1762 Serpentine DrCITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #k
Pool 6,000.00
Site Address 1702 _Ser;,,en ;1 nP.
Lot Block Sec/Sub. CG C
Parcel #
.x Name 4 1 1 a d . lPtike
3 Address 1762 Serpentine
o Name ('IlStnm P0013 TnC
oaV Address 701 E 1'.xcPiS,ior Blvd
0? c r
Name _
Address
N? 4397
Erect F9 Occupancy
Alter ? Zoning _ '
Repair ? Fire Zone _
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
hereby acknowledge that I have read this application and state that Bldg. Off,
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: to-.m Pnnl c T 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 # Date lamed Penmfti
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Insp. Date Insp.
Foundation Plumbing
Frame/ ins. Mechanical
Final
Remarks:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: '
1.,1.
+IIr?fTNF
!?f:?iVk iF?.
t 01417
F
L
11?1SYL?;TIOIN KLUOKII
PERMIT TYPE:
Permit Number:
7 Date Issued:
".I ®•- M r4
1 "1 a -- APPLICANT:
f117 1, t,,;;{ r1; 1.111 1 1 /M1
(6111 46: --hf)98
Hif 11. 11 11461
0 3 !; s
1 a /t! 1 /9ii
NII• INl
7
I
PERMIT SUBTYPE: TYPE OF WORK:
.,, ,. 1-1 I•AfR
I . u. & Rf14r>Iel1"
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING xy
?U
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
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.
13SMT FINAL
DECK FTG
DECK FINAL
UTY OF EAGAN Remarks Sew & Wtr com. pd. 11-14-68
Addition Cedar Grove #6 Lot 2 Blk 6 Parcel 10 16705 020 06
Owner %i ri 'L6?&C4- Street 1762 Serpentine Dr. State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1970 1 72.00 20 Paid
WATERMAIN
* WATER LATERAL 1970 20
WATER AREA
STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1072 11-20-68
BUILDING PER.
SAC 200.00 1072 11-20
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ---ti-t.-e[-.?.ti...-------- --.._ A? ..........----°-.--.--
Address (present) ... ..:...., 5..:....411P ... 2
Builder ......... .,. ? .......................... --------------------- ...........
Address ......._---------°°------- ........................--.. ---------------------------
DESCRIPTION
N° 1872
Eagan Township
Town Hall
Date ....................
Stories To Be Used For Front Depth Height Est. Cost • Permit Feel Remarks
V LOCATION
hireez, noao or oxner uescrxpxxon ox "ucurion I;,- aiocx nomnon or iracx
This permit does not. authorize the use of streets, roads, alleys or sidewalks nor 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 PROGRESS.
This is to certify, that. .._? permission to erect a...... .- - .?.?...??f..?.?.,.''./..........upon
the above described premise subject to the provisions of the Building Ordinance for Eagan To nship adt5pla April 11,
1955. /,/O'
r
/ ---------------------- Per ............ .......... u....... J!5--Z!( t....P lt.c:?,./ ..:...............
Chai an of Tnwn Board 'Building Ins actor
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N? 4397
PHONE: 454-6100
BUILDING PERMIT APPLICATION Receipt # 6656
Pool 6,000.00
Site Address 1762 Serpentine Lot 2 Block 6 Sec/Sub. CG 6
Parcel #
s Nome Wi l l and T. ipdkp
Address 1762 Serpentine
I- _. 1"h OLnh
Erect ] Occupancy I
Alter ? Zoning R-1
Repair ? Fire Zone _
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
o Name y,k,CtOM P001 ,q TnC
vt5 Address 701 E. Excel for Blvd
~ city Phone 933-2255
Fw Name
ZZ Address
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner -
Council
Permit L.L. UU
Surcharge 3.00
Plan check _
SAC
Water Conn.
Water Meter
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable 24.00
State of Minnesota Sta ` a 'hi Eagan Ordinances. APC Total
Signature of Permittee 11 i
A Building Permit is issued to: CLlS tO$ Pcg].s Inlet on the express condition that
all work shall be done in accordance with all appl icabis, State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Minnesota State Board of Electricity
1954 University Ave., St. Payl, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
O 81380
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures, ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Condi 'oner - ? Bulk Milk Tank ?
Farm ? ? ? LList - ist
Other ? ? ? p
Hore 1 trers
COMPUTE INSPECTION FEE BELOW f(/Service Entrance Size: # Fee Feeders&.Subfeedas: # Circuits: # Fee
0 to 100 Amps. 0 to 30A m eres - J 0 to 30 Amperes
101 to 200 Amps. 31 to 10 - re "- 31 to 100 Amperes
Above 200_Amps. Above 100 - m & Above 100 Amps.
Transformers Remote Con of partial or other fee
Signs Special Insp ction Minimum fee $5.0
P
Remarks
V
TOTAL FEE
I, the Electrical Inspector, he r6 e abov ' sPection has bee O
VV??
(Rough-in) 5/"7 rn Date ' 7 s U
(Final) ) Date 7
This request void 18 months from
6 7 Q??
This request void 18 months from /bJOS 010 O t.
CG w O 81380
Date o t is Request O S?
I, as ?censed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ,
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on this job?
xange Uounty
Will Call
Power Supplier Address
Electrical Contractor dl?-12 AC Contractor's License aa?94
??JJ (yCornpany NNE
Mailing Address /C e
n (Elec Ica! Co -actor or owner Making Is Installation) ?J
Authorized Signature J[O???O.a 1 t a1.rAL4 LP46 Phone No. - ,0 / d
(Electrical Contractor or owner making This Installation)
CITY USE ONLY
-1
LOT _ BL C PERMIT #: 3 9
SUBD. -CA 0- V? ?? 1?() U e Y RECEIPT #: \\
RECEIPT DATE: 1- Il C) V
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
I f
Date: U C j 1 651-681-4675
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
State
Total
Complete this section only if you are remodeling, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration
----Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
- Repair - Other
Air conditioning
Other
Fee $ 30.00
State Surcharge
Total $ 30.50
PHONE #: (.o5l- 4S Z '?
PHONE #: ? t,?Rea'Jc( DE)2-?-?7 ZG
_ STATE: r?r\b'j- ZIP:. X?<_?
OF PERMITTEE
4
$ 30.00
6.00
L BL
SUED.
CITY USE ONLY
APPROVED BY:
INSPECTOR
PERMIT*.
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF RAGAN
3830 PILOT KNOB RD
KAGAN, MN 55122
651-681-4675
Please complete for all commercial/industrial buildings
mufti-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x l% = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
IdITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 3 3 5 3 7
Date Issued: 10/01/98
SITE ADDRESS:
P.I.N.: 10-16705-020-06
1762 SERPENTINE OR
LOT: 2 BLOCK: 6
CEDAR GROVE #6
DESCRIPTION:
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
Bu-rld%ng?.Permit Type
Building Wark Type
"census Code''
i
V e ?Nia "4si=
V i
T.D. & REROOF
REMARKS:
FEE SUMMARY-
CONTRACTOR: -
BJORKSTRAND COMPANIES
4116 DIAMOND OR
EAGAN MN
(612) 452-5598
Applicant - ST. LIC
INC 14525598 0008676
55122
OWNER:
DRUMM ROBERT
1762 SERPENTINE DR
EAGAN MN 55122
(651)452-8006
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
PERMIT
application and state that the
with all applicable State of Mn.
SUED BY: SIGNATURE
' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PELOT KNOB RD - 55122 76- 1 _'1
681
4675
-
New Construction Requirements Remodel/Repair Requirements
# 3 registered site surveys # 2 copies of plan
# 2 copies of plans (include beam & window saes; poured find. design; etc.) # 2 site surveys (exterior additions & decks)
# t energy calculations # 1 energy calculations for heated additions
# 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
?I?ys Gf
NSTRUCTION COST
DATE: ;
CO
DESCRIPTION OF WORK: ?D & J? /= NO I"Cr S TC) 7Q /h 1 J? M'? Q
STREET ADDRESS: ?`7? SCl2 ? nl 1 1 P (y l- p ?j MIN
U J f
Cs oQ Q? C
D
/
I
D
#
LOT: BLOCK: >
.
.
.
:
SUE
P.
h
?0 e
Name: rYl in one
> (tR l P
PROPERTY Last First
OWNER
Street Ad&ess:17l
SGoZ?JClJ? !'1 C R I ?C
City ?41 State: M N Zip: S S ?2 Z
Company: U X106: K?l?Sjnld 1?J? N /l T? 0 Phone 9:
CONTRACTOR
Street Address: Vo 71 / G l
?? ? del r? ? 2 i 1/ f License # ?6 ?G
City G d State: Zip: J? s/ Z
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chan
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applical
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received - Yes
Tree Preservation Plan Received - Yes
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
WORK TYPE
? 31 New ? 33 _ Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCANS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
f ? H
Y
-city of eagan
MEMO
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.
Ed Kirscht
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EKJje
EAGI1N T(AMSHIP
3795 Pilot ?snob Road
St. Paul, 14inneoota 55111
Telephone 454-5242
PERMIT_ FOR SEWER SERVICE CONNECTION
DATE: //ZNUMBER 261
OWNEP.:?'y!?? -F.ddress,22-6-6 Z?76.&As991?D???r?J ?fJ2
PLUMBER ?1 Ql otJ e1 TYPE OF PIPE etl+ dx . A.,vi .J
DESCRIPTION OF BUILDING
Industriall Commercial Residential ! Multiple Dwelling) No. of units
Location of Connections: Connection Charged -?
Permit Fee WO
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 Township, Dakota County, Minnesota
By
Please notify when ready for inspection and connection and before any portion
of the work is covered.
? r
EAUN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ///g/?y ? Number: 144
Billing Name: ??DD Site Address:,;2-ly ,O 1,7/v?
Owner: Cd' ? A +? LI/h nLA1 Billing Address
Plumber:y LL ZIALE/
Meter
Building is a:
Residence_j
Multiple No. Uni
Commercial
Industrial
Other
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 Coun y, Minnesotts.
By:
ion Chg.r.
Meter No, Permit Fee 7.50
Meter Reading Meter Dep.
Meter Sealed: Yes_ jAdd'1 Chg.
NO I Total Chg.
Inspected by
Date
Remarks:
By:
Chief Inspector
Please notify the above office when ready for inspection and connection.
?
let 0,
Date:
1 a _,
BUILDING PERMIT APPLICATION
LOT ^ BLOCK M6
PARCEL & SECTION HUMBER IF UOPLATTED
ADDRESS OF PARCEL
0S (P CIA ( ?/ I^/7 ter
200LOG j OCCUPANCY USE
C* op
ESMIATED COS 017-)
OFTIIER?0\?QCJN?) TELEPHONE NO.??? V? C7 T
ADDRESS
TELEPHONE :JO.
ADDRESS
Note.-: Include site plan, building plans, and energy calculations with this
application
SiQned? `-'?.
OFFICE USE
VALUATIUL.
SAC
WATER CW-kTECTIO;?
WATER METER
BUILDING PERMIT FEE
SURCHARGE FEE
PLAIT CKrCK FEE
PARK DEDICATI0.4 FEE
OTIMR
TOTAL*
APPROVALS:
ASSESSiivM.4T CLERK BUILDING DE POLICE DEPT.
'PATER E MIER DEPT. FIRE -DEPT. PARK DEPT.
=`??
_.
?? ? ? ??
i
i
/????
l,((/
/1 U/
/ ? ??
W
R
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??
?, ?
?? ?
? ?? ?.
?,
?, ?
i?
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Q?
?.
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??
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?y
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1 ? 7 2 0 ;
11 ,1 7 2 0 C -
1 4 7 2 0 0
T
1 4 7 2
5 p 8
?
0
T
MINNESOTA FEDERAL SAVINGS
SAINT PAUL • MINNEAPOLIS ROSEVILLE HOPKINS
WHITE BEAR LAKE • SHAKOPEE HASTINGS KNOLLWOOD
PAY TO THE 11111111110 •??yp
ORDER OF ?K°
00
No. 12 3698T
33-17
713
A- I V to
$ if A_M
f ?1 I i ?•? III !i'' 111' ?iltll ad.
I I .: I T I! II .I LeO. . r
MINNESOTA FEDERAL SAVINGS AND LOAN ASSOCIATION
j Federal Home Loan Bank of Des Moines NON NEGOTIABLE
E Des Moines, Iowa 50309
MINNESOTA FEDERAL SAVINGS AND LOAN ASSOCIATION
THE ATTACHED CHECK IS IN FULL SETTLEMENT OF THE ACCOUNT AS STATED HEREON. NO RECEIPT REQUIRED.
PARTICULARS
Cedar Grove
1762 Serpentine Dr.
"J/
4/25/69
1?1?7?'93
LOAN/CONT. Nn REQUESTED BY&' ? APPROVED BY ' ??
ACCOUNT NO INS. PREMIUM ?
CHECK REGISTER BY
LOAN ON SAVINGS ACCT. ? TRANSFER OF FUNDS ?
LOAN CLOSING CARD BY BOND REDEMPTION ? OTHER
COUNTY OF RAMSEY
STATE OF MNNESOTA
OFFICE OF
JAY P. O'CONNOR
ABSTRACT CLERK
City or V111age:? 1
% Clerk
County of:
Subject: Pending Assessments
Request is hereby made
to determind whether or not
not certified to the office
the following described pro
WARREN H. SCHMITT
CHIEF DEPUTY
APR 8 1969
as of this date
there are any pending assessments
of the County Auditor pertaining to
)erty:
Y
Assessed in the name of: fX wM
The following improvements are contemplated or pending after
having been approved, and are now in process, planning, or
completion.
Street improvement
P&,1Vo1A1(, t/-.Lf-69
project approved 4/8/69 $86o.oo
Whereas the i'pformation shown above is intended to be reliable
the RamsWClerk assumes no liability for its
accuracy.
v-Re@y eetmty ? s__ae- Clerk
c=???? rwr Please return one copy -4090-@ ?
Nature of Approximate Date Approximate Cost
Improvement of Completion of Improvement
/'eu?idGl- /
Sewer & Water Laterals & Storm Sewer completed $1472.00 4tp.(M.t
X94"" /
SAINT PAUL
MINNESOTA MIN
^ ? o
JhL?
'Tp' City of Eagan
3630 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r•-----------------I
I I
? Permit#:_ I
I
I Permit Fee:
I I
Date Received:
I
Stan:
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?r d 4e • 0'9- Site Address:/ 74 a ? " ?`J`- `i'
Tenant:
RESIDENT / OWNER
Suite #:
Address / City /
Applicant is:
as
TYPE OF WORK I Description of work:
Construction Cost: _
CONTRACTOR I Name:L
Address:
/M 2
405`
Multi-Family Building: (Yes-/ Nom
_ License #: L l LI P77 111) - zip: yLD/
Phone:C'f/ -7.0'1-a6Lg' Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category submitted submitted
(4 submission type) • 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?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical
Sewer & Water Contractor:
Phone:
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
Fagan; that I understand this Is not a permit, but only an appllcation for a permit, and work Is not to start without a peftw, that the work will be in
accordance with the approved plan In the case of work which requires a review and approv f plans.
Applicant's Printed /Name Applic 's Signatu
Page 1 of 3
Owner X Contractor
Custom
CRI Remodelers.Inc.
HOMEIMPROVEMENTS
March 9, 2009
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Attention: Jeff Wheeler
Inspector
REr 1762 Serpentine Drive
Permit No- EA088080
474 Apollo Drive Lino Lakes, MN 55014 (651) 784-2646
State uc. #1748 www.custommmodelersinc.com
Custom Remodelers, Inc. installed a patio door 75" wide by 79 Y " high at the property address listed
above.
Our installer Ron, took out the patio door that was previously installed, that was too small for the
original opening and Ron installed a patio door same size as original patio door. The customer kept his
old patio door. The patio door Ron installed, did not require any alteration of the original existing
opening size.
Ron Carlson
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113080
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 1762 Serpentine Dr
Lot:2 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Galen Tschida
1762 Serpentine Dr
Eagan MN 55122
Great Northern Builders
9419 Buckley Ct
Inver Grove Heights MN 55077
(651) 436-5672
Applicant/Permitee: Signature Issued By: Signature
!"
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