3650 Burgundy DrCry of hp
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675 -5675
Fax: (651) 675 -5694 JAN 10 2011
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Applicants Printed Name
2011 MECHANICAL PERMIT APPLICATION
11 Site Address:(? U D bUr 9unl i
Applicant's Signature
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
Suite #:
J
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name: JO, VO 1 -r1 44 C O O 5I
Address / C � �r . / E: ar
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Name:
Dan Wohlers Southside Htg. & A/C _ #: �(- S-} 7 q E7
6950 W. 146 St., #106
Address: _ Apple Valley, MN 55124 — City:
State: (952) 431 -7099
i., Oh ier S S. i de a -`Wc er p&I
-
Contact: K i ‘ 1 l° Email:
New V Replacement Additional Alteration Demolition
Description of work:l e iJf D J - fiur Csu
COMMERCIAL
New Construction Interior Improvement
Install Piping _ ___ Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( _ Install / — Remove)
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
_ Heat Pump
Other
RESIDENTIAL FEES:
$55.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) tZ� TOTAL FEE
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $
COMMERCIAL FEES:
$75.00 Underground tank installation /removal OR
$55.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010 - $11,010 Permit Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
$ Surcharge
_ $ TOTAL FEE
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.nooherstateonecall.orq
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 plan/ss../
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From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:20 #482 P.041/043
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Use BLUE or BLACK ink
For Office Use
I ~j
fill j Permit #:1 " 3
City of EaEdn
3830 Pilot Knob Road Permit Fee: ✓ . 00 01
Eagan MN 55122 Date Received;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: 7~ t'7 I
I I
d 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v 2 I 20' 3 Site Address: s,t ,1^ l "nit
Name: Phone:
Resident/
Owner Address i City i Zip:
Applicant is: Owner Contractor
f Type of Work I Description of work: -foof_ no YL- Si cif
Construction Cost: 3 I O OO Multi-Family Building: (Yes / No__)
Company: ! Iftir C `S'f uchmi MZIwMa Contact: _ Wy ~71 ~fV1
; L UI 13 nIZ in
Contractor Address: 1514fJ1 W1~ ' JI f 1-A~ t' S. # city: M~~fi 1'
. '
State: MR Zip: 553VI Phone: 951- 941- L494
F_ License Lead Certificate f"I
1YT- 10gloy -0
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:
r 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 maybe classified as non public if you provide specific reasons that would permit the City to
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.aoaherstateonecall.oro
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 tate Building Code must be completed within 180
days of permit issuance.
x -aIS+eai x
App icant's Printed Name Appli t s Signal e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158152
Date Issued:09/27/2019
Permit Category:ePermit
Site Address: 3650 Burgundy Dr
Lot:703 Block: 04 Addition: Centex Vermilion
PID:10-16935-04-703
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jason A Sankey
3650 Burgundy Dr
Eagan MN 55122
(612) 360-3168
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature