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3695 Falcon Way PERMIT # a ? - J ' ` • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3/ 10/ 86 3830 PILO T KNDB ROAD, EAGAN, MN 55121 DATE: CONTRACT PR ICE $17Q0.00 PHONE: 454-8100 5ite Address a con a ' TYPE WORK DESCRIPTION LDG Lot S Block 9 Sec/Sub_ . XXX xxx m Name Wenzel Mechanical ' Res, New Add m Address FO Kennebec Drive -on Muft c City Eagan Phone 452- 1665 Comm. Repair Other Name Frontier Compaiiiea FEES ? c Address 3608 Sibley Memorial Hwy. FiES. HVAC 0-100 M BTU -$24.00 ? 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 GAS OUTLETS - 1.50 EA. Forced Air 80,000 M BTU 24 •00 COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE: 24.0 • 50 SIGNATURE OF PERMITTEE S/C: roTaL ?24.50 1 FOR: CITY OF EAGAN , CITY OF EAGAN A ?- ?•n 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 11 `?' ?? ' PHONE: 454-8100 BUILDING PERMIT Receipt # 7o be used tor SF DWG/GAR Est value $64,,000 Date FEBR[IARY 3 , tg -B-k 5ite Address 3695 FALCOt3 WAY Erect Llc Occupancy !l3 Lot 5 elock 9 Sec/Sub. LEX I[vGTOiv YL $ODmodel ? Zonina fil Parcel No. Repair ? Type of Const v Addition ? No. Stories ¢ Name F?}ZONTIcR Iw1Ii?WEST HOI?l"'.S Move ? Length 40 W ?E Demolish ? Depth 44 3 Address 390t3 SIB MEN, HWY Int. Impr. ? Sq. Fr 0 Ciry RA%AN Phone 4.54- 0 4 3 3 Install ? o Name y?E APP? = OU Address Assessment _ ~ City Phone Water 8 Sew. c~i? W W RICHARD CHARLIER Name Police Fir 14 0 GARD£NVIEW CT e ?? Address Eng. 432-5492 t? V i W City ' ' Phone Planner VVUIIt+II I hereby acknowledge that I have read this application and state that the gldg. Off. 1/ 31 / 81 iRformation is correct and agree to comply with all applicable State of Minnesota Statutes and C'ry o( E n Or¢eriance,$.-' ?'_) APC . , ? - ; Var. Date Signature ot Permittee 4:f= FkONTIER^lIUWEST HOMES A Building Permit is issued to: all work shall be done in accordance with all applicable State oi Minnesota Sta Permit $ 325.00 Surcharge 32.00 w 162.50 Pl R i an ev e SAC 575.00? Water Conn. SQO . 00 Water Meter 63 . 50 1 Road Unit 290.00 Tr. PI. Parks 156.00 , Copies T o t a l $ ? 2.10 4. U 0!. on the express condition that City oi Eagan Ordinances. I - I PwmR No. I PermH Holder I DaM I Tdephons N 1 6 1 ry Plbg. Htg. Plbg. Final Occ. Dlsp. wm PERMIT # 2y o0 CITY OF EAGAN FEE PLUMBING PERMIT O RECEIPT # . J 454-8100 S/C ` u MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res Comm Inst 2. New ' Add Alter Repa+r 3. Totel Bid Price 3695 4, Job Address L ? Bl t k?S r'"ont=er :1Iidwset o oc e c 5. Owner 6. Contractor : 1 Iecn. 36-00 i:ni-alr?ot?r: Engan 551?", ? { (Neme) - r (Street] (City) (2fp) 7. Contractor Phone # 4 r ? L-1r ? h ? NO. FIXTURES NO. FIXTURES NO. FIXTURES / Water Closet - $3.00 TBath Tubs -$3 00 ? Laundry Tray - $3.00 _Well - $10.00 ? Fl D i $ 50 P i Di S . / oor ra ns - 1. vate r sp yst -$10.00 Lavatory - $3.00 ! Water Heater - $1.50 ?Rough Openings w/o Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 / - Kitchen Sink - $3.00 ? Gas Piping Outiets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. RATE - 1% OF T OTAL BID PRiCE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ?L for ? Approved " I Inspections: Date Rough Insp. Date Final Insp. ? CITY OF EAGAN Remarks , Addrcion Lexington Place South Loc 5 Blk 9 Parcel 10 45060 050 09 Owner Street 3695 Falcon Way 5tate Eag an, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 1 .? _ SEWER LATERAL 101 1996 1631.00 326.20 , 14,5.87 WATERMAIN 1985 $1 13.15 5 6s WATER LATERAL 4 ! 17?4 . 6$ WATER AREA 48.74 A T-L A T--B E ?J_?0 11- 19 $ 111. 9 8 . 2 2• 3 9 S ItOF4M $EYYlTR1c- Ql?? ` 1986 426.54 _ 8 5. 3 0 $ STORMSEWLAT I pl? ?. 1986 603.34 .k6;0.66 5 CURB & GUTTER SIpEWALK STREET LIGHT 3 86 WATER CONN. 500.00 BUIIDING PER. 11495 SAC PARK CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 PERMIT NQ.: Esgan, MN 55721 DATE= ^ k p? ?1 No. of Units: ?- Zanirq: ? Oyr,ner. FrOIIiieY ISfdwest ''io:i.es Address: Site Addi Plurriber. I wm te eol? wk6 tM Cily of lysw Corxwctla, Cl+arp. 474 (}On` Owiw.neM. Atcount DeaWt: I 5. i3(2n,', Pom* Fee: 1() _ C)nW' SurcFaroe: _ 51-t-A? gy Misc. Choross: Dote of Insp.: Total= InW: Doh Pdd: PERMIT CITY OF EAGAN WATER SERVICE 3830 Pilot Knob Road pE??T NO.: P. O. Box 21199 Eagan, MN 5512DATE: Zoning: ' No. of Units: rront ier ".tidwest Owror. Addrow. 5 Lexins:ron 3. r,? - Fal P1. So. S+te Addnss: ar I'lur?., ?= '`` nical P1umber. ?n : ? ?6'7 S5?9f 500.OOpd ? - ? ? Mrt?r No.: 15 . OOpd ', o? ` s,?: ? ?? Raads No.: ?-?' if,.nopa S?pd 1?M h oo??ip Nw w Surc?+a?flst . 15 f? ...)ilnij TP N11sc. Cho?'Des: ?? _ Totol: er !/V pote Poid: B Y - Dote of Irnp.: I^5L" This repuest voitl 1 h r 3_17^ O/ K53 0 95 2 8 0 L s', (0 0 573 A /J 7 d71 enu c uaie rire No. Houpn-in InsOec?yllan ? Requve ?Ready Nuw ?W*?I Noti?y. "5000- I ? ?o tor When Ready &1icensed EIacVlcal Coniracmr I hereby reqaest inspecHOn of above ? Owner electrical work installed et: Street Address, Box or Rmte /Np' ? V V ? Citv ?J ^?? SIrMT on o. Townshi0 N2me or No. Range No. Cnunly ? Oc - nt (PRINT) - 2 n1 i iD 141 Phone Na. - o Power Su ier Address : Elac[rical Convactor (COmpanY Name) ' W's -cense No. 9 Ma ' E A a tbr? a ,ne Instailation) . 14,940 PENNOCK LANE Authorj?pYy?^iLp?u?yl?ort?a?{a?Olvlv1?r76ia l. tinnl ?? V H LL? 1 ltl Phone Number MINNESOTA STATE BOAND OF ELECTRICITY TMIS INSPECTION PEQUEST WILL NOT Griggs-Midwey Bldg. - Haom N-191 BE ACCEPTED BY THE STqiE BOAPD 1827 University Ave.. St. Paul. MN 66104 UNLESS PqOPEH INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FON ELECTRICAL INSPECTION _ p ' See insimctions tor comoleting this form on beek of vellow copv. ? "X" Below Work Coveied by This Reqaest of Building Apptianees WirW r- E6-00001-04 y'. (?0573 umant Wiren 1 I I I •I intlustrial tlltlp. 1 I Av Contlitioner ? 1 I Bulk Milk Tank 1 p Fee ServicaEntraneeSize # TFee Fxeders/SObieede,s N Fxx Circui[s 0 to 200 Am 0 to 30 Am s tn 30 Am s Above 200 Ainps 31 to 100 qmps d 31 to 100 Am J Swimmin Po Above 100-Am s Above 700_Amiri Transtormer.5 rrigation Boorc,s Partial-'Other Fee 1 Signs Speciallnspection S ? Pe TOTAL\/FEE I, tne Electrical Inspector, hereby certify that the abova inspection has been made. ThIe reQuest voi0 383? Pilot Knob R dl P.O. BoE 2G-A1 9, Eagan, MN 55121 N2 11495 PHONE: 454-8100 BUILDINGPERMIT ReceiptN ??-3(,P 7o6euaedfor SF DWG/GAR Est.Value $64,000 Date FEBRUARY 3 ,1986 SiteAddress 3695 FALCON WAY Erect 125 Occupancy R3 Lot 5 elock 9 Sec/Sub. LEXINGTON PL SOlemodel ? Zoning Rl Parcel No. Repair ? Type of Const. V Addition ? No. Stories ' a Name FRONTIER MIDWEST HOMES Move ? Length 40 z 3908 SIB MEM HWY #E Demolish ? Depth 47 . o Address Int. Impr. ? Sq. Ft. ciry EAGAN pnone 454-0433 Install ? a SAME Approvels Fees i F Name 0 a Address ? Ciry Phone G a RICHARD CHARLIER w Name _ nddress 14103 GARDENVIEW CT a W City A. V. Phone -5 I hereby acknowledge ihat I have read this application and state that the information is correct and agree to comply/with all applica e State of Minnesota Statutes and Ci gacV ? ina SignaWre of Permine FRONTIER WEST HOr AiBuilding Permit is issued to: all, work shall be done in accordance wv p able State of inne Building Official ? ?Q -- - Assessment _ Water & Sew. Police - Fire Eng. Planner- Bldg. Of(. APC Permit ' "" ' '" _ Surcharg32.00 Plan Review??. 50 SAC ? . 00 50? Water Conn. 00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156. 00 Var. Date Copies S Total 52,104.00 on the express condition that Vt4" and Ciry ot Eagan Ordinances. ? 7985 BUZLDING PERMIT APPLICAYION - CIT7f OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED ifITH iHE CITY OF EAGAN ?)TA-FFoRP COKKERCIAL SINGLE FAMILY DiiELLINGS 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 CALCULATIONS - $2,000 LANDSCAPE BOND (04lDOO To He Used For: Single Family yaluation: 64-, 10e" Date: 1-29-86 Site Address 3695 Falcon Way Lot 5 Block 9 Parcel/Sub Lexington Place South Owner Larry & Chan-hui Willwerschied Address 1435 W. Jessamine l/104 City/Zip Code St. Paul, MN Phone 645-1764 Contractor Frontier Midwest Homes Address 3908 Sibley Memorial Hwy. 11E City/Zip Code Eagan, MN 55122 Phone 454-0433 Arch./Engr. Richard Charlier Address 14103 Gardenview C[. City/Zip CodeAPPle Valley, MN 55124 Phone ll 432-5492 Erect k Remodel ^ Repair Addition ' Move ? Demolish ? Int.Impr. Install ' 6PPROYALS Occupancy Zoning Type of Const 11 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 +-3 T- Treatment P1 APC Parks Variance Copies TOTAL ? d?7 • _ V 1 Y •`. ' ' . EX7, R10R EiJt'[LOPC ARnGf COrsiuTfl,lON ?- J -- - - - hl C' w?^J . ,,,:i,? i,,.? OWt1E P,: ---- -- I;,'?71 SITE IIDDRESS: f'IiONc: CON7RACTOR: Cetermine working square foctage of each 1. Total exposed wall area..... I !)(cA, S sq. ft. x .11 = QI 2. Total roof/ceiliny area ..... 101(a _sy. ft, x.G2G = Total exposed wall arca al,ove ilnor= a. Total wall window area ............... ............... ............. I? J b. Total door area ............... _ c Tot l ................ ...... iidi l ............. ? Z . t s n9 g ass door arci ' d Total fi l ll ............ 4 7 - , ace wa rep area ............. .............. ........... q e Total ll f i .. . wa ram ng area (average lOm) ............... ....... S otal ri i t . ..... . m jo s area ................. 9 net ... ......... w ll b 4 ' ............. -L O . a area a ove floor...Z`A , , Cc't?c T? ;;!. h• wall area above floor..................... _? fL i ... wa11 6 ............. • area a ove floor ...................... 7 frame .. wall r .... ......... , . area at ounciatior ...................... ............. Total expcsed foundation area= ? -Z:) k. Total foundation window area ........... l. Total ............ net foundation area above 9rade .............. Determine " u " value of each wa ll s?gric nt (e.g. windovr, door, each separatc ?-+al I seciion) ? a• I ZS _ X "U"_ . b. q? a,u,l 45 . C. -? Z x u„ . - d. q g a „u?? ??0,a s X 'lu„ .05 -- ? f. 1-2o x ,lul, 3 x„?„ . h, x „u., - .i, x „U„ _ . ?, x „u„ r• X "U" If item #3 is the'same as, or less than'item ? S x , you have met,.ttie?%} 75 intent of SBC,.60067<(c) _.. ??r. . :nvelopc Avcr;qc "L"' Co;npuCnt:ion Tota1 cxpo:;ed root/cciling arcE _ I C)l (O Pngo 'l o: ? m. 'lbtul s}:yli.qht area ............................ '... n. Total roof/cciling framing arca (avcrayc lOF.).... C)f4,_Co o. Total net insulated rooL/cciling area.... ....... i • Determine "U" value for each roof/ceiling segment ? M. - X ..Li„ n, ? C)(,Cp a„U„ ,C)z A-- 2, 4 g o- x "U„ , 07 4 ........................... 7bta1 5 Ii total of ;,4 is the same as, or less t:han i12, you have meL• the inCent of SriC 60J6 (c) 1. Alternate Buildinq Envel.one Desiqn ib ut.ilize tne total envelope 'system metiiod, tne valu°s estzblishecl by tlte s;un of i_tems 0 and r;4 shall not be greater than the sum of items i;1 and 112. 1. 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MYt11110 10 Yli Y?l . 4f ?OTFO soGOwA suAVevING SEIaVICEB 3908 Sibley Memorial Highway Eagan. Minnesota 55122 Phone: 1612) 452-3077 - N- N 5CAL8: 1 e-¢O? SE LERTIFICATE rOR: , NOMEBW, Id.4b oft LAND UkVt..JPlNS 111111111116 MF aL i(114j IER COMPAN1ES NS?1°5`1`5???? , ? -I _xaa0.o_ DRAJIJACaE S `lPrti.rfY'EO;SM qo34 ? .4 ? ? vl7 '!' l/j _Or ? 00 ? O I I .? 9o4,g r ? N u.-w r = fqo6.41 Y ? Q e ? V, Q ? MD?EL'•5?AFFoRc i.C7Y 4 ? ? 51' Si i.4 ?, L-GOtiI -:=--=- _LEGEND' 0 lknotes Irai Morwrteht ° Llenote5 Woad HLb Set 004,4 lknotes Existirg Spot Elevation 044 "NL@notes ProposEd S/wt Elevation ,,---- Genotes Dra i nage D i rx t i on -PAOPEKIY AESCRIPfIpV- LOT 5 BLLL'K q Lex I rJ Gi TON PL1? 4ZoU-f F# accordirg to fhe recordEd plaf thereof, County, Minraesota V+iAYNc D. LORi3ES - i4675 - ?sg"-'»``?'j'PROPOSED GARAGE FLOOR ELEVATION= 90L4 PfOPOSED Top of 8lock ELEVATION = PROPOSED BASfAIENT FLOOR ELEVATlON= 03. 1 W0 NOTE: Verify all floor heights with Final House Plans. SUIdCM CERT I FICAT ICN- I hereby certity ihat.thrs survey, plan or report was prepared by +re or ixider my d i rec t superv i s i ar ard that 1 am a duly Registered Larrl Surveyor urder fhe laws ot the State ot Yinnesota. . Date: lz-7 `X' Wayre D. Cordes, Minn. Reg. No. 14575 ! C, z/aa CITY Or EAGAN aP-°I-1CATZON FOR PERUMIT SEWER AND/OR WrITER CONNECTION (PLEASE PRIHT) PPCD--'`? AcDpES5= 3695 Falcoii Wa TFr=,L D:iG?.2?T?CV: 5 / 9 r... • tn -a Soiirh ?l- (Lo n . tBlcck/S,?r.ivisicn or Ta: Parcei I,D. ?]?;,?er) ; 17-..i1'•__.ls J'11?.L=".4`., u'AT QF CtCT=? P_" CI R-2 B*.1PT_'.:; (7•:0 U:IZ-S) ? ?-3 ;C%.??rv_rcr (_._._._. L. mr?-- L -, II;S) ( ? L'.II":'S ? `-4 Ai:.;.^„z-.,T/CC_:DC:,ir=?.i ( UiiZT7) ? p T,s;z 2) (vLEAsE FRtV) 1'0='IE: Frontier Midwest Homes Corporation ADDR=SS. 3908 Sibley Memorial Hwy. Bldg. E S=7T=, ZIP- Eaqan, MN. 55122 • 454-0433 3) P=i? (PLE;.SE PRINTj faR CITY IJSE O 4LY NAME: . Star Plumbinq , PDD?,ESS: 1018 Mound Springs Ter. PLU N.BERS lICE45E: C Active CITY, STA:'E, ZI?: Bloominqton, MN. 55420 0 ExPired PF:O_dE: H?i?r. 884-4149 PLUMBEF LF[EUSE N 3329 Not af Record • aSEr= ;n,ci„ 1.7?,?_ Larry & Chan-h?uiLWillwerschied ADDRESS: _3435 la-qgn"ino Jb10 CZ?"!, STATE, ZIP; St. Paul,MN PfiO.`IE: H??S-?7H5 5) 12dpI= :VHICH PER-lIT IS BEING RFT;UESTM; ? Qc-NNECiIO:v 'Ib CITY Sti7rFR Please mail gold copy to xy CCNtIE(7IIC:I i17 CITY WATER Wenzel Mechanical 3600 Kennebec Dr. ? ?72 (PI.L,-,SE DFSC.'PSEE) Eaaan. MN. 55122 o) u:s• ? PT-,?r.,'%SE 1?OLD nPFRCVE?J PERm.IT FOR PIGR-UP BY C:VE OF AEGVE ?°T ='?E :•'-??Y^°iV?".J PE1-7'-1IT TJ l,v? 3. 4 ABOVE (Ci??Se one) 7J. ?; , 0 R C I T Y FJ.^,1_"jm Y T$jUE'.] :rE$: $ /'i 'J-z-) $ $ $ S $ IS C- U $ SLGL: $ $ $ S ? $ $ ?-, ? •cJ ?i S $ $ ?/S .S` Gr-v U S E ON;,Y SL.:':LD TJr7l1TT SLaC::etRGG) WATE7. PEiLn1IT (2`:CLi;DE SuRC.°.ARGc',) WATER METER/COPPE.°.HOP.N/OIJTSIDE REi;CE^ S^iATE° TAP (INCLUDE COR?ORATIO:I S'_"0?.) S: WER Tz? •--.,?'i:_:_ ?.._ ?S=_ - 0=:.?3 ACC^vliDIT DFPOSZT - PJATE3 WAC SP.C T3tiVK S4ATEn ASSESS:IE:,T TRLCZK SL:':ER _iSSE;j::E.`iT Li+;EP_?,L BEidEFIT/T3liVK SESd:: LaTER1,1, BENEFZT/TRli.`1K WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL P.IMOL'NT Pr'II7jREC°I?T n DO: S UTILZTY CON:IECTION REQUZP.E EXCAVATZON I:1 PUSLIC RIGHT OF jdAY? YES IF YES, THE:] n"PE?RMIT FOR 'AOR?: WITHIN PUBLIC ROADWAY" MUST BE ISSliE? BY THE Cj NO ENGINEERIDIG DZVISION. LIST AS A CONDI- TION. SUEJ£CT TO THE FOLLOWING CONDITIONS: APPP.OVED BY: TIT:,E: DAT_° : ?@ OA iiY o? s 3al akA m!m @II ?bW G4.AY 04 O iV Fli OR/? R+? Ok?61 R??4 YFf? P!o ?4 \ Dl W J? A+t i?? D! bR7 ?1 a PERMIT City of Eagan Permit Type:Building Permit Number:EA139188 Date Issued:10/12/2016 Permit Category:ePermit Site Address: 3695 Falcon Way Lot:5 Block: 9 Addition: Lexington Place South PID:10-45060-09-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian J Gray 3695 Falcon Way Eagan MN 55123 Gene's Of Apple Valley Construction Inc 17660 Kettering Tr Lakeville MN 55044 (952) 892-0060 Applicant/Permitee: Signature Issued By: Signature A A 1 For Office Use '5'7 ,�` . , ,�, Nrcf *JLL)gr :::: / ,„ , ., /Mt : / Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionse,cityofeaoan.com L 20 8 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ` frJ ) i Site Address: . li,/'C. ) ' f-1 ii l tv LAJ '`%`1 Tenant: ''�, Suite#: Resident/�lAi#1 r Name: 1 i Y c � �F Phone: '')2-I,,.JCI c-�' 1 Address/City!Zip:*'3'I ',c. I! w �i',Lib 11/4.'1 Name:,)�i h i� L License#: i•' C _ `1 :.....) , ,.....,.,,,,„,,„„_ ,...,,,,,,., ... , „ /, , , , .. „, ,, ,, . .. „ , _ ,..... Address: ;}� �� ) City: 'i Yd;-t- State:..„uginiracturr, , ) I Zip:,�':d� � ) / Phone: a,..t"' ) L.A. - . fi. Contact: ,Y'1 L Email: ,✓l! ice'1 0- r171-r ► (cni T _New X Replacement —Repair Rebuild Modify Space _Work in R.O.W. ¢ I .Ce eFr)fr -bov a,.` t'41.4 ' UAe,"t Description of work: r / ' RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/ PVB) Septic System Add Plumbing Fixtures( Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) ‘00 $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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. vww.gopnerstateonecatl.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at rvww.citvofeagan.com/subscribe. 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. X AL ,1'F x j Applicant's Printed Name Applicant's na i FAIR OFFIt U: R *lew BYE , 3� t , 7 Y � �.e `� St 4 9 � � 7. Required=Ins0lons: U44:4A0 ii Rough-in Air Test , as TIS F z Meter Related Items: 'Meter Size:.,.;L ,:;!4400:0401n, :.Manom PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161885 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 3695 Falcon Way Lot:5 Block: 9 Addition: Lexington Place South PID:10-45060-09-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Grant C Bednar 3695 Falcon Way Eagan MN 55123 (303) 819-0023 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161885 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 3695 Falcon Way Lot:5 Block: 9 Addition: Lexington Place South PID:10-45060-09-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Grant C Bednar 3695 Falcon Way Eagan MN 55123 (303) 819-0023 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature