3769 Burgundy DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3769 Burgundy Dr
Lot: 1 Block: 04 Addition: Seneca Hills
PID:10- 67125- 010 -04
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
PERMIT
City of Eaan
Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/2/2010. (pf)
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Lois E Schmidt
3769 Burgundy Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA090976
09/01/2009
ePermit
cal Inspector, (952)
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
UlId -41 19- Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
I ~ I
City O1 I Permit E 1 I Permit Fee:
,Ilk
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675 I /t
Fax: (651) 675-5694 I Staff: !mil
I I
- - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: o~ r3 Site Address: 37457 379 / Cl/ (g/; dk/ Unit
Name: Phone:
Resident/
y~
Owner Address / City / Zip: 3746 7- ZZ 5
Applicant is: Owner Contractor
c
Type of Work Description of work: 7owr erg
Construction Cost: Multi-Family Building: (Yes X / No
Company: L-1111eu 1?&2 .q-14e ./?e_e_ Contact: /~lG7SS~~J ~
Contractor Address:2!!~lo &14V We .:5 Si -rig city: ?VogU
Stater Zip: S~/r3 Phone: !x/02--36?/- Pig
License Lead Certificate A J -Z 7
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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Stat Building Code must be com77
within 180
days of permit issuance.
x i L_C x Applicant's Printed Name Applic nt' Signature -1
Pa e1of3
`��y e'.`` � �t "Its .
n•.i,.
SAFE HAVEN SE
4852 38T~ AVENUE SOl.7TH
5T'RLICTLJRAL ENGINEERINCi MIIVNEAPOLIS� MN 5541 7
61 2-284-7033
March 25, 2015
Kurt Baum
5100 Edina Industrial Blvd #201
Edina, MN 55439
Re: Project # 15102 - Structural Design
3769 Burgundy Drive
Eagan, MN
Dear Kurt:
As you requested, I have designed the addition for the residence located at 3769
Burgundy Drive in Eagan, Minnesota. The Permit Set indicates the minimum
structural member sizes needed per the 2015 Minnesota Building Code and the
2012 International Residential Code. In particular, it addresses the lateral loads
that are transferred back into the existing structure and the new caissons.
Please call me if you have any questions concerning this project.
Sincerely,
Safe Haven Structural Engineering LLC `��*�t,����+e,,�f���
: ���":
��
.. .
a ��� �
�. . .• �. .' , �,
,.. .... , . .,.� .� � � �' .;, � ...... �. �-
. ���� � . . � �. �... � � �l�� ��� ..
Derek O Phillips, P.E. '•,�`'!► �* i
MN Reg. No. 47507 '+��t�F��+�1��' !,
DISCLAIMER
The structural evaluation was limited to structural elements judged to represent typical framing
element conditions and capacities. The opinions stated in this letter are based on Safe Haven
SE's reasonable professional judgment and experience. This letter does not address any other
portion of the structure other than those mentioned, nor does it provide any warranty, either
expressed or implied,for any portion of the existing structure.
, Use BLUE or BLACK Ink
. .� r________________�
I For Office Use �
I /
� � Permit#: ��� `��r � ✓s
City of ���a� � . f �_� �
� Permit Fee: .�
3830 Pilot Knob Road -
Eagan MN 55122 � Date Received: '����� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �� I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��� /1 2 o/..Sr Site Address: � ��� � Unit#:
Name: ��_���� �n.� �'�1� Phone: � ��Z — `1 � `i � �����
� Address/City/Zip: � `7(, � � -�,��r� �.,r�e,Ai/ ����� @ '
s �
Appiicant is: Owner ��ontractor
Description ofwork: �,�� ���{�� Y1 �/ ,s1�i��0A! � `
, Construction C�t: `� f'X�} '�=� Multi-Family Building: (Yes /No � )
Company:__Kv��o`n t- ���S�v.�.t����n Contact: ���� T��rf`�d`�5 a,,.�
Address:���� L�����T� T�3����Cw L1 k�G:�_� City: '���+.y��►.c�.s5�-�i,��
State: �4 1.'�Zip: Phone: G�IZ-`1�'��-�R£ryEmail: �3���- ��v���n�C��r,c�•e�, ;��, , ,: �,..-.�
License#: � �.C�ZZ�€��� Lead Certificate#:
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?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
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.qopherstateonecall.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.
Ezterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. 1
J ,
X ,a��-�'-�� t�.��,� � ��, X
ApplicanYs Printed Name Appli an s ignature
Page 1 of 3
� ��j� ��r�.�i,c..c��c�,�- �1� .
DO NOT WRITE BELOW TH�S LINE � ����� -
SUB TYPES
_ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage � Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Buifding
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 .r�2G•/ MCES System —
Plan Review Code Edition p/ ' SAC Units '�-
(25%_100%� Zoning n^ 3 City Water —
Census Code �y ` ' Stories ! Booster Pump —
#of Units / Square Feet �� PRV -'
#of Buildings / Length /p Fire Suppression Required "—"
Type of Construction �'�,�_ Width /�il�G��
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
� Roof: ,�Ice &Water ,�Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
� Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ��3 �r� -?G=r/jf� I/ O�O �'
Base Fee f r T
Surcharge
Plan Review /�j/8 _ � -
MCES SAC
City SAC
Utility Connection Charge
S&W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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2422 Enterprise Drive
� * � Mendota Heights, MN 55120 II�
* PIONEEp (61'.' 681�-19t4 FAX:681-9488
UND SURYEYORS • CIViL a�G1N�ERS
� eng�neer�ng . ��No m.,wr,�as. �nr,nsc�rt utuu�cn ;25 Highway 10 N.E. ,
* ** � draine, MN 55434
�` I) (612) 783=1880 FAX:783-1883
Certificate of S�r����for: GM H�MES � � �
��� "� ;—�+��''���� lOT 1 - 3769 8Uf2GliNDY DRiVE .
�"' ''� �'�`" " LOT 2 - 3787 BURGUNDY DRIVE
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BENCH MARK p ORAINAGE & UTl�ITY i.
E�EV�8 SI 54 ��`.` ��,�' �ASEMENT PER PLAT�� �
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TOP UF PIPE �� _ pG�. o � •
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N07E: PftOPOSED CRAOE5 SHOWN PER GRAQiNC'ALAN 9Y: PIONEER PROPOSEO HOUSE ELEVA7) N
NOTE: BUI�DINC OIMENSIONS SHOWN ARE fOR HOR120NTAL AND VERTtCAL LOCATION c�,,,�
OF STRUCTURES ONLY. 5EE N2CHITECTUAL PLANS FOR B 4.0 a LOWEST �LO�R ELEVATION: �-.�_
FOUNDATION DIMENSIONS. �A���
TpP pF� BLOCK cLEVATI�N: � / 7- 7
NOTE� NO SPECIFIC SQI�S 1MNESTIGAT1pM HA p �
SURVEYOR. THf 5UITABtL17Y 0 GARAGE 5LAB ELEYATION: s�.l��.Z
PRDPOSEO IS NO7 1HE RESPO H R
NOTE; TFtlS CERTIFICAtE DOES NOT P ASEME OT R AN X 000.00 OENOTES E%IS11NG ELEVATtON
�oSE swowni OM t�rE RECQ�qEQ PLA7. ( OQQ.00 ) QENOTES PROP05E0 ECEVA710N
tiT
NOiE: CONTRACIpR MUST VERIFY ORlVEWCAY D N. Z � � - - - DENOTES DRAfNAGE ANO U7ILITY EASEMENi
�.OTE: BEARlNGS SHOWM ARE BASE6 ON` A � � —"'�" DEMOTES ORAINAGI' FLOW DIRECJION
����� ECTIONS D��-�(. • oENorEs Ma�uMeMr•
�-�—_- DENOTES OFFSfT HUB
WE HEREBY CERTIFY TO GM H�ME5 THAT THIS t5 A TRUE AND CORRECT REPRESENTA7101V OF A
SURVEY OF THE BOUNDARIES QF: ,
L�TS 1 & 2, BLOCK 4, SENECA HILLS �
OAKOTA COUNTY, MINNESOTA .
I f UOES NOT PURPOR7 TO SE-IQW IMPFtOVEMENTS OR ENCHROACNMENTS, EXCEPT AS SHOWN, AS SUR1/EYED 8Y ME OR
UNDER MY DIRECT SUPERVISIOiV THIS' 13TN qAY QF FEB., 1597.
-`,
. SI NED: PIONEER ENGtNEERi G. P.A.
SCALE : 1 INCH = 30 FEET � �
: . 8 . �
1588 96541.03 SWK John C. Lorson, L.S. Reg. No. 19828
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130568
Date Issued:04/30/2015
Permit Category:ePermit
Site Address: 3769 Burgundy Dr
Lot:1 Block: 04 Addition: Seneca Hills
PID:10-67125-04-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
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 -
Lois E Schmidt
3769 Burgundy Dr
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
� , , _
Use BLUE or BLACK Ink
�-------
---------,
, � � For Office Use I
� � � �� I
Clty of �a�a� � F'ermit#: �
� ,
� Permit Fee: i
3830 Pilot Knob Road I �
�������� I Date Received: �
Eagan MN 55122 � �
Phone: 651 675-5675 �
Fax: (651)675-5694 dE� a 1 Z015 i Statf______________ �
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date• 1`-/ """z `� Site dres •--.i�
r
r�
Tenant: Suite#:
� �
���� �, � �
����� ���`� Name: Phone: `' -�"�-
� ResidenUOwne s /Y�`/V
� .�
�� �y., � ,
� �„�; � g�", � Address/City/Zip: � � �
�443 P
����`=a� �4� �rx � rvame: M�bert Co�pany Inc dba Cul gan Wa r �icense#: wC641376
� � .
�°�' ��� ;�� � 1180r 50`� St East Inver Grove Hgts.
� ��' ContractQ � Address City:
�� ���,��'��� � �� :�' state:� � zip: 55077 � Phone: �651-451-2241'� � �
�� �� � � ,
�s� � �� t
�
���
�� ��. ��°�G ' � Contact: W1Il11ll1 R M11UeTt Emaii:
���_x,�: ��
�� �.��� � � �� � �
��' '�����,�'����� t � New Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
� Typ;e of„¢or
���,- ���
'��� ��t _��.,�� '� Descriptionofwork: �
� °` F' �`"�'� ; RESIDENTIAL
��. ��,��� �,� ,
�� � Water Heater
�`� �p� b ' �Water Softener
� �e. �, Lawn Irrigation�RPZ/_PVB)
�-�3 v Pe�I111t�,Typ� Add Plumbing Fixtures�Main/_Lower Level)
,�� � Septic System
�� �,��.
4 � Nev� Water Tumaround
�%� Y. '.•. k '9.., µ'. .�.� . . . .
� � `� - � Abandonment
;� ��AT ��. .,
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, oc Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turna[ound*(includes$5.00 State Sur�harge)
' *Water Tiarnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic�stem New($10.00 per as 6lailt)(includes County fee and$5.00 State Surcharge) / /Q O O
TOTAL FEES$�,QV
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.Qopherstateonecall.ora
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 1 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
accor ance with the approved plan in.the se of work whlch reguires a review and approval of plans.
� � .
x x �
ApplicanYs Printed Name ApplicanYs Signature
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� �
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