3771 Burgundy Dr
INSPECTION RECORD
OTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: L9
(612) 681-4675
SITE ADDRESS: I j 1 { APPLICANT:
` ~ GS$~ Z32Z
itl;~~ttl'JEt'~ kit: • ~~i i+~ .
rll , l j ~ l ;1 ~
PERMIT SUBTYPE: TYPE OF WORK:
I kw
INSPECTION DATE INSPTR. INSPECTION DATE INSPTR.
1 { I l l
I
+ iti't;~l I i` , t f i :pill.li
r
Permit No. Permit Holder Date Telephone #
• r
ELECTRIC
t
PLUMBING
HVAC , 3 -7
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST y7 pyt~
Z l OAFS Nod
INSUL
GYP BOARD
FIREPLACE /
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG td L(
ORSAT
TEST
BLDG FINAL -Z3'°19
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
f 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.
:lVl 1 I i;i, t, r
f?i~l t V!I ~;rf 7 (d1i
I it) I . III ~ f t f t :S' }
. flliil{ I rl t't , 711 .11 I If ti I'.
~Iril I 1 II V, ~i
'r plrlF:'1:'r ,'F I;~7 I .I; Illi
Permit No. Permit Holder Date Telephone N
ELECTRIC
' PLUMBING
HVAC IV
Inspection ate In Comments
FOOTINGS y 7
FOUND ~8 7
FRAMING 8-7-g7 A46 y'Cl' .~+i3 a..tc i~r 5
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS
TEST VC
INSUL
GYPBOARD L
FIREPLACE 7
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG 6 2/ j1
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
i
INSPECTION RECORD
01TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
tti:c lrtt p i at MIMI lit,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
c'fl~lt~~i IfJ 1'I i 1;1ifi I fJ II''
f rJti 1 I I I 1
I MttF:! r~ ' I t 7 r~i
I
Permit No. Permtt Holder Date Telephone #
ELECTRIC
PLUMBING 9
HVAC y
Inspection Date Insp. Comments
FOOTINGS 5-12
FOUND yoZ3l d
FRAMING I q q 7 I,e
ROOFING !
ROUGH
PLUMBING "17 2, M
PLBG
AIR TEST j
ROUGH
HEATING
GAS SVC
TEST -Cj ,7
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG t !
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
i DECK FINAL
&r fifficate of cccupanc~
WO of Wagan
Zoo t t cut of 8xOWS an>3pcction
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 Clamifecibon: K LTI(ADD'L) i OF 3 i)1fITS Bldg. Permit No. 2%74
Ot: UP-cy Type RM 1 Zoning District -RQ Type const. VN
OwnerofBuildingG M Cl..l'ES INC Ad&. 15025 7TER A . APP IF VAIXEEY
Building Add,. 3771 HUMODY DRIVE L.owity L3, B3, SENE A RMS
Date:
Building Ofrtcial
POST IN A CONSPICUOUS PLACE ff
Wertificate of Cccupanc~
Mtv of Wagan
Tep rtnteut of zKoiug ~3nl5pectiun
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. Far the following: ti
use classirkadorc MJLTI(AM'L) 1 OF 3 UNITS Bag. Permit No_ 29673 '
s,
Oocupanry Type L;3h1 uT 1 Zoning District R3 Type Const. VN
Owner of Building G M IMES IIC Address 15025 G AZUR AVE, APPLE VALLEY
Building Address 3773 BURGLM M DRIVE Locality L2. B3..SMA MIS
/ %!7
Date:
Building Official /
POST IN A CONSPICUOUS PLACE
e _
I&,Mf irate of cccupaic
COO of Wagan
~epa~rtaicat of ~uit~iag ~a~{r'ectiva
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:
WC CtaWifiotion:KTI(AM= 1 CF 3 UNITS Bldg. Permit No. 24675
00-P--Y Type R/ Q 1 Zoning Maim R3 Type cone. VN
Omer of Building G M HCM DC Address 33935 GLAZIER AVE, AME VALL Y
Building Address 3775 BLTOONM DRIVE tLxclity L.1, B3,W.A ■ I S
Dare:
Building Ofl'wW
POST IN A CONSPICUOUS PLACE
Mar.19. 2008 8:49AM Crest Exteriors No.8143 P. 4
g~~CQ o c27 x5--
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NO-C"nicton RedWreinents RemodellRecajrReaimements Ofica Dse nriN
3 registered site surveys showing sq. ft. of lot, sq. R. of house; and &I roofed areas 2 copies of plan showing iooings, boams,joish Cad of Survey Recd ~Y _N
(20% madmum lot coverage allowed) l sal of Energy Calculations far heated additimrs Tree Pme Plea Recd ~Y _R
2 copies ofO On shvaing beam 8window sizes; poured found design, etc. t site survey for additions 8 decks Tree Pres Required Y _ N
15ol of Ener yCalculations Adddion•indicate ilon-sds septic system cn:site Septic System ~Y _N
3 copies of Tree preservation Plan d lot platted after 711193
RM Joist Dated options selection street (buildings With 3 of loss units)
Minnegasco mechanical ventilation form
Date 01 19 1 ~m 2 Construction Cost 41 12 . [)a-) • Ub
Site Address ~1-t t r sJ uY=d Unit/Ste #
Gl1,M( e{ _
Description of Work
Multi-Family Bldg YN n Fireplace(s)) p_ 0 - 1 2r,, ~4I
Property Owner I~1 f S /I U n a"IU Telephone N (li! Ia') vCl I SIR&
Contractor Gre6t Exterior.
Address nn aa~~a Ci~11~~P~1~•q~~ -r1VP.n~~ti city lnQjbn
CC
State tvl I (1 pP5 } Zip 4 c_ Telephone # (Vjy) - [(j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7470 Category 1 _ Minnesota Rules 7672
Energy Cade Category • Rasldantrei Venklalion Category 1 Worksheet New Energy Code Worksheet
(d submission lypa) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lost 12 months, has the City of Eagan issued a permit for o 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 l
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.
Ky ysld 11*'Won nr ➢ Q 4 fl~ t~~l~
Applicant's Printed Name Apple ant's Signature
sta looa Tyyp~:tl es-ID-vo
,ass-a
2422 Enterprise OrTYe
74C Mendota Heights MN 88120
ER SURVEYORS LmL ENMiEETiA (61Z) 881-1514 FAXS881-9488
ROSCAPE ARCHITCCal e25 Highway 10 N.E.
Blaine, MN 59434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: GM HOMES
_ LOT 1 - 3775 1URGUNDY DRIVE
LOT 2 - 3773 BURGUNDY DRIVE
LOT 3 3771 BURGUNDY DRIVE EWAN
OU TLS c.e. 8
f del ~z I804 a £MFNr a a I , BY ~o yea
; Ereoo
i'p` N&0wWF~e r'R Pi UnGIt)'
! w ! o~ y P€CNON9])EPT.
v`Y ty- C os,31 1 00 1`'1280 " 815.7
a'da.B 12.5 ~'s,87 I I
480R o1 5 3.8 _03653) I (ff03,5 I+i
If
o / I ! J o 2 1 .00 - 4
F 4.5 0 30 1-l 815.8
pgo g
I 2.'7 / ~~I NOUSE ~ M PR PO p F 13,
H 2 (J/b r- vOUSt Q PR PQSEO 6.67
w f! J p _ ~~R USE 'T
03
4 Y _
o n Q 4 ARAGE o
GA AGE 41 M1Y
It
11.53 21.§3 2 /M GARAA I 29.7 F~:A?
20 If i F319 x•5.80 O !o I /N80 0 ii 17.0
' p8
lo wIt- -of -d I f
SERVICE
INV.=799.6 A' (PROPOSfifS)
+ 809.8 ~SERVICE
o Tv NO C INV.=800.4 V,SE~VICE
808.9 + p~ ~yR6 (UNDER CONSTRUTTON) 810.3 1 =801.4
vJBURGU
NDY DR I Vr (PROPOSED) C.B.
BOP OF PIPE
ELEV. x811.69 1
ED
074 BENCH MARK ,
a TOP OF PIPE
rOO v _ 33- ELEV.-813.59
Z 0 2166 Ee~_-1 F ~7
-FAG
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES MOM PER GRADING PLAN n PIONEER LOWEST FLOOR ELEVATION; 605,(~
N07EI SUILDITO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF BLOCK ELEVATION: Q14
OF S7NT1,Q_TURES ONLY. SEE ARCFETECIUAL PLANS FOR BUILDING AND
FOUNDA N DIMENSIONS. GARAGE SLAB ELEVATION:
NOTE: NO SPECIFIC SOILS INYESEDATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED 15 NOT THE RESPONSIBILITY OF THE SURVEYOR K 000,00 DENOTES EXISTING ELEYATION
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN t 000•00 I DENOTES DRAINAGE ELEVATION
EASEMENT
THOSE SHOWN ON THE RECORDED PLAT. - : DENOTES DRAINAGE FLOW DIRECTION
DENOTES DRAINAGE ROw D DIRRECTION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DEMON. -6 DENOTES MONDMENT
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 9 FETES OFFSET HUB
WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOOTS G1;N 2 MIaNcNESv BLOCK 3, SENECA HILLS
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 26TH DAY OF FE9., 1997.
tONEDPIONFER EN~ERI . P.A.
SCALE . 1 INCH = 30 FEET REVISED 4-1-97 r ~
REVISED 3-31-07 LOT J BLDG.
1588 98541.08 SOUK REVISED 3-20--97 Jan .Corson. LS. Reg. N,: 19828
T0'd
LOT SURVEY CHECKLIST FOR RESIDENTIAL
t BUILDING PERMIT APPLICATI
PROPERTY LEGAL: Z 3,-~,~ .a~~ ✓
DATE OF SURVEY: -71
LATEST REVISION:
DOCUMENT STANDARDS
❑ • Registered Land Surveyor signature and company
❑ Building Permit Applicant
Cr" ❑ ❑ • Legal description
i ❑ Address
ET-'O ❑ North arrow and scale
2,0 ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
ar' ❑ ❑ • Directional drainage arrows with slope/gradient %
❑ ❑ • Proposed/existing sewer and water services & invert elevation
❑ • Street name
❑ ❑ • Driveway
ELEVATIONS
Existing
❑ Sewer service (or Proposed)
Gf'~-t3' ❑ • Property comers
❑ Top of curb at the driveway
or/ ❑ Elevations of any existing adjacent homes
Proposed
CY" ❑ ❑ Garage floor
❑ • First floor
❑ ❑ Lowest exposed elevation (walkout/window)
~j❑ ❑ • Property comers
❑ ❑ • Front and rear of home at the foundation
PONDING AREA Co applicable)
❑ E K0 Easement line
❑ • NWL
❑ If ❑ • HWL
❑ • Pond # designation
C3 ❑ • Emergency Overflow Elevation
DIMENSIONS
1?-'0 ❑ • Lot lines/Bearings & dimensions
❑ ❑ • Right-of-way and street width (to back of curb)
❑ Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring permanent footings)
❑ • Show all easements of record and any City utilities within those easements
❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ • Retaining wall requirements, if any
Reviewed:
ame / ate
January 1996
CRA1019Q6Ak GPRMT.FM
QWf OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 7 4
(612) 681-4675 Date Issued: 04/04/97
SITE ADDRESS:
3771 BURGUNDY DR
LOT: 3 BLOCK: 3
SENECA HILLS
P.I.N.: 10-67125-030-03
DESCRIPTION:
- 1 OF 3 UNITS
Building Permit Type MULTI. (ADO'L.)
Buildk'Plg.,Work Type NEW
` UBC occu4ncy R3/U1
Constructiova' Type VN
Zohing 11, R3
Building 'Lem 38
Budding Width 58
BuiTdirig stories 2
i.C.ensu's' @dde 102 1 - FAM. ATTACH
fr,:
REMARKS:
ZERO LOT LINE
S & W PLBR: WENZEL MECHANICAL
FEE SUMMARY:
VALUATION $116,000
Base Fee $967.25 MISCELLANEOUS $1,539.50
Plan Review $628.71 Total Fee $4,143.46
Surcharge $58.00
SAC $950.00
SAC % 100
SAC Units 1
Subtotal $2,603.96
CONTRACTOR: - Applicant - ST. QMNER:
G M HOMES INC 14314900 200T5307 G M HOMES INC
15025 GLAZIER AVE 205 15025 GLAZIER AVE 2
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4900 (612)431-4900
state that the
I hereby acknowledg-e that I have read this app lcatl~on and
information is correct and agree"to comply with'all applicable State of Mn
Statutes and City of Eagan ordinances.
r v-Qa l(ft1R ball m
A P CANT/PERMITEE SIGNATURE SUED Bejr: S AT E
j 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
t
e4Y~'~~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681.4675
New Construction Reauirements Remodel/Repair Recuirements
e 3 registered site surveys e 2 copies of plan
e 2 copies of plans (Include beam & window saes; poured fnd. design; eta) ♦ 2 she surveys (exterior additions & decks)
e 1 energy calculations e 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan h lot platted after 711/93
required: _Yes _ No '
DATE: CONSTRUCTION COST: /7q voo.
DESCRIPTION OF WORK: Seneca Woods TTownhomes - (!4A&~;(E2
2 -7 -7 ST7~ - C-iEvV7~
STREET ADDRESS: ' !1 U_` 7 1(~ l l~a~
LOT BLOCK SUBD./P.I.D. j,jjj4/'j ry A
PROPERTY Name: G.M. Homes) Inc. Phone 431-4900
OWNER u.
Street AddraM5 Glazier Ave. #205
City: Apple Valley State: TIN Zip: 55194
CONTRACTOR Company: G.11. Homes, Inc. Phone
Street Address: 15025 Glazier Ave. #205 License M 20025307
City: Apple Valley State: 124 LiV24
ARCHITECT/ Company: KLF Designs Phone 371-rr244
ENGINEER
Name: Registration M
Street Address: 8791 :",nollwood Drive
City: Minneapolis State: MIq Zip: 55347
Wenzel Ilechanica 1
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
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:
CEIVED
OFFICE USE ONLY
Certificates of Survey Received _Z~yes No MAR 3 1 1997
HY:
Tree Preservation Plan Received Yes - No Not Required
OFFICE USE ONLY r
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
~-D2 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex n 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace a 21 Miscellaneous
❑ 05 SF Misc. x`-10 -7 -plex 15 Deck
-
Ile
WORK TYPE ~20 CDT I
X31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) -ir- /V Basement sq. ft. /--Kg; MC/WS System
(Allowable) ,l N Main level sq. ft. IS -1418 City Water o~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning 2 3 sq. ft. PRV
# of Stories z sq. ft. Booster Pump
Length _ C.,4, sq. ft. Census Code. oz
Depth _.5-,~r Footprint sq. ft. SAC Code 6 1
Census Bldg i
APPROVALS Census Unit _L
Planning Building Engineering Variance
Permit Fee Valuation: $ r r 0.90
Surcharge
Plan Review
License
MC/WS SAC
City SAC pr» r. lS/,/$ /S = Z 3, z2o
Water Conn. g 1, ssz
Water Meter as N ~s / x fY
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. _
Road Unit t / Loo
Park Ded.
Trails Ded.
Other / O 6
Copies
Total:
% SAC
SAC Units
FsI;-.I;:oP. i.AV I'GM:}': "U" COMP11'rA T I:)(! ~~t \
ST CE AJ,:47S11 ~L.-i`i [_L_ 4'~ L•.J_-' uy~ l~ T I ~J ',v l~' i.-~C Ill CNM
CONTRAC`TOn C-1VA 1 C__- DATF PBOPF
F~Aiti\pj~r~ Si"lr= I-IADI.EY ~~rrt~ 'v.v.~~~N 1
Determin vorhinr,s~quare footvtc of each- .1
1. Total exposed wall area sq- ft. x O'11 = t r7~-12z
- 3- Total rocf/ceiling ares sq. ft- z 0,026
- J 1 JTotal exposed wn.tl area nbove floor
a. Total wall window area . ~a0
b. TULal duur area 'Z, °7
c. Total sliding glass door area O
d. Total fireplace wall area _
C. Total vall framing area (averace loi)
f- Total net vall area above floor 077__
g. Total rim foist area 144a
Q ~
Total exposed foundation area = 8•~5
h. Total foundation window area
i. Total net foundation area above grade
Det/eermiine "U" value of each wall segment. Q
a. X 'lull
b. x nun 7V o .
C. -0 X
b d. O x
f. oul X 043 .4IO
i. x ..U„ Utz _
3 . TEL,, = I ~~3.(
If item N3 is the same as, or 1ea:: t.h:.n it~.n XI, yov have met the intent
or sbc 6oo6(c)-.
&_GM 6 $
1"S9W1eiAre. Ste. 20
o~Glb if~k~ ,NN 5517A
Totul c..p+ d roof/ccilinr, Nrv:i
~ Z
Total vross roof/ceiling ate:t
.1. Total skylight area J
X- Total roof/ceiling framing Brea....
1. 'T'otal net Insulated ruuf/ceiling area
Determine "U" value for c,ch roof/ocilsc(,ment..
CD x ..Un
S IU_ x "Un r 0K _.7 =
.~z
k. 2
Total = 2~,~ z
Ti total of fit, is the same as, or less than #2, you have met the intent of
SBc 6oo6(c)l.
To utilize the total envelope system method, the values established by the
sum of items I3 and BL shall not be greater. thr the sum of items A'1 and Y2.
1. 1 7Z. 1(z, fi 2. ? 3
. 3-. I J . I
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 7 3
(612) 681-4675 Date Issued: 04/04/97
SITE ADDRESS:
3773 BURGUNDY OR
LOT: 2 BLOCK: 3
SENECA HILLS
P.I.N.: 10-67125-020-03
DESCRIPTION:
1 OF 3 UNITS
Buil^4..ng Permit Type MULTI. (ADD-L.)
"Buildik,"ork Type NEW
UBC Occupancy R3U1
Construction, Type VN
Zoning -1 R3
Building Length 38
Building Width) 56
~BUild.ing, stories 2
ri.v denn-sus"So4eO` 102 1 - FAM. ATTACH
LZl Y 1LI:
l ! „
4~ (t
I{
r t i t "e.J`~f ° t`lf 1Y ttE f
f .M. V
REMARKS:
ZERO LOT LINE
S & W PLBR: WENZEL MECHANICAL
FEE SUMMARY:
VALUATION $108,000
Base Fee $927.25 MISCELLANEOUS $1,539.50
Plan Review $602.71 Total Fee $4,073.46
Surcharge $54.00
SAC $950.00
SAC % 100
SAC Units 1
Subtotal $2,533.96
CONTRACTOR: - Applicant - ST. OWNER:
G M HOMES INC 14314900 200 5307 G M HOMES INC
15025 GLAZIER AVE 205 15025 GLAZIER AVE
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4900 (612)431-4900
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 Mr
3 -
StatuteeRIATURE ty of Eagan Ordinances. J
APPLIC SUEOOPY:kStGtNA UR
4F99673 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements Remodel/Repair Reeuiremerds
# 3 registered site surveys # 2 copies of plan I
# 2 copies of plans (Include beam & window sixes; poured fnd. design; etc.) # 2 site surveys (exterior addition & dada)
# 1 energy calculations # 1 energy calculations for heated additions
* 3 copies of tree preservation plan B lot platted after 7/1193
required: _Yes _ No
DATE: CONSTRUCTION COST. 7g (od {
DESCRIPTION OF WORK: Seneca Woods Townhomes - RN~\1gz S-T`7(-- Ffwo( y
STREET ADDRESS: ~-77 Roe
L-~U r~ l u1~ Y l tJ
?
LOT r _ BLOCK_ SUBD./P.LD. ~~m ortr
PROPERTY Name: G.M. Homes, Inc. Phone 431-4900
OWNER 7 Street Add4W-1 Glazier Ave. #205
City. Apple Valley State: IIN Zip: 55124
CONTRACTOR Company: G.M. Homes, Inc. Phone
15025 Glazier Ave. #205 20025307
Street Address: License
City: Apple Valley State: MN 2§024
i
i
ARCHITECT/ Company: KLF Designs Phone 371-0144
ENGINEER
Name: Registration
Street Address: 8791 Knollwood Drive
City: Minneapolis State: Pw Zip: 55347
Wenzel ilechanical
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
{ G
OFFICE USE ONLY v L RECEIVED
I
Certificates of Survey Received Yes _ No MAR 31 1997
4
Tree Preservation Plan Received _ Yes - No _ of Required RV.
C°' 2 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 e ❑ 21 Miscellaneous
❑ 05 SF Misc. ~o- 10 - ❑ 15 Deck
WORK TYPE -zj 12 O T L/ellz
.9~-31 New ❑ 33 Afterations
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) ^1 Main level sq. ft. .4,~75-- City Water
UBC Occupancy / sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length 3P1 y2e . sq. ft. YG 2- Census Code. 162-
Depth .1~z Footprint sq. ft. SAC Code o !
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit j
SAN Permit i
S1W Surcharge
Treatment PI.
IV
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
4. SANITARY SEWER SERVICES INVERTS ARE SHOWN AT
5. SANITARY SEWER AND WATER SERVICES ARE CONSTRU
RIGHT OF WAY. PLACE CURB STOP BOX ON PROPERT"
A. 11+06.95 FOR THE PRIVATE DRIVEWAYS, SANITARY SEWER AND
BE CONSTRUCTED TO 10' BEYOND THE BACK OF CURE
8"22%2 BEND BOX BEING PLACED AT THE END OF THE SERVICE.
1-8"11 BEND
CONNECT TO EX. 8" DIP W/8" G.V. & BOX
& 1-8"45' BEND & 1-8"221/2 SEND -
MH STA. 7+45.53
3
I STA. 8+95.53
x ` .
'q* atr A W MH STA. 5+45.
e - I a 4
\ S&W 0+98 SM t+48 S&N 1+88 _
- CS-M9.6 CSm810.4- ` CS~911 4 - S&W 0+38 • N 0+8'
i SatYY 1+19 S~Nt D+42- INVa799.6 INV-800.4 tNV.801 4 X8134 . CS-816.0
CS=80&3 CS-M9.4 ; : n ` - i fNV•'803 4 : INVsg08 C
INV-79&3' INVe799.4 j / -
+00
6+'~ _ _ I 8 G.V. f
_ & BOX
1-8"22 2• BEND---
V,.SB CSr 7gW 1t41 ' 53Mt 0+34809 ItN~7999 ? CS-814.48
s,fNk.a?~ass fi~e+4~~7e9.5 HYDRANT INV-804.4
B' ~e 6 TEE S&W 0+84
f 11'-6"DIP, CL 52 y iNV.•ao5.9
GND. EL. 811.6
ORIGINAL GROUND : • .
PROPOSED GRADE - 811:66:
:NIH RE==:12.15:•••...
RE= 808.64 1-
MN 11.12 = 800:20- ~ i . .
. •r vc SCR 35.
CROSSING H ;;B.P..
MIN- ...5 LOWER WAjERK
. . . . . .COVER. 8„pVC
199SDR :188 LOW S~'
"6
CRQSSIt~tG :
CV t
Ufa,,,.
. .
In ~
: cj -
Z Z .
. • V. INV.
wER LOT 13. BLI
yM AT STA.4+60: SER
LO
PER CITY R0AEW 3 ADD Wm CONNECTION TO VERMILLON PROPTLE V►IER gc WATERS
REV. SHEET NO S. Date 5/28/96 sHSAW~TARY SE
Revisions Des ned
1, ?/E/9f' Drawn SAG
/96
'a6 8/15/96
8M STA. 11+21.91-••
112 16.25 RT. CONNECT TO
EXIST. 15° RCP
C8 STA. 11+16.47`
114 16.0 RT. -
MH
101
CBMH STA. 6+76 50 - : -
102 Lfi_2, RT.
*00
_ 103 16. C
r Or" U• -
61T
, - F~'C rI; ;DR iaiVF:LnI'p A1'Fi. pea: Ct)Mi'1 [TA';' I~>:1 Q-
srrs n(U (rk ;1~~J r1~1"t
CONTRACTOr, DATE i-7 rHOni ~51
Determin worl,inr. square footal:c of each.
1. Total exposed wall area I UJ (r) sq. ft. x 0.12.
_ ~ln. ~~O 1
2. Total rocf/ceiling area 1 sq. ft. x D~026 = Jf.~(
•
Total exposed wall area above floor
a. Total wa11 window area 9~ Z.5
. Total fluor area .
C
C. Total sliding glass ss door r area
d. Total fireplace wall area
e. Total wa11 framing area (average lop') I(>s _
f. Total net vall area above floor
g. Total riza Soist area S(,
Total exposed foimdatior. area = 8.75
h. Total foundation window area
i. Total net foundation area 'above grade
D^t-7err.,ine •'U•• value of each wall segment. o~ q
a- x 'lull
b. n)x ..U„ 0 30 1~ .
C. x
d. LJ x .,u,. 09 ~J
I O x ,.U., a oS~ g •~9
f_ ~nq J_ S x ..u.. L3-- _ 27 7s
9- x "u" 01
..U.. - 0--
3 . :M-17 I U 1, A
If item N3 is the same as, or le:;r iL~m Ali, you have met the intent
of SEC 6uo6(c)2.
4-k*
GM
6 9
/V25 6^10nerAre. S/e 20S
Apple Va//ey. !/N S-/p4
T'oLUl rw Nu~cd roof/ceiling Nr~=i = _ ~.i-___,
Total P.ross roof/ceiling er e:r
Total skylinht area
k- Total roof/ceiling framing area
1. Total net Insulated ruvf/ceiling arcu
Uetenalne "U- Yalu,, for rnch r.ruf/ccilfni,, serr>nent.-
x 'lull -0 %
rt rr
k.U(o x
1.q~ x ,.U,. 0195 = 2(~.3~ .
4 . Total =
if total of #4 is the some as, or less than ,V2, you have met the intent of
sBC 6oo6(c)l.
To utilize the t.ntal envelope system method, the values established by the
sum of items X3 and B4 shall not be greater. than the sum of itea:s 11 and Y2.
2.'-= I53.9~
o •
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 7 5
(612) 681-4675 Date Issued: 04/04/97
SITE ADDRESS:
3775 BURGUNDY OR
LOT: 1 BLOCK: 3
SENECA HILLS
P.I.N.: 10-67125-010-03
DESCRIPTION:
1 OF 3 UNITS
Building Permit Type MULTI. (ADD'L.)
Buldirl,,g,zWork Type NEW
UBC,Occup'ancy R3/U1
P Construction Type VN
Zoning R3
Building Length. 38
Building Width 56
=8U3i1dLp,g storAes 2
\!_>>.Census` Cod*,`' 102 1 - FAM. ATTACH
REMARKS:
ZERO LOT LINE
S & W PLBR: WENZEL MECHANICAL
FEE SUMMARY:
VALUATION $108,000
A
Base Fee $927.25 MISCELLANEOUS $1.539.50
Plan Review $602.71 Total Fee $4,073.46
Surcharge $54.00
SAC $950.00
SAC 100
SAC Units 1
Subtotal $2,533.96
CONTRACTOR: - Applicant - ST. OWNER:
G M HOMES INC 14314900 200:15307 G M HOMES INC
15025 GLAZIER AVE 205 15025 GLAZIER AVE 2
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4900 (612)431-4900
I hereby acknowledge that I have read this application and state that the
information' is correct and 'agred'to`comply'with all applicable State of Mn
Statutes and Gity of,Eagan ordinances. J
u ~ort R ct~,U MA
A CA lPERMITEE SIGNATURE ISSUED SIGNATURE
44-A 9 051997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681•d675 ~11J (L4►,~J1~
New Construction Reeuirements Remodel/Reoeir Reouirements
e 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (inducts beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
• 1 energy calculations • 1 energy calculations for heated additions
♦ 3 coples of tree preservation plan It lot platted after 711/93
required: _Yes _.No
DATE: CONSTRUCTION COST: 8A ~6 2.0
DESCRIPTION OF WORK: Seneca Woods Townhomes - RAMNsj -~5r-(LF -(H) O__ Ei
STREETADDRESS: U 2WE
LOT BLOCK_ SUBD./P.I.D. ju/
PROPERTY Name: G.M. Homes, Inc. Phone 431-4900
OWNER .rc
StreetAddrjjg25 Glazier Ave. X1205
City: Apple Valley State: PIN Zip: 55124
CONTRACTOR Company:G.tt. Homes, Inc. Phone
Street Address: 15025 Glazier Ave. #205 License 20025307
City: Apple Valley State: M` ZiP124
ARCHITECT/ Company: KLF Dpgi ons Phone 2;3--WA4
ENGINEER
Name: Registration
Street Address: 3791 :Knollwood Drive
City: Minneapolis State: MN Zip: 55347
Sewer & water licensed plumber (new construction only): L?enzel Mechanical Penalty applies when address change
and lot change are requested once permit is issued.
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
U
OFFICE USE ONLY RECEIVED
Certificates of Survey Received Zes _ No MAR 3 1 1997
Tree Preservation Plan Received Yes No V'/ Not Required BY'
OFFICE USE ONLY • ;n=
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~ a---14--Fireplace~_ _ n 21 Miscellaneous
❑ 05 SF Misc.. p` 10 -plex ❑ 15 Deck
WORK TYPE /O
,0=31 New ❑ If rations ❑ 36 Move C_.
❑ 32 Addition ❑ 34 Repair ----❑-_.37 .Demolition-------------------
GENERAL INFORMATION
Const. (Actual) ILY Basement sq. ft. /Y-75-- MC/WS System
(Allowable) W Main level sq. ft. /Y3s° City Water
UBC Occupancy -3 4-/ sq. ft. Fire Sprinklered
Zoning /z 3 sq. ft. PRV
* of Stories z sq. ft. Booster Pump
Length sq. ft. 4'L z Census Code. 102-
Depth -52~_ Footprint sq. ft. SAC Code 0/
Census Bldg i
APPROVALS Census Unit
Planning Building Engineering Variance
Permit Fee ` Valuation: $
Surcharge
Plan Review
License_
MCNVS SAC =
~r = Z/ SAS
City SAC /`/35 x
Water Conn.
Water Meter IYAW
Acct. Deposit 7 7, yr °
S/W Permit
S/W Surcharge ~
Treatment PI. y`y X, 7, 3 z
Road Unit
Park Ded.
Trails Ded. /jLGK ' ~~Zct~
Other
Copies
Total: ld 7, Gd
% SAC
SAC Units
l
F:YT~"'t;OP -r:NVFl,nl'F. AVfl.nra': "U" CA)Ni'll'ih';'I: N ~~1 \
STFF ADD:QF;s 'Z.Nn_-~V v'✓1iN-;
CON TR1CT0'n _771'V\ 1-ki l"VNE5 I v,,lC . DATE. I 117 PNON%
(~AMF>1r~ST~~r_ fIAD`C~LLZr t~v~ H l
Determin worhim: square footartc of each. l
1. Total exposed wall area sq. ft. X 0'71 - ' l
2. Total rocf/ceiling area J~ sq. ft. x 0,026 _ F-5'7 3-
• f
Total exposed wail area above floor
a. Total wall window area
b. TULal door erea 3 -7
C. Total sliding gloss door area O
d. Total fire?lace wall area T
e. Total wall framing area (average 10i)
f. Total net vall area above floor
g. Total rim Joist area ........................-.7..... Oka
Total exposed foundation, area = - IS
h. Total foundetion window area
i. Total net foundation area above grade
Determine "U" value of each vall se[;ment-
lull
b. 3-7 x 'lull
x .,U.,
d. (D x „U„ oq
5 (a- x V, a cam I
(
A x I'll" 01
h. T^ . ~J z "i7" 2 U
'lull
3 6 i C,I
If Item q3 is the same as, or les:: ;-h:,n itcm XI, you have met the intent
or sBC 6ow c)_.
GMT
" H O M S S
1-V25C1azierAlae. Sle M
40 Va11e/ MY 5511!
• Total cr p,d roof/ceilinr, .rra:A
r
Total r..ross roof/ceiling; arerk =
J . Total skylight area
k. Total roof/ceiling framing area q
1. Total net lnsulatca ruuf/cciling area _ - I }`jY
Determine "U" value for Inch ruuf/ccilin,•. sc,•ro r_nt.
x 'lull
3z .
-Z
k. x nuu
1. i 39 x lu° o l°S = ~c~l21v.
L . Total = ZZI.(aZ
if total of #u is the same as, or less than #2, you have met the intent of
SBc 6oo6(0i.
To utilize the t.ntal envelope system method, the values established by the
sum of items B3 and 94 shall not be greater-than the sum of items 91 and 92.
S7
7Z Z(o :f 2. ? 31
1.
I
- i to + n. Z~.~,z = I .
J
A.1 PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Number: EA034699
EAGAN, MN 55122 Date Issued: 03/23/1999
(651) 681-4675
Site Address:
3773 Burgundy Dr
Lot: 2 Block: 3 Addition: SENECA HILLS
e;vanlni~~VYMnim'
Description
Sub Type: Lower Level UBC Occupancy:
work Type: Alteration Construction Type:
+µgna,n+dt
Description:, Zoning:
Census Code: Square Feq '
~zx
~lmjt wa a -
Remarks: Plan reviewed by Craig Novaczyk.
Seperate permit required for any plumbingwork.
Call (612) 445-2840 regarding electrical permit and inspections.
Fee Summary: State Surcharge- Fixed 0.50
Permit Fee - Fixed 60.00
$60.50
Contractor: Owner: - Applicant -
St. Lic.: Michael Schwantzbauer
3773 Burgundy Dr
Eagan, MN 55122 651-905-1840
7
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.
Vxn,
Applicant/Permit e: Signature slued By: Signature
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 y C~ 3830 PILOT KNOB RD • 55122 5
l 651-681-4675 qo
New Construction Reguirements amen
♦ 3 registered site surveys showing sq. R of lot, sq. It of house ♦ 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) ♦ 1 set of energy calculations for heated additions
• 2 copies of plans (show beam & window sizes; poured find. design; etc.) • 1 site survey for exterior additions & decks
♦ 1 set of energy calculations
♦ 3 copies of tree preservation plan if lot platted after 7/1193
DATE: ~l J ~f Y CONSTRUCTION COST: 'I-000,
DESCRIPTION OF WORK: all ADDRESS: 3 7 7,3 8 <r~y dY v,
t++ J d-/d o~
LOT: BLOCK: SUBD./P.I.D. M IS C A I Ai l
Name: isa_vPhone#: &'V-I- y~ ery ✓ - /d2 O
PROPERTY Last First
OWNER
Street Address: 7 13 / si V Cl y Z21 -
City 7 Q Q_- State: /t'/ /V Zip: J
Company: At:im 'n Phone
CONTRACTOR
Street Address:-----___ License # Exp.
City - State: _ Zip:
ARCHITECT/
ENGINEER Phone
Name: Registration
Street Address:-_____
City State: Zip:
Sewer & water licensed plumber (required for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, 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: ~7u-~►-~ ~~s
OFFICE USE ONLY
151
19
Certificates of Survey Received Yes No FCE~v
999
Tree Preservation Plan Received Yes No Not Required MAR
rOFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.)
❑ 03 1 of_ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments A 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
33 Alteration ❑ 37 Demolish Bldg. ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
GENERAL INFORMATION
Const. (Actual) Jr' Basement sq. ft. Census Code
(Allowable) ti Main level sq. ft. SAC Code o f
UBC Occupancy 9-3 sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs 6
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee "Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Go
.
651-681-4675
New Construction Reaukements Remodel/Repair Reauiremen
D 3 registered site surveys showing sq. it. of [of, sq. ff. of house 2 copies of plan
and Sill roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam b window sizes; poured Ind. design; etc.) 1 stie survey for exterior additions a decks
D 1 set of energy calculations
D 3 copies of free preservation plan I lot platted after 7/1/93
DATE: 1 7 ~2 CONSTRUCTION COST: 112 DESCRIPTION OF WORK: STREET ADDRESS: 3 7 Gtr I
LOT: BLOCK
Name: Phone
PROPERTY Last Nrst
OWNER d T
Street Address: .3 7 ~5 ~~"'i GfilV~r,
City State: /4 ~kj zip: SS~ Z
41,11
. ~ /
Company: P ~tJ( Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone C area code ( )
Street Address: Registration
City State: Zip:
Sewer 3 water licensed plumber (reaulred for new construction only):
Penalty applies when address change and lot change is requested once permit Is Issued.
I
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments A 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) S Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code 0
UBC Occupancy I? ;7) sq. ft. No. of Units
Zoning eT3 sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building CAM Engineering Variance
csei
Permit Fee Valuation: s
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
L v1 BL 1 I pn 0 _ U CITY USE ONLY RECEIPT 0,600
+w ~t ^ RECEIPT DATE: S19/9
SUED. W ^
Q~Jvy i v 1999 PLUMBINe PERmrr (RESIDENT AL) C
CITY OF EAGAN
3 3830 PILOT KNOB RD
EAGAN, MN 551 EE
(651) 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
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $ o
Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = S
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surcharge .50 > > $ .50
Total > > S 90, d--D
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
I hereby acknowledge that I have read this application, state that the information is coact, and agree to oomply 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: 7,72 P .v,A- VY A, , a , i, lam/ /v
OWNER NAME: S-A'JJA ,t "Z ~ ¢ u e A
INSTALLER NAME: TELEPHONE 6 uo
STREET ADDDRR~ESS: :?77-:? ,Bv,s r v a c! Y s
a
CITY: 7 m q STATE: ,t7 ZIP: J- J ,,Id
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
/ CITY USE ONLY p'
L RECEIPT DO
SUBD. RECEIPT DATE:
PERMIT # ~ 1; 1 1 b
1999 PLUM$INU PERMIT (RESIDENTIAL)
CrrY OF EAHAN
3830 PILOT KNOB RD
EA6AN, MN 55122
(651) 681-4675
Please complete for: ➢ single family dwellings
> townhomes and condos when permits are required for each unit
➢ backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $ A, dt7
Private Disposal S stem new/refurbished ' requires MPC lic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surcharge .50 > > $ TO .50
Total > O 0
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- - -
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof 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: ~ 2 y-&) l b ~ ~ w t ~
OWNER NAME:: ) IKiC (A SAC TELEPHONE G
(AREA CODE)
INSTALLER 'Z- TELEPHONE
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
SIGNATURE PERMITTEE
L / BL CITY USE ONLY
RECEIPT#: le®/ ~S
SUED. / RECEIPT DATE: S In
1998 PLUMING 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
➢ backflow preventer for underground sprinkler system
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 * 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 * for existing dwelling 20.00 =
Alterations * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTALU
- -
t hereby adcnowtedge that i have read this application, state that the information is coned, 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 activi 'es to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: ( r6u oD Dr
OWNER NAME: CAAr Le S K L 1-( A--C '
INSTALLER NAME: S` 1 Lcl) 14 /upA`j~ I r'- Cam. TELEPHONE#:
STREET ADDRESS:
C / ~ / lJ/~ tJ
CITY: STATE: ZIP:
SIGNATURE OF ITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
CITY USE ONLY ~y
L BL RECEIPT#: / ~43
SUBD. RECEIPT DATE: 97
1997 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: 7 7
FEES
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU 24;00
Additional 50 M BTU 0
► Gas Outlets (minimum of 1 required @ $3.00 each) 3.00
► State Surcharge .50
TOTAL a 7,c5~
- - - - - - - -
SITE ADDRESS: 3 ! C3iA ~L! U I / /q
OWNER NAME: COM I~Dni~S PHONE#: / `~3I-0l00
INSTALLER NAME: 1~ Q.(I Vt f1 PHONE z - 7 7// 7
STREET ADDRESS: all Alxk&in ( )
CITY: STATE: ZIP: SSD3y
SIGMA U ERMITTEE
CITY USE ONLY
L oZ 3L RECEIPT ~Woz?
SUBD.~a1 RECEIPTDATE: k ~ 97
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
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) Iff
► State Surcharge .50
TOTAL
SITE ADDRESS
OWNER NAME: (0
/~~Y~1 YVIIl/~ PHONE* ~9C~U
INSTALLER NAME: 1 ! l r PHONE* ci
STREET ADDRESS:Q
CITY: ( >rn (;l k Q.c STATE: 1 r 1~' ZIP:
SIGN T F PERMITT
V CITY USE ONLY .y
L BL ~ RECEIPT
SUBD. RECEIPTDATE:
T' 1997 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) 5.60
► State Surcharge .50
TOTAL ~O SITE ADDRESS:
OWNER NAME: 00 YN W M k lo PHONE#: `T~~ ` 't D O
INSTALLER NAME: -f Y PHONE#: &1-
STREET ADDRESS: ''►LQu__
CITY: 1 t~ ~CSL _ STATE: ZIP: SS 3 U LI
SIGNATU E F RMITTEE
` CITY USE ONLY
~Oo?5 5
L -3 RECEIPT
SUBD. BL RECEIPT DATE: '
1997 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
backflow preventer for underground sprinkler system
FIXTURES EA.HC NO. TOTAL
Shower 3.00 x 1 = ?'00
Water Closet 3.00 x 2 = Oo
Bath Tub 3.00 x 2 = <;D0
Lavatory 3.00 x _ 10=00
Kitchen Sink 3.00 x t yap
Laundry Tray 100 x = 3100
Hot Tub/Spa 3,00 x =
Water Heater 3.00 x 1 = .a f7
Floor Drain 3.00 x = 00
Gas Piping Outlet • minimum -1 3.00 x I = 00
Rough Openings 1,50 x 2 =
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 !existingdweling 20.00
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System • Dak Cty gc. 75:00
(new and. refurbished systems).
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL arQ
hereby acknowledge 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 applicam'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: -7 N
OWNER NAME: G " e-, t~
INSTALLER NAME: V -&'4 MO. TELEPHONE* -9Z, JQ5
STREET ADDRESS: 190 ~4' -
Z Z
CITY: STATE: Y rY/`~ Y ZIP:
SIGNATURE OF PERMITfEE
_ Y CITY USE ONLY
- 9L L 13L RECEIPT
SUBD. /elms ` RECEIPT DATE: $O~3 y7
1997 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
backflow preventer for underground sprinkler system
FIXTURES EACH NO. TA
Shower 3.00 x ! = 3,00
Water Closet 3.00 x 2 = 42 z00.
Bath Tub 3.00 x 2 = (2,00
Lavatory 3.00 x _
Kitchen Sink 3.00 x i ,e0
Laundry Tray 3.00 x = E10
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 1 = a 0
Floor Drain 3.00 x -I- = 00
Gas Piping Outlet ' minimum -1 3.00 x 1 = • 00
Rough Openings 1.50 x 2 = 2,00
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 'toexisting residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System • oak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .60
TOTAL
I hereby acknowledge 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 raspcnsbility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the Curly during Its normal operational and maintenance activities to the facilities constructed under this permit within
City propertylrightof-way/easement. -
SITE ADDRESS: 3 N
OWNER NAME:
INSTALLER NAME: W Z TELEPHONE#:
STREET ADDRESS:'
CITY: hi STATE: ►"f/`~' ZIP: fi~~ Z Z
SIGNATURE OF PERMITTEE
'CITY USE ONLY
L / BL d RECEIPT: aoca77S
SUB D. " RECEIPT DATE: 8a 97
a
'r
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD'
EAGAN, MN 55122
(812) 6811-4.75
.
Please complete for. single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH 1C i TOTAL
Shower 3.00.' x J - - 3.00
Water Closet 3.00. x 2 = •00
Bath Tub 3A0 x 2 = 00
Lavatory 3.00 x 2 = 10- 0 O
Kitchen Sink 3.00 x 1 = ,Oo
Laundry Tray 3.00 x _I 00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x f = e
Floor Drain 3.00 x I o0
Gas Piping Outlet ' minimum -1 3.00 x _ 3.00
Rough Openings 1.50 x 2 = 2,00
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 • Dak city lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 _
STATE SURCHARGE .50
TOTALQ
.
I hereby acknowledge 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 nom,al operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS. r
OWNER NAME;,
`.S7Zr /S-&S
INSTALLER NAME: W 2 TELEPHONE* ~J
STREET ADDRESS:'
STATE:ZIP:' Ss~ZZ.
CITY,
r ,
- SIGNATURE OF PERMITTEE
sta looa Tyyp~:tl es-ID-vo
,ass-a
2422 Enterprise OrTYe
74C Mendota Heights MN 88120
ER SURVEYORS LmL ENMiEETiA (61Z) 881-1514 FAXS881-9488
ROSCAPE ARCHITCCal e25 Highway 10 N.E.
Blaine, MN 59434
(812) 783-1880 FAX:783-1883
Certificate of Survey for: GM HOMES
_ LOT 1 - 3775 1URGUNDY DRIVE
LOT 2 - 3773 BURGUNDY DRIVE
LOT 3 3771 BURGUNDY DRIVE EWAN
OU TLS c.e. 8
f del ~z I804 a £MFNr a a I , BY ~o yea
; Ereoo
i'p` N&0wWF~e r'R Pi UnGIt)'
! w ! o~ y P€CNON9])EPT.
v`Y ty- C os,31 1 00 1`'1280 " 815.7
a'da.B 12.5 ~'s,87 I I
480R o1 5 3.8 _03653) I (ff03,5 I+i
If
o / I ! J o 2 1 .00 - 4
F 4.5 0 30 1-l 815.8
pgo g
I 2.'7 / ~~I NOUSE ~ M PR PO p F 13,
H 2 (J/b r- vOUSt Q PR PQSEO 6.67
w f! J p _ ~~R USE 'T
03
4 Y _
o n Q 4 ARAGE o
GA AGE 41 M1Y
It
11.53 21.§3 2 /M GARAA I 29.7 F~:A?
20 If i F319 x•5.80 O !o I /N80 0 ii 17.0
' p8
lo wIt- -of -d I f
SERVICE
INV.=799.6 A' (PROPOSfifS)
+ 809.8 ~SERVICE
o Tv NO C INV.=800.4 V,SE~VICE
808.9 + p~ ~yR6 (UNDER CONSTRUTTON) 810.3 1 =801.4
vJBURGU
NDY DR I Vr (PROPOSED) C.B.
BOP OF PIPE
ELEV. x811.69 1
ED
074 BENCH MARK ,
a TOP OF PIPE
rOO v _ 33- ELEV.-813.59
Z 0 2166 Ee~_-1 F ~7
-FAG
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES MOM PER GRADING PLAN n PIONEER LOWEST FLOOR ELEVATION; 605,(~
N07EI SUILDITO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP OF BLOCK ELEVATION: Q14
OF S7NT1,Q_TURES ONLY. SEE ARCFETECIUAL PLANS FOR BUILDING AND
FOUNDA N DIMENSIONS. GARAGE SLAB ELEVATION:
NOTE: NO SPECIFIC SOILS INYESEDATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED 15 NOT THE RESPONSIBILITY OF THE SURVEYOR K 000,00 DENOTES EXISTING ELEYATION
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN t 000•00 I DENOTES DRAINAGE ELEVATION
EASEMENT
THOSE SHOWN ON THE RECORDED PLAT. - : DENOTES DRAINAGE FLOW DIRECTION
DENOTES DRAINAGE ROw D DIRRECTION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DEMON. -6 DENOTES MONDMENT
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 9 FETES OFFSET HUB
WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOOTS G1;N 2 MIaNcNESv BLOCK 3, SENECA HILLS
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 26TH DAY OF FE9., 1997.
tONEDPIONFER EN~ERI . P.A.
SCALE . 1 INCH = 30 FEET REVISED 4-1-97 r ~
REVISED 3-31-07 LOT J BLDG.
1588 98541.08 SOUK REVISED 3-20--97 Jan .Corson. LS. Reg. N,: 19828
T0'd
q&
n I l
City of Ea d i! I Permit
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: j
I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2-24-09 Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: Phone: 02 +T50__ ~
~ 51
Address/ City/ Zip: /
CONTRACTOR Name: 01 y_j J_1 Q /l "y License 30' 70 -1"
Address:
City: I Ci State: AN t N Zip: 5
Contact Person:
Phone: )All
TYPE OF WORK _ New V Replacement -Repair Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
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 $165.00 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)
TOTAL FEES $ ✓V'r5u
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.
~ p
x x
App t ant's Printed Name Applicant' ignat ire
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground _ Rough-In Air Test __Gas Test Final
ov 8
co
~ccj 1d Use BLUE or BLACK Ink
r
For Office Use ( ` I
Permit t 1
City of Ea
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
>013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IQ cY / 3 Site Address:377/'3-7Z -377-5' &^d Unit
Name: yG-12 Cc 4 1" , 5- Phone:
Resident/
Owner Address / City / Zip:3771-3773 -172d"'
~vr
Applicant is: Owner Contractor
Type of Work Description of work:,
Construction Cost: - Multi-Family Building: (Yes No
Company(2/72-es- )%Io Zr4e7e,1Ce Contact: R111 MgsaC 1~.
Contractor Address:, h~ -T--
Contractor &D city:
State-2&Z2- Zip:,jsGf l3 Phone: _e" -3-,?1- 04-0 9
License Afo 410 Lead Certificate #:/-1 - 791 - I
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?
i
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
a
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St 'Iding Code must be completed within 180
days of permit issuance.
x- 53 t
Applicant's Printed Names Applica ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171636
Date Issued:08/24/2021
Permit Category:ePermit
Site Address: 3771 Burgundy Dr
Lot:3 Block: 03 Addition: Seneca Hills
PID:10-67125-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Joann E Kratochvil
3771 Burgundy Dr
Eagan MN 55122
(651) 454-5289
Builders & Remodelers Inc
5301 East River Road
Suite 110
Fridley MN 55421
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature