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3737 Burgundy DrINS CITY '4'0`F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: fil IIi P NIII l.i?lid(i i! t4ltsf,4 i4ilAt /''7 APPLICANT: r n t • 1 d: I a4) 0 TYPE OF WORK: r t? ? 1rf? I 1? I 1 I t?1? INSPECTION DA • D• ! ff ,111 ?- 1 i :?(: , . • ' I . ' I.Ijl . . r ; I , . , . . . , , ... . , . .. ? I . ? ? C € c - ? , _ s .4>. " -- -.? ... . . ? . . ?? . . . . - , : ?. .. 3?.:.:...:- ... ??. . .. . ? . . . . . . ON RECORD PERMIT TYPE: Permit Number: Date Issued: Permit No. Partnit Hofder Dete Telephone # ELECTRIC PLUMBING HVAC 1,9 -7 Inspsctlon Date In Comments FOOTINGS lv'Z- 1? FOUND U1J FRAMING /D ROOFING ROUGH PLUMBING 72-f -F PLBG AIR TEST ROUGH HEATING GAS SVC TEST -?3 INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST z FINAL PLBG ? FINAL HTG ORSAT TEST BLDu FINAL v BSMT R.I. BSMT FINAL `/L v iv DECK FTG DECK FINAL "; !` ? INSI ? CITY OF EAGAN ` 3830 Pilot Knob Road ? Eagan, Minnesata 55122-1897 (612) 681-4675 SITE ADDRESS: _A iiI i t . PERMIT SUBTYPE: ;TION RECORD PERMIT TYPE: Permit Number: ?• ? =' {? `?'? Date Issued: 1 0j 0 1 r `' ' APPLICANT: ;? i ??r f TYPE OF WORK: tJ I ! 1 INSPECTION .. . DA ? ?'1i4 , .,i: , . .. , . . s i r?: ? • <; t ? `, ? ?. . . _. , , ? t Permit No. Permit Holder Date Telephane # ELECTRIC PLUMBING HVAC Inspaction Date Ine Cammenta FOOTINGS - 0 ? L- ? lviP FOUND FRAMING rs 903 ROOFING ROUGH PLUMBING ? / - - PLBG AIFi TEST ? ROUGH HE TING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINALPLBG FINAL HTG ORSAT TEST - BLDG FINAL ft?/ C? ? BSMT R.I. BSMT FfNAL OECK FfG ? DECK FINAL ?i ? ? :?? • WtL`tiftCRte 0f CCCIipQ1iC? (Mv af Wagan Zepartmcut of BKitbaig an3pcction This Certificate issued pursuant ro riie requiremenrs of the Uniform Building Code certefying tJrat at the riete of issuance this srrncrure was iR compliance with the various ordinc+rsces of the Crty regulating baildireg construction or use. For the foUowing.• use classrmcaum: SF DWG eMS. Pemkit nro. 30854 O-upancy Tym R-3 U-1 Zoeing Dhbict R-3 Type Conxt. Vn OwrcrofBuilding G H HOl1ES Address 15025 GLA2IER AVE., APPLE VALLEY MN Building Addnest 3739 BURGUNDY DR [.ocaliry L2, B5. SEHE.^,A HILLS t Dale: -?- lding aricial POST IN A CONSPICUOUS PIACE :. . 4ga'???_,?,? ti ?..?. . %ertificate vf CCCUpanC? IFi#v af Cfagan Zeyartracat of BKOacg axdoectian This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this srructure was in corttpliance with the various . ardinances of the Ciry regulating building corutruction or use. For the following: uYc,mifcabow SF DWG eldg Perm;t Na 30855 Oampamy Tra R-3 U-1 ZAxdng Disnict R-3 Tya comt. Vn c MHOMRS Addffcw 15025 GLAZIER AVE., APPLE L3, B5, SEi+IECA HILI.S Lafiry Dow. -Pkrv PICUOUS PIACE VALLEY MN ?---------------- I FoF:??ice':U's"e ? ._....__ .............._._ ? Permit#: ?3 ? 5! ? Permit Fee: I ? Date Received: ? a ( I I Staff. L ----------=----- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5')-I-D "e SiteAddress: 3757 k7 r 'jy Dc Tenant: Dab KS501! Suite #: RESIDENT! OWNER Name: Phone: o51" AddresslCiry/Zip: 7 ?+rc t,.na? L. CONTRACTOR Name: Z.,? 'k License #: -"L.SI - f(h Address: Cily:_ State:M '.Zip: 5S31S Phone: I-?S Contact Person: 0"-.i i TYPE OF WORK KNew _ Replacement _ Repair _ Rebuild _ Modify Space _ Woric in R.O.W. Descri tion of work: PERMIT TYPE RESlDENTIAL Water Heater _ Water Softener Lawn Irrigation ? Add Plumbing Fixtures RPZ 1_ PVB) C_ Main _L 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 $138.00 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 Repaif (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of Eagaq that I understand this is not apermit, but only an application for a permk, and vrork is not ro start wkhout a permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x?a"., .,. S_..?..1 ApplicanYs Printed Name x a , il Appliont's Signature ` FOR OFFICE USE Reviewed By: Date: . ..i4 . . " - . . . _ , x .>.. Required inspections : _ _Under Ground, " , . _ . %: Rough-In Air Test ' Gas Test _Final ' ' AbhL. 4TP" City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? ForOH(ceU,se --------- - ? Permd#: O ei I j I Permit Fee: I I ? Date Received: ? i i I Staff: I i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 " Z_ / -0d Site Address: Tenant: Suite #: RESIDENT ! OWNER Name: _ 6DY3 GS"? f/Phone: tSS?-4'?-Z'S6/ q Address / City / Zip: 3 73 7 CJl/??i un c??, , Jr. ? Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: PRr 4n 's 4 Construction Cosk ??l7, 0BJ Multi-Family Building: (Yes No&-) CONTRACTOR Name: zwf y(l ZuSkyr" ??ODC??:.v r?':rS License #: 'Ld a6S'23 Address: /OZ( 7,1'19f'(, City: ,1? (r, kG State:/X/L/ Zip: 55-37 2 Phone: Y- ,ct fS Contact Person: -Cr COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet COYBgOIy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: MechanicalContractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting,documenfs thaf you submit are considered fo'be public information. Portions oi; , the information may be classified as non-pu6lic if you provide specific reasons that would peimit the CifyYo conclude that fhe `are trade secrets. ' I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliwtion for a permit, and work is not to start without a pertn@; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of ans X X Applicant's Printed N me Ir?- ApplicanC Signature 11 u?,N'rZ 2 q??nF? Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AIL - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF ? 02-Plex ? OS-plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc. ? 03-Plex ? 70-plex ? Lower Level ? Storm Damage ? 04-Plex ? 72-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handoutto applicant DESCRIPTION: Valuation '44120? Occupancy Ch,.L/'.? MCESSystem Plan Review Code Edition /1 (3?)1? SAC Units `?f1 (25%_ 100%? Zoning -- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width T J- REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) FinallC.O. Footings (addition) X, Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice 8 Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath Stone Lath Brick ? Fireplace:-)(_R.L -_)(AirTest -?_Final Windows u Insulation _ ReWining Wall T Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MCIES SAC r City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant Copies Total Page 2 of 3 Mar.19. 2068 8:49AM C r e s t E x t e r i o r s No.8143 P. 5 2006 RE.SIDENTIAI, $UU,DING PERMIT APPLICATION City Of Eaga4 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Coml,uclian Reouue= RmirodaURec2K Reouirement5 ordw,ug,Q& a regiswee site smosya snmwng sq. fl or wt sa. e. ot naux; ena II toorea mees z oopes a owo sAO" roofiwa, oeml idst, certm9NYej Rea, _v _ N (20°emprimunldcoverapeaAowaA) isefalEnepyCalndationslahaatededdNions TrN Pfe}P1BnRxd-,. '_Y _N. 2 copias of plen sliuwing beam a wiMpw 5ize5; Ooured tound desiyn, elc. 1 slm swvey fwaOdlppns 8 dedts TrEE PtAf Requind .: .._ Y, N 1sNp1En¢rgyCalculatians Add'Gon-indcafeNorrsilaseplicsyrsfem OnsAc5ep5c9/slein ,,,,Y?N 3 topies aF Tree Reaervation Plan rf kt puatled aRer 715143 RimJohfDetedOptonssdectlonsMal (Miaeinq5wiM3alessumis) Minaegayco mechanical vontilation fonn Da[e „J 1 19 I,do Conslraclioo Gost'll, 7 ????• UD SiteAddress 3-151 139 1 1 Y ? iiv(r Unir/Ste # Gl M i e?. Wil Dacriptiono[Work Multl-Family Bldg ` X _ N Flreplace(s) „ 0 - 1 _ Z Property Owner UaIa Cff l,-! 1 d ??`}' VI .S Telephone #4UL)"y?___? "?j'lYVO Grest 6xte iors ContracWr r Addres s aa?s cn1Fx,n(???C. 4 ?y.,' /1V?nu'?i Ciry? 1 ? q ,y," ' State 9"{, n nQ,?jU ? w Zip 8 t Tefephone #(Vj f) - (L'16 ? COMPLETE TNIS AREA ONLY 9F Energy COde Category - Minnesofa Rules 7670 Cate¢orv 1 (?submisslon type) ' Resldentlal VenlElgtiOn Gategory 7 Warksheet • Enerpy Emelope Cai4ula6ons Submitted A NEW BUILDING Submrctad Njjnngsots Rules 7672 • Hew Energy Code Workshael Submitted In the lost 12 mOnths, has 1he City of Eagan issuad a permit for a similar plan bosed on a master planZ _ Y _ N If yes, tlofe and address of master plon: Licensed Plumber Mechanicol Contractor SewerJWater Contractor 7elephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acinowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciiy of Eagan and the State of MN Statutes; I understand this is not a percnit, but only an application for a permit, and work is not to start without a permit; that the work wil l be in accordance with the approved plan in the cese of work which requixes a review and approval of plans. KrOe! McCann _ Vit.r?D W_blju AppricanYs Printed Name Appfi anYs Signature (_0 q(p g RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoae # 651-675-5675 FAX # 651-675-5694 c'L 0en (',o,(ed s F"'/o3 New ConsWCtion Reauiremenis RemodeVReoair Reauiremenfs Oifice Use OnN 3 registe2d site surveys shawing sq. fl. of lot, sq. il. of house; and all roofed areas 2 copies of plan CeR of Survey Recd (20% mauimum lot coverage allowed) , 1 set of Energy Calculafions (or heated addifions Tree Pres Plan Reoi 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for addiUons & decks Tree Pres Not Reqd 15etofEnergyCalculations Addition•indicateifan-sdesep5csysfem _On-sileSepticSyslem 3 copies of Tree Preservation Plan'rf bt platted after 1/1/93 Rim Joist Wail Options selection shcet (bldgs with 3 or less unfts .? Date 03 Construc tiou Cost ? .AoO Site Address ,a 7? 7 /,?U R GJ J3D? "091JE. Unit/Ste # EAGAA? "rAW. sS,a Description of Work LoWE,Q /-?L 4&Ul2ooM -&4,((4 .S>'oiQQGE Mu1N-Family Bldg _ Y Zt N f ? (t«W+l00sE ) Fireplace(s) Y 0 _ 1 _ 2 Property Owner /R0A0,( E. (e Ava Telephone #( bsI ) HS'J- -<(.! 9 Contractor Address City State Zip Telephone #( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesoha Rules 7670 Cateeorv 1 (J submission rype) • • Residential Ventilation Category 1 Worksheet Submitted . • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor ?1'I I??''?° Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone # ( ) I hereby apply for a Residential Building Pernut 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 tliis is not a pernut, but only an application for a pemut, 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. ?oa?F. ,7' E. KlASPEfZ /'Ir' . IC.A.n, Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Suh Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_V or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 4-1 9LI Zoning City Water SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Foorings(deck) ? FinallNo C.O. _ Footings (addition) Plumbing _ Foundation JC HVAC Drain Tile Other Pool _ Ftgs _ Air/Gas Tests Roof Ice & Water Final _ Final _ _ _y Framing _ _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insularion _ Retaining Wall ?y Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?? ?L7?Slf ? ?? ? PLUMBING (RESIDENTIAL) Permit Apptication City Of Eagan , 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please comptete for: Single Family Dwellings Townhomes and Condos when pernilu are required for each unit Date s / ?! _ / p3 SiteAddress 3737 -'6UkGJJ1aY likucl15 . 1121 ? Unit# -- Property Owner ?jtabg/`1 '6, Telephone #((,,Sl ) Ysd -SG, f 9 Contractor Address City State Zip Telephone # ( ) The Applicant is ? Owner _ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consulWnt fees may apply. Alterations To Eaisting Dweltin ' Including ? Addi?g fiMUre ower leve r room additions, excluding water softener and water heater $ ? 50.00 _ Abandonment of sep c system _ Water tumaround (+ 5/8" meter ifneeded -$121.00) _ Other: JU L-"`1 /p ?w D ?n.ts?v _ RPZ _ new installaGon _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater $ 15.00 - _ replacement _ additional t gy _`-- $ 50 State Surcharge . Total I here6y apply for a Residential Plumbing Pernut and aclmowledge 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 with the Plumbing Codes; that I understand this is not a pemut, but only an application for a pernut, and work is not tu start without a pemvr ihat the work will be in accordance with the approved plan in t6e case of work which requires a review and approval of plans. E. f?ase2l' Z,4?4L ?.' K ".f ApplicanYs Printed Nam Applicant's Signature f ? I * -X * * PIONEEFt * enI 3naer **:** 2422 Enterprise Drive p? Mendota Heights, MN 55120 ?W + tAHO SURYEYIXtS - aNL cNCiHCU+s . (612) BSi -1914 FAX:BB'I-9T Certificate of Survey for: X 000.00 DENOTES VI571NG ELEVATON ( 000.00 ) DENOTES PROPOSED ELEVATION 14 --- DENOTES DRAINnGE AND UTIIITY EASEMENT ? BENCH MARK LO 3- --? OENOTES DRAINAGE FLOW DIREC710N i TOP OF PIPE ? DENOTES MONUMENT ? ELEV.=838.43 -9 DENOTES OFFSET HU8 O 1' P ? wESr ? ?- i _ uno PunNIErss• uNOSCAac ?rsc?i?crs 625 Highway 10 N_E. 1 Blaine, MN 55434 r (812) 783-1880 FAX:783-1883 GM HOMES LOT t- 3737 BURGUNDY DRIVE LOT 2- 3739 6URGUNDY DRIVE T 3741 BURGUNDY DRIVE W ?, W4 ? Q -+ -- M m 83716 i .-63? .? ? ? __ . p ' 0 7 4 . ,13.67 .00• r 837 4 J- 0 25 83 r3 837,21 i ? ?Sp-5 8J7.1 ?Z ( Zw I ?4 I ow I / i? i ? SERVICE ELEV=828.0 ? "O ? - -^-- ? 83D.9 836.8 15. WEST 70.00 N 0 - ? ? ? ' \ ? _ -- -- • ?'--BENCH MARK DRAINAGE & UTILITY EASEMENT PER PLAT?? ? E?EV.?836.91 V / - jR\N - ?------=-`';" E . , NOTE: PROPOSED GRADES SNONTI PER CRADING PLAN BY: PIONEER ? NOTE: BUILOING OIMENSIONS SMOMN AftE FOR' HORIZONTAL AND VER11CA4 LOCATON "------ ?`?/-/-- -'-- -- - ^' ^^ ^ "R-S O':L". SEc ABCHI?'tCWnL rL:inS FOR 3JitDi1C qND FovNOniian oiMeNSIoNS. PROPOSED ECEVATIDNS LOTS' 1. 2& 3 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLE7ED ON TXIS LOT BY 7HE LOWEST FLOOR ELEVATION: 8 3 l. ¢ SURVEYOR. TIiE SUITABILITY OF SOILS TO SUPPORT THE SPECIFlC MOUSE G7 PROPOSED IS NOT TNE RESPaN5181U(R OF THE SURVEYOR. TOP OF BLOCK ELEVATION: U4G' z- , NOTE: THIS CERTIFICA7E DOES NOT PURPINtT TO SHOW EASEMENTS OTHER 1HAN GARAGE SLAB ELEVA?ION: 3?'? ? THOSE SHO1W ON TME RECORDEO PLAL , i ;NOTE: CONTRnCTOR MUST VERIFY DRIVEWAY DESICN. NOTE: BEARINGS SHOWN pRE BASED ON AN ASSUMED DATl1M WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SllRVEY OF THE BOUNDARIES OF: -tOTS 1, 2& 31 BLOCK 5, SENECA HILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHRDACHMENTS, EXCEPT SHIIWN, AS SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF SEPT., 1997. SIG ED: PIONEER ENG E NG, P.A. SCALE : 1 INCH = 30 FEET BY: ? 88 96541.12 SWK John C. Larson. L.S. Reg. No. 19828 15.00 ? V'\ 7.00 9.1 ?R-- ? ` C 5.00- Y 630. B i c i ? M + ? z ?` 8 30 827.2 ?-- .C 15.00'? O Y (J M. N W I I ? - 70?It ORAINAGE & 11?OGK\U?1 .oo ?, _ is v= s. 13.3 N, ? 37.8 _? ^ 0 i 0 N N --70.00-- VYEST . r U o ? a Z 2-?-_?/O ? fY Cl ? ? ? ? ? O?? ? C,a?? ? C3"? ? [3- ? ? e' ? ? ar' 0 O ET, ? ? d a o 0, ? ? Q 1g-'O LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPL1CATfON PROPERTYLEGAL: DA'fE OF SURVEY: LATEST REVISiON: DOCUMENT STANDARDS 9??7 • Registered Land Surveyor signature and company • Buiiding Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient °k • Proposed/epsting sewer and water services & invert elevation • Street name • Oriveway ELEVATIONS 'stin • Sewer service (or Proposed) • Property corners • Top of curb at the driveway • Eleva6ons of any ebsting adjacent homes ro osed o-'? ? 0-' ? ? U-?0 ? 13- ? ? Cf, ? ? ? E?' O ? Cy? ? O GY ? o D-? ? ? ?? 0/0 ? i?' o n 91? ? B' ? ? 0`? ? ff-?D ? • Garage floor • First floor • Lowest exposed elevation (waikouUwindow) • Property corners • Front and rear of home at the foundation PONDING AREA fif aoolicabiel • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Elevation DIMENSIONS • Lot IinesBearings & dimensions • Right-of-way and sheet width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilfies within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements, if any Reviewed: Date January 1996 CRAIGI99B/9LOGPRhfT FM ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-67125-010-05 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3737 BURGUNDY DR LOT: 1 BI.OCK: 5 SENECA HILLS iZERO LOT LINE Building`*Permit 7ype :9uilding 4J?6rk Type UBC OG,oupa?cy'%11r ! Construct3on Ty'pe Zoning r' Building length 8uilding Width Cerrs4us°Cb`tle? SF DWG NEW R-3 U-1 VN R-3 38 50 ' 102 1 - FAM. ATTACH Wr% REMARKS: FEE SUMMARY: VAIUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,007.25 $654.71 $62.00 $950.00 100 1 $2,673.96 $124,000 BUILDIN6 030856 10/01/97 MISC FEES $1,539.50 Total Fee $4,213.46 CONTRACTOR: - qpplicant - sr. Lzc OWNER: G M HOMES INC 14314900 2002530 G M HOMES 15025 GLA2IER AVE 205 15025 GLA2IER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (,612) 431-4900 (612)431-4900 ? % . 11 I hereby acknowledge that I have'read this appiicatian and state that the. infiormati n is eorC^ect and; ae?ree to 'er+mp?,y wiCh a11 appls?;?akMie `Stat* Statutes d Cit f Eagan Ordinances. e . ,TM ? ?ru,n R.?A;r1J m? APP ICANT/ MITEE SIGNATURE IS UED W. ATU E . 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 85122 681-4675 New Conatnuetien Reauiremenfs RemodeVReoeir Reauhementa ? 3 registered ske suneys ? 2 copies W plan ??? • 2 copies o} pWns (Udude beam 8 wintlow sizes; poured fid. design; eta) ? 2 ai[e aurveys (exterior additions & decks) ? 1 energy calculations * I Bnergy eelaletlons fw heated addkions ? 3 coplas of tree prexrvetion plen iF lot plafteA eRer 711/93 required: _Yes No ? DATE: Zz-,I 1/ _ CONSTRUCTION COST: $$0,000.00 I- DESCRIPTIONOFWORK: Seneca Woods Toi,mhomes -(A? vrv,T /VL??i??S? STREET ADDRESS: ? r 3 I ? LOT ? BLOCK ? 3- pGLr W/ ZoYl 7_ d? 3 i lJiE- SUBDJP.I.D. #: S CEJ Ec/} ?( (u> . PROPERTY Name: G.M. xomes, Inc. PhOn@#: 431-4900 OWNER StreetAddress15025 Glazier Ave: I1205 Clty: ADDZ Va>> y State: MN Zlp: 55121i ? coNrw?CTOR Company: G.I.I. xomes, Inc. Phone#: Street Address: 15025 Glazier Ave. 4i205 License #: 20025307 Cjty;Apple Va11ey State: t'Il`7 Zip: 55124 ARCHRECT! Company: uT,F nPR; ga,q Phone #: 3z? ENGINEER Name: Registration Street Address: 3791 Knollwood Drive Cjty; Minneapolis State: m Zip: 55347 Sewer & water licensed piumber (new construction onty): ??enzel :•lechanical . 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 informaUon is correct and agree to comply with atl applicable State of Minnesota Statutes and City of Eagan Ordinances. ? , OFFICE USE ONLY Certificates af Survey Received Signature of Applicant: _ Yes _ No Tree Preservation Plan Received _ Yes _ No /'7 ~ (/l P!I T BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ?62 SF Dwelling o 07 4-plex 0 03 SF Addition ? 08 8-plex 0 04 SF Porch n 09 12-plex n 05 SF Misc. n 10 = plex WORK TYPE ?31 New a 32 Addition ? 33 Alterations 0 34 Repair OFFICE USE ONLY 0 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi RepaidRem. 0 17 Swim Pool 13 13 Garage/Acxessory o 20 Public Facility ? 14 Fireplace n ' oellaneous 0 36 Move 0 37 Demoiition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. (Allowable) •1J Main level sq. ft. UBC Occupancy 2-'r' sq, ft. Zoning R•3 sq. ft. # of Stories v Sq, g. Length $q, ft. Depth ? Footprirrt sq. ft. APPROVALS Planning Buiiding Permit Fee Surcharge Plan Review License MCNVS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Uhits ' - , L /3m MCMIS System ?soo City Water o? .sD i Fire Sprinklered PRV Booster Pump Census Code. Io Z SAC Code b/ Census Bldg _L Census Unit ( Engineering Variance Valuation: $ 7-y6g6 . (Z ? ? GS G? U' n ?O G? ? ?? 6? MRY-17-1995 16:40 FROM TO 8827762 P.01 F.STF.fiiOTi 'r:NVF.IAI't: hVl{f:AC}]. "U" C(N4I'tPPpTP)'I . . ... ., oWN a r? M_ 1-?o?nr.Ls , IV,.-) c SITE AD.7PFSS S'?rvE?cA vwoo(? OQtlE -6 N?vr ? 3 CONTRAC?On^ 671A 10,t. DATF. IZ `j 9 PNoIPe, LA> 0 fv,-r- r N+? ?13t-9qc?o Determin vorkinr: square footar,e of each. 2. Total exposed vell area sq• ft. x 0'n 2. Totsl rocf/eeil:ng ares CL_ x 01026 _ ?Z, ? Total e:cposed wnll aren rtbme floc.r ? 19S(o 8. Totel vall vindow erea . ... . ... .. . . . . ... .. .. . . . ? L. TvLxl daor zren ................................... 42 c. Total slidir.g glass door area .••• ................. 9 Z d. Total fire?lace vall area ......................... lMn e. Totai vu 1 framing area (average l0i) ............. 19 5 b P. iotal net wa21 area above Sloor ................... 14S9 ' . g. Total ria 3oist area .............................. I-7 5.53 Total exposed ffotmdatior. arca = SI. s - h. Total foundetion vindov srea ....................... ??.-7 S ^ i. iotal aet foundation a:es +sbove grade ------------- QZ)S . D=teriuine "U" calue o: each vall .FP;ftent. , . a- x ,.U,. . 2tg b. 9 Z x„ull . ' C. gZ x•,u., .Z(z) - l l,?co a. O xl,u„ . Uq3 _ p . o._ 195.(0- x,.u„ 190 . f. X °u° , 043 ?. . 8- ? ?s. 5? x "tr" bg ? ? - ? . I 9 n. Q?.7? x"ir^ .Z? = Z 45 Q2. -7 S____ x•?,,,, -, UzZ - 3. S 0 3 . .................................. 'b?.s7 = I?.le Sh If ltem N3 is the same as, or less :-h:tn iten #1, Yoll nzYe met Lhe intent ot ssc 6oo6(c):. MAY-17-1995 16:41 FROM TO 8827702 P-02 ' ToLul rxpos<d roof/eeilinG wrei = 4? ?j O 5 F ? - 'l Total 6ross roof/ceilini, areA - ?. 3bta1 skylight area .......................... ?.. _. k- iotal roaf/ceiling frsming area .............. ;.?.0? I ZLI ? 1. '1'oLe.A net SASUlated ruuf/cciling arc¢ ........ llCtC-MI(le °U- Yaluc Sor cnch roof/eeilinp, se?'n+eni. x nuv O c k: x uut, 1. I-Zl?? x ..U., k. ........... .................. Thtal • It total oP A'L 3s the saae as, or less than #2, Yoa have met the inter.t of sBC 6oa6(c)a. . . To utilize the tntal er.velope systes method, the values establi<hed bp the sum of 3t=5 13 and 04 sha].1 not be 6reater. the+n the sum of itea:s /l and 82. • z. 2I5 2? . 2. 32.?'b = Zq?.oi . 3-. ? f 1,5? ,+ L. Z?o.Z9 _._ 1617. ? . . 0 J MRY-17-1995 16:41 FROM TO .-.---- 1-?-?-'' ?--??-.- 1 8827792 P.03 P- elT zvfir-l n, -- - - -: 0 C O 0 ? -FT1.;Dt!_" .. 33?Z?.t<= I ??.:. - ??? ?• --_ - I?T. I?lfZ ?1C.M. _„ ~--l _... , -:M...f-0 . (D rg-??ff-- FtvA. Q 1 I GQ{.- tNhU?-, 3 ? - -- ? c3:45 _ _--- £?" o.oZ2- q?,v a MfiY-17-1995 16:42 FROM TO ? _A?..'VALUG' ?WN?TtI[i? (e-ONT). -fTkMr WPtl?l. G? I N? l-A?IaN ?'?.oM?v hl ?rl?i. -fRWPF WAu. (go 6;? _ pl.ikN. viaw. (v ;zJ L L ? L o -'.lDE AIf? 19UK h° h?olNv - =-?%y 1Ntiu4A'?a? ya 6.?P. taD. ??I? Al? ?iLkl, -GoNtPVN?N"? i 2 3 f 5 ? `?Zuh ?DfWr- hNi:A"(H 1N(i. 'L XL ?7UCJ ??{? ? .'?"z:?'(f: PaD iw?toL htf? r'?ta?1. 8827702 P.94 0.•l?5 _ - . o; co b... . _ , U' Rt?tav : - P-VAWK ? 2.au ? .f I -??. °u ^(0,)Z X o.omr) t(o,Sb MRY-17-1995 16:42 FROM TO 8827702 P.05 3 T - _-------?--. _ . O O 0 0 ?F?4?k 1 N?v . ? ? ?7H _ f•as _ 70,ts2:.. !..? :, ??. f?..A?: _:.F1LJ?I 0 0 c? -- - ??? 12.f3 # ,. ?CITY" OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: BUILDING 030654 10/01/97 SITE ADDRESS: P.I.N.: 10-67125-020-05 DESCRIPTION: PERMIT 3739 BURGUNDY OR LOT: 2 BLOCK: 5 SENECA HILLS ZERO LOT LINE Buildin474;Permit Type ,Building Wia.r.k Type ` UBC tlccupancy'R'?- Construction Ty?e Zonittg Building tengi;h Building Width Gensus C?;da?°•, x??. ??"`" SF DWG NEW R-3 lJ-1 VN R-3 38 50 ' 102 1 - FAM. ATTACH i. ? ` t { } ?...T u.#? REMARKS: S&W PLUMBER = WENZEL MECHANICAL FEE SUMMARY: VALUATION $124,000 Base Fee $1,007.25 MISC FEES $1.539.50 Plan Review $654.71 Total Fee $4,213.46 Surcharge $62.00 SAC $950.00 SAC ? 100 SAC Units 1 Subtotal $2,673.96 CONTRACTOR: - ppplicant - sT. LIC OWNER: Ca M HOMES INC 14314900 2@02530 G M HOMES 15025 GLA2IER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 S he:reby acknowledge tfiat:=Zo fiave r?aad,?,'CFrie =aRplio?zioo ? n? states ttv?t Ghe information is correct and agree to comply Wi-th ali applicable 5°tate t?f kn.` ? . Stato, ?? `?a and LiCy tlf Eagan Ordirrari'oes.'" _, APPLICANi/PERMITEE SIGNATURE ? ISSUED BY: NATCRE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) sy cirr oF E?caN 5830 PILOT KNOB RD - 55122 681-4B75 y? New Conatruction Reauirements RemodeUReoair Reauiremenfs ? 3 registered site surveys ? 2 eopiea uf plan ? 2 wpies of plans (Indude beem & xdndow saes; poured fitl. design; etc.) ? 2 site wrvays (extarior edditlons 8 tledcs) ? 7 errergy calculatlons ? 1 energy celwlations tor heatetl addkiuns ? 9 copies oi dee presarvation plan if lot platted after 711/93 requireC: _ Yes _ No I ' DATE: T I-?-L 14-7 CONSTRUCTIONCOST: $$0,000.00 DESCRIPTION OF WORK: _ Seneca Woods Townhomes -{ g lILJ ,,,_, , _1 tIA A-y e/L -s- T STREETADDRESS: L T ? BLOCK S SUBD./P.I.O. #: S?"UEC?i ?"I ? l-?S 3- ,o??X w/ ?YS / $ 3 PROPERTY OWNER Name: G.M. xomes> inc. Phone#: 431-4900 w.. .?., StreBt AddfeS515025 Glazier Ave. 1/205 Cj{y; Apple Valley Statg: Pil Zjp• 557 24 uNTRACTOR Company: G.M. Homes, Inc. Street AddreSS: 15025 Glazier Ave. #205 City: Apple Valley State: m Phone #: License #: 20025307 Zjp: 55124 ARCHITECTI COmpany: KLF Designs Phone #: 371-0 3u4 ENGINEER Name: Registration #: Street Address: $791 'Knollwood Drive Clty: Minneapolis State: MR Zjp; 55347 w,enzel .•3echanical Sewer & water licensed plumber (new construction only): . Penalry applies when address change and lot change are rec{uested once pertnk is issued. I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No IR 7ree Preservation Plan Received Yes No Mot Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ,0?02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex fl 04 SF Porch o 09 12-plex n 05 SF Misc. n 10 _ plex woRK nrPE ,Po'?-'31 New 0 32 Addition 0 11 Apt./Lodging ? 12 Multi Repaiff n 13 Garage/AccE ? 14 Fireptace 0 16 Basement Finish 0 17 Swim Pool ? 20 Public Facility ? 33 A tion?*r-9-36--Move-- 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowabie) Main level sq. ft. UBC Occupancy •3 •/ ZtO- sq. ft. Zoning R• 3 sq, ft. # of Stories ? sq, ft. Length ?g sq.ft. Depth .se Footprint sq. ft. APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ?e34 _( Z(-b MC/WS System ? 47,6e City Water szs' Fire Sprinklered PRV Booster Pump Census Code. 1 o Z SAC Code _0/ Census Bldg Census Unit Engineering Variance ? valuation: $ Z? ? . MRY-17-1995 16:40 FROM TO ? . \. F7(Tt.t+-LOTi }:NVF.il11'F. nVr:rnr.f: "U" owtrfnTIO!! 8827702 P.01 oM,En ?m N Orv?ES lt.)c. - ? siTs nDnq£ss SENECA ??]UrY?S t?J?GU?lnY I?1??VF? f?? ?.? CONTRACTOn IYj • DATF. IZ 9 PIIOIZe. ?6 ? vN?-, - rn,oo?' --- Determin vorkinr, sqvure footarc of ench. __ _ 3 63 1. Total exposed va?1 area .. 1 Z,sq. It. x 0.1, 2. Tot31 rocf/ceiling area S sq. ft. x 0_026 • Tota1 exposed vyl area nbc+ve Ploc,r - s. Total va?1 window area ............................ 14 5.79 ? L. TuL sl duur area ................................... 47 c. Total slidir.g glass door area -•.••••---•••---•••- -7 1 d. Total fire?lace va11 area ...._.... .. ............. Q e. Total vall traming area (average l0i) ...-........ Y. Total nei vu21 area ebove floor ..,• ............... ?b23,93t L5 91 g. Total ria 3oist area .............................. Total exposed ;'oundat4on arr.a = Qc-).`1Z h. Total fouhdetion vindov area • ...................... ? i. iotal net foundation a:es tLbove grade ............. 1 7 : C=tersr.ine "U" va1Le o: each vall ^.rrment. 5,79 x,ZC?-- 4c), oZ D. q 7 k°Ull •?C? ' 1-7. (o X ..uf. . ZZ - ZI .S(o . Q V x nij,l . o[Jq3 - ? (A9 -?' x .,.u„ f _ (7 ,(61 x "li" g. X..iJ„ h. Qj.75 z °il^ i. '?`Z 1 -7 X ..u,. . Oa? = 11.0 < 09 3 = , ??? . 51? . ? ? '? ?.•7? Z? ?.QS - , r.?Z = 2, la z 3 . ......................•........... «,.,] . r. If ltem 113 i5 the Same as, or lesa :.h:m itc:a 1/1 or ssc 6oo6(c)2. = 131,95 you nnvc met the iater.t MRY-17-1995 16:41 FROM TO 6827702 P.02 ? ToLal cwposcd rooCJceilinG n1-eft 11. S V ? ?ZII,S Total gross roof/ceilinp, are:t ?. 1bta1 skylight erea .......................... _ 0 k• iotal roof/ceiling framing arez ............. • 1. 'SOLel net Insulated ruuf/cci7.ing arca -.--.... 1-7 ? 1. - Uetermine °U" Ynluc Sor cnch rouC/CCilinlt scgpent. • , • - ?7 E 'lUu -- a . k: Co ?• ? 7 x„u,, ?(p7--7 1. i Z 1 I. S_ x",,.. ??I q 5= Z3 ,(.Z4 li . . .. . .. . . . .. . . . .. .. . . . . . . . . . .: . Total it total oP AL is the same as, or less than 12, You hsve met ttie Snter.t of sBC 6oa6(c)1. . . To utilize the total envelope systes method, the values established by the stm of iteas N3 and B4 sha].1 not be 6reater. thnn the sute of iten.s 11 end 12. 1. 135 b5 ? 2. - 3-. 9 4. Zs.zsB =.. I s?. Zo . w , 4 , ? MRY-17-1995 16:41 FROM TO 8827762 P.03 P- AIT ?----- -- --- j -6' ?--?'?- - 1 ??....._ -------- ,. ; ? IN-T. 7F4Z rGM . _ _=-p'm4c-4... _ • o-:. _:: : _ _ _-?r -- - I I 1 - n nn? _ ... ,...r 3SA f 6 D C C Q10 11 Gal.1N?s,u?., _._.. _ ' - ------ ?" ? q5,va? 0,4x,'fZ , MRY-17-1995 16:42 FROM TO -jj_^'VALUC 6TWMLTT1?IT/ (eONT.). =rFAMt? htau, 0-AN,?44t,6110H -Z47MFvn?n?. ?J ;z ,4. ? 8827792 P.04 -- . P-VAC.uF- _... 2 ? .OL:. .: ._ 0.45 - e Z?:vt• - 1?AL ?MIF klpda. _ Pt,hN. vieW. CL Ci C C CA5 C o _ NvE AP F1w ? _.'?Ir?1iINL :?%y lNSCN.A'?ai " 77Y 6'(P. raD. mls1rx,g AiR- p11.N1, -GoMPaN"-r6 O-UTI?lm i ? xc. 37uD (?+??) ??? AiP AA. _ _ P-VRLUL _. ...d.1'?•--- - 2.nC? . . ._ -7 ._l.g -- -- __ o?s ----- ?- -_-_ ? -G?1MP?. PU =?0.12 X o.ob4? 1"?o•Sb X o.04?? = o• °'? - I . f MAY-17-1995 16:42 FROM TO --- 8827702 P. d5 --- 2Q FiM __ I•as ?1^^? 'r OIV?I (a) rzLc?. F?Lr-•- C; - ? o_ o -- - _.???--- - =d.ob2 ? CITY OF EAGAN ? 3830 Pilot Knob Road Eagan,,Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING 030855 10/01/97 SITE ADDRESS: P.I.N.: 10-67125-030-05 DESCRIPTION: 3741 BURGUNDY DR LOT: 3 BLOCK: 5 SENECA HIlLS r"?ZERO LOT 8`uildinqr Permit Type ;$uiltling W`a,rk Type uBCOocuparney-'?? Gon"sLructit{n_ TYP? ° Zoning j Hualding Length ' Building Witlth 4 Gensur Ctrd-e LINE SF DWG NEW ft-3 U-1 VN R-3 38 50 ' 102 1 - FAM. ATTACH ,.: ? ? ; =:; REMARKS: FEE SUMMARY: VALUATION 8ase Fee Plan Review 3urcharge SAC SAC % SAC Units Subtotal $1,007.25 $654.71 $62.00 $959.00 100 $2,673.96 $124,000 MTSC FEES $1,539.50 Total Fee $4,213.46 CONTRACTOR: - qpplicant - sT. Lzc OWNER: C^M HOMES INC 14314900 2902530 G M HOMES 15025 GLAZIER AVE 205 15025 GLAZIER AVE 205 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 ('612) 431-4900 (612)431-4900 ? L hereby acknflwledsje that T Nave read this apPlitat'iar+, a'rtd state; =that tFie', informaxipn is oorrect and 'agr#e: to eornplry witN"a1'Ia.?SP?2I cahle S=tate ai Mn., ' StaCa" s'and,C of Eagan Oriii+sances.,° ` ` APPUCANT/PERMITEE SIGNATURE ISSUED B'U. SI ATUR 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) yal3tl(. CITY OF EAGAN 1S 8830 PILOT KNOB RD - 65122 - 681-4676 Naw Constniction Reauirements RemodeUReoair ReauiremeMs ? 3 regiatered site surveys ? 2 apies of plan ? 2 copies of plana (Indude beam 8 wintlow sixes; poured fid. deafgn; etc.) • 2 atte aurveys (exterlor eddttions & dedcs) • 1 energy calwletions • 1 energy ealculatlons for heated adtlkions ? 3 copies W tree preservetion plen d lot platted efter 711/93 requiretl: _ Ves _ o ' DATE: 9 ZZ ot CONSTRUCTIONCOST: $80,000.00 DESCRIPTION OF WORK: Seneca Woods Toxonhomes MA-,TC? S? 1 ? EETADDRESS: J-N I 9t3?ZL??JN?? LOT BLOCK ? SUBD./P.I.D. #: ??AJECA b{l L1 5 _-T - Pccx w? ?sr PROPERTY NBrtIB:G.M. Homes, Inc. PhOn2#: 431-4900 OWNER u., ,.„Street Addr?W.S Glazier Ave. 01205 Cjty; Aaple Valley State: TTN Zlp: 55124 ^ CONTRACTOR CompanyG.tt. Homes, Inc. Phone #: Street Address:15025 Glazier Ave. #205 License #: 20025307 City: Apple Valley State: rV ;EF'?1.24 ARCHITECT/ COmpany: KLF Designs Phone#: 171-0344 ENGINEER Name: Registration #: Street AddreSS: $791 Knollwood Drive Ciry: Minneapolis 5tate: TN ZjP; 55347 Wenzel .lechanical Sewer & water licensed plumber (new construction only): . Penally applies when address change and lot change are requested once permk is issued. I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and Ciry of Eagan Ordinances. / , 11 OFFICE USE ONLY CeRificates of Survey Received Tree Preservation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No - Not Required 23 ?.. xo7l OFFICE USE ONLY BUlLDING PERMIT TYPE 0 01 Foundation ? /6' 02 SF Dwelling ? 0 03 SF Addition o a 04 SF Porch o ? 05 SF Misc. o WORK TYPE A 31 New o 0 32 Addition o 06 07 08 09 10 3? 34 Duplex o 11 4-plex o 12 8-plex D 13 12-plex n 14 = plex ff 1 ? ? Atterations o 36 'Reoair_ _ 0 37 GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. (Allowabie) u Main level sq. ft. UBC Occupancy 2- ? sq. ft. Zoning •3 sq. ft. # of Stories z Sq. ft. Length 1S ? sq. ft. Depth FootpriM sq. ft. APPROVALS Planning Building Valuation: Apt./Lodging ? 16 Basement Finish Multi Repair/Rem. ? 17 Swim Pool Garage/Accessory o 20 Public Facility _Fireplace -._._2. -Miseellaneous Deck 126 Move Demolition MClWS System a /Icp City Water ,sbr Fire Sprinklered PRV Booster Pump Y5'S' Census Code. /O Z- SAC Code o ! Census Bldg ? Census Unit Engineering Variance Pertnit Fee Surcharge Plan Review License MCNV5 SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Treils Ded. Other Copies Total: , : . Z •? ?-?i °k SAC SAC Units / $ ,(,2/ G ?,n?p ? .. 3 ' LG?. ?. ro(21 MRY-17-1995 16:40 FROM TO 8827762 P.01 ? FXTFr1;1oR r:NVF.1Art: nvr:r.ncr: ^u" 0xar11'rnT1o,1 oWN ER SITE ,??RES5 S?rv?cr? iwoo+?s, , ??Rr;urUr?y tiQ?? jo NwY ? 3 CONTRAC?0^n 67M}'Q/'1(?t S. f vr, DATF. I?Z q`I PHl)NE LA> u 1%j ,-r- r_rvo ?31-99?0 Determin workinr; sqiiare footar.e of cuch- 1. Total exposed vall area sq. ft. x 0 'il - ? S• 2. Total roef/ceiling are3 it. x 0,026 Total exposed vaLll aren nbovc Pl«,r - I? S?o SF Alt e. Total va?1 vindov area ............................ L. TuCal duor zren .................................. q Z c. Total slidir.g gloss door area ..................... 9-7 d. Total tireplace vail area ......................... Nln e. Total vzll iraming area (averaae 10i) ............. 19 5 b f. ^total net vall erea above floor ................... 14$g . g. Total ria jo=st areu .......................... ?... -7 Total exposed iolmdation arrs = SI. s h. Total foundetion viadov area ....................... Z.-7 S Q_?5 i. iotal neL fouzfdation a;-ea bbove grade ............. . D=tez7cine "U" calue o; eaeh ++all sFrment. a IS°, x,.u., . 2`3 b. g Z x ,.u„ e. ??Z X •.ul, d. ? z "u" X ,.u. g. 1 TS. S? X -1,•, h. i. . pq 3 D ? . vql. . - ? ?7. 10 ? oq3 - ?q.oZ. dq? ?,I9 .2? - Z 4S 50 s. ....--• ........................... c Tf item N3 is the same as, or lesn :.h:,n itcra #1, you n?vc met tne iatent or ssc 6p06(c):. . MRY-17-1995 16:41 FROM TO e827702 P.02 , ToLUl rwposcd rooC/eeilin?, area = I 5` ? - Totel gross root/ceilinr, are:+ J. 'ibtal skylight erea ....._....__............. _ 0 - k. iota? roof/ceiling 1'raming area .............. . 7 1• 'POtal net ipsulated ruuf/cciling nrca ....... , 17etiCZmine "U" valuc for cnch rouf/ocilin(t sef'ment. j, x "U" Q - -? k: (o ?, a5 xHul, i. I-21o1 x.,U., ? _ . . . . . . . . . . . . . . . . . . . . . . . . . . . : . Total . It totai oP pL is the same ss, or less than 12, you hsve met tTie inter.t of SBC 6006(01. To utilize the rntgl envelope systex method, the vslues establi:hed by the stffi of iteas 13 end 6k sbs].1 not be 6Teater. thtu, the sum of iYen:s Bl and N2. -? ?_ Zt5 2? } z. ? 32.?? = 298.ot ,+ L. Zb.Zg ` - IL ?-95 . ? ? 3 zVA55t-,?. ..._ ? O C O 5 ??-???.: ??. ?• __ : IFi.T. hlls FfLM. 8827?02 P.03 P- et\ - .?? . ,. , _ „ ,.^--, MRY-17-1995 16:41 FROM TO ? 1 ` -_/ ?A! -,.. - W E?-%-AV rl?=?t. Q 1I G?L -11E% --- ?"4:5:? QS?U 3 ? MHY-17-1995 16;42 FROM TO a ' - _-VALUF, i?Ak,tN.A`("IaW, (caNT). -JYAMI? hlkU. @ lNEA.II-_ -ioMpv N ?ti?i. ? IJ ,v t. ? "IF WRU. ? s?7 --rF _ p1.RN. v1eW. o . ?Z Af7- fgW h` hivlHv - - _-:.?h?'FIIHl. _-5%: sNhu??? ?IL'm d -GoMPoNP`.Njh t 2 3 f 0 C "TIVPE Ake pLIA. ? ?z"Stvtw.. hNf?iA?}1)Nb • 'L XL 771U17 (PZo" AiV- FA. . saz-n01 P.ea -` R-VAc.ua - 0.Co2 ` ?,q. _Q . • . p: co b... . _ , u= ^ ?' ? ?3:?!F3:, R't?AL _ .. fy.?VAI.Utr, 2.a0 - ?;-?g,----- -- -- - ? ?'ot??.- -1.+c? - u? ? Z .. F*wio -?f"?P?. °Ur? ?O,IZ X o.ot?q? -?-?o.Sb X o.04?> = O• o¢? _ I'4AY-17-1995 16:42 FROM TO 8827702 P.05 . ? 1 7% • • .- _ ?- _ _ t ` ? _.?.. ?? ., ????(' ?y?-??-?/-?..-+'yr?-? 1-?' Y`? ' .• ".^' i__. .. ... • _ _ "___ _ U O 0 0 0 0 ? ? ?=:1.???UL. -- ? ?1?--F(?M • _ I•as _...._.Otts2. . _.. z?4.3S ?-1??1I?1t? cvN . .--.-- ?= ? BL r SUBO, C4&? 1,F 5(7 C(TY U5E ONLY p RECEiPT $/7 S& RECEtPTDATE:10 9997 MECHANICAL PERMIT (REStDENTIAL) CITY OF EAQAN 3830 PILOT KNOB RD EAGAN, AAN 68122 (81 S) 681-4675 Please Complete for: . singie family dwellings ? townhomes and_condos when permits are required for each unit . .?..._..__??..-- . - ......r.._ ---- ? New construction Add-on fumace ? Add-on air condstioning Add-en air exchanger, i.e. Vanee system, etc. Date: -) FEEg ? Minimum Fee: Add-on/Remodel (exi$ttng residence onty) $ 20.U0 ? HVAC: 0-100 M STU 24.00 - Additiona! 50 M BTU 6.00 ? Gas Outlets (minianum of I required (? $3.00 each) ?? ? ? State Surcharge .50 - TOTAL SlTE ADDRESS: OWNER NAME: INSTALLER NAP S7'REET AQDRI arv: 64aJx PHONE#: PNO?J8 #: ?L? ?77? q ? _. ? , ? ' ?' L a BL C1TY USE ONLY ? SUeD. Please comple:e for: . singfe family dwellings ? townhomes and.condos when permits are required for each unit ? New construction Add-on fumace ? ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: l ? -n FEES ? Minimuan Fee: Add-on/Remodel (existing residence oniy) $ 20.00 ? HVAC: 0-100 M 8TU 24,00- Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.OQ each) ? State Surcharge •54 ? S(D TOTAi. ? 1897 MECHAlViCAL PERMIT (RESIDENTIAL) cmr oF EncAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 )Pfa7 sa RECEIPT#: 91I 9(P RECEIPTDATE: 1Cj 8/F7 SITE ADDRESS: ?- OWIVER NAfUIE: iNSTALtER NAME: ? STREET ADDRESS: cirv: l `iILYP ? 1 Y? YI l -L' PHONE#: PHONE#: Le? . "" L 8L arr usE oNLY SUBD. RECEIPT #: RECEIPTDATE: 4997 MECHANICAL PERMIT (RE5tDENTIAL) CITY OF FJIOAN 3830 PILOT KNOB RD EAGAN, MN 56122 (812) 881,4876 Please complete for: . singie famiry dweflings ? townhomea and.cQndos when perrrilts are requlred for each uMt ? y New construction? Add-on fumace v? Add-an air conditioning Add-on sir exchanger, i.e. Vanee system, etc. Date: 10 ? Mlnimum Fee; Add-orsARemodei (existing residence oniy) ? HVAC: 0-106 M BTU Additional 50 M BTU FEES $20.00 24.00- 5.00 n -- ? Gas Outtets (minirreum of 1 required @ $3.00 each) J•0O ? State Surcharge TOTAL .50 - SITE ADDRESS? OWNER NAI INSTALIER 3TREET ADDRESS; cirv: A?Ulw? PHONE#:?? q?? / CITY USE ONLY CJ v L _ *?/BL -5 RECEIPT #: 0 SUBD. RECEIPT DATE: 1997 PLUMBINfi P£$MIT (MIDENTIAL) C1TY Of Bl1fiAP S$SO fILOT RPOB !W $fkHAP, MN 55122 (61E) 681-4698 Please complete for: D singte famity dwellings ? townhomes and condos when pertnits ere required Tor each unit ? 6ackflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 2 = .00 WaterCloset 3.00 x Z = fn,pp Bath Tub 3.00 x 910c7 Lavatory 3.00 x 2 = . e 0 Kitchen Sink 3.00 x - Laundry Tray 3.00 x ?2•e0 Hot Tub/Spa 3.00 x Water Heater 3.00 x Floor Drain 3.00 x .80 Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 x = Water Softener " for exisdng dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler • for existing dwelling 20.00 = AlterdtiOnS ' to existin9 residence 20.00 = Water Tum Around 20.00 = Private Disposal System • oak cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = STATESURCHARGE .50 TOTAL Zi ?SO I hereby edcnowled e tliat I have re2d this a plicaGOn, stste that fhe infortnation is corred, and egree to compty with ell a licable ? ? ? 9 p pp Cily M Eagan ordinanoes. It is the applieanYs responsibility to notify ihe property owner that the Cily ot Eagan assumes no Ilability for any damagee caused by Ne City tluring ks nortnal operational and maintenance adrvities to lhe tacilitiea consWGed under this permR withln City property/rigMof-wayleasement. SITE ADDRESS: OWNER NAME: ?31YI INSTALLER NAME: Wl!?JZ4/L. PI? ?/y(/] !,_7/?Y TELEPHONE #: fs,C7 S SrREer,aoDRESS: I qS5 51{WI44,4- CITY: rAf'*Y-j STATE: ZIP: sc?? Z Z CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 SIGNATURE OF PERMITTEE V1__ L Jt?z? CITY USE ONLY RECEIPT M SUBD.?'?iu_t,e.A? RECEIPT DATE: 1997 PLUM$INfi P£fiMIT (iiESID£NTIAL) crrY oF gwsna 3830 Pv.oT xxoa itn EAHAF. MN 55122 (81E) 8$1-4673 Please complete for. ? single famity dweilings ? townhomes and condos when permits are required for each unit D beckflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x . 0 Water Closet 3.00 x = " BathTub 3.00 x 3,00 Lavatory 3.00 x pslfl0 Kitchen Sink 3.00 x ? - Laundry Tray 3.00 x r? Hot Tub/Spa 3.00 x = Water Heater 3.00 x 00 Floor Drain 3.00 x ? = . a0 Gas Piping Outiet • minimum - t 3.00 x = 0 Rough Openings 1.50 x ? _ .In 40 Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existlng dwelling 20.40 X = U.G. Spdnklef " tor dwelling under wnat. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations • m existing resiaence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cty Iic. 75.00 = (new end refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL "l' 1O -°•--------------------••----------°-•------ •---••----------•----•----------------•-••---- ------------•------•- I hereby adcnwuledge that I hava read this application, state thet the infoirnatiori is corred, and agree ro compy witli all applicable Cily of Eagan ordinancea. fl is the applicanPs rosponsibllity to notiy tbe pmperty owner that the City of Eagan assumes no liability tor eny damages ceused by the City during Its normal operetional antl maintenance activkies to the faalitiea construQed underthis pertnk within Ciry property/rightof-way/easement. SITE ADDRESS: OWNER NAME: Cm INSTALLER NAME: V?kfjuvl- PWM /,7YNCr TELEPHONE #: LI S z,? I S?p S STREET ADDRESS: 544W ?4? ILI? • CITY: STATE: VWA -ZIP: gS' SIGNATURE OF PERMITTEE CDlFORMS/PLBG PERMIT (RESIDENTIAL) 1997 2 CITY USE ONLY "? L J BL 5 RECEIPT #: , ! y`.?? IC SUBD. RECEIPTDATE: 1,211,?'97 1997 PLUM$INfi PERMIT (RESID£NTIAL) crrY oF eneAN S$SO PILOT KPOB RD £AHAA, MP $51 EE (sl E) 681-4675 Please complete for. ? single family dwellinga ? 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 Bath Tub 3.00 3.00 x x - ? Lavatory 3.00 x Kitchen Sink 3.00 x I = l? Laundry Tray 3.00 x Hot Tub/Spa 3.00 x Water Heater 3.00 x O Floor Drain 3.00 x I = 00 Gas Piping Outlet "minimum - t 3.00 x .0?'1 Rough Openings 1.50 x 0? Water Softener 'tor dwatlings under construCion 5.00 x = Water Softener ' For existing dwelling 20.00 x = U.G. Sprinkler ' fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = AReratlOnS " to ezisting resWence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL L Z •5) 1 hereby adcnowledge that I have read tha epplicstion, spte thet the iriforrnstion ia corred, end sgree to compy with all appliwble C8y of Eegan ord'inances. fl is the applicenPs responsibility to notify the property owner Net the City M Eagan essumes no Iiability for any damepes caused by Ne City during its nortnal operetional and maintenance activities lo the faalities constructed under this pertnit within City property/right-oT-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE#: IIs-Z`IcSS(o.S STREETADDRE55: 02 cS/lY.h,JW ?A 124 CITY: FlJftzi? STATE: ZIP: SS??- -L SIGNATURE OF PERMITTEE CDlFORMSlPLBG PERMIT (RESIDENTIAL) 1997 PLUMBING (RESIDENTIAL) Permit Application City OfEagan ? O? Q? 3830 Pilot Knob Road, Eagan Mn 55122 I Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date8 /27 / (?S Site Address 37,3!5' Unit # Property Owner Telephone # ( ) Contractor Kl AJz'f l4 L Address ll2!?? {{/ti1c( 1z ?J City 6'LX?//w) State W ?3Crl Telephone #(7l03) Z i p The Applicant is _ Owner ?Contractor _ Other Septic System NeW Refurbished Submit 2 sets of plans and MPC license $ 100.00 IncludesCountyfee. AdditionalconsulWntfeesmayapply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room addition s, excluding water softener and water heater _ Abandonment of septic system Water turna ro und (+ 5/8" meter if needed -$ 121.00) ? ? ? Other: t"iRn-5H '1A l7-? _ RPZ _ new installation _ repair _ rehuild $ 30.00 _ Lawn irrigation system i / _ Water softener _ Water heater $ 15.00 replacement additional v ti _ _ State Surcharge $ 50 Total V F $ ZC7, z ? I hereby apply for a Residentia] Plumbing Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a per it; that the work will be in accordance with the apprqved plan in th case of work which requires a review and approval of plans? ? ? ?? ? ApplicanYs Printed Name Applicant's Signature /? RES[DENCIAL BUILDI?\G (?oqs Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan NIa 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S70. 0o Ct?u g 1zh1o3 New ConsWCtion Reauirements RemodeUReoair Reauirements Office Use 0nlv 3 regisiered site surveys showing sq. R of lot, sq. ft. of hause; and all roofed areas 2 copies of plan Cert of Survey ReW (20% mazimum lot mverage allowed) 1 set of Energy Calcula6om fir heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured faund design, etc. 1 sile survey for addNOns 8 decks Tree Pres Not Reqd 1 set of Energy Cakula0ons Adddion - indicate B on-site sepfic system . _ Oasite SepUc System 3 copies of Tree Preservation PWn if lot platted aRer 711193 Rim Joist Delail Optlons selection sheet (61dgs wAh 3 or less uniLS Date 00 I 20 / 03 ConstructionCostjiz900 SiteAddress 3737 ,acaC?UniO)/ LQ- Unit/Ste # Description of Work Tk_ni %c 1k RkTl+ 2 g G1?P_?NI A/ ?S4-SCMFit1T_ Mul[i-Family Bldg 'r Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner --I-pN./ 4a ,4(, iqCOM 0 Telephone #((osl 22-1r2- Contractor /) ufr,?-WS Gi eNI y(' }Ea F ? Address L442!?2 _ritU,4XiE E CiTy?? ??? S[ate MA/ Zip TT 12? Telephone#(qSJ-) 432-2?2 ??F, `Y ? tv ysr o - ..,. . ? . . . . ' . . ?`" COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • ResidentialVentilationCategory.tWorksheet (J submission rype) Submitted • Energy Envelope Calculahons SulSmilted Licensed Plumber 11III? `=' ? ? ? :' ?) AUG20 Mechanical Contractor SewerlWater Contractor :TTNG A NEW BUILDING Mintl66ta Rules 7672 ' • New-ETergy Code Worksheet - Su6rpiled,;_w Telephone #( Telephone #( 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 NN Statutes; I understand this is not a permi[, 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 ofplans. MIeK ZE wESEP, . Applicant's Printed Name S ra re ! OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair L? 33 Alteratlon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation 1904P Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) . Plumbing _ Foundation ?C HVAC Drain Tile Other Roof Ice & Water Pool _ Ftgs _ Au/Gas Tests _ Final - Final _ _ ?C Framing _ _ Siding Smcco Stone Fireplace _ R.I. _ Air Test Final _ Windows (new/replacement) # Insuladon _ _ Retaining Wall Approved By T?1 , Building Inspector -- ---------------------------------°--- Base Fee ------------------------------- Surcharge y ..sJ J d/ Plan Review MGES SAC Cit SAC ?..- ? y Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Id Use BLUE or BLACK Ink For Office Use I Permit 3 ~ I City of Ea Rd~ ~ l Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received:' - ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 20213 RESIDENTIAL ?BUILDING PERMIT APPLICATION Dater cJ Site Address: - 3 J 7 `7 - 37 VI &zr - Unit i Name: Phone: Resident/ Owner Address / City / Zip:3731-373 9 -3-74// t9ci u~io% ,di Applicant is: Owner Contractor I Description of work: , Type of Work Construction Cost: Multi-Family Building: (Yesx / No Company: U001e.: ~cs!/~! /sl~JieG Contact: Contractor Address:3/00 su,0711ne-r 5✓ ~J City: ~d ~.S`' - 01 State: M/) Zip: -s•$"~/~3 Phone: _ Z/.? -13 00- 9460 License Be- ;2 6-.2a VC) Lead Certificate °-~37 9/2 V j 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 I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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 State Building Code must be completed within 180 days of permit issuance. x Applicant's Printed Name Applica s igmature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150612 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 3737 Burgundy Dr Lot:1 Block: 05 Addition: Seneca Hills PID:10-67125-05-010 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 - Robert E Kasper 3737 Burgundy Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature