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3828 Riverton Ave ^ r'.~~_-. CITY OF EAGAN 1! , • 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 4548100 ; BUILDING rERMIT Receipt # , To M ~d fer , Est. Value Date 19 Site Addresi ' • ' Erect ? Oca,pancy ; l.ot Block Sec/Sub. Remodel ? Zoning Rapair ? Type of Conn. Percal No. Enlarge ? No. Stariea , . ~ Move ? Lsngth W Name Oemoliah ? Depth = Address ~ Grede ? Sq. Ft. City ~ Phone y ~ Irkstall ? Ayprora Is feq /4ssessment Permit Address Water a Sew. Surchorge u City Phone Poliu Plan Review ' ~~1W °C Name Firs SAC F Addreaa Eny. Water Conn. + ~W City Phone Plonner Woter Meter t Countfl Road Unit I hereby ackrowledqe rhot I how rood this applicotion ond stcte thot Bldg. Off. tM lnforrnation is conect and agree to comply with all applioable A~ Total Stah of Minnesnta Stntutes and Ciry of Eagon flrdinancss. Var. Qate 5ipnofuro of Pertnittes _ A Buildiny permit fs tssued w: , a+ ths sxpaess condiflon that oll worlc sholl be donw in occordance with oll applicoble Stote of Miroxsoto Statutes and Cfty of Eaqan Ordinonces. 8uildinp Offitiol Permit No. Pormit Holder Dah Tels hone ~F Plumbinp ~ H.v.a?:c. U V ~ 2. Eketric Softenwr Inapection Dsts Insp. Othar Footingt Foundation Framinq Roofing Rouqh Pibq. Rouph HVAC Inwlstion Final Plby. ~j Finsl HVAC ~ Finsl COtlOcc. ` C WaMr Dami6e Location: Y11e11 Sower Pr. Ditp. Raaipt MECHANICAL PERMIT ihrmlt No. CITY OF EAGAN FM Flll !n numbered spacas S/C . Type or Print /epiblY Tot 1. Dats2. Installation Cost 3. Job Address Lot 81k. Tract 4. Owner _ 5. Conuactor Phone 8. Addross ' 1 7. City State Zip Building Type: Rasidential CJ Commercial 0 Institutional ? 9. Work Description: New [3 Add ? Alter O Hepsir [3 10. Describe Fuel Type~ 11. No, FqyjpMpi BTU - M. Ea. No• Eouioment CFM Forced Air ~ Air Handling: Mfg. • Boilen Mech. Exhaust Mfy. Unit Fleater Mfg. : Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : - for Rouph ' Final Inspections: Date Insp. Date Insp. This is your parmit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No.-'~ ' CITY OF EAGAN Fee Fill in numbered spaces S/C ~F~i . ~ Type ar Print legibly Tot. 1. Date 1~ 2. Installation Cost 3. Job Address ~ Lot Blk. ~ Tract • 4. Owner a _ . . . : ~ 5. Contractor Phone 6. Address ' . j. ~ 7. City State Zip _ 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 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 i 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 CtTY OF EAGAN 454-6100 CITY OF EAGAN Remarks L' - " ~"%4 Addition BLACKHIIWK OAKS ADDITION Lot 11 Rlk 1 Parcel 10 14387 110 Ol Owner street3828 Riverton Avenue state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 84 2 34.68 C010149 2-5-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 9.45 15 56.82 C010149 2-5- 5 STORM SEW TRK 1983 30.58 15 .366.97 C010149 2-5- 5 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit $280.00 51817 5 20 85 WATER CONN. 500.00 ° BUILOING PER. ie242 „ sAC PARK , ~ ~ y 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN - ~ - NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ~X~~' INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY - 1 SET OF ENERGY CALCULATIONS To Be Used For F~W U~~~'Q-• I Valuation : `Z0, Ooo. " Date : Site Address : Aver-4-pn 4-je, OFFICE USE ONLY Lot: 11 Block ~ Sect/Sub-34-ck n~wkErect X Oecupancy ~ Remodel Zoning ~ Parcel # Repair Type of Const Enlarge # of Stories Owner W. JphnSOn Coi'1St'r'laC+1oV) Move Length -7c>_ Demolish Depth 34 Address P. O. ~o7C l30 Grade Sq Ft C i t y/ Z i p Cod e rct r m knA~a r~ 11f I N: . 1- • . Phone 43,2- b 93 g APPROVALS Contractor Jehnson ~OnSf: Assessments Permit °O ~ i Water/Sewer Surcharge Address Police Plan Review 1-4 1. S-" ~ Fire SAC City/Zip Code Engr Water Conn c , Planner Water Meter 63. Phone Council Road Unit 28c). Bldg Off s Parks Arch.lEngr. APC Treatment Pl Z.J Variance Address TOTAL City/Zip Code Phane ~ 1' ~f .y~ ~ . ~ • r w' ' f~ ~ ~ • - l , , ~ ~t ' i ' . Y ~p~ . ~ 4~ 1 y ' ~ ~ r ~ ~ . . {F• ~ .Ij, r .f=L`A'k~ ' ' ' ~3 , . ~ , , ~ . ,t•' ~ ~ 1, . , _ . , . . ' . . ~l ~ ' i ,f _ . ' . Y.. j y~.. ? . Y~ . ' . . , . . . ' . . . . tr . . 'F~s , ,..'a.'i• ' " 14-x 3Q-= 2c~ x Z~.- ~24 x N3 2Z 24 x 2q- 24x zEt) -(o-7 z x 4 i= Z~ss2 11`~~3Z , _ : . . . , , , . , ; - RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstnxtion Reauiremenls RemodellReoair Reauirements - - • 3 registered site surveys shvxoy sC. tt of lot, sq. ft M howe; and all rxletl areas • 2 copies of plan (20% mazimum bl coverage allo,ved) . 1 set of Energy CalculaGons for heated addNons . 2 coqes M plan showirp beam 8 wintlow sizes: paured fouM design, etc.) . 1 sde survey for exteria additions 8 decks • 1 set of Energy Calalations • 3 copies af Tree Preservation Plan if lot plaUed atter 717193 • Rim Joist Detail Options selection sheel (Dldgs wtlh 3 a less unils) DATE q- (/1 ' d r r VALUATION (EXCLUDING LAND) .iJB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 1 )tc~tll 6 TYPE OF WORK REPLACE(S) _0 _7 _2 _3 APPLICANT 4100 EXCELSiOR BLVD. 4 PHONE # 4~Z-YZ3'ZLO • , N 55418 ADDRESS io uonmnsn ZIP CODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Suhmitted Piumbing Contractor: Phone Plumbing S}'stem Includes: _ Water Sohener _ Iawn Sprinkler Fee: $90.00 Water Heater N0. of R.I. Baths No. oI Baths Mechanical Contractor: Phone # blechanical S}'steni Includes: _ Air CondiUoning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Stgnature of Appli Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ti 36 Multi ? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' O 43 Reroof O 46 WindowslDoors ? 34 Replacement 'DemolfUon (Entire Bldg oniy) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster P.ump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation _ HVAC Drain Tile Roof Ice & Water Final OtLer _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ,h; ,~'d 53 3 ~u~s r.om ce iJrA ck k A. 0 a/S ReQUes te Fire No. FM~Oh-itl7 InspecUm ~RCady Now~?'ill Nntify, Inspec- ~ v f . es ?No tur When Featly Mzsed Electrical Convactar I herebv requast insoection of abova r electrical work installed at: Sveet Addresa. Box ar Route No. ZL d I Vu 0~ Ci'v Q 0 L ' l~ ir? ctmn o: I Towns ip itte or n. Range o. County L / Occu n[ (Ni1NT1 - Phone No. Porver Supplier ` Atldress t- C4 4trifal Contraemr ICOmpany Namel ~ Contracmr's ucense No. G v C ~ ( ilim AdJress ( anVac[or or wner MakinB Insta'I on) AuMwiz Si nature onh tor/OwnOr Making Installation) Phone Number YIMNE5077! STpTE BOARU OF ElEC7A1CITY THIS INSPECTION FEaUEST WILL NOT Griyps-MidweY Bldg. - Room N•191 BE ACCEPTED eV THE STqTE BOARD 7821 Universiry Ave., Sc Peul, MN 65104 UNLESS P0.0PEX INSPECTION FEE IS A.m 10 21 297111 11 ENCLOSEO. REQUEST FOR ELEC7RICAL INSPECTION ~ Es-ooooi_a~ L: , See i~truetions for completinw this inm an baCk of yellow co0v- O~'9 2Z5 "'X" Be/ow Work Covered by Thrs Request ~~.'0r { .r Adtl iteP. TvPe of Builtlinv APDliarrceaNlretl EquiPment Wired Home Range Temporary Service Duplez Water Heater Ligh[ing Fixtures Apt. Building Dryer Electric He2tin Comnercial 81dg. Furnace Silo Unloader Indusirial Bldg. Air Cooditioner Bulk Milk Tank Farm Otner oecI v nther (5uer.ity) [ , Ueciiy Omer Other ompute lnspeciion Fee Below • Fee SarviceEntmnce5iza # fee Fexders/SuMeeders N Fee Circaits I~1, pp U ro 200 qm s 0 to 30 Am s I 0 to 30 Am s A6ove 200 qmps 37 to 100 qmps 31 to 100 q 5 Swinming Pool Above 100-Amps Above 700_AmVy Transiortners rrigation Booms Partial.'Other Fee -To Signs Speciallnspection $ TOTAL, FFE ~ Xmarks ~ f0 4 Q p~ , ? Rouph-in ~ Da[e . 1. tha EI ical I -S'J InsOectoq heraby ~~h ~hat tha above Final e~ inspeclion has been inaea. fqt1epuesl vaid 1BmOntMfrom CITY OF EAGAN nJ2 10 2 4 2 I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 4548700 BUtLDING PERMIT aKe1pt # d ~ Te N w"d ier SF DWG/GAR Est. Volue $120,000 Dafe MAY 20 , 19 85 SitaAddren 3828 RIVERTON AVE Erece 50 oen,Peney R3 Lot 11 eloek 1 SeeBub. BLACKHALaK OAKS Rmodel ? 2oning Rl Repeir ? l`ype of Const. V Pereel No. Enlerga ? No. Stwiea M.W. JOHNSON CONST Move ? Lengtn 70 W Name A Demolish ? Depth 34 ~ ~~g P.O. BOX 130 Grede ? so.Ft. city FARMINGTQI~hone 432-6838 Insta11 ? AyyraYab Fees ~ N°me S~E Assessment Permit Address 483.00 V~ Ci Phone 432-6838 Water35ew. Surcharga 60.00 ~ Volita Plan Review 241 . rj0 tw Nmne Flrc SqC 57 S_ O0 qddres6 Enp. WorerConn. 500.00 i City Phone Plonner WoterMeter 63.00 Council Rood Unit 280.00 I hercby ocknowtadpa 1Fat I Mw rcod fhis applimtion and sroro thot Bidg. Off. 9/20/8 S T. P 132.01) the inlormation is eorrect and ogrea to ComDlY ~'ith oll epplicabla APC Totel $2 2~~ Q Stota of Minnesoto Sterute d Ciry of Ea1qa~n Ordina/n~c~e,s~. Vyr Date Sipnaturo of PemuMas ..iJJ. D~VY1x A Buildinq Parmie Is issued to: IIC.W. JOHNSON ONSon ths expreu eorditlon thol oll work shall be dona in ettordonee with all opp/l(i~4Ibla State of~ in ~so tuees and Ciry of EaO~ Ordlrancee Buildinp pfficid 'd 0 C ~ CERTIFICATE OF SURVEY f•1 89° 59' 48" E 100.0 p o ' t11 u~ ' ~jF DRAIWA~iE ANO ~S tfl I VTILITY EASEMEN'T N ~ l_., O T l l ij 92 3I gLOC K 1 W ~ N ~ -0 0 ' C) r . Q d' d UO ls 96. ~ D Q r fn Gt"J i4 ~ - O 24 32 ~ iS rn m PROPOSEO m 15 V/ M;levutinns shown are existing M M , I N~AR' N$ NOUSE ~ gra<les and are assumed clatum. M I ' I"q zo Zo Prc?poscd garage Cloor ~ g 9e ------5-'---- ,•F zco elevation = 99.5 ~ 9~•8 'R qLo Q 0 IS 0 5~-------~' ~ O 0 9S , PQi 6 1~ l00.00 N 8q,° S9' .$,S" E. 9e.~ R ~VERT0~1 AVE 9~•~ I ftereby certify thaC this i.5 a correct representaCion of a survey ol: LuC 11., Bloek l, Iil.e1CK11Al1K OAKS AUI>I7'ION, Dakota County, 1Ni.nnesota, accordirig [o tlie recorded plat Chereof, and that 1. am a duly rerii.stered l.and surveyur under the Laws of the State o[ Mi.nnesola. DaCed this l4th day uf Play, 1985 Gene i.. Jacobso tinn. Iteg. N~~. 7734 DR. Br GLJ SCALE - I" = 30' o DENOTES IRON MONL. BEARINGS ARE ASSUMED DATUM. PREPARED FOR: JAC08SON SURVEYORS • .Iohnson Constructinn P. 0. Boh L "ja LAKEVILLE, MINN. 55044 Farmingtun, ASN 55024 PHONE 469-4328 . • I:i.IILP.!UiC LIiVLLUI'L 11YLI\f4lsC U 1.U:91 UIitI1Vli . . . . . . ,b~:.l... . . ' . . . ' . • " OWEIER . . . mv ~ - - - i SITE ADDRE55 CONTRACTOR Jo1-l ~J50~ . DATE PHONE • . , . , • Determine working square footage of each. , 1. Tota1 exposed wa11 area 'Z~1 y 41-CI Lv sq. ft. x~, y 2. Total roof/ceiling area 1 Oq ~ sq. ft. x ,Qr?t0_ 1 +-!I _ Total exposed waTl area above floor = 23b'l,Z a. Total wall window area Z.y 5- Lo b. 7otal door area 3 8' . c. To±al s7iding glass door area 4,4 d: Tota'1 fireplace wall area y8 ' e. 7o{;al wall framing area (average ZOp)...:........ 7-02- 11L0 . . r`. 7ota1 net wall area above floor , • g. Total rim jeist area 1 Z~ 4 4. Total exposed foundation area = aCl,rIl.o , h. Total foundation window ar°a..................... i. Toal net foundation area above arade ~q'1Lo - Determine "U" value of eacn wal] sec::ent. • a. Z45, l.o X'tUll , 55 = 13508 b• 38 X,iu„l ig = 5 2.8 c. '4 4 X liuti d. ~a X„ull , 3L0 e. Zoz' l Lo z"u° ,091.p = 14y s. I ~04•44 x iluii 9. zL-o S X,lull ~caN l= lo.q h. X [lull. - ~ . i. C~q •'1 lo xJlll'l s . ....:.:............Totz, = 303,38 ?f item r3 is the same as, or less than item r'1, you hzve met the intent of 53C 60C5(c)2. . ` w . . ' • . ' . . . . . . Total exposed roof/ceiling area Ir) G 3 ~ ~ Total.gross roof/ceiling area = I O ~13 . j. Totat skylight area k. Total roof/ceiling framing area 9-3 1. Total net insuTated roof/ceiling area.... 7 Detennine "U" value for each roof/ceiling segment. X iouli k. I o9.3 x"u'l , oz4 = Z,Lo 1. G 8?,ri x"u„ , ozz z?. ~ a I OG ~ ..........Total = 2 ~ . If total of #4 is the same as, or less tfian #2, you have met the intent af S8C 6006(c)i. . . . . , ~ To utilized the total envelope system method, the values.established by the sum of items #3 and $4 sha11 not be greater than the svm of itens 81 and #2. 3oJ.qy + 2. 243,~#! = 330,35 3. "303.38 + a. z~,z = 3Z~58 MATERZALS Therm. Resistance Ezterior Air ,I9 5lding }7aterial , 45 Sheathing 2IOU . Insulatioa - , I C? _ SheetxoCk 145 Interiox 9ir 'LoB Studs 5_'1~ . Rim I'8E3 Conc. Bllcs. 1 , 2 . , . I 2/84 ~ I CITY OP EAGAV APPLICATION EOR PEMMIT • SEWER AND/OR WATER CONNECTIODT (PLEASE PRINi) 1) PROPER'I^! ApDR:SS: 3828 Riverton Avenue r.FrAr BFSGRI°TICV: Lot 11, Slock 1, Blackhawk Oaks (Iot/Blcck/S -i.:clivision or Tax Parcel I.D_ Vt3^ber) ~ IF- ::;ZS='=:G S?"?L'C^Tv°.. DAT: Oc ORT.Gi^.AL ZU1L:I::G , T ; PRESr-_:" liSE: WR-1 SM;'T.: cPMZLY . ? R~2 CUPTJ..: (Tt'O LT:ITS) ? R-3 TC:~:-?C'rcE ('?'f?p= + L=TS) ( UDII"_'S) ? R-S AC:v=T/CC':C_.1T]r1,1 ~ UiIITJ/ ? CCi"n~.Cl.~i~~T.D/~? CLFIC-- ? NSTI':[,TICJIAL/GGUE~L~:ME:T Z) AppLLIGy~ (Pl`cASE PRIIi!) NAhtE: M W Johnson Construction - ADDRESSa P. 0. Box 130 CTTY, STATF.', ZIP: Farniington, MN 55024 _ PHOiNE: 432-6838 3) Pu ,SBER (PLEASE PN1Hi.). FOR CITY USE ONLY -~E-W-RYAN PPf, PLIIHBERS E4SE: , AIDDREss: 1.4745 So ROBEBT TRAtL ~tlve/ crzr, sTATe, zrn•- ~~ncF MN ~i506~ Ezpir . b-~ Q 1(dt of Ne ord PHONE-`-~- ' PLU:18E(i LICENSE nitia q) pCCjp~~~ZTER N7aME: (PLEASE PRIfIT) ADDRESS: CITY, STATE, ZIP: PHONE: S) IIdDZG"tTE :4FIIC'ri PEF?NLIT IS BEIIv'G REQUESTIa: ~CCDTQECI'ZON 'IO CITY SF7i~]F~2 corNBC:zo;v TO czTr wATeR ? d1[M (PLT115E DESCI2IIIE) 6) I2:DIG,:c C:+E: ? PLF.ISE E'.OLD ApPP.OVm PER.'~LLT FOR PICi:-CiP BY ONE OF r160VE AR =%SE :*AIL APPROVED PER"IIT T:J 1. 2, 3, 4 ABOVE (Circl ne) 7) si~,1AMM: DATE: !O! Aal.Mie~v y~ ir ea ~c~:aara! s Ht~ia~~ rs e s is~s:a a ae f.e~tfl~s~a ~~e r[! sscsaa. . F O R C I T Y U S E O N L Y PERMIT " ISSUED / i F°E5: $ SETiER PEB`1T_T (I`_1CLi:D~ SURCci?RGE) $ 5U WATER PERI~IIT (Ii:CiuDE SliRCFIArZGc) $ WATER METER/COPPERHORN/OUTSIDE REF,DER $ WATER TAP (INCLUDE CORPORATION STOP) S SE:dE4 TAP $ $ _ / S d/`li ACCOUNT DrPOSIT - U7ATER ~ $ ~ rJI~~YJ WAC $ SP.C $ TRUVK NATER ASSE55:•!E:dT $ TRli:1K SEWER ASSESSME`IT $ LATERAL BEDiEFIT/TRUNK SE:•?ER $ LATERAL BENEFZT/TRUNK WATER $ OTHER ' $ TOTAL +S Dv q ) G' AA!OU:1T PAID/RECEIPT ~ S3/)112 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A"PERMIT FDR :VORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~,171~_-NO ENGINEERING DIVISION. LIST AS A CONDI- • TION. , SUBJECT TO THE FOLLOWING CONDITIONS: ' / APPROVED BY: TI:LE: DAT°: m w wjq wso Ra WtO w Ro-ja sm atm m* m sa as ie Ra sa m w fr w ~ 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagau 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephoce # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond !k: Expires: The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to eaisting dwelling unit S 30.00 furnace _Additional _Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residenrial 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 applicarion for a pernut, 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. App?icant's Prir.ted Name Applicant's Signature ~ ~Ja~~ 30-~ 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pcrmits are required for cach uni[ Date (b to_ / -C ,It_ / (b l,- Site Address Unit # m P ss~ Property Owner `b\ z~f~o' I&N~gj Telephone # (~S1 ) 4 S14. $ 3 ~ -3 Contractor 1(~ ~IJL. Street Address 580 S 1~/~ . ~~~D~ City State Zip S S la y Telephone ) y3 1• Bond Expires: g m The Applicant is _ Owner _ Contractor _ Other Add-on or alteration [o existing dwelling unit $ 30.00 /furnace _Additional _Replacement V air exchanger airconditioner _New _Replacement other State Surcharge D 15 v~ $ .50 JUN 2 8 20~4 Totel BY I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accurate; that the work will be in conFormance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a pemut, 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 ich requires a reviewand approval of plans. ApplicanYs Printed Name ignahire ~ 10111010,1 ' 63ss 4 r - PSflflW PL ' . Dof • soma ERVICE PERMIT CITY OF GAN 3MPitot Knob Road 1 PERMIT NO.: 7523 P. ©. Box, 21199 - Eagan, _ .w.DA . ... ' No. of Units: Zoning: M. W. , Johnson Const. Owner: Address: verton 've. Ill Bl Blackhaiik Oaks s ite Address Ettz Ryan Plumber: - s 1OQ .00Pd 425.O d f egne to seemly rrbhl6a� of ��!° "� Conrsectt�i �kar�e: �- --�- - � — � P cctt Ordinencs$. Account Deposit: Permit Fee: . pd Surcharge By Misc. Gorges: Total: Dote of Ip --�, --- ---- Date Paid: Insp.: . PERMIT City of Eagan Permit Type:Building Permit Number:EA113751 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3828 Riverton Ave Lot:11 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-110 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 . Laura Gillespie 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 - Joseph J Metzger 3828 Riverton Ave Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125868 Date Issued:08/06/2014 Permit Category:ePermit Site Address: 3828 Riverton Ave Lot:11 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Joseph J Metzger 3828 Riverton Ave Eagan MN 55122 (651) 688-2592 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157261 Date Issued:08/12/2019 Permit Category:ePermit Site Address: 3828 Riverton Ave Lot:11 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joseph J Metzger 3828 Riverton Ave Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature