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3983 Riverton Ave CITY OF EAGAN Remarks Sew & wtr con pd. on 4-30-74 Rec #10494 $400.00 $260.00 Addition Ced.ar Grove #8 Lot 24 B1k 10 pa~c, 1 10 16707 2I~0 10 , Owner 1' 12.1 I"treet 3983 Ra-verton Ave. State_ EaganMN 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREET SUFiF, STREET RESTOR. GRADING SAN SEW TRUNK I Zl' '1970 ~ 2 OO OO rc~ # SEWER LATERAL Z 1274 1 WATERMAIN # WATER LATERAL 1974 WATER AREA ~ STORM SEW TRK # STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. 260OO 1 - - BUILDING PER. SAC OO.OO _ - PARK 11NSYLU'1'lUN KEl:UK1L) ~TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I uiq AVF ~~f.~ r~ i ~t ~ r? ~ , . ~ . , PERMIT SUBTYPE: TYPE OF 1NORK: . ~ ~ INSPECTION D. . D. F L ~ Pemtit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMiNG ROOFING tv /r RQUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG i ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH I MAINS , corvDucnvm I TEST I HYDROSTATIC TEST I BSMT R.I. I I BSMT FINAL ~I DECK FTG I I DECK FINAL I ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConstrucHon Reauiramenta RemodaVReoair Reauiremenb . 3 registered sita surveys showing sq. ft. ol lot, sq. R. of house; and all roofed areas • 2 copies of plan (20% mazimum lot coverage allowed) • 1 sel otEnergy Calculatbns for heated additions • 2 copies of plan showing beam & window sizes: poured found design, etc.) . i site survey for exterior additions 8 decks • 1 set of Energy Calculatans • IiWicate if home served 6y septic system for additions 3 copies of Tree Preservatbn Plan if lot platled aRer 7l1193 + R'vn Joist Delail Options selection sheet (bldgs wilh 3 or less unita) DATE O-f` Q l VALUATION ~ V~ r l JOB SITE ADDRESS M93 h,&Flt If MULTI-FAMILY BUILDING, HOW MANY NITS? PROPERTY OWNER TYPE OF WORK Id .FIREPLACE(S) _ 0_ 1_Q 2 /Q APPLICANT I~ YLPi • PHONE#1a?" 7.35 -Iro~O / ADDRESS . tkd-j. ZIPCODE -f2 Zi'.L3 PAGER # CELL PHONE # FAX #qg' /3.J 9~77 NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residentia{ VeMilation Category 1 W orksheet Submitted - Energy Envelope Calculatlons Submitted _ MINNESOTA RULES 7672 - New Energy Code Woricsheet Submitted Plum6ing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater ~ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechlnical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phonel All above information must be submitted prior to processing of application. ~ I hereby acknowledge that I have read this application, state that the informatio comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ^ Updatad 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. 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 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraUon ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handoutto applicant Valuation Occupancy MC/ES System Census Code Zoning City Wa?er SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foorings(deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundauon HVAC Drein Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Au Test _ Final _ Siding SNCCO Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total wLuAaE ov euoax SEWER SERVICE PERMIT 3795' 7i1ot3(nQb Road PERMIT NO.: 2245 EogonrMN.5-V72 DATE: 5/31/74 Zoning: _ R-1 No. of Uttits: 1 Owner:- naot ROII r tr=t~n Address: Site Address: 1923 o• f nen„a Plumber: Wenzel Plumbing & HeaL-ing 1 ogroe ro eomply with the Villoga o! Eagon Connection Charge400.00 Pd 4/3C Ordinonces. Account Deposit: . Permit Fee: 70, fln nA . Surchazge: - Sp pri _ By: Misc. Chazges: . Date of Insp:: Total: Insp.: Date Paid: ~vataceki,EAGRN WATER SERVICE PERMIT 3795-Pibn.Knob Rood PERMIT NO.: 1487 5/31/74 Eagae,MN SSiM DA'i'E: No, of Units: ~ Zoning: Owner: i RoV SOII9.tZ'IIC~k _ - Address: ~ ~ Si[e Address: --39$3-RiyertQn-M¢nue Plumber:-_Wenae1-8-lUnbiX+4-&--u a+inn 22843594 Connection Charge;20.00 pd 4/30/, Meter No.: Siae: 5/8 RilOCk Account Deposit: - Reader No.: 517071 Permit Fee: 10.0d - 1 ograe ro eomply with the Villoqa of Eagan Surcharge: 50 pd Ord. Misc. Charges: CB~=~a~~~ ~ Total: Date Paid: llale of Insp.: Insp.: WATER SERVICEP ERMIT 1467 VILLIIGE OF EAGAN pERMIT NO.: 5~31I74 3795 Pilot Kno6 Rood pATE: Eugon,MN 55124 No. of Units: Loning: ~L-~-~- ~w? SoY~ns~`rL~Y~ - Owner: Address: Site Addiess: t4 Plumber: -S".o 4 g-&-~ Connection CharB~20 OOa 4/30 Meter No.: 5 B ock pccount Deposit: Size: 10 00 pd 517071 Permit Fee: Reader No.: 1 Qy,~e to com0ly with fha Village of Ea9an ischCharge Ordioance To[al: Date Y•sid: G~ Insp.: llate of [nsp.: CITY of EAGAN N~4 3261 BUILDING PERMIT 3795 PiloS Knob Road id~'• Own~= ~ .....J~":e. .,p i Eagan, Minnesota 55122 Addsete IPresenlJ ...5%!~~t~~ 454•8100 Hullder _ 7 V Dato Addxesa DESCRIPTION $ioriec To He Usad For Fron! Depih Heighf Eai. Cos! Psrm[! Fee Aemaske LOCATION 5ireal. Road or oiher DeacripHon ot LocaSion I Lo! Bloek Addilion or Tree! ~9 ~.,.-z~ y / o ~~~e.•-- This permit does nof avthorize the use of streefs, roads, alleys or sidewalks nor doas it give the ownas o: Lis agen! the xigh!!o ereate anq siYua2ion which is a nuisance or whioh presents a hezard !o the healfh, safelp, conventeaes aad general welfare !o enpone in the communify. THIS PERMIT MUST 8 KEPT N THgPAEMISE WHILE THE WORK IS SN PROGRESB. ~ p Thfs is !a eesrifp. 3hat__ has parmisaioa !o aseet a.... ~~~.......:5::~:..`.::.=............. _.._upoa the above described premise subjeca She provisions of all applicable Ordinanees for 1he CiYy of Eagan. ~J t 'n~~ p~ _."""'--""'-'-.....F":.:...._~Y~:...~ Per .---........_.~7:'~"~_......................... Ma or Huilding Inapeclo: o~i~~~al ~I~f; .~;r,~~e 1- lo CG• ~ . EAGAN TOWNSHIP BUILDING PERMIT No 2931 Ownez , ,.?~r!c7"_........... ''4.. c . ...!c .x:............. Eagen TownahiP - Addrese (Precent) ..£?:s.........s~-~:..:....V..._`rS~:!' Town Hall Builder Date '...~J:'_.... ~....`7.- Addreas _ DESCRIPTION 5tosie To Be Used For Fsonf Depth Heigh! Esf. Cost armif Fee Aemarki ~ 16 .t-u: r~ . ea, ~ ~ c- LOCATION /6 L'(e Streel, Road or oiher Descripiion o4 Loaation I Lo! Block Additioa or Tract ~-t '7y This permit does aot authorise the use oi slzeefe, roads, alleps or sidewalks aor does it give the owner or Lis sgan! the righi !o creale enp situation which is a nuisanee or whieh presenfs a hazard !o the healih, safety, eonvaaienee and general welfara fo enpoae in the commuxufp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. . Thiy ia to cerliEp, lhaf...... e.G.s4.y.-....P..`.:r."''._c~heapesmisaion fo eree! a....1..G:..-.....~'`'~.,.• _upon ~ the a6ove desesibed premisa subjee! !o the provisiona ot the Building Ordinanee fos Eagan. Towflehip ado !ed` April 11, 1855. 1~ f Per . Ch ~ Buildiny Impsclos~ ~ ~ , CIZ°i Ob' EAC?N 3795 rilot Anob Roaa Eagan, b'Linnesota 55122 PF;RP"ST NO.: 523 The City of Eagan hereby grants to Mill City Heatina & A/C of 13005 B 16th Ave. No.Mpl;s. 55441 a Heating Permit for: (Owner) Mel-Roy at 3983 Riverton Ave. , pursuant to applicaticWlUM 6/12/74 Fee Pai.d: $20.00 dated this 17th day of June , 19 74 .50 s/c Building Inspector Mechanical Pe^mits: Bid Total: . • VILLAGS OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PFRI'IIT NO.: 457 The Village of Eagan hereby granta to w n.el >>mt,ina & pftina o£ 3600 Kennebec Drive a ~T u~ xstr Permit for: (Owner) Mel=xov at l9ni AVn- , pursuant to application dated 5/21/74 Fee Paid: $20 nn dated this -_31 at_ da,y . of Myv , 19 74 ,5o s/c Building Inspector Nechanical Permits: Bid Total. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651•687-4675 9 Ci oZ -S New Constructbn ReouiremeMe RamodellReoalr Reauiremeeb . 3 registeied site surveys showing sq. ft. of lot sq. ft. of house; aM all roofed areas • 2 copies of plan (20% maz'unum lot coverage alloweC) • 1 set of Erergy Calculatbre tor heated addNOns • 2 copies of plan showing 6eam 8 vniMow sizes; poured found desgn, etc.) . 1 sfte survey for ezlenor additioris 8 decks • t sel of Eneqy Calculalions . Indicate'rf home served by septic system fa addNons • 3 copies of Tree PreservaUon Plan if lol plafled a%er 711193 • Rim Jo'st Deha8 OpUons selection sheel (bldgs wtlh 3 or less units) DATE VALUATION qU00. UO SITE ADDRESS 3'793 ~ i, CA MULTI-fAMILY BLDG _Y ~N TYPE OF WORK S%~+0 FIREPLACE(S) _ 0 Ll _ 2 17 APPUCANT I J S ~YS~'?rti-~-iu,., ST~~ADDRESS CI~ C-? I~"~~ rc~.~J~ CITY ~l< ~""s~~ STATE lM~ ZIP 5)'11 TELEPHONE# 6~ ~ `^ICELLPHONE# FAX# PROPERTY OWNER FiJy" j oTELEPHONE # CP ~~~gr~~3 COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONL qUG 2 8 2002 ~ Energy Code Category MINNESOTA RULFS 7670 CA1'EGORY t MINN qT~A RliLFS 7672 (J submission type) • Residential VentilaUon Category 1 Worksheel Submitted • New E[gYXo~-WrnkshBisCSubmitted • Energy Envelope Calculations Submitted Plumbing Conhactor: _ Phone # _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanieal Contractor. Phone # Mechanical system includes: _ Air Conditioning Fce: $70.00 Heat Recovcry System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that ihe information is ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signature of Appilcant OFFICE USE O y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 76-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? OS 06-plex ? 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (sueened) O 36 Mulll ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Frazning _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee --^---------Y-- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI MASTER CARD LOCATION izP3_!9R3i ~Q' 8 T ~a f OWNER MP ) • 9eV /1eht~! STRUCTURE AND LAND USED AS D~J C~ mA n ID 7 L Issued To Permit No. Issued Coniractor Owner BUILDING old, ..2q31 3291 , nLi PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING , SANITARY SEWER OTHER /t 4?' I ~ ~ OTHER -f F Approved Items (Initial) Date Remarks Distance From Well FOOTING 5EPTIC FOUNDATION CESSPOOL FRAMING ~ TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD 40 PLUMBING WELL SANITARY SEWER ~ 3r ~ y Violetions Noted on Batk COMMENTS: ~ COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF 085ERVED 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. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ~ COMPLETION OF CERTAIN IMPROVEMENTS Wltl BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPUANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQIJIRED DATE OF REINSPECTION REINSPECTION REVEAtED CE RTI FICATI ON - I certify that 1 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 ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvemen2s relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED 6UILDING INSPECTOR DATE COMMENTS: ~ 23 CITY qF FAGAN CA5H7'.Efi: 5 TE.RMIP!(4L Nl)~ i i0 L1A7E^ 08/17/98 TIMC: 09:38:44 IC1: NFlME: CYNTHIA FEFGUSON 9210 9001 3583 RIV1=FCTON 74.75 2155 9001. 3383 RIVERTpN j..50 ~ 7eta1 Fer..eip+. Amount;: 7E,.25 CfiC196212 US.F..R IDt NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u zLo s H G ~ Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 2 2 (612) 681-4675 Date Issued: 0 8/ 17 / 9 8 SITE ADDRESS: 3983 RIVERTON AVE LOT: 24 BLOCK: 10 CEDAR GROVE 48 P.I.N.: 10-16707-240-10 DESCRIPTION: T.O. & REROOF 64a'lding~Permit 7ype SF (MI5C.) Buikding Work Type REPAIR ,(~ensus Code 434 ALT. RESZDENTIAL , t . , l REMARKS: FEESUMMARY: vALuarroN $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: OWNER: - flPPlicant - FERGUSON CYNTHIA 3983 RIVERTON AVE ~ EAGAN MN 55122 (651)683-0983 I hereby acknqwledge that T heve read this application antl state that the inPormation is correct and agrea to comply with a11 applicable State nf Mn. SCaLutes and City of €agan Ortlinancos. " APPLICANT/PERMITEE SIGNATURE ISSUED 8Y: SIGNATLIRE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOS RD - 55122 681-4675 New Construdion Revuiremants RemodeUReoair Requiremante ? 3 rcgistered site suneys • 2 coDies of plan ? 2 copies of plans (inGude beam & window sttes; poureO fid. Oesign; Mc) • 2 sile surveys (exlerior add'Rions 8 decks) • 7 energy wlaulations ' • 7 energy ralwlations lor heated addidons ? 3 wpies oi tree preservetion plan if IM platted after 711 J93 required: _Yes _ No DATE: S- I 7-c1 5 CONSTRUCTION COST; ~ 3 OOU ~ TION OF WORK: l e6L K D'S~~ ~ f e rao ~ D S RID STREETADDRESS: 3c187) ~ LOT: ~ ``I BLOCK: 10 SUBD./P.I.D. -e- Y~ St,-,N 0-1'1 M4, cL Phone 1P ~F" ~ S 3'U D 3 Name: F PROPERTY 1.a5t TFirst OWNER n ~ Street Address: ~ City c;~Fr..~ State: ~/~F Zip: -u Company: I' a ~2. 5'4'ru~ one#: lp/7 -~f5 7-~~5~ CONTRACTOR Street Address: ~ SV 9 :E)~ License # City ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): . Penalty applies when address chanc and lot change is requested once permit is issued. I here6y acknowledge that 1 have read this application and sTate that the info ion is cortect and agree to comply with all appliqb State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican • OFFICE USE ONLY Certificates of Survey Received _ Yes _ No AUG 7195G Tree Preservation Plan Received _ Yes - No _ Not Requir d OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition 13 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous rJ 05 5F Misc. ? 10 _-plex ? 15 Deck WORK TYPE O 31 New ? 33 Afterations ? 36 Move ? 32 Addition 0 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq, ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg ' Census Unit APPROVALS Planning Building Engineering Variance Permit Fee -14.75 Valuation: $ Surcharge L U Plan Review License MC/WS SAC City SAC Water Conn. Water Meter ACCt. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: -7 (p a~ % SAC SAC Units RESIDENT OWNER Name: s Phone tJDI _C:.:L. Address City Zip. i-- CONTRACTOR Name, Address: City it- _r_7_ i u Phone: t fir. License State: t•--0 Zip: ':s Contact Person: t i TYPE OF WORK New k' Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City C ode. Please contact the Mechanical Inspector for information on permitted screening methods, PERMIT TYPE RESIDENTIAL Furnace Air Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under Above ground Tank Install Remove) Other **When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee If Permit Fee is Tess than $1,000, Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001- TOTAL FEE l ib. C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: Applicant's Pr`ifted Name 1~� 2009 MECHANICAL PERMIT APPLICATION Site Address: WS ._5 t' .LICa "cur "1 Use BLUE or BLACK Ink Of t:e; Permit Fee: Date Received: Staff: Tenant: Suite 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.gopherstateonecall.org 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. o nder Groun Re viewe d Air Test as Service Te I-IVAC Screening Inspection oor FOR OFFICE U Required Inspections: ough In Exterio PERMIT City of Eagan Permit Type:Building Permit Number:EA113896 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3983 Riverton Ave Lot:24 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-240 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Joe Soucek Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Rumed M Arafa 3983 Riverton Ave Eagan MN 55122--176 Trend Construction Inc 8160 CO Rd 42 W STE 300 to 319 Savage MN 55378 (952) 440-4440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116001 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 3983 Riverton Ave Lot:24 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-240 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . Joe Soucek Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Rumed M Arafa 3983 Riverton Ave Eagan MN 55122--176 Trend Construction Inc 8160 CO Rd 42 W STE 300 to 319 Savage MN 55378 (952) 440-4440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138255 Date Issued:08/17/2016 Permit Category:ePermit Site Address: 3983 Riverton Ave Lot:24 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Rumed M Arafa 3983 Riverton Ave Eagan MN 55122--176 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature