3712 Falcon Way?
MECHANICAL PERMIT PERMIT #
RECEIPT # ` U
CITY OF EAGAN
I 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sup New
R
es.
Mult Add-on
Name ?
?o Address Comm. Repair
?
c City Phone Other
?
Name FEES
RES
HVAC 0-100 M BTU - $24
00
.
.
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone ' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
-
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
? Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
? Unft Heater M BTU REMODELS - 12.00
? Air Cond. M BTU t MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
? Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
! Gas Piping Outlets # BEYOND $1,000)
; Other $
f FEE:
v
S/C:
' SIC?D?
EE
yr
TOTAL• '•?? FOR: CITY OF EAGAN .
y/,
BUlLDING PERMIT
CITY OF EAGAN ?
3d, P.O. Box 21-199, Eagan, MN 55121'-? t€,??,rw'
PHONE 454-8100
115??
, rseceip? s
To be used for ?r LY1ii?t:iU{ Est Value $68,000 Oate MARCli 11 19 .'3b
Site Address
Lot I I Block 3712 FAI'C-UN wtiY
LEX I N<iTO
h Sec/Sub Erect ?
IV PI, S9emodel ? Occupancy
Zoning Rl
Parcel No . Repair ? Type of Const V
. Addition ? No. Stories
¢ Name VRONTIER r9113brES'' HOl:E S CORPMove ? l.ength 4 v
z
o
Address 3908 SIBLEY t'?F.I?SOP,IAI., iiPdY Demolish ?
I
I
t
? Depth 4s?
S
Ft
City 3;A
t;A1 phone 954-0433 mpr.
n
.
Install ? .
q.
a
OV
U-9
Q
?
W W
F„ W
U?
?
iW _
Name Srlili?: Approvab
Address Assessment
1 hereby acknowiedge that I have read this application and state thatthe
information is correci and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Water 8 Sew.
Police
Fire
Planner
Bldg.
Fses
Permit $ 337.00
5urcharge 34.50
Plan Review 168 ti 50
sAC 575,00
Water Conn. 500 . U U
Water Meter 63.50
Road Unit 2 9 0.{} ()
Tr. PI. 156 . UU
Var. Date I Co ies??-?-??
TnfPl Y?'f/iL9rJ:;
A Building Permit is issued to: rRO1J`L :a ;;, Z'•?:[ DVO:;; q' HOrIL:i
ail work shall be done in accordance with all applicable State of Minnesota StaYute
on the express condition that
and City of Eagan Ordinances.
Buiiding
1 Ipmm go. I Permit Holds? I DaW I TOsph- M I
s
M9•
Dbp.
. w
.. . ?
CONTRACT PRICE:
Site Address 371
Lot 11 Block
PERMIT # 6
MECHANICAL PERMR RECEIPT # / S? ?
CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55121 DATE: 415186
PHONE: 454-8100
TYPE
? Name Wenzel riecnanicat
?o Address 3600 Kennebec Drive
c City Eagan Phone 452-1565
Name _
c Address
p CitY -
TYPE OF WORK
Forced Air
Boiler
Air Cond.
Vent .
Gas Piping OudeLs #
Other
80.0 OQAgTU 2? 4. 00
M BTU
M 8TU $-
M BTU $
$
CFM $
?-
?
FEE: 24.00
SiC: .50
$?4.5
TOTAL:
Res. XX
Muit
Comm.
Other
WORK DESCRIPTION
New XX
Add-on _
Repair _
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAI. 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 195 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
. MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - :50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
r •
PERMIT # CITY OF EAGAN FEE -3? • ??'
,l
6z, ? PLUMBING PERMIT
sv
•
RECEIPT #
U 454-8100 S/C
'
Q MINIMUM RESIDENTIAL FEE - $10.00 + $.50
? TOTAL
DATE -
? MINIMUM COMMERCIAL FEE - $20.00 + 5.50
1. Bldg. Type: Res X Comm Inst 2. New ._._d? Add Alter Repair
3. Total Bid Price 4. Job Address 371-)
t
L
B
? O
-L!
o
lock
Sec 5.
wner
6. Contractor
•
(Name)
7. Contractor Phone # 4 5 L-1 (SVeey
5 U ? (City) (Zfp)
NO. FIXTURES NO. FIXTURES NO. FIXTURES
Water Closet - $3.00
? ? Laundry Tray - $3,00 - Well - $10.00
Bath Tubs -$3.00
= --L-Floor Drains -$1.50
? Private Disp Syst -$10.00
Lavatory - $3.00 ! Water Heater - $1.50 Rough Openings w/o
? Shower - $3.00 Whiripool - $3.00
T Fixtures - $1.50
! Kitchen Sink -$3.00 Gas Piping Outiets -$1.50
-UrinallBidet - $3.00 _Softener - $5.00
COMM.IIND: RATE - 1% OF TOTAL BID PRICE PLUS $•SO STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
'
C
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks
Aadition _ Lexington Place South Lat 11 Rik 8 Parcel 10 45060 110 08
owr,er streec _ 3712 Falcon Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEW TRUNK / 1985 247.64 16.51 1 i
b-
SEWERLATERAL 101 1986 1631.00 326.20 5
Services 1011; 1986 729.39 145.87 5
WATERMAIN ZJ7 1985 65.81 13.15 ?S o
WATER LATERAL 101 1986 873.43 - I74.68 5
WATERAREA 1014- 1986 243.73 ' 48.74 5
WAT LAT BEN 101_ 1986 111.98 • 22.39 5
STORMSEWTRK 101`1 1986 426.54 .85_.30 S
STORMSEW LAT 1016 1986 803 .34 1
60. 66 5
-
- - - ,
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN SEWER SERVECE PER?R
3830 Pilot Knob Road p?IT NO.:
P. O. Box 21799 D^TE-
, Eagan, MN 55121 Na Of
uTMts;
; ZaninO:
` Ownsr: -?
/lddrcss: "
Site /lddross:
Plumber:
Connsctl°n Chotge?
1 heN ta pw0?lr wi11? 1M ?, 'M"
QrdiMnon•
By -1
Date of InsP.:
Accounf Depoair s-
Pannit F":
Surrharps:
Misc. Cha?Oss:
Tdai: -
pate Paid:
V ? ITY OF EAGAN WATER SERVICE PERMIT
Pitot Knob Road pERMIT NO.:
. O. Box 21199 .. - : .,
agan, MN 55121 DATE:
???: ' No. of Units:
':"rus?tier ?-# uwest
ipwner:
Address: -
Site Address:
Plumber. ?
Meter No.: ,.
Size: qf ? r
1 Geew !o aemplq whb tM
OlaNwOM.
? ?• P
DOtE Of I nSp.: ? r say..
. 0, 1 7- t6
3??I?I=1.rrr_??
BUILDING PERMIT APPLICATION
k4 S??- c7 3830 PILOT KNOB RD - 55122
? 651-681-4675
New ConsWction Reouiremanta RemodellReoair Reauirements
• 3 registered site surveys shawing sq, ft. of lat sq. R of house; and all roafed areas • 2 copies af plan
(20% maximum lot coverage allowed) . i sel ol Energy CalwlaUans Por heated additions
• 2 copies of plan showirg Ceam & window s¢es; pou2d (ound design, ek.) • 1 s@e survey for exterior add'N'ons & decks
• 1 set of Energy Calculations . IMicate H Irome served by septic system kr additiore
• 3 copies of Tree Preservation Plan if lol platted after 1/7/93
• Rim Joist DetaJ Options selection sheet (bldgs with 3 or less unifs)
DATE
JOB SITE ADDRESS_
IF MULTI-FAMILY BUILDI
PROPERTY OWNER
TYPE OF WORK ?
APPLICAP
ADDRESS
PAGER #
3 7l
VALUATION 13 ?
HO MANY UNITS? "
?
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CA'TEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculatlons Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Gontractor:
Mechanical System Includes:
Sewer/Water Confractor:
_ Air Conditioning
_ Heat Recovery System
All above information must be submitted prfor to processing of application.
Fee: $90.00
CODE
Fee: $70.00
- ?i
?
I hereby acknowledge that I have read this application, state that the information isl8oaect, and ?ree ply
with all applicable State of Minnesota Statutes and City of Eagan Or
SlgnatureofApplicant ?i
CELL PHONE #
_ Water 3oftener _
_ Water Heater _
_ No. of Baths
Phone
Lawn Sprinkler
No. of R.I. Baths
FIREPLACE(S) _ 0 _ 1 _ 2
?Y YS?s
PHONE#
Phone #
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1lOt
flEQUEST FOR ELECTRICAL INSPECTION jVItI4 EB•00001-04
'0 See instructiens for campleting this lorm on baek af yellow copy. /07 1 L
""R" " Below Work Covered by 7his Request
C _ 5659 ? ° ?l r
F J Xeo. Type ot Builtline Apolionces Wired Equiament Wired
Home Range Temporary Service '
Duplax Water Heater ?yhtin, Fixtures
Apt. Building D yer Electric Heatin
Commercial Bldg. umace Silo Unloader.
Industrial BIAg. . Air Conditioner Bulk Milk Tank
Farm Other peu v ihe, ISm>cilvl
1 er Uecity {her Other
Compute Inspectran Fee Belaw
p Fee ServiroEnhan<eSixe n Fee Fexders/Subleatlers N Fee Circuits
U to 200 qm s 0 to 30 Am s 0 0• 0 0 to 30 Am
Above 200 qmps 31 to 100 Amps 31 to 700 Am S
Swimmin Pool Above 700-Am s e-D
Above 100-Amps
Transtormers Irrigation Booms PartiaL?Other Fee
Signs $peciai hispection S
TOT
flerrerks A E A?
Noogh-in
Final Da(te
44?e ?, 'he lacbi
Inspec ereby
certity that the abova
inspection has been
meda.
Thk requeat voiC 18 monltu Irom
c...o,t.sf5659 Z-ll, ?Q?PJ,,?
Rgqy? st Uate ?
% / e ? ? ?J
? Fire No. Rough-in Insu tion
Requira ?
?Reatly Now ? N0tity InsDeC-
V
T es ?No lor When Ready
@9<--censed Electrical CaiVattor I hareby repuest inspaccon oi ebova
? Ow^er electricel wark installed at:
Strea tlre B/f x Houte N
/ CiN y? ^' _• '^ J
ecLOn o. Townshl0 Nama or No. ange No. County
Oc nt IP T) .
C??2
?r D
tcrvst- Phone No.
5 -D
Pow plier Address
Elec??['{?p?r????pytryrypp??*?y
1V JJ ? -r,L 1 ?l? Con rar,lor's License No.
? /?
?v
Mailing Ad r n r n in
T ion)
l
1
Authorize Signalure' CoMractor Ownor Making InsW115tionl . Phone Number
MINNESOTA $TqTE BOANO OF ELEC7/11CITY THIS INSPECTION qEQUEST WILL NOT
Griggs-MidweV Bltlg. - Noom N•191 BE ACCEPTEO BY THE STATE BOAPD
1827 University Ave.. St. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
nh..... 16121297.2111 ENCLOSED.
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11597
BUILDING PERMIT I PHONE: 454-8100 Receipt# ?047
7o be used ror SF DW,G/GAR Est. value $ 68 ,000 Date MARCH 11 19 86
3712 FALCON WAY ac, R3
Site Address Erect tJ Occupancy
Lot 11 Block $ Sec/Sub. LEXINGTON PL SC7Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
W Name FRONTIER MIDWEST HOMES CORP Move ? Length 40
3 Address 3908 SIBLEY MEMORIAL HWY oemolish ? Depth aR
° ciry EAGAN phone 454-0433 Instampr. ?? Sq.Ft
i o Name SAME
$ ? Address " CiTy Phone
ta RICHARD CHARLIER
F w Name
F, d Address 1410 GARDENVIEW CT
s W piry A_v _ phone 432-5492
I hereby acknowletlge 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 Ciry ot n 0? ' ances. n
Signature of Permittee
A Building Permit is issued to: FRON • R MIDWEST Hi
all work shall be done in accordance with all a!pp1iGY?7 Y State of Min eso
8uilding Otlicial i
Assessment
Water & Sew.
Police
Fire _
Planner
Council
eid9. on. 3/11/86
Var. Date
Permit • 00
Surcnarge JT' S0
Plan Review 168.50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies ?
?
TnMI T?„ " ?
??"O
4
on the express condition that
antl Ciry of Eagan Ordinances.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenb
• 3 registered sile surveys showing sq. fl. of (ot, sq. ft. of irouse; arM all roofed areas
(20°h maximum lot caverage allowed)
• 2 topies of plan showing beam & window sizes; poured found desigq etc.)
• 1 set of Energy CalculaUons
• 3 copies of Tree Preservalion Poan iI lof platted afler 7/1193
• Rim Joist Detail Optiore selection sheet (bldgs wilh 3 w less uniLS)
?
DATE -
SITEADDRESS:? A4/CUN w/1
TYPE OF WORK p4v-F ?
APPLICANT
MULTI-FAMILY BLDG _Y _T-
_ FIREPLACE(S) _ 0 _ 1 _ 2
VALUATION
C4 i
STREET ADDRESS/,-,' .3s dfl kdA1P k-? CITY wSP STATE?'?J ZIP S S/I7-
TELEPHONE #6S7 ?-67 6CELL PHONE # FAX #
PROPERTYOWNER?d C,E'fl7u gdL? TELEPHONE#
----------- ---------------°....---'-------°------"'-----°----°'-----'------'--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULE5 7670 CATEGORY 1 MINNESOTA RUI.E:S 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Suhmitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Piumbing Contractor: __
Plumbing system includes:
Mechanicol Contractor:
Mechanical system includes:
Sewer/Wqter Conhactor.
Air Conditioning
_ Heat Recovery System
------------------------------------------------------------
I hereby acknowledge that I have read this application,
with all applicable State of Minnesota Statutes and City
S(gnature of
of Eagan
Phone #
Fee: $90.00
?- ?-w ? I
,etl,-2 s 7092 _ ?
-----------------------
OFFICE USE ONLY
_ Water Softener _
_ Water Heater
No. oF Baths
RemadallRewir Reauirements
• 2 copies ot plan
• 1 set of Energy Calculations for heated addi6ons
. 1 site survey for e#enor additions & decks
• Indicate if home served by septic system for additions
_ Phone #
Iawn Spiinkler
No. of R.I. Baths
$70.00
to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
xoxs: ALa,
?PcM S21(' G
COM9ERCI9L
MOST BE LICEBSED AITH THE CITY OF SAGAA
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONSf
$2,000 LANDSCAPE BOND
SINGLE F9NIILY DfiELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
?v8, o00
To Be Used For: ??gte FApijy Valuation: 154-9$8- Date: 3-10-86
Site Address 3712Faaan u OFFICE DSE ONLY
Lot 11_ Block g_ Erect )C Oecupaney - (C•3
Remodel 2oning
PareellSub lex.ingxon P a 4Uu,t-h Repair Type of Const -_U:7
_
Addition # of Stories
Owner Fne,nfi;ren M,idwe6 Nom a Cahp Move _ Length 4CD
Demolish Depth ??,
Address 390& S.rb?aU,Memha.?ap Hwu. Int.Impr. Sq Ft
Install
City/Zip Code Eagan, MN 55122
Phone 454-0433
Contractor Samo n bovP
Address
City/Zip Code
Phone
Arch./Engr. Riehahd Chah.F,i.PJc
Address 14 ) 03 GcvcdenvieW C,t.
City/Zip Code AnnQe VaX.Qecf, MN 55124
Phone # 432-5492
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge 34.$0
Police Plan Review t (18•Sf
Fire SAC 5"15,
Engr Water Conn 500.
Planner Water Meter rF,3• 5-°
Couneil Road Unit Zqo.
Sldg Off7 I567 Treatment Pl I
APC Parks
Variance Copies
TOT9L
NOTS: ADDHESSES FOR CORAER IATS - COPTRACTOH/HOIlEOHeTES MII3T DFSIGNATE iiHICH
ADDRESS IS DESIRED. NO CH9NGES fiILL BE ALLOtiBD ONCE BOILDING PBRMIT
IS ISSDED.
Ilr . ??{??i6`1?/`J?e
GY, !\ - F.
SiTE ADDR:SS:
CDNTRACTOR: = eCN-T rLe'r.
D'termi ne WuI'Y111C: SqUa"C 10:;.d [;e 0? eaCfl
1. Total exposed wall area.... . se. rt . x.1: = Ztjt. ??j
2. iotal roc=/c:iling area.... ?UCi8 s;. 'c . z 02G = .a'. ZS
Tota' e;cp??°: wal', ar?•a :...,,._ ,-,s_„ ?(i'....: ?,L.?,t7
d
G
C
d
f
9
n
i
J
,Cc, 5(o, t5-
Total e,epcsea
fou??da?ion are?=
y
k. Total feundation tirindoN _v.ea .................. .... ?-
l. Tota' net floun:;a`?ion areo::b ov4 -)r:lde......... ....._77 5, 1'0'?-
D°._rn,'.r= 'c" Cc?i'. ,,... , ' -
(e.g. ,c.neow, ,,,.,o',.
z.? ??• ? ?? ="7? ?
- _ -
c
.
?. Z.?
.
? '? ? _ ?• ?
. ..._ . .. . ? C.
_?Cf??f'?:/' •? ??,? , ? ? . -_ ? "G:?:;? ?? . _
t .. . ..
_
_
71.
i Y 'I: _
?
?°'- X
"U" if
_ ' is _ne sam+
• as, or less than?item
j ? x
„u, -?S '. i . ':OU
in±°n: i- VB ;,. -?af..' ,-..
of 53?GJ.?6 .??.
... ..........
................ ...
....io?11 ,
dreu ...........................................
Oi3l d00^ Z:'21 ..................................................
IOLLl SIIGI(ls ,"dSs i;C?Cl' dt'?d ....................................
Tc;,al `ireclac: wall area ........................................
Total wall framine ar2a (aver?ae iCaj ............................
Total rim joist ar:=.... ................................
.
........
net wall area above rlcor.... ? . . ............................
wai] area abov= f?co^............................
...
wall area above floor .....................................
`
rame wail area at . . . . . . . . .
.
.........................
.,_ ,
? m. lbtai a:ea
? ............................
n. Total rco`/c
2_1in7 __,_„_ng r,_°a (riv_=a,c 10',) .. ?
.. o. Total ne[ ins•?1a?c? _-oof/cciling c.rea...........
. Decer^:ne "U" valuc for caci: zoo.`,;cc'_li ng .,ec^ncnt
m. -- a „U.. _
,,. ? x „U„
o.?t
.............................
?• ?
i4 tCS?i .,_ ='ti _s '=hv s<..C--- FIS, C: 1 C55 t..;1? ..-r , vc,v (]_'ve :t_t z.iR in._n;1L 6i
S}i•.(YC"'O (.^.) _.
i,l_e_n_tc -.;iizir.c, --nc-).oo._ J?s?qr,
To -,..ilize tne =ota_ enceloae systcm metho3. *_n=_ .z1ues esLdbl1S]7e4 by th_ s:um oi
`tcTS i:'3 and ;;4 sc_L11 i;ot be c,reaccr ti-,,n ?he siun ot i•_ems ;'rl ar.3 1I2:
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S W RVEYI NG
SERVICES
3908 Sibley Memorial Highway
Eagan. Minnesota 55122
PM1One: (612) 452•3077
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-LEGEND -
O IJenotes I ron Monument
p Denates Woal Nub Set
MAUSE CERTfFICATE FOR;
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? REALTORS . .
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WAYNE D.
COROES
- 14675 -
I. x 90`'.-j Denotes Existing Spot EJevation
(w014N°?'Denotes Proposed Spot Efevation
,,,----Denotes Orainage Direction
-PROPERTY DESCRJPfION-
LOT II ,BL(xK S
L6)(INCm'(0N PI.AGE ?DU1H
accordirg to the recordeel plat thereof,
Camty, Alirmesota
PROPOSED GARAbE FLOOR ELEVA'71191Y°?
PROPOSEO Top of Block ELEVATION= `167,5
PROPOSED SASEMENT FLDOR ELEVATION= 9?•? w?o
NOTE: Verify a!l floor leights with Final House Plans.
SU?iVEyORS CERrlFICATIpV-
I hereby certify that this survey, plan or report
was prepared by me ar urder my direct supervisian
ard fihat f am a duJy Registered Larrl Surveyor
urrler the laws of the State o# Ilinnesota.
_ b(Alp,,` a, 61rL. Date: Yid I66
Wayne D. Cordes, Minn. Reg. No. 14675
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- ? i 2/84
i • CITY OF EAGAN
APPLIC?TION FDR PERy1IT
SEWER AVD/OR WATEP. CONNECTIODi
(PLEASE PRINT)
P`O°ER'-'Y pLDRESS= 3712 Fa.ecan (Uay
r.Fr-,z, Dr sc-zro:.Tc.I: 11 / B Lex:.nytan ace o
(Lo?/B1ock/Su:c,ivisicn or :ax :arcei I.D. Ni.^rwe_)
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2) P?Pr.,?C_iT (PLE:,sE
Frontier Midwest Homes Corporation
?C=SS= 3908 Siblev Memorial Hwy. Bldg. E
Ci?"_', =?,', ZI?; Eaqan, MN. 55122 -
PFONE= h54-0433
3) pj,t,;.=-, M24E= Star Plumbinq ?PLE;.SE PRiNi) FOR CITY USE OHLY
PI)DREGS= 1018 MOUttd Spi'lllgS TEI'. PUJHBERS LIC:45E:
= Active
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CIT?, ST2.?r., ZIP_ gloomington, MN. 5:420 0 Expired
PNGVE:
884-4149 PLU98ER LFCEVSE H 3329 Q Not of ttecord
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4? u.c:ur??r.^?CS;'C:Ec2 N%ME: Same cv, aV?Qca?'nr)
ADDR£SS:
CITY, STATE, ZZP:
PFf"IE:
5) INDIC'.TE ;JHIC3 PERhLIT IS BEIr:G REQUES'I'M:
? C0.?NECI'ION 'ICD CITY SE};ER Please mail gold copy to
? CO:T°ECTIG,I 'Ib CZTY WATER Wenzel Mechanical
3600 Kennebec Dr.
, ? 071E2 (PLZ?-S-- D=gE) Eaqan, MN. 55122
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?PT-= %SE E?OID APP!?pV'D PFRk^ST FOR PSCii-LP BY C:IE CF AEGVE
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F O R C I T Y U S E O N L Y
PEP-"I^' '- ?SSIIED
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WATER METER/COPnERHOP,N/OL'TS:DE READ-Ea
WATER TAP (INC:.UDE CCRPOR;,TICN STCP)
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LaTERai BEVE:IT/TRU.1K 1,4F,TER
WATER TREATMENT PLANT SURCHARGE
OTHER:
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IuMOli::T PAID%RE,-EIFT n
DOES UTII,ITY CONNEC'?'ION REQUIP.E EY,CaVATION IN PUSLIC RIGriT Or WAY?
G YES IF YES, THE*I A "PERh1IT FOR 'r70AR WZTHIN
PUBLZC ROADWAY" M(JST BE ZSSUED BY THE
Ci NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SliEJECT TO T:iE FOLLOWTNG CONDITIONS:
APPROVED BY:
TITiE: '
DAT_°:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142498
Date Issued:05/05/2017
Permit Category:ePermit
Site Address: 3712 Falcon Way
Lot:11 Block: 8 Addition: Lexington Place South
PID:10-45060-08-110
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 -
Clifford T Crawford Iii
3712 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