3721 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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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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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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137039
Date Issued:06/13/2016
Permit Category:ePermit
Site Address: 3721 Burgundy Dr
Lot:202 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-202
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 -
John W Fox
3721 Burgundy Dr
Eagan MN 55122
(651) 454-2314
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141173
Date Issued:02/24/2017
Permit Category:ePermit
Site Address: 3721 Burgundy Dr
Lot:202 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-202
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.
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John W Fox
3721 Burgundy Dr
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
Permit#: /7A O >3
City of Ea au APR 1 3 2017
/96. 1S
Permit Fee:
3830 Pilot Knob Road f t�-1,3/1�J
Eagan MN 55122 Date Received: I
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
--12017 RESIDENTIAL BUILDING PERMIT APPLICATION
�� I Site Add'311.1
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Date: c, �1r Unit#:
Name: J.---/ Phone:
Resident!
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type Of Work Description of work: - f2-0a e-
Construction Cost: 0!DO() Multi-Family Building:(Yes )c. /No )
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Company:!orSA-.S C S am yvNt_ Contact: Soh
Contractor Address: ki,40'16 T-1)(-4).-/ City: (— C _1
State:T h Zip:SSil\1 Phone:koI2.-1°11-`rig()Email: JtS1-;$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
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