3644 Falcon WayCITY OF EAGAN Remarks
Addition Lexington Place South Lot 12 Blk 5 Parcel 10 45060 120 OS
Owner screec 3 4 Falcon Way state Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK /o .-1
SEWER LATERAL 1 0 1 1986 1631.00 3 2 6. 20
Services 1016 1986 729.39 145.87
WATERMAIN G
WATER LATERAL 101 2.- 1986 8 7 3.43 174. 68
WATERAREA 101LI, 1986 243.7 48.74
WAT LAT BEN 1011 1986 111.98 22.39
STORMSEWTRK lOlZ 1986 426.54 85.30 5
STORMSEW LAT 101 ? 1986 803 . 34 160 . 66 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 975 - 00
PARK
w?
.
BUILDING PERM(T CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
=1,000
Site Address 3644 FALCON HAY
Lot 12 Biock 3 Sec/Sub. ?I?N p?$
Parcel No. ? W Name JAM5 & natul PCi.bU!1
? Address 3644 FALCON VJ1Y
° City EACAIN Phone 456-9603
. o Name K118TOMS BY 1?iZTIANIAK. INC
?? Address 1920 W 76Tfi &T
City RiCHp;ELD Phone 892-1533
yVjW rv4me
?
u,
a Address
<W City Phone
I hereby acknowlege that I have read this application and state that lhe
information is correct and agree to compiy with. all applicable State of
Signature of Permitee ?f!!? O'kee l- - `f ?.'?' ??•-? - ( '
A Building Permit is issued to: KMTCM BY UZYZANYAK
on the express condition that all work shall be done m accordance wilh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
A 17?n9
12 . 1s 22
OFFICE USE ONLY
Occupaf?by, ? - FEES
Zoning k :,
A
l
1 ?
25•00
P
Bld
i
(
ctua
).#r1s
(Nlowable) -
- g.
erm
t
• 50
Surcharge
# ot Stones -
Length _ Plan Review
Depih - SAC. City
S.F. 7otal - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On 5ite Well - Water Meler
MWCC System _
City Water _ Acct. Deposit
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROYALS Road Unit
Pianner -
il
C park Ded.
ounc
BIdg.OH. _ Copies
Variance - TOTAL
zS.so 1
Permit No. Permit Holde? ?, . Date Telephone #
WATER
SEWER
PIUMBING •
H.V.A.C.
ELECTRIC
Inspsction Date Insp. Comments
FooGngsl
Foundation
Framing
Roofing
Rough Plbg.
Rougn Htg.
Isul.
Fireplace
Fnal Htg.
Fnal Plbg. r 1L c.c? ?
Consl. Meter Plbg. Inspector- Notily Plumber
Engr./Plan i?i
Bfdg. Final
Deck Ftg.
Deck Final
weli
Pc Disp.
v .+ 3830 Pgot Knob Ro dl P.O. Bo 2G-A1 9, Esgan, MN 55121 1R:?1_ ? 14 73
' PHONE: 454-8100
BUILDING PEfIMIT ' Receipt#
To be used tor r5F DWG/GAit Est. Value $ 56 , UU O Date FEB i;UARY 3 19 86
Site Address 3644 FALCON WAY Erect ?X Occupancy E? 3
Lot 1?Block 5 Sec/Sub. LE,X1P+GTUN PL S(Dlemodel ? Zoning RZ
Parcel No. Repair ? Type of Const. jJ
Addition ? No. Stories
a F'Raf'.'i Ir:R i-1IJ6vEST HC;,E;S Move ? Length 3$
W Name ?,
= 3908 SIB MF•M H{MY #?: Demolish ? Depth d
o Addres ? T?X *i AQA Int. Impr. ? Sq. Fr
= o Name SAML ??
0 Q Address Assessment _
? Citv Phone Water & Sew.
CHARLIER
information is correct and agree to
Minnesota Statutes and City of 4c
Signature of
A Building Permit is issued to: ---
all work shall be done in accordance with
Building Oflicial
Police
Fire
Eng.
Planner
?nandstatethatthe Bld
applicable State of _ 9
Minnesota
HOMES
Permit ~ ""- • ""
Surcharge ,00
Plan ReviewS 0
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
,
Tr. PI. 156.00
Var. Date I Copies
- Total ?2 , 064. 00
- on the express condition that
Eagan Ordinances.
Po?mR No. PormN Moldw Dale Tdephom N
PlumWnp _•.- ? _.F_. ?J. ?;; E?-
.
M.V.A.C.
EW«ric N1 7 7 _
SOflMM
Inspsetlon Date Insp. CommMts
FooUnys I
Fooany. n
FoundaNon
Framiny
Roofx+g grG -
RouyhPlbp. ''_j/--.; r NAL
Rouyh FIt9.
liuul. 4.)
Flnplec0
Final Hly. i'
Flnal Plbp.
&dy. Final
Cwt. Oce. 6 (e)
Deck Ffy.
Deck Frmp.
YYOY
Pr. Dbp.
PERMIT #
MECHAMICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN $5121 DA7E _
:)NTRACT PRICE: $1700. 00 PHONE: 454-8100
Sec/Sub
? Name WGIVLGL ,?.?aru???s.
m Address 3600 Kennebec Di
? Ciry Eagan . Phone
Res. xx
Mult
Comm.
Other
Name rccUiviicn Uv1'1rruv1.r.Z)
?
c Address 3908 Sibley Memc
0 C;ty Eatcen Phone
TYPE OF WORK
Forced Air 80 M BTU $24
Boiler M BTU $-
Unit Heater M BTU $_
Vent CFM
Gas Piping Outlets #
Other
FEE: ?`'•
S/C:
TOTAL: $Z`?'
WORK DESCRIPTION
New xlx
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M 9TU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1ai6 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
hAIIVIMIIM - C;C1MM/lNn FFF - 9(1f1r1
SIGNATURE OF PERMITTEE
FOR; CITY OF EAGAN
n
PERMIT # L(?? CITY OF E/kGAN
PLUMBING PERMIT
RECEIPT # 454-8100
i ? MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE -= 114 Z 6 MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res " Comm Inst 2, New Add _
3. Total Bid Price 4. Job Address
Lot Block S Sec
FEE a91,o&
S/C • 5J
TOTAL 2 7• -Z
Alter Repair
5. Owner rra'''?tlF'?" :?1.cjW?St
6. Contractor WC'-''.zP3 i•i?ch. 36110 iKermebec i?'_ 5512L,
(Neme) i } .J ?. - 1.?i G ? (Streeq (CitY) (ZiP)
7. Contractor Phone #
NO. FIl(TURES NO. FIXTURES NO. FIXTURES '
? Water Closet - $3.00 __LLaundry Tray - $3.00 -Well - $10.00
? Bath Tubs -$3.00 / Floor Drains -$1.50 Private Disp Syst -$10.00
? Lavatory - $3.00 =Water Heater - $1.50 _?I_Rough Openings w/o
-Shower - $3,00 Whirlpool - $3.00 Fixtures - $1.50
/ Kitchen Sink - $3.00 =Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.04 -Softener - $5.00
COMM./IND. RATE - 1S'o OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
i
Approved Inspections: Date Rough Insp. Date Final Insp.
WATER SERVICE PERMIT
P. O. Box 21189 PERMIT NO.: ,?' ..
?'- -
Eagan, MM 55121 D/?TE: `-
Zonfnp: I`-1 No. of Uniri:
pM,rNr: Frontier Midwest Homes
Addross:
Sy? ??: ?.{„u va_lcon Wa L12 T?S Ler.in ton P1. So.
Plumber.
Meter No.: Qwrye: ?' ? ?
Stu: N?''flla ? 1i.OUpd
Rsada. o.. ? fi116y8/ efnre digQng ? l?`.O?pd
I .,m ft on fa,, ,wa tf?. QWL#- EL?'?? HC, . 5oDa
?MOM. ? ??F.i,'ilPtl r
REQULRE?b6?.5!)nd TnF. E r
ey Daft Paw:
oaro of insp.: insp.:
0 - -2- 7- yb
'CITY OF EAGAN SEyM UR y{CE PERJIAIT
= 3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zanirq: No. of Units:
Mr: v
: ,., •s
'
.,dfEti:
Ad
Site Address:
1? ee atly whh!V Clep oF tye¦
OrJiu?eaM.
By
Doce of Insp.:
Connechon Chwrpe:
Acoount Deposit:
PermM Fae:
Surchorpr -
Misc. Chorpes:
Totol:
Doh Pald:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N p- 11493
PHONE: 454-8100
BUILDING PERMIT ' aeoeiptp ,5 y 53
$F DWG/GAR
$56,000 86
FEBRUARY 3
Tobeusedtor Est.Value Date 19
Site Address 3644 FALCON WAY ?SC
Erect L]" R3
Occupancy
Lot 12 Block 5 Sec/Sub. LEXINGTON PL SORemodel ?
n Rl
Zoni 9
Parcel No Repair ? Type of Const. U
. Addition ? No. Stories
a Name FRONTIER MIDWEST HOMES Move ? Length
= 3908 SIB MEM HWY E Demolish ? Depth 46
3 Address t
l
I
? S Ft
°
454-0433
EAGAN ph
ci .
mpr.
n
? .
9
H one instail
i e Name SAME APProvals Fees
? a Address ASSeSSfrlBnt Permit ?? ?
? City Phone water & Sew. Surcharge
?5 0
W Name RICHARD CHARLIER
W
?? Address 14103 GARDENVIEW CT
aw Ciry A•V• Phone 432-5492
' IherebyacknowledgethatlhavereadthisapplicationandstatethaUhe
information is correct and agree to co with I applica6le State of
Minnesota Statutes and Ci aga (din s.
Siqnature oi Permittee
Police
Fire _
Planner
Council
Bldg. Off. 1/31 / 8 i
Var. Date
nBuildingPermitisissuedto: FRONTI MIDWEST HOMES
all work shall be done in accordance with all pf ble State of Mi nesota ta
Buildin9 Official ,4AZI
Ciry of
Plan Rewew ??p
SAC
5101
). uo
WaterConn. .
Water Meter ? O
Road Unit
Tr. PI. 156.00
Parks
I Tota, sa.064_00
on the express condition that
an Ordinances.
BUILDING PERMIT
To be used for FIREPLACE
$1,000
Site Address 3644 FALCON WAY
LOt 19 - BIOCk _5 SBC/SubT-FXINGTON PI.ACE S
Parcel No. .
w Name JAMES & HEIDI NELSON
? Address 3644 FALCON WAY
City EAGAN Phone 456-9603
ip Name KIISTOMS RV KR7V7ANTAK? TNC
0
u? Addf8S5 _ 1990 W 76TH ST
Cj(y RT(`HFTFTD phOne R99_1533
Name _
Address
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correct and agree to comply wit all apy.4able State of.
Minnesola Statutes and Cit agan Or an
SignaWre of Permitee
A Building Parmit is issued to: KUSTOMS BY KRZYZANIAK
on the express wntlition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and Ciry ol Eagan Ordinances.
Builtling OfliCial
N° 17709
Receipt #
Date
APR 12 ,
1990
OFFICE USE ONLY
Occupancy - FEES
Zoning -
IAauaq Const - Bldg. Permit 25.00
(Allowable) - Surcharge .50
8 oi Stories -
Length _ Plan Review
Oepih - SAQ City
S.F. To1al
SAC, MCWCC
S.F. Foolprints _
On Site Sewage _ 'Nater Conn
On Site Well - Waler Meler
MWCCSyslem _
Ciry Waler _ Acct. Deposit
PRV Fequired - S/W Permit
Boosfer Pump - $1W Surcharge
Treatment PI
APPHOVALS Road Unit
Planner - park Ded.
Council
BIdg.Off. _ Copies
Vanante - TOTAL 25.50
This requesl void ? ?,/ 7??
18 mpn[hs twm J
-M 095232
L. /';i,9 5: '6,LQp,L
` b S 73
Req t Dale _
? X?
U Fire No. Roueh-in Inspeclian
Reqmr i
E]Peady Now 'r i Notifv. Insoec-
?or Wh
P
d
O
es No en
ea
y
QTcensed EleChical ConVactor I hereby request inspection ol ebove
? Owner elecfrical work installed at?
Sueet AdJress, B,ox?or Rmte
? Cit
ecbon o. Towrehio Naor No. Range o. Co?
Ocq m( INTIA/ I / )
IV C) ? Phone No.
J
Powe upplier Atldr255
ElecVical CoMractor (COmpany Name)
T C,ntrector's License No.
Mailing?tlJress C t
Makinglnstailationl
1 Y?40 PEiN?.?pL'K LAN-E
_ },yF? HiSi u ell4pn7)ecl'QrfQ?yng{?jei?4nstallationl
?++1? S 1V11V :J 1 Phone Number
MINNESOTA STATE BOAPD OF ELECTNICITY THIS INSPECTION REQUEST WIIL NOT
Grie9s•Midway Bldg. - floam N•791 BE ACCEPTED BY THE STATE BOARU
7821 UniversitY Ave., St. Peul, MN 65104 UNLESS PROPEH INSPECTION FEE IS
Phone (612) 287.2117 ENCLOSEO.
2.eL REQUEST FOR ELECTRICAL INSPECTION „ es-oowi-oa
' See instruetions tor completing this torm on beck of Yellow copy. /6573
p X" -Below Work Covered by This Request
!'.@eu. Tyne oi Builtlinu 1 Aoclianees Wired Equipment Wirea i
P,X
EleCtriC
ce
k Pee ServlceEntrenceSile # Fee FenEers/Subfexders k ee Circuita
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
bove 200 qinps 31 to 100 qmps 31 to 100 q S
?A
mmin Pool Above 700_Amps Above 100_Am s
nsiormers irn ation Booms ? Partial.'Other Fee
Signs Special Inspection ?'71 i---
Nem»rks J" TOTAL ( FEE
I, Ne Ele'ciricaY-
Inspectoq hereby
wrtitv thet ihe above
insoection hes been
matle.
Thia requestvold
11 ?O??O 2000 BUILDING PERMIT APPLICATION (RESIDEN L) OI
?f cirv oF Er?caN
3830 PILOT KNOB RD - 55122 U?
851-681•4875
NewConsfiucMonReaulremenls Remotlel/ReoairReau?lemeolfcAl{tA 414I00V
r s reyisferea siro wryeys uwwlnfl xq. n. a ior, sa. a. a nou:e a coaies a Wan ?i fLhSC I Y
antl ? rooled areas fanY. ma+cimum bt covemae ?lowetll 1 set ol eneryy calculaHons for heated a Hau
> 2 coples ot plans (ahow beam 8 wlndow sizes; poured 1nd. deaign; et(-) 1 aite wrvey tor exleAOr adtli8ons 8 decks Q
> 1 set a energy calculanons
> 7 coples of hee preaenatlon plan If lot plaltad afler 7/I/93
DATE:
CONSTRUCTION COST: Iv, 175 G?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ro? _ BLOCK: S SUBD./P.I.D. #: ?-place SO
Name:_ (J /Yl i TAmL'S Phone #: 6
PROPERTY Lcmt First
OWNER
Sheet Address: aj?, 4/? 7 ?L4jGOn
Ciy T? 14?`?{9-V11 State: M/t/ L ?2,
. Company:? / Phone q: CS 1 ZI'?lv - Sy 7 9
(area code)
COMRACTOR
streer naaress: ???C?60 111.)n/9cZ?;?L12 ucensew?n?
city state: ?/1) zip:
ARCHITECT/
ENGINEER
Telephone #: (
Name:
Sheef Address: RegishaNOn M:
CNy
Sfate:
Sewer/water licensed plumber (if insWllina sawer/water): Phone #:
Zip:
' cortect, and agree to comply with an apptlcable State
I hereby acknowledge Ihal I have read Ihis applicafion, afate that ihe MfortT//'7'62W
of Minnesota Stalufes and City of Eagan Ordfnances.
? Signature o( Applicant -/
FICE USE ONLY
OF
Certificates of Survey Received _ Yes _ No
r -
Tree Preservation Plan Received _ Yes - No - Not Required i?PR ' 4 `
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10.plex
? 06 04-plex ? 12 12-plexT
wq?xK nrPe
.?C 31 New ? 36
O 32 Addition ? 37
? 33 Alteration ? 38
? 34 Repair ? 42
GENERAL INFORMATION
D
[
[
[
SAC Code O i
No. of Units U
No. of Buildings 1
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
p 13 16-plex 0 21 Porch (3-sea.)
? 17 ge ? 22 Porch/Addn.(4-sea.)
p? 18 Dec O 23 Porch (screened)
? 79 ower Level ? 24 Storm Damage
Plbg _V or _ N O 25 Miscellaneous
? 20 Pool ? 30 Accessory B
Idq.
-
..,._.?. .
? _.
. .. .. ..
,. ..-.. ,.- _x X
x.
.. , x,?-x x x -?
CITY OF EAGAN CASHIER: JS
DATE: 04/05/00
TERMINAL NO: 996
TIME: 10:13:08
ID:
NAME: RANDY FISK
3210 9001 3644 FALCON WAY 60.00?
3430 9001 3644 FALCON WAY 0.50
2155 9001 3644 FALCON WAY 0.50
Total Receipt Amount: 61.00
MISCELlANEOUSINSPECTI CR125599
? Stucco/Stone USER ID : JAN
APPROVALS -**,t????1**:t,r******+*,t*,t*?*************??*
Planning Building u?G Engineering Variance
Permit Fee I A n. S G
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
Total:
Valuation:
,
? 31 Ext. Alt - Mutti
? 33 Ext. AR - SF
? 36 Muki
443
,
:
SAC Units
% SAC
? 2/8 4
?? ?
j
CITY Or EAGAN , . . . ..
APPLICATIv:7 FOR PE&MIT
SE:dER ijVC/OR WATER CONNECTIODI
(PLEASE PRIHi)
1) PnoD7?1^' acDR=.sS: 3co44 F, ICF,n II,a X
Ia f ,5 L-PX 'nn, oln r,
_
(I?0C,rdlcc.k/5!visicn or Ta:t r'arcei I.D. NL:.-er)
? i.?•:I?:'=:C,
, Dn I-'-z G:' C:vTGZ:ki, c`:ii=:G =-:,11:
-S
L'.??.'
u-SE: N P?l .SL'= :ew-L11T'J
? R-3 DU7e1.=r (T.'.O U:II':'S)
E3 R-3 TCr.;-r:rrTCr LNIT5) ? L1I7=^-;
? :.--4 : =:??'.z,.?/CC_T.Ci'?_; ??•1 ( ?^3I=?)
Q C:S?:C_S./RE"?T_?C::'T_^
? ???sr:.rL
? L';STI7„7 7C:1'?T./Guvt_:?=::
2) IPLE:.DE ?RiSiJ
?=•?= Frontier Midwest Homes Corporation
ADDR=`-S= 3908 Sibley Memorial H?vy. Bldg. E
C=, S'?'rT', ZIP: Eaqan. MN. 55122 -
F IHONE: 454-0433
3) FLL7,'BE71
?'=1A= Star Plumbinq (PLE:.SE rRINi) FOR CIiY ?JSE G,4LY
, FDC=iSS= 1018 Mound Sprinas T2T. PLU
'BERS IIC;sSE:
= Acti
CIiI, ST.-,'^', ZIP:
Bloomir,qton, MN. 55420 ve
E= Expired
PHGVEc M^?'z ^
884-4149 PLU9BER LICENsE N 3329 L I Hot af Record
' ?rr ;Sni;ia!
?I u_.?::r!+i:l/l,`::P:u2 ? lr?c?ac rntrll
r:??: e a , 6
ADDRESS:
CI':"!, STi:T.?,', ZIP:
PI:O"IE: ?sE117 ??.???
5) Ii1DZC?,it. ;•IHICii PERi?iIT IS BEItiC REQUESTID;
? CCCNELTIOV To CITY SE?•. Please mail gold copy to
xy CCP N, .ZGy 'IO CITY G]ATEit Wenzel Mechanical
3600 Kennebec Dr.
El (PLE.'?-- D°CC'TPE) Eaqan, MN. 55122
o) l::uitic.-: o:W:
7) SIC,:,1L ,?E:
? PI: ?SE E?OID r1PP: C'VED PEP.+ST FO:t PICi:-UP BY ONE OF AF,G'VE
APPDOG'c'M PE':?,IT 'PJ 1. 2 3, 4?r.
(Ci? _e cne)
d
DA'Iy:
F 0 R C I T Y U S E O N L Y
Pca`-!IT y TSSUED
P°_ES: $ /? ST
S /O ,S C?
$
$
$ % -S P-G
$ ti
S SG?'. C_z
S `E
S
S
$
$
S
CFi17 c.c Dr.?t1Tm 7•--?^ n. Dl"c. D?-^
_ - II_I\.?,::.-
WAT°R. PER^lT_T (INCL-,:DE. SuRC::AIRGZ)
WATr^Z METER/COPFERfi02P1/OC;TSI0E REi-eDE3
WAT_-R TAP (Ii1Ci?DE CORPORATiQ:I STOP)
S-i•rEB T.`,P
--_??'i:::_ ?__?•S?_ - 0_..=3
ACCGJ:IT D`:?^SIT - i•i`r.TE3
waC
sItc
TRuVK t•7AT°R ASJGSS(:'`"::T
TRu::i: Sc:'iER ASSzSs::EJiT
L:-.TE?.M,L BEivE?IT/T3li?tK SE:,i: ^
L:y:c.R.'-.L BEVr.FIT/TP.UtiR I•:AT°_R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTA L
Ati'.OL":T PAIDjREC:iPT n ?
DOES liTirITY CONNECTZON REQUIP,E EXCaVATION IN PU6LiC RIGcIT OF WAY?
? Y?5 IF YES, THEN n"PERM1IIT FOR `ROBK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TY.E
? NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SliEJ£CT TO THE FOLLONING CONDITIONS:
APPROVED BY:
o?
TI::,c: '
DAT°_ :
e?a o.re a?s? .. ??. o.? ac ? sa ?is e?.s ua ? w m-?v o? rs ?ts ?te s+ ?a ia ss? nt.? wE ? s?a ?? w a ot? ma mra o. e
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PILOT KNOB RD • 55122
651-681-4675
New Construction Reauiremenfs
? 3 reglsfered sNe surveys showing sq. R. of lot, sq. R. of house
and all rooted areas (20% maximum loi coveraae allowed)
> 2 copies ot plans (show beam 3 window sizes; poured fnd. design; etc.)
1 set of energy calculatlons
> 3 copies of hee preservafion plan H lot plaFted aMer 7/1/93
DATE: S-a 7- J 1
DESCRIPTION OF I
STREEi ADDRESS:
LOT: I ?2- BLOCK: C5 SUBD./P.I.D. #:
Remodel/Reoalr RequIremeMs
2 copies ot plan
7 sef ot energy calculatfons for heatetl addklons
1.sMe survey tor exfertor addffions 8 decks
CONSTRUCTION COST:
Name: ?mVlSwlv( Phone#: 9 2`-'9'
PROPERTY Last First
OWNER ? ^G r^ n
Streef Address: -'
S?> z?
City State: Zip:
Company: Phone #: I a ?? ??? y 3
CONTRACTOR
ARCHITECT/
Ehvifv'cER Company:.
cusroM coNCFPrs coNSraucrioN
Street Address: 1500 E. CLIFF Rn
BURNSVILLE, MN 55337
City State:
Telephone #: area code (
Street
City
Sewer 8 water Ifcensed plumber (reguired for new constroctfon oniv):
(area code)
License # all `laL? ? 7Exp
-yco6
Zip:
Name:
Registration
State: Zip:
Penalty applles when address change and lot change Is requested once permit is issued.
I hereby acknowledge that I have read this applicatlon, state thaf the information Is corte t nd ree to comply with all applicable
Stafe of Minnesola Statutes and City of Ecgan Ordinances.
Signature of Appl(cant:
OFFICE USE ONLY REC?'?+ IVED
Certificates of Survey Received _ Yes _ No MAY 2 5 lggg
Tree Preservation Plan Received - Yes _ No _ Not Required $y;
11104
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMZLY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
F,RE10 ?/J c- C
To Be Used For:
Valuation: y45?x 00 Date
Site Address ,?6 `??/ AZAGC'nRJ wA,?
Lot IZ Block ?
Parcel/Sub 4-'k (p,?
Owner qMmES .1- PLI41
?rtSOn?
Address 3(cyq F At COaI k/&?
City/Zip Code CAGFln.) 2 2
Phone y.q ?'?y?3
Contractor /t/u-S7&?S by ?RZYxA?1?a?C
Addxess i 9 ZO Gr/ 7G " ..S`T
City/Zip Code 4cNFiccQ sSY?3
Phone S 9S.11.l- 33
Arch./Engr.
Address
City/Zip Code
L ?Z
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit ?
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
')WCC System Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council
Bldg. Off.
Variance
Phone #
? • {
1985 BUILDING PERNIT APPLICA?IOIf - CITY OF EAGAN
NOTE: ALL CONTRBCTORS MUST BE LICENSED HITH THE CITY OF EAGAN
f4 ?e-rFoep
COl1IERCI9L SINGLE FAlIILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT'URAL PLANS, 1 SET OF 3 CERTIFZCATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS -
$2,000 LANDSCAPE BOND
5{0, o00
To Be Used For: Single Family Valuation:-64T400" Date: 1-29-86
Site Address 3644 Falcon Way
Lot 12 Block 5
Parcel/SUb Lexington Place South
Owner James & Heidi Nelson
Address 4422 Cinnamin Ridge Circle
City/Zip Code Burnsville, NIN 55337
Phone 890-4311
Contractor Frontier Midwest Homes
Address 3908 Sibley Memorial HwY. 1tE
City/Zip Code lagan, NIN 55122
Phone 454-0433
Arch,/Engr. Richard Charlier
Address 14103 Gardenveiw Ct.
City/Zip Code Apple Valley MN 55124
Phone IF 432-5492
Hrect X
Remodel ^
Repair
Addition '
Move ?
Demolish ?
Int.Impr. '
Install ?
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off/-3 - Treatment P1
APC Parks
Variance Copies
TOT9L
?L
?
IA V-44, -0 CTCPti*I3 C7e `y dCarfJ• Page 1 0` 4
' .?.•?--
- ?ni'??,tIOR E!iVELOPE A'Y;F'.i?Gt "11
" ?::Oh1i`iliT10(1 ??
f"$f?srT'
_ ..
owr qER:
SITE A:,DR ESS: Pf101JE:
CON7RACTO R: ???T%M
Determine working square rncta??e of each
1. Total exposed wall area..... 1,84;Z ? sq . f L. x.11
2. Total roof/ceiling area..... 4050 _sq . ft. x,p?6
Total exposed wall arca abov(, fli )or=-??
a. Total wall window area......................... .. ....
' Total door area .......:..
... -
c.
Total .......
.
...........
sliding glass door area,.,,,,,
.............
? q.
"
d.
Total ,,
.........
fireplace wall area .......
............... ??
...
e.
Total .........
......
walt fra
ming area (average lOYY) .......
.
...............
... ?.
4
-
f.
Total .
.
rim joist area ......... .....
"""
""__??1? 7?
•
et .... . . . . . .
. .
.. . ..
?vall area above floor
?
`F .
. .
... .........
..
• 12 _.5
h.
? .
.
. ...........
.
wall area above floor .................
.... ..........
... _? ?•
-
?• .
.
wall area above floor ........ ............... ...
J. .........
..
frame wa11 area at fnundation .................
...............
...............
...
...
Total exposed foundation area=__?
k. Total foundation window area......
l.
Total ...
net foundation area above
grade ..........
....
Determine "u" value of each wall
(e
wind
d segment
.g.
ow,
oor, each separ(ite wall section)
X 'U„
-,3J:t
=3?ePo__-
b•_ . 1? X "U"_ '45 - 1
--7-
y litill , 4 5 -Z?.(er
-
d. -i ? X --
('Z'? ?
e.__?__?rj• L.?Z-. X "LI„ •G?--- ?' V?
T . _ I ? CD • ? X -
9 •_ .I,'72 X
-=----
-
??
h. x U
_
1. X
j. X liuii
k .??.. X„u„ If item q3 is the same
as, or less than item;
l. ??. -r ,t, K„??„
? S c?
= i• ?
? #1, you have met;:flie'i;?'
i
_
__ j9 ntent of SBC
6
0
)
?
(
..
0
c.
6•
„
3.
.......
..........................Total
= (rQ ? ? .
,
,:,., . ..
y,.?.??'xCc,r:or Envolope Tworn(je "U" Crnnj)ul-ai:i.on Ptige 2 0f 4 ,
Totul expo:icd roct/coiling nrca = ???
m. 'lbtul skylic,ht area ............................ ?? ..
n. Tota], roof/cciling fia:ning area (avcraye 102)... ? ..
o. Tota" net insulatc3 roof/cei.lirg .irea........... -s-?-?-
Uctermine "U" value for each roof/cciiing segrienL-
m. " g uUn
n. 1: „u,l
?. 1-?--
o. 77 '1' Mx oUn .4 ........................... Zbtal c.
If total oi 1,9 is the same as, or less t.nZn ;t2, you have met the intent of 5riC 6CQ6 (c) 1.
A1Ceniate IIuildinq E:rveJ.ope Desiryn
ib utilize the total envelope'systen method, the values establishecl by the s:tm of
i.tems 0 and #9 shall not be greater L-han the siun oI items i!1 and It2,
1. .2.04, 2. ?w Z: 9 DIS = ? . 1 . .
3. _ ._. ? ?O 1. ??-- ± 9 . ? /• 1 ? _ _, 1 ? ? (r?
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;ti,
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R . ll::r.1jl::?,?,?1 IIP' U,1?1 1Jl
ftrim-: c<,n:,tru ci lun
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YIG. h] TOYVIESJ OF
, . F1Wlli 14AL1.
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FIG. 02 tir:.-al
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r•rxa ,r• /ce,.Li:ac
Constrtiction A-Va1uc
2. Int:crior air filn . 0.G1
2. 3r(-, -f
3. IAISUL. ' Qq•ap
4. Extcri.or air filn (seill)- 0. 61
y Tota-. 2 4sgo
=n=ed
Eea[ flocs
yP
ric. os? '
1. Znterior air film 0.61 .
2.
3• ??? ` r?(SuL 38.35
4.
Totat 2. ? 0. ?s
Coa9r/Z '?CTi mr` . '
? 1_ Inuide air filin 0.61
2_ 3- . , .
' 4-
S. Outsidc . ir. fil:n U. 17
Total
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i Ycc[ flov up - ?"vesstrd
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1. Tnsidc air filin 0:61
2.
3. . . .
4.
5. Cutsidc air fil:n 0. 17
--- Tota1
I. Ynside air film .
0.61
Z_ .
3_ " •
4_
5. CUt.idc oi.r film 0.17
2ota1
1VOtc: UsQ additional sheets if morc rpaco i:
needecl foz cletails and calcu'_atians.
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OP EAGAN
?? 3830 PILOT KNOB RD - 55122
651-681-4675 ?
New Construc{io_n Reavirements
? 3 regisiered sBe surveys showing sq. tt. of lot, sq. k. of house
and all rooled areas (207. maxlmum IoT coveraae allowed)
i 2 coples ol plans (show beam 8 window sizes; poured tnd. desfgn; efc.)
1 sef of energy calculations
i 3 coples of tree preservafion plan If lot platfed affer 7/1/93
Remodel/Reoair Reaulrements
I (4 -4?
2 copfes of plan
1 sef of energy calculations tor heated addMions
1 sNe survey for exterfor addkions 6 decks
DATE: I-9 -cI 1 CONSTRUCTION COST: ?-)Z) C:'C'`
DESCRIPTION OF WORK: A
STREETADDRESS: -)lc44
LOT: l a BLOCK: S SUBD./P.I.D. #: vt?M7Vl 1' IC-C n S-Z 1,IL
Name: Phone#: 6751 -o(v-92%
PROPERTY tast First
OWNER
Street Address:
Cify f r? a? State: nl Zip: SS1 7-E
Custom Concepts Construction, Inc. ?
Company: 1 FOO ? Gllff Ro- Phone #: Ci? I 2 ? c'?- ?? y?
Burnsville, MN 55337 (area code)
CONTRACTOR 612-7Q7-9943 z°'`j Z`i 17 '?OC'
Street Address: Ltcense # Exp.
m c 0142417
Ctty
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City
SewPr & water licensed plumber (reauired for new constructlon oniv):
State:
Zip:
Zip:
Penaly opplies when address change and lot change is requesfed once permit is Issued.
1 hereby acknowledge ihat 1 have read this appllcatfon, state that the informatlon Is correct, and agree to comply with all applicable
State of Minnesofa Statu}es and CMy of Eagan Ordtnances.
Signature of Applicant:
/ / ` ^ ??? ? f ? •?ti ? ?_..
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 3,:' ? J
Tree Preservation Plan Received _ Yes _ No _ Not Required i,^
!?
SIGMA
SURVEYING
SERVICES
3908 Sibley Memorial Highway
S Eagan, Minnesota 55122
Phone: (612) 452-3077
/
/
0 GALE: 1":4o i .,?. Y? , ..
P •; .. ,
?" a•! .: ?4 +
i! Q' n
fosi?
M0 02 L: Naft1pocz P
2S?\\\
0
LoT !3
0
,
z
OUSE UERTIFICATE fOR:
? HoMC nwLneAs
? uNOOCV[Lorcas
W uT«+s
?....
(TI?ER COAAPANtES
i..OT i i
? 5 63,
i A
R ?
? 1.0T 12 .
\
? D?ZtaINAc-,E
?S?o.. ? jFIJT?LI'f'( ( ( i0
? p,S•s ? ?6r?M'T ? J1
?OT !114 h? ? o U
°
.
? t I I, N
?` 0 „?ES .. u„?'?.. /
...........0
? WAYNED.':?'% /
CORDES : =
- 94675 - :;,._
_LEGEND'
O Lenotes Iron Monumnt
° Genotes M'oai Hub Set
x903b Lenofes Existirg Spot Elevation
=N) Llerwtes Proposad Spot Elevaficn
?--- - Denotes Drainage Directian
-PRa'ER7Y LESCRIPfIpJ-
LOT 12 BLGCK 5'
L"I NC-TfON pl.taG E 5qJ'(14
accordirg fo the reccrdEd plat thereof,
DGK,g?Tla Camty, Minnesota
PROPOSED GARAGf FLOOR ELEVATION= 1101)-6
PROPOSEO Top of Block fLEVATION=
PROPOSED BASEMENT FLDOR ELEVATION=9v?, 1.
NOTE: Verify all floor heights with Final House Plans.
GRS CFRTIFIC4TILNI-
1 Ypreby certrfy thal thrs survey, plan or report
was prepared by me or urder my dirxt supervisicn
aM thal ! am a duly Registered Lard Surveyar
urder the laws of?the State of winnesota.
_ !.t?c?^?. A`- `? /°rSS:z-- Date: YL718(0
Wayne 9 Lordes, Minn. Reg. No. 14575
s
siGnnsa
AE SERVICE8
? 2-3077
/
/
Lo
GALE; I"-q.p'
,
?
'?.
? .?
7 2s? \ ?
/
.?,.
;
suAVevIn?G
3908 Sibiey Memorial Highway
Eagan. Minnesota 55122
Phone: (612) 45
- END -
0 fknotes lrcn Monument
° tknotes Woed Hub Set
USE I,ERTIFICATE 0-F R;
imllh? ,,:,ME IWILO?,"5
_ IANODfv[MPEqS
?? F* u rOPs
?
rIIF-MER COMPANIES
MOor L: N4A-(F-6„ p
? OT
? „
S6
30
?6'
j7
\ a•
\ \'a,? x896.0
" 6j NAHE
D Ew
u'f i Lrf7
. OS,? \ psr,,,?
it
?
?l
LD'? ' 4
,
?
?
??N?ts?p.?,o,,,, /
WAYNE D.'':*', /
CORDES
- 14675 - .:_ ;
K903$ 1enotes Exisiirg Spot flevation
(xS°j?qw) 0enotes Proposct9 Spot flevation
?---Denotes Drainage D)rectiai
-Pf#7ERIY LESCRIPfIQN-
LOl J2 , gLaK S
L?XINC-f{ON FnACG' GVOU'fFf
acrordirg to the recorded p/ai lhereof,
County, Uirviesota
'3
t
N?
0?0
?
.
PROPOSED GARAGE FLDOR fLEVA7lON= Oq '*.b
PRDPOSfD Top of 81ock ELEVATION= 41104:1
PROPOSfO BASfYENT FLOOR ELEVAT lON= q 01. i
NOTf: Verify all flaor heights with Firyl Hacse Plans.
AVM CERT I FICAT IlXV -
1 hereDy certify thst ihrs survey, plan or repori
wes prepared by me or under my direct supervisiai
ard thal I am a duly Reqisfered Lard Surveyor
uMer the faws of fhe State of Yinnpsota.
IL 1L7 (/
.t^i'' f.l fe: l8?o
M'ay? 6} Da 4inn. Reg. No. 14675
Cit of Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 10 20%
Use BLUE or BLACK Ink
For Office Use J
Permit #: t lhq1
Permit Fee: 1P0:-4
Date Received: 3 I ib I i ti
Staff:
L
2014 RESIDENTIAL/ PLUMBING PERMIT APPLICATION G
Date: 3-6,,, /-�^ Site Address: 3 4/ or�J (�rC3 .64.
Tenant: , ./ i49'1i
Resident/Owner
Type of Work
Permit Type
J
Suite #:
Name: j,41A4; Gsj i t ( Phone: �% -7' 3/L
Address / City / Zip: .76 Yf ffr /4 Iy £1111 NA> 5'97m
Name: ,r a• y 1:211-4141 L4145 License #: 1' 1pl C>tobg
Address: % 1 �y - CZ P Lc?b K City: Frb4 LA$T?mt.)
State: j14.." Zip: ___5-35"V3, Phone: ?5'2 y -
Contact: itehesi Email:
_ New °Replacement _ Repair
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / — PVB)
Septic System
X New W SPP r Pei
Abandonment
Rebuild Modify Space _ Work in R.O.W.
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 p
x 6 4 y .t'wNn K s L.l // I if Ass
Applicant's Pfinted Name
ature
FOR OFFICE USE
Required Inspections: Under Ground Rough -In Air Test Gas Test
Meter Related Items: Meter Size Radio Read Staff
Reviewed By: Date:
Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171817
Date Issued:09/02/2021
Permit Category:ePermit
Site Address: 3644 Falcon Way
Lot:12 Block: 5 Addition: Lexington Place South
PID:10-45060-05-120
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 -
James R Smith
3644 Falcon Way
Saint Paul MN 55123--222
(651) 707-3108
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171960
Date Issued:09/09/2021
Permit Category:ePermit
Site Address: 3644 Falcon Way
Lot:12 Block: 5 Addition: Lexington Place South
PID:10-45060-05-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Skylight
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
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 -
James R Smith
3644 Falcon Way
Saint Paul MN 55123--222
(651) 707-3108
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature