No preview available
 /
     
3784 Burgundy Dr Use BLUE or BLACK Ink r For Office Use f~ ~ I Permit #:-1&& ( / I City of EaEd~ I Permit Fee: 3830 Pilot Knob Road I I I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I - ------------i r 2012 RESIDENTIAL BUILDING PERMIT APPLICATION elf Date: ig _Z _ 1Z_ Site Address: 37 Unit Name: C~10 Phone: 657- 615/ -,5--2- 2Z RESIDENT / OWNER Address / City / Zip: 3 713 Applicant is: Owner contractor TYPE OF WORK Description of work: b Construction Cost: 3r®Q®' `90 Multi-Family Building: (Yes X / No ) v'u Company: ~04 -mac, C4 Contact: Address: I W~2 CONTRACTOR City: State: 1A) Zip: Phone: l Z ' 36 Z~~y License C 4 Z~+~ Lead Certificate If the project is exempt from lead certification, please explain wh : (see Page 3 for additional information) 4 I I a c COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide. specific reasons that would permit the City to conclude that they are trade`seErets. 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 m 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 st be completed within 180 days of permit issuance. X C' x j; Applicant's Printed Nam App[' ant's Signature Page 1 of 3 ~ ~ ~ r DO NOT WRITE BELOW THIS LINE / f SUB TYPES Foundation - Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation UOO Occupancy 1 MCES System Plan Review Code Edition &-V? SAC Units (25%_ 100%-) Zoning City Water Census Code Stories Booster Pump # of Units / Square Feet 14j'a PRV # of Buildings / Length /0 Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 4/ 7 9~- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 2422 Enterprise Drive Mendota HcI hts, MN 55120 * plomLEn LAND wavETaRS S a+nL DVCINECItS (612) 681--1914 FAX:681-9488 * an nocr ng LAND PU Wft- L"OSCAFt ARC IECTS 625 HighwOy 10 N.E. Bloine, MN 55434 * * * (612) 783-1880 FAX: 78,3-1853 Certificate of Survey for: GM HOMES EAGAbI LOT 1 3788 BURGUNDY DRIVE / LOT 2 3784 13URGUNWRIYE I I tp/ / / J,"?Q 4~ / PATE: - BENCH MARK B,L L CTIONS DIVISION ~pV SERCE V.=783.4 • i 10 8 IN O~w 74--~ 1 1 0 79 .4. ` C13 / std z A ~G t to- 40.1 .2 y i6 10 p ;-r 1 1y ~3.67N~, 'lG 79 5 w 0 ¢ IVA, 60, Gs r' C 79 3 0n 789.2 '9 > Jr. 'y? pFt,&, 789. 00 A > 13.67 O Ile ~•r m 21, c-o & ant 98 a a 6 ' at3 33 lb 4 I~01\ \ 7 I, 70 11 ~ % \ SO air• ,~"Vl ~ Foy o U T L 0 T SERVICE INV.=786.8 `BENCH MARK o p TOP OF PIPE ~ rn \aG ) E _=7 .99j. 54 1. 1 -~JSF, I Lam/ M .`+r~,l "Ad it/ l.t'.1i-TE a11i G D E: .C.-. NOTE; PROPOSED GRAOES SHOWN PER CRADING PLAN By. PIONEER E(,= GA ~ PR s2EQ__HQlSE ELEMTION NOTE; BU:LDINC DIMENSIONS SHOWN ARE FOR MORI L OF STRUCTVRES ONLY. SEE ARCHITECTUAL I [~)WST FLOOR ELEVATION: -2-al-3 FOVNDATION DIMENSIONS. P OF BLOCK ELEVATION: -21 P PMT NOTE: NO SPECIFIC SOILS INVESTIGATION HAS GEEN OUPL.ETEO OT -7 THE SUITABILITY OF SOILS TOPPORT THE FI QU E SLAB ELEVATION. f I PROPOSED IS NOT THE RESPONST91UTY ORS1►i I-sum NOTE: THIS CERTIrICATE DOES NOT PVRPOR7 tpty ►~ENTS - L DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. UILDING INSPECTIONS DER ~a•w 3 DENOTES PROPOSED ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - DENOTES DRAINAGE AND UTILITY EASEMENT ----a~ DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM --T- DENOTES MONUMENT WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOTS 1 & 29 BLOCK 15, SENECA MILLS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR t1NDF-R MY DIRECT SUPERVISION THIS 17TH DAY OF FEB., 1998. 5# ED: PIONEER ENGIN RING. P.A. SCALE : 1 INCH 30 FEET REVISED HOUSE 2-23-98 I3 1588 96541.14 SWIG REVISED 2-70-98 PROP, ELEV'S. John C. Larson, L. . Reg. No. 19 B INSPECTION RECORD ,'tl l i i1a ~fi CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 3 ' { t 1 (612) 681-4675 SY 132y SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ~I INSPECTION TYPE DATE INSPTH. INSPECTION TYPE DATE INSPTR. Ftitt !I+ ! i[t~ Ittl(:,,ilPtii ; s htt , !t+':td l ~ ,1t Permit No. Permit Holder Date Telephone 0 ELECTRIC I PLUMBING S !r c/(Sc~'~S(i S HVAC Inspection Date Insp- Comments FOOTINGS ~47 i, FOUND (X~ FRAMING ROOFING ROUGH 7 PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL _/tv GYP BOARD 7 I FIREPLACE FIREPLACE AIR TEST FINAL PLBG I FINAL HTG ORSAT TEST BLDG FINAL +~a~l BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~t;li,tlt!!ti tit • PERMIT SUBTYPE: TYPE OF WORK: , • ; INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ~c t t rrf4 ~ s; t i t; i 1 i ?7 i' )tit I , * Permit No. Permit Holder Date Telephone # ELECTRIC k PLUMBING - o-s HVAC 5L a' r-- 7 Inspection Date Intp. Comments FOOTINGS FOUND FRAMING 14j, al ROOFING ROUGH PLUMBING PLBG k AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE -1 FIREPLACE AIR TEST 71 f, FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 0 BSMT FINAL DECK FTG DECK FINAL I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 3~4 a51 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: r APPLICANT: ~~t~rvnr rip i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I I I I PFRAIE PFRNI I RI--t)IITRF'I1 POH F L _J 01 S Permit Holder Date Telephone k SEWER/ WATER PLUM,PING HVA6, - Inspection Date Insp. Comments FOOTINGS FOUND FRAMING I 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL J Kerb f icate of Cccupanc~ gim of Wagon Tepartracut of 15ai[bing anoectiun 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: SF DWG 31448 Use Classification: Bldg. Permit No. \ O-P-y Type Zoning Dmaict Type Consc OwneT d Building Address GLAZIER A V E AWE VALLEY Building Address 7 4 B 8 S N D Y DR local iry L 2, B. 15, S E N E G A HILLS Date. Buildiog~iidal POST IN A CONSPICUOUS PLACE r` Ktrti f icate of Ccc"anc~ - ~''~~~o~ ~agmt f Me# ,racut of BnOWS ax4v On 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 Classification: SF DG Bldg. Permit No. 3107 O-P-y Type U- I Zoning Diwicf R 3 Type CorXN VN Owner or Building HM Ad,,,, 15025 GLAZIER AVE, APPLE VALLEY, M0 Building Address. 3786 MJRMW DR Locality L I, B 15, Mr .A WEBS Bum" Official POST IN A CONSPICUOUS PLACE OFFICE USE ONLY This requesr void 18 months ham validation data printed in this box. N 11~111~111111111111111111111111111111111111 u~ l 1~2, 13a ~ * 4 6 7 2 7 9 Ia * PLEASE PRINT OR TYPE Request Data Roughin inspection required? ❑ Na Inspeation Other Than Rough In y ❑ Read N. will Call 5 - (Vou must call the inspector when ready, Dare Ready: I, Icensed contractor ❑ owner hereby request inspection of the above electrical work at: Jab Address (Street, Sax, or Route No.) City Zip Code 3 `7 cc .SAG q ~J Section Na. Township Name or No. Range No. the No. Coma, ---f J O«a m Phone No. Power Supplier Address .C Elechicol Co8ft([ffpyp6T'%'f6, INC CAS' Contractor license No. Master Jc. No. (Plant Elect. Only) 8100.2257}1 ST. W FGTN., MN 55024 Mailing Address (Contractor or er Perio ion) ~ e 4 it 4 44 Authorized bj iwmre,Cono- r co er ing Insmllation) Phone No. EBOOOOIA-t 18/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY (P/d /9~2 REQUEST FOR ELECTRICAL INSPECTION 75/ w. 61 e ~ 7 Q " IS 8121 University Aver Rm. S---1128, ISt. Paul, MN 55104 - Phone (612) 642-0800 Home DupleX Apt. Bldg. Other: ew Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load M mt. Other: Dryer Range Elec. Heat Temp. Service W 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 Stoll 0 to 200 Amps 0 to 700 Amps Street Ltg./Traffic Sig. Above 200-Amps Abo Amps Transformer/Generator INSPECTOR'S USE ONLY a/C TALC Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool ougty cent that in the el al inztallol' herein on the doles sMted Irrigation Boom RoogMln Dale Special Inspection Z41 04 a al Do Investigative Fee THIS INSTALLATION MAY BE ORDERED DISC NNECTED IF NOT _OMPLETED wiri i. 7R ONTXS_ 2 61 -749 OFFICE U E ON Y This request void I B months from validation dare pirated in this has ® 73 jS~ G 7G r P/ /We 40 PLEASE PRINT OR TYPE Lr, (3fs V`U Ri oast Date I (Yo Roagh.in inepedian required? Yes ❑ No Inspection Other Than Rough.ln: I] Ready Now Will Call u must mll the inspector when ready) Date Ready: I:'IA licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Mdreas (Stmeq Box, or Route No City ➢p Code D Sedion Na. Township Name or No. Range No. Fire No. C 't OcwpaM l(~~' Phone No. l ' a P Supplier Address Eledrioal Contractor (Company Name) r• Cunha x ~'a. Momr bc. No. (Plant Eled. Only) •~M ammum W& Mailing Manses (Contractor or Owner Par( ing Innallofion • Amhon.d Si9r~oture1Con"alor or Ow edormingl ollafion) Phone No. ES-000OIA-106/95 STATE BOARD COPY-SEE INSTRUCTIONS ON BACKOF YELLOWCOPY icity II I IIII I II I I I I I II I I II I II IN 82~Un? Star Ave., Board o Electric PauIP, MNT55O o s'C Minnesota S-1 St * U 2 6 1 7 4 9 6 * Phone (612164?-0600 % 5(r Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cand. Htg. Equip. Water Htr. Load Mgm}. Other: Dryer 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: Otter Fee # Service Enhance Size Fee # Grcuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheet Ltg./TraRic Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE OTOTAL ~o Sign/Outline Ltg. Xfmr. EX/ Alarm/Remote Control Swimming Pool I hereb oern that i r in on the dates stored Irrigation Boom Rough-In Dote Special Inspection Investigative Fee Finat Dore THIS INSTALLATION MAYBE ORDERE ISCONNECT NOT COMPLETED WITHIN 18 ON S. Ma r. 19. 2008 8:50AM Crest Exteriors No. 8743 P. 7 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New 6 gemoddaeoar RE9ulrernents office Use onto 3 registered sire Wveys 5119464 $q. a, of lot, sq. it of house; and k rooted areas 2 copies U plan shoWng footings, beams, JGsts Cart of Survey Recd V _N 2 (2656mas tan s bl coverage _eqA'es Of 1 set of Energy Calculations for heated aMfitims TreePres Ran Reed _Y -R I csel:of Energy earhowwWtiiggmbes am&wlndow sizes; owned found design, etc. l site survey for addition&decks Tree Pres Rewired -Y Y -N 3 es of Tree pies of Tree preservation Plan I IN Platted aRPi 711193 Adddion - lndesis don-sde sepgo system Onadewc System _Y _N Rim Joist Detail pptibm sdedtiurn sheet (buildings with 3 w Tess units) Minnegaassco mechanical ventilation form .~G ~T~./~ ry~ Date 05 / 1al ! 1 ~ Construction Cost V! If U V '~LJ Site Address t(I nn } Unit/Ste # >U4 I~ ( Description of Work li` f"~ 00~ Multi-Family Bldg V _ N Fireplace(s) _ 0 - I - 2 Property Owner Telephone # (CQ f 21 - IS b1 Contractor Gros-r Cxfi~Y,o Address as •I puce- City I Staten Zip ffiQaq__Telephone # (~j l) - ~Q b COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateyprri _ Minnesota Rules 7672 (d submission type) • Reardential venvlatloo Category I Worksheet New Energy Code worksheet Submitted 50bmined • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan bored on a master plan? Y N If yes, dote and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. :Y C Applicant's Printed Name Appli ant's Signature For Office Use -'7 I City of E81~n Permit q: /m 1 ~7V f 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 I Dale Received: I Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Sta 1' `I 2008 RESIDENTIAL PLUMBING PERMIT APPLI A RL 16 2008 Date: ~ l Site Address: la~ (--,e) U-f\ U. C~ci Tenant:. AL,L('n~^/ RESIDENT / OWNER Name: 1 Y N1 1 Ar 1 -l 7 yy~~ Phone: f' f m .,5a Address / City / Zip: 1-1 1 ~n E.c"C~p rn ru 5751 CONTRACTOR Nam-0JL .License 8: 10 Address: , `I ( I (y, pc City: _~~y 1 n Q~ / State:.` Zip: I D 1. ~p Phone: t `~J (x(tlf5 Contact Person: TYPE OF WORK -New )O-Replacement Repair Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL V Water Heater Water Softener Lawn Irrigation _ Add Plumbing Fixtures RPZ PVO) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Healer 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 $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES 1 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 accord ~ce with the approved plan in the case of work which requires a review and approval tans. x x , App -cant's Printed Name Ap Iii nt's ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final 2422 Enterprise Drive .>te*s~e}~ Mendr~ota Heights, MN 55120 (812) 881-1914 FAX:881-9488 PIONEER LAND SURVEYORS - OML ENCINEaes * en Apt 2r Ae LAND PLANNERS. L.WOSCAPE ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 (812) 783-1880 FAX: 783-1883 Certificate of Survey for: GM HOMES LOT 1 3789 BURGUNDY DRIVE / LOT 2 - 3784 BURGUNDY DRIVE /!0 / / ,CJP~ C-A'_BENCH MARK A / J Q 1 TOP OF PIPE ELEV.-795.59 O X~ 7z / I 8 SERVICE !J 10 ,---~+T `'INV.=783.4 70.00 1 / 79 .a. / '1 Ct3 590d -NIII- m o' tiI ~ 40,'S i74 AR O~ T G 78 .2 ~4?6 -o A. Q Lr ..%1 `Z Z ~i r 13.671 \T 79 .5 0, 30 L a N N t 7P OP 1 •qE 9~.3 \ s LA \ 789.2 cT •>9' >9 J L\G N s 50.0 L i 37 i 789.6 12' 76 00 A A3 67 O C2 vLTL G .o ~"L it Mo Al LCO Q O i a0 }3 4 ~~A 6 t" '~MW 790.9 1126 70 I T m OU ITL1O $•T~~ SERVICE r CTS INV.=786.8 i o N / \ q~,pGT BENCH MARX TOP OF PIPE E V.=79.9.50 .00 0'W \ 1 PT G dq L~ a GL':~r*L .aRING L ! _PT: NOTE'. PROPOSED GRADES SHOWN PER GRADING PLAN BY., PIONEER F,&Qbr9\ u PROPQ5ED HOUSE ELEVATION NOTE: 81,14.0INC DIMENSIONS SHOWN ARE rOR HORI L ~CPA n OF STRUCTURES ONLY. SEE ARCHITECTUAL I V) ST FLOOR ELEVATION: 7 ~ FOUNDATION DIMENSIONS. P OF BLOCK ELEVATION: NOTE: NO SPECIFIC SOILS INVESTCATION NAS BEEN MPLETEO OT SVRVEYOR. THE SUITABILITY OF SOILS TO.~IJ PPORT THE rl OU E SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIMUTY ORS TH p p NOTE: THtS CERnrICATE DOES NOT PVRPORT ~LY' (p TOM%Y MENTE mu-DO DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. UILDING INSPECTIONS DEP 000.00) DENOTES PROPOSED ELEVATION NOTEt CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM - a DENOTES MONUMENT .VV: L~ J „mil T'_nVY_. WE HEREBY CERTIFY TO GM HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOTS 1 & 2, BLOCK 15, SENECA HILLS DAKOTA COUNTY. MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR uNOER MY DIRECT SUPERVISION THIS 17TH DAY OF FEB., 1998. 51 ED: PIONEER ENCIN RING, P.A. SCALE : 1 INCH - 30 FEET REVISED HOUSE 2-23-98 B 7588 96541.14 SWK REVISED 2-20-98 PROP, ELEVIS. John C. Larson, L.S. Reg. No. 19826 PERMIT CITY,OF EAOAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031498 (612) 681-4675 Date Issued: 02/26/98 SITE ADDRESS: 3784 BURGUNDY DR LOT: 2 BLOCK: 15 SENECA HILLS P.I.N.: 10-67125-020-15 DESCRIPTION: ZERO LOT LINE Building„Permit Type SF DWG wilding Work Type NEW UBC Occupancy-, R-3/U-1 t" Construction Type VN Zoning . ,t R3 Building ,Langth-, 38 Building it 50 Bui`ldit g .s> cries. 2 Ceneus Code 102 1 - FAM. ATTACH <d~-r', 3 iS.".74.."~I~e 3.T~. a:3 REMARKS: DUPLEX WITH LOT 1-3786 BURGUNDY S & W: WENZEL MECHANICAL PLAN REVIEWED BY JOE VOELS FEE SUMMARY: VALUATION $123,000 Base Fee $1,002.25 MISC FEES $1,592.50 Plan Review $651.46 Total Fee $4,307.71 Surcharge $61.50 SAC $1,000.00 SAC 100 r SAC Units 1 Subtotal $2,715.21 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 GM HOMES 15025 GLAZIER AVE 205 15025 GLAZIER AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 I hereby acknowledge that I have read Ithis "a¢pl,1 eati4n aanld s> ate; that _the informat3Gn is correct and agree ,to comply with all app U sable State of Mn. Statutes and C' of Eagan Ordinenoe's,F' I IOflfl, APPLICANTIPERMITEE SIGNATURE -STS UjJEDfY: S NAT1REk r 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 681asps SD New Construction Reeuiremants RemodeVReoair Reouirements C # 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 if lot platted after 7!1!93 required: _Yes _ No $80,000.00 DATE: 0 o s ownhomes CONSTRUCTION COST: S~ DESCRIPTION OF WORK: ene a EwD 4114S7F2 tf STREET ADDRESS: LOT BLOCK 15 SUBD./P.I.D. i 1< ~PC >GX CaT L G.M. Homes> Inc. 431-4900 PROPERTY Name: Phone _ OWNER 15025 Glazier Ave. I/905 Street Address: Apple Valley PN 55124 City: State: Zip: G.M. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. #205 20025307 Street Address: License Apple Valley 14N 55124 City: State: Zip: KLF Designs 371-0344 ARCHITECT/ Company: Phone ENGINEER Name: Registration 8791 Knollwood Drive Street Address: Minneapolis MN 55347 City: State: Zip: 4?enzel aechanical Sewer & water licer. ed plumber (new construction only): Penalty applies when address change and lot change are equested 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 Z 933 Certificates of Survey Received _ No Tree Preservation Plan Received Yes No 6- Not Require 10 p0 % 9 0 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,Q2 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 el, WORK TYPE ~1 • G o~ / (/GrCJ ,4d-'31 New ❑ 33 ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) fill/ Basement sq. ft. /26 MCNVS System ~ (Allowable) Main level sq. ft. /2 d A City Water ~ UBC Occupancy ! L ^14 sq. ft. s Lt Fire Sprinklered Zoning f2.3 sq. ft. PRV st/o # of Stories L sq. ft. Booster Pump Length 38 4jL4, sq. ft. fl/'Y Census Code. /V L Depth Se Footprint sq. ft. SAC Code O! Census Bldg / Census Unit ! APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ "06z 13 •-~(~l~- Surcharge Plan Review License MC/WS SAC City SAC Ate ~ Z Water Conn. L Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit /oY1/ Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF S RVEY: ° LATEST REVISION: DOCUMENT STANDARDS ~z ® ❑ ❑ • Registered Land Surveyor signature and company mr❑ ❑ • Building Permit Applicant a --S ❑ ❑ • Legal description M--'D ❑ • Address r~❑ ❑ North arrow and scale ~Sl ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ • Directional drainage arrows with slope/gradient % EY ❑ ❑ • Proposed/existing sewer and water services & invert elevation ❑ • Street name [a~❑ ❑ • Driveway ELEVATIONS Existina P"13 ❑ • Sewer service (or Proposed) ❑ 2--0 • Property comers ❑ ❑ • Top of curb at the driveway ❑ Gar ❑ Elevations of any existing adjacent homes Proposed ❑ • Garage floor ❑ • First floor y ❑ • Lowest exposed elevation (walkout/window) ❑ Property corners ❑ ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ ['I ,,6 • Easement line ❑ 13 • NWL ❑ [3 ❑ • HWL ❑ [3~/❑ • Pond # designation ❑ ❑ • Emergency Overflow Elevation DIMENSIONS [a ❑ • Lot lines/Bearings & dimensions ❑ 13 a Right-of-way and street width (to back of curb) r3 ❑ ❑ • 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 utilities within those easements C?-,❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ Cy ❑ • Retaining wall requirements ' ny Reviewed: me / Date January 1996 CRAW9MUDOPRMUM MAY-17-1995 16:40 FROM TO 8827702 P.01 FCTERTOP }.M.1.OPF. AVFHACt: "t" C4MPUTA• I~X[ • o~~ rn ~-1ory~E~, ,~yc , sITB XUa:4£ss/-•SF nY (~RiyE -b h%A V 13 CONTRACTOR 1 MIC~I~ I -aW16- PHt7NE (F~~ V rv~T - AND De rmin working square footare of each. 1. Total exposed wall area I~ sq. ft• x 0'11 = W~ 2- Total roof/ceiling area 12.~I sq. ft. x 0,026 - FE75- Total exposed wall area above floor a. Total vall window area I Z L. TVLal door area 9 C c. Total sliding glass door area - 7 e . Total fireplace wall area L~ e. Total wall framing area (average 10i) f. Total net wall area above floor g. Total rim joist area II2.0 Total exposed foundation area = Q(~.9 Z h. Total foundation window area 7 i. Total net foundation area above grade 3 17 Determine ••U•' value of each wall segment- a. b. `4 Z x .lull .30 C. 7 x ..u„ 0 Z$ - 20 . d. C~ x ^u" . 09 3 - 0 ..'lull .0^9 = 19, - So.49 f. I~• I x u" .013 9- x h. Sd. 7S x "U" . ZQJ - Z . q 5 i. 3.17 x ..u.. 3 . iota] r. If item N3 is the same as, or lesp :-h:,n item #I, you hive met the intent of ssc 6oo6(c)2. 6 MAY-17-1995 16:41 FROM TO 8827702 P.02 r Totul c.poscd roof/ceilinr area Total gross roof/ceiling area I I2 Total skylight Brea k. Total roof/ceiling framing area (n O•SS 1. Total net insulated rvvf/ceiling area --.I I•S - Ueterwine "U" value for ench ~~+f/ccilin~! scf,'ment. U x 1. 1 Zl x ..u,. O I ~i 5 = Z~. (aZ~l 4 . Total = If total of pL is the same as, or less than Y2, you have met the intent of sac 6oo6(e)i. To utilize the total envelope system method, the values established by the sum of items M3 and B4 shall not be greater. thf the sum of items 11 and M2. 1. _l $9 } 2. 31.5 = Z~~IjZ~.39 M 0 a PERMIT c~ti;c4ss CITY OF EAGAN N G 3830 Pilot Knob Road PERMIT TYPE: B 14L 1D4I0 Eagan, Minnesota 55122-1897 Permit Number: 031497 (612) 681-4675 Date Issued: 02/26/98 SITE ADDRESS: 3786 BURGUNDY DR LOT: 1 BLOCK: 15 SENECA HILLS P.T.N.: 10-67125-010-15 DESCRIPTION: ZERO LOT LINE Btiildxng,~Permit Type SF DWG ,Building W'o,rk Type NEW ='`UBC Occu anc' R-3/U-1 Construction T)~Pe VN Zoning,: R3 Bulld3ng Length 38 Building Width k 50 Buil'ding,st;ories 2 "eil,Sus Code, 102 1 - FAM. ATTACH 'f8 i2~~ jk 's^mh....1, f" iw ' ` IFtL e A~3(g¢'J S x„. S ` , am 23u> xutt++ w "reo5,'4i ':.-.(a " "~l , ai - REMARKS: DUPLEX WITH LOT 2-3784 BURGUNDY S & W: WENZEL MECHANICAL PLAN REVIEWED BY JOE VOELS FEE SUMMARY: VALUATION $123,000 Base Fee $1,002.25 MISC FEES $1,592.50 Plan Review $651.46 Total Fee $4,307.71 Surcharge $61.50 SAC $1,000.00 SAC 100 SAC Units 1 Subtotal $2,715.21 CONTRACTOR: - Applicant - ST. LIC OWNER: G M HOMES INC 14314900 2002530 GM HOMES 15025 GLAZIER AVE 205 15025 GLAZIER AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4900 (612)431-4900 I hereby acknowledge that I'have read this,.applioation an-d state that the information is correct: and agree to comply with all applicable State o,f Mn. ' Statut, and City of Eagan Qrdin e ancst J PPLICANT/PE MITEE SIGNATURE - ISSUE IGN UR 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) I LI CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan I ~O # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) VVV ~~~n # 1 energy calculations # 1 energy calculations for heated additions W # 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ o $80,000.00 DATE: `4Z5w CONSTRUCTION COST: 1mhomes \ DESCRIPTION OF WORK: z-, ~,r (~L~ )VVv ~uyD Mf4sT sal STREETADDRESS: LOT Drtpctx BLOCK SUED./P.I.D.#: D5 / Gar-/ G.M. Homesr Inc. 431-4900 PROPERTY Name: Phone _ OWNER 1502oit Glazier Ave. #266 Street Address: Apple Valley tN 55124 City: State: Zip: G.11. Homes, Inc. CONTRACTOR Company: Phone 15025 Glazier Ave. #205 20025307 Street Address: License Apple Valley MN 55124 City: State: Zip: KLF Designs 371-0344 ARCHITECT/ Company: Phone ENGINEER Name: Registration 8791 /,nollwood Drive Street Address: Minneapolis Miq 55347 City: State: Zip: tlenzel Aechanical Sewer & water licer. ed plumber (new construction only): Penalty applies when address change and lot change are equested 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: D ads OFFICE USE ONLY 23M8 Certificates of Survey Received Yes _ No / Tree Preservation Plan Received Yes - No Not Requir d OFFICE USE ONLY S BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,,2,4'02 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 - plex / WORK TYPE 31 New ❑ 33 Alt ove (((///CCCJJ ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) jf'1✓ Basement sq. ft. /Z&25 MC/WS System C=,< (Allowable) ALAy Main veI sq. ft. /1-4 0 City Water oel UBC Occupancy 3 W / L sq. ft. SLx Fire Sprinklered Zoning 04.3 sq. ft. PRV # of Stories P. sq. ft. Booster Pump Length 30 ale. sq. ft. Census Code. 02 Depth Sa Footprint sq. ft. SAC Code of Census Bldg i Census Unit / APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /2-7"060 _ l/f jy T Surcharge Plan Review License MCNVS SAC City SAC Water Conn. 67- G/L _ 12- Acct. Meter ~ Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC iaa$ SAC Units LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF S RVEY:~ J LATEST REVISION: o H DOCUMENT STANDARDS a ~z ® ❑ ❑ • Registered Land Surveyor signature and company m--'/❑ ❑ • Building Permit Applicant ccv-❑ ❑ • Legal description m--'[] ❑ • Address ❑ • North arrow and scale ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ Directional drainage arrows with slope/gradient % &Y ❑ ❑ Proposed/existing sewer and water services & invert elevation 13-'0' ❑ • Street name r~❑ ❑ Driveway ELEVATIONS Existing fl3~❑ ❑ • Sewer service (or Proposed) ❑ a-'13 Property corners Cd"'❑ ❑ • Top of curb at the driveway ❑ 00 ❑ • Elevations of any existing adjacent homes Proposed ❑ • Garage floor ©~g ❑ First floor a/y ❑ Lowest exposed elevation (walkoutWndow) p~ ❑ • Property corners ❑ ❑ • Front and rear of home at the foundation PONDING AREA Of applicable) ❑ of ~0 • Easement line ❑ VC3 • NWL ❑ [a/ ❑ HWL ❑ er, g • Pond # designation ❑ Emergency Overflow Elevation DIMENSIONS tY ❑ • Lot lines/Bearings & dimensions [Y ❑ ❑ • Right-of-way and street width (to back of curb) 0"'~❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) 0"~❑ ❑ Show all easements of record and any City utilities within those easements ca-'o • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ u • Retaining wall requirements ~ ny Reviewed: ° N me 1 Date January 1 3 CRAg1G••RLDLDOPRMr.FM MAY-17-1995 1640 FROM TO 8627702 P.01 • . FXTFNIOP }:NVF.IAPF. AVFNAGY. "U" CUMPUTA71011 OWNER rn ~10✓v1~ l u~ J L . SITE ADDnEss `,Fk)i=.C'►g I~y_•CJRiyE CONTRACTOn C DATF 19 11~2- PNONE. D~Vegl V~V\T- CND rmin workinr: square footare of each. , 1. Total exposed wall area I 9~ sq. ft. X 0.11 = Q.~ 2. Total roof/ceiling area 12,11 •J sq. ft. X 6 ,026 = s • Tote1 "posed vnil area nbove f1o,r a. Total vall window area I Z L. TcLal door area c. Total sliding glass door area 7 7 d. Total fireplace wall area e. Total wall framing area (average 10i) f. Total net wall area above floor I I lg.~l g. Total rim yoist area ~Z O Total exposed foundation area = q(~ RZ h. Total foundation window area 7 i. Total net foundation area above grade 31, 17 Determine "U•" value of each wall ,erment- x ,.U„_ a. 141L,Z9 b. 47 x ,.U„ .30 - I?, (o • c. 7 x "U" a2.QJ = Zl, Slo d. CA 3 - O f. I I f`I•~ ( x °U" . 09 -5 g. 11TO x "u" Opt' 4•S7 h- "Do. -7S x "U" Z U i. 3~. 17 x ..U.. 3.... = l~d.It If item 113 is the same as, or les, SA%:,n ii!•n N1, you have met the intent of ssc 6oa6(c)z. MAY-17-1995 16:41 FROM TOOyA 8827702 P.02 Totol cxposcd roo C/ceilinG arch = l1I 1' S y Total gross roof/ceilinp, area = 1~. C~o Total skylight area k. Total roof/ceiling framing area...:....... -(qn O.5S 1. -1•otal net insulated roof/cciling area . • - • • • - ~i. I • S - determine 'U" valuc for Inch roof/oci1init se{geent. 3 LJ x "till k. 5`7 x "U" e ~Z7 l •X39 . 1. 1 Z~ ~ S x ..U.. C21 q 4. Total = if total of A4 is the same as, or less than N2, you have met ttte intent of sac 6oo6(c)i. To utilize the total envelope system method, the values established by the sum of items B3 and B4 shall not be greater-than the sum of items Al and 12. 1. ~o. a9 2. 3 i . S = 212.39 3'. I ~I + 4. 0 A PERMIT City of Eagan Permit Type: Building 3830 PILOT KNOB RD Permit Number: EA034700 EAGAN, MN 55122 Date Issued: 03/16/1999 (651) 681-4675 Site Address: 3784 Burgundy Dr Lot: 2 Block: 15 Addition: SENECA HILLS Description Sub Type: Lower Level UBC Occupancy +au Work Type: Alterationg l} Construction Type:° x- ~3 Description: & Fireplace Zoning: _ ,yam^y Census Code: Square Feet Wdl Remarks: Plan reviewed by Craig Novaczyk. Seperate permit required for any plumbingwork. Call (612) 445-2840 regarding electrical permit and inspections. Fee Summary: State Surcharge - Fixed 0.50 Permit Fee - Fixed 60.00 $60.50 Contractor: Owner: - Applicant - St. Lic.: Marcia Thibodo 3784 Burgundy Dr Eagan, MN 55122 651-454-5252 1 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. Applicant/Petmitee: Signature Issued By: Signature 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3' O \ CITY OF EAGAN f 3830 Pn OT KNOB RD - 55122 S (651) 681-4675 QQQ New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 1 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: 3fi~ ZU CONSTRUCTION COST: DESCRIPTION OF WORK: le~ 14 STREETADDRESS: 2)el e,9IZj~--6JNVy 02. ""IV, ~7JY' SS)~a LOT: 2~- BLOCK: L SUBD./P.I.D. -5:f /f-C,J I-11Z Z---f Name: Phone lm S~' VSy S~ S ~ PROPERTY Last First OWNER Street Address: 2 7'? V t~G/~~r~iUL"V '6% City J~~~/f1A/ State: /0//y Zip: ST)Z2 Company: Phone CONTRACTOR Street Address: / License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: LL- OFFICE USE ONLY I J ll MR I Certificates of Survey Received Yes No I I V~ Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish :3 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 _ plex ❑ 15 Deck WORK TYPE ❑ 31 New ,<33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION -4;4 Const. (Actual) Basement sq. ft. Census Code (Allowable)- Main level sq. ft. SAC Code UBC Occupancy e"3 sq. ft. Census Units 1 Zoning 12 sq. ft. Census Bldg c~ # of Stories sq. ft. MC/ES System Length sq, ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT t~ CITY OF EAGAN PERMIT TYPE: -V 3830 Piypt Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 42 51 (651) 681-4675 Date Issued: 12 / 21 19 8 SITE ADDRESS: 3756 BURGUNDY DR LOT': 1 BLOCK: 15 SENECA HILLS P.I.N.: 10-67125-010--7.5 DESCRIPTION: Bu idinq p`erm.i,t Type BASEMENT FINISH B~J.Idinq Wop,' k_ Type ALTERATION Census Code 434 ALT. RESIDENTIAL r' r"l n IV REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK,. SEPERATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2540 RFGARDTNC FIFfTRTcAI PERMIT AND 1'NRPFrTTnN3 FEE SUMMARY. Base Fee $50.00 COPIES Surcharge $.50 Total. Fee $51.25 Subtotal $50.50 CONTRACTOR: OWNER: - App 1 i c,a n t THORNTON BRANDON 3756 BURGUNDY OR EAGAN MN 55122 (6511406-9807 I hereby acknowJ.edge that I have read this application and state that the intormat.i.on is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PE EE SIGNATURE IS ED BY. SIGNATUR 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 SU - l r~]] c/ New Construction Requirements Remodel/Repair Requirements I a. _~I --t p ♦ 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 ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: ie I CONSTRUCTION COST; n' al O Oa DESCRIPTION OF WORK: &e eWl2t1"~ 1 h 151-\ STREET ADDRESS: 3-A RyrO UALc brl ✓P- LOT: BLOCK: SUBD./P.I.D. C 0. VA~ Name: 1C~3r lb, hJo-^ Phone InS~ y d~ 9 07 PROPERTY Last 7 O / First OWNER Street Address: 37 O W StlJlgtJAL 1 ~J1 Ve,, f City Ea0.0.V-k State: FV Zip: Company: ~j / ft' Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: J v I r Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address chant 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 applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica^ OFFICE USE ONLY C V D Certificates of Survey Received - Yes - No ti 'r Tree Preservation Plan Received - Yes - No Not Required BX. f/ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging X 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 O 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _ plex ❑ 15 Deck WORK TYPE ❑ 31 New 33 Alterations ❑ 36 Move ❑ 32 Addition O 34 Repair O 37 Demolition GENERAL INFORMATION - r Const. (Actuap Basement sq. ft. MCNVS System (Allowable) fJ'ter-Main level sq. ft. City Water UBC Occupancy sq. ft. Fire SprinMered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length - sq. ft. Census Code. Depth Footprint sq. ft. SAC Code b I Census Bldg Census Unit a APPROVALS Planning Building Engineering Variance a~ Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. t Water Meter Acct. Deposit SAN Permit " S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies 7S Total: % SAC SAC Units CITY USE ONLY Q LOT BL 16 RECEIPT 90 p~ SUBD-~/ ~Jfcs RECEIPT DATE:/°Z 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF F-AGAN 3630 PILOT KNOB RD EAGAN NIA 55122 ~3 GyQ (612) 661-4675 Date: (U Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.)' • State Surcharge: .50 • TOTAL: S Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: ~~~1a 7 ®r/wc OWNER NAME: t,117 PHONE M: ~3 !51 INSTALLER NAME: L~IGC~IIGir~r~~ PHONE ~ 775e STREET A yDD~RESS: CITY: 7~L rr1 G G~G12 STATE: Z4_ ZIP: DK SIGN RE OF PERMITTEE 1SIFORMS BLD/MECH PERMIT (RES) - 19,97 CITY USE ONLY n r LOT BL ~S RECEIPT 9o T 71 Q~ SUBD RECEIPT DATE: ' 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB BD EAGAN NON 55182 ®R -;5 (612) 681-4675 Date: Z Complete this section on[v if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: L;?4. '50 Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 7 Total: $ 20.50 SITE ADDRESS: OWNERNAME: ~J PHONE#: INSTALLER NAME: (Cf/l~//GY/L//~/Q .~./~nr./J r PHONE /,43 y - 7 727 STREET ADDRESS: /~lp y~~ T7 ja[~ I ~ CITY: ! t Gam(/, STATE: /W ZIP: 53 MNAMXRV OF PE tMITTEE JSIFORMS BLDIMECH PERMIT (RES) - 1997 ' L oe BL CITY USE ONLY RECEIPT 7 n C? S S SUED~]LL /JG~X~y RECEIPT DATE: 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-6675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH A # TOTAL Shower 3.00 x _ 1.0 Water Closet 3.00 X Bath Tub 3.00 X = na Lavatory 3.00 X _ =4010 Kitchen Sink 3.00 x T = 3•00 Laundry Tray 3.00 x = 3100 Hot Tub/Spa 3.00 x = Water Heater 3.00 x DO Floor Drain 3.00 x l = 0~ Gas Piping Outlet `minimum-1 3.00 x 2 = •v0 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 `fordwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations . to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC lic. 75.00 (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE 50 TOTAL .S 50 T hereby admowledge that I have r ead this application, state that the 1nibrration is correct, and agree to comply with all applicable City of Eagan ordinance s. 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 ~~aactivities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -37 6 i',~,,,R/"-&U0► ~ f/ rA A- OWNER NAME: G• m ~'9~~Y"~/ 6 - INSTALLER NAME: W nn C.Y%' I (~t11~'Y/~Y,'/a - 4 y} 1'ff(9- TELEPHONE* `d S- Z ~ t9&,5 STREET ADDRESS: ")s'1 ~KYt11J~ 1~ ° CITY: 6-ft ~ STATE: ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 3y~a~ CITY USE ONLY L BL A ~ RECEIPT SUBD. Af CC,- RECEIPT DATE: ~S 99 1999 PLUM$INfi PERMIT (USIDENTIAL) CITY OF EAeAN 3$30 PILOT KNOB RD EAGAN, UN 55122 (651) 6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow, preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x - Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x Water Softener for dwellings under construction 5.00 X Water Softener for existing dwelling 30.00 x = U.G. Sprinkler for dwelling under const. 3.00 U.G. Sprinkler for existing dwelling 30.00 - Alterations to existing residence 30.00 = Water Turn Around 30.00 Private Disposal System MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. TOTAL '3j'5-'0 I hereby acknowledge that f have read this 2pplication, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. - - - - - It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertyfrightof-wayleasement. SITE ADDRESS: OWNER NAME: i+uvLiflf/Y~ ~7111~ INSTALLER NAME: TELEPHONE -/S~° S STREETADDRESS: 1959 Ll//,/97ML, CITY: STATE: x'1/1'/ ZIP: SI NATURE OF PERMITTEE CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1999 CITY USE ONLY / L BL RECEIPT#:~ /5 nHHH/ SUBD. RECEIPT DATE: 4 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings A townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL 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/easement. SITE ADDRESS: THIBODO, MARCIA 3784 BURGUNDY DRIVE OWNER NAME: EAGAN, MN 55122 (612) 672-5115 INSTALLER NAME: NORBLOM PLUMBING CO. TELEPHONE -UBA VEiq=fAPPUA=E-INSTALLERS STREET ADDRESS: 290 A6RFIL827AVE SOUTH MINNEAPOLIS, MN CITY: STATE: ZI P: SIG A F P E R M I T T E E CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 L BL 15 CITY USE ONLY RECEIPT l0aIq .y / ~ SUBD. ar / Q RECEIPTDATE: IA?p / 1999 PLUM$INfi PERMIT (RESIDENTIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system - _ FIXTURES EACH # TOTAL Shower 3.00 I = 3-3r- Water Closet 3.00 x -T = 3$s Bath Tub 3.00 x Lavatory 3.00 x 1 3 °O Kitchen Sink 3.00 X = 3Fc Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 - 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 30.00 X = U.G. Sprinkler ` for dwelling under cont. 3.00 = U.G. Sprinkler for existing dwelling 30.00 Alterations • to existing residence 30.00 Water Turn Around 30.00 - Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 RPZ (new installation/repair) 30.00 - STATE SURCHARGE .50 Reminder: Call 681.4675 for inspections of water heaters, S o water softeners, alterations, etc. / TOTAL - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicenrs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City dudng its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITEADDRESS: OWNER NAME: Y] -0\'XNC INSTALLER NAME: l7J QV`A (7n " ~UU `VI TELEPHONE M bS-i T.D (g q~O7 STREETADDRESS: ~J~ Co JJU U h~~I e CITY: -O~QC>'V-~' STATE: Wl v ZIP: SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 ` CITY USE ONLY L _L BL L RECEIPT 9co a S S SUBD. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system - - - - - - - - - - - - - - - - FIXTURES EACH # TOTAL Shower 3.00 x _ -00 Water Closet 3.00 X - Bath Tub 3.00 x Lavatory 3.00 X = Kitchen Sink 3.00 x 1 = 31,00 Laundry Tray 3.00 x _ =45 J Hot. Tub/Spa 3.00 x = Water Heater 3.00 x i R!9-25 Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL S. 50 - 1 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-wayteasement. SITE ADDRESS: 1 , / 9~I N ,d1 t OWNER NAME: ~,M. / - JJWK-G1' 5! - L U J INSTALLER NAME: W uti 1 t''~V~t rN,l1nq7 #44 Gt r`(/ TELEPHONE # 9y S~i cSG- STREET ADDRESS: RS lDkyltj/`"r.K- IwoA. CITY: ~^f t8 r' STATE: fyw, ZIP: I,/ u SIGNATURE OF PERMITTEE JS/FORMS SLOG/PLBG PERMIT (RESIDENTIAL) 1998 Zs 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 menu o0 New Construction Requirements Remo d1Re air Re uir Y N 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and pit roofed areas 2 cop"yes of plan showing footings, beams, joists C9ruto145uNeY (20% maximum lot coverage allowed) tsat of Energy Cakulationsfor heated add NOns TrBeP PI~R~..=-:*.ftY -?7 2 copies of plan showing beam & window sizes; poured found design, etc. ✓1 site survey for additions & decks T efllTr~ReViilre_dT` yL Yv'- 1i I set of Energy Calculations Addition -01cale if on-site septic system QCts+~S~6c hs?ml`- Y 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings vain 3 or less units) Minnegasco mechanical ventilation form q7 ty/ Construction Cost p ~_11 Date rt r7 ! }C i ! cC Site Address Unit/Ste # FF C 1 Description of Work C ~n`rFr~1 c n ~'T , C~eC 1~-- Multi-Family Bldg Y N, Fireplace(s) _ 0 _ 1 _ 2 1/ ( c~'F c _ Property Owner U'k(, )jhn.A Telephone#(\6'1 Contractor Address 0, (vc~' City y~)C'AQ r State (1 zip:5 zt% a-) Telephone #('qp 1l~-J'`~°~ J~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet !i= New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan base, 6 a,master plan? Y N If es, date and address of master plan: 3 n Licensed Plumber -c-Telephone # Mechanical Contractor Telephone Sewer/Water Contractor Telephone #f I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approval of plans. J26niA Lee n Applic is Printed Name A I cant' i ature DO NOT WRITE BELOW THIS LINE Sub 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 'F 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation d Occupancy Z 3 MCES System Plan Review 100j%~ or _ 25% Census Code Zoning A _ City water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ( r Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) - Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace - R.I. - Air Test _ Final - Windows Insulation _ Retaining Wall Approved By 4"Ao-, Building Inspector - - - - - - Base Fee Surcharge -,e Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Z422 Enterprise Drive ~t * Mendota Heights, MN 55120 * PIONelvA (612) S81-1914 FAX:881-9488 LAND MMVEYDRS • CIML ENGREDIS * One noar ng LAND PLAw RS. LANOSGiE ARM ECrs 625 H7ghwoy 10 N.E. Blaine. MN 55434 * * (812) 7s3-1880 FAx:783-1883 Certificate of Survey for: GM HOMES LOT I - 3786 BURGUNDY DRIVE / LOT 2 - 3784 BURGUNDY DRIVE p~ BENCH MARK TOP OF PIPE ELEV.-795.59 O • / Plt" 4 t , I 10 / OQ.p~4, n I i r .r• ti~ a 17 - SERVICE 70 ~ y 79 .4. / 57 ~ 1 78 .2_ , !a! xr r t3 67N} X30 79 .5 o% \ .C wpm 9p.3 O ,o n p0 bbo- o n LA 8 0 6.8 r^ 79 3 + 789.2 cT 9> \ O Sp 0 No r ~l\ • i p 'Lr cS p~~c~ l em -a?OO Ti m Q ,r T 789.6 %2' o ~n p 13.67 0 \ 2 98 'Lj F~ 0 0 . ; 16 Cj 40 y3 4 1X 790.9 ww LP ("?p ' ~T~ ',ray SERVICE S7 Fly 9~ \ INV.=766.8 OUTLOT ' i ' *I \ 'ate G `BENCH MARK TOP OF PIPE w E = 49 54 S~C~ RR \ T.^. A- rl ovnontF,~}IOUSE ELEVATION NOTE'. PROPOSED GRADES SHOW PER CRADINC PLAN BY. PIONEEREAGAN NOTE: BUIDINC OIMENSIONS SHOWN ARE FOR NORI L ST FLOOR ELEVATION: Or STRUCIVRES ONLY. SEE ARCHITECNAL F I FOUNDATION DIMENSIONS P OF BLOCK ELEVATION: - NOTE: NO SPECIFIC SO0.5 INVESnCAnON HAS BEEN OUPL TEO I OT Cj SU2VEYOR. THE SUITA81UTY OF SOILS TO PPORT THE In W E SLAB ELEVATION; PROPOSED 15 NOT THE RESPONSIBILITY 0 DENOTES E%ISTING ELEVATION NOTE: TH;S CERTFICATE DOES NOT PURPORT TO~~V MLT+TS' THOSE SHOWN ON THE RECORDED PLAT. UILDING INSPECTIONS DEP DOO.00 1 DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - DENOTES DRAINAGE FLOW DIRECTION Use BLUE or BLACK Ink I For Office Use I I I Permit Cif of Evan y I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: - Phone: (651) 675-5675 RC EIVr I I Fax: (651) 675-5694 i Staff: . ~ APR 112012 - - : 2012 RESIDENTIA BUILDING PERMIT APPLICATION V~~-- Date: 4/11/2012 Site Address: 3-4-4 URGUNDY DRIVE Unit M Name: MARCIA THIBODO Phone: 651-454-5252 RESIDENT / i OWNER Address / City / Zip: 378 BURGUNDY DRIVE Applicant is: Owner X Contractor TYPE OF WORK Description of work: BATHROOM REMODEL Construction Cost: 22,045.00 Multi-Family Building: (Yes X /No s Company: CREW2, INC Contact: BRIAN MARSHALL Address: 2650 MINNEHAHA AVE City: MINNEAPOLIS CONTRACTOR s 612-276-1672 State: MN Zip: 5 5 4 0 6 Phone: License BC318360 Lead Certificate NAT-26342-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) HOME WAS BUILT IN 1998 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 BRIAN MARSHALL X Applicant's Printed Name Applicant's Signature Page 1 of 3 2,- i -7 f , ~,tk ` ~O NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy 17& 4 MCES System Plan Review Code Edition Imo? SAC Units (25%- 100%_z Zoning /?--I City Water Census Code/ Stories - Booster Pump # of Units / Square Feet PRV # of Buildings / Length Fire Sprinklers - Type of Construction 1/18 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill - Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 4 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies p Q TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA104671 Date Issued: 06/05/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3784 Burgundy Dr Lot: 2 Block: 15 Addition: Seneca Hills PID: 10-67125-15-020 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Valuation: 1.431.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Marcia Thibodo PO Box 188 3784 Burgundy Dr CedarNIN 55011 Eagan MN 55122 (763) 444-0292 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature ,i1~c~l'en~ Use BLUE or BLACK Ink I---------------- I For Office Use I f City l"' Permit ~ I bb I Permit Fee: ' I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 378-11- e7 4- I -e4 /✓r° ilOnit i Name: ~enE Phone: Resident/ d' r' Owner Address / City / Zip: I Applicant is: Owner _)C Contractor i Type of Work Description of work :T ,C e ~ / Construction Cost: c Multi-Family Building: (Yes / No Company: ~el31he:s yehe~ e Contact: Contractor Address: - ~T9Q City: 1244 r State: Zip: Jf`7I3 Phone: alt ~ ?<31 ~ddr, -7 rt License #:Lead Certificate ~1,1161 f 1 vc. If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i _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 j the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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_ < 3( L L.~- I V l V" X Applicant's Printed Name Applicant' Signature Page 'of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172708 Date Issued:10/13/2021 Permit Category:ePermit Site Address: 3784 Burgundy Dr Lot:2 Block: 15 Addition: Seneca Hills PID:10-67125-15-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jan Crozier 3784 Burgundy Dr Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature