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3671 Falcon WayCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3671 Falcon Way Lot: 4 Block: 1 Addition: Lexington Place South 3rd PID:10- 45062- 040 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 - Applicant - Owner: Paul M Sorenson 3671 Falcon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA090282 07/21/2009 ePermit , ; -- •^ CITY OF EAGAN r ? A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT . ' Receipt # ' To be used tor a F nWG/GAR Est. Value $? 8•000 Date F£BiZUARY 3 19 8 G Site Address 4v i i r eu.ti.vVv inras Erect LO occupancy "? LEX I NGTON PL S Lote(ock Sec/Sub iDemodel 0 Zoning kI Parcel No . ? Repair ? Type of Const 19 . Addition ? No. Stories ¢ Name FRGNTIl:P.' ,ZUWEST HOIw;ES Move ? i h ? D Length 40 D h 48 z 50SIB HIk;M HWY E z y emol s : ept o Address r'p' 454-0433 GAN Int. Impr. ? Sq. Ft City Phone Install ? a SIV 1E Approva ls Fees Name S 337. 00 os Address Assessment Permit '- City Phone Water & Sew. Surcharge 34 . Sp 50 168 Police . Pian Review ? ? w Name RIt=t1ARD CHARLIER Fire SAC 575.00 ' `' 4. ''n .74. Planner Watei Council Road readthisapplicationandstatethatthe g1dg.Off. 1/31/8 6 Tr. PI. to comntv with all apolicable State of A Building Permit is issued ta: all work shall be done in accc Building Official Var. i-iu2w1ES all applicable State of Minnesota Capie . 5 0 Total ' on the express candition that Ciry ofEagan Ordinances_ I ' I Pe.mn Na. I Ps.mn How.. I osie I Telaphons N I iL Frmy. Olsp. ,. . PERMIT # c RECEIPT # :o - DATE CITY OF EAGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.SO ? FEE . j V S/Ci TOTAL 1. Bldg. Type: Res ? Comm Inst 2. New ='- Add Alter ::611 Y,,..l .LcI)r_ 3J 3. Total Bid Price 4. Job Address Lot? Block ? Sec 'j 5. Owner Frontier Nidwest , 6. Cont?aCtor 1E;011 i:Prni:?har i?-- }??c S 5 i (Name) (SheeU (CitY) (ZiP) 7. Contractor Phone # 1 ? 6? NO. FIXTURES *2 Water Closet - $3.00 LBath Tubs - $3.00 °? Lavatory - $3.00 _-L-Shower - $3.00 / Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES ? Laundry Tray - $3.00 ! Floor Drains - $1.50 ? Water Heater - $1.50 -Whirlpool - $3.00 J. Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 ?Rough Openings w1o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for / Approved J Inspections: Date Rough Insp. Date Final Insp. Repair . PERMIT # Site Ad ress Lot? Block MECHANICAL PERMIT RECEIPT # CITY OF EAGAN " 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: $17 00 . 00 PHON E: 454-8100 m Name Wenzei rtecnanicul ? Address 3600 Kenebec Drive c City Eagan Phone 452-1565 Name Frontier Com anies 3 Addres1903 Sib1e Memorial Hi hwa o C?, Eagar_ phone 454-0433 TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 80 M B T U M BTU M BTU M BTU CFM FEE: S/C: roraL- BLDG. TYPE Res. xx Muli. Comm. Other WORK DESCRIPTION New xx Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADOITIONAL 50 M BTU - 6.00 ADQ-OrV AIR COND. 0-24 STU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRiCE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN Addition Owner h ?T, Lot -" `. -slk A" t Parcel 10 45060 010 04 street 3671 Falcon Way siate Eagan, MN 1'? 12 ?L. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAdING SAN SEW TRUNK qej 1985 247.64 16.51 15 ? .40 167e75 G-.? - SEWER LATERAL 101 1 1986 1631 .00 326 . - ` 14:5.87 WATERMAIN YJZ 1985 65.81 13.16 5 6-a7 -15 WATER LATERAL 101 1986 873.43 ? 174.68 WATER AREA . 48.74 ' 22.39 STORMSEWTRK lol-q 1986 426.54 ,85.30 5 STORMSEWLAT 101 1986 803.34 ? 160.66 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unlt $290.00 59539 2/3/86 WATER CONN. 500.00 11 BUILDING PER. 11494 SAC 575-00 PARK INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? ? ;• i . ???i WA?'; ,i; ? . : 1; , 1 1:ri E t: j Wv f iIN 11 iA(- r';l)U l 4 rq--9A:+4 LL ? ? .? PERMIT SUBTYPE: TYPE OF WORK: t•i i>AIk ??; ,?, ?•: ! ? ???;r? I F. Ak nf F/Rf Ra(?F Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS I FOUND FRAMING ROOFING u?Ql/ ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FIUSH MAINS corvoucTivrrv TEST HYDROSTATIC TEST BSMT A.I. BSMT FINAL DECK FTG DECK FINAL CITY UF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „ , PERMIT SUBTYPE: I; APPLICANT: I.l? . ? . , . - TYPE OF WORK: NF? 1 t i? ? Mti H. ,c,.. .. . .• 1- INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: -1 .? PermR No. Permn Holder Date Telsphorre # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inapection Dab Insp. CommeMa Footings I Foundatfon Framirtg Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. InsQector- Notliy Plumber Const. Meter EngrJPlan Bldg. Final DBCk Ftg. v Deck Final _ Well Pr. Disp. ,? 3 REQUEST FOR ELECTRICAL INSPECTION „ Ee-ooooi-oa R See ins[ructiens fot comOleting this torm on back of yeilow cooy: ?Db d? p n q 5266 "X" Below Work Covered by This Requesi Add Reo. Tyoa oi Buileing Apoliancea Wired Epuioment wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Hectric He2[in Commercial Bidg. fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank F2bi1 Other peo Y t er ISPacifyl L 9f $yCC1fy OlhCr OIhB, Compute lnspection Fee Below a Faa ServiceEntranceSize a cee Faaae.s/sutfaaaa.s u cFa ci.cuics 0 to 200 Am s 0 to 30 Am ps J 3 rJ ' 0 to 30 F?m Above 200 Amps 31 to 100 Amps ,py 37 to 100 A s Swimmin Pool Above 100_Amps Above 100_AmPs Transtormers Irngation Buorc?s Partial.'Other Fee Signs Suecialinspection S4/1 ? TOTA E Nerrarks E ?`yj , PouBh-in ??/7/ • ???^ q ; I, the Elec rical ?J/?'??1.l1` ( ? } ? InaPec, or. hereby ? cartiiy ?hat the above Final ., ? ' D'nle/ inspecfion has been d ' jQ, . ? ?v?? K • ? T m a e. __ Thia reaueat void 18 monihs irom This rea.est void a/?S/p/ L Cf ?2 I/ 1 months f (_?x. .??. SJ.,?jrd- '??7• Q"D mm ?O ?o ?? Uo' °095260 Re st Date ?? ? Fire No. floughin Inspection Rem? ?ReAAy Now mJW?rNntity, InsPeo- ?or Wh n R d ? es QNO e ea y censed ElecVical ConVac[or ? I haraby request inspeclion ot above ? Owner electrical work iostellatl atw - Street Add.ess, Boa or Rou No. ? j . {? r?ia?`?' i l/C/ Cit v ?. ) ?Y`/ ec on o. Township Namo or No. ftan9e Counly, Occ ant INT? ^ 'LeJe < i ??s Phone No. - v 5?33 Pawe.r SupDlier a fAldears Elec[rical Contraclor (Comoany Name) Conu,ictor's LicQp.y'? No. r Mailin k s o " w in Instailationl . -)4r rNNQCK LA2dE ed Ignatu? 4C{? ric{orL(}rynes ???nsLlAsJt1l ynl Authoriz r?npl,?; y ?,L i, ?utl J Phone Number MINNESOTp STATE BOANO OF ELECTHICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midwey BId9. - Aoom N-791 gE ACCEPTED BY THE STATE BOARD 1821 University Ave., Si. Paul, MN 56106 UNLESS PflOPEP INSPECTION FEE IS Phone18t2)29].2711 ENCIOSED. - - CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N- 114 9 4 PHONE:454-8100 ? BUILDING PERMIT ' Rece iptu 55 53 1 Tobeusedtor SF DWG/GAR Est.Value $68,000 Date FEBRUARY 3 ?y86 SiteAddress 3671 FALCON WAY Erect E7 Occupancy R3 LotA? 8lock ?Sec/sub. LEXINGTON PL SQ7emodel ? Zoning Rl Parcel No 710 Repair ? Type of Const v . Addition ? No. Stories a FRONTIER MIDWEST HOMES Move ? Length 40 Name 4 R S Demolish ? Depth 3 Address ? ° EAGAN 454-043 Intlmpr. Sq.Ft City phone Install ? o I Name SAP4E ... -? - APProw ?°, Q Atldress AsseSSment _ ? Ciry Phone Water & Sew. w W Name RICHARD CHARLIER Police - Fire nddress 14103 GARDENVIEW CT Eng. a W Ciry A• V• Phone 432-5492 planner- Cnunnil Permit v "" • . "" Surcharge ?' 50 Plan Review-T6B-' 50 SAC 575.00 Water Conn. 5 0 0. 0 0 WaterMeter 63.50 Road Unit 290.00 e.+ye?..Iio..icaycu'aunavnienuuusappicanonanostacemaime Bldg.Off. 1/31/86 7r.Pl. 156.00 information is correct and agree to comgjy with II applicable State of Minnesota Statutes and Ci o n in s. APC POrks ? Signature of Permitt Var ee ? A,Builtling Permi[ is i FRONTIE IDWEST HOMES ssued to: all work shall be done in accordance with all aodicahA4 Stata ot Minnes ta Stat Copies-50 124 _ • - on ihe express conditlon that of Eagan Ordinances. Building 70380 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J 0 ,? .- New ConsWCtion Reauirements RemodeilReoair Rauuirements Office Use Oniv 3 regiatered site surveys shawing sq. ft. af lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (2096 ma)drnum lot croverage allowed) 7 set of Eneqy Calculations for heated additions Tree Pres Plan Real ? _ Y_ N, 2 copies o( plan showmg beam 8 window s¢es; poured found design, elc. 7 stte survey far additlons & decks 7ree Pres Required '.- : ;`? _ Y_ N 1 sel of Energy Calculations Addilbn - Ndkafe Hon-site sepNc system On-site Septic Sysfein . _ Y_ N 3 wpies of Tree Preservalion Plan N bl plaHed after 711193 RM Joist Detail Options selectlon sheet (buildings w8h 3 or less unifs) Date S/?/ ?S onstruction Cost B' Ln! SiteAddress « 31??1 0. rm ? Unit/Ste # DescripNon ot Work? ? C-) [?n (I C W!( Y1 .Q/X i Sr k NZI CID-?I Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone #(&5I) lo (JL¢ The Home Depot A.H.S. Inc. Contractor 3200 Cobb Galleria Pkwy. Address Atlanta, GA 30339 Cjt3' State 763-542-8826 Telephone # ( ) License #20268257 COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheef • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review 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 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_asexiew-and ap oval of plans F 2Qq; /xjtrAR--r, ns OY"Y A pplicant's Printed Name Appli nt's Signature J i ?' ---- Installed Siding and Windows LIMITED POWER OF ATTORNEY CviJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: "ITIAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca?ed at 660 Mendelssehn Avenue North, Gnlden STa!ley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power`of Atterriey are limited solely to the express powers delineated herein and apP1y solely to the Work. This Limi±ed Power of Attomey shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at aiiy time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. 1N WZ"INBSS WIIEREOF this Limited Power ofAttorney is e:;ecurted this 21 st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. Not?ary Pic in for the State o eorgia b'Iy Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PLUMBING (RESIDENT'IAL) Permit Application Of? City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemvts aze required for each unit DateS 1 0,- Site Address ? Fa? L(3n Unit # Pro ert Owner hone # Tele p y p Contractor •P• PlPEWORKS Address $s] City 3 ? 6? 3 ?e State (1 Zip Telephone #( ) O The Applicant is _ Owner -)I -Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Adtlitional consulfant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiutures to lower levels or room additions, excluding water softener and water heater _ A6andonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener YWater heater $ 15 00 . replacement _ additional $ .50 State Surcharge nu Total `,. ? JJi $? _ I hereby apply for a Residential Plumbing Permit and acknowledge that theSformation is co lete.and accurate; that the work wIll be in conformance with the ordinances and codes of the Ciry oF Eagan and with the Plumbing C des; 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 e ork will be in accordance with the approved plK in the case of tk which requires a review and approval of plai. l , ApplicanYs Printe a e Applicant' ature RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 dew Conatructbn ReaWrememe • 3 registered fAe surveys showing sq. fl. of bt, sq. ft. ol house; and all roofe0 areas (20% maxMUm bt coverage allowed) • 2 copies of plan showing beam & window sizes; poured lound deskjn, etc.) • isetofEnergyCafouletbns . 3 copies of Tree Preservation Plen M bt planed atter 7/1/93 . Rlm,bislDetailOptbnsselectlonsheet(bldgswith3orlessuntts) DATE S /G•c4 NamadeVNeoek Reaulrements ? ?6 o • ? . j • 2coplesofplen ?'?? • t seiofEnergyCa?ulatbnsforheatedadditlb?s ? ? - G ? • 1saesurveylorexlefwraddBrons&decks • IndNate A home Sened by SBptIC Sy51em tOr adtltli0ns VALUATION f0i D8/ / F<}/Ca? 6vAi/ MULTI-FAMILY BLDG _ Y _ N SITE ADDRESS :3(?57 TYPE OF WORK /e.,?IlrS'io?- FIREPL4CE(S) _ 0_ 1_ 2 APPLICANT 4P54 /-h STREET ADDRESS TELEPHONE VrS3 :5f'1-d30! CELL PHONE # 1 FAX # TE -Ar?IP ?W PROPERNOWNER A"'+( S;"45? TELEPHONE# G571-68C,- -------------------------- ----------------- ---------------------------- ----°---------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CA1'EGORY 1 MINNESOTA RULFS 7672 (d submisaion lype) . ResideMial Ventilation Category 1 Workshaet Submitted • New Energy Code Worksheet Submitted . Energy Envebpe Calculations Su6mitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Confractor: _ Air Condifioning - Heat Recovery System Fee: $90.00 mav 1 s 2002 I hereby acknowledge that I have read this application, state that ihe informati$ri I's correct, and agree to compiy with all applicable State of Mlnnesota Statutes and Ciiy of Eagan Ordinances. Signature of Appllcant ......... --------°..._...°-...___._------..._._.._._??...?---_..?.......? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ? Water SoFtener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # _ p? (?? fl PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z Lo z Ns Eagan, Minnesota 55122-1897 Permit Number: 032493 0 7/ 0 9/ 9 9 (612) 681-4675 Datelssued: SITE ADDRESS: 3671 FALCON WAY LOT: 4 BLOCK: 1 LEXINGTON PLACE SOUTH 3 P.I.N.: 10-45062--040-01 DESCRIPTION: ? TEAR OFF(REROOF 1rig. Permit Type S70RM DAMAGE 61?r 0 'uilding W,qrk Type REPAIR aeeC?nstlB Ccsd'e434 ALT. RESIDENTIAL ?'- ? • °'?`€ s? e . . ? 0k . Y .. 3 s ?,eu€a? a?"?Ru k ? ?, <m Pb.1t? ? ?r " ."e Sn' {9 ? »,?? F $a , ?M?$ REMARKS: FEE SUMMARY: APPLICANT/PERMITEE SIGNATURE ? 998 pNeve Construction Reauirements BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF ElICiAN 3830 PII,OT KNOB RD - 65122 681-4675 ? 3 registered site surveys ? 2oopies of plans (inGuda Oeam & window saes; poured fid. design; etc.) ? 1 energy calwlations ? 3 copies of tree preservffiion plan if lot platted after 7/7193 require r: i-- Yes _ No DATE: 3? j ^ - ? DESCRIPTION OF WORK: RemodeVReoair Reauirements 4 2 copies of plan ? 2 s8e surveys (ezteriar additions 8 decks) ? 1 energy wiwlations for heatad addkions CONSTRUCTION COST; / v ? - STREET ADDRESS: b / BLOCK: -_ SUBD./P.I.D. #: P Name'S ??W1.C?QU ???/? Phone#: S09_ 1704J PROPERTY 1.asc First OWNER / f J StreetAddress: c1671 i-G 1CO?1 `N ? City ?QG o,,?`. State: Zip: ?,rs?la 3 Company: Phone 9: CONTRACTOR Street Address: D!? r?S r P? 1.i.rsd?- ?wL-t License # ??3 1 Ciry OS-5 Lr{7, ?,. State: ? Zip: JriS3 e, ARCHITECTJ ENGINEER Company: Phone #: StreM City Sewer & water licensed piumber (new conshuction only): and lot change is requested once permit is issued. State: I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Registration #: Zip: Penalty applies when address chang coRect and agree to comply with,pll applipbl INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auxLozNG 3830 Pilot Knob Road Permit Number: 023362 Eagan, Minnesota 55123 Date Issued: 04 /19 /94 (612) 681-4675 SITEADDRESS: LoT: n BLOCK: 1 APPLICANT: 3671 FALCON WAY STAN80ULICH KATRINA LEXINGTON PLACE SOU7H 3RD (612) 456-9722 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION .. INSPECTIONTYPE .A FOOTINGS FTNAL F L ? PERMIT CR 22-6a, ? CITY OF EAGAN PERMiT TvPE: `?-19"q? 3830 Pilot Knob Road B u I L D I N G Eagan, Minnesota 55123 Permit Number: 9 2 3 3 6 2 (612) 681-4675 Date Issued: 0 4/ 19 / 9 4 SITE ADDRESS: 3671 FAICON WAY LOT: R BLOCK: 1 LEXTNGTON PLACE SOUTH 3RD P.I.N.: 10-45062-040-01 DESCRIPTION: Btailding`'Permit Type Building ?ark Type : / !_ . (.. ti OECK NEW a ,. ( ? :;.. REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge 1,50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - STANBOULICH KflTRINA 3671 PAIGQN WAY EAGAN MN 55123 (612)456-9722 T hereby acknowledge that I have read this appiicatian and state that the information is correct and agree to compiy with ail appl:fcable StaCs ofi Mn. StatuCes and Czty af Eagah Qrdirtances, ? /?r1/?'?+?KG. ?e7?+^'?p?•?i APPLICANT/PERMITEE SIGNATURE ISS D BV: 51 RE ? t ' ? • CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 3 $S&{ 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: 1) when permit is typed, but not picked up by last warking day of month in which request is made, 2) address is changed or 3} lot change is requested once permit is issued. Date /4- Valuation of work Site Address: 3? 7 I Fa.l coh w?y STREET SUITE # Tenant Name: (commercial only) LOT ? BLOCK ? SUBD. f' X,Gi ?l 1 P. I. D. # Descri tion of work: c C, The applicant is: lJ Owner ? Contractor ? Other (Deseribe) Name _LLft-? Y i vto, S?-Rh b a a L i a-?. Phone 4sb -q7 a oL Property LAST FIRST Owner Address 3? ? 1 ??L?o? wqU STREET 5TE tY City State vtin Zip SSt.1-3 Company 5 A'Nt E Phone Contractor Address License # Exp. City State Zip Company e Y Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al ap licable Stat of Minnesota Statutes and City of Eagan Ordinances. S f ? `?i ignature o Applicant: -? ? ? I At_L: I '4u ? 8 dJ ?'? VEYISEV f6:i RL il.J G? 14 c r tdleinuiiai Viig Y. wny Eayon. ?utinnz:;::td 55122 Pi?una: l61 ?) 452-3077 _,J{iJU;;"t Cltillf ICAf't: 10R: s8?3?(4Whi:aiN{?s.3. 1 . t l L t1.d'I P, 1 t _- F? 1:O?IPAAiiES w s. MS?+...?._ -.>„'?"'.??*.?• ? ??1 ? ;,? • N?R..a ? , ? t L ;? /i ? , ?.?'.?' r h __.:??-- ? - ,? '\p .... J ?. ??? ??I•U,. ;'?? ???_ ?. O ?r VA` ?\ ? ?'•. ? . 3 V r Vt t; -rJC) - U (knoles ?r crl +kYK«'eht ? Ck;r?;rias No;il lf,J) Set „ ?pq,yfkn?tas E?.?st?r.? SPvt Elz.atia) Gcnofes Prap:>s'J Sfwt Elc?"tion ., _--(kr?.;ras Ur?i??sya O?rection -Fhi.?tHlY UESGNINII(xJ- it)).! __- i,t,rJit-kj to tl., ruccrdril plet th2raof, _(oi,nty. M'uw?sOtj PHOYOSfD 6ANA6f FLOOR ELEVATION= 904•4' PtiiINOSED Top of Block ELEVATIONm Mt)4•1 YkOPOSED BASEYENT F"LOOk ELEVATION-_j2L'') hY)!E' Va(ify alI floor Ireights with Finaf Ifwse Plans. ,q)M?Ynrtj r.?wriFirrrrra- ! lereby cerlify 11;nr this survey, pl,rn ?ir reparf was p'epare:7 Gy me w Lnier my dirrct supervisiai and tl:at I am a duly f2eyisfareA Larci Surveyor iuder 1ie lows oi Iha Stbte of AliruL-sofa. _oate Y?b Wayiw Q Cordes, 1liru) Reg. No. 14575 It Co U .Z?o 1999 FIREPLACE PERMIT APPLICATION 9 ? CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 ? Date: , ??? Description of Work: ? Conshuct new fireplace AGas _Masonry _ Alterations to existing _ Install pas insert on/v _ Install gas liue anlv Other 7ob address: 0/1 Lot: _4q_ Block: ' Subdivision/P.I.D. e??C.c- Applicant (circle one only): Owner COractor Pernrit Fee: $60.50 Name: sdreh cC20 Phone?/ PROPERTY Last First OWNER 2 Street Address: V ? ? ? r-,CjC u,.1 City State: AN Zip: ?n ? Company: {?' `o p 0C7 YI1 Y' A ?^P4T?'Q_Phone #: (area code) FIREPLACE INSTALLER Streei Address: City 'r 4 State: Zip: GAS LIIeTE INSTALLER Street City d State: Zip: 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 5tatutes 7 City of Eagan Ordinances. . Sign e Phone #t: (azea code) .??? ??V ? 8 rdye 1 OT 4 EXTERIOR ENVELOPE AVfRMF "11" COPIPUTAT1pN cArirdi?li>3? ' % , -- - GWNE R: ------ 11,1"fC SITE ADpRESS: f?tIONE: CONTRACTOR: F eC*.7='(er- Determine wcrking square footage of each 1. Total exposed wall area..,,. Z Zgp?a(3,(e sq. ft. x 2. Total rocf/ceiling area..,.. IU?j8 sc. ft, x.02G zcs Total exposed wall arca above floci a b c d f 9 n i 7ota1 wail window area ........................................... Total door area ....................... ........................... Total sliding glzss door area .................................... Total fireplace wall area ................................... ..... Total wall framing area (averay: lOp) ............................ Total rim joist area ............................. ................ net wail area above . ........................... wall area above floor ................. - .................... wall area above iloor ............................ - fram> wall area at roundatien ................................... Total expcsed r'oundation area= k, Total foundation window area ..... ..................?... l. Total net foundation area above 9rade..........., Determ'.ne "u" value or" each wali seom=nt (e.g. i.indoiv, cioor, each separate ?val i SBCt1Dn), t?• ? A b. ? t•?? X C . sir Y, d. 4L/ X e. Z 7.15. X f. ti X 9 -_, c.c? •? a: h. X J k , ••---- ??U??- ¦t_!?_ ? 17. ,??,? ?v ? __ !? • ? ,lull ?lu„ _ X 11 U,, z 11 u11 x l u„ 1. -7 'rj, 3 3 X .v--, I=1J! 3_-_ 3 . .................................Totdl t S{•1:5 ,(p ?-e)5- If item N,3 is the sam as, or r 1 less than-item ' , you have met..tne :', intent of SBC 600¢ ( c ? v ? t:? r. ?s:"2_4;;,???+ lor i:i;valopc Averncjo ??U" Comi;uL-ot.ion Paye 2 of S Total expo::ed rocf,/ccii±ug 'Irca 'ibtal s;:ylS.,ht area ............................ ? Total rooF/ceiling framing area (averaye 10`1)... Tctal net 1p5L113CCC1 rooP/cciling area...,,...... Determine "U" valuc for eaGi roof/ceili:ig segaient M. X lUll ,,. ,; ",,,- ,OZ .-- _ ?• C? o. a„U,, , v L = ??? 5 S 9 ........................... To'cal If total c: 4F4 is the sanne as, or less t:han 42, you have met the intent of SbC 6DQ6 (c) 1. Rlternate Building Enve].ope Desiqn 'Ib u`.ilize tne total envelope 'system method, the values establishecl by the s:u;t of iL-cros 113 and 44 snall not be greater Lhan tlie stun ot items IF1 and 112. 1. ZSI, 7S _+ z. ZaO.p,3 3. _t ?'il . C; . + 4. Z . _ _Zo5. to8 ? t ` r,mr/c?iLivc Hea[ flov _ up Tota? 2 4s8o • O_ oZ vzted rzc. cs. +?x r ... ? v-v'.v ? :'?^'\.": •_-a ?i itr _.-?'? ' _• ? 4_ ? --- - FO @ - - F05 F.f'?'9?'? E 1. Znsidc air "iIm 0_61 Construc.ion R-Valuc j. Intcrior air film . .0,61 3. ]tiSUL. {, Extc:i.or air fi2r.n (st211) 0. F R.a fi-r ? , 1. -I?nr?_e?rio?z nir P.ilm 0.61 2- i v v ?• ? t?svl. 38.35 4. L'xtetic- Tota1 2.. - qo.rS C crd- S'rR ?C ri m y-, .. ? I. Tnsidc .11.r Tilm 0.61 2_ 3 , ? 4. OuCS1aC J1L Fll::t 0.17 Total u 2. 3. ' - ' n. $, Gutsidc air filin 0.17 . TOtal I_ 'Snside air film 0.61 2. . 3_ ' - 5. G1it':icfc air fil:n 0.17 Tota1 • hG:i-7:?:r3i . _ ? - floca cp • - ? . ... • .. _ $Z ,_ e 7 . -'• t' Notc: Uso additional --heets if morc -,paco i: ? pecciecl for cletails and calcu?ativns. . ? _ f' • f . . a IjcLL 11ov up • ? j'vcnted ? p J,t uf ikl w u,Ill ntcfl, IJC Cc,n:.lruC.11Un ? --Q -? ; ? ?? --- ? PIG. tll TOPVIFSJ OF . F1UV1E iJALI, ? -- ' ••----? FIC. 02 ?_ _`VSn ,l .._ ` ? ,....?- : r... ?, . -- r.•i; `?L :'• •.j .?' ?) ?. ,, -?----- ? p ,;_-;.cr? :? ?•. . A e°? . :? . ?i, , •Q. L ---Q ----oj _j? --- ?j ^ -------{tj. -----•---c.-? (?? .._----•------Q ) . ?. ???Z??,,??,?: ,?? ,,. , - . 4•38 3 00 6. t:zti•ri?,r ?! '! -'_ -"-_' ._- --.. . . ...._....... ._ _...... . 2. 5. r2+wm,_ SEA4" '? - - . . wl _. ?-,lut.nl ? St, l? . ? ? ? ? . lntcriu* niC f?lin.....'_____ -- z. q.r.11 . h. t ? 6, };xtcrlor nic i i Im _ _ _ --------- ---.. _- 0.?7 -...-- , ; ??• ; ? 'i, 11'.[i'!?•i: :11" f?li.,. fl.(in -- _ .. , _ ._..... _. _._. .. _. ---- - . ?+• . PL'?rr?c_??G . 4a¢?cc?...----= ------------?--------- G. .-•?,rnl:il r (-k = , I 15 s!.nil nri ciu?ue , ,• u r ;;' ?,?PAr? ?. r G. !) V ? v : '__. ' • ? ? I.__?' -- --T__.-.......? ~ ?!! =?- • ' ? ? -'? I -- _ ? I • ' I(I fic:. ilb ?ri ? a • :z / ? /?! ,.. l . . ? ) !/ f 3 ? Wnr,r, rrrT ;at 1 s w.All nn for '•, , ! . ' ; • ?__- . ----Q i ? ? . ?'?• ? -•_? ' a • ? -{? SIC AI.t ? y I ? ,? . ?;•, ? • i. i ,., ' FIC..kl 'TUPVILIJ OF FIIAtth' {tiA Ll,, • ? ' i , ? . ? ? ' ... `?.?..? ? ? --'-? FTG ; -, 1 I.?f.I i •?l ?\y-_? 7e.a1 i 1(? I ? + - - O ?--------{? `lTlv ?, ??,,i??•? . ,i? ,..i - . '"_ " .. .. . A?R 5??? L? _ . ..... : .i01.0-1 U= ,3? ? '_'_-."""_" _..____..?___'_ _-_-_ • . ? ? • __'__"...." "_ _... .. "_ '__._ ...._'_' -?:. :-; . . - ?- -?-- ? ...._. G. . • .u? _ih.? _ F.?LC:iai_ J .`, ' e:.. x : .. n.bn ? • , ?/ ? ? • ? P. ? . G f •?1 ? -" ?,? ICPI .l. '------"?? I •i'% . . . ? . . , . _ , .. S;dll1 Oil (:1NI1L' . '. ? ?'( F /j? ? ? . ? 117 ?. ? l. /<< -' ' • ,t ; ' ,_ ? li(.'- i . J , • ' - 114 i F1G. 1(i, tL . "a ., y„' . . , •' ; . /r I . i ' +'. . . nnd of V n. ?, 1. : ,. . ? . ...- PLA ki +?f I .Y.' E . L t?jEr4 l- _ FT, EXposE0W,4 L L Sd ' C. f? F?.f..?ee. 4C t'-Y4 ? c5 z.44P :. Eta(.. G (p ? ? F'u LL f ; 14'b r ? ? ?,Ei??.A?.E ; ? P ? ?. ,?...,.., TZ 1 M : !; A o 4q 14 b Sl:;z . q-r, Ss<.i?'osED wA L..L AZ-E.A -- t3Lock1, `6 JC , S = 7 S• 3 3 . i?-K1EE ? (. Co ?vLL: ! SC. 0 ??.1, 2 ? - _ ...p......?„ . P, h _ 146 4b To7-A L. = z tg/8•`L F-KPoSE:--D GE,i Ltuq ru85 wDws ? ;,Z41?q? ?? ?,•3 I . ?J?? ? e ??• r zs '?il 7ow ? _- 3co D ooRs ?A-rl o , i ? ;°a Zf ? • :: a, ?= r ? •(o Z -.:`. ? t e's. I 4 , ` • ? ? ? ? P 7985 BUILDING PERMI? APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED LfITH THE CITY OF EAGAN GAM BRIPCaE COt41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRl1CTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DYfELLINGS INCLUDE 2 SETS OF PLAMS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (o $pC70 To Be Used For: Sinele Familv Valuation: .(r3-H60' Date: 1-29-86 Site Address 1671 Falcon Wav Lot L.? Block d, Parcel/Su6 Lexing,Lop Place South 1-2 Owner Joseph & Katrina Sj?amboulieh Address z15 F, Vikine Dr. J302 City/Zip Code St. Pau1, MN 55117 Phone 484-8795 Cantraetor Frontier Midwest Homes Address 3908 Sibley Memorial Hwy. #E City/Zip Code Eagan, M1V 55122 Phone 454-0433 Arch./Engr. Richard Charlier Address 14103 Gardenview Ct. City/Zip Code APPle Valley, MN 55124 Phone # 432-5492 Erect ? Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft 3 Remodel _ Repair ? Addition q Move ? Demolish Int.Impr. ? Install ? APPROVALS FEES Assessments Permit ?i Water/Sewer ? ? Surcharge Police Plan Review Fire SAC ? Engr Water Conn 5 Planner Water Meter & Council Road Unit 2 Bldg Off `-314 Treatment P2 I APC Parks Variance Copies _ TOTAL a./ SQ ? 8iOMA -N- kh ??? o.?? k? hGAI.E:I?'40?q4?+ . suavevIn?o SEFlVICE8 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 ? / / .? / ?\\\\ V : w O?\ ? Vv ?5 '? o? ?AO? y ? Qa y2op?°? ? . `CERTIFICATE FOR: nOME d W l4)[ HS IAND Dk VEl Ofti Hti flE Al IURS COMPAfdIES % ? * rp5 . " ? o.x -?p0%02 P ? aLc,O ` WAYNE D. CORDES -LEGEND - O Lenotes Iron Mauwnt m Lenotes Woai Hub Set x q04.40enotes Existirg Spot Elevalian („??y Aenotes Proposa! Spot Elevation _.?Qenotes Orainage Direction -PHOPEKTY DESCRIPfIQN- LOT I BLACK _4 I.E)UNCqT09 PLACE '(70U10 accordirg to fhe reccrded plat thereof, ('ounty, Mimesota ., MODC1..s GAM5RIDC-ro /__? / / ? . d ? ? .. ?r - 14675 - PROPOSED GARAGE FLOOR ELfVAT10N= 904•4VAiDVO$ED TOp Of 910Ck ELEVATION= &104"1 PROPOSEO BASEY£NT ff.00R ELEVAT70Na Oq I•1 Wfo NO?TE: Verify afl floor heights with Fina! Nouse Plarts. IFI I hereby certity tlut this survey, plan or report was prepsred by me or urder my direct supervision arr/ that 1 am a duly Registered LaM Surveyor wder the laws of the State of Mimesota. cj'b- oete: y?'tX' N'ayne D. Cordes, Winn. Reg. No. 14575 ?? C CI;Y OF EAGADI 2/84 APPI,ICATI0:1 FOR PE?11IT SEWER AUD/OR WATER CCNNECTIODT (PLEASE PRINi) 1) PPC;P7'r'TP?_' AL'DRwS: LE,C=,L D?.?1IPTTCN: -1 Pr ? ek°(' c A - 5 0 . a m? C n 1 ) 1 tLct leck/Svisi n or Tati rarcel I.D. :;L;,zer) S^_^i::'_^TT', Dai=. OF 02-T_G7--:<+.L ,.._._ .-??, P???.^_ ?.^.;Ti::?y'??OFOS? liS: ?,?.-1 Si:GLj c*?trl,•? ? R-2 iUP?r ('?'CO G'::I';'S ) . ? R-3 'T_?,,L\,?rv,cr ('r= = L_-II^:S) ! U:?'7=") . . Q ?_'1 l=.c=..;;??r?.???: :l.il':j±-'•.i l J?. LNiTJj T / ? Cl.l'M'r_.."?CT.?i.L./.L??i??iL?TC? ? ???s ?L ? ?L= Frontier Midwest Homes Corporation pZCRESS: 3908 $Lbley Memorial Hwy. Bldg. E C;"_', S^dT°, ZZP: ? Eaaan, MN. 55122 • PFC`M: 454-0433 3) FLi.:,?CW Star Plumbin(PL'c„SE rRINi) Fdfl CITY JSE 09LY ^ ? c P.C-,?-?...5: 1018 Mound Springs TET. PLJflBERS LIC.95E: ? Active CIiI, STATE, ZIP: Bloomin ton, MN. 55420 ? Expired - PAOVE: 884-4149 PLU9BER LFCEYSE ii 3329 F_= Not of Recard ' ar- ??$F'-'nt:ia'1 41 YLCwdL YHl;ilf AnDrIEss: 1)r. ? 3o a czTr, sTIa7E, zzP: 6 511 ? PHONE: 5) PZIG"TE :•IHICH PE.°'-LIT IS BEING RE[)UEST'ED: CC_2INEC:ION 20 CII^l SES•iE4 Please mail gold copy to m7 CO".T1EC:'IG;I i0 CITY S•IATEi? Wenzel Mechanical 3600 Kennebec Dr. ? 0,71E2 (P7Li`E p=EE) Eaaan. MN. 55122 ? P:y+SE F?OID APPFO/&T] PER?_IT FOR PZ?C?i:-UP EY D:v'E OF AEOVE ? pT?-?/ t /D?? ??.i.-?<? 3r 4.?i? ? , (Cl?C!e one) 7) SI27,'ILZ:.:.?TC? l . R C I T Y U S E O N L Y rSSUED ? FEE$: $ 4) ? S /0 C-z? $ s-Z) S S $ $ _ /,? •Cr-?? $ _r7 5 $ $ $ S S SL.':LO W::TE? ?--,?,ttI': (Ii:Ci.iiDE S:i=C'^:ARGZ) Wr+TER METER/COPP°RHOnN/OL'TS?D° RVAD7^ WATE.°. TAP (INC:.UDE CORPCRATI0:1 STO?) SE'•ic3 TAP ACCOcNT DF.?OSIT - p7AmrR wac sac TRuVR SPA'SER ASSESS:?-E.IT TRG21K SES•ic3 ?,SS`SS;:ENT Le,TER?,L BE:vEc IT/TRU?IK S: F:EF. Ll':cRAL SEVEFIT/T.°.U:•:K fJATER WATER TREATMENT PLANT SURCHARGE OTHER: TClyL At".OU`:T PAID;'REC°IcT DOES UTZLZTY CONiIECTZON REQUIP.E EXCaVA:ION IN ?UBLIC RSGHT OF L9AY? Y:S IF YES, THEN n"PERb1IT FOR WORK WITHIN PUBiZC ROIDWAY" MUST BE ISSliED BY THE [_] NO ENGINEERIDIG DZVISIDN. LZST AS A CONDI- TION_ SUEJECi' TO THE FOLLOP7ING CONDITIODIS: APPROVED HY: TI'::.E: DAT_° : +a ? s?e w?s a.. ? sr osa sc ? sa ?m ?e am o w vit wm ot+ 04-M we v-M oa" ot? 04 a sa ai? w? ata w?w w. r ? ??iUfviA .. ?. ?.? Vliyhway 5b 122 2 1 452 3077 ! ?t ? (r l AI.L- O C)I ? n ? .aiio-::w.dAxCd .v9c?.:L. ? ?h?, l t . i . ? ,?i r?•, FRONT6ER l;C3MPAiViES es?,:,?saar M .? J 4 ?` ? • % t ?' .. ?. .'? • ?? . U `-T ? j ,;??`I < ?` • ?? ? ? . i.1 .-., V \? -??^ ?( ri• Y ? ? ? q ?;?.U.. bti?? ., •. J / ,l? ? ?\,'?y vh??\ •? `?? ? `C?' °.,.,.\ ?:?o J '•1 'e? ? ? ? i? y . . : 't?a li+? .` ? • 1 y ? > iL iNp\,? CA 1 ?• ? R• .? qc'`t' ? ? ? GFIJI)- PROPi?SED GANAGE FL(!OH ELEVAiION= `I?4•4 .?..? ---- ri U4. v 1kn?lrs ?r:.n ??:xxner? PhtJY05ED iop of dlock ELEVAIION-, . _.._ _. ,.,.,. 1.1,,.1 1.,., _ 84 11 1.7 City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ------------------ ? Foi Qffice uee I j Permit#: ? i Parmit Fee: ? Date Received: 7 ? i Stan: i ?----------------' 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f? 0 (! Site Address: C' aC&. CI- Tenant: Su(te #: RESIDENT / OWNER Name: 7 j Ld L( Phone: Address / Ciry / Zip: c f /G / c-4,(/(? L Applicant is: _ Owner _ Con[ractor TYPE OF WORK Description of work: (_ Construction Cost: ? Multi-Family Building: (Yes No ? CONTRACTOR Name: P c t ,1 r P? License #: 'Zi J 5(y 7 Address: V' F_-. Ciry:. w u„ r? Y-0 ? State,i#W Zip: r_?o J? / r Phone: _l3 ?? - Z 2 ? ' Z J *C7 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatBgOry Submitted Submittetl (4 SUbml3slon type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a pertnit for a slmtlar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractar: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submlt are consldered to be publlc lnformatlon. Portions of fhe informatlon may be classffied as non-publlc if you provWe specific reasons that would permit the City to condude that fhe are trade secrets. I hereby acknowledge lhat this intormalion is complete and accurate; that ihe work will be in co ance with the ordinances and codes of the City of Eagan; ihat I understand [his is not a permit, but only an application for a permit, and wor s ot to stan without a permit; that the work will be in accorda9sevrith the approved plan in the case of vrork which requires a review and approval S. ?f x,! x Applicant's Printed Name - I ant's 51 n t r R ?Q E ?I111 r F 9 au Page7of3 ?? is JUL 03 2008 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - MuIH ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02•Plex ? OS-plex p Deck ? Porch (screenigaze6olpergoia) ? Multi Misc. ? 03•Plex ? 70-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES 14 New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window El Water Damage ` DemolRion (entira 6uilding) - give PCA handout to applicant DESCRIPTION: Valuation OCO, 00 Occupancy MCES System Plan Review Code Edition 0-c?r SAC Units (25%_ 100% Zoning ? City Water Cansus Code ? Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) 40- Footings (deck) _ Footings (addition) Foundation Drain Tile Roof: Ice 8 Water Final Framing Fireplaca:_R.I. _AirTest _Final Insulation _ , . Reviewed By: _ RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant Copies Total Sheetrock Meter Size: Final/C.O. --?j FinallNOC.O Y= Building Inspector HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Page 2 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilgt 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: 1 agree to comply with the City of Eagan Surcharge: Ordlnancss. Misc. Charges: Total: By Dote Paid: Date of Insp.: 4 0Ir Iffallar nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilit Knob Road P. O. Box 21199 PERMIT NO.• Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: _ Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA112169 Date Issued:07/31/2013 Permit Category:ePermit Site Address: 3671 Falcon Way Lot:4 Block: 1 Addition: Lexington Place South 3rd PID:10-45062-01-040 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 . 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 - Paul M Sorenson 3671 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:EA142252 Date Issued:04/24/2017 Permit Category:ePermit Site Address: 3671 Falcon Way Lot:4 Block: 1 Addition: Lexington Place South 3rd PID:10-45062-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul M Sorenson 3671 Falcon Way Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature