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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 I_,..-- t- 8 Fat Mira Use T- ! a ' 540K t l PerihltT~: t y 383o Pilot Knob Roads I f a e MN 55122 Date Recelved: ' Phone; (651) 675.5675 1 ~ StntF Faxy (66'1) 675-5694 V 013 RESIDENTIAL IJ ILDING PERMIT PLI CATION. Date. Site Address ' unit la~ s.- 7V oz 3W o371Z I Resident/ ~ ~f' : fit' Y 3~ Otivn , Address 1 tarty i Zlp: - 120 I r Applicant is [owner Con"Ctor l y:. 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 OYLO~ 4 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) ~1 7 r== 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. x- 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John W Fox 3721 Burgundy Dr Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use Permit#: /7A O >3 City of Ea au APR 1 3 2017 /96. 1S Permit Fee: 3830 Pilot Knob Road f t�-1,3/1�J Eagan MN 55122 Date Received: I Phone:(651)675-5675 Fax:(651)675-5694 Staff: --12017 RESIDENTIAL BUILDING PERMIT APPLICATION �� I Site Add'311.1 s:�, n3i � 1 Z 1, 7 L`� '�j�f.� r a Date: c, �1r Unit#: Name: J.---/ Phone: Resident! Owner Address/City/Zip: Applicant is: Owner Contractor Type Of Work Description of work: - f2-0a e- Construction Cost: 0!DO() Multi-Family Building:(Yes )c. /No ) ` t Company:!orSA-.S C S am yvNt_ Contact: Soh Contractor Address: ki,40'16 T-1)(-4).-/ City: (— C _1 State:T h Zip:SSil\1 Phone:koI2.-1°11-`rig()Email: JtS1-;$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.(� x .JVS h SvICti4k Applicant's Printed Name Page 1 of 3