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1769 Serpentine Drr City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit #: 93 Permit Fee: Date Re Staff: Gsoo ived: q- % -0 INFLOW NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite #: RESIDENT /OWNER Name: ST5PftJ /4 OLS ON Phone: (PSI -4 /-I S? Address / City / Zip: l ?(e9 SEf 6NTt N6 b... EA -GA -A) 6-4Z.2 CONTRACTOR Name: -F--License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) J•.. Sump Pump Repair(QfJLn Repair 3 use yd Other: h' Other: DESCRIPTION Description of work: p LR Ct .u -kr I".N&p 4- i' S cIFAARIj6 TU OGt(S t �E FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting[www.citvofeagan.com/inflow; or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.' www.gopherstateonecall.org] 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 i re • res rev' w and approval of plans. -Ari/ App icant Signature Applicafht's Printed Name x FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough -In Final íü ô ø þýýüûúÿûú ÿ ùüüýýÿøûù þ úÜæáó áã þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ù÷ òóòä áäæãáð û ù ÿòøíòø ñáïî áí óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN 94"f5 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121 PHONE: 454-8100 BUILDING Receipt # PERMIT PORCH -, Te bewed 1w A,)DITION/DECKEst. Value YIO, 00G Dote %?U fi;;1' 3U r 19 "4 1769 SERPENTINE DR Site Ad-teas Erect CED GRV 6 5 ? R3 Occupancy Lot Bl Remodel ock Se/Sub. ? Zoning R Parcel No. Repair ? Type of Const. V Enlarge IX No. Stories 19 Name RICHARD PARKS Move C1 Length Add SAME Demolish ? Depth ress b City Phone 4 5 4- 5 7 6 3 Grade ? Sq. Ft. i Name JOHN a. JONES Address 504 VAL£,1'Y HI I- c;tv BURNSVILW;' tine Name _ Address Phone I hereby acknowledge that the information is correct State of Minnesota Statuf Signature of Permittee _ A Building Permit Is Issued all work shall be done in c and state that all applicable Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8/29/84 APC Var. Date Fees Permit Y"" . - w Surcharge 5.00 Plan check SAC Water Conn. Water Meter Road Unit Parks 50 Total on the express condition that all o licable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Plumbing H.VA.C. Electric / .?q43. `t Softener Inspection Date Insp. Other Footings Foundation Framing e Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final CWVOCC. Water Describe ocatio n: Well Sewer I ?a?,? `Q -0 ?/ Pr. D'np. I POP- Uaid i CITY OF EAGAN Remarks Sew & wtr Addition Cedar Grove #6 Lot Blk 5 Parcel 10 16705 050 05 Owner's Street 1769 Serpentine Dr. State-_ Fagan,M 551 92 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1 O 1472.00 WATERMAIN WATER LATERAL 1970 WATER AREA STORM SEW TRK 1970 2 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 210.00 1529 7-1-69 BUILDING PER. SAC 200.00 1529 7-1-69 PARK i9lmon°ns fromitl %50 YX 0 5 A45923 65 C_" ? Request Date Fire No. Rough-in Inspection O Regmr ?Ready Now ill Notify, Inspec- '? " V as ? No [or When Ready icersed Electrical Contractor I hereby request inspection of above ?Owner electrical work insta l led at: Street Address, Box nr Route No. City l •fN y JC- ? action No. Township Name or No. Range No. County Occupant )PRINT) Phone No. a p er SnPoller Address - f ? ? 7&) / / / -? /?/ EI etri cal Contractnr (Consomme Name) Contrac is License No. ; r1151 VA ., t 1 70 ^j ailing Address (Contract r or Owner Making Insta lationl MT1 S?ia . Authori Signature (Cgnlractor/ wn Making Installation) Phone N umber 3 - 3 O MINNESOTA STATE BOAgB OF ELECTRI4TY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bldg. -Room N-191 RE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1921 University Ave., SL Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 00001-04 X4.5 ? 174- ? Sae instructions for completing this form on back at yellow copy. 3/95 A 4S 9 G 3 '"x;, Below Work Covered by This Request Ne4 Addj Rep. Type of Building Appliances Wired' Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader I ndus4ri al Bldg. Air Conditioner BUlk Milk Tank Farm Other pect y Other (Specify) ther peci y Other Other Compute Inspection Fee Below a Fee Service Entrance Size h Fee FeedersrSUbfeeders rf Fen Circuits 10, CC U to 200 Amps 0 to 30 Am s 0 to 30Am s Above 2s 31 to 100 Amps 31 to 100 Am s t Swimmin Above 100_Amps Above 100_Amps Transform Irrigation Booms $ b Partial-'Other Signs Special Inspection / g 7 `- TOTAL F ` R?¢arks d .. r Q ?^i tL /jc.J f ? EE / I lVl V4 Rough-in Dab ? r ?e Elecvical Inspector, hereby certify that the ahave Final / Date pection has been t? "Ida. This request vole 18 months from CITY OF EAGAN N? 9475 f 3830 Pilot Knob Road P O Box 21.199 Ea an MN 55121 9 . PHONE: 454-8100 q ? BUILDING PERMIT PORCH Receipt 3 # / S Te be wed for ADDITION/DECKEn. Value $10,000 pore AUGUST 30r _ Iq 84 Site Address 1769 SERPENTINE DR Erect ? Occupancy R3 Lot 5 Bl ock 5 Sec/Sub. CED GiRV 6 Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. V Enlarge 11 No. Stories c Name RICHARD PARKS Move ? Length Z Address SAME Demolish ? ? Depth City -Phone- 454-5763 Grade Sq. Ft. a: JOHN L JONES CON Approvals Fees i o Name ST Address 504 VALLEY HIGH RD City BURNSVILTgIko'ne 890-1148 FW Name 1? Address _<w City _ Phone I hereby acknowledge that I have the information is correct Qrnd a State of Minnesota Statute and Signature of Pennittee A Building Permit is iss all work shall be done this l tion and state that to cly ith all applicable of ;7P, n rdinances. all CONST Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8/29/84 APC Var. Date Permit yvv.JV Surcharge 5.00 Plan check SAC Water Conn. Water Meter Road Unit Parks Total - on the express condition tho, Statutes and City of Eagan Ordinances. Building Official V-4-CA v1•Jil? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be ?Iy 7 S? INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY ?0 U'jE QcDnI TIDNi ?.raC? ?oeGN Q SET OF ENERGY CALCULATIONS Used For: , Valuation# Z U Date: Site Address:/ 7 6, C1 -57-f'4 ^ "'< : j-2 Lot: Block: 5Sect/SCEIcey, C7vyu?6? Erect: Parcel Remodel: Repair: Owner: Enlarge: Move: Address: 07 Demolish: City/Zip Code: 15' V / 4 z Grade: Phone Contractor: yN t Address: .? City/Zip Code: Stlli Phone E2 (l_? Z'! k", Arch./Eng: Address: i City/Zip Code: Occupancy: 3 Zoning: ?2- Type Of Const: g # Stories: Length: Depth: Sq. Ft.: APPROVALS Assessments: -?_Water/Sewer: /Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: Permit: fV Surcharge Plan Rev.: SAC: Water Conn: Water Meter Road Unit: ?/Jq/fjq Parks: Z2 ? T'?? EAGAN TOWNSHIP BUILDING PERMIT Owner ^i Address (present) .:..e6r.?..?.:..fT..t-??..-n?....... Builder ._.......-'---....--`----.........----- ..........................._._.._---._......... Address --------------------- ........__....-----.-'`--..............--------------.......... DESCRIPTION N° 2048 Eagan Township Town Hall Date .G?'3O.lG-Y? ...................... Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks Street, Road or other t)escIlptlon at Location Lot Block Addition or Tract s f- I 8 1--- -d? 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 PROGRESS. This is to certify, ....................he, permission to erect a...7........... ....... -! ? .......Upon the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11. 1955. u g? x- --.... ............_-.... Per ........._ ...........((X"".`./...._ ------........... Chaian _ of Town Boa Building Inspector CITY OF EAGAN CASHIER: JS TERMINAL NO: 664 DATE: 09/25/00 TIME: 15:18:50 ID: NAME: FIRESIDE'CORNER 3210 9001 1769 SERPNTN DR 60.00 2155 9001 1769 SAPNTN DR 0.50 Total Receipt Amount: 60.50 CR137871 USER ID: JAN 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 / 651 681-4675 Date: SF?,1 a?s`fbi Description of Work: V' Construct new fireplace -Gas -Masonry Job address: -L Lot: 5 Install sas insert oale 5o Alterations to existing Install ras line only Block: - Subdivisiow?.I.D.#: t,eddr rare * Applicant (circle one only): Name: 2 I's, 0 Y, // 11? a P I f, Last First PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Street City 0 Phone #: (area code) State: Zip: 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 o Eagan Ord' nces. Signature Street Permit Fee. 860. SO G/5`/ - Phone #:0 / t/l°J 0 City C ? 0 i1 State: // / Zip: ?Ij Other Owner Contractor ?d tv' aq (area code) Street Address: J S [Al 1. .2 City A CO e b I State: Zip: 33 OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 ? 39 Gas Line ? 41 Wood Stove ? 40 Gas Insert REMARKS Chimney/flue must be inspected before concealing. I City of Eagan Cash Receipt Receipt Date 10/4100 Time Printed 15:39:17 Receipt Number 1126 MINNESOTA EXTERIORS INC 1769 SERPENTINE DR 9001.2195 3.50 8P 43113 9001.408S 139.25 BP 43113 Total Receipt Amount 142.75 User NMCGRAW 3 I I ? 200011IJ1'LDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 $ Ig2.15 651.681-4675 New Construction Requirements Remodel/Reoalr Requirements ? 3 registered site surveys stowing sq. ft. of lot, sq. ft. of house and 20 roofed areas (20% maximum lot coverage allowed) 2 copies of plans (stow beam & window sizes; poured fnd. design; etc.) 1 set of energy olculations 3 copies of he press lion plan if lal platted after 7/1/93 DATE: ,( DESCRIPTION FW RK: /)P?I?D STREET ADDRESS: I I I LOT: -1-- BLOCK: Name: l 1/ f S En c Y(psaL1{1 Qt-'? Phone C PROPERTY Last Fiat OWNER V P / 9 ?T-? Sheet Addressc:to City State: Zip: CONTRACTOR SS/ (/ L-x 3) 7? Exp. Zip: _a-yn ARCHITECT/ ENGINEER Company: , Name: Telephone #: ( Sheet CHy State: ZIP: Sewer/water licensed plumber (If Installing sewer/water): Phone #: (j I hereby acknowledge that I have read this application, slate that the Information k 1l d ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 2 copies of plan 1 set of energy calculations for heated addiffona 1 site survey for exterior oddtilons & decks Registration #: (area code) Certificates of Survey Received Yes No OC-( Q 2 ZQQQ Tree Preservation Plan Received Yes No Not Required 1 CONSTRUCTION COST: In3l. (/ 0 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plea ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? .11 10-plex ? 06 04-plea ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg y or_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)` ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair . ? 42 Demolish (Foundation) ? 46 Windows/Doors • Glve PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 678 DATE: 08/16/00 TIME: 07:55:37 ID: NAME: BEISSEL WINDOW AND SIDING 3210 9(:01 1769 SRPENTINE 125.25 2155 9001 1769 SRPENTINE 3.00 Total Receipt Amount: 128.25 CR135980 USER ID: JAN 4 d 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN I D ?r 3830 PILOT KNOB B RD RD - 55122 QLJ, 651.681-4675 New Construction Reaulrements > 3 registered site surveys showing sq. M. of tot, sq. ft. of house and gll roofed areas Q% maXmum lot coverage allowed > 2 copies of plans (show beam f1 window sizes; poured Ind. design; etc.) > 1 set of energy calculations > 3 copies of free preservation plan It lot platted after 711193 DATE: n '"f? UJ /I DESCRIPTION OF 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks _co CONSTRUCTION COST: 16 STREET ADDRESS: 176 2 ??j?+JT? e - LOT: 5 BLOCK:'- SURD./P.I.D.11: Cedar trove. *L PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name:S--Qd2 J r Awe- ? /"/ C?,Pl'e Phone S: Last First City ?? 63an/ State:, zip: 2 Z Street Compan C 55' e / ?tJ/N?u> ?! dim Phone If: (area code) Street Address: License ff Exp. 03 0 City _ - e State: h2A/ Zip: Company Name: Telephone #: ( ) Sheet Address: Registration C city State: Sewertwater licensed plumber (H Installing sewer/water): Phone #,. I hereby acknowledge That I have read this application, state that the of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No Zip: and agree to comply with an applicable Staff No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ pbx ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24" Storm Damage ? 05 03-plex ? 11 10-plex Pibg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Muol Permit Fee Surcharge Plan Review License MC/ES 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 Units % SAC 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. VL Ed Kirscht Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je 0.-- EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER111T FOR WATER SERVICE CONNECTION Date: June 27, 1969 Billing Name:Cedar Grove Const. Co. Owner: Cedar Grove Const. Co. Plumber: Stein, Inc. Number: 297 Site Address:1769 Serpentine Drive -s- .5 - 4 Billing Address7343 Concord Blvd. E. ion of Connection Meter Size Meter No. Permit Fee 7.50 Pd. Meter Reading I Meter Dep. Meter Sealed: Yes_ IAdd'l Chg. NO [Total Chg. Building is a: Residence % Multiple No. Units Commercial Industrial Other 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. ?I By:?/1??Il?_ Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 27. 1969 OWNER: Cedar Grove Construction PLUMBER Stein. Inc. DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 200.00 pd. Permit Fee 7.50 pd. Street Repairs Total Inspected by: Date Remarks: NUMBER 427 Address1769 Serpentine Drive s -? L TYPE OF PIPE Cast Iron 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 Tovmship, Dakota County, Minnesota BY- z Please notify when ready for inspection and connection and before any portion of the work is covered. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110990 Date Issued:06/06/2013 Permit Category:ePermit Site Address: 1769 Serpentine Dr Lot:5 Block: 5 Addition: Cedar Grove 6th PID:10-16705-05-050 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Michele M Olson 1769 Serpentine Dr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118907 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 1769 Serpentine Dr Lot:5 Block: 5 Addition: Cedar Grove 6th PID:10-16705-05-050 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Michele M Olson 1769 Serpentine Dr Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature