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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