3684 Falcon WayG17Y OF EAGAN Remarks
Addition Lexington Place South Lot 4 sik 8 Parcel 10 45060 040 OR
Owner sireet 3684 Falcon Way state Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. C2 0 3
STREET RESTOR.
GRADING
SAN SEW TRUNK /
? -
SEWER LATERAL 1011 1986 16 3 1. 00 3 Z 6. 2 0
e vices 10 1S 1986 729.39 145.87 5
WATERMAIN s
WATER LATERAL 10 1986 8 7 3.43 ' 174.68 S
WATER AREA 10 114- 1986 2 4 3. 7 '4$. 74
W T T N 1011 1986 11.98 22.39 5 ? iei?
STORMSEWTRK 1011 1986 426.54 .85.30 5 '
STORMSEWLAT 101(l 1986 803.34 160.66 5 ?
CURB & GUTTER i
SIDEWALK
I
STREET LIGHT
WATER CONN, 500.00
„
n
BUILDING PER. 1128
s,ac 525.00
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
6UILDING PERMIT Receipt
Site Address V,r1Y
y ,.
Lot Block Sec/Sub. ?-1•=`'?'
Parcel No.
W Name '' IZ(?NTIZ:: I?i:rLDWLST HOtiIES
? Address SIB IiE1•_ HWY E
Crty EAGAV Phone 954-0433
it Neme `?'AME
?l Addreea
r r.itv Phnna
GW Name RICHARD CF:Al2LZER
?z
14103 C,A;2DEOVIEW CT
Address
?W City • • Phone 4 Z-5492
?y lt l,r? • ,
Erect LJ , Occupancy
Remodel ? Zoning .?
Repair ? Type of Const. ?
AddRion ? No. Stories
Move ? Length
Demolish ? Depth j
Int Impr. ? Sq, Ft.
Install ?
Apprevals F0*s
/lssessmenf -
Water & Sew.
Police
Fire
Enp.
Plonner
Cowxil
I hereby acknowlsdge thot I have rood this opplicntion and srore that ?' eldg. Off. T971-671
the informotion is correct and ogree to compjy with oll opplicoble
Stote of Minrxsoto Stotutes and City of?E4p61?-0rdinonces. APC
V Dat
Permit ''" ,••.•, • ••••
Surcherge 32.00
Plan Review162.50
SAC ?5 u 0
Water Conn. ?(? ?
Water Meter ??Q 0
Roed Unit ?37-.-Q O
Tr. PL
Perks
Sipnature of Pertnittes . ? • .t?,? ri?.fi I CuPies , . 0
FRONTIV7 MID'rIE;i'!' :iOMES Total
A Building Permit Is iswed fo: on the e rest Condition tho+
oll work sholl be done in otoordorKe with oll
8uildinp Offlcial
State of Mimesoto
_ xp
Ciry of Eopon Ordinontes,
Psrmk No. Pwmk HoMK Dab Telepharw
Plumbin4 ?
H.VA.C.
ENCViC r? ? ? .( / ? ? ,F ? •: ,? ? ` r .
Soitamr
InWection Date Insp. Other
Footin9s I I 0 it,
? J
Footings 11
Foundation `1 w Z'
Framing ? ?X
Rooflny uJ.'o
Rough Plbp. • y-? r
Rouyh Htp.
InwL
Finpisce
Finsl Htp.
Final Plbp.
Flnal
C?rt/Occ.
W??
D?serib? Loeatio?:
WNI
S?wer
Pr. ?isp.
Receipt PLUMBING PERRAIT Permit No.
CITY OF EAGAN
Fee
Fil1 rn numbered spaces S/C
Type or Print legi6/y Tot.
1. Date,`_ , •-' 2. Installation Cost
3. Job Address. ' . y Lot_/-/ Blk. 9 Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building 7ype: Residential 0 Commercial ? Insiitutional ?
9. Work Description: New 0 Add ? Alter O Repair O
1 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
, Kitchen Sink
Urinal/Bidet Other
i 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
Inspectiops: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-$100
INSPECTION RECORD??? ; CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
t,'JOE;??'!s ?
Eagan, Minnesota 55123 Date Issued: ;
? (612) 681-4675
SITE ADDRESS:
, wAr
.? .
PERMIT SUBTYPE:
; I ti 1 .f1
? I f JrAMIN(,
1 N i' I fi Ca
APPLICANT:
f t, I.:4, 0!".' - J..,1.?• _.. `.
TYPE OF 1NORK:
I N'011 A 1 9 r?N
I 1 N Al
R.
I?
I?
'a
?
Permit No. Permlt Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC 9? 9 D l cf, j ao
ELECTRIC
Inspection Date Insp. CommeMs
Footings 1
Foundation
Framing
Rooflng
Rough Plbg. es j,.Sa??e3 .It+?S o^?' 1-a
Rough Htg. ?
C..
ls,l. ?f - -- 1 ? ? -
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumher
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
ON
EITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: " " 1
Permit Number: I l t; 4
Date Issued: ' . •'' / `) `
SITE ADDRESS: ' 1111
3L g? I I.I,w wav
,,i i •,I 1111N
I PERNIIT SUBTYPE:
I I '.,' I 1N1i
F
L
Il? V 6J
APPLICANT:
_ ? ii . .? i : ,. ? ? ??r?liti
( i, 1.1 1 4?r.' 1, •i'ih
TYPE OF WORK:
t t N A1
Permit No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inapection Date Insp. Commer?ts
Footings I • ? 3
Foundation
Framing
Raofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test '
Fnal Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bidg. Flnal
Deck Ftg. Z? pLD ?iP/7 ?T S?-?0+'1?'
Deck Final
well
Pr. Disp.
?.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: OING
3830 Pi1ot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i rilq ;-4i1r i 11Id+:FI''1'? ?'r!h!'?!
l1r-t- ';(tiiT N ?, i. s,: •,. I:'yA
PERMIT SUBTYPE:
TYPE OF WORK:
1'f PA7p.
i?; •,, t i? r???Y?t SrF irp()f= /RE -, TfEE
INSPECTION D• • .ATE INSPTF3.
I ' ?iiRKSc REFtfit?F APlf) Rtr;101' NI'l4ff-C IIUC TO fi'tUhM cr
?
?
ICaF
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
G ?
RDOFING
1
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINqL PLBG
F1NAL HTG
ORSAT
TEST
BZDG FItVRL
DOMESTIC
METER
.
IRRIGATION
ME7ER
FLUSH
MAINS
CONDUCTIVITY
TES7
HYpROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
S?Gv ?- REQUEST FOR ELECTRICAL INSPECTION
? , ' See insiructions for completine this form on back ot yellow covV.
RQ•g 13-1 Below Work Covered by lhis Request
r. Ea-ooooi.oa
Nea Vd Ilitep.1 Type of BuilCing Appliancea WireA Equipment Wired
? Home Range Te porary Service
Ouplex Water Heater iyhtinG Fiztures
Apt. Building Dryer Electric Heaun
ommercial Bldg.
l C
urnace
Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm otnnr penfv Mtnsr ISpcuW1
ther pncify 01 or Oth?:r
p Fee Service EntrenceSiae k Fee Feeders/Subfeaders N Fa¢ Circults
U to 200 Am s 0 to 30 Am s 0 tn 30 Am us
Above 200 qmps 31 to 100 Amps $Ol 31 to 100 q s
Swimming Pool Above 100_Amps • S? Above 100_Amps
Transiormer5 Irrigation Booms Partial.'Other Fee
' Signs Special InSpec[ion
T
Hem3rks OTAL FEE
Rouyh-in ? Daw
t?. 6 f . ??e Elaclrical
??=ae?=o.. h a?
cn
tit
th
t tA
ab
Final
, ?J???
D te ?
,?-.,6 r
y
a
e
ova
?nspeetio. has bean
.da.
This reQUeat voi418 months from
This request vaid
ia om„ms r,om u
° 081316 L L-uu ? ?-
/l'(q- ??
yv. o 0
Feques[ Date J
?
i
> Fire No. Rooqh-in Inspnction
Pquir ? ?
e
es Nn
?Readv Nuw ' ili Nntity Inspe
c-
_ tor When Feady
[;y-16censed Eleclrical Contrector I hereby raquest insPection ot above
? Owner elecfricel work inslallad aY
S?F A re, Boz or RouW Nm
J'
c,e1 Ci[Y
A-A)
E
4 0
? ,
eclion o. T wnship Name or No. flanpe County
OccuV? WRI I
`?- v ? i E
? ul .. t Phnm+ No.
3 3
Power SuoPiier Address
Contractor (Company Name)
?ENRIC Cm?Var.?or's License No.
K ELF.CTR r CJ a !
Mailin AH@?yy?? r Ownor aki?vip Instailationl
?? ? CK LANE
Authorize ' n lor
I r10&'(F???y?allationl
?l?) ?.i
7 PhoneN
r
=
MINNESOTA STATE BOAftD OF ELECTRICITV THIS INSPECTION REnUEST WILL NOT
Griggs-Mitlwey Bitl9. - Noom N-791 BE ACCEPTED BY THE STATE BOAHD
1821 UniversifY Aye., St. Paul. MN 55104 UNLE55 PROPEP INSPECTIDN FEE IS
Phone (612) 297-2117 ENCLOSED.
e p/ ?.? ?? .?, . ??? ?? I
AeO"est D e Fi,a No. Ro? h-i? ??sPeclio?
Re iretl? y
? Ready Now pJqNill Notiry Inspecmr
Ves C? No ? When Reetly?
I; licensed coNrector Aowner hereby request inspection of above electrical work at:
Jo0 Atldress (SlreeL Boa or Roule No.l Ciry r
\
?
A ??
Section No. Township Name or No. Range No. County
lo A
Occuoam IP NT)
Q Pnone No.
"
ussS LIL-
i 144, Sa -1335
Power $upplier Atldress
Eiec.ncI Conlrador ICompany Name) Contrac?or's License No.
Ec)wns?
MaiL q Atltlress IConVactor or Owner Making Installatian)
N?) `
Autroritetl ?g aWre IConhaHOnpwner Mi g Inslailalion? Phone Numb¢r
-D - /33S
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Gdg9s-Mltlwey BIEg. - Room S173 BE ACGEPTED BY THE STATE BOARD
1021 Univenlly qve., SL Peul, MN 55104 UNLESS PFOPER INSPEGTION PEE IS
Phone(6tt?64]-0800 ENCLOSED.
? ncUUEST FOR ELECTRICAL INSPECTION ?`y*'." ?a ????
? ? See inslmctions for completing this lorm on Oack ol yellow copy ?i?
d 3 9 8.9 0? °X" Below Work Covered by This Request ?aiL,1
ew Add Rep. TypeolBuilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
n lex Wa ater Electric Heating
ApL BW dinr Dryer Othec.(Specity)
Comm./Indusirial Fumace
Farm Air Conditionar
Olner (syxify) ContractoB RemaBS:
?S/?'? • ???
Compute fnspection Fee Below:
# Other Fee # ServiceEntranceSize Pee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps Above 100 _ Amps
Si9ns Inspector's Use Only: TO ?.
Irrigation Booms ?.O ?
Special Inspection
AlarmlCommunication TMIS INSTALLATION MAY BE ORDERED OPCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 MQNTHS. T,? f
I, the Electrical Inspector, here6y
cerlify that fhe above inspection has
been made. R0O9"""
F?na? _'le -Ej
L
o e- ?j
1"?!
OFFICE lISE DNLV
This reqvest voiG 18 moMns irom
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Rece+pr
64,000
SlteAddress 3684 FALCON WAY
Lot 4 elock 8 sec/sub. LEX PLACE
Parcel No.
? Name FRONTIER MIDWEST HOMES
? Addmgs SIB MEM HWY E
City EAGAN phone 454-0433
0
ot
u?
?
Name SAME
Address
City _
Phone
'w rlame RICHARD CHARLIER
?z
Address 14103 GARDENVIEW CT
x0
?W citv A.V. pnone 432-5492
N_ 11128
C"Y/
Erect FX Occupancy R3
Remodel ? Zoning RZ
Repair ? Type of Const. V
Additlon ? No. Stories
Move ? Length 40 . .
DemolisA ? Depth 47
Int Impr. ? Sq. Ft,
Install ?
Approvalf Faes
Assessment _
Worer 8 Sew.
Police -
Fire
Erq.
Plonner -
Permit Y JGJ &V V
surcna'ge 32.00
Plan Review 162.50
SAC 525.00
waterconn 500_.0
watern4eter 63.00
RoadUnit 280.00
Tr.PI. 132.?0
Parks
CoP" -TZ--UT9-
.50
Council
I hereby atknowted9e thot 1 have read this applicotion ond sfate th gld9 O{f. ]-O/I ()/H '
fhe inlormation is correct an ?ree to com dy with oli P Plic APC
State of Minnesota Stotut f " r :.
Vaa Date
Sipnature of Perminee -
FRONTI 1?IID EST HOME
A Building Permit Is issued to: S on the expresa conditlon Ihat
atl work shall be done in xcordance with at I' ble Stme of Minnesot Sta? utes ond Ciry of Eoqan Ordirwncea.
Buildinp Qtficinl e %
RESIDENTIAL
BUILDING PERMIT APPLICATION
` CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsW dion Reau(remenb
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roafed areas
(20% marimum lot coverage allawed)
• 2 co0ies of plan showirg heam 8 wirMow saes; poured found desgn, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservalion Plan if lot platted after711193
. Rim Joist Detail Options selection sheet (Dldgs vriN 3 ar less uniLS)
DATE
SITE ADDRESS
TYPE OF
APPLICANT
RemodeURanair ReauiremeMS
. 2 copies of plan
• 1 Sel of Eneyy Calculatians for heated addAions
• t sile survey for euterior additions & decks
• Indicale if home served by septic system tor addilions
VALUATION _7 i ? 1? " S ?
? MULTI-fAMILY BLDG _Y ?V?'
- FIREPLACE(SIA<6 _1 _ 2
STREET ADDRESS 2489 Rice St Suite 70 CfTY RosPillP STATE_pjy ZIPF;,113
TELEPHONE # 651-734-9433 CELL PHONE #
FAX# 651_48_0919
PROPERTYOWNER ll? rQU"_0 TELEPHONE#
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INNESOT3 RliLES 7670 CA'I'EGORY 1 MINNrS01'A RULFS 7672
(q su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheel Submitted
• Ener9y Envelope Calculations Submitted
Plumbing Contractor:
Plumbing systein includes:
Mechanical Contractor:
Mech<mical svstem includes:
Sewer/Water Contractor:
Air Cotldilioning
Heat Recovery Syslem
Phone #
Phone #
Fce: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable Siate of Minnesota Statutes and City of Eagan Ordin ees:?, ,
c?
SlgnatureofA licant
OFFICE USE ONLY
Water Softener _
Water Heater _
No. of Bafhs
_ Phone #
L.awn Sprinkler
No. of R.I. Baths
Fee: $90A0
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
7 C) RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conahuclion Reauiremenh
• 3 regislered stte surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(ZO% maximum lot average allowed)
• 2 copies of plan showing 6eam 8 window sizes; poured faund design, etc.)
• 1 sel of Energy Calculatans
• 3 coples of Tree Preservation Plan'rf bt plafled after 717193
• Run Joist Detail Options seledion sheel (bidgs wfth 3 or less units)
DATE a10'" - 6 &
JOB SITE
RMA HOME SERVICES INC.
Home Depot Installed Sales
3200 Cobb Galleria Pkwy., Ste. #200 '
Atlanta, GA 30339
763-542-8826 BC-20268257
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER-1
TYPE OF WORKU&
APPLICANT
ADDRESS _
PAGER # _
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includcs:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#
ZIP CODE
FAX #
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
MAR 18 n02
I hereby acknowledge that I have read ihis application, state ihat the information is corre; and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O d nances. ?g
? Y
Signature of Applicant T
_ Water Softener _
Water Heater
No. of Baths
RemodeVReoa(r Reaulrementc ?
• 2 capies of plan
f ?
VALUATION 91CO40T
. 1 set of Energy Calculations for heated additbns
• lsdesurveyforexteriaradditlore&decks
• Indicate'rflwmeservedbyseplicsyslem(oradditions
Phone #:
I,awn Sprinkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
JUN-07-2001 15:43 FR0M-RMA HOME DEPOT AHS ?
7635d28227
T-928 P.001/001
g.D=EID P9WER C9F A'g'TOIAPEY
COtJNTY OF N6+ja1 ,,elEio)
STATE OF MIiVNESOTA
KNQW ALL PEOPLE BY THESE PRESEN3'S:
F-76B
'CT•tAT I, Todd Daniel Lewis, a resident of QAn'I.?e'y County,
M'uuiesota ("Paincipal"), and a iicensed concractor of RMA Home Services, Inc.,
DBA Home Depot Instailed Sales locased at 646 Mendelssohn Aveaue North, Golden
Valley, MN 55427, having a license mnnber oEBG 20268257, do hereby aQpoint,
name and constitufe Elder-Jones Building Permic Service, Ina ("Agent") as my true
and lawful attorney-in-fact and do authorize and grant said attomey-in-fact for me and
in my nazne, Qlace and scead the power co execute, acknowiedge, sign and deiiver (in
such form as may be rzquired by the municipaiity) a permit application, or any other
instrument(s) which may be necessuy and appropriate, iA order to obtain the proper
permit(s) from the City of Eagan, Minnesata for the installation, maintenance and
repair of windows and siding (the "Work").
The powe;s conveyed to the Agent 6y this Limited Power of Attomey are
limited soleIy to the express powers delineated herein and apply solely to the Work.
T'his Limiced Power of Artomey shall expire and automatically 6e revoked on the (G
day ofI_, 2002, which date is one year from the execution hereof. Fvnher,
the powers conveyed by this Limited Power of Aaomey may be revoked by Principal
at any rime by express revocacion and shall also be revoked by the Pnncipal's death,
disability, incapacity or incompetence.
LN WI3NESS WHEFZEOF this Limited Power of Attomey is executed dtis
'L-*= day of 2001,
Todd Danie1 Lewis
?WORN TO AND SCJBSCRISED $EFORE ME by Todd Danie! I.awis on
a day of ?Ti hLp, , 2Q?.
m ' ?YVyV1MHAb
ub ic in fo e State of lVfinneso BURTON L BRQWN ?
rwrun vusuc-wrwESOra
My Commissioa Expires:
16w????u^•a'•?0°'
e i
7%816.r7
Received Time Jun, 1. 2:56PM
x .
1 i ' . .' . .;. ?......<. ..
-_ .
1120 E23t 8?j15il2C[:_Y ....?
T .
BIOOm7ngtOII, IVSN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concern:
We at Elder-Jones Buiiding petmit Service, Inc. are acting as an agent for gMA. Home Services,
Inc. If there are any question,y, or if the permit has to be picked up in persoq please give us a call
at the number above. If the permit can be mailed back to us, we have enclosed a seif-addre,ssed
envelope for your convenience.
Thank you,
Aaxo-:
: Kaza Benson ext. 147
ina
Elder-Jones Building Permit Service, loc.
1120 East 80th Sireet ° Bloomington, Minnesota 55420-1498
952-854-2854 'FAX:952-854-4909
PERMIT
. CI7Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1 S97
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
932886
08/12/98
SITE ADDRESS:
3684 FALCON WAY
LOT: 4 BLOCK: 8
LEXINGTON PLACE SOUTH
P.I.N.t 10-45060-040-05
DESCRIPTION:
REROOP/RESIDE
srmit Type STORh1 DAMAGE
4?rk Type REPAIR
434 ALT. i2ESTDENTIAL
',:
?
•'! t 3
p
?s1 ? 14
.€°
§ 4 FI2I$ Rb
4'4la m 'S 9 i ?tat ceW8''5110 f ?e ee!
?? uaa2`a ? ?in ?yam
arme?a <iw im * ?im`. L?? ?,-': ?n
REMARKS:
RERpOF AND RESIDE HOl15E pUE TO 570RP1 DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
CUS70M CONCEpTS CONST 18487299 20142417 aouEwnn MICHAEL
16540 KENRICK LOOP 3684 FALCON WAY
EAGNN MN 55123 EAGAN MN 55123
(612) 898-7290 (651)578-4647
I hereby *ae`kriawYsdge° ?nd slat6` Chat:'?h? 9
;j,rt?cYrma??ar?-?,.s.eorr;ent anil agrep- tp campl:y h al? ?pplicab?e s?'ate b,?''Mn? '.
?Catut?s and 0a?y P'T Eagah ?lr'dins?nc-e?' '
APPLICANT/PEflMITEE SIGNATLIRE UE? BY:
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 ?
New Construetion Reauirements
? 3 registered sde surveys
• Z copies of plans (inUude beam & window sizes; poured tnd. design; etc.)
? 1 energy wlalations
? 3 copies of tree preservation plan rf lot pWtted aRer 717J93
required: _ Ves _ No
? I
DATE: -,
D S IPTION OF WORK: ' STREET ADDRESS:
LOT: '-I BLOCK: 'F SUBD./P.I.D. #:
RemodeVReoair Reauirements v - ` ` -j
? 2 eopies of plan
? 2 ske surveys (exterior adddions & decks)
? 1 energy wlwlations for heated additions
CONSTRUCTION COST;
1
v1 c7
, .
Name: i? ti" ??? ? r •, Phone#:
PROPERTY 1ast First
OWNER
Street Address:
CONTRACTOR
ARCHITECT/
ENGIN£ER
J
Clty $tate: _
; -
Company:.. ? •,i r _ ?%S . ,r ?
Zip:
Phone
Street Address: S License # '=l ?
Ciry State: Zip.
Company: Phone #:
Name: ' , 1 ____ Registration #:
Street
City
Sewer & water licensed piumber (new construction onty):
and lot change is requested once permit is issued.
Zip:
Penalty applie5 when address chang
I hereby acknowledge that I have read this appiiqdan and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature ofApplicanY.
.
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ Na _ Not Require BY?
State:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r:
3684 FALCON WAY
LFXINGTON PLACE S
PEgWTrr?'rTYffI s H
4 BLOCK: 8 APPLICANT:
RUSSELL
(612) 452-1335
TYPE OF WORK:
BuzLnzNG
022665
12/06/93
RICHARD
NEW
INSPECTION
FRAMING .. .
INSULATION DA
ROUGH IN PLBG FINAL
?
?
IN5PECTION RECORD
PERMIT TYPE:
Permii Number:
Datelssued:
?
?
' PERMIT
? C;ITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 022665
Eagan, Minnesota 55123 Date Issued: 12 /06 J93
(612) 681-4675
SITEADDRESS: 36e4 FALcoN wav J, ?Uu30
LOT: 4 BLOCK: 8 C?W
LEXSN6TON PLACE S
P.I.N.: 10-45060-040-08
DESCRIPTION:
? ?.
Bui1dY'ng, Permit Type
Buzld3n-g-Work Type
rl16C Occupanc}+,\
;,.
BASEMENT FINISH
NEW
R-3
?Cj -fl
Y..? \
REMARKS:
FEE SUMMARY:
Base Fee $35.00 COPY $.50
5urcharge $.50 7otal Fee $36.00
5ubtotal $35.50
CONTRACTOR:
RT155'[RL' nrNRTCHARD
3684 FAICON WAY
EAGAN MN 55123
(612)452-1335
I hereby acknowledge that X have read this application and state that tha
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
4?APPLICANT/PE MITEE SIGNATURE -
ISS ED : SIG ATURE
flEACT1YATE CITY OF EAGAN
PERI?1? "i% - ???? 1893 BUILDING PERMIT APPLICATION
2 2 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural E 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 awnth.
in which request is made, 2) address is changed or 3) lot thange i.s requested once permit
is issued.
Date Yaluation of work ??,-) d-°?
Site Address: 3,GF'f 7'ALcd/J
itREET WItE /
Tenant Name: (commercial only)
lAT 4 SLOCK SUBD. -J A ? b P.I.D. N '
A
Descri tion of work:
The applicant is: C3/Owner O Contractor ? OtllEl' (Describe).
Name CJS Sr r??- G ,) PhoneL1sa -(335
Property LA51 FIRST
Owner pddress 3(D,5?14 rA c-wO-1A %
STREET ftE /
City F-?A gArJ State /'W Zip . SS/a s
Company Phone
Contractor Address License # Exp.
Lity State ZiP
Company Phone
ArchitecU
Engtneer Name Registration /
Address
City State tip
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 a9ree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. '
?-??
-??'''Z? ?
-
.
5ignature of Appl icant:
OFFICE USE ONLY
..._. , ,
BUILDING PERMIT TYPE
O OI Foundation ? Ob Duplex ? 11 Apt./Lodging 16 B 4#9nt"?i?nish
?
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Nisc. 0 17 Swim Pool
? 03 SF Addition ? OB 8-Plex ? 13 6arage/Accessory ? 18 Coam./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Coron./Ind. Misc.
0 05 SF M1sc. ? lO :Multi. Add'1. O 15 Deck O 20 Public Facility
0 21 Miscellaneous
W ORK TYPE
?31 New O 33 Alterations ? 35 Tenant finish 0 37 Demolish
32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. NWCC System
(A7lowable) Ist F1. sq. ft. City Water
U8C ?ccupancy 2nd fl. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pum p
/ of 5tories Footprint Sq. ft. Fire Spr9nk ler
length On-site well Census Code y?
Depth Qn-site sewage SAC Code
?
APPROVALS v'
Planning Building Assessments
Engineering Variance
REGIUIRED W SPECTIONS '
? Site O Footing ?Framing ? Insulation
0 Wallboard [,?Final Driintite ? Fireplace
Permi t Fee YdLetim:
Surcharge
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
SAC 76
SAC Units
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: a BLOCK:
3684 FALCpN WAY
LEXING70N PLACE SOUTH
PERMIT SUBTYPE:
DECK
PERMIT TYPE:
Permit Number:
Date lssued?
8 APPLICANT:
RUSSEIL
(612) 452-1335
TYPE OF WORK:
suxLnrNG
021784
98/26/93
RICWARO
NEW
INSPECTION .. . ..
F007ING FINAL
?_ _ . , ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
P i????
/.?i?
BUILDING
021784
0HJ26/93
SITE ADDRESS:
3684 FALCON WAY
LQT: 4 BLOCK: 8
LEXINGTON PLACE SOUTH
P.I.N.: 10-45060-040-08
DESCRIPTION:
r'"__.
BuildinyL,Permit Type
Building Work Type
=Building Length
Bu31d3ng WidCfi`--l
\ J
,
DECK
NEW
16
12
Li
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $2.50
Surcharge $.50 Total Fee $28.00
Subtotal $25.60
CONTRACTOR:
OWNER: - APPlicant -
RUSSELL RICHARD
3684 FALCON WAY
EAGAN MN 55123
(612)462-1335
Z hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City qf Eagan Qrdinances.
L
x'
APPLICANT/PERMI7 E SIGNATURE
?(kt.? 11,01 , I I I f?U
ISSUED BY- SIGI -ATURE
J
REACTIYATE ?°
PERM1I # '
?178?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 ??? ? ? I'(
SINGLE 8. MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
C0MMERLIAL 2 sets of architectural 6 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-
uested once permit
e 1s re
h
l
q
ang
ot c
in which request is made, 2) address is thanged or 3)
is issued.
Date Yaluation of work
C0.j
pAC
-
Site Address:
iTREEi iUtTE M
Tenant Name: (commercial only)
OT ?
BIACK
q
SUBD.,?'o,/.
I
Descri tion of work: EGjV__
The applicant is: ld'uwner El Contractor ? Other (Describt).
3 S
Phone "%3
_
Name U.sSr_:C.?L G
Property LA5, FIRSt
Owner pddress ??E? F 4 /a L?onJ
SiREEi iTE t
CitY C-A!?An) State Zip a-3
Company Phone
Contra ctor Address License ? Exp.
City State iiP
Company Phone
AfChlteCt/
Name Registration ?
Engineer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that 1 have read this application and state that tAe information is
lica6le State of Minnesota Statutes and City of
ll a
ith
l
pp
a
y w
correct and agree to comQ
Eagan Ordinances.
Signature of Applicant:
OFFICE U5E oNLY
BUILDING PERMIT 7YPE
? 01 Foundation
? 02 5F Dwg.
O 03 SF pddition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
0 OB 8-Plex
0 09 12-Plex
O 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
0 ll Apt./Lodging
? 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
/P 15 Deck
? 35 Tenant Finish
p 36 Move
. p
? 16 Basement Finish
O 11 Swim Poot
? 18 tomm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
p 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. Lity Mater
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
loning Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length f7 On-site well Census Code
Depth 19' On-site sewage SAC Cade
APPROVALS
Planning Building Assessments
Engineering Yariance
REOUIRED INSPECTIONS
? $1 tB
O Wallboard
Pf Footing
P Final
rv-".' _y_
?'L'S
? Draintile
?3y
?
?
? Insulation
? Fireplace
Permit Fee ,?S , Do
Surcharge s?
Plan Review
license
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other? ?
Total:
ralucim: $
5AC %
SAL Units
81 O MA
SUqVEY1NG
6ERVICES
3908 Sibley Memonal Highway
Eagan, Minnesota 55122
Phone: Ifi12) 452307?
?
-n-
?
MOC?PEL-: 4yr.4FFOF?,G
- ? ??-? $? p= qo2.°I
h 3
AO?i•Of ? }x,,? o o ?? .
? •
,
?;'S ': q05.4
+?
S
o'
W rt?? Q N?` ?
1
p
1
oi N
°a- 1 0-??? o s S
r
A?10qo
,4 -
S
?
o I
c.
1 ?
? T /?
?.. V ? /
i
I?
G0^ilE-5
- 1457:, -
-LEGENO -
O Ll°ni-!E5 JrA' Y(xi/wn'
° Lenoles Mar1 NX Set
.01O*),4Oenotes Exi stirg Spot EI evat1 en
Ot"T`' -7-l`bpnotes Proposad Spot Elevafim
_----- Lpnotes Drainage Direction
-PfCFERIY LESCRIP(IQN-
LOT-'?- , BLCYK b
LBxiN4'f0N Pu+40 you'fW
accordrrg to the reccrded p/at thereof,
Camty, Minnesofa
PROPOSfD GARAGf FLOOR fLEYAIfONs 905. f
PqOPOSED Top of 87ock fLEVATION? ?04•4
PROPOSED BASEAIENT FLDOR ELfYATION='IOQ•
iVOTE Veri/y a1l floor heiqhts ¦ith Final House Plans.
.&f3/EYM CFXf I FfCAT I pV -
( hereby cerf rfy thet this survey, plan or report
was prepared by ne or vder my direrf supervisicn
aro that f am a duly Registertd Larti Surveyor
urder the laws of the State of Mirmesota.
?av.c ? LAZXA- Da?e
Wayre D. Cordes, Minn. Reg. No. 14575
Nouse
Certlficote For:
Frontler Midwest
Corporotlon
1 f • --'
? 2/ 8 4
?'y 1 CITY OF EAGAN
?NU AP°LICATION FOR PE:hMIT
SES9ER AND/OR WATER CDNNECTZOTJ
. (PLEASE PPIHi)
1) PF.OPERTY ACDRESS: 3(p F ?J
r FraL, DESC'?,I°TICV : ? g L2, Y i f14 'f0 n Q lliG2 "'O
(Ipt/BlockjSt::r,,iyis n or Ta,% rarcel I.D. NL:.:Der)
, I'r' WQS:'?:G S'?'RC^_^ rZ. DA'I'E 0F CRIGI^.P1L ISS???Cj:
_e',
PP?Sr "I' ?:.^,`II;F:/??OPOS='J IIS: ??-1 SL:GT.:
? R-2 DLTPL.? (7'.0 LT?I:S)
? R-3 2Cr.,?-urv,.c? (T= + L^7ZT5) ( L?II:'S}
.
? ..-a f,PaR^_T,^;.rICC:T)C_.1TIr,,i ( c,NI_J)
? CCi?1ERCLAI./RF.'TAII,/Oi SC
? ??cs;:?: L
Q L`:S= =1 IO.`L3.L/C?"V?'`=
Z} APaLIC?v+r (PL£ASE PRI;Ii)
IUV•:E: Frontier Midwest Homes Corporation
ADD2ESS; 3908 Sibley Memorial Hwy. Bldg. E
C=Z. S'=%=T°, ZIP: Eaqan, MN. 55122 -
P?ONE: 454-0433
3) pj,j,:.=
?'1`'?= IPLEFSE Aft1NT)
Star Plumbinq FOR CITY q5E O4LY
PDD?SS:
1018 Mound Springs Ter.
vLur.eEp
s?t„ySE:
"?
[
fpctive
CITY, STATE, ZZP: Bloomington, MN. 55420 Q Expired
PHO?IE; 884-4149 u'icr.
PLURBEA IFCENSE N 3329 Q Not aF Record
?
T
' atr nitia
3
41 U..LUYACfl'/(7;TIE.1"Z
rtAvME: ?rc.(L
ADDRESS: j i
CI'I"!. STATE, ZIP: I= o aa n
PFSaIE: ?r?cHac rntrtl)
I???, io w?,u 5 ? L
n,b?('SI1nfP L(1 ,
t? 1 Y) . SS /Z
i
5) IIQpIG?'I'E ;dHICH PERi-LIT IS BEItiG REQ(TESTID:
IR CO,?INECTION TO CITY SETrIER Please mail gold copy to
? COr7NEx.TIGV TC) CZTY S4ATER Wenzel Mechanical
? CII'[IER (PI
E?
` 3600 Kennebec Dr.
.
- E DESCRIBE)
- Eaqan, MN. 55122
6)
• ? PT.,yASE f?OID APPP,OVm pEI2,maT FOR PI=-L"?i BY pNE OF ABCVE
? nTFNGE :.,UI APP??WID PEPJiIT TJ 1, ? 3, 4 Afi OVE
(C1T??le one)
..
. . . .._ , . -
. . .
7) .
SIG.ATLRE: , , . . .. . .
.. .
_
" UATP:
, ? .. , , . .
? ?.
w nfal_aqf?-?sy? r a ?af?s- •• . •.• •
04
. ?? S f?e o??y ? s i Rsa:a:a S?R!l1?5'J?fl?-Jt4? f? ??? SaCi?r .
FOR C I T Y U S E ONi,Y
PE?tiIIT °- ?SSUED
FEES: $ `p.SD
$ ??. -,'v
$
$
$
$
$
$ S? ?3
$
S
$
S
$
$ W .
$
S
$
SE.%7E.°, PEBMrT (Y`IC?.'t:DE SU°C::1RCc)
WATER PER.htr: {IiICiUDE SiiRCHi,RGL}
WATER ylETER/COPPERHORN/OUTSZD° REi,D:R
WATER TAP (INCLLTDE CORPORATZON STOP)
SE:vER TAP
ACCOUNT DEPOSIT - P7ATER
wac
SP.C
TRGVK WATER ASSESS:? :.1T
TRliiQK SETIER aSSESS=:iT
LATEP.?.L BF.NEFIT/TRUNK SE:'IE:c
LATcRAL BENEFIT/TRU?:K LVATER
WATER TREATMENT PI.ANT SURCHARGE
OTHER:
TOTAL
AitilOU`:T °AIDjRECEI?T # 57,6d 1
DOES UTZLZTY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
Cl YES IF YES, THEN A"PERh1IT FOR *AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
N0 ENGINEERING DIVISIQ[V. LIST AS A CONLII-
- TION.
SUBJECT TO TfiE FOLLOWID7G CONDITIONS:
APPROVED BY:
TI:LE:
DAT°: /,/) -m -?5-
n ?s? w?. n. ???? wc? ?e ?w? ??? w?-? w? ?+ ?t? s? ?.? w?? w.a wt ? s? ??? w_+? wt? w s? w?
,
1985 BUILDIHG PERHIT APPLICATION - CITY aF EAGAN
NOTE: gI.L CONTRACTOaS NU3T BE LICENSED IIITH THE CITY OF EAGAN
??TPlff RaRCJ
CO1+QtERCIAL
SINGLE FAMILY DiiELLINGS
ir
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATZONS
$2,000 LANDSCAPE BOND
To Be Used ForOI;L Valuation: ? Date: •
'T'
Site Address ,3(?$4
rot 4 Block 8
Parcel/Sub Lexi?G-bf\
owner ?,l'4K4 ??l.P ?uSSL?
Address ?Zl(p ,?yMb?PCI f ?.
City/2ip Code Fp?Gn O)Y1_
Phone --_45Z-j 3z?6
Contractor
Address 340$ Sih?/ (rpm.4U,i1 City/Zip Code ?-n?n fYll),_ 6,1
i6i?
Phone 45?- 643.?
Arch./Engr. `?iC,6,, apAp('
Address.???I.Da? 11k1L'Pll1
City/Zip Code n1rN SSfL`t
. T,
Phone # y3a1• ?49 a
Erect k Occupancy
Remodel Zoning
Repair ?
? Type of Const
Addition A of Stories
Move ? Length
Demolish ' Depth
Int.Impr. Sq Ft
Install
APPROYALS EEES
Assessments Permit
-
Water/Sewer ' Surcharge
Police ? Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ad Unit
Bldg Off/ Treatment P1
APC Parks
Variance Copies
TOTAL
Z
/
r I ? / lu J V)
??
? ?
.`7 C)
'-
?'- " EXT[RIOR [NV[LOPC l1VfRAGf. "II" COMI'iITAfION
??" ? S1'??P?+I? S? Ir! ta w?:7 •
owK[R: ------ nnrr:
--- -----5 ?
SITE ADDRESS: PiiONC: CONTRACTOR:,F-9???'?„
Oetermine working square foota9e of each
1. Total exposed wa)1 area..... sq. ft. x.1;
2. Total roof/ceiliny area..... jc) 116-__sc. ft. x .026 tq I
?
Total exposed wall arca above floor=
a. Total wall window area ......................... ........
b.
Total
door area ................................ ......
.............. ....
.... ?r Z
c. Total slidin9 glass door arca .................. .............. .... q
d. Total fireplace wall area ...................... .........
e.
Total
wall framing area (average 10%) .......... .....
........... ....
S
f. Total
t ...
rim joist area .............. ....
..
... .. ........
t . .
v.
i l .... ?
... ___L__?.rJ
S• ne wa
area above floor.. T ;
h• wall area above floor. .................. .......
?.
wall area a6ove floor ...................
.......
........ _„
.
j.
frame
wall area at foundation ................. ......
.............. .
...
....
Total exposed roundation area= L?
'r.. Total foundation window area ................... ....
l. Total net foundation area above 9rade .......... ....
Determine "u" value of each viall segnicriC
(e,g. window, door, each separate wall section)
a. 1 ZS _ x
b. GI 7 x
c.
d. ? g a
e. I q (?, ,q S x
f. I -2o x
9. X
h.
i.
J•
k.
l,?iii
- ? ?-
4
_?
'lul, 45 _= i cs. i
ii
l, U 5 (O
? = I
',u„
„ul,
0 3 ?-7-L
__ ? `1
11 u„ CJ
X U
x U
x °u°
x °u°
x ?????_ ?S = V(• 75
3 . .... ...:.. ....... . Total
. . . . . . .
If item #3 is the sam
as, or less than item
3'1, you have mut.tfie:"
inCent of S6C..6.QO?i,`:(c
, ?..
t ??
...
?T' t?jrior Envelopo Avcrage "U" Canputnt:ion P1190 2 of 4
Totul cxpoacd roof/ceiling arca ? I?1l?U
m. 1btu1 skyli.ght area ............................
n. Tota1 roof/cciling framing arca (avcragc 10R.)... ? p(D
o. Total net iilsula[ed roof/cciling area...........
. Determine "U"*valuc Por each roof/ccilin9 segmeiit
m _ X ..U,.
n. } O f • ?O X „U., oz -- _ z7, L} 9
o. ??I ` y x „U„ ? 074
? ........................... . Ibtal 7?
Ii tota.l of ; a :s the same as, or less t.han 112, you have meC the inL-ent oP
Sbr GO;.'h (c) 1.
Alternate Buildinq Pnvc7.one Desiryn
'ib utilize the total envelone' systJn method, the values establishecl by the s:un of
S.tens i;3 and i;9 shall not be g reater than the sum of itelns 4k1 and 112.
?. 2I (.D, 09 + z. _ Z?. 4) = Z4Z?s
3. __ 1(', 5, `l + q. Zv, 73 gCP ? to
?
? Urr.?y1 uf ?y?ou?u1 uAl nfL•.1 fut' ???{T+
r?
ft:?m•: trucilun ILI '.'". ..,vni'...
, -
.,....v ?.._..1 I .
(ry
- '• ? t?J5,i1,-. 4,38
-> _ 7. ?
_._---C? a ? _ - ..- - - p-?+ ea..?
`-
?/??1
..,. _-
?.,, G. F:r.lcri,r .ii, ; i.•?: - U.?
-• '-." '-- ---- .. . _... _ .. _ _.. . .... ___...---- ..
FIG. d] TOPVSFS9 GF
FIW4: ltAL1. ?• tnCrrinr ?ir `llin
'. z.
3. ------
. . ? 4• 'C?_?r?I_!Y?>I.___ _-----._. 1•_S.TrJ
?--?? -.._'•__._._? 5• A4vm,_.Stros ?.?+!
o;; i; lm
.? ? :? ------ __ --- ----------•! --?
f'?? '1'ut.nl ? . !
FIC. 62 at
---lQ `
O
? '-'D
..... . . . ---
. .--------?
r
2.
t_q.C?O
01 •
4•
l
SCAC_rJ( _
-?
ticral ?• 1 ' r?
?.?'•.? i• f _-- -?'-1:J ? G. 1: x t c r 1 or n i r I i 1 m ------ 0.).7
'?' ` ? ?, t " ' l ---- -------- -----_.. ..--- - --`-?'-- - --
l ? ???? ^'' ? y? ""------- 5--{(: ? - '.;'u C , l ?? ? i C:•::??-1 ?.
u=.a?
..>. ? N
? ?-- > ,_-------- -, ? ????. --- - -----
ll.ffl
? . _..___ . ...
% ' 2. . - _-
?` ? t1 • : ' • l. r
--_-
• • ...----?--•-
' ?l' • Q? _ ? • h. . PLgat'[r'¢_.'Ci?G.. ?RtC?C?.B ....... .. ......-
? ---------•-------
,y ,n. ? r, • ?_ _...
?` G. 1::<1???'i?•C .?ir i!n U.1?1
•q ? ? '____'___.._-".....' "_ _'__" _'_"-?. ?
- - - ...-. -?- -- --.---._.....
__. ?_ ...-... . , ,? `
,; p? _ _ I !1 % /?-r ? . ? . •.. ? i i r -.1
`.
Y , • =r /!( ?r?1 . , / / W
? ? I1? . 1
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SI.DAVEYII?IG
BEIaViGES
3908 Sibley M,emorial Highway
Eagan. Minnesota 55722
Phone: (61 2) 4523077
hCAI-E: ld-,4rj!
House
Cert1 ficate For :
Frontler Aolidwest
Corporatfon
MovEt-: ejfaFFOFzED
oy
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$? '.' 4>
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iSr n ?u nA ? 3?? o o\ .
_LEGEMD _ PROPOSED GARAGf FLOOR ELEVAT ION= 40?t• ?
0 lkrrofes lran Mon"nt PROPOSED iop of B I ock ELfVA T I ON=
a Lenates Woai Nub Set PROPOSED BASEMfNT FLOOR ELEVATfON=1O9'A
x#1Og,4lenoles Existirg Spot Efevatia? AfOTE: Verify all fJoor heights with frna! Hause Plans.
("Vr`'?+enotes Proposed Spat Elevation - ;
_,?Denotes Orainage Direction 4q?? MIFICNI(,w_
I hereby certify that this sw'vey, plan or report
-PFDWRIY DE$CRIPTIGN- was prepared by me or wder my direct supervisian
LOT---'L- ,BLGYK &_ ard that 1 am a duly Registered Lard Surveyor
L.E)(IN4'foN Pl.P4{S ?jOL?'fN' urder the laws of the State ot Uirniesota.
accordirg to the recorded plat thereof, 165 ?
. 04l40'rA Countv. Ilinnesota • M'ayne D. Cordes, kinn- Re9. No. 14675
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: No.: posit'
Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
By ..-� "T ' Total:
Dote Paid:
Date of Insp.: / 1f •
Insp..
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning:
Owner
No. of Units:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
9 Y Surcharge:
Misc. Charges:
Date of Insp.:
Total:
I nsp.:
Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153140
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 3684 Falcon Way
Lot:4 Block: 8 Addition: Lexington Place South
PID:10-45060-08-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Chau My D Pham
2023 Safari Heights Trl
Eagan MN 55122
(612) 701-7618
Air Express Inc
1010 - 118th Ave NE
Blaine MN 55434
(763) 291-8519
Applicant/Permitee: Signature Issued By: Signature