1761 Serpentine DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: '
(612) 681-4675
SITE ADDRESS: 1. APPLICANT:
I I I i'I I I C#t Iii:
PERMIT SUBTYPE:
TYPE OF WORK:
;• I I't1 I I?
I!, • , t ! I ? ; i 1 Ilftl'11 ! tlti )
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks Sew & wtr permits and Sew & wtr corn . on 5-9-69-
Additlvn Cedar Grove #6 Lot 14--3 Blk 5 Parcel 10 16705 W 0
Ow,,er d.(16 Street 1761 Serpentine Dr. State Eaaan,MN 55122
'J16(ar.,?? R C
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 10 19 1 106.02 10 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK '7 a5yy,e? o P?
# SEWER LATERAL 19 1970 .00 20 . - 1aid-
WATERMAIN
# WATER LATERAL 1 970 • 20
WATER AREA 1977 47 -,cc 4,
# STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 210.00 1409 -12-6
BUILDING PER.
SAC 200.00 1409 -12 9
PARK
CITY OF EAGAN Remarks ° u,-,, '%'.
Addition 'Cedar Grove #6 Lot 2 Blk 5 parcel 10 16705 020 05
Ov-.,e r"L- Street 1763 Serpentine Dr. State- Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 'r 1970 1472.00 20 Paid
WATERMAIN
WATER LATERAL 1970 20
WATER AREA Fj7 p / ' -'. c^d
STORM SEW TRK 1970 2
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .&.."&.. . ......
/ `? ........ &-i.?,:c . .............-
Address (present) --?........ ? ........IG....................
Builder
Address ......
N° 2011
Eagan Township
Town Hall
Date . TALE-/C.y ..................
Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks
V v LOCATION
or
This permit does not authorize the use of streets, roads, alleys or sidewalks %or does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGREygS.
This is to certify, that ....L. permission to erect a-l "m--.'^' ................. .. upon
the above described premise subject to the provisions of the Building Ordinance for Eagan "Township a opted April 11.
1955.
?n :..----.----------- -------- Per .....
..
........_......- .. ../ "-- . -7.-........_ ................. .........................................
an of Tnwn Board _........_ ?- ..... uilding Inspector
Ch irm B
f ra-?g? RESIDENTIAL BUILDING
lY Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
'7/13-- eAAle6
$Qck .aS
New Construction Requirements ( Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 1r 2 copies of plan _ Carl of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. V1 site survey for additions & decks -Tree Pres Not Regd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost Z466,00
Site Address aen ?i he O {? 1 v e Unit/Ste #
r
/ V
Description of Work
Y" L° f
lacem
?
Multi-Family Bldg - Y l N'
1 Fireplace(s) - 0 - 1 - 2
((
Property Owner o- -b q fA
r a r(\
? Ho tie k.
Telephone # (i4SI) q/®S p??
?b0 .
Contractor ' k
Address
Q?rl
1 l
4U)i '9 City Nkco fp'r k.to
l
State dJ ' ^
Zip j 1 d
-
Telephone # (669) 63
-
v ?s
t. n 0 6 2005
Energy Code Cdte'g-(
(J submission type)
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
E THIS AR A ONLY IF CONSTRUCTING A NEW BUILDING
Mlnneso at Rules 7670 Category 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted .
• Energy Envelope Calculations Submitted
Appli ant's Si ature
OFFICE USE ONLY
Sub Types
?01 Foundation
02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
;° 31 New
32 Addition
l 33 Alteration
34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex 6p 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const )63
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof - Ice & Water _ Final
- Framing
- Fireplace - R.I. _ Air Test _ Final
Insulation
Occupancy 17 - MC/ES System
Zoning IG -t City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Final/C.O.
10 Final/No C.O.
- Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests -Final
_ Siding _ Stucco _ Stone
Windows (new/replacement)
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
r N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
t)e ck- - 2., ec;0. - F1AT F,c?
101 A z) w - 'Zi 5'.^-'
1 qX/Z' D e ctc-
5tof Lanbl^
42'
P20P. Mkl
OE Le
14'
3 1Z,
.tom
24' 30'
I I'
20' 26'
El(15f.
22' OWI.G. 38'
26'
5 24'
45' f0 CU28
5E2PEVikiE OQ.
NfE PLAID
SCALE 1"-20'
EAGAN
REV WED
n
OLACk HAA/ CO.
8. HA2Ae
1161 4E KWrI1JE 02.
EAGAAI, MAJ. 55122
w
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered slte surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Reod -Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y -N
1 set of Energy Calculations Addition - indicate d on-site septic system On-site Septic System -Y -N
3 copies of Tree Preservation Plan If lot platted after 711/93
Rim Joist Oetall Options selection sheet (buildings with 3 or less units)
Date/ Construction Cost
Site Address L-7 It? /rl?rJ Unit/Ste #
Description of Work ge- f r aC I'hi ( G// r) A G Lf/
Multi-Family Bldg _ Y 2? N Fireplace(s) _ 0 2
P
t
Owner PG k ft d va k Telephone # (4S"/) q77 S
roper
y
Contractor U f
1 o 1( CZ r?
-
f
h l
i
Address
pl city ,2
St
t
/Yi Zip Telephone#(,fo/51) 77L. YS-7G
a
e
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
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
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 1 Al'H 6 FOr
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 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. AK - 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 ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 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
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (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) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) _
_ Plumbing
_ Foundation HVAC
_ Drain Tile _ Other
Roof _ Ice & Water _ F inal - Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding
Stucco
Stone
Brick
Fireplace _ R.I. - Air Test - -
Final _
-
-
Windows
Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
5 3 Ue CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New construction Reauirements
• 3 registered site surveys showing sq. ft of lot, sq. g. of house; and gll roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• I set of Energy Calculations
• 3 copies of Tree Preservation Plan a lot platted after 7IM3
Rim Joist Deena Options selection sheet (bNs with 3 or less units)
DATE 7 / bt- O Z
Remodel/Reoah Reaulrements
• 2 wples of plan
1 set of Energy Calculations for heated addabns
1 site survey for exterior additions & decks
Indicate if home served by septic system for addabns
VALUATION rJf ???
SITE ADDRESS I7bI S¢ .r : k - MULTI-FAMILY BLDG _Y !%N
TYPE OF WORK fa.. bi Yo,,,. FIREPLACE(S) _ 0 2
APPLICANT d
STREET ADDRESS 1ZZ y7 / //? 0&2> CITY /Larn u,'//.t STATE /"-t ZIP,
TELEPHONE # 9>1-717 s9 CELL PHONE # FAX # 9'5'2- e08-885'6
PROPERTY
TELEPHONE # COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _
(J submission type) • Residential Ventilation Category I Worksheet Submitted
Energy Envelope Calculations Submitted
IUI 2 3 2002
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkle
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Mlnnesota Statutes and Clty of Eagan Ordinance-,,
Signature of Applicant t ?f?v? ,?
---.......... --....... _......... ......... _._._.d_.._ .
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of-plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 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 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ FinaVC.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation _ INAC
Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final
_ Framing - Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test - Final - Windows (new/replacement)
_ Insulation - Retaining Wall
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
Approved By , Building Inspector
X? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
?v O- v?
BUILDING
025057
01/23/95
SITE ADDRESS:
1761 SERPENTINE DR
LOT: 1 BLOCK: 5
CEDAR GROVE 6TH
P.I.N.: 10-16705-010-05
DESCRIPTION:
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
;-1,- (ROOFING)
ldinq?-,Permit Type SF (MISC.)
ilding W`6rk Type REPAIR
?i
$54.00
X1.50
$55.50
CONTRACTOR:
$3,000
OWNER: - Applicant -
SIEGFRIED JOHN
1761 SERPENTINE OR
EAGAN MN 55122
(612)688-7838
T hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
. - w kpl ? I X11
APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUR
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: LOT: 1 BLOCK:
1761 SERPENTINE DR
CEDAR GROVE 6TH
PERMIT SUBTYPE:
SF (MISC.)
BUILDING
025057
01/23/95
5 APPLICANT:
SIEGFRIED
(612) 688-7838
JOHN
TYPE OF WORK:
DESCRIPTION
REPAIR
(ROOFING)
INSPECTION TYPE
FRAMING .DATE INSPTR. INSPECTION
ROUGH IN PLBG DATE INSPTR.
ROUGH IN HTG FINAL
CITY OF EAGAN??r
3830 O
ilo6f, PILOT KNOB RD 55122
995 BUILDING NG PERMIT APPLICATION (RESIDENTIAL)
681 ? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 1 tree preservation plan 'd lot platted after 711/93
required: _ Yes _ No
DATE: - 023 " `IS CONSTRUCTION COST: ?? QUO dv
DESCRIPTION OF WORK:
STREET ADDRESS: LOT BLOCK S SUED./P.I.D. #: (Q? -
PROPERTY Name: J l e q?r eat 1r)A q4 Phone #:
OWNER ^" c """ 1
Street Address ?? t ?2 r ?? r?2 pr
/ a a
City: La Cl r. State: M U,J Zip; 51
CONTRACTOR Company: Phone #:
Street Address: License
City:
ARCHITECT/ Company: Phone M
ENGINEER
Name: Registration #'
Street
City:
State:
Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 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. ss. Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ` Yes - No
Tree Preservation Plan Received Yes - No
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SAN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
5E U a -I MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
c$cb-SD
Date
1 -7 t
?
)
Site Address
pfil lhie-
L Unit #
Property Owner +-16_f1? +?? K Telephone#((pS? ) -z45(0 - GQ'7S
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Street Address Apple Valley, MN 55124 ity
(952) 431-7099
State one #
( )
The Applicant is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
_
air conditioner
_ other
III
I;
'
I
State Surcharge $ .50
t3Y -'--_
-?
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
-Dsn 1 e_ t -+, - U_)CNerS
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City,
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
- New construction Underground Tank `Install -Remove
- Interior Improvement Call for inspection during installation/removal of tank
- Processed Piping
Nature of Work:
Permit Fee $5050 Minimum Fee (includes state Surcharge)
Contract Value $ x .01% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
- u,•,-r arr=y , a ? uu unerclal rviecnamcar Permit ana acictiowledge 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 with the Mechanical Codes; 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.
Printed Name
Applicant's Signature
Approved By: Inspector Date:
WAIVER OF HEARING d a A
Special Assessment Authorization
I/We hereby request and authorize--the City of Eagan, MN
to assess the following described property owned by me/us:
(Dakota County
ITEM QUANTITY // TE ? ?AMOUNT PROJECT
aj 7C/ aleQ ?A«f CP .3O/ // P? X4°30
TOTAL ?O 30
to be spread over IS years at an annual interest rate of % against
any remaining unpaid balances.
The undersigned, for themselves, their heirs, executors, administrators
successors and assigns, hereby consent to the levy of these assessments, and
further, hereby waive notice of any and all hearings necessarry, and waive
objections to any technical defects in any proceedings related to these
assessments, and further waive the right to object to or appeal from these
assessments made pursuant to this agreement. ?
l
Dated: X /j Ana
State of
aa. By:
County of Its:
On this day of before me, a
within and for said County personally
appeared and .
to me personally known, who being each by me duly sworn did
say that they are respectively the President and .
the of
the corporation named in the foregoing instrument, and that the seal affixed
to said instrument is the corporate'seal of said corporation, and that siad
instrument was signed and sealed in behalf of said corporation by authority
of its Board of and said
__,, acknowledged said
instrument to be the free act and deed of said corpora
Notary Public County
My commission expires , 19
Notary Public
APPROVED:
Eng/Waiver
Revised: 10/85 Eagan Public Works Director
gr e 4
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: May 9, 1969.
OWNER: Cedar Grove Construction
PLUMBER Stein Plumbing
NUMBER 392
Address 1761 Serpentine Drive Jj-5 - G
TYPE OF PIPE Cast.Iron
. DESCRIPTION OF BUILDING
Industriall Commercial Residential I Multiple Dwelling I No. of units
x I I One
Location of Connections:
Connection Charge 200.00 pd.
Permit Fee 7.50 Pd.
Street Repairs
Total
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan To mship, Dakota County, Minnesota
By S?tein Plumbing
!it'
Please notify when ready for inspection and connection and before any portion
of the work is covered.
J .
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: May 9. 1969
Billing Name: Cedar Grove Constr. Co.
Owner: Cedar grove Const. Go.
Plumber: Stein Plumbing
Meter
NO Total Chg.
Building is a:
Residence
Multiple No. Units
Commercial
Industrial
Other
Meter No
Number 269
Site Address: 1761 Serpentine Drive
,--?- -G
Billing Address 7343 Concord Blvd. E.
Permit Fee 7.50 Pd.
Meter Reading Meter Dep.
Meter Sealed: Yes_ jAdd'l Chg.
Inspected by
Date
Remarks:
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: Stein Plumbing
So?
Please notify the above office when ready for inspection and connection.
4
MEMO
-city of eagan
TO: DIANE DOWNS, UTILITY BILLING 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
family 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 11
TOTAL 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
CL V
Ed Kirscht
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EK/je
?o"? I
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements
3 registered site surveys showing sq. a. of lot, sq. ft of house; and L11 roofed areas
(20% maximum lot coverage allowed)
1 Salt Report if proposed building is to be placed on disturbed soil
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 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Mnnegasco mechanical ventilation form
RemodellReoair Requirements -OlfliilJ kiity
2 copies of plan showing footings, beams, gists Cart of Survey Reed, f '=Y., _ N
l set of Energy Calculations for heated additions Sods Report. • ', . - -Y _ N
1 site survey for additions & decks Tree Pre Plan Recd _ Y' -N.
Adddim-indicate ifoosile septic system Tree Pros.RequoeC - _Y _. N
Omits Septic System" _Y _ N
Plans are considered public information unless you state the are trade secret and the reason.
Date lL7 / t /QZ c.ac7
Construction Cost q)C;
Site Address 1-7 f e ? ju -Fj j4i F I) P.1 U? Unit/Ste All
G R
Description of Work 6 ?
ER oo r
Multi-Family Bldg - Y
Z?NN Fireplace(s) - 0 - 1 - 2
Property Owner E
k? nn Telephone # ((05 ?) ?7Q -4/007On
Contractor r-c:L Q 0be E r-A) AM 1114??0IJ
Address Rev 12Mftn?n -
AJr--it W1 City
ST. ?/4(Ct?
State -d Zip 55 11 q Telephone # (&Sh 2ng}- 3i 30
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ 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.
:Ji2tj u5yL
Applicant's Printed Name
Appli s Signature
DO NOT WRITE BELOW THIS LINE .
Sub Types
? 01 Foundation ? 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Aft-SF
? 04 02-plex ? 10 08-plex ? 18 Deck - ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 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
? 33 Alteration ? 37 Demolish Building` C 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_ Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
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) _ Sheetrock
Footings (deck) - Final/C.O.
_ Footings (addition) _ Final/No C.O.
_ Foundation _ I-IVAC
Drain Tile Other
_
Ice & Water
Roof Final _ Pool _ Ftgs _ Air/G as Tests _ Final
_
_ Framing _
_ Siding _ Stucco Lath _ Stone Lath -Brick
_ Fireplace _ R.I. _ 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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1761 Serpentine Dr
Lot: 1 Block: 5 Addition: Cedar Grove 6th
PID:10- 16705- 010 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Harry Omkar
1761 Serpentine Dr
Eagan MN 55122 -1635
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA083030
05/13/2008
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116154
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 1761 Serpentine Dr
Lot:1 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-010
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 .
Natalie Velez
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 -
Harry Harak
1761 Serpentine Dr
Eagan MN 55122--163
Great Northern Builders
9419 Buckley Ct
Inver Grove Heights MN 55077
(651) 436-5672
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117055
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1761 Serpentine Dr
Lot:1 Block: 5 Addition: Cedar Grove 6th
PID:10-16705-05-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Harry Harak
1761 Serpentine Dr
Eagan MN 55122--163
Great Northern Builders
9419 Buckley Ct
Inver Grove Heights MN 55077
(651) 436-5672
Applicant/Permitee: Signature Issued By: Signature
• + }
Use BLUE or BLACK Ink
For Office Use �v1
City of uaian cE V C Permit#: j"TL �l
: ---'°Permit Fee; re Q
•
3830 Pilot Knob Road
Eagan MN 55122 DEC 18 2017 Date Received: l).'I `'17
Phone: (651) 675-5675
Fax: (651 • - .94 L_Staff:
J
2017 : ' SIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ( / Au": rJZ(4A_f)Yl
:Z/D-eZ
Tenant: / .,mil 4/A_A A.
Suite#:
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�� f•} - v' Address/City/Zip: r
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�{ Ice
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gra �$, ( �
'i,, � r,t,Pk:,'r'�r. .�•. Address:
�j r4,,,-;:!•):4101$#P..�j
3L. 1,10 e,.f St..� - d. H
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it
„ .elf!
, State: y 1 Zip: X J�� Phone: ���'` �� 1���
r'woo Nr' t;1'.{'�tirt tly t ,f1, Alt l as Contact: / •R t r l�' 6-C/Ve/✓ Email: Lam. ♦ a_ c,d l L- 01/)\-
)
f4 _ yo to or +�!�, New —Replacement —Repair Rebuild Modify Space Work In R.O.W,
{#1,, �'tiiiiti?;;i4tt i{itkik :s Description of work:
W ` ,'- "''I, 't.'zt�;�.r`i RESIDENTIAL
zr,#t} {,fIsi' ,1',..' �v9 r
;: \.fir•' r',YON' , Water Heater
�s, t t,,, ,Zig'.1,,n: -
Y14 .01 '`. Water Softener
,i, ?,•a.tin {.;r� _Lawn Irrigation ( RPZ/ PVB)
4' f i Ti �' ,, Septic System —Add Plumbing Fixtures ( Main/ Lower Level)
r' dal. ,;� R r New Water Turnaround
gicut4oa
r #u,,,rt3q ,rirstkn,si:rfsit —Abandonment
+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 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 If a 3/4”meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
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.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 Ith the approved I n Inst case of work.which requires a review and approval of plans.
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