3829 Riverton Ave CITY OF EAGAN Remarks J ' - ' - 4 ' I /8~.
Addition BLACKHAWK OAKS ADDITION Lat 10 Rlk 2 Parcel 10 14387 100 02
Owner street 3829 Riverton Avenue State EaQan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK ,Z 1970 2 3.84 25
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 l., 9.45 ZS
STORM SEW TRK 1983 EF.S$. , 30.58 15
STORM SEW LAT
CkJRB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
- . .
f9rrtifirate uf (Orrupanry
Citp of (tagan
Erpttrbmrnt nf ikd[dittg JWrrtinn
This Certiftcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of esruance this structare was in compliance witlt the various
ordinances of the City regulatrng building rnnstrucdon or use. Far tlie following:
uie Qa~sirKaooe ~ ~ . l
. Rrmit No.
OcwP-Y TYPe f. 7dmng Dmliict F Type Const. owner or euda;ng ~JRR 01K &.dl~'~S PC nearm !W' i L1 R:.,'?,,Y;..
ewim~nea~s -~1c, 'rr°;7~";'t'P; A'~'~^4':'T' ~L.lCi, is`, (ZF:ri~
tr
n.w M,:; 1987
BuiWing Offidal
A'
POST IN A CONSPICUOUS PIACE
. . ; . " : ' _ . . . . 1. . .
' PERMIT #
PLUMBING PEFiMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PHICE PHONE: 454-8100
Site Address i ~ BLDG. TYPE WORK DESCRIPTION
Lot BIoCk - ,'P- Sec/ ub Res. New
t 4Mult. Add-on
~ Name L v Comm. Repair ~n Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Mq. FIXTURES OTAL
Name / -~Water Closet - $3.00 •
` ~t_ Bath Tubs - $3.00 ; Address Lavatory - $3.00
O Ciry Phone _~_Shower - $3.00 3, O-9
KRchen Sink - $3.00 ~~7
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t 50 !S
MINIMUM - RESIDENTIAL FEE - $12.00 -tWhirlpool - $3.00
MINIMUM - COMM/INO FEE -$20.00 ___4_Gas Piping Outiets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) ' Weil - $10.00
,
Pnvate Disp. - $10.00
~ ~ ~ ' ~ :~VRough Openings - $1.50 ` -S
SIGN TURE OF PERMITTEE FEE:
. STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: "
. . ~ r- , ~ . ~ . - . , . • , : . ; . . . . . . . . . . . 7 . . .s D~~ s r;,~' . .
PERMIT # 8/ 9 -L
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN '
3830 PtLOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block 5ec/Sub
~ Res. X ' New ?
m Name Mult Add-on
~ Address Comm. Repair
c City Phone • - Other
~ Name ' FEES
c Address ' ~ RES. HVAC 0-100 M BTU - $24.00
p Ciry Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
~"TyPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air ' M BTU COMMlIND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Veni CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Oudets #
Other • _
FEE '
s~C~ r SIGNATURE OF PEF~MITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN N2 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ 3 0 07
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be ussd ior 5 F DWG/GAFc Est Value $133,000 Date DECEMBER 23 19 86
Site Address 3829 R I VERTON f\V E Erect 14 ~ 3
Occupancy
Lot 10 Biock ? Sec/Sub. AIiACKHAWK 1CSRemodel D Zoning R1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
74
W Name BiIRZ OAiC BUZLDFRS INC Move ? Length
= 11461 ~~OLDENROD ST Demolish ? Depth 12
3 Address Int.lmpr. ? S Ft
° city C(7UN '~lS 452-2906 Instau ? Q
o Name SAI'IE Approrals Fees
Address Assessment Permit 515.50
~ City Phone Water & Sew. Surcharge 66.50
Police Plan Review 257.75
W W rvame Fire SAC 575.00
Address Eng. Water Conn. 'T30 • aa
< W Ciry Phone Planner Water Meter ~ 050
0
Council Road Unit '
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 12~23;Q G7r.Pl. 0 0
information is correct and agre~to cpmpiy wit~1 all applicable State of
Minnesota Statutes and City of Eag"-OrdjtSaySces. APC Pafks
Signature of Permittee Var. Date Copie ,i2 , . 25
Total
A Buildin Permit is issued to:' BUR12 OAK B~IFLJ~;i~S IIJC
9 on the express condition that
all work shall be done in accordanee with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Building Official
PormN Mo. Permlt Holdw Dato T~ons M
~
Plumwn9
H.v.wi.c.
El.ca+c s fj2
~ 6 2111 8 2 c
soflener le' ,81 o
Inapection Dato insp. Commsnb
Footlnps 1 0,4
Footinys II
Foundatbn
Framinp
CU'
~
Rouy
RooiinAHtq.~~,,
Rouyd'
Insul.
~a~47
Fireplacs -~-g7
Final Ht9.
Finsl Plby.
Bldq. FkW
Cert. Oec.
Deck Ft9.
Detk Frmy.
Well
Pr. Olap.
' .r?...-Q a. . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~"r
PHONE:454-8100
BI*LDING PERMIT Receipt # To be used tor pppL Est. value $25,000 Date wUG 21 ,1g 91
Site Address 3829 LIYZR'1'O!1 AVE
Lot IQ_ Block _2 Sec/Sub. S~1~C OAKS OFFICE USE ONLY
PafCBI N0. Occupancy FEES
Zoning _
W Name gCM 8 VIACI COTIE (Actual) Const _ Bldg. Permit 252•00
~ Address 3824 RIVER'1'011 AVE (nilowanie) -
0 City EAGAN PhOne 681-9051 *otStories Surcharge 12•50
Length _340 Plan Review 164.00
Zo Name OLYleIC POOLS oePm SAC.City
OU OC Address -115 S ATSiO0D S.F. Total _
City s[iI?icDPEB Phone ~4S-77t9 S.F. Footprints _ SAC, Mcwcc
~ On Site Sewage _ Water Conn
F W Name on site wau - water nneter
Address MWCC System _ A
<W City Phone Citiwater _ Acc"•Deposic
PRV Required _ S1W Permii
I hereby acknowlege that I have read this application and state that the Booster Pumpq
intormation is correct and agree to comply with all applicable State oI ~ SNV Surcharge
Minnesofa Statutes and Ciry of Eagan Qrd~pances. Treatment PI
Signature of Permitee APPROYALS Road Unit
A Building Permit is.issued to: Oi'j IC PMAS Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ol Minnesota Statutes and City ot Eagan Ordinances. gldg. pry; _ Copfes '
Building Official . ' V~~8 - TOTAI ~8' ~
~
Permit No. Permit Holder Date Telephone 8
WATER
SEWER
PLUM8ING -O(O c! /
H.V.A.C.
ELECTRIC 00
Inspsction Date Insp. Cammants
Footings I $ S OS
Foundation .
Framing
Roofing
Rough Plbg. ~'Jr 4'
01
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test -
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrlPlan
Bldg. Final
Dedc Ftg.
Dedt Fnal
Well
Pr. Disp.
, CITY OF EAGAN N2 19557
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE: 454-8100 Receipt # l"I I~J
To be used for POOL Est. Value $25, 000 Date AUG 21 1g 91
Site Address 3829 RIVERTON AVE
Lal 10 Block 2 Sec/Sub. BLACKHAWK OAKS OFFICE USE ONLY
PefC@I N0. Occupancy FEES
SCOTT & VICKI COTIE Zonin9
w Name (AClual) Const _ Bldg. Permit 252.00
3 Address 3829 RIVERTON AVE (Albwable) - 12.50
° CIt EAGAN PhOne 681-9051 A of Srories _ Surcharge
Y Length Plan Review 164. 00
zQ Name _ QLYMPIC POOLS Dapth 18' snc, ary
o~ Address 135 S ATWOOD S.F.Total
Gty SHAKOPEE PhonB 445-7779 S.F. Fwtprinis _ SAC, MCWCC
On Site Sewaqe _ Waler Conn
~
~ W Name On Sila Well - Walar Meter
Address MWCCSystem _
iw Clly PhOnO Ciy Water _ Aect. Deposil
PRV RequireE _ S/W Permit
I hereby acknowlege that I have read this application and stale Ihat the Booster Pump - 5/W Surcharge
iniormalion is correct and e to comply with all applicable State of
Minnewla StaWtes and C. o Eagan rd' ~nces. 7realment PI
SignaWre of Permilee K APPPOVALS Road Unil
A Building Permit is issued lo: ' OL IC POOL$ Planner - park Datl.
on tha express condilion ihat all work shal be done in accortlance with all Council
applicable Slate of Minnesola StQatules and City ol Eagan Ordinances. gldg_ ph_ Copies
BuildingOHicial Varience - TOTAL 428.50
1
oa
p929609 & ~~3~~~
Reqy~sl ~ate ^ Fire No. Roughin Inspedion
RaQUired? O ReaOy Nowill Notily Inspector
7 ~ Yes 7: No When Reatly?
IXlicensed contractor ] owner hereby request inspection of above electrical work at
JppAdprass~eei. ox r Ro~teNp.I
* `0~
Seclion No. Townshlp Name or No. Range No. unry j1~
~ T\
~ Oc an (PRINT) ~ Phone No.
Power Suppher Atltlress
Eiec ic Gonvactor (CO ny Name) GonVaclor5 License No.
' ` ~
li tltlress c[ r or er Making Inslalle[ionl
Aill
Aut 410 aWre ICOnim ~ wner akm Installalio Phone mDer
MINNESOTq 5 TE B APD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bbg. - Poom S-0]] 8E ACCEPTED 8V THE STATE BDARD
1821 llnivenily Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS .
Vhone (612) 642-0800 ENGLOSED.
9~G/g/ REQUEST FOR ELECTRICAL lNSPECTION
? See Instmctions for completing tbis lorm or. back ol yellow copy. '10300 ~
09609 "X" Below Work Covered by This Request
ewAdtl'Rep. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm.llndusirial Furnace
Farm Air Condi[ioner
Olherlspeclly7 C/o acbr's Remarks;
i Compute Inspection Fee Below:
a Other Fee # Service EnhanceSize Fee # Circuits/Feeders Fee
i Swimming Pool 0 to 200 Amps 0 to 100 Amps
F Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectars Use Only: ~ OTAL~
IrrigationBooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E OR ED DIS ONNECTED IF NOT
-10ther Fee COMPLETED WITHIN 18 MO (
I, the Electrical Inspector, hereby Ro°9h-'"
certify Ihat the above inspeciion has F;,,ai ~ oa+e u
been made.
OFFICE USE'JNLY ~
This reGUesl voitl 18 moNhs Irom
2,11,/ REUUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
~ Sea instractiona lor completinB this form on beck Of Yellow copy.
'"X" Below Work Covered 6y 7his Request
%~t5 U t5 4
AAtl ReB. Type of BuilEing APpliOn<e31YilW Equiomant Wired
Home Range Temporary Service
Duplex Water Heater Li hting Fixtures
Apt. Buiiding Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air COnditioner Bulk Milk T&nk
Farm ther oeci v mer (Speclfy)
I.I pCCI y [ Cf O\hL'f
ompute lnspection fee Be/ow
p Fee ServiceEntrenceSize p Fee Fexden/Subfeede,s N Fee Gircuits
0 to 200 Am s 0 to 30 qm s / ' O 0 tn 30 Am
Above 2_Amps 31 to 100 qmps 31 to 700 q y
Swinvning Pool Above 100-Am s A6ove 100_Am s
Transformers m ation Booms O Partial,'Other Fee
Signs Specialinspection $ _
errmrks QI TOT LF@E - .
5_
Nouph-in
A6"'Eecl tricel
• I.speetor, ha,eby
certilV ihet tha above
Final te inepeetion hea been
1 3/47 maa..
Th repueet volE 1B monMS from ~
~
This Iepuest voitl //~S/~ 7 , 4o y% 77
18 monthg irom ~•rl~C
C _8Q$111-16' aq ~.~f.,a.~,C1;zu;,'~'
Fequesl Dete Fira No. RouBh-in Ins?pectian
He ired? XFaedy Nuw Q Will Notily InsDec-
I Yes NO lor When Beadv
Litensed Electrical Contractor 1 hereby ~equest inspection of a0ove
? Owner electrical work installed et:
Sireet Address, Box or Foute No. City
3 8 4 191 le r o ?e, E a.
ecuon o. Township Name or o. RanBe o. Counry
L)2Kofit,
Occu nt (PPINT) Phone No.
LL'i!1 ) • ( e,
Power Svppli Address ~ e_
&-Kb-6l,E. QG .~o 23.p -f'`1
Elecvical Convactor ICampany Namel Contractor's Liconsa No.
M,d~ahd Elee-1-~-+~ µieio-~.
Mailing Address IContractor or Owner MakinB lnslailationl ~
. 5-64) LA/ Cv {~rJ f~urns~rl ~
AuMOCiz d Signam onVect Ow r Ma n Sallation) Phone Number
ci
MINNESOTA $TpTE BOARD OVELECT ITY THIS INSPECTION flEQUEST WILL NOT
Gripya•MidwaY Bltly. - Room N•191 BE ACCEPTED BV THE STqTE BOARD irl UNLESS PPOVER INSPECTION FEE IS
7821 Univereitv Ava.. St. Poul, MN 6106
Phene 16121 892-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-o^oooi-os
~ See insiruCtions for complatinq this form on Eeek ot yellow capy. ~ T~ 77
C`8O'. "X" Below Work Covered by 7his Request
Re4Addj Reo. TyDe ol Builtlinq AOPhencee Wired 'Equipmanl Wirad
Home Range Temporary Service
Duplex Water Heater ' Lightiny Fixtures
Apt. Building Dryer Electric HezLn
Comnercial Bldg. fumace Silo Unloader
InduStrial Bldg. Air CoiWitioner Bulk Milk Tank
Farm t er peci Y t er ISperify)
1 e, ucc, y t or Oth.r
ompute Inspection Fee 8elow
p Pee ServieeEntreneeSize # Fee Feetlera/5ubfaetlera p Fea Circuits
0 to 200 Am s 0 to 30 qm s 0 to 30 Am
Above 200 qm )y 31 to 100 qmps 37 to 100 A s
Swimmin Pool Above 100_Am s Above 100_Am s
Transiormers rn ation Booms Partial.'Other Fee
Nemarks SignS Special Inspection $ TOTAL FEE =J ir>•
t l
flouBh-in
ate ~,1he Elecbicel
InsOector, he~aby
certHy that the above
Finel P DNte~ inspection hae Deen
y mda.
TlarepuentrdClBmontMirom ~ -
..Wii/87 7144 Si
rrtim '
~
80824~"~~'~c 4 ~'°o
Re~juest*Date Fire No. Rovgh-in Inspection
/c Re uired7 ~fleady Nuw W'II Notity IngpeC-
r ~es ? No lor When Heady
~ Licensetl Electrical Contractor 1 bereby request inspection oi eb C
? Owner elec[rieal wwk installad at:
~
Street Atldress, Boz or Route No. City ~ p
iVer on ?el ~ an
ecuon o. - ownshiD Neme or No. ange o. County1
LY..-,kO'E'Q.
OccuOant (PPINT) . Phone No.
6urr DaJk.
Pow¢( $upplier AdEress
L)u.ko-F-a- E-lee, 1 4a00 `41
Electrical Conttactor ICompeny Namel Coottactor's License No. /~idlctncl ~~CG-Ert~
MaflinB /~ddress IGOntractor or Owner Makine lnstailationl
Vsuo Inl Cv a- ury s vI,
AutM1ori Sipnamr 1 nvactor wner MakIn tallat onj Phone Number
MINNESOTA STATE BOABO OF ELECTRiC Y THIS INSPECTION REQUEST WILL NOT
[iripps-Midwev Bldp• - Noom N-191 ' BE ACCEPTED BY THE STpTE BOARD
1821 Univeraitv.Ave.. St. Peul, MN 86104 , UNLESS PROPEH INSPECTION FEE IS
VhenefF121F620800 ENCLOSED.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
651-681-4675 ]
New Conshucflon ReaulremerMS Remodel/Reoair ReaulremeMs
D 3 regfsfered aNe surveys showing sq. tt. ot lol, sq. H. of house 2 copies of plan
and,~ll roofed areas (207, maximum lot eoveraae allowed) 1 set of energy calculatfons for heafed addiNOns
D 2 coples ot plcns (show beam a wfndow sizes; poured Md. desfgn; etc.) 1 sRe survey tor exlerior addtttons a decks
D 1 set of energy calculatlons
? 3 coples ol hee preservatlon plan G lot plaiFed aFler 7/1/93
DATE: ' CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: c3S al
LOT: ~ BLOCK: ~ SUBD./P.I.D. LLC,C-k Oi k A 0 C~
Name: ~f#l&er lV~Ue Phone#:lOiJ~"~~V dJT`~
PROPERTY Last FUd
OWNER Street Address:cUd l dI lJC(°!^ja lqII e
Ctty G~/9N State: /`A). Zip:
Company: ed) Phone ~J
(area code)
CONTRACTOR Street Address: t. iicense #~~l~~~D . ~
City A Sfate: Zip:, S ~~c~oZ
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
StreeT Address: Registration
Ctty State: Zip:
Sewer 8 water licensed plumber (reauired tor new conskuction onlvl:
Penplty applies when address change and lof change is requested once permff Is Issued.
I hereby acknowledge that I have read ihls applicaflon, state Mal ihe :ttt„an iee fo~ all applicabl
StaFe of Minnesota Statutes and City of Eagan Ordinances.
4
Signature of Applic
OFFICE USE ONLY
. r
p ~
Certficates of Survey Received _ Yes _ No 1~ ~ i
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 27 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
woRK nrPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. _ Booster Pump
PRV
Fire Sprinklered
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/V11 Surcharge
Treatment PI. ~
Park Ded.
Trails Ded. '
Other
Copies
Total:
SAC Units ~
% SAC
4 Q. : %k
O•R
0•*
515•5U+
66•50+
257•7ti+
575•00+
500•00+
63•5U+
290•00+
156•00+
2) 424•2~*
I
. /3O~
1986 BIIILDING PE[ilIIT PLICATIOH - CITY OF E9GAN
90TE: ALL CANTRACTOES MQST BE LICENSSD WITH THE CITY OF EAG9N
SIAGLE FAMIILY DSiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DiiE[.LIIiG3 - HffiIDENTIAL RENTAL UHITS FOE SALS ONITS
INCLUDE 2 SETS OF PLANS9 CEBTIFICATE OF SIIRVSY - CHECH WITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COHIMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
~ ~
To Be Used For: J/,yr/F
Wm 14-y Valuation: -)9&7CEVO- Date:
Site Address lK(ufr7~+J1~C OFFICE USB ONLY
Lot ~ Bloek Erect ? Occupancy IZ3
' Remodel Zoning 21I
Parcel/Sub 9`AGKy-gcoKQ6K.S '•'Repair _ Type of Const
l Addition ll of Stories
Owner .(S t,(,~,IQ (,A-t~ g e.~ , ~de,rz, A c_ Move _ Length ~
Demolish Depth 3Z
Address 11Y61 G~~~tN ?oJ Int.Zmpr. _ Sq Ft
Install
City/Zip Code CCOone 71
Phone ysa-a'yo6 APPROVAiS FEES
Contractor S'tN?C Assessments Permit a~s So
Water/Sewer Surcharge f~~T
Address Police Plan Review 257L
Fire SAC 575.
City/Zip Code Engr Water Conn 50D.
Planner Water Meter Lo 211
Phone Council Road Unit 29O.
Bldg Off eatment P1 15Co.
Areh./Engr. 1rA.(fKe'Lt- 4pnrtE 102~9/y APC Parks
~ ~k ~ Varianee Copies
Address i i ~ r- TOiAL ~
City/Zip Code C d~h Nlti
Phone # 15 35 - s~j 7v
NOTE: ADDRBSSES FOR CORNER LOTS - CONTaACTOR/HOHEOHNER MIIST DESIGNATE AHICH ADDRESS
IS DESIRED. NO CH9NGFS iiILL HE ALLOiiED ONCE HDILDING PERMIT IS ISSiIED.
, . ;
1 ~ . go)
~ gs x ~L~l =Zb x~2.
B~x 63, R9tE 9¢ .
A O BE sUR z oac B)a.r,6~s
t pLRNNEAS and6lAHG s3URVEY0115
CaMPANY, INC. 1000 EAST 1461h STREET, BURNSVILLE , 111NNESOTA 4S33T PH 432-5000
PENGINEERING ce~-~i}'i ccz~ Sur-v-e y ~gQ4l ~e.tcrL,eZtost: LOT l0, BGOCK Z, BGACKHAWK DAKS ADDJ7loN,
DAKA7A CAUAlTY, MINNESOTA
¢ RIVFRToAI AV6A/vE
0
0
0
59' 4B" E
n/ 990
ioo. oo .
SERvKif, IS ~86,7j SCAfE . 1•• _ 30, .
51 - - - M90.17) -
(890,7) rgge.g') (89/,00) 89. 30' FKO/VT BUIL.DYA/B
8. SGreACK LiAIE
t ,3.0
4z.oo I ~
~
I~ o PRoFUSED i 6AK4SE
I ro Ho~sE N ~ _ `
N
i 32,0o f
42.oa~ :$9bs2` N ~
CJ
I ~
' L,OT ID ~ I DRAINAGE A7JD
e 5
` UTlLf7Y EASEMENT
(89a.e~
I ~
~
UENO'rES ExIS"rING ELEVATION
I ~ ~ (tgo.~) DENlOTES PfZOPOSED ELEVATION
I ~ alo 5y 5~~ v' ~rr ItiIPICA-mS pIIZEC:TION OF
SURFACE DRrQIhlA6E
89/.oa - FlNISNED 6A2A6E FLAOR
~
Vi E'LE1/fITION
5 /
(esa.s)
~89'3_~Jj
I Tereby enrtity that thia ie a true and correct repraeantat3on ot a tract~ot
land at sho+m'and deecribed heraon.• As praparad by ma on thii 17rd day ot
L~c£+neE,~ ~ 19 51~. . '
~ Ninn. ltea. No. Ic.okS
EXTERIOR FNVELOPE AVER.4GE "U" CONPU7ATION ~
ow;rf4: PL~?J
SITE NJDRE55: ~jLbFC4((t?QW1~ OAK
COtJTRACTOR: DUF-9-- 04, tJl.'iIDC-RS DATE: P2•40-pei PHONE:
DETERMIN[ WORY.RNG SpUARE FOOTAGE OF EACH:
l. TOTAL EXPOSED 1lALL AftEA,,,,,,,, sq ft x"U" •11
2. TOTAL P,OOF/CFILING AREA,,,,,,,, sq ft x"U" .
026
3. 70TAL EXPOSED WALL AREA CALCULATIQNS:
Total exposed wall
area above floor,,,,,,,, sq ft
a) Total wall window area:
-kudi-glazed...... _ fi.W(O sq ft x ~~U"
glazed...... sq ft x "U"
b) Totai door area 39 sq ft x"U"
t} Total sliding glass door area:
glazed...... sq ft x nUn
glazed...... sq ft x "U"
~
d) 7cta1 fireplace wall area sq ft x"lJ"
e) Total wall framing area
(Average MI)........... sq ft x "U" ,Q~~? ~
f) Total net wall area above
floor (Insulated)....... _ sq ft x "U"
g) Total rim joist area...... _ sq ft x"U"
Total foundation
area (Exposed).....,... sq ft
h) Total foundatlon
window area............. ~ sq ft x"U"
1) Total net foundation
area a6ove grade........ sq ft x"U"
3• TOTAt a) [hru i)
If I tem N3 is thc same as, or less than item N1, you havc met the intent of
S.(3.C. Section GDOF, (c) 2.
~ 4. TOTAL EXPOSED RQOF/CEllltlG CALCULATtOtIS: ~
• Total exposed
roof/cei)ing area.....,.. ~ ~(7 sq ft
J) Tota) skylioht area........ ~ sq ft x"U" ~
k} Total roof/ceillnq framing
area (Averaae 103,)...... ~sq ft x"U".0.24 a 88
1) Total net Tnsulated
roof/ceilinq area....,.. ~~pQ sq ft x"U"
4• , TOTAL J) thru 1) alc~7~
If total of "4 is the same as, or less than N2, you have met the intent of
• S.B.C. Seetion 6606 (c) 1,
ALTERNA7E BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values establisheA by the sum
of iteins !'3 and 94 shall not be greater than [he sum of items NI and #2.
1. + 7, a
3. + 4. a
C E R T 1 F i C A T I 0 N
I hereby certify that I have calculateA the "U" factors and "R"
values herein and that [he huildPnq here descrihed meets or exceeds the State
of Ninnesota Enerny Conscrvation Act.
Ti til
srnnacure
. !02'AO
(nacc)
C0tlSTRUf,TIOtI R VALUE
VALL FRAMING SECTION:
1 In[erior air fi)m (1,68
Z N5
3 1/~L inches soft wooA
4 iAt, i.n .ob
5 .b5
A Exterior ai film n,17
. TOTAL R = Ip, &IJ
U = 1/R =
1•1ALL SEC710N (INSULATEO)
1 Interior air film f1,FR
Z " ' o .N5
3 i
4 28 '1:' 1fl 1.Ofo
5 5i i nca- .IoS
- F Exterior ai film n,17
- T07AL R = .O
u = t/R = .0?13
RIM JOIST SECTION: '
11 Interior air fflm f1.f,R
Z a.~ 'Il
. 3 ti•' im 's
4 " Y1 .0
5 .65
~6 Ex[erior ai film 0.17
TOTAL R =
. U = 1/R = .ON~
.
n
- FOUNDATION SELTION:
A~` 1 Interior air film n.fiR
Z
P • 1 0 OLIY)i. 1Y15 ID?1
' 6-== 3 19" cc, ct&e, lor 1.28
4 Exterior air film (1,17
~ ~ •4• . C' A ~ ~S
aQ.OQ,4 'ir', (6
TOTAL R =
~ U = 1/R =
SLAR Ot1 GRADE
;a;a• ..,~~„f~ ;;4 :,V .a 4
41~ r E - t • ~ ~ °~..d~,
a a
„ ~ d • ,
, a . "I'l,G' ~'i:~ ~ ' • ' • . Q• .4' i ?
.14
, 4• '.~ai GL~~ •~i .
, • ~ , 4. 4 ~ •a~ Q , a I 9
;,a , ~ • ; a~ . , a •
~t-,~•4 'a:
~ ~
r ~
cc:isTFiICT10:! n vr,LUc.
c[Iu.:r, sEcTiMi (tNWILnrtO):
I Intrrinr nir Filn A,41
? g Sh~2.~-~aclc,, LI
2D„ uh4u1
C,xtr.rior air filn (still) n FI
70T:,1 P. _ 45p
u = I~a = .ozz
V.~~, ; i
2~ t'lllrIr FRnrtl'!r, sccTlO.'!:
-U 1 •fntcrior , ir filn (1.61
2 g 5h C'O___ b$
AIR VENTED ~ 3 ?bYz." vfl~tj irnv 3f~,3
FLOV~J Interior ai r`i In sti I I~n.~•1
5 ' i nches _ so'r [ wrocd .3
. TOTAL R =
" U1/R
~ . CEILING SECTION (I>:SULi!TED):
• ( -~~fi~-s:~.M'~~<<t~ `-a,•a.~~~'i\^.'_:~ 1' Interior dlr Filn
b=-~= 2
Fxterior a ir film s[ill 071
TOTnl R -
r ~ V~'~r1l1~lJ~11~~;t~•:.~r'1(ti iJ~ U 1/R =
ii.L' r:~ ~ ~;i . ~ ' . .
' C L02 J L" . , ~
GEIL( ! , F~„ ,pt11 1 ~ SEC710t1:
• 1- Interior air filn O.nl
VENTED ' 2
. 3
. !i Exterior air riim lstiil) n. i
i r.ches sort a:nnd
70TAL R =
• ' ~ U = 1/R =
5
1' _ ~r~~~_ . .
n.
Inside air filr.i I, l
A'~='C..r~.. : ~ :~.-•1,'.',- •I ' 1 ~ '
} l
II
1 !
r nl!t51(~C .Il f~I ~fl
2 - ~ 70TAL R
n t /o - I
* ************#***#***t*****t******~` ~ C I T Y O F E A G A i~ P~'~T OF k'EE AT TIME OF
* APPI,ICATIoIV DOFS NC7i' COPb"2'I'iLl1E
~ APPROVAL OF PERMIIT.
APPLICATION FOR PERMIT *
IxsPncrrort oF sEWM r,rro/at WATM
. * TTISTAT7ATTO11$ FTlLT• NOj' $E $CHED-
SEWER AND/OR WATER CONNECTION *U' UrnTIL PERMIT BAS~
APPROVFD.
*
r
r
. ~,t~**~*~***~*x:r*x***~x*x,t*a,rt*t*~a,r~.
- P ease Print
~ 1) PROPERTY ADDRESS: 3$029 ~•~,.C~-f~n ~1.~~~.
LEGAI, DESCRIPTION: "
Lot Block Subdivision or Tax Parcel ID
IF EXISTING STRC'CIS]RE, DATE OF ORZGINAL BLIILDZW, PERMIT ISSPANCE: '
~ (Nbn ear)
PRFSENZ' ZONING/PROPOSID CSE:
Q COAP1El2CIAL/RE,Tp.IL/OFFICE ~ R-1 SINGLE FAMILY
Q IAIDCSTRIAL ~ R-2 DL'PLEX (Two C'nits)
INSTI2UTIONAL/GOVII2NMET]T F7 R-3 TOWNEiOUSE (Three + pnits) ( L~nitsj
Q R-4 APARTMENT/COAIDOMIDIILm ( Units)
2)
Nl1ME:_ 2.4kc
• rDnREss: ia 41 9_~„
CITY. STATE, ZIP: SAv~q~, f~„/• .rS37B
PHONE: ,Fj4/-7i o O
3; j u i:,,• / ~ / For City Use .
N'°ME=L~'~ Plumbers License:
r
, ADDRFSSe ~id
i CITY, STATE, Not Tecorded
MA$TEg LICENSE#
~ QO.a 3 A-7 Z22 i Sta~"Initial
q) r i~-
NA[`E:.l3r,e~~
_ annREss:_1/~63 G'o[dG.
CITY. STATE, ZIP:,,_1doii ll7.~PHONE:
5) u v ~ r. : D r. • o• - ~
CONNECPION T0 CITY SEWER U;~t- Q7NNECrION 'i0 CITY WATER ~ CJi'FIEFt ' .
-
6) E] PLEASE HOLD APPROVFFD PERMIT EC)R PICK-PP BY ONE OF AHJVE
~{.L'c/ ~ PLF.ASE MAIL APPROVID PERMIT TO 1. 2. 3. 4. AHOVE
~ ^nK1 ' (Circle one)
71
'1: • Y' I: y • 1~ ~ I. '1~ I:A• . I~ P Y~I• • Y9 4 " • ~I• • • 9• • ~ I -
~n M• 1}. ~ ::r M"I•,N?~ 1 1 1 : 71' • J' • l. ~
. ,
. . - ~ . ~
:-FOR CITY USE ONLY - -
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ % C? - (D SEWER PERMIT ( INCLLDE SIIRCHARGE )
$ L-' WATER PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ ACCOC'NT DEPOSIT - WATER
wAc
$ ~ 7 S•~' T $ SAC
$ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER f~
$ $ WATER TREATMENT PLANT SURCHARGE `
$ $ OTHER :
~
zoTAZ
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQCIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK FVITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SIIBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
,
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT # 3 3
PHONE: (6I2) 45478100 RECEIPT # /O /5
DATE : S a~ S3/
gM"M PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIM[7M 15.00
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: G~77_ &~71_,E _ KITCHEN SINK 3.00
,p LAUNDRY TRAY 3.00
SITE ADDRESS: 2?' ~~rJ /1 _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: /0 BIACK _29~_ SUBD. FLOOR DRAIN 3.00
~ GAS PIPING OUT.
INSTALLER: ~eG.GE~ _ (MINIM[JM - 1) 3.00
~l ROUGH OPENINGS 1.50
ADDRESS oOj /LJJ4 R)k l7 ~F OTHER
/ WATER SOFTENER 5.00
CITY~ /,p A2IP: PRIVATE DISP. 15.00
I~~ZZ"~ - U.G. SPRINKLER 3.00
PHONE
/ SUBTOTAL $
ST. SURCHARGE .50
SIG ATURE OF PERMITTE
r~TA:.: S. Sv
PLEASE COMPLETE THTS FORTiON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
A MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BIACK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNATIJRE )
FOR:
CITY OF EAGAN
1, /0 eL It CITY OF EAGAN CITY USE ONLY
SUBD. d2C/l /~~A.J~L'~/1 /I /Iaa,*l- ~ PLUMBING PERMIT
(612) 681-4675 RECEIPT ~ i
DATE
RSSIDF;NTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
OWNER NAME: ~ d 5 KZTCHEN SINK 3.00
~ IAlTNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
f / 1 GAS PIPING OUT.
INSTALLER: ! vn-. a ` C ~ (MINIMi1M - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS : 1t/ /n OTHER
/ WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U,G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
~ STATE SURCHARGE .50
SIG ATURE OF P TTEE r!o oG ~~u ~ C?! TOTAL:
r,wff
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CZTY: ZIP:
TOTAL: . $
PHONE
FpR: (SIGNATURE)
CITY OF EAGAN
` Y 1991 SIIILDf~MT 7CPPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIAIVS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTf7RAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIHS WliEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER 6 WATER PERIfITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: J`GnM Y'oo 1 Valuation: ~"s i Oag Date: CR d -
Site Address OFFICE IISE ONLY
Lot jt9 Block FEES
Occupattcy 2- 91dg. Permit ZSZ~Oa
Zoning Surcharge 1 z~ b-D
Parcel/Sub BLAr-X}{AFWKOAKSADDIU. Actual Const Plan Review ,-C!D
• Allowable SAC, City
Owner C=~1 ~ # of stories SAC, MWCC
Len th 3Y'-O" Water Conn.
Address Depth I rl'-6Water Meter
S.F. Total Acct. Deposit
City/Zip Code 5S 1~;LQ Footprint S.F. _ S/w Permit
S/W Surcharge
Phone Csi- p 1 6 S I On site sewage_ Treatment P1.
On site well Road Unit
Contractor c~, L4 '~'.D, MWCC System Park Ded.
City water _ Trail Ded.
Address k--ZC 5c''~ PRV ! Copies
I Booster Pump _
City/Zip Code 37 SIIBTOTAL
APPROVALS Penalty
Phone yqs- 7 7`74 Planner Lot Change
Council TOTAL YwtX"5 D
Arch./Engr. Bldg. Off. f'Z1 9i S'
Variance
Address
City/Zip Code
Phone #
Sewe tex Lice sed Contr.
agrees that all wotk shall be done in accordance with
(Signature f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
_
. ° o.* ~
i
° 272•OU+
3t?p iz•yo+ I
164'00* ~
428•50*
/ I
CLAItt VaUC11F,R - REFUND REQUFST
CITY OF EAGAt7
CLAI?fANT JOE BRUCE PLUMBING
ADDRF,SS 11442 GEORGIA AVENUE NORTH
CHAMPLIN MN 55316
3829 RIVERTON AVE•, 737 BRIDLE RIDGE RD., 4761 LONDON LANE
I,~ration 4976 T.Y A COIIRT_ 3658 RIDGEWOOD DRIVE.
L10, S2, BLACKHAWK OAKS, L13, B8, BRIDLE RIDGE 1ST, L15, SI
BRITTANY IOTH T1 B4 WILDERNESS PK. 2ND, L5, BI, WINDTREE 4TH
P,eceipt ido./Date 6/25/91-1019 8 -
Renc,n fcr Refund $,3 00 OVERPAYMENT ON Enro nc S rt r_ cPRTNKiFR pRRMTTS
Tt•pr of Refund Electrir.al Fermit 01-3211 $
Flumbing Fermit 01-3212 $ 15.00
Piechanical Permit 01-3213 $
Surcitarge 01-2155 $
Water Connection Permit 20-3713 $
Sewpr Connection fermit 20-3743 $
Account Deposit 20-2252 , $
Utility Account Over-Fayment 20-2250 $
~ Other: $
S
TOTAL $ 15.00
t dec7arP under therpennlties of law that this accotmt, claim or demand is just and
that no Part of it has been naid.
7/1/91
1 [ure Date
vr..~
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114629
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 3829 Riverton Ave
Lot:10 Block: 2 Addition: Blackhawk Oaks
PID:10-14387-02-100
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 .
Laura Gillespie
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 -
David J Palmer
3829 Riverton Ave
St Paul 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:EA124442
Date Issued:07/02/2014
Permit Category:ePermit
Site Address: 3829 Riverton Ave
Lot:10 Block: 2 Addition: Blackhawk Oaks
PID:10-14387-02-100
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 -
David J Palmer
3829 Riverton Ave
St Paul MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature