3982 Riverton AveCity of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: q - ( 7
Permit Fee: q0` °C./
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CD t 1 - 1 0 Site Address: g") --
Tenant:
Tenant: Suite #:
RESIDENT / OWNER
Name: CY 04/V; 'dt Phone: S'4/ - 73 3 7- .
Address / City / Zip: F., q z -2i I1,) -+'-Y -4? ,qz"-e.
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: / Ti sVL� (`'Z
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Name: S6 S 1 // - y%t'- —T c • License #: Z O > 3 C. -01:f' 3
Address: 5? Co Ca Rr 67Z 7 - City: ‘t- 't
State: /1/Ail 'Z 7i Phone:
//Zip:
kIf* Q
/e,1? G C 60 7,
Contact: //)tc,11 /(/i V Email: j u
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
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. ` .,.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol herstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x /c% a fcz 5 G _,7 f/ x ,4e/a.„
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
CITY OF EAGAN Remarks Wt'r COrit1 pd, Ori 9-19-72 1
Addition C~ar Gr Lot 6 Qlk 5 Parcel lo 16707 Q6n 05
Owner ~ st.eet 3982 Ra.verton Ave. State E3g371.X 55122
.1
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 11-15 1970 125.00 OO Z
-*EWER LATERAL L L 1974 1539.10
WATERMAIN
WATER LATERAL ~ 97
WATER AREA
STORM SEW TRK 9
OTORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 b -1 - 2
BUILDING PER.
sAC 260.00 _1 - 2
PARK
EAGAN TOWNSHIP
N° 2850
BUILDING PERMIT
.
Ownex L...._:.._-~~. & Eagan Township
Address (presenf) 1-1L.:._11-?:/ ~ <...:.._4~ - Town Hall
Huilder
9 - - 7 Z.
Date
~ Address
_
DESCRIPTION
Siorias To Be Used For Froni Depih Heigh! Esl. Cosi Permii Fee Aemarka
'7 ;~,~-v-~ ~~/~,c~-z ~~,a,, s
/L.
LOCATION
Sireef, Road or olher Descripiion oi Locaiion I Lo! F-Mock Addition or Trae!
J3'1 3) ~4 :t &e -f1 j q - e- . J 7. -
/6 03-4 , ~
Thia permii doea nof eulhorise the use of slreeSS, roads, elleys or sidewalkc nor does ii give the owner oe hin agen!
the righi fo create anp sifualion which is a nuisance ox whiah presenis a hasard !o the healih, sefety, eonvaniance and
general melfare !o anpone in the communily.
THIS PERMIT MUST BE KEPT ON Ii'( E PAEMISE WHILE THE WORK IS IN PAOGRESg.
This is !o earlitp. !hal....~-a..+. ..-.Re:::s:..L-~'`-¢^.:-~:----as permission !o erect a.... 2...
. .
P
the above deacriLed premise suhjeet fo the provisions n4 She Building Ordinence for Ea ..!:gan.'.c u on
Twnship adopted April 11,
1955.
.....................__.s.a._..._!...'..^.:..~.{..:'..`.:~..... Per _
- - - ..1.(......°--...
Chairman of Tnwn Board .......Building Inapsotor
16 115
4-5-Sf
C: L..
TO'.'id OF EAGAI4
- 3795 Pilot Keiob ,Load
Eagan, N:inneaota 55121
' PEP.MIT N0, 254
The Roard of Scpervisorc hereby g:ants to Cedar Grove Construc:ion C0.
of 7343 Ccaicord 3ivd. E„ 3outh St. Paul 55075
a HE;A'SjNG P2rmit for: (Owner) same
i 7o c,~rneli. i 3-72 1 ti54 Carnelian 2-7, 1862 Jada -5-7. 3982 rttvertan 6-5-8.
at 1773 M~}iC~~3y3g Blackhawk C. 10;91&rsuant to application dated
1738 3arte1l 16-10-8 ~
9/t5/Zz
Pee Paid; 6'1laU.oO Dated this 19th day of SP+tarobar
3.5c) s/c
Building Inspector
, c G,
TOl IQ OF EAGAN •
37°5 Pilot Knob ::oad
Eagan, N:inneaota 55121
PERNiIT N0. ?62
The Board of Supervisors hereby g.ants to Cedar Cixnt/e Conatr'uation Co.
- of 7343 Concord Blvd. East, south 3t Pau7. 55075
~ PIdTNBINfi Permie far: (Osuner) same
'•,'7%C.v.~li~_3=~,-1854-Carnelis~2~,~7~j~-E62--dade~~ ,}982 .4lverta¢i 6-5
t ~7-~=i~asst#e LUo-b?,w~.~-r.--,~prri`s'aent to application dated
17-38-Sasteli 16=tF.-c~`_
4/'
lee Paid: ~~L0.00 llated this 19th day of Septemher ,1 9-1a.
3.50 s/o
Building Inspector
~
MASTER CARD
IOCATION
OWNER
STRUCTURE AND ~
LAND USED AS
Issued To
Permit No. Issued Contrattor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL HEATING ~ sy
GAS INSTALLING
SANITARY SEWER
•-yy
OTHER ~
OTHER l
Approved
ItemS (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION . ~ ~ CESSPOOL
FRAMWG TILE FIELD FT. ~
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER aa
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the a6ove in which 1 have no interest present ar prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and apecifications, and any specific require-
ments for off-site improvements relatin9 to the property inspected.
~ ALL IMPRDVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR OATE
COMMENTS:
z3
EAGA21 T+OWNSHIP
3795 Pilot Knob Roed
St. Paul, Miaaesota 55111
Telephone 454-5242
PERMIT FOR WATSR SERVICH CONNECTION
Date: Number• 88
Billing Na e4?.1&8-i Site Addressx-~W~~
Ocaner: Billing Address~`1c~
Plumber•
Location of Connection Me er Size Connectioa Chg. 300.00 nd 9/79/72
Meter No. Permit Fee 70.00 pd 9/1902
Meter Reading` MeCer Dep. •50 pd 9/19/72
Meter Sealed: Yes_ Add'1 Chg.
NO Total Ch$.
Inspected by
Date
Building is a; Remarks:
Residencexx
Multiple Ko, Units $25.03 FEL FOR
~PROPERLY INSTALLED h1ETERS.
Commercial
Industrial Sy;
Other Chief Inspector
In conaideration of the isaue 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 Tocmahip, Detcota County, Miaaesot .
By: ~
~
Please notify the above office when readq for inspection and connection.
,
EAGEflQ TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• NUMggg 1146
OWNER. Address(q:2)Ql 8 ~
,
PLUMBSR TYPE OF PIPE
DESCRIPTI N OF BUIIAING
Industrial Comercial Residential Multiple Dwelifng No, of units
Location oP Connections: Connection Charge 260.00 pd 9/79/72
Permit Fee 10.00 pd 91142
.50 1d 9/19/72
Street Repairs
Total
lnspected bq:
Date
Remarks •
By.
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Towmship, Dakota County, M3nnesot ~
By.
Please notify when ready for.inapection and connection and before any portioa
of the work is covered.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115995
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 3982 Riverton Ave
Lot:6 Block: 5 Addition: Cedar Grove 8th
PID:10-16707-05-060
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.
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 -
Fredrick H Oelrich
3982 Riverton Ave
Eagan MN 55122
Homestyle Builders & Developers Inc
37 Walden St
Burnsville MN 55337
(952) 994-3980
Applicant/Permitee: Signature Issued By: Signature