The URL can be used to link to this page

3750 Burgundy Drk ` , ^ INSPECTION RECORD! CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 fiuz r is r NG 04AH4H 4lwI24lt17 SITE ADDRESS: i ?+ ? ? F ? ?'?? -c? '? - o?K , ,.?.?f't,,sf.;??•y i;;?, PERMIT SUBTYPE: , ,,, , APPLICANT: ?-+ M N iji M Nl T IV 1"' i II TYPE O?F ?IIlO"RIC: , l4f' i[ uN NE- W t 4 0U ?. I?NfTc;1 INSPECTION , • .• ? . , i, DA ` I kF MAfti ct : .'k Itr) !0 f ) IN U i'I [af+ 6aFh1Z Ei F't t;I : , , . ? . ? . ,. ? I ?. . "' 3 ?' ' . . - . . . .. I i _ _ . :. x . . . ,a 3 ? i ? Parmit No. Permk Holder Date Telephone # ELECTRIC PLUMSING AI?"'a- HVAC Inapectlon Date Ins . Co mments FOOTINGS q-ZSct'7 " CL(+w.' Sc?? ?5 FOUND FAAMING ROOFINO ROUGN PIUMBING &(0- PLBG AIR TEST _ C ROUGH HEATINCa 2-16 -017 GAS SVC TEST - Q INSUL J ?/? ?"?CJ GYP BOARD FIREPLACE _ r-G 11 FIREPLACE AIH TEST - (i? FINAL PLBG 47-497 6? FINAL HTG ORSAT TEST BIDGFfNAL ?2•23''l) BSMT R.I. BSMT FINAL DECK FTG DECf( FlNAL ns?? 2-3?97 .Gw ? C?l,?? v pu-e ? .[ ? . ?-IN5PECZ CIT'? 40F EQGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 6$1-4675 SITE ADDRESS: , ? 0 10'- I .. ..,,?, PERMIT SUBTYPE: liCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: +: M Hf1PfF `, TfVf. ) q t ,:,,?4; TYPE OF WQRK: f'1F'•.f•1'iif`7 enre f P rNri A'?pfs t<3 ?912?I f?y NFw rt nr ? ?a?stt•.i INSPECTION DA 1 D• t ?? •?; ;i 1 i ?I'id ? :1 f?! :r±t;? I +; I Htni?!: F ti!) t 1) 1 1 ! Nt t.l 11 1 F:R A4f Ai.'f l I11 tit; Pertnit No. Permit Halder Date Telephone # ELECTRIC PLUMBING HVAC IOW21 Inspection Date Insp. Comments FOOTINGS - z S'?i? AA8 Gllr? Sv? f5 FOUND FRAMINO ROOFING ROUGH PLUMBING &z_ PLBG AIR TEST ROUGH HEATING GAS SVC TEST _ b.. I INSUL GYP BOARD FIREPLACE O FIREPLACE AIR TEST Av FINAL PLBG Z?-? FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FiNAL 1.4soL :Z- 3-5 /? I . . . . . , ? _' . . ? ' v . Wt1-'ttfiCQfe Of CCClipQ1iC? af Wagan . Zeparhaeict of BxiLbiag 3noectian This Certificate issued purauarst to the requirements of the Uniform Building Code certifyiRg tir.at at tke tirrse of issuance this structun was in compliance with tfie various ordirtances of (he Ciry regulating baildiRg conrrrvction or use. For !he folfowing: Use Ctusificatioe: SF DWG Bldg. Permit No. 30840 pccupancy Type R-3 U-1 Zoning D'etria R-3 Type Const. Vn G M ROMES INC A15025 GLAZlER AVE., AP' OwncrdBuiidins DR ?? L2, B8, SENEuA 1-1 C_.C .+ 8nilding Addrs L,otality Due: auikhog arww , / ? POST IN A CONSPICCJOUS PLACE ? . a ,•?. .f . ? ; VALLEY MN ?.? ti ..„6y... ?:':- ? ? :.!ll, WCl.'ttf iCQt¢ Df CCCIipQnlv - K'tt? of Cfagart Meo arkaxcut of zuiLbing aniap¢crion This Certicate issued parsuant to the nquirements of the Urtiform Building Code OcNpar?y Type Zoning Disaia R?'' r,? con:i. Vn 15025 GLAZIER AVE., APPLE VALLEY MN Owner oi BuildinE 1 N^ ? aaa?s , B , SENECA HILLS BuildxAddsess ?,,iry ??ir?? Date' -- Bui{ding Offcial POST IN A CONSPICUOUS PLACE ? eertifying tftat at tfu time of issuance thrs structure was in compliance with the various o?inweces of tfee City regulating 6uildeng construction or use. Far thefollowing: SF DWG 34839 Use Qassifiption: Bldg. Portnit No. Mar.19. 2008 8:51AM Crest Exteriors No.8743 ?? -- 2008 RESIDENTIAL BUILDING PERAtIT APPLICATIdN City Of Eagan 3830 Pilot Knob Road, Eagaa MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 f bt, 5q, ry, vl hause; antl Vj rppfed areas Mimgksizes: Pafetl l0und "n, e1C. t setofEneryyCalalations 3 copies of TfEp P25ervaUon Pfan il IOf vLatW afler 7ryI93 Rim.lds}De1ei10plionsselet6ortsheel (6uilding6wiN3orlessall5) Minnegasco meehaniwl veefilalion form &maESIReoair ReauirWnBnls 2 coDiec d pIM shoxinA footln96, b¢Bms, joisla 1 SH of Eneqy CakuWypm fOr Ireahd additkrK 1 site survey for addtions 8 dacks AddYbn - inc6cale M onsifa sepfic sysfem P. 11 1,6700 aft Uie Onlr CM.d3urvayW0 Y N TreeResPhnRBttl ...Y._.N. TrcePresRequred 1( - N Onaite'5eplkDIalem _Y _N Date03/ 11 ?/W {?[) • {;? Constructfoq Cost ? ? Site Addras J lSv Sv ? Unlf/Sh M DescripNonotWork Multi-Family $Idg ` y, N Fyreplace(s) _ 0.,,, 1 _ Z Property6wner _??r}?,?V} CmsAhA?'h a(??YV? Ci TekphoneN(?,o Gt'est Gx-?e i Contractor r o Address aa??a c,r,?p???hl ??i??L c,ty I S?te y Zip ?_ Telephone # (?jl) - Ip I CpMPLETE T411S AREA ONLY IF CONSTRUCTING A NlIN BUILDIN6 Energy Code Category ' Minnesma Rules 7670 Catgpqry I _ &IlullWta Rules 7672 (J submisslon type) • Resitlentlal Venlllatlon Celegory 1 WorkshaaE • New Enerpy Cotla Wwkeheet Submittetl Submitled • Energy Envelope Calculalions Submilled In tha last 12 monlhs, has ihe City of @agan fssued a permit for a similar plan based on a moster planZ - Y _ N If yas, date ond oddress oF moster plan: Licensed Plumber Mechonical Controctor $ewer/Wpter Coniracior Telephone #f Telephone #{ Telephone #{ ? I hereby apply for a Residential Building Permit and acimowledge that the information is complete and accurate; that the work will be in conforTnance with the otdinances 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. KYVS11d Mccam WhAj1 App ficant's Printed Name Appli nCs Signature ?r . ? ** * * PIONEEFI ? eng Ban? i * * * * PLAHNERS• LANOSLRV[ A0.-nu[cp • dML ENGNEERS . 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 881-1914 FAX:681-9488 625 Highway 10 N.E. Blaine, MN 55434 (812) 783-1880 FAX:783-1883 LL ?LL NOTE: PROPOSED GRADES SHOWN PER GRADING PIAN BY: PIINJEER / PROPOSED HOUSE ELEVATION NOTE: BUILDINC DIMENSIONS SHOWN ARE fOft HORIZONiAL AND VEftTICAL LOCA710N LOWES7 FLOOR ELEVA710N: U Z_>Z OF STRUCTURES ONLY. SEE AftCHITECNAL PLANS FOft BUILDINC AND FOUNOATION DIMENSIONS G G 3 Z . . (j TOP OF BLOCK ELEVATION: NOTE: NO SPECIFIC SOILS INVESTIGFTION HAS BEEN COMPLETED ON 1145 LOT 87 THE SUftVEYOR. THE SUITA6ILITY OF SOILS TO SUPPOftT ?HE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSEO IS NOT T4E RESPON5191UT'l OF THE SURVEYOR. NOTE: TMIS CERTIFlCATE DOES NOT Pl1RPORT TO SMOW EASEMENTS OINEft THAN % OOO.DO OENOTES E%ISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) OENOTES PROPOSED ELEVATION OENOTES OftAINAGE AND UTILITY EASEMENT NOTE : WNTRACTOR MUST VERIFY DRIVEWAY OE9GN. -? DENOTES ORAINAGE FIOW DIRECTION NOTE: BEARINGS SHOWN ARE 6ASE0 ON AN ASSUMEO DATUM -? DENOTES MONUMENT -?- OENOTES OFFSET HUB WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORR ECT REPRESENTATION OF A SUR VEY OF THE BOUNDARIES -OF: LOTS 1& 2. BLOCK 8 SENECA HILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT Pl1RPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNOER MY DIRECT SUPERVISION 7HI5 10TH DAY OF SEPT., 1997. // sir,MFn? l1 ?1 / /.?IONFFR ENGINE ING, P.A. SCALE : 1 INCH = 30 FEET 381 96541.11 SWK REVISED 9-22-97 Reg. BY: C CIfiIP 0F EAGAN 38t30 Pilot'Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3750 BURGUNDY DR LOT: 2 BLOCK: 8 SENECA HILLS ' (1 OF 2 UNIT3) puilding"P?grmit Type SF DWG ,-`8uilding Wo"r'kz,Type N.EW U6C Oceupancy 7-;; R-3 U-1 ?'. -ConstructiOn Fype_? V-N Zoning : r R-3 Buildirig Leng th 36 ? Bui3,, dxn g .4)idth gu a yl?. 56 ? BuE4lding s:tbr3e 2 Cens'us Cod,e ? 102 1- FAM. ATTACH '>:'"^"??5!?" Lil{' ? f i J .? REMARKS: ZERO LOT LINE FEE SUMMARY: S& W PLBR - WENZEL PLBG vRLuarraN Base Fee Plan Review Surcharge SAC SAC ?s SAC Units Subtotal $1,0@7.25 $654.71 $62.00 $950.00 100 $2,673.96 $124,000 cuoA3 BUIIDING 030840 0912R/97 MISCELLANEOUS $1.539.50 7ota1 Fee $4,213.46 CONTRACTOR: OWNER: - Applicant - ST. LIC G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AV£ 205 15025 GLA2IER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 - . I hereby-acknawledge that I,have read this appliCation and sta`te tfiati"Che „infat^mationa.s carremt and agree: T,moamply w1,th. A 11pP,3.I c# I e;State,?„f ? Statu and C' of `Eagan tlrdinances. PPLICANT/PERMITEE SIGNATURE m ' ISS D' Y: S? ATUR'E I? 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 44Z?? 41 CITY OF EAGAN I 5000 3830 PILOT KNOB RD - $5122 661-4675 i;'k New Construction Reauiremerka I:L!?GfIlTz =: 17-u. ut ? 3 registered site surveys ? 2 oopiea of plan ? 2 copiea of plans (indude beam & wlndow sizes; poured fid. design; etc.) ? 2 nile surveys (exterior additions 8 dedcs) ? t enerpy calculations ? 1 eneigy calatedons fir heated eddklons ? 3 eopies M tree preservetlon plan if bt plaKed after 7/1/93 requireC: _Yes _ No ' DATE: q -7 CONSTRUCTION COST: $$0,000.00 DESCRIPTION OF WORK: STREET ADDRESS: Seneca Woods Toz,mhomes - ?_ 7?C7 Ru??-?UA1??1 DQ??1C LOT 2 BLOCK ? SUBD./P.I.D. #: SFNECA H I US t>u P LCx 4/ L o r' I PROPERTY Name: G.M. xomes) Inc. Phor1@#: 431-4900 OWNER StreetAddress15025 Glazier Ave: /1205 City: Apple vallev State: Mv Zip: 551*)A CONTRACTOR COmp8ny: G.Pi. Homas, Inc. Phon@ #: Stfeet Address: 15025 Glazier Ave. #205 LiCense #: 20025307 Clty: Apple Valley State: MN Zlp: 55124 ARCHITECT/ CORtpeny: KLF Desisns Phone #: 171 -rQ«h ENGINEER Name: Registration #: Street Address: 8791 tCnollwooa Drive Clfy: Minneapolis State: bEq Zjp: 55347 G9enzel Lfechanical Sewer & water licensed plumber (new cons6vcton onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applirable State of Minnesota StaWtes and City of Eagan Ordfnances. OFFICE USE ONLY Signature of Applicant: ( ?l g7 ? v Certificates of Survey Received _ Yes _ No Tree Preservadon Plan Received _ Yes _ No _ Not Required • G<,??' BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ,A(- 02 SF Dwelling ? 07 4-plex o 12 Multi RepairiRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fire lace _ ?2 Miscellaneous 0 05 SF Misc. ? 10 = IOa o 15 Deck WORK TYPE sc- cs?- ,Ar-31 New o 33 Alterations ? fi-Move ` 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) ?•?i! Basement sq. ft. (Aliowable) J?? Main Ievei sq. ft. UBC Occupancy Zoning # of Stories 7- sq. ft. Length Depth $JQ_ FootpriM sq. ft. Planning Building ? APPROVALS Permit Fee Surcharge Plan Review License MC1WS 5AC 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: •/ sq. ft. sq.ft. (,?t sq. ft. /, 3&j oD / Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance -? o4 ? /D Z i ? Valuation: m $ Z?_ , ? ? Z49r•?, l3L d Ue" / ? (?"vGs % SAC SAC Units 1 c MGY-17-1995 16;40 FROM TO 0827732 P.61 - F.xTr-.Moit F.NVF.IAI'k' nVitl;nr,ti "u" c(Wu•rnTtX+ `ou;aER r? M sir? .a???sss S?c NE[A l.JOt?f?', CON`i'R.4C?OR 67 M}+CJN\E. S{Ok DnTF. I2 `? 9 PNi)NE LA> vti,-r-- r-_ (vo ?I3?-qq?o Determin vorkinr, squure footar?c of ench. 1. Total exposed vsll area sq. ft. x 0'12. 2- Total roci/ceil:ng area fL. x 0,026 - ? Total expoaed xail ar" obove f 1«,r - 195(o SF a. Total va?1 vindow area ............................ L,- . L. T_uLal duor zrea .................................. 4 Z c. Total slidir.g glass door area ..................... 9-7 d. Total fireplace va11 urea ......................... /vL e. Total vul framing area (average 19i) ............. 19 5 b P_ Total net vail area above Sloor ................... 14$g g. Total ri-m 3oist aren ................ ........... 1 '15 Total exposed ;oundetion arca = SI. s h. Total fovndetion vindo+: area ....................... ??.-7 S i. Total net foundation a-ea tibove RTBde ............. ? : Deterscine "U" ralue o; each vall serment. a. X'.U.l b. 9 Z z'.Ull -So - I"L A, • ? ?. GZ X .V, ?- ?0 a. O x',u,l . Oq 3 p . a., 1x,,U„ . c) (:69 - 1-7.90 r. 1 q s?? X-v° , og3 X -urt 7 I 9 h- _ °v° •2R = Z 45 i. QZ. -7S? x•,U- - 04)Z - 3. 50 ;. ..--•-•--... .. T o?.,I ?. I: ite^? N3 is the 5ame as, o: lesa c.h:m ite?a .tll, you o?+?e met L'ne iatent of SSC 60Wc).. . 0 MqY-17-1595 16:41 FR01•7 TO 8327702 P_02 ToLUl cxyoacd rooflccilinG nren = ?I?p O 5 r Total sross rooP/ceilinr, are:i J. 'Ibtal skylight erea ......................... ? ?'•? ? k- iota? -oof/ceiling framing are3 .............. l. 7'otal net insulated ruuf/cciling arcu ..--.-•• I??=? llete:mine "U" valuc for cnch ruuf/ccilinr seG?cnt_ .? X „ull ?• . k: x nUn e UZ? ?.-70 L . ............ .................. Total = Z . ? It total oP RL is the seme as, or less than ,Y2, You have met the inter.t of ssC 6006(c)i. . . To utilize the tntal er.velope systec method, the velues establiahed by the sum of 4tems X3 and 04 sDall not De 6reater_thfLn the suia of itews B1 end Y2. 2. ? 32.?'b = 298.oi L. 2 b•29 = II L!15 .. 0 J r a . •- LOT SURVEY CHECKUST FOR RESIDENTIAL , Y BUILDING PERMIT AP CATION ? ? PROPERTY LEGAL DATE OF SURVEY: / O LATEST REVISION: ? ? DOCUMENT STANDARDS a z • Registered Land Surveyor signature and company a?? ? • Building PermitApplicant ?? O • LegaldescripUon B"o ? • Address ? ? ? • North arrow and scale Q.-'13 e?13 ? ? • House type (rambler, walkout, split w/o, split enUy, lookout, etc.) • DirecSonal drainage arrows with slope/gradient % V? 13 13 • Proposed/exissting sewer and water services & invert elevatio? ? 0 11 • Street name ?0 ? • Driveway ELEVATIONS Ew'stina ? ? ? • Sewer service (or Proposed) ef*? ? o • Property comers ?? ? • Top of curh at the driveway ? C? ? • Elevations of any ebsting adjacent homes ro ed ir' ? ? • Garage floor d ? ? • First floor ? 0 11? El • Lowest exposed elevation (walkouUwindow) 0 ? ? • Properlycomers ?? ? • Front and rear of home at the foundation PONDING AREA fif aoolicable) • Easement line ?q ? • NWL 0/? ? ? • HWL • Pond # designation ? cl • Emergency Overtlow Elevation DIMENSIONS C?o/ ? • Lot IinesBearings & dimensions • Right-of-way and street width (to back of curb) C3? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. ail structures requiring permanent footings) 2r' o ? • Show all easements of record and any City utilities within those easements 0'? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures a ? ? • Retaining wall requirements, if any Reviewed: January 1996 GitAIG1 BBflABLOGPRMT.FM - ., . CITY OF EAGAN ?83C?rilot Knob Road agan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-67125-910-08 DESCRIPTION: PERMIT PERMITTYPE: Bux?ozNs Permit Number: 030839 Date Issued: g 9/2 Q/9 7 3752 BURGUNDY OR LOT: 1 BLOCK: 8 SENECA HILLS (1 OF 2 UNITS) Buildxrig "Wgrmit Type 9F DWG sType N,EW ,ABuildihg Wo'1FYF UBC Occupancyv'R-3 U-1 i? Constrw:?tion "Cyp."e- V-N f• Zorrirtg° ?.?Xr R-3 Building Length 38 t. Building, Width 50 ±r, 0?a:ild?Yi? s'Gc?r£e2 ?Cane`WS; Eod?,102 1- FAM. AT7ACM -, r! ?, ?'r? ?.?.? r"? a}? i? ? ? ? 3# s-"a?'#: ?'?;*i s5 s REMARKS: ZERO LO7 LINE 3& W PLBR ^ WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Swrcharge SAC SAC ? SAC Units . Subtotal r $2,665.21 $123,000 MS3CELLANEOUS $1.539.50 Total Fee $4,204.71 CONTRACTOR: OWNER: - Applicant - ST. LIC G M HOMES INC 14314900 2002530 G M HOMES TNC 15025 GLA2IER AVE 205 15025 GLAZIER AVE 205 APPIE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 Ihereby acknowLedge that Zltave resd this-applic,dtion ahd stata that jthe in,fiormatxon is corPeGt, and agrps to_camply-,?,with 4,11 app?i?cable 5taCe a'f Mn. ? S?atu?t °anel Ci yof ?aga,n O?din,art0ss $1,002.25 $651.46 $61.50 $950.00 100 1 AP LICANLPERMITEESIGNATURE - ISSUED :SGNAT!E?? 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $4 rf I CITY OF EAGAN $830 PILOT KNOB RD - 65122 c? 681-4675 New Construction Reauirements RemodeVReneir Reauiremenffi ? 3 ragistered ske aurveys ? 2 copies of plen ? 2 copies of plans (indude beam 3 window st¢ea; poured fiC. design; eta) ? 2 ske surveys (exterior additions & dedcs) ?1 energy calwlations ? 1 energy calalations for heate0 adAitions ? S wpies M tree preservation plan if IM platted eRer 711/93 required: _Yes _ No ' DATE: GI I I S IcI7 CONSTRUCTION COST: $$0, 000.00 DESCRIPTION OF WORK: Seneca Woods Townhomes -{j ) U" i 1 [000 -M P45T ez- 1-11019J STREETADDRESS: 17Ez R\?R?,\]r\) [)Y UIVE LOT I BLOCK ?) SUBD.IP.I.D. SEtJ C-CR N I 1( S. 20.UNNRNIES 6 k PcF-r ?'f Lor • 2 PROPERTY Name: G.M. Homes) Inc. PhOne#: 431-4900 OWNER ?,.. ,?.. Street Address.15025 Glazier Ave. ?/205 City: Anple Valley StBte: PmT Zlp: 55"4 .? cow'ntacroR Company: G.M. xomes, znc. Phone #: Street Address: 15025 Glazier Ave. Ii205 License #: 20025307 Cjty:_ Apple Valley State: MN Zip: 55124 ARCHITECT/ COR1P8ny: KLF Desians Phone #: 371 ENGINEER Name: Registration #: Street Address: 8791 ;Cnollwood nrive Cjty; Nlinneapolis State: m Zip: 55347 Sewer 8 water licensed plumber (new construction ony): 4lenzel I7echanical . Penalty applies when address change and bt change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. / ?- ;I - / 7 OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No I, q' UN!,r,, BUILDING PERMIT TYPE OFFICE USE ONLY ? • e. ?? . •y. yq b^r:,? ' 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish A 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Faciliry n 04 SF Porch n 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _ piex o WORK TYPE A 31 New ? 33 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ?"rr Basement sq. ft. /. 2lo g MCMIS System ael N Main level sq. ft. 14&0 City Water aC • d?•? ??' , sq. ft. sz.f Fire Sprinklered 2•3 sq. ft. PRV 2 sq. ft. Booster Pump ? G,..ti• sq. ft. t/yY Census Code. /02 s? Footprint sq. ft. SAC Code loz Census Bldg r Census Unit / , Building Engineering Variance Permit Fee ? Valuation: $ Surcharge Plan Review License MCNVS SAC ? 06j4- City SAC ? Z G Water Conn. Water Meter Acct. Deposit S/W Permit ? S/W Surcharge Treatment PI. Road Unit ? Park Ded. Trails Ded. Other Copies Total: % SAC ' ? •' SAC Units" , f ?.? ? ?.:? .,... . ? . . j?,- i MAY-17-1995 16:40 FROM F.STF.IiiQTi r:NVF.IP7'F: AV4:I;At:}: "U" oVNER 472 rn ??orv?E? j?c 10 0]MPI1'PAT1;1'I 881''Y01-1 P.01 . sIrR ,??IRM SEvU , Ff ?IN wanyl?,?,, R , kwtjW C? RivE -6?- y CONTRACTOn DATF. _J _719 Ijjy PH ONe. ?) ( ? De z min vorkinr squore footai? e oi ench. l f =? 1. Tota exposed wall area sq. t. x , 2. Totsl rocf/ceiling area .. 12.?? •J sq. fi. x 8,026 _ T s ? ToCa1 e:cposed wall nrca nDovc floor E. TOt&1 v311 cindbu srea ............................ Ibin,?,l i ? L. TULal dQur acen .........:................ ......... 4 Z c. Total slidir.g glass door area ............ ......... 7 7 d. Total fireplace wall area _... _.... . .. .... ........ e. Total vxli traming area (average l0i) .... . ? ......... Total net va21 area above floor ..,-..-... -•..••--•,.? g. Total ria Soist areu ................ .. ......... II 2 O Total exposed foundation arca = qt?.9Z h. Total foundetion vindov area .............. . ... ...... . i. TotaJ, neL fo=dation a:ea bCbove grade .... ......... : Detencine "U" calue o; each wall .Frment. . , _ $. 4 z x..Ull b . • . ?, -j 7 x nUr, e zQ, - ZI , Slo d. 0 z C) ...v„ x r_ ? ll4•? ? x^c^ _ a. I I Z. o X°tr? _ oq I 4. s7 h. ?. 7S Z. v ..U„ 3?. 17 ? z. X . s. ., --•-? ...................... ..... To,.,t = l?.ll If it , em N3 is the same as, or le sa '.Iv,n itc,-q bl, you nave met the inter.t or ss c 6oo6(c)2. .? MaY-17-1995 16:41 i=ROM TO 8827762 P.02 •.? ? Totul cwpoacd roof/ecilinG w-ea ' N S7?. Total grOss roof/ceilinq are:i = ?. 1bLa1 skylight area -••....................... _ O k. iotal roof/ceiling rraming area •.:........... (? O.SS 1. 7'otal net SRSUlated r.uf/cciling aren ........ UCtCPmSc1e "U" valu, for cnch rvof/ceilinl! sefment_ ?, . C? :.lull - - - 55 x nUft o IC: 1. ? ZI I, x"U„ 4. ...............................:. Total • Zr total oP RL is the saae as, or less than N2, you have met tYte Snter.t of SBC 6o06(c)1. . . To utilize the t.ntal er.velope systes Method, the valnes e5tabliehed by the sum of 3teas N3 and 94 shall noL Le Sreater.thhn tbe swa of itea:s A1 end N2. 1. + 2. 3i.5 - ZIZ.39 ? ? ? ? ? bl-?? / CITY USE ONLY s({qg q L 1-1 ? BL ? RECEIPT#: SUBD.,-'_l%ix-[.!'iGL- RECEIPTDATE: ICP-IIU 1997 PLUMBINH PEftMIT (ftESIDENT1AL) CITY OF f.Afi/4P S$SO ?ll.OT KPOB {tD EA6AR, b1N 55122 (612) 6$7-4878 Please complete for: D singte famity dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x -? = 3.00 Water Closet 3.00 x = vo Bath Tub 3.00 x ? _ • 00 Lavatory 3.00 x = • Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x Fioor Drain 3.00 x = Gas Piping Outlet • minimum - t 3.00 x 00 Rough Openings 1.50 x Z = ? OU Water Softener `for dwellings uoder construc[lon 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.SpdnklEr "furdwellingunderconst. 3.00 = U.G. Sprinkler ' Por existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new end refurbished syslems) Private Disposal Systems' neandonmene 20.00 = STATE SURCHARGE .50 TOTAL AE.-aO 1 hareby ecknowtedge that I heve resd this application, state thst the irifomiatian is correct, and agree to comply wilh all epplitable City of Eegan ordinantes k ia the applicanPs responsibility to notNy tha property owner that the City oT Eagan assumes no Iiability Tor any damages ceused 6y the Cily during its normal operational and meintenance actNities to the facilNies consWcted under this permft within City property/rigM-0Rway/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: • TELEPHONE #: STREET ADDRESS: cin: ?J STATE: /11A) ? ziP: ESPZ Z ,. ? . n . • SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 / ? p( CITY USE ONLY L BL F? RECEIPT#: SUBD. RECEIPT DATE: 1997 PLUMSINfi PEiiMIT (RESIDERTIAL) cmt oF EneAw S$SO PILOT RAOS !W £R&AN, b!N 551EE (61E) 6$1-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x ?- _ •00 WaterCloset 3.00 x -ao Bath Tub 3.00 x 441 0O Lavatory 3.00 x 00 Kitchen Sink 3.00 x o? Laundry Tray 3.00 x .00 HotTub/Spa 3.00 x = Water Heater 100 x I = 3•4O FloorDrain 3.00 x - 3,00 Gas Piping Outlet * minimum- 1 3.00 x ? _ -.3, 0 0 Rough Openings 1.50 x • 00 Water Softener ' for dwellings under conshuction 5.00 x = Water Softener ' for existing dwelling 20.00 X = U.G. Sprinklef ' for dwelling under const. 3.00 = U.G. Sprinkler ` ror existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak Cry tic. 75.00 = (new and re(urbished systems) Private Disposal Systems M Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 14,5,90 I hereby acknowledge thet I have read this apWicstlon, state that ihe 'iMOmiation is correit, and sgree to compy with sil applicsble City of Eagen ord'insnces. It is the applicanPs responsibility to notiy the property owner that the City of Eegan assumes no Iiebility Tor eny damages caused by the City during its nortnal operatlonal and maintenance ectivkles to the fadlRies construded under this pertnH wkhin Clty property/rightof-way/easement. SITE ADDRESS: OWNER NAME: tn(?' INSTALLER NAME: W TELEPHONE #: `??rc?? I56 S STREET ADDRESS: I "Y5A !S &s^jI?41e Iw CITY: C-4 ? STATE: ZIP: j- SIGNATURE OF PERMITTEE CDIFORMS/PLBG PERMIT (RESIDENTIAL) 1997 cirr use oNLY L ? BL ? RECEIPT#: SUSD. RECEIPT DATE: 1t) F '?/'J 7997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD ' EAGAN, MN 58122 (612) 681-4675 Alease Complete for: . single family dwellings ? townhomes and..condos when permits are required for each unit x New construction Add-on furnace _X_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence onty) $ 20.00 ? HVAC: 0-100 M 8TU 24.00 - Additional 50 M BTU 6.00 c? G ? Gas Outlets (minimum of 1 required @ $3A0 each) ?s ? ? State Surcharge '50 C TOTAL &q SlTE ADDRESS: OWNER NAME: ? INSTALLER NAME,_6\? ? STREETADDRESS: ILP'i 1 1 CITY: 4?L M'1 l1 4V i STATE: PHONE#: PHONE #: ?3(1? ZIP: " L _L_ BL S , SllBD. CITY USE ONLY RECEIPT #: FS?M (.0 RECEIPTDATE: l0 kA7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF Ei4GAN 3830 PILOT KNOB RD EAGAN, MN 56122 (612) 681-4675 Please complefe for. . single family dwellings ? townhomes. and.cond9s when permits are required for each unit x New construction Add-on fumace YY_? x Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES • Minimum Fee: Add-on/Remadel (existing residence onfy) $20.00 ? HVAC: 0-100 Ib9 STU 24.00 ? Additional 50 M 8TU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ?'5G?- ? Staie Surcharge .50C) ? TOTAL ------- - ADDRE55; v? c Y\ Q. Z- OWNER NAME: INSTALLER STREET ADDRESS: cIrv: PHONE #: PHOIVE #9. s RESIDEPITIAL S.3 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-8$1-4675 New ConsWClion Revuiremants • 3 registered site surveys showirg sq. fl. ot l04 sq. fl. of house; and all raofed areas (20 % maximum lot coverage allowad) • 2 copies of plan showirig beam 8 wiiMow sizes; paured fiund desgn, etc.) • 1 set u( Energy Cakulations • 3 capies of Tree P2servalion Plan if lot platled aRer 7/1193 • Rim Jaist Detail Options selection sheet (Gdgs with 3 or less unNs) DATE 7-2 &" fJ2 SITE ADDRESS TYPE OP MULTI-FAMILYBLDG YY _N FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT T?Qvln h md STREETADDRE55 37g'o uroii nd vpy-. CITY EG?en STATE MJV ZIPSS.22 TELEPHONE # 696-eA/7lt CELL PHONE # FAX # PROPERTYOWNER ntm ' ?1c?T/S/lm TELEPHONE# 6k6"W71r COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESOTA RUI.FS 7670 CA'PEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Woricsheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Phone # Plumbing sys[em includes: Y Water Softener _ Lawn Sprinkler .$90.00 Water Heater No. of R.I. _ No. of Barhs ??, t? ? o ??? 2 5 2002 Mechanical Contraetor. P e? Mechanica] system includes _ Air Condiuoning ? Fee: 70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # ------------------°------°°-----°-°--•------°---------------------------°-----°------------------------...._....-- I hereby acknowledge ihat I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Siaiuies and City of Eogan Ordinances. Signature of Applieant •? OFFICE USE ONLY ?0 ri RemodeUReoair Reauirements . 2 copies of plan • i sat of Energy Caiculalions for heated addilions • 1 site survey fa exterior additiore & decks . Ind'rate'rf home sened Cy seplic system ior additrons VALUATION Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex lm'19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-piex PI6g_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg, ? 42 Demolish (FOUndation) ? 45 Fire Repair PC 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy . ?q.? MC/ES System Census Code Zoning City Weter SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new 61dg) FinsUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) plurnbing _ Foundation ? HVAC _ Drain Tile Othei Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final Framing Stucco Stone Siding Fireplace _ R.I. _ Au Test , _ Final _ _ Windows (new/replacement) 7K Insulation _ Retauung Wall 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 ?-L -y„r 5 / ?-:)l ? PERMIT # ? `l u `T RECEIPT DATE: 2002 i$ESIDEN'I'IAI, f'LUMBING PE$MIT AFPLICATION CITY QF £AfiAN S$SO PILOT KN06 RD fas,vv, auv 55122 651-8$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: S/ J U ,CS L/ OWNER NAME: : S?C v 4?cin ? V TELEPHONE #: (AREA CODE) T ^ • ? INSTALLER NAME: STREET ADDRESS: ?o TELEPHONE #: dS/ 773 S_ 7?/ o (AREA COOE) r CITY: D.--.L' STATE: l/d?1i? ZIP: -?5-? 28 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnar eded -$118) ound - existing dwelling unit (+ 5/8" m eter if ne ? ? 1- _ Other: p ` C?"Vl ? U CI Y%- _ RPZ: new installation/repair/rebuild .00 _ lawn irrigation system AUG 1 5 002 ReplacemenUadditionaC _ water softener _ water heater - - 00 State Surcharge $ 50 $S6' ? Total I hereby acknowledge that I have read this application, statethatthe information is correct, and agree to complywflh all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property ownerthattheCityofEaganassumesna?l3bilit foran damagescausedbytheCityduringitsnormal operational and maintenance activities to the §cili[ies constructed under this pertnitvkhin ' e?ight-of-waepsement ` -?Jr7 \ GNfbYURE OF PERMITTEE /1102 ? linq(l _ IW RESIDEIVTIAL I?UILDING Permit ApplicaGon City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremen4s RemodellReoa'u Reouiremenk 3 registered site surveys shaxiig sq. ft of WC sq, ft ot house; and all roofed areas 2 wpies of plan (20°k maximum lot coverage allowed) 1 set of Eneigy Calculatlons for heated additians 2 copies ot plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks 7 set of Energy Calculations Addi6on -irMkafe ifarrsrfe septicsystem 3 copies ot Tree Pmservation Plan'rf lot platted aRer 717l93 Rim Joist Detail Options selection sheet (bidgs with 3 or less unils ^?? ?? lJ"' 74 71 Office Use OnN CeR aF Survey Reod Tree Pres Plan Recd Tree Pres Nof Reqd _ On-sBe Septic System Date_7!16_/ 07 ConstructlonCost )7, b3a ?? ` SiteAddress 375 2 UT `-' ?/ U1"?,N UniUSte # Description of Work 54 n rC70 hn Multi-Family Bldg x ?fi' Fireplace(s) yr 0 _ 1 _ 2 Property Owner 'J ??(Yl d' U (' j' (,? I Q CQ SQ r 1(? Telephone #(?? ) 00 ? 7317 Contractor VaA ? Z) YIC105`?/1 f?CS . TYl c- Address {,JL ? NW • City-_Nt*(•l) S[ate ? DJ • Zip Telephone # (tTl) 4 31 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted • Submitted • Energy Envelope CalculaUons Submitted Licensed Plumber r- Telephone # ( Mechanical Controctor Telephone #( ZU07 Sewer/Water Contractor /a n 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 applicarion for a pemtit, 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. ApplicanYs Printed Name Applicant Signa e OFFICE USE ONLY Su6 Types f ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS 06-plex ? 16 Fireplace 'K 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 13 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mul[i Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 44-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding A 32 Addition ? 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidgp ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant l ti V o oo ua a on Occupancy MC/ES System Census Code Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) Footings (deck) _,Z4. Footings (addirion) Foundation Drain Tile RooF Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 1(,1,2 ?1 70 ?-) IZ ??(b ,. . --% ?t * * ?' PIONEEFt ? engTn138ri **]?* 2422 Enterprise Orive Mendota Heights, MN 55120 'OPS • CINL ENCINEERS (612) 681-1914 FAX:681-9488 LMIOSCAPE AflCHIIECiS 625 Highway 10 N.E. Blaine. MN 55434 (812) 783-1880 FAX:783-1883 WALI I 5 4RK IPE 3.60 WALL I i% NOTE: PROPOSED GRADE$ SHOwN PER GRAOING PLAN BY: PIONEER NOTE: BUILOINC DIMENSIONS SHOWN ARE FOR HORRONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECNAL PLANS POR 6UILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTICATION HAS BEEN WMPLETED ON THIS L0T BY THE SURVEYOft. THE SUITA6IUTY OF SOILS 70 SUPPORT THE SPEQFlC HOUSE PROPOSEO 15 Y0T THE RESPON5191LITY OF THE SURVEYOR. / PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 2 Z TOP OF BLOCK ELEVATION: 9 3 Z. U GARAGE SLAB ELEVATION: a 3/- G NOTE: THIS CERTIFlCATE DOES NOi PURPORT TO SHOW EASEMENTS 07HER THAN % 000.00 OENOTES EXISIINC EIEVATION 7HOSE SHOWN ON TME RECOROED PLAT. 000.00 ) DENOTES PROPOSEO ELEVATON NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DESICN. --- OENOTES ORAINACE AND UTIUTY EASEMENT -? UENOTES DRAINAGE FLOW DIRECnON NOTE: BEARINCS SHOYM ARE BASED ON AN ASSUMEO DATUM -? OENOTES MONUMENT -E3 DENOTES OFFSET HUB WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: - LOTS 1& 2, BLOCK 8 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 10TH DAY Of SEPT., 1997. // SIGMFfI: 1 /J 1/.PIONEER ENGINER ING. P.A. SCALE : 1 INCH = 30 FEET 81 96541.71 SWK REVISED 9-22-97 BY: ? L.S. j~ Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I For Office Use I Permit Ol n f n ap City _ l I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 41 I I I 2/013 RESIDENTIAL BUILDING PERMIT APPLICATION Dat q /gci / e: -S Site Address: 37,5-c) " 37S(-2- 410-- Unit Name: all e q lweoenlrs Phone: Resident/ Owner Address / City / Zip:1&0- - 37S1Z r-I?CA( Applicant is: Owner -)C-Contractor Type of Work Description of work: ey(y - /1 ZZZ/ i Construction Cost: Multi-Family Building: (Yes / No Company: (22T/ e a ACV14014C Q- Contact: ~1~11y1~ts~i e i Contractor Address: 2160 gbin 1 C',/- / 17 aid City: a State: Zip: 3 Phone: 4/9 `3pl- Fit'' i License Lead Certificate #:1V11:7 3 79J,q - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) F 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: i 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x~L N V 1'Z F x Applicant's Printed Name Applicant' Signature 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154023 Date Issued:02/11/2019 Permit Category:ePermit Site Address: 3750 Burgundy Dr Lot:2 Block: 08 Addition: Seneca Hills PID:10-67125-08-020 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Cheryl A Skoglund 3750 Burgundy Dr Eagan MN 55122 (651) 686-4478 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature