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1786 Serpentine DrINSPECTIO CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 N RECORD PERMIT TYPE: Permit Number: Date Issued: Itu 1 1 It i M( 0 4'30,4 1 as /yl SITE ADDRESS: LOT I H Lit OCK !''1 0 CT C LIA1: 61i0vt 66 F L APPLICANT: j I,!;IMA PERMIT SUBTYPE:. TYPE OF WORK: ,,Alfa I:00f jS1NkM IIAMA41F Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING .Sr ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL -( 1970 1 2.00 20 Paid WATERMAIN * WATER LATERAL 1970 20 WATER AREA * STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1063 11-18-68 BUILDING PER. SAC 200.00 1063 11-18-68 PARK EAGAN TOWNSHIP BUILDING PERMIT No Owner ...... ..-e: ... ........_..-.c....-.... i. .............. .. - ....._. -s_... Eagan Township Address (present) ...... 1.....? ............ ....... ..... Town Hall Builder ....._ ................................................ ..... ._......... _............. -.. - Address .................. -------------- ....................... DESCRIPTION 1845 Date ...... .................. -. Stories To Be Used For _ Front Depth Height Est. Cost Permit Fee Remarks LOCATION SIre@l, noaa or orner Lescripllon or Locanon I LOr DIOCK Aaaltlon or Tract_ 61 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. - THIS PERMIT MUST BE KE T ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify. lhaL.4 ......_c-........._...-C.:....._ .............has permission to erect a_ ?..,tf' e ..... ... .............upon the above described premise subject to the provisions of the Building Ordinance for Eagan 'P?ownship spied April 11, 1955. r .......-v ...:........ .:...?..t,:- ----.. Per lC?.. .-- ?. ............... -- - Chairm k of Tnwn Board -- -- -- Building Inspector C rl +fqQ 5/ 1016" X007 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 3 registered site surveys showing sq. ft of lot, sq. R. of house; and III roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window saes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan ti lot plaited after 711W Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasm mechanical ventilation form RemodellReoair Requirements 2 copies of plan shoving footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Office use OnN Can of Survey Recd _Y _N Soils Report _ Y _ N Tree Pres Plan Recd _ Y _ N, Tree Pres Required _ Y _ N On-We Septic System _ Y _ N Plans are considered public information unless you state they are trade secret and the reason. 0-7 Date_///"?/ Construction Cost =n 6,2,0,Qp / Site Address i5;4atI04 Unit/Ste # Description of Work Q - f Multi-Family Bldg - Y OLN Fireplace(s) _ 0 - 1 - 2 Property Owner oeelza [ Telephone # (651) ?R4 - 6R#5 Contractor /?iHCIG?l? f7< ? Address 6'2cn S SlcP?p ?/2P? /? D n Y??tDr city p/_- y-d r y State ///f/ zip Telephone # (763) 323 3 - 6640 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I Energy Code Category _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet (J submission type) New Energy Code Worksheet 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 Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor 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 Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot so, ft. of house; and at roofed areas (20% maximum lot coverage allowed) 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 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE A- 14-Oa SITE ADDRESS M TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 VALUATION'L-l.Jb-a3 MULTI-FAMILY BLDG Y N APPLICANT Cedar Valley Extef lis, Inc. 13920Z111 -- STREET ADDRESS Coon Rapids, MN 55433 CITY STATE-ZIP TELEPHONE CELL PHONE # FAX O PROPERTY OWNER Y1 VIX?Xk?r TELEPHONE #1 JQ _W hPI ? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI.NNESO'I'A RUI.ES 7670 CATEGOR7' I _ MINNESOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recover System RemodeffReoair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions I site survey for exterior additions & decks Indicate if home served by septic system for additions Phone i# Lamy Sprinkler No. of R.I. Baths .__----°------------------------------------------°---_°..___..- I hereby acknowledge that I have read this application, state i with all applicable State of Minnesota Statutes and City of Ea Signature of Applicant Igo 2.5 Fee: $90.00 Phone # Fee: 570.00 Phone # n'. I ------- ------------------------ correct, and agree to - can czar OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 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 only) - 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) - FinaYNo C.O. Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector L LCD qq BL QQC SUBD. 0¢tYeureyG ?Q CITY USE ONLY RECEIPT #: Q? DATE: -11191-01-?J- 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on air conditioning _1,,," Add-on furna4m&'(e. rf4 Add-on air exchanger, i.e. Vanee system, etc. Date: p-2 . Kl( 1 T ? Minimum Fee: Add-on/Remodel (existing residence only) $4.00 LG V AC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 as Outlets (minimum of 1 required @ $3.00 each) ?-- ? State Surcharge .50 TOTAL SITE ADDRESS: ( i ?'? [ C-? ett 1 tcc\? I a r OWNER NAME: PHONE #k_-PFdOCI`? INSTALLER NAME: I\ - STREET ADDRESS: CITY: 12) STATE: II") ZIP: PHONE #: ((ok2 2 r L 1 V7 CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee 4[ 1% of contract price, whichever is greater. Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 111 fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR ?);cq:?i:y';a::?"x::? ScYOR96>k?YnX:ri:>?xrk?o;o!<rYXcrer?) :?%c;;.r.7,c;ol: `Xrc CITY OF GAGAN CASHIERn JS TERMINAL NOe 764 DATE t: 05/'1.0/99 TIMEr, 0:23:58 III:: NAME: Thomas McGowan Construction :32:1.0 9001 786 Serpentine 36305 3430 9001 17516 Serpentine 0„25 3422 9001 0£16 Serpentine 2W:11 20 9001 1786 Serpentine 1.:..50 Total Receipt Amount' 6H. H CF{ 10`.x)202 USER TD: JAN Yd?51<Xr'prYi%XYn Yi%"fkShY:XC r'I,On ? . %H?s7nM)$?:MRCY%;:)k)F'X)".Yf.??l`rK?X 'SCITV'W'EASAN PETMT• 3$30 PILOT KNOB RD EAGAN. MN 55122 651-6$1-4617 BATM 883 S-A-L-E-S D*+f-T 73Qm "Mmm TEF: BW CD TYPE: VISA TR TYPE: PURM M 3m DATE: NW M 99 15:11:58 TOTAL $611.11 ACCT: 4458131888812441 EIS 88? No 8188 NE, THOM A W N CARDME1B9t AdOiUlM RETfIPT OF 60006 WAR SERUM IN THE MW OF TIE ''TOTAL HIM HEREON AD AOTIB TO F" THE OICATIM SET FORTH 8Y TIE Camm'S M9EETm OITH TIE IWR Ip? S FOR U51H6 MA X 8vn2 /j/l _ TOP CWY-MB w BOT101 COP 1999 BUILDING New construction Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 1 ct? i ?p Remodel/Repair Reauiremenh > 3 registered site surveys showing sq. X. of lot, sq. ft. of house and gil roofed areas (20% maximum lot coverage ahowed) D 2 copies of plans (show team i window sizes, poured fnd. design; etc.) I set of energy calculations D 3 copies of free preservation plan h lot plaited after 7/11/93 DATE: DESCRIPTION OF WORK: 2 copies of plan t set of energy calculations for heated additions t she survey for exterior additions b decks CONSTRUCTION COST: ?/ Sib o0 STREET ADDRESS: /7 *? S45$f77E1/Ti /l/1-= 0 ?-i J '"-, LOT: BLOCK: (a SUBD./P.I.D. #: 0'Q' ? Oat G f 0 y -e L PROPERTY OWNER Name: Dcwq /L/ Phone #: Last First Street Address: City _Z/t/ State: Zip: Company: s -We'4jo<?ld e5lowr717-VI Phone#: /S/ sl?D-91?5? ( CONTRACTOR area code) Street Address: ?zLG ?(f?Fi2 i 1tE /License# Exp. City State: Zip: 76 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code Street City Sewer b water licensed plumber freauired for new construction only): State: Zip: Penalty applies when address change and lot change is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Informatlonjs correct, and agree to State of aaan Ordinances. A n i A Signature of Applicant f'2 I OFFICE USE ONLY Yes No Registration C with all applicabl Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool A 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code q3N (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Z Surcharge / 1, h b Plan Review :x4t" License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies 15, Total: "ol;l/ SAC Units Valuation: $ x,12 Q % 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. Ed Kirscht Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EKAe EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION OWNER: 4 c/ Ai?? +(iQCE? 4 LvJ. PLUMBER NUMBER 244 Address /Y/4-6/1 17l(. TYPE OF PIPE l.p t, lCirtJ DESCRIPTION OF BUILDING Industrial! Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge -v - r, er Permit Fee 7.50 4rz-?- 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 Totmship, Dakota County, Minnesota By, . (1f?IJ ?ic{G Please notify when ready for inspection and connection and before any portion of the work is covered. l EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:August 23, 1968 Number: 132 " Billing Name: Cedar arnvp (:onatrnntion Site Address: 17R6 gPrnPntlnA nriim Owner: Plumber: Stein, Inc. Billing Address same NO Total Chg. Building is a: Residence x Multiple No. Commercial Industrial Other Meter No, Permit Fee 7.50 P4 Meter Reading Meter Dep. Meter Sealed: Yes_ jAdd'l 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 t1P proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Stein, Inc. Please notify the above office when ready for inspection and connection. EACAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 Meter No. Permit Fee -7, 5" ra Meter Reading Meter Dep. Meter Sealed: Yes_ jAdd'1 Chg. NO Total Chg. PERMIT FOR WATER SERVICE CONNECTION Date: August 12, 1968 Number: 135 Ala Billing Name: Cedar Grove Construction Owner: Plumber: Stein, Inc. tion Building is a: Residence x Multiple No. Commercial Industrial Other Site Address: 1786 Serpentine Drive Billing Address same In consideration of the issue and delivery to me of the above permit, I hereby agree to do t1e proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. Inspected by Date Remarks: By: Chief Inspector By: BtwAag Tian Please notify the above office when ready for inspection and connection. PERMIT City of Eagan Permit Type:Building Permit Number:EA114242 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 1786 Serpentine Dr Lot:16 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-160 Use: Description: Sub Type:Reroof & Siding & Windows/Doors 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. 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. Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Devan L Voeller 1786 Serpentine Dr Eagan MN 55122 Bulldog Contractors Llc 3300 Edinborough Way Suite 201 Edina MN 55435 (952) 253-3350 Applicant/Permitee: Signature Issued By: Signature d/ Use BLUE or BLACK Ink \\Ci For Office Use / Pc ib 44/1)01 Eaaau Permit ; /06tyttq �O , Permit Fee: -6 3830 Pilot Knob Road - j � Eagan MN 65122 Date Received: Phone:(651)675.5875 Fax;(661)675.5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 02/07/2017Site Address: 1786 Serpentine Dr Units: Joan & Devan Voeller 651-688-6945 Name: Phone: O �r,, " Address city/zip: 1786 Serpentine Dr, Eagan, 55122 4 Applicant is: _Owner x Contractor °" " ' Bath remod see site plan for details ' ' Description of work:Yp�> "Wor �� jv' 5000 x Construction Cost: Multi-Family Building:(Yes /No_ ) Company: Great Lakes Windows & Siding Gontact: Derek � , , ,,'�, co Address. 14690 Galaxie Ave City: Apple Valley MN 55124 952-891-3400 derek.glwsco al gmail.com State: Zip: Phone: Email: l BC060427 NAT-23297-2 �„ .,,�� � �...W. , ���'�,,.:..9 Wens** Load Certificate#: If the project is exempt from lead certification, please explain why: /311i4.T iti G r - / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permit fore similar plan based on a master plan? _Yes No if yes,date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public Information:. Pollens:of the inform.Uon.May be claseclll ed as non-public if you provide specific moons that would permit the City to „k^ ,• . ..'. ••.. .•..:. ...'vt',S,'.`'a'A1"w$.W� ...aWW ;�•i..Wi t•'d.;w ,k,�t...::ilpnw.t ..,np,:.. conclude.that the• arw.9 /adet 4v^; A :1 :,t.,.;,• ,•:•: ,:R,,. ., CALL BEFORE YOU DIG, Cell Gopher State One Call et(661)464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_000herslateonecalLora I hereby acknowledge that this information to 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 end approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State,Bulidln a must be completed within 180 days of permit Issuance. x Derek Brouillet x Applicant's Printed Nemo Appllcanrs S re Page 1 of 3 t7,T d t769SSL9TS9:01 @S2t71682S6 00SM1S WOad L2:t,T LT02-L-83d 4 : lE• 041' . 1-7R6,-, 4DO NOT WRITE BELOW THIS LINE /4/60 SUB TYPES _ Foundation — Fireplace _ Porch(34eaeon) Exterior Alteration(Single Family) 4 Single Family Garago _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck — Porch(ScreenlGazeoolPorgoia) — Miscellaneous _ 01 of__Plea _ Lower Level _ pool _ Accessory Building WORK TYPES Now _ Interior Improvement _ Siding Demolish Building" Addition _ Move Building _ Reroof _ Demolish interior Alteration _ Fire Repair _ Windows ^ Demolish Foundation — Replace _ Repair _ Egress Window Water Damage — Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ,Z 4t2 Occupancy Z/ -I MCES System --- Plan Review Code Edition ,Vi/t SAC Units -- 0 0 (25/0_100% ) Zoning IL,--I City Water Census Code 4 J y Stories — Booster Pump — #of Units / Square Feet PRV #of Buildings / Length --, Fire Suppression Required — Type of Construction _Ida_ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice Water Final Pool:_Footings Air/Gas Tests Final ,,e- Framing 30 Minutes_1 Hour Drain Tile Fireplace:_Rough In s„Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced WallsErosion Control — Shower Pan Other: Reviewed By: P , Building inspector RESIDENTIAL FEES ,�y Baso Foe 7 3 �: 16 !� 6 o,d ' f! 0267 Surcharge Plan Review /./7 it- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 b/Z'd 1769SSL9TS9:01 OS2b1682S6 ODSM19:WO8J L2:t7t L102-L-83d PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141184 Date Issued:02/27/2017 Permit Category:ePermit Site Address: 1786 Serpentine Dr Lot:16 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-160 Use: Description: Sub Type:Residential Work Type:Alteration Description:Conversion from tub to shower 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 - Devan L Voeller 1786 Serpentine Dr Eagan MN 55122 KMJ Plumbing Inc 16255 Foliage Avenue Rosemount MN 55068 (651) 442-1245 Applicant/Permitee: Signature Issued By: Signature