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3967 Riverton Ave RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB Rp - 55122 651-681-4675 v Construclion Reauirements RemodeVRaoair Reauirements 3 registered sRe surveys shaxing sq. R. of IM, sq. ft of house; arid aA roofed areas • 2 copies o( plan (20% mazimum lot coverage allowed) . 1 set of Energy Calcuialions for heated adtlitions 2 copies of plan showing beam & window s¢es; poured tound design, etc.) . 1 sile survey forexterioradditions & decks 1 set of Energy Calculafwns . Indicate if hane served by septic system for additions 3 copies of Trce P2servation Plan'rf bt platted after 7!7193 Rim Joi6t DaWil Options selection sheel (61dgs with 3 or less unA.a) %TE O VALUATION 'j, )B SITE ADDR SS tO~ 1~( rl MULTI-FAMILY BUILDING, HOW MANY UNITS? :OPERTYOWNER J PE OF WORK Vr~ FIREPLACE(S) _0 _1 _2 _3 'PLICANT ~ PHONE# )DRESS l ~ ZIP CODE ~1 1GER # CELL PHONE # FAX # sl~ NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ~ =_nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing 5ystem Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths hAechanical Contractor. Phone # Vlechanical System Includes: Air Conditioning Tee: $70.00 Heat Recovery System Sewer/Water Confractor: Phone # above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinar~ es. ~ Stgnature of Applicant rrtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF 04 02-plex ? 10 OS-p{ex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New ? 35 - Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Uemolition (Entire Bldg anly) - Give PCA handout to applicant duation Occupancy MCIES System :nsus Code Zoning City Water kC Units Stories Booster Pump ir. of Units Sq. Ft. PRV ir. of Bldgs Length Fire Sprinklered pe of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footmgs (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector ise Fee ircharge an Review ;/ES SAC fy SAC ater Supply & Storage :W Permit & Surcharge eatment Plant imbing Permit achanical Permit :ense Search )pies her ital CITY OF EAGAN Remarks Wtr con. nd. on 9-11-72 aad;tson Cedar Grove #8 Lot ~ aik $ Parcel 10 16707 010 08 Dwner 4 lp--1 4.-~%i~ street 3967 Ftiverton Ave. State Eagan,rN 55122 Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF, S7REET RESTOR. GRADING SAN SEW TRUNK 17-5-- 1970 12 . QQ .QQ 25 Pa,j,d # SEWER LATERAL Z 197 1 39. O P31d WATERMAIN WATER LATERAL 1974 5 WATER AREA STORM SEW TRK sc S70RM SEW LAT 47 5 CURB & GUTTER SIDEWALK 57REET LIGHT WATER COPVN. 300.00 6410 -11- 2 BUILDING PEFI. 5AC 26o.0~ 1 _ 1- 72 PARK PERMIT #i MECHANICALPERMIT CITY OF EAGAN RECEIPT # ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ~ BLDG. TYPE~ WORK DESCRIPTION Lot~i Block Sec Sub Res. New 4off r Name Mult Add-on Comm. Repair -ia Address Pr. 110o, A(n Other c Ciry F~ .Phone - ~ FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address 54 DDITIONAL 50 M BTU - 6.00 O Ciry 4101 Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IMD FEE - 145 OF CONTRACT FEE Forced Air M g~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES jBoiler ~ M BTU MINIMUM RESIDENTIAL FEE - ALL AOp ON& Unit Heater M BTU • REMODE-'L_S__- - 12, M- Air Cond. _,24AXXW BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMITf'RICE;GOES Gas Piping Outlets # BEYOND $1,000) I Other 1 1 Ji ~ t~S671^6Z4 FEE: S/C: SIGNATURE F P E ~ ' r'FOTAL• 02 ~ #t~ X_ 14 f, *.r b _ FOR: CITY OF`EAGAN REQUEST FOR ELECTPJ CAL INSPECTION ee-ooooi-os / ' See inslractlens foe completing this form on back ol Vellow copy. 7SIS~ D-2O6.4 9 "X" 8e/ow Work Covered by 7his Request Pi.AAddl fle e oi euilUinB Applioncea WireE Enuipment WireA Hom Runye Temporary Service Ouplex Water Heater Liqhtinp Fixtures Apt Building Dryer EleCtrie HeaLn Commercial Bld,y. Fumace Silo Unbader InAuStrial Bldg. Air Conditioner Bidk Milk Tank Farm in, ceci v Dincr ISUrcHVI 1 .I SpCCify O1M1Cr Othur ompute Inspection fee 8elow N fae ServicaEnlrenee5ize N Fee Fewders~5ubieede~s N Fce Circwts U to 200 Am s 0 to 30 Am s 0 tn 30 Am )s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 700_P,m)s Transiormer5 Irrigation Booms Pdrtial-Other Fee Signs Special Inspection g/O'CT TOTA FF~D ~J pemarks V~ b flough-in Oahe I,the lac ' al -Inspac or, heraby cartily thqt the above Final Dale ~~gpeelion hes been 7- 7 mede. thla rapuest vo1G 18 months irom ~ This roquesl voitl 18 nwnths ~mm ~ D ? G6 4 9 usi" 41-9 Naquest Uate fire No. flouph-in Insper[ion qe 2^- Q/~ . Pepuired7 . aAV Now Q Will NolitY InSPer (Y L~c.~ 6/ ?Ves No ~o~ When fleady Licensed Electriwl Conlractor I hereby request inspaction ol ebove Owner electricel work inslalleE aL Svee( AAdress, Box or Route o. City 39l0~ RiV.a F~On £a a~ ectmn o. Township Name or No. RanBe No. Coanry 1jd.K0~'LL Occupant (PPINT) Phone No. ' u~l ys~ - Ssy7 Power SupD~er Atldress Electrical Com , . Conhector's License No. 4653 Co. Rd. 140 a, ra Mailing AdJress ( oW[ar.t~r en inB Installation) - 7 rnvnn oa Authorited Signature (ConlraMOr Owner Makine lnstallationl Phone Numbar yye-lo MINNESOTp STATE BOAqD OF ELECTRIGITY THIS INSPECTION REQUEST WILL NOT Giipgs•Midwey 91de. - Aoom N-197 BE ACCEPTED BY THE STATE BOAND 1821 Universitv Ava., St. Veul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. TOWN 0F EAGAN j~7e 7 G/G 6 9-' 3795 Pilot Xnob P.oad Eagan, Minnesota 55121 PERMIT N0. 259 The Board of Supervisors hereby grants to CBdeT ($'oPe CorietTUatloA Co. of 7343 Ctmoord Hlvd. Taat. sputh st. Paul Z075 . a pIJlM1gIN6 Permit for: (Owner) Cedar Grove ConetruCLioa Co, ae 3967 Rivertaa? & 39674~ft:aade~i~,y , pursuane to application dated 9Y1/?2 Fee Paid: $40•00 Dated this »tb day of SOP'teMer , 19 72. . a C Bu.'.lding Inspector ~ o/e, o TO:!N OF EAGAIQ 3795 Pilot Kuob i:oad Eagan, Viinnesota 55121 PERNIIT N0. 246 The Board of Supervisors hereby grants to CedBr OPwe Conetructiaai Co. of 7343 Cmoord Slvd. East, south 3t. Paul 55025 e HTA'!'IINti ParmiC L-or: (Owner) C ar (3n,vw r.mattuo'Cion Cc at 3987 ld9'eTton & 39 , pursuant to application dated 911 /`l2 Fee Paid: $40.00 Dated this 11th day of SEhM gqpy 1.00 s/C Building Inspector I ~ , ' EAGAN TOWNSHIP BUILDING PERMIT N° 2842 Owner .......-...ld'C7'y'°'.`.._...-~~.-------....°..... Ea4an Township Addresa (Preseni) ..~..r~.5.~.~..~........ ~v..^r.!c~.... [l.!°:":~...2 . Town Hall -4.4. Builder g-/4~-- Dale Addresa DESCRIPTION 52ories To Be Used For Froni Depih Heighi Esi. Cos2 Permit Fee Aemarke - ~o/ So o ~iq, oa LOCATION 371 Slreet, Road or olher Descripfion of Locafioa I Lo! Block Addifion or Traef This pesmit does aot sulhosize the use of sixeeYs, roads, alleys or sidewalka nor does it give the owner os hSa agenY the righ! !o oreate anp sifuation which is a auisanee or whieh presenfs a haaerd !o the heallh, eafatp, eonveaienee and genexal welfare fo aapoae in the eommunity. TFiI3 PERMIT MUST BE KEPT ON0.T,~HE PAEMISE WHILE THE WORK IS IN PROGRESS This ia !o eerrify. 2hal...~t..~-^~..l,t.'-!'~:<.._C....... hespermissiaa !o erect a.....o?.--- ......__upoa !he ahove deseribed pzemise eubjeci !o the provisions of the Bvilding Ordinanee for Eagan T n- shied Apsil 11, 1955. Per Chasrman of Tnwn Board Buildin Ins ac3or 6 'CS RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 Q.~ ~ 651•681-4675 New Construction Reouiremenh RemodellReoair Reauirements . 3 reg¢tere0 site suneys showing sq. ft at lot, sq. R of howe; and all roofed areas • 2 apies of plan !l (20% mazimum lol caverege allowed) • 1 set of Energy Calculations for healed add'Aions • 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 site survey fore#enaradditlons 8 decks • 1 set of Eneryy Calculations • Indicafe'rf home served 6y septic system for addi6ons • 3 copies of Tree Preserva6on Plan if lot platted aRer 711193 • Rim Joist Delail Options selection sheet (bldgs wiN 3 orless uniLS) DATE VAIUATION SITE ADDRESS V4Vl 7R,40, MULTI-FAMILY BLDG _Y ZN TYPE OF WORK FIREPLACE(S) _ 0Z1 _ 2 APPLICANT -P hhLI? STREEf ADDRESS La D 7 I\ L`~Qz 11N~ CITYSTATEc/-2&iIP S37d~ TELEPHONE # I Q S~ CELL PHONE # FAX # PROPERTY OWNER~_~'uKJ~2. t"\~dt, l- TELEPHONE # I o C ~D c~ ~U~~ ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNLSOTA RULES 7670 CA'CEGORY I ~ 1_1 (4 submission type) • Residentlal Ventilalion Category 1 Worksheet Submitted • IIN ~E g_ o r u6mitted • Energy Envelope CalculaUons Submitted ~ II JUN 2 1 2002 ~ Plumbing Contractor: Phone # _ Plumbing system includcs: _ Water Softener _ Iawn Sprinkler gy . . Water Heater No. of R.I. Baths No. of Badis Mechanical Confractor. Phone # Mechanical system includcs: _ Air Conditioning Pee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read ihis application, state that information is correct, and ee to comply with all applicable State of Minnesota Statutes and City of Eaga Or inanc s. - Signature of Applicant W OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ' - ~ ~ O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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 Stortn Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding A 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuation ~ODO Occupancy R^ 3 MC/ES System Census Code 1/3 y Zoning City Water r- SAC Units f~ Stories Booster Pump Nbr, of Units Sq. Ft. ~ PRV Nbr. of Bidgs Length ~ Fire Sprinklered Type of Const ~ W idth REQUIRED INSPECTIONS Foonngs(new b(dg) FinaUC.O. ~ Footings(deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final ~ Framing _ Siding Smcco Stone _ Firep(ace _ R.I, _ Air Test _ Final _ Windows (new/replacement) _ Insulation 1. Retaining Wall Approved By Building Inspector ease Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ;j@ • Other Total Daltota County Real Estate Inquiry Page 1 of 1 Dakota County Real Estate Inquiry Data Uptlated 6/8/02. 00 ~ Select option and click map Zoom In :r . ..,y7," I,OgCR[i Real.EStau Parcels ~Paroels ? Common,OwnersAip KW ffier ~ LLJ IMRM1. Easemem ?Dedcated RNU Z } . 0 Standard i;, ~ 7 ~ Chaose a search method, eMer - crttaria, and click Go or hit errter key. House # F ~ 4 ~ ` r, Address l I 4o x le PIN:..._. sn sa ~ Copyright ~ 2002, Dakota Co 2 02 Est. Value Pa table 2003i: $160,900 PIN: 10-16707-010-08 2001 Taxable Value (Payable 2002): $135,700 Address: 3967 RIVERTON AVE Paygble 2002 Tgx: $1,251.96 Cilbc EAGAN, MN 55122 T I Acre : 0.31 Y r Built: 1972 This application was developed by the GIS unk of the Oakota County Survey and Land Infoimation Department , In cooperation with Assessing Services. Treasure and Prooe Records DepartmeMs u rv,~ .../esrimap.dll?Name--vebq 1 &Left-196622 241 &Bottom=99791.2181 &Right=652201.943 &Tc6/21 /2002 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN AAN 55122 657-681-4675 113 7S New ConsCUCtlon Baoulremenm RemodeUReoalr ReouiremeMs • 3 reglstered stte surveys slwwing sq. tt. ol b6 sq. ft. W house; and ia roofed aress • 2 copies of plan (20% maximum bt coyerage albvred) • 1 set ol Ene(gy Calculations lor heated additbns - U a' . 2 copies al plan showing heem & wemow sizes; pouretl found design, etc.) • 1 site survey for axlerlor atltlitions & decks • 1 set of Energy Calculations • IrMkale tl home served by septic system fot atlclilbns • 3 copies of Tree Preservatbn Plan d bt planetl efter 7/1l93 • Rim Joist Detail Optbns selectlan sheelQbWgswXh 3 artess untts) DATE Q VALUATION ; Z)_(~) C) SITE ADDRESS MULTI-FAMILY BLDG N TYPE OF WORK S ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT J,.o I PV)Olp fi'C~Uv STREETADDRESS 39(p `1 r~~ ~2e V-~"_::E~9-Q CIiY~C-~ Q. STATE a-!~ZIPS~ TELEPHONE # I( 261 ItA~) -D`6 CELL PHONE # - J FAx # - PROPERTYOWNER 1 )&~O110~-A-UV\IC,VOeI 4\-ALC Ei- TELEPHONE# U COMPLETE THIS SECTION POR °NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINIVESOTA RULES 7672 (J submission rype) • Residentiel Ventllation Category 1 Worksheet Submitted • y bmitted • Energy Envelope Calculations Su6mitted D_ D APR 3 0 2002 Plumbing Conhactor: Phone # ~ Pluxnbing system includes: _ Water Softener _ I,awn Sprinkler gy F• Water Heater No. of R.I. Baths No. of Baths Mechanical Contracfor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this appllcation, state that the information is correct, and agree to comply with all applicable 5tate of Minnesota Stptutes and City of Eagan Z~h[nu_ ances. Signalure of Applicant Aarg u. J OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation O 07 OSplex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 05 03plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Flre Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowsAJoors ? 34 Replacement •Demolition (EMire Bidg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Faundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests -Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Perrnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total EAGFN TOWNSHIP 3795 PiloC Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER3aT Ft1R WATER SGRVICE CONNSCTION Date• Number• 971 Billin N~"ame„P&r Pz~,40 1`1S I Site Address:~ e (a Owner: _ C' fiBilling Address Ylumber• A,UJ/ Location of Connectioa Meter Size Coanection Chg. 00,00 9/71/72 Meter No. Permit Fee10.00 pd 9/71/72 P 2 Meter Resding Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected bp Date Building is a: Remarka; Residence XX Multiple So. Units Commercial Iadustrial Bp; Other 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 Sagan Township, Dakota County, Minnepta. ~ By: Please notify the above office when ready for inspection and connection. I-S-Y , . EAGlaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephoae 454-5242 PERMIT FOR SEWER SERVICE COIdNECTION DATE:NUMSER licN 1129 OWNER Address c ~ ~7107 ll~~C'10 I`'1~~. PLUMBER - k p(~ TYPE OF PIPE e L~S~ DESCRIPTION OF BUIiDING Industrial Commercial Residentiel Multiple Dwelling No. of uniCs Location of Connectfona: Connection Charge 260.00 pd 9/11/72 Permit Fee 10.00 pd 9/11/72 .50 pd 9/11/72 Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Eagan Totmship, Dakota CounCy, Minneao a By Please notify when ready for inspection and connection and before any portion oE the work is cavered. ' MASTER CARD LOCATION / OWNER STRUCTURE AND IAND USED AS ~ K Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING ~ CESSPOOL - SEPTIC TANK WELI ELECTRIGAL HEATING Ry6 GAS INSTALLING SANi7ARY SEWER ---I~~C---- 1-- OTHER OTHER I Approved ITems (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ..r6 _ CESSPOOL FRAMING TILE FIELD FT. FINAL EIECTRICAL . DEPTH HEA7ING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WEtI SANITARY SEWER y( "Iro c-~ J Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE IISED ONLY IN EVENT OF 085ERVED VIOLATIONS GERMIT NO. DATE OF INSPECTIQN CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SU85TITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILI COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEAIED CERTI FICATION - 1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinences of the Town of Eaqan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMFAENTS: 33 PERMIT City of Eagan Permit Type:Building Permit Number:EA113836 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3967 Riverton Ave Lot:1 Block: 8 Addition: Cedar Grove 8th PID:10-16707-08-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Scott C Berger Tste 3967 Riverton Ave Eagan MN 55122 Cedar Valley Exteriors Inc 3369 Coon Rapids Blvd Coon Rapids MN 55433 (763) 755-2221 Applicant/Permitee: Signature Issued By: Signature