3908 Riverton AvePERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128476
Date Issued:11/14/2014
Permit Category:ePermit
Site Address: 3908 Riverton Ave
Lot:9 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jason C Hatfield Asper
3908 Riverton Ave
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
CITV OF EAGAN qemarks Sew con. pd. on 12-29-72 Wtr conn. pd. on 4-25-73
Addition Cedar Grove #8 Lot 9 eik 3Pa,.e1 10 16707 090 03
Owner lr "lf 1~k,.•6Jc-' Street 3908 R1P6Pt.0A A42. state ESgan~MN 55122
tAld/.'-L
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUftF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Q 2)_~C 1970 1 Z ,OO ,OO Z P21.d
SEWER LATERAL 1974 1539.10
WATERMAIN
* WATER LATERAL 1
WATER AREA
~ STORM SEW TRK
STORM SEW LAT 1 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. OO OO 7849 4-25--73
BUILDING PER.
SAC 260.00 7849 -2 5-7 3
PARK
4 7.~,7 7/~S
nLu?ae av EnoaN - SEWER SERjVR PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eogan, MN 55142 DATE: 12/29/72 (4/25 73
Zoning: R-1 No. of Units: Owner: Cedar Grove Construction
Addresa
s~ce nad 55: 3- - 390Riverton Avenue
Plumbet: Steiri '5
1 aqrw to eemyly with eM Villaye of Eoqan Connec[ion Charge: 260•00 pd
OrdinancH. Account Depoe4•
Permit Fee: Ne
Surcharge:
gy; Misa CharBes:
Date of lnep.: Total:
Inep.: Date Peid:
/ R6]UEST FOR ELECTRICAL INSPECTION ph ee-ooom o7
? Se.,-Vvuctionc ier completing this form on back ot yellow capy C`,"Al
~
9 95921 "x" Belaw Work Covered by This Request
4e% Add Rep. Type of Building AppliancesWired EquipmentWred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Building Dryer Other (Speciry)
Comm./Industrial Furnace
Fartn Air CondRioner
Other (specify) Contratw9 Remarks:
Compute Inspection Fee Below: a"4,?
# Other Fee # ServiceEnhanceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps o to i mps Transformers Above 200 _ Amps 100 Amps
Signs insaeaa§ use onry: ~ TOTAL ~CO
Irrigation 8ooms /J .U~
Special Inspection
Alarm/Commanication
Other Fee
I, the Electrical Inspector, hereby Roughdn ' oete
certiry thatthe above inspection has
been made. ~
~ OPi1CE USE ONLY _ - - ' - - _
7tiis request wid 18 monNS imm '
~
s
R 95921,,%~i
Request Date Fira No. Rou -ln Inspedlan
Cj ~ ReQUi~etl? , ' ? ReeAy Now Will Notify Inspectar
~ ? Yes o Whan ReaGy?
-
10 licensed contractor ~kowner hereby request inspection of above electrical work at:
Job Address (Sheet, Bov or Roule NoJ City
3 g F-a ~n
Section Na. Townahip Name or No. Ranga No. CwmN
Cor,uPeM (PR'PfT) Ply 5 (o -O 5 5
Power Suppller AdEress
Elechical Conhacbr (Canparry Name) ConVedarS License No.
Mallirg AdAress (COMrador p Owner Making Installation)
Aul ed 5'gneture (COMr IOwner M neiallevon) Phone Number
AA6 MINNESOTA STATE SPA56 OF EIECAi1CIfY THIS INSPECTION REQUEST WILL NOT
6tlgps-Mltlway Bldg. oom &173 BE ACCEPTED BY THE STATE BOAflD
18Y1 Unlv¢rslly Ava., St. PeUI, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (672) 692-0800 ENCLOSED.
~ -
EAGAN TOWNSHIP `
N° 2928
BUILDING PERMIT
OWnBi `l w i•f"' ` t-l-~~'
. Eagen Township
Addzecs (Precent) t".=............ Town Hall
Builder
Dafe .I..3c.-.. 2.3 Address
DESCRIPTION
~ Slories To Se Used For Fronf Deplh Heigh! Esf. Cos! Permit Fee Remasks
(G -VC-
' LOCATION ; s S /
Slreel, Roed or olher Descripiion of Localion I LoY ~ Slaclc Addifion os Traef
/-G r8-~
O
G-i~ 3
1'his permit does aot authorise the use of slseels, roede, alleqs or sidewelks nor does it give the owner or hia agan!
!6e zigh2fo esea2e anp siluation whieh is a nuisanee or whiah presenis a hezard !o the healih, aafelp, convenieaca end
general weliare !o enpoae in the communilp.
THIS PERMIT MUST BE KEPT ON THE PREqMISE .W,~HIL£ THE WORK IS IN PROGR8j4S. ,
Thie G fo eerlifp, lhai.._.C.:s:.-r._...---haspermissioa !o ereet a..,~{'....-:~=^-~ _upoa
the above deccribed premiea subjec! !o the provisions ot the Building Ordinance for Eagan Tod~aship ado fad~ April 11,
1955.
~ ~r
~
--....._~d-~-~-:x---..-,_.--...0..~ ~
Pe: - - . .
....---••-~.~--'--J
C ~3 ~ SuSldinp Impeelor
CITY OF EAGAN FOR CI';Y USE ONLY
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE (612) 454 8100 RECEIPT # /0
~G~dN~CA7..~!;I~'~~,' DATE: o? /
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
„..T t4 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM 15.00
ADD ON v HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME :
SUBTOTAL
SITE ADDRESS: S9Ob : $~LU
n STATE SURCHARGE: .50
LOT:I_ BLOCK 3- SUBD. $O&'l. O~ TOTAL: $~-$O
INSTALLER:
ADDRESS• 5IGNATURE OF PERMITTEE
CITY: ZIP:
PHONE tt;
~OMMERCIA~.~~I~IT7pSTILTAT. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WkIEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SiTE ADDtcEBS: EACH $1,000 OF PERNIiT rEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
. . ,
EAGFN 1'OWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMlT FOR WATBR SERVICS CONNSCTION
Date: 4/25/73 (12/29/72) Number: 1164
Billing Name: Cedar Grove Construction C&ite Address: 3xtg,3-9-E-
Owner: same Billing Addreas 3908 Riverton Avenue
Plumber: Stein's
I.ocation of Connection Meter Size Coaaection Chg300.00 nd
Meter No. Permit Fee 1 n_nn rari 12/29/72
Meter ReadinpL_ Meter Dep. .50 Pa 12/29/72
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx
F4ultiple no, un3.ts $25.00 RE-IiVS?ECTIOIV fEE FOR
Commercial IMPROPERLY IRISTALLED METERS.
Industrial By:
Other Chiet InspecCOr
In conaideration of the isaue and delivery to me of the abwe permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Sagan Towaship, Dakota County, Minaesota.
By:
S+pin"c
Please notify the above off3ce when ready for inepectioa and conaection.
4
- ~ MASTER CARD
LOCATION a9e) so",
OWNER
?
STRUCTURE AND
LAND USED AS W
Issued To
Permit Na ~ Issued Contractor Owner
BUILDING 1A PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 33 8~ ~
GAS WSTALLING ~
SANITARY SEWER
OTHER / / 6 y
OTHER I I
Approved
Items (Initial) Date Remarks Distance From Well
FGOTING y~'j~•~I SEPTIC _
FOUNDATION - 7 CESSPOOL
FRAMING_ TIIE FIELD FT.
FINAL
EI_ECTRICAL DEPTH
HEATING OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOI
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
~
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE 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 SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED 8Y CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspec2ed 2he above in which I have no interest present or prospective, and that I heva reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requira-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED ~
6UILOING INSPECTOR pATE
COMMENTS:
sv
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucfion Reauireme~Ns Remodel/Reoalr Reaulrements
? 3 registered sRe surveys showing sq. fl. of lot, sq. N. of house 2 eop(es of plan
and all roofed areas (20% maximum lot eoverace allowed) 1 set ol energy calculaHons tor heated addBlons
D 2 copies of plans (show beam E window sizes; poured fnd. design; eTc.) 7 aRe survey for exterlor addRions S decks
? 1 fef ol energy calculaflons
D 3 coples of free preservatlon plon H lof plalted aHer 7/1/93
DATE: &-9' J 9 CONSTRUCTION COST:
DESCRIPTION OF WORK: ~ AR-- vr F AN7 l2c - S~t ~"nl b2-b 2c~oF YItiI
STREET ADDRESS: 39 D`a lM~~(~
IOT: I BLOCK: ~ SUBD./P.I.D. `s2_~ o,,~ C~ V U~/
Name: Phone#:
PROPERTY Las1 Ftrn
OWNER
Sheet Address:
Cffy State: Zip: SS(22
Company: Phone
(area code)
CONTRACTOR
Street Address: License # Exp. _
City State: Zip:
ARCHITECT/
ENGINEER Company: f'~r4~ Name:
Telephone area code ( )
Streel Address: Regishalion
City State: Zip:
Sewer 6 water Ilcensed plumber (reauired for new conshucHon onNl:
PenaPFy applies when address change and lot ehange fs requesFed once permk is issued.
I hereby acknowledge thaf I have read this applicaflon, state that fhe informaflon Is rre f, and c ree to tomply wlfh all applicabl
State of Minnesota Statutes and Clly of Eagan Ordinances.
Signature of AppllcanY. -If
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Po.rch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handaut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122445
Date Issued:05/08/2014
Permit Category:ePermit
Site Address: 3908 Riverton Ave
Lot:9 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-090
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 .
Rich Rybak
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 -
Jason C Hatfield Asper
3908 Riverton Ave
Eagan MN 55122
Rybak Brothers Construction LLC
1116 Horseshoe Lane SE
New Prague MN 56071
(952) 758-6960
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING �oe Na.������
1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD
ADDRESS_e!��� , "��"" "��'� i�`�v`r✓' CITY
�°
OCCUPANT OWNER � ��? ���"� "
� .
� � r
SOLD BY �� WSTALLED BY � �
MAKE -�Q� ..� /a'as–��,� �,C�;,ly�� MODEL L���G�Z''a���v y`TT"sZ–�
SERIAL NO. INPUT���� /�/��U
�---� 9� �
THERMOSTAT--- ���N������6 VENT SIZE �
VALVE t�^�++� NPE OF LINER �–�`�
`^ ) cl
LIMIT � i xY'� S� ' LINER SIZE �-�'
LIMIT SETTING /��� FILTERS: SIZE F' �`��� ( NUMBER
__._.� • }, �_._. �
FAfV SETTING ` ,��,� �/ � WIRIPlG _._..._____.e._.._._..
..._, _.
.____..._....
PILOT TYPE �C�"�—� TEST TAG
IGNITION MODEL /" '-�� UGHTtNG INST. -"~YU""l^
PILOT TIMING � �����'� C� ��
7
C �t DATE TESTED
PRESSURE J t v � PERCENT CO2 � t
INPUT CFH_ v PERCENT 02 �� COMPANY TESTING
STACK TEMP. ` ��f� PERCENT CO � � NAME OF TESTER
FORM 235(REV.10/10) FORM DISTRI9UTION: WHITE COPY•JOB FILE YEILOW COPY-CITY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163908
Date Issued:09/15/2020
Permit Category:ePermit
Site Address: 3908 Riverton Ave
Lot:9 Block: 3 Addition: Cedar Grove 8th
PID:10-16707-03-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Jason C Hatfield Asper
3908 Riverton Ave
Eagan MN 55122
Your Home Improvement Company
23823 67th Ave
St Cloud MN 56301
(320) 230-9182
Applicant/Permitee: Signature Issued By: Signature