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