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3880 Riverton AveCity of Eaaii go co Use.BLUE or BLACK Ink F.orOffide, Use Permit #: 3530 Pilot Knob Road Permit Fee: Eagan MN56122 F. C I. g. F D Date Received: Phone: (651) 675-5675 Fax: (651) 676-5694 j , 1•f ¢ Staff: / 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �l _cr�� ^T;Site Address: C3 98) / U)kkr/ Tenant: RESIDENT / OWNER TYPE OF WORK Suite #: Name: rtjC r) c [. c " ` � � Phone: 6.57. Address / City / Zip: 8 �8Q Q / Otrj 7 -)-(re, Applicant is: Owner )( Contractor CONTRACTOR Description of work:(At, "Ce/7o, -tudai 1b U rtt"'7 uld °)7qt , (5>,(44P G 4'Le 94 Construction Cost: #5-65-1 ( Multi -Family Building: (Yes / No X ) C�Y1 AmadttA,Jne._ . Name: () Address: 4/7l7 / (�, License #: e1 W/ 7�' ' / 11/© L . City: G 2Q G 1��4 State: /nl�k Zip: 56-0/ y> ,% C // / 062o 7 (P Contact: ,%{(it 062o Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A 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: c_IV' Plars-hili`al 4upport►n,g alo?capr'e s fJi` t you s,r�br-10•1#1.0•00004.4.ibf i�r► t oir= ; . •the inlforrnutio» m r3 T .. IS rti »s.of gybe;;0rass dd *11.: a�{. ib"IIVIFYad'{ rOaf 'j Oilk�'e P '}r p ifxt ,.�, 0,,Stde brat. tit.+yfa� ' ... ...., � �"tR,t"iPeM5 k 6L CALL BEFORE YO.0 ptO. 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 1 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 l'i'S OA 79--A Applicant's Printed Name Applicant's Signature . • ti• Page 1 of 2 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN - - Fee Fill in numbered spaces S/C Type or Print /egib/y " ~ ~ . ~ 1. Date 2. Installation Cost io ' .7 ~ ' ~t 3. Job Address Lot` ~"Sik. ~ Tract - I 4. Owner 5. Contractor Phone ' 6. Address 7. CitY State , r'• Zip - 8. Building Type: Residential t1 Commercial O Institutional ? 9. Work Description: New ? Add 'M Alter ? Repair ? 10. Describe Fuel Type ` • 11. No. Equinment BTU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other ' Air Cond. • Mfg. Gas. Piping Outlets 12. I hereby certify tt~at the above information is true and correct, and I agree to comply with all or'dinances and codes gaverningthis;ype of work. y . : . Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN - 3795 Pilot Knob Road Eogaa, MN 55122 N2 4668 PHONE: 454-8100 BUILDING PERMIT 5 2, 000. Receipt # 41 bt, To be uoed for Fireplace Est. Value Date ~r•, 74. , 19 -7~ Site Adc~ress 3880 itxvcrton Erect 11 Occupa?,cy 1 Lot 3 Block Sec/Sub. Alter ? Zoning Parcel Repair ? Fire Zone 3 _ Enlarge p Type of Const. oWc Name 'Llj~~or.g_. Move p # Stories Z Address 3880 kiverton Demolish ? Front ff. 3 - ° Ci :'aKan Phone 452-5073 Grode p Depth ft. °C Name ! irenlace Gonat Approvob Fees 0 Add~eu Assessment Permit 9.00 ~ Ci Phone 94G-29Z2 Water & 5ew. Surcharge ~ Police Plan check FW Name Fire SAC 1~ Address Eng. Water Conn. ~W Ci phone Plonner Water Meter Council I hereby ocknowledge that I have read this opplication and stnte that gldg. Off. _ the information is correct and agree to tomply with all applicable APC Totol Stote of Minnesota Statutes and City of Eagan Ordinonces. Signcture of Permittee _ I ~.onias Syl<orA A Building Permit is issued to: _ on the express condition thot all work shall be done in uccordgrfce with oll opplicable State of Minnesata Statutes and City of Eogon Ordinances. Building Official - , ~u~M ~j peb Inoed h~e~kfM Plumbing Mechonicol INSPECTIONS OATE INSP. Rouph-In Firql Footings Dafe InsP. Date insp. Foundation Plumbiny Frame/ ins. MecFwnitul Finol r ~tiZC~ I Remarks: CITY OF EAGAN Remarks Sew & wtr corm pd, on 4-25-73 #7849 $375.00 Addition Cedar Gmye 8 Lot 5 -Blk 3 Parcel 10 1 070 - 5Q 03 Owner I' 3880 Riverton Ave. State- Eagan,MN 55122 ~i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK I LS 1970 1 1 SEWER LATERAL Z'ZZ WATERMAIN WATER LATERAL 1974 WATER AREA jf STORM SEW TRK 3£STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320,00 9UILDING PER. s,ac 37 .oo 7849 - 4-25-73 PARK 5- 3- Y c.~. OTLLAGE Ol~ r.:HGAN 3795 Pilot Knob ttoad Eagan, Niinn-,-ota 55122 PERi•4IT N0. 33e The Villaga of Eagan hereby grants to Cedar (Srwe C0n8t4'ucti0a? Co. - of 7343 Ca?cord Blvd. East, Sauth St. Paul a gT 1G Permit £or: (Owner) eame 390 , 392 , , 3~0? 3880 8lvertcnj 9-9,-3-j-1T-t, 1-3; >-~780~ tua~tirane 15-6f at »i8 19pWono 9.8 ca F8, pursuant to application dated 4/23/73 Fee Paid; ~ dated this 2 th day of April •19 73, 3.50e0 _ : s- Bu d ng Inspector Piechanical Permits: t3id Total: . ~j S 3--~ . ~ C. . VILLAGF OI' EtiGA1V 3795 Pilot Knob ttoad Eagan, iviinnesota 55122 PERMIT N0. 32$ The Village o£ Eagan hereby grant% to CSd&r a1roVe Cmetr1lotlaR Co. of 7343 Caausord Blvd. Eaet, sarth St. Paul a PI,DlBIN() Permit for: (Owner) e6m8 3§909 3924, 3849, 39909 3980 xivertaat 9-3 11-3ii1T , 7-5p -3 1770 Cao2iraae 3"p~e ?g~+~ A Mrr~tinralt., o~$pggs~nt to app cation date -~/23/73 Fee Paid: $11-n_nn dated this 25thday of Ayril , 19_n a, 3.50 s/o Bu' g Inspector ` Mechanical pennits: Bid Pota1: f, ~ - ~ EAGAN TOWNSHIP . N~ 2989 BUILDING PERMIT -z ~ c 'D , ~L4~.-~--t =-a-L` Owner .....~..C_.e`.c<:.::-...~..... _ Eagan Township ~ Address (P~esenl) ._..:.-_,./'5• -~t~ ~ ~ e.._----...------_....__ Town Hall Builder _ - . - 17- 7-_f Dale Address ~ ~ DESCRIPTION ~ 5lories To Be Used Foz Front Depih Heighf Esi. Cosf Permif Fee Aemarka - ~ ~ ~ ~1C. ~ S3. rz~ (a~~.:s~..tr.~.77' 02~~ ~ 'S~a p S" .'i_•'.iL-..,~. T- ~ ~[~~._,c~... r--e, oi~' -,(.X. y~,...._~ LOCATtON ~5~~ ' ~ ~.3~ Streef, Road or ofher Descripfion of Location ~ -I- LolT Block Addition or Trac! - - _ ~ ~ ~'-c~-.~ . ~ J`~c': ~ 5 This permii does nof auiharise !he use of slreete, roads, alleys or eidewalks nos doee i! give ihe ownar or hia agent ihe :ighi to exea2e enp sifuation which is a nuisance or which presenis a hasard fo !he heallh, safety, eonvanience and general welfara !o anyone in !he communily. TH'IS PERMIT MUST BE KEPT~?ON ~HE PREMISE WHILE THE WORK IS tN PROGRESS. _ ~ ...has ermission fo erec! a.......~7.°.~.... .'l"`. . This Ia So eerlifY, ihal--. . p . . .--....7 . . upon !he above desaxibed premise subjeef to !he provisiona of !he Building Ordinance for Eagan TowKship ado !ed April 11, 1855. n ^ _ • V`~,.Q., . . .c: ~t_e.•~~-v_: ~ Per ---'------f.~.~.r.s:...................---'-............---...................................._ Cheirman of Tbdvn Board ~ Building Inspeclq~; This request voidg aq L5l 18 montMS from a /o•o~ W0 91344 Request ~ate Fire No. Fwuh-in Inspection Aeuwred? - ady Now Q Will Notify InsVec- ?Ves «r When Reatly icens tl ElecVical CanVector I hareby requesl insoection of ebove ? Owner alectrical work inslallad at: Straet Ad ress, Bon ar ute ryo. ['iv ection o. TownsO Nama or No. snge No. Cownty k7p OccupnntlPqlNTI Phone N`o'. f Pawer Supplier Adtlress ElecvicaJ~ Cpn{racmr ~I'C?ompe~n~y Namel Comracmr's License No. ~.~1~?~`~J Mailing ~ s ,;IE - ~g (q~g~=vTlq~i~~~~eilationl SY LpUIS PAR:i, ;L,~j yZ,423 Authorizetl 5 n ure ICon rncmr O r Making Installatio I Phone Number MINNESOTA STATE BOAflD Of ELECTRICITY THIS INSPECTION REQUEST WILL IVOT Griges-Midwey Bldg. - Room N•781 gE ACCEPTED eY THE STqTE BOARD 1821 UniversilY Ave., St. Yaul, MN 56104 UNLE55 PNOPER INSPECTION FEE IS ow...,., iaioi on, i'll ENCLOSED. ' REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 • ' See inslructions fur campleting this torm on back of yellow copy. lf"" ~l~ BelD WoJko4- ' ~4e Pd by 7his Request 3g 3pp AAd R.P. Builtline Appliances WireA Equipmenl Wired AWRome Range Temporary Service up ex Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercial 01dg. Furnace Silo Unloader InAustrial Bldg. Air Conditioner Bulk Milk Tdnk Farm ot oeo v ntne, isucdeyi t er SVeci y thor Other Compute lnspeciion Fee 8elow M Fee ServiceEntrenea5ize k Fee Feaders/Subieeders a Fee Circuita 0 to 200 Am s 0 to 30 qm s 0 to 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 F s Swimmin Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms ~Sp Pertia6'Othe Signs Special Inspection g O TOTAL FE 6 R¢marks -7"'- Roueh-in Dnte 1,nsNe Electrical Ipacloq he~eby certify [hat the nbove Final Dte .4 inspection has bean aee. . ~l • / Tnls reoueat voitl 18 monins irom ciTr oF EacaN 9795 Pilee Kno6 Roud Eagan, MN 55122 N2 4668 PHONEa 454-8700 BUILDING PERMIT APPLICATION $2,000. Receipt _ 9166 ro be umd Fo. Fireplace Est. Value oate Ah 24-,-, 19_7g Site Ad ress 3880 Riverton Erect ~ Occupancy I Lot i Block 3 Sec/Sub. CC $ Alter ? Zoning Rl Parcel # Repair ? Fire Zone 3 Enlnrge ? Type of Const. w Name 'FbgT-- e.n-„-_ Move ? # Stories 3 qddrea 3R80 Rivo nn Demolish ? Front ft. ° Ci EaRBn phane 452-5073 Grode ? Devth k. p FirPIACP Conct AOProvals Fces o Nome p o~ ,qddress Assessment Permit-~~- u Ci Phone 944'2922 Water & Sew. Surcharge Poilce Plon check ~w Name Fire SAC Addreu Eng. Water Conn. <uZi -I phom Planner _ Woter Meter Council I hereby acknowledge that I have read this apvlicotion and state that gldg. Off. the informotion is correct and agree to camply with all applicable APC Total 10.00 State of Minnesoto Statutes and City of Eagan Ordinances. Sfgneture of Permittee A Building Permit is Thomas $ylCOrB on the exPress condition that i ssued to: all xrork shall be done in occord e wi all ap lible State of Mi nesota Statutes and Ciry of Eagan Ordinances. Building Offidal t ~ c , nATE .2 , SUZLDSIdG PF.RMIT APPLICATION - Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatiohs. To be used far aluation 104 dR C 0 d Site Address; ~~fs a ~ rJ P ? %Or~ Lot s- Block ~ Sec. Sub.l:P c1dLrrParcel Number Oamer Telephone ~ s2- ~ 0 7.7 address ~I~p ySJ_ . _I?-~il._^ - Contractor } trf(?/ J3wsT Gro . Telepttone / Z-- Address Arch./Eng. Telephone Address OFFICE USE - Erect r Occupancy Alter Zoning ~ P.epair Fire Zone IItlaxge Type of Const. Move N of Stories Deemolish Front Grade Oepth OFFZCE USE , - ~ Date of Approval & Initial FEES AssessmentPezmit ~ j Water/Sewer Surcharge J ~ Police " Plan Check Fize SAC - Eng. P7ater Conn.. Planner V7ater F9eter Council RSdg. Off, y' " ) __T . A.P.C. TOTAI, ~ - MASTER CAKD ° ~ LOCATION OWNER / •~i~, ~ / /-~i~1 a . 61 •+f STRUCTURE AND ~ LAND USED AS ec? ie r y Issued To Permit No. Issued Contratror Owner BUILDING 2qB9 PLUMBWG ~ CESSPOOL - $EPTIC TANK ° WELL ELECTRICAL HEATING 13~ GAS INSTALLING SANITARY SEWER O OTHER 70 ~ 07HER I I Approved Items (Initial) Date Remarks Distance From Well FOOTING 7 3 SEPTIC FOUNDATION CESSPOOL FRAMING 7- TILEI FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL . SANITARY SEWER ~ Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPOR.TS TO BE USED ONLY IN EVENT OF OBSERVEG VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY . WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION ` REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions oLserved to 6e at variance with ordinances of the Town of Eaqan, approved plans and specifications, and any specific require- ments for off-site improvements retating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE COMMENTS: za . r EAGAN 1YIWNSHIP 3995 Pilot Knob Road St, Paul, Min:tesota 55111 Telephone 454-5242 PSRt+IIT FOR WATER SSRVICH COPiNECTION DaCe: 4/25/73 Nvmber: 1170 Billing Name:Cedar Grove Construction Site Address• 3880 Riverton Avenue 5-3-8 Oraaer: Billing t7ddress Ylvmber: Ste:in's Location of Cottnection Meter Size Coanection Chg.320.00 pd Meter No, Pexmit Fee 10.0 pct Meter Reading Meter Dep. Meter Seaied: Yea Add'l Chg. . NO 1bta1 Chg. Inspected by Date Building is a: Remarka: Residence XX I~uit $25.00 RGIP1"?rCT!O^d FF~ rOR iple So. [7nits IM~'.~,~~,~,: •.i ~ ;';i~T~.~ Commercial Iadustrial Bp: Other Chief Inspector In consideratioa of the issue end delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rulea and regulatioas of 8agan Township, DakoCa County, Minuesota. BY: Stein's Please notify the above office when ready for iaspecCion and cotu?ecCion. L § gL ~ CITY USE ONLY RECEIPT S415 SUBD. l_fliLir O DATE:_ k/A 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Piease complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N.~.C TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen 5ink 3.00 x = Laundry Tray 3.00 x = 3.00 x = Water Heater 3.00 x = oor 3.00 x = Gas Piping Outlet * minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 Alterations * to epsting 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ''So SITE ADDRESS: SVKORR THOMRS 3880 RIVERTOti RVENUE OWNER NAME: EflGflN , 55122 H 452-5073 W I INSTALLER NAME: STREET ADDRESS: NORaLoM PLufV6ii1j4 00. 3 (812 827-4033 CITY: QeOS~ikeF~D AVE.SOUTH _ ZIP: ~l?e~~. . PHONE ( ) $'T"M"_ _F°I- i ~3~ OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industrial buildings. ~ multi-family buildings when separate permits are a4t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NQ IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: R%l(. CITY: SSTATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN . 55122 3830 PIS51-68/4875 New Conshucllon Reaulremenb Remodel/Reoalt Reaulremenh > 3 reglatered sNa wneys alwwlnq sq. R. o( bt, sq. R. ol house 2 coPies of plan aftl gf j roofetl ar6pS (20% mmtlmum lot coveraae ailowetll 1 set of energy cNculaflons tor heafed addi9an > 2 coples of plmu (show beam & wlndow sizes; poured fid. design: etc.) 1 sife survey lor exteAOr addiHOna & decks * 1 ael Of 9nergy CalculaMOn9 > 3 coples of hee preaervaMOn plan B lot plotted aRer 7/1/93 DATE: /a ' ~ ~ 0 CD CONSiRUCTION COST: S"S 'yQ > ~v DESCRIPTION OF WORK: -kal' d~T Gi, y~c~( tk,f W-T' 140 u.S2. STREET ADDRESS: LOT: ~ BLOCK: ~ SUBD.lP.I.D.#: S Koe~ / -/z-o Phone ~SI- la 98_ 1-~37 Name: PROPERTY Last fl'st OWNER ~ Sheef Address: CHy Stafe: Zip: . Company: "-:5(A 2. rS Cerns Phone t: ~(e 3 Sb'L~ - 7 S'Cj 6 (area code) CONTRACTOR sireetaddre~: 77 96 ma in Sfi ~rz~- ucense a~oloo361 E.P. 3 3i o r ciry ~Le, srare: ro,/-j vp: s~~-/32- ARCHITECT/ Name: ENGINEER Comparry: Telephone ( ) Sheef Address: Regishatlon city ~ Sfate: Zip: Sewer/water licensed plumber (if installina sewer/waterl: Phone I hereby acknowledye ttwt I have read this applicaHon, aFate Miaf Ihe InfomwHon is correcf, and agree to comply wilh aA applicable Sfate of Minnesofa Stahites and CHy of Eagan Ordinancea ~ Signafure of Appticanh OFFICE USE ONLY V l~~ IJ Certificates of Survey Received _ Yes _ No UE C 1 1 2000 Tree Preservation Plan Received _ Yes _ No ` Not Required sY OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 07 Foundation ? 07 05-plex ? 13 18-plex ? 21 Porch (3-sea.) O 31 Ext Alt - MuRi p 02 SF Dwelling 0 08 06-piex ? 17 Garage ? 22 Poroh/Addn. (4sea.) 0 33 Ext. Ak - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storcn Damage ? 05 03-piex ? 11 10-ptex Plbg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair p 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PG.A handout to applicant fer demelition perm9t GENERAL INFORMATION 5AC Code # of Stories sq• ft• No. of Units Length sq. ft. No. of Buildings Width Faotprint 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 IN3PECTIONS ? Stucco/Stone APPROVALS Planning Building 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 °k SAC Cities Di ital Quality'Control . The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. q a// D v~ ~sa 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not com6ine insi(le arld oa~5 d~. plumbinq on the same a lication; se arate a licatiors ?nd trrrtits are required. Date Site Street Address Unit # Property Owner ~b~"X5 Telephone # pc'j) W'b Fia Appliance Connections Inc Contractor Telephone # Address State Zip 952-445-4803 The Applicant is: _ Owner & Occupant _ Licensed Piumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee - $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out fixtures, etc.) $ 90.00 This fee a lies when eictensive lumbin re airs are made to a buildin . F.Iteratiuns to existing dweliing $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. K you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _WaterTumaround (add $136.00 if a 5/8" meter is required) Other: _ WSoftener Water Heater $ 15.00 _ new ~eplacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ' $ 50 ~ Total $ i . . I hereby apply for a Residential Plumbing Pertnit and adcnowledge that the infprtnation is complete and axurete; that the work will be in confomiance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a pertnit, work is not to start without a permit and work will be in accordance with the approved plan in the event ' a plan is required to be reviewed and approved. II . I City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA079187 08/07/2007 ePermit Site Address: 3880 Riverton Ave Lot: 5 Block: 3 Addition: Cedar Grove 8th PID:10-16707-050-03 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 - Applicant - Owner: Thomas Sykora 3880 Riverton Ave Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA085399 08/19/2008 ePermit Site Address: 3880 Riverton Ave Lot: 5 Block: 3 Addition: Cedar Grove 8th PID:10-16707-050-03 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952-445-2840. Permit expired without required inspections 3/17/2009 CE equirements should be directed to Mark Anderson, State Electrical Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 - Applicant - Owner: Thomas Sykora 3880 Riverton Ave Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature IMAGE OF EAGAN - SEWER SERVICE PERMIT PERMI NO.: 2024 Eagan, MN 55122 DATE: 14i Zonin P 1 3795 Pilot Knob Road g: 3 No. of Units: Owner: Cedar Grove ConBtructiaa Co. Address: Site Address: 3880 d verton Avenue 5-3-8 Plumber: Rte j,n a s I agree to comply with the Village of Eagan Connection Charge: 375.00 pd Ordinances. Account Deposit: Permit Fee: Surcharge. .50 pd By: ��,,�3 Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 4125%73 10.00 pd City of Ea�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ,12 IV Use BLUE or BLACK Ink For Office Use Permit#: /10 5_ -?3 Permit Fee: JOS- .3r- Date Received: Staff: 2 j 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 7-3/ Date: [ - Jl /c Site Address: 3& ) 1' f AY., Unit #: J RESIDENT / OWNER. TYPE OF WORK CONTRACTOR Name: 1/ / 7 2r) Aom ��//��Phone: LC,�/-,'�-56 ?.3 Address / City / Zip: 315��}} QO &( )1 —�1i' ?tA //) Y/ 537ia Applicant is: Owner T Contractor Description of work: 3 Construction Cost: ma/Avid mAi2ci(;,(2 v Saw rI/, -2 "/ • 7b 5/M Multi -Family Building: (Yes / No Company: 0— 070 /EbJ»7',id-� 4&1 c77X._ Contact: Address: k/71,-/ ('o to ( - State: Zip: 5, j _01 Phone: License #: MO/ lxie c629-72 City: 76,76 >e,4 Lead Certificate #: /`F/19/c2 70 6 L 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 the 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 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 ,t& l J4A Applicant's Printed Name 's Signature cet) Page 1 of 3 Cly of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use Permit #: / 27l4l1J 7 Permit Fee: /6) Date Received: Staff: J / /' 2011 RESIDENTIAL UILDING PERMIT APPLICATION APPLICATION Date: /1) U�( ` Site Address: 3 3S LJ�� v"� Unit #: Name:? Phone: VI 14 ' So -7 3 Address /City / Zip3�� (� OA -Q (, N s5 I- C� ' RESIDENT / OWNER TYPE OF WORK CONTRACTOR Applicant is: Owner )6 Contractor Description of work: KO Construction Cost: `ISO • Company: LbriPin Address: 41 State: T) A Zip: Multi -Family Building: (Yes / No .Contact: SSb1L License #: QUO /7119 �v. City: /AA -3 Phone: (pg) — '7 ` f' �v 2-8- Lead Certificate #:-T. (p 1-4 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 mus be completed within 180 days of permit issuance. Applicant's Printed Fame Appiica s Signature Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 162013 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: J 2013 RESIDENTIAL SBUILDING PERMIT APPLICATION Date:' b 111 12) \ C��C) JSite Address: 1\1 erto fl Unit #: Name: 0 S S Cit P )D W J i R e 1SV ►\i r 3cLr r(J Address/City/Zip:` Applicant is: Owner Contractor Description of work:Tray Construction Cost Company: Addresses State: License #:0 J 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) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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 ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o • lans. e must completed within 180 1 Exteri rwork authorized by a building permit issued in accordance with the Minn da permit issu x Cir}\ A icant's Prints App Name State Budding . 41 ca s Signa Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA119208 Date Issued: 11/19/2013 Permit Category: ePermit Site Address: 3880 Riverton Ave Lot: 5 Block: 3 Addition: Cedar Grove 8th PID: 10-16707-03-050 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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. Samantha Linman Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Rybak Brothers Construction Llc 2206 East 117th Street Burnsville MN 55337 (952) 405-8871 - Applicant - Owner: Thomas Sykora 3880 Riverton Ave Eagan MN 55122 (651) 452-5073 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. Applicant/Permitee: Signature Issued By: Signature *City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 105.25 MAY 0 8 2014 Use BLUE or BLACK Ink For Office Use % Permit #: Permit Fee: Lv 5 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 05-06-2014 Site Address: 3880 Riverton Ave Unit #: J Name: Thomas Sykora Phone: (651)452-5073 r ...d.� 3880 Riverton Ave. Eagan, MN 55122 Address / City / Zip: rfib; Applicant is: Owner X Contractor Description of work: Tear off siding and replace with new siding. Construction Cost: 7,910.00 Multi -Family Building: (Yes / No X ) Custom Remodelers, Inc. Karli Anderson Company: Contact: vAddress: 474 Apollo Drive City: Lino Lakes t MN 55014 (651)784-2646 karlin.a@customremodelersinc.com State: Zip: Phone: Email: CR001748 NAT 27064-1 a :< License #: 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 3• In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes If yes, date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: . z - �'.z _.,... ;3F .,""`kr* �' ` t✓ xW« ' (;d a€' f " C Xng. f sF" v'3' f S z k x,. y`� t'4 's't, w -- 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.aoaherstateonecall.ora 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 Karli Anderson Applicant's Printed Name x Karli Anderson Applicant's Signature Page 1 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA148230 Date Issued: 03/15/2018 Permit Category: ePermit Site Address: 3880 Riverton Ave Lot: 5 Block: 3 Addition: Cedar Grove 8th PID: 10-16707-03-050 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Thomas Sykora 3880 Riverton Ave Eagan MN 55122 (651) 452-5073 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA148459 Date Issued: 03/29/2018 Permit Category: ePermit Site Address: 3880 Riverton Ave Lot: 5 Block: 3 Addition: Cedar Grove 8th PID: 10-16707-03-050 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 - Applicant - Owner: Thomas Sykora 3880 Riverton Ave Eagan MN 55122 (651) 600-5431 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. Applicant/Permitee: Signature Issued By: Signature