Loading...
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: