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3781 Burgundy Dr. r INSF CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' PERMIT SUBTYPE: vTI4N RECORD PERMIT TYPE: Permit Number: Date Issued: kti.ll l trCNG N."•?4tiK. A 1 !?tl /9T *' : c' di 1 APPLICANT: TYPE OF WORK: MF W [!' I I 11N ( 1 UF 2 ?Ipt TS? INSPECTION DA . .• I ,AFtK 5: 4' t E20 1 +1 I 1 1 N t ? :... ? Permit No. Pertnit Holder Date Telephone M ELECTRIC y(?? ? 9? ? w PLUMBING HVAC Inspeetlon Date In . Commenta FOOTINCiS ! FOUND p -51- A ? • FRAMING ,? q / 1,0 ROOFING ROUGH P UMBING PLBG AIR TEST 3 ' ROUGH HEATING T?-9 GAS SVC TEST jf INSUL GYP BOARO 4q_[l-97 ? FtREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TE5T BLDO FINAL _ "gy BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? : CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ?" ('t 0' 1 i .. . ;,??t??,i??ai?ti iytt " ? seat (.A 141t 1 PERMIT SUBTYPE: , . :coRD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: A'o s43 -sa65! TYPE OF WORK: rl, ?;i V dV r!ON tet :+I t1 ir+i 0.",) aN 4 t?? f:3:1 fv Nt: w t I (o F ; iJ w r I', , INSPECTION .A . .• INSPECTION I Fti- MtikK';r Ir NU 1.01 . Permit No. PertnR Hoider Date Telephane # ELECTRIC 3??f 3? Q Q00 PLUMBING sl ? ? HVAC ? ?/ • q L?3 ' ? ? Inapectiun Date ins . Comments FOOTINGS ?YI`/ 4zi FOUND FRAMING ?l / 717 ? `L ROOFING ROUGH 17 AOXI 3 ? PLBG AIR TEST ROUGH HEATING 3' 1 ? ? r GAS SVC TEST f ?? Tj 1 INSUL lI GYP BOARD ,7/_/-ct-7 A48 ? FIREpLACE FIREPLACE AIR TEST ' s, FINAI PLBG ZZ ? , FINAI HTG ORSAT TEST BLDG FINAL r BSM7 R.I. BSMT FINAL DECK FiG DECK FINAL ? t7 '? KCL'ttfiCQte 0f cCClipQ1IC? %itv of Wagan ze4111r1 aeut af ZKmiag aniapection This Certificaie issutd pursuant to 1he requirements of the Uniform Buifding Code certifying lhat at the time of issunnce this structLre was irs comp(iance wirh the various ordinances of tiu City rrgulating buildiRg constructron or use. For the following: UseClusifica6on: SF DW. / ?? I ? '2 ?M) Bldg. Pami, No. 29'4'SS o«-po„ry rype M/ uI zon;,,6 D;stril R3 TyK conu. VN owwrorewiang G M tII4ES IlC Ae6,?, 15025 Q.AZffit AVE, APPIE VAMEY a.iwin8 Aea., 3781 BE1RGM DRM Locwiry L2 1 r Ruj-q ?. ? ?? . . ,. . . . POST IN A CONSPICUOUS PLACE 4 ?T Z .. { j W'"o-fificate af cccupanc? igitig of Wagan Zcoartateut of $ai[Dittg 3uelpection Tleis Certifrcale issued pursuanr to rhe requirernents of the Uniform Building Code cenifying that a1 the time of issuance thir structure was in compliance with the variaus ordinances of the City regulating building construction or use. For the following: UseC7assificalioe: ? ?? ( I CIF 2 MM) BWE. Pemtit No. 2%54 Ootupanry Type ROl VI Zooing Discia R3 Type Conu. VN Owner of Building G M HOMO J+?:.' Admess 15025 aa?M AVE, PPfA __ A VA ?F.n Bti;b;m Ad&,,. 3783 B[1RG1bID1C DRIVE ,.«wuy L I B 1 SWAIMU /Ua?e. • 4 Bu"nE Official; i POST IN A CONSPICUOUS PLACE &IINNESOTA BOARD OF ELECTRICITY ?:?.??'?/ ? P • ? INSPECTION REPORT ?i NOTICETO: WqgdfKALMWng ICattnetw a Owr»ry ,-'`ltlt S - lv Dne Iz ? Owner/OeeupeM IManuhetwer/Suppli*r of Equprnwnt on 4Sp Rouul a I ?'Gy.V Section Tawnship Ranp• CRY, Sun. Zip v. CMr, r)y I R I nip i Da31ip ed The following items are deviations from the accepted standards of construction at the above described premises. Numbers after each item are appticable National Elactrical Code Sections: d s ' ' • • ? • _ ? nobd dsRe"nai" and: :i ? Notify inpma ta nimpsction bsfors oovxinq wirirq. 0 R?impection wiH be made at time of finsl inspsetion. CT, Sgn and rstum this for to act inspsctw whsn corcactions hsve been mede but ra Ister then (Osta}: L Conmtroo In?pKlor Sipnsture o( MataNw o,J AddrMS (St?Mt dac, Routo„ Date o( Complianq NOTE: A copy d this rpwt will boeomw a pormanont rL 7? 1 rKord ol tAis impsetion at iM hlinnesan Bwrd d 4'4S 4?_ Form EB•00116-03 (9/86) YYhite-Installer, Canary-Board of Ekctrieity, Pink-Arsa Rep., Green-InspecWr OFFlCE USE ONLY Thix requasl void 18 manl6s fiem validation dak printed in/ihix 6oz. • IIIII II I III II IIII 1 I IIIIIII IIIIIIIIII "d?43? ?iN.f.[.P.- l? * 0 4 3 3 9 63 6 M PLEASE PRINT OR TYPE /?y1C/'F' ? Raquest Oate o -?-1 - 1? RooglNn inzpaction requiredE Ycs ? N. na m?, ?aii ?ne ,n?,?a?) Inspecfion Olher Ynan RoogMn: mk Reaa,: ? Reody Now Wili Coll I, licensed confroctor 0 owner hereby requesl inspection o( the obove electrical work at: Job Addreu ?Sheei, Boz or Raule No.) Ciry `-c- Zip Coee Seclion No. Township Name or No. ge No. Fire No. Cwn Occupom Phone No. Mpplin Addrms Elecniml Comracwr (COmpoiry Nome? ?r.'? ?r`i• ^nh ?i. Conhacror license No. ?? /dosrer Lic No. (Plant Elecl. Only) - Malllny Address (Conhaciw «Owner Performing Insmllanon] ? ? A?zed SignaNre ?CaHracbr or rmi Phorre Na. htlr%%A)IA-I I tl/Y6 STpTF. gpppD COPY- SEE INSTRUCiIONS ON BACK OF YELLOW COPY 43•3-963 REDUEST FOR ELECTRICAL INSPECTION 7? Minnesata State.9oard of Electricity ?` ? 1821 Universiry Ave., Rm. 5-728. SL Paul, MN 55104 Phoi72 (672) C42-0800 Y,j Home Duplex A t. Bldg. Other: . New Addn Commerciol Indushiol 1 1 Farm Remod Re ir Air Cond. Htg. Equi . Water Hh. load Mgmt Other: Dryer Range Elec. Heat Tem . Service "X" above rhe work covered by this request. EnMr remorks in this space and on the back of Fhe white copy only. Cakulole Inspeclion Fee - This Inspection Requesl will nof be xcepfed wilhouf fhe mrrect fee: O[her Fee # Service ErArance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Street Ltg./7mffic Sig. Above 200_Am s Above 100-Amps Tmnsformer/Genemror INSPECTOP'S USE ONLY TOT L Si9^/Oulline Lfg. Xhnr. Alarm/Remole Control $wimming Pool I hereb ceiti Ihat I mp?wl the elecincal in i6ed here on Ihe daies sw Irrigotion Boom RougMn . L' Date S acio l I ns ecfion p p ti Invesave Fee fig Final Dom THIS INSTALLATION MAV BE ORDERED SCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 3 9 7 OiFlC`USE ONLY This request void 18 monlhs hom wlidatlon dok printed in 16)'a 6ox. IIIIII II IIIIIIIIIIIIII I I I II IIIIIII IIII ????% ?- ?? ,??w TT ? * 0 4 3 3 9 6 4 4 f PLEASE PRINT OR TYPE ?? Rough in inzpection required@ Yes ? N. Inspeclian 01her Thon Rooghln: ? Ready Now Will Coll ('lou most call the inspactor wh dy , Dah Ready: I, licensed conhactor ? owner here6y requesf inspection of ihe above electrical work at: Jab Addreu (Shxl, Box w RoWe Not ' Ciy Zip Code 3 b , u SMion No. Township Name or No. nge No. Fira No. C ? Occupom Phane No. Address ?• Eleckiral Connoctor (Cwnpeny Nome) ConrcF ? rqGp_?,gae'c No. Iq?9tll AMster Lic. No. (Plam Elecl Only) OlogammaL m ? Naillng Address lConhaciw « Owrer Perfwming Inemllalion Aallarized Signolure (Conhacror or LW jpLW?edormirgPM1J0o?j Phona Na. Eg00001 A-11 8/96 STATE BOARO COPY - SEE INSTqUC710N5 ON BAGK OF YELLOW COPY 433-/96/4 REQUEST F2R ELECTRICAL INSPECTION /? ? Minnesola State 8oard of Eleciricity 1821 Universiry Ave., Rm. S-728, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex A t. Bldg. Olliei: - New Addn Commercial Indushial Farm Remod Re ir Air Cond. Ht . Equi . Waler Hh. load M mt. p?er: Dryer Range Elx. Heat Temp. Service °X" obove rhe work covered by fhis request. Enter remorks in fhis space and on Fhe back of the while copy only. Calculate Inspection Fee - This Inspecfion Requesf wilf nol be accepted withouf Ihe correct ke: O/her Fee # . Scrvice Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps Street Ltg./Tmffic Sig. Above 200_Am s Abave 100_Amps Transformer/Generaror INSPECTOWSUSEONLY TOTA 'j0 Sign/Oudine Lfg. Xfmr. O Alarm/Remote Conhol Swimming Pool I haeb cem Ihm I inspeded the el insml fm de r herein on ihe doras r`d Irrigafion Boom xo.gMn ome $peciallnspection ? Invesfigalive Fee Fiml (y_? THIS INSTALLATION MAY BE ORDEREn SCONNFCTEn IF NOT COMPLETED WITHIN 7H MONTHS. Mar.19. 2008 8:5 1 AM C r e s t Ezferiors No.8743 2006 RESIDENTIAL BUILDING PER1v11T APPI,ICATION City 4f Eagaa 3830 Pilot Knob Road, Eagan hIIY 55122 Telephoee !F 651-675-5675 FAX # 651-675-5694 New conslnrabn aeouire?nonh 3 registend cde siweya slqwir5 $7. R. W IM, sq- R. M house; antl Al roofea Neea (zo%max;mum la coveraps akowed) 2 tCpia Mplan Showig heam & window sizas; paureq fpund dsslgn, Mc. 7 se[ af Energy Calculations 3 tapies of Tree PlinlenfeqN q? ? lot plaMCd aRer 711193 Rim Jasl Debil Optipm se1¢cEOn shet (puilAnps wiM 3 w less uniL5) Minnegasco mochanicel ventilation fonn P. 12 /'6-/, 60 RermdBVRCOeirReUULp enL OlficeUseOnlv z?ala&aP"owkV rooungs,eaam.ia8m CertofSuNCyRaod ., Y ' N 1 set ol End9Y CalWlations far h2aed edditions 7ree Prl9 Plen I?eotl Y_.1{ 15i1esurveyforad66oru8decNs TrecPresRepydretl ?v ?N AddM'ron-mdcafetton-sifesePlicsYSM1em OnalpeSeOdGSystem_Y ,H /1/JO?s..j 2 ,/+? Date t!J / I I C t i Site Address if" ons ruct on Cost n?) Yl Y? Gt M i , -- tlpitlSte # DescrlpNonofWork Multi-Ramily Bldg , y^ N Fireplace(s) _ 0 _] _ 2 PropertyOwaer )r yit.1 (fflS*A 11Un aVVILL5 7eleDboueM(6I0V)3M-hPW Contractor Gre? ?xfierior Addresa City RAWCO-MC-) State m I?. Zip ffi( - 7'elephone # ((6I ) LI(e- (.016 COMPLETE TNIS AREA ONLY IF CbNSTR!lCTIN6 A NEW BUILDING Energy Code Category - Minnesota Rules 7070 CatPaorv 1 _ Minnesota Rules 7672 (J submlaslon type) ' Residentiai Ventilation Category 1 wwksheet • Naw Energy Coae WorkaheM Submitted Submitted • Errerpy Envelopa Caleulalions Submitlad In the last 12 months, ho5 ihe Ctfy oF Eagon issued o permit for o similar plon based on o masier plan3 - Y _ N Ii yes, date qnd oddress of mosTer plpn: LiCensed Plumber Mechdnical GOntracfOr Sewer/Water ConTractor Telephone /k( Telephong #{ Telephone # ( I hereby apply for a Residential Building Permit and acicnowledge that the information is complete and accurate; that the work wi11 be ip conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application £or a permit, and work is not to start without a permit; that the work wiU be in accordance with the approved plan in the case of work which requires a review and approval of plans. Yid lq ?.r.C? ?l.?Q Q D? ApplicanYs Printed Name Appli anYs Signature ? ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.S.N.: 10-67125-020-01 PERMIT cRiy_01 PERMITTYPE: Permit Number: Buz?ozN? 0 2 9 4 S 5 Date Issued: 01 / 31 / 9 7 3781 LOTs SENECA BURGUNDY DR 2 BLOCK: 1 HILLS DESCRIPTION: ; ? - (1 OF Z M,r-. Bvildin?,Permit Type ;buiYda:ng Wrar_k 7ype "`UBC Occu`pancyConstruction TyRye Zoni:ng --? Building L,ength Buildinq Wici.th ?'I;ar.ies. t Ge.fi,sYMs Gad.e ? UNITS) SF DWG NEW R-3 U-1 V-N R-3 38 50 2 102 1 - FAM. ATTACH ?k, ? I REMARKS: ZERO LOT LINE S& bd PEB-R 6dEAIZEL P61B" FEE SUMiNARY: VALUATION Base Fee Plan Review Surcharge SAC 3AC % SAC Units Subtotal $1,007.25 $654.71 $62.00 $950.00 100 $2,673.96 $124,000 MISCELLflNEDUS $1,979.50 COPY $•25 Total Fee $4,653.71 CONTRACTOR: - Applicant - sT. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VRLLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)931-4900 I heraby acknawTedge that I heve read thi's bpplication and stste that the : information is correat and'agr2e-ta comply'with al.,l-applicable State ofi Mn, ? 5 Cutes and City o?F Eagan Orcli:nanaes-.' ? ?.o? ?,(1 ml?l- . 11 IPERMITEE SIGNATURE SS ED B S ATUR CITY OF EAGAN 1 lqiAm 3830 PILOT KNOB RD - 55122 ?+ Lff.?• ?t 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) p,,nI? 681-4675 ?-?X? 1'31 ",ngtpcljQbgequlrcmeMs RemodeUReoaU Reouiremente ? gistered sRe surveys ? 2 eopiea ot plan ? 2 copies of p1ans (indude Deam 6 window sixes; poured fnd. design; etc.) ? 2 sile surveys (exterfor eddaions & decks) ? 1 energy rakulations ? 1 energy catculations fm heated edditfons ? 3 copies MGee presenaiion plen M bt pleped afler 711/93 reQuired: Yes No DATE: ?T I1-7 CONSTRUCTION COST: DESCRIPTION OF WORK: SE''llECe\ ?-AJcI-->S 1 p,n.J+'v NcyMh-;S _ STREET ADDRESS: ? -7`? ? ? (,U+jr)V F-)2 tV C LOT 2- BLOCK ? SUBD./P.I.D.#: IONi,P/ti ?csNGEr w?`o! ?? PROPERTY owNeR • CONTRACTOR ARCHITECTI ENGINEER Name: C? lM I-?faM?S ? 1 ?vC.• Phone #: yry1 M6T Street Address• 6zLP`Z1E2 ??C -1--rZO5 City: AAP(F Una-z-f State: M6*J Zip• f Z9 Company: ?.? ??1 I`?c?M?,' /s?)C. Phone #: 43(-?C/a) Street Address: ? 5Ozs 6LA2-+ek Au€?XS License #• City: A PPL UACjjE1-'? State: 17/1VlJ Zip: Company: )L LF P FE-S'C,+US Name: Phone#• E71`0-?K44 Registration #- Street Address crf K?ti?wcoi> p2??? City: rU1?J?lNE??PauS, State: M Vl,)_ Zip: `JSsq 7 Sewer 8 water licenaed plumber: ?T0uZEL MECN? IcPf L- . Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that 1 have read this applicadon and state that the info ion is correc nd agree to compiy with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: . OFFICE USE ONLY Certificates of Survey Received A- Yes Tree Preservation Plan Received YeS RECEI D No JAN 2 4 1997 ? No $Y: L a> =Z OFFICE USE ONLY BUILDING PERMIT TYPE ,44 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish : e?'02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool , ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility a 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous n 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE o .- L,?T ? Le?lt 31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMA710N Const (ActuaD _,J?7-N Basement sq. ft. /, z /15 MCNVS System (Allowable) :r-^l Main level sq. ft. /, z 6 g City Water U8C Occupancy 2•3 u-i _J` sq. ft. s?,g- Fire Sprinklered Zoning 2-3 sq. ft. PRV # oi Stories Z. sq. ft. Booster Pump Length 37 sq. R. Census Code. a? Depth -51P Footprint sq. ft. SAC Code o? Census Bidg _L Census Unit ? APPROVALS ` • Planning Engineering Variance Building . Permit Fee Valuation: $ /Z y4"d 5urcharge aN ?'c.?GO'`?s PVan Review /XA//d license y7z / z??s x ry = 19? MCM/S SAC ? City SAC Water Conn. Water Meter ? Acct. Deposit Sz? 3? SNV Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: % sAC SAC Unfts MAY-17-1995 16:40 FROM ?? ? (?3) De rmin vorkinr; squore footare of each. 1. Total exposed va11 area sq. ft• x 01ii 2. Total roef/eeiling ares .. ?2-??•? sq. ft. x 8,026 = 17l.!5 ra 8827702 P.01 ex?•?;con 'r:NVF.1At•t: nvr:I;nr,F: "u" c?xaeu•rn•? iou oWNER ? rn florAE ,yo .. SITB A.DDp£SS SFO?Jt=(` iN Uja-)V,)S , R? ?U??y f?fZ;vE ?N?ry r3 CONTRACTOn^ ( i IN VIOIM"'-, I N DATF. J-719 II, PHANE • Totel expoaed watl arca nborc flsx+r - a. Total va?1 windorr area . ....................... ? Z . L. TuLal duor zrea .................................. Z c. Tota1 slidir.g glnss door area ..................... 7 7 g. Total rim 3oist aren .............................. IIZ O Total exposed foumdotion arra = qC?`?Z .. h. 2ota1 foundetion vindov area • ...................•._ Q,7 5 i. Total neL foundation a:es above graGe ............. 7. 1-7 . D=terzcine "U" valce o; each vall sersaent. e. I ??,Z9 X ,:U„ 7 0 b. 4z x..U„ . 3Q = IZ, (Q C. 1 7 x^u?? o2Q? - zl,slo ? a. ?, x U„ C?3 - ? x,.U„ r. I 1?4?? I X g. 117• o x h. ?. ?S z r?lJ.. 3?. ?7 i_ x ..U„ 4. s9 ZQj - z.4S - . v?3z = ?•?3 3 . .................................. 'io?.a] Tf item N3 is Lhe same as, or lesa '.Ivm it!??a M.l, you nave met tne intent or ssc 6oo6(c):. . d. Total fire?lace vall area ......................... ^-?? e. Total vall frarning area (avera?e 19i) .........-•- Y- Total net ?nll area ¢bove Sloor .................. .. MRY-17-1995 16:41 FROM TO 8827702 P.02 ToLUl c.yoscd roof/eeilinG aren r . Total gross r00f/ceilin13 are:i = 1Z11. ?` ? 3bta1 skylight erea .......................... _ O k. _ iotal roof/ceiling framing ares ••:••••••••••. 1. 'POtGl net ipsulated ruuf/cciling nrca -------- ??--- llCLC7mS[!e "U" rnlue Sor cnch rouf/cci l inj! sel,-enL_ U x j• k: x uU" o VZ? f-L39- 1. 1 ZI 1, S x..,,., . o i q 5= c0z4 - k . ...... ... ... . ...... .... .....:. Total . Tt tolel oP dL is the ssae as, or less than 12, You have met tAe intect of SBC 6006(0)1. . . To utilize the tntal er.velope systex method, the values establi<hed by the sum of itens 13 and B4 sbe.ll not Ce 6regter.thxn the sum of itea:s +il end Y2. ?. lCW $9 ? ?. ?3?.5 = ZIZ.39 ?+ L. ^.ZJ = .. i????o . ? o ° A' GIYY OF EAGAN 36830 Pibt Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-67125-010-01 DESCRIPTION: PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 0 2 9 4 5 4 Date Issued: 01 / 31 / 9 7 3783 BURGUNDY pR L07: 1 BLOCK: 1 SENECA HILLS (1 OF 2 UNITS) P?uilding..;Permit Type 5F DWG Bu.i.lding Wu,r;k Type NEW UBG accupapc? R-3 U-1 1 Construction TyRte V-N Zoniti-g R-3 Buildirtg Leng'Ch ? Bvilding'Width 6vsi3diA-g°staries ?6s us..Cbde ` ? , . ? ' REMARKS: ZERO LOT LINE :r 38 .,; 56 K? 2 102 1 - FAM. ATTACH r{ 3'L_ ' °` -+ •'?71 ??.. ` t{ {x ?a? q ? m,f4t ?k? ..1{j i?? ;'ti 5& bd iPL&R bd E PF2E tTEBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge sac sac % SAC Unit& Subtotal $2,673.96 $124,000 MISCELLANEOUS $1.979•50 COPY $•25 Total Fee $4,653.71 CONTRACTOR: - qpplicant - sr. LIC OWNER: 6 M HOMES INC 14314900 2002530 G M MOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE.VALLEY MN 55124 (612) 431-4900 (6'12)931-4900 I hereby acknowledge that T ha"ve read 'this application and stste that th.e infiormation'is correct and agree to comply with a3l,appli.cab].s State of Mn. 5tatutes and Ci'Cy ofi Eagan Ordinances. . ' APPL ANT!PERMITEE SIGNATURE ISS ?D BY: S NAT RI I ilTg- ,?- $1,007.25 $654.71 $62.00 $950.00 100 1 -j CITY OF EAGAN 041-64 3830 PILOT KNOB RD - 55122 1996 Bl11LDING PERMIT APPLICATION (RE510ENTIAL) 681-4675 QnsWCHan Reoufremenls RemodeVRenair Reauiremenh ? Feglstered sile surveys ? 2 cropies of plan ? 2 copiee of plena (indude beam 3 window sizea; poured fid. design; etcJ ? 2 ake surveys (enterior addifions & decks) ? 7 energy calculatbna ? 1 energy eelculatlons for heeted additions ? 3 wpies of tree presarveNon pbn H Id Qlatled after 7/1/93 required: _ Yes _ No DATE: I + z9 1 9-7 CONSTRUCTION C05T: ? ? ?? ? • ? DESCRIPTION OF WORK5?LFS-? ?OO(?'s> 711.4J J`1 i-IOMES STREET ADDRESS: p`q p??? E-- LOT I_ BLOCK I SUBD./P.I.D. #: l???fln Ad? DuPUx '''?Lor-Z PROPERTY OWNER • CONTRACTOR ARCHITECTf ENGINEER Name:- C? HOm[S, IrvC. Phone #: 4-s1'9`f 00 w* rn?n Street A(?- vA`?- Y, Ciy: State: lY1 ?1 2ip• ?S / Z9 Company: G? M K??S ?I fVC• Phone #: 4?1-?9C7o Street Address: /SOZS ? (1qziE2 AX License # : 20C22-5 3°-7 City: APPLF v d?CQ?y', State: ?Vl K./ Zip: 651 -24 Company: _KL C= i?CSW r? Name: Phone #- 37 (- 2394 Registration #• Street Address• (B7 91 Ki)o[,LWmp Q2,uc. City: M1iVNEAPOLIs, 4=t State: A1uv Zip: 7 Sewer 8 water licensed plumber: W7"7 0L Mrr?Ct-1H1yuicfiL . Penalry applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that applicable State oi Minnesota Statutes end City oi Eagan Ordinances. Signature of Appliqnt: 9 OFFICE USE ONLY Certifiptes oi Survey Received 4-- Yes _ No Tree Preservation Pian Received _ Yes ? No the info ion is correct a a ee to co 'th all 1 RE EIVED ? JAN 2 4 1997 BY: ?,=_/ OFFICE USE ONLY BUILDING PERMIT TYPE ? 4% A q? ? .? ? 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ,u%02 SF Dwetling a 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 GaragelAccessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 = plex WORK TYPE ?pao _ GaT - F 7: p"31 New o 33 Alterations ? 36 ?- Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION ConsL (Actuaq 'v-- _ (Allowable) rrK UBC Occupancy 9-3,L/ 2oning ,P-3 # of Stories Z Length 3'E? pepth 5(v APPROVALS Basement sq. ft. Main level sq. ft. L15- sq. ft. sq. ft. sq. fl. sq. ft. Footprint sq. ft. Planning Buiiding Permft Fee ' $UfCh9fQB Plan Review License MCNVS SAC City SAC Water Conn. Waler Meter Acct. Deposit S/W Pertnit SAN Surcharge Treatment Pi. Road Unit Park Oed. Trails Ded. Other Copies . ?h Total: % SAC SAC Units 136o MC/WS System 130 City Water 56l Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Qs.. valuation: $ / Z `,/, ° °O /30o Xsy - 70, zw , Z N6 6s?r tfY/x?? ° 7 Z/6 • c? -?_ /o z oi / • NOft'4Rtqf A2LASQ/?CM ou fNC Yayuf • LOT SURVEY CHECKUST FOR RESIDENTIAL Bl11LDING PERMIT APPIICATION U ? ? y ? m 0 ? ? ? ? ? ? ? ? ? PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: Jm 6 ? ? z8 Cil-'? ? r?a crz?? ?? ?0 0-,13? ? [s' ? ?? ? DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arraw and scale • House type (rambler, walkout, split w/o, splft entry, lookout, etc.) • Direcdonal drainage anows with slope/gradient % • Proposed/ebsting sewer and water services & invert elevatlon • Street name • Driveway ELEVATIONS 'sUn • Sewer service (ar Proposed) • Properly comers • Top of curb at the driveway • Elevations of any epsting adjacent homes Prosed 0' ? ? [r- ? ? Z-- ? ? EY' ? ? 1y'O ? • Garage floor • Flrst floor • Lowest exposed elevation (walkout/window) • Properly comers • Front and rear of home at the foundation PONDING AREq (d aonlicable ? cz' O ? ET, ? ? Z ? ? fl, ? ? P1' ? jzf, ? ? C'' ? ? ;I/' ? ? ef ? ? ?? ? ? ci-? ? • Easement line • NWL • HWL • Pond # designation • Emergency Overtlow Elevation • Lot IineslBearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overfiangs greater than 2', porches, etc. (.e. all structures requiring pertnanent footings) • Show all easements of record and any Cily utilitles within those easements • Setbacks of proposed structure and sideyard setback of adjacent exasting structures • Retaining wall requireme ,pW if any ? Reviewed: January 1996 caM1e06EtocPanrt.Fre MAY-17-1995 16:40 FROM TO 8827762 P.01 EXT-r1;ton 'r:NVF.tArE: nvrr,nr.t; "u" C(xWu•fnTttri oVN ER ?(?,Jc , SITE ADDRESS S?rv?c? woc?p? , (?UR?;?n?Y tiQ?1?E ? N?t?t' ? 3 CONTRACTO^ C MHQ/wEC._ (vt,C DATF. I? ?`i PHONE ?A> v+v,-r- r N+? ?31-99c?o Determin vorkinr. square footarte of cneh. 1. Total exposed vall area sq. ft. x 0.11 - ?. S 2. Toisl rocf/cei2ing ares .. ?Z (c ? sq_ ft. x 8?0,.?6 = 32. 0 Totel Expoaed wnil arca abovc f1«+r - I9S(o 5< a. Total vall vindov area ............................ ICAR._ . L. 2vi.a1 duor r.ren .................................. 4 Z c. Total slidir.6 61ass door area ..................... 9Z d. Total fireplace vall nrea ......................... Mn e. Total vall framing area (averace 19i) ............. I-35 b f- Total net wa:l erea above floor .................... 14$9 . g. Total ria ?oist area .............................. I'757.SS Total exposed `oundotior, arca = S?. S h. Total foundetion vindov area .......... i. ^aotal neL foundation a:ea hbove grade ............. 4 Z)5 . D_terrtine "U" calce o; eaeh wall sec;ment. a. x'.Ull . 2S - J C•? b. d? x"tt" •'?C7 - I1, la . c. z17 X •U?, . Z ? _ ? ? .1 ?o a O x^?t Oj 3 ? . . a.. 195.(0- x.,.,,,, , 0(69 - i -7. 90 x-u° .043 = ?9.0 5b x"tt" . 09 n. qs 3. .................................. :o?.,, = I??,Sb I: item N3 is the same as, or lesn itc, 1/1, you nave met L'ne intent or ssc 6oo6{c)2. nRY-17-1995 16:41 FROM TO 8827702 P.02 ToLUl exposcd rooC/ccilinG nreft = 160 5V7 Total gross rooT/ceflini, are:i = L ?. 1bta1 skylight erea .......................... k. iotal :roof/ceiling framing ares.............. (;.?.0:S 1. 'Potal net Snsulated ruof/cciling arcn ....._. ueterwine "U" vnluu rar Qnch r ?. ? x "U" O k: b], 05 x uU° e UZ-? 1. __ X.,,,., L . ............ ................:. Total uof/ocifinp. ac{?n+ent_ _ Z4 59 . • Ti total oP NL is the seme as, or less than ,62, you have met tRe inter.t of SBC 60o6(c)i. 2b utilize the tn'tal er.velope system method, the values establi:hed by the sum of iteas 13 e.nd 84 shall not be 6reater.thnn the srnc of iten:s 01 and Y2. ? 1. 2t5?-5 .+ 2. ' 32.-7?' = 298.b? ' 3'. 1-71 .55- ,?+ L. Zb•Z? _ .. ?? ?. ? . ; 0 0 L BL CITY USE ONLY SUBD. RECEIPT #: V 9 17 RECEIPTDATE: ? ?llf 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: . single family dwellings ? townhomes and wndos when permits are required for each unit _1z New construction Add-on furnace ^ ~ ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL a'7"? SITE ADDRESS: OWNER NAME: C? ? K?CJ?'??-S v PHONE#: INSTALLER NAME:?^ PHONE STREET ADDRESS: CITY: yaGO-x STATE: yY/? ZIp; w SIGNATUR OF PERMITTEE ? L_L gL _L CITY USE ONLY RECEIPT #: SUBD. RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. . single famiy dwellings ? townhomes and condos when permits are required for each unit S-- New construction Add-on fumace Add-on air co.^.ditiahirg Add-on sir exehanger, i.e. Vanea system, etc. Date: 3 I`I 19 1 FEES ? Minimum Fee; Add-oNRemodel (existing.residence only) $ 20.00 _ ' ? HVAC: 0-100 M BTU 24.00 Additiortal 50 M BTU 6.00 • Gas Outiets (minimum of 1 required @ $3.00 each) 3.v0 ? State Surcharge .50 TOTAL a7 ?? SITE ADDRESS: OWNER NAME: ? `?? Y-•????5 PHONE#: INSTALLER NAME: l?Ci' y?C ??.C ? 2O PHONE #: ?5Y_ STREET ADDRESS: /0 CITYt ??CC/?- I//C.c.C.?_ STATE ZIP: SS C SIGNATUR OF PERMI7TEE PERMIT # O RECEIPT DATE: ? - I U , USIDEPTIAL PLUM$INfl PERM1T APPLICATIOR crrYoF EAsm 3830 Pnor xxos gn EA6AA, b1A 551EE 651-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : V/ lG I/r? /S2a'Q TELEPHONE #: ?? ? (AREA CODE) INSTALLER NAME: r ID'r/L GI/[ ? 1?/.Y?&IL 1'L l TELEPHONE #: FSZ /S3JyG?.3 //" / / STREETADDRESS: (??dld/(p( ?l?l (ARE CODE) CITY: L(LtQ ?l ?/c- STATE: IqA-/ ZIP: ??SQ ? 0 Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not ownedoccupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: h/l *? W- ?11 LJt Septic System, new/refur6ished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Tota I 7$-s7-! Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereCy acknowledge Nat t have read this appliption, sWte that Me Informafion is correG, and agree to complywith all apptiea 'CirygfEagarterdipa? is Ue applicanPs responsibility b nolify the properiy owner that the City of Eagan assumes no liability for any damages cau??t?y t¢¢?Ciry? dY?'in? (ts( operetional and mainlenance activities to the facililies consWded under this permit within City property/right-of-wayleasattyht. ? ,__? .A_ , lk? JUN 1 4 2001 OF PERIy11TTEE ? ,'"?... ?. CITY USE ONLY L ? BL ? RECEIPT#: SUBD.?., RECEIPT DATE: y y 1F-?7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 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 ?IQ TOTAL Shower 3.00 x Water Closet 3.00 x j2RO Bath Tub 3.00 z Lavatory 3.00 x 3 = 9-00 Kitchen Sink 3.00 x mo Laundry Tray 3.00 x ?- _ S. Hot Tub/Spa 3.00 x WaterHeater 3.00 x 3,.00 Floor Drain 3.00 x J_ = 3-0 O Gas Piping Outlet • minimum - 1 • 3.00 x 3. 4-0 Rough Openings 1.50 x 3r00 WaterSoftener `fordweilingsunderconstrudion 5:00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Spnnkler ' Wrdweliing underconst 3.00 = U.G. Sprinkler ' for axisUng dwelling 20.00 = Alterations ' to existing resitlence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Ctylic. 75.00 = (new and refurbished systems) Private Disposal Systems `nbandonment 20.00 = STATE SURCHARGE .50 %S sz? TOTAL . I hereby acknowledge that I have read this application, state that the iMortnation is cortad, arM agree to eompty wkh all applicable City of Eagan ordinances. It is the epplicanYs responsibility to. notify the property owner that Me City of Eagan assumes no IiAbility for?any damages pused by tha City during its nortnal operatlonel and maintenance acti4ities to the fecifrtiea construded under this pertnit:wiMin ` City property/right-of-way/easement. SITE ADDRESS: 3 &a-6 *?Dij S?a? OWNER NAME: Q. INSTALLER NAME: STREETADDRESS: ???'? ??rHwnutx- icp CITY: _e-lk? STATE: TELEPHONE #; W q5-2 - 1'565 ZIP: UA &?W-g / SIGNATURE OF PERMITTEE CITY USE ONLY L / BL RECEIPT#: ??If.3I SUBD. ? ... a RECEIPT DATE: 1?17 j`' 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for. . single family dwellings . townhomes and condos wften permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH NQ, TOTAL Shower 3.00 x 3.Oo ? Water Closet 3.00 x = ? Bath Tub 3.00 x in.Qn Lavatory 3.00 x '; 70-0 Kitchen Sink 3.00 x I = 31--2-0 Laundry Tray 3:00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x 3-00 Floor Drain 3.00 x _1 _ 3.090 Gas Piping Outlet ' minimum - 1 • 3.00 x 3, Rough Openings 1.50 x Water Softener "for dwellings under construction 5.00 x = Water Softener ' Por existlng dwelling 20.00 x = U.G.Sptinkl2r `fordwellingunderconst. 3.00 = U.G. Sprinkler 'forexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cty iic 75,00 = (new and refurhished systems) Private Disposai Systems'nnandonment 20.00 = STATE SURCHARGE .50 TOTAL SSO I hereby adcnowledga that 1 have read this application, sfele that the iiAonnation is cartect, and agree to compiy with atiapplicable:Ciry of Eagan ordinanoas. It is tha applicant's responsibililyto notity the proparty owner that the City:of Eagan assumes noliabiliry? forany damagas caused try the Clty during iFs nortnal oparational end maintenanceactivkies?to the faalities construGedunder thisperm8 wdhin City property/rightvf-way/easement. . SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE#: LIs- z- ' is &5 STREETADDRESS: F4a'r xW4 cmr: 4P-Akac-? STATE: fto I zIP: 55'( 22 SIGNATURE OF PERMITTEE zoos RESIDENTIAL PLUMBING PeRmiT aPPUCAZioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. */S .S6 Date 1 /0 1 V (f' ???/' Site Street Address (sc?? (?? / Unit #t Property Owner / J LC C Telephone #( ) Contracto /` . N Telephone 61,?, ?t Address . `? City Stateo-v- Zi?,?CJ The Applicant is: _ Owner ? Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Aiterations to existing dwelling S 50.00 Add plumbing fixiures. This fee indudes instaiiation of a water softener and/or water heater at the same time. If you are instafling onlv a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are instailing. _Septic System Abandonment ? _Water Turnaround (add $130.00 if a 518" meter is required) Other: _ Water Softener ?Water Heater $ 15.00 _ new replacemeni Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that ihe work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit work is not to start without a permi and work will be in accordance with the approved plan ' e event a plan is requir to revieim d. ? ? Z_C, Applican's Printed Name ApplicanYs Signature PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105636 Date Issued: 07/23/2012 Permit Category: ePermit Site Address: 3781 Burgundy Dr Lot: 2 Block: 01 Addition: Seneca Hills PID: 10-67125-01-020 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 Andrea Preusse 4145 Sibley Memorial Hwy ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Valuation: 2,950.00 Total: $60.00 Contractor: Owner: - Applicant - Wenzel Heating & Air Conditioning Diane L Berg 4145 Sibley Memorial Hwy 3781 Burgundy Dr Eagan MN 55122 Eagan MN 55122 (651) 894-9898 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 Issued By: Signature Use BLUE or BLACK Ink For Office Use 2 I f Permit ~J City of E I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received:` Phone: (651) 675-5675 I fj~ I Fax: (651) 675-5694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: a/- Z7 F3 / C19 Unit Name: Sewer ' ~ Phone: Resident/ Owner Address / City / Zip:3'Z9®- 3_ZrRE3- 194-1^ dY D/ Applicant is: Owner _X Contractor ~ r Type of Work Description of work: P..cZ!G(-nc S/ / Construction Cost: / Multi-Family Building: (Yes / No ) Company: ~~✓J C1//4u-c,,4e. Contractor Address: ,fG scrrn ,~h i .,712 City: _S_- ,go State: AV/ _ Zip: 6-6-L--1O Phone: License 49 ey(o Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s 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: _ . NOTE: Plans and supportingdocuments 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. 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.gor)herstateonecall.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 Stat Building Code must be completed within 180 days of permit issuance. x x Applicant's Printed Name Applica 's Signature Pagel of 3