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1763 Serpentine DrCITY OF EAGAN Permit No: Date: 3_ ra 3838 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. ;JBlttt:u r'o'ts t Site Address: I..7?l S.X..art--^ n,.tp i B5 Cedar Grove 6 Conn. Chg: 540.x '' Zoning: a? Acct Dep: I-i -GOV dr No. of Units: Permit Fee: ip . GOP J Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. WATER SERVICE PERMIT I CITY Of EAGAN Permit No: °-12 Date: 8-3-EB 3830 Pilot Knob Road B/P No: 81937 Date: 3-15-88 P.O. Box 21199 Eagan, MN 55121 ; Owner.- Dslund ('anat. Site Address: 1763 Se -vent ine ])rive R Cedar rroyp 16 Plumber: IFQmpaon Plumbine MWCC: 550.00pd 100.0Qod Zoning- Fl City Chg: No. of Units: I Acct Dep: 15.00;d Permit Fee: p't I agree to comply with the City of Eagan Surcharge. P Ordinances. Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: 98,2? _ Date: 8 383&Pilot Knob Road Meter No: <<f 7 5 ?? Size: 5'fk dx/ P.O. Box 21199 Reader No: Date: - Eagan, MN 55121 Owner slund C :.. Site Address: 1763 Serpentine Dr;vt 1.2, Crovr Plumber Tt.omnson PlUMbing Conn. Chg. 5Q _ OODd Zoning: n? Acct Dep: 5 C"' No. of Units: 7- Permit Fee: n l Surcharge: I agree to comply with the City of Eagan Tr. Plant 2 n '?, ? Ordina es. Meter. Misc.: g WATER SERVICE PER IT CASH RECEIPT CITY OF EAGAN 3830 PILOT k0013 ROAD EAGAN, JNNESOTA 55122 DATE ?? 19 Rl" 1 AMOUNT & DOLLARS 100 ? CASH CHECK j r? FM i r t FUND I OBJECT I I I AMOUNT Thank You BY - c 1V? 81937 White-Payers Copy llo. He Copy Copy P BLDG. PERMIT N0. 01-3210 Bldg. Permit ` 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 f 1-7- 3 8 6 0 20-2275 20-3865 20-3868 Surcharge Road Unit SAC Water Conn. Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. -1 i--3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT To be used for Site Address 1763 SiEXPENT1 Lot 2 Block 5 Sec/Sub. Parcel No INrOA Receipt * ! - j Est. Value $85,00() Date HARC14 15 .19--84- s Name OSIXND CONSTRUCTION CO. 3 Address 3512 38TH AVE SO O City Y1NNL4ML1SPhone 724-2829 'r Name SAM; 0 o a Address H City Phone Address City 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. Signature of Permittee -_ A ?Building Permit is issued to: USIX-ND CuNST. CO. 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 19lru OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X_ Zoning R-1 On Site Well (Actual) Const Va City Water (Allowable) Vf+ PRV Required * of Stories Booster Pump Length ' Depth 491 4' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 514.00 Planner Surcharge 42.50 Council Plan Review 257.00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 550.00 Water Conn. 550.00 Water Meter 67.00 Road Unit 3225.00 Treatment P1 204.00 t _ Parks TOTAL 2,604.50 Lo?] i i - p r o - 5 f ul. I Cr?I??r c 0, --TCSC L?s ? 11 e rl 0 v s ,3- ?- ? y ??? a ?_. _. ?- o.(? `L `..?-?. ?.Gc_? ?? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454.8100 BUILDING PERMIT Receipt # To be used for Est. Value r , Date 19 ?' Site Address I? ' OFFICE USE ONLY ?A'i? R VP :`u o I On Site Sewage Occupancy Lot Block Sec/Sub. MWCCSystem Zoning -1 Parcel No. l l C Vn On Site Wel ) onst (Actua ?s !?. ' City Water )_ (Allowable) Vn a Name W PRV Required # of Stories Address Booster Pump Length r ' 46 U' City Phone Depth 48' 4" c Name S.F. Total o i Address Footprint S.F. r¢- City Phone APPROVALS FEES ? P 14. v ? a " W W Name Engr./Assess. ermit r,,, EE Address Planner Surcharge 57 W City Phone Council Plan Review ; . . Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC S ? ?? ? .., . information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter J5 7 Signature of Permittee - Road Unit j 2 S. ?Ai A Building Permit is issued to: CO Treatment P1 U4 - ' on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. n 4 , jf. . C Building Official TOTAL ? Permit No. Permit Holder Date Telephone A, Plumbing Cf HN.A.C. C C Electric 9/ 0 0 Softener Inspection Date Insp. Comments Footings Footings II Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. o Fireplace Final Htg. ?4 4 Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. % 0 ?% n Terttftratie of (orruponry Citp of Cagan arvartmrnt of Intibing 3nsvrrtinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use caassifimtinn SF AC/GAR Bdg. Rrmit No. 14669 Occupancy Type R3 Zoning District R1 Tnix cAes< Vn Owner of RuildingWOM Addre% 3512 38M AVENUE XM, MP S. BuBdi ddress 1763 g?.MgqE DRIVE >.ocithty W21, B5, CEDAR GM #6 FEB;dM 17, 1989 Dam Building Official POST IN A CONSPICUOUS PLACE ' PERMIT # / ?Sg • PLUMBING PERMIT R PT C E EI # CITY OF EAGAN 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ? Block _ Sec/S?p Res. 1-// New - Mult. Add-on m Name r % ':(J1 Comm. Repair .q Address / i k")- - U0 Other c City I r k" Phone v RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL J Water Closet - $3 00 $ L Nam e 1 I 1 / 1 Nam . / l - - Bath Tubs - $3.00 c - e 00 Lavator - $3 p ?, City 1! Phone 14 - 2',Y2 . y ---!-Shower - $3.00 Kitchen Sink - $3.00 FEES 1% OF CONTRACT FEE COMM/IND FEE Urinal/Bidet - $3.00 Laundry Tray - $3 00 - S . /Floor Drains - $1 50 APT. BLDGS - COMM RATE APPLIE . 0 / TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.5 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 50 l $1 O -/ MINIMUM - COMM/IND,FEE -$20.00 . ets - Gas Piping ut STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 a " -.Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHAN;ZAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: _; ;.? PHONE: 454-8100 Site Address _ - Lot Blc Name m Address _ c City Name c Address p City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU{ M BTU $_ M BTU $- M BTU $_ CFM $_ FEES/C: TOTAL BLDG.TYPE Res. P" Mult. Comm. Other WORK DESCRIPTION New j r Add-on Repair FEES HVAC 0-100 M BTU -$24 RES 00 . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA U . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 SIC IF PERMIT PRICE GOES . BEYOND $1,000) SIGNATURE OF PERMITTEE ?? 6-4,0S11 MECFIANICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # y 3830 PILOT KNOB ROAD, EAGAN, MN 35122 Y' ;i U ONTRACT PRICE: PHONE: 454-8100 DATE: ro Name _ Address c City Name _ c Address p City - TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater - M BTU u - T Air Cond. M 8 U Vent CFM Gas Piping Outlets # Other PERMIT FEE: SIC: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. New MUit Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU $24.00 ADDITIONAL 50 M BTU 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION ) GAS OUTLETS (MINIMUM - I PER PERMIT) 1.50 EA. COMMAND FEE -1 % OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) FOR: CITY OF EAGAN CITY OF EAGAN N° 14 6 8 9 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ON E: 454-8100 s i 1 -?)/ BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $85,000 Date MARCH 15 - ,19-28-8- Site Address 1763 SERPENTINE DRIVE OFFICE USE ONLY Lot 0 21 Block 5 Sec/Sub. CEDAR GROVE A On Site Sewage Occupancy R-3 -" MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Canal Vn a Name OSLUND CONSTRUCTION CO. City Water X (Allowable) Vn i Address 3512 38TH AVE SO PRV Required # of Stories c City MINNEAPOLISPhone 724-2829 Booster Pump Length 46?" Depth 4R r 41, o Name SAME. S.F. Total u< Address Footprint S.F. m? City Phone APPROVALS FEES W w Engr./Assess. Permit 514.00 Name 42 50 ri Planner Surcharge . i- Address 7 0 e Council Plan Review . 25 0 w a City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 550.00 at information is correct and agree to comply with all applicable State Water Conn. 550.00 Minnesota Statutes and Cityat-Ea?an Ordin n Water Meter 67.00 ' ? at Signature of Permittee Road Unit 325.00 A Building Permit is issu d to OSLUND CONST. CO. Treatment P1 204-.Op_ on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Star tes and City of Eagan Ordinances. Buildin Official & az ? z ?? TOTAL 2,609.50 g - - ? CASH RECEIPT • CITY OF EAGAN 3630 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ AMOUNT I $ & DOLLARS ? o0 ? CASH ??G? ?G#Ji1ia FUND OBJECT AMOUNT O Q o0 l c7 ? U Thank You BY N° 86198 Whine-Paym Copy Pink-File Copy This request void 9C 8+bl' 1B months from u .E 139761?i l? ny? ??? Reque t Date Fine No. Rough-in Ins Uection Req. [] Ready Now;50,11 Notify Inspec- es ?No [or When Ready 0 Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Streets Address. Box or Rowe No. ??77 inJ ii, City .??/ -r i em?on o. Township Name or o. Range No. Coun Occupa t 1 IN Phone No. va,w-ef Spppli Address Electrica Contractor Company Name CUV c 'cena NO? 7 Mailin Sress lCantrectot of nor Making lastaifationl - Authori rgnature (Contra cloc/O r king In Ilat ion) C Phone N tbb I f ? 73 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Grigg.-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1021 University Aye-. St. Paul. MN 65104 Phone l9191 F4R080D ENCLOSED. ?f?h8 REQUEST FOR ELECTRICAL INSPECTION !7. QQE/B?-000001-06 Il, See instructions for completing this form on back of yellow copy. wr. r7w? / ?} -E• 13'9 7 6 "X" Below Work Covered by This Request Add Rep. Type of Building Appliance. Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electrw Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Peel y Other (Sono.[') t nr sPpCIfY Other Oth.r ompute Inspection Fee Below N Fee Service Entrance Size ft Fee Feeders /Subleeders tt Fen dj cocwts ? 0 to 200 Amps 0 to 30 Amps 7- 56 _ _0 to 30 Am>s Above 200 Amps 31 to 100 Amps 1 to 100 Amps Swimming Pool Above 100_Amps Above I00_Amps Transrormers Irrigation Booms Partial,-Other Fee Signs Special Inspection 7.1r 5 OT arks Rem 5JJ J?, i4 Rough-in O F?.y t Inspectoq hereby I certily that the above final O"itn ins DeCti011 has been D' O made. rel...m-,nv IdIR mnnlM from 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN / SINGLE FAMILY DWELLINGS l? l? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF 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 To Be Used For: Site Address 5;A y /e /y Lot V Block 5- Valuation; ?r?eeesr?- Date: 3-ia- 5 k- Parcel/Sub Owner I?25 s C. Address 3s-/ z - 3'4 ,?" S0, City/Zip Code e. # 15, 5S s-o Phone -7 z q-z fr 2- 9 Contractor tlt,-?, e /q s R 4 y ..e Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # i OFFICE USE ONLY 85'000 On site sewage Occupancy R 'yam MCC system ? Zoning R -1 On site well Actual Const V-N City water v Allowable V-N PRV required # of stories Booster Pump _ Length N (S C Depth q%,-q' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit .S"tq.00 Planner Surcharge Council Bldg. Off. Plan Review !Et?14 SAC, City 251.00 (UA.OO Variance SAC, MWCC 50,00 Water Conn 0,00 I Water Meter ('4.00 Road Unit 32s,00 Treatment Pl ou.oo Parks Copies TOTAL VAL-U A7i oN GA RAGE Z2kt'i= LIVY X14 H O(.ISC 2?Xy?= 119 c. 1 L2. ??I G Ll f ?fLampdRJes 6875 Highway 65 HE. PQ Box 32308 Minneapolis MN 55432 (612) 571-6066 SUBURBAN ENGINEERING. INC. 12203 Nicollet Ave. So. Burnsville, MN 55337 (612) 8906510 Clad, Nenkipal a Envkonmenmt Ene'neednp Land svrueylag • Land Pl nnmp • Sau rlaena Certificate of survey for Oslund Construction Bearings Shown Are Assumed o ' Denotes Iron Monument U Denotes Foundation Corner Offset Stake x Denotes Existing Elevation O Denotes Proposed Elevation ?-.- Denotes Direction of Surface Drainage ---- Denotes Drainage and Utility Easement N89a551045 E 7 8,i/j .a 8 d8l.lo ? ljA2' ?g83.1 3 .y' Itn 8 0 I^' P tr h C2 p R. 3 ?x8g9.t 06!0."77 O Scale: 1" = 30' ?yt' e 1 v' ee3 ? 1 0 1 n ?1 2? 0 v, gg O 0 Oa 2 97.75 PROPOSED ELEVATIONS Top of Blot{ 88`•a Lowest Fioor 687.5 Garage Floor 88 5.7 ggs•1 9 N a? P t r M a N? j2„ 8.312- !3 Q>? ?, y5'y5?, Sb g6 ag3 ?$aA Nes E 1506 4?1 1? o= 23$.48 in SERA =I3.µ9 gs:? DRIVE /< . r ?Ja.7-6Frrtge 1, a sf5. / Lot 2 Block 5 CEDAR GROVE ; NO. 6 Dakota County, Minnesota. Subject to Easements of Record I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly licensed Land Surveyor under the laws of the State of Minnesota / - Signed this / day of A.D., 19 s-[a,ktid 3/2,/?'8 ?Companles SU URBAN ENGIN ING. /N[. _ Not published: All rights.reserved ? a Copyright 1987 SE Companies, Suburban Engineering, Inc. I Robert E. Stransky . Minn.. License No. 14945 S88011 52 21?Q*;ASF• SLhML?DN Sy?ua?E1 h ?I ? x!? 71U7E6E3ti ??+?'••. t?4r ;` l?§ ,? Qt ? : F •u ' r , 1" i$" - - - -- f 10 3i'¢'• a•s. pay. '.Y { 7,•' ceAT• VENTS .?, , i . let fix f i'?¢_w aa• t??er-wu P?Y• - S? D%NC4 ?'r may, s +? ' FL.. . Z.y4. '"1" ? 3 ; of _ .i Aft "L SWI ?A 1D r ?+ OH 4 m ,tr. tn: 9 . .. \? r per • .'. "? ( l¢A?a -rot '•=i'? 4 , 2cs" ? Imo. .' PHILLIP5 PLAN St_hVi,;L F74j0 W. 145th 9treal Apple Y:Iley, M"'55124 OWNER SITE ADDRESS EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION CONTRACTOR _13or3 ??UND DATE PHONE Determine working square footage of each. 1. Total exposed wall area .. ._I aZ'l,By sq, ft. x _ •I I o .06 2. Total roof/ceiling area ..... sq. ft, x 021,= 3 c 0? Total exposed wall area above floor = 1568 .g a. Total wall window area ........................... b. Total door area .. ........................... 3$ c. Total sliding glass door area .................. y y d: Total fireplace wall area....... ... .. ....... e. Total wall framing area (average 10%)...:........ 133 .8 f. Total net wall area above floor ................. 1zo y, z g. Total rim joist area f4 y Total exposed foundation area = q S,oW ° h. Total foundation window area..... ............. i. Toal net foundation area above grade ............ G S,n Determine "U" value of each wall segment. a•-_1128 X "u" S = Ou.MD b. 38 x „u„ 1 = -62B C, yy X "u" 5 - 2z, d. X "u" e._ 133'8 X flu„ C>9Lo - 10, 1 r f• 12 0 14.Z X "U" 'b45 = 5419 h X Flu, _ i• ?1?•0`{ X ..u.. `7.73 3.- ............... . 2 ..:..........Total = 1 If item #3 is the same as, or less than item kl, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area = 4?q j. Total skylight area ....................... k. Total roof/ceiling framing area . 1. Total net insulated roof/ceiling area....... Determine "U" value for each roof/ceiling segment. X IV, k. I zZ,h X "U" , O Z = 2ICH 1. 1JD`I.9 X flue ,b2.Z = 2H 29 4 ..................?ZZ 9........... Total 2 2 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. To utilized the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items 01 and #2. 1. + 2. = 3. + 4. MATERIALS Exterior Air Siding Material Sheathing Insulation Sheetrock Interior Air Studs Rim Conc. Blks. Therm. Resistance 'rR" 1_ 045 _6 _ 13 . qs 4'3& 1. i.Z$- CITY OF BURNSVILLE MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK M VALUE Q IIATEVI* AIR FILM ? . 2O SI3` UYP• BTU, i INSULATION 3£(.0 ® EXT6RI0? AIF FILM G % (STILL) I?U? = I Itz S TOTAL (TZ)3 WALL (-K) VALw © tNi?tzloi- RIl2 fILt1 ,6 © Y111 G(t' BD.' = y O? `` INSULATION 5%zr? r3.:. o u EX Tci lotz A19 FIU1 11 U'w= l?R = .0a-3 ToTA( (9) s ?1M 7 10TEP-107, Alf', Fluff ;6 8 i3 -31/Z INSULATION a, CJ 2 Flft RItA ,otsT i, x: is ti' C? C,?y?etrR?, 1 7 . . / 9... ©, L*XTcjZ1OR AM FILM "U° = I?[z = .o?i ToTP.L (tz)?J •Q o foJNDATIOI't _ Ctz) VFlLU? id IN 101D? AIK Ftd i b 8 C 11 I")« C611c, SLY" /i.z g' I" EXTEf?Ia(z AM FILM 9 nU? = I?CC- TOTAL (fi<)=1°?' `F . Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must have a minimum P.-factor of R-38. 653n5 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 1? i J -•D Date -? I I v cc-- 1 l C 11 , ?r Unit # Site Street Address 1 ?JSLf y7 QJ 2 ?J I Property Owner S IC X W r? n Telephone # Telephone # (°1Sd) I Contractor `UW1 i?Y? t Address ?? ??? X11 U ??UJ City 1-L vK4 l; i ? `BQ State 11y Zip ?sb The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling f2 $ 50.00 -Add fixtures to rooms, excluding water softener and water terUL 0 9 2004 -Septic System Abandonment Water Turnaround (add $121.00 if a 5/8" meter is required) Other: By X Water Softener _ Water Heater $ 15.00 X replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 \S so 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 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 plaq-is,?equifo to be reviewed and approved. Applicant's Prin d Nan a Applicant's ignature "A MECHANICAL (RESIDENTIAL) S? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 130-s-0 Date J / ' / 3 Site Address 7 Unit # Property Owner Telephone # (4l ) /1/otW -d[J& Contractor C 1.17 aTI-I R AIR r'O"" 8910 Wentmirlb AV.,. So Street Address State Minncannliq MN 55420 City (eGr' ?) 881-90-0 Zip Telephone # ( ) The Applicant is Owner Contractor Other Add-on, modification or alteration to fisting dwelling unit furnace replacement WIN $ 30.00 air exchanger air conditioner other State Surcharge $ .50 Total $ Sz Q ' 6 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 ap ttJ Yqla CIuin h ,caserfA `k?n?&E @req ces a review and approval of plans. CE 71V" !" UL' Applicant's Tinted Name Applic , 'p[Si jgature L1 rl MAR 13 2003 A. MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 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 If permit fee is over $1,000, add $.50 per => $ State Surcharge $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial 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. Applicant's Printed Name Applicant's Signature MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 26, 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 8 Block 2, Lots 1-8 18 Block 3, Lots 1-18 11 Block 4, Lots 1-11 9 Block 5, Lots 1-9 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. ?V? Ed Kirscht Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je 'NODE: PA)WERr OF FEE AT TIME OF Lot B oc S vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: a COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVER14MENT 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME : _ ADDRESS: - CITY, STATE, ZIP: PHONE: - 4) ADDRESS: CITY, STATE, ZIP: PHONE: 1XJ R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) Q R-3 TOWNHOUSE (Three +, Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) MASTER LICENSE # LI `Active Expired Not recorded Sta Initial 5) : w •a a: as CONNECTION TO CITY SEWER 14 CONNECTION TO CITY WATER O OTHER 6) Jj9M& - * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TD FACILITATE METER PICK-UP. PLEASE ALUM TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. ?I U V APPLICATION FOR PERMIT 1 FOR -:CITY USE ONLY PERMIT p# ISSUED d -Z Pd w/Bldg. Permit c $ $ $_ -5-?) s ?(i . 07J $ cf, OZ` $ 14 7 L o-o RECEIPT FEES: s $ all &- RECEIPT 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 WATE4 WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 71 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 CONDITIONS: APPROVED BY: TITLE: DATE : of j--4 ? 3830 PILOT KNOB ROAD, P.O. BOX 21199 VIC ELLISON EAGAN, MINNESOTA 55121 Moor PHONE: (612) 454-8100 THOMAS EGAN DAMD K GUSTAFSON PAMELA McCREA THEODORE WACHTER CpR it MgTb THOMAS HEDGES March 9, 1988 Cttv Aemm.? EUGENE VAN OVERBEKE CIry Clerk CAROL LEONARD DAKOTA COUNTY AUDITORS OFFICE GOVERNMENT CENTER 1560 HWY 55 HASTINGS, MN 55033 Res Parcel Number 10=1"6705-020-05 - I Dear Ms. Leonard: Mr. William R. Sell, owner of the above referenced parcel, has requested that the City authorize a lot split on the parcel. Please consider this letter as the City's approval to record the split. By copy of this letter, I am informing Mr. Sell that this split is being authorized based on the representation of his attorney that the split merely recreates two lots as they were originally platted and that the new lot has economic value. The authorization should in no way be considered as representing the City's intention or willingness to issue a building permit unless all applicable regulations and codes are met and all required fees are paid. Thank you for your attention to this matter. Sincerely, E. J. VanOverbeke, CPA Finance Director/City Clerk EJV/mc cc: William R. Sell City Planner Runkle Chief Building Official Reid THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY f TRANSACITIONt 8755 PROPERTY I.D. R 10-16705-020-05 NAME. AND ADDRESS Fil:f:.:ORD DISPLAY SUPPLEMENTAL NAME AND ADDRESS NAME: AND ADDRE'S'S TYPE SEC). WILLIAM R SELL 01 01 1761 SERPENTINE 01 02 EAGAN MN 55122 01 0 DATE DELETE 0(.1r)000 N 00 0000 ICI 000000 1%11 10-16705-020-05 of 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 October 8, 1987 Bill Sell Assessment Study BEA BLOMQUIST Mayor THOMAS EGAN JAMES A SMITH VIC ELLISON THEODORE WACHTER cwmll Members THOMAS HEDGES qry Admnutraf« EUGENE VAN OVERBEKE city clan I have performed an assessment study on your parcel ie 10-16705-020-05. The legal description is Lots 1 and 2, Block 5 of Cedar Grove #6. It is my understanding that you now wish to split this lot into the two lots that were originally platted. Based upon the above assumptions, I have reviewed the assessment history of your parcel of land. I found the property was properly assessed with the exception of a Water Area assessment. If you desire you may execute a Waiver of Hearing and allow the City to assess the Water Area assessments in the amount of $600 for Lot 2 as originally platted. If you have any additional questions, please contact me or Tom Colbert, Director of Public Works. A billing is attached for the services rendered. Sincerely, Gerald R. Wobschall GW/dk cc: 10-16705-020-05 10-16705-010-05 THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 4548100 March 10, 1989 D 10 PAT BROWN DAKOTA COUNTY RECORDERS OFFICE DAKOTA COUNTY GOVERNMENT CENTER 1560 HIGHWAY 55 HASTINGS MN 55033 Dear Ms. Brown: VIC ELLISON Mqw THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER Coudi Members THOMAS HEDGES CKy Aambtlflrol EUGENE VAN OVERBEKE Ctty Clek Please find enclosed one (1) release form copy for previously recorded, postponed assessments, recorded document #138711. Would you please process this accordingly and return the original to me. Thank you for your assistance. Please contact me if you have any qeustions or desire any additional information. Sincerely, V Q/Vl,???U?AA7? E. VanOverbeke Finance Director/City Clerk Enclosure EJV/kf THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY THIS RELEASE is dated, made and entered into this lst day of March 19899 by and between the City of Eagan (hereinafter 'C'ity"), and Sell (hereinafter "Owner"); WHEREAS, on the 12th day of July , 1984 , a Certified Listing of Postponed Special Assessments, dated the 27f day of June , 1984, was recorded by the City as Document # 138711 , with the Dakota County Recorder in accordance with Minnesota Statute, Section 429.061, Subd. 2, against the following property: Legal Description: Cedar Grove 6 - Lot 2 Block 5 Dakota County Identification No.: 10 16705 020 05 WHEREAS, the postponed special assessment under City Project #W222 is as follows: Water Area NOW THEREFORE, the City has levied the Water Area special assessments, as set forth in the Certified Listing of Postponed Special Assessments, against the Owner's above described property, such postponed special assessments are and hereby shall be released. Dated: 3- (01$C1 CI' By An< STATE OF MINNESOTA) ) on. COUNTY OF KO ) On this `TN day of Mafct , 19.C, before me a Notary Public within and for said County, personally appeared victor L. Ellisonand E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the CITY OF EACAN, the municipality named in the foregoing instrument, and that the seal affixed to said instrument was signed and sealed in behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. _ (S EA L) THIS DOCUMENT DRAFTED BY: HAUGE, EIDE S KELLER, P.A. Attorneys at Law 1260 Yankee Doodle Road Eagan, MN 55123 (612) 454-4224 .: MARI, YN L WUCHERPFENNIC NOTARY PUBLIC - MINNESOTA \.-.- DAKOTA COUNTY My Commission ExP Fab 8. 1993 EXEMPT FROM STATE DEED TAR 0 51__3 _/ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan AIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. k of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report g 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 Dated options selection sheet (buildings with 3 or ten units) Minnegasco mechanical ventilation form RemodehReoair Requirements -O1116ii e0nb 2 copies of plan showing footings, beans, joists Carl of Survey Recd - 1setofEnergy Calculations forheated addidons Soils Report. 1 site survey for additions & decks Tree Pres Plan Recd Addition - indicate #on•ste sep#c system Tree Pres_Reyu6ed?;' owshe septic system . _Y _N _Y _N _Y _N _Y_N Y N alane ara rnncirlPratl nuhlir information unless you state thev are trade secret and the reason. Date 10 / 17 / 0,7 Construction Cost Saoo . ° ° Site Address 174, 3 Se j.0& t?r c? ?1y i t"k Uuit[Ste # Description of Work '_e o-r V ?'? d? Y e (0 0'r Multi-Family Bldg _ Y °C N Fireplace(s) _ 0 2 Property Owner 6N H 1 ?r tin w i v Telephone #( 6 5_() 33 $$ EVERGREEN CONSTRUCTION COMPANY, INC Contractor 970 RAYMOND AVE SUITE 201 Address ST PAUL, MN 55114 City St t (651)209-313APFAX (651)209-31F%Iephone # ( ) 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 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. Appl' ant's Si tare 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_piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.AR-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 MultiMisc. ? 05 03-plex ? 11 10-plex ? 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` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: WaterDamage_Yes Valuation Occupancy Plan Review _ 100% or _ 25% Census Code Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs L'engih Type of Const Width - Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final - Framing - Fireplace _ R.I. -Air Test -Final Insulation MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock _ Final/C.O. _ Final/No C.O. _ ITVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows 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 Cit of kali Use BLUE or BLACK Ink For Office Use Permit #: /0 I Lig -3 Permit Fee: IL -1 -74 6 3830 Pilot Knob Road J- 2 0 ( I Eagan MN 55122 C)(`-`F �^� I Date Received: I Phone: (651) 675-5676 `` I I Fax (651) 675-5694 Stafii r 2011 RESIDENTIAL BUILDING PERMIT APPLICATION /a ✓ li V f 1 Leff trat� Date: - a 8 / l Site Address: / `7 ry 3 S e r p e n f i n e b r. e: * &rti Unit #: Name: C©rt5f'tLnC'� Gcttg6c?i'r°-*/ RESIDENT 1 OWNER Address/City/Zip 17(03 S .rpenfino lr', v(- Ca, trig .5"5" 12 ; Applicant is:X Owner Contractor 1 Phone: 6$/- q$ -V -33'S$ TYPE OF WORK CONTRACTOR Description of work: r e F I &c e- rte c K Construction Cost 4 c,..) 00 o door ( Keep. Multi -Family Building: (Yes / No Company: M rK Nov aK eons -rut-`iiriContact 'dark , lova. Address: SOS Ironto 0oct A V e, A/E City: NL'W pro_ ?c t.,P, State: JT 1 Al Zip: 5(00 7 / Phone: 6 1. — 3 & ' / 5-`4 . License #: a/ 06 3 41tog Lead Certificate #: e project is exempt from lead certification, please explain why: (see Page 3 for additional infarmation) 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: 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 the 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. vvww 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 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x /ci rc r K /c. AI D i Applicant's Printed Name Applicant'sSignature Page 1 of 3 DO, NOT WRITE BELOW THIS INE /6/q4.3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteratio Replace Retaining Wall DESCRIPTION Valuation 244k Plan Review (25%,____ 100% Census Code # of Units # of Buildings Type of Construction _ Fireplace _ Garage Deck Lower Level 4-69-1\v--0 _ Interior Improvement _ Move Building Fire Repair Repair tris REQUIRED INSPECTIONS _ Footings (New Building) >[ Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola Pool i�- 104%..9)\- Siding 0Q%..9>\ Siding _ Reroof Windows Egress Window Occupancy Code Edition Zoning Stories Square Feet Length Width Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: n, Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building give PCA handou ri'0-00 7 IVICES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: o applicant Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _._Brick Windows Retaining Wall: �, Footings — Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL pwc lyy Xl�= Pfri-4>-0 oo1% 2,/CD 26(°17 1 Page2of3 11661 Companies SUBURBAN ENGINEERING. INC. 12203 Nicotfet Ave. So. /0/412 6875 Nlghwoy 65 NE. a• PQ Box 32308 Mtnne •oils, MN 55432 (6I21571•5066 (612) 890.6510 Burnsuffe, MN 55337 Ctag, Munktpal & Enuhonmental Engineering • Land surveying • Land Planning • Sod hating Certificate of Survey for Oslund Construction Bearings Shown Are Assumed o Denotes Iron Monument a Denotes Foundation Corner Offset Stake. x Denotes Existing Elevation Denotes Proposed Elevation Denotes Direction of Surface Drainage Denotes Drainage and Utility Easement I89°5V 06 E' 9775 PROPOSED ELEVATIONS Top of B16tjc 884.0 Lowest Fioor 8 82..5 Garage Floor 8s8 *.7 �;I Re_312$3� x� 6.86$ DRIVE , Lot 2 Block 5 CEDAR GROVE I NO. .6 Dakota County, Minnesota Subject to Easements of Record I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly licensed Land Surveyor under the laws of the State of Minnesota. 1,012f i Signed this i d day of _. _ _ A.D., 19eyg .-1,, k..d 34 lir Hot published: All righta.reserved Copyright 1987 SE Companies, Suburban Engineering. Inc. Companies SUBURBAN ENV! G. INC Robert E. Stransky . Minn.:"l;icense ilo. 14945 r S88011 52 . Use BLUE or BLACK Ink r---- I For Office Use I Permit I 1 J" t~ My Of Ealan W Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: l f 3 Phone: (651) 675-5675 1 I Staff: I Fax: (651) 675-5694 -44 - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: :511 Site Address: D X~t t ~Q-1 C~ l 1 e Tenant: I 'e, l~ ► Suite _ m..~..~~ g Resident/Owner Name: l~L-Ty) r) u) L Phone:( 0- I 1 Address / City / Zip' rry) ?u Nan` . ~ V`h))t ~nly-u 7jJL)Gt . License --I I City: l 1 I LC~`~~1 r Contractor Address: Q State c )A Zip~5L) (D Phone L ~ ~ ~ b n i Contact. ~-ry---- Email: T e of Work - New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O W.Y I yp Description of work: RESIDENTIAL Water Heater Water Softener l Lawn Irrigation RPZ PVB) Permit Type I Add Plumbing Fixtures C_ Main Lower Level) Septic System New Water Turnaround I Abandonment T - RESIDENTIAL FEES: $ cludes $5.00 State Surcharge) 60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (in $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) i $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 00 n 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.gopherstateonecali.~rq 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. xs ~ I W ,hbL"L x A ~m ~LLI" App ant's Printed Name Appli ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under-Ground Rough=In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA115456 Date Issued:09/26/2013 Permit Category:ePermit Site Address: 1763 Serpentine Dr Lot:021 Block: 5 Addition: Cedar Grove 6th PID:10-16705-05-021 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 - Constance R Jungwirth 1763 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA141967 Date Issued:04/10/2017 Permit Category:ePermit Site Address: 1763 Serpentine Dr Lot:021 Block: 5 Addition: Cedar Grove 6th PID:10-16705-05-021 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Constance R Jungwirth 1763 Serpentine Dr Eagan MN 55122 (651) 492-9569 Sussel Corporation 654 Transfer Road, Suite 16B St Paul MN 55114 (651) 645-0331 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173119 Date Issued:10/28/2021 Permit Category:ePermit Site Address: 1763 Serpentine Dr Lot:021 Block: 5 Addition: Cedar Grove 6th PID:10-16705-05-021 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Constance R Jungwirth 1763 Serpentine Dr Saint Paul MN 55122--163 Universal Windows Direct Twin Cities 150 88th St W #205 Bloomington MN 55420 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature