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3725 Burgundy Dr INSPECUON.R.CORD • Cf T Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued; (612) 681-4675 SITE ADDRESS: APPLICANT: ti PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR, LL r Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC 9 9G yj //f~s~ Inspection D Ins Comments FOOTINGS o7 ,5/9` 4r ity C14Y .p `o i FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT ILL BSMT FINAL DECK FTG DECK FINAL Werti f irate of CCCupancC WO) of Wagan ze}►a -meat of Sa thing 4napection 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 C7usifica~iort 4 -PLER Bldg. Permit No. O-PntyType RI /JI Zoeing District R3 Type coos. VN Owner of Building a= HM - Address 124M WHIMAM DR, MM& 2PID Building Address 3725 WROM DRIVE L,,wity L 1 B3. MM VMKM Building Official ALSO TrrJtM: 3727, 3724 & 3731 BURL d7Y MW POST IN A CONSPICUOUS PLACE 1 SITE ADDRESS Unit # Permit # L B Sect./Sub. PA I1.G11, 111A, INSPECTION INSPECTOR DATE COMMENTS r~14 -zy--I 7 i 5~v - ~Ir► 3 9 - D. s / o- 7 INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS J q 811A J A Unit # Permit # L B Sect./Sub. L, CA' IFJI- L QhAt.).X/ C11. MICA. INSPECTION INSPECTOR DATE COMMENTS U-% W. 1/f Gy hn~ Aig 17 -ac! -RJ INSPECTION INSPECTOR DATE COMMENTS r r1 n SITE ADDRESS J),lt'11~1~! I j A Unit # Permit # L B ect./Sub. ; IVA) INSPECTION INSPECTOR DATE COMMENTS Fyn oo'ft I& v ~Jc .614 a-a2 U. n rk;3 z K~ L~ r2,,n,~ rln3 7-z-7 ~t INSPECTION INSPECTOR OATE COMMENTS SITE ADDRESS it ,A SCI L X Unit # Permit # L B Sect b. (,`.yl .11 Ul - ! Un _ I ; .1 ` a ~ /6/9 ~ 7' v9 INSPECTION INSPECTOR DATE COMMENTS VN 1 d~ aQ i a -Q 2-li-17 ~n 5u~ M3 2 7 fn .~„3 1 28 17 6ei INSPECTION INSPECTOR DATE COMMENTS I ~OFFICE USE ONLY This request wid 18 monlhs hom ealidaNon dote printed in this 111111111111111111111111 / Vey, /I~Ha ° * 4 4 3 B 0 6 5 sk PLEASE PRINT OR TYPE V/ Request Date Raughin inspxtion requiredz Yas ];j Inspection Other Than Roughln: ❑ R.ndy Now III Call (You must mll the inspector when reodyl Dme R I, licensed contractor ❑ owner hereby request inspection of the abo eleahical Job Address Sheet, Box, or Route No.) City F J E 144 4 Section No. Township Nam. or No. Ron,. No. Fire No. Count' Occupant Phone No. Power Supplier Address Electrical Conhacbr (Company Name) Contractor License No. Mash Lc. No, Men, Elect. Onlyl c4elll Mailing Address IContrnocr or Owner Performing Immsm mionl Iwthorized $yrwWr ( nrcanor « er Performing Instonanon( Ph.. No. L ~B UII XII 1 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW CO" REQUEST FOR ELECTRICAL INSPECTION Y Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Ph 1 1612) 642.0800 Home 11 Duplex Apl. Bld New Addn Commercial Industrial Farm Remod Repair Air. Cond. Htg. Equip- Water Hit Load Mgmt. Other: D er Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection.. Request will not be accepted without the correct fee: Other Fee It Service Entrance Size Fee It Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Amps bove Amps Transformer/Generator INSPECTOR'S USE ONLY p~ TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control / Swimming Pool I hareb cent Thor I its ed lecn' of in la' dexri herein on the dales s d ti, Irrigation Boom R.,h4n °O1eet Special Inspection Investigative Fee r.°ol D. THIS INSTALLATION MAY RE ORDERED nI.R - I D WrfHl A O T M 7 OFFICE USE ONLY This request void 1 B months from wlidolion data printed in this bo. III I Jill 11 # 4 4 3 8 0 7 3 7K PLEASE PRINT OR TYPE ~57 Reouesl Dak RwgMn inspedian required? Yes ❑ No =Other Than Roughln: ❑ Ready Now F-Wil all 7 IYou must call the inspecbr when reodyl Dote Reody: I, o licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address Street, Box, or Route N.] Ciy Zip Code 0 Section No. Township Name or o. Tan, No. Fire No. County Occupant Phone No. Power Supplier + Address Electrical Contractor (Company Namel Coahacmr License No. Master Lic. No. (Plan Elect Onlyl 1 MoBi~ ddress ICOntro , cr Owner Performing Insallotion) I t/. J Author a e I kw ar r Pedorming Installmlon) Phone No. 7 ~s~/L n r! =h E 1 A-1 1 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION 4 4 - 8 O 7 8121 University A ear Rm. SI 28, St. Paul, MN 55104 Phone (612) 642-0800 \ILHome Duplex Apt. Bid Other: - New Repair Commercial Indushial farm Remod Re it Air Cond. Ht g. Equip. Water Hh. Load mt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps Street Ltg./Traffic Sig. Above 200Am s Above 100 Amps Transformer/Generator INSPECTOR'S USE ONyyv TOTAL Sign/Outline Ltg. Xfmr. L'e.R '`x Y[4 Alarm/Remote Control Swimming Pool hercb ceni Ih ed p cdbod herein on the daces sl Irrigation Boom Itoaghan Dore ` Special Inspection Dore !D Investigative Fee Find THIS INSTALLATION MAY BE ORDERED DI CONNECTED IF NOT COMPLETED WITHIN 18 ONTNS. 1-7 - 9 R? 61, / n~ Iy OFFICE USE ONLY This request wid 18 months from wlidalion a ~ ~ KjLl~. IIIIIIIitIIIIIIIIIIIII IIIIIII ~IIIIIIIIZ/1Y~ ~ 4 3 8 0 9 9 * PLEASE PRINT OR TYPE CJ / Request Dote Roughen inspection requiredR Yes ❑ No Inspearan Other Than Roughln: ❑ Ready Now Will Coll ~Yau must tall the inspecI when ready) Dote Ready: I, $Lbjcensed contractor ❑ owner hereby request inspectio W of e above ectrica work at: Job Address (Sneal, Box, or Route No.) City p e 3 31 E A Section No. Township Name or No. Range No. Fire No. Cou Occur tit Phoo - Power Supplier Address Electrical Contradw Company Name) Contractor license No. Master tic. No. (Plant Elect Only) D Moiling Address (Contracor or Owner Performiy Installation) /64 0, U - ls. 4 st, N 1E IMP Authorized ignature )Comro or Performing Installation) Phone No. EBODO01 A-1 1 /96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY Q REQUEST FOR ELECTRICAL INSPECTION 4p- Y0 9 1 821eUniversary Aver Rm. S-128 ElectricitySt Paul, MN 55104 / Phone (61x1 642-0600 -100 Home Duplex Apl. Bldg. Other: New Addn 1 Covimercial Industrial Farm - Remod Repair Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Z-t~ ~ - Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 AmDsI 100 Amps Transformer/Generator INSPECTOR'S AMLY J TOTAL Sign/Outline-Ltg. Xfmr. - Alarm/Remote Control Swimming Pool I hereb ceni Tn &.ribed he rein on the dates st Irrigation Boom RoaghIn Oare Special Inspection Investigolive Fee F."al ome. THIS INSTALLATION MAY BE ORDERED D NE T F T CtUDLETED WITHIN 18 M LATHS. CER TIFICA TE OF SUR VEY \ F- G N LEGAL DESCR/Pncvw E,y Lot 1, Block 3, CENTEX VERMILION 2ND ADDITION, according to the plat thereof, Dakota County, Minnesota. ~T (830.00) I~/S / Finished Floor = 856.3 Top of Irons ® Offsets Lowest Floor = 8478 S60 Garage Floor = 855.3 ® Box Corner 846.35 \ 3?, 334 © Box Corner 853.05 AO F 950.0 denotes son. sere. inv. © Box Corner 853.79 SBS3za ~ (50.0 denotes existing > > Q. 950.0) denotes proposed elev. 7, F O °•S' / denotes surface drainage O Box Corner 84734 ry v o s~~~ ~~4 4 OO ~P' ry U Scale: 1°= 40 feet • Denotes iron monument found O Denotes iron monument set (1T 2p Bearings based on assumed datum. r~o ~sj cbl// ' diS)'1 \ 1 hU 1V hereby certify that this;5urvey was prepared E b me or under m direct su rvision and that L_~' c7 IF Jam a duY Ecens and dr under the l J .y, S ~ eY, tows of t/a'e Stot ~UF pt 84 w y~ ppp W p 4. V 8.2 p by y6`Po / 00 BpOY~ / Q.6` Y' Ll /~J~..a..•_- .....~_I~ C i ~f 16 LOT 1 O a sSO m T (pl/%' v`- M1Aartin J. W6e~, R.L.S. Date S6BoQ~ o. i ® iiv f.l.Y~..tiL••~•.•j.vir D License No( 12043 mh yn M 32 azpo aaoo / / o ,v~ ai 8v0o- REQUESTED BYo G CENTEX HOMES T;i v S89 °35'42 °W 264.85 (820.20) (857.90) 857.67 R Westwood Professional Services, Inc in- 14180 West Trunk Hwy. 5 w Eden Prairie, MN 55344 W ~ (672) 937-5750 Cr m u Revised: 11126196 Ex. Elevations 3 12102196 Street Width a Drawn by. MS Date: 11122196 Job No: 95893 Lot 1, Block 3, Building 1 P2B3L 01.0 Kc LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SU VEY: z L/ o ' LATEST REVISION: DOCUMENT STANDARDS z ~p ❑ • Registered Land Surveyor signature and company ❑ ❑ Building Permit Applicant ❑ ❑ • Legaldescription ❑ Address or' ❑ ❑ • North arrow and scale V ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0' ❑ ❑ Directional drainage arrows with slope/gradient % ❑ ❑ • Proposed/existing sewer and water services & invert elevation ❑ Street name p~ ❑ ❑ • Driveway ELEVATIONS Existing ❑ ❑ ❑ • Sewer service (or Proposed) Z' ❑ ❑ • Property comers rd' ❑ Top of curb at the driveway ❑1 ❑ • Elevations of any existing adjacent homes Proposed ❑ ❑ • Garage floor 12~ ❑ ❑ • First floor 0-' ❑ ❑ • Lowest exposed elevation (walkout/window) Ir ❑ ❑ • Property corners ff~ ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ 0' ❑ Easement line ❑ 0^ ❑ . NWL ❑ q.- ❑ • HWL ❑ d 11 Pond # designation ❑ 21/ ❑ • Emergency Overflow Elevation DIMENSIONS tr ❑ ❑ • Lot lines/Bearings & dimensions ❑ ❑ • Right-of-way and street width (to back of curb) ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than Z, porches, etc. (.e. all structures requiring permanent footings) UT' ❑ ❑ • Show all easements of record and any City utilities within those easements al, ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ ❑ • Retaining wall requirements, if any 7 Reviewed: r z Name /Date/ January 1986 cRn1c1seeieWGaRWr. FM PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 0 6 (612) 681-4675 Date Issued: 12/04/96 TE ADDRESS: 3725 BURGUNDY OR LOT: 1 BLOCK: 3 CENTEX VERMILION 2ND DESCRIPTION: 6`611ding-„Permit Type 4-PLEX ;Building t4brk Type NEW UBC Occupancy',,k., R-1 U-1 Constructi..on Type V-N Zoning R-3 Building Length 136 Building Width 64 By lding,.stories r' 1 Ge~Is;us Cad2 t 104 3 & 4 - FAMILY ter;.,- 'i4 r REMARKS: INCLUDES 3727 3729 3731 BURGUNDY DR G & W 0l BR RYAN RI BG FEE SUMMARY: VALUATION $439,000 Base Fee $2,582.25 CITY SAC $400.00 Plan Review $1,291.13 WAC $3,040.00 Surcharge $219.50 S & W PERMIT $100.00 SAC $3,600.00 S & W SURCHARGE $.50 SAC % 100 TREATMENT PLANT $1,584.00 SAC Units 4 ROAD UNIT $1,720.00 ' Subtotal $7,692.88 Total Fee $14,537.38 CONTRACTOR: - Applicant - ST. LIC OWNER: CENTEX CORP 19367833 0001333 CENTEX HOMES 12400 WHITEWATER DR 120 12400 WHITEWATER DR MINNETONKA MN 55343 MINNETONKA MN 55343 (612) 936-7833 (612)936-7833 I hereby acknowledge that -I havv'read"this application and state that the information is correct and agree, to comply with ali.aPPlicable State o;f Mn. Statutes and City,of Eagan Ordinances. ti nPGl fT I APPLICANTlPERMITEE SIGNATURE ISSUED FNATURE CITY OF EAGAN p 10 q 3830 PILOT KNOB RD - 55122/~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) rl I&-" OL 6814675 New Construdion Requirements Remodel/Reoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ i energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required' -Yes _ No DATE: I ( /Z"7 19 Cgp _ CONSTRUCTION COST: DESCRIPTION OF WORK: 4 - L&oQ t ~ ~L lL-O 100K HWUSE +~t LZlAy6 /K4- 4;7 STREET ADDRESS: 37ZS+ 372-7t -77zl , 37ri 3L.A.&k4Dy LOT BLOCK _ SUED./P.I.D. M - -Y 7QQ ^ 011 - PROPERTY Name: ~E7L~E7C Phone ~3C~-7>r33 OWNER Street Address / Z 4 ~E-GJi4 T&7Z 2)/2. City: /YI.N'~C70~/1~•4 State: 14 Zip:- 3 CONTRACTOR Company: S~+1C Phone M Street Address: License City: State: Zip: ARCHITECT/ Company: S Rsyl~- Phone ENGINEER Name: b 401D LjN K-`)q7Z-G"Y Registration # b~Z-4S9- 9 NOV 2 7 1996 Street Address* City: State: Zip: - Sewer & water licensed plumber: aW?_ "RYAf%J PL 4.,KdfnlG. 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: OFFICE USE ONLY RECEIVED ~"OU 2 7 1996 Certificates of Survey Received Yes No }3Y: Tree Preservation Plan Received Yes No OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling.",~67 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE . ~31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition o '34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) 5r-,(l_ Basement sq. ft. 57'9/0 MCNVS System (Allowable) Main level sq. ft. S 9/o City Water -L UBC Occupancy I T&-- sq. ft. Fire Sprinklered Zoning X2-7 sq. ft. PRV # of Stories / sq.'ft. Booster Pump Length ~3Io sq. ft. Census Code. Depth /v Y Footprint sq. ft. SAC Code o3 Census Bldg Census Unit APPROVALS Planning Building Engineering u Variance , A - Permit Fee Valuation: $ 1 3 9~ oao Surcharge „~a~ " f71A,N ~~owe /js r• Lam,. /j LCic Plan Review License MCNVS SAC #Z E eves S 3fe Yct City SAC Water Conn. Water Meter .0(/ ~z ioz /zbz 39B yLs Acct. Deposit (NNtw~ S/W Permit SAN Surcharge y lygS ~yBs Treatment PI. ~µ~,a~ ~fD flf Road Unit Trails DDed. /67B 6H1 y/o Yls Other Copies pyx/r,: y d, Z=~ S9lo x SY~ 59~~ ~J= Total: % _ 319, ; fi'8, b5v Z5; d`Y % SAC SAC Units /~7; = /{3f zrf Vl- - LA A) I i t,J r o u--F u--) / ber %:..s ( l 4rl Sq. . #2E k1 7t: 2 #3 3'731 3729 3727 37zc 3 uwsDV p,xec,LLai~/ 34e DUAbi $LtR-s.uuk,~ YYlaiw lc.,..Q jeveJ Man L"CA wk;e, le-,,J r4ss sq• Mz,z sq.f+. r4 ,a~,~k• 11673 WWee. CEVe~- .F•~s1..dt. _ S aA ! 4g s5 y _----•--rt. ~ 48S s9 ~t • t v78 sy ~ZVZ sq. G a. G 3_° r~'- V Pr ~8 SR 'Ff• 39g Sy.~4 . ro S9.~F. 39 • , , ,A,.1 tee.. 3-775, 3~3 l Y `~f-z v~ L _L BL _ OFFICE USE ONLY RECEIPT M 6 76L7 ~ SUED. ~x~Dt DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4676 Please complete for: all commerciattindustrial buildings. multi-family buildings when separate permits are DDI required for each dwelling unit. 0-0 DATE: 12/5/96 CONTRACT PRICE: WORK TYPE: X NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? /YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE 3o TOTAL SITE ADDRESS: _3725,27,29,31 Burgundy Dr TENANT NAME: STE. # OWNER NAME: CENTER REAL ESTATE INSTALLER: GENZ-RYAN ADDRESS: 14745 S Robert Trl CITY: Rosemount STATE: PIN ZIP: 55068 PHONE 423-1144 SIGNATURE: LICANT OFFICE USE ONLY METER SIZE: DATE: /D - G INSPECTOR: ~ CITY USE ONLY L BL RECEIPT* SUBD. / DATE: 9 SlB 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercial/industrial buildings. multi-family buildings when separate permits are 1141 required for each dwelling unit. DATE: 12/5/96 CON F RAClT PRICE: WORK TYPE: X NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee Qr 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of Wsrad fee due on all permits. 00 CONTRACT PRICE x 1% IOC PROCESSED PIPING STATE SURCHARGE 5b TOTAL 0 SITE ADDRESS: 3725,27,29,31 Burgundy Dr OWNER NAME: CENf11EX REAL ESTATE TELEPHONE 936-7851 TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: GENZ-RYAN ADDRESS: 14745 S Robert Trl CITY: Rosemount STATE: MN ZIP: 55068 PHONE 423-1144 SIGNATURE: `SIGN URE OF PERMITTEE CITY INSPECTOR L 8L CITY USE ONLY RECEIPT r/ 8 a2 /o2 / SUBD._(P ~X RECEIPT DATE: 724 9 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 backtiow preventer for underground sprinkler system FIXTURES EACH NO. TOTAL Shower 33.00 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 `fordwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = Z()" Jb 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 Ctylic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 116,1rd 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 normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/ease ant. RRNESON NRRLEN SITE ADDRESS: 3731 MUNDY DRIVE ER'RN 55122 OWNER NAME: N 405_8040 W' 420-8388 OLD INSTALLER NAM TELEPHONE STREET ADDRESS: CITY. STATE: NORBLO.4J I'LUMBIH3 00. DBA VENTCO/APPLIANCE INSTALLERS (612 827-4033 S RE OF PERMITTEE 2S05 GARFIELD AVE. SOUTH ~MiNNEAFOLI3, MN 55408 L _ B , _ SUED CMA, j y/ NEW RECEIPT /f ,7/aa99 RECEIPT DATE ? a~ ~J7 DATE_ TO Gi// CYO/QH(~J JOB ~5S ~~~ir(G~~ OWNER PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ r SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMARKS Z3 0 - 30 AMP CIRCUITS = L ` 31 - 100 AMP CIRCUITS = 0 - 100 AMP SERVICE _ 101 - 200 AMP SERVICE = Z /o TOTAL FEE DUE _ LESS FEE RECEIVED TOTAL FEE SHORTAGE DUE = v) PERMIT ORIG RECEIPT 11 RECEIPT DATE PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. s/~/n? THANK YOU! Dc~M rho DG~ ~r~ yiois~ Ierial # 903 ' Chip # 09a 153310 Permit # 29_TQ / Address: 3-7a5 &K-rz w,oU 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES Signature: G EN2. ,2HR~1 L B _ SuBD 4a,p,4 ,1J~,_,,.~ ✓ NEW RECEIPT c~ RECEIPT DATE y/~/ 7 DATE TO JOB c ~~I C J 1d2~~ l~f~~l~ OWNER PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMARKS `211~ 0 - 30 AMP CIRCUITS = Z115 /I 31 - 100 AMP CIRCUITS = 7 / 0 - 100 AMP SERVICE 101 - 200 AMP SERVICE _ TOTAL FEE DUE = G Q LESS FEE RECEIVED 7 TOTAL FEE SHORTAGE DUE = C~~ PERMIT if ORIG RECEIPT # RECEIPT DATE g7 PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. 1 S/2/S7 THANK YOU! L B SUBD New R~ipt # O 4O Receipt Date /0 698753 7 Order For Payment Date S y Request for Inspection Number on this job y 4 3-' 43 Date Filed o . ? Electrical Installer ,LA? Ucense No. C.R01 1/ 0 Owner/Oeeupant ~~r^f elf county D40 PI Job Address 37,A y (3~,,~ ,jLCity_ Additional Rough-in inspection was required. A .shortage of fees on the above job. _Reinspection Fee. A Copy of this order must be returned with payment to the, Eagan Municipal Center 3830 Pilot Knob Road Egan, MN. 55122 Phone: 681-4600 Fee Computation/ - su r~ c.~ l jo ~d cs-.~--,~ 8? {ice ✓ Yq V® Please return this with a check in the amount of &23,00 payable to the City of Egan. The above order must be complied with by (date) Electrical Inspector Chris Brinkhaus, 1026 Oak Rd., Shakopee, Mn 55379 (612)4969615 From: Parsons Exteriors Inc Fax: (888) 426.9712 To: Fax: +1 (651) 675.5694 Page 7 of 26 9/26/2013 8:24 Use BLUE or BLACK Ink j Fczr.[3ftice Use I =t ~ ~ ~ Rerfnit I ✓ ~ " : City of Eaph i q a5 I Permit Fee, i i i. 3834 Pilot Knob Road 1 Dat2;Reewad'. 1 Eagan WIN 55122 ( i I 1 Phone; (851) b-75-5675 Fallu 1+51) Q7'5-5ti9~ 1 1. 1 E ICE TI IIL 1L II P F M9T ►PPL ICATi Date: e~. ite~Addoass: ¢ tliti A. s: larn~ i ___Z7j7ZY -.?74 Resident/ 0l~rni r - address d City jZip: ✓ fay Lfi r _ r Applicant rs Owner Contractor v Type o work ; Description of work- tai t`~a {d:' Construction Cost'., _ K,. Multi-Family.Building (Yes l f~Io Company. ~Contact;.jL r 1~` { 017 _ Contractor Address. f l s~-~.~ ~r city.., $_-r&k- C~ to 0, P' a - 67e t~ State:: alp.: phone., License g-, Lead Certificate del i - a - If the project is ex. , pt from Deal certification, please explain- hy. (see Page ,3 for additional information) -7 Z COMPLETE THIS AREAS ONLY IF CONSTRUCTING A NEW BUILDING/ s in the IaSt'17 months, has the City of Eagan issued a permit fora sitnitar plan based on a master plan?' Yes No If:yes, date and address of master plan: Licenses! Plumber Rh4net. Mechanical Contractor: Phone Sewer Water Contractor: _ Phone; _ Y. ~nrrsid;fa be public infrrrttoattotr. Pbcrrtl rtlons of ; A1f~a k Plans and supporting documents that you submit are .~1~4rerd7edlt the information maybe classified as non-public if you provide specific reasons that woulcd toermit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher state one cai(' at (651) 454-r1042 jur protecGun against underground utility darnage. Call48 haPrs before you intend to did to receNa locates of under focind ufilitf C hereby ac};nnyAedge that this infotmallon is cornplete and accurate; that the wo* Weill be in c+?nfor nanoe with the ordinances and cadw oftheCity of Eagan; tfrat t :understaand'this is not a petrnit, but only an application fora, permit, and vrark is not to start without -a penrit;'ttiet thre'work trv l:be.in ;accordance with the approved plan. In the case of wnrk. which requires a reaigte and approval of plans.. Exteriarwork authorized by abut permit issued inaccordanoe with the Minnesota state Building Code must be rnpl+etod within 180 days of perm t'rsslarice. X applicant's Printed Dame r4plalicarift Signature page of 3 Use BLUE or BLACK Ink '1y�►o" For Office Usee!Eaaau C1}'t6� Of l Permit Fee: /6.tP C- 3830 Pilot Knob Road APR 1 3 2017 r{�� err Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 1. 1 / 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4! Site Address:' 1 Zs , 31 t1 ,311-1 ,315i Rvf30,n)y I( Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor .hype Work Description of work: 11-0, V-06F" Construction Cost: `"1/Spa Multi-Family Building:(Yes )( /No ) Company: S S v- ) Ceiv'tS o,— �r� Contact: Sit k Contractor Address:\1O1'p -Ev<jh., Z� city: C2 h er C-‘4•-/ State: 1'111 Zip: 0\Z. Phone: -99tID Email: P Parso,'-sl. C.-t) License#: "(3C.ka,ls-Y1' Lead Certificate#: N/4- If -If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit ere considered to be public information Portions of: the information maybe classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 1 M - J AG,Sel k. Applicant's Printed Name a ure Page 1 of 3