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3833 Riverton Ave CITY OF EAGAN 1117Z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt ~qt Te be wnd fer Est. Vclue Date , 19 Site Addreas Erect El Occupancy Remodel ? Zoning Lot Block Sec/Sub. Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length Z Name Demolish ? Depth ~ Address Int Impr. ? Sq. Ft. City Phone Install ? Name Apa.ovob F•ss ~ u- A~~ Assessment Permit 1- City Phone Woter 8 Sew. Surcharge Police Plan Review oc ~Z Name Firo SAC uo Address _ Erg. WaterConn. ~ W City Phone ' Planner Water Meter Council Road Unit I hereby acknowledge that I have reod this opplication ond state thot gldg. Off. Tr. PI. the information is Correct and ogree to comply with oll opplitable APC Stote of Minrxsota Statutes and City of Eoyan Ordinonces. Parks Var. Date Copies Sipnature of Permlffea Total h Building Permit Is issued to: on tha exprcst conditlon tlwt oll work shoil be done in occordwrce with oll appticabla Stete of Minnesota Stotutes and City of Eaqan Ordinonus. Buiidlrp Offidul Pwmit No. Permit HoWw Date Telephone # Plumbiny q ( 8~ ~ H.VA.C. EML-Wc M c 4 ~ 3~ I. G r• do Inspsction Date Insp• Other Footings 1 Footings 11 Foundation /X/-Y/ff iAl Framing Roofing ilouyh Rouyh Htp. ~ ya -1-4 o44 P' Insul. Flroplsce Final Htg Ff,(/,e}[. lWeaeo 13 QeCU~ Final PI ,Q laft~ Final CIs t/O . ~ S •l S- ~5"l ~ ~ ' Water ~•iba L ion1 WAII J Sewer Pr. Disp. # ' ; PERMIT # CITY OF EAGAN FEE 06 MECHANICAL PERMIT ~ f RECEIPT 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE ~ MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: R~s Comm Inat 2. New Add Alter Repair 3. Total Bid Price 4. Job Address I ~-i..e"'a W Lot Block 2- Se Il c S5.Owner" 7 6. Contractor j~-J : r ~•l i ? !:.t.~~ i!~ / ~~7~1~i'!_J '~7) `_~-1 f?~Lt~i" i~9LJ ~~`•C' (Name) {Streeq (Citl') RiR} 7. Contractor Phone # ~ RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee / HEATING VENTILATING HOT WATER STEAM ~ AIR COND. e1R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.5U TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SYRCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN Remarks 1 J'? Addition BLACKHAWK OAKS ADDITION Lot 11 Blk 2 Parcel 10 14387 110 02 owner Street 3833 Riverton Avenue scace Eagan. MN 55122 Improvement Date Amount Annual Years 5 Payment Raceipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK /1112 9 1970 p - 3-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA D~aZ STORM SEW TRK 7 - - STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Roa Unit - WATER CONN. . BUILDING PER. SAC • PARK Receipt PLUMBING PEHMIT Permit No. CITY OF EAGAN Fee ~ Fill in numbered spaces S/C ' Type or Print /egibly Tot. ` 1. Date 2. Installation Cost 3. Job Address - Lot Blk. Tract 4. Owner . 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 0 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 Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleis 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cades governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 PilOt Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' SITE ADDRESS: APPLICANT: . 11N A1/F . : PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . , , ~ ~ Pertnk No. Portnk Holder DaM TNephona A ELECTRIC PLUMBING HVAC Mspectlon Dete Insp. Commenb FOOTINGS FOUND FRAMINQ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTO ORSAT I TEST I BLDG FINAL I ~ BSMT R.I. BSMT FINAL I DECK FTCi DECK FINAL l bfN -Z~-tii~ ~ • ` RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 130• 56 3830 PILOT KNOB RO - 55122 7?~~9 / 651-681-4675 NewConstrucfionReauiremeMS RemodeVReoatrReouiremenis - • 3 registered site surveys sMxirg sq. tL ot bl, sq. fL ot Muse; and ail roo(ed areas . 2 copies of plan (20% mazimum bt cweaage alimxed) . 7 set of Eneigy CalcuWtions tor heated additions • 2 copies ol plan showing beam 8 window sizes; poured found design, etc.) . 1 sde survey for exterior additions 6 dedcs • 1 sel of Eneigy Cala:ations • 3 capies of Tree Preservatlon Plan if bt platted alter 717/93 • Rim Joist Detail Options selettion sheet (bklgs wilh 3 a less unAS) ~ DATE ~e~2 °UI VALUA~TIO,/N(EXCLUDINGIAND) f-IC.~PD ~JB SITE ADDRESS 01 Ye, ~~~,LYJ I~YJ J7 ~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER G~JZ-~~ TYPE OF WOR(K~ FIREPLACE(S) _0 _1 _2 _3 APPLICANT fVJ (`i (_9- t;t' rn n PHONE # CO (2`^I 21-~o f~o 2,P ADDRESS?)~Vwk SYtO 1 i 1f16 6SI)• MQI C~Jf~I ZIPCODE5~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) ' - Residential VentilaGon Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Enetgy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing S}'stem Includes: _ Water Softener _ L1wn Sprinkler Fee: $90.00 Water Heater 1Vo. of R.I. Baths Nu. of naihs Mechanical Contractor. Phone # b4echanical Sys[em Includes: _ Air Conditioning Fee: $70.00 ~ Heat Recovery System ~~(1;241 lSewer/Water Contraetor: Phone # ~ 191 All above information must be submitted prior4o processing of application. By I hereby ocknowledge ihat I have read this application, state ihat the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordicances. ` Signature of Applicant ~~l_OV=A3N ~ ~ _ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY 0 01 Foundation ? 07 OS-alex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) t] 36 Multi ? 05 03-plex ? 17 10-piex ? 19 Lowar Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuaiion Occupancy MC/ES System C~rcuc -cde Znninn City Watei SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) P,pproved By , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Permit License Search Copies Other Total Thiz request vaia 18 mon ths (mm ~i3-3rQ/_0 . [;'/5 ~ C• 2~22 ~Ia~k~~wk 6in Ks ~(p~.av Request Oate Fire No. Rough-in Insyection ~ J fl ired? Ready Now Will Notify InsPec- Ves ?NO [or When Heady Licensed ElecVical Contrector 1 hereby requeat insoection ot above Owner electrical work installed at: Street Address, 9o ar Paute No. City 3~'33 r rfv r) 4~ Qk'1 ection o. Townshlp- ame or Na. Fange No. Cou Ity ' OccuGa t WRINT) Phone No. rn e ~sa - 36 Po r5uppli r yAddre~+s5 IJ/1~~~4i / f.f{~rn/~4t4 Ele~ th ical Conhector (Compap y Namel 1 Conuaclor's Liconse No. /VII[~IQi1d ~lPC'~V~C. Mailing Address (Convactor or Owner Making Insiailationl 36 Qerr ia( e ol. EOqaki Auxho ed Signatur ntractor O er Making In~ allaiion) Phon Number . • , ~sa - s~ao MINNEbOTA STATE BOApD O CTflICITV THIS INSPECTION REQUEST WIIL NOT ari99s-Midwey 91tlg. - Boom N-191 BE ACCEPTED BV THE STATE epqND 1821 Universily Ava., St. Peul, MN 55104 UNLE53 PHOPEN INSPECTION FEE IS Phnne 16121297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee•ooooi.oa v' ~ See instrvctions for comoleling this brm on beck oi vellow copv- -`N`Z 2 "X" Below Work Covered by 7his Request MVwIAddj ReO. Type o1 Builtling Applioncee WiroA EpuiVmenl WireA Home Range Temporary Service Duplex Water Heater Lightiny Fi#ures Apt. Building Dryer Electric HeaUn Commercial Bldg. Fumace Silo Unlonder, Industrial BIAg. Afr Conditioner 8ulk Milk Tnnk farm Other per.i y ,her ISper,ityl ~ er uccify Other Omer ompu[e Inspection Fee 8elow N ServiceEnVancaSixe d Fae Fexders/Subleeders 4 Fee Circuits 0 to Z00 Am s 0 l0 30 Am s a 3. 0 m 30 An~ s Above 200 qmps 37 to 100 Amps /O d) 31 to 100 Am E s Swimming Pool Above 100_Am s Above 100_Am Transformers Irrigation Boonts Partial.'Other F e.s Signs Specialinspection / ' nem9.ks S6I. Sd TOTAL ffE( W I U ' flouph-in Ont^r~~ \ / I, eha ElectrieeY Inspector, heraby certily thet the above Final O~'~ ~77 insDection hes ~aen J mede. fMa repuest voltl 18 monlha trom CITY OF EAGAN N°_ 1 1 17 2 ' 3830 Pilot Krwb Road, P.O. Box 21-199, Eagan, MN 55121 1 S 6~~ BUILDING PERMIT PHONE: 454-8100 rteceiot # ~ Te y. md y, SF DWG/GAR Est. Value $103,000 Date OCTOBER 28 , 1 9_85__ SiteAddress 3833 RIVERTON AVE Erect ~'[l Occupancy R3 Lat 11 Black 2 Sec/Suh. BLACKHAWK OAKS Remodel ? Zoning R1 Parcel No. Repair ? Type of Conat. V Addition ? No. Stories KOZY ENERGY HOMES Move ? Lenyth 64 w Nme Demolish ? Depth 4 ~ z AddresW 5850 TOWER DR ~nt Impr. ? Sy, Ft, ~ City OODBURY 459-1163 Phone Instflll ? SAME 452-3692 Apyrorols Fees o Name u~ Address Asussment Permit 440.50 l- City Phone Water d Sew. Surcharge 51.50 Police Plan Review 220.25 GW Neme DONN ANDERSON Fira SAC ~00 !'z 13426 FLORIDA CT 500.00 I~ Address Enp. WaterConn. ~W CityA'V• phone 432-5461 plonner waterMeter 63.00 Council RoadUnit 280.04 I hereby otkrqwledge that I hove read this opplicotion ond ztote thaf gldg. Off. lO/Z H/H T, pI 132 . 00 the inlormution is rnrrecf and ogree to wmply with oll applicable APC State ot Minnewta Statutes and City of Eayan Ordinances.. n Parks Var. Date CoPies Sipnaturc of Permifroe , 212 . 75 A Bulldin Permit is issued ta: KOZ •R W on tha etal 9 xprcss conditlon thot ull work sholl be done in occordante wi a icuble Stat f ewta Statutes and Ciy of Eapan Ordirances. Buildirp Officlol 0 *Y6**:i.* *SC:YY,t>%%"K >a* rr.rv t:iF rAt:;nNI !-;AS4w1E!;: 3 7E:=;rsiNAt_ Nr.i: 7219 DEt7F_c 04f2'"r'!93 7'!i'il::: 16s0028 tLi . NAi'iL;; f'ANF..t..CFti*T :]F ASN I\!C 32:10 3001 7"23 CAEiIE;OII I...R l`.39,75 205 9001 72::; c,nr.t:Br.,U LN 6.50 3210 900:!. 3833 Fi:CVF'.I+:TOsv P, i'6i2.c^_5 205 9001 3833 I't7:UEF;.7QN :?.OD . cF;ca ao ;r;,~ USI?R iD;: NANCY I--~ PERMIT CITY OF EAGAN ' 3830 Pilot Knob Road PERMITTYPE: euzLosNG Eagan, Minnesota 55122-1897 PermitNumber. 031766 (612) 681-4675 Date Issued: 0 4/ 2 7/ 9 8 SITE ADDRESS: 3833 RIVERTON AVE LOT: 11 BIOCK: 2 BLACKHAWK OAKS P.I.N.: 10-14387-110-02 DESCRIPTION: Buiiding-Permit Type SF (MISC.) ~Suilding Work Type REPAIR ,z CensUS Code y 434 ALT. RESIDENTIAL : E--~ i~ ~k" ~ ' t\(.....3'jUrs t_•~/.s € ~ y n y, 1(`~~ r~_, ~ a REMARKS: SIDIN6 50FFIT FASCIA TRIM DOWNSPOUTS FEE SUMMARY: VALUATION $18,000 Base Fee $262.25 Surcharge $9.00 7ota1 Fee $271.25 CONTRACTOR: - Applicant - sT. LIC OWNER: PANELCRAF7 OF MM INC 17216628 0002179 LEASE DAVID 3118 SNELLTNG AVE S 3833 RIVERTON AVE MINNEAPOLI3 MN 55406 EAGAN MN 55122 (612) 721-6628 (612)456-9735 S hereby acknowledge that i have read this application and etate that ths' information i,s correct and agree to comply with all appliceble State qf Mn. ~Sta-tuteg and Gity atf Eagan drtlitf,ances.-' ~ - APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNP-TfURk 311c(e 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $jqj.jK cirY oF eacaN 3830 PILOT KNOB RD - 55122 681 at675 New Construdion Reauiremen% RemodeVReoair Reauirements . ? 3 registered sRe surveys ? 2 copies of plan ? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 sde surveys (exterior additions & decks) ? 7 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted aRer 711193 . required: _ Yes _ No - ' DATE: CONSTRUCTION COST: a~ S 6•~ DESCRIPTION OF WORK: S I d 1nQ ~SDF F f T FQ SGI Q STREET ADDRESS: 3 3 'K.I V QX'f"U n ~11uQ. LOT BLOCK ~l SUBD./P.I.D. PROPERTY Name: lP_CLSe. DGl.uid Phone L456 - q 73S owNeR A~~ Street Address: K`t ~ I' ~D(1 .tt'~~Yl (.i City: F- QG1 Cl.n State: mn Zip: SS(2Z CONTRACTOR Company: ~fIP,ICXCL.F-F D1= M(1 Phone#: D21 ~Sot) Street Address: _5t te ,~Y1P,~ License OD33g City: MP15 state: /Yl N ziP: 557d0(0 ARCHI_TECTI,,,, , Company: Pho ENGINEER . . . Name: Registration Street Address: City: State: Zip: Sewer & water licer.^ed plumber (new construction only): Penalty applies when address change and bt change am , equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is orrect and agree to com I with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: iLPR OFFICE USE ONLY 91938 Certifcates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Require OFFlCE USE ONLY ` ~ ~ ak.- ir . •..y ; BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?`21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ , ~oS6. ~ 5urcharge Plan Review License MCNVS SAC City SAC Waier Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: a 8y a~ % sAc SAC Units 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL11 IZ5. 25 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681•4675 New Conskuction ReauhemeMs - Remodel/Renalr Reaufremenfs ? 3 registered stle surveys showing sq. R. of lot, tq. N. of house 2 copies of plan and all roofed areas (209e maximum lot eoverace allowedJ 1 set of energy calculaifons for heafed addBions ? 2 coples of ptans (show beam S w(ndow sizea; poured tnd. destgn; etc.) 1 sife suney for extertor addMions 3 decks ? t sei of energy caleulaf(ons ? 3 copies of kee preservaflon plan B lot plaHed aker 7/1/93 od DATE: D- 3- ~g CONSTRUCTION COST: DESCRIPTION OF WORK~~' STREETADDRESS: LOT: ~ BLOCK: ~2- SUBD./P.I.D. ~ Name: Phone ~'S~1' u s~' 7 3 f PROPERTY tasf F+n? OWNER ~ Street Address: L 0W~0~ City ~'<-o O..--L- State: Zip: Company: Ck l.-C.-O- ~-~`°r-r vrC Phone 6) S 1, Z{ ? (area code) CONTRACTOR /~I^ ° Street Address: y-t C C ~ License #9 Exp. ~ o 0 CffY&,62,~ Sq State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) StreeR Address: Regisfration City State: Zip: Sewer 8, water Ilcensed plumber (reaulred for new conshuction onlvl: Penalty applies when address change and l01 change is requested once permN Is Issued. I herehy acknowledge that 1 have read this applicaflon, state thaf the informaN I e e n a to comply wRh ail applicabl 5tate of Minnesota Statutes and City of Eagan Ordinances. I , Signature of Appllcant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) D 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 0 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damago ? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool O 25 Miscellaneous WORK TYPE ? 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 Bidg.' ? 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 UBG Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of 5tories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PL Park Ded. Trails Ded. Other ` Copies Total: SAC Units % SAC . • ~ ~ •'r ~ • i • i • • u r. a. ~ . s • a~ i • • • r• • • ~ • t ~ ~ ~ ~ • . ~ CITY OF Ed1GAN APPLICATION FOR PIItMIT SEL9ER ANID/OR WATER CON1,1ECTION (Please Print) 1) PROPEE2TY ADDRESS: _ S~ r.Fr_ar. DFS(RIPTION: II !•~i 7~// ~ (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRCC'IqJRE, DATE OF ORIGINAL BL'ILDING PERNffT ISSL'ANCE: (Nbn Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAhffLY R-2 DL'PLEX (2t,o L'nits) R-3 TOWNHOLSE (Three + Units) ( Units) R-4 APARTh1ENT/CODIDOMINIC'M ( Units) C0NA1EF2CIAL/RE"TAIL/0FFICE INIDCSTRIAL INSTI1i; TIONAL/GDVERNMENT 2 ~ NAME: I~( . i r ADDRE55: CITY, STATE, ~.ZP: 6~1g)t~ ~-uv-;-P~.MiU PHONE: ~2~t^C9<Ce~Cv 3) • r~• For City/L'se NAME: ~ Plumbers Licenst ADDRESS: p f`e 4 c ti-P tlve CITY, STATE, ZIP: 8JU ired PHONE: MASTER LICENSE ~ V~' t Recor, Staf Initial 4) ~r.y :.~r ~ ia• NAME: G~ LI ~n,S't t V G l ~ l 1 Ci1MtA C r ADDxESS: 4(n i c, c Ro a CITY, STATE, ZIP: PHONE: 5) u ~ • y~ Q( COIV['.CTION TO CITY SEWER QQ CONNECTION 'IO CITY W11TER Q 0'PHER (Please Describe) 6) u • ~ i ? PLEASE HOLD APPROVID PEEtIffT FOR PICK-L'P BY ONE OF AHpVE ~ PI,EASE MAIL APPROVED PERMiT TO 1Q~ 3, 4, AHC7VE (Circle ane) 7) ~ - _ FOR C ITY U SE ON:,Y r ~ pE°`".IT ISSUED F~rs' $ ~/i,5 i~ SE::c:2 °ET{t1T^i' ~I~IC~L'JL~. jU~~~?~Gc~) S ~(J. l~r~ W?TEZ PERP4IT (INCL'JDE SIIRC?:A~GL) $ f~•~~G WATER ~1ETER/COPPERHORN/OUTSZD~ REP,DE.'. 5 WAT°R TAP (INCLUDE CORPORATZ0~1 STO?) $ S~:JE4 T~P ~ ~r.., r-~~'1.-."T_~ ....=.ri~i_ - a_:.~'^.~ S_% S ~c~ ACCOUNT ?..F,POSIT - P7ATE4 S _S ~o. ~ wac $ ~3~.~.~ SP.C $ TRliVK WATER ASS%SS??E.`7T $ TRu;~K SE~vER ?SSES5~~IE:TT $ L:,TE?,aL BENEFIT/TRUNK Sc:~:E~c $ L.'~TERAL BENEFIT/TRU:IK SVAT°R $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOT~L Ar10U:~T PAID/gECEIPT ; S~aU DOES UTZLITY CONNECTION REQUIRE EXC.aVATION IN PUBLIC RIGiiT OF WAY? ~ YES ZF YES, THEN n"PERMIT FOR ~RORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE .t C] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. b SCEJECT TO THE FOI.LOS4ING CONDZTIONS: APPROVED BY: :^~9 TITLE: i DAT~ • CITY USE ONLY L BL ~1- RECEIPT SUBD. .~"atJ Ak DATE:, 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN , 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace ~ Add-on sir conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ' 3 9 (o FFCC ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20. ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ~ Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL 0•S SITE ADDRESS• 3 ~ 13 Av-er 7on OWNER NAME: 6tc-u i d 4 P, C1. ~-e- PHONE " 73S INSTALLER NAME ~ekg -5Q-&A5LCC0- ff~4'f~c 1'Hc STREET ADDRESS: -7~ 3 0 (.c) /cf5 C-A S-t- A C1TY: e STATE: ZIP: S~/a y PHONE ( f~/~-) y3 ~ - 7C7 ~I ,n~ • ~ , MZ`AA"TQRF6FV CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN , 5830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are M required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee QC 1% of contract price, whichever is greater. ? Processed piping - $25.00 • State surcharge of $.50 per $1,000 of pgmk fee due on all pertnits. CONTRACT PRfCE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL Ei ir- X)DRCJJ. - - - OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP• ~ PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ ~ ~ 7985 BUILDING P£RMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MLST BE LICENSED StSTH THE CITY OF EAGMI COMMERCIAL SINGLE FANILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFZCATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ~ $2,000 LANDSCAPE BOND 103,000 To Be Used For: ~XFIDW6 Vatuation: /~p'r~ Date: ZZ-, ~s Site Address 3~'33 /c 1?e?LTo Pi,Qr/. OFFICE US£ ONLY Lot Block Erect ~ Occupancy R~3 Remodel Zoning ,1 Parcel/Sub fiC-ACK/{AyvK QA/4J' Repair Type of Const Addition ~ It of Stories Owner j-c~ o x.. y fL rI r,2 G~ ,r~a;~i~s Move ^ Length (o Demolish Depth Address ,5 3`Sa 7-OLc1L./L O!L - Int.Impr. , Sq Ft Install C i t y/ Z i p Cod e i.00?J O 13 rlGtz Phone APPROVALS FEES , -^7-- Contractor 'L ~/F/LG pNigj Assessments Permit 7z'~-, ~ 'Aater/Sewer Surcharge 51!- Address Police ~ P1an Review 22p. Fire SAC ZS, City/Zip Code 4_ Engr Water Conn Sp6. Planner Water Meter (03, Phone Council Road Unit O. Bldg Off ?7e2k, :4)1'reatment Pl (3'L. Arch./Engr. .06t/r/ A,.../Qg7,Jt.S" UW APC Parks Variance Copies Address TOTAL ?s City/Zip Code AAQL,F- i/%{- e,L- Phone It ~/,J 2- -'.S Y 6 / 2~ K ~2 t ~e~zx ~8 = 4€~2s~ ~ . 24 K 20 6co x t 2= 5-7 (o c) ~2~ ~ iz r lisZ 7ec) Io 2(cg E, SOLAR HOMES OF AMERICA 4651 Nicols Road Eaqan, Minnesota 55122 (612) 452-1148 EXTERIOR ENVELOPE AVERAGE " U" COMPUTATION Owner: L/ o/= r/ /C_. r, 14 o NI e-~ J /t/c::- - Site Address: y~ x--Ta A v,- Contractor: eO L;/ F_,4 I-IGMaJ Date: /e - zL -gs Phone: y,;- y- //G.1 ~I52 - 3 G 9 Determine working square footage of each. 1. Total exposed wall area Sq. Ft. x .11 = / °o 'L 2. Total roof/ceiling area 3~ Sq. Ft. x.026 = d Total exposed wall area above floor a. Total wall window area b. Total door area Z/- o c. Total sliding glass door area 61ri, ~ d. Total fireplace wall 5~_6 e. Total wall framing area (average 10%) /6' 5 f. Total net wall area above floor q q~ a.: Total rim joist area Total F.xposed foundation area h. Total foundation window area / (fD i. Total net foundation area above grade ~ Determine " U" Value of each wall segment. a. x u • A~ 7 = 4- s- 0 -7 b. z~ . o xu~~ 3s-I'{ = Z• YS: c. X u~~ d. xu„ ,o ~ = 3• Zo e. J . C) x u f. qC~ .I.o Xu„ .v4101" = 3~.y6 9. ,s-d Xu~, ord~ n x„u~, O•C~ x u,~ d = a 3. cv O•~T _TOTl1L If item #3 is the same as, or 1?ss than item #1, you have met the intent of Sec. 6006 (c) 2 Total exposed roof / ceiling area = /p j. Total skylight area k. Total roof / ceiling framing area lOq / p y 1. Total net insulated roof / ceiling area q/ 2, ey 1~ Determine " U" value for each roof / ceiling segment. J. p,/- oY X„ u „ , 30 = 6-~'~---- K . Z'p ~ x u , a 3 = 3 . L. ~iz,qz X„ u„ . o1.., 4. TOTAL If total of 4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. To utilize the total envelope system method, the values established by the sum of lines #3 and #4 shall not be greater than the suni of lines #1 and #2. . 2~ 1. /1 3- Z +2. 2? ' d = 2-/0 s. i~ a-~ +u. 2~- _ ~ 8'~• ~ \ ~IOMA House Certificate Fo?~ SUFIVEYINA 9EAVICEB 3908 Sibley Memorial Highway ENERGY HOME~, IIYC. Eagan, Minnesota 55122 Phone: (612) 452•3077 eiU+.t.E : I" =0>o' 0 I . ` ~i~E 0 s~ 90 0 ~ N, ~csr I I ~ S 9 I 1 010. O 1 ~ Il L.oT 10 0 ~ N J }Q o~'~ I %q(p0 7 ~ Lt1 ~ U €a5er~ 34.0 30.0 ~ $`if• ~ I 10.0 ~~WAYNE LO'' 12 I s; CORDES _ / _ `•-9~675-f~` s<''tt : ~ ~ _LEGEND_ PROPOSED GARAGE Ftj&L.~BS !}EVATIdIU= O lknotes Iron Yonment PIdOPOSED Top of Ply4e EZEVATIOM! 900•8 m Denotes N'ad Nu6 Set PROPOSED BASEYENT FLOOR ELEVAT ION- $9Z.8 xRoo-5 Llsnotes Existirg Spot Elevalion Verify all ilavr heiqhts with Firel House Plsrs~ („=N) Aenotes Proposed Spot Elevatian '.~Glsnotes Drainege Directian _qUSyM COffiFt 1 hereby certify thet this swvey, pran or report -PRYEK1Y WSCRIPrIW- was prepared by me or wder my diroct supervisian LOT,! ,BL.LYK 2 srd thet I am e duly Registered LeM Sunreyor P.1,AGK.MAWK OA~G`i ~~~ITION urder the lews of fhe State of Yiroiesota. accordirg to tM rxcrded plat thereot, G~ ~te; DPKc1TA Canty. MimesWa Wayne D. Cordes. Yinn. Reg. 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PERMIT City of Eagan Permit Type:Building Permit Number:EA118778 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 3833 Riverton Ave Lot:11 Block: 2 Addition: Blackhawk Oaks PID:10-14387-02-110 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 . Kelly Meyer 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 - Nicholas Ward 477 Golden Trout Way Bozeman MT 59715 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature CityofEaall . sEe 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: 1-.9Gto4 Permit Fee: ( O Date Received: Staff: 2015 RESIDENTIAL PLUMBING ERMIT APPLICATION j � Date: 11 T Site Address: 33r3 4�, y�•-- Tenant: Name: Address / City / Zip: Tg3? e Suite #: Phone: �LJ I ? ave_.. �✓71 " " � y1/j�'t� Nare: *1.?ert. Company Inc dlia Culligan Water. License #: WC6413 76 Address: 1.$01 50`h St East City: Inver Grove Hgts., State: Mn55077 Phone: .651-451-224r' • Zip: Contact: William R Milbert Email: _ New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: RESIDENTIAL F`. Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System _ New _ Abandonment XWater Softener Add Plumbing Fixtures L Main / Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) (DO, O O TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig'to receive locates of underground utilities. wvok.aooherstateonecail.oro 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; tha I understand this is not a permit, but only an app cation for a permit, and work is not to start without a permit that the work will be in accoranc w h he approved plan int e case •f irk which r .ulres a review and approval of plans. x /311(1 , it-fil;(1a6/751--Applicants Signature x Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA178194 Date Issued:08/04/2022 Permit Category:ePermit Site Address: 3833 Riverton Ave Lot:11 Block: 2 Addition: Blackhawk Oaks PID:10-14387-02-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Brendan Yourczek 3833 Riverton Ave Eagan MN 55122 (651) 252-7807 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature