3824 Riverton Ave
CITY OF EAGAN .,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDINfa PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
'•r, ~ t'• - On Site Sewage _ Occupancy
Lot ' Block Sec/Sub. MWCC System _ Zoning
ParCel No. On Site We11 _ Type of Const
City Water _ (Actual)
a Name (Aliowabie)
W * of Stories
3 Address Lengtn
° City Phone ~ Depth
S.F. Total
, p Name Footprint S.F.
~ ` Address APPROVALS FEES
~ City PhOne Assessments _ Permit
f ¢ WatedSewer _ Surcharge
~WWW Name Police Plan Review -u
_ z AddreSS Fire _ SAC, City . %U
v= Engc _ SAC,MWCC JU
` W City PhOne Planner _ Weter Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thet the information Is conect and agree to comply with all applicable APr- - Treatment P1 ,u
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance wlth all epplicable 8tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Pe?mit No. Permit Holdsr Date TeIephone s
Plumbing
H.V.A.C.
Electric / ! `,r' ~ lr • , i< j" L
Softener
Inspsction Date Insp. - Commenb
Footings I ~
9
Footings II
Foundation
Framing yt~/ P~
Roofing
Rough Plbg. ~
Rough Htg.
Isul. 8Y 7 - l /1 ~
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Dfsp.
T y ~
~
:L
fCtr#i#irafit of (Orrupttnry
Citp of eagan
EpvarbnPlit of slidbtlt J JriwPtfiDit
T7iis Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code cerlifying that at the ttme of issuance this structure Kws in compliance with the various
ordrnances of the City regulating building oonsmrctiort or use. For the fo!lowiRg.•
u,ca.tira'i"`= BW Rrmit""':
~
0-upanu Type Zan* DWaict TYM COOSL ~
o.YOU of eWld~ne ~ HANSCIhi i3t~i5 i.I`'~: .'d~~C) PAIdK A1lE, !4P'I:
BLACK"k
auMiz% nmrm 3424 RI:'rtCM A4F.NE 10M.1y 10, B,
JiINE Zg, l',FF.
n.a:
eakwns oercw
POST IN A CONSPICUOUS PLACE
_
PERMIT #
PLUMBING PERMIT RECEIPT ti
' CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE n'o PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot J 4' Block Sec/Sub Res. x New X
Mult. Add-on
~ Name P't Comm. Repair
o Address Other
c City PLy~~7LLTF~_ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES OT~b
~ Name _~Water Closet - $3.00
-1--Bath Tubs - $3.00 3 . a O
; Address --2- Lavatory - $300 o G
O CitY Phone Shower - $3.00
__1_Kitchen Sink - $3.00 3 ~
FEES UrinallBidet - S3.00
COMM/IND FEE - 1% OF CONTRACT FEE --L_Laundry Tray - $3.00 3•'~ V
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 I• 5 O
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - St 50 1• S O
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool -$3.00 3. o~=
MINIMUM - COMM/IND FEE -$20.00 :~EGas Piping Outlets -$1.50 s~
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONQ $1,000.00) Well - $10.00
Private Disp. - $10.00
O
-~-y~~~~~~. ~ Rough Openings - $1.50
SIGN~URE OF PEFMITTEE FEE: 3 3. o O
STATE S/C: S J
50
FOR: CITY OF EAGAN GRAMD TOTAL: j~-
MECHANICAL PERMIT PERMIT #
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
: CONTRACT PRICE: PHONE: 454-8100
Site Addr~ss ~ BLDG. TYPE WORK DESCRIPTION
,
Lot ' - Black ~ S /Sub
-~-7- Res. New._ f
~ Name ' ' - - Mult n
Comm. _ - " Repair
~ Address " " ' J •
Other
c City a.z-i r ~Y Phone
Name / " FEES ,
'RES. HVAC 0-100 M BTU - $24.00
3 Address AODITIONAL 50 M BTU - 6.00
p City Phone (R6S• HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
- GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air APT. BLDGS. - COMM. RATE APPUES
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM R STATE SURCHARGE PER PEFiMIT - .50
F PERMIT PRICE GOES
A
Gas Piping Outlets # $ BEYOND $1,000)
Other
FEE:
S/C: SIGNATURE OF PERMITTEE
,
TOTAL•
FOR: CITY OF EAGAN
. _ -
CITY OF EAGAN Remarks 1 i~ v 1.5 1C" 4"
Addition BLACKHAWK OAKS ADDITION Lot ld Rik 1 Parcel 10 14387 100 01
Owner Street 3824 Ri.uer.tau AiTenue State F.agan, MN SS] 22
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
5AN SEW TRUNK ZS 1970 3.84 25
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA 1977 9.45 15
STORM SEW TRK 1983 08.71 30.58 15
STORM SEW LAT
CURB & GUTTER '
SIOEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CITY OF EAGAN N2 13 7 7 4
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt go
# 'y
Tobeusedfor SF DWG/GAR EstValue $99,000 Date JUNE 12 1 y87
Site Address 3824 RIVERTON AVE OFFICE USE ONLY
10 1 SLACKHAWK OAKS On Site Sewage Occupancy R3
Lot Block Sec/Sub. MWCCSystem X Zon;nq R I_
Parcel No. On Site Well _ Type W Const v_
City Water .7(_ (Actuaq
a Name WES HANSON BLDRS INC (Allowable) V
w # of Stories
= 8900 PARK AVE
Address Length 46
° City MPLS Phone 888- 53 DePih
44
S.F. Total -
, p Name SAME Footprint S.F.
0Q Address APPROVALS FEES
P City Phone qssassments _ Permit $ 500.00
F . Water/Sewer _ Smcharge 49_ Sp
w W Naine Police _ Plen Revlew Sn n~
Fire SAC,City ~o~.~^n n0
U. AddrBSS Engr. _ SAC,MWCC „25 n0
~w City Ph000 plenner _ WaterConn. 525. 0
COUncil _ WaterMeter
I hereby acknowledge that I have read this /~edinances. ' n and state Bldg. Off. _ Road Unit ~ $
thattheinformationlscOVectandagreetocollapplicable APC _ TreatmemPt __,t.$0.~~
State of Minnesota Statute Cit EaVariance _ Perks
Copies
Signature of Permitt 70TAL ~50
A Building Permit is issued to: ES HANSON BLDRS INC on the express condition that
all work shall be done in accordence with all a i ble tate of n~esotpa Statutes and City of Eagan Ordinances
Building Official 1rc.d?
Cp 14 CFl$7 REQUEST FOR ELECTRICAL INSPECTION ~EjB-00001-06
,7/j3 8 ~ ~ Sea inatructiona lor comObtinry thie fam on Eack ot ysilow copy.
~ "'X" 8elow Work Covered by lhis Request `
Adtl Ra0• TVOe oi Builtling Applianees Wired EquipmeN Wired
Home Range 7emporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric He2tiit
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm i«r oec. v mer Isnedrvl
t nr uecily ther Olhnr
ompute Ins ectron Fee Below
M Fee ServlceEntreneeSize 7 Fea Feeders/5uhfeeders k Fee Circuite
O U to 200 Am s 0 to 30 Am s 0 tn 30 Am
Above 200 qm ps 31 to 100 qinps 31 to 100 q y
Swimmin Pool Above 100-Am s Above 100_Am s
Transformers Irngation Booms . Partia67ther Fee
Signs Special Inspection $ flemarks
T TAL FEE
Nouph-in Da[e tha Eleciritel
~
~ 1.soeclor, heraby
certily lhat tha ebove
Final . D;t` insoection has been
raza
T11b repueat voltl 18 monHm irom
TNIS fbQU05~ VOid
r~wn~hs from
9 0 816
Repuest Deie Fire No. Rouph-in Insoection nspec-
Re u etll eatly Now WiII Notity, I
? Ves' ?NO or When Ready
%Licensed Elecbical Contracior 1 erabrequ t inaoection oi ebova e-'~'
Owner elechical wo4k instelled at: c,3- OG ~
Street AdErass. Box or Ro~pkp No. City i i
'~;z
. aeclion o. Townsnip Neme or No. ange o. Cou,
0
OccvoantlPRl T) Phone No.
,
ower SuvVlier Adaress
~ 30 - -f Ga9. ~i ,n
Elecirical Convactor 1 ompeny Nartrel Cnmrar.mr's License No.
.Lb~-rS .~ji-o c n>G O
Mailing Atldrass 1 ontractor or Owner MakinB lnsiailatio 1
Aut~o~i d~y ure ICo cl r Ow kine ltistallationl Phone umber
MINNESOTA STATE 80 OF ELECTRICITY ' THIS INSPECTION NEQUEST WIIL NOT
Grippa-M7Cwey Bldp. Room N-781 BE ACCEPTED BY THE STATE 00ARD
1821 Univsreitv Ave.. St. Peul, MN 66104 UNLE55 PROPER INSPECTION PEE IS
wAnno1Rt91Rn9.Mnn ENCLOSEO.
. .
yoo•ou+
49•5U+
250•00+
o25•OU+
525•OU-r
67•OU+
3os•uu*
1eo•oo+
zj5ot•5u*
. ' ~ 7
7
1987 BQILDING PER[iIT APP ATION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IHCLDDfi 2 SETS OF PLANS, 3 CERTIFICASES OF SIIROSY, 7 SST OF ENERGY CALCOLATIOHS
HOTE: ADDRESSES FOE COHHER LOTS - CONTRACTOR/HOHSOWNER MOST DESIGPAYE WHICH ADDRESS
IS DFSIRED. NO CHANGFS F1IL.L BE ALI.OWED ONCfi BIIILDING PBRMIY IS ISSIISD.
MOLTIPLE DWELLINGS - R&SIDENTI9L RENTAL DPITS FOR SALE UHIY3
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRVEY - CHECB idITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CON476RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
9 9, an o
To Be Used For: Valuation: ~ Date:
Site Address OFFICS OSE ONLY
Lot ~ Block On Site Sewage Oceupaney
- MWCC System 7 Zoning 2 I
Parcel/Sub On Site Well Type of Const
City Water ? (Actual)
Owner (Allowable)
# of Stories
Address Length ~
Depth 44
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROV9LS FSFS
Contractor Gur.r /Q/di•s- A~_ Assessments Permit e
Water/Sewer Sureharge ¢q z~
Addresa Police Plan Review Zm,p,
Fire SAC, City 100.
City/Zip Code Ar- SSyoa Engr SAC, MWCC 52S
Planner Water Conn 52S
Phone 3 Council Water Meter (07.
Bldg Off Road Unit 30S,
Arch./Engr. APC Treatment P1 100.
Variance Parks
Address Copies
TOTAL 5 O ~ ~
City/Z3p Code
Phone ll
2Co~ f b = 1246 x~8= 7Z3~~F .
~ Zsz x S~ c I~~ ~C~
24
7gyc~~
A Dc WES ~-l.arsor~
n`,Op` CaNSitLT1H6 EH61HffH5, BUILDE~~ JC.
E[iGiNE£RING PIAHHE9S and LAHO SUAVEYO!!S
COMPRNY, INC.
IC00 EASi 148LS 57REE7, HURH:V(LLE, YINHE:OU 52337 pH 4=2-3060
C4erZ'z''z ecz~e o~ 5~~~~
ZAgct .P.escrfPaicrz: LOT 10, ELOCK I, BE-4CKNAWK QA_Kc-- ADD 7W-I,
DAKM:4 cfluI\rrr, MINNESoTn,
DAhNAGE qNC U--,7Lj y
EqS6jviEN'r CE7v, o)
100.00
tn
5~ ~ ~~5 ~ E~ _?s. ~~r~
I LOT i O~
or
RN15NED GARAGL'
. ~ I (&83.0} W,O. ~883.01 I 0 C J'~ ~2n,~1 ^ f=L'70~ i=i=/1~~01~1
q6 0
, ~ ~ p•~, ,
Ci i PROVOSen
I '
f
GAR.46E ~ R.o .
~ I
I - o ~ia
27O Z~o 3 ~0' FRONT 8U(LDING I
i39j ET(~AG! LINE
C8$?o.a
.o) I _
C
1
5L-
0
(~o.q
ioo.oo ,
o N 8?,' 9.~. E
o _
CE RIVERTON AVENUE
- scaLE: 0 =3rJ'
(889. Sbj (?~7 56)
I hereby cartify that thia ia a t=ue and carract rapz=aentition ot t traet of
land.as ¦hoxn'and described hernon.• An preparnd by me an thiz le - day of
SvuE . 19~. . _ .
0&
Hinn. Ees. 'No.^/o?'s-
I ~ _ .
- Paye 1 of 4 \
E%TERIDR ENVEIOPC AYfRAGf "n" CO}tPnTA(i0t1
0WNER: - unIt
51TE ADORESS: Pi+ONE :
CDNTRALTOii:
Determine working square fnotayc of eacli
1. Total txposed well area..... _sy. rt. x.il =
2, Total roof/celitng area..... sV• ft. x.026 =
Total exposed wall arca abr.vc floor=
a. Total wall window area
b. Total door area
c. Total sliding glass door area
d. Total ftreplace wall nrea l
e. Total wall traming area (average 10w
f. Total rim ,joist area
g. net Kall area ebove floor
h, wall area above floor .
1. watl area above tloor
frame wall area et founda2ion
Total ezposed foundation area=
i
k. Total foundetlon window erea
1. Total net foundaiion area above grade Q
Determine "u" value)of ezch wall segment
(e,g, windoW, door, eac•h sepi)rate wall SetLion)
a. l l~ x..~„ = ( 0 ~
e. 'ho1) x ,.U„
.
X "U"
d. ~ x "U" _ ~
e. N % "u"
T. ' V _ x ru-i Q~ s ` 1 1
9. l1h x oV" i ~ a y i
h x . . U., _
t, x U.
_
If item /3 ts the s
k, x"U" ~ as, or tess tAan it.
1 1, you have met th
X"U" tntent of SBC 6006
• • • ~ .~.et . ~/1/~ ~~1 . . .
EicGSt10I Emelopo Averaga •U' Computstion • Page 2 O! 4 '
Total ezposed roof/eeiling area
a. Total skyliqht area .
n, Total too!/eeilin9 framing arca (avcragc10%)••• ,
o. Total net insulsted roof/ceiling nrea...........
, Determine 'U" vsluc for eaeh zoof/ceiling segmeat
x "u" - S ik-
X wun 'h
n.
o , (n X ..v.. ~ 0'I~' • ,
~
4..... Total If total of 14 is the same as, or less Lhan 12, you have met the intent of _
SbC 6006 (c) 1.
Alternate Building Envelope Desi4n
4u utilize the Wtal envelope system method, the values established by the s•.vn of
items 13 and i< s1u 11 not be 9zeater than the sivn of items Y1 and q2.
s . '1i~1 ~ ~'1 + 2. 3. 4. ~ ° V~ • .
. :t
, ~
. • .
. •,.yiqi'~
. ~ 1
y .
.
. PLAQ #1:
L i &jE.4 L FT, FXposEp WAL L
~)l.-oG4C : ~ °0
W,0
~7ULL ( ~ /1/0 (o~
~j
Sc~ . P-r; rzkPoSED wA LL AR-EA
k3LOGK', X , S = (~o
iCM EE ?C
w.o. x NAb
1--ul.L! ; 'x S '
= 1 u
Fv.I.L Z : k S =
,
To-tA'L. -
SGL,~t: EKa05E,:D GEII.IUG
WDWlS
ti~ ~°o ^~11~ _ ~ k
ti~ ~ I = /vk
1,1;
~Iti oaNO -1 = ~ ~ ?ATlO ^Diz~.
~ Ac6 - 11 - C 0 ti0 I~ o
~ FSH4 VUr+S ~j
~mo,r•/cEitiuc , •
r ~ Construction A-Valtl^_
~ • 1, ~ Tntcrlor air ftlm . 0,61 '
3• IAlSuL_ ' $
~ 4. Extcri-or air filri (sti11) O.G
~I~ ~ ~''~~~~~?~111~1:~ - Total 2 4sao
. . • iN\
• ' . ~ ~ fti.,...~ ~ . .
1n[td ~ licn[ flov ~ 1. Intrrlr ot air film ' 0.61
up • 2. f3f~
. • 3-
, • ' ~ 4. C.xtetioc . ir f~ln (sr.i
~ ~ ~ . ' : • Total 2 r 9 Q. l5
IZG. OS . ~
. . • . . . . .U=.oZq
_ ~ . ' COA.k?t ?CTi rW~
~~~JLr~J~~V\:~1`!`~~ ?iV~~~y~\FJM1tI~~l~ i .
Inside air filin 0.61
~ • , -~----r • .
• 3. .
4. ~ .
~ n S. Outsidc air filin 0.17
Total
3 ,~.r•~~. E
4" • 1. insidc air f11m• • 0.61
tiect tlov up . • , ~ ~•vented • 3' '
. . . . 4.
. . _ • • . ' • • S. Outsidc air filio 0.17
• , tSC. 16' . . . . ' : Tor.zl
. . . ; _ . . . • .
,
l. Inaide air fS2tn ' 0.61
' 7.
• ' ' • C-..if~S~ ' . .
~ • j. .
i. •~i~t~'^'; 4.
. ,a. .
Ou[.Sdc air filia 0.17
' • • . SOtal
.
< ~ ~ . . • . .
. 1 Z • ' , .
• • : . . • . • . .
, ~Qt_~.~~~.• , : Ttotes Lsa additional sAeets if n+ore spaeo
„ • . aecded foz details and ealeulstivna
. . , ~ .
vent
. . . ; ; • [lov up . • , • • , • :
' , r• . . :
• ~Ir:. 07
. •
. . • • ~ •
. . . 1)Ai.L C,f.C7I0145
. . . , . . . . . .
B: Uao roi oj1a11uo wal l nrcn for .
tl.11M1 G(d1:;lrUCtiUf1 ('<.n•.lrIIi::i:m R..y.llu..
I 1. .i ~ I r 1 i~ o-. ll f ~
• lIIl4'1. ' ..•.l . . ' . _ ~
--•--Q ~(L'_'le~,~p ~.P. _ _ . . ~
• ~%a, in,:li,l; :~t~
.G.
a. ~~J3t....6aTl~. . . .Z..oV
r, . S.1 N ~ . . . . . ,.vZ.
aIC L. r.t!•rii,r s i r 1 i Im ~ U. 17
?
_-----~0 - . . . . - . _
~ '•~•,>~;~i ~o. a5
~ a,
. , •
PIC. I1 TGl'VIE11 OF
• FIWtE HAL1. l. Tntrrlor nir :ii„ n:.r.n
. 3• ..._It?w,-~....._......_.---
2
~ 5/&t_ .~+T~. . . . . .
' _p s • _..~-z.
ExLrrinr air Cil1.1
1'1G. 12 22.1$
•-~-_Q . • l. )ntcri.~r iic._ tilri....._..__ ~~:~Si
I
~ • .1__..---Q l. ,2ti..lo..._li'~w. .~o.~} _.......---•!.G°~
1~ ~.R<<~ : _ .S~~d~..~. . ~z
S'...~~~..~~J. -•-(s} ~ ti. ?:%tc~rJ.u nit' iilia _ _...__~1.1.7
S .~1'0 t:1 l ~c Z4 ~ g2
.o
~ ---Q
`~~~.e-:^-~u' l. (uG~~~i~nlr fil~~. Ii,l,ti
~
1 . • . s• ....1_.9~ o- . .....__....5..c__
,t~
il,
• • 'Q' ".~'~j n• Yrra4tc~t~us.. bwx.r'?LC_..
~ , n ~ ;..;;+no[ 5. . .
' ~n n :~•%',1 G. 1-xirri~~r_n~r 1ilr~ _ . ,_.U.1'i
r
' sr.An c,ri I:iWuW
~ . ' _C i~~ . . . . .
. ' ; ~ -1R:4P ~ • „ ' ' T~.
~ • ~ I 1I - ~ ~ t ~ ~ • • ' i 7 y..
; a ~
iri Y : ~ ~ ~ril •
.
. ~ ; F?c.. 14 rn ~ a ~ . ~ • y r
y ~ ~ • .i... r I ~~V"'
' 1~~ .1
. • ~
~ ;kri'f.: Indlcet.a iy-,c. "!t° valuc~ den[h nnct ~
i4-,6
. . ~*****t********f***~**t***~*4******#
' C I TY O F E A A f~ **~w,: PAYMF~T~ aF FEE AT TIM pg *
_ . ~ MrUcUzori nors rAm corsriTUTE
APPxovAL os rERmrT. *
*
APPLICATION FOR PERMIT
INsrncriorr oF sENM Arm/at WATER *
rutmnr.ramrONS WILL NC7f BE ScHm-
SEWER AND/OR WATER CONNECTION ~Mm Uw'L PE1;1MIT HAs mm *
* APPxavID. *
»
***********,~*k******«*******~*******
P ease Print
1) PROPERTY ADDRESS: 3$aLl RtuqZTOtJ iQV
LEGAL DESCRIPTION: "
Lot Block Sub ivision or Tax Parcel ID
I£ E}QSTING SiR=M, DATE OF ORIGINAL BCILDIM PERMIT ISSUANCE: , .
~
PRFSE[JP ZANING/PROPOSID C'SE: (hbn Year)
El CONMERCIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY
0 IAIDL~STRIAL Q R-2 D(?PLEX (Zt~,o IInits) -
n INSTIZLYTIONAL/GOVERNmENp ~ R-3 TOWN[IOOSE (Three + Units) ( Onits)
. ~ R-4 APARTMai'P/CODIDOMINI[M ( Units)
2) ~
NAME:
ADDRESS: .
CZTY, STATE, ZIP:
PHONE:
3) i: For City L~se
NAME:_ Pwmou'ru PL0.YY19111A+ M1C, Piumbers r,icense:
ADDRESS: 1~t a, otg, - a 3""~ ~J t~1 ~pirea
~ cixY. sTATE, ziP: nLw,--,ou~r#A. jy)Nj. SStl41 ~ rbt recoraea
PxorE: ssR- 3~~ MASTER LICIIVSE# M a o 5 snltlai
<
4) . i~-
taarE: W~ NA~S:iti s AwDREss: .
CITY, STATE, ZIP:
PHONE:
.g)
~ CONNECCI'ION 1o CITY SEWIIt ~ CONSID~.~ION TO CITY WATIIt ~ ORf1ER '
F
b) ' • PLEASE HOLD ApPROVID PII2MIT F'OR PICK-UP BY ONE OF ABOVE
Y ~ PLF.A.SE MAIL APPROVID PERMIT TD 1, 2 r Q3 4. AB(7VE .
(Circle one) '
7) r~• ' ~-~6-o~'F
. ' YC ~ Y" I' ~ • ~ • I'. ~ IJI• . D 9y . . y. ~ . . ~ ~
• r~~ • y. ~ ' M:1• 'lf~~ 1 /1 ]I • • ' .
:-.FOR ;CITY USE ONLY PERMIT # TSSUED '
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ / h'S o WATER PERMIT (INCLUDE SURCHARGE)
$ ~ 7,[? o $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
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$ C C) ACCOONT DEPOSIT - WATER
$ S Z S' S wAc
$ ~i•, -.a- Ci-n $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
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$ $ WATER TREATMENT PLANT SURCHARGE
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RECEIPT RECEIPT '
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC '
! ROADWAY" MUST BE ISSDED BY THE ENGINEERING
u NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
~
APPROVED BY: AL
TITLE:
DATE :
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3824 Riverton Ave
Lot: 10 Block: 1 Addition: Blackhawk Oaks
PID:10- 14387 - 100 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Bernhard E Deitermann
3824 Riverton Ave
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA081278
11/28/2007
ePermit
1-
• CITY AF EAbAi� Permit No. . '. - � � -
8fi�
•' 3830 Pilot Knob bad ` °Meter. No Date. 7 -17- 87
. P.0. Bois 18$ dam, Size.
Reader =No
r Eagan, -MN 55121 - Date:
G
F Owner t' It, d t
re ss .tver .A�ertue -
i Site Add
E I } Blca k Eas
Plumb ' t►Ettl PI,
. Conn. Chg: 5 25. 4
Acct D ep 15.00 d Zoning Rl I
t Pee: _ Permit = r_ Q . _ __ No. of Units ° ,
t Surcharge: — 1 agree to comply with the City of Eagan
I Tr. Plant 18O. Q #ttd
eter --?;ne Ordinances.'
disc.: By
___
WATER SERVICE PERMIT --�j 7
%x a = s3;
I CITY PAGAN . � � � . i
E 3830 lot'Knobi�i oad ' .' w S�ERYICE P RMIT
1 P.O Box 2 14$ , s,, . ..1` PERM 0.: 1€ 043 Eagan, Mfl< 55121 i .. = 7 I -
787 • 1
Zoning: A `~ . - , * No. of Units: I
O wn e r. ides ntsort R1drs. �
Address: t r �
Site Address: 38 Riverton : , enu 110 Bl ' Blac , : k ' Oa ks
E Plumber. Plymouth Plumbin
[ 74680 1 6 -16-87 i . 1)30. 00pd
( 1 agree to comply wi t 4he C
€ Eagan , onnectign Ch = go: S? 5 , r1f2P�
k .. Ordinances.` i C A ' •Celt: 1 1\5 " fl0pe
i
Ree / 1 r,0{ i
Su gt: C COrfl
Mi c. harges:
.i Date of Insp.: Tot
loop.: Date Paid 1
_ _ _ — - _____ s ��_ ` `° ___
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113278
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 3824 Riverton Ave
Lot:10 Block: 1 Addition: Blackhawk Oaks
PID:10-14387-01-100
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 .
Jim Mcevoy
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 -
Martha M Deitermann
3824 Riverton Ave
Eagan MN 55122--171
(612) 859-8517
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature