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3775 Burgundy Dr ~ccj 1d Use BLUE or BLACK Ink r For Office Use ( ` I Permit t 1 City of Ea Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I >013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: IQ cY / 3 Site Address:377/'3-7Z -377-5' &^d Unit Name: yG-12 Cc 4 1" , 5- Phone: Resident/ Owner Address / City / Zip:3771-3773 -172d"' ~vr Applicant is: Owner Contractor Type of Work Description of work:, Construction Cost: - Multi-Family Building: (Yes No Company(2/72-es- )%Io Zr4e7e,1Ce Contact: R111 MgsaC 1~. Contractor Address:, h~ -T-- Contractor &D city: State-2&Z2- Zip:,jsGf l3 Phone: _e" -3-,?1- 04-0 9 License Afo 410 Lead Certificate #:/-1 - 791 - I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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? i _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: i a Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota St 'Iding Code must be completed within 180 days of permit issuance. x- 53 t Applicant's Printed Names Applica ignature Page 1 of 3 For Office Use j ® .1 E AGA N ::: e #: /17 C1761"/ ,1.5v ®... `� ®e es —7 c'' 1 �aP~ �+ : p `-�� I I/ R E C :1 f?w:a I) Date Received: r ��I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: 1 buildinginspections(a.citvofeagan.com MARL JL�� L 1 J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION ' �. �� Unit#: Date: � ��. � Site Address: � �/ r t Name: ,‘ -r '1_...-' '4414-'7 Phone: ‘0S l /2. Resident/ ' Owner Address/City/Zip: 102G Grye4/ I Applicant is: Owner Contract. i-4 - - Type of Work:;- Description of work: J/y1 w" /6 0 1 r ,�. Construction Cost: Cf:) WC X Multi-Family Building:(Yes /No ) Company: 'fir . �- Contact: i contractor —r-,i ,Pd _ Address:2 /2//0.7e., 01 �1 .f> k City: /OA/ State; /Zip 62O Phone: /2rlk Email: /4 //f� n, 1 m6 , 1 iv License#: t. Lead Certificate#: 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: x. 'NOTE:Plans and supporting documents that you submit are:considered to be public information. Portions of the inforniation may be classified as no ublic if you provide specific reasonsvthat would permit the City to'ciPticid4 that they are tra „s rets. .h. 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.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergro tility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conf. "anc= , it e or•in- ces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wor ' no to - a i o a ,-rmit; that the work will be in accordance with the app ved plan in the case of work which requires a review and appro : of plans ' App icant's Printed Name ppl'-'nt's ,f,nature r DO NOT WRITE BELOW THIS LINE ``- ticel cj '1°g ' /q 'q / 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 y 01 of 3 Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior to 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 ZO y • .,J Occupancy 2 L -3 MCES System Plan Review Code Edition (ry/yj zo Ic SAC Units (25%_100%,4) Zoning 12 3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) >L Final I No C.O. Required Foundation Foundation Before Backfill ZO 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 Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control y. Shower Pan Other: Reviewed By: 70044 in;it �yfi-- , Building Inspector RESIDENTIAL FEES /20 S9 - /4/- P Za.o Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 1 For Office Use9 ��j/� / % ; of: Permit#: /7 O& '7/ a. �, wry E AG ANb Permit Fee: 0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionscitvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: y/l IC: "'" Site Address: J?7 f s /3 u v d j/ - Tenant: 1 --°T"lX - Suite#: Resident/Owner Name: / "GVLQ-r."_ ,,k`C � Phone: Address/Cit` /Zip: or a(44.32...Name: k./ a-Pi' .C�'" p 1 . License#: 5� Cc (P� 1 Q . P i. fa Address: NA -41City: '^ Me Contractor r- '1_5-4 (J State: � Zip:cl . L Phone: f� 6"/ --` '1_5-4--- a_c -7 Contact: Email: Type Of Work —New Replacement _Repair Rebuild _Modify Space _Work in R.O.W. Description of work: (1 CiltQC r 47,7c1 RESIDENTIAL- L Water Heater Lawn Irrigation(__RPZ/_PVB) Water Softener Permit Type Septic System /\ Add Plumbing Fixtures(_Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) 1 $60.00 Lawn Irrigation(includes State Surcharge) I $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115:00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ m .. ALL BEFto ORE eYOU DIG. Call Gopher State One Call at(651)4 4-0002 p 54-0002 for protection against underground utility damage. Call 48 hours before you locates of underground utilities. www.qooherstateonecall.org 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.com/subscribe. 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 1.7AvN, 4 J- ,k"',,..e G c .`�� x Applicant's Printed Name vApplicant's ature 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: PERMIT City of Eagan Permit Type:Building Permit Number:EA156123 Date Issued:06/17/2019 Permit Category:ePermit Site Address: 3775 Burgundy Dr Lot:1 Block: 03 Addition: Seneca Hills PID:10-67125-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 Allan 3775 Burgundy Dr Eagan MN 55122 (651) 452-2776 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature