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3856 Riverton Ave*° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: (277 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: //— 2 — f/ Tenant: /9yh Site Address: ?is-( kPerTvi, 4 Suite #: RESIDENT / OWNER Name: NA ..<'" v""kt- Phone: G,%"l — (► Fd - % 9 ycf Address / City / Zip: 3 $ /2! Pe-v-1vh Applicant is: Owner Contractor TYPE OF WORK Description of work: jV",— `.eiL/l' ��// Construction Cost: f G au Multi -Family Building: (Yes / No X ) CONTRACTOR Name: /1//pel 2.0- /4ots-.-P J-14-1 Ir License #:.2 D 3 Fa 4 6 7 Address: 07-y/r Ske, 44-iy cts c1City: 9,fr.d f l' State: Zip: Phone: 6/ Z. — Ft 4 —FF -40 f Contact: 1,/ Cf `/ 5/1-01-41r- Email: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit areconsidered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 plan x Applicant's Printed Name x Appli s Signatur Page 1 of 3 CITY OF EAGAN Remarks Sew & wtr conn. pd. an 3-28-73 #7668 0375•04 Addition Cedar Grave #S Lot 2 Rik 3 Perce, 10 16707 020 03 owner 1 screet 3856 Riverton Ave. scace Eagarl,rN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1970 125.00 OO 2 SEWEF LATERAL ZZ, 1539-10 WATERMAIN WATER LATERAL 7 WATER AREA STORM SEW TRK STORhI SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320,00 766$ 3-28-7 SUILDING PER. sAC o0 7668 -28-73 PARK INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 414 { Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: . , AM r,vr ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . i: ~ 19i:~ l . ~ J~ t:rlll~ i• I I t'I {I~ ~ ! ~ _ - _ - . _ '~fa~,~~€-art~,rt..~- -•'s ~'ti-- . _ . . ~ w. . _ . , . . ~ ~ J Psrmit Holder Date Telephone # EWER/ WATER PLUMBING HVAC Inspectlon Date Insp. CommeMa FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ,7C ~J FIFEPLACE 7 4 AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 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: ;'F E?1 ON RVF i I E ~ . , , , ~ • i . ~l: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~l~1 . 1~:il411:, .1.i~ t~f .Ii~{tl~.~. ~ ' .•~'~.I~l~• l1~Rt~~I Ifi~'1!~ L~ ~ Permit No. Permft Hoidsr Date Telephone M ELECTRIC PLUMBING HVAC InspecUon Date Inep. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINO GAS SVC TEST ' INSUL GYP BOAAD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN 13163 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5 PHONE: 454-8100 , BUILDING PERMIT Receipt#i Tobeusedtor 3-SksA POkCH/DE $15, GOU Date :'f;~~'JArZY 4` ,19 87 ~t. Value Site Address 3356 R 1 VFKTON hN7h Erect ~ Occupancy Lot Z Block 3 Sec/Sub. C=,':)P.R Gi2UVh: S Remodel ? 2onina Parcel No. Repair ? Type of Const Addition ? No. Storiea ~ .Jc)' Ifv E?P C,F Move ? Length Name 3 Address `'~-`E Demolish ? Depth ° 4 5 2- 5 2 9 0 Int. Impr. ? Sq. Ft City Phone Install ? a Name Ap'G BLDRS Approvals Fees Address 24726 jO'd ;~UAL AV E Assessment Permit 5 128.50 ~ Ciry ELKO Phane 4 61- 3 2 0 0 Water 8 Sew. Surcharge 7.50 ~ Police Plan Review 64.25 a ~ W Name Fire SAC = Address Eng. Water Conn. W i City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the gldg. Otf. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and Cify of Eapan Ot,dinances. APC Parks Var. Date Copies Signature of Permittee z`'f~` vr 200.25 ~AAG BLn2S Total A Building Permit is issued to: on the express conditlon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official PwmR No. PwmM Hddw DaN iNephone k Plumbinp H.V.A.C. e~ ' 514 soR«N. ~ Inspectbn DNe Insp. Commenta Footinys I FooUnysll Foundarion P?aminp Roofln9 Rouyh Pibp. Rouqh Mtq. Insul. Fkeplacs FMsI Htq. Flnal Plbp. Bldy. FNial c.n. occ. Deck Fty. Dack Frmp. WNI Pr. Dhp. cirY oF ~?GAN 3795 Pilot Knob Road Eagan, MN $5122 N2 4767 PHONls 454-8100 BUILDING PERMIT c 000. Receipt # 9811 To be used for F`''nc e Est. Value Date lt$Y 1 s , 19~~ Site Address 38 5 E; T< ive r ton A e- Erect ? x Occupanq T Lot ? Block 3 Sec/Sub. cc 8 Alter ? Zoning ~ Porcel # Repoir ? Fire Zone J Enlarge ? Type of Const. v aWc Name E~obert 1_ C1Ark Move p # Stories ~ 56 ki ver ton qddress Demolish ~ Front ft. Ci phone _ Grode p Depth ft. ~ Nome APPra"ls Feea a o< ~d~ Assessment Permit u~ Cf Phone Water & Sew. 5urchorge Police Plon check W Name Fi re SAC v~ Address Eng. Water Conn. Q W ci phone Plonner Water Meter Council I hereby acknowledge that I hove read this applicotion and state thut gld9, pff, the information is correct and agree to comply with oll opplicoble State of Minnesota Stotutes and City of Eagan Ordinonces,1 APC Total 5ignature of Permittee l:Obl~E L~~ ~ A Building Permit is issued to: 3T~ on the exPreu condition thaf all work sholl be done in accordnnce with all opplicoble State of Minnesoto 5tetutes and City of Eogan Ordinances. Building Official " rlmM # 001e IqY*A PlfmMfM PI umbirg Mechonical INSPECTIONS DATE INSP. Rouph-In Finat FDOtings Date Irop. Dote Insp. Foundation Plumbinp Frome/ins. " Mechanical Final ~ C , . ~ Remarks: a 3- sr c, , VILLAGE 0'r' EAGAIQ 3795 Pilot Knob Road , Eagan, 1Ninnesota 55122 ?ERMT NO.: 321 :he Village of Eagan hereby grants to fo- of ~ a 4i~ Permit £or: (Owner) ~ a 3041 Riverton 4-2-8~ 3857 Palieade Pt -2-8 g1~ 387 P aada way 10-2-8, 3856 9932 4'-42i8e Fee Paid: dated this S., day of HN eh 3.00 s/c Building Inspectc.~~ lvieahanical Permits: ii.d To$21: 7 67 a1o . VILLAGB OF EAGAIJ 3795 Pilot Knob Road Eagan, Minnesota $5122 S'LM4IT N0. o • - 319 The Village of ragan hereby grants to „ of . a pyI nwutrrn Permit for: (Owner) gane 3 a - ` , -2-8?~87~-Pa~i:sade-we4y 10-2- , 38~b`1~vertoa a_ 9p-?'fijv#At&a 8-tp) 3sation dated 1~77~~z Fee Paid: $120 Ua dated this 281hdaY of Narch , 19 73 3.OC s/c Building Inspecior! Nechanical Perm3.ts: Bid ToGal: L . . / . EAGAN TOWNSHIP BUILDING PERMIT N° 2967 Owne: ./../~'!-..._`r4-z~!c~% Eagan Township Address (pxesenf) °--"e' Town Hall ._......e~!-?~..: _ Builder . Date Address DESCRIPTION 5Soriea To Be Used Far Fron! Deplh Heigh! Esl. Cos! Pesmif Fee Remarke 'C;b / ~ iO"Il.O ATION //S-, Slreel, Road or olher Deseription of Localion I Lo! Block Addilion or Trae! 134 2- This permit does not aulhorise the use of elreeffi, roads, elleys or sidewalks nor does it give the owaer or hfa agen! the sighf !o creaie anp sifualion whie6 is a nuisance oz which preseals a hezard fo the heallh, safelq, eonvenienca aad ganexal meltare !o anyone in the eommuniiy. ~ THIS PERMIT MUST BE AREPT~ ONTHE¢P,REMISE WHILE THE. WORK I3 IN PROG SS. This ie !o ceriify. !hal.....S.t...1..r,:~---,.C~.*.^.:.^..-L .............haa perauasioa !o aract a.. . . . . -----..._upon the above deseribed premiae aubjeet io the provisiona o! the Buildiag Ordiaanee for Eaga , Townshiadopted April 11. 1855. "~g." .............."'...Sl.v..... Per .~Zr::r~-"". /fIf. r"r:.~'--"_""'-"".......""-"'........ '9 P Chairmaa of Tnwn Bo Buildin Ins ecior cirr oF eaaGaN ~ 3793 Pilat Knob Rwd Ecgan, MN 55122 N2 4767 PHONE: 454-8100 BUILDING PERMIT APPLICATION $1,000. RewiPt 9R1 ~ - To be uted for FenCe Est. Value Dote -MaY 1.. 19-1~i- Site Addreu 3856 Riverton A a_ Erect px Occupancy-~- Lot Z Blxk 3 Sec/Sub. CG 8 Alier ? Zoning Porcel # Repoir ? Fire Zone Enlarge ? Type of Const. V ee Name Robett L Clark Move ? #Stories z Addren 3856 Riverton Demolish ? Fronr fc. Ci Phone 6rade ? DeDth fr. p Name AODrovals Pees o< Address Assessment Permit _~0 V~ Ci Phone Wa~r & Sew. Surchar9e P~nn ~ Police Plan check ~ Nume ~ Fire SAC Z Address Erg. Woter Conn. <w O phone Planner WoterMefer Council 1 hereby ackrwwledge that i have read this upplicotion and stote that gldg. Off. the informetion is correct and ogree to mmply with all opplicable APC Totol 10 00 SMte of Minnewta Statutes qqd ty f gen Ordi nces// !f Signeture of Permittee - ~CNIao,- A Building Pertnit is issue w: Robeft-L Clar on the express condition that all work shull be done i rdante with p Iicable State of Minnesota Statutes and Ciry of Eagon Ordinonces. Building Official This rapuest void 18 months (rom '-O lVFI . 6 8 313 io Reque t Data Fire No. RouPh-in InsOection Req ired~ IcReady Nuw ? Will Nolify, Insoec- rd ~ ~es ?No tor Wh¢n peady Lp.Licensed ElecVical Contractor I herebv requast ins0eetion o7 ebova ? Owner electricel work ir~stalled at: Ge Street Address, Boa Poute No. Citv ~ G c, 385C~ c ectwn o. I Township Name or No. flange o. County OccuuantlPPINTI Phone No. z~ J Power SupD11,e. Address Elecvical Con ractor (Comoany Name) Connactor'sp License No. ~T ~(ff vY PG 60 1E! ^ 2 ailing AdJress (COnvactor or Owner Meking Instailation) 0 4 lwlne si oCe 45;j,'e S~'3 AuMorized SnawreontrectoJ wne Makine Installationl 7hone Number ~ ,,0 MINNESOTA STpTE BOAPD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT Griypa-MidweY Bldp. - Room N-191 BE ACCEPTED BV THE STATE BOARD 1627 Univerai[v Ave.. St. Peul. MN 66100 UNLESS PROPEX INSPECTION FEE IS Phone(812) 602-0800 ENCLOSED. /~7 REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-oe~y ,~J'/a 1 Sae insVUCtions for comolelinq this torm on beck ot yellow copy. 7a 7~d "X" Below Work Covered by lhis Request 7C S 5/6K FAd NeD. Type o18ui1Eine APPliancee Wired Equiumenl WireA Home . Range Temporary Service Duplex Water Heater Liyhtin Fixtures Apt. BuilAing Dryer Electric Healin Corcanercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Peci y Iher (Sner.ity) tb, FBfm Other l P.! $yCCI y { C! QIh{!f ompute lnspection fee Below p Fee Service EntrenceSiza B Fae Feeders/5ubfeetlers b Fee Cimuits 0 to200Ams 0 to30Ams O 0 tn30Am Above 200 qmps 31 to 100 qmps 31 [0 100 Am Swimmin Pool Above 700-Amps Above 700_Am ' Transiormers Irrigation 8oortis Pertial.'Other Fee $igns Special Inspection $ 'VALS?-'-bw Remsrks TOTAL FEF~R -aw 5TJ floueh-in Date the ElacLical f~/~ ~ ~~•'d ~nsoecbq heraby certify ffiet the above Final ~ Qmt..ineoection hes bean metle. ~ TMe ropuost voi01B monihe iram - G-O CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 1316 J PHONE: 454-8100 BUILDING PERMIT Receiptp ~ 7obeusedtor 3-SEA PORCH/DEC&t.value $15,000 Date FEBRUARY 19 87 SiteAddress 3856 RIVERTON AVE Erect Occupancy Lot 2 eiock 3 Sec/Sub. CEDAR GROVE H Remodel ? zoninq Parcel No. Repair ? Type oi Const. Addition ? Na. Stories W Name JOHN EPPLE Move ? Len9th Demolish ? DepN o Address SAME Int Impr. ? Sq. Ft. ciry phone 452-5290 Install ? o Name- AAG BLDRS APProvals Fees oQ Address 24726 JONQUAL AVE Assessment Permit $ 128.50 ~ City ELRO phone 461-3200 Water&Sew. Surcharge 7.50 103OAddress Police PlanReview 64.25 e Fire SAC Eng. Water Conn. Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstetethatthe BIdg.Off. Tr.PI. information is correct and agreeFFF ~~~to comply with all applicable State of Minnesota Statutes andf gan gdinances APC Perks i/ Var. Date Copies Signature ot Permittee ~ 200 . 2 S Total A Building Permit is issued to: AAG BLDRS on the express condition Mat all work shall be done in accordance with all applicable State o innesota Statutes . Cicy of Eagan Ordinances. Buildinq Official iJ y ~ f 0 RESIDENTIAL BUILDING PERMIT APPLICATION , S cirv oF E?GnN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructbn Reaulrementa RemodelRieoalr Regutremema . 3 regigered stte surveys showing sq. tt. of Iot sq. fl. ot house; and Lll rooled areas • 2 copies of plen (20%ma)dmumbtcoveregealbwed) • lsetofEnergyCakulatlonsforheatedadditions . 2 copies of plan showing beam 8 win0ow sizes; pouretl fountl tlesign, etc.) • 1 stle survey fa egeYwr etlONions 8 decks . 1 set of Energy Cakulatbns • Intlicete H home servea hy septlc system for add'abns • 3 copies W Tree Preservatbn Plan il bt platted aker 711/93 • Rim ,bM Delall Optbns selectbn sheet (bWgs wiM 3 or less unfls) DATE VALUATION SITE ADDRESS E-325(o Pi 1J~°./` I Ol"~ 7tV~ MULTI-fAMILY BLDG _ Y ~ N NPE OF WORK K IdP FIREPLACE(S) _ 0_ i_ 2 APPLICANT ~h~^(lf ,Ck Q h u i I ~ n~j C((T-'~c' c.6 r.~ 4' W`"-1 'w ~ STREETADDRESS I~11 N~k CD llei Ate- Gnr fiutn.5) i lilt STATE Mk) ZIP 55339 TELEPHONE # CISd ~-(d15`~1 CELL PHONE # ~ FAX #~sa -'J o~ - 9 S a-S PROPERTYOWNER ~%n c~l1lJCIl`e _TELEPHONE#GSI-6S6-794R COMPLETE THIS SECTION FOR °NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORYI T; i MIiNNESOTA RULES 7672 (d submisaion type) • Residential Ventiladon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • EnergyEnvelopeCalculaGonsSubmitted,. I' ~ j`,~~ Plumbing Conhacfor. Phone_ # j Plumbing system includes: _ Water Softener _ wn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhacfor: Phone !I Mechanical system includes: _ Air Conditioning Fee: $70.00 ' _ Heat Recovery System SeweVWater Conhacfor: Phone # I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature of Applicant V`~ ~SL9lX.c-r.f d/\ ..._.__.._.~___W_._....__ OFFICE USE ONLY Certificates of Su ey Received _ Tree Preservation Plan Received _ Not Required _ Ui datM4102 OFFICE USE ONLY O Ot Foundation ? 07 05-plex O 13 16plex ? 20 Pool ? 30 Accessary Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 14plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Flre Repair ? 33 Atteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bidg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Oth iotal ~ CIT1P OF E GAN PERMIT 3830 Pilot Knob R ad PERMIT TYPE: BuJ i DING Eagan, MinneSOta 55122-1897 Permit Number: 03 /l 4 2 3 (651) 681-4675 Date Issued: 01 f 15 ! 9 9 SITE ADDRESS: ssse aivEHroN Ave LOT: 2 Bl_OCKr 3 CEUAR fROVE #8 F. T. hl o s ].0 -7.670 7-020-03 DESCRIPTION: GAS STOVE Bu'9~I cliricT' -Pc-rmit Type+ FI12Et'LACF Fjuildinq ~ark Tvpe NEW - J%C:ensus Eodp 439 AL.T. R!_STDEN"fZAL ~ ~ i i . / f . .n~C/r.. i_•~ i. ~~1 . _ _ . , _ _ REMARKS: CHIMMt=Y1FL MUST BE TNSPFCI"FO BEFORE CONCEFlI."CNG. FEE SUMMARY: Base Fee $60.00 Surcharqe _ _1.50 Total Fee $60.50 CONTRACTOR: - Applicant - sr. L lc. OWNER: F:CRESTDE CORNER TNC 16331042 20090911 SCHWAKE DAPI 21700 N FA:CRVT.EW NVE 3856 RIVERTON AVE RO!3FWTLLEMP! 55113 EAGAi4 MN 55122 (612) 633--104 (657.)688-7948 I nereby cknowledae th:it Z have rnad th sapp!.Lestion znd eLaLz Lh.,c the ini'ormaticri 3 s correcL and a are~ io romolv wth a!1 aUOl.iecble Stahz oiMn. 5CatiaY:ec and CS.ty o'Y Eopan Ordinances. L -J t~ APPLI ANT/PEFiMITEE SIGNATURE I S ED BY: SIGNATUR « - 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: Descriptiin of Work: -Y- Construct new fire~place _ Alterntiais to existing FS )tot°if- _ Install gas iiiseK onlv _ Install Qas line onlv Other Jobaddrels: ~p S~Q ~I~ll P' ~QVl Lot a Block: v~ Subdivision/P.I.D.#: ~R~&(Ln ~-~YU~j e Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: A~ (~f~_~ P 0c{ ~ Phone PROPERII' Last First OWNERI Street Address: ~$5 lO -)Q4 1i 1 p y, I City ~ a U aPk State: V• Zip: 1dCPhone#:~ ComPanY: ~C /,re. 10V~? ~P ~I?' w~ ~ I (_eS- l FIREPLAiCE 38,Sn ~ l7/~~ INSTALLER S[ree[Address: (J City ~VJ LI Y NS IJ f' State: ~ Zip: S~ 3 3, I Company: Phone GAS LINE INSTALiER Street Address: I Clty State: ZiP: I I herebl acknowledge that I have read this application and state that the information is correct and aglree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - , Signature I~~ ~ ~ OFFICE USE ONLY BU1i.DING PERYiIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ' ? 32 Addition ? 34 Repair GENERAL IVFOPMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. MASTER CARD LoCarioN OWNER STRUCTURE AND LAND USED IAS Issued To Permit No. Issued Coniractor Owner BUILDING PLUMBING j _ 3/9 CESSPOOL - SEPTIC ~TANK WELL I ELECTRICAL HEATING I 2;? GAS INSTAILING ~ 3 I SANITARY SEWER ~ ~,OI7 OTHER I W3 OTHER I I Approved I Items~ (Initial) Date Remarks Disiance From Well FOOTING SEPTIC FOUNDATION I ~ CESSPOOL i FRAMING TILE FIELD FT. FINAL I ' I ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK I CESSPOOL ~ i DRAINFIELD PLUMBING WELL SANITARY SEWER y. ' ~ J-IL2 7'- 2 2 ' I Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE Of INSPECTION CONDI710N5 OF CONSTRUCTION AT THIS INSPEC710N NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WIIL BE DELAYED BY CONDITIONS BEYONO CONTROL. ? NON-COMPLIANCE. BUILDER Wlll COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ~ ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -I certify that I have carefully inspected the a6ove in which I have no interest present or prospactive, and that I have reported herein all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements relating co the property inspected. ? ALL IMPROVEMENTS ACCEPTABIY COMPLETED f BIJILOING INSPEGTOR pATE ~ COMMENTS: 23 _ . 0 DATE J~ ~1 ~ ~ 7 0 I BUILDING PERMIT APPLICATION Include 2 sets of plana, 1 aite plan w/elevations and 1 set of energy calculations. To be used for(1~. ~ valuation ~ti~ Site Address: 3 Ys6 " Parcel Number Lot Block See. !Sub. e ~ ~ r__^1 Owner Telephone 11 Address Contractor L{/ ~ Telephone Address ~ ~ Arch./Eng. Telephone Address OFFICE USE Erect j/ Occupancy v Alter --y Zon3ng Repair Fize Zone Enlarge Type of Oonst. Nbve # of Stories Demolish Front Grade Depth OFFZCE USE Date of Approval & Initial FEES 7 Assessment Permit Water/Sewer Surcharqe - ~ Police plan Check Fire SAC ' Eng F?ater Conn. Plantter Clater Meter pouncil Bldg. Off. A.P.C. TOTAL ~ 7987 BUILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCL[TDE 2 SLTS OF PLANS, 3 CERTIFICATBS OF SUEVEY, 1 SBT OF ENERGY CALCULATIO&S NOYE: 9DDRESSES FOR CORNSR LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATfi AHICH 9DDRESS IS DFSZRED. NO CH9NGES HILL BS ALLOWED ONCE BDILDING PERPIIT IS ISSQED. MOLTIPLE DWELLINGS - AESIDENTIAL RENTAL OHITS FOR SALS OHITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SORVEY - CHSCK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS ~ C0LMRMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND : • ~ I '~J'~~ To Be Used For:J S{?~~Sp•uf poiactjValuation: Date: F,~, 2/ 1~o l Site Address 3ps4~ U'~ er0°0 414~ OFFICE IISfi ONLY Lot ~ Block ~ On Site Sewage_ Occupancy MWCC System _ Zoning Parcel/Sub 206,je On Site Well _ Type of Const City Water (Actual) Owner iC> (Allowable) Of of Stories Address u~S~ ~r U<'/rov C1G,~ ~ Length Depth City/Zip Code S.F. Total Footprint S.F. Phone 6PPROVALS FEFS Contractor &7' ( /,~-/1--- /ZS Assessments Permit ~~.QJ• ~ Water/Sewer Surcharge Address 2~ ThN~G,~ J~vG.', Police Plan Review Fire SAC, City City/Zip Code ~M o Engr SAC, MWCC / Planner Water Conn Phone 2~ b Couneil Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL City/Zip Code Phone 4 U•a 12t3•70+ , ,1, y0+ 64•25+ 2uo•zy~ PERMIT S(, CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030671 (612) 681-4675 Date Issued: 0 g/2 2 /9 7 51TE ADDRESS: 3858 RIVERTON AVE LOT: 2 BLOCK: 3 CEDAR GROVE STH p.Y.N.: 10-16707-920-03 DESCRIPTION: z & REROOF HOWSE j~,d~.3i~-~ermit Type GARAGE/ACCESSORY 'Pui7,~dA`hg` 041~, T y p e AODITSON a;~ Ceits~s N" 438 AL7. GARAGE ~ c A ~s & ~41 am n REMARKS: CONTACT STATE BOARD OF ELECTRICI7Y A7 496-9615 REGARDING ELECTRICAL PERMTT FEE SUMMARY: VALUA7ION $7,000 Base Fee $124.76 COPIE5 (2) $.50 Surcharge $.50 Total Fee $125.75 Subtotal $125.25 CONTRACTOR: OWNER: _ qpplicant - SCHWAKE DANIEL 3856 RIVERTON AVE EAGAN MN (612)686-7948 e ap, ,l~j+p'Ac}tft4u3le~g~ J~°L~~ 7 11G~l~~s~~~d~ . ~i .~},1~~n yyy C~.yl /y~yyy~K~,p ' •j~ Se~~~~"Y`~" .L~'L~ l.F'LiYA~.~ ~ . . g . ' . ~ r u e ..v...n. . . ..u.... ...,e .,..,n. r,.~a . cvs_.. a ' .,.s...........a... .+?:_L.e. ..'...e S A LICANT/PERMITEE SIGNATURE ISSUED V. SIGNATURE RR-A 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~o~S.r rJSI O f„~ l CITY OF EAGAN V Y~ 3830 PILOT KNOB RD - 55722 6814675 Lkw Canstruetiort ReaulremerMS RemodeURecair Reouirementa ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inUude beam & window aizes; poured fnd. design; etc.) ? 2 ske surveys (exterior addkions 8 Geeks) ? t energy calculations ? 1 eneigy calwlatlons for heeted additions ? 3 oopiea of tree preservffiion plan M lol platted efter 7/1l93 ,,l requirpd: _ Yes _ No U DATE: ~15 9 7 CONSTRUCTION COST: F/~/ aQv ~ DESCRIPTION OF WORK: k a( ~ 6~04"d~ IV,0111701tl rXkXoo/ STREET ADDRESS: ? LOT C~\ BLOCK 3 SUBD./P.I.D.#: PROPERTY Phone owNeR Street Address• City: State: Zip: z- coN7-'RNC7ott Company: Zfaj~-Xn' ~'JuA&7Z- Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water Iicpr.5ed plumber (new wnstruction only): . Penally applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the informetion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , A Signature of Applicant: " OFFICE USE ONLY Gerfificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ^ Not Required OFFICE USE ONLY . : BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex X 13 GaragelAccessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex n 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE n 31 New o 33 Atterations ? 36 Move x 32 Addition o 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. 312 SAC Code ~ Census Bldg ~ Census Unit 0 APPROVALS Planning Building 422 Engineering Variance PermitFee Valuatiort: $ 70+~O,PJA Surcharge Plan Review ` License C9 PrlLdi~~ CyTT~4~t1~'7J1 MClWS SAC Ciri SAC 3~ ~n ic~ =~499 z, c~ Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge ° Treatment PI. 54 Road Unit Park Ded. Trails Ded. • . Other ~ Copies ) • `~C~ ~C> ti 1'"lr- (p'~~ 2 00 Total: % SAC " SAC Uni?s ~s.a,i 2006 RESIDENTIAL BUILDING PERMIT APPLICATION C)o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodelfReoair Reauirements Office Use OnN 3 registered sde surveys showifg sq. N. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joisis Cert of Survey Recd . _ Y_ N (200/o marimumlotcoverageallowed) lsetofEneqyCalculations(orheafedaddNons SoilsReport - _Y _N 1 Soils RepoR'rf proposed 6uilding is to be placed on distmbed soil 1 site survey for additlons & decks Tree PreS:PlanReW-"-._Y _ N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. Addifion - indicate "rf ar-sfte sep6c sysfem Tree Prex. Required' _ Y_ N 1 set of Energy Calculatiws On-site Septic System Y_ N 3 copies of Tree Presenation Plan H lot plafted aker 717193 Rim Joist DeUil Options selectian sheet (buildings with 3 or less un'As) Minnegasco mechanicalventilationfortn Date /0-7 Construction Cost Site Address ~ 12~ v~-~"~0~ ~~-f UnidSte # Fl/ - DescriptionotWork Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 A1 _ 2 n ~ ~ ~~~p/~ ~l b Proper[y Owner V~ ~ I~'Ll 5L LtWMZ Telephooe e~ fh 11w1p~ Cootractor Lxmr.. 2081200 ~y j~ . City Address State 951/0334M Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672 Energy Code Category . Residential 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 # ( ) Mechanical Contractor Telephone ) Sewer/WaterContractor 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 t c f hich requires a review and approval of pl s. L[ w~ J Applicant's Printed Name ApplicanP ignature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Misceilaneous Work Tvpes ? 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 ? 46 WindowslDoors ? 34 Replacement `Demolition (EnBre Bidg) - Give PCA handout to applicant DeSCPiptI0I1: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. ff~~N obioeita eft # of Bldgs Length Fire ; ~ Type of Const Width 9 1 {t` NMI '0111'OC0q 18SY~1t~ REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings(deck) FinaVC.O. _ Footings (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total VILLAGE -OF EAGAN WATER SERVICE PERMIT 3795 „ Kno iitit Road PERMIT NO.: "°' Eagcn;MN 55122 DATE: 3/''- Zoning: — No. of Units: Owner: _ :led a r° c *rove Gon :141l 1 0 0 • y Address: Site Address: 3356 iv'ert= .Avenue 2 -3.. Plumber: vein a Meter No.: Connection Charge: °k-A Pd 3/2 Size: Account Deposit: y - Reader No.• Permit Fee: agree to comply with the Village of Eagan Surcharge: . :) pd 3/23 Ordinances. Misc. Charges: Total: B Date Paid: Date of Insp.: - Insp.• VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: ; Eagan, MN 55122 DATE: r 'r ` Zoning: No. of Units: Owner: :: ed ar '3-rove Address: Site Address: ` % : . rt F 1V en" ,0 . -,.. Plumber: I agree to comply with the Village of Eagan Connection Charge: r' r r; > " Ordinances. Account Deposit: t .j »d r s.� Permit Fee: � .x ; C3 r - r Surcharge: * _ = 1,0 ' /28 By: so 02 . 1 Misc. Charges: on Date of Insp.: Total: Insp.: Date Paid: i II Use BLUE or BLACK Ink For Office Use ing j Permit Clay of Eatdfl 1 Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j Site Address: 3~5C~ ~i Vhf t"arJ Auc- Unit Name: 1.1 6caa)AV_e Phone:65_1'367- ;3 Resident/ Owner Address / City / Zip: "g ~1E(ZSD/.) C{ Applicant is: Owner )X_ Contractor n Type of Work Description of work: 16 ReSfItE * fry/ybpiu rP mekr " N~ Construction Cost: ICJ &>o Multi-Family Building: (Yes / NOX ) s- ~q Company: E Z-Y'fdl" 11` s 12 r oiui Contact: fIli Contractor Address: 9A91-1 k6 City: &E "'t: State: /9 i0 _ Zip: Sl j~ Phone: License rj 71341 Lead Certificate 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: 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 to _ conclude that they are trade secrets. 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.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. 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. 7 x f2bI '-n JJ x Applicant's Printed Name Ap ant's Signature Page 1 of 3