3604 Falcon WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3604 Falcon Way
Lot: 2 Block: 5 Addition: Lexington Place South
PID:10- 45060- 020 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
- Applicant -
Owner:
Tara J Blackert
3604 Falcon Way
Eagan MN 55123 -2225
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078507
06/25/2007
ePermit
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 with all applicable State
BUILDING PERMIT
5F
$57,000
Receipt #
SiteAddress 3604 FALCON rVAY Erect 6 Occupancy R.3
LEXT!`JGT
Lot 2 stock 5 Sec/sub ON PLACIRefmOel ? zoning RI
Parcel No. . Repair ? Type of Const. V
Addition ? No. Stories
¢
W
Name Oa4s?t I IV THON1PSOiJ IiOiyI ES Move 0 Length 38
3
1
A
d
1711 HUPKIt1S CROSS Demolish ?
ROAD Oepth 4- Q
° ress
d lntImpr. ? Sq.Ft
City E? 'rA Phone 544-7333 Install ?
o Name SA`7E Approvals Fees
U a Address Assessment Permit S 304• 0 0
City Phone Water & Sew. Surcharge 28-50
Police Plan Review 152.00
Cc
uiz Name Fire SAC 575.00
?;j Address Eng. Water Conn. 5 QQ . 00
i w Ciry Phone Pianner Water Meter 63 • SO
Council Road Unit 290-00
I hereby acknowledge that I have read this application and state thatthe Bldg. Off. 41$186 Tr. PI. 156.00
information is correct and agree to comply with ali applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC ParkS
., _ --?r Var. Date Copies
Signature o( Permittee '<;? 2'?'''' '- Total $2 j 069. U O
A Building Permit is issued to: URR I^i THOMPSOP3 iiOUES on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry af Eagan Ordinances.
?
-?
Building Official
CITY OF EAGAN •? ? ? 11756
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 W- .
PHOiNE: 454-8100
1 - I vermn No. I wWmn Hot'ae. I oai• I TM.Pnone # I
Htg.
10Id9. Flnal JK -/ C-• wJ *f _All Y A,? ft fff.t 'l n va I
Fty.
Frn?g.
Dbp.
.. .. _-.T._. . . : w
:
. . ? . . . - - . . . . . .. ... . . _
57-73-5 1 /
t
PERMIT# ?
PERMIT
M
ECHANICAL
RECEiPT #
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55121 DATE:
CON7RACT PRICE: PHONE: 454-8100
Site Addre$s, ?uuzl ' _ ?G. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub
X N
X
Name " n n,,?d!,c o es.
ew
1t Add
'
° -on
Mu
- n
Ad
lre
" E n t, v¢. :.
R
i
C
s ?
?
bb4uj
J42-
5337 omm.
epa
r
c S •
City ? Phone
- pther
Name iampson : 4ome! - FEES
L
c
Address1719 ,
RES. HVAC 0-100 M 8TU -$24.00
p City t ka 55343 phone 5 lr 4- 7 3 3 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M 67U - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU CQMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unft Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU $ S7ATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlats #
Other $
10
FEE
SIGNATURE OF PERMI7TEE
S/C:
TOTAL•
FOR: CITY OF EAGAN
PERMIT #
RECEIPT
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
FEE
s/C • ?
MINIMUM RESIDENTIAL FEE - $10.00 + S.SO TOTAL
DATE ? MINIMUM COMMERCIAL FEE - $20.00 +$.50
1. Bldg. Type: Res Comm Inst 2. New J! 7Add Alter Repair
3. Total Bid Price 4. Job Address d/ u2A/
Lot1?2 Block Sec?????? 5. Owner 12+?&A.) f; Y'???OA)
,
6. Contractor Z' / 1?/,7?(J'r 5• ?? ?,(?'?.5?'r'710lJ?T" .?,?
(Name) ? (Street) (City) (Zip)
7. Contractor Phone # "
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODI CATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR CONO,
AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNOERGROUND OTHER
ARGO OR EACH s1,000 OF FEE.
COMM./IND. RATE - 1% OF TOT L BID PRICE PLUS $.50 STAMC
Signed: for Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT # / U / 7
PLUMBING PERMR RECEIPT # L 3QO a
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE ?-
CONTRACT PRICE PHONE 454-8100
Site Address -?-' ?=-' ` Z ? J- -/ r' `' BLDG. TYPS. WORK DESCRIPTION
Lot Block ? Sec/Sub ( \
Res. New ?
m Name Mult Add-on
? Address 1 ?' 7 !` Comm. Repair
c City ? • Phone Other
Name
I NQ! FDCTURES
W
t
r Clos
t - $3
00 TOTAL
.
a
e
e
-
r
; Address Bath Tubs - $3.00 ?
p
City Phone /
Lavatory - $3.00 . _
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 146 OF CONTRACT FEE ' ?undry Tray - $3.00
MINIMJM - RESIDENTIAL FEE - $10.00 % Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 yyater Heater - $1.50 ? -
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES
?Gas Piping Outlets - $1.50
BEYOND $1,000.00)
' Softener - $5.00
wBu - $10
00
.
Private Disp. - $10.00
,` ,? ? Rough Openings - $1.50 • ' ?'
SIGNATURE OF PERMITTE FEE `J
?
`
STATE S/C: -
1
FOR: CITY OF EAGAN 5?
GRAND TOTAL: '
.F.??
INS
? CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
f (612) 681-4675
SITE ADDRESS:
urd 1?11 AY
PERMIT SUBTYPE:
I I ; ;1Pi (NI71
I i :.i,i}
aN RECURD
PERMiT TYPE:
Permit Number:
Date Issued:
APPLlCANT:
TYPE OF WORK:
,.; ; ' C : 0
k otll+,il 114 PI fia'i
kill? { ?.E[C{
4St !"?q f«
nr rra„rrOH
( F3A ? Nit() (1M )
F?E'!P}AftM' ; T A SF F'AfiA 1 C P[ RM r f 1fi t=qli tlt F () f11 {t ltIVY ('1 lfPqff t M(i t1N r ! 1: l' 1 fz ii: Al tJs")0 Y
? .: . . -- -??-------- -_ - --- - -------------------- - -?
Permlt No. Permit Hoider Uate Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeetion Date Insp. Comments
FOOTI NGS
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
CITY OF EAGAN
3830 Pilat,Knob Road
P. C. Box ?1799
Eagan, MN 55121
za,ing: ?
NO.: 15
WATER SERVICE PERMIT
PERMIT
D/1TE: _
No of Units•
Owner: ?3`?'lo?DSOit IIomes . '
Addroas: -
Siie Addrcar. ralc n a T 2 I3 Le - ,> L
Rlurnber.
Meter No?
Size: f '
Readsr No.&;
1 NrN to oemoy wiTh jUJW6%-Ahklil li#u=
o`d`Nn°". lJ! ED 8NscW
Total: _
ey Dote Paid:
Date of I nsp.:
Chorpe:
meter
-_--
CITY OF EAGAN ? S?VlC
3830 Pilot Knob Road E PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55727 pATE.
Zonirg: No. of Unih:
Owner. ` _ .
-C•;- ?'.:.J
AddfB55:
Sita Addrcss: -j5fJ4 Falcnn Wg.,
Plumber. •r _° fart '
. '
'
16900
?*oIN tO NIII/ly wRb dw C*y of
r
Wf7MCTlOR OvW: •
•
O?1MIIq?.
Account Deposit: t-
? Permit Fee:
$urcFwrpa:
? By
D Miac. Charges:
ete of (nsp.: Totol:
insp" D
? oft Pald:
CITY OF EAGAN WqTER SERVICE PERl1AIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan; MN 55121 DATE:
Zoninp: No. of Units:
Owner:
Address:
Sits /lddrcss:
Plumber -
.
Meter No.: Connaction Chorge:
Size: Aaoourtf Deposir:
Reuder No.: Permit Fet:
. .
I pfM IO OOApil wM thN City Of EOgOA SUIcFIGIQB:
Oeiiwemas. Misc. CFwrges:
TotaL•
By Date Paid:
Dute of Irnp.: Insp.:
CITY UF EAGAN
3830 Pilot Knob Road
? P. O. Box 21199
? Eegan, MM 55121
I Zoninp:
Owner,
llddrieu:
5ite Address:
I
Pluenber. ;.
i
Meter No.:
Size:
?
Reodsr No.:
j 1 Nnr 1o emplp Nlh 1M Empw
I Orriwmmam
? ,
By
Dcrte of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ Na, of Units:
I,exis
Fee:
Mtsc. UwrQes:
Total: `
Dots Poid:
CITY OF EAGAN SEWER SERVLGE PERMIT
3830 Pilot f:nob Road
P. O. Box 21199 P£RMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owntr
.
Address: -
Site Addross:
Plumbew.
,
1 MrN to eewobI wilr tM CNp ef 169e0 Connattion Chorge: if!..,?
OI,INIIOM. ACCOUflt DEpOflt: ' e
Pef1Mlk Fe!:
SurcFwryr:
By MFse. Cho.9es:
Date of I nsp.: Totol:
Inso.: Dot* Pofd:
CITY OF EAGAN Remarks
Additior, _ Lexington Place South Lot 2 Rik 5 paroel 10 45060 020 05
Owner Street 3604 Falcon Way State Eagan, MN
Impravement date Amount Annuat Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
nt??,. .Fi4.4 c
5AN 5EW TRUNK 19$5 247.64 16.51 15
`
SEWER LATERAL 10 1 1986 16 3 1. 00 326 . 5
Services 101£ 1986 729.39 4. 87 5
WATERMAIN 1985 65.81 13.15 S
WATER LATERAL 1012, 1986 873.43 " 1 T4 . 68 5
WATERAREA 101q- 1986 243.73 ' 48.74 5
WAT LAT BEN 101 1986 111.98 22. 9 5
STORMSEWTRK 101,I 1986 426.54 .85.30 5
STORMSEW LAT 101 ? 1986 803 . 34 ,-. 160,. 66 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
CITY OF EAGAN N 0 11756
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt# /
•7obeusedfor SF DWG/GAR Est.Value $57,000 Date APRIL 8 1986
SiteAddress 3604 FALCON WAY Erect Occupancy R3
Lot 2 Block 5 SeciSub. LEXINGTON PLACF#aePAQei ? Zoning
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
ORRIN THOMPSON HOMES Move ? Length 3$
? Name
i Demolish ?
1712 HOPKINS
R Depth fl Q
o Address C
OSSROAD I
t I
? Ft
S
n
mpr.
ciry MTKA Phone 544-7333 mstau O q.
? a Name
$ ¢ AAdress
? Ciry Phone
a
Name
_z
Address
z
a w SAME Aaarovale Feee
Ciry Phone
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to compty with all applicable State of
Minnesola Statutes and Ci of Eagan Ordinances.
Signature of Permittee
A.Building Permit is issued to: ORRIN HOMPSON HOMES
all work shall be done in accordance wilh all applicable State oy}?tinnesota
Bullding Otfi
Assessment _
Water & Sew. _
Police
Fire
Eng.
Planner
Council
Bldg. Off. 4/8
APC
Var. Date-
Stat tes a City
Permit y J V YbV V
Surcharge 28 • 50
Plan Review 152 .00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
7r. PI. 156.00
Copies??0 0
Total
on Ihe express condition that
of Eagan Ordinances.
>l
This request void I / i a ?
18 rcqnths from y
.C 1Q301 L.,;L, 8 s,
Rentue t Uate
? Fire No. NouBh-in Insoer.tion
R wratl?
?ReaAy NuwWill Notify, InsDec-
- Yes ?NO or When PeaGy
licensed Elecvical Contractor 1 hareby repuest insoection of abova
? Owner electrical work instatlad at:
$treat Atldres , Box or Foute No. . Ci
:3 - .?...?
ectwn o. T wns ip Name or No. flan9e No. Coun
Occuuant (PPINT) Phone No.
7,i?
P er SuODlier Atldress
?
?
/ ?
?
1
? ?
,
, u
4
E vic
I Co
ntracmr IComoany mel Conlracmr's License No.
,
-
????
MailinB Addr ss IConva.tor o/?r O
wner kina In
s/ra?llari?pnl q
/
/
? ?
?
,
? /ts
?-lltl ??v
y"
/
Aut orized Signature IConuaCtor/Own¢r Makine Ins[allalion) Phone Number
? 423z_ _
Grigps•Midway Bldg. THIS INSPECTION REQUEST WILL NOT
psr BE ACCEPTED BY THE STATE BOARD
rvNE50TA STATE BOAXO OF E EC ITY UNLE55 PflOPEP INSPECTION FEE IS
- Aoom N
1827 Universi<V Ave., St. Paul, N 66104
P6,.... 06121 297.2111 ENCIOSED.
j-/o REQUEST FOR ELECTRICAL INSPECTION j4l EB-0I0007-04
, See inatroctiens lor comoleting this lorm on beck o/ vellow copv.
O 1. "X" Below Wak Covered by lhis Request ? J
FAd NeO. TYOe oi BuildinB APPIiOpte! WirpO EquiUment Wired
Home. Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric Heabn
Commercial Bldy. Furnace Silo Unloader,
InAustrial Bldg. Afr Conditioner Bulk Milk Tank
Farm ther Veci y .ther ISner.ifyl
t ,r u?c?ly ther Other
Comaute lnsnectron Fee Be/ow
p Fee ServicaEntreneeSixe k Fee Feedere/5ubfeeders # Feo Circuits
/- B D 0 to z00 Am s .00 0 to 30 qm s 4 tn 30 An+
Above 200 qmps 37 to 700 Amps 31 [0 700 Amps
Swimmin Pool Above 700-Amps Above 100_Am s
Transiormer5 Irrigation Booms Partial-'Other Fee
SignS SVeciallnSpeCtion
TO
eme.ks f 3 ?J TAL FE a
i
Poueh-in
? - ,
C/f/??6L! ??:?/te
?{
(! ?, Ihe Ele< ical
Insoecto., n
certify thet the abova
'nsuection nas eeen
made.
/
? 1 vo1018 moMlis fmm
15/10z6-
;? y37y
0
5 856 o`
'
9
.?
7
.
Req est ?}} t
i/ 7 /?i` Fire No. Pcugh-In.InspecHOn FeqWretl
ust caii inspeaor wh n rea0y)
(YOU m Ins e on Other Than Rough-ln
Reetly N. 0 Will Noiily Inspector
7 /J ?
Yes No a?e Reatl
I licensed contractor ?owner hereby request inspection of above elactrical work at:
Job Atldreas (Street, 9ox or Raute No.) Ciry
? y ?d .q??v-l
Section No. Township Name or No. Range No. Counly
'M
OccupaN (PFIq72)
/Ti Phon N?
{?j?
/a
Power Suppiier Atltlrese
Eledrical Connaclor (Compeny Name) Conttactors License No.
Harrison Electric, Inc. CA 00808
Meiling Atltlrass (COntreclor or Owner Meking Installalion)
2525 Nevada Avenue North, 11301, Golden Va11ey, MN 55427
Authorizetl Signet e(COn[ractar/ r Making InsWllation) Phone NumEer
7 544-3300
MINNESOTA STATE BOARD OF ELECTiiICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Midwey BItlB, • pwm 9.128 III II I I I I I I I I I I I II I I I BE ACCEPTED BV THE STATE BOARD
1821 Unlverslty Ava., SI. Peul, MN 56109 VNLESS PROPER INSPECTION FEE IS
Phone(612)842-0800 ENCLOSEO.
i+f,,,_l?1?^
v REQUEST FOR ELECTRICAL INSPECTION ??
r lt? ee-ooooi-oA
?a
c
?
See insimctions For compietinB this form on back ol yellow copy.
"X" Be/ow Wod -?vered by This Request ?
b'
?
?ys 7
'?r ¢???
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service •
Duplex Water Heatar Electric Heating
Apt. Building ryer Load Management
Comm./Industrial urnace . Other (Specif )
Farm Air Conditioner
Olher(specHy) Contrectar's Remarks
Compute fnspection Fee Be/ow: 252
# Other Fee # Service Entrance Size Fee # ircuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Abov Am s
Si nS Inspaclors Use Only: .? OTAL
Irrigation Booms ?
Special Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
ni
th
t th
b
i Rouglt-in . Dele
ce
ry
a
e a
ove
nspection has
been made. Final ' DatW /iy ?
OFflCE USE ONLV
i This reQuest vaid 18 manihs from
7986 HDII,DING PERMIT APPLICATION - CITY OF EAGAN
NOTE: Ai.L CONTRACTORS MQST BE LICSNSSD i1ITH THE CITY OF BAGAN
MODF'L- 2D1
coMMExcIAL
SINGLS F9FIILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS?
$2,000 LANDSCAPE BOND
To Be Used For: Pl?ta? Valuation: Date:
Site Address -?(? CFlt? / `il,
Lot -L Block
Parcel/Sub i i
Owner
Address
City/Zip Code
OFFICS DSE ONLY
Ereet ?C Occupancy - R3
Remodel _ Zoning F-I I
Repair _ Type of Const
Addition # of Stories
Move Length
Demolish ? Depth 4q_
Int.2mpr. Sq Ft
Install
Phone APPROYALS FSES
Contractor Assessments _ Permit
/-? Water/Sewer Surcharge
Address 2kA?5C ,22??,police Plan Review
Fire SAC 00
City/Zip Code .?Lf.- {?7 c5
f?Engr
Water Conn
Planner Water Meter
Phone 5At- 133-3 Couneil Road Unit 7-10. co
Bldg Off 4- t6 Treatment Pl p?
Arch./Engr. APC Parks
Varisnee Copies
Address qpTgt, 1 ' 0r>
City/Zip Code
Phone #
NOTE: ADDRESSES FOR COHAER IATS - C08TRACTOR/HOMEOiiAEH M[JST DESIGNATS i1HICH
ADDRESS IS D&SIRID. NO CHANGSS iIILL'-BE ALLOW6D ONCS SUILDIHG PERMIT
IS ISS(TED.
APPLlCAT10N FOR PERMIT
SEWER AND/QR WATER GONNECTION
. _: : . ::. : . .
y AYYI.ICI:TiON LiC;Li iir`i CL
* APPROVAL OF PEF2hIIT.
INSPECPION OF SEWEIt AFm/OR PnTF12
TKS'1AT.TA'1'IONS WII.L bXYT BE SCI-IEg-
ULFD UNl'1L PII2hIIT AAS BEFSI
APPROVID.
xxxx:??x?x,.xxxxxxxxxxxxxxxxxxxxxx??
ease Print) J?
1) PROPERTY ADDRESS: kO 3?641d 7
LEGAL DESCRIPTION: S/-/tJ-?(,e "
, Lot B ock ubdivision or Tax Parcel ID )
IF EXISTING STR[:C.'ILJRE, DAT'E" pf` ORIGZNAL Bi,'ILDING PERMIT ISS[:ANCE: -
- (Mon Year)
..
PRE'SEPTf ZONING/PROPOSID L'SE:
CO,tiMMCIAL/Rf.`rAIL/OFFIGE ? R-1 SINGLE FAMILY ;
Q IDIDf1STRIAI, Q R-2 DC`PLEX (T,,p inits)
INSTIZSITIONAL/GOVF32? 0 R-3 TOWNHOC?SE (Three + Units) ( Dnits)
? R-4 APARTPIFSPP/C08IDOMINIUM Units)
2)
'?'+ [a•'?
ruAIME: 7??}0rIf0 SO.c) A.4ir? ES
ADDRESS:17ia #0PK4? ? (leossZO,*v
f CITY. STA'T'E, 7IP:. &1j(11(f`07Z)AJ5A IV,%) .
- PHONE:-.?'_?5??
`??
3) ? ?: o-•
? o,
?/?'?
r"?0???- R1
y For City Use .
/
f / Pltmnbers License:
ADDRFSS: ? O EJ2T /C. Active
CITY, STATE, ZIP:0.54:/wO dm"- /J9 N ?Salm ? Expired
Diot recorded
PHONE: 7023-/IW MASTER LICf:NSE#
St Initial
4) .ae o i?• ?
NAME: .
ADDRESS: '
CITY, SPATE, ZIP:
PHONE: •
5) i? er c- ? e: •?• -,e a- ?t4a? --
? CONt1F.CPION TO CITY SEWII2 Cg CpNNEC7`ION 'IU CITY F7ATIIt C] pTHER
6) ?r a ?- a a- q PLFrASE HOLD APPROVID PEWT FOR PICK-UP BY ONE OF ABOVE
PLF_'SE MAIL APPROVID PE£u*,AST `10 1. 2,(9 4, AMVE .
•
7) ,,. C) .
iG cl.e )ne)
r r; ? ?
?.S.oL?•V tC. l 1 19 ` r C.???.? i T t.t_ y? :'? ._ ..-..?. )
. ??? UTl( USE UNLY _
.
y
?
PERMIT # ISSL'ED
ji
Pd w/Bldg, Permit FEES:
$ $ /ZJ ? D SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ WATER PERMIT ( INCLL'DE SURCHARGE)
$ C?JS? $ ° WATER METER/COPPERHORN/OOTSIDE READER
$ $ "" WATER TAP (INCL[.'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOCNT DEPOSIT - SEWER
$ ACCOtiNT DEPOSIT - WATER
$ 40 WAC
$ 0-2 SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRi:NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCrNK WATER
$ do $ WATER TREATMENT PLANT SL'F<CI;ARGE
$ $ OTHER: -
$ ??•?? ?{` .5 Z? $ TOTAL
6 -7
RECEIPT #- RECEI PT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK i9ITHIN PUBLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SCBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY: /Vil /11
TITLE:
DATE:
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CITY USE ONLY pS
L ML BL ? RECEIPT#: O Y
SUB . RECEIPT DATE:
1998 PLUMffiING PERMIT (RESIDENTIAL)
CITY OE EAGAN
3830 PILOT EINOB RD
EAGAN, 2M7 55122
(612) 681-4675
Please complete for: D 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 =
G85 Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
WaterSoftener "forexistingdwelling 20.00 x =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
r
Alterations ` to existing 2sidence 20.00 = O
Water Turn Araund 20.00 =
Private Disposal 5ystem * MPC iic. 75.00 =
(new and refurbi5hed systems)
Private Disposal Systems `ADandonment 20.00 =
STATE SURCHARGE 50
S°
TOTAL ?
?
-----------------------------• --------------------------------- ----------------------------------------------------------- ------ ------
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.
k is the applicanPs responsibility to noCdy the property owner that tha City of Eagan assumes no liability for any damages caused by the Ciry during its
nortnal operational and maintenance activities to the facilities constructed under thia pertnit within City propertylright•of-wayleasement.
SITE ADDRESS:
OWNER NAME: ?qz, -
INSTALLER NAME: ?ZF TELEPHONE#: W-M5
STREfT ADDRESS:
_ e
CITY: STATE: ?IwN ZIP: 5-97-3-
JSlFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
'-? .fTnv vurTnivrnli.ir rrv.qnnrav . oni t i.rav?mmA Mnr.FVnRn . MTNNr.APOLTS. hLU • PFlOF]F:: Z74-474f] ?
CERTIFICATE OE SURVEY E'OR:
ORRIN THdMPSON HOMES
A Division of U.S. Home Cotpo[ation
BENCHMARK: Top nut of hydrant at
southwest corner of Hummingbird Lane
and Falcon way.
Elevation = 904.54 ft.
(NGVD-1929)
FRONT GARAGE SLAB:
Elevation = 906.05 ft.
Scale: 1" = 30'
• Iron monument found
¦ Spike or wood stake set
,900.0 Existing spot elevation
?draina?e ? UJi/ity Easemenf.
5 69°21'54"E 125.90
Q p O
b
^ ,
m Q
W 6.4 /
' rv
= ? 83
z
0
0 ?
co I
U ro I
J
? ,y N
I ?m
U_
i
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m
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.9
W,
° a LOT 2
pm m
2R
15' N
0
O
N
tJ 89'21'54"W 126.54
Got 2, Block 5,
LEXINGTC)N PLACE SOUTH,
Dakota County, Mirmesota
I hereby crrCiCy [hat tliis is a truo and correct representation of a survey of the
Mundaries of Che lnnd above descciUed and oE the location of all buildings, if any,
checeon, and al1 visible encroachments, if any, fcom oc on said land. I EurCher
certiCy [ha[ thls survey vas prepaced by me or un8ec my direet supe[vision and Chat I
am a duly Regis[cred Land Surveyoc undcr Che laws of the SGate of Minnesota. •
MN Reg. No. IV= Date
?
Proposed House x As-BUilt House_ Drawn 6v EN PrniorY ?n_85104
t 4s1z?7
L C-? BL Jr CITY USE ONLY RECEIPT #: c39'05
SUBD4:?? ?? S. DATE: ?" 5 S
e6j. p?, 1995 MECHANICAL PERMIT (RESIDENTIAL)
'
3830 PI OT K OB RD
P EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
I/ Add-on air conditioning
Add-on furnace
Fireplace conversion (to existing fireplace)
- ?Zu / i
Date: `1- 3-l9S
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.0o each)
? State Surcnarge .50
TOTAL $o
SITE
OWNER
INSTALLER
PHONE #: L`4!
HEATING 8 AIR CONDiTIONING C0.
STREET ADDRESS: 8910 wENnvoRTH AvE. So.
esi•9ooo
CITY: STATE: ZIP:
PHONE #: (
La ??
city oF eagan
September 24, 1998
MR LYLE HENNING
3604 FALCON WAY
EAGAN MN 55123
RE: REQUEST FOR REFUND
BUILDIPIG PERMIT #31220 ISSUED 1/27/98
Deaz Mr. Henning:
This letter is in response to your request to cancel the aforementioned building permit. Please be
advised that this building permit has expired and is no longer refundable.
If you have any questions, please feel free to contact me at 681-4697. Thank you.
Sincerely,
0
?
Doug R ?
Chief Building Official
THOMASEGAN
MaYOr
PATRICIA AWADA
BEA BLOM9U15TSANDRA A. MASIN
THEOOORE WACHTER
Council Members
THOMAS HEDGES Ciry Administrator.
E.J. VAN O`?ERBEKE
ciri aark
DR/js
MUNICIPAL CENTER
3630 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122-1897
PHONE'. (551) 681-4600
FAX: (651) 681-4672
TDD. (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF $TRENGTH AND GRONJTH IN OUR COMMUNIN
Equal Opporfunify Employer
MAIMENANCE FACILITY
3501 COACHMAN POINT
EA6AN. MINNESOiA 55722
PHONE: (651) 60I -4300
FAX'.(651)681-d360
TDD. (651) 454-8535
612 887 5474
RUG-20-1998 14:45 CLRRK LIFT OF MN 612 887 5474 P.01
Augusi 20, 1998
City of Eagan
Building Permits
T would like to cancel building peimit # 031220.
I have chosen to selt the house without hauing the roughed in bathroom finished off.
If there are any questions regazding this request, my work number is 887-5482.
Thanks
Lyle Henning
3604 Falcon Way
Eagan, MN 55123 ??"
688-7489
TOTRL P.al
? CITY OF EAGAN
3830,Pilot Khob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3604 FALCqN WAY
IOT: 2 BLOCK: 5
LEXINGTON PLACE S
P.I.N.: 10-45060-020-05
DESCRIPTION:
(BATHRQOM)
rmit Type SF (MISC.)
r,k Type ALTERATION
434 A'LT. RESIDEN7IAL
n
%18 ?Are4
?
g?pp0?`
,?d :? .
S%
8
BUILDING
031220
01/27/98
REMARKS:
A SEPARATE PERMIT IS REQUTRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $2,000
Base Fee $62.25
5urcharge $1.00
Total Fee $63.25
CONTRACTOR:
(.
4
` n is „p'cr`rect 4414ag!
` Sfia4-Vi??? ?if„SEat?an
M C
• APPLICq! T/PERMITEE SIGNATURE
OWNER: - Applicant -
HENNING LYLE
3604 FALCON WAY
EAGAN MN 55123
(612)887-5482
ISSUED
31- 0 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reouirements
• 3 registereC site surveys
• 2 copies of plans (Indude beam 8 window s¢es; poured fid, design; etc.)
? 1 energy wlculations
? 3 copies of tree presenation plan 'rf lot platted after 711193
requiretl: _ Yes _ No
/
RemodeVReoair Reouirements
• 2 copies M plan
? 2 site surveys (eacterior additlons & tledcs)
• 1 energy calculations for heated additions
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
5TREET ADDRESS:
LOT BLOCK
40•2ff
`?? fjk?i t?
PROPERTY Name: rlG?rScN?v ?,(/GC,? Phone #: 4,0- 7??5 0-` )l
OWNER ?,,.. M,,
StreetAddress:--_"`/ ` ?
City: ! o-+_? State:d 2/,S Zip: JS /Z?--
CoNTRaCroR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: '- Phone
ENGINEER
Name: Registration
Street Address:
City: State:
Sewer 8 water licer.ned piumber (new construction only):
and lot change arc ?equested once permit is issued.
Zip:
Penalty applies when address change
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
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 5wim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Acce ssory ? 20 Public Faciliry
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
.a' 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE .r; n; h N 13a?'I,,,vurv,
? 31 New 0 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main levei 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 c?L
Census Bldg ?
Census Unit v
APPROVALS
Planning
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
AA4?> Engineering Variance
Valuation: $
% sW - S wp
SAC Units
RESIDENTIAL BUILDING
Permlt Applicatlon
r-? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Consbuctlon Reauiiemenfs RemaAeVReaair Reauirements Oflire Use pnN
3 registered siEe surveys stroxing sq. R M bt sq. R o1 house; anA ?II mofed areas 2 copies d plan _ Cert of Survey Read
(20°6 me?cimum bt coverage albwed) 1 set of Energy Calalntlana ta heaoed additions _ Tree Pres Plan Red
2 capies of plan sMw6g hoom $ window saes; poured tourid design, elc. 1 sHe wrvey fa addi6ons & decNS _ TRe Pres Nol Reqd
lselofEirergyCakulatlons Adgbn-indketeilon,siteseptlcsystem On-siOeSe*Sysbm
3 copies of Trea Preservatlm plan J bt pleaed after 711M
Rim Jast D¢W Optlons seleci(pi sheet (Mdgs wilh 3 a less untts
Date ---!?/ Q,? Construction Cost
Site Address ?j? Unif/Ste # ?
Description of Work ??J12iff n/q C CY frY PO-)1Ctl? fiornalll('(%Gt i-&Gl ClQfYf LJi7 P
Mula-Faroily Bldg _ Y_X N
Fireplace(s) _ 0 NPtv
)( 1_ 2
Property Owner 1"V u !!l )'/\ ( TY`Cl U Y1 fe IN Telephoae #(4!?$/
Contractor - 1 ` '
? ? U
Address City '
State Zip :Z?3 3? Telephone # (4?
COMPLETE THIS AREA ONI.Y IF
Energy Code Category - Minnesob Rules 7670 Cate¢orv 1
• Residentlal Vandlatlon Category 1 Waksheet
(J submission type) Submitted
• Energy Envelope Cakulatlona Submiked
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Cade WoAcshee!
Submitled
Telephone #(
? -E^ Telephone#P5A
Telephone #? )
1, ,•\ •
1\;?
I hereby apply for a Residential Building Permit and-a?lmowledge that the information is complete and accurate;
that the work will be in conformance with ' ' mances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
) 0 fA U J\ (' a L s K)
Applicant's Printed Name Applicant's Signahue 1,1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-667-4675
New ConaCUCtbn BeauiremeMa
• 3 registered stte surveys showtng sq. fL ol bL sq. tl. W house; and gq raoted arees
(20% ma)umum bt coverage albvred)
. 2 copias ot ptan slmwinp heam & window s¢es; poured found design, efa)
• 1 set of Energy Cakulatbns
• 3 copies o} Trea Presenatibn Plan tl bt pletted atter 711183
• Rim,bist Detall Opibns selection sheet (bltlgs wHh 3 or less unds)
DATE 7- /:S -d Z
SITE AD[
NPE OF
1 Y71` -7 5
RemodelRteoalr Hequlremente
. 2 CoPie3 ot plan
• 1 set of Energy Calculetions lor heated aEtlRrons
• 1sBesurveytorexlerbratldlibns&decks
• IrWUte il home servetl by seplic syslem for addttbns
VALUATION ? Q),7 (oI i ?
MULTI-FAMILY BLDG _ Y 'f- N
_ FIREPLACE(S) _ 0 _ 1 _ 2
,
APPLICANT
?-
STREETADDRESS 1`Z7-9'-7 iii //dt- A4? ? CITY STATE/tt_ZIP S?/e3
TELEPHONE # 9S7_70'7-69s'9CELL PHONE # FAX # 9SZ_ g`og - Sges(o
PROPERTYOWNEV'rgn(c F I?GuAV A/-overrs-lei'H TELEPHONE# tbS/-kga - `/9,9 l
COMPLETE THIS SECTION FOR ^NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7f
(d submission rype) . Res7denQal VenGla6on Calegory t Workshest Submitted • N e ?
• Energy Envelopa Calculations Submitted ?? ?? ?y ti
?
In jui_ 2 3 2002
Plumbing Contractor:
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Batt
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the Information is correct and agree To comply
w'rfh all apptlcable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signaiure of Applicant ?&UT' 1
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
L-? 7 Z 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 '2? • 2?
NawConsWction Reauiraments
• 3 registered site surveys showing sq. fl. of lot sq. ft. of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan shmving 6eam 8 window saes; poured faund design, etc.)
• 1 set af Energy Calculatiom
• 3 copies of Tree P2servation Plan R lot platted after 711/93
• Rim Joist Detall Oplions selection sheet (bldgs with 3 ar less units)
DATE OZ
RamodellReoair Reauirements
• 2 copies of plan
• 7 set of Energy Calculations for heated additions
• 1 site survey Por extedor add'Aions & decks
. Indicate'rf home served by seplic system for additions
VALUATION
ULTI-FAMILY BLDG _Y ?
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS
TELEPHONE #9SZ- '7 07-(A.s9 CELL PHONE #
FAX # 95'2-- 767- S9 ZS
PROPERTYOWNER Fiw?& ? a.,A r?7urtit TELEPHONE#G:S/
-----------------------------------°---------------'--------------------°--------°------°--
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESO'
(J submission lype) . Residential Ventllation Category 1 Worksheet Submitted • rT!0* ?dV?i csc
. Energy Envelope Calculations Submitted 10 2002
Plumbing Contractor: ___
Plumbing systetn includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Sottener _
_ Watcr Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
--°-------------------------------------------------------------------------------------°-------------------------------
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 [O?rdinances.
Signature of Applicant d 7'1arv,
_..-------------------------- -°------------------ -------- ----------------- ------------ ----------- --------------°°•------° - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatad 4102
SS33 7
_ Phone #
Iawn Sprinkler
No. of R.I. 13aths
Phone #
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152238
Date Issued:10/04/2018
Permit Category:ePermit
Site Address: 3604 Falcon Way
Lot:2 Block: 5 Addition: Lexington Place South
PID:10-45060-05-020
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tara J Blackert
3604 Falcon Way
Eagan MN 55123--222
(651) 283-5084
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158845
Date Issued:11/05/2019
Permit Category:ePermit
Site Address: 3604 Falcon Way
Lot:2 Block: 5 Addition: Lexington Place South
PID:10-45060-05-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Tara J Blackert
3604 Falcon Way
Eagan MN 55123--222
(651) 283-5084
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169267
Date Issued:05/20/2021
Permit Category:ePermit
Site Address: 3604 Falcon Way
Lot:2 Block: 5 Addition: Lexington Place South
PID:10-45060-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tara Jo Blackert
3604 Falcon Way
Eagan MN 55123--222
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature