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3741 Falcon Way Wertificate nf Cccupanc? WU4 nf ZeO art?eat oF isx"i»g aaeoectiun `?- This Certificate issued pu'rscrant to the requiremenls of the Uniform Building Code certifyin,g that at the time of issuance this structure was in cornpliance wrrh the various ordinareees of the Ciry rrgularing building consrructron or use. For the Use Qassification: SF DC 11, alag. Pamil rvo. 21693 o,,,p,,r TYa F3fI`112 z.oomg amin R1 TyPe ConSt. o. f awia;g? STAPF ?JONSr Add.= 14640 GLAZIM AVE, APPIE VAT.LEY Btdlding Addias 3741 £' _ T WAY.- l.ocalityl.lq, B2s ST• FREWI.S WOOD 61[1 . `' Datr 11/30M Mfiueig e?+ POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ? PERMIT TYPE: ? ? ? ? ? ? ?? ? ?d+; Permit Number. • o.' Date Issued: ' SITE ADDRESS: PERMIT SUBTYPE: 144 81 r?, t APPLICANT: nf't + ?irtl I tV? . w TYPE OF WORK: rsi !a INSPECTION .. . .• ? ra .?i? ,i ? ? ??i, . ? r•? ;? W 1 illyfl II ? ?:()III F'1 iil, ? Y ,p D L",rd'el? 93 `?/l°? vo Parmit No. Permk Holder Date Telephone N S/1N PLUMBING HVAC ELECTRI ELECTRI Inspectlon Date Insp. Comments Foolings I Foundation 7 Framing Roofing v Rough Plbg. d •"?GJ Rough Htg. D? ? /U / S? ?w I isui. f3 N. C,?v• Flrepiace Final Htg. Oisat Test i- Final Plbg. Pibg. Inspector - NoYrfy Plumber ConsL Meter EngrJPlan 8kig. Final `130ZJ 14/4 Deck Ftg. I • Deck Final Well Pr. Oisp. D- - ? Fequest Oate Q (q I Fire No. Rough-in InSpection uired? NOi1CE: Vou Mus[ Call ElecMCal Inspecior Ii A Rough In Inspection _ 3 s ? Na Is Requiretl. Ii sed contractor ? owner here6y request inspection of above electrical work at: Job Atltlress (Street, Box or Route No. ? 3? ? ? t Ciry - co r Setlion No. Township Name or No, Ran No. Co ? Occupant(PRINT) R Phone No. PowerSUp ' A ress ? Elaqrical ConVactor (Company Ne ? ??? Con ad r8 License No. eAPllQ2 ? Mailing A4 ress (Comrncmr or Owner Making In ?a4b? Aulhorizetl Nre (ConVactor/Owner Maki,??? Ilali??_on)(((??? ??- . ` L_ Phone Numb OI`-+'--^--?--? MINNESOTA TAT BOARD OF ELECTRICITY • THIS INSPECTION REQUEST WILL NOT Griggs-Mltl tlg. - Roam S173 BE ACCEPTEO BYTHE STATE BOARD 1827 Ilnivereity Av¢., 5l. Paul, MN 551041 UNLESS PROPER INSPECTION FEE IS Phom (612) 642-OB00 ENCLOSED. 3o?I(p? REQUEST)FOR'.ELECTRICAL INSPECTION -1 ? Se inslr i0ns !or compleling Ihis forzn on back of yeilow mpy. M 1-3 5 58$J30?' Befow Work Covered by This Request ? %?t?1 ? ?? ? e Add Rep. Typeof6uilding ApplianceSWired EquipmentWired Home Range Temporary Service Duplex Water Heaier Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specily) Contraclofs FemaBS: Compute Inspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps ? 0 to 700 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Signs Inspedor's Use Only: p O TOTAL ?O Irrigation Booms ? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18'JTH ( I, the Electrical Inspector, hereby Rough-in i!, , oi certifythattheaboveinspectionhas been made. F;nai ? oa?e OFFICE USE ONLV This request witl 18 months trom • eq sl Oal ? 1d? ? , FIre N0. -' • Rough-in Inspecti0n qeQyl ? Reatly Now ? Notify Inepe?or Wh R tl 9 J es ? No en ea y I licensed contractor ? owner hereby request inspection of above electrical work at: Job Aodress (S;reet. BoK or Route No Ciry ? - 3 erK Section No. Townshlp Narpe or No. 11 Range No. County p? Occupam (PqINT) , Pho.e No. Power Supp p?b Address ? ElecUi<al Contr clor ?COmOany Name) /?c ?.ai e?vc ? ConVactor5 License No. C.,40 /35 7 Malling qtlareas IGonttaclor or wner Making Instatlallonl OTa G?? 4" G /F ? -14 ? AW? re fGOnlraolprr0 Br y InSt ponu PM1One Nump¢? 7?21l MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Grlggs-Midway Bltlg. - RoOm 5473 BE HCCEPTEO BY THE STATE BOAPD 1621 Unlversity Ave.. SI. Faul. MN 55104 UNLES$ PROPER INSPECTION FEE IS Vhone (612) 642-0800 ENGLOSEO. Address _ 1741 Farrnx wav Zip 5512-1_ I.ot 19 Blk 2 Sub sT. FIU4Y'IS 4OOD 61H THESE ITEMS WERE / WERE NOT COMPLE'IB AT THE TIME OF THE FINAL INSPECI'ION. Date: ? ?30 93 Yes No Inspector: Final grade (6" from siding) ix Permanent steps (gazage) Permanent steps (main entry) r/ 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 system and the shut-off of water supply to [he outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before wocking in right-of-way or installing untlerground sprinkler system. White - City Copy Yellow • Resident Copy Pink - Contrector Copy ? 35?_80 REQUEST FOR ELECTRICAL INSPECTION ? See'msVUCtions lor completing this brm on back oi yellow copy. 'X" Below Work Covered by This Request ew Stltl Rep. ' Typeofeuiltling ? AppliancesWired EquipmenlWired ' Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other(Specity) Comm./lndustrial Furnace Farm Air Conditioner Otner(sVecify) Gontrector5 Remarks 4- ?J { Compute Inspeciion Fee Below: s Ofher Fee ServiceEntrenceSize Fee # Circuits/Feetlers Fee Swimming Pool to 200 Amps 4 g 0 ta 100 Amps Transformers 200 _ AmpS Above o 100 _ Amps SIgnS Inspecm(s Use Only: TOTAL 'SZ) i lrrigationBooms aU / Special Inspection Alarm?Communication THIS INSTALLATION MAV B RD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rougn-in o4* o certify that the above inspection has been made. F;nai ' q OFFICE USE ONLV Tnis request vaitl IB momhs trom " aY ? 3 5 5 7 M 1 Reques[ Dat? ire No. •.? `?? J Fough-in Inapeclion NOTICE: You Must Call ElecVicel Insp¢dor Required? r^ If A Rough-In Inspection i ? ?? rea. ? Yes ?p/ Is Requ I?il censed contractor ? owner hereby request inspection of above electriral work at: Job Atltlress (Slreet, Box or RoNe No.) City 3"14? ?Cor? a a Saclion No. Township Name or No. ange N0. County Q Occupant (PRINT) Phone No. Power Supperp? C?6,n? t'lYl't Atltlress Qrmi,? n Elecvicel C nVactor (COmpany Name) ac1o?5 License No. e}? Mailing Atldre (COn[ractor or Owner Making I Ilalion) ? ` ? ( :t 4 o ? rol? rc. 5 AWhonzetl -Wre (COntrac1or/Owner M?slallaf n?p ) . ?y Phone Number 0 -3555 MINNESOTA ST E 60AflD OF ELECTRICRY Grigge-Midwey Idg. - Foam S-173 /Z.? THIS INSPECTION flEOUEST WILL NOT BE ACCEPTEO BV THE STATE BOAPO 1821 Unlversity Av¢., SL Paul, MN 55106 UNLES$ PROPER INSPECTION FEE I$ Phone (612) 1142-0800 ENCLOSED. i?REQUEST FOR ELECTRICAL INSPECTION ?.? 5 5 7 5??'r ? tor completi? ihis torm on back of? Ilow copy " Below ork Cc,vered b This Request "R'T' Ee-00 1-08 ? . 7? ew Add Rep. Typeof6uiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Manaqement Comm./Industrial Fumace Other (Specify) Farm Air Conditioner 01her (specity) Conlractor§ Remarks: Compute Inspection Fee Below: # Other Fee f/ ServiceEniranceSize Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 70O_ Amps SlgflS InspeclarS Use Only: ? TOTAL Q ? Irrigation Booms J J'? 5 Special Inspeaion Alarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby certify that the above inspection has been made. Rough-in F;nai ? Date oa?e , -V?3 OFFICE USE ONLV ? This request void 18 months from ? 2008 RESIDENTIAL BUILDING PERMIT Date: (0 ' /v " O % Tenant: Suite #: RESIDENT f OWNER Name: STELe d- L)`&)X) 9€1U?? Phone: W S(?(? ?t-I -W , Vo A) Address 1 City / Zip: 371/ I-/rCwl" 'V .4-? EnGtV,.; , Applicant is: _ Owner -1-Contrador TYPE OF WORK Description of work: I?Spkci'2) ?eck /19 04 <`t Construction Cost: Multi-Family Building: (Yes _/ No ? CONTRACTOR Name: l.icense#: ? Address: . ,JDC•PCN OGAJ z- G 4t) City: ??? C,?[_C State Zip: 0G1?r' ? '42 t P ersorr Phone: Contac COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted Submission type) . Energy Envefope Cafculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _Yes' _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE3 Plans and supporhng„docaments that,you submit are sonsidered to b?e pul?tec'iriforrnatian. Portions of =-' reasons that vvauld permlf the Cityto ;- f youpr?ivide specfflc the rnformatron may be c/assiried as non publi?? r ? ? ?, w? secrets. ?,.?, ?' ? ? 11?I) ?o?c/?"de t?ra[ tJie^ _are frade ' I hereby acknowledge that this infortnation is complete and accurete; that the work will be in confortnance 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 witfi the approved plan in the case of work which requires a review and approval of plans. /?//?9 ? ?? ? V ?? x (???.? Cl'KG5av.)? ?cE Applicant's Printed Name ApplicanYs Signature ??? 1?) ???? Page 1 of 3 - - ------------ ? ? ; Pert„it#: I ? Pertnit Fee: ?E 7J? •?`? I ? Date Received ? StaR: o t APPLICATION da"`L4 1"/190 SiteAddress: ?7y? f4(-GaeJ WAY f?4ga'u, 'M'J ? SUB TYPES DO NOT WRITE BELOW THIS LINE ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family -? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi ? 07 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext Alt. - SF ? 02-Plex ? 08-plex ? Deck ?p Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage ? 04-Plex ? 12-plex ? Miscellaneous y? ? Pn zf 5 Pee? ?- L,q n-0 S WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish 8uilding' ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ` DemolRion (entire bui lding) - give PCA handout to applicant DESCRIPTION: Valuation ? ?? , o o Occupancy MCES System Plan Review Code Edition Zoo Mr" SAC Units (25%_ 100% ? Zoning ?-? City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length O+l Fire Sprinklers Type of Const. Width e REQUIRED INSPECTIONS Footings (new bldg) ? Footings (deck) ? Footings (addition) Foundation Drain Tile ? Roof: 4Ice & Water ?-,Final ? Framing Fireplace:_R.I. _AirTest _Final Insulation . i i i Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Meter Size: Final/C.O. _ o FinallNo C.O. HVAC Other: Pool: _Footings _AirlGas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector «,I o,. X,ynus.c5a : g366 a-o Page 2 of 3 ? , Dg f S a . v ! f16CHtR 979F Covs'T. [3130 ???t ?588B.o/ CpHSUl71l16 EH61liEfAS N N`° ?' ?E1iING a?a?i?+Ens cnd IAHD ?unvevons BK. ?¢ ? PC?. 3z. 3 ? ??MP1?NY, 1NC. ? n ? ? IQOtl EA57 I46M 57AEE7, BUfttISVILLE, LLIHt?ES0TJ1 55337 pH 44A.2''000 , J.,.?P ' . . . . _ . . .. "? CLp".t?Z?Z Ct3?e D? aSZ?LP'Ye [? . crt: LOT 19, BGOCK Z, ST. GK4NG5 WDOp 67-HAODlT/4N, p4A-497A COUNTY, M/NNES,97-4 myeHinAe,e: srsv. MN ER ? -`Dr.4eGJD0D 7Z4/L AW17 fA[CON W.9Y. 727P = 906, /0 G\1 L?" '? ORAJNf16E AAvU U7iLlTY E4SEM&NT ?13'- N 89° D/' S5"E . , /77.26 pE-NOTE9 E'X/STING EL[VAT/oA/ (9D*,g) DE'1WT66 GKoP6S60 E"LEI/la7-1o1V lNUfC4T65 pl/ZEC7%ON pF- ,$URFRC?F- jN.411Vf16E y0$.2Z = F!N/S'HED GARAGE /?LVO!? ELEVLIT/ON ? y05 55 = TDO oF lc?Wvp.4T/av E[E?AT/D?V 895.50 =lcwEST F,4SE'MEur P-4xk EtEvATioN ?5 % N 5/ \ ? ?q \ --- -l?.n??? ?_ - - - - - - ? °v. L.O??•?: ` y v- Z $O 6 C?S_ °?_ 'eL Y, q, ?-l, ? fP ? ypPo ? 00/ %,8 I ? ?3,.?? \ MA i / ? / DA EAGAN EN .9E72v9GK L//VE SCAGE : /"° 30, ?> >?m 2? \q'?s5 ? j ? \ ? aM ??? 1 •o ° - `? < ;??1??ti p 16,81 p ?\ 66 p 907, OZ ,_? M/?s e ao Hua = 1? `? ?ob- L % lyD6.5i -m- ? ? . 4\'?4?60 LCanI wA Y 2 heraby cartify that thia ia e t:ue and correct reprzeantitian nf a tract of land as ahown'and dcacribed hereon,• Ae prepared by mn on thia 2Np day ot ,"05T 1 19-a-. /,?'"?'? Ttinn. Re9. Ho.16°86' ? _--p_ ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 New Conatructbn Beaulramenta . 9 registered s8e surveys shaxing sq. N. of lot, sq. H. of house; and 1H roofetl areas rof 120% maximum bt cove(ege allowed) . 2 copies of plan shaxing beam & window sizes; poure0 found design, atc.) . 1 S6t ot EnereY Calculatl0ns • 3 capies of Tree Preservfltbn Pian if bt plattetl aRer 711193 . Ren ,bisl Deffiil Optbns seleclion sheet (bld9s wBh 3 or less unlts) DATE SITE ADC NPE OF APPLICANT AULTI-FAMILYBLDG _Y L4 FIREPLACE(S) 1 _ 2 STREET ADDRESS TELEPHONE # PHONE # Lhj..?F -STATO LIZIP .53Y Fnx # PROPERTYOWNER `?YCUP hi,Pl,P TELEPHONE# 6?/-6630- G/(?',.-li ------------------------------- -------------------------- ----------------------- ----°--------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (J submission type) • Residentlai Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculationa Submitted Plumbing Contracfor: Phone # Plumbing system includes: _ Water Softener _ Iawn Sprinkler _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Mechanical system includes: Sewer/Wafer Conhactor. _ Air Conditioning _ Heat Recovery System Phone # Phone # i hereby acknowledge that I have read this application, state that the informatlon is cor t; `ar1(i with all applicable State of Minnesota Statutes and City of Eagan Ordlnai Signature ot Applicant Kf" °--°°--------°---°-°-....._...._........._._......_.......r.__.......?..r..._...rr?__...?.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ v;? 5y $33i.a5 RamodeVReoalr BeaWrementa . 2 copies of plen • lsetofEnergyCakulatbnsforheatetladdftbns . 1 s8e survey for ertenor additbns & decks . Indicete If home served by septic system for add'Alons VALUATION II Yg,2. R' / Fee: $90.00 Fee: $70.00 0 9 2002 Updated 4/02 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: PermR Number: Date Issued: BUILDING 021693 08/13/93 SITEADDRESS: LoT: 19 BLOCK: 3741 FALCON WAY ST. FRANCIS WOOD 6TH PERMIT SUBTYPE: SF OWG z APPLICANT: FISCHER STAPF CONST INC (612) 431-3551 TYPE OF WORK: NEW INSPECTION FOO7ING .. , FRAMING ., INSULATION FINAL iFIREPLACE REMARKS: S&W CONTRACTOR - MARQUE PLBG. ? ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-65905-190-02 B,uildin'qi-.,Permit Type SF DWG Puilding rk Type NEW UBC Occupancy R-3 M-i Construction T e VN 2oning L R-i Building Length 71 Building Width 54 ?? BUIlDIN6 02169 08/13)93 DESCRIPTION: Qj O? aCs7?an REMARKS: S&W CONTRACTOR - MARQUE PLBG. FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal PERMIT PERMIT TYPE: Permit Number: Date Issued: 3741 FALCON WAY LOT: 19 BLOCK: 2 ST. FRRNCIS W00D 67H VALUATION $923.00 $599.95 ;90.50 $750.00 100 1 $2,363.45 $181,000 MISC FEES $1,744.50 Total Fee $9,107.95 CONTRACTOR• - Applicant - sT. LIC FISCHER STAPF CONST INC 14313551 0004649 14640 GLAZIER AVE APPLE VALLEY MN 55124 (612) 431-3561 OWNER: FI3CHER STAPF CONST INC 14640 GLAZIER AVE APPLE VALLEY MN 55124 (612)491-3551 I hereby acknowledge that I have read this application and state that the , informatian is correct and agree to comply with all appl3cable State o'F Mn. Statutes and City of Eagan Ordinances. L . ' r PLICANi/PERMfTEE S NATURE ISSUED eY: SIGNATURE REA.CTIVATE _ PERMIT -#, a t ? c r?3 Hjs?ENED CITY OF EAGAN 1 93 BUILDING PERMIT APPLICATION --AUG 0 3 1993 681???k SINGLE & Ml1LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 coQy 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 tast working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of work ?op oc:;?o Tm Site Address: STREET SU1TE N Tenant Name: (commercial only) LOT /9 BIACK 2 SUEgD. FJK? • Y/Lo?.?La4? o0 Descri tion of work: The applicant is: ? Owner 0 Contractor O Other coesCrtbe> Name /?i? NRV SfEYI= .F Z- V,4/ e? Phone 6 Property Owner «STr FIRST r j ' , Address STREET - STE 0 City ?%9 G Lk /1) State /"7 1 NA/ Z i p 5?7< ) Company c C'oNS X ?/1 Qb one / /3/ - 3SSi COntfBCtOP Address ?'/G eLa GL/a A uF. License # O< q Exp. 9el SS/? City Oej 1' /0 L !s'A ? ?4'Y State A/t,". Z i p - 30?0 Company aoer_" f-'Vc-. Go. Phone 5IS2 Architect/ Engineer Name ? ?& oe / v f?k1Lk Registration rk /( ?BS Address /00c> )_?AS-l /e16.?- .44 . City ;?& State ?"?-?- , Zip SS 3 Sewer & water licensed plumber /1a2,9ur PLuA L 1 4/ s Processing time for sewer 8 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 BUtLDiNG PERMIT TYPE 0 01 Foundation C 06 Duplex ? il Apt./Lodging ,W02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 Sf Addition ? 08 8-Plex ? 13 6arage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 05 SF Misc. ? 10 Multi, Add'1. ? 15 Deck WORK TYPE *31 New ? 33 Alterations E3 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL lNFORMATION ? 16 Basement Finish ? 17 Swim Pool O 18 Comn./Ind. ? 19 Comn./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demolish Const. (Actual) V•N Basement sq. ft. MWCL 5ystem .y5 (Allowable) _V? N lst F1. sq. ft. City Yfater IYE5 UBC Occupancy 2,3 M_I 2nd F1. sq. ft. PRV Required Zoning 9_1 Sq. Ft. total Booster Pump #` of Staries Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code /vl Depth ?eL On-site sewage SAC Code ?i I APPROVALS j Planning Building _ Assessments Engineering Variance REGIUIRED tNSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile O Insulation ? 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 ?otal: SAC % 10.2 SAC Units I Yatustion: $ 1 v IIo0o GarzAO-Et 3a u aLI=. 76s 2xi2: C?u) I X 8 = ?8? wKn- IZ$D 3,$7-X•ly_ (S1) 6,E7x 2 = !3 1?x2? (3Q? 14YJD= 4ga /644 xlS= Ii,r7`7?- IsT ?toon; Ibq4 x S"<f = 'nj'776 5 Z u D?'a.oavt? 1030 ?t 5q F?scHEK ST9?F Co.vs'T. IlloBe #5888.0/ COHSUl71F16 EHaINEfAS ENGINEEAING aLnI+I{Ens and LANd ?unvEVOns BK, a¢ PFa. 3? . COMnANY, INC. 1000 L15T 14601 S7AEE7, BUfiNSVILLE, LIIHltE:OTA 55337 PH 412'3000 C4ffr-Z zz ccz?`e o? SZ.L?-v'e c? Z,a4CI 4C7^4,o21crt: LOT 19, BGOCK Z, ST. P941VC19 94K07A CaUNTY, Mln/N?55'o74 C,'B1.Za') pENO769 EX/.5T/N6 ELEt/AT/aM 049) .vE1vor&6 Fk0P0S6U 6LE?!a77101V _.s? INDICATE9 p/RECT%ON OF SURFACE P941NfI6E `Io5•27- = FIN1.Sy650 GARA6E FLOOR E'LEUAT?ON 905.55 = 720P OF FOUN4l4740n/ E46-VA770A1 895.50 = LoWEST &}yWMEuT Cz.aoR E4EVATiaN BF?cNrPA,eK: s.av. MN B? -¢ pr.k?ecvvoD T2ai[, fWn 11-,4tGo,v w.9Y. 77'Ji' = 908. !o WDOp 67-H ADDIT/oN, DRArNA66 An!!) 9641E 30' UTiLITY EsiSEMENT ,??3± /? 89° o/' 55"E - ? /77.ZB . - ui y N ? e 4,00 ? - ?1? ? a'? ? ? ? - ?; ?5??p?,t•?? \x``? ?i?d ?/g°"0 2 ? \? $ ? -- ? ? QO?lp?w1(?? a v ? ?,,-tl?' otj8; 907.02 !P '?', , 83 ?p• . 'b op °? . ?_ '??°1?3 ??°? `? ? o\??? Iq?(? ? lao67 $0 6- \ 5 v 0o 'Lg $_ o \ D. .m" ' q) o._ oo ,(,, 6z.>i-,. ? 'o' ^y ?' FALCON Iqb6i5i ? J ,•..? . _ ? " ` .96? WAY ---°-- T? e fp.?x3,??? BU/LV/N6 EAGARi TId I?E?R .?,6T,&qCK 111V& I heraby cnrtify thAt thia ia a t:ue and cornct repneentation at a tract oC land as ¦hoxn'and deacribcd hereon.• Aa prepared by me on thia ?vg day ot , 4U6u5T 1 19 a-. ?. ' LOT BIIRVEY CHECRLIBT FOR RESIDENTIAL ? BD=LDSN PERMIT APPLICATIO ? Y ? ? PROPERTY LEGAL: 2 ?/l? A m ? ? Date oi Burvey: --?- ? ? ? DQCUMENT BTANDARDS 0? p 0 • Registered Land Surveyor signature and company @?D 0 • Building Permit Applicant EYp ? • Legal description 0 G-? 0 • Address 00 • North arrow and bar scale ?'? 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8?'0 ? • Directional drainage erzows with slope/gradient 8. p p? ? • Proposed/existing sewer and water services 0r 0 ? • Street name Q?p Q • Driveway ELEVATION6 Existina ? u? 0 • Sewer service D? p ? • Lot corners • Top of cuz-b at the driveway L] I? 0 • Elevations of any existing adjacent homes Frocosed D?p ? • Garage floor H" 0 ? • First floor 0? D 0 • Lowest exposed elevation (walkovt/window) D'.0 ? • Property corners B" 0 0 • Front and rear of home at the foundation ONDING AREAS (if aDDliaable B" D 0 • Easement line D' o ? • xwr, L•--D ? • HWL 0?-81'4-0 • Pond N designation D, 0 D • Emergency Overflow Elevation AIlSEN8ION8 mr?D 0 • Lot lines 0 11 • Right-of-way and street width (to back of curb) 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e., all structures requiring permanent footidgs) ? ? • Show all easements of record and any City utilitie5 within ? those easements [7 p ? • Setbacks of proposed structure and setback of adjacent existing homes D? ? • Retaining w requirements, if any Reviewed: ?72 9 /9 7 ??? Oetober 1992 lLc-r S-V,FRAucis 14750 Galaxie Ave. Suite 104 ' Apple Valley, Minnesoia 55124 (612) 432-2044 EXTERSOR EDIVELOPE AVERAGE "U" CO!YIPUTATION Na.TVF- PzuaN rn= --r- Determine workirg souare footage of each 1. ^lotal exposed w211 area...... .'"T (?sq.ft. X .11 2. Total roof/ceiling area...... sq.ft. X :02?, Total exposei wa3.1 area above iloor =?59a)Z a. Total wall window area .................. b. Total door area ......................... c, Total sliding glass door area........... d. Total fireplace wa11 area ............. e. Tota1 wall framirg area (average 10%)... 38?.'2.? f. Total net wall area above floor......... .`?v`4:`? ? g. Total rim joist area ................... Total exoosed foundation area h. Total foundation window area..........,. i. Total net foundation area above grade... Detexmine "U" value of each vrall segnent a. g flUff b. x „U„ .139 = ?`? ??'`?°?•?j c. X IfU,l 52 = r d. ----^ g "Ull .68 e. 3Brdi 'Z. g nUll .096 ?-?l x ilUii .043 = ? 2 i.•'I 44411 g. R nT7,l .041 LL.'j+?Cj . ; h. -?-- g "Un .52 i. SG44:> Y "U° .092 3. Tara.r,..... . . . . . . . . . . . . . . . . . . . . . . ?`-? If item #3 is the same as, or less t. , you have met the intent of SBC 6006 (c) 2. -1- . _? . ; - ' Total exposed roof/ceiling area = 6id Total gross rocf/ceiling area = ,j. Total skylight area ................... ---' k. Total roof/ceiling framirg area....... . 2p G'•2^ 1. Total net insulated rroof/ceiling area. Determine "U" value for each roof/ceiling segnent ?. ?._ X ftUn .«.- _ __.... k. 7i'L?C? .Si X. I'Ull .024 = r? •? 2`1 gj iifl .QG2 1. fr7 J? 3.F-;, A tl v 4. mrar .. . . . . . . . . . . . . . . ... . . . . . . . : . . . If total of #4 is the same as, or less than N2, you rave , met the intent of SEC C006 (c) 1.: ' '?'o utilize the total envelope systen method, the values ' established by the slun nf items N3 and #4 shall not be' greater than the sum of itens #1 and #2. ? 1. 2. _ 3. + 4. _ ? T4aterials Thermal resistance "R" Exterior air.......... SidSng material...... Sheathing............ Insulation..........: Sheetrock............ Interior air......... Studs......... ::... Rtm ................. Concrete blocks...... ; -2- I PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'. NO. FIXTURES EACH TOTAL SHOWER 3.00 y5L Oo _ V5'4':EP. CLOSE'T 3.00 g. ?,:> 19 f BATH TIJB 3.00 ./ 50, o.,? LAVATORY 3.00 ?2, vu a, KTTCHEN SINK 3.00 L.AUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 13- a a ? FL,OOR DRAIN 3.00 3, o,.2 GAS PIPING OUTLET •agaim,m - i 3.00 9, D0 ? ROUGN OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • naLcty. ik. 15.00 U.G. SPRINKLER • eomo unaer conu. 3.00 ALTERATIONS • to ?uog 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE ? .50 TOTAL: 00 SrrE ADDxESS: oWrrER raa.ME: INSTALLER: ADDRESS: 3? S'U ??p ?? ?p ? el y? !?/ CITY: STATE: ZIP CODE: 55? PHONE #: 2 > 6 SIGNATURE OF PERMITTEE PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. ? NEW CONSTRUCfION ADD-ON A/C ADD-ON FURNACE DATE l?li- 7-9.7 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL SO M BTU 6.00 GAS OUTLETS (MINIMUM 1 C' $3.00 EACH) 41P ADD-ON/REMODEL (EXISTING CONSTRUCITON) $ 15.00 STATE SURCHARGE .SO ? TOTAL /?a ? SITE 37 Lf/ f-?-? OWNER NAME: TELEPHONE #: INSTALLER; ADDRFSS- X?3 d ?rr/-/ ce.M Cf CIT'Y: Z64 STA'T'E: ZIP CODE: TELEPHONE #: ?- ? r SIGNATURE OF PERMITTEE 1993 MECHANICAL PERNIIT (RESIDFiVTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT_MASTE2 ELECTRIC C0. INC_ AD?RE S S I2467 SOONE AVE _ S___________ Location 3741_FALCON WAY S OD 6TN _ LI4,_B2L ST. FRANCI WO Receipt No./Date 12474/08---30-93 ---------------------- Reason for Refund PER RE UEST OF ELECTRICAL CONTRACTOR_THEY - - - - - DID TEMP. -- - SERVICE ONLY_-------------- --- ---- ----- --- Type of Refund Electrical Permit 01-3211 $_78.00 Plumbing Permit 01-3212 $_______ Mechanical Permit 0I-3213 $________ Surcharge 01-2155 $________ Water Connection Permit 20-3713 $_______ Sewer Connection Permit 20-3743 $________ Account Depasit 20-2252 Utility Account Over-payment 20-2250 $________ Other:--------------- ------ $-------- $ TOTAL $ 78.00 I declare under penalties of law that this account, claim or demand is just and that no part of i[ has been paid. II/01/q3 ------DATE------ //-/ y 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118221 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 3741 Falcon Way Lot:19 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kathy Espelien Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven L Henry 3741 Falcon Way Eagan MN 55123 All Sons Exteriors Inc P.O. Box 146 Lakeville MN 55044 (952) 469-5221 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------+ I For Office Use � ' � Permit#: / � �I�� j City of �� S � � Permit Fee: � o�a I 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: a'a` � I Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i ., 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��2�Z ��C �f Site Address: � �� C�'� � Unit#: ��, Name: ��C� `�C�� Phone: (.(� �� ` � �� ReSid@ntl ; r r ' r / OWII��".. � Address/City/Zip: �� ( Ct�-1 ��Cl;� �'V �L-� ��C.[�-GhC.,� ��f �- � `' Appiicant is: Owner � Contractor ,T�p� ��r� Description of work: �� S�� Uo� � �I 1��0�'L� ' Construction Cost: ��• � Multi-Family Building: (Yes /No� '�� Company: �� `��1�� t�� Contact: � �S �� _ � Address: ��z`�j( ��,�' C�t.�L City: C.��Q'.-L.J�U/ �( � �G�Dt1tC�CtOP ��,� ,./ � :'; ; State��i : ��`7 Phone: (� 71=� �'��mail: �`"ll t.�'.r�,�e l��-C! /� �r�( �/�l F �:�' / ' ' ' License#: ��r � Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE;Plans and supporttng documents that ypu subm�t are ccrnsidered tr�be�ublic infarmation, Portions of the information may be class�fied-a�n,on�p�rbli�,rf yo�r prc�via�e sp�c'ifi�reasorts�'that would permit the City#o :GoncCude that#he �;are#rad�$ecrets.: 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.popherstateonecall.orq 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 auth ized by a building permit issued in accordance wit the Minneso S te Building C e completed within 180 days of per it iss ance. � � � � �/l� x ` �� G ' X Applican 's Print d Name Applica Ys Si n ture� Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146826 Date Issued:11/15/2017 Permit Category:ePermit Site Address: 3741 Falcon Way Lot:19 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-190 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Steven L Henry 3741 Falcon Way Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature ` ' I ' For Office Use 4"I, i •so :::e: L 331 (96-"-° Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections u(�.citvofeagan.com 2/ Site Address: /' l.J019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `,7/ )/D/// '3? V/ /curl (e y, Tenant: cPt4241 I Suite#: Resident/Owner Name:� J ' _.. Phone: 1 S/--2517- ,1/ ) Address/City/Zip: / t{� 7/4 0,-7 y �4Ge1�-� �j'��2-2- Name: Pro (vL s4k, V 1/111License#: Contractor Address: 27 7 3,�` itsJt City: State: - Zip: S5 C/2_ Phone: '3 I '337 ?^3� Contact: ce3-6"— Email: +1A_rA_ - Type of Work —New Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: ,, VI* ?i" l- ()C./ I Water Heater Lawn Irrigation( RPZ/—PVB) Water Softener DescriptionAdd Plumbing Fixtures( Main/—Lower Level) Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a d 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 appral of plan../ l a� Applicant's Printed Nam Ap icant's ignature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA178972 Date Issued:09/13/2022 Permit Category:ePermit Site Address: 3741 Falcon Way Lot:19 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Steven L & Lynn M Henry 3741 Falcon Way Saint Paul MN 55123--249 (658) 182-8100 All Sons Exteriors Inc P.O. Box 146 Lakeville MN 55044 (952) 469-5221 Applicant/Permitee: Signature Issued By: Signature