3728 Falcon Way
Use BLUE or BLACK Ink
t,
w i For Office Use
tJ1 I Permit#: V
City of EJ b 1 Permit Fee:
3830 Pilot Knob Road ' I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
rl
- - - - - - - - - - - - - - - -
3
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q l~-Wt V Site Address: -n de -~a /(-ol- k, d
Tenant: Suite
RESIDENT / OWNER Name: ht' ° t S Phone:
Address/ City/ Zip: 3`~~ g Tull Loq /v@ y
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 'b" a,
Construction Cost: 0C) o Multi-Family Building: (Yes /No-
CONTRACTOR Name: spa So u , f d er-6 ;ant License 0~0 t(/._0~'k
Address: J~a~e ~c City:
State: M Al Zip: Phone: / 5/~
Contact: na TbsjV-_,o ~ Email: br l 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 the 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.gopherstateonecall.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.
0A
Applicant's Printed Warne App icant's Signature
Page 1 of 3
DO N T WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace - Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration - Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation &.110 Occupancy 1 MCES, System
Plan Review Code Edition AoZ? SAC Units
0 0
(25 /o_ 100 /o_Z Zoning n City Water
Census Code Al 341 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width / ty
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
L Footings (Deck) Final 1 C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base F TT
ee
?3
Surcharge
Plan Review GJ --r-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Estop tie ed in 1962
LOT SURVEYS COMPANY, FINVOICE . . N INC. F. B8. NO. NO. 32516
. 571-13~
LAND SURVEYORS SCALD: t" 301
o Denotes Iron Monument
REGISTERED UNDER LAWS OF STATE OF MINNNWA 0 Denotes Wood Hub Set
7801 73rd Avenue North 660.3095 For Excavation Only
Minneapolis, Minnesota 55428 xOOO.O Denotes Existing Elevation
eoe. Denotes Proposed Elevation
fift for •e>~-.+ Denotes Surface Drainage
'}15 Proposed Top of Block
AIt ~C~S i o- i Ac_ i (3.'t,
Proposed Garage Floor
f/ v5,0 Proposed Lowest Floor
• r'~-T ~rri ~ ~~5
Property located in Section Type of Building
15, Township 27, Range 23, C
Dakota County, Minnesota r BBS'• /waacz n - L x ose c~
41/ u
~oVbc 590
1 'Olt~.
Q p_ a.~5f¢
-Ire
s
pixy p
~'''L ~p ~j1'~ 1gc8A5 - •qp$.3 ~t`t~
tit J
~ Tau. I~ • -
EAGAN
REVIEWED
/3 /D urILITY
F!ONS DIVISION 1 VA-S&M:: Nr
Oa"TS Y-./,3 -92
• X7.00 - $y,~
Lot 24, Block 2, ST. FRANCIS WOOD 6TH ADDITION Ii , ; ;1 i ,1;, t
;I E Ci
g-At 1,411 19NGINEERING SEEP
The Onty sasrtMnta shown are from plats of
Client record or information provided by
V* hereby certify that this is a true and correct ropreaentation of a surrey of the
bounderies of the above described lend and the iocatlon of all buildings and vis-
ible a►croactrmenta, it any. from or on said lend. 04 'e-900
Signed
Svedbyus thls_.Z6th dayof _ A-wmt g 92
Ra and A. Prasch Minn. Req. No. 6743
r
v
• :'. 9
WVmficate nf cccupanc4
W" ? ???
???eam"s 311111"WItift
This Certif:cate issued pursuant to the requirements af the Uniform Building Code
certifying that at the time of issuance this striecture was in conrpliance with the various
ordinances of the City negulating building canstruction or use. For tlee following:
SF I7WG
l964
use aassi6carion: eldg. Pmoic r?o.
oocn?cr "iYa z?m n?u? R '?Y? ?- ?
Chvner of Building HABITAT BiRIDF.EtS DT Add=s BM 21351, EAC,AN
Buila'og naa.. 3728 FAUOON WAY ?? L24, S2, ST FRAt?IS idl?CD 6?
noe: 05/25/43
Buwaing oeicial
POST IN A CONSPICUOUS PLACE
" CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTIUN RECQRD
PERMIT TYPE:
Permit Number:
Date Issued:
• 1 ut -
,,i VnN 1.in Y
PERMIT SUBTYPE:
I 1 141",
?
t:u I ? 1? 1 NIJ
N:':33Hq
??/;!:-/t1A
? i,? ,??.h. : APPLICANT:
TYPE OF WORK:
rq r 1.1
i )Nt'tl
Permft No. PermR Holder Date Teiephons g
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. CommeMs
Footings I
Foundation
Framing
Roofing
Rou9h Plbg.
Fough Htg.
Isul.
Flreplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr.IPlan
Bldg. Final
Dedc Ftg. y?1/Q
!
Dedc Final
weu
Pr. oisp.
I CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
' SITE ADDRESS;
PERMIT SUBTYPE:
itIllilii1 T N
- :?tC! l?lMC?
PERMIT TYPE:
Permit Number: ,
Date Issued:
? 4 R t ur 0' : APPLICANT:
,? .
TYPE OF WORK:
eAs vENt
F r r?,ii
i Hit014RkS: fOR FlFf TkTr'lli IN`'?P#.CI ION V F+i t+IQN -?'f34
Permit No. Permit Holder Date Telephone #
EI.ECTRIC
PLUMBING
HVAC
inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RDUGH
HEATING
GAS SVC
TEST
1iJSUL -
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
QRSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL
- INSPECZ
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
:'j .,
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? 00APPLICANT:
TYPE OF WORK:
r,i??t.tj tN6
0E1 190, e#
,.M i fd
I ;t..?t (p t { ???I ? ' ? ! ;r, •
-
.
. . . • ? ; !
r>> wnR r. -; . rrI C + JP r a
.:it? r11 N?; N I
?
J
- - - - - - - - - - - - -
Permit No. Permit Holder Date Telephone #I
S/W
PLUMBING
HVAC ? < o •? l?E / `'?/? 1?d? ?? ? - f??
ELECTRIC
ELECTRI
Inspeetion Date Insp. CommerHs
Footings l _ J
Foundation l Q
Framing T' 42 ' ? -Z-
Roofing
Rough Plbg. // Ic ? ? ? _ •
Rough Fttg.
r
?
lsul. j P
Fireplace
Final Htg.
r/ /J
Orsat Test 1 S
Fnal Plhg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
81dg. Final j 3
Deck Ftg.
iJeCk FinaJ
Well
Pr, Disp.
12- V;r- ')-e 01 - y-/ - " -
4111
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
New ConsUUCtion Reouirements
• 3 registered site surveys shovdng sq. R. o11oL sq. ft. of house; and all roofed areas
(20% maximum lot wverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• t set of Ener9y Calalations
• 3 copies of Tree Preserva6on Plan if lot Dlatted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs wiN 3 orless unils)
DATE Z -.2),- () I
JOB SITE ADDRESS ->
IF MULTI-FAMILY BUILDI
PROPERTY OWNERr-
?--
TYPE OF WORK 1-('I
APPLICANT MUVI)b
PAGER #,15 1 Z-6"l-
FAX # ?
IdEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Sys[em Includes:
Mechanical Contractor:
Mectianical Systciu Includes:
Sewer/Water Contractor:
Water 5oftener ?
Watcs Heater
No. of Baths
Air Condiuoning
I-Ieat Recovcry System
All above information must be submitted prior to processing of application.
Phone #:
IaHm Sprinklcr
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fec: $70.00
I hereby acknowledge that I have read this application, state that the information is co+ct, and agree
all applicable State of Minnesota Statutes and City of Eagan Ordinances. `By_____
Signa}ure of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
7aa
RemodellReoair Reauirements
• 2 copies of plan
. 1 set of Energy CalculaUons for heated additions
• 1 site survey for eutenor addifions 8 decks
?C
VALUATION (EXCLUDING LAND) ?0pC ?
HOW MANY UNITS?
?k Ut ck-3-4ti
17 LDG,J fIREPLACE(S) _ YES ? NO
h(r ivlf? PHONE # ?•O. 6?2-Gzz-B?J?S?
PHONE # ?
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
0 09 07•plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
?J 31 New ? 35
i Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation o? ?
Occupancy ?n
1/( -3 MClES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units r Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof
Ice & Warer Final Other
?
_
_
Framing
- - -
Pool Ftgs Air/Gas Tests -
Final
F'ueplace _ R.I. _ Air Test Final Siding Stucco Stone
? Insulation _ Windows (new/replacement)
Approved By (?g , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
-?-
Copies 0
Other
Total
REQUEST FOR ELECTRICAL INSPECTION eamom
p Sea insvuctions lor cOmpleting ihis larm on bflck ol yellow copY ay8s?
?
? 07528 "X" Below Work Covered by This Request
e Add Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specilyl Contracbr5 Remarks'.
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5lze Fae # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps -
Transformers Above 200 _ Amps Above 700 _ Amps
Signs inspeclorS use only: -. AL O
Irrigation Booms , 7?? Q ?
Special Inspection ?
Alarm/Communication
DIS
THIS INSTALLATION MAY 8E ORDER CTED IF NOT
Other Fee COMPLETED WITHIN 78 MO HS.
I, the Electrical Inspector, hereby
tif
h R1 oe?e 4_Y?
cer
y t
at the above inspection has
been made. Final oa
OFFICE USE ONLY
This requesi voitl 18 monihs kom - '
d 7 8 ,?
14
•
l oe
,?
U
ptla?
,
Req est?ate F' o. Roug?in Inspection
Required?
Reatly Now Notity Inspector
7
Nfi
n R
4
d
? s G No e
ea
y
I-?Ticensed contractor p owner heraby iequest inspection of above electrical work aL .
Job Aeeress Istreet. Box or Route N.?
3 a ?' a-PesxJ Ciry
o-- c
Seclion No. Township Name or No. Ranqe No. Cou
Occupanl(PqlNT? Phone No.
PowerSu r Adaress _
Bectrical nvactor (Company Na e) CoMraclor censa No.
n
Mailing Audress i nVactor or Owner Making Installation) /
Aulhorized Si alere ICon!racton ner Mabng Installation
?
`9 .. Phone Numeer
?
31
d
1 o-
0.
0
MINNESOTA STATE BOARO Of ELECTHICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlwey 91ag. - Room S-173 BE ACCEPTED BV THE STATE BOARD
1821 UniverslN Ave.. SL Veul. MN 55104 UNLES$ PROPEP INSPECTION FEE IS
Phone (812) 613-0800 ENCLOSEE).
Re0 eat Da[ ? o. Raugh-in Inspecti0n
Required4
`
? Ready Now- ill No[iry Inapector
Wh
R
tl
?
E No
Wr?rad en
ea
y
icensed contractor ? owner here6y request inspection of above electrical work ah
Joo Atlaress (Sfreet. Bax or Route No.I )
? ?'ZG.-?/V Ciry
? ?/?
Sec1ion No. Townshlp Name or No. Range No. Co
???/ /
Occupant(P INT) • ' `l' Phone No.
Pow r 5 lier J / J Atltl?ess ? y? y ?
EIKuiC31 0nIl2C?IPf ?(CfPfO?Pd/ny IddffiB)
L? G?`- C0O11flC1015 ICfBOSB N0. . /
VN // /
Mailin Atltlress IGanlractor or Ownar Maklnq Installalion) .
/p "7,5
Amhorketl SI aNre iCOnhaclorr0 er Making Installat Phone Num(be?r.??e5 p
V_? ?!!J
MINNESOTA STATE BOPflD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL N0T
Griggs-MlGwey Bltlg. - Foam 5-173 BE FCCEPTED BV THE STATE BOARO
1521 University Ave., St. PaaL MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone481Y) 642-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
lir Sae insiructions ior completing fils form an back of yellow ropy ??? ?,
? ?
l?, - _ 5 O 1 "X" Below Work Covered by This Request ?? °
ew Atld Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Aange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othea(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other(syeoify) Coniractor's Remarksr
Compufe Inspeciion Fee Below: .
# Other Fee # ServiceEntrenceSize Fee S Gircuds/Feaders' Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amp6 Above100 _ Amps
Signs inspedarg Use ONy:
?J 7p7q?
?O
IrrigationBooms t?• /?
Speciallnspedion
Alarm/Communication THIS INSTAILATION MAY BE ORDEflED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°°9mm
F,,ai oete
oa?e
?
OFFICE USE ONLV
Tnis request vaitl 18 months lrom .
EB-0
/?000
Address
Lot 94 Blk 2 Sub
3728 FALCON WAY
ST FRANCIS WOOD 6TH
Zip 5512_
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 5/25/93 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 roof test caps from the plumbing sys[em and the shuboff of water supply ro
the oulside lawn faucet before freeze potential exisfs. Contact engineering division at 6514645 before wotking in rightof-wgy or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Conlraclor Copy
RESIDENTIAL
f? BUILDING PERMIT APPLICATION
l I CITY OF EAG14N
3830 PILOT KNOB RD, EAGAN MN 55722
851-681-4675
New Conahuctbn Neaulrements
• 3 replstered site surveys stwwing sq. ft ol bt, sq. f1. ot house; and alI roofed areas
(200% maxomum bt coverage albwed)
• 2 copies of plan slwwNg beam & wlndow stre5; poured tound design, eic.)
. isetolEnergyCakuletions
• 3 COpies of Tre9 PreSBrvetiDn PI2n R 101 pletled atter 7/1/93
. Rim Joist Detail Optlons selectbn sheet (Uldgs w%h 3 or less unfls)
DATE 6 -I I ' ().7?
4 7?s
RemotleUReoair peaulremeMs
• 2 copies of plan
. 1 set ol Energy Calculations for heated addtlbns
• t site survey for exleri0r aOdiGons & decks
• IndicataMhomeservedbYSepticsystamtoratld'Abns
VALUATION
SITE ADDRESS J? Z? Yl?t Z G 6\ U . MULTI-FAMILY BLDG _ Y \-)r-N
TYPE OF WORK kely- v c F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT S(ir 41 r.t r?Gl,r1 ?h l-( i'"I UY'S
STREET ADDRESS !7'(C(O (?l./GCSVUi??e,?"6L'?
TELEPHONE # Z-iW-rfZaJZ CELL PHONE #
FAX #
PROPERTY OWNER k0?/ )'] G71 ?) S TELEPHONE #
- ----------------- ° ----------°-------°---------°--° °-------° °--------°-----°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Cocie Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNFSOTA RUI.ES 7672
(+/ submission type) . Residenlial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl
• Energy Envelope Calculations Submitted
Plumbing Contractor: `
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contracfor:
Air Conditioning
Heat Recovery System
-----------------------------------------------------------------•
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Statutes and City of Eq
Signature of
OFFICE USE ONLY
? Water Softener _
Water Heater
No. of $aths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
rr,c.$TAiE /kIdZIP
Fee: $90.00
Fee: $70.00
P,one# o?
? ?uN
is
to
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
2 -/o- ? 8
DESCRIPTION OF
JOB ADDRESS:
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FII2EPLACE PERNIIT APPLICATION
681-4675
T FEE: $50.50
x Construct new freplace ? Alterations to existin
_ Insta eas jnse on v _ nstall eas Une only
Other
7Z,8 ot,? k1'R
LOT: 9? BLOCK: O? SUBDMSION/P.I.D. #: S+ rNQ?`a ?voc+? lo ?
APPLICANT (circle one only): OWNE CONTRACTOR
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.
Name" 1 c? ? S 1l O cB ??.1 Phone il: ?%L`
PROPERTY Last First
OWNER
Signature:
StreetAddress:J72-S W-A/
City GPN s? State: Zip: f?3 I7 3
Company. 1-S...lkN\ \ tac , nV-eyU QL Phone -67_l $
FIREPLACE
INSTALLER Sipature:
Street Address:? 85-0 "- License # 200 / 0
C.`ll'Z,?J State:. Al o, Zip:
k)-.CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: aurLozNG
Permit Number: 031518
Date Issued: 9 3 /0 2/9$
SITE ADDRESS:
3728 FALCON
1.07: 24 BLOCK:
ST FRANCIS WOOD
P.I.N.: 10-65905-240-02
DESCRIPTION:
DIREC7 GA5
Buildi'i5g Permit 7ype
?Buil.d,i_ng ork Type
s n.s u s. C o-d
.np ; , rrs
`?, °-? `s< ; ? .•. >_
?`. St
l ?
WAY
2
6TH
VENT
FIREPLACE
ALTERATION
434 ALT. RESIDENTIAL
?1 }
t,k ' ? i `? Ee.?t s !ia i, ?'? ? ,?;.'•`t`<` 1 ei-,: ; `'r?i'3 I [ laj
_? t.?a tif ?.?'? ,1 * q 11?''a?t,.s i.?
REMARKS:
FOR ELECTRICAL INSPECTION CALL 445-2840
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
C?NTRACTOR: -
IRESIDE CORNER INC
2700 N FAIRVIEW
{tOSEVILLE MN
(612) 633-2561
,aPpiioar,t - sr. Lxc.OWNER:
16332561 20090911 626IS ROBIN
AVE 3728 FfiLCON WAY
55113-0847 EAGAN MN 55123
(612)683-1924
?
I har,eby acknowledge that Z have rsadathis,?eppl3eatSom anzi st?ite" that ?t°Yre
info-rvnation is carreot e•ntlZagree^to°°t?vmply°u3th aEI appltcable?VtaCe'ofi`Mn.Stiatutes, arsdCity ?af Eagan'Ordf'hanc6s.'`
. ,. :
- APPLICANTlPERMITEE SIGNATURE I S ED BV: SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Num6er:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: za BLOCK: Z APPLICANT:
3728 FALCON WAY VASL RON
ST FRANCIS WOOD 6TH (612) 456-0083
PERMIT SUBTYPE:
pECK
TYPE OF WORK:
NEW
auxLozNG
023384
04J22/94
INSPECTION .. . „
FOOTIN6S FINAL
F
L
J
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C_X2 ?
?
BUILDING
023384
04J22/94
SITE ADDRESS:
3728 FALCON WAY
LOT: 24 BLOCK: 2
ST FRANCIS WOOD 6TH
P.Z.N.: 10-65905-240-02
DESCRIPTION:
Bu°ilding'.Permit Type DECK
Building Wa.rk Type NEW
i ?
\
%
\
',-
,
, ./
n
0/73
i ?. uA? L ? J ? L ii ?I
Z"l
REMARKS:
FEE SUMMARY:
6ase Fes $30.00
Surcharge $.50
7ota1 Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
VflIL RON
728 FALCON WAY
AGAN MN 55123
612)456-0083
S hereby acknowledge that I have read this
infarmation is correct end agree to comply
Statutes and C3ty of Eagan Ordinances.
application and state that the
with a11 applicable State ofi Mn.
-
A?
"
PI ANT/PERMIT
SI ?
NATUR ' I ELIU/: SIl NEI
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
rlw i' ' 1?- 2 ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work i:?;,ie' n - ° Q
Site Address:_ Y72-9 FcACO NL UJ?:?.? (-0-!/Ck tti
STREET SUITE #
Tenant Name: (commercial only)
LOT ` I BLOCK L SUBD. P.I.D. #
Descri tion of work: j)QC+I
The applicant is: M Owner ? Contractor ? Othet^ tnescribe>
Name VAtL- R6 li1 Phone 46 zo `"00 1?'3
Property LAST FIRST
Owner Address _ 3-1 25? Vc.( co Y) L1..)0-q
STREET STE #
City _? Q4ClfIL State Zip S 5 I?_?
Company Phone
Co ntractor Address License # . Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?-
OFFICE USE ONLY
BUILDING PERMIT TYPE
O Oi Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
0 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
15 Deck
? 35 Tenant Finish
0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
lst F1. Sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
Footing
Final
An
#qpi
r+ .?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code Y3
SAC Code ?
Census Bldg L_a_2
Census Unit 0
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
vatuacta,: $
SAC %
SAC Units
i
Y '
?
_. ; _ - -- ---?-
-
----•-
! ? .
4.6T L4pFa:.?GY.. ?
41',ri?'!?wi> LULGp.GTH Ai'•jl{U,.
j? ?: {? -.DR 1<OTJ? CGrjNTY ? Ml?l ?
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Num6er:
Date Issued:
8 ur.t.nrnis
Gim 196q
12/3:i/9?
SITE ADDRESS:
LO`1">
3728 FALCOhI WAY
;;P FR6aNt:J:S W000 6711
PERMIT SUBTYPE:
SF D6dG
ee24 HLocK: mea?PPLICANT:
HFll3:LTATBUSLllLRS TNC:
(612) 683-061:1
TYPE OF WORK:
NEW
INSPECTION
f=DOT]"NG .. .
FRAMTNG .A
. INSULATI(]N FINAL
FIRFPI ACE
ftEMARKS: RECEIPT #
S & W PLBht - FFkRIhING'1"ON °Lb"Li
F
L
PERMIT
n'`_'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Date Issued:
P) I1TI.IJCPJ.l,
0 0 1<_;sa
1.7/31/92
SITE ADDRESS:
?/ ?,; r,ai.craN wAv
t.C1Te 0024 !3LOCK: 0002
ST FRAiVf:;CS WOf10 6'f"Fi
P,I.IU,a 2.0 -£3h9 05 -2yG9-472
DESCRIPTION:
' Buildlra.Q PeriTii L. `I°ypc
Bui Sd3ng `Work '1`yp5
UBC Uc:cupartLi'
Co -nst;ru r,t;ibn 7.wo e:
Zt+nfrig
Building Length
i3uiJ,dzng Wi.rlth
B'ui7.ctinq storiev.
?.,
REMARKS:
JF t76JU
N E I.J
Ft-3
v - M
ft-1.
RI:?f?E:CP'r 1h? -?Q)"D--Gro 5,,, bJ Pt_BR -FARi'4Ti4670N i1I.86
FEE SUMMARY:
VaI-uar IoN
8 ase! Fr?e
!1 I. a ri fiR ` i ewSi'I rcha, rqP
snr
sA c uri i ?.s
L ;.e. Sea rc n F o o
s?,bt?c??al
$ ?. , ?i ?! 2 . t3 49
$£r7:`t e 3t'J
$10 7 5 0
?
$2,531,80
T,z15 ,00c,
mxsCe1.?ANC ous 6 1 oe5 o
ry- c, ra:L F? 8 e ; f4 . 7. !1 ?. . 3 0
CONTRACTOR: - A p pi:i.c:a r,t - sr. LirpWNER:
HA5':LTflT k3UII.C7ERS INC 1683061.1 0008248 MABITNI" 3U;f.l.[JIcRS T'NC
I 0 C3r;Jh !' 0 E30ri 21353.
E A G AIV hIIV 55:121 E ACiHi'd MIV 55171
(612) E+83-..0611 (612)683--0611
T h<^.rPby etcknowledge thaL' I have read Chfs appli.catit?n and state that thtz
inr"ar-matiort i:; carrect and agree to cosnp;Ly wiCh akF applxna6le StaTe af M'n.
L 5tatutes and GiCy af` kagan Orzi3nance:;„ J
A P AN EFMITEE SIO A' RE -? EO?': SATURE't
PERMIT. #
VtEAC'Fi4ATE _
I IqLq
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
? RECD
0
?
1 C ? IP
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9Y
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Ao?fn?yR / zo ? 1R9;z Valuation of work -Az?' ,z?, 2/5OC70
Site Address: 9129 F?4dGoa "Oq6, 94&.qyr ? Afn
SiREET SUITE / ,
Tenant Name: (commercial only)
IAT ? BIACR 2 SUBD. •x. ?RqHCiS Y?oUD P.I.D. 0
1)D/Tr di`{
Descri tivn of work: 5?N6cs ,rgMr? ?o?yp
The applicant is: ? Owner 19 Contractor ? Other coe8«tee>
Name At? P?K ? 5u2Rh?if Phoiie IS6-?ooFl
t5
Property -
LAST fIRST
Owner
qddress _ Ij2?n.?qczK -FRA,e-
STREEi STE N
City td?4v1 State Mw Zip .51SI23
Company i?p?r? nc . Phone bfr3-ob//
Contractor Address a. BoX 21351 License M i?bihc Exp. _-31-
City ?4 4?4u State /WK Zip 5512/
Architect/ Company 6t cRvr X ---2'3z>yfirivlf> Phone 426 - 3679
Engineer Name Registration #
Address _ E2 1
City tr,?r-r? ?eRrz LA?« State tiln Zip -'?SIIb
5ewer 5 water licensed plumber FqRM41(,-rox_?'zuM"84n(> Processing time for
sewer & water permlts is two days once area as been appr ved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all appli able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
?4, 141,3 o
APPLICATIC)iV
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
P 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
D 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Z 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
. ., ,r .
4,
? lb Basement+#inish
O 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V/?/ Basement sq. ft. /93/ MWCC System ?
(Allowable) lst F1. sq. ft. ig31 City Water
UBC Occupancy 2nd Fl. sq. ft. ?yo PRY Required
Zoning _L Sq. Ft. total Booster Pump
8 of Stories Z Footprint Sq. ft. fire Sprinkler
Length ?.?_ On-site well Census Code !O/
Depth < 3 On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site 0 Footing )4 Framing PY Insulation
? Mallboard P Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/N Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
SAC %
SAC Units
v.luscion: $ 2/S OD 0
- ??.'I-t-•OL /S f
?? -1' 7S = ?zpo
3,sx9 = 3i,s
?-
1313vz,oa
7 ?
(?'ar
?
2 S, ?'?,t z v
?
2 S
- ZIP. ?z
ios
/?8 ?s s6
?'o
z ?yGio. F?
Estoblished in 1962 ?
LOT SURVEYS COMPANY, INC. FINVOICE . e N0. N?? 325571-'f3-
LAND $URVEY08$ SCnLE t" = 301-
o Denotea Iron Monument
REGI$TERED UNDEB LAW3 OF 3TATE OF MINNESOTA o Denotes ' Wood Hub Set
7801- 73ird Avenue Nort6 b60-3098 For Excovation Only
Minneapolie, Minneeofa 66428
,$mlt}jpl'S dtddt&
Y? !L ?`L5 i D? v?c.g
xlAS rY?7-T :Pku i t-? ckS
Property located in 5ection
15, Tommship 27, Range 23,
Dakota Cotmty, Minnesota
F?
AU bo
A°? _
WAY
?G ,CG
Go.+c. _ qo9.91i qo?.4'!
?-- L°lo(0.
x000.0 Denotea Existfnp Elevqtion
eoe, Denofea Propoaed Elevation
E-w, Denotes Suriacs Droinape
')13• Proposed Top of Block
y i3.2 Proposed Goraqe Floor
`?a 5, o Proposed Lowest Floor
Type of Buildinq -
?qsr, Win O?S [? YPese d
t
v I[":Yti'E:r5
U y_.......?'' ??..; -..-.?o.?
aa,TE
-- b I.vU
/: y..i-i? ??=^',
71w onh OnWWntt alfowm rs hom plata of rsoad a iniortnatlon provided py
dl«,c
VYe Asisby artly Mu mIs is a mis and eorroct rsproeentatlon ot a aurvey ot ths
boundaries a m..eow d.Woea w,a,rw ms arAlon a iWi buiainge ana aa
Ias arco.cnrre,a, If any, nom «on ada Wa.
Surv@Wby us ttNe2.6t11._day ot AuRUSt 19 92
A. Prnsch Minn. Req. No. 6743
yv?
?#.t?I?T EIdCI1VEERIli,?C:? I)E? r
Lot 24, Block 2, ST. FRANCIS WOCO 6TH ADDTTICN &'j
i
EXTERIOR ENVELOPE AVERAGE "U" COHPUTATION
O4RlERs__?_ o?n ? „Su2Anr1? 1?•9i?
$ITE ADDRE55: .?-j 2g FqLC oN H V?4 y. _
CONTRACTOR: " /ZjHq/Tflr ?GI?GD?Pv DATE: //- /0 -Gfz PHONE: (L9 -7 -f33J,
DETERMINE 410RKING SOUARE f00TAGE OF EALH:
1• TOTAL EXPOSED WALL AREA,,,,,,,, 3 70 3 sq ft x"U" .11
2. TDTAL ROOF/CEIIING AREA,,,,,,,. ?8 2'L sq ft x"U" ,126 .
7.
3. TOTAL EXPOSEO WALL AREA CALCUlATI0N5:
Total exposed wall
area above flaor,,,,,,,, 29 I sq ft
a)
Total wall window area: t
DoHn,?p
Lok/-a 9lazed...... 4714 sq ft x ??U" .2b .
/23. Z4
glazed,,,,, sq ft x "U" '-
a
b) Total door area ,,,,,,.. .39 sq ft x"U" r,'- = S,o?
e) Total sliding glass door area:
,bO tA aaCr
LcW-g 9lazed....,.
• d2 sq
- ft x"U"
. 21. = G . 92
9lazed......
d) Total ftreplace wall area --
sq ft x "U"
sqftx"U"
3,
e) Total wall framing area
(Averace 10?)..:....... z9 y sq ft x"U"
f) Tota1 net wall area above
If ttem N3 is the same as, or less than i[em p1, you have met the intent of
2 MCAR 1.16008 A and 0.
.
a
_ . /vN e c. &S,
floor (Insulated)....... ZlI sq ft x "U"
..oyq
' i.23
g) Total rim Joist area... ... 3y? sq ft x"U"
Total foundation
a"rea (Exposed)....... ... _ 38 5 sq ft
h) Total foundatton •
rilndow area.......... ... 28 sq ft x"U" _ .?
° 74
G
f) Total net foundation
area above grade..... .... 35 _ sq ft x"U" pycf .!5 7u
TOTAL a) thru I) • ?
Page 1
4. ,"TOTAC'EXPOSEU"ROOF/CE1CI?fG'CALCULAT10t75:
Totai expnsed
roof/ceiling area........ 192 2 sq ft
. J) Total skyltaht area....... _.?__ sq ft x"U" , Sc v
k) Total roof/ceilinq framing '
• area (Averape 10,);,,... /8'2 sq ft x"U" APZf ? S.o9
I) Total net Tnsulated •
roof/cetl'Inq srea....... /1, do sq ft x"U" .022 ? 3t,,oS
4, , TOTAL J) thru i) yw
If total of 04 ts the same as, or less than 92, you have met the intent of
2. MCAR 1.16008 A aad 0.
ALTERtIATE BUILDING ENVELOPE DESIGP7
To utilize the total envelope system method, the values estabiished by the sum
of Items 93 and #4 shall not be greater than the sum of items N1 and 92.
1. _407. 33 + 2. 7. N. s ?54.-7 3
+ 4. 339. 53
C E R T I F I C A T I O N
1 hereby certtfy that I have caleulated the "U" factors and "R"
vatues herein and that the butldinq here descrtbeA meets or exeeeds the State
of Minnesota Energy ConservatTon Act.
Slqnature
.
Print name ?
(Oa [e)
Page 2
?
2
3
4
WAIL SECTION (INSULATEO)
?jw.
?
.]
?
RIM JOIST SECTION:
-?1
Interior
3
4
: -?? A •
.
A'•6••d
,?q:b•_-
a•,?...e:4
l15TRUCT I ON
AHINC SECTION:
TOTAL R e I2•9h
SIAN ON CRApE
p;d asUU: ;o;
.
FOUNDATION INSUlATIOu rtCyV1KCU:
Min. R-5 on entire wall OR
Min. R-10 down to frast depth
R VALUE
U - 1/R - ,ozq
FOUNDATION SECTION:
?Z Interior afr film Q 68
8' r'?ou?fo CAv+c?zYff l //
si2" f?ar??il eo
?-?4 Exter or a r iIm ?.,?
? (5
4, -
.•a'
A
• a• i, ???:,,'
'n
' ?' ? Heated Slabs:
'e& Minimum R = 8.5
,,,A; z•-q? Unheated 51abs:
?_ 4,?,`? • ; Minimum R - 6.2
Q. •.4 ?,• , '4, .
A?,o,a c ?• ?? a:?
•... .? . , ? ;? A
U = 1/R = ,011,
. .,. ,
. °
d?' •
4'?.
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i;
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,
.-
:
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. 4
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, ,41
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,
Page 3
U - 1/R.' . /04u - 1/rt - .ovy
CONSTRUCTION
R VALUb
CEfLING SECTION (INSULATED):
I Interior air film 0.61
AIR 2 --I ,-F " RcoWrt F? 9tR (?[asS NV, o0
CHUTE 3 511 M* oc
4 Exterfor a1r film sttll 0.61
TOTAL R - 45.7i
U - 1/R - .021
?
CEILINf. FRANING SECTION:
1 Interlor air film 0.61
2 1r " nc?.?.?
3 5/X ?:SNEEfIf?ol/? „*?(o
4 Interior air .i m st ll 0. I
5. g%inches so t wood 435
TOTAI R - A"
U a i/R ? .a2
G
CEILING SEf.TION (ItISULATED):
1' InterTor air film 0.61
2
3
4 Exterior alr film still 0. 1
TOTAL R =
U- 1./R=
VENTED
CEILINr, FRAHINR SECT10N:
_ 1• Intertor atr film 0.61
z
3
4 Exterf- or air film stil 0.61
S Inches soft wood
TOTAL R =
U? 1/R=
H
1
2
3
4
5
Inside air film 0•61
Outside atr film 0.17
TOTAL R s
U= 1/R-
Page 4
?
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAI
" OF TYPICALLY USED PRODUCTS
AtR FILMS (R) SHEATHING ILL
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94
Exterior Air film (Walls) 0.17 1/2" Plywood Sheathing 0.62
Interior Air Fi1m Uented Ceiling)
? 0.61 1/2" Particle Board 0.66
Exterior A1r Fiim Vented Ceiling) 0.61 Gypsum or Plaster Baard 3/8" 0.32
Interlor A1r Film (Non Vented 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior Air Film (Non Vented; 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
Plywood 1/2" 0,62
BIOWING WOOLS Plywood 3/4" 0.93
A?orox. 3" 9
00 Sheathing, Reg. Density 1/2" 1.32
;+pprox. 4 1/2" .
13
00 Sheathing, Reg. Density 25/32" 2.n6
Approx. 6 1/4" .
19.00 Nail-Base Sheathing 1/2 1.14
Approx. 7 1/4" 24.00
Approx. 14" 30.00 ROOFS
Approx. 18" , 40.00
guilt-up Roofs 0.33
Ail other insulation materials must Asbestos-Cement Shingles 0.21
be verified (R Factor) Asphalt Roll Roofing 0.13
Asphalt 5hingles 0.44
INSULATION
Insulation: 2-2 3/4" Fiberglass 7.00 SIDING
Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61
Insulatlon: 6" Fiberglass 19.00 Aluminum with Backer 1.82
Insulation: 3 5/8" Fiberglass 13.00 pluminum with Backer b Foiled 2.96
Insulation: 9" Fiberglass 30.00 1/2 x 8 Lap Siding (Wood) 0.81
Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67
[nsulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21
Insulation: 10" Cellulose 37.00 Stucco (Brawn and Finish Coat) ----
Insulation: 12" Cellulose 44.00
insulation: 1 1/2" Thermax 12.00
Insulatian: 2" Thermax 16.00 DOORS (U)
400D5 1 3/4" Solid Core Doar .46
w/Storm, Wood .31
tir, Pine & Similar Soft Woods w/Storm, Netal .26
1 1/211 1,89 Pease Steel Door Insl/N/GL 7.45R .13
2 1/2" 3,12 Sliding Glass Door, Wood .65
3 1/2" 4.35 Metal .72
5 U2" 6.81
.CQNCRETE BLOCK WINDOWS
8" Concrete Block (S & G Reg.) 1,11 A11 Windows
(filled wlth Vermiculite) 1,93 (w/Storms 1" to 4" Space) .56
12" Concrete Block (S & G Reg.) 1,28 Removal Double Gtazi'ng (RDG) .55
(Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69
8" Light Wetght 2,18 1/0." Air Space .65
(Fi11ed with Vermiculite) 5.03 1/2" air Space .58
IZ" light Weight 2.48 (Other windows specificatly tested
(Filled with Vermiculite) 5,82 can use better ratings)
Page 5
L a? eL CITY OF LqG
SUBD..j cJ/u:1'iZ &L/O4 66? PLUMBING PERlSIT
(612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS 9RE REQUIRED FOR EACH UNIT.
-------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME : /- 1 Ct ('t `I S G Vl CI U l Gr
SITE ADDRESS :-3 7 Z?S Fok!'J "1 W 0v
INSTALLER: '4'I`" I h q-tn h ? 4=4L
nnDxEss: 2(U3 4 C ll,t PenAf4lfl ?9U'e
?
CITY: Fri (?VI I Nrj f p(,l ZIP: Z-?; o Z
CITY USE ONLY
RECEIYT # ?
DATE
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
q ? REPAIR/ADD ON 15.00
Ji SHOWER 3.00 3.s+
3 WATER CIASET 3.00 9_04
Z BATH TUB 3.00 lo."
? 72,VATORY 3.00 /S• -
? KITCHEN SINK 3.00 3.--
? IAUNDRY 1RAY 3.00 3--
HOT TUB/SPA 3.00
? WATER HEATER 3.00 6
3--
? FIAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3 G'C
i ROUGH OPENINGS 1.50 /.SD
= OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL:
CONSERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAPtE :
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:._
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
PHONE #:__4&_3- 7SSZ Y
1993 MECHA1vICAL PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ()?nrc.k !! /9Y-;
FEES
HVAC: 0.100 M BTU
ADDITIONAL 50 M BTU
GAS OLJTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisTING CoNSTRUGTloN)
STATE SURCHARGE
TOTAL
SITE ADDRESS
OWNER NAME
INSTALLER: 4-i
' $ 24.00
6.00
.50
3 `1.5l?/
??
TELEPHONE #: _
ADDRESS: dlD.z4 ovr .
r
CITY:_ ?M}('wie EG fGH'1 STATE: Vv\? ZIP CODE: S?O'L
TELEPHONE #: t-fro3 -?R?.?J
9 ,-x Ju.",
SIGNATURE OF PERMITTEE
RONALD L.SNELLING
JOSHPH J.GHRISTENSEN
TROMAS A.DRIANT
ROBHET P. LAUE
JOHN A. MIIERAY
Ronnie and Suzanne Vail
3784 Denmark Avenue
Eagan, MN 55123
TELEPHONE I6121927-8055
April 5, 1993
OF COUNSEI.
WALTSR G.GUSTAFSON
PAGSIMII.E (612) 927-5427
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear Ronnie and Suzanne Vail:
our offices represent Richard Land Associates which was the
developer of the St. Francis Wood 6th Addition subdivision. As a
lot owner in that subdivision, you are probably aware of the
"street islands" located in the culdesacs on Blue Heron Court, Bald
Eagle Court and Falcon Way. These islands enhance the
attractiveness of your neighborhood and each lot owner benefits
from these landscaped areas directly and indirectly.
Although the landscaped street islands require very little
maintenance, the City of Eagan has required that a plan be
formulated to provide for the maintenance of the landscaping in the
street islands on an ongoing basis and expects the lot owners in
the subdivision to join in and support this effort. To this end,
we have drafted a Declaration of Covenants for Maintenance and
Repair of Landscaping which has been signed by Richard Land
Associates with respect to the eleven lots in the subdivision which
Richard Land continues to own. The Declaration also contemplates
additional owners in the subdivision joining in the covenants by
signing a separate Consent. A copy of both the Declaration of
Covenants by Richard Land and the Consent to the Covenants for the
other lot owners is enclosed for your review.
It is anticipated that the cost of maintaining all three
street islands will not be more than $300.00 to $500.00 in total
annually for the next several years. This would result in a cost
to each lot owner of approximately $10.00 to $15.00 per year with
all lots participating. If areas are not properly maintained, the
city does have the right to remove landscaping in islands. By
becoming involved, other lot owners can assure themselves that the
islands will continue to be an amenity to their neighborhood and
not become a detriment.
SNELLING, GHItISTENSEN, BAIANT & LAUE. P. A.
ATTORNEYS AT LAW
SUITE 400
5101 VISRNON AVIINUE SOUTFi
MINNEAPOLIS, MINNESOTi1 55436
Please review the enclosed documents and let me know if you or
your legal counsel has any questions. If not, please have the
enclosed Consent to Declaration of Covenants for Maintenance and
April 5, 1993
Page 2
Repair of Landscaping signed by each owner of the lot and spouse,
if any, in the space indicated by the red "x". Please also have
the Consent notarized with the notary completing the
acknowledgement and signing in the space indicated by the blue "x"
in the area provided for that purpose below your signature area.
The notary should place the notarial seal in the area to the left
of the notary's signature line.
Once the Consent has been signed and notarized, please return
it to me in the return addressed envelope enclosed and I will see
that it is recorded with the Dakota County Recorder.
We look forward to hearing from you in the near future.
Very truly yours,
SNELLING, CHRISTENSEN, BRIANT & LAUE, P.A.
Joseph J. Christensen
Attorney at Law
JJC/bc
Encl.
cc Thomas Colbert, Director of Public Works, City of Eagan
J. Donald Giefer, Richard Land Associates
CONSENT TO DECLARATION OF COVENANTS
FOR MAINTENAINCE AND REPAIR OF LANDSCAPING
The undersigned, being the Owner(s) of the following described
property:
Lot 24, Block 2, St. Francis Wood 6th
Addition, according to the plat thereof on
file or of record in the office of the Dakota
County Recorder (the "Lot")
hereby consents to that certain Declaration of Covenants for
Maintenance and Repair of Landscaping executed on behalf of Richard
Land Associates dated the Sth day of March, 1993, and filed on the
16th day of March, 1993, in the office of the Dakota County
Recorder as Document No. 1107468 (the "Declaration"). The
undersigned also hereby agrees that all of the terms and conditions
of the Declaration shall be binding upon the Lot from and after the
date this Consent is recorded in the office of the Dakota County
Recorder.
Dated this day of
OWNER(S):
, 1993.
Ronnie G. Vail
Suzanne
STATE OF MINNESOTA)
)ss
COUNTY OF )
The foregoing instrument was acknowledged before me, a notary
public, this day of , 1993, by Ronnie G.
Vail and Suzanne O. Vail, husband and wife.
Notary Public
THIS INSTRUMENT WAS PREPARED BY:
5nelling, Christensen, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$ -7ooo
New Constmclion Reauirements ftemodellReoair Reauirements Office Use OtiF7
K
N
3 regisfered site surveys showing sq. fl- ot lol, sq. fl. of house; and all roofed areas 2 copies of plan CeaicFSuruey Recd
P _
.
=
N
(20% maximum lot wverage allowed) t set of Energy Cakulations for heated additions lan Recd
TYee Ptes
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions B decks Free PPes Required ,;;
1 sel of Energy Calculations Addition - indicafe if onsife sepfic sysfem Otr3de:SepUcSyStem
3 copies of Tree Preservation Plan if lot platled afler 711/93
Rim Joist Detail Options selec(ion sheet (buildings wiih 3 or less units)
Date loa Construction Cost ? rISJqO J
Site Address ? Unit/Ste #
r tn
Description of Work I (
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
P
O Telephone # (6I ) W3 4599
wner
roperty
RENEWAL BY ANDERSEN
Contractor _ 1920 COIJNTY RD. "C" WEST
Address ROSEVILLE, MN 55112 City
State 651-264-4777 Telep6one # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission iype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone #(
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 approve an in the c e of work which requires a review and
ap val of plans. E
D
?CG???S6
-'Applicant's Printed Name pplicant's Signature
??...,,s.,•.,. :uv tb.JV rna roo o/t g@ttp •. . ,...
. ??tThL ?Y" 41YUtSt47t4lY re? ?.?. -- ??. . . . -
(IILY a Easm . ,
3836 EiIcrt Knob Roacl EaM MN 55122 To Wb orn It May cotctrn;
IIder7ones is aathbriz¢d toptFII bniIdin •. -
Elder Joncs to Provide this b P?its forRenayral by Andnrsem Ptease alIow
, datc boyond 6I6I0I: uatiI a?gd,,?( by ??an 7teiR eudia?tzatian is vatid Eor any
tO the 40t3'- ?t' ?cFt?ssIY t?svokes ft ttt vvrltiug
I rcqnest this authorizsfioa b
ottr ba e acc?g-axpedit2ousT : . •
iIding Pctmib anY ?thor. Plcasc calt mc LFthcm acc en ?ay m tha p?essirig vf
? crn?tacted at 7b3-SU2-47Q6_ -- Y?eattons:. I cea lxi
. ?Your immqdietc attcatiaa to this mattcx ?s ? .
ered. . . stu • '
°eialy, ,
ytnvnd"R Rau .
tistallation ivlaaager Renowaj bY And=cn CorPoraizvn
C:r.: Karn-FTdea7nnec . _
?ECflIVQd T1QIE Ja?. 1. 1=07Pl?Wuu
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176147
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 3728 Falcon Way
Lot:24 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Robin Richard Gibis
3728 Falcon Way
Eagan MN 55123
(612) 581-2980
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177488
Date Issued:07/06/2022
Permit Category:ePermit
Site Address: 3728 Falcon Way
Lot:24 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-240
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robin Richard Gibis
3728 Falcon Way
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature