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3778 Burgundy Dr
Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use 1 "Vi City of NO ~Permit#: D-.C 3 W Lv 10 1 Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: 1 I Phone: (651) 675-5675 ~ 6010 1 e is I Staff: Fax: (651) 675-5694 I I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION i Date: ~ //c Site Address: Jdzy~y 411) Y 1//2 Tenant: sw !y Suite RESIDENT/ OWNER Name: 2 2,CZ. 0.--~ Phone: la ~ - 3~l Address / City / Zip: Applicant is: Owner 'Contractor TYPE OF WORK Description of work: Z/1 Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR NameZ~&lel C~~ST; N G - License 2d Address: /5ZY7 4Q i,.. Z_ City: State: /1,1"Zip:~3 7 rS' Phone: / , Contact: 590/U ~JUaJ .1 Email ~LdsvR~co ~UeT a•`' p'+5~, m 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 If yes, date and address of master plan: Licensed Plumber: _ Phone: Mechanical Contractor: Phone: Sewer-& Water 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 the are trade secrets. 4 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; thft work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x T~ ~~Q J~~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 7 -7 1~- /f'> ~cd2 u(%16 Y 2) f2 , /s DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace Porch (3-Season) Storm Damage - Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement Siding _ Demolish Building* _ Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION 4W Valuation ! Occupancy MCES System Plan Review Code Edition? SAC Units (25%_ 100%~ Zoning City Water Census Code 14, Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL ES 70 rfj ~OD Base Fee -73 Surcharge Plan Review Aj -7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r----------------- I I Fvr06i4e Use I Permit Cat of Eajan I Permit Fee. I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 i Staff: Fax: (651) 675-5694 / 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION ~ ran y Lyr a Date: l Z) I Site Address: 37 79 CX Tenant: Suite RESIDENT /OWNER Name: A r Q I i Pe h a"e ►"So rl Phone: Address / City / Zip: ~ > `7 V r 1) YI Z CONTRACTOR Name: MA 1-1-e T01ke,AJ License 6 2 3 9g ~ Address: f 71 9S- .FV flene_I-d,~Aj ~ ' Phone: City: _ > ak V116 State: Zip: 9YO l `7 `yZ,1.Ea ,e Contact: Email: TYPE OF WORK - New _ Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: eel) r PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.oopherstateonecall.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 pl ell, x ~A x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA077898 Eagan, MN 55122 . Date Issued: 05/22/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3778 Burgundy Dr Lot: 3 Block: 14 Addition: Seneca Hills PID 10-67125-030-14 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Danielle M Pederson 130 Plymouth Ave. N 3778 Burgundy Dr Minneapolis MN 55411 Eagan MN 55122-3165 (612) 824-2656 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 . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 r Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: Ir~,r,!rr~ll r . i~+ PERMIT SUBTYPE: TYPE OF WORK: d INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. J Permit No. Permit Holder Dab Telephone a ELECTRIC 1,13,395W PLUMBING HVAC 97 4 Inspection Date Insp. Comments FOOTINGS / FOUND 7 ^R7 FRAMING -2,q-,q-7 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING - 2,J 7 XfS GAS SVC TEST /n 21 L7 7 _ , G~ INSUL 'J GYP BOARD FIREPLACE ` FIREPLACE AIR TEST FINAL PLBG 'y FINAL HTG r( ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I -FT INSPECTION RECORD 4 CITY OF EAGAN PERMIT TYPE:' 3830 Pilot Knob Road Permit Number: ;i Eagan, Minnesota 55122-1897 Date Issued: t (612) 681-4675 • SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. Permit No. Permit Holder Date Telephone A ELECTRIC l • 3 90 d' ` PLUMBING /~j/ q7-7Jr(/~ HVAC d2 10 -7 Inspection Date In Comments FOOTINGS FOUND ? 6'47 FRAMING ROOFING M3 ROUGH PLUMBING AIR TEST I ROUGH HEATING Z- -c7 MS GAS SVC TEST INSUL L7 GYP BOARD FIREPLACE ~i FIREPLAC IR TEST E ~ c J 'or A FINAL PLBG / FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL • Ole / • DECK FTG 71r1f7 O ~ DECK FINAL S INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 SITE ADDRESS: APPLICANT: !,il;i.!Ildl:I>~, F'7 ki 'i•14 IfiPERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. ! 71 Permit No. Permit Holder Date Telephone # ELECTRIC 3 7~~ 9 °u PLUMBING Jr7 5a`d5Gs HVAC Inspection Date 1111791). Comments FOOTINGS /'j~ 3 A6 FOUND I-7-17 FRAMING ROOFING ROUGH PLUMBING -f PLBG AIR TEST 021 (3 oz/ ROUGH HEATING Z GAS SVC TEST INSUL 2? GYP BOARD FIREPLACE FIREPLACE AIR TEST - FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 1-1111 V DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE iNSPTR , 1 j Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL 2 2 DECK FTG DECK FINAL II I L { I i I Werti f irate of cccuvtQnC~ a Wi4 of Wagan Teo r I cut o1 laumbis anboectiolt This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use classification: SF DC Bldg. Permit No. 29347 Oxupancy Type -R3/U1 Zoning Disvia -R3 Type Consc Owoer of Building G M flOMES INC A 15025 aA= AVE, APPLE VALMY Building Address 3778 BURGUNDY DRIVE Uo~tiry L3, B.14, SME A RUI S i , Ekatd6g Official POST IN A CONSPICUOUS PLACE Werti f icate of Cccupanc~ gity of pagan` ~e~art went of ftming ~n~~ection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use ClasairuxUon_ SF DW Bldg. Permit Na 29346 OCCUP rrcy Type Rat u 1 zoning Disnia R3 Type Cast. VN oane. or Building G M HOMES III Aaarest 15025 QAZIE:R AVE, APPLE VA= Building Addnms 3780 BLARGM DRIVE I-fity L2, 914, SR UA EONS Date. ! t✓'` or ' tldiug OtTicial POST IN A CONSPICUOUS PLACE 1 (Ferflf Cate of cccupancC Whig of Wagan M"extmeat of ZaOWS aal3peetiun This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: 1 Use Classification: SF DWG Bldg. Permit No. 24345 Occupancy Type _R3/ u 1 Zoning Disuitt R-3 Type Const. V owner of Building G M 11WS IWC Address 15025 G I AZIM M, APPLE VALLEY Building Address 3782 BURQII+II)Y DRIVE L-,i y M. B14, SEMEA RIME Date: Building Official I! POST IN A CONSPICUOUS PLACE OFFICE USE ONLY This request void 18 months hom olidation dale printed in this box. - 8Qua y 111111 Ilk # 0 4 3 3 9 5 8 6# PLEASE PRINT OR TYPE 7 O Request Dare Q Ryu o inspection requin d8 Yes ❑ No Inspection Other Than RwghAn: [Randy Now Will Call IOV most call the inspector when ready) sQ' I, licensed contractor ❑ owner hereby request inspection of the above electric O Job Address (Sheet, Box, or Roure No.) Cit ip 3-1`7B a 5«tion No. Township Name or Range No. Fire No. Cou O`J occupant Phone No. Power Supplier Address Ele naol Conaas m (Company Na I=- No. Master tic. No. IPlont Elect. Only) Mailing Address (Contractor or Ovmer iy Instal n) Authorized SignaNra (Contracmr «CMner Performing Instollmion) Phone No. 77-71 EIS0OOOIA-11 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY 7 7 ~/5 C OFFICE USE ONLY This request void 18 months from validation dale printed in this box. C/ y III IIIIIIIIIIIIIIIIIII IIIIIIII~~~~, /kg& g0re, 0 4 3 3 9 5 9 4* PLEASE PRINT OR TYPE R oast Date Q RougMin inspection requircdY Yes ❑ No Inspection Olher Tnan Roughln: ❑ Ready Now II _ - 1 )You must call the insp=vil ready) Date Ready: v censed contractor owner hereby request inspection of the above c (cal w a lob Address lStreet, Box Roam No Ci Zid 1 -I rZ ur~0. unp Section No. Township Name or No. Range No. Fire No. Cob Ocwpaat Phone No. D. Power Supplier Address c <nA_G,_ FA . Elecmcol Contractor (Company Name) Contractor License No. Maser, Lic. No. )Plan, Elecl. Only) pn MEOTRiC.MC Mailing Address )Contractor or ' n AuMonased Signature (Contractor or Phone No. EBO"] A.1 I B/96 STATE BOARD COPY - SEE MSTBUCTONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION 70 /j U Minnesota State Board of Electricity 4 ...JJJ JJJ 1821 University Ave., Rm. S-128, St. Paul, MN 551047 S19 Phojnp_(61 21 642-0800 Home Duplex Apt Bldg. Other: New Addn Commercial Industrial Farm - Remod Re air Air Cond. Htg. Equip. Wafer Hh. Load Mgmt. Other: Drye: Range Elec. Heot Tem .Service "Xe above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct Fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps (3 0 to 100 Amps Street Ltg./Traffic Sig. Above 200-Am s Ab Amps Tronsformer/Generator INSPECTOR'S USE ONLY IT O AL O Sign/Outline Ltg. XFmr. ( Alarm/Remote Control Swimming Pool hereby rerti t el nCol Inslolloli d on the dates sorted Irrigation Boom Trough in Dore Special Inspection Final Da Investigative Fee THIS INSTALLATION MAY RE ORDISAISIS SCO D IF NOT COMPLETED WITHIN 1 MONTHS \O/c a~ OFFICE USE ONLY This request void 18 monlt~s from vafidolion dalete Ibis box. INIIIInIINIIIIIIII III I11111111IIIII~'-~' - 14ib * 0 4 3 3 9 6 O 2* PLEASE PRINT OR TYPE Request Dole Rough in inspection requiredx Yes ❑ No Inspection Other Than RaugMn: ❑ Reody Now Will Coll 1 ou must call he insp ror eod) Dote Ready I,~%licensed contractor ❑ owner hereby request inspection of the above-electrical w at: Oo~ Job .dress )Steet, Box, or Route NO.) Ci t Section No. Township Name or No. R nge No. Fire No. County - A Occupant Phone o. o mes r supplier Address ,rical Contactor )Company Name) Conk atlar lirvesa No. Mortar tic. No (Plant Elad. Orly) CMESELEGMG.1 i. IiAUA6r MODGUMST. W. ~ MN MW Moiling Address (Contrador or Owner Performing Inoollafion Authorized Signature (Contacor or Ow a rmi~g Z4 ; Hione No. EeD00D1 A l 18/96 STATE BOARO COPY -SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION m,..9 0 Minnesota State Board of Electricity JJJ JJJ/ y 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. O lDr.- w New Addn Commercial Industrial Farm Remod R. air Air Cond. Range . Equip. Water Htr. Load Mgmt. Other: Dryer 'I Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee R Service Entrance Size Fee k Circuits/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps s Street Ug./Traffic Sig. Above 200_Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL SO Sign/Outline Ltg. Xfmr. 90 Alarm/Remote Control Swimming Pool I hereb ceai the eleorical' II rein oo N,e dates s1 Irrigation Boom RougMn _ Date +J Special Inspection G Firwl In D vestigative Fee THIS INSTALLATION MAYBE ORDERED DISCONNEC IF T COMPLETED WITHI 8 MONYHS. • _ Q REQUEST FOR ELECTRICAL INSPECTION 4 3 3 ®?4^ v+ 61 1821esoty sty Ave. Rm. Sle 28, St. Paul, MN 55104 - Ph42-0800 20 Home Duplex Aprm t. Bldg. Other: New Addn Commercial Industrial Fa Remod R% air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tom . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: her Fee # Service Entrance Size Fee # Circuits/Feeders Fee e Park Stall 0 to 200 Amps 17 113 0 to 100 Amps S raRic Sig. Above 200_Am s e 100Amps /Generator INSPECTOR'S USE ONLY TOTA~ S e Ltg. Xfmr. - / te Control fflSwimminqPool ool heeb tern ins e i non abed herein w. the dam, 5t Irrigation Boom Re ugbin ire/ Special Inspection Investigative Fee Fin rb THIS INSTALLATION MAY BE ORDE D DISCON NOT COMPLETED wrFHl 8 M NTHS. Mar.19. 2008 8:00 Crest Exteriors No.8743 P. 2 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Kew Conafn9m Reouirementc RoWepReak Reouiremenb office use only 3 registered site surveys sho" sq. It. of lot, sq. R. of house; and 9 cooled areas 2 copies of plan showing loadings, beams, joists Garld Sunny Recd _Y _N (26%madmum lot coverage allmmo) 16oto}Energy Cakulsliptsior heated adddkrb Tree Pres Plen}tecd - _Y _K 2 copies of plan shoring beam d wmdaa sires; poured found design, etc. 1 site survey for AM= & decks Tree Pros R"uired _Y N l set of Energy Calculations Addi6on- indlcele fl on site se00 aysfem on-9iteSepik system -Y __N 3 copies of Tres Preservadon plan if lot platted after 711M Rlm Joist Detail 00ns selection sheet (buildings vnth 3 or less units) Minnegasco mechanical ventilation form Date / 19 1 1.. Construction Cost ~Z }-7• Site Address f f 1 Unit/Ste # a 1 an. M rr! Q Description of Work -P Multi-Family Bldg _ Y - N Fireplace(s) _ 0 2 Property Owner ` a ( AC-fi0n XVf(L5 Telephone #(0 1,~) Contractor GYe,cA Exteriors _ Address ? 2a5 C/b1; n roll HVPouc, city loo-ho F(AvkA state ~S17 Zip rf:~o?q Telephone COMPLETE THIS AREA ONLY IF CONSTRYCTING A NEW BUILDING Rules 7672 Energy Code Category Minnesota Minnesota Rules 7670 Categ~ 1 _ - {Jsubmission type) • Residential Ventilation Category 1 worksheet New Energy Code worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N It Yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone j Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in 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 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. ICr jd Mccaon Kh W0 0h 1~11~ Applicant's Printed Name Appli,ant's Signature 5 . * M2422 endotatHeights,OMN 55120 * PION@6Q:1~---- ANLAND SURVEYORS • CIWL ENGINEERS (612) 681-1914 FAX:681-9488 ern LD PLMINERS• LANDSCAPE ARCHITECTS A 8 625 Highwvy 10 N.E. * * * * Blaine. MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: GM HOMES 3782, 3783, 3778 BURGUNDY DRIVE T„0 7 .54 `rhl 11 797.9 13 ~A BENCH MARK TOP OF PIPE v~ \G 966,~p. ,p0 2 ELEV.=801.26 \ \ /y SERV. X44 •O•p \/L• EL.=7897 q w a) 0 ep~ pp0 ° 9 >t 1 as~° \°s °GPe / o~ oR \ F~ 804.4 SERV.XINV.\ EL=792. )\X 053C3 -k xs" , o s~o ..Opp 2.8 QoFLN O\ m 796.44 TIE, x\ 0 OU TLOT A -2 SERV. INV~l T EL.=794.9 4 % 000.00 DENOTES EXISTING ELEVATION \ 6 ICY 9 ,~0~ Y (x00.00) DENOTES PROPOSED ELEVATION ) j~ / 805 ~ DENOTES MONUMENT Ins \'A _ i' -E3- DENOTES OFFSET HUB ° DENOTES DRAINAGE FLOW DIRECTIONI y 0~ % 3 .56 - - - DENOTES DRAINAGE AND UTILITY EASEMENT o i £gSeMgGF m D ~g 3. TO _,N a ~oo,~pp \ ~MFNr t n(rrY I ~s 77.2 BENCH MARK 'thy /'(q r 1 •Gb .110 ~pp / TOP OF PIPE _ oV'• ELEV.-806.00 P. 3Y / \ 79 -g v' 7sa.s1- ;el ZAT (01 -r-- / o SAG^IT q:GC V :I3WGDE ' NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER PROPOSED HOUSE ELEVATION LOT 1 NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: 796•¢ FOUNDATION DIMENSIONS. 0U~ L. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOi BY THE TOP OF BLOCK ELEVATION: G SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: 4. 9) PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN PROPOSED HOUSE ELEVATION OT & 3 THOSE SHOWN ON THE RECORDED PLAT. 797.6 NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. LOWEST FLOOR ELEVATION: 7aG.G NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM TOP OF BLOCK ELEVATION: 9 ~ Q GARAGE SLAB ELEVATION: WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, 2 & 3, BLOCK 14, SENECA HILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6TH DAY OF DECEMBER, 1996. fZ..oW 57, EK(ST E Ldr/- SI ED: PIONEER ENGI R G. P. A. SCALE : 1 INCH = 30 FEET 1588 96541 PJH ohn C. Larson, L.S. Reg. No. 19828 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: - ATE OF SURVEY: LATEST REVISION: ETA L m o y DOCUMENT STANDARDS ❑ ❑ • Registered Land Surveyor signature and company 0;~-'❑ ❑ • Building Permit Applicant ❑ Legal description ❑ • Address ❑ • North arrow and scale p/ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ ❑ Directional drainage arrows with slope/gradient % ❑ ❑ • Proposed/existing sewer and water services & invert elevation W❑ ❑ Street name V❑ ❑ • Driveway ELEVATIONS Ebstinc ❑ • Sewer service (or Proposed) ❑ ❑ • Property comers ❑ Top of curb at the driveway ❑ ❑ Elevations of any existing adjacent homes Proposed ❑ • Garage floor ❑ • First floor j~0 ❑ • Lowest exposed elevation (walkoufhvindow) ❑ Property comers ❑ ❑ Front and rear of home at the foundation PONDING AREA (if sooiicable) ❑ • Easement line ❑ ❑ • NWL ❑ ❑Y/❑ HWL ❑ Pond # designation E3 C a Emergency Overflow Elevation DIMENSIONS G/ ❑ ❑ • Lot lines/Bearings & dimensions 'E3 ❑ • Right-0f-way and street width (to back of curb) 9, ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than Z, / porches, etc. (.e. all structures requiring permanent footings) ❑ ❑ ❑ • Show all easements of record and any City utilities within those easements 13 • Setbacks of proposed structure and sideyard setback of adjacent existing structures uireme a C] ❑ • Retaining wall ;:ame Reviewed: / a J amory 1998 cruiciu.eraLocaRnrr.~ HYDRANT i' 80x 6" TEE 8'-6-DIP, CL 52 Q' GND. EL. 784.8 8"x g" . TEE 'tea ~'7N~ ! Y~ L / f 9 yL~, ,t s . . . . . . . . . . . 49 ° D+r3 - c c t 72 &END- i 1~ 9 9~ 1+41..I. SddM-0+~ CSP.W2 5 798.9 N\h.7 99.4 INV-799 ORIGMIAL GROUND PROPOSED GRADE • ' MF+ 1 RE,Boo.20 MH RE=808 6 . BLD=12,40' 3 BLD=11.12 1 i S rr l : S.TM.SEWE CROSSIbS~f~ - - - - 77 r.COV~ER - - - - - 6 ~4°l0: 199'=8°PVC SDI 35 F 0:95% 2 3~ 14'~$ 00 ttY C , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 4 7 (612) 681-4675 Date Issued: 12/18/96 SITE ADDRESS: 3778 BURGUNDY OR LOT: 3 BLOCK: 14 SENECA HILLS P.I.N.: 10-67125-030-14 DESCRIPTION: (1 OF 3 UNITS) BLfiildantg_Permit Type SF DWG liuilding, l"Qrk Type NEW ,'UBC~ Occuparic-- R-3 U-1 r> Construction Tyl V-N Zoning R-3 Building Length 38 Building Width 56 9u3Idirig stories 2 G~e'r€sus Cc a , - 102 1 - FAM. ATTACH ri ~ (r i 7 l a ~m1, ~~..aL`aI REMARKS: ZERO LOT LINE S & W IDLER - FEE SUMMARY: VALUATION $124,000 Base Fee $1,007.25 MISCELLANEOUS $1,923.50 Plan Review $503.63 Total Fee $4,396.38 Surcharge $62.00 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,472.88 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 I hereby acknowledge that' I have`,read 'this application and state that=the information is correct and agree>to c:pmply with all applicable State of Mn. Statut and.City of Eagan Ordinancgs. I ~ PLICAN /P TEE IGNATURE IS ED BY. SIGNATURE CITY OF EAGAN I-qj 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Qgnstruction Reouirements Remodel/Repair Reoulremerds *Wgistered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior addltions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan h lot platted after 711193 - required: _ Yes _ No DATE: l? I IQ ( `110. CONSTRUCTION COST: DESCRIPTION OF WORK: SF vyEC~ u)(XD(',,S TO NOs VI S STREET ADDRESS: 3'1-712) LOT _ BLOCK SUBD./P.I.D. L244 J 3 Acct &-,#'4wr /d'- PROPERTY Name: L t11\ HOWES~ K)c Phone#: ~~)gcloo OWNER W\ MIT Street Address- 1500 - bAZI I )ASE :L S~/z9 City: APP~EUALUC' testate: &VU Zip.. CONTRACTOR Company: ~~I(L ) QrIIES 1 KX_ Phone* 931 ~~~U • Street Address: )SOZS L~s9zltAuE J/Z- License ZGv2S307 City: 6 PCE U Au rL ~ 0&Ul State:- Zip: SS ~ Z4 ARCHITECT/ Company: I _L F' I )Es)c, N Phone M -,?)-7 f" C -Si4 ENGINEER Name: Registration Street Address- City:~~~ State: M'o Zip' Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the info tion is correct an a e to com I applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: . OFFICE USE ONLY RECE Certificates of Survey Received Yes No DEC Tree Preservation Plan Received Yes No BY' OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish • X- 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 DAck WORK TYPE oe~ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Cont. (Actual) Basement sq. ft. MCNVS System oG (Allowable) Main level sq. ft. City Water UBC Occupancy •9 sq. ft. Fire Sprinklered Zoning V-T sq. ft. PRV # of Stories sq. ft. Booster Pump Length_ sq. ft. Census Code. Ga Depth Footprint sq. ft. SAC Code e1 Census Bldg i Census Unit I APPROVALS Planning Building i7 Engineering Variance ~ I NOTG ' A/G£/1S ~N£ nJ C)A✓LH Permit Fee Valuation: $ Ooo 1 a~ r~L i ~A~s Surcharge 1 Plan Review 9iN License MCNVS SAC /3pa x Sy City SAC Water Conn. Water Meter Acct. Deposit Z S/W Permit SNV Surcharge g j x rv - Z 7 OSy Treatment PI. Road Unite i~ Park Ded. Trails Ded. Other iS Copies Total: ~7 . %SAC ZZr S7 X16 SAC Units MAY-17-1995 1640 FROM TO 8827702 P.01 f-.KT7iiOR 1e.NVF.IAPY. AVENACE "U" c+1MPtrrn'~ l l!I OWN rF l \ r \0'I~{~ L S Yom) C - SITE ADD?£SS S (v cry moor • ~~)ftr+ul~.~ • ~fCtV1E Nws' 13 _ CONTRAC?0-F l~ M HU/VVC .S l y. DATF. PHONE LA> v~v+T- r_ ~v+~ X131-99c~p Determin workinr. square footaKe of each. 1. Total exposed well area sq. ft. x 0.11 - S 2. Total roofkeiling area Z I6 sq. ft. X 0.026 = 3Z, Total expcaed wall area above floor 19 5(o S~ a. Total wall window area L. TVLal door area Q Z c. Total sliding gloss door area 4 ? d. Total fireplace wall area NIA e. Total veal framing area (average 10) 19 5.b f. Total net vall area above floor 14$9 g. Total rim joist area I-7 Total exposed foundation arra = SI. S h. Total foundation window area S i. Total net foundation area 'above grade 47_)5 Determine "U° value of eaeb wall regment. • a. S L~ x b. 4• L x .lull °C x..U„ d. x ".1jn 195 , (o - x ,.v., 7.10 f. 14 x ,u- . Qq3 - ~q . o Z_ g. 1 ~S. StJ x a9 I - x.19 x ..U., oy _ 3.50 3. ToI-a1 ~-_I.S~ r. If item N3 is the same as, or lesa L.h:.n itc,m A1, you have met the intent of sbc 6o06(c)2. .r MAY-17-1995 16:41 FROM TOII 6827702 P.02 Total cxposcd roof/eeilinG wren = II b o 5 Total gross roof ceiling area Total skylight area _ k_ Total roof/ceiling framing area. 1. Total net insulated ruuf/ceiling arcs UetermSne "U" value for Inch ruuf/ccilinC scF"°cnt_ x "U' O UZ-7 - 1 + x "U" k: 1. I-21o1 X Q I cc 4. Total = 2 if total of #4 is the same as, or less than 12, you have met the intent of SSC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items 13 and B4 sball not be greater. than the sum of items B1 and l2. 2. b 1-71 '2 -79 a t CITY OF EAGAN PERMIT CU~Ill 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029346 (612) 681-4675 Date Issued: 12 / 18 / 9 6 SITE ADDRESS: 3780 BURGUNDY OR LOT: 2 BLOCK: 14 SENECA HILLS P.I.N.: 10-67125-020-14 DESCRIPTION: (1 OF 3 UNITS) B'dild-ig,,Permit Type SF DWG Building W'bo k Type NEW UBC Occupancy'<<., R-3 U-1 Construction Type V-N Zoning:., R-3 Building Length 38 Building Width s 50 ti Builid ingstories 2 QeJ'ts,us Code102 1 - FAM. ATTACH r l i t tl ; L, REMARKS: ZERO LOT LINE G & W IDLER - - FEE SUMMARY: VALUATION $124,000 Base Fee $1,007.25 MISCELLANEOUS $1,923.50 Plan Review $503.63 Total Fee $4,396.38 Surcharge $62.00 SAC $900.00 SAC % 100 SAC Units 1 Subtotal $2,472.88 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 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 Mn. a a a Statutes and City .of Eagan Ordin.ances« - w n ^ APPLICA S/PE MITEE SIGNATURE ISSUED BY. SIGNATURE CITY OF EAGAN ~I 1 3830 PILOT KNOB RD - 55122 o t,1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) b4 U 681-4675 N ^-onsbuction Raouirements Remodel/Repair Reouirements ♦ Watered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam b window sizes; poured Ind. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan N lot plaHed after 7/1/93 required: _ Yes _ No DATE: ~Z I lU °14O CONSTRUCTION COST: 7S co,, 00 DESCRIPTION OF WORK: Sr oUE~ ~-`JL)oL, ~>S T )VU"kJ R0VV FL> STREET ADDRESS: 37' y ~j7~GurVn~ (JfRiuF Rr o Aks_)-( 1-2) LOT I_ BLOCK SUBD./P.I.D. 1/11101_flj 7-pe,x r M/4rx 1•d3 PROPERTY Name: C~ (lorv~ES / I vV Phone g S i Q9 C~° OWNER MIT Street Address, ! SCT S (N i C- flue Zc ~ City: /VPC ul/4J~/i State: ill tU zip. SS I Zq CONTRACTOR Company: `1 11A ~i ynIt ES . It'll Phone • Street Address: /S-uZs-!ToA IEP-PfUE #?"License ZCz2ZS5;0_7 City: AWCE/ JACs-E7 State: /y1 V Zip. ARCHITECT/ Company: KLF ~Sl~i~ Phone ENGINEER Name: Registration Street Address, City: Fk)F0') ~IZAZL_ State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. hereby acknowledge that 1 have rend this application and state that the info tion is correct agree to comply with 211 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: d D OFFICE USE ONLY Ce• tes of Survey Received Yes No 199F Tree Preservation Plan Received Yes No 49y, (,or L OFFICE USE ONLY i BUILDING PERMIT TYPE o 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish dal- 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility a 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. ❑ 10 - plex ~o 1.1; Deck WORK TYPE 040131 -New ❑ 33 Alterations ❑ 36 Move 0 32 Addition o 34 Repair ❑ 37 Demolition GENERAL INFORMATION Cont. (Actual) O-N Basement sq. ft. MC/WS System _C!NZ (Allowable) Main level sq. ft. City Water ae UBC Occupancy ft sq. ft. Fire Sprinklered Zoning j e..? sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length sq. ft. Census Code. oz Depth r0 Footprint sq. ft. SAC Code o► Census Bldg Census Unit - I APPROVALS Planning Building Engineering Variance • 6 A/ £ As 1,✓c v Permit Fee Valuation: $ Alert.Artt4s ~Zyc Surcharge oN 7-we Pk4 rs Plan Review License MCANS SAC (Z(oY> X ff, Y7Z City SAC Water Conn. Water Meter Acct. Deposit Z S/W Permit ? f'D SM Surcharge Szs x sy= s~ Treatment PI. l 3 c Road Unit Park Ded. gsp,r.'~v Trails Ded. ( U l Other Ize~s ,yr- 9 ULo Copies Total: 1-2 IZ %SAC zz ry,•s= ~/s/X<6= 7l ZlG • SAC Units MAY-17-1995 1640 FROM TO 8827762 P.01 MTEB IOR }:NVRI,OPF: AVI-1 I E CWP11'r1171;Y1 OWN ES SSTE /L7CD- PESr S \ S~fI En~7n~) F~r 5 AI~n )car°Y~ L326 UjAJ V Lei - -6 HV-& CONTRACTOR I 1 \ ll~/IE~- IJNJC• DhTF. IZ `I PH1)N- ~6 vtiI - ly odLC7 Determin workinr square footage of each. 1. Total exposed wall area 12 33 sq. ft. x 2. Total roof/ceiling area IZI S sq. ft. x 8_026 = 31 ,S • Total exposed wail area above floor a. Total wall window area 14 s.Z~ L. TuLal duur area 4Z c. Total sliding glass door area -7-7 d. Total firemlace wall area O e. Total wall framing area (average 10i) f. Total net vall area above floor 3, I g. Total ria Joist area Total exposed foundation area = Q(~ q Z p.. h. Total foundation window area i. Total net foundation area above grade Z 7 1-7 Determine "U" value o: each wall serment. a. 14 5 7~ x 'Cc), O~ b. Q7 x 'lull d. U x "u" 009 3 = 119.9 x -,.u,, 01bl 19.(03 f. Sos $1 x "L;" (~1 x "It" ~ oy I = 2•~0 h. C Zi. 7 15 x "17" V Z-' j 'lull 3. 7ntaI = I?~, `IS If item 113 is the same as, or lesa :.h:,n it,.j b7, you -nave met the intent of sBC 6006(c)2. - MAY-17-1995 16:41 FROM ITOd p 8827702 P.02 Total ewyoscd roof/ceilinG area = I 1 I 1. SO ~Z11.S Total gross roof/ceiling; area = Total skylight area k• Total roof/ceiling framing area 1. 'total net insulated ruuf/ceiling area Z 11.. Determine "U° value for vftch ruof/ccili"I! scUment. x „Un s - k: Co~• x „U„ (7-'7 1. 63q Y- . c~ I q 5= z3.1,Z4 L. Total = Z If total of #4 is the same as, or less than 12, you have met the intert of SBC 6006(x)1. To utilize the total envelope system method, the values established by the semi of items 13 and 14 sballlnot be greater.thea the sum of items N1 and 12. J~ 107. 1-7 1. ± 2. / 3. I~`I .9~ + L. ZS•Z_ --7.Z0 0 a IJ` / r- v a HYDRANT / 8"x s" TEE ' 8'-6"DIP, CL 52 GND. EL. 784.8 ' ~~P ~ 8"x TEE t / sA i / . 'o ;4 ' r a, -W pF C~ 4Z"12- BEND r s 1 5 g. br7 g ~dC1Y *4 0+31) `SW 0+60 78~ bsmwg.4 5 o 9V~8: INV.790.5 ORIGINAL GROIfND o PROPOSED . GRADE : MH RE=800:20..... MH RE=8a&64 BAD= ' 2.40' 3 BLD= 11.T2 STM SEAR 1 i Mfg CRQS51id~'`-F~ y :COVER. 199'=B"PVC SDR 35 ®:0:95% @ -147 ~ WM 40~: CROSSff~FG :.:.....o.o::. , to (D r Ury OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 4 5 (612) 681-4675 Date Issued: 12/18/96 SITE ADDRESS: 3782 BURGUNDY DR LOT: 1 BLOCK: 14 SENECA HILLS P.I.N.: 10-67125-010-14 DESCRIPTION: (1 OF 3 UNITS) BuildingiiPermit Type SF DWG wilding Wars Type NEW UBC Occupancy";, R-3 U-1 Construction Typf V-N Zoning R-3 Building'Length t' 38 Build ing Width z 50 B-uil'ditng stories` 2 -Ceirsus 102 1 - FAM. ATTACH t REMARKS: ZERO LOT LINE FEE SUMMARY: VALUATION $124,000 Base Fee $1,007.25 MISCELLANEOUS $1,923.50 Plan Review $503.63 Total Fee $4,401.38 Surcharge $62.00 SAC $900.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $2,477.88 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 I hereby acknowledge that Z have read this application and state that the 'information is correct acid agree to, comply-with all applicable State of Mn. St t tes and City of Eagan-Ordinances,,, APP ICANT! RMITEE SIGNATURE ISSU D V: SIGNATURE CITY OF EAGAN J 3830 PILOT KNOB RD - 55122 ~ `t jqS4S1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) / 681-4675 CaV,"/1 ia-11 Ht struclion Reauirements Remodel/Reoatr Reouiremerds *Wmgistered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 6 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan N lot platted after 711193 required: _ Yea _ No DATE: III I©l 1 (o CONSTRUCTION COST: C) C) 0c)• DESCRIPTION OF WORK: Srr.~ECA was ow&I}IoenES STREET ADDRESS: '7-IBZ-R02C-LW\J" 1 V~~LE7- AND kuj' LS LOT (It BLOCK SUBD.IP.I.D.#: 10cXh-114fu Pdcr /Lo>rt Ld3 PROPERTY Name: R0ro\7S, lt\J . Phone 43i-igoo OWNER M., Street Address, 1 ~C~ZS C-,U~\ZI EP- Ad E. # Zos city: APPLE vr~uE,~ State: AAA zip. SSI Z9 CONTRACTOR Company: aN 1-WoAas, PNC Phone 9 5I ~Y~~ • Street Address: CL AZ1E2 License 00ZS S07 -0 Z0, City: APP I \j s\u%: ti State: n~ Zip. ZA ARCHITECT/ Company: K ~~5 ICS Phone 039 ENGINEER Name: Registration Street Address- City: S- Cl~t~ P~~A~CCt~ State: IQ Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. hereby acknowledge that I have read this application and state that the inform t' n is correct and gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Cof Survey Received Yes No EI ED DEC 1996 Tree Preservation Plan Received Yes No 20 BY: dx OFFICE USE ONLY BUILDING PERMIT TYPE , 0 01 Foundation 0 06 Duplex ❑ 11 Apt./Lodging 0 16 Basement Finish ;Y'02 SF Dwelling 0 07 4-plex 0 12 Multi Repair/Rem. ❑ 17 Swim Pool 0 03 SF Addition 0 08 8-plex ❑ 13 Garage/Accessory 0 20 Public Facility 0 04 SF Porch 0 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex eck WORK TYPE x-31 New ❑ 33 Alter 0 Move 0 32 Addition 0 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Ir-ly Basement sq. ft. MCNVS System (Allowable) Z-N Main level sq. ft. City Water UBC Occupancy a-/ sq. ft. Fire Sprinklered Zoning A.a sq. ft. PRV # of Stories L sq. ft. Booster Pump Length 36 sq. ft. Census Code. az- Depth Sb Footprint sq. ft. SAC Code 01 Census Bldg Census Unit APPROVALS • Planning Building Engineering Variance Permit Fee Valuation: $ /z-`/000 lf4a A~As RafArl"r* Surcharge Tyr PANS. Plan Review f?1A License / MCNVS SAC 12-6£s~s~ (o~°r y7Z City SAC Water Conn. Water Meter z ~3 Acct. Deposit SNV Permit 52,S".c 531> yam, 3 Sa SIW Surcharge Treatment PI. tl. l L3r OS~ Road Unit Park Ded. Trails Ded. Other Copies Total: ZZxy~,,-a ys~F~6 ' 7, zr6 % SAC SAC Units ~C) • HYDRANT r.' (!_~\_'-S 8 x.6 TEE j -L 8 -6 DIP, CL 52 Q~ GND. EL. 784.8 8"x 8" TEE / J G " . ' -8"45' 8EN0 ION a SA# 93 j~'Bi 9 .'WI*Sl ~~3 ~60 09 0 72.9: MV.799.4 INV-7"- IGIi4AI GROUND - Y PROPOSED :GRACIE . MF;'l " RE=808.64. . RE=800:20 MH 2 BCD= 12; 4G' 3 9CD 1 f l STM.SEV R CROSSINQ"-'F'. y - - = - MIN. f- COVER 6 o j 199'=8"PVC SDP 35 ® 095% : S5 . . CR05§N;G 17 ^r U11~:.I t Vo'~. f-, . ^ . .N..... . tc) MAY-17-1995 16:40 FROM TO 8827702 P.01 f f-XTEIt70P r.NVFi!)TE AVENAC}; "U" C0KV1rrA•;,j;yj OwN r.R -G ! 1 1 T l ~ E~ y l yj N~~y r3 SITE ADDRESS SF" rc+g wanrs,.Y nRiVF- 16 CONTRACTOR DATF. 1 7 19 1 ~7 PHONE. VvV1T - EN►~ DeTermin vorkinr, square footw!c of each. p~ 1. Total exposed wall area sq. ft• x 0'11 $Q.~ 2. Total rocf/ceiling area 121(•5 sq. ft. x 0,026 1.S Total exposed wail area above floor a. Total vall window area ) Z. L. TVLal door area Z c. Total sliding glass door area 77 d. Total fireplace vall area e. Total wall framing area (average 10i) r. Total net vall area above floor I I 6Z g. Total ri-m joist area 1-2- O Total exposed foundation arts = q(7.g Z h. Total foundation window area i. Total net foundation area bbove grade 17 Determine "U" value of each wall sf`•rment- • a. 41~,7-9 x .lull b. 47 x ..Uu -3o = I Z • ~o • c. 7 x 1.11, - Z~.SIo 02,6 d. 0 x "U', , aq 3 _ ~ w. 10.1 _ x Hull r. 1~4•~ x ..Lll 09 5 = So•49 8. I 1 Z. o x 1.111, _ ogl_ = 4. sR h. ~r 75 z llU" 7 pV 3 . .iof.al = 1~. 11 If item #3 is the same as, or leas '.h:.n i.cra k7, you nave met the intent of ssc 6o06(02. MAY-17-1995 16:41 FROM TO 8827792 P.02 • Total c.)~Mzd rooC/eeilinG uez = Total gross roof/ceiling area S Total skylight area k_ Total roof/ceiling rraming area (n O,SS 1. 'Total net insulated ruuf(cciling area Uetermide "U•• Value for Inch n,,r/eeilinp• sorment_ l~ x I C~Z9__ k: lg~5`7 x nlfn o x "U" L. Total = It total of #4 is the same as, or less than 12, you have met t1,e intent of BBC 6oo6(c)l. To utilize the t.ntal envelope system method, the values established by the sum of items 13 and 64 shall not be greater. than the sum of items 91 and B2. 1. Imo. $9 + 2.3i .5 Z1Z_39 r. 0 J L BL CITY USE ONLY 700 3 RECEIPT SUBD. 1~- / RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ~ single family dwellings townhomes and condos when permits are required for each unit 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) ~ U~ ► State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE#: INSTALLER NAME: r (~2c~~ttn~G4 PHONE STREET ADDRESS I 5 l ~1 CITY: f 1 ~~1 ~1;l,Yi~ STATE: ~,1'✓ SIGNATURE OF PERMITTEE v L BL CITY USE ONLY RECEIPT SUBD. - I RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY'OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-1675 Please complete for: ~ single family dwellings townhomes and condos when permits are required for each unit 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) $ 20.0.0 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required Q $3.00 each) 3.00 ► State Surcharge .50 - TOTAL D SITE ADDRESS: ~L RlA r l(,~C ~V OWNER NAME: Y7m-s F~~y1O-V spr PHONE#: INSTALLER NAME i i~ IN ' Ca .l ee . PHONE (/3L/- 717 STREET ADDRESS ~1D (~I I r7~1 PI_~ 1 ' ZIPS ~~~A CITY: Z 1 O_in/_ Lo_y_Q STATE: ~I 1,211 r' ~ r i SIGNA F PERM r r/ L LAnf SL / CITY USE ONLY RECEIPT* / ~e~5j/ SUBD"" j RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122, (612) 6814675 Please complete for. ► single family dwellings townhomes and condos when permits are required for each unit ' 7New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. - - - - - Date: C;V v~ -7 FEES ► Minimum Fee: Add-on/Remodel (existing residence only). $,20,0,0,'..., . ► HVAC: 0-100 M BTU 24.00., Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) J Cpl) ► State Surcharge .50 TOTAL o? 7,5 y SITE ADDRESS: OWNER NAME: b) 1 4 1_ L 1~~Y 1 PHONE # . INSTALLER NAME: r r c PHONE T (t l STREET ADDRESS: R I 1 t~1 I _ Xkd_)111 r n CITY ~1~ An : STATE: ZIP SIG, NAT RE OF PER tCTEE f Lh BL j CITY USE ONLY ? ` RECEIPT#: SUBD. ej&& GAS 114& RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 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 N4, TOTAL Shower 3.00 x = d° Water Closet 3.00 x 3 = 100, Bath Tub 3.00 x 10.00 Lavatory 3.00 x = 1 Z :5pO Kitchen Sink 3.00 x Laundry Tray 3.00 x J = 3 t30 Hot Tub/Spa 3.00 x = Water Heater 3.00 x = ,ta0 Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x EYO Rough Openings 1.50 x Z = 00 Water Softener "for dwellings under construction 5.00 x Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under cont. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * Dak Cty lic. 75.00 = (new and refurbished systems) - Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE 50 TOTAL 5 j rSb I. hereby acknowledge than have read this application,: state that the information is cerract,: and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eaganassumes no liability . for any damages caused by the City during its ral and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. 7 7 F3ut„ Lkn _ L ~r. SITE ADDRESS: V ' OWNER NAME: INSTALLER NAME: ZCL W F7i1 '&LEPHONE # IJSZ -I rSG~ S STREET ADDRESS: CITY: ERZ~ STATE: INJN ZIP: S5-lZ2 SIGNATURE' OF PERMITTEE CITY USE ONLY • L BL ~ RECEIPT#: SUBDLS 0., /~J4 c ry RECEIPT DATE: 5~ 97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings townhomes and condos when permits are required for each, unit backtlow preventgr for underground sprinkler system FIXTURES EACH NO. T" IL Shower 3.00 x = 9 Water Closet 3.00 x 10 Bath Tub 3.00 x '2 = .40-0 Lavatory 3.00 x = 00 Kitchen Sink 3.00 x _ Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x rogo Gas Piping Outlet minimum -1 3.00 x Rough Openings 1.50 x ZWater Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System • Dak Cty lic. 75.00 = (new and refurbished systems) - Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL S I hereby acknowledge that I have read this application, state that the information is. correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under thisrpermit within City Properly/right-of-way U r SITE ADDRESS: OWNER NAME: ~7T1~1 ka~S YN4S INSTALLER NAME: W94J24Al 1 LUWI l ~ f~T/(r, TELEPHONE LI SZ~ I ~ iS STREET ADDRESS: 1959 SILWIV" KLV48 CITY: EAS-A0 STATE: twl\/• ZIP: )5h SIGNATURE OF PERMITTEE CITY USE ONLY wL * v2- BL RECEIPT 1,90 ~ SUED. Y. &A~ ID RECEIPTDATE: *1 3 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 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 EAO NSL TOTAL Shower 3:00 x = 3100` Water Closet 3.00 x 0p Bath Tub 3.00 x 2- = ec~ Lavatory 3.00 x Kitchen Sink 3.00 x 1 = 3-COQ Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = o Floor Drain 3.00 x _ .00 Gas Piping Outlet " minimum -1 3.00 x = 00 Rough Openings 1.50 x Z = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler *for dwelling under mnst. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * oak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE ll'' .50 TOTAL 750 I hereby acknowledge that I have read this application, state that the information is aorred,: and agree to comply with ag applicable City of Eagan ordinances. It is the applicants responsibility to. notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance adiv, ies to the facilities constructed under this permit within City .property/rightof-waytaasement. LA I„ N ir-)dy J ,7 Yd SITE ADDRESS: OWNER NAME: n e~ INSTALLER NAME: W6tJZGL &M PrYJ&4~!/(r TELEPHONE LI SZ-I S STREET ADDRESS: 113S9 S WN4~ ° LVA N CITY: C-Akytd STATE: m~ ZIP: S ~~Z SIGNATURE OF PERMITTEE CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinneCota 5F.J 22-1897 Permit Number: 031270 (612) 681-4675 Date Issued: 12/15/97 SITE ADDRESS: 3762 BURGUNDY OR LOT: 1 BLOCK: 14 SENECA HILLS P.I.N.: 10-67125-010-14 DESCRIPTION: =a,. (ONE BEDROOM) Building permit Type BASEMENT FINISH ,Building W'&r~ Type ALTERATION "Census Code 434 ALT. RESIDENTIAL J t ) } 0 REMARKS: FEE SUMMARY: Base Fee $50.00 - Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (912) 431-4900 (612)431-4900 I hereby acknowledge that I have,,, reald this applicationarid 'state that the information is correct acid agree' to comply with all' a'pp'licable -State a>f An. Statutes and City of Eagan Ordinsnces~ _ PPL GANT/PERMITEE SIGNATURE ISSUED BYJ SIG TU 1 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4n'zo CITY OF EAGAN 3830 PILOT KNOB RD - 55122 &XV& te( ~ 681-4675 r- INl' S/~ ~~Psmt, j - New Construction Requirements RemodelfRemir Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 _ required: _Yes No DATE: I `l CONSTRUCTION COST: SOG~ wnhomes DESCRIPTION OF WORK: STREET ADDRESS: 3~uZ V,UZL, U^j f~ F')F 1JF LOT I BLOCK SUBD./P.I.D. SF`n- E k r~1 XX LJ G.M. Holnes> Inc. 431-4900 PROPERTY Name: Phone _ OWNER 1502,5 Glazier Ave. /I2Ar5 Street Address: Apple Valley IIN 55124 City: State: Zip: G.M. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. #205 20025307 Street Address: License Apple Valley MN 55124 City: State: Zip: KLF Desi.ans 371-0344 ARCHITECT/ Company: Phone ENGINEER Name: Registration 8791 Knollwood Drive Street Address: Minneapolis ItiQ 55347 City: State: Zip: Venzel ,lechanical Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are, equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requir•. OFFICE USE ONLY a V BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ;a,~ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New E~ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water i UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4 Depth Footprint sq. ft. SAC Code lot Census Bldg Census Unit b APPROVALS Planning Building Engineering Variance Permit Fee Valuation:. $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: - t % SAC' SAC Units 1. - ii re SUED NEW RECEIPT # RECEIPT DATE 9 S 7 DATE_ 1IL~ TO Gi "85 I lec r "G JOB 377 Lr2 tf of i ~2 OWNER Cr ,,z. PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ Z Z REMARKS 0 - 30 AMP CIRCUITS = S~~ / 31 - 100 AMP CIRCUITS = 7 0 - 100 AMP SERVICE _ / 101 - 200 AMP SERVICE _ O TOTAL FEE DUE _ LESS FEE RECEIVED TOTAL FEE SHORTAGE DUE PERMIT # 4133 ORIG RECEIPT # RECEIPT DATE 3 3 PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANK YOU L B,__1_4 SUB':) NEW RECEIPT RECEIPT DATE 9 9 7 DATE___ - TO JOB' OWNER visa e `i PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ REMARKS Z 0 - 30 AMP CIRCUITS = J o S` _L31 - 100 AMP CIRCUITS = "7 0 - 100 AMP SERVICE _ / 101 - 200 AMP SERVICE = Z O TOTAL FEE DUE LESS FEE RECEIVED d TOTAL FEE SHORTAGE DUE _ Z PERMIT # 3 3 - - ORIG RECEIPT # ffG~/y RECEIPT DATE 3 PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANK YOU - I . I L_L B_ SUBD NEW RECEIPT # 0p0 oZ~ RECEIPT DATE n1 5-1~ 7 DATE1~ Jos 3 7 /3K/-e OWNER 45,~ /YL. ff~sSZ r, PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ / REMARKS 0 - 30 AMP CIRCUITS = Sf O 100 AIb CIRCUITS = 7 0 - 100 AMP SERVICE = / 101 - 200 Ai6 SERVICE = Z ~ TOTAL FEE DULL = LESS FEE RECiIVEb 9 TOTAL FEE SHORTAGE DUE PERMIT # 11.73 9ra OAIG RECEIPT # 7OGyGr RECEIPT DATE 3 3 PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANK YOU 411~ 1 City of ~j(~{1,S]j1 I Permit#: ' J1 LiA1bIQjj I Permit Fee: ff ~J I 3830 Pilot Knob Road Eagan MN 55122 I Date ReceivaCCr~ S6D 11~ 0 2009 I CC/d I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: dC Site Address: 519 U &)"Unld (I Dr ' Tenant: 1 ,1 Suite RESIDENT/OWNER Name: S1Ie r(_12~Phone: Address / City / Zip: Sam& 0(i N CONTRACTOR Name: License M Address: 851-385-1340 3WO Dodd Rd. #100 City: Eagan MN 55123 1338 State: Zip: Phone: Contact Person: TYPE OF WORK New Replacem t Repair -Rebuild Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PV8) Main _ Lower Level) Septic System Water Turnaround - New Abandonment RESIDENTIAL FEES. $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $.50 State Surcharge) TOTAL FEES $ 5) /50_ 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. x I~UXl1L5 G . x Applicant's Printed Name Applicant's' a ure is 'ii s ' xr * 3}' ~ r az n t N" ~xrv3~" e Wu' y z n n ~ V si~wrx~~~s t#?}. >4 t i ro n A ~ ~ t u_A uxi tt ~p~t t, [i xb ' .3trL 1 `FO~COFFtt:t1S~„ ~ s3~~x y,g z~eFrW~d$~~ a,>t~+ ~3Lry ~€2i, r F Gi e t. i ! >r " Y3 z ~X11 c't t ~ an ~t~ s ;RagttilinspeofttiS~aIrttu io-t~Uf)~kl iT88n~'pr. t ^"'E:? Use BLUE or BLACK Ink lam" r---_ _ I For Office Use I I' City of Ea aPermit#: I Permit Fee: 3830 Pilot Knob Road I C, I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 1 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9Z is Site Address: S77S-'"_37F0 - :9792- t~✓ ~,✓Ic f,/ /mot Unit FResident/ Name: -G /7eG-CY -w.5 Phone: Owner Address / City / Zip:-Y7Z 79V-_?7?2- Bc;//`p4 Applicant is: Owner Contractor 3 i r Type of Work Description of work: - f Construction Cost: Multi-Family Building: (Yes / No Company: C///~c Contact: ~LSe~s Address: J t Contractor /00 S&&a ex- sZ City: / State:_ zip: i? Phone: 8`~Cf S dFd License i l 424/0 Lead Certificate A!/W•- 3 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 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: F Mechanical Contractor: Phone: i Sewer & Water 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 _T 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.-qopherstateonecall.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 days of permit issuance. X_ ~ctc x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129639 Date Issued:03/03/2015 Permit Category:ePermit Site Address: 3778 Burgundy Dr Lot:3 Block: 14 Addition: Seneca Hills PID:10-67125-14-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Ashley Orman 130 Plymouth Ave N 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 - Danielle M Pederson 3778 Burgundy Dr Eagan MN 55122--316 (651) 688-3512 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152095 Date Issued:09/28/2018 Permit Category:ePermit Site Address: 3778 Burgundy Dr Lot:3 Block: 14 Addition: Seneca Hills PID:10-67125-14-030 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Danielle M Pederson 3778 Burgundy Dr Eagan MN 55122--316 (651) 387-7292 Royal Plumbing 23310 Canby Ave Faribault MN 55021 (507) 202-1969 Applicant/Permitee: Signature Issued By: Signature