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3648 Burgundy Dr INSPECTION RECORD l Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTH. INSPECTION TYPE DATE INSPTR. FT'i T" Permit No. Permit Holder Date Telephone # ELECTRIC ovs /U PLUMBING 7 a/3c3" 5 HVAC 357 Inspection Mate- Tsp. Comments FOOTINGS 61 ,/.Z FOUND FRAMING < ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD 1 FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINALHTG _~RSAT - -EST y BLDG FINAL ,iSMTR.I. ' 'SMT FINAL DECK FTG J ~'.)FCK FINAL i i i i ~ v_ •rtj i wertif ica#e of cccupanC4 (W4 of Vagan z"wimext of Iaxi&* 3"Oecdox 77tis Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various r ordinances of the City regulating building construction or use. For the following: Use Classification- 4-PLEX Bldg. Permit No. 27870 y Type R-1 U-1 Zoning District R-3 Type Const. Vn Owmof Building CENTEX HOMES Address 12400 WRITEWATER DR., MTKA., MN &rilding Address 3648 BURGUNDY DR Locality LIP B1, CENTEX VERMILION INC:LUDES• 3650,;.,3652 and 3654 BURGUNDY/ D BW&ding cal POST IN A CONSPICUOUS PLACE J -0 SITE ADDRESS n Unit # Permit # L B Sect./Sub. aP~l D 73~ INSPECTION IN5 ECTOR DATE COMMENTS Z s ,a -ai- jc)T y -2J -~o INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS c:5452 , - - Unit # Permit # a f7o B Sect./Sub. PL# INSPECTION INSPE TOR DATE COMMENTS -2 Y" ll-6 rr ~r M ~3r A/ Is - 7F •'G ih g -ZZ- 1413 /0 -J? INSPECTION INSPECTOR DATE COMMENTS 1 SITE ADDRESS JO~ Unit # Permit # a7~~d B Sect./Sub. *110? o75 ay, U g 2d° INSPECTION INSPECTO DATE COMMENTS e ~S z__a -f6 u--!o ~ -~tI ^QG v ~ AU. G u-a b' rSYb ' f~' ,2s,~ ~ c ! < 8d4~ /3/4c INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS 5 Unit # Permit # v L B Sect./Sub. Ala 07(p ,QgJ. 8,& INSPECTION INSPECTOR DATE COMMENTS s. - C1-6 PZI U-6 A04 ~r,~r~J ,rs ;cs <Y If a INSPECTION INSPECTOR DATE COMMENTS 312 e O ( 3 16 OPFlC SE O LV This request void 18 months from v.Iid.ii.n dote printed in is bah r d~ PLEASE PRINT OR TYPE LI Request Dob Rough-in inspection requiredY Yes No Inspection Other Than RovghIn: ❑ Ready N. Will Coll 7 3 / s ` as mu call he inspe or when ready) Dote Ready: I, ~ licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Sheet Box, or Route No.) Clty Zip Code Sedion No. Township Nome or No. Ronge No. Fire No. County ORUPa t Phone No. ~FN rk x c/P - Power Supplier Md.. G7-# .Ez-.EG Eleddcol Con"ear (Compony Name) Conhador License Na. Master Llc. Na. (Plant Elect Only) 1, zZR E4,`C,7-RIe_ e.H©li~o Moiling Pddress (Confrador or Owner Performing Installa./ti~on( ~ G /PT 41R st yC, a Authorized Signature C rodo r Owner P onohg Instillation( Phone No. 1 7d"S M 00001A_10 6/95 STATE BOARD COPY -SEE INSTRUCTIONS ON BACK OF YELLOWCOPY REdUEST FOR ELECTRICAL INSPECTION U~~~ II II II I II III I II III II II _ 121 University Ave., Rm. Electricity 6 Paul, MN 55104f~k * 0 3 M CI 7 3 -G s PhQPad~s42-0800 Home Duplex Apt. Bldg. Other: IJew Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem .Service "k' above the work covered by this request. Enter remarks in this space and on the bock of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other F Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Swimming Pool Fee # Service Fshance Sae Fee # Circuits Teeders Fee Street Ug./Troffic Sig. Above 200_Am ove 100 Amps Transformer/Generator INSPECTOR'S Us ,gam AL Sign/Outline Ltg. Xfmr. .i Y Alarm/Remote Control here a elearimlinsmllafion described herein on the dares sbt Irrigation Boom Rang Data Special Inspection Investigative Fee Final Date :rvie THIS INSTALLATION MAY BE ORDERED DIS O NECT IF NOT COMPLETED WITHIN 1 MONTHS. se OFFl US ONL This rayuest.rid 18 months from validation date printed in Ih oz.~ 312-074 PLEASE PRINT OR TYPE Regoen Date Rough-in inspection required? Yes ❑ No Inspection Other Than Roogh-In: Ready Now ill Call 94 (You must mll the mspedor when ready) Dote Ready: I, ,licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Rowe No.) Cif, Zip Cade 6,4 Al Section Na. Township Name or No. Range No. Fire Na. Cow0y O«upant Phone No. A) ICS Power Supplimr Address Elednml Cantredor (Company Name) Cantmdor License No. Master Lic. No. (Plant Had. Only) Zk c ie C~9 Mailing Address (Conkacror or Ownar Performing Insrollation) Awhonzed SigrmNre onhocror rOwner P arming Instollolan) Phone No. EB-0f ]A-10 6/95 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOWCOPY IN I II II I I I II I I II I II 111 i li I'~f REQUEST FOR ELECTRICAL INSPECTION Y, Minnesota State Board of Electricity 1821 University Ave., Rm. S-1 Paul, MN 55104 * 0 3 1 0 7 4 8* phone (612) 642-0800 8 A-Home Duplex Apt. Bldg.' Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem .Service "x' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # ClrQdts/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheet Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONL T9TAJ j pt Sign/Outline Ug. Xfmr. U Alarm/Remote Control Swimming Pool I hereby Benc1h,t tmmll an a .abed herein an tea dam..wmd Irrigation Boom Rough-In Dam Cj Special Inspection C Finol Date Investigative Fee THIS INSTALLATION MAY BE ORDERE DISCO ECTED IF OT COMPLETED WITHIN 18 MONTHS. 312 - 075 © OFF( U/S/E ONLY This request void 18 months from volidanon dale printed this box / ~ [L eL PLEASE PRINT OR TYPE ll 8f Request Dole / R.ugh-inst Inspection r,uired2 Yes ❑ No Inspection Other Than Rough-In: 0 Ready Now ill Call _3 v 9 G (You mu call the inspector when ready) Data Ready: I, jQ-licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Sheet, Boa, or Route No.) / h City n /J Zip Code 'rr 6 1/ /U',~ t C=: A iT Section No. Township Name or No. Range No. Fire No. County Occupant Phone No. CE A) ~z s Power Supplier Address Electrical Contractor (Company Name) Contractor License No. - Master Lic. No. (Plant Elect Only) Mailing Addmss (Contractor or Owner performing Installationl / ~7 f ~57- Nk7 ~s• Authorized Signature ( tractor or wne, Perfo rig Installation) Phone No. • 27,-)9 6/9 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY k ax II II II I I III II II'I ~I I II REQUEST FOR ELECTRICAL INSPECTION I luf I N Minnesota State Board of Electricity * 0 3 1 a 0 5 5 * 1821 University Ave., Rma. S-128, St. Paul, MN 55104 Phone (612) 642-0800 O (Q p (O Home Duplex Apt. Bldg. CSher: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Lood Mgmt. Other: D er Range Elec. Heat Temp Service "X" above the work covered by this request. Enter remarks in this space and on the bock of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # Circut6/Feeders Fee Mobile Home Park all 0 to 200 Amps 0 to 100 Amps Sheet Ltg./rraffic Sig. Above 200_Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL _ Sign/Outline Ltg. Xfmr. • L ' Alarm/Remote Control Swimming Pool I here6 cent LIN. escn ed here on we doree.aled Irrigation Boom Rough-In oo~ Special Inspection Final Investigative Fee Wore / THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT COMPLETED WITHIN 16 MONTHS. LY This request void 18 months from validation dale printed in this box. 3 0 5 _ 3 0 L 01179; 7 99~~ 1 21 1-z4- sV4 o? PLEASE PRINT OR TYPE )A eady Nov, Will Call Request to Rough-in irspeAon required? Ves ❑ N. Inspection Other Than Rough-In. 0 R ~i - (You must toll the im,olor when ready) Date Ready: I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: Je Address (Sheet, Bax, ar Rou o.) Ciry Zip Code 3(-,`s z X/CyC- . Seniors No. Township Nome or No. Range No. Fire No. County Occupant Phone No. i Power Supplier Address !Cc/t Electriml C t aor (Company N m<) Cantr or License No. Mrskr Lic. No. (Plant Elect Only) dry ~°l/l~ Mai,us d/e (Con radaro Owner Performing In 11 h.nl a V, v-1 Awhonzed Si ~ie ( moral or er Performing Imrallmion) Phoy ~ EB-00001A-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACKOFYELLOWCOPY IIIF I REQUEST FOR ELECTRICAL INSPECTION w S 1 I Minnesota State Board of Electricity 1821 University Ave., Rm. -i is St. Paul, MN 55104 * 1130 f5 3 0 2 2* Phone (612)642_0800 , / 9 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Form Remod Re air Air Cond. Htg. Equip. Wafer Hir. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "K' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Cimuils/FVers Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps O Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Ovtline Ltg. Xfmr. Alarm/Remote Control Swimming Pool heeb re I ins erred the nleancol installallon desoibed herein on the dales stated Irrigation Boom -I Date Special Inspection Investigative Fee 114THIS INSTALLATIONIMAYEltbROMM DISCONNECTED IF NOT COMPLETED WITHIN 8 LATHS. 200-368 OFFlCE USE ONLY This request void 18 monlhs from volidotion date pr coed in this box. ® /o~on/9S 4901 ~a PLEASE PRINT OR TYPE Request Doh Rough-in insp ion ,mquired2 Yes ❑ No Inspemion Olher Than Rough-in: ❑ Ready Now will Call 9-15-95 ou must mll the inspedorwhen ready) Date Ready: I, ® licensed contractor 0 owner hereby request inspection of the above electrical work at: Job Addresa{Sh-, Boe, or Rovle NaJ Gry Zip Code Z Section No. Township Name or No. Range No. Fire No. Co ly Oca m - Phone No. Power Supplier I Address Eladdcal Comrador (Campany Name) Commtlor Limase No. Master lic. No. (Plant Eletl. Only) Later Electric Inc. CA0111O Mailing Address (Contmdor or Owner Performing Insmllmion) 8164 Arthur Street M is MN 55432 Authodzed Sig on rar Own erfaming lamallabon) Phone No. 784-3729 EB-ODCOIA-106/95 STATE BOARD COW-SEE INSTRUCTIONS ON BACK OF YELLOW COW 1821 innesota Sti~epoard of Electricity lei' III I IIIIVIII M * O LL 0 0 3 6 9* Phone (612) 642-0800 Home up ex Apt. Bldg. Other New Addn Commercial Industrial farm Remod Repair Air Cond. Hfg. Equip. Water Hfr. Load Mgmt. Other: Dryer Range Elec. Heat X Tem . Service W above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service farh'ance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Street Ltg./fraffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. ~O c D Alarm/Remote Control Swimming Pool I hareb mfi shat l ins scrod the eledn'ml installation dmcn ereb on the dams slated Irrigation Boom Rough-In Dck Special Inspection Final Do ;L67 cj Investigative Fee 137 THIS INSTALLATION MAY BE ORDERED DISCONNECTE IF NOT MPLETED WITHIN 18 MONTHS. OFFIC SE ONLY This request void 1a months from volidalion date printed in is 312 v O f O G ~7 PLEASE PRINT OR TYPE r ~LL Request Dab Rough in inspection required2 Yes 0 No Inspction Olher Than Rough-In: 0 Ready Now 'll Call specter when ready) Dolee Ready: ti3 0 (You must mll the in ],A-licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Addeo (Steel, Bax, ar Roote No.) City Zip Code /n S C rb f~A/ Section No. I Township Name or No. Range No. Fire No. Gaunry Ocwpont _ Phone No. Power Supplier Address 9 ~ Electiool Contractor (Company Name) Contractor License No. Mosley Lic. No. (Plant Elect. Only) IL.,4 CA l i~a Mailing Addrezz (Controctor or Owner Performing Imroilanon) Aathonzed Signature (Co r or Ow r Pe torml Installation) Phone No EB-OODOIA-106/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY IIII IIIIII II II I I II Ihll IIII II I IIII 8innesota Scat Ave., dma.5-/728ASyI PauIP, MIN 55010 - * 0 3 9 7 6 3* Phone (612) 842-0800 0 [.P Wo 19 Horne Duplex Apt. Bldg. Other: New Addn Coercial Industrial Farm Remod Ra air i'7 nd. H1g. Equip. Wafer Htr. Load Mgmt. Other: D er Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee I # Service Size 1 Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./TraHic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTON'S USE ONLY TOTAL -y Sign/Outline Ltg. Amr. 45/ Alarm/Remote Control Swimming Pool - here, M that I lotion desmbed herdn on the dates staled Irrigation Boom Rough-In yl Date Gf Special Inspection C F1na Date Investigative Fee / l THIS INSTALLATION MAYBE ORDERED DISCON CTED IF NOT COMPLETED WITHIN 18 MONTHS. , I s SC/-7 I Permit ft: City of Eap I cf- se Permit Fee: girls o 2nno 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2008 RESIDENTIA~~Ln PLUMBING PERMIT APPLICATION Date: i-D9 Site Address: 22 cr6OJ, vlt(-Cl L y Dr. Tenant: A .t rr --Suite M RESIDENT / OWNER Name: KVLn(d! Phone: VJS~ ui~~~~5 / Address / City / Zip ! V , 55, CONTRACTOR Name: License rnpton Address: 651-365-1340 3670 Dodd Rd. #100 City: Eagan MN 55123-1339 State: Zip: Phone: - Contact Person: ~lc5 TYPE OF WORK _ New ?/Replace ent Repair -Rebuild Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RSIDENTIAL - Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes' County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes. $.50 State Surcharge) ~f~ TOTAL FEES $ Jy 50 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x \ 1 aAYV-5 0 "e-r x Applicant's Printed a'me Applicant's StAfature-:. yy FOR OF~FJGE tlSE '~~A, tiRevte~eil By ~ >71~~i=i, 5`' ~~If ~ wti>~n,l#1te,= ' + ~t `Re' t1Re[1a5 ~ n t ~ r PuTM'»„ a =aa 4 W, H ~ 6~L~ W" "----------------I I ~k 1 City of Eajan I Permit# C- I , 3630 Pilot Knob Road I Permit Pee: I ~ Date Received: i 1~ 1 Eagan MN 55122 Phone: (651) 675-5675 } Fax: (651) 675-5694 1 Staff: j ----------------J G/ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _Y_120 Y Site Address: ~l~cUr~ 31r,Gi11.i 3 r I z &rQt c,/1dtj Tenant: Suite #61 : RESIDENT/OWNER Name: Phone: Address / City / Zip: Applicant is: Owner -Contractor TYPE OF WORK Description of work: d~} Cif C t /r'' (D6G'b Construction Cost: _5 ~G oc , b Multi-Family Building: (Yes / No _I CONTRACTOR Name: h107- License k: Address: # 7D-3 City: -Qh2 State: MAI Zip: 5635-T Phone; 24-3-47- !q00 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: (VOTE R/B1I8 B/ffJ BilppMVIV d0owrontS .ftir yo 8(l6rrr/t &V 0l)1118/d red t0 be PN6!/6 47AMnafkn. POrilionB'p] the information maybe clas§Uled as nonpublk H yoa'pr Ivkb spaclyc reawria that would permit the City to conclude Viet they_Vy - tMde ts. . I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Joe Ord x ~ d ~ Applicant's Printed Name Ap ant's Ignature Page 1 of 3 CER TIFICA TE OF SURVEY Proposed Siidewglk / a (804.0 F) ' (804.5) \ \ / / l / 803.48 FL ' y. ...804.21 \ ' INVI ydV~g~ I Q~ T A C ' ? 1 t 64 84o® L vl r N83°5T57"E~ v~ f _ N W ` qm / L 1 8 " (873.4) $(813.4) rp I r~ N en a g t (817.6) 1 + a raa> ,~`L E 1 zo I 87799 $ r2&o II 0 $ps ' ' al i (8077) 80716 1$ ~i 3650 ass. 1 1 N. Lot) 1 .23 3648 4 1 W 10 N 1 Proposed 1 Building t l - 01 i W Slab on (Grade, Multi P 34. a X11 _ (ProposedlFF = 8138) t 1~ \ / r` _ l ~m o '1 111 1 I 'A rn 1 I 3654 o / I 1~ 3652 xis \ 1 170' " l N 1 .1 90 1 N 19 p,, a (813.4) t O (81.4) / 84 . OP s'. L a DO m / N835T57°E C'- F\ x 812.8r (812.9)/ / y l \ 807.4 / /lT Proposed L _ ~J v Q Sanitary / J l • Q` In vent / a l .a \ dtQ (818 O\FL) Existing Curb and Gutter \ 87Z 77 1 \ • 1, . ~ ~ _ Top of Irons @ Offsets / yt i O.. ® 10.00' Offset 812.67 / (826.4) 826.36 Proposed Sidewalk © 12.00' Offset 812.39 © 10.00' Offset 812.18 k Q 10.00' Offset 813.33 \ EO 12.00' Offset 812.72 \ EAGANV\ OF 10.00' Offset 813.20 AEY ED By ~q LEGAL DESCR/P770N: 11MA AGAN EN 'EJUNG DEPT ~GAN EN Lot 1, Block 1, CENTEX VERMILION, according to the recorded plot (904.0) denotes proposed elev. thereof, Dakota County, Minnesota. 904.0 denotes existing elev. - - denotes surface drainage Top of Block= 813.8 Gar. Floor= 813.4 (At Front) REQUESTED BY., O Denotes iron monument found O Denotes iron monument set CENTEX HOMES Bearings based on assumed datum. 1 hereby certify that this survey was prepared Westwood Professional Services, Inc by me or under my direct supervision and that 14180 West Trunk Hwy. 5 1 am a duly Registered Lan ..,Surveyor a gr the Eden Prairie, MN 55344 ' ; 572) 937-5150 laws of t7e S Qfe~of Min s a ( i Scale 1" = 30" ( .mac - C //17/~ Revised., 6110196 Ex. Elev. Martin J. Weber, RL.S. Registration No. ?`.'043 Drawn by. MS TDote: 4104196 Job No: 85812 8UlLDING 7 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: ~;<o f~(l~~,s ? .~.,.r I DATI'E OF SURVEY: 6 hn Jo LATEST REVISION: DOCUMENTSTANDARDS s ❑ • Registered Land Surveyor signature and company R'~`6 ❑ • Building Permit Applicant ~-'o ❑ • Legal description a-,13 ❑ • Address M-'-'E3 ❑ • North arrow and scale o"'O ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) *---o' D • Directional drainage arrows with slope/gradient % 12 PI' ❑ • Proposed/existing sewer and water services & invert elevation ❑ Street name ❑ ❑ • Driveway ELEVATIONS Existing ts~ ❑ • Sewer service (or Proposed) ❑ Property comers • Top of curb at the driveway ❑ I~ ❑ • Elevations of any existing adjacent homes Proposed 6--,L3 ❑ Garage floor Q~ ❑ First floor 13 D • Lowest exposed elevation (walkout/window) M"'D D • Property comers ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ODD Easement line ❑ tT-- D • NWL ❑ Id' ❑ • HWL ❑ • Pond # designation ❑ ❑ Emergency Overflow Elevation DIMENSIONS ❑ ❑ Lot lines/Bearings & dimensions I ❑ ❑ • Right-of-way and street width (to back of curb) L~D 11 • Proposed home dimensions including any proposed decks, overhangs greater than Z, porches, etc. (.e. all structures requiring permanent footings) ❑ Show all easements of record and any City utilities within those easements QUO D • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ o • Retaining wall requiremen 'f any Reviewed: / O / Fme ate January 1996 cR,ucreae?MoovRnrr.F+u le 5- e PERMIT ci ~ e Clo P GOKnob Road F EAGAN PRM'T BUILDING Eagan, Minnesota 55122-1897 Permit Number: 027870 (612) 681-4675 Date Issued: 06/19/96 SITE ADDRESS: 3648 BURGUNDY DR LOT: 1 BLOCK: 1 CENTEX VERMILION P.I.N.: 10-16935-010-01 DESCRIPTION: ,4-PLEX 61itlin,~gq;„Permit Type 4-PLEX 'flu td, tm k k Type NEW IdBC{1CFLPy~ R-1 U-1 Cc M f ttcCb'rt ,T{e VN r Xonr1 k' = R-3 SurilatTg Lngtha rt 64 Bu ld~ rig W{i.dt 70 SQry1re Fe° Is_ 2.920 C Y susr*Vo"~e 104 3 & 4 - FAMILY e &7 ?w. n l i~rnF aJ § Pou - isv -Ms v1~5*' x~%W g R t "t e e" .Gi*e s<nai nw s `a ai 'T=* u ro REMARKS: INCLUDES 3650, 3652, AND 3654 BURGUNDY DR LICENSED PLBR = PLYMOUTH PLBG FEE SUMMARY- VALUATION $338,000 Base Fee $2,077.25 CITY SAC $400.00 Plan Review $1,038.63 WATER CONNECTION $3,040.00 Surcharge $169.00 S & W PERMIT $100.00 SAC $3,600.00 S & W SURCHARGE $.50 SAC 100 TREATMENT PLANT $1,584.00 SAC Units 4 ROAD UNIT $1,720.00 Lic. Search Fee $5.00 Total Fee $13,734.38 Subtotal $6,889.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: CENTEX CORP 19367833 0001333 CENTEX HOMES 12400 WHTTEWATER DR 120 12400 WHITEWATER DR 120 MINNETONKA MN 55343 MINNETONKA MN 55348 (612) 936-7833 (612)936-7833 hereby acknowledge th'a n Va` i aad•,thj s appl°°~ cation and tat that the informata oh is correct an f as rata tit °comply WY, -t ak'1 applf able Sts e „of Mrr k pp i_S tatus andi'fiy ofg-a- Drda+~es - - " APPLICANT/PERMITEE SIGNATURE ISSUED BY: NATURE 21115 ? V CITY OF EAGAN 13 ~ b p 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured intl. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 7 energy calculations for treated additions ♦ 3 copies of tree preservation plan N lot platted after 711/83 required: _ Yes _ No DATE: 6/11/96 CONSTRUCTION COS 0 DESCRIPTION OF WORK: 4-Unit Multi Family Dwell in STREET ADDRESS: 3648-3652 Burgundy Drive, Building #7 LOT 1 BLOCK 1 SUBD./P.I.D. 10-01700-011-51 36 4 8 50, Sa, 5y PROPERTY Name: CENTEX HOMES Phone 936-7833 OWNER ,.s. Street Address- 12400 Whitewater Dr. Suite 120 City: Minnetonka State: MN ,Zip: 55348 CONTRACTOR Company: CENTEX HOMES Phone 936-7833 Street Address: 12400 Nhitewater Suite120 License 1333 City: Minnetonka State: MN Zip- 55348 ARCHITECT/ Company: CENTEX HOMES Phone 936-7833 ENGINEER Name: David Wheatley Registration k 012659-9 Street Address' 12-4nn Whit` A+-P, nriyp Snits 120 City; Minnetonka State: MN Zip; 55343 533-4357 Sewer & water licensed plumber: Plymouth Plumbing, Joe Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: z OFFICE USE ONLY RECER D Rye EgVED ,i U N Certificates of Survey Received Yes No 1996 Tree Preservation Plan Received Yes No - - OFFICE USE ONLY 4 BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwellinq,,0~17 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE 1 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. MCNVS System (Allowable) N Main level sq. ft. 0~9 City Water UBC Occupancy - sq. ft. 2% 908 Fire Sprinklered Zoning D_- 5r sq. ft. PRV # of Stories z- sq. ft. Booster Pump Length 6 ~ sq. ft. Census Code. Depth 70 Footprint sq. ft. SAC Code D3 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 3 -3 Coo Surcharge Plan Review License IN MC/WS SAC City SAC 3zk = Y63 L~ Water Conn. Water Meter 2~ 33~ l 33 Z~l Acct. Deposit 7 33 x zy ?jtJ, 31 X 7.5-9 = 35-7,, i6 _ SNV Permit z X i r33 SNV Surcharge Treatment Pl. f Road Unit Park Ded. Trails Ded. 7 ~o Other 22 5 x ~ Z Copies _ 7 Total: % SAC SAC Units ' > L B-~L-_~ CITY USE ONLY RECEIPT ' SUBD.`~ o DAT C%~ IY 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x 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 Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL o~7 5~ SITE ADDRESS: 93/6,-7533 OWNER NAME: X O3 INSTALLER NAME:2:)// STREET ADDRESS: CITY: lA STATE: ZIP: PHONE JA I EUt- VtKIVI CITY USE ONLY 'L _L BL RECEIPT SUBD. DATE 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NLQ. TOTAL Shower 3.00 x = Water Closet 3.00 x _ Bath Tub 3.00 x __L = Lavatory 3.00 x Kitchen Sink 3.00 x j _ 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 Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~'I•sb SITE ADDRESS: 3~- 7833 OWNER NAME INSTALLER NAME: h~~ m~ STREET ADDRESS: Z7222 CITY: STATE: ZIP: s9ag PHONE#: S ' CITY USE ONLY L BL RECEIPT SUBD. DAT i/4' 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681,4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NgL TOTAL Shower 3.00 x = Water Closet 3.00 x (oa-c' Bath Tub 3.00 x 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 _L = Floor Drain 3.00 x T = Gas Piping Outlet' minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ` to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: /J 93c -7gsg OWNER NAME[. ~ a,5.~3 INSTALLER NAMEf.~/4m'-3`5'Q STREET ADDRESS:'4~ g~~r yyak~~ CITY:anrr/:"~ STATE: ~iJr~, ZIP: '55 PHONE S3~-G,~s CITY USE ONLY L BL RECEIPT SUBD. .~i `1,fL••~~~L~- DATE. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x C:;~ = b Bath Tub 3.00 x 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 _ Floor Drain 3.00 x Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 50 SITE ADDRESS: r OWNER NAMEC /-7 INSTALLER NAME: 114 744 STREET ADDRESS: 69 n ~a CITY: STATE ZIP: PHONE CITY USE ONLY L RECEIPT SUBD DATE 1996 MECHANICAL PERMIT. (RESIDENTIAL) CITY OF.EAGAN.: 3830. PILOT KNOB RD EAGAN, MN_ 65122° '(612) 6814675 Please complete for: single, family, dwellings townhomes and condos when permits are required for each unit` New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e: Vanee system, etc: Date: Q(v „,o J t FEES. --Minimum Fee 'Add-on/Remodel;(existing residence only)" £$20.00 ► HVAC: 0-100 M BTU, 24:0 Additional50 M BTU 6.00 Gas Outlets (minimum of :1 required (M $3.00 each) - State Surcharge 50 m TOTAL : _ SITE ADDRESS: JZJ I T--~ I I v I T-9 51-~ M OWNER PHONE #:255 9' 93 INSTALLER NAME:IDIunr~l3 STREET ADDRESS69Q9 I nn~/G 11. CITY: (-OOKr~ '0STATE:_'(Y)vl ZIP: _SSLI PHONE ((ova) _ y _ l _ L BL CITY USE ONLY RECEIPT ld s~ s~ SUBO. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. - - - Date: ! I ' FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 of ► Gas Outlets (minimum of 1 required @ $3.00 each) / ► State Surcharge 50 TOTAL 1~~ So I-I I~ r I SITE ADDRESS: OWNER NAMEP'_n- I PHONE #:~7 INSTALLER NAME: j( a~ 1C1 >~i~1 t k~ ~ STREET ADDRESS%r~'~~ I CITY: A_'! STATE: _i'N1' ZIP: PHONE (L,() CITY USE ONLY _ L BL RECEIPT: fL SUED ~i DATE. ~ 4 .ia 1996 MECHANICAL PERMIT (RESIDENTIAL) CIT_ Y OKEAGAN • 3830,PILOT.KNOB RD EAGAN, MN`66122 f 014681467,51' Please complete for: single, family., dwellings:: ► townhomes'ana' condos when'permits`are required foreach unit` New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: q(v . _ FEES= ► Minimum Fee. Add-on/Remodel (existing residence only) $20.00 ► ~HVAC. 0-100 M BTU 24:00 Additional 50 M BTU 6.00. ► Gas Outlets (minimum of 1 required @ $3.00, each) _w...._._. i~:,at ► State Surcharge .50 TOTAL. SITE ADDRESS: : > 4.. 7 .55 9`793 ~1 `7~~~fZI~_lP PHONE M OWNER NAME: INSTALL ER"NAME:QC;r lr F}~ 0AiG -0-Ri-~__.. STREETrADDRESS ?9o9 L , 1 I nnA~ Nc; n: CITY: L ~ -60YJ rn Y STATE:_ i b6 ZIP: _SSi 1 PHONE ((010`•2) CITY USE ONLY RECEIPT# /~1'J ' _ L ~J BL _L DATE. ;/g~lC~ SUBD. (Q;~pi ~ ' 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) (r ► State Surcharge .50 TOTAL . jaz SITE ADDRESS: f Rn I l~ + OWNER NAME: 0T d 1 It t/ 1 1 ` ; PHONE l'~ INSTALLER NAME:i' STREET ADDRESSi `C + CITY~i STATE: ZIP: J PHONE#:((~I;_) f 2006 RESIDENTIAL BUILDING PERMIT APPLICATION S'~. I 0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Reauirements RemodelfReoair Reoulnements office lJse OnN 3 registered site surveys showing sq. it. of lot, sq, rt. of house; and ad roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Rectl °'Y-~N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Sula Repotf Y r`N 1 Soils Report ti proposed building a to be placed on disturbed soil 1 site survey for additions & decks Tree ores Play-R 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Regwre Y 1 set of Energy Calculations On sitgSpW Y*Qr, . Y •~fJ 3 copies of Tree Preservation Plan A lot platted after VIM Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form q° rf~ / 0 Date I ` l 6, c u Construction 'Cost 7 Site Address ~i tt g / U ~~5~ S I ✓c§ a_ V✓ Unit/Ste Description of Work ,z'c,:a Jim veg.4) )Z4pC..n6:~ Gf ~S ~t12Pa~ce~ Multi-Family Bldg X, Y- N Fireplace(s) - 0 _ 1 _ 2 C41 Property Owner Ue r e,5 e ✓1~." e S Telephone # ( ) ''ui 2 Contractor ~9CtJ [ A -':'o~ Address S/✓~ _%:,~~ic ,a c S¢ City 14,1 L / r2ZA. state /s'✓ Zip _f 3.S S Telephone #('/GS) 5- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved-plan i " e case of work which requires a review and s. / prov r1u, v r-- le Applicant's Printed Name p is Signature 2006 RESIDENTIAL BUILDING PERMIT APPLICATION S 10 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Ralrements Remodel/Repair Requirements Office Ose Only - 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey,Rectl f Y _ N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soils Report 1 Soils Report it proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pros Plan Red 2 copies of plan shdwing beam & window sizes; poured found design, etc. Addidon - indicate ifon-ske septic system Tiii Pre`s Reg4rred 1 set of Energy Calculations OnsiteSepticS_ysCem„ ° _1' 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detall Options selection sheet (buildings with 3 or less units) Nlnnagasco mechanical ventilation form Date/ P 0 / 7- V I 6~ 6 Construction Cost /S 70 ti Site Address (o ~ y Z y 3~yy !6 LA 16L, L ✓ Unit/Ste # Description of Work ~ete>r J~~r e 4) 1C- f,,sc SG•~s Gf I ,lea'Ic-1 Multi-Family Bldg X, Y - N / Fireplace(s) - 0 - 1 - 2 Property Owner ve i 3,5 _ ^ ° 5 Telephone # ( ) Contractor ~C11-/4- Address s/y~_ _i.xc~c(r ;p c S City /fZ4 State /dam zip S Telephone#(J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone j Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pen-nit, 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 i he case of work which requires a review and prov o s. Applicant's Printed Name pp is Signature From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:20 #482 P.041/043 ~UA51 &OcboI3coSat 3 5~- Use BLUE or BLACK ink For Office Use I ~j fill j Permit #:1 " 3 City of EaEdn 3830 Pilot Knob Road Permit Fee: ✓ . 00 01 Eagan MN 55122 Date Received; Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 7~ t'7 I I I d 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: v 2 I 20' 3 Site Address: s,t ,1^ l "nit Name: Phone: Resident/ Owner Address i City i Zip: Applicant is: Owner Contractor f Type of Work I Description of work: -foof_ no YL- Si cif Construction Cost: 3 I O OO Multi-Family Building: (Yes / No__) Company: ! Iftir C `S'f uchmi MZIwMa Contact: _ Wy ~71 ~fV1 ; L UI 13 nIZ in Contractor Address: 1514fJ1 W1~ ' JI f 1-A~ t' S. # city: M~~fi 1' . ' State: MR Zip: 553VI Phone: 951- 941- L494 F_ License Lead Certificate f"I 1YT- 10gloy -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: r 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 maybe classified as non public if you provide specific reasons that would permit the City to 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.aoaherstateonecall.oro 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 tate Building Code must be completed within 180 days of permit issuance. x -aIS+eai x App icant's Printed Name Appli t s Signal e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170479 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 3648 Burgundy Dr Lot:704 Block: 04 Addition: Centex Vermilion PID:10-16935-04-704 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Bryan Christopher Jarvis 3648 Burgundy Dr Unit 704 Eagan MN 55122 (507) 358-4377 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature