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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