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
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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