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3663 Falcon Way PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA080912 Eagan, MN 55122 . Date Issued: 11/06/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3663 Falcon Way Lot: 3 Block: 4 Addition: Lexington Place South PID 10-45060-030-04 Use Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Danny T Muskardin 130 Plymouth Ave. N 3663 Falcon Way Minneapolis MN 55411 Eagan MN 55123 (612) 824-2656 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iD7$ PHONE: 454-8100 BUILDING PERMIT , Receipt # To be used lor 5F DWG/GAR' Est. value $64,000 Date uECEib:BER 9 19 $ 5 Site Address 3663 FALCON WAY Erect ff Occupancy R3 Lot 3 Block 4 Sec/Sub. LEXINGTOtJ PL 80emodel 0 Zoning Parcel No. Repair ? Type oi Const V Addition ? No. Stories Name FRONTIER HOMES Move ? Length 4 = 9 S I BLE ME HW , ,p G Pemolish ? Depth 47 o Address (???? 454-0433 Int. Impr. ? Sq. Ft City ?`""'"Phone Install ? o Name SAME 0 < Address W W Name RICtiARD CHA}ZLIER ?n Address 14103 GARDENVIEW CT <W Ciry A•)4none 432-5492 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all apQlicable StovDf Minnesota Statutes and Ci of an O d' nces. ?? Signature of Permittee ? z ???j?r'•t FRONTIER HOMES Assessment Water & Sew. Police Fire Eng. Planner Council Bldg.Off. 12 9/85 APC Var. Date Permit ' '" ? • "? ' Surcharge • 00 ' Plan Review_ UO ' SAIi 500.001 , Water Conn. Water Meter ? ? ? Road Unit Q0 I Tr. PI. ' Parks Copie 5 0 I T +.1 !?2 , 019-. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City o( Eagan Ordinances. Buiiding Oificial . I MrmH No. I PomNt Holder I Dde I Tdsphone N ' .6U Htq. Occ. Dbp. --? . . , 24 PERMIT # CITY OF EAGAN FEE .00 MECHANICAL PERMIT ,50 RECEIPT # ? 1 v • 454-8100 SiC ? 119/85 MINIMUMRESIDENTIALFEE-S10.OO+S.50 TOTAL $24•50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 ` 1. Bldg. Type: Res XX Comm Inst 2. New XX Add Alter Repair 3. Total Bid Price 1700.00 4. Job Address 3653 Falcan Way 1 ? Lot 3 Block 4 Owner Front?i?:r Sec -?I S U 5 Coa?pa:iies . 6. Contractor Weazel Mechanicn]. 3600 Kennebec Dr.. Ea.gau, MN 55122 (Name) 452-1565 (Streeo (City) (Zip) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee f''t HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HANO- EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS;.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ' for Approved Inspections: Date Rough Insp. Date Final Insp. " . 57- 73-5 1 MECHANICAL PERMIT PERMIT# RECEIPT # c= `% CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: i CONTRACT PR ICE PHONE: 454-8100 Site Addr? c o n a y gLpG. TYPE WORK DESCRIPTION Lot Block Sec/Sutx-` ? - < <) . ? x x ' nn¢qJ SCO Res. New Name ? /UU i n, ¢ n v¢` ? Mult Add-on ? Address s 7 34253 - Comm. Repair c Ciiy ` P • hone " Other a? c 3 O Name _ Address City _ TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent 2._ CFM Gas Piping Outlets # Other l n S t. R a n 9ir, r e r , FEE v1qr4 ) sic: ? TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON A1R COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PEfiMIT - .50 (ADO $.50 S/C IF PERMIT PRICE GDES BEYONQ $1,000.00) i, ?jQ SIGNATURE OF PERMITTEE . SO FOR: CITY OF EAGAN I? . -?INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t(, t t 3 st,o3 FAlC4N WAY LEX.[HR'TQN PLACE S PERV?T,PWP M?Y?J S N y Control No. 0 518 t(ti I 1 111 Nu ma?a1> > / 06127192 Hi. n c K i A APPLICANT: Mi l Lf.N HpMt.S 30, F PH (r-a2) 454...4663 TYPE OF WORK: ALfERATIUN i i - ' - 'Y Y i f-_ ! t,_ .• -.1.? < .. l : - -.i PermR No. PsrmM Holder Dats Telaphone # S/1N PLUMBING HVAC ELECTfiI ELECTRIC Inspeetlon peft Inap. Commartft Foocings I Foundetion Framkig ` Roofing Rough Plbg. Rcu9h Ht9• Isul. FimpMm G Y ? s ? ? -9?- ? r Flnal Htg. OrBat Teet Final Plbg. Plbg. Inspector - Notify P'lumber Const. Meter EnprJPlan BIdg. Rnal Dedc Ftg. Deck Fnai WeN Pr. Disp. Receipt ) ?J PLUMBING PERMIT CITY OF EAGAN Frll in numbered spaces Type or Print legibly Permit No. Fee S/C - 7ot. 1. Date 2. Installation Cost 3. Job Address Loi Bik. Tract 4. Owner ' " 5. Cantractor Phone r 6. Address ? 7. City ? State v r Zip 8. 8uilding Type: Residential 0 Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter D Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspaol/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray F1oor Drains J f Drinking Ftn. Slop Sink Gas Piping Outlets 12. 4 heraby 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 : for ? ? Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Lexington Place South Lot 3 eik Owner Street 3663 Falcon Way Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ; ? sQ P? ?lp „S,qQ ?? S 0 ? ? so STREET RESTOR. GRADING SAN SEW TRUNK W 247.64 16-51 19 Y 6 -,:;k t(y ` SEWER LATERAL iol 1 9$ 6 163 1. 00 3 2 6. 20 5 - 5--dir Sprvicps 0 1986 729.39 = 145.87 5 WATERMAIN q 19$5 65.81 ---13.16 oS ?o-v;L-7` 5 WATER LATERAL 101.1 1986 8 7 3. 43 174.68 5 ?7 - WATER AREA 1986 243 . 73 48.74 5 j9V, / I 0 1986 111.98 22.39 5 , - STORMSEWTRK 10 1hJ 1986 426.54 - 85.30 5 , o STOR M SEW LAT 10 1L, 1986 8 0 3.34 16 0. 6 6 5 -Joi CURB & GUTTER SIDEWALK STREET LIGHT RQa ns. 0.00 58235 12 12 85 WATER CONN. 500. BUILOING PER. 1378 sAC 525.00 PARK ?v 9 ya- 4 3 . ,14 2 0 Request Date Fne No. Rough-in Inspeaion R ?? M1NOf ? Peclor ? ReadY Now -B'?'711 ?CGLJ 29, 9992 C N. G? ? Wen e I4-elicensed contrector p owner hereby request inspection of above electrical work at JoG Atltlress (Street 9ax or Rome Na.l City 3663 f¢icon GI¢ Ea9a2 SBdion No. Townslrip Name or No. Range No. Counry vakota °o7111Nk2Q2 /2emodeL? 'M°=4663 Pawer $upplier D ¢kota £Lect2i.c Aperess . 7¢2mingtoa,l'1N 55024 Elemr¢al Comractor (Company Name) ConVaclor's license No. P7idLand f.2zct2.ic 049690 MaiLng AOtlress 4GOnVacloe or Owner Makmg Inslallation, 17854-d augieee Gla LakeUie-9e,0N 55044 rlumonzetl Sure Convacmu g In anation? PhoneNUmEer 892-1444 MINNESOTA StATE BOI.HD OF ELEC TMIS INSPECTION REOUEST WILL NOT Griggs-MiOway BIOg. - Hoom 5493 BE ACGEPTED BV THE STATE BOARD 1821 University Av¢., 51. Paul, MN 55 I1NLE55 P(iOPEP INSPECTION FEE IS Phone(61Y) 602-0800 ENGLOSED . REOUEST FOR ELECTRICAL INSPECTION jllSee inslruclions for completing (his lorm on back of yellow copy. J49204 "X" Beloev WorkCovered by 7his Request .?? 76 ? ew Atltl Rep. - TypeofBuiiding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl Building Dryer Other (Specity) Comm./Industrfal Furnace Farm Air Conditioner Other(syecAy) ConVactor§ Remarks: ?ase Mt u? Compute Mspection Fee Below: lec?_ e SIhC a Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fae Swimming Pool 0 to 200 Amps 0 to 700 Amps Translormers Above 200 _ Amps ? Above 100 _ Amps SignS Inspenorg use Onry: U? TOTAL Irrigation Booms ??` J? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspeaor, hereby Rougn-in oaie ? certify lhat the above inspection has been made. F;nai oa+e ? 17"y OFFICE USE ?NLY Tnis repuesl voitl 18 monihs fmm I8 ?equest void nwnth5 flOm E 4 5 216L,3, fqW ??• ry d7 ? _ ._. __?......._.__.._.. , i fteduiretl? E]Reatly Now WiII Nity, InsPec- ? ?Yes ?No lor Whmen Ready ? Licansed Electrical Contmctor I hereby request inspection of e0ova ? Owner alectrical work installed ai: S,5Adpr¢ss,/eox3ROUte (J City ? ^ ? ecuon o. Township Name or No. anBe o. County ccuo- IPP nt T) k • o? Phone Nn. S 7/3 Po er Supplier Adtlress ? Eiecuical Convactor ICompany Namal KENDRICR ELECT'RIC Con ' ctor's icense No. M. i I i np?Ai(eeg:?47/?,e?tp?r?.Qyry?Myki?qyq? i lationl a C7?itJ Aut a r rr Ilationl Phone Number MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT Grig¢s•Midwey Bltlg. - Noom N•791 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ava.. St. Veul, MN 56104 UNLE55 PROPER INSPECTION FEE IS vnn- Ial91 wag.nwon ENCLOSED. pEQUEST FOR ELECTRICAL INSPECTION ee/-o?oooi-os , See ipstluction5 iof compl8lin9 thi5 fOlm On back Of YBllow cOPy. p rJCL E 45216 "x" eeloW Work Covered by Ihis Requesl New, Fnd HSp. TyAb ot auilalna aooliancaa wir.d Equipmeni wiretl Home Range Temporary Service Duplex Water Heater Lightiny fiztures ApL Building Dryer Electric Heatm Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm OinHg 5oeci v .iner ISn,cllyl t ,r Suecity t er Qth,;r c,ompute inspecrion ree velaw i p Fge $erviceEnhanceSize tt iea extlers/Subfeeders k Fee Circuits 0 tp 200 Amns 0 to 30 Amus 0 to 30 Amus n Abuve 200 _qmns I?31 to 100 qmps 1 31 to 700 qrtps ? I 1 I Swinminq Pool 1 I IAbove 100_Amnsl I I Above Juu_t+rlN? j S ? nspector, ?eraby rertify that fhe above Final insVection has been mada. Tia reQUest void ?niY reanest vaid 38 mon[hs trom ???/// ? L3 ?` f Le?c ? ?- W 3 RxZst Date _ Fire No. Rouph-in Insper?ion r? 7 pe4m ] ?Feady Nnw ill Notity.lnspec- ?. V/ ' es ?Nn tor When Ready j,rTcensed Electrical Contnctor I hereb y request inspection of above ] Owner electricel work installed et Street Address, Box or Poute N. City ectmn o. Townshi0 Name ur No. flange No. CownY Oc?(Pfll T) U) ? Phore Ny.. i J Q Powcr u lier Adress Ele 14540 Nrrocx LANE unVar r's Licunse No. Mailing A dress CQ(??la? rtof.(?yne?r.??,s??6 t r? nl ,APPL? vH?Ll:.1 1?11`7 JJ??c+? Authorized SiOnature (COntrector/Owner Makiny Installation) Phone Numbe;r MINNESOTA STpTE 80AFO OF ELECTRICITV THIS INSPECTION NEQLIEST WILL NOT Griges-Midwoy Bltlg. - Poom N•191 BE ACCEPTED BV THE STATE BOAftD 1821 University Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. .. uN ELECTRICAL INSPECTION ? es-ooooi:oa ? see instructiens tor wmpleting rhis form on beck of yellow coov. y? ?q/'- _??( ? 9? d ""X" Below Wor?C Cover.Rd by This Requesf ?(?1o`? Ad Heo. Tvpe ot BuiltlinA App?ces ired Equiu??enl Wired Home Range T orary Service Duplex Water Heater Lightiny Fixtures Apt. Building er Electric Heattn Commercial Bldq_ Furnace Silo Unluader Industrial Bldg. qir Conditioner Bulk Milk Tenk Farm oihe, (snecirv) t.r 1 yeo(Y Other Oihe?r l.ompute /nspection Fee Below N Fee ServiceEn[ranceSize q Fee Fexdxrs/5ubfeeders N Fee Cirr,Wts U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qi??py, 31 to 100 Ainps 1 to 100 qm s Swimming Pool Above 100_Am s ? 140 Above 100_A,nPS 00 Transformers Irrigation 0 Fee ? Signs Special lnspection' - ?. Remarks TOT E .? Houeh-in ( Dnti ? { I.th Electric inspec , ereby Final ? certify that the a6ove inspection has been mede. Tnfarequeatvadttlmomrmvom ? --- ' , - - i - I CITY OF EAGAN 3 No 11?5 78 38 0 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ?! PHONE: 454-8100 BUILDING PERMIT Receiptu 7obeusedtor SF DWG/GAR Est.value $64,000 Date DECEMBER 9 19 85 3663 FALCON WAY ? R3 SiteAddress Erect Occupancy Lot 3 Block 4 Sec/Sub. LEXINGTON PL SO4emodel ? in R Zon 9 Parcel No Repair ? Type of Const. V . Addition ? No. Stories w Name FRONTIER HOMES Move ? Length 40 W z 3908 SIBLEY MEM HWY. BLDG L?emolish ? Depth a? o Address Ci Int Impr. ? 454-0433 EAGANph ? Sq. Ft. ry one mstall o Name SAME Approvab Feea 0 a Address ASSOSSmeflt Permit '?? _ City Phone Water & Sew. Surcharg ?50 ?W Name RICHARD CHARLIER ?1 Addrass 14103 GARDENVIEW CT aw ciry A.Uphone 432-5492 I hereby acknowledge that I have read this application and state ihat the information is correct and agree to comply with all a plicaCle of Minnesota Statutes and Ciry o 4agan O ance . ' Signature of Permitt ee ? A Building Permit is issued to: FRONTIER HOMES all work shall be done in accordance with all applic le te of Minnesl Building Official ? +( C-< Po6ce _ Fire - Eng.- Planner Council BIdg.Off. 12 9/85 Var. Date Plan Review SAC 525.00 - Soo Water Conn. WaterMeter 63.00 Road Unit 280.00 Tr. PI. 132.00 Copies Total 2.019.50 on the express condition that and Ciry of Eagan Ordinances. Ylc?? ? v 2007 RESIDENTIAi, BUII,DINLi PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Constmcfion Retiuirements 3 regis1ered she surveys showing sq. ft. of lot, sq. ft, of house? and aA roofed areas 1204h maumum lot coverage allowed) 1 Soils Report if pmposetl building is to 6e placed on disWrbetl soil 2 copies of plan shawing 6eam & window sizes; poured Pound design, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan if lo[ platted after 711193 Rim Joist Dettil Optlons selection sheet (buildings witlh 3 or less units) Minnegasco mechaniwl ventilafion form RemotlellReoair Reauirements 2 copies of plan showing foolings, beams, joists 1 set of Energy Calculafions for heated additions 1 site surveyfor addifions 8 decks AddRion - indicate if on-site sepfic system 6.00 OfficeUSebnlv Cert ofSurveyRecd. ` _Y _N Soils Repod ' Y _ N TreePresPlan-Recd _Y. Tree Pies Required V _ N On-site.5epticSystem r. _Y' _N Date SiteAddress 3ciI Avd1 Construction Cost V 1ML1 A64V MIJ UniUSte # Description of Work cl/,'T KA'tv"^iAVt*RYC Multi-Family Bldg _ YA N Fireplace(s) _ 0 X 1 ? 2 E(?,Tilq PropertyOwner vFgvN? ??4it ?wx? 1^Ali(?ZI??IN Telephone#(tOOL) 3\0 -00_2;L Contractor ? pp ?7?j?J.L1fU' \ /1x' Address State - Zip City Telephooe # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Categofy . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masier plan: Licensed Plumber Mechanical Contractor Sewer/Water ContracTOr Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and The State of MN Statutes; I understand this is not a pennit, 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 ofplans. l/rvv??? 1T?,Y?t? l?Vl1,l.?F,?tiu?1N ? In4vJ 1••?,?..b0.m"????" ApplicanYs Printed Name Applicant' i nature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory 8idg Ic 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi / ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 S2orm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof. , . ? 46 Windows/DOOrs ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant DBSCfIpilOfl: Water Damage Y- Yes ii f?04.. !4}• ,? - ,.,+ L Valuation Occupancy MCES System Plan Review 100% or 2 ` 5% Census Code Zoning City Water' SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings(deck) FinaVC.O. _ Footings (addition) ?( Final/No C.O. ? Foundation HVAC . ? Drain Tile Other Roof ice & Water Final Pool Ftgs Air/G as Tests Final _ Framiiig _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace R.I. _ Air Test _ Final _ Windows _ Y Insulation _ Re[aining Wall .,.,.. . Approved By: Building Inspector -? ----------------------------------------------------------------------------------------------------------------------- ----- -------------------------- Base Fee Surcharge ? ? Plan Review MClES SAC C ity SAC hr! ?''/ Utility Connection Charge it & S &W P h AZAM erm urc arge S Treatment Plant License Search Copies Other Total - ? 2007 RESIDENTIAL PLUMBING PeRnniT APPUCaTioN CITY OF EAGAN 3830 PILOT KNOS ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. l(a S tee5treet Address 3(,o6 fkcd) w Y?Tl'? N SS Z3 Unit # -?,,o?LZ-- Property Owner ?`?1v`! L( -,?p,,l??f/ ?n AI Telephone# (61J?)3Ia?O '? l????'v Contractor Telephone # ( ) Address City State Zip The Applicant is: x Owner _ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 replace burned out fixtures, etc.) $ 90.00 o existing dwelling [Alterations 7 $ 50.00 plumbing fixtures. This fee includes installation of a water softener and/or water er at the same time. If you are installing onlv a water softener and/or water do not complete this section; move to the next section and check the heater, appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) X Other. 0L?G0? 4t,1_4 fIQIkY7 FI7111J6$ 90(klN6TnlUbT? Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 50'50 I hereby apply for a Residential Plumbing Permit and acknowledge that the intormavon is compiete ana accurace; inai lne work will be in conformance with the ordinances and codes of the City of Eagan and the plum6ing codes; that I understand this is not a permit, but only an applicatlon for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved, pc1vN 1 1"4 mm's'll?.?l? ApplicanYs Printed Name pplica s ignature SIGMA SURVEYING SERVIGES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 HOUSE CERTIFICATE ?OR; ? HOMHBUIIL)fN5 ? LANO UEVELOV[RS ? HEAltORS ? RONTIER COMPANIES MooaL.: ?`raFFaRO 1?16Al_E% 1"=40 0?- ? , ?, D4NA?S? ?•, ?> D?;41r.1,c?--j ?u'f i Lrr( • ?ASri 'T +0155?5 ti .? ILI J"r a ? 4 ?v7 4 S `?aa ? c+ C i , 6L ? o. ? r ? ? \ \?e1 \q0?7 ? • , ? qo §1 `.?` ?.• / /%\ a? O? ? eWAYNE D. = i CORDES - 44675 - -LEGEND - ^v Cpnotes iron Monunent m Lenotes Wocd Hub Set xq04'1 Genotes Existirg Spot Elevation (xhNOwl{1 Lenotes Proposed Spot Elevation ?----Denotes Orainage Direction -PR)PER7Y UESCRIPTION- ior ---?L , BLaK 4 ?EXInlCaTotit PLAC? ?i?.?TN accordirg to the recorded plat thereot County, Uinnesota PROPOSED GARAGE FLOOR ELEVArION= 9p'3•5 PROPOSED Top of Block ELEVAllON=9 CA't PROPOSED BASEMENT FLOOR ELEVAT 10N= qP1. l- NOTE: Veri{y all floor heights with Final House Plans. SUAVEYfJNS CERTIFICtffIQN- 1 hereby carti{y that this survey, plan or report was preparjed by me or urcler my direct supervision ard that h am a duly Registered Lard Surveyor umler the laws of the State of Minnesota. 11 41? _ Date: Wayne D. Cordes, Mi»n. Req. No. 14675 i 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED 1fITN THE CITY OF EAGAN S7?ro2o COMFIERCIAL SINGLE FAlIILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS ' $2,000 LANDSCAPE BOND (CF,oco To Be Used For: SinQle Family Valuation: ?-^o^= Date: 11-29-85 Site Address 3663 Falcon WaY OFFICE USE ONLY Lot 3 Block 4 Erect ? Oecupancy Remodel Zoning Parcel/Sub Lexin&ton Place South Repair Type of Const T Addition l1 of Stories Owner Wayne and Karen Dunifon Move ' Length Demolish Depth Address 2107 W. 90th `#4 ? Int.Impr, _ Sq Ft Install City/2ip Code Blooming ton, MN 55431 ------------ ------------- -- Phone 888-0305 1 APPROVALS FEES Cqntractor Frontier Midwest Homes Cor Address 3908 Si61ev Mem. Hwv.#E City/Zip Code EaQan, MN 55122 Phone 454-0433 Arch J Engr. Richard Charlier- Address 14103 GArdenview Ct. City/2ip Code Apple Vallev, MN 55124 Phone If 432-5492 Assessments ? Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL G CITY OF eAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDZNG 000577 05/27/92 SITE ADDRESS: DESCRIPTION: 3663 FALCON WAY LOT: 3 ..BLOCK: 4 LEXINGTON PLACE S ;Buildiin,g Permit Type Building°,Work Type J , ?.. 4 BASEMEH7 FINTSH, ALTERATION REMARKS: FEE SUMMARY: Ba&e Fee $35.00 Surcharge $.50 Total Fee =35.56 CONTRACTOR: - Applicant - ST. LI IqZILER HOMES JQSERH 14544663 000243 18193 CEOAR AVE S FARPIINGTON MN 55024 (612) 454-4663 OWNER: DUNZFON WAYHE 3663 FALCON WAY EAGAN MN 55123 I hereby acknowledge that I heve reatl thfs application and state that the information is cnrreat and agree to eompky with all applicabie State ot Nn. Stntutes and City of Ea-qan Ordinences. L APPLICANTIPERM TEE IGNATURE ? ISSUE V: 51 N URE Control No. 0518 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 Control No. 01 5 1 R BUILOINO ;'.. 000577 ` 05/27/92 SITEADDRESS: LoT: 3 3663 FALCON WAY LEXTNCa70N PLACE 3 PERMIT SUBTYPE: 9ASEMENT FINISH AlTERATION I FRAPIING I I I IaSULATION I I FINAL 1-{Il?j?t??l?? ?.?•.?nlly ??i)? eLOCK: 4 APPLICANT: MILLER NONES JOSEPH (612) 454-4663 TYPE OF WORK: ' I- n! 111, i f? I.'! .. I l1 i!. S?;I I;:. d •.- . I',i I t" CI In n 1? +. llI t: ?;i'I ?UV. *,t;?•CIJ,i 171 . ,!ii: i{ c ? ?? PERMIT I ? CITY OF EAGAN 1992 BUILDING PERMIT APPLlCATION 581-4675 RECO 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, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested on ermit is issued. Date ? /=/ Yaluation of xork Dap Site Address: -7 (o (?3 F c? I co-? ?N-- ' STREET nE * Tenant Name: (commercial anly) Ouh? ? -, a LM ? BLOCK ?-F SUBD. V.I.D. M Descri tion of work: The applicant is: ? Owner Contractor ? Other (oes«3be) Name ? Phone Property LAST FIRST Owner pddress _af43 STREET - STE N City ? a- state zip Company Phone Contractor Address d I-33 Ce d 2 r&Sn ? License # 02 .3 /Exp. City ?d ?---- ? ? i ??'-? State Zip Company Phone ArchitecU Engineer Na"'e Registration # Address City State ZiP Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has heen approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stannes ta Statutes and City of Eagan Ordinances. c /?/? em"e Signature of Appl icant: Z OFFICE USE ONLY BUILQING PERMIT TYPE O Ol Foundation ? 05 Apt. Bidg P[09 Basement Finish ? 02 SF Owg. O 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 fireplace ? 11 Res. Add. p 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch WORK TYPE ? 31 New M 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish O 36 Demolish GENERAL INFORMATION Lonst. ?Actual} (A1 owable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage ? 13 Comm/Ind New ? 14 Comm/Ind Add ? 15 Comm/Ind Rem ? 16 Public Fac. ? 17 Agricultural MWCC System City Water PRY Required Booster Pump ' Fire 5prinkler Census tode SAC Code Planning Building ?s.s •16?? Engineering Variance REQUlRED INSPECTIONS ? Site ? Footing CO Framing ? Wallboard ? final ? Draintile 0 Insulation ? Fireplace ? Permit Fee v.iu.c;a,: s' ? Surcharge ? Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SiY! Surcharge Treatment P7. Road Unit Park Ded. Trails Ded. Capies Other Total: 14 ? i Assessments i SAC % SAC Units 2/84 CITY Ot EAGAN , . ,,,.. APPLZCATIOV FOR PER:tiIIT " . ;...: SEWER AND/OR WATER CONNECTIOri (PLEFSE PRIHi) PmDT-7= A''DPZS5: 3663 Falcon Wav rFrAL Dr..CRTv'?'rm.N: 3/ 4 Lexington Tlace or :ax Parcel I.D. l: -^..iIS_'=:G SPa'C_rr.?_ ?., DAl._ ? ^-c• D° Ci2TG2T.ai. :.uIL,^.l^.'G ?-== ==? -_ PPESL:'?' .,^:II:rVPvOPCS=- t'SE: 19 P,-1 =GL: F??+SLY d R-2 DL'P?...?{ f'?';'O L^II^S) OP-3 RC;,,1H(vTCr (m;io= + IINI=S) 0 R-4 P,i'?ic'?,.?.?•?•/CC:?G.?rr?r?1 ( Q.iI.S) ? CCi-=?CT_kL/RE:AIL?Cr"F'I =- ? ??liSi?L':L ? L`:ST=T.TIOJI.?L/GM=-?N',?T?E?:T 2) AP?Li= (alE;,sE aetw) N2V•1Eo Frontier Midwest Homes Corporation ADD2.SS: 3908 Sibley Memorial Hwy. Bldg. E CTT`_', STaTE, ZZP: Eaaan, MN. 55122 • Ph'?'`7-:. 454-0433 3) FLT;.??? tPLEASE PRINT) FOR CITY USE OHIY ??`'?= Star Plumbinq PLUMBER$ L 4 Let- ADDR.55c 1018 Mound Springs Ter. ccive CIT'Y, STATE, ZIP: Bloomington, MN. 55420 - Expired PHONE: MH?i-^ 884-4149 PwMBER LFCENSE N 3329 ? Recnr ' ' r .n2clal 4) 0CC[J?pr]'P/C??zIER (PLEASE PBINi) NkME: Wayne & Karen Dunifon ADDRESS:' .2107 W. 90th ll4 . CTTY, STATE; ZIP: Bloomineton, MN 55431 ' PIiO^IE: 888-0305 _ 5} INpIG,'iE :dHZCH PER•LIT IS HEIhG RFQUES'I'Lp: - ? C0NNE ION 'IO CI:^l SE;-,= Please mail gold copy to ? Cp:,;MCr?p-l 'IC) CITY GIATER Wenzel Mechanical 3600 Kennebec Dr. ? OTI'.&R (P=SE DESC??EE) Eaqan, MN. 55122 ? PT.--%SE F?OLD APPP,p? rJ?p. pg?ti+.IT FCR PI CiC-G?i BY C:VE OF 1\FGVE \ 'ki* APPnG^,T? ?n ,? P?'_•LTT'^J I,Yr2J 3, 4 aBC7vc. (Ci_`?'e one) 7) srcz,,T.-RE: ISI-e? ? .: DA'iy: g /! R OlalillsAi ? A ElJSf?.w! ft r4?oir# a? ? f ?FSii:?a ! l?!l1F.+?1lO?a f? ??!Rl?caFiii?/ .. F 0 R C I T Y U S E O N L Y pFR±qlm u TSSUED -^OES: $ ?? s-&7 $ ?G?Sv $ - S $ iS $ $ $ S 5 5 $ $ nEQ\4T'y^ II,lCLu?.?.? SU.?.CI':1RGLJ W3TER PE:??IIT (Il`iCLUDL SuRC;inRGc) WATER METER/COPPERHORN/OUTSID : Rr.nDER WATER TAP (INCLUDE CORPORATIODI STOP) SEWER TA? ACCCUNT DFPOSIT - WAT°_R wac SP.C TRliVK [•IATER ASSiSS:?Z:;T TRli>IK SE:dER yS5?SS::ENT LtITE?AL BEivEFIT/T:?U`IK S::•TR LATERaL BENEFIT/TP,U:IK SVAT°_R WATER TREATfENT PLANT SLZiCHARGE $ OTHER: $ TOTA L $ AI`!OL'::T PAIDjRcCEi?T n J b 76 .S r? DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUBLIC RIGi-IT OF WAY? ? YES' IF YES, THEN n"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST SE ISSUEI] BY THE C] NO"ENGINEERING DIVISION, LIST AS A CONDI- _ _ TZON. ... _,... SliEJECT TO THE FOLLOS9ILNG CONDITIONS: APPROVED SY: TI.LE: ' DAT?' : W?iV mia A o#f ?rJ ?! m NR EiO R+Y ?a ? R@ ?J6 itw R? Rk? f! 4 iW aF - . ?Y @E? ?F o 41 ?3/ rR.?! VkO BY a? em ? , . ' . . .. . . -_ : ' .. . _ - . . . ... . .. _ . .,.., . . . . .. .. . . . Use BLUE or BLACK Ink r For Office Use Ci of Ea ; Permit#: ty Ea I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: 3"3 A Lwm El1Cp M/ l I2 Unit Name: :2~`Vz T, Phone: RESIDENT / OWNER Address/ City/ Zip: 34l1 t Applicant is: X Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) Company: 01 Dtl Contact: 1/ CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orp 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x2l±Ny :~L4S m4pv4f,~ Applicant's Printed Name Applicant's Si nat re Page 1 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: II agree to comply with the City of Eagan Surcharge: Ordinance, J Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to 00-PIY whill tlro City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 08/07/2013 14:06 7634752566 PAGE 01/03 Use BLUE or BLACK Ink For Office Usey- 3 I I Permit : 7TXffl9F' it (n~ ~I n I Cllr 11 E~ ~11 Y ~ I ~ I 3830 Pilot Knob Road i Permit Fee: Eagan MN 55122 i l Phone: (651) 675-5675 Date Received: 7 13 I Fax: (651) $75-5694 I j I Staff; L 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: -t5_' Z-12 Site Address: _ 3 b.3 y Gc_. GO h K/Q~y Tenant: DCL1Y1Vf% C'. i Suite ResidentliDuv Name: Phone: Ater Address/ City/ Zip: Name: Weld & Sons Plumbing License Q?iti( J41 U I mer ane or City: Address: D %Irn 6/1N 55A41 Contractor State: Zip; 763-475-0296 phone: Contact: 1 Email: ~ QJ'1 S New A Replacement Additional Alteration Demolition Type of W0'&':::; ` Description of work: T-: h ca V t✓ NOTEf Roof mounted and ground mounted mechanicdl;equipmentis required td..be screened byCaty. Code. Please contact the Mechanics) inspector for if>forixtatron on ~Sermitted scromning methods:: RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit TYpe - Air Conditioner - Install Piping Processed . Air Exchanger Gas Exterior HVAC Unit Heat Pump ,,oo Under/Above ground Tank I Install 1 _ Remove) Other vv RE'SIDE'NTIAL FEES $60.00 Minimum Add or alteration to an existing unit (Includes $5.00 Stale Surcharge) VAP $100,00 Residential New (includes $5.00 State Surcharge) _ TOTAL FEE COMMERCIAL FEES Contract value $ X,01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee "If contract value is LESS than $10,010, Surcharge = $5,00 Surcharge` ""If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 """If the project valuation is over $1 million, please call for Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans, X r`D x Applicant's Printed Name Applicant's Signature FOR OFFICE USE. Required Inspei b6ns Revlewed'8y Date:" Underground Rough lm'! Air Tdot. Gas Service Test Irnfloor Hael Final HvAC St reenmg I PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA116091 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Tim Mohr 3410 Kilmer Lane N Plymouth, MN 55441 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Danny T Muskardin 3663 Falcon Way Eagan MN 55123 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116378 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Danny T Muskardin 3663 Falcon Way Eagan MN 55123 All Pro Xteriors Inc 11235 Eastwood Ave SE Watertown MN 55388 (763) 315-4245 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136103 Date Issued:04/25/2016 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jay W Lapham 3663 Falcon Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140389 Date Issued:12/15/2016 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Jay W Lapham 3663 Falcon Way Eagan MN 55123 (952) 303-9301 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163042 Date Issued:08/12/2020 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jay W Lapham 3663 Falcon Way Eagan MN 55123 (952) 303-9301 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177712 Date Issued:07/14/2022 Permit Category:ePermit Site Address: 3663 Falcon Way Lot:3 Block: 4 Addition: Lexington Place South PID:10-45060-04-030 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jay W Lapham 3663 Falcon Way Eagan MN 55123 (952) 303-9301 Paul Bunyon Plumbing Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature