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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 íü ð þýýüûúÿú ÿ ùüüýýðððìì ðáúÜæíó áã ã ð á þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ù÷ßýÿü úüòùç óæøÛ ðêææ üõÿóòøîîãòø ñãáïãî î óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ • 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 • yxk= 3Z 40 Y. l5= S5y m~e ~oe~ , : II 0 ~ M 1~ ~ £3} -00+ ~ 3~00+ 1•0~t ~ g5•00~+ i I ~ i ~ Cities Diizital Qualily Control - . The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i.r1 , ~ ; ~~4Y . . - . S, _ ~ 1; r rR . J ~tTw 1 b r ~•~C l~' ~/?~•4 /(r~l•~7/j~/JLI~j' Y y~,'1 ~ ~ ,A~~- 1zl 3 ~ C''~:`7'Y, ~}y~~F• s ^ ~ n.~ I . ! >i ~~rn,. it' f'l'„r~`n~~ .3 . : ~ ~ • . ~ S^~ l r } t ? ~R+.~ t l~_ ~L {y'. ~1?.+' ~',~(~(4Ytt . S^. ~ _ 1.;. ~ • . ~1 , , ; + a ~a ,1!?( ~ yf~ 7 v •x ? - ' . ` i ' ~ N i ~ . l~yY N~~~ t•!`A'(.s~n.' y 5..: O . ~i` ~ y~y3j,r~~'yN}l~~ '~~yA~ ~i t`/~~~ ~ ~ 1 x.~ t , r3 00 MF ~Y ~ f • ~ rA D~y ~X~' •j. . . . - ~,a- ~e^Y~~ Wy.~ ! }yL{ ~ RYIS~,~~{I~~L{~ Y•~,~f1 Y . ' ! . ~ . U . i ' y. so t ! S 1. ~ ~ y , ` •,+~i94tip G~ ~.~~),~~•~a,' ~ .'R,~ f . N. N ~ i ~ ;ir ` c . .v~ ii k • ,5a, 3..~ ~,~ol 'E^,1~,~J :J~ „ , y tS~s Y,L~.;N.• ~ ~ 2 • ' 1 J nr~r ~fy~ ~ 1 'wFA+ ~ Ay( k ~ ,~S~,y'~e?.t Y ~S~P~-~ ~r*t~~l~~~h' ~ ~ V ~ aI'+~ y ~hy~ti`~. 7.a,~ , j ~r. . . $ ~;•i t r: ,'.~~.)'}'°'~~,T°~'~ ~,.f ."~pt S~ " .s: N . • ~ x C~}gl~M~~Y,_F~L~I"') A~~L~I'K~y ~'taL~~1?'~~~J'? ~ J' - ~ ~ ~ f.Y 1~t f 4 7+TC ? r i-~~ ~ y . ~ 7A~ Fj ~ t'(~ a .5.;. r j r~l:~ ~ ~ ~n~ ~ . ' w~}1!'~~~'fi ~ c `e ~ . , .?~[t. ~I y4s :r. <!r sft . . ~ . xTi; f ' • ~ +i, n~~ Yr ' i4t'^ F i'}•Y{y~/r'~ F~T ~~H s~.. . r s M. i y ;Y r ~ a . ~r~-~~ilcG~-; t~ l £ ~ ~ . . . .r.--. . ~T'.~t'~fa..~R..~,~~J'.• r r w ~ . . r . . 'Ti':• : . 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 .a~ . ~ -219531 ~xe - •e~ . ' _ ,ooa ~T • ~oo- • a.s' na ~.a ~co - ~ ~ ' ~ ~ a. ~ _ t. ~•3 No . E , I' ~ : ~ e . . ~ x 1 2 3 4 s: S •-4 t ! OF sai- 1 2 " 3 4~~~ b : 1 ~ 8 S ~1 384E ^ 3856 -~w38~'i4 k^3872 ^ 3880''~ 3886i 389~J,-3 00kio a n 3942 3950 3958 3966 3974 3982`3990 3998 _ ~3$085916 $ft4'393Z RIVERTON AVE. : . 7- - a ~ 3841 i o3B49 385Y`°~.; 3869 ~ ~ . gy0 , ? ~ +~x •4!1 3941 ~ ~ 3955 . 3967 N ~y3 ' 983 ~ 3999 . 2 ?N y y e 1 1" . I 61G If~N , ? 7 i ia e I>y t Ic I ' ' {D a0 zl o•- xo ~2 D I O a i :o i, I . O O. M II1~ r- • ~ a~ i r -n ~ r ~ ti u~ n . n n ' . .a,~.~ o~~ ~ m w W 0 II ' , q' &ti R3 g . p• oP sD =>a~ ao , ~H-.. r ~ _ H~ ~e 1 0~ Qar- F xe i9 S , e ~ ~ t i Ae 2 10 ° I 3 s 12 3 f.5 . i "~W s r5 s,a , •%p. 3 rK .r - T . . Q , . s~ 3 rf :I 8`~ " ~ _ F3 ~Pn. "pq ~ q; ? rI. ~oe ~ ~f ...s _ p„~ .o.as.• .oeeu. . wc~ .aa's:. W . • ~-10 ~t "P 47 . r o0 eE A J~ ' 3(O p sl. I~y . ~ \ ~ i1 ' f i JIO 9 x- 4 re :r- 21 I 4 ~sK 3~ , 3 T ~ o a Sj• ~ a: ° ~ 9 m .o~e, . . ~ . . 5 yci .•Q~~~~' T~ G q ~~4 ,;~~"lj~ +I7c~"' ~ ~:~rp2 I (L~T5 I` t v ' ~s Z . - . r s r• zO - i - - ~ ~5 I s . . 3 9~~y, 38TO~4~ .o .~P: •~~1 ~s ~e vc: 17 M 4n°°°' p 'P~Y ~E~~/S ~ ' ~j`~ • '1` " ..o--~ ~ . ~3 ~ 4 ~ Q ~ /LO ,;ya N . ~ ~y.• i. i9.. FI. 6 r= 4: ^ ~ ne z ~msa t- e 9 6 / ~1 a,` I~ . , y 7 as sN s~. In i 14 3940 3958 3966 z p ia , i. B63 ~1' 'Gk+ S yo. : :rn3Rj i\,a ~ ,3882 Y~ ' s' ~ 3916 . ~ 39E8 3900. 390~i' .;e ,:•~.~'Y ~AY 3949 3955 ~ 3967 m i . ~ • M s,.. ~ No ~s'xy,y e~;;~,:~ ~ e~-. 'i- ~q33 r.: r: ' q te ~ I n° i a~ r~l • i . 8 r-e l. . , 16= ~'~6.qs i• ,3883 39 Y ao`n1 ' O9 ~ W , a~ lcP ~ . . ~ ~ 3917 p :i .r~ • ~ Fn I m~ .li n W:fv: Y= 7 yl,'S, I. S Y' W ne ea~~ ~ ~.o.~~ --u r iee ~7• f~i ~ an e•1G f 9` Q , a ~ ~ , ' xv 14 a0 :3 7/~ .W rc•v... .','a,.. ;m k r~ 9 :.r. a ~ I l~: I ~a.~ N nc ^ e~ ~ o- : - b9.•' c. 92 Q xI-. ~ Q~ W 3 ni `0t g IS a iay ` W I> C~ \ ~J W ~ MI~4 t'E ' N .i • Nl - ~ ~ • ..,e t .9` _ 'Q =f~ ~ ~ ~ ` pZ V- sa y - r~~29.:/ ~ ` n ~ M} . `l s- .r~e:~.. . _.e~H. , - ~ ~ f /1~ ° j. ..f~ a u.~ F E O -Ib t 0 /~~:f~K I~°a~~~mi" ~ 4 .DeQ!~ 6 :•a+ on L - iV o ~o° ~is = ai A ~w, r.. I ~e•e`.a.. 'e° o+ Bm~s s~c ~ ~ ar~~M V ~n N ~ 9l p , ! ~ y' I: a= it E,... ~ .Y ~ N •F~ . ~C8932 mz SS.~ 'm ~ S r~-• i :n 13~ it B L A C K H A W K' M i~ 'M ' 3960 . 3972 3996 ROAD ~ ~y I ~ s sxei~v.,. A`t 4 - • " ~ ' _ - . . ~.~pq0~ SNA: upSpMPn• i, .94 r. ~ ~ ~ JJ o C ....~v~...«_.4.n~.~,-~~-.:~„.~...n.,,-~-~..-,-~,~. 1 = ~-a~=~-----~--s~~ i , ~ ?r; t ~ ~ ~ ~ . ~ ~ ~ ~ ~ d { ~ ~ , ~ ~ ~ ~ ~ ~ ~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~r'~= ~ ~ ~ _ _ . r ~ _ _ g~~.~ ~~~~~`~'a'~'~'~ ~ ~ j . ~ ~ ~ ~ r ~ U~ f a ~ _ r _ _ ~ ~ _ _ - - - ~ ~ _ _ ~ ~ • . ~ ~ ~"f ~ . a . r. Ul ! I ~ ,~~y~r•::, ~r;. . Dgt'(f ~ S~/,~7~d~~i ! L/G,e To.'U ~~r~~ "~xF~'ie k C x[J t) v '~"y a_~,., '~~~r•F•~n k- , f a Y ~ y ~ i,^~~,+~~•~w ~ ' . _ . , -if ' ! i. ~ 3 • ~P~~,~3xe:t ~.7 ~ ~ ~ 3 1 as ~ s~ • ~ • •y-'l~~ ~ . t •wR'. ~ t ~~,i`ap+•. 'ti!z ~ ~ lYRi7c4 ~ i'r ~ ~ ~ ~ . ~3 z ~ ' ~ p~'n v `t~• ~ i.{'w~h ,~.t~ .~/~5~4, Y`d„.4~~ C. ' ~ ~ ' '4 1-Y • `Y ~ F . C , ,gQ L ~-i.- ~ c ~l aii''~ .'~h,n. Ul } }r:,~~T~ ~ j~ • 1 t . ~ } ~~~`g~ ~vl . `O F ?RC~ ~ +S~~fAl~ ' ~_r `~~~T{l. ~ !J , ,r? ,k,_„T_. N• ~~b~ y i~4' { 3Ly,Y[!24 lfyY W a•~ ik tli.t(~SI~ r~j i~ 1i.~^1( 9.. s k }T,.,~rir S h e6 1 q! ~ rvi 1. r. ~ n . 4 y h` e Yy> P y ff~ fi P . ' .I Y f CY J ie S. J I y`~ke ~P~~+a~ ~ ' - . •@}~ : ~r~~ 4~1'o.~M'8+ x 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