EA183128 - Building - Single Fam - Issued Date 06/13/2023 PERMIT
City of Eagan ® ® ® ® Permit"':
Building
3830 Pilot Knob Rd ®®®e®®® Permit Number: EA183128
Eagan, MN 55122 ®® •®®® EAGAN
(651)675-5675 111111111111 IN 11111111111111111111
* E R 1 8 3 1 2 8
www.cityofeagan.com
Date Issued: 6/13/2023
Site Address: 3764 Burgundy Dr
Lot: I Block: 11 Addition: Seneca Hills
PID:10-67125-11-010
Use: * 1 0 — 6 7 1 2 5 — 1 1 — 0 1 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: install flashing at front entry and replace front door
Census Code: - Occupancy: IRC-3
Zoning: R-3
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $249.00 0801.4085
Valuation: 11,894.00 BL-Plan Review 65% $161.85 0720.4222
Surcharge-Based on Valuation $6.00 9001.2195
Total: $416.85
Contractor: - Applicant - Owner:
Lakewood Construction Inc Gail A Cook
12750 Creek View Ave 3764 Burgundy Dr
Savage MN 55378 Eagan MN 55122
(612)817-6263
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature sued By"Signature
ECEIVE
MAY 2 4 2023 --------------------
I For Office Use l
I 183128
BY: i Building Permit#:
I
S&WPermit#:
EA
GA'& N
Permit Feel p
5/24/23
I Date Received: I
3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810
(651)675-5675 i FAX:(651)675-5694 1 Date Issued: I
buildinainsoectionsgicityofeaaan.com i—————————————————————
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/22/2023 Site Address: 3764 Burgundy Drive Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Gail Cook
Homeowner Address: 3764 Burgundy Drive City: Eagan
State: MN Zip: 55122 Phone: 651-454-84512 Email: gailjeancook@gmail.com
Description of work: Install flashing at front entry and replace front door.
Type of $11 894.03
Work Construction Cost: '
R-3, Seneca Hills
Type of building: ❑ Single Family ❑Townhome, of units ❑ Twin Home
Company: Lakewood Construction, Inc. Contact: Michelle Gohman
Building Address: 12750 Creek View Avenue City. Savage
Contractor MN 55378 952-746-760C micheile@lakewoodconstructioninc.com
State: Zip: Phone: Email:
License#: BC037759 Expiration Date: 3/31/2025
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
® 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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 trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aoaherstateonecall.om for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate;that the work will be In conformance 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 s without a permit: that the work will be in
accordance with the approved plan in the case of work which requires a review and appro al f plan .
XMichelle Gohman jcWanV-sftn6atudri
4111 IRUAW -
Applicant's Printed Name
FOR OFFICE USE ONLY
Site Address: 3764 Burgundy Drive Permit#: 183128
SUB TYPES
_ Single Family _ Fireplace _ Lower Level
_ 01 of_Plex — Foundation _ Porch
_ Deck _ Garage _ Pool
WORK TYPES
New _ Repair — Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
_ Alteration _ Water Damage _ Windows _ Demolish Building*
— Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Occupancy MCES System
Plan Review 025% 0100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
Framing: 1 Hour Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing(prior to house wrap) Pool:_Footings Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading Final/No C.O.Required
Final/C.O.Required
Reviewed By: , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00
OR OFFICE USE ONLY
Site Address: 3764 Burgundy Dr. Permit#: EA183128
SUB TYPES
Single Family _ Fireplace _ Lower Level
✓ 01 of_Plex _ Foundation _ Porch
_ Deck _ Garage _ Pool
WORK TYPES
New ✓ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation $»•894.03 Occupancy R-3 MCES System
Plan Review ❑25% 0100% Code Edition 202OMNRC SAC Units
Census Code Zoning R-3 City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction VB Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall ✓ Siding:_Stucco Lath _Stone Lath ✓ Brick
✓ Framing: 1 Hour ✓ Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing(prior to house wrap) Pool:_Footings Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls REVIEWED FOR Fire Suppression:_Rough In_Final
CODE COMPLIANCE
✓ Insulation ,, , Windows
Radon Control Other:
Drain Tile
Grading EAGAN ✓ Final/No C.O.Required
oerekCkWe Final/C.O.Required
08M&2 2311:50:53 AM
Reviewed By: BUILDING INSPECTIONS Reviewed Building Inspector
FEES
Removing and replacing front entry stoop so
Calculated Valuation $11,894.03 rot repair can be made to:
Base Fee $249.00
Plan Review $161.85 - Possibly replace ladder truss under door
State Surcharge $6.00 - Replace ribbon on right side truss ends
Met council SAC - Bottom plate of right side wall
- Possibly replace bottom 6" of right wall studs -
City SAC block below and sister sides for support.
Treatment Plant - Replace rotten trimmer and possibly king stud
Water Supply S Storage to right of entry door.
S$W Permit&Surcharge Supplied Valuation - $ 11,894.03
Meter
Radio Read
Other:
TOTAL $416.85