3740 Burgundy Dr:. ? INS
CITY OF EAGAN
3830 Pilot Knob Road
I Eagan, Minnesota 55122-1897
; (612) 681-4675
, SITE ADDRESS:
, PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
IitI i 1 t+ 1 Pi14
t1 < J r; ?. 1.
ii?t!:???Is,ft
rt, c i
T NF 1
INSPECTION D• . .A
I ?" ri ft I'
Permlt No. Pertnft Holder Dats Telaphone #
ELECTRIC
PLUMBING
HVAC (p `7M7
Inspaction Date In Comments
FOOTINGS
FOUND
FRAMING l?plQd'
7 0 ?
ROOFING
PL?UMBING
% 5?J/,?? 7.. _
196 ,6
PLBG
AIR TEST
ROUGH
HEATING
? s-
GAS SVC
TEST
INSUL /
GYP BOARD
FIREPLACE
AIR TEST FIREPLACE
,3I
U/V
FINAL PLBG
FINAL HTG +
4r -.
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?
DECK FINAL
?.? t I
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ,
1
t1!"i A
?li ." tIN 1 i .
;. l l I' i t+f? 41f P1 .' 1 4 tf11 Ft? ',.' I i i!i !1 li`r' 11?? l'ffi 1`?
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
iIj •.' C 1 t' I 1 siP!
IrI I eI f? i N i,
tg ; I tt?.?1
+fn l.'•?l??ri
! f•'[1 1 EI 1 I 1 NF ?
INSPECTION D• ON TYPE D,
t,
I :,, Akk`:
? xa ?
Permk No. Permit Halder Date Telephone M
ELECTRIC
PLUMBING , '' ?6vZ- S?iS
i-ivAC 3 ?3 `l7 7
InapecUon Dete Intp. Comments
FOOTINGS 71/Z y
FOUND
-13
FRAMING
?iCJ
ROOFING
FiOUGH
PLUMBING ? ? ,7 - ? UG G
/ „ e
PLBG
AIR TEST
ROUGH
HEATING
r?sT vC ? N
INSUL
GYP BOARD
FIREPLACE
t
FIREPLACE
AR TEST
FINAL PLBG 74??
?
, ?D??/
?Q
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
OECK FINAL
. f
?
Kertificate of Cccupanc?
Wi#v of Cfagatt
Moartuueut of $Kilbixg 3960ectian
This Certificate issued pursuant to rhe requirements of rhe Uniform Building Code
cerrifying that at the time of issuance this structure was in compliance with the various
ordinances of tiie Ciry regulating building construction ar ase. For the follawing:
ux cunir?cu;m SF IM aag. atrmit Na. 31AFi5
oaupa-y Type R#ro ' Zoning o;.w;a R3 rype comi. VN
own? or suiia;ng Q4 HCMES _ TN'; Ad&M 15025 (7A= AV[?,, PPIF. VA1 r Fv
Building.Adtkess 3740 ?--- --.. DRIVE Localiry 1.2Rfi-,SENECA Nrtr S
?--- °"c: ?
POST IN A CONSPIGUOUS PLACE
?
Wemficate of cccuvanc?
Wtv vf Wagan
?axtraeut of 13xilbixg angloection .??
?
This Cenifrcate issued pursuant to the nequirements of the Uniform BuilCEng Code
certifying that at the timt of issuante this strvcture was in compliance with de various
ordinances of the Ciry regulating building constructron or use. For the following:
u.cL.ir.wtiow ar ugu elaa. rennii No. _
Occupa-7 Type R3/ uI Zpiing Distria R3 Type Conxt.
Owner of Huifding CM HOM Dr- Addmss 15025 MAZIM. ?
BuildioE Addre,ts 37ri2 lg.IF?jGXM DRM Localiry L.? B6 fflfr
Oatr "Y> I
Bu?leing Offiriall
POST IN A CONSPICUOUS PIACE
Mar.19. 2668 8:52AM Crest Exteriors No.8743 P. 14
2006 RESIDENTIAL BUILDING PERNdIT APPLICATION
Ciry Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FA,X # 651-675-5694
[iN Caf151NCEM ReqlilemBnl6
3 regWped sRe aurvey5 shrnnrq s9- R a( lot. sa. ft of Muse; aM m raokd meas
(20%maximum Id cavmape a4owed)
2 rppiey ot plen shpwbtg yegm 8 window 51ZCy; pqired lound OeSipn, etc.
1 set d Erogy Cdwkuons
3 cApies ol irae %858Ndti0n Pkn I la platll.y after 7l753
RimJoislOetailOptiwnsokclynsireet (mnmiigsxith3or7assuMS)
Mitfnegascomechanical ventilation form
FjlImodgUR6nair Reowemenls
2 ooPies Of DWn 51Mwing tootlmJS, beatls. jdsls
1 cetoF Enagy Calculptipn5 kx heated addl4on5
t sire smvey fa adainms a mcks
AddtiOn - ind'cefell nnStle Seyticsysfwn
?
Cert.6fSurvayReod
Y N
TieePrasWan.R2W. _Y _?!?
Tr6ePtpReqwed .._Y _N
Onsile3eyticSyslam _Y_N
Dah03 / 19 /30 ConstnlcGoaCost
Site Address 0 J'?2)
lqa PJ?Mun(,l\ v UnitlSte p
Gt M M
Description of Work L`kT
MuIU-Family BIdB _ Y_ iN Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner _( hda ?ntwC"h6n aYVI ,.a Telepdone#(b
Contractor Grest Cxte?'1flr5
Address 2?5?IR??;?('1('S?f, (}??L City F?Aywna-ft)n
State Zip t?_ Telephone #((6 ' ) -(G I A
COMPLETE THIS AREA pNLY IF CON8TRUCTING A NEW BUILDING
Energy Code Category -?SOta Rules 7670 Cateeorv i _ Minnesota Ruia 7672
(d a?6miyyion type) • ResideMlal VeMilation Calegory 7 Wwksheel . New Energy Code Worksheet
Submilted Submitted
. Energy Envelape Calwlalions Su6ml(tEtl
ln ihe losf 12 months, has the City of Eagan issuad a permit for a similar plon based on a masfer plan2
_ Y , N If yas, date ond addre5s of mOSfer plan:
Licensed Plumber
Mechdnical ConlroCtOr
Sewer/Wqter ContrpCTor
TelephOne #(
7elephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that tha wotk 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 petmit, and work is not to start without a
permit; that the work wi11 be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
IC?r ?iel McCQnn I?.ru?D (?t???cu'?
Applicant's Printed Name Appli snPs Signature
* PIONEER
*??gTr
****
urJo
9
Certificate of Survey for:
854.5
LMo
- 2422 Enterprise Drive
Mendoto Helghts, MN 55120
"s - aNL E„CkCM 1(812) 881-1914 FAX:681-9488
. LAkGSCAGE AHCHITCCIY F621,5 Nighwoy 10 N.E. ine, MN 55434
?2) 7e3-1e80 Fnx783-1863
GM HOMES
LOT t- 3740 BUROUNDY ORiVE
LOT 2- 3742 BURGUNDY DRIVE
o? 855,9 866.8 ?
l0
0
------_ -- .-
DRAINAGE & UTiLITY -?
EASEMBNi PER PLA7-x?-`i
ARK _ 865,3
A
1`1
D
Z
'L
G)
?
D
F
F'7S 0Q 854.3
!
850.3
? SERVICE
INV.=838.2'
1 ? \ !?
?i \ \ 946.9
.
?
,
BENCN MARK
70P OF PIPE ? \ \
EL£v.-848.78
NOTE: Vfe0PO5ED GRAOES 9kOwN PER ORADINC OLAN 9Y: PIONfER
. .... J .. . ....
YOTe BV40iNG dNENSiON4 SHpVM ARE FOR HORIZDNTAI AND VERrLAL LOGAnON
?' / pROPOSED HOUSE FI FVATION
SEE MRCVtITECNAL PlANS FOR BUtLDiNC AND
1
L
O
fW
N9
ON
ro T:ON W4E LOWEST FLOOR ELEVATiON: 4-
NOTG KO SOEpYIC $OILS MVESTIWTION Nps BEEN COU?L[7ED ON THIS-LOT BY 7FIE v
TOP Of OLOCK ELEVATION
SURkEYOR. THE SVIYASWTY OF SOIL$ Tp SUPPORT 7HE: SI+ECIFIC HOUSE :
oaoaasco is uor nre Resvonsiewn oF THE wRVeroa. CARAGE SLAB ELEVATION: ?3b
NOTE: IMIS CEpniiCATE ooES NOT PuRVCRT TO SHOW EASEMFNTS OTHFA 1NAn
THOSE SwOM ON 7HE aCCOROED PLAT. X 000.00 DENOTE'S EXI9TNC E4fVATON
( 000-00 ) OEN01E5 PROPOSED ELEVATION
NOTEc COhTRl4G7pR kVST V[RTT DRIrEWAY DE9GN. OENOTES ORAINAGE ANO UTILflY EASEMENT
KOTE: BEARM.S SMONN ARE BASED aN A4 ASSUMIEO DA?UM - DENOTES DRAINACE FLDW DIRECTION
DfN07ES MONUMENT
--$- DENOTES OFFSfT HUB
WE MEREBY CERTiFY TO CM HOMES iHAT THIS IS A TRUF AND COftRECT REPRESENTATION OF A
SURVEV OF THE BOUNpARtES OF: '
LOT 1& 21 BLOCK 6, SEfVECA HiILS
DAKOTA COUNTY, MINNESOTA
:T DOES NOT PURPURT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS,
U4DER MY DIREGT SU?ERVISION ThtiS 30TH DAY OF MARCH, 7998.
SCALE ! 1 INCH = 30 FEET
SIGNED:
A.
C
SNOWN, AS Sl1RVEYEO BY ME OR
PERMIT ?
„ ChTY OF EAGAN
3830 Pilot Knob Road
' Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
BUSLDING
031865
04/29/98
SITE ADDRESS:
P.Z.N.: 16-67125-020-06
DESCRIPTION:
3740 BURGUNDY DR
LOT: 2 BLOCK: 6
SENECA HILLS
;"-? (2ER0 LOT
Building;Permit Type
BuiYding `Work 7ype
'°UBC "OecuPancy,11
Canstruction Tp?e
Zoning ?,.
Suilding iength, ..;'
Building Width
euil`d?ncj staries
??'nsus coi3e r
REMARKS:
1 OF 2 UNITS
S & W PLBR - WENZEL
FEE SUMMARY:
Bese Fee
Plan Review
Surcharge
SAC
SAG %
SAC Units
Subtotal
LINE)
SF DWG
NEW
R-3 U-1
V-N
R-3
38
50 :
z
102 1 - FAM. ATTACH
i
VALUA7ZON
$1,002.25
$651.46
$61.50
$1,000.00
100
$2,715.21
$123,000
MISCELLRNEOUS $1,592.50
Total Fee $4,307.71
CONTRACTOR: - Applicant - sr. Lzc OWNER:
G M HOMES INC 14314900 2002530 G M HOMES TNC
15025 GLAZIER AVE 205 15025 GIAZSER AVE
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4900 (612)431-4900
205
? : - . ..... .. .F? ? . .k .ae . p v} . .. u ' . . ?.
I hereby, acknowledge that'T have read thi's` appl-idatitfn arid"'s?Ca'?e= that =,th,e
in#`ormation 3s co'rrect antl agree" ta` c;ompl'y °wi;;tli, a11 apjsl&cable State 0_?f Mn. .
Statutes= and City of Eagan Ordfn ances.,
?
?-
APPLICANT/PERMITEE SIGNATURE SSUED BY SIGNAT E
Sflkf 998 BUILDING
Naw Conatruction Reauirements
PERMITAPPLICATION (RE3IDENTIAL)
CITY OF EAGAN ?J???,?? ?- 'F .
3830 PII.OT KNOB RD - 6b122 (?
681-4675 ? J J
? 3 reglatered atte surveys
• 2 copiea of plans (indutle beam & window s¢es; poured tnC. design; eto.)
? 1 energy ealeulations
? 3 copies of tree preservatfon plan ff bt platted aRer 711193
requi : Yea No
DATE: 11 70IC?D_
RemodeVReoair Reauiremenb
? 2 coDies oT plan
? 2 aRe aurveys (exteAor addRiona & dedcs)
? 1 anergy calalations Tor heated addiGons
CONSTRUCTION COST; ??qI*TVn °-°
DESCRIPTION OF WORK: _ JFIVlr-- C, A k
STREETADDRESS:
LOT: /- BLOCK: ? SUBD./P.I.D. #: _ Ci;7n
Name: l-qiV\ l7 Fs5 I-" L( Phoneil: 4Zl ciGrl?-.
PROPERTY ?t • Fust -T'sr
OWNER
Street Address: L'OS
T
CITy / a1'l4J1???? $t3tP: fZl}?: I
/N? {1__
?T?
CONTAACTOR Company: G4A WC1rvir ?? . , y&? /' Phone #:
/' ?
Street Address: / [;. A ,. , r ? License #
CitY State: Zip:
ARCHITECT/
ENGINEER Company: LL F LSES i &--J S Phone #:
Name: T')171 Registration #:
Street Address: ffii&} NENOIA5
City
State: Ani Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sTate that the infortnation Is correct and agree to comply with all appiicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
-7M 43MC5, lruc _
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
Z??? rH .
? O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?,,82 SF Dweliing ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex O 13 Garage/Accessory ? 20 Public Facility
O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 2 iscellaneous
? 05 SF Misc. ? 10 = plex
WORK TYPE ?? 2 b • C?o T '? l i(L ?
?9-1-New O 33 Altera ions ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. IZG i MClWS 5ystem
(Allowable) N Main level sq. ft. /z.G Ito City Water ?
UBC Occupancy 0•3 u+? 2°s sq. ft. st.r' Fire Sprinklered
Zoning d2•3 sq, ft. PRV
# of Stories Z sq. ft. Booster Pump
Length 7fo ? sq. ft. eIVCensus Code. JO L
Depth 0 Footprint sq. ft. SAC Code o/
Census Bldg I
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS 5AC
City SAC
Water Conn.
Water Meter ?
Acct. Deposit i •?
S/W Permit
S/W Surcharge
Treatment PI. 1 • ? ??U
Park Ded.
Trails Ded.
Other
Copies
Total:
% 5AC
SAC Units
.?
•?? LOT SURVEY CHECKLIST FOR RESIDENTIAL
, i 1 BUILDING PERMIT APPLICATI N
PROPERTY LEGAL:
DATE OF SURVEY:
? u '? LATEST REVISION:
? F ? DOCUMENTSTANDARDS
z
?
• Registered Land Surveyor signature and company
Er-o ? • Building PermitApplicant
eT' ? ? • Legaldescdption
d ? ? • ndaress
d? ? • North arrow and scale
CY? ? ? • House type (rambler, walkout, spli[ w/o, splR entry, lookout, etc.)
0" ? ? • Directional drainage arcows with slope/gradient %
0/? ? ? • Proposed/eristing sewer and water services & invert elevation
?/ ?
? ? ?
? •
• Streetname
Driveway
ELEVATIONS
Existina
? • Sewer service (or Proposed)
?///''' ? ? • Propeiiy comers
?? ? • Top of curb at the driveway
d? ? • Elevations of any epsting adjacent homes
Propmd
C3?? ? • Garage floor
[3-, ? ? • First floor
'0 ? ? • Lowest exposed elevation (walkouUwindow)
? ?
?/ ? • Property corners
? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? ei' ? • Easement line
o .? ? • NWL
? d o • HwL
? ? ? • Pond # designation
? ? • Emergency Overtlow Eievation
pIMENSIONS
Z' o ? • Lot IinesBearings & dimensions
P' ? ? • Right-of-way and sVeet width (to back of cur6)
C'i' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ali structures requiring permanent footings)
a • Show all easements of record and any City utilities within those easements
d? ? • Setbacks of proposed sUucture and sideyard setback of adjacent ebsting structures
0-'0 o • Retaining wall requiremenl?,Abany /
Reviewed:
/ Oate
January 1996
CRA1G1 W&SLOOPRMT.FM
? •. t MRY-17-1995 16:40 FROM
TO
' FXTEliiOSi'r:NVFIl17'F: AVT:I;nr}; "U" C11MF'U'FATVN1
ox:i r ?10OArfN.1C,. .-
sirR ,DDaESS nY
CONTRACTO^n DATB I 0 r° PHi)Iie.
DeQP ?
ermin vorhinf: squnre fooiarce of each.
1. Total exposed va!1 area sq• ft- x 0'2.1
2 Tota1 rocf/ceiling area sq. ft. x 8,026
Toial e:cponed vail arca ftbove floor
a. Totsl va'_1 vindw area . . .... l ? •
L. Tutal door aren ................................... Z
+ c. Total slidir.g gloss door area .....................
?
d. Total fire?lace Wall area .........................
e. Total vall framing area (average 10) •••••••••-••-
P. Total net val,l area ctbove floor . . ...... •....... I I l`I. ?I
g. Total ria ,}o3st erea ..............................
Total exposed foundetion arca
?
h. Total foundetion vindov area ....................... ??? S
-••'--. ?"'1
. I. 3ota1 net S'oundation a:es ?bove Rrade ._..._
. Deternine °U" value o; each wall sef;ment.
a. x ,:U„
-
?
b 7
- • c. X
d. U,? . ? oq ? ? .
x,.u„
) I X OUn
f. I ol,?
Q. I 17 _ O X
h. T]n !? z °U?•
Y. nun
, C:,'„'1 "`+ _ • ?{?.'?{?1
_-..?--._-----
? ? '- 4.f9
3 . . ............................... 'PoLal
r
IS item N3 is the seme as, or les^ :.han .item #1, yau aave met the intent
or ssc 6oa6(c):. .
8827702 P.01
t3
T,
' CITY OF EAGAN
• 3831) Pilot xnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-67125-010-06
DESCRIPTION:
ildin
ildin
PERMIT
3742 BURGUNDY DR
LOT: 1 BLOCK: 6
SENECA HILLS
(2ER0 L07
ermit Type
prk Type
Construction TyOe
zaning Building. ;Lengtfi V
Building WidtFi
B,uilding sto,ries
Y
Q? r?u s C 4d,e
PERMIT TYPE:
Permit Number:
Date Issued:
LINE)
SF DWG
NEW
R-3 U-1
V-N
R-3
2
102 1 - FAM
38
50
ATTACH
a ? ?as? r r??? ?
z??:
BUILDING
@31864
04/29/98
REMARKS:
1 OF 2 UNITS
S & W PLBR - WENZEL
PLAN REVIEWED BY JOE VOEL5
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotel
VALUATION
$1,002.25
$651.46
$61.50
$1,000.00
100
1
$2,715.21
$123,000
MISCELLANEOUS $1,592.50
Total Fee $4,307.71
CONTRACTOR: - Applicant - ST. l.xc OWNER:
G M HOMES INC 14314900 2002530 G M HOMES INC
15x025 6LAZIER AVE 205 15025 GLAZIER AVE 205
APPIE VALLEY MN 55124 APPLE VALLEY MN 55124
(622) 431-4900 (612)431-4900
Z hereby acknowledge that I,.have,r,?ad ths$ apPlicayt4Qn add state that;the:
., ,
informatian is correct?and st?wee '?a' com?siy vkth all?applip'able -Stet?. o# M_°rrIY Statutes a Ci y of Eagan Ordinances.
<
PPLICANT ERMITEE SIGNATURE ISSU Y: SI ATURE
31 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) $4, 304,'t 1
K4 ciTr oF Enaax CG ?l ? ?-1 ?
3830 PIIAT BNOB RD 65122
e81.ab75 (--R)v0va1 MAS-MZ.
New ConstruGion Reauirementa
• 8 rogistered sde surveys
? 2 copies of plens pndude beam 3 window aizes; poured Tnd. design; etcJ
? 7 energy celaleNOns
? 3 copies of Lee Dreaervation plan R bt platted after 7/1198
required: Yoa _ No
oATE: ?117?qP?
RemodeVRaoair Reauiremenffi PLAvj
? 2 eopi05 0} plan
? 2 sRe surveys (exterior addiGOns & tlecks)
• 1 energy ceialetions kr heeted addifiona
CONSTRUCTION COST; g?Q Cn,? ?
i
DESCRIPTION OF WORK:
STREETADDRESS: 3747-LOT: BLOCK: 0 SUBD./P.t.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: (?,, 1nnr Phone #: 1'z : e nr•??.,
`"?T l.sst?c., V?6?.-f?fl ?'
Street Address:+3 b-7??? ??602= a,r=?. #7 0-:7
City State: 0,;) Zip:
Company:GrAA s" i Njc- Phone#: _
/
Street Address: f4 ? License #
?-,?, - -
ciri
sffice:
ARCHITECT/
ENGINEER Company: VLE Nc G, (,,? ? S Phone #:
Name:??Q Registration #:
Zip:
Street Address: M, &i NEApQ i S
City
Sffite: Ad Zip: -75 3?17_
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge ihat 1 have ?ead this application and state that the infortnation is correct and agree to compty with ali applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ?
..=1110102 SF Dwelling O
? 03 SF Addition ?
? 04 SF Porch ?
? 05 SF Misc. ?
WORK TYPE
`Ht31 New
? 32 Addition
06 Duplex
07 4plex
08 8-plex
09 12-plex
10 17= ple_x.
?
? 17
? 12
? 13
O 14
?-
Apt./Lodging
Multi RepaidRem.
Garage/Accessory
Fireplace
-Deek
n ' (!? bT
O 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
?
?
?
O
.
? fl ?. ?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
G l? ?
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Building
Permit Fee ,
Surcharge
Plan Review
License
MCNVS SAC
city snc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: _. -_-z `? " m. 11
C.
i 8 lJn ?s
4 •+...?r.rr?
,%r. N Basement sq. ft. / Z(o MC/WS System ?-
::r, at Main level sq.
Z''? ft. L t4?s City Water
?•/ sq. ft. tf Fire Sprinkiered
Q-a sq. ft. PRV
y sq. ft. Booster Pump
38 4R4. sq. ft. Y` Census Code. o L
Sv Footprint sq. ft. SAC Code o i
Census Bldg
? Census Unk
_ Engineering Variance
___------
valuation: $
L?o . /z
?
(
.
?
?
? u
?
F
a y
m O
??
??
da
o- O
cl? ?
Ci' ?
[? ?
? ?
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATIP N
PROPERTY LEGAL: ?!J Nl
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
-T
• Registered Land Surveyar signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/exissting sewer and water services & invert elevation
• Street name
• Driveway
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ELEVATIONS
Existina
ff o ? • Sewer service (or Proposed)
0
. ? ? • Property comers
?
?? ? • Top of curb at the driveway
CT ? ? • Elevations of any exassting adjacent homes
Prooosed
0-'? o • Garage floor
0--'0 ? • First Floor
[?' ? ? • Lowest exposed elevation (walkouUwindow)
? ? ? • Properly corners
Ef' ? ? • Front and rear of home at the foundation
PONDING AREA Cf auolicablel
? E3, ? • Easement line
? .El-, ? • NWL
? ET, ? • HWL
O 0 ? • pond # designation
? H"? ? • Emergency Overflow Elevation
DIMENSIONS
.d ? ? • Lot lines/Bearings & dimensions
? ? • Right-of-way and street width (to back of curb)
ff, ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. (i.e. all structures requiring permanent foodngs)
0 ? ? • Show alI easements of record and any City utilides within those easemenis
ur ? ? • Setbacks of praposed sWcture and sideyard setback of adjacent ebsting structures
a, ? ? • Retaining wall requirement?ibany ?
Reviewed: ? '
Na e / Date
January 1998
CRAl07 GYkBLDGVR1df FM
.MRY-17-1995 16:40 FROM TO 8827702 P.01
. ? . .
F.X7'r.ItiQR i<NVF.IA7'F. AVEItAt:F: "U" C+)Mt'U'Pn'i V):I
OVfY'Fi IIAJ('.. .
t?Wc? ?. ,?tr?r,????ny f.'yc?,ur- ?, t?m,y r3
si? naVa2ss .. !-
CONTRAC20^n I„?_` DATF. 1 • `?? P}iONE
Determin vorkinr squnre footate of ench.
1. Total exposed va11 aren . IIn,4? sq. ft. x 0'11
2. Toia1 roc£/ceiling ares .. )Z-?I ? sq. ft. x 8,026 Tota1 exposed wail a1-ca nbovc floc+r -
a. Total va'_1 window area . ........................ ? :7 .
L. 2uLa1 duor zren ................................... -z
+ c. Total slidir.g gloss door area ..................... "73
d. Total iire?lace vall area ......................... e. Total vz11 framing area (average 10:) ............. Y. Total net vQ;l area ubove floor ................... I I 7`?.??
. g. Total rim Joist erea ..............................
Total exposed foimdatior. arr.a = 40.7Z.
h. Total foundetion viadov area ....................... q 1 5
?• i. iot al net foundstion a:ea hbove grade ............. "s Z. 1-7
. Detenr,ine "U" value o: each wall sF,r,ment.
? e. I[??, L1 X aUu ? C{] v
t1 ?.?? ??A
b. ?}Z z ..Un
' • C. -j 7 X
d. C-) -5 ?
% .nvll • l7`?.) 9 - ??i ?? .
f. X ?lull v CJ4E l ? • J?l.?t? . ?
. a. I 17. o x °lr"
h. l;3, 75 x "„" 7 YJ
,t,,,l
x
3. ................................ 'toi.a]
r.
I.^ item N3 is the 5ame as, or les= '-h:,n .iten X1, you n1ve met the intent
or ssc 6oo6(c)2. .
T,
. Lc?- gL ,U , CITY USE ONLY
SUBD. ZVjk&?
RECEIPT #:
RECEIPT DATE:
1998 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQPOH xD
EAGAN, tM1 55122
(612) 681-6675
Please complete far: D single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x ?- _ .oo
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x 3"00
Laundry Tray 3.00 x 3.00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I =
o
3.0
Floor Drain 3.00 x 1 = 3.vo
GaSPipingOUtlet `minimum-1 3.00 x
Rough Openings 1.50 x =
Water Softener "for dwellings under wnst1uction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Spfinkler ' for dwelling under const. 3.00 =
U.G.Sprinkler `forexistingdwelling 20.00 _
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurtished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL ?S.SU
------------------------------• • --------------------------------------- • • -----------------------------------------------------------
I hereby adcnowledge that I have read this applicaUon, state that the infortnation is corred, and agrae to comply with all applicable City of Eagan ordinances.
R is the applicanPS responsibility to notify the property owner thet the City of Eagan essumes no liability for any damages caused by the City during its
nortnal operatlonal and maintenance adivRies to the facilities wnsWCted under this permit within City propertylright-of-wey/easement.
SITE ADDRESS:
OWNER NAME: &41 4e-M& L
INSTALLERNAME: kwP(f/Mk/Nd- " f7'l0'. TELEPHONE#: Z?G"I??OS
STREETADDRESS: I9Sq JH?b.11PtivE. (ZI-S '
ciTV: ri_-? STATE: MA)- ZIP: S-S'! ZZ
c
SIGNATURE OF PERMITTEE
JSlFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
?
L CITY USE ONLY BL , RECEIPT#: ?2
/
SUBD. RECEIPT DATE: 44P 60 7
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, MAt 55122
(612) 681-4675
Please wmplete 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 3.°n
Water Closet 3.00 x o0
Bath Tub 3.00 x Z = 6-°o
Lavatory 3.00 x ?r = r7-oc7
Kitchen Sink 3.00 x ;1•e0
Laundry Tray 3.00 x .3 v0
Hot TublSpa 3.00 x =
Water Heater 3.00 x -
Floor Drain 3.00 x
Gas Piping Outlet " minimum -1 3.00 x ,?7`
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G.Spdnkler "fordwellingunderconst. 3.00 =
U.G.Sprinkler 'forexistingdwalling 20.00 =
AltefatlOnS ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems • Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL W-Sa
------------------- ---at - ----•ve -- - • •------------------------------------------------ • --------------------------------------- • ----------
I hereby adcnowledge th I ha read- lhis applicatian, state fhat the in-formation is corred and agree to comply wifh all applicable Cily of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no IiaDility for any damages causad by the City during its
nortnal operetional and maintenance activities to the facilities constructed under this permit within Ciry prapertylrightof-way/easement.
SITE ADDRESS:
OWNER NAME: 6'Yt h6?-ra?? y
`
INSTALLERNAME: w'?(??tl?. TPLUYYI'A/!lI± ? ???TELEPHONE#' 7a-
STREET ADDRESS: 16755 I`-,? a
ciTV: aA"-)1j STATE: I21N- ziP: SS! z Z
SIGNATURE OF PERMITTEE
J5lFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
/ CiTY U38 ONLY
L BL Co RECEIPT #' ?3 93p
/
SUBD. RECElPTDATE:
1997 MECHANICAL PERMIT (RESiDENT1AL)
C17Y OF EAGAN
5836 PILOT KN08 RD
EAOAN, MN 65122
(612)8814676
Please complete for. . single famiy Gwellings
? townhomes and.condos when pemiits are required for each unit
New construction Add-on furrtace
Add-on air condi#ioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee; Add-on/Remodel (exlsting residence onfy) $ 20.00
? HVAC: 0-100 M BTU ;,;pp?
Additional SO M BTU 8,00
? Gas Outlets (minimum of 1 requireci @ $3.00 each) 3•OD
? State Surcharge .50
TOTAL a-7 . -?j6
S1TE ADDRESS:
OWNER NAME:
IN8TALLER
,--7 q 6
STREET ADDRESS: - W01
cirr: _ H'CUm L a.16
PHONE#: 'T3k4dU
PHQNE #: 73 U- 77Y 7
L Z, : ss3oy
L BL /O
arr use oNLY 93 93 9
RECEIPT #- RECEIPTDATE: 401'v_31FS'
1997 MECHANICAL PERMlT (RESIDENTtAL)
ClTY OF EAGAN
3830 PILOT KNOB RO
EAOAN, MN 66122
(813)8814875
Piease complete for. . single family dwellings
? townhomes and,.condos whan pertrft are required for each urtit
New construction Add-on fumace
Add-on air condi#ioning Add-on air exchanger, i.e. VBnee system, etc.
Date:
-T-'
I.1*q
? Minimum Fae: Add-on/Remodei (existing residence only)
? HVAC: 0-180 M BTU
Additianal 50 M BTU
• Gas Outlets (minirnum of 1 required @ $3.00 each)
? State Surcttarge
TOTAL
$ 20.00
"Q y.Z) b
3.00
.50
?
a ?, so
S1TE ADDRESS: ?
OWNER NAME:
IlJSTALLER
STREET ADDRESS: - y? Y /( 2t42L(?=
crTM: 446,CYI L a'k?' STATE:
PHONE#: ?q3
424 Qnc PHQN6 #A&L1? 77y 7
/?'=.. ZIP: G53? v
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109451
Date Issued:03/12/2013
Permit Category:ePermit
Site Address: 3740 Burgundy Dr
Lot:2 Block: 06 Addition: Seneca Hills
PID:10-67125-06-020
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.
Heather Brockman
21210 Eaton Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Champ
3740 Burgundy Dr
Eagan MN 55122
(612) 723-2945
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r---
I For Office Use I
I
Z
1 (2)1
Permit City
Permit Fee: lp I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: - I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/9c~//g Site Address: 37400- 37ela &~gd,JPl- Unit
I Name: Phone:
Resident/ /
Owner Address / City / Zip: 97V0 -.37 y.Z
Applicant is: Owner --X'Contractor
r
I Type of Work Description of work: ) r aAl - reAvojol- /"l
j
Construction Cost: bG~i 6-00 Multi-Family Building: (Yes- / No
i Company: Z ✓l e'T ry l/i7g1o,7 Contact:
Contractor Address: ;~21k" Suis~ 4✓ City: j',!7,41S
l
State: _ 4 Zip::j.'SzJI -J Phone:
I
i
License Lead Certificate Yf f -
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:
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.aopherstateonecall.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 St to Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applica s ignaturW,
Page
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109451
Date Issued:03/12/2013
Permit Category:ePermit
Site Address: 3740 Burgundy Dr
Lot:2 Block: 06 Addition: Seneca Hills
PID:10-67125-06-020
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.
Heather Brockman
21210 Eaton Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Champ
3740 Burgundy Dr
Eagan MN 55122
(612) 723-2945
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature