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3885 Serpentine Cir s + CITY OF EAGAN 3795 Pilo! Knob Road Eogoe, MN 55122 N2 6669 PHONE: 454-8100 BUILDING PERMIT Receipt # Te ba wed for Est. Value Date , 19 Site Address Erect Q Occupancy Lot Blxk Sec/Sub. Alter ? Zoning parce1 # Repair ? Fire Zone Enlarge p Type of Const. W Name Move ? # Stories , 3 Address Demolish ? Front ft. ~ Ci Phone S~-5~~•? Grode ? Depth ft. o Narne Approvol: Fees o~ Address Assessment Permit u Cit Phone Water & Sew. Surcharge F Police Plan check WW Name Fire SAC f x j~ Address Eng. Water Conn. aW Ci Phone Planner Water Meter Council Road Unit I hereby ocknowiedge thot I have read this opplication and stote thot gldg. Off. the information is cnrrect and agree to comply with all opplicable APC Total State of Minnesota Stotutes and City of Eagan Ordinonces. Signature of Permittee A Building Permit is issued to: on the express condition that afl work shall be done in accordance with oll opplicable State of Minnesota Statutes ond City of Eagan Ordinonces. Building Officiol ( l PomM # peft Inwd PwaiftN Plumbing Mechaniccl INSPECTIONS DATE INSP. Rough-In Finol Footings Date insp. Dote Insp. Foundotion Plumbing Frame/ins. Mechanical Final Remcrks: l 'fA, t~t/l ~ a l ~ G?~ o,~'~ ~l A e j'LS' allt a~. CITY OF EAGAN Remarks Sew & Wtr COYlIl. dpd. 11-14-68 Addition Cedar Grove #6 ~ot 10 a,k 6 Parcel 10 16705 100 06 Owner Street 3885 Serpentine ~'i]SC~.2 State Eagari,MN 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK # SEWEFi LATERAL 1970 72•00 20 P&1d WATERMAIN # WATER LATERAL 1970 WATER AREA ~ STORM SEW TRK 1970 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1072 11 w20-68 BUILDING PER. sac 200.00 1072 11-20- PARK EAGAN TOWNSHIP BUILDING PERMIT N?. 1880 Ownas "'_...---.-~r-~-[--- dei------------- Eagan Township Address (pseseni) ....~f~.c.._.,,~Ll~. --..!l...-.~'-`..`.tl/...:~'Lu.:...+es.*~/ • Town Hall Builder I al - Daie - - Address ~ DESCRIPTION Stories Ta Be Used For Fron! Depih Heighi Esi. Cos! Permi! Fee Aemasks ~ a • ~ /ai ~ ~jLo. lo ~ .B.c.~.c, ~.G'~--<.~ LOCATION Slreef, Road or oiher Deseripiion of Locafion I Lo! Block Addition or Txae! This permit dces xot aulhosise the use of slseefs. roade, alleys or sidewalks nor does it give the owner or his agee! the righS !o create anp si2uaYion which is a nuisence or which presenis a hasard io the healih, safety, eonveaience and generai welfare !o anpone in the communiip. THIS PERMIT MUST Bgry ~KE~PT~ ~O~N £ PA£MISE WHILE THE WORK IS IN PROGRES ~ This is !o eerlify. ~Permiuion Yo erecf a...AR ".._upoa the a6ove described premise subjec! !o the provisions af the Building Ordinance foz Eagan ownship ad !ed Apeil 11, 1955. .P.d..~.:e.~..".:`.:s ...........-""---....,)l:z.../!~-u=~=".""'_"---------- Per rr Chairlddn of Tnwn Board Building Inspeelor e.,~ CITY OF EAGAN 9795 Pilot Keeb Reed Eagan, MN 55122 N2 6669 PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt # ~ /7 To be uced for PORCMECS Est. Value 5000 Dote MgY 19 , 1 Site Address 3885 Serpentine Circle Ered ~ Occupvncy R3 ~ Lot 10 Block 6 Sec/Sub. CedBT GTOVe fi Alter ? Zaning Rl Parcel Repair ? Fire Zone Enlarge ? Type of Const. dn w Nome RAy* R xreOn Move ? # Stories 3 Address 3885 Serpentine Circle oemorsr, ? Front NA +r. ° C+ Eagan Ptione 454-5862 Grade ? oePth er. ~ Oavner ADVrovols Fm: o Name 18~ Z~ Assessment Permit • o Address 0~ Water & Sew. Surcharge 2•~ Ci Phone Police Plan check Fw Name Fire SAC 1Z-Address Eng. Water Conn. <w G phone Plonner WoterMeter Council Road Unit I hereby acknowledge thaT 1 have read this aODlication ond state thot gldg. Of4. the information fs correct ond ogree to comply with oll opplicuble 2(1.50 State of Minnesota Stotutes and City of Eagon Ordinances. APC Total Signoture ot Pertnittee A Building Permit is issued to: ~n R.T8L8 on tha express condition thot all work sholl be done in ucrnrdance rt all lic le aM innesota Sta utes and Clty of Eagan Ordinances. Building Official CITy pF EAGAN Include 2 sets of plans, 1 sibe plan w/elevations & gUZLpING PEI3MffT APPLICATION 1 set of energy calculations. ,s o a c~ 'Ib Be Used Fbr ~ ° Valuation Date site Address 39BS OFFICE USE ONLY I,ot ~ Bloclc ~ Sec./Sub. b Erect Y"' Occupanc]! Parcel # : Alter Zoning ~ - / Repair Fire Zone Owner: y Enlar9e _ 2yPe of Const. ~ Move # Stories ft. Address: Demblish Fmnt 77 /99 • Grade Depth ft. City/Zip Code: Phone 4r___5__54 - s 96 Z APPROVALS FEE'S Contractor: No~r/F Assessapnts Pexndt ?aater/Sewer Surcharge Pddress: Police Plan Check City/Zip Code: Fire SAC Eng. Water Conn. Phone Plaruier Water Meter ~e N~ Council Road Unit ~'~•/~9• : Bldg. Off. Address: APC City/Zip Code: f..O Phone TOTAL . , . Q f~. . a c ' M ~ 1 ~ Z2 i . cs~ , ~ , , , ~ b ~ ~ ~ . 16;~ i , s 1 r ~ / i ; r ~ ~ ~ #Tq I O 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) Qb CITY OF EAGAN 0 y,., 3830 PILOT KNOB RD - 55722 New 13~5~ i~'G0 851-881-4875 (~GIICj 917101 Canshuctlon ReaulremeMa 5 ,q Remodel/Reoair Reauiremenh i7 v S reglslered flte wrveys showlnp aq. ll of bl, aq. fl. of house ~r 2 copies of plan cnd gff rooled oreas (40'L mmdmum bt covemae olbwem I i sef ol enerpy cdculatlons tor healetl addtllona > 2 eoples ol plom (show beam 8 wlntlow fizes; poured hxl. cleal9n, efc.) ~ 1 aite suney 1or extedor adtliHam d decks > 1 ael of eneryy calcutallons > J eoples o allon Plan H lot pWMecl afler 7/1/93 DATE: G~ O CONSTRUCTION C05T: DESCRIPTION OF WORK: STREET ADDRESS: LOT: /0 BLOCK: ~ SUBD./P.I.D.O: 4-CS44Z Alt, ~ Nome: 49eSoN ec9.Y Phone Jf: ggS / 45~ u~`86 2 PROPERTY wst Flrst OWNER 38BS S~.oE•drs,i~ G/.~GLG° Sheet Address: ~ Ci}y G~G 'S,Y State: Zip: . Company: ~~?fY~`~ Phone (area code) COMRACTOR Skeet Address: License # ExP• CHy Stafe: Zip: ARCHRECT/ Name: ENGINEER Company: Telephone Y: ( ) Sheet Address: Regishatior? city Sfate: ZIP: ~ Phone Sewerlwater Ilcensed plumber (If InsWllina sewerhraterl: I herebY ackrwwledge Ihat 1 have read thb apPl~, stafe lhat Ihe InfomwNon is cortect, and agree to comply wNh ap appOcable Stato of Minnesota Sialutea and CNy of Eagan Ordinanees. ~ i . / Slgnalure of Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ~ Not Required l 5 ~ ~ OFFICE USE ONLY ~ BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3sea.) ? 31 Ext. Alt - MuRi ? 02 SF Dwelling ? 08 06-plex ~ 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-ptex ? 18 Deck ? 23 Porch (screened) 0 36 MuRf ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 31 New ? 36 Move Bldg. O 43 Reroof [3 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories ~ sq• n• No. of Units Length s4• ff• No. of Buildings Width Footprint sq. ft. Const. (Actual) _ALA/ Basement sq. ft. Census Code (Allowable) Val Main level sq. ft. MC/ES System UBC Occupancy 11.3 IL116- (,A&Wd sq. ft. InI232 City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building TULU/ Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. ~ Acct. eposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC ~ , , ~ . - ~ / ~ ~ ~ Q Y . ~ /JJ-~ N N~ ~ . Z2 i ~s~ ~ Q ; - ~ ~ s 1 ` ~ 3 . 1 N ` , ~ p,__..r-• a _ , i ' ~ ~ ; ~ ~ ~ I ~ ~ ~ ~ ~ ' I ~ ~ o. , , ~ ~ I' ~ ~1 ~ ~ ~ ~ - _ ~ 1 . . a . ~w~ ; . { ; ; ; . ~ ~ ~ ~ , - i N ~ a, . _ ~ CITY USE ONLY LOT A9 BL ~ RECEIPT ~ I 7 5 J SUBD. I.X.LA RECEIPT DATE: 0 / 1997 MECHANICAL PERMIT (RESIDEN'TIAi.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)6814675 Date: C'\ 7 Complete this secdon onlv if vou are instaRine HVAC in single familv townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 . TOTAL: . Complete this section only if vou are remodeling addine to or reaairine existine sinele familv dwellines, townhomes, or condos. __~/Add-on fumace Add on air conditioning f e~ ~ A«-~^4~~ _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge 'dotal: 20.5 . SITE ADDRESS: OWNERNAME: `Prte~T oS~ Cnc~, PHONE INSTALLER NAME: e12 - o.~l P ~ 2 PHONE STREET ADDRESS: +y-4 CI71': STATE: ZIP: SIGNATURE OF PE EE arr usE oNLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaVindustrial buildings. ? multi-famity buildings when separate pertnits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DFSCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 D State surcharge of $.50 per $1,000 of aermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CIn': STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~41Iry I6 ';~5 ! +'i[ MEMO _ city of eagan T0: DIANE DOWNS, tiTILiTY 81LLtNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single famiiy rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-18 18 BloCk 4, Lots 1-11 11 BloCk 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) BloCk 7, Lots 1-12 12 Block 8, Lots 1-18 18 ' Block 9, Lots 1-11 1 TOTAL 141 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Ed Kirscni ' Sr. Engineering Tech cc: Mike Foertsch, Asst. Gity Eng. EK/je ! rr, EAGHN TO[JNSHIP 3745 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: N@iBER OWNERP.ddress PLUMBER ~ AX4 TYPE OF PIPE !b-Ar-d .44.47t-1) DESCRIPTION OF SUIIAING Industrial Coffiercial Residential Multiple Dwelling No. of units .1-o Location of Connections: Connection Charge oZ ~---a ' Permit Pee 7.50 Street Repairs Total Inspected by: Date Remarka• BY Chief InspecCOr In consideration of the issue and delivery to me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Eagan Toc•mship, Dakota County, Minaesota By~~~ • .i~.ra..F~ • Pleaee aotify when ready for inepection and connection and before any portioa of the work is cwered. EAGFN TOWNSHIP ! 3795 Pilot Knob Road St. Paul, Minnesota 55111 ~ Telephone 454-5242 ~ YERP4IT FOR WATER SERVICE CONNECTIDN ' Date: Number: 150 ~ Billing Name: Site Address: /Q{e -6; ~ Owner• • Billing Rddress Plumber: Location of Coanectioa Meter Size Connection Chg. Meter No, Permit Fee 7•50 Meter Reading_ Meter Dep. ~ Meter SealeL: Yes Add'1 Chg. ' NO Total Chg. : ~ InsQected by Date Building is a: Remarks: Resideace___~_ ~ Multiple To. Units ~ Commercial Iadustrial By: Chiet Iaspector I o Other Ia consideratiou of the issue and delivery to me of the above permit, I hereby agree to do the proposed work ia accordance with the rules and regulations of Eagaa Towuship, Dakota County, Minnesota. By: v ' - ~ ~ ~ Please notify Yhe above office when ready for inspection and connectioa. , { i 77d-3 0 2007 RESIDENTlAL PLUMBING PeRMiraPpLIcAT?oN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dweilin s. Date 4_ l 1_ I ~ 1 f . , Site Street Address s - h Unit # Property Owner Q or-f S Telephone # Contractor 1 1 u mh ~ ol , LAC-, Telephone # (0) 43 -70I I Address j~ fi 7 O__ ~ ~~th 5{.. k,' - City t`-k~ C r~ t aIt'o .1 StateA,(V.. Zip 5 SGa The Applicant is: _ Owner & Occupant ~ licensed Plumbing Contractor Septic System _ New _ Refurbishiad Submit 2 sets of pians and MPC Iicense Includes County fee ` . $ 100.00 Per as-built $ 10.00 Fire Repair (reptace burned out fixtures, etc.) $ 90.00 This fee a Iies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main levei tower level. This fee incfudes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softerter and/or water heatar, do not compiete this section; move to the next section and piace a checkmark next to the appliance(s) you are installing. _Septic System Abandonment ~ Water Tumaround (add $136.00 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 Total $-L~ - SC% i hereby apply for a Residential Plumbing Permit and acknowledge that fhe 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 appiication 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 pian is required to be reviewed and approved. A1 o, ; kS K ~ M (t s,-- fi tt stx~ IKI-zlc~Ij ApplicanYs Printed Name ApplicanYs Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use 1 ,n Permit Win City of Ea Permit Fee: 16&-05 1 3830 Pilot Knob Road ~S~a 1 Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 201+3 RESIDENTIAL BUILDING PERMIT APPLICATION Date: c9--=4-2013 Site Address: 38*z C,4,dr, Unit /s" Name: O 00J Phone: 5,8 I - IT Resident/ Owner Address / City /Zip: *1/~ Applicant is: Owner Contractor Description of work: /1d XC /ba Type of Work Construction Cost: Multi-Family Building: (Yes / No ~N GUSei✓ Company: ;?eAQ6Sl®i11CI44/S Contact: Contractor Address: 7y07 [7t~(OlgO~t !dam City: 6t 4i - State: 041* zip: S'~/ZL Phone: License 204;2( Zo'o' Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the nant's lding Cod ust be completed within 180 day mit issuance. 1 L~,rrsdrJ x Applicant's Printed Name re Page 1 of 3