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3716 Falcon Way" . . . .. . . __ '__ . . ? . ?''.S ? CftrtifiCQtC nf CCC1tpQ1iC? Igi#v af Cfagan Zeyartraeut af ZKOacg 3napection This Ceriiftcate issued pursuant to the reqwirements of the Uniform Building Code certifying that at the tune of issuance this structure was in coinpliance with the various oridinances of the Ciry regulating building co»struction or eise. For the following: 31637 ux caauirxadon: SF DWG Bidg. Permit No. Occupancy 7,ype R' U- Zoning District R- I Type Consc.? Owncr of Buildin¢ ? S naa? 4371 PEvTT TT!? IN, F.AC'?AN, M 55123 Buildine Address 3716 FAIlJONWAY ,om,;t„ L27, ?// -7 ? POST IN A CONSPICUOUS PLACE INSPECTIDN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: TYPE OF WORK: NI ll INSPECTION DA • DA , ' . . J . . Fi . I Y4 Rl F`1 [rFt Nt A !1 tJfl i'f°R ANi1 °:d-4.lf k ?'e N RF`' i 6 1,1!- I l fi V iK !!! F Fi A Fr t-K PERMIT TYPE: ' A"I 1 i" N Permit Number: Date Issued: i.!"> l) H ri -?' 7 ?- APPUCANT: 21 r? t «?. r . .. i;, ( r; i .' i F.ff6 '??+!`a: ?RE, f ? xt s X. w ?:s., -- - - - - - - - - - - - - Permk No. Permk Holdor Date Tetephone M ELECTRIC PLUMBING 37- ?ais HVAC 7,z/ s g ?37- 5a ? s Inspectlon Date Inap. Comments FOOTINGS 31"2 FOUND • ?,Z,/?? FRAMlNG ROOFING RaUGH PLUMB(NG ?? A RBTEST t? K ROUGH HEATING 4w GAS TESTSVC N6? ?2b?tl fe7? .4? -'/,3 INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG [d ? oRSaT TEST - ?? BLDG FINAL BSMT R.I. BSMT FINAL DECK FTQ DECK FINAL i _ ? 1 ? ? 'i Ad'dres3 ' 3716 FAt.Ocxv Wty Zip 5512 ??- I.ot 27 Blk z Sub sz. F-Rnwas wooD 6rH THESE TfEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: ?I/? ?' Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of moF test caps from the plumbing system and the shutoff of water supply W the outside lawn faucet 6efore froeze potential exists. Contad enBneering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Conuactor Copy :• , RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT K OB RD, EAGAN MN 55122 651•681-4675 ? New Conetructlon BeaulremeMS RemodaUReoalr BeaulremeM??? • 9 registBretl Sile Surveys showing gq, fl. af Ipt, sq.8. of twuse; antl II roofed area5 • 2 copieS Of plan (, -( V (20% maximum bt coverage albwetl) • 1 set of Energy Cakulations for heated adtlitions • 2 coples of plan showing baam 8 wintlow sizes; poure0 found design, etc.) • 1 si[e survey for eAenor atltlAbns & decks . i set of Energy Cakulations . Intlicate il home served hy septic system tor adtlRions • 3 coples M Tree Preservatbn Plan M bt platted sfter 7/1l93 • Rim Joist DetaB Options selectbn sheet (bldgs wtlh 3 or less untts) DATE 51TE ADC TYPE OF AULTI-PAMIIY BLDG _ Y 2N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT a G STREET ADDRESS CINQune?n? .?r STATE On, ZIP 5?5?3 TELEPHONE ?19???' 7U7495'y CELL PHONE # 6I? :? 90-6675? FAX # ct?? PROPERTY OWNER s # K?511- ysy-/z10 COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 suhmission type) • Residential Ventilation Category 1 Worksheet Submittad • Energy Envelopa Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Gonhactor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System I hereby acknowledge that I have read this application, stahe that the with all applicable State of Minnesota Statutes and CiTy of Eagan 00 OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths ? VALUATION613. DOd Phone # Phone # Fee: $70.00 agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 r OFFICE USE ONLY O 01 Foundation O 02 SF Dwelling O 03 01 of _ plex O 04 02-plex ? 05 0&plex ? 06 04-plex x 31 New ? 32 Addition ? 33 Alteretion ? 34 Replacement ? 20 Pool ? 21 Porch (3sea.) ? 22 Porch/Addn.(4sea.) x 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 38 Multi ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding ? 36 Move Bldg. O 42 Demolish (FOUndation) O 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reraof ? 46 Windows/DOOrs *Demolitian (EMire Bldg only) - Give PCA handout to applicaM Valuation fiLUOO = Occupancy ?-' 3 MC/ES System _ Census Code 434F Zoning n.I City Water _ SAC Units - Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const W idth ? REQUIRED IN3PECTIONS ' Footings (new bldg) FinaUCA. ? Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Fiital Air/Gas Tests ? Framing _ Siding Stucco _ _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ?4?' , Building Inspector Base Fee 5urcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ? 07 05-plex O 13 16plex ? OS 06-plex O 16 Fireplace ? 09 07-plex 13 17 Garage ? 10 OS-plex )( 18 Deck ? 11 10-plex ? 19 LowerLevel ? 72 12-plex Plbg_YOr_N I•p0 Total .. ? * * * * PIONEEA * eng?neer **** FALCON WAY 1906.2 .,, „1, 905.7 Certificate of Survey for 2422 Enterprise Drive Mendota Heights, MN 55120 NO SuR'.EYOPS • CINL FNqNEEftS (612) 681-1914 FAX:681-9488 Np PL?NNERS• LRNOSCAPE ARCNIlECiS 625 Highwoy 10 N.E. Bloine. MN 55434 (812) 783-1880 FAX:783-1883 J.S. HOMES EAGAN _ 3716 FALCON WAY 20.00 ess .a 017.000 ? 32031 ` ?---L-g=- --''------- s98.6 14.65 cu-C19,Jj 902.5 R=767 00 , 9E n . A?3'29`05" i N88'00'12"E t-S8.8Ge 905.8 o 903.1 ? o ?- ? C A m r -?--- --l `SERVICE OF P PE gOP ELEV.=904.51_ 0 f ?, O 51 EWAY 0 D INV.=695.6 I 70 .\ I V 1 ` I 90 .7 i(}.04 902.3 31.271 -- -I -- , 20.00" I -------T- 12.00 0o m N w w ?. Z; I 907.3 o ARAGE ? 12\? 1. I \ ? 76.00 ? 0 27.83 Zw N I E70 w? Q u'ni ? I i N ?? rn\ pROPOSED p0 HOUSE \\ \ o ? 26 3 . n ? Ol ? 0 cn I 896.4 " X ? soi.s I ? ? v , (. ? . I` -"ORAINAGE & UTILITY 5 1 ? EASEMENT PER PLAT_, 1---------- ? ? o u p ___ U w ?.a. 3, i. ? ? 10 _ J ° 904.6 ???r•?r??-7i?,,'?. : • `. I 60 I I ?- 9ENCH MARK I ? ' TOP OF PIPE ELEV.=902.82 7 ? ? ? ? ? ? ? i I x a a r- \°. m 9 M N i? N? a `O ?o z ov ao ¢ a az w oa aw >z H J Q WO aN 0 ? o 60 8 i WI ? ?I QI Z I 0 Z I XI W JI M` OI Z I o? ?? ? 33 _ 892.3 (gpz ? PROPOSED HOUSE ELEVATqIO?NG LOWEST FLOOR ELEVATION: ?o NOTE: PROPOSED GRADES SHOWN PER GRAUING PLAN BY; PftOBE 70P OF BLOCK ELEVATION: ??. NOTE: BUILDWG DIMENSIDNS SHONN ARE FOR HORIZpNTAL AND VERTICAL LOCATION OF STRUCTURES ONLV. SEE ARCHITECTUAL PLANS fOR BUll01NC AND GARAGE SLAB ELEVATION: "• FOUNOATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTGATION HAS BEEN COMPLETED 4N iH15 LOT BY THE % OOO.DO DENOTES EXISTING ELEVATION SCALE : 1 INCH = 30 FEET Y588'31'32~W 116.99 (qo3A) 90P.3 SURVEYOR. TME SUITABIUTY OF SOIlS TO SUPPORT 7HE SPECIFIC HOUSE PROPOSEO IS NOT THE RESPONSIBIUTY OF 1HE SUHVEYOR. 000.00 i ) DENOTES PROPOSED ELEVAnON NOTE: THIS CEPTIFICATE DOES NOT PURPORT TD SHOW EASEMENTS OTHER THAN --- DENOTES PRAINAGE AND UTILITV EASEMENT THOSE SH01Ml ON 7HE NECORDED PLA7. DENOTES DftAINAGE FLOW DIRECTION NOTE CONTRACTOft MUST VERIFV DRIVEWAY DESICN. 0 DENOTES MONUMENT NOTE: BEARINCS SHOWN ARE BASEO ON AN p55UMED DATUM B DENOTES OFFSET HUB WE HEREBY CERTIFY TO J.S. HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 27, BLOCK 2, ST. FRANCIS WOOD 6TH ADDITION DAKOTA CDUNTY, MINNESOTA IT DOE5 N07 PURPORT TO SHOW tMPROVEMENTS OR ENCHROACHMENTS, EXCE 7NE SHO WN, AS SURVEY OR UNDER MY DIRECT SUPERVISION THIS 9TH DAY OF MARCH, 1998. GPIONEER E NEEP.A. SWK ? John C. Lorson, (? ?' 2 2S . 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Rosd, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New CansWCdon Reauirements kemadeURenairReauiremeMs Oifice USe OnN 3 registered site surveys shaxing sq, ft. of lot, sq. ft. of house; and all roofed areas 2 capies of plan CeR M SurveyReod ? _.Y, "_ N (20 % maximum lol caverage allowed) ?a set of Energy Calculatans for heated additians Trae Pres Phn Recd - Y?_ N 2 copies o( plan showing 6eam 8 window sizes; poured found desgn, etc. ?1 site survey for addRioris & decks TBe Pres Required ?.Y _ N t set af Energy Calculations Additiwi • indicafe Ifon-Me septic sysfem On•site Sepfic Systeiir? ?. __ Y_ N 3 wpies ot Tree P2servation Plan'rf lot pbUed ailer 711193 RimJoistOetailOptioreselecfionsheet (buildings with 3 or less unlts) Date ? / ? 0? / ` - Site Address 57l „ -? Construction Cost g_!j! Lr/ ?' Q d UniUSte # Description of Work 15211G jidQ(T" jn&i 4ZK(Srv?' FTr/ AP-41 Multi-Famity Bldg _ Y X N Fireplace(s) _ 0x 1 _ 2 Property Owner t.(/r?0 3?wmt °r' //--(JQ ? Telephone # ((? ) ,1??^ L AlU c-?? Contractor ftQ6yV96A 'TNG Address 601?- rj'w7,/e /Op City?/I/1/P.r-?!'0?- State ??? Zip T5S ]b 6, Telephone # ( S- j ) ?S ? t I2j /? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category . Residential Ventilalion Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( -?31-q .8'? (?, ?L-.l L/i . On1 I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withou?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. j . i',Y i 7 20P I,' Applicant's Printed Name App ' anUkgnature I I? L OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multl ? 03 01 of _ plex ? 09 07-piex ? 17 Garege X 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex D 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New g 32 Addition ? 33 Alteration ? 34 Replacement Valuation 13000 Census Code G13? SAC Units '- # of Units "- # of Bldgs ' Type of Const ? Occupancy Zoning Stories ? Sq. Ft. Z7z Length ?C Width _ Footings (new bldg) Footings (deck) ? Footings (addition) _ Foundation Drain Tite Roof Ice & Water Final ? Framing ? Fireplace ?( R.I. ?Air Test ;? Final Insulation Approved By: ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof 0 48 Windows/Doars "Demolitlon (Endre 81dg) - Give PCA handout to applicant MCES System - City Water - Booster Pump `- PRV J Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco - Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Lor <6on?e?,?fe of unty Real Estate Inquiry Dakota County Real Estate Inquiry Oata Updated 5/7912005. ? Select option and click map: Zaom In Whole County Refresh Map W-1 Page 1 of 1 ¦ Legend Real.Estata Pacel ¦ Parcds OCommon, Owne €aW ater MRIW. Easemerrt ? Oedicazed RNU Standard Choose a search metl aiteria, aiM Ulck Go c key. House Address,? Go PIN: - Go 7his appiication was developed by the Dakota County O(fice of GIS in cooperation vrAh Assessing Services, Treasurer - AudRar and Roperty Records Departments ??? Click on the Dakota CouMy loga a6ove to return to the Ywme page Small Map http://207.171.98200/scripts/esrimap.dl I?Name=webq 1&Lefr54383 7.898982101 &Botto... 5/24/2005 ? '• . . -' ^ ? N ! v' F-? UD 0 Ol h-' -•1 . ?? . r . ? . • '? ? • . Q ? Ln cl) 1 O ? ??'??"? ? ON! Q ? ;197.46 I &st ? ? N 0142941711 E ,. . ? ? o .... . w ? ? ?. ? ? . • • 1 S,l. o ? C. ....190.28 •c?6 - _. w ` N 01,29'17" E ? ? `:? ?o a = Q3o29,V n5[-]l ' 'v? c';? r" ?..a, ? ? ?' z` ? •+ ?, ? ( rn ? p- ? LO 4 ? („ aa 189.58 ? ? - .+? ? r7 •°o'n°f3?f?°d _ .?.. , , r ?? 6 i ' . a^ ? -7 4 5 rrr @ras. -? ?ZSZ.BD P?4?? - 48 0 .? .` ! -- ? . + ;- ?• ? , ' '`• ?J = CJ c? ? ^,, . .. . . ?a ., .S t •j_ i .:? .1 r - -1 ? '•R+ ?? ?f \ l J ` r ? :?•__ ? r 2005 MINNESOTA ENERGY CODE 1-2 Family Residenfa/ Dwellings "COOKBOOK" WORKSHEET Applicant Name rhone Daze rlans musc be ctearly marked with" Statement of Compliance: JBff HCICI{1I16R 651-248-1845 May 25th 2005 insulation R-values The proposed building design represented in ihese documents window and Skylight U-value H is consistent with the 6uilding plans, specifications, and Applicant Compeny size and type of equipment and other calculations su6mitced with the permit application. McDonald Remodeling Inc. location of imerior air barries, vapor The proposed building has been designed to meet the retarder and wind wash barrier requirements of ihe Mimesota Energy Code. Building Address [:]equipment coatrols l , 3716 Falcon Way Applicarrt MINIMUM REQUIREMENTS for "Cookbook" Options: ntry oors 1-314 so i woo or maximum -va ue o ei mg - msu ahon per ormance at wmkr esign eanng sys[em e icroncy>= o 0.40 condition) oun ation insuiated g ass m woo orvmy eme, om ation wa msu anon R-10 i a i erent -va ue is RanjotstR-13 Windows' or maximum U-vlaue of U-051 used, aQjust the qequired average windnw U-value by nc e oun ation wm ow tota square otage m comp eUng t e wor s ee on [ e next page . oot over uncon itmn space K-30 calculation of windowlDoor Area Window antl door Area As 4'0 ot E-Vosed Wall Area 100 X 68 / 18"(J9 % WINDOW U-VALUE: t? fall Area WinAOwNOOr Area Source; NFRCjGar Code Qefautt tabla V 167 ? MAXIMUM AVERAGE WINDOW U-VALUES FOR R•10 FOUNDATION WALL INSULA710N $ 90%AFUE FURNACE a)dmum Total n oor Area as Chec k Wall M ? J _ _ _ II TYPeUsed ? Percerrta9e of E osed Wa e 10 /0 { o_-} 12 /0 14°/0 16% _?_ 1 18% f -- 20°a i 22% ? - 24% - 26% -.. 28% _ _. - -- Wall Type: i -- ? _ _ --- --- Ma)dmum Average Wmdow U value: . - - i2x4 R-13 insulation, X< R-5 sheathing 0.37 i 0.37 0.33 ? 0.28 0.25 0.22 ? 0.2 I 0.18 0.17 0.15 --- -12 R 13 insulat?on, X>- R-5 sheathing + - --x4 -- 0.37 0.37 ? 0.37 0 37 -- 0 37 -- Q 33 0.30 f 0.27 - 0.29 -- - 0 23 2x4 R 13 insulation, X> 5 sheathing ?ac6 R 19 msulation, X Rheathing ? 0 37 0 37 ? 0 37 ? 0 37 ? 0 37 0 37 . 0 37 0 37 0 37 ', 0 3 0 36 0 32 0 33 I l i 0.29 0 30 0.27 0.27 0.24 0.25 0 23 ? g 2x6 R 19 msulation X> R 5 sheathin a _ -- 0.37 - - - ? 0.37 0.37 -- - 0.37 - 37 -r -- 0 37 I 0.35 ? - 0 32 - 0 29 _ 0.27 ,2x6 R-21 insulation, X< R-5 sheathing i 0.37 0.37 , 0.37 ' 0.37 ; 0.37 ' 0.35 i ? 0.31 0.29 0.26 0.24 !2x6. R-21 insulation. X>= R-5 sheathina I 0.37 ? 0.37 , 0.37 0.37 037 0.37 I 0.36 i 0.33 0.30 ? 0.28 If foundation wall insulation is either less than R-10 (but not less than R-5), or R-19 and above, then use the tables appropriate for those values X is eaual to the R-value of the sheathinst This is a summary only. Other requlrements may apply. See the Minnesota Energy Code. Questions 9 Call Department o1 Pu61ic Service InformaUon Center at 651 296 5175 or 800 857 3710 ; RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN U? 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4675 New Constructlon Beauiremema RemotleVReoalr Aeaulrements • 3 registered slte surveys slwwing sq. ft ol bt, sq. ft. of house; and&I roofetl areas • 2 capies oi plan (20°k maxhnum bt coverage albwetl) . 1 set of Energy CalCUlatfons for neated additons . 2 copies of plan showing heam & wirMow sizes; pouretl lound Aesgn, etc.) • 1 stte survey for exlerior addRions & decks • 1 set of Energy Calculellons • IrWkate if homa served Gy septic system for addNions • 3 copies W Tree Preserwation Plen tl rot platted alter 711193 • Rim Jpisl Detell Optbna selectlon sheet (Cldgs w0h 3 or less untts) DATE VALUATION /Q.,S00 . oe , SITE ADDRESS 3?" I?a ?(Cvn ??./ MULTI-FAMILY BLDG _Y ? N NPE OF WORK E'ereso?' FIREPLACE(S) < 0_ 1_ 2 APPLICANT STREET ADDRESS I o( a,ya /l/r'Co Ne,t 14i TELEPHONE #??`is, _4o'r-Gas°l CELL PHONE # STATE44 V ZIp ? 3?- FAX #h Sz) _404 - q q a i"" PROPERTYOWNER k-ur! [rooi TELEPHONE# (6 5-1qS`-f - / 416 ------ ° -------°------------------------°----°-----------°-----------°--° °------°------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIlVNES01'A RULES 7670 CATEGORY 1 MIlVNFSOTA RULES 7672 (4 submission type) • Residential Vantilation Category 7 Workaheet Submitted + New Energy Cade Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: _ Plumbing system includes: Mechanical Confracfor. Mechanical system includes: Sewer/Water Conhactor: - Air Conditioning _ Heat Recovery System Phone # Fee: $90.00 MAY 2 3 Phone # t 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 City of Eagan Ordinance Signalure of Appflcanf ??????^/LCht%h\?l OFFICE USE ONLY ? Water Softener _ Water Heater _ No. of Baths Phone # ? Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tres Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681•4875 New Consvuctbn Reaulrememe • 3 registeretl s8e surveys showing sq. ri. M bt, sq. tt. of house; and all rooted ereas (20% maximum tot caverage albwetl) • 2 copies of plart showing beam & windax sizes; poured tound design, atc.) • 7setofEnergyCakulatbns • 3 coples M Tree Preservatbn Plan tl bf platted afler I11193 • Rim Jolst Deteil Optiais selectbn sheel (bldgs wth 3 or less unAS) DATE ?b?, ! /0 Z SITE ADDRESS 37 16 F? I Co?^ WG- TYPE OF WO& ?' APPLICANT ?I/Ytc rr"Ca•? ?? 0,1 G? c< STREET ADDRESS (?a14 ! /?/; [a EteT TELEPHONE # CetSz7G'7-6qCELL PHONE # PROPERTY OWNER MULTI-FAMILY BLDG _ Y ? N _ FIREPLACE(S) _ 0 _ 1 _ 2 sv-J(-0 STATE./U?UZIP SS 33?- FAX# (R4_7) 707 - 61G2, 5? TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI..F.S 7672 (J submission type) . Residential Ventilation Category 1 Worksheet SubmitteA • New Energy Code Worksheet Submitled • Energy Envelope Calculations Submitted Plumbing Conhactor: _- _ Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning ? Heat Recovery System Phone Phone Fee: $90.00 ? ? l?n I C ?e l'J ? ? MAY 2 3 2002 I hereby acknowledge that I have read this application, state fhat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant C-/lGL4"2 OFFICE USE ONLY Water Sofrener Water Heater _ No. of Baths _ Phone # Lawn Spriukler No. of R.I. Baths PemotleUHaoah Nequlremenh . 2 copies of plan • 15etofEnergyCakulatbnsforheatedadtlklons • 7 sne survey for exteaor add'Abns & decks • InOicate N home served by septic system for atldAbns VALUATION '-/ , SOO- ' Certificates of Survey Received _ Tree Preservation plan Received _ Not Required _ Updated 4I02 PERMIT ---?WTYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: Buz?oiN? Perm it Number: 031637 Date Issued: 03/23/9 s 51TE ADDRESS: 3716 FALCON WAY LOT: 27 BLOCK: 2 57 FRANCT$- WQO[] 6TH p.I.N.: 10-65905-270-02 DESCRIPTION: C ermit Type SF DWG 'A;rk Type NEW R-3 U-1 e V-N R-1 angt?t 66 ?.?x-M 56 ' Z ? 2 , 3 9 5 e 101 1- FAM. DETACH "z_w ?'?i ? ? - a 01 REMARKS: 5& W PLBR -- M& W WATER AND SEWER PLAN REVSEWED BY MIKE BRRCK FEE SUMMARY: v,aLuArxoN Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $1,492.25 $969.96 $110.50 $1,000.00 100 1 $5.00 $3,577.71 $2 G 1 q 0 B Y/ MISCELLANEQUS Total Fee $1,592.50 $5,170.21 CONTRACTOR: _ qpplicant - 5T. LIC.OWNER: J 5 HOMES 16869092 0004849 J 5 HOMES 4371 BENT 7REE LN 4371 BENT TREE LN EAGAN MN 55123 EAGAN MN 55123 (612) 686-9092 (612)686-9092 ,-,F c ?{ x?F?.?5 [?? 4n L. y?? yy? fl ?f 45ISy # ?H[au?i i?wl?laQ'1.'.?.?lid?4 ?1?a?.F°?? ii GY i40.? ?4?_ 64"VW&?a?i io6 1 s rnr.r?ae.t.9at?if SIGNATURE --fim ?g I N? ' ISSUED B: SI NAT E 1998 BUILDING New Construdion Reauirements PERMIT APPLICATION (RESIDENTIAL)I3 CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 RemadeVReoair ReauiremeMS ? 9 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) • 7 eriergy calwlations ? 3 copies of tree preservation gJan M lot platted after 7l7/93 requlred: _ Yes X No DATE: Ti ? 2 wpies of plan • 2 sfte surveys (e#erior addkions & decks) ? 1 enargy calalations tor heatetl addkiona CONS7RfJCTION COST; 1 -f ?"^f DESCRIPTION OF WORK: <S F /( STREET ADDRESS: Al_ G.?v lr/, LOT: ?-' 7- BLOCK: Z SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name:_ ?.J/tt tJ l? Phone #: ?L?St Fi:st V 2 Street Address: ec'?? ??? City State: Zip: S S/ Z 3. Company: s ?L Street City Phone #: License # State: Zip: ARCHITECT/ ENGINEER Company: ? •?'? ? Phone #: Registratian #: Street City State: Zip: Sewer & water licensed plumber (new construction only): ? G*? ???' fJf?PeAally applies when address chang and lot change is requested once permic is issued. + r I hereby acknowledge that I have read this application and state that the infomiation is cortect and agree to compiy with ali applicabl State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Ceriificates of Survey Received _ Yes Signature of Applicant: _ No Tree Preservation Pian Received - Yes - No - Not Required ? .. ? . OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex Z-02 SF Dwelling ? 07 4-piex 13 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE .$f'31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move O 37 Demolition 16 Basement Finish 17 5wim Pool 20 Public Facility 21 Miscellaneous v ? Basement sq. ft. Main level sq. ft. 2-3,u?1 2sq. ft. 2 -I E,.rasq. ft. '2- sq. ft. _r,(- ? sq. ft. s S• s' Footprint sq. ft. Building A46 LL, zs MC/WS System ? i co Z5 City Water ? i 8 13 Fire Sprinklered (08o PRV Booster Pump Census Code. +v l z 3ns SAC Code n i Census Bldg 1 Census Unit ? Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Valuation: Fx, saMe _t- 8 Y17 i3•s )e Iz 2? 2 Z ?e Tot31V?? ? %SAC SAC Units z w) r-- Svr? a g?. sn ?v9 ZSx7.S vW 12 . a y (1) ? 2w 12 n g a-z i , vaa, - ?z83 N? ..------ )VZ.? Li # 1T _ ,cZr 4) 4 sy> I 34 ?yoo z?ca <<9 • 9 ?8?3•y??5?1= V <(v 2yI ";?, 7S - 97, -i SO. - `lI,R2a?, c- i " S g°. ? --=---- a2g!?j qa$. so * * * * 'k PIONEEFt * eng een? ri * ? * * Certificate of Survey for: 2422 Enterprise Drive Mendota Heights, MN 55120 LANO SIIRVEYINtS • CINL ENGINEERS (612) 681-1914 FAX:681-9488 LANO PUNNER$• LANOSCPPE ARCHIIECiS 625 Highway 70 N.E. Blaine, MN 55434 (612) 783-1ee0 Fnx:783-1e83 J.S. HOMES EagQm 3716 FALCON WAY O . 0 ; . ?., FALCON WAY eY, 906.2 d a aR 905.7 o M 905. BENCH MARK TOP OF PIPE ELEV.=904.51 907.3 7.: ? o zW N ? ?? T ? ? X? ? W = r 899.4 898.6 26 3 i? 01 ? ? 0 ?- --- SI ? PRDPOSED DRIVEWAY I 90 .7 1 d-.04 C??• S? T " ? N880001 2"E ?58.80c,?63, I p\ARAGE\ 0 ? ?16.00 _ ? i I I N N I I ?\ I J I i \20.01 I--?-- 898A --- 14.65 i ? ? 896.4 i " I I I 4 ? G `^?s ? 903.1 ? o . - 1 - - - - ?SERVICE o INV.=895.6 I 10 N III 902.3 I 31.27I--- ? _ --------- -- T i 12.17 ??z? ? I ° 21.83 ? \ fT \ N I ? L I II 13-00 32.031 -------- (?qy._7r 902.5 I 103.0 , I I x I ? soi.s ? I l J Sj ?ASEMENT PERTIPLAT-.\_ I .?? L - - - - - - - - - - \?`?--- o - asz.3 S88'31'32"W 116.99 (??z?) , NOTE: PROPOSED GRADES SNONTI PER CRAOING PLAN BY: PROBE NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES aNLY. SEE ARCHITECNAL PLANS FOR BUILDING AND FOUNDATION OIMENSIONS. INSPECTIM :r{ ? I 60 i --BENCH MARK I ' TOP OF PIPE ELEV.=902.82 7 ? ? ? ? ? 1 ? 1 x F Q a . m ? N i? In m a? cy,o z oU <o Q? Na az W 3 tWii o¢ aw > Z Q? wo a? 0 ? o ci 60 w D ?' QI Z t O Z I WI Ji v? .... ? ? 110 J ° 904.6 $ C ??3?p? 90 .3 M' OI DI ?I UI I 33 PROPOSED HOUSE ELEV?ATqIO??N? LOWEST FLDOR ELEVATION: JLL.7-TOP OF BLOCK ELEVATION: o_7 GARAGE SLAB ELEVATION: 2q7,5 NOTE: NO SPECIFIC SOIlS INVESTCA170N HAS BEEN COMPLETED ON THIS LOT BY THE X 000.00 DENOTES E%ISTING ELEVATION SURVEYOR, THE SUITA61l17Y OF SOILS TO SUPPORT TME SPECIFIC HOUSE ( pp0.00 ) OENOTES PROPOSEO ELEVATION PROPOSED IS NOT THE RESPONSIBILIN OF THE SURVEYOR. --- OENOTES DRAINAGE AND UTILITY EASEMENT NOTE: THIS CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ' OENOTES ORAINACE FLOw DIRECTION THOSE SHOKN ON 7NE RECORDED PLAT. NOTE: CONTRACTOft MUST VEFIFY DRIVEWAY DESIGN. F OENOTES MONUMENT NOTE: BEARINCS SHOWN ARE BASEO ON AN ASSUMED DANM --F]- OENOTES OFFSET HUB WE HEREBY CERTIFY TO J.S. HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF ?HE BOUNOARIES OF: LOT 27, BLOCK 2, ST. FRANCIS WOOD 6TH ADDITION DAKOTA COUNTY, MINNESOTA I7 DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCE AS SHOWN, AS SURVEY OR Y. UNDER MY DIRECT SUPERVISION THIS 9TH DAY OF MARCH, 1998. IGNE : PIONEER E NEERING, P.A. SCALE : 1 INCH = 30 FEET ? 1 oo?m n„ ?..v John C. Larson, L.S. Reg. No. 19828 , LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERM T A7- DATE ICATION PROPERTYLEGAL:I-- /iE .?L-???(n ????? OF SURVEY: tATEST REVISION: DOCUMENTSTANDARDS a o? ? • Registered Land Surveyor signature and company C-/ ? • Building PermitApplicant ? ? 13 • Legaldescription W?'E] O • Address ?/ ? • North arrow and scale ?' 11 0 • House type (rambler, walkout, splft w/o, split entry, lookout, etc.) B?S o • Directional drainage arrows with slope/gradient % W?'L] o • Proposed/existing sewer and water services & invert elevation 0? 'n cl • Streetname m-?o ? • Driveway ELEVATIONS ExIstlna m'' ? ? • Sewer service (or Proposed) ? 0? ? • Property corners Q' ? ? • Top of curb at the dfireway • Elevations of any existing adjacent homes Prooosed • Garage floor • Frst floor ? ? • Lowest exposed elevation (walkouUwindow) 0 • Property comers ? ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel O Ca" 13 • Easement line El 0- 0 • NWL ? 0-- 0 • HWL ? ? ? • Pond # designation ? m 0 • Emergency Overfiow Elevation DIMENSIONS CT-'o 0 • Lot IinesBearings & dimensions El, ? ? • Right-of-way and sheet width (to back of curb) ?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) ¢' o ? • Show ail easements of record and any Cily utilfies within those easements cf' o o • Setbacks of proposed strudure and sideyard setback of adjacent ebsting structures ? Cy, o • Retaining wall requirements ' any Reviewed: N me / Date January 1996 CRA167 YBBIBLOGPRMf.FM • .a EXTERIOR ENVELOPE AVERAGE "U" COMPIJiAT10N OWEIER: -- Sl7E ADORESS: 4- 677- -?2? YS6 vC-iC CONTRACTOR: QATE: PNONE: DETERMINE WORKING SOUARE FOOTAGE OF EACN: 1. TOTAL EXPOSED NALL AREA,,,,,,,, I . sq ft x"U" - lI ? 2`?? • 67 2. TOTAL ROOF/CEILING AREA,,,,,,,, sq ft x"U" (0 ? 4q•g? 3. TOTAI EXPOSED WALL AREA LALCULATIONS: Total exposed wall area above floor,,,,_,,, o;? ? sq ft t a) Total wall wlndow area: SEMCO law E OuA?.ppur-9lazed,,,,,, ?O 5, g3 sq ft x"U" SEM G p C.Qw G., Ova?PAN4 9lazed..... sq ft x"U" b) 'Total door area ,,,,,,,,. S?R,0.6 sq ft x"U" c) Total slidTng glass door area: 9lazed...... C(J sq ft x"U" glazed...... sq ft x "U" d) Total ftreplace wall area ? sq ft x"U" ? d ? n ? e) Total wall framing area (Average lOq)........... Al 9•7 sq ft x"U" f} Total net wali area above floor (Insulated)....... T7?'I sq ft x"U" •O?ll = ?•?? g) Total rim joist area...... 194 sq ft x"U" 1039 Total foundation area (Exposed)......... Z q?3 3 sq ft h) Totai foundatTon window area............. sq ft x"U" ° t) Total net foundation b d L L9 3 3 s ft x"U" ?ti65 ° $'? ? area a ove gra e........ • q j, TOTA I a) thru I) If item #3 ts the same as, or less than item F1, you have me[ the intent of 2 MCAR 1.16008 A and G. , ZZ rj w 41.11 Z . S ? Page 1 I , 3 %, 4.; TOT4l. EXPOSED ROOF/CEILING CALCl1LAT10tJ5: ., . . ? • Total expnsed roof/cetlinq area........ I??g sq ft . ? J) Totai skylioht area.:..... ?sq ft x"U" k) Total roof/cetlinq framfng ?! (J p area (Averaae 1090 ...... Sq ft x"U" -OZI 1) Total net insulated roaf/ceiling area....... ?753,Z_ sq ft x"U" -C)z S y, TOTAL J) thru 1) tf total of #4 ts tfie same as, or less than 92, you have met the intent of 2 MCA.2 1.16008 A aLd 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values establTshed by the sum of items k3 and 94 shall not be greater than the sum of items N1 and ±#2. 1. + ?. a 3. + 4. ° C E R T I F I C A T I 0 N I hereby certify that i have calculated the "U" factors and "R" values herein and that the huildinq here :lescrihed meets or exceeds the Staie of Minnesota Eneray Conservation Act. i nat re (Date) Page 2 CITY USE ONLY ,n L BL ? RECEIPT #: C K O9 y014? SUBD Zd?, j?. /GQiN.?bo "/? `p RECEIPT DATE: --j " 1 q" -I e 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGP.N, IIIZ 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 X 3•0o Water Closet 3.00 x -3_ _ Bath Tub 3.00 x _L = 3. Lavatory 3.00 x o0 Kitchen Sink 3.00 x 3 ,00 Laundry Tray 3.00 x I _ .3.00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 3D O Floor Drain 3.00 x = ? 3. C,U Gas Piping Outlet * minimum -1 3.00 x I = 3.C0 Rough Openings 1.50 x = Water Softener ' for dwellings under wnstruction 5.00 x = Water Softener ` tor existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Spnnkler 'torexistingdwelling 20.00 = Alter2ilOnS ' lo existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) . Private Disposal Systems " Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 33.5 o ---------------------------------------------•-.._-----------in- ---•- ------- --- --- ---------------------------------- - . - - Eagan - - all - applicable - Ciry - of - - ordinances - I hereby acknowledge that I have read this application, state that the fortn-ation is- -mrtect, and - agree to compty - wfth - It is Me applicanYs responsibility to notity the propeRy owner that the City of Eagan assumes no liabiliry for any damages caused by the C@y during ks normal operational anC maintenance activities to the facilities constructad under this permil within City propertylright-of-way/easement. SITE ADDRESS OWNER NAME: -? •S • 44OYYIes INSTALLER NAME: ?w ISOfI PIUmbI Y1Q tt- 0 eOfLYX1 TELEPHONE #: `7.37-R WS STREETADDRESS: .3^Sd V?° rYYLI.L:?ICIY? CITY: Hasi-l Y14,5 STATE: ryL n ZIP: 5 S O.? ? SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 v ) L a 7 gL CITY USE ONLY RECEIPT #: C ?z 09 yA L? ? SUBD. /?/ ° ?/LlLx.e.oo /if J? (.? DATE: I ?-I -Clg 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit X_ New construction Add-on fumace Rdd-an air ccnditioning Add-on air exchanger, i.e. Vanee system, etc. Date: -7 11319 S FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 9 od ? State Surcharge .50 TOTAL 39,S6 SITE OWNER NAME: .J. S. RC7VreS PHONE #: INSTALLER NAME: Q?- STREET ADDRESS:- 3550 Ve rnut ( i o n s1- cirr: I-as-Finqs sTaTE: tnn ziP: sS7033 PHONE #: Oc51 )437-qa) S ??? ?T?`RATDF7FZ5F?FEFFNIII'1' 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 s, `?O.6U New Construction Reauirements RemodeVReoair Reoui2ments Office?llse On1v 3 reg'atered site surveys shaxing sq. fl of lot, sq. ft of house; and ell roofed areas 2 copies of plan Cer? o'? Survey?iF}?i?"pr?i,' (20%maximumlotcoverageallowed) 1 selofEnergyCalculationsforheatedaddi6ons ; TIeBPiesPlanrRedJ yg? N 2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for addiGons & decks iree Pres Required 7selofEne?gyCalalations Addifion-ind'?cateNon-sifesepNcsysfem OnsHeSeptic?stem 3 copies of Tree Preservallon Plan'rf lot platted afler 711193 Rim Joist Defail Options selecllon sheet Ibldgs with 3 or less uniLS Date 3 / l 9 /014 / Construction Cost .SO O, Q?j Site Address 3716 ?q` ?ev UniUSte # DescriptionotWork M1c/Karo ! SecTla.0- d? w-1u,rr?N0 .a -s%J.h •.ySE 4qvrAwj Multi-Family Bldg _ Y_?C N Fireplace(s) _ 0_ 1 _ 2 Property Owner 4" R 7- ea a S Telephone #( (S( )?} $?- 74e k0 Contractor Address ? ?v& R ? DELING, ING €6S1(? 41O - L City State , rn o ?o ST. LOU?S PARK, MN 55420 Telephone #(,f2 ) t2 3ko / S• 0 ID k0001050 COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category t Wwksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Telephone #( Sewer/WaterContractor' Telephone#? C I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and.the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a 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. , .1 ,- z?, / ?or7/ /!//G. NNG./ i Applicant's Printed Name Applicant's S' ature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA117722 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 3716 Falcon Way Lot:27 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Benjamin J Mckinley 3716 Falcon Way Eagan MN 55123--249 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r___--_._---______- I For Office Use I JV I City of Permit#: I Permit Fee: ~ V ~ ~ I 3830 Pilot Knob Road I C~ I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Me-, k , tj Phone: Residentl Owner 17 ~ U ~S Address / City / Zip: 2 Applicant is: Owner Contractor Type of Work Description of work: Re , Construction Cost- Multi-Family Building: (Yes / No! Company: ps~r;s t~t~.~llfG~ ~,~-s Contact: Address: U (3 City: Contractor Zip: ss Phone: ~f alC~ 1 License 9C'69-s'Dyog Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.oopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which 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. f 5d x Ao x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink � r----------------� i For Office Use I � � Permit#:_� �� City of ��I1 ; � . . � � a�� ; Pe mit Fee. 3830 Pilot Knob Road / Eagan MN 55122 � Date Received`. � ` aII� � Phone: (651)675-5675 � � i Fax: (651)675-5694 � Staff: __� � I � -------I �i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ` ' Name: ��'�, �CKl�I P�I � Phone: Resident/ r�/ Owner Address/City/Zip: I �a Ic�-r� � ` Applicant is: Owner Contractor f � /�� j T e Of WOYk' Description of work: ��e� a' �i /u'' /Q c�� Yp ,.y� � Construction Cost: W c ' Multi-Family Building: (Yes /No� Company:_��'s� Lv�l�dD�{5PS `-�C d�'i. �1��°d �SOntact: G�iG .GfNS� Contractor Address: _�i-v � 1.��'�j( ` �� City: �o��s'�.,,,, 2/9 /�r /� _ ¢� /' State:�Zip: ��J77� Phone: <l�`��U�7�91 EmaiL• et�'t CG`� (.{�/,��d . Ct�'�' License#: ��o �a y Lead Certificate#: If the �r�ect is exempt from lead certification, please explain why: (see Page 3 for additional information) 19�� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you sub'mit 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.QOpherstateonecall.ora 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. x ��..�+'KS7 x G- l�l/ <<l/ ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142127 Date Issued:04/14/2017 Permit Category:ePermit Site Address: 3716 Falcon Way Lot:27 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Benjamin J Mckinley 3716 Falcon Way Eagan MN 55123--249 (612) 298-3716 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature