3841 Riverton AveCity of EaQali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694.
Date Received: c"MS11
Staff:
L
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 712-1 I
Tenant:
Site Address:
Thomas Heinbaugh
3841 Riverton Avenue
Suite #:
RESIDENT / OWNER
Lasaei, IVIIV JJ1LL
Name: 6514547436
Address / City / Zip:
CONTRACTOR
Name: NORBLOM PLUMBING CO. License #: O&2 (52-4
Address: (612) 8274033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408 Alny
Phone: Contact Person:
TYPE OF WORK
New X Replacement Repairi Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work: r� V 1 €I
V V
PERMIT TYPE
RESIDENTIAL
1 Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ • ----.
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.
x Jel-fre.L Lsorb1 o rkv
Applicant's Printe Name
A icant's Signature
OFFIC
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RESIDENT / OWNER
CONTRACTOR
PE OF WO
PERMIT TYPE
jh6Ing H& t1 J r
t
Address / City / Zip: `5 / t1 1 VC
Name:
Appliance Connections Inc.
at Quality Installations
Address: Phone: 952-445-4803
1+ � x:952- 4960064
State: p: Phone:
Name:
J&, G (1
Applicant's Printed Name
Contact: Email:
RESIDENTIAL
J U L
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
x
Applicant'
Use BLUE or BLACK Ink
1
For Office Use
permit* f o 0 2
Permit Fee: S 5 00
Date Received:
Staff:
�
'7 2011 RESIDENTIAL � PLU / MBING PERMIT APPLICATION
j
Date: . I� - / I 1 Site Address: !? S '7 1 pvuetcy,
Tenant: Suite #:
Phone: 1" / 7Y3J0
License* 051 WI 1M
M
J
City:
13 /3
55 3`79
_ New e. acement Repair r Rebuild M ify Space _ Work in R.O.W.
(Jt Vj
Description of work: l O
,Water Softener
_ Add Plumbing Fixtures
Water Turnaround
( Main / _ Lower Level)
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) t i5
TOTAL FEES $ J
CALL BEFORE YOU DIG. Call Gopher State One Can 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.gopherstateonecali.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that th@.work will be in
accordance with the approved plan in the case of work which requires a review and approval of p
4 !,.L.A....1 C.,
len
i gnature • /
Gas T
FOR OFFICE US
Required Inspections:
r Ground
Rough -ln Air T e
CITY OF EAGAN Remarks SeW COriri pd. & WtP COriri, pd.. Ori 12-29-72
Addition. Cedar Grove #8 Lot 1 Rlk 2 Parae4 lo 16707 010 02
Qwner M • Street 3841 Ri-verton AVe. State F-'+~~,MN 55122
Improvement Qate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 7-67 1970 12
SEWER LATERAL Z.j„
WATERMAIN
~e. WATER LATERAL 19711
n WATER AREA
STORM SEW TRK
*STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
sac 260.00 7668 3-2 -73
PARK
VILLAGE OF EAGAId
3795 Pilot Knob Road
Eagan, Iiinnesota 5$122
PERNRT NO.o
The Village of Eagan hereby grants to
of
a Permit £orc (Owner) a~s0
a 3841 Rivertan 1=2-8} 3$$7 Paliaede Pt -2-9 387 P~aadl Way 10•2-$0 3$56
jjAA ,~A~i4=~e
Fee Paid: dated this ~ day of 1 g~ ,
.
3.00 a/c
Building Inspectc:^~
Mechanical Permits:
i3:id Total:
S
- /o i~7o~ d/D od--
~S
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, I-Iinnesota 55122
?'MF,T_T NO.: 319
The Village of Eagan hereby grants to
o£
a pyTn,mTUrs Permit for: (Owner)
ja 1 Riqerton 1 -2-8' 3 ation dated
97PP~-'6&P~8 3.427-4Z3
Fee Paid: $120 00 dated'this 28th day of pqamh , 19 73 _
3•00 s/c
Building Inspectorv
ltechanical Permits:
Bid Tobal:
Jr
OQ-iClnGl 'rrl£d undtC
EAGAN TOWNSHIP `
N" 2928
BUILDING PERMIT
Ownar ~
......~C~--~w /_....---y~-c1 Eagan Townehip .
Addreta (Precen2) Towa Hall
,
Suilder
Dat~ -l - -
Addrefa
DESCAIPTION
Storiec To Bs Used Fo: Fxon! Daplh FIeigh! Esl. Cosf ermi! Fae Aemarks ~ LOCATION ; 4' S ~
5ireet, Aaad or oiher Descriplion oi Locaiion I Lo! ~ Bloek Addi2ion or Trae!
3
T6is yermii does not eufhorise the use of slreeh, roada, ellays or sidewalks nor does it give the oanar or his eqent
the righlfo creafe aap situaiion whieh is a nuisanee os whieh presenls a hazard !o the health, eafelq, eonvenieaes and
ganaral welfare fo anpona in the community. .
THIS PEAMIT MUST SE KEPT ON THE PREbMISE ~W-HILE THE WORK IS IN PROGEj~S.
. Tdis is !o eestit9, lhat.._.._'~r.!:._......has permission !o ereet a. :-O
!-'--~~-7-~-•~•-",~ =--......_upoa
the above deaeribed psemise eubjea! !o the provisions af the Bu[]dinq Ordinanee for Eagan Toainship ado !ad Apri1 11.
1955.
%v~:."~~-.-"_~-':.......V..t?:"V'~- Per ~
C rH' ~j ~ Huildtnq Im peelor ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875 ~
New ConsW edon Reuuiremente RemodellRenair ReuuiremaMs
• 3 registered site surveys showiig sq. R of lot, sq. R. af house; and all roofed areas • 2 copies of plan
(20% maximmn bt coverage allowed) • 1 set of Eneigy CalcWatlons for healed additpns
. 2 capies of plan showing 6eam & wiiMOw saes; poured fouM design, elc.) • t sfta survey for ezterior addNions & decks
. 1 set af Errergy CalcWations • Indipte if home serveA 6y septlc syslem for additions
• 3 copies of Tree Preservation Plan'rf bt plaHed after 717193
• Rim Joist Detail Options selection sheel (bldgs wtlh 3 w less uniLs)
DATE VALUATION ~2
SITE ADDRESS t11UC V ov\ u( MULTt-FAMILY BLDG _Y j~ N
TYPE OF WORK S/d, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT l~MC ~ i (_u n W
STREETADDRESS JOSOO ~C1e-1 .~.g gl cirv~_STATE~ZIP yo~~
TELEPHONE #Y7> e15 l -Yl%bELL PHONE # fAX # Jf 77 '7.2 7"Vjfl~
PROPERTYOWNER rt~,lUT~y TELEPHONE#
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiiLES 7670 CATF.GORY l MINNESO"I'A RLJI.L:S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envefope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing syskem includes: _ Water Softener _ Lawn Spnnkler P'ee: $90.00
Water Heater No. of R.I. Baths
No, of Baths
Mechanical Contractor: Phone
Vlcchanical system includes: Air Conditioning >0
_ Heal Recovery Sys[em
JU;s 1 1 ~dUZ ;~1
Sewer/Water Conhactor: Phon ~
°
I hereby acknowledge ihat I have read ihis application, state that the infor ation is correct, and agree o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ces.
`
Slgnature of Appllcant
OFFICL: USL ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Vpdated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-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 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg oniy) • Give PCA handout to applicant
Valuation Occupancy ' MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O: '
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee l-~- -
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
COMPLIANCE INSPECTION REPORTS F '
TO BE USED ONIY IN EVENT OF OBSERVED VIOLAT10N5
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPIIANCE. BUILDER DOES NOT
OBSERVED. INTEND i0 COMPLY.
ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPEC'fION
REINSPECTION REVEALED
CERTI FICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions oLServed to be at variance with ordinances of the Town of Eagan, approved Dlans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
0 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR OATE
COMMENTS:
, MASTER CARD
' LOCATION
OWNER
~~•r='
STRUCTURE AND
LAND USED AS ~f~~~ • ~~u
r
Issued To
Permit No. Issued Coniractor Owner
BUILDWG z17 Q• ~ •.~_I
PWMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ~
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
kems (Initial) Dafe Remarks Distance From Well
FOOTING -7 SEPTIC
FOUNDATION ti ~ CESSPOOI
-s
FRAMING TIIE PIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATWG r ~ OF WELI
GAS INSTALLATION
SEPTIC TANK
- CESSPOOL .
' DRAINFIELD. PLUMBING
_
WFIL
SANITARY SEWER
?
Violations No}ed
on Back
COMMENTS:
.
EAGF.N TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date:3/2$/73 (12/29/72) Number: 114+
J -
Billing Name:-nledar Grove c;onsti•a:,bi_o;i Site Address: 3341 Riverton A9enue
Owner: sa'n" Billing Address
Plumber: Stein;:s '
Location of Connection Meter Size Coaaection Chg. P 3/2$/73
Meter No. permit Fee'•~`~ p 1?!"/--'
a
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO 1bta1 Chg.
Inspected by
Date
Building is a: Remarks:
Residence xz
Iiultiple No, un3.ts $25.00 RE-IiVSPEC710N FEE FOR
Commercial IMPROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
Ia consideration of the isaue aM delivery to me of the abwe permit, I
hereby agree to do tte propoaed work in accordance with the rules and
regulatioas of 8agan Township, DakoCa County, Minnesoea.
BS':
3 tein' ra
Please notify [he above office when ready for inspection and connection.
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1293
Eagan, MN 55122 DATE: 1 2/29/72 (3/28/73)
Zoning: —1 No. of Units:
Owner: Cedar Grove Construction
Address:
Site Address: 1 -2-8 3841 'v� Ave.
Plumber: St n s s
agree to comply with the Village of Eagan Connection Charge: 260.00 pd 3/28
Ordinances. Account Deposit:
Permit Fee: 10.00 pd 12/29/72
Surcharge: .50 pd. 1 2129/72
By: Misc. Charges:
Date of Insp.: INNEN Total:
Insp.: Date Paid:
*.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: -1
oilP
Use BLUE or BLACK Ink
For Office Use
/01.73K
e)g a'
Permit #:
Permit Fee:
Date Received: t)'1°12
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
L _ Site Address: tig `11 ' i; ii k', T o A Unit #:
Name: k IfNC'rY S 2-t+) A' -t \ Phone:
Address / City / Zip: 3 -fI I,Vb ±611\ Ek -'E. . EA_ A'i,
Applicant is: Owner ontractor
Description of work: l i C Og- ri\f 3 f)0"
Construction Cost: bO) , r)
Multi -Family Building: (Yes / No
Company: S-1 C'tz.(\, amu- Fz.,(2.)A }fi,c
Contact: N1 LO;
Address: 135S ' t* -%-1° 1 City: C KC .
State: Zip: 12-2c" Phone: (O S - 7 3S j
1,25
License #:
Lead Certificate #: I''T cl LIS a ..
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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.gopherstateonecall.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 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.
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.
x � g- ?L
Applicant's Printed ame
Applicant's Si ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112886
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 3841 Riverton Ave
Lot:1 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nicole Flattum
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 -
Thomas P Heinbaugh
3841 Riverton Ave
Eagan MN 55122
(651) 454-7436
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113726
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 3841 Riverton Ave
Lot:1 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
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 -
Thomas P Heinbaugh
3841 Riverton Ave
Eagan MN 55122
(651) 454-7436
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174948
Date Issued:03/02/2022
Permit Category:ePermit
Site Address: 3841 Riverton Ave
Lot:1 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Damien Goldenberg
3841 Riverton Ave
Eagan MN 55122
(651) 815-3539
Nexgen Exteriors Inc
1321 Andover Blvd NE Suite 112
Andover MN 55304
(763) 441-5907
Applicant/Permitee: Signature Issued By: Signature