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3805 Riverton Ave
PERMIT City of Eagan Permit Type:Building Permit Number:EA128282 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 3805 Riverton Ave Lot:2 Block: 2 Addition: Blackhawk Oaks PID:10-14387-02-020 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Regan A Fox 3805 Riverton Ave Eagan MN 55122 (651) 454-5818 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks Addition BLACKHAWK OAKS ADDITION Lot Z Bik 2 Parcel 10 14387 020 02 Owr,er streec 3805 Riverton Avenue state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 2,5 ig7n ZS O. O ( c~ J SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA 7 Q ( J STORMSEWTRK Z12- 1981 u 458, 1 30.58 15 -3 71 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: N•' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i, i:'t fr t nN Avt ;„rV. i t III i I nN PERIIAIT SUBTYPE: TYPE OF WORK: i ~ : td~ INSPECTION i I I~ 141 Mf1f: F t 1'AR AIt i 1 1 1 1 1:11 AI I i ItMI I I,i i!iIl.lil 1+ I: ~d . ..-A&s I ~ J L Permit No. Permft Holder Date Telephone i S/W PLUMBING HVAC ELECTRIC Clio ELECTRIC Inspection Date Insp. Comments Footings I 61.2- Foundation Framing us-~t Roofing Rough Plbg. R°ugh Htg. Isul. Freplaoe Final Htg. Orsat Test Flnal Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. . PERMIT # 'MECHANICAL PERMIT RECEIPT # - CITY OF EAGAN ' ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE:, • PHONE: 454-8100 ' Site Add ss a BLDG. TYPE WORK DESCRIPTION Lot Blqck S-IC ' ' Res. f~ New v m Name Mult Add-on z Addr T 6~ ' Comm. Repair c Ci1y. ~ Phone aner y~,w ~ - _ ~ i ~ Na?ne ' FEES 3 Addrj~v RES. HVAC 0-100 M BTU _$24.00 p Ci~ - ADDITIONAL 50 M BTU 6.00 .J ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 ~ J GAS OUTLETS - 1.50 EA. Forced Air 7S~7o J M BTU ~ COMM/IND FEE - 1% OF CONTFiACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMlIND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent ~ CFM gE(OND $1,000.00) Gas Piping OuUets # Other FEE: ~4e :;4.. ~ /__~-a S/C: ~GNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN • ~ .-..,,-.{=-r.. CITY OF EAGAN 11761 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 i`• PHONE: 454-8100 BUILDING PERMIT , Receipt # l!_ 1 ~ lb be used for Est Value $85,000 Date 8 19 86 Site Address 3805 :2I. V L:R`.i OiJ :'1V'r: Erect a Occupancy A 3 Lot Block Z Sec/Sub. J3LAC X:7iAWit 0AKS Remodel 11 Zoning Parcei No. Repair ? Type ot Const ~ r Addition ? No. Stories Name BLILIE CONSTRUCTIO:ti CU Move ? Length 59 = 644 SUPERIOR CT Demalish 11 Depth 49 ; Address Int Impr. ? Sq. Ft ° City Ea(;AN phone 454-1438 Instau ? S?,:•;E APprovab Fesa o Name 00 ~ Address Assessment Permit ~ 338.00 City Phone Water 8 Sew. Surcharge 42 - 50 ~ Q Police Plan Review1.94... 00 F= Name Fire SAC 75 - 00 ox a Address Eng. Water Conn. 500 _ OC! ¢ W s City Phone Planner Water Meter_IF,3.~ 50 Council Road Unit 2y u- 00 ~ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 4/7I86 Tr.PI. 00 information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee Var. Date CopieQ Tota~ $2,209.00 A Building Permit is issued to: BLILiE c:oNs~r,~uc~rrON cO on the express condition that alI work shall be done in accordance with all applicable State UYMinnesota Statutes and Cily.Qf.Eagan Ordinances. Building Official < , PKmM Ma Pwm11 Holdm Daft TiNphone N Plumbinp ~ H.Y.A.C. clqq eectft ~t AK•7Gc kl. ~ ~ ~U~ Inspscflon Data Inep. Comm~nts FooUnpsl FooUnysll Foundation Frsminq R~~9 Rouyh Plby. pouyh Htp. Imul. Flreplace Flnal Hty. FMaI Plby. &dp. FinN ~ CW. Occ. Dock Ftp. Dock Frnp. WNI Pr. DMp. PERMIT # ' • ' ~ PLUMBING PERMIT RECEIPT # • GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 1 CONTRACT PRICE: PHONE 454-8100 Site Address D 5 FT ,p i'1~/" n. BLDG. TYPE WORK DESCRIPTION LotRiock 1 Sec/Sub/ A., t- 'L-" Res. New m Name Mult Add-on a Address ~ Comm. Repair c City Phon r/ ~ Other NO. FIXTURES TOTAL ~ Name -3 Water Closet - $3.00 ~ c Address ' __~__Bath Tubs - $3.00 p City F ~ Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 j COMM/IND FEE - 146 OF CONTRACT FEE -TUrinal/Bidet -$3.00 ' MINIMiJM - RESIDENTIAL FEE _ $yp,pp L-aundry Tray - $3.00 MINIMUM - COMM/IND FEE _ 20.00 ~Floor Drains - $1.50 _ STATE SURCHARGE PER PERMIT - •50 Water Heater - $1.50 Whi~lpool -$3.00 (ADO $.50 S/C IF PERMIT PRICE GOES TGas Piping Outlets -$1.50 BEYOt~D $1,000.00) Softener - $5.00 Well - $10.00 ~ Private Disp. - $10.00 r" l'-~ - , .r:• ~.-.~tzs.. ~ Rough Openings - $1.50 StGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY aF EAGAN GRAND TOTAL: CITY OF EAGAN 3830 Pilot Knob Rosd SEWN SQmcl MMR P. O. Box 21199 Eaqan, MN 55121 ~~IT NO.: Zaninp; , DATE: ~ Owr+er: No. of Units: Address: Site /lddress; Plumber: ; - - - : t. ~ C' M1~ 1y bp oi yp¦ CAnrNttlon (horyr Acooixrr ~-i DiePOSih Porrnlf F»: gy Surtiarpe: Doh of Irlp,: Misc. Chorpes; Toto1; lnfP.: DOM POld: CITY OF EAGAN WA~ P~r 3830 Pilot Knob Road P. O. Bax 21199 PERMIT NO.: ' E"an, MN 55121 DAT.E: Zonirg: No. of Units: ` /~~~f~ V~IIIQ. '.l. 1 r. 4Q.... ~rom i : Sito 11dQrem Plumber. T 1~ r k; ~ No.: Connectian CharQs. /1 No.: ~°°°~xrt ~ Posit: Rsadsr M~ ft eivooifY N!` fw Clfp of bNw Surcharpe: 0' Misc. Chorpm TF Totol: ey Dob Poid: Dote of Irop.: Inop.: ~ ~ CIT~V DF EAGAN WATER SERVICE PERMI'T 38:.U Pilot Knob Road P. O. Box 21199 PERMIT NO.: J. Eapan, MN 5512DATE: ZOning: No. of Units: ~ Owrw: /lddieu: . ~h 3805 R vertori . venue _z _;~cK ;~o,• ~~,.r, Plunbar: re1C inue er .t.~ ~ Metar No.:.~d SI2l : OC t' No.: 10 N 71 ~ NrM te N~plr wKl~ li~ • ~ W o.a...o... REOUTRED~~,~: gy _G-~-=~~..~~Q -Tota1: _ ' SRPG' tnet.:-r Doto Poid: Dote of Insp.: Irnp.: HOUSE HEATING TEST RECORD ADDRESS d2::~( qpT - FLOOR CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD eY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER Electrical Work ey HARRISON ELECTRIC Gas Line ey TYPE OF HEAT GA -FA X HW- STEAM- SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ~ MAKE OF BURNER Model Model Serial Maz. BTU Rating INPUT on MAKE OF FURNACE - CONTROLS Model THERMOSTAT Heat Plug Vent Size Valve KIND OF LINER SIZE _:NONE v Limit - DraR Hood Regulator Limit Setting Filters SizF"-~ xaS~t ~Number Fan Setting Chimney Location Inside Outside Piloi Type Chimney Construction Pilot Make Pilot Model Smoke Bomb ~ Wiring Pilot Tming Dratt Test Tag L.W. Cut Off Door Pressure Lighting Inst. ~ Pressure :a- 5;'- percent COZ kD Date Tested Input CFH ercent OZ Company Testing HO GY TER Stack Temp.~ Percent CO Name of Tester Form 235 ~ 3489 7a 7 f~- a FleQ est Da~e Fii Na. Rough-in InspBCtion ~J e' tl? G Reatly NowA' Will Notify Inspectw ~ Ves G No ` \When Reedy? I, licensetl contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (5treet ox or Ro e No.) City Section Na Township Name or No. Raige No. CouMy ~ Atltlress / XSignat Phone No. J~~ 7 T \ r ~Com a mej Conhxtor5 License No. on r or Owner Making Inst lationy~ 7 IY/ uiCo ract A r a I Slallationl Phone Number v -3)..),S' MINNESOTA 5 AHD OF EL CTPICITV LL- THIS INSPEGTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Room &173 yNtA`~ BE FCCEPTED BYTHE STATE BOARD 1821 Unlversity Ave.. 5t. Paul. MN 55100 UNLESS PAOPER INSPEC710N FEE IS PhoneJ612)642-0800 ENCLOSEO. _ REQUEST FOR ELECTRICAL INSPECTION a 13489 •~e instmctionsor compleling ihis form on back of yellow copy 17C" Below Work Covered by This Request ~ e Atltl Rep. TypeofBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Elecidc Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner 01har (speciry) Gontr8cmr5 emarks: ~l Compute Inspection Fee Below: ~i # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Signs inspector5 Use Only: TOTAL r<0 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED ISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 HS. ~ I, the Electrical Inspector, hereby RougRin ta~e ~ l a17Y cartifythattheaboveinspectionhas been made. OFFICE USE aNLY ~L request vo4 18 monihs Irom 181mcnths fromoid y 8.$L ~ 0 8 213 L a? r3 a 131 a4dc AAwk 4 i3 as R~qu~Dat „ Fire No. Rough-in Inspection - Heqmred? atly Now ? WrII No[ity Inspec ? - yes ?No - tor When Ready qL.nsed Eler.vical Convactnr 1 heraby requasl inspecfion of above Owner electri el work f sialled at StIrp~x~qd~ess„gox r oute No. . Ciiy ^f Y J ecLOn o. Townshlp Name or No. Fan9e Piu- Cou i, Or.cup' (PRI I ^ ~ Phqm~ . 03 ! - u lier ~ Address EldETrtrm C. acm~~CCO+Peny Na ) Con ~ emr's License No. Mailing AdJress IContrnc1m or Ow Making Instailation Authorize S?gmat Conc ct Owr aking Inst ation on~yy~D - ~ MINNESOTq STATE e D OF ELECiRI ITV THIS INSPECTION PEQUEST WILL NOT GriB9s•Midway Bldg. - Noom N-191 gE ACCEPTEO BY THE STqTE BOARD 1821 llniversity Ave.. St. Paul, MN 55104 UNLFSS PROPER iNSPECTION fEE IS ENCLOSED. It- 8.rg la REQUEST FOR ELECTRICAL INSPECTION M EB-00001 04 ~ See instmctions lor complating this Porm on back oi yellow ro0V• X" Below Work Covered by Thrs Request Nev, HAd fleo. Type of 8uiltling Applinncns WireE Equipmem Wired Home Range Temporary Service Duplex Water Heater Lighting Fiztures Apt. Buildinp Dryer Electric Heatm Commercial 81dg. Fumace Silo Unloeder Industrial Bidg. Air Conditioner Bulk Milk TaNc Farm tne, veci y9,nr (snecirv) 1nr pocifY Other Other ompute Inspection Fee Below p Fee Service Enhance5ize Y. iee Fendars/5ubfeeAers Circuiis 0 to 200 qm 5 0 to 30 qm s 0 to 30 Am> Above 200 Amps; 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Tee Above 100_Amps Transiormers rrigation Booms Partial,'Other Fee gns Special Inspection WM TOTALFEE 1 Pemark ( ) ftou9h" ^ D, te I. tne cv c~ al Inspeclor, herBby cartify thet the above Final f DA e/ inspection has Aeen mxee. Riie requesi vaitl 18 mon\h5 from REQUEST FOR ELECTRICAL INSPECTION ,~y, ee-ouooi-oa ~ ~~See inshactions lor complating this form on back of yellow cooV. "X" Below Work Covered by lhis Request A Be¢ Type of Builtling Apoliancee WireE ' Equioment Wired ey~ Home Range Temporavy Service Duplex ater Heater Liyhtiny Fixtures Apt. Building Dryer Elec[ric Heatin Commerciai Bidy. Fumace Silo Unloader industrial Bldg. Air Conditioner Buik Milk Tank Farm o:n«r oo(Av .ci,e. (sue"ifv) t er Sueci y O!her ' Other MInsomputepection Fee Belaw k Fee ServiceEnhence5ixe M Fee Feaders/SUbfaeders k Poe Circuits 0 to 200 Am s0 ta 30 Am s 0 m 30 Am>s AGove 200 Amps31 to 100 Amps 31 _to 100 A s Swimminq Pool Above 1QAmps Above 100_Amps Transtormer5 Irrigation Boorns Partial%Other Fee Signs Special Inspection 50 TOTA E Nem3rks r ~ Rough-in ? Oate ~ the E ¢al S Y Inspector, hareby cerli}y that tM1e above Pinal inspection has been mede. ? Thla requesl volE /8 monthsfrom , ' This lequest voitl 18 nnnths lrom 6 ~ 082137 Rnq•,,:,s1 Data Fire No. Rouph-in Inspection ~equ A? ~ReadY Nnw Will Notily Inspec- es ?NO When ReaAy Licunsed Elecvical Contractor I heraby ~equast inspection of ebove wner electrieal work,installed at Street Atldress, or Rnure o. . Ciry 0.0 38d~' ,ua+. ~ 3 _ ecllnn o. Township Name or No. Nange No. Cnunty Occ n1 (PPINT) 4 n ~ Phune No. 1\l,~~~ Po xr $upplier Atldress ~ Elecv' Con acmr ICompany Name) CQ rnctor's License No. - b 3 SS Mailin0 Add~ ~C Vactor or Owner Makiny Instailauon) -5 A oriz Signafu (Con ctor ¢r Makinp Ins[allation) Phonc Number ~ (3 - ~ MINNESOTA STATE 90AH0 OF ELE TRICITY TMIS INSPECTION REQUEST WILL NOT Griggs-Midwav BIdB. - poom N-191 BE ACCEPTED BY THE STAiE 60AND 1821 UniversitY Ave.. St. Peul. MN 56104 UNLESS PNOPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. CITY OF EAGAN N o 11761 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT ~ Receiptp SF DWG/GAR $55,000 APRIL 8 86 - To be used for Est. Value Date , 1g- 3805 RIVERTON AVE R3 SiteAddress Erect ~ Occupancy Rl Lot Z Block 2 Sec/Sub. BLACKHAWK OAKS Remodel ? Zoning Parcel No. Repair ? Type of Const V Addition ? No. Stories ~ Name BLILIE CONSTRUCTION CO Move ? Length Sa 3 Addre ss 6 4 SUPERIOR CT Demolish ? Depth -~T ° EAGAN 454-1438 Int.lmpr. ? Sq. Ft. City Phone Install ? a Sp[+]E Approvala Feea o Name ~a Address Assessment Permit .00 ~ ciry Phone Water & Sew. Surcharge 42 . 50 Police PlanReview 194.00 FW Name Fire SAC 575.00 = Address ~n Eng. WaterConn. `aW Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Oii. 4 7 86 Tr.PI. 156.00 information is correct and agree to comply with all applicable State d Minnesota Statutes and Ci o Eagan Ordinanc s. APC Parks Var. Date Copies~ Signature ot Permittee G~ 7u 7. o o BLILIE CONSTRUCTION' Total ABuilding Permit is issued to: on the express condition that all v?ork shall be done in accordance with all applicabl ta Minne ta Sta tes ~gan Ordinances. Building OHicial ~ . - . INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euILoINc 3830 Pilot Knob Road Permit Number: 021202 Eagan, Minnesota 55123 Date Issued: 0 6/ 14 / 9 3 (612) 681-4675 SITEADDRESS: Lor: 2 eLocK: 2 APPLICANT: 3805 RIVERTON AVE BLILIE CONSTRUCTION BLACKHAWK OAKS (612) 454-1438 PERMIT SUBTYPE: TYPE OF WORK: 3F ADDITION NEW INSPECTION . FOOTING FRAMING li INSULATIQN FINAL I REMARKS: SEPARATE ELECTRICAL PERMI7 REQUIRED F ~ ~ _ ~ CITY OF EAGAN PERMIT ~ 3830 Pilot Knob Road PERMIT TYPE: B u I L D I N G Eagan, Minnesota 55123 Permit Number: 021202 (612) 681-4675 Date Issued: 0 6/ 14 / 9 3 SITE ADDRESS: ' 3805 RIVERTON AVE LOT: 2 BLOCK: 2 BLACKHAWK OAKS P.I.N.: 10-14387-020-02 DESCRIPTION: Bu3ldin4, Permit Type SF ADDITION Building Wo,rk Type NEw ~Building Length 14 ~ 8uilding Width`'t, 10 / i i ~ \ t i (EL~'~ J ~ a ]'an = REMARKS: SEPARATE EIECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $8,000 9ase Fee $99.00 Surcharge $4.80 Total Fee ;103.00 CONTRACTOR: - Applicant - OWNER: BLILIE CON3TRUCTION 14541438 KERN FRANK 644 SUPERIOR CT 3805 RIVERTON AVE EAGAN MN 55123 EAGAN MN (612) 454-1438 I hereby acknowledge that I have read this application and state that the infarmatian is Correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan prdinances. L ~ ~YIn R.~;j I ln,j APP ICANT/PERMITEE SIGNATURE -rSSUSTGNATURE I~ REACTIVATE _ RECENED GITY OF EAGaA1V PEk?4IT # 1893 BUILDING PERM(T PPLICATION a l a~ - . J U N 0 8 1993 681-4675 o SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of enerqy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 93 Val uati on of work Site Address: STREET SUITE M Tenant Name: (commercial only) ~ IAT BLOCK ~ SUBD. P.I.D. * ~3ZkK ic ~w Ic G Y\fc S Descri tion of work: ~c'tr f~ dk 14 -j i~~ The applicant is: ? Owner Contractor O Other (Deceribe) Name JVe ~r-N' ¢Y`i4- j~ Phone Property LAST F[RST Owner Address STREET STE / City State ZiP Company 1~ l-, L~ o,-'S ( Phone LI S`I - 1 y 3 . Contractor Address Cl~ License # 0 (Z, Exp. City State ZiP Company Phone Architect/ Englneer Name Registration N Address City State Zip Sewer & water licensed plumber ~ . Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? OI Foundation ? 06 Duplex 0 Il Apt./Lodging O 16 Basement,Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool )ff 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch 0 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 4F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 41,31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 0 32 Addition O 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy ~ 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP of Stories Footprint Sq. ft. Fire Sprinkler Length WE On-site well Census Code ~ Depth 4 D-L On-site sewage SAC Code APPROVALS o Planning Building Assessments En9ineering Yariance REQUIRED INSPECTIONS ? Site Footing &,Framing ,E Insulation ? Wallboard Final O Draintile ? Fireplace Permit Fee 99.00 vaa.c;m: 8 VC~ ~ Surcharge . y.00 Plan Review MWCCnSAC Lity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: - SAC % SAC Units 85' - - 5 ft, easement 5 ft, 615ement ~ 67 ~ i ~ < io: o• Flo, 6~r~ge iI O' 59" o' ' I o' o' 0 0 m i O , ft. easement~ - - - - - - - - - - _ . - ~i~,P2T'o~ ~Ve MU~ ~ 2 3LqwK h1NwK oA~S Add ,T~ o.J . ************#**~***#**f************# • C I TY O F E A A N QAYMF~ OF k'EE AT TIME pF * * APPLscazzoN noFS wr ooxsriTum * APPxovAL oF rERrsr. » APPLICATION FOR PERMIT ~ INSPDC.TION OF SEWM ADID/OR MM ,*t * rnSmnr.ramrONS WILL IVOT BE SCfED- * SEWER AND/OR WATER CONNECTION ~ULED UNM PMWT xM sEEN * ~ npPxavID. . * . P ease Print) 1) PROPERTY ADDRESS: 3~85 X/ve/11o`j Avt 3U. LEGAL DESCRIPTION: Z- 2_ l~'y~/~ /L/ar// Qa,~-S cYala - (Lot/Block Subdivision or Tax Parcel ID ) IF EXISTING SIRL'GZ[JRE, DATE OF ORIGINAL BL'ILDING pg2MiT ISSL'ANCE: ' ; PRESEPTTf 7ANING/PROPOSID LTSE: (Nbn Year ? Ca4ERCIAL/RS'I'AIL/OFFICE ~ R-1 SINGLE FAMILY ~ IAIDCSTRIAI, ~ R-2 DLPLEX (Ztm Onits) INSTI'IUTIONAL/GpVII2NMENr ~ R-3 7OWM0[JSE (Three + Units) ( C}nits) R-4 APARTMEPPp/CODIDOMINICTI ( Units) 2) ~ y Np,ME:~/ lH y-~ _ AwDRESS: _I~~T~o,.io~ ~vcrN`5~ CITY. STATE, ZIP:~ ~ PHONE: 3) i:~• NAME:_~~//~'~G??G/c~l~l~/ For City Lse . Plumbers License: ADDRESS: G'~F~ ~{yp Active ; CITX. STATE, -ZIP: _pc1AKv u !?'l~r ExPlred Not recorded PHONE: VS 7 MAS'IER LICENSE# 32 7' G StaInitlal , 4). , • ia• NAME: > _ ADDRESS: • CITY, STATE, ZIP: PHONE: - 'S) " a: .21. : a ' o• • ij, CONNECPION TO CITY SEWE2 ~ CpNNECTION TO CZTY WATER ~ pTggM . 6) ' El PLEASE HOLD ApPROVID PERNIIT FC)R PICK-UP BY ONE OF ABOVE ~ PLEASE MAIL APPROVID PERMIT TO 1, 2, 0 4. AHOVE (Circle one) ' 7) l1 0. t M/ tlP1 1/ 1 71 ~1• TOR -CITY USE ONLY PERMIT # ISSUED 173 ` z- Pd w/Bldg. Permit FEES: $ $ /U- S~ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OLiTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ • t* Z` ACCOONT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ C • <r $ WAC $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S-71 TOTAL ,i. . _ RECEIPT R CEIPT DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE E[VGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CbNDITIONS: 1 APPROVED BY: . o TITLE: DATE : ~7C% 1986 BDILDIAG PERlII? APPLICAiION - CITY OF EAGAN NOYE: ALL COATRACrO9S H[JST SE LICSNSSD WITH THE CI1R OF EAGAN SINGLE FAlQLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLS DHEI.LIAGS - RESIDERTIAL R@ITAL UNITS FOE SALS ONITS J INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECB iiITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS CONAfERCIAt ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 85,ez~0 To Be Used For: ~ eya,~-f i~. LValuation: ~ Date: Site Address OFFICE QSE ONLY Lot o~ Block Ereet x Oceupaney ~•3 Remodel Zoning (L.I Parcel/Sub Q Z f1C/C 4Awk pbqK S Repair ~ Type of Const P ITP a Addition # oF Stories Owner 1-D)( ti) Move _ Length ~ Demolish _ Depth 4-9_ Address Int.Impr. _ Sq Ft Install City/Zip Code Phone 9PPROV6I.S FSES Contraetor zWk-l2 L.Ay"pt ~ Assessments Permit Water/Sewer Surcharge 4Z 5 Address (~p ~4 92~ t v,r ~ Police Plan Review ~q , Fire SAC 5? 5 City/Zip Code r.01 Engr Water Conn Planner Water Meter Io3. % Phone Council Road Unit 290. Hldg Of~ Treatment P1 ISCo. Arch./Engr. APC Parks Variance Copies Address lYYfA1. oZro1 d City/Zip Code Phone # NOTE: 6DDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGN9TE i1HICH ADDRESS IS DESIRED. NO CHANGFS HILL BS ALLOHSD ONCE SQILDING PERMIS IS ISSOSD. 25,~ -40 = I o0o x~= SBoo C) I 1 x 2~ r 3 1~ I 8 SD'Z 79 zn 3e~22~ 8 ¢4 z2 u3°A + 79_= a2.9<-%' Cities Di ital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 4J S~ : ~s,qvC r E ~ ~ x , f y5 i r.r { x } P'" ~ 'N 't ` ~f t:.g. f.vV i~9 T PLOT.,PLA~I ` sce~e ~ incn - zo taea s~ ; _ ~ . - "t ~y _ . ~ t,, , . . . . : ' ~ ~ , . . LL ~ . . . . , ! A 4{r~ . t.. ~ ~.1 Y$~ . , { il t ,9 t ~4 ~ .~.r'1~i ; _w • ! _ .r ~ ~ _ ' x•`_- ^ t~ r • ~1 ; . . . { ~.I . . . . . r - . . . . . r..: ~'r ~ . . . . ~ . ~ ~ re ~ ~ +n ~ fL tk~ ~ 1 • ~ _ ~ . g. '~:~;u,~~~ . « , . ~ : r ' .4 _ -1• .s . Y.~ . . . . . , • ' ~ . - . '.i ~r ~ Lc es : . . . t.A . . . , . ti,,.. . . . . (1~ . . .'u(. [ , rl ~ -Y T~~ . .~iC.~M bp . . Y • V N 1Wr - ' - } jGyl,'e~ "Must 8how lopatiqn of stieets, toE and propos~d buifdingg, giJe,lot dimensiona ~I.oY carne~a air'd kSuald~~g's~te ~ are tqr be sf~l~ E~efore ~preHPlai i~ requ¢sYed ) b~ + 7t ~er; i ~ ~ ' , Y.u . ' . 4 ?n~.~.:t$~... ~ . 4 . . " ' ~ae~A'Yns+oLl6n.^M~.•:~M'~YY..FlFRV~~Y~N1f +M1~::' • .tl.:~.'! 13' :r, ~:..`.t ~ . . ' ,~,.:s _ s .l~ ~ ..?"~1' Y . ~ ~ ~ h FXTERtAZ flNELOP~ AVEPAGE "Ei~ COt~PUtATt01f . ~i' F . • .ti.._.~p . , • . ' , r . Ot'NF~ . , ` . . . . . . : . . _ • > . r,.. SI7E ADORESS . CONTR{1C7'OR _ A/UE &l7 ' DATE 6-Al;pf/ PHONE~ ~J~-/tI~P. Oetermiqe worl:ing square footaqe of each. l. Tota}.-extios d VwTi arga . . .22SZ.33 s4• ft. x •~W 2. To.:tal roof/ceiZing area /jDy sq. ft. x.96~ ~ . . " TQtal expdsgd iaa11 ar.ea aboye floor =',~?,+f3_,~ a. 7ota1 aall wfpdo4 area . 224 ' b. Total door area _ „ - c. Total slidiaq g}assdoor ~rea d. Total fireplace:f~a]1 area . • e. Total wal.l fhamirtg are~:(average lOn) .7031Z f, Tota1 net,vrall area abov.i floor g. 7otat rim jaist area C3_- . . ~ 7ota1'ezposed foundsLion area = 96.33 h. Tota7 fovndation windorr area - ' i. Toal net foundation area abcve grad2 : Detenine "U" value of each wall segment. g „U'- ~ b. 77 X ,,u„ , /23 = 4 65" C: yo ~X „v„ d, aQ x 11U„ 7z = ~v'1ap . e. ~03•.Z z oU,l ~O q = ,Z~ f. 15-40S.03 z Hu° ~ g. /30 X ~.up, •Bt/ = 5-26F X .6u.; x„u„ ; 3. :;~...t.... ......,....rotat ~ If item C3 is,the same as, ar less than item F1, you have rret the intent ~ of SDC 6Q06(c)2. . _ _ x...i ~~..r . . : . •r;.. . , . . . . . - ' . • . , c ; Total exposed roof/criling area = /30~ • Total skylight area................. k. Total roof/ceilin9 framing area (average l0A},,, p - 1. Total net insuteted roof/ceiling area........... < Determine "U" value for each roof/ceiling segment. , j x „U„ _ k. ?.30.,y x"u" . csG = 3 39 ~ : 7: r~73-G X ,.u„ . OZS = . ~9-3y 4................................... Total = ~ 3 ~ If total of 14 is the same as, or less than.=2, you have met the ~intent of S6C 6006(c)1. Altzrnate Building Envelop2 Design : ie utilize the total envelooe systen rethod, th= values>established by the surn of itzms ;3 and 7'4 shall not Ce greater than the sum of items 741 and A2. + z. 33. qo s. + n. . 1^., _'.-__~.•~GGG( ~r , Q . . ' .:~GOr L`°A"Ttr,~ K+CF~'+1f1'? ~j vy • ~~Sj~ ~ . S . r . _ . . . _ . . _ . _ . . . . . . ' ~ . - . ...+'t.,.r !~.:Mb v45 _ iT- ~ :~•;l• .W' , ' ~ ~p •Xmz: .q" ~ ; , - tramc ooi~stsvet~on Construetlon . • ~a-v~xoe • y , • fnr i~ E:Ln, 4 2. S, c.^.a•i Sr,St a^u+.1 _ 8 , t . y _ HASIC 6. Extcr:-',r h.r filn = 0•17 YALL _ a,~=1 /0•~I/ . FIG. 81 TOPVIEW OF' pRAttE W;I,I, l. Intcrior air film: 0.68 - 3. 4+=~4~----- ~ • po 4ff< 6. Sxterior ir fi1M 0.1.7 5.. . FIG. 02 Total Zp 03 ~ ---u . "'~"0 • 1. In[erioz air film 0.68 . , ,•i 2. a. 4. -2 l SeFt `A 5. 6, ~eeerior aic film 0.17 2`1~..',1.1~~1 ~ TOCdl 17.7V r'`~-~,~~. ,p'.l?.. . . . Q.- ,oy ~ • ' A Y ~ 1. Intcrior air fil.m O.GB ~ 1 ? _~O • , . o • 1. 7" 7.isAr r~ ~r00:i~a.TICY 1 ~N 3. 12' e~o " 1:AL1. . , •0' . a '7.rld[ S. p~ '~';~•j ~i ~ 6. Exterior air film 0.17 . . Totai 7 39 ~ SLAB ON GW~DE ~ , . ~ ~ . ~ . : ~ y.~~~~~ ` - I!1 i y • . . ' . . ~ /(l ~l tIG. N3 ' ~ • / Kt ° ' I rIt;. ~3 ~i. • J * ~ ~ ' ~ • K~ J1l ~ Ir r = ~~r ~ ~ . ' NOTE: InEicate tyna. value, deeih and:: , ` ° " plaecnent ot insulation. ~ P _K. . _ :n: . ~.i:...~.1. . ! ` . xoor/tEiLZNC ~ - . . Contiroclion R-va luc Intcri rL-t'ir film 0.61 ~ /y~Y~ i ~ 2. b `s.rL~ • SB 3. LO' Fl,G!/GOjr 38. ~c 4• F,xtr.xior nir Yilm (r.ti 1) U.G i VF.T TOCdl ^!y G (`J y ! Venced Heat flow uP , . ; ~ FSC. NS ~ . . . " i ? - 1. Interioz ai film 0.61 2. ~ 3. - 4. £r.terior air 4-11 Tutal 7 L(D 4- ` • ~ ; ! Y.eac flot) up ; ven[ed + FIG. M6 I • - 3 - - ^ Insidc air film / 0.61 i~ ~u > i - 2. 4.. ~ ' . ~~•~i7. " ~•'.:c•.;~'. 7 P~?.vr; ~r.• S. Outsid . ir film 0.1 Tota 1 - --4 . . 1 Z ~ • ~ Note:' Use ndditional shects if more space is necxleJ for Oetails and calculations. Ilov uO • . ~ , • - . . • . . ~ y , / ~ . . .n ' ~i..'~'.~'.:^Y.'~`_.. . _ . . I ~ - . . '-7qq49 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date))5~ Site Address~m Cl ~y .l Y&A f6 4Vc. Unit # Property Owner C{u.,v ) 4zJC Telep6one #((o5l) 4`Jr4; 521' D Contractor MORE ENERCY' CENhR Street Address FLYMOUTH' MN 5W7 City State Zip Telephone # ( ) 476 .1990 Bond l~!J DI Expires: The Applicant is _ Owner V Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 VI/ furnace _Additional Replacement _ New air exchanger ~ air conditioner nEC~i ~ u ED heat pump JUL 2 7.006 other State Surcharge $ .50 Total $ • ,60 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 work will be in accordance with the oib\l oved pla m the case of work which requires a review and approval of plans. fA)C'~S 1 's Si ~ ature Applicant's Printed Name ant p ~ 4~33'~ 2006 COMMERCIAL MECHANICAL rEUMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings multi-famity buildings when sepazate permits are not required for each dwetling unit Date Site Stree[ Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) ~?~~?1ID YOA:S".3 3" ^:74 Co ntractor f"- I ;34'fri ;:aS cc-2~~' wu'e'u1r7 ~UCn'LYl~i Street Address ~~y State Zip Telephone # ( ) Bood 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 instafling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: 570.50 Underground tank installationhemoval - $50.50 Mirtiniem (includes State Surcharge) or ContractValue $ x I% _ $ PermitFee $ State Surcharge If oermit fee is less than $1,000, add $.50 If oermit fee is more than $1,000, surchazge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial 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 1 understand this is not a permit, 6ut 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 caze of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Dare: Required Inspections: _ U.G. _ R.I. - Air Test _ Gas Service Test _ Infloor Heat _ Final Jun. 14. 2608 3:14PM vision bank No, 6148 P. 6 CitY of Ealan ~ Pennrt#: I Pertnit Fae: 3630 Pilot Knob Road i Esgen 1YIN 55122 I Dffie Received: ~ I ~ Phone: (651) 675-5675 Fax: (651) 675-5894 ~ statt: ~ ~ 2008 RESIDENTIAL BUILDING PERMIT APPUCanON nate: 6 ~1060 sna ncaress: 34~ &vcr)4o.l 14v-e Tenant: txri /"m SuIte g: RESIDENT / OWNER Name: ell ++x ' G~svrc~ 4.M~'~wn Phone: 6 P/' Lrdyg' Address 1 CiCy ! Zip: 3oR1 S' k 'tnr-h.. Av'L Applicant fs: _ Qw+er &CoMrador TYPE OF WORK Descriptlon of work: P e-fQoo T ~r..ii.L/J' ConstrucUOn Cost: 9+~i90 Mutti-Famlly Building: (Yes Nv _X) CONTRACTOR Name: Am~-- &J~itio Licenseu: a2d4* 9.TAT Address: .2,960 Jirtl~"cfa ) ~c~ c@!+: evMyVr"&_ State:.~ zip: SY.P.77 Phone: TRS~. 702-C Rr9 Contact Person: cu COMPLETE THI$ AREA bNLY IF CONSTRUCTING A NEW BUILDINQ _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . ResldenNal Vantllatlon Category 1 Worksheel • New Enagy Coda WorNsheet Categary 3u6mlttad 3uhmitted submisston typa) • Energy Envelope Calwlations Submitted In the last 12 months, hes the City of Eagen Issued a permh ta a slmlfer plan based on a master plan? Yes _No If yes, date aM address of masier plan: Licensed Plumbgr: Phane: RAechanical ContracWr: Phone: Sewer & Waier Contractor: ' Phone:' liig tlacumen - l~,C~la/orm~ r oijrd assified as ri~o~ - N' pef'.. . ~ . s~';, ~ conc~ I hereby adcrwwledge that this inlortnalivn is complete anM accwdte; thdt tlN wurk wfll he in coMOrrnance vAVi the ordlnances and codes W the Ciry W Eagan; Ihat I understend this ia nol a permit, but only an applicatlon fw a permh, and vrork is rwt to start withou[ a pertnit; that the work will be in - acaordance with the approved plan in the casa oi worK utrich require6 a revi6w and approval of plaim. ~ x,~/n.v Q)fYR~r~ x AppllcaM' P~Inted Name AppGcant's Sigraature Page 1 of 3 B 7/22/2016 10:22 AM FROM: Fax Standard Water TO: 651-675-5694 C!ty of Ea&aii 3830 Pilot Knob Road Eagan MN 56122 Phone: (661) 676-5676 Fax: (661) 6764694 JUL 2 2 2016 PAGE: 002 OF 003 Use BLUE or BLACK Ink v For Office Use Permit*: Permit Fee: �/ Date aecelved: / `.'- ' Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/15/2016 site Address: 3805 Riverton Ave • UnIt#: Resident! Owner Name: Regan Fox Phone: 6514544818 Address/City/Zip: 3805 Riverton Ave, Eagan, MN 55122 Applicant is: _ Owner ✓ Contractor Type of Work oestaiption of work: Draintile System Construction Cost: 6520.00 Multi -Family Building: (Yes _ / No L) Contractor Company: Standard Water Control Address: 5337 Lakeland Ave N Contact Mike Hogenson City Crystal State: MN zip: 55429 Phone: 763-537-4849 Email: mike@standardwater.com license #: BC001522 Lead Certificate #: NAT 21436-2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for etmllar plan based on a master plan? _ _Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor. Phone: Sewer & Water Contractor. Phone: Fire Suppression Contractor Phone: NOTE: Plans end supporting docfifnerhtafthat yo i subm►t.ere, conslderedto be publ(c information. Portlons:of • the Inforrried on linty be classliied as 006 -public K you provide,speclfic reasons that would permit the City to cohclude that they, ate trade secrets. CALL BEFORE YOU DIG. Ceti Gopher State One Call at (861) 454.0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities. 1yww.aonhatslaleonecaltorq 1 hereby acknowledge that this Information 1s complete and accurate; that the wort will be In conformance with the ordinances and codes o/ the City of Eagan; that I understand Ih1s is nota parnit, 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 end approval of plans. Exterior work authorized by a building permit issued 1n accordance wllh the Minnesota 81a1e Building Code must be completed within 180 days of permit Issuance. x Betty L Baker Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE – SUB TYPES •S © Rj ver fb''"` je,„— Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) _Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex Lower Level Pool Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100°A, ) Census Code #of Units # of Buildings Type of Construction Interior Improvement_ Siding Demolish Building* Move Building Reroof Demolish Interior Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile J1 Siding: _Stucco Laatt i _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AU6111016 r Use BLUE or BLACK ink For office Use Permit 4: 5e/ IL Permit Fee: `E 6- l�'�"i DatDate Received: cl��d "/‘0 o AVO Staff: I\ 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 0-140- !! C Site Address: � �� g l`�i f�4+"7�"1 � � `L-G�. , �r. �`� � �--- Tenant: Suite #: Type of Work Address / City / Zip: f Name: +•', , i 4 Address: / 36 ix 4,i t ' ( / 4'� City: .e. -DL Phone: 6 ( 2...67 6700 License We 2 7I State: AN( Zip: q 7 Contact. New Yf Replacement Email , ` r° tAit ce d '. Repair Description of work:$spy RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Rebuild _ Modify Space _ Work in R.O.W. 6e ,' Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround' RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. ;v N 4, oph -A t,tateurlecair:: rm I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that t 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 accorce the approved plan in the case of work which requires a review and approval of +lan Applica is P App nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections. Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179181 Date Issued:09/22/2022 Permit Category:ePermit Site Address: 3805 Riverton Ave Lot:2 Block: 2 Addition: Blackhawk Oaks PID:10-14387-02-020 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: 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, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Regan A Fox 3805 Riverton Ave Saint Paul MN 55122--171 Residential Heating & Air 7454 Washington Ave S Eden Prairie MN 55433 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature