3688 Falcon WayQUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PH ON E : 454-8100
Site Address
Lot r Block SeCISub. '
Parcel No.
W Neme
? Address .
City Phone >
zo Name _
w
?? Addreas
1- Citv -
Phone
G°W` Neme - i'd'I,L"R
x, Address -:t, i
'W City Phone j ! "
t1a7.o
Receipt
Erect u Occupancy ?
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Install ?
Approvols Fees
A5sessmenf -
Water 8 Sew.
Police
Fira
Enp.
Plonner
Council
I hereby acknowledye thot I hava rood this opplication ond stote that gldg. Otf.
the information is torrect ond ogree fo comply with all applicoble APC
Stcte of Minnewto $tatutes and City of Eogon Ordinances.
Var. Date
Sipnoture of Permittee
Pertnit '- i (- ' ,' '
5urcharge _
Plan Review
snc ? 2 5. 0 O,
Water Conn. =• 00. 0 Cl
Water Meter 63• d?? i
Road Unit ?8 U• U 0,
Tr. PL 1_L. 0 0'
Parks
Copies i
Total Y r ? ? ' % U
A Building Permlt Is issued M: `••'AV ' . on the express condition tho+ ?
oll work sholt be done in accordonce with all opplicoble State of Minnesota Statutes ond City of EaQon Ordinonces. ,
Buildinp Offlcial ;
Permit No. Permit Holder Data Telephone ie
Plumbinq (_j 1 J? - 5 S
H.VA.C.
Ehctric
Softener
Irqpedion Date Insp. Other
Footinqs 1 Y/01/0 W?
Footinqs II
Foundatlon
Frsminy ??? L5?
Raofing ?5?? W,?
Rouyh Plbg. '
Rough Htp.
Insul.
Flroplacs
Flnel Htp.
Finel Plby. ' 4 L, v
Flnsl
Cott/Oca f??O Cj
W?K Dett?ibB LOCation:
WaII
Sewer
Pr. Disp.
CITY OF E AGAN Remarks
Addition Lexington Place South Lot 5 eik 8 Parcel 10 45060 050 08
Owner 5treet 3688 Falcon Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. e
0'
i .
S ?
O
3
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 247.64 _
?
SEWER LATERAL 01 1986 1631.00 " 326.20 5 13 0 •d'O o1 L /
-? -es
Services 101 1986 729.39 145.87 s -513. 5-:1- C'o // O
E 1.2 --2 - S?
WATERMAIN 1985 65.81 , 4-5
.
WATER LATERAL 1013. 1986 8 7 3. 43 = 174. 68 5 (? • 7-> 4
-
WATER AREA 1014- 1986 243 . 73 ' 48. 74 5 /.j?CS
2-
WAT LAT BEN 1013 1986 111.98 22.39 5 C7O// ? /.Z-e2 3
STORMSEWTRK 10 1fL 1986 426.54 85.30 5 5,10 /.? ?-J5'
STORM SEW LAT 101 1986 803.34 16 0. 6 6 5 z.(, Cp // O lv /•?-.2 -n?
CURB & GUTTER
SIDEWALK
STREET LIGHT
$280.00 55739 9/23/85
WATER CONN. SOO; OO
BUILDING PER. 11020
SAC 525.00
PARK
Receipt PLUMBING PERMIT Permit No. ?
CITY OF EAGAN
Fae
fill in numbered spaces S/C
Type or Prini legib/y
Tot.
1. Date - 2. Installation Cost
3. Job Address Lot' Blk. Tract I
4. 4wner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential D Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Sh0wer Well
Kitchen Sink
Urinal/Bidet Other '
Laundry Tray
i Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certity that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
1 ,i
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
Raaipt • MECHANICAL PERM17 Porm ?i
jt No. ?
CITY OF EAGAN .
? Fu
? F!lI in numberisd spaces S/C -? t%
Typs w Print legiblY ' Tot U
1. Date 2. Instailation Cost
`
.
3. Job Address 3t'8e FaXco,.i - Lot • Blk. ' . Tract ?
4. Owner ? tir C«mp.,:, 1
5. Contractor Phone ' 4 5.z -
8. Address 35,;.? ,?.n? h,• ; i
7. City Stete Zip -
8. Building Type: Residential =0 Commercial ? Institu tional ?
9. Work Description: New Add ? Atter ? Re pair ?
10. Describs Fuel Type
1 11
No,
` - EqujpmeIIi BTU - M. Ea.
Forced Air - No. Eauiument CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers ' • " -' `` `?i°:'
Mfg
. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gaa, P'iping Outlets
12. I hareby certify that the above infwmation is true and correct, and I ayree to
comply with all ordinances and codes governing this type of work.
Signed' ? for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is ycur permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
??. ?....._.,..r.._..?,... ?.._.__..._._,__._
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
t • I il, _ ?iJ ? i . , ? ? , • ? . ?
PERMIT SUBTYPE: TYPE OF WORK:
i1 1461. 1 1 1 - 1 NAi
tt11t11?1Nh
t4.•.t i rt?+
0 t./01 /<14
.?
Permft No. Parmit Holdx Dete Telephone ii
S/1N
PLUM8ING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Date Insp. Commerft
Footings I
Foundativn
Freming
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Freplace
Ffnal Fitg.
Orsat Test
Fklal Plbg. Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
81dg. Final
Dedc Ftg.
Deck Final
Wetl
Pr. Disp.
INSPECTION RECORD
V CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `' ?• '' {,
(651) 681-4675
SITE ADDRESS: ril ,,, t APPLICANT:
,I 1 I)N IlA'I" I , ,
? N(, I IIN F, i A( f ",ult 111 (1.'. I 1 r.t4 8 t.f.
PERMIT SUBTYPE:
TYPE OF WORK:
Nf 14
(lf'*:'-1"RI('l ft?N `",fItARIlIfi1
INSPECTION .• • D,
. ?.
?,.. In rt i} t v i t I..? Ii I I:Y i iAY N F IW I I li ?t
ril I•(r+'.I i 4r?, .,'{4N 141- (iF117UiMO F I E f I{21
F
L
I i, f IrM r 1 13rJ11 l hf" c'F e r lci M"
??
Permit Holder Date Telephons #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
'
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIFiEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoniny:.
Ownsr,
Mdress:
SIM /lddrcss: ': h c e F1 o
Plunber.
WATER SERVICE PERMIT
PERMIT NO.:
A ? * ...
bNTE:
. No. ot Units:
JNeter N ?
? / •? Connection
C?+ r
Q0
• . - . - `
?
Slxl: ,
/
/1CioUrit ?W ei70YSR; , -
Rec No.: Q
Permit Fee;
LII P
..J.
1"no to aMPip wilh !Iw Cirr of EMP¦ Surchorge: ._ t•pc.
O?wona?. Miac. Chorqpes: j `. p .
TOt01: . rF7u
gy Dote Paid:
Dote of Insp.Z : Irap.:
t, - - ?
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Krrob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zuninp: a?= No. of Unlts:
Owner: PL'oat 1eT -_ ,.,
/lddress:
Site Address:
Pl umber:
1 pm fo eNnplq wllh !IM Cihr of Eees¦
r.
Connectlon Chorpe:
CnliM ACOOUIIT DOposit:
Perrnit Fas:
Surclwrpa: C n <
By Misc. Charpes:
Date of Insp.: Total:
I ngp.: Dote Pald:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KN08 RD - 55122 ??O Q 0
651-681-4675
NewConstrue[IonReauiremenb RemodeVReoairReauiremenM C(??led ib-?k ?
• 3 regislered site surveys showirg sq. fl. of lol, sq. R of house; ark all roofed areas • 2 copies of plan
(20% maximum lat coverage aAOwed) + 1 set af Eneyy Calculations lor healed addNOns ?
• 2 capies of plan showirig beam R windmv saes; poured found desigrt etc.) • 1 stte survey for exterior additia? & decks
• t set of Energy Calwlatlans . Indicale'rf home served by septic system for additions
• 3 copies of Trce Preservatlon Plan if lot platted after 7!1193
• Rim Joist Detail Optiore selection sheet (bldgs wilh 3 or less units)
DATE _ `u nP A?I :?001 V,
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Chr;zz????-er
?
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE# 1051 CZB2
ADDRESS '?4a ?--Oco? r?- ? ?n9a A?/u ZIPCODE 52a3
PAGER # CELL PHONE # Co? ??119 (D9 coR FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Woricsheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 Es-
No. - New Energy Code Worksheet SubmittePlumbing Coniractor: Phon Plumbing 3ystem Includes: Water Softener Lawn Sprinkl$90.Q
Water Heater No. of R.I. Bof Baths
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_, Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above informatlon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Statutes and City of E<
Signature of
Certificates of Survey Received _ Tree Preservation
is correct, and agree to comply
_ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?7 t?u? 18 Deck O 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
C2
Valuation /2 Q C2 Occupancy MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of 81dgs Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
Footings (deck)
t Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing- -
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By LuJ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
Licensa Search
Copies
Other
REQUIRED INSPECTIONS
Finavc.o.
FinallNo C.O.
_ Plumbing
HVAC
Total
REQUEST FOR ELECTRICAL INSPECTION Ee-ooWi-ua
' See inslructions for com0letine lhis form on Ceck of Veliow copy. ,.:
05 11 X" Below Work Covered by This Request //_ / 4 J5'
Nevv H d Rep. Type oi Building Applioncea WiroE Equipmen[ Wired
J,Z ome hinge Temporary Service
Duplex Water'Heater Lightiny Fixtures
Apt 8uilding D yer Electric Heatin
Commercial Bldg. umace Silo Unloader
Industrial B Air Condi[ioner Bulk Milk Tank
Farm Otner oeatv Oino.ISUeairyl
thar Succify Other 01hor
Compute lnspection Fee Below
p Fee ServiceEntranceSize fl Fee Fentlers/Subfeeders N F5e Circuits
0 to 200 Am ?s 0 l0 30 Am ps e Z 5' 0 to 3(? Am )s
Above 200 qmps? 31 to 100 qmps Sd0 31 to 100 Am s
$wimminp Pool Above 100-Am s C. Above 100_Amps
nn Transiormers rrig8tion Booms PartialOther fee
Signs Special Inspection S , jd l?
TOTA
Remarks ? L FE/ /
?
t C)
NouBh-in c the Elecicical?
Y
d 16-11 ?ns0ecloq heooby
ca,iifv tnai me anove
Final spection has bnen
? meds.
Thla requeat voltl 18 monihs Irom
0 08136? y?Y
?-e,•? P ? S_?.,
//-/ a -1r
?,/i1 . "'; ")
Pequ ct a?e ?
? Fire No.
I Fough-ln InsUer.Iion
flequ re ?
E]Re.etly Nnw ill Notily_ Insoec-
h
?No en RoatlY
W
t icensed Elec[rical Con[rectnr I herehy reqvest inspection ol above
? Owner elechical work installetl at .
Streec Addres?BOx or Ro? No.
? ??_L1 e ?,C1 c,u? Ciry
; `
ecuon o. Township ame or No. Range No. jr CouniY
OcSup:m[ PRINTI ) / .
J , / J 1:-? H^ n
/J .d.?i .S I Phmre No.
Power Sun lier ? /j
J ? AdAress
? ?
Elocvical ConVac[or (COmpany Name) C^onhac?or's ,Llcense No.
MaitinB A?r?91T ?
lti.l,lv ?y {? p? .
ENNO
L?ir?L
Authorizetl Sign????t_3p??Qv?e71.92 s 't
A Phone Nummer
MINNESOTq STATE BOAPD OF ELECiHICITY THIS INSPECTION flEQUEST WIIL NOT
Griggs•Mitlway Bldg. - floom N-797 BE ACCEPTEO BV THE STATE BOARD
1821 University Ava., St. Paul, MN 55104 UNLESS PXOPEfl INSPECTION FEE IS
Phone (612) 297.2171 ENGIOSED.
CITY OF EAGAN N°_ 'I 'I O 2 O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE: 4548100 seceipt # 4;-? 7Cj
--`? ?
SF
56
Sitenddress 3688 FALCON WAY
Lot 5 61ock 8 sec/sub. LEX PL SO
Percel No.
? Ne,ne FRONTIER MIDWEST HOMES
? q?ress 3908 SIB MEM HWY #E
City EAGAN phone 454-0433
O
=
°u
u?
Name $AP9li'
Address
Phone
?Z Name RICHARD CHARLIER
xQ Addresa 14103 GARDENVIEW CT
,
a, W Citv A.V. Phone 432-5492
1 hereby ackrowledge thot 1 hove read fhis oppiicarion ond stote thut
the inlormation Is corrett and ogree to comply wjlfp ull oppJiytlble
$tote of Minnesofo $tatutfs?vnd Cikyt.pldagan?rdinonces//
SiOnoture oi Permittee?
FRONTIER MI
A Building Permif Is issued M:
all wo.k ahall 6e done in occordunce wir I ppliwble
Buildinp Offfciol
Erect QL Occupanry KS
Remodet ? Zoning RL
Repalr ? Type of Const. V
Addition ? No. Storiea
Move ? Length 38
Demoliah ? Depth 46
Int Impr. ? Sq. Ft.
Instell ?
Apprevola Faas
Assessmenf _
Water 8 Sew.
Police _
Fire
Eng.
Clonner
Countil
Bldg. Off. 9/2 3/$ 5
APC
Var. Date
Permit $ 301.00
Surcharge 28.00
Plan Review 150.50
SAC 525.00
WaterConn, 500•00
water Mete. 63.00
Road Unii 280.00
7r,pl, 132.00
Parks
Coptes
97 50
HOMES ' total ? •
on tha express CordiHon Ihat
i?nehta Stotutes and,City of Eayan Ordinonces.
_%S
? CITY OF' EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT '? ?L
PERMITTYPE: & `5 ? uILDZNG
Permit Number: 0 2 3 7 8 9
Date Issued: 0 6/ 0 3/ 9 4
SITE ADDRESS:
3688 FALCON WAY
LOT: 5 BLOCK: 8
I.EXING70N PLACE S
P.I.N.: 10-45060-050-08
DESCRIPTION:
B,uilding'--Permit Type
.,Building Wo,rk \7ype
.
? .?.
i ?
% -?
t
? J
i
t. .
\\\`,1.`n
i
DECK
NEW
nI
Li?
REMARKS
FEE SUMMARY:
Base Fee $30.00 COPY $.50
3urcharge $.50 Total Fee $31.00
Subtntal $30.50
CONTRACTOR:
OWNER: - Applicant -
JACKMAN CHRIS
3688 FALCON WAY
EAGAN MN 55123
(612)683-5841
?
I hereby acknowledge that I have read this application and state that the
infio'rmation is correct and egree to comply with all applicable State ofi Mn.
Statutes and City of £agan Ordinances.
---E7ACA 1PERMITEE SIGNATURE -
ISSUE Y: SIGNATURE
J
' cirY oF EaGaN s_3 1, n n ,? Gj"` !-3
? liq 1994 BUILDING PERMIT APPLICATI ?????E1
D
681-4675
1 u ii 0 1 1994
SINGLE & MULTI-FAMILY ------------
2 sets of plans, 3 registered site su , rgy
caics.
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 691 '-Su?Ne_ Valuation of work '
Site Address: c.?
STREET SUITE #
Tenant Name: (commercial only)
LOT BIACK SUBD.
J, n,d. P.I.D. #
Descri tion of work: c?
The applicant is: Owner ? Contractor ? Other (Deseribe)
Name ar.?mn.N C'?-?r? Phone c,Rts--coS?2.
Property LAST FIRST w d'rr3 -ssj/
Owner
pddress gov?,r.
STREET STE #
City s?:'?.?s State MA-) Zip ?sl"a.3
Company __ SQ,Yh e__ Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City SLate Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature 0 f Applicant:
s1GMA
?
-N
?GALE ; 1??=4v ?
$URVEYING
sEiavIces
3908 Sibley Memorial Mighway
Eagan. Minnesota 55122
Phone: (612) 452-3077
LOf
NIoDEL; NAkTFoRI)
? o
?
.i
?
110
'? . 40.0\ ? x`lOSa
? ? • F. i '09
y5.1
?
b+ ?ys \
e?. ?p\\
3 Q lOA ??
063A 0
PL '0_?_? ?1i .?
R=?o22 ? O--
.'
N
og
?
4'
N
N
.?
s
House
Certlficate For :
Frontier Midwest
Corporatlon
i ?
?
/
i
-?U?i?i?E
, E?>?"?•
?
?fl-
n
(S
N
i
r ?
'= D?i V F- asew?e.? o?
N v°?° ?o? o?aw
_ LENI) '
O Lenotes frrx) MonuRenl
Q Denotes WocYl llub Set
„ 90s.0 penoTes Existing Spot E.levat)on
sNowNl De notes Propnsc?/ Spot Elevation
,_---Denotes Orainaye Uirection
-PROPEKfI' DE5CRIPTILMI-
LOT5 , fiLOCK 0
N PL ?O?
? EX I Nc "jO_-- H
--?latthe of
accordirg to the recorded p
counry, u?nnesora
WAYPJE D.
CUHDES
--14675 --
PROPOSED 6ARA6E FLOOR ELEVAiION = 9 04.1
PROPOSED iop of 81ock ELEVAiION= 9_ '5'() -
PROPOSEO BASfMENT FLOOR ELEVAiION= 907,0
NOTE: Verity all floor hei9hts with Final Nouse Plans.
ypRS CEHTIFICATIGN-
certif fhat this survey, plan or repori
I hereby Y
was prepared by me or urder my direct superv isix
drd tW } I am a duly Registered Larrl Surveyor
urder fhe laws of ihe State o! Yinnesota.
oate _y? 1___8s__
Cordes, hiinn. Re9. No. 14675 /
Wayne
1
?1-
.?
/
QI
1999 BUILDING PERMIT APPLICATION (RE$IDENTIAL)
" CITY OF EAGAN
3 y y??- 3830 PII.OT KNOB RD - 55122 r7 ?
(651) 681-4675
CdQAS ? - a-?? -g I
New Construdion Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys
• 2 copies of plans (include beam & window sizes; poured ind. dasign; etc.)
• 1 energy calculations
? 3 copies af tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: ! yS
DESCRIPTION OF WORK:
STREET ADDRESS:
? / awJ W
? 2 copiea of plan
• 7 site surveys (exRerior additions 8 decks)
? 1 energy calcutations for heated additions
CONSTRUCTION COST: Af??°X LS °`?c
c:n 6YlS?(rv) d-E'Ck
LOT: ? BLOCK: ? SUBD./P.I.D. #: I-=
PROPERTY
OWNER
Name: ?kc%'+tin G? n s 4&,- Phone #: fo SI -',?y ?fI - F? S7Z
Latt Firs[
Street Address: 36ffe- FZI c°n (4-,"%1
City Stare: M N Zip: S'S /Z 3
CONTRACTOR
Street Addres :
City a V,1 Ctife06 Il /GL
ARCHITECT/
ENGINEER Comnanv
State: AV dltil U Zip: IW yQSC,
Phone #:
Registration #:
Street Address:
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State:
Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
RECE
JAN 2 ?-; 1999
- No
_ No _ Not Required B
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling 0 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
)9C 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMAT ION
Const. (Actual) Basement sq. ft. Census Code 11341
(Allowable) Main level sq. ft. SAC Code o/
UBC Occupancy sq. ft. Census Units ?
Zoning sq. ft. Census Bldg 0
#t of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ??- Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 1'1 -,?
Valuation:
% SAC
SAC Units
.IGNIA
Sl,1RVEYING
? sEAVicEs
3908 Stbley Memorial I"ghwaY
Eayan. Mmnesota 55122
Nhone: 16121 452,3077
?
N
111=40, ?
?_C?Y ?Sp
?
•. ? u-rI LI-r-r
EA?=yh?l"( •
?
cQ
K
OD
R=1
,,
?
0
4k
? y
0
? ? v b
It y;
b''o\
. ??Q 3ony
?
0
N,
oO
7
6"
CJ
N
/
? t
/
MoDE?-- % NART6oRiJ
,
v 1?J1 ?'
n
ls
? ?.r--
.
N
i
t ? - -
F3?erie.?o ?
q 1, 42
N v1 ° '?" o' ob "w
_!-F?D.-
o ()enafes lrcri Alauaenl
a Genoles Wocd NuG Set
„9os.0 [knotes Exisf'ny Spof Elecatfai
sNowwl Ir)enofes Pr oposed SVot E leva I rrm
- - Uenofes Drvinaye U"reclicn
? _ ...
j- EXiNc51"(oi'J P
-PHOPEHTY DESCRIPTILYJ- .
LOT?`-,tiLaK_ e' tr0?11N
-----.- - laf thereaf.
dccor?j? to tY?e reccxded P
Frontler Midwest
phjs?0?P_Counfy. Alinr`esol'
House
Cerrlticale For :
Corporotlon
WA`(tdE D.
CUHDLS
--1as-r5 --
PROPOSEO GARAGE fL00R ELEVAiION= 90"'-'-l
p?POSEO iop of Slock ELEVAiION= 905,0 PROPOSED BASfMENi FLOOR ELEVAl10N= `? -
N07E' Verify all floor heighis wiTh Final Nouse Plans.
-wEy? til(?5(y GEI7TIFICATI(I
1 hereby cer -
that Ihis survey, plan or reporf was Kepared Gy ne or urrler my direct superv,srcn
drrj rt_ia} 1 am a duly Registered Lerd Surveyor
urder fhe laws of the State of Minresota.
18s----
?.,Cl? t.?? - ?--Oate -----
/
Wa s. Minn. R2g. No. 14675
y? Corde
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P,:[,IV,e ;l.t?-4ES4???-0541-41t3
DESCRIPTION:
Sf= RORCI,
iVE:W
434 ALT. RESJ'O(iiqT7:AL
,
A F n,
?
i-
L.
PERMIT
PERMIT TYPE: ? ia -1 1_ ?? T iv,;
Permit Number: 0 3 4 Q 5 fi
Date Issued: ?i? 1 r911 l:°3 9
ss;a:; FA,_c01'11 war
i.oro 5 raL 0 r.K :
1- 1- .k1 iVG'1'0 iV P!A Cr °,r]U7H
soi A rtI:uiIi
E cr,i 1 d i?n?q,.,l' r r• rn 5. v p Ei
?fuildinca Gl`a!.rk tv pe
Code ?
_ .'
REMARKS:
ri_Ani ?'rVrr-w?11 ?r i.aE,?•n±? ??t?t_t_?z.
CIzLL (G51) 445-2840 RF IkIARDII'dG .F.LEf.7RTCAL I'k;'i;P4i7 aNLI Ii'dSPECi"It7id5..
AOfiTV(i `'.OL.A FTUiH -I"Il F'XTTN(, f) !=i:!<,
FEE SUMMARY:
V ,ai_uA rron? ,0 0 0
e?s E, ?e e s13 9 .2 !--1
Su rcha i- ae ._....3?3 Tratal Fee -?$142.75
CONTRACTOR:
1
OWNER: -
JACKI7iFIV
6 8 ;; FA
f;f1GNN
( 651 ) fi ?3 ¢3 - 6i a<'
ApI>l?icant -
CHN TS
LCON 6JAY
P'IIN 5 5 123
C hereby ac4tnowlecicpe thGk i have< reac4 th.i.s arrnlacz,tipn ancl Stata thav. the
isitrt°mztibn i.s cori°ect and aares to camplu with al.t apPl,icabt2 Stat2 at Mn.
5 tac4rr,es atid C.itv nf Eaqar7 tlrrlinant:es.
L
44
APPLICANT/PE jIt,
R?vJ?EE SIGNATURE ??UED 8Y: SIG ATUFE -
?
_j
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED bIITH THE CITY OF EAGAN
N AZTF0RD A
COMNERCIAL
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT'URAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF t SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND
To Be Used For: / G??x? Valuation: ? Date:
Site Address ??" L
Lot J? Block ?
Parcel/Sub
Address
City/Zip Code 7 /a
Phone
Contractor p/(y? (0? 1A/U )1?' ?'Y?_QOJ
Address ?R?R'
p,U fI?
ING(lll ??
City/Zip Code
Phone ?C/,73
Arch./Engr.
Address D
City/Zip Code /,(
-- npQp
__• "a
?
Pnone I! y?? "?
ja - J y
OFFICE USE ONLY
Erect ? Occupancy (Z-3
Remodel Zoning -I
?
Repair
"- Type of Const
Addition ll of Stories
Move ? Length 38
Demolish ? Depth
Int.Impr.
? Sq Ft
Install
-- -------- --------------- ----
APPROVALS FEES
Assessments Permit 3p
Water/Sewer ? Surcharge
? 2g,
Police Plan Review ISo.SO
Fire SAC 25
Engr Water Conn r-,ro,
Planner Water Meter (03.
Council Road Unit ZIEO,
Bldg 0 ff9 Treatment P1 t3
APC Parks
Variance Copies
TOTAL / ? O
_. ? .
WN[R:
i
SiTE ADDRESS:
i o ? C l V 1 M ..
EXTERIOR EtdV[LOPC nvr.Rnr,E °u?? cnrIrurnrroN ?
---- - - - - llill,
f1/1Ti
PIIONE:
CONTRACTOR:_??64.3E-M„
Determine working square footage cf each
1. Total exposed wall area..... 1_6-4. sq. ft. r.
2. Total roof/ceiliny area..... _j016- se. ft. x .026
Total exposed wall arca ahnve flnor= `,:?
a. Total wali window area ................ ................... y
b.
Total
door area ....................... ........
........................... ,
Z
c. Total sliding glass door arca ......... ........................... q-7 -
d. Total fireplace wall area............. ..................
e.
Total
wall framing area (average IOh) . .........
...........................
? S
f. Total
t rim joist area.................
ll
b
......................
;' 0 -
9. ne wa
area a
ove floor... :T?
c
;; ,,,,,,,,,,,,,,
h. wall area above floor .......... ......................
?•
wall area above floor .......... .....
.......
.......
j.
frame
wall area at foundation ........ .............
...........................
Total expcsed foundation area=
'r„ Total foundation taindow arez .......... ............
l. Total net foundation area above 9rade . .............
Detcrmine "u" value of e ach wail sc
ineriC
(e.g. window, door, each g
separ?te viall s:ction)
a. I Z? X
b. GI 7_ ?
c X
d. X
e. ( -?l C?,4 5 z
f. 1-2
DO x
9• ? ?? `?a'J X
45 i
'lull
"Ul. U? __ I S ??L
?lu,l
'lull, C J7 =`t' .L'
h. X ?lul„ _
t . X llU,l _
j. x „u„ _
k. X „ull _
1. ?p S y, ,, u.,
75
?. .•: • ,......... ... ., .Total
If item q3 is the'samE
as, or less than item
#l, you have mef,ttie:-?
intent of SSC 600?1(,.i
1 ry wi? 1
{ 1 ._ ?R
•ZX L?,rior I:nvelopo Aver?zpc "U" Computir.ion Pn1e, 2 of A
Total exposed root/cciling nrcra = ? df b _
m. lbtul skylight area ............................
n. Total root/cciling framing arca (avcrayc lOB).... 1 OI `(o
o. Total net insulated roof/cciling area........... t L
. Determine "U" value for eacli roof/ceiling segment
M. - X
?
U
,; oz
? ........:.................. To::al 7?
Ii toCzl of ;'r9 is L-he same as, or less t:han 112, you have meL' the i.nt'ent: of
ShC 601,16 (c) 1.
Alternate Buildinq Envel.ope DesS.qn
ib utilize tiie total envelope 'systen method, the values establishecl by tlte s.un of
items 0 and 'r;9 snall not be greater than the sum of items itl and ;t2.
?. 7? 1 (c? . C)? + z. 2?. 41 = 24z?,s
3. _I ('V_15i Cb-l + 9. 73 . ... . .._ _ ? T?
?
,.??.: • ?
' j` ,. • r,ni.?. ;:r?r.?rtc,i,?
nt?L,A jUC
/ E. l/:'r
fF -
ftnnr: i:(•w,t ruU lun
-' --=---0
I {? i • _?-?
-- ti?
I FIC. dl T(PVIi1J OF
eil?M ianc,t.
FIC. 112
?
ScA C cA
K
._
{..? ?f?
?- .
•-
l
?
i?
''
F • .._.L
-T-
)`.-;
Cl!
?
.
L .
' • i .
•
/ . ;?. ,
Q;
? U
Y 'n' r
•h
51A11_Ofl ?;Ilnl)li
1 ?
--"'-"--- r) ., .i
--------?-? _
----•---?? \J
?.----•-•---Q
1. piC laL?m._ ..
lry. P'
?? ? Z??,, i?, •, ..,? ? ,. ?
G. L.r .iI i ,
1; ?,nlu.,
. .!9_S
4,38
.7 f? l
%o,iol 13.?-1
2.
3. ?--•??±?!?c-.?. _.$..'`'/?--- ---«.,?o .
5.
G. F.>:Lori?,r ni; i,h., -
"--?-'
- - - q.17
-'----
----._....
---
'Cul(i]
c? {
t,4 s . G ?
? ]11LrCtUC A:I f L11`?
• _......__ __M ........ . ....."_'__
Z. ?
,?.??f''...._.. ... -" 0.(?!t
'__""._.._.y1.
_"__......_....._?LV.?
?/
3.
4.
s.
G. F:xtc?rlor nir i i Im
-?----'------'--_.. ..--
_
.--.'-11--_l3
.i'o': i t ? ?l • 7 f
?-?.C??i
GLCc.tz.. `
1. int?•? ?,,?..:,? r ri,,:•. _?i_r,n
8° --._ o8r'.3. 4VM
s.-C?...-----
4.
'-----------.._.._---"--
G. 1::<loric•[ :i?ri
...._'_.__.._-.'.. •I?ul.?l ? ?. 7
I<f__:
.
'
?
• ? ' u •
' = •
, , ,.
=r /!/
f ?f
? .
.?.i. ?ir ??_ • . ? ..
rrt x : '
eic. i14 ` ? ' • : ?
_V,?tr '
G. 13 V ? ?
.
i
I • ? ?
i }. ? J •
? . . < <. f
• ? ? ' ?
i-
?i?rCC: 1u41?:at ty ,?:, t „niuc? dco?h nnd,
^?'?, . roor/cexLZ.?c . •
Construction R-Valuc '
rs?
Intcrior air film . 0.61
?
2. t3 G ?f ?3U . S-?
3. 1nJSuL. . 44.OZ?
;' Extcrior air filn (still) O.?il
Y--? Tot? 2 4sgo
oZ ?
. . . ??%?? . .. - . ?_ ? . .
pcurm s: ' . .
L'eaC flov ? 1_ Interiornir -fi.lm _ 0.61
:?'?ted
up Z-
I - • 8 s
. a. ? ? IJ,(SyL _ 3 , 3
' ? • Q. :_Xtnt-1:?_Pi1" t-_LR (SC.,11 .b
. ? ? . - -Tot3l
2 - qo.1S
cs? • .
. . . . . , . . U - ozq?.
' ? ? ^ • C a.t- 9rR ?
,,,c...,-.-.-.,,c•,..1-:"?.i?-..J?__?_.a?c'1? yl ? 1- Snsidc air film 0.61 . ...?--1'• . 2 _ ' ' . .
?
3. • .
, • 4"
;?` I ' S_ Qutsidc air. £ilcn 0,17
?9 ?I 2ota1
? • ?a ? 3 ?- . ? i_ 'Znside a1Y filcn 0:51 .
r 2. .
P • ? . •
flov up • , ? j-vented 3-
; Yecr
. 4_
$_ Outsidc iir film 0.17
. ..FIG_ i6 ... • ?. ?-. . : : . Total ,
Ynsidc air film .: . . • - 0.61
2-
. • ' • ? D.??r.J?+S? _?' • . - .
3-
?1'1???4? :?' ?.: :. ; • ti ?i•?:1?.^ L'-,?-?: :.. ..'?' .' _. ? ? ?1 4 .
?, .??_.' .... ..:'- ?';-.• '''?i --? . r Cut?idc. air, film 0.17
. ????r ??y?'??? . l • . .. . TOta1'
? Lf ? \ L? •? ? : ? %i/ ' ' : .
. . .?? . . • . •
Y:o _tc: Use additional sheets if more rpaco i_
"- „ '?• needed for details and calculatians.
? . NenL ' ' ' • '
- . , • flov up . - . ' ?
, ? • . .. _ . .
r. Y r?r? ???i?1???
? af 1?1 . 1:?? ?lFt? ?
_. U n j?t ??r {'IiA??UR w,?ll nrcn for
? ?+ r,ont?lruct.lvn Ccm:.lrnrlinn 1-V.llu }.
?rtim? __,._.. ........ --•-- ??-".
r , . i . f ?,i • - ? a r r ".
?roIt .
• ?_ •?'? , "?' -rCIFr- .$LoGVL gi"M,N'...
rr
I ? . , ^ ' r-0 • 5. ?r4E._.?1Gk? _ .--- . _ ..,_Ll ?.: ,.
SIC li ?.? •"? .? G. ?.>:li.;?"r ?li ftLu ? V.17
? __ _. . ... . ......__.
,
? s
F1G.?:61 ' 1YiPVSf19 CF
?..: ?F;lAflk WALL?? 1. TnCrrint zte 'iim f}.G71 ?? '?>''?
3 SI
. ------°'-
i . Z ?
I ' I i I . . ? ? • .? . .. .. ?... . . .. ... ?.?.?. ..
` i ? ?! ? ? • Y. _?_ ? . _ ._.. . . -?G
FTC h02
? 4 t
j
J?'r ' • ?-.'
rl .
069
: ?i ? 2. - • - ? ++4 ?'!J?_
.?. ?
' .?._ .
? ?:z 5 • _.._.... _. ?... ?-?s ? ?a:
6. tyx[crlor nLr _film?
'ioCa l ' -
? . ?' ' ? .?? ? •}?? ? --«._??l' , ' I ?
r
? :?1??-a--?? µ ?. ..? ? 1 [ntmioi tI? fIl•?.? O.Gri
:u ZCII :' . , A ,,,,,?. ----' 1 `\ 2' -- ----- -- - . . . . --'- - ? - - - -.. . . ' a•- r kt.?' e.??;.
,y ll • . -_'_'C7 ` a s • _. . _ -. - _ _ . _. ?' `7^? ,f
? ?-
i. / , il, , •Q. ??_-------? J • A.
. _...?.. . .?. ?.?.??... . ... . L4?:..
.1? • ? ' ???)i(?J? ? ?? _..._' __ .__'_....__.. _.._ .
. Y • ? . ? ? . ':
, ?ly In? riur I?r : i iii. ' - -^.-- 0 11
.?f,:
-?a •' J... •. . ? . --' ---- 9t>Ut1 . ?? ,.,..
. . ? ???ll?_ ???'?_ ?=?V1???? . .:.`:1,??'I?...
? ? ? ' ? ? ? ? ? • ` 4l .' .,:
? ? ^ r . • , ` ? 7 H y<'
?. `•` i? ?`r"? S k`"c
AX??r
t, h4?r4"???lryli+?i
, flf
IN
F1c;. IiA
,
?
? ?
??.il'? -. •?(In'I'L': ]ndlc.aL? tiy?-C. Y vilUi? c1CDt)t ??d4p?.:
, . 'ft .. . ? . .. ,..
PLAkA ?
Lr &je4 L FT. F-XposF-p W,4LL
,
?:uLL l
t- . . , _ ,_ '+ r
,
TZtM:' I -?,ol
S192. PT, SXi>oSEb WA LL, AR-EA
t3La?.K:', CS x , S = ? Z? 5
)C. S= ?? v
0
1&t
?
,
. -
r-uC..l.:l ?T & aC 8 - 1101
.3 _
42?
,.
;
? W DwS
24I341Lo cip ?
;? . 7 .
?
ZoGa- ? ?
. a
F-1CP05E7--D GE! L(Uq
1?
3r,o
'S5
'Z, S
?k.,
????
. ,: _.?,:
?.? ?
? ?
;
tvito
DooeS 1:?
?ATI o Dfz.S ,
tet(44 Zl - . ? . -
? ?.
.;.
.. _;
tzs .
Ta7-AL.. 1 ico4i 5
I S1G'tl,M
SURVEYONG
SERViGES
? 3908 Sibley Memorial Highway
Eagan. Minnesota 55122
Phone: (612) 452-3077
?
-N-
?
yGALE ; 4d
'(--)T ?Sp
NI
N'.
"?. I
?o.o ? ? nyaso ? i
iok
D '
i
,
?o k905,p
j-?
-- ?
?fC DR?2A?NAC?E
, ?EUllr!i?Y
~ Or?.
t
?, °D?i U F-as
L
I?
`N
.'
N 51 ?
WAYNE D.
CORDES
- 14675 -
-LFGEND-
0 Llenates Iron Monunent
p (knates Woa1 Hub Set
x 9os.o Denotes Existirg Spot Elevation
(x sKa?N) Denotes ProposEd Spot Elevation
_- --- Denotes Drainage Direction
-PfiOPEKlY OESCRIPfI(XV-
LOT 5 , 6LGCN _&
I.EXINF'jON PLW-eGiOU'TN
acrordirg to tie recorded plat thereof,
Minnesota
Nouse
Certlficote For:
Fruntler Midwest
Corporotion
MoDEI.. % F{RR'TFoRi)
I
? N
GC7?0t,
-s?-
,y .3p--
44. ,. 7 6 .
%
3
f'
N.
N'
es
O,
I
PROPOSED GARAGE FLOOR ELEVATION = 90 4J
PROPOSED Top of Slock ELEVAlION= 90510
PROPOSED BASEMENI FLOOR ELEVATION = 902.0
NOTE: Yerrfy all flaw- heiqhts with Final House Plans.
suWEM r,ERrrFrcariarr-
! hereby certify that this survey, plan or report
was p'epared by me or urder my direct supervision
aro rr,at r am a du/y Regrstered Lard Surveyor
uMer the laws ot the'State of Yinnesota.
? rw? Date: /ZG196,
Wayne J. Cordes, Minn. Reg. No. 14575
+ . 2/84
?
CITY OF EAGAN
APPLICATIDN FOR PERNIIT
SEWER AND/OR WATER CQNNECTIODI
(PLEASE PRINi)
1) PP.OPIItTY ACDRrSS: 3(abng CL/G ? _
r.Fr'+L DESc.D.I'mCV:
(Z0t/Sl0ck/SL:divi cn or Tax Parcel I.D. NL:.,ber)
= 7'r' S?M.L'C^'TcF-, DATE 0F CcZ_TGi,,?i, ZS
P°EESc :^ C'S: a R-1 Sz= .°?^--%+SLY .
O R-2 nuP= (Tc0 LL\ILiS)
? R-3 2t7.,:1'FCJSE ('?'= + L':ITS) I?'^)
W
? Y'4
[-fC>tC?''_?
.T
?C
C
:'-Dll•1TTIlT:.'1.1 \ ?T?
U
avl_j)
/?
?m
?
r
? CCS??'SE'C! AI./ ?.?.:.,?L,/OFFIG
? ???s?-z?z
a INsTZ T-.TIo.iAL/cc=R?-,,T-%r
z) APPLIG=iv"I' (PLEqSE pR141)
N7V•1E: Frontier Midwest Homes Corporation
ACDRESS: _3908 Sibley Memorial Hw . Bldg. E
CIT'_', STATE, ZLp; Eaqan, MN. 55122 -
PHC`E: 454-0433
3) pamEv (PLEASE PRINi) FOR CITY IJSE DHLY
?1'?= Star Plumbinq
ADDRESS:
1018 Mound Springs Ter. PtUNBERS I.tC:4SE:
Cj Active
CZT1', STATE, ZIP; gloominqton, MN. 55420 Q Expired
PhOVE: waicr.
884-4149 PLUNBER LFCENSE N 3329 Q Not oi Record
' aft :nttla
4) =,pANT/ci'Z.?-m (YLEASE PRt;li)
rAME: n 15 `
AnDPEss: ? UI ?/,), ?, ? --&' 30 3
c=, sTr.zr, ziP_ ?nIP Qal),e,( 5S1cZV
Pxc*r?:
5) IINpZG'.TE ;-AlZCH PERELIT IS BEING REQUESTIZ:
? CG;INECrION 'Ib CITY SEWER Please mail gold copy to
? COCNECTZCN TC) CZTY 19ATE? Wenzel Mechanical
3600 Kennebec Dr:
? U.'iIER (PI.G'LE DFSCRIgE) Eaqan, MN. 55122
b) li:ll1C1,'.: G:::..: •
. ? P'.: %SE f?OID APPI?CNEp pg2,+1IT FOR PZ
C:-L'P BY C:IE OF ABGVE
? °L:-Sc
APP:?JID ?
PEF?•1IT TJ 1, (2/ 3, 4 ABCJ?IE
^
n
? i (CirL?e one) .
7) Si(M=UxE:
A.
aa?':
M! ?! q?f1?16A ? Y? 2t li???l!! S I:R ii ir#? ? i f YFiii:a s!!l.yly? ? 1? !! ??iai?
F O R C I T Y U S E O N L Y
PE4-MIT " ISSUED
S
S
$
$
$
$
$
S
$
S
$
$
$ .
$
S
S?:•:L° -°?p°?r? II,IC??yiL JUP.Czi1RGLJ
wATEa PZRrt?: (zLrcLUDE SuRCHARGa)
WAT°R METER/CDPPERHORN/OUTSID° REnu-'.R
WATER TAP (INCLUDE CORPORATZON STOP)
S::JER TAP
ACCCUNT DEPOSIT - S•7AT°_B
WAC
SPC
TRliVK [VATER ASSESS2+.:.1T
TRliVK SEWER aSSESS::E`IT
Lr1TEP.AL BENEFIT/T3U^IK SEP7ER
LATERaL BENEFIT/TRLI:v'K :JATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
$
AMOGTNT PAIDjYEC°I?T ilr
DOES UTILITY CONNECTION REQUIRE EXC?VATION IN PUBLIC RIGHT OF WAY?
G YES IF YES, THEN A"PERMIT FOR `r70RK WITHIN
PUSLIC ROADWAY" MUST BE ZSSliED BY THE
NO ENGZNEERING DZVISZON. LIST AS A CONDI-
_. TION.
SUEJECT TO THE FOLLOSJING CONDITIONS:
APPROVED BY;
TZTLE:
DAT°_:
.
r. ?.,. ....
, .n.. _._. ,?. .... . ?„ .e. .
.IGNiA
$URVEVING
? sEAVicEs
3908 Sibley Memoiia111ighway
Eayan. Minnesota 55722
Phone: 1612) 452-3077
t0?? ? X9US.O?i
. .
1?' S?
? _._. ? /
P:O ?
=a? ?r R=10 'zo-?
.
,?? I
0
4k
? ?pn
?
04
7.
?
Jo / ?
,- ;-
.J
?
? ?
's
?..?ppEL : fIARTFaRU
`
?
?
n
-'?c.pAwA6E S
N
Q"
N
N
I .?:. ? uumnuu i,
l ES p°p
?t
WP.YWE D.'.
-- _. ?-? I, 4-2
N v°I ° ?o' Olo"V?I = wlir)Es
14675 --
-LND-- .
O fknoles lrai Mawneni
a DenoJes Wocrl IIuG Set
„905; .0 [knotes Existirg Spof Ele%afror)
Denofes
1 Pr nposerl Spo! E levaf fOri
(? sNoW„
--_
Denotes Diainaye Directran
?
-Pfi0PER1Y DESCR I Pf I (N- .
LOT"5_.EiLQ:K ?
l-EXINc??ON
acrordirc? t? the recaded plaf fhereol
pp,?UTP Coun?y. Mir?fiesota
House •
Certlficate For :
Frontfer Midwest
Corporotlon
PROPOSED GARAGE FLOOR ELEVAifON= 9o'l-"
905,0
pROPOSEG Top o( Block ELEVAIION= 02 ?
PROPOSED BASEIiENT FLOOR ELEVA(ION= 9
NOiE: Veri(y all floor heights with Final House Pians.
-w pyEypR,S CEf7T I F I CAT I ON -
ti( fhat this su?vey, plan or reporf
1 herebycer y direct supervisiU'?
was {xePared by me or urder my
dn/ lhat 1 am a duly Registered Lard Surveyor
under tfe laws o/ the State of Yinnesota.
l1n?? ? ?es --
-?---
. _t_..??, yi' Oate: -Y u
Wayre . Cordes, Yinn. Rag. No. 14675 /
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: -Z r�
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (0-/T /62 Site Address 76. Unit #
Resident/
Owner Address / City / Zip: )6 (e,,)--&-7 c,J1( �g� 5$'/J `3
Name: /4-11a6"',ems- Lei /r/C ()( 5
Phone:
Type of Work
Contractor
> Applicant is:
Owner V Contractor
Description of work:
Construction Cost: % 5—o O =�
Multi -Family Building: (Yes / No P )
Company: .2/7'91 Contact: / ( /& � Ste/ Z %6,- %G ?Y1
CCity: C iJ
it .-,.e
Address: 77,11 Gj f,,/'-r°4i /,fie
State: '797?j Zip: 55'/)._3 Phone: 657'-2?( Y Email: %re v 3 c? 520,, /. ea
License #: �)( 6,6, 7 7? / Lead Certificate #: 27A ?//./C�, 7 2' 6,- i
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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.ciopherstateonecall.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 Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143262
Date Issued:06/08/2017
Permit Category:ePermit
Site Address: 3688 Falcon Way
Lot:5 Block: 8 Addition: Lexington Place South
PID:10-45060-08-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kyle Pak
3688 Falcon Way
Eagan MN 55123
(612) 239-6165
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature