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3810 Riverton AveCity of Eaau 3830 Pilot Knob Road Eagan MN 55122 RFCE!VED Phone: (651) 675-5675 Fax: (651) 675-5694 J U L 2 12011 Use BLUE or BLACK Ink For Office Use Permit*: t 476 Permit Fee: lei Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Cid'` 1 Date: Site Address: Unit #: Name: n QV( Q- ' Litt f K y, (. 14 e „ j Phone: Address / City / Zip: 3 6/es A t t..K.:4 6 4 u Applicant is: Owner ontractor Description of work: A c ' 4- IC e_p �. a c 3 .�. (/.t 't se+;-- 3O C (r I5‘ -.1,.,C og / 4.. Z r4�t , Construction Cost: Y ` 11J' Oc) Multi -Family Building: (Yes / No ) rjo , ul 5 d..)-. C U%-.5 r Contact: 6'-eI 4 1)--�jG2-/yli Address: �s 5 7 a- 1< 19 K -C 1.-r‘d. k.,r^ r� 1s City: C- 4 9 id State: leveN. J..-- Zip: 9.7 '2-3 Phone: 6, 1 ((,j‘, — l5-5 '7 License #: 0 V -n 6 .I Lead Certificate #: fl) / A Company: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ot4 A) ► i 1--L4' in CI 462.4 bt COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. R ref Applicant's Printed Name Applicant's Signature Page 1 of 3 ?? gi'ot U 17\- NOT WRITE BELOW THIS LINE /00 SUB TYPES Foundation 4 Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% //) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 3y Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL I/8 ' 7-- Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Z� E - Z MCES System Arno SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 44- Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick Final Page 2 of 3 CITY OF EAGAN , 3830 Pt1ot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PER4AIT Fieceipt~ To be used for , k Est Value Date ,19 Site Address OFFICE USE ONLY Lot BIoCk SeC/Sub. On 5ite Sewage _ Occupancy , Bb+t£*kcls~'~ti.,, k~~}2r MWCCSystem _ Zoning Parcel No. On Site Well _ Type of Const City Water _ (Actuaq (Allowabie) W N8R1e - 77: of Stories 3 Address Length ~ City Phone Depth ~ro~ # S.F. Total , p NemB Footprint S.F. ~a Address APPROVALS FEES ~ City ~,tyRi ._,.,j.;_PhOne ~4 ) f_ Assessments _ Permit d . , F ~ Watar/Sewer _ Surcharge ~ W Name Police _ Plan Review Address Fire = SAC, CRy Engr. SAC, MWCC %z City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationisconectandagreetocomplywithallapplicable APC - TreatmentPt State of Minnesota Statutes and City of Eagen Ordinances. Variance - Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the expsess condition that all'work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Official Psrmft No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric Softener Inapection oate Insp. Comments Footings I Footings 11 Foundation Framing - Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. T,~+ ~ Deck Frmg. - r Well Pr. Disp. C1TY OF EAGAN : 10645 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 eU1LDING PERMIT Rea+ae # To w wd fee 1:'r' 'i, i~?(;/GFi.it Est. Vaiue 60 r 000 dote ~i.t F:IVF;RTbN AVE Erect L}; Occupancy Sita Address - - ~ Ai.AC_R;aALVK Cli-.K~ Re'^~el ? Zoning t. . Lot Block } ~eclSub. Repair ? Type of Comt. Parcel No. Addition ? No. Storias 7'EFc?..'1riCE D MURPIHY Move ? Length ~ Name Demallsh ? Depth Addresa ~ 61 ~~AStiB1; xN AVF S,~ Int impr. ? Sq, Ft. City ''.~'iITN Phone $99-8230 Install 0 Name ~ 11 , Appovals Fas A~~ Auessment Permit t. t J u~ City Phone Woter b Sew. SurcharQe Polfu Plan Review 1 `)6 d Name R L~SSi" L•L HC~T.+:~G U~:Sa (~i'j Fin SAC `i25 _ GQ H= `~.)Ci . ~lCi Addresa Enp. Water Conn. ~ W City ~ l : Phone 8 ~j ?'J Vlonnwr Water Meter 63.00 Council Road Unit 280 1 hercby ocknowledge thot 1 haw rood rhis applicotion ond state thot Bldg. Off. /%23/8•- Tr. PL 132. L' tM inlormotion is correct ond oyree to comply with all cpplicable A~ p~rks Stott of Minnesoto Stotutes pnQ. Ciry of Eaflan Ordinanus. Var. Oate Copies Siflnaturo of PermittN Total ' ' . U ~r,~~]~.•. „ . ,,,,~!j. A Bu91diny Permir Is isw.d ro: on eh. •xpress oondiean tho+ all work shaU be done in acao.donce with all oppliaoble Srota of Minnesota Statutes and City o} Eapon Ordinances. ~ F 9uildinp OffiCiol - PKmh No. Pwmit Holdw Des TNephone ~t Plumbin4 a' H.VA.C. Ehictric safterber InWsctioa Data Insp. OthN Footingsl ~ Footinps II Fourtdation Framing Roofinq Rouyh Plbp. ~7) ,Q Rough Htg. 9 ~s- Inwl. Fireplaw Final Hty. Final Plbp. Final Cert/Occ. Water D"Oi Location: We11 8ewer Pr. Dlsp. CITY OF EAGAN Remarks-Zj*Y #1570 P/ A'¢ Addition BLACKHAWK OAKS ADDITION Lot 5 Blk 1 Parcel 10 14387 050 01 Owner screet _3810 Riverton Avenue stete Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. . STREET RESTOR. GRADING SAN SEW TRUNK 1970 MAN 3.$4 25 34. Ci010447 7-9-$5 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 - 071 9.45 15 56.$2 STORMSEWTRK 1983 30.58 15 366•9 11 7- -$5 STQRM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, n BUILDING PER. lOgAr, SAC PARK ~ INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: f"• (612) 681-4675 SITEADDRESS: APPLICANT: i i ~ i.,:i nVf frAtrltii PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • .A ~ ~ Permit No- Permit Holder Data Telephone N SNV PLUMBING • HVAC ELECTRIC ELECTRIC Mspsction Date Inep. Comments ~ Footings I Foundatfon Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Finai Htg. Orsat Test Finel Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Fnal Deck Ftg. , l t% Deck Final 16-119? ~ / weli ~ Pr. Disp. F--1 INSPECTION REC()RD CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ (651) 681-4675 SITE ADDRESS: APPLICANT: ~rJ I1Vf . , ~ i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D . . I . . _ . - ~ . - . , . ~ ParmR Holde? DaM Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Commsrrta FOOTINGS FaUND FRAMING ROOFING ROUGH PLUMBINQ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL CiYP BOARD FIREPLACE FIREPLACE ~O AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FlNAL DOMESTIC METER IRRIGATIQN METER FLUSH MAINS CONDUCT1VfTY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Reaipt MECHANICAL PERMIT Penriit No. CITY OF EAOAN Fee i Fill in numbered speca S/C Type or Piini legidy Tot `y . -7 1. Dete 2. Installa ,ion Cost 3. Job Address Lot ` Blk. i Tract . 4. Owner 5. Contractor y~('.L.O rPhon . . ' ~ 6. Address . ~ 7. Clty % ;L ~ • ~~'.r ~ c State 2ip ~ 8. Building Type: Residential Commercial ? Institutional O 9. Work Oescri"on: New Add 0 Alter O Repair ? 10. Desa'ibv ct~ s;l.. ~'t-:• FuelTyper'~` 7' 11. No. Eauinment BTU - M. Ea. No. EquiDment CFM - Forced Air - Air Handling: ~ Mfg. ~ Boilers r• C-_ ~ r ` Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinances ird codes governing this type of work. Signed: for Rouyh Final Inspections: Date Insp. Oate Insp. This is your permit when numbered and approved. Approved CITY OF EAOAN 454-8100 Receipt PLUMBING PERMIT Pertnit No. ~ , CITY OF EAGAN Fee , . fill in numbered spaces S/C Type or Print legib/y Tot - - 1. Date e 2. Installation Cost 3. Job Address Lot Blk. / Tract 4. Owner T.' r t-~ ~ r~V ~'~7 1 / 5. Contractor e• Phone % " ' 1 6. Address r s V U 7. City State i'~" ^ 2ip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter O Repair ? 10. DBSCribe r.. 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank ~ Lavatory Softner Shower Wel I ' Kitchen Sink Urinal/Bidet Other ' Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I 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$100 . RESIDENTIAL " BUILDINC PERMIT APPLICATION ' 3830 PILOT KNOB DN 55122 '4F 17I, 75 651-681-4675 NewConstrueGOnReauirements RemodellReoairReaufrements - • 3 registered site surveys shoxing sq. il N bt sq. fl. W house; and all roofeG areas • 2 copies o1 Plan (20°h maximum bt coverage allowed) . 1 set of Energy Cakulatiore for heated addNons • 2 copies of pWn shaving beam & window sizes; poured tound design, ek.j . t sita wrvey tor ezlerior addNOns & decks • t set o1 Energy Caic~lauons • 3 mpies af Tree Preservation Plan H lot platted after 71%3 • Rim Jdst Delail Options selection sheet (bldgs wBh 3 a less unils) DATE VALUATION (EXCLUDING LAND) 4 lVe,r'taY) {-ce .iJ6 SITE ADDRESS '3gI D ^ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK "&0+t k fae,~ " 4a.?ac~IL FIREPLACE(S) _0 _1 _2 _3 APPLICANT 3ELAROOFINf & REMODELIN , iNt PHONE # 5'15-Z-523-$0cr/(~ ADDRESS GT LOUISPARK MN 55416 _DPCODE PAGER # ~ELLPHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - ResidenGal Ventilation Category 1 Worksheet Sub - Energy Envelope Calcutations Submitted zoo~l _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbfng Contractor: Phone Plumbing System Indudes: _ VVater Sohener _ Lawn Sprinkler Fee: $90.00 Water Heater N0. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Alcchaniril S}•stem Includes: Air Conditioning Fee: $70.00 _ Heat Recovery• System Sewer/Water Contractor: Phone # All above infortna6on must be submitted prior to processing of application. I hereby acknowledge ihat I have read ihis application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant~ ~zS.' ` ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 I - _ OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg D 02 SF Dwelling ? OB 06-plex ? 16 Firepiace 0 21 Porch (3-5ea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) O 36 Multi ? OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plez ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuation Occupancy MC/ES System Census Code Zoning City Watei SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Fina] Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Pertnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total This request void 18 rrpnfhs fmm P G~ ~ l~ rn/ I a~ 1 9 5 `A" t.194270 ~5/b r,j-r,~z s. ~ o Raquest Date Fire No. RouBh-in Insoection 716 Pequyetl? ? ~Reatly Now ~Will Notify, Inspec- a aYes No tor When Reatly ET-Licensed Elecvical Coniracior I hereb y request insDaction of above ? Owner eleetricel work instelled et: Sveet Atltlress. 60x or Poute No. C ir, Y,),o &1 G. T acLOn o. TownghfD ama or No. Range No. County / N Occupunt (PRINT} Phone No. k/' ~ gff' ?a30 Power Supplier Atldress /,f 45; ~ Elactrical Con actor (Camvany Name Conirar,ior's License No. C/ e I.~~ yi/6a Meiling Ad(Jress ( ntracmr or Owner Makine Instailationl 23V 14116 Aufhorized ignamre (Con[r ctor/Owner MakinB Installation) Phone Number 9y/ s~~y MINNESOTA WATE BOARD OF LECTRICITY THISINSPECTION flEQUEST WILL NOT Griegs•Midway Bldg• - floom •191 BE ACCEPTED BY THE STATE BOARD 1821 UnivereitV p.ve., St. Paul, MN 66104 UNLESS PROVER INSPECTION FEE IS P6n- 18121 29Z2111 E NC LOSED. REQUEST FOR ELECTRICAL INSPECTION « EB-o°°°~.°° 0942 7 ~ ae instruetiona lor complatinp this~form o'n beck ot ~ I low eopy. '"X'" Below Work C This Re uest d Rep. Typa oi Builtlin9 AOpliancen WireE Equipmenl Wirea Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. ? FurnaCe $ilo Unloader Industrial BIAg. ? Air Conditioner Bulk Milk Tdnk Farm ine. aec, v incrsuacffvl t er uoci y [har Oth.r ompute lnspection Fee Below p Fee ServiceEntrencBSiza p Fae FeeEars/Subteedera b Fex Ciroeita / J 0 to 200 qm s 0 to 30 Am s O, u 0 tn 30 Am s Above 200 qmps f ,uJ 37 to 100 qmps / ii to 100 Amps Swimmin Pool Above 100_Am sformers Irri tion Boort~s p l'Other Fee Signs Speciallnspection S emerks ~ jQ TO FE~ 3 /co flouph-in D t4.,,, lecortity tMt ihe abova iinal r D~Jtlsoeetion has Eeen rr~ / de. min requeat vola 16 moniro tmm - CITY OF EAGAN 13991 ~ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUI.LDING PERMIT PHONE:454-8100 Receipt #-7 Lo Q Tobeusedfor DECK Est.Value $2,000 Date SULY 29 ,1987 Site Address 3810 RIVERTON AVE OFFICE USE ONLY Lat 5 elock 1 Sec/Sub. BLACKIIAWK OAKS OnSiteSewage _ Occupancy MWCC System _ Zoning PafCBI No. On Site Well _ Type of Conat City Water _ (ACtuaq a Name DAVE FRIEDMAN (Allowable) W # 01 SIOdB3 = Address SAME Length o City Phone 452-8593 Depth S.F. Total , o Name ApAAtt CONST Footprint S.F. ~Q Address 9199 .iANE RD N APPROVALS FEES ~ City LAKE ELMO phone 7~9-~416 qssessments _ Permit $ 44.50 Weter/Sewer Surcharge 1 .50 w W NamB Police _ Plan Review Fire _ SAC,City s- Address ~t7 Engr. _ SAC,MWCC aW City Phone Planner _ WaterConn. CounCil _ WeterMetBr I hereby aeknowledge that I have read this application and State Bltlg. OH. _ Road Unit thatthelnformetioniscorrecta ~eetocomplywithallapDlicable APC - 7reatmentPl State of Minnesota Statutes nd C'k~~pi-faga 'n pe9s. Veriance _ Parks ( / Copies Signature of Permfttee \ roTaL 46_ o0 ~4 Quydj~njPerrr~ j$ issued to: ADAMI CONST on the express condition that {il(),Qr~S all be0oPe in accordance with all applicable Stat_ qpf Minne~ atujes and City of Eagan Ordinances. Building Ofticial CITY OF EAGAN N° 10 6 4 5 3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan, MN 55127 PHONE: 4548100 BUILDING PERMIT Receipt # Te M ~d he SF DWG/GAR Esr. Value $60,000 pOfe JULY 23 1 y 85 SiteAddreu 3810 RIVERTON AVE Erect C$ Occupancv R3 La ` Block 1 SeclSub. BLACKHAWK OAKS Remodel ? 2oning Rl Percel No. Repair ? Type af Const. V Addition ? No. Stories W Name TERRANCE ? MURPHY Move ? Lengcn b u~ Demolish ? Dapth 46 ~ Address 61 WASHBURN AVE SO ~nt ~mpr. ? Sq. Ft. City BLMTN Phone 894-$230 Instell ? SAME Appeovak Fus D Neme Addms Assesvnenr Permit ~10 City Phone Woter 8 Sew. Sureharge 30.00 Police Plan Review 156, S 0 °C Neme RUSSELL HOME DESIGN Fim gpC 525, 00 ? 4940 VIKING DR 500. 00 Z~ Address Enq. WaterConn. ~W Ciri EDINA phone 835-5970 plon~r WeterMeter 63.00 Council RoadUnit 280-00 I hereby acknowledga tFwt I hove read this application ond store that Bldg. Off. 7 23 8 7c PI. 132.00 fhe information is correct ard ogree to wmply with oll applicaWe APC Parks State of Minnewro Statutea and City oF Eogon Ordirrr~~~qqq~~~ces. ~ ~ „/r /~i / Var. DMe CoDies SipnMuro of Pertnina ///•~~i~~ ~ 0 TERRANCE D U~F HY Taa~ A Buildfnq Permit Is issued to: on tha axpreaf eonditbn ihat oll work shall be done in occordonce with o)Loqpl- ble Stote of i ta Statutes ar+d Ciry o1 Eopon Ordinancaa Buildinp Offkiol INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLorNG 3830 Pilot Knob Road Permit Number: 0 2 3 5 9 9 Eagan, Minnesota 55123 Date Issued: 0 5/ 18 J 94 (612) 681-4675 SITE ADDRESS: Lor : s B L 0 C K: 1 APPLICANT: 3810 RIVERTON AVE FRIEDMAN DAVIDE BLACKHAWK OAKS (612) 540-2769 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . FOOTZNGS FINAL F ~ L J PE'RMIT cR 100~ CITY OF_EAGAN 3830 Pilot ltnob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023599 (612) 667 -4675 Date Issued: 6 5/ 18 / 9 4 SITE ADDRESS: 3810 RIVERTON AVE LOT: 5 BLOCK: 1 BLACKHAWK OAKS P.I.N.: 10-14387-059-01 DESCRIPTION: B.uilding,-.Permit Type DECK Building Work Type NEW i 1 ~ ' . -REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - FRIEDMAN DAVIDE 3810 RIVERTON AVE EAGAN MN 55122 (612)540-2769 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City Eagan Ordinances. L ~ ~lneI n R,~~;rl I m~I APPLICA T/PERMI E SIGNATURE 7SSUED B1': SIG ATURE ' CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION IV IM99 681-4675 MAY t 2 ,oct, (AA.5- L SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uati on of work14000 ~ ~_e e Do c k_ c~•.. ~adrC~J 3 g 1 0 ~~`Je 4'(~N 4?E ie c n:~ ± STREET SUtTE M Tenant Name: (commercial only) LOT r BIACK r SUBD. D D/QC,/ P.I.D. # ~ l ` CI &AW i Descri tion of work: Bu1, U U [Y v e T at 5> SPId ~'Le OD , The appl i cant i s: tR, Owner ? Contractor ? Other (Describe) Name ; M. dl cLJ i P Pho Property LpsT FIRST L~'.~5'~O-z7b°/ Owner Address 3$ /t? R,`~~e2t~rv )4tl,,O ~'ax S~0•~9sq STREET STE 1! City ~~cw~ro~tl State ~/0 Z i p 5257Z Z- Company "~-R m P , Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # 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 thi plic tion and state that the information is correct and agree to comply all p ic ble ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: • I~ ~ BUILDING PERMIT TYPE OFFICE USE ONLY . . ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging 6 Basemenf'Fin~ish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. )Z 15 Deck ? 20 Pu61ic Facility ? 21 Miscellaneous WORK TYPE /q 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GEIVERAL INFURMla?`fInIV • Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code p/ Census Bldg Z APPROVALS Census Unit D Planning Building Assessments Engineering Variance RE(IUIRED INSPECTIONS ? .Site E~F Footing ? Framing ? Insulation O Wallboard &]'Final ? Draintile ? Fireplace Permit Fee vea.t;,,,: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: 5AC % SAC Units T726 Mor9an Awnue 9outh s C A L V I N H,. H E D L U N D ' qlcnnela, u1n~*111o11• 5e423 Phone : 966-2623 Ldnd 8urr*yor Clvll Enqlnomr ` Swrqors Gert~ficate ` JOB NO. SURVEY FOR:" 'Ccrry P41 •phy DESGRIBED AS: l.ot S, Itlock I, BI.AC1: 11,1WF: l1A1:5 AUUI'I'1(1N, Ci ty ol' Eagan, l)akota CounCy, Plinncsot:i anLl rescrving c;iscmcnt:; ol' recorQ. ' 'iun of PoundaCion- =889.1 or9./ . ~189°59't8"~ 8n~ Garagc i'loor =886,7 Q 5 00 Itascment floor =e 8S.9 I I Pru~iuscd I:lcv;itionS~ . I , I lixistin~: lilcv:itions--- r I I Dr;iiual;c Uirectioiis--- ~ Iicnoccs Lot Corncrs0 i I J I IoN N OI I~ $ , o O 0I IN H p ~ '"r • N - 0 ~ i . ; Ia'n ' I : - ~ I jb' I y' _ r 0~~• ; B85.b I" ~?~(Fb~~''' ~~1I ~ ~p~Y= \ N~_~S~~ ~X,~~\ •0 \'1~~ru..~\\ _ ~~lu'l.? ~Ya.tC1 . ~T I 5 \ ~ 1 ~ 'd C ~r •HB:~ 1 de7.6 g5. 0 88~.y - 89's '48"E se7.L ggc.a p 'RIVERTON AVENUE CERTIFIGATE OF SURYEY i I Atnby uttify Ihot on ~~~85 I surveyed the proparty de:cribe,d abov• and Iho1 : th• above plat (s a correcl representation o} sold survey~~~, ~ Culvln Il, Ilidlund, Minn, Roq• No, 5942 M' 9n' );:.\'(Vi:{<9F~CY(YF.1ti:4:M ~M>Y~'!r'J4:~1'7'~Y~N~Ntl~<Y,/,Y;?,l'Y~.'Y:Y~t%Yti >4YFY,C~'?R 'N.%~CYr' ['I'rY [7F r_.AC,Aid cnGH.r.!:::R;: S 7E:'I,.11SNAL NCa 774 ItAT1=:; 0l30/96 7SML.c 0:4202 ID a N:1?4Ee t:>TA7f.-"W:I:DE GA5 SI-1iVTCLS ]:NC '.',rip 9001 _;tli.tl RT.tJ1=.I;70N A 50.00 2155 9001 380 F:IUEF':'i0N A 0.50 . 'ioi;al Piecei.p9: Amount,; 50.50 r,RD9f3964 USL:P; :f.Ci: NANC;Y PERMIT CITV"OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Permit Number. B U I L D I N G Eagan, Minnesota 55122-1897 033866 (651) 681-4675 Date Issued: 1 0 J 3 0/ 9 S SITE ADDRESS: 389.0 RIVERTON AVE LOTs 5 BLOCK: 1 BLACKHAWK OAKS P.I.N.: 10-14387-050-01 DESCRIPTION: : 6AS INSERT/GAS LZNE Bu~i.lding P„ermit Type FIREPLRCE Building Wot'k Type ALTERATION Census Code 434 ALT. RESIpENTIAL i 1 ~ ~1. i ~ n REM~4~I~~S~Y/FLUE MUST BE SNSPECTED BEFORE CQNCEALTNG. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Tptal Fee $50.50 CONTRACTOR: - Applicant - OWNER: STflTEWIUE GflS SERVICES 14477185 MAAS AMY 3342, BALSAM ST SW 3810 RIVERTON AVE PRI0'2 LAKE MN 55372 EAGAN MN 55122 (612) 447-7185 (651)688-6598 I hereby acl<nowledge that I have read this application and state that the information is correct and agree to camp].y with all applicable State oY Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ~~3ISSUED BV: SINATUF'~tE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERMTf APPLICATION 681-4675 DATE: O PERMITFEE: $50.50 DESCRIPTTON OF WORK: _ Consfi?ct new fireplace _ Alterations to existing ~ Install p_as insert oolv ~ Install Pas line onlv Other JOB ADDRESS: J U I V L/Q r+!m LOT: ~ BLOCK: SUBDMSION(P.I.D. APPLICANT (circle one only): OWNER ONTRACTO 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. Name: Phone fi: PROPERTY Last F' OWNER ~q Signature: y sueetnaare55: ~ 8! U R; vet -k-o n~- v, City State: ZiP: T a 0? company: 5ta-i 2 uJ i(Lg~90 5So_c v; ce 5 Phone LI '~I 7- 7 I~S FiREPLACE iNSTALLER Signature: Street Address: l ~ ~ ~ ~ License # cny r D s~: IN~;__~n _ z~: 5 8' 36 ComPaoy: I / Phone GAS LINE INSTALLER Signature: Street Address: OFFICE USE ONLY BUILDING PERNIIT TYPE O 14 Fireplace WORK TYPE O 31 New 0 33 Alteratio4s O 32 Addidon ? 34 Repair GENERAL INFORMATrnnr Ccnsus Code. 434 SAC Code pl REMARKS Chimney/flue must be inspected before concealing. • Y • 70 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICEHSED IiITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (oo,~oo," To Be Used For: , z Valuation: Date: /Sj'--~eTS Site Address: 12,v4 OFFICE USE ONLY Lot: 5 Block ~ Sect/Sub 4/4414o.~ Erect X Occupancy 9•3 Ouks >a/,/,f,`Remodel _ Zoning ~2-! Parcel I! Repair ~ Type of Const $L Addition # of Stories Ownet^ /J Move _ Length 50 u'I Demolish Depth 4 ~ Address RC/~' wuc%h~,c4 Int.Impr. _ Sq Ft , J Install City/Zip Code Phone CS APPRDVALS FEES Contractor 5A,,,r qS irAssessments Permit °7l3 ~ Water/Sewer Surcharge Address Police Plan Review 157~! Fire SAC 575. City/Zip Cade Engr Water Conn 50a.°-° Planner Water Meter Phone Couneil Road Unit 2gp, Bldg Off Treatment P1 ~3z. = Arch,/Engr. '~e'rw APC Parks J~ Variance Copies Address yTOTAL T~19 - 5 c, City/Zip Code fy/w Phone,11 w~~+ ~(A v ~rr~a~ ~4x 38 = 532 ~ 54- = 28-7 Z6 ~(p 7~ ' 1 O r I(o O x 5-4- " oC° ZC~x Z( ~ ~}Zox ~ ( - 0 2 Z~,Zo =q40 ~c r( - Z(C) 5~428 ` d ~~799•~0~ - o.* , 5 • C ~ I , 313•00+ 30•^v0+ . ~~6•50+ ,25 • 00 + SDO•00+ 63•OG+ GSr.0Q+ 132•00+ 1 ~ 9g9•50 * Cy~i. V 1 N H. H E D L U N D 7726 MorOan Ayeeue South Richri.ia,Mfnnf$oto 56423 - Lond Surveyor Cfvll Enaineer Phoee: 866-2623 surrve#aros GJ08 N0. SURVEY FOR: ' Terry Murphy DESGRIBED A5: I.ot 5, Block 1, BLACK IIAIVK OAKS ADDITION, City of Eagan, llakota County, A9innesota and reserving casements of record. 'Pon of PoundationF =889.1 $77.6 Carage r•loor = 888.7 - - y - d 5.00 r - - - - Iiasement Ploor =885•9 ~ I Proposed Llevationsq=> I I Existing Elevations - Drainage Directions-+ i•. ~i I I Denotes Lot Corners0 ~ I ioN o: N 9I N 0 p! ~ N . ~1 O I I 0 40 ` I I I I ' ` n~ I ' I ~ J ( Vi I s~1.6 e85b ~o ~SS. I ~ s$ N~ St9CG5 I + S~f ' \1 , . 1L 3 Ip 'Q~ S'F4Kt S. 0 . . ~ \ \ 88.4 ~ 5- J, - 20 ~ 1 ' ~ I _ J ~ - ~ _ 687.6 85. 0 88~.9 89•s '48"E a91.3 $B~.Z 886.a M - 'RIVERTON AVENUE CERTIFICATE OF SUR,1(EY I hereby certify ihot on "T / f i/$5 I surveyed the property described abov ond fhot fhe above plot is a correct repreaentotioe of sald su0~ Colvin H. Hedlund, Minn. Re4 No. 5942 't~"T•^'^^..-7~'+'T77 v: . `..r ,~~Il~~ sq. x .+r . ' , . . . l. .1 ,J 'u'' ~Y EXTERIOR ENYELOPE,AYERAGE "U" COt4PUT ION ~T970 ?i~l ~a~ ~ t./'~ ~~tiQ ~ ONNER •'';x. ' SITE ADDRESS j , CONTMCTOR DATE „PNONE . in Determine working square footage of each. 1. Total exposed wall area sq. ft. x , 2. Total,roof/ceiling area sq. ft. x~,Q~ A~ Total exposed wall area above floor ~ ~u.. . a. total wall Window area b. Total door area c. Total sliding glass door area d. Total fireplace wall area ' e. Total wall framing area (average 10%)...:........ ~ f. 7ota1 net wall area above floor,._._ 9: Total rim joist area 1 ±-•:`x~ . ~k Total exposed foundation area = Q(o• ' h. Total foundatlon window area 1. Toal net foundation area above grade . ~ betermine uUo value of each wall segment. a a X ..U., : t; yY~N.)S b. X --ull _!3q , "S. ~La '.A:~•~~ C N~ x „U„~_ = 22• ; :r~, , . d. X ,lu„~~ . ; e. X ~~u- ~ L.n,. . 4' y,^i~ x „u„ .0A5 = 6Q,(4 Y. M M . ` } X 111'll . 9. IN?{. ~ . h r X ~lu„ . . .i .,xk.,. u n i, .P,., i. X . 3.,...... . ...............Total If item03 i'sthe same as, or less than item A1, you havg met the intent of SBC.6006(c)2. J r~? y a xsriw+..:4~...iY! . °'tiaS.::,.e..+.t~ ..-~a.v..;e .n.-.a-, -.ii. ~F.si•. Total exposed roof/cei1~ l1ng area = `11GO Total gross roof/ceiling area = 11(pD . " ~~X..•° f- i~= . j. Total skylight area k. 7ota1 roof/cei-ling framing area ' l. Total net insulated roof/ceiling area..... ! Determine "U" value for each roof/ceiling segment. I 1'' r z ~~u" . k.---«~i----- x „U-' 2I - - a i •_-~Q-~--- X „Li„ ,.J r i 4 ..................................Total If total of H4 is the same as; or less t1,an N2, you have met the inten of. g??~` SBC G006(01. •.;;ryt To utilized the total envelope systcm method, the values establi5hed by fhe H.....~.,~ , sum of items k3 and k4 shall not be grcater than the sum of itens 01 and #2.*~~. . . : i'.~~ ~ * z. 3. + 4. ' rP ~ ' •'.'"a ,yh E_ NATERIALS Thi•m. RrF:lst:~nce "R" 6xterior Atr ( ' ?p' ' ' in5u~r'-P~o?-l ° 2.~;~,1, ' i. Slding Nater.zl 3heathing ~ Insulation • ~ 1 + ShePtrnCk Interio nir ~ ~tuAe +?~p - , v:.. ~ Rim Conc. Blkn. . . . . ' i••4ir: i ~ i• , . ' . ~ ; Y•~~•'{:~'. '4~'A~: ' . ' . . i!'t':~ r . t. 7i.c. , • ` . - 1987 BOILDING PERNIIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANSj 3 CERTIFICATES OF SORVEY, 1 SST OF ENERGY CALCOLATIOAS NOTE: ADDRESSES FOE CORNER LOTS - CONTR9CTOR/HOMSOWNBR MIIST DESIGBATE AHICH 9DDRSSS IS ?ESIRED. NO CH9NGFS WILL BB ALLOWSD ONCS BUILDIHG PERMIT IS ISSQED. MQLTIPLE DSiEI.LINGS - RFSIDENTIAL RENTAL QAITS FOR SALE ITNITS INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SiJRVEY - CHECS iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM4ERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND n L pG ~ Q To Be Used For: IJ e C r~ Valuation: Date: 7 ~ Q Site Address 3~ ~ 0 I11vc~f0'v OFFICB OSfi ONLY Lot Block ~ On Site Sewage_ Occupancy 9-3 / MWCC System Zoning ParcellSub &R ~ ~fl.~-~-_/~-- ~ On Site Well Type of Const City Water (Actual) i Owner Dcv2 FrieceYhAN (Allowable) -:77 d A of Stories Address 3'P la i\ I Vr-Rr 9."d !TU Length Depth City/Zip Code EaoQ^J. Mrv, S.F. Total Footprint S.F. Phone y,s2 -?S5'3J APPROY9LS xses Contractor D,4/671 C 0~ST Assessments Permit p Water/Sewer Sur'eharge Address Police Plan Review Fire SAC, City City/Zip Codekl, /7kv .SSO~l2 Engr SAC, MWCC ' Planner Water Conn Phone 779 ` 7Y/ G Council Water Meter Bldg Off Road Unit Arch./Engr. /VOA//~- APC Treatment P1 Variance Parks Address Copies TOTAL oa City/Zip Code Phone lk Cities Digital Qualily 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. T - - r-- - - ~ ; CI ~IUN ADAM1 CONSTRU 9199 JAINE! ROAD NORTH LAK~ ELN90; N1N ~ ~ (612) 1779-7416_ 1 + ~1i~. ~ I ~ ,I I I I i jl I~ , ' l ' 'i, i 'I i ! I ~ I - I I ~ '+M I I I il _ I i 3 !I ~ I ~ I I ~I . ~ ~ i i i I I I b I I ~ , I , t.r~.-*~, + I i h ~ ~ I I • ~ II ~ ~ ' i I ~ ,i I i ~ ~i 4 I ~ I ~ Y + 2/04 CITY OF EAGAN APPLICATZON FOR PER:~lIT SES^IER AND/OR WATER CONNECTIODT (PLEASE PpIHT) 1) P12G'P~R'?^I ADDRFSS: 3 Ol ~ t4e; varc r-o n LEcaL Dr..c-aTbrTcy: Lo/- S ~61or1C / /.~la.uE'ti wK S (IoLBlcck/Su; azvlsicn or Tati rarcel I.D. ,.iar--er) I'r' =F7_:G SI^.i;C:^L:E, DATE 0F C:tT_GIZAi. uiI?.DZ':G :.J_=S. ISS:ANC'.: -e-, PP_°Sr T .;.T,F;/PPOPC= L'S• ^,,t . - [~R-1 S1..GLF., r~,-_SLY II R-2 CUP-= (Tr:'O L^IImS) ? R-3 1CF.+1i..Err.cr (mc%, + f.-~II:•S) ( Wi 2^_'S) O 2-4 Q CC-.%n=1C_S./R.F^'".r:I?Oi:IC:j ? u'CliSi'-!tiS, ? L~.ST2':=C.`lAi./G~"V~'`:^*E.`T 2) AP?ISC.=,T (aLEa~E eRtnr) fikoe-,, Plvr,.b,~,h A~e~::ss _ SS u o L~ r co! n D~ - c= , s:A=-, Z=: ed 933-e)sa,) 3) p!~B =M (PLE:.SE PR1Yi) FOR CITY USE DYLY PL29EA C.YSE: AD~~.SS: ~ Activ CITY, STA'I'E, ZIP: 4&red tu~R dPLU98ER LICEYSE H ~~ni;tal 4) (PLEASE PR1Ni) M U,e CS'I"l, STnT.r.', ZZP: Pf:M:E: ~z38 - 3 6,;?- "7 S} MTpIG~ic, :4IIICH PEP.'•1ZT IS SEZNG RE21TESTEp: C.C:^IF.CTIO.I 'IO CITI SEYIER ~ CC:.':IECTZGN 'IU CITY WATER Oii'.ER (PI.Ei'1SE DE.SCRIBE) 6) rDI(= C:.:.,. . • ~ p=SE I?OIb APPP,OVID PER++.IT f17R PICiZ-LP BY CNE OF A&NE ~?I~°.',SE :•'.AIL APPR= PEF.•lIT 'PJ 1,Q 3, 4AEOVE. ~ (Circle one) » 5I=Tt:~-: : r.~ V oATE: MR G! q aL~~ w ne raa~ca a~ r+e o a-~ r M~ s ca:-a ~~a t~a~ r~~ ~ s~a ac~y F O R C I T Y U S E O N L Y PEa~%,IT u ISSII°D rrrs: l ~ $ S:•i?.°, °~ll.~r~ wAmER p~2-'lTm tI!:c-- ~ waTER METER/coDPFFHoRec/coTS_nE READEa S WAT:R T."-.P (INC:,C;D:; COR?CcZnT_TQV 5^_OP) S 5Z:•;cR TA? AC.^_OuNT DE?C`SI=' - , `•i„_ _ 3 S ~oO.UV W:~C SAC $ T3G.`i{ 67ATv-7 A5=-=: S TR~2:T{ SE::ER ASS_.._._°`;'r' TS LA1E:.=eL St:vLtIT/T:;'-':K 5=::~: $ LA:ER%.L SEVc.F_:/T=.,.:i: $ WATER TREAT^'.E\T PLeL:T SL'RC'd,1RGE S OTHER: $ TC,:,L $ r1l?.riG.`:T °r1I'Jj:Z:--Zir_ a R D0: S UTII,ZTY CO:I:iECTION REQUIP.E EX:.AVATZON I:1 PUE:.T_- RIGriT OF WAy? ~ Y°c % IF YES. THEPI n"PE3.]IT FOR :•70R5 WIT°Iy PUBLIC ROAD:vAY" MUST BE ISSli=C BY muE F~l NO ENGINEERING DIVISZOCd. LIST AS el C0.`:DI- TION. Sli2JECT TD TH: FOLLOWI:IG CONDITIOVS: APPROVED SY: • ~ TI:LE: • DAT° : mMs+ Ma .c ~ ae ok:m wt+ A mw ol-m was Ea.-= WrM w MANN C L V 1 N H. H E D L U N D 7726 teoroon Arenue SaHb RicMIeId,Minntsofo 60423 Lond Survoyor Clvll Eoqinser ppom : l66-2623 su1Te#or4s G'ert~,f "~cate 1w2 JOB N0. SURVEY FOR: Terry Diurphy DESCRIBED AS: Lot 5, Bloch 1, BLACK IIAIVK OAKS ADDITI(1N, City of Eagan, llakota County, Dlinnesota and reserving easements o1' record. 'Pon of Foundations =s89.1 _ 89./ Ng9°59't$'E $ s Garag,e rloor 888.'] d S.oo ~ - - - - - - Basement T'loor =685.y ~ I Proposed Elevations O I I Existing Hlevations - ~ DrainaF;e Directions-- I I Denotes I.ot Corners0 J ~ lo N Itf e N O~ 0 NI IN ~ . . V1 O I I 'to ~ o ~ ' I V~ r ~a~ e I I e85,6 r' ~?o ~85. I ~ ~ I$ X 4 M I StQCES I . \~"j m , 5 ~Z+ lo m StuKeS ~ 14\ 30 -,4r d j)4- ~ \ \ e8.4 - - - - -+E` ~ S^ J' ~ io 087. ~ 88~.9 8 S. o 's '48"E 95~.r 68~,.Z Sgc.~ " 1 7777- IVERToN AVENUE M CERTIFICATE OF SURVEY I hereby carfify fhaf on f I/SS I surveyed the propsrty described above Ond ihat the obove ploi is o correct representotion of said surve Calvin H. Hedlund, Mian. Req. No. 5942 RESIDENTIAI: BUII,bING 3 a s Permit Application ~ City Of Eagan 3830 Pilot Knob Road, Eagan 1VIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenb RemodeVReoairReauiremenls ONice Use Onlv 3 regislered sde surveys showing sq. ft of bL sq. R of house; and all roofed areas 2 copies o( plan CeA of Survey Recd (20% maximum btcove2ge allowed) 7 setof Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window size.a; poured found design, etc. 1 sAe survey (or addilions 8 decks Tree Pres Not Reqd 1 set of Energy CalculaGons Addifion - IMicete i(onaife septic sysfem _ On-site Septic System 3 copies of Tree Pmsarvation Plan i( lot plaGed after 717193 Rim Joist DeNail Options selection sheet (bldgs with 3 or less unifs Date / 0~ Construction Cost 5, r c4 oc) Site Address Unit/S[e # Description of Work Multi-Family Bldg _ Y? N Fireplace(s) ? 0_ 1 _ 2 Property Owuer ~ .3 /ILnc, Telephone #60 ) WJly -90N9 Contractor RENEWAL BY ANDERSEN Address 1920 COUNTY ROAD "C°" WEST ROSEVILLE, MN 55113 City State 651-2644777 Zip Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mivnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calwlations Submitled Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor T hone V~)~ n~ , I hereby apply for a Residential Building Permit and acknowledge th the information is complete and accurate; that the wark will be in conformance with the ordinances and codes e City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and Xv a ofplans. oc.-~"> &rq,-,~msoN--) 'k, ApplicanYs Printed Name pplicanYs 5ignature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGOn ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof O 46 WindowslDOOrs ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation 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 Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVpC _ 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 _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other • Total ~a, d..•,a iuv 14.JV rtu ~od o!1 y1460 KtSPIKII'!W ffiYBIYUlSKr9lStY " • ` , WUU2 re al . rune 7, 2001 - . , ~Y af F,agau - 3836 Pilcrt Kmob Road Ea$mt+ MN 55222 To Whom It May Concern: . Eldex ?ones is authorized to pui buiIdfng pmmits far Ranewal by Mdarsen Pteasa sfiaw F1der Jones to provide this scrvioc for ns in Easan. `Ittia enthorizetitm is vetid for any date bcyond 6/610 l; wntij a1;$Rowa( by pn~ W the City n mnam OxWy ~vokes it in writlng I request this sutliozYZStion bc aocepted-expedidously. as to not dela chn our lmiiding pcnmits any furthcr. Plcaac caIl mc If thcrc ara any qnl m ons.. ~~bnng of contactad at 763-502-47U6. , a , - Your 3mmqdiatc aftation to this makter is Sinoeiely, . . ond R Rau astallation Managcr Renewal by Andaaan CorPorativn . C'r.: Tf»ra_FT~ter T~nec ' ~'~~~~4 Gf ~as.a•t ~i.~ M ~v°"~qy~bo.nzaW Received Tiroe Jun. 7. I:01PM 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I 2- I Site Street Address /l Unit # PropertyOwner Telephone# V674-452~6- I Contractor le ~ A-m !J/BA) ~ T.2~ Telephone # Address an/~* ZA~~ City Stateipz)_ Zip The Applicant is: _ Owner 14 Contractor _Other Alterations to existing dwetling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ~ Water Softener _ Water Heater $ 15.00 X replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total ,.,V ? A 4 ~ $ I hereby apply for a Residential Plumbing Permit and acknow~etlge~Fiat-the=irzfocma ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approvd 4 App icanYs Prined-'Name A plicanYs Si re � q'H w p L ,�a 4 � �� t k c .. < m t Y y k r ,- ` : .�` 4. a I a 3 '4,...... , ` f.:. ,rpp�p $j f -1,,,, »t a 1 f - 4 y i 1 f A4 8 � t 3',x a s � PaAirr : 7728 g 55121 ZanIn t X31 em 8- 27-85 Qwner site Adkrete: 'l 3810 Rilrerbta 1.5 Plumber: . Pluinbing 7=- 4 4 5 53922 w + s to asespir, . t N ` sopi 15 c onnec ti on « 4' .0 adimosess. • ' '* i s s P•frnet4110: t. r' i • $11t k w � ! w • j1 Dote of Ind: T. PERMIT City of Eagan Permit Type:Building Permit Number:EA116351 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 3810 Riverton Ave Lot:5 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-050 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 . Amanda Hanson 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 - Wai L Chow 3810 Riverton Ave Eagan MN 55122 (612) 333-7627 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125897 Date Issued:08/06/2014 Permit Category:ePermit Site Address: 3810 Riverton Ave Lot:5 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. 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 - Wai L Chow 3810 Riverton Ave Eagan MN 55122 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature