1766 Serpentine Dr` CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 t
BUILVMG PERMIT Receipt #
To be used for ADDITION Est. Value $25,000 nata OCT 15 ,a91
Site Address a ioo DARran-[ ana UK
Lot 041 Block 06 See/Sub. CEDAR G'ROYE 6TH OFFICE USE ONLY
Parcel No. Occupancy R-3 H-1 FEES
U1
BOB BREZINSKI
Name
zoning
(Actual) Const
Bldg
Permit
252.00
Address 1766 SERPENTINE DR (Allowable) . 12
50
o City HAGAN Phone # of Stories
111, 2200
0= Surcharge
Plan Review .
164,00
1111
Length
'0 Name VALLEY INVESTMENTS CO1tS'C Dept, iRl1=11 14?Q Cit
sac
Z ,
y
c°tV Address _ 401 LXMNG70H AVE S S.F. Total
?-
City HERM MIX Phone 454-5191
S.F. Footprints SAC, MCWCC
C
On Site Sewage Water
onn
?
°1w Name
On Site well
~
u?
Address
MWCC System Water Meter
a W City Phone City Water Acct. Deposit
PRV Required S1W Permit
hereby acknowlege 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 Ordinance
s. N, Booster Pump S1W Surcharge
Treatment PI
/
T/
f
Signature of Permitee
A Building Permit is isys4ed to: VALLEY tMSTt4ENT8 CM
on the express condition that all work shall be done in accordance with all APPROVALS
Planner
Council Road Unit
Park Ded.
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official Bldg. Off.
Variance Copies
TOTAL
428.50
Permit No. Permit Holder Date Telephone #
WATER
r
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
lyC q
??Is 9I 2
O°`
Inspection Date Insp. Comments
Footings I
Foundation
Framing S
Roofing
Rough Plbg.
Rough Htg.
Isul. /- -J
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg.Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final 7 /3 s
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
Addition_ Cedar
Street -
-..4?1--
State Eagan,MN 55122
Improvement D e Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 970 1472.00 20 Faid
WATERMAIN -
'
-
*WATER LATERAL T97
U 20
WATER AREA
# STORM SEW TRK 1970
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 072 11 - 0-
BUILDING PER.
SAC 200.00
PARK
MINNESOTA FEDERAL SAVINGS
SAINT PAUL • MINNEAPOLIS ROSEVILLE HOPKINS
#HITE BEAR LAKE • SHAKOPEE HASTINGS KNOLLWOOD
No. 12 36992,1
33-17
713
PAY TO THE I MAD
ORDER OF $
Ir. II'tl. !
II I!'litl!trrp,t 1'?lL 1; ;t'i fi ?? ltt It ,lit; atr
MINNESOTA FEDERAL SAVINGS AND LOAN ASSOCIATION
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
PARTICULARS
Ce&r of eve 1
17" Semewtlm Or.
? of
I
,vw"
LOAN/CONT. N0. REQUESTED BY APPROVED BY
ACCOUNT NO INS. PREMIUM ?
CHECK REGISTER BY
LOAN ON SAYINGS ACCT. ? TRANSFER OF FUNDS
LOAN CLOSING CARD BY BOND REDEMPTION ? OTHER
/i//S/ 5W/ 103('i 9
p 0,//, 6, & Age 6°:!?'
Request Dale
. ?- - ire No. Rough-in Inspection
Required?
Yes G No
? Ready Now Will Notily Inspector
X When Ready?
licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (((Street Box or Route No I
1 City
/?
I L i S 4-1 •
^9- L
T_
Section No. Township Name o No. Range No. County
Occurrent (PRINTI Phone No.
Power Supplier
Ns P Address
31 Mcc/c
Electrical Contr?a ?or ICOmpany Name
5? chi Contractors License No.
Ro; b41-f
Madog Atldress lConhactor or Owner Making Inodllaticnl
4kr 30 0'k 5?
s fYI
550 33
?
N
s
„1
Authorized Si re lConVacton0 er king Installalionl Phone umber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST W h NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?S/9? REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy,
8 "X" Below Work Covered by This Request
EB-000001-0e
a?fi sit./ c/.30 ?9
New Add Rep. Type of Building Appliances Wired Equipment Wired
-° Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
Other(spemfyl Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Tr
ansformers Above 200 _ Amps ve 100 Amps
Signs Inspectors use only
6 TOTAL
Irrigation Booms 3?r
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON 7 1
I, the Electrical Inspector, hereby Rough-in a d
certify that the above inspection has
been made. Final f care
OFFICE USE ONLY
This request vole to months from
CITY OF EAGAN N2 19806
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t PHONE: 454-8100 p
BUILDING PERMIT Receipt # C 15
To be used for ADDITION Est. Value $25,000 Date OCT 15 1991
Site Address 1766 SERPENTINE DR
Lot 041 Block 06 Sec/Sub. CEDAR GROVE 6TH
Parcel No.
w Name BOB BREZINSKI
3 Address 1766 SERPENTINE DR
City EAGAN Phone
fF Name VAT.i RY TN«'STMFNTS rONC;T
uQ Address 2401 I.RXTNCTON AVF S
City MANOr1TA HTS Phone 454-5191
Gw Name
zz
Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
information is corre nd agree to comply with all applicable State of
Minnesota Statute and ity of Eagan OrInap?
Signature of Permit" I„p , ,? -
OFFICE USE ONLY
Occupancy R-3 M--1 FEES
Zoning _
(Actual) Cons(
(Allowable) -
8 of Stones
Length Garage 22x20
Depth Roan 14X20
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump _
APPROVALS
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI
252.00
12.50
164.00
A Building Permit is is u to: VALLEY INVESTMENTS CONS1? Planner =
on the express conditi6cf that all work shall be done in accordance with all I Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. On.
Building Official "-`n R Q?i!J 11 Variance
rr t
Road Unit
Park Ded.
Copies
TOTAL
428.50
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ........ .. .-' nom!-+t''-------.....---..__..
Address (present)
Builder ..........:..
Address ------------------------ .............
DESCRIPTION
N° 18'72
Eagan Township
Town Hall
Dale .... !/-.a.`.3/c
Stories To Be Used For Front Depth Height Est. Cos! Fee
Permit I Remarks
oyr I ,
A
A62o?
f' ` LOCATION
Street, ltoae or oiner uescrrpnon or r.ocanon Lor aroca Acalnon or Tract
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if 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 PROGR?yE-SS.
This is to certify, that ..... 4r,.41.......L.t.?fT.!!-?: '..-el_. ....has permission to erect a.._..d.... ... `.- ....... ...-upon
the above described premise subject to the provisions of the Building Ordinance for Eagan To nship ad pied April 11,
1955. ?J?
.................. Per ..................... (e!ti?y. u.......r. L!?i ... e.L----............
........ .......... ...... ......... f
Choi an of Tnwn Board Building Inspector
e, 6,
CITY USE ONLY
PERMIT #: ?`( ( RECEIPT DATE:
8002 RESIDENTIAL MECHANICAL PE$MIT APPLICATION
crfY OF EAGAN
3630 PILOT KNOB RD Ron
EAGAN MN 55128
651-6$1-4675 Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: u' U--0c).
SITE ADDRESS:
R ? ? T?
APR 0 5 2001
OWNER NAME: 35/b Bre z??,SlL rr TELEPHONE #: 6757 SAS 4-/4/A
INSTALLER NAME: ?LXyISm ? LA ` t l Q _ ?-t li i TELEPHONE #: _ 1S C1l'000
STREET ADDRESS: ) au g I Iunr4 >2 _ ?S ALxlrQ l KJi S
CITY: ??Q t )CRGCL STATE: ZIP: SS32 d
Place a check mark next to the permit work type
Add-on, modification or alteration to existing dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other ,r plc
V
Nature of work: (JY ?p . /1 p???.?_
State Surcharge $ .50
Total $ ,). SU
§IGNXTURE F PERMITTEE
voz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAtGAN
3830 PILOT KNOB RD
EA GAN, INN 55188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:'
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
- Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1% = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
CITY USE ONLY
L BL `
SUBD. Cedar 61raC # 10
RECEIPT #:
RECEIPTDATE: ??J•???'D-I?
PERMIT# g3gqb
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF RAGAN
3830 PILOT KNOB RD
EAGAN, NIN 55122
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
eAeU if
TATAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ Ub
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge $ .50
7
0
Total '
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- --- - - --- -- ----- ------- --- - --
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its
normal operational ano .nom ntananra arc - f' m tha facilities constmctadJunde this permit within City property/right-of-way/easement.
SITE ADDRESS
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
BREZINSKI, JUDITH
1766 SERPENTINE DRIVE
EAGAN, MN 55122
(651) 454-1422
TELEPHONE #:
TELEPHONE #:
STATE:
ZIP:
OF PERMITTEE
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 ?1
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
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number: 146 I
Billing Name:
Site Address: 'V-4?6 /ZaI/ll sdis i..n.
Owner: (sus;e,?o tom, Billing Address
Plumber:r
tion Meter Size ' Connection Chg.,K ?. ys4s
Meter No. 'Permit Fee 7.50
Meter Reading ,Meter Dep.
Meter Sealed: Yes_ I Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: I Remarks:
Residence_t_
Multiple No. Units
Commercial
Industrial I By;
Other 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: sjja ,
Please notify the above office when ready for inspection and connection.
L--J ?.1
EAG!N TOWNS'81P
2795 Pilot Knob road
St. Paul, Minnesota 55111
Telephone 454-5242
PERT&IT FOR SEWER SERVICE CONNECTION
DATE: NMSER 263 _
OWNER: 1. dress4(4 O /W w kmJ1?GSL ??,
PLUMBER TYPE OF PIPE d/J-// L-?
DESCRIPTION OF BUILDING
Industrial Commercial) Residential I Multiple Dwelling I No. of units
Location of Connections:
Connection Charged
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, MinnesotaA
By .._._
ac
Please notify when ready for inspection and connection and before any portion
of the work is covered.
COUNTY OF RAMSEY
OFFICE OF
STATE OF MINNESOTA
WARREN H. SCHMITT
CHIEF DEPUTY
JAY P. O'CONNOR
ABSTRACT CLERK
RAMSEY COUNTY COURT MOUSE
SAINT PAUL
MINNESOTA 55103
City or Village: ft e4t
% Clerk
County of: zs-?
Subject: Pending Assessments
Request is hereby made
to determind whether or not
not certified to the office
the following described pro]
g 1969
as of this date r,,P.R
there are any pending assessments
of the County Auditor pertaining to
)erty: /
Assessed in the name of: ?1-
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
Sewer & Water Lateral & Storm Sewer completed
$1472
Whereas the inforpation shown above is intended to be reliable
the R? ?9y n' ? Clerk assumes no liability for its
accuracy.
R - Clerk
Please return one copy ® /J /7D C
252 00-
12.51?
164.00+
252.00
12 50E
\ 154.00
42d•50:
J)?'
1991 BUI 1q10 LDING PERMIT AP LIGATION
CITY OF KAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY GALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL B E ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST OW A LICENSED PLUMBER.
1 Ar-N T7R-(- 00
To Be Used For: nJ Valuation: ZOO d Date:
Site Address
LotJ0? Block Do ??IJ?
Parcel/Sub GEI)AR (?5Rav6 (6TMAt*'N .
Owner-ROB Address ?7?f7 t1jE?Ir?/ /n1?
City/Zip Code/`/ X+
Phone
t
Contracto'Nr
Address C 6 /
City/Zip code
Phoney-
Arch./Engr.
Occupancy -3 M-1
Zoning
Actual Const
Allowable
# of stories
Length &AeAse 22x2,0
Depth Roots 14 x 20
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV _
Booster Pump _
APPROVALS _
Planner
Council
Bldg. Off. =60- .5/
Variance
Address
City/Zip Code
FEES
Bldg. Permit ZSZ.oo
Surcharge 12 .SO
Plan Review 6
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ?' ()
Phone #
S er/Water Licensed Contr.
f?(/ 1 agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
G A
7- 2 y`??xiS= 6Goo
/ y X '2? -- 2 ESa X J 3 s I? ?' ?( t?
?r2c.H
3000
2yyo?
v Ki, 2 S? v?? '"
Cities Digital Quality Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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 RemodeUReoair Recuinments Office Use Only
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Carl 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 team & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date OS /-D-L/ 01 Construction Cost T7 )CLO
Site Address ! y (w, , y W y- Unit/Ste #
Description of Work ica Y o 4 1 1 \rU /
Multi-Family Bldg _ Y ,V
,N
Fireplace(s) - 0 - 1 - 2
Property Owner '6W TA Z I0 S)?1 II ''
Telephone # ((QQ)
Contractor
Address C( ?pp
City l t V
\Ij State [M Zip S Telephone # (C61) - IqLpv
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.
NIC\_1 TCVAO?j U
Appl cant's Printed Name Appli ant' Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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) - 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) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement)
- 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140609
Date Issued:01/06/2017
Permit Category:ePermit
Site Address: 1766 Serpentine Dr
Lot:041 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 (WS &/or WH)$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 -
Robert A Brezinski
1766 Serpentine Dr
Eagan MN 55122
(651) 454-1422
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature