3888 Riverton Ave
~ CITY OF EAGAN
~ 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING 'ERMIT Rece+vt #
To M ww /er Est. Volue Date 19
Sita Addrep Erect Q Occupancy
Lot Blxk GclSub. Remodel ? Zoning
Parcei No Repeir ? Type of Const.
Enlsrge ? No. Stories
. Move ? Length
~ Name : Dsmolish ? Depth
Addross Grade ? Sq. Ft.
City Phone Install D
Apprsveb
~ Nsme
~ A~~ Assessment Permit
~ City Phone Water a$ew. Surchorye ~
~W PoNce Plsn Review
Nsms Fin 5/~C
• Addf9ff EIfO. WOtGf COf1f1.
~ W City Phone Planner Water Meter
Countil Road Unit
I hercby acknowiedpa that I haw nad thia applkotion ond state thnt Bldp. Off. Parka
fM lnformation is corcect and ogree to comply wlth all applicqble APC Total State of Minnssoto Stotutea ond City of EayQn Ordirwnc*s. Vsr. Dste
. ; _ .
Sfprwture of Pennift«
N 9uildiny Pennit Ia isswd to: on tM expnw Conditlon that
dl work shoU be done in actadonce with all opplicoble Stoh oi Minnesoto Statutes ond City of Eopcn Ordinonus.
BuiMinp Officiol
Pwmit No. Pwmk Hoidw Deb TNe qhone
Plumbinq
H.VA.C.
w BottNwr
Irqpeetion Dan Insp. Other
Foo:tngs
Foundatao
Ffaminq r
RooTing
Rouyh Pibq.
Hough HVA
Inwlation
Final Plby.
Finsl HVAC
uAt
FirMl
Grt/Ooa.
wow Dacribe location:
Ia11
SevNr
Pr. Diswp.
CITY OF EAGAN Remarks Sew & Htr COTIri pd.on 12-29-72
Addition Cedar Grove #8 Lot 6 Rik 3 Parcel l0 16707 O60 03
Owner Street 3888 Riverton Ave. State Eagan,MN 55122
Impravement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK IZ 1970 125.00 .00 2 P&II,d
# SEWER LATERAL Z"Z 1974 1 ,1O P31d
WATEFMAIN
# WATER LATERAL 1974
WATER AREA
~ STORM SEW TRK
STORM SEW I.AT 1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN.
BUILDING PER.
sac 260.0 0 7666
3-2 -73
PARK
RESIDENTIAL
BUILDING PERMIT APPUCATION
CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122
651-681-4875
NewConshuction ReaWremeMS RemodeVReoair Reauirements -
• 3 registered s'rte surveys showing sq. R ot lot sq. ft W Iwuse; and ~II roc`ed areas . 2 cropies of pWn
(2(1% mazimum lot coverage allaxed) . 1 set of Energy Calalations for heated addiGons
• 2 copies of plan showing beam & wiiMow sizes; poured fourid design, etc.) • 7 site survey for ezterior additions & decks
• t setof Energy Calc~lations
• 3 copies of Tree Preserva6on Plan H bl platted atter 717193
• Rimlaisf OeUil Optlons seleqion sheet (bidgs with 3 or less unils)
DATE ~ !VO/ VALUATION (EXCLUDING LAND)~/
jJB SITE ADDRESS ~OO'b' `
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER /1J72C4 0 C1zz/L
TYPE OF WORK ~ - FIREPLACE(S) _0 _1 _2 _3
APPLICANT PHONE #
ADDRESS ~j/.F ZIPCODE _3_1_y~,Z O
PAGER # CELL PHONE # FAX # 4SL Wd3S 6,7
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VenGlation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: _ Water Softener _ L.awn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Dlechanical S}•stem Includes: _ Air Conditionine Fee: $70.00
Heat Recovery 5ystem
Sewer/Water Contractor; Phone #
All above information must be submitted prior to processing of applicatlon.
I hereby acknowledge that I have read this application, state thot the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? Ot Foundation ? 07 OS-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 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAtldn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Porch (screaned) O 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition 0 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Watei
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
- Footings (addi6on) _ P]umbing
_ Foundarion HVpC
Drain Tile
Roof _ Ice & Warer _ Final _ Other
- Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
, Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
This repuest voiA
18 nqnths !rom
A,, oa-9659
Nequas[ Date Fire No. Ibuph-in IrKpectian
~J{ Re9uired7 QReaOy N. ~ Will No[fM Inspec-
~ fF' Q 1s Ycs ? N. ~~~n FkmdY
0 Licerisetl Electnwl Convactw I h..bv requsct insspsctim of abwre
140wner elecdieal wark imtallad at:
Sheet AdAress B'a or RouM No. City
378B(2i0k24-te4) u~e.. 4g r9A)
ecuan o. Tmm"fp Nama p o. itange No. Caumy
f~r4Pr*
Occupant (PNINT Plmne No.
1 ~ ~ ~5S
Poxpr SuPPli9r AddrCs
14Kd7P19- ~~e~T l C
ElecUical Contmctw IConW, Namel Cmtracmr s Licrose No.
Mailin0 Address ICOntracror or Owrer Yakiig Imtallationl
A oriz ip~afure ontrac[a r :~q Irelallaliwl Phone NuN~¢r c
MINNESOTp 5'fqiE gppqp OF ElEC7A1CT' THIS INSPECTION RBnUFSf wILL MOT
Grigps-Yid"Y Bldp- - ibam N-187 BE AGGEPfED 8117NE STAIE 90ABD
1821 UniwraitY Ave.. St Paul. YN ~70/ UNlE55 PROPER INSiEGTON FEE IS
Plrorre (6721 297-2111 ENClOSED.
REQUES7 FOR BECf1UCAL INSPECTION EB-°°°'°'-04
'r '
/ 0 see instructionn for mp ~~.+-=~hia form m baek of lrollm eopv- ~br'7
Ay` ~ ""X"' Below Work Covered by This Request ' 4
Add 11ep. TYDO of 8ui W inO Appliancst qiraA Equipmen[ Mired
Home Range Temporary Service
Duplex Water Heater LightiFixMes
Apt. BuilAing Uryer Electric Heatin
Cortmercial Bldg. Furnace $ilo Unloader
Industrial Bldg. Air Corditioner Bulk Milk Tank
Fartn tner u FYI ther (SoeciH)
OtMr
ompu[e nspectron ee Below
p Fee ServicaEnh9nceSize q Fae Feeders/5ubtaeders D Fee : Cireuits
O to 200 Anws 0 to 30 Anips 0 to 30 Anws
Above 200 A 31 to 100 Affips 31 tp lOQ AaWs
Swimming Pool Above 700_ Above 100---'
Transformers Irti tion Bmirs Partial "OtfecFee
SigS Special Inspection ~
~
mwrks r TOTAL
i
flough-in Da[e , tiy~~bical
7 brsoxmr. Mab1l
p cOrtilr 116t Th6 ahpve
Final hm pN~
0,
r11h ~e0uanl~ 18momin Imm
CITY OF EAGAN ~J~ 10172
. 3830 Pilot Knob RoaQ P.O. Box 21-199, Eagan, MN 55121
-
BUILDING PERMIT PHONE: 4548100 Receipt
r~
Te M wud ier PORCH Est. Value 4,000 pate MAY 1 19--U
SiteAddrea 3888 RIVERTON AVE Erect Ck Occupency
6 3 eo CED GROVE $ Ramodel ? Zoning
Lot Block_ e/Sub. Repair ? T`ype of Const.
Percel No.
Enlarge ? No. Stories
Move ? Langth
~ Name MTCHAFT nA4S Oemolish ? Depth
~ qddrms 388f3 RTVFRThN AVF Grede ? Sq.Ft.
City F.ArAN phone d57-driQR Insull ?
Appmab Fus
g Name
ft Asxssment Permit 44 _ 50
Addrens _~P
Phone Worer 6 Sew. Surchorge
~ City
~ Police Plan Review
W Neme Fire SAC
Addresa Erq. Water Conn.
aW Clty Phone Plonror Woter Meter
Council Rocd Unit
1 hercby ackrowladpe that 1 haw rood this opplication and stote rtwt Bldg. Off. 4~['A fl_R Parks
fM inlormotion is conecf and agree b tomply wiIh all opplicoble APC Total 46.50
Stofo of Minnesofa Sto es Ciry f E an fJi or us.
Var. Oete
Sipncturo of PermiMas .
A Building Permit Is Iswed ro: MICHAE DASS on tly express condition Ihao
oll work sholl be dons in n/c/p wrth el a~p~p~lim`bls S_tm of MiA?iesoro Stotutea and Ciry of Eepan Ordinoncea
BWldirq Offidal
M1'~7J
(v-3-g
c, !a
VILLAGE OF EAGAIQ
379$ Pilot Knob Road
Eagan, I°iinnesota 55122
?ER1v1IT NO.:
The Village of Eagan hereby grants to
of ~
r...,.a
a Permit £or: (Owner)
t i'
a 3a4~ Riverton ;1'2-8, 38S? Paliaude Patg ~-2-8~ 3871.P e~ci Way 10-2-8, 3856
393~ 4WA~i'-4~8e~
Fee P~~: -1+eftoe_ dated this ~ day o£
3.00 s/c ' 9-~-j-
Building Inspectc,-
iqeclianical Permits:
i,.i.d Total;
/D /~707 D(/0b U3 .
VILLAGE OF EAGAN
3795 Pilot Knob Hoad
Eagan) 1qinnesota 55122
?'ERe;?T N0. : 3~ q • .
The Village of Eagan hereby grants to
o£ ,
a DLTTM+T:INn Permit for: (Owner) S~e
3 , .-k-2-8~ 3~~1~al~:sa~e-~Fay 18-2-~~8~f~vertcRt
a"~, n°4..6° ation dated
~JZ7~7?
Fee Paid: $120.00_ dated this 201h_ day of Narch , 19 73
3•OQ s/c -
Building Inspector
Mechanical Periaits: .
Bid Total:
~
cet,stnO
- EAGAN TOWNSHIP `
~ BUILDING PERMIT N° 2928
Ownex L-^-'z"^' J,, Eagan Township
.........v..n...------
Addrets (Presenf) '4.-.'........ 241~.._:.:..(Y.~...._...~............. ~ Town Hall
Builder
Dets
Address -
DESCRIPTION
' Stories To Be Used For F=oni Deplh Haighi Eat. Cos! Permi! Fae Remuks
Ora' " (L'•-- S/G.
LOCATION i 4' S Siraei. Road or oiher Deseripiion of Loeafion I Lot ~ Bloclc ~ Addilion or Trac!
i /
Th'u permii does not autharize the use of sireeis, roads, alleps or sidewalks nor does it give the owner or his ayea!
the right to areffie any situal3on which is a nuisanee or whieh presenfc a hazard !o the health, safefp, eonvealenoa and
. genaza] weifare !o anpo»a in the eommunifp.
THIS PERMIT MUST BE KEPT ON TIiE PREyMISE WHILE THE WORK IS IN PAOG S.
This ie !o ceriif l6el__.~ra:-...: _
~r.+-!~:-!:--•~c:~oc~~--.has ermission !o erec! a
y, p . . _upon
, the above deeeribed premise cubjea! !o the provisions of the Building Ordinanee for Eagan Tov6"aship ado !ed? April 11,
1955.
~.~-.e
- - - Psr ~
.
Q---...P.............~...............
c ansla9a Ie. eefor
~ MASTER CARD
LOCATION ~~se ~
OWNER
STRUCTURE ANO ~
I.AND USED AS
Issued To
Permit No. Issued Coniractor Owner
BUILDING /,)6
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL HEATING 317
GAS INSTALIING
SANITARY SEWER
O7HER 11V7
OTHER I
Approved
Items (Ini}ial) Date Remarks Distance From Well
SEPTIC
FOOTING
POUNDATION CE55POOL
FRAMING L~7p~'f TILE FIELD FT.
PINAL
ELECTRICAL
DEPTH
HEATING ~ 9-7 OF WELL
GAS INSTALLATION SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ~
WELL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
~
COMPLIANCE INSPECTION REPORTS ~
TO 8E USED ONLY IN EVENT OF OBSERVED 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 SUBSTITl1TION5 OR
DEVIATIONS. ? COMPLE710N OF CERTAIN IMPROVEMENTS
WILL 8E DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS: ? REfNSPECTION RE4UIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTIFICATION - I certify that I have carefully inspected the above in which I have na interest present or prospective, and that I have reported herein
all significant conditions otserved to be ai variance with ordinances of the Town ot Eagan, approved plans and specifications, and any specific requira
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR OATE
COMMENTS:
Id4W 23
P 1985 BUILDZNG PERFIIT APPLICATION - CITY OF EAGAN
~ NUTE: ALL CONTRACT08S MUST BE LICENSED HITH THE CITY OF EAGAN
J U l~ ~ INCLUDE 2 SETS OF PLANS
~ 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 21 CJ00 Date: j Ig
Site Address: ~~()~L-r
VA2 §)-e OFFICE USE ONLY
Lot: ~Q Block 3 Sect/SubC4 6~0 `Erect ~ Occupancy
Remodel Zoning
Parcel # Regair Type of Const
Enlarge /I of Stories
Owner g(6~g,0- Move Length
Demolish Depth
Address '9999 4(12,P-421,L) 4.12 Grade Sq Ft
City/Zip Code
Phone APPROYALS
Contractor Assessments Permit
j~ Water/Sewer Surcharge
Address 7~ /(1 e4 r0~4/f-'L Police Plan Review
Fire SAC
City/Zip Code Z Z Engr Water Conn
Planner Water Meter
Phone Council 4oad Unit
Bldg Off ;tJ~ d ~n_YS Parks
Arch./Engr. APC Treatment P1
Variance 1~~~
Address TOTAL 74 ' SD
CityfZip Code
Phone #
EAGF.N TOWNSHZP
3795 Pilot Rnob Road
St. Paul, Minaesota 55111
Telephone 454-5242
PERNIIT POR WATER SERVICB CONNEGTION
Date:3/28/73 (12/29/72) Number: 1~~-
Billing Name•Cedar Grove Construction Cogite Address• 3883 Riverton AQenue
Owner• Same Billing Addresa
Plumber• Stein's
Location of Connection Meter Size Cosusectioa Chg300.00 pd 3/28/73
Meter No, Permit Fee 10.00 d 12 2Q/72
Meter Readiag _ Meter Dep. . 0 pd 12/29/72
Meter Sealed: Yes Add'1 Chg.
NO Total Ch$.
Inspected by
Date
Building is a: Remarks:
Residence x
tqultiPle xo, vnits $25.00 RE-INSPECT(OfV FEE FOR
Commercial IMPROPERLY IPISTALLED ftflETERS.
Industrial By:
Other Chief Inspector
In consideratioa of Che issue and delivery to me of the abwe permit, I
hereby agree to do tte proposed work in accordance with the rules aad
regulaCioas of Bagan Township, DakoCa County, Minnesota.
By:
Stein' s
Plea3e aotify the above of£ice when ready for inspection and connection.
2007 NRESIDENTIAL BjTII.DING PERMIT APPLICATION C/C- od
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-6755675 FAX # 651-675-5694
New Canshudion Reauiemants RemadelReoair Reouirements Otfice Use Onlr
3 registered srte surveys shovnng sq. fl. of lot. sq. N. d house; and ell roofed areas 2 capies of Dlan showmg fodings, beam, joisls Cert of SuNey fteid Y._ N
(20% mezimum lai coverage allowred) 1 se[ oi Energy Calalafions M heated addi6om Suds RepM Y N
7 Soiis Repat d proposed buiMug is tu be placed an dist~ebed sroil 1 site swey fa addNOns & decks Tree P1es Plan Reid _Y N,
2 wpies af plen shoxnng beam & v,+ndrnv sizes; poured found desgn, etc. AddiWn - indiceFe d on-sife se0k sysfem Tre6 Ptes Requied _ Y._ N
i set of Energy Calculations On-site Sepfii.System _Y: ~-~N
3 capies of Tree Preservetion Plan if lot platled aMer 7/1193
Rm Joisl Detail Oplions selec0on sheet (6uildings wilh 3 p less wils)
Minnegasco mechaniwl ventilation imn
Pien3 ase r.oras'sdered . zabBic eaifurm;ation unipss pu state they are irade secret anr4 the reason.
Date N /14_ / 01- ~ 1 Construction Cost ooo
5iteAddress I~IVCMU+3 4V-E-. CQGctN Unit/Ste #
Descriptiun of Wurk Te-OtA-- P{-~' i1.R-rOtr('
Multi-Family Bldg _ Y'K 1V Fireplace(s) _k 0 _ 1 _ 2
Prvperty Owoer l.Gl.ft Mi cA0.el Telephone #i 60 ) ysQ ~ 7Sc1 ~
Coetractor,
f
Address It17 LJ 1'7LL'l+ J4 City luCia1 l~Q4u4
State MIi Zip S'ZOO-71 Telcphune q('~/$o 7~`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minne~ta Rules 7670 Cateeon- 1 _ Minnesota Rules 7672
Energy Code Categury , Residential Ventilation Category 1 VYorksheet • New Energy Cotle Worksheet
(J submission type) Subrtutted Submitted
. Energy Envelope Calcula[ions SubmiGed
In ihe last 12 monihs, has the City of Eagan issued a pertnit for a simitar plan based on a mnster plan?
_ Y _ N if yes, dote and address of master plan:
Licensed Plumber Telephone # ( J
Mechanical ConTractor Telephone #
Sewer/Water Contractor Telephone #
I hereb}' 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
Statules; I understand this is not a permil, but onl}' an application for a permit, :uid work is not to start without a
permit; that the work w111 be in accordance wtith the approved plan in the case of w k which requires a review and
approval of plans. i~
7F~'N
Applicant's P nted Name Appl anCs gnature
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road "' PERMIT NO.: 1 296
Eagan, MN 55122 DATE: 12/29/72 (3/
Zoning: R - 1 1
No. of Units:
Owner: Cedar Grove CG IathmmtiA33
Address:
Site Addres4" 34(-8 3888 Riverton Ave.
Plumber: Stein 1 8
I agree to comply with the Village of Eagan Connection Charge: 260.00 P 3
Ordinances. Account Deposit:
Permit Fee: 1 0.00 pd 12/29/72
Surcharge: .50 pd 1 2/29/72
$ y : Misc. Charges:
�i
Date of Insp.• ' 7 " 7,3
Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116467
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 3888 Riverton Ave
Lot:6 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-060
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 .
Matt Pietruszewski
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 -
Thomas M Klouda
3888 Riverton Ave
Eagan MN 55122
(651) 405-8435
Rybak Brothers Construction Llc
2206 East 117th Street
Burnsville MN 55337
(952) 405-8871
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132648
Date Issued:08/27/2015
Permit Category:ePermit
Site Address: 3888 Riverton Ave
Lot:6 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-060
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M Klouda
3888 Riverton Ave
Eagan MN 55122
(612) 741-0774
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146711
Date Issued:11/09/2017
Permit Category:ePermit
Site Address: 3888 Riverton Ave
Lot:6 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-060
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 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M Klouda
3888 Riverton Ave
Eagan MN 55122
(612) 741-0774
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
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For Office Use p(� I h�
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EAGAN
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Date Received:
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E`°' "J w :,-a
(651)675-5675 TDD:(651)454-85351 FAX:(651)675-5694 Staff: ,�
buildinginspections@cityofeagan.com FEB 1 3 2018 L
J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '— 117 J I Site Address: g-l\JI A\kr-,- Unit#:
Name: `LAN( '*-----t----', i,,. w i`) Phone: `C `}j — J ''''';'('-'''''Ti)
esident! `
Owner " Address/City/Zip: --.7'.›.„..\1,i l j''°�" > -.. t....-4- I, i"'_,
_ , , ,.„., ,,,„,,, c)'„.....,,
t
r_: Applicant is: Owner "Contractor
Description of work: to l v f l >I ( I l':--t- /(_ 1/\; I1-1")/f1
//' ' ` ‘-:.'`,/?-,,, Construction Construction Cost: l / —/ - Multi-Family Building:(Yes /No )
Company: --rt,c 7 91,0tr i 1'. e. Contact: �L1e( t4 (V'3
Address:' t��f' M.I ri--) S"'t City: tJ�-\ --- \,
Contractor i
State: ' Zip: - Phone: 1 M Email:
/Fl
License#:' 1 -I '' Lead Certificate#:M j — ) 17 6 13 7 —z Hz)
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE Plans anpl stiffing su that;, Otta idered`to bee;. in�rnat res of inf�atietr a
ohms/fled as non >;`blit r
� d � 0 `' that �`, i k 6-,:i14414464-•;,,,-:,
#11�R�.� I ! Siiii5 i` } T?-
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against u derground i ility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I
I hereby acknowledge that this information is complete and accurate;that the work will be in co o =nce 'i 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 i no to s =rt 'thout 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,ans "
dia a l
Applicants Printed NameApplica '_'1'.iPir I,
f``Y
..3 - s?-. g tief Je- .0-f7 Wb
DO NOT WRITE BELOW THIS LINE
SUB TYPES
T Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
ei Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi —
Deck —
Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
— New Interior Improvement — Siding — Demolish Building*
— Addition _ Move Building — Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair T Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation I/ 2Deo Occupancy _�'(Z C..—1 MCES System
Plan Review Code Edition JV)1) Z 0 Lc SAC Units
(25%_100% r ) Zoning 'R.—I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V F1 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) >c Final/No C.O.Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: Footings Air/Gas Tests _Final
1' Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings+Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
7( Shower Pan-----
an_ / Other:
Reviewed By: / V/'Y) �i(61rf- ,Building Inspector
RESIDENTIAL FEES , I Z
Base Fee �'4 j ma
01 le J gj ,
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148421
Date Issued:03/27/2018
Permit Category:ePermit
Site Address: 3888 Riverton Ave
Lot:6 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M Klouda
3888 Riverton Ave
Eagan MN 55122
(763) 241-8871
Blue Water Plumbing Inc
1906 1st St
Princeton MN 55371
(763) 238-1002
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166452
Date Issued:01/11/2021
Permit Category:ePermit
Site Address: 3888 Riverton Ave
Lot:6 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas M & Katherine M Klouda
3888 Riverton Ave
Eagan MN 55122--177
(612) 741-0774
Hoffman Weber Construction Inc
2155 Old Hwy 8 NW
St. Paul MN 55112
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature