3647 Falcon Way
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT RKeipt
To Oe u"d fVr rCSt. VOlIJQ DntP .:7 ur
Site Addreaa ^ c, " '7 ?VA`l
Lot Block •+ ?/Sub. L -=X ?'?
Parcel No.
5 n,we . .-, MIDWLS?,
Z Address
? City Phone "'
?O Name _
?? Address
F rtr„
Phone
Cie Name ? T F,l2
tW
I? Address
u
Z. City Phone '
I here6y xknowladye rhat I hove read this opplication and stote thof
ihe inlormotion is torrett ond ogree to tomply with oll applicuble
State of Minnesata Statutes and CitX: of Eogan Ordinances:
?..
Sipnoturo of Permittee
H Bulldiny Permit Is lssued to:
all worlc shall be done in occordonce with oll appliooble State of Mii
Buildinp Official
' 40894
4 ,e 5
Erect 0 Occupancy
Remodel ? Zoning
Repair ? Type of Conat. V
Addition ? Na. Stories
Move ? Length ? Z
Demolish ? pepth ,. ,
Int Impr. ? Sq, Ft.
Install ?
ApProvats Foes
Assessmenf Permlt
y
Wofer & Sew. Surcharge
Police Plan Review
Fire SAC ' • ??
Eny. Water Conn.
Pionne. wacer Meter
Council Road Unit
Bldg. Off. Tr. PI. t) ?!
APC Perks
Var. Date Copiea
Total -? • ' ? `< : U '
. . ' on tM exprcss Condition Ihot
?ewta Stotutes ond City of Eopon Ordinonces. ,?
Posmk No. Pwmit Hdda Date Tslephons #
Plumblrq 27e /
H.VA.C. ys a r
Ebeaic S ? ?dI S 0
Soitawr IT ? . ?
L/1JL y `????":
.f ? L• ? 3--(.- , <° <
Irspection D#te Insp. Othar
Footlnys I
Footlnya 11
Foundatlon s u; ?
Framing ?
Roofin9 11J?
Rou9h Plbp.
Rough Ntg.
Insul.
Finplaee
Flnel Mtg.
Finel Plby ,Fu
Final
CfK/OCC. LCf
Water Dosaibe Location:
Well
*r
lsp.
rD
ON
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ; „ i ,
t i t;i ? ri im Y
(! : 1 IdI, 1 iitJ (` 1 Al I .
? PERMIT SUBTYPE:
j I I ; t; ( PI AI t
PERMIT TYPE• t''" "`'
Permit Number: . a? . I it `` S
Date Issued: 43 ' ? / ' 19 ' `' '
Ht?, r M- , APPLICANT:
,:: (, F r, i'111 1i1,11E10f.
(61.' ) i{ 1)S"t 0f!i fi
TYPE OF WORK:
N[ 1J
F
IL
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Date Insp. Commsnta
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
F?replace
Fnal Htg.
Orsat Test
Flnat Ptbg. Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
weu
Pr. Disp.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: ' APPLICANT:
i???: ? ?i?ucA: e
PERMIT SUBTYPE: TYPE OF WORK:
? ? : ? ? ; . ?,;: ;<c?uF/utii ??:f?J<,<<?r;t?
INSPECTION .. . D,
.,. , ,;
? Akk. •. :RF k0u r aMD Ir I 1-i I i iI r ts nuU rO '. <<,1la 0 l1MAfiF'
?
?
?
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
[
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
•
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI: PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
7EST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FiNAL
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
rttl I I [e I NH
0r'?NC;7
0'/.?J9h
APPLICANT: .
, ? ,???t ? ? ??i??i?? ? ? td,?
TYPE OF 1NORK:
INSPTR . . ?
.
i?: ? ? + ? ? f ??t? ? i;f1111KtsiIM !
' SITE ADDRESS: ? , (, j .,.
. . . 1:; ? ?I H I.lAY
I ?, i rd"I'm r• t iif I .
?- -
Permit No. Permit Holder Oate Telephone M
ELECTFIC goo/?
PLUM8ING
HVAC
Inspeetion Date Insp. Comments
FOO7INGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL3G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL
I
I
?
CITY OF EAGAN :WATER SERVICE PERMIT
3834 ?ilot•lCnob Road
P. Q. Box 21799 PERMIT NO.:
Eagan, MN 55121 D^TE: -
Zoni^g: No. of Units: 1
? pwner ?•ont er ?s, ; wp? v s
1 Addroas: - -
? S1ft /lddresc
Pfumber: _
Metar No.
Size:
Reodsr o.•
1 aorN eo eoepy wNb eM Ciy of Eeyee
Ordiwam"s,
ey
4 Date of Insp.:
CITY OF EAGAN
3E30 Pilot Knob Rvad
P. O. Box 21199
Eagan, MN 55121
Zonirg:
ConnecFian G?oryge: '' jv. '.uUG
Attount Deposit: 1 oop?
Pertnit Fee: ? ;• :?':
Surchorge:
MFsc. Chorges: _ , - , .
Total: °r
Date Paid:
SfWER SERI/ICE PEItMIT
PERMIT NO.:
DATE:
No. of Units:
dwnsr. _ r arurr: t. i Aa 1klld s t
Address
Site Address: -• r - FjaA'-m 3 T - -
Plumber. _,1-_nr '' ? i ?r;?hir?.?3e2?r ? ; •?c?c-i?a.-t'. - -
I Nne to eaupbr wNr tie Ci1p of ia,em
OrJlMeoa.
ConnlCtlon Charys: ;f'f-)r;
ACOOUM DepDSit:
Permit Fee:
By
Date of Insp.:
Surchorye; ^
Misc. CMryes:
Total:
Qoft PaJd.
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 7 Blk 4
3647 Falcon Way
Owner 5treet
MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ,ep 3 6 Z 5, ?Zy 1,fs9 S' eo ??J!'lp? ?/???(o
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 247-64 16.51 • f 3 ``.;L '
SEWER LATERAL 1011 1986 1631.00 326.20 11,90 C O/ 3 7 1.2 -
Services Ol 1986 729.39 14,5.87 6'83.52 Co ?l-3-73 /.2 -?
WATERMAIPJ 1985 65 . 81 13.15 • 4S / 6'-2 -
WATERLATERAL 101 1986 $73.43 ? 174.68 S coi/ 3 3 /" -;-- a
WATER AREA 243 7 , 48.74 Cd 11.3 7 3 /2?5-k S-
WAT LAT BEN 101 1986 111.9 ? 22.39 q$ fD11 313 12-,f
STORMSEWTRK 101 1986 426.54 • .85.30 S Co 373
STORMSEW LAT 1016 1986 803.34 1U . 66 5 (p .?,.(o 4rv /i37,3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, n u
BUILDING PER.
SAC 529 - 00
PARK
RESIDENTIAL
r BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PIlOT KNOB RD - 55122
651-681-4675
New Consfruction ReauiremeMs
• 3 registered sRe surveys shaxing sq, fl of bt sq. fl of house; anll roofed areas
(20% ma)imum bt coverage albwed)
• 2 copies of plan showing beam 8 window sZes; poured found design, etc.)
• t set of Energy Calculations
• 3mpiesotTreePreservationPlanifbtplattedafter7l1193
. Rim Joist Detail Options selech? sheet (bldgywiHi 3 or less unils)
DATE L
JOB SITE ADDRil
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF WOitiC_
APPLICANT
ADDRESS ?v
PAGER #
? 171, 1?
FlRE°lACE(S)
NEW RESIDENTIAL BUILDING ONLY- PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submittetl
MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
Plumbing System Inclades: ? Waier Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
? No. of Baths
Mechanica! Contrattor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
- Updated 7/01
RemodellReoatr Reauiremen6
. 2 copies of plan
. 7 set of Energy CaIwlaUons for heated additions
• 1 site survey for exieriw additiore 8 decks
. IrMcate if twme served 6y sepGc system for additions
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121
PHONE: 454-8100
BUtLDING PERMIT
SF
$56,000
Reuipt ;Ik
!`,,,e SEPTEMBER 4
SiteAddreas 3647 FALCON WAY
Lot 7 el«k 4 Sec/Sun. LEX PL SO
Parcel No.
W Name FRONTIER MIDWEST HOMES
Z Address 3908 SIB MEM HWY #E
? c;ty EAGAN Pno„a 454-0433
? Name _
s? Address
1?- Citv
Phone
?w Name RICHARD CHARLIER
x? Address 14103 GARDENVIEW CT
?W city A.V. Phone 432-5492
I hereby ackrwwledge fhot I hove read this opvlicotion r[d sra
fhe inlormotion is corrett and.-ogree to ompl wif qq app
State oi Minnewto Statut s and C9 on O, nce
SiOnoture of Permitle
A euuding Permir is issued ro: FRONTIER M DI E
oll work shall 6e dwne in occordonce with cfe
Buildinp Officiol ll p i le Sta ? 1 y
85
EreCt IR Occupency R3
Remodel ? Zoning RZ
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 48
Demolish ? Depth 36
Int Impr. ? Sq, Ft,
Ins[all ?
AnOrorals Feea
Assessment P¢rmit +S 301.?4
Woter & Sew. Surcharge 28 - ?0
Polica Plan Ravlew 1 5n _ S0
Fire S,4C 525.00
Enq. WaterConn. 500.00
Planner Waterneeter 63.00
Council Road Unit 280, ? 0
BIdg.Off. 9/3/$S Tt.PL 132.00
APC Parks
Var. Date Copies
rotai 51,979.50
)MES on tha express condifian thoi
kota Statutes and City of Eapan Ordinames.
W- 10894
? ? ?????
0
j1 l
? 1?54&,2
Reques D e
? Fire No. ough-In I 'on Requiretl
(YOU u t call Inspecto? hen reatly)
? Inspedion Ot her Than ugh-In
? qeatly Now 'ill Notity Nspecror
e Yes
No pate Read
Iklicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (Slreet, B. or F ute o) City
3,!; y 7
Seclion No. Township Name or No. Range No. County (
% U
Occu¢ant
(
) PhoneNq.??`
e
u
1J ?
B
Pawer Supplier Address
4
ElecMCal Con?rector (COm??pany N )
-
D
l ConVactor's License No
c?o?-rc 7
,,
.
o ?
?
Maili (Cpmhecto
-
711
1
7
Authonzed ' aWre Co ractor/Owner M Installation)
,'.?? Phone Number
77 3 -9?i'3/
MINNESOTA STATE BOApD OF ELECTRICITY THIS INSPECTION REQUEST WILL NDT
Griggs-Midway Bldg. - Room 5-028
1821 UnivereiTy Fve., S1. Paul, MN 55104
1 BE ACCEPTED BY THE STATE 80ARO
l1NLE58 PFOPER INSPECTIDN FEE IS
PM1One f6121 642-0800 ENCLORFD.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
10. See insimctions br cvmpleling this farm on back of yellow copy.
-"X" Be/ow Work Covgred by This Request oti.
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
I Apt. Building Dryer Loatl Management
Commllndushial Fumace Other (S ecify)
Farm Air Conditioner
Othee (spedty) Comraclor's iiemaMW'
f
Compute Inspection Fee Below: NGw ??''"l?/ ?? ,-•c - F7w. ??'+
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 Amps 90 Amps
SI f1S InspeIXOr s Use Only:
Irrigation Booms L1 D
Special Inspection ,
?
AIarm/Communication THIS INSTALLATION MAV BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS..
I, ihe Electrical Inspector, hereby
if
h
b Rough-in •? Date ?j
y that t
ceA
e a
ove inspection has
been made.
F'"ai
oa?e , ? .-
OFFICE USE ONLY . ?
This request void 18 momhs Irom
/ J
? ?01 15 9 ?'a8i 7
`a°
Request Oate
-? _ Fire No. Rough-in Inspection
flequiredP
GVes o NOTICE: Vou Must Call Eledrical Inspector
R A Rough-In Inspectian
IsRequiretl.
IAlicensed contrector ? owner here6y request inspection of above electrical work aC
Job Atltlress (SYreat, Box or Route No.) City
CN V 1
C-
Sedion No. Townsnip Name or Na. qange o. Gounty
?•v
Occup n?(PflINT)
l- Phone No.
L -o
PowerSUpPlier Atldress
Elearical Comractor (Company Name) ConUactorS License No.
?`1 ? ? • ? / O
Mailin??ess (Contracto? or Ow r Making Inslall ion?
ctiU? C
Authorized Sign ure (Contrac[odOwner Making Installalion)
n ? yI'J Plwne Number `/
MINNESOTA STATE BOARD OF ELECTHIpTY rf ? G
, THIS INSPECTION REQUEST WILL NOT
GrIggs-Midwey Bltlg. - floom S413 0
l/i BE ACCEPTEE) BV THE STATE BOARD
1821 Vniversily Ave., SL Paul, MN 55104
Phone (612) 692-0800
V?
''1 .QIaGEUNLE55 PROPER INSPECTION FEE IS
r? eNCLoseo
G
t
l
.
q/7/?
M ,01519
REQUEST FOR ELECTRICAL INSPECTION
I? See inshuclons toreompleting Ihis brm on back of yellow copy,
'X" Below Work Covered by This Request
e R R Type of Building AppliancesWirad EquipmentWiretl
: Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Indushial Furnace Other (Speciry)
Farm Air Condi[ioner
Other (specily) Contracmr5 RamaMS:
Compute Mspection Fee Below: IAv Z?u 9 Lt C?7 !'ve??
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool O l0 200 Amps 0 to 100 Amps
TfansfoRnefs AbOVe 20D _ Amps Above 100 _ Amps
Si9n5 Inspector5llse Onty: TOTAL
Irrigation Booms ,?, d? I
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouynm Date
certify that the above inspection has
been made. F;nai o e
_ W?3
OFFICE U3E ONLV
i
Thia raquest mitl 18 monihs from
B.? ,.OB
?a?/17
?
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number: Date Issued:
3647 FALCON WAY
LOT: 7 BLOCK: 4
LEXIN6TON pLACE S
P.S.N.: 10-45060-070-04
Cj•e0 53.?, l 9
BUILDING
027067
02/23/96
DESCRIPTION:
r^c„?. (BATHROOM)
f? btiild.ing Permit Type SF (MI3C.)
Buiidi??Work Type ALTERATION
Gensus Cnde 434 ALT. RESIDENTIAL
r
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. 5earch Fee
Total Fee
PERMIT
1
Z
i
VAI.UATION
$124.75
$3.50
$5.00
$133.25
t
fi
$7,000
CONTRACTOR: - Applicant - ST. LO5111NER:
G P& SON REMODELING 14261252 0001 88 STENSETH DAVE
12360 GOODVTEW AVE N 3647 FALCON WAY
WHITE BEAR IAKE MN 55110 EA6AN MN
(612) 426-1252 (612)687-0918
I heraby avkgowledge Ghat I have read Ghis application and state; that the.,
" i'nfiorma'tion is"correct and 'agree to camply with'all applicable State of Mn'
Statutes ancl Cit' of Eagan Ordinances.
?. _ . .' . ? ? .: »u
? -
APPLICANT/PERMITEE ATURE ISSUED Y:51 RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•=•N.: 10-45060-070-04 APTLICANT:
LOTc 7 BIOCK:
3647 FAICON WAY G P& SON REMODEIING
LEXINGTON PLACE S (612) 426-1252
PERMIT SUBTYPE: TYPE OF WORK:
BUILDING
027067
02/23/96
SF (MISC.) ALTERATION
OESCRIPTION (BATHROOM)
INSPECTION
FRAMING .. .
ROUGH SN PL ..
G
ROUGH IN HT FINAL
? __. _. . .
?
?
. ?
CITY OF EAGAN
14 0 Li 3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMiT APPLICATION (RESIDENTIAL)
681-4675
RemodeUReoafr Reauirements
? 3 registered ake surveys
? 2 wpies of plans (inGude beam & window sizes; poured fnd. design; etC.)
? 7 eneigy ealculationa
? 3 mpks of tree preservation plan M bt platted after 7/1/93
requhed: _ Yes _ No
oATE: a
- 7,17
DESCRIPTION OF WORK:
STREET ADDRESS:
CONSTRUCTION C05T: ? ? ?
LOT BLOCK L SUBD./P.I.D. #:
PROPERTY
OWNER
Name: 5?S? 0c"re--
wl, G?
Street Address.
City: State: yh"'` Zip:
CONTRACTOR Company: Phone #:
l
Street Address: 1 a-3??/Zr (E 'Ja-41 icense a
City: State:
ARCHITECT/ Company:
ENGINEER
Name:
Phone
V'), 6 -/?2 S-?
JZV14101f '
Zip: sS ?/ '?)
Registration #:
Street Address,
Ciry:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appticant:
OFFICE USE ON4Y
Certificates of Survey Received _ Yes
Tree Preservation Pian Received Yes
State: Zip:
Penalty applies when address change and lot
Phone #: z0ab') -0 ??°4)
? 2 copiea of plan
? 2 site surveys (exterior additions & decks)
? 1 energy ealculations for heated eddHions
No
No
the information is correct and agree t? mply with all
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
0 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ?
? 04 5F Porch ? 09 92-plex ? 14 Fireplace ?
? 05 SF Misc. a 10 _ plex o 15 Deck
WORK TYPE ? ('t'"°&I
0 31 New X 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
s
? n5s
p r , r,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actuaf) Basement sq. ft. MC/WS System
(Allowable) Main tevel sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of 5tories sq. ft. Booster Pump
Length sq.ft. Census Code.
Depth Footprint sq. ft. SAC Code ?
Census Bldg G
Census Unit a
APPROVALS
Pianning Building Engineering Variance
? Z?q
Permit Fee Valuation: $ ?
Surcharge
Pian Review
License
MClWS SAC
City SAC
Water Conn. ?
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge ?
Treatment PI.
Road Unit
Park Ded. '
Trails Ded. ?
Other
Copies
Total:
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan; Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45060-070-04
3647 FALCON WAY
LQ7a 7 BLOCKc 4
LEXINGTON PIACE SOUTH
PERMITTYPE: BUILpING
Permit Number: 033181
Date Issued: 0 9/ 0 8/ 9 8
DESCRIPTION:
REROOF/GUTTER/570RM
ermit Type STORM DAMAGE
b,rk Type REPflIR
16%°1. 434 ALT. RESIDENTIAL
?!? . `"nt"1[
a
-Iw
gcet
" ?. ». ?_. . v?. .._.....da
?
g f? ?a a u?., ?r ei
s R C reF
REMARKS:
REROOF AND RE-GUTTER DUE TO 5TORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - wppricant - sr. Lzc. OWNER:
CUSTOM CONCEPTS CONST 18957290 20142417 STENSEFTH SHEILA
16540 KENftICK LOOP/STE B 3647 FALCON WAY
LAKEVILLE MN 55044 EAGAN MN 55122
(612) 898-7290 (651)
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 9
New Construdion Reauirements RemodeUReoair Reauirements
? 3 registered sae surveys
? 2 copies of plans (inGude beam d window sizes; poured fnd. design; etc.)
? 1 energy wlcufations
? 3 copies of tree preservation plan if IM platted after 711193
reqvired: _ Yes _ No
DATE: C? - ? _Q C6
? 2 eopies ot plan
? 2 site suneys (exterior add'Ricns & decks)
• 1 energy wlculations for heated additions
CONSTRUCTION COST;
t a, (.9 oc)
DESCRIPTIO WORK:
S ET ADDRESS: .? m v» 6/77/2rn/ J'0d S,% 4-
LOT: BLOCK: SUBD./P.I.D. #: CL,-,e-
Name:_S-Vr-nS164NV" Phone
PROPERTY Lazt First
OWNER
Street Address: "n L A)'6?
CONTRACTOR
ARCHITECT/
ENGINEER
o ?
City ? h, State: Zip: 2 Z
Company: rr?sf<,srt P C. /U r_ Phone#: ??/ 9<- 72-5?v
StreetAddress: l(oG/?p 'L?en'rck Licensef!
City L q(L¢ v i( Lp State: ?/Vyv Zip: 7?5> Sd y`--f
Company: Phone #:
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction ony):
and tot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this applicaUon and state that the infortnation is correct and agree to compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Numher:
Date Issued:
?
BUILDING )
021853
08/30/93
SITE ADDRESS:
3647 FALCON WAY
LOT: 7 9LOCK: 4
IEXIN6TON PIAGE S
P.I.N.: 10-45060-070-04
DESCRIPTION:
1dirrqlPermit Type FIREPLACE
iid:inq 130,rk Type NEW
?.
,s
.,
?
REMARKS:
P7?..
Ily I , U'
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - APpliGant - sT. Lzc. OWNER:
HEAT-N-GLO FIREPLACES 18900758 0002960 STENSETH DAVID
3850 W HWY 13 3697 FALCON WAY
BURNSVILIE MN 55337 EACrAN MN 55123
(612) 890-0756 (612)687-0918
' I ktersby acknowladge that T havs read this appiteatioft and state that th:e
infarmation is eorreot and agree Go coir+ply with a11 applicable State of Mrt.
5tatutes and City af Eag#n prdirrances.
L .,. . ,..?
-nw,4 R 0ir'?
APPLICANT/PERMITEE SIGNATURE ISSUED BV: IATURE
INSPECTIO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITEADDRESS: LoT:
3647 FALCOM WAY
lE7CING"fON PIACE S
PERMIT SUBTYPE:
FIREPIACE
N RECORD
PERMITTYPE: BuxLpING
Permit Number: 021853
Date Issued: 0 8/ 3 0/ 9 3
7 BLOCK: q APPLICANT:
HEAT-N-GLO FIREPLAGES
(612) 890-0758
TYPE OF WORK:
NEW
?,?n r ? ri ?. ii;.; .•I'!!.?' .?.f>., I•i(.NI
iA h,. EII(1(IAiGk?
L ` I. 41'- .?' •di`fJt:'Fi gd:.?.J"1
f I'Y`Irlf?1:1VI .'Af:C .
I II 1? \ t pf: V ' d
fiV ti
r31! `. :; 6 1 d .;
REALTIYATE _
PERMII` ? ?
ki
CITY OF EAGAN ,
1993 BUILDING PERMIT APPLICATION
681-4675
.
$2-6 -?o
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
tn which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date g / a7/ ?-? Valuation of work 10, S?
Site Address: :??i ? i.?,A//?1 Q.(/1
STREET SUITE Y
Tenant Name: (commercial only)
IAT ? SIACK SIIBD. P.I.D. M
D T,
Descri tion of work: 'r ce--
The applicant is: 0 Owner ? Contractor ? Other (Deccribe)
Name Phone
Property LAST F1R5T
Owner 'I ?
1?IM
j
Address ?
afaj,,,
I
STREET STE M
L
011vt) State ?1 N Zip 1/0
City
Phone
Company
Contractor Address Jg_ezuL JUIU License E x p :009_(
City C1 ? U?.Q.Qi State ? Zip ,!203y
T
Company Phone
Architect/
Engineer Name Registration #
Address
City State 2ip
Sewer 8 water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all apptica6le 5tate of Minnesota Statutes and City of
Eagan Ordinances. ' -_
6
Signature of Applicant:
?
64
BUILDING PERMIT TYPE
OFFICE USE ONLY
.--` ?
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 01 Foundation ? 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
? 03 SF Addition ? 08 8-Plex
? 04 SF Porch ? 09 12-Plex
? 05 SF Misc. ? 10 Multi. Add'1
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SkC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
I vatuatim: $
? Framing
? Draintlle
_ q;16r.B4 mgj,F4v0sh
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pubtic Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Insulation
? Fireplace
SAC %
SAC Units
. ? 9
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST 8E LICENSED MITH THE CITY OF EAGAN
A,&?TFo2pCL) INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ???
Sinale Familv Valuation: C?4B9- Date: 8-29-85
Site Address: 3647 Falcon Wav
Lot; 7_ Block p Sect/Sub
Parcel Il Lexinaton Place south
Owner Randv Dubbelsand Linda Paulson
Address 1593 W. 140th St.
City/Zip Code Burnsville MN 55337
OFFICE USE ONLY
Erect ? Occupancy ?
ftemodel Zoning ?-?
Repair _ Type of Const '¢
Addition
Move
Demolish
Int.Impr.
Install ?
# of Stories
Length 42,
Depth 3k,
Sq Ft
Phone 890-1064 APPRDY9LS
Contractor Frontier Midwest Homes Cor
Address 3908 SibleV Mem. Hw . 4kE
City/Zip Code Eaqan, MN 55122
Phone 454-0433
Arch./Engr. Richard Charlier
Address 14103 Gardenview Ct.
City/2ip Code Apple Valley, Mn 55124
Phone # 432-5492
FEES
Assessments Permit
Water/Sewer ' Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off - . ? Treatment P1
APC Parks
Variance Copies
TOTAL
-?01.
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-?'?IOR ENVELOPE AVFRAGE "U" CDMPUTATION ?AIZTF??"?
?. ? ? . ------- _- - .
? ?., .. .. __.. ?w??6 ti.rf?l.?r
.
owNER; nnrr ? ?j ... Z?-?? ,, '
SITE ADDRESS: pf10NE:
CONTRACTOR: ????
Determine working square footaqe of each
1. Total exposed wall area..... ?B? Z? sq. `t. x.11 = Z?. Z 9
2. Total roof/ceiling area..... ??O sq, ft. x.026 =_ Z Z, 8$
Total exposec( wall arca abovc floor= `?"?'.?1 .Zr"J
a.
b.
c.
d,
e.
f.
9•
h.
i.
J•
Total wall window area ...........................................
Total door area ..................................................
Total sliding glass door area,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, -
Total fireplace wall area ........................................ -
Total wall framing area (average lOm) ............................
Total rim joist area ............. . ...,....... ?
net ?vall area above floor.?.4?? ..................:............
wa11 area above floor ..................................... 4
wali area above floor .....................................
frame wall area at foundation ...................................
7otal exposed foundation ai-ea= ? Q, Z?
k, Total foundat9on window area .......................
l. Total net foundation area above grade .............. ?,?
Determine "u" value of each wall segment
(e,g, window, door, eacti separate wall section)
a. 11 3 X
b. ?1. ?Z x
?. ? Z x
d. ? ? X
e. [ .?5•? ? x
f._t2?.5 x
9._ _I:? ?? 4 X
h
i.
J.
k , `?'?,
?, ? „-? ?
????, 4? _
, ? 7 m?
A
„?„ , ? ? _ _ZZ.?
?,?., 3? _
. ?'?. Z?
,???? ,? = ? q. $5
„?„ . 0 3 =
.
- ? ?
„?„ a? _
. _ 3?. o?
x ??u?? _
x ?m--?.,._ -
X "U" _
X ????? ? _ ?.
1. l?4. Z'? x ?,?,? ? 5 = 1• (? .?
3. ..., ... ................: .Total =. -I ?P?,?.
l 3
?+
?
,.
;d.? ?
: +:., ?
. ?:;;-r:t'??
If item H3 is the'same
as, or less than°:item,;
?,» ?...;,,:
H1, you have met: the:;?
intent of SBC„600 '.?;
:,r????
,?
,?;.
?
?- or Bnvolopo Avornge "U° CompuCaL•ion
??? . • ? _ Tolnl cxpoaed roof/ceiling urea
m. 'lbtul skylJ.yht area ............................ ••?+•
n. Total roof/ccilin, framing area (avcrayc 10't)... ?
o. Total net insulated rooi/ceiling area........... x
• lletermine "[]" valuc for each roof/cciling segment
X Ly'.
n. x "U,.
o. -]qZ x „u„
a ........................... Total
If totat of 49 is tlte same as, or less than #!2, you have met the intent of
SSSC 600E (c) l.
Alternatc Suildinq P.nve].ope Desiqn ib utilize the total envelope 'system method, the values establishecl by tlie s:un of
i_Lems 0 and y9 shall not be greater than the stun of items R and 42.
l. ?"M- + 2.
3. 2_ - + 4. (7.71
=
,.
,, ?o,
,
.. ?? , -. . .. . . ,
+- • ? ? PLL_lQ
Li &jEAL F-1', EXposED WALL '- --
BLOGIL ; 7Z + r z8.S
'?1J?E ' ? ?Z f 4te, s _? ?t ?• ? _ ._
. ? , ,. ? _. ._.
PULL C1 -7L+ 48 + 8 = it?
r
TZ ! l?-t : i'' 1 ? 8? S
5Q . ?T, ?SLt? OS?a 1NA t....L...
13Loc?'? ? ???5 ?C , S = 64. Z5
E-E; 1i?•5 X 5 = 5'1 s
,
Pul.L I ; r ?? X 6 ? rvZq
r
Cv
; TotA L. _ 18 57. Zs
.,;
SQ,?t . ?x?os?D
i.!
W DKIS I?
Z4146= 4_ 3 2?
I S?
,.
GEi l.(LiC{ 68o
AZE.A
L BL CITY USE ONLY RECEIPT#:',??' ?j!?'1??,
U
2% y'
SUBD. ? DATE:
1996 PLUMBiNG PERMIT (RE51DENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos whcin permits are required for each unit
FIXTURES EACH HgL TOTAL
Shower 3.00 x =
Water Closet 3.00 x -? -
Bath Tub 1 3.00 x 0
Lavatory 3.00 x ?_ = O
Kitchen Sink ` 3.00 :c
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 x =
Floor Drain 3.00 ;s =
Gas Piping. Outlet " minimum - 1 3.00 ;t =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ` Dakota Cty, license 85.00 =
(new and refurbished systems)
U.G. Sprink{er ' fiome under const. 3.00 =
Alterations * to existing 20.00
Water Turn Arourid 20.00
STATE SURCHARGE S0 .50
TOTAL ?
SITE
4-7
OWNER NAME:
INSTALLER
STREET ADDRESS:R J 74 w? o4 bV"eCj k TL .
CITY: L? G(-e L Li..-, 0 STATE:/t/L it/ ZIP: `5?czl 2
PHONE #: ( 6 ? Z) 77 7' 63 6 A
?TuNATQFiEOFPERiJfiTT
..
81C31VIA
SUFlVEYINC3
SERVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452•3077
Certlffcate For :
Frontler Nliciwest
Corporotlon
Mo01el_'. NRKTFORO -L_
1J",r ! 2
SGALE : 1??= 4O? O ?/
a O`1 1 ?
?
I
LOT ii
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.
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?4 U?I UT-( )lV
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V `????\\ ,9ES??
' WAYNF_ D.
CORDES
- i4675 -
_?EGEND -
o lknotes Iron Monunent
a Lenotes Wocd Hub Set
x 84" Denotes Ezistirg Spofi Elevation
(x$Ha.,NJ qhnotes Proposeei Spot Elevation
? Denotes Orainage Directian
-PROPER7Y DESCRIPTIQN-
LOT 7 , BLaK 4_
I4XIN6T4N puac.E hAl'f H
accordirg to fhe recorded plat thereof,
County, kinnesota
PROPOSED GARAGE FLOOR ELfVA1'IOM= 903.7
PROPOSED Top of 81ock ELEVATION= 90q.6
PROPOSED BASEMENl FLOOR ELEVATION= 90I.0
W (o
NOTE< Verify all floor heights with Fina! House Plans.
,sugIaRS r,ERr?F?carrcw-
1 hereby certify that this survey, p1an or report
was prepared by me or wider my direct superv ision
ard that J am a duly RegisfierEd l.ard.Surveyor
urder the laws of the State ot Minnesofia.
dM0_'__. 0 6?L' Dete: l Z(?LB?
---'Cordes, M i nn. Reg. No. 14575
Wayre D.
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139469
Date Issued:10/25/2016
Permit Category:ePermit
Site Address: 3647 Falcon Way
Lot:7 Block: 4 Addition: Lexington Place South
PID:10-45060-04-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 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 -
Francisco Castillo
3647 Falcon Way
Eagan MN 55122
(952) 807-6112
Cedar Valley Exteriors Inc
13501 Balsam Lane #120
Dayton MN 55327
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature