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3758 Burgundy DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADQRESS: PERMIT SUBTYPE: TYPE QF WORK: , .. , . ?(11 1 r ,t f M" 0 4i;0"! 1.1ka rw.: ?sase t?rr RxH INSPECTION .. . „ I 'F'+ir1 : {?l?F'LC"Y 4lf.TlJ [ Ct? .t4p.i?l?Wt+•? , t' t, A H ir F V? t= t;d t4s bt• ?tf` fV?P. t' 1IkC1lANIi'q! iCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i • I \ Pormk No. Permlt Holdsr Date Telephone N ELECTRIG PLUMBING ? g .?Z,5 HVAC ' 7Jrr Inspectfon Date Insp. Comments FOOTINGS ?J AL FOUND rdc.4 FRAMINQ ROOFING ROUGH PLUMBING PLBG AIR TEST . ROUGH HEATING GAS SVC TEST INSLIL .?.? GYPBOARD FIREPLACE J ' FIREPLACE AIRTEST ? FINAL PLBG FINAL HTG !f ?? ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG Y/?? J ? ( f?? N? DECK FINAL . , INSPE ? y CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ; I PERMIT SUBTYPE: TYPE OF WORK: ,, , ? , „ ?3 ?, r t r+ s rr r? tis telt. 1?41i f' t:l Fk0 Lt1T ! tM? INSPECTION .. . DA . ;?, .. :?.. t ri r,:t i 1 ON RECORD PERMIT TYPE: Permit Number: Date Issued: 't r3 i n r? ?? ; APPLICANT: r d'iky?i Partnit No. Pertnk Holder Dats TNephone f ELECTRIC PLUMBING Hvnc Inepectlon Date Ina . Comments FOOTINGS 7? / FOUND _141 44 FRAMING "1 O ROOFING PLUIN?BING PLBG AIR TEST ROUGH HEATINO N GAS SVC TEST INSUL GYPBOARD FIREPLACE - ?V FIREPLACE AIR TEST -? ' FINAL PLBG FINAL HTG ORSAT TEST Bl0(3 FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAI l? 7 ? v Wertificate of CccupancV %it4 of Cfagan Zepartraeut of louilbiug Zndyectiun This Certicate issued pursuaRt to the rrquirenrents of the URifarm Building Code certifying rlrat at tfee time of issuance this strvcture was in compliarrce with the varioees ordinances of the Ciry ?egulating building construction or use. For the following: UseClusiFiwion: ?SFDWG BWg. Pecmit No. 3170() Occupancy Type R3/ V j 7miog District PJ Typc Const. VN owext or suiimng (N H1HFS „amm 15025 (3AZIER AVE, APHE fAiLk.Y BuiMing naemu 3758 B[JR9IlW DRIVE i.,.,,;,y L2, BlO, SMCA HMLS ?c e+?il&ng arKiw POST IN A CONSPICUOUS PLACE ? Kertifica#e of Ccc"anc? Cri#Tg of Cfagan zepRrtrneur of Zxiibixg ani$Pcctioa This Certificate issued pursuanl to the requirements of the Uni,form Building Code certifying that at the tiine ojissuance thrs structure was in compliance witR the various ordenances of the Ciry rrgulatiag building construction or use. For the following: utt cumiricafim: SF i7fiG slag. Permit ro. 31710 Occuparcy Type R3/ uI Zming Diwia ? Type Cons?. ? Owmer of Building GN ROMES DC AddRSS 15025 GLAZIM AVE? APPLE VAUEY B',d;,,a ,d&M 3 DRIVE ,m,;h L I, B 10, gTCCA HIMS wg aricial ? - , POST IN A CONSPiCi10US PLACE Mar.19. 2008 8:l3IAM Crest Exteriors No.8743 P. 9 g2 ?-? G 2006 RESIDENTIAL BIIILDING PEBMIT APPLICATION City Of Eagaa 3830 Pilot Knob Road, Eagan MN 55122 'I'elephone # 651-675-5675 FAX # 651-675-5694 New ConslNCtinn Reouiremvnrs RemodBtlRepair Reu eix mEflis 3 regisiered sNa 6wveys SMvAriA t9. k. of lot, sq. R M hause; and aN ro0fld areas Z cnpies of Dlan snWrin9 fontirps? be2m5, l0isls P°brpaumum bl rovgrtp¢ elbm0) 7 9E10( EnqtW CglcU18fiM8 kr hP2(!d pGAlYMS 2eopiesolplanshawlnqbp9m&windOwSizes:pourediounapeygn,ebc- 1sqe5uryrytpedANOnsdtlecks 1 set of Erei9Y Ca[wktions p,ddilion. mc4cefa ifonsda repAcsyafem 3 copl86 d Tree PreservaUpn p4n il lot Dlaliett aflCr 711193 Rlm Jdsl Detall OptlOng seleqion sheel (buildinps wiM 3 a le6g units) Minnegasco mechatticaJ ventilation fotm f51; v offiee Ute dnN CeR.Of.SuNcyRecd. _y ,y Tmo PrggWenRecd .. _Y _K TieePresRWu9d : ?Y _N OnslteSepticSyslein .,Y _N dete "^./ / 11 COnstryct100 C09C W l, noc)• w SiteAtldress ]?VI?/( UnitlSte # ` ' a M i r T bescripHon ot Work c' 12U0f Multi-Pamlly Bldg ^ y_ N Ftiroplece(s) - 0 _ 1 ` 2 Property Owner H ryl ? Telephoue k(WOI)3p I'RQVO Coairactor a,aaTe9 9 ? Ghl?? 't? ?.r111L city ?jv?l ?, p SWte V?'f kflt'1Q N*1- ZipBOg_ Telepho¢e#((6l) COMPLETE TNIS ARFA OMLY IF CONSTRN4'i'INQi A NEW BUtLDING Energy Coda Gategory ? Minaeso[a Rµles 7676 Cateqorv 1 _ Minnesata Ru s 7672 (J yu6misslon lype) . • ResidBntial Ven81a2lon Category f WarBSheei • New Energy Code Workahael SubmiRCtl Submfttetl • Energy Eny¢IODe Galculatlons Submittad In }he lost 12 monThs, has the CiTy ot Epgpn issued o permii for o similar plan bosed on o master pian? _ Y _ N If yes, dote and oddress of ma5ter plan: Licensed Plumber Felephone #( ? Mechanicai Coniracta Telephone #( ? Sewer/Water Contractor Telephone #{ ) I hereby apply for a Residential Building Permit and ac[mowledge that the information is eomplete and accurate; that [he work will be in confoCmance with the ordinances and codes of the City of Eagan and the State of MN Statates; I understand this is not a permit, but only an appiication for a permit, and work is not to start without a permit; that the work will be in accordance wittt the approved plan in the case of work which reGuires a review and approval vf plans. ?Cr?.vS-te! McCctnn makib ApplicanYs PClnted I+Tame Appli nt's Signature ** * PIONEEA * an?neem **?* 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 UNO PLPrvnERS• LANOWRPE ARCHI1EC15 625 Highway 10 N.E. Bloine, MN 55434 (812) 783-1880 FAX:783-1883 Certiffc'?_ f Survey for: GM HOMES "';.._- 817.7 aVRnA.ELEV. 808.6 SERVICE ? --?_ ? P lY . --.? £ seMf"r eRTIti` \ PtAT??? _ ? ? BENCH MARK TOP OF PIPE \LEV.= 821.17 \ ? ? ? gQ 6821.1 ? OG?? p?O ? V ? / i ( ? n 2 ? I O Q P? ?, .'?ELEV.=877.8 ? , 822.9 ? ? ?v-----BENCH MARK ? .y, TOP OF PIPE ?J ELE V. =821.44 ? ??-- - & v . p•? \g ? . 1 6 w \ QpSEO/ O ?'? w ) ? p \ • \ P? OV ? O ? F ? L 821 .6 ?'PG? 1S 1 3 ri1` ? k / !9 ? ? T eaT ?? C a L F.E.s. v.=aiz.o-' vr ?9 p <szz 1 ? ?' . DRA ?2•I`'g i i BlJI ? ; P?-'lONS DEPT. ? ,?, 1 ?p , NOTE: PftOPOSED GRADE$ SHOWN PER GRADI AN BY: PION R? ? \\ PROPOSED HOUSE ELEVATION NOTE: BUILOING DIMENSIONS SHOWN ARE FOR HORIZONTAt-9ND VEftTICA(, LOZ.'A?{0` LOIN?ST FLOOR ELEVATION: OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR?eu.plNG AND ? FOUNDATION DIAIENSIONS. ? TOP OF?BLOCK ELEVATION: N07E: NO SPECIFlC SOILS MYESTIGA710N MAS BEEN COMPLETED ON TNIS LOi B THE ? SURVEYOft. THE SUITA6ILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE ? GARAGE SCAB ELEVAT(ON: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. . \ NOTE: TMIS CERTIFICATE DOES NOT PURPORT TO SHOW EaSEMENTS OTHER THAN % 000.00 DENOTES E%ISTINC ELEVATION THOSE SHOWN ON THE RECORpED PLAT. ( pp0.00 ) OENOTES PROPOSED ELEVA710N NOTE: CONTRAC70R MU57 VERIFY DRIYEWAY DESIGN. --- OENOTES ORAINAGE ANO U17UTY EASEMENT --? OENOTES ORAiNAGE FtOW GIRECTION NOTE: BEpRINCS SHOWN ARE 6ASE0 ON AN ASSUMED DATUM -T OENOTES MONUMENT --? DENOTES OFFSET HU6 WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOTS 1& 2, BLOCK 10 SENECA HILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEP AS SHOWN, AS SURVEYED 8 E OR UNDER MY DIRECT SUPERVISION THIS 3RD OAY OF SEPT., 1997. SIGNE : PIONEER ENGI EERIN P.A. SCALE : 1 WCH = 30 FEET ? B. 0 ohn C. Larson, L5. Req. No. 19828 .? _ LOT 1- 3760 BURGUNDY ORIVE LOT 2- 3758 BURGUNDY DRIVE SERVICE ? ,• _ LOT SURVEY CHECKLIST FOR RESIDENTIAL " BUILDING PERMIT APPIICATION PROPERTY LEGAL: ? DATE OF SURVEY: LATEST REVISION; DOCUMENTSTANDARDS ? • Registered Land Surveyor signature and company ? ? • Building PermitApplicant e q O • Legai description [u?o ? • Address Co ? • North arrow and scale 3"-a_ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc) 13-'Ll ? • Directional drainage arrows with slopelgradient °r6 [Y ? ? • Proposed/exassting sewer and water services & invert elevation ? O • Streetname ? ? • Driveway ELEVATIONS Ezistina ei? o ? • Sewer service (or Proposed) ? 0?- -O • Property comers cr' ? ? • Top of curb at the driveway ? ? ? • Elevations of any exassting adjacent homes r sed a?O ? • Garage floor [r'0 ? • First floor " o d? • Lawest exposed elewation (walkoubwindow) ? ? • Properly comers ? ? • Front and rear of home at the foundaBon PONDING AREA fif aoolicablel O'?? ? • Easement line ? ? • NWL ? ? ? • HWL cr ? ? • Pond # designation 0/? ? ? • Emergency Overtlow Elevation ?,/? ? • Lot lineslBearings & dimensions e" ,? ? • Right-of-way and street width (to back of curb) ?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', / porches, etc. p.e. all structures requiring permanent footings) ? ? • Show all easements of record and any Cily utilities within those easements d??I • Setbacks of proposed structure and sideyard sethack of adjacent ebsting structures ? ?? o • Retaining wall requirents ??? Reviewed: me ?? /ZC January 1988 CMIO1 GBBIHLDGPRMT.FM PERMIT OF EAGAN ' 3830piiot Knob Road PERMIT TYPE: e u z Lo s N c Eagan, Minnesota 55122-1897 Permit Number: 031709 (612) 681-4675 Date Issued: 0 4/ 0 6 J 9 8 SITE ADDRESS: 3758 euRCUrvov oR L07: 2 BLOCK: 10 SENECA HILlS P.T.N.: 10-67125-020-10 DESCRIPTION: ZERO LOT LINE Perm3t T y p e SF DWG 8?r,i;ldzn? 15?,rk Type NEW Usc-?uca?r???? R-3/U-a. ConsCrucZ?.a5?2 e VN §s Z O ft x.?fi ?: ?a, R 3 50 , Wrc,??s??xir3e"s z 102 1- FAM. AT7ACN BR ? ?tl ? ? ?3M ? ??S &??ffi ??? ?'Y ,,. i9??F ??? ? ? ?? cai§i Wa,v ?.,F" a3 %?s ?04 u^k ttn REMARKS: DUPLEX WI7H LOT 1-3760 BURGUNDY S& Wc WEN2EL MECNANICAL PI.flN REVIEWED BY JOE VOELS FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units 5ubtotal $1,002.25 $651.46 $61.50 $1,000.00 100 $2,715.21 $123,000 MISC FEES $1.592.50 Total Fee $4,307.71 CONTRACTOR: - Flpplicant - sT. 4IC OWNER: G M HOMES INC 14314900 2002530 GM HOMES 1i5025 GLAZIER AVE 205 15025 GLAZSER AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (N612) 431-4900 (612)431-4900 ' ? here:#r?t xeac ' i n'frr rm;aii o n "?tat?4`; ` ;srf L ' ,z A?rnd ?UED B : I NAT E A 7/ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) . , CM'Y OF EAGAN . 3830 PII.OT KNOB RD - 55122 ?? u n.i j /?11}?? e p(,f1AJ 681-4675 NewConatructionReauirementa U?I?QAW? Sp'?Cf RemodeUReoair ReauiremeMs ? 3 isgistereJ site surveys ? 2 copiea of plans (inGude beam & window sizes; poured fid. design; Mc.) ? 1 energy calaletions ? 3 copies of tree preservation plan if bt plattetl aRer 7!1l93 required: _ Yas _ Na DATE: , ? 2 capfes of plan ? 2 sfle surveys (exterior eddkions & deeks) ? 1 energy calculations for heated addkbns CON5TRUCTION COST; %'1 Cv? co DESCRIPTION OF WORK: `? ?A 7r r' 8??,???y?TEhAr?`? STREET ADDRESS: LOT: 2 BLOCK: SUBD./P.I.D. #: _1) aPt_C v '+d L:oT - / PROPERTY OWNER CONTRACTDR Name:?GLA? 4e??ZS, iollx?. Phone#: XzJrA ???e ? Street Address:i6]v????' QV& if' 7 oC . Ciry State:0;7 Zip: ComPanY? ???4 H 0.44&$_ 00;1r Phone #: _ 1 Street Address:T4 ? . ?\ License # City Stete: ARCffiTECT/ ENGINEER Campany; ? I F ?G' G? fa?S Phone #: Name:S?)JT? V-kk')i (? yk,opB Regishation #: Zip: Street Address: 4?i&)NEAQAut City State: - ANG'_ Zip: Sewer 8 water licensed plumber (new wnstruction ony): . Penalty applies when address chang and bt change is requested once permit is issued. " I hereby acknowledge that I have read this appiication and state that the iniortnation is correct and agree to comply wdh all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY 0 Certificates of Survey Received `?Y s _ No ?? Tree Preservation Plan Received - Yes _ No _ Not Require? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? OB Duplex ? 11 Apt./Lodging ? 16 Basemenf Finish ,Q' 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 _-plex _.0-15- _Deck .? _ .. ,.= WORK TYPE? /t,lC .___?_ ?31 New ? 33 Alterations ? 36 _Move_ ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. /ZG K MC/W5 System (Ailowable) ?Z•nI Main level sq. ft. /aG!' City Water a--? UBC Occupancy _ZInO sq. ft. sas' Fire Sprinklered . Zoning Q.3 sq. ft. PRV # of Stories Z sq. ft. Booster Pump Length ,.199 4.s4• sq. ft. 7 S?' Census Code. 1,02- Depth s?o Footprint sq. ft. SAC Code e i Census Bldg ? Census Unit / APPROVALS Planning Building Engineering Variance w .• Permit Fee Valuation: $ ?23 9 r- Surcharge ? Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit ? S/W Permit S/W Surcharge 1 ?? S Treatment PI. I r1/ Park Ded. Trails Ded. Other Copies Total: % SAC? SAClJnits..,._..._. - . ....i;j -? ? a, MAY-17-1995 16:40 FROM TO 8827702 P'61 ? F.xTr.itioR 'r:NVF.IA7'£. nV1-1;n*; "tf" CiWirfnTt;>tl owli ER ,C72 rn +-f orv?Es ??vc . STTE .4DDAESS JFOUYm,_ I.CI?? , I CONTRACTO^n DATF. _J1 4P?L PHONF. De(ce?? rmin vorkinr: squ re,S1 atar?e of cach. 2. lbtal exposed vall aren sq• ft. x 0,}i ? 1 l 2- Tobal rocf/eei24ng ares .. 12??•5 sq. ft. x 0?026 _ T s • Total expoaed vn11 arca nbovc fl«+r a. TOtal vall vindorr area . ........................ Z9 r Z L. ToLnl door ?ren .......... ................ ......... c. Total slidir.g glnss door area ............ ......... 73 d. Total f.replace vall area . ..... ..--•-•• e. Tota7. vzll framing area (everage 10%) •••- : ^J}?? •••••-•- f. Total net vall erea aDove Sloor .......... ........ g. ToLal ri-m 3o:st area ..... ................ ......... IIZ C2 Total exposed Soimdotion xrra = QC?qZ h. Total foundetion vindov area •....• ........ ......... 7 ?• i. 3ota1 net Soundstion a:ea 3bove grade .... ......... 37. : Cetexnine "U" calce o.' eech vali se,r,ment. • '. ll , . U $- x ?_- 4 Z ,,us, b 30 x . . C. -j 7 x.V, a 2$ = zl, sk?° a. 0 x°u" -. oq3 O r ? IlQ• ? ? X°u^ 09 3 -? 50.49 . . Z•o col I . x 6. h. x"U^ . Z2? - z.4 5 3?. ?7 i . 3 . .. .................. ... 7o?.s1 ..... = '?d, ?? Tf ltem N3 is the svne as, or ie s; :.}i:.n .iten bl. You h??c met Lhe intent or ssc 6oo6(c)2. . ?3 1, MAY-17-1995 16:41 FROM TO 9827792 P.02 1 ? ?. , 1btu1 r.poscd roof/eeilinG aren Total gross roof/ceilinf, ere:t = 1211. ?` j. 'lbta] Skylight erea ......................... CD k• iotal roof/ceiling framing area.............. (n b.55? 1. Total net Snsulated nof/cciling arca ........ UCteimine "U" vnlue for cnch wof/ocitinp. seG?ent. 3• x l? °Un ` k: z uUu o VZ7 l,(?39 ? ' i. 1 Z? I,? X..U.. ? . ............ .................. Thrai iS totel oP #1+ is the same as, or less than N2, you hsve met ttte Snter.t of SBC 6006(c)1. . . 2b utilize the tntal er.velope systex method, the values establiahed by the sum of items M3 and B4 sbal.l not be STeaLer_ tht+n the sum oT itea:s 01 e.nd 12. 2. 3?.5 - ZIZ.39 I. lgo $9 + ? ' . 0 o ? MRY-17-1995 16:41 FROM 70 8627752 P•03 P- etAt y- --'?'?--.Y.?Y? _... , --f--t-'-'-^•??--- i l.9 C C C C 0: 027 (D C G) ? _.- ???'? IEt.T, iFl? F'ff-rVl. 1 f • GEiL:1N?.tl-. ?.. _ "Zq_. Cv . __-- - - --?t --. ? -1lE. . ? _ .. C3; 45 U " °42 -f" c{??V 3 MAY-17-1995 16;42 FROM TO 8827702 P.04 _lj _-VAWV 6Al,1,uLATloW;, (coNF). -f-AM hfPtu, Ga INht I.AToN i.oMF'v hI r-Tl?, :-MZOWIF WAda. &sjW _ PLvw. view. tu .... L ? U L D . ;CIDE AIf7- MM ?h' hIOENli. - ;?%y 1Nhu?A'(lar? ?51? qlf? plI.A1, "GoMPONLN'jy r 2 3 Cf Q C ai+Tlelm W t?uk. r ?/?u h t?lhif?. hH?A"(H 1 Nb • ? xc. 3tuv 1?+? '7. F-YA[.UF- _ p:cob _ R"?, ? : - F--VAWt5 __ _..a.?7._.??._ 2.aU . ? -- u ?v -? P?. ?U -(D,l2 X o,oaq? t(o.Sb X o•04?> = O, o? _ MRY-17-1995 16:42 FROM TO 882?702 P.05 0 0 0 ? 0 0 ?T?-- It?7 ?-??-M ? s"-rl : FIM -arH.ik . 1 Nfo . ?r. ?--??- , _ (•$s ... 2.aG ._. a?-? . ?._ o•o?, ?+9 3S vG4JiY`!NGN -1?1--- ?='-`l^-'^'^"• tfa.-, f?.I:r-ti t?..? =:?7LM .__ _ ?.. _ `./ • .1.1.....?._.: - (O.p _-- ?= 12.13 .. aro.o8'L OF EAGAN 383(? Pilot Kt?ob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-67125-010-10 DESCRIPTION: PERMIT PERMITTYPE: auiLoxNG Permit Nu mber: 031710 Date Issued: 0 4/ 0 6/ 9 8 3760 BURGUNDY DR LOT: 1 BLOCK: 10 SENECA HILLS ZERO LOT Bi??il?ding,permit Type Suilding Work Type UBC OBCUpancY"?_ ? Construction Typ,e • 2 o'n i n g -r_._,,. BuildingLengtFir' 8uilding Witlth Buildi.nq-.;stnries LINE SF DWG NEW R-3/U-1 VN R3 38 50 2 102 1 - FAM. A77ACW ?i s '..???. u? ? t ?. REMARKS: DUPLEX WITH LOT 2-3758 BURGUNDY PLAN REVIEWED BY JOE VOELS FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC ? SAC Units Subtotal VALUATION $1,002.25 $651.46 $61.50 $1,000.00 100 $2,715.21 S & W: WENZEL MECHANICAL $123,000 MISC FEES $1.592.50 Total Fee $4,307.71 CONTRACTOR: - Applicant - G,M HOMES INC 14314900 15025 GLA22ER AVE 205 APPLE VALLEY MN 55124 (E12) 431-4900 s7. Lzc OWNER: 2002530 GM HOMES 15025 GLAZIER AVE APPLE VALLEY MN 55124 (612)431-4900 ? - I I hereby acknowledge that I, have r$ad xhss a,,ppl,icaV-.Ton; an?1, staCe xhat ?Ehe._ informat3ors is aorrect:a?ltd'dgre?"s t'o compywitM"al? e?ipli`cable S?ate a?f Mn, L Statutes od City oP Eagan Ordz,rtan.Fes ? . APPLI ANT/PERMITEE SIGNAT? -?ISSUED Y: STGNATURE 1998 BUILDING PERMIT APPLICATION , F • CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 New Construction Reauirements ? 3 repistered site surveys ? 2 copies of plans (indude beam B window saes; poured /nd. design; etc.) • 1 energy calalations • 3 copies of tree preservation pian H lot platted after 7l1/93 required: _Yes _ No DATE: y3 0 ? (RESIDENTIAL) RemcdeVReoair RequiremeMs L> ?, tj AJ ,T r(A,0 2 mPies of Dlan 2 site surveys (exterior additions 3 decks) W I CQqwl... ? 1 energy calwlations for heated addRione CONSTRUCTION COST; [TMrn °-° DESCRIPTION OF WORK: SFIl7r C', A ?)n;-, jZC )6Q4 A,-'S STREETADDRESS: _I BLOCK: 1,Q SUBD./P.I.D. #: GF? N IIJ ? ? PG z'x ?/Go r • Z PROPERTY OWNER CONTRACTOR Name: GI V\ 171VAES 1V\ l P6one tl: 4,?? -Last • F'ust Street Address: City al ? I i?u State: ? Zip: Company:S46 W? . ,?r. Phone#: _ s ? Street Address:???? ? Licrnse # City State: ARCHIT'ECT/ ENGINEER Company: KLF t1e54(,?vV S Phone#: Name: I ?4Nol, y,,gnnp? P w?? RegisRazion #: Zip: Street Address: MtdU N?WalA 5 City State: - M A ) Zip: r? . Sewer 8 water iicensed plumber (new construc6on only): \n nn r,"ln.f,. i14 . Penatry applies when address chang and Mt change is requested once permit is issued. I hereby acknowledge that I have read this applicatlon and state that the information is correct and agree to compry with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant !?x, - OFFICE USE ONLY Cekc- u v ? - Certificates of Survey Received ?? Yes _ No ?V (? Tree Preservabon Plan R e c eiv e d _ Y e s _ N o _ N o t R e q u i re OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O2 SF Dwelling ? 03 SF Addition ? 04 SF Porch ? OS SF Misc. WORK TYPE ,?31 New ? 32 Addition ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 07 4plex ? 12 Multi Repair/Rem. ? 17 5wim Pool ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 09 12-plex O 14 Fireplace ? 21 Miscelianeous ? 10 = plex ?_ 15_ _peck __ ._ ? _ _ --? ? f ,,,?•r_ ? _._------ O 33 Alterations b' 36 Move ? 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. 1L< 9 MClWS System L (Allowabie) N Main level sq. ft. /LG E _ City Water UBC Occupancy . r.? Z 1:!9 sq. ft. SzS Fire Sprinklered Zoning R•3 sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length 1 e ? sq. ft. 4/?'r Census Code. 2.. Depth _5,0 Footprint sq. ft. SAC Code Census Bldg ? APPROVALS ? Census Unit Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: , . ,. °k SAC?*. SAC Units - :.._..?_..... y? . ...._ ._. .. _ ....t d Valuation: $ 0w c.jZ ??(j < MRY-17-1995 16:40 FROM TO 8827762 P.91 F.X1't.fi"tOTS Y.NVF.IE11'}: AYICIiM:}; nU" (`i1MF'U'PA'i !0'1 . ... OMia G I 1' l?1?,•6E? ?VvCi . SIrE ,??qES5 SFOj s+? wa??s ,R)QZJUK]i?sY nRCv kly 13 CONTAACTO^n I fQC- DATF. ??y PHONE (?) Devermin vorkinf; squ Ye,f otace of enCh. 1, 1bCa1 exposed vell area sq. ft. x 0'2.2. _4 2. Tots1 rocf/ceiling area .. 12.??•? sq. ft. x 0,026 = l.s Tote1 expoxd vntl arez ftboYC iloc+r - e. Total vul craruing area (average 7.Oi) • • • - •. • . • - • • - i. Total ?et vall area above Sloor ................... g. Total rim ?oist area .............................. Total exposed foimdotion area = QU9Z. h. Total foundetion vindov area ....................... 7 i. ^xotal nei foundstion area +above grade ............. ,1-7 . Determine "U" calue o. eech vali seament. ? . a. I e??,Zg x ..u„ ,?._ = SZ.1 b b. 47 x ,.Uit . 30 JZ 0 < C. ? 7 X ?U?, a. C' _ ^u" , . Cq3` ? - a I b I ? .'.uu oU 1 . . I x . r. ? IY?•? I x .013 - SO.Q9 . s• i1Z.o X °un h. i . 3?,17 ..U„ z 3 . .................................. . ;o,.1l = 1?J.11 r. Sf item Il3 is the same as, or lesa :.h:.n itcn 1J1, you nnve met tne iater.t or ssc 6oo6(c)2. . 11 d. Total va?1 vindov area •••••?• IINI.-n I L. TULal dc?ur acea .................................. Z c. Total slidir.g glass door area ..................... 7 7 d. Total i'ireplace vall area ......... ..........•• MRY-17-1995 16:41 FROM TO 8827702 P.02 Totnl exposcd rooC/eeilinG wreft ? Total gross rooi/ceilinq are:i ?. 1bta1 skylight erea .......................... k. Total roof/ceil3ng framing area • .:........... (n O,SS 1. 'lotal net SRSUlated ruuf/cc123ng urca ........ U2teimSue -U" vnlur Sor unch ru<if/ccilint? scfsment. C-I) x „Ull - ?, . k: (., ?• 4J`? x nUs' o VZ.? 1. 171 LS x ..U,. ? . plq !5 = ?. ? . ............ ................:. Tozal _? . Ts totei of NL is the saae as, or less than N2, you hsve met tRe inter.t of 5BC 6006(c)1. To vtilize the tntsl envelope sysLex method, the values esiabliahed by Lhe sum of iteras Y3 and B4 shall not be 6=eater. thxn the suio of iten:s 01 and Y2. 1. ??.29 2. .+ L . Z • Zs 0 a MAY-17-1995 16:41 FROM TO ?----- I -- -- I -?' ?--?'?- - I 8827702 P.03 F Oilt _?? .. ? z' ? ?. . _ ) zq. i? . --- _ _a??--- __?r _... ? I a I _ ? ~-l 4'_ .,.„4.i c C C ? ?fe-" rlUA. 1 I . GR?-1N6a1.tt.. _ . 4-. . .?}-. . __ a??t_-------? Q, 'y r. O,Q2-9- 4?;'O«3 MRY-17-1995 16:42 FROM TO 8827702 P.04 (GoNT). -"Ml? hlnnu. 0-aNIvOt?p,? ioMp'vN?-? rlpv. :?tMG WkU. (.5'(W _ PI.RN- vlew. L ? ? L o 4n4vE AIfz FIi.M V JwolNv ' _?_:..(?hTHfHw =-?%t lNht1?A?'forb y° b7P. t?D -zomPON6hi-ry r 4 3 f ? C `?Zuh (DfhYr. yHF?iA1H 1 Nl? • '? XL 31UC? (?fFfk? -- . F-viw.i.,a 2; .OG.:. f q, _a • o, 45 - . o; co b _ , R?v - - F --uRW15 . .... c?.1"1..---? -- . -- -- _- - (,? ? ? =?M P?. °U -?O,t2 X o.ObQ, 1"?O.Sb X o.043,? = O• o'? _ MRY-17-1995 16:42 FROM TO u-=:Sz?- : -= 882?702 P.05 --- - ?? , _ A... .."___. .. .. 1f' ' -- lu1" ITN?aul.. !2?Lflr, Fim , ar?-{?k . i Nro . ? ?'• ?? • I O ? 0 0 Q ? ?----- _ I•S5 .. 2.a4 --- -.. ?=r ?y.3S o C4-: f-.^._ 12.i3 ? ?iz.Earo.ob2 .?-. _ . . .? - -?_ -_ CITY USE ONLY ?y Q, ' L ? BL RECEIPT #: ? f ? v SUBD. RECEIPT DATE: ?O 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, PA7 55122 (612) 681-6675 Please comolete for: ? single family dwellings ? townhomes and condos whan permits are required for each unit D backflow preventer for underground sprinkler system --------------- ---------- --------------- FIXTURES ------------ EACH --------??? # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tuh 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = iNater S„ner `?ror.dwenin9s under construaion `1N2I2 Il?`'lf`"TorexisiingEwelling"' 5.00 20.00 x x U.G. Sprinkl2r ' for dwelling undet wnst. 3.00 U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Ahandonment 20.00 = STATE SURCHARGE .50 TOTAL ?SQ -- *I hereDy acicnowledge tliat 1 heve resd this applicaNon, sfete that the infomietion is correct, and agree M compty with all applicebk City oT Eagan ordinances. R is the applicanPs responsibiliry to notity the property owner that the City of Eagan assumes no lie6ility for any damages caused by the City during its nortnal operational and maintenance adivkies to the fadldies construGed under this pertnk wkhin City properry/rigM-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALIER NAME: STREET ADDRESS: cin: l, 0? - &iC.Q TELEPHONE #: f,no / /J? "yni ZIP: v T Ad JSIPORMS BLOGlPLBG PERMIT (RESIDENTIAL) 1998 • I?? /? L? q gL / Q CITY USE ONI.Y L o, SuB J?? /.?1? RECEIPT#: '9aa55 RECEIPT DATE: 5 /po 1998 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, tMI 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - - - FIXTURES ------- - - - EACH - # TOTAL Shower 3.00 x I = 4 ao Water Closet 3.00 x fo DO Bath Tub 3.00 x Lavatory 3.00 x Z. _ Kitchen Sink 3.00 x Laundry Tray 3.00 x HotTub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet ` minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener 'tor dwellings under wnstrudion 5.00 X = Water Softener " for existing dwelling 20.00 x = U.G.SprInkl6r 'fordwellingunderconst. 3.00 = U.G.Sprinkl2r 'forexistingdwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " nhandonmem 20.00 = STATE SURCHARGE .50 TOTAL 3g.5o I ••-•----------------th--at --I hd th----ave --re--a----isaptl-----ppli----o.n, ..st ate _...tha.-t -the info-------rt-nation ----- is ---- correct,----and----agree-• t-•o-w--mply---- w--i[-h--all-------applicahle° City ------ -of'Eagan----•---ordinances.--------- hereby adcnowledge k is the applicanYs responsibility ta notity the property owner that the City of Eagan assumes no liability for any damages cauaed 6y the City during i[s nortnal operetional and maintenance ac[ivkies to the facilities conshucted under this partnit within Clty property/right-of-wayfeasement. SITE ADDRESS: 3/ a" b ',?VIGVlJN YSLL joL' OWNER NAME: &s Vm• Ik?? INSTALLER NAME: TELEPHONE* USL'IS-65 STREE7 ADDRESS: wlSCl ?kowfjw v^b' CITY: ??? STATE: ZIP: 5512L SIGNATURE OF PERMITTEE JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY LOT oP, BL /D RECEIPT #: SIJB?D ? ???YXq? RECEIPT DATE: 1997 M£CHAIVICAL P£fiMIT (R£SIDENTIAL) crrY oF Ets,a?ta sgso Paor KNoe ttn E4fiAN MN 55122 60 (612) 6$1-4675 Date• Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ATJDITIOr:.AL 50 M B?'U 6.00 • Gas outlets (minimum of one required @$3.00 ea.) °6U • State Surchazge: .50 • TOTAL: ?J 3 _ ? Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITE ADDRESS: C1 / OWNER NAME: PHONE tl: INSTALLER NAME: PHONE #: STREET ADDRESS: CII'Y: 1S/FORMS BLD/MECH PERMIi (RES) - 1997 _ STATE: ZIP:- SIGNA OF PE TTEE I/ L G BL , n CITY USE ONLY ?t RECEIPT #: 70?07 S 5 SUBD. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQNOB RD ? EAGAN, I+IIi 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unR ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Shower 3.00 x I_ _ Water Closet 3.00 x -z_ = 0u Bath Tub 3.00 x Z = ?oa Lavatory 3.00 x Z = .oo Kitchen Sink 3.00 x 1 Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = WaterHeater 3.00 x FloorDrain 3.00 x BJ Gas Piping Outlet ' minimum - i 3.00 x = to.,00 Rough Openings 1.50 x = Water Softener "for dwellings under construUion 5.00 x = Water Softener ' for exisnng dweuing 20.00 x = U.G.SprinklEf "tordwellingunderconst. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = WaYer Tum Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new anA refurbished systems) . Private Disposal' Systems ' Abandonment 20.00 _ STATE SURCHARGE .50 TOTAL -34,15-j -------------------• •--------------------------------------------------------- •-•-------------------------------------------------° ---- I hereby adcnowledge Mat I have read this application, sfate that the intortnation is cortect, and agree M campty with all applicable City of Eagan ordinances. H is the applicanPs responsibility to notify the property ownar that the City of Eagan assumes no liebiliry for any damagas caused by the City during its normal aperational and maintanance adivities to the facilities constructed under this pemiit wdhin City property/rightof-way/easement. SITE ADDRESS: 3-)(V(7 6,0 1"mAj K1,1 Id7t? . OWNER NAME: V m P&'/WIS . INSTALLERNAME: 1'YQIAA? PWMldGink?? TELEPHONE#: -lSZ- fS?S STREET ADDRESS 19 S;q 14LxYW1JC4, CITY: Elf? STATE: MA) , ZIP: cS?-Z'- e. SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 OT BL 1D ?I ? TSUBD-21'u? CITY USE ONLY RECEIPT #: . k LZ6) RECEIPT DATE: 1997 MECHANICAL PEftMIT (R£SlDENTIAIa crrY oF EAs,e?a 3$30 PILOT KNOS RD EAfiAN MN 55122 Date: (61E)6$1-4675 Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 AUDITIUNAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) ,J •0 • State Surchazge: .50 • TOTAL: 33 ,-?O Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: PHONE #: 77IZ7 STATE: /p/Li 1S/FORMS BLDlMBCH PERMIT (RES) - 1997 Use BLUE or BLACK Ink r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office Use I I I Permit City of EaMIR Permit Fee: Cv' I 3830 Pilot Knob Road Ij I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: j I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r~ 3 Site Address: ' --?74!0 v Unit I Name: ge? '17 e-cC/ wal-tJ5 Phone: i Resident/ Owner Address/ City/ Zip .96rg~aolv A, Applicant is: Owner _X Contractor Type of Work Description of work: -fear ep-a rerooO s'/cl-,7 Construction Cost: ` 40 Multi-Family Building: (Ye~ / No -QZ Company: ~s M / -,/In .e, Contact: g/// Xa-lc / t Contractor Address:vy,9l®d ~rnme.-- tS'~~E~ City: 9'!'1,JIS' State:/)//7 Zip: -<I5 ~ Phone: 1fo7 9~609 License 9a2d q0 Lead Certificate 7 37~/~ 7 k If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: i Licensed Plumber: Phone: i Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: i NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of f 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. 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.gopherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x x Applicant's P?inted Name Applican s Signature of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118125 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 3758 Burgundy Dr Lot:2 Block: 10 Addition: Seneca Hills PID:10-67125-10-020 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. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - James E Ring 3758 Burgundy Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature