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3830 Riverton Ave uITY OF EAGAN Remarks f'' y' ~ r'- ` ' - Addition BLICKHAWK OAKS ADDITION Lot 12 Rik 1 Parcel 10 14387 120 01 Owner Street3830 Riverton Avenue State EaQan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 1970 L96.11 3.84 25 SEWER LATERAL WATERMAIN WATER LATERAL WATER AR EA 1977 9.45 15 STORM SEW TRK 1983 458.7f 30.58 15 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ~ . . , y T. trftf irafe uf (Orrupttnry titp of eagan ioPputmrtt# of iuatng jnaprrttott This Certificate issued pursuanl W the requtrements of Section 306 of the Uniforrn Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City reguladng building construction or use. For rhe following.• un classiGauon ' 7CV'': eldg. Flermii Mo. - OaupancY'lyPe "t Zoning Distria Type Coatt OwnaofBmldine C.T. MAr'~AY.it. pdd,= i tiAL_ 2' - si:aaeg nae~ '~'i?(? R~?r-~ r•, ; - ~ry L ~ 2, B I, Hi1~U u 1: i' p.W &dwM8 omcili f ' ...POST IN A CONSPICUOUS PLACE . . ' i . . . . '.F' . , ~ ' . . - . • ` ~ TerfifiratP uf Mrrupanry titp of eagan MPpl'1'tlt~ Df iwbAtg iwprttDtt This Certificare irsued pursuant to tlte requirements of Section 306 of the Uniform Building Code cerrifying rhat at the time of issuance this structure was irr compliance with the various ordinances of the City regulating building consduction or use. For the following.• ux cIua6nuan ; &dg. Rrmit xo. - OccuPIrcY Type Znoing Diatrict Typc Connt. OVeou o( Bui1di116 Md?tli i i`.1 i t: E1 IL F. Bwlding Addrm li'_ n•+1.~ t.axl;ty L f LS 1_ j- . Dav G 9 Wildt°g 06cu1 Gtn~.t ~ 7 Sg P0.ST IN A CONSPICUOUS PUCE RLE~;,"IV :I•;D FOR DECK 4/11/89 CITY QF EAGAN SAWFif:RgE 533-.0352 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 B.IIILDING PERMIT Receipt # To be used for Est Value Date ,19 Site Address OFFICE USE ONLY Lot Block SeC/Sub. On Site Sewage _ Occupancy MWCC 5ystem _ Zoning PafCel No. On Site Well Type af Const City Water _ (Actuaq m Name " (Allowabte) W ~ of 5tories ; Address Length ~ City Phone Depth S.F. Total , p Name Footprint S.F. ~ ~ Address APPROVALS FEES 0. City Phone Assessments _ Permit ~ Q Water/Sewer _ Surcharpe v W Name Police _ Plan Review W ~ i Fire SAC. City x - Address - c, Z Engr. _ SAC, Mwcc ~ w CitY Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have reed this application and state Bldg. Off. _ Road Unit thettheinformationiscorrectandagreetacomplywithallapplicable APC _ TreatmentPl Stete of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Siflnature af Permittee TQTaL A Building Permit is issued to: on tqe 3xpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official Psrmit No. Permit Holdsr Deto TeIsphone R 'Plufnbing H.V.AC. Electric Softener ` Inspeetlon Date Insp. Commsnts Footings I Footings II Foundation Framing A:,~. Roofing ac-4-- i.,.S Tiry vn Rough Plbg. O -U Rough Htg. ';Cy ) Isul. Fireplace Final Htg. Final Pibg. ~ Bldg. Final Cert Occ. Temp. LP Deck Ftg. ft/ Deck Frmg Well Pr. Disp. ~if ~M.~ ~X'• Iri~~, i «o -t4trim . PERMfT # PLUMBING PERMR RECEIPT # CITY OF EAGAN . 3830 PILOT KHOB ROAD, EAGAN, MN 55127 DATE: CONYRACT PRICE ` PHONE: 4544100 Slte Address BLDG. TYPE WORK DESCRIPTION Lot - Block Sec/Sub Res. New m Name ~ 5• ' Mult Add-on w Address Comm. Repair c CRy ^ ~ Phone L Other NO. FIXTURES TQTAL ~ Name 1 1\ i ~_Water Closet - $3.00 3 Address ' '1 t L[ y Bath Tubs -$3•00 l p City - • Phone L1 ' 1 ~Lavatory - $3.00 ! r Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _ $10.0p ~~undry Tray - $3.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 -DWater Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD a.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 i r Private Disp. - $10.00 tl-c ~ ';'.cLJF f Rough Openings - $150 31GNATURE OF PERMITTEE FEE f STATE S/C: i FOR: CITY OF EAGAN GRAND TOTAL• I J . . . . ; PERMIT # MECHANICAL PERMIT 4' •'~'7~. . CITY OF EACAN RECEIPT # 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 • Site Address BLDG. TYPE WORK OESCRJQTION Lot ~ Block ~ Sec/Sub R~ Lx__ NeW Mult Add-on ~ Name - Comm. Repair Address c Ciry ~ Phone 7 7( Other FEES Name L RES. HVAC 0-100 M BTU -$24.00 3 Address k• ~ - ADDITIONAL 50 M BTU - 6.00 p City ~ Phone ` (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK ~ ~COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. > C, M BTU MINIMUM COMMERCIAL FEE - 20.00 ~ STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outtets # BEYOND $1,900}- Other ~ FEE: S/C: SIGNATURE OF PERMITTEE / TOTAL• 2 S FOR: CITY OF EAGAN CITYOFEAGAN N° 13870 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # --1S - a Tobeusedfor SF DWG/GAR. EstValue $112,000 Date JULY 7 1y87 Site Address 3830 RIVERTON AVE OFFICE USE ONLY R3 LOt 12 BIOCk 1 SeC/Sub. On Site Sewage Occupancy BLACKHAWK OAKS MwCCSystem ~ Zoning R1 Parcel No. On Site Well 7ype W Const v City Water X (ACtuaq a Name DR. C.T. MAESAKA JR (Allowable) w # ol Stories z Address 1750 KYLLO LN Length o City EAGAN phone 454-2914 Depth e7 S.F. Total , p Nartie SAME FootprintS.F. ~Q Address APPROVALS FEES P City Phone Assessments _ Permit ji 539.50 WateqSewer Surcharga 96_00 w W Name Police _ Pian Review 269 _ 75 Address Pire _ SAC,City 100.00 ~a Engr. _ SAC,MWCC 525.00 ~w City Phone Planner _ WaterConn. 575_00 Council _ WaterMeter 67.00 I hereby ecknowledge that I have read thia application and state Bldg.Off. _ Road Unit 305.00 thatthelnformationisconectandagreetocomplywithallapplicable APC - TreatmentP7 180.00 State of Minnesote Statute and ity aer ordi an ' Varience _ Parke Copies Signature ot Permittee Wr~ TOTAL A Building Permit is issued to: DR C.T. MAESAKA .IR on the express condition that all work shall be done in accordance with all appli/ca~b~l¢f3t~a,te' o_f Minne ~ta y~(~/t utes and Clty of Eagan Ordinancea Building Official I 7CJ~~`~ " /`s't-~- ~ This reQues~ void q~/~,~ 18 "~pnths from ~ D 3 5 o 10 Raquest Uate Fire No. Pouph-in InsVer,tion mp..w'' Repuired7 ~Reatlv Now ~ill Notify Insaec- ?YUS No wr When qeaAy LiCensed Electrical Convactor I hereb rey queslins0ection oi abova Owner alactricel work instelled at: Str, e[ AdAress. Bo, or N e No. City 8 .Q ` Ct h ec ion o. Township Name or No. R ge o. Coun y 4an ( INT) C Phone No C~' Di-qn(o Nl es 9 f~-~' - Power P lier Adtlress </7`~/ J ~ ~ Electrical ConVaclor (Company Nd 'ior*s License- :Y,M A• ' t t-•;T; r~G ELEC?RiC C0. Mailinp AdJress IConheio~rsr9wqp,~,Nak~ny~As'e~,l~io~~ . J7 7i1L~ • 19 Authorized Sig tu e(Co CtoJ All ar aking Installationl Phone Nu~r-kjr?/ 0 MINNESOTA STATE BOARD OF ELECTRICITY IFTHIS INSPECTION HEUUEST WILL NOT GriB9s-Midwev BICB. - Aoom N-191 BE ACCEPTED BY TME STqTE 90AR0 1821 Univeraltv Ave.. St. Vaul, MN 55106 UNLE55 PROFER INSPECTION FEE IS Phone (612) 642-0600 ~f~ ENCLOSED. } REQUEST FOR ELECTRICAL INSPECTION Ili See ins4uctiens for campleti,g tpis form on baek oi Veilow copy. ?)/O/, C~ D4 3501 Q~5g/b7 X" 8elow Work Covered by This Request IN-JAddi Nep. Type ol Builtling ApPliancee Wired EquiUmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unluader Industrial Bldy. Air Conditioner Bulk Milk iank Farm Other Peo V ther ISnnclfYl inor uccify Other Oth.r womnute Inspectian Fee Below p Fea SarviceEntrencaSixa p Fee Fextler5/5ubfeeaers N Fert Circuits pO U to 200 qm ps D 0 to 30 Am s 0 tn 30 Am s Above 200 qriipy 31 to 100 Amps 31 to 100 Am , Swimming Pool qbove 700-Am s Above 100_.Qmps TransPormers Irrigation Booms Pertial'Other Fee Signs $Uecial Inspection $ TOTA EE ~ Xemirks ~5 e ~ flough-in Oate I. the EI ' ~ .7 4' Inspectoq hereEy certity lhat the nbova Final U te inspeetian has teen • f-/3 Thb reQueet roid 18 monttm Irom RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauiremenis RemodeUReoair Reouirements OHce Use Onlv 3 registered site surveys showing sq. iL oF lol, sq. ft of house; and all roofed areas 2 oopies of pian CeR of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Phan Recd 2 copies of plan showing 6eam & window sizes; poured (ound design, etc. 1 site survey fOr addlUons 8 decks Tree Pres Not Reqd isetofEnergyCalalations AddiGon-irMicafeAonsdesep6csystem _On-siteSepticSystem 3 copies of Tree Preservation Plan if lot platted after 7l1193 Rim Joisf Defail Optlons selectiai Sheet (bidgs wtlh 3 orless unils Date pc{ Construction Cost~ 7,2 Site Address T(o? 1 ~V p- UniUSte # Description o[ WorkK1AI Qe MCX4 `v 0 Property Owner JIV1d 12 1n Telep6one #(6E f)-~$9 -p2 Contractor P~`(CLj() deUr u I ~G (O/~~~C-tbr'"J ' , Address W ~ . City _ - ( State Zip ~ Telephone # Q51 . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissian type) Submitted Submitted • Energy Envelope CaIwlaUons Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( J I hereby apply for a Residential Building Pemut and acknowladge 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 the State of MN Statutes, I understand this is not a permit, but only an application for a permit, and wo -is not, to start withou a permit; that the work will be in accordance with the approved plan in the case of work w ch.requires'a review ~ d approval of plans. 71,12 ~ DmGL ScN(Aw Applicant'sPrintedName Applicant'sSignature OFFICE USE ONLY Sub Types ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 19 OB-plex ? 18 Deck ? 23 Porch (screenigazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additbn ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplBcement "Demolition (Entire Bldg) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type ot Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) FinaUNo C.O. _ Foatings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retain;n Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City 5AC Utility Connection Charge S&W Permit & Surcharge Treatment P(ant License Search Copies Other Total 7987 BQILDING PERMIT APPLICATION - CITY OF BAG9N SINGLE FAMILY DWELLINGS IBCLIIDE 2 SEfS OF PL9N39 3 CERTIFICATSS OF SIIR4SY, 7 SST OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR COEHER LOTS - CONTRACTOR/HOMEOitNER MIIST DESIGHATS WHICH ADDEESS IS DFSIRED, NO CHANGfiS idILL BS ALLOWED ONCfi BUILDIHG PERHTT IS ISSQED. MOLTIPLS DWELLINGS - RFSIDENTIAL RENTAL DAITS FOR SALE OBITS INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF 3IIRVSY - CHECK WITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COMIlIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ' ENERGY CALCULATIONS, > o $2,000 LANDSCAPE BOND oc:o To Be Used For: }r ieKqp.v Ih~Si iJsrr,ccE-Valuation: -94~ Date: Site Address OFFICE OSE ONJ.Y - Lot l Z Block ~ On Site Sewage_ Oecupaney ~.3 n MWCC System ? Zoning ~.i Parcel/Sub t~ oLN.y.Q-- Q~ On Site Well Type of Const City Water ? (Aetual) ~ Owner T~r (Allowable) -SZ- # of Stories Address f ~-o K)d(n Length City/Zip Code /-/J/~( .~j SZZ ~FthTotal - Footprint S.F. Phone C~ ( 2~ 6PPROYALS FSBS , - 5b Contraetor c.~--, /~..f&~(CoQ -~!L Assessments Permit SM Water/Sewer Surcharge Address (4j~~AC) Poliee Plan Review 2& 11. n Fire SAC, City ~Go. City/Zip Code Engr SAC, MWCC S Z S Planner Water Conn 5 2 S Phone 4154'Ltlq Council Water Meter ~ Bldg Off Road Unit Arch./Engr. ~oy~( C .(1215r$JN Sv~ APC Treatment Pl 12;0 Variance Parks Address Copies TOTAL City/Zip Code Phone # ( 3 x. ( q- I~3 z x s~ - i o sS r~ . z~-x~~ = 57~ nc2 = ~~1Z_ . CITY OF EAGAN F.]CTERIOR ENVELOPE AYEHAGE 'Ul COMPUTATIOb OGNER: GLt F~F 11t14EyN 14A JP.. SI?E 9DD@ESS• CONTBACTOR: DATE:M Ze; 8 PHONE: 4S~-47^I1 Deteamine xorkiag square footage of each: 1. Total exposed wall area z-i 5Z sq. ft. x.11 2. Total roof/ceiling area l 1Z7 z- sq. ft, x.026 Total exposed xall area above floor = Z,'~ 5 Z-~''~r a. Total wall window area 31(0 b, Total door area !Q 3 c. Total sliding glass area r.61 d. Total fireplace wall area I2 e. Total wall framing area (average 10%) Z 7~z f. Total net wall area above floor Z4 g. Total rim ,joist area 3o Z Total e:posed foundation area - ~16 h. Total foundation aindoK area X i. Total net foundation area above grade -74e Determine OU' value of each xall segment: ~ a. x Out zs = '19 oa . n. ~g : gut .13 ='-'K I I 1~- c. ~ X ' U' , f, 5 d. rz x OUt 043 = •q2 e, z~5 x fU' .09 = Z41'7 5 f. 7c4'f? xlU' 12 51 g. '302 x IUI .o4-i - ~ti.3S h. ~ x 'UO k - r • i. xIUI ~ 13 3 . Total = Z "1~1.6 3 If item 43 is the same as or less than item 91, you have met the intent of SHC 6006(c)2. aFT Total ezposed roof/ceiling area = W32, 3. Total skylight area k k. Total roof/ceiling framing area (average 10%) 3 1. Total net insulated roof/ceiling area OVER Determine IU' value for each roof/ceiling segment: 3, ~ x 'U' = X k. (I~ x out .03 = 3,'39 i. I o I q XIuI , o~'Z -z.. 4 . Total If total of #4 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and $4 shall not be greater than the sum of Items 01 and p2. t. 3oZ"72 + z. Zq,9'3 - ~ 3Z.1`' 3. 2~~.63 + q. z5,~ a = 3 0'34$ D 2 f SINGLE & DOUSLE FAMILY AOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating af 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. - SIGMA Certificote of Survey For ` . SURVEYING SERVICES INC. • Eapon. Mmewro 55122 '°~°""'°b DR. CLIFF MAESAKA " 061Z 452 • 3077 0 N89°59~48°E 169.50 yN ~ SI I L O T 12 / , o ` i_r 9' It~ • M1. ^p / 9g~Y981A w~' ~$qpP~ `,3' u ~ m •o y'.~ o~ • ` i ~ f ~{Aoq; I~ j 8.L BA( GP\~~\ r ~0 p - i ? '~OOg\b ~ s ~ ~ , i ~t 9V N` Ora;..„p ~ , a b1:~;~y ; e ~ ~o<t &~LL« m ze~+e.k 1114 pt~~pL s o ~ lb ~h . / yq4; _',_R~t? ~ ~ ~ onu..x ..o U.iu.. uaRcx,. ~ NV\ ~ .AE SHOWN ,HLIS: ~ i JLo-- ,.N_ • xIrro s rEEr IN woiM, uMlfsa OTMERWI9E INGIUTEO. 11M0 WMiXllq 1 lOT I.INES. AN0 10 fEET IN VIDTM U AND MJHNINO STR[[T LINES WLCSS OTMENWISE PqNN OM TME olAT. Scole : I~~ = 40~ -LEGEND_ PROPOSEO GARAGE fL00R ELEVATlON= $S9~ O LLrwtes lrcnManLrrenf S~t PldDPOSfD Top of Bfock fLEVATIDN= PROPOSED BASfMENT FLODR ELEVATION= Z•0 WIO R LLnofies Woai Huh Set w$86350.enptBS Existirg Spot Efevation NOTE: yerify a!1 fic..... - heights wrth Final Nouse Plans. ggq,'7) Llsrates Propvsed Spof Elevatron Denotes Drainage Drrecticrr q Ma 5' (~~fFICATlCN- 1 hereby certify tit3t this survey, pfan or report _PRFEW DE$CRIPTILM1- was prepared bY me aurder my direct supervisicn LOT 12 BLXx -A- _ ard that 1 am a duly Reg+stered Lan1 Surveyor g L A urder the laws of the State of Minnesota`.,\,`~~~~i~ pGKNWK OqKS AD O. n , acccrdrrg fo the reccrded ptat thereof, Date: . Do,Keta County, Ifinnesota Wayne D. Cordes, ~OR ES ~'i...r... 'r1ii,iiqsreUny~ 1989 BIIILDI6G PBRMIT APPLICATIOA - CITY OF EAGAN 3IAGLE F9HILY DiiELLIHG3 6ed& ved 13 $ 7D -INCLUDE 2 SETS OF PL6NS, 3 CERTIFIC9TFS OF SORVEY, 1 SET OF ENERGY CALCIILATIONS NOTSs ADDRESSFS FOB CORNEB LOYS - CO&THACTOR/HOMEOWNSB MDST DESIGNATE iiHICH ADDHSSS I3 DFSIEED. PO CHANGFS iiII.L BE ALLOWED OHCE BUILDINIi PEAMIT I3 ISSOED. MULTIPLE DTiELLINGS ESNis[, pHITS FO@ SALS 09ZT3 i OF UBITS INCLODE 2 SETS OF PLANS, CERTIFICATE OF 3IIRVEY - CHECS iIITH HLDG. DEPY., 1 SET OF ENERGY CALCULATIONS COt9MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS foo,-) ~ To Be Used For: ~aLk_ Valuation: ~ Date: Site Address 30 SD Av OFF'ICE OSE ONLY Lot I Bloek ~ Oceupaney FM Zoning Pareel/Sub 1316e ckha,,A_ 0 RKS Aetual Const Bldg. Permit a6-oo ~Li ~F Allowable Surcharge Owner 4 of stories Plan Review 383a R+v~~ Length 14, SAC, City Address Depth S9C, MWCC S.F. Total Water Conn City/Zip Code S'S 1 22. Footprint S.F. Water Meter Acet. On site aewage S/WPermitsit n, On site well S/W Sureharge Contractor MWCC System _ Treatment Pl. ~ City water Road Unit Address 7 PRV required _ Park Ded. City/Zip Code BOOSter Pump _ Copies 00 TOTAL a 7, $o c-~~3~a APPHOVALS Phone J" 0J 5Z Planner Couneil Areh./Engr. ~HW~3°G ~Tc.s,(~1 4 gu~LOfTQ Bldg. OfF. Address q~dv- 42tj0 )9 \Lr=• Variance N City/Zip Codel~O~~~N$(~fjL~ ~St2-2- Phone $ 533 ~ e3 S2 NOTE: Sexer & Water Permit fees and account deposit fees vill be inoluded in the building permit fee. Processing time for sever and vater permits is txo days once a lioensed plumber has applied for a permit at City Hall. . ~*****~*****#*****f***tf*****#**#~*# CITY OF EAGAf~ * ° ~ * * r,prxovaL os rERMIT. * * APPLICATION FOR PERMIT : IIZSPF7CI'ION OE' SENM ADID/Ct WA'iER ,*t • Ti1S1'Ai.TATTON$ VuL Nor BE S('fmm- * SEWER AND/OR WATER CONNECTION ~Lum UNTIL PmmT Fms BEm ~ * APPRUVID. * * k * M* * • . . ~ir&*****#kir**ir*#******tik**aktak**!rt#** P ease Print 1) PROPERTY ADDRESS: 387~0 Riverton " LEGAL DESCRIPTION: Lot 12 B lovd[ T E lackhauck Caks - Lot B ock Subdivision or Tax Parce ZD . IF E7QSTING STRL'CZ[7RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSUANCE: - PRESE[1i' ZANING/PROPOSED C'SE: (Mon ear q COM14ERCIAL/REfAIL/OFFICE ARkR-1 SINGLE FAMILY rl IND'STRIAL Q R-2 DDPLEX (ZWO Units) f-1 INSTIZS1fIONAL/GOVIIttZ2W ~ R-3 70WNiOUSE (Three + Units) ( Units) . q R-4 APARZMESIT/COfIDOMIf1IUN1 ( Units) 2) NAME: ,a.mo as Cwner P,DDRESS: . CITY, STATE, ZIP: PHONE: 3) N1:M: 'a'eierke Trenchin• &'xc. For City Use 660 ~ Plumbers License: ADDRFSS: C R . ~ Active f5cpired i CITY, STATE, ZIP: Es.q:;in, ivIP~. 55123 Not recorded PHONE: 454 ~ DG° MASTER LICENSE# Sta Initial 4) • • i~• NANE: C. T. Fdoesak~= Jr. ADDRFSS: , a CITY, STATE, ZIP: PHONE: • 5) a: : o • a~ - a~ coNNECriorr zv cixY sEMa mNrgx,-rzorr Tv ciTY waTER p arfmz . . 6) u • r ~ PI.F.ASE HOLD APPROVID PEEt[•IIT FY)R PICK-UP BY ONE OF AB0VE ~ PLEASE MAIL APPROVID PERMiT 1D 1, 2, 3, 4, AHOVE (Circle one) 7) .7Ld , `•`1' • i' I: ~ • 1' •M ? 101• • D P Y~1• •~1• ~ .p~ • ~ ' M: • •!f?~ 1 1 1 71 ~ J1• ~ . :fOR :CITY USE ONLY ' PERMIT # ISSUED , ~ Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ 49 • 5-Z) WATER PERMIT ( INCLODE SURCHARGE ) $ lO 7'cf-D $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOCNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S $ wac $ 8 sac $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRC!NK WATER $ MO ' D-n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: I 3 / 7•~r~ TOTAL RECEIPT kECEIPT DOES LTSLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MTIST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. ' SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: -160_zCJ7t~o TITLE: DATE: 1UZ2,3 /f~ ~l'his rnust br= tur•ned ir, wztn each set c-f rneasurerrierits. Trreluda the followino items; M Revise existing huuse shape with dinierisians, rJcml t shcw raom. b) Label and snoW all buildings an praperty. * Dimensiari the abave to house znd the two closest property lines. c) Show sny perrninarit fence, tree, shrubs, landscapirig, t•etairiing walls, alleys, major• grade chariges and "cars ori blucks" d) Locate over•head and/or undergraurrd wires. - • , r - - _ . - I I I I I ~ I c~~o I I ~ I ~ IZY I+ I t,y,~ EG I_~ ol . ~ Iq1 V ; ~ N To ~E,tT To 411 1-buyE I ~ ~ I 47 - - - - . ~ L1f" Wr, c ~ . Er,r, p loj To ,4!:± , rnust Of3 tUi'1'iE`U in witn eacl'i set of riieasurements. Snclude tlie fc-liowirio iterns; a) Revise e><isting hause shspe with dirnensians, don't show raom. b> Label and snow all buildings eri proper•ty. * Dintension the a6ove tu house and the two closest property lines. c) Show zny per•rninant fence, tree, shr•ubs, landscaping, r•etairiing walls, al leys, major• gr•ade changes arid, "cars on blccka" d) Locate overnead and/or underground wires. . . , r I t I I I I . I `OI W I I I ~ t 1 ,Y o / TO ~~EfT ; ~ N h To ~E~cT ~ I-IOU'~E ~ 1-lOUh~ I / ~ wL~~~ - - - - ~ GU~ LiA1E l- • 3; ~ ~oT OoT To hGAI,F.. IMMIlliiiiiii , V CITY Oi EA Permit No 1O- 23 ,. 380 P Knob oad ; Meter No Si ate --- P. 0 . - 'P,0 Re ad e r No D = agars; 55'121 :..> ; Owner C. T. Irs ;, Site Address l' 1f3 �2' re% z ` AQr'nttp 1.17 Et /I: °ft.,T,: - t ka Plumber WolPrkp Tr, anrhfrte ; . ; Conn Ch g 5 25 . dt F Zonin Acct. Dep. T5. g' : 1. P No of Units R PennitFee t 1(1 Of} t. Surcharge: S Pet ,r ' 1 agree to comply with the City of Eagan " Tr. Plant 18ft.'f) rl Ordinances Meter. 67 . t3i3pd c Misc.: L B Y - WATER SERVIC PERMIT , -� 7 - C6 7 y .. C O'F EAGAN . ;_Permit No: 20317 Date: t3 - -87 3 Pilot Kno 'Road B/P No: ?26 Date: . I i P.O. Bo ;. Eagan; 55121 t 4 . ' owner C T. 'Maesatke Jr, i Site Address: • 3U x i eTt Y ue Lid # e t±tls A SS V Trenching ° � Plumber: t MW CC: 525.Opd Zon City Chg: 1OO 'JOpd N o. of Units. ` 3 Acct. Dep: 1�' 00pd . ~"` 1 agree to co plly with t C of Eagan L Permit Fee I } ` Online Surcharge: , 5bpc1` ;' I I Misc.: By c SEWER SERVICE PERMIT 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA123358 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 3830 Riverton Ave Lot:12 Block: 1 Addition: Blackhawk Oaks PID:10-14387-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . David Baum 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 Baum 3830 Riverton Ave Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature . ) e For Office U PI._ i i I ::e:' 'r aE A N T,' - , 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JAN 4 LQj Date Received: /-a�-. / rc 9I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 1 I buildinciinspectionsta7citvofeaoan.com L_ 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /if // Site Address: ,—DT1-3 a R t ✓e 2+0", Ave Unit#: -,4:4;%:'b' n i A Name: � V i_D t Z QI 1 e,v e ,340)v\ Phone: sV-roes- a-o 2, i'..,-X'''!:"' f t'Pl'.-.'' i:-.1. 4110 €. ` Address/City/Zip: -3 83 6 �1 11�e/Z'�n/ .4.,,,v__ R Applicant is: Owner V Contractor a .; ' Description of work: ,�l�Seinh',✓f Re/node/ 234' 1-14 Construction Cost: 26, fr.., Multi-Family Building: (Yes /No Company: Tile_ AN by SA Jai/ Contact: /44/01/ //^4S' l . Address: g•9 4 £i RCk v 't City: h/4 i 6e Ze4iz L K State: MA/Zip: • J/Z7 Phone: (�/-735452 Email: R66 .G'o//,:vs Gn/fO/,la,►, f4, o . License#: ��� /7✓�' d Lead Certificate#: R r )a S/ / `/0- ©/9 93 If the project is exempt from lead certification, please explain why: Sv/c.( /;t/ Si COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: E}. Phone: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns. x Arte,bRe4/ .'//'.11-1' Applicant's Printed Name Appli is Signature DO NOT WRITE BELOW THIS LINE Yc 3 0 ' \i 'fit(-Hy, 4-u" e /53e6/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement — Siding — Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair , Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 'i m 1O Occupancy t n E.'-/ MCES System Plan Review / Code Edition 1\81 SAC Units (25%_100%_) Zoning fl. / City Water — Census Code II.3 4 Stories Booster Pump #of Units I Square Feet PRV -- #of Buildings i Length Fire Suppression Required — Type of Construction IP Width _...- REQUIRED REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings (Deck) Final/C.O. Required Footings(Addition) 4.- Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice kWWater _Final Pool: Footings _Air/Gas Tests Final Framing V 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final - Siding:_Stucco Lath _Stone Lath _Brick_EFIS .;1t Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ���, , Building Inspector RESIDENTIAL FEES / / '' G G IfOotoN' f 1 3Base Fee 3� / Surcharge `�Pv Plan Review ;../4 _3- INi/VAOw MCES SAC !— City SAC a 02-W Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 0 '0/4 , 5 0 TOTAL Page 2 of 3 r For Office Use + + ,• :::e: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacityofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2/2 t// 9 Site Address: 3 6 f2-i✓� '7'16•� Avg Tenant:r Suite#: Resident/Owner Name: a- Phone: Address/City/Zip: Name: �'� / (1S2.„ License#: n/11 OS.2 `/y y Address: / o 8/ 6 Q City: Contractor State: `'1✓ Zip: SS"– 7 Phone: S/ 73 - /o /P Contact: Email: Lk..._ / Y Type of Work —New —Replacement- —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: 13a-S Water Heater Lawn Irrigation ( RPZ/—PVB) Water Softener DescriptionAdd Plumbing Fixtures ( Main/—Lower Level) Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .S-4 ri . Applicant's Printed Name Applicant's Signature Page 1 of 2 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer ' Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections ..cityofeaoan.com Page 2 of 2