3672 Falcon WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3672 Falcon Way
Lot: 10 Block: 7 Addition: Lexington Place South
PID:10- 45060- 100 -07
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
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
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Mike A Larson
3672 Falcon Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA080697
10/25/2007
ePermit
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 with all applicable State
Issued By: Signature
. CITY OF EAGAN 1 a
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERMIT tteceipt #
Te be wnd fer Est. Volue •!, f Date 19 ?
Site Address Erect 0 Occupancy
Lot Block ! Sec/Sub. Remodel ? Zoning
Paroel No. Repair ? Type of Const.
Addition ? No. Stories
09
Name Move ? Length
W
; Address Demolish ? Depth
Int Im
r
? +
?
City Phone p
.
Sq. Ft.
Install ?
Name Approvak Fea•
O? Address Assessmenf Permit
u? City Phone Woter & Sew. SurCharge QJ
Police PlanReview
FZ Mame ?. i Fire 5AC r' 11a •
?o Address Enq. Weter Conn.
.
gzW City ' Phone ?? - ;,,vtl n
planncr Water Meter
Council Road Unit
t hereby atkrwwledge that I have reod this npplication ond state that Bldg. Off. Tr. PI. E ?j ?
,
the information is correct and ogree fo comply with all opplicable
Sfate of Minnewto Statutes ond City of Eo9an Ordinantes. APC ?
Perks
Sipnature of Permittee Var. Date -6,14/64 Copies
l
Total , _ . ., i)
h Building Permit is issued to: on ths express conditlonIhat
all work sholl be done in accordonte with all opplicoble 5tate of Minnesote $totufes and Ciry o+ Enpen Ordinonces.
?
8uildinq Officiol I
Pwmit No. Permit Holder Date Telephona #
Plumbinp
H.VA.C. p,
Ebet?ic ':,? ? % r ? ??)i :? ' ?•',
$ottener
InspecKion Date Insp. Other
Footinga 1 18 1? J??
Footings 11
Foundation
Framing
Roofln9
Rough Plbg.
Rough Htg. /iPE STV P $-U LME??-i7-rtG ,tJo
Insul.
Fireplace
Final Ht9.
Final PIb9.
Final
Cert/Occ.
Wate? bescribe Location:
W?II
Sewe?
Pr. Disp.
CITY OF EAGAN Remarks
Addition Lexington Place South Loc 10 Blk 7 Parcel 10 45060 100 07
Owner Street 3672 Fal cnn Wg3T State EaQan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK J 1985 247.64 16 -5I 15 iV' 40`z2 -8
SEWER LATERAL 1011 1986 16 31 . 0 0 3 2 6.20 5 ?/ -
Services 101S- 1986 729.39 " 145.87 5 1 / ?/ --i -
WATERMAIN 11 1985 65.81 13.15 S , G5 6 -a -
WATER LATERAL 1012, 1986 87 3.43 1 74. 6 8 5 /
WATERAREA 10 1 1986 243.73 48.74 5
W B N 198 111.98 22.39 5 , i9a -/ .-
STORMSEWTRK 101 1986 426.54 85.30 5 / / -? -
STORM SEW LAT 101 ? 1986 803 . 34 160 . 66 5
CURB & GUTTER
51DEWALK
STREET LIGHT
RoacL ni . 1 9 5
WATER CONN. 500.00
?
BUILDING PER. 11147
SAC
PARK
R"Wpt - '? MECHANICAL PERM17 Pormit No.
CITY OF EAGAN
? FN
,-' ? - Fill in numbsrwd *ecu S/C
Type or Plrinr lspib/y Tot.
1. Data i-;/ u 2. Installation Cost ? i?''?, ,.,? rj
3. Job Addrss= >u . - i _ '•_?_? -? - iLot ; Blk. Tract '
4. Owner
5. Contractcr .; e..- ?- 1. c' 1 a1 . iPhone
8. Addres: . 1 e
7. City . _ ' State Zip - ?; ? ? ?
8. Building Type: Residential GD,, Commercial Cl Institutional ?
9. Work aescription: New L? Add ? Alter ? Repair O
10. Deacribe :?:.fat i?.;, .f , Fue1 Type
11.
No. Fgu4prnen= BTU - M. Ea.
Forced Air itn No. Equiament CFM
Ai
H
dli
Mf9• ? c?
:?
: r
an
ng:
a •
, .
Boilers . ...
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cand.
Mfg.
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
Rough F insl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
- - -- pee )cl _ ,f.
FiII i» numbered spaces S/C
Type w Prinr legibly Tot
t;
1. Date -ij 2. Installation Cost ?l
3. Job Addres IC ,r_, ?.._: G Tra?"
4. Owner s5. Contractor ;r?-'•; ' - Phone i -
6. Address
7. City State
Zip
hN
8. BuildingType: Residential C3.:- Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Descr'tbe .. . -' r', ` Fuel TYpe
1 11.
QaLUrFil :>:-,5
No. Equinment BTU - M. Ea.
Forced Air 1-• No. EQUipment CFM
Mfg. Air Handling:
Boilers
Mfg
, Mech. Exhaust
Unit Heater
Mfg. : h
O
Air Cond. er
t
Mfg.
Gas, Piping Qutlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : ? ' ; ,. for
Rough F lnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
.4
?. _ ? "*.«w.w?:.'?:'•awt«J,
1Y
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
/yr,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
; AL.f_nC1 I•1AY
ra, i r c, w f, i. a r. t: F; Otlml ?f
? APPLICANT:
PERMIT SU,?,TYPE:
TYPE OF WORK:
[o t ".1:Frtt' TTifr4
F.fir?rt= ?
I i T Nl?
Permit Holdar Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING sr6l?
ROUGH
PLUMBING .
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
GONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: 01114 „
(612) 681-4675
SITE ADDRESS:
, r, i I
I i Wts i„ri i• i ai s•,??ii i ii
? PERMIT SUBTYPE:
11111iff IP!
APPLICANT:
TYPE OF WORK:
;II IJ
1 N !k I
Permit No. Permit Holder Date Telephone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspeCtion Date Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
oc4?
Final Htg.
Otsat Test
Fnal Pibg. Pibg. Inspector - Notify Piumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
8 mon[hs (rom S
"eQ0 °' ?ISo
?' 081350 L( c; ?7 7 ?C ?L S-z; L/U. 6 CJ
Requesi Date ` Rm No. FnuPh-in Insper,tfon
Fe?uired?
?ReadY Nuw ?N'ill Notify Ins*U<'c-
?Yps ?NO lor When peady
Vicensed ElecVical Conlr:ic[or I hereby raquast inspection oi above
p Owner elac[rical work ins<alled ak
Svae[ Atldress, Box or Route , ^
fiL! Ci ?5
`
ec ion o. To ns i0 Name or No. Ranqu No. Covnty
Occu nt INT)^ r Phoi , No,
Pow SuDpli Atldress
r.1ViJ 1 L ld'S1L. Conhacto 's Liu: ?xe No.
Maili ( ????' o r '4 I ?[allatiunl
i
Aut onze ipnawre Con[ractor/ wner akiny
tallation) Phone Number
MINNESOTA STATE BOAND OF ELECTFICITY THIS INSPECTION HEQl1EST WILL NOT
Griggs•Midway Bidg. - Room N-191 BE AGCEPTED 8Y THE STATE BOARO
1821 Universilv Aye., SL Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
? p)?O REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
0? ' See instructions br comoletfn9 this torm on bBCk of Yellow Copy. L':
? 1350 "'X'" Be/ow Work Covered by This Request jd'rlu g
Nev? .d R.P. Type of BuilEing ApOliancas WireA Equiun+en" WireJ
- Home Ran,ye T nporary Service
Duplax Water Heater Liqhtiny Fixtures
Apt. BuilAing yer Elecvic Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk Tunk
Farm Other Spe?:i v Otherf5uer.iW;
ther ISper.i Y Ot er . Othei
Compute Inspection Fee Below
M Fee ServiceEntrenceSize k Fee Fexders/SUbfeeders # Fae Circuits
U to 200 qmps 0 to 30 Am s 0 to 30 ;,m>s
Ahove 200 qmpy 31 to 100 Amps 31 to 100 Am s
Swinvning Pool Above 100_Amps Above 700_Amps
Transtormers Irrigation Eiooms
? Partial/Other Fee
Signs Special Inspectlon 5
f' \ 1
TOTA
Herr.?rks ` FEI.r_OrII
flough-in Date /
_p[ /
7 Al ?• ?lecni??rl
'he
Inapect`,?rpraby
certify fhet the abave
Final ??r / r` T?g?pection has been
/ I?Q
This requast void 18 mondhs irom
CITY OF EAGAN N2 11147
? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ???/?
PHONE: 454-8700
BUILDING PERMIT Receipt #
Te M wed fer SF DWG/GAR Est.Value $67,000 Dare OCTOBER 21 1985
SheAddrese 3672 FALCON WAY Erect M Occupancy R
Lot 10 BIock Z Sec/S.b. LEXINGTON PL SORemodet ? 2oninq Rl
Peroel No. Repeir ? Type of Const. V
Addition ? No.Stories
? Name FRONTIER COMPANIES Move ? Length 40-
Z Demolish ?
SIB MEM HWY.
BLDG E Depth 4 $
Address
9 ,
Int Impr. ?
EAGAN
454-0433 Sy. Ft.
Ciry phone
Install ?
g Name
SAME Avwevals
Rees
?, Addresa Assessment Permit $ 334.00
r- City Phone Woter 8$ew. Surcharge 33, 50
?w Name RICHARD CHARLIER
x0 Address 14103 GARDENVIEW CT
< Citv A.V. Pnone 432-5492
°?'W
I hereby ackrwwledge that I heve reod this application ond stote that
the in(ormntion is Gorcecf ard agree to comply with oll opplicable
Stato of Minnewto Stotutez a d ity of Eogan Ordinances.
Slpnoturc o! Permittee
A euildinq Permir Is issued to: RONTIER COMPANI
oll work sholl be dorro in accordonce wlth oll applir bla Sfate o Mi?
Buildirp Ofiicial ?i
Potice Plan Raview 167,? 0
Firo SAC - 52$.00
Enp• waterconn. 500.00
Planner Waterrneter 63.00
Council 10 21 85 RoatlUnit 280.00
BIdg.Off. Tr.PI. 132.?0
APC Parka
var. Date -6714/84 Copies
rotal 52.034.50
' on rM expresf canditlon thai
wte Statutes ond Ciry of Eopan Ordirwncea
PERMIT # ? ? ? ?7 (P
RECEIPT DATE:
2002 RESIDENTIAL f'LiTM8IN6 PEfiM1T APPLICATION
crrY oF F-tsM
3930 PILOT KNO$ RD
£A6RN, MN 551 EE
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
har.kflnw..nrwvanfer_fncirrinafian.svctum._ LARSON, MIKE
SITE ADDRESS: 3672 FnLcoN wnv
- EAGAN, MN 55123
OWNERNAME:: (651)405-1958
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ? 0 r ?o ? o Wl y? U.WII?I v?.y 7ELEPHONE #: (0 12' g 7-7' 44033
(AREA
STREETADDRESS: 2°??? CaarFe.?d ?h?,e.
CITY: fv, SOI.I-t'?'t COOE)
'n,?p IS. STATE: MrJ ZiP: 5540$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING!
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repalr/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water sonener X water heater $ 15.00
State Surcharge r $ .50
Total - g t S .SD
I hereby acknowledge thal I have read this application, state lhatthe information is correct, and agree lo complywith all applica6le Ciryof Eagan ordinances. It
is the applicanYS responsi6ility to no6fy the properly owner that the Cityof Eagan assumes no liability foraDy damages caused by the City during its normal
operational and maintenance activities to the faciliNes constructed under this permit ??rtylri t-way/easement.
" SI URE OF PERMITTEE 1102
?C??f %9
FERMIT
CITY OF EAGAN
?830 Pflot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
BUILDING
03292E3
08/17/98
SITE ADDRESS:
P.I.N.: 10-45060-100-07
3672 FALCON WAY
L07: 190 BLpCK: 7
LEXINGTON PLACE SOUTH
DESCRIBTION:
?-r REROOFj STQRM DAMAGE
BuaI 141ii`q'? Permit T y p e STQRM DAMA6E
Bri?kldir?? 140,,r k Type REPAIR
?
A ,?Gp?1ex 434 ALT. RE5IDENTIAL
?
?`-rei.pt
. aas" La ?a 'r aiae°'>
a? ?^e
a AG ? ?
3 i
?SUFL?F':Ii'gR_4"A?
1?REMARKS:
FEE SUMAAARY:
APPLICANT/PERMITEE SIGNATURE
I"I?a
Gafd? i{
4Ie 'rv?t i t
E i?a Y1
g$ IRF 01151 t i j_N
R S ? N w ?a A# h ffi4 ? ?i A?'li.&yY
$ry4sr . "%tl@ & „, t9L
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
? 3830 PII.OT KNOB RD - 65122
6814673
J 'L
New Conshudion Reauirements RemodeVReoair Reauirements
? 3 registered aite surveys
? 2 copies of plans (inGutle beam 8 wirMOw sizes; poured fid. design; etc.)
? 7 energy ealculations '
? 3 copies of Vee preservation plan if IM platted aRer 711/93
rapuired: _ Yes _ Na DATE: C
DESCRIP ON OF WORK: ?0?? "' ?
STR T ADDRESS: 72 2? CC ?
? 2 copies of plan
? 2 sde surveys (exterior adddiona S decks)
? 7 ener9y calculations (or heated additions
r
?JN
COS
LOT: CN O BLOCK: ? SUBD./P.I.D. V\?c )[) v-, &0?-?
PROPERTY
OWNER
Name: m??,• K-h`2Y?"'e`e- S6 VV,,A. _ Pbone#:
Latt Fim
Street Address: 7 ?2-
City 52, ? Stau: t?-\ iv Zip:
Company: `-j Phone #- G S( L( 3 3 N ti 3
UaA- 3 3 ? ? Q
COIVTRACTOR /?
Street Address: ? 7`^a ( ' License # ? \?3 i? 6 3 ?
City a,(, S-\ C.(Z0?`F State: r?, ?j Zip: -)
ARCHITECT/
ENGINEER Company: Phone k:
Name:
Street
City State:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penaky appiies when address chang
I hereby acknowledge that I have read this application and state that the infortnatian is correct and agree to compy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
Registration #:
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT:
3672 FALCON WAY
LEXINGTON PLACE SOUTW
PERMIT TYPE:
Permit Number:
Datelssued:
BUILDING
024578
09J20/94
PERMIT SUBTYPE:
FZREPLACE
10 BLOCK: 7 APPLICANT:
FIREPLACE SPECIAIIST
(612) 451-1970
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
INSPECTION .. . .A
ROUGH-IN FSNAL
F
L
?
CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
3672 FALCON WflY
L6T: 10 BLOCK: 7
LEXINGTON PLACE SOUTH
P.I.N.: 10-45060-100-07
DESCRIPTION:
(GA5)
iit Type
:, Type
PERMIT TYPE:
Permit Number:
Datelssued:
FIREPIACE
NEW
!y ? f
BUILDSNG
024578
69/20/94
C?M- ) z`.ii J
?
REMARKS:
FEE SUMMARY
Base Fee $25.00
Surcharge $.50
7ota1 Fee $25.50
CONTRACTOR:
FIREPLACE SpECIALIST
1200 97H AVE
S ST PAUL MN
(612) 451-1970
- Applicant - ST. LIC
14511970 0009924
55075
OWNER:
WEIGEL DEAN
3672 PALCON WAY
EAGAN MM 55123
(612)454-9770
Z hereby aGknowledge that T have rsatl CMis
inPormatian is eorrect and agrse ttl eompl,y
St s and CiCy of Eagan Drdinances.
?
_
P IC RMI IGNATURE
application sntf state that tExe
with all applitablo State of Mn.
Aactn RtAkI m.11
ISSUEO 6 SI ATUR
?
14611
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_P z.,?`. 11, 0
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 working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation f work / 6D?
Site Address:J?G
STREET SU1TE #
Tenant Name: (commercial only)
IAT BLOCK ? SUBD.,,J _ i m? ba ?
d-e P.I.D. #
Descri tion of work:
The applicant is: ? Owner 0 Contractor ? Other (Describe)
Name *ffWW,....(AJQ ' ?,(. ??.K Phone ?s`?' 776
Property LaST ? fIRST
Owner pddress 3672--
STREET STE #
City L-4? State Z i p 23
Company PhoneliL-?/6? 0
Contractor Address 12-0 f? dQr/£, S• License # 3g?- Exp.
City ?• c?'?. ?iAA,? State /P)A)_ Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Z1p
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 all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
r
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS ?NST BE LICENSED HITH TH£ CITY OF EAGAN
CdIJ?A?p
COMMERCIAL
SINGLE FANILY DHELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 7 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND
lo?,ooo
To Be Used For: Valuation: Date:
Site Address 3 ??FaQ
Lot (Q Block ?'I
Parcel/Sub I v,'n?C,--p?
Owner haue 9' a-Pal . )It ic
-
Address h° Cj•T
City/Zip Code GQ U [° ?
Phone
Contractor
address 3908 Sibley Memorial Highway - gidq, E
City/Zip Code
Phone j5?- Gy3 3
Arch./Engr.
Address 1410a (7Ld.t`YLP/1 PW G* City/Zip Code
_?.
Phone $
OEFZCE USE ONLY
Erect x Occupancy -K?3
Remodel Zoning •I
Repair ?
"- Type of Const
Addition !1 of Stories
Move ^ Length p
Demolish Depth
Int.2mpr. _ Sq Ft
Install ?
-- - --- ----- - -
-------
----
APPROVALS FEES
Assessments Permit 3
Water/Sewer ' Surcharge 33 °
Police Plan Review (,-7.
Fire SAC Z5.
Engr Water Conn
Planner Water Meter G3.
Council aad Unit ZA?I,
A'
Bldg Offj? reatment P1 Z.
APC
Varianee b Parks
Copies
TOTAL 3 . ,r:._)G.+
s^50+
i6l^?0+
?5 " 0+
5CU?u0+
6?5•,C+
2?C•?0+
132^i;0+
2; 034°S0*
S?
• OWNER:
a.
h.
c.
d.
e.
f.
9•
h.
i.
J•
SITE ADDRESS:
CUNTRFlCTOft: Fr-DNM m
PfIONE:
? Q .,..
Determine working square fno't'age of each
1. Total exposed wall area.....fc. x.11
??--?'?'
2. Total roof/ceil ing area....._-1 ouqQ_ _sq, ft, x .026 7. 0,,q
Total exposed wall area above floor. Mc?+
Total wall window area ..............................
...........
otal door area
...............
otal sliding glass door area......................
..............
Total fireplace wall area .......................... -
..............
-
otal wall framing area (average 10%)...,,....... . . . . . . . . . . . . . .
otal rim joist area ..................
. -
.........................
net wall area above floor..ZXl., - l
............................
_wall area above floor .....................................
__wall area a6ove floor ............... ?
......................
trame wall area et r"owidation .........................
Total exposed foun(lation area= GC•
k. Total foundation window area.......
....
1. Total net foundation area above grade ............. ? 6 -
Determine "u" value cf each wall segment
(e,g. winciow, iioor, eacli separate lvall section)
a.__? 3?--- x
b•__?_ x
C.x
d . g ?a --- X
e. ( ctc% I _ X
f ._ ? 37-x
, 9•_? Jt °T'.cie X.
A C
'lull • ? ?.
iiuii -??
'lull • 0 3 -
?? llU 'o -
h. X ll Ull _
1. X 11 ull _
j, X liuii _
k. X U'. _
_4? ._cis
t ?. z 3
X ?v,
3 . ..................... .......... ..Total
f'age 1 o?P 4 -- -
EXTERIOR ENVELOP-E_?1.Vf.R_11.GE_ "U" COMPI)TATIOPJ ????•d??
j?Nee., 4 01A L-L-
_ r)nrr
;
,.r
s_ ;...'.r!:si
Ifi item N3 is the'sair
as, or less than*?ifem
kl, you have;
intent of SDG,.,6006;a:f.e
?
! rx vrior I:nvoioL)o Avarngo "U" CoinputnCi.on PAgo 2 01' 4 .:'
?; .
. ' Tolpl expoaed roof/coiling nrca = (U 40 ,
M. 7bl-al sky].i.ght area ............................
n. Total rooE/ceiling franiing arca (nveraye 10%)... rCJ X{? -
. o. Total nct i.nsulated roof/cciling area...........
• DeL'ermine "U" va1ue Lor each roof/ceiling segmenL .
;
M. ?--- _ y lUll
n. x l.U., .O ? -- - -.?• 15
o. ? X 'lull _U Z--- - -?Z
9 ........................... ThL'al
If total ot- 1;F4 is L-he sauiie as, or less I:han If'L, ycu have meL- L-he intcnt- of ?
SbC 60Q6 (c) 1.
Alternate Lluildin LnveJ.ope Desiyn , . - - . . . ..?:iA:.
'Lb utilize the total enveloPe 'sYstem method, the values esLablishecl by tlie s:un of ?
i.L-ems N3 aiid ?9 shall not be greater than the swn of items 41 and Il2.' ?
?. _?_ 9•q 9+ z.
3. + 4. ??• zZ = -A5L
. ... ., ,
: . Nnt.r, t,r.rrrtcnip
r
e_ ll:,r j; i',:,Ji, w,?ll nr"A fur y,,? ?
ftr?m?: vaiiotructlun .ir, vnI??.?.
' -..?:.,,.? ..,... . .
?:(? i?
- ------C; : . yg"...l.?y P .?$'Ga . . ... . . , .9 5
?. ? S t1o,11,•, ..,?? ....., 4?3•
?? ,: ..r-C!? a . •_ . ._ .... ?++ evan?a+? . ..7- cx?
;i:C ?•` /? G. }:r.! oi ?i,r lI i [ i `w U• ?
41,1, ? -' ___?-??? ___'.__ ____ __ ' _ _... _......._. "'._..._.__• .
y 26 .??
?PIC. e1 TUPVIFI,1 OF
FIW1E HALi,
. ? 2. _VY
• i . ?• _ ._-_?r!i)vL? --?.???'t __.._.._... ??i.?0 .
• , •-
_.??
ert.or„wr rkir iI li?I D.17
FIC. 112 t.nl----i
lnccriur air ftl:n O.G`t
-?
?,•'.?i ?..?
T r 2.
...-'•---.? . _.. I
'•'•" -1---?----QQ rT. 3. _Zf-J.O??,...
4' -'#'?Y?_"_...... V
lr:ral I _?1? -----
?,.('•i iJ? ?_--'--- ?.l G. }:xCr•rl.or nir I'i Irn 0.1.7
' - -Y;.<-. 'i'nCnt ??• ? ?1
J
. ? `._ '•
.-
. ? ? - p ' ?, • v OC.1?.
. ,
Inti i ioc.nl i_ (:1^.. (1.(ifl
? •`•, t) . O ' .. __"'" " _ _
..
- a??d. , - -
.
? •. ? ?l • : ?_ L'- _?'C_?.i?C .. _ _ . _ .. '?l.- C?.. ... -----
, ? ..----...._...
,• . ,
? • ?i' u o; ?_?nJC ?; ..Pl?w??_.Tt?c.. ?Rc?3:t??....------.
? _._.._ .__...
??. ,n. ? r ?_ _.-• `-'.,.-.. ?
'a . •?,';/,.• G. 1_xl?n??i?,_:??r'_. ?._ .' __._.'.' __-__'_'_0_l7
. •
tr'"?CC st.Au Orl (;un)r:
.?
RAr
!yr,•r.`?? . Y ? 1 ?'/ ??
? • 77 /(r
C. 13
• ? ?
. ? i
_ -----?
? .
??-
?;
., 1!?_ .J.. ...!. _ .
a
1!!
?i( ? . ' -
•• FIJOC/CEILING
znced
Heat flov
up
E`IC. ;5 .
?•ly_1v[l?.Vl:?'?Z?: .`t.rt?.(n..?Aw,?RJrM14n1G? '.
-r
Q • • . .
? I'?CGL IIOV Uj] . ? j'VSRCCLI ?
L
,.?--J"}•, •:::;.: ' •:??--^'--?' % /
..+` •:•?
• H0:7-Y?:I?i'D .' .
- ? , • floca un • '
, . • . .. ?
Constructi_on R-Value
Intcrior afr film .0.61'
2.
3- 1dL4UL• _ , 44•
4. Extcri.or air filn (still) O.C?
?- T°tad 2 4s 80
% U=
1. Interior nit film 0.61
2- ?
? ?i`_
3. _
_
?`-f45ul. __
4. I;xP.r_rior a^iL fit?aµ( sti?
V. 'Pota1
' - • - V = .OZ?,
C o.4'3rrR?LY?
1_ Insidc air Lilin a•6?-
2.
3.
~
4.
5_ Out;idc air, fi.lm 0•17
f-- - Total
?-.r.?•?. ? . . . . :
1. Insidc air film Q•61
2_ .
3_
4.
$, Outsidc air filin 0.17
Total
1. Ynside air fi].m _? - 0.61
2-
-
3-
5- c31tsidc air fiLn U. 7
Total .
laote: Use additional shee[s if more cpacn ie
? neec3ecl for cletails and ealcu?ations.
,
?._ ? ,.-..
'?. U.e,?bL ,uf ,}??;o??un will. nrcn tor
lrnm?j ruct.lon • ? ? ? ? ??? _,_ 10
? ? ?..
e1c.:M1 ::C,rv1V4 oe
FfWtg IJnLL?.
f ?
?
?
....... ? - .
FIC 1?12
?, U
I ?I I?
?4..?I.. • ?
.? ' ? ___-- -`<J •
?
??fAL r?
..
--
? -'
----0
•'? ?, ----{? ?
1. ? • l' • 'O . F-..._? ? .,.-O
? ? ` 1+ •?'%•
1. •"
I .
? • ' i ' SlAll pi
f r>
ji^Y
II v
r ?
1
....??.v. ..? _ n.4?tlli ?..?.--...???.u.l.....?.
po?
I:-V.1 ln
Ini
_.. . ...... .. _ .. . . _ ?.. ?:,
4,
>. s.
ll ` S
6. s,lci.,?i c?lm
_. ...-. - - -. . . . . :'o t n j. . .... . , S-i
72 .7
s !
d 1 t rJ
' _ . __.. _. _. . . . .. _._....__._ .___. ,..•, '=.$
' r
'_""_ ""_ . _.. ._. .. ._."_ y?•
.__..._
A ? ? .
. r ;
1u111?
? '°
45 4?
1. Jnt;rrior_ai.r fi.lm
2. ?......_ _' ... ..... . . . . . ? ; i?.
J.
? t
6. }:xtprioc' ni; Iilm
COt :Il
,
t
1. lnt?.cl•?c ?I? (1!i•i (1 G(1 !fi'?Y4J9;?J?y;a??i
F Mn' `K•{?y? .,?
2. 5. -- -. -- -•-- -._.. ._ -- s';:? i :?
il:Ic iir ; iln ?•..Q l! 3 Li
i
..4:.?
TUW?
I
t -
1
J {?
(7iNl)N.
- - -- I ir
i re„r
t
?
_ ? ? ^!(! r S?,
Flt;. ilA
E
f01
, ;?'? ti ?Y
l11 I,' ??r : , ? t1(i'??!??y4
U?rC1:. 1n?11?:at Cy,C'
...._,?.....,._.. _. . . . "5'?•?'
? !. . '
PL? Q *?
Lr &t F 4 L FT, F-CPosEp W,4LL
SLOG k., ;?+- z? tZ 5,?- )= t3Z.
I (5c)
"?.°`.?..,' r ?
,
?7ULL I ? ?o+SZr (3 Z
dw
lZ I M:'',I' t 3 z-
??. StLf-O::,?b WA 1...(... A02..EA
t3Loc?'?
I t ? ? X
?N E.E
11 t _3c? SC S= (a 5o
,, °#
-x&-1
-
1::uLL l ; t 7o ?- X t05ca
r. '??- ?-g---_ - -
46
;
'Fo -tA lr.. - 195 Z
F-yCPaSE--D GEt l.(1.1C? 1040
IN: WDVII5 Z?
I
'i
! t,1/44= G ° qq
zr.P16OL
; ? j?:. 3 = t5
D o02.5
z?
A.
^ ??; .. •-_,_.-_'_- S
o?
P,8t. I OS ?
' b!6
HFAT LC55 CALCLA.ATIONS
Wealhcr3trips A•S. .V.t.
Cuide
Windows I Doors I Rtference I Out.
Yes-No Yes- l?0 19_
a
N=eeF?OnlT/E? #61JE5-"
tldx'e°° = Ca N co )eD _
DcPARTMEKT Q: f:;=°EC"I'lON
Coartruction No. I
1nL Wal1 Ceitiag RooF Floor
14'" W[dch 12 r Heq
and Area , z 4
\e. 1CIUth
Of Oan• 1e1I11
at Nn? Na, ef
IIfTI• Llnul fL
of c?wk An•
?p. Lt.
Z ??' 1 l2.8 0S ly`
Caef. Btu
III?Ilf??100 fs 16 e^e. ?
?"? 19 5 O
Fsp. wall ? g
Net exp. wa11 . fot 9 r0 1 19 'k
Int. wall
ceiiina r es .s a a 5.
Floor
Total Btu.
ReQuired sq. f!. E.D.R. or sq. ins. W.A. 1,eader area 409 3
Fl.1 Room Length // Width Height °
? Windows a nd Doon- -Craeka ge and Ar a Y"
Ne. wm?n
o! p?n? A.irni
of p?n? ao. et
IIfAts Llnul tL
ot cr.cY Ava
N. ft.
2, z yy a.e 9-
Coef. Bcu
Infiltratioa y7sy p 16 a,
Glau SZ)
Fsp. wall
Nel up. wall ? St-`
Int. wall
Cciling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. im. W.A. L.eader area ?,? (o (o
1 flIk1T4D/ij Room I Length ?/ 10 Width /79 Height?g
Win owd s and Doon-Crackaae and Area
Ne. Xla,n
D???
of Oan• Ho. oa
???b Lmul (6
a[crwk
Q. ft.
o s z ?
CoeE. Btu
Infiltntion 2.. ? ? ) ?.
GI,.. 50 ,0, 3'-Fb
Esp. wall Z 3 "{
Net ezp. wall $ 1 g
In[. wa11
Ceiling 2.0? 0 a ?
Flaor
Total Stu.
ReQUired sq. ft. E.D.R. or sq. im. W.A. Leader ares (e a?p 0
WEN"LEL MECHANICAL
3600 Kennebec Drive
Eagan, MN 55122 .
Imulatioa
How
NO. W ICth-
e( pane NaIgLt
Of Wn, No. ot
111T1. Llenl tl.
oL GfaCY JrY
q. fl.
'?, 2G d?c7 I I . /a ?7
y a
CoeE. Btu
In6ltntion y LO 11 ? .c
CJau =2H <J ? 1
Exp. wall ' 32
Net e:p. will ' 20 6 ? a.. o'J
Int. waU
Ceiling
Floor
Total Btu.
Required sq. Et. E.D.R. or sq. int. WA. Ls+der era ? 5(. 4-1-
I F7 1 p&Yyff?_ Room I L.ength tc7 ° Width 8° Haeht b
Wi ntlows aa a 1.000rs- -4.racea1 111e ana nr u
Ne. wiatn
o[ Wn. x•iset
et Wne No. et
Ilghl. Llnnl t[.
ot emc4 Aru
p. t4
1 tV Is-7 17.8
?
e
8
tu
Infiltration 3 S yo " d- 0
Glasi ?. .? CJ 1 r g
Eap. wall ln ?I I? 1
Net czp. wall - L
Int. wall
Ceiling
Flwr
TotalBtu.
quired sq. ft. ED.R. o: sq. ina. W.A. I.eader atu
^l.1 i qT11 Roomtl.enseh f0` Widch _
W:...l...... ..d !]evi..-Craekaae snd Arca
ot eracY w. ea.
7 !
F
E ?
CoeF. Btu
In6ltration
Cilsu
Exp. wall
Net ezp. wall ot.
Int. wall
Ceiling K 3P'
Floor
I Total Stu. '.
Required sq. ft. E.D.R. or sq. ins. W.A. Luder +rta ,,,r? ,3 q
C
?
=-..st "2- os 2 ?
r!`AT LQSS CALCULATIONS
Wcathastripi . A'S. . . .
Guide
W indowa Doon Referenee Out. I
1'es-No I. Yes- 7?o ( 19_ 4
? Fl.i ?"7?'.? Room l,-neth c, W
Windo.n and Doon-CraekaRe end Aru
\e. \PIOt?
of D. m HNI?t
at pam No.o[
I?t?ta LIn??110.
af eea<k An?
W. f[.
2
?I
I
12. 6
9' S
?z ?
?24
Coef. Bcu
Infiltution ?(? 1 6 2
G{ass ? „a sz) 'S o
Ezp. wall l 4 b'
Nec e:p. wall l? 9 (
lnt. wall
Ceiling lj3 S l(s _5`
Floor
Total Bw. .?-
Required aq,:ft. E.D.R. or sq. ina. W.A. Leader area
$ FllL1y„??'., RoomlL.eogth 2(3 Widt6=d a Height e;"
Windows and Doors-Craekaae and Area 40 -
No. Wlaln
of p?n? H?1(nt
of n?n? No. o[
p??b Lfn"l f4
of enek An?
W. tt.
3b ? ?? 5 S.O ?? 2u
w ? D la ( C?• 8 (o "`C'i
Coef. Bsu
Infiltration Z.L V 4`us
Claat 757.2
E=p. wall i0 5-t.
n<< <:P. wall q 8? (c 5 g 86
Int. wall
Cci{ing .
Floor ?`: I o'?O ,$ e1 O O
Btu. i
red sq.eft. E.D.R. or sq. ins. W.A. Leader area
Room { Length Width
ndows and Doon-CrackaAC and Area
Ne. wfetn
of pan• x.ISnt
Of pa?a No. er
?t?l• L1n.a1 ti.
of cr.ck wr?.
?p. tt.
Cocf. Btu
In6ltration
Glan
Exp. wall
Net exp. wall""
1nt. wall -
Ceiling °- .
Floor
Total Btu.
Required fq. ft. E.D.R. at sq. ins. W.A. Leader area
xam:
Iddreae:
DEPARTMEKT OF I\SPECTION
wENZEL MECHANICA'_
3600 Kennebec Dr-tve
=agan, MN 5512-=
Iaguiation ?
W mdom a aC Uoorr -a.r:cea ge ana nrc .
Ne. WIOtp.
et wn• 8?1?0.t
et yan? No. o[
utni. Llnr.l [L
et enek Aru
w. a
Coef. Btu
Infi{eratian '
Glau
Ecp, wall
Net e:p. wall ?
Tnt. wall
Ceiling
Floor
Comtruction No.
Snt. Wa11 Ceiiing Roa1 Floor
12 Height S' II F1.1
Total Btu.
Rcauired w. h. E.D.R. or sq. ina. W.A. Isades are?
W:r?a.
Arca
No. wmen
of ywn• H?I?n[
oi mn. No. at
UshL inn.0 [t.
of erteY Aro
w- tL
tn
]nfiltratian
Giass
E=p. wall
IVet esp. wall
Int. wall
Ceiling
Floor
No. ww?n
o! D??.? H???R?
ot O?n? No. ec
Ili?t• Llnul f?.
a[ cnc4 A???
?9. ft.
Coef. Bau
In6ltration
Glsu
Exp, wall
Alet ezp. wall _
int. . wall .
Ceiling '
Floor
sq. ft. E.D.R. ar aq. ins. W.A. Leader area
Room 1 Isngth Width
w. .nd DoorF-Crackaee and Ana
Total Btu.
Required sq. fc E.D.R. or eq. ins. W.A. L.eader a,ea
?I --
? -
2/84
CITY Or EAGAN
APPLICATION FOR PE:tLMIT , ... - ? ,
SEWER AND/OR WATER CONNECTIODT
(PLEASE PPIHi) .
_
1) PP.O= ADDRESS: Co
r.Frai. DEscRIPTTcv: Lb _l 7 L-e -l,r,-, 64
(Lot/Block/Su:divisicsi or Tax Parcei I.D. Ntr,-)er)
IF WQ_='_:G S?'ntiC.^.,TE, DaT' 0° CiZT_G^AL `u;I7.DL`:G =-_=1 ISSU?,NG:
-?_,
P.^`t'SLT Z:^.:7Tr,1?R0POS:M IIS: X ?-1 SL= FF.%{SLY -
? :2-2 CUr'.;:i (2'.;U UNiS)
0 ?-3 'IC7.•1??rv1c? ('1= + L`II''.'S) ? UNZ:S)
? a-4
p CCi-=.?CL?L/RE:?SI?CF:'IC::
? Mmcs=L
Q
Z) P??T,IG-1.iT (PLEASE PRliifJ _
Duv•:E: Frontier Midwest Homes Corporation
ADDR`SS= 3908 Sibley M°morial Hwy. Bldg. E
CII"', 5TtiTE, ZIP. Eaaan, MN. 55122
PHO`E: 454-0433
3) pum-m (PLE„$E PR1Hi) FOR CITY OSE OYIY
Star Plumbing
AGDRESS_
1018 Mound Springs Ter. PLl1H8ER5 LIC:4SE:
?-Kcc I tiv
' CITY, STaTE, ZIP: gloomington, MN. 55420 Exp'red
PHOVE: Haic%
$84-4149 PLUNBER LfCE;uSE N 3329 t af Record
?Utr lnt;t?a
4) OCC..'C'PPSlT/CSv„ER trLtast PKtNi)
NAME: dvr'?„ci,I?P?/
ADDRESs: IuU?_ r
cri^r, sTATC, zzP: ? ar,? (Y?n- ?-Idl
PI:CVE:
5) IIv'DZG.'I'E SrR-1ZCH PER•LIT IS BEIrG REQUESTID:
? CC.`NEC.TIOy TO CITY Si.Z-iER Please mail gold copy to
? C=MCi'IGN iO CZTY GIATER Wenzel Mechanical
3600 Kannebec Dr.
? OI,'-ER (PT-?=?'`E D=13E) Eaqan, MN. 55122
6) L':DiG,?. C::i:
. ? PI °`?.SE F?OLD r1PPROVID PII?'`1IT FOR PICK-(ic BY O:IE OF tl£CVE
^ ?_°1-F.-7+SE ^ni APP??OVID P?':•IIT TJ 1. 2 3, 4 P.ECiVE
\ \ . n (Cir _e one)
7) SIQ„,TLi,E:
A .
DAT:.':
n
Fq
.?
. ?l1?lir+ra?i?raFSSisi'a:aa?.elal?F.a?wytaa???ydnz=?-,
?
FOR C I T Y U S E ON;,Y ;..
PERMIT = ?SSUED
rcr
.5:
S:.'..LD 1JER1'IT'y^ ?I?1?T.....^.:. :.s:.=.CG). .
$ /G ?U WATE? PEi2flT_l (Ii:CiuDL JURCi:[iRGL)
WATER METER/COPPERHORN/OUTSID: REnD: R
$ WATEP, TAP (INCLCDE CORPORATIOV STOP)
$ S :Wc2 TA?
$ /S7 uv n_..C'i::;_ :_.=GS2= _ .=_ _R
ACCOJNT DFPC`SIT - FIAT=R
$ S ?- o ?•? , wac
, $ SAC
$ TRUVK WATER ASJLS.S.'t'`".IT
$ TRli21K SE:JER ySSESS:•i°ciT
- $ L'nTE°.1L BEivEFIT/TRUNK SE?':EH
$ LATc.RaL Bc.VEF2T/TRU.`:R ;•7ATz'p
$ ! `C' T
WA
ER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ S^c?- AMOL":T PAI'JjRSC :I?T n
4,'4 S '2 O/-7
_
DOcS UTZLITY CONNECTION REQUIP.E EXCaVATION IN ?UBLIC RIGHT OF WAY?
L, YES IF YES, TH EN n"PERP]IT FOR TAORK WITHIiN
PUBLIC ROA DWAY" MUST
BE ISSUED BY THE
Q NO ENGINEERIN .
G DIVZSION. LIST AS A CONDI-
_ TION.
SliE.TECT TO T HE FOLLOSJIDIG,CONDITZONS: - •
AP?ROVED-)BY:
j ?
?
? TI:TE: ,
/ D"mr
? a¢
AV O? ?!w ? ?s i? ?k?s ?'R e oR E? 4? lV ??C ii? N/? ?li? ?F4 P! ?i0 6si? Pkae ?4 ? f! wi4 PIA R?O R iA ea se ..
.
. ?? .._._., .. . . .. . :.. ... .... . .. „ ' . . . .
. . . . .. . .'i ??
_ . . ..`
EYING
F?VICE3
3908 Sibley Memorial Highway
? Eagan. Minnesota 55122
Phone: (612) 452-3077
Nouse
Certifieate For:
?rontler Midwest
• Corporoplon
r f?j
?LE- 1''-4 o
D?
?
4 OO
0.
i °- ,.` a 4 Jl
? C h
Y4? °?
? ' +
! -\..
Z 'g0
° O
tio ?
Pa ? ,
?A? rc?
, , o q
\_."h " •? a? A
,
4 ,1
P-5?
WAYNE D.
CORDES
- 14675 -
_LEGFMD'
0 Llenotes Iron Monumsnt
° Llenotes Wocd Nub Set
?lx ?]04°?Oenotes Existirg Spofi Elevation
01
c?JpVN Denotes Proposed Spot Elevation
_----- Denotes Drainage Direction
-PAOPEHTY DESCRIPTIpV-
LOT ? ? , BLLrK ?
LEXINb'(DIJ PI.I?G6 Liol.1'f r.t
according to the recorded plat thereof,
Counly, Minnesota
wwwom SIGlNid1
SLJRV
8E
PROPOSEO GARAGE FLDOR ELEVAllON= 6Io4" ?
PROPOSED Top oi Block ELfVATION= Q? .
PROPOSED BASEMENT FLOOR ELEVAT ION= o1-
NOTE: Verify all floor herghts with Final House Pfans.
' -qIAVEYURS CERTlFICAT1pV-
1 hereby certify ihat this survey, plan or re,oort
was prepared by me or urder my direcf supervisron
ard ihat I am a duly Registered Lard Surveyor
under the laws of the State af Alinresota.
6, CAt?-.- Date: ry& s
Wayre . Cordes, Monn. Reg. No. 14675
CITY OF EAGAN WATER SERVICE PERMIT
383 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner: _ —
Address:
Site Address:
Plumber: —
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
1 ogroo to comply with the City of Eagan Surcharge:
Ordinonau. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: - — :ow Insp.:
CITY OF 6AGAN SEWER SERVICE PERMIT
380 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning: i
Owner: No. of Units:
Address: _
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge:
Date of Insp.: Misc. Charges:
Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111522
Date Issued:06/27/2013
Permit Category:ePermit
Site Address: 3672 Falcon Way
Lot:10 Block: 7 Addition: Lexington Place South
PID:10-45060-07-100
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 -
Mike A Larson
3672 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:EA123596
Date Issued:06/11/2014
Permit Category:ePermit
Site Address: 3672 Falcon Way
Lot:10 Block: 7 Addition: Lexington Place South
PID:10-45060-07-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
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 -
Mike A Larson
3672 Falcon Way
Eagan MN 55123
(612) 208-3672
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144706
Date Issued:08/07/2017
Permit Category:ePermit
Site Address: 3672 Falcon Way
Lot:10 Block: 7 Addition: Lexington Place South
PID:10-45060-07-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mike A Larson
3672 Falcon Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
..
Use BLUE or BLACK Ink
For Office Use
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Pent#: /10 3/47
I 7 3.87(0 /7g 6 6
Permit Fee:
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4,41'
4.
Date Received:/62-
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,
3830 Pilot Knob Road I Eagan MN 55122 Staff:
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Phone:(6511675-5675 I Fax:(651)675-5694 ,... ..,
buildinainspectiorisOcitvofeacian.com LP_1 , .:,! !th7
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/22/17 3672 Falcon Way
Site Address: Unit
-,— ,
Name: Mike & Deeann Larson
Phone: 651-278-1099
•
Resident/
Owner Address/City/Zip: 3672 Falcon Way, Eagan, MN 55123
X
Applicant is: Owner Contractor
Type of Work Description of work:
Teardown and replace existing deck
.
i1 10 X i
.,_ Construction Cost: '234.76 Multi-Family Building:(Yes /No )
,
Company: Outdoor Spaces Design & Build Co.
Contact Jayme Quinnell
1 ;
I i 5378 193rd St W Farmington
Cit
Contractor Address: y:
MN 55024 651-235-1100
• State: Phone: Email: jaymegosdab.com
B0689582 NAT-F168253-1
: License ff: Lead Certificate it:
( If the project is exempt from lead certification,please explain why:
.!.
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:
i
Licensed Plumber: Phone:
.
.l.
,
1 Mechanical Contractor: Phone:
Sewer&Water Contractor:
--- Phone:
t
IFire Suppression Contractor:
---------_ -- --- _ Phone:
FNOTE:Plans and supporting documents that you submit aro considemd to be public information. Portions of the Information may be
i classified as non..ubge g pp.rtpwdsp reasons that would.-nnit the CI to conclude that the are trade secrets.
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-Olbioleadart.comisubsctitie-
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, wvAy,00DhertateonecalLorq ..
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 ii
st-. •'irrfiilki •-rmit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans -
xJayme Quinnella,...,
x ,
Applicant's Printed Name "Applicant's S . ature
Page 1 of 3
01.,y34, 7a) rtk-lc 6'1 1/ 6s14(
DO hOT WRITE BELOW THIS LINE
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
Alteration Fire Repair Windows Demolish Foundation
- _
_
4 Replace Repair Egress Window Water Damage
_____ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
—1----------
Valuation 00 Occupancy ps.„6.4' MCES System
Plan Review Code Edition .., r SAC Units
—
(25% 100% X) Zoning
Iii City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of ConstructionVp Width
REQUIRED INSPECTIONS
_____ Footings(New Building) Meter Size:
?c Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
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 Wails Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
—414—
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge til9)( (5--- 19 0
S&W Permit&Surcharge
Treatment Plant
Copies (Dpie_c .c)‹el/
TOTAL
Page 2 of 3
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SURVEYING Certificate For :
SERVICES Frontier Midwest
3908 Sibley Memorial Highway
' ` Eagan. Minnesota 55122 /� /� /�
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162637
Date Issued:07/22/2020
Permit Category:ePermit
Site Address: 3672 Falcon Way
Lot:10 Block: 7 Addition: Lexington Place South
PID:10-45060-07-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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, Mark Anderson at (952)
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 -
Mike A Larson
3672 Falcon Way
Eagan MN 55123
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature