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3916 Riverton Ave CITY OF EAGAN Remarks S8W COI3T1. pd. OTl 12-29-72 Wt,Y' COriri. pd. o1 3-20-73 Additio Ced.ar Grove #8 Lot 10 Blk 3-Parcel 10 16747 100 M Owr,e, Street 3,916 'v r .on AvP. State FHgAn,,,MAT 551 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK Z 1970 1 SEWER LATERAL 22 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ~ STORM SEW LAT 1974 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 300.00 7613 -3-20--73 BUILDING PER. 5AC 260,00 7613 3-20-73 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ,,-E-dg"an, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' ! t c3 i1:1ci. J~~6, SITE ADDRESS: f,li. 100 E11~i~: K. APPLICANT: ~ . ; :e 1 i1N AVF PERMIT SUBTYPE: TYPE OF WORK: INSPECTION „ . .A . , P . , i , ;i~~~ ~.c;~ ~.~,i ~;~y~•,. 4 ~ ~ J I Permit Holder Date Telephone N i PLUMBING I HVAC I Inspection Date Insp. Comments I FOOTINGS I ~ FOUND I FRAMING i ROOFING ROUGH i PLUMBING I PLBG AIR TEST I ROUGH I H EATI NG I GAS SVC I TEST - ~ INSUL I GYPBOARD FIREPLACE I FIREPLACE I A R TEST FINAL PLBG FINAL HTG - I ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CoNOUCnvm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IIIIII III . II~'l~III M821OUn~ es OBa dRo ElRICAL * 5 6 1 9 4 2 * rnone (siz) sa2-oaao y E Home Duplex Apf. Bldg. Other: ' New Addn Commercial Industriol Farm Remod e air Air Cond. H}g. Equip. Water. Hh'. Load Mgmf. Other: I D er Ran e Elec. Heaf Tem . Service ~Ur l 'X' above the work covered by ihis request Enter remarks in ihis space and on the bock o the white copy only. CalculaM Inspection Fee - 7his Inspection Request will not be occepted withou/ the corceci fee: Olher Fee # Service Enfmrme Sim Fce # Circuits/Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps 0 to 700 Amps Street Ltg./fmHic Sig. Above 200 Amps Abnve 100 Amps Transfortner/Generotor INSPEC7oR'SUSeoNt,r ~ TOTAL Sign/Outline Lig. Xfmr. ~o d. SD Alarm/Remote Conhol $wimming Pool I hereb certi Ihat I ins eckd th<elMnml insa ereln on Ihe datu erokd Irrigation Boom 2o~gn-in ook Special InspeF }i dion Final Invesliga ve Det Z ee / THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2~~-19 4 OFFIQE USE ONLY This reqossf void 18 monihs 1mm wlidafion dak pnnted in this boz. 9O9(a 53,0~0 PLEASE PRINT OR TYPE ~/D CJ OC,~ Nequest b Rough-in inzpxiion reqaired3 ~ Yes No Inspection Other Thlo/n (]gh-In: Ready Now 0 WIII Call ~~'dbl9 6 r.u mvsl mll the inspecbr when reody) Dule Ready. aI ~ l(-, I, ~,'licensed conimdor [I owner hereby requesf inspeclion of fhe above eledricol work af: lob n (SVeM, B or Rauro Na.) Cih Zip Cade ~1( Secfion Na. Townehip Nama or No. Ron9e No. Fire No. C.nry ~-a Oca 1 Pharo No. w..~. - aS Power Supplim Addreu Elxlrtml CaMracror (Campany Name) . ConlmMr Limme No. Moskr lic No. (Plam Eieo. Only) ~M t~ Ct-.+, ~ t r~. CR al~"1 Moiling Addnas (Canlmcmr or Owner Pedorming Inelallanon) 706 w,,,Ld oo n,eJ SS o Authorized SipmMra cb~ orOwnar Perlormiig Insbllafion) Phorro No. v ~ -N- gSSS EB-ODOOlA-10 6/95 STATEBOARDCOPY-5 INSTRUCTIONSONBACKOFYELLOWCOW YILLAOE OF EAOAN SEWER SERVICE PERMIT 3795 Pilet Knob Road PERMIT NO.: 1282 Eogan, MN 55122 DATE: 19,(5)9/7~ (3/20/73) Zoning:" RNo. of Units: ~ Owner: Address• ~p Si[e Add*?Re! lO-3-S ~ 6 Riverton Ave. Plumber: Stein 's 1 ay.N te eemply wlfh tM Villaye of Eayan Connec[ton Charge:260.00 pd 3/20/ Ordinonea. Account Deposit: Permit Fee: 10.00 Dd 12/29, . Surcharge: -50 nr] 1 24-,9, By: Miec. Chazges: Date of Insp.: Total: 270. 0 Insp.: Date Psid: , < CG ~ / ~ VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Aliruiesota $5122 PER19IT NO.: 115 The Village of Eagan hereby grants to Cedar grWe Conatructloa Co. I of 3343 ConCOrd Hlvd. E., So. 3b. Paul 55075 a -1,TTTyMT1Permit £or: (Owner) gape ~ 3 / iu2n~CV7Qvl. I . at liA+ , pursuant to application dated 3/19173 ~ Fee Paid: 4_ dated this 20th day.of Maroh , 79 7~ . ioxm 5.00 s/a Building Inspector Niechanical Permits: r3id 'Potat: ! 9 , , - . , VIau+tWG OF wWJL' . 3195 Pilot Knob Road ,Eagan, Minnesota 55122 PERIaT NO.: a 1 The Village of Eagan hereby grants to Cedar Grove Conatruction o£ 731a3 Ca¢icord Blvd. E., So, St, paul a HFATING Permit for: (Owner) eane at eee attaohed list , pursuant to application dated 3119173 Fee Paid: $2O.~g~ dated this 20th day of March -19 73 , Building Inspector Mechanical permits: did Tota1; ' . /0 1670, 7 !UV CU ~ . C . CI'i'Y CF LAGAN j793 Pilot Knob Road Eagan, Mir.nesota 55122 PERA'ffT NO.: 847 The City of Eagan hereby grants to S andard S7patinQ r. n_ iT,rT_ of 410 W_ raxa cr_ Mpie_ ssd08 R. McKinnon . . a r.zr, co^;D. Permit for: (Owner) p_ pnrlarc_on 2^9n-~.-i;w:-1l30 at 3n16 Riverton nve. ~ pursuant to application dated Fee Paid: sia•00 dated this _22_ day of .T,,,,,, , 19zc. . 1.00 s/c Building Inspector D:echanieal Permits: • Bid Total: ' 1 RESIDENTIAL /T 7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KN06 RD, EACAN MN 55122 651-881-4675 New Constnwtion Reaulremants RemodeUReoair ReouiremeMs • 3 registered sde surveys showirg sq. ft. of lat, sq. ft. of house; aM all roofed areas • 2 copi0s of plan (20% maximum Iot coverage alIOwed) . 7 set of Eneryy Calculatians br heated addNOns • 2 copies of plan sMwing beam 8 window sizes; poured faurM desgn, etc.) • 1 site survey for ealerior additions 8 decks • isetofErieigyCalculaUans . Indicate'rfhomeservedbysepBcsystemfaraddillons • 3 copies M Tree Preservallon Plan it lot platted after 711193 • Rim Joist Det2il Optiore selection sheet (bldgs with 3 or less unifs) DATE 9'~Q VAIUATiON S9S. S~ SITE ADDRESS 39~T7~A U?'[ IQY? Alk MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Ted~ e~{ Qt\e~ ~~S~~~Q, fIREPLACE(S) _ 0_ 1_ 2 APPLICANT RAQJPS~C it1NSt[b0~ STREET ADDRESS CITY .+Alv: ~lit-STATEWZIP 5S337 TELEPHONE AS.Z -RE/&077~ CELL PHO E # 61,2-o?SO- 9W Ll FAX # 9~-8514 'O77 / PROPERTYOWNER ~Q~li~ lln~ TELEPHONE# S7/!O(95-Q35 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNtiSOTA RULFS 7670 CATF.GQRY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventiladon Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # 5) I sP FL' i nr, Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90:00 ~I~ _ Water Heater No. of R.I. Baths ~I ' SEP 1 9 2002 I111 _ No. of Saths ~ IJ ( Ji Mechanical Contractor: Phone # [EB3y=-= Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SI uture of APP Iicanf ~ .~..r._._..___.~_.__---------_...____. 9 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex 0 20 Pool ? 30 Accessory 61dg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex p 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' q 43 Reroof ? 46 Windows/Doors ? 34 Replacement `DemoliUon (Entire 81dg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water 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) FinallC.O. _ Footings(deck) Fiaa1/No C.O. _ Footings (addiflon) _ Plumbing _ Foundarion HVAC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final - FraminS _ Sidiag Stacco S1one _ Fireplace _ R.I. _ Air Test ` Final _ Windows (new/replacement) _ Iusularion _ Retaining Wall Rpproved By , Building Inspector Base Fee --------___T_ Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatrnent Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total PERMIT# I 1RECEIPTDATE: 8008 RES1DENTlAL PLUM$1N115 PHfiM1T APPWCATIOR crrY oF EAsativ S$SO PILOT KAOB iiD EAsax, Mx 551 2a 651-881-4675 T lin1~ ~ L'1 L~ Please complete for: single family dwellings, townhomes and condos when permits are required for e nit, ~j ackflow oreventer for irri ation s stem A PR 2 g ?00? I IJ ANDERSON, DAVID SITE ADDRESS: 3916 RIVERTON AVENUE EAGAN, MN 55122 OWNER NAME: : (651) 683-9256 I TELEPHONE v~ (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter'rf needed -$118) Other: _ RPZ: new installationlrepair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener water heater $ 15.00 State Surcharge $ .50 Total $ -1-i),-= I hereby acknowledge that I have read this appiication, state that the Infortnation is correct, and agree to comply with all applirable Ciryof Eagan ordinances. It Is fhe applicanPs responsibllity to noUfy the property owner ihat the Ciry of Eagan assumes no liability for any damages qused by fhe Cily during its normal operatlonal and maintenance activiGes to the facilities constructed under this permit within City property/right-of-way/easement. SI A URE OF PERMITTEE 1102 - F ~ EAGAN TOWNSHIP BUILDING PERMIT N° 2963 Owner .......L~".~.... Eagan Township Address (PsesenS) 14V Town Hall Buildet . Dale ..25~_G ,'L3 Address ' , DESCAIPTION Stoziea To Be 9sed For Froni DepSh Heigh! Esl. Cos! Permit Feel Remarka LOCATION S4) Sireel, Road or olher Deacripf3on of Localion .I Lo! Sloelc Addition os Traei e'Z 3 ASQ ,2 $ QR 3 7 . 42 7 aa-2 g~ -.~r~~.(!(~`581r.~?IgKa/i~'._. 7a7 e~/~_,.~ if f~rmi~oes o auihorise e use of sfseeia, ro alleys or sidewalka aor daea if glve the ownes or his sgent the righf !o ereafe any siluafion whieh is a nuisance o: which precenls a hazard !o the heal2h, safeip, convenienee and general welfaza !o anpona in the community. ~ THI3 PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR ySS. Thb is !o cerliSy, fhat---- ~ ....................has permisaion to eree! a..3..d,F...~.... ~-~...._~.^.,C - u on !6a ahove deaeribed pzamise subjee! !o the provieions of the Buildinq Ordinance for Eagan Township adopl ad April 11, 1955. ~6 pe: ....................l3-..`.......-----P._....~`-::.-............................... . Chairman of Tnwn Board 43 . Suildinp Inspeelor ~ oeic~nal -~1~d und~,e 1-l G~~* 5~ s - EAGAN TOWNSHIP ` N° 2928 BUILDING PERMIT ~`-r-.-~ Ownas ........------...~--7----._....._.._---...... Eagan Townahip Addrets (Presen2) ......---,e. `'t'........;.---:'...1!::R:.c'...--5..~............. Town Hall Suilder ~ a-3 - 7 z_ Addreas Dale DESCRIPTION . Sioriesl To Be Used For Fron1 Depih Heighf Esl. Cos! Permi! Fee Aamaslcs LOCATION b' Streef. Road or ofhez Deceripiion oi Loeation I Lo! ~ Bloek Addition or Tsae! i i i-c &-/y 3 This permif doec not aulhorise the use oi slreels, roada, alleys or sidawalka nor does it give the ownes or his a9eni the :igh2lo ereale any sifuation w6ich is a auissnee or which presenle a hazard !o the healfh, aafelp, eonvenience and general weltare !o anpone in the eommunify. THIS PERMIT MUST SE KEPT ON THE PREpMISE .~WHILE THE WOAK IS IN PROG , S. Thia ia !o ce:lify. lhet........... haspermission !o ezeci a_-:d!:'~-s~:::~: ----_E~:•e:- -upon the above deseribed premise cubjee! !o the proviaiom of the Building Ordinanee for Eagan TovE~nship ado lad Apr51 11, ~..........Ov..e- _.rer Lc.Z~.r:.<........?~:-L~" . . C J3 Bvildinp Irmpeclor ,Z3 ~ - MASTER CARD LOCATION ' O - ~ OWNER STRUCTIJRE AND ~ LAND USED AS G1/(t/ Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER 12 Q y u~ OTHER / OTHER Approved ITems (Initial) Date Remarks Distance From Well FOOTI NG SEPTIC FOUNDATION y- j CESSPOOL ~ FRAMING TIIE FIELDFT. FINAL ELECTRICAL DEPTH HE,4TING . ' OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PWMBING WELL SANIiARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS TO 8E USED ONLY IN EVENT OF OBSERVED VIOIATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OP CONSTRUCTION AT iH15 INSPECifON ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILOER 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. ITEMIZED AND DESCRIBED AS FOLlOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPE<TION REVEAIED CE RTI FICATION - I certify [hat I have Carefully inspected the ahove in which I have na interest present or prospectiVe, and thet I havB reported herein all signiticant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABtY COMPLETED BUILOING INSPECTOR DATE COMMENTS: EAGAN TOWNSHIP 3795 Pilot Kno6 Rosd St, Paul, MianesoCa 55111 Telephane 454-5242 PERNIIT FOR WATER SSRVICE CONNECTTON Date• 3/20/73 (12/29/72) Number• 1124 Billing Name:Cedar Grove Construction Site Address:j= 70--i_8 116 Riverton Ave. Ouraer: same Billiag Addreas Plumber: Stein's Location of Connection Meter Size Connection Chg.300.00pd 3/20/73 Meter No. Pexmit Fee 10.00 pd 72/29/72 Meter Readiag Meter Dep. -50 pd 72/29/72 = Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date BufLding is a: Remarks: Residence xx $77 r',j YiE FOZ Multiple xo, [Tnita P,IETL-RS. Commercial Industrial Sy: Other Chief inspector In consideration of the issue snd delivery to me of the above permlt, I hereby agree to do CUe proposed work in accordance vith the rules and reguZations of Sagan Towaship, Dakota Couaty, Mianesota. By: Steixt 's Please notify the above office when ready for inspection and connection. CITY USE ONLY ' L _,~fZ BL T~ RECEIPT ^631 9 SUBD. CX,/YVI.r~- ,,C {~Cbrre DATE: 4O~ 9~ 0)~,ca5(e..4 1995 MECHANICAL PERMIT (RESIDENTIAL) ' N 3830 PIOT KOBRD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction ~ Add-on furnace ~ Add-on air aonditioning Add-on air exchanger, i.e. Vanee system, etc. Date: / ba EEM ldA 69 -oa~/ UC-rs: C,07C ? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00 ~ ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Dutlets (minimum of 1 required @$3.00 each) ~07- /oo -o~ ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME:,1,e~ PHONE (E~-3' S~ INSTALLER NAME: ~!«r`' ri e~ Ti a HEFTING R AIP C(?"~ITI~!'kf C0. STREET ADDRESS: eq~n u,F,r1,~~r„ E ' ~ MItyNEAPUL,„ ti',R 55420.2853 cinr: e8js~~2rE: ziP: PHONE ( ) ~ , ) ~J ciTr use oNLr . L - BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? a0 commercial/industrial buildings. ? muiti-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ S25.00 minimum fee pr 1°h of contract price, whichever is greater. * Processed piping - $25.00 • State surcharge of $.50 per $1,000 of Rffp7j3 fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TV I• SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: ClTY: STATE: ZIP• PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY 0F EAGAN CASHIER: 5 TERMINAL N0: 6715 DATE~ 08/11./98 TIMEd 14:44:25 II'; NAMF: 4:A5TL.E fi00F:tNG F REMQDELING 321Q 9001 3916 FIVF_fiTON A 99.75 2155 9001. 3Si.E6 fiIUEFTON A 2.50 ~ To+,al Receiprt Amount s 02.25 Cfi09E,;lPi L15F::R IPs NANCY PERMIT 'CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber: 032872 (612) 681-4675 Date Issued: 0 8/ 11 / 9 8 SITE ADDRESS: 3916 RIVERTON AVE L07: 100 BLOCKe 3 CEDAR GROVE #8 P.I.N.: 10-16707-100-03 DESCRIPTION: REROOF B#'iA da~i~J,~Permit Type SF (MISC.) qtEt„~3d1f1g l~l°iD~rk Type REPAIR ~4~tensUs Cade 434 ALT. RESSpEN7IAL °>a x: a~- 4` p .~~,P x. $2 'y 3re REMARKS: REROOF GRRflGE & HOUSE. FEE SUMMARY: VALUATZON $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - Applicent - sT. LIC. OWNER: KASTLE Ctl TNC 18693020 2002953 ANpERSON DAVE E 48TH ST 3916 RIVER70N AVE NEAPQLIS MN 55417 EAGAN MN 55122 #12) 869-3020 (651)683-9256 ~ her'eh}r 6okrt€7wIidgo that Z habe read ~h3ss application a,hc3! state that tho , ~nf-br`mb tisSn a;s c.a~rect anci, agree to ctsmply w,~ th a~,:i appl~cabls Stata af Mny , ;atute~ ind ~.~ity af -Eagars Ord3n;~r~ces.~ ~ ~ . . APPLICANT/PERMITEE SIGNATURE SSl1E~ BY: SIGNATURE . ~6ILDING PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EAGAN 5830 PILOT KNOB RD - 55722 681.1675 New Construetion Reauiremenh $gmodaVReoair Reauiremenls ? 3 registered ske surveys ? 2 copies of plan ? 2 coples of plans (inqude beam 8 window saes; poured fid. desi0n; etc.) ? 2 site surveys (exterior atlditions & decks) ? 1 energy calculations ? 1 errergy eelculatlons for heated eddkions ? 3 copies of trea preservatfon plan ff lot platted after 7H193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTIDN WORIC: STRE DRESS: 33 LoT l U C) BLocK ~ SUBD.lP.I.D. GYo U-e- PROPERTY Name: _,P4U-e' 4n Phone owNeR u„ M„ Street Address: I'~"i City: State: '1 Zip: S~ I Z Z ^ CONTRACTOR Company: C6 Zh~-- -Phone#: 6~7 Street Address: 57- License #:5 ~ City: State: Q Zip: 55 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new wnstrucBon only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ DC~ OFFICE USE ONLY I Certificates of 5urvey Received _ Yes _ No AUIi ~ I Tree Preservation Plan Received - Yes - No _ Not Requir d OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi ? 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch n 09 12-plex o 14 Firep(ace n 21 Miscellaneous ? 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New ? 33 Afterations o 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) 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. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Buifding Engineering Variance PermR Fee Valuation: $ Suroharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT City of Eagan Permit Type:Building Permit Number:EA118268 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 3916 Riverton Ave Lot:10 Block: 3 Addition: Cedar Grove 8th PID:10-16707-03-100 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 . Adolfo Marroquin 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 - Adolfo Marroquin 3916 Riverton Ave Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature #21447 $105.25 � Use BLUE or BLACK ink �----------------- � For Office Use, � C' j Permit#: �" �� I �� Permit Fee: ! �� 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I I Fax:(657)675-5694 I Staff: I I I 1.��J . 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/26/2014 Site Address: 3916 Riverton Ave. Unit#: Name: Adolfo Marroquin Phone: 651-414-0115 Resident/ Owner Address/City/Zip: 3916 Riverton Ave., Eagan, MN 55122 Applicant is: Owner �Contractor Type of Work Description of work: Remove& replace 4 windows into same existing rough openings. Construction Cost: $4,000.00 Multi-Family Building: (Yes /No� Company: Budget Exteriors Contact: Lisa Munson or Sarah Schilling Contractor Address: 8017 Nicollet Ave. S �;ty: Bloomington State: MN Zip; 55420 Phone: 952-887-1613 License#:BC006564 Lead Certificate#: NAT-22128-0 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 ar+e considered to be public irri'ormatian. Portions of ' the information may be classified as non-public if you provfde specific reasons that woultl permit the City to conclutle that they,are trade secrets. CALL BEFORE YOU DIG. Call Gopher State()ne Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 onty an application for a permit, and work is not to start without a permi#; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. E�erior work authorized by a buitding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days ot permit issuance. ' � X Jaymi Lund 1 Applicant's Printed Name ApplicanY ignature Page 1 of 3 Use BLUE or BLACK Ink Ir----------------� , I For Office Use � JkI � � ��/� �� C�/C�`l' C� I' j Permit#: � j lt� of E�� I Permit Fee: / � �,� I��` �� s� � 3830 Pilot Knob Road I� r � Ea an MN 55122 � Date Received: � �� ' Phone: (651)675-5675 M�Y 7 9 2015 I�I � � `� Fax: (651)675-5694 � � Staff: �!�J � I I -----------------� 2015 RESIDENTIAL BUILDING PERMIT A�PLICATION Date: � ! � ` ` � } Site Address:3 l � � �•�t�Qf``�$`1 I-FV� ► ' Unit#: E� ��x Name: C� e.1-,3��J I l0.f' O � �'1 I Phone: b��- -1 ��•�� ( � �Res��ent� v Owner �� Address/Ciry/Zip:39 16 �.'(�-v'.3�.�1 �-V�- � a /VI.�tJ SS� •� �� ' � � � � � ' �� ' Applicant is: Owner �Contractor '' � Description of work: t v�! ��— �e-��C- I � T�Pe of Y�lork , �� : � � Construction Cost: Multi-Famil�Building:(Yes /No�) � �� , � � �. Com an �02 �,-�► �5��,�.. ��n� Contac#: �Y�'�lCJ� �''1'Lc S-2,bC.i nvi�� , � p y' , � �� : Address: �? ID C.�r ba✓1�.Ge.. L,q 1U � City: 4/'�L`'�'� �� Gl�•S'14-F!!9'� � X ��;� �� State: /�A� Zip:S�K�7 Phone: Email: '�l 6 G(� :�• �� ,; a 4 J..,_ � : License#: W C C 3 �� t � Lead Certificate#: l � ��0��3— If the project is exempt from lead certification, please explain why: I/� 7 '" �� . P �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A N W BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on master plan? Yes No If yes, date and address of master plan: I Licensed Plumber: Pho�e: Mechanical Contractor: Pho�e: Sewer&Water Contractor: Phor�e: Fire Suppression Contractor: Pho��e: 1��`�� `�n�1� � � ;�'►n9►�►ac�� tl�iat yts�r��#r� ar�; �o b ��p�bl►�#,��mat�o» f��r�fi � � �� 3 = t�e�3�k��i�fi C/a i��d�� ` '�, ` � � �� s� -publrc i� vr � reaso s tha#�outd rr��th� � � �� v m .�{�7 �r �� .; c��i�,a �n � �� .�� x�� . k , {x, �; CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against un erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orca I hereby acknowledge that this information is complete and accurate;that the work will be in conformanc 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 s art 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 Buildi g Code m st be completed within 180 days of permit issuance. X 5-E-�� r�. ��,s � � , � ApplicanYs Printed Name Applicant's Signat re Page 1 of 3 �� /�� DO NOT WRITE BELOW THIS LINE / �/ � SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) �� 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 _ Egress Window _ Water Damage Retaining Wall "`Demolition of entire building-give PCA handout to applicant DESCRIPTION �� S°�� Valuation � Occupancy L(Z,c-1 MCES System Plan Review Code Edition yn r� Zd �S SAC Units (25%_100%�) Zoning �—� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �_ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: �Footings(Deck) Final /C.O. Required Footings(Addition) X Final /No C.O. Required Foundation � HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: 1 � , Building Inspector RESIDENTIAL FEES %�-�%� Base Fee � �- X��f" � � Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � ` ` 4 � , ' F�� ilr � � � I, �r� ��' vr * ■ f -- � � ti '�! * f . .� � � . � � , � � : '��' , � � � �� - �� C - �� ,�� `` `�� , ,, � � � ��' � '� � I,� ''�,�' � � {{ � r� �. ' ..�t ' � ,., � � � � ��++y� - I, � .� . , , � `�'`k . � � � t E I � . �F � ~'` � � '� � � - I, � r �i � ,� r � � ,' i� � � �'+--4-� �t �� ,�� , �� .� � � � �_' +...�- �.,�_ �. � � � , �� ..r. +.�. . � � ' � � ' � � � � 1 �t . , t`1 Ii � •• �- � �� , � �, � i � � � � � ; > > t'n I `� � � � � � d � � , �r �� ' ..�. _ , , m .,.�. , Y � � - -�—� cv ,�. 'I * . � � �, � �' � � .' c�t ,..a. _ , . �� ..,��,� a � . �. ,�,,,� _ _ w '� q v � .,.. F �+ � : � � � �' �, � �� 1 . � � � . � - �. . �� ■ � �J i � �� . . , � / � , .� f.� _" __ _ I � � + �i��i �v �fYY �Wi�� • �� ' ' . � I' � � . . � . : . � . ' . ... � Ilii � , � � '� �J �--� � � .� �. � �� ..�� nl � ��.� � — — �. ,� � � ,� � . � � � � � .� p � ' � _ ��, �` �. �, 1� � . '�,� � �' ' ,� � �, � �'� ., . �� . �� . � �� E ,.. _- _. � ti �, i � _. � � �. ��' �� _ �._.,. � _.,..f - � . J' .___ _ �A� �_ �� II . . - � , � . .. ��r � � �� . City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: cl-N\-kt a o toc; SEP 161016 Use BLUE or BLACK Ink r I For Office Use I Q Permit #: 13,8'897 97 Permit Fee: ! S ' d Date Received: C! -24 Jet Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/, Owner Site Address: 3111(o wive - eiLt e_ J Unit #: Address/City/Zip: 511L, cALAI Type of Work Applicant is: Owner Contractor Vr✓mc3ve CA h6. rec\ckce Nr S StAMe Description of work: c ;�� nuc rctA5 — c, (1 t it 5 vn Construction Cost: 5SOU Multi -Family Building: (Yes / No ) Contact: VscA cnc�cl C� City:c t )y•‘ State:Mr\ Zip: 5S4N(.. Phone: ISA S.'6. -1-I6,1 \ Email: \CRc,R \1,. \ License #: (Xjc�b5 ��-1 Lead Certificate #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o the information may be classified as nop-public if you provide specific reasons that, would°pdrmit`the City;to' con:lude that they.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.aopherstateonecall.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 Builds -' C . : must be completed within 180 days of permit issuance. x .� Vi1v11Sun Applicant's Printed Name x Appli is Signet Page 1 of 3