3720 Falcon Way? ? . . .. .. .. -.. . ..1 ?-. '
? K
, i
?c?part?acat o? ??i?g ?x??ection ?
This Certificate issued pursuant ro the neqairements of the Uniform Building Code
t
certifying lhat ut the tiirre of issuance this structure was in compliance with rhe various
oidinanees of the Ciry regu1aling building cortstruction ar use. For the following:
uscclusifcauon: SF DWG/GAR alag.FamitNo. 28275
a-P--Y TYPe- R-3 U-1 Zdting Disuict .. R'1 Type Const. Vx
Owwofs,,;kfin R A KOT HOMES Ad&,1. 7694 128TH ST K., APPLE VALLS'
Buikling Addmss 3720 FALCON WAY tAcaloy L26,, B2, ST FRANCIS WOOD 6TR
<:x vcc .:?L_ D._???1_?_,,
Budding OftW
P06T IN A CONSPICUOUS PLACE '
MN
? "CiTY DF EAGAN ,
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS:
?
I ;; ? iq •?
I 1 1 1, 61N1. 1'. L1/ai3iF , I IJ
PERMIT SUBTYPE:
?:;?ttt?ta+??
PERMIT TYPE:
Permit Number:
Date Issued:
? . .?
APPLICANT: ,
? i ?.. titr•:?? ? :? ?
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TYPE OF WORK: "F w
INSPECTION D. . ..
,,
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Permit No. Permit Holder Date Telephone #
ELECTRIC
97?14 ? ?? I/v
PLUMBING 3 73
HVAC ? U i-LA JC- 9 ? 660
Inspection Date Insp. Comments
FOOTINGS /7_/7
7
FOUND
FRAMING
(
LL
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST yl n
ROUGH
HEATING
?-
- 3 ? ??G t
rESr VC
INSUL
GYP BOARD
FIREPLACE
c0
FIAEPLACE
AIR TEST
FINAL PLBG
FINAL HTG tt ?
OflSAT
TEST ? t ! (
BLDG FINAL
n?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
.?
J
?
Address 3720 FALCON WAY
I.ot 26 Blk 2 Sub
Zip 5512_
ST FRANCIS WOOD 6TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: II Yes No Inspector:
Final grade (6" from siding) ` 14
Permanent steps (garage)
PeRnanent steps (main entry) /V
Permanent driveway
Permanent gas y
Sod/Seeded grass 7
TraiUcur6 damage
Porch
Basement finish X
Deck XT
Please verify with the builder the removal of roof tes[ caps from the pWmbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineecing division at 681-0645 before working in rightrof•way or installing underground sprinkler system.
White - City Copy Ye11ow - Resident Copy Pink - Contractor Copy 0
REQUEST FOR ELECTRICAL INSPECTIONG72?
I II IIYUI? I II III I IIII IIII I I?? I??) 81 s
21 Univesty AvearHm?1 BCSt. Paui, MN 55104 A.
* 0 7 5 1 6 7* eF 2> sa2-oaao 9/7?q(p ?Home Duplez Api. Bidg. Other..- New Addn
Cammercioi Indushial Farm Remad Re air
Air Cond. Hig. Equip. Watei Wc Lood Mgmf. Other.
D er Ron e Elec. Heat Tem . Service
°k' obove the work covered by this request. Enter rem.a?r7ks in this space and on fhe batk o/ the white copy only.
??? 1 3-7
-7
Calculafe Inspection Fee - 7his InspMion Request wilf noi be occepted withoui fhe corcect fee: :n;" Z
Ofher Fee S Service Enhance Size Fee # Circuih/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps Q 0 to 100 Amps ?d w
S}reet Lfg./TroHic Sig. Above 200 Amps 0 Amps
Transformer/Generator INSPECTOB'SUSEONLY OTAL -?
Sign/Oudine Ug. Xfma
Alarm/Remafe Conhol j
$Wimmin9 Pool
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kd Ih
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descn6ed erein on the doks skkd +
Irligtition Boom ere
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m ec
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ec
m
n
Rough-In n Dala y
$peciallnspecfion
Investigative Fee Fin.
o?C v.ZJ?
THIS INSTALLATION MAY BE ORD ED IS NNECTED IF_ COMPLETED WITHIN 18 MONTHS.
2(] ?? A?? n
J ?'? OFFIC USE LV Thia request wid 78 monAe Smm volldation dale pnnhd in fhis??? j
p
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E
P ? ?
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PL
RINT OR TYPE
E (p
Request k Rooghin inapecnon requkedi Yes ? No Inspedion OMer Thon Rough.ln: 0 Ready Now iil Call
? (/ou most call ihe inapeclor whm rwdy) Dote Rmdy:
I, ?klicensed wnfrador Q owner hereby requesf inspection of ihe above eledrical work a}:
Job Addrcss (Sheet, Box, ar Roote No.)
3 a rll-4eoN Ciry Zip Code
Secfon No. To..nship Name or No. Range No. Fire Na. C
?
??o 7;9
Occ?pqn/t? Phone No.
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7-Y?
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Powe upplier Fdd s
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Elect' I Conkaclor (Company Name) Cammcror Limnse No. Maskr Uc. Na. (Plont Eled. Only)
H.F1t LECnp.c .Znic_ d/<!<3Z
Moilin Addmaa iContmdor or Qvner PeAonni nnalan)
?yo? T??s /r ? #`?? ? ?/Il /N (o /?N ?Cj dCy..??
Aullion 51gnaWre ?C mdor a edorminq Inemllafion) Phon
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E8-0OO0IA.10 6/95 STATEBOARDCOPY•SEEINSTRUCTIONSONBACKOFVELLOWCOPY
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II Al" 621QUnive ?OAve., Rm ER1 8AS'PauP MNT55?1oa O
* 0 2 9? 4 0 * Phone (872) 642-0800 ?? ?j'(,
Home upe Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Olher:
D er Ran e Elec. Heat Tem .$enice
"X" above the work mvered 6y this requesL Enfer remarks in this spoce and on the 6ack of fhe white mpy only.
Calculafe Inspetfion Fee - This Inspecfion Requesf wilt nof be accepfed wiMout fhe cortecf fee:
Olfier Fce # Service Entrance Sire Fee # Circvik/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Sireet Lig./rraflic $ig. Above 200 Amps A6ove 100 Amps
Transfortner/Generafor IN3PECTOR'SUSEONLY J TOTA-
SO
$ign/Ou}line Lig. Xfmr. lij „s -t(J D
?
Alarm/Remote Control
Swimming Pool
I hereb mrii Ihat l im eaed th cribed herein on Ihe dates s d
Irrigation Boom po,h-in p,,t,
$pecial Inspedion
Investigative Fee firwl Oa
THIS INSTALtAT10N MAY BE ORDERED DI CONNECTED IF N T CO PLETED WITHIN 1 M NTHS.
2 J /-
516 1
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OFFIC USE NLY This requast void 18 mamhs fmm wlidaeon da?e pdn?ed b
-l7?9 ? Lo S
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PLEASE PRINT OR TYPE
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a ?a?o
Raquest D k Rcugh-in InspecAOn required2 Yes ? N.
Inspealon Olher Than Rovgh-Im 0 Ready Now ill Coll
1
?You must mll tha inspecmi when rcady) Dok
I, A licensed coniracior [] owner hereby request inspedion of ihe a ove elecfric or h _ dk=`
?
Job Pddress G (S?ytmel, BoR, or Rouk No.)
O LCO.V &f1'Y Ciry
Ij(?aeqLqj ? _.
SecNon No. Towmhip Name or No. 8ang<No. Fia No. Caun ?
DY79
Occop t
0 7 1410m?ls Phone N.
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Po uppller /- Pddre
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I' I Conhaeor (Campany Name)
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? Mastar lic. No. ?Plam FIM. Only)
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Moiling /ddress (C-anytm-cior or Owner Perf
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EB-0000IA.10 6/95 STATEBOpROCOPV-SEEINSTHUCTIONSONBACKOFYELLOWCOPV
--------------
i
? Permit#: 30F3
I
' i
I Permit Fee: 3() - S-D
?
? Date Received ?5
I Staff: ?
L -- - - - - ------?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: SiteAddress: ?37ZO WAC
Tenant: gA2&E-P7-
Suite #:
RESIDENT / OWNER Name: ?r_-421C 94eUIET7 Phone: GS ( -
AddresslCity/Zip: 37Z? F14LC,0? '"`4K EACAN
CONTRACTOR Name: p? ??+ ?Lun? ??,? Sr/(?i c cs License #: 06 3SZ FS- %/fl
Address: zG? 17'hAvP
City: 1-10v,N/N5 State: /71.N Zip SS S}?/3
Phone: ContacY Person: jvll-T,?
TYPE OF WORK XNew _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descrition of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
X Lawn Irrigation Add Plumbing Fixtures
L RPZ / X PVB) ? Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater; Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (indudes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (inGudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codesof the City of
Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to start without a permit; that the work will be in
acwrdance with the approved plan in the case of work which requires a review and approval of plans.
X Mlc/,- C,9Q1SoN
ApplicanYs Printed Name
x
ApplicanYs Signature
- '
FOROFFICEUSE =
_. u Rev?ewed By i= _ ????+j Date a
Required InspecNonss' UnderGround ? Rou9h In Gas TesY = Fanal =
, , _ ?_, - ? _ a;?.,,1. _-,, v ; -, _ - •,e Ji ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? I U U? ?? PILOT KNOB RD, EAGAN MN 55122
651-881-4675
New ConsVUCtbn ReauiremeMe
• 3 registered ge sunreys showing sq, fl. (yf bt, sq. R af house; and all roofed areas
(20% mex'unum Wt coverage albwed)
. 2 wpies of plan showing beam & wlndow sizes; poured fountl design, etc.)
+ 15etofEnergyCakulations
• 3 copies of Tree Preservation Plan IF bi plaMed atter 7/1193
. Rim Joist Detail Optbns seleclion sheet (bklgs wnh 3 or less untts)
DATE S?x9/ OZ
SITE ADDRESS 3 -72-0
TYPE OF
Coh C(/Q
APPLICANT
m
+-?? ? C-(Zao-_s w-Cti
RemodeVfieoelt NeaufremeMs
• 2 copies of plan QL'I?S ??"?p
• 1 sat of Energy Cakulations lor healed addhions 1/ v?C1.pX?L,i,u 1
1 site survayfor exlerbr addRfons & decks
. Indkate il home servetl by septic system for addiGOns
VALUATION
MULTI-FAMILYBLDG _Y ?FI
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS 371o ??+-tCa-'l WCctn CITY&?rcin STAiE m^) ZIP SSIZ
TELEPHONE#6S(-VSb-Sb/v CELLPHONE# ?olL-?oZ- l?Z-? FAX# 6,57-b'/3P
PROPERTYOWNER ?uknes TELEPHONE# ?e 0?
-----------------------° ----------------------°---------------°-----------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA Ri1LES 7670 CA1'EGORY 1 MIN NFSOTA RULES 7672
(J submission type) • Residential Ventllation Category 1 WoAcsheet Submitted • New Energy Code Worksheat Submittad
• Energy Envelope Calculations Submitted
FL27Y8 2002 Plumbing Conhactor. Phone # ___ _
Plumbing system includes: _ Water Softener _ Lawn Sprinkl ?1 Fee: $90 0
Water Heater No. of R.I. Ba L'
No. of Baths
Mechanical Confracfor: Phone #
Mechanical system includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Contracfor: Phone #
Fee: $70.00
I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply
wlth all applicabie State of Minnesota Statutes and CiTy of Eagan O/rdia nce
Signature of Applicant \ - ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
updated voa
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03plex
? 06 04plex
? 07 05-plex O 13 16-plex
? OS 06plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
O 10 08-plex 18 Deck
? 11 10-plex 0 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea,)
? 22 PorchlAddn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
0 30 Accessory Bldg
O 31 Ext. All - Multi
O 33 Ext. Att - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Add'rt'ron ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repalr
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOprs
O 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation r C??L7 Occupancy -Lg MC/ES System
Census Code ? Zoning City Water
SAC Units 42? Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinktered
Type of Const iv/? W idth
REQUIRED iNSPECTIONS
Footings (new bldg) FinaVC.O.
_X Footings (deck) ? FinaVNo C.O.
_ Footings (addition) Plumbing
Foundation
? HVAC
Drain Tile
? Other
Roof _ Ice & Water _ Finai ` Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing ? Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final ? Windows (new/replacement)
_ Insulation ? Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Approved By Building Inspector
Copies ?• ?-? j s uvL V?GL'/
?
Other
Total
* •" *
-* plani
? ?-++m nyl, y ? 1!
T
1A44
2422 Entaprise Drive
Mendolo rielqnls, IAN 55120
CIM<<„.N«az (812) 881-1914 FAX:881-9488
Iscn?c rm;,?rt:crs 6?5 HighwOy 70 N.E. . ... ...._
6!aine, A1N 55434
?(612) 783-1880 FAX:783-1893
Certifico?e of Survey for. _R.A.?KOT
9 720 F?A'_COtJ NqY
FAI.CON WAY
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N7•E: P9pFplfO FQApES 540WN ?ER CRI.OING PUN BY: PR09E
NOfFqW!OiNG D;N(N9CN5 $MO%'N AA[ FOA HORIZON*eL 4140 K.RIICPL LOCAiION
OP S7RUCTUMES ON;Y, 5[C ARCHnTECTUAI CLqN3 fOR BUIID!IJG AND
fQJNpAnOrv DIM[NSICNS.
NOiE NO SF'ECIfiC SOIlS INVES11C4110N HAS BEEN COMFIETED 6N TNIS l01 gY 1H[
VOIE- C?kIRACICt NUSf VERIIV DRIVFWAV DEww. PROFGSF? Hp ICf Fl FVAiICN
5URAYOR_ ipE SW1A81UIY Cf SpLS 10 SUPPORT iNE SPEbfIC nql$E
PROPOSED t SURWYOR.
fMSCEA7irIGAiED CS NOf PLRPORt 0 SMOWE45[NErvTS O7uER ?FIqV
itltl5[ 5HU'M1Il 04 1}1( GE[GHp-p PLAi.
LOwESr FLOOR ELEVATION: ..Z??_f•?
TOP OF BL9CK ELEVA'i10N
CARAGF SLAB ELEVATI017. rYIU_[?
% 000 .00 OENpiE3 E%i51M, EIEVAiIu^i
( 00'?.W ) DEnr0iE5 PRpP05C7 fL[vanON
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---+- DVdOlES ORARUCC rIOM Pi?ECCCn
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612)681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
Oto (o I 8'2-v
BUILDING
02$275
m7/19/96
' SITE ADDRESS:
P.I.N.: 10-65905-260-02
DESCRIPTION:
3720 FALCON WAY
LOT: 26 BLOCK: 2
ST FRANCIS WOOD 6TH
Permit Type
Work Type
i cr n`, :",Zv, P e
SF DW6
NEW
R-3 U-1
VN
R-1
70
56
1?j ppp
W 9 888
1e1 1 - FaM. oEracw
4E
µm"`h aE?. ¢ ?t
s?
-u,r
ar:
REMARK?:
S& PLUMBER = MATTHEW-DANIELS PLBG.
S Y?
O?' ai m
` ma:A3,????i? ?
FEE SUMMARY:
Base Fee
Plan Rev3ew
5urcharge
SAC
SAC %
SflC Units
Subtotal
VALUATION
$1,287.25
$643.63
$90.00
$900.00
100
$2,920.88
.$ 1 O e y 0 0 0
MZSC FEE5
Total Fee
$1,923.50
$4,844.38
CONTRACTOR: - Appaacant - s-r. Lsc.OWNER•
Kp7 WOMES, R'A 16879513 0001506 R A KdT HOMES
7901 UPPER HAMLET C7 7694 128TH ST W
APPLE VALLEY MN 55124 RPPI.E VALLEY MN 55124
(612) 587-9513 (612)687-9513
T `Fier$6y. a?k?
infor(oaCio.tt
Statut,#s?:end
L
,>-
?.?
ISSUED BV.
?? CITY OF EAGAN C? l, S('/'
3830 PILaT KNOB RD - 55122 ?
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruelion Reauirements Remodel/Renair Reaufrements 7jjY
U
? 3 registered site surveys ? 2 eopies ol plan
1 2 copies of plans (include beam 8 window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior additions & decks)
,-? 1 energy calculations ? t enargy wlculetions for heated additions
? 3 eapies of tree preservation,p)an H IW plaNed after 711193
required: Yas g No
DATE: CONSTRUCTION COST: ?S 92,,r
DESCRIPTION OF WORK:
STRrEFT ADDRESS:
LOT 9(o BLOCK 2,
SUBD./P.I.D. #:
PROPERTY
OWNER
Name:
.,
rwsr
Phone #: -stS& --J'2?0/0
CONTRACTOR
ARCHITECT!
ENGINEER
Street Address:?
Ciry: ZrF1,:W41 State: 0?/
Zip: -?
Company: 47- ?i?? / ? Phone #:
Street Address: License #:090'S'
City: .Or?l Vi?,GG,Fz State:.,00Z/? Zip•3S?
Company: R- / &4ZrZ Phone #:
Name: /I.ari.s.? ,& ,..Wf?
Registration #:
Street Address: -??9 ?2? 4,W ?.
City: ZOL8. State: 1L! Zip--I?-e ?
Sewer & water licensed plumber. f /eT2/.Elf7 f?BG, . Penalty applies when address change and lot
change are requested once permit is issued.
i hereby acknowledge that I have read this application and st e t;hatthe tion is correc o c ply w' all
applicable State of Minnesota Statutes and City of Eagan Ordin nce. i 1. i
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of AppliCaflr
" Yes No
_ Yes ? No`
,, .,,?`f U
j ??
_-JUL =_? 4?5E n
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweiling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 5wim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?N Basement sq. ft. kSNG MC/WS System
(Allowable) vA/ Main level sq. ft. i s v(, City Water K
UBC Occupancy R-3 U-/ sq. R. Fire Sprinklered
Zoning R? sq. ft. PRV
# of Stories / sq. ft. Booster Pump
Length -70 sq. ft. Census Code.
Depth 5?•33 Footprint sq. ft. ? 5AC Code o?
- Census Bldg /
Census Unit i
APPROVALS
Planning Building ^V3 Engineering Variance
Permit Fee Valuation: $ 1?30. ODU
Surcharge
Plan Review
yyX az = q?8
License
MCNVSSAC 6•z5x'y.S = 9?.zs
City SAC 10 x i3 = i 80
Water Conn. 33 "(o Z29
Water Meter y - -T
Acct. D2pOSit ? 5+ /SqS. zS yy3.s
S/W Pertnit
S/W Surcharge ?`?°^? iSYS
zS rA
y
Treatment PI. ' .
S
= ?3, 4y 3. S
Road Unit
G ?J
33K3
14
=
Park Ded. eAy4o?e .
2.7s
797 tz -7 sz
Trails Ded.
Other +' I?q L 3 c?
Copies
Total:
% SAC
SAC Units
pmrw*
? PION'
? a- Me= rn
?
,00 sUnxrons • nni c
10 ouHNces. -Moscnvc
Certificate of 5urvey for: R.A. KOT
79.63 , 9D9.?tr? R? ? g
1a•?
3720 Fn!_coN wnr
FAL.CON WAY
n 908.9 gp5,7
- ?, SERV!CE p
INV,=8960
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BENq-1 MARK ?` - -? - ?? -
TCW OF PIPE o g I ? RROPqupp .
ELEV.=905.19•-.. . _ C?IVE'WAY
I
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2422 Enterprise Drive
Alendoto Heignls, MN 55120
(612) 681--1914 FAX:881-9488
625 Highwoy 10 N,E. Blo:ne, MN 55434
(612) 783-1880 fAX:71133-188a
n
904.8
(9U4.4)
----eEhcr+ MARx
- ICP CF pICE
ELEV.=904.37
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? EASENcNi PER PI?_ ----?-
( - ----- ----
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(M(,•,) S88°31'32"W 98.00
900.8 27
EAGAN
REV9EWED
jY ??-
?
? tnTF_ %'17'94
fQ/I
???WED
( ?G9 i u}
DEr^T.
. PROPCSE? FIOVC FVATION
NO'E: pROPO5E0 C4Ap[S SNOWN PEF CRAOING PLAN BY: PR09E LOWEST rLOOR ELEVA1fON:
vO(E: BURAMG OMENqON3 $h0'NN ARE FOR nORIZONrnL qq0 VCPTKAI IOCAT10H 2101
TOP OF BLOCK ELEVAiION:
?F
OF STRUCTUAES ON:Y, 5[E ARGHITECNAt vL0.NS FOf! BU0.DINC ANO .
rQINOanON pM(NVONS, GARAGF SLAB ELEVA710tJ: 9 ?O• U
N9IE. NO SPECIFiC SOIlS INYESTIC4110N HAS BEEN COMPLEiED ON iHIS l0T 0V iNf % 000
00 DENOTES EpSTiN. ELEVAiio^I
SVRVETOR. iNE SUIiABILIfY CF EOILS 70 SUPPORT 'ryE SP[CifiC npV$E
PROP09E0 IS NOi 1HE RESPO.VSIBILIN Oi' Tr1E St1RbEYOP. .
( ppp,q0 ) DENOTES F'ROPOSEO f!£VAPON
KOIE: MIS CEPLFICAiE DOE$ NOT PURPORi TO SMOW EASfMENjS OTpER 'HAV --- DENOTES ORA'NACE AN) t115LItY ER5E4EMi
iN0$E R10nP aN lNE PfiC4F0i0 CIAi.
NJ1E: CONiRkC1Ci ldUST VERIfY CRIVC.WAY DE51CN. DENOTES ORAIHACE r10O DiREC?Ofl
HOIE: BEARMGS S:,DWN ARE 8ASE0 ON AH ASSUNEi7 DAiUV -40- DENOTES A7ONUMENT
$ DENOTES OFFSET HUB
WE HERE9Y CERTIfY TO R,A. K0T THpT iHIS IS A iRUE AND CORRECt RE?RESENTn?ION OF q
SURVEY OF ThiE 60UNpARIES OF:
LOT 26, BLOCK 2, ST. FRANCIS WOOD 6TH AODITION
OAKOtA COUNTY, MINNESO7A
rt ppES N07 PURPORT TO SHOW IFAPROVEIAENiS OR ENCHROACHMENTS, EX CEPY A5 O M
AS SURVEYEO $Y fAE pR
UtVDER NY DIkt:C7 SUFERVISION THIS 25TH DAY OF JUiVE, 1996.
SCALE : 1'NCH = JO FEFT ,
s?,N6p; IONEER ENGIr?INC, P,
`. i•-
r
?
No.
t2'd
.•.
?
? ?
? ?
? ?
? ?
?
? ?
?
? ?
? ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST RENISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permi[ Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, spiit w/o, split eMry, lookout, etc.)
• Directional drainage ar?ows with slope/gredient %
• Proposed/eAsting sewer and water services & invert elevation
• Streetname
• Driveway
Ebstlna
l/
i3
v ? • Sewer service (or Proposed)
? ? • Property comers
? • Top of curb at the driveway
0 ? • Elevatlons ot arry e)dstlng adjaceM homes
Prooosed
211 ? o
• Garage floor
? • Frst floor
0 ? • Lowest exposed elevation (walkoWwindow)
9??13 ? • Property comers
e% ? • Front and rear of hame at ttie foundation
PONDING AREA (if aoolipble)
? [3' O • Easement line
? B" ? • NWL
O ur'? • HWL
? [r' O • Pond # designation
? D"10 • Emergency Overflow Elevation
ff-'?o ? •
d' ? ? •
z /O ? •
C?p ? .
p •
?p -
? L ? •
Lot IinesBearings & dimensioos
RigM-of-way and street width (to back of curb)
Proposed home dimensiorns including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring pertnanent footings)
Show all easements of record and any City utlliGes within those easements
Setbacks of proposed strucWre and sideyard setback of adJacent exassting structures
Retaining wall
Reviewed:
Januery t596
CRAM319DQRLDOPRMf.FM
LOT SURVEY CHECKUST FOR RESIDENTIAL
.. ti OF`/E CATA X SEE PECOflO 5/. FRANC/S WUV?
? E.2T•d'2fi ti 0.1RVE DATA PLAN I]]8U
R+ 33406' •
R. 66Q00' Q Q .. .. . .
T + 80.19?
3 2 T . 70.7V
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\ D• IGB BSI' L• 10Q92,
61 » P.G • 0+28.70 . . D .8.6&17' ?L
S +py 2t68- 2+10 I+93.74 P.L • 5+35.9I \ G ' Lyj ' . ..
gp}.y ?CtS 905.9 P.T. • 6+76.83 Q m;
p-895.0 S'B93.0 5-09D 8-K lO Cfl I? 1 a r• :,..;,
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V.G.• ?B7.4B 23 a+ o- T. FR4NC WDOD ro Ar e ez, .ossi
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r 0 NYlN TO SE PCAGED )71fe i TrPE K c?cf'.
BLUF_ HERON °'•"?". ??? FALCON WAY EY?„Z E°??
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F_ FRr,T"I.s_f?N?
r
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER PALMER, JIM & PAM
SITE ADDRESS 3720 FALCON WAY
CONTRACTOR: R.A. KOT HOMES, INC. DATE
PLAN N0.
9-0414-6
07/05/96 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
2991.11
1. Total exposed wall area 3052.08 sq.ft. x.11 335.7288
2. Total roof/ceiling area 1583 sq.ft x.025 41.158
3. Total floor cant. area 3.34 sq.ft. x 0.05 0.I67
(over unheated encl osed areas)
4. Total floor cant. area 16 sq.ft. x 0.025 0.4
(over unheated exposed areas)
5. Total exposed wall area above the floor.
2791.11
a. Total wall window area .................... 310.31
b. Total door area ........................... 37.8189
c. Total sliding glass door area ............. 113.39
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 10g)........ 279.111
f. Total net wall area above the floor....... 2050.48
g. Total rim joist area ..................:... 200
TOTAL EXPOSED FOUNDATION AREA ................ 60.97
h. Total foundation window area .............. 0
i. Total net foundation area ................. 60.97
Determine "U" value of each wall segment.
a. 310.31 x "Ul' 0.39 = 121.0209
b. 37.8189 x "U" 0.06 = 2.269134
c. 113.39 x "U" 0.55 = 62.3645
d. 0 x 'lU" 0= 0
e. 279.111 x "U" 0.090334 = 25.21328
f. 2050.48 x "U" 0.043215 = 88.61193
9- 200 x "U" 0.040683 = 8.136697
h. 0 x "U" 0.39 = 0
i. 60.97 x "U" 0.076161 = 4.643564
6 .......... .........................Total 312.26
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA
j. Total skylight area .......................
k. Total flat roof/ceiling framing area......
1. Total net flat roof/ceiling area..........
Determine "Ull value for each roof/clg
j• 0 x "U" 0 =
k. 158.3 x f'U" 0.025549 =
1583
0
158.3
1424.7
segment
0
4.044456
1
1424.7 x "U"
7 ...................................Tota1
0.021801 =
35.10397
31.05952
If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR CANT. AREA (enclosed). 3.34
o. Total floor cant. framing area (ave. 10%). 0.334
p. Total net insulated floor/cant. area...... 3.006
Determine "Ull value for each floor/cant. segment.
0. 0.334 x"U" 0.043879 = 0.014656
p. 3.006 x"U" 0.024254 = 0.072908
8 ...................................Tota1 0.087564
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed) 16
q. Total floor/cant. framing area (ave. 10%). 1.6
r. Total net insulated floor/cant. area...... 14.4
Determine "U" value for each floor/cant. segment.
q. 1.6 x"U" 0.044346 = 0.070953
r. 14.4 x"U" 0.024396 = 0.351305
9 ...................................Total 0.422259
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND O.
I HEREBY CERTIFY THAT I HAVE LCULATED T "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILDING HER E CRIBED MEETS OR EEDS
THE STATE OF MINNESOTA EN RGY CONSERV I CT.
(signature)
(date
• DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud .............. 6.93
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value..... ....... 11.07
1/R = "U" Value..... ....... 0.090334
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 23.14
1/R = "U" Value............ 0.043215
THRU CEILING MEMBER
Interior Air...... 0.68
Sheet Rock........ 0.58
Ceiling Member.... 4.35
Insulation........ 32.92
Still Air......... 0.61
Total "R" Value............ 39.14
1/R = "U" Value............ 0.025549
THRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 44
Still Air......... 0.61
Total "R" Value............ 45.87
1/R = "U" Value............ 0.021801
THRU CONCRETE BLOCK
Interior Air......
conc. Blk.........
Insulation........
Sheet Rk. (opt.).
Exterior Air....:.
0.68
1.28
11
0
0.17
Total "R" Value............ 13.13
1/R = "U" ..................0.D76161
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathinq......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 24.58
l/g = "U................. 0.040683
U" value for window........
U" value for doors.........
U" value for Patio Drs.....
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7.2
Plywood........... 0.93
Joist ............. 11.56
Sheet Rock........ 0.58
Still Air......... 0.61
0.39
0.06
0.55
Total "R" Value............ 22.79
1/g = uUu ..................0.043879
THRU CANT. @ INSULATION (enclosed)
Interior Air...... 0
68
Finish Flooring... .
1.23
Sheathing......... 7,2
Plywood........... 0.93
Insulation........ 30
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 41.23
l/g = "U................... 0.024254
THRU CANT. @ MEMBER (exposed)
Interior Air...... 0.68
Finish Flooring... 1,23
Underlayment...... p
Plywood........... 0.93
Joist............. 11.56
Sheathing......... 7,2
Soffit............ 0.78
Exterior Air....,, 0.17
Total "R" Value............ 22.55
l/g = "U................... 0.044346
THRU CANT. @ INSULATION (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... p
Plywood........... 0.93
Insulation........ 30
Sheathing......... 7,2
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 40.99
l/g - nU................... 0.024396
a?° .Z CITY USE ONLY l?b 0?
L BL RECEIPT #:
SUBD. (?-? ?????•« ?? ? DATE: 9 ( a`
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH HQ TOTAL
Shower 3.00 x .21
= 6. o0
Water Cioset 3.00 x
Bath Tub 3.00 x a. = G.00
Lavatory 3.00 x !v = .oo
Kitchen Sink 3.00 :c _L = 3.00
Laundry Tray 3.00 :t
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c
Floor Drain 3.00 x 3.06
Gas Piping Outlet " mimmum -1 3.00 ;c _ 3 = 9,010
Rough Openings 1.50 :c =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations • to exdsting 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:- --?? 3720 Falcon9, wav
OWNER NAME: R. A. Kat xanes
INSTALLER NAME: Matthew naniels, Inc.
STREET ADDRESS: 15230 carrousel way
CITY: xosenount STATE: m ZIP: 55068
PHONE #: (6i2 ) 438-3730
CITY USE ONLY
BL ? RECEIPT
SUBD. DATE: ? P /2-?
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
?L New construction .Add-eR furnace .
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. ?
.
i
Date: _J`T / ??
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)
? State Surcharge
TOTAL
SITE ADDRESS:-272-0
OWNER NAME?__ ?_I??
INST,
3 Do
.50
? 33, 50 ?
PHONE #: -
(1,
STREETADDRESS:???'?g? ????e-?^? ? A?e. ?-
CIN: 6Q,ileL qi?? STATEA/) ZIP: 653 78
PHONE #: ?44 - G?U[}5 . ?I
U?6F-PFR10fll'rEE?J
_ . . . .. . i . . , , . :- ?
LW& B ?
SUSD •?? , 7/l,p,w.? (?'?OX7Ti? ?'?
NEW ?lECEIPT !i g? / Q 7
RECEIPT DATE Fla5/5;7
DATE
TO f/zc,?5?
l -
JOB?7Z-Q /i/?vl 1'='yy
OWHER
PLEISE BE ADVISED THAT T'fERE IS_ A FEE SHORTAGE ON T1iE ABOVE
- - ?c? -
II.ECTRICAL I2STALLATION= IN THE A!(OUNT OF $ T17 -
SRORTAGE lStST BE PAID ilHITHIH 14 ID1Y5.
- REMARi6 = - -
-_?-Z 0 to 30 amp_ circui[s=
- ? 31 to 100 amn. circuits= 7
0 to 100 amo service=
? 101 to 200 amo. service= - 2-?
av
TOTAL FEE DUE=
LESS FEE RECIEVED
TOTAT. FF.F. SHORTAGE DUE _
PERMIT/l
ORIG. BECEIPTfi 6e-/ Jr/' %
RECEIPT DATE y/
i .
;
RETU?iN A COPY OF THIS FORM WITH REMITTANCE.
Use BLUE or BLACK Ink
r-----------------I
i For Office Use
n I ~I
ity of Ea ~11 Permit
i I
3830 Pilot Knob Road I Permit Fee:
I I
Eagan MN 55122 Date Received:
Phone: (651) 675.5675
Fax: (651) 675-5694 Staff:
L-_.--------------..J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ---///7// Site Address: My Ai ltyn ~,••y
..4. - Unit
Name: 410' 1-; c Phone: &5-; Yky- 0? 36'3 -r 00, R n/
Q1A G18i' Address /City !Zip; 3 70~ ~~ton d✓i~ ~ ly V Ssl ?3
Applicant is: Owner Contractor
Description of work: - / L ~o h- g r-o Q F
Typ0:af Work
Construction Cost. 9 7175-.
Multi-Family Building; (Yes_ / No
Company: ~ ~ ~xVCG/lyt5 Contact:YAd co 644-e.;r`
Cdr r Address: / "twee. <A ~e ZOO City: _ ZcAt vol
tO:
State: Zip: Phone: f tS l ar~~yZy " ~~~d
License #
Btu /7e~e3
• ' Lead Certificate /UA7"- yd jX6
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:
9VC 7'E:. P fans avd s pq.~xt fia g d®vuraaer ; tai yorr sc berfE are c t ftyered :ta be Z b c: eri Y k era _ f
fide n-hrmsfton n be<cla;selffled as non ,p bf o N you prvy1de:gpectf c reea~mt~s ~t POP MIN
~ C y:to
"n, 01V e thaf 4hare frwoe so)mms,
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.aooherstateonecall.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 &ay t?'i
Applicant's Printed Name A icant' ignat e
Page 1 of 3