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3864 Riverton Ave CITY OF EAGAN Remarks sew & wtr conn. pd. on 3-26-73 #7613 $375.00 Addition Cedas' Gr°Qe #8 Lot 3 sik 3 Parcel 10 16707 030 03 Owner j 1` ' ( Street 3864 Ni.verton Ave. State Eagan.,MN 55122 Improvement Date Amount Annual Ysars Payment Receipt Date STREET SURF. STFiEET RESTOR. GRADING SAN SEW TRUNK (ZS' 1970 125.00 5•00 25 P31d 3£SEWER LATERAL Z't,L 197 1539.10 307 . 2 P27.d WATERMAIN ~ WATER LATERAL ~ ~ WATER AREA STORM 5EW TRK ~ STORM SEW LAT 1 9 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 20,00 7613 3-20-73 BUILDING PER. SAC 375-00 PARK CITY OF EAGAN 3795 Pilof Knob Reed Eogen, Minnewta 56122 Phone: 454-8100 HFATIIVI'a _ pERMIT No. 120-1 6-21-7ri 1~;~1: Date: Receipt No.: 3664 itivarton AVp. Single Residential 1 Site Address: Lot 13 Block ~ Sub/Sec. Multi Res., Comm./Ind. I Lar~ i-'ayP alt Na~ New/Alter./ Repai r ~ 3t364 RivPrton Avn. ; /lddreu Cost of Instollotion ~ ~a an City y Phone: Permit Fee J.l,v 3o2so:ia1 Control Inc. Nome Surchorpe . ~ "7620 Lyndalp Av,,. So. t Address e 0 :Oifit:Ofi City Phone: Total This Permit is issued on the express condition that oll work shali be done in accordance with oll opplicable Stnte of Minnesota Statutes ond Ciry of Eagan Ordinonces. Building Offitiol EAGAN TOWNSHIP BUILDING PERMIT N° 2963 Owne: -'--cw~~ CO............---.... Eagan Townahip Addresa (Presenf) 4s?.._.......................... Towa Hal] Builder • _ - Z3 aate Addreas DESCRIPTION Slo:ies To Be Used For Fronf Deplh Heighf Eal. Cos! Permi! Fee Ramarks ~ 37, 01, ~S~•' LOCATION ALG..rd Streel. Road or olher Desenphon ~of Loealion ~ I Lo! Bloek Addition or Trae! ~ti . Lv~( • o-,...J d3 $p e2 /3.Q 3 ~4u 3 f ~7 •7- ~ ~ _ .C< -Qrt/+7e'...= Istreeh. 7d' roeewi alley.4-=.svor sidewalke nor doee i! , is rm ~oes o aulhori:ey r use of giva the owaer or hie agen! the sighf !o creale anp sifuatioa whieh Sa a nuisanee os which presenfs e hasard to the healih, eafelp, conveaisnee and general welfare to eapone in the communitp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGA SS. Th3s is !o cerlifp, lhat.._..D4...~:..^...'. has permission !o ereet a._.a ~ . J upon !ha ebOVe described premise aubjea! !o the provisions ot the Building Ordinanca foz Eagan Township adopled April 11,. 1855. G ---.._......----....._......--..~...G.~._..... - Per ._..--.--......._...?t-..----..........--....--°---...._....._.................-- Chairman of Tnwn Board ~ ~ Svilding ImpecSor ~ ' 3-3 -r/ C C P VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Mirusesota 5$122 ' PERMIT NO.: 31K i The Village o£ Eagan hereby grants to Cedar @ruve Conatruction Clo. o£ 7~9 Qonoord Blvd. E., 30. St: Peui 55075 a--~~~7D6BSNt} Permit for: (Owner) . same I at 3 ~(P~ /~ilJPa'~On CGUC . I aaeatLarhed 111A , pursuant to application dated 3/19/73 Fee Paid: dated this I• $20a 20th daY of Maroh , 19 73 . ~ I 5.00 s/c ' i I Building Inspector j ilechanical Permits: siid Total: 9 ~ ~ \ . 6 • 9ILLAGE OF EAQqN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERI4IT N0.:~21 The IIillage of Ea r--' gan hereby grants to Cedar Grove Conetruction oY 7343 Concord Blvd. E., So. St. Peul a xFATING pei^mit for: (Owner) same at see attaohed u$t , pursuant to application dated 3/19/73 Fee Paid: $200_ dated this 20th ~~-day of March , 19 73 Mechanical Permits: F3uilding Inspector Bid Total; r ~ Enclosed please find our checks for the lots liatad helow: 3-2-8, 3851 Palisade Way 7-2-8 3863 Palisade Pt. 3~,3-.-.. 3664 Riverton Ave. 4-3-8 3872 RiveTton GVe. 8-3-8 3900 Riverton Rve. • 10-3 B 3816 Riverton Ave. 13-4 8. 3863 Riverton Cr. w . . 15-4 8 3875 Riverton Cr. - 17-10-8 1734 Sartell Ave. 11-9-8 ~ 393.6 Blackhawk Cr. , ' ,'~.~5~ ` ~~.~`il~Ffi~`d..~ rCriiu~~: Aa Total: , ~aG 9/ J ~py~~ 5?151 3 ~p Request Date Fire No. Rough-in Inspection ~/2 Requiretl? ? ReaEy Now WIII Notify Inspedor Ves ? N. When Faedy? I(,V, licensed coniractor O owner hereby request inspection of above elecirical work at: Job Atltlress (Street. Box or Route No.) City 34G v 2G vEKTo~ 1¢uE _Fv a ,s-L.~ Seclion Na Township Name or No. Range No. Counly Occupant(PFINT) Phone No. DqN fRCF ys'Y - C y 7z Powe/r 1Suppller Adtlress U4/YO/R fr.Eu2i L raN Eiecincal Conhactor (COmpany Name) Cont2ctor5 License No. j3F_ ,E 2 cEcT?i- b Y/G ~ I Mailing qtltlress (COntractororQvner Making Ins[allation) t9,~'o c, n.oycE AutM1Oriied SlgnaWre (COnVactorlOwner Making Installation) Phone Number ~lA ~{63-2 Y o MINNESOTR STATE BOARD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Grl99a-Midwey BIEg. - floom S-179 BE ACCEPTEO BY THE STATE BOARD 18R1 Univerelly Ave., St. Paul, MN 55100 UNLESS PROPEF INSPECTION FEE I$ GMna (611) 602-0800 ENCLOSED . REQUEST FOR ELECTRICAL INSPECTION esooom -oe M ? See insimclions lor completing ihis brm on back ot yellaw copy. W "X" Below Work Covered by This Request 52151 " ewA ' Rep.' Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt Builtling Dryer Other (Specity) Comm./Indusirial ' Fumace farm Air Conditioner Other (speny) ConVaclor's Remerks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Agw. 700 _ Amps Signs InspecbrS U5e Only: dJ TOTAL IrrigationBOOms -~o I,$X9 Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the EleCtrical InspeCtor, hereby Ro~qn-m r oere certify that ihe above inspection has F;,,ai • aie been made. f OFFICE USE'JNLY • This repuest voitl 18 monihs iram i~ CITY USE ONLY PERMIT Sj -:SDS RECEIPT DATE: 8008 RESIDEPTIAL MEGHANICAI. PMiMIT APPLIClkTION crrY oF snenx 3$30 PII.OT K1YOB RD SAHRA b!A 551 EE 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: LD_I_A~ SITEADDRESS: k~)a._D`t C-Ux_3 . OW NER NAME: 1~Y1 ~ u~J TELEPHONE (RS INSTALLER NAME: - - - - ~ Wohlers Southside Htg. & Air, Inc. STREET ADDRESS: 6950 W. 14e St., #106 Apple Valley, MN 55124 (952) 431-7099 CITY: Place a check mark next to the permit work type ,,i - ~ Add-on, modification or alteration to existinq dwelling unit $ 30.00 • furnace replacement ~BY • • air exchanger - • air conditioner • other Nature of work:~~~ ~Y1C_~C~J c a-k~ uDl CL_v-~v rrNnL~L-- -hc-E-31y. State Surchar e $ .50 TOtal SIGNATURE OF PERMITTEE voz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR EOOE CObIbIERC1AL MECHl41VICAI. PERMIT A"LICATION CITY Og KABAft 3$30 PILOT KftOB gD EMA1v, M1v 551 sE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT N[1ME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZII': TELEPHONE WORK TYPE: New construc6on Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ P:ocessedPipir.g SpecifyNature of Work: When installing/removing usderground tank, call 651-6814675 for inspection by Fire Marshal and P[umbing inspector. Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = mitilmum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 . 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cirv oF EAcniu I~ I 3830 PILOT KNOB RD • 55122 Q~ O. ~O 651-68't-4875 ~P dew ConslnrcMon ReaWremenh RemoOet/Reoalr Reaulremenh CAI1~ ~ I0.({'QO ~ 1 D 3 reyittered dte wneys showiny p. R of bf, .q. M. a nowe 2 coples of plan aM pp roof9d areaf (20%maxlmum lof covemae WbweM t set ol energy CdCWaHOns for heated addPoOna ~~rn > s coplee a akins c.now oeam ewinaow azea; aa,rea ma. aesign; erc.> isre wmeY roi extenor aaam«,a a aecks a t ler w enerpy caacwanons n 3 coples d hee presenaMOn plan H IW plalled aHer 7/11/93 DAiE: \O~~-hl'l CONSiRUCTIONCOST: ~."D F)Ll~l ~ DESCRIP'f10N OF WORK: 1 STREET ADDRESS: LOT: ?J BLOCK: ~ SUBD./P.I.D. A: Qdpr r yt ~ Name: Phone i: CQE 1-t15'~1- p(tQpE(ny lad Flrsf OWNER SheetAddress:22(a`~ Cly ~ State: `(v_Yl Lp: 551 ~a . Companap,~~s lu)ut' i-C-t(ELeit? Phone if: (oxyl `'53- 91f1G, (area code) COMRACTOR 1 Sheet Address: 111 5~i~. >~~1. Licerue 11 RQY~1 Exp. -~-a \ CHy ft , SZ State: ZiP: h5(~~~ ARCHIiECT/ ENGINEER Compariy: Name: Telephone ( ) Sheet Address: ReglshaHon CNy Sfate: Zip: Sewer/water licensed plumber (tt tnstallinn sewer/waterPtane M. t I t hereby acknowledpe Ihat I have read this applieation, state thaF the Info ~coneet, and agree to comply wNh a6 appqcable State of Minnewta Stalutes and Cify of Eagan Ordinanees. Signafure of Applicant OFFICE USE ONLY r: - Certificates of Survey Received _ Yes _ No OCT 0 3 2000 I Tree Preservation Plan Received _ Yes _ No _ Not Required ~ - 1 OFFICE USE ONLY • • BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex 0 13 16-plex D 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SP Dwelling p OS 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 03 01 of _ plex ? 09 07-piex W 18 Deck O 23 Porch (screened) 0 36 Mutu ? 04 02-plex ? 10 OS-piex 0 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N O 25 Miscellane0us ? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Aocessory Bldg. WORK TYPE 31 New 0 36 Move Bidg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding O 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units ~ Length sq. ft. No. of Buildings Width Footprint sq. ft. ~ Const. (Actual) Basement sq. ft. Census Code (Allowable) - Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MiSCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Utf 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 eYY~~~f s~J " = M 4?' ~~.a ' ~ h u^'n.° *.,'•4 A' ~Wr,i ' "''~,~z,'~"~ ~ ,N,~''~~~rt. ~H~~~~' "~r ~'a ~i ~'•v~3 . -`t''1`~'~~t."` '~r r~'r . i % s . r y - sny ~~~'n i •~aj3`.~ ' ac.: ' . ~ ' ff'r.,.. 5 .a S H CI y ~k_ .r- l r~,~.. kyy~~YCM Mgi~ ~c r~ ~i~LL.~"'~+ ~~2 ' - rr,•. y~ ~ ? TF iz. .s~ . " . . . . ..«r. . r ' A . . • CEDAR' GROVE Ho USE ADDRE5SES I DA7E 1 70 TOWN . SHIP OF EAGAN COUNTY -2 - _ ~ c•a.•..•r ~ ---~.~o•--- - -u~s,, ' r.ir - _ " s-.. ..y~ . 10.._ "15E, 150 '75eo50". ~ ~ ~ ~ • • • • l~• ~0 " ~M~ ' ~ ~ ~ , ~ • - • i a • • ~ 1~ - ~ e 'f r . ~ , ~ ~ s~. ' . N• . e YX ~ • I i . 3e40 • 3e48 3856 364 Y `I^ : e. 09 ; a • ~ i ~ .4 ,s~ ' 3872 • 38580 ` 3888'I3896a 3900 i"'»_•• ~ , RIVERTON 3908-i39I6 3924' 3932 . _ . . I ~ T-a~ . ~ • t. ' , 4~'~ F M MI '~0 ~o. i~O~ 4 i . MIM ~M•/ f~.~a' ~r~ w 1 ~Il.J 11 i ~ 3841 • 3849 . ;~..,,Ko,3881 3V ' n ~ ~ ~ ' . 0 s...,COli` i 89 . r.~ i'`n•1f• :M1rr • e.~u~_~''~~~}.~ 3 ~ Wg t'I ~I d ~i = :z '~y, 's ~c ~ m'~ to 390, °(O 7'~' .a 1 I r e{ :W ' ~ M i~ 6~ ?.'aF 'y 0" • +fo 21..u4V.~I 'qh I.~M« ~ C xti. . f~ . r ~ w. i. w~ ` ~rrH' ,µf,..`~ ?~e' .i..~- __>.>^g-'r.:r_.. ~~C /1r~ ti~~r~;933 :I~~s - u' 1 ?x'~ ~.ilo• i. 'w .feo _ . co ~I . . _ . . ~ . i - ° W ' 4 0 ~ ~ %0 . " MASTER CAftD LOCATION OWNER ~~4 GrlM.•I .-a~ • STRUCTURE AND ^ LAND USED AS ec)r/ Issued.To Permit No. I Issued Coniractor Owner BUILDING ~q 63 PLUMBING 3 ~r CESSPOOL - SEPTIC TANK ~ WELL - ELECTRICAL ~ HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING 3. SEPTIC FOUNDATION 5-/?- 71 ' CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEA7ING OF WELL GAS INSTALLATION SEPTIC TANK - ~ / CESSPOOL DRAWFIELD PLUMBING WELL SANITARY SEWER - 3zf Violations No}ed on Back COMMENTS: I ~ COMPLIANCE INSPECTION REPORTS 70 BE USEO ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE a 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 DESCRIBEO AS FOLlOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspectad. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPEGTOR OATE COMMENTS: DAK 544 ZONING - NOTIFICATI6N OF INTENT Foster Family Homes Dsy Care Homes T0: d~~ cf Ga,J C0 0 fC.t9~ ~c ( (Muaicipality or Political Sub-DSivi ccf rrzzQd (Street Addresa) (C3t ) (State) (Zip) FROM: Dakota Count9 Social Seroicea 357 9th Avenue North So. St. Paul. MN 55075 APPLICANT: " L. qw~ ~pr ~QSe • (xam ) . , ~ ~ v-e ?~on ~Lc3z~ (Street //L4 ^j ST (2'z,- (Citq) (Seate) (Zip) Number af Natural Children under 18 ia home: 0 1 2_03 4 Sf • (circle number) Number of Foster Children included in licenae: !g)1 2 3 4 5 5 7 ' (circle number) Number of Natusal Preschool Children in Hame: 0 10 3 4 5 (circle number) Number af Day Care Cilildrea included in license: 0 1 2 3 4 5 68 9 10 (c3rcle anmber DATE OF NOTIFICATION: 1999 BUILDING PERFJIIT APPLICATION (RESIDENTIAL) CIfl oF EAGAN ~ a (0 3830 PILOT KNOB RD - 55122 ~ c 651-681-4675 New ConsirucNon ReaulremeMs Remodel/Reoalr Reauiremenh ? 3 reglatered aNe surveys showing sq. R. W bt, sq.8. oT house T coples of plan and Qy roofed areos (20% maximum lot eoveraae allowed) 1 aef of energy cakulafions for heated addMlona D Z coples of plam (show beam 3 wlndow alzea; poured ind. design; etc.) 1 sife survey for exleda addNions a decks ? t set W energy calculatbns i 3 copies ol hee presenatbn plan X IW piaHed oter 7/1/93 DATE: C9124I/ CONSTRUCTION COST: Z7. ~ DESCRIPTION OF WORK: V'/;tjLjrg STREET ADDRESS: s2 (o 47` /C ! /4'~/~ LOT: BLOCK: . _22 SUBD./P.I.D. 6s&Qx i G Y U \J -e Name: Phone#: ~eS~ {o97Z PROPERTY ~ Flrst ~g~'/ ~J, tle,~J Ale_' OWNER Street Address: T J ciy stme: zip; 5-5 / 2. Z. MA.S'IEIt REMODELING, INC. Company: 37 Tanth Cvwni a qpuyh Phone Hopkins, Minnesota 55343 (oreo eode) CONTRACTOR (612) 932-9311 I3 Sheet Address: License #~l~9/1o Exp. 31,71100 Cffy State: Zip: ARCHITECT/ ENGINEER Company: Name: ieiepnane r:: uraa cude ( j StreeT Address: RegistraHon City State: Zip: Sewer S water Iicensed plumber (reauUed for new conshucflon oMVL Penally applies when address change and lof change Is requested once permit is bsued. I heraby acknowledge that 1 have read this appllcaNon, stafe that the In, is rre and agr to compty wNh all applicabl State of Minnesota Statutes and CMy of Fagan Ordinances. Signatureof Appllcant: OFFICE USE ONLY 1 "3,TE D Certificates of Survey Received _ Yes _ No SEP 21 j999 Tree Preservation Plan Received _ Yes _ No _ Not Required BY:_ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 70 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. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (lntPrior) r-I 42 Rprqnf * Give PCA handout to applicant for demolition permit GENERAL.INFORMATION Const. (Actual) Basemerrt sq. ft. Census Code (Allowable) Main level sq. ft. 5AC Code UBC Occupancy sq. ft. No. of Unfts Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge -I - ~ Plan Review License MC/ES SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ~IS-~'S•~l s SAC Units %'SAC 1999 FIREPLACE PERMIT APPL[CATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 ' Date:_ ct 4l Description of Work: _ Consh-uct new fireplace _Gas _Masonry _ A![erations to existing Install gas insert onl/v/ ~C Install gas line only _ Other _ QQS .JL!/hIL °~L .(/h.d-~ Job address: t ~ p r fp n Lot: ~ Block: J Subdivision/P.I.D. ~ )J_Ljs~ Lsr~ i Applicant (circle one only): Owner ontractor 1 Perniit Fe ~$60.50 Name: DQ Q IL Qn /A14a Phone Ip 5 I- TSq - 7~- PROPERTY Last First Ow'NER Saeet Address: City State: Zip: Company: Ga8 L'lIIC P1118, Ii?c. rnone bi a- aa-c~ -6 aao 4806 n e ge Street (area code) FIREPLACE Prlor Lake, MN 66372 INSTALLER Street Address: City State: Zip: Company: Phone (area code) , GAS LINE INSTALLER Sheet Address: ~ Ciry State: Zip: 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 Ordinanc L QG(/( OL ' f if.eD . ' ature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. vt~ 2007RESIDENTIAL BUILDING rERMIT arrLicaTioN4 / . ce City Of Eagan vI S~J 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements RemodeVReoair Reauiremenis office Use Oniv 3 regislered site surveys showing sq. fl. of lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey'.Recd _ Y' "N (20% maximum lot wverage allowed) 1 set ot Energy Caiculations for heated addNOns Sotls Report - Y_ N 1 Soils Report if proposed building is to be placed on disNrbed soil 1 sde survey for additions & decks Tree Pres Plan Recd _ N. 2 cbpies of pian showing beam & window sizes; poured found design, etc. Addifion - indicate if on-s8e septic sysfem Tree Pres Requiretl -Y.: _ N i set of Energy Calculafrons Onsfte Sep8c:5ystem : _Y _N 3 copies of Tree Preservation Plan if lot platted afler 711/93 Rim Joist Detail Options selecfion sheel (6uildings with 3 or less units) Minnegasco mechanipl ventllaGon form Plans are considered public information unless ou state the are t ade secret and the reason. Date Construction Cost Site Address UniUSte # Description of Work Multi-FamilyBldg _ YTkN Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~~/?~•Z ~~~~i e Telephone # ( } Contractor Address PG City State Zip~J c~f~ Telephone C-- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BtJILDiNG , , - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) . Submitted - Su6mitted • Energy Enveiope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similpr plan based on a moster plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber ielephone ) Mechanical Contractor Telephone ~ Sewer/WaterContractor Telephone#( J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conforxnance 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 wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ' ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes p 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. Afl - MuRi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-pfex ? 12 12-plex ? 25 Mlscellaneous Work Tvpes p 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ?42 Demolish Foundation ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant DesCription: Water Damage _ Yes . Vafuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code 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 _ Footings (deck) FinaUC.O. _ Footings (addition) _ FinaUNo 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. _ AirTest _ 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 PIaM License Search Copies Other Total            þýüýû  ÿ þüþü     ûÿÿ ýðñúêê ÿý Ú ßÿî ê  ÿ  ø  úùø ÷ÿÿöýÿ  ÿýÿ ö ø ÷ÿõÿ ÿ  ÷öýÿ  ÿýÿ ôÿÿ úóÿôÿÿ ø ÷ÿôýòý ÿ úÿ ýõñùÿ ðÿñÿõñùÿ ÿúóÿ ø ÿ ÿ   í ðýáö   ßÿûôõ íááá  ÿ ñçÿÿæöúåä ö ãâèèá ÷û  ú îý üÿçàÿâèíèí éýýíè  öõ ø ôó ÷÷ý ø Ý ÷÷ýÿýÿ ýüÿ í ðýáöÿ êáðßÿ ßÿ   ßÿôõþýüýôõ æíãááá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý  ÿýýü ÿÿñ÷  îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 2007 Eagan, MN 55122 DATE: > r u l ? I Zoning: No. of Units: Owner: w$'"�a,i :.ts ... v.. � Lte J. 2 C41 '..i • Address: } Site Address: Plumber: r 1 agree to comply with the Village of Eagan Connection Charge: ! . • Ordinances. Account Deposit: Permit Fee: Surcharge: • By: Misc. Charges: Date of Insp.:.3'•.3/S - 7 Total: •'` Insp.• Date Paid: , r;, VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road \ PERMIT NO.: 1120 Eagan, MN 55122 DATE: 3 / 20 / Zoning: c?— l a No. of Units: Owner: Cedar Grove Construction Co. Address: Site Address: 3604 Riverton R,ve. 3 -3 -t Plumber: Stein's Meter No.: Connection Charge: 3` 0 . 00 Size: Account Deposit: Reader No.: Permit Fee: 10.00 1 agree to comply with the Village of Eagan Surcharge: C Ordinances. Misc. Charges: Total: 33�. 50 By Date Paid: 3 Date of Insp . :.3 -3 0 — 2,3 Insp.: PERMIT City of Eagan Permit Type:Building Permit Number:EA117234 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 3864 Riverton Ave Lot:3 Block: 3 Addition: Cedar Grove 8th PID:10-16707-03-030 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 . Dan Lahr 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 - Daniel C Page 3864 Riverton Ave Eagan MN 55122 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167368 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 3864 Riverton Ave Lot:3 Block: 3 Addition: Cedar Grove 8th PID:10-16707-03-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Daniel C Page 3864 Riverton Ave Eagan MN 55122 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature