3620 Falcon WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3620 Falcon Way
Lot: 6 Block: 5 Addition: Lexington Place South
PID:10- 45060- 060 -05
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. 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.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Paul E Devine
3620 Falcon Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA081108
11/15/2007
ePermit
* A CITY 4F EAGAN 1156 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- ?
? BUILDING PERIytT , PHONE: 454-8100 Receipt 1t 4
)r!G/GA!i Est.value S66, OGO
Tobeusedtw t;6
Date 4 19
,
SiteAddress 3620 FALCON WAY Erect CIX Occupancy 11-13
Lot (J Block 51 Sec/Sub. j+SX I t,1GTntd :)7., ,;CAemodel ? Zonina II1 .
Parcel No. Repair ? Type of Const. jj
Addition ? No. Stories ?
? Oi?Ri:v ?'IiOtii?SOii HG:;t?;;
Name Move O Length ?k
=
3
Address 1712 :iOP'riINS CROS5i?0AD Demolish
tl ?
? Depth
Ft
S
0 City 1t1'Y`APhone S 4 4- 7 3 3 3 In
mpr.
st
ll
I ? q.
n
a
= o Name `'AME
? ¢ Address
~ City Phone
6-
F ?
W Name
? a Address
i'=" Citv Phone
Assessment
Water & Sew.
Police
Fire
Ptanner
Iherebyacknowledgethatlhavereadihisapplicationandstatethatthe Bldg
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry Wagr Ordinances. APC.
Permit $ 331.001
?
Surcharge 33.00
Plan Review 165.50
SAC ?•0o
Water Conn. 500.00
Water Meter 63.50
Road Unit `1 90• 0
0
Tr. PI. 1' 6 . 0 u
5ignature of Permittee Var. Date Copies
?, ., _ I Total $2+ 114 . 0?
A Building Permit is issued to: nc?!ti.lr; TT1011;-?S0:'!
all work shall be done in accordance with all applicable State o( Minnesota Si
on the express condition that
and City of Eagan Ordinances.
Building
I I PamN No. I PormN Moldor I Qab I Telephone k I
Finai Hty.
Flnal Piby. ? 9111
18idg. Flnal ,../ ? ./i - 6'b w e 5 M NC£ .6C IEer d D vo-,c
Dlsp.
?
PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT S/C
RECEIPT # 454-8100
? MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL .4f 40,
DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 -?
1. Bldg. Type: Res -'''Comm Inst 2. New ?Add Alter Repair `i
? 3. To al Bid Price 0 4. Job Address
? '1 l Lot OBlock SSec wner
.
?
p` --"16
6. Contractor
7. Contractor Phone # -6 A
A?(d ?U - ?U, 42y-) f54f
RESIDENTIAL HEATtNG - 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 +
MODIF,?IS,r4TIONS/AITERATIONS -$10.00 minimum fee
?HEATING _1G VENTILATING HOT WATER STEAM AIR COND. ?
,*6 PIPING PROCESSED PIPING AIR HAMD. EQUIP. RtFRIG. ?
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. E# ATE- lwbF TOT L BtD PRICE,PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: ?'??i for
Approved Inspections: Date Rough Insp. Date Final Insp
PERMIT #
SiteAddress
Lot : Block Sec/Sub
? Name ?
m
? Address ?
c City ' lPhone
? Name -
3 AddreSS '-
p City Phone
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PEH PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
t
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8140
BLDG. TYPE WORK DESCRIPTION
) -Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
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
Whiripool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE ?
STATE S/C:
GRAND TOTAL•
OF EAGArt WATE[t SERYICE PERMlT
Piiot Knob Road -
3ox 21199 ? ??? PERMIT NO.:
, MN 55121 Z` ? DNTE:
;-?
No. of Units: •-
?r?t 'Chompson Iiome?
Mdrcss: ° `: Z U F'a
!o ee.ply wilh
of
? -7= 8G
Su?cho?ga: _
Mrsc. G,oroes;
Total:
Date Pcid: _
TY OF EAGAN 5IE1AIER SERVECE PERMIT
L30 Pilot Knob Road
0. Box 21199 PERMIT NO.:
igan, MN 55121 OATE:
^i^D: No. of Unita:
rnsr:
Id?ess:
e Address: ?
rnber
ta eeaptp wNb tlw CRy of go"¦
of Insp..
Connectton Owrpe: :
/looount Deposit:
Perenk Fos:
Snrchorqe:
Misc. Choross:
Totol:
Datr Pald: -
? .. !. 50
j
I- !
m
CITY OF EAGAN N 0 11 uv -,
3830 Pilot Knob Road P O Box 21-199 Ee an MN 55121
, . • , g ,
? PHONE: 454-8100 .
BUILDING PERMIT Rece;pt #
To be used for 5F DWG/GAR Est Value $66,000 Date MARCH 4 ?o6
SiteAddress 3620 FALCON WAY Erect C5 Occupancy R3
Lot 6 aio ck 5 Sec/Sub. LEXINGTON PL SORemodel 13 Zoning Rl
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
cc
Name
ORRIN THOMPSON AOMES
Move
?
Length 'A R
W
z
3
Add
1712 HOPKINS CROSSROAD
Demolish
?
Depth 4 G
° ress
Cit
544-7333
MTKAPh Int Impr.
ll ?
? S Ft
Q
y one Insta
= o Name SAME
? ¢ Address
~ City Phone
w W Name
o
? Address
z
i W
City Phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agr to comply with all applicabie State of
Minnesota Statutes and City Ea dinances.
Signature of Permittee °'y ?
A Building Permit is issued to: ORRIN THOMPSON HOM]
all work shall be done in accordance with all applifAble State of npesc
Assessment _
Water & Sew.
Police
Fire
Planner
Bldg. ON. z / Z I/ a?
APC
Var. Date
Permit - 0 0
Surcharge .00
Plan Review ?S 50
SAC --375-. 00
500
- 00
Water Conn.
Water Meter ?? S 0
Road Unit ?? ' d ?
00
Tr. PI. ?•
Parks
Copies
Total 2,114 . 00
on the express condition that
Ciry of Eagan Ordinances.
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 6 Bik ?
Owner Street _ 3620 FalCOn WSY
1 - 0 45060 060 05
;an, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 9-41 1989 247.64 16.51 iS y
SEWER LATERAL 1011
1986
16 31 . 0 0
3 2 6.20
5 _ u
Services 101S 1986 729.39 145.87 5
WATERMAIN 1989 $ 13.15 S
WATER LATERAL 1012, 1986 873 .43 174.68 5
WATERAREA 1014- 1986 243.73 48.74 5
WAT LAT BEN 1013 1986 111.98 22.39 5
STORMSEWTRK 1011 1986 426.54 '. 85.30 5
STORM 5EW LAT 101 ? 1986 803 . 34 ? 160 . 66 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11563
" PNONE:454-8100
BUILDING PERMIT
SF DWG/GAR Est.value $66,000
SiteAddress 3620 FALCON WAY Erect C' Occupancy R3
Lot 6 81ock 5 Sec/Sub LEXINGTON PL SORemodel ? Zoning Rl
.
Parcel No.
WIName ORRIN THOMPSON HOMES
o Address 1712 HOPKINS CROSSROAD
cih, MTKAphone 544-7333
o Name SAME
$ ¢ Address
? Ciry Phone
.
F W Name
? ? Address
g w City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agr to comply with all applicable State of
Minnesota Statutes and Ci}y Ea? dinances. /
/
Signature of Permittee ? ( vNa I l??
ORRIN THOMPSON HOM1
A Building Permit is issued [o:
all work shall be done in accordance with all appli ble State ot 'n es
Building OHicial f2N 4 l a
Receipt # ZK?Z
nprp MARCH 4 1.86
Repair ? Type of Canst. V
Addition ? No. Stories
Move ? Length 'tR
Demolis h ? Depth 46
Int Impr. ? Sq. Ft
Install ?
Aowwals Fees
Assessment
Water & Sew.
Police
Fire _
Eng.
Planner
Council
BIdg.Off. 2 27 8t
Var.
Permit 331.00
Surcharg??' 00
Plan Review?-5-.50
--- =. 00
SAC Wat rConn. 500.00
Water Meter 6T. 50
Road Unit -29-0.00
Tr. PI. 15?. 00
Copie
Total Z, 114. 00
on the express condition that
and Ciry of Eagan Ordinances.
v ?is repuest void ?7, ?
?;e C?hs ?704 L3 ?,6 5) 4 ?.?•? _ 6 a?yp
3
Neduest Date Fire No. Rough-in Inspection
R quired.>
E]Ready Nuw?' Will Nolify Insper
?./ Yas ?No tor When Featly
fg.licensed ElecVical ConVactor 1 hereby repuest inspection of above
? Owner elecVical work instelled et
Street Address. Box or Rome No. City
36 ao `" a.eco-?
ecvon o. 7ownship Name or No ange o. u?/
Occupnn[ (PPINTI Phone No.
` ? - 333
aowe? s?oana, Adtlress 3-?r?2
?
so-? aaa
.?? ?
E vical ConVacto. ICompan Namel Cnntrar.tor's Licen e No.
i?7,?w?.. 03 073(3-/
Mailin9 AdJ ss (CmV ciw or Owner Makinp Instailation)
'
/
lo '?
1U 3(0
Author'zed Signawre ICmh tor Owner Making Installationl Phone NumOer
A?a".z 3z
,11NNESOTp STATE BOAHO O GTV THIS INSPECTION PEQUEST WILL NOT
Grigga-Midwav eldg. - R N-191 BE ACCEPTED BY THE STATE 60AHD
7821 Universitv Ave., St. Paul, MN 55106 UNLESS PFOPEP INSPECTION FEE IS
Vh,...> fe121 2971111 ENCLOSED.
13 -g ? REQUEST FOR ELECTRICAL INSPECTION oVk EB-OO,lW/l-04
- Ilr See instrvc[ions br tomoletirg Ihis torm on back of Yellow copy.
/
e- "3 7 04 "X" Be/ow Work Covered by This Request
?
PNe4AAd RaD. Tyoe o} BuilEing AoPliencee Wired EQUiumant Wire-i
fi
Bulk Milk
p Fee Service EntranceSiza p iee Feetlers/5ubfeetlers M Fex Circults
Q U to 200 qm s 0 to 30 qm s 0 tn 30 Am
Above 20 _qmps 31 to 700 Amps 31 to 100 Am
Swinming Pool Above 700_-Am s Above 100_Am s
Transiormer5 Irrigation Booms Partial-'Other Pee
ial Inspection
1,11 I. the Ele?al
?nsoactor, heraby
cer I
tify [Mt the abpve
Final 0el inspection has Eaen
metle.
ThlsreqvestvalAtemontliairam ? ' - ' -- /3 /A 6.
?
t
i
1985 BUILDING PERMIS APPLICATION - CITY OF EAGAM
NOSE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
.1 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: [,6St7L.-r1GC- Valuation: ? 6 jgDU Date: Z-zc.-6(o
p? 203
Site Address: 300 j/tLCN-') L.11,A-(
L!:?Al Qa-rM +
Lot: (a Block S Sect/Sub ?O1..C[,cr
-? S ow7?4
Parcel #
Owner
Address
City/Zip Code
OFFICE USE ONLY
Erect
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
? Occupancy
Zoning
Type of Const
ll of Stories
Length
Depth
Sq Ft
IZ1 3
F?•I
IT
Phone APPROVALS
?
4fo
331
_? Sv
S"] 5
Suo
1ssSb ?? `'-°
?
aria c p
Address TOTAL ?-?
City/Zip Code
FEES
Contractor Q Z1ZIti1 111vMASU?J ?'*71?1t,'jAssessments Permit
Water/Sewer Surcharge
Address 171 Z ??ICINS L/?L tj,S.51P.tJ? police Plan Review
Fire SAC
City/Zip Code MIN11{:,'S)TJ1(?F M1.1 Sj343Engr Water Conn
Planner Water Meter
Phone S?} q -?333 Council Road Unit
Bldg Off 2? . Treatment Pl
Arch./Engr. APC Parks
V' n e Co ies
Phone 11
?LHecn U?iivMcttiNU ?uW.vLVY • Ltl1S WAYLA'1'A FSWLt;VAKll • Cl1lVNGAYUL1Jr I`iN • YNUNC::
CLRTIEYy'ATE OF SURVEY FOR:
ORRIN THOMPSON HOMES scale: 1" = 30'
A Division of U.S. Home Corporation
0 Iron monument found
o Iron monument set
0 Wood stake set
.900.o Existing spot elevation
?
?
Z
O
U
J
Q
LL
. --brainaye aId Ufi%ify Eas2m,ent I
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5 89° 2l' 54"E 128. 44
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mi m LOT 6
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9.03
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N 09° 21' 54" W 129.07 I
h
m
Lot 6r B1oCk 5, LEXINGTON PLACE SOU'PH, '
Dakota County, Minnesota
?
,
I
I heceby certify [haG this is a true and correct representation of a sucvey oE the
boundaries of the land above desccibed and of the location of all 6uildings, i£ any,
[heceon, and all. visible encroachments, if any, from or on said land. I further
certiEy that this sucvey vas pcepared 6y me or under my direct supervision and that I
I E arn aduly steLand Surveyor under the laws o£ the State of Minnesota. J''?0. .? ° 4_ hIlJ Heg. No. 1047 Da[e Z ^ / 7i "56
g1-R
S ?
Proposed House.2L As-Built House_ Drawn hv EN Prnix.t nn
y
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CITY OF.EAGAN ..
APPLICATION FOR PERPIIT SEWEEt AAID/OR WATER COIaIE7CTION ,
.? .: (Ple Pr t)
1) "PROPIIYI7C ADDRESS:
Ik7GAL DFSCI2IPTION: I. Sil.
Lot Block vis or Tax Parcel I.D. Number)
•. IF E7QSTZNG STRL'CT[JRE, DATE OF ORIGINAL, &?ILDING PERMIT ISSL'ANCE: ,
. - , . . , . . . . «,.:. . . . . . MfJR EdY ) ' .
PRFSENT 20NING/13ROPOSID USE: . ' _ • -1 SINGLE FAbffLY .... -.tc „ , ,.-,..
R-2 DDPLEX (Ztnv Lni.ts )
R-3 'PCWNE30[!SE (Three + Lfiits) ( Units)
R-4 APARTMENP/CONIDOMiNiCM . . ( Units) .
. . `:? t w• CONMMCIAL/RETAIL/OFFICE
; ? - II`IDL?STRSAL <
INSTI'IL?TIdNPS;/GOVEFtITP -
2)
NAME: .
, .. .
, ADDRESS:
CITY, STATE, ZIP: \
_ ° .. PHONE: 4544. 7_2,?
3) • i: ?' _. _ ? For City Lse
- Plwnbers License:
ADDRESS: ? f= Active
CITY, STATE, ZIP: - C? Etpired
PHONE: + MASTER LICENSE # O Not Recorde
Std f Inita.d7. '
4) • ? ?• ? .
NAME:
ADDRFSS: -
CITY. STATE, ZIP:
PHONE:
5)- ?? • ?' ?
00)ND]F7CTION TO CITY SEWER . -1r60NL7LTION 770 CITY WATER
O OTHER (Please Describe)
6) u • ?
7) r r• .
? PLEASE HOLD APPROVID PEE2MIIT FOR PIQC-L'P BY ONE OF ABOVE
?PLEASE MAIL APPROVID PERMiT Zt? 1. 2?
wim
(Circle o:
?
.. _ . F 0 R C ITY'
US E ON:
Y
,
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PERMIT ' ISSUED i`
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?ERPIIT ? (INCLuDE .
?SL'R
CFIARGn)
y"p? t..
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,WATER METER/COPPERHORN ?
/OUTSIDE READER
? . . .. ,a:?
+? $ WATER TAP (INCLUDE CORPORATIODI STOP)_, ,
.
v _ . ,.
SE:vER TaD . _
/
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z? e ?r t? '.. a :1 "• - ?-?T-{F-? ?r.;?. fL r.i . , .. . _, ; . ., ih..a ?A????j??FV?
r.ACCOUNT DFPOSIT - V7ATrR,
WAC
$ --5 J?'?, c?' • `SAC
. . ? . ?..... . . .' . _. " ? '. ? , ?. . .??... . h t?.. a ^t?s
? TRUNI{ WATER ASSESSi9E:1TT ,
: ,, $ . • - '+, ?? : •. i ?kliDIK SELa£Rj ASSESSPIE:iT
?
? _ . $e r ?' " . ? l .. ' . . : . ' . . . .. °: '.
?LATERAL BENEFIT/TRUNK SE'.ER
, $ • _: ',? _ ? LAT.ERAL BENEF I • , _
T/TRU:IK j4ATr R
- . r ? ? `. ..c ,. . . -
WATER TRFATMFNT PLANT SURCEiARGE .
OT1iER: _ ; . .
4 w
TOTAL
' ?/ • . l . `•' , ? _ . ' .
.: ?'.S ???•`?'•«J'' ? MIOL':;T PAID/XECEI?T ;
'- DDES-UTII.ITY COAINECTION REQUIRE EXCAVATION iN PUBLIC RIGHT flF;WAT?
?.? ? ?.. .u? .. ' .. . . .. . . _ _. . _ _-.?. . . ?. . S . i
U YES IF YES, THEN A"PERMIT FOR W0RK WITHIN "
= PUBLIC-ROAUWAY" MIJSTVHE,*3SSUED BY THE
NO ENGINEERING DIV:SION LIST AS A CONDI
.; .. .;. ,.
SUHJECT TO THE FOLL0WING CONDZTIONS: ?-
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05i16i2097 10:12 ERGRN ENG+COM DEV a 96515051745 N0.361 002
C7 .P --)oo7 RESYDENTIAL BUILDTNG rnmx arrracaxlorr
C1ty OFEagan Cj}r
3830 Pilot Iiuo6 Road, Eagaa riilY 55122 ?
Teleph one # 651-675-5675 FAX # 651-675-5694
NewCons cjm Reqyimmenh
3 registered sitp surveys shmvirg sq, fl. of 1% s0. h o( honse: and all mofetl aree5
120% mytimum lot mmaege elloweeJ
1 $OBs Repq(if waFtis¢d tiud41y'S fo06 DIaCeU af ANrheE sail
2 mDin al plan ehvning Coam 8 window slzes; poureG faund dsggn, eic
I sel ol Errergy Calcuktlons
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2 COpim cf plin ShOVlllg footlrga, hearrt5, jo1515
1 set of Enegy CWa130ais fa heated adgn:
t s110 suM19y Iora0dlgo1s 8 OEds
Adahfon •lndkale Onn,s!!e seNfc aystem
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' MAY ll 9 2008
Plans are considered ublic information unless au state the are trade searef andfkhe reason
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Aescriptian af work Qc) , - ?
Imu1H-Family Hldg _ Y_ N Fireplace(s) _ 0 _ l_ 2
Property Owner ele ons #(?1 C?/-
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S Window Concepts of MN, Inc.
Cautra
to
c
r 990 Lone Oak Road Suite 114
wddress _ Eagan, Minnesota 55121 Ciry
State _ License # 20163493 Teiep6ooe t1( 66`/f
www, windowconceptsmn.com
COMPLETE TH15 AREA ONI.Y IF CONSTRUCTING A NEW BLFiLDING
Energy Code Categary - t"f"'i'esota Ru1es 7670 Catenory 1 _ Minnesora 12ules 7672
(d suCmission typa) . ? Rasldenfial Ventilalion Catepory 1 Wprkshae[ . New Energy Code Wmksheet
SubmlBeC . SuGmftt¢d
' • Energy Envelope CdIC.jWtlons SuCmitteti
In Ihe lost i2 monfhs, has fhe Ciy of Eagan issued o permit for a siMiar plan based on a mos+er plan9
_ Y _ N IF yes, date and address of master plare ---
licensed Wumber
Mechdnical Cantractar
Sewar/4Vater Contractor
I hereby apply
Telephone # (
Telephona # (
and ackuowledge that the
J
s
;
[nac tne work will be In conformance with the ordinances and epdes of the City of_Eagan and the State of MN
Statutes; T understand this is not a permit, but only an application for a permit, and work is not to start without a
pemiit; that-ttie woik witr5e in accordance wlth [6e approved plan in the case of work which iequires a review and
approval ofplsua ?
? - kSd"?fi/-?-??r, .L
Appiicant'S Printed Name Appli is Signatwe----- -
Telaphone # 1
RESIDENTIAL
3p BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConaWCtion Reauirements
• 3 regislered site surveys showirg sq. ft. of l04 sq. fl. of house; and all raofed areas
(20°k ma?imum lot coverage allowed)
. 2 copies of plan shovnng heam 8.vnndow sizes; poured found design, etc.)
• 1 set of EnergY Calcula6ons
• 3 copies of Tree Prasarvafion Plan H bt platted after 717193
• Rim Joist DeWil Options selection sheet (hldgs with 3 or les5 unAS)
DATE 9-I - 0 Z
SITE ADC
TYPE OF
APPLICANT
ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS GJ'?$SC d?A/YA/E?iBIvD ?v?Tc 43 0? CITY C Ae,,ta STATE 4f AV ZIP SS 3yG
TELEPHONE # y?.2?9Ty'3?o33' CELL PHONE # PAX # Q,Q 'yYy- l64!V
PROPERTYOWNER TAUL N1/l+vf. TELEPHONE#6,5`/"&8&-0CD3,3
-------------------------------------------------------°--------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Gode Getegory _ MINNESOTA RULES 7670 CATEG012Y 1 MINNE50'I'A 1JUI1:5 7672
(q su6mission type) • Residential Ventilation Category i Worksheet Su6mitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _
PlumUing system includcs:
Mechanicpl Conhactor:
Mcclanical system includes:
Sewer/Water Conhactor:
Phone #
ree: :690.00
=?UGQ
---------------------------°------°'----------------°-°---------------------•-----°--'-- ---°-°-----°----------r -
I hereby acknowledge that I have read this application, state ihat the information is co ,?fi; and agraeto co-MPY
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature afApplicant ? c? ? - " -
l
OrFICl? USI; ONLY
Phone #
_ Water SoFtener _ Iawn 5prinkler
_ Water Heater _ No. of R.I. Balhs
_ No. oF Baths
Phone #
tlir Conditioning
Heat Rccovery System
RemodallRevairReouiramenfs
• 2 copies of plan
. 1 set of Energy Calculations far heated additiom
• t sife survey for ezterior addlGons 8 decks
• IfMicate if hame seroed by septic system for additiom
'1'?
VALUATION
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _,
Updated 4102
?
?
PERMIT A -/ O 7 d- / RECEIPT DATE:
Please complete for:
SITE ADDRESS:
EOOE MIDEPTIlfLL PLUM$IN6 PE$MiT APPLIClkTION
crrY og E,a?enx
sSso rnoT axos ftn
BA6AN. Si1P 581E8
85t-681-4e75
single family dwellings, townhomes and condos when pertnits are required for each unft, ?
backFlow preventer for irrigation system
(OOI\ 1 V?>\CI`lY\ \ IV CL. A
OWNERNAME:: S?P? ???, ?J1' ?l ? Y-,P TELEPHONE#: (0"S?k_??CAO
(AREA CODE)
INSTAILERNAME: ??{c6???RE 8 cnNS TELEPHONE#: C(Sa
(AREA CODE)
STREET ADDRESS: 605 12i11 Ave(wt SCUth
cirv:
STATE:
ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consuftant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new instaliation/repairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater $ 15.00
State Suroharge $ .50
T
t
l $
o
a ?
I here6y ecknowiedge that I have read this application, state that the information is cortect, and agres So c plywit applicable City of Eagan ordinancas. It
Ia the applicanCs responsibility to notify the property owner thal the City of Eagan assumas no li?tl`iliry any d ges caused bythe Cily during its normal
operational and maintenance activkies to the facilities construded under this permit wiMin Cjyy?erty/niegf-wayleasement. ????
?33?Ig
2006 RESIDENTIAL BUILDING rERMiT arrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Consiructbn ReauiremenLs
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
t set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options seledion sheet (builtlings with 3 or less units)
Minnegasco mechanical ventila[ion form
RemodeVReoair Reauiremenis
2 copies af plan showing footings, beams, joists
1 se[ of Energy Calculations forheated additbns
1 site survey for additions 8 decks
Adddion - indicate Hon-sde septic system
OHice Use Onlv
Cert of Survey Recd ._Y, _ N
TreePresPlanReaJ`.. _Y.:_N
Tree Pres Required - _Y _N
On-gile Septic System , _Y _ N
9
/6 60 O O
4 rP
Date
l
/ W
Construction Cost
SiteAddress 360o ra-(c, on ?qct.m mtl ss1a3 Unit/Ste #
?r
Description of Work - RLTi O odor i 70 ?S/ r J 92 ?n:t?jbo cr ,? Side l ? q?,
Multi-Family Bldg _ Y? Fireplace(s) _ 0 _ 1 _ 2
Property Owner N_Jkr1 (!, Telephone #((05-1 ) lo?? l Q??3
Contractor
?
[ r1 ?
a
p
Address // d
Loh e. Qct k
it& n
?-e. 114 City GQ
State ?i Zip s$71Zl Telephone #
L e en e o?0 9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of maste lan:
Licensed Plumber Telephone #(
Mechanical Contractor D Z4?? 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 confonnance 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.
A •
Applicant's Printed Name Applicant's Signature
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City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1'
Permit Fee:
Date Received:
Staff:
(.oi O
I0 -'v -(Z
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name:
L .5490 k`v,tP �,fv
Address / City / Zip:
Applicant is:
3G e9e.
Owner • Tactor
Description of work: �CX ti
Construction Cost:
Phone:
Company: 1� f Ur`Q vv-rf7.
Address: 3 9 "0 1Ni /' An" ka, L Ile City:
Multi -Family Building: (Yes
/N
Contact: 15rll (J5 ✓d r)
State: N Zip: SS (-01
#: /9Y/9
Phone:
rn 3 ti't/ 2a,/ A( t S
6 /c — 73-`7 —4‘ 5-3
Lead Certificate #:
4
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
#V9‘,•%<'*". l^s ' (' V ► � L _c!9/f<1,6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEVVJAHLINNG
)4'/o
In the last 12 mont , as_the City of Eagan issued a permit for similar plan based on a master plan?
Yes o f yes, date and address of master plan:
rom
Licensed Plumber:
Mechanical Contractor: ea S( C
Sewer & Water Contractor:
Phone:
Phone:
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x i I i I 1 t+_, C)5.- t-^
Appl c�' ant's Signature
Applicant's Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
/avow
SUB TYPES
oundation Fireplace
Ingle Family_ Garage
_ Multi Deck
01 of _ Plex / ower Level
Accessory Building
WORK TYPES
Ne
ddition
Alteration
Replace
Retaining Wall
LoaD
Porch (3 -Season)
tch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION 3J GZ'Q'
Valuation
Plan Review
(25% 100%_f/
Census Code
# of Units
# of Buildings 1
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
4. Footings (Addition)
O Foundation
Drain Tile
Roof: 0 Ice & Water .46 Final
jt Framing
Fireplace: Rough In Air Test
At' Insulation
X- Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
w<1
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
ix A& MCES System --
'i7 SAC Units
Po City Water
Booster Pump --
/G?" PRV
/'y Fire Sprinklers
/�
Meter Size:
Final / C.O. Required
,ie Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Final ye Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
i' Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES'
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
102
3/o 3S' -
/G 8'O' / ErteG
/J/3 "
/ j'ir �4
3o3/-2 2P
Page 2 of 3
CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740
CLRTIFIATE OF SURVEY FOR:
old64I,dr1Roc0
ORRIN THOMPSON HOMES Scale: 1" = 30'
A Division of U.S. Home Corporation
• Iron monument found
o Iron monument set
Wood stake set
.9oo.0 Existing spot elevation
7-I�raina9e aidOW/1y Easement
en
a0
W
5 89°2.4'54"E 128.44
Y
=i
J
9.83
40.5
160
s o�
m LOT 6
O
0
N
sr 20.93 aij
30.0
A
25.5
SiiRe rd 44,Glb
11 1.4.17 cc -44143/1.
rito /2./.t fi,.
N 89° 11' 54" W 123.07
Lot 6, Block 5, LEXINGTON PLACE SOUTH,
Dakota County, Minnesota
BY:
15
EAGAN
REV EWED
0
0
a
5 O'01'50"1/.1
1
I hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon, and all, visible encroachments, .if any, From or on said land. I further
certify that this survey was prepared by me or under my direct supervision and that I
am a•duly stere] Land Surveyor under the laws of the State of Minnesota.
Mli Reg. No.rDate ^IZ—Sc,
Proposed House.2L.. As -Built House.., Drawn by Pca. 'Project no. 85104
4 DIVISION
4
Mar 2713 11:09a AA Garage Door
CityofEaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
651-702-0838 p.1
Use BLUE or BLACK Ink
For Office Use
Permit#: G( t1011
Permit Fee: 0.'A5
Date Received: —3-.2---r7 ( )
Staff: 496
2013 RESIDENTIAL BUILDING PERMIT APPLICATION 41-
3131i3
o UJ
Date: � • / Site Address: SaPalm a Unit it:
Resident!
Owner
Name: S3'-e,ph6tV1 i c De V I n ei Phone: (o lGJ 1- %g(I�J ()&33Address/City/Zip: 3(00�"t11 )!) tL)4 , &13(n ( ,M ✓5/' 3
Applicant is: Owner 17 -Contractor
Type of Work
-h-
cz 6(1t j pro/L.Description of work: ���aJ JJ ������ 'L""'r•
Construction Cost:) Multi -Family Building: (Yes / No
Contractor
Company: f -f 60-a94 D66( Contact: Deb TU(.4e / 6(i��i')d�
City: iJ f L l G'urt
State: ON/ Zip: 5150/ Phone: 057- 7laI
License #: Lead Certificate #: L J i ! `7 7
Address:
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 & 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. vnvw.00pherstateonecall.orq
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
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 belov61,h C
Applicant's Printed Na
xcant`'� ar)
App 's Signature
Page 1 of 3
4/1/1' lay 0I8atau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use � ��
Permit #:
Permit Fee: (0 ®, / , 2
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Date://7/3 Site Address: 36,26 tritz Ao y
Tenant: S. Q PHA.r//E Df v/4E
Suite #:
Name: 57i. ?kW D£d/NC Phone: G6I'1ol6`0 15
Address / City / Zip: 3�. W rAt C.0P / OA %
Name: 56f/1.4/A IV T£ S
I�jl f A-�7rtitr-
Address: (g0?fa bJIZCN ,}i/C
State: Mit, Zip: 56-o2.01-.
License #:
City: .5/!i -L -L //;-TT/L-
Phone: &'JJ- 439-3 3 3 /
Conta L J46 -CA/ Email:30EL 85...fIWAitiTOtiCA-rlV6-, �k
New ✓ Replacement Additional Alteration Demolition
Description of work:
E: Roof mounted and g
'contact
'Furnace
RESIDENTIAL
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
=$ co
TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
=$
Permit Fee
Surcharge*
= $ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in co
Eagan; that I understand this is not a permit, but only an application far a permit, and work is no
with the approved plan in the case of work which requires a review and approval of plans.
x � L A./
Applicant's Printed Name
mance with the ordinances and codes of the City of
tart without a permit; that the work will be in accordance
licant's Signature
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA151439
Date Issued: 08/24/2018
Permit Category: ePermit
Site Address: 3620 Falcon Way
Lot: 6 Block: 5 Addition: Lexington Place South
PID: 10-45060-05-060
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description: Does not include skylight(s)
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Hometown Restoration
1940 Serendipity Ct
St Paul MN 55112
(763) 494-8695
- Applicant -
Owner:
Paul E Devine
3620 Falcon Way
Eagan MN 55123
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:Plumbing
Permit Number:EA154506
Date Issued:03/27/2019
Permit Category:ePermit
Site Address: 3620 Falcon Way
Lot:6 Block: 5 Addition: Lexington Place South
PID:10-45060-05-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Paul E Devine
3620 Falcon Way
Eagan MN 55123
(651) 795-9318
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155526
Date Issued:05/20/2019
Permit Category:ePermit
Site Address: 3620 Falcon Way
Lot:6 Block: 5 Addition: Lexington Place South
PID:10-45060-05-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Paul E Devine
3620 Falcon Way
Eagan MN 55123
(651) 214-4057
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature