3709 Burgundy DrSuite #:
RESIDENT /OWNER
Name: al17ob ? Noe/ /tic/ / phone: lD5/ "l-io 5""a2I
Address / City / Zip: ) id of 1 # , ` 5 5 . z„
CONTRACTOR
Name: MILBERT COMPANY INC.dba C GAN WA
.TER
Address: 1801 50TH ST EAST City AVER GROVE UIGTS
State : MN Zip : ' =', 55 Phone: 6S1 : ;45.1-2241
Contact BILL MILBERt . Email:
TYPE OF WORK
_ New eplacement Repair Rebuild Modify Space Work in.R.O.W.
_
Description work:
-
RESIDENTIAL
Water Heater later Softener
PERMIT TYPE
(
Lawn Irrigation (__ RPZ / PVB) Add Plumbing Fixtures (_ Main / _ Lower Level)
_
Septic System Water Turnaround
New
_
Abandonment
_
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
'Water Tumaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 StateSurcharge)
bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) �—�--
TOTALFEES$ Jl7 �06
Date:
Tena
CityofEaan
3830 Pilot Knob Road
Eagan MN 55122
Phone:
(651) 675 -5675
Fax: (65
Use BLUE or BLACK Ink
Date R • rived:
1) 675.5694 Stmt: 11
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 7 0q / u jun D r
CALL. BEFORE YOU DIG. Cali 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.aonherstateonecall.orn
I hereby acknowledge that this Informatlon 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 pproved pia i In the case of work which requires a review and approval of plans.
1 �1t4in ...I bQ 'e
-
Applicant's Printed Name
Applicant's Signature
J
From: Parsons Exteriors Inc Fax: (888) 426-9712 To Fax: +1 (651) 675-5694 Page 9 of 26 9126/2013 8:24
Use BLUE. of BLACK ink
£1fftse lC7s~ i
)6
City I PP~-rslit~:
-3 qq, 55
Pomit Ne:
3830 Filet Knob Fitsad
Elate. Received: V ~L ~ t
Eagan MN 5512 I p
Phone: (651) 675-5675
Fax:. (651) 675-6694 staff
Q~ I 11~E T'I,f~L ~t ~ILDI G PER IT' APPLICATION
Unit
i:3ate Site Addms:
E [dame. Phone. t
OW Address i wwity l Tip_ 114' 2_
er.
Appiicantis. Owner Contraalor
D esExpkranoF work W
-
Type o Work ~
Coristruedon Coss ltfllrib Farnilyr Eiuitding_ °r es l !f
C_4mpanyr y c, Contact ~p
Address` City. .d~
Contractor.
_ ~ ~
State: JUIA1 2tp. Phone: 4.✓
ALA-1--
if the project is exe pt from Iead cerEM tuna, please explain why, (see Page 3 for adds oval information)
VT
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last f mornfhs~ bas the City of Eagan issued a per.mff for a MmHar plan based on a master plan?
_Yes -_.,_Np if yes, date and address df master plan:
Licensed Plumber: Phone,
Mechanical.Contractor. phone;
Sewer & Water Contraetor Phanw. _
^1Va3`~r f~iarps aeatl supporting docurrreht fnaf yc,u,sud~frriE are cans,derecf to tro public i-taformateon. Portions ofY
the informatior, may be cfassf led as non-public if you pravlde specific reasons that ~waOt d pormit a ~:`i y to
conclude that 1hev are trade secrets.
CALL. BEFORE YOU DIG. call Gooer State One Call at (651) 454-0002for protection against undagrund utility amage. Ga#48 hours
before you intend to. dfg'lo receive lgo?jes of uncerpmund ubliGe ~ er.?a~h~rstzteeraa~ alt-orn,
herebj, arknovledgs that this irrtnrmatlctn'is cornpfeie and aczuratz: that the vvo1k -,nlt be in confamnanee with the ordinances and codes nt'flna City of.
Ebgan; that I understand thls is not a permit, but only an applieaUon for a permit, and vrark is not to start withoLd a Permit, chat the work yell be in
accordance voth the approved plan in the case of work % trich requireti a review and appmvai of plans.
E*rlerwark authorized by ,,a buitding Permit issued in accordance with.;the Minnesota State Building Coda must be LVropletad within 180
days of permit issuance.
Applicant`s Printer Name Applicanfs Signature
rage 102
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121863
Date Issued:04/16/2014
Permit Category:ePermit
Site Address: 3709 Burgundy Dr
Lot:303 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-303
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Joann Zinken
9320 Evergreen Blvd Nw Suite B
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Elizabeth J Mclane
3709 Burgundy Dr
Eagan MN 55122--315
(651) 405-8219
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121886
Date Issued:04/17/2014
Permit Category:ePermit
Site Address: 3709 Burgundy Dr
Lot:303 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-303
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 -
Elizabeth J Mclane
3709 Burgundy Dr
Eagan MN 55122--315
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
House heating test record CenterPoint
Energy
RTE-CrEIVED
APR 2 8 2014.
Owner 4w-tcontrols Conversion
Address khermostat P_R Heat plug Vent Size Y
City A Valve f'7 C.t9 Kind of liner/ size
Heat loss Date htg. inst Limit 2105-- Draft hood egulator tAr.
Soldby CenterPoint Energy Limit setting Filters: Size 16 40V-(Number
Installed by CenterPoint Energy Fan setting Chimney locations: snide Q Outside
Electrical work by CenterPoint Energy Pilot type Chimney construction AU6z~-V
Heat type *'tFA Q Space heater Pilot make Wiring Test tag >01
'J
Gas line by •r C.~w Pilot model Lighting Inst Date tested
Unit heater Other Pilot timing Company testin CenterPoint Energy
Gas design Pressure: Hi fire/Lo fire •S . Tester's name
Make 200C> Model NCILercent C02 I"G
Serial no. Input CFH 70 Percent 02
Input ? Stack temp Percent CO
CNP 235 (11-2008)
CA Use BLUE or BLACK Ink
EaaliFor Office Use
Clt O� Permit#: "[ b
41‘1111 /
Perm ////it Fee: (CQ(P t 7
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1' I
Phone:(651)675-5675 APR 131017
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:t l f / l 1 Site Address:3101 ,3-1 Oc% 11 t ,x,-113 11's car � bc Unit#:
Name: Phone:
Resident!
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of WorkDescription of work: Vs
Construction Cost: liCO V Multi-Family Building:(Yes '( /No )
Company: \ar c v- Co✓1$4 J h- or` c_ Contact: c"J1s•-
Contractor Address:V ,00 1 C 0,(015.1 IZ� City: CD rn Gam,//
State:Alb—. Zip: SVO 1t I Phone:(oil 1ctR"431940 Email: - ) -S€,guma- s I. C•01---
License
ar--License#: 12DC_tQ 3 i'1 F Lead Certificate#: A,)/t
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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
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.copherstateonecall.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 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.
X `"2.1-\)S\--"'"-, .5•1611,1)0\
Applicant's Printed Name ' p cant's Signature
Page 1 of 3
Oct 2218,09:53a Cities 1 Plb&Htg 651-487-1474 p.2
o O L T 2 2 201a For Office Use n/
p 6I& I*
i N
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� ..,
Permit Fee: J
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsecityofeagan.com I-
J
2018 j
8 RESIDENTIAL PLUMBING� PERMIT APPLICATION
Date: I0 Ia as \1g Site Address: 3141 UL(,{r it nOty Dr.j Plias',, /4ki 551,1g•
1
Tenant: Suite#:
_ 1l MG
Resident/Owner
Name: �-�l z a eilti Phone: ( 61- 4055- god 19
Address/City l Zip: 3?Q q {
�+ L• i
Name:Li-hes 1 r►U.tq\bt 6hO 11-etch if 1GI License#. ()L 'j/(".I t
p.
Contractor I Address: ' 7 l7 �t.l�0& evt(t City: Pa."
State: M N Zip: 11A Phone: 51 - 7 -�S`t
Can l €
Contact: 1n Y GLG Email: s • � :s. Yh 61 YI . C el WI €
s
I .Type of Work —New y Replacement Repair _Rebuild _Modify Space _Work in R.O.W.
`
1 Description of work: t Jn t)VUti4/ +6 SY tOWev C( 1vS t(jyt ) 4'e`*-d.," v.��4 1
RESIDENTIAL
i
y1 - Water Heater 3
:1Water Softener
1 Lawn Irrigation( RPZ/_PVB) I
1 Permit Type I X I
Septic System Add Plumbing Fixtures( Main/_Lower Level)
I
1 f New Water Turnaround
s _Abandonment i
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) I
t $60.00 Lawn Irrigation (includes State Surcharge) I
6 $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(indudes State Surcharge)
1 'Water Turnaround(add$280.00 if a 314"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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 dig to receive locates of underground utilities. www.000herstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comJsubscribe.
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 oftans.
x (10/ K on yx cL x ��Mt 67/At12--
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
gild
, For Office Use /� 7
2` .0 •
EAG Permit#:
�.� A N
Permit Fee' / � q
3830 PILOT KNOB ROAD I EAGAN,MN 55122.1810 Date Received:3' A.' 0
(851)675-56751 TOD:(651)454-85351 FAX:(651)675-5894
buildinalnspections@cityofeaOan,Com SEP 2018 L3taff;
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
09/12/2018
Date: Site Address:3709 Burgundy Dr
Unit ft'
Elizabeth & Sue
Nanta: McLane
Rt4slilenfv( ,::: Phone: (763)843-2709
:Owner,;:;; Addross/City/Zip: 3709 Burgundy Dr Eagan MN 55122
:"u• 't;',1:':,-!:
;1 •i _Contractor
e Description Bathroom Remodel-
:.';'';: : : ,;;:!::'::'..'• ;'0.;i;!1''‘ p of work:
1,V;1ypi0iotiSee site plans
„„ .:,;t{,„i,,.,..,, ,.;. .,fit"
dlo
s,,,..,..:,.,:,:41,.,srv- reit : + Construction Cost;. 6000
,k„n�,. ,,,.•:,,:.,,;,'',,.. Multi-Family Building;(Yes— I No 00
x )
j.;,�;, ,a:r7,n:: : ,t.'•,,,: Great Lakes
y,;;•., w!,,::,;, h•:r' p y: Windowsand Siding Co
,a: :; , ,, . .;;:N x,,,;,:.;{ Com anAshleyJ
,.,, ala;; :.;;, ,/;:,, :, ,,,., Contact
",;,;+' ,0:,,i..';:,.:r:;.,;:i0;' , Address: 14690 Galaxie Ave Suite 100
r Cenb tori,,.,,. t:m: Apple Valley
: ;;�•. ..:,��;�,;•Y;� 55124
• MN 8913400
',w` +.,, state: Zip; Phone: 952 Email; ashley�.greatlakes@gmaiIcorn
?,:,,,,,.,'.;, ;.,�k;' Lice y _ NAT-23297-2
+y yLlr;i.t;,.' ,. .... :'f�g.i l'•':nr nae#.
Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In tho last 12 months,has the City of Eagan Issued a permit for a similar plan baeed on a master plan?
�„Yes No If yes,date end address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor.
Phone:
Sower 8 Water Contractor:
Phone:
Fire Suppression Contractor:
r!'r,,;;1;Pbr►�t!ingi +! tp';alsCumenattlir Phone;
t}aori='a' harelPnafdar+d
ie' tiliti►"- •'vi Wtraieasimithat • ' . f:ititi prfblxiii !*Uao. Porttoniiier dikes
ds
You may ;.'�auu.,Mtri �. .,,:•• .,..�.•. ,,., .,. ��:,l,I#aff�fltdY bta,:•.:,;,'..,
.ro,canah,df.;tif.k;•lrr."`':sig+ ,?ao�„cr,,�l::;-;��;•';�;:i::���;•,:�`:';,,; :
subscribe to receive an electronic notification from the City of proposed ordinances by signing up for en email update on the City's
website at 3 ._,gigebitaftsgmtallgies.
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,
CALLBEFORE YOU IMG. Cell Gopher State One Call at(051)454.0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aoo0,erstateonecellorg
I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of ihe City of
Eogen; 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 requIree a review and approval of plans.
xAshley Johnson
Applicant's Printed Name x
Applicant's Sign
I
2/I'd b69SSL9ZS9�01 0S217T6S2S6 OOSMO�J:WO�Id i?Z:O 8102-Zti-d3S
3-301 , Jr end Dr /45-.. ‘ �..z
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition Move Building Reroof Demolish Interior
�c 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 Occupancy it,,_; 1 MCES System
Plan Review Code Edition / ,>Q J SAC Units
(25%_ 100% ) Zoning / - City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
__
Footings (Deck) Final/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
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding: Stucco Lath Stone Lath Brick—EFIS
y\ Insulation Windows
' Sheathing Retaining Wall:_Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /(0 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge6 °II'
n6 / "/
Plan Review`
MCES SAC 016
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant (2,
6 0
Copies
TOTAL 1
Page 2 of 3