3754 Burgundy DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3754 Burgundy Dr
Lot: 2 Block: 9 Addition: Seneca Hills
PID:10- 67125- 020 -09
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. DENISE JACKSON 16 411 ABERDEEN ST NE HAM LAKE, MN 55304 763 - 434 -7747 retro @airmechan
.com
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Karen J Ganter
3754 Burgundy Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA077012
03/19/2007
ePermit
? INSPECTIO N RECORD
.,
CITY OF EAGAN
PERMIT TYPE:
3830 Pilot Knob Road Permit Number: < t f:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
;.IJ?;c;t1rli}Y nrz
f ;FMEGA HTI lS
PERMIT SUBTYPE:
R N lf0#4F : Thlr.
(h1;:'? 4t3 -4900
TYPE OF WORK:
Nf- u
isi srF:TPf 1nN t.'f.R Q I ni' E LNf }
. D. O ,.
RF MARKS : S& I.t P I. Rp -- Wt hl: F I {• t k?-I
?
_ I
0?xa?"?;:`
APPLICANT:
Pertnit No. Parmit Holder Dete Telaphone N
ELECTRIC
PLUMBING
HVAC
Inspectian Date Inep. Comments
FOOTINGS
FOUND 9_ ,g
C /
FRAMING
L
ROOFING
ROUGH
PLUMBING
P`BG
A1R TEST
RdUGH
HEATING ?
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE k4ld
FIREPLACE
AIR TEST - ??
FiNAI PLBG n ? . Q
?U
FINAL HTG
ORSAT
TEST
BLDG FINAL
J
BSMT A.I.
BSMT FINAL
DECK FfG
DECK FlNAL
? CIT'Y OF EAGAN iJ
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
f il l
ts!'CA HIE L':.
PERMIT SUBTYPE:
7
I fi ! rir E
oN
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
r?mF % ) tve.
q'}} 4`aAi!
TYPE OF WORK:
t)F" CFf 10N
ttii f t P I N4,
43?11 ?,t
"t w
(ICRf1 i n 1' I tNF)
INSPECTION DA . .•
, i
, . i ? . . • + ; , ,
? ? :,? 1 ( i 1'?. . • ??
I• RK,Sx 5 h7 !d F'I ?tk iJUNTf I p I 14 t3
?
?
--------------
Permlt No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
NVAC
.
InspecUon Date Insp. Comments
FOOTINGS 7 ?
FOUND
1' -
FRAMING
I
ROOFING
ROUGH
PLUMBWc;
PLBG
AIR TEST
ROUGH
NEATING
h?
GAS SVC
TEST
`
INSUL
[
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
?-
FINAL PLBG
V'
FINAL FfTG
J'
OHSAT
TEST
BLOG FINAL `???? ?y J?'
h!v
BSMTR.1. Z/'4j
BSMT FIyAL ?vl;1)9,
DECK FTG
DECK FINAL
1t??A%
%ertificate of Cccupanc?
Witv of Cfagatt
Tcpartmeat o? 13x0iug 3u0ection
This Certificate issued pursuanl to tlee requirements of the Uniform Building Code
certifying that at the time of issuance this stnucturr was in compliance with the vorious ?
ordinances of the City negulat+ng buitding construction or use. For the follawing: ?
uKcknifwatma: SF DWG gaa ???t No 31138
Oc-p-y Tra R-3 U-1 Zoning Dmwict R-3 Type Const. Vn
OwnerofBuilding G M HOMES 1NC A4dn= 15025 GLAZIER AVE., APPLE VALLEY, MN
BWkfingAddrm 3756 BURGUNDi DR ??lity L1. B9. SENE^.A HIL1.S
Uur.
P06T IN A CONSPICUOUS PLACE
.. ? .. . . ? ` .
. ?7
\
4
? <.
? - ? %CrfifiCQte Df CCCIi.pQ1iC4
Wt? of W-agaic
2twalwat of ??? ???peeflnn
This Certificate e'ssued pursuant to the requirements of the Uniform Building Code
? certifying that at the time of issuance this structure was in ca?npliance with the various
ordinances of the City negulating building construction or use_ For the following:
uw cussirumum: SF DWG B,g. Pern,;t ,,,a 31139
Oampawy Type R-3 U-1 Zoning Disuict R-3 Type const. Vn
OwrcrofBui6ding G M HOMES 1NC AddRSs 15025 GLAZIER AVE., APPLE VALLE
Buikiing Addnm 3754 BURGUNDY DR Localiry L2, B9, SENECIA H1LLS
o?
- euiw? o?r?? ..
POST IN A CONSPICWUS PLACE
Mar. 14. 2008 8:5 1AM Grest Exteriors No. $743
?g?-77 29o6 RESIDENTIAL BUILDTNG rExivtiT nrrLrcnTtoN
Cily Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
' Re I SenwdeGReoair SCWiremenls
3 tEgi5lertd slle surv8y5 gtrANiy yp. R. of IOt 5q. R of hoil59; 2nd d rooled area5 2 coples of pfBit shoxinp faotlng9, bCams,pists
(Tfl%maHmUm bl coveraqe alb?e? 1 saf of Eneigy Cekulatim faheded addltlam
2 copies olplan shawing 6¢am d winUOwsizea: Paired.fouM Qesgn, e1t. 15iie survey for adEitiau & decks
1 set of Energy Gakulalipny - pddgm _?o if on .y.ais &a* sygi"
3 copiea d TreB PreSmtipi Plan i( Ip( pWtted after 711183
Rim Jdsl Delail pppans sdBCtlan 5heet (6uil(ings xiN 3 ur less unhs)
Minnegavco mechanical ventiletion fortn
P. 10
/' /)7; CD
dAu We9rdr
Cert:a(9wvaYWGA-'
_Y "N
ireeVms Wan'R2pd _Y _N_
7faeRpyReqlared _Y _N
On-glteSepb, Syahm _Y _N
Da[e 0 / 19 Construction Cost ? -I, DW, a)
Site Address F)UYaLJndC CJaiUSte H
4l ]vi?
DescripNon of Work
Muiti-Family Bidg _ X? N Ftireplace(s) _ 0 w I _ 2
property Owner Telep6one #(b IdL)
Contmetor Gre6t Ex?'erior5
Aaarm aaMa`?.,,cni?Wc?if. ??r,?a? city &kA i ?n?L,
State ?n?S(1 I w Z[p ?_ Telephone #(?j? ) - 10 1
COMPLETE THIS AREA ONLY IF CONSTRUCTINO A NEW BUILDIN6
Energy Code Category ?MinnesQta Rules 7670 Cate¢erv 1 _ L'T1nn.esota Rules 7672
(? aubmission lype) • ResMen6al Venwatipn Calegory 9 Workcqeet • New Energy Code Nrorksheel
Submilied Submiped
. Energy EnvElope Galculalions Sobmdled
In the last 12 monThs, has the City of Eagan issued a permit for a sim+iqr plan based on a master planZ
` 7 _ N If yes, date ond address of master plon:
Licensed Plumber Telephpne #
Mechanicol ConTractor Telephone #( ?
Sewer/Waier Contractar Teiephone #(
J
I hereby apply for a Residentiai Building PermiC 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 Siate of MN
Statutes; I understand this is not a permit, but onl}, an applicat'ton for a permit, and wotk is not to start without a
permit; that the wvrk will be in accordance with thc approved plan in the case of work which requires a review and
approval of plans.
I Kyvs1e! McCan n ??
ApplicanYs Printed Name Appli t's Signatuxe
,
i?
?
** **
* PIONI
* BR ?vn
Certificate of Survey for:
BENCH
7'OP 0
0
r?----
\ i
DRAMNAGE & L?TIL1TY
EASEMENT PER?PLAT?
\
2422 Enterprise Drive
Mendoia Haights, MN 55120
(012) 64i-1914 FOiX:881-9488
+"Tt=" 625 Highway 70 N.E
Blaine, MN 55434
(812) 783--1880 FAX:783-1883
GM HOMES
LOT 14" 3756 9VRGUNDY ORIVE
LOT 4- 3754 S?GUNDY ORIVE
*
nr.?=o<v.i 00
e?em
SQ ??
STORM SEWER UNE-,
ELEV=879.7
\ ?qT
\
\
\
a \
LOWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVAnON:
GARAGE SlAB ELEVATION:
SUFtVEYON. 1HE SN
pROPO5E0 19 NDY tt1E 0.ESPONS?BIIIT' OF 1NE SUR`/EY07. % G00.00 OENOlES E%ISTING ELEVAPON I
( ppp,p0 ) OENOTLS PROPOSCO EL?'ATON
nOTE: na3 CER7IFlCATE DOES N01 PURpORT TO 9HOW EA6EMlNTS OlF1Eft niAN _ OfNO7ES ORWNAOE An0 UTIUn °J?3EMEH7
THOSE SHOMN ON TNE RECIXiOEP PIAT. - bENOTES IXiNNAGE FIAW qPECTION
N07Et CONTRACTOR MuST VEfOFY ORIVEWAY pE9cN. ?-}- OENOTES MONUMFNr N0T(: BEPRIN05 SHOWN ARE BASED ON M7 1155t1ME0 OATUM '.--8-^ VENOTE5 OFiSET FNB
wE HEREBY CERTiFY t0 CM HOMES THAT THIS IS n TRUE nN? CORRECT REPRESEN7ATION OF A
SURVEY OF THE BOUNDARIES OF:
F.E.S. INV.=811.8
NOTF: PflOPOSED qtAOp S10WN i'ER piAOINC PUW B'h PIaNEEp yf
NOTE: OF S'?RUCIURES ONL1 Sff ARCNI CTUAI?PLANS FOR BURDInG AfiU?An?
Fwr?oArroH autNSiava
NOTE: NO SPECFIC Sq1.5 MVESi1CA110N HAS BFEN COMVLE7W ON iNIB LOT BY lHE
TAgIU n pf SqLS t0 SUPPORT 171E SPECIFIC HOIAE
LOTS 1& 2, sLOCK 9 SENECA HILLS
DAK07A COUNTY. MINNE50TA _ IT DOES NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCHROACHMENTS. EXCEP7 AS 5HOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERwSION TH15 3R6 OaY OF SEPT., 1997.
91G D: PIONEER ENCIN I, P.a-
5CALE : 1 INCH = 30 fEE7 BY, e,
?8 96541.1tl SWK RENSED 11-12-97 Joha C. Laraon, L.S. Reg. No. 19828
10 'd ' mm?
a
6-} p'
BENCH MARK
TOR OF PIPE
EIEV.=828.70
??38b
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
7D °_°
New Consirudion Reouirements RemodeVReoair Reouirements Officetke a?dv
3 registered sile surveys showing sq. fl. of lot, sq. fl. of house; and ali roo(ed areas 2 copies of plan ?6t. Sove1"Read
(20%maximumbtcoverageallowed) lsetofEnergyCalculationsforheatedadditions TheeP0e019M.El2Ct! L't N_
2 copies of plan showing beam & window sizes; poured found design, ek. 1 site survey for additions & decks T[?B.Ar?S ?eQUited
l
m
il
S ,...Y N
? Y
N
1 set of Ener9y Calalations Addition - indicate if oo-sfte septic system Ep4c5ys
e
e
Qa-i _
.
,
3 copies of Tree Preservafion Plan if lot platled afler 711r33 .
Rim Joist Detail Options selecfion sheet (hidgs with 3 or less units
Date oI / / &1A eq) V N ? Y Construction Cost
Site Address ? ? L) r? Unit/Ste #
rJ
Cz&A
Descriptiou of Work
Multi-Family Bldg f X_
l? N Fireplace(s) _ 02
,/ A?'
P
t
O ] "l?, i
3E?61
l:Q Yt? Telephone #((o_51 ) 9J ?"
wner w
t
mper
y ,
Contractor
Address City 17
71 u(LZ
State VAJ Zip Telephone # (°/>t-) t?7J'0»
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miimesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #( )
Mechanical Conhactor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residentia] 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
permit; that the work will be in accordance with the
approval of plans.
Applicant's Printe Name
and work is not to start without a
w(64 which requires a review and
PERMIT
? CiTY aF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
091139
11/19/97
SITE ADDRESS:
3754 BURGUNDY DR
LOT: 2 BLOCK: 9
SENECA HILLS
P.I.N.: 10-67125-020-09
DESCRIPTION:
(ZERO LOT
Ruilding°,P,ermit Type
8uilding Wor-.k Type
[ UBC bccupancy t
Cor%struction Ty`?-f
` 2onirrg
r Building Length„
``j B,ui'?1dirt9 ?tories.? LINE)
Buzlding Width
SF DWG
NEW
R-3 U-1
V-N
R-3
38
56 '
2
102 1 - FAM. ATTACH
Y ?
,
+?'
?
g;r?
?.k* Li ?i.:?' ;?;-??'? ?'',a'?"•?' ? S ? ?"s°? 4?'? a ?.,..?e.? f ?.?.''?b? j,s,+
REMARKS:
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,007.25
$654.71
$62.00
$950.00
100
1
$2,673.96
$124.000
MISCELLANEOUS $1L539.50
7ota1 Fee $4,213.46
CONTRACTOR: - Appli.cant - ST. LIC OWNER:
G M HOMES INC 14314900 2002530 G M HOMES INC
15025 6LAZIER AVE 205 15025 GLAZIER RVE 205
%APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4900 (612)431-4900
I hereby aeknowledg:e fihat Z heue"re'ed- this appljvcat34n.,arrd' s tate that;rthe ..;
? ier#armat3om, 3s corr_eet onj agree, ta otJmPly_,ktixhaR?t1iGasbl,e State at Mn?
Statu??s nd ??Cit of Eagan qrdinonoee,.
??
?ln?ia Rj I ?
APPL GANT/PERMITEE SIGNATURE I ED : SI A
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
31 t CITY OF EAGAN
3890 PILOT KNOB RD - 55122
? 68l-4675
New Censtruction Reauirementa RamodeVReoair Reovirements
? 3 registcred site surveys
• 2 copias of plans (InGutle beam 8 window aaes; pourad fid. desipn; etc.)
? 1 energy calalafians
• 3 copies of tree preservation plan H lot platted afler 711I93
requlred: _ Yes Na
DATE: I A/ COh
DESCRIPTION OF WORK: SPnnra WonciS TncmhnmPS '
STREETADDRESS: 2-5 I
LOT C.- BLOCK SUBO./P.I.D. #: _
-D ?PCCx "i Lur • /. 'T .r
? 2 copies af plan
? 2 si[a surveys (exterior addiUons & decks)
• 1 energy oalcutatlons for heated aCEitions
?4,1 119,4L
?a"+14
COST: S sn nnn _ nn
?vv ?-r rn ?s?2 ;?v
J
k3 _
PROPERTY Nam ? Phone #:
?i.1?1_ Hnmac? Tnr. :°•? ..?.- ?I_?+tI?IHe
OWNER
Street Addr?Lr?,a?}9? ?ue l13e5
Ciry: State: Zip: Appie CONTRACTOR Compan)r,.rL HnmeG,=_T.,,_=- Phone;#:
_ . \
StreetAddressi 5()35 61?a?eE?4R #z9? License#:20n2s?n -7
Y: y
Ctty: a??le [Y.all.w, State:t??.- 5??4
31
ARCHITECT! CGmpany: Phone #:
ENGINEER , ?4
."?'?"'^H?'+ Name: Registration #:
''1_. -i'h . ..._. . .
'S,treet Address:
City: State:
Sewer & water
and lot change
?
sed plumber (new construction only): t'lenzel
requested o!2pe permit is issued.
wi Zip: -553?7
Penaity applies when address charge
I hereby acknowiedge that t.tiave read this application and state that the infonnation is correct and agree to comply with all appticabls
State of Minnesota Statut s and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
CeriiScates nf Survey Received _ Yes _ No
:fechanical
Tree Preservation Plan Received - Yes - No - Not Requireo
A ` a,?(r
BUILDING PERMIT TYPE
?
? 01 Foundation ? 06 Duplex
aE?--02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
OFFfCE USE ONLY
Y"
w?
a?
J
? ;.. h
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 19 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
., ,?l,?__.-----------
WORKTYPE ????Q •??- • '
? 31 New ? 33 Alte ' s-- - --cz- 36- -Move- -- - -- ----- --
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFQRMATION
Const. (Actual)
(Ailowable) 7=7
UBC Occupancy •3 r •/
Zoning e- 3
# of Stories a
Length ' l_
Depth S/o
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq, ft.
Footprint sq. ft..
Building
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
/3av MCNVS System
i?uo City Water
.5a? Fire Sprinklered
PRV
Booster Pump
Census Code. 2_
5AC Code o/
Census Bidg
Census Unit
Engineering Variance
.s
Valuation:
$
to.?
?
% SAC
SAC Units
, R
S• ?
>
I-'o ?
0?? ?
O?-? ?
er'o ?
cl' ? ?
0' ? ?
0l? ?
o-'o ?
? ?
? ?
C7' ? ?
,0' ? ?
d'? ?
? C3?O
LOT SURVEY CNECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY
DATE OF SURVEY:
LATEST RE1/ISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House iype (rambler, walkout, splR w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/ebsting sewer aod water services & invert elevatlon
• SVeetname
• Driveway
ELEVATIONS
Existina
• Sewer service (or Proposed)
• Properiy corners
• Top of curb at the driveway
• Elevations of any exdsting adjacent homes
Pronosed
0-' o 0
C2-' ? ?
qio 0
D-'O ?
tj' ? ?
Ci'?' ? ?
cr- ? ?
[Y ? ?
0? ? ?
? CJ, ?
[l'o ?
13, ? ?
0?'D ?
? ? ?
? ?/cl
? ct ?
• Garage floor
• First floor
• Lowest exposed elevation (walkouVwindow)
• Properly corners
• Front and rear of home at the foundation
PONDING AREA (if apolicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overtlow Elevation
DIMENSIONS
• Lot IinesBearings & dimensions
• Right-af-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utilfies within those easements
• Setbacks of proposed structure and sideyard setback of adJacent ebsting sVuctures
• Retaining wall requirements, if an
Reviewed:
Name ? Date ?
January 1996
GRAIG 7 BBMLOGPR Mr. FM
? MHV-17-199s ic.aa FroM ro aez rr,a_ r.u?
' . r flcTr.r M 'r:NVF.I.O7'E AYA:ICAGF. "u" c+Mru•rn '1 r+
o'WN : a
SITE fu7,7?£SS S?N?c?? woao?, . -?r,u?y r?2?? ? Nwr ? 3
coxmxac^o;, 6-7M}- I OM?. ?, iAk Dn TF ! Z`1 9 PHANE
?A? V +V ?T- i= NO /131-9900
Determj,n vorkinr: squnre footar,c of ench.
1. Total exposed vall area .. I CI sq. ft. x 0'11 - Z S
2. Tol31 roof/<eiling area .. I Z?O? sq. fi. x 0,026 _ 3'Z, '
•
Total uponed vail arca nDovc floc.r - 19 S?o SF s. Total va-11 vindow atea ............................ I? .
, L. TuLal (luor eren ................................... 4"Z
c. Total slidir.g glass door area --------------------- 9-7_
d. Total iireplace vall ares ........ ................. /vL
e. Total vzll framing area (averar-e 10i) ............. 195.6
Y. iotal net va12 area above Sloor ..:................ 14$9
. g. Tatal ri-m ,ja3st ereu .............................. 1 "7 5.5n
Total exposed foundotior, nrca = SI S
h. Total foundetion vindov area ....................... ??.-7 S
:• i. iotal net foundaLion a:es bLbove grade __....___.... 4215
D_termine "U" valce o: each vall ser.ment
? ?
a IS`? ,.U,. . 2g
.
. X
b. Z1 Z x ^vll
' C. z?Z x .?U?,
a. O x „u„ _ Oq 3 _ p
C) (;?)j - i -7.90
X °u° ., a43 = 0
. B. ? ?s. S? x .11r,
h- Z 4S
?. ?f7. ?S x .,,,- S0
3 . ...... .............. ..... ... .....
-
Tf item N ,.
3 is the same as, or
lesc it?-n k.l,
You nave met tne inteni
or SSC 6006(c)2. .
n
Mq5'-17-1995 16:41 FROM TG fl827'762 f'.02
? .T IlbO
Toiul cxposcd rooC/cCilinC, ur¢ft
Total gross roof/ceilini, area
?. Total skylieht area ..................... .....
k• iotal _-oof/ceiling framirg area ••••••••• ••••• ( '?•o ?
1. 'POt91 nCt SrisulaLed ruuf/cci7.ing arca ... ..... -LZ(, L ,
UCLC:'mlqe "U" Yaluc for cnch r.o f/cei 1 in(?, se??ment.
x .,uu
/ 7
k. x tfUn e UZ-? ?(^? ?
I? ?-
1. l??o? x??U.? o C71?1,•- -'Zq ?? '
h . ... ......... ................. Total = 2 . ?
Ii total of 94 3s the saae as, or less than 12, you hsve met tAe inter.t of
sac 6006(c)i. . ,
To utilize tne t.ntal er.velope systex method, the vslues establizhed by the
sum of iteas 93 and 64 shall not be greater.thnn the sum of iten:s 01 and N2.
' z . 32.7 t) _ Z9F,.o?
• 3-. ??? ?5? '+ L. ZLc.Z! -... 1? 7.
?-?
s '
?.
0
a c
-? CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10--67125-010-09
DESCRIPTION:
?.
38
56 `
2
102 1 - FAM. ATTACW
?
?
W?wwh 'rea,m.c , , : m
4.
an :o
REMARKS:
S& W PLBR - WENZEL PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
subtotal
PERMIT
PERMIT TYPE:
Permit Number: B U I L D I N G
031138
Date Issued: 11/19/9 7
3756 BURGUNDY DR
LO7: 1 BLOCK: 9
SENECA HILLS
(ZERO LOT LSNE)
rmit Type SF DWG
r?k Type
a% NEW
,
C' R-3 U-1
V-N
it-9
vaLuArxoN
$1,007.25
$654.71
$62.00
$950.00
160
1
$2,673.96
$124,000
MISCELLANEOUS $1.539.50
Tqtdl FCe , • $4,213.46
CONTRACTOR: - ppplicant - ST. lxC OWNER:
G Pj HOMES INC 14314900 2002530 G M NOMES INC
15025 GLA2IER AVE 205 15025 GLAZTER AVE
AP9LE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4.900 (612)431--4900
?
205
N4 1 R?????.I rh1?
ISSUED B SIG TUR
5
- 5V97 BUILDING PERMIT APPLICATION (RESIDENTIAL)
??,_ .
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675 ?•?'? ? I ? f ?/
? 3 registered ske surveys
• 2 copies of plans (InGude beam 8 window afxea; poured fid. deeipn; etc.)
? 1 energy calalatbns
? 3 copies of tree preservation plan 'rf IM platted eRer 7N/93
required: _Yes _ No ,
DATE: I IT? 9-7 C(
DESCRIPTION OF WORK
COST: ., Rn ^Qnn _ nn
Orv,i I'1?1 115T6e PM?V
STREET ADDRESS: -? ? S6-.7 l JP`I oE,
LOT I BLOCK C _ SUBD./P.I.D.#: ??&A `/luL'S
?UPt[X "'? GIT' Z.6•S
PROPERTY Namv,?.mi- Hl1RIPAf Tnr_ PF1On@#. 4gl 4?????
OWNER „s. ..,.
Street Addrs?s?5sQaaj er ??ve i1395
City: State:Zip:
CoNTRACTOR CompanyG,ri- u„maa, r.,,. Phone #:
StreetAddresN5025 ,.A,4e??. Qppli License#: 2on2s3e7
CitY: App1e v211R3, 5tate:p,gW 54?4
ARCHITECTI Company: Phone #: ftF ENGINEER ? - ' ?
Name: Registration #:
Street Address:g7q; ,T4"@rjj06,e.Br!?ve
City: State: M4 Zip:g;344
Sewer 8 water licensed plumber (new construction onty): Wenzel :-seci-,anical , penaity applies when address change
and bt change are requested once permit is issued.
I hereby acknowiedge that I have read this appliption and state that the information is correct and agree to compty with all appCcffile
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates af Survey Received
ZYes _ No
Tree Preservation Plan Received
- Yes _ No `?
? 2 eopias M plen
? 2 sRe surveys (exterior addkiou & tlacks)
? 1 energy eelwlatlons for heated additions
•? ,?
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
?'b2 SF Dwelling o 07 4-plex
Q 03 SF Addition o 08 8-plex
a 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = piex
WORK TYPE
,V-1-1 New ? 33 Alte ati
? 32 Addition o 34 Repair
CENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? Basement sq. ft. /3?
N Main level sq. ft. ison
•/ Z,- sq. ft. sai
4z• sq. ft.
z- sq. ft.
-%- sq. ft.
FootpriM sq.ft.
OFFICE USE ONLY
?: .
0 11 Apt./Lodging a 16 Basement Finish
0 12 Multi Repair/Rem. 0 17 Swim Pool
13 13 Garage/Accessory a 20 Public Facility
n 14 Fireplace n. 29__ Miscellaneous
??? •LdT .•?/??
0 37 Demolition
APPROVALS
Pianning
Building
MC/WS System
Cky Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
!O Z
O/
/
!
/
Permit Fee Valuation: $
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. C?,LGS%
Road Unit ?/rL
Park Ded. Trails Ded.
Other
Copies
TotaL• ;i
% SAC
SAC Unlb'i
?
t
I.OT SURVEY CHECKLIST FOR RESIDENTIAL +
' @UILDING PERMIT APPLICATION
, a
PROPERTY LEGAL:'
? DATE OF SURVEY:
LATEST REVISION:
s
? o m
y
DOCUMENT STANDARDS -
a z ?
0`0 0 • RegisYered Land Surveyor signature and company
cr 0 o • BuiidingPermitApplicant
0?-C] 13 • Legaldescrip8on
17--o ? • Address
? o In • North arrow and scale
dcl 0 • House type (rambler, walkout, split w/o, split enUy, lookout, etc.)
?o cl • Directional drainage arrows with slope/gradient 9b
cy,o [3 • Proposed/ebsting sewer and water services & invert elevation
ff'/ o
? 13 o
? • Street name
• Driveway
ELEVATIONS
En•stina
o' cl o • Sewer service (or Proposed)
0? cl cl • Property corners
• Top of curb at the driveway
? 0 ?0 • Elevations of any existing adjacent homes
Prooosed
cy-, [I o • Garage floor
?o cl • Firstfloor
0-?C] 0 • Lowest exposed elevation (walkouUwindow)
13-,o 11 • Properly corners
0 Front and rear of home at the faundation
PONDING AREA fif aoolicable)
cl ? o o • Easement line
o? 0 13 • NWL
O-? ? . HWL
0? 0 0 • Pond # designation
0 o 0 • Emergency Overtlow Elevation
DIMENSIONS
cr'o 11 • Lot IinesBearings 8 dimensions
0-' O ? • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks
overhangs greater than 2'
,
,
porches, etc. (.e. all structures requiring permanent footings)
o 0 ? • Show all easements of record and any Cily utilides within those easements
in- cl -o
? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
0 Q 0 • Retaining wall requirements, if any
Reviewed: ? Vol ?
Name / ? Date 'T
January 1996
GRAIGI B88/BIDGPRMT. FM
MR'Y--17-1995 16:40 FR01.1 , YU?7:°??
• F.YTF.fiTOii 'r:tiVF.IAI'F. hYh:i;ncr; "U" Ct)MPn'pp71Otl
oWN ER
52TE aDDPsss S'EN??.A VJdOD? 1?U(Z?????Y f-?Q?Vf {? N?t/3' ?')
CONTRAC?0'n C J M ?-IUM[C f"l.C_. DATF. I Z? 9
u +v,-r- r-_ ?vo ?i31-9??0
Determin vo7-kinf; squnre footar'e of euch.
1. Total exposed vall area .. ??? sq. ft- x 0'??
2- TOial rpcf/ceiling area .. t6? sq_ ft. x6+0`6
?
Total ezpo?ed xdil aTea t?ove f lo??r ° 195(0
P. TCtal va?1 cindw area ... ................ .........
L. TuLal duur ? en .......... ................ ......... 4 Z
c. Total slidir.g gloss door area ............ ......... 9 Z
d. Total iire?lace vakl area ................ ......... N1A
e. Total vz.ll iraming area (average 10i) .... ......... Iq 5.(.,
P• iotal net vu21 area above floor .......... ......... 14$g
g. Total riz jozst area ..... ........... .. ......... 1-7 5.M
Total exposed foundntior. arra = SI S
h. Total fonndetioa vindov area .............. ......... °?.-7 S
i. iotal net foundation a:ea tLbove grade .... ......... 4 Z15
: Detencine "U" calce o; eaeh call ,e,r,ment.
..
.,
1S'
u
? X
a.
b. 9 Z x,lU" . 30 - I Z, t?
X .Z00
d. O X.,u„ . 09 3 O
,,u„ I -7.90
x
r. I 4?2? x,.??. , aq3 /,
.,tr
Sb 9
x . b
h- 0,.?5 .?4", - Z.4S
..U.,
X
3. .. ........................... .....
Tf it em !13 is the same a, or lesa iLem kl, you nnve m.et tne inter.t
or ss c 6006(c)2.
f ,
Mt=ii-1'7-7995 1E=41 FROM
TO 8227762 11.02
.-
. . . , I
I?O
'`
. Totul r.poscd rooC/ceilin(; are?x = f
?
• - ? ?
Total gross roof/ceiling are:t
J. 'Ibt al skylif.ht area ..................... .....
k. iot al roof/ceiling Craming ares ••--••••• ••-•• ??•? ?-
1. '1'ot e.l nei insulated ruuf/cciling arca ..- .....
U2LCnnine '*V" raluc for cnch ruu f/ccilin?( scf,?ent_
,, ? x "U" C) =
k: x ?sUn e UZ-? I ? -7 ?/ ' • .
x..U.. o o ???? = 24 ..51 ?
4 . ........ .... ..•••......_....:_ Total = 2 . ?
SS total of pL is the saae as, or less than 12, you hsve met tTte SnLer.t of
SBC 60o6(c)1. . .
To utilize the tntal enveloDe systex method, the values establiahed by the
sum of iteas 13 and 64 sDall not be 6=eater.Lhnn the sute oT iten:s A1 end Y2.
1. Z( J?-I + 240.0I
,+
_ r.
?
? ?
2000 FIREPLACE PERMIT APPLICATfON
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: d
Description Work. 77 Construct new fireplace Gas _Masonry
Install ras insert onlv
Job address:
Lot: ->-
Other
stock: 9_
Subdivision/P.I.D.
Applicant (circle one only): Owner Contractor
Permit Fee: $60.50
PROPERTY
OWNER
Narne:('-Y.l,+Q.4,- 4`O??e? Phone#:C4PS/
Last First
Street
Ciry State: Zip:C,7S 1aC
Phooe #:
(area code)
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Street
City State: Zip: _
Campany: Phone #:
(azea code)
Street
City State: Zip:
I hereby acknowledge that I have read this application and state that the information is coaect and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?WWI? ?LI MJIII l
5ign?aure -Q
OCl u 4 2000
I L o.t?;O
I o - a--q- d 0
Alterations to existing
Install pas line onfv
J S-e-in-e_ C0,- N?
?S
I
t?k- -?)-
f6 L g
S_-e vt
1_? L? I 10
NG, HOW MANY
NewConstruction Reouirertrents
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allaxed)
• 2 copies of plan showing beam & window sizes; poureQ (ound design, etc.)
• 1 set of Energy Cakulations
• 3 copies of Tree Preserva6on Plan if lot platted aker 711193
• Rim Joist DeWil Options selfction sheethId95 wiN 3 or less units)
DATE
JOB SITE ADD ESS
IP MULTI-FAMILY BU
PROPERiY OWNER'
TYPE OF WORK F
APPLICANT-J
PAGER #
k-i
RESIDENTIAL
BUILDING PERMIT APPLtCATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
410 oa
!
RemodeURenair Renuirements
. 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for axteriar additions 8 decks
Cs-C?
VALUAj1QN (EXCLUDING LAND)
? FIREPLACE(S) _ YES NO
PHONE #
CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing 5ystem Includes:
Mechanical Contractor:
Mech:uiic:il Syscem Includes:
Sewer/Water Contractor:
Phone #
Phone #
Pee: $70.00
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that th inf ati
all applicable State of Minnesota Statutes and City of Eagan Ordin es.
Signature of Applfca -
Certificates of Survey Received ` Tree Preservation Plan Received _
MINNESOTA RULES 7670 CAT'EGORY 1
- Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Watcr Softener _ Lawn Sprinkler
Water Heater No. oF R.I. Badis
_ No. oF 13aths
Air Condi[ionino
_ Heat Recovery System
agree to
Not Required _
ply with
Updated 1101
ree: $90.00
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 QS-plez ? 18 Deck
? 11 10-plex 10?)19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pooi
? 21 Porch (3•sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
JI? 31 New
? ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation C2 00 0 G Occupancy ? MC/ES System
Census Code Zoning ?`. City Water
SAC Units Stories Booster Pump
N6r. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test Final
?C Tnsulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool Ftgs Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT# "IN17 !/
RECEIPT DATE: i 'V I
WiSIDENTIAL PLU113BINfi PERMTf ?PPLICATION
crrYoe EAsAN
3850 PILOT KNOB RD
EAflAN, biN 5518E
651-681-4675
Please complete for:
SITE ADDRESS
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
-?Sy
c? c\. ,I I? r i
c p.? 1> < < h.. .
8D'tlNEfE NAME:: S-h n TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: (P S J-
, iliti. (AREA CODE)
STREET ADDRESS: R 0 Rm 99179
Eagan, MN 55122-0172
CITY: STATE: ZIP:
Place a check mark next to the uermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: .S qA lN - L , w ? i
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspecior fees
• requires MPC license
State Surcharge $ 50
TOtal $ .5 6 • -SG
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City ot Eagan ordinances.
It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SIGNATURE OF PERMITTEE
Updaled 1lOt
? CITYUSEONLY ?C ?y/
LBL RECEIPT#: t3 a
SUBD. RECEIPTDATE: ?? r3 9
s
199$ PLUMSING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3630 PZIAT KNOH RD
EAGAN, IAi 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatary 3.00 x =
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 =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings - 1•50 X -
Wat? "for dwellin s under construction 5.00 X
=
_
r Softener ' for existing dwellin 20.00 X
_?
,.
U.G. Sprink er ' for dwelling under const 3.00 _
U.G. Sprinklef ' for existing dwelling 20.00 °
AlteratiorlS " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems) _
Private Disposal Systems'Abandonment 20.00 -
RPZ (new installation only) 20.00 =
STATE SJRCHARGE .50
TOTAL ?
-----------------••------------•-------------••------------------°--------
I hereby adcnowFedge thst ? have read this application, state that 8ie infarmation is cortect, arM agiea to compty with all applicable City of Esgan orclinances.
t
s
It is the appficanPS responsihiliNr_m.nati[v. the nmoectv.cwner that the.Citv af. Eagan assumes no liability for any damages caused by the City during i
nortnal operational and m? ZIEMKOWSKI, CHERYL ei this permit within Cky properry/righROf-wayleasement.
3756 BURGUNDY DRIVE
S
SITE ADDRES
: _ EAGAN, MN 55122
(651) 406-9566
E
: _
OWNER NAM
INSTALLERNAME: NO?C.I?iIANA F?L AAM 61 tjG TELEPHONE#: 87_7' 33
STREETADDRESS: 6Arg_F1ELt'J
?
M STATE: ZIP:
rArPOL.I g?
1 ?
CITY:
PERMITTEE
CDlPERMIT.FORMSJRPLBG PERMIT (RES) - 1998
V--? CITY USE ONLY 8 ?/q
L ,? 8L C? • RECEIPT#: 7
SUBD. . / . l,UCkiv RECEIPT DATE:
1997 i'LUM$INFc PEftMIT (gES1DENTIAL)
crrY oF $wana
S$SO PILOT KNOB RD
EAfiAP, Al1P 551EE
(61E) 6$1-4678
Please complete for: D singte family dwellings
? townhames and condos when permits are required for each unit
? backflow preventer far underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x 100
WaterCloset 3.00 x , dfl
Bath Tub 3.00 x y =
Lavatory 3.00 x 195
Kitchen Sink 3.00 x = 3,00
Laundry Tray 3.00 x . JD
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3• Dd
Floor Drain 3.00 x _J_ _ ?ao
Gas Piping Outlet • minimum -1 3.00 x I = • ? D
RoughOpenings 1.50 x Z = 1?,flo
Water Softeaer " fot dwellings urxier construction 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G. Spflftklef ' for dwelling under conat. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
Alterations ' to existing resWence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' nbandonmenc 20.00 =
STATE SURCHARGE .50
TOTAL 9 5,,50
-------- ---- --- -- --- ---- - ------ --- ----- - - ---- --- - --- ----- ---- ---- --- -----
I hereby acicnowledge that I liave 2ad this appfication, state thet the inforrnation is oortecf, end agree to compb with all applicable City of Esgan ordinances.
It ia tfie appticent's responsibili[y to notify the proparty oxmer that the City of Eagen aseumes no Ifabllily_foi any damages ceused by the City during its
nortnal operational and maintenance aclivities W tha faGlities consWGed under this permil within City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: PLUM&!!K7'4 M"AT 1"?G- TELEPHONE#:
STREET ADDRESS: CITY: G-J?(9"CIY" STATE: ZIP: cS ? Z7/
SIGNATURE OF PERMITTEE
CDlFORMSlPLBG PERMR (RESIDENTIAL) 1997
ciTr use oNLr $ cF qgF
1. ? BL ? RECEIPT #:
SUBD.???ixt?t?t12 RECEIPTDATE: ? 1140 97
1997 PLUM$INC PEgM1T (RESIDENTIAL)
crrY og EAsAn
S$SO PILOT KPOB RD
f.AHAN, MN 551 £E
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x
Water Closet 3.00 x ?_ = q• vo
Bath Tub 3.00 x
=
Z.
ao
Lavatory 3.00 x 3 = 0
Kitchen Sink 3.00 x _,L = 1100
Laundry Tray 3.00 x 1 = 3,60
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x 3,00
Floor Drain 3.00 x 1 = .oa
Gas Piping Outlet " minimum - 1 3.00 x J_ = O
Rough Openings 1.50 x
WaterSoftener "fordwellingsunderconstiudion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler `fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' W exlsting residence 20.00 =
Water Tum Arou nd 20.00 =
Private Disposal System ' Dak Cty lic. 75.00 =
(new and refurbished systems) .
Private Disposal Systems "nbandonmem 20.00 =
STATE SURCHARGE .50
TOTAL q<- 570
-°----------------------------------------------•••-••-•---------------- - ------•------•-•---.....-°--•--------------------rd--mances------.
I hereby adcnowledge that I have read this application, state that the iMortnstian is correct, arul agree to ?mpy with all applicable City of Eagan o
R is the eppllcanPs responsibility to notify the property owner that the City of Eagan assumea no lia6ility tor any demages wused by the City during its
normal operetional and maintenance activdies to the facilRies constructed under this pertnit wtthin City propertylright-of-way/easement.
SITE ADDRESS:
h-7 (.- I
OWNER NAME: : vv/ , z
INSTALLER NAME: WzN Z?/?- e(-U{M/?17?? 6t"/!3 TELEPHONE#: / SCa 5
STREET ADDRESS: 1'7 ??J 5 I`Y> CITY: 5TATE: mri 21P: ZZ-
SIGNATURE OF PERMITTEE
CD/FORMSlPLBG PERMIT (RESIDENTIAL) 1997
/ CITY USE ONLY
V Q ?
LOT BL 9 RECEIPT #:
SUBD. G?- ?? RECEIPT DATE: oCy
1998 NECHANICAL PERMIT (RESIDENTIAL)
CITY OF 8A6AN
3830 PIIAT IINOB RD
EAGAN hd1 55122
Date: (612) 681-4675
?
Complete this secdon onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDI'IICNAL Sv^ M 8TL' 6.00
• Gas outlets (minimum of one required @$3.00 ea.) 1 -G U
• State Surcharge: .50
• TOTAL: ? ? 5d
Complete this section onlv if you ate remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pernut is not required for alteration/add-on to ductwork in
eausting residential units; but is required for the following:
_ Install furnace _ Install air condidoning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
5tate Surcharge .50
Total: $ 20.50
S1TE
LM, <2 S PHONE - ?
OWNERNAME: m
INSTALLER NAME: f"?I ( S1 , M.00,V /X1 4.CaOQ , (_1/ 1Y ?-C PHONE #:
STREET ADDRESS:
CITY: L A/f\ c 1l?? ? STATE: ZIP:
SIGNATURE OF PERMITTEE
JS/£ORMS BLD/hfECtf PERM[T (ItES) • 1998
CITY USE ONLY
LOT / BL % RECEIPT#:
SUBD. RECEIPT DATE:
1998 NECHANICAL PERMIT (RESIDENTIAL)
'
i -
Da?: "??
Complete tlus section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
.4DuITiONAL 30 1vI BI-U 6.00
o°
• Gas outlets ( minimum of one required @$3.00 ea.) ?
• State 5urcharge: .50
• TOTAL:
?
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: MechaniCal pemvt is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace _ Tnstall air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of enisting residences $ 20.00
State Surcharge .50
Total: $ 20.50
SI1'E ADDRESS: _L 7
OWNER NAIvE: l9 ? PHONE #: 6 ??
INSTALLER NAME: M,P PHONE #: `t c?'1. `? ? CL 7
STREET ADDRES9: I J (??
l 0 LI ?' l ? I?L? . I F
? IY\_ ?" 1.? C
CITY: STATE: 4y, ZIP: 75J o W
SIGNATURE OF PERMIITEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
cxxx oF KF,cr+x
3830 PILOTPQd08 RD
EAGAN NAI 55122
(612) 681-4675
Use BLUE or BLACK Ink
r---
I For Office Use
Permit C ~IQ
City of EaV
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:. A. Unit
I Name: Se,n eGu Wce;lefx Phone:
I Resident/
Owner Address / City / Zip:2Z 4/ 375-,, i '
I Applicant is: Owner Contractor
E /
Type of Work Description of work: ~/j
Construction Cost: lli9o Multi-Family Building: (Yes / No
Company: /✓~P-~S /'!/G `/`J ehL'e Contact & //i/~.~ Z
Contractor Address:2[40 /17~Z~1~ X7%2,00 City:
State: 0~,11/.7 Zip: 6:5-Z113 Phone: 6- /d - 3119-1 - 940
License t;e- Lead Certificate 37 9 / 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
`i
2
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 C-
Applicant's Printed Name Applicant Si na ure
a f_3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA116308
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 3754 Burgundy Dr
Lot:2 Block: 09 Addition: Seneca Hills
PID:10-67125-09-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Karen J Ganter
3754 Burgundy Dr
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
P::: e:
City of Eaaal CS)
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 3 7 " / (5)(1(f.,,r, S
Tenant: Suite#:
Resident/Owner
Name: /Cu..S� -n -k-'‘ Phone: i
Address/City/Zip 37 13U( ( °(-\\ \ _ctC
Name: RpeiciA 1/1'x) C9
License#: / l� C C .
Contractor ' Address: , 3 0 s Jcy ci-0 �C City: 47:.. .
,.
�I J'��1 � C ( L_ 14-9Z- � f i
State: 4/7/(.1 Zip: Phone:
1
' Contact Email
�.. .� �.. ..�. .�
Type of Work —New X Replacement _Repair Rebuild _Modify Space Work in R.O.W.
1 Description of work:
PRESIDENTIAL
Water Heater
1 Water Softener
Lawn Irrigation ( RPZ/_PVB)
Permit Type
Septic System Add Plumbing Fixtures(Main/_Lower Level)
14New Water Turnaround
Y
I Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi h 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 i o o ithout - permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval • plans. /
A.
X Pa'(-)( I C)/iC.)-5 x (Oily
Applicant's Printed Name
Pp Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff: