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1795 Serpentine DrCITY OF EAGAN Remarks Sew & wtr permits and Sew corm pd. on L-4-69 Addition Cedar Grove #6 Lot 9 wk 4 Parcel 10 16705 090 011 -?ke 14 Owner 1A . L, 9 L = street 1795 Serpentine Dr. State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 970 1472.00 20 Paid WATERMAIN WATER LATERAL O 20 WATER AREA STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1291, -10-6 BUILDING PER. SAC 200.00 1294 - - PARK EAGAN TOWNSHIP BUILDING PERMIT N°• 1975 Owner ?' .................. /...... ...................... ....-?----------------- Eagan Township Address (present) .------ Town Hall Builder ....................................... ..........---...__.............----......_._..-.- i Address Date ... ... ....-- LOCATION street, ttoaa or other Uescrtptlon or location Lo! Block Addition or Tract i C, /, y lee 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 --------- .........-.. on the above described premise subjee! to the provisions of the Building Ordinance for Eagan T wnship adop ed April 11, 1955. .......'--........ ..... .. L ....................... ?- -:. Per ............. ...._,.(_&!..._.(!.'r`'4.:c y....../.... Chat an of Tnwn Board ------- _.. . Building Inspector G - IS Cities Di r Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Citu of Eagan Cash Receipt Receipt Ste 3/31/288v Receipt k Ober 84547 ONIS No DRYCAR: 145°EC 10N 1281.4216 51.68 1795, 5'RPENTINZ DRIVE Total Rece:pa Amount SAO@ :17342 1::46112 RESIDENTIAL BUILDING 2-o L? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ef--,a New Construction Reguiements Remodel/Repair Requirements Office Use OnN 3 registered site surveys showing sq. ft of lot, sq. It. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (200h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-ske septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date )(D_ / C-) I / Q? Construction Cost Site Address ( - G) 5 l¢,- Unit/Ste # Description of Work I?r G I C4 Q Multi-Family Bldg - Y ? N Fireplace(s) _ 0 1 - 2 Property Owner h I (l hY P g0 "s" t,3 Telephone # (c s l) 45y - 2 (,b cA Contractor a0e0Fiae1°e dhn 9-,1M we rMir Wne Address License 11200909// 2laa N F ' ew AVe City State Roseville, MN 55113 6511633-2561 Zip Telephone # ( ) 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 Licensed Plumber Mechanical Contractor Sewer/Water Contractor tU 00 ? O T 2 2 2003 11111 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 appr d Ian in the case of work which requires a review and approval of plans. &rlS?- P, WZ- -1w??'c ? 1aYa Applicant's Printed Name OFFICE USE ONLY Sub Types ? 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 (screen/gazebo) ? 36 Multi Misc. ? 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 ? 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 I NSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing - Foundation HVAC - Drain Tile Other Roof - Ice & W ater _ F inal 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector .n'ItS%kfi.:ici'SYR$f^.?.u?M M??IyW. ry.µ?i??' '.?T.1 /,C%F%$*n7N%??C ;bSKtn"M'7A' CI fY 6,v EAC^AN L:f:SHTEX%t Jn rETWINAL. hl`-. E89 RATE: TI iE.. 09.Of?i24 t•W"E VASTER REMODELING, ;:K.. 2W 9901 7795 SERPUTI:N 97.25.. 205 9001 1795 BE:RPENWON 2.00 Total. feceaipi Amount: . 99.25 CWWO USER ; r „ -WA `n?%?iC?i7t*•J,S;@Yi*.?%k?k?c?7kvrR?? #.Y,.;krtgc$;)g7$:x%:,1X7%?t'7B%?%:%?*sk?" 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN Qc? Z? 3830 PILOT KNOB RD - 55122 / 651-681-4675 l U - a ( ?j New Construction Reautremenh Remodel/Repair Reaulremenh D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and all roofed areas (20% maximum lot coveraae allowed) D 2 copies of plans (show beam f: window sizes; poured intl. design; etc.) D 1 set of energy calculations D 3 copies of tree preservation plan it lot platted after 7/1/93 DATE: I zo l 4 J Name: M-fo ltr5514 A'71 )J<fA/454*-)Phone#: GS1 3&01 Last First DESCRIPTION OF WORK: STREET ADDRESS: P%2"IJ M z2k? ?r en LOT. l BLOCK: SUBD./P.I.D. #: C L C ?x ? G V C) PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Street Address: /747.5-- 45State: !-J,?/l) Zip: ?5 /ZZ city MASTER RF1v1C -,:i..: . Company: 32 Tenth Avenue 5 Phone HOpkins, Minnesci_ (area code) (612) 9? -? _ a 1 Street Address: License # 2-a12916, Exp. 7014 City 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions R decks CONSTRUCTION COST. . i?'D State: Company: Name: Telephnne #: nran rode t Street Address: Registration #: City State: Sewer 5 water licensed plumber (required for new construction only): Penalty applies when address change and lot change is requested once permit Is I hereby acknowledge that 1 have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required Zip: Zip: comply with all opplicabl RECEIVED OCT 21 1999 BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) P-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 ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0.43 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 n 38 Derno!iQ', /1r40rinr? r] 41 Deroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SAM Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building q of . Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered - Engineering Variance Valuation: $ Lf? 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. Ed Kirscht Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je E EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: .1 ? z Numbers 2$ Billing Name: Site Address: -? owner:Zjk ? z ,// sa [?. Billing Address Plumber: NO I Total Chg. Meter Size-??? Meter No?Pi G yam Permit Fee 7.50 Pd. Meter Reading`-..tJ Meter Dep. Meter Sealed: Yes 'Add'l Chg. Inspected by Date Building is a: Remarks: Residence Multiple No. Units Commercial Industrial 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: - Please notify the above office when ready for inspection and connection. EACIM TOIWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 7 /y?L q NUMBER. 369 OWNER, Address 9'y ?7?5 et® ?i PLUMBER TYPE OF PIPE CMG (/?/?[/ DESCRIPTION OF BUILDING Industrial) Commercial Residential i Multiple Dwelling No, of units Location of Connections: Inspected by: Date Remarks: Plea notify when ready for inspection and connection and before any portion of the rk is covered. Connection Charge 200.00 pd. Permit Fee 7.50 tea. Street Repairs Total $y 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 Toemship, Dakota County, innesota By 00 pq 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NM 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys shoving sq. R. of lot, sq. ft of house; and all roofed areas (20%madmum lot cwerage allowed) 1 Soils Report if proposed building is to be placed on dishubed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan Blot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellReoair Reauiremen 2 copies of plan slwwing footings, beams, joists Certof Suriey Recd `:,' :.- Y. "..N I set of Energy Calculations for heated additions Soils Report.,. _Y -N I site survey for additions & decks Tree Pres.Plan Recd - -=y` -_N, Addition - indicate H on-site sepfk system Tree Pre; Required, "Y.. _N on-site Septic System _?Y _N - Plana arp cnnaidprad nubile information unless you state thev are trade secret and the reason. Date le 1 l o Construction Cost 6 000 Site Address fojrry TT /U £ jZ . Unit/Ste # Description of Work ?2 - IZ oo F Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 _ 2 Property Owner gz ii•-) ( ?' LtL $a Itl , IK A v? Telephone # ( 9?177) Contractor ( L r>R E ?Jus Tj e Address 3 y 4& 274- L AV, City ?d9 r/y9G? . State /yt fU Zip X5-3715' Telephone # fiCe 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 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 Mechanical Contractor Sewer/Water Contractor 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. Applicant's Printed Name Telephone #( - o?? ?? - App scans tatur DO NOT WRITE BELOW THIS LINE . Sub Types ? 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 (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage`Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC - _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final _ Framing - Siding _ Stucco Lath _ Stone Lath -Brick _ Fireplace _ R.I. - Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector . Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Use BLUE or BLACK Ink I For Office Use I I I I City of E a~(~ 7~liitli Il I Permit _ I I ,h Permit Fee: 1 d7 3`S~ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 7 /_O Site Address: Date: Unit Name: Phone: Resident/ Owner Address/ City/ Zip:~~ Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: / Multi-Family Building: (Yes / No ) - L~ Company: Contact: //®I Contractor Address: City: State: M+ °Zip: Phone: ~ License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: j NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to i conclude that they are trade secrets. 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.qopherstateonecall.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 which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Ap icarit's Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office Use I I I City 1 ~a Permit#: of I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: wo L13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: , lf"/r tl 3 Site Address: Unit Name: Phone: ~a Resident/ / Owner ` Address I City / Zip:7 Applicant is: Owner Contractor Type of Work Description of work: 1;"P: AJ t1, Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn esot ate Building Code must be completed within 180 days of ermit issu x x Applicant's Prin a Name A p icanf Si ature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 2 0 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 6."( Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Q -' O✓11,[ Site Ad Address: 18.01 5 0thS t East State: Mn Zip: 55077 Phone: 651-451-2241' Contact: William R Milbert Email: License #: r C641376 City: Inver Grove Hgts. _ New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_, RPZ / PVB) _ Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) , O O f TOTAL FEES $ , 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 digit', receiv"e'locates of underground utilities: www.000herstateonecalLoro 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 epproved plan in, the case of work which requires a review and approval of plans. 11 x Ln ? /i Applicant's Printed Name Applicants Signature