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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 £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 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