3651 Falcon Way
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, CITY OF EAGAN 2 7 7
? 3830 Pilat Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
' PHONE: 454-8100
eU1LDING rERMIT Receipt #
To be upd for . . ! Est. Value ; :: :• , ' , i? l) f).,ee lo Site Address Erect ? Occupancy
Lot Block- Remodel
sec/Sub. ? 2oni
ng
Percel No. Repair ? Type of Const.
Addition ? No.Stories
W Name
? Address `
City Phone
}0 Mame _
?? Addreu
C: irv
Phone
G? . ? .
W Name
x? Address -•?
u ,
?uzi City Phone 4) '
Move ? l.ertqth
Demolish ? Depth
Int Impr. ? Sq. Ft.
Install El
Approrols Fees
Assessment
Water b Sew.
Police
Fire
Eny.
Plonner
Countil
Permit , ) , '' ? I
Surcharge ? `• `- ?
Plan Review - ?,
SAC
Water Conn. ?Water Meter '•% 3 • ?? ?
Raad Unlt
Tr. PI.
Parks
I hereby acknowledye thot I have read this opplicotion ond store that gldg. Off.
the inlormation is torrect ond ogree to comply with all appliccble APC
State of Minnesoto Stotutes ond City of Eogon Ordinonces.
Var Date
Siynature of Pertniftea - ' I Copies
. , .
. . Total
h Buildiny Permit Is issued to: on tM express conditian thal
all work sholl be dona in xcordonce wirh al) opplicoble Stote of Minnesota Statutes ond City o4 Eapon Qrdinances.
8uildinp Oiflciot
P+?mk No. Wrmit HoWsr DaH Tslophone #
Plumbinq
H.VA.C. w Q,? ??)1?
ENetric ?
$oite»r
Impedion Dste Insp. Othar
Footings 1 ? w
Footlngsll
Foundstlon ? ?9
Fremin9
Rooting
Rouyh Plbq. ' 11 E ,v,, -es- ?.
Rough Htp.
Inwl.
Firoplace
Final Htg. f ,
Flnal Plby. o? r 70 11?/
Final
Coet/Occ.
Water D?sc?ibe Loeation:
w.ii
s.w..
Pr. Dlsp.
Raaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fu
f!ll in numbered specas S/C • ? ?
TYPe or Prin[ IegibJy T
ot
1. Date 4% ,?} 2. Installstion Cost ?. .
3
J
A
'lg "
L
.
ob
ddrm Blk. Trac r
4 S b
. Owner
5. Conuactor Phone _ ? .
6. Address
7. City 5tate ?•? • 2ip - • ? -
8. Building Type: Residential Q: Commercial ? Institutional ?
9. Work Deacription: New 11 Add ? Alter ? Repair ?
10. Desaibe "e _ ? ._ ?. ?YF;'-•-u? Fusl Type ? I -- IL - , -
I »•
No. F,quinment 8TU - M. Ea.
Forced Air
? No. Equiament CFM
Mfg. Air Handling:
8oilers
Mfg
. Mech. Exhaust
Unit Heater
Mfg, : Oth
Air Cond. er
Mfg,
Gss, P'ipin9 Outlets
12. I hereby certify that the above information is true and correct, and I agree to
aomply with all ordinsnces and codes governing this type of work.
Signed: Efor
Rouph Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
- 1 i
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date ;;,•?;? . 2. Installation Cost
?
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New 0
Commercial ? Institutional O
Add O Alter ? 'Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : tor
Rough Final
Inspections: Date` Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
dw, . y . . ./ilC/?/• . . ._
?. ? . PERMIT ii
s * PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN ? C=
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
SeciSub
Name ,41?, /C
Address Z /211,"
City Phone
L Name
c Address
p City 11, - ; Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTION
Res. ?t- New
Mult. Add-on }
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3 00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
? Softener - $5.00 -, %-
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
FOR: CITY
STATE S/C:
?`' S c>
GRAND TOTAL: ?'
CITY OF E
AGAN
3830 Pilot Knob Rosd WpTM SERVICE PERMIT
P. O. Box 21198 PERMIT NO.:
Eagan, MN 55121 DATE: 11 1'= •
Zoninp:. No. of Untts: ?
Ownwr. ?r•?nf 1Cr ''i?t,:_ *
Addresx
Sih llddreu: c?.lcon
xin ton. °1 . So.
Plumber:
?. n,o
:?6.? ?.
d
?
°? soo.oap ?
,
C??r
rrr=1 t
s??: ?p-?- -
f
F'T1°*.?m
?,M 6eposri:
Raoder No.: /0 M 06 I1 !, C• -, p?? ?
] ?/ .1.0. OJp d
I opw te a.ry wbh ty .f so"¦ ;
Surcl,orpa: • . 50n d
0a0- Misc. CF,orpss: - 13 2. 00 D d TP
Totol: 63 f]0p d meter
eY Dote Poid:
Dote of Insp.: i?.
t - IS-,K (o
CITY OF EAGAN $E" SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zononp: No. of Units:
Owrer. T : . r
Address: "-
Site Add,
cnanlca-
Plumber.
I prN 1o ee"fp tri!h !M Gly of 90"m
Ordlw?.
By
Dote of Insp.;
Cervnction Chprpe:
Aooount Deposih
PormM Foa:
SurcFwrpe:
Mlsc. Chorpes:
Totoi;
Dota Paid:
QUILDING ?ERMiT
_ or.
Site Addre
Lot 6
Parcel No,
W Name _
; Address
b
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
nmr /r T n
N_ 11277
Receipt #
_ NOVEMBER 1 85
?
?
?
?
?
Repair
Additian
Move
Demolish
Int Impr.
Zoning R1
Type of Const. V
No. Stories
Lengtn 4 g
Depth 36
Sq. Ft.
S?E
N?„e Approvol! Fees
-
a,ti A?ren
Assessment 01.00
1
Permlt 7
ui City Phone Water & Sew. 5urcharge 28.00
Police Plan Review 150 . 50
Name RICHARD CHARLIER
PW
Fire
525.00
SAC
x? Address 14103 GARDENVIEW CT Eno. WaterConn. 500.00
? W City A• V• Phone 4 3 2- 5 4 9 2 Plonner water Meter 63.00
Council Road Unit 280.00
I hereby acknowladpe thot I hove reod this opplicotion ond that 81dg. Off. 11 4$ S Tr. Pl 132.00
fha iniormofion is correct and pgree to comply h ol
V ob le
IC
Stofe of Minnesoto Stotutes ond_
iUt,?-Eag rdi APC p8?
1
/S t-' Var. Date C??
Sipnaturo of Permi
Total $1,979.50
FRONTIER MIDWEST HOMES
h Buildinq Pertnit Is issued to: on the express condifion Ihot
oll work shall be dorN in cccordance with a
plicnble St te
op
o innesoto Srotutes cnd City of
Eopon Ordimnces.
_
Buildinp OFflciol , :;-??( -zJi?
gsA _nnn
C1TY OF EAGAN Remarks
Addition Lexington Place South Lot 6 sik 4 Parcel 10 45060 060 04
Owner
sveet 3651 Falcon Way stace Fngan MnN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 00 3 1
45-
.,!?,
STREET RESTOR.
GRADING
SAN SEW TRUNK ? .?
SEWER LATERAL 101 1 1986 1631 -00 326.20
?
-
- 145.87
WATERMAIN
S , 65
6 •,? _
WATER LATERAL 1 7-4. 6 S - is `l
WATER AREA 48.74 -/
1 996 111 -98 22.39 . -
STORM SEW TRK 10107 1986 426.54 85.30 5 3 ,
STORMSEWLAT 101 1986 803.34 160.66 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. n n
BUILDING PER. 11277
SAC
PARK
1999 BUILDINri
?
New ConstruWion Reauiremenffi
PERMIT APPLICAYION (RESIDENTIAL)
CITY OF E4GAN
3830 PILOT KN03 RD - 55122
651-681-4675
Remode nairReouireo.
D 3 raplatered aite suneys showing sq. R of bt, sq. R of Aouse
and all roa(etl areas f20% meximum lot emeraae allovred)
D 2 capies of plana (ehow beam & window ehas; poured Ud. decign; etc.)
D 1 set of energy alcuWtlons
D 3 copies oltree precervadon plan N bt plaped afler 711I93
DATE: Z
DESCRIPTION OF WORK:
STREET ADDRESS: ?S ?
LOT: (.e BLOCK: q SUBD.IP.I.D. #:
2 eoqa of plan
t cet of energy qkulatlons for heabd addifions
1 site aurvey Tor exterior additions 8 decks
CONSTRUCTION COST:
(.l?-
?
Name:<f? P Phone #:
PROPERTY Flrst
OWNER
Street Address: .
J
Clty State: Zip:
Company: Phone #:
CONTRACTOR ? (area code)
StreetAtldress: Lieanse#aExp.
cicy swte: zip:
ARCHRECT!
EMGINEER Company: Name:
Telephone #:
Street
City
Registratfon #:
State: Zip:
Sewer 8 waMr licensed plumber (new consWclion oniv): Telephone
' Penally applles when address change and lot change is rpuestad onu permit is issued.
I hereby acknaMedge fhat I have read fhis applicatlon, sbte that tha informaffon ia Corted, and agree W compy with all applica6ie State of Minnesoffi Statutes and G5t
'of Eagan Ordinances.
Signature ofAppileant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received , Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex . ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 4 Storm Damage
? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pool 25 Misrellaneous
WORK TYPE
O 31 New 13 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building ?)G
Census Code ZI3 `I
SAC Code ol
No. of Units 1
No. of Bldgs O
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee X -1 - a-5
Surcharge
Plan Review
license
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies .a5
Total: I-7 2-da
Valuation: $ -2?4=L °
i
SAC Units
% SAC
' ' • 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
?.
I
3830 PILOT KNOB RDN 55122
651-681-4675
New Construction Reauirements
? 3 registered sNe suneys showtng sq. tt. of lot sq. M. ol house
and all rooted areas (20% mazimum lot coveroae allowed)
> 2 copies of plans (show beam & window sizes; poured fnd, design; etc.)
: 1 set of energy calculatlons
> 3 copies of free preservation plan k lot platted arier 7/1/93
oATE:
DESCRIPTION Of WORK: /1 L-'?l hlO"'? ?
STREETADDRESS; 3lS/ F?YCL?ON ???( ,
LOT: ?fL BLOCK: q_ SUBD./P.I.D. #:
Remodel/Reoair ReauiremeMs
2 coples of plan
i set of energy calculaifons tor heated additions
i sMe survey tor e)ierior addRfons 8 decks
CONSTRUCTION COST:
1( ?V?
?4?-Q90O
Name: ??4?,??d ?/K? Phone #:
PROPERTY ? Ftrst
OWNER
Street Address: 3 6S /
City State: In/V Zip:
Company: AAK
CONTRACTOR
ARCHITECT/
ENGINEER
3y?-P%y
Street Address:s/ / /(J ? 2 ?r ?:4 S T License # 2o l 7 3 g 3 Exp. tw/
City 2y-oOState: /P /V zip: Sy??
Company:_ Name:
?•?
Telephone #: area code ( )
Street
Cfty
Sewer 8 wafer ffcensed plumber (reauired for new constructfon onlv):
State:
Penalty applies when address change and lot change Is requested once permit Is fasued.
Zip:
I hereby acknowledge tha} I hove read fhis applicaNon, state that the Informafion Is correct, cnd agree to comply with all appltcahle
Stote of Minnesota Statutes and City of Eagan Ord(nances.
Signature of Applicant:
Ar `-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
(area code)
Registration #:
Tree Preservation Plan Received - Yes - No - Not Required
1985 BUILDING PERMIT APPLICATION - CITY OF EAG!
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY
I-}a.v- i r-og- c) L
COlMERCIAL
INCLUDE 2 SETS OF ARCNITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1'SET OF
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
To Be Used For: ami Valuation:
Site Address 1:0-kf),) .(lnli
Lot (0 Block q
Parcel/Sub ?1Yj?`?gn ?1C?{+P c?^
owner _?ehn 1 I??ir?-i.
Address
.
cityiziP code ?aan??
Phone ?ITj ? - '7'7n
Contractor C:hof)?Iilr Jy)j'dwPyS 71"
address 3 9h g Is w
City/Zip Code E-Onlyn ,
Phone
Arch./Engr. T?iChlOnr ?.h?i
Address ? ? ??jrr1pnViatc,
City/Zip Code
SINGLE FAlIILY DIr
INCLUDE 2 SETS 0
3 CERTIFICATES 0
'1 SET OF ENERGY
?
Erect x
Remodel ^
Repair ?
Addition
Move ?
Demolish
Int.Impr. ?
Install ^
APPROVALS
o..
soi•,o+
28^ :o+
1-o^so+
z5=-o+
? c==e+
63^ ",0+
28C= ;0+
137.-'0+
71=79-50?
Date:
USE ONLY
Oecupancy
Zoning
Type of Const
!1 of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ?
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off11&-R5 Treatment Pl
APC Parks
Variance Copies
TOTAL
SO
Phone /1 4'3'? - 5?1 ?i-
/hVUA/QT??+? ?C:b?Gar*J•
xTE?tIOR EP(VELOPE AVfRAGE
..?-h --- - ..
OWNER:
SITE ADDRESS:
CONTRACTOR: Pr-to?')
PfIONE:
Determir.e working square footaqe of each
1. Total exposed wall area..... 1484; 7 Z 5 sq. P!, x.11
2. Total roof/ceiling area..... paim sq. ft. x.026 =-- z 2.S$
Total crposed wall arca above
a. Total tiaall window area .................................
..........
. Total door area ...................................
...............
c. Totai sliding glass door aren....................................
d. Total fireplace wall area ..................
......................
e. Total wall framing area (average 10,"..) ............................
f. Total riin joist area .............
. ,
g. net wall area above floor,?.?. . ...,,......, ???
h• wall area above floor............
.........................
i• wail area a6ove floor ..............
.......................
j. frame wall area at foundation..... Total exposed foundation area=ce_ , Zs
(l?
?Z
- 18g. 73
-? 5 - -
t?? . --
k. Totat foundation window area .......................
1. Total net foundation area a6ove grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. X „u.,-.? z_-
b. 3% to Z x 4 5 -?--7 ?-?
C. 4 Z _ x .45 d. A.SX u l . 9 C'. _ 17 7A
e._( ?5• 7'k x
f.-[? ?__ • ?_-_- X
g ?
._ . + X
.
?????, •?? --rq• 85
lluti--?.?
,.u„
n. X
1 . X
j, X
k. X U??
1 . ??• 'L ? X
-.. i .z___= •
3 . .......................... . ....Total
Page 1 of 4
°u'' coMru-rnTtow 04AMrFc14C-M
15wr g b 00t4A 1.??.
fiATf
If item k3 is the'same
as, or less than item;
N1, you h a v e inet;:thl
intent of SBC,.6006'':(c)
? ?r Cnvolopo Twarnge "U" CompulnCion Puga 2 oP 4 .
4 ??..
Tolnl expoacd root/cciling arca
m. 'lbtal skyli.,ht area ............................ o? .?' ..
n. Total roof/ccilin, fruning arna (lvcraye lO%)... ?-
o_ Total r.et insulated roof/ceiling area........... 'J ?} •
. ?--'-?-- , lletermine "U" value for each roof/ceiling se9ment
m. X "U"
n. Y „u„
o. x .1U.,
4 ........................... ToL-al ° -CL.
Tf total cf ;,4 is tl:e same as, or less 1_nan ;;2, you have met the inte;it of
S]iC 60Q6 (c) 1.
All-ernate Building ii:rvel.ope nesiqn
ib utilize the total envelope'systen metliod, the values establishecl by tlie sam of
items i13 and fl9 shall not be greater than tlze swn of items I!1 and if2.
1. ZC4. ' ° + 2-
3. Z013- + 4. ! 7. ?' S = --?"19
.
, ; ;.;
f
?.r, ? r,r•t?nt+n ??
?
?;.. • y?.?t?.,ul? c ? anin? w;il l n?cn fL) r
?
t'onbl CVC7 JUn ( i•n'.l i iu '. ??.,?i - I? Jn lii.' .
..,?_....m .-... ? ..
? '?_. ?-----{I) l. nl?,•? ?:?? q1?F11./?'1.. .. . _... . CD.`!?
7- cx?
r
?:C "' • 6. };>tlrrr ili fii?n
-' ---' -- --- .. ..... . . .. . _... __ __._.._....
? ? /?1 •1 ?? ?y?' C.? ffi . o?
YI(;. hl TOPVIFSi OF
rlWifi HALL . 1nCrrl?+r ?tii' : i Im ...VO: f?ll
......----------
2.
• . ?• _ ___4±?i?_w_. _3.?/b
??? _..__.______? 5• ??dfY1,=S[.?4+? _ ._._'._.?___.ti?t
FIC. 02 '1'uLnl .??.CI1
?
?.•'.?i ?.._ .. _ . . _---------'?-? .
_.._? : 44
GY ?.
•. .
';?:??.I_ _.???? a. ? ?rY??+? -__._...__.... -Rv i
___._
!,,F L _,? ? ? - - -- - -- -- •----
---
'+,1 .}:xtcrlor Aii_(i.lra.------_---)_tl. A
.,-•
L4 ; • {S ?
<-- --?? - --------? oC.ICe
,. . . 1
„ ? . , _....'-- - ...
? ? ?y --- - -- -
T . ? ... . ??...
, l'?. ? ,( o .?? _ ? ' 1• .- ,'?--?5...?? ?Jtl._.. .4
. . .o.??. __.__•'_._-_.t•? J?
? ? n • . ?? ?---?'ql?? _ . .. ...
i : -
' • ?i? • 'o' "-----------0 • n. ..PP?'a+T?.?++K.. ??•?.?ce+P...._--
. _.....--
``' ? u • .._!7tr,oC S
?A f` •„?_.'•'/,`? G. 1 0111 iin: .iir i!i?? O.l'1 _?1.1` /` . . . ? __'__'_'_"""' 'ful:il ' ?S• 7
i I•.
?. ;. ' " } ?. !l1 ?R ?fi ` !f(I?( . ? • , ' ',;;-?,-.{
' ' ',1 '? ? ' , M1 • ,y]7i _
? t? ' Y' ? /!? ??i ? • ? ??i
W? • . ? . ' ' it?
ti --
c. 13
„ . ,. ?
? - ? • i` ? ? _?-__ :rCC. L???Il??nt?. ly? , '.1' ,.,1?.???, ?1?JUth nnd
' } . r?. • ??
• ? ? ? ? ? ? ?il.?crnc?? ,>f +o4'.._.A ?- .-.. .
Construction R-Valuc
??.??-,? r, .
.?
? ??;?,?
VE17 ?1111????1 k r
?
I? •.
znted _? . Eea[ floca
up •
TSC. C5 '
1. Zntcrior air film , . ,0.61 .'2. 3._T'r-G ,-f F3D
3. _WSU[.. 44.?
.{. Extcri.or air film (stilll O.G
-?- Total (L '45, p0
' ', -• ' v- .??
Fti4m a '
1. Zn[erior nir film O.G1
2. G -- .gp - -?>
3. ? i_suL i`? ,?
d. :_xtr2ic+_ ti!ta istxl ^
. ? 'I'otat 2 - ?( 0.
-? ?
. . . . U = . oz4.
CPA.97??CY/ my??, . '
? 1. Tnside air filin 0.61
Z_ .
3. ' . -
' 4.
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?- CITY OF EAGAN
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? . _ .. _ . .
lltil APPLICATI^vN FOR PERIMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHi)
1) P??OPF'i7TM' ACDPZSS: .3 S ?CD
r.Frai. D Es=brrcv: 1.
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PRESL.^: .,^`TFy^_%.?GPOS? L'S: R ?-1 Si:GL: FP?rri,Y '
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NX•IE= Frontier Midwest Homes Corporation
pCD'y=`S: 3908 Sibley Memorial Hwy. Bldg. E
CIT'!, S7:.:2', ZLp: Eaqan, MN. 55122 •
P?ONE: 454-0433
3) pjj;.?m NA,"IE' Star Plumbinq (PLE„SE PRlNI) FON CI7Y I1SE OHIY
, P.GDRESS: 1018 Mound Springs TEI'. PLUHBERS 4ICE45E:
AC[i
CI2^1, STATE, ZZP:
Bloomin ton, MN. 55420 v
0 Ex red
PfiOVE; H3'L^
884-4149 PLU98EA LILENSE !1 3329 ? oC Of R![ord
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ADoRESs: 19 1 s? I64' ?h1L l pyt
CzTY, SThTE, ZID:
PI:o`7E:
5) INDICI,iE ;9HICH PEr2'•lIT IS BED:G REQUESTIID:
0 CO::NECI'IOV TO CITY SES^;ER Please mail gold copy to
m7 CbIr'IFZTIC,1 'IO CZTY S•7ATE2 Wenzel Mechanical
? =Et (°L-SE 3600 Kennebec Dr.
D£SCP?PE) , Eaqan, MN. 55122
6) L`yD_TG,TZ C:::: .
• ? P7..r,-?.SE f?OLD rIPPROVED PEP:`^ST FCR PICi:-L'?c BY C:1E OF ABC7VE
? oLEASE `•!kI APPpdVE'J PETT 'I`'J 1! 2 3, 4?t
, n (Cir _e cne)
7) SIC,^,-jL-R; ;
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F 0 R C I T Y U 5 E O N L Y
PE°MIT '-` ISSUED
rr=S : $ /G)..l o
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S 4?? .n
$
5
SEI?ic.°. ???R?'!rT (2`_7C.r.+JLL .JLPC.L.1.C?.lJGJ
WATER PERAlI: (IrICL'uDE ,^-,iiRCHvi2G'a)
WATER METER/COPPERHORN/OUTSIDE READiR
WATER TAP (INCLIIDE CORPORATION STOP)
S ::GcR TA?
+S ? S` oU n_...Qi,_Y: ?._.c ?•? ?- -.? _.._?
ACCOUNT D`:POSIT - WATER
$ WAC
SP.C
$ TRli`IK SIATER ASScSS.`? ::IT
$ TBli:dK ScTvER ASS:55:•e:.iT
$ Le',TERAL BEivEFIT/TRU_IR SE::E-:?
$ LATE?2rlL BENEc IT/TRU:]iC WATER
$ WATER TREATMENT PLaNT SURCHARGE
$
$
s S 7??? s
OTHER:
TOT?L
AhIOlitiT PAIDjREC°I2T n y
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DOES UTILITY CONNECTION REQUIP.E EXC.IVATION IN PUSLIC RIGi-IT OF WAY?
YES IF YES, THEN A "PERh1IT FOR WO4K WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C.] NO ENGINEERING DIVISION. LIST AS A CONDI-
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T N .
SUEJECT TO THE £OLLOWING CONDITIONS:
APPP.OVED BY:
TI.i.E: '
DATD_'
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FiVlCES
3908 S.bley Memorial Highway
? Eagan. Minnesota 55122
Phone: (612? 452-3077
SIt3MA
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-LEGEND -
0 Lenotes Iran Monument
p lknotes Waa9 Hub Set
xqOQ•I Genotes Existirg Spot Elevation
(„?? Denotes Proposed Spot Elevation
?---- Denotes Drainage Directiai
-PRQF'ERIY Mt71PfIOIN-
LOT (0 ,ELCCK4_
i.-ExiNdataN PL-ucO hou-M
accordirg to the recordtd plat thereof,
County, Yirnesota
House
Certiflcote For :
FrontraP Mldwest
Corporatlen
"oc>e t... : r+A#2Tr Fo RD - L-
?
PROPOSED GARAGE FLOOR ELEVATlON= 1109•6
PFdDPOSED Top of B 1 ock EL£VAT ION= G104• 1
PROPOSED BASEMENT FLOOR ELEVAT ION= qGI • 1
wJU
NOTE: Verrfy all f/oor heights with Final Hause Plans.
AJ&EYQRS CERTIFICATfpd-
I hereby certify that fhrs survey, plan or report
was prepared by me or wder my direcl supervision
ard that I am a duly Registered Lerd Surveyor
urder the laws of the State of Yiroiesota.
6 /1 0 Date: 8/LI
Wayre . Cordes, Minn. Reg. No. 14575
R????? : Nouse Pla+. Ckan9e /
.,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120266
Date Issued:01/29/2014
Permit Category:ePermit
Site Address: 3651 Falcon Way
Lot:6 Block: 4 Addition: Lexington Place South
PID:10-45060-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Julie Chouinard
8800 Royal Court Nw
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 -
Joshua C Johnson
3651 Falcon Way
Eagan MN 55123
(651) 442-7031
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125804
Date Issued:08/04/2014
Permit Category:ePermit
Site Address: 3651 Falcon Way
Lot:6 Block: 4 Addition: Lexington Place South
PID:10-45060-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Matt Czech
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 -
Joshua C Johnson
3651 Falcon Way
Eagan MN 55123
Pineview Builders Inc
2201 Lexington Avenue N, Suite 100
Roseville MN 55113
(651) 489-3696
Applicant/Permitee: Signature Issued By: Signature
L'.
Use BLUE or BLACK ink
� ..(��� �� )���� ---------,
�------- I
- � � For Office Use
�, � � C"' � I
1� (j��� �� � � � Permit#: I
� � � � y p � �� � I
3830 Pilot Knob Road `1,_�'l � Permit Fee: 0 �
Eagan MN 55122 �
Phone:(651)675-5675 j Date Received: " I � J�I
Fax:(651)675-5694 1 � `�., �
�U� 13 '1015 � Staf�`�/ �
��������������J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
� �� Name: � � �� ��6�i�\��)�/� Phone:�R����l,�'.�1.�•,����J t
��� Address l City/Zip: �� �Q j � �l��-�51/\ J���1�/�
" Name: Q 1't0 �� �"� "�" � License#:_ � � � U �� �j' '�
Address: �� ��� � �' I � I ��()1�1 T City:
State:
�Zip:�`�`J(1�� Phone:_�D��� "("� / � '7 � �
Contact: EmaiL•C�.SS1 P�1rCx�.I�tCct� QYl eI/l.f�i�L.G'�GT./{r,�CIVL'1
_New `F'Replacement _Additional _Alteration Demolition
Description of work: (� ,� �.QA�; (�l ��,
�
RESIDENTIAL COMMERCIAL
Fumace New Construction Interior Improvement
�Air Conditioner _Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) (
$100.00 Residential New(includes$5.00 State Surcharge) _$ ��-l� TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X r(`�(� (��U�`� x l �Q�-�.�-�.�I�'(�.�/1�---
Applic nt's Printed'Name Applicant s Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135804
Date Issued:04/05/2016
Permit Category:ePermit
Site Address: 3651 Falcon Way
Lot:6 Block: 4 Addition: Lexington Place South
PID:10-45060-04-060
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:2 same size patio doors & 1 patio door replaced with window in lower level living room.
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.
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 -
Joshua C Johnson
3651 Falcon Way
Eagan MN 55123
(651) 442-7031
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157105
Date Issued:08/05/2019
Permit Category:ePermit
Site Address: 3651 Falcon Way
Lot:6 Block: 4 Addition: Lexington Place South
PID:10-45060-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joshua C Johnson
3651 Falcon Way
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature