3816 Riverton Ave CITY OF EAGAN Remarks L ' V. ~ /f 4 4
Addition BLACKHAWK OAKS ADDITION Lot 7 Blk 1 Parcel 10 14387 070 01
Owner Street ' e o A nue State Ea an MN 55122
Improvement Date Amount Ann I Years Payment Receipt Date
S7REET SURF.
57REET RESTOR.
GRADING
SAN SEW TRUNK 2 1970 3.84 25
SEWER LATERAL
WATERMAIN
WATER LATERAL
- WATER AREA 1977 9.45 15
STORMSEUVTRK ?Z 1983 458.71 30.58 15
S70RM SEW LAT
CURB & GUTTER '
SIDEWALK
S7REET tIGF-IT
WATER CONN.
BUILDING PER.
SAC
PARK
This repuest wid 31, 5~w ""a V5 -)-I S~[/S^
18 Ir~ f a
L 46 B (a arL..i..A..
~T ~
Requesl Date Fire No. RouBh-in InsuecGon
G~~ ? ~redZ ~ ady Now ~ Will Notify Inspec-
1'es o tor Wheo Ready
Lic¢ns¢A Elec[rical Coniractor 1 h¢reb ues[ ins
y rpq paction ol above
? Owner . . elecvica{ wwk irecaHed ai U
Sereet AdAress, Box ar ute Na. Ciry
i AQTaN 19GqKJ v°~ g9
cuon owi~shipName or No. Range No. Covnty
s9Ko
Occupam (PRINT) Phone No. .
/V
~+PP~~er AAdress
D gG C f Ae,,2714GTON
Elec3s~ca~ Contraclor ICwnpany Namel Connac[ur's liceree No.
KADK ~iiEZ iG .~33cb
MailingAddress IConVactor or Owner Making IrsYaila[ionl
0~02/ d AIIC(. L~$T7/~.~5~'Ji
AuM ed5ipia 1 on[ractodOwrer Making InsWllation) Phone Number
7~0~ Q or e
MIN OTA y7pTE BOARO Of ELECTflICITY THIS INSPEGTION REQUEST WILL NOT
Gri -0Iidrey Bltlg, - Room N-097 BE ACCE~EO BY THE STqiE gpARO
1 Univetsiry Ave.. St. Paul, NN 55104 UNLESS PflOPEfl INSPECTION FEE IS
P~e 1~~1~y7z177 ENCIOSEO.
REQUEST FOR ELECTRICAL 111I~ECTIOM /
S 3~5 ~ 1 See i~[ructia~s for completi(g ihis farm m back of Yeilow coOY~r
Below Wor& fovered by This Hequest
643387
EQuipmeo[ Wired
AoPliances Mired
d Rep- Type ot 8uiltling
~~~y Temporary Service
Water Heater Lightiny Fixtures
Duplex
Apt. Building Oryer EtecV~c Heatin
Cortmercial 81dg. Furnace Silo Unloader
Irdustrial Bldg. Air CondiIioner Bulk Milk Tank
Farm Othei Spec~ ~ Other ISt~ecity)
t. lsuec~ v 1ne. ' ome~
ompr.4e lnspection Fee 8elnw c. lu.is p Fee ServicaEntre.eeSite # Fea Feede,s/5uhfeeders ~t Pee
p to Zpp qm 5 0 to 30 Am 0 ta 30 Am
Above 200 Amps 31 to 100 qmps 31 to 100 A .
Swimming Pool Above 700-.v s Above 100-A
Transiormers frrigation Booms Partial.'Other,Fee
Sigr*, Special inspec!ion g TOT/~L F E
R¢narks
Ft,Wh_'^ Date I. the EleCf~
' Inspactm, hei,¢bY
rtitY that the ahova
D te. imsPection has been
Final
made.
?
,h•1e9ues„oid 18. who from
eG~fff.~D 70 U~~'d,P.aaaD oiu[.y
p
PERMIT# (°0 v 1 RECEIPT DATE:
2002 RESIDENTIAL i'LUMBINH i'ERMIT APPLICATION
CITY OF F-kfiAN
3$30 f'ILOT KNOB iiD
Ek6AN, MN 55182
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 69I 1P I~~VP~' I (TY~ PVeJYL(,U
OWNER NAME: : fZ I1D~-1-l ~ie-R TELEPHONE #:lde I- 4SZ" OZS-7 1)
(AREA CODE)
INSTALLER NAME: ;I/]/d1r KJ TELEPHONE fo5 l- 3C- I.S40
STREETFDDRESS: DObb gD (AREACODE)
CITY: 529C140 STATE: MtJ ZIP:C~s zs_
_ SEPTIC SYSTEM, new/refurhished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
'
_ RPZ: new installation/repaidrebuild $ 30A0
_ lawn irrigation system ' ("T 0
ReplacemenUadditional: _ water softener ~ water heater $ 15.00
State Surcharge $ .50
TOtal $ S'S-D
I here6y acknowledge that I have read this application, statethatthe iniarmation is correct, and agree to complywith all applicable Cityof Eagan ordinances. It
is the epplicant's responsibility to noti(y the property owner that the City of Eagan assum no liabty for ny damages caused by the City during its normal
operational and maintenance activdies to the Bcilities constructed under this permit ' i City proper /r i t- - /eas rren .
tiATURE OF PERMITTEE 7/02
-
~
. ~ .
- ' z/aa
J CITY OF EAGAN
APPLICATZON FOR PERMIT
j
- SEWER AND/OR WATER CONNECTION
' (PLEASE PflINT)
1) PROPIIt7'Y ADDRE55: 38I l~ / 11~/ZTON A?~~
r.rraT• DESCf2IPTICN: LbT 7 at~~l_ / B~-<lcKNAw~ ~RKS
(LOt/Block/Subdivision or Tax Parcel I.D. NL"ber)
._•T" r.-..
ST t - -
IF -
- - .G
l2•:or
PRESENT --,^"]IN~;/PW)PpSED USE: 9 R-1 SINGI,E FAMILY
? R-2 DUPLEX ('IWp [JNITS)
? R-3 TIXvvNHGZ)SE (THREE + UNITS) ( UNITS)
? R-4 APART14ENT/CONDQMIIVI[M ( UNITS)
? CCYMMIEE2CIAL/REPAII,/OFFICE
? IIMUSTf2IAL
? INSTITfJTIONPS,/GW~EPpI'
z) AppI,ICANT (PLEASE PRINT)
NAME: Pr~'rkPP_
~DREss: 7" ( 0I4At,S LAAla
ciTY, STATE, zzP: M/ll S,f93 ~
PHOiNE: SrJ~ ~~'a 2 ' I
V
3) puJINBER PLEASE PRINT) ~fOR CIiY USE ONLY
NF1ME:
TEeHANi PLUMBERS CENSE: . ADDRESS: KFUacaFr. npIVE. fAGAN MINN.55122
3--- - Active
~CITY, STATE, ZIP: l 452-1565 Expired
' Q ot Record
MASIER PHONE:' - PLUMBER LICEHSE 0014¢5M2
~ a i ia
4) OCCUPpNp/Clf$IIIR . . NAME: (PLEASE PHINT) . . .
iiDDrtESS:
CITY, STATG, ZIP;
PFIOP]E:
5) INDICATE WHICH PFRMIT IS BEING RqZi]ESTID;
~ CONNECPION TO CITY SE7i1ER
~ CONPIDCi'ION TO CITY WATEF2 '
0 dI'[iER (PLEASE DESCRIBE)
6) IINDIGlTE C'VE:
E] PI.FASE FIOID APPROVID PERhLTT FOR PICF:-UP BY ONE OF ABWE
'PLF]tSE MAIL APPRWID- PERMIT TO l. 2. Q, 4 A&7VE
(Circle one)
7) SIGNA'NRE: ;CXLZ=f< aATE: vw
/
' '~Nl+aid+~i.'M~+w iqk ~ii IM:~Tri~ ifi+r ~ A~! ~n!'~!iy!!t.T?~fiiFn! s!! il+~ ~rt1Yss.+i~t~i~ ~
F O R C I T Y U S E O N L Y •
PERMIT # ISSIJED • •
FEES: $ ~O.S U SEWER P-RMIT (INCLliDii SUP,CEIARGE)
112•C-2') WATER PETtIdIT (INCLUDE SIIRC[IARGE)
$ ~ 30/) WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE COP,PORATION STOP)
$ 5EWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ rSvU ACCOUNT DEPOSIT - WATER
$ oa WAC :
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL flENEFTT/TRUNK SEWER
' $ , LATERAL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL
$ .~.;.AypUNT PAID/RECEIPT.
~
DOES UTILITY CONNECTION REQUIRE EXCAYATION IN PUBLIC RIGHT OF WAY?
OY IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
LIST RF, A CONDI- -
TION.
SUBJECT TO TIiE FOLLOWING CONDITIONS:
J/
APPROVED BY: ~
TITLE:
DATE :
~ w~.em s.Wa+ Rw 0c=24 W-w wUN wm"" Wim"wi! s~"WIPR "M
Ordinan« No. 114: Pemut No.
WELL CONSTRUCTION AND ABANDONMENT
91-9197
WELL PERMIT
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT
ENVIItONMENTAL HEALTH SERVICFS SECITON
V?ATIIt QUALITY MANAGEMENT UNiT
, 14955 Galaue Ave., Apple Valley, MN 55124
Telephoue: (612)841-7556
WHSR8A8# the NON-TRANSFERASLE
PERMITTES/DBA: Carlson Well Drilling ISSDED TO # 19649
ADDR888: 17730 Polk Ave. REVIENED SY DS
Hastings, MN 55033
has submitted a permit application, has paid the sum of one hundred
($100) dollars to the County of Dakota as required by Ordinance Number
114 and has complied with all of the requirements of said Ordinance
necessary for obtaining this permit to permanently seal the well(s)
described herein:
An abandoned well(s) with a casing diameter of 4 inches, depth(s) of
285 feet and completed in Prairie du Chien Limestone (or bottom of
unconsolidated sediment) will be permanently sealed. The well(s) shall
be cleaned of equipment and debris, disinfected, neat cement pressure
grouted and terminated at least two feet below grade.
The well is located in the municipality of Eagan as follows:
Weli Location: Proparty owner and Weii Owner and
Addresa (if diffarent) Addresa (if different)
3816 Riverton Ave. Jeff Felton
Eagan, MN
NOW, THEREFORB, Carlson Well Drilling is hereby permitted and
authorized to permanently seal the well(s) described and located above
for the period September 1991, to September 1992, subject to all
provisions of said Ordinance, the Minnesota Water Well Construction
Code and any conditions attached on the reverse side of this permit
form.
Given under my hand this 20th day of September, 1991.
ATTEST
ENVIRONMENTAL HEAL$H UPERVISOR E WIHE AL HEALTH DIRECTOR
FROM DRK CTV SOC SVC 9.16.1991 13:47 P. I
VUHIIC MEALTH DiR[CTOM
DA CO UI v T J DONNA M.ANOERSON
1612IJSp'2614
PUBLIC HEALTH DEPARTMENT
COMMUNITY SERVICES DIVISION
..FO,...
Pubiic Haallh Nursing ~nYr,qnmenLal Heal~h Emorgency MBtliCa1
, Senrices ,Servic~. Services
- 'ARPlYTO ? p
Nerl~n SoMC! CONel p Wolem 9vwt{:MNr " -
33 8a+l Wenlvartn Arepu! 1055ONo.i! Mpnue
Wpaill.PwA,NNL5116 AppllNlley,MN5S176
(5121150AE14 (6121047.7600
FM161t1450•AH' inNtf) 891.7470
DAKOTA COUNTY PU$LIC HEALTkl DEPARTMENT - WATER QUALITY MANAGFMENR
WESTERI3 SERVICE CENTER, 14955 GalaRie Ave. West, Apple Valley) MN 55124; (612)893-7556
FACSIMILE (612) 891-7473
M[iN2CIPAL NOTICE OP WELL P,ERMIT APPLICATION
sexn xrr:VnPM C23bj=7 /SoE CbtU.bLly MUNICIPAI.ITY: SPiNIC"N
OFFLCk: C~~ E{k W„ T£LEPHONE:( ~ FACSIMILH:i 454__=
FROH:_lwItk lab1[E.1SOf+1 INSPECTOR A TELfiPHONE:, ( ) f-7S~Z
DATE/TIME FORWARDED: C02OSENTS:
REI'ER TO WELL PERMIT N0. 9/9 7'
DAKOTA COUNTY WATER QUALITY MANAGETtENT HAS RBCEIVED TI1E WELL PCAMIT APPLICATI0N(S) DE-
SCRIBED AELOW. PLEASE NOTE: IF YOIJ AEQuIRE FURTHER REVIElJ OF THIS APPLICATION(S) OR
TF YOU HAVE AMX QUESIIONS OR CONCERN9 ABOllT TT, CONTACT OUR OFETCE AT 891-7556 OR THE
ENVIROi1MENTAL HEALTH SPECIALIST LISTEA ABOVE, IF T1iERE IS NO RESYONSE T'RO?f YOUR OFFICB
WITHI\ 24 HOURS, (EXCLUDING WEIICL•4ID5 AND HOLTDAYS), STAFF WILL ASSUME THAT YOL' IiAVE \0
OHJECTIO:IS TO THE ISSUANCE OF THE PERMIT. ALSO PLEASE NOTE THAT PERMIT ISSCAVCE IS
ALWAYS CONDITIONED ON! Tt;E OBSERVANCE OF AA*D CO?(PLIAVCC wITx ALL APPLICAIILE LUGAL RE-
QUixE~tENTS AND ORDivA.1CSS. A COPY OF riiE SaELL PER3IIT WZLL BF NORWAaDID Wl4EN COMPLETEp.
PROPERTY OWNEFt: "SY,Ft WELL 014NER:~r7JE~
LOCATI0:1 OF {JELL(5): ADDRESS FriTO/V aY
PROYERTY ID N0. COORDiYe1TES: OF OF OF OF SECTYOy
TOFNSHIP NORTIi, RANGE_WEST. MUNICIPALYTY:E69WN
WCLL DRILLER: CSQN DATE RQCORDED:
A.NTLCIPATED DRILLY\C/$EALING DATE (IP KNOWN) :
WF,LL(S) DESCRIPT7Q\: PRTMP.RY IISE16W.NE14 CONSTItUCTION- RECO\STRL°CTIOV
TE"1?ORARY C?PPI\G • PtiRMANE*7'f SrLLI%G 1l A\\tiaL PLIINTL•NANCL•'t RECi.AllfL•"U` IitGISTEHtll+
WELL UI~`1CTER '~I\GHGS. WGLl, llLPT G~FLI:T. AUl'T.FLR' !
NnTEs r ~''°N~' S QbYJCY.dN,i4CShce4t/
i
. {
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
• ~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons Wction Reauiremenis RemodeUReoair Reouirements Offlce Use~bN'v
3 registered sHe surveys shaving sq. ft of bt, sq. R. of house; and all roofed areas 2 wpies o( plan CeR of Survep Recd ' Y- N
(20°h mazimum lot cove2ge albwed) 1 set ot Energy Calculations for heated additions Tree Pres Plan Recd Y«N.
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required ' _Y! _ N
isetofEneigyCalculations Add'rtion - indirateilon-sdesepticsystem On-siteSepticSystem _Y'_N
3 copies of Tree Preservation Plan if lot platted after 711l93 - Rim Joist Detail Opfions selec6on sheet (hldgs with 3 oriess unfls
g ~j~ ij p o
Date ~~n~~~ Construction Cost Y' J J SiteAddress 35/ ~D ~`j[(~.QJI.~ ~~~.~C,i~u.~ ~ tz4~W <5siaa UniUSte #
O
Description of Work (1 dOW h IJM/jiS17M
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
~
70
P
roperty Owner i~u.~ ~ Telephone 7~1L ' d~
Contractor "1 / 1(.n.fl,Q~6 ~ ~ J,l,d(A ~ ~ •
Address 5550 t)Mda~ b.(N'e> City
State Zip ~ 3 Telephone #(95Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted SubmiHed
• Energy Envelope Calwlations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
~ .
licensed Plumber Telephone,#.(. J
~
Mechanical Contractor Tele
O
Sewer/WaterContractor elephor5e#(
22~ "~r
~ .
/
I hereby apply for a Residential Building Permit and aclrnowledge Y~~~ e mformation is complete and accurate;
that the work will be in conformance with the ordinances and codes o`f'the Cr,~y~ of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pe it; 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
approval of plans.
I~GI~' i J~ Va Ks LIA i - Vw
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
7 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Muiti
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fite Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolitlon (Entire Bldg) - Give PCA handaut to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) . _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Foorings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Au Test _ Final _ Windows
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
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. 'Pau1,'Minnesota 55111
Telephone 454 -5242
P$10111 FOR WATER SERVICE CONNECTION
Date: 3/20/x'3 (12/29/72) Number: 11211
Billing Name :Ceder Grave Construntion Site Address:t& nix 10_1 -8 1816 Rltnartpn Av a.
Owner; "acme Billing Address
PluWber• Stais:
Location of Connection Meter Size Connection Chg. 9CO.G0 TAI 3 /20/7
Meter No. Permit Fee 10.00 pd 1'!/22/72
t
Meter Reading_ Meter Dep. .50 P‘1121(9/72
Meter Sealed: Yee_ Add'l Chg.
/I NO Total Chg.
Inspected by
Date tg 2[ `�
Building is a; Remarks:
Residence T
tsultiple No, units $25.00 CE id ;f �CTIOld FEE FOR
Commercial IMPROPERLY I;iSfALLED METERS.
Industrial B
Other '' Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work to accordance with the rules and
re of Eagan Township, Dakota County, Minnesota.
By:
Stein's
Please notify the above office when ready for inspection and connection.
• sr.j _ N 4 21,
CITY OF gAGAN WATER SERVICE -PERMIT
3839,6 itKrrob Road
P: O Box 21199 P RMIT NO 6158
Eagann. MN 55121 DATE 5.L.7
Zoning " F of Units:
Owner: 1. erg n4 :_
Address:
S i t e Address. 3 i ' -L7 ti . B a tha rk
Plumber.
Meter No.: Connection Charge 5 0
Size: Account Dep osit• 1
Reader No.: Permit :Fee:: - -
1 011110 to comply tM City of Eegan Surcharge .5
Ordinencu. Misc:. °Charges:: ' "O `
Total ; 63.00Pd saftter
B /Alb/ ...ed p D ote Paid
• -o Insp.: ' "/ f Inep.:
CITY OF EAGAN 1 . SEWER SERVICE PERMIT
3830, Pilot Knob Road 7347
PLO. Box 21199 PERMIT NO.: 5 - 7--85
Eagan, MN 55121 DATE:
Zoning: R1 ` - No. of Units:' -
Ow ner : ` Builders . jnance
Address:
Site Address: 3x16 R,i erton Ave. L7 1 1 DIacl hawk Oaks
Piumb�r. WeO3l 1.1eChlnical �� { }. JUpd
-7 — _ 85 514.7 �
1 agree to comply with the City of...Eerien Cont+ectionSh 425.
A ccount Deposit: y
o r di nances . ° ,131174
-� Permit Fee• , 50-d
Surcharge: i
B / CI Misc. Charges
'Date of Ansp,: , •,Total•
r ` Dote' Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113713
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 3816 Riverton Ave
Lot:7 Block: 1 Addition: Blackhawk Oaks
PID:10-14387-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Joseph Smith
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 -
Jeffrey C Felton
3816 Riverton Ave
Eagan MN 55122
(952) 406-2493
Frank Fabio Company
6510 Jocelyn Road North
Stillwater MN 55082
(612) 741-9640
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175882
Date Issued:04/20/2022
Permit Category:ePermit
Site Address: 3816 Riverton Ave
Lot:7 Block: 1 Addition: Blackhawk Oaks
PID:10-14387-01-070
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey C & Susan Felton
3816 Riverton Ave
Saint Paul MN 55122--171
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature