3713 Burgundy Dr
Job#- -3sS3
__Use_B_L_UE or BLACK Ink
_
For Office Use pp~~ 1
City 111111~~no I Permit#: I ~ V
U it I
J D~ I
3830 Pilot Knob Road I Permit Fee: I
Eagan MN 55122
Phone: (651) 675-5675 1 Date Received: I r
Fax: (651) 675-5694
I
Staff:
L-- -
2013 MECHANICAL PERMIT APPLICATION`.
❑ Please submit two (2) sets of plans with all commercial applications. Cry
Date: //Site Address: ci " 0
Tenant: l~(a r Y1 c Suite 5
Resident/Owner Name: r- C4 ri if, Phone:
Address / City I Zip: ' f n r
Name: 0 1~ Ftc Gl I ~ ( _ License 2- 0 ~o
Contractor Address: 19 0 4 VP-vm i I I (Icity: S~`lta~ ~
State: 1l Zip: se~ Phone: -t Q 5 431 _ 9 2-~- -I X
Contact: Email: IcxrYt(.V1iC(~}~c rrSC~y~~Yt~~,tst;r( ~t1y. COYV1
New AReplacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
L Furnace _ New Construction _ Interior Improvement
Permit Type --Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank L_ Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 0 0
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) Permit Fee
*If the project valuation is over $1 million, please call for Surcharge 5.00 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.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.
x ~-.vI'm r cph,--Y-suy-) x c, ;fit , kc t
Applicant's P nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By: Date: -
Underground _ Rough In _ Air Test Gas Service Test _ In-floor Heat Final HVAC Screening
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
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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
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161383
Date Issued:05/21/2020
Permit Category:ePermit
Site Address: 3713 Burgundy Dr
Lot:301 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-301
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Karen Tste E Carney
3713 Burgundy Dr
Eagan MN 55122
(651) 688-7393
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136760
Date Issued:05/27/2016
Permit Category:ePermit
Site Address: 3713 Burgundy Dr
Lot:301 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-301
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.
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 (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 -
Karen Tste E Carney
3713 Burgundy Dr
Eagan MN 55122
(651) 688-7393
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171028
Date Issued:07/28/2021
Permit Category:ePermit
Site Address: 3713 Burgundy Dr
Lot:301 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-301
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Karen E Tste Carney
3713 Burgundy Dr
Eagan MN 55122--315
(651) 688-7393
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature