3857 Riverton Cir CITY OF EAGAN Remarks SOld FOT' T3X2S
Addition Cedar Grove 8 Lot 12 Bik 4 Parmi 10 16707 120 04
Owner Street 3857 Riverton Ave. State E2.€+an,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 125.00 .00 2
vK. SEWER LATERAL 197 1 39,1 ~0 307. 2
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK -y~ STORM SEW LAT ~ CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILOING PER.
SAC
PARK
~ CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECCIV6D
FROM
AMOUN7 $ (
& DOLLARS
lao
? CASH ? CHECK
rOR -
FUND CODE AMGUNT
` V
BY
n ~
~ ~ 2-60
U' ~ NUMERICAL FILE COPY
INSPECTIUN REC4R.D ~ Control No. 1088
CITY OF EAGAN PERMIT TYPE: f'll I I re rNf;
3830 Pilot Knob Road Permit Number: a*I 4xf'
Eagan, Minnesota 55123 Date Issued: (612) 681-4675
SITE ADDRESS: Lo t: 12 ts Lor, k~ R APPLICANT:
386I tt1VERTUl1 CIR R45EMGRRNTY 7QC10
CRttAR ARnVP: A1t1 (612) 681--1855
PERIIAIT ~PRTYPE: TYPE OF ORK:
AL.TFttATYUN
[?r,_p1PllrtN EGRE55 fJTNO(lW
i t"nl
~ ~ - -
~iy _ i',~l -~r"~' _ j~ ~ r,~s• 't _ . `i z i
' ..v.."4 ~ .c ~ L.a~-': i~~_. _ . c a. - e '~n~ic~S-s~• - - ` - - - ~ - - - - - - - .
4
wrmft No. Fermn tiowe. oaft TiNphons r
S/4H
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspectbn Date fnap. CommeMs
FooUngsl
Foundation
Framirag
RooHng •
Rough Plbg.
Rou9h Ht8• .
ISUI.
Flreplece
Final Fttg.
OrsaY Test
Finei Plbg. Pibg. InepedOr - NodfY Plumber
Canst. Meter
EngrlPlen
Bldg. Ffnal
DeCk Ftg.
Deck Final
Well
Pr. Disp. ,
s 7LP.U'u- Q
r
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
-N C il:
PE,qMIT WPTYQE: TYPE OF WORK:
INSPECTION . . ~
F-
L
Permit Holder Date Telephone #
PLUMBING
HVAC
inspectfon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING c/~9
/
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD i
FIREPLACE I
~
FIREPLACE
AIR TEST
FINAL PLBG I
FINAL HTG I
~
ORSAT I
TEST +
I
BLDG FINAL I
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK F1NAL
CITY OF EAGAN
3795 Pilof Knob Rood Eagan, MN 55122 N2 4220
PHONE: 4548100
BUILDING PERAAIT Receipt #
To be used foe ' . Date 19
Site Address Erect ~ Occuponcy -
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ~ Fire Zone _
Enlarge ? Type of Const.
I Nam e Move ? # Stories
Address Demolish Front ft.
Ci Phone Grade ? Depth it.
`e Name ''r)nStruCtiott Approvols Fees
0
oa Address Assessment Permit _
v~ Ci Phone E4'Water & Sew. Surcharge
Police Plan check
Nome Fire SAC 475•00
WW
_3 Address - Eng. Water Conn. 210• ~0
aW Cit Phone Planner WaterMeter c-')+00
Council
I hereby acknowledge thnt I hove read this application and state thnt Bldg. Off.
the information is correct and, agree to comply with all opplicoble •
State of Minnesoto Statutes and City of Eagan Ordinances: APC Total
Signoture of Permittee ~
A Building Permit is issued to: on the express condition thot
a41 work sho41 be done in occorddnce with a11 opplicable State of Minnescto $totutes and City of Eagan Ordinonces.
Building Official '
Penuit # Ds1e Im~d P~ill~w
Plumbing ~rf
Mechanicol
INSPECTIONS DATE INSP.
Rough-In Final
Footin9s Date Irksp. Dote Insp.
Foundation Plumbing
Frame/ins. - Mechanicol
Final _&cc ~g%Ccr
Remcrks:
~ao
CITY OF EAGAN
3795 Pilat Knob Road
F.agan, Minnesota 55122
Phone: 454-8100
PI,[t*'M7FJG PERIYtIT No. 702
".arci, Q2
Date: Receipt No.:
` 5ingle
Site Address: 3}'57 Riverton Circle Resider,tiol X
Lot 12 Blxk 4 Sub/Sec. cr-, 8 Mu(ti Res., Comm./Ind. I
Name _ VI• $lilie ^on3txuCtiOn Cb. New/Alter./Repolr
~
; Address 644 Superior Ct. Cost of Installation
0
City F.d_qdn _ Phone: Permit Fee 2r)' 00
` Name Genz-Ryan Plumbfng & Heating Inc Surchorge .51)
~ Address 14745 S. imber T Trail
e
0
u City _ Rosertount _ Phone: Total _ 7n, 5n
This Permit is issued on the express condition thot all work shall be done in accordance with all applicoble Stote of
Minnewta Stntutes and City of Eogon Ordinonces.
Building Officicl
o~ En,GAN SEWER SERVICE PERMIT
rivot Knob Roed PERMIT NO.; _
Eagon, MN 55122 DATE:
Zoning: No. of Units: '
Owner. • - -
Address:
Site Address: '
Plumber,
I agree ta comply with the City of Ea9on Connection Charge: -
Ordinenees. Actount Deposit:
Permit Fee:
Surcharge:
BY - Misc. Charges:
Date of Insp.; Totol:
Insp.: . Date Paid;
cirY oF ewcu?N WATER SERVICE PERMiT
3795 Pilot Knob Rond PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Churge:
Size: Acwunt Deposit:
Reader No.: Permit Fee:
1 agroe to eomply wrth the Ciryr of Eogon Surchorge:
Ordinonces. Misc. Charges:
Total:
gY Dote Poid:
Date of Insp.: Insp.:
/
CITY OF EAGAN
3795 Pilot Knob Raad Eagan, MN 55122 N2 4220
" PHONE: 4548100
BUILDING PERMIT APPLICATION W,900 ReceiPt #
To be usad for Sing. Fem Dwlg, d Garg. Date Feb. 14, 19 77
Site Address 3857 Riverton CT. Erect ~ Occupancy
Lot lZ Block 4 Sec/Sub. CC' 8-_ Alter ? Zoning
Porcel # Repoir ? Fire Zone _
Enlarge ? Type of Const. V
w Nome F7ayne T Bl i 1 ie Move ? # Stories
3 Address Demolish ? Front 60 ft.
~ Cit Phane Grade ? Depth 42 ft.
~c Blilie Construction Approvals Fees
o Name 125.50
aZ~ Address 644 SUAeiiOI' Ct. Assessment Permit
~ -
Ci EagHII Phone 454-1438 Water & Sew. Surcharge 22.00
~
~
Police Plan check
,~~„w Name Fire SAC 475.00
i? Address - Eng. Water Conn. ZZ0,00
~
aw w Cit Phone Plonner Water Meter 60.00
Council _
1 hereby acknowledge that I have read this appliwtion ond state that gldg. Off.
the in4ormation is correct and agree to comply with all applicable
Stote of Minnewta Statutes d City of Eagon Or ' ances. . APC Totol
Signature of Permitte~
A Building Permit is issued to: on the express condition thot
oll work shall be don/g.pacc~ordanc ith all applicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
cr-1611nal
EAGAN TOWNSHIP `
N° 2929
BUILDING PERMIT
Dwne= ..~-=---.-,~b-.-.-c
Eagan Township
Address (Precenf) ~........:4:................... Town Hall . .
Builder .
aate / ~ , ~y _ 7. z....._......
Address -
DESCRIPTION
Stories To Be tlsad For Fron! Dapth Heigh! Est. CosS Pexmi! Fee Aemarks
19 . 3•f Z, ~li ii s
LOCATION / <S
5ireal. Road or olher Deccripiion af Locafion I Lo ock Addilion or Tsae!
/ v-~-
4- i o `f
~3S 7 _S
~ This pecmit doea not aulhecisa the use of s!=ee2a, xoada, alleys or sidewelke nor does it give 2he owneror 6is pgent
the righ! !o creale any siluafion which is a nuisanea or whieh psesenls a hazard !o the healih, safetp, eonvsaieaee end
genezal welfaxe !o anpone in the communilp. .
THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGAESS.
This L!o cerlifp, lhai,.....`~~.- ..`-'-5.--..~~.has permission !o eraci a_.--./-.`~---~c.`:= on
. ..~..j . . . .
the above dese:i6ed premise subjae! 20 the pravisiona of the Suilding up
Ordinance Ior Eagax Tovfnchip ado ad Agril 11.
1955.
~k-~_.X- C~
:t
.....---....l...................... ..l.::..... .--~---.aw<a-+.~...,.---....... ~
1`Per
man o wn ard ~ Suilding Impactor
/0 //'0''47 /,'20 oi~
This request void 18 months from
. C G 8" O 74890
Date o this Request
I, as Licensed Electrical Contractor OOwner, do hereby reqpest inspection of the above electri-
cal witing installed at:
Street Address or Route No. OF~ ? City/Ct
Section Township Range County
Which is occupied by J Gyw~
(Nama of Occupant)
Is a roughin inspec[ion required on this job? No ? Yes ? Ready Now 0(i Will Call ?
PowerSupplierr1a.V^44.c- . Address
-"~_p /b 33 14?
Electrical Contractor41k" Contractor' License No. -
Company fVame)
Mailing Address 1,32 1L
(Elect!c ntra or or Own r Makin9 Thls Installation) c~p
Authorized Signature Phone No. ~ F c "3 1 2 T
(Elec Montractor o1 O ner Makln This Installation)
Minnesota State Board of Electricity d,
' 1954 University Ave., St. Paul, Minn. 55704-Phone 645-7703
~ . REQUEST FOR ELECTRICAL INSPECTION O 74890
' CHFCK BELOW WORK COVERED BY THIS REQUEST
Type of 8uilding New Add. Rep. Check Appliances Wiued For Check Fquipment Wired Fm
Home El ? Range ? Temporary Wiring ?
Duplex ? ? Watei Heatei ? Lighting Fixtuies ?
Apt. Bldg. 11 Dryer ? Electcic Heating ?
Commercial Bldg. Fumace ? Silo Unloader ?
Industrial Bldg. A"v Conditioner ? Bulk Milk Tank ?
List ~ List
O her ? ? ? Re'rers~ Rtheis
COMPUTE INSPECTION FEE BELOW
Service Entrence Size: # Fee Fceders&Subfeeders: Fee
0 to 100 Am s. 0 to 30 Am eres v 0 0 Am eies C
]Ol to 200 Am s. 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps Above ]00 Amps. A6ove 100 Amps.
Transformers RemoteControlCirc. Partialoro[herfee
Signs Special lnspection Minimum fee $5
Remazks TOTAL F O ~(J JL
I, the Electrical Inspector, hereby certify that the above inspection has~been .
(Rough-in) Date
(Final) . } Date i - - 7~
This request void 18 months from !
i
I For'pffceUse
City of Eap ; Pe""#
I PermitFee: ~
3830 Pilot Kno6 Road 1
~ Date Received: ~
Eagan MN 55722
Phone: (651) 675-5675 ~
Fax: (651) 675-5694 i Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ^ 7 D~' Site Address: 3F5-7
Tenant:'~ Suite
RESIDENT/OWNER Name: S~ A?5 u.:.:.,,..ge Phone: es1" yr2' 1"Z1,5:~
Address I City ! Zip: 3g~5 7
Appiicant is: _ Owner X Contractor
NPE OF WORK Description of work: A-*
Construction CosC 6;700 Multi-Famiiy Building: (Yes _ I No ~
CONTRACTOR Name: 4g~ License Y 36 0 ~
Address: S°
City: State: Zip:
Phone: ~/jZ- &d Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqorV 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
Cdtegory Submitted Submitted
(4 submission type) • Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-pablic if you provide specfftc reasons that would permif the City to
conc/ude that the are trade secrets.
I hereby acknowledgethat this information is complete and accurate; that the work will be inconformance wi[h the ordinances and codes of the CiTy of
Eagan; that I understand this is not a permit, but onty an application for a permit, and work is not to staA without a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
XIAP-OID 1.i Rc X
ApplicanYs Printed Name ApplicnYs Signature
Page 1 of 3
50o'l (-P RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenh RemodellReoalr Reauirements
• 3 registered site surveys showing sq. fl. ol lol, sq. ft. of house; and all roofed areas • 2 copies af plan
(20°h mauunum lot coverage allowed) . 1 set of Energy Calwlations for heated addNOns
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additiom 8 decks
• 1 set of Energy Calalations • Indicate H home served by septic system Tor addilions ~
• 3 copies of Tree Preservation Wan if lol platted after 711193
• Rim Jaist Detail Options seleclion sheet (61dgs vrith 3 or less unils)
%
DATE J nVALUATION i`"loC7
SITE ADDRESS y)29\6n C i~- MULTI-FAMILY BLDG _ Y ~ N
~ r \
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 3
APPLICANT ~ XCC l~~~st" ~r~~,
STATEAlrl-ZIP
STREET ADDRESS U~QUS CITYRA [~N
TELEPHONE #y7lo`3--2b2-cP69 CELL PHONE # FAX #
PROPERTY OWNER J)[.t Q R. i~ 1 TELEPHONE#(9SI
COMPLETE TH15 SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 _ M LjEnergyCode 672 ,
(4 submission type) • Residential Ventilation Category t Worksheet Submitted heet Submitted
elope Calculations Submitted 2
• Energy Env
Plumbing Contractor: Phone #
Pltunbing sysfem includes: Water 5oftener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Batlis
No. of Baths
Mechanical Conhactor: Phone #
Mcchanicsil system includes: Air Conditioning Fee: $70.00
_ Hcat Recovery System
Sewer/Water Confractor: Phone #
I hereby acknowledge that I have read this application, state that the information's rrect, a gree to mply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature oF Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 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 (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex ? 19 Lower level ? 24 Storm Damage
? 06 04plex ? 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 *Demolltian (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 of Const W idth
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs Air/Gas Tests Final
_ Framinb _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
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
PERMIT
CI Y,~ EAGAN BuzLorHG
383~Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: m 3 3 4 0 4
(612) 681-4675 Date Issued: 0 9/ 2 3 J 9 S
SITEADDRESS: 3e57 RIVER70N czR
LOT: 12 BLOCK: R
CEDAR GROVE 8
P.I.N.: 10-16707-120-04
DESCRIPTION: REROO F
Bu.ilditrg-,Permit Type STORM DAMAGE
B,u.ilding'tJA..rk Type REPAIR
,,(~ensu6 COde`-'~y 434 ALT. RESIDENTIAL
,
/
e
>
;
~
. v.
y 2 t
"
'i - , .
?
REMARKS:
FEE SUMMARY:
CONTRACTOR: ~AWR - Applicant -
ANTZ TODO
3857 RIVERTON CIR
EAGAN MN
(651)681-1655
I here4y acknawledge that T have i°egd this application and state thaC the
information is correct and agree to compiy with all applicable State of Mn.
Statutes and Gity of Eagan Ordinances.
L . _ ~
APPLICANT/PERMITEE SIGNATURE -~4WUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
w-y 3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Reauiremenb RemodeVRepair Reouirements
? 3 registered site surveys • 2 copies of plan
? 2 copiea of plans (inGude beam 3 window sizes; poured fnd. Cesign; etc.) ? 2 site surveys (extenor additions & decks)
? t energy wkulations ? 7 energy ealculations for heateC additions
? 3 copies af Vee preservation plan rf lot plattad after 711l93 required: _ Yes No 2
DATE: ' IS- q?~, CONSTRUCTION COST;
DESCRIPTION OF WORK: ppts-c i
STREET ADDRESS:
LOT: ~ BLOCK: SUBD./P.I.D.
Name: Phone
PROPERTY L'St F'rst
owrrER 38~'2
SReet Address:
Ciri ea-q4..~ State: (~nJ Z(p;
Company: Phone R:
CONTRACTOR
Street Address: License #
C{ty State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction onN): Penaity applies when address chan
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applica6on and state that the infortnation is correct and agree to comply with all applicat
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Require
OFFICE USE ONLY `
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Atterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowahle) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Sfories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
INOECTION RECORD ~
CITY OF EAGAN PERMIT TYPE: g u 1 LnI. i4.,
3830 Pilot Knob Road Permit Number: 001485
Eagan, Minnesota 55123 Date Issued: 0 g I 2 2 I 9 2
(612) 681-4675
SITE ADDRESS: Lo r: 12 B L 0 C K: q APPLICANT:
3857 RIVERTON CIR ROSENCRANTZ TODD
CEDflR GROVE 87H (612) 681-1655
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
qESCRIPTION EGRESS WINDOW
INSPECTION D. . D•
FINAL
-
~ -
PERMIT Control No. 1088
CRTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Perrnit Number: 001485
(612) 681-4675 Date Issued: 0 9/ 2 2/ 9 2
SITE ADDRESS:
3857 RIVERTON CIR
LOT: 12 BLOCK: 4
CEDflR GROVE 87N
DESCRIPTION:
EGRE55 WINpQW
;-Buildin_g Permit Type SF (MTSC.)
j' Buildi:ng-Work 7ype ALTERATZQN
~r
r
- ~ . . .
r ~
A-zT4.~~.~-..1 ~ ~ti..'1~ ~ti_'~'z.~' 1..
_REMARKS:
~ ozv~sg
FEE SUMMARY:
VALUATION $600
8ase Fee $17.00
Surcharge $.50
Total Fee $17.50
CONTRACTOR: OWNER: - Applicant -
ROSENCRANTZ TOpD
3857 RIVERTON CIR
EAGAN MN 55122
(512)681-1655
I hcreby ackn6wledge thaC I have read this applieation and state that the
infiormation is correct and ag-ree to c-omply wit'h aX7, appla,cable State of Mn.
Statutes and City af Eagan Ortlinances.
L -
, k ~ l tN~4 ll.A/ 1
' APPLICANT/PER I EE SIGNATURE D 6 SI ATUR
PERMIT ~ CITY OF EAGAN
REACTIY~TE 14qS 1992 BUILDING PERMIT APPUCATION
681-4675
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy .
calcs.
COMMERCIAL 2 sets of archltectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
af month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 9_ a- / 'C''1'~- Valuation of wvrk E0-ri
Site Address:__ 335-7 L'uet4oh Ci'!'J{'
STREET SUITE M
Tenant Name: (commercial only)
IAT BIACR ~ SUBD. 1 I1 .p..y P.I.D. M
Descr9 tion of work: ~
The applicant is: M~Owner ? Contractor ? Other (Describe)
Name a ~ 11et', Phor,e, 6761 -r 6 SS
Property LAST FIRSi
Owner pddress 3'~~7 Q' o~- ' j -
cr o,~ L ;s-4~ ~
STREET STE t
City State /?1N~ Zip l Z?.
Company Phone
Contractor Address ~ License ~ Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration I1
Address
City State Zip
Sewer b Nater licensed plumber . Processing time for
sewer & water permits is twa days once area has been approved.
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.
Signature of Applicant: '
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation ? 06 Duplex ? 11 Apt./Lodgtng ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
10 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New -M~33 Alterations ? 35 Tenant Finish ? 31 Demalish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) Basement, sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zon1ng Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage 5AC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O Site ? Footing O Framing ? Insulation
? Nallboard ? Final ? Draintile ? Fireplace
Permit Fee VBi,,.tia,: g
Surcharge
Plan Review
License
MWCC SRC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
`-----7
BUIZI)I'C;G PSFd`1IT r,kPLICFTSO?d
LOT_~._ BT.4i:Ir~ '-7 AilDITTOiT
-7`'--
c~ RCTL & rE.^..iiCZ4 ":UiMFsR I:' Ui:ii'7i?a17'ED
,lM~.. -i~; CF F:RC.T:?,-.i].L~L!
,.001.113 ~E
lzflr
TELE?HICNM NO.
cor?.~~~>cTo~ '12L~~-,~ mELErxori:. 110 ,
aDDti:ss._~ ~~~A--/
<J
ILZCl?~cin o;.te plan, bixiJ:ling plans, and energy calculatio::,= c•':i.tl: this
z_r., li.cav3on ,
Signed
OE''PICE U^uE
v?uunTxo? 1
sAc
[i~]7LIL2 CCfJRMCiI'Jtt
o-n
i>JATER !:ETEi2 60 '
S~
r»r.~znc Fz:1z.,-x r_a 5
S=?i'..^..;:ARG,^'.
PI:'1:7 0:i; CK
PzArlm D^nirYescN r•LE
ToT<aux
AP..A:
ASSESS,-:3T:m Cy,gRKBUII,UIIQG DEFT. POLICE DPPT. ,
TdP>!•."PR u°c FwMR D3PT. FIRh' DL~'P2'.. PF1RK DEPT. _
°t°`pFAiOA&e ~.oT 12 $toc1G '-I LeAA2 Grov~3 .4 S
~ " ?5L bt
\
~
~43'-~
-Kk v C, 2 T'o n~
''E ; J7r%vE
~ • ~
t~
~
- - - - ~ - - - - - ` - - -
~
~
STQucTUQ+e
~1V1_ 12-roA/
S
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date /o / /
SiteAddress~~r] ~IL.~t"1'CY~ Unit#
Property Owner Telephone # ((,S ) ~
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Street Address Apple Valley, MN 55124 City,
(952) 431-7099
State Telephone f/ ( )
The Applicant is _ Owner X Contractor _ Other
Add-on, modification or alteration to esisting dwetling unit $ 30.00
fumace replacement
air exchanger
~ air conditioner
other
State Surcharge $ .50
Total
i
i ~
I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is wmplete and, acctuate; that the work will
7-
be in conformauce with the ordinances and codes of the Ciry of Eagan and with the „echanical'Co`des; that I understand tlvs is not a
pemut, but only an application for a permit, aad work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
~n i r~ . l.~~C`hlerS l~-k: ( A (.c~~
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knoh Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5594
Please complete for: commerciaVindusfial buildings
multi-family buildings when sepazate permits aze not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicahle) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner Contractor Other
Work Type
_ New construction Underground 7ank _ Install _ Remove
_ Interior Improvement Call for inspection during instailation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $5050 Minimum Fee (includes State Surcharge)
ContractValue $ x 1% PernvtFee
• If permit fee is $1,000 or less, add $.50 State Surcharge
If pemut fee is over $1,000, add $.50 per
$1,000 Pemvt Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that ffie work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pemdt, 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 wluch requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslructirn Reouiremen5 RemodeUReoair ReouhameMS ~tfice'Lise ~n
3 registered sBe surveys shovring sq. iL of lot, sq. ft of fwuse; and aII roofed areas 2 wples of plan ,.g,10 (20%maximum lotcoverege allowed) 7 set of Energy Calculetions for heated additions ~
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks ~ F g~.~~_~~'~"'~1
isetofEnergyCalculaUons Addition -indicafei/on•sitesepficsystem ~.e„~ &4 xIN
3 copies o( Tree Preservatlon Plan if lot platled aRer 711/93
Rim Joist Defail Optiore selec6on sheet (blJgs with 3 or less unils
I
Date Construction Cost
~
Site Address ~~5T R i vedarJ C~ 2c1~ Unit/Ste #
I o~ cf .5
Description of Work Pi
~
Multi-Family Bldg _ Y_ N Fireplace(s) 1 _ 2
Property Owner SQ RII IrI r.~ U KR I LL _ Telephone #(~prj~ )4,11' I7AU
Contractor 6R e~a k L a KPS W dVl ~ S'y ~
Address W 0 ~ Ciry V
State / V? ! V Zip 7-111 Telephone # c952 ) '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI4DING
- Minnesota Rules 7670 Cateeorv 1 _ Minuesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submiuion type) Submitted Submitted
. Energy Envelope Calcula&ons Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #
Mechanical Contractor Telephone )
Sewer/Water Confractor Telephon
I hereby apply for a Residential Building Pernut and acknowledge that the inf rmation is complete ard accurate;
that the work will be in conformance with the ordinances and codes of the C ate of MN
Statutes; 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.
ApplicanYs Printed Name Applicant's-Sig#ure
OFFICE USE ONLY
Suh Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 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 (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbe_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replac0ment *Damolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) ` Plumbing
Foundation HVAC
Drain TIle Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ F'ueplace _ RL _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-~6'T-7 c) -~O
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoae # 651-675-5675 FAR # 651-675-5694
NewConsbudionReouirements RemWeUR airR uiremenis
3 regisiered sRe surve showi of IoL sq. ft ot house; and all roofed aieas 2 copies of plan 1,Pe~",
(20%maximumlotcoveragea R bwed) 15etofEnergyGalwla6onsiorheatedadditions F{
2 coples of plan showing beam & windav sizes; poured found design, etc. 1 sitfl survey for edtlitions 8 dedcs
isetofEnefgyCelcula6ons Add'Aion-i/Micafeifon-sdeuptlcsysiem
3 copies of Tree P2servafion Plan'rf bt pWtled afler 711193
Rim Joisf Detail Options seledion shaet (bldgs witli 3 or less units
~
Date JU /~/v-~ Construction Cost y
SiteAddress 3~5~' ~~V-Q.•'C~~ C 1~C.1"'~~ Uoit/Ste #
Description of Work L.2_ ~ I~1.K~D LJS W~~ Y1 aM ' Ot~~-'~l ~'~C'~ •
Muiti-Family Bldg _ Y?S N FSreplace(s) _ D _ 1 _ Z
PropertyOwner JCJ.'CQh Telephone#(IpSI ) 1SZ^ 121 p
RENEWAL BY ANDRSEN
Contractor 1920 COLJNTY ROAD "C" WEST
Address ROSEVILLE, MN 55113 CitY
State 651-264-4777 one # ( )
LICENSE 420130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CodB Category . Residentiel Ventilation Calegory I Worksheet • New Energy Code Worksheet
(4 submissiontype) Submided Submitted
. Energy Envelope Calculatlons SubmiqeC
Have you previously consTructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. D 2Licensed Plumber ~ Telephone ~
Mechanical Contractor APR 0 Telephone )
ey ~ Telephone j
Sewer/Water Contractor
I hereby apply for a Residen6al Building Permit and ac owledge that the information 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 pemut, and work is not to start without a
permit; that the work will be in accordance with tYte approved plan in the case of work which requires a review and
approval of plans.
A" /~.tA O~
ApplicanYs Printed Name pplicanYs Si ire
OFFICE USE ONLX
Sud Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling [3 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage _ ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenfgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg--Y or _ N ? 25 Miscellaneous
Wark Types
? 31 New ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addi[ion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolitlon (Entire Bldg) - Give PCA handout to applicaM '
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump '
# of Units Sq. Ft. PRV
# oF Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC .
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall
Approved By: , Building Inspector
Basa Fee
SUrcharge
Plan Review
MC/ES SAC
City SAC
Utiliry Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Oiher
ToWI
~~•~..4v•ii ~uv .ca.o~ rm ro~ or1 4+toD KtsCI1Sf1AL t31"81VI/t51471S1M
' . . fm uu:
fG al . . " . .
rune t zoo, . City Of Eam .
3836 RiIot &tob Road
EftM MAT 55•122
To Whom k May Coctcern: .
Elder 7ones is authoriz¢d to puII bniIdfug petmlts for R,anewat by Andersen_ Piease allow
Elder Ioncs to provide this ses"vice for us in Eagan. 'thia eudtoti2etian is valid Eor eny
date bcyond 06/0,; until a 1*n5w4 by Andersen manager e4ms1Y revokae ic in witciug
to the City.
I request th9s autlioxization He accepted-axped;dotuly. ss to not deisy in the pcvcessing of
oar bailaing ponmits ,my funhct. Picasc can mo If th= at+c eny qneatlona.. I cen tn
~ wntacoed at 763-502-4746_
Your imm9diaft attcntion to tbis matier is e sted, CZon d R Rau
osManagcr . .
Ranowa( by Andasca CotPvration . •
C'r.: Kma-Filcle.r 7nne_a
a0 •
Received Time Jun. 7. 1~01PId
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118920
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 3857 Riverton Cir
Lot:12 Block: 4 Addition: Cedar Grove 8th
PID:10-16707-04-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Ann Spreeman
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 -
Tye A Bowen
3857 Riverton Cir
Eagan MN 55122
Minnesota Window Siding
8609 Lyndale Ave S #207
Bloomington MN 55420
(952) 888-9904
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158073
Date Issued:09/24/2019
Permit Category:ePermit
Site Address: 3857 Riverton Cir
Lot:12 Block: 4 Addition: Cedar Grove 8th
PID:10-16707-04-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Tye A Bowen
3857 Riverton Cir
Eagan MN 55122
(651) 347-5071
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158282
Date Issued:10/07/2019
Permit Category:ePermit
Site Address: 3857 Riverton Cir
Lot:12 Block: 4 Addition: Cedar Grove 8th
PID:10-16707-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Tye A Bowen
3857 Riverton Cir
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature