Loading...
3715 Burgundy Dr CITY OF EAGAN PERMIT TYPE: ~'3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ ' Ilk PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING PLOUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ,f FIREPLACE FIREPLACE AR TEST FINAL PLBG FINAL HTG " 7/; /1Jt!/~' ORSAT TEST BLDG FINAL l DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG - DECK FINAL L CURR CITY OF EAGAN PERMIT TYPE: F"' I' t" j" 3830 Pilot Knob Road Permit Number: 9; rr I Eagan, Minnesota 55122-1897 Date Issued: { (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE iNSPTR. INSPECTION TYPE .DATE INSPTR. Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG - - AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT - - - - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG~~ L/r DECK FINAL- ~p/p 1 INSPECTION RECORD MY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR- I Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING 1~ a 9 f ~I~~ HVAC 7 202_11q Inspection D&W 1 ap. Comments FOOTINGS 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 R.I. BSMT FINAL DECK FTG DECK FINAL I Wertif irate of CCCupancV CCU4 of *"an Zqavta~tat of 15affb* 3x4ectiua 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: us a&.ificuim MULTI(ADD'L) 5-PLEX Bag. Permit No. 29839 Ouvpa-y Type R I / U 1 Zoning Maia R3 Type cmi. VN Owner of Building GO= 11S Address 124W WHIMAM DR, MM Boi g Addra 3715 BURGM DRM ~ify L2, B3, CgWM VM41UCN 20 ; Due- Bwldi official AL ID S: 3717, 3719, 3721 6 3723 BUIRGU IIN DRIVE POST IN A CONSPICUOUS PLACE L SITE ADDRESS ' J _UVi riiE Unit # Permit # t✓ B G/r-~/YZ -q7 INSPECTION INSPECTOR DATE COMMENTS -Apt /N61 04/3 7 ~ S- 21- L INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS IL( ).ISM ,Il,U, ,-r L w , Unit # Permit # L J- B Sect./Sub. (!=d 40-007 INSPECTION INSPECTOR DATE COMMENTS 657 • --3a 7 v , Q -3 42 INSPECTION INSPECTOR DATE COMMENTS r SITE ADDRESS Unit # Permit # U I_ B g ect./Ss lvvme 4l5. G /3/57 INSPECTION INSPECTOR DATE COMMENTS Lc f y~Z IFPIZVj~ AL A /v-97 • K. -7a rl T A413 )-P-R7 7-I -dF7 /1/ 4, jty 1 30 f ,h 2-17 INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS Unit # Permit # ' B r Se ./Sub. a. A, INSPECTION INSPECTOR DATE COMMENTS FA. 7 u )?A 7,14~47 /Jry 4IL 7-)g--77- 7 4,9 , ~y/ ,8 11=3 `l~ 1 INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS J ? .u l Unit # Permit # ~l L l3 Sect./Sub. FAI & 10 '2 INSPECTION INSPECTOR DATE COMMENTS U f?n 46 L G ~ Qj LNr9ty ter- ~ 6 ~S'5'7 Jn 7,~1 ,Or~ wad j3la 7897 / l-5" r G tdi6 INSPECTION INSPECTOR DATE COMMENTS OFFICE USE ONLY This request void 18 months from volidaeon doh inled in this box. ?'35 ~ * 0 4 5 8 4 6 6 0 PLEASE PRINT OR TYPE ~O Request Dore Rough:n inspection required? es ❑ No Inspedian Othm Than Roughlm ❑ Rmdy Nov, ill Call (Yw must call the inspe r wh o ready) Dme Ready. I, ilicensed contractor ❑ owner hereby request inspection of the above electrical work at: Job dress [Skeet, Bon, or Route Clq Lp Code 7.1 A 5 Lion No. Township Name a No. Range No. Fire No. Count, Occuponr Phone No. Power SuPplier Address Ekchiml Con (ampony Na Cr r License No. fAaxrer Lk. No. (Planr Elect. Only) w ontractor or Owner Perfarmi InsWa ionl AA ignature Icankanar r Performing Irumllarion) Phone Na. EBOODOIA-11 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW CO" `519I/r7 REQUEST FOR ELECTRICAL INSPECTION 7a 458-4U 01 Minnesota State Board of Electricity _ 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New Addn C ra e'c'ol Industrial Farm Remad Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Ente l r marks 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 100 Amps Street Ltg./Traffic Sig. Above 200_Anns Above 100 Amps Transformer/Generator INSPECTOR'S :USE ONLY TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I here r6 rs red the eleco-ical in here n on she dales shred Irrigation Boom R.,Wn Dare Special Inspection Final Investigative Fee THIS INSTALLATION MAY BE ORDERED DISCONN D IF NlDf COMPLETED VROAN 8 MIONTHS. G ~d 9 7 OFFICE USE ONLY this req est void 78 months ham mlidation don, printed in this bog * 0 4 8 9 6 4 6 0* PLEASE PRINT OR TYPE Reque Date 'n/ Roughin inspecWn required? ❑ N. Inspection Other Thon RaugMn: /Ready Now, Will Coll 10, T ou muse mll he inspector when ead J D Ready: 00- % 7 It I I, Plicensed contractor ❑ owner hereby request inspection of the above electrical work at: C6 Job Address IStreet, B., or Route No.) City Zip Cade Id vR c` AJ Section No. Township Nome or No. Range No. Fire No. County Occupant 0 Zn1 TE jl~ %wne No. Power Supplier `7~~ Address Electrical Contactor Company Name) Contractor License No. Maher tic No. in Ekd. Only) LAZEk E- Mailing Address Kohn Ior or Owner Performing Inztallmio _ Authwfl.d ign onkoclor or Ow ing Instollotion) Phone NN.. -B 1A-1 . 96 STATE BOARD COPV . RFF INSTRItGTIDNR ON RGCK OF VFI I Ow copy ` REQUEST FOR ELECTRICAL INSPECTION / A~,o,L 1. Minnesota State Board of Electricity 4Q U L//~~ V 1821 University Ave., Rm. S-128, St. Paul, MN 55104 /j/ 9 7 Phone (612) 642-0800 - Home Duplex A E Bldg. Otter: ew Addn Commercial Industrial Farm Remod Re it Air-Cond. Htg. Equip. Water Htr. Load M mt. Other: Dryer Range Elec. Heat Temp. Service "X" above the w rk cc ered by this request. Enter remarks in this space and on the back of the white copy only. C8 -P 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 Stoll 0 to 200 Amps 0 ro 100 Amps Street Ltg./Traffic Sig. Above 20Amps Above 100- Amps Transformer/Generator INSPECTOR'S USE NLY ~r rTM4L TOTAL, is Sign/Outline Ltg. Xfmr. S '7. Alarm/Remote Control Swimming Pool I hereb certl Ihm ins the el inslallanon dawibed herein on the dines zloled Irrigation Boom RougMn ~ DaM Special Inspection f LD4 Investigative Fee Final Dole Le THIS INSTALLATION MAV RE oRDEREn n . cnNNECTFn IF NOT CoMPLETFO WITHIN 1N MONTHS. (f ~7 OFFICE USE ONLY This request void 18 months from wlidoiion data printed in thu z. Illli~lillllilllil ~~,83,~ 7s~~~a * 4 8 9 6 4 4 5 * PLEASE PRINT TYPED / Request Date Rougbin inepenion required? yes ❑ No Inspection Other Than RooghJn. ❑ Ready Now ill Call 6-10'9-7 (you must call the inspector when modyl Date Ready 'V 11161 p4l I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: C6 Job Address (Street, Boz, or Route No.) city Zip cods' S Senior No. Township Nome or No. Range No. Fire No. Count' Occupant Phone No. C EA! 7-` Pa. Suppler Address ElectricoContractor ( ompony Name)/~ Contractor License No. Master Lic. No. (Plant Elect. Only) L8 a C ire Mailing Address (Connector or Owner Pot o ok, Installation) r s, A" jo --M AaMon,nad Signo e ( nuesior or net P ormiag Installation) Phone No. EBOOOO IA-I1 96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY ~R,EQUEST FOR ELECTRICAL INSPECTION 7` 48 9 e 64 4 ~ 8121eUnni ersity Aver Rm. Se28,ISt. Paul, MN 55104 Phone (612) 642-0800 I Home Du lex Apt. Bldg. tlther. ew Addn Commercial Industrial Farm Remod Re it Air Cond. Htg. 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. C6-Po 6V910 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee If Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Tmffic Sig. Above 200_Amps Above 100Amps Transformer/Generator INSPECTOR'S USE ONLY TOTA / - Sign/Outline Ltg. Xfmr. BSyytr fr 41r31ft M"A- Alarm/Remote Control Swimming Pool I hereb ceni Ih t in ted the elearmal insbllarian dexribed herein on the dotes slatd Irrigation Boom RaugMn Dme~ Special Inspection Final Dote Investigative Fee (,L•.~(G~ S j orT.- THIS INSTALLATION MAY RE ORDERED DISCONNFCTFD IF NOT COMPLETED WITHIN IR MONTHS. ~1 1Cf' 1n 1 {III~'1, OFFICE USE ONLY This requesl vaid 18 months from validation dale printed in is IIIIIIIIIII II 1/I~ IIIIIIII III,II~I II zu, & *-04896452* PLEASE PRINT OR TYPE Request Dale Rough-in inspeclion required? es ❑ No Inspection Other Than Raagldn: ❑ Ready N ill Coll } / ~ )you must,:all the inspector when ready) Dane Ready: -Iq L4 t I h I, UZZlicensed contractor ❑ owner hereby request inspection of the above electrical work al: C-A Job Address (Shell, BoK, or Route No.l City Zip Code Section No. wnship Name or No. Range No. Fire No. County Occupant LE-P TL X Phone No. Power Supplier Address s . Electrical Contractor Company Nome) Conhacmr license No. Master Luc No. (Plant Elect. Only) Mai ing Address (Conk for or Owner Pedorming Install ion) Authorized ignoN (Co actor ar Owner Pe ming Ins Italian) Phone No. EB00001 A-11 B STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY 4911 9 7 REQUEST FOR ELECTRICAL INSPECTION 75 4 J - 6 4 5 Minnesota itr Electricity University Ave., Rm. S-28St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex A t. Bldg. Other: ' New Addo Commercial Industrial Form Remod Re it Air Cond. Htg. Equip. Water Ho-. 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. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee It Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street 17g./Traffic Si Above 200_Am s Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOT Sign/Outline Ltg. Xfmr. t- ` [lL9/98 /"4 r Alarm/Remote Control Swimming Pool dares stared hereb cerh 1 or ins tad the elMnwl ."smllanon described herein on the Irrigation Boom Roughen r oata ' Special Inspection Invesfigalive Fee Fl. Dare O THIS INSTALLATION MAY BE ORDERED 61SCONNIECTED IF NOT COMPLETED WITHIN 18 MONTHS. -2 OFFICE USE ONLY This request void 18 months from validation dale prinied in IIIII~IIIIIIIElIIIIIIIIIIII11111IIIt~,mot # 0 4 8 9 6 4 3 7# PLEASE PRINT OR TYPE 8/ Request Data Rough in irepedion required? Yes ❑ No Inspection Olhn Than RoughAn: ❑ Ready Now CoII t ,You must _11,h e inspector when ready) Dole Ready: 1, 0~icensed contractor ❑ Owner hereby request inspection of the above electrical work at: b6 Address(Streep Box, ar Rome No., Ciy Zip Cade ' ~a - r A RJ Section Township Nome or No_ Range No. Fire Na. County Ocwpai:~ Phone Na. Pawer Supplier Address Electrical Contactor (Company Name) Comram« License No. Mnsrer Lic. No. Plain Elea. Only) C Mailing Address (Coot t« « Owner Performing Install ran, 'b12 d .S 5a Aurmrized Sign ntactor ar Owner Pe in Insmllafionl - J Poone~f EBOOOUTA-I 1 96 STATE BOARD CO" - SEE INSTRUCTIONS ON BACK OF YELLOW COPY 4//-1/-197 7 REQUEST FOR ELECTRICAL INSPECTION If 21 Universy eso a Stat ABef Finn. of Electricity Paul, MN 55104 489--64-3 [71 8inn Phone (612) 642-0800 Home Hange uplex !Apt. Bldg. Ollier:+ New Addn Commercial ndustrial Farm i 11 emod Re it Air Cond. Load MgmOther: 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 # 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_Amps Above 100_ Amps Transformer/Generator INSPECTOR'S USE qNLY TOTA Sign/Outline Ltg. Xfmr. $/ur~fe- i Alarm/Remote Control Swimming Pool I her cefi ecn on dewibed 'n an dha dotes sm Irrigation Boom Rouehln Dar ',y Special Inspection ~ C m Dvk Investigative Fee j.0 THIS INSTALLATION MAY BE ORDERED 15ISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. CERTIFICATE OF SURVEY Top of Irons ® Box Corners / OA Box Corner 846.52 LEGAL DESCRIPAON: (828.4) OFFSETS SHOWN ARE TO CENTER OF PARTY WALL Lot 2, Block 3, CENTEX VERMILION 2ND BODING DIMENSIONS REFLECT FOUNDATION PLAN ADDITION according to the plot thereof, © Box Corner 842.42 nT AND JOGS DO NOT NECESSARILY IN7ERSECT AT Dakota County, Minnesota. PARTY WALL © Box Corner 849.17 OD Box Corner 854.07 ~0 / Finished Floor = l/aries (See Plan) Lowest Floor = VGries (See Plan) 4) 865.0 denotes existing elev. tl'~ / / aS N S~ / / (865.0) denotes proposed elev. \ n r /oho \ 6i~ / denotes surface drainage -v / T 2 o° \ o (848.8) 826.6 denotes son. sewer serv. inv. \ 848.7 / j 849. \ / / / ~vo ~1 rv 0 C )D Scale: 1 30 feet 0h e Denotes iron monument found / / °o \ FF Q / x i / / O Denotes iron monument set d~ / 1 GP0A\ ab / 7 , ?R, i t'~ r1 frrc~r= Bearing .aba~ ~ssUmea d~v m /cp / 0k9' / yF1 /'5, % / 500 0~` 'l J\ ~00vh434 3 h 1 hereby certify that this survey was prepared x' h• 0' by me or under my direct supervision and that I am a du Lice2~Aqqd d urveyor under the law f t e Stat i to. C Mortin J. W berR.L.S. Date License No 120643 UV / \ \ A / q o 847.1 (830.0) FEE = 856.0 REQUESTED BY. a `~S•O \ GAR = 855.0 sOO / l$ gh0,/~.. Vt~,=t . LOW = 8475 CENTEX BIOMES \ Y gU T 9$ ® Westwood Professional Services Inc f f r~ 1s ' / 100001 j% ! / r,/ \ - 14180 West Trunk Hwy. 5 Eden Prairie, MN 55344 < , (612) 937-5150 0 = 05°3759" fr fr O e F ~e'ey6a4 - - R = 278.21 Revised: 4/21/97 Building Elev. j ! (853.2) ~ey1. tia / g,, L = 27.35 F '85.3.•3 j Drawn by MS Dote: 4121197 Job No., 95893 Lot 2, Block 3, Building 2 P283L02.DKV 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 8 3 9 (612) 681-467$ Date Issued: 04/28/97 SITE ADDRESS: 3715 BURGUNDY DR LOT: 2 BLOCK: 3 CENTEX VERMILION 2ND DESCRIPTION: 5 PLEX ialdin Permit Type MULTI. (ADD'L.) uj>ctitig 4o ~ Type NEW UTC° Oaaup 3j~ R--1 U-1 4 C0pstr act1, n ~e VN a nin g R-3 170 64 t:(dt` ~s'' 7,539 105 5 OR, MORE FAMILY it, ry Wa Ri h # p `are Ri~0 txx uias al aa`;+ m f a, r t,,- 0 § " } REMARKS: S&W PLUMBER = GENZ-RYAN INCLUDESa 3717, 19, 21, 23 BURGUNDY OR FEE SUMMARY: VALUATION $551,000 Base Fee $3,104.00 CITY SAC $500.00 Plan Review $2,017.60 WATER CONN $3,900.00 Surcharge $275.50 TREATMENT PLANT $1,680.00 SAC $4,750.00 R SAC 1.00 S&W PERMIT $100.00 379.7 SAC Units _5 S&W SURCHARGE $.50 / Subtotal $10,147.10 Total. Fee 1 - CQNTRACTOR: - Applicant - ST. LIC OWNER: CENTEX CORP 19367833 0001333 CENTEX HOMES 1,P400 WHITEWATER DR 120 12400 WHITEWATER OR 120 MINNETONKA MN 55343 MINNETONKA MN 55343 (612) 936-7833 (612)936-7833 hers y aekr o algid t# > Sara e dad zthA9 dip 31 ,1 adtt grid > ..1 Fte information is rt ect ridts r, , o s L)~ ph- w i ' a i e~ 1 ia1 rr`f Mn 5tatut,es anE - d,P ~6f f1Y 1FS$n e5~` ` T 4 k .x L f_ _ i i .t ..v c....- ea na_ ......a -vw. `nrx i., ANIPERMITEE SIGNATURE ISSUED Y:SpNATtE L 1997 BUILDING PERMIT APPLICATION (RESID NTIAL CITY OF EAGaN 0~,E= 3830 PILOT KNOB RD - 55122 681-4675 _dCl New Construction Reouirements RemodelfReosir Reouirements /C,/ 7` (F: ll ♦ 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) e 1 energy calculations ♦ 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: ¢I2 I X97 CONSTRUCTION COST: DESCRIPTION OF WORK: -5- &t ovfT W gL_jr0& T "rowW#V^j ja(, Z STREET ADDRESS: 33-15, 3717, .32a-2721.0 3723 B4rauou6 V L)QtVC- LOT Z BLOCK 3 SUBD./P.I.D. PROPERTY Name: _ ( e rl 4-e_ c 4MUS - Ann dtcc Phone 93 b - 7833 OWNER ..R e~ Street Address: /~`Ia0 Whr~ W0'- .1 eih_ cSur r~ /20 d1eV_: on Ka State: InAl Zip: 55 3 4-3 City: !211* CONTRACTOR Company: - 8 &Y"_ - Phone Street Address: License City: State: Zip: ARCHITECT/ Company: -Sawu,- Phone ENGINEER Name:_ L)e.uid Oheaf/ev Registration#:-0/Z1a59-9 Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): ~2 ✓lZ - - Ah 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: -teh^- OFFICE USE ONLY RECEIVED Certificates of Survey Received Zyes _ No APR 2 2 1997, Tree Preservation Plan Received Yes No Not-Required 13, OFFICE USE ONLY + BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. G 10 S-plex ❑ 15 Deck WORK TYPE oe~--31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual)./ Basement sq. ft. 7, !d y MCNVS System c7d` (Allowable) ~~f Al Main level sq. ft. 7 s'? 9 City Water o UBC Occupancy / sq, ft. Fire Sprinklered Zoning-3 sq. ft. PRV # of Stories / sq. ft. Booster Pump Length /70 sq. ft. Census Code. /OS Depth e_ Footprint sq. ft. SAC Code 03 Census Bldg I Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Sr~®~ Surcharge Plan Review License MCNVS SAC IMAM City SAC 3 ys,~ sY 3 f f 330 Water Conn. i Water Meter Acct. Deposit 0S/WPermit p 1 S/WSurcharge / yX y' 7776 Treatment Pl. / Road Unit Park Ded. Trails Ded. aSinr Other Copes 7, /oyo, /s'= /06~ oO '/f Total: 6 r % SAC Z, o/7x/(a ~Z. Z7Z SAC Units 49 2~ : ti; Boo LOT SURVEY CHECKLIST FOR RESIDENTIAL ILDING PERMIT APPLICATION QQ PROPERTY LEGAL: J DATE F SU 2 LATEST REVISION: DOCUMENT STANDARDS a 2-' ~13 C • Registered Land Surveyor signature and company 9~ u O • Building Permit Applicant gi C • Legaldescription ❑ D • Address 9/17 D • North arrow and scale e C C • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 13--'13 C Direcdonal drainage arrows with slope/gradient % 01 'b C • Proposed/ebstlng sewer and water services & invert elevation 2 C]" C • Street name C C • Driveway ELEVATIONS Existing ~C C • Sewer service (or Proposed) C ❑ • Property comers Er' C C • Top of curb at the driveway Duo ❑ Elevations of any existing adjacent homes Proposed tf~ C C • Garage floor Er, C C • First floor r"/ C C • Lowest exposed elevation (walkouthvindow) E ❑ D • Property comers 2-'0 D Front and rear of home at the foundation - / PONDING AREA Cif applicable) C • Easement line C • NWL C • HWL C E~' C Pond # designation C q~C • Emergency Overflow Elevation DIMENSIONS C C • Lot fines/Bearings $ dimensions CjC ❑ • Right-of--way and street width (to back of curb) P~ C C Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) q-,C C • Show all easements of record and any City utilities within those easements D/~❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures C / D • Retaining wall requirem if an Reviewed: ZJ ame / Date January 1996 CRMG1996'9LDGPRMr. FM CENTER HOMES Designed for today. Built (or unnorrmv. 4171/g7 Mr. Joe Voels City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Centex Homes of Minnesota, will be using the exact same unit plans for buildings l-3, 5-10, 1), 14, 16-19, (excluding buildings 4,11,12,15). None of the structural building components, HVAC, plumbing or electrical will change from previous buildings 1, 5, 11 and their engineered drawings dating 8/16/96. The only change is Centex will be using step conditions on some buildings. If you need anything else, please call John at 686- 5024. Regards, John Lovelette Field Manager Centex Homes, Minnesota Division 12400 Whitewater Drive, Suite 120, Minnetonka, Minnesota 55343 Builders License #1333 (612) 936-7833 Fax(612)9.36-7839 PERMIT CITVbF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 0 9 (612) 681-4675 Date Issued: 0 8 / 14 / 9 8 'E ADDRESS: 3715 BURGUNDY DR LOT: 205 BLOCK: 6 CENTEX VERMILION 2ND ?.I.N.: 10-16936-205-06 ►ESCRIPTION: Bydldiiig..Permit Type BASEMENT FINISH elailding Gb:rk Type ALTERATION , e n s u s Code t, 434 ALT. RESIDENTIAL b„s f~ d s REMM:REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $,50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - DANIEL IGOR 3117 BURGUNDY DR EAGAN MN 55122 (651)454-8402 F 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 Mn. Statutes and City of E-agkan Ordinances. APPLICANTIPERMITEE SIGNATURE ISSUES BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN l 3830 PELOTBKNOO;RD - 55122 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan U lot platted after 711183 required: _ Yes _ No DATE: ZZ: 12- - 9 L? CONSTRUCTION COST; DESCRIP STRTON OF WORK: L3 A g 9 13 Al- r F N/~ H -S-12 3 L LOT: ~U 5 BLOCK: C SUBO./P.I.D. l ~2 V~~~C y rM I i C) 0 yohL ~S-4, S 40 2 Name: Phone « 38 8 2 Z J PROPERTY Last First OWNER Street Address: ^ -3 j r~... dy r City I 44 s h State: Zip: 2- Z Company: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes _ No Tree Preservation Plan Received Yes - No Not Required $ I r• 1 t i I Cs n . ~QUJtq- tYt( c ✓ 7- i 3 SNi;)RE D ET L t j ~(PI} Or!L e tt ,d o.k.) EgUIRE G^ I P(.e Or 7HE HO ! I ❑t "I SLEEPING RO S.;oON LEVELS USE C N WING SLEEPING CENTRALLY -I - ATE SMOKE DEM=R HALLWAYS. 4T- - T . rr~(, ~..,:._fGGESS V[In1('10{tir.S fi~ . • ALL SLEEPIN ♦a y WIN. 5.7 SO. OPP JN, i4 T VAW i OPENABI E N ON Vn i OPENABLE ►Y OF a<' FROAF.L, , OO4Q _ -NOTE: HEf HT OR WIDT ( 8O7 WILL BE t ~A}M95 OBTAIN 5.7 So. FT, U/VlT w^-~vu tti~c~;v1c{ Wit( }kwlg ELL&, l9454•~' 3`7 Z3 37Z I 3-719 37I~ 3715 3u(tc~uuDY D2tvs $uz~unlt1Y ~z~vs e- c, um Dy t~2!/E 3uec~un~~Y D rztve 13u~vUrJ14 ~2iVt 3 LA Z UN IT Z tAN IT j L4 A/ 17 a #Z E: un/rT" I670 1485 s9, )9-85 sq,-P~. ~;r;s~& r, 148s sq. -~P+, -F;^st.a.aA ~4. un~~n~T~ 1ZLZ sy. "I`~F~ un~, ntS L`C.G~ sq. 148s sq, f+, urF;rrstudl 3s7 :51.-F+. u F~stied 1985 sq, 14,05 410 59 -C}. 398 sy.~• Cja+o~~ G° f°ge- 398 q 413 sq. 398 s9• PERMIT CITY OF EAGAN 3830 PloKnob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032150 (612) 681-4675 Date Issued: 0 6/ 0 3/ 9 8 SITE ADDRESS: 3719 BURGUNDY DR LOT: 203 BLOCK: 6, CENTEX VERMILLION 2ND P.I.N.: 10-16936-203-06 DESCRIPTION: F uiI43"rrgPermit Type DECK o ui ,din'6714,ork Type NEW r'Census Ccd~r%, 434 ALT. RESIDENTIAL ca' a~ ~ wr 47 e sic+ws_ a'm .;5"xs ¢us ¢ sa r.'nh < 0. a m i a a F m s s s 4m rv e -.A,! 8 $ nnem ,mrs REMARKS: PLAN REVIEWED BY JOE VOLES FEE SUMMARY- Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: MN VINYL & ALUMINUM SYSTEM 14030805 2010247 PETERSON GREG 12718 CHESTNUT BLVD 3719 BURGUNDY OR 7 SHAKOPEE MN 55379 EAGAN MN 55122 (612) 403-0805 (612)456-0790 A hpr'0,by, "kin o 10gd' e that. I htav* 004C'th1s-.a;sIp lidatian an~F s~at~ tfiat,aktev r r.,~ `zttftsr+rlat n~ i careect And .agr'ee_-to' comply with ~lZ app 1, 5,cab1v 'Stag ttf Mrt u .t S , nii~ t a t aart.Drdanances Y _ . e a F n IP" m PPL~IC/A/NT/PEaMITEE SIGNATURE ~ ISSUED NATURE ~2 I Cjo 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CAD CITY OF EAGAN 3830 PII.OT KNOB B RD RD - 55122 681-4675 f'3 New Construction Requirements Remodel/Repair Requirements ~~GG ♦ 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) • t energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: MQ--,4er)afP. ~fe2 \~I x-1g QJ QrhinvM ILV, STREET ADDRESS: 31 iq 3,u aayia j Dr i LOT: LO BLOCK: to SUBD./P.I.D.#: lI~GVJl/Y~(f Name: '1' n C rc~r Phone 4~&-OR-70 PROPERTY Last First OWNER 3-119 Street Address: ~J 1 • ~t~'-'. ' City F-JOLQ[Ly` State: y~ I f n Zip: Company: Mif1h2SJ~l Ut()4.I*0-lurni o SVSIYaghone#: IO~Q` ~~~Du~~ CONTRACTOR a`~/r F~ Street ~~Address: JZ_II!6 l n, ~}(1< U+ R)1ga~ License# L 553 City V ill]I Jce 1 ' 11 1 State: M - Zip: ~ ~I ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address; City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. /J_ Signature of Applicant: &40A OFFICE USE ONLY Certificates of Survey Received Yes No c Tree Preservation Plan Received Yes No Not Require OFFICE USE ONLY 9 BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plexi5 Deck WORK TYPE Oa New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code & Census Bldg Census Unit _6 APPROVALS Planning Building 9 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS 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 SAC Units GI/ CITY USE ONLY ~tPa L A'~ 5 BL l.~ RECEIPT SUBD. /[wn.tJ[ u9 Or ' RECEIPT DATE: F/ ! 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-6675 Please complete for: ➢ single family dwellings D townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x _L = Bath Tub 3.00 x f = Lavatory 3.00 x _ Kitchen Sink 3.00 x = Laundry Tray 300 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 = O~~ 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 SU TOTAL C- - - a hereby acknowledge that I hve read this application, state that the information is correct, and agree to comply wit h 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 propertylright-of-wayleasement. SITE ADDRESS: 7/3' a /6yuHa/y -Dr T-f 12 Z OWNER NAME: L r rr h~' e e- INSTALLER NAME: TELEPHONE 4:e4 2 STREET ADDRESS: CITY: STATE: ZIP: -5 SIGNATURE OF PERMITTEE CO/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY L BL RECEIPT* SUED. RECEIPTDATE: 1997 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= required for each dwelling unit ry DATE: ' 7 pY/ 9f~ CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee Q 1% of contract price, whichever Is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $$11,,000 of oertnk fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: 371.5,17,19,21,23 Bjrwndy Dr OWNER NAME: CENTEX REAL ESTATE''CORP TELEPHONE* 936-7833 TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: GENL-RYAN HEATING ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP: 55068 PHONE* 423-1144 SIGNATURE: IGN RE OF PERMITTEE CITY INSPECTOR RECEIPT III: L 1 BL _0 v _T W ti. SUBD Zz:gL*QNAysJ~CO+~+ °f H RECEIPT DATE: -19 27 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all commerciaUndustrial buildings. multi-family buildings when separate permits are = required for each dwelling unit. baddlow preverter to be installed In commercial areas or residential boulevards DATE: O'.t~/ - WORK TYPE: / New Const. _ Add-On _ Repair DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ Yee _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes _ No UriucRORUUND eiFRiNKLER 6YSTtM INSTALLING METER? _ Yes _ No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM. Pressure Reducing Valve may be required B installing new service - contact City's Engineering Department at 6814646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract /'p) rice, whichever is greater. Minimum State Surcharge of $.50 due on all permits. CONTRACT PRICE: $ , I > Jy lot) 00 x 1% _ $ ~ ~v- COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER $ 25.00 = $ WATER PERMIT (new service only) 50.00 = $ WAC (per connection) 780.00 $ WATER TREATMENT (per connection) 420.00 = $ CITY INSTALLED TAP 300.00 $ METERI"=$185.00, 2"TURBO=$846.00 $ PERMIT FEE FIGURE SURCHARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT FEE DUE STATE SURCHARGE $ 5O TOTAL $ i hereby acknowledge that I have read this application, stale that the Information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 3715 ,17 ,19 , 21, 23 Burgundy Dr TENANT NAME: STE. 0: OWNER NAME: CENTEX REAL ESTATE CORP INSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE#: 423-1144 STREET ADDRESS: 14745 So Robert Trl Cm: Rosemount STATE: MN zip: 55068 APPLICANTS SIGNAT OFFICE USE ONLY -REVERSE SIDE OFFICE USE ONLY r PLUMBING PERMIT (COMMERCIAL) METER SIZE PR V Yes _ No Domestic Irrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) REVIEWED BY Building Inspector Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a T' meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector M Licensed Plumber does not know GPMs. Before seilino meter Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. If meter is over 518, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. L BL CITY USE ONLY RECEIPTM SLED 7! kwvi 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 Etj N,Q, 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/S a 3.00 x = 4ft - 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet • minimum -1 3.00 x = Rough Openings 1.50 x = Water o ner `for dwellings under construction 5.00 x = :,a"teiS.ott S J:PrW szisting'dwelling, 20.00 x p = U.U in"Inul 7 owel rhng 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 ' oak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE J~.50 TOTAL GFJ_ /o I hereby adcnowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Fagan ordinances. It u1'' that the City of Eagan assumes no liability for any damages caused by the CI FOX, BARBARA as to the facilities constructed under this permit within City properlyhightof-way/, 3721 BURGUNDY DRIVE EAGAN, MN 55122 SITE ADDRESS: I (612) 454-2314 OWNER NAME: 1 INSTALLER NAME: E N OAA/~ PpW~-M&&1(q TELEPHONE # 8Z_7-4033 STREET ADDRESS: Zg l`il~ rSt'IrID Vlt> 06 M ilk CITY, MPLSr STATE: MN , ZIP: S URE OF PERMITTEE SUBD New Receipt # o O O Receipt Date ¢O / 7 75Aag Order For Payment Date 111819f-) Request for Inspection Number on this job Allay+ C47 Date Filed :W to l ? Electrical Installer Ls+2 < ► <t hr License No. CA o 11) n Owner/Occupant Ce . # -'Kc County DA Ko4,9 Job Address 37al f ~4 Dt- City Additional Rough-in inspection was required. -5ZA 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 PilotKnob Road Egan, MN. 55122 Phone. 681-4600 Fee Computation I50A e S<-v c{j~~ tip `C3 Ci t ~ Q ~ - r 8 Ot~ Please return this with a check in the amount of $ , payable to the City of Egan. The above order must be complied with by {datej~ 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 8 of 26 9126/2013 8:24 Use BLUE or BLA Ink I_,..-- t- 8 Fat Mira Use T- ! a ' 540K t l PerihltT~: t y 383o Pilot Knob Roads I f a e MN 55122 Date Recelved: ' Phone; (651) 675.5675 1 ~ StntF Faxy (66'1) 675-5694 V 013 RESIDENTIAL IJ ILDING PERMIT PLI CATION. Date. Site Address ' unit la~ s.- 7V oz 3W o371Z I Resident/ ~ ~f' : fit' Y 3~ Otivn , Address 1 tarty i Zlp: - 120 I r Applicant is [owner Con"Ctor l y:. Description pf.work- ` LA/f P `~l r 3r dg Typ oaf Work - 3 Consiruvfion iCQ§it.. l`rllulli-Family Bu ldirtg: { fee 1 No Carr&pany C!-, <,pCcmtact OYLO~ 4 Cityn: contractor Address; "4 State= li dip: - Phone: qL License 1COS Y 711 Lead Certificate YS`_? If the project is sxe~ ptfrom lead, certiflcation; :please expfain why (see Rage 3 for additional information) ~1 7 r== COI PLeTE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING in the last 4 manths, has the City of Eagan issued a permit for a slinllar isIon based. on a master plan? Yes MO If Yes, date and address of master plan: Licensed plumber; Phone: r Mechanical Contractor: Phone; Bewar & Water C(,ntractor. Phone::. NOTE: Plans and suppiorti doCatrFi' ftts f~tat`y ~ubmitare considered to be public information. Portions of the information snag be elassifted as rwri-public if you Provide speck reasons that-wound rmffthe City to conclude that they arc- trade secrets. } CALL BEFORE YOU DIG. Calt Gopher Stat5 One X11 at (651) 454-0002 for protection agaimt undergiuurid oddity damage- Ca 48 hours before you intend to d to receive locate of underground u~Wilies e [ t,8rfita( i.! 3 I hereby acknBwledge that this information is, complete and accurate: that the work vAl be in canfarrnance uvith the ordnowes and codes bf the City of Fegwn that I underslandE this is not a permed,: but unly an applic;n ion fbr a permit, and wark is nor. to siart vilhd[sd a paint: that the ti^fork !w7I8 be in accotdsne- vrith 111n approved plan ln. thei ne, of wor4 i!Aich.regwvs a reviewr and apprcvai ofplan-s Exterior wort; authoriz . bya 6ullding: permit issued in acw. rdance with the Minnesota $W e: +Codorntist be coinnplgiod within 1180 days ~,rperrn~t rssua~nt:e. x- Applicant's Printed Marne Applicant's Signature Page d of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119250 Date Issued:11/20/2013 Permit Category:ePermit Site Address: 3715 Burgundy Dr Lot:205 Block: 06 Addition: Centex Vermilion 2nd PID:10-16936-06-205 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Lisa Skogen 5660 Memorial Avenue North Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jennifer Lake 3715 Burgundy Dr Eagan MN 55122 (952) 923-0698 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use Permit#: /7A O >3 City of Ea au APR 1 3 2017 /96. 1S Permit Fee: 3830 Pilot Knob Road f t�-1,3/1�J Eagan MN 55122 Date Received: I Phone:(651)675-5675 Fax:(651)675-5694 Staff: --12017 RESIDENTIAL BUILDING PERMIT APPLICATION �� I Site Add'311.1 s:�, n3i � 1 Z 1, 7 L`� '�j�f.� r a Date: c, �1r Unit#: Name: J.---/ Phone: Resident! Owner Address/City/Zip: Applicant is: Owner Contractor Type Of Work Description of work: - f2-0a e- Construction Cost: 0!DO() Multi-Family Building:(Yes )c. /No ) ` t Company:!orSA-.S C S am yvNt_ Contact: Soh Contractor Address: ki,40'16 T-1)(-4).-/ City: (— C _1 State:T h Zip:SSil\1 Phone:koI2.-1°11-`rig()Email: JtS1-;$f' ,pcirSa-,s License#: -b ,c 1 Lead Certificate#: 10111— If 0111 "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 are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are imide secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 .JVS h SvICti4k Applicant's Printed Name Page 1 of 3