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3640 Falcon Way Use BLUE or BLACK Ink Fore/9 City of Eajan p I Permit#: I'G~ I Permit Fee: $ O r ` t 3830 Pilot Knob Road C Cf~ t t Eagan MN 55122 i, Date Received: j Phone: (651) 675-5675 Fax: (651) 675{,694 ®G Staff J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION [il Date: Site Address: Unit A-11 Name: tz4r~.! Phone: x'_129 _n9r i - ~rdst RESIDENT / tr wr OWNER Address/ City/Zip: !r_f„QD mjEjt;ft=CLJ Applicant is: Owner ✓Contractor TYPE OF WORK Description of work: did S7'nLL_ NK:(-J : t _ L. c C) -r-- -PO SL(-V_ Construction Cost: '9 koo Multi-Family Building: (Yes / No Company: ~t t~ ►~a2 ~iELI~~G` Ponta CONTRACTOR Address: ~ 6 SpR-L,s~ s t City: 'fit ~~4t.J 1 -Z3a3 -~aS State: kA yJ Zip: S S 17- Phone: - ` !J zz License 7 _b3e n 035 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L' Cis Gt is t4 i f fL I970 P S Y(-~•~ ~ ~ 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 S Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classed as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Calf Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not 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 appryval of plans. X v~ U Y`a l kLNLc- X 1-4 Applicant's Printed Name Appli nt's Signature Page 1 of 3 DO T WRITE BELOW THIS L ~~J V SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Mulct Deck _ Porch (Sc ) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES New Y Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fine Repair Windows Demolish Foundation Replace Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation DG'la Occupancy MCES System Plan Review Code Edition JR-.4,0? SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C' 0. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath Brick Fireplace: Rough In -Air Test Final Windows -ir Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 1 Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink 1 1 q-4N I City of EaRd an I Permit I Permit Fee: • I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 Staff: I Fax: (651) 675-5694 1 - ------J 010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: -3 4eO r, Tenant: Suite RESIDENT/ OWNER Name: 4-1 fyo-r 4-TT/;f Phone: Address / City / Zip: 3 51'0 CONTRACTOR Name: License Appliance Connections Inc Address: City: State: Zip: Shakopee, NWS6379 Contact: 1952-44ra.48m TYPE OF WORK -New 4(Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment ~-C C- ~ ~•Q/c' 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) (inqudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S 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/af underground utilities. www.oooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the,ordinances and codes of the City of Eagan; that I understand this is not k permit, but only an application4MM permit, and work is not to start without a permit; that the work will bg in accordance with the approved plan in the case of wbrk whibll requires a review and approval of plans. f Applicant's Printed Name A is Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final I - I Pwtnit No. I Permit Holder I Dste I Talephone N I Mty. Plbp. Final Occ. Dfsp. _ .. _ . . ._ ,. -,-- . CITY OF EAGAN ????? 3830 Pilol Knab Road, P.O. Bax 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt#r' Tnhnitanelinr 51-7 DWG/GAR FQ+vai„P $68,000 nA+P JANUAI2Y 27 ,o $ti Site Address 3640 FALCON WAY Erect CIX Occupancy R3 Lot 11 Block 5 secISub. LE?iINGTOP7 PL SOmodel ? Zoning R1 Parcel No. Repair it ? ? Type of Const. 'V i Add ion No. Stor es FRniJTIFR MIDWEST HOMES CORPMove ? Length 40 ¢ Name Z ; 3948 SIBLEY MEM HY+iY. ? Address ?g Demolish I I ? ? Depth- 46 ° City EAt.?APd phone 454-0433 nt. mpr. Install 0 Sq. Ft Z o Name 0 ? Address ? r?n, Phnna of BIdg.01 Police ? W Name KICHARD C?Ii?RLIER Fire ?; Address 14103 GA?3tDENVIEW CT Eng. < W city A•4r,or,e 4 3 2- 54 9 2 Pianner Council I hereby acknowledge th information is correct ai Minnesota Statutes and Signature A Building Perm all work shall be Building Official Assessment Water & Sew. Var. H4MES CORP Permit =. GO Surcharge 34.50 Pian Review?F• 50 SAC ??• o o Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.04 Tr. PI. 156.00 Copies Total • . • SO ? on the express condition that Minnesota $tatutes and City of Eagan Ordinances. PERMIT # 1- • MECHANICAL PEiiMIT RECEIPT # -'' `-' J 3? CITY OF EAGAN 2/ ? 8? 3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: $ 2100 . 00 PHONE: 454-8100 Site Address 3640 8 con a BLDG. TYPE WORK DESCRIPTION Lot 11 Block 5 Sec/Sub k t_ ? ? Name ?NZEL MECHANICAI. New Res. Add M ?c Address 3600 Kennebec Drive -on ult Comm. Repair c City EaRan Phone 45Z -1565 Othgr Name Frontie7r Co mpanies FEES c Address 3908 Sibley ,(emorial HW . RES. HVAC 0-100 M BTU - $24.00 ? C?ty Eagan Phone ?+54-0433 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 ` TYPE OF WORK 80 24 00 GAS OUTLETS - 1.50 EA. Forced Air M BTU . COMMIIND FEE - 1% OF CONTRACT FEE , Boiler M BTU -It MINIMUM - RESIDENTIAL FEE - 10.00 - Unit Heater : M BTU MINIMUM - COMM/IND FEE - 20.00 _ Air Cond. _ - N MATU STATE SURCHARGE P-ER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent ? CFM BEYOND $1,000.00) Gas Piping Oudets # Other 24.00 FEE S/C: .50 SIGNATURE OF PERMITTEE TOTAL $24•SO FOR: CITY OF EAGAN PERMIT # CITY OF EItGAN FEE a 7 00 PLUMBING PERMIT U RECEIPT # - 454-8100 . S/C ? MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE 3 MINIMUM COMMERCIAL FEE -$20.00 + $.50 1. Bidg. Type: Res ?Comm Inst 2. New Add Alter Repeir 3. Total Bid Price A. JobAddress 3640 raiCOr: rJiiy X U;1tY?:" i''t c??n1" St Lot Block Sec 5. Owner 6. Contractor ' -.o^1i. 36UU r: ?,-?•??c :)r. 551'?" (Name) ? ? . , . (SVeeU (City) (Zip) 7. Contractor Phone # F?•- -1 ) o -,'' NO. FIXTURES NO. FIXTURES NO. FIXTURES 1 Water Closet - $3.00 --7-Bath Tubs - $3.00 ! Lavatory - $3.00 -Shower - $3.00 -LKitchen 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 Syst - $10.00 _JL-Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 19'o OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ? Signed: for Approved ? Inspections: Date Rough Insp. Date Final Insp. 0 Pilot Knob Rwd . Box 21199 r,w_ner: Y OF EAGAN an, MN 55121 r? rg: ,-,.- i Addnesa: ' Siro Ilddres: Pluriber. Marer No.: .3?? S.SO 3 Slze: ,• Reode IVo. :e2/.? L s.. 3 1 yne 1e "implY Mr" tlN O.dim.me.a. st WATBt SERVICE PERMIT PERMIT NO.: DATE: . No. of Units: ? 8 Y DoM of Irrp.: CiTY OF EAGAN 3830 Pilot Knob Rwd P. O. Box 21799 Eagan, MN 55121 -W__,-- /lddross: "Pw !v "at* wMh fM Ciy Oi iyo¦ of Irap.: 1VIIsc. Chorpss: Total: Dote Paid: _ PERMIT NO.: _ DATE: No. of UnNs; _ {.OflflK'tiOfl Ch4?pf; Aecount Depowt: I PrnnR Fie: Surchoroa: Miac. Choross; Totol; Dob Peid: ? 156. er CITY OF EAGAN Remarks Addition Lexington Place South Lot 1 Owner Street 3640 Falcon 5 Parcel 10 45060 110 OS State Eagan, MN 5 S t 2_3 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK m 6 ? SEWER LATERAL 1011 1986 16 31 . 0 0 ?T2 6• 0 5 Services 1015 1986 729.39 145.87 5 WATERMAIN 5a 65 S g 6 .a, - WATER LATERAL 1011. 19 8 6 8 7 3.?+3 1 • 8 5 WATER AREA 101lk- 1986 243 . 73 .48 • 74 5 ' WAT LAT BEN 101 1986 111.98 22•39 5 STORMSEWTRK 1014 1986 426.54 85.30 5 STORMSEWLAT 101b 1986 8d3.34 160.66 5 CURB & GUTTER ' SIDEWALK STFEET LIGHT WATER CONN, ?? n 9UILDING PER. SAC 575.00 PAR K CITY OF EAGAN - 11476 ?-. 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 5512, Np PHONE: 454-8100 BUILDING PERMIT qeceiptp o 9 ? I/ D 7oheusedlor SF DWG/GAR Est.Value $68,000 Date JANUARY 27 1986 3640 FALCON WAY R3 Site Address Erect ? Occupancy Lot 11 6iock 5 Sec/sut. LEXINGTON PL SQemodel ? Zoning Rl Parcel No. Repalr ? Type of Const. V Addition ? No. Stories ? FRONTIER MIDWEST HOMES CORP Move ? Lengtn 40 i Name Demolish ? Depth 46 o Address 3908 SIBLEY MEM HWY., #E City EAGAN phone 454-0433 Instampr. O Sq.Ft i o Name SAME APProv: ,°? Q Address Assessment _ i- City Phone Water & Sew. W W Name RICHARD CHARLIER 1-; nddress 14103 GARDENVIEW CT aw Ciry A.Vphone 432-5492 I hereby acknowledge that 1 have inlormation is correct and agree Minnesota Stawtes and Cjq? Signature of A Building Permit is issued to: all work shall be done in accordance with all 9uilding Official Police Fire Eng. Planner- Council_ >nandstatethatthe 1/23/8f epplicable State of Bld9' off. APC • 00 Permit Surcharg ?4.5 0 Plan Review 00 SAC 500.00 Wa er Conn. Water Meter 00 --29-ff Road Unit . Tr. PI. 156.00 Vac Date I Copies?? ?Q DWEST HOMES CORP Totat ' on the express condition that State o( Mi nesot Statytes and City of Eagan Ordinances. ? Y s RequeS Daie Plre No. Fougn-in Inspection FeQUiretl? ?Reatly Now ? Will Notily Inspeclor Yes $ No H'hen Reaoy? I -V- licensed contractor ._] owner hereby request inspection of above electrical work at: A Ja tltlress (le No-I Ctty 3c,ya iw.lcor? ?t? ??- Section No. TOwnship Name or No. Range No. County I -?--- Lk, kato? OccupantlPRINTI PhomeNo. w_;?s _3e32 AGFs6.soz? Power Supplrer -- Aaaress ecmcal Conlracto? ?COmpany Name? ConVacror§ Llcense N. Ei . T CqozZGy _ ---- - --- MaAmg Aaaress (COmractor or Owner Makmy Instaliaton? ? 50905 ------ --- ---- - -- AWhodzaC Srgnawre iCOnvacmnOwoer Making instellelion) Ppone Number ? C..tVL7.t4 -.1e MDU'Vk, 6"Z-72/-6466-- MINNESOTA STATE BO/.PD OF ElEOTRIqTY ' . Griqgc-MiEwey Bldg. - Room 5473 1821 Univeraity Ave.. SL Paul. MN 55104 Ppone (612) 662-0800 THiS INSPECTION REpUEST WILL NOT BE ACGEPTED BY THE STATE BOARp l1NLE55 PROPEF INSPEQION FEE IS ENCLOSED . 351?? REQUEST FOR ELECTRICAL INSPECTION ? ? Sea insln¢tions for compleling ;his brm on back ol yellow copy. 5 ?j3Q, C1C3 -- "X"Delow Work Covered by This Request -`.'? ee-oooo,-oe eW1 Add Rep: Typeofeuilding _ AppliancesWired Equipmen7Wiretl Home Duplex Range Water Heater Temporary Service ElectriC Heating ? ? jApt. Building Comm./Industrial Dryer Fumace Other (Specify) ? Farm 5{' Air Conditioner Omer (syecily, Compute lnspection Fee Below: Gontraclork Remarks: A " ??a? } fai'?Q ( ? Other Fee # Sermce EntranceSize Fee # CircuitslFeeders Fee ? Swimming Pool 0 to 200 Amps / 0 ?0 100 Amps , o D ?Tfansformers A6ove200_Amps Above-1 0_Amps Sig05 Inspectorls Use Onry: 1 ? TOTAL -Irrigaiion Booms L r ?J -? ?.S.,rj0 ?Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO 1, the Electrical Inspector, hereby Ro.qi , Dat certiry that the above inspection has been made. Foai t? ,y OFFICE USE ONLV Tnis :eyuest voitl 18 monIDS Imm This reQUest void /` p ?J C dQ PL?raonths ? 0??5256 k1) , 8 s; / , e,f Pl Sa , ?aoofj Request Date 9? Fire No. Houqh-in Insuec?ion Requ r ' ?fleady Nuw ill Nntifv. Inspec- Iq es ? No lor When qeady PLlcensed Electrical Contrac[or I hereby reuuast inspection of above ' ? Owner - electncal work instelletl ar tet Atldess, Boz o Route No. City /l ? T Lo ? ecbon o. • Townshio Name or No. Ran No. County ?-+V ? -11 ? ? C. J ? Phon JNo. p ? ? 0 Power plier . Atldress? Elacttical Coniractor (COmpany Name) T° . ?TR C Contracmr's License No. (D t/7? 9 MailiT ' dress-1 ontractor or Own r ? Iqs a.latioN 14540 PEti AuthorizAdl9 t e tia wn i. bN if'11 I Phonc Number MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT Grie9s•Midway Bltlg. - Boom N497 gE ACCEPTEO BY THE STATE BOANO 1827 University Ave., St. Paut, MN 56106 VNLESS PPOPER INSPECTION FEE IS Phona 1612) 297-2117 ENCLOSED. p??a S/I?G REQUEST FOH ELECTRICAL INSPECTION . ee-oooovoa See instructions (or complei this torm on back o1 Vellow cooY. / p " "X" Below Work Covered by This Request WC..P ve A-CLd Pap. Type oi Builtling Appliancee WiraA Eauipment Wi.eJ - -- Home Range Temporary Service Duplex Water Heater ightin,y Fixtures Apt. Building Dryer Electric Hpatin Commercial Bldg. umace Silo Unloacler Industrial Bldg. Air Conditioner Bulk Milk Tank F2fm Other Peci y ther lSper,ify) t er Sueci y Oiher 01h¢r Compute lnspection Fee Below 'N Fae Servica EnbanceSize M1 Fee Faeders/5ubfeeders # Fee 'C.ircuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Ahove 200 qmpy 37 to 100 Amps 31 to 100 Am s Swimmin Pobl Above 100_Am s Above 100_Amps . Transformers rrigation Boorr?s Partia6'Other fee Signs SUecial Inspection y1 ? q/ TO Pemarks '?" TAL EE Hough-in Final ? c.iiiiii p J???•O.LJ I owe? f.? Dxte. YaY? I, the Elac - Inspector, ?ereby certity that [he above inspeetion has been Thic request raitl 18 monttb Irom • ?" ? ??/ 1985 BUILDING PERMIT APPLICATION - CI17 OF EAGAN NOTE: ALL CONTR$CTORS MUST BE LICENSED NITH THE CITY OF EAGAN LPNCAs-rt-?z C014IERCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DYfELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS G S, Ooo To Be Used For: Sinrzle Familv Valuation: *3;996 Date: 1-22-85 Site Address3640 Falr_on Wav Lot 11, Block 5 Parcel/Sub LexinQton Place South Owner Michael & Diane Ciardelli Address 2400 W 102nd St. #337 City/Zip Code Bloominatont MN 55431 Phone 888-4870 Contractor Frontier Midwest Homes-Corp. Address 3908 Siblev Memorial Hwv. IkE City/Zip Code Eagani MN 55122 Phone 454-0433 Arch./Engr, Richard Charlier Address 14103 Gardenview Ct. City/Zip Code AnplP Vaj,]„gy, MN 55124 Phone 0 432,-5492 Erect ? Remodel , Repair _ Addition ^ Move , Demolish ? Int.Impr. ? Install ? APPROVALS Occupancy Zoning Type of Const U of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Cqnn Planner Water Meter Council Road Unit Bldg Off /•Z - reatment P1 APC Parks Variance Copies TOTAL . ? 1. . 0 I A L -11L11', .IV L 1 L . _ gv?s, SI TE ADDR ESS: - - CONTRl1C?O R: ????T'+,C^."'??• Getermine working square rootoqe ?f ea;h ?. Total exposed wall area..... rr. x.1: _ Z Z ? GS8 2. ?otai roof/cei;iny arca.... r: .026 = z5• 3? ? icta?i exnosed i??all area ?i?.nvc floor= '?P?? i??? a. Total tval iwirdow area ........... ........... .. ............... .. ? 7?0. ? b. Total door area ................ .. c. Total ....... ..... sliding alass door area........... ................. ? Z .... - d. Total . ;ireplace ivall area .......... ................. ? Z .... e. Total .... wall framing area javerage 10'';j ....... ...... r- f_ Total rim joist area........ ... ........... .... Zcm6 • s' !' net ..... wall area above floo?•,T%¢;?_,,,.,,.,, ................. . ............. ? ... • wall area above floor ......... . . i. . ..... wail area above fiocr..... ..... . .......... ... j. frame wall nrea a? ?our?a-_icr ............... ................. .... IOtdl °SuOSed i-C:l(iG.?±1"J!1 dl'Eu= ?ly PJ r., Total foundaticn windeti5 area...... l. Total .......... net foundatior, ar;a Sbo;e g:ade ....... ....... ....... • , Detei-n?„r.e "u valt;e of eac'r?? wa l ? seyment s(2ccior 6.??.Cm _ X c d . ?? s, e. f ?.. _ x C)S;i h. i. ,7 . K. -1--? ? --- a ?-LL co, ?> 4 rj r - 12, X. _ Ix li? -' _ x ,1 u 1, _ n 3 . .................................Total = J??• J? if i4em n3 is the same as, or less than`item rl, YOu have mPt tne'- inter,t of 56C 6006 lvi .•.? vC1v??V. n-:.._ ?. ... ? .,?.....?, .? ". : _? ... ? . . .. . . . .. .. ... . . . . . . . . . . . . . . . n. ^ctai roof/cci -_ _-aming a_-oa ;; n;e 10?)... 0. ?OCuI .^.C= _.:?.._c._?.. _G::1/CL'il l:lg L ___..........? , Dete:?r.'_ne "U" value Loi' caci: rcof/c_ili t:cy Ssg?ie::t `_ m. _ o. `??i• ?- ei .................... If tOt.ll G: iiv 15 tIiE SuC 60C'o ,^.) 1. ;; 'U' _C.. 0 .^, t d 1 s ? OS iL55 t:}12:L 'ib u`.ilize tne tota1 envelope sys*_em ;1^ciio3, *_; c v:lu•^s est.!)lisY.ecl by i:;ie s:i.:. of iteir.s 01 Lnd ;';C snil1 not be nre.:ter ch-an tn-- su:n c,,- _zcm^ 41 anc ;r2. , . C 7,-. 2 . ? ?- 47 = ??.,. 3. + .- ?'?•?? = t i?t? ? .?- ? , ? y ? • • .. r• ? l t'/? ? • . :;?,,, o?;? 1 ? ?. acdn:?lruc;lun .. . . ... . J ;i) A?? .,:.?.,? t...) ? .., . n I?__?1 I._ ?' ?. }... ...? ..I? ?l'.., ?•?y? ?.?_ ? _'__ _' _.... . .. ..... . .. .. ._ ..._....._.. ?1G. tl1 TUl'V1:34 OF i . '?JLL: NALi, '.?-? . . ,.-?' . 4• ??'?'a!?'?''^,I..---.. ..-'------...--- --?.r_U.? ii .t61 G. 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' ^ c oti »?e v c -. o y?_ ' ,,....., -..,t - - :...-J-,,?--_?z„ y? ? 1_ Ir.s??,c .t,- -;?i? 0.61 . ^/ . ? • . ? ?Ilfi? ? -- -- , • ? ? ,c,e'.y,-, ? , ted 3- - • flov up - C. 17 roul d,. ?. _ . - ? ? fi'.m ?-' ? ? ? , o t:-.1 . ?? `, 1? ^.. . ? ? • j ?? n ? ? ? Y?OC L V:C .. .Zj .l-.:...- v•' i'?C:C . ?.. ?. -Y ' .?T } , _ . .? .... ?' . _ _ S1CC•\ LP,ci L'U ?..._ C3 .. _. . . . , •. flov. qp. . - - . . , . .: : .. . -. . . . . . .. . .. , • . .. • .?•,. g7 r% i a . f1G. -hl TGP'J;i:d G; I I . . FIG. 112 - -*? ? - iY i '•^ -_? l_?? ?'eA ?:.. . ? , -----G,.J ?f,,^•'"--:- -? ?. , ',?'.?:1 r ??'? -,? .I----•-----i-? ? .y. .? ? ",? ? ,4' . '?. 1.?-_-------•'?l? . 4? ? ?• - -I?r• ,n• ? r ???:;.- ---` ??. ?•...: ?,,,, 1 . , i : .:. , ,•; ., .. ? ? , . . . . ..... . .. '_ ,. _ , ... . ? . . . _ ?b0 .. 4 , _ _Alft._?PU.L ... . _ _. ._... ..C•^.S _ _"_". ._.. . 17 . ? .. . • ' _,?(v l. - rkA,;': ? • ? i? 21- 1 i i7 ? ? ;? - -.-- - -- -------.-- ---?... _.:? • ? , : I f ?,>> 1 /?I ?I •• ? .. ' I t. 1 . 7'.\ . ? , s PLAI N ?? ? ?- ;?'?? ?xpcs? C) WALL ?k.?? ?? : ?I ? ? S - ? ruL.L 1Z 1 M= 1? Z Y?-? r_ ?? TSk, i?)c seD WAL[... ??..E.A ;' LOGf?'? 1 ? ?• '7S ,; 4?.NEE,' `??.?? :? S = Q??•? -_._...? ?vL Ll i? -----•---? P???? : l??. y ? ? , ?. S?. ••' -f' ?' 5??. ? C? ? D GE I L j F 1?' ?? ?.•.- ° s, c, r?,` VJ L 1'\(s ? ?.;,? F?' i 00k...? ? ? c• ? ? L?'°jt•a?:.??? a i ? w t..? c? ??„' ?oJ4 * ??cc?7 [ ?"?"?, ?`taf} ^ 'r J ?` -????• ?Q LJZS q? ?'a? ? Zfc4J ? ? { 2 1. s . • +-? ??: ? ? ? ?? ? ? -?. i . , _. _ 2/84 CITY OF EAGAN / IItU APPLICATIGN FOR PER:tilIT _ .. , SEWER AND/OR WATER CONNECTIODI (PIEASE PRIHi) 1) PFO°=ACDRESS: 3640 Falcon Way rFrAI. DESC.?S?TIC:I: ( 1 v sicn or Tati Parcel I.D. NunSer) 1 u:7_.L ST.fl.j.?':C.r. Di1T-- OC CiIRICa=AL LUI:,D=?G ICJUYNCZ: - az; P ?CLT U'SZ: A R-1 S-Z.7C1.:. ? R-z rUP= (7;0 tmITs) ? R-3 TC;,i?:rV,?E ('?'I-= = L'_`IITS) ( L'ii2_5) ? R-4 U1.ITJ) ? CCin1EPCL=iL/f=_AII?OcrIC:: ? mLSlTZTI,Ia - Q 2) APpIZ= (PLEASE PRINi) . tVVdE: Frontier Midwest Homes Corporation pDDRESS= 3908 Sibley Memorial Hwy. Bldq. E CST-= , ZIP: Eaqan, MN. 55122 - PF01,M=. 454-0433 j) pu,:=-, ?`?? (PLE;.SE Pfl14i) Star Plumbinq fOR CITY USE 04LY PDLRESS: 1018 Mound Springs TEI'. PIUHBERS LICEUSE: Active CITY, STA?'E, ZIP_ gloomington, MN. 55420 - ? EzPired PHOVE: -mH3iLr. 884-4149 PI.UNBEA LICENSE q 3329 [?] Not of Recard ' dit tn1:i3 `fJ lC_L.IiYAC7i/(]'/l:'Z jYLGASt YH1flI) N1k'`'1E: Michael & Diane Ciardelli ADDRESS: .2400 102nd W ' CITY, STA'lE- , ZIP: Bloomineton MN 55431 PI-iCFIE: - _ --588-4$?f? . 5) INUIG,TE :a[-IICH PElZ•tIT IS SEIhG REC[JESTL•p: ? CC`tNF.C.TZO-4 TO CITY S-7•;ER Please mail gold copy to ? CO:?,'ECTZGN TO CZTY ;4ATER Wenzel Mechanical 3600 Kennebec Dr. Q 071E2 (PLG`-SE D,SC;tIBE) Eaaan, MN. 55122 6) C:+c: 7) SIcz„-,TL-Rc,: ? PL-rNSE f?OID APPRGUEp ?ERMST FOR PZCi:-[ic BY CNE OF r1B(11E 19 °I-C-:,S,- :rl? t1PP??C7V'"r.il P&?_-1IT T`'J 1. 2 3, 4 AFC7Vi _ , ?n (Cir _e one) , DATE: . ??1 ?! RAia1lfRas! i q E?:af.c?! sAS7ga?a? ?s i srFSa?:aa a r?4r-a?l?}?s ? rslYa?aair . FOR CITY U S E ON:,Y PERKI^' n ZS$VED :?°-S: $ A) 57) . o S:.?L.. i ..i.L SL...? ?:..GL? . . $?l/%' S--b WATER PER,*iT_: (I1:CLUDE SVRC?i.`vIRGL) $ (-3 S? WATER METER/COPPERHORN/OUTSID: R:i,DER $ WAT°R TAP (INCLUDE CORPORATI0N STOP) $ 5`.:dER TAP ACCOUNT DrP('SIT - WATEF $ 5?rz; • o- c? wac $ S 75-, Cr-C) SP.C $ TRli`IK SaATER ASSL.; S:i°_27T ..-.- $ TRG:1K SEWER =,SSESS?tz'ciT $ L`nTERAL Br.ivEFIT/TRliNK SF.::TE"-, $ /<"7.- • aJ n LaTERrIL BEVL.FIT/TP,U`7K I•7AT'P, $ WATER TREATPtEh'T PLANT SURCHA£.GE $ OTHER: $ TOTAL $ Ai`!0[I:.T PAIDj=°iPT n 5 ?Ll/O D0:5 UT:LZTY CON[VECTIO[V REQUZRE EXCaVATION IN PUBLIC RIGiiT OF S9AY? ? YE S ZF YES, THE N ;y "PERAIIT FOR `AOR?C WITHIN PUBLIC ROAD WAY" MUST BE ISSpED BY THE ? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. -. SUEJECT TO THE EOLLOLJING CONDITIONS: - ' APPROVED SY: TS::.E: . DA'?'?' : / .. i? A vi? aR ? f/ 4 tJ !40 4?l! EO wF ?/B ?iC ?lf? R? ?FO H?1? PRi i?Y i4 ? l! Pf? Ri R4 iF S1A ? ea ' ' . . , __ _..... _.. , . . . . . .. . ..' _ "" : _ . . . ., .. . . .. . ' -... .? i. ? , , . .: . .. .. . ._ . .., ..- . . . , -... . ` ?----------------- i Fo%oihce,u? ? ? Pertnit#: ? ? Pertnit Fee: I ? Date Received: ? I I ? Staff: I I 2008 RESIDENTIAL BUILDING PERMIT ??/ Date: '2? SiteAddress: WlAL/ Tenant: Suite #: RESIDENT / OWNER Name: /o tq Phone: C? s1? ?-1007 Address / City / Zip: JV ?Q r0. ?L--, .1 011 v? dt'rs??SS-?? 3 v, Applicant is: _ Owner _X-Contractor 7'YPE OF WORK Description of work: b--/b o? ? Construction Cost: S??= Multi-Family Buiiding: (Yes No ? CONTRACTOR Name: Z-e?-- 67 Z;"+cLicense#: ,?2 Address: City: State: ? ? cv Zip: Ph ?? 3 T3( ?`?? ` 4elz? r ,4z L one: Contad Person: . . _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet COtCgOry Submitted Submitted (4 submission type) • Energy Envelope Calcuiations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 documenis that you submit`are considered !o be public,,information. Portions of r ` fhe information may be classifedasnon-public if you provide speciric reasons that would permit the City to = conclude that the are tradesecrets. -IF I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 pl ns. x C?"'?YX Applicant's Printed Name Applicant's Signature Page 1 of 3 APPLICATION 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY aF EAGAN ? 3830 PILOT KNOB RD - 55122 651•681•4675 New ConahucNon ReaulremeMs Remodel/Reoah ReauhemeMa D 3 reglitered alFe surveys showfng sq. R. o( iot, sq. tt. W house 2 coples of plan and gll rooted areas f20% maximum bt eoveroae allowed) 1 sef of energy calculaNOns fw healed add(fiona ? 2 coples ot plans (show beam i window sizer, poured ind. desfgn; eTc.) 1 sile survey tor extefla adtlHlons a decW ? 1 iet of energy colculalions ? 9 coples M hee preservatbn plan H lot plaMed aHer 7/1/93 ?r DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 1/?VI?ce S ij, STREET ADDRESS: 5OVU LOT: BLOCK: SUBD./P.I,D. #: PROPERTY OW NER Name: ??OCA ?Lvi+1 Phone #: CeSI ` ? ?Q - ??? Las1 flrst Sfreet l0 CONTRACTOR ARCHRECT/ ENGINEER Sheet City Company: Name: Teiephone #: area code ( ) Siredt City Sewer S water licensed plumber [reauhed for new consiruetion onN): State: PenaHy applles when address change and lo} change is requesfed once permB Is Issued. Zip: I hereby acknowledge that I hove read lhis appllcaHon, state that the In(ormoNon Is correct, d ree fo comply wNh all applicabl Sfo4a M Mlnnesota Statutes and Cffy of Eagan Ordlnances. Signature of Appikartt OFFICE USE ONL Certiflqtes at Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ^ Not Required Registratlon #: ciri ?? ??l stare: ??' zip: Ss ld 3 SIt3NlA suRvEYinvG SEAi/1CES 3908 Sibley Memorial Highway ? Eagan, Minnesota 55122 Phone: (612) 452-3077 ?iGA LE'. I "=4p' ? No- o i -- 3 , ,. ? v 6 1 R ? MODEL.: LA.f.l °+ °% o ? N o; OE N ? o/, c$; e } ? ^ c n .. y SE CERTIFlCATE FOR; lh? MCNAFBUIt-0FH? . m L?ooeAi:Wta, PE Ai Lu(i5 ?r COl41PAN1ES ? , ? ? ? ? DRpI IJACaE ? U'f tLllY ? ?, .4V LOT ;2 ? ? ? ? v0 WAYNE D. CORCES - 94675 - _LEGEND - O Lenates lron Alonwent n Lenotes Waai Hub Set x qp7JypQenoles Existirg Spot E/evation ?n wo-t Llenotes Proposed Spot Elevation ?-- Llenotes Drarnage Direction -PFWEftTY [.ESCR I PT I pV - LOT L , &GCK 5 LEXINGTON pLAGE Sor.J'fM accordrng to the reca'ded plat thereof. D DTA Camty, Minnesota PROPOSED GARAGE FLODR ELEVATION= q02-1 Phi0PO5ED Top of Block ELfVATION= q09•D PROPOSED BASf11ENT FLOOR ELEVATION= 00,0 towe.- Le,,a easc»,G.! = 59s,0 NOTE: Verify all floor herqhfs with Final Hcuse Plans. SU? CERf I F 1CAT f(W- 1 hereby certify that thrs survey, plan or report was prepared by me or under my direct supprvisiai arel that I am a duly Registered LaM Surveyor ,uder the laws of tip tate oi Yirnesota. r I 1 'I QAJ-?•?_. ? Date: (? ??O IYayre D. Cordes, Minn. Reg. No. 14675 LOT iO \6 9° PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA099624 Date Issued: 06/17/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3640 Falcon Way Lot: I I Block: 5 Addition: Lexinaton Place South PID: 10-45060-05-110 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Second Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: anthony haben 5730 170th In my anoka. mn 55303 763-245-9049 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 500.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Professional Plumbing Solutions LLC Anthony L Mania 5730 170th Lurie NW 3640 Falcon Wad Anoka NIN 55303 Eagan NIN 55123 (763) 24-9049 I hereby aeknowledae 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108197 Date Issued:11/26/2012 Permit Category:ePermit Site Address: 3640 Falcon Way Lot:11 Block: 5 Addition: Lexington Place South PID:10-45060-05-110 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Anthony L Mattia 3640 Falcon Way Eagan MN 55123 Holmin Heating & Cooling LLC 900 Park Knoll Drive Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124220 Date Issued:06/25/2014 Permit Category:ePermit Site Address: 3640 Falcon Way Lot:11 Block: 5 Addition: Lexington Place South PID:10-45060-05-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Anthony L Mattia 3640 Falcon Way Eagan MN 55123 (651) 405-0437 Sears Home Improvement Products 1024 Florida Central Pkwy Longwood FL 32750 (407) 551-6000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �---- — ___—_-. -- ____ I For Office Use / � . � �� �I � I � Pertni##: � City of �a aIl ; . . l v�� . ; � Pertmt Fee. 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: ' � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � `� /� Site Address: ���� t� G'C�j�ll [.(/B�� Unit#: + Name: '�,�� /��'�'�� /�— Phone; ��I— '�O� �e./37 Address/City/Zip: 3��l b �f�►L�' �G��}� ��=1���," f�``�z.3 G-/z.. � �j 77— 5��.5� —T APPilcant is: Owner Contractor Description of wo�k: �� ��--� ' C��� �� Construction Cost: � ���.3• C� Muiti-Family Building:(Yes l No� Company: 6w / �trQ L�O�''� Contact:�?��C/L��9'IM0.�-/��'" Address: '��� 5 ��� �v�?• �� City ��js State�d�Zip: �7'�� Phone: 2 7" .mail: License#: G 30��"oo�'+2 �eaa c���cat�#: �✓.��"'- 7 2���-� If the project is exempt from lead aertification, please explain why: (see Page 3 for additional'informa�on) ' 6��°' �Q cj i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING II�� _ In the last 12 months,has the City of Eagan issued a permit for a simllar plan based on a master plan? I ,�,Yes _No If yes,date and address of master plan: '� �icensed Plumber: . Phone: . li Mechanical Contractor. Phone: Sewer 8�Water Contracto�: � Phone: CALL BEFORE YOU DIG. CaU Gapher Stats One Cali at(6S1)454-000�for protection against unde►grou�d utllity damage,'Cali 48 hou�s before you intend to d�ta rec�ive locatea of underground util�ies. �y,�(reo�#14�t,�ttonecail.oro I hereby acknowledge that this information is compiete and accurate;that the work will be in confortnance with the ordinances and codes of the Gity of Eagan; that I understand this is not a permit, but only an appiication for a permit, and work'is not to start without a permk; that the work wiil be in accordance with the approved plan in the case ot work whlch requires a review and approval of plans. Exterior work authorized by a bullding permlt issued tn accorcl�nce with the Mi�nesota Stata Building Code must be ompieted withln 180 . days of permit issuance. � ' •' .: ' X �Sfv� r►� � � X .� , Applicant's rinted Name Applicant's S(gnature • . Page 1 of 3 �, ..- . . �. . - . .. � � . � . . . i....... . � , � � PERMIT City of Eagan Permit Type:Building Permit Number:EA171047 Date Issued:07/28/2021 Permit Category:ePermit Site Address: 3640 Falcon Way Lot:11 Block: 5 Addition: Lexington Place South PID:10-45060-05-110 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: 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 - Anthony L & Ellen S Mattia 3640 Falcon Way Eagan MN 55123 (612) 720-6281 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178375 Date Issued:08/15/2022 Permit Category:ePermit Site Address: 3640 Falcon Way Lot:11 Block: 5 Addition: Lexington Place South PID:10-45060-05-110 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: 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 - Anthony L & Ellen S Mattia 3640 Falcon Way Eagan MN 55123 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature