3900 Riverton Ave CITY OF EAGAN Remarks Sew conn pd. on 12-29-72 WEr conn pd.. on 3-20-7 3
Addition Cedar Grove #8 Lot 8 Rik 3 pa,mi 10 16707 080 03
Owner~~~~ rjL 5treet 3900 Riverton Ave, state Eag3i1.MN 55122
~A~l-4~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1970 125.00 .00 25 Paj,d
# SEWER LATERAL ZZ 1974 1539.10 Paid
WATERMAIN
3E WATER LATERAL 1974
WATER AREA
# STORM SEW TRK 1974 S
STORM SEW LAT x7y
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 61 3-20-73
PER.
s,ac 260 00 - 61 3-20-73
INSPECTI4N RECORD
CITY OF EAGAN . PERMIT TYPE: i~~ t~ t r~ <<
3830 Pilot Knob Road Permit Number: ta,'str,
Eagan, Minnesota 55122-1897 Date Issued: F ` ' ~ ~ '
(612) 681-4675
SITE ADDRESS: APPLICANT:
I VU R f1IN AVF ~ I! ('rr~ll
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • D•
1 1 tJ lt t
l___ • J
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
InapecUon Date Inep. Comments
FOOTINGS ~
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIFI TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
/~7 f wh AW-L,5- J,-j ~~.1k,-3 wru.~~~
- - - - - ;
cirr oF EAGAN
. 3795 Pilof Knob Reod Eayaa, JWN 55122
?HONEc 454-8100
BUILDING PERMIT Receipt #
Te be wed for Est. Vclue Date , 19
Sife Addreu Enct p Occupancy
Lot Block $et/Sub. Alter [3 Zoniny
Porcel # Repoir ~ Firo Zone
Enlaroe ? Type of Conat.
W Kame Move Q Stories
; Address Demolish ? Length
b C; pF,one Grade p Depth Sq. Ft.
°C Nome APprovab Foes
0
Addreu ; Asseument Permit
C~ Wate? 3 Sew. Surchorye
Police Plon check
F W N°"'1e Firo SAC
Address Enp. Woter Conn.
~ W Ci phorm Planner Woter Meter
Council Rood Unit
I hereby acknowledge that I hove read this opplication ond stute thot gldy. Off.
the information is correct and cgree to comply with oll opplicable APC Totol
Stote of Minnesota Stotutes and City of Eoflon Ordinonces.
Sipnotum of Permittee
A Building Permit is issued to: on the expreu condifion thar
oll work shcll be done in occordance with oll applicoble 5tate of Minnesota Stotutes and Ciry of Eayon Ordinances.
8ulldinp Offlciol
Permit No. Permit Holder Misc. Parmit No. Holder
WDisp.
S~war
ENctrie
Inspaction Date Insp. Other
Footingt
Foundetion
Framina
Rouph P16¢
Rough HVA
Insulatfon
Final Plbp.
Finsl HVAC
Final ~
Water Dosuibs Loeation:
Well ,
v
Sewsr
Pr. Dbp.
CITY OF EAGAN
, 3795 Pilot Knob Rood Eagan, MN 55122 N! 6130
PHONE: 454-8100
BUILDING PERMIT Receipr #
To be used fer Est. Value Date , 19
Site Address Erect ? Occupancy
Lot Blxk Sec/Sub. = 1-1 cye ; Alter Q Zoning
parcel # Repair ? Fire Zone
Enlorge ? Type of Const.
W Nome Move ? # 5tories Z Address DemoHsh ? Front ft.
0
Ci Phone Grode ? Depth ft.
0~ Name Approvals Fees
~o
v~ Address Assessment Permit
~ Ci phone Water & Sew. Surchorge
Police Plan check
~u°~i Name
F Z Fi re SAC
Address Enp. Woter Conn.
<W Ci Phone Plonner Water Meter
Countil Rood Unit
1 hereby acknowledge thct I have read this appiication and state that gldy, pff.
the information is conect ond ogree to wmply with oll applicable APC Totai _
State of Minnesoto Statutes and Ciry of Eagan Ordinances.
Signoture of Permittee
A Building PermiY is issued to: on the express condition that
oll work shall be done In occordance with all opplicable State of Minnesota 5tatutes cnd City of Eogan Ordinances.
Building Officiol
Ponelf ~ paft hwd pemkfM
Pfumbing
Mechenicol
INSPECTIONS D TE INSP.
Rouflh-In Final
Footings Date Insp. Dute Insp.
Foundotion PI umbing
Frame/ins. Mechonical
Final
Remarks:
CITy pF FAGAN Include 2 sets of plans,
I 1 site plan w/e]evations &
B U I L D I N C P E R M I T A P P LI C ATION 1 set of e calculations.
'Ib Be Used For Valuation Date J
Site Address: 2 -o .J OFFICE USE ODII,Y
Lot Bloclc Sec./Sub. Y Erect OccuPancY K4
Parcel Alter Zoning IQ-/
Repair Fire Zore
owner~u Enlarge r Zype of Const.
- Nbve # Stories
Pddress: --Y~06i De~mlish Front 2b ft.
City/Zip Code: ic) Grade Depth /D ft.
Phone APPRUVALS FEES
Contractor: kAssessments Pernv.t ~
Pddress: ~ Water/Sewer Surcharge r
Police Plan Check
City/Zip Code: Fire SAC
Phone En9• Water Conn.
Planner Water Meter
Arch./Eng.: Council Rnad Unit
Bldg. Off.
Pddress: APC
City/Zip Cocle:
Phone TOTAL
/ v ~
~~I ~ CITY OF EAGAN Include 2 sets of plans,
~ 1 site plan w/elsvations &
BUILDING PERMCT APPLICATION 1 set of energy calculations.
To Be Used For ~~v~DC1E~~'?~ Valuation ~vFO v Date
Site Pddress: OFFICE USE ODII,Y
I.ot a- Elocx3 sec. /sub. CE ~Artc- Gcm uEis4 E~rect occuparx.y
Parcel 1~ ~~Z6^( U~ C~'j Alter Zoni.ng
Repair Fire Zone
Owher: Enlarge _ Type of Const.
Nbve # Stories
Piidress: 3 p Dermlish Front ft..
City/Zip Code: Grade Depth ft.
Phone APPROVaLS FEES
Contractor: ~ Assessments permit
Addres5: A,`.e. S°a. water/sewer surcharge ~ c~) n
Police Plan Checlt
City/Zip Code: u S~a y Fire SAC
Phone ~4. Water Conn.
G G .2 ~
7.~ Planner Water Meter
Council JRoad Unit
Arch./Eng.: Bldg. Off. 61- •4 N~-'
Prldress: APC ' -
City/Zip Code: _
Phone rno'rAL 36 ~ S O
4CC-- wL*K c€( lU~ f S`L
0t'f-, ~ Wt`t`lC~lo W o~ ~
i
#
aD' J-
~ u0 vts'pC2~~- av~ ov~
I
Q
t~ s C d;
~
d
. ,
~ , ~ -
, c. ~ .
VILLAOE OF EA(}pN
3795 Pilot Knob Road
$ai'kn, YAMeeota 55122
PERIIIT NO.:_321
The Village of Eagan hereby grants to Cedar Grave Construction
of 7343 Concord H1vd. F., So. St. Paul
8 HFATING
Permit for:
(Owner) eame
at eee attached 1iet
, pursuant to application dated 3119173
Fee paid: $200.00
dated this 20th `'day o£ March , 19 73
Building Inspector
Mechanical Permits: z3id Total;
_ . C -3
l
VILLAGE OF EAGAN I
3795 Pilot Knob Road ,
Eagan, Minnesota 55122
PERMIT NO.: 315
I
The Village of Eagan hereby grants to Cedar Mrcive Conatruction Co.
I
of 7319 Conoord Blvd. E., so. st. reau. 55075
aD~p Permit for: (Owner) a~e I
at 390U 6h a~•
eee attarhed I iA+ , pursuant to application dated 3/19/73 I,
~
Fee Paid: ~.00 dated this 2Oth day of Maroh , 79 73 .
~ I
5.0o s/c I
Building Inspector
ilechanical Permits:
tsid Total:
I~ 9
EAGAN TOWNSHIP
N° 2963
BUILDING PERMIT
Ownea Ce7-r`..'.:'.`.~' Eagan Township
p '
Address (Preseni) ......~F.?.._d,D` ........0~.`.`.'Q..... Town Hall
Builder .
- Dafa ........~14 - 7~3
-
Addren
DESCAIPTION
Siozies To Be Used For FroaS Deplh Heigh! Esf. Cos! Permi! Fee Remae{cs
So
37, ac+ s,H.
GS`d LOCATION d'O
5lreel. Roed or olher Deserlpiion ot Localion I Lo! Sluck Addifion os Trac!
.r,~.c d 7e7- ~cwu~-,.,_;
his ' rm f doe`a o-~lavthorize ! r"fi use of'streala, ro alleps or sidewelks aor daes it give the owner or Lis agent
the righ! !o c:eafe anp siluation which is a nuisaace or which presenfs a hasard !o the health, safelp, eoavenienee aad
. geaeral walfare fo aapoae in the crommuuilp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORR IS IN PROGA SS.
Thls is !o cerfifY. 1haf.._. ....................haa permission !o erect a...3...._... . upon
cR'..... _
!6e above deserihed premise subjac! !o the provisioas of the Building Ordinanca for Eagan Township adopied April 11,
1955.
V/...... Per
Chairman of Tnwn Board 43 ~ Hvildinq Inspaclor 8
oeif~ytna~ vndEr
EAGAN TOWNSHIP ~
N° 2928
BUILDING PERMIT
Ownex
- ...---...n.._ Eagan Township
Addreas (Preaen!) ._........~'........)r._.~..~.....:.._i/:........ - Town Hall
Builder .
~ Dafe Address
-
DESCRIPTION
, Slor~esl To Se Uced For Fzonf Depth Heigh! Eel. Cos! Permi! Fee Remasks
* be•l
LOCATION /-•f-~--
5lreef, Aoad or olher Descriplion of Loaafion I Lo! ~ Black Addifion or Traef
O
This permit does aot au3horise the use ot slree2s, roadc, alleys or sidewalks aor does it g[ve the ownes or his egent
the sigh! !o create any silva2ion whieh is a nvisance ox which presenic e hasard !o !he health, safelp, convenienee and
general welfare !o anpoae in the eommunity.
THIS PERMfT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOG
This is !o eerh •tY, fhal C.0s . .
. ...hes permsss~an to ereet a..-:~'.c~-:s~--= - _upon
the above described yremise subjacf !o the provisiotu of the Suilding Ordinance for Eegan Tov~nship adoited April 11,
1955.
Lct"=!!_."__.".."... R~i:~: Per
.
^
C fj Buildiny Impector ~
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55124 N2 6130
PHONE: 4SM8100 ~
-BUILDING PERMIT APPLICATION Feceipt # dCa~-s
To 6e tned for ADDITION Est. Value $800 Date $-27 , 19-8-0_
5+re nddress 3900 Riverton Ave. erea ? occuponcy R3
Lot g Block3_ Sec/Sub. CPdar GTOVe g Alter ? Zoning Rl
Parcel # Repair ? Fire Zone
Enlcrge R] Type of Const.
w Nome Paul M. Hans2n Move ? # Stories
Z Address 3900 Riverton ELY2. Demolish ? Front 26 _ ft.
~ ci 55122 Phone 454-5960 Gmde ? Depth 10 ft.
~ Name APProrals Faea
0
owner
oE Address Assessment Permit '
Phone Water & Sew. Surchorge 00
Ci
Police Plan check
GW Name Fire SAC
Address Eng. Water Conn.
<w Ci phom Planner Water Meter
Council Road Unit
I hereby acknowledge thet I have read this applicotion stete that Bldg. Off.
the information is agree to co p wit all opplicoble 10.~~
State of Minnesota St tes an Ci E an r irwnces. APC Total
Signature o4 Pertnittee ~ U`".~-,
A Building Permit is issued to: Paiil M_ Hanap,n on tMe express condition that
ull work shail be done in accor ce all /g,qplicable StaM of 'nnesoto Statutes and City of Eagan Ordinances.
Building Officiol v o ~
2 7^ e/~ ~ OFFl E USE ONLY This ieqvest void IB momhs (rom volidaNan dak pnmed in~ box ~
r 3 L 9
AV-1 QJ o~
PLEASE PRINT OR TYPE 8 3 ~0 ~~O
Requ Oabn Roigh-in mspecfion reqvired2 Yes ~ No I Inspeclion Olhei Thon Itaugh-In: ~ Reody Now WIII GII
O[ v~b (1'ou must mll Ihe inspMOr whm reody) Dak Ready:
I, ? licensed contractor owner hereby request inspedion af }he obove eledri<al work af:
Job Prld (SmeetRoore No.) Ciry IZp Code r-~
`~~an l~\V t~.6Z'1~ ~ ~t3 C~~Fo SS
Secfian No. Town,hip Name or No. Range No. Fire No. C n
~A (cuT
o~, YlJ.~.r L N~S PhoneS r J~ 9~
PowerSuppiier Pddreae
ElecMml ConvoWr (Compony Name) GanVacmr ti¢rue Na. Maskr Lic No. (Plant Elen. Only)
Mailing Pddnu (Conlmdor or O.mer Pedorming Insbllanon)
G
Autlio'xed Signa (CO r P rming Inaklla'on) Phone No.
EB-00001A-106195 STATEBOIIRD COPY-SEEINSfflUCT10N30NBACKOFYELLOWCOPY
REQUEST FOR ELECTRICAL INSPECTtON
III I II II I~ I II II I II I~ II I II II ~ I II 8'21 Unoi ersState ity ABvoe.a,rRmf S-7 Electricfty
Paul, MN 55104An
* 0 2 7 3 2 8 9 9*. Phone (612) 642-0800 ~ a D~ y( o
Home Duplex Apt. Bldg. 01her: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip, Water Htr. Load Mgmi. O1Fier:
D er Ran e Elec. Heat Tem $ervice 0M
"X" abrne the work covered by ihis request. Enfer remari:s in this spoce ond on fhe back ol the whiie copy only.
Calculafe Inspecfion Fee - This Inspection Requesf will not be occepled without fhe corred fee:
qher Fee $ $ervice Gh-ance S¢e Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic 5ig. Above 200 Amps Above 700 Amps
TranslormedGenerator INSPECTOWSUSEONLY TOTAL
Sign/Outline Lig. Xfmr. •J
Alarm/Remo}e Confrol
Swimming Pool I hereb mrn fh elednml inskllofion desaibed hemin on the darea 'red
Irrigdlion Boom Rough-In W~~+Q g~v
$pecial Inspection
Final ~~e 1 ~
Investigafive Fee [
THIS INSTALLATION MAY BE ORDEflED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
CITY OF EAGAN
~ .3795 Pibf Knob Raed Engen, MN 55142 Nq . 7,515
PHONE: 431-8100 BUILDING PERMIT Receipt # 60}
fe ba uwd fer MOODELING Est, Value $1800.00 pae SeDtemher 13 , 19_82_
Slte Address 3900 R1VeStOR Atlei1116 Ered ? Occupancy
Lm 8 Block 3 Sec/sut.Ceftr Gmne eth Alrer M zming
Porcel # 10 16707 080 03 Repatr ? Fire Zone
Enlarpe ? Type of Const.
rc Name paul H8neOn Move ? # Stories
Z Address 3900 R3.VeI'tOtt AV8IIU8 Demolish ? Leng[h_
~ Ci Ea98n 55122 Phone 45 -5960 Grode ? Depth Sq. Ft.-
'
o Nome P~ne1C='aft of Minn Approrals 29.50
Address 2309 Saellinq Ane. 50. Assessment Pertnit Feea 1.00
~ Cit 2!P18. 55404 phone 721-6628 Worer & Sew. Surcharga
police Plon check
Gw Name Fire SAC ~
Address Erp. Water Conn.
<W ci phoM Plcnner Water Meter
Cpyncry Road Unit
1 hereby acknowtedge that 1 have read this applicoYion ond state thaf Bldg. Off.
the information iz wrrect and agree to comply with oll upplicoble A~ ~.~o~ ~q3(). Jr0
Stote of Minr~esoto Statutes d Ciry Eogan Ordin~e~ces.
r
Siynature of Permittee
A Building Permif is issued to: P e1CZ'Aft Of M e80Lb on the ex¢ress tonditlon thns
nll work shcll ba dona In nccc nce with a/llppltcable St f Mlnnesoto Statutes und City of Eogan Ordinancea.
Buildiny Official ,
.
: PERMIT
~ CITY OF EaGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028577
(612) 681-4675 Date Issued: 08 J20/96
SITE ADDRESS:
3900 RIVERTON AVE
L07: S 6LOCK: 3
CEDAR GROVE #8
P.I.N.: 10-16797-080-03
DESGRIPTION:
(3-SEASON)
Ow~.~~ Permit Type SF PORGH
~~`ti~l 0',6 o..ck Type NEW
fe£ensitt N~ 434 ALT. RESIDENTIflL
77~
ge,
~
ro~ .
iN~ n~~"~
REMARKS:
FEE SUMMARY:
VALUATION $8,000
Base Fee $137.25
Surcharge $4.00
Tatal Fee $141.25 .
CONTRACTOR: OWNER: - Applicant -
HANSEN PFlUL
3900 RTVERTON AVE
EAGAN MN
(612)454-5960
I kr"sr'e~y ~ek~?crual~d,g:~ ~h~~; 1 hsve rejj~d this` eappl3cation and etate that tffie
inf~`rmati~an xe ~~rr~c~„ane4 agf^ee` Go eomply wfth, all appi.icabls StaGs af Mn. APPLICANT/PERMITEE SIGNATURE IS UED BY: SI NAT E T-~-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
96 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
~
New Construclion Recuhements RemodeVReoair Reouirementa
? 3 registered aRe aurveys ? 2 eopies oi plan
? 2 wptea of plans (indude Deam 6 window sizea; poured Md. design; etc.) ? 2 ske surveye (exterior additiona & decks)
? 1 energy ceicutatfona ? 1 energy ealculetions fa heated addkions
? 9 copfea of tree pmnenation ptan N lot plaHed aRer 7/1/93
rcquhed: _ Yes _ No
DATE: CONSTRUCTION COST: PS-° °-0
DESCRIPTION OF WORK: (2,6PL4~CC- ~~KL r~ka[.~5~{t~~1~,J I 3 te 0 K2c!-~
STREET ADDRESS:
LOT BLOCK 3 SUBD./P.I.D. ~j2 flvE ~
PROPERTY Name:.DA?L- 11AA66 k) Phone f(SV`
OWNER
Street Address- 36)00 (,cV¢L7t3'v Z,) E
- City: State.' 4-AJ Zip•
CONTRACTOR Company: Ac,J?L& 2- Phone
Street Address: License
City: State: Zip•
ARCHITECTI Company: ~~?lN ~ 2 Phone
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the InformaHon is corcect and agree to compiy with all
applicable State of MinnesoW Statutes and City of Eagan Ordinances. -~4~1 „
Signature of Applicant: r~--
OFFICE USE ONLY
Certficates of Survey ReceNed _ Yes _ No AU
; 5 J'ss6
Tree Preservation Plan Received _ Yes _ No _ 4-:-~
OFFICE USE ONLY
SUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepairlRem. ? 17 Swim Pool
V 3 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
4 SF Porch o 09 12-piex a 14 Fireplace o 21 Miscellaneous
0 05 5F Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
0 31 -New o 33 Alterations ? 38 Move
2~32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Cons4 (Actuaf) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code. q 34
Depth Footprint sq. ft. SAC Code v~
Census Bidg
Census Unit a
APPROVALS
Planning Building IW3- Engineering Variance
Pertnit Fee Valuation: $ 8. oov- -
5urcharge
Plan Review rHKo! IbGJ4yU =~7$YO, -
License
MCNVS SAC
City 5AC
Water Conn. ~
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road UniY
Park Ded
Trails Ded.
Other
Copies
Total:
9b SAC
SAC Units
~ ...2
porch
garage
house
3900 Riverton Avenue
A~J
40 &G ck ~ r ~-rv I/ e
~CC / k c, YU !e 4/7 S6~
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNA.T FOR WATER SBRVICE COPiNECTION
Date: 3/20/73 (12/29172) Number: 112
Billing Name: Cedar Grove Construction Site Address;4~ 3900 Riverton APe.
Owner: same Bi2ling Address
Plumber: Stein's
Location of Connection Meter Size Coaaectioa L'hg. 300,00 Qd kk 3/20/73
Meter No, Permit Fee 10.00 nd 12/29/72
Meter Readiag Meter Dep. •50 pd 12/29/72
Meter Sealed: Yes Add'1 Chg.
NO 1bta1 Chg.
Inspected by
Date
8uilding is a: Remarks:
Residence_Z;L_ $25.00 RE-IIdSPECTION FEE FOR
iRultiple No, untt8 IMPROPERLY tNSTALLED METERS.
Commercial
Industrial Hy:
Other Chief Iaspector
In consideration of the isaue and delivery to me o£ the above permit, I
hereby agree to do tte proposed work in accordance with the rules aud
regulations of Eagan lbwnship, Dakota County, Minnesota.
By: .
Stein's
Please notify the abwe office whea ready for iaEpection and connection.
. ' MASTER CARD
LOCATION
OWNER G Ail 40,4~
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING 3
GAS INSTALLING
SANITARY SEWER /1R ~ ~c~
OTHER ~
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
POUNDATION CESSPOOL
FRAMING -73 . TILE FIELD. FT.
FINAL
ELECTRICAL DEPTH
HE,4TING OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL I
DRAINFIELD .
PLUMBING , S
WELL
SANITARY SEWER al,-~
Violations Noted
on 8ack
COMMENTS:
I _
~
COMPLIANCE INSPECTION R,EPORTS
TO BE USED ONIY 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 SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED 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 interes[ prasent or Drospective, and that I have reported herein
all significant conditions observed to be et variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspecLed.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETE?
BUILDING INSPECTOR DATE
COMMENTS:
~ ~3
RESIDENTIAIC BUI].DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. R of lot, sq. tt of house; and II roofed areas 2 copies of plan Certot Survey Recd
(20% mazimum bt coverege allowed) 1 setof Energy Calculations br healed addNOns Tree Pres Plan Recd
2 copias of plan showing heam & window sizes; poured (ound design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
7 set of Energy CalculaUons AddRlon - indicafe iton-sfte sepfic system _ On-site Seplic System
3 copies of Tree Preservalion Plan'rf bt platted a(ter 7/7193
RimJaistDehailOptionsselecUansheet (Gldgswifh3orlessunits
Date 0 Construction Cost Site Address T) \U_A.(h}Y) UniUSte #
Description of Work [ 20~
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ~ml ,
Property Owner ~Q3~ Telephone #(~1 1 J7 / lDl./
, RMA Home Dapot Installed Sales
Contractor 3200 Cobb Galleria Parkway Ste. #200
Address Atlanta, GA 30339 City
763-542-8826
State Licensa #BC-2026$257 Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~ Minnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber 7elephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telepho P #-C
I
I hereby apply for a Residential Building Pernrit and acknowledge that the in rmation is com~leteamd accurate;
that the work will be in conformance with the ordinances and codes of the Kof Eagan-an 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
perxnit; that the work will be in accordance with the approved pl in the case of work which requires a review and
ap o al ofplans.
r
ApplicanYs Printed Name pplicanYs Signature
OFFICE USE ONLY
Sub Types •
? 01 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 Eut. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plax ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New -O 35 ' Int Improvement ? 38 Demolish (Interior) , ? 44 ~Sid ng
? 32 Addition ? 36 Move Bldg. 42 Demolish+(Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement . •Demotition (Entire Bidg) - Give PCA handaut to applicant
, . . . . . ' . . . . , "
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump .
. ~ .
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insula6on _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI . ,
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instal[ed
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• ~ - ` Siding and Windows !
~LIMITED T'OWER OF ATTORNEY '
,
,
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COUNTY OF COBB I
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS: I~
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales loczted at 660 Mendelssohn Avenue North, Golden Valley, IvIN '
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such ,
form as may be required by the municipality) a permit application, or any other '
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and 'i
repair of windows and siding (the "Work"). j
The powers conveyed to the Agent by this Limited Powe; of Attorney are li
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attomey shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereo£ Further, the ,
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence. ~
i
INT W?T'NBSS WHEREOF this Limited Power ef Attorney is e.xecuted this I
21st day of May, 2003 i
. ~
i
i
David . Katz ~
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003. i
~
39_Q
Notary Plaic in for the 5tate o eorgia
My Commission Expires: January 21, 2006
396816.v3 '
Proudly sold, furnishetl and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPO`T
landPlonning st{(`'frC~LC7L 6875Mig6way.NO.65N.E.
Land Surveying t' Minneapelis~
so~i, re.~~„g ~7$~f'~•IIPP~II'/t(~j 'j2C. mi... ssaaa
Civil Engineering ielephene 78E-6066
Muniiipul Engineerinq Engineers & Surveyors Areo Code 611
Martgage Loan Survey for Cedar Grove CiOIISt. CO.
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Poo( c6epfh- 5<'~1nc1, ;dee~ x
~ l~OT h BLOCK ~ CEDAR GROVE Nn.
. COUNTY OF DAKO'~
Denotese~ Diainage and Ufility Easement
-This is a trw+ond'-~recr represenmtion 04 o surwy e/ ihe 6oundories of the Iend above desvibed and d/he
lowtion ef oll '
buiidingsy if any, 16wreen, ond all v~si6la encroathmenn, i/ nny, from or on said lond. lhis stlrray Is
made enly in wn`gecfien wilh a mortgage loan now being ploced on r6e properfy nnd no liobiliry is aaaumed
•xcept 1p the heid'ei of fuah mortgage w any olhar interesf a<quirod 6y 1he roawn of fu<h mo.tge9e. 11 is "
. undantood and agmid no~(~enumeers have bun plo<ed for rhe purpese ei eafo6lishing lot lines er bevndary cerne.s. Da1ed thii.ZQ'dOyo1 qtt 4.D.79 - . .
$ SUBURBAN ENGiNEERING, INC.
SCALE: 1 incho 40 feet Fngin~..b s~.. . ,
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~ • ` ~ ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION '
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CAnsWC6on Reauirements RemodeUReoair Reauirements 01f~ce Use Onlv
3 registered site surveys showing sq. ft. oflot, sq. d. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N
(20% mazimum lot coverage allowed) 1 set of Energy Calculations forheaied additions T2e Pres Plan Recd Y N
2 copies of plan sfwwing heam & window sizes; poured found desgn, etc. 1 site survey Por additions & decks Tree Pres Required Y _N
isetofEnergyCalculations Addifion -irMicateifar-siteseptlcsystem OnsiteSepticSystem _Y _N
3 copies ot Tree Preservation Plan if lot platted after 711/93
Rim Jaist Detail Options selectbn sheet (bldgs wifh 3 or less unifs u-v J`Q-K~ ~-L U-~` }C7
tlk .
Date / ~ ~ Construction Cast
Site Address ~ 1 Ve~iZ`~~ ~ UniUSte #
lp_z . (2=. `a"-) 11 Y-Y\ Pv c"_~S
Description af Wark S, `ti
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(~j~
Contractor
Address City
5tate Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota RWes 7690 Cateeorv 1 Minneso[a Rules 7672
Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(d submission rype) Submitled Submitted
. Energy Envelope Calcula' ubmitled
Have you previously constructed a ' i~fn a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
v
Licensed Plumber R Telephone )
-r
,
Mechanical Contractor Telephone )
Sewer/Water Contractor g Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark will be in conformance with the ordittances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~'wL ry\- 4a~ s e,.~ ~~---~.~~-.~L•
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ~ 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Oemolish Interior ? 44 Siding
~X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/l]oors
? 34 ReplaCement "Demolition (Entire 81dg) - Giva PCA handout to applicant
Valuation 3,250 ~ Occupancy MCESSystem ~
Census Code Zoning City Water
SAC Units ~ Stories ^ Booster Pump -
# of Units ~ Sq. Ft. PRV
# of Bldgs ~ Length Fire Sprinklered -
Type of Const J Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool tgs Au/Gas Tests _kFinal
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Au Test Final Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
t
1
POOL PERMfT - APPLICATfON SUBMITTAL REQUIREMENTS
~ UISLtAL, rela-bLotly
~ GENERAL INFORMATION
o z Q f.ehi~mrw~ g(epe-r
a(ry1. t n S'f'atn.+q/~ ~1,1t.~/
Applicant - name, address, phone & fax numbers, signature
9 ? ? Property owner nazne
$f Legal description and address of property
At North arrow, scale (2"= 30' or 40') and ctaYe
a Location and name of all streets adjacent to property
Site Plan drawn to scale showing location of house, pool and other eacisting or proposed
structures -~~ce_ e
,W D? Directional drainage arrows (existing and proposed)
ELEVAtIONS
Existina
? ? House corners
PH ? L] Properiy corners
la On property tines at poiut of ineasured diruension to pnol (see below)
?9 0 If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
? 0 Finished pool deck comers
? A' ? Top of retaining walls (if any) and at each different elevation (if it changes)
JW ? ? Pool bottom (or max depth)
DIMENSIONS
Existina
? ? All property/lot lines
Proposed
? ? Pool
? gi ? Pool plus integrated deck{patio
Q?? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name Date
G:fCECHI.[R2002/Paol PeamitChxklist -
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land Plonning s~L/ff L(''u71 6875 Xig6way.He.65 N.E.
land Surveying ( Minneapolis~
soii, Testing ~'31f~.'t/1PP7tylC~'j rItC.
Minn. 55432
Civil Engineering Telephone 760-6066
Muni<ipoi Engineering Engineers & Surveyors Area Code 617
Mcirtgage Loan Survey for Cedar Grove COl1St. C0.
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' ~EVEWED
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~4T ~ BLOCK ? CEDAR GROYE Nn. ~S ~
~ COUNTY OF DAKOj
J 'q~' ' •
Denotes D'rainage and Utility Easement
y APR C 5 RrC,o
' This is otruNOnd ceira<1 represenmfien of a surver ef the boundar:es of the land above desuibed and M the
lecafien o} all 6u.ifdin9'sy if any, tFereoq and all visi6le en<roa<hmenn, i/ any, irom er on said laed. This survey is
made enly in conne(Tien wifh n merfgaqe lonn now 6eing placed on the properly and no lio6ilify is ossumed
<s<ape to fAa heWer of fuch morlgege or anr olher inferost acquired by the reoson o/ wah mortgege. H is "
vnderstood ond ogrsed n~na menuments have 6een placed (or the purpose o( eatwblishing fot lines er beundery
<orners. Dafed ihis .y_ltllby of 19 71 .
• SUBURBAN ENGINEERING, INC.
SCALE: 1 incha 40 feet Engineer s~,.o , .
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A
2007 RESIDENTIAL BUILDING PERIVTIT APPLICATION
City Of Eagan a
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
NewConsWctionRe4uiremenis RemodeilReoairRenuiremenfs Office:UseAnN 3 registered site surveys showing sq. ft. of IM, sq. ft, of house; and all roofed areas 2 copies of pian showmg faotlngs, 6eams, joisfs CeA of Survey Recd'j _ Y _N
(20°k maximum lot coverdge aliowed) 1 set of Energy Calalatlons for heated addi6ons Soils RepoR Y_ N
1 Sals Report If pmpo5ed builcGng is to be placed m dis4ur4ed sal 1 sile smey fm additions 6 decks Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam 8 vrindow sizes; poured faund desgn, etc. Addition - inMicate if omsite sepfic system Tree Pres RequiredY_ N
i set of Energy Calculations On-site Sep4s $ystem Y._ N
3 copies of Tree Preservatlrn Plan if lot platted after 711193
Rim Joat Detail Optlons ulec6on sheet (buadings with 3 or less units)
, Minnsgasco mechanical venElatlon form -
Pians are considered ublic information unless ou state the are trade secret and the reason.
Date O-7 Construction Cost ~ISCO
- SiteAddress __~06 C)_ 21l)G-Q i orJ 'i C. - UniUSte ii
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner L t4 A 6 nl Telephone # (r.-, q - 5 5 C o
Conhactor b'~`~ i3R IL 32c~~7' ~~E2S c~s s i ft -~r i n,J
naaress t t o w M ciry N E~..> C
State (Vl 0 Zip ~ ro a`7 I Telephane 5s b) ~7 FS - 3`~ 3 3
rh~ l.; C '-16G°i7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minneso[a Rules 7672
Energy COde Category . ResideriUat Venliiatlon Category 1 Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
. • Energy Envelope Calculalions Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( ~
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
App(icant's Printed Name Applicant's ' a re
L~%
DO NOT'WRITE BELOW THIS LINE
Su6 Tvoes
? 01 Foundation ? 07 05-ptex ? 13 16-ptex Q 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling . ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorcNAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6olpergola) ? 36 Multi Misc.
? OS 03-plex Q 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 -12-plex ? 25 Miscellaneous Work Tvoes
?.31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fite Repair
? 33 Alteration ? 37 Demolish Building' ? 43 - Reroof ? 46 Windows/Doors ? 34 Replacement , *DemolRion (Entire Bidg) • Give PCA handout to appticant DeSCfiptiOfl: Water Oamage _ Yes Valuation Occupancy e MCES System
Plan Review 100% or 25°k
Census Code Zoning Ciry Water
SAC Units Stories Baoster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUII2ED 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 AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows '
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC ~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies '
Other
Total
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road
PERMIT NO.: 1281
Eagan, MN 55122 DATE: 12/29(72 (3/ •
Zoning: — 1 No. of Units:
Owner: Cedar Grove Construction
Address: pp
Site Adds 8 3YOO Riverton Ave.
Plumber: l I B
I agree to comply with the Village of Eagan Connection Charge: 260.00 pd 3/20
Ordinances. Account Deposit:
Permit Fee: 10 pd 12/29/72
Surcharge: .50 pd 12/29/72
By: Misc. Charges:
Date of Insp.• y-/s- 7 S Total: 27
Insp.• Date Paid:
Use BLUE or BLACK Ink
For Office Use 1
I 2 I
City of EaEdPermit Permit Fee: J
3830 Pilot Knob Road c{ 1
Eagan MN 55122 j Date Received: V 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
1- - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 913113 Site Address: 3 W)o gi- fv Aw__ &"A/Unit
Name: i~}~' P_ t, Phone:
FResident/ i
Owner ~ Address /City /Zip: a+`-'', (J ION A-6 &AJ
s Applicant Owner Contractor
Type of Work Description of work: Construction Cost: 81000 Multi-Family Building: (Yes No <
L J-K 4- 12v
Com an : "
/ Contact:
P Y
Contractor Address 1~C: /'1 5 ( Pod m~'L 1 City: teJld !
J
State: Zip: Phone:
~
License l Lead Certificate
If the project is exempt from lead certification, please explain ,why: (see Page 3 for additional information)
V itsti~ Al i ~i4l& kA 1lt /UkD A'~L ?
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 6
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that t~ are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesot teing Code must be completed within 180
days of -permit issuance.
x ~ ~Q At x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120243
Date Issued:01/28/2014
Permit Category:ePermit
Site Address: 3900 Riverton Ave
Lot:8 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Paul M Hansen
3900 Riverton Ave
Eagan MN 55122
Rybak Brothers Construction LLC
2206 East 117th Street
Burnsville MN 55337
(952) 405-8871
Applicant/Permitee: Signature Issued By: Signature