3770 Burgundy Dr
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City of EPermit#: I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 21,'? 1113 Site Address: ~ 614 77d &62/ Unit
Name: Phone:
g Resident/
Owner Address / City / Zip: 3744~- 37;g43770 ~Ll~rd1li(
Applicant is: Owner _K Contractor
Type of Work Description of work: S'/
Construction Cost- e~ Multi-Family Building: (Yes / No
Company: Contact: sce_
Address: City: _&z)ls
Contractor
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State: Zip: Phone: 46 4P - ' a609
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License A ge'2' Lead Certificate #:&q :3~ 9 /r11
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
_Yes No If yes, date and address of master plan:
i
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
3
Sewer & Water Contractor: Phone:
j 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.oopherstateonecall.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 State Building Code must be com I in 180
days of permit issuance.
X_ ! 1G C_ W1
x
Applicant's Printed Name Applic nt Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133457
Date Issued:10/14/2015
Permit Category:ePermit
Site Address: 3770 Burgundy Dr
Lot:1 Block: 12 Addition: Seneca Hills
PID:10-67125-12-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Seth Rosenbaum
3770 Burgundy Dr
Eagan MN 55122--316
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
Mar. 7. 2016 2:39PM TIM LEMKE CONST 6516029012
Date:
City of Eaiau
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 675-5675
Fax: (651) 675-5694
a ''Crttr`E D
MAR 0 71016
No.2072 P. 2
Use BLUE or BLACK Ink
For Office Use
Permit it
Permit Fee: /
Dale Received: 3n -7,,6
Staff'
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
�4. Site Address: 3770 U RGUNDy Pt.- Unit#:
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Description of work: 4061- Strut' MOW 0 L 4- Mitt a a.oa'r C4..os61-
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Email: ,�t���w�Ca[kLtanrfdm
License ft ka5 LIDC Lead Certificate #; NM-a553Sa
f the project is exempt from lead certification, please explain why:
• o0ter iAl 1???
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:
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CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45a-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goonerstateonecall.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 77rt LE -m &
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Mar. 7. 2016 2:39PM T;M LEMKE CONST 6516029012
DO NOT WRITE BELOW THIS LINE
No. 2072 P. 3
SUB TYPES
Foundation
_ Single Family
Multi
ACI 01 of3 Plex
WORK TYPES
_ Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ New A Interior Improvement
_ Addition _ Move Building
_ Alteration _ Fire Repair
Replace _ Repair
_ Retaining Wall
DESCRIPTION jp
Valuation 3
Plan Review
(25%100%°
Census Code
# of Units
# of Buildings
Type of Construction
v13,
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
'Demolition of entire building — give PCA handout to applicant
Occupancy gc-3
Code Edition Mr' zc"
Zoning P-3
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
Reviewed By: "dV1 io9 l big , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
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it
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Page 2 of 3
IAR-22-2016 10:42 FROM:RASCHER PLUMBING & H 6512244750 TO:6755694 P.1/1
Use BLUE or BLACK In
rY1t t1 411?
�.� %- Jo•t 4s�r^
Cityof Eaau 6's'. as'i_ -q
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax; (651) 675-5694
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
For Office Use
Permit #: /,--
Permit Fee; 6C - no
Date Received:
`Staff:
3 -aa- I
Site Address: 371 0 SLI? i4 ..e FA—fait
i enans:
iResldentlOwner
/
Name: v t , 0.� ^ b 4J4" Phone: 65-I- T " 0077
' �--
Address / City / Zip: ��- Yin N ",ST //
•C'ontractor
Name: k /"f CivfIsrd 61, U cense fi:
•�()' .-S-41 i S City: at / t/
Address, y
-
j�7
Phone: e • l-'T 7 .9
State; Zip; c / I &?
ll
Contact: 33ga'S" c P/ Email: r oe. -' fa; c h•P' //i /1 T - . ‘41#0-,
Type of Work
New Replacement Repair 'Rebuild Modify Space _ Work in R.O.W.
— -- —
Description of work:
Permit Type
RESIDENTIAL
Water Hooter
c.. -g 44< k J
Water Softener
Lawn Irrigation (— RPZ / — PV$)
Add Plumbing Fixtures (_ Main / Lower Level)
_
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES;
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
'Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(Includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(includes State Surcharge)
Turnaround" (includes State Surcharge)
TOTAL FEES $ 1' O S a t- ?
(add $280,00 If a 3l4" meter is required)
New (includes County fee and State Surcharge)
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,gooherstateonecall.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.
J bst,h W.
Applicant's Printed Name
x
Ap
ant's Signature
FOR. OFFICE, USE Reviewed By: Date:
Required InspectIon:s: Under Ground Rough.ln Air Test Gas Test Final
Meter RelatedItems; Meter Size Radio Read .. Manometer. Staff;
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150043
Date Issued:06/19/2018
Permit Category:ePermit
Site Address: 3770 Burgundy Dr
Lot:1 Block: 12 Addition: Seneca Hills
PID:10-67125-12-010
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Seth Rosenbaum
3770 Burgundy Dr
Eagan MN 55122--316
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
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