3668 Falcon Way
Use BLUE or BLACK Ink
r
For Office Use
I I
Permit#:
City of EaEd-
I Permit Fee: `l
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t'~- -10 Site Address: (9b 0 ~C!~ 0-,-y\ WO-AA
Tenant: Suite M
✓l`I L~~r
RESIDENT/OWNER Name: eouI Phone:
Address/ City/Zip: StQIQo bVAV
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: 7-~6 -4 ` ®y r: F , 5 rel~
Construction Cost: Multi-Family Building: (Yes / No )
I
CONTRACTOR Name: License
Address: Payo DPnGJA,) Ak C~T- City: ~/~t 1G
State: Zip: Phone:
Contact: Email:
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.
I
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a p ; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ns.
X ~lz~l;~ J~iil x
Applicant's Printed Name Applicant's g ure
Page 1 of 3
OFEAGAN
10991
3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Reuipr
TO he YNd FM ...,. . . . - Est_ Vnlile +l
r r t1?• fl..en tC `C
Site Addrep
Lot Block Sec/Sub.
Parcel No.
? Neme
? Address r
City Phone
Z,'Name
u? Addre
F- Citv
SF.MF:
?°W` Name ' • " - C}:P.RL.CEI<
I L w,, CT
Adaress • i . .?. ,
?
q... Citv ' Phnna 2-5
I hereby ncknowledqe thot I hcve read this opplication ond store that
fhe intormcfion is torrett ond pgree to comply with oll opplicable
Stcte of Minnesota Statufes and City of Eagon Ordinantes.
Erect U Occupancy _
Remodel U Zoning
Repair ? Type of Const.
Addition ? No.Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft.
Install ?
Approra Is Feea
Assessment
Woter b Sew.
Pol ice
Fi.e
Eny.
Plcnner
Council
Bidg. Off. ' i - J
APC
Var. Date
Permit '
Suroharge
Plan Revlew J' ..?
snc .ta.00
Water Conn. ? 0 ' ? Q
u.3 . G d
Water Meter 0 a
d v
.
Road Unit
Tr. PL
Parks
Co ies
Sipnoturo of Permittee
iN1_;, Total
h Building Permit is issued b: on the exprcss condition that
all work sholl be.done in accordance with all opplicoble Stote of Minnesoto Statutes and City of Eoflan Ordinonus.
?
p
.? ?
•
c ?
e= A
Q ?I
°
r 'n
>
o T
>
? ?I
9 ?
a
c ?
g ?
?
o ?
g ?
r
3 71
e
? 71
S
e 71
?
c
? -?
.
? fn
? S
L
? 3!
e
?
&
$
n
?
_
?
?
n
i
"
a
a r
?
W 2
ID
r:
,
? f J ? A •
o
i =
?
S
. I g
l ? ?1
6,1 O
m
' ? ?
Rsceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fse 20.00
Fil! In numbened spaceis S/C .5 C%
Type or Print /egiW y T ; 2 0. 50
ol.
1. Data iJ/12j 2, installation Cost $1700.00
3. Job Address??.b8 r'ai c, - Lot ??- 81k. Tract
4. Owner ?tA ? •
5. Contractor •-p -jzel Mechanical
Phone 452-15E+5
6. Address •}`%0?' x?r.?: ?' ?? - .
7. City State 4-?4 Zip ? -
8. Building Type: Residential 0
9. Work Description: New C}:
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe 't,•. at •.it Fuel Type ::'Luxal ga:•
11.
No. Eauioment BTU - M. Ea.
Forced Air i ' - No. Equiament CFM
Mfg. Air Handling:
1
1
i
Boilars 1.It-
an!.i
1
Mfg. Mech. Exhaust
Unit Heater
Mfg. : O
h
Air Cond. er
t
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type at work.
Signed :
for
Rouyh Final
Inspections: Date Inap. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Lexingtan Place South _ Lot 11 Blk 7 Parcel 10 45060 110 07
Owner Street 3668 Falcon Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 3
STREET RESTOR.
GRADIfUG
SAN SEW 7RUNK 1985 247.64 16.51 15 6-
SEWER LATERAL 3 2 6.20 5 Q , 8Q
/ ?
0/
?(o
145 .87 5 -Z ea,. ? r& rF6
WATERMAIN 19$5 65.81 13.15 5 ? -VS
WATER LATERAL 873.43 174.6 $ . 7S Q O//
WATER AREA 48.74 ..lf // L? ,?/?3fP6
22.39 89Sr eo Z (a /rFG
STORM 5EW TRK 1011 1986 4 2 6. 54 5 ?• a ? O?2
STORMSEWLAT 101f. 1986 803.34 $ 5?
16 5 o2•?i e92
0-
CUFB & GUTTER
SIbEWALIC
STREET LIGHT
RQad Unit
WATER CONN. 500.00
BUILDING PER. 10991
SAC 525, - 00
PARK
t PLUMBING PERMIT Pormit No.
CITY OF EAGAN Fee
--?--
Fill in numbered spaces S/C
Type or Prrni legib/y Tot.
?-
1. Date 2. Installation Cost
3. Job Address =' ? I Lot Blk. Tract
4. OW(1@f .. , , .: s
5. Contractor Phone ?
6. Address
7. City ? State ZiP
8. Building Type: Residential O
9. Work Description: New IJ
Commercial ? Institutional 0
Add El Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower We I I
KitChen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink -- -
Gas Piping Outlets
I
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 : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ' PLUMBING PERMI7
CITY OF EAGAN
Fill in numbered spaces
Type or Prinf /egiWy
Permit No.
Fee , •(,)L
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address Lot?Blk. ? Tract
4. Owner ' ? ? •? ? _ '
i
y ;
5. Contractor
6. Address
7. City i.Siate - - ? Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New ? Add O Alter ? Repair ?
10. Descri6e
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Levdtory ? Softner
Shower We I I
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 : - for - , ,
J Rough ' Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? , I n I j , 114 1.1n.
iNf,iliri v4 nr.f ?,
PERMIT SUBTYPE:
, j.1 JI I ? 1 , 1-.t[
INSPECTI4N REC4RD
PERMIT TYPE: Permit Number: • ? !
Date Issued: " ' 24 / `44
APPLICANT:
TYPE OF WORK:
AI tI P nr tIor,
!!: A M 1 N r,
i? t?I I riFi 1 N I't Iti"i
I ta'.ttl q( I i,hl
I I Nl-? I
I kI MAkKS: 5tF'AF'AIt 1'! F:Mi 1'. AIt1 I+t U1i11it li I uk AM'i !,I IIM{i]Nr? ?lk t t El:lkl1;A1
? ,'!?¢?g ??-=yi
+1 * L+w-? f? . Ik?'ib
? . . . . . . .. , .. . ...
Permit No. Pertnft Holder Oate Telephone #
S/1N
PLUMBING ?
47
HVAC
ELECTR
ELECTRIC
Inspsctbn Daft Insp. Comments
Footings I
Fountlation
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Final Htg.
Orset Test
Final Plbg. Y?l Plbg. Inspector - Natify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
DeCk Final
Weil
Pr. Disp.
This reqoest void
? nnnths Irom V d 0
0 059914 7,
Request Date
?
V Pire No. Rouph- i
Re .InsUection
? [ .
?HeaAV Nnw :].W?I Nor?fy InsOer:-
1 C- 2 p? es ?NO ??? When Ready
Q^L iensed Elecvical Convacmr I herebv request inspection of above
? Owner e lectrica I work insia I led at
S!5 Addr ss. Box or flout No.
(o g r0, W Cit? 7
J ? ,
,
ecuon o. Township Name ovNn. FanBe Nn. County ?
j
? -
Oc-?c nt IP INT)
?04 r cti'C-s r
Phone No. -
. ?- ?S r ? '?-
Puwer5uppli r Addreas
Electrical CnnUactor (CompanY Name)
EI,ECTRIC Comrar, or's License No.
CW?? ?67
Mai n9 dJ?r(ets_ (CQnt?Stpbp?QOy?kt?y}FL?? [ion) lYJ?v ??LPlltl Vl?
Author r ?v k la[ion? Phone Number
MINNESOTA STATE 90AqD OF ELECTXICITY THIS INSPECTION REQUEST WILL NOT
Grig9s-Midwey Bldg. - Noom N-191 BE ACCEPTED BV THE STqTE BOARD
182T'UniJersity Ave.. SL Peul, MN 56104 UNLESS PPOPEP INSPECTIDN'FEE IS
Phone 1612) 297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Es-ooooi.on
' Sae inshuctions for completing this form on heck ot yellow capy. ?'?
° n? q q 14 X'* Below Work Cavered by 7his Requesf
dd RaD. Typa of Builtlin8 AuPliances WiraO Equipmenl Wired
- Home Ranye Temporary Service
Dup!ex Water Heater k 'Lightiny Pixtures
Apt. :iuildinq Dryer Elec[ric HeaLn
Commercial Bldg. . Fumace Silo Unloader
Industrial P'rIg. Air Conditioner Bulk Milk Tanl<
FBfm - Other , pecify cher'(Sner,ity)
t?er Suecify pther Oiher
Comuute lnspectian fee Be/ow
# Fee SarvicaEntranceSize fl Fee Feetle,s/5uhfeeders N Fna Circuits
", 0 to 200 qm s 0 to 30 Am s ?e vz' 0 to 30 Am ?s
Above 200 qmps? 37 to 700 Amps ? 31 to 700 qm s
Swimmin Pool Ahove 100-Ain s
ve 100_/amPs
AAo
Transformers Irngation Boorr?s Pertial-'Other Fee
Signs
Special Inspection E-el
TOTAL
?F
?-?
Remarks _ F
T ?
-/
y' /
,.UV/
O
!
?'
Fough-in
Final '
t` Da[e
G
O t ,the Elee2ri?
Inspectoq heraby
cerfify thet the above
inspection has been
made.
' ThlareQU¢stvoiE78monthsirom
`
neuu[SI FUN ELECTRICAL INSPECTION jIM Ee-°°°°'.°^
?-/ 0 Sea instroCtions lor tompleti
rq this torm on baek ot Yellow coOY.
?443C3 G "x" Below Work Cavered by 7hrs Request '
Flaw'Atltli fleO.1 Type ot Buileing? I - Aouliancea WiroE I EquiVment Wired I
%1Uf@5
10
I I I I Intlustrial dldg. I I Air Conditioner I I Bulk Milk Tenk I
on
p Fee ServiceEMreneeSixe h Fee Feeders?5v??eatlers N Fex C,cwts
o to 200 Am s 0 to 30 qm s 0 tn 30 An.
Above 200 qmps. 31 to 100 qmps 31 to 100 qm s
Swinvning Pool Above 100-Amps Above 100_Amps
Transformers Irrigation t3oorc?s PartiaL'Other Fee
aigns Special Inspection
Nemerks 0 °' s0 7OTq?yf ??''??y
?l...rL._?. 1.."_" _".? .lJ... ?. •. / .J?.?0)
3 Ina E?
i
? „ , 3.?0
7 ?Pecbr, heraby
^S
I Final
?
???
DWI q?7
? I
certi?y thet The above
inspeetion has bean
I. G ?Y! mede.
requeatrola
inis reques
18 nwnths (r lom l voitl 5 /0 b y ?
p
oD R2 3 g, L
1013 195
l O . o c,
Heque Date
?? Fire No. Rouph-in Insuection
Required?
Feady Now ?Wiil Nntifv InsOec-
?
?yes ?NO lor When Ready
?censed ElecVical ConVactor I hereby reOUasl ins0ection of abova
Owner eleclrical work instelled at:
Slreet Ad
Aress, B?fo7x or Foute- a.
City
//?? /?
:r
z - `% I /
acuon o. Township Name or No. Ranpe o. Cow
?
Occu 'nt^I/PflINT)
& (
?S5 J Phone No.
? ? ? •
Pow¢r Supp ier
D /J.---L . Address
K
Electrical Contrar.mr IComOanV Nam CnNractor's License No.
ELE
T
Mailin91'SJ4O`pQ?
t+lv+`
1 55124 ?
Authorized ??;e on r Lou rtMaking InstallatioN
1+
? Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griges-Midway BId9. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1827 Univarsity Ave., 5t, Pxul, MN 55104 UNLESS PflOPEfl INSPECTIDN FEE IS
Phane (6121l 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-uooui-ua
SbbS? ?-
' See instruc4ons for completin9 this form on back oi yellow copy. ??? ??^?
LO,.X" Below Work Covered by 7his Request o
Nev4 Add oo. Tyoe of euilCing ApOliances Wiree Equiument Wired
Home Range , • emporary Service
Duplex Water Heater LlghtinG Fixtures
Apt 8uilding Dryer Electric Heatin
Commercial Bldg. Furna- '-- Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tanlc
Fatm Othei Vecrty iherlSner.iryl
ther Snecify Other Other
ComPute fnspection Fee Below
p Fee Ser0ceEnfrance5ize N Fee Fexders/SubfeaAers # Fee Circults
0 to 200 Am s 0 to 30 Am s 0 to 30 Am>s
? Above 200 qmps.. 31 to 100 qmps 31 to 100 q s
Swimming Pool Above 100-Amps A6ove 100-Am 5
Transformers Irrigation Booms Partial.'Other Fee
Signs Special Inspection 5
Sv TO7
?
Rem3rks ? 7E
D ,G
Roueh-in
? o:rte ?,ih 1 ical
IfISpBCtO, (1BlBOy
certifV thnt the nbova
Finai
D'?'f`+j' 'nspection has been
mede.
This request valA 18 monfhs from
REQUEST FOR ELECTHICAL INSPECTION
? V 2884 $ee insfruc?ions lor completing this form on back oi?ellaw copy,
?"X" Below Work Covered b This ReQuesf
`???P• EB-00001-08
?. ...
0' ggp. , TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specily)
Farm Air Conditioner
Otherlspecily, Convaclor§ Remarks'.
Compure lnspection Fee Below: ?n ?^
# Other Fee # Service Enirance Size e # Circuits/Feetlers Fee
Swimming Pooi 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps ? Above 100 _ Amps
S19n5 Inspttlor's Ilse Only: I?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ERED DISCONNECTED IF NOT
Other Fee COMPIETED WItHI 18 MO 7HS. '
I, the Electrical Inspector, here6y Rou9h-in oaie?
certify that the above inspection has
been made. F;nai ? oaie
OFi1CE USE ONLY B
Tliis requesi voitl 1B months Imm
ThiS rtlQUBSI VOId -?Jl?[?7
is ?nms f,am . '
C 4 4 3 9 6,c ii.
Reques[
I i Fird-T1oy/ IiooPh-in Inspecfion
Re wred?
?Ready Nuw ?Will Noliiv. Inspec-
1'es ?NO tor When ReaAy
? Ucensetl ElacVical ConVactor 1 harabV request inspeclion of above
4 Owner electricel work instellad at
Sveet Address, Box or Route No. Ci[Y
6 ?' 6,07
ecLOn o. Township Na m No. Ranee No. Counl
'U /
Occupent (PNINT) Phone Np.
?"
iV/-/ -DPP9
Power up0lier Address .
Q /
Electrical Contractor (Company ame) Conhar.tor s License No.
Mailing Address ICOnVacmr or Owner Makinp Inscallationl
Au??o ' ed Sienature ICOntr tor/Owner Making InsUllatiunl
Phone Number
?
1 tyfy-oa,9
MINNESOTA STATE BOAPD OF ELECTNICITV THIS INSPECTION HEQUEST WILL NOT
Grigps-MiOwav Bldg. - Room N-191 BE ACCEPTEO 6Y THE STATE BOAND
1821 University Ave., St. Peul. MN 55104 UNLESS PHOPEH INSPECTIDN FEE IS
Phone 98721297-2711 ENCLOSED.
G 9
/577
N0 884 ?
Repuest ? FireNo. Rougn-In In eciian Repuire0 Inspection Other ihan Raugh-In
` (1'ou mus 11 inspecfor when reaGy) ? qeatly Now ? Will NotAy Ingpector
Ves ? No Date HeaEy
I li
d
t
t
h
b
i
i
l
l
k
C
f
b
i
0 -
or
cense
con
rac
owne r
ere
y request
ove e
nspect
on o
a
e ctr
wor
a
ca
.b
s IStree x or R. Clry j`
T
A U nn
G
A
Section No. Townshlp Name or Na. Range No, Count f
Occ a IPRIN I Pho q I ? ?•? p
cJ
Power SupDlier AOdress
EI ri sl Convect (COmpan N me) C re 5 Lloe "
J' Atiqress C hactor r ner akin I Id? io
!
NU riiEtl I Blure IG 1 CLOqO Bf Meki II po?q
. ?? .
0
? ??
MINNESOTA STATE BOAFD OF EIEGTPIGITY Y / THIS INSPECTION REQUEST WILL NOT
Grigge'MiCway Bldg. - floam S-173 BE ACCEPTED BYTHE STATE BOARD
1921 Universlly l1ve., SL Pnul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone(61Y) 6034800 nl?? ENClOSED.
CITY OF EAGAN N°_ 10 9 91
3830 Pilot Knob Road P O Box 21-199 E MN 55121
, agan,
BUILDING PERMIT PHONE: 454-8100 Receipt #
T. M wad fe. SF DWG/GAR
$64,000 ?,,,, SEPTEMBER 17 10 85
SireAddresa 3668 FALCON WAY
Lot 11 Bl ock 7 SeclSub. LEX PL SO
Percel Na.
? Nan,e FRONTIER MIDWEST COMPANIES
; Address 3908 SIB MEM HWY, #E
b City EAGAN phone 454-0433
o Name SAME
Su Address
1- City Phone
?w Name RICHARD CHARLIER
~
x?
?
Address
14103 GARDENVIEW CT
?b citY A' V' Phone 432-5492
Erec[ LX Occupancy R3
Remodel ? 2oning RI
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 40
Demolish ? Dep[h 47
Int. Impr. ? Sq. Ft.
Install ?
AvMorats Faes
Asuument -
Wafer 8 Sew.
Police _
Firc
Enp.
Plonner _
Council _
Permit $ 325.00
Surcharge 32.00
PlanRevlew 162.50
sac 525.00
WeterConn 500.00
waterMeter 63.00
RoedUnit 280•00
1 hereby acknowledge that 1 have read this ovvlicarion and state thot Bldg. Off. 9 16 85 I Tr. PI. a-32 . OO
fhe inlormafion Is correct and ogree to comply with oll opplicoble AP? Parks
Srofe of Minnesofa StoNtes o City ofnEagon Ordin nces.
/ Var. Date Copies 0
$i0nature of PermiHee
FRO IER MIDWEST COMPANIES Total
A Buildinq Permit Is issued M: on the ezpress condition thot
all work shcll 6e done In accordonce wirh all o State of Mi totutes ond City of Eapan Ordirwncea.
Buildirp Official
7'?D/7
2007 RESIDENTIAL PLUMBING PERnnir aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Dleam rmmnlo}e fnr mnriifiro}inne M ovie}inn rocirienhial riwallinns
Date
?-
Site Street Address __S (I (? unit #
Property Owner Telephone # ((,LS k ) 'iSa -_33 ?
Contractor Telephone# ( )
Address o0A Ci Stater^-.1 Z(p
The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out flxtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a water softener and/or wafer heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
V4ater Softener Water Heater
_ new _1?replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
1 hereby apply for a Residential Plumbing Permit and acknowledge that the mtormation is compiece ana accuIaLe, ulaL uM
work will be in conformance with the ordinances and des of the City of Eagan and the plumbing codes; that I
understand t' is not a permit, but only an application for a p it, work is not to start without a permit and work will be in
k'l
ac ance with approved plan in the event a plan is require be re 'ewed approved.
?
Applicant's Printed Name Applicanfs ure
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: L oT :
3668 FALCON WAY
LEXINGTON PLACE S
PERMIT SUBTYPE:
BASEMENT FINISH
ii BLOCK: 7 APPLICANT:
VICTORY BUIIDERS
(612) 891-4543
TYPE OF WORK:
BUILDING
023131
03/24/94
ALTERATION
INSPECTION
FRAMING D. .
INSULATION .A
ROUGH ZN PL66 FINAL
REMARKS: SEPflRATE PERMITS ARE REQUIREp FOR ANY PLUMBING OR ELECTRICAL WORK
?
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
-1
-j
? PERMIT C,? 1(
CITY OF EAGAN ? ?Y??y
3830 Pilot Knob Road PERMIT TYPE: B u L D I N
Eagan, Minnesota 55123 Permit Number: 023131
(612) 681-4675 Date Issued: 0 3/ 2 4/ 9 4
SITE ADDRESS:
3668 FALCON WAY
LOT: 11 BLOCK: 7
LEXINGTON PLACE S
P.I.N.: 10-45060-110-07
DESCRIPTION:
BASEMENT FINISH
ALTERflTION
00 'L? (K 2 u oc?
? -.. ?
Bui lding'..Permit Type
B'uilding Wark Type
?
11 4/
REMARKS:
SEPARATE PERMTTS ARE REQUIRED FpR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
7ote1 Fee
$35.80
$.50
Fee $5.00
$40.50
CONTRACTOR: - A p p L i c a n t- s T. l. I C. pvyNER:
VIC70RY BUILDERS 18914543 0009331 EYDUCK LYNETTE
14194 fiARLAND AVE 3668 FAI.CON WAY
APPLE VRLLEY MN 55124 AGAN MN
(612) 891-4543 (612)454-0229
I hereby acknowledge that Z have read this application and state that the
intormation is correot and agree to.com:ply with all applica6le SCate of Mn.
Statutes and City of Eagan Ordinances.
L
PPLICANT/PEFMITEE SIGNATURE ED 8: S N?U E
?,-?
I
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
d).ZD
-i
?
_- ?---- ----- -?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Pen altyapplies: 1) when perm9t is typed, but not picked up by last working day of month
r
which request is made, 2) address is changed or 3) lot change is requested once permit
s
issued.
Date 3 Valuation of work ?-5300
Site Address: 3L?8 ?A?o?? wrl'
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD.
' P.I.D. ia
.xU,l:2. f;l
7
Descri tion of work: Pfk?TiR?" ?,S?i'`TEN? ?/??!S//
The appl i cant i s: Cl Owner Contractor ? Other (Describe)
Name Phone `15Y aa°'`9
Property =T__ FIRST
Owner qddress !3t- c 8 r4c.c-o.-j 4?9Y
STREET STE It
City A216j4Al State /tf.v. Zip
Company (IlG7a2r adrLOcxs Phone 29i-yS?3
Contractor Address 1 Y12Y 6r9??N,Q i9-U? License # 9331 Exp.3-3/-9y
R6N0"42. APLf&A710? PENO/N(r
'
3'
L
'
''
/y
?
?LC- Y
5
City AP
l9ll_E
• Zip 5?
I-
+
State
^
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 1„?`nJ?rsZ h6m,(lq.1e4-* L . 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
?
?
lYY4 YLUMIfilVli YISKMTl- (iCEMUL'1VY7AI.f CITY OF EAGAN
3830'PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FC?R.
CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EA(: TOTAL
r SHOWER 3.00
Vn'ATER CLOSET 3.06 _
-
? LAVATORY 3.00
KITCHEN SINK 3.00 ,
LAiJNDRY TRAY 3.00
HOT TUB/SPA 3:00
WATER HEATER 3.00
-
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • naLcxy. uc. 20.00
U.G. SPRINKL-FR • eome unaff cmu. 3.00 .
, ALTERATIONS • w wuing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
, TOTAL: aD . 50
`
SIT'E ADDRESS: Z(m(o ,? ;?itAdW /iJdd-
OWNER NAME: I?Gt'.?ou?+ ??Krd//?
IIVSTALL.ER:??
annxESS•_
CITY: STATE: /?7N ZIP CODEi
PI=IONE #: (?o la ) 4?v o1-/v-?6 S"
?i10/YI ?• 1 ?2-?4?.a?'??
? IGNATURE O ERMITTEE
tlo(( ?
/
1985 SUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH YNE CITY OF EAGAN
57-A.Fr-cf-o
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
SINGLE FANILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
(-0g ,000
To Be Used For:51, ?e M)iValuation: ? Date:
Site Address 36(Q? lFqIC,n8 UJCj,`I
?
Lot 11 Block _?]_
Parcel/Sub L-e-W__p'Cl(? S??•
-j--
Owner 1 \I,p24- Lom n ... ? e-
.?
Address (_.eihP -t4n3
City/Zip code ? OG?rN Mp . 55 /2- 2,
Phone IS'Y_ Qa,aq
Contractor
Address 3908 Sibley Memorial Highway - Bldg. E
Eagan,
City/Zip Code
Phone 454-043 ?
Arch./Engr. Lar?IQc
Address 141 03 GQA?t) UiP(J? Gl
City/Zip Code L??.Q vCjl ?LSS?Z`t
Phone I! 43a s??a
OFFICE
Erect x USE ONLY
Occupancy
2-3
Remodel Zoning ?-i
Repair ' Type of Const
Addition ? al of Stories
Move ~ Length 93
Demolish Depth "1
Int,Impr. ? Sq Ft
Install ,
- -----------
APPROVALS
Assessments
------- - ----
FEES
Permit
------
25,
Water/Sewer Surcharge 32,
Police Plan Review
Fire SAC 52.5,
Engr Water Conn 500.
Planner Water Meter G3.
Council Road Unit 280,
Bldg Off Treatment P1 132,
APC Parks
Variance Copies
TOTAL
, S O
? -. ?.,,? •
?? .
OWNLR:
%
S]TE ADDRESS:
PIiON[:
CONTRACTOR: F2co-3-MOIL
Determine working square footage cf each
1. Total exposed wall area..... ?_sq. ft. r. .1:
2. Total roof/ceiling area..... ?a? (a ;y. ft, x.G2G ?1
Total exposed +Jall area above flr,or=J?
a. Total wall window area ................................. ......
.
b.
Totai
door area ........................................ .
..
..........
c. Total sliding glass iloor ar^o .......................... ......
q
d. Total fireplace wall area .............................. ....
......
e.
Total
wall framing area (average lOk) .................. ....
..........
f. Total rim joist area ................. ............ .......... ???
g. net wall area above floor...??4?.Cel?:C?':;!,,,,, ,,,,,,,,,
??
?
?
h• wall area above floor ........................... . .
-
-
-
........
1. wall area a6ove floor ..........................
j. frame wall area at foundation
Total exposed foundation ai-ea= l--::)
k. Total foundation window area .......................
i. Total net foundation area above 9rade .............. -_?
1
Determine °
windo
(e u" value
d of each wi11
h scgmcnC
.g. rr, oor, eac
separate ri(ill seciion)
• a. I ZS X "U" _ 7,
- b. x ?v, /5
`T
i
- c. --T Z- x ?V, Ll
_ d. 48 a ?.u,?
e. 15 (,,,,,4 5 X ?V, .08
__ IS• / r?
. f. I _22.) o x °u° 0 3
e• 13(2) 1r 0:?2 x U„
n. x ul 1, _
1. X U., _
. j X 'lul, _
• k X 'lull
. ?, (p ? X .?.75
?. ........... .,. ...... . Total .rj ?j
i u y c 1 V I Y .
XTERIOR ENVELOPC nvcanr,r °u" coMrurnrrnN
ST???P?+? ?7 N a w .
---- -- fiATt
If item k3 is the sam
as, or less than'item
6`1, you have met,.tfie
inl•ent of SQC..601':` ,
, r (.;#
! . -f
? Pacj!rio: Bnvclopo 11veri9e "L"' Comput.jt:ion
ToCal cxpaned rooL/cciling arca = I C>iko
Pngo 2 of 9 :
in. 'ibtul skyli.ght area ............................
n. Total roof/cciling framing arca (nvcrayc 10%).... _? p1 ,(D
o. Tol•al net insulated roof/cciling area........... ??q,Lt •
. Determine "U"?valuc for each roof/ceiling segment
.. M. - X .U,.
n, ? p a "U"
o. x ..U., OZ - ?ji Z
? ........................... . lbt- al
Ii total of 1I4 is the same as, or less t:hcin 112, you have met the int'ent of
SriC GDO6 (c) 1.
Alternate Buildinq Bnve].ooe Desiqn
ib utilize the total envelope'system method, the values estzblishecl by tiie s:un of
1_tems i;3 and i;9 shall not be 9reater than the sum of items 1,1 and 412. + 2_ Z.n. 4t = 24 z.,s
3. + 4. 2-C?)r 7 3 p ? , ?P
..._...._. ??
'N.
?'., . • ,ani.r, t,r.r?rtcni?
f? ' •
F..? U:'r ?yt of i??l.jIiku• unll nrcn [oi
'? . Ir;inr: t:c.iir,l rucl lun
_s.....s s• I______?O
-? - ----
-?i _-(D
,:C ^
`? --- ?
( FIG. tll TOINIE:IJ Oe
eiWu: tanl.r.
ric. 02
-- - -* -r,
?
'
f F ( F A
ti..-al ?
•
4?1
? , i
5
.?f
,1 :? ???•
l? • ' n µ
.
1.
- "_"' •
-ti
`-
.
?'``•.
y -
? , ??. , •Q:
? u
Y 'n'
r
h
-?
- ?`
•
.
..
------a
I -ol 1
?ID
-?- (?
I -? ---=--{??.
?
----•----{.?J ?a
..4. . ?( ' y .
?
i-• - '• -?,,.??
. ..?.
Ate ALM..
?? ?•
'? -04lt
s
. . . _
.. c?y ? a
? . .. , .g_
4
3
.
8
?
_!? I
_"'_"'.._. ....... . ......_.. "" '_"..._""._..
z.?
13.
IL
t-A • p
q.Gn
s. A4vm,_.Scrmp-.,,g . ....... ... ..A61
G. F.0.0!?101 ? ai: i,1l.; -- -l- 0.17
i-m
.
2.
3•
a.
G. }:x:crfir nir iilm -----d.17 q
'."--?--------... ---.i'oC i l Cr -1 • 7 f
U= , a S
1. in[,•i?•?c ,?Ir (il?:: (1.(f1
. .... . .... _.... _._ .. _. ? .--..-
......__?_....__ .
2.
__----
A.
5. -..---?--- -........---•----..._..----°-?
rut;il (m• ''
L-k a' . 1 ?
:if.Al?_ ON ?;ItAtll:
?. i. " u
,yf,•r. I
-. I
?,.
• -T r
(q
G. !3
V
? • -,_._ . • ? ?
. ?
' y • I
• .?
_ (.li ???'`7ii '? . , '? • r - ? .
? ri?? _ . • • --
?.r ' " , n ' • ' /i," -
i1l x : . l
t•ic. ?ia ,r? a • :> ' / /
. dr_i;th nnd
. fR?•1'C: lu?ll?:o[?? l.y??q, "!i" %.elua,
„ - nnor/cEiLivc
---?-
'..
. 1--0
Heat flow
•. ? °P '
f•sc. os? .'
Construc ti on R-Val?ic
1, Intcriar air film . 0.G1
s. s3 G?f __ ?3D , ?R
3. Ik)SuL. • 44.Oa
;. Extcri.or air filn (st.i11) 0:-6-1
- Total ?. 4s8o
• : .. ? • ?_ .oZ '
FRA+rt ? ' .
1. Interior nir P.i1m 0.61
2.
3.
ln (stj.ll .eT'
-Tot3L
U = oZ4
• - - - ' co.t??r?'v?ri ?y?_ '. •
O.Fil
Snsidt air film
? • 3. , .
? 4-
v ?
'?? putsidc air. Eilm 0• ll
11nI? Total
?I l I i i I I?. ?•:;_1!J I?? lF/?_____? . .
• ? ' . F'.C.?e?-r ? . ' , . • .
? t14? ? I. Znsidc air Pil7n 0:61
r ' 2. .
r • • . . - . '
: Ycaz fiov vp - j-venud 3-
. 4_
• . , ' ' • ? . ' ' 5_ Dutsidc iir film 0.17 ,
. • -PZG. A 6. - _ . • . ? -. . . . Total .
-_. .•. -3 ? .-05 •?: 1_ Ynsidc air film .:. - ' 0.61
. • ? .J,,.S*_?. .:.-_ .
?:,??L?1?'^-• .•. -.'??? 1_ . • _----
? .o..c?'=??„',.•i.'..:=.:rJ % ?„` 4-
•I\.\.Y?'iY'.._...
U . 17
¦r.??-?:?•.•:::;.•.'?'.??-??' ?. ? '--? . ?. GlitsiJc ai.r film
? ?j ? 'r??? . • . .. . TOta1. .
< , .. ?i/ • .
? ? .? / . . _ ' . . .
. . - .?' . . • . '
. ?p?l_y„.-?? .• Rotc: Use add3tionnl sheets iF morc cpaco i_
necded for details and calculatians.
' . Bent ? ' .
flov up ? ' . ' ?•
. . • . .. . .
' rIr,_ ?27 . .. t' . • ' _ .
U:n•?,t?loL PIfou Un uall nrcn for -- ?? '
c F ( ?;
.. •.rCC1IN: GUtIlit?ruct:l?n Cc,n_t rnrl Inn
, ' .?. . ? .j ... . ? '?
r. ?..
?. ??? -J • . . ... .. .. ..??.?.? .?
?_ _.?,? ' • _??t?. ..S.i.oc?c ,,,?., ?,N _ . ... _t,1j
; • _.. .. _
r
-- -- --
?, ? ? • s. ?.?cE. BF?c,c .... .........
IC Erli.i i? r.ilr U 11 ?..:
ALL?'r.. I? J? -._?'?J . l?•.i..?i 2.'ls..
F1L.?:N1 1YiYVIE39 OF.
rIUvL: 14ALL! , ?. -• -'-'_ .._. . . . . . ??
----...----. _- -_..._ ,
• 1 ? i ? ' , Q. __".__ " "... .._.___.._. _ _. .? "_' :?j ? i .
,:' __• 5 ,
k 5?} r
F101102 ?'; -•-?-------.1'ut:al -,• fI"?c??a?? ?#?,'.n
t ?
it ? r s
; ? .
?? -"-"'? • 1. 7ntcr_ur ni.r film n__G9
.I j .?•' ? _ 3 i
? '? .? . 2. S J( Tf i
7-7
5?..-al ? ? '' . ? ? •---- --.... _.._. . -- -•--•- -. ? '?.a.,'?e?.?v
-- r ?,- J ---=
.. ?> I . ?
'?--•-;- ? 1. [t??i t?,L Ai r [il
...n.. ?-----.
. .? . ' . . . ? . T . ?,
2' '_"'-_''___"........ _"....._....... _ ??
? .•
y `y c `.' -----'--t? ` ?•> 1. _. . -- -.. _ _ .. _ . . _ . ,? , ??";k:
.
,r/ ' . _.--• ----.__..__._._ .
• .. . - -? -- --?-• --. _. .. --- ---°- ?
; • , ? , ?. _.. ? -----•----•
. tr 'n 1::<tcI?it?r .ii?- ;?j,ri ? U.i'1
-??? y •??'?? . ? . ...---?-?--'----'• ---',lul.il--"-'--? '
_-* r
:=vi>.r
? S[J\i{ MI i;MD11 '
? ' .? ?r-- - - --?----.----- -- ? :
?, ? 1 ? ? . •,. ? ,
y 1'? .4? ? '- ? , ? . ??t???a : ,"?,Ai•as
1 ' E ?; jl? ? ) • , . ` ,-: ?1?/ ' y? ? '' ?
.!. ??? F1C. I?M1 Ih d • ;S / '?_ ? T'ti?? ';?,.:,
-, ..
'`.?}. r Yu - T -?,. Un•CC: indlcnt. Cy???l. nnct??
'
pl.i.me,.ii of
s. ?
? x _ •
s
?
PLAW *V
L?N E.4 L FT, EXposP-D WALL
,
?:U L L
TZ I M : ; { '??? o
Sc? . P-r, SKPoSe D WA LC.. AZEA
t3L..ac.s? ? GS K Z • 5
i?-lN EE ; 1_ 3O )C S = 6rw v
W.O.
1::ul,L I ', ??? X 8
42,
; To-rA L.
, 5 :
-
SQ,lFt , F-1CP05E--D GE I L(UC{ lV!(a
;
W D Kr5 1F1
D oo ?s ?1 ??__. -_--
24I3c JL. (p _ -3? . -- ?
7.011 '
?- 7= ?S
?ATI o
Zo (o o -z 3 ;
,
Z7 . ? . -
i35 M-+ U u l+s
7°?7a;'?- ,. [f )?'?.2?J lC(•( =
.StJPPt rof
HU' LOSS CALCULATIONS
_.. =V.-cathentnps A.S.H.V.E.I -
Guide i
R:ndowe I Doore Rcference ' Out Wall
les--No- ? t'u--No ?i 19_ ?I
_j FI [)lkj . Room Length l2. ' Width
Windows and Doora-CrackaR< aad Area
6 2d?/ i6rw
udtaree': STA p?=fl=
Df:P.>H L1fENi OP IV?PE( TIOK
Conetrvcdon No.
Wall . Ceilintt Roof Floor
Kind
F1.1 j-1-, (Z,? Room ? Length /$%
.v:-'--.` --' ^--•• r--_v___ ._a
y' ?
--?-1 ?-
InhltroUon ?
I iCocf. Btu
/- l 0 i( 2-E) 0
Glase 140 'S? ? a 020
FAp_%all ( 80
\et exp. wall f,[4p (p 8?/O
In!. wall
V ... ?;> (02??
!owl Bru.
Requned sq. ft. E.D.R. or sq. ino. W.A. Leader area
l FI., ?? IT Room jLcngth q v Width /" Hught 8 ?I
IF'indows and Doors--Crackagc and Arca .
'?
w'ieinT xnonv ro. oe Linea n.
ut u?ha ::ffn1 at rroek
• ?r?
?C h? ?? V
,
?
I?
??1
LiJ i/ p?
???. C1 I p
G'IJ .
Coef. Btu
In6ltntion
?
{
2.1,
q O I
G
_C.last 1I I SO
'
Exp. wall I '2l- -? II
\s1 eap, wall . 7q ? ? '
i y7C? ?,
Int. »ell ? I!
_
Tolal Btu.
R.qwred sq. (t. E.D.R. or eq. ina. W.A. L.eader area ? Insulntion
•••••N'Idln
NOuf y?n• Ilel(M
of pu??e N.- a[
11?i?i• Vl.laulfl.
of c?K4 At..
?y, fl. ?
- z1-
V?I
?L
?• I
-? -?--
L Coef. Btu
In6ltration ZS. uD ?OZ
Glass 5?a
ExP. wdu
Net exp. wa11 ZUO ? ?Q pO
Int. wall
C[IIinK [ V ? S
FIUO!
Total Blu. 4
Rcquired sq. IL E.D.R. or eq. ine. W.A. Leader aren I
--- r--. ..V
I FI.I Tbq-n} Koom I Length / ' wiatn ' neign[ e?
Windows and Doore-Crackage and Area
IOt? ? H?ith,
No. ( Oini ? ot P.n. No. a[ Lln..l fl.
IlKhb af cncY Are•
Q. f[.
I
I
? ? b
oeF. tu
Infiltralion
Glaa
F-cP. wall
Net e:p. wall y 21O 41
Int. wall
F loor
Tota, stu. 3
Required aq. ft. E.D.R. or sq. ine. W.A. I..eader area
? FI. Room I Length/Q. Width/Ia Heigh Roomll.ength /Y Width Height
Windowa and Doors-Crackage and Area LbZ Windowe and Doors-Cratkage and Area
?'1? ar,t?n 1l. ?n? vo t T Un..? h. - w... ? , i wie?n??rm rv. or L?ne.? h. wrc. ! O
??•? ???F?I• I uf ?-ra¢k ??1 (1 I N - ( e'Y__f U? • INF • of ????M ?•V fL ? I ,I ?
2s
2.L0. 91y U B-
? - ; y
Cuei.' $eu ?r ^ ;CoeF. Beu
Inf?Ilrat?on ' LS{FQC) Inhltration i i JPJ , Q i IS?-O
Waaa ? 1? 'J? /890
L.zp. wall ''?l 8 . _? wall %ZQ?
_Net <:p. wall 149 ?( Qy . \?t taP. wnlf_ , __ . ( 9T / F (p I ?( ?{ ?O
T-'-`??---:--?---'?- .
1,.; wall ? fnt. »'d I
!? o„r I ' .. I:i??,
` +
To1al Siu. Total 9.u.
_Rrq??trd eq_ (e. E.D:R nt aq. im. W.A. ?,ead<r arra ? Y__ ? Rrquvrd sy. (t. E.D.R. or_ q_ ins. WA. Lsader &rta ? _
i6
.:; ?t _Z or ?
Name e
/tddresa ;
HF.1T LOSS CALCULATIONS DEPAtti)tEN"f OP IVtipEC.7I0N
R'eatheretrips A•S.H V, II Construction No. I Imulation
Guide
indowa Doon I Refercnce Out. Wall Int. Wall Ceiling RooF Floor Kind How Applied
t$ -No I Ye,--No , 19_ II ? I _
FL: LI ? Room I Length !`l - Width /
Wmdu.vs and Doore-Crackage and Arca
\\[4
:o .r v.??e Ileqn4
?rt u.o. Yo of
btnn LInOI It
ot cu.M ?re?
.u h
A
2,0
o
f
r4 ?
i0.1a /
4
?
L 3 ? 3
.?
.
I
-f - _ coe r. st.
cda„ 32?. -c 2..0
Exp. wnll !?O
h<t czp. wall ?-? (p O
Int. wall I
( r?!?^e lo`?-I O I D
7otal [itu.
Requnrd sq. Ei. E.D.R. or eq. ins. W.A. L.eader ar<a ii
i
BF1.1 RoomlLength7-(- Widih yO f-leight
and nonrs--Cracka¢e and Area Z/ O .,
???T1
?+
^I - u9 .J t n N n rh I No. ot W.e.i tt.
.1 o?.a of V.rs ?itTt• ot crack wre
. I
.u ft.
(p
Z y 6 1 . l(. 5 i
-0 ?
2p if) 6 •$
? I Coef. Bw
Infiltration ? l4$• 2 ,7? Z?
Glae? :
.5 ?
.ti.?
F?cp. wall ?
ti« ..??. wau 4frl 6 F 5? ?,
lnl. w411_'
l'riLng
1 «1a? 5 5 L?O U
Total Btu. ? 20 27y
?
Rrqwrrd sq. ft. E.D.R. or eq. im. W.A. Leader area
+
ei I R.,,.,,. I li,neth Width HeiRhe
Windows and Doore-Gackage and Area
? ??•1.1?11 N t?t
?•( I??n• OI•?.ne
---------------- Hu ef Llnr. l fl. Aeea
11._11l• I ul f/. CM . . «
I
i ?
CoCf. Btu
Inbllration
Gls» i
-
Eap. wail I ? ?
N<t exv. wall ? i
inl. wall
( ciling i
Iluor ?
Total BIU. I
FI.l Room Length Width Height
W?..d?W. a.d Doon-CraclcaQe snd Area
No. N'm?n
uf U?^• 11.4n
of t??n• W. ol
IIY11• Lln.dtl.
of ce.cY wr..
.V. ft
Coef. Btu
Infiltration
Glass
Exp. wal?
Net exp. wall
Int. wail
Ceilinx
F!oor
Total Btu. ?
Reyuired sq. fe. E.D.R. or eq. im. W.A. Leader ares ?
F? I Rmm I Lenath Widih Height
Windows and Doors-Crackage and Area
WIt1th He1 (t1[ No. a[
No. of 0??• o! Pan. 11[lob Llnul fl.
Of cr¢k Al.•
?V. Il.
I ?
?
tu
Infiltration
Calaae
Ecp. wall
Net e:p. wall
Int. wall
Ceiling
Floor
Tocal Btu.
Required sq. ft. E.D.R. or sq• ins. W.A. I.e+der ares
.. i o__...I I..,et6 Width --- Height
. .., -
Windows and Dooro--Crackage end Area
No. .?na ?5??. o?f «.vk V?It.
i I CoeF. Btu
Infiltralion
Glaae
Exp. wall _
Net up. wall
Int. wall
C tiling
Floor
Total Btu ?
Reouired sp. ft. E.D.R. or sq. ins. WA. Lx+der
ReQwrrd eq. (t. E.D.R or eq. im- W.A. Leadu aree
} ... r
?
-n
?
?y?AL E
SIGMA
s URvEYa ni G
sERvacEs
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 4523077
i° = 4-a
?GD i? d?
'a01
o2
?.
/
A! ,, l ..
?\_,Z? 1?,b
e
CerNflcole For :
Frontder idwest
Corporation
MOr_>EL-' ?jTAFFORID
ti
? N
3o qCO,
?
S,
L
0, ? s i?N
V-?
1?471- '-,:::
i.1{.?i Y : ?i..
WAYNE D.
CORDES
-14675-
-LEGEND
"
O Lienotes 1 ron Monurrent
° Qenotes Wocd Hub Set
x qA4,5 Iknotes Existirg Spot Elevation
(xtuowW Denotes Proposed $pot Elevat)on
,_--- Denotes Drainage Direction
-PROPFRTY DESCRIPTILri-
LOl 11 ,BL0.'H "7
Lz,-)oti1G'fON PI,ACE GlOUT+-I
according to the recordeef plat thereof,
DAKO'f'A Counfy, AlInnesota
PROPOSED GARAGE FLODR ELEVA lION= 4104 •c?
PIKJPOSED Top of Slock ELEVATION= 90'4'b
PROPOSED BASEkENT FLDOR ELEVA7ION= 901. $
NorE: Verify all floor heights with Final,Nouse Plans.
-,$UAVEM CERTIF1CATf(Xd-
I hereby certify that this survey, pian or report
was preparErl by me or urder my direct supervisian
ard that 1 am a duly Registered Lard Surveyor
urz?le`r the laws of the State of Minnesota.
W 6?,.•?.. ? ?OL_ oate: - 8 ?y /8S
Wayne D. Cordes, Minn. Reg. No. 14675
i •.
r ?
?f -?• , 2/84
CITY Or EAGAN
??1t1 APPLICATZ0.1 FOR PERtilIT
SEWER AVD/OR WATER CQNNECTIOAi
, (PIEASE PRINT)
i) PPeD= ADnPEss _?t Fa I con \ ?./
=ar, nESCRIprTcv: _1L _? 7 l??i nG ?n ? p?4C? So
(ICt/Block/S.::,ciivis n or Tax Parcel I.D. NL:.ber)
, .7'r STqI;C.'=v°., DAT:: O_° CZIG27AL culTuP.Z`:G :=_•S: ISS,:r\C::
SZ:=- FP«SLY .
D R-2 DL'r^i=.{ ('?r,p L?II^_S)
II ?-3 ':G:•.?vrvrcr (m= + L,'•]=c) I LNI'='S)
D .-4 C.iITS)
? CCi,n1E°CT?L,/Rf.'SAII?OFF'IC
Q a'CuST2La.L
II LNTITUTIC?]AL./GGti'W:?'?:T
2) APPLSC'-?"P (PLEasE PeiNr)
IUV•!E: Frontier Midwest Homes Corporation
ADD.?SS: 3908 Sibley Memorial Hwy. Bldg. E
CTT", STaTb', ZIP: Eapan, MN. 55122 -
PFa`E: 454-0433
3) pLu,.cv (PLt;,SE PRINi) FOR CITY USE OYIY
??`'?= Star Plumbinq
ADC?ESS:
1018 Maund Springs Ter, PLIIHBER ICE4SE:
aceive
CITY, STATE, ZIP; Bloomington, MN. 55420 C= Expi ed
PEOVE: uaicr.
884-4149 PLUnsEe LFCENSE N 3329 of Re ord
' rr inicia
q) pCL7,-pp1rT/Gr•T;ER IrLcxst YH1Nl
NArE: .t 4 f Q IOcP ia-av (.A
,a K-
DoREss: L4 r,z,
cri^r, STATE, ziP: V) , 5 5 f 2Z
Pho*E: 4s4-oaac)
5) INDIG?TE :JtiICH PERi•lIT IS BEING RDQUESTID:
0 CL::NEC.TION TO CITY SETr]Eft Please mail gold copy to
? CONN=IC:I ZO CITY WATETt Wenzel Mechanical
3600 Kennebec Dr.
? C7i'I'£R (PI.&'LE DESC°SBE) Eaqan, MN. 55122
01 MUIG=" C:LL.:
7) SIG:;%ZL'R::
rv
? -
? PT.Y?S$ 2?OLD r1PPP,WED PER.y+ST FbR PICi:-L'c BY OCIE OF AEGVE
? PIE=+s ^? P?IID PEF'•uT TJ 1
(Ci i?l. ? 3, 4?
e one)
?-.. ?. . . . -? . . .
DATE: _
lROIaLiR/RAi?lal?:a?:f?atsl'R ?` .•. "
' ??r? N 1f Yt ?Fii?:i a?! !!il.f?O?'? f?• ? YR! i YCq7?y .
F 0 R C I T Y 0 S E O N L Y
PE°`TI".' '-` ZSSUED
$ /v-So
$ ar, . .
S
S
$ /Suo
$
$ S'? S°
S
?
$
$
$ S?>iE.°. T_??R'?1T^1' II?IC?LI:iL JUP.CI'ilRGLJ
WATER PERP1IT (IL7CLUDE SiiRC:?ARGc')
WrITER METER/COPPERHORN/OUTS= REnD=
WAT.°.R TAP (INCLCDE CORPORATION STOP)
S :WER TA?
ACCOUNT DrPOSIT - t^7ATEB
wac
SP.C
TRtiVK SVATER ASJLS=_i.'T "
TRliNK SE:dER .`-.SSE55:?E:iT
La;E?.aL SENEFZT/TnU`IK SE:•:ER
LATE:tAL BEVEFIT/TRU2?K SVAT°R
WATER TREATMEIvT PLANT SURCHARGE
$
$
OTHER:
TOTAL
AM0[JNT PAIDjRECrIPT
DOcS UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
C YES ZF YES, THEN A"PERMIT FOR *AORK WITHZN
PLIBLIC RQADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISZO[V, LIST AS A CONDI-
TION..
SUEJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
T S': :,E :
DAT_°:
? : .. , - . .. .. .. . . .. .
,
, ,. , .
CITY USE ONLY
L BL RECEIPT#:
SUBD. Y?X??11 {" IZL??i ?]DX? RECEIPTDATE:
? PERMIT# 2-
2000 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT RNOH RD EAGAN, MN 55122
651-681-4675
Piease complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
MAYES,ROBERT
3668 FALCON WAY
EAGAN, MN 55123
(651) 452-9634
TOTAL
Alterations to exisSing dwe{ling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry lray 3.00 x = $
Lavato 3.00 x = $
Septic System new/refurbished • requires MPC lie. 75.00 x = Y
Septic System abandonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 x = $
Rou h opening 1.50 x = $
Shower 3.00 x = $ ?
Underground sprinkler if dwelling is under wrtstruCion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener IT dwelling under consWCtion 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 --> --> --> $ .50
Total -> --> ---> ----> $ 30.41v
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------- ---------- •---- • ---- • • --- ---------------------------------------------- -------------------------------------------- • -- •--
I hereby adcnowledge that I have read this appliwtion, stete that the infortnation is cortect, and agree to compty with all app?icable City of Eagan ordinances.
It is the applicanPs responsi6ility to noti(y the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operationai and mgintenance adivities to the Nacilities constructed_under this permit within City propertyinghbof-way/easement.
SITE ADDRESSr.
4
OWNER NAME:
INSTALLER NAME-
STREET ADDRESS:
CITY:
TELEPHONE #:
EACH #
TELEPHONE #:
5TATE: ZIP:
SIGNATURE F PERMITTEE
(? c193 s
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleaze complete for: single family dwellings & townhomes/condos when pertnits are required for each unit
30 s-D
Date,/J'7/0 )1_
Site Address Unit #
Property Owner Telephone # ?C? ? - T
LOFGREN
Contractor uEATING 8 AlR CCINDITIGMINC
?
5465 212TH STREET W. STE. 4
Street Address FARMINGTON MN minPa City
State Zip Telephone il 7_3 J3
Bond #: Expires:
The Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner _New _Replacement
other
State Surcharge $ .50
Tota,
?
Fl
l_j
? $
1 2004
ju
m
uu
I hereby apply for a Residen 'al Mechanical Permi owledge that ffie information is complete and accurate; that the work will
be in conformance with the es o the Ciry of Eagan and wiffi the Mechanical Codes; that I understand tlus is not a
permit, but only an applicauon for a permit, and work is not to start without a emut; that the work? ill be in accordae with the
approved plan in the case of work which requires a review and approval of pl
!`1? e u `) I ? 2V-4.
A
pplicanYs h ted Name plicant's SX j a
bg 73C,
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos whcn pennits are required for each unit
IV3,).so
Date
Site Address Unit #
Property Owner OIOP (' Telephone #(GS
Contractor STANDARO HEariNr, & AIR CONAITION G Cn
410 WE3T LAKE STREET
Strcet AddrMNNEAPOLIS. MN 55408.2g gg City
612-824-2656
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
!?. fumace _Additional XReplacemeM
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Total
I hereby apply for a Residential Mechanical 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 with ihe Mectianical Codes;]aL-lunderstand this is not a
permit, but only an application for a pernut, and work i ot to start without e,pnit; that thc work il accordance with the
approv plan in the case of work ch requires a review d approval of p 2
Applicant's Printed Name ApplicanPs Signatu
, -' '3 9 1 r,05
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
EagAn, IVIN 55121
DATE:
Zoning:
No, of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.:
Permit Fee:
I come to comply with the City of Eagan Surcharge:
Ordinance, Misc. Charges:
Total:
By Date Paid:
Date of Insp.:
Insp.:
CITY OF EAGAN
3830 P' 0. Box Pilot 21K199 nob Road SEWER SERVICE PERMIT
P. O.
Eagan, MN 55121 PERMIT NO.:
Zoning: DATE.
Owner: No. of Units:
Address:
Site Address-
Plumber:
I agree to eemply with the City of Eagan
Ordinances, Connection Charge:
Account Deposit:
Permit Fee:
By Surcharge:
Date of In Misc. Charges:
Insp.: Total:
Date Paid:
Use BLUE or BLACK ink
r-----------------i
i For Office Use
• �' fa7��� �
Permit#:
�l� ���a a�. .. .. : a. � ��. � '
�. � � Permit Fee: �
3830 Pilot Knob Road a�� � � �Q1�t j �Q ' � / f
Eagari MN 55122 �Q��� � Date Received: �
Phone: (651)675-5675 '� � ��: �
_. �` `'".1 _ __. .
Fax: (651)675-5694 �-- �
--------------
2014 RESIDEN�IAL�PLUMBING PERMIT APPLICATION
Date: �� �� �Site Address: �� � �����(�� �� ��1 �
Tenant: (� ti � Suite#: �� F
� ' � , . �
_ �� Name:��'� R V��/l_.��-� Phone:���r� �,�--�'� ��D� �
� ����+�i�`���1�" : �
� . �---- �
� Address/City/Zip: � � C �� ��,��
�»,� .�.w�. . ���..�.�,�,�,..,,,..� . , . . �.�,..�- ,
� � � Le �-��°��� �
� rv��?a: 1���1�- r � `�._.______._. _License#: s
� i ' ` I _
�.
� Address: �--1 `t� �- City: �
� ����'��� � `:
4 c�°�
� � ` State:���Zip:��'�� � Phone:� � `� �� � � 1 Q �'�l � � �
, 5
�' . Contact: \�t- '`V�'� Email: �
� � � .. ��.- �
; ��
� ,.�.:���,��� , _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.V'V �
: �
4
v. f ,�: Descriptiorr of work: '
_ _ ...n��
. �` � ; : RESIDENTIAL
r
�-:� . .E�f �; . . ...... . ... ...... .. . . . . .... .. . . .. . . . .r
� Water Heater �
'� �Water Softener �
� '- �awn rrriga6ort(_RPZJ_Pv8) �
�� ������� ` � : Add Plumbing Fixtures�Main/_Lower Level) �
` � Septic System �
� New
Water Turnaround s;
�
Abandonment
�.�,�.��,���;� � — .� . , ����,-:- ...�
,� ,;
� RESIDENTIAL FEES: �
,:
� $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �
� �
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) �,
$80.00 l�dCi PiUt�bt�l�;FiSt[t,�'eS,:Seq2iC�if5f8iii r4b��i�G�i��ti►,`dL'�t�t'Tts��a;�u��d*(s���a�es$5.Ot3�tate�u�ch�rge) p
'WaterTurnaround(add$200.00 if a 5/8"meter is required) u
$115.00 SeptiC SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � �
TOTAL FEES$ � . �
�,�.�._,.�, ,��„�,,�,�, � .�,.�
CALL BEFORE Y�U DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage.
Call 48 hours beforeyou intend to dig to receive locates of underground utilities. www.aopherstateanecali.ara
I hereby acknowledge that this irrformation is complete and accurate;that the work will be in conformance with the ordinarx�s and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of p ns
� �,� � X �������
X �—� l�c t's Si nature
Applicant's Printed Name, p►pp� 9
:: . �:, ._.....�, .:.. , v:...:�-.:,.v.:.-
,,_. x„� �.:.: .....�.- � , �.
+ ��:....�n . ' .�,..
> 4 . �xry 's. E�.
+:���^
r �
\
�
•.... '.. .'��.t nr -..�v......�c. ...::..�.. _,}n
c:.�.a.i
- :3::: I y >\v :;f:> .'332 - '9:
. . ^ x . ' ....,�n.•i�:, �.....:..::..:..
-.
.. . :..:,; >.; .... >::��.�:
.. .... -;^-...:,.-.<,...,:..,,.......:..,[':;: •.,..:. �y y�
„ y
.. ,
>a � ' '
��R�'.
- x
,� �-: � S:�r� ... ,
��
.�
z:�
, -;
:..... . . . �.:y�•;;p.,.,-g:.:3.>�..,:.r...._,;,�;,-:,�.
� 'p .,..
� X#�.
������� � . .,...�.;. . :,. „•..,.._�.. S ��, �� -
.: ...........�. . ..;; . �..,.,..:-..,...;. ..,.>,.;.....:..: ... .... �.::. .�.::�
...:�_c......:.....:...::...:.s.:::cr...•....�.c.:�•.:;.�..<,.:.;.,,,....,,....:...�. _ _
� v...,...-.... ,..a...:`_ .'..'�e;:>:�..:.:: :�`.�o
.:'.^...�.�:�;^ :. 3�^: ' .+,. �v .
.;,., _.:.,. ...;:.�.....; � :....-�.:>...:_..:,,._.�.-;.>..�:,..... ...,,.,y.„.....;.,�, ?��;:s;:.;;%_�,,;";:%` ;;>�.
..� ,....�, �'�
f ..:a:;``_=�``;r i
...-,>....,, .,..::1,,,,..., .r�_,...,.�.,:>,._-.s,-n, ...,r.,a•e_.....�,.�..,..,.�..:.. _s_ ,f,. %-��.
.. a, F a ... :.,.:..t:r.;.:.::,:! 15�%"
..,. . a...��...., ...,,....<:�.. .......:.�....�:.,c:..:.�.�.-ri .... :.\.' .ci+�::^ �
t.:.
l
.....�.:i'.•i:,;�-:-....�......�.`::5:".�.. ..,:.v '
� y�y� :'`'.}`i^'.'�•'\- - .
_ '�°{^v�.l�'G
��J
'jj,:::. (y� �,
�i } }� �+ ��{{ ��1�, c��
��:
Y
{ � � _
�;� ..�'�a� �^'�"
�'"� ^1=��
��.. :�•^•~:-:ii""'�:
F'{.x '^!'\�� �� :��a'��'y�::..�vVt�.::w:�
��i �' '�+�w` .� �` f��T .�'^`~ T'i--��'+.
�':i.::..,
.. ...
�� l#vF' �� •�. ,�:'•�, ...... � � � a:.:4.�,....:�:
�. ....�r:...,. , � ,;,.:... '" ...�..i,.cro>.t.: ',' ,�:ri �. . �w''•: _
:,� ......+..�...i.�...,...:..;:<xb:C:��.....,. :`t.s. u... +wi!pA!�ty.. ..w�i'w?i±�ry.
�. ... .. :.....:'�.., ... .... . ... .. .�>.n... ...-. �.. _
...,..:.:............. .._.......:t.....�r,.....u:.,..._:.,......:-:.. ,:...:_,.:..y_,...1..,....:�.._.........
.�.. .,.':'�;=
.... T �� .., ro.,.....:.e,�.:::�n...:�5 ^",t.
., ...:.:�...� ..... ......:>>.....��,..<......::......` :.r,,..v.>.,�Cy........�.
h•...x..�:::�v.,..�n....u,...._.v V;•' 'F�
-;... . �• .::,......:�. ....�..,.... �. .<. ....t. ..., r.f`.
'. ... . ...... . :....................'..,�..........._ ....... ..... r. ,,,... . .. ....:'.�.,. .... �J%i� :'„:�,�:
<�40':.�:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143984
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 3668 Falcon Way
Lot:11 Block: 7 Addition: Lexington Place South
PID:10-45060-07-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert L Mayes Iii
3668 Falcon Way
Eagan MN 55123
(651) 447-0189
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
eitILM
` , V� For Office Use C
6�53�75
��� �f Permit#:
..�� �..
„JP-7,C,EJVED Permit Fee: (Y/ 4/L7/
/G� lig
JAN 16 2019 Date Received: /- Flo ! /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinainspectionsacityofeagan.com L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
1/14/19 Site Address: 3668 Falcon Way Unit#:
Name: Ann Mayes Phone: 651-217-8621
"lisle 3668 Falcon Way, Ea an, MN 55123
Address/Ci /Zi g
�w�ner � ty p� 6)1)7
Applicant is: Owner ✓ Contractor
Type of iNork
Description of work: Installation of a flush roof mounted solar array
Construction Cost: $23,430.00 Multi-Family Building: (Yes /No ✓ )
"' x company: All Energy Solar Contact: Isaac Lindstrom
Address: )2 �� �`� 11 St.Paul
Contractor ` MN 551-64���a
State: Zip: Phone: 651-842-9404 Email: Isaac.lindstrom@allenergysolar.com
License#: BC665819 Lead Certificate#:
•
If the project is exempt from lead certification, please explain why:
LESS THAN 6 SQFT DISTURBED
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:
Fire Suppression Contractor: Phone:
NOTE:Paps and supporting documents thatyou"submit,are considered to be public Information Portions of the Information may bei`
classifiedras non ubilc ii "u' rovide c reasons that would ermit the G io conclude that the are`tradesecrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Isaac Lindstrom c,6,a,c. ,(.z;u,/ 'm-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE - ZO&" . VA- i cog it) �,-7 / - 07 s---
SUB
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
XAlteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION €r
Valuation ( 0 V�'') Occupancy L..' MCES System
Plan Review Code Edition , ?,-V f 3 I`S SAC Units
(25%_100% Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1JJ'' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) 7- Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion C ntrol
Shower Pan ?C Other: 0 titi.v ' TI-L.
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
) it it ,
Surcharge 5ov ,
Plan Review1,t1')
MCES SAC /1-1 )
City SAC )
0 ,,
Utility Connection Charge ` `�
S&W Permit&Surcharge t,!
Treatment Plant
Copies
TOTAL
Page 2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173778
Date Issued:12/02/2021
Permit Category:ePermit
Site Address: 3668 Falcon Way
Lot:11 Block: 7 Addition: Lexington Place South
PID:10-45060-07-110
Use:
Description:
Sub Type:Residential
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 -
Robert L Iii & Ann L Mayes
3668 Falcon Way
Saint Paul MN 55123--222
(651) 206-3564
Water Heaters Now Inc
23310 Canby Ave
Faribault MN 55021
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174083
Date Issued:12/22/2021
Permit Category:ePermit
Site Address: 3668 Falcon Way
Lot:11 Block: 7 Addition: Lexington Place South
PID:10-45060-07-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Robert L Iii & Ann L Mayes
3668 Falcon Way
Saint Paul MN 55123--222
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature