EA185137 - Building - Reroof - Issued Date 07/10/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA185137
EAGAN Eagan,MN 55122
(651)675-5675
www.cityofeagan.com * E R 1 B S 1 3 7
Date Issued: 7/10/2023
Site Address: 1768 Serpentine Dr
Lot: 051 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-051
Use: * 1 0 — 1 6 7 0 S — 0 6 — 0 S 1
Description:
Sub Type: Reroof Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
Comments: Please print pictures of ice and water protection and leave on site.
If water damage is encountered,please call(651)675-5675 to schedule a site visit to verify the extent of the damage.Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair t
water damage.
Fee Summary: BL-Base Fee $133.15 0801.4085
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $135.65
Contractor: Owner: - Applicant -
Meghan A Tste Melin
1768 Serpentine Dr
Eagan MN 55122
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
---------------------
I For Office Use
I
® ® I Building Permit#: b- 21
®®®o® ®®®®®o j SBWPermit#:
EAGAN Permit Fee.
l � .10 I
I I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued:
buildinpinspections(&citvofeagan.com I---------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (9-7—/0-2-02 Site Address: _ ( �67 Fs Unit#:
Applicant is: ip Owner ❑ Contractor
Name: I - (7 €tAj C,Al 6z1,-/U
Homeowner Address: /'7 Ce.,9Ci
ty: -
State: Zi �2 2 Phon al ��g751�S Email: E F r� �7l i<< <°
Description of work:
Type of
Work Construction Cost:
,Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
CompanContact: iA/e Gam$T®
BUllding Address: C" ( 3 [ si City: 5'� (/G9
Contractor' 3� '
State:_!DA�ip: Y!;- I 7$ Phone: n_ J"-3-9-Email: 5 na C—ph! 4 (C
License#: LG. C Ej2g"86 '?ac 2-E'xpiration Date: (6� r — -o 2
Sewer$ Company: Contact:
Water.
Contractor Address: City:
Required for, State: Zip: Phone: Email:
new construction ?
License#: Expiration Date:
❑ I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Pians and supporting documents that you submit are considered to be public information. Portions of the
Information:may be classified as-non-public if you provide specific reasons that would permit the City to conclude that they,
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aooherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
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 approv f pl s. J�
x x / " ` ,
A I nt' rinted Name plicant's Ofgnature
FOR OFFICE USE ONLY
Site Address: Permit#:
SUB TYPES
Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
_ Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows _ Demolish Building"
Replace Egress Window _ Solar `Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Occupancy MCES System
Plan Review 025% 11100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
Framing: 1 Hour Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing (prior to house wrap) Pool:_Footings Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading Final/No C.O.Required
Final/C.O.Required
Reviewed By: , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00