3719 Burgundy Dr
From: Parsons Exteriors Inc Fax: (888) 426-9712 To Fax: +1 (651) 675-5694 Page 8 of 26 9126/2013 8:24
Use BLUE or BLA Ink
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' 540K t
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383o Pilot Knob Roads I f
a e MN 55122 Date Recelved:
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Phone; (651) 675.5675 1
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Faxy (66'1) 675-5694 V
013 RESIDENTIAL IJ ILDING PERMIT PLI CATION.
Date. Site Address ' unit
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Resident/ ~ ~f' : fit' Y 3~
Otivn , Address 1 tarty i Zlp:
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Applicant is [owner Con"Ctor
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Description pf.work- ` LA/f P `~l r 3r dg
Typ oaf Work - 3
Consiruvfion iCQ§it.. l`rllulli-Family Bu ldirtg: { fee 1 No
Carr&pany C!-, <,pCcmtact
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Cityn:
contractor Address; "4
State= li dip: - Phone: qL
License 1COS Y 711 Lead Certificate YS`_?
If the project is sxe~ ptfrom lead, certiflcation; :please expfain why (see Rage 3 for additional information)
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COI PLeTE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING
in the last 4 manths, has the City of Eagan issued a permit for a slinllar isIon based. on a master plan?
Yes MO If Yes, date and address of master plan:
Licensed plumber; Phone: r
Mechanical Contractor: Phone;
Bewar & Water C(,ntractor. Phone::.
NOTE: Plans and suppiorti doCatrFi' ftts f~tat`y ~ubmitare considered to be public information. Portions of
the information snag be elassifted as rwri-public if you Provide speck reasons that-wound rmffthe City to
conclude that they arc- trade secrets. }
CALL BEFORE YOU DIG. Calt Gopher Stat5 One X11 at (651) 454-0002 for protection agaimt undergiuurid oddity damage- Ca 48 hours
before you intend to d to receive locate of underground u~Wilies e [ t,8rfita( i.! 3
I hereby acknBwledge that this information is, complete and accurate: that the work vAl be in canfarrnance uvith the ordnowes and codes bf the City of
Fegwn that I underslandE this is not a permed,: but unly an applic;n ion fbr a permit, and wark is nor. to siart vilhd[sd a paint: that the ti^fork !w7I8 be in
accotdsne- vrith 111n approved plan ln. thei ne, of wor4 i!Aich.regwvs a reviewr and apprcvai ofplan-s
Exterior wort; authoriz . bya 6ullding: permit issued in acw. rdance with the Minnesota $W e: +Codorntist be coinnplgiod within 1180
days ~,rperrn~t rssua~nt:e.
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Applicant's Printed Marne Applicant's Signature
Page d of 3
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Use BLUE or BLACK Ink
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� For Office Use �
�lt 0 ' ��3� i '
y f Ea�a� ; Permit#: �
RECEIVED '
� Permit Fee: ��(� • �� i
3830 Pilot Knob Road
Eagan MN 55122 QC�( � 7 ZQ�S I Date Received:�C� ���'���
Phone:(651) 675-5675 � �
Fax: (651)675-5694 � staii� �
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2015S�SIDENTIAL PLUMBING PERMIT APP ICATION
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Date: ' � Site Address:
Tenant: ° ` " �---""r Suite#:
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^�F��,M�✓ ��'�{yf� i ,�1 � 1 _,l ` /� � //
�� a`�'t"1€'a��`i 4 � ���,� A A.A �_ �-/�(�,/�`"�' � • ���i A V���
� Name: ..,�,� ��.- � �� ��p�!
��Resid�e�ntlOwn,er�,� — 4Qe.
� �t�� � f: Address/City/Zip: � �� ` � �' 1/.l� �"�
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'� � � "" � Milbert Co
��� ;4 '��� ,' Name: �pany Inc dba G gan eT WC 41376.
� License#:
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�� `�� � •� Address: 1801 S0� St East ���. Inver Grove Hgts.,
� �Contractor�� -
���"�'" ` r state: Mn Z�p: 55077 Phone: 651-451-2241'
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� ` ` � Contact: W1ll11TT1 R Mllbert � �
����..4. � � Email: � � �
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� New _Re lacement Re air Rebuild Modi S ace Work in R.O.W.
�£ ��pe�of�W rk � �- p — P _ — N P —
���`. � ,:,� a ;�' �� Description of work: �
��' �, ` _� .: RESIDENTIAL � � � � � � �
��
Water Heater
f
� �� �Water Softener
� � � �a . Lawn Irrigation(_RPZ/_PVB)
� Perm�it�Typ
� � ��
� Septic System Add Plumbing Fixtures�Main/_Lower Level)
� �a�, �..
� � � ���
� �� ��� ' _N�w Water Tumaround
���`� ,�� � t: �; Abandonment
RESIDENTIAL FEES:
$6O.OJ Water Heater,Water Sof;�ner, or Vti'ater H�at�r and Softener(includes$5.00 S;at�Surcharge)
$60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surharge)
*Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10.00 per as 6Uilt)(includes County fee and$5.00 State Surcharge) � O O
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage.
Ca1148 hours before you intend to dig to receive locates of underground utilities: wwvv.aoaherstateonecali.ora
F hereby acknowledge that this information is complete and accurate;that the work wil�be in conformance with the ordinances and codes of the City of
' Eagan; that I understand this is not a permit, but only an apptication for a permit, and work is not to start without a permit;that the work wili be in I
t accordance with the approved plan in.th case of work which reguires a review and approval of plans.
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ApplicanYs Printed Name A cants Signature
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Use BLUE or BLACK Ink
For Office Use
Permit#: /7A O >3
City of Ea au APR 1 3 2017
/96. 1S
Permit Fee:
3830 Pilot Knob Road f t�-1,3/1�J
Eagan MN 55122 Date Received: I
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
--12017 RESIDENTIAL BUILDING PERMIT APPLICATION
�� I Site Add'311.1
s:�, n3i � 1 Z 1, 7 L`� '�j�f.� r a
Date: c, �1r Unit#:
Name: J.---/ Phone:
Resident!
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type Of Work Description of work: - f2-0a e-
Construction Cost: 0!DO() Multi-Family Building:(Yes )c. /No )
` t
Company:!orSA-.S C S am yvNt_ Contact: Soh
Contractor Address: ki,40'16 T-1)(-4).-/ City: (— C _1
State:T h Zip:SSil\1 Phone:koI2.-1°11-`rig()Email: JtS1-;$f' ,pcirSa-,s
License#: -b ,c 1 Lead Certificate#: 10111—
If
0111 "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 may be classified as non-public If you provide specific reasons that would permit the City to
conclude that they are imide 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.aopherstateonecall.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.(�
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Applicant's Printed Name
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145235
Date Issued:08/29/2017
Permit Category:ePermit
Site Address: 3719 Burgundy Dr
Lot:203 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-203
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Catherine Ronayne
3719 Burgundy Dr
Eagan MN 55122
(952) 412-6979
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145556
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 3719 Burgundy Dr
Lot:203 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-203
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Catherine Ronayne
3719 Burgundy Dr
Eagan MN 55122
(651) 412-6979
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature