3933 Riverton AveCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
For Office Use L�
Permit#:
Permit Fee: 97)
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: AK -6701"
Sit -e Address: :R 47 ,E< / r i'(1e ( '
Tenant: C .- Lt Z(/)
G /C
Suite #:
RESIDENT / OWNER
Name: r L 6'it/ -. C, c)( Phone: l .. ' - o r>
3-7,i..-7, Address / City / Zip:l: ( v.6 7' '„i /-t"
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: /it" ( X( '<' / Cr /L g,-,.7)01: '42dl-t _
Construction Cost ,? C>6 Multi -Family Building: (Yes / No '-'')
CONTRACTOR
Name: A d 4 1- -4, '-C License #: L[ Ott
Address: Ca
a'' _ 7 L//4 'I't - /iv ,.,(c -)L-177-7/
Z/*State: �� Zip: y---7/S-7::-.6:i %he f
City: /0V -7i-7)47 &-
Phone: C't?C) Contact Person: r '/e1 / ''/>/fL
COMPLETE
Energy Code
Category
(4 submission type)
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.
Ap icant's Signature
411
.777b/?-.
Applicant's Printed Name
Page 1 of 3
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• CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9283
PHONE: 454-8100
BUILDING PERAAIT Receipt # ~6
To be w"d for P OOL Est. Volue $ 7, 9 0 0 pate t J L Y 11 , lq 84
SiteAddresa -,j33 ; VF.i~TGiJ Erett Occuponcy. R3
Lot 2 9 Block b sec/sub. C'En GRV ; Aiter ? Zoninfl -"zl
Parcel No. Repair 0 Flre Zone i4/ii
Enlcrfla ? Type of Const. v
ac Name ;,F.VE $ LI_idDA SCfiU.,.,
Move
W 39.i 3 i3_t Vf:i.2T0[V 0 # Stories
Address
~ Demolish p Length 3 Z
City ~"t ~GAN Phone 454 j 5 y Grode Q Depth 16 Sq. Ft.
ac
Nsme VALLEY PUOLS I1NC Aporovals Fees
,o
651 Cl,I F^ Rn llssessment Permit bL; SU
oU Addresa 5 ,
u~
1-- Citv BUi~?VSViLLF phone 394-1480 Woter85ew. Surchorye 4.U1)
Police Plon check
~W N~e Firo SAC
Address Enp. Woter Conn.
~ W City Phone picnner Water Meter
Council Road Unit
I hereby acknowledge that I hove reod this opplication ond state thot gldg. Off.
the information Is correct and ogree ro compiy with all opplicoble ^PC Total 72---SU
Stote of Minnesoto Statutes ond City of Eogan Ordinonces.
5ipnoture of Permittee
A Bullding Permit Is issued to: VALL'r'Y i'(i( (.S iA:C on the express condit{on tha+
oll work sholl be done in acco rxe Ith cll oppliaoble itate of Minnesota Statutes and Gty of Eaflan O?dinances.
Buildinq Off{tiol Jn ~ ?
Pormit No. Permit Holder Miu. Permit No. Holder
Plumbinp
H.V.A.C.
YYall
Water
Im
Disp.
S~vwr
Elect.w ~aUb
IrWection Date Intp. Other
Footings 7
Foundatbn
Fre~ninp
Rouph PI6p.
Iouqh HVA
Inwletion
Final Pibp.
Final HVAC
Finsl
adzbi&!~ l
Water ibs Location:
~nr.,?io ".1
wen w- CW
~
s.vie.
Pr. Disp. Y
CITY OF EAGAN
3795 Pilef Kaob Rwd Eeten, MN SS122 f~ 7A
• PHONEi 454-8100
BUILDING PERMIT ReceipT
Te be wmd for 3 SEASON PORCH Est. Vnlue $8 , 000 pote ADril 7 , iq83_
Site /Wdreu 3933 Riverton Avenue Erect ~ occuPoncy R-3
Lor 29 Btock 6 Sec/SubCedar Grove Sth Aire, ~ Zonin9 P,-1
Pcrcel # 10 16707 290 06 Repair Q Fira Zone JA
Enlorfle p Type of Const. V
W Name Uavid Schombarv, Move ? # Stories
~ Address 3933 Riverton Avenue Demolish p Length_2.SL
C; EaQan 55122 phone 454-8959 G.ode ? Depth16 Sq. Ft.
o Nar,a Kenneth Cardinal Construction ApPeovals Fees
u~ Addreu 7200 lOth Ave. So. ~Rssessment Permit 68.50
6- Cit RiChfield Phone 864-8348 Water & Sew. SurcMrQe 4.00
Police Plan check
~W Nome
gZ Firo SAC
/lddress Enp. Woter Conn.
<W Ci Phone Planner Woter Meter
Council Rood Unit
I hereby acknowledge that I hove reod fhis opplicotion and stote that Bidq. Off.
the informafion is correct and agree to comply with oll oapiicebie ^PC Total i z. 50
Stote of Minnesota Stotutes ond Ciry of Eagan Ordinunces.
Sipnoture of Pertnittee ~ .1 • <'"-r.-~ - r
A Building Permit Is issued ro: Kenneth Cardinal ConsCruction on t}ye eupress corrditlon thni
all work sholl be done in atcordorxe with a11 oppliwble State ol Minnesota Statutes ond City of Eoyan Ordinances.
~ .
BuildinQ Offlciol ' ' ~ :
Parmit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
w.u
wat..
Disp.
Sewe.
Electric WZ~(D l~ Du?/l Er`' -`$'.3
Inapaction Dats Infp. Other
Footings
undatfon
r.2 Fo
Fnming ~
Rouyh Piby.
Rouyh HVAC
Insulation
Final Plbg.
Final HVAC
Final ~
Water Oewibs location: YVall •
Ssvrsr
Pr. D'ap.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ~
~ -
To be used for Est. Value Date `
Site Address V' v " OFFICE USE ONLY
Lot Block Sec/Sub. .'S?Vi. . .~''C1i On Ske Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actuai) Const
a Name ' City Water (AllowaWe)
W 5^ PRV Required # of Stories
3 Address
~ City Phone ' ~~ter Pump Length
Depth
°C0 Name ~b.,;T-:'~-~GL; _ • S.F.Totai
o ~ Address Footprint S.F.
U~ City E',' l I LF: Phone
APPROVALS FEES
x Engr./Assess. Permit
~W Name
W
~ Z Planner Surcharge
x - Address
City Phone Council Plan Review
t W
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is corcect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee
Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done f n accordance with al I Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official
• Permit No. Parmit Holdar Dete Telaphone #
Plumbing
H.V.A.C.
Electric
Softener
Inspsctfon Det* Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . ~ . , . .._...--_.-'._...~..,r:~.~... - ,
, -CITY OF EAGAN 18328
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 F
PHONE: 454-8100
BUILDING PERMIT Receipt #
7o be used for GARAGg ADDI't'ION Est. value $6.000 Date SEP 5 . 1 g 90
Site Address 3933 AIVERTON AVE
Lot 29 Block 6 Sec/Sub. CBDAR GROVE 8'[H OFFICE USE ONLY
Parcel No. occupancy M"1 FEES
Zoning
cc Name pAVID SCHROMDERG
W (Actual) Const _ Bldg. Permit 81.00
~ Address 3933 RIVERTON AVS (ab,,,able)
3.00
0 Cit ~~N Phone 45"959 ~v ot Stories Surcharge y
Length Plan Review
Z~ Name LANGAAS CONS?KUC?ION. Il1C oeptn Z?' snc, cicy
OU Q Address 13862 DlJLU1'Ei DR S.F. Total - SAC, MCWCC
~ City ApPLE VALLIEY Phone 423-6798 S.F. Footprints _
F On Site Sewage _ Water Conn
W W Name On Site Well - Water Meter
t ; Address MWCC System _
i W Clty PhOne City Water _ a~t. Deposit
PRV Required _ S+W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statules and C4 oi Eagan Ordinances. Treatment PI
SignaWre of Permitee APPROVALS Road Und
A Building Permit is issued to: IAWA" CMTRuC'['ION Planner - Park Ded.
on the express Condition that all work shall be done in accordance with all Council 1~
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bkig. Off. _ Copies •
Building Ofticial ' Variance - TOTAL 85.00
permit No. Permit Holder Date Telephone # I
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
CITY OF EAGAN Remarks Wtr can. pd. on 11-10-72 Sold for Taxes
Addition ~edar Grove #8 Lot 29 eik Parcel 10 1 707 290 0
AN 55122
Owner e~~~-' ..r Street 3933 Riverton Ave. State ESgan
V
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ZS 1970 125.00 5•00 25 Pqj,d
* SEWER LATERAL 2 1974 1 .1 Q Pald
WATERMAIN
WATER LATERAI 197
WATER AREA
~ STORM SEW TRK CI
S70RM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300•00 6752 11-8-72
BUILDING PER.
SAC 2 O.OO 6752 IIZB-72
PARK
• . CITY OF EAGAN ~T
y - 3830 Pilot Knoh Road, P.O. Box 21•799, Eagan, MN 55121 1~1 ? 9283
PHONE: 454-8100
BUILDING PERMIT keceipt #
Te M und for SWIM POOL Est. Value $7,900 Date JULY 11 , 1 q 84
SiteAddress 3933 RIVERTON Erecr yo Occuponcy R3
Lot 29 Block 6 Sec/Sub, CED GRV 8 AI1er ? Zoning R1
Percel No. Repair ? Fire Zone PYIA
Enlurge ? Type af Const. V
oc Name DAVE & LINDA SCHOMBERG Move ? # Stories
Z nddress 3933 RIVERTON p¢molish ? Length 32
~ City EAGAN phone 454-8959 Grode p Depth 16 Sq. Ft.-
s a VALLEY POOLS INC Avvrorals Fee:
Nam
o
Z~
651 CLIFF RD Assessmenr Permit $ 68.50
su Address
~ City BURNSVILLEPhone 894-1480 Water 8 Sew. Surchorge 4.00
F Police Plon check
FW Nama Fire SAC
U~ Address Enq. Water Conn.
&z City Phone Planner WaterMeter
Coun[II Raod Unit
I hereby acknowledge that I have reod this application and stote that Bldg, Off.
fhe informalion is correct und ogree to complY with oll opplicoble - - - - T-'r'~.5~
$tate of Minnewto $totutes and City of Eagon Ordinonces. APC Totol
Signature of Permittee
A Building Pertnit Is issued to: ALLEY PDOLS INC on tha express condition thm
oll work sholl be done in occo ance it al plicable~ ta of Minnesota Statutes and City of Eagan Ordirwnces.
BuHding Official S
CITY OF EAGAN Include 2 sets of plans,
1 Certificate,of Survey &
BUILDING PERNIIT APPLICATION 1 set o.f_ energ_y ca].culations.
Zb Be Used For Sw1MF11NG1 R;10 L Valuation 79dd Date 7 - /0 -~T
Site Address: h 93_3 ,,eldl'O-R-TLL0 OFFICE USE OLVI.Y
r,ot ~q slocx ~ sec./sub.G'" OErer-t occupancy R3
Parcel Alter Zoning R-I
Re~i r Fire Zone
Enlarge - ype of corst. IT
a~er: 7.
Nbve # Stories
Pddress: Derolish Front 32 ft.
City/2ip Code: ~~g~9-i9i? ~ v Grade Depth Ilo ft.
Phone # : e{ APPROVALS E'FES
contractor: Assessments Permit Co f3 . 5O
Water/Sewer Surcharge
Address: ~A~ Police Plan Check
City/Zip Code: 3' Fire SAC ~
Phone g Z/ En9• Water Conn. ~
Planner Water.Meter
Council Road Unit ~
Arch./Erig.: Bldg. Off. iD
Pddress: APC
City/Zip Code:
Phone TMAL
7 a S~
CITY OF EACaAN
~ 9795 PUof Kno6 Road Eogan, MN 55112 l~l ~7? 7909
PHONF: 454-6100
BUILDING PERMIT eeceipt #
T. ba med /or 3 SEASON PORCH Est, Value $8.000 Date April 7 1 y 83
Stte Address 3933 Riverton Avenue R-3
Erect g]~ Occuponcy
Lot 29 BI«k 6 Sec/Sub.Cedar Grove Sth qlter p Zoninq R-1
pareel # 10 16707 290 06 Repalr ? Fire Zone NA
Enlarge ? Type of Const. V
w N,,,,e David Schumberg Move O # Srories
~ ndd.ess 3933 Riverton Avenue pe,,,oiish ? Length 20
ci EaQan 55122 pF,om 454-8959 Grode ? Depth 16 Sq. Ft.-
~ Name Kenneth Cardinal Construction Appro.ab Feas
o" Addrea 7200 lOth AVe. So. Assessment permit 6.50
Ci R3chfield Phone $64-8848 Water & Sew. SurcFwrge 4.00
Police Plon check
Gw Nnme
rZ Fire SAC
~U Addren Enp. Woter Conn.
<W Ci Phone Plonner Water Meter
' Council Road Unit
1 hereby ncknowledge that I have read this apDlication ond state thuf gldg. Off.
the inlormotion is correct ond ogree fo comply with all npplicobla APC Totol $72•50
State of Minrwsoto Statutes ond Ciry of Eagan Ordinances.
i
$ipnofure of Permittee ,
A euitdin Permir is issued to: Kenneth Cardinal Cons ruction an the e
g xpress twdition thnt
ull work sholl 6e done in accordance with oll applicoble StateSta,t~y/~ a~n,~d City of Eapan Ordinoncea.
Buildinp Officlol N .(~rv~...c-~
~
. . Cer.~2~C~i~ "~~-Y~j~a ;r ~'o-•- 20 ~ .Le-~' C'o-u-~'~'
0~ CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evations &
BUIIAING PERMIT APPLICATION 1 set of energy calculations.
7b Be Used For 3 St.IlV,ir vaiuation j~g o n.e-,, nate
Site Address: 2 1",7 7/~/G1?yeiX ~U6- l~~~ OFFICE USE ONLY
r~ot `:L~( slock ~ sec. /suh &~i~+!' C'troJ E. S'rect X occupancy A/*9~
Parcel ( D 10`70 -7 aR D O(D Alter zoning
Repair Fire Zone
Oaner: I~/,j///lq Enlarge - Type of Const.
Nbve # Stories
Address: Demlish Front ft.
Grade Depth 14 ft.
City/Zip Code: GiLv 22.
Phone APPROVAi-S FEES
a
Contractor Assessments Perndt _~14 g
Address: 7200 / o-~0? ji', s'. Water/Sewer Surcharge
Police Plan Check
City/Zip Code:,/`~/cif/-iE~~ Fire SAC
~q, Water Conn.
Phone Planner Water Meter
Arch./tng_: Council Rt>ad Unit
Bldg. Off.
Pddress: APC
City/Zip Code:
~ S C~
Pnone Tarr.r, 79
• ' CITY OF EAGAN N_ 14 4 31
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
( (
BUILDING PERMIT PHONE: 454•8100 Receipt #-I (I 1 T
Tobeusedfor FIREPLACE Est.Value $11000 Date NOVEMBER 18 19 87
Site Address 3933 RIVERTON AVE OFFICE USE ONLY
Lot 29 Block 6 Sec/Sub. CEDAR GROVE 8TH On Stte Sewa9e _ Occupancy
MWCC System _ Zoning
Parcel No. On Site Well _ (ACtual)Const
a Name DAVE SCHOMBIIRG Ciry Water _ (Allowable)
z Address SAME PRV Repuired _ # of Storles
0 City Phone 454-8959 Booster Pump _ Length
Depth
. o Name HEAT-N-GLO FIREPLACES S.F.TOtal
oa Address 3850 W HWY 13 FootprintS.F.
U~ City B'VILLE phone $90-8367 pppROVALS FEES
x $Z0.50
W w Name Engr./ASSess. Permit
~=i5 Address Planner Surcharge •50
Q W City phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read ihis applica[ion antl state that the Variance SAQ MWCC
information is correct and a ree to comply with all applicable State of Water Conn.
Minnesota Statutes and C Eagen i i~~
Water Meter
SignaWre of Permittee ~ Road Unit
A Building Permit is issued to: HEAT-N-GLO-EIREPLACE$_ Treatment Pt
on the express condition that all work shall be done in accordance with ell Parks
applicable State of Minnveso Statutes and Cityuj Eagaa OrdinanCes. ~21.00
~ ~ TOTAL
Buildin9 Olficial C
.
? ~1
~
" EAGAN TOWNSHIP
BUILDING PERMIT No 28~
Omnei ...._.~.4..~':".p'... ./.d..^..'K~--7-.. EaBan Township
Addral~t IPresenil ...~a.....~..lG_~.`.^..:~....a.._h!..^..,.c........ Towa Hall
I
Builde ' r - / / - / 3 7 z Dala
. .
Addseps
~ DESCAIPTION
Stor.al To Be Used For Froaf Dspfh HeIgh! Esi. Cosl ermi! F Asmaeb
.7 a~SOe 4r sD A'A4-
3S,5o
~ LOCATION. ..ZS.S~i o°
Slreet, Aoad or other Dsseripfion of Location I L Additioa or 1'reM
/d- /a
I z ~ 4 „ ~
T6L pesmit dow aot authostsa the vae of siraeb, soada, altaps or sideaalks aor does i! ghe !his ownos or bb spen!
the right to cseals anp eilualion whtch b a nuisaaee or whieh prmenls a hazard !o the health, satelp, eoavanleap end
Ig ' welfess !o aapone ia the eommuniip.
sner
, ~ ERMIT MUST BE KEPT ON E PAEMISE WHILE THE WOAK IS IN PAOGRES .
1'hls 1s !o eertiip. ihal..... ..~-._e--...~~...hes parmiasioa to ereet a.......-d°._.'.. ~...-.-.;.T p~ ~ _upoa
!he a}iova deserlbed premise subjee! !o the provls[ons o! the Building Ordinanee !or Eagan Towaship, gdopted April 11.
1855.
..........I--.......... . .:a.::'........~_:..---~_ Per v~
Chalizaass-ot-Tawn-lbeerff Suitdinp Im pfttor
~ +r
4ILLAGE OF tACluV
3795 Pilot ISnob Hoad
Eagan, Niinnesota 55122
PERiiIT N0. 283
The Village of Eagan hereby grants to GodiLr r}rove Camstructiam Co ~
of 730 Conoord Blvd. E., 9outh 3t. Paul
a ns.ia.mrnvi Pexmit for: (Owner) eame
. &
at 3933g,Q,,*on noe, pursuant to application dated 1111W2
Fee Paid: fip,pp dated this 10th day o£ Nowamber ~ 19 72
1.50 y/O
~ Building Inspector
Niechanical Permits:
Bid Total:
. ,
a~--~ ss
cG~ .
1
VILLAGE OF' r:AGAN '
3795 Pilot Knob doad ,
Eagan, Nlinr.esota 55122 ,
PER14IT N0. 276
The Village of Eagan hereby grants to ~edar Grova Constxvction Co.
• oY 7343 Concord Blvd. E., South St. Paul
a ~LF.a'i7"SG Permit for: (Owner) sam^ _ S.
4048 Ciainabar Dr., 3932 PaZisaae way & a 4-/- 7,
at _ o~3 tLVerton .4ve. , pursuant to application dated 11/3/72
Fee Paid: *,(p,oo dated this 101;hday of ^fovoreber ~ 19 72 ~
1.50 s/c
Building Inspector
Niechanical Permits:
3id Total;
. i
REQUEST FOR ELECTRICAL INSPECTION ;r-„ es-ooooi oa
P7613 ' See instructions tor completing this form an back ot Vellow copy.
""XOtelZw'Work Cioveredby Thrs Request 35 331
No~ Add Hep. Typa of Buileinp ApDlianC85 Wired Equlpment Wiretl
Home Aange Temporary Service
Duplex Water Heater Lightin Pixtures
Apt. Building Dryer Bectric Heatin
Commercial Bldg. Fumace Silo Unloader
Indusirial Bidg. Air Conditioner 8ulk Milk Tank
Farm Olher Vn!'~fY O[her (Specify)
t er Spocify t er Othi+r uy'~
Compute lnspection Fee Below
7 Fae Service Entranee Size # Fee Feeders/Subfaeders N Fee Circuits
0 to 100 qm 0 to 30 Am s ~ - CC) 0 to 30 Am p
101 to 200 Amps 31 to 100 Amps 31 [0 100 A s
Above 200 Amps Above 100-Am Is Above 700_nmps
Transformers Reinote Control Circ~ Partial%Other Fee
Signs Special Inspection ~C.LS D
Re~+arks ~ TOT F E
Kl hi wAtA.WL do
Oate / a ,
I Nough-in
uw~
fjl snectoq hereby
certify iFat the x6ove
Final in B tion has baen
!
This repaest void I8 months tram
rnis raauasi wia
18 montns Irom
A 064991 j--Qqai6t ee~c ,P~r~ ~ 3a.v v
Raqges' nW I Fire No. Row~-ed~~? laaoection
Reqmr OflaAY NowWWill NoliFy. Inspec-
- 0 V )DYes ?NO Wr Wh¢n qeaay
~Licer.sed Electrical Contractor I hmeby nxIuwsi ~~~fion af ayonra
Ownq§" electriml wrpk iretallad at
Street Adtl~~ ~x o Route~1 No, Ci~X--
3 ~~L d ar1
ecimn o. Township Name or No. nge No. Countti~
Oc ' nt (PRINT) ~ ~~c No. 99~
~D
Power SuDDiier AJdress
Elec 1 ZVac or (GV~~~ C/~ompQ Name) Conqac~pr's icense No.
c
MailinB ddress IContract r w Owner Mak~q i 1 ilation
l
RI f~vm 3.l.~° ~o5eittle
rized SiB7t re IContra m Makiap Iretallationl PhogyD NuyOer
Au
6 O ~
11
MIN OTA STATE BOAXD OF ElEC7Ii1CITY THIS IKSPECTION REQUEST WIIL NOT
Gri90s-MiAVev Bldg. - R. N-197 0E ACCEPfED 8Y 7NE STA7E BOAND
7827 Unlversity Ave., SL Peul, tlN 55700 UNIESS PADPE91N5{ECiION FEE IS
Phorre 161212972111 ENCIOSED.
REQUEST FOR ELECTItlCAL INSPECTION ee-oooQoi~-o/a
See i~lruetians tor covmlol~,j@is tarm m baek of yal~ copY- ~!O /
A ~j -'X" Be/ow Work C?vered by This Request
Adtl pep. Typg o/ Buildi'q Applianesa Mird FAuio~nt w~red
Hortre Range Tenporary Service
Duplex Water Heater Lighfin Fiatures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Corditiaier Bulk Milk Tank
Fafm Other Dec'I'vi olher (SOeciry)
1 r uecJy ther Oihc,
ompute nspection fee Below
M Fee ServieeEntrameSiza p Fee Feetlers/SVbfaedem # Fee Circuits
0 to200 AmpS 0 to30A 0 ta30Am s
Above 200 A 31 to 100 Amps 31 [0 100 q rrq)s
Swimming Pool Above 100- A6ove 100_Am s
Transiormers Irri tion &wrtis Partial: Other Fee
Signs Speciallnspection
emerks • TOTA E
5+.O I mm«
Nouph-in i. the Electrical
I.
Inaa«tor. ne.eer
tMI the above
Final iapeetion hes been
Tryy repwal rWU 16 monlb Hdn
This request void
18 months from ~
- ao,oc~
TJ 27613.0
Request Date Fire No. ~ough-in Insuection
- e4u red? ~RcadY NowWill Notity InsPec-
Yes ?No 'k lov When Rendy
~ Licensed Eler.[rical Contrector . I herahy reGUest inspection of above
Owngr electncal work installed at
S[reet Atldress, Boz or Rou[e No. ' City
3 R i u- e,~ , E7.4 ecuyn a. Township Name or No. Ran9e No. Counry
-D,+ aT~
Occupnnt(PRINT) Phone No.
sc+40au+eC, ys' -$9s
Power,Supplier Atldres5
~44~~ V2"~q48 v\~
Elec[r I Conttactor (COmpanY Name) Cunhacmr's License No. (,D Vt g-r-
Mailing Atldress (Convactor or Owner Makinp Inslailation)
3-a`?~ A-X ~
Auth 'zed Sre onV net Making Installationl Phone NumOer
S(4 - 1e;,-
MINNESOTp STATE BOAND OF ELECTHI. 1HI5 INSPECTION REQUEST WILL NOT
Griggs-Mitlway Blde. - Aaom N-797 BE ACCEPTED BV THE STqTE BpqRD
1821 UniversitV Ave., St. Paul, MN 55104 UNLESS PHOPEP INSPECTION FEE IS
on....e 10121 297-7111 ENCLOSED.
CITY OF EAGAN Np 18328
3830 Pilot Kno6 Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt k n
~ o
iobeusedtor GARAGE ADDITION Est.Value $6,000 Date SEP 5 1910_
Site Address 3933 RIVERTON AVE
Lot 29 Block 6 Sec/Sub. CEDAR GROVE 8TH OFFICE USE ONLY
PBfCBI NO. Oaupancy M=1 FEES
Zoning
m Name DAVID SCHROMBERG
w (ACWap Const _ Bldg. Permit 81 - 00
~ Address 3933 RIVERTON AVE (Allowable)
° Cit EAGAN - Sumharge 3.00
Y Phone 454-8959 roisiodes
Lenglh 18, Plan Review
2io Name LANGAAS CONSTRUCTION INC Depih 22' snc, City
$a Address 13862 DULUTH DR s.F.rotai _
~ City ~PLE VALLFY Phone 423-6798 S.F.FOOlprints _ SAC,MCWCC
~ On Site Sewage _ Water Conn
$ W Name on sae weu
Water Meter
AddfeSS MWCCSystem _
<W City Phone City Water _ Accl. Deposit
PRV Required - S/W Permit
I hereby acknowlege Ihat I have read this application and state that Ihe Booster Pump - Siw Surcharge
information is correct and agree to comply with all apDlicable State ol
Minnesota Stalutes and C' 1 E n Ordin e. Treatment PI
SignaWre of Permitee APPROVALS qoad Unit
A Building Permit is issued to: LAIdGAAS CONSf RUCTION Planner - park Ded.
on the express condition ihat all work shall be dona in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bmg. Olc Copies 1.00
Building Ofticial variance - ToTAL 85.00
CA0 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Castnwtim Reauiremenls RenioddlReoair Reau'vemen6 Oifice.USeDnW
3 registwed sfte swveYs OrowN9 SQ. ft of la, s9. R otharse; and aR ioofed areas 2 mpies of Plan sl-wdi9 Pootings, beams, joft Cat of SurveyReW . Y.._N
(20%mazimum lot wverage allowed) 7 set of Ewgy Calculafions fw heated addi0ons Sals ReyM _ : Y_N
1 SoRs RepoR rf pfoposed building is to be placed an disWr6ed sdl 7 sile survey for addi6ons 8 dedcs Tme Pres Plan Rwd ' Y N,
2caPiesofplanslwr'vgbeem8wkWows¢as;pouredfqnMdesign,eFC. Ad*w -dM'cffieBatisA'eSOp6csy9em TreePresReiryired- 7 Y _N
7 setof Fragy CWcuMms Orisite Septlc Sys6em. _Y N.
3 cfqies of Tree Preseva6m Plan'rf bt platted after 711N3
Rim Joist Oetail OpUms selection sAeet (buildings vnlh 3 or less unils)
htinnegasw metlwtital ventilation from
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date l0 /9 I O'-4-n J coostruction cost ff y000
Site Address 3933 R/UP.t..7D1 At^e C4ESQ/J UniVSte #
Descripdo¢ of W ork K2~ f001"
MnIH-Family Bldg _ Y ? N Fireplace(s) 1 _ 2
rropertyowner IiUI )Co)~, CIuGA_ Telepnunea(jpS-l ) 4r'q - ZoS)
Contraetor 1~~bol CpnS~IL,c4tbr
Aaaress ?1 (5 0 rtc,~) s4- cin Nao
State M~ Zip S0011 Tetephone#(9Sa) 7S9, -3533
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEiM BUILDING
- Minnesota RWes 7670 CateM I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Etrergy Em.elope Calntla6ons 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, dafe and addreu of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and aclmowledge that t6e infonnation 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 star[ without a
permit; that the work will be in accordance with the approved pfan in the case of work which requires a review and
approval of plans. ~
ApplicanYs 'nted Name Applicant's ignature
' MASTER CARD . \
LOCATION O
OWNER
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Coniractor Owner
BUILDING
-P-rf r
PLUMBING ~ Q 3
(r
CESSPOOL - SEPTIC TANK
V?ELL
ELECTRICAL
HEATING ~
GAS INSTALLING
SANITARY SEWER ~2 OD
OTHER ~ 16
OTHER I I
Approved
Items (Initiap Date Remarks Distance From Well
FOOTING i3-7 SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWM8ING a - ~
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
- ~
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IH 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 BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION -1 certify that I have carefully inspected the ahove in which I have no interest present or prospective. and that I have reportad herein
all signiticant conditions oLserved. to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requirr
ments for off-site imprrnements relating to the property inspected.
~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED
- BIIILOING INSPECTOR DATE
COMMENTS:
'
ljj~ 23
V ~
1987 BIIILDING PERMIT 6PPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
IACLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR CORNES LOTS - CONTRACTOR/HOMEOiTNER MIIST DESIG.QAYE TiHICH ADDRESS
IS DESIRED. NO CH9NGES WZLL BB ALLOWED ONCE HDILDING PERMIT IS ISSQED.
MULTIPLE DWELLINGS - RFSIDENTZAL RENTAL Qi"IITS FOR SALE QNIiS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg SiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS •
CO:IIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Date:
~aluation:
`n DOO ~
Site Address OFFICE USfi ONLY
Lot Block ~o On Site Sewage Oceupancy
MWCC System Zoning
Pareel/Sub On Site Well Type of Const
City Water (Actual)
Owner 7[)AV,c (Allowable)
# of Stories
Address 3~i33 ~we~b-, (aJ~ Length
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVALS FEFS
Contraetor Assessments Permit ~ \ 1 Water/Sewer Surcharge ,510
Address ~3$5U Ll7, 13 Police _ Plan Review
Fire SAC, City
City/Zip Code -&Ar,nSV~~~ ~ 5~337 Engr SAC, M47CC '
Planner Water Conn
Phone Council Water Meter
Bldg O£f Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOTAL i;c I • ~
City/Zip Code
Phone S
,
~ AU6 2 7 1990
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
1132$
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTl1RAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER,
To Be Used For: a/G L" Valuation: Date: LZ 7 C
Site Address 33 4iL~'?4 ~ / ODO ~ OFFICE USE ONLY
Lot Z / (s~
Block FEES
Occupancy
Zoning
Parcel/Sub Actual Const Bldg. Permit 8/,00
`C Allowable Surcharge 3,o v
Owner s.~ # of stories Plan Review
Length IS$ SAC, City
Address Depth ZL SAC, MWCC
S.F. Total Water Conn
City/Zip Code 5,4 ~ Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
On site well - 5/W Surcharge
Contractor MWCC System Treatment P1.
Z City water Road Unit
Address ~ 1p z ~Gv~L~I D~ PRV _ Park Ded.
n0~/~ IJ~ ~!Z ~ Booster Pump Copies pa
City/Zip Code SUBTOTAL
f-r/ APPROVALS Penalty
Phone Planner TOTAL
Council /
Arch./Engr. " - Bldg. Off. ~41
Variance
Address
Gity/Zip Code
Phone #
• ' 1
•
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EAGFN TOWNSHIP
3795 Pilot Rnob Rosd
St. Paul, Minaesota 55111
Telephone-454-5242
PERMIT FOR WATfiR SERVICB CONNSCTION
Date: ~ Number: 1036
Billing Name:~ C-~rXO,C\'3Cbl~e~~l~ite Addrese:c~~~ll)P4'It~.
Owner: Billing Address N
~c.%~ ~
Plumber:
Location of Connection Meter Size Connectioa Chg. p 1/10/72
Meter No. Permit Fee 10.00 pd 11/10/72
-50 p 11/10/72 s/
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building ia a: Remarks:
Residence xx
Multiple No, Units
Commercial
Industrial Hy:
Chief Inspector
Other
In conaideration of the iesue and delivery to me of the above permit, I
hereby agree to do ttn proposed work in accordance with the rules and
regulations of 8agan Township, Dakota County, Mianes ta.
By:
Please notify the above office when ready for inspection and connection.
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNL+CTiON
DATE • C)C7 .~1R 7a NUMBER 1200
OWNERI,.,~~`7(bl) Q~ Vl~~dress c~~c~~ ~ 1 L~C~~11 1~/~
PLUMB&R`{\ ~I U~YII?JL N7 TYPE OF PIPE
DESCRIPTION OF BUIIDING
Industrial Coffiercial Residential Multiple Dwelling No, of units
Location of Connectfons: Connection Charge 260.00 pd 11/10/~2
Permit Fee 10.00 ZL11/70/72
.50 pd 11/10/72
Street Repaira
Total
Inapected bq:
DaYe
Remarka•
By
Chief InspecCOr
In consideration of the issue and delivery to me of the above permit, I
hereby agree eo do the proposed work in accordaace with the rules and
regulationa of Eagan lbcroship, Dakota County Minnesot,
BY
Please aotify when ready for inspection and counection and before any portion
of the work is covered.
I
` CEDAR' GROVE NOMI: 8
HOUSE ADDRESSES TOWNSHIP OF EAGAN j COUNTY OF DAKOTA
s~
, DAT £ :l ' 2- 70 EuJ Lne q'ik NoAF~! .4 y' S~dien xo irP 1~.49. 2a f y
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10/011 TUE 11:39 FAX
440'City orbin
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Few: (851) 875.5894
OCT
cap,cs M,00
•
la002/004
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
lam- l �'" e-Secie
/ f Site Address: 3433 IZL�Ne_i*O I )6t. Unit ft: -� / —
Name: Ir , \\ CI OX
Address / City / Zip: 34:1 f lei
Applicant is: Owner /Contractor
Phone: lo.5
Description of work: . OVV1‘2_‘!c,Yn •- 5r. %1
Construction Cost: Cl �Q " Multi -Family Building: (Yes / No Z
Company: 1 : t.ia
Contact: rvi i t^. heJ i t R5
Address: ca_to,a !Y1 i,l isfanc l 1` 14. City: m PL 5
State: /r -"I Zlp:455. aLD Phone: - /' - 1.#7i 1.7.,
License #:
•
Lead Certificate #:
If the project Isexempt from lead certification, please explaln why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING Alm( BUILDING
In the last 12 months, has the City of Eagan Issued a pannit for a almller plan based on a master plan?
_Yes _Vo If yes. date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer '& Water Contractor: Phone:
/.1t0)�� 1 /l lrt ;ra Il/,I.ic li itli�l isle i )4; t- lt)•,,gq i!!:1,114".11 -1A 'X: to f`:�� `/C1 ?I X al 1/ /_1ll7rl,l.-1l,?irl fit )i6
.7111,if 1/ts/I t (0J')[ rh A 1/ /:} 1!I Id ii1i)-1,1;'::'7'1/,1"1 l7IAitt(;1 1:[(i,iteii.)
(u1&Iil!�/'1LTlilI,rijl,ia`kMr1)7i'Afl'
tyAt L BEFOR YOU DIG. 9511 Gopher State One Call at (K1) 454-0002 for protection against underground utility damages. C.N 46 hours
before you Intend to dig tb receive locates of unddrground utWWNtoa. www:gooheratateonecail.olg
1 hereby acknowledge that (hie Inforntatson.ie complete end accurate; that the work will be In conformance with the ondtnencee end codes of the City of
Eagan; that 1 understand thls Is not a permit, but only an application for a permit, and work Is not to stent without a permit: that the work will be In
- accordance with the approved plan In the case of work which requires p review and approval of plans.
Exterior Work n thorzed by a building permitlestasd In =cordon= with tfie Minnesota State Building Code must be completed within 100
days of p rmlt Issuance.
1'elAP.1 /e fes• (De inn
Appllc nt's Printed Name App ant's Signa
a.
•
1
Page 1 of 3
10/25/2011 TUE 11:40 FAX
AU6-n(-{6.-
DO NOT WRITE BELOW THIS LINE
U10 0 3 / 0 0 4
SUB TyrES
Foundation _ Fireplace
Single Family _ Garage
_ Multi _ Deck
01 Of Plea Lower Level
Accessory Building
WORK TYPES
Now
Addition
o Alteration
_ Replace
Retaining Wall
_ Interior Improvement
Move Building
Fire Repair
_ Repair
DESCRIPTION
Valuation oZCZO
Plan Review
(25%_ 100% 4
Census Code y 341
# of Units /
# of Buildings
Type of Construction
—148
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain The
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
;g4aathlaglee...
Sheetrock
Reviewed By:
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Siding _ Demolish Building'
Reroof _ Demolish Interior
_ Windows _ Demolish Foundation
Egress Window _ Water Damage
•DemolIIIon of enllro buliding — give PCA handout to applicant
MCES System
olaol SAC Units
/ City Water
Booster Pump
PRY
Fire Sprinklers
Meter 8lxe:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _1Ir/Gas Tests Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
7.7
lel �'f FAX
Page 2 of 3
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA101822
Date Issued: 10/27/2011
Permit Category: ePermit
Site Address: 3933 Riverton Ave
Lot: 29 Block: 6 Addition: Cedar Grove 8th
PID: 10-16707-06-290
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Alex Barna
PO Box 188
Cedar, MN 55011
763 444 0292
Fee Summary:
Valuation: 945.00
PL - Permit Fee (miscellaneous) $50.00
Surcharge -Fixed
$5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Sowada and Barna Plumbing
PO Box 188
Cedar MN 55011
(763) 444-0292
- Applicant -
Owner:
Clyde M Wilcox
3933 Riverton Ave
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
Jeffrey Wheeler
From:
Sent:
To:
Cc:
Subject:
Attachments:
Good Morning Jeff -
I hav
Riverton
Brian Marshall [brian.marshall@thecrew2.com]
Friday, March 09, 2012 9:34 AM
Jeffrey Wheeler
James Holt
RE: Wilcox
0761_001.pdf
sufficient.
m the service provider from the Wilcox installation (your permit number EAI01816, 3933
Let me know if this is
if you need me to fill out an addendum, o
Also — do you have an
overseeing permits. I'II also include a floor plan for you.
to? I will start emailing them now that I am
believe Michelle applied for a permit fo . "s;n T �� �� I don't have a
floor plan for this job, but if you want me to get one, I'll send Mike out to draw one up. Let me know where you left off in
discussions with Michelle and if you need any information from me.
Thanks Jeff!
tit 11 4
Brian Marshall 1 Technical Project Manager
Office: 612-276-1672
Fax: 612-276-1772
Email: brian.marshall@thecrew2.com
2650 Minnehaha Avenue Minneapolis Minnesota 55406
Confidentiality Notice: This email and any attachments originated from Crew2 Inc. may contain information that is proprietary, privileged client
communications or work product. If you are not the intended recipient, you are not authorized to read, retain, or distribute this email. If you received
this email in error, please notify the sender immediately by email and delete all copies of this email.
From: Jeffrey Wheeler [mailto:JWheeler@cityofeagan.com]
Sent: Friday, February 24, 2012 5:14 PM
To: Brian Marshall
Subject: RE: Wilcox
Brian:
For permit # 101816, 3933 Riverton Ave, Wilcox. Please submit an addendum to the approved permit adding the second
bathroom that was not indicated on the original permit application.
After that has been approved please submit an affidavit from the installers (with first hand knowledge) with a detailed
description of the work that was covered with out inspections. Based on those affidavits we will determine if the
finishes need to be removed to verify that the work covered without inspections meets the minimum code
requirements.
Permit#96911, 3255 Hwy 55, Schoch residence. Please provide the same affidavits as requested above
The two permits marked cancelled (99094 & 97666) have been cancelled in our records
1
addendum to the approved permit adding the second bathroom that was not indicated on the original
permit application
After that has been approved please submit an affidavit from the installers (with first hand knowledge)
with a detailed description of the work that was covered with out inspections. Based on those affidavits
we will determine if the finishes need to be removed to verify that the work covered without
inspections meets the minimum code requirements.
Affidavit from the installer (carpenter)
Travis Kieffer — Travco Custom Bath Remodeling — 651-216-4033
Main Bath —
• The vanity cabinet was removed and replaced with new. A new vanity top was installed reusing
existing faucet and drain.
• Some of the tiles around the shower valve were removed for the plumber to replace the shower
valve. Tiles were replaced after the valve was replaced. The substrate behind the tile in the
ower was cement based backer board. All plumbing was done by Sowada & Barna Plumbing.
•
Master Bath —
• The vanity cabinet was removed and replaced with new. A new vanity top was installed with a
new faucet and drain.
• Removed modular shower wall system (neo angle).
• New Neo angle shower walls & pan installed.
e installed corian thresholds on
the floor to cover the gaps for the new footprint. Bullnose tiles were installed around the
outside of the shower walls.
x �
• Medicine cabinet on _ exterior wa
• Slide bar shower attachment Ya'b'' f 0611.."v "r
• New Shower valve and trim �!
1t V S e- -r
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
,. PERMIT FOR WATER SERVICE CONNECTION
Date: ton(), '� l ��' Number: 1036
B1111ng Name:cVAC1 Pi -00o. cite Address: "19, ,- `i'k111(7F!(>o,
Owner: }'1-\'Q Billing Addreea Jam, l �'i`,� j11.(1 1�
Plumber:I t?' r1 y1\V")I�i�f�
Location of Connection
Meter Sizer
Mater No.
Meter Reading -�
Meter Sealed; Yea"
Building !.a a:
Residence
Multiple ` No. Units,
Comsercial
Industrial
Other
No
Inspected by"
Date
Connection Chg.300 i1/10/72
Permit Fee 10.00 pd 11/10/72
.y0 pd 11/10/72
Meter Dep.
Add' I. Chg.
Total Chg.
Remarks:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota .
County, Minnes ta
By:` ).t Nn\�
Please notify the above office when ready for insPection and connection.:
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA115756
Date Issued: 09/30/2013
Permit Category: ePermit
Site Address: 3933 Riverton Ave
Lot: 29 Block: 6 Addition: Cedar Grove 8th
PID: 10-16707-06-290
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Matt Pietruszewski
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Rybak Brothers Construction Llc
2206 East 117th Street
Burnsville MN 55337
(952) 405-8871
- Applicant -
Owner:
Clyde M Wilcox
3933 Riverton Ave
Eagan MN 55122
(651) 454-2051
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179531
Date Issued:10/10/2022
Permit Category:ePermit
Site Address: 3933 Riverton Ave
Lot:29 Block: 6 Addition: Cedar Grove 8th
PID:10-16707-06-290
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Sandra K Wilcox
3933 Riverton Ave
Eagan MN 55122
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature