3840 Riverton Ave CITY OF EAGAN Remarks
Additioyr Cedar Grove #8 Lot ~ Rik 1 Parcel 10 16707 010 01
Owner lf-/ Street 3840 R.].VP.Y''t021 Av8. State Eag2ll,r+N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~ 1970 125•00 •QQ 25 Paid
# SEWER LATERAL L,ZZ 1974 1 9. 1 ~ 307.82 Paid
WATERMAIN
iE WATER LATERAL 197
WATER AREA
~f STORM SEW TRK
# STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. OO OO 868 6-26-73
PER.
sAC 2 0.00 3 - -
PARK
- INSPECTI4N RECORD l Control Na
CITY OF EAGAN PERMIT TYPE: SuY I n 1mti
3830 Pilot Knob Road Permit Number: M i! i B 6 H
Eagan, Minnesota 55123 Date Issued: i~/ii /9?
{612} 681-4675
SITE ADDRESS: Lpt ,I SLoCV, i APPLICANT:
.3849 RrVEittOM AVE ,70e•8 Nt11M! REPAIR
Ct!OAR GROYE BYF! (612) 894-4677
PERMIT SUBTYPE: TYPE OF WORK:
E+A°.t ME Ni f iNISH AlTE1FATIC!!
ipiSPECTiON .A . .
F kAlA i N(l P 1 NAL
KFMARk ftFrF I{'7 •
' • ( _ ii ~~1 ~
l .
.i
`o-_~.. " . . _ . .+~.~:r{' E:.', . . . . ---~?'f,'t :.~:~'+iiY - ?•`Oi1f~.A
P.r,,,k Pw. PormR Haa.r au iblepMOn. M
S/VH
PLUMBINQ
~
HVAC -jrf
ELECTRIC
ELECTRIC
InrpoClion DeRe Insp. CommwCa
Foodngsl
Foundatlon
Framing
Roafing
Ra'g' Plcq.
R«o Htg•
Isul.
FilrePlace
FkW Fftg.
Oreat test ;
I
Final P". Pbq. inspector - Notify Plumber ~
I
Const. Meter
I
EngrJPlan I
~
eWg. FinW ~ Z•3 a D~S. ~
Dedc Ftg. I
I
Deck Fnal I
Well I
I
Pr. Diep. I
1
~
,
, .
EAGAN TOWNSHIP
N° 2928
BUILDING PERMIT
Ownes ~.^.~:~?`.^.:..-f..:T....:-'..-.~:.:'-' t~ Eagan Townahip
Address (PSesen!) __._......~t~'...:.._??:~:c.-.""~'(Y~ ~cQ Towa Hall
Builder
Date .l..?c.'_~3_::~_?_-
Addreas
DESCRIPTION
Slories To Ba Used For Fron! Depih Heigh! Esl. Cos! ~Permi! Fee Ramasks
3z ~ ~r~ 6 s/~•
LOCATION / V
SJ
Streei, Road or olher Deseripfion of Loealion I Lo! Block - Addiifon or Trae!
/-6 f$~i
G~-l+- 3
This pezmit does aot auihori:e the usa of sfreets, soada, alleys or sidewalks nor does ft give the owaer oe his agan!
the righ!!o ezeaie anp situation whieh is a nuisence or which presenls e hesasd !o the heffifh, aafelp, eonveaienee and
general welfare !o anpone in the communify.
THIS PERMIT MUST SE KEPT ON T~HE PREMISE W-HILE THE WORK IS IN PAOGRE,~SB.
Thh fs !o cerfifp, lhet---- 4.t hasPermission !o erect a..-!~.~_~...... upoa
°
the above desezibed premise subjee! !o the provisioaa of the Suflding Osdinanee for Eagan To nchip ado !ed April 11.
1955.
....~R..i......~k."~-..~.' Per --°---.......-°----lt~!Sre<........__~....-'-.........""......
Chainnon-v f3 Buildiag Impectos ~
K 3 6 5 9 ~ ~,o~j~8i
Re9u st Oate Fire No. Rough,n Inspec[ion
Requiretl? iReatly Now O Wiil Notity Inspec[or
XTMS C No ~ Wnen fleatly?
I~ licensed contraclor ? owner hereby request inspection of above electrical work at:
Job Pd~ytlress I$[reeL Box or Foule Na.I ~ Ciry {r~ q~
c/ 0 zft f~G/ ~ 4 a -?~I
Sedion No. Township Name or No. Range No. County
Occupant(PRIM) Phone No.
Power$up0lier Atltlress
Elech¢al ConMactar (Company Name) Comractor5license Na.
M iling Atltlress ( ortnactoe a1 Owrer Making Installetlon] l ~
1 /
~ Gunt'-
ANhorized MI[Con tor'Owner Ma ' Insl allation) Phoire Number OF ELECTRIC THIS INSPECTION REOUEST WILL NOT
GHgga-Mltlway Bldg. - Room S173 BE HCCEPTED BV THE STATE BOARD
1821 Unlveraity pve., SI. Paul. MN 55101 _ UNI.ESS PROPER INSPECTION FEE IS
Phone(6/Y)6C2-0B00 ENCLOSED.
REOUEST EOR ELECTRICAL INSPECTION E13-00001-08
? Sea insimctions for completing mis lorm on back of yellow wpy
K
138659 ^X" Below Work Covered by This Request
ew nOtome Type of Building AppliancesWired EquipmeniWiretl
Range Temporary Service
uplex Water Heater Elearic Heating
pL Builtlinq Dryer Other-(Specify)
omm./Indusirial Furnace
arm Air Conditioner
her(syecity) ConVacror's Remarks.
AeR?olP l /owe,I' 1?NC~ ~a .
Compute Inspection Fee Below:
N Other Fee # ServiceEmrance5ize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo - Amps
Signs Inspector's Use Onty: „i/9 TOTA~ f~^
Irrigation Booms W 30
i
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDER D- SCONNECTED IF NOT
Other Fae COMPLETED WITNIN 18 WH5. r
I, the Electrical Inspector, hereby ROO9h-10
certify that the above inspection has F,,,ai
been made.
OiFlCE USE ONLV ~
Thls requast wttl 18 montns Irom
EAGAN TOWNSHIP ~
BUILDING PERMIT N~ 3060
Ownat ._.."Q.. ~.'.-.-r.......~.......... ~ Eagan Township
~ Addrecs. (Preeeni) .---.<9r?......------------------------- Town Hall
. Suilder -
nala .~-a>-~s
~ Addreas
DESCRIPTION ~
Stories To Be Used For I Front Dapth Heigh! Eai. Cosi Permi! Fee Remasks
S• SO . ~ .
LOCATION . ' ~
8lreei, Road or olher Desariphon of Loeahon I Lo! Bloclc Addilion or Traet
aL Q~
i~
~
ThSs pesmif does aof auihoxise the use oi alreefs, roade, elleys or sidewalks nos does~ i! give the owner or his agenf
the right fo ereafe anp silvation which is a nuisanca or~ which pseeenis a haaerd fo the health, safetp, eonvenienea and
geaeral welfare !o enpone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGRESB. -
~ s~-.-rL~`" . -+ti
This ie !o aeatifp, !hal....G~.[.....4.^-...~.:~..TM:t'--" _.hasparmiasion So esaat-b._a-e~~..r..~.^.. _upoa
the abave desesibed premisa subjac! !o the provisions of the Suilding Ordinanee Sor Eagan Township adopled April 11.
1955~ ,n ~ ~s-~,~ '
, __"""-'--__.......••+-'.:---..V.~. ..YPer ........-~-------F?".Y~_'...fl.. -':`.^...w"°',~.......b
.
Chaisman Tnwn Soasd ~ Building ImpeclN '
VILLAGE ON' EAGAr1
3795 Pilot Itnob Hoad
. Eagan, iviinnesota 55122
Pr'1MlT iVO. 357
The Village o£ Eagan hereby grants to Cedar Grove Conatruction Co.
o£ 7343 Concord S1'vd. Eaat, South St. Paul 55075
a _II.UMING Permit for: (Owner) esae
3877 Palisads Way 11-2-5, 4055 Pumice Lana ver on ve. --,C 840 Riva
at
ton~-1-8--. 1775 Taconite, Tpud&2*1Jr7W application dated 6/22/73 .
Fee Paid: $100 00___ dated this 26th day of June , 19 73 .
2.50 s/c
Building Inspector
Niechanical Permits:
tiid Total:
N/~- ~r
Y } ` . ~ VILLAGE 0F rAGAN
3795 Pilot Knob tioad
Eagan, xinnasota 55122
PII?i41T N0. 370
The Village of Eagan hereby gr`ants to Cedar Grove ConeYruction Co.
of 7343 Concord Blvd. Eaet. South St. Peul 55075
a RgATING Permi.t for: (Oumer) eame
3877 Palisade Waq 1-2-8, 4055 Pumiae Lane-7--3-7 . n Riverton
8t1-1-8. 1775 Taconite Trail -T,nfsuant to application dated 6/26/73
Fee Paid: 100.00 dated this 26th day of June ~ 19 73
2,50 s c
Building Inspector
Mechanical Permits:
. . ~
H3d Total:
.r ~
7
MASTER CARD
LOCATION
OWNER
STRUCTURE AND + ~
LAND USED AS /
Issued To
Permif No. Issued Contracfor Owner
BUILDING -1 2 9 2 Q~
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 37p
GAS INSTALLING
$ANITARY SEWER 13 70
OTHER ~
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING ~7• SEPTIC
FOUNDAiION CESSPOOL
FRAMING - - TIIE fIELD PT.
FINAL
ELECTRICAL ^ DEPTH
HEATING Of WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOI
DRAINFIELD
PLUMBING
WEIL
SANITARY SEWER
~
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO 6E USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OP NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOlLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATI ON - I certify that I hwe carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, appraved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected. '
? All IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR pATE
COMMENTS:
~ z~
Uiix ur nwueuv rux 1.14I uba vnLz
Zo' 3830 PIIAT RNOB ROAD
EAGAN, liN 55122 PERMIT k
PHONE: (612) 454-8100 RECEIPT
BING ~P.~CFIIT DATE: I3% -3-12
ft~SIDL~t7T2l~TT7 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINCLE FAHILY DWELLINGS 6
TOWNHOMES/CONDOS WFIEN PF.&1SITS ARE REQIIIRED FOR EACH iINIT.
i70RK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEH CONST ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00
REPAIR T WATER CLOSET 3.00 ~
i BATH TI7B 3.00 3 e~O
~ N ~ I.AVATORY 3.00 ~
OWNER NAME: i !}lvt~ .
SITE ADDRESS: s5~~'~' - ~~RY TRAY 3.D0
HOT TUB/SPA 3.00
Q.,~ WATER HEATER 3.00
IAT:~ BLACK L SUBD. ~~.Y'YmJ? FIAOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: UVCLt~1fi/L~ ?1'I'iL-ci4fJi (MINIMUM - 1) 3.00
= ROUGH OPENINGS 1.50
ADDRESS: I~Scb s~~~ ~/1-~ _ OTHER
WATER SOFfENER 5.00
CITY: YJ•K6riY 'YfN 2IP: SS~ Z-'2- _ PRIVATE DZSP. 15.00
U.G. SPRINKLER 3.00
PHONE
~ SUBTOTAL
~~~'I,~
. l~ ST. SURCHARGE .50
t....
SIGNATURE OF PZMITTEE
TOTAL: S
CD341ERCSAI:%iNDIISTRIAI.~ PLEASE COMPLETE THIS PORTION FOR ALL COlMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINCS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: <EA FEE.
GE - $.50 FOR
SITE ADDRESS: F PERMIT FEE.
IAT: BIACK _ SUBD. M FEE.
INSTALLER: E x 18 $
ADDRESS: GE $
CITT: 2 $
PHONE
(SIGNA ) V'RE
FOR:
CITY OF EAGtN"
: _ . . . ,
('o0 Fl', . /5 S .
. CITY OF EAGAN fi0R`.CITY.USE ONLY
~ 3830 PILOT KNOB ROAD -EACAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT.#
. lIEGFi~,NICATMxYERTSIx DATE
~SSAENT~A.I:.'.F PLEASE COMPLETE 'UPPER PORTION ONLY ' FOR SINCLE. FAMILY..;DWELLINGS `
TOWNHOMES/CONDOS:WHEN PERMITS ARE REQUIRED FOR EACH.ITNIT
WORK DfiSCRIPTION FEES :
NEW CONST ADD-ON MINIMUM 5.00
ADD ON HVAC ' 0-100 M BTU ".24.00
REPAIR ADDITIONAL.'50 M BTU 6.00
GAS OUTLETS'- MINIMUM 3.00
,.OF 1'.PER PERMIT .
OWNER NAM6: .~j~c5 /7~ ~fA~2 - • ' ~
SUBTOTAL S~
SITE ADDRESS: ~qD STATE SURCNARGE: _ .50
~c ~b
LOT:~ BLOCK ~ SUBD. ~I TOTAL:
INSTALLER: ' • y//( (J///
IM W L I2[' 4ui3 .:Y. tE1~ !ALi"
1955 SHAWhEE Fb.1D L..'_:. P y 55122 F
ADDRESS • c.~1 ~r Cr.na6 SIGNATURE OF.:PERMITTEE
CITY: ZIP:
PHONE
COMMulCYAY./TND'~5Tkf A~....`': PLEASE COMPLETE THIS PDRTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,..-
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUZRED FOR EACN DWELLING UNIT
CONTRACT PRICE: FEES
OWNER NAME: 19 OF CONTRACT FEE: -
STATE SURCkIARGE $ 50 FOR
SITE ADDRGSS: ` ~_y__ EACH $1,000 OF PERMIT FGE.
00
i; PROCESSED•'PIPING ;$25'1
LOT: BLOCK _ SUBD. $25.00 MINIMUM'FEE,
INSTALLER: CONTRACT~PRICE x 18
ADDRESS: STATE SURCHARGE S
CITY: ZIP:
` TOTAL: S .
PHONE
;(SIGNATURE)
FOR:
CITY OF EACAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcfton Reaulrements Remodel/Reoalr ReauiremeMs
? 3 regisfered sRe surveys ahowing sq. k, of lot, sq. R. of house 2 coples of plan
nnd all toofed areas (207, maximum lot coveraae allowed) 1 set of energy calculations For heated addNfons
> 2 copies of plans (shcw beam a window sizes; poured fnd, des{grc etc.) 1 SXe survey for exlerfor addrifons 6 decks
1 set ol energy calculations
> 3 copies oF tree preservation plan M lof platted aRer 7/7/93
DATE: `-t -Z I-9R CONSTRUCTION COST: I~IoS':~, °v
DESCRIPTION OF WORK: ~P~rr~o~C' ~''~PnIG.r u~rYJi-
STREET ADDRESS: r WO pi AlI
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Name: f Cv-V0. Phone
PROPERTY Lan First
OWNER
Street Address: 38 C/0
City ( ~Qq.A State: !'r-I n.1 Zip: S~ ~ Z 2
4Company: Ii?'e-LQ.k )--K/YV+c aYhi~ Phone#: b/2
° (area code)
CONTRACTOR
Street Address: I001 )T C.o Llcense # 21 /;1ZZdS Exp.
City )kjl" State: Zip: S5%~~{
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 wafer licensed plumber [reauired for new consfructton onlv):
Penalty applies when address change and lot change Is requested once perm(t Is Issued.
1 hereby acknowledge thot t have read this apptication, state that ihe Inlormatlon ls conect, and agree to comply with all applicable
Stote of Minnesota Statutes and City of Eagan Ordinances. '
Signature of Applicant:
OFFICE USE ONLY I L L
Certificates of Survey Received _ Yes _ No '1~ - - -
Tree Preservation Pian Received _ Yes _ No _ Not Required
.
OFFICE USE ONLY -
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4sea.)
O 03 1of_plex ? 08 6-plex D 93 96-plex 0 18 Deck ? 23 Porch(screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 `Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. 0 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
APPROVALS Fire Sprinklered
"
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
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ,
Total:
SAC Units
% SAC
INSPECTION RECORD C°" 1344
CITY OF EAGAN PERMIT TYPE: s u z Lo I N G
3830 Pilot Knob Road Permit Number: N y 18 6 3
Eagan, Minnesota 55123 Date Issued: 12/ 0:1 / 9 2
(612) 681-4675
SITE ADDRESS: Lo r: 1 a LOcK: 1 APPLICANT:
- 3840 RIVERTON RVE JOE'S HOME REPAIR
C[L]flR GROVE STH (612) 894-4577
PERMIT SUBTYPE: TYPE OF WORK:
6ASEMENT FINISH HL7ERIiTION
INSPECTION .
FRAMING FTNAL
REhIARKS: RECETPT #
F
~ -
PERMIT C°"` 1q4 4
~ .aCFTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: 8 u z i_ o z i+i e
Eagan, Minnesota 55123 Permit Number: 0 0 18 s 8
(612) 681-4675 Date Issued: 12/ 01/ 9 2
SITE ADDRESS:
3E340.
RJ:VER'lC)N AVE
IOT: 1 6LOCK: 1
CEDldR GRUVC: 871i
DESCRIPTION:
r'Bt+ild'l`slg Permi.Y. Tyop BASFhiEN7 I=INISH
SUi 3.di nglWork Type ALTERA1"T(9N
!)BC OccUpattc,y R-3
t'f
~
~
~
~7,•
t
C- ! itl•~I
L'*.. S:.t'I
REMARKS: Z,~~~
RrcEZwr
FEE SUMMARY:
Base Fee ~sF.ecn r.oPV
Surcharge $.60 ToT.al Fee $41,00
1.ic. Search Fee 5Z-9~O
SubCotul $40.50
CONTRACTOR: - Rpp7.ir..anr. - sT. L:[cOWNER:
JQE'S HOME l2EPAIF2 18944577 0005840 FOWLS DTANA
13004 JUDICTAL ftD 3840 RIVEt3TON AVE
t31JRNSVII.LE MN 55337 EflGAN MN 55122
(612) 894--4577 (612)452-5547
Z hereby acknowledge t}7az I Iiave eead this app].zcatiesn and state that the
anfcrrntation is carrect and agree ta cqmplv with all applS,Gdble State of h4n..
Statutes and Caty of Eagan Ordinances.
~ -
f~c~m Ra;~l.l m~:f
~ APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNATI lE -
PERMIT N CITY OF EAGAN
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked uP by last working day
of month in which re uest is made or lot chan e is re uested once ermit is i sued.
Date 13- j_ Valuation of work (oS00 '12-9
Site Address:_ a 8V0 06 ivrvl~l 1002 •
57REET SUITE /
Tenant Name: (commercial only)
IAT I_
I BIAC& SUBD. P.I.D. M (AlkM6,•W~u.~lY~
Descri tion of wark: ~ao qt' s Iit,s -"l L [
The applicant is: 0 Owner B-Contractor 0 Other (Deeertbe)
Name t-oLjlS b; 11L~.¢- Phorie L/J,;L- SS~7
Property LAST F,RST
Owner pddress Va 2,`Jdo-fe~J ,q-LJ 4-
STREEi STE N
c;t.v scace Zip ssraa
Company _~es -qon,:c Phone F9'r/-VS77
Contractor Address 74aL.~.if/A&. Li cense #C2ZS85t Exp. 3 I rl3
City 1~ Lc. rr~S~: /lc State /11,'- • Zip 4- J
Company Phone
ArchitecU 33~
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 6 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with alt applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY <
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex O 11 Apt./Lodging O`1 B se'ment Finish
? 02 SF Dwg, O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 5f Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 fireplace ? 19 Comm./Ind. Misc.
~05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New W33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy X_3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
~i of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code
Cw+ k-s B ~s ~ ~
APPROVALS ' _
Planning Building Assessments
Engineering Variance
Z
REDUIRED INSPECTIONS Rav_oorot R.oorn lQc7mQa'Et, HERT SMPPO~(s, R,$, rvK k„LneW%»E
? Site ? Footing jirjraming ? Insulation
? Mallboard Q'Final O Draintile ? Fireplace
Permit Fee 35,00 v,i,,,t;«,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter .
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Capies
Other
TOtal:
$AC %
SAC Units
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address 40 '~C /•Cl~ 7b 06 e C7 v-t Unit #
Property Owner ag-,Oe, Telephone #(6S
Contractor ~ 69~~L
Address City Q,!-~ r
State ZW e Zip Y/ Telep6one#
The Applicant is _ Owner Zontractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alter tions To Existing Dwelling Unit, Including $ 50.00
Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+/S" ~meter if needed - 121.00) ~
Othec I JCd L~ A wf
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation systero
_ Water sof[ener _ Water heater $ 15.00
_ replacement _ additional
lo~~~f][~C~~~'
State Surcharge 1 $ 50
I T r)n
Total ~ $
1 hereby apply for a Residential Plumbing Permit and acknowiedge that the i formation-is-eompleteand accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; 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 ie work wwill be in ac rdance with the
approved plan in the case of work which requires a review and approval of plans
Applicant's Printed Name Applican 's Signature
v 2005 RESIDENTIAL MECHr1NICAL PERMIT APPLICATION
City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: singie family dwellings &[ownhomes/condos when permits are required for each unit
Date O'SV
Site Address 7 V / Unit k
Cr
Property Owner ~a n a ~n~) 1 S Telephone k ( &.7~ ) gS
Contractor
Street Address 4646 l ? M st- • (~O' City
State tV' Zip '5S6)&b Telephone# (&5/) 3C?C9 r O /(;-R
Bond Expires:
The Applicant is _ Owner A-Erontracror _ Other
Add-on or alteratioo to existing dwelling unit $ 30.00
4C furnace _Additional -~--Replacement
air exchanger
~ airconditioner _New ~eplacement
~ other
State Surcharge $ .50
Total $ .3
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' ation is complete and accurate, that the work wil]
be in conformance with the ordinances and codes of the City of Eagan an ith th Mechanical Codes; that I understand this is not a
i, ut only an application for a permit, and work is not to start wit6o p rmit; that the work will be in a ordance with the
whic q ureview and approval o plan
appyOV plan in the cas~o?
f
App icant's Printed Name Applicant's Signature
' 2005 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contrac[or
Street Address Cjty
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "`see below
_ fnterior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
*'When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspector
Permit Fees: $70.50 Underground tank instaflatioNremoval
550.50 Mitttmum (includes State Sorcharge)
or
Contract Value $ x I% _ $ Permit Fee
+ [f ep rmit fee is $1,000 or less, add $.50 ~ $ State Surchazge
If pe rmit fee is over $1,000, add $.50 for
every $ 1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be'in conformance with the ordinances and codes ofthe City oFEagan and with the Mechanical Codes; that I understand this is
not a permit, but onty an application for a permit, and work is not to start without a permit; that the work wil] be in accordance with
the approved plan in the casa of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMT FOR WATER STINICB CONNECTION
Date: 6/26/73 (12/29/72) Number: 1238
Billing Nsme: Cedar Grove Construction Csite Address; 1-1-3 3844 Riverton Avenue
Owner• sa-ne Billittg Addreas
Plumber• Stein's
Location of Connection Meter Size Coanection Chg.znn_a A/26/73
Meter No. Permit Fee 10.00 nd 12/2D/72
Meter Reading Meter Dep. •50 Pd 12129172
Meter Sealed: Yea Add'1 Chg.
NO 1bta1 Chg.
Inspected bq
Date
Building is a: Remarka:
Residence xx
t4ultiple xo. Unita .QO RE-!+dSPEUIOW FEE FORX
Commercial ROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of 8agan Towaship, Dalcota County, Minaesota.
By:
Stein's
Please notify the above office phen ready for inspection aud connection.
0 0
2006 RESIDENTIAL BUILDING rERrvtiT nrri..icnTioN ;
City OfEagan .
1LI 3C) `4 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New ConsWction ReauiremeRemodeVReoair Reauirements Oifice Use Onlv
3 registe2d si[e surveys showirg sq. ft. of l06 sq. ft. of house; and all mofed areas 2 copies of plan showiig footings, beams, joisGs Ced of Survey Recd Y. ~N
(20%mazimum lot coverage allowed) 1 set af Energy Calcula6ons for heaied additions Tree Pres Plan Recd L.Y N. .
2 copies of plan showing beam & wiMow s'rzes; poured found design, etc. 1 site survey foradd'Nons 8 decks Tree Pres.Required ~-_Y;' _ N
1 set of Energy Calculations Addrtion - irMicate i/on-sde sepfk system On-sde Septic Sysfem _Y N
3 copies of Tree Pmservatron Plan tl lot platted after 711193 Rim Joist Deta1 Options selec[ion sheet (buildirgs wHh 3 or less units) ,
Minnegasco mechanical ventilation form
Date Construction Cast ~L/-~5_000
~
SiteAddress 3~!}47 UniUSte #
Description of Work pcck ir/5~~~,s au~~s
r
Multi-Family Bldg _ Y Y N Fireplace(s) _ 01 _ 2
Property Owner Ata N c.1 lc Telephone#(~v.~~
Contractor Q tN we~y
Address (SCNVH ~ City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Il r~ l i s I IJ= i i' I~ 'J L5 "~I
Mechanical Contractor n! I~i ~ Telephone )
~"II JUL i! Uc pl
Sewer/WaterContractor Telephone#( )
I_ C, 1
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withouf 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.
0119.
Applicant s Pnnted Name T- A icp anYs Signature`~`
" "
~ DO NOT WRITE BELOW THIS LINE -
'r?
Sub Tvpes
? Ot Foundatlon ? 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 ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF
? 04 02-plex ? 10. 08-plex x 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
- ? 05 03-plex ? 11 10-plex O 19 LowerLevel ? 24 Storm Damage
O 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes t
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliGOn (EnEre Bldg) - Give PCA handout to applicant
D05Cflpkl011: Water Damage _ Yes - Valuation Occupancy MCES System
T7--
Pian Review 100% or 25%
Census Code O Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
lr Footings(deck) _ Fina]/C.O.
Footings (addition) ~ FinaVNo C.O.
Foundation HVAC
~ Drain Tile Other
Roof _ Ice & W ates _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Swcco Lath Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
- Capies
01her.
Total .
Cities Digital Qualily Control
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Zor RESIDENTIAL BUILDING rExMiT nrrLicnTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan NiN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Coretrucbon Reouirements RemadelfReDair Reuuirements OKce Use Onlv
3 registeretl si[e surveys showing sq. R. of lol, sq. ft. of house; and all roofed areas 2 copies of plan shaving footings, beams, pists Cert of Survey Recd Y_ N
(20%maximum lot coverege allowed) 1 set af Energy Calcula6ons for healed additions Soils Repat _Y _ N
1 Soils Reporf if proposed building is to be placed on disWrbed sal 1 sile survey tor additions & decks Tree Pres Plan Recd _Y _ N_
2 copies otpian showing beam & windax sizes; poured found design, etc. Addition - irMicate i/on-sitesepfic system Tree Pres Required _Y _ N
lsetofEnergyCalculafions On-siteSeptlcSys[em _ Y _N
3 copies of Tree Preservauon Plan if lot platted aRer 717193 Rim Joist Oetail Optlons selectlon sheet (buildingswith 3 or less unils)
Mnnegascomechanicalvenfilauonform - Ptans are considered ublic information unless ou state the are trade secret and the reason.
Date -y Constructian Cost 1560, °O
SiteAddress 3~~(~ Unit/Ste #
jc~ ~M-~/.yvts~G!'Sfil'Gri-Gi~NC ~D{~6D7'
Description of Work
~
Mnlti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 61 p M~, & Telephone#((o.s/ ) y7
Contractor ~G~( ti' ~ f • Address ~7~~ City
State /Y!/J, Zip,~ (22 Telephone#((Tl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Caiculations Submilled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( J
Sewer/WaterConiractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
oIq s G~9 ffi le')--
ApplicanYs Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_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 (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof A 46 Windows/Doors
? 34 Replacement 'Demolitian (Entire 61dg) - Give PCA handout to applicant D¢SCripfiOfl: WaterDamage_Yes
Valuation 301V Occupancy ( ` ` MCES System
Plan Review 17/ 100% or 25%
Census Code L/ Zoning City Water
SAC Units ~ Stories - Booster Pump ~
# of Units ' Sq. Ft. ~ PRV
# of Bldgs Length ~ Fire Sprinklered
Type of Const ~ Width
REQUII2ED INSPECTIONS
_ Footings (new bidg) Sheetrock
_ Footings(deck) FinaVC.O. .
= Footings (addition) a FinaUNo C.O. .
Foundation HVAC
Drain Tile Other
Roof Ice & Watec Final Pool Ftgs Air/Gas Tests Final
~ Framing Siding _ Stucco Lath _ Stone La[h _Brick
. Fireplace R.I. AirTest Final At[ Windows
~ Insulation V_{ Re[aining Wall
Approved By: , Building Inspecfor
-----e -
-
Base Fee T30 ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S6W Permit & Surcharge ,
Treatment Plant
License Search
Copies
Other
Total
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
LD
Permit Fee: /C/
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
g,(p Ri 7L 4
Date: 3 - /C Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: Di q
Address / City / Zip: 3g qO
Applicant is: Owner Contractor
Phone: C-57"- 113;
TYPE OF WORK
Description of work: !)
z S 10
Construction Cost: 7 >lQ -
Multi -Family Building: (Yes / No )
CONTRACTOR
Name: -:j 7 t k
License #:Zo 33 M- `
Address: 3 //Q 6y12-kLC3
City: i G%t
30- ( O/
State: *1, /' //wZZip: 5 s---/ �/ Phone:
c4
Contact: 4 W >- Email: jeI 5/44- � / C
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide.specific reasons that would permit the City t
conclude that they are trade secrets.
CALL BEFORE YOU DIG. CaII 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.clopherstateonecall.org
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.
Applicant's Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123085
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 3840 Riverton Ave
Lot:1 Block: 1 Addition: Cedar Grove 8th
PID:10-16707-01-010
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 .
Nicholas Guettler
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 -
Diana L Fowls
3840 Riverton Ave
Eagan MN 55122
Justkyle
3966 Riverton Ave
Eagan MN 55122
(651) 230-6016
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170853
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 3840 Riverton Ave
Lot:1 Block: 1 Addition: Cedar Grove 8th
PID:10-16707-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Diana L Fowls
3840 Riverton Ave
Saint Paul MN 55122--172
(651) 955-5261
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174944
Date Issued:03/02/2022
Permit Category:ePermit
Site Address: 3840 Riverton Ave
Lot:1 Block: 1 Addition: Cedar Grove 8th
PID:10-16707-01-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Diana L Fowls
3840 Riverton Ave
Saint Paul MN 55122--172
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature