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1688 Riverton PtCITY OF EAGAN Remarks Addition Blackhawk Lake Addition Lot 2 Rlk 1 Parcel 10 14385 020 01 Owner Street 1688 Riverton Point State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 iD caamp / SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1 Q, fig CO llsep STORM SEW TRK 1983 86.3 9 15 1 S0, 3 S- IIJPf STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 1INSFEU 1 REN RhuUKlI CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: n, Minnesota 55122-1897 Date Issued: ! (612) 681-4675 SITE ADDRESS: :. ??:.+f t + APPLICANT: + t. I °.'f 1? I +IPj {' + r f ,? ! ? ?sI I !•?+? 7•. iti I?1lf?li f I f#f? I I „i fiiylt+ t i,??J[ ? t +: Z .' ; .' r7EAAf, PERMIT SUBTYPE: TYPE OF WORK: £F E Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLSG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ( MUDS, PRIVAT% CITY OF EAGAN A ,., _..,. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT 'To be used for > = 7%*1G/ GAR Receipt # 12760 $177,000 Date OCTOBF.R 3 19 86 Site Address 1588 RIVERTON PT Erect Occupancy R3 Lot 2 Block 1 Sec/Sub. BLACKHAWK LK Remodel ? Zoning R Parcel No. Repair ? Type of Const Addition ? No. Stories Name DAVID ANDERSON Move ? Length 72 x 63 S Demolish ? Depth 58 a Address BOX Int. Impr. ? Sq. Ft City :4Ui?KI?''Phone 7222244 Install ? c A royals o Name MULRENNAN CONSTRUCTION PP = Address 4010 ST Assessment City Phortd W 722-4029 Water &Sew. 8 W Name ` 12, Police Fire 5120 :.JINA IND BLVD _3 Address E " 894-9300 W City Phone ng. Planner I hereby acknowledge that I have read this application and state that the Council Bldg. Off. 10/7/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Permit Surcharge Plan Revie Water Conn. D O V e V V Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 r Signature of Permittee Var. Date Cop' - Total 2 , b 11 . 7 5 A Building Permit is issued to: 'd1JLRF1-J i.IJ CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Hader Dale Telephone N Plumbing ?r %?? i, H.V.A.C: r? 4' 40 '2 7/? Electric iC oa X86 ?/ C? i' Softener 4, 41 -2*1t?If ?&c. c c Inspection Date Insp. Comments Footings 1 Footings II Foundation yy psNId f W Ai-,t -P v T Framing l? Roofing Rough Plbg. q Rough Htg. ` Insul. _ , • ?3 J Fireplace A&A Final Htg. Final Plbg. 2o Bldg. Final Cod. Occ. Deck Fig. Deck Frmg. Well Pr. Dlsp. * PERMIT # PLUMBING PERMIT RECEIPT # } CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address Lot Block Name - Address _ c city Name 3 Addre p City _ FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMMAND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: " GRAND TOTAL- FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address 'e I"?' I Lot :P. - Block Sec/Sub Name ,, , -. V- m Address a s -' - c City Phone, Name - 3 Address O City FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES mss' f. i ,' ?? [ t , SIGNATURE OF PERMITTEE FOR: CITY PERMIT # RECEIPT # J?l DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-6100 Site Address A' BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. -?? New 4 :4 ? Name Mult Add-on Address Comm. Repair U) City ?Z' Phone 2- b .". Other FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City c l _ Phone < (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMIT 1 50 EA - ) - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT" BLDGS. - COMM. RATE APPLIES i TOWNHOUSE & CONDOS - RES. RATE APPLIES ler Bo M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000} Other FEE- S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN f 1 t- L) Name _ Address City _ PLUM FEE - 1% OF CONTRACT FEE - COMM RATE APPLIES PERMIT # G PERMIT RECEIPT # 'EAGAN AD, EAGAN, MN 55122 DATE: 454-8100 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair ' Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 4UM - RESIDENTIAL FEE -$12.00 Whirlpool - 53.00 4UM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 E SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) $.50 S/C IF PERMIT PRICE GOES __) Softener - $5.00 ND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 OF PERMITTEE FEE: STATE S/C: / CITY OF EAGAN GRAND TOTAL: f CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED RRDM m % AMOUNT 6 DOLLARS too CASH FJCHECK IA BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. (.G. ? ? _ r '_? / mac; ???-' ?'' 1-n•' =''?l C,aC? , 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. %j? 7 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL. ` CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECOVIX0 FROM AMOUNT $ Q DOLLARS goo ? CASH ? CHECK By White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You 3830 PHot Knob Road --- - • -- - --- - - - - ----- - P.O. Box 21199 PERMIT NO.: 8259 Eagan, MN 55121 DATE: 12-9 36 Zoning: -I No. of Units: 1 Owner. -':SLj ranvwan rnnst _ Address: SiteAddess: 1622 Div@rtnn Pain t T) r? Plumber, b•-b?k ,i?el7xr ?1 ?_*''? i>Z Meter No.: Connection Charge: ? ?? • r'n?j Size: Account Deposit: 15-0012"' Reader No.: Permit Fee: 10, 0012d I agree to comply with the City of Eagan Surcharge: - 0xid Ordinances. Misc. Charges: 1 56-00na TP f Total: 63.51)nd -neter . p By Date Paid: lnsp ra, CITY OF EAGAN WATER SERVICE PERMIT 9530 Pilot Knob Road 8259 P.O. Box 21199 PERMIT NO.: 1 Eagan, MN 55121 DATE: Zoning: Rl No. of Units: 1 Owner. Mulrenmann Const. Address: SiteAddess: 1688 Riverton Point L2 Bl Blackhawk Lake Plumber. nrucKmueiier riumDing Meter No.: 37(0 5? 3 7 Connection Charge: Size:'M ROB Account Deposit: _ Reader No.: Q 74 7 .SOD Permit Fee: I agree to comply with the City of Eagan Surcharge: •'upu Ordinances. Misc. Charges: 156.00pd TP u?A Total: 63.50pd meter By ` Date Paid: Date of Insp.: Insp., /Or6aREQUEST FOR ELECTRICAL INSPECTION ER- See instructions for completing this form on beck of yellow copy. 1850 "X" Below Work Covered by This Request gam. C NilayfAdd Rep. Type o{ Ruilding? Appliances Wired Equipment Wire urnace p Fee Service Entrance Size n Fee Feeders/Subfeeders n Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms go I Partial.'Other Foe Signs Special inspection $ . Remarks TAL FE u/ I, the Electrie4l Inspector, hereby certify that the above inspection hes been made. This request void This request void 18 months from C -18 5 0 Request Date Fire No. Rough-in Inspection Required? sadly Now ? Will Notify Inspec- 6 S - Yes ? No for When Ready X Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Ro e No. 1 City ? J 16 D D f? H (`B 1 Q 4/ Q , 4 action No. Township ame or No. Range No. Cou.1 fV/ J? Occu t ip INTI Phone No. 61 Po r pplier Address ? Ele cal Cont actor ICoj "parry Name) Contractor s License No. ?ds,t,`vel / ?/ l?(Ec?/` we Mailing Address IContrac r or Owner Making Installation) ? ? ? C 3 G S oa.? 114 , S 3. Author ignature IContr clor/O er Makin Installation) P Ph ne Number -.'60® THIS INSPECTION REQUEST WILL NOT MINgs-Mid ST B - OARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs-Midw dg. Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55104 U ENCLOSED. Phone (812) 2978111 REQUEST FOR ELECTRICAL INSPECTION /EB-00004-o^ p"nr?r7 See irtstruGtiaas for comDietinp M. iorm on beck o1 Vail orr rwpy- T A YO 9 I 1 ( / ? 1 / "'%" Below Work Covered by This Request - - NwAAddl Reo.l Tree of auildino I Aowfiar.ces Wired 1 EVuiement Wood I Water # Fee Se"ieeE 0 rme Size # Fee Feeders/Sebfeedem # Fee Circuits U to 200 Amps 50- 0 to 30 Am 0 to 30 Am? Above 200 Am 31 to 100 Amps 31 tD 100 Amg? Swimming Pool Above 100-A Above 100 Transformers Irrigation Booms I P5, rtiar Fee Signs Special Inspection s OTAL .p?rf? i./) Remarks t FEF (dam- J 1./ Hough-in r Datee, f- the El icnl """ ospe~. hereby OOtl certify that the above Final Date irispactim btrw TYgs roOueat wld temonMsirom ? /_Oe? This request void 9 ern 18 months born A 077342 ca, ri G ?- /;r4. ??<oo me l Date Fire No. Rough-in Inspection RReequned? f Ri 1 ready N. [] Wfll Notiry bapec- 0' for e^ R d D ? ?+ es No l aa Y Licensed Electrical Contractor 1 herebv request inspection of above ? Owner electrical work installed at: Street Address. Boa or Rout o. City i r o /U B r 4 ` hip a or o. 5 ange No. Cou nty, / / 77 7 lnC // Q Occu of INIINTI ,..{_ Phone No. N ?'P A/Pa ?ti? / Po r Sup li r Address E 1rirRl C ntrapor ( mpaM Name] Contractor"s L icense No. rYe /t =G VC- go 'y 2 S O;z- Mailing Address ICont ctor or Owner Making Install ion) A S ? .? Cmo a , s ` n SS =re (Con ractor O ner Making Installation) Phofte Me.&., 5-- 1 75 THIS INSPECTION REQUEST WILL NOT MINNESOTA BOARD OF ELECTRICI Griggs-Mi Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave., St. Paul, MN 551 UNLESS PROPER INSPECTION FEE IS Vi-- 16221 297?111 ENCLOSED. NEEDS PRIVATE DISP. SYSTEM CITY OFEAGAN AI _ 12760 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np BUILDING PERMIT PHONE: 454-8100 Receipt# To be used for SF DWG/GAR Est.Value $177,000 Date OCTOBER 8 86 t9 Site Address 1688 RIVERTON PT Erect? Occupancy R3 Loth-Block 1 Sec/Sub. BLACKHAWK LK Remodel ? Zoning RI Parcel No. Repair ? Type of Const V Addition ? No. Stories a Name DAVID ANDERSON Move ? Length 72 3 Address BOX 635 Demolish 101 Depth SS o Int. Impr. ? Sq. Ft City HOPKINSPhone 722-2244 Install ? a ADorovals Frees io Name MUT.RENNAN CONSTRUCTION $Q Address- 4010 F. 52ND ST Ciry MPT.C Phone 722-4029 w a Name R SUNDIN i? Address 5120 EDINA IND BLVD <w City Phone 894-9300 I hereby acknowledge that I have read this application and state that the information is correct and agree to mply with all applicable State of Minnesota Statutes an Ciry of Ea n Ordinan s. Signature of Permittee (/ A Building Permit is issued to: MULRENNAN CONST all work shall be done in accordance with all aootlcable State of/Miinr esc Assessment Water & Sew. Police Fire Permit $ 625.50 Surcharge 88.50 Plan Review 312.75 SAC 575.00 Water Conn. 500-00 Planner Water Meter D.s • :) L) Council Road Unit ' 290.00 Bldg. Off. 10/7/86 Tr. PI. 156.00 Var. Date Copies Total $2,611.25 on the express condition that Statutes and City of Eagan Ordinances. Building Official FROM : INSLLATION5UPPLIES PHONE NO. : 612 931 0869 Jul. 18 2005 10:26AM P2,12 )Z-DL jZefn-odpd , -,47-72Z,31 INSULATION SUPPLIES E:X 7- ••B S 't" South 14 1 S Hopkins. MN 55343 (952) 932-9000 EMSFRAY EM 219 POLYURETHANE SPRAY FOAM SYSTEM Description Typical Physical Properties Entspray EW 19 Density, lbsJeu fL 1.9 ASTM D-1622 polyurethane chemical foam compressive Strength ASTM D-1621 system 18 a two component system designed for spray parallel 15-20® 10% Applications to produce a Perpendicular I0-15 @ 10% rigid polyurethane foam with Tensile Strength ASTM-D-1623 a riominel overall density of Parallel 25-30psi 1.9 pound per cubic foot. Shear Strength ASTM C -273 Perpendicular 30psi Emspray g00A is a polymeric isocyanate Thermal Conductivity, BTU/hr.ASTM C-518 Containing reactive K Factor @ 77*F, INITIAL .153 isocyenate groups Dimensional Stability ASTM D-2126 % volume change -1 Emspmy M-M i9 is a 2 days at -20*F dry <l J combiaationofpolyols, Water vapor Pemteability, 1.4 ASTM C-355 catalytic agents, Open Celi Content <20/9 ASTM D-2856 surfactant, blowing again Air Leaka 002c STM E-283-91 245 fa . ]f219 A/f3 Q2.25 INCHES ACHIEVES .88 Typical Handling Characteristics ?? Viscosity @ 750F Typical Combustibility Properties 1901255 MNing Ratio by Volume Notmal Thickness (4" Test) ASTM E-84 100/100 Flame Spread 25* Spray Reactivity, Tack ' smoke Density 300 Free, $cc s ENCL19 5 *TIIIS,DATA REFLECTS THE PERFORMANCE The foam's Properties OF THESE FOAMS BY A LABORATORY SCALE BURNING TEST, AND THE RESULTS ARE NOT were determined on TO BE CONSIDERED OR USED AS A FIRE samples swayed prayed thhr rough a METER HAZARD CCi ASSIFICATION AND ARE Ouatner H-11 unit at 1100 NOT INTENDED TO REFLECT HAZARD psi with a preheated PRESENTED THIS OR ANY OTHER mmperansre of t 30*F and MATE UALS UNDER ACTUAL FIRE a hose temperature of CONDITIONS. 125`F. The system was sprayed at 7045*1? ambient and substate 1 temperature In a two inch pass using a fusion gun. 800/800 d 9V:91 (03tn)9002-22-83J J09 I,,/ B- 35 PERCOLATION TEST DATA SHEET Test hole location /0 T OC XXRa f4zz //A '6 oHole number, Date test hole was prepared / 2 A , Depth of hole bottom ,_2±' inches. Diameter of hole, inches. Soil data from test hole: Depth, inches Soil texture - ;Ij S?k?/d?,c//v,--xZ Method of scratching sidewall /V, f /1/ec is ay- Depth of pea-sized gravel in bottom of hole, -7 inches. Date and hour of initial water filling 14Z9? Depth of initial water filling, inches above hole bottom. Method used to maintain at least 12 inches of water depth in hole for at least 4 hours /U -/ ??p?p cr ay - Percola ion test readings made by c Jc, -`&L starting at -14Z cl m. (date) during test, 6 inches. f? on Maximum water depth above hole bottom Time Time Interval, Minutes Measurement, inches Drop in water level, inches Percolation rate, minutes per inch Remarks ,y- ?,. :o h6 S ;/7 Cr Ae F e - Y ' / rKc 7 7- ?? / 0 Ire 0- C: B C ?- /? 2? r l? Percolation rate = minutes per inch. ? A? '@ rl' X37/-/J ggo ?Sx Ok h??EJo wrg 1307 ?a o ?;? cli BooK 54 PAS- 4L SWK. S44-- PW 5--7 ROBE ML)LKewkJ1A0 Con15T, CONSULTING ENO NEERS ENGINEERING PLRNHtas and ?AHO ?UAVEYORS COMmyr INC. 1000 EAST I461A STREET, BURNSVILLE, MINNESOTA 65337 432-3000 Cer?i}'i PH o? SurYe c? j&aat Ihacr4P2fgn: tlUT 2 BLOCK /, $t-ACKNAWK LAKE Apo/TYON,? DAKOTA Go4w7-K, 1!//VNk,007A BLACKNAW1( GAK?- H/G/Y WAITER MARK- ELEP:ar/ON 792.3 jreef a? a 3 R a r O 0 O 0 T l\ TO R A /NA GE - EA 5 Eri.ENT ???/96 OoUd E sv,PVEr -_._ Lei J/? LOT 2 (e3z.o) (d 32.o) :27.6) ?? _s?A'pO A 32 (P3Z.o? ?,oB ? ROPo Po s tp en .3.zs sae N,?EO a.• (?qo.-a 2y 33 ? 0 v //2. o o 5 B$° 33'15'-' 7 I I /0 W ?r rN oM nl ? Vx 11 r'h 1 r? 1 WORT# sua?E ? / •'=40 ' PRA/N.N(T'F UT/CITY FASE///?i}?'T ,p /?4d CqS ktL?) ?.r /.. / i li / /• i EGEV.Q 7 /0 A6 /4/(/E.QTON ?Q//?/jT x ? (8go.z) -NOTES PPOYOSE? _ / //YC?/GATES D/?PEGTio?/ of ?!L 5 v,2rAcE ORA/NACrE F/W/sN GARAGE FLOO/z T4EA-X7-101V =CBS.S? I hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by me on this 2?-i.-W day of 5F}'?i?-R ? 19 86 ' REV,SEP /O-Z-Bb MOVED 1 006E 111nn. Rego No. /l•°FS CITY USE ONLY PERMIT #: VA0rq 7 1 RECEIPT DATE: 3050 3630 PELOT KNOB RD EAfiM UN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date:)) k 7, SITE ADDRESS: OWNER NAME: TELEPHONEM U57 J 64 J b&77 INSTALLER NAME: C _ TELEPHONE M STREET ADDRESS: CITY: 4146 -I STATE: _ Place a check mark next to the permit work type ZIP: 7 ?( y _ Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Y i? t (? _ Nature of work: Podu J i /? a pp? Jor'u- 5' m n44 -zD 3?co I l5 z5z State Surcharge $ .50 $ =? E Total - SIGNATURE OF PERMITTEE 8008 It£SID£NnAL M£CiIANICAL P£IiMIT APPLICATION CITY OF KAGAN 1/02 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) r RD - ?fflb CITY OF EAGAN 3830 PILOT KNOB B RD 55122 851.881-4875 Now Construction Reardrements )' J„ _1c?1 v RemodeUReoaif Rea Aremenla Cal,e? 7 ?25+ts? > 3 registered site surveys srrowing sq. R. of lot, $4 ft. of house t lot of copies plan cclcubators for healed additions 1 ', and go tooled areas (2D% mmdmum lot coverage allowed]) ?1 VV 0 0 > 2 copies of plans (show beam & window elm: poured Ind. design: etc.) 1 site survey for exterior additions 8 decks > 1 set of energy calculations > 3 copies of tree preservation plan If tot pkftd after 7/1/93 DATE: ZiV t-A 0 . "goo o CONSTRUCTION COST: DESCRIPTION OF WORK: t1G- c,t- Z6PAt? E (h Mo -M J160k STREET ADDRESS LOT: I l goo V BLOCK: SUBD./P.I.D. t: I Iac6aw k Uku PROPERTY OWNER CONTRACTOR 4RCHITECT/ ENGINEER Name. Ar 1DDE?LotJ bAU (a Phone e: (?,SI - 6 RB' 664"7 Lost First Sheet Address: M06. `14\0 (dLT(L.i PT. City 6PlriatJ State: Iona Zip: [s I Z L lZ8 Company. TN6 Qjl*%O%ki QOOTkA(tii,b I.OG Phone c U-2, 411- SIT (area code) Sheet Address: tI S c:tn, is Ucense# 362a Exp.3-as-aml City o p of A State: 1(`(111 Zip: SS? >w Company: Name: Telephone E: ( Sheet Address: Registration C city State: ewertwater licensed plumber (if installing sewerhmater): Phone M Zip: hereby acknowledge that 1 have read this application, state that the information is correct, and agree b comply with at applicable State Minnesota Statutes and City of Eagan Ordinances. n Signature of Applicant i uA OFFICE USE ONLY )rtiflcates of Survey Received ee Preservation Plan Received Yes No Yes No A / 7 - Not Required I0 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ piex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE 9 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-piex ? 21 Porch (3-sea.) ? ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? k 18 Deck ? 23 Porch (screened) ? ? 19 Lower Level ? 24 Storm Damage rrybg _Yor_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 4- No. of Units c No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building -at2?1 Engineering Variance Valuation: $ 31 Ext. Alt - Multi 33 Ext. Aft - SF 36 Mufti SAC Units % SAC W/ROBE ENGINEERING COMPANY, INC. 1000 EAST 1461h STREET, 6i r- 5-+ PAVE -1G BmK s4 PA" S-7 k IMULKLUUAU Cor.,sti CONSULTING EH6INEEAS PLANNERS and LAND ?UAVEYOAS ouRNSYILLE, UINNESOTA 55337 PI( 432-3000 Z,eg4t .0"cr4io2ion: GUT ? / [3iOCK /, $?ACKHflWK LA/e6 AOO/T•/ON/ DAKOTA cavN,y jam, rfJ/A/NESp7y1 BLACKNA wl< GAKr-" WAT,E/Z mARk- E,tzo :xT/olv 792.3 Iecf t? a c- 7 r O 0 o ? O ? _ ? m 1 v I o .r 0,? n, ? 1t y 1 1 \ 1 1 \ l ?\ L896. °? QRA/NAG-E .EAS En?E VT si o /y ' O? Y _ // / / / -1 / / LOT 2 I\, 1 1 _fi?kli.:as e 7^ USS !a ?837.6J v ?? ti?'? (B4?.v) ?y33 ' (b L 833. ?? Z Let _35) 1 112,00 5 88° 33'/5'E 7 t? /0 7I 1 W v rN Z (11 r, r, l IVORT11 ScALE: /"=90 vlzArn//J?:? S` U TEL. 1: v ERSE%r/E?fr'? v?/va r?s EX/SY/NG (N 34:of CS JL) (.??/, / ?- ice)/? i7 JELEVRT/OM IgIVERTDiV F'O//Vi -?a ' z w.L? z?ENOTES oiPO?osEv ,t.Ze I?AT.10A6 //Y.(-)/cAr-mss o1&rc7-1o1v of 5 v?rAC6 !?RA/NAGE I hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by me on this 23rd day of 5?'??E??l? , 19 B? • REV/SEA /O-L-e& MOVED "O U5E /J .1 J' 9q4w, rto d 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 6F 0WLj (-7A12 Valuation: 1 _1?, 000 Date: Site Address 1(_068) Vw&_1zTOP?1 PT- Lot Z. Block ACKHAI LIC ?AKE Parcel/Sub Owner Address j . City/Zip Code'/ - - --- - - Phone Contractor "ULV_ENtiIMI Cohi?jT. Address City/Zip Code Phone i Arch./Engr. Address City/Zip Code Phone S OFFICE USE ONLY Erect ? Occupancy P.•3 Remodel _ Zoning K,I Repair Type of Const S Addition # of Stories Move Length 7Z Demolish Depth S6 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit S? - Water/Sewer Surcharge SPa s-° Police Plan Review IL. 15 Fire SAC 5-7S. Engr Water Conn S?- Planner Water Meter fo 3.g' Council Road Unit 'Lqo, Bldg Off Treatment Pl 151n. APC Parks Variance Copies TOTAL toll. - NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. IZx 12 = 14-41-- S8 = 8352 (2x L& ---312x Sa 100 %& 12x 1 ¢ IBS x 5$' 4q- 9- 7 = 7 x 0 5S X 5 4 ? ZD?(24- ` Z:7 B40 1??2z ? 3sZx ? "2a4/? 2,c 12x.5 Z X So v 41-7 ? 24x33 " ??I2 x Iz ? 956 Ibxf3 ? 13ox ? ?p4c7 IZ r??+ ? Z2g? 4¢ " Icb32 -13?zg lzx? ? 31? ? 44 2.0 ? 2 4- ` ¢?©?` 4 ¢ c 2112v Iv- 73? Z? 1x ? K ?, : 32p ,? 44 = 1 4-080 (4? l4xS ? ? ? x 4? ° X31 Z l7? Z s8 -qlw- 1 /2 ?100 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN h SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ep To Be Used For: Valuation 1"2,PAAQ Date: /o Site Address X6 OFFICE USE ONLY Lot_ Block Erect Remodel Repair Addition Move Demolish Int.Impr. Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft Parcel/Sub (y??ka. Owner ` .,•.0 g :JV H w?Qersen Address X (435 City/Zip Code '0i 515-3e/3 Phone 7a Z - as ??? Contractor Address L[orn nej,,.F 5?? pZ4 City/Zip Code /Y1; ,10 110/.'3 Wi. 554/7 T Phone 7d2 - vox 9 Arch./Engr. 1 --ey.j.0 Address Slz9j'A9L &,h/ City/Zip Code S 5?f 3 S Phone # 9?9y 9,310t7 Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. CITY OF EAGAN CASHIER: S TERMINAL NO: 770 DATE: 08/17/98 TIME: 15:47:18 Ill. NAME: SELA 3210 9001 1688 RIVERTON 181.25 2155 9001 1688 RIVERTON 6.00 Total Receipt Amount: 193.25 CR096243 USER ID: NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1 P.I.N.: 10-14385-020-01 1688 RIVERTON PT LOT: 2# BLOCK: 1 BLACKHAWK LAI(E PERMIT TYPE: BUILDING Permit Number: 0 3 2 9 2 0 Date Issued: 08/17/98 DESCRIPTION: %?„- T.O./REROOF/CHIMNEY BL Ids` %Permit Type SF (MISC.) B ?.l?ing 12k Type REPAIR '%hous Oode1"' _ 434 ALT. RESIDENTIAL ° r ' } ?,, tk3s ,a... ?a r? -441 ?-u REMARKS: FEE SUMMARY: VALUATION $12,000 Base Fee $187.25 Surcharge _ $6.00 Total Fee $193.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: SELA ROOFING & REMODELING 18238046 0001050 ANDERSON DAVID, 4100 EXCELSIOR BLVD 1688 RIVERTON PT ST LOUIS PARK MN 55416 EAGAN MN. 55122 ( 2) 823-8046 (651)688-0647 l T hereby acknowle,dge that l have-read this app.licat1on and state that the n-to.Cm`atlo.n it c6rrect arid 'agree 'to campi with all applicable State of Mn. ` 5atzte tifty, f' o Eagan9rdinr?oee?? APPLICANT/PERMITEE SIGNATURE. (?< do / k-aSUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAOAN n 3830 PMOT KNOB RD - 55122 I 681-4675 New Construction Requirements Remodel/Repair Requirements _9 • 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) 4 2 site surveys (exterior additions S decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree preservation plan it lot platted after 7111M required: _Yes _ No c ?/ a 0 b DATE: CONSTRUCTION COST; ( ? - DESCRIPTION OFWOM Tr--ft r o?y V-eno4 F kAb?3 eK GnY,P,c,e ReCJN C' Irnthek, STR&.T-A6DRESS:NO ? b ?5 ? . U ? f Ty V\ O 6 ?l LOT: a 0 BLOCK: SUBD./P.I.D. * (?) l( Q- Y\CL?AA . Name: Akl` V SU V\ \ / m l ? Phone #: (O Md b A') PROPERTY Last p `First Q OWNER Street Address: I t7 ?? V 't ?ll? \ U ?? 11 City C„ \i"`J\State: Zip: C Company: CA Phone #: g l 4?1 -k CONTRACTOR (406 l //?? ,, ? Street Address: I 1(? t fj ( 1 License # V 0 Jyy--ll/ City 's i . " State: t t' \ r\ Zip: -55,H I ARCHITECT/ ENGINEER Company:. Street Address: City Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. A ew Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No VAUG 7 1998 Tree Preservation Plan Received _ Yes _ No Not Requ Phone #: Registration #: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft, sq. ft, sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Ig?•aS Surcharge 0 C) 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: 113 r % SAC SAC Units Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Lot Block / Subd. Date 6 AZ /9a Receipt # G U l CI 5 7 Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit VE be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. (Address to be sprinklered) 1-7, .o:•• :nr11I11 wiiai: Phone #: Street Address: City, State, Zip: Owner Name: Street Address: Phone #: Irrigation Contractor: ROUND SPRINKLER SYSTEM PLUMBING PERMIT , ss3 - go-/6 1/ 70fs 1,11 z fw0 /66Fc KiyE-.r ?yi? /oiN/- !k LfN Phone #: 9a I/- /.;? ?Z C? . ?? 97S N Pz sll? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan Ordinances cc: Engineering Department of eagan 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 January 28, 1987 MULRENNAN CONSTRUCTION 4010 E 52ND ST MINNEAPOLIS, MN 55417 ATTENTION: DAN RE: 1688 RIVERTON PT L 2, B 1, BLACKHAWK LAKE Dear Dan: BEA BLOMQUIST Mawr THOMAS EGAN LAMES A. SMITH VIC ELLISON THEODORE WACHTER Council Members THOMAS HEDGES City A Olwa EUGENE VAN OVERBEKE City Clerk In response to your request for a letter of approval on the private disposal system at the above referenced address, please be advised that this system meets the Eagan City Code as of this date. Sincerely Doug Reid Building Inspections Dept. DR/js THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY CITY OF EAGAN NOTE: PA)94PW OF FEE AT TIME OF ADVT.rrmrrnm (1nRR h m (YKgg-r•rtrm IF EXISTING STRUCTUIRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: - (month/Year) PRESENT ZONING/PROPOSED USE: ? CODPf MIAL/RETAIL/OFFICE C' R-1 SINGLE FAMILY r7 INDUSTRIAL ? R-2 DUPLEX (Too Units) ? INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ?At?J PP7 c/ d"V ADDRESS: 416216,2 CITY, STATE, ZIP:h Pcsrd9r9??H rj h ?/ / 7 PHONE: 3) u •:• // // J - NAME: / cxkom"et For City Use Plumbers License: ADDRESS: ?7Y P Active CITY, STATE, ZIP: h , 3 5 (? Expired D Not recorded PHONE:_ 7_ /S MASTER LICENSE# '32 ( l sea q) ••. • NAME: Y ADDRESS: G CITY, STATE, ZIP: ? ft? ?I J PHONE: U ? n CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER Ce y 7?poc? 6) v • r 7) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) 12 Ilk /IJ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Z- /l?C // X Li/ c Lot Block Subdivision or Tax Parcel ID ) FOR CITY USE ONLY PERMIITy # ISSUED ?11,r Pd w/Bldg. Permit FEES: S e $ $ /o 96 $ 6-00,00 $ $ 575,00 $ $ $ $ 5? oo $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ $ 47 5 S? TOTAL ? 71Z 17 6,y V,/ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY:?/ TITLE: / .DATE: ??. {? ?I T r? ?I F lei I I I? I tot I I 6 °I9 ? ,?d I I I I I F 5 f P S y p I ? I I ? a I D I I I I i ? I is s - I An l ?c!9J?4 r?n F+ ? I ? ? ? ? I I I I t, D? Q1 J 'loo5?- 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION) c] CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 90 dres Ste Ste ?0 d i\V??T?t 1?l Unit# Property Owner 1 ? Telephone # &q) -ooh Rs? ' (AS Contractor elephone # ( ) 1 Address aU y91 l 'to U City 'I Statem?-3 Zip J! The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 ?o Total I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but only an ? ?tion for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is equired to be reviewed and a oved. Applicant's Pri ted Name Applicant's Signatu? 2005 I L .I By -- `1WV 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 4-1061 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements Office Use Only 2 copies of plan showing footings, beams, joists Cert of Survey, Recd Y N I set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y N l site survey for additions &docks _ Tree Pres. Required - _Y _N MOW-indicate if on-site septic system On-site Septic System _ Y N CaIL?L ? III - Q{,- fk Date 0/ - l Construction Cost &go (0 2 Site Address Z(Q 414f,2 3 Unit/Ste # ?(- ZZ Description of Work 1 &,7 lea& /?i?Tf? /? fr2Ct?1/?? C Multi-Family Bldg - Y X N Fireplace(s) - 0 - 1 2 Property Owner ?A??V lag "Clod /Q rv(??JdN Telephone N Contractor Address N?F? Cj7 ?S }??Q City State AWAI Zip S S / Z 3 Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota-Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted/ Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan. Y _ N If yes, date and address of master plan: - Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge 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 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation O 07 05-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 ? 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. ? 05 03-plex ? 11 10-plex 1a/ 19 Lower Level ? 24 Storm Damage - ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ,10/ 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation ? 0 d U Occupancy ? - MCES System Plan Review 100% or 25% Census Code 7 Zoning City Water SAC Units Stories Booster Pump # of Units / Sq. Ft. PRV # of Bldgs / Length Fire Sprinklered Type of Const 5 Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS _ Sheetrock _ Final/C.O. Final/No C.O. g ITVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick _ Windows Retaining Wall r i 3 - 0 Approved By: '1J 0 , 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 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 661-675-5675 Please complete for modifications to existing residential dwellings. Date .Zo 1 (0 ` Site Street Address Lo `84 Unit # ?q Property Owner, 1 rl nN Lum f Y1old k"Y) . Atn Telephone # ( ) Contractor s? r_y?I cmbeg,?6^ U)17.2 n®1 Telephone # (0rZ e6q4z Address h t Agg City State Zip SS/ The Applicant is: _ Owner Contractor -Other Refurbished Submit 2 sets of plans and MPC license Septic System New Includes County fee _ - $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are Installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing- -Septic System Abandonment -Water Turnaround (add $130.00 if a 518" meter is required) Other: Water Softener _ Water Neater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB -new ,-repair -rebuild $ 30.00 State Surcharge $ .50 $ Total ?.... ...1... 16.1 /tin I hereby apply for a Residential Plumbing Permit and acknowledge tnat the information is wrnpwlc an. accuia.G, u,a. work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requir to be reviewed and pproved. Applicant's Printed Name Applicant's Signature 2007 RESIDENTIA cPYUoMBIGGN PERMIT APPLICATION 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 19 1 67 Site street Address LX?77 %VCttt_' Property Owner V JA nd( Address city Telephone # 3b,6D Unit # ) -' Telephone # (IQ) States-. Zip contractor - Other The Applicant is: _ Owner Inctu ` _ Fee County de S Refurbished Submit 2 sets of plans and MPC license $ 100 00 Septic System - New per as built _ $ 10.00 f? $ 90.00 Fire Repair (reptace burned out fixtures, etc.) $ 50.00 Alterations to existing dwelling of a water softener and/or water ` i on _ Add plumbing fixtures. This fee includes installat ou are installing onl a water softener and/or water i !f k the ti y me. same the at to the next section and chec heater complete this section; move not do heater, appliance(s) you are installing. Septic System Abandonment i - 00 if a 518" meter is required) dd $136 . Water Turnaround (a Other. -- $ 15.00 Water Heater Water softener replacement -- new _ - ?rebuild i / $ 30.00 r `repa PVB new RPZ ` - ! Lawn irrigation - - ?_ - I $ 50 State Surcharge $?. Gb that el Total M? 1i; lion I hereby apply for a Residential Plumbing Permit and acknowledge that the in Ea i anf andrrthe pplumbincg? codes, e in work will be in conformance with the ordinances and for des of the it of not to start with a work understand this is not a permit, but only an app L5 u?p?d? acc rdance with the approved plan in the event a plan is req ' ed to be reviewed and apPr° UL 0 2 2001 1fi? Applicant's Signature pRlicant's Printed Name City of Eagan ---------------- I For QfffgeA15e ? Permit # 7 I Permit Fee: I 99 ``// Date Received: u?D I G I Staff: 20x08 RESIDENTIAL( PLUMBING PERMII?T APPLICATION Date: - k o -y?Site Address: '.I-0 " PT Tenant: ?_A}-{ A*k-A , 1 Suite #: ? ? RESIDENT/OWNER ?iU 1 Phone: Name: I?CX?V`C QA (? /n? r $ r Address / City / Zip: N1eiro Testing - to ' S t (7 ( CONTRACTOR o License #: C Name: " " Gary Cir Address 31222 Cedar Creek Road City: Hinckley, MIN 55037 State: Zip; Phone: I Z ?Z `5 c?S?S Contact Person: - F?V C rJ TYPE OF WORK -New _Replacement _Repair build _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (-L RPZ / _ PVB) Main _ Lower Level) Septic System -Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) ? W E r1 $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 t am " ? I L , C/ DII 'Water Turnaround (add $136.00 if a 5/8" meter is required) D L $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 2 TOTAL FEES $ )Q + i 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 6P(`1 (obV- x ? IvV V Applicant's Printed N\ame Applicant's Signature FOR OFFICE USE Reviewed By:, Date: Required Inspections: - Under Ground`- Rough-In _4ir Test Gas Test _Flnal PERMIT City of Eagan Permit Type:Building Permit Number:EA124073 Date Issued:06/20/2014 Permit Category:ePermit Site Address: 1688 Riverton Pt Lot:2 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-020 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 . Sam Tacheny 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 - David T Anderson 1688 Riverton Pt Eagan MN 55122 (651) 357-2737 Tacheny Exteriors 49 S Owasso Blvd W Little Canada MN 55117 (651) 481-1466 Applicant/Permitee: Signature Issued By: Signature ,� Use BLUE or BLACK Ink �,� K;';, � ForOfflceUae ---------� �I '}� I � Cj1 O� ,� ,�n I Permit#: ���� I by �i.11l � �a/ � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 I Date Received: "� I � t i Phone; (651)675-5675 I I � Fax: (651)675-5694 . � Staff:_ �L�� � ��������������J 2014�RESID�611TIAL PLUMBIIVG F'�RMITAPPLICATION Date• �' .'" . ite dress• ;1Y�.��,��,�� �� `���� Tenant: � M :�� �r �rsy,µ' x ,-, �i 3uite#: �'. '�'�M� "��'�����,���y:�c,�.� � �.� � �/ .3-+ s�"36 o NhrFY^.'�� t��S: V� ;°F(esl enti/(�wrlei' N�me: � Phone: � `�� ,„�.��� �� ,`�s��� '� � T- ' � ��`"��r� ,��*��`��` ���Address��City/Zip:� ��:������,����;��5`�° ����� Milbert _ompany Inc dba Culiign Water� � � '�`'� � '�� �.� ` Name: - WC643176 ,��� ��� �� il� t ucense#: ��,& �, ���`�����'� ���������� �� Aaa�ess: 180150.. Street East �;ty. Inver Grove Hgts. a���� ontractor , �� x����� �. � � � ���k�F�'lE4�R�,����'���r x ,��� state:._M N zp: 55077 Phone: 651-451-2-241 r T k�,s�y�dl g'T ����N�� �c�;� � �' � ' � �'���e'`����'����a� � ��� .�� Contact: W I I I I a PT1� R M i I b e rt Ema;,: �u,������,�;��,�z �h : ��Type of�Wo,l' ' < —New _Replacement _Repair Rebuild Modify Space Work in R.O.W. ��Y�ya`fk& `� ��Jl�" r�G a r • '� � . �� ��`�'{�",`"���,.' ���fi��y� ..' Descrfption of work: `�'�`�,�,�`��,������'� ' �! �RESIDENTIAL � ^ :��`�`���e�`"�� �i�±��s� �r> �'�,-�'���-f�� Water Heater �3,+"4C �r� �r G� {r4���, �` ixt���� � ' `` Lawn Irrigation(�RPZ/ pug� �Water Softener a��`�"rl P'�"� �#� z'�§�w �' � . �{��Pe'�rm�t�fyp �� � ' — #��-���'�"'���� � "''� N� Septic System Add Plumbing Fixtures(_Main/_Lower Level) ����`�t�-��� �� }nt�fk�`����� � y ��. , . 1 x`��'��`���s�� ��k� _.Ne:b V�later Tur^aro!�ncf `�'`'�"3i: .>i � �,��' �: ��"��. �;�r=� ��� Abandonment RESIDENTIAL.FEES: $60:OD�Wafer Heater,lNater Softener, or Water Heater and Softener(includes$5.00 State Surcharge) , $6D:OO Lawn�lrrigation,(includes$5.00 minimum State Surcharge) $60.00 Add Plumb�ng Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) � ;`Watec Tprnaround(add$200.00 if a 5/8"meter is required) $115 00..Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES S �� CAI:L.BEFORE YOCJ 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 utilitie�. www.4opherstateonecall.or4 I liereby acknbwledge ffiat this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the Clty of EagarS; ChaC I'understand this is not a permit but only an appUcation for a permit, and work is not to start without a-permit;that the work wlllbe In- accordance with.the approved plan in the case of work which requires a review and approval of ptans. � C��- �� f - x - � r .� 6L ,� x _ .� � . ApplicanYs Printed Name AppUcanYs Slgnature . a�i"�A`{�..`+���*} ��Y'zps,�y'" a ,�,...�....n sh�: .� �h� w- �P . ,�o ��k�(5lNw��?.y�� �iW,ti+�s��y�� i'°�I•; ^., . � kFQRkOFFI��US�� ���' �` �` f� ��D�ate� �' �`���'�� ;'�: ����� ��� �� �- � �eu�e;v� d B � � � ��;� � � �.. � _ " Re¢ uir d In ecti ns:, ��`t�� �� k � ��s �� �'x� �� A,"�f ���9 P��Y �� �? ,�-- � ��� ►"���., Ro e � 4S � f��n� r, �r� �� '^.;�.§ r ' ��p� y ,( 4 ; :: � _ 1 Z , S �ft . Meter ela d I e,m t�/�i�te ° �' ` s _r�: �y� � ,r.. _.��• -, ..�,.�.� �..,. . ,� � � ��� ` � �:• s, 1�' �k� , . �yw,, .. .. .. ..._: ,����� � � �a r . . . � ,. . , ''�,� Use BLUE or BLACK Ink For Office Use 44!!11 / f Cityof ::::e: 4,11(0 443 3830 Pilot Knob Road Eagan MN 55122 Date Received: >0 (1 Phone:(651)675-5675 /)`�� bui ldinginspections(a.citvofeagan.com Staff: i' J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/20/2017 site Address: 1688 RIVERTON POINT Unit#: Name: DAVID & MARILYN ANDERSON Phone: Resident) 1688 RIVERTON POINT, EAGAN, MN 55122 Owner Address/City/zip: Applicant is: Owner X Contractor Description of work: KITCHEN REMODEL / WINDOWS Type of Work Q Construction Cost: $83,000 Multi-Family Building: (Yes /No X ) Company: ISPIRI, LLC Contact: ADAM BENDER Contractor Address: 7779 AFTON ROAD City: WOODBURY State: MN Zip: 55125 Phone: 651-842-9167 Email:abender@ispiri.com License#: BC627402 Lead Certificate#: NAT-20349-2 If the project is exempt from lead certification, please explain why: �J\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.000herstateonecall.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 pl rs. -- xADAM BENDER x .� Applicant's Printed Name Applh ""s Sign re Page 1 of 3 /(e Si /Over-/ )1 Pi- DO NOT WRITE BELOW THIS LINE P/ VC 55D SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) r Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New p Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair /0 Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Li//iii _ Occupancy ..LFC -- ) MCES System Plan Review Code Edition 01#7Z°15--- SAC Units (25%_100% ) Zoning 1—I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction tJ2 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )0 Final/No C.O. Required Foundation Foundation Before Backfill )6 HVAC_Gas Service Test - Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS [ Insulation p Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i nM g2/k /y, , Building Inspector RESIDENTIAL FEES 3 v c.1 55 • rr Base Fee �'/ a e� O�i7 io ." 5 9' �. Surcharge Plan Review9 ° ° . 0-A ✓I p49 w`, ' MCES SAC _ /fr City SAC 7r-ems Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146702 Date Issued:11/08/2017 Permit Category:ePermit Site Address: 1688 Riverton Pt Lot:2 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures & waterheater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - David T Anderson 1688 Riverton Pt Eagan MN 55122 AJ Alberts Plumbing Inc 7975 Afton Rd Woodbury MN 55125 (651) 738-0580 Applicant/Permitee: Signature Issued By: Signature For Office Use �/ 01164 E AG AN �f � /54 —SCG / C426-11 � � � �� �' .--C,, Permit#: '• ] Permit Fee: I ECEIVE — ;�� Date Received: 0 A 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 2 5 2019 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections ancitvofeagan.com . 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/13/19 Site Address: 1688 RIVERTON POINT Unit#: Name: DAVID & MARILYN ANDERSON Phone: Resident/ 1688 RIVERTON POINT, EAGAN, MN' '1 Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: MAIN FLOOR LAUNDRY & BATH REMODEL Construction Cost: 17,900 Multi-Family Building: (Yes /No X ) Company: ISPIRI, LLC Contact: ADAM BENDER Contractor Address: 7779 AFTON ROAD City: WOODBURY State: MN Zip: 55125 Phone: 651-842-9167 Email: abender@ispiri.com License#: BC627402 NAT-20349-2 Lead Certificate#: If the project is exempt from lead certification, please explain why: HOME IS TOO NEW COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 Contractor: Phone: • Fire Suppression Contractor: Phone: NOTE:Plans and supporting docu(ne9tF ibat yogsupmjf are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.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 t. sta. without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv. of•16 ns./ xADAM BENDER x '� Applicant's Printed Name Ap• �/ 's Signature / D DO NOT WRITE BELOW THIS LINE 6 6� iqi VOA-0A r + " is 7 SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) -f Single Family Garage Porch (4-Season) Exterior Alteration (Multi) _ Multi _ Deck Porch(Screen/Gazebo/Pergola) Misdellaneous 01 of_Plex _ Lower Level. Pool _ Accessory Building WORK TYPES New _ Interior Improvement — Siding _ Dem lish Building* _ Addition _ Move Building _ Reroof _ Dem' lish Interior la Alteration _ Fire Repair _ Windows _ Dem lish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give IBCA handout to applicant DESCRIPTION Valuation $ 3 3.vo. - Occupancy IRC - 1 MCES Syst 'm Plan Review Code Edition )y1✓1 201 S SAC Units (25%_ 100% )4.) Zoning P -I City Water I!, Census Code Stories Booster Pu p #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V l3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )° Final/No C.O. Required Foundation Foundation Before Backfill 20 HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall: _Footings � Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control )0 Shower Pan11 Other: Reviewed By: J 15 h'1 ; )( /y , Building Inspector RESIDENTIAL FEES `! 14 D f9 . 17- Base Fee & X 20P1' s 41'4i- Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies ;tl TOTAL Page 2 of 3 I r For Office Use EAGi Permit#: Ak Permit Fee: IGD ' 06 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: bu ildinclinspectionsRcitvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 s l 18Site Address: /�(J� Tel V i"* Tenant: Suite#: Resident/Owner Name: Phone: 4,^ Address/City/Zip: �� Name: 6 / 1 l c/�t f3 ti of 0L /�t4 f��f 1k Licens #: 6�b SSU Address: ) 1 1 7 Db./J f isl ?`44"(-?)A-4.%-city: ��j 3`)t/ CotltlraCtoC t/ State: 4A13 n Zip: .5-57 27 Phone: ( 'S7' 7 �! 791' `� I Y�' Contact: q 6Q/$C( Email: 44 4 �° R/ y4/�o0 •C o""` Type of Work —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Water Heater �u Y : Lawn Irrigation( RPZ/_PVB) Water Softener Add Plumbing Fixtures( Main/_Lower Level) Description' Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ 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.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 ithout 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 46c/6G x . /7 / Applicant's Printed Name Applicant's Sign•ture Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA171926 Date Issued:09/08/2021 Permit Category:ePermit Site Address: 1688 Riverton Pt Lot:2 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David T & Marilyn Anderson 1688 Riverton Pt Saint Paul MN 55122--313 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172310 Date Issued:09/24/2021 Permit Category:ePermit Site Address: 1688 Riverton Pt Lot:2 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - David T & Marilyn Anderson 1688 Riverton Pt Saint Paul MN 55122--313 Aj Alberts Plumbing Inc 7975 Afton Rd Woodbury MN 55125 (651) 738-0580 Applicant/Permitee: Signature Issued By: Signature