1764 Serpentine DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ; 47 0 1 #
gan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i If ,,, ; APPLICANT:
RPrFNTTO DP
CEDAR OROVE 146 (61,?) 466-bScI8
PERMIT SUBTYPE: TYPE OF WORK:
: 'Atli
t: t+1FF t 11fi l
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
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
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
MINNESOTA FEDERAL SAVINGS ? No. 12 3698
SAINT PAUL . MINNEAPOLIS ROSEVILLE HOPKINS "
WHITE BEAR LABS . SHAKOPEE HASTINGS KNOLLWOOD 333--17
I
PAY TO THE floo
ORDER OF $
? r illy Ira:, ,?j .' U .npln 11 i'i4 tpg3U a?q; ,, Ihi r.
?Ilflrli 11"r'' St{ .:'7 I?i'?? P 111r II ?" 'ILL i
lit, iu,•i}
MINNESOTA FEDERAL SAVINGS AND LOAN
Federal Home Loan Bank of Des Moines NON NEGOTIABLE
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
Ceder grow
LOAN/CONT.
17" Serpmt i ow Or. ,? / ?I/Z8/+69
1.??7l.00 ,.
CHECK REGISTER BY
LOAN CLOSING CARD
REQUESTED BY APPROVED BY <=1A
ACCOUNT NO INS. PREMIUM ?
LOAN ON SAVINGS ACCT. ? TRANSFER OF FUNDS ?
BOND REDEMPTION ? OTHER
CITY OF EAGAN Remarks Sew & wtr cone. Pd.d on 11-14-68
Addition Cedar Grove #6 Lot 3 RIk _ 6 _ Parnp, 10 16705 030 06
Owner 42 _LGA7 f ' ?' 4 ?st? Street
Dr. State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1970 1472.00 0 Paid
WATERMAIN
* WATER LATERAL
WATER AREA
* STORM SEW TRK 970
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1072 11-20-68
PER.
SAC 1072 1 1-20;;68
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
DESCRIPTION
N° 1872
Eagan Township
Town Hall
Dale .... '/.a3Af ....................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee
-- Remarks
pyy JCS l
?
.cv ,?? q
V LOCATION
Street, Road or other Description of Location LOS 131OCk Addition or Tract
This permit does not authorise 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 _.._?,...,,?.....- - '.. _.-has permission to erect a------aS-.-. .... upon
the above described premise subject to the provisions of the Building Ordinance for Eagan To nship ad pied April 11.
1955.
... _. {. LCmc..........._..... Per __.__..._...__.IFC ?`--...... G' ._.C?t?'e->i.1 ..................
aff an of Tnwn Board / Building Inspector
Ch
e- • Q,
??>k.?.?:;;r:w.k;:k::•1;t%?kc?;;xtkt %; k?k'.?tw„kt %;t xk<.ktXtktnturt?!:a"??kt?g?g?'.;
CITY OF Ei:AGAN
CA i ERg S "i'E:Ri ll: A!AI_ NO: 7R.9
QATEN 05/i4/9R TIMEu W1006
l Yl :
NAME: WORKSTRAND COMPANIES WC
3210 9001 V64 SERPENTINE 87.25
205 900i 064 SERPENTINE P.00
Total Receipt AmouW 89.25
CRO(3 }. f376
USER TV JAN
{
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 032011
Date Issued: OS/14/98
SITE ADDRESS:
1764 SERPENTINE OR
LOT: 3 BLOCK: 6
CEDAR GROVE #6
P.I.N.: 10-16705-030-06
DESCRIPTION:
- (ROOFING)
8uil,dn6,.;Permit Type
;Building Wbr-.k Type
Census Cods.
e „Y
? rte. :? a
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
011
t Fr-
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fee $87.25
Surcharge $2.00
Total Fee $89.25
CONTRACTOR: - Applicant - ST. LIC.OWNER:
BJORKSTRAND COMPANIES INC 14525598 0008676 ELLINGSON KAREN
4116 DIAMOND DR 1764 SERPENTINE DR
EAGAN MN 55122 EAGAN MN 55122
(612) 452-5598 (612)454-7718
I hereby acknowledge that 'I hav read this
information, is correct and agree to Comply
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
application and state that the,
with all applicable State of M.n.
ISSUED Y: SIGNATURE
31 0111998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements
3 registered site surveys
• 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation plan V lot platted after 711/93
required _ Yes _ No
DATE: C!Zg
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; Sd?? 00
DESCRIPTION OF WORK: / Ca1_z9 4
STREET ADDRESS:
e/4
LOT: ?j_ BLOCK: (a SUBD./P.I.D. #: (Jjlh, J7h1.Y,' ?
Name: EII111QV-QA Cl eeAJ Phone#: 7?7 - 7/19
PROPERTY La First
OWNER
Street Address: /?? Y Uie/lT//Y i`Z?r
City Ca <!N State: Zip: SrJ"??o2
CONTRACTOR
ARCHITECT/
ENGINEER
ne #: / , H
License # 1L / A
City EO /!J State: Zip: Tj7pa.
Company:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Phone #:
Registration #:
State: Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
RECEIVED
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received Yes - No
B
Not Required
OFFICE USE ONLY
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
? 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
MC/WS 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
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
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.
EK(je
I 1? .
EArrw TOWNSHIP
3795 Pilot knob road
St. Paul, Minnesota 55111
Telephone 454-5242
P RMIT_ FOR SEWER SERVICE CONNECTION
DATE: I? N@IBER )nepQ ..
047NEP, rsx _. Address 34-6 'Y'
PLUMBER TYPE OF PIP^-
DESCRIPTION OF BUILDING
IndustrialI CommercialI Residential I Multiple Dwelling No. of units
Location of Connections:
Connection Chargea.2- --rdp
Permit Fee 7.50
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 ?Ll??t/ ?/?rLl?
Please notify when ready for inspection and connection and before any portion
of the work is covered.
L
-' r
EACPN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 11Z'' ? 2 Number: 145
Billing Name: Site Address: 3
Owner: a. Billing Address
Plumber:
Location
Building is a:
Residence /
Multiple No.
Commercial
Industrial
Other
Meter
Chg. a- - o.
Meter No. Permit Fee 7,50
Meter Reading Meter Dep
Meter Sealed: Yes_ Add'1 Chg.
NO Total 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 tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By: /J' L?yCs
Please notify the above office when ready for inspection and connection.
COUNTY OF RAMSEY
OFFICE OF
STATE OF MINNESOTA
JAY P. O'CONNOR
ABSTRACT CLERK
City or Village:
% Clerk
C
County of:
Subject: Pending Assessments
RAMSEY COUNTY COURT HOUSE
SAINT PAUL
MINNESOTA 55103
WARREN H. SCHMITT
CHIEF DEPUTY
Request is hereby made as of this date WRB 1969
to determind whether or not there are any pending assessments
not certified to the office of the County Auditor pertaining to
the following described property:
31
Assessed in the name of:
6e'&? ylx°„`e- 11 4
The following improvements are contemplated or pending after
having been approved, and are now in process, planning, or
completion.
Nature of Approximate Date Approximate Cost
Improvement of Completion of Improvement
;;ewer & Water Laterals & Storm Sewer completed $1472.00
Wher as th nformation shown above is intended to be reliable
the . awmeSo-tiainS t a..t Clerk assumes no liability for its
accuracy.
-??-
t Clerk
Please return one copy /?,_ 1) lie Y,?w`
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date _? /
' /
Site Address r -!7to`c Ser
Unit #
Property Owner xo,1-ekl ?5(/ + ®v? Telephone # ((A;- I ) fSZf - -7-7 1 f
Contractor lt?? Ut.
Address 30g Sly I ?
Street S4 1t? ? S City
?
State r s ! Zip Telephone# ((p5 l ) O MCP X0
(n C? nr
Bond 3 (G ?l Expires: (e
(a ?R
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit Aid ti J.i ; $ 30.00
furnace -Additional X Replacement
_ air exchanger
air conditioner -New Replacement
other
State Surcharge $ .50
Total $ ,gip
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 wort h 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 t ature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install -Remove **see below
Interior Improvement _ Install Piping - Processed -Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$5050 Minimum (includes State Surcharge)
or
Contract Value $ x 1% Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 en rmit fee $ Total Fee
1 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
Approved By: , Inspector
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112539
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 1764 Serpentine Dr
Lot:3 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jamie Rippel
12850 Chestnut Blvd
Shakopee, MN 55379
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Karen E Ellingson
1764 Serpentine Dr
Eagan MN 55122
Appliance Connections Inc
1313 Danita Circle
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114916
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 1764 Serpentine Dr
Lot:3 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-030
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 -
Karen E Ellingson
1764 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:EA117056
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1764 Serpentine Dr
Lot:3 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-030
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 -
Karen E Ellingson
1764 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:Plumbing
Permit Number:EA170653
Date Issued:07/13/2021
Permit Category:ePermit
Site Address: 1764 Serpentine Dr
Lot:3 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Karen E Ellingson
116 Shoshoni Trl
Apple Valley MN 55124
(612) 600-0526
Service Tech Plumbing Llc
8216 Lad Parkway
Brooklyn Park MN 55443
(612) 600-0526
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170655
Date Issued:07/13/2021
Permit Category:ePermit
Site Address: 1764 Serpentine Dr
Lot:3 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Karen E Ellingson
116 Shoshoni Trl
Apple Valley MN 55124
(612) 600-0526
Service Tech Plumbing Llc
8216 Lad Parkway
Brooklyn Park MN 55443
(612) 600-0526
Applicant/Permitee: Signature Issued By: Signature