3628 Falcon Way^?An:..--•_tA:: .,_?.1.N.???1'Yl,?..--• n.?.-"!1.1^. !,/ .?(?/. •
CITY OF EAGAN
454-r `S
i830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PEitMIT Receipt#
7obeucedtor SF DE7G/GAIt est.value $64,400 pate Jt1PDUARY 27 19 136
SiteAddress 3628 FALCOw i+AY
Erect
Q'
Occupancy R3
2
Lot Block 5 LEXZEVGI
Sec/Sub. N
Remodel
?
Zoning
Parcel No. Repair ? Type of Const. U
Addi[ion ? No. Stories
? FROd1TIER MIDWEST HOMES Move ? Length 40
Name
= 390 SIBLEY ME@9 HBJ . Demolish ? Depth 4Z
o Address ? Int. Impr. ? . Sq. Ft.
ciry ByrM Phone 454-0433 Instau ?
o Name SAI•iE
?°. i Address
a
? City Phone
F W Name RICHARD CHARLIER
nddress 14103 GA.RDENVIEW CT
aW ciry A•VPhone 432-5492
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature oi
Fees
Assessment_
Water & Sew.
Police -
Fire
Eng.
Planner-
Council-
Permit $ 325.00
Surcharge 32.00
Pian Review 162.50
SaC 575.00
Water Conn. 500.0C
water Meter 63. 50
RoadUnit 290°00
OL
Bldg. Off. i/ aJ/ o Tr. PI. 156.
APC ? Parks
Var.
Copies--- v?,? 00
FRONTIE1Y.24IDL+lES'P 80MES
A Building Permit is issued to: ? on the express condi[ion that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building OHicial
Permll No. Permlt Nolder Dale Telephona M
Plymbinp p/ZC ? O
?
HA.A.C. ? 9 9 LC/2 /?LB f/
? d
EIStINC /
Sollene!
Inspeclion Date Insp. Commenls
Footlngsl ?p ?6 41d
Footinge II
Foundalbn
Freming
?
Rooling
poughPlbg.
flough Hlg.
Inaul.
FlrePlace ? 40?,? ?
Final Htg. 4
Final PIb9.
Bldg. Flnel
Ced.OCa C(J
/?-i7-P 7 t?. v°.?.?' - e+-?
Deck Fg.
Deck Frm
9'
??S
d ?
Well 1
?u !re
R _
Pr. Diap. p
/ 4/97
• j
To be used ior SF DWCs/GR}2
Site Address 3628 FALCl7Id
Lot 3 Block 5 Sec/Sub._
Parcel No.
a Name FRQNT I ER MI O
; Address 39 S I BUE
° City Ehc.Aiv Phone 4 5
= o Mame
0 ? Address
~ City Phone
F W Name RICHARD CHAft
? ; Address 14103 GAkDEN
z
i W City A. V phone 43
? Minnesota Statutes and City of E8 an Or
Signature of Permittee
A Building Permit is issued to: FRO
-
all work shall be done in accordance with all
Building Official
/`'` CITY OF EAGAN • • .,
Road, P.O. Box 21-195, Eagan, MN 55121 --- 114f 7
PHONE: 454-8100
Receipt #
:value $64,000 pate JANUARY 27 . 1s 86
t L'J
E K3
O
rec
N
? ccupancy
H
Remodel
Repair ? Zoning
Type of Const. v
Addition ? No. Stories
HOMES Move ? Length 40
. '" Demolish Depth- -A-2
. ?
3 Int. Impr. ?
?r,stan L? Sq. Ft
Approv als Fees
7FR Assessment
Water & Sew.
Potice
Fi
VIEW CT. re
E
ng.
2-5492
Planner
application and state that the Council
Off 1 ?23?$1
Bld
y with all applicable State of 9
inances. APC
Var. Date
d
NTIIDWEST HOMES
Permit $ 335.00 '
Surcharge 32.00
Plan Review 162 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290• U4
Tr. PI. 156 . OG
Parks
Copies 4.00
T---.
? on the express condition that
applicable Stste of Minnesota Statutes and City ot Eagan Ordinances.
s - .
,
PormN No. Permit Hdda DaN Tdophone N
Plymbinp 0- *- 21- O ?F7
H.V.A.C. ? 4C/Q ZG
Elecbic ?3q?a5 ? d ;
Sotlener
Inspeetion Dsts Insp. Commenh
Footleqs 1
Footinqs II
Foundation
Framiny 'X/,i,
RooNny
Rouph Plby. , oZ-?S-g?o /S L -G
Rouph Htp.
Insul. ?7 6 llJ
Fireplaee
Final Ht9. 1 ?
Final Ptbp. .
Bldq. Final
Grt. Oce. (,1J
Deck Fty. ?S 7
Deek Frmy.
WeN
Pr. Dhp. ?
PERMIT #
MECHANICAL PERMIT FiECEIPT #
' qTY OF EAGAN
2? 2? ? E 6
I
3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: $1700.00 PHONE 454-8100 I
Site Address *3628 F alcon kta TYPE WORK DESCRIPTION I
BLDG
Lot 8 Block S Sec/Sub L .
?
R
? N
ew
es.
m Name Wenze l Me anical
Mult Add-on
? Address 360 0 Kennebe U iv R
C
omm.
epair
c City Edv$n Phone 452- 1565
pther
Name Prontier Com aniea FEES
c Address 3908 Sible Memorial 4 wy. RES. HVAC 0-100 M BTU -$24.00
O City EaRan Phone 454-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU 24 •OG COMMlIND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM 8EYOND $1,000.00)
Gas Piping OuUets #
Other
FEE: 24.00 ?_ ? „u 1 _ o ?•?J`t_?
SIGNATURE OF PERMITTEE
S/C:
TOTAL• 24. SCI
FOR: CITY OF EAGAN
. ?
PERMIT # CITY OF E/IGAN FEE a`? •?`
?- ; PLUMBIMG PERMIT
.50
RECEIPT # 454-8100 S/C
? ? ? ??? MINIMUM RESIDENTIAL FEE - $10.00 +;.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 +$•50
1. Bldg. Type: Res ° Com m Inst 2. New ?' Add Alter Repair
3. Totsl Bid Price 4. Job Address 3628 ralco:: Ida?
t ?
"
L c ` Frontier ..idwe ;t cc
Block
o
Sec 5. Owner
6. Contractor j ;:c:ch. 3600 I:enaebec UrivN BAgan 55121
(Name) (Streeq
7. Contractor Phone # 45Z-1565 (City) (Zip)
NO. FIXTURES NO. FIXTURES NO. FIXTURES
LWater Closet - $3.00
I LLaundry Tray - $3.00 - Well - $10.00
Bath Tubs -$3.00
T L Floor Drains -$1.50
3 Private Disp Syst -$10.00
Lavatory -$3.00 / Water Heater -$1.50 - Rough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
--L-Kitchen Sink -$3.00 1 Gas Piping Outlets -$1.50
-Urinal/Bidet - $3.00 - -Softener - $5.40
COMM./IND. RATE - 1% OF T¢
/ TAL BID PRICE PLUS $•50 STATE SURCHARCE FOR EACH $7,000 OF FEE.
;
/?,??1.-=l?=?.
Signed:'r for
-- -
,
?
Approvet9 Inspections: Date Rough Insp. Date Final Insp,
CITY OF EAGAN
3830 Pilot Knob Road
P WATER SERVICE PERMI
. O, Box 21199 r
Eagan, MN 55121 PERMIT NO.:
Zoning: DATE:
Ownsr: No. of Units:
Addross:
Site ,
Ptumber;: Sa.
Meter No.• :.ca:
sru: •• /?A.F,2, --7_ ? - o.ge; _ • ",, ? -
Reoder No.: t
stt:
3?
to aoiwoly Whh '? , ? ,
°"?''?°"' Et?uI??D V
? rgoS:
BY l Total: f.
Dote of Insp.: Dcjte Paid:
Insp.:
CITY OF EAGAN
? 3830 Pilo
t Knab Road i P. O. Box 211Q9 SrOM $MXE POMrr
Eagan, MN 55121 PERMIT No•?
Zoning: DATE: • ,
Owner: ._ . .-:, ; - ? , . .. . No. of tJnits: _
Address:
Nrumbar:
I Mme t'O 00111* M'ft 1o (ft0f so", . . ??:.. ordi,,.,ew Connactian Q,o,ge:
Account DePOwt: _
Pennlt Fee:
8y Surdhcrpe; -_
Dote of Irup.: Misc. CharOes: ,
Insp,; Totoh 1
CoM Poid: 1_
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 8 Bik
3628 Falcon Way
Owner Street
10 45060 080 05
State Eagan, MN S5 / ,L ?,?
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK qgl 1985 247.64 16.51 15
SEWER LATERAL 1011 1986 16 3 1. 0 0 326.20 5
Services 101V 1986 729.39 145.87 5
WATERMAIN 1485 65 . 81 13.15 5 .&5-
WATER LATERAL 1012, 1986 873 .43 174. 6$ 5
WATER AREA 1014- 1986 243 . 73 ' 48 . 7 4 5
WAT LAT BEN 101-4 1986 111.98 22.39 5
STORMSEWTRK lal 1986 426.54 .85.30 5
STORMSEW LAT 1011, 1986 803.34 160.66 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit • 59411 1 28 86
WATER CONN. 500.00
9UILOING PER. 477
SAC
PARK
' CITY OF EAGAN o 114 7 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?&
BUILDING PFRMIT
Receiptp
7o be usetl for SF DWG/GAR Est. vawe $ 64 ,000 Date JANUARY 27 1986
SiteAddress 3628 FALCON WAY Erect ? Occupancy R3
Lot $ Bloc
XIN
k S Sec/Sub. LE Remodel ? Zoning R
Parce
l No. Repalr ? 7ype ol Const. V
Additian ? No. Stories
?
Name
FRONTIER MIDWEST HOMES Move ? Length 40
= Demolish ? Depth
390 SIBLEY MEM A . 47
o Address ?
Int. Impr. ? Sq. Ft.
piry EAGAN phone 454-0433 Install ?
o Name SA-ME Approvals Feas
,°? ¢ Address ASSeSSmBnt Permit $ 325.00
? City Phone Water 8 Sew. Surcharge 3 z. 00
50
162
V Police .
Plan Review
W)w Name RICHARD CHARLIER Fire SAC 575.00
??
o Address 14103 GARDENVIEW CT
Eng 500.00
Water Conn
a W
City .
A.V.Pnone 432-5492 Planner .
Water Meter 63.50
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe eid .Ofr. 1/23/86
information is correct and agree,?to compt)/ with all applicable State of 9
Minnesota Statutes and Citv o6?aaan.6?dinao6a'.s. APC
5ignature of Permittee ,?/n-?? • yG
A Building Permit is issued to: FRONT
all work shall be done in accordance with all a{
Var.
HOMES
Road Unit 290.00
Tr. PI. 156.00
Copies-0 0
Total '
on the express condition that
Minnesota tutes n_d,City of Eagan Ordinances.
Building
?on?hs Iromta a/?"?/?"" ' `? OD 60
? 0 9 5254 L(J, 8-C, ?e ? ?'/• ?c, e-0
Fe?u - Date
b Fire N. Fouph-in Insper.tion
Remqu'??retl?
?Ready Now ?"NII Notit¢ InsOec-
ONo Iar When Reatly
[A}.ICEnsed ElecVical Convactor I hereby requast insoection ot abova
? Owner elechicel work installad eY -
Sirp,Qt?dress? x or?te N ? .
5 (:it
ecbon o. Township Name or No. Rango Vb. C nt
Oc pant RWT) Phore Ny. -o ZZ?
4P-.,Spp lier dress
gmpany? YNra?mel
ISiC. 1 G,L,?' lJ t'R:C Comrac r's cense No.
?
ailine??i1J`as5`Cof?itryt?I O?^m?F MaOine I,`5.laiiacionl
(ll..ri. .l:F;_ ,
?'Pl.p»' - yR'i ry
A thorized 5(gnafure'IContrectop/OJinBi?Mak?,?& I'`nsJ@Ilatidn) Phona Number
MIIYNESOTA STATE BOAqD OF ELECTRICITV TNIS INSPECTION NEQUEST WILL NOT
Griges-Mitlwey Bltl9. - Room N•197 BE ACCEPTED BY THE STATE BOAND
1821 University Ave., St. Peul, MN 56104 UNLESS PHOPEfl INSPECTION FEE IS
Phooe 1612) 297.2771 ENCLOSED.
??G REQUEST FOR ELECTRICAL INSPECTION « /ee-ooooi-oa?./
? ' See instructiuns tor completing this (orm on back ot Vellow capy.
t0 U U
p 4 ""R" Below Work Covered by This Request
ev4 Add Pap. Type ol 8uiltling AOPliuntas Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer - Electrlc Heatin
Commercial 81dg. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm 1her oe.n v the,ISUar,iWl
, e ueci/y Ot er Othe,
ompute lnspection fee Below
M Fea ServicaEnlranceSixe d Fee Fextlera/Subineders # Feu Cirmits
0 to 200 qm s 0 to 30 AmDs 1171 0 tn 30 Am s
Above 200 qmp5 37 to 700 Amps p 31 to 700 Am s
Swimmin Pool Above 100-Am s Above 100_Amps
' TransPormers Irrigation Booms ' Partial-'Other Fee
Signs SUecial Inspection S?? TOTA
Remnrks EE
???
Hough-in
Final
J, .??
/ fi,.`, ,
r
W Dme
?
-
^ne
?'- J 3l` 1, (he E f
Inspeclor, heraby
certify thet thenbove
inspection has bean
?aa.
Thb raquest void 18 monihs irom
1985 BUILDING PERMIT APPLICATIOP - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
STt-Frop-D
C0141ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
SINGLE FANILY D4IELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
ra¢,o00
To Be Used "7,icqje Ctm; 1 Valuation: ? Date: 1-
Site Address -,'fA48 FO ILnc? ?lb??
Lot ? Block e _
Parcel/Sub LP1(I?4? Qt(lLQ .
Owner ? i?,e m ?\Q?,rn' 0
Address y 0 ?k-l , 1661011 e .
City/Zip Code ??em¢5u.??n.55p(pF?
Phone q3Q -S1o0?
OFFICE USE ONLY
Erect Occupancy
?
Remodel Zoning
Repair
? Type of Const
Addition # of Stories
Move '
~ Length
Demolish
' Depth
Int.Impr, Sq Ft
Install
APPROVALS FEES
Contractor
Address 39 QR S; 4 mPM_ 41u
City/Zip Code EgQan (11n. SSIa-a
Phone 15?L p433
Arch./Engr. A'tllarj`?Q,(`lr.er
Address jqj03 CzQ r [11 paj (? •
City/Zip Code 4ne ()QI64, (in 134
Phone ll ?32L-?A'?9rg.
Assessments
'i Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off,-K Treatment P1
APC Parks
Variance Copies
TOTAL
25,
, 'rage 1 of 4
EXTERIOR ENV[LOPC 11Vf.RAGf. ^11° COt•Sf iiTA;'fON ?
?.' ---- ---
;;/
OWn"°:
. ------ ? --._???5 --? rj
sirE nDort:ss:
CONTRACTOR:
Determine workir.g square fnotage cf each
i. Total exposed wall area..... ('(eA,Ssq. ft. x I; Q5
2. Total roof/ceiliny area..... _1?1(a ;o. ft. x .026 = Z(? ??
Total exposed iqall area abovc flo or=- ? r
i
a. Total wail window area ......................... ....... ?
b. Total door area.......:.
........
c
Total ...............
slidin
i
s
d ......
........... a Z
. 9 g
a
s
oor arca ....... -
ota ........
...
iire
place wall area ... ................. . q
-
.
otal ...................
wall
a
i ........
........
. 4
r
m
ng area (average lOm) ..
........
' ..............
f. Total rim
o
ist ar ....
J
ea ................. .
...
9•
net ....
wal] are
ab
fl
4?
? .................. ?
a
ove
oor...
?:
h• wall area above floor ...........
..
i•
.
...
..
wall area a6o
fl
..................
• ve
oor ............
).
frzme .......
wall area at f
d
i .........
.........
oun
at
on................. ....
Total exposed ioundation area=
k. Total foundation window area
l. Total net foundation area a6ove 9rade .......... ...
Determine "u" value of each 11a11
s^,nnenC
(e,g. windovr, door, each separate oall s2ction)
? a• I Z. S z"u"
_
- b. q 7_ x 'lul, 45 = `
4
X ', u„
. -
x 'lu,l
d.
_
e• I 1?a,45 X llul. , U? = IS•
L
? f• I?o z ?v. -
? 9. 1 381 ?? xllu,i
n.
1.
.7•
r..
1. Co S
x ?1 L, ,1 _
x lllll _
X 'lull _
X "U"
x ,lu„
? . .................................Total
5 =_ 1•75
If item q3 is the same
as, or less than'item.
?'1, you have met..tFie:':?
intent of 56C..600'``(c•)
?3?'.i.. q•,r?,??:, E,°
.. .. .y,....:., p; ..
`-F:.?(?:io: Envclonc Avc:-n9e "U" Conput:nt:i.on
Pnrro 2 of A
Total exuosed roof/cci'_ing nrca = ?C)f ?C7
m. Total s;:yli.ght urea ............................ --
n. Total rnof/ccilin, framin9 arca (avcrayc lOQ)... ] C)(D
o. Total ne[ iizsulated roof/cciling iirea . . . . . . . . . . . Determine "U" valuc f:or ead: roof/ccilir.g seqment
' M. - x
n. ? O (, ?D a ?-U- Jz -- - 2? ?
o. X -u- ?07 7?
? ........................... Total - L
Iz total of ;'4 is the same as, or less t:hin 112, you hnve rneC t-ne intent of
SriC 6006 (r.) 1.
Alterr.3tc Buildinq nnvc).one Desiqn
7b utilize the cotal envelope'spstem method, the values estabL shec by tite s:ua of :.tems 43 and i;9 shall not be 9reater than tiie sum of itcros ;kl and f{2.
1. ZI??Jq + 2_ _i(o LI) _ ?Q7,?j
+ 4. 7 J
?
, ,.. .,..,
. .. ?;nl,?. °.r.r.•??rr?u,?
.,. ., o. .,. , r..r--?LSAN i;_
•Ur?,yt...o?l.i??%??dq u,??l nrc.1 I?r
_.».::..._
? .•-__? II ..
+ ?- --- {I? i. ,.??,; .?? /a1?F'??.:nt . .. .-- v.(,;!&3
- r---?- ----? ??; , Y?a._.Cry f? l?'p . .... . . ..9_S
.? ?? .??,? a . • ? ?-s+ e?.+?+y.. . T. c?
1 • ?i. ?.?1lt ....??_V'.?." ". ..... ... ?46 ?
`?? ,,?,. ?' • $
N a
` ? -- ?
a
;oi'vi:M o:
,
?U s. qwm._ stsvt?
F.>ALrri„ini'... i i li.? .---?--?---^--0.17
r?2 ?_k-? •r„t.;?? ??,q?
?
??J.•"-? ? ? ? . Jnlcr4oY ??lr !ilrc 0.(,'I
- ?-•??I ? '.1 J• _,'ir1='SL'-:?.r.__. Co" _...__----.... t_?.OCa
? ?c-R__ ? FA
r
).
G. }:xtcrlir m 0,l
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(?
? ..-. . .._ ... .. .. ...
? ' • ._ -?..- ' -- --- - ---- --
Cll
5.-?...----
?;? . ?.----- ---- _.....--
• ?I' • o' _ l? • n. . PLA•rT??_S 4?C.. ?AC?[CR...._ ..
? • u • ?_!?'`n?C 5.
-------. _.. _ . ..----?------ ---- -•-
-?? -
? y• ,n . • r ? '?-. _.-.
. .h ...._"_"_ 'I'uL?l • /
--
? I - ------......
?i' . . , . .. ?
'. ?. ' u • ? I _1;R,;r - rri! . . ' ; l
.
4I , h.` yl',y r ' ??? ?!i i? ' • : (I Ir1
C. 13 ? ?? ?---„ ? y '•j? ???
i,---?? ?• ? ? I'---'- p?rl'C: lu4l?:Lt.?: ly?,G. .4" !'a'_uc, dCI:Ch nnd
• .;.no,r/c?iLi::c
n Ce3 ? ? •j
i
?•zc. as
Eea[ flov
I up
.s?.•.....-r-.v?:., -..-i.;?-..r^.?._.n4-..r?? ;
---- --- - _---_?
? . . _ '
?
?
? 1 i' ? il{?it I
? • ?? 02
? . .
e Y.ccc llov vp • , . ?-v ented
. • FIG. 66:? . _. - ?. ... . ' :
-.. .... -3 -?? . _ :
iC\????Sl..l? . ....•?•?'.???
?..?.
•1• .
?02
. . ,.: .. .
• hC:7-7'?.'? ? .
' . Hcn= • i
' . . ' flov ;;p - • .
. .., ' • •
' pir_ ?7 • ''' a'
Cons:ruction A-Vaitic
Intcrior air film . 0.61
2. - s3 l? `f B? , j?
3. WSUL. ' QU•p?
;. Extcrior air .`z:n (sti11) 07o1
- Total 2 4s8o
' ' '• -- ' U= .DZ
FR?m o? .
I_ Zr.te:ior nir f:lm 0.61.
2-
3.
{`. :.trt..._ ..? f?, lsC,.;..1 tl
•.0+.3l
.,
Co.VSTRV?-ri my?
1. Ins`dc air fii:n --- 0.61
2 .
4_
5. Outsidc --ir. fil:n
Tota1
-1 _ insidc air °ilin 0:61
2. .
3_ ' .
4.
$, Outsidc air filtn 0.17
. To tal
ynsidc air fi3.:n . .
0-61
2_ .
4
?• GZ:t??idr .)i.r. f_L•?
. TOt-L 0.17
. . .
ICOtc_ Use additional cheets if morc Space i_
^- neeciecl for clet.=ils and ca1cL?ations.
. , :
??n ?, -,r.^•r? fN. ,
?
i
F1U.?.fl? ' :G!'VII34 OF
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;
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+ , ?---?
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y ??(` •f U ,O. T/IJ? ? I.
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Uli? APPLICATION FOR PE2titIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINL)
1) PF?CPEZI^! ACDRESS: CO
LEG.?.L D:.SPTICN: 11 S I flX? nC ?nr? ?4c_Q
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(Iot/Block/Sl::,ativisicn or Tac ?arcel I.D. NL:.Dear)
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Z) j.L7P=c7-...? (PLEAS[ PRiNT) .
?•?= Frontier Midwest Homes Corporation
ADDR=SS: 3908 Sibley Memorial Hwy. Bldg. E
CIT", ST«TB, ZIP; Eaaan, MN. 55122 -
PFC`E= 454-0433
j) p=,"= (PLEdSE PRI4T) FOR CITY USE 04LY
N'1`E' Star Plumbinq
AGCRESS:
1018 Mound Springs Ter. PI,UNBER$ LICE95E:
Cj nccive
' CITI, STa' r', ZIP: gloomington, MN. 55420 Q Espired
PH0NE: MdiGn
884-4149 PLUMBER LlLENSE N 3329 ? Not of Record
' arr :SE nic3a'i
`t/ CX.L?.iYAD1'P/C!YZ`? IYLGAJt YN1tIfJ
NAME: Pa?l-r?ck a J-n,.wJ
AnoREss: a a - ?ep'r±, ? .
CIT"l, STATE, ZIP: q?h5emoun} (Yln? ?SO(a?
PFiO.`IE:
5} INpIC1*,TE :dyICH PERMLT IS BEIIvG REQUES'I'ID: .
g[ CC;INECITO:V 'f0 CZTY SES^iEit Please mail gold copy to
? Cb:1NECi'ZO.I 2b CZTY t•1ATE;t Wenzel Mechanical
? „!?R (Frracr p,?P1SE) , 3600 Kennebec Dr.
C7
Eaqan, MN. 55122
6) uzZG,::: C:z: .
. ? 2I °.%SE E?OLD APPROVID PER?1ZT FOR PICi-LP BY C:IE OF AE('VE
? pr r=+Sc ?Z ^nPPP.O?= PW _NLIT TJ 1, 2 3, 4<?vE
\ \ _ , ?j -• 1 (Cir _e one)
7) SIa:7,7-'RE:
DATE:
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F O R C I T Y U S E O N:, Y
Pc4LMIT " ?SSUED
rrES: $ lC'. 7-0
$ //.% S--7)
$ ? 3 S?
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$
$ /-5- - G"Y
$ $ l G C ??
$
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$ r".•.
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WATEit PEi2PlI:' (I;:CL'uDE SiJRC:inRGL)
WATER METER/COPPERHORN/OUTSID; REn6E3
WATER TAP (INCLL'DE CORPORATIOV STOP)
SE:JcR TAP
AC^OUNT DFPOSIT - 41ATER
wac
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TRliVK WATER ASSESS:?E:;T
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OTHER:
TOm?,L
aMoUNT Pazc; RsCEIPT 4 e71//
DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUBLIC RIGi-IT OF WAY?
G YES IF YES, TH£N :y "PE2h1IT FOR 'AOR:i WITHZiI
PUSLIC RDADWAY" MUST BE.ISSliED BY THE
? NO ENGINEERZNG DIVISION. LIST AS A CONDI-
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APPRQVED SY:
TIT:.E:
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PATRICIA E. AWAL7A
Mayor
PAULBAKKEN
PEGGY CARLSON
CYNDEE FIELDS
MEG TCLLEY
Countil Mem6ers
THOMAS HEDGFS
CiryAdminisvator
Municipal Center.
3830 Pilet Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Faz: 651.681.4612
TDD: 651.454.8535
Maincenance Eacility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
wr»v.eityoFeagan.wm
"CHE I.ONE OAK'I'REE
"Ihe symbol of s¢ength
and grovrth in out
cammuniry
August 19, 2002
O'BRIEN ROOFING
4143 MINNEHAHA AVE
MINNEAPQLIS MN 55406
RE: REFUND OF BUILDING PERMTT 53540
TO WHOM IT MAY CONCERN:
On Jufy 24, 2002, a permit to reside the residence at 3628 Falcon Way was issued to O'Brien
Roofing Construction Company. A permit to reside this home was previously issued to you on
July 5, 2002 (permit #52599).
As this is a duplicate permit, we are refunding $145.25 to you under separate cover. We are
unable to refund the S5.50 state surcharge that was collected. A$50.00 handling fee applies to
this refund.
If you have any questions, please feel free to give me a call at 651-681-4695.
?
7an Severson
Office Supervisor
ce: Dale Schoeppner, Chief Building Official
CLAIM VOUCHER-REFUND REQUEST
• CITY OF EAGAN
MAKE CHECK PAYABLE TO: O'BRIEN ROOFING
ADDRESS: 4143 MINNEHAHA AVE
MINNEAPOLIS MN 55406
LOCATION: 3628 FALCON WAY
RECEIPT #/llATE: 31591 7/24/02
REASON FOR REFUND: DUPLICATE PERMIT PERMIT #: 53540
VALUATION: $11,000
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
Building Pemilt Fee 9001.4085 $ 145.25
Plan Review Fee 9001.4222 $
SAC(MC/WS) 9220.2275 $
SAC (Ciry) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 92203865 $
Sewer Permit 9220.4532 $
Water Permit 9220.4507 $
Aceount Deposit 9220.2252 $
WaterMeter 9220.4509 $
WaterTreatment 9220.4685 $
Surcharge 9001.2195 $
Overpayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 92202254 $
Other $
TOTAL $ 145.25
I declare under the penalties of law that this account, claim, or demand is just and tha t no part of it has been paid.
8/ 19/02
SIGNATURE DATE
P"'_c ;?? 0_-0?`-?'
RESIDENTIAL
BUILDING PERMIT APPLICATION
?k ? i , -?- ciTr oF eacnN
3830 PILOT KNOB RD, EAGAN MN 55122
? 851-881-4675
? New Conatructbn Nec remen'?'?'n"-"t? / /
? a • 3 regMeretl sae surveys showing sq. fl. of lot, sq. fl. of house; and aU roofed areas
?a{(20% maximum lot coverage allaved)
2 copies of plen showUng beam & win0ow sizes; poured foun0 Oesign, etc.)
• 1 set of Energy Cakuletions
• 3 copies ol Tree Preservatbn Plen R bt platled atter 711/93
. Rhn,bist Deteu Optbn; seiectlon sh§et (Dltlgs wNh 3 or less unils)
DATE
_ Water Softener
_ Water Heater
_ No. of Baths
SITE ADDRESS ?(49U' ?0 6Ja MULTI-FAMILY BLDG _ Y ?I
TYPE OF WORK r? FIREPLACE(S) 1_ 2
1
APPLICANT "12
A'A
STREETADDRESS T CITNHjQ1.f-,_STATE_MZIPO?V6
TELEPHONE CA ELL PHONE # FAX #
PROPERTI( OWNER
C V J `? ? /
-?
TELEPHONE# TD.?I ?S'lt?C
""y"""""""""""""""
COMPLETE THIS SECTION F R"NEW" RESI
Energy Code Category _ MINNESOTA LES 7670 CATEGORY 1
(J suhmisaion rype) • Residential Ve ilation Category 7 Worksheet St
• Energy Env pe Calculations Submitted
Plumbing Contractor. ,_
Plumbing system includes:
Mechankal Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Fee: $90.00
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 Ordinances. _
Signature of
OFFICE USE ONLY
BUILDINGS ONLY
MINNESOTA RULES 7672
. New Energy Code Worksheet Submitted
Y Phoilte
_ Iawn Sp kler
No. of R.I Baths
Phone #
Air Conditioning
_ Heat Recovery System
?, -?s-
.-?4 ?2
RemoAeYReoalr HeaufromeMs
. 2 copies af plan
1 set of Energy Calculatans for haated adURbns
• 15itesurveyforexlerioradditbn58Cecla
• Indicaie il home served by septic system for addnions
Mli?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requilffd- --- -
uvaated aro2
?W79
2006 RESIDENTIAL PLUMBING PeRnniraPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
is, s2)
Date 7 12y I 0?
Site Street Address 3628 0..kC CN? cc. Unit #
Property Owner L Aivt dwe„c ., l o? r?, Telephone #( 651 ) 587- FoZo ?
Contractor Norb1csrr? PLitr}2b11'ZG} Telephone# ((pl2) M"1I0;?'3
Address 2QD5 C??,r-f?e(d Av. Sp. cicy ma?s State(YI ill Zipl?6409
The Applicant is: _ Owner V Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes instailation of a water softener and/or water
heater at the same time. !f you are lnstalling onlv a water sofrener and/or water
heater, do not compiete this section; move to the next section and check the
appliance(s) you are installing.
L5 1 /
_Septic System Abandonment D
_Water Turnaround (add $130.00 if a 5/8" meter is required) JUL 25 20(lfi
Other:
/
Water Softener
Water Heater $ 15.00
/
_ new V replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
, b 52
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the Information is complete antl accurate; that tne
work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
Jefi?-rev L. NorMonyt n/ ??--
ApplicanYs Prin d Name AppNF ignature
1,7? RESIDENTIAL
.?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
??)(OZ
NewCanaCUCtbn Neaulrements RemadeVHaoalr ReauBemeMe
• 3 registeretl sile surveys showing sq. ft of lat sq. fl. M Muse; and all roofed areas • 2 copies of pmn
(20% maximum bi coverage albwetl) . 1 set of Enargy Cakulations for heated adtlitions
• 2 coples of plan showing beam & winGax slzes; pouretl fourM deslgn, atc.) • t sMe survey for e#error additbns 8 decks
• 1 set of Energy Calculatbns • InAicate il home Served by septic system for etldtlbns
• 3 copies of Tree Presenation Plan R bt plefled atter 7l1/93
• RimJoistDatailOptbnsselecGOnsheet(bWgswfth3orlessuni4c)
u?
DATE .J u I vt ?, D 2- VALUATION I n S`?2-- /?l?
SITE ADDRESS 3C? Z C' IA 1 (_d JJ w R,a MULTI-FAMILY BLDG _ Y _2V
TYPE OF WORK ?P - S.1,&'Ig- H t) u. Sc PIREPLACE(S),>_-? 0_ 1_ 2
APPLICANT C)c,k) ?oc) -P?nG cl 0- C) ?) 5uct-" oAj
STREETADDRESS iIrL43 itiunnr?c?ln? pU?CINM)410 -45 STATEAAZIP S O(D
TELEPHONE # 61 Z? z.$' 0320) CELL PHONE # 6l Z 2 Zl FAX # ?? J Z ?2$ 03 2)
PROPERTYOWNER TE AA 11J .TP A 2 C) _TELEPHONE# 6Sl-qds-/63Cn
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(J submission type) . ResiEential Ventiletion Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanlcal Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Condirionuig
Heat Recovery System
Phone #
Phone #
JUL 0 2 2002
Fee: $70.00
I hereby acknowledge that I have read this applicatlon, state that ihe informatlon is correct and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
Water Heater
? No. of Baths
Phone #
? I.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
r
SaoMA
SdJ RVEYI FV O
gERVIVEB
3908 Sibley Memorial Highway
? Eagan. Minnesota 55122
Phone: (612) 452•3077
OUSE CERTIFICATE FOR:
? tlOM! BUILDf ps
? UNOUEVEIUPEI.S
NFALiUHS
rr?•
" C P4N3ES
SYAFFQ
J
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tr
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LO
+qo3.0t. / r?, ::a ;xqoy.`p?' 1t1?
28:0'
WAYNE D.
CORDES
- i46I5 -
-L.EGEND °
O Denotes Iron Maxerent
m Denotes Woai Hub Set
x qo3,QQenotes Existirg Spot Elevation
(42o Oerotes Proposed Spot Elevation
,,.----Qenotes Dra i nege D r rect i an
-PAOPERTY DESCRIPfICr+l-
Lor-h-AaK _S-5
LEXlNra't'oN PLAG? e-duTN
accord irg to the recorded plet theroof,
Canty, Yimesota
PROPOSED GARA6E FLOOR ELEVATfC}Na
PROPOSED Top ot 81otk ELEVATlON= 402.0
PROPOSED 6ASEYENT FLOOR ELEVAIIONaq°a•a
.!2T.E.- Verify a?? ?loo+' hei9hts with final House Plens.
zmm MTIFtCOffGN1-
1 hereby certify that this survey, plan or report
was prepai'ed by me w' wder my dirett supervisim
aro tnat / om e dury Registeme Lord surveyar
ur?Qer the laws of?he Stefie of Yirnesota.
? ? /l?lw?..c..- ?•.l.I?rjlQ??. ?te: '1't 1?1b
Weyne D. Cordes, Yinn. Reg. No. '74675
' .i�, .. .� �
� �� Use BLUE or BLACK ink
���� ,-----------------,
� For Office Use �
�u�� '
�1�� ������Il �
� Permit#: I
I �
�Q� -�� �
383�Pilot Knob Road ��� � Permit Fee: �
Ea an MN 55122 „-- r
Phone:(651)675-5675 ��-��= --' j Date Received: _ �� 1� I
Fax:(651)675-5694 I �, (�., I
,��f�! � � �Ll,�'� � Staff:f`-YJ �
I
�����������������J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2j sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Name:{������f��1 lPU✓Ll l�'� Phone: ��� •7j����� � I
Address/City/Zip: ��0 �
Name: � 1"f� � � "�' � License#: � ( � U �j t..Cr �j ,
Address: �� L�� ��� � ���_City: —��_ S
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State: �Zip:��� hone: �Oc
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_New �Replacement _Additional Alteration Demolition
Description of work: �� ��� �
RESIDENTIAL COMMERCIAL
Furnace _New Construction Interior Improvement
�Air Conditioner _Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
"*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
**"If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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.
X �,�JO.�S�� ����(�'�.
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164576
Date Issued:10/02/2020
Permit Category:ePermit
Site Address: 3628 Falcon Way
Lot:8 Block: 5 Addition: Lexington Place South
PID:10-45060-05-080
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Peg Constantine
3628 Falcon Way
Eagan MN 55123
(612) 328-6942
Wise Choice Construction Inc
7825 202nd St W
Lakeville MN 55044
(612) 328-6942
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168359
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 3628 Falcon Way
Lot:8 Block: 5 Addition: Lexington Place South
PID:10-45060-05-080
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 -
Peg Constantine
3628 Falcon Way
Eagan MN 55123
(612) 384-3657
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature