3680 Falcon Way_ .._ "-?_ _ S . . . . . . .. . .. ..- .e4' .. .'.' . . .
3830 Pibt KnOb RO d! P.O. Bo 2G-Ai 9, Eagan, MN 55121 0.' r 11513
. PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor SF rpwG/G" Est value $ 75, 8 0 0 Date FSBRUARY 7 ,1 g 8 6
Site Address 3 680 FAJI.COA1 WAY Erect ?a Occupancy R3
Lot3_ Block 8 Sec/Sub. LEX IIJGTON PL S0lemodel ? Zoning Rl
Parcel No. Repair
Addi
i ? Type of Const ' V
i
? N
St
¢ Name
FRONTIER MIDWEST HOI?1ES on
t
N1ove o.
or
es
Cl Length 45
?
?A
=
; Addres 3905 SIBLEY MV40RIl?L EiWY
s Demolish
I
t I Depth
Ft
? S
city EAGAN phone A 54 - 0 4 3 3 n
mpr.
Install q.
O
a
0
U?
a
?
Name SAME
Address
Assessment Permit -
Water & Sew. Surcharge
Phone
Police
Fire _
W' Cjly n`'PAone Planner
Council
I hereby acknowledge that I have read this application and statethatthe gldg. Of
information is correct and agree to comply with alI applica
Ple State of,
Minnesota Statutes and City of Eagan Ord a' lices. ? APC-
! ?/:.. ,•• ?/???%C? Var. DaU
Signature of Permittee
FRONTIER MIDWEST HOMES
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minnesota Statuto
Plan Review 179. 00
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156. 00
Parks
Copie
,
T,,.,,, $2,159.00
on the express condition that
and City of Eagan Ordinances.
Building
I I PWmH No. I PKmit MoldW I DNe I Tdephone N I
Plby.
Final
Occ.
Ftg.
Disp.
" GlQ !o G,
PERMIT #
MECHANICAL PERMIT RECEIPT # a 6 Y
cirY oF eacaN 31;4/85
121 DATE
38
R
A
MN
30 :
PILOT KNOB
OAD, EAG
N,
55
CONTRACT PRICE: $ 2150. OG PHONE: 454-8100
Site Address 3660 Fa con H'a BLDG. TYPE WORK DESCRIPTION
Lot 3 Block $ SeclSu ^
Res. ? New ?
? Name Wenzel Mechanical Mult Add-on
Address 3600 Kenebec
? ")rive
Comm
air
Re
.
p
c Ci1y EaQnn Phone 45 2-1565
Other
Name Frontier Com anie:: FEES
c Address 3908 Sible Mermorial Hx . RES. HVAC 0-100 M BTU -$24.00
p City Eagan Phone 454-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
80
000
4.00 GAS OUTLETS - 1.50 EA.
,
Forced Air M BTU COMM/IND FEE - 1%OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air ?ond "`""" °°"`'"•"."'.'"" ""bIS?? ° - • STATE SURCHARGE PER PERMIT - .50
'°
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlgts #
Other
FEE
24.00
S/C: • 5O 51GNATURE OF PERMITTEE
TOTAL• $24•50
FOR: CITY OF EAGAN
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee "
fiH in numbered spaces S1C •
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Qwner •. , , - - - -- ,
5. Contractor Phone + '
6. Address •
7. City State 2ip
8. Building Type; Residential C? Commercial ? Institutional ?
9. Work Description: New EJ Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel 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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 3 aik 8 Parcel 10 45060 030 OR
oWner street 3680 Falcon Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 101 1 1 986 1631.00 3 2 6. 20
72 .39 145.87 5
WATERMAIN GS
WATER LATERAL 1 1 1986 8 7 3. 43 174 • 8 5
WATER AREA 4 , ] 48.74
6 111.98 22.39
STORMSEWTRK 101"L 1986 426.54 ' 85.30 5
STORMSEWLAT lOlb 1986 803.34 160.66 5 ?
CURB & GUTTER
SIDEWALK i
STREET LIGHT
$290.00 59740 8
WATER CONN. 500.00 °
BUILDING PER. 11513
sac 575.00
PARK
CITY OF EAGAN PERMIT TYPE: '" I l' I "{i
3830 Pilot Knob Road
Permit Number:
agan, innesota 55122-1897 Date Issued:
(612) 681-4675
? ?c+ 1 +
SITE ADDRESS: APPLICANT:
. , ? t rti f , , , I ,
PERMIT SUBTYPE: TYPE OF WORK: ,r F F' A i F
. , ;, ; ; ,it?-r?????r
? ,:zn. 5 : A sf1'ARA1F Ffftpl7T l'
ME31N0 Ok f'LFrIFrICAI WORF
F-
?
L
Permit Holder Date Telephone N
PLUMBING
HVAC
inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING S??/G?
'7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ,
FIREPLACE
AIR TEST
i
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
This request void
18 months Irorp 3-ab-? L O .
0 095297 4.3;881 c4-21.14 .
Ne.nues ate
?? 0 ??
F ire No. Roo-in Inspection Requ a hretl?
}.WLLNotify. Inspec-
?ReaAy Now ?
ro
Wh
R
es ?NO r
en
eady
icensed Elecvical Contracmr . I heraby reouas[ insoection of ebova
? Owner ? electrical work inshelled et:
SVeet?. dress, Box or Route o. ? Cil
ecLOn o. Township Ntuoe or No. FanBe No. County
ID Y?
Occu1 (PRINT)
J? -?i E Q Phone No.
Power SupDlier A
aoo? Atltlress
Elecvical
KENDMM MCT'" C nv mr's License No.
d2
Mailimm?A a. e Instailationl l? ? LEy IvIN 55124
Aut 9?ature IContracior Owner Makine Insiallationl Phone Number
MINNESOTp STATE BOAHD OF ELEGTRICITV THIS INSPECTION HEQUEST WILL NOT
Griggs•Midway BIdB. ? poom Nd91 BE ACCEPTED BV THE STATE BOARD
1821 UniversitV Ave.. St. Paul, MN 55104 UNLESS PXOPEH INSPECTION FEE IS
Phone (8121 297-2111 ENClO5E0.
3-,V_g/ REQUEST FOR ELECTRICAL INSPECTION ee-oocwi-oa
-?? See instructions for completing this iwm on Eack of yellow copy. /,/qO r/
""X" Below Work Covered by rhis Request ?? ?? d
D 0 9520
N kAtl Reo. Type ol Builtling APOlinnces Wired EqufDmenl Wired
? - Home Range Temuorarv Service
p Fee ServiceEntmncaSize N Fee Feadars/Subteeders k Fee Circuits
0 to 200 qm s 0 to 30 qm s .O8 0 to 30 Am s
Above 200 qmps?, 37 to 100 qmps 31 to 100 Am
Swinttnin Pool Above 100_Am s Above 100-Am s
Transtormers Irrigation Booms ? P2rtial'Other Fee
' Signs Special Inspection
s? TOTAL FEE
Bertwrks
7
Ho-in ?ate ?, ?he Elecvical
P ?J ? ?osoectoq hereby
wrtily thet4ne above
Final ? ? ,(?? ?H?e, r, _inspection has Ceen
CITY OF EAGAN N2 11513
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING P ERMIT Receipt# 5?7 /
7obeuaedtor SF DWG/GAR Est.Value $75,000 Date FEBRUARY 7 ?y 86
SiteAddress 3680 FALCON WAY Erect C? Occupancy R3
Lot 3 Block 8 Sec/Sub. LEXINGTON PL SORemodel ? Zoning Rl
Parcel No Repair ? Type of Const. v
. Addition ? No. Stories
? FRONTIER MIDWEST HOMES Move ? Length 45
Name A
i
# Addres 3908 SIBLEY Demolish ?
MEMORIAL HWY Depth 2
° s
IntlmPr?
city EAGAN phone 454-0433 Install ? Sq.Ft
ZF Name_
$ a Address
SAME
Phone
?w Name RICHARD CHARLIER
I
?z Address 14103 GARDENVIEW CT
aW pjry A_Vpnone 432-5492
Assessment
Water & Sew.
Police
Fire _
Planner
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council
gldg. off. 2/6/86
information is correct and agree to comply with all appli ble State f
Minnesota Statutes and Ciry o.FagartQZgbaaces. APC
Signature of Permittee Var. C
A Building Permit is issued to: FRONTIER MIDWEST HOMES
all work shall be done in accordance with all appllcay4e State of Mi esot Statub
Permit
Surcharge 37.50
Plan Review 179 . 00
SAC 575.00
Water Conn. 500.00
Water Meter 63. 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2 .159.00
on the express condition that
and City of Eagan Ordinances.
Building Official
.
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACSORS MUST BE LICENSED tiIITH THE CITY OF EAGAN
? IZi Tr'A.N `(
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
SINGLE FAMILY DNELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
'I 5, oco
To Be Used For: Single Family Valuation: -64y4ae- Date: 2-4-86
Site Address 3680 Falcon Way
Lot 3 Block 8
Parcel/Sub LexinQton Place South
Owner Rich & Pattv Parker
Address 10717 Sheridan Ave. 5
City/Zip Code MQls., MN
Phone 888-2189
Contractor Frontier Midwest Mmes
Address 3908 Sihley Memorial Hwv.
City/Zip Code Ea,gan, MN 55122
Phone 454-0433
Arch./Engr. Richard Char,lier
Address 14103 Gardenview Ct.
City/Zip Code Apple Valley, MN 55124
Phone 41 432-5492
Erect k
Remodel 1
Repair ?
Addition
Move ?
Demolish '-
Int.Impr. ^
Install ?
Oecupancy
Zoning
Type of Const
II of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ^ Surcharge
Police ? Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
5
?
r
3
i
?
bfisQr?/ raye t or 4
/ EXTERIOR ENVELOPE AVERAGF "u" COMPUTA7i0N
OwNER; nn1r:
SITE ADDRESS: PIIONE:
CONTRACTOR: M Ib\wSr Ooll(ias
Determine working squarc fontage of each
1. Total exposed wall area..... _ sq. ft. x .11 = 7\\
2. Total roof/ceiling area..... C? sy, ft. x.026 = ?-I ,c)?
Total exposed wall area above tloor=lCoCA__
a. Total wall window area ...........................................
b. Total door area ....................... . . . ........................
c. Total slidinq glass door area .......................... :.........
d. Total flreplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ 1 ,
f. Total rim joist area ... ....................................... - n
g. net watl area above floor .....................................
h. wall area above fioor .....................................
i. wall area a6ove floor .....................................
j. frame wall area at foundation ...................................
Total exposed foundation area= 5?-
k. Total foundation window area .......................
l. Total net foundation area above grade .............. ..A,-2L,py ,
Determine "u" value of each wall seqment
(e.g, window, door, eaoh separate wall section)
a. x --u-, ,3Z = <lS.SZ
x .. U.,
c. g --u-- ,33 = 13;?J
d. X "U" _
e. X 'lull
f. 20? x l,u,l ,
y, x l,u„
O`1
1
= °1o,gS
h. X IV, _
i. X "U" _
J X l.Ull _
k_ X „U„
x „u„
, _ •_ ,,..,.,,
If item N3 is the same;
as, or less than-,ltep
#1, you have mg,
i ntent of 58C .60Q?,?Cr?:
• Is.•tr_rior Envelope Average "0" Computation
Total exposed roof/ceiling area = ??
m. 4bta1 skylight area ............................
n. Total roof/ceiling framinq area (averayc 10%)... ? 1• '
o. Total net insulated roof/ceiling area........... 51Sc5VC1
. Determine "U" value for each roo£/ceiling segment
M. X "U" _
Page 2 of 4
n. ZS.4 X „Ull
o. X ,.u„
13.-33 - ..
4 ........................... . Total
If total of #4 is the same as, or less than #2, you have met the intent of
SbC 6006 (c) 1.
Alternate Building Envelope Design
,-.r
To utilize the total enYelope system method, the values established by the s•.un of
items #3 and 04 shall not be greater than the sum of itiems #1 and #2.
1. + 2. -
3. + 4.
.: 'S
PLAW #1?
0 LrMF.4L FT. FXposEp WALL
$LOGk. ; Ic? .
,
E ''
;:ULLI ? l04
FvLL Z ; -,c)-i
1Z 1 M : ?' -??
N S a-,
3Loc?C ; Ia=?-
kN EE
W.O. ?
PuLLI
Fu LL?? Z % 1?
F, Q,
i.
.,,.
•;,
rZIM ??
,.
skP)aSED
K S -
)C. 5 =
x s =
X S =
k S -
? . _
r
WA L.C..
sa
x I - a-o?
_
i;: Tot? L= I? a?
¦SQ,?f.
i;
? w DxIs
Ii
F-KPoSE:.D GE! L(Up (?frC
U I?la_,?5
?
,4zEA
;..? _:
-:; .
; .
D ooQ.s
?ATf O
L?1 3?
Dius ,
,SM'•+ U u r+5
j j•n
ti k.F`.... i
,
C?l? q ol
- x :WnLL SLCTION9
?"?TE? ?? 15t`;,of apaque wall area for ••• •
.frama:"COnstruction Construction R-Va uo ,
. .Y. .Yv. . .
i fi '
2. ?. 4P
3, , i.nches sof t wood ?F• S b. -
4. 3L SHLATk11NG 2.0
,} „' 5. 51DIN 4 GZ
iz
!9ASIC? 6. ExterIor air film • : 0.17
Total
;
' . . ..U•.12 - .
'FIG. dl TOFVIESi OP .
FRAHE WAI.L 1• - ,
' 2.
? • . . . . 4.
: •rn 5. .
. , 6.
Total
PIG. #2 _ '.?• - „
n ? , •. .
1. Interior air film 0.68
>•-??. ? ' z. ?ysu? ii.oo
3. ?x ?T- ?Z
q, SJjt SNEA'IHINL?
-K ??e 3 5. S 1 D 1 iJ 4 • Z. -
heral ,,? • ---QQ • 6. Exterior air film 0.17
? , ?•. ? . .?---? zotal
1e?1?^ r • . ..,_,_ ? . ..•. '.•. U?z
,%• ?' P .
i
.?? ' A• N
?. ? ' • 1. 2 terior ai film 0.68
D?.??zorr ?= • a a.. 3 z. ?
C1SL ? tl' ?'0' • 4. O G LOG n . ryC 5.
i? •n' il 0.17
,n . ,. . ,. fi. Exterior air fm
? , . ? . Total • '1.?'??
SLAH ON 'GRAOE • ' ?:;zr?4l;a
. ' s . ' '? . . • ,.r ` .
.
: • ?["-?i? = rt X . „ , ' . •,? ` "; ? ,
. . . :? .
?-. • . v , . I(/?- . . :::
/ ?? , ., ',? ; I lJ ? ??? ??( ? 6. • 1 =G=;?;e'
.• ?(/ !!l : ??1,,€?.,?..
4,
#4 1!( S ' •, o ' // / '_" ? ? ° a ?''.??
!3 - ? X ? (?? i; ? '?? ::
. ? d ' r N
? • " .? , NOTE:' .indicate tyQe, value, depth and.,? _
•? ° " ? ?;? ? placenent of insulation.
- ". ? .
. , ,xoo,r•%ceiLxuc
. ' r?-
? . -?
? ?
?illl
?
ffln
• ?1 . . '
:nted Heat flow '
. ' , • up .
r=c. es' :
?kee[ flov up •
i HNI,
- ??
.?-l 'i-1 ' •
? ? =•veated
, ?? • '. .
. ' .,nc. 16.'. : .' • '.. . ?.
-.. .. .. ?. ? . _ : ,.. . -
..
• ' • .
• ? . • _
Constrtin , R-Vsluc ?
1, Intcrior air film , . 0.61.
2. 93 C-,?f F3P • s$ .
3. 1 L UL. ' 44.OD
4. 8xtari.or air filn (still 0.
_ Totad 2 45-
8o .
• • - • U=- .oZ .
. . . • • • ;? .; .
Fti4?^'t ? ' • . . -
1,., 2ntnrior air film 0.61
Z -j-
3- 38.3
-
4. rxtcrio: .ir tiln
°- (sr.i . `
• ; - 'YotaL
. OZ.4a'" ;
[oA.yrR'?cri oy? '
1. InnidQ air film 0.61
2.
'
3. .
4. '
S. Outside aix film
0.17
. . . Total '
?'?!'?'l•y E . . ' . •' ,
1. Snsidc air Pilrn 0:61
2. ' ' .
3. ' . -
4•
$. Outside aiz filin 0.17
.
. Total
l. Insid'e air fil+n .
. • 0.61
. 2. .
3. -
4'
5, Outsidc nir filin 0. 17
? TOta1
. ? .:. . . ? •.
•
•
. . • •
?
.
•
ato= Uso additional sheets if more spaeo i:
ft
leuiat3ons..
^
. aeeded for de Wils and cn
. . • • ? ?;?"
•
. . ?,. ?,
?.
.
. . . . . ' .. ?
v
• , '..<' . • ,
• HQ:I-VII.'T?0 • ? • .
?, ' • • .
. 8eat
? ilov up • ?
Pir,_ !7 `? . •• , ?...
?\}IL??\?V??.\/?\??•? ?•.?1/?i41?_??.rA ?IJ9tt4tf+1
SYGMA
SURVEYING
SEFIVICES
3908 Sibley Memorial Highway
? Eagan, Minnesota 55122
Phone: (612) 452-3077
?
-NI-
N ?
5GA ? E: 1?? = A-o
? 22,???
N ?•\?????.q
10X
a? . .. {.
?
i ..7?
1... ? ? ? +
-LEGEND -
0 LLnotes Iron Monument
° Denotes Wocd Hub Set
SE LERTIFICATE
MOMEBUROF.AS
L 1AN0 DEVfIVPEHi
s HEALTURS
COIdIPANIES
R;
MODEL ; P>Rif'(AN`(
(.,?; 0.;edl?
/
WAYNE D.
CORDES
- i4675 -
. ^0541knotes Existing Spot Elevaticn
fx4 ?460N) Qenofies ProposEd Spot Elevation
" Lenofes Orainage Dirxticn
-P{O1°ER1Y LESCHIPfION-
LDT ? , &CYK _2)_.
L6XIhICsI"(0N DLAGE ?-,0U1H
accordirg to ihe reccrdEd plat thereof,
County, Minresota
y-14
PROPOSED GARA6E FLOOR ELEVATION= goy.a
PROPOSED Top of 8lock fLEVATION= o 1
PROPOSED BASEYfNT FLOOR ELfVATION=89"1."I..
NOTE: Verify all floor heights with Final Hase Plans.
.?i/AVEYQRS CEHf I FICAT 1 aN-
! hereby certify that thrs survey, plan or report
was prepared by me or urder my direct supervision
ard that / am a duly Registered l.ard Surveyor
wiCer the laws of the Sfiate of Minnesota,
w??. 6 • (?r4L' Date: lZ8 (8/0
Wayre D. Cordes, Minn. Reg. No. I4575
.,
?. ? (,? ? -r L
? '
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, ivlinnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45069-030-08
PERMITTYPE: BuxLornG
PermitNumber: ?33430
Date Issued: 0 9 J 2 3/ 9 8
3680 FALCQN WAY
LOT: 3 BI.UCK: S
LEXINGTON PLACE 50UTH
DESCRIPTION: RER o o F
B u,in l i1'i`n=g ,: P e r m i t T y p e
B,uild'zng 'Wark Type
Census Code'=--.
? `*
r'
l-
j 3
?` .... .... _ . .
/ .
vi _? ¢ 1!= . . '
t A,
"i
STORM OFIMAGE
REPAIR
434 HLT. RESIDENTTAI
?
REM4RM}ARATE PERMIT IS REqUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
p?Tp ??±np pplicanc - W?J
A?"AM£FtT'CTfi'"'S' 6EST INC. 17070100 20139703 PF
rn (6U-ER? LTNG-FES
2400 IN7ERLACHEN DR 222 36$0 FALCON WAY
SPRING PARK MN 55384 EACAN MN 55123
(612) 707-0100 (651)406-8192
T Hereby aCk»owleztge thatI haveresdthrs application an¢ state that,the .information is aorrect antl agree to complq with all applicable State 6f Mn.
Statutes and City of Eagan,tlrdinances.
L _ J
APPLICANTIPERMITEE SIGNATURE IS ED BV: SIGNATURE ?-
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN v
3830 PII.OT KNOB RD - 55122 c1 Q
681-4675
New Canstrudion Reqoirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 wpies of tree preservatian plan 'rf lot platted after 7!1193
required: _ Yes _ No
DATE:
DESGRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D.
Name: z_?4" l•t?L? ??C.:?? Phone #: `1oL0
PROPERTY azt First
OWNER
Street Address:
City State: Zip:
n,?,,',?
Company:?-I'YJ/Y-I YvWY ? L? l C-,,4" Phone #: -O CSD
CONTRACTOR 1 I ? ? ?q
Street Address: 2q 1C?f Vt'Y? License #?
City ? t .? r?n/ Iti. State: Zip:
ARCHITECT/
ENGINEER Company: Phone k:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction onty):
and lot change is requested onCe permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ Na
RemodeVReoair Reauirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calwlations for heated additions
CONSTRUCTION COST;
l
- Not Required
Penalty applies when address chanc
and agree to comply with all applicat
L ,?
!?? ?5S
2004 RESIDENTTAL BUII,DING PERNIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construqion Reauiremenls RemodeUFteoair Reaui2menls Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. W house; and all rookd areas 2 copies of plan CeR of Survey Recd Y N
(20°,G maximum lot coveiage allowed) 1 set af Energy CalculaGons for heated addidons Tree Pres Plan Recd _Y _ N.
2 copies o( plan showing beam & window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres Required _Y _ N
isetotEneyyCalculations AddBion - iiMicate'rfonsitesepGcsystem OnsiteSepticSystem _Y _N
3 copies of Tree Preservatbn Plan if lot plalled after 711193
Rim Joist Detall Op6ons selection shcet (bldgs with 3 w less unifs
Date Cl / al / t Construction Cost d0 , p 7
SiteAddress 3(0%0 CG?cav? Unit/Ste #
Description of Work 'F-!?tre.55
Multi-Family Bldg _ Y?A N Fireplace(s) _ 0 _ 1 ? 2
Property Owner l r \G?'? '?-??-1` P: ?.,J Cw V) 2.i Telephone #(?.y' o) (p 6l?94`()
Contractor
Addres
s Cit
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S[att--y-?} _ Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Waksheet • New Energy Code Worksheet
(dsubmissiontype) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian2 _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # ( J
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Alw? l.t)T'iVF1Qi,/'
Applicant's Printed Name Apphcant Signature
PERMIT # H Va 3 /
RECEIPT DATE: I
ii£.SIDERTLA.L PLUM$IRfi PEiMiT lkPP11CATIOR
crrY oFEAsm
sgso Paor tuvo$ [tn
EA&AN, h1N 55t88
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
ZHOU, LING-FEI
SITE ADDRESS: ssao FaLcoN wnv
EAGAN, MN 55123
OWNER NAME: : _ (651)406-8192 TFLEPHONE #:
(AREA CODE)
INSTALLER NAME: NORBLOM PLUMBINO CO, TELEPHONE
(AREA CODE)
STREET ADDRESS:
cITr: MINNEAPOLIS. MN SSOOB STATE: ZIP:
'&"b _I. .. ..1 a.. IL.. .. ...:F . ...L I..nc
r?a?.e a eueen wa?n
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ _
. lawn irrigation system r ' !? 2 i
?
• water turnaround ,
,., .
?
\
W? YW,e?
t AUG 2 4
Nature of work:
S.e.o
1 a.Le
1
Septic System, new/refurbished -
- -$-- -225:00
• includes County & Consulting Inspector fees
. requires MPC license
State Surcharge $ .50
Total $ SQ.SO
Reminder: Be sure to schedule inspections af alterations, i.e. water neacers, waier sorieners, ew.
I hereby acknowledge thal I have read this application, state thatthe in(ormaGon is correct, and agree [o complywifh all applipble City of Eagan ordinances. It
is the applirant's responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Cily during its normal
opereUonal and maintenance activities to the facili6es constructed under this permit within Ciry property/right-of-wayleasement.
SIG RE OF PERMITTEE
Updated 1lOt
2/84
0 '. .
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CI:Y Oc EAGAN
APP.T,IC:.TZO:I FOR PER:?lIT
SEWER 4ND/OR WATER COi1:lECTIODi
(PIEASE PRIHT)
PRODr= ADDPES5= 3680 Falcon Way
T,pr_,i, pE,.CRSoTTCN; 3 / 8 Lexington Place
(LocBlcc.?c/5,:: divisicn cr Ta:c : arcel ?.D. ?;L:. ?r?
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I'A'!E= Frontier Midwest Homes Corporation
FCD?WGS: 3908 Sib1eV Memorial Hcuy. Bldg. E
C1=_, 5':.T?.', ZIP: Eaqan, MN. 55122 -
P`C"Z= 454-0433
3) PLL':-T-E:? *?
I`-=•--• (PLE;.SE rRIYi)
Star Plumbinq FOA CITY USE O4lY
, PDCRESS: 1018 Mound Sprinas Ter. PLur.BEAS LICEUSE:
Lf Attiv
CIZ^t, STaT, ZIPc
gloominqton, MN. 55420 e
E:Pired
PF.O?+E: 884-4149 PLfI:fBER LFC:95E # 3329 0 Not of Record
' arr :nttio
Rich & PaVtyAi?arVer?
ADDRESS: 1f)717 ShcriAan AvP_4
CIT'!, STATE, ZZp; MPls, MN
PHMIE: RRR-? 1 R9
5) IIJDZC",i'E ;dHICH PEPS-lIT IS BEIi:G RF7XESTLID:
? CG:INF.CPIO.r To CITY Sr^.r;M Please mail gold copy to
?q C'CN;dECiIGJI ip CITY SdATE.Tt Wenzel Mechanical
3600 Kennebec Dr.
? =2 (FLZ-SE DESCRSEE) Eaqan, MN. 55122
6) E :DIG, ? C:W: .
• ? PL--`iSE f?OL7 HPP.^-,= Pav?+ST FOR PI,?Ci?-G?x BY C:IE OF AE('VE
? or.Y.+Sc :*?2r APP./E) PE=:.IT TJ 11 ?2J 3, 4 i+&CtiE
(Cic?e one)
7) SZGZ!,i'L,ti.: pATE:
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FOR C I T Y U S E ON;.Y
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WAT°R. PE:L^lT_i' (INCivDE SuRC`.:A2Gi)
Wr,TER METER/COPPERHOP,:1/CUTS7^- R-: DE?
WATE.°. TAP (ZNC:.uDE C0R?ORATIQ?7 STO?)
SEi•]c3 T=,?
ACCGUD:T DEPOSI, - S•iAT-R
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T.°,liVK WATER ASJGSS.'IE.:T
TRli:1K SE:Ni: R ASSES:::E-ciT
LnTZ?,nL BEivEFIT/T_'.U`ir SE:• ?'
LATER?L BEVEFZT/TRU.`1K ;QAmE??
WATER TREATPfENT PLANT SURCEIARGE
OTHER:
TOTzL
AMOU::T PAI'J j RECEI?^ R - J%,7V?0
D0:5 UTILITY CON:IEL?ION REQUIRE E:{CAVATICN I:1 PUBLZC RIGi-IT OF riAY?-
L, YES IF YES. THE?I 'n "PERPIIT FOR WORK WITHii1
PLIBLIC ROADWAY" MUST BE ISSliE? BY THE
NO ENGZNEERIMG DIVISION. LZST AS A CONDI-
TION.
Slin-JECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
Ti:LE:
DA : °_ :
cm a.ia m?sa se MWr rr.m mlw?:m er,a A o m+ya a?+f? sa.+? ot?s ea ?wia a.iv ?o a?t ? s? si? wa ?c4 at maA a?
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of 14 1. Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilo,; Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan,'MN 55121 DATE:
Zoning' No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
I
I For Office Use
City of Ea t(inPermit#: j( I ~G
I Permit Fee:
3830 Pilot Knob Road Z I
Eagan MN 55122 I Date Received: Q / I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: 0 t
Tenant: /Suite
Name: Phone: J-4.
RESIDENT / OWNER
Address / City / Zip: 3 V6 Fc,~ (v✓~
Name: e License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: CC-Cli r <LGA v>^ u r^ k'S 4~t
DESCRIPTION
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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
permit; that the work will be in accordance with the approved plan in the case of work which req ires a review and approv plans.
x mo, r \ 1L. x
Applicant's Printed Name A ica t T nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
Use BLUE or BLACK Ink
r-----------------+
� For Office Use �
� � Permit#: ���� " j
City of ����� � � �� ;
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � ,
Phone: (657)675-5675 I I
Fax: (651)675-5694 i Staff: i
2 14 RESIDENTIAL BUILDING PERMIT APPLICATION �,
Date: �� / Site Address: �(a�� /f�-���r�' ��� Unit#: j
� . :.
�
� r � �`�` Z� /"-7��� �
' Name: ��AZ�� �' ���/ �(,�f�t2/LE'� Phone:
R+�3[dE:t1t/
Q�yt��r ' Address/City/Zip: �Ln�� ��LC�/� G✓�
' Applicant is: Owner �Contractor I
` ' Description of work: ��i7v�-`��/ �-�����
Ty��?����rf`W�lrk
' Construction Cost:� �d0 Multi-Family Building: (Yes /No�
d�. :. ��
:
�; , �� ��� Company:�/r�%cT. ��5�� •��- Contact:���J ��SO�
C�31��C�C'��C Address: �ZI�I �TrTu��f /'T�C � City: �%�14-
State�Zip: ,� Phone: ������Z��mail:,��LSo'����`}��d^� ,C r✓L
i License#: ���p�d�Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
N07'E;Plart�anaF suppvr�ir��atr�cumen�s#fia�y�t�scrbrr�i��re�r�rt�idered�a b�pubf�c r'n#`prm�f�n. Fartic�r��s�if
#h�infqrmat�cir�m�Y b�c���,�1�ed a��i�rr-puibli�'if yo�r,�rv�iaf��p�ecifi�-r�asc�e�s tha�wc�ufd permit the City ta
: W.or����"��`t�i��f�te .�re tr�d �s�cre#s ::
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.aoqherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui ding Code must be completed within 180
days of permit issuance.
x �i� �GN x
ApplicanYs Printed Name Applicant's i nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170977
Date Issued:07/26/2021
Permit Category:ePermit
Site Address: 3680 Falcon Way
Lot:3 Block: 8 Addition: Lexington Place South
PID:10-45060-08-030
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, 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 -
Almaz Wendemagene
3680 Falcon Way
Eagan MN 55123
Apollo Heating & Air
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature