3744 Falcon WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3744 Falcon Way
Lot: 20 Block: 2 Addition: St Francis Wood 6th
PID:10- 65905- 200 -02
Use:
Description:
Sub Type: e- Reroof & Windows/Doors
Work Type: Reroof & Windows /doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
Owner:
William L Smith
3744 Falcon Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Windows/Doors: If altering the opening size, a framing inspection is required.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
0801.4085
9001.2195
Issued By: Signature
Building
EA084229
07/11/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
. .ca#e nf cccupanc?
? ? ???
en" 34#01?dtft
Tkis Certificate issued pursuant to the requirenients of the Uniform Building Code
certifying that at the tinee of issuance this structure was ire compliance with the varrous
oidinances of the City ngidating building con.itructivn or «se. For the following:
use classJKafim: ..,. ......
0-4-r TYM 1 zooi
,L.? ... o..:..:_ ARI.IlNGT0N SM
sud*g wa&m _
/
/ /.
BM& PM& No. 1163
VN
Addnw 13774 PRIIJCEiCIN CT, SAVACE
_L-«itr LZO, B2, ST FENCIS 4J1W bIli
Doe
Ii/Q/q2
POST IN A CONSPICl10U.S PLACE
F7-.- IN5PECTION RECORD Control No. 0900
CI't'Y OF EAGAN REACTIVATED F'OR DECK 04/15/93 PERMIT TYPE:
( 3830 Pilot Knob Road WAU'fY RDCMING 4Y+-4179 PeRnit Number: 0 M i It, 4-- ,
Eagan, Minnesota 55123 Date issued: 08 ! e 4/ y=
(612) 681-4675
SITE ADDRESS: APPLICANT:
E u r: xa w1.,) C. t .
I ?! 44 f nt i cIN uAY ARt cMfArap HOMES ?
t •,I fl?t?hdi 1•, t]it??!?•; [.T?t (612) 43;L>_97?}?
f PERMIT SUBTYPE:
F ?:t.l i TYPE OF WORK:
NEW
INSPECTION .A •
rAa1rrN+, DA
.
i?t',1?1 I?1 i?1H F1NA1
I i1+F'PI Ai:[
RrMAkI+.'.;, '.; & W Ct11V1ftACYOR f12CFi1p'-k 6'I.R1l
?-•t?•. ? :?;:=?
Wrmn No. Pwmft Holder uate rakptana y
S/VY
PLUMBING
Hvac
ELECTRIC
ELECTRIC
Inopactlon Date Insp. Comment9
F?? A?;-'z Ds
?ndation
Framinp
-f-0 .
Hoofing • G?L o? ???
Rough PlCg.
a?
Rap!? Htg.
lsw. y/ss-
Fireplace
FbiW ?+tg. ?S
orsat rW
Finel Plbg. Y_ c? ??
J- ? . I ber
Cornat. Nieder
E?WJPlan
Bldp. Fmel ?
Deck Ftg,
DeCk Final F'?r r?s k,( Ot?4+ s r /i'r 5/ Y+t+
wen
Pr. Dlsp.
OL-
? ?
./
(
v
?14
v
, _ _ __
?
? CITY OF EAGAN PERMIT TYPE:
??3830 pilot Knob Road Permit Number: h `'
Ea9an, Minnesota 55122-1897 Date Issued: 7.130 V'f
' (612) 681-4675
SITE AaDRESS:
? A t l i a h! tJ AY
. f F kANGIb i.l(lri(i ,,i ii
PERhAIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
',N f+F'`JTt-'W1_1) WY I111.1 Hi)pM';. .
i'AFffiTF: f'EkMil" REQlllRF"Ct F'tltt taN'{ PI UMHINCi 4J1)Rk'.
i 1 44`, .'KAY! RC41AR[1tN6 i lfi lfryit qt i'FRi413 ANI) 1PISPfCTifiNS
Permit Holder Date Telephone q
PLUMBIN
HVAC
Inspection Oate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING ?
PLBG
AIR TEST
ROUGH
HEATING /
?
GAS SVC
TEST
INSUL ?
GYPBOARD
FIREPLACE
<Y °1
FIREPLACE
AIR TEST /f ?r
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
GONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I. ,
BSMT FINAI
DECK FTG
DECK FINAL
d 54954
-? a8
Repuesi Data
y- ire No. Rough-in Inspeclion
RequirBtl7
Reedy Now ? Will Notity Inspeclor
D Yes No Whan Ready?
Il;;?ficensed coNractor 0 owner hereby request inspection of above electrical work at:
Job Atltlress (SIreeL 8ox or Routa No.) Ciry
41 ' G ..y O-A .
Seclion No. Township Name or No. Ran No. Counry
?
Occupant(PRINT) PhOne No.
ower Suppher Addiess
Elemrical Comraaor (Company Name) Contractor5 License Na.
?L C? dG??
Mailing Atlaress IC Vactor or Ownee Making Installation7
G? ?-r--?r?
-l? ° -;'
ANh ignaWre iCOnv
? Own
ar
Making Installationl Pnone NumOer
??
i
? ? d .?G ti fi
MINNESOTA STATE BOAqO OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
Grlpgs-Mitlway 610g. - Room S-173 BE ACCEPTED BY THE STATE BOARD
18II1 Unlversity Ave.. St. Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(61R)BJ3-0800 . Q?(/Z? ENCLOSED.
? 75Sv
d 54954
REQUEST FOR ELECTRICAL INSPECTION
Iii See_insVUClim# br compieting ihis form on pack oi yellow Wpy
"X" Below Work Covered by This Request
`?me??? EB-00001-08
ew °Adtl ep, TypeofBUiltlinq AppliancesWiretl EquipmentWlred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specity) -
Comm./Indusirial Fumace
Farm Air Conditioner
Olher(syecily) Conhai Remarks:
Campute Inspection Fee Below:
# Other Fee # ServiceEmranceSize Fae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers A6ove 200 _ Amps Above i00 _ Amps
Sig05 Inspectork Use Only: TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDEREO OISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTMS.
I, the Electrical Inspector, here6y RoogM1-in oi
certify that lhe a6ove inspection has
been made. F;,,ai
7,9 oate
OFFICE USE ONLY
This repuest voitl 18 months trom .
0
6
59
9
4
,;2o ,;C3ci, A $ 7 ?
Request Date Fire No. Rough-in Inspeclion
6
` Requiretl? r
C) ReaOy Now (].1Vill Nof Ins
,
W d
?- -G U>& F-- No Y
?
IPiiAtcensed contractor ] owner hereby request inspection of above elect I work at:
Job Atldress (SVaet Box ar Roule No.I Clty
?
Section No. Town hip Name or No. Ra a No. CouMy
OccupantlPRINT) Phone No.
\ ?
Power Supplie, qtltlress Mij sso?y
i- C
. ?
o+n I;N
Eiectr¢al Convactor IGOmOany Name)
Contreclor5 License No.
• ; c. b SU
I
Maling Aeoress ICOnVactor or Owner Makmg Inslalla[ion)
1 Ei'rck a. z *' L e.
Autnonzee al e ?G nvactonownar Mak ? Pnone Number
?
MINNESOTA STATE BOARD OF ELECTHICITV TMIS INSPECTION FEOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5193 6E NCCEPTEO BY THE STATE BOAFD
1821 University qve.. 51. Peul, MN 55106 IINLE55 PROPEF INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-oaom-os
?
/ 31?? ? See insVUCi` lor rompleting Ihls form on back ol yellow copy ¢?°?
K,04659 `'?`Below Work Covered by This Request ta'/(??,j ?(p
ew Atld Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt, Building Dryer Other.(Specity)
Comm.4ndustrial Fumace
Farm Air Conditioner •
Otherlsyecityl Conlractors Remarks: - Compute Inspection Fee Below:
# Other Fee # Service Entrance Size
Fee l
, Circuits/Fetlers Fee
Swimming Pool 4
ps , 0 to 100 Amps a
Transformers Above 20D _ Amps Above 100 _ Amps
Signs inspecmr's Use Oniy: n TOTAL
Irrigation Booms pO bp ?? -Z-
?
Special Inspection ? /Z-IV
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISC NNECTED IP NOT
O[her Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rouyn-io
O
certify that the above inspection has
been made. F,,,ai oate
OFFICE USE ONLY
Thls request void 18 moniM1S Irom
.f
-Ad-dress: 3744 FAV,AN WAY LotZp Blk Z Sec/Sub ST FRAW-IS WO0DS 61H
These items were/were not complete at the time of the final inspection.
Date; 11 9 92 Yes No
Final grade (6" from siding) i/
Permanent stepa - garaga V .
Permanent steps - main entty ?
Permanent driveway ?
Permanent gas J?
Sod/seeded gzass ? .
Trail/curb damage
Porch ?
Easemant finish ?
Deck ?
Pleasa vazify vith the builder the removal of roof teat caps"from the plumbing
system and the shut-off of vater supply to the outaida lavn faueat before
freeze potential axiats. m
VX9
isaeswia
White - City copy Yellow - Reeident copy Pink - Contractor copy
FERMIT -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-E5905-200-02
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
3744 FALCON WAY
107: 29 BLOCKa 2
ST. FRflNCIS WOOD 6TH
iI iki6'q_ Permit Type
?8udldinq'Uork Type
m -
N..
? =Is
;?.qF
?
Mrs'P
.? ?
s. ?
= 4.
BASEMENT FINI5H
ALTERATION
434 ALT. RESIOENTSAL
?
^IS I[ F 4IY p
.m' c` II_q' yx
E *u
Gp
FwS?'?
?' I
twl' N$i i& n2$ I'?y
? 91. ? ?
a$ A r Ei
surLoxNe
032685
07/3e/98
REMARKS:
PLAN REVZEWED BY BSLL ADAMS.
SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK,
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharge .50
Total Fee $50.50
CONTRACTOR: - flpplicant - s`I'. Lzc OWNER:
WATERS & ASSOICATES 19740064 1508 SMITH BII.L
6216 BAKER RD 110 3744 FALCON WAY
EDEN PRAIRIE MN 55346 EAGAN P7N 55123
(612) 979-0004 (651)905-1293
?
I heYeby aak?towlordge tha
infar(pation=Is crarrect a
_,.a??tU??s ??sl•?i?q xf'f Fdg
>
. ,,
Ci t.nav? re.ad th}s aFR1i,??tyon aracl ?t?,te than?,:t
. .
n.d asar,se;t o co:mply',w:ith ,a tl `a p.pYicab'Le-°stat"e°o:f ".o
- J-?? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
- CITY OF EAGAN ?
3830 PII.OT KNOB RD - 55122
681-4675
New Conatrudion Requirements RemodeUReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; Mc.)
• 1 energy calculations
• 3 copies of Gee Drexrvation plan H kt platted after 717/93
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STRE?DRESS: 3??T Gl(Gptt,,
• 2 copies of plan
? 2 sde Surveys (ezterior adtlitions 8 decks)
? 1 energy celculetions for heated adddians
CONSTRUCTION COS??? ?? ? ?
e
LOT: ?v BLOCK: ? SUBD./P.I.D. #: S?. ?-a KC i 5 W6Ge
Name: v 01, 1 CI t4 ?[ ?'? /?/(4l1rGl Phone #:
PROPERTY Last? Firsc
OWNER
Street Address: ? 61,+ bjGt !/1
,}-?? 1 ? / •
City ?Gt G?GC [il State: Zip: 2- ?
`1 ?
?_ ,,? ???`?l?
Company: d/ e s'.?LULI? 5 Phone p0 0 4? i
CONTRACTOR / ?j //
Street Address: r?2 ? b (?G? ?.cA /'C?C • he 1 lQ License i
L50 g ?
? f y?R,?r (//
Ciry `«I Ui f state: /?C1M zip: <53 T 'O
ARCHITECT/ ?^ I [?.
ENGINEER Company: K/SS Phone #:
Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penally applies when address chang
I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. '
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No //p )
Tree Preservation Plan Received Yes No
- ivvt ncyunvu
cirr use oNLr S S/ Z
L ?D B ? RECEIPT#:
SUBD. ? L?6R Ot RECEIPT DATE: ?/3U IC/
1998 PLUNMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FQ70B RD
EAGP.N, PIId 55122
(612) 681-4675
Please complete for: ? single tamily dwellings L?l
? townhomes and condos when permits are required for each unit
? 6adcflow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
8ath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
GeS Plplng OUtIEt ` minimum -1
Rough Openings
Water Softener ' for dwellings under construction
Water Softener " for existing dwelling
U.G. Sprinkler ' for tlwelling under wnst.
U.G. Sprinkler ' far existing dwelling
-)c7Alterations ' to existing residence
Water Turn Around
Private Disposal System * MPC iic.
(new and refurbished systems)
Private Disposal Systems' Abandonment
EACH # TOTAL
3.00 x =
3.00 x
3.00 x =
?
3.00 x = '
T
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 x =
3.00 =
20.00 =
20.00 =
75.00 =
20.00
STATE SURCHARGE 50
a
TOTAL
------------------------ ------------------------------ nfe --- -------------------
I herehy adcna.vlEdge tha: I heve read this aDP?ication, state that the iRnation is cor.ect, - and - agree - to - comply - w - dh all applica6le City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the Cily of Eagan assumes no liability for any damages caused 6y the Ciry during its
normal operational and maintenance activities to the facilities constructed under this pertnR within City propertylright-of-way/easement.
SITE ADDRESS: 3`J N 4 Js4c.C t)rX llJu y ?!a G Q n In kJ
VOWNER NAME:
INSTALLERNAME: TELEPHONE#: DyK" 26GU
STREETADDRESS: l??/L> J Z?.? i?c nIlvL
CITY: ??va.y -z STATE:
?" A,)
Z1P: 553 7 j
SIGNATURE OF PERMITTEE
JSIFORMS BLOG/PLBG PERMIT (RESIDENTIAL) 1998
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
Lor: ze eLocK: 2
3744 FALCON WAY ARLIN6TON HOMES
5T FRANCIS WOODS 6TH (612) 432-9725
PERMIT SUBTYPE:
SF OWG
TYPE OF WORK:
Control No. 0900
BUILDING
001163
08/04J92
NEW
INSPECTION
FOOTING D. .
FRAMING D•
INSULATION FINAL
FIREPLACE
REMARKS: S& W CONTRpCTOR - RICHIES AlB6
?
?
7
?
?
CITIf OF EAGAN
3830 PiloY Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3744 FALCON WAY
LOT: 20 BLOCK: 2
ST FRANCI3 WOODS 6TH
Control No. 0900
BUIlDIN6
001163
08/04/92
!Build3ng Perm3t Yype SF OWC,
? 6uilding''1Work Type NEW
UBG Qccaparrcy R-3 M-1
Constructian `C;ype V-N
Znning R-1
Suilding Length. 74.
Suilding WldtM, 42
&u:ildin.g..stories; ' 2
S"`7ia
? r .. . +
?
REMARKS: C n 2
S& W CONTRACTOR - RTCHIES PLBG
FEE SUMMARY
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SNC Units
Subtotal
$919.50
$597.68
$90.00
$700.00
100
$2,307.18
$180,000
MISCELLANEOUS $1,610.50
Total Fee $3,917.68
CONTRACTOR: - Applicant - s-r. LicOWNER:
ARLINGTON HOMES 14329725 0003200 ARLINGTON WOMES
13774 pRINCETON CT 13774 PRINCETON CT
SAVA6E MM 55378 SAVAGE MN 55378
(612) 432-9725 (612)432-9725
I here6y acknoaledge that I haue read this applieation and sCate tkat the
informat3nn is e-nrrect and agree to oamp]y wfth all applica6le SCate of Mn.
? 5tatutes and CiCy of Eag,axa Ord'i»anaes. ?
? •
'of
APPLIC /PEI1- IT SIGNATURE MSUE15 BY: 51 A URE
i. •
UFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
woRK nrPE
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 11 Apt./lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
0 31 New ? 33 Alterations O 35 Tenant Finish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
?-J---
?
ConsC. (Actual) Basement sq. ft. /yG 3,( MWCC 5ystem
(Allowable) Ist F1. sq. ft. City Water
UBC 6ccupancy R 3 M-I 2nd F1. sq. ft. /Z'JD PRY Required
Zoning R-1 Sq. Ft. total Booster Pump
i of Stories Z Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code
Depth y2.?3 On-site sewage SAC Code
APPROVALS
Planntng Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site 0 Footing
? Wallboard El Final
q Framing
? Draintile
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
O 37 Demolish
?
?
T
El Insulation
O Fireplace
Permit Fee
Surcharge
PTan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Aoad t7nit
Park Ded.
Trails Ded.
CoP ies
Other
Total:
SAC %
SAC Units
l?O,? 2 ' 3z
yj a
?yG3.?ox?- 59s?r?
J J
I 9, s.+-2-P ? svG
2'% 3=? 3 i, ?
p2?9,8? x?3 =
= &yld
- ?y
?;'?o7Z
_----
1?
f _
$ j? go,_ 000
2y-xyD=9Ga
l Y,F y - `??
16,3x12= ?95'G
?ak a6 = i5 L
, PERMiT N '
REACTIVkTE
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATtON
681-4675
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, I 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 Valuation of work
Site Addresr.
STREET . SU[TE /
Tenant Name: (commerclal only)
IAT BIACK SUBD. P.I.D. k
Descri tion af work:
The applicant is: p Owner 0 Contractor ? Other (Describe)
Name phone
Property L115T FIRST
OWt1@f
qddress
. STREET STE M
City State Zip
Company Phone
COntCBCtOf Address License # Exp.
City State Zip
Company Phone
Architect/
Englneer Name Registration #
Address
City State Zip
Sewer 3 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 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
? . ?1?.3
REQUlREMENTS:
SINGLE FAMILY
1992 BUILDING PERMIT AF
CITY OF EAGAN
2 SETS OF PLANS, 3 REGISTERED SITE
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURi/E
# OF UNITS RENTAL FOR
'YS, 1 SET ENERG?/ S.
?
` --- o?
YS. 1 SET OF-EN CALCS.
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q$ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be lJsed For:Sy?Le P;,r,e/ Valuation: Date: :? -a /- fA
^ LSite Address , " L
Lot ?U Block a
Parcel/Sub T'?
Owner
Address lx(' ,qZb1?-,V I'n,u3)
City/Zip re-cr,e,x/ ?•,?
Phone (? S? (? - 78
Contractor /??l*?y?
iaGdress aT
City/Zip
Phone
Arch./Engr. d,L?2G97?
Address /ov/
City/Zip Code
Phane # -f9/ -
Occupancy Bidg Permit
Zoning Surcharge
Actual Const Plan Review
Allowable License Fee
# of stories SAC, City
length SAC, MWCC
Depth Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage S/W Surcharge
On-site well Treatment PI.
MWCC System Road Unit
Ci'ry waier Park ued.
PRV Trail Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Pianner Lot Change
Council TOTAL
Bidg. Off.
Variance
FEES
Sewer/WaterLicensedContr.,ygC,2..(Lk,'?,,?? ??;?,?,;,? Processingtime
for sewer/water permits is two ays once area as en prov .
z ?z;i? ?.? --- agrees that all work shall be done in accordance with
(Sign ure ot F ermittee
ail applicahle State of Minnesota Statutes and City of Eagan Ordinances.
.?c T ?
* PIpNEER
,? engir?e?erine
Certificate of Survey
?
?
?
?
?
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. 9oo.a penotes Existing elevatian
. eoa.o Denotes Proposed Elevatfbn
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Denotas Drainage Ffow Direction
--o-- Denates Monument
-e-- Denotes Offset Hub Bearings shown (ire
LOT 20, BLOCK 2
PAK07A CouNTY, MINNESOTA
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PftOPOSED HOUSE ELEVATION
Lowest Floor Elevation:ggg,85
Top of Block Elevation:908.66
Gorage Slab Elevatlon:908.33
assumed
ST. FRANCIS WOODS
6TH ADDITION
I hete6y CBrtifV lhBt thil survey, plan pr repor[ was prepared by mn, ot under my diretl supervlEion anrJ tha[ I em dul Re
undtr tbs Inws of the State q( Minnesota. Uated lhlqF??? 1 q, Y 9?Stered L.and Surveyor
L'`-? ?aY at A.O. tJ-?-?.,c .
5cale:_.1ja?h=3pret
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HOBE? 9. 5! I L,S. aEG, NO, IOB91
Lr? ... ._ . .
LAND $URlEYOHy - CINL ENGINE{RS
10 PL11lN[RS . LiJ:OSCAFf AftRiIIECfl
P.02
2422 Enterprlse prlve
Mendeto Heights, MN 55120
812) 691-1914•Fax 681-9488
625 rlighwoy 10 tJOrtneost
8loine, MN 55434
612} 783-1880-f'ax 783-188J
for: Arlington HQmes, Inc
?A GAi'd -ENUINEERING
E\'CEk?(lB EKYi.-._E p.'i?
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'COtal exresed roof/ Z !Q SQ- F'C.
ceilina area
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ryf?
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(averaye IO%)
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esrab_i.sned b_v che ssm o: #3 and =4 sral7. r.nL Le gr.eacer.
tnaa ??.e sum af i.tems #1 and #2.
+: .
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I t:e::eb, _E_t:.ry t7.at :;,ave calcuiat=_d t'.:e anj
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14'. 1
L BL _L CITY OF EAGAN
SUBD,/? ?i'? /
7? «o ?? /-PCy
<•F' PLUMBING PERMIT
(612) 681-4675
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAMfi: _Rn X??F' v J
l
STT& SnDRESS :. f 1- ,lQ2' n u`)C
C
INSTALLER: vv?G
ADDRESS :??o i ?
CITY?i`s'?arc??1,V< ZIP: SL?:` lC
PHONE 0
,
GNATURE OF
STATE SURCHARGE .50
TOTAL: S S3.00
` COMMERCIAL
PLEASE COMPLETfi THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAPfILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
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)
CITY USE ONLY
RECEIPT
DATE 9?-
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOwER 3.00
? WATER CIASET 3.00
a BATH TUB 3.00 (o O1
S LAVATORY 3.00
1 KITCHEN SINK 3.00
IAUNDRY TRAY 3.00 ,i^'
i;vl iUD/JiH 3.00
? WATER HEATER 3.00 ?
OD
) FLOOR DRAIN 3.00 ?
S -
GAS PIPING OUT.
(MINIMUM - 1) 3.00
3 ROUGH OPENINGS 1.50 •So
OTHER
_ WATER SOFPENER 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
CTI'Y OF EAGAN
B
MECHA1vICAL PERDM RECEIPT # /0 `.Z5la ?J
SUBA ,?• ? ?vdd? ?e ?° (612) 681-4675 DATE -? - G 2-
RESIDENTIAL
PLEASE COMPLEPE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. AISO, COMPLEPE FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PERM11'S ARE REQUIRID FOR EACH DWELLING UNIT.
OR'NER: \ ? ,(Y11?'_ ? FEE'S
SITE ADDRESS: ? ADD ON/REMODEL (EXISTIIdG $ 15.00
CONSTRUCITON ONLI)
WSTALLER: $VAC: 0-100 M BTU 24.00
PHONE #: ADDITIONAL SO M BTU 6.00
ADDRFSS: .C) ,(, GAS OUTLEfS - MI?TIMiTM 1 Q t3 EA. 13. L) c)
CI1'P: ? V,) ZIP:? d SURCHARGE $ .SO
SIGNATURE. TOTAL: $i_,t.?'s-C)
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL WMbIIItCWJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTNiIINT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R+HEN SEPARATE PF.RMITS ARE NOT REQUIRED FOR
Fr1CH DWELLING UNTf.
WORK DESCRIPTION:
owtvEx:
SITE ADDRFSS:
TENANf:
SUITE #:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
SIGNATURE:
CONTRACT PRICE: I FEES
196 OF CONTRAGT FEE. ?
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT F'E& $
PROCESSED PIPING • $25.00 F-s
MtxiMUM FEE - $25.00
TOTAL:
s
CITP SIGNATURE:
ZIP:
REACTIVATE -z- -g CITY OF EAGAN
PERMIT 0- ??C??MI?? 1993 BUILDING PERMITAPPLICATION
APR 13 1993 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Pr2 Yaluation of work c"'000,
Site Address: 37 yL -Ee9-L_ct3 N W Q-?
. 57REET SUiTE /
Tenant Name: (commercial only)
Lor aLOcx J? svsn.?,i_. '?'4.)u,n.vti Otrrda-A P.I.D.
*
t-J
Descri tion of work: e,? ' ='n 'J.? E`j:.-
The applicant is: ? Owner Contractor ? Other coescrine>
Name (:5 °--) Phone ?J?K'7$ 76
Property LAST FIRST
Owner '
3?`E
Address
1
STREEi . STE-!
City ?b -rtr.rJ State Zip
Company Phone ?-7
i
_'
Contractor 7
Address 17/5`? o?dw4 L/ License # Exp.
City State Zip ?3 1?2
Company Phone
Architect/
Engineer Name Registration N
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:
? ?e ?`
11
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 OI Foundation
? 02 SF Dwg.
? 03 Sf Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
?31 New
32 Addition
? Ob Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireptace
,ix 15 Deck
? 35 Tenant Finish
O 36 Move
? Zinii*ihij
? 16 Base?
fi? e,pt
0 11 Swim Pool
? 18 Comm./Ind.
[3 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories ?
Length '
Depth
APPROVALS
Planning
Engineering
REQUIRED 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
MWCC System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Code V?V
SAC Code
?8.45a-5
LAM,J °?
Assessments
? Framing 0 Insulation
? Draintile O 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:
N/6 Y.t,at;«,: $
SAC %
SAC Units
P.02
aa • •
•' T ? T yr
* PIQNEEK!
? eng i
** * *
Certificate af Survey for. ArJjngton HQmeS InC
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House Address: Falcon Way E°°an N
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2422 EnterpHse pr{ve
IAendula Halghka, !AN 55120
pW5 ? GINI CNGINE[NS (812) 661-1914•Fdx 681-94B$
• IAM1D.iCAPe ARp{IIECiS '-
625 Highway 10 IJprlheosl
Blaine, MN 554,I1
(612) 783-1880•Fax 783-7883
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. 900.0 Denotes Existing Elevation
. eoa.o Denotes proposed Elevotfon
- Denotes Drainage & Utility Easement
Denotes Drainnge F(ow birection
---o-- Denotes Monument
-ri- Denotas Offset Huh Bearings shown are
L0T 20, BLOCK 2
DAKOiA CDUNTY. MlNMES07A
EAvN1V
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-LNVtniEERirrG
PROPOSEO HOUSE ELEVATION
Lowest F'loor Elevation:69g__g5
Top of Block Elevation:908.66
Gorage Stab Elevatlon:908.33
assumed ~
ST. FRANCIS WOODS
6 TH ADDf TION
I hereby tani(y thAl Ihii survey, plan Or repart was prepared by me or unde, my direp zupervision enQ phat I em duiy Regtp{Bnd l,and Surveyor
undef tha Iww3 af Ihe Stete of Minnasata. Datpd (hll ? 'la of +
Y A.D.1o 41 -Z-.
S_cale:=__I,?Gh_3(?fee{
-- y
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qoBE? e. s ? i L,S,
REC. roo. 11891
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SNELLING. GHAISTENSEN, BRIANT & LAUE, P. A.
ATTORNEYS AT LAW
SUITL' 990
RONALD L. SNELLINO 5101 VLRNON AVENUL SOU17i
JOSEYH J.CHRISTENSLN MINNEAPOLIS,MINNESOTA 55436
THOMdS A.BRIANT
ROHEA7' P. LAUE TELEPHONE (612) 927-8855
JOHNA.MUHBAY April 5, 1993
Arlington Building Corp.
13774 Princeton Corp.
Savage, MN 55378
OP' COUNSL^L
WALTER C.6USTAFSON
FACSIMILE 16121 967-5427
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear Arlington Building Corp.:
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 siqned 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.
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 20, 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 8th 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):
Arlington Building Corp.
BYn
Its
STATE OF MINNESOTA)
)ss
COUNTY OF )
1993.
The foregoing instrument was acknowledged before me, a notary
public, this day of , 1993, by
the of
Arlington Building Corp., a under the laws of
the State of , on behalf of said
& otary Public
TAIS INSTRUMENT WAS PREPARED BY:
Snelling, Christensen, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
???1q7
2005 RESIDENTIAL BUILDING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
17? _ LF6
New Construuion Reouirements RemodellReuairReouiremenGS Ofice Use ONv
3 registered site surveys shovring sq. ft. of lot, sq. R. of house; and ali mofed areas 2 copies of pian CeR of SurveyRecd _Y _ N
(20°hmaximumlotcaverageallowed) lsetofEnergyCalculationsiarheatedadditlons TreePreSPlenRecd - _Y??N,
2 copies of plan showing beam & window sizes; pouretl found design, efc. 1 site suivey for addNOns & decks Tree Pres Required _Y _ N
1 set of EneTgy Calculations Addition • indicafe d on-sile sepNc system On site Seplic System ' _Y `-? N.
3 copies of Tree Preserva6on Plan'rf loi platted after 711/93
Rim Joist DeWil Options selection sheet (buddings wAh 3 or less unils) .
. _..
Date?_/ blo / "Q?o ConstructionCost_TV0
SiteAddress 3-}u u -?-G?Cl1A McA11. Unit/Ste #
Description of Work (lqA l•.
qA WttO(?s
Multi-Famiiy Bldg _
_ YXN Fireplace(s) ? 0 _ 1 _ 2
Praperty Owner ' 1'i1 cz?mAv Telephone k ((DS? ) q(?- ? ?
Contractor c?? ,.
?0012-104G
& RCM BELiH ?
Address 4100 EXCELSiO? eL'Ju, City
State T. Lt?UIS PARK, IVi?4' S: Air-
Zip Telephone # (?6?) ?/-S -- ??? io?
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
(Jsubmissiontype) Su6mitted Submitted
• Energy Envelope CalcWations Submitted . '-
Have you previousiy constructed a building in ?agan with a similar plan? _ Y ! N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
7elephone # (
7elephone #(
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 undezstand 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.
???'t.r/?? ?1?,a?? ?C/V-? ,s'? ,? : ?
- -AppTicanYs Prinfed Name Applicant's Signahue
1 ?551A
2006 RESIDENTIAL PLUMBING PeRnnir aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? cto?
l15 50
Date r7 I ac ! V
Site Street Address Unit #?
Property Owner Telephone
Contractor T
/
T I ,Q??{J???.S Telephone # i () ,3 ?5 "?,?D
?
/
Addresst2)? /() Udd - City ??-Y\ State,? Zip'5512-3
The Applicant is _ Owner kContractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. ff yau are installing an(v a water sofrener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
? Water Softener ? Water Heater , $ 15.00
_ new ? replacement
Lawn Irrfgation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
?u? 31 zoa
Total $ ( - So
1 hereby apply for a Residential Plumbing 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 p(umbing codes; that I
understand this is not a permit, but only an appiication for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
il , ... r), ' I . .
Applicant's Printed Name ApplicanYs Signature
L?A
Il `,"
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118399
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 3744 Falcon Way
Lot:20 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
William L Smith
3744 Falcon Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121645
Date Issued:04/10/2014
Permit Category:ePermit
Site Address: 3744 Falcon Way
Lot:20 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
William L Smith
3744 Falcon Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
P
Use BLUE or BLACK Ink
� r----------------�
I For Office Use 1
. i . I o����P�P i
C�Uy Ol ����1! ,�, _ � Permit#. �,^► I
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, :.. .
� Permit Fee:
3830 Pilot Knob Road � `I
Eagan MN 55122 � Date Received: !( ` �
Phone: (651)675-5675 �`M�`- �� .:;��r��. I I
Fax: (651)675-5694 � Staff: �
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---------- ------ I
�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �t �
` / ' r �L �" � N 1 �
Date: 1 ( '.. '�� Site Address: 3�`7 T ���L-��f�� ��/ '7` Unit#:
` � � 6 �
Name: �7j1 LC� d- � C�}"K(t� L� ��1� 7�f Phone:� / 5�5 �7
: � ° � f
� � Address/City/Zip: .��7�� �L C.d fl1 �/l��'�, �-'���� �7 .� � 2.3
_ !
Applicant is: Owner �Contractor
Description of work:__"r �� ��:.- L-- 2 ,��"��"�� O���Ol S
. O=
�`' � ..
Construction Cosf� 2� ��� �� Multi-Family Building:(Yes /No �)
Company: I IU��I�2�1� ��Il/D t/�`}''fl O,VS LL.�ontact: k._� � �/2 ��}�
' � Address: I I �2 �U C�(�O D D �{Z City: �_�'��'"�
a
State:��Zip:�� �23 PhoneGj���4-7���mail: ��r �� 3� C�(����L ( d1�1
License#: �C 6 b I ��9 Lead Certificate#:�����j �.�7 �o` �
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:
_��� ,. . . e _,
<T�f� .a y � G e : a b " r: � , ', o. : ,
� �a� �� � � . - � �� a= e ��e � �� s � >.,
oc - e
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.qoqherstateonecall.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X ��� �-�� �� �� �� c�� X ��i � �'
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
.��� y �� �v�► ���.� , �
a 1���� :
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
� Alteration � b�'�'�" Fire Repair _ Windows _ Demolish Foundation
Rc�+,od�5- —
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation �_� Occupancy �'(LC 2 MCES System
Plan Review Code Edition �L[�C�7 MS�C.� SAC Units
(25%_100%�) Zoning �'� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �� Width
4
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee � 12 X �3 = 1�C. -' (w��..,,-� Z�{ �- I�j2. �( Zv�"-�
Surcharge 2�oy�
Plan Review � l � d o
MCES SAC (✓ E'�( Lt� = �%U `X � �
�
City SAC yr��� �
Utility Connection Charge
S&W Permit&Surcharge I
Treatment Plant �
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r-----------------
I For Office Use �
� I
C�� O� �n nn j Permit#: �e�U�"oC� j
y a�ai� � �
� Permit Fee: �Q .�� �
I �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �L �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: I
�-----------------I
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: f` � �Q `r' Site Address: .j � � `�( ��::; ���:_� �..��= i�
Tenant: Suite#:
Resident/Owner Name:G��,�<--t. S /%�.� �f' � Phone:
�
' Address/City/Zip: ..� � � � ��-i r��=- �-C�-; �
� Name:_�� �� �i����� j`���t�, �i�<, � License#: ����`j �f YG�
Address:�U 3 � � /`��l�l.�"�c:, .�-c.. City: �.�; '�� ��✓J��
Contractor. - 3
: State:�YIGt Zip: �� .�� �/�( Phone: C�/�Z. �G'% ��� �
Contact: �����z-- ���. Email: �� �'('✓�..a''� C �iL.� r•. � '� / .�
Type of Work —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: t ��-, -• ��r-- -z ��- '
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
Perrriit Type Add Plumbing Fixtures �Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic SVstem Abandonment, Water Turnaround*(includes�5.00 State Surcharge)
`Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge)
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.qopherstateonecall.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.
x �'�-��i�7'�r�- I�G,�. -ji 1' x r��/��`%"� �.�''�
ApplicanYs Printed Name ApplicanYs Signature �—
`fOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-ln Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139645
Date Issued:11/01/2016
Permit Category:ePermit
Site Address: 3744 Falcon Way
Lot:20 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William L Smith
3744 Falcon Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
c (I
pf"
RECEIVED I For Office Use
�I
6
JUL 1 2 2019 Permit#: /56 77
E AG NPermit Fee: 6
Date Received: o �
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections[a�cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: M I4-6 &E.J 71 LL Y/11-1-14- Phone:d 5i-335-62- 71-
Resident!
Owner Address/City/Zip: 3 7 t+ FALL CD Al 014-9
Applicant is: Owner X Contractor
Type of Work Description of work: R E 1 O 0 E L i 7)C 15i 6 t I T G t EIJ
oo
Construction Cost: C./ 00 Multi-Family Building: (Yes /No )
Company: TA)6ta! EJ9 !Eil/O(/*TiPti/S LLCContact: olive10140
Address: ! I p._ vet? z�A(» 7e 14 1L City: ��'9"s' k-/)
Contractor ` y
State:MLI)Zip: 4"i 23 Phone:17!2-P0745 9Email: eco. e e 3 40 L •L O Wt
License#: g C 4616061 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
14P0cs v ( 1iJ 1913
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeacgan.com/subscribe.
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.
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.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.
x E b b k E, to x 0,/111/1
Applicant's Printed Name Applicant's Signature
7//// V-4 ( Co ii 00 ig-v /5t' 7 7
DO NOT WRITE BELOW THIS LINE `�7
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
x Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool 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
?.14_k_a
Valuation Occupancy x - MCES System
Plan Review Code Edition ; ; - .' t c SAC Units
(25% 100% X ) ZoningCity Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Ve2 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) ' Final/No C.O. Required
Foundation Foundation Before Backfill K HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
/c Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
X. Insulation Windows
Sheathing Retaining Wall: Footings—Backfill Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Ill , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ,
Plan Review �; e,;1 ��� C-'
MCES SAC '
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
y9-0 8-®
Radio Meter Read 7741 /
Copies
TOTAL
Page 2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156891
Date Issued:07/24/2019
Permit Category:ePermit
Site Address: 3744 Falcon Way
Lot:20 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-200
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
William L Smith
3744 Falcon Way
Eagan MN 55123
(651) 335-6274
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178312
Date Issued:08/10/2022
Permit Category:ePermit
Site Address: 3744 Falcon Way
Lot:20 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-200
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 -
Jonathan Schoenecker
3744 Falcon Way
Eagan MN 55123
(952) 270-6464
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature