3616 Falcon Way^f+w?'-. . . _. . " . ` . _ . . . ... .... . y , . . - . . . . ? . . ..
CITY OF EAGAN A ^?
383%Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t-r 8
PHONE: 454-8100
BUILDING PERMIT Receipt #
SF DWG/GAR Est vaiue $66,000
3616 FALCON raAY ? `t3
Site Address Erect C Occupancy
Lot 3 Block s Sec/Sub_ LFXTNGTChV PL `'.IUmodel ? Zoning R
Parcel No. Repair ? Type oi Const V
Addition ? No. Stories
?
ORRIN `'HOMPSOiV HCJiI?'1LS
Move ? 38
Length
= me 1712 rRO,riSROAD Demolish ? Depth 4 h
3 [Address I
I Ft
S
°
i
T
K
?
33
S nt.
mpr. .
q.
?1 a
Phone
- Insfall O
Q $3%
j." ° .' Apprrna ls Fees
y
Z o Name ?
0
¢ Address Assessment
~ City Phone Water & Sew.
? Q Police
w W Name Fire
Phone Planner
Council
iat I have read this application and state thatthe B?dg. Off. '?/'? /8b
id agree to compiy with all applicable State of
CityQf Eagan Ordinances. APC
Signature of
A Building Permit is issued to: vicsc
all work shall be done in accordance with all
Building Official
Permit --?
Surcharge
Plan Revie
Water Conn. 5 U 0. UO
Water Meter 63.50
Road Unit 290.00
Tr. PI, 15G. u U
Var. Date Copies
2.114 . 0 J
Total $
THUt?17SO?1 ?IO=?F;S on the express condition that
:able Stpte of Minnesota Statutes and City of Eagan Ordinances.
I .. I PWmR No. I Pern+s Howsr I n.e. I TslsPhone N I
?
oate
Plby.
Occ.
Dkp.
.
' , • MECHANICAL PERMIT
' CITY OF EAGAN
3830 PILOT KNOB ROAD, FAGAN, MN 55121
Site Ad ?ess ?sr.11
Lot? Block
Name
? Addre
c Ciry !
? Name
3 Addr?
o Cib -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
?v OR) M BTU
M BTU
M BTU
M BTU
CFM
?
Qti
PERMIT #
RECEIPT #
DATE: _
BLDG. TYPE
Res. "
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 19'o OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE
S/C:
TOTAL•
SIGNATURE F PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
, . . PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100 ? __2
Site Address TYPE WORK DESCRIPTION
Lot ? Block Sec/Sub ?
Res. New
Name Mult Add-on
, '
co Address ?
' ' • ? Comm. Repair
c Ciry ' Phone Other
?
Name NO. FIXTURES TOTAL
Wat
r Cl
$3
t
00 x
3 Address .
e
ose
-
Bath Tubs - $3.00
I O City Phone Lavatory - $3.00
! Shower - $3.00
' Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMi1M - RESIDENTIAL FEE _$10,00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 v
Water 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
Well - $10
00
; . .
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: -
FOR
CITY OF EAGAN GRAND TOTAL• ??`?
:
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address -
Lot
Name
V Addre
c Cityl_
BLDG.TYPE
Muft _
Comm.
E?l Other
? Name Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $30 S/C IF PERMfT PRICE GOES
BEYOND $1,000.00) / ,
l
- $10.00
- 20.00
- .50
FOR: CITY OF EAGAN
TOTAL
S
. - , ?-
PERMIT #
? ./
RECEIPT #
DATE
WORK DESCRIPTION
New
Add-on
Repair
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
? CITY OF EAGAN 7,jI0C0*p WATER SERVICE PERNIIT
""A0 Pilot Knob Road
'P. O. Box 21199 p?MiT NO.:
, . F
Eegan, MN 55121 DATE:
No. of Units:
,Zoninp. . t
wrwr: ?*.Ges
aO
rosr.
wnber:
'?r ? ? ?tAd70
A g 4te
4 Pe
? Reode? No.: 0 /d
, .,m ,o .mply ,.ub +w
C4
tiusc. u,oro.s: -
Totol: ?--
BY ? ?• Dote Poid:
pote af Irsp.. 'r Insp.:
y
0
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Knob Rwd PERMIT NO ;
P. O. Box 21199 D^?
: Eagan, MN 55121
?ing: No. of Units:
Owner.
/lddress: • ' . t ?? , . . -
Site A?ddross:
Plurnber.
1 Mm fo eowph wftb 1M pIT of 5696D
By
Date of Inip.:
Conrnction CharO
d e:
r
AcCOUrkt apo :
Permit FM:
,
SurcF+orOp:
Misc. Chorom
Total:
Oo" Pold:
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 5
owner street _ _3616 Falcon Way
5 parcel 10 45060 050 OS
C, - Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFi F.
STREET RESTOR.
GRADING
-E4.ti -?
SAN SEW TRUNK 1985 247.64 16.51 15 ?
SEWER LATERAL 101 1986 16 3 1. 0 0 3 26. 2 0 5
Services 101 1986 729.39 ' 145.87 5
WATERMAIN 1985 65.81 13.15 5 "
I
WATER LATERAL 10 M 1986 873.43 ' 1 74. 6 8 5
WATER AREA 1014- 1986 243 .73 48.74 5
WAT LAT BEN 1013 1986 111.98 5
STORM SEW TR K 10 1'1 1986 4 2 6. 5 4 22.39 5
STORMSEWLAT 101? 1986 803.34 l?Q? 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN N 0 11748
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERAAIT Receiptli
To be used for SF DWG/GAR Est value $6 6,0 0 0 Date-
3 616 FALCON WAY ?
Site Addrass Erect C
Lof 5 alock 5 Secisub. LEXINGTON PL SWemodel ?
Parcel No.
Repair ?
Addition ?
ORRIN THOMPSON HOMES Move ?
? Name
W 1 2 HOPKINS CROS R Demolish ?
o Address I
?
t
l
MTKA _ mpr.
n
.
phone
Ciry Install ?
o Name SAME APPro
=
APRIL 7
Occupancy
Type of Const v
No. Stories ?g
Length
Depth 46
Sq. Ft.
? Q I Address Assessment _
? City Phone Water & Sew.
?Q
F W
Name
E
? Adtlress
a W City Phone
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe
information is correct and agree to comply with all applicable State of
; Minnesota Statutes and Ci of Eagan Ordinances.
Signature ot Permittee- oA)e47
J •??
Police
Fire _
Eng.
Planner
Council
emg. Off. 4/ 4/ 8 6
APC
Vac Date
A?BuildingPermitisissuedto: ORRIN THOMPSON HOMES
all work shall be done in accordance with all applipalyle 5 e of Minne ota St?
86
331.00
Permit
Surcharge 33.00
Plan Review 165.50
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63. 50
F1oadUnit 290.00
Tr. PI. 156.00
Parks
Copies
Totai $2 ,114.00
on the express condition that
and Ciry of Eagan Ordinances.
Building Oflicial
.;,,[yqes o;d ' IA ?/ b/t63
16 iiCSn fTOm ?'/ ? ? Y ? C ffis?719 Ls'? I?s. ?c?tc?n?a+-.?I Sb .$ 3,9-
FeQUest ate Fire No. RouAh-in Insp tion
NepwreA?
C]Reatly NowAWill Notify Insp¢c-
`
`S ye, DNa [or Wh¢n Reatly
I
17?1-icensed Elec[rical ConVactor I hareby request inspBCtion of above
? Owne, elactrical work installeA at
Sveat Atldress, Box or floute No. Gitv -
ecuon o. Tewnship Name or Na Hange o. Coi y
?
O pant IPRINT) / Phone No.
aw r Sup lier Adtlress
W?' y?Sda ?za? ??
cirical Contractor ICompany Namel - - nse N.
Contracmr s Li
ce
.. ?^ ?
7
?? / _7?
TVff
' i g Atldr s(? om,a q or or ner Ma inB lnstailatioN
?
R.?G./U
/v? J,??p
fe,
Autho ' ed SiB?amre (Contra oJOwner Makfng Installati ) Phone Number
JginNESOTA STqTE BOARD OF E RIGTY THIS INSPECTION NEQUEST WILL NOT
r?Griggs-Mitlway Bldg. - Raom N• i BE ACCEPTED BY THE STATE 90qqp
1821 Universitv A.ve., Si. Paul. MN 55104 UNLESS PROPEA INSPECTION FEE IS
Pn..oo 16121297attt ENCLOSED.
..m ELECTRICAL INSPECTION ea-ouiwi_oa
uae instruclions lor completin9 lhis torm on beck ot yollow copy.
q "'N" Below Work Covered by This Request ?
TYDe oi 8uilding I Aooliuncee WireA 1 Equiument Wired
10 Unlo.
Jk Milk
k Fee SarviceEMrancaSize b Fea FeeEers/Subtaxders k ice Circuiis
0 ro 200 qm s 0 to 30 Am s 0 tn 30 An!
Above 200 qm ps 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100_Am s Above 100_Am s
7ransrormers Irngation Booms Pdrtial-"Other Fee
Si
al Inspection
i C2 v
I Xoupm?n / // ?? ?? Dace ? 1. the E18clricel 'I
InsPectv, fieraby
i?nal ? OHte certily thet ihe above
/
insoectian hes been
? ?PD' mede.
? mierepueatvaalnmommnom ? - - - - - - v - w ? / ?y?
` ?
f // ?VTr
7986 HQILDING PBRMIT APPLICATION - CITY OF B9G9N
NUTE: ALL CABTRACTORS MRST BE LICENSED iiITH THE CITY OF EAG9N
Mn? 2r?3
COMNIORCI9I. SINGLS FAtIILY DiiS[.LINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, t SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 7 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONSJ -
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: &4.?[zop Date:
SiEe Address (C2 _ vtld '- pn
Lot 05 Bloek ?
Parcel/Sub ?1 QY)
Owner
Address
QFFICE IISE O1dLY
Erect x Oceupancy R13
Hemodel _ Zoning R•)
Repair ^ Type of Const $?
Addition # of Stories
Move Length
Demolish ? Depth -4(e
Int.Impr. Sq Ft
City/23p Code
Phone
Install
APPROVACS FSES
Contractor Assessments _ Permit
Water/Sewer Sureharge
9ddress Police Plan Review
Fire SAC
City/Zip Code 01nnQfoV1K&i Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Of Treatment P:
Arch./Engr. APC Parks
Variance Copies
Address TOTdL
City/Zip Code
Phone #
331, o0
?
x?nS , o0
?
l03 , SO
Zao,oo
Js1?
?c0
NOTE: 6DDRRSS&S FOR CORNER LATS - CORTRACTOR/HOMEOWNSR MD3T DESIGNATE iiH2CH
ADDRESS IS DESIHSD. HO CH9NGES WILL BE ALLOiiED ONCE BUILDING PERMIT
IS ISSIIED.
',Ur,tnn LtVlollVG[:K1lVli WrieHIVY • L2i15 WHY6A7'A t3UULGVf1fLll • C11tVNGA11UL1S, C4V • YHUNt:: 374-4/40
CCRTZFICATE OE SURVEY FOR: ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 30'
BENCHMARK: Top nut of hydrant at • Iron monument found /
Falcon Way and Blue Jay Way ° Wood stake set ?
Elevation = 904.02 ft. (NGVD-1929)
?.-draina?e ? U/i'/ity Easemen}
i
I0213 589°21'54"E 127.80
o ? !
<
? 25.5 I 9
w I 3fJ -r O 909-.03 ?9 .
O ?u m LOT 5 ?
0 10 15 ?o
V m a.o _
? I
J °O w ,? • ?
d z I ;? " ao.s I o
U-
?01 83 N 89121'54" W 128.44
Lot 5, alock 5,
LEXINGTCHV PLACE SOUTH,
Dakota County, Minnesota
I hereby cectify tha[ this is a true and correct representation of a survey of the
boundaries of the land a6ove described and oE the location of all buildings, if any,
[heceon, and all visi6]e encroac7unents, iE any, fCOm or on said land. I further
certify that [his survey Nas prepared by me of under my direct supervision and ChaG I .
am a duly Registeced Land Surveyor undcr the lavs of the State of Minnesota. hiN Reg. No.l5? Date ?' Gi, ,>7(n
Y ' 1),3-14•$6- REVISED NC?USE pLAN NO. 204 TO 1J0.2?'?-RESTAI<E
rroposea House x As-Built House _ Drawn by xN 'Project no.bb
jO4
•?• a • ? •?i • r ?• ?. r:•n?? ? ?i a? • • :
3
fbr City Use
Plumbers License
G.`l ACtive
--,: cr bspired ':"
1I(YVY?91 D[W 114 ulYtla fellfl: iij,tS7?yU0'StY0 1 ol ii ;CMRIDCTTON TO CITY SEFFM ` iWCONla7.'ION TO QTY Wk2ER ?
. ry? .: ?T?..._?
"'r.?,? .? v? (PZEaSE LGSCSibe)
;. .. „ ?., w .
..i. xt ? ..:: .- ?a;^? . ...:. ....... ' . ?. . _ , '
. . " • . _ " . . . . .
? P.LEASE HCIID APPROVID PERNIIT FOR PICK- BY ONE OF ABOVE X x
PLEASE N?LB, APPRWFU PERMiT'PO 1. 2, 3, 4, ABfSVE ? .
N. r ? . . :
u
(C3SC1 Ol1E)
7i
?tr-e s r ,?,??
'?""b'7 x _ ?,-?y` '?C' _: ??';`-?-?? ? •_?.i?? ? ? . ? i..=..?x `? ?r? '[ .? yr'^T"'f?rE:? w ??s' ? e ','-e
na • ?
cL. x i
....:?i`' . . .n..? ?. . .?.. ..'N
a?t?.... ............ . ..?.?K'? ...-....Z-.-.,. .. „?''wu.__.?F,?.,7¢.yf« .,?.»?"?...a.'u.
?"w !
? .t ?-Utl ?^J'iR4 A.. I .. _.?aW+?Fuart,-?^ -
Yu?yj?q
? APPROVED BY
ic"
? TI:LE
Y C ` ?
? ay?? DATr " '?
.,'..?c1..,r`P? .h?1• .?).,
p?¢
Yh. P[!'?': _ . .('Y
'47 S}?4_Ltl' 4) ..tRI??;???
?. c•' ww '...?ri? 9 1 ':. ?!N
v"
?F
17LK k7AJLJSt?:.GY1, '
Assr,ssrEENT
!BFSNEP,ITVTRUNK SE.TT='? `
$ - ? '..? ?! .i ?1 . - n z
$EN£FIT-?RU`K .[QAT°R
ATMENT PLANT SURCHARGE ^"" : `:
_, .
" MUST -. .. .. "?.,E' UED ? S. .
' -BY THE
VISION;«;..`LIST,.:AS,"A COND]
4 ?G}icw $r, ??? ,ti'ai ve•J'
?
?7?-? ??
.>?sM :?
S
t # ?
'
?
. . ` -.? _. ?. ?.t
x.
RESIDENTIAL
?.-3 I L Sy BUILDING PERMIT APPLICATlON
C.? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conslruction Reuuiraments
• 7 registeretl site surveys showing sG. R. of lol, sq. t. af house: and all roofed areas
i20°6 maximum lot coverage allowed)
• 2-apies oi yan showing beam 3,vinaow sizes; poured (ound design, atc.)
• 1 sel of Energy Calculations
• 3 cooies o! Tree Preservation Plan if lut olatted atter 7I1193
? Rim Joist Detail Options selection sheet ?EICgs with 3 or less units)
DATE 7- /S'OZ
RemodellReoair Reuuirements '6d 3 "
• 2 copies o( plan
. 1 se[ of Energy Calculations for heated addi[ions
• 1 site survey for exrerior additions 8 Decks
. Indfcate if hume served by septic system Ior addi[ions
5 19
VALUATION ? 46Yl. Oo
S1TE ADDRE55 3W& 'F0. Jl'on Wa-!q MULTI-FAMILY BLDG Y Y?,N
_
TYPE OF WORK FIREPLACE(S) _ 0 _ 1_ 2
APPUCANT (foGLt-Z (%. ];?7 tV G
STREETADDRESS Z`rIH Z/lp(Ki. 1}w NC CITY)C5954 1:?x! A.(STATEM WZIP SSo//
TELEPHONE # &3-y13 CELL PHONE # Fa,x #W 3- 5?/3-??79
q o
PROPERTYOWNER UG,,,, ot- gerru )Ar54o TELEPHONE# ??"??? ???`O?ag
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL:SO`C:A RCLGS 7670 C.A"Cl?GOI2Y t `
submission rype) . Residential Ventilation Category 1 Worksheet Submitted •
. Energy Envelope Calcula[ions Suhmitted
Plumbing Contractor: _ _
Plumbiiig system includes:
Mechanical Contractor.
Mcchanic>il svstcm includcs
Sewer/Water Conhactor.
Air Condi[ionin,-
Heat Rccovcr7' Systcni
Phone #
juL 12 2002
Fcc: 570.00
-°-------------------°-------------------°-------------------°-------°---------•----...-----------°-------°•-------
I hereby acknowledge that I have read this application, state ihat ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ances.
Signafure of Applic t
OFFICE liSE OtiLY
? Water SoCtencr _
Water Heater
No. of I3a[hs
_ Phone #
Lawi Sprinkler
No. oE R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Use BLUE or BLACK Ink
1-----------------i
For Office Use
,
s I Permit 19
City of Eatd~
Permit Fee: l~• S7~ 1
3830 Pilot Knob Road 1 1
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1 staff: 1
Fax: (651) 675-5694 1
4 / 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: A~z I. S ~ Phone: -701-2-K 7 0Z,( '
Address/ City/ Zip: A C.. ~ C c-t/ ~q V , eA6tipo lkW Sr~tr Z)
CONTRACTOR Name: AIkf- lS License 6 /
Address: / 2 r v l~~~, )~f@ l City: j U~t n s' L~ t
State: P1 IAJ Zip: ~7. 2 Phone: QZ --J-e,-7 1
Contact: 471kz, Email
TYPE OF WORK & New _Replacement -Repair Rebuild _ M!o~dify Space _ Work in R.O.W.
Description of work: S L V
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater 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 $166.00 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 $
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.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conf rmance 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 i of 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 s.
Applicant's Printed Name A plicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA107516
Date Issued: 10/16/2012
of 3 a R Permit Category: ePermit
Site Address: 3616 Falcon Way
Lot: 5 Block: 5 Addition: Lexington Place South
PID: 10-45060-05-050
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Perry Firkus
2650 Minnehaha Avenue
Minneapolis, MN 55406
612-276-1680
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
Crew2 Inc Deepak Seth
2650 Minnehaha Ave 3616 Falcon Way
Suite 100 Eagan MN 55123
Minneapolis MN 55406
612 276-1680
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178293
Date Issued:08/09/2022
Permit Category:ePermit
Site Address: 3616 Falcon Way
Lot:5 Block: 5 Addition: Lexington Place South
PID:10-45060-05-050
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Mary E Krebsbach
3616 Falcon Way
Eagan MN 55123
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:Plumbing
Permit Number:EA178294
Date Issued:08/09/2022
Permit Category:ePermit
Site Address: 3616 Falcon Way
Lot:5 Block: 5 Addition: Lexington Place South
PID:10-45060-05-050
Use:
Description:
Sub Type:Water Heater
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 -
Mary E Krebsbach
3616 Falcon Way
Eagan MN 55123
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:EA178806
Date Issued:09/02/2022
Permit Category:ePermit
Site Address: 3616 Falcon Way
Lot:5 Block: 5 Addition: Lexington Place South
PID:10-45060-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Mary E Krebsbach
3616 Falcon Way
Eagan MN 55123
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179488
Date Issued:10/06/2022
Permit Category:ePermit
Site Address: 3616 Falcon Way
Lot:5 Block: 5 Addition: Lexington Place South
PID:10-45060-05-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Mary E Krebsbach
3616 Falcon Way
Eagan MN 55123
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature