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3744 Burgundy Dr Use BLUE or BLACK Ink For Office Use,,, / j Permit LJ/ -70 t Sa City of Ea~a~ Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j 2010 q MECHANIC L PERMIT APPLICATION Date: yV -/o Site Address: S7qY cyr uN" Tenant: / Suite / RESIDENT / OWNER Name:I/VA/ c'1D1I/C7V Phone: Address/ Cit Zip: 97Y9 Adgeyyr'J CONTRACTOR Name: License Address: City: State: N ip: Phone: S1 " [[ate~' ~g~~ Contact: G/aEmail: //vG~fT %Q.G~9 TYPE OF WORK • - New Replacement Additional Alteration Demolition Description of work: 2±S NE ~ A.1qr NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / - Remove) tiC 45 0,4NG When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of he work will be in accordance that t Eagan; tha u derstand this is not a permit, but only an application for a permit, and wor12= with t72~c d Ian in t se of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection i INSPECTION RECORD ' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING 0~ HVAC / /3 9 3lSd~ Inspection Data p. Comments FOOTINGS /4 9 FOUND / FRAMING ROOFING ROUGH ~j PLUMBING - _ ~F/ PLBG 1C AIR TEST ROUGH HEATING GAS SVC TEST INSUL~ 1G/ GYP BOARD 6 FIREPLACE ~1 S FIREPLACE AIR TEST FINAL PLBG FINAL HTG l( ORSAT TEST BLDG FINAL d 1 BSMT R.I ! BSMT FINAL DECK FTG DECK FINAL - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: t INSPECTION Permit No. Permit Holder Date Telephone S ELECTRIC PLUMBING HVAC /3 9 ~3 771/ 7 Inspection Date In Comments FOOTINGS FOUND FRAMING ROOFING v ~U PLOUMBING'~ a- PLBG ~t AIR TEST ROUGH HEATING f GAS SVC TEST INSUL GYP BOARD 31,12 FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG c ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL F-4.- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ` st I rt, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: l Ft ! r (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I. f f! i L a r Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC / 9 yy f Inspection Date Ift. Comments FOOTINGS i? r14 7 FOUND y FRAMING L ROOFING ROUGH PLUMBING !D PLBG AIR TEST ROUGH r HEATING /a GAS SVC TEST INSUL ~u~ 7/! IQ~ 1.fiCJ 1i~ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG I! ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 7/f 444 DECK FINAL ~j Certificate of CccuPanc4 With of Wagan TqGVt,cut of lenobts 3tt4olectian This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF DWG 31261 Use Clauifiutiore Bldg. Perini[ No. Diuisrict Occupancy Type R-3 U-1g R-3 Type cons[. Vn O wner of Building G H HOES INC 15025 GLAZIER AVE., APPLE VALLEY Addn~s 374 BURGUNDY DR L1, B7, SENECA HILLS Building Add[ess Locality j Da[ee: B[uldmg Off[cnl l POST IN A CONSPICUOUS PLACE j - 1 . •J wtr if icatc of cccupauc~ K" of Wagan I zoartmut of fxobta 3"Pection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City-regulating building construction or use. For the following: use Classification: SF DWG Bldg. Permit No. 31262 O-Pancr Type R-3 U-1 Ong Disu a R-3 Tree cons[. Vn Owner of Building G M HOMES INC AMMS 15025 GLAZIER AVE., APPLE VALLEY, MN Building Address 3746 BURGUNDY DR tocaliry L2, B7, SENECA HILLS Building Olrrcul POST IN A CONSPICUOUS PLACE wtr if tCate of cccupa'MV 1ity of Wagan T►aorhacxt of IZKO xg 3x4tction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clauirwation: SF DWG Bk1g. Penrut No. 31263 0-pa+cy TYPE R-3 U-1 Zoning Disaia R-3 Type Coma. Vn 0.w.orBv; - G M HOMES INC 15025 GLAZIER AVE., APPLE VALLEY, MN Addma BuWmgAdds= 3748 BURGUNDY DR S, L3, B7, SENECA HILLS I=I v Due: POST IN A CONSPICUOUS PLACE Mar.19. 2008 8:50AM Crest Exteriors No.8743 P. 6 X)~p 7/ ~2 21.2s 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAN 111651-675-5694 Now Consirriagn Remiremenm RemoddlRewlr Reouireum afire Use OnN 3 requieied site surveys showing sq. ft. Of lot sq. ft. of house, end jU roofed area[ 2 copies of plan slowing footings, beams, folds Carl of Survey Recd ~ -Y. ~ N (20Y. maximum lot coverage allowed) l set of Energy Calculatlons for heetad addfiona Tree Pres Plen Recd - Y -:N 2 copies of plan showing beam & window sizes; paned found design. etc. 1 site survey for addioors & clocks Tree Prey Re**W _ Y _N I set of Energy Calculations Mouton- mdcete doo-sde sep&csysram omm, Septlc System _Y _N 3 copies of Tree Preservation plan if lot platted after 7/1193 Rim Jost Dotal Options Wootton sheet (buildings with 3 or less units) Minnegisssw mechani``callvmtilation faun I N~ Date 03 / I I y Construction Cost 12~r ~U Site Address 1 1 r L(~I,l 1„J unit/Ste # G~ Mrs eti Description of Work e`I~d~T Multi-Family Bldg II _ IY _ N C A Fireplace(s) _ 0 _ 1 - 2 +"n~ Property Owner 1 1d__JL,{~1I~ ~ } Dl V)/J LS Telephone # 4 ) JL ) 3' - ~'lytl0 Contractor Gress exterI Address asi L city State M__QY] 1 f~ Zip CJ07-~ Telephone # ((1 IU I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential verdlla0on Category 1 Worksheet New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envetope Calculations Submitted In the fast 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 #I J 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 in the case of work which requires a review and approval of plans. KYold McCann ~ u, K App icant's Printed Name Appli is Signature j[ * 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER LANO SURVEYORS . CIVIL ENGNEERS (612) 681-1914 FAX-681-9488 * eng near ng LAND PLAHHERS. LANDSCAPE ARCHITECTS 625 Highway 10 N.E. IT Blaine, MN 55434 ~E (812) 783-1880 FAX:783-1883 Certificote of Survey for: GM HOMES x 000.00 DENOTES EXISTING ELEVATION . LOT 1 - 3744 BURGUNDY DRIVE ( 000.00 1 DENOTES PROPOSED ELEVATION LOT 2 - 3746 BURGUNDY DRIVE - - c DENOTES ORANACE AND UTILITY EASEM~(T LOT 3 - 3748 BURGUNDY DRIVE DENOTES DRAINAGE FLOW DIRECTION , DENOTES MONUMENT -9 DENOTES OFFSET MUS Q~ 'v~P j' Jp J TTOPGOFMPIPE ELEV.=846.20 1~~~• ,i -SERVICE J ' g \ \ F R.yJ^ I,, SERVICE In J 646.CY \ INV.= ~NfG 'SERVICE L 1\ / r' / \ I \ VIER ~41r INV.=836.3 o-0 r i\ qp /~•BENCH MARK / 00 A` 4S0 846.2 i r \ \ / TOP OF PIPE ELEV.-846.80 ~rl P~ A ~ IRON 110 JC 6 i,~ ti S / Iy00~OS~o 00 6gR4~ 6,` Tr , L II / / / h F J s2 9 E~7 / }4 ?J ~J 46.4 ~~Q 3e~ y{1JJe ~0 J6 SD/ ~O / ~O/ OA B3^ 0 .h / / P Q 838.4 X35 J ~n06 S CV 43 ~P.~~6 ~ 0liSeSFO RAC` Aq . / o~PS oo h ~ 28362p. . / 'V' 0 fj `~B 1 3/ yOGSF`SFQ 3 .00/ v aoo ~pQ) 8 / c y co%bbb a38.s / r 1°.ti Pte, de4~ &t`'. / /0 / NOTE: PROPOSED GRACES SHOWN PER GRADING PLAN BC PIONEER NOTE. BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUOTVRES ONLY, SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION OIMENSONS. PROPOSED Fl FVATIONS O/T, 1 G7 ~k S NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE LOWEST FLOOR ELEVATION: -9-7X~_ SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. TOP OF BLOCK ELEVATION: 9/ 4 9. 4 NOTE: TR:S CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN GARAGE SLAB ELEVATION: 6 l (f O THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERILY DRIVEWAY DESIGN. NOTE! BEARNGS SHOWN ARE BASED ON AN ASSUMED DATUM WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOTS 1, 2 & 3, BLOCK 7, SENECA HILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT - HOWN, AS SURVEYS lFR9 Y*E OR UNDER MY DIRECT SUPERVISION THIS 3RD DAY OF DEC., 1997. SIG ED: IONEER ENGIN; ERIN P. A. SCALE : 1 INCH = 30 FEET 1~L~1~4111V 6 1588 96541.13, SWK ohm C. Lorson, L.S. Reg. No. 19828 BY l1 ~l~ DATE B e G INSPECTIONS DEPT. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: l Z7 43 r `J 7 ' LATEST REVISION: m DOCUMENT STANDARDS a g ~ 0 0 0 • Registered Land Surveyor signature and company Q- ❑ ❑ • Building Permit Applicant IY ❑ 0 • Legal description ❑ Address 0- ❑ ❑ • North arrow and scale o' 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0' ❑ ❑ • Directional drainage arrows with slope/gradient % ❑ ❑ • Proposed/existing sewer and water services & invert elevation Q 0 ❑ • Street name 0` ❑ 0 • Driveway ELEVATIONS EAstina il 0 0 • Sewer service (or Proposed) ❑ ❑ • Property corners Er ❑ 0 • Top of curb at the driveway ❑ ❑ Elevations of any existing adjacent homes Proposed 0'13 0 • Garage floor -0--13 ❑ • First floor 0,0 0 Lowest exposed elevation (walkouthvindow) 0 0" 0 • Property comers 0 ❑ 0 • Front and rear of home at the foundation PONDING AREA Cif applicable) 0 0- 0 • Easement line 0 ❑ 0 • NWL 0 0 ❑ • HWL 0 ❑ 0 • Pond # designation 0 0 0 • Emergency Overflow Elevation DIMENSIONS 11 0 ❑ • Lot lines/Bearings & dimensions .0 0 ❑ • Right-of-way and street width (to back of curb) 0 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (.e. all structures requiring permanent footings) 0 ❑ ❑ • Show all easements of record and any City utilities within those easements 0. 0 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 0 0 • Retaining wall requirements, if any c Reviewed: Na a /Date January 1996 CRA1G19W8LDGPRW.FM PERMIT CITY.OF EAG'AN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan;: Minnesota 55122-1897 Permit Number: 031261 (612) 681-4675 Date Issued: 12/18/97 SITE ADDRESS: 3744 BURGUNDY OR LOT: 1 BLOCK: 7 SENECA HILLS P.I.N.: 10-67125-010-07 DESCRIPTION: (ZERO LOT LINE) 8uilding4.Permit Type SF DWG Build'ing'Wo.r--SC Type NEW t;~ UBC Occupancy R-3 U-1 construction !T'y~e V-N rv. Zoning ,k R-3 Building"Length 38 t, Building Width 50 Bvldin g~e;trgies„' 2 oppslus Code 102 1 - FAM. ATTACH r r REMARKS: 1 OF 3 UNITS S & W PSBR WENZEL P686 FEE SUMMARY: VALUATION $123,000 Base Fee $1,002.25 MISCELLANEOUS $1,539.50 Plan Review $651.46 Total Fee $4,204.71 Surcharge $61.50 SAC $950.00 SAC 100 SAC Units 1 Subtotal $2,665.21 CONTRACTOR: - Applicant - ST. LIO OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APJPLE VALLEY MN 55124 APPLE VALLEY MN 55124 612) 431-4900 (612)431-4900 . i hsreby_ acknowledge thit_,I,havv read -this,,applica.t:,icn and state that the information is correct and agree to cortiply`~wi,th ali I 11 a0plieeb s ate''of Mn. Statutes a City of Eagan Ordinances I PPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATU 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 44, CITY OF EAGAN 3830 PILOT KNOB RD - 55122 J~ i i rC 681-4675 t.! New Construction Recuirement~s Remodel[Reoair Requirements 3 registered site surveys • 2 copies of plan 2 copies of plans (include beam & window sizes: poured fnd. design: etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations • 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan it lot platted after 7/1/93 required: -Yes No - -7 $80,000.00 DATE: IZ `I ! CONSTRUCTION COST: C', oo s ownhomes DESCRIPTION OF WORK: U N k t i Oz (AfV STREET ADDRESS: C 11J \\1'~" LOT BLOCK ~Z SUED./P.I.D. 3 • PG rrc CrsT Z ~ 3 G.M. Homes, Inc. 431-4900 PROPERTY Name: Phone OWNER 150211 Glazier Ave. #@Q5 Street Address: Apple Vallev PIN 55124 City: State: Zip: G.11. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. #205 20025307 Street Address: License Apple Valley NIld 55124 City: State: Zip: KLF Designs 371-0344 ARCHITECT/ Company: Phone ENGINEER Name: Registration 8791 Knollwood Drive Street Address: Minneapolis PSI 55347 City: State: Zip: tdenzel Mechanical Sewer & water licer,ted plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 7 OFFICE USE ONLY V Certificates of Survey Received Yes No (J Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE o 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish x-02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex WORK TYPE 31 New 03 Liens--°315-M-ove ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual)Basement sq. ft. 12 G G MC/WS System ape-, (Allowable) Main level sq. ft._L City Water ®C UBC Occupancy / sq. ft. S zs- Fire Sprinklered Zoning R• 3 sq. ft. PRV # of Stories z sq. ft. Booster Pump Length 3A 4.44. sq. ft. WY Census Code. /#Z Depth p Footprint sq. ft. SAC Code o i Census Bldg Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge • .L Plan Review License G~ MCIWS SAC ("0 City SAC 2 Water Conn. Water Meter .r Acct. Deposit SNV Permit r S/W Surcharge V ~ G Treatment Pl. 1! Road Unit Park Ded. Trails Ded. Other Copies Total: Y. .a A % SAC_ SAC Units MPY-17-1995 1b:40 FROM TO BEi~Tl0,, P.01 FSTr.F :oA r:NVF.If17'£ AVENACE "11" 0WZITA71'Xl "mFE M {lor~vtE~ rev v SITE A7Dp£5S /`Va4°✓I wa. S~S R~ Q" ijfj W I_11 ~y ~7y 'b Ncy r3 CONTRACTOR DA T E 1 19111, PHONE ~ VvV1T EWV , De`eermin worhinr: square footare of each. 1. Total exposed wall area 1 9M sq. ft. x 0.11 = 2. Total rocf/ceiling area - 12.1-J sq. ft. X 8 026 _ s • Total exposed vail area above floc,r a. Total wall window area 1(,ln Z9 L. TuLal door area 4 Z c. Total slidirg glass door area 7 7 d. Total fireplace call area e. Total wall framing area (average 19i) f. Total net wall area above floor g. Total ri-m joist area -I IZO Total exposed foundation area = qC~ 9Z h. Total foundation window area .7 S i. Total net foundation area above grade -3 7. 1-7 Determine "U" value o; each wall secment- I • - a' L)~. C-1 x ..U.. _ 110 b. x ..U., .30 - (Z , (q C. -17 x "U" 11 - ZI 5~ d. 0 x "U" - t oq 3 - ~ - 0 q)9 f. 11 f 1 ~I x °c .093 = Sb.Qcl - 4•~ B. 117•(7 x "Ir .0-1-1 h. C6. 75 ZYJ i. 3~, 17 x ..U„ CJjZ - 7. 3 . 'iols] If item N3 is the same as, or less ',.Ic.n item Nl, You nave met the intent of SEC 6oo6(c)2. MAY-17-1995 16 41 FROM TOJ, 8827732 P.02 Total r.poscd roof/ccilinG Area Total gross roof/ceiling area J. Total skylight area k. Total roof/ceiling framing area...:.....-•-•• (n 0.55 1. 't'otal net insulated roof/cciling arcu I~ II S _ Determine -u- value for Inch roof/aeiiinl'. sef~ent. J. /C x -Z -7 k: ~ 1. 5-3 x nuu 0 0 . Total = L If total of #L is the same as, or less than li2, you have met tt,e intent of SBC 6oo6(c)i. To utilize the total envelope system method, the values established by the - sum of items 113 and y4 shall not be greater. than the sum of itee:s B1 and 92. 1. ICW$9 4- 2. 3(.S - ZIZ/39 _ r. } a PERMIT CITY OF EAGAN ' 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031262 (612) 681-4675 Date Issued: 12 / 18 / 9 7 SITE ADDRESS: 3746 BURGUNDY DR LOT: 2 BLOCK: 7 SENECA HILLS P.I.N.: 10-67125-020-07 DESCRIPTION: (ZERO LOT LINE) BUf.1difM4..Permit Type SF DWG u$$C€(+~9 Type NEW JCAeGUparc~;a R'-3 U-1 Con9It 1' ,e V-N Z o rr rEg R -3 u~1di ~g berLg#a 8 38 n Bu$.kdan,g= Wictth~ 50 , as arrl u-17'EIS 102 1 FAM. ATTACH e Y "s la °S ~Iv ma re~ +9% „ kA E,", I 1 -170 REMARKS: 1 OF 3 UNITS S & W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION $123,000 Base Fee $1,002.25 MISCELLANEOUS $1,539.50 Plan Review $651.46 Total Fee $4,204.71 Surcharge $61.50 SAC $950.00 SAC % 100 SAC Units 1 Subtotal $2,665.21 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 G M HOMES INC "14025 GLAZIER AVE 205 15025 GLAZIER AVE 205 PLE VALLEY MN 55124 APPLE VALLEY MN 55124 112) 431-4900 (612)431-4900 v 'a "e x ¢ ~s .a in amz a. i uz rzw i c F ,n ( ;,n >u„s~xN cia ros~. pceycey~~ y. {"t dG yy 1I 2 S Y~5 q~~ 033~~k..~~~~,''""]]jjL$Na f i% §E.H RL 9~,£!p_ 9 IA R iRr ~'i i'$ik clzn~o iett4 that f 114v ri;T#a d~~ I pia~{}!peiVi F4k" n}f6fln,6tLort i_ej~oarVrec "`fin CMS g ~ wyyVyyiy~yyi.~[a + 1 ti g 1 i ' ? ~ 'a f =a~ OW,i taruX s nc 3eih#~ Y~ F,a'~~~ ~r~~i~MF3 MUi~i~p T i h Y.'d'd£ 2~¢HI ~U5."2 }d lnv ~,h pp ~~a me dom. ee. ,.w.~, f APPLICANT/PERMITEE SIGNATURE ISSUED B : SIGN E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN rr 31 ILI 3830 PILOT KNOB RD - 55122 ' 1' 681.4675 New Construction Reauirements RemodeUReaair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured Md. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711193 required: _Yes _ No $80,000.00 DATE: `Z 'I tL77 rwrrhomesCONSTRUCTION COST: ~nt^ DESCRIPTION OF WORK: tU-, In ffifiS) Ck- P( ~rll~~ F STREET ADDRESS: J b `J V ~C U v r L U 1C LOT BLOCK SUBD./P.I.D.#: -tow 3 Pax w~ Cerx t G.M. Horns, Inc. 431-4900 PROPERTY Name: Phone _ OWNER 1502-ir Glazier Ave. 1/2645 Street Address: Apple Valley MN 55124 City: State: Zip: G.11. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. #205 20025307 Street Address: License Apple Valley 11N 55124 City: State: Zip: KLF Designs 371-0344 ARCHITECT/ Company: Phone ENGINEER Name: Registration 8791 Knollwood Drive Street Address: Minneapolis Mi 55347 City: State: Zip: vienzel rtechanical Sewer & water licer. ted plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 4141) l 19 OFFICE USE ONLY D O V Certificates of Survey Received Yes No 07 Tree Preservation Plan Received Yes No Not Require OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace 1 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex eck / WORK TYPE .e~ 31 New ❑ 33 ARe s ❑ 36 Move ww_ ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) ilk Basement sq. ft. /2Z !f MC/WS System (Allowable) Main level sq. ft. labs City Water UBC Occupancy R-- 3 / sq. ft. sz! Fire Sprinklered Zoning R• ? sq. ft. PRV # of Stories sq. ft. Booster Pump Length A-A6, sq. ft. we Census Code. W4 Depth s° Footprint sq. ft. SAC Code _L Census Bldg i Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 01Z3 ts- Surcharge Plan Review License MC/WS SAC City SAC Water Conn. ~f Water Meter ~ (,QG Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Treatment Road Unit /J~GS Park Ded. Trails Ded. Other Copies Total: SAC y, e % SAC Units MRY-17-1995 16:40 FROM TO 8827702 P.01 FXTFN iOP ENYF.IA1'F. AVERhfg "•u" c4wPirrA- 1')'1 STTE ADDRESS SEN ECA 1n1DrxJS_, ~~tJCG UrVDY , v~' 1-l~t' ~S' CONTRACTOn CJfyY j'______~ O ~ST I iv~• DATF. IZ PHONE ~6~ vnaii M,od~~ Determin vorkini; square footarte of each. 1. Total exposed wall area ~2 3'j sq. ft. X 0.11 = b3 2- Total rocf/ceiling area S sq. ft. x 8026 = Tjl.S Total exposed well area nboVc floor a. Total vall window area 14 5.79 L. TVLal fluor area d Z c. Total sliding glass door area 7 d. Total fireplace vall area e. Total wall framing area (average 101) -1-.- f. Total net wall area above floor PY~3.4)I g. Total rim joist area Total exposed foumdation area = Q[~ Z h. Total foundation window area S i. Total net foundation area tsbove grade -71 Determine •'U•' value o: each wall segment. a Ig 5,79 x ..U„ ^ G~- - C. -1 7 x d. U x "u" e Oq 3 a,.-- f. I x 00 x .•1Y. ®4 I Z•~o c~ _ o h. 7i-7`J z "iJ" Zy - ~..45 'lull Toi.s7 e ~3~,95 3. If item N3 is the same as, or le, ,.tc.n itcm kl, you h'fvC met the intent or s8c 6oo6(c)2. MAY-17-1995 16:41 FROM TO p 8627702 P.02 • Total exposed root/ceilinG area = I S O Total gross roof/ceilint; area = j• Total skylight area 0 k. Total roof/ceiling framing area 1. 'T'otal net Insulated roof/ceiling area • 1letermine °V' value for Inch root'/oci 1 ink( sojSment. / x nun _ - I. bJ1 k. X nut, (D7- -7 k. Total = Z ,~V If total of #4 is the same as, or less than 12, you have met the intent of sBc 6oo6(c)1. To utilize the total envelope system method, the values establizhed by the Sim. of items 13 and A shall not be greater. than the sum ofl/itea:s 81 and Y2. 107, 3 131.9 S + L. ZS.ZS I s 7. ZO 0 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031263 (612) 681-4675 Date Issued: 12/18/97 SITE ADDRESS: 3748 BURGUNDY OR LOT: 3 BLOCK: 7 SENECA HILLS P.I.N.: 10-67125-030-07 DESCRIPTION: (ZERO LOT LINE) Buildind-.Permit Type SF DWG Building Wbr_k Type NEW "UBC Uccupa:ncyy R-3 U-1 Construction Type v-N Zonings R-3 Building Length, 38 Nl~ Building Width` 50 Byi`ling stories 2 t1,~nsgs' Codd 102 1 - FAM. ATTACH ti_ 1~ ~ j )mow q x1 yP•Y j{ I, 'Y'~ REMARKS: 1 OF 3 UNITS S & W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION $123,000 Base Fee $1,002.25 MISCELLANEOUS $1,539.50 Plan Review $651.46 Total Fee $4,204.71 Surcharge $61.50 SAC $950.00 SAC % 100 SAC Units 1 Subtotal $2,665.21 CONTRACTOR: - Applicant - ST. LIC OWNER: ~1M HOMES INC 14314900 2002530 G M HOMES INC '1Zi025 GLAZIER AVE 205 15025 GLAZIER AVE 205 aIVPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (~12) 431-4900 (612)431-4900 I hereby, acknowledge that:I<havg :r sad this,.applicationl a=nd state thot`-the,' information is correct and agree to ppmply,with all .apPligob l.e,,State of Mn- Statute and City of Eagan Ordinances. S APPLICANT/PERMITEE SIGNATURE ISSUED BY: IGNAT E r 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN + ° 9 3830 PILOT KNOB RD D - 55122 68 1-4675 f A r C.d,et l b New Construction Requirements RemodeVReoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (inciude beam & window sizes; poured fnd, design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: _Yes , No $80,000.00 DATE: )1-11 T CONSTRUCTION COST: S neca Woods Townhomes / DESCRIPTION OF WORK Top ( 1, V-j -7 11AV3 I C---'- PLC- GU STREET ADDRESS: 79 1~y 7G'+ y~ 7 O~ IpU LOT '5 BLOCK SUED./P.I.D. onp~ra l Q~~ -3•PL LY w~l~rs / 9~2 . G.M. Homes, Inc. 431-4900 PROPERTY Name: Phone _ OWNER 150214 Glazier Ave. //21%5 Street Address: City: Apple Valley State: 11N Zip: 55124 G.11. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. 11205 20025307 Street Address: License Apple Valley 14N 55124 City: State: Zip: ARCHITECT/ Company: KLF Designs Phone 371-0344 ENGINEER Name: Registration 8791 Knollwood Drive Street Address: Minneapolis MN 55347 City: State: Zip: w.enzel Aechanical Sewer & water licer.~.ed plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i 7 V 1.5 OFFICE USE ONLY D 15 i Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requir ' 1 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish „0.02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) :21L-6Basement sq. ft. 2.6 $ MCNVS System -CldL (Allowable) -JE • Al Main level sq. ft. City Water _ e=we UBC Occupancy sq, ft. s^LS' Fire Sprinklered Zoning 14-11 sq. ft. PRV # of Stories Z sq. ft. Booster Pump Length IA? sq. ft. Census Code. /02 Depth s_ Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance 0 Permit Fee Valuation: $ Surcharge `Jf • ~/r Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit ~ v Surcharge ti ~J J~ r S/W Treatment Treatment PI. 9 Road Unit Park Ded. Trails Ded. Other ~s Copies Total: 1 i' I (d l~ % SAC SAC Units M4)' 17-1995 1x:40 FROM TO 8R Y7tt Pall FxT j70P i'NVF.IAI'F nVha(nCF: "u' curtrvr'rn rt l • o~N~ ~ M ~lorvlE~., SITE ADDRESS ru\J~ s~ wa)~` , n nl2iVF 6 N~IY 13 CONTRACTOr, DATF. 1712J,qj PHONE De rmin working square footatte of each. } 1. Total exposed wall area 9~ sq. ft_ z 0'71 = .IS114J 2. Total rocf/ceiling area 12.~~ •S s ft. X 0,026 = ~ S Total exposed xn l arcs above floor a. Total wall window area ) Z9 L. TuLal door area q Z c. Total slidirg glass door area 7 d. Total Tirenlace wall area e. Total wall framing area (average 10i) f. Total net wall area above floor 111~.~I g. Total riza joist area -II2o Total exposed foundation area = q~RZ h. Total foundation window area.? 5 i. Total net foundation area hbove grade 3 7. I~ 1Dete/rmingqe ••U•• valve of each wall sefrment• i a. x 'lull b. x 'lull .30 C. llull d. x V. e 3 - O g. 11Z_o x ••1,.• _ oq 1 ~ 4.sR h- 43.75 x ^u" Z:2a = Z 45 i. 3-2. 17 x .lull . C Z _ 2,,• 3 . 'ioi..z7 = Ind. f If item q3 is the same as, or JCS_. '.11:m itch 01, you hAVC met. the "'tent of ssc 6oo6(c)2. MAY-17-1995 iG:4i FROM TO88277d2 P.02 Tolul cwposcd roof/ccilin4, area = Total gross roof/ceiling area ,J Total skylight area C~5 . k. . Total roof/ceiling framing area C) 1. Total net insulated ruof/cciling area 1~3 II.S _ Detenulne -u- valuc for Inch rvvf/oci link{ cchent. - c - . 3• l~ x 'lull - ' k. x nun 1. 21 . 5~ x „U., O I R 5 Z_ Z°Z~ L . Total = L if total of #4 is the same as, or less than 12, you have met the intent of sBc 6oo6(c)1. To utilize the total envelope system method, the values established by the sum of items 13 and A shall not be greater_thr the sum of items I1 and Y2. 1. I c2~. $9 + 2. 3 .5 3. I ~7I + L, Z • Z~ _ 1~1~s~to ' 0 J ^ j CITY USE ONLY L gL RECEIPT Si.1BD, RECEIPT DATE; 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAOAN 3830 PILOT KNOB RD EAGAN, BIN U122 1612)6814876 Please complete for. . single family dwellings townhomes ain0ondos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: EEE$ ► 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 Q $3.00 each) ,3- a? ► State Surcharge _g0 TOTAL 56 - - - - SITE ADDRESS: 370 OWNER NAME: lL//' ! S PHONE* N 7`d/ INSTALLER NAME; P_ e4v C PHONE Y_r/may STREET DRESS: (m / 9,- CITY: fil A( 1 L( D STATE: ' 71P- J $IONATUFt ERMi E CITY USE ONLY L BL RECEIPT # d y S/V 7,S SUED. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EASAN 3= PILOT KNOB RD EAOAN, MN 0122 1012) 61475 Please complete for. . single family dwellings townhomes and.cpndos when permits are required for each unit New construction Add-on furnace -T-- Add-on air conditioning Add-on air exchanger, i.e. Vanes system, etc. Date: FEE8 ► Minimum Fee: Add-an/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 a $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS' 7 r OWNER NAME: PHONE#: T 7dC~ INSTALLER NAME: C C' . PHONE M: -13y- 7747 STREET ADDRESS: It U'l CITY: Il/,t',m STATE: ZIP: SIGN U E -RA TEE BL 7 CITY USE ONLY SUED. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAOAN, MAN 88122 (612)6814678 Please complete for: ► singie family dwellings townhomes. and_condoe 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) S'.00 ► State Surcharge .50 TOTAL -211 SITE ADDRESS: OWNER NAME: PHONE#: ' _706 INSTALLER NAME; l PHONE ~~~.y i , 7L / STREET DRESS: I CITY: STATE: 1V zip: C~L/ SIGNATU / ERMITTEE V I CITY USE ONLY RECEIPT#: 91S& 9 J L BL ~ SUBD. Oslo RECEIPT DATE: Jr 9tl,,/ 1997 PLUMBING PERMIT (RESIDENTIAL) crrY OF EAteAN 3830 PILOT KNOB 1110111 EAGAN, MN 55122 (612) 6$1-4675 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 _ $ .60 Water Closet 3.00 x Bath Tub 3.00 x = m0 Lavatory 3.00 x _ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Ito Hot Tub/Spa 3.00 x = Water Heater 3.00 x - Floor Drain 3.00 x _ + e0 Gas Piping Outlet " minimum -1 3.00 x Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under oonst. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * oak Cty lic. 75.00 = (now and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE / .50 TOTAL / S5 Ihereby acknowledge that I have read this application, state that the iMornafion is coriea, end agree to compy witii all applicable City of Eagan ordlnanoes. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the• facilities constructed under this permit within City property/dghtof-of SITE ADDRESS: 37L Ill t!Ln~ L14 OWNER NAME: t~ (~J~ 1 INSTALLER NAME: AV/V~ !~7/V.- r~ri'(.J/•/ ~l [//ISTELEPHONE#:SZ STREET ADDRESS: Iq-S q J``''Ls~1MAJAl 14 CITY: STATE: yYY~ ZIP: !~`S1 z z 8M &~!A, SIGNATURE OF PERMITTEE CD/FORMSIPLBG PERMIT (RESIDENTIAL) 1997 CITY USE ONLY g/3!o 9 BL RECEIPT* SUBD. h-1Y_A.!,Q RECEIPTDATE: 16T/00/94F, ] 99'7 PLUMBING PERMIT (RESIDENTIAL) CITY of EASAH 3830 PILOT KNOB fW EAGAN, MN 551 EE (618) 681-4675 Please complete for: D 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 Closet 3.00 x = Z_OO Bath Tub 3.00 x 2 = 11=00 Lavatory 3.00 x = 2.6 Kitchen Sink 3.00 x _ Laundry Tray 3.00 x _j_ = BO Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ Floor Drain 3.00 x = ~9 Gas Piping Outlet "minimum-1 3.00 x ,2- = S Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler `for dwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cry 9c. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 10 - - 1 hereby admowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -3 7 L& ~l (16YV rJ( ! Y OWNER NAME: repy, YVI . INSTALLER NAME: 7 + - TELEPHONE 'ZJ 7i'~J a/~ STREET ADDRESS: ~ l d-) btxN4.~ a + Z_ CITY: )F,:- Kl~~j STATE: I W►/) V ZIP: cS~l Z, SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 CITY USE ONLY RECEIPT X. 7 91J~7 L'J BL SUBD. RECEIPT DATE: 5 9~ 1997 PLUMBING PERMIT (MIDENTIAL) CITY OF EAHAN 3$30 PILOT KNOB SD EAGAN, MN 5512E (612) 6$1-4675 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 0 Shower 3.00 x = 310 Water Closet 3.00 x =mss o Bath Tub 3.00 x _ ~,~w_o Lavatory 3.00 x _ -l'w Kitchen Sink 3.00 x = m D Laundry Tray 3.00 x •DD Hot Tub/Spa 3.00 x = Water Heater 3.00 x Z = 3 Floor Drain 3.00 x 1 = 319 o Gas Piping Outlet * minimum -1 3.00 x y = - 0 Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under cont. 3.00 = U.G. Sprinkler " for existing dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak Cty lie. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL S S' 0 I herebyacknowledge that I Nisi iced this applicatron, state that the 'irNonriation is coriect, and agree to comply witli all applicable City of Eepari oid'inahcea. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pner/mit within City property/mghtof-wayressement. SITE ADDRESS:? 7 1~ I I't~7 V/J JC)'l~ ~J t~Y 7~ OWNER NAME: /iiok! &J INSTALLER NAME: IV/V~4~ZcA, Imo/ `yem 0/4 4_ TELEPHONE LS l ~f0 S STREET ADDR,~,ESS L I-1 6118 W fie. I~it~7 +~M~ CITY: 6 VK-V) STATE: i ZIP: S Ili 2- SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 n Use BLUE or BLACK Ink I For Office Use I --I 1 City of Ea Permit#: IbJ I o~, T I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I )1031 3 RESIDENTIAL BUILDING PERMIT APPLICATION 7~~ y . Date: Site Address;_92~/ Or - S" ?&4q 7 Unit Name: l.C )004 ,S Phone: Resident/ n Owner Address / City I Zip: 375W-3751-6- 37`~~ ,t /-~C1 2 (j s✓t Applicant is: Owner Contractor Description of work: Type of Work Construction Cost: ® _;/00 Multi-Family Building: (Yes / No Company: 4L~111er ~A/rlJa/hCf7C C, Contact: Ry/ carol < Address: a100 ,~ijM 77ef--'✓ YJ go city: Contractor State: Zip: Ja Z// 13 Phone: 49/a _Sy - 9_45~59 License #:Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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: 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: z 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.oopherstateonecall.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 Stale Building Code must be com 0 days of permit issuance. X_ L L Applicant's Printed Name Applic nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147280 Date Issued:12/22/2017 Permit Category:ePermit Site Address: 3744 Burgundy Dr Lot:1 Block: 07 Addition: Seneca Hills PID:10-67125-07-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Humayun R Siddiqui 3744 Burgundy Dr Eagan MN 55122--316 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172695 Date Issued:10/12/2021 Permit Category:ePermit Site Address: 3744 Burgundy Dr Lot:1 Block: 07 Addition: Seneca Hills PID:10-67125-07-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Humayun Reza Siddiqui 3744 Burgundy Dr Eagan MN 55122 Limitless Exteriors 844 140th Lane NW Andover MN 55304 (763) 238-1632 Applicant/Permitee: Signature Issued By: Signature