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3872 Riverton Ave Receipt PLUMBINGPERMIT PermitNo..-; CITY OF EAGAN • Fee - Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date ~2. Installation Cost 3. Job Address Lot Blk. i Tract 4. Owner ~ 5. Contractor Phone ' 6. Address " 7. CitY State Zip 8. Building Type: Residential Cl Commercial D Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory 5oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks- SeW St W"tI` conn. Dd. on:;.3-26-71 #761 3 $,375,00 Addition Cedar Grove #8 Lot 4 sik 3 Parcel 10 16707 04603 Ownerl~~"r-:1.. `-a ~:+-~-streec 3872 Riverton Ave. State Eagan,MLV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK s 1970 125.00 .QQ 2 Paid , SEWER LATERAL ZL 19710 1539.10 WATERMAIN WATER LATERAL 19714 5 WATER AREA STORM SEIN TRK ~ 570RM SEW LAT 1974 CURB & GUTTER 510EWALK STREET L1GHT WATER CONN. BUILDING PER. sAC .00 7613 3-20-73 PARK CITY OF EAGAN 0, ~ f_: n ~ 3795 Pilo! Knob Raod Eoyon, MN 55122 , PMONE: 454-8100 BUILGING PERMIT Receipt # •y + Te 6e uNd ferBEDRf)OM/BATH ADD. Est.Value $16,000 Dare tTay 5 1983 5ite Add,eu 3872 Riverton Avenue Erect p Occuponcy :-3 Lnt 4 Block 3 Sec/Sub.Cedar Grove 8 ^irer p Zor,in9 R-1 parcel # IO 16707 040 03 Repoir p Firc Zone ZIA Enlarye M Type of Const. v aWr Name RomAn Thull Move O # Stories ; ^ddross 1872 Ftiverton Avenue pernoli,h 0 Length 26 b Ci 5 2 pho,x 454-2138 G?ode ? D@pth li $q. FL. $ Name HauiMar Enterpriaes Acvrovals Fees o~ Address 8252 KnOx Ave. So. Assessment Permit 116.j0 u ~ Cit . loominpton phane 888-2572 Water & Sew. Surchar~e S. 00 Police Plon check SQ . 25 ~Z NO^'1e Firo SAC 7 H Address Enp. Water Conn. <W Cf Phone Planner Water Meter Cauncil Rood Unit I hereby ocknowledge thot I have read this opplicarion and stote that gldg. Off. the informotion Is correct and agree to wmply with oll applicable ^PC Totol $182.~5 Stote of Minnesoto Statutes o~d City of Eagon Ordinonces. Sipnaturc of Permittee HamMnr Enterprises-,. /1 8uilding Permif Is issued to: on the express condition tha+ oll work shnll be done in occordance with all opp{rtaOle Sta~e of ' nesota Statutes ond City of Eoqon Ordinances. Bulldinq OfFicfal Permit No. Permit Holdar Misc. Permit No. Holder Plumbing H.V.A.C. Well Water • Disp. Sewer r , " . elecs?+c W Z7 6 3 ti. Er !o-(7--63 w aS91oa'-5jT#.ptrral F1t C~-3o-,$3 (Fe ~~??•cc v~.I Irnpection Date Insp. Other Footings Foundation Framiny Rouph Plbq. F yfJ Rough HVA I~wlation °~~if1~b3 Q-y n~• y . Final Plbg d Final HVAC Final Water Describe I.ocation: . MVell Sevwr ' Pr. Disp. a r CI'PY OF EAGAN Include 2 sets of plans, 1 site plan w/e] evations & BUILUING PErdIIT APPLICATIODt 1 set of energy calculations. To Be Used For S,cl a~1~ valuation~ oate S.. site Address: 3 Z t J 611 4-cIe~- oFFicE uss oru,Y Lot ~ slocx 3 sec. /sub. Ca~~l' C~ rnv L 75 Erect occutancY Parcel [D ~ (.9`1o-i CLAb D a Alter Zoning Repair Fire Zone ~ Owner: ~Uiwt t~-1-t l I1 C~ Enlarge-~ 'Ippe of Const. ~ Move # Stories Pddress : 3 '7' Z ~,J cYL 4-c°>41 4i1 f- Desmlish Fmnt 2fe ft. Grade Depth t"z ft. City/Zip Code: C Ga ~j.a,i„ Phone c'Z 9- APPROVAIS FE'ES ContractAr: ~ p evil A 2 Assessments Permit ' "P/( ~ Address: pq y 2 ;~u at ~(l E s o Water/Sewer Surcharge Police Plan Check ,~-8' City/Zip Code: )3( 0 cyytr j,. ~ f~ Fire SAC Ph~ ~ En4. Water Gonn. Planner Water Meter Arch./Eng.: Council Road Unit l Bldg. Off. Address: APC City/Zip Cale: ' Phone # : ~`PAL ~ go~ ~ ~ ~-3-r r VILLA(}E OF EA(ypN , 379$ Pilot Knob Road Eagari, Min:?eaota 55122 PERMIT NO.: »t The iTillage of Eagan hereby grants to Cedar Grove Construction of 7343 Concord g].vd. g., go. St. Peul a HFATING Permit for: (Owner) s8Me at see attaohed 11at , pursuant to application dated 3/19/73 Fee Paid: $200~.00~ dated this 20th day of March 19 73 Mechanical Permits: Building Inspector did Total; 5L -~3 G6 g- vzLr,ncs or Eacarr 3795 Pilot Knob Road Eagan, Minnesota $5122 PFItMIT N0. : 31 5 The Village of Eagan hereby grants to Cedar Grove Construction Cp. I of 73L3 Conaord Blvd. E., 30. 9t. Pmil. 5507~ a nTTTEM=Np Permit for: (Oamer) saTne ~ 3 P at eae &bteAh9d I iat , pursuant to application dated 3/19/73 ! • Fee Paid: 2CQ.M_ dated this 2pth day of Maroh , 19 73 I . 3ft~ I 5.00 s/o , f Building Inspector i~iechanical Permits: ztid Total: i 9 CITY OF EAGAN nn p 9795 Pilat Knob Rmd Eagan, MN 55I31 ~7 lr ? 7J~7 p PHONFi 454-8100 BUILCING PERMIT Receipt # Te M wad fer BEDR00M/BATH ADD. Est. Value $16, 000 Date May 5 _ 19 83 Stte Address 3872 Riverton Avenue Ewt R-3 ? O[cuponty Lot 4 81ock 3 Sec/Sub. Cedar Grove 8 p,lrer p Zoning R-1 parcel # 10 16707 040 03 Repnir ? Fire Zone NA Roman Thull Eniarge ~ Type of Const. V w N°me Move 0 * Stories z qddre, 3872 Riverton Avenue pef11Olish 26 ? Length_ C; Eagan 55122 phom 454-2138 Grode ? Depth 12 Sq. Ft.- ~g Name HamMar Enterprises Avvr"ob Fee. Mdress 8252 Knox Ave. So. Assessment pemit 116.50 Cit BlOOmington PMne 888-2572 Woter & Sew. Surcharge 8.00 ~ Police Plan check $$•25 Z Nome PFire SAC ME Address Erp. Water Gonn. <W Ci Phone Clanner WaterMeter Council Rood Unit I hereby ockrwwledge that I hove reod this opplication ond stote thaf Bldg. Off. the inlormotion is wrrect ond ogree to comply with oll opplicable APC Total 182.75 Stote o4 Minnewro Stotules and Gry of Eogan Ordinances. Slynoture of PermiMee A Building Permit is issued to: HamMar on the express conditlon thm oil work sholl be done in accordonte with all p F~nterprise I Sta o ' neso -Stotutes ond City of Eagan Ordirwnces. Bullding Official ~ A . ° - EAGAN TOWNSHIP BUILDING PERMIT N°• 2963 OWRBS ' . . °°•--~y--`..~^~°- Eegan Township Address (Presenf) ".....'A....~.~s'.~.'.f.'~........ Town Hall Suilder . Addreu D8=e y ~ . DESCRIPTION Stozies To Be Used For Fxonf Dapih Hetg6f Esf. Cos! Parmi! Fae Ramarks ' . z } g ro I ia / ,a-..e.., 37. oo sk- GSaO LOCATION ~XGd.,C`O 5lreei, Roed or ofher Desenphon of Locaiion I Lot Bloek Addifion os Trac! 3 aV 44 a 3J 'f L a-Q ~ ~ ia im~~"tloes o aulhorise ! e- use , .o..f 'sireela ro a ~~<dlle y-s-or sidewalks aor does it give the owner or his agent the iigh! !a creale anp sifuafion which is a nuisance os which presenls e heaard !o ffie heelSh, sateip, eonveniance end - general welfare !o anpona in the eommuniiy. ~ THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORg IS IN PAOGR SS. T63s ia to eertifp, lhat.._..~.~...'~:L.-'_~ :.....-_-.,_.----..has permissioa fo erec! a..~. This _ up o n Ihe abOve deseribad psemiee subjeal So the provisions of the Suilding Ordinanee for Eagan Township adopfad Apri1 11, 1855. . • Per Per Chairman ot Tnwn Board ~ Building Impeclor ~ ~Thierequestvoid 69-30 Lytl33 `--'~V~' ~ 3~~~~ 18 rtqnffis,Fmm ~ W.059603 Re ue t D'dte Ffre No. Rouph-in Insoecti HeqwreA? e:~dV Now ~ Will Notify InsVer.- a/g ~Yes No Ior When Ready cynsed ElecViwl ConVacmr I hereby request inspection oi abova ? Owner electrical work instelled at: Street Address, Bo r Foute Nu. Ci 38 u~.. eeLOn o. Township Name ur No. Flanye; No. Co OccCntIPFINTI Phone No. OdviQii 7~~tu ~ -~13g Power Supplier AtlAress v Ele trical Contractor ompany Neme) Conh2ctor's License No. ~ . O 3 t 9 Mailinp ddress (COnVa tor or Own r Makine Instailation) ~ SS 'e- - ~ 5 5 3U3 Auth z Sianat e( ont actor/Ow r Makiny installation) Ph ne Number - 3y- i33 0 MINN TA STATE BOAND OF E CTPICITY THIS INSPECTION REQUEST WILL NOT Grig -Mitlway Bltlg. - Naom N-791 BE ACCEPTEO BY THE STATE BOAPD 1821 University Ave., $t. Paul, MN 66109 UNLESS PflOPEN INSPECTION FEE IS ENCLOSED. REQUEST POR ELECTRICAL INSPECTION EB-00007-04 . ' See insbuctions lor compleling this form on hack of yellow copv. 4: w1 5~9rffl3red by This Request " 'Be~ 7 AAtl Aep. Type of 8uilding Appliancns Wired EquiVrt,ent Wired Home Range Temporery Service Duplex Water Heater LiyhtinG Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unluader Industrial BIAg. Air Conditioner 8ulk Milk Tanlc Fyfm [hai peci y Other (5peclfy) t er Suecify Other Other Compute lnspection Fee Below N Fee ServiceEntrenceSiie k Fee Feaders/5ubteeders +t Fee Circuits U to 200 qm s- 0 to 30 Am s U to 30 Am s Above 200 qmpy 31 to 100 Amps 31 to 100 Am s Swimming Pool A6ove 100_Amps Above 100_Amps Transformer5 Irrigation Booms Partial:'Other Fee Signs Suecial Inspection $/~S Pemarks TO FEE .C) Rough-in Da[e I, the eVical InsVactoq hereby iity thet the »bove I Final ( i' I ' pection has bean . made. rnia ranuast voia 19 moNhe Irom Thizreouast vo,d[o-t1 Ly ~ gCr 4a,v- Grav~ 3(~~QS 18 nwnths from W 27633 ao ca Request Oate Fire No. Rouph-in Inspection ReqmreA? ? Neetly Nuw ? Will Notify. Inspec- TDJ Yes No tor When Ready Licensed ElecVical Convactor I hareby requast inspection of ebove Owner electricel wo,k installed at: Svee[ Atldress, Bo R[ N. City ~ ~ 02 x~ J ou u e e o,2 roti J~u A G.' A.c~) ecuon a. TownsM1ip Name or No. Fnnge No. County D .K o -Ti4 Occ ' nt IPN ?h INTIN ~ ~ L Pho~ No, 3 ~ o S Power Su00lier 1 Atldress r-'0.(`t+41!4q Elecirical Convactor (Company Namal Contrac or's Licensa No. QGOI'1.& r Mailing AAJress (COntr tor or Owner Mekine ~0 tailation) 3~7a Lv~~aV\ s-, Ca r~ M/J Ss7 2z Authorrze Siqnawre (COnvactor/Ow aking Installati N hone Nu'^~ber ~ ~ MINNESOTA STqTE BOARD OF EIECTRICITV - THIS INSPECTION flEQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACGEPTED BY THE STATE BOAND 1821 University Ave., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS ENCLOSED. P' REQUEST POR ELECTRICAL INSPECTION EB-00001-03 v~~ 2 i 6 3 3? Saa inshuctims for completinB this form on bnck of yellow copV. "X" Below Wofk Covered by This Reyuest 3(p New Add ^7Vpn of Buildiny Applinnces Wiretl Epuipment Wired Home - Range Temporary Service Duplex Water He2ter Liyhtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader 1ndustrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci v C G therlSUecifyl t er SVocifY t er Other Compute lnspection Fee Below k Fea SarviceEntranCeSize q Fxa Faeders/Subieadera N Fae Circuits 0 to 100 Am s 0 to 30 Am s 0t D to 30 Am ~(,qp 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Am s Above 100_AmPs Transformers Remote Control Cira k Partial%Other Fee Signs Special Inspection $ ao~ ~00 Remarks ` `J~ T l FF,E ~ O hic Rough-in ~ 303~1 orhe~Final de. This reyuest voitl 18 nwmhs from 2004 RESIDENTIAL STJII.DING PERMIT APPLICATION . City Of Eagan ` 3830 Pilot Knob Road, Eagan MN 55122 3`+ Li Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdbn Reouirements RemodelAieoair Reouirementa 3 registered sile surveys showing sq. tt of lot, sq. R W house; and all roofed areas 2 copies of plan -~(20% maximum bt coverage allowed) 1 sel of Energy Calwlatiore for heated additions 2 copies of plan showmg beam 8 windax s¢es; poured found design, etc. 1 site survey for addifions & decks 1 sat of Eneigy Cakulations Additbn - indicate if on-alfe septk system 3 copies of Tree Pmservation Plan if bt platted afier 717193 Rim.bist Oemil Opfions selectlon sheet (bldgs wifh 3 or less unils Date ! / 4 / b ci Construction Cost SiteAddress 2 7D Q; ven .-~A-u e UniUSte # ~ r, i+/1 ~l S S I~ Description of Work N (f-~ Multi-Family Bldg _ Y ~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ar Telephone # ('~t S`'/ Contractor ieP---tC Address l l( S AlUr.2 City ~i 54•~ Y~~ State /'I ZipSSd'7$ Telephone #(is'/ )'7S 3- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tvlinnesota Rules 7670 Category 1 Minnesota Rules 7672 Enefgy COde Category . Residentlal Ventilafion Category 1 Worksheet • New Energy Code Wwksheet (4 submissiontype) Submftted SubmiNed . Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone j Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Peimit and aclrnowledge that the informarion 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 NIIV Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and appro of . S f~-c lliT 2 pplicanPs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex d 10 08-plex 0 18 Deck ? 23 Porch (screeNgazebo) ? 38 Multi Misc. ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types 19 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 Windows/Doors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy IZ -3 MCES System 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) FinaUC.O. _~a Footings (deck) Ld FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ SWcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: i 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 ~C~ E~ ..i / .....W~..~ ~ u,,NG sNISPECT~~~W~ JJ l/ ~ 2 (a ~ a' f}-~~.C~1"o C17-1 x ~ S V~ y. 2~D r m }1-~.~ca-~b~^ lo, + C-71, ~ ~ ~i~'E~amr1 ~-UE , MASTER CARD LocATioN a, .3~72 OWNER STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contrador Owner BUILDING PLUMBI NG 3v- CESSPOOL - SEPTIC TANK ~ WELL EIECTRICAI ~ HEATING 32 I ( GAS INSTAILING SANITARY SEWER OTHER OTHER I Approved Items (initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ~ CESSPOOI FRAMING . TILE FIELD Ff. FINAL ELECTRICAL DEPTH HEATING _ ti - OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWERq Viola}ions Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS ~ TO BE USED ONLY IN EVENT OF OBSERVED VIOLAilONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-tOMPIIANCE ~ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPIY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY ~ WITHOUT DELAY. i ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected ihe above in which I have no interest present or prospective, and that I have reported herein all significant conditions oLsarved to be at variance with ordinances ot the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvemenn relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE CONuNENTS: CQQP~P 23 - ~ For Oflice~:~l6ls7e ~ j Pertnit City of Eap I Permit Fee: f 3830 Pilot Kno6 Road Eagdh MN 55122 ~ Da[e Received: l., I Phone: (651) 675-5675 I j Fax: (651) 675-5694 i Statf: ~ -----------------j 2008 RESIDENTIAI. BUILDING PERMIT APPLICATION 3~7oZ I VPA~)rj iywc Date: O k Site Address: IC Tenant: Suite i: RESIDENT / OWNER Name: P.omar Phone: (aS-I - ys 4' Z0j f' Address/Ci[y/Zip: 3f-7 L ~I~tL..~•• /-}i,z ,E-CQ.r1 AppliCan[ is: _ Owner X Contrac[or TYPE OF WORK Description af work:- !f[u - 3 ~J~-,- f e'o o~~" J Construdion Cost: 10,000 MuRi-Family Building: (Yes No A--) GONTRACTOR Name: Licenseil: c~04~o(o~t7`7 Address: '710 i,Jm[u;~, s!-e. Jbu City: Nt°.t,J rJdQ, ~2 ~N State: Zip: Phone: 7S S- -)S'33 Contact Person: 1`i~n-i ~ra CORAPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residen6al Ventilation Ca[egory 1 Worksheet • New Energy Goda Worksheet Category submiaee sunmitted (4 submission type) • Energy Envelape Calwlations Submitted In the las[ 12 moMhs, has the City oi Eagan issued a parmit for a similar plan hased on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plum6er. Phnne: ' Mechanical Conhactor: Phone: Sewer & Wa[er Contractor: Phone: NOTE. P1ans ahd supporting documents thaf yau su6miit arecons7dered to be'pu6flc infomratlon. PorNons df the infa?matton may be classSted as nan-public N you provide speciAc reasons that woufd permif the Citytn; canclude that th are hade secrets. I hereby acknowledge that this information is wmpiete and accurate; that the woAc will he in conformance with the ordinances and codes of the City of Eapan; that I understarid this is not a permit, bu[ only an appAication foi a permit, and woric is wdhout a permR; thaz the vrork will 6s in accordance with the approved plan in the case ot vrork which requires a review arW ap p s. ~ x T'~/~-1 I~~` ~d x AppiicanYs Pi ed Name ApPlicaM Sig " e Page 7 of 3 VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2008 Eagan, MN 55122 DATE: 3/20/73 Zoning: ti. -1 No. of Units: 1 Owner: Ceciar (rnvA f onstruction ,;0. f Address: Site Address: 3872 Riverton Ave. jI4, -3 -8 Plumber: Stein's agree to comply with the Village of Eagan Connection Char 375.0 Ordinances. Account Deposit: A Permit Fee: 10.00 Surcharge: .5 By: Misc. Charges: Date of Insp.• y'.3 ' ? Total: 3 Insp.• Date Paid: 3/20!73 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.• Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: .� Address: Site Address: 1. kAr 14 ) —„ Plumber: ' r Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: • . its 1 agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: '' { Date of Insp.: II - 7 3 Insp.: PERMIT City of Eagan Permit Type:Building Permit Number:EA114490 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 3872 Riverton Ave Lot:4 Block: 3 Addition: Cedar Grove 8th PID:10-16707-03-040 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 . Rich Rybak Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Roman B Thull 3872 Riverton Ave Eagan MN 55122 (651) 454-2138 Rybak Brothers Construction Llc 2206 East 117th Street Burnsville MN 55337 (952) 405-8871 Applicant/Permitee: Signature Issued By: Signature 4 � _��_��__��-� � f�4ffice ltse � Clt� of�a�aIl i Permft�: � � ��Ol Q� � , � 3830 Pilot Knob Road � �i Eagan MN 55122 L Date Reoeived__ � � — Phone:(651)675-5685 ��1�� --------� Fax:(651)675-5694 Email:planninqCa�citvofeaqan.com '�� 2 ,9 �,�� ZONING PERMIT APPLlCATiON ❑ Please identify iir��ovemerrts on a scaled site plan drawing that shows lot lines, structures and existing condifions. PROPERTY Site Address: ��7� � ` V�� it-� ��_ �-�-k(a{�: � .- v J/ � INFORMATION Owmer Name: �,�--�� W(�ti �"��" � Name: �„�lc,(7�i°- 4- ��z�� .�'G-�-� Phone: ��! '��`��o'�f.3 CONTACT Address: ,,��'� � �.( +t� t�'�r��(J 14r��- CitytState2ip: ;q-.% iiJ,S'�',/ .z- Applicant Signature: Y�- � Date: � � Email address: b� ��fi%�� C�.� t�"7'�'1��f�p �l�"'�-_ ❑Retaining Wall<4 feet ❑Driveway Other �' �. �_, TYPE OF ❑Patio ❑Sport Ccwrt WORK ❑Sidewalk ❑Fence 1 i �. �� .. r c x / ` Description of work: �$ `�1?,�1-�-c�' PLANNING Set�adcs,harc!surface coverage,st�or�iand zoning,Wutf zone/setbadcs;etc. t� �' , pprov�/Denied Date of Approval: � �C,- l � Staff: /'� -C �" ' Nobes:�'G`)� �2�-`t d�r��( '� �_$��-L°C� �(,��1��' �� Z c- � � "r��CSC�G• 1 t��l � ` �c��f f.. -� PTO r,� � <: c ��r� P.�.-, �,,� � /c� �' �� Perly lines to be v �, � J,r I / )/ � �' � bY�ontractod erifred �.. ..�-1L�I�.1.4' :�� (i1�-t�.,�..VQ�,..<y ,�`+` .. . , � Revised Plans ' r@S On e►',applicant is Approved: Yes/No pate of Approval: Staffi P seble for c ENGINEERING Grading,drainac,�,utility easements,wetiands,erosian control,i S. Approved 1 Denied Date of Approval: Staff: Notes: Revised Plans Approved_ Yes 1 No Date of Approval: Staff: COMMENTS CALL BEFORE YOU DIG. Call Gopher State One Call at(S51)454-000� :,r protection against underground utifity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. �nrwri'�Q��rstateonecall.ora 3.;. ,.. G:\Building IC�sp�tions\PERMIT APPLICATION512011�2011 Permit Applications , � � 31�� g �r � �� ja �-vp��s��. - a r''ti�Ytie!9 � . � �� _-�.� _ � � � � [ � - � . ,.,._:��C 1�aPECT1�� = _: �, + Js�. --�'� - . �1 � � p y�i'nas to , � _ �� 'actar��r�`J� .� �'/1 °wn�r f s+ � S�' • 2C� � � �,� � - � �-�,C�t`�� .a4 � �{��' � � . . �� `' � �� Ta�e o�rr�er/�;�plican is r�s�or�s�bl�#�r c�m l�ance w�th a��li��;� c�r��tr��n codes, �� . :�t�`�,(�,� �-u� . PERMIT City of Eagan Permit Type:Building Permit Number:EA151906 Date Issued:09/18/2018 Permit Category:ePermit Site Address: 3872 Riverton Ave Lot:4 Block: 3 Addition: Cedar Grove 8th PID:10-16707-03-040 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 - Roman B Thull 3872 Riverton Ave Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature