. 1) O ~ W City Phone Plonner Water Meter I-S . U • Countil Road Unlt d•01 13 I hercby acknawledye thof i haw rcod this opplicotion ond state thot Bidg. Off. /b~ Tr. Pt. the inlormotion is correct and ogree to comply with oll applicoble APC Parka Siote of Minnesoto Statutes and City of Eo4on Ordinanus. , , r Var. Osta Copies . Sipnotun of PernwttN ' ' • • t,' . . [-LJKS IVC. Total A Bufldiny Permit Is isswd fo: on the express conditlon fhot all work sholl be dorn in acaordance with all oppiiaobl• State of Minrxsoto Statutea and City W Eayan Ordlnances. Buildinq Official Pmmit No. Pwmk Holdw Dob Telephone ~ Plumbhq ( ( i-'l. Z I ' H.VA:C. 4 i.,) n^.+ L-k ( L ENcMe 6~dZ r t II Softerwr Inpsetion Dste Insp. ather Footinys I Footinys 11 Foundation ~ Framing Roofiny Rough PIb9. -S~S Rouyh Htg. 1 Ineul. 7 S 7/6- 6 I Fireplace Final Htg. Flnal Plbp. Flnal CvVOcc. Wffier ibs oution: We11 Sewor Pr. qlsp. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road - ~ P. O. Box 21199 PERMIT NO.: _ Eagan, MN 55721 RATE: ' No. of Units: ~ Ianirg: Ownar: /lddress: - Site Addross: Oaks Plumber. a . p« 1 yiw to eesply wkh tV Ghr of Eosew Cannsctian Chorpe: "2 riO ?r~ OrdimeoN. Iticoount Deposit: - Parmit Fes: Surcl?orge: gy Misc. Charpes: Dote of Ir?sp.: Total: Insp.: Date Pold: s- - , • , r ' ~ . ~ . ~ ~ _ ~ . ' y , {i~.~{~,~ a ~a~i ~ 4•~ . . . . h ~ . 7E 1~ 5 ' q+ ' 4 • ~ x .a, CITY OF EAGAN I 3830 Pilot Knob Road WATER SERVICE PERNIIT P. O. Box 27199 PERMIT NO.: 6398 Eagani MN 55721 DATE: 7-16-85 Zantny: Rl No. M Units: 1 Owner:. Dezurik Bldrs Mdrdo: Site Addreas; _ 3804 Rivexrr,.y AVe 13.111 B a hawk Oaic Plunber. Midwestern Mchanical Mater No.: 75 Connenion Chorpe: 500.90 nd Stze: -5/8" AccoReade: No.: _ D 3//7 So98 oL unr Deposir: 15 o0od Permit Fee: _ 10 OOod 1 aYr" te eweplr wiM 1M Gy d Eagsn Surchnrge: _ OAd OrdiPOAOL Mtx. Choryes: - 132. 00 nd , Total: - 6'i nn a r By Date Paid: - Dafe of Inap.: ~'J 3D~S s Insp.: CITY OF EAGAN N~ 16218 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 ~ BUILDING PERMIT Receipt # G 1 ~ Z To be used fo`r BASEMENT Est. Value $1, 500 Date 5 - a~ , 79$9 SiteAddress 3804 RIVERTON AVE Lot 3 Block 1 SeGSub. BLACKHAWK OAKS OFFICE USE ONLV Parcel No. occupancy - Fees Zoning - W Name JEFF GUSTAVSON (ACtuaqCOnst - BItlg.Permit 36.00 ~ Address 3804 RIVERTON AVE (Allowable) - Surcharge 1.00 City EAGAN Phone 452-0063 a oi stories - Lengih _ Plan Peview ~'o Name SAME oePth - snc,Ciry Address S.F. Total - SAC, MCWCC ~ City Phone S.F. FOOlpnnts - On Sde Sewage _ ~Nater Conn ~ W W Name On Site Well - Waler Meter h AddreSS MWCCSystem _ ~i AccL Deposit aw City Phone cirywaier - PRV Required _ SIYV Permit 1 hereby acknowlege thal I have read this application and state that the Booster Pump - SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota S[atu[es and Ci^;rr~,Fap~n inances. Treatment PI / SignaWre of PermiteP 1(1.~'2 J~-~ ~ APPROVALS Roatl unit A Buildin9 Permit is Iued ot .TEFF GUSTAVSON Planner - Park Ded. on the ezpress condition ihat all work shall be done in accortlance with all Cwincil - applicable State of Minnesota Stawtes and City of Eagan Ortlinances. Bldg. ON. _ Copies .50 L_mi 4.", / "m ~ Vanance - TO7AL 37.50 Building Official CITY OF EAGAN N°_ 14 2 5 3 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDSNG PERMIT PFIONE: 454-8100 Receipt#-I $ OO Tabeusedior DECK Est.Value $1,000 Date OCTOSER 5 1987 Site Address 3804 RIVERTON AVE OFFICE USE ONLY Lot 3 Block 1 Sec/Sub. BLACKHAWK OAKS On Site Sewage _ Occupancy Parcel No. MWCC Syatem _ Zoning On Site Well _ (ACtuap Const s Name JEFF GUSTAVSON City Water _ (qllowahle) z AddfBSS SAME PRV Requiretl _ # oi Stories ° City Phone 452-0063 BoosterPump _ Len9th Depth , o Name ADAMI CONST S.F.Total ~Q Address 9199 JANE RD NO FootprintS.F. a City LK EI.MO Phone 779-7416 APPROVALS FEES $20.50 w W NamB Engr./ASSess. Permit t Planner Surcharge x i ~ Address City phone Council Plan Review aW Bidg. Off. SAC, City I hereby acknowledge that 1 have reed this application and state that the Variance SAC, MWCC information is wrrect and a e comply with all applicable State of Water Conn. Minnesota Statutes and Ci of Ea rdi . s. Water Meter Signature of Permittee C Ftoad Unit A Building Permit is issued to: ADAMT l'ONST Treatment Pt on the ezpress condition that all work shall 6e done in accoidance with all applicable State of Minneso[a ~tfttutes and City ot gan Qrtlinances. Parks BuiltlinqOHicial ~ TOTAL $T1.00 ~ CITY OF EAGAN N° 10 3 3 3 3830 Pilot Knrob Hoad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDINO PERMIT Receipt Te M m"d hr SF DWG/GAR Est. Vaiue $66,000 Date JUNE 4 1985 SiteAddrew 3804 RIVERTON AVE Erect CR Occupency R3 Lot 3 ei«k 1 S,clsub. BLACKHAWK OAKS Remodel ? Zaniny R1 Repair ? Type of Conet. V Parcel No. Addition ? No. Stories Mova ? Length 43 ~ Na,ng DEZURIK BLDRS INC z 701A LARPENTER AVE E Demolish ? Depth 36 ~ Address Int Impc ? Sq. Ft. City ST PAUL Phone 776-1100 Install ? $AME Apprerab F"s O Name ~ Assessment Permit $ 331.00 Addresa City Phone Warer85ew. Surcharge 33.00 Police Plan Revlew 1 6r) - O ~W Neme flra SAC 59 S_~0 43 Addresa Enp. WaterConn 500 _ f10 ~W City Phone Plonner WaterMeter F+2-00 Coundl RoadUnR 280-b0 1 hercby ockrawledga fhot I ham rcad thia oODlimfion ond stote thaf Bidg.Off. 6/4I8 S 7c PI. 1 32 _ OO Pa~ fhe inlormofion is cortect and ogree to comDly with oll applico6le APC Srote of Minrxwta $tatutes and ~ oLE n Or i nces. ^ `l Var. Date Copiea sipnofure of Permittaa - ~ DEZURIK BLDRS TIRe- 7otal 52.029.50 A Buildinq Permit la issued ro: on Me azpran caditlon thoi oll work sholl be dona in occordcnee with all ppl~p imbla St nnnoro S~atutes and Gty ot Eopcn Ordinancas. Buildirp OffiNal ~p I~QUEST FOR ELECTRICAL INSPECTION EB'O00°''O4 ~q ~ , Sea inatruclians Tw comoleting th:s fmm on bsek of yellow coOV- 5qa'}~ By 8 ~J 2 _"X.L:.Be/ov4 Work Covered by This Request Add Reo. Typa ol Bviltling Appliancea WirW EquiDment Mlued Home Range Temporary Service . Duplex Water Hea[er Lightiny Fixtures Apt. Building Dryer Elechic Heatin Convnercial Bldg. Furnace Silo Unloader zol Industrial Bldg. Air Crniditioner Bulk Milk Tank Fartn Otne, lSpee,fy) therlSUCCiWI t,r yeci(y Ot er Oth¢, ompute Inspection Fee Below p Fee Servic¢EMrence5ime p Fee Feeders/SUbteeJers N Fea CimuAs 0 to 200 Am s. 0 to 30 A tn 30 Amos; Above 200 qm - 31 to 100 Amps 31 to 100 Aron -Swimming Pool Above 100_Amps Above 100_An43S Transtvrmer5 irtigation Booms Partial•`Offier Fee Sigis Special Inspectfon S ~ TOTAI FE flerrerks r -~~F~) ~ flouph-in r ~ ' Date . the Ele cal ~(r7ejr- Inspecbr, hereCy urtHy [het the aEOVe Finai r ~~~~y~~ i~pection hns ~een Tltia repuestvoitl /8monlhatrom This repues[ wid I Ba am 13 L 313~ ot (k k la'~ ~DIV~/l05 . ov ftepuest Dale 7 Fire No. Nequ flouph red-in Inspect~on tlY N. QWill NotiTV. Inspec- s ?NO ~or When R¢ady censed ElecVical Conlractor 1 herebY t . Muest insDeclion of above ? Owne~ elxtrical work if¢Wlled et: ir¢ss, or Poute No. gm-t ecl n o. TownsriD Name w No. e Na. Occyq~,on[ T VV ~ Power Supplier Atltlress <WACO ElecVi Con[r tor IComvanY amel Conha0.16L.ce se No. ~ MailinB Address Contracmr or Owner Making Instaitalionl II Authorized " nat re (COnttactor ner Ma mg Installation~ P~hone Numb¢r - J/ ~V TNIS INSPECTIDN REQUESi NILL NOT MINNESpT ATE BDAflD OF ELECT111CITY Gripps-Ni y Bldg. - Boom N-191 BE ACCEPIED BY THE STAIE BOARD UNLESS P110PEfl INSPECTION FEE LS 1821 Universiry Ave., SL Paul, MN 55104 PM. 16721 297d111 ENCLDSED. REQUEST FOR ELECTRICAL INSPECTION eeaoaa1.07 / ? See inslrudans tor mmpeting iha torm on back of yelbw copy. 15 8 9 6 'X* Below Work Covered by This Request ep. TypeotBuilding AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace r- Farm Air Conditioner ~ O[her (speny) Conire or5 qemarks: Compute Inspection Fee Below: ~ 4 # O[her Fee # Sarvice Enlrence Size Fee # CircultsiFeedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector5 usa Only: v TAL 5 U Irtigation Booms 26 • 3p Special Inspection ~ Alarm/COmmunication Other Fee I, tha Electrical Inspector, hereby RwBh-in / i, ~/~g oa ~ certiry that the above inspection has Fnel ' D 6eenmade. OFFlCE USE ONLY This repuest wiG 18 moniha from ReQUretl? ? Aeatly Now ~W111 Notly Inspeclor ro,,tratr Fre Na. Fough+nlnspection dA'Yea ? No VVhen Reatly? I ..enseA owner hereby request inspection of above electrical work at: Job Atltlrese (SYreel, Box o~r Route No.) Ciry Sectbn No. TownsNp Name or W. Renge Na. Cau pent (PRIfJn / Phane W. e C~ sevsa~. W,2 -DO6? PowerSUpplier Address K7~ E/.~ ElecVi I Contractor (Compeny Neme) 7CoMreclor§ License No. / Meiling Atltlress (Conlrador or Owner Making Inatellelion) C7f/ J?, w z.4vr. i; .cn /?I, SS/~2.Z Aulhorized Signa re( vacfw ner Meldng Inslallation) Phone NumEer yS.~ -OOG~ INN A STATE BOARO OF EIECTRICITV THIS INSPECfION REOUEST WILL NOT Griggs-Mitlway 810g• - Hoom 5773 BE AGCEPTED BY THE STATE 80ARD 1821 Universly Aw., SL iaul, MN 56100 UNLESS PFOPER WSPECTION FEE IS Phona (672) 892-0800 ENCL0.SED. RESIDENTIAL BUILDING PERMIT APPLICATION GITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 551-681-4675 , New ConstruCtlOn Reoulremertte BemodeVReosir HeaulremeMS 75 . 8 registered sNe surveys shaxing sq. N. of bt, sq. n. ot Muse; and 9 rooted areas • 2 copies of plen (20% mazimum lot coverage albwed) . 1 set uf Energy Cakulations for heated addttbns * 2 copies of plen 8howing beam & vlintlow she5; pouretl found deslgn, atc.) • t slle survey for exterior addnbns 8 tlecks • 1 set o1 Energy Calculations • Intlicate'rf home servetl by septic sys[em lor addttbns • 3 aoples of Tree Preservatbn Plan H bt pletted afler 711193 • Rim ,bist Detall Optbns seleclbn sheet (bldgs wMh 3 w less units) DATE (o - la - 62 VALUATION ~ D O C' W S~ 'ADDRE S~'Y ~l 1 l?E'~`~ /h~-- MULTI-FAMILY BLDG _Y ~N NPE~ I~E' FIREPLACE(S) _ 0_ 1_ 2 I APPLICANT Arh,"_i C" c-~ rt,'- • ~ 1 STREET ADDRESS I~`-f 7 Ca CITY ~uins J ~ IItSTATE ~ ZIP J`~S 33 ~ TELEPHONE # 9Sd -70'1- (v9`~~ CELL PHONE # FAX # PROPERN OWNER ~~T~~ `9 V ~ ?t5c~~ TELEPHONE # COMPLETE TMIS SECTION FOR uNEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J submiseion type) . Residential Ventilation Category 1 WoBsheet Submitted • New Energy Code Worksheet Su6mitted . Energy Envelope Calculations SubmiltetlPlumbing Conhactor: Phone # Plwnbing system includes: _ Water Softener _ Lawn Sprixilcler Fee: $90.00 _ Water Heater _ No. of R.I. Baths ~ _ No. of Baths [Fn T _ Mechanlcal Conhactor: Phone # " 00 U 4 Mechanical system includes: _ Air Conditioning Fee: $70.0 _ Heat Recovery System Sewer/Wafer Conhactor: Phone # i hereby acknowledge ihat I have read this applicaTlon, state that the Information is correct and agree to comply with all appllcable State of Minnesotq Statutes and City of Eagan Ordinances. SignalureofApplicant ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Duvelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea,) O 31 Ext. Att - Multl ? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF ? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 38 Multi ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 IM Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repalr ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA harWout to applicaM Valuatlon Occupancy MC/ES System Census Code Zoning 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 _ Foorings (new bldg) _ FinaUC.O. _ Footings(deck) FinallNo C.O. _ Footings (addition) _ Pfumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retanvng Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water 5upply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit °Mechanical Permit License Search Copies Other Total 1989 BDILDING P&ffiMIT 9PPLICATION - CITY OF fiAGAN 3INGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS AiOTEs ADDRFSSES FOH CORNSR LOTS - CONTEiACTOR/HOMEOWNER MOST DESIGNATE iiHICH ADDRS6S IS DESIRED. AO CHANGES WII.L BE ALLOWED ONCE BUII.DING PERMIT I3 I3$UED. FIOLTIPLE DWELLINGS RSRT9L ONITS FOR SALE I1NIT3 # OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 30R9fiY - CHECB WITH SLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COt4MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: .h4sr-mfwaluation: (5c>c~ Date: MAR(--H 22, 1981 Site Address '?'Ppf/ OFFICE U3E ONLY Lot 3 Block ' Oceupaney FES3 Zoning Parcel/Sub ~LAC.KN/rWK dA~Grj Aetual Const Bldg. Permit .3G,00 ~ n n Allowable Surcharge or~ Owner rt a~sa rt # of stories Plan Review Length SAC, City Address _?~O~/ g«?er~rt ff? Depth 59C, MWCC S.F. Total Water Conn City/Zip Code Ec s5u Footprint S.F. Water Meter Aect. Deposit Phone y,so2 - QD~ ~ ~?~f 5~e2-~G~~ On site seWage_ S/W Permit On site well S/W Surcharge Contractor J-e~ MWCC System _ Treatment P1. City water _ Road Unit Address PRV required _ Park Ded. Booster Pump _ Copies . SQ City/Zip Code TOTAL Il-Sd APPH07ALS Phone Planner _ Couneil Areh./Engr. Bldg. Off. Oarianee Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees wrill be included in the building permit fee. Processing time for sever and water permits is tvo daya onee a lioenaed plumber has applied for a permit at City Hall. ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICEI7SED NITH THE CITY OF EAGAN -_-1 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (flCooop To Be Used For:)I,,,-,~ A~ Valuation:~ Date: Site Address: OFFICE USE ONLY ` Lot: ~ Block ~ Sect/Sub~" • Erect ~ Occupancy ~-3 Remodel Zoning Parcel B Repair Type of Const TZ Enlarge ll of Stories Owner Move _ Length ~c 3 Demolish Depth 3 ~ Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor n,~ ' pr Il ,..p 1.yw, Assessments Permit Water/Sewer Surcharge Address 70/ Police P1an Review Fire SAC 52=,,°-° City/Zip Code 7 Engr Water Conn 5 ~ Planner Water Meter G3.°-° Phone Council Road Unit Bldg Off Parks Arch./Engr. APC Treatment Pl 432.°° Variance Address TOTAL City/Zip Code Phone I! ~ ~ ~~f:~ G~ 71~¢. 23x Z~_ . l2 X 20 = Z4o x l3 ~ 3t20 ~o ~ 24 = ~oo x ~ t - SZSo Co5~38 C A L V 1 N H. H E D L U N D 7728 Morpan Avenue SoutA Rleh}ieId,Minnesota 65423 Land Surreyor Civii Enqinorr Phone :868-252b ' slifflew"s eertifixte JOB N0. SURVEY FOR: DeZurik Companies DESCRIBED AS: Lot 3, Block 1, BLACK HAYdK OAKS ADDITION, City of Eagan, Dakota County, blinnesota and reserving easements of record. R7/'U - Top of Foiuidations =886'? ~ (',arage Floor = $ 931-3 Basenent Floor =883•6 Proposed Elevations p ~ Existing Elevations - ~ i Drainage Directions Denoted LQXI' Corners p. ~ IO 872,~ rI Q N~ N I I N ~I , O I ~ M I 0 ~ 4 I ~ i.~~? ' ~v I 8 $ 3.3 883. N io'mst~crs s ~s io'c9 St4Ke s _ d.oTre z3 ~ o - _ vi 5 SF36. ~yi ' ~Is 1 ~ ' ? ,l I v ~ rR as3.z ' 85.o ss~.z ggz.9 883•? $85 9 O 4 R I 1lERTON AVENUE - CERTIFICATE OF SURVEY I hereby certify that on ¢/Z9 5 I surveyed ihe property described above and thaf the above plat is a correct representation of soid survey. 1~5' w Calvin H. Hedlund, Minn. Re¢ No. 5942 - 1 , ` El(TERIQ4 EHUELOPE AVERAGE "U" C6MPUTATI011 ; Y e~ y ~ SITE ADDRESS: { . ,,.y ) ~ ?ICONE : ~ d9~ i i-;.', j~~.. Di.Ti : OETERMINE MORKRIC SQUARE FOOTAGE Of EACH: ` . : 1.. TOTAL EXPOSED 4ALL AREA........ Is4 ft x"U" •11 ~ ~O ; t. TOTAL IIOOi/CEILINfi AREA........ O sq ft x"U" .026 7. TOTAL EXPGSED NALL AitEA CALCULATIONS: • Total exposed wali aru abow floor;,,,,,,, sq ft a a) Total wall window area: ? LX~'/ 6, qlazed...... f/ sq ft x"tJn -P~~'~5 : • giazed...... sq ft x ~lull b) Total door ara• sq ft x"U" ~ 1 • ,'L.. ~ « s c) Total sItding qlass door area: IOOOW IG. qlszed...... ~ sq ft x~~U" IEj ~ 9lazed...... • sq ft x ~~U" d) Total fireplace well area sq ft x"U" , e) Total wali framing area (Awraga l0%)........... sQ fc x"Ull . Oc)r f) Totb) not wall area above ~ floor (Insulatsd) sq ft x "U" • ~ ~ ' t~ 9) Total rl¦ Jotst araa....., sq ft x"U" ,(D Total foundatTon araa (Exposed).......... sq ft A) Total foundatlon windaw area sq ft x"U" •~jZ., f) Total net foundation ana obove 9rade........ sq ft a"U" , n • . ~ TOTAt a) thru It !f 6tss 1; is zRa salt+e •s, 6r less tnan icem FI, you have met the Incent of S.R.C. Sectton 6006 (c) 2. . ~ . di TOTAL EXPqSED RoOF/CEILIHG CAItULATIQNS: . . Total exposed . . . roof/ut l in9 oreo........ Q sq ft Total skyl laht area....'... •1 sp ft x "U" . ~ k) Total roof/celltnq Praming - •rom (Awraae 1ON) l ~l so ft x , 'U„ 1 1) Totsl not insulated • 1 . . rooyulllnq area.".i.:.. sq ft x 'lull TOTAL j) thru 11 C~ ' IJ It tota) o/ sb Is the sams as, or tess [han 02. You have met the Intent of s.e.c. s.ccton 6006 (C) i. ALTE&HATE BUILOIHG ENVELOPE DE516N To ut111ze the total anvelope system nethoA, the values estabiished by ths sun of Iteao and 04 shall not be greater than tAe sum of Items 01 snd 12, y + z. 30 1 . ; . C E R T 1 F 1 C A T 1 0 N 1 hereby certify that I have caleulaced the "II" tsetors and "R" values herefn and thac [he builAinn here Aescr(AeA.a~e"y or excledxie Stata p/_Mlmr.esoq Energy [onservation Act. ~H . : S qnsture , ~ . tDtlsiRUC7loM n ,,•,.t..,.. - HALL FRAM I NG SECTI ON : I terior ~IR ~iim ~.6R ? ' b D / ' inches soft wooA ~ 6I si t x' + S'.3t! Q1N~ • T Exterior air film- TOTAL p • 1/R WALL SECTION (INSULATED) TF~ 1 Interior air ffim n.6A " -------42 W fl 3 p . 5 .i., 6 Exterior a r film • n,17 ' TOTAL R - U m 1/R - .D RIM JOIST SECTIOH: 1 Interiar a!r f}Im y 4 ; tsl ~ 6 Exter or a1r ilm 0;17 ' • TTA R a ~ / A"t U ~ 1/R ° . Q . . ' •O,A• .e ~ e,;.~. FOUNDATION SECTION: Interior air film :y;.: ' •p . ~ . Z p. E~erlor air ~ 0 . a' (S F ~ _4 ( . . , ' • ~ TOTAL R • U + 1/R SLAR ON GRADE n~v n. . . Q V'''•4'i ~~,d~Oti~~l',• ' 4• f' . 0 . ; ~p,.,•,• . ~ ~ O a~~~r '4 ~.'~t~ ' ~V . . ~..tl'!v~' .~~4•,'4 Q. [a':.: 4 ? l',;n' ~ ~ . • 4 ~ ' • q~ Q~ 44~ T~` ~ ~ a ' •G'•• . qQ ~ • Q ~ ~ . ~ , ~ • . . 1 ~ • ; 4 ~ , ~ Q~ • 4#'; ~q~~~ ~ , .a~• , O . 4~ 4 ~L • ' . . ~ cE iL irir, secrlnri (INSULATEN: " • _ 1 Int.t inr alr fllm ~ "'I2 3 4 Exterior air ftim s`'. i 3 4 - i4-j, T(1TAL R. . . 00 U~ I/R - .O ~ 2 5 CEILINf, FRAMINf, SECTION: , 1 Interlor atr fllm p,(~) .+2 AIR VENTED 3 ' FLOW 4 lnter or a r m sti l S Inches ioFt wooA - _ TOTAL R ~ ' ~z:l U ~ I/R CEILINc SEr,TIOU (tNSULATED): ` ' 1' Interlor ai r ff lm z , VVJ 3 " 4 F.xter or a r tilm st iTTT ~ TL • U~ IIRw• fr' , I 2 L@ 4 5 CEILINI; FRAM111Y SECTION: VENTED 2Interior alr fiim 3 F.xter or a r 1 m St S nches so t wood . . TOTAL R ~ , U~ i/R.. 3 a 5 - ~•.~•::if{.~ ~'~ti+.r".il~~~~•~ , .'a• 1 InsiAe afr fl1m A:R1 . .sr •~..r. 2 3 Q 5 Outside alr film TOTAL R ~ t;. • ' .1/R ~ ~ ~ . 1987 BDILDING PERMIT APPLIC9TION - CITY OF EAG9N SINGLE FAMILY DWELLINGS IIdCLIIDE 2 SETS OF PLANS, 3 CERTIFIC9TES OF SOHVEY, 1 SET OF ENERGY CALCOI.ATIONS NOTE: 9DDRESSES FOR CORNER LOTS - COHTRACTOR/HOMEONNER MIIST DESIGNATfi WHICH ADDRESS IS DESIRED. NO CH9NGES WII.L BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL DRiITS FOR SALE IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRCEY - CHECB SiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS • C0.4fERCI6L - INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS9 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I G~O. To Be Used For: C C~ Valuation: ~ Date: Site Address 3~oy ~iU~-fo~ ~v-c- OFFICE USE ONLY Lot ~ Block ~ On Site Sewage_ Occupaney MWCC System Zoning Pareel/Sub On Site Well _ Type of Const City Water (Actual) Owner T2? (^r cJ. S L 1avSO"' (Allowable) # of Stories Address 3pQ gi va ,fo ~ l`4 Ue- Length - Depth City/Zip Code S.F. Total Footprint S.F. Phone oOEl APPROVALS FEES Contractor /9Aitnr ~O't= T. Assessments Permit 7JJ, Water/Sewer Surcharge 'SD Address .+!v_F /v_ Police " Plan Review ~ Fire SAC, City City/Zip Code C41,7Q, /'7AI S~S~GY Engr SAC, MWCC Planner Water Conn Phone 7? Council Water Meter Bldg Off ~ Road IInit A^ch./Engr. APC Treatment P1 Variance Parks Address Copies . TOT9L City/Zip Code Phone !F ~I ~ 7 dDA u~f~IVSTRUCfit W r 9t99' JdW ROAfl'NQR~H; ~ ;--I - ~ - ' - - ~ ` 5504~~-_ ~V{- UIC~-f~AN~- I' LAK€ €Lt ~ (6121779, 74~ i ' ~ --i --I-- - - - .2 ad ; 6~3 , ~ ; ; , , ~ ~ ; ; ; - ; ; - ; , - ~ ' - - - r ~ ~ s;i I - r~- I I- - ~ ' I I , i i _ I I ~ I wz eLr ~ ! -i- _c - - } ~ - I ` I !L II ~I I I I I I. T - --L- - - ~ ~ - - ; - ~ - - - , r - - . -I- I T,-' I~ ~ xI - l~ ~ - L ; \ ~ - - : - ~ i~t i- , l ~ ~ - - - i ~ - - - ~ r - - - - - , , - . ~ r - - - - - - - I I ~ ~ ~ - ~ - - ~ - ~r - - - - ~ ' - - - - - _i - - - ~ I I ~ I ~ - - - - - ~.E~ ~~v~ ~ - - - ~ ' ~ ' i- ~ ~ ~ I , ~ ~_T__ • _-T"_„__ I " Y ~ ~ ~_-1-'"_r-'`_ ~ 7u~ r ' 1 Z/BQ CITY Oc EAGaV ~ AP?LICaTIuDI FOR PER:•IIT " SE:•IER AND/OR WA;ER CO\:IECTIODT (PLE15E PJ2IHi) F,^.. T]T'ST`rn~ r . _ .•1L I'i:...~..__ ._...i: (Icci3lock/S~:aivisicz or : arcei I.D. ~ i S'=.:t: . Cni=. OF C:.IG.i_`Ai, c:; i _ : i:.i : = _ :iT «:ir? • ? :-2 LL?7. ('I::'J C: ?R-3 (7-:= - L'`_:~) ( C~:=~S) U ~-4 ? _.w.....~'~L Q ...::.Ci.~~..~~~.~w'iL/Cii~~~.•fL`~w2) C1'1'i?.=_i ~YLLnJL Yil:l~ V-~ 2,. V ~VF s7:r-, zIP: ,4~~ t m~rl • S-ssl~ ~ - PHcNE: j) FjA,;.^~ lN~~~o~ rd191) FO^n CITY 1~5E Otil• NAMF : PLO°BE35 L--ICEtiSE: PDCwSS: Active ' CIi1,.ST.~':E, ZIP: ll Expir El~~ot f Re d . PHOJ7E: PLUYBEA LICEfISE N ' 174 rn.s.ci~i ~ 4) Wu%IE• D (PLEASE PR1"7I) lK C'~~ ADDRESS: f 0 l7 ~ CI:"'. STniE, ZIP: f}(},(c (~~innn Nl N S.~/l7 PN:JYE: 7 `Jle - /~O _ 5) INDICM7E ;dHZC'rI PER[-LIT IS BEZ\G RF.i,UEST~.?J: i ~ CC..':1ECTION 'IO CITl SE;-~c:t f2-CC:::,'EC:ICl 'Il7 CITY S•TATc... ? dii~t (PL.F~:cE DFSC~.IHE) ' 6) IMIGM.: Q P7-rSE F?OID APPR(f/FD pEF}'ST FOR PICN-L? BY CN'E CF AFC„'E • PTW=S :•T.;UL APPnOVFJ PE~:•LLT TJ 1. 3. 4 AEGtie. . / (Circe one) 7) SZC:,:,L-RE• ~ D=IE. - / ailal~l~A:f~ r a!l~au ! ~ I~ s~ ~aa ~ s s ressa:a a~ r~ la~~-sa~ a acl~j F O R C I T Y U 5 E O N L Y rSSLjOD rrES: $ /().So C"aGD Dr^..tTm . (I_.,_~.:.,.. SU......: :;,LJ S /U'SV WAT°a nEp.il= {T:3C'--Dg SuRC.°..'vRG'` ~ , $ SvrlTER MET°R/COPprRuOP.N/OUTS-10: R: AD-'.a 'S WAT°I TnP (Ii1C:.UDE CORPORnTIQ;1 S:'O?) ' $ . $ /5-O~ r._ ~__~•c_= - ~c..~3 $ AC^^u:iT pF?ng1T - Ld~,T°_3 $ 1inC ' $ ~U SAC . . 'S ,j'aUN{ r.,n'~,...~7 n$ :r. _ :T `C TP,G:IK 5Z:::3 yS5'S`::F:iT _ 'S Litii :?.ni. bL'.'i[.C ZT/T.°.UNK S: :':Z_ $Lii:~RAi, BLNLLZT/T4UNR S'7AT?'R $ WATER TREAT:fE:~T PLA\T SIIRCHARGE $ OTHER: e $ TO,"L J/ . S A..Oli.`:T °A=/R: C: :?m n S?C,I/ n DOES UTZi.iTY CONJIECTZON REQUIP.E EXCaVATION Ii1 PUSLZC RIG$T OF WAY? YES IF YES, THE:7 A"PERAIIT FOR 't70R5 WZTHIN ' PUBLIC ROr1DWAY" M(l5T BE ISSliED BY TF3E C tr0 ENGINEERIrIG DIVISION. LIST AS A CONDI- ~ TION. ' SL2JEC'P TO THE FOLLOS4ING CaND2TIONS: APPROVED BY: TITLE: . DAT_: ~ ss ~ ir ~.sn ~ ~ ~ ~w ~c~ w ~ w m-w w rn R+~ ~ame w+" Pc~ w sl~ w~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3804 Riverton Ave Lot: 3 Block: 1 Addition: Blackhawk Oaks PID:10- 14387 - 030 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 Owner: Jeffrey W Gustayson 3804 Riverton Ave Eagan MN 55123 $50.50 Permit Type: Permit Number: Date Issued: Permit Category: $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA085242 08/13/2008 ePermit ð ý û þ ý ü ÿþþ ý üúüúûû ùýýþþ ìì òë ÿ â ÿ ÿþ÷ ûúùø÷öûýçõòÿæ ÿÿ úø÷ö õ ø÷öûýçõòÿæ ÿ ÿ öôúÿ ÿúÿëúö ÷ Þý ûÜú é õ ÿ ý ÿïïî ü î áÿýî èããù ÿ úù ÿå ÿöÿ þ ÿú î áîúî ã ï ï ÿö ï ÿ ã îö îÿ î Üú ÿî ÿ ù îÿãï ýòòöýÿü ï ï îý ÿéäìäãêâãâê öù ûú ý ÿÛ ú äìäãàãàê Û ú üã õûôóïô ÷òñ öö ô î÷ôîÿßïï ÷õúÿ ÿ õ ûóþâí ñ öÿñóêêþ ý ñóêê èå ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û úÿ ÷ïþ ý ë ÿã öö æ îûý ú ÿÿú÷ûý ú ÿÿ ü û ýüü ûûúú øüüî éé ï ôì ý ïÿ ï þý ýüö úùø÷õôýó ýðý ùø÷ õ ùø÷õôýó ýÞôóß÷ é ý ÷òý ðýýðïì÷ ø î é÷ ëéýé ýé ý ú éýçê ôô÷ýû ê ê é ü ý÷çð ê ê ý÷ ê ý ç ð úé ý úø ôýê éøéýç äïçÿçÿ õø ýå äçáçá å ûç ôÿòúÿ öñð ÷÷ ò Ýêê øõñý ëý õ Þüïÿßë ë à ü àÞï è âïæï úø ô ë ý ÷÷ ý ê é ý é÷øô ÷÷ ú êàý ý ðøêü ì ýç ÷÷ ó é ýýø ñû î ÿ þ ý ýüüûúù ù øûûüüþòêê å ìëà ýü üûúùø÷ üþõóáôûùø÷ óùø÷ üþõóá ÷âû õÚ þ ô ûô ììåû÷ ø Ûþ üðû ö ó þ ææñ ý ñ çþñ ïè è ú ûú í ÷ ü û ñ çñûñ èô ææ ÷ æ è ñ÷ ñ ñ ðû ñ ú ñèæ þ÷ þý ææ ñþ ö éëãéßèëèìë ÷ø üû þ Ý û éëãéìèîèî Ý û ëýè öÿÿõ ú ôó ÷÷ ùô üþæ ä ææ øóÚû ßßìù æ ê ýüû ëìê üè û ÿ þ ïßíëìì úø þ ÷÷ æñ þ ñ÷ø ÷÷ ú ü æ ü û ôøæÿ þ å è ÷÷ á ñ üþ û û øüþ û PERMIT City of Eagan Permit Type:Building Permit Number:EA176842 Date Issued:06/03/2022 Permit Category:ePermit Site Address: 3804 Riverton Ave Lot:3 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-030 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 - Jeffrey W & Mary Gustavson 3804 Riverton Ave Saint Paul MN 55122--171 (651) 452-0063 Mc Exteriors Inc 3529 88th Ave NE Blaine MN 55014 (612) 618-8763 X84 Applicant/Permitee: Signature Issued By: Signature